Although some changes have been made in CPST policy since the last iteration, seems that there are still so many impractical expectations and requirements. The larger, general categories of concern have to do with restrictions on number of individuals that a particular supervisor can supervise, restricting caseloads, expectation of internal crisis services, increased need for licensed professionals, and disallowance for individuals to receive both PSR services and CPST services.  Overall, the outcome of redesign will be that individuals in need of services receive less services and many providers will not be able to provide the new services for reasons mostly related to workforce, cost, and controls of MCO’s.  This design will most definitely hurt our system rather than help.