It sounds like this guy needed around-the-clock, in-patient care. That's inherently expensive. While those facilities exist in countries with publicly funded healthcare, there's a huge shortage of in-patient beds, so there is some mechanism to funnel patients to outpatient care.

Don't leave out jails, without insurance and significant funds, that's what democracy has decided for you.

For psychological care it isn't that bad. Probably because people will first get on anxiousness/depression pills, and convince themselve they are ok.

My state has the beds available, but no staff.