Martin Luther King Jr. stated that "Violence is the voice of the unheard". What better way to tell someone that you're not listening or don't really care about their issues than spending a significant amount of time completing a SSPI  and various forms instead of listening and helping them with their problems.  Why bother seeking services if you know that you'll be spending the first few hours answering a ton of questions that are not related to your current issues? Most of this information is often already in the person's chart if they have received services in the past. Clients will either avoid services alltogether or act out violently demanding immediate care in order to get their needs met. The community will blame the person with a mental illness for not patient. When will we become patient centered care focused?