Canada has a major tradition of following deinstitutionalization, along with many other places. It's a tradition predicated on closing large institutions on a commitment to institute community-based, recovery-oriented services. This is a decades-old refrain we were reminded of when Senator Kirby crossed the country and summarized his findings in “Out of the Shadows at Last”. Once again, we were told we have not closed that gap.
Canadians funded the world's largest randomized control trials to evaluate recovery-oriented housing in comparison with usual care. The results were dramatic. I led the trials in Vancouver, where our focus was on addiction. We found dramatic reductions in crime and medical emergencies, and improvements in health—