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Our Staff

The principal office of the National Health Care for the Homeless Council is in Nashville, Tennessee. Staff and contractors pursue our ambitious agenda in research, training, education, organizing, and advocacy from offices in various locations. Staff members include:

 

 

Bobby Watts

Bobby Watts, MPH, MS, CPH

Chief Executive Officer

G. Robert “Bobby” Watts is the chief executive officer of the National Health Care for the Homeless Council and oversees all aspects of the Council’s activity in advocacy, training, technical assistance, research, peer support, organizing, and fund development.

A nationally recognized advocate and leader in meeting the health needs of people without homes, he has more than 25 years of experience in administration, direct service, and implementation of homeless health services. He began his work with people experiencing homelessness as a live-in staff member of the New York City Rescue Mission in Manhattan. Learn more about Bobby.

Contact Information

Phone Number: (615) 226-2292 | Email Address: bwatts@nhchc.org

 

Hugo Aguas, MA

Research Associate

Hugo works with the research team to research health outcomes using data driven methodologies, Hugo collaborates with other community health partners throughout the country to develop educational materials pertaining to medical care for those experiencing homelessness. Hugo also disseminates data and provides ease-of-access to community partners throughout the nation, and assists in writing publications and scheduling educational seminars on public health amongst those experiencing homelessness.

Contact Information

Phone Number: (615) 226-2292 | Email Address: haguas@nhchc.org

 

Lauryn Berner, MSW, MPH

Research Manager

Lauryn works with the research team to support the Health Care for the Homeless field by developing and disseminating knowledge, increasing visibility of HCH-related research through publications and external collaborations, and providing data-driven support to inter-departmental teams and workgroups. Lauryn serves as the Council’s subject matter expert on housing and HIV, and her work has focused on the social determinants of health.

Contact Information

Phone Number: (615) 226-2292, Ext. 230 | Email Address: lberner@nhchc.org

 

 

Alaina Boyer, PhD

Director of Research

Alaina provides oversight and guidance for the research activities of the National Health Care for the Homeless Council, which include quality improvement projects and providing educational resources for health care clinics that serve individuals experiencing homelessness. She coordinates and facilitates the Research Committee and Practice Based Research Network initiatives, which are currently focused on improving health outcomes and providing quality care across systems for vulnerable populations.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 233 | Email Address: aboyer@nhchc.org 

 

Lily Catalano, BA

Clinical Manager

Lily coordinates the work of the Health Care for the Homeless Clinicians’ Network and develops resources to improve access to and quality of health care for people experiencing homelessness.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 231 | Email Address: lcatalano@nhchc.org

 

 

Katherine Cavanaugh, MSW

Consumer Advocate

Katherine staffs the National Consumer Advisory Board (NCAB), helps to coordinate consumer initiatives, and further develops Council relationships with local Consumer Advisory Boards (CABs).

Contact Information

Phone Number: (443) 703-1320 | Email Address: kcavanaugh@nhchc.org

 

Andrea Crowe, MA

Advancement Coordinator

Andrea maintains the Council's donor and membership database; manages fundraising lists of individuals, organizations, and foundations; and provides a range of administrative services in the areas of philanthropy and member relations.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 234 | Email Address: acrowe@nhchc.org

Brandon de la Cruz, MM

Media and Technology Manager

Brandon manages media-based communication activities for the Council -- including webinars, videography, photography, and music production -- and provides guidance and support for information technology services.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 249 | Email Address: bdelacruz@nhchc.org

Barbara DiPietro, PhD

Senior Director of Policy

Barbara directs the policy and advocacy activities for the National Health Care for the Homeless Council. This includes conducting policy analysis, providing educational materials and presentations to a broad range of policymakers and other stakeholders, coordinating the Council’s policy priorities with national partners, and organizing staff assistance to the Policy Committee and the National Consumer Advisory Board.

