The proposed changes requiring updated SSPI and treatment plans for crisis intervention services are not conducive to effective care for individuals in Virginia's communities.  These requirements would create signficant barriers to service.  There is no clinical or treatment value gained from repeated questioning and assessment about known information and the seven day period is often insufficient for resolution of  a psychaitric crisis.  The practice would discourage individuals from participating in services due to the barrage of questions the individual would be repreatedly subjected to, wasting valuable time that could be used for intervention and increasing the likelihood of psychiatric hospitalization.

To require that an individual to state the same informaiton over and over is both inefficient and recognized as poor clinical care.  Given the frequent cooccurrence of trauma and mental illness, most individuals who receive crisis intervention have experienced significant trauma.  To ask these individuals to restate and revisit information about these traumatic experiences requirement borders on unethical and certainly is not in keeping with best practices and national efforts to promote trauma informed care.