Clarence Sundram offered the following perspective on the 1980s experience in New York:
The unfortunate lesson that fiscal policymakers seem to have learned is to close institutions and close them quickly, and to look for economies of scale in the development of large community residences of standard size and even larger day programs…
In short order, the demands of convenience and efficiency produced a public policy that has resulted in a proliferation of 12-bed residences all over the state, to the virtual exclusion of other residential options.
We seem to be approaching a policy much like Henry Ford's in producing the Model T: "any color you want, as long as it's black."
What happened to the individualization that we all fought to have required by law… What happened to normalization?