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WineHorror1 says

Who ended all of the mental hospitals and why?

California passed the LPS bill, named after the abbreviation of the two leftists and one cheapskate Republican who sponsored it - and yes Reagan signed it. In June 1973, all the inmates were released from Cali's prisons onto the street. Those assigned to halfway homes seldom stayed one night before refusing the Alien-Illuminati Control pills and instead looking for alcohol to kill the voices. A single Social Justice Worker is unable to monitor and control the coming and going of Schizos in a halfway house - unlike a controlled large facility with orderlies and security guards, fences and doors.

The Far Left, working with RINO Cheapskates, defunded all the mental hospitals and greatly limited the ability of Law Enforcement to forcibly hospitalize people. Most states cannot hold somebody more than 72 hours every so many months or even years for ANY reason. Even voices telling them to Kill, Kill, Kill.

That is why nutjobs who kill are very well known to the authorities, but without a crime, there is literally nothing they can do beyond the 72.

DooDahMan says

Involuntary commitment can also be used for drug/alcohol abuse etc.

Not true unless it involves violence. The abuse of a drug or booze and functioning without hitting your wife or kids is totally legal. Alcohol and drugs are bad, but I know plenty of people that function just fine and don't hurt anyone. I don't condone it, but it's not a situation for involuntary commitment. People, even those you consider friends are doing tons of shit you have no clue of. Drugs, booze and other activities that are illegal.

I just went through this with my BIL. He still had to sign paperwork and agree to go. His problem was he didn't know the problem. He did two inpatient stints in rehab for booze. Got sober and was right back at it 2-3 days out. He had a choice if he went or not. Was trying to save the marriage with my sister. He's dead now.

If one hasn't experienced mental illness first hand, they really shouldn't talk about it. As a Libertarian leaning person, forced institutionalization makes my skin crawl. BUT, certain people need it. If you've experiences a death at a younger age, you know it when you see it. I've got a hanging and death by alcohol on my body count. One you wouldn't have known necessarily, the other eventually became obvious and should have been locked up for a year or two and had treatment and "maybe" would have come out "cured" so to speak.

It's why I take little to nothing from big Pharma. Even OTC pills. They want you to mask your problems so you keep having them and they keep making the $$$$. If I'm hurting the morning after a bachelor party, I just take the pain or headache I deserve. Pretty sure I tore something in my shoulder. I'm in constant pain but manageable. Taking it easy for two weeks and if it doesn't feel better I'll go to the doc. Then they'll say I need a surgery and then that one didn't go well and they need to get back in. Rinse and repeat. Our medical field is 100% business and has no interest in making you well.