I want to voice concerns primarily in reference to the hospitalization requirement. This impacts the access to those in need of services for a variety of reasons. Mental health challenges, often go unaddressed and increase harmful risk of family instability, elevated rates of homelessness, and joblessness. More people suffer from mental health issues than the number of individuals serviced. Without supports those who suffer from Mental Health issues are twice as likely as other Americans to become chronically homeless and unemployed. Also the lack of education and limited functional skills are significant causes of these problems. Mental health problems and lack of care for those problems create numerous factors to consider such as substance abuse disorders and problematic alcohol use. For some the stigma of being hospitalized is embarrassing. Barriers to care can also breed increased levels of violent behaviors related to mental health. We need to create easier access for people suffering from Mental Health disorders.