 Some residents may also have behavioral problems that require a better daily routine, medical assessment for possible health care needs (e.g., pituitary problem, medication adjustment), environmental changes (e.g., different roommates), mental health counseling, specialist or physician consultation, or supervision; government may require a finding of involuntary care (i.e.dangerous to themselves or others) which is a hotly contested and disputed arena.Individuals who move from psychiatric hospitals (and intellectual disability institutions) also may need medications reduced, with psychiatric symptoms often only moderately addressed ("modest efficacy") in this manner with known side effects of long-term use.