Dan is a $63$ year old man who has been institutionalized for the last $8$ years. He was first admitted to a psychiatric hospital at the age of $23$ and has been in and out of local and state hospitals for treatment $22$ times in the last $40$ years. Between hospitalizations, he lived in various living arrangements, but he has since settled into the institution and has become a well$-$known resident. In the institution, he cannot be directed. He goes where he wants when he wants. He leaves group settings without warning, and walks around the hospital visiting offices and people as he pleases. He carries pieces of paper with phone numbers, often with no names attached, and frequently the numbers are incomplete. He will hand these papers to people at random and demand that they call a number but he cannot say whom to ask for. If someone refuses, Dan gets irritated at the lack of cooperation. He rarely conducts a coherent conversation. He answers questions with unrelated questions of his own. At times he humors himself with his own hard to follow stories; at other times his stories result in him getting angry and loud, as if someone has just done something to him. Dan does not seem to hallucinate, but little of what he says is rational. He occasionally annoys the other residents and the residential manager has had a few talks with him to address that behavior after a few residents lodged complaints about him.Dan is a $63$ year old man who has been institutionalized for the last $8$ years. He was first admitted to a psychiatric hospital at the age of $23$ and has been in and out of local and state hospitals for treatment $22$ times in the last $40$ years. Between hospitalizations, he lived in various living arrangements, but he has since settled into the institution and has become a well$-$known resident. In the institution, he cannot be directed. He goes where he wants when he wants. He leaves group settings without warning, and walks around the hospital visiting offices and people as he pleases. He carries pieces of paper with phone numbers, often with no names attached, and frequently the numbers are incomplete. He will hand these papers to people at random and demand that they call a number but he cannot say whom to ask for. If someone refuses, Dan gets irritated at the lack of cooperation. He rarely conducts a coherent conversation. He answers questions with unrelated questions of his own. At times he humors himself with his own hard to follow stories; at other times his stories result in him getting angry and loud, as if someone has just done something to him. Dan does not seem to hallucinate, but little of what he says is rational. He occasionally annoys the other residents and the residential manager has had a few talks with him to address that behavior after a few residents lodged complaints about him.Dan is a $63$ year old man who has been institutionalized for the last $8$ years. He was first admitted to a psychiatric hospital at the age of $23$ and has been in and out of local and state hospitals for treatment $22$ times in the last $40$ years. Between hospitalizations, he lived in various living arrangements, but he has since settled into the institution and has become a well$-$known resident. In the institution, he cannot be directed. He goes where he wants when he wants. He leaves group settings without warning, and walks around the hospital visiting offices and people as he pleases. He carries pieces of paper with phone numbers, often with no names attached, and frequently the numbers are incomplete. He will hand these papers to people at random and demand that they call a number but he cannot say whom to ask for. If someone refuses, Dan gets irritated at the lack of cooperation. He rarely conducts a coherent conversation. He answers questions with unrelated questions of his own. At times he humors himself with his own hard to follow stories; at other times his stories result in him getting angry and loud, as if someone has just done something to him. Dan does not seem to hallucinate, but little of what he says is rational. He occasionally annoys the other residents and the residential manager has had a few talks with him to address that behavior after a few residents lodged complaints about him.