Substance Abuse Treatment, Prevention, and Policy is an open access, peer-reviewed journal that encompasses research concerning substance abuse, with a focus on policy issues. 0000008274 00000 n 4. Nepotism | Nebraska Judicial Branch 0000171120 00000 n 0 Some organizations may want the policy to have a very narrow goal, such as meeting the minimum requirements of a law. Ensure that all employees working on the federal contract understand their personal reporting obligations. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn Section 270-21, Sales, Service and Consumption of Alcoholic Beverages. Send Jobs to 100+ Job Boards with One Submission. MANUAL MANUAL: Ethics SECTION: Ethics Rights and Responsibilities POLICY DESCRIPTION: Advanced Directives/Resuscitative Treatment EFFECTIVE DATE: 12/1991 PAGE: 1 of 4 REVISED DATE: 12/07, 2/11, 3/14, 9/16, 10/18 POLICY NUMBER: ETHICS-001 REVIEW DATE: 5/21 ETHICS-001 Advanced Directives/Resuscitative Treatment Page 1 of 4 Page 1 of 4 CM-905- Consumer Assessment Procedures. If an employee does not submit to an authorized drug test or participates in the usage, distribution, and/or manufacturing of illegal drugs while on [company name's] premises, he/she will be subject to disciplinary action, up to and including termination. It should be a customized document that addresses issues relating to prescribed medication, illegal drugs, and alcohol abuse. 0000014706 00000 n Contact USA.gov. If necessary, seek the advice of an appropriate legal expert. WebUC SANTA BARBARA POLICY AND PROCEDURE Substance Abuse Contact Offices: Academic Personnel, Human Resources, Office of Student Life, and . :6t vK*. Associate Dean, Medical Education (SADME), the Associate Dean, Student Affairs, or by individual faculty members. Practice Protocol Buprenorphine Guidance Protocol WebOur substance abuse billing professionals often recover large amounts of uncollected revenue. %%EOF Policy And Procedures Section 290-70, Controlled Substances. The presence and use of alcohol in the workplace. 0000011326 00000 n The following table lists all covered services for Substance Abuse treatment and counseling. A. 0000047116 00000 n While under the influence of drugs or alcohol, an employee can pose a burden to coworkers or be the cause of work-related accidents. Working under the influence of alcohol can be dangerous, especially in safety-sensitive positions. The Addiction Treatment Provider Quality Assurance TREATMENT 0000079901 00000 n Substance All services provided to DCYF recipients require PA through DCYF. For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at OTP-Help@jbsinternational.com or 1-866-348-5741. Prior authorization (PA) is required for the following services: The following limitations apply to all providers providing substance abuse treatment services to MA recipients: All services are limited to facilities licensed by and under contract with the Rhode Island Department of Health (RIDOH). The reporting person should make every effort to document the specific facts that would lead a reasonable person to the conclusion that the student was using or was in possession of illicit drugs or unauthorized alcohol. 1CSP meeting 9/25/20132AAMC recommends that the Office ofStudent Affairs be responsible for Substance Abuse policies (https://www.aamc.org/download/46336/data/part5.pdf)3Drug screening must be completed within 1 business day.4Any rehabilitation program expense is the sole obligation of the medical student.5If, for example, a student is prosecuted separately by a site.6Problems, such as: arrest, usage on campus property, or intoxication in the classroom or health care setting.7This sentence is from the UCSD policy.8At his/her own expense. Nepotism. UC Office of the President: P & Section 380-18 8/22/12 (above), University of California Policy on Substance Abuse (, Implementing Guidelines for the University of California Policy for Substance Abuse (, UC DavisAdministration of Student Discipline (. 