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Question
You are a social worker in a psychiatric hospital setting. While most patients are discharged from the hospital setting after only a few days, some patients are able to stay for longer periods of time. Due to the mandate from insurance companies to discharge patients as soon as possible, discharge planning begins when patients are admitted. Your client, Bea, was admitted for psychiatric symptoms and is terrified to leave the hospital after a stay of over three weeks. Your responsibility is to locate long-term housing and outpatient care for her in the community. As you meet with her one morning, you find her tearfully pleading with you to be allowed to stay longer, as she does not feel able to live independently. You are not sure that she is ready either, although the medical staff states that she is ready for discharge. You feel caught between the demands of your organization and the wishes of Bea.
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