The answer to this is probably pretty obvious. However, I guess I feel a 'maternal' role/responsibility with these patients, which is why I bring up the following. So if a patient is on a voluntary committment and is getting discharged, if they do not have a ride home or to the shelter or whatever follow-up program they are going to, we offer them bus tickets or a cab slip. The Dr writes a discharge order and then staff will walk them off the unit and down to to security to get whatever belongings that are stored there from when they were admitted. After that, we will take them to the hospital exit and direct them to the bus stop, or call the cab for them. Now let's say as you are calling the cab, the patient takes off in the other direction, leaves their belongings, and isn't around to get the cab when it comes to the hospital. I guess this is their right, once they are discharged they can go and do what they want. But I just feel like, oh no-they missed their ride, how will they get where they are going? But I guess even if given bus tickets, we don't walk them to the bus stop and stay there to make sure they actually get on the bus. We don't ride with them to make sure they get off at the correct stop. We can't come home with them and make sure they take their meds. It's just so disheartening when you think a patient will do well, and then they take off to who knows where.