CPST services will be extremely challenging for CSB's to implement. Some primary concerns that we have are the following:
The CPST teams heavily rely on licensed staff in an environment where workforce shortages are prevalent. This is a primary reason that we will not be able to offer CPST is the requirements for licensed and licensed eligible staff delivering in-person services and the required reliance on LMHP's to be able to offer the service.
Requirements for failed services prior to the implementation of CPST would be difficult and cause significant delays in accessing needed services. This would lead to increased reliance on inpatient treatments. Many of these required failed options are not available or not easily access in rural service areas.
Reimbursement rates do not support the required activities by providers.
Restricting the use of existing crisis staff to deliver crisis response to individuals receiving CPST and requiring the provider to offer crisis response within the CPST treatment model itself is not an efficient use of resources. In rural areas, staffing shortages and increased cost will prevent providers from being able to deliver this service.
