+------------+---------+---+-------+-------+---+-----+-------+-------+
| **PRIORITY |         |   |       |       |   |     |       |       |
| ONE:       |         |   |       |       |   |     |       |       |
| Developing |         |   |       |       |   |     |       |       |
| a          |         |   |       |       |   |     |       |       |
| competent  |         |   |       |       |   |     |       |       |
| workforce  |         |   |       |       |   |     |       |       |
| for        |         |   |       |       |   |     |       |       |
| co         |         |   |       |       |   |     |       |       |
| -occurring |         |   |       |       |   |     |       |       |
| d          |         |   |       |       |   |     |       |       |
| isorders** |         |   |       |       |   |     |       |       |
+============+=========+===+=======+=======+===+=====+=======+=======+
| **Strate   | **Acti  |   | **    | *     | * |     | **Be  | **    |
| gy(-ies)** | on(s)** |   | Manag | *Impl | * |     | nchma | Compl |
|            |         |   | er¹** | ement | E |     | rks** | etion |
|            |         |   |       | er²** | x |     |       | Date  |
|            |         |   |       |       | p |     |       | (Es   |
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|            |         |   |       |       | * |     |       |       |
|            |         |   |       |       | * |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Tom   | COSIG | L |     | De    | Oct   |
| 1.1        | 1.1.1   |   | Rehak | Ste   | i |     | velop | ober, |
|            |         |   | and   | ering | s |     | list  | 2005  |
| Assessment | I       |   | Rosie | Comm  | t |     |       |       |
| of current | dentify |   | Ander | ittee | o |     |       |       |
| workforce, | key     |   | son-H |       | f |     |       |       |
| including  | compe   |   | arper |       | c |     |       |       |
| clinical   | tencies |   |       |       | l |     |       |       |
| s          |         |   |       |       | i |     |       |       |
| upervision |         |   |       |       | n |     |       |       |
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|            |         |   |       |       | s |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Jan   | O     | D |     | G     | Oct   |
|            | 1.1.2   |   | So    | ffice | e |     | ather | ober, |
|            |         |   | ucie, | of    | t |     | i     | 2005  |
|            | Assess  |   | Mark  | Human | a |     | nform |       |
|            | wo      |   | Str   | Resou | i |     | ation |       |
|            | rkforce |   | inger | rces, | l |     | from  |       |
|            | compet  |   | &     | Div   | e |     | va    |       |
|            | encies, |   | Kathy | ision | d |     | rious |       |
|            | gaps,   |   | C     | of    | a |     | so    |       |
|            | c       |   | arter | CPS & | n |     | urces |       |
|            | apacity |   |       | ADA,  | a |     |       |       |
|            | avail   |   |       | and   | l |     | An    |       |
|            | ability |   |       | CC    | y |     | alyze |       |
|            | and     |   |       | MHC's | s |     | i     |       |
|            | di      |   |       |       | i |     | nform |       |
|            | versity |   |       |       | s |     | ation |       |
|            |         |   |       |       | o |     | to    |       |
|            |         |   |       |       | f |     | dete  |       |
|            |         |   |       |       | w |     | rmine |       |
|            |         |   |       |       | o |     | s     |       |
|            |         |   |       |       | r |     | ystem |       |
|            |         |   |       |       | k |     | stre  |       |
|            |         |   |       |       | f |     | ngths |       |
|            |         |   |       |       | o |     | and   |       |
|            |         |   |       |       | r |     | w     |       |
|            |         |   |       |       | c |     | eakne |       |
|            |         |   |       |       | e |     | sses. |       |
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+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | A     | Mis   | S |     | Co    | On    |
|            | 1.1.3   |   | shley | souri | u |     | nduct | going |
|            |         |   | Haden | Inst  | r |     | s     |       |
|            | Assess  |   |       | itute | v |     | urvey |       |
|            | wo      |   |       | of    | e |     |       |       |
|            | rkforce |   |       | M     | y |     | S     |       |
|            | at      |   |       | ental | r |     | urvey |       |
|            | titudes |   |       | H     | e |     | ana   |       |
|            | and     |   |       | ealth | s |     | lysis |       |
|            | re      |   |       |       | u |     |       |       |
|            | adiness |   |       |       | l |     |       |       |
|            | to      |   |       |       | t |     |       |       |
|            | change, |   |       |       | s |     |       |       |
|            | in      |   |       |       | m |     |       |       |
|            | cluding |   |       |       | e |     |       |       |
|            | organiz |   |       |       | a |     |       |       |
|            | ational |   |       |       | s |     |       |       |
|            | at      |   |       |       | u |     |       |       |
|            | titudes |   |       |       | r |     |       |       |
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|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | t |     |       |       |
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|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | r |     |       |       |
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|            |         |   |       |       | f |     |       |       |
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|            |         |   |       |       | e |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Jan   | O     | C |     | De    | Oc    |
| 1.2        | 1.2.1   |   | So    | ffice | o |     | velop | tober |
|            |         |   | ucie, | of    | m |     | list  | ,     |
| Develop    | I       |   | M     | Human | p |     |       | 2005  |
| supportive | dentify |   | arsha | Resou | r |     |       |       |
| infr       | com     |   | Bu    | rces, | e |     |       |       |
| astructure | ponents |   | ckner | Divi  | h |     |       |       |
| (Policy)   | of      |   | , Tom | sions | e |     |       |       |
|            | current |   | Rehak | of    | n |     |       |       |
|            | infrast |   | and   | CPS & | s |     |       |       |
|            | ructure |   | La    | ADA,  | i |     |       |       |
|            | (i.e.   |   | urent | COSIG | v |     |       |       |
|            | --      |   | J     | Ste   | e |     |       |       |
|            | po      |   | avois | ering | l |     |       |       |
|            | licies, |   |       | Comm  | i |     |       |       |
|            | proc    |   |       | ittee | s |     |       |       |
|            | edures, |   |       | work  | t |     |       |       |
|            | st      |   |       | group | o |     |       |       |
|            | atutes, |   |       |       | f |     |       |       |
|            | credent |   |       |       | t |     |       |       |
|            | ialing, |   |       |       | h |     |       |       |
|            | certif  |   |       |       | i |     |       |       |
|            | ication |   |       |       | n |     |       |       |
|            | etc.    |   |       |       | g |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | a |     |       |       |
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|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | t |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Jan   | O     | K |     | Meet  | Dece  |
|            | 1.2.2   |   | So    | ffice | n |     | for   | mber, |
|            |         |   | ucie, | of    | o |     | pu    | 2005  |
|            | I       |   | M     | Human | w |     | rpose |       |
|            | dentify |   | arsha | Resou | l |     | of    |       |
|            | po      |   | Bu    | rces, | e |     | i     |       |
|            | tential |   | ckner | Divi  | d |     | denti |       |
|            | inc     |   | & Tom | sions | g |     | fying |       |
|            | entives |   | Rehak | of    | e |     | pote  |       |
|            | for     |   |       | CPS & | o |     | ntial |       |
|            | infrast |   |       | ADA   | f |     | incen |       |
|            | ructure |   |       |       | i |     | tives |       |
|            | support |   |       |       | n |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | i |     |       |       |
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|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | f |     |       |       |
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|            |         |   |       |       | p |     |       |       |
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|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | t |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Jan   | O     | I |     | Based | Febr  |
|            | 1.2.3   |   | So    | ffice | m |     | on    | uary, |
|            |         |   | ucie, | of    | p |     | i     | 2006  |
|            | Develop |   | Diane | Human | l |     | nform |       |
|            | change  |   | McFa  | Resou | e |     | ation |       |
|            | matrix  |   | rland | rces, | m |     | gl    |       |
|            |         |   | &     | Divi  | e |     | eaned |       |
|            |         |   | Mi    | sions | n |     | from  |       |
|            |         |   | chael | of    | t |     | ac    |       |
|            |         |   | Couty | CPS & | c |     | tions |       |
|            |         |   |       | ADA   | h |     | 1.2.1 |       |
|            |         |   |       |       | a |     | and   |       |
|            |         |   |       |       | n |     | 1     |       |
|            |         |   |       |       | g |     | .2.2, |       |
|            |         |   |       |       | e |     | meet  |       |
|            |         |   |       |       | m |     | to    |       |
|            |         |   |       |       | a |     | de    |       |
|            |         |   |       |       | t |     | velop |       |
|            |         |   |       |       | r |     | c     |       |
|            |         |   |       |       | i |     | hange |       |
|            |         |   |       |       | x |     | m     |       |
|            |         |   |       |       | t |     | atrix |       |
|            |         |   |       |       | o |     |       |       |
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|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | s |     |       |       |
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|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | u |     |       |       |
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|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | p |     |       |       |
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|            |         |   |       |       | t |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Qu    | Depar | E |     | COSIG | Jan   |
| 1.3        | 1.3.1   |   | entin | tment | a |     | ident | uary, |
|            |         |   | Wi    | of    | c |     | ifies | 2006  |
| Develop    | I       |   | lson, | H     | h |     | req   |       |
| training   | dentify |   | Dorn  | igher | U |     | uired |       |
|            | and     |   | Schuf | Educa | n |     | skill |       |
|            | develop |   | fman, | tion, | i |     | sets. |       |
|            | a       |   | Pat   | COSIG | v |     |       |       |
|            | cademic |   | St    | Ste   | e |     | Meet  |       |
|            | app     |   | ilen, | ering | r |     | with  |       |
|            | roaches |   | D     | Commi | s |     | Depar |       |
|            | to      |   | ebbie | ttee, | i |     | tment |       |
|            | t       |   | Mc    | Depar | t |     | of    |       |
|            | raining |   | Baine | tment | y |     | H     |       |
|            |         |   | and   | of    | i |     | igher |       |
|            |         |   | Andy  | M     | n |     | Educ  |       |
|            |         |   | Homer | ental | t |     | ation |       |
|            |         |   |       | He    | h |     | to    |       |
|            |         |   |       | alth, | e |     | ide   |       |
|            |         |   |       | M     | s |     | ntify |       |
|            |         |   |       | id-Am | t |     | need  |       |
|            |         |   |       | erica | a |     | and   |       |
|            |         |   |       | ATTC  | t |     | re    |       |
|            |         |   |       |       | e |     | quest |       |
|            |         |   |       |       | w |     | a     |       |
|            |         |   |       |       | i |     | ssist |       |
|            |         |   |       |       | l |     | ance. |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | h |     | Joint |       |
|            |         |   |       |       | a |     | d     |       |
|            |         |   |       |       | v |     | evelo |       |
|            |         |   |       |       | e |     | pment |       |
|            |         |   |       |       | a |     | of    |       |
|            |         |   |       |       | c |     | c     |       |
|            |         |   |       |       | u |     | urric |       |
|            |         |   |       |       | r |     | ulum. |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | w |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | i |     |       |       |
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|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | l |     |       |       |
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|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | v |     |       |       |
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|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | y |     |       |       |
|            |         |   |       |       | t |     |       |       |
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|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | / |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | f |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Pat   | M     | L |     | Meet  | June, |
|            | 1.3.2   |   | St    | id-Am | i |     | to    | 2005  |
|            |         |   | ilen, | erica | s |     | de    |       |
|            | I       |   | D     | ATTC  | t |     | velop |       |
|            | dentify |   | ebbie | and   | o |     | tra   |       |
|            | and     |   | Mc    | Divi  | f |     | ining |       |
|            | develop |   | Baine | sions | r |     | appro |       |
|            | non-a   |   | and   | of    | e |     | aches |       |
|            | cademic |   | Mark  | CPS & | s |     | not   |       |
|            | app     |   | M     | ADA   | o |     | invo  |       |
|            | roaches |   | iller |       | u |     | lving |       |
|            | to      |   |       |       | r |     | aca   |       |
|            | t       |   |       |       | c |     | demic |       |
|            | raining |   |       |       | e |     | ins   |       |
|            |         |   |       |       | s |     | titut |       |
|            |         |   |       |       | t |     | ions. |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | - |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Pat   | M     | D |     | Mee   | Au    |
|            | 1.3.3   |   | St    | id-Am | e |     | tings | gust, |
|            |         |   | ilen, | erica | v |     | to    | 2005  |
|            | In      |   | D     | ATTC, | e |     | de    |       |
|            | stitute |   | ebbie | Divi  | l |     | velop |       |
|            | process |   | Mc    | sions | o |     | on    |       |
|            | that    |   | Baine | of    | p |     | going |       |
|            | will    |   | and   | CPS & | m |     | tra   |       |
|            | fac     |   | Mark  | ADA   | e |     | ining |       |
|            | ilitate |   | M     |       | n |     | for   |       |
|            | ongoing |   | iller |       | t |     | cli   |       |
|            | supe    |   |       |       | o |     | nical |       |
|            | rvision |   |       |       | f |     | su    |       |
|            |         |   |       |       | c |     | pervi |       |
|            |         |   |       |       | u |     | sion. |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | z |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
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|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | s |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| **Progress |         | * |       |       |   | **  |       |       |
| to Date**  |         | * |       |       |   | Imm |       |       |
|            |         | B |       |       |   | edi |       |       |
|            |         | a |       |       |   | ate |       |       |
|            |         | r |       |       |   | N   |       |       |
|            |         | r |       |       |   | ext |       |       |
|            |         | i |       |       |   | S   |       |       |
|            |         | e |       |       |   | tep |       |       |
|            |         | r |       |       |   | s** |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | a |       |       |   | **( |       |       |
|            |         | n |       |       |   | inc |       |       |
|            |         | d |       |       |   | lud |       |       |
|            |         | / |       |       |   | ing |       |       |
|            |         | o |       |       |   | pot |       |       |
|            |         | r |       |       |   | ent |       |       |
|            |         | S |       |       |   | ial |       |       |
|            |         | i |       |       |   | tec |       |       |
|            |         | t |       |       |   | hni |       |       |
|            |         | u |       |       |   | cal |       |       |
|            |         | a |       |       |   | a   |       |       |
