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In Why Is Grandma Screaming?, Barbara Speedling opens a provocative conversation on the impact of the changing demographics in long term care on quality of life for those being served. Access to mental health facilities, homeless shelters and other public or residential services for people of all ages with mental illness, substance abuse issues, complicated social circumstances and other complex needs has dwindled in a wounded economy. The nursing home environment is fast becoming an uncomfortable mix of ages, circumstances, and medical and psychiatric needs. Advances in medicine have added...