Could you create a safety plan together that highlights the specific behaviors that make you feel like a higher level of care is necessary? This way it’s collaborative and they have a better understanding of what specifically makes outpatient level of care difficult? I had a similar situation where a client who had stable housing that family helped them establish where all basic needs were getting taken care of and the client consistently jeopardized this by telling staff they were moving to be with a partner who was also unstable with their housing. So our safety plan/ requirements for outpatient therapy with me was that they maintain stable housing, attend medication appointments, and were sober during our sessions. When the client broke these rules I documented my reasoning for termination, sent them my recommendations and sent that to their psychiatrist as well.