|            |         | t |       |       |   | ssi |       |       |
|            |         | i |       |       |   | sta |       |       |
|            |         | o |       |       |   | nce |       |       |
|            |         | n |       |       |   | ne  |       |       |
|            |         | a |       |       |   | eds |       |       |
|            |         | l |       |       |   | )** |       |       |
|            |         | C |       |       |   |     |       |       |
|            |         | h |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | g |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | * |       |       |   |     |       |       |
|            |         | * |       |       |   |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Practice   |         | F |       |       |   | R   |       |       |
| Guidelines |         | i |       |       |   | equ |       |       |
| for the    |         | s |       |       |   | est |       |       |
| Treatment  |         | c |       |       |   | tr  |       |       |
| of Adults  |         | a |       |       |   | ain |       |       |
| with       |         | l |       |       |   | ing |       |       |
| Co         |         | r |       |       |   | and |       |       |
| -Occurring |         | e |       |       |   | TA  |       |       |
| Substance  |         | s |       |       |   | on  |       |       |
| Use        |         | o |       |       |   | b   |       |       |
| Disorders  |         | u |       |       |   | est |       |       |
| and Mental |         | r |       |       |   | pra |       |       |
| Illness    |         | c |       |       |   | cti |       |       |
| completed  |         | e |       |       |   | ces |       |       |
| by         |         | s |       |       |   | for |       |       |
| Missouri   |         | m |       |       |   | cl  |       |       |
| in         |         | a |       |       |   | ini |       |       |
| September, |         | y |       |       |   | cal |       |       |
| 2002       |         | n |       |       |   | su  |       |       |
| including  |         | o |       |       |   | per |       |       |
| agency and |         | t |       |       |   | vis |       |       |
| provider   |         | b |       |       |   | ion |       |       |
| workforce  |         | e |       |       |   | s   |       |       |
| com        |         | c |       |       |   | tra |       |       |
| petencies. |         | u |       |       |   | teg |       |       |
| Have       |         | r |       |       |   | ies |       |       |
| completed  |         | r |       |       |   | for |       |       |
| initial    |         | e |       |       |   | com |       |       |
| current    |         | n |       |       |   | mun |       |       |
| practice   |         | t |       |       |   | ity |       |       |
| survey.    |         | l |       |       |   | -ba |       |       |
| Have       |         | y |       |       |   | sed |       |       |
| developed  |         | a |       |       |   | se  |       |       |
| "barriers  |         | v |       |       |   | rvi |       |       |
| and        |         | a |       |       |   | ces |       |       |
| incentives |         | i |       |       |   | w   |       |       |
| report".   |         | l |       |       |   | ith |       |       |
| Have       |         | a |       |       |   | t   |       |       |
| completed  |         | b |       |       |   | his |       |       |
| initial    |         | l |       |       |   | po  |       |       |
| ATTC       |         | e |       |       |   | pul |       |       |
| workforce  |         | t |       |       |   | ati |       |       |
| survey.    |         | o |       |       |   | on. |       |       |
|            |         | s |       |       |   | R   |       |       |
|            |         | u |       |       |   | equ |       |       |
|            |         | p |       |       |   | est |       |       |
|            |         | p |       |       |   | in  |       |       |
|            |         | o |       |       |   | for |       |       |
|            |         | r |       |       |   | mat |       |       |
|            |         | t |       |       |   | ion |       |       |
|            |         | w |       |       |   | and |       |       |
|            |         | i |       |       |   | po  |       |       |
|            |         | d |       |       |   | ssi |       |       |
|            |         | e |       |       |   | ble |       |       |
|            |         | s |       |       |   | TA  |       |       |
|            |         | p |       |       |   | c   |       |       |
|            |         | r |       |       |   | ons |       |       |
|            |         | e |       |       |   | ult |       |       |
|            |         | a |       |       |   | f   |       |       |
|            |         | d |       |       |   | rom |       |       |
|            |         | t |       |       |   | the |       |       |
|            |         | r |       |       |   | St  |       |       |
|            |         | a |       |       |   | ate |       |       |
|            |         | i |       |       |   | of  |       |       |
|            |         | n |       |       |   | Ar  |       |       |
|            |         | i |       |       |   | izo |       |       |
|            |         | n |       |       |   | na. |       |       |
|            |         | g |       |       |   | R   |       |       |
|            |         | . |       |       |   | equ |       |       |
|            |         |   |       |       |   | est |       |       |
|            |         |   |       |       |   | in  |       |       |
|            |         |   |       |       |   | for |       |       |
|            |         |   |       |       |   | mat |       |       |
|            |         |   |       |       |   | ion |       |       |
|            |         |   |       |       |   | on  |       |       |
|            |         |   |       |       |   | phy |       |       |
|            |         |   |       |       |   | sic |       |       |
|            |         |   |       |       |   | ian |       |       |
|            |         |   |       |       |   | tr  |       |       |
|            |         |   |       |       |   | ain |       |       |
|            |         |   |       |       |   | ing |       |       |
|            |         |   |       |       |   | for |       |       |
|            |         |   |       |       |   | w   |       |       |
|            |         |   |       |       |   | ork |       |       |
|            |         |   |       |       |   | ing |       |       |
|            |         |   |       |       |   | w   |       |       |
|            |         |   |       |       |   | ith |       |       |
|            |         |   |       |       |   | t   |       |       |
|            |         |   |       |       |   | his |       |       |
|            |         |   |       |       |   | p   |       |       |
|            |         |   |       |       |   | opu |       |       |
|            |         |   |       |       |   | lat |       |       |
|            |         |   |       |       |   | ion |       |       |
|            |         |   |       |       |   | (po |       |       |
|            |         |   |       |       |   | ssi |       |       |
|            |         |   |       |       |   | ble |       |       |
|            |         |   |       |       |   | TA  |       |       |
|            |         |   |       |       |   | r   |       |       |
|            |         |   |       |       |   | equ |       |       |
|            |         |   |       |       |   | est |       |       |
|            |         |   |       |       |   | for |       |       |
|            |         |   |       |       |   | c   |       |       |
|            |         |   |       |       |   | ons |       |       |
|            |         |   |       |       |   | ult |       |       |
|            |         |   |       |       |   | w   |       |       |
|            |         |   |       |       |   | ith |       |       |
|            |         |   |       |       |   | F   |       |       |
|            |         |   |       |       |   | red |       |       |
|            |         |   |       |       |   | Os  |       |       |
|            |         |   |       |       |   | her |       |       |
|            |         |   |       |       |   | or  |       |       |
|            |         |   |       |       |   | S   |       |       |
|            |         |   |       |       |   | ars |       |       |
|            |         |   |       |       |   | Ma  |       |       |
|            |         |   |       |       |   | xwe |       |       |
|            |         |   |       |       |   | ll. |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+

¹ The Manager is the individual responsible for coordinating each
action.

² The Implementer is the individual (or entity) responsible for
carrying-out each action.

+------------+------------+-------+-------+-------+-------+-------+
| **PRIORITY |            |       |       |       |       |       |
| TWO:       |            |       |       |       |       |       |
| Create an  |            |       |       |       |       |       |
| integrated |            |       |       |       |       |       |
| service    |            |       |       |       |       |       |
| system     |            |       |       |       |       |       |
| infras     |            |       |       |       |       |       |
| tructure** |            |       |       |       |       |       |
+============+============+=======+=======+=======+=======+=======+
| **Strate   | **A        | *     | **Imp | **Exp | **Be  | **    |
| gy(-ies)** | ction(s)** | *Mana | lemen | ected | nchma | Compl |
|            |            | ger** | ter** | Outco | rks** | etion |
|            |            |       |       | mes** |       | Date  |
|            |            |       |       |       |       | (Es   |
|            |            |       |       |       |       | timat |
|            |            |       |       |       |       | ed)** |
+------------+------------+-------+-------+-------+-------+-------+
| Strategy   | Action     | Andy  | COSIG | S     | Mee   | M     |
| 2.1        | 2.1.1      | H     | Ste   | ecure | tings | arch, |
|            |            | omer, | ering | commi | to    | 2005  |
| Broaden    | Develop    | La    | Comm  | tment | de    |       |
| and        | talking    | urent | ittee | from  | velop |       |
| strengthen | points and | Ja    |       | leade | ta    |       |
| advocacy   | public     | vois, |       | rship | lking |       |
| base and   | i          | Joe   |       | (     | p     |       |
| public     | nformation | Y     |       | i.e.- | oints |       |
| education  | tools for  | ancey |       | div   | and   |       |
| /awareness | key        | and   |       | ision | p     |       |
|            | st         | O     |       | direc | ublic |       |
|            | akeholders | ffice |       | tors, | i     |       |
|            | (admin     | of    |       | le    | nform |       |
|            | istrators, | P     |       | gisla | ation |       |
|            | providers, | ublic |       | tors, | /educ |       |
|            | consumers, | Af    |       | gover | ation |       |
|            | families,  | fairs |       | nor's | s     |       |
|            | media and  |       |       | of    | trate |       |
|            | pol        |       |       | fice, | gies. |       |
|            | icymakers) |       |       | MHA,  |       |       |
|            |            |       |       | NAMI, |       |       |
|            |            |       |       | FOA   |       |       |
|            |            |       |       | and   |       |       |
|            |            |       |       | CC    |       |       |
|            |            |       |       | MHC's |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | La    | COSIG | A     | Com   | M     |
|            | 2.1.2      | urent | Ste   | c     | munic | arch, |
|            |            | J     | ering | lear, | ation | 2005  |
|            | Develop a  | avois | Comm  | v     | plan  |       |
|            | com        |       | ittee | iable | tool  |       |
|            | munication |       |       | and   | has   |       |
|            | plan       |       |       | effe  | been  |       |
|            |            |       |       | ctive | compl |       |
|            |            |       |       | plan  | eted. |       |
|            |            |       |       | for   |       |       |
|            |            |       |       | com   | Meet  |       |
|            |            |       |       | munic | to    |       |
|            |            |       |       | ating | de    |       |
|            |            |       |       | the   | velop |       |
|            |            |       |       | need  | and   |       |
|            |            |       |       | for,  | ide   |       |
|            |            |       |       | req   | ntify |       |
|            |            |       |       | uired | co    |       |
|            |            |       |       | c     | ntent |       |
|            |            |       |       | ompon | and   |       |
|            |            |       |       | ents, | str   |       |
|            |            |       |       | and   | ategy |       |
|            |            |       |       | p     | for   |       |
|            |            |       |       | ublic | util  |       |
|            |            |       |       | be    | izing |       |
|            |            |       |       | nefit | com   |       |
|            |            |       |       | of    | munic |       |
|            |            |       |       | effe  | ation |       |
|            |            |       |       | ctive | tool. |       |
|            |            |       |       | trea  |       |       |
|            |            |       |       | tment |       |       |
|            |            |       |       | for   |       |       |
|            |            |       |       | co    |       |       |
|            |            |       |       | -occu |       |       |
|            |            |       |       | rring |       |       |
|            |            |       |       | diso  |       |       |
|            |            |       |       | rders |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | La    | COSIG | All   | Ide   | May,  |
|            | 2.1.3      | urent | Ste   | sta   | ntify | 2005  |
|            |            | Ja    | ering | kehol | key   |       |
|            | Target     | vois, | Comm  | ders, | s     |       |
|            | education  | Joe   | ittee | inter | takeh |       |
|            | and        | Y     | and   | ested | older |       |
|            | i          | ancey | O     | par   | group |       |
|            | nformation | and   | ffice | ties, |       |       |
|            | sessions   | J     | of    | and   | Set   |       |
|            | to key     | eanne | P     | the   | up    |       |
|            | st         | Henry | ublic | ge    | me    |       |
|            | akeholders |       | Af    | neral | eting |       |
|            | first      |       | fairs | p     | with  |       |
|            | (legal     |       |       | ublic | ident |       |
|            | system,    |       |       | will  | ified |       |
|            | medical    |       |       | be    | st    |       |
|            | c          |       |       | inf   | akeho |       |
|            | olleagues, |       |       | ormed | lders |       |
|            | uni        |       |       | of    | to    |       |
|            | versities, |       |       | the   | pr    |       |
|            | criminal   |       |       | st    | ovide |       |
|            | justice,   |       |       | ate's | i     |       |
|            | le         |       |       | initi | nform |       |
|            | gislators) |       |       | ative | ation |       |
|            |            |       |       | to    | and   |       |
|            |            |       |       | ad    | s     |       |
|            |            |       |       | dress | ecure |       |
|            |            |       |       | co    | bu    |       |
|            |            |       |       | -occu | y-in. |       |
|            |            |       |       | rring |       |       |
|            |            |       |       | diso  |       |       |
|            |            |       |       | rders |       |       |
+------------+------------+-------+-------+-------+-------+-------+
| Strategy   | Action     | La    | COSIG | A     | COSIG | July, |
| 2.2        | 2.2.1      | urent | Ste   | com   | comm  | 2005  |
|            |            | Ja    | ering | prehe | ittee |       |
| Improve    | Identify   | vois, | Commi | nsive | meets |       |
| col        | current    | Mark  | ttee, | list  | with  |       |
| laboration | barriers   | Stri  | Divi  | of    | Div   |       |
| and        | to         | nger, | sions | pote  | ision |       |
| co         | col        | and   | of    | ntial | repre |       |
| ordination | laboration | Gary  | CPS   | bar   | senta |       |
| of care    | and        | Lyn   | and   | riers | tives |       |
|            | co         | daker | ADA,  | --    | to    |       |
|            | ordination |       | O     | i.e.  | ide   |       |
|            | and        |       | ffice | (poli | ntify |       |
|            | provide    |       | of    | cies, | pote  |       |
|            | guidance   |       | I     | p     | ntial |       |
|            | and        |       | nform | roced | bar   |       |
|            | incentives |       | ation | ures, | riers |       |
|            | for        |       | Sy    | fi    | to    |       |
|            | working    |       | stems | scal, | effe  |       |
|            | together   |       |       | i     | ctive |       |
|            | as a team  |       |       | nform | imple |       |
|            |            |       |       | ation | menta |       |
|            |            |       |       | sy    | tion. |       |
|            |            |       |       | stems |       |       |
|            |            |       |       | etc.  |       |       |
|            |            |       |       | of    |       |       |
|            |            |       |       | the   |       |       |
