A woman who was recently placed in the community after 3 years in a state mental hospital is having trouble adjusting to the living arrangement made for her by the hospital. She is not going out and does not participate in any activities. She is friendly when you talk to her and seems glad to have your company, but she does not seem to know how to take care of the details of everyday living. She has a roommate who is more competent and independent. The two get along well.

In each of the above situations, develop a tentative plan for the client. List the various services you believe each person needs initially. Include in your plan for each client both formal and generic services, and where appropriate, use social supports and support groups. Suggest other services the person might use later once the case is stabilized. Think about how you can involve others close to the person and how you will involve the client in planning.