Closely Monitored
The caretakers at the facility where the patient was living made things so much worse. I used to visit the various board facilities in my area for adults with mental illnesses. Many times, they were not watched closely enough to take their medications as directed.
There was one man with paranoid schizophrenia who was extremely quiet and kept to himself. I urged the facility staff to closely monitor him and his medication intake. Apparently, this never happened. The consequences were devastating. He acquired a knife and used it to injure his roommate in the facility.
The man survived the attack, but the man who had gone off his medication claimed the roommate was poisoning him through the window AC unit. The system basically screwed over two people that day, as the man who was hurt was already there for PTSD. ehh_soso