A 35-yeаr-оld client with schizоаffective disоrder reports discontinuing pаrt-time employment because increased earnings would have jeopardized Medicaid eligibility and access to psychiatric medications. The client has missed multiple outpatient appointments after being referred to different agencies for therapy, housing support, and vocational services. The nurse notes that the client appears overwhelmed navigating the system and states, "I don't know who's responsible for what anymore."Which interpretation by the psychiatric-mental health nurse most accurately reflects systemic challenges within comprehensive community treatment for serious mental illness (SMI)?