every individual diagnosed with should have an initial comprehensive assessment with periodic updates at least once a year. Many individuals with a long-standing illness have never had the benefit of a full psychiatric,social,medical,and neurologic evaluation. Specific concems include unrecognized neurologic diseases, unrecognized medical condition,substance abuse,suicidal ideation ,toxic reactions to medications,and unsafe or unstable living conditions as well as functional limitation that impair compliance with
treatment recommendations. All patients should have