We have reviewed the draft manual for CPST and have many concerns regarding implementation of this service for TDT and IIH. As a rural community with limited services and resources locally, we already experience gaps in services and resources for our families and youth. This has been exacerbated over the past few years due to the increased rates of behavioral health needs in our youth. Based on the information in the manual, it seems that CPST will result in a drastic decrease in support to our families and youth and will have devastating impacts on our school systems. Additionally, while family engagement is needed and helpful to create change for our youth, the requirements put forth in the manual are unrealistic for this population and will further reduce the amount of support offered to youth directly in the school or community. Ultimately, our concern is that the implementation of CPST will have negative financial impacts on our partner agencies and will likely result in increased referrals to FAPT. This will result in higher local matches to state CSA funding for our community.