The authors summarize the difficulties in transferring the long-term care function of the hospital to community-based sheltered-care facilities. To prevent social deterioration among sheltered-care residents, facilities must consider: [1] the negative effects of incarceration on social behavior; [2] the availability of support systems; [3] a proper balance between clinical assistance and social support; and [4] provisions for conducting private lives in public places. The authors argue that rehabilitative ideals must be tempered with realistic expectations about the achievement potential of ex-patients, and that resources must be focused on provisions for long-term support.
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