Mental health facilities literally still exist, just not called asylums anymore bc asylums historically were horrific and unethical, and the term "asylum" cannot ever be divorced from brutality in the public consciousness. I know this because I've been a patient in a mental health unit before. They still have some major problems with human rights abuses, but up until covid hit there were some pretty drastic improvements, (after covid, at least at the unit I'm familiar with, they took away most of what made it bearable & got rid of all the trained counselors in favor of nurses who don't give a shit) and it's nowhere near as bad as the forced lobotomies and direct physical & mental abuse you seem to want to return to.