A new group has announced that it will sue the city of Eureka over its big downtown housing development push.

The group includes a number of familiar names, including: Rob Arkley’s Security National; former city elected officials Nancy Flemming, Connie Miller, Marian Brady, Mike Newman and Frank Jager; and former candidates for city office Anthony Mantova, Michelle Costantine and John Fullerton.

We’ll have much more on this later, of course, but for now here’s the press release from Citizens for a Better Eureka:

A large number of downtown Eureka businessowners and residents are filing a lawsuit Thursday, April 6, 2023, against the City of Eureka in California Superior Court, Humboldt County, over the city’s activities related to affordable and low-income housing projects on downtown parking lots. The thirty-two petitioners, known as Citizens for a Better Eureka, claim the city failed to meet the requirements under the California Environmental Quality Act (CEQA) to properly assess the environmental impacts of the housing developments planned for city parking lots.

The petitioners are asking the court to stop the city from further actions on the proposed projects and restart with an honest study of impacts to traffic, pedestrians and public safety, air quality, neighborhood compatibility, and other impacts, not just parking.

“While we support finding ways to meet affordable housing needs, the City’s process has been flawed from the beginning,” the group’s members said. “They are using outdated and inaccurate parking lot studies, some performed during COVID, as well as not fully assessing all the environmental impacts in making their decisions.”

Citizens for a Better Eureka includes Security National, with over 200 employees based in downtown Eureka, former city mayors, former city council members, local businessowners, and residents. They jointly have stated the City Council members and staff have not listened to city residents and business owners who have consistently said the developments will not only ruin downtown businesses but create an unsafe environment.

The petitioners have said in public hearings there isn’t enough downtown parking and employees and customers will have to walk even further in unsafe conditions created by the number of homeless camping out on the sidewalks, the traffic (especially on US 101), and the rising number of attacks on pedestrians. The petitioners also noted that the City’s plan to place housing on these lots is unacceptable.

“We understand the city is under significant pressure to comply with the state housing requirements for affordable and low-income housing,” the petitioners said. “We believe the city must first thoroughly analyze the impacts of these projects as well as perform a needs assessment on transportation and necessary amenities, such as grocery stores, before moving forward. There currently is not adequate public transportation to allow residents to get to and from work, shopping, schools, medical appointments, and other places necessary to carry on normal life and very few of these services are found in the walkable downtown area.

Citizens for a Better Eureka includes: Security National, Dan Marchetti, Andy Cleveland, Cindy Olsen, Shane Blackwell, Michelle Constantine, John Fullerton, Sondra Kirtley, Chuck Ellsworth, Laura Bringhurst, Jorge Bravo, Holly Blackwood, Ben Smith, Anthony Mantova, Mike Munson, Jim Morrison, Marion Brady, Roger Miller, Connie Miller, Nancy Flemming, Susan Santsche, Chris Lehto, Rebecca Blanc, Michael Newman, Christopher Larsen, Jennifer Rudick, Nina Chadwich, Frank Jager, Steve Cunningham, Lacy Cunningham, Ray Conti, and Rod Anderson.

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We’re getting close to wrapping up a series on the City of Eureka’s current efforts to address homelessness and the mental health crisis. We’re trying to get a sense of what the city is hoping to accomplish on a variety of fronts — policing, economic development, mental health services, etc.

Last week we spoke with a couple of people working on this front:

• Sierra Wood, director of the “Pathway to Payday” program, which teaches job/career skills to city residents from a variety of backgrounds.

and

• Jeff Davis, the head of UPLIFT Eureka, which serves to coordinate much of the work the city is doing for people suffering from homelessness and mental health impairment.

Today we’re talking with Jacob Rosen, coordinator of the city’s new Crisis Alternative Response of Eureka (CARE) program. Once it’s fully operational, CARE will be able to dispatch trained mental health workers to assist people who are experiencing an active mental health crisis on the streets of Eureka.

How’s it going so far? Video above, transcript below.

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JOHN KENNEDY O’CONNOR:

Welcome to another Humboldt Conversation. I’m here today with Jacob Rosen, who is the Managing Mental Health Clinician for the Crisis Alternative Response of Eureka. That is quite a title.

JACOB ROSEN:

It is.

O’CONNOR:

You’ve only just recently joined up with Eureka, and you’ve created a new program.

