Mental illness and some forms of  Dementia can hit a person quickly. Many times they don't realize they are sick. It's heartbreaking and many have no help or understanding of the long term effects on family and friends. All that land and money in Mental Health Trust and yet not enough room/beds in Alaska. The Board had rather mortgage everything to buy property in lower 48 for investments! For whom? API should be bigger and fully staffed instead of underpaid, overworked people who struggle to keep it together for the mentally ill in a safe place for their care. No private doctors will take Medicare/Medicaid mental care so what can a sick person do but die!  Many with no family, close friends, or money do die on streets. They don't know they are sick. Their brain fails them in making decisions so they can protect themselves. Society in general must think mental illness is contagious and keep their distance, but these people are like lost children and need help for care.