 

Contact Information

Phone Number: (443) 703-1346 | Email Address: bdipietro@nhchc.org

 

 

Jennifer Dix, BBA

Communications Coordinator

Jenn provides assistance with the Council’s marketing and branding efforts. This includes supporting effective communication strategies via email communications, newsletters, marketing materials, website content, and social media.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 225 | Email Address: jdix@nhchc.org

 

 

Julia Dobbins, MSW

Director of Medical Respite Care

Julia joined the Council in 2012 and leads our work on medical respite care. She provides guidance and oversight for medical respite activities including training, technical assistance, and resource and program development. Additionally, she is the staff liaison to the Respite Care Providers’ Network (RCPN) and coordinates and facilitates the activities of the RCPN steering committee.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 232 | Email Address: jdobbins@nhchc.org

 

D. Michael Durham, MTS

Community Engagement Manager

Michael is responsible for strategic relationship-building and increasing representation of marginalized communities in all of the Council’s work. Leaning on these relationships, he coordinates the Council’s largely peer-to-peer technical assistance program, which provides support to health centers and other organizations serving people experiencing homelessness. He also supports the CEO in certain racial equity initiatives.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 246 | Email Address: mdurham@nhchc.org

 

 

Dorothy (Dott) Freeman, PhD

Senior Director of Advancement

Dott is the Council's Senior Director of Advancement and has more than 25 years of fundraising experience in a variety of areas, including service-oriented nonprofits, health care, and education. Heading the Council's Advancement Team, she leads our philanthropy, communications, membership, media, and technology initiatives.

 

Contact Information

Phone Number: (207) 333-8877 | Email Address: dfreeman@nhchc.org

 

 

Melanie Harper, BA, LSSGB

Director of Finance & Administration

Melanie is responsible for oversight of all the financial and administrative functions of the Council and staffs the Finance & Personnel Committee.

Contact Information

Phone Number: (615) 226-2292, Ext. 229 | Email Address: mharper@nhchc.org

 

 

Darlene Jenkins, DrPH

Senior Director of Programs

Darlene oversees the work of the Education and Research Teams.

Contact Information

Phone Number: (615) 226-2292, Ext. 228 | Email Address: djenkins@nhchc.org

 

 

Joseph Kenkel, BS

Research Assistant

Joey works with the research team to support the Health Care for the Homeless field by developing and disseminating information, increasing visibility of HCH-related research through publications and external collaborations, and improving the HCH field and community’s capacity for quality improvement and engagement in research. Joey also performs activities aimed to increase the knowledge base, skill set, and resources of health center staff engaged in supportive housing initiatives in partnership with the Corporation for Supportive Housing (CSH).

Contact Information

Phone Number: (615) 226-2292, Ext. 226 | Email Address: jkenkel@nhchc.org

 

Kelli Klein, BA

Behavioral Health Coordinator

Kelli provides technical assistance and supports the Council’s work on behavioral health and homelessness, focusing on the integration of behavioral health into primary care settings. She works specifically on the Health Resources and Services Administration’s Center of Excellence (CoE) for Behavioral Health Technical Assistance (BHTA), which includes the development and execution of webinars and peer learning opportunities through communities of practice.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 247 | Email Address: kklein@nhchc.org

 

Katie League, LCSW-C

COVID-19 Project Manager (Policy Team)

Katie works with the policy team to support the Council’s efforts surrounding the COVID-19 global pandemic. She works to identify and promote promising practices, common challenges, and key policy issues faced by the HCH community. 

 

Contact Information

Phone Number: (615) 226-2292 | Email Address: kleague@nhchc.org

Cindy Manginelli, BS

Director of Community Engagement

Cindy directs the Council’s efforts to engage and create a diverse community of individuals, coalitions, and programs that directly address issues at the intersection of homelessness and health care. She also manages the Council’s ongoing work to promote diversity, equity, and inclusion within the community of those who experience and address homelessness.  

 

Contact Information

Phone Number: (615) 226-2292, Ext. 239 | Email Address: cmanginelli@nhchc.org

 

Julia Nettles-Clemons, BA 

Administrative Coordinator

Julia has a variety of responsibilities in the areas of finance and administration that include accounts receivable and accounts payable, office maintenance,  clerical work, operations, and database support.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 221| Email Address: jnettles@nhchc.org

Courtney Pladsen, DNP, FNP-BC, RN

Director of Clinical and Quality Improvement

Courtney leads initiatives to improve the delivery of primary care, substance use treatment, and mental health care nationally. She directs training and quality improvement initiatives, and contributes to research and policy recommendations on emerging clinical issues affecting people experiencing homelessness.

