I'm sure we can concoct some elaborate edge edge edge case where there are no other options, but broadly I think the medical establishment much rather prefers t

I'm sure we can concoct some elaborate edge edge edge case where there are no other options, but broadly I think the medical establishment much rather prefers the situation where some dysfunctional person is regularly coming to check in with a doctor, even if it means they have to handhold some person every step of the way through life as they make mistake after mistake. The alternative, where someone is whisked away to internment for a few months, bounces back right after into the same broken lifestyle, and subsequently never trusts the medical system ever again and never goes to see a doctor again is less desirable. With the former there remains always new opportunities for someone to take positive steps forward to recovery as they are always in contact with a system that can help them. With the latter we burn a bridge one and done.