Not getting help?

First responders have to provide some kind of service to people they know full well are delusional because they've dealt with their shit thousands of times.

"One man with a cellphone has created enough havoc to be hauled over and over into court, but not enough to warrant a prison cell. He knows it’s wrong, and he apologizes to the judge, but he won’t stop*."*

...but whose cases account for countless hours in court, counseling sessions, medical appointments and other city services."

And we're on the hook for all of it. For everybody else in a city of 8 million who pulls this crap. Eventually some first responders figure out the calls are bogus but there's lots of turnover so it's a lesson that has to be repeatedly and expensively learned.

Services? There are craploads of services.

The services that work are the ones where he's put in a secure facility. With no phone.