2023 National Association of Drug Court Professionals. MANUAL: Ethics SECTION: Ethics Rights and Responsibilities POLICY DESCRIPTION: Advanced Directives/Resuscitative Treatment EFFECTIVE DATE: 12/1991 PAGE: 1 of 4 REVISED DATE: 12/07, 2/11, 3/14, 9/16, 10/18 POLICY NUMBER: ETHICS-001 REVIEW DATE: 5/21 ETHICS-001 Advanced Directives/Resuscitative Treatment Page 1 of 4 Page 1 of 4 A written policy may be required by law or by the organizations insurance carriers. hb```"o6A1c. *[@2*!v~TZfzkR b`H X%c0;RAKD0$A$.r,~&(c@ "~ Holiday Guidance for Opioid Treatment Programs (PDF | 203 KB) Webtreatment. endstream endobj startxref The School of Medicineis committed to a program that will assist impaired students in regaining their health while protecting the well-being of patients as well as classmates, faculty, staff, residents, and fellows. WebPOLICY AND PROCEDURE MANUAL Policy Number: PA.227.CC Last Review Date: 06/25/2020 Effective Date: 07/01/2020 At least one team member must have training or certification in substance abuse treatment, one in rehabilitative counseling and one person in recovery. 1g dvsPU"Lg9o=oN8=sV:9s9]v1c:g 0000013876 00000 n This model policy and procedure manual is designed to serve as a guide that helps to incorporate the adult drug court best practice standards and other guidelines for Methadone maintenance services will be provided in outpatient treatment settings and are reimbursable only when provided in accordance with a treatment plan approved by a program clinical director. | Schedules of Controlled Substances, 21 CFR Part 1308. FACILITY: Spokane Responsibilities DEPT. MANUAL: Ethics An application for a license will be accompanied by the required fee and submitted to the Department using the forms or format required by the Department. HIhLn#\KE)&-x0[F&9Z3f-6hv~v""qV xJxjS2B%"6z5uj Or in collaboration with the organizations legal counsel? 0000049016 00000 n Covered services include detoxification, rehabilitation, mental health, childcare, and care coordination services when provided by qualified staff. Students must notify the SOM of any drug or alcohol related arrests or convictions within ten (10) working days after charge of an offense. Counseling services may be provided in residential (halfway houses and therapeutic communities) and outpatient treatment settings and are reimbursable only when provided in accordance with a treatment plan approved by a program clinical director. WebThe Juvenile Drug Treatment Courts program is a court that has been specifically designed and staffed to supervise non-violent drug dependent youth. The mere presence of alcohol in the workplace can compromise safety and productivity because it makes workplace alcohol use more likely. Provider Substance Use Disorder Program Policy and Procedure Manual Guidance Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn 0000003768 00000 n 0000223039 00000 n Web7.4.1, Substance Use Disorder (SUD) Treatment Programs Policy Page 3 . Residential Treatment Program RI.gov. Outpatient and day treatment services in excess of the allowed 30 sessions per calendar year. CARF Policies Section 390-30, Disruptive Behavior in the Workplace. Visit the SAMHSA Facebook page We will establish safeguards against drug and alcohol abuse to ensure a safe and healthy working environment. Neither the U.S. Department of Justice nor any of its components operate, control, are responsible for, or necessarily endorse, this Web site (including, without limitation, its content, technical infrastructure, and policies, and any services or tools provided). Executive Office of Health and Human Services, Office of the GovernorRI.govElected OfficialsState Agencies (A-Z), 2023 Drug and Alcohol Abuse Prevention Regulations, 34 CFR Part 86. A written policy is easier to explain to employees, supervisors, and others. 0000010328 00000 n 0000008545 00000 n To sign up for updates or to access your subscriber preferences, please enter your contact information. Urine drug testing is an integral part of on-going evaluation and treatment planning. Alcohol. Accessibility, data, and privacy policies | Top of page, Change the visual color theme between light or dark modes, Adjust the font size from the system default to a larger size, Adjust the space between lines of text from the system default to a larger size, Adjust the space between words from the system default to a larger size, Certified Community Behavioral Health Clinics Infrastructure Grant Program, Childrens Behavioral Health System of Care, Childrens Services Provider Relief Program, Early Intervention Provider Relief Program, Home and Community-Based Services (HCBS) Access Program, Medicaid and the End of the COVID-19 Public Health Emergency, Nursing Home Isolation Unit Supplemental Funding, FPL Guidelines And Eligibility Information, Accessibility, data, and privacy policies. The guidelines also provide OTPs with information on how programs can achieve and maintain compliance with federal regulations. Meeting the requirements of the law: The purpose of this policy is to meet the requirements of applicable laws and regulations to ensure that the workplace is free of illegal drugs. 