|            |            |       |       | cu    |       |       |
|            |            |       |       | rrent |       |       |
|            |            |       |       | e     |       |       |
|            |            |       |       | nviro |       |       |
|            |            |       |       | nment |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Pat   | M     | I     | Meet  | Jan   |
|            | 2.2.2      | S     | id-Am | nform | to    | uary, |
|            |            | tilen | erica | ation | ide   | 2006  |
|            | Develop    | and   | ATTC  | that  | ntify |       |
|            | quality    | He    | and   | will  | req   |       |
|            | and        | ather | MIMH  | pr    | uired |       |
|            | outcome    | G     |       | ovide | i     |       |
|            | reports    | otham |       | the   | ndica |       |
|            | that allow |       |       | cap   | tors. |       |
|            | m          |       |       | acity |       |       |
|            | easurement |       |       | to    | S     |       |
|            | of         |       |       | asce  | elect |       |
|            | eff        |       |       | rtain | meth  |       |
|            | ectiveness |       |       | pro   | od(s) |       |
|            | including  |       |       | gress | for   |       |
|            | a process  |       |       | t     | gath  |       |
|            | evaluation |       |       | oward | ering |       |
|            |            |       |       | col   | req   |       |
|            |            |       |       | labor | uired |       |
|            |            |       |       | ation | data  |       |
|            |            |       |       | and   | on    |       |
|            |            |       |       | co    | i     |       |
|            |            |       |       | ordin | ndica |       |
|            |            |       |       | ation | tors. |       |
|            |            |       |       | of    |       |       |
|            |            |       |       | care  | De    |       |
|            |            |       |       | on an | velop |       |
|            |            |       |       | on    | rep   |       |
|            |            |       |       | going | orts. |       |
|            |            |       |       | basis |       |       |
|            |            |       |       | as    | An    |       |
|            |            |       |       | well  | alyze |       |
|            |            |       |       | as    | rep   |       |
|            |            |       |       | i     | orts. |       |
|            |            |       |       | nform |       |       |
|            |            |       |       | im    | Pr    |       |
|            |            |       |       | pleme | ovide |       |
|            |            |       |       | nters | feed  |       |
|            |            |       |       | rega  | back. |       |
|            |            |       |       | rding |       |       |
|            |            |       |       | ov    |       |       |
|            |            |       |       | erall |       |       |
|            |            |       |       | impl  |       |       |
|            |            |       |       | ement |       |       |
|            |            |       |       | ation |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Andy  | COSIG | Cli   | Build | Jan   |
|            | 2.2.3      | H     | Ste   | nical | on    | uary, |
|            |            | omer, | ering | docu  | prior | 2006  |
|            | Develop    | La    | Commi | menta | work  |       |
|            | st         | urent | ttee, | tion, | to    |       |
|            | andardized | Ja    | Divi  | m     | de    |       |
|            | assessment | vois, | sions | emora | velop |       |
|            | and        | Rosie | of    | ndums | st    |       |
|            | treatment  | A     | CPS   | of    | andar |       |
|            | planning   | nders | and   | unde  | dized |       |
|            | documents, | on-Ha | ADA   | rstan | cli   |       |
|            | effective  | rper, | and   | ding, | nical |       |
|            | business   | Joe   | O     | cont  | docu  |       |
|            | agreements | P     | ffice | racts | ments |       |
|            | and        | arks, | of    | and   | be    |       |
|            | capacity   | John  | Admi  | co    | tween |       |
|            | for        | Long  | nistr | nsult | two   |       |
|            | supportive |       | ation | ation | divis |       |
|            | consult    |       |       | which | ions. |       |
|            |            |       |       | will  |       |       |
|            |            |       |       | facil | Co    |       |
|            |            |       |       | itate | nvene |       |
|            |            |       |       | effe  | work  |       |
|            |            |       |       | ctive | group |       |
|            |            |       |       | care  | to    |       |
|            |            |       |       | and   | de    |       |
|            |            |       |       | trea  | velop |       |
|            |            |       |       | tment | st    |       |
|            |            |       |       | for   | andar |       |
|            |            |       |       | the   | dized |       |
|            |            |       |       | con   | cli   |       |
|            |            |       |       | sumer | nical |       |
|            |            |       |       | with  | docu  |       |
|            |            |       |       | co    | ments |       |
|            |            |       |       | -occu | and   |       |
|            |            |       |       | rring | ide   |       |
|            |            |       |       | diso  | ntify |       |
|            |            |       |       | rders | nece  |       |
|            |            |       |       |       | ssary |       |
|            |            |       |       |       | bus   |       |
|            |            |       |       |       | iness |       |
|            |            |       |       |       | a     |       |
|            |            |       |       |       | greem |       |
|            |            |       |       |       | ents. |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | S     | COSIG | Pr    | Ide   | M     |
|            | 2.2.4      | haron | Ste   | imary | ntify | arch, |
|            |            | Bu    | ering | care  | compo | 2006  |
|            | Increase   | rnett | Commi | physi | nents |       |
|            | col        | and   | ttee, | cians | for   |       |
|            | laboration | Joe   | Mis   | and   | effe  |       |
|            | and        | Parks | souri | commu | ctive |       |
|            | co         |       | Hos   | nity- | coo   |       |
|            | ordination |       | pital | based | rdina |       |
|            | of care    |       | A     | AOD   | tion. |       |
|            | with       |       | ssoci | and   |       |       |
|            | primary    |       | ation | m     | Ide   |       |
|            | care       |       |       | ental | ntify |       |
|            | physicians |       |       | h     | best  |       |
|            |            |       |       | ealth | m     |       |
|            |            |       |       | prov  | ethod |       |
|            |            |       |       | iders | for   |       |
|            |            |       |       | will  | com   |       |
|            |            |       |       | have  | munic |       |
|            |            |       |       | a     | ation |       |
|            |            |       |       | gr    | of    |       |
|            |            |       |       | eater | ident |       |
|            |            |       |       | cap   | ified |       |
|            |            |       |       | acity | c     |       |
|            |            |       |       | to    | ompon |       |
|            |            |       |       | work  | ents. |       |
|            |            |       |       | in    |       |       |
|            |            |       |       | co    | Co    |       |
|            |            |       |       | ncert | nvene |       |
|            |            |       |       | to    | work  |       |
|            |            |       |       | meet  | group |       |
|            |            |       |       | the   | to    |       |
|            |            |       |       | needs | de    |       |
|            |            |       |       | of    | velop |       |
|            |            |       |       | the   | plan  |       |
|            |            |       |       | con   | for   |       |
|            |            |       |       | sumer | pur   |       |
|            |            |       |       | with  | suing |       |
|            |            |       |       | co    | coll  |       |
|            |            |       |       | -occu | abora |       |
|            |            |       |       | rring | tion. |       |
|            |            |       |       | diso  |       |       |
|            |            |       |       | rders |       |       |
+------------+------------+-------+-------+-------+-------+-------+
| Strategy   | Action     | La    | COSIG | I     | R     | June, |
| 2.3        | 2.3.1      | urent | Ste   | ntake | eview | 2005  |
|            |            | Ja    | ering | staff | cu    |       |
| Create an  | Review     | vois, | Commi | are   | rrent |       |
| engaging   | intake     | Mark  | ttee, | co    | i     |       |
| and        | process    | Stri  | CCM   | mfort | ntake |       |
| welcoming  | and        | nger, | HC's, | able, | pr    |       |
| e          | contrast   | Kathy | O     | empat | ocess |       |
| nvironment | with       | Ca    | ffice | hetic | for   |       |
|            | principles | rter, | of    | and   | comm  |       |
|            | of a       | Re    | Qu    | optim | unity |       |
|            | welcoming  | becca | ality | istic | provi |       |
|            | e          | C     | Manag | with  | ders. |       |
|            | nvironment | arson | ement | cons  |       |       |
|            | for        |       | and   | umers | Ide   |       |
|            | treatment  |       | ADA   | prese | ntify |       |
|            |            |       | Pro   | nting | de    |       |
|            |            |       | vider | with  | sired |       |
|            |            |       | Work  | co    | pr    |       |
|            |            |       | Group | -occu | ocess |       |
|            |            |       |       | rring | for   |       |
|            |            |       |       | diso  | i     |       |
|            |            |       |       | rders | ntake |       |
|            |            |       |       | and   | and   |       |
|            |            |       |       | those | e     |       |
|            |            |       |       | cons  | ncour |       |
|            |            |       |       | umers | age/i |       |
|            |            |       |       | feel  | ncent |       |
|            |            |       |       | wel   | ivize |       |
|            |            |       |       | comed |       |       |
|            |            |       |       | th    | Impl  |       |
|            |            |       |       | rough | ement |       |
|            |            |       |       | pr    | ation |       |
|            |            |       |       | ogram | with  |       |
|            |            |       |       | l     | comm  |       |
|            |            |       |       | itera | unity |       |
|            |            |       |       | ture, | provi |       |
|            |            |       |       | i     | ders. |       |
|            |            |       |       | ntake |       |       |
|            |            |       |       | proce |       |       |
|            |            |       |       | dures |       |       |
|            |            |       |       | and   |       |       |
|            |            |       |       | pa    |       |       |
|            |            |       |       | yment |       |       |
|            |            |       |       | mecha |       |       |
|            |            |       |       | nisms |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Derek | DMH   | Cons  | I     | June, |
|            | 2.3.2      | Wi    | Cul   | umers | ncorp | 2005  |
|            |            | llis, | tural | with  | orate |       |
|            | Define the | La    | Compe | co    | the   |       |
|            | components | urent | tence | -occu | work  |       |
|            | of a       | Ja    | Work  | rring | that  |       |
|            | culturally | vois, | G     | diso  | has   |       |
|            | competent  | Joe   | roup, | rders | been  |       |
|            | e          | Y     | COSIG | will  | done  |       |
|            | nvironment | ancey | Ste   | re    | th    |       |
|            | and        |       | ering | ceive | rough |       |
|            | implement  |       | Comm  | cultu | the   |       |
|            | throughout |       | ittee | rally | O     |       |
|            | the system |       |       | rel   | ffice |       |
|            |            |       |       | evant | of    |       |
|            |            |       |       | care  | Mult  |       |
|            |            |       |       | that  | i-cul |       |
|            |            |       |       | addr  | tural |       |
|            |            |       |       | esses | Af    |       |
|            |            |       |       | and   | fairs |       |
|            |            |       |       | res   | into  |       |
|            |            |       |       | pects | the   |       |
|            |            |       |       | lang  | tra   |       |
|            |            |       |       | uage, | ining |       |
|            |            |       |       | cus   | curri |       |
|            |            |       |       | toms, | culum |       |
|            |            |       |       | va    | as a  |       |
|            |            |       |       | lues, | comp  |       |
|            |            |       |       | mores | onent |       |
|            |            |       |       | and   | of    |       |
|            |            |       |       | has   | work  |       |
|            |            |       |       | the   | force |       |
|            |            |       |       | cap   | de    |       |
|            |            |       |       | acity | velop |       |
|            |            |       |       | to    | ment. |       |
|            |            |       |       | re    |       |       |
|            |            |       |       | spond |       |       |
|            |            |       |       | to    |       |       |
|            |            |       |       | the   |       |       |
|            |            |       |       | u     |       |       |
|            |            |       |       | nique |       |       |
|            |            |       |       | fa    |       |       |
|            |            |       |       | mily, |       |       |
|            |            |       |       | cul   |       |       |
|            |            |       |       | ture, |       |       |
|            |            |       |       | tradi |       |       |
|            |            |       |       | tions |       |       |
|            |            |       |       | and   |       |       |
|            |            |       |       | g     |       |       |
|            |            |       |       | ender |       |       |
|            |            |       |       | con   |       |       |
|            |            |       |       | cerns |       |       |
|            |            |       |       | of    |       |       |
|            |            |       |       | the   |       |       |
|            |            |       |       | con   |       |       |
|            |            |       |       | sumer |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Chri  | COSIG | Qu    | Ide   | June, |
|            | 2.3.3      | stine | Ste   | ality | ntify | 2005  |
|            |            | Sq    | ering | input | the   |       |
|            | Establish  | uibb, | Commi | will  | i     |       |
|            | focus      | Karen | ttee, | be    | nform |       |
|            | groups of  | Ma    | O     | rec   | ation |       |
|            | consumers, | ddox, | ffice | eived | to be |       |
|            | families   | Nancy | of    | from  | gle   |       |
|            | and other  | Ho    | Con   | consu | aned. |       |
|            | st         | ward, | sumer | mers, |       |       |
|            | akeholders | T     | Aff   | fam   | Ide   |       |
|            | to gather  | yrone | airs, | ilies | ntify |       |
|            | input      | M     | Coal  | and   | the   |       |
|            |            | oore, | ition | other | ques  |       |
|            |            | E     | of    | st    | tions |       |
|            |            | dward | Comm  | akeho | that  |       |
|            |            | Allen | unity | lders | will  |       |
|            |            |       | M     | and   | pr    |       |
|            |            |       | ental | in    | ovide |       |
|            |            |       | H     | corpo | the   |       |
|            |            |       | ealth | rated | de    |       |
|            |            |       | Cen   | into  | sired |       |
|            |            |       | ters, | the   | in    |       |
|            |            |       | NAMI, | pla   | forma |       |
|            |            |       | M     | nning | tion. |       |
|            |            |       | ental | and   |       |       |
|            |            |       | H     | impl  | Coord |       |
|            |            |       | ealth | ement | inate |       |
|            |            |       | As    | ation | with  |       |
|            |            |       | socia | of a  | con   |       |
|            |            |       | tion, | respo | sumer |       |
|            |            |       | Pr    | nsive | gr    |       |
|            |            |       | imary | s     | oups, |       |
|            |            |       | Cons  | ystem | Feder |       |
|            |            |       | umers | for   | ation |       |
|            |            |       |       | addre | of    |       |
|            |            |       |       | ssing | Advo  |       |
