When I was in Germany we stayed with one of the on-staff doctors at Selters (sp?). He had numerous degrees including one for mental health, don't know which. He was a lovely, compassionate man that had much empathy for the "friends," and sadly since passed I heard. But he said he saw lots and lots of people with mental health issues. The day we were there at the branch, we didn't leave until late at night he had so many appointments.
I would think they would want to keep issues inhouse if they could, but at least they are recognizing the need to some degree.