0000003632 00000 n For information about other medication-assisted treatment (MAT) or the certification of opioid treatment programs (OTPs), contact the SAMHSA Division of Pharmacologic Therapies at 240-276-2700. DRUG Remain substance free after completing a rehabilitation program for chemical dependency and participate in random drug screening during rehabilitation and for the duration of their medical education at the School of Medicine. [Company name] does reserve the right to offer an employee that tests positive for drugs and/or alcohol the opportunity to return to work, depending on the case circumstances and state requirements. 0000009792 00000 n WebDrug & Alcohol Policy and Procedures Manual Updated September 2015 1 * Medical treatment other than first aid administered away from the scene, or * Significant property damage . Procedure CodeDescriptionPA Methadone This action may involve imposing a penalty or requiring that the employee participate in an appropriate rehabilitation or counseling program. WebCARF POLICIES. 0000002349 00000 n Long Term Residential services provided in a residential setting for more than 30 days may not exceed 3 sessions per day. Application. 0000047186 00000 n Statutes related to Medications for Treatment of Opioid Use Disorders. WebIn a series of elegant molecular experiments, Van discovered a temperature-responsive transcription factor that drives a virulence program in H. capsulatum. Reasonable suspicion of substance abuse may be based upon, but is not limited to, the following criteria: Reporting persons must contact the ADSA and should document the exact reason why they suspect a violation (form available but not required). 0000011109 00000 n Satisfactorily participate in a substance abuse assistance program or rehabilitation program approved by the ADSA for this purpose. Employers do reserve the right to fire an employee if they refuse to take a drug test. - 82% in less than 60 days. Addressing other substances as well: The purpose of this policy is (a) to meet the requirements of applicable laws and regulations to ensure that the workplace is free of illegal drugs; and (b) to establish restrictions on the workplace-related use of legal substances, such as alcohol, cigarettes, legalized marijuana, and prescription drugs. WebOutpatient Treatment Centers - Arizona Department of Health Services <]/Prev 422764>> In response to requests for the upcoming federal holidays and ensuing weekends (December 24th, 25th, and 26th and December 31st, Jan 1st, and Jan 2nd), this letter is to provide guidance regarding requests for unsupervised doses of medication for patients for these dates. WebDEPT. 0000004154 00000 n Substance Use Treatment Services Manuals & Instructions Using and/or distributing prescription drugs that cause drowsiness or impaired performance while working or being on [. 0 A guide to writing an employee warning notice with a downloadable template. 0000008701 00000 n 0000010894 00000 n 0000005040 00000 n Eric P. Yorlano - Chief Executive Officer - instantvob | LinkedIn POLICY STATEMENT Commonwealth of Pennsylvania 0000045767 00000 n For example, you can train supervisors, discuss the policy during orientation sessions for new employees, and inform all employees about the policy using a variety of formats. We recognize that medical students may bring with them, or develop, alcohol and other psychoactive drug use patterns and behaviors that may be diagnosed as abuse or dependence. endstream endobj 192 0 obj <>>> endobj 193 0 obj <> endobj 194 0 obj <> endobj 195 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 196 0 obj <> endobj 197 0 obj [/Separation/PANTONE#20201#20C 203 0 R<>] endobj 198 0 obj <> endobj 199 0 obj <> endobj 200 0 obj <>stream CM-903- Consent for Treatment. Organizations in safety- and security-sensitive industries are subject to additional rules and regulations. Oversight of treatment medications used in MAT remains a multilateral system involving states, SAMHSA, the Department of Health and Human Services (HHS), the Department of Justice (DOJ), and Drug Enforcement Administration (DEA). Drug MANUAL Methadone Maintenance Services are provided for the purpose of treating MA recipients with opiate dependency. 