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This individual (client), diagnoised with manic-depressive, schizo-affective disorder, is monitored by a state program that focused on keeping clients from hospitalization. His anti-psychotic medication was changed causing client to go from stable to unstable into a manic phase. Family member( PCG) attempted on numerous occasions to communicate this persons change in behavior to the state program to include requests for family meeting, and taking this person to an 23 hour observation and an inpatient facility. Clients admission to inpatient facility denied by state program health care team. Client was arrested due to inappropriate behavior reported by state program. Client is of legal age. It is a concern that client does not have the ability to make proper decisions in manic phase.