Which of the following treatment programs would be most appropriate for homeless clients whose judgment is severely impaired by paranoid delusions and command hallucinations due to medication and treatment noncompliance?
1. Inpatient hospital-based care
2. Mobile outreach units
3. Assertive community treatment
4. Partial hospitalization programs
1. Inpatient hospital-based care
Rationale:
Clients who are strongly influenced by delusions or hallucinations that seriously impair judgment have a severe inability to function in almost all areas and require intense, skilled nursing care to ensure safety needs are met. This type of care can only be delivered through inpatient hospital-based care. Mobile outreach units, partial hospitalization, and assertive community treatment programs cannot provide the security and supervision necessary to ensure these clients' safety.
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