[Sundae]

Our mental health system is also shot to shit.
"Care in the community" basically meant releasing people who could not cope with daily life and giving them accommodation and money, but little or no support. Oh they got their drugs paid for alright. But many - MANY - only took them with familial intervention.

But then institutions were cruel places too, preventing those who could live outside from ever having the opportunity to prove it.

I've yet to hear of any country who have been able to reach a reasonable balance. But I'd look to the Netherlands or New Zealand as examples. No, I've no idea how they handle it - I just know them to follow ideals pretty close to my own much of the time.