it’s a complicated issue, and we need to get society on board with the idea of treating mental health (to both a sufficient and humane degree) in addition to physical health. moving away from the institutionalization model was intended to ensure people weren’t just locked away to rot at the state hospital under the “supervision” of indifferent or hostile caretakers.
without community support and with the move toward profit-driven healthcare, people aren’t going to get what they need. now our institutions are just literal prisons instead of asylums.
but anyway, i know you know most of this already (the shortcomings of the profit-driven model), as someone working in healthcare.