The movement in the 80s and 90s for de-institutionalization was definitely good in some ways because there were so many people in hospitals who didn’t need to be there and would benefit from living and getting care in the community. But there are many more people who cannot or will not be compliant with treatment in the community and/or don’t have the services or support (from family, friends, greater community) to get it. Those are the people that you see living on the street, causing harm to themselves and others, who IMO need to be hospitalized for at least some period of time to get on a routine of meds that stabilize them and then get set up with services and supports when they go back into the community. But sadly I doubt that it will happen like it needs to because taxpayers don’t want to pay for it. So hospitalizing these people gets them off the street which will help temporarily but ultimately won’t do them much good if they’re released without a plan.