|            |            |       |       | cons  | cates |       |
|            |            |       |       | umers | and   |       |
|            |            |       |       | with  | o     |       |
|            |            |       |       | co    | thers |       |
|            |            |       |       | -occu | to    |       |
|            |            |       |       | rring | esta  |       |
|            |            |       |       | diso  | blish |       |
|            |            |       |       | rders | focus |       |
|            |            |       |       |       | gr    |       |
|            |            |       |       |       | oups. |       |
+------------+------------+-------+-------+-------+-------+-------+

+------------+------------+-------+-------+-------+-------+-------+
| **PRIORITY |            |       |       |       |       |       |
| TWO:       |            |       |       |       |       |       |
| Create an  |            |       |       |       |       |       |
| integrated |            |       |       |       |       |       |
| service    |            |       |       |       |       |       |
| system     |            |       |       |       |       |       |
| infras     |            |       |       |       |       |       |
| tructure** |            |       |       |       |       |       |
+------------+------------+-------+-------+-------+-------+-------+
| **Strate   | **A        | **    | *     | **Exp | **Be  | **    |
| gy(-ies)** | ction(s)** | Manag | *Impl | ected | nchma | Compl |
|            |            | er¹** | ement | Outco | rks** | etion |
|            |            |       | er²** | mes** |       | Date  |
|            |            |       |       |       |       | (Es   |
|            |            |       |       |       |       | timat |
|            |            |       |       |       |       | ed)** |
+------------+------------+-------+-------+-------+-------+-------+
| Strategy   | Action     | Ch    | Depar |       |       |       |
| 2.4        | 2.4.1      | arles | tment |       |       |       |
|            |            | Wil   | of    |       |       |       |
| Identify   | Request    | liams | M     |       |       |       |
| and        | de         |       | ental |       |       |       |
| provide    | partmental |       | H     |       |       |       |
| early      | office of  |       | ealth |       |       |       |
|            | prevention |       | O     |       |       |       |
| In         | to develop |       | ffice |       |       |       |
| tervention | actions    |       | of    |       |       |       |
| to         |            |       | Preve |       |       |       |
| children,  |            |       | ntion |       |       |       |
| a          |            |       |       |       |       |       |
| dolescents |            |       |       |       |       |       |
| and young  |            |       |       |       |       |       |
| adults     |            |       |       |       |       |       |
| with       |            |       |       |       |       |       |
| mental     |            |       |       |       |       |       |
| illness    |            |       |       |       |       |       |
| and        |            |       |       |       |       |       |
| substance  |            |       |       |       |       |       |
| abuse.     |            |       |       |       |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     |       |       |       |       |       |
|            | 2.4.2      |       |       |       |       |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     |       |       |       |       |       |
|            | 2.4.3      |       |       |       |       |       |
+------------+------------+-------+-------+-------+-------+-------+
| Strategy   | Action     | Andy  | He    | Acc   | R     | Jan   |
| 2.5        | 2.5.1      | Homer | ather | urate | eview | uary, |
|            |            |       | Go    | iden  | prior | 2006  |
| Improve    | Develop    |       | tham, | tific | work  |       |
| data       | st         |       | Divi  | ation | t     |       |
| capacity   | andardized |       | sions | of    | oward |       |
|            | screening  |       | of    | i     | d     |       |
|            | and        |       | CPS   | ndivi | evelo |       |
|            | a          |       | and   | duals | pment |       |
|            | ssessment, |       | ADA   | with  | of    |       |
|            | including  |       |       | co    | st    |       |
|            | universal  |       |       | -occu | andar |       |
|            | language   |       |       | rring | dized |       |
|            |            |       |       | diso  | docum |       |
|            |            |       |       | rders | ents. |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Andy  | Depar | Acc   | In    | Jan   |
|            | 2.5.2      | Homer | tment | urate | itial | uary, |
|            |            |       | O     | iden  | me    | 2006  |
|            | DMH        |       | ffice | tific | eting |       |
|            | providers  |       | of    | ation | with  |       |
|            | have the   |       | I     | of    | OIS   |       |
|            | ability to |       | nform | i     | to    |       |
|            | access     |       | ation | ndivi | ide   |       |
|            | historical |       | Sy    | duals | ntify |       |
|            | treatment  |       | stems | with  | s     |       |
|            | data at    |       |       | co    | trate |       |
|            | time of    |       |       | -occu | gies. |       |
|            | intake     |       |       | rring |       |       |
|            |            |       |       | diso  | De    |       |
|            |            |       |       | rders | velop |       |
|            |            |       |       |       | m     |       |
|            |            |       |       |       | ethod |       |
|            |            |       |       |       | for   |       |
|            |            |       |       |       | acce  |       |
|            |            |       |       |       | ssing |       |
|            |            |       |       |       | in    |       |
|            |            |       |       |       | forma |       |
|            |            |       |       |       | tion. |       |
+------------+------------+-------+-------+-------+-------+-------+
|            | Action     | Andy  | Depar | Acc   | In    | Jan   |
|            | 2.5.3      | H     | tment | urate | itial | uary, |
|            |            | omer, | O     | iden  | me    | 2006  |
|            | State      | La    | ffice | tific | eting |       |
|            | level      | urent | of    | ation | with  |       |
|            | co         | J     | I     | of    | OIS,  |       |
|            | ordination | avois | nform | i     | DMS,  |       |
|            | and        | and   | ation | ndivi | and   |       |
|            | sharing of | Pam   | Sys   | duals | pro   |       |
|            | i          | Leyhe | tems, | with  | vider |       |
|            | nformation |       | COCM  | co    | repre |       |
|            |            |       | HC's, | -occu | senta |       |
|            |            |       | Div   | rring | tives |       |
|            |            |       | ision | diso  | to    |       |
|            |            |       | of    | rders | ide   |       |
|            |            |       | Me    |       | ntify |       |
|            |            |       | dical |       | s     |       |
|            |            |       | Ser   |       | trate |       |
|            |            |       | vices |       | gies. |       |
+------------+------------+-------+-------+-------+-------+-------+

+-----------------------+-----------------------+-----------------------+
| **Progress to Date**  | **Barriers and/or     | **Immediate Next      |
|                       | Situational Changes** | Steps**               |
|                       |                       |                       |
|                       |                       | **(including          |
|                       |                       | potential technical   |
|                       |                       | assistance needs)**   |
+-----------------------+-----------------------+-----------------------+
| Currently piloting    | Coordination and      | Facilitation of       |
| screening and         | collaboration between | planning process to   |
| assessment tool.      | pilot sites.          | develop system-wide   |
|                       |                       | plan for rollout of   |
| Completed current     | Lack of standardized  | integrated            |
| practice survey.      | tools currently used  | infrastructure.       |
|                       | across overall        |                       |
| Completed barriers    | system.               | Press release on      |
| and incentives        |                       | policy academy and    |
| report.               |                       | state action plan.    |
|                       |                       |                       |
| Practice Guidelines   |                       | Brief constituencies  |
| for the Treatment of  |                       | and other             |
| Adults with           |                       | stakeholders.         |
| Co-Occurring          |                       |                       |
| Substance Use         |                       | Request consult from  |
| Disorders and Mental  |                       | Hawaii regarding      |
| Illness completed by  |                       | their welcoming       |
| Missouri in           |                       | attitude strategies.  |
| September, 2002.      |                       |                       |
+-----------------------+-----------------------+-----------------------+

¹ The Manager is the individual responsible for coordinating each
action.

² The Implementer is the individual (or entity) responsible for
carrying-out each action.

+------------+---------+---+-------+-------+---+----+-------+-------+
| **PRIORITY |         |   |       |       |   |    |       |       |
| THREE:     |         |   |       |       |   |    |       |       |
| Enhance    |         |   |       |       |   |    |       |       |
| Service    |         |   |       |       |   |    |       |       |
| Capacity** |         |   |       |       |   |    |       |       |
+============+=========+===+=======+=======+===+====+=======+=======+
| **Strate   | **Acti  |   | *     | **Imp | * |    | **Be  | **    |
| gy(-ies)** | on(s)** |   | *Mana | lemen | * |    | nchma | Compl |
|            |         |   | ger** | ter** | E |    | rks** | etion |
|            |         |   |       |       | x |    |       | Date  |
|            |         |   |       |       | p |    |       | (Es   |
|            |         |   |       |       | e |    |       | timat |
|            |         |   |       |       | c |    |       | ed)** |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | O |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | * |    |       |       |
|            |         |   |       |       | * |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
| Strategy   | Action  |   | COSIG | Rosie | C |    | R     | Dece  |
| 3.1        | 3.1.1   |   | Ste   | A     | o |    | eview | mber, |
|            |         |   | ering | nders | n |    | and   | 2005  |
| Increase   | De      |   | Comm  | on-Ha | s |    | res   |       |
| current    | termine |   | ittee | rper, | u |    | earch |       |
| service    | model   |   |       | Tom   | m |    | liter |       |
| capacity   | for     |   |       | Rehak | e |    | ature |       |
|            | service |   |       | and   | r |    | on    |       |
|            | d       |   |       | Joe   | s |    | va    |       |
|            | elivery |   |       | Parks | w |    | rious |       |
|            | for     |   |       |       | i |    | se    |       |
|            | co      |   |       |       | l |    | rvice |       |
|            | nsumers |   |       |       | l |    | m     |       |
|            | in      |   |       |       | r |    | odels |       |
|            | di      |   |       |       | e |    | by    |       |
|            | fferent |   |       |       | c |    | qua   |       |
|            | qu      |   |       |       | e |    | drant |       |
|            | adrants |   |       |       | i |    | type. |       |
|            | of New  |   |       |       | v |    |       |       |
|            | York    |   |       |       | e |    |       |       |
|            | model   |   |       |       | a |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | COSIG | Divi  | I |    | Co    | Dece  |
|            | 3.1.2   |   | Ste   | sions | d |    | nvene | mber, |
|            |         |   | ering | of    | e |    | a     | 2005  |
|            | De      |   |       | Com   | n |    | work  |       |
|            | termine |   |       | prehe | t |    | group |       |
|            | needed  |   |       | nsive | i |    | to    |       |
|            | c       |   |       | P     | f |    | pr    |       |
|            | apacity |   |       | sychi | i |    | oject |       |
|            | vs.     |   |       | atric | c |    | req   |       |
|            | e       |   |       | Ser   | a |    | uired |       |
|            | xisting |   |       | vices | t |    | se    |       |
|            | c       |   |       | and   | i |    | rvice |       |
|            | apacity |   |       | Al    | o |    | capa  |       |
|            | (ind    |   |       | cohol | n |    | city. |       |
|            | icators |   |       | and   | o |    |       |       |
|            | such as |   |       | Drug  | f |    | Use   |       |
|            | wait    |   |       | Abuse | t |    | i     |       |
|            | times,  |   |       | (CPS  | h |    | nform |       |
|            | waiting |   |       | &     | e |    | ation |       |
|            | lists,  |   |       | ADA)  | r |    | to    |       |
|            | census  |   |       |       | e |    | d     |       |
|            | at      |   |       |       | q |    | esign |       |
|            | e       |   |       |       | u |    | f     |       |
|            | xisting |   |       |       | i |    | uture |       |
|            | faci    |   |       |       | r |    | b     |       |
|            | lities) |   |       |       | e |    | udget |       |
|            |         |   |       |       | d |    | dec   |       |
|            |         |   |       |       | s |    | ision |       |
|            |         |   |       |       | e |    | i     |       |
|            |         |   |       |       | r |    | tems. |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
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|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | a |    |       |       |
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|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Mi    | Div   | P |    | Feed  | A     |
|            | 3.1.3   |   | chael | ision | l |    | i     | pril, |
|            |         |   | Couty | staff | a |    | nform | 2006  |
|            | I       |   | and   | of    | n |    | ation |       |
|            | dentify |   | Diane | ADA   | t |    | gl    |       |
|            | actions |   | McFa  | and   | o |    | eaned |       |
|            | to      |   | rland | CPS,  | i |    | to    |       |
|            | address |   |       | De    | n |    | div   |       |
|            | needed  |   |       | partm | c |    | ision |       |
|            | c       |   |       | ental | r |    | direc |       |
|            | apacity |   |       | O     | e |    | tors. |       |
|            |         |   |       | ffice | a |    |       |       |
|            |         |   |       | of    | s |    |       |       |
|            |         |   |       | Admin | e |    |       |       |
|            |         |   |       | istra | s |    |       |       |
|            |         |   |       | tion, | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | q |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | COSIG | Divi  | D |    | Work  | Febr  |
|            | 3.1.4   |   | Ste   | sions | e |    | group | uary, |
|            |         |   | ering | of    | t |    | to    | 2006  |
|            | I       |   | Comm  | ADA   | a |    | g     |       |
|            | dentify |   | ittee | and   | i |    | ather |       |
|            | b       |   |       | CPS,  | l |    | data  |       |
|            | arriers |   |       | CC    | e |    | on    |       |
|            | to      |   |       | MHC's | d |    | bar   |       |
|            | ac      |   |       | and   | l |    | riers |       |
|            | cessing |   |       | ADA   | i |    | th    |       |
|            | appr    |   |       | Pro   | s |    | rough |       |
|            | opriate |   |       | vider | t |    | focus |       |
|            | s       |   |       | Work  | i |    | gr    |       |
|            | ervices |   |       | group | n |    | oups, |       |
|            |         |   |       |       | g |    | su    |       |
|            |         |   |       |       | o |    | rveys |       |
|            |         |   |       |       | f |    | and   |       |
|            |         |   |       |       | p |    | other |       |
|            |         |   |       |       | o |    | m     |       |
|            |         |   |       |       | l |    | eans. |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | . |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
| Strategy   | Action  |   | He    | Mis   | I |    | De    | Oct   |
| 3.2        | 3.2.1   |   | ather | souri | n |    | velop | ober, |
|            |         |   | G     | Inst  | p |    | su    | 2005  |
| Increase   | Gather  |   | otham | itute | u |    | rvey. |       |
| consumer   | info    |   |       | of    | t |    |       |       |
| i          | rmation |   |       | M     | f |    | Co    |       |
| nvolvement | related |   |       | ental | r |    | nduct |       |
|            | to      |   |       | He    | o |    | su    |       |
|            | client  |   |       | alth, | m |    | rvey. |       |
|            | satisf  |   |       | CC    | p |    |       |       |
|            | action, |   |       | MHC's | r |    | An    |       |
|            | s       |   |       | and   | i |    | alyze |       |
|            | ervices |   |       | ADA   | m |    | s     |       |
|            | re      |   |       | Pro   | a |    | urvey |       |
