As a Clinician, there are times when working with a client through a 3 hour session and during the appointment the client may be having difficulty with heightened symptoms. Certainly it would not be a good idea to just leave the client due to a cap on the units. Many clients come into services without any supports and rely on their clinician for support as they also don't have family support either. Some doctor appointments for our clients are not local therefore requiring travel and we all know a doctor's appointment is not a place where you can walk in and out of quickly.  Our main focus for our clients is to keep them stable in the community even if it from time to time take 5 hours to do so.