CO is responsible for monitoring national compliancewith the statutory requirements and intent of Congress by:
identifying problemsrequiring new or revised instructions, guides or regulations;
developing mental caseload estimates,where necessary;
budgetingfor program costs;
providing clarificationon a case-by-case basis of what circumstances warrant a finding that “every reasonable effort” has been made to obtain necessary specialist staff; and
issuing guidelineson the nature and extent of Federal resources that may be applied in securing specialist
NOTE: Use of Federal resources,including contracting out for psychiatrist and psychological services, will be considered only where the States are unable, despite every reasonable effort, to obtain the specialist services required.