Barriers beyond clinical control affecting timely hospital discharge for a patient requiring guardianship.

Received June 30, 2014; revised July 22, 2014; accepted July 22, 2014. From Behavioral Health Services, Cheyenne Regional Medical Center, Cheyenne, WY (JJC); Department of Psychiatry, Geisel School of Medicine at Dartmouth College, Dartmouth-Hitchcock Medical Center, Lebanon, NH (JJC, AK, CTF); Care Management, Dartmouth-Hitchcock Medical Center, Lebanon, NH (YS). Send correspondence and reprint requests to Jasper J. Chen, M.D., M.P.H., Behavioral Health Services, Cheyenne Regional Medical Center, 2600 East 18th Street, Cheyenne, WY, 82001; e-mail: jjchencheyenne@gmail.com & 2015TheAcademy of PsychosomaticMedicine. Published by Elsevier Inc. All rights reserved. Authors’ contribution: J.J. Chen oversaw the case report in its entirety and is fully responsible for content. Y. Stevens Neirman provided substantial critical review of the article. A. Kwon provided substantial critical review of the article. C.T. Finn provided substantial critical review of the article. Introduction