Certainly in the case management plan, we always encourage family members to participate. The veteran can bring who she or he wants: a friend, a buddy, a spouse. It's up to the veteran.
I want to be very clear. The reality is that our case managers do not provide clinical intervention. They are there to support and to work to develop the case plan. It is the veteran herself or himself who has to go to their medical treatments, whether it be for physical injuries or mental injuries. Certainly we would encourage the family to encourage the veteran to keep appointments and to use medication or treatments, whatever has been prescribed by the medical experts.
But at the end of the day, if a veteran refuses to participate in the medical plan, we really have no control over that, other than moral suasion, to try to work with the veteran and his family to say, “You really need to keep doing this, because if you want to get better this is what you need to do.” As a doctor said to me one time when I worked in Ottawa and I had a knee problem, “Keith, it isn't going to get any better on its own, so you better get some treatment.”