Which client has the greatest need to be referred for outpatient community services?

The client who is homeless and has a substance use disorder represents the greatest need for referral to outpatient community services due to the complexity of their situation. Individuals experiencing homelessness often face multiple barriers to accessing healthcare, including lack of stable housing, financial instability, and potential social isolation. Furthermore, substance use disorders require ongoing support and resources that community organizations can provide, such as counseling, rehabilitation programs, and access to healthcare services.

Outpatient community services are specifically designed to address the needs of marginalized populations, including those struggling with addiction and homelessness. These services can help this individual find housing, connect to treatment programs, and establish a support network, which are all crucial for recovery and stabilization.

In contrast, the other clients—while they may need support—are in circumstances that are less critical in terms of immediate risk and resource requirements. The newly diagnosed client with skin cancer has family support, the client recovering from a stroke is transitioning to inpatient rehab which focuses on rehabilitation needs, and the client leaving against medical advice may require further monitoring, but their situation does not highlight the urgent need for a community service referral as prominently as that of the homeless client with a substance use disorder.