That's a difficult question. There are of course some people who don't wish to have services. One of the frustrations we found among service providers in the research that we did was among those people we came to call “stoic”. You probably know them: these are people who really are quite self-contained, who don't wish to have to depend on others, and sometimes would refuse services perhaps to what we might think is their detriment.
There are ethical issues here as well that are very tricky about how much one imposes, how much one stands back and is concerned about people not doing well, that are very much practice issues that face-to-face caregivers and service delivery people have to confront fairly often. So I can't give you a definitive answer to that question.