This is actually a concept. Right now, I'm into creepy/disturbing stuff and this drawing (scan) is one of these. It's very simple actually, but it has a... "story" behind.

So, here's what I imagined:

A decaying road sign, "Sanitarium" it says. A clown is on the top... and then, an arrow pointing west, just below. Sanitarium... no, it's not an amusement park nor a kindergarten... it's a Sanitarium for children. The sign is full of graffiti, some vulgar, some obscure, complete with a "Die" just above the smiley clown's nose.
And then, next to it, a wooden sign... "Leave This Place"... What could it really mean? And who put that there? We do not know.