Licensed Clinical Social Worker (LCSW) Practice Exam

What is the MOST likely explanation for frequent crises and rehospitalizations among clients discharged to the community from a mental hospital?

1. The clients are not adhering to medication

2. The community lacks follow-up services

3. The clients have unsupportive family environments

4. The mental health center's services are insufficient

The correct answer is: The community lacks follow-up services

The most likely explanation for frequent crises and rehospitalizations among clients discharged to the community from a mental hospital is that the community lacks follow-up services. This situation often arises because individuals transitioning from a structured hospital environment may face challenges in adjusting to community living without adequate support. Follow-up services are crucial for monitoring mental health after discharge, providing access to therapy, medication management, and support groups. When these services are insufficient or entirely absent, clients may have difficulty managing their symptoms, leading to instability and potential crises. A lack of community resources can result in gaps in care, leaving individuals vulnerable to relapses that may necessitate rehospitalization. While adherence to medication, family support, and the adequacy of mental health center services are certainly factors that can contribute to clients’ well-being, the immediate need for structured follow-up services in the community is often a significant determinant in the stability and recovery of individuals after leaving a mental health facility. Without these critical resources, the likelihood of experiencing crises and requiring rehospitalization greatly increases.