Sam's dependence on the system is a function of the system's relationship to him as an individual. It is valuable to attend to the individual and to create interventions to help an individual achieve his goals. However, it would be equally advantageous to examine a major part of Sam's community, the treatment system, and assess the need for changes in the system that might promote Sam's growth as well as the system's growth. It is crucial to identify functional changes that might help the system offer a continuity of services to help Sam accomplish his goals for rehabilitation. Too often, fragmentation of mental health services results in intermittent and episodic treatment interventions, which produce few lasting effects. In Sam's case the absence of rehabilitation goals, the lack of awareness among his service providers about specific issues of concern to him, and providers' polarization about what setting is suitable for Sam's treatment all contribute to maintaining his poor functioning.