4.6  The blended caseloads are very confusing and do not reflect the dynamic nature of symptoms of mental illness. 

“The CPST provider must keep an ongoing formal log of each team member’s caseload”—What is a formal log? This increases administrative burden on providers. 

5.2. #7 ”The ISP review must be completed face[1]to-face and include the LMHP Clinical Supervisor, CPST team and the individual/family/caregiver.”  This is more restrictive than DMAS guidelines for ACT or MST.  The logistics of making this happen would be extremely challenging.

5.2  “Needs identified in the CANS Lifetime must be associated with identified goals and objectives as set forth in the ISP”  Even if the individual is not interested in working to address those needs?