“The housing should be on farms so they will be able to work, for everyone needs to have something to get up for. “
An in-your-face liberal group runs housing and a soup kitchen two blocks from the state capital. It attracts lots of dangerous homeless people who have completely occupied and live in the huge down town library. It’s essentially useless to others and stinks of urine. This group has refused an excellent facility on the rural edge of the county because “We want to keep the homeless in-your-face until you solve the problem.” (Direct quote.) I saw a homeless man having a brutal fight with somebody who wasn’t there and he was energetically trying to kill this apparition. Yep, needs medication. But he’s on the street.
That was what we had or were working towards until “deinstitutionalization” (prompted by the leftist lunacy that the mentally ill were just expressing their hatred of capitalism, combined with the right’s short-sighted penny-pinching).
Many large state institutions, although not necessarily snake pits, were certainly not ideal. But most were moving to a cottage system with supervised work and workshops, or even an external supervised housing and workshop system, with full institutionalization being reserved only for people who were completely unresponsive to any treatment and were threats to themselves and others or simply incapable of even functioning without assistance and even restraint.
Drugs have improved things a lot since the 1970s, but many of the drugs by themselves are less than optimum (some of the uninstitutionalized psychotic killers were actually taking drugs) and there needs to be much more research in this area. Gene therapy may also be a possibility someday.
But in the meantime, we need programs like the ones you have described. However, I don’t think that’s what Obamacare is aiming at.
I’m somewhat familiar with a few crazy people and getting them to farm is way past optimistic. Keeping them out on a “farm”, and away from the general population has benefits. If they were productive before they went nuts then they probably have assets that should be used to contribute to their recovery. If they started off crazy and stayed that way then they are most likely wards of the state anyway and so will be kept in a safe place.