Many adults with highly complex and extreme mental and social vulnerabilities fall between the cracks. They do not fit into standard care settings and often do not present in a way that allows care services to support them. Indeed, many do not present at all because they resent or fear authority.

People like ‘John’ a local man previously known to numerous services, an alcohol user, with a brain injury and seizures of unknown cause; no fixed abode, often found inebriated in public and at high risk of harm and risk from others, frequent call outs by emergency services, multiple self-discharges from ED and hospital, continual non-engagement with services.

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