The Way Out : Lost Patients After 10 months at Washington State's largest psychiatric hospital, Adam Aurand is discharged onto the streets of downtown Seattle — ejected into a world shaped by decades of deinstitutionalization and failure to build community-based mental health care. His mother rushes to save him before he gets pulled back into the "churn." A Seattle Times reporter tries to pinpoint where the discharge process failed — and the investigation leads her to new conclusions about the limitations of psychiatric care in the U.S.

The Way Out

The Way Out

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After 10 months at Washington State's largest psychiatric hospital, Adam Aurand is discharged onto the streets of downtown Seattle — ejected into a world shaped by decades of deinstitutionalization and failure to build community-based mental health care. His mother rushes to save him before he gets pulled back into the "churn." A Seattle Times reporter tries to pinpoint where the discharge process failed — and the investigation leads her to new conclusions about the limitations of psychiatric care in the U.S.

Heidi Aurand mourns the memory of her late son Adam in her Portland home on June 27, 2023. Daniel Kim/The Seattle Times hide caption

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Daniel Kim/The Seattle Times

Heidi Aurand mourns the memory of her late son Adam in her Portland home on June 27, 2023.

Daniel Kim/The Seattle Times