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Document-grounded exposé of four U.S. institutions—Byberry, Pennhurst, Willowbrook, Marlboro—tracing cycles of promise, pressure, break, exposure, and flawed closures. Using facts, allegations, and inferences from records, it reveals systemic neglect, abuse, corruption in mental health care, arguing closure isn't repair but relocation of harm. Explores patterns in staffing, budgets, oversight; critiques dispersed systems; urges enforceable standards for true accountability.
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