Physicians who have not followed the flow of mental health services over the past 30- plus years may not be aware that the advent of deinstitutionalization of mental health services beginning in the early 1970s occurred just prior to the advent of harsher sentences for drug use, possession, and sales, the so-called Rockefeller Laws. The psychiatric institutions that were downsized were mostly state owned and operated and originally provided services for the communities’ mentally ill. The wealthy mentally ill patient never did come into these institutions unless he was committed – adjudged to be “a danger to himself and others.”