The proposed changes to provider qualifications eliminating residents and license eligible clinicians will have far reaching effects on mental health services for generations.  Research shows clear correlations between poverty and childhood trauma.  Children living in poverty are more likely to experience brain trauma via the continuous release of stress hormones.  This biological trauma affects brain development and manifests itself through disruptive behaviors best treated by trained counselors and social workers.  Children experiencing poverty are also at an increased risk of trauma related to abuse and neglect.  The lack of capacity to adequately treat childhood trauma is evidenced by waiting lists for mental health services across our state.  The capacity to serve these children is insufficient with the availability of residents and license eligible therapists.  To eliminate the ability of these individuals to seek reimbursement will assuredly decrease the capacity of organizations to serve the most vulnerable.  This proposed change would also significantly impact the ability of highly educated counselors and social workers to obtain the licensing credentials required to serve individuals with private insurance, extending the impact to the working class.  Mental health services in our country are already insufficient to meet the need.  DO NOT approve the proposed changes to provider qualifications for psychiatric services as outlined in Chapter II, pages 15-16 to eliminate the ability of residents in counseling and supervisees in social work to see clients in outpatient counseling settings.