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Saturday, Apr 6
11:30 am

Guidance From a 24/7 Opioid Treatment Program

Location: Lake Eola, Lobby Level
Charrisa Riggs, FNP-C – Community Medical Services; Robert Sherrick, MD, FASAM – Community Medical Services; Mark Stavros, MD, FASAM, FACEP – FSU College of Medicine/Community Medical Services/Maric Healthcare
Saturday, Apr 6
2:30 pm

Cannabidiol as Medicine: Are We There?

Location: Florida Ballroom 5-7, Lower Level
Jag H. Khalsa, MS, PhD – National Institute on Drug Abuse, NIH; Gregory Bunt, MD, DFASAM – NYU School of Medicine
Saturday, Apr 6
2:30 pm

Finding Meaning in Suffering: A Workshop on Managing Patients with Complex Problems

Location: Florida Ballroom 1-3, Lower Level
Peter Selby, MBBS, FCFP, DFASAM,dipABAM – CAMH/ University of Toronto; Miriam Komaromy, MD, FACP,DFASAM – University of New Mexico
Sunday, Apr 7
8:30 am

Global Perspectives on Addiction Medicine/Addiction Physicians in Drug Abuse Epidemics

Location: Lake Mizell, Lobby Level
Jag H. Khalsa, MS, PhD – National Institute on Drug Abuse, NIH; Gregory Bunt, MD, DFASAM – NYU School of Medicine; Marc Galanter, MD, DFASAM – NYU School of Medicine; Hamad AlGhafri, MBBS, MPH, PhD – National Rehabilitation Centre
Intermediate
Thursday, Apr 4
7:00 pm

Keys to Building Successful Fellowship Training Programs

Location: Florida Ballroom 1-3, Lower Level
Lon R. Hays, MD, MBA – , American College of Academic Addiction Medicine; Randall T. Brown, MD, PhD, DFASAM – Addiction Medicine Fellowship Directors committee; Jeanette M. Tetrault, MD, FACP, FASAM – Yale University School of Medicine; Timothy K. Brennan, MD, MPH – American College of Academic Addiction Medicine; Andrew A. Danzo, BA – American College of Academic Addiction Medicine
Friday, Apr 5
10:30 am

Harm Reduction in the Addiction Continuum: Not as Radical As One Thinks

Location: Orange Ballroom EF, Lower Level
Laura G. Kehoe, MD, MPH, FASAM – Massachusetts General Hospital, Harvard Medical School; Sharon Stancliff, MD – New York State Department of Health; Elizabeth M. Salisbury-Afshar, MD, MPH, FAAFP, DFASAM, FACPM – American Institutes for Research (AIR)
Friday, Apr 5
10:30 am

Motivational Interviewing: Beyond the Foundation

Location: Orlando Ballroom VI, Lower Level
Brian Hurley, MD, M.B.A., DFASAM – Los Angeles County Department of Health Services; Carla Marienfeld, MD – UCSD
Friday, Apr 5
10:30 am

Opioid Misuse, Overdose, and Suicide: Correlates and Intervention Strategies

Location: Orange Ballroom G, Lower Level
Geetha Subramaniam, MD., DFAPA, DFAACAP – Center for Clinical Trials Network, NIDA; Martin D. Cheatle, PhD – Perelman School of Medicine University of Pennsylvania; Mark Ilgen, PhD – University of Michigan; Richard Ries, MD, F.A.P.A., F.A.S.M – University of Washington; Edward Nunes, MD – Columbia University
Friday, Apr 5
10:30 am

Talk Amongst Yourselves: Case-based Discussions on Buprenorphine Treatment Challenges

Location: Orlando Ballroom IV-V, Lower Level
Rebecca L S Martinez, MS, RN, FNP-C – University of California, San Francisco/Clinician Consultation Center Substance Use Warmline; Hannah Snyder, MD – University of California San Francisco; Erin R. Lutes, MS, RN, PHN, CNS – University of California, San Francisco; Elizabeth Gatewood, DNP, RN, FNP-C, RN, CNE – University of California San Francisco; Jacqueline P. Tulsky, MD – UCSF/ Clinician Consultation Center-Substance Use Warmline; Triveni Defries, MD, MPH – University of California, San Francisco
Friday, Apr 5
10:30 am

