Further clarification of the MHSS service definition is needed to identify specific training that is allowed to build functional skills. Currently, the definition of MHSS includes training in “functional skills and appropriate behavior related to the individual’s health and safety; activities of daily living, and use of community resources; assistance with medication management; and monitoring health, nutrition and physical condition.” The service definition should identify all areas of need for functional living skills if those same areas are included in the eligibility criteria. Currently there is no mention of “appropriate use of social skills and personal support system” or “money management” in the service definition, although those statements are specifically included in eligibility criteria for services. Individuals with Axis I serious mental illness will have the need for more functional skill development than that which is included in the current service definition. The service definition, which will guide how providers design ISPs and treatment goals, is limited to very few areas of need that do not encapsulate all areas of need that MHSS clients will have.

I recommend that the service definition be expanded to include provision of training in social skills, community integration, development of support systems, and development of basic living skills that promote the maintenance of stable housing (i.e., money management, complying with community rules/landlord requirements that prevent eviction or homelessness). These skills, in addition to those already included in the service definition, will more completely represent the needs of clients who meet the new MHSS eligibility criteria.