Deinstitutionalization was dreampt up by deluded idealists that slept with a copy of Naissance de la Clinique firmly lodged in their asses. Abolishing asylums was good, because at the time asylums were the aforesaid victorian dungeons. But from the outset, the movement was based on the belief that a magic pill would cure everything and all long term treatment was oppressive.
Antipsychotics enabled community treatment at all. But the wholesale rejection of both long term and secure treatment facilities was an indefensible failure of reasoning and an abject tragedy, and one that was set in motion by Hoffman and his peers when they penned the foundational texts of the movement.
We desperately need secure treatment facilities. There is no solution if we do not have them, just the continuing abject failure of basic human decency that we currently have. This system is broken, and it is directly the fault of everyone who began the deinstitutionalization movement and their total inability to foresee the obvious consequences of their actions. Regan was evil and JFK was understandably bitter, and even though they both worked to bring the end of asylums, they are both still guilty for their roles in bringing this current hell down on us.