The World of Weird Withdrawal

Location: Lake Mizell, Lobby Level
Alaina R. Steck, MD – Emory University / Grady Memorial Hospital; JoAn Laes, MD – Hennepin Healthcare; Timothy Wiegand, MD, FACMT, FAACT, DFASAM – University of Rochester Medical Center; Lewis S. Nelson, MD – Rutgers New Jersey Medical School
Friday, Apr 5
10:30 am

Up in Smoke: Igniting Recovery from Tobacco and e-Cigarettes

Location: Lake Eola, Lobby Level
Lori D. Karan, MD DFASAM FACP – VA Loma Linda Healthcare System; Laura Martin, MD – Medical Director, CeDAR (Center for Dependency, Addiction and Rehabilitation), a Division of University of Colorado Health; Linda Hyder Ferry, MD MPH – VA Loma Linda Healthcare System; Chad D. Morris, PhD – University of Colorado, Anschutz Medical Campus
Friday, Apr 5
1:30 pm

Big Ideas Plenary

Location: Orange Ballroom AD, Lower Level
Nora D. Volkow, MD – National Institute on Drug Abuse; George F. Koob, PhD – National Institute on Alcohol Abuse and Alcoholism (NIAAA); Susan Orsega, MSN, FNP-BC, FAANP, FAAN – United States Public Health Service
Friday, Apr 5
4:00 pm

An Assertive Approach for Youth OUD: Family Engagement and Medication Home Delivery

Location: Orange Ballroom G, Lower Level
Marc Fishman, MD – Maryland Treatment Centers
Friday, Apr 5
4:00 pm

Cannabis Today: Not Your Parent’s Pot

Location: Orlando Ballroom IV-V, Lower Level
Evan S. Schwarz, MD – Washington University School of Medicine in Saint Louis; JoAn Laes, MD – Hennepin Healthcare; Ross Sullivan, MD – SUNY Upstate Hospital; Lewis S. Nelson, MD – Rutgers New Jersey Medical School
Friday, Apr 5
4:00 pm

Enhancing Motivation, MAT Adherence & Retention with Routine Use of Contingency Management

Location: Lake Mizell, Lobby Level
David R. Gastfriend, MD, DFASAM – ASAM; Paul H. Earley, MD, DFASAM – Georgia Professionals Health Program
Friday, Apr 5
4:00 pm

Expanding Access to Buprenorphine for Justice-Involved Individuals via Mobile Treatment

Location: Lake Eola, Lobby Level
Megan Buresh, MD – Johns Hopkins School of Medicine; Ryan Graddy, MD – Johns Hopkins University; Deborah Agus, JD – Behavioral Health Leadership Institute/Johns Hopkins School of Public Health; Anika Alvanzo, MD, MS, DFASAM – Johns Hopkins University School of Medicine; Noa Krawczyk, B.A. – Johns Hopkins Bloomberg School of Public Health
Friday, Apr 5
4:00 pm

Pharmacotherapy Studies to Prevent Opioid Relapse Following Jail Release: Lessons Learned

Location: Orange Ballroom EF, Lower Level
Robert P. Schwartz, MD – Friends Research Institute; Joshua D. Lee, MD, MSc – New York University School of Medicine; David Farabee, PhD – UCLA
Saturday, Apr 6
8:30 am

Policy Plenary Session

Location: Orange Ballroom AD, Lower Level
Beth Kidder, MPP – Florida Agency for Health Care Administration; Jennifer S. Lee, MD – Virginia Department of Medical Assistance Services (DMAS); Kimberly Brandt, JD, MA
Saturday, Apr 6
11:30 am

Collaborative Care for MAT: Evidence-Based Support and New Reimbursement Strategies

Location: Florida Ballroom 4, Lower Level
Lori Raney, MD – Health Management Associates; Virna Little, PsyD, LCSWr, SAP, CCM – CUNY School of Public Health; Mark Duncan, MD – University of Washington
Saturday, Apr 6
11:30 am

Leading and Presenting to Large Group Audiences

Location: Orange Ballroom AD, Lower Level
Peter Selby, MBBS, FCFP, DFASAM,dipABAM – CAMH/ University of Toronto; Miriam Komaromy, MD, FACP,DFASAM – University of New Mexico; Michael Fingerhood, MD, DFASAM – Johns Hopkins University; Catherine Friedman, MD – Warren Alpert Brown Medical School, Brown University; Daniel P. Alford, MD, MPH – Boston University School of Medicine and Boston Medical Center; Marcia Jackson, PhD – CME by Design
Saturday, Apr 6
11:30 am

