Rep.

Ashe touches on Casa Myrna Vazquez Aid for Haiti

importance of opens doors to women needs to be an
supporting victims in danger of abuse international priority
VIEW FROM THE HILL: PROVIDER PROFILE: EDITORIAL:
PAGE 6 PAGE 3 PAGE 4

THE PR VIDER
Vol. 31 - No. 2 The Newspaper of the Providers’ Council February 2010

Cuts to TAFDC program reversed Patrick announces

FY ’11 budget plan
aced with an anticipated cline over the past 18 months,

F $3 billion budget deficit,

Governor Patrick’s rec-
ommendations for the FY ’11
state budget include deep cuts
to some parts of the Health
and Human Services budget,
including community residen-
tial programs, the Department
of Children and Families, and
Supporters of Transitional Aid to Families with Dependent Children filled Nurses Hall at the State House the Mass Rehab Commission.
to thank Gov. Deval Patrick, as well as their representatives and senators, for reversing cuts made to the Released on January 27, the
program. They also rallied for full TAFDC funding in the FY ’11 budget. governor’s total budget for the
ore than 80 advocates, pendent Living, the Disability benefit that is offered to ap- upcoming fiscal year is $28.2
programs that fall under the
Executive Office of Health and
Human Services have faced re-
peated cuts — due in part to
the fact that without expanded
9C powers from the legislature,
the governor has no authority
to cut most areas of the state
budget. However, in crafting
the budget going into the fiscal
year 2011, the governor has
full authority to recommend
cuts to any part of the state

M clients and public offi-

cials gathered at the
State House on January 12 to
thank Governor Patrick and
his administration for revers-
ing the mid-year cuts he had
proposed to the budget of the
TAFDC program (Transitional
Aid to Families with Dependent
Children). Sponsored by a large
coalition of supporters, includ-
ing the Boston Center for Inde-
Policy Consortium, Greater
Boston Legal Services and the
Providers’ Council, the gather-
ing was originally intended to
be a rally to encourage the gov-
ernor to reverse the cuts. When
he announced on January 6
that he would not make cuts to
the TAFDC budget, the rally
became a celebration and
thank you event.
TAFDC is a subsistence
proximately 50,000 families
across Massachusetts, with
payments averaging less than
$500 per family per month.
The cuts, which had been
scheduled to go into effect on
February 1, would have elimi-
nated or drastically reduced
benefits for approximately
9,000 families in which a par-
ent is too disabled to work.
TAFDC, see page 7
billion, which is approximately
3 percent ($825 million) above
predicted actual spending for
the current fiscal year. Total
allocation for the Department
of Health and Human Services
is $7.2 billion in FY ’11 — ap-
proximately one quarter of the
state’s total budget.
As the Commonwealth’s fis-
cal health has continued to de-
budget, including aid to cities
and towns.
The Department of Chil-
dren and Families (DCF) is
slated for a 3 percent cut, or
$23.8 million, from last year’s
budget. As a result, DCF will
be forced to reduce the number
of families it serves on a volun-
tary basis. “Over the last cou-
BUDGET, see page 7

State of the Sector discusses nonprofit challenges for 2010

n January 12, Associated Grant lined some grim predictions for 2010,

O Makers (AGM) convened the

2010 State of the Sector Briefing
at City Year in Boston, bringing to-
gether over 200 leaders from across the
Commonwealth to discuss how Massa-
chusetts’ nonprofits can best weather
the fiscal crisis, and what to expect in
the years ahead both in terms of fund-
ing and need for services.
As part of a panel discussion that
included nonprofit executives and lead-
ers from the grantmaking community,
Dr. Robert Triest, vice president of the
Federal Reserve Bank of Boston, out-
including the expectation that despite
some economic growth in 2010, unem-
ployment rates in Massachusetts will
remain high for a considerable period of
time. He also noted that this will likely
result in an increased need for the sec-
tor’s services.
Providers’ Council President and
CEO Michael Weekes encouraged those
in attendance to rethink the way they
do business, and to seize the opportu-
nity for major changes: “We have to do Michael Weekes (right) speaks at the State of the Sector event. He is joined by, from
this very smartly; increasing the focus right to left, MNN Executive Director David Magnani, the Boston Foundation Director of
Programs Geeta Pradhan and James Weston, a United Way of Massachusetts Bay &
SECTOR, see page 7 Merrimack Valley board member and a partner at Weil, Gotshal & Manges.

