There are times, that a client requires more time as there are significant needs that may take longer than 3 hours to address.  For instance, a client that has 2 doctor appointments and there is  a wait and then have to puchase medications at the pharmacy and again have to wait, so this can be a form of neglect for clients if the appointment can only be 3-4.99 hours.   Client's do need the services to become more indpendent in the community and the new regulations can cause the client more harm than good.  .