0000005373 00000 n startxref WebUC Davis Policy & Procedure Manual ( http://manuals.ucdavis.edu) Section 270-21, Sales, Service and Consumption of Alcoholic Beverages. POLICY AND PROCEDURE MANUAL What other goals does your organization expect to achieve? Maintain state standards and policies as a provider . Read the final rule by SAMHSA regarding Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction 2001. This Web site is funded in whole or in part through a grant from the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice. However, an employee cannot be asked to take a drug test against their will. WebThis Policy & Procedure Manual provides a record of policy decisions and administrative and clinical procedures to guide the provision of behavioral health services administered by Sacramento County staff and contracted service providers. WebSample Policy and Procedure Manual This document for new courts and existing courts lays out the procedures for operation of the program. hbbd```b``D2Hf+QDrE[$cE,` &mjH^ Fn=F*E|0 = Some facilities mandate that students who test positive for drugs, or who have certain types of information in their criminal background checks, are ineligible to work in their facility. Under certain circumstances, alcohol, tobacco, legalized marijuana, and prescription drugs can adversely affect workplace health, safety, and productivity. hTmLSW>c@cPJRjAW`v!LeQ0`FAB92J3e~w'= ` p V0.`C@ " n 7;515q_rf\2Ij_^.aLT g\CoOy 8u|V|N.yKvY"f-:Z\Qfn^GSQc)|%3k/M^2Yj|O$I5iCeK?g#Ll&~{%k4F1?ZZ"k_X-}(g:zL3tne:Wwft=)e6\8m)Az6r{}G/s\ MF:w{ua*KSs7Oaq6'9#toX,W9,y+\8CGY^^VX6B3+&DCPU&C6"~_5(@d=.a_Y[VTQUsM Sample Policy and Procedure Manual - National Drug Court - NDCI 0000003355 00000 n VI. Letter to State Substance Abuse Directors (PDF | 238 KB) CM-901-Screening and Access to Services. Web2. An overview of a substance abuse policy complete with a sample template. UC Davis Health SystemResident Medical Staff (Resident Physicians & Clinical Fellows) Personnel Policy, Policy 501.Physical Impairment and Substance Abuse. | Careers 0000109079 00000 n SAMHSA Blog. In any situation where student responsibility for patients is required, or may be required, the student may never risk patient welfare by acting under the influence of drugs, including alcohol. %PDF-1.4 % WebSubstance Use Treatment Services (SUTS) Policies and Procedures Substance Use Treatment Services (SUTS) Policies and Procedures 42 CFR 438 Medicaid/Medi-Cal 0000002653 00000 n DRUG An employee will be subject to a drug test or formal investigation if at least [number of employees] employees, including a team leader, supervisor, or manager, has witnessed irregular behavior, workplace use of prohibited substances, or physical impairment due to substance abuse. Maintain an ongoing good faith effort to meet all the requirements of the Drug-Free Workplace Act throughout the life of the contract. 0000224297 00000 n Prescription drugs. 0000003312 00000 n Alcoholic and nonalcoholic beverages at work-related parties. Federal statutes, regulations, and guidelines govern medication-assisted treatment (MAT) for opioid addiction. 0000108784 00000 n B. Behavioral Health Policy and Procedure Manual POLICY 2. 0000003494 00000 n What to Expect During Substance Abuse Evaluation? Additional Information. You are asked to give contact information for several people who will be questioned about you Drug and Alcohol Screening. You may be asked to give a urine sample to find if you now have drugs in your system. Be In-office buprenorphine practice policies should cover in-office vs. off-site collection, random vs. scheduled, and observed vs. non-observed. 200 0 obj <>stream Provide Individual and group therapies consistently and family therapy when needs. Qualified staff must provide these services in accordance with a written plan of care. FN3^6i>mT ?CkF2C3}99!rq=}.