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Well, no, we can't. In the US, directly observed treatment would be cost prohibitive. $10 total for 6-9 months of observations? In the US it would be several orders of magnitude higher. Furthermore, even if we could, it doesn't transfer to mental health. One, people with mental illness tend to be more resistant to observation. Two, there's no "Short Course"; the meds are for life or at least for decades if burnout occurs.
NYC does TB DOTS, including by video call where appropriate. A quick google finds this paper giving costs of $5-10 per day per patient at 2015 prices (as far as I can see, NYS DoH eats the cost because most of the benefit is public). While expensive, that is a lot cheaper than a seriously mentally ill person going off meds twice a year.
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