|            | ceived, |   |       | vider | r |    | res   |       |
|            | use the |   |       | Work  | y |    | ults. |       |
|            | input/f |   |       | group | c |    |       |       |
|            | eedback |   |       |       | o |    |       |       |
|            | r       |   |       |       | n |    |       |       |
|            | eceived |   |       |       | s |    |       |       |
|            | (e.g.,  |   |       |       | u |    |       |       |
|            | focus   |   |       |       | m |    |       |       |
|            | groups  |   |       |       | e |    |       |       |
|            | in      |   |       |       | r |    |       |       |
|            | neutral |   |       |       | s |    |       |       |
|            | loc     |   |       |       | t |    |       |       |
|            | ations) |   |       |       | h |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | w |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Andy  | COSIG | M |    | Res   | M     |
|            | 3.2.2   |   | Homer | Ste   | e |    | earch | arch, |
|            |         |   |       | ering | a |    | and   | 2005  |
|            | C       |   |       | Comm  | n |    | r     |       |
|            | ontinue |   |       | ittee | i |    | eview |       |
|            | having  |   |       |       | n |    | liter |       |
|            | c       |   |       |       | g |    | ature |       |
|            | onsumer |   |       |       | f |    | on    |       |
|            | represe |   |       |       | u |    | evid  |       |
|            | ntation |   |       |       | l |    | ence- |       |
|            | on      |   |       |       | q |    | based |       |
|            | p       |   |       |       | u |    | best  |       |
|            | lanning |   |       |       | a |    | prac  |       |
|            | com     |   |       |       | l |    | tices |       |
|            | mittees |   |       |       | i |    | for   |       |
|            | using   |   |       |       | t |    | qu    |       |
|            | evidenc |   |       |       | y |    | ality |       |
|            | e-based |   |       |       | p |    | con   |       |
|            | model   |   |       |       | a |    | sumer |       |
|            |         |   |       |       | r |    | part  |       |
|            |         |   |       |       | t |    | icipa |       |
|            |         |   |       |       | i |    | tion. |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | w |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Pat   | M     | T |    |       | May,  |
|            | 3.2.3   |   | S     | id-Am | r |    |       | 2005  |
|            |         |   | tilen | erica | a |    |       |       |
|            | Assure  |   |       | ATTC  | i |    |       |       |
|            | that    |   |       |       | n |    |       |       |
|            | c       |   |       |       | i |    |       |       |
|            | onsumer |   |       |       | n |    |       |       |
|            | lea     |   |       |       | g |    |       |       |
|            | dership |   |       |       | w |    |       |       |
|            | is      |   |       |       | i |    |       |       |
|            | i       |   |       |       | l |    |       |       |
|            | nvolved |   |       |       | l |    |       |       |
|            | in      |   |       |       | b |    |       |       |
|            | tr      |   |       |       | e |    |       |       |
|            | ainings |   |       |       | d |    |       |       |
|            | both as |   |       |       | i |    |       |       |
|            | t       |   |       |       | r |    |       |       |
|            | rainers |   |       |       | e |    |       |       |
|            | and as  |   |       |       | c |    |       |       |
|            | parti   |   |       |       | t |    |       |       |
|            | cipants |   |       |       | l |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | ' |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | x |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Pat   | M     | I |    | Ide   | A     |
|            | 3.2.4   |   | S     | id-Am | d |    | ntify | pril, |
|            |         |   | tilen | erica | e |    | dual  | 2005  |
|            | Assess  |   |       | ATTC  | n |    | rec   |       |
|            | number  |   |       |       | t |    | overy |       |
|            | of dual |   |       |       | i |    | g     |       |
|            | r       |   |       |       | f |    | roups |       |
|            | ecovery |   |       |       | i |    | in    |       |
|            | groups  |   |       |       | c |    | Miss  |       |
|            | that    |   |       |       | a |    | ouri. |       |
|            | exist   |   |       |       | t |    |       |       |
|            | in      |   |       |       | i |    | Set   |       |
|            | M       |   |       |       | o |    | up    |       |
|            | issouri |   |       |       | n |    | com   |       |
|            | and     |   |       |       | a |    | munic |       |
|            | explore |   |       |       | n |    | ation |       |
|            | ways to |   |       |       | d |    | with  |       |
|            | offer   |   |       |       | d |    | these |       |
|            | s       |   |       |       | e |    | ent   |       |
|            | upport, |   |       |       | v |    | ities |       |
|            | in      |   |       |       | e |    | to    |       |
|            | cluding |   |       |       | l |    | di    |       |
|            | te      |   |       |       | o |    | scuss |       |
|            | chnical |   |       |       | p |    | pote  |       |
|            | ass     |   |       |       | m |    | ntial |       |
|            | istance |   |       |       | e |    | sup   |       |
|            | on best |   |       |       | n |    | port. |       |
|            | pr      |   |       |       | t |    |       |       |
|            | actices |   |       |       | o |    |       |       |
|            | for     |   |       |       | f |    |       |       |
|            | dual    |   |       |       | d |    |       |       |
|            | r       |   |       |       | u |    |       |       |
|            | ecovery |   |       |       | a |    |       |       |
|            | groups  |   |       |       | l |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | u |    |       |       |
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|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | w |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | h |    |       |       |
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|            |         |   |       |       | a |    |       |       |
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|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
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|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | - |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | o |    |       |       |
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|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | m |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | He    | Mis   | C |    | De    | June, |
|            | 3.2.5   |   | ather | souri | o |    | velop | 2005  |
|            |         |   | G     | Inst  | m |    | su    |       |
|            | Survey  |   | otham | itute | p |    | rvey. |       |
|            | pr      |   |       | of    | r |    |       |       |
|            | oviders |   |       | M     | e |    | Co    |       |
|            | and     |   |       | ental | h |    | nduct |       |
|            | other   |   |       | H     | e |    | su    |       |
|            | key     |   |       | ealth | n |    | rvey. |       |
|            | stake   |   |       |       | s |    |       |       |
|            | holders |   |       |       | i |    | An    |       |
|            | to      |   |       |       | v |    | alyze |       |
|            | de      |   |       |       | e |    | res   |       |
|            | termine |   |       |       | f |    | ults. |       |
|            | service |   |       |       | e |    |       |       |
|            | needs,  |   |       |       | e |    |       |       |
|            | pri     |   |       |       | d |    |       |       |
|            | orities |   |       |       | b |    |       |       |
|            | and     |   |       |       | a |    |       |       |
|            | sugg    |   |       |       | c |    |       |       |
|            | estions |   |       |       | k |    |       |       |
|            | for     |   |       |       | f |    |       |       |
|            | im      |   |       |       | r |    |       |       |
|            | proving |   |       |       | o |    |       |       |
|            | system  |   |       |       | m |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Andy  | COSIG | T |    |       | June, |
|            | 3.2.6   |   | Homer | Ste   | h |    |       | 2005  |
|            |         |   | and   | ering | e |    |       |       |
|            | Provide |   | La    | Comm  | p |    |       |       |
|            | info    |   | urent | ittee | r |    |       |       |
|            | rmation |   | J     |       | o |    |       |       |
|            | and     |   | avois |       | c |    |       |       |
|            | support |   |       |       | e |    |       |       |
|            | on      |   |       |       | s |    |       |       |
|            | other   |   |       |       | s |    |       |       |
|            | c       |   |       |       | w |    |       |       |
|            | onsumer |   |       |       | i |    |       |       |
|            | invo    |   |       |       | l |    |       |       |
|            | lvement |   |       |       | l |    |       |       |
|            | models  |   |       |       | b |    |       |       |
|            | (e.g.,  |   |       |       | e |    |       |       |
|            | peer    |   |       |       | i |    |       |       |
|            | men     |   |       |       | n |    |       |       |
|            | toring, |   |       |       | f |    |       |       |
|            | self    |   |       |       | o |    |       |       |
|            | help,   |   |       |       | r |    |       |       |
|            | c       |   |       |       | m |    |       |       |
|            | onsumer |   |       |       | e |    |       |       |
|            | ad      |   |       |       | d |    |       |       |
|            | visors, |   |       |       | o |    |       |       |
|            | warm    |   |       |       | f |    |       |       |
|            | line),  |   |       |       | t |    |       |       |
|            | p       |   |       |       | h |    |       |       |
|            | ossibly |   |       |       | e |    |       |       |
|            | using   |   |       |       | a |    |       |       |
|            | other   |   |       |       | r |    |       |       |
|            | states  |   |       |       | r |    |       |       |
|            | as      |   |       |       | a |    |       |       |
|            | models  |   |       |       | y |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
| Strategy   | Action  |   | Tom   | Div   | N |    | Div   | June, |
| 3.3        | 3.3.1   |   | Rehak | ision | e |    | ision | 2005  |
|            |         |   |       | of    | c |    | of    |       |
| Implement  | Im      |   |       | CPS   | e |    | Me    |       |
| Community  | plement |   |       | and   | s |    | dical |       |
| P          | e       |   |       | Div   | s |    | Ser   |       |
| sychiatric | xisting |   |       | ision | a |    | vices |       |
| Reha       | plan    |   |       | of    | r |    | signs |       |
| bilitation | (in     |   |       | Me    | y |    | off   |       |
| Program    | cluding |   |       | dical | c |    | on    |       |
| (CPRP)     | ou      |   |       | Ser   | o |    | plan. |       |
| En         | treach, |   |       | vices | m |    |       |       |
| hancements | su      |   |       |       | p |    | Tra   |       |
|            | bstance |   |       |       | o |    | ining |       |
|            | abuse   |   |       |       | n |    | for   |       |
|            | coun    |   |       |       | e |    | comm  |       |
|            | selors, |   |       |       | n |    | unity |       |
|            | ed      |   |       |       | t |    | pro   |       |
|            | ucation |   |       |       | s |    | vider |       |
|            | groups, |   |       |       | o |    | s     |       |
|            | group   |   |       |       | f |    | taff. |       |
|            | t       |   |       |       | a |    |       |       |
|            | herapy) |   |       |       | n |    | Impl  |       |
|            |         |   |       |       | i |    | ement |       |
|            |         |   |       |       | n |    | enh   |       |
|            |         |   |       |       | t |    | ancem |       |
|            |         |   |       |       | e |    | ents. |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | a |    |       |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Tom   | Div   | R |    | Co    | June, |
|            | 3.3.2   |   | Rehak | ision | e |    | nvene | 2005  |
|            |         |   | and   | of    | h |    | work  |       |
|            | Expand  |   | Joe   | CPS   | a |    | group |       |
|            | CPRP    |   | Parks | and   | b |    | to    |       |
|            | phi     |   |       | CC    | i |    | de    |       |
|            | losophy |   |       | MHC's | l |    | velop |       |
|            | to      |   |       |       | i |    | strat |       |
|            | include |   |       |       | t |    | egies |       |
|            | focus   |   |       |       | a |    | for   |       |
|            | on      |   |       |       | t |    | inf   |       |
|            | su      |   |       |       | i |    | using |       |
|            | bstance |   |       |       | o |    | subs  |       |
|            | use     |   |       |       | n |    | tance |       |
|            | tr      |   |       |       | p |    | use   |       |
|            | eatment |   |       |       | h |    | trea  |       |
|            |         |   |       |       | i |    | tment |       |
|            |         |   |       |       | l |    | into  |       |
|            |         |   |       |       | o |    | the   |       |
|            |         |   |       |       | s |    | p     |       |
|            |         |   |       |       | o |    | hilos |       |
|            |         |   |       |       | p |    | ophy. |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | He    | Mis   | A |    | Use   | Dece  |
|            | 3.3.3   |   | ather | souri | n |    | epide | mber, |
|            |         |   | G     | Inst  | a |    | miolo | 2005  |
|            | E       |   | otham | itute | l |    | gical |       |
|            | valuate |   | and   | of    | y |    | data  |       |
|            | impact  |   | Andy  | M     | s |    | to    |       |
|            | of who  |   | Homer | ental | i |    | est   |       |
|            | is      |   |       | He    | s |    | imate |       |
|            | being   |   |       | alth, | o |    | n     |       |
|            | served, |   |       | Depar | f |    | umber |       |
|            | look    |   |       | tment | p |    | of    |       |
|            | for     |   |       | O     | l |    | eli   |       |
|            | ways to |   |       | ffice | a |    | gible |       |
|            | provide |   |       | of    | n |    | cons  |       |
|            | s       |   |       | Qu    | i |    | umers |       |
|            | ervices |   |       | ality | m |    | not   |       |
|            | for     |   |       | Manag | p |    | being |       |
|            | those   |   |       | ement | l |    | se    |       |
|            | who are |   |       | and   | e |    | rved. |       |
|            | not     |   |       | Divi  | m |    |       |       |
|            | being   |   |       | sions | e |    | Pr    |       |
|            | served  |   |       | of    | n |    | ovide |       |
|            |         |   |       | CPS   | t |    | tra   |       |
|            |         |   |       | and   | a |    | ining |       |
|            |         |   |       | ADA   | t |    | on    |       |
|            |         |   |       |       | i |    | out   |       |
|            |         |   |       |       | o |    | reach |       |
|            |         |   |       |       | n |    | and   |       |
|            |         |   |       |       | w |    | e     |       |
|            |         |   |       |       | i |    | ngage |       |
|            |         |   |       |       | l |    | ment. |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    | Imple |       |
|            |         |   |       |       | r |    | ment. |       |
|            |         |   |       |       | o |    |       |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Tom   | Div   | C |    |       | On    |
|            | 3.3.4   |   | Rehak | ision | o |    |       | going |
|            |         |   |       | of    | n |    |       |       |
|            | C       |   |       | CPS   | t |    |       |       |
|            | ontinue |   |       | and   | i |    |       |       |
|            | to      |   |       | Div   | n |    |       |       |
|            | review  |   |       | ision | u |    |       |       |
|            | and     |   |       | of    | o |    |       |       |
|            | revise  |   |       | Me    | u |    |       |       |
|            | the     |   |       | dical | s |    |       |       |
|            | CPRP    |   |       | Ser   | Q |    |       |       |
|            | program |   |       | vices | u |    |       |       |
|            | as new  |   |       |       | a |    |       |       |
|            | info    |   |       |       | l |    |       |       |
|            | rmation |   |       |       | i |    |       |       |
|            | is      |   |       |       | t |    |       |       |
|            | av      |   |       |       | y |    |       |       |
|            | ailable |   |       |       | I |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
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|            |         |   |       |       | P |    |       |       |