People First! delivers petition Scott Brown wins U.S. Senate seat
he People First! campaign tied up in any obsolete, du-

T
delivered a petition with
1,500 signatures to Gov.
Patrick, Senate President Mur-
ray and House Speaker DeLeo,
asking them to put People
First! when making difficult
budget decisions.
Campaign members signed
the petition, which asked state
leaders to eliminate “dollars
plicative or nonproductive ad-
ministrative systems, structures
or mandates...before eliminat-
ing funding that directly im-
pacts the lives of those in need
of essential state services.”
The Council thanks its
members for signing the peti-
tion. For more information,
visit www.providers.org.
n a special election on Janu-
I ary 19, Massachusetts vot-
ers elected Republican state
Senator Scott Brown to the U.S.
Senate, filling the seat left va-
cant by Senator Ted Kennedy’s
death last August. It was a his-
toric election for Massachu-
setts; the state has not had a
Republican U.S. Senator since
1979, when Senator Ed Brooke
lost his seat to Paul Tsongas.
Brown’s election was a
shock to Massachusetts and to
the nation, not only because of
the Commonwealth’s long his-
tory of electing Democratic sen-
ators, but also because Brown’s
opponent, Attorney General
Martha Coakley, had held a sig-
nificant lead over Brown until
very late in the race. Polls
showed Brown trailing Coakley
by as much as 30 percentage
points only weeks before the
election; Brown’s numbers
surged just prior to Election
Day. He had particularly strong
support among independent
voters.

PR V I D E R S’ PRSRT STD ROUTING SLIP

COUNCIL U.S. POSTAGE PAID
Board Chair
for caring communities BOSTON MA
Massachusetts Council of PERMIT 10185 Executive Director/CEO
Human Service Providers, Inc.
250 Summer Street • Boston, MA 02210
Chief Financial Officer
Address Service Requested
Human Resources Director

Development Director

Other
 PROVIDERS’ NEWS AND NOTES
Seven Hills forms partnerships Seven Hills Foundation
forms partnerships abroad
Pine Street Inn executive
director receives award
Seven Hills Global Outreach Pine Street Inn President and Execu-
(SHGO), an affiliate of the Seven Hills tive Director Lyndia Downie was honored
Foundation, has established the first of by the Boston
a series of global partnerships with so- Chamber of Com-
cial entrepreneurs throughout the de- merce on January
veloping world. The first project is in 22 with a Pinnacle
Accra, Ghana, and is a partnership of- Award. The Pinna-
fering technical support and modest fi- cle Awards honor
nancial assistance to New Horizons professional women
School, a school for children with de- who have “demon-
velopmental disabilities. According to strated excellence in
Dr. David Jordan, president and CEO entrepreneurship,
of Seven Hills Foundation, the project management, and
was sparked by a discussion among his lifetime achieve-
Lyndia Downie ment.” Downie re-
social entrepreneurship students at
Clark University, where he is an ad- ceived the award for “Achievement in
junct professor in the graduate school Management, Non-profit.” The Pinnacle
of management, and a conversation he Awards ceremony is one of the Chamber’s
had with a Seven Hills employee from largest events, drawing more than 1,000
Sierra Leone. “Within a few days of attendees.
each other, both my students and a
staff member from a developing nation ***
asked me why we [Seven Hills] couldn’t
reach out to those who live on less than Pathways to Wellness
$1 per day.” Plans are underway for announces new executive
partnerships in Sierra Leone, Sao Paulo
and Kenya. Jordan forecasts that Seven
director
Pathways to Wellness, a Boston-
Hills Global Outreach will, over the next
based organization that offers holistic
Seven Hills Foundation President & CEO David Jordan (front, center) visits Sierra three to four years, establish long-term
therapies to all people needing care re-
Leone as a part of Seven Hills Global Outreach. The organization will partner with “mission partnerships” with ten social
gardless of their ability to pay, has ap-
social entrepreneurs throughout the developing world. See story, right. entrepreneurial partners in developing
pointed Susan “Demie” Stathoplos its
nations.
new executive di-
rector. She as-
sumed the role on
January 25.
Stathoplos
joins Pathways to
Wellness from
Canyon Ranch in
Lenox, where she
had been serving
as the executive
director of health
and healing since
2004. Kristen Susan Stathoplos
Porter, who had
been serving as Pathways’ executive di-
rector since 2002, will remain with the
organization in the newly created role
of director of integrative medicine.
***
Advocacy days at State
House announced
The Disability Policy Consortium
has announced two upcoming advocacy
days for the deaf, hard of hearing, and
deaf-blind communities. Tuesday, Feb-
ruary 23 will be “Deaf Day” at the State
House, and will focus on the deaf, hard
of hearing, and deaf-blind communi-
ties. Events are scheduled from 9 a.m.
to 3 p.m. Tuesday, March 16 will be
“Deaf-Blind Day,” and will focus more
specifically on the deaf-blind commu-
nity. Visit www.dpcma.org for more in-
formation.
***
Council welcomes new
membership development
associate
The Providers’ Council is pleased to
announce that Rachel Lurie has joined
its staff as a membership development
associate. In her role with the Council,
she will be managing the HR round-
table, the Emerging Leaders Network
and the Providers’
eAcademy®. She
joined the organi-
zation on January
12.
Lurie gradu-
ated from Wes-
leyan University in
May of 2009 with a
Bachelor of Arts in
Russian and East-
ern European
Rachel Lurie studies. She spent
her junior year
abroad in Saint Petersburg and is flu-
ent in Russian. She grew up in Newton.
Prior to joining the Council, Lurie
held positions with several organiza-
tions, including internships with the
Robert F. Kennedy Children’s Action
Corps and the Victim Rights Law Cen-
ter.

