There continues to be concerns over crisis regulation as well as supervisory requirements.  The clinical director role is more established but extremely prescriptive.  The amount of supervision time will take away from the service delivery.  Perhaps the regs should set a minimum amount of time particularly for clinicians that are seasoned and do not need the amount of supervision as a possible new hire.  The crisis requirement still requires that staff work 24 hours.  The reimbursement rate does not allow an agency to pay their staff at a rate that pays for 24 hours of availability.  Why would we not allow the individuals with additional training and experitise in crisis handle crisis.