Despite spending more on psychiatric services and prescribing psychiatric medications at a higher rate than almost any other nation, mental health in the United States over the last two decades has only been getting worse.

Rates of depression, anxiety, suicide, overdose, chronic disability due to mental health conditions, and loneliness have all been rapidly increasing. No quantity of psychiatric drugs or hospitalisations appears adequate to reverse these trends.

Despite this, the US medical and psychiatric establishment has persistently refused to use its substantial political power to demand the transformation of care by expanding non-medical support systems to address the root social causes of mental illness, such as poverty, childhood trauma and incarceration, rather than focusing on

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