This is pretty much what happens to a ton of games. It seems open, but you can’t do any creative solutions because it isn’t part of the design. Not saying it isn’t tough, but a company like Rockstar should have the ability to pull it off.
Just yesterday I learned that in Skyrim, there is a caretaker in the orphanage called Grelod the Kind, who is terrible to the children. So apparently if you are a pacifist, you can put a fear spell on her and she will run out the orphanage and she gets killed by a beggar there. That’s brilliant! It tells a story (beggar must have got her kid in) and it’s another way to solve the problem.