Recommend allowing audio only mental health and substance use services when visual means are not able to be met by a client. This will help increase equitable access to services. Socioeconomically disadvantaged clients may not have access to visual means via computers, internet, or smart phones. Phones provided through public assistance programs have limited minutes and lower ability to support visual interactions. People living in rural areas may not have access to internet regardless of income. The ability to receive crisis help and counseling services will be increased by allowing audio only services in circumstances where visual connection is legitimately not available.