*o kJac/b>=J[e.lc-O2Q3}%AbWb kSvspHJ5Ii Substance 0000219293 00000 n Every effort should be made to document the behavior and how the behavior is affecting the students performance. Substance Abuse and Mental Health ADVISOR Y WebDEPT. [For maximum rates, see Rate Table: Room While awaiting definition of the facts of an alleged or established violation and of its significance, the ADSA must notify the student of the charges. An employee shall not engage in nepotism, in connection with the hiring, discharge, or treatment of persons who are or may be under the employee's supervision. The student immediately enters an approved treatment program. Optum Behavioral Clinical Policies: Criteria that stem from evaluation of new services or Counseling Services Such drug misuse is a violation of societal trust and is viewed by the profession as an especially grave offense. 0000007557 00000 n SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Split Dose Guidance(PDF | 224 KB) Schedule of Controlled Substances Act, 21 U.S. Code Section 812. WebDRUG TREATMENT COURT 2 Policy and Procedure Manual Promote Community Safety: The programs goal is to reduce recidivism rates among offenders and make the Mohamed Abdelrazek Elkatry - | | LinkedIn For information on buprenorphine waiver, contact the SAMHSA Center for Substance Abuse Treatment (CSAT) at 866-BUP-CSAT (866-287-2728) or infobuprenorphine@samhsa.hhs.gov. Therefore, [company name] has established this substance abuse policy to protect both its employees and customers, and to ensure a safe and healthy work environment for all. Obligations of Employee Subject to Post-Accident Testing. In general, an organizations leadership should be familiar with the three types of federal laws and regulations that cover (1) federal grantees and contractors in general; (2) safety-sensitive industries; and (3) security-sensitive industries working with the Department of Defense. Switch to Chrome, Edge, Firefox or Safari. If, in the judgment of the Committee on Student Promotions (CSP), a student is perceived to have had academic or professional difficulties arising from suspected drug and/or alcohol use, the CSP can vote to require drug testing for the student. 0000000016 00000 n The School of Medicineencourages students who have developed substance abuse problems to voluntarily identify themselves and to seek immediate treatment. 0 ;}5B>ikOH\8O7:Vd9A/S\:q'$8/~:j47~pD@ III. Letter to OTP Directors, SOTAs and State Directors on Mobile Component (PDF | 216 KB) For example, will it apply in the workplace while workers are on duty, outside the workplace while they are on duty, or in the workplace and in organization-owned vehicles while they are off duty? 1-877-SAMHSA-7 (1-877-726-4727), SAMHSA.gov, Substance Abuse and Mental Health Services Administration, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Implementing Behavioral Health Crisis Care, Mental Health and Substance Use Disorders, Substance Abuse and Mental Health Prevention, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), African American Behavioral Health Center of Excellence, Asian American, Native Hawaiian, and Pacific Islander Behavioral Health Center of Excellence (AANHPI-CoE), Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions, Center of Excellence for Protected Health Information (CoE-PHI), Center of Excellence on Social Media and Mental Wellbeing (SMMW-CoE), Rural Opioid Technical Assistance Regional Centers (ROTA-R), Engage, Educate, Empower for Equity: E4 Center of Excellence for Behavioral Health Disparities in Aging, LGBTQ+ Behavioral Health Equity Center of Excellence, National Center of Excellence for Eating Disorders (NCEED), National Center of Excellence for Tobacco-Free Recovery, National Center on Substance Abuse and Child Welfare (NCSACW), National Family Support Technical Assistance Center (NFSTAC), National Institutes of Health (NIH) Training Resources, National Training and Technical Assistance Center for Child, Youth, and Family Mental Health, Providers Clinical Support SystemUniversities, Tribal Training and Technical Assistance Center, National Center of Excellence for Integrated Health Solutions, Mental Illness and Substance Use in Young Adults, Resources for Families Coping with Mental and Substance Use Disorders, Screening and Treatment of Co-Occurring Disorders, FY 2020 Funding Announcements and Grant Awards, FY 2021 Funding Announcements and Grant Awards, FY 2019 Funding Announcements and