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|            |         |   |       |       | n |    |       |       |
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|            |         |   |       |       | d |    |       |       |
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|            |         |   |       |       | o |    |       |       |
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|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
| Strategy   | Action  |   | Rosie | Depar | M |    |       | May,  |
| 3.4        | 3.4.1   |   | Ande  | tment | i |    |       | 2005  |
|            |         |   | rson- | T     | s |    |       |       |
| Implement  | Select  |   |       | rauma | s |    |       |       |
| trauma     | service |   | H     |       | o |    |       |       |
| services   | models  |   | arper | Work  | u |    |       |       |
|            | for     |   |       | group | r |    |       |       |
|            | M       |   |       |       | i |    |       |       |
|            | issouri |   |       |       | w |    |       |       |
|            |         |   |       |       | i |    |       |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Rosie | Depar | M |    | T     | Au    |
|            | 3.4.2   |   | Ander | tment | i |    | rauma | gust, |
|            |         |   | son-H | T     | s |    | work  | 2005  |
|            | I       |   | arper | rauma | s |    | group |       |
|            | nitiate |   | and   | Workg | o |    | de    |       |
|            | t       |   | Pat   | roup, | u |    | signs |       |
|            | raining |   | S     | M     | r |    | t     |       |
|            | based   |   | tilen | id-Am | i |    | rauma |       |
|            | on the  |   |       | erica | s |    | trai  |       |
|            | tr      |   |       | ATTC  | e |    | ning. |       |
|            | eatment |   |       | and   | r |    |       |       |
|            | model-  |   |       | Comm  | v |    | I     |       |
|            | include |   |       | unity | i |    | ncorp |       |
|            | the     |   |       | Ser   | c |    | orate |       |
|            | tr      |   |       | vices | e |    | t     |       |
|            | eatment |   |       | (CPS) | p |    | rauma |       |
|            | phil    |   |       |       | r |    | tra   |       |
|            | osophy, |   |       |       | o |    | ining |       |
|            | be      |   |       |       | v |    | mo    |       |
|            | ginning |   |       |       | i |    | dules |       |
|            | and     |   |       |       | d |    | into  |       |
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|            | dvanced |   |       |       | r |    | neral |       |
|            | t       |   |       |       | s |    | tra   |       |
|            | raining |   |       |       | w |    | ining |       |
|            | modules |   |       |       | i |    | for   |       |
|            |         |   |       |       | l |    | co-   |       |
|            |         |   |       |       | l |    | occur |       |
|            |         |   |       |       | b |    | ring. |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Rosie | Depar | C |    | Co    | Jan   |
|            | 3.4.3   |   | Ander | tment | a |    | nvene | uary, |
|            |         |   | son-H | T     | p |    | work  | 2006  |
|            | Develop |   | arper | rauma | a |    | group |       |
|            | quality |   | and   | Work  | c |    | to    |       |
|            | m       |   | Re    | group | i |    | ide   |       |
|            | easures |   | becca | and   | t |    | ntify |       |
|            | and     |   | C     | Depar | y |    | indic |       |
|            | im      |   | arson | tment | t |    | ators |       |
|            | plement |   |       | O     | o |    | for   |       |
|            | a       |   |       | ffice | m |    | qu    |       |
|            | process |   |       | of    | o |    | ality |       |
|            | for     |   |       | Qu    | n |    | in    |       |
|            | mon     |   |       | ality | i |    | t     |       |
|            | itoring |   |       | Manag | t |    | rauma |       |
|            | the     |   |       | ement | o |    | serv  |       |
|            | pr      |   |       |       | r |    | ices. |       |
|            | ovision |   |       |       | s |    |       |       |
|            | of      |   |       |       | e |    | Meet  |       |
|            | trauma  |   |       |       | r |    | with  |       |
|            | i       |   |       |       | v |    | O     |       |
|            | nformed |   |       |       | i |    | ffice |       |
|            | s       |   |       |       | c |    | of    |       |
|            | ervices |   |       |       | e |    | Qu    |       |
|            |         |   |       |       | p |    | ality |       |
|            |         |   |       |       | r |    | Manag |       |
|            |         |   |       |       | o |    | ement |       |
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|            |         |   |       |       | i |    | i     |       |
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|            |         |   |       |       | e |    | indic |       |
|            |         |   |       |       | r |    | ators |       |
|            |         |   |       |       | s |    | into  |       |
|            |         |   |       |       | f |    | cer   |       |
|            |         |   |       |       | o |    | tific |       |
|            |         |   |       |       | r |    | ation |       |
|            |         |   |       |       | i |    | pro   |       |
|            |         |   |       |       | m |    | cess. |       |
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+------------+---------+---+-------+-------+---+----+-------+-------+
| Strategy   | Action  |   | Andy  | COSIG | A |    |       | June, |
| 3.5        | 3.5.1   |   | Homer | Ste   | c |    |       | 2005  |
|            |         |   |       | ering | o |    |       |       |
| A          | I       |   |       | Comm  | m |    |       |       |
| lternative | dentify |   |       | ittee | p |    |       |       |
| Services   | n       |   |       | and   | r |    |       |       |
| and        | on-trad |   |       | Div   | e |    |       |       |
| Providers  | itional |   |       | ision | h |    |       |       |
|            | and     |   |       | of    | e |    |       |       |
|            | fait    |   |       | ADA   | n |    |       |       |
|            | h-based |   |       |       | s |    |       |       |
|            | pr      |   |       |       | i |    |       |       |
|            | oviders |   |       |       | v |    |       |       |
|            | that    |   |       |       | e |    |       |       |
|            | help    |   |       |       | l |    |       |       |
|            | co      |   |       |       | i |    |       |       |
|            | nsumers |   |       |       | s |    |       |       |
|            | with    |   |       |       | t |    |       |       |
|            | co-oc   |   |       |       | i |    |       |       |
|            | curring |   |       |       | n |    |       |       |
|            | di      |   |       |       | g |    |       |       |
|            | sorders |   |       |       | o |    |       |       |
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|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | z |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | - |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Andy  | COSIG | A |    | Co    | Au    |
|            | 3.5.2   |   | Homer | Ste   | l |    | nvene | gust, |
|            |         |   |       | ering | i |    | work  | 2005  |
|            | Review  |   |       | Comm  | s |    | group |       |
|            | models  |   |       | ittee | t |    | to    |       |
|            | and     |   |       |       | i |    | r     |       |
|            | s       |   |       |       | n |    | eview |       |
|            | ervices |   |       |       | g |    | a     |       |
|            | to      |   |       |       | o |    | ltern |       |
|            | de      |   |       |       | f |    | ative |       |
|            | termine |   |       |       | n |    | provi |       |
|            | which   |   |       |       | o |    | der's |       |
|            | are     |   |       |       | n |    | m     |       |
|            | appr    |   |       |       | - |    | odels |       |
|            | opriate |   |       |       | t |    | /serv |       |
|            | for DMH |   |       |       | r |    | ices. |       |
|            | co      |   |       |       | a |    |       |       |
|            | nsumers |   |       |       | d |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | - |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | w |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | d |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | D |    |       |       |
|            |         |   |       |       | M |    |       |       |
|            |         |   |       |       | H |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | u |    |       |       |
|            |         |   |       |       | m |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
|            | Action  |   | Joe   | COSIG | T |    | Ide   | M     |
|            | 3.5.3   |   | Parks | Ste   | e |    | ntify | arch, |
|            |         |   |       | ering | l |    | cu    | 2006  |
|            | Utilize |   |       | Commi | e |    | rrent |       |
|            | and     |   |       | ttee, | m |    | areas |       |
|            | expand  |   |       | Divi  | e |    | where |       |
|            | e       |   |       | sions | d |    | te    |       |
|            | xisting |   |       | of    | i |    | lemed |       |
|            | telem   |   |       | CPS   | c |    | icine |       |
|            | edicine |   |       | and   | i |    | is    |       |
|            | c       |   |       | ADA   | n |    | avail |       |
|            | apacity |   |       |       | e |    | able. |       |
|            |         |   |       |       | w |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | v |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | b |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | , |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | l |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | x |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | r |    |       |       |
|            |         |   |       |       | t |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | g |    |       |       |
|            |         |   |       |       | e |    |       |       |
|            |         |   |       |       | o |    |       |       |
|            |         |   |       |       | f |    |       |       |
|            |         |   |       |       | p |    |       |       |
|            |         |   |       |       | h |    |       |       |
|            |         |   |       |       | y |    |       |       |
|            |         |   |       |       | s |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | c |    |       |       |
|            |         |   |       |       | i |    |       |       |
|            |         |   |       |       | a |    |       |       |
|            |         |   |       |       | n |    |       |       |
|            |         |   |       |       | s |    |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
| **Progress |         | * |       |       |   | *  |       |       |
| to Date**  |         | * |       |       |   | *I |       |       |
|            |         | B |       |       |   | mm |       |       |
|            |         | a |       |       |   | ed |       |       |
|            |         | r |       |       |   | ia |       |       |
|            |         | r |       |       |   | te |       |       |
|            |         | i |       |       |   | Ne |       |       |
|            |         | e |       |       |   | xt |       |       |
|            |         | r |       |       |   | S  |       |       |
|            |         | s |       |       |   | te |       |       |
|            |         | a |       |       |   | ps |       |       |
|            |         | n |       |       |   | ** |       |       |
|            |         | d |       |       |   |    |       |       |
|            |         | / |       |       |   | ** |       |       |
|            |         | o |       |       |   | (i |       |       |
|            |         | r |       |       |   | nc |       |       |
|            |         | S |       |       |   | lu |       |       |
|            |         | i |       |       |   | di |       |       |
|            |         | t |       |       |   | ng |       |       |
|            |         | u |       |       |   | p  |       |       |
|            |         | a |       |       |   | ot |       |       |
|            |         | t |       |       |   | en |       |       |
|            |         | i |       |       |   | ti |       |       |
|            |         | o |       |       |   | al |       |       |
|            |         | n |       |       |   | t  |       |       |
|            |         | a |       |       |   | ec |       |       |
|            |         | l |       |       |   | hn |       |       |
|            |         | C |       |       |   | ic |       |       |
|            |         | h |       |       |   | al |       |       |
|            |         | a |       |       |   | as |       |       |
|            |         | n |       |       |   | si |       |       |
|            |         | g |       |       |   | st |       |       |
|            |         | e |       |       |   | an |       |       |
|            |         | s |       |       |   | ce |       |       |
|            |         | * |       |       |   | ne |       |       |
|            |         | * |       |       |   | ed |       |       |
|            |         |   |       |       |   | s) |       |       |
|            |         |   |       |       |   | ** |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+
| Both the   |         | G |       |       |   | Ob |       |       |
| divisions  |         | e |       |       |   | ta |       |       |
| of CPS and |         | n |       |       |   | in |       |       |
| ADA have   |         | e |       |       |   | ap |       |       |
| completed  |         | r |       |       |   | pr |       |       |
| general    |         | a |       |       |   | ov |       |       |
| service    |         | l |       |       |   | al |       |       |
| capacity   |         | R |       |       |   | by |       |       |
| as         |         | e |       |       |   | Me |       |       |
| sessments. |         | v |       |       |   | di |       |       |
|            |         | e |       |       |   | ca |       |       |
| Trauma is  |         | n |       |       |   | id |       |       |
| considered |         | u |       |       |   | f  |       |       |
| a          |         | e |       |       |   | or |       |       |
| de         |         | f |       |       |   | CP |       |       |
| partmental |         | u |       |       |   | RP |       |       |
| priority   |         | n |       |       |   | e  |       |       |
| and a      |         | d |       |       |   | nh |       |       |
| trauma     |         | i |       |       |   | an |       |       |
| workgroup  |         | n |       |       |   | ce |       |       |
| has been   |         | g |       |       |   | me |       |       |
| es         |         | h |       |       |   | nt |       |       |
| tablished. |         | a |       |       |   | s. |       |       |
|            |         | s |       |       |   |    |       |       |
|            |         | c |       |       |   | C  |       |       |
|            |         | o |       |       |   | OS |       |       |
|            |         | n |       |       |   | IG |       |       |
|            |         | t |       |       |   | st |       |       |
|            |         | i |       |       |   | ee |       |       |
|            |         | n |       |       |   | ri |       |       |
|            |         | u |       |       |   | ng |       |       |
|            |         | e |       |       |   | c  |       |       |
|            |         | d |       |       |   | om |       |       |
|            |         | t |       |       |   | mi |       |       |
|            |         | o |       |       |   | tt |       |       |
|            |         | d |       |       |   | ee |       |       |
|            |         | e |       |       |   | to |       |       |
|            |         | c |       |       |   | d  |       |       |
|            |         | r |       |       |   | ev |       |       |
|            |         | e |       |       |   | el |       |       |
|            |         | a |       |       |   | op |       |       |
|            |         | s |       |       |   | w  |       |       |
|            |         | e |       |       |   | or |       |       |
|            |         | o |       |       |   | ki |       |       |
|            |         | v |       |       |   | ng |       |       |
|            |         | e |       |       |   | re |       |       |
|            |         | r |       |       |   | la |       |       |
|            |         | t |       |       |   | ti |       |       |
|            |         | h |       |       |   | on |       |       |
|            |         | e |       |       |   | sh |       |       |
|            |         | p |       |       |   | ip |       |       |
|            |         | a |       |       |   | wi |       |       |
|            |         | s |       |       |   | th |       |       |
|            |         | t |       |       |   | t  |       |       |
|            |         | s |       |       |   | he |       |       |
|            |         | e |       |       |   | Tr |       |       |
|            |         | v |       |       |   | au |       |       |
|            |         | e |       |       |   | ma |       |       |
|            |         | r |       |       |   | wo |       |       |
|            |         | a |       |       |   | rk |       |       |
|            |         | l |       |       |   | gr |       |       |
|            |         | y |       |       |   | ou |       |       |
|            |         | e |       |       |   | p. |       |       |