 

Contact Information

Phone Number: (615) 226-2292 | Email Address: cpladsen@nhchc.org

 

 

Brett W. PoeBrett Poe, BS

Research Associate

Brett works with the research team to support the Health Care for the Homeless field by developing and disseminating information, increasing visibility of HCH-related research through publications and external collaborations, and providing data-driven support to inter-departmental teams and workgroups.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 242 | Email Address: bpoe@nhchc.org

 

 

Regina ReedRegina Reed, MPH

Health Policy Manager

Regina is responsible for representing the interests of the Council to policymakers and organizational partners in Washington, D.C., working with the Policy Committee to advance the Council’s advocacy agenda, developing policy positions and analyses, and mobilizing member organizations, service providers, and other advocates to end poverty and homelessness.

 

Contact Information

Phone Number: (443) 703-1337 | Email Address: rreed@nhchc.org

 

 

Caitlin Synovec, OTD, OTR/L, BCMH

Medical Respite Manager

Caitlin is an occupational therapist with clinical experience working with adults experiencing homelessness to improve quality of life and engagement in their preferred communities. As the Medical Respite Manager, she works with the Director of Medical Respite on projects of the National Institute for Medical Respite Care (NIMRC) and the Respite Care Providers’ Network (RCPN).

 

Contact Information

Phone Number: (615) 226-2292 | Email Address: csynovec@nhchc.org

 

Cecilia Willoughby, BA

Training and Meetings Coordinator

Cecilia manages logistics and educational content for the Council’s major training events, including our annual National Health Care for the Homeless Conference and Policy Symposium, Regional Training, and Governing Membership Meeting. She serves as the point person for these major training events working in concert with the Director of Finance and Administration, Administrators Committee, other staff members, and other stakeholders.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 241 | Email Address: cwilloughby@nhchc.org

Cecilia Willoughby, BA

Training and Meetings Coordinator

Cecilia manages logistics and educational content for the Council’s major training events, including our annual National Health Care for the Homeless Conference and Policy Symposium, Regional Training, and Governing Membership Meeting. She serves as the point person for these major training events working in concert with the Director of Finance and Administration, Administrators Committee, other staff members, and other stakeholders.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 241 | Email Address: cwilloughby@nhchc.org

Terri Woodmore, MS

Communications Manager

As part of the advancement team, Terri develops and coordinates ongoing communications and media strategies, and maintains high-quality communications including mass emails, newsletters, marketing materials, website design and content, social media, and audio/video packages.

 

Contact Information

Phone Number: (615) 226-2292, Ext. 245 | Email Address: twoodmore@nhchc.org

 

Brenda Wright

Executive Assistant

Brenda serves as Executive Assistant to the CEO and is responsible for Board meeting preparation, special projects, and administrative support including scheduling, preparing executive documents and correspondence, managing travel itineraries, maintaining files, and other administrative duties.

Contact Information

Phone Number: (615) 226-2292, Ext. 251 | Email Address: bwright@nhchc.org

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Research Archives

National HCH Council research projects and publications older than 5 years are located here.

 

Exploring the Experiences of Violence Among Individuals Who Are Homeless Using a Consumer-Led Approach | 2014

Meinbresse M, Brinkley-Rubinstein L, Grassette A, Benson J, Hall C, Hamilton R, Malott M, Jenkins D. Exploring the Experiences of Violence Among Individuals Who Are Homeless Using a Consumer-Led Approach. Violence and Victims, 29(1):122-136.

The purpose of this study was to estimate the prevalence of violence victimization among individuals who were homeless and patients of HCH grantees and to describe the characteristics related to their perpetrators, injuries incurred and assistance sought. The National HCH Council Research Committee provided consultation to the National Consumer Advisory Board in developing a rigorous research process to explore these issues. Results from this survey were presented in 2011 as a workshop at the National HCH Conference and as a poster at the American Public Health Association 139th Annual Meeting & Expo in Washington, DC. View the poster.