PAGE 2 ■ THE PROVIDER ■ FEBRUARY 2010


About the
Agency
C
asa Myrna Vazquez works to end
domestic violence in homes, fam-
ilies and communities in Greater
Boston. What began as a single shelter
staffed by volunteers has evolved into a
multi-service agency providing women
with the tools they need to become
strong, safe and self-sufficient in the af-
termath of domestic violence.
Casa Myrna’s founding coalition
was a lively, passionate and diverse
group of women that reflected the vi-
brant patchwork of people living in
Boston’s South End at the time. Latina
women were a significant presence in
the neighborhood, and they were con-
cerned about the increasing amount of
domestic violence in their community.
One of the group’s members was
renowned Puerto Rican actress Myrna
Vazquez. When she died suddenly in
1976, the group decided to name its
first shelter, and the organization, in
her honor. That property in Boston’s
South End has remained in continuous
operation since opening and is now an
emergency shelter program.
Approximately 32% of Casa Myrna
Vazquez’s $3 million budget comes
from private funding. The bulk of the
organization’s budget comes from a
combination of local, state and federal
funding. Major state funders are the
Massachusetts Department of Children
and Families, the Department of Tran-
sitional Assistance and the Massachu-
setts Office of Victim Assistance. Casa
Myrna was one of only two domestic vi-
olence programs in Massachusetts to
receive Recovery Act funding from the
Office on Violence Against Women at
the U.S. Dept. of Justice. That three-
year grant is helping fund services to
help women made homeless by domes-
tic violence find permanent affordable
housing. Casa Myrna Vazquez has a
total of 70 full- and part-time staff
members.
SALUTING
Hickey brings her ‘can-do’ attitude to work Jarrett entered field after grandmother’s advice
udy Hickey is a rare find. The
J South Deerfield site of The Asso-
ciation for Community Living is
rural — and as a result, recruiting and
retaining a sufficient number of quali-
fied staff is difficult. But Judy had been
working with the men at the Deerfield
site before The Association for Commu-
nity Living took over the program in
February of 2002. She is the assistant
program manager there, providing di-
rect care for four men with autism and
overseeing two staff.
What sets Judy apart from others in
the field is her unflinching dedication to
the program and the men she serves.
She’s been known to travel long dis-
tances to help out during staffing emer-
gencies. When a client slipped on the
ice outside of the site and the staff per-
son on duty took him to the emergency
room, Judy was called in on her day off
to take over. When a colleague took ex-
tended time off to deal with serious
family issues, Judy jumped right in,
shouldering additional responsibilities
without complaint.
In addition to providing direct care
and supervising staff, Judy is responsi-
ble for numerous administrative duties
associated with the operations of a
community-based human service
agency. Even when it’s “not her job,”
Judy’s supervisor Sheryl Sutcliffe says
that she can be counted on not only to
do the task, but to do it with excellence,
and with a big smile.
Her supervisor also says that it’s not
PROVIDER PROFILES
C A S A M Y R N A V A Z QU E Z
P.O. B OX 180019 ● B OSTON , MA 02118 ● 617.521.0109
Agency helps domestic violence victims
asa Myrna provides shelter and
C supportive services to victims of
domestic violence. The agency
operates three residential programs for
women and children who have been
made homeless by domestic violence, in-
cluding one program for pregnant and
parenting teen mothers. Total per-night
capacity across all three programs is 24
women and 35 children. Casa Myrna
also operates SafeLink (877-785-2020),
Massachusetts’ only statewide 24/7 toll-
free domestic violence hotline, which
provides multi-lingual crisis interven-
tion, safety planning, supportive listen-
ing and referrals to shelter and
community-based programs across the
state.
The agency’s comprehensive range of
supportive services helps women heal
from the trauma of abuse and gives
them the tools they need to work to-
wards sustainable self-sufficiency. All
services are available in both Spanish
and English. They include a legal
helpline and legal advocacy with full rep-
resentation in family court when needed,
community-based support groups and
individual counseling, services for chil-
dren in shelter, housing search assis-
tance and advocacy, financial literacy
workshops and individual advising, re-
ferrals to pre-paid adult ESOL courses,
and bilingual community-based advo-
cates at Dorchester District Court,
South End Community Health Center
and the Family Justice Center. The
agency operates a small food pantry and
donation center which are kept supplied
throughout the year by individuals and
groups in the community.
Prevention and education initiatives
are critical to Casa Myrna’s mission of
ending domestic violence, and range
from teen dating violence prevention
OUR P RO F E S S I O N A L W O R K F O RC E
Judy Hickey has always gone the extra
mile for clients and never hesitates to
pitch in and help out.
uncommon for Judy’s clients’ family
members to call and express their grat-
itude. “They tell me what a great job she
does, and how comforted they are to
know that their loved ones are so cared
for.”
Her dynamic personality, sense of
humor, and sense of teamwork go a
long way with her colleagues and her
clients. She has a long history with the
men at the house and offers tremen-
dous insight when it comes to figuring
out the best way to support them. Says
Sutcliffe: “Her attitude is always, ‘we
can do this; it’s for the good of the
men.’”
One of the rooms at a Casa Myrna
Vazquez shelter.
workshops to statewide ad campaigns
on mass transit systems.
