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What happens when a federal court orders a state government to correct major problems in its service delivery provisions to people with disabilities, especially people with the dual diagnosis of mental retardation and psychiatric disorders? This book highlights numerous and varied findings of an eight-year (1993-2001) longitudinal study that attempted to measure the impact of this lawsuit on both the people who were known as Thomas S. class members and the state and local services that were available to them in North Carolina.