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Work in the mental health field in New York State (and many other states), and you have probably experienced the seeming tyranny of the 30/90 day cycle of treatment plans. Completing an initial plan within 30 days of admission and reviewing treatment plans every 90 days is a constant source of therapist anxiety and stress: "When are the plans really due? Why do they end up late? How do I manage so many different dates and schedules? Why do I sometimes have 10 to complete in the same week?"

W...