Introversion Software and Double Eleven do a great job showing that simulation games do not have to be boring or mindless, and that they can be home to creativity, variety, and if you're feeling up to it, absolute chaos!
Overall, I'm having fun with the Psych Ward DLC for Prison Architect. The DLC introduces some new elements to a winning formula, making the game feel fresh even a year after release. The only complaint I have is that the DLC has no new trophies for players to try to unlock, but that's the one knock I'd have against an otherwise excellent set of content.
Psych Ward can feel small, but its intent is to draw you back in to the even smaller lives of the criminally insane. Likewise, you'll have to make small but important design shifts that require more attention than your regular prison wings. But if you build with purpose and intent, you just might be able to reform the toughest customers introduced to Prison Architect yet.