The Addiction Dungeon: Journey of Addicted Women Through Maslow’s Hierarchy of Needs

Location: Florida Ballroom 1-3, Lower Level
Maria Catalina Espinosa – Baylor College of Medicine; Nancy C. Shenoi – Baylor College of Medicine; Kimberly Parks, MD – Baylor College of Medicine; Nidal Moukaddam, MD – Baylor College of Medicine
Saturday, Apr 6
11:30 am

The New Enforcement Environment: How to Keep Your License & Avoid Indictment

Location: Orange Ballroom EF, Lower Level
Efrem M. Grail, J.D., Columbia University, 1986 – The Grail Law Firm; Ericka L. Adler, Esq. – Roetzel & Andress
Saturday, Apr 6
11:30 am

Toxicovigilance of Novel Synthetic Substances using Social Media and Forum Data

Location: Orange Ballroom G, Lower Level
Vincent Ceretto, DO, MS – University of Rochester Medical Center; Nels Grauman Neander, DO, MASc – University of Rochester Medical Center; Sonya Narla, DO, MA – University of Rochester Medical Center; Timothy Wiegand, MD, FACMT, FAACT, DFASAM – University of Rochester Medical Center
Saturday, Apr 6
1:15 pm

First 1000 Days: Transforming Substance Use Disorder Care for the Growing Family

Location: Lake Mizell, Lobby Level
Jessica Gray, MD – Massachusetts General Hospital and Massachusetts General Hospital for Children; Davida Schiff, MD, MSc – MassGeneral Hospital for Children; Sarah Wakeman, MD, FASAM – Massachussetts General Hospital
Saturday, Apr 6
1:15 pm

From Policy to Practice: Advanced Practice MAT: Program Development and Evaluation

Location: Florida Ballroom 5-7, Lower Level
Tanya R. Sorrell, PhD, PMHNP-BC – University of Colorado- Anschutz Medical Campus; Mary Weber, PhD, PMHNP-BC, FAANP, FAAN – University of Colorado- Anschutz Medical Campus; Paul F. Cook, PhD – University of Colorado
Saturday, Apr 6
1:15 pm

Leading Small Group Learning Activities

Location: Orange Ballroom AD, Lower Level
Peter Selby, MBBS, FCFP, DFASAM,dipABAM – CAMH/ University of Toronto; Miriam Komaromy, MD, FACP,DFASAM – University of New Mexico; Catherine Friedman, MD – Warren Alpert Brown Medical School, Brown University; Michael Fingerhood, MD, DFASAM – Johns Hopkins University; Daniel P. Alford, MD, MPH – Boston University School of Medicine and Boston Medical Center; Marcia Jackson, PhD – CME by Design
Saturday, Apr 6
1:15 pm

When Your Patient on Opioid Agonist or Antagonist Therapy Gets Sick

Location: Florida Ballroom 1-3, Lower Level
JoAn Laes, MD – Hennepin Healthcare; Timothy Wiegand, MD, FACMT, FAACT, DFASAM – University of Rochester Medical Center; Catherine Earl-Torniainen, PA-C – Hennepin Healthcare; Jade Malcho, MD – University of Rochester Medical Center
Saturday, Apr 6
2:30 pm

Annual Review of Addiction Medicine: Highest Impact Publications for 2018-2019

Location: Orange Ballroom AD, Lower Level
Joshua D. Lee, MD, MSc – New York University School of Medicine; Sarah Wakeman, MD, FASAM – Massachussetts General Hospital
Saturday, Apr 6
2:30 pm

Implementing OUD treatment at Community Health Centers: Challenges and Solutions

Location: Orange Ballroom EF, Lower Level
Elizabeth M. Salisbury-Afshar, MD, MPH, FAAFP, DFASAM, FACPM – American Institutes for Research (AIR); Rachel Beth King, MD FASAM – Boston Medical Center; Amanda Brooks, LCSW, CADC – PCC Wellness
Saturday, Apr 6
2:30 pm

