Are the people who 'don't attend' making a living by being deemed ill and disfunctional? Are they being reinforced with cash and other goods and services for being disfunctional?

If they are it's not surprising they are not showing up is it.

If I throw a party where I give people free money and then throw another party which is a work on changing yourself party would you be surprised if a lot showed up for the free money and not many showed up for the work? And unless the people are also retarded they know that the work on changing yourself party lead them away from free money and free goods and free services.

That's kind of like the company I work for offering me retirement right now that is pretty much guarenteed for life, along with free medical care, and then offering me the opportunity to keep my job and people talking about how I must be sick because I no longer show up for my job.

The mental health system basically ignores the reality of economics.

If you pay people $11 per hour tax free to do whatever they want and answer to only themselves you should not be surprised that they are not falling over themselves to take a part time job for $3.50 per hour (which will be considerably harder than the vacation for $11 per hour) that is puting their $11 per hour free vacation for life at some risk.