Although domestic violence can
occur in any intimate relationship, and
across socio-economic categories and
ethnic groups, most of the women served
at Casa Myrna are living below federal
poverty level and are receiving some
form of public assistance. In the past
few years, the agency has seen younger
women seeking services: in 2009, 83
percent were between the ages of 18 and
30 and 17 percent were aged 31 to 50.
They are ethnically diverse: for the same
year, 23 percent were African-American,
34 percent Latina, 26 percent Cau-
casian, 5 percent multi-ethnic, 4 percent
Asian, and 8 percent of other ethnicities.
racey Jarrett’s career in social
T
services started long before she
joined United Cerebral Palsy of
MetroBoston in 2008. For several
years, she had been her grandmother’s
informal primary caretaker. Because
her grandmother is in a wheelchair,
Tracey helped monitor her medicines
and prepare her meals, and spent a lot
of time assisting with her everyday
needs. When her grandmother an-
nounced that she would begin working
with a professional PCA, Tracey admits
she was a little disappointed. But then
her grandmother suggested that she
look into joining the human services
field in a more official capacity. Her
mother agreed, “You enjoy working with
people and making them happy and you
are good at it,” she said. “So go for it.”
When she started working at UCP
Boston, Tracey was a direct support
professional, working one-on-one with
people with cerebral palsy and other
disabilities. Her supervisors say she
“shined” right from the start, and that
her natural ability to advocate for her
clients was a major force in her recent
promotion to lead staff. She is now re-
sponsible for the day-to-day operations
of the program, as well as planning and
implementing social and recreational
planning for her team. She continues to
act as a role model for other staff, seek-
ing out and utilizing resources to em-
power individuals to live out the UCP
mission: to advance the independence,
productivity, and full citizenship of peo-
ple with disabilities.
Tracey is respected across the board
FEBRUARY 2010 ■ THE PROVIDER ■ PAGE 3
Executive
Director
L
inda Jo Stern has been the ex-
ecutive director of Casa Myrna
since July of 2009, bringing to
the agency extensive experience in
the leadership and management of
nonprofit health care organizations.
Her background
in public health
has helped shape
her commitment
to raising aware-
ness about do-
mestic violence as
a public health
issue with serious
consequences for
our communities. Building upon
Casa Myrna’s reputation as a de-
veloper of innovative programs, she
hopes to increase the scope and
substance of the agency’s educa-
tion and prevention efforts.
Before joining Casa Myrna,
Stern served as director of admin-
istrative operations for Health Al-
liance International, a capacity-
building NGO in Mozambique. She
previously worked for Brigham and
Women’s Hospital (BWH) in Hon-
duras, organizing communities and
implementing projects for clean
drinking water, women’s health,
microfinance and housing. Stern
also served for seven years as exec-
utive director of Southern Jamaica
Plain Health Center.
Stern is an adjunct instructor at
the Boston University School of
Public Health, and from 2001-2005
was an instructor at Zamorano
University in Honduras and a pre-
ceptor at Harvard Medical School
for students working in Honduras.
She has a master’s degree in public
health from Boston University
School of Public Health and a B.S.
in nutritional sciences from the
University of Connecticut.
Tracey Jarrett’s love of caregiving began
when taking care of her grandmother.
— by her team, her peers, her supervi-
sor, and her clients. She is constantly
taking on new projects and learning
how to be even better at her job. Prior to
her promotion to lead staff, she received
her certification in medication adminis-
tration. She is now preparing to be
trained as a human rights officer and a
fire safety officer.
“I have been with UCP for two years
and it has been a wonderful adventure
for me,” says Tracey. “I have touched so
many consumers’ and families’ lives,
and it makes me feel good to see what a
difference I can make.” One of her
clients puts it more simply, saying only:
“She’s awesome.”
 EDITORIAL
Michael Weekes
President / Publisher
And the world shook
n January 12, Haiti experi-
O enced an earthquake meas-
uring 7.0 on the Richter
scale, devastating this small nation
of 10 million people. We may never
know the full extent of the death and
destruction. As of this writing, the
death toll has already climbed to
over 150,000, an estimated 700,000
people have sustained traumatic in-
juries, and thousands more are un-
accounted for. It was Haiti’s most
devastating quake in over 200 years.
The Providers’ Council joins the mil-
lions in the world community who
have been awakened by this disas-
ter, and offers its prayers, hopes,
and more importantly, individual do-
nations of cash and appeals for
more.
Haiti, considered the poorest na-
tion in the western hemisphere, has
been teetering on the verge of total
financial collapse since 1804 when it
wrestled its independence from
France. But political independence
did not come cheap. Haiti’s sover-
eignty resulted in a longstanding fi-
nancial bondage to France. Haiti
became a nation with a crushing fi-
nancial debt to the free world — to-
taling over $1 billion. And, that sets
the awful financial context in which
this disaster has occurred.
It is particularly cruel that this
nation — a nation with an unem-
ployment rate of over 70 percent,
over 380,000 children in orphan-
ages, and another 300,000 children
estimated to be enslaved — would
suffer a natural disaster of this mag-
nitude. Haiti had also already been
burdened with rampant internal cor-
ruption, poor public financial sys-
tems, inadequate governance and a
perennially sick economy. Nearly
