After Carrie Davidson learned that her great-grandmother died in a psychiatric hospital, she spent years tracking down details of her life there. Was the asylum a refuge? Or a prison? This earlier era hangs like a shadow over our approach to care today. We peer into horror and nostalgia that surrounds our societal memories of these mental institutions — and try to sort out which narrative is true.

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Across the U.S., efforts are underway to make it easier to involuntarily commit people to psychiatric hospitals. It's a reaction to the sight of seriously mentally ill people on the streets and the cries of families who say it's too hard to get a loved one help when they're in crisis. But this gets at one of the most delicate questions our society has faced: When does our belief about what's best for someone override someone's right to decide for themselves?

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Heidi Aurand has watched her son Adam spiral from one psychiatric crisis to the next for about eight years, bouncing between emergency rooms, jails, and homelessness. Now, after treatment at the state's largest psychiatric hospital, Adam was just released back onto the streets of downtown Seattle. A mother asks: How could her son pass through so many institutions and none are able to stop his decline?

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