Even when services are available, many fail to gain access to the system owing to issues such as fear of prosecution, stigmatization, negative attitudes of care providers and an often chaotic lifestyle.
即便在提供服务的情况下，许多人也由于惧怕检控、羞辱、护理人员的消极态度以及往往是混乱的生活方式等原因而不能从服务系统中受惠。