The referral and requirement that an individual pursue standalone referrals prior to CPST significantly limits service options and indicates a lack of person centered approach to treatment.

Referral to Standalone EBPs:

• Assertive Community treatment has narrow diagnostic criteria and exclusionary criteria for certain personality disorders
• Clubhouse open to all with SMI with exclusionary criteria related to safety concerns
• Coordinated Specialty Care- only for 1st episode psychosis
• FFT for children/families
• Multisystemic Family Therapy only for kids/families
• Of the standalone EBPs only 1 can serve a wide range of diagnostic criteria for adults with SMI- not much in way of choice or person-centered options.  2 are for children.  Very limited options/alternatives for care.
• Referrals, if appropriate, have to occur prior to admission to CPST, and again if an individual is unsuccessful in CPST program.  If individual didn't qualify for a standalone EBP to begin with, why would they meet criteria after not progressing in CPST?