|            |         | a |       |       |   |    |       |       |
|            |         | r |       |       |   | In |       |       |
|            |         | s |       |       |   | it |       |       |
|            |         | . |       |       |   | ia |       |       |
|            |         |   |       |       |   | te |       |       |
|            |         | C |       |       |   | r  |       |       |
|            |         | o |       |       |   | ol |       |       |
|            |         | m |       |       |   | lo |       |       |
|            |         | m |       |       |   | ut |       |       |
|            |         | u |       |       |   | of |       |       |
|            |         | n |       |       |   | P  |       |       |
|            |         | i |       |       |   | ro |       |       |
|            |         | t |       |       |   | co |       |       |
|            |         | y |       |       |   | ve |       |       |
|            |         | - |       |       |   | ry |       |       |
|            |         | b |       |       |   | p  |       |       |
|            |         | a |       |       |   | hi |       |       |
|            |         | s |       |       |   | lo |       |       |
|            |         | e |       |       |   | so |       |       |
|            |         | d |       |       |   | ph |       |       |
|            |         | s |       |       |   | y. |       |       |
|            |         | e |       |       |   |    |       |       |
|            |         | r |       |       |   | S  |       |       |
|            |         | v |       |       |   | ta |       |       |
|            |         | i |       |       |   | ff |       |       |
|            |         | c |       |       |   | tr |       |       |
|            |         | e |       |       |   | ai |       |       |
|            |         | p |       |       |   | ni |       |       |
|            |         | r |       |       |   | ng |       |       |
|            |         | o |       |       |   | f  |       |       |
|            |         | v |       |       |   | or |       |       |
|            |         | i |       |       |   | CP |       |       |
|            |         | d |       |       |   | RP |       |       |
|            |         | e |       |       |   | e  |       |       |
|            |         | r |       |       |   | nh |       |       |
|            |         | s |       |       |   | an |       |       |
|            |         | a |       |       |   | ce |       |       |
|            |         | r |       |       |   | me |       |       |
|            |         | e |       |       |   | nt |       |       |
|            |         | c |       |       |   | s. |       |       |
|            |         | u |       |       |   |    |       |       |
|            |         | r |       |       |   | T  |       |       |
|            |         | r |       |       |   | ec |       |       |
|            |         | e |       |       |   | hn |       |       |
|            |         | n |       |       |   | ic |       |       |
|            |         | t |       |       |   | al |       |       |
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|            |         | u |       |       |   | ti |       |       |
|            |         | l |       |       |   | on |       |       |
|            |         | a |       |       |   | in |       |       |
|            |         | t |       |       |   | pl |       |       |
|            |         | i |       |       |   | an |       |       |
|            |         | o |       |       |   | ni |       |       |
|            |         | n |       |       |   | ng |       |       |
|            |         | . |       |       |   | a  |       |       |
|            |         |   |       |       |   | nd |       |       |
|            |         |   |       |       |   | i  |       |       |
|            |         |   |       |       |   | mp |       |       |
|            |         |   |       |       |   | le |       |       |
|            |         |   |       |       |   | me |       |       |
|            |         |   |       |       |   | nt |       |       |
|            |         |   |       |       |   | at |       |       |
|            |         |   |       |       |   | io |       |       |
|            |         |   |       |       |   | n. |       |       |
+------------+---------+---+-------+-------+---+----+-------+-------+

+------------+---------+---+-------+-------+---+-----+-------+-------+
| **PRIORITY |         |   |       |       |   |     |       |       |
| FOUR:      |         |   |       |       |   |     |       |       |
| Developing |         |   |       |       |   |     |       |       |
| Financing  |         |   |       |       |   |     |       |       |
| Options**  |         |   |       |       |   |     |       |       |
+============+=========+===+=======+=======+===+=====+=======+=======+
| **Strate   | **Acti  |   | *     | **Imp | * |     | **Be  | **    |
| gy(-ies)** | on(s)** |   | *Mana | lemen | * |     | nchma | Compl |
|            |         |   | ger** | ter** | E |     | rks** | etion |
|            |         |   |       |       | x |     |       | Date  |
|            |         |   |       |       | p |     |       | (Es   |
|            |         |   |       |       | e |     |       | timat |
|            |         |   |       |       | c |     |       | ed)** |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | O |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | * |     |       |       |
|            |         |   |       |       | * |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Steve | Divi  | U |     |       | A     |
| 4.1        | 4.1.1   |   | Re    | sions | p |     |       | pril, |
|            |         |   | eves, | of    | d |     |       | 2005  |
| Assess     | I       |   | M     | CPS   | a |     |       |       |
| u          | dentify |   | arsha | and   | t |     |       |       |
| tilization | current |   | Bu    | ADA.  | e |     |       |       |
| of         | re      |   | ckner | COSIG | d |     |       |       |
| existing   | sources |   | and   | Ste   | s |     |       |       |
| resources  | and how |   | La    | ering | e |     |       |       |
|            | they    |   | urent | Comm  | r |     |       |       |
|            | are     |   | J     | ittee | v |     |       |       |
|            | being   |   | avois |       | i |     |       |       |
|            | used.   |   |       |       | c |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | x |     |       |       |
|            |         |   |       |       | , |     |       |       |
|            |         |   |       |       | t |     |       |       |
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|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
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|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
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|            |         |   |       |       | . |     |       |       |
|            |         |   |       |       | M |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | y |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | y |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | b |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
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|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | . |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Andy  | Divi  | S |     |       | Oct   |
|            | 4.1.2   |   | Homer | sions | t |     |       | ober, |
|            |         |   | and   | of    | r |     |       | 2005  |
|            | Assist  |   | La    | CPS   | e |     |       |       |
|            | p       |   | urent | and   | a |     |       |       |
|            | rograms |   | J     | ADA,  | m |     |       |       |
|            | with    |   | avois | CC    | l |     |       |       |
|            | ada     |   |       | MHC's | i |     |       |       |
|            | ptation |   |       | and   | n |     |       |       |
|            | of      |   |       | COSIG | e |     |       |       |
|            | s       |   |       | Ste   | d |     |       |       |
|            | ervices |   |       | ering | s |     |       |       |
|            | and     |   |       | Comm  | e |     |       |       |
|            | billing |   |       | ittee | r |     |       |       |
|            | to      |   |       |       | v |     |       |       |
|            | better  |   |       |       | i |     |       |       |
|            | serve   |   |       |       | c |     |       |       |
|            | co      |   |       |       | e |     |       |       |
|            | nsumers |   |       |       | s |     |       |       |
|            | with    |   |       |       | w |     |       |       |
|            | co-oc   |   |       |       | i |     |       |       |
|            | curring |   |       |       | t |     |       |       |
|            | di      |   |       |       | h |     |       |       |
|            | sorders |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | n |     |       |       |
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|            |         |   |       |       | n |     |       |       |
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|            |         |   |       |       | y |     |       |       |
|            |         |   |       |       | . |     |       |       |
|            |         |   |       |       | E |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | f |     |       |       |
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|            |         |   |       |       | r |     |       |       |
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|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | . |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Andy  | COSIG | R |     |       | On    |
|            | 4.1.3   |   | Homer | Ste   | e |     |       | going |
|            |         |   | and   | ering | d |     |       |       |
|            | M       |   | La    | Comm  | u |     |       |       |
|            | aximize |   | urent | ittee | c |     |       |       |
|            | use of  |   | J     |       | e |     |       |       |
|            | out     |   | avois |       | d |     |       |       |
|            | patient |   |       |       | i |     |       |       |
|            | s       |   |       |       | n |     |       |       |
|            | ervices |   |       |       | p |     |       |       |
|            | to      |   |       |       | a |     |       |       |
|            | d       |   |       |       | t |     |       |       |
|            | ecrease |   |       |       | i |     |       |       |
|            | util    |   |       |       | e |     |       |       |
|            | ization |   |       |       | n |     |       |       |
|            | of      |   |       |       | t |     |       |       |
|            | in      |   |       |       | d |     |       |       |
|            | patient |   |       |       | a |     |       |       |
|            | s       |   |       |       | y |     |       |       |
|            | ervices |   |       |       | s |     |       |       |
|            |         |   |       |       | f |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | d |     |       |       |
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|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | w |     |       |       |
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|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | e |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Andy  | O     | C |     |       | On    |
| 4.2        | 4.2.1   |   | Homer | ffice | o |     |       | going |
|            |         |   |       | of    | s |     |       |       |
| Pursue     | Explore |   |       | the   | t |     |       |       |
| other      | joint   |   |       | Dire  | s |     |       |       |
| funding    | funding |   |       | ctor, | f |     |       |       |
| partners,  | of      |   |       | Divi  | o |     |       |       |
| grants,    | s       |   |       | sions | r |     |       |       |
| and        | ervices |   |       | of    | t |     |       |       |
| sources    | with    |   |       | CPS   | r |     |       |       |
|            | DOC and |   |       | and   | e |     |       |       |
|            | other   |   |       | ADA   | a |     |       |       |
|            | state   |   |       | and   | t |     |       |       |
|            | ag      |   |       | COSIG | m |     |       |       |
|            | encies, |   |       | Ste   | e |     |       |       |
|            | other   |   |       | ering | n |     |       |       |
|            | jurisd  |   |       | Comm  | t |     |       |       |
|            | ictions |   |       | ittee | w |     |       |       |
|            | (e.g.,  |   |       |       | i |     |       |       |
|            | co      |   |       |       | l |     |       |       |
|            | unties, |   |       |       | l |     |       |       |
|            | cities, |   |       |       | b |     |       |       |
|            | Mil     |   |       |       | e |     |       |       |
|            | tax).   |   |       |       | s |     |       |       |
|            |         |   |       |       | h |     |       |       |
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|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | . |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | He    | Mis   | V |     |       | On    |
|            | 4.2.2   |   | ather | souri | i |     |       | going |
|            |         |   | G     | Inst  | a |     |       |       |
|            | Explore |   | otham | itute | b |     |       |       |
|            | public  |   |       | of    | l |     |       |       |
|            | and     |   |       | M     | e |     |       |       |
|            | private |   |       | ental | g |     |       |       |
|            | grant   |   |       | He    | r |     |       |       |
|            | opport  |   |       | alth, | a |     |       |       |
|            | unities |   |       | Divi  | n |     |       |       |
|            |         |   |       | sions | t |     |       |       |
|            |         |   |       | of    | s |     |       |       |
|            |         |   |       | CPS   | w |     |       |       |
|            |         |   |       | and   | i |     |       |       |
|            |         |   |       | ADA,  | l |     |       |       |
|            |         |   |       | COSIG | l |     |       |       |
|            |         |   |       | Ste   | b |     |       |       |
|            |         |   |       | ering | e |     |       |       |
|            |         |   |       | Comm  | i |     |       |       |
|            |         |   |       | ittee | d |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
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|            |         |   |       |       | f |     |       |       |
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|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | b |     |       |       |
|            |         |   |       |       | m |     |       |       |
|            |         |   |       |       | i |     |       |       |
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|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Andy  | COSIG | E |     |       | June, |
|            | 4.2.3   |   | Homer | Ste   | x |     |       | 2005  |
|            |         |   |       | ering | p |     |       |       |
|            | Explore |   |       | Comm  | l |     |       |       |
|            | co      |   |       | ittee | o |     |       |       |
|            | mmunity |   |       |       | r |     |       |       |
|            | action  |   |       |       | a |     |       |       |
|            | organi  |   |       |       | t |     |       |       |
|            | zations |   |       |       | o |     |       |       |
|            | such as |   |       |       | r |     |       |       |
|            | United  |   |       |       | y |     |       |       |
|            | Way,    |   |       |       | m |     |       |       |
|            | Sa      |   |       |       | e |     |       |       |
|            | lvation |   |       |       | e |     |       |       |
|            | Army,   |   |       |       | t |     |       |       |
|            | and     |   |       |       | i |     |       |       |
|            | other   |   |       |       | n |     |       |       |
|            | funding |   |       |       | g |     |       |       |
|            | streams |   |       |       | s |     |       |       |
|            | such as |   |       |       | w |     |       |       |
|            | M       |   |       |       | i |     |       |       |
|            | edicare |   |       |       | t |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | c |     |       |       |
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|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
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|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | i |     |       |       |
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|            |         |   |       |       | s |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Diane | Divi  | S |     |       | May,  |
|            | 4.2.4   |   | McFa  | sions | u |     |       | 2006  |
|            |         |   | rland | of    | b |     |       |       |
|            | Pursue  |   | and   | CPS   | s |     |       |       |
|            | legi    |   | Mi    | and   | t |     |       |       |
|            | slation |   | chael | ADA   | a |     |       |       |
|            | to      |   | Couty |       | n |     |       |       |
|            | include |   |       |       | c |     |       |       |
|            | su      |   |       |       | e |     |       |       |
|            | bstance |   |       |       | u |     |       |       |
|            | use     |   |       |       | s |     |       |       |
|            | tr      |   |       |       | e |     |       |       |
|            | eatment |   |       |       | t |     |       |       |
|            | parity, |   |       |       | r |     |       |       |
|            | i       |   |       |       | e |     |       |       |
|            | ncrease |   |       |       | a |     |       |       |
