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Hi Emily,   Yes, well I wrote you privately that NIMBY is alive and well: Not In My Backyard.  A new residence was slated to open in St. George, Staten Island, and the elected officials put the quash on it after neighbors complained about the "crazies" moving in.   It should always be the "least restrictive setting," and that is a legal requirement as well as a compassionate requirement, too.   I don't think institutions are the answer.  Institutions, by their very nature, seem like warehouses to me.  However, with the right advocates, resources, staff and treatment included, institutions could possibly make a comeback.   The problem is, there aren't enough acute care beds in hospitals, either.   Regards, Christina