ROSEN:

Yeah, so I started with the city on August 1st of last year, and was brought over to kind of start this mental health team to be out in the community, kind of a sister program to Uplift, and then also working with the Community Safety Engagement Team with the Eureka Police Department.

O’CONNOR:

Yes, we’ve actually spoken to Commander La France on a different conversation, and you are partnering very closely with the police.

ROSEN:

Yeah, very closely. In fact, when our team is fully up and running, our calls will actually be dispatched through their dispatch center.

O’CONNOR:

Okay, now, it’s currently a pilot in the pilot phase, I should say, but what results are you seeing so

ROSEN:

So far we’re seeing really positive results. We kind of soft launched things in January, middle of January. We got two case managers on board and so it’s been myself and two case managers, and I’ve been having to split my time between development and then being out in the field. And so, I mean, we’ve been able to see a lot of clients. We’ve been kind of carrying probably on average about 15 clients a week. Where we’re kind of having routine check-ins. We’re able to kind of dive in a little deeper just because we don’t have as many kind of barriers to starting services. You know, we don’t need a beginning assessment. We’re not doing insurance. We’re not going to work with a lot of the stuff that that causes hoops to jump through before folks actually can start to get help. And so we’ve been able to really kind of deep dive and work with some clients, you know, even daily sometimes to get them to substance use treatment or to get the medical treatment and it’s we’ve seen some really really nice success rates. We’ll be able to … I’m actually in the process of pulling our kind of first couple months of data right now. So I don’t have any juicy tidbits to throw out as far as percentages go. But it’s overall it seems positive so far.

O’CONNOR:

Now, it’s called “Crisis Alternatives,” so what alternatives are you able to offer people who are indeed in crisis?

ROSEN:

Yeah, so depending on the crisis and the safety situations, you know, there will be situations where law enforcement can’t be removed from that situation, right? There’s a safety concern, either the client or staff safety is at risk. And so we will have law enforcement accompany us for things that where there isn’t a safety concern, we can actually respond to that independently. So if there’s, you know, a concern that someone is speaking nonsensically and just seems really confused and is having a difficult time at a local store in Old Town Eureka … eventually, when our team is up and running, that would be something that we can just respond to without law enforcement showing up. And then that way that frees their their team up to be able to go and do law enforcement things. And then we can spend more time with that individual and help connect them to services and kind of provide more of a mental health approach than a legal approach.

O’CONNOR:

And how many people are on your team? Is it growing?

ROSEN:

It is growing. So our end goal is going to be three to four mental health clinicians and five to six mental health case managers. Right now we have two case managers and then myself. As we kind of sort out funding, either through grants or contracts, then we’ll be kind of moving into hiring more folks and getting it up and running.

O’CONNOR:

Now, we spoke to the mayor recently, and she has said that mental health is something that she’s just passionate about. So this is something that I think is going to develop more in the future. How will the program expand in the future?

ROSEN:

I think the program will expand in, I mean, just through phase one, at least getting, you know, full staff, being able to provide seven day a week crisis coverage, and really being able to kind of dive in and help a lot of the folks in the community, collaborating with agencies, networking, that kind of thing. What I keep in the back of my mind, and that I’d love to see is eventually getting some method established to be able to have a psychiatric prescriber out in the field with us so that we can kind of almost operate like a one day a week, we have like a psychiatric urgent care, where maybe folks who they lost their meds or they had stopped taking their meds, you know, a year ago, but they’re ready to start again. And we can kind of help identify these folks through the week. And then on the day that we have the prescriber, we can kind of go out into the field and we can kind of bring the doctor’s office to the individual instead of having to bring the individual to the doctor’s office. 

O’CONNOR:

Now, it’s mental health that you’re focused on, but obviously that can be triggered by other things — for example drug use etc. We’ve seen quite a lot of negative commentary from people who just say, well, these people should help themselves if they’re using drugs etc. That seems a very non-compassionate way to react to these issues.

ROSEN:

I would agree with that. And I think what’s difficult is when we look at heart disease or we look at lung disease, we can identify the organ that is having illness. And when we look at mental health, it’s really difficult to identify that organ. We know it’s the brain, but we don’t know everything about the brain. We’ve never scanned the brain. We don’t have the technology to look at every neuron connection and all that. And so when the brain goes wrong, it goes wrong in many ways quite fabulously in the sense that it’s a wide range of things that can happen, whether it’s a chemical imbalance and we become depressed or whether because of a past experience we have really profound anxiety and our threat response system is just firing nonstop. There are so many different things in that singular organ that can present with different symptoms it’s kind of hard to understand.

