CO is responsible for monitoring national compliance
with the statutory requirements and intent of Congress by:
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a.
identifying problems
requiring new or revised instructions, guides or regulations;
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b.
developing mental caseload estimates,
where necessary;
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c.
budgeting
for program costs;
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d.
providing clarification
on a case-by-case basis of what circumstances warrant a finding that “every reasonable effort” has been made to obtain necessary specialist staff; and
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e.
issuing guidelines on the nature and extent of Federal resources that may be applied in securing specialist
services.
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.