The Inherited Patient on Sedatives: What to Do Next

Location: Lake Eola, Lobby Level
Austin Lin, MD – The University of Texas Health Science Center at Houston; Michael F. Weaver, MD, DFASAM – The University of Texas Health Science Center at Houston
Saturday, Apr 6
4:30 pm

Abstract Award Presentations

Location: Orange Ballroom AD, Lower Level
Michael Fingerhood, MD, DFASAM – Johns Hopkins University; Barbara Andraka-Christou, J.D., PhD – University of Central Florida; Seth A. Clark, MD, MPH – Brown University; Martha J. Wunsch MD, MD FAAP DFASAM – Kaiser Permanente Northern California; Sean Esteban McCabe, PhD, MSW – University of Michigan; Eric Richardson, EdS – University of Florida; Andrew Thomas, MD MPH – Queen's University Department of Family Medicine
Saturday, Apr 6
4:30 pm

Immediate Access Addiction Care: The Evolution of a Low Threshold Bridge Clinic

Location: Florida Ballroom 5-7, Lower Level
Laura G. Kehoe, MD, MPH, FASAM – Massachusetts General Hospital, Harvard Medical School; Sarah Wakeman, MD, FASAM – Massachussetts General Hospital
Saturday, Apr 6
4:30 pm

Nicotine Use and Pregnancy: Pitfalls and Opportunities

Location: Florida Ballroom 1-3, Lower Level
Vishesh Agarwal, MD – Christiana Care Health System
Saturday, Apr 6
4:30 pm

Recovering Through the End: Managing Addiction in Hospice and Palliative Care

Location: Orange Ballroom G, Lower Level
Julie Childers, MD – University of Pittsburgh
Saturday, Apr 6
4:30 pm

Treatment and Law Enforcement: A Collaborative Approach to Combat the Opioid Epidemic

Location: Lake Eola, Lobby Level
Larry Onate, MD – CODAC Health, Recovery, and Wellness, Inc.; Stephanie Green, RN – CODAC Health, Recovery and Wellness, Inc.; Daniel Barden, MS, LISAC – CODAC Health, Recovery, and Wellness, Inc.; Jamie Brady, Lieutenant – Tuscon Police Department; Mayra Ramos, MSHS – Pima County; Ericka Stropka, Law Enforcement – Tucson Police Department
Sunday, Apr 7
8:30 am

Ethical Dilemmas in Substance Use Disorders

Location: Orange Ballroom AC, Lower Level
Michael Fingerhood, MD, DFASAM – Johns Hopkins University; Megan Buresh, MD – Johns Hopkins School of Medicine; Jarratt D. Pytell, MD – Johns Hopkins University School of Medicine
Sunday, Apr 7
8:30 am

Integrating Specialty Pain and Addiction Care

Location: Orange Ballroom D, Lower Level
Gregory Rudolf, MD – Swedish Medical Center; Steven Stanos, DO – Swedish Health System Pain Medicine and Services
Sunday, Apr 7
8:30 am

Severe Alcohol Withdrawal: Complexity and Controversy

Location: Lake Eola, Lobby Level
JoAn Laes, MD – Hennepin Healthcare; Timothy Wiegand, MD, FACMT, FAACT, DFASAM – University of Rochester Medical Center; Lewis S. Nelson, MD – Rutgers New Jersey Medical School; Kurt Kleinschmidt, MD – University of Texas Southwestern Medical Center
Sunday, Apr 7
10:30 am

Cook County Medical Examiner/Clinical Data Linkage to Inform Overdose Prevention Strategy

Location: Lake Mizell, Lobby Level
James Raspanti, DO – Cook County Health and Hospitals System; Steve Aks, DO – Cook County Health and Hospitals System; Keiki Hinami, MD, MS – Cook County Health and Hospitals System; Juleigh Nowinski Konchak, MD, MPH – Cook County Health
Introductory
Thursday, Apr 4
7:00 pm

Becoming Certified in Addiction Medicine through ABPM

Location: Orange Ballroom E-G, Lower Level
Michael F. Weaver, MD, DFASAM – The University of Texas Health Science Center at Houston; Christopher Ondrula, JD – American Board of Preventive Medicine
Thursday, Apr 4
7:00 pm

Maintaining Fidelity to Evidence-Based Criteria

Location: Orlando Ballroom IV-VI, Lower Level
Paul H. Earley, MD, DFASAM – Georgia Professionals Health Program; Michael Johnson, MA, CAP – CARF International; David R. Gastfriend, MD, DFASAM – ASAM; Margaret Jarvis, MD, DFASAM – Geisinger
Friday, Apr 5
8:30 am

