In regards to proposed changes to Mental Health Skill- Building Services, such changes would create an unethical approach to determining the objectives needing to be met for individuals seeking care as well as create added duties to Lisenced and Licensed Eligible individuals when QMHP-A are qualified to do so. The primary clinician assisting the individual with reaching these objectives has the most awareness of objectives needing to be focused on as well as provides for more personal involvement with the individual in the creation of the ISP. Such changes would create an environment where an individual is creating objectives for a person that they are not involved with on a regular basis, providing for an unethical enviroment for all parties involved. 

In regards to proposed regulation changes involving Crisis Stabilization Services, this creates a very dangerous environment for individuals involved in any potential crisis; client, clinician, family, friends, community, etc. Crisis Stabiliation Services provide for immediate action when crisis is present. Requiring authorization for said services that could take days to be approved does not provide for adequate care and could lead to much more potentially harmful consequences as well as increase the need for hospitilzation, when one could have possibly been assisted within their own, less- restrictive, environment before symptoms were heightened to a level that required hospitalization. 

As one that works within mental health and strives to provide ethical services instrumental in increasing the well- being of those we serve, I ask that you consider not making these proposed changes. 

Thank you,

Brittany Mason, BS, QMHP-A