If he fails a mental health evaluation, that would certainly bring into question how he ended up in charge of spent fuel from Nuclear reactors... not exactly something that you hand off to the local madman. So, he's either sane and just a degenerate with a fetish for wearing stolen women's clothing (among other disgusting shit), or he's a lunatic who should never have been put in that position, which should (in a sane world, which this is not) lead to those who suggested him and those who approved him being fired at a minimum.