half of its population was living on
less than $1 per day and its per-
capita annual income is around
$440. Slow to transform from an
agricultural economy, it appeared
doomed before the quake. Haiti’s
ambassador to the United States,
Raymond Alcide Joseph, said about
the condition of this Caribbean na-
tion after the quake, “It was a ca-
tastrophe waiting to happen.” But
how many of us in the world com-
munity were aware? And, more im-
portantly, did we choose to care?
President Obama declared
shortly after the quake, “Despite the
fact that we are experiencing tough
times here at home, I encourage
those who can to reach out and
help. It's in times like these that we
must show the kind of compassion
and humanity that has defined the
best of our national character for
generations.” The president has ini-
tially committed over $100 million.
The American people are leading ef-
PAGE 4 ■ THE PROVIDER ■ FEBRUARY 2010
forts with the world community
poised to do even more. In a week-
end telethon called Hope for Haiti,
over $58 million was pledged. The
American Red Cross has received
over $100 million in support for
Haiti and millions more were do-
nated to nonprofit organizations like
UNICEF, Doctors without Borders,
Partners in Health, Yele Haiti and
many others. Regular world citizens
like you and me, not to mention
NGO’s, foreign governments, and
corporate entities like GE, Coca-
Cola, and Microsoft, are heeding the
How does governor’s FY 2011 budget
call for assistance. While the world’s
generosity is admirable, Haiti’s re- proposal affect your organization?
covery will require an ongoing and Dear Friends, how the governor’s budget proposal
and substantive commitment. could affect your programs or your
Haiti needs a significant transfor- We are going to press with the gov- clients. Email me as soon as you can
mation, which will require the Hait- ernor’s proposed budget cuts for the FY with your analysis, and we will compile
ian people, along with world leaders 2011 budget just getting a first look. this information.
and NGO’s, to think and act big. The Our story gives the briefest picture — Thanks for your time, and if you
current chief of the International the full story lies with you. Help us put would like help or have questions about
Monetary Fund, Dominique Strauss people and programs in front of the telling your story, please let us know.
Kahn, said he believes “some kind of numbers. We want to hear from you
Marshall Plan” is needed for Haiti. I and we want to know the impact of the Sincerely,
think this assessment deserves our cuts on the people you serve — and
attention. As Europe was trans- your communities. Michael Ripple
Please let the Providers’ Council Director of Operations
formed through the Marshall Plan
know as soon as you can determine mripple@providers.org
beginning in 1948, we must plan an
approach of similar determination
and proportional scale to save Haiti. Do you have story ideas for The Provider or
Further, we in Massachusetts
have something else to offer. We would you like to write a Letter to the Editor?
have an incredible community-
based human service system built Contact The Provider Editor Caitlin Gallagher at
from years of knowledge and expert- 617-428-3637 or e-mail her at cgallagher@providers.org.
ise, and can assist Haiti in develop-
ing systems of care for its children,
adults and families. We’ve wit- PR VIDERS’ COUNCIL
nessed the plight of Haitian children 250 Summer Street • Suite 237 • Boston, MA 02210
without homes or guardians, we see Telephone: 617.428.3637 • Fax: 617.428.1533
the need for massive medical treat-
ment. We know there is a growing Email: info@providers.org • Online at http://www.providers.org
need for shelter, food, medicine, pro- 2010 Officers Staff
grams to address post traumatic Chair President and Publisher
stress and, according to the NGO Randal Rucker Michael Weekes
Healing Hands for Haiti, programs
Chair-Elect Director of Operations/Cartoonist
for the nearly invisible 800,000 indi- Michael Ripple
Sheri McCann
viduals with a disability. We have a
wealth of expertise in the community Vice Chair Director of Strategic Development
nonprofit sector, and we should offer Andy Pond Carly Burton
the policy, logistical and operational Treasurer Communications and Development Manager
expertise required to transform Serena Powell William Yelenak
Haiti’s systems of care in order to ef- Fiscal Coordinator
fectively meet the nation’s growing Assistant Treasurer Tracy Jordan
needs. Our community human serv- Sue Stubbs
Membership Development Associate
ice provider system can transfer Clerk Kevin Gilnack
knowledge and help build an infra- William Taylor Rachel Lurie
structure that is, more than ever, es- Sara Morrison Neil
sential to Haiti’s survival. Assistant Clerk
Dora Robinson Administrative Assistant
We commend the United States Kati Petrikonis
and other nations, as well as indi- Past Chair Provider Editor
viduals and NGO’s that are making John Larivee Caitlin Gallagher
herculean efforts to save lives and
repair broken bodies and spirits. Let Chair Emeritus Convention Planner
us not waste the opportunity for Gerry Wright Jill Moran
change through this crisis. Haiti’s
time is now.
Visit www.providers.org for more
information about how you can help.
 VIEWPOINTS FROM ACROSS THE STATE
Closing the growing budget gap Beating the insurance quandary
by Noah Berger cent, and there was a series of additional
he state fiscal crisis has forced tax cuts for both residents and busi-
with group captive insurance
T deep cuts in human services, edu-
cation, higher education, health
care and public health programs, and
nesses. While there were also some tax
increases, overall taxes as a share of in-
come declined by over $3 billion during
by Jeff Fox and Robert Vermes
n a traditional business insurance
Captive Advantage, LLC offers addi-

