"Psychiatric evaulation provided by a licensed psychiatrist and including pharmaceutical assessment and treatment or prescription medication intervention and ongoing care to prevent future crises of a psychiatric nature."

In previous revisions, "psychiatric evaluations" also included "where appropriate."  This left the option of continuing the crisis stabilization service when a guardian refused medication evaluation or if they had recently seen their psychiatric provider.  Does the current revision require an individual who refuses the psychiatric evaluation to be closed from crisis stabilization services? 

In very rural areas of the Commonwealth there are few psychiatrists available, especially for children.  At current children often receive evaluation as a part of Crisis Stabilization services by a qualified Nurse Practitioner.  If this revision is left as is, the ability to provide quality services to our rural consumers would be hindered significantly.

Is it required that the individual who is receiving crisis stabilization services be on a medication regimen?  i.e. (assistance with medication management) is a required activity per page 63.