CommentaryPsychiatry’s Past Can Be Psychiatry’s FutureBecker, Robert E. MD, CMAuthor Information Clinical Pharmacology, Drug Design and Development Section, Translational Gerontology Branch, Intramural Research Program, National Institute on Aging, Baltimore, Maryland; and Aristea Translational Medicine Corporation, Park City, Utah. Send reprint requests to Robert E. Becker, MD, CM, Aristea Translational Medicine Corporation, 3435 Cedar Drive, Park City, UT 84098. E-mail: [email protected]. The Journal of Nervous and Mental Disease: January 2021 - Volume 209 - Issue 1 - p 85-87 doi: 10.1097/NMD.0000000000001242 Buy Metrics Abstract In the last half of the 20th century, psychiatry lost many of the conditions needed for unhindered practice. I compiled from searches of the literature the 20th century changes in the arenas of psychiatric practice and the sources of these changes. I determined how these changes are shaping 21st century health and well-being. The neglect of the severely mentally ill, first in Bedlams and now on Boulevards, reflects a wide loss of resources. Psychiatry's patients have lost a past of community-based mental health services, interdisciplinary care teams, preventive consultation with social agencies, and, with reimbursements targeted for 15-minute visits, time adequate with the physician to individualize diagnosis and treatment. With the Covid-19 and other epidemics, economic inequalities, an economic crisis, unrest over police violence, and racism, psychiatry can find in its past the resources to engage 21st century psychiatric and other problems. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.