Opening Scientific Plenary Session

Location: Orange Ballroom AD, Lower Level
Nora D. Volkow, MD – National Institute on Drug Abuse; Bankole A. Johnson, DSc, MD – University of Maryland, School of Medicine; David Sheff, Author and Advocate – David Sheff; Nic Sheff, Author and Advocate
Friday, Apr 5
10:30 am

Designer Drugs Update 2019: Phenibut, Synthetic Opioids, & More

Location: Orange Ballroom AD, Lower Level
Michael F. Weaver, MD, DFASAM – The University of Texas Health Science Center at Houston; John Hopper, MD, DFASAM – ACGME
Friday, Apr 5
10:30 am

Integrating Hepatitis C and Substance Use Disorder Treatment

Location: Florida Ballroom 1-3, Lower Level
Anika Alvanzo, MD, MS, DFASAM – Johns Hopkins University School of Medicine; Yngvild Olsen, MD, MPH, DFASAM – Institutes for Behavior Resources, Inc.; Oluwaseun Falade-Nwulia, MBBS, MPH – Johsn Hopkins University School of Medicine; Megan Buresh, MD – Johns Hopkins School of Medicine
Friday, Apr 5
4:00 pm

Overdose Fatality Reviews: A Data-Driven Collaboration
Location: Orange Ballroom AD, Lower Level
Tara L. Kunkel, MSW; Mallory O'Brien, MS, PhD; Billina R. Shaw, MD – Prince George's County Health Department; Lisa Bullard-Cawthorne, MS, MPH
Friday, Apr 5
4:00 pm

Perinatal Substance Use: From Research to Practice to Public Health

Location: Orlando Ballroom VI, Lower Level
Vania Rudolf, MD MPH – Swedish Medical Center; Hendree Jones, PhD – University of North Carolina; Tricia E. Wright, MD MS FACOG DFASAM – University of Hawaii John A. Burns School of Medicine; Mishka Terplan, MD MPH FACOG DFASAM – Virginia Commonwealth University; Jim Walsh, MD – Swed
Friday, Apr 5
4:00 pm

The Role of Telehealth and Telemedicine in Addiction Treatment

Location: Florida Ballroom 1 - 3, Lower Level
David Kan, MD, DFASAM – Bright Heart Health; Miriam Komaromy, MD, FACP,DFASAM – University of New Mexico; Aaron D. Greenblatt, MD – University of Maryland School of Medicine; Brad Bachman – American Society of Addiction Medicine
Saturday, Apr 6
11:30 am

Assessing Burnout and Alcohol Use in Medical Students and Practicing Physicians

Location: Florida Ballroom 5-7, Lower Level
Bradley Tanner, MD, ME – Clinical Tools Inc. / University of North Carolina, Chapel Hill
Saturday, Apr 6
11:30 am

Finding Your Path: Addiction Medicine Career Development

Location: Lake Mizell, Lobby Level
Joseph M. Garbely, DO, DFASAM – Caron Treatment Centers; Alma Ramic, MD; Dean L. Drosnes, MD, FASAM – Caron Treatment Centers; Robert Rymowicz, DO
Saturday, Apr 6
1:15 pm

How Physicians Can Help Implement Evidence Based Prevention in Addiction Medicine

Location: Orange Ballroom EF, Lower Level
Norman Wetterau, DFASAM Clinical Associate Professor Family Medicine Un of Rochester – Tricounty Family Medicine; Randolph Holmes, Md FASAM – LACADA
Saturday, Apr 6
1:15 pm

How to Critically Appraise Studies to Apply Them in Practice

Location: Florida Ballroom 4, Lower Level
Richard Saitz, MD, MPH, DFASAM, FACP, Professor of Community Health Sciences and Medicine – Boston University School of Public Health; Frank Vocci, PhD – Friends Research Institute; Martha J. Wunsch MD, MD FAAP DFASAM – Kaiser Permanente Northern California
Saturday, Apr 6
1:15 pm