the local aid that pays for public safety
and other basic local services. People
who see these types of government pro-
grams as particularly important often
ask why, when state revenues decline,
budget cuts are imposed in these areas
that are so important to the quality of
life in our Commonwealth.
The answer is that these services are
the core of what our state government
does. The items listed above account for
about three quarters of all state spend-
ing. The rest of state spending goes to
other priorities that also play an impor-
tant role in our lives and in the economy
of the state, such as transportation,
housing, environmental protection, cor-
rections, and economic development.
State government, ultimately, is the
way that we do many of the things that
are important to us, but that we can’t do
as effectively alone: educate our chil-
dren; keep our communities safe; main-
tain roads, bridges and public
transportation; protect our environ-
ment; and provide a health and human
services safety net that gives all of us the
security of knowing that if someone in
our family faces a challenge that re-
quires services that we can’t provide,
help will be available.
State and local taxes are the way
that we pay for the bulk of the costs of
what we accomplish through govern-
ment. It is useful to think about how
important the things we do through gov-
ernment are in our community and
what share of our resources is reason-
able to dedicate to those things. In the
most recent year for which there are
data available (2007), taxes in Massa-
chusetts amounted to about 10.5 per-
cent of the income earned in the state.
That’s below the national average of
about 11.3 percent. In fact, since the
total income earned in Massachusetts is
over $300 billion, if our tax system mir-
rored the national average, it would pro-
duce over $2 billion a year more than it
does. Part of the reason Massachusetts
is so far below the national average is
that during the decade from 1998 to
2008 we cut taxes dramatically. The in-
come tax was reduced from 5.95 percent
to 5.3 percent, the tax rate on dividends
was reduced from 12 percent to 5.3 per-
that period.
So what are our options now? As the
state begins the FY 2011 budget
process, we face a budget gap of at least
$2.25 billion — even after a series of ac-
tions last year that included over $2 bil-
lion in budget cuts and savings and
close to $1 billion in new revenues.
There are short-term options. The
state has over $500 million in its rainy
day fund. There will be about $700 mil-
lion in money from the American Recov-
ery and Reinvestment Act (the federal
stimulus law) to help balance the state’s
FY 2011 budget. In addition, there is a
very real possibility that Congress will
extend some provisions of the ARRA,
which would provide additional relief.
Because all together the states face
close to $180 billion in budget deficits,
there is a danger that state budget cuts
and tax increases to close these huge
gaps could weaken the national econ-
omy and stall the recovery. The federal
government may determine that helping
states to address their budget gaps is
the most effective way to both
strengthen the economy and protect
jobs, and to protect vulnerable popula-
tions in these difficult times.
Those temporary solutions are im-
portant, but the state also faces long-
term fiscal challenges that have been
with us since the tax cuts of the late
1990s. One way to address these long-
term challenges would be to implement
further budget cuts to human services
and the rest of what government does.
Another possibility would be to consider
revenue options. These could include
anything from repealing tax cuts such
as the $1.25 billion income tax rate cut,
the approximately $500 million cut on
the tax rate for dividends and interest,
or the tax cuts for businesses such as
manufacturing companies, mutual fund
companies, and movie producers which
together cost the Commonwealth hun-
dreds of millions of dollars a year.
Noah Berger is the executive director of
the Massachusetts Budget and Policy
Center.
I
model — which entails the sharing
of risk across a broad spectrum of
organizations — agencies with the
fewest losses are helping to pay claims
of organizations with the most losses.
In the end, the best performing organi-
zations are paying more than they
should.
However, there is a way to defeat
“The Insurance Quandary.” This is par-
ticularly important in today’s economic
environment, when every dollar in your
organization’s budget must be carefully
controlled. Lowering expenses frees up
resources that are best put to use in
support of your organization’s mission.
Defeating “The Insurance
Quandary” is something that many
leading organizations (both for-profit
and not-for-profit) have been doing for
years. These organizations are aban-
doning the traditional way of purchas-
ing insurance and moving to an
alternative method. In doing so, those
left in the traditional marketplace might
experience increased insurance costs
because they are now sharing risk with
poorer performing organizations that
have no other alternative. Also, by re-
maining in the traditional marketplace,
these organizations are at the mercy of
the swings in pricing that are part of
the cyclical nature of insurance.
In 2006, TD Insurance, Inc. and
North American Family Institute, with
support from the Providers’ Council, set
out on a mission to defeat “The Insur-
ance Quandary.” The result of this ef-
fort was the creation of The Captive
Advantage, LLC, a group captive insur-
ance company for the human services
field.
The Captive Advantage, LLC, which
was launched on January 1, 2009, is
an alternative to the traditional method
of insuring risk. It is designed to insure
the exposures of human service agen-
cies that have a track record of minimal
insurance claims, helping them to take
control of their insurance program, as
opposed to being at the mercy of the in-
surance marketplace.
In taking a group approach, The
tional benefits beyond just beating “The
Insurance Quandary” — the most sig-
nificant being that in sharing risk with
organizations that are also experts in
controlling losses, the economic bene-
fit is enhanced even further. This group
approach offers a long-term, lower-cost
solution to the traditional insurance
market. It also offers organizations
more control over their insurance pro-
grams, and ensures that income gener-
ated within the Captive benefits the
participants — not the insurance com-
panies.
The Captive Advantage, LLC is cur-
rently structured to insure the general
liability, professional liability, abuse &
molestation, automobile and workers
compensation risk of its member or-
ganizations. In 2009, the North Ameri-
can Family Institute saved $200,000 —
more than 40% — on its general liabil-
ity, professional liability, abuse & mo-
lestation and automobile premiums.
TD Insurance, Inc., which has been
a partner of the Providers’ Council for
more than 30 years, is the broker for
The Captive Advantage. TDI can help
the Council’s members analyze their
suitability for participation in The Cap-
tive Advantage, and review the pros
and/or cons of this non-traditional ap-
proach. (Be sure to mention that you
are a member of the Providers’ Coun-
cil.)
With every dollar more important
than ever, it’s critical to look to new and
innovative ways to help your organiza-
tion save money. Beating “The Insur-
ance Quandary” is a good first step.
TD Insurance is a Providers’ Council
Endorsed Business Partner. Jeff Fox
can be reached at 978-983-6831 or Jef-
frey.Fox@TDInsure.com. Robert Ver-
mes is the chief risk officer for the
North American Family Institute, and
can be reached at 978-882-4870 or
robertvermes@nafi.com.

