1. TDT:
   1. a) Restorative Facilitation is listed as a service requirement under communication for individual and family. This is a specific modality. Is the requirement on providers to use only this model or is the term used out of context
   2. Medication Management: this is a requirement of the service, but yet there is limitation of what a QMHP level staff can provide (only medication adherence). This increased expectation places responsibility on a license or type to provide medication compliance/adherence education for all consumer’s taking medication for a mental health condition…this is unreasonable. A QMHP can provide this information with support from LHMP type supervisor
2. PSR:
   1. Restorative facilitation is mentioned again as well as Medication Management: Once again, we feel that a QMHP can provide this information with support from an LMHP type supervisor.
3. CI: The units were changed from 15 minute units to 1 hour units. Will this be changed back? 
4. Crisis Stab/MHSS: Restorative facilitation and medication management concern

We do have a concern for the restorative facilitation language. We are not sure at this time the requirements or how detailed the model is. Are you requiring this as a theraputic model? Will training be offered to providers? Or is the term being used without recognizing the context.