|            | a       |   |       |       | t |     |       |       |
|            | ppropri |   |       |       | m |     |       |       |
|            | ations, |   |       |       | e |     |       |       |
|            | or      |   |       |       | n |     |       |       |
|            | develop |   |       |       | t |     |       |       |
|            | approp  |   |       |       | w |     |       |       |
|            | riation |   |       |       | i |     |       |       |
|            | s       |   |       |       | l |     |       |       |
|            | pecific |   |       |       | l |     |       |       |
|            | to      |   |       |       | h |     |       |       |
|            | co-oc   |   |       |       | a |     |       |       |
|            | curring |   |       |       | v |     |       |       |
|            | s       |   |       |       | e |     |       |       |
|            | ervices |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | u |     |       |       |
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+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Tom   | Div   | R |     |       | Septe |
| 4.3        | 4.3.1   |   | Rehak | ision | e |     |       | mber, |
|            |         |   |       | of    | d |     |       | 2005  |
| Efficient  | Im      |   |       | CPS   | u |     |       |       |
| U          | plement |   |       |       | c |     |       |       |
| tilization | CPRP    |   |       |       | e |     |       |       |
| of         | enha    |   |       |       | d |     |       |       |
| Medicaid   | ncement |   |       |       | u |     |       |       |
|            | service |   |       |       | s |     |       |       |
|            | codes   |   |       |       | e |     |       |       |
|            | to      |   |       |       | o |     |       |       |
|            | reduce  |   |       |       | f |     |       |       |
|            | in      |   |       |       | P |     |       |       |
|            | patient |   |       |       | O |     |       |       |
|            | s       |   |       |       | S |     |       |       |
|            | ervices |   |       |       | s |     |       |       |
|            |         |   |       |       | e |     |       |       |
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|            |         |   |       |       | s |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Tom   | Divi  | I |     |       | Oct   |
|            | 4.3.2   |   | Rehak | sions | n |     |       | ober, |
|            |         |   | and   | of    | c |     |       | 2005  |
|            | Develop |   | Mark  | CPS   | r |     |       |       |
|            | a       |   | Str   | and   | e |     |       |       |
|            | service |   | inger | ADA   | a |     |       |       |
|            | code    |   |       |       | s |     |       |       |
|            | for     |   |       |       | i |     |       |       |
|            | outre   |   |       |       | n |     |       |       |
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|            | agement |   |       |       | s |     |       |       |
|            | in the  |   |       |       | e |     |       |       |
|            | CSTAR   |   |       |       | r |     |       |       |
|            | (Compre |   |       |       | v |     |       |       |
|            | hensive |   |       |       | i |     |       |       |
|            | Su      |   |       |       | c |     |       |       |
|            | bstance |   |       |       | e |     |       |       |
|            | Tr      |   |       |       | s |     |       |       |
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|            | and     |   |       |       | h |     |       |       |
|            | R       |   |       |       | a |     |       |       |
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|            | tation) |   |       |       | c |     |       |       |
|            | and     |   |       |       | a |     |       |       |
|            | CPRP    |   |       |       | n |     |       |       |
|            | pr      |   |       |       | b |     |       |       |
|            | ograms. |   |       |       | e |     |       |       |
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+------------+---------+---+-------+-------+---+-----+-------+-------+
|            | Action  |   | Andy  | Coal  | M |     |       | On    |
|            | 4.3.3   |   | Homer | ition | o |     |       | going |
|            |         |   | and   | of    | r |     |       |       |
|            | Insure  |   | La    | Comm  | e |     |       |       |
|            | that    |   | urent | unity | e |     |       |       |
|            | M       |   | J     | M     | l |     |       |       |
|            | edicaid |   | avois | ental | i |     |       |       |
|            | e       |   |       | H     | g |     |       |       |
|            | ligible |   |       | ealth | i |     |       |       |
|            | co      |   |       | Cen   | b |     |       |       |
|            | nsumers |   |       | ters, | l |     |       |       |
|            | are     |   |       | ADA   | e |     |       |       |
|            | e       |   |       | Pro   | c |     |       |       |
|            | nrolled |   |       | vider | o |     |       |       |
|            | in the  |   |       | Work  | n |     |       |       |
|            | M       |   |       | group | s |     |       |       |
|            | edicaid |   |       | and   | u |     |       |       |
|            | program |   |       | COSIG | m |     |       |       |
|            |         |   |       | Ste   | e |     |       |       |
|            |         |   |       | ering | r |     |       |       |
|            |         |   |       | Comm  | s |     |       |       |
|            |         |   |       | ittee | w |     |       |       |
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|            |         |   |       |       | . |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| Strategy   | Action  |   | Andy  | COSIG | A |     |       | Jan   |
| 4.4        | 4.4.1   |   | Homer | Ste   | c |     |       | uary, |
|            |         |   |       | ering | o |     |       | 2006  |
| Cost       | Conduct |   |       | Comm  | m |     |       |       |
| Benefit    | cost    |   |       | ittee | p |     |       |       |
| Analysis   | benefit |   |       |       | e |     |       |       |
|            | a       |   |       |       | t |     |       |       |
|            | nalysis |   |       |       | e |     |       |       |
|            | or      |   |       |       | n |     |       |       |
|            | utilize |   |       |       | t |     |       |       |
|            | data    |   |       |       | a |     |       |       |
|            | from a  |   |       |       | n |     |       |       |
|            | similar |   |       |       | a |     |       |       |
|            | a       |   |       |       | l |     |       |       |
|            | nalysis |   |       |       | y |     |       |       |
|            | co      |   |       |       | s |     |       |       |
|            | nducted |   |       |       | i |     |       |       |
|            | in a    |   |       |       | s |     |       |       |
|            | com     |   |       |       | o |     |       |       |
|            | parable |   |       |       | f |     |       |       |
|            | state   |   |       |       | t |     |       |       |
|            |         |   |       |       | h |     |       |       |
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|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | p |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | l |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | - |     |       |       |
|            |         |   |       |       | o |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | u |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | g |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | h |     |       |       |
|            |         |   |       |       | a |     |       |       |
|            |         |   |       |       | n |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | d |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | r |     |       |       |
|            |         |   |       |       | v |     |       |       |
|            |         |   |       |       | i |     |       |       |
|            |         |   |       |       | c |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | y |     |       |       |
|            |         |   |       |       | s |     |       |       |
|            |         |   |       |       | t |     |       |       |
|            |         |   |       |       | e |     |       |       |
|            |         |   |       |       | m |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| **Progress |         | * |       |       |   | **  |       |       |
| to Date**  |         | * |       |       |   | Imm |       |       |
|            |         | B |       |       |   | edi |       |       |
|            |         | a |       |       |   | ate |       |       |
|            |         | r |       |       |   | N   |       |       |
|            |         | r |       |       |   | ext |       |       |
|            |         | i |       |       |   | S   |       |       |
|            |         | e |       |       |   | tep |       |       |
|            |         | r |       |       |   | s** |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | a |       |       |   | **( |       |       |
|            |         | n |       |       |   | inc |       |       |
|            |         | d |       |       |   | lud |       |       |
|            |         | / |       |       |   | ing |       |       |
|            |         | o |       |       |   | pot |       |       |
|            |         | r |       |       |   | ent |       |       |
|            |         | S |       |       |   | ial |       |       |
|            |         | i |       |       |   | tec |       |       |
|            |         | t |       |       |   | hni |       |       |
|            |         | u |       |       |   | cal |       |       |
|            |         | a |       |       |   | a   |       |       |
|            |         | t |       |       |   | ssi |       |       |
|            |         | i |       |       |   | sta |       |       |
|            |         | o |       |       |   | nce |       |       |
|            |         | n |       |       |   | ne  |       |       |
|            |         | a |       |       |   | eds |       |       |
|            |         | l |       |       |   | )** |       |       |
|            |         | C |       |       |   |     |       |       |
|            |         | h |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | g |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | * |       |       |   |     |       |       |
|            |         | * |       |       |   |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+
| CPRP       |         | M |       |       |   | R   |       |       |
| en         |         | e |       |       |   | equ |       |       |
| hancements |         | d |       |       |   | est |       |       |
| have been  |         | i |       |       |   | TA  |       |       |
| developed  |         | c |       |       |   | for |       |       |
| which      |         | a |       |       |   | cos |       |       |
| should     |         | i |       |       |   | t-b |       |       |
| bring      |         | d |       |       |   | ene |       |       |
| additional |         | a |       |       |   | fit |       |       |
| resources  |         | g |       |       |   | an  |       |       |
| to bear on |         | r |       |       |   | aly |       |       |
| the target |         | e |       |       |   | sis |       |       |
| p          |         | e |       |       |   |     |       |       |
| opulation. |         | m |       |       |   | G   |       |       |
|            |         | e |       |       |   | ain |       |       |
| New data   |         | n |       |       |   | Me  |       |       |
| system     |         | t |       |       |   | dic |       |       |
| being      |         | o |       |       |   | aid |       |       |
| developed  |         | n |       |       |   | agr |       |       |
| by the     |         | C |       |       |   | eem |       |       |
| department |         | P |       |       |   | ent |       |       |
| (CIMOR)    |         | R |       |       |   | on  |       |       |
| which      |         | P |       |       |   | C   |       |       |
| should be  |         | e |       |       |   | PRP |       |       |
| com        |         | n |       |       |   | en  |       |       |
| plimentary |         | h |       |       |   | han |       |       |
| to data    |         | a |       |       |   | cem |       |       |
| gathering  |         | n |       |       |   | ent |       |       |
| and        |         | c |       |       |   |     |       |       |
| analysis.  |         | e |       |       |   | Br  |       |       |
|            |         | m |       |       |   | ief |       |       |
|            |         | e |       |       |   | go  |       |       |
|            |         | n |       |       |   | ver |       |       |
|            |         | t |       |       |   | nor |       |       |
|            |         | s |       |       |   | and |       |       |
|            |         | h |       |       |   | g   |       |       |
|            |         | a |       |       |   | ove |       |       |
|            |         | s |       |       |   | rno |       |       |
|            |         | n |       |       |   | r's |       |       |
|            |         | o |       |       |   | st  |       |       |
|            |         | t |       |       |   | aff |       |       |
|            |         | y |       |       |   | on  |       |       |
|            |         | e |       |       |   | pol |       |       |
|            |         | t |       |       |   | icy |       |       |
|            |         | o |       |       |   | a   |       |       |
|            |         | c |       |       |   | cad |       |       |
|            |         | c |       |       |   | emy |       |       |
|            |         | u |       |       |   | and |       |       |
|            |         | r |       |       |   | res |       |       |
|            |         | r |       |       |   | ult |       |       |
|            |         | e |       |       |   | ing |       |       |
|            |         | d |       |       |   | pl  |       |       |
|            |         | . |       |       |   | an. |       |       |
|            |         |   |       |       |   |     |       |       |
|            |         | C |       |       |   | Tec |       |       |
|            |         | u |       |       |   | hni |       |       |
|            |         | r |       |       |   | cal |       |       |
|            |         | r |       |       |   | A   |       |       |
|            |         | e |       |       |   | ssi |       |       |
|            |         | n |       |       |   | sta |       |       |
|            |         | t |       |       |   | nce |       |       |
|            |         | s |       |       |   | w   |       |       |
|            |         | t |       |       |   | ith |       |       |
|            |         | a |       |       |   | d   |       |       |
|            |         | t |       |       |   | eve |       |       |
|            |         | e |       |       |   | lop |       |       |
|            |         | b |       |       |   | ing |       |       |
|            |         | u |       |       |   | a   |       |       |
|            |         | d |       |       |   | pub |       |       |
|            |         | g |       |       |   | lic |       |       |
|            |         | e |       |       |   | edu |       |       |
|            |         | t |       |       |   | cat |       |       |
|            |         | e |       |       |   | ion |       |       |
|            |         | n |       |       |   | and |       |       |
|            |         | v |       |       |   | awa |       |       |
|            |         | i |       |       |   | ren |       |       |
|            |         | r |       |       |   | ess |       |       |
|            |         | o |       |       |   | str |       |       |
|            |         | n |       |       |   | ate |       |       |
|            |         | m |       |       |   | gy. |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | d |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | r |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | m |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | c |       |       |   |     |       |       |
|            |         | v |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | e |       |       |   |     |       |       |
|            |         | w |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | f |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | r |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | c |       |       |   |     |       |       |
|            |         | u |       |       |   |     |       |       |
|            |         | r |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | g |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | d |       |       |   |     |       |       |
|            |         | d |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | l |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | r |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | p |       |       |   |     |       |       |
|            |         | r |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | a |       |       |   |     |       |       |
|            |         | t |       |       |   |     |       |       |
|            |         | i |       |       |   |     |       |       |
|            |         | o |       |       |   |     |       |       |
|            |         | n |       |       |   |     |       |       |
|            |         | s |       |       |   |     |       |       |
|            |         | . |       |       |   |     |       |       |
+------------+---------+---+-------+-------+---+-----+-------+-------+

¹ The Manager is the individual responsible for coordinating each
action.

² The Implementer is the individual (or entity) responsible for
carrying-out each action.