The other piece of that is that our brain controls decision making. That’s where our judgment is centered. And so when we have an issue with our lungs, we can talk to a doctor and then we can make an informed decision around treatment. When our brain, the decision making organ, is having difficulties of its own, it’s really difficult for some folks to actually have the capacity to make those decisions. And they develop a symptom called anosognosia, which is the symptomatic lack of insight. So that individual loses the ability to kind of like step outside of themselves in retrospect or look at their behavior and really see like, oh, I’m sick or this behavior is abnormal. This doesn’t fit with society. And so when they lose that ability to recognize that, that’s when they kind of keep going along in that path of their symptom. And it’s difficult for them to actually engage in treatment. And so for those folks who are experiencing that, when you say, well, they just need to make better decisions and pull themselves up, they literally can’t. It’s very hard.

O’CONNOR:

Now, what other initiatives would you like to see in the future that will help with alternative responses?

ROSEN:

I think that doubling down on the idea of housing first is really important. I think that, you know, a lot of substance use treatment and mental health treatment is not effective if folks do not have a roof over their head. And at the same time, we also need to make sure that when we take a housing first approach, it’s not housing last, right? We can’t just put folks in housing and then pull back. We need to be able to help get folks into housing and then also pour resources in, help them get connected to mental health services, substance use services, but then also connect them to resources in the community and make sure they can feel involved again.

I mean, if we don’t help folks have motivation to buy into society and re-engage and work or volunteer or participate in some group, then it’s really difficult to have motivation to continue buying into all these other treatments because mental health treatment and substance use treatment is not easy. And so giving folks motivation, giving them that buy-in, it’s really helpful.

O’CONNOR:

And that’s I think one of the strong things that Uplift Eureka is doing. We’ve spoken to Jeff Davis, we’ve spoken to Sierra Wood, and there are a number of different programs that are all dovetailing to help people in different aspects. Maybe it’s finding a job once they’ve found a home, once they’ve found support for their mental health issues.

ROSEN:

Absolutely. And the City of Eureka is really trying to intentionally have some overlap, right? There’s the law enforcement and mental health piece with the CSET team, right? So there’s kind of the accountability mental health component and then you have a mental health team that also can do some case management kind of bridge into uplifts territory and then you have uplift which is, you know, really diving into a lot of this homeless services and social services, but then also they, you know, they’re outreach workers. I mean, they’re frontline mental health workers. If someone’s having a crisis they’re the first ones who are going to see it.

And, you know, whether that’s calling in our team or whether that’s calling law enforcement or whether that’s just talking to them and, you know, de-escalating in that moment, they’re the first kind of the frontline out there. And so, you know, with the city kind of dovetailing all these resources together, we can really provide a more comprehensive service to the community, which is our goal.

O’CONNOR:

Well, there’s a lot happening and as I say, you’re very new in the role, it’s a very new program, but we’d like to talk to you again in the future.

ROSEN:

That’d be great.

O’CONNOR:

Perhaps got some stats on how this is being affected.

ROSEN:

Yeah, I’d love to do that. That’d be excellent.

O’CONNOR:

Well, Jacob, really a pleasure to meet you. Thank you so much for having a Humboldt Conversation with us today, and join us again for another Humboldt Conversation soon.

As the number of unhoused students in California’s public schools continues to rise to pre-pandemic levels, experts and educators fear that today’s economy paired with the state’s unrelenting housing crisis will lead to unprecedented rates of homeless youth.

According to updated data released yesterday by the California Department of Education, there are about 5.9 million students enrolled in public schools this school year, close to 40,000 fewer students than last year or a .7% drop. But the number of students experiencing homelessness increased by 9%, about 16,000 total.

The overarching cause of homelessness among all Californians is the perennial shortage of affordable housing in the state, according to Angela James, a researcher at UCLA’s Center for the Transformation of Schools.

“It’s alarming to me, quite frankly,” James said. “Housing instability may be deepening in California as a result of the pandemic.”

