Yes, the mental health system in this country is suffering from the deep cuts. In fact, when Reagan closed most of the mental health facilities in California (as the governor of California) over 20 years ago, it created REAL chaos, because people incapable of taking care of their mental health issues were left to fare for themselves, with no infrastructure (Psychiatrists, psychologists, support groups, day programs, etc) in place to support them in a community setting.
When this spread to the rest of the nation, it only got worse.
Today, communities all over the US are trying to cope, but there are not enough psychiatrists and mental health workers, and they are badly compensated. So, the most "expedient" way to deal with the issue is psychotropic medication!
And, although psychotropic medication can have big consequences and are very unpleasant (this is why so many refuse to take it, and prefer to self-medicate with alcohol), it is in many case absolutely necessary to control the most severe symptoms of major depression or schyzophrenia.
But, other services are absolutely needed. . . like "talk therapy," which take a VERY long time, a LOT of man power and that, although it is very helpful and appreciated by most people with mental illness and their families, may NOT be effective for some more severe conditions (i.e., schyzophrenia) which are basically triggered by hormonal imbalances in the brain.
Day programs where people with mental illness can spend their days in a protected environment, do some appropriate work (i.e., a mailing room) and receive some group therapy is very efficace to help them. . .but it is costly, and obviously, the GOP calls it an "entitlement program" and will vote to cut it even further if we give them half the chance!
I'm sorry about your friend. I know how difficult it is not just for the person with the disability, but also for his/her family and even friends. I worked in a mental health day program in California, and I loved working with that population, and learned a lot from being a part of the multidisciplary team (Psychiatrists, nurses, psychologists and social workers). I also co-facilitated a support/information group for families of my clients. You may want to check in your area to know if such resources exist.
Good luck.
