This article discusses some of the most recent developments in US mental he
alth services that follow on the heels of the for-profit hospital scandal t
hat was brought to public attention less than a decade ago. As individuals
and as a profession, nurses have a responsibility to uncover, openly discus
s and condemn malfeasance when it occurs, yet there has been a collective s
ilence about these developments. The authors explore the reasons for this a
nd make recommendations for regaining nursing's moral voice and integrity.