The new data signals a return to pre-pandemic numbers. Last school year, about 2.9% of students qualified as homeless. The percentage is up to 3.2% this year, about the same as it was in 2019-20.

“As a state we have not made the housing and well-being of our population a priority,” James said. “Sadly, social policies have not been responsive to the needs of young people and their families.”

Experts struggle to explain why homeless numbers dropped during the pandemic. They said students and their families may have been moving around during the early months of quarantine, so they may not have been counted. Or unhoused students may have just been falling through the cracks.

“In some cases, districts could be getting better at identifying students,” said Dion Burns, a senior researcher at the Learning Policy Institute.

Student homelessness rose this year for the first time since 2020. The count includes students living in motels, trailer parks, campgrounds or public spaces.

While statewide numbers indicate a return to pre-pandemic levels, 13 of the 20 largest districts in the state have more students experiencing homelessness now than they did in the 2019-20 school year. At one district, Kern High, the number more than doubled.

Since 2015, rates of homelessness were rising gradually up until 2020, when they started dropping steadily. Student homelessness rose this year for the first time since 2020.

The California Department of Education uses a federal definition of homelessness that includes students living in motels, trailer parks, campgrounds or public spaces.

School districts and county offices of education employ liaisons who keep tabs on students and families experiencing homelessness. James said they’re often shorthanded, so collecting data may have been a challenge, especially during the chaos of 2020 and 2021.

At the Monarch School, a school for unhoused students operated by the San Diego County Office of Education, administrators have seen an increased need. Jesus Nunez, the communications director at the school, said students are experiencing more housing insecurity in recent years, along with more of the mental health challenges and traumas stemming from a lack of stable housing.

“If students’ basic needs aren’t being met, it doesn’t matter what teaching strategies are being used,” Nunez said.

The Monarch School serves about 300 students. The school day is longer, starting at 8 a.m. and ending at 6 p.m. Nunez said the school offers more counseling and services like art therapy.

“I think everybody at the school wishes we could do more,” he said. “We don’t turn away a lot of students, but unfortunately some students do need to go back to their school of residence because there isn’t space available here.”

Many unhoused students and their families have been evicted from their homes, James said. She recalled her own personal trauma of having her family’s furniture moved out to their front lawn when they were evicted. With no home, students and their families might go from one temporary shelter to another with no sense of how long they can stay in one place.

“The degree to which that impacts a child cannot be underestimated,” James said.

She added that teachers are fortunately better prepared to work with these students than they were in past decades. When a student acts out or even gets violent, a teacher might try to calm the student instead of resorting to disciplinary actions like detentions or suspensions.

According to the state’s new data, the numbers of foster youth, students with disabilities and students from low-income households have all increased by between 2% and 3%.

The rate of decline for overall enrollment shows signs of stabilizing after plummeting in the first years of the pandemic. Kindergarten enrollment took the biggest hit, but is starting to climb back up. Enrollment went from about 71,000 in 2020-21 to about 130,000 this year, but state officials said it’s partly due to the state’s expansion of transitional kindergarten.

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CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

Kristin Starkey
June 27, 1972 - March 29, 2023

Kristin Starkey, 50, passed away peacefully on March 29 in Redding, following a seven-month struggle with heart complications and stroke. She faced her struggle bravely, and even up until the end, she remained the sweet, kind person that everyone knew her to be.

Kristin was a proud member of the Hoopa Valley Tribe and was affiliated by blood with several other California tribes, as well as tribes in the Dakotas and Minnesota. She was born and raised on the Hoopa Valley Indian Reservation, where she graduated from high school, and worked at various tribal entities. More recently, she achieved her bachelor’s of science degree in psychology from Liberty College, and was planning on pursuing further education.

Kristin enjoyed spending time with her family and traveling, especially to the Redwoods and Oregon coast. She had a lifelong love of animals and kept pets over the years. Kristin also embraced technology — she was very tech-savvy and was active on social media. She was always very friendly, kept a good sense of humor, and had a smile for everyone. She made friends very easily, and was the kind of person who was fun to be around.

Another important aspect of Kristin’s life was her faith. She was a born-again Christian and was active in her church. She was a blessing to her church family, whom she deeply cherished.

She is survived by her parents, Frank and Karen Starkey; her twin sister Carrie Amankwah (Francis); her sister Debra Starkey (Robert Cox); and her nieces Alexis Jeska and Mazie Cox. She was preceded in death by her brother Frank Starkey, Jr., with whom she is joyfully reunited.

