The United States failure to participate in the newly created League of Nations after World War I resulted in increased isolationism during the 1920's and early part of the 1930's. Many American citizens did not want to be involved in foreign affairs anymore. This is especially true considering the toll in both casualties and cost that World War I had on American citizens and the government. This resulted in the US playing a smaller role in international affairs and a refusal to join World War II until almost 2 years after it officially begins.
Over time, when the colonies became a true nation, the name took on the meaning encapsulating everyone in this new nation of America, and slowly other people joined in—from the Spaniards down in Florida and on the West Coast to the French who had come down through the Midwest after establishing fur trading in Canada.
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Deinstitutionalization as a policy for state hospitals began in the period of the civil rights movement when many groups were being incorporated into mainstream society. New hospitals today look more like luxury hotels then hospitals. They are designed to give a resort-like atmosphere with all its amenities. Certainly we can design facilities that are safe, provide refuge from a difficult world, and offer meaningful activities to improve the lives of the most severely mentally ill. For those who need respite, care, and rehabilitation, the idea of an asylum as idealized by the ancients might be a welcomed alternative.
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