Preparing for evidence-based practice

by Susan Wayne and chusetts’ private agencies in served early on that the trau- based practice. The process searcher, designer, and practi-
Andy Pond the near future. matized 12-18 year-old emo- was demanding, but also ex- tioner in the field and has de-
ith the early imple- EBP can improve our prac- tionally and behaviorally citing, creative, and in no way veloped a modular model of

W mentation of the Chil-

dren’s Behavioral
Health Initiative (CBHI) under-
way and the reorganization of
adult mental health services,
we have seen major changes in
the purchase and delivery of
human services in Massachu-
setts. And we know there are
more changes afoot both to
comply with the court require-
ments to fully implement CBHI
and to respond to criteria
being developed for Medicaid
services.
As the Patrick Administra-
tion has been struggling to
cope with the fiscal crisis and
continuously dwindling rev-
enues, the introduction of a
policy or regulation regarding
evidence-based practice (EBP)
has not been foremost in
EOHHS’s planning. Neverthe-
less, at the federal level, and at
state and local levels around
the country, EBP is increas-
ingly required for services that
have been contracted by gov-
ernment purchasers, and can
be expected to impact Massa-
tice if it is introduced in a
manner that recognizes: the
needs and preferences of our
clients; the culture of our
agencies; the nature of our
workforce; the economics of
the necessary training and
monitoring; and the impor-
tance of recognizing that
growth and creativity require
choice and flexibility. In order
to ensure that EBP is success-
fully implemented in Massa-
chusetts, providers must
educate themselves regarding
EBP and what are known as
“promising practices” — prac-
tices that show potential to be-
come the basis for evidence-
based practices. This helps
providers prepare to have an
informed voice in developing
policies around this issue.
At the Providers’ Council
Convention in October of
2009, the Doc Wayne Athletic
League and The Trauma Cen-
ter of Justice Resource Insti-
tute (JRI) presented a model of
practice involving a therapeu-
tic athletic league. The staff
involved in the League ob-
‘dysregulated’ youth served by
the program were making
striking behavioral and mental
health improvements in JRI
residential programs. In order
to test whether the League re-
ally had positive effects and to
begin building a base for ad-
vancing to a promising prac-
tice, the League invited the
Trauma Center of JRI to do a
study of League practice and
outcomes for a defined group
of League participants and a
matched sample of youth in
JRI residential programs who
were not participants.
The League implemented
“Do the Good,” a curriculum
designed by DWAL along with
Edgework Consulting, to
measure the inputs and out-
comes of the program as pre-
cisely defined by the Trauma
Center at JRI. The anecdotal
reports of progress in League
participants were confirmed by
this pilot study. This was the
beginning of developing a
promising practice, which, if
confirmed in further studies,
might become an evidence-
the dry experience sometimes
associated with evidence-
based practice.
In fact, evidence-based
practice is inherently exciting
and a morale booster for staff
because it enables staff to ac-
tually observe outcomes and
tie them to interventions they
themselves have carried out.
When EBP is presented as a
formulaic system that is im-
posed without adequate
provider education, input,
choice, or resources, and cul-