 

Teaching Health Centers: A Resource Guide — Academic & HCH Collaborations | August 2013

Patrina Twilley, National Health Care for the Homeless Council

The purpose of this resource guide is to assist Health Care for the Homeless (HCH) grantees with their efforts to establish and strengthen collaborations with academic institutions, which include medical and allied health professional training schools. A large number of HCH grantees already collaborate with academic entities in providing education to students and residents; however, many are not accredited and/or do not receive additional funding for providing these educational opportunities. This guide will provide the resources needed to assist in developing meaningful relationships with academic partners and information on how to seek accreditation as a Teaching Health Center (THC) to provide Graduate Medical Education (GME).

 

Teaching Health Centers: A Case Study | February 2013

Patrina Twilley, National Health Care for the Homeless Council

Many health centers recognize the benefit of having medical residents serve patients and learn at their sites, and thus, consider their organizations “Teaching Health Centers (THC).” However, many of these health centers are not accredited and do not receive additional funding for providing these educational opportunities. Last spring, the National HCH Council conducted a survey of Health Care for the Homeless (HCH) grantees on their existing academic collaborations. The findings revealed several advantages of collaborating with academic institutions, some of which have been evidenced in other research. The survey findings provide rationale for why seeking accreditation may be a beneficial endeavor for HCH grantees. In addition to sharing survey results, this case study explores the Affordable Care Act and its role in educating residents; the role of HCH grantees in providing this education; an overview of the HRSA Teaching Health Center Graduate Medical Education program, which provides resident reimbursement; and highlights the experience of Care Alliance, a Health Center Program grantee located in Cleveland, OH, which is currently in the process of seeking GME accreditation.

 

Health and Homelessness among Veterans: A Needs Assessment of HCH Grantees | February 2013

Sarah Knopf-Amelung, National Health Care for the Homeless Council

The National Health Care for the Homeless (HCH) Council has released a final report on its multiphase veterans needs assessment. While most research on veterans experiencing homelessness is focused on those accessing care in the Veterans Administration (VA) setting, this study examines the subset of the veteran population accessing care from health care for the homeless grantees. Through key expert interviews and focus groups that culminated in a survey of HCH grantees, this study explored veteran demographics, health status, service utilization, unmet needs, and factors influencing preference for HCH services as well as the processes used by HCH grantees to identify consumers with veteran status and the nature of collaborations between HCH grantees and VA medical centers.

 

HCH Quality Leaders: A Case Study | November 2012

Sarah Knopf-Amelung, National Health Care for the Homeless Council

With increased focus on quality of care and improvement processes, the National Health Care for the Homeless (HCH) Council identified four HCH grantees leading the way in key quality measures. This case study highlights these high-performing grantees, including practices they have instituted to improve and support quality of care and the techniques they use to track, evaluate, and improve their performances.

 

Hepatitis C Among Clients of Health Care for the Homeless Primary Care Clinics | May 2012

Strehlow AJ, Robertson MJ, Zerger S, Rongey C, Arangua L, Farrell E, O’Sullivan A, Gelberg L. Journal of Health Care for the Poor and Undeserved, 23(2):811-33.

The purpose of this study was to examine the prevalence of Hepatitis B/C in the homeless population in eight HCH clinics nationally. Surveys and blood samples were collected from approximately 400 patients. Findings have been presented at the National HCH Conference & Policy Symposium and the Annual American Public Health Association Meeting (2005).

 

Provision of Contraceptive Services to Homeless Women: Results of a Survey of Health Care for the Homeless Providers | 2012

Barry G. Saver, Linda Weinreb, Lillian Gelberg & Suzanne Zerger. Women & Health, 52(2):151-61.

The investigators surveyed HCH providers regarding the availability of contraceptive services at their projects and barriers to providing those services. The survey revealed that a majority of the participants provided some form of contraception (i.e. condoms, oral, injectable) but that very few provided the most effective forms of contraception (i.e. intrauterine devices, implants).

 

HCH and HIV fact sheet | October 2011

A one-page resource for HIV/AIDS prevention and treatment resources available through the National HCH Council’s website.

