Every time activists in the U.S. have sought to reform the mental health/developmental disabilities/ mental retardation/etc. system, their efforts (which always became compromises) ultimately strengthened the system and made it more difficult to stop.
Dorothea Dix came along when a change was obviously needed and set a president for how reform was to take place. Mainly, this reformation put the determination of rights for those mainly affected by the system in the hands of political opportunists.
The response to the public recognition of the abuses in places like Willowbrook included the creation the Protection and Advocacy agency which protected the system from being independently investigated.
In the same way, that sterilization was originally sold as a right, forceable institutionalization law are sold as the way to ensure that those who were in the most need of care could be assured adequate support.
Today it's obvious to those who are treated the worst by this system that it was never designed for their benefit but is instead an unfair weapon in the class war for allowing the judicial system to incarcerate misfits and promote the careers of politicians.
There is no mystery in why such low standards are used to evaluate science regarding autism or why the pharmaceutical companies have started a new propaganda campaign to promote their new products due to the ritalin campaign getting old.
Of course the behaviorists are getting away with more abuse than ever (including murder) and the solution is described as impossible due to the severity of the behavior problems. The abuse is being exposed mainly by those who are advocating more formal integration of standard behaviorism in schools by using laws that claim that children will be safer.
A class war is determined by hierarchy. The people at the bottom of the ladder know very well how the system works and are listened to the least. If you don't yet see that compromise is not an option it's mainly because you aren't at the bottom yet. However, if you review the history of the system and analyze how quickly the system is expanding to include you, you'll understand that either you or someone very close to you soon will be.