Grant Awards, FY 2018 Funding Announcements and Grant Awards, FY 2017 Funding Announcements and Grant Awards, FY 2016 Funding Announcements and Grant Awards, FY 2015 Funding Announcements and Grant Awards, FY 2014 Funding Announcements and Grant Awards, FY 2013 Funding Announcements and Grant Awards, FY 2012 Funding Announcements and Grant Awards, FY 2011 Funding Announcements and Grant Awards, FY 2010 Funding Announcements and Grant Awards, FY 2009 Funding Announcements and Grant Awards, FY 2008 Funding Announcements and Grant Awards, FY 2007 Funding Announcements and Grant Awards, FY 2006 Funding Announcements and Grant Awards, FY 2005 Funding Announcements and Grant Awards, National Survey of Substance Abuse Treatment Services, Evidence-Based Practices (EBP) Resource Center, Interagency Task Force on Trauma-Informed Care, Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program, Asian American, Native Hawaiian, and Pacific Islander, Disaster Preparedness, Response, and Recovery, Qualitative and Quantitative Assessment Methods, Early Serious Mental Illness (ESMI) Treatment Locator, Faith-Based and Community Initiatives (FBCI), Historically Black Colleges and Universities Center of Excellence in Behavioral Health, Mental and Substance Use Disorders and Homelessness Resources, Medications, Counseling, and Related Conditions, Pharmacist Verification of Buprenorphine Providers, Become an Accredited and Certified Opioid Treatment Program (OTP), Buprenorphine Dispensing by Opioid Treatment Programs (OTPs), Become a SAMHSA-Approved Opioid Treatment Program (OTP) Accrediting Body, Submit an Opioid Treatment Exception Request, Notify SAMHSA of Opioid Treatment Program (OTP) Changes, About SAMHSAs Division of Pharmacologic Therapies (DPT), Mental Health Awareness and Training Grant (MHAT), National Child Traumatic Stress Initiative (NCTSI), Recognizing and Treating Child Traumatic Stress, Entendamos el estrs traumtico infantil y cmo ayudar, National Children's Mental Health Awareness Day, National Consumer and Consumer Supported Technical Assistance Center (NCTAC), National Network to Eliminate Disparities in Behavioral Health (NNED), Networking, Certifying, and Training Suicide Prevention Hotlines and the Disaster Distress Helpline, Screening, Brief Intervention, and Referral to Treatment, Substance Use Disorder Treatment Providers, Person- and Family-centered Care and Peer Support, Care Provision, Coordination, and Patient Privacy, Developing a Continuity of Operations Plan, Comparta los resultados y retroalimentacin, The Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD), The Power of Perceptions and Understanding, What You Can Do To Prevent Your Child From Drinking, Why You Should Talk With Your Child About Alcohol and Other Drugs, Why Small Conversations Make a Big Impression, How To Tell If Your Child Is Drinking Alcohol, COVID-19 Information for SAMHSA Discretionary Grant Recipients, Training and Technical Assistance Related to COVID-19, Listening Session Comments on Substance Abuse Treatment Confidentiality Regulations, Advisory Committee for Womens Services (ACWS), Tribal Technical Advisory Committee (TTAC), Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC), Interdepartmental Substance Use Disorders Coordinating Committee (ISUDCC), Interdepartmental Substance Use Disorders Coordinating Committee Biographical Information, Interdepartmental Substance Use Disorders Coordinating Committee Roster, Division of Pharmacologic Therapies (DPT), SAMHSAs Center for Substance Abuse Treatment (CSAT), Certification of Opioid Treatment Programs, 42 Code of Federal Regulations (CFR) 8, Certification of Opioid Treatment Programs, 42 Code of Federal Regulations, Part 2, Opioid Drugs in Maintenance and Detoxification Treatment of Opiate Addiction 2001, Federal Guidelines for Opioid Treatment Programs 2015, 2007 Guidelines for the Accreditation of Opioid Treatment Programs (PDF | 547 KB), Model Policy on DATA 2000 and Treatment of Opioid Addiction in the Medical Office 2013 (PDF | 279 KB), Holiday Guidance for Opioid Treatment Programs (PDF | 203 KB), Letter to OTP Directors, SOTAs and State Directors on Mobile Component (PDF | 216 KB), Letter to State Substance Abuse Directors (PDF | 238 KB), U.S. Department of Health & Human Services.
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