 

HCH program fact sheet | May 2011 || HCH Fact Sheet | 2013

History, financing, and requirements of the health care for the homeless program. Use to educate community and government leaders about our program.

 

Pain Management Survey of Health Care for the Homeless Clinicians: Summary of Results | March 2011

In a direct response to clinical priorities expressed by the HCH Clinician’s Network, the Network Steering Committee decided to survey HCH clinicians across the country regarding chronic pain management practices, knowledge, attitudes and resources. Members of the National HCH Council Research Committee helped develop the survey, analyze results and prepare a written report (see link above). In April 2013, the HCH PBRN submitted a research grant proposal to the Patient-Centered Outcomes Research Institute (PCORI) to compare the effectiveness of cognitive behavioral therapy (CBT) versus usual care in managing patients with chronic, noncancer pain who are homeless. The project was not funded, but the research team has plans to resubmit to PCORI in November 2014.

 

Data Resource Guide: Learning about Homelessness and Health in your Community | March 2011

This updated resource guide is intended to assist those who work to meet the health care needs of homeless people in their communities. It will be particularly useful to those who are preparing funding applications for the federal Health Care for the Homeless (HCH) or other Consolidated Health Center programs. It will also be of interest to other advocates, researchers, and service providers.

 

Clinical Outcomes Feasibility Study Report | September 2010

A feasibility study was conducted to evaluate ten clinical indicators that could serve as supplemental clinical outcome measures specific to homeless individuals who seek care at HCH grantees and Medical Respite Care facilities. Surveys and focus groups were completed with medical directors and respite coordinators. Results of the survey and focus groups are documented in a report titled Clinical Outcomes Feasibility Study Report.

 

Knowledge and Skills Needs Assessment: Identifying the Needs of the HCH Field | September 2010

Since 1997, the National HCH Council has provided training and technical assistance to consolidated health centers and other organizations through a cooperative agreement with the Health Resources and Services Administration (HRSA). In 2010, the Council conducted a knowledge and skills needs assessment to help focus its work with the HCH field. Several hundred administrators, clinicians, and consumers affiliated with HCH grantees and medical respite programs participated in the three-stage process of key informant interviews, focus groups, and online and paper surveys.

 

Harm Reduction: Preparing People for Change | April 2010

Harm reduction is an approach for substance use treatment that involves a set of practical techniques that are openly negotiated with clients around what is most likely to be achieved.

 

Medical Respite Care: Demonstrated Cost Savings | February 2010

Medical respite care meets the post-hospital recuperative care needs for people who are homeless while reducing public costs associated with frequent hospital utilization.

 

FAQs: Negotiating Medical Respite Care with Hospitals | January 2010

Hospital collaboration is essential to the success of medical respite programs. Hospitals are a source of patient referrals, data collection, and income for medical respite programs. In return, hospitals receive significant cost savings by avoiding inpatient stays and reducing readmission rates.

 

Homelessness & Health: What’s the Connection? | January 2010

Many people are reduced to homelessness in a downward cycle that begins with a health problem and rapidly escalates into employment problems, financial problems, and housing problems.

 

What is Single Payer Health Care? | September 2009

Defines single payer, compares the US to other countries on key health status indicators, examines myths vs. facts.

 

Research in HCH Settings: Advanced Quality in Primary Care (2009) | June 2009

Health Care for the Homeless (HCH) clinicians strive to provide integrated primary and behavioral care of high quality to a diverse clientele, many of whom have multiple and complex health problems that are exacerbated by their unstable living conditions and limited resources. Interrupted care, often provided in nontraditional settings, makes strict adherence to standard practice guidelines difficult. Moreover, patient populations for whom such guidelines are developed often differ from HCH patients. The following articles describe the research agenda of the National HCH Council, explore the history of practice-based research networks (PBRNs), and explain how such networks can foster collaboration among researchers, primary care providers, and patients to improve the delivery of care.

 

Survey Findings on Characteristics and Health Status of Clients Treated by the Federally Funded (US) Health Care for the Homeless Programs | February 2009

Zlotnick C and Zerger S. Health and Social Care in the Community Journal, 17(1):18-26.

