I agree with all of the comments posted.  In particular, not allowing for QMHP-E's and other licensed eligible clinicians to work in these programs.  Workforce shortage issues are real and exist across programs.  "Growing our own" is one way many CSB's have successfully mitigated this problem.  I also strongly agree that utilizing staff from these intensive services to provide on site responses to crises 24/7 will place undue burden on these staff, which may well result in high turnover and the destabilization of the team approch.