I went up to my late grandfather's house a while back, God rest his soul, to spend a night and check some of the stories for myself, and to ask the locals about the rest.
The problem is that most free or insured services are reserved for crisis cases, and the only timely access means paying as much as some people's rent for a simple session a week.
He argued the building exterior should look heavy and ugly so it declares the inmates confused lives, deters crime and serves as a warning to passersby.