Dr. John A. Talbott, Champion of Care for the Mentally Ill, Dies at 88

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Dr. John A. Talbott, a psychiatrist who championed the care of vulnerable populations of the mentally ill, especially the homeless — many of whom were left to fend for themselves in the nation’s streets, libraries, bus terminals and jails after mass closures of state mental hospitals — died on Nov. 29 at his home in Baltimore. He was 88.

His wife, Susan Talbott, confirmed the death.

Dr. Talbott was an early backer of a movement known as deinstitutionalization, which pushed to replace America’s decrepit mental hospitals with community-based treatment. But he became one of the movement’s most powerful critics after a lack of money and political will stranded thousands of the deeply disturbed without proper care.

“The chronic mentally ill patient had his locus of living and care transferred from a single lousy institution to multiple wretched ones,” Dr. Talbott wrote in the journal Hospital and Community Psychiatry in 1979.

In a career of more than 60 years, Dr. Talbott held many of the leading positions in his field. He was president of the American Psychiatric Association; director of a large urban mental hospital, Dunlap-Manhattan Psychiatric Center, on Wards Island; chairman of the department of psychiatry at the University of Maryland, Baltimore; and editor of three prominent journals: Psychiatric Quarterly, Psychiatric Services and The Journal of Nervous and Mental Disease — which he was editing at his death.

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