Since passage in 1974, all 50 states now participate in some aspect with the deinstitutionalization mandate.

Name: Since passage in 1974, all 50 states now participate in some aspect with the deinstitutionalization mandate.
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The deinstitutionalization mandate was passed in 1974 and required all 50 states to participate in some way, such as closing large institutional facilities and transitioning individuals with mental illness to community-based services.

Since Passage in 1974, All 50 States Now Participate in Some