 

An Evaluation of the Respite Pilot Project Initiative: Final Report | March 2006

The National HCH Council assisted the Bureau of Primary Health Care in evaluating their ten respite pilot projects. The primary goal of the evaluation was to assess the effect of respite services on the health of homeless people, which included examination of differences in outcome based on client or program characteristics. A common database was developed to collect client-level data from each of the pilot projects. These results will enable the HCH Program to determine the efficacy of respite services and in what configuration they are most appropriate.

 

HCH Research Agenda | May 2005

The National HCH Council’s Research Committee developed a National HCH Research Agenda, which documents research priorities in the health care and homelessness field, identifies gaps in the published research literature, and documents feasibility issues in conducting needed research. This agenda describes a consensus of leading academic and community-based researchers, healthcare providers, program administrators, and other professionals regarding what is needed in research on homelessness and health care.

 

Homeless Young Adults Ages 18-24: Examining Service Delivery Adaptations | September 2004

Young adults (ages 18 – 24) are especially vulnerable to homelessness. The estimated numbers of young adults who experience an episode of homelessness each year range from approximately 750,000 to two million, and are believed to be increasing; families as well as individuals are affected. To articulate and address some of the urgent issues facing these young adults, six seasoned clinicians and researchers working with displaced youth collaborated with National HCH Council staff in developing this report. Homeless Young Adults Ages 18-24: Examining Service Delivery Adaptations is organized around four main topics: health care, housing, education and employment, and social support. Testimonials from homeless assistance providers and their clients and examples of recommended interventions are interspersed with program descriptions and proposed strategies, and a list of resources, including references that illustrate the issues described, is appended.

 

Health Care for Homeless Native Americans | February 2004

Native Americans experience among the most severe health disparities of any group in the United States, and they are disproportionately represented among numerous high-needs groups, including the homeless. This report describes some of they key factors contributing to this inequity, the effects of which are expected to continue worsening, and then describes in general terms how health services are delivered to Native Americans and barriers preventing adequate access to those services. Finally, interviews with individuals providing health care to Native Americans who are homeless are used to offer some tentative solutions for overcoming access barriers in the short-term.

 

Social Supports for Homeless Mothers: Implications for Best Practices and Program Design | October 2003

The purpose of this qualitative study was to understand more fully the social support needs of homeless mothers and to translate these findings into programmatic recommendations in areas such as case management, parenting programs, and health/mental health services. Suzanne Zerger, former Research Specialist for the National HCH Council, facilitated focus group discussions and client surveys with homeless mothers at ten locations across the country between July 2001 and January 2002. The National HCH Council conducted this study in collaboration with Dr. Ellen Bassuk, Director of the National Center on Family Homelessness in Newton Centre, Massachusetts.

 

Providing Treatment for Homeless Persons with Substance Use Disorders: Six Case Studies | August 2003

Clinicians working with homeless individuals who have substance use disorders understand the critical need – and dire lack of – appropriate, accessible, and effective treatment for those in their care. Much of the scientific research on what effective treatment for substance related disorders looks like is not directly applicable to persons without homes. In response to these gaps, a Council committee of clinicians and researchers explored the practices of those providing “model” treatment to homeless people with substance related disorders, to share with others what seems to work well in practice, and for whom, according to those currently working in the field. This report summarizes the results of these efforts.

 

HCH UDS Pilot Project 2001-2002: A Technical Assistance Publication | January 2003

The HCH Uniform Data System (UDS) Pilot Project was initiated in 2000 by a group of HCH project representatives in Public Health Service Region IX. This technical assistance publication describes the rationale for the collection of additional data by HCH projects for inclusion in their annual UDS reports, and proposes data collection tools for this purpose that were developed and pilot tested by the HCH UDS Work Group in 2001-2002.

 

Substance Abuse Treatment: What Works for Homeless Individuals | June 2002

In substance abuse treatment, a gap exists between scientific research and clinical practice that is not common to other fields of medicine. This gap between research and practice is a concern shared in the HCH field as well, a concern which led to the formation of the “Translating Research Into Practice” subcommittee. This report represents the subcommittee’s first endeavor, a summary of peer-reviewed published literature on substance abuse treatment and homeless persons.

This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,625,741 with 20 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

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