In 1963, Congress approved the Community Mental Health Centers Act, which outlined plans to release the mentally
ill from institutions, incorporate these individuals into their communities, and provide outpatient treatment. Leading
associations of mental health professionals overwhelmingly applauded these goals and approved of these plans
because, the experts said, the treatment rather than the institutional environment was the crucial element for the
welfare of these patients. Within twenty years, state authorities succeeded in discharging 95% of these patients
from institutional care. In 1983, however, executives from these same professional associations said that the plight
of the mentally ill was worse than ever. Which if the following, if true, best resolves the paradox in the above
passage?
• More people were diagnosed with psychiatric disorders in 1983 than in 1963.
• Many mental health professionals believe that if their peers had administered the project rather than the state
authorities, the results would have been better.
• The state budget allocation for services to the mentally ill has not increased faster than the rate of inflation.
• Congress agreed to fund these outpatient services, provided that the money come from cuts in other domestic
programs; these cuts, however, never materialized.
• Many of the released patients had, at some time, been addicted to illegal narcotics.

• More people were diagnosed with psychiatric disorders in 1983 than in 1963. - Number of people with disorders is irrelevant - Incorrect
• Many mental health professionals believe that if their peers had administered the project rather than the state authorities, the results would have been better. - The point of who administered the project is not relevant in the current context - Incorrect
• The state budget allocation for services to the mentally ill has not increased faster than the rate of inflation. - Can be the case but not strong enough - Incorrect
• Congress agreed to fund these outpatient services, provided that the money come from cuts in other domestic programs; these cuts, however, never materialized. - Because of insufficient funds, the treatment was inadequate for the patients - Correct
• Many of the released patients had, at some time, been addicted to illegal narcotics. - Out of scope - Incorrect

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