Kristin was an important part of our family, to whom her life brought endless joy, laughter, and love. Even in our devastation in losing her, our entire family remembers to feel grateful that we were blessed to have her in our lives, and she will be remembered most lovingly and dearly.

The family would like to express their heartfelt thanks for all the countless prayers, words of encouragement and support expressed to Kristin and the entire family.

A special thank you to all the surgeons and staff at Stanford Hospital in Palo Alto, and the nursing and technical staff at Vibra Hospital in Redding for their care of Kristin, and for allowing us a little more precious time with her.

Funeral arrangements are being handled by Paul’s Chapel in Arcata. A memorial service will be held Saturday, April 15, 2023, at the First Baptist Church in Hoopa (Loop Road) at 1 p.m., Pastor Guy Ziegenbein officiating.

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Local officials and community leaders have spent the last decade looking for creative ways to address challenges associated with Humboldt County’s homeless population. The latest proposition, dubbed the Humboldt Navigation Center, would serve as a one-stop shop, offering access to shelter, affordable housing options, public health benefits, job training and mental health support, all conveniently located under one roof.

Speaking during today’s Humboldt County Board of Supervisors meeting, Hannah Ozanian, a homeless services consultant with the county Department of Health and Human Services (DHHS), said the Humboldt Navigation Center is modeled after Friendship Park at Loaves & Fishes, a day center for adults experiencing homelessness in Sacramento. 

“While I served as the director [of Friendship Park], we moved from one space at one end of our campus to a completely new center that was designed with all of our services in mind,” Ozanian said. “It was quite an opportunity for me to learn and I’m very grateful to be here to bring some of what I learned by trial and error to our community. [Friendship Park] served a much larger population, and an urban population, but nonetheless the services that we’re hoping to provide for our neighbors living outside are similar.”

The facility, which would be located at the corner of West Third and Commercial Streets in Eureka, would provide overnight shelter for Humboldt County residents experiencing homelessness, including temporary non-congregate shelter for approximately 15 individuals. During the day, the facility would provide a safe place for people to stay with access to storage lockers, a pet kennel, showers, restrooms, community classrooms, a computer lab, laundry assistance and a clothing closet. Social workers, mental health clinicians and substance use disorder (SUD) counselors would be available on-site as well.

DHHS Director Connie Beck noted that the project proposal has been in the works for several years.

“County staff and city staff have worked together for over 10 years … to come up with solutions around our houseless population in Humboldt County,” Beck said. “Several years ago, it was identified that if we had a place like a day center – somewhere people could be that was safe during the day – that would be one solution to multiple problems that we see with our [houseless] population. … [This] is right across the street from the [St. Vincent de Paul’s] dining facility, so all the folks would already be there.”

Speaking during public comment, Eureka City Manager Miles Slattery said the navigational center will “be a huge benefit to the community.” 

“I’ve been at the city for 17 years and this has been something that’s been desired by our business community, as well as our overall community, ever since then,” he said. “I think that we’ve done a really good job and really appreciate the support of DHHS and all they’ve done to make this a reality. … I really look forward to supporting this and making sure that this happens sooner than later.”

Staff did not provide a timeline for the project during Tuesday’s meeting. The county is currently negotiating the lease of the site with the property owner Mercer Fraiser.

First District Supervisor Rex Bohn expressed his support for the project and noted that the Betty Kwan Chinn Homeless Foundation and the Humboldt Coalition for Property Rights, or HumCPR, hosted a shipping container complex at the same site a few years ago. 

Second District Supervisor Michelle Bushnell voiced her support for the navigational center, emphasizing the importance of “giv[ing] people an opportunity to help themselves.”

“I think that’s critical,” she said. “I know that the Southern Humboldt area would really benefit from something like this. … There [are] groups working towards this goal in almost every community in Humboldt County. I just am really excited that this is coming forward … but it can’t come fast enough.”

Fifth District Supervisor and Board Chair Steve Madrone thanked the City of Eureka for partnering with the county to bring the project forward. “We couldn’t do it without you,” he said. “Thank you for persevering and moving forward with this.”

