Requiring a face to face visit in the community while ideal does not acknowledge the client's rights and say in treatment. Clients might have a mistrust of the system, don't want workers at their home, or to be seen with workers in the community. This does not allow for that option therefore affecting their rights, their access to treatment, and their say in their own treatment. There is plenty of work and help case management can provide in office, via phone, or virtually to help clients gain skills and independence within the community. Additionally taking the building of the ISP out of the hands of the clinician providing the direct service only further complicates things and puts more barriers in place for clients to receive services. These clients need individualized support from a trusted clinician they have built a relationship with not more strangers faces they see once a year/quarter and the more boxes that need to be checked effectively putting more "fingers in the pot" directing treatment only makes providing that individualized care more difficult to achieve and will negatively impact the client. Clients who have historical trust issues and documented paranoia, delusions, and trauma that are not being accounted for with these changes in regulations.