The report's author, Chris Koyanagi of the Bazelon Center for Mental Health Law, notes, "Shakespeare tells us there is a tide in the affairs of men which, taken at the flood, leads on to fortune. Unfortunately, deinstitutionalization missed the flood. By the time the necessary knowledge existed, political will had faded. The optimism of the 1960s regarding government's ability to solve major social woes was gone. The memory of the snake-pit institutions had faded. The policy picture had become more complex than expected." The result was "a grievous muddle of cause and effect and abandonment of responsibility on all sides."