A clincian may be working with a client through a 3- hour session and during the appointment, the client may be having difficulty with heightened symptoms. In spite of the clinician's attemps to de-escalate whatever situation has caused, this tey determine the client shoud be assessed at the hosptial. The clinciian talks the client into going with them to the emergency room and they go to the hospital where thee is typically a long wait time.  This appoinment could easily stretch beyone the 5 hours allowed for 2 units. 

A client may come into services without any supports. There may be situationsin which clients require linkage to several different community agencies.  They may need assistance accessing those resources, completing applications, etc, that may take an extendeed amount of time.