The requirement for Mobile Crisis to have an ISP seems clinically inappropriate given the brief nature of mobile crisis, often only one meeting/intervention. Mobile crisis includes assessment, crisis intervention (de-escalation), development of a safety plan, and care coordination (referral).  Mobile crisis is either coordinating with current outpatient providers or making referrals to outpatient providers, not providing any type of ongoing or even time limited therapeutic intervention. The requirements for an ISP (or crisis ISP) include measurable objectives, specific strategies, and frequency of services. These items do not clinically make sense in the context of what is essentially a one-time assessment/intervention and hand off to other services. Any individual would within a very short time frame either be doing a re-assessment of their ISP with current services providers (as would be expected when a crisis occurs) or developing a new ISP with new services, resulting in redundant work (developing an ISP with mobile crisis and then with another service or services) for the individual, which can be off putting and/or frustrating which could lead to less engagement/follow through with services.

Thank you for considering these comments.