Back in my misspent youth, I studied nursing in New York City. Part of the curriculum involved going out to an adult mental institution called Manhattan State on an island in New York harbor.
There were three tall buildings on the island. The higher the level, the more extreme the affliction. Student nurses rarely, if ever, got about the third floor. About that same time, a young reporter named Geraldo Rivera did some investigative journalism that led to the exposure of an institution for kids called on Long Island. The place was a horror house of kids with mental illnesses