Observed symptoms and behaviors that are severe in degree and persistent in nature (e.g., delusions, paranoia, hallucinations, disorganized speech/behavior, blunted affect, seclusive behavior).
Declining mental/physical state affecting basic needs.
Challenges with self-care tasks (e.g., personal hygiene, dressing).
Issues with housing, transportation, and finances.
Difficulty forming and maintaining social relationships.
Repeated refusal of or interruptions to treatment, including ineffective treatment.