Unless I’m way out of the loop, there are still facilities for extreme cases, no? I think the difference is that patients cannot be detained there against their will, vs asylums were full of people who wanted to leave, after being forced there by someone else, and being treated like shit every step of the way
This is part of the problem. People think that homeless people are all drug users, and that’s not accidental. I bet if you ended up on the street, couldn’t get a leg up to get off the street, you might eventually turn to drugs to help forget that you’ve been abandoned by society and a government that will bail out car companies and banks but won’t establish better systems to get people up and running again.