Bushnell made a motion to approve staff’s recommendation and accept the report. Third District Supervisor Mike Wilson offered a second and the motion passed in a unanimous 4-0 vote, with Fourth District Supervisor Natalie Arroyo absent.

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HUMBOLDT TODAY: As they do, the Humboldt County Drug Task Force uncovered a trove of narcotics and weapons; the Eureka City Council will consider the future of the waterfront; plus, details on California’s successful disaster declaration and other stories in today’s newscast with John Kennedy O’Connor.

FURTHER READING: 

• Eureka Government’s Two Biggest Hot-Button Issues – Housing Development and Parking – Will be Discussed in Great Detail at Tonight’s City Council Meeting
• Huge Drug/Gun Bust on Eureka’s McCullens Avenue, Says Drug Task Force

HUMBOLDT TODAY can be viewed on LoCO’s homepage each night starting at 6 p.m.

Want to LISTEN to HUMBOLDT TODAY? Subscribe to the podcast version here.

Press release from the K’ima:w Medical Center:

The Hoopa Valley Tribe’s healthcare entity, K’ima:w Medical Center, has been awarded $2 Million for Clinic expansion and modernization. This award was part of the Indian Health Service total funding of $24 million to 12 tribes and tribal organizations across the nation as part of a competitive Small Ambulatory Program to fund construction, expansion or modernization of small ambulatory health care facilities.

When notified of the award, HVT Chairman Joe Davis said, “The health of our people has always been a priority of the utmost importance to the Hoopa Valley Tribe. Being able to expand our medical center will expand our ability to serve the health needs of our community. We are thankful to IHS and the leadership and staff at K’ima:w Medical Center who made this happen.”

K’ima:w Medical Center, formerly known as Hoopa Health Association, provides health services to the greater Hoopa Valley and has been in operation since 1974. The last major construction of clinical space occurred over 25 years ago. The Project Plan scope for the grant award will be augmented with additional funding to develop a roughly 10,000 square-foot addition to the north side of the existing clinic. The vision is to develop an expanded Pharmacy with drive-up window, add additional provider rooms, expand diabetes and physical therapy services, and provide for a large meeting and training area.

K’ima:w Medical Center Board of Directors Chairman Angela Jarnaghan said, “I am excited to be part of this amazing funding opportunity for our medical center. The pandemic redirected our focus to seek opportunities to expand and revamp. One of our main goals is to facilitate our community’s health care needs in a technologically efficient setting. This has been a long-time goal of KMC’s and we are ecstatic to see it begin.”

Updating and increasing the size of the existing clinic fits into the long-term plans and goals for the K’imaw Medical Center. The newly operational Medication Assisted Treatment (MAT) Program location adjacent to the Clinic is currently undergoing construction upgrades for new parking lots, sidewalks, and other additions.

The Domestic Violence/MMIP Programs are preparing to move into a new office modular to offer expanded services. Grant funding has been obtained for a Mobile Medical Vehicle that should arrive in a few months to help deliver direct services to the community.

California’s Behavioral Health Continuum Infrastructure Program (BHCIP) Round Three funding award of $4.1 million recently received by K’ima:w Medical Center will fund a new Behavioral Health building.

Moreover, the Indian Health Service Quarters Program award of $5 million, a first-time award to any IHS compacted tribe, will allow for construction of housing for health providers. The $2 million small ambulatory program grant award for the clinic expansion will provide a final component for establishing quality and expanded health care for the Hoopa Valley for many decades to come.

Dr. Stephen Stake, CEO, shared, “I’m very thankful for the team leaders we have to move forward on much-needed projects for our community. We trust the efforts by many will yield a lot of fruit here in the valley and the ongoing projects will create an optimal campus for exceptional health services, facilitating patient health and healing.”

HVT Councilmember Jordan Hailey serves as a council liaison to KMC. He said, “Receiving this award is huge for our People and our community. It’s been over 25 years since any addition to the clinic has been done. And, in that 25 years our population has grown exponentially and so has the need for healthcare. Being able to expand and better K’ima:w Medical Center’s services will be a great step in continuing to provide much needed healthcare and a variety of services for the many needs of our patients here in the Valley.

HVT Councilmember Jill Sherman-Warne added, “As one of the only medical facilities in eastern Humboldt County, federal funds are critical to expanding and modernizing K’ima:w to increase patient services to meet goals in addressing diabetes, addiction, and physical therapy within our community.”