Regarding the requirement that services must be conducted outside of the CSB location, while community-based services are often valuable, this standard does not reflect the diverse needs, preferences, and safety considerations of individuals served. For some individuals—particularly those experiencing homelessness, shared living arrangements, or safety concerns, the CSB site may be the most private and secure setting. Others may not feel comfortable receiving services in their home, community, or workplace due to privacy, stigmatization, or appropriateness. Additionally, community visits are not always feasible due to staff safety concerns. A blanket requirement limits flexibility and contradicts a person-centered approach, which should prioritize individual preference, clinical judgment, privacy, and safety. Allowing services to take place at the CSB when appropriate would better support individualized, effective care. 

Alternate language for consideration:

At a minimum, the case manager must offer to visit the individual and family/caregiver once every 90 calendar days in a natural community-based setting. The response and any barriers will be documented in the record.