The problem doesn't necessarily lie in the amount of time that is spent with those MHSS clients who NEED it, it might lie with the "gatekeepers" that determine eligibity for medicaid and the persons responsible for allotting the hours. (For example: one MHSS client might need the entire 10+ hours. and then another person will only need a few hours per week). You shouldn't make it hard on those who need it because of the ones that "abuse" the system.