Improving Medical Education In Substance Use Disorders

Location: Lake Eola, Lobby Level
Thersilla Oberbarnscheidt, MD PhD – Western Psychiatric Hospital, University of Pittsburgh; Priyanka Amin, MD – Western Psychiatric Hospital, University Of Pittsburgh; Jody B. Glance, MD – Western Psychiatric Hospital, University Of Pittsburgh; Jin Cheng, MD – Western Psychiatric Hospital, University Of Pittsburgh; Norman S. Miller, MD JD – Augusta University
Saturday, Apr 6
1:15 pm

Value-based Payment Models to Address the Opioid Overdose Crisis

Location: Orange Ballroom G, Lower Level
Shawn Ryan, MD, MBA, FASAM – Brightview; Amanda Mauri, MPH – Shatterproof, University of Michigan School of Public Health; Debra Nussbaum, PhD, LCSW – Optum/United Healthcare
Saturday, Apr 6
2:30 pm

Cognitive Behavior Therapy for Chronic Pain and Opioid Use

Location: Florida Ballroom 4, Lower Level
Allen R. Miller, PhD, MBA – Beck Institute for Cognitive Behavior Therapy
Saturday, Apr 6
2:30 pm

Looking Beyond Addicted Patients: Families and Others as Consumers of Addiction Treatment

Location: Orange Ballroom G, Lower Level
Robert L. DuPont, MD, FASAM – Institute for Behavior and Health, Inc.; Jessica Husley Nickel – Addiction Policy Forum
Saturday, Apr 6
2:30 pm

Problem Drinking Among Medically Underserved Women: New Horizons in Treatment

Location: Lake Mizell, Lobby Level
Deidra Y. Roach, MD – NIAAA/NIH; Dedra Buchwald, MD – Founding Director, Partnership for Native Health; Anika Alvanzo, MD, MS, DFASAM – Johns Hopkins University School of Medicine; Christina S. Lee, PhD – Northeastern University
Saturday, Apr 6
4:30 pm

My Patients Won't Attend Support Groups. What Should I Do?

Location: Florida Ballroom 4, Lower Level
Paul H. Earley, MD, DFASAM – Georgia Professionals Health Program; Mel Pohl, M.D., MD, DFASAM – Las Vegas Recovery Center
Saturday, Apr 6
4:30 pm

Pain is Inevitable, Misery is Optional: Emotion Regulation Skills in Pain Treatment

Location: Orange Ballroom EF, Lower Level
Osvaldo Cabral, MA, LPC, LAC – New Health Services; Bari Platter, MS, RN, PMHCNS-BC – University of Colorado Hosptial
Saturday, Apr 6
4:30 pm

Reducing Prevalence of Addiction Begins with Youth Prevention: One Choice for Health

Location: Lake Mizell, Lobby Level
Caroline DuPont, MD – Institute for Behavior and Health, Inc.; Robert L. DuPont, MD, FASAM – Institute for Behavior and Health, Inc.; Nancy Pasquale – RyeACT Coalition
Saturday, Apr 6
8:00 pm

A Special Evening with the Father and Son from Beautiful Boy

Location: Orange Ballroom AD, Lower Level
David Sheff, Author and Advocate – David Sheff; Marc Fishman, MD – Maryland Treatment Centers; Nic Sheff, Author and Advocate
Sunday, Apr 7
10:30 am

Anywhere, Anytime: Model for Universal Access to Opioid Medication Assisted Treatment

Location: Lake Eola, Lobby Level
Dayan Dachel Colon Sanchez, MD – Denver Health Medical Center; Scott Simpson, MD MPH – Denver Health Medical Center; Hermione Hurley, MD – Denver Health Medical Center; Michelle Gaffaney, PA-C – Denver Health Medical Center
Sunday, Apr 7
10:30 am

MAT on the Front Lines: ED Buprenorphine Initiation at a Community Hospital

Location: Orange Ballroom AC, Lower Level
Leah K. Bauer, MD – Addiction Resource Center / Mid Coast Hospital; Timothy Fox, MD – MaineHealth; Sydney Ford, MPH – Tufts Medical School
Sunday, Apr 7
10:30 am

Medical Management of Patients that Use Cannabis

Location: Orange Ballroom D, Lower Level
Iman Parhami, MD, MPH – LA County Department of Mental Health / Children's Hospital of Los Angeles; Marissa Andres-Kim, MD – LA County: Department of Mental Health; Brian Hurley, MD, M.B.A., DFASAM – Los Angeles County Department of Health Services