An adult with schizophrenia is discharged from a state mental hospital after 20 years of institutionalization. When planning care in the community, which premise applies? This patient is likely to
a. independently find support services to aid transition from hospitalization to community.
b. adjust smoothly to the community if provided with sufficient support services.
c. self-administer antipsychotic medications correctly if provided with education.
d. need crisis or emergency psychiatric interventions from time to time.
D
Patients with serious mental illness are rarely considered cured at the time of hospital discharge. Decompensation is likely from time to time, even when good community support is provided. The emergency room may become a first-line resource in the continuum of care designed to prevent rehospitalization. Unfortunately, transitional services are not always readily available. Adjustment to a community environment after long institutionalization is often a slow process.
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