Who said anything about cracking skulls? Institutionalization is simply a manner of imprisonment, but it is still in that column. State-run institutions were shut down, but interestingly the amount of "institutionalized" people in the population remained much the same, they basically just moved into the prison system, which I think is arguably worse. But yeah, I'm all for addressing mental health and being more "liberal" with institutionalization. It's better than having crazy people cursing at kids on the street, threatening violence and creating public health hazards.