ture and client needs and pref-
erences are not considered, it
is likely to feel burdensome
and result in less positive out-
comes. But when implemented
correctly, EBP allows staff to
see clients grow.
We are fortunate to have in
Massachusetts one of the na-
tion’s leading experts in evi-
dence-based practice. Dr.
John Weisz, president and
CEO of Judge Baker Chil-
dren’s Center and professor of
psychology at Harvard Univer-
sity and Harvard Medical
school, is a highly regarded re-
evidence-based practice that
incorporates as modules many
of the evidence-based treat-
ments used in clinical settings.
Because Dr. Weisz operates
a treatment center, he is sen-
sitive to the many issues of
cost, training, agency culture,
workforce, and client prefer-
ences we providers grapple
with daily. His model reflects
this sensitivity and effectively
diminishes many of the most
common barriers to implemen-
tation.
The Providers’ Council will
host a presentation by Dr.
Weisz on March 8, 2010 enti-
tled “Strategies for Making EBP
Work with Real Kids in Real
Clinical Care” so he can share
his experience with the modu-
lar model with the provider
community. (See page 8 for
more information.)
Susan Wayne is the president
of the Doc Wayne Athletic
League. Andy Pond is presi-
dent and CEO of Justice Re-
source Institute.

FEBRUARY 2010 ■ THE PROVIDER ■ PAGE 5


?Q]aQ_`
ATTORNEY KENNETH N. MARGOLIN
Thirty Years of Legal Representation to
Human Service Corporations, including:
Ground-Breaking Court Cases
***
Representation Before State & Federal Administrative
Agencies
***
Trouble-shooting, Advice and Counsel
***
Career-Long Dedication to the
Goals and Missions of my Clients
LAW OFFICE OF KENNETH N. MARGOLIN, P.C.
246 Walnut Street, Suite 101
Newton, Massachusetts 02460
(617) 641-9600
Fax: (617) 641-9606
Toll Free: 1-800-239-2412
Email: margolin@margolinlaw.com
PAGE 6 ■ THE PROVIDER ■ FEBRUARY 2010
A VIEW FROM THE HILL
A commentary from a
legislator on human services
Victims of circumstances
by Rep. Brian M. Ashe
hen we hear the word “victim,”
W we often think of people who
are unable to fend for them-
selves. This is especially true in the
criminal justice field, where victims are
sometimes seen as secondary to the
crime that was committed. They are
all too often the forgotten part of the
equation. This isn’t always the case,
however. Nor does it ever need to be.
Prior to being elected to the House
of Representatives, I was employed by
the Hampden County Sheriff’s Depart-
ment for close to 17 years. During my
time there I learned a lot about crimes,
criminal behavior, victims and society.
About ten years ago I took a 40-hour
training program that taught me how
to teach victim impact classes to the
inmate population. It was one of the
most enriching professional experi-
ences of my career.
In the past when a crime was com-
mitted, the victim was not an impor-
tant part of the criminal process. The
focus of the justice system was on the
person — or people — who committed
the crime. This wasn’t intended to
slight the victim or even take away
from the potential seriousness of any
crime. The courts’ time, money, and
energy were simply focused on one as-
pect of the crime — the perpetrator.
When the perpetrator was incarcer-
ated, the focus was again on the in-
mate and his or her eventual release.
Programs were (and still are) in place
to help inmates prepare to become pro-
ductive members of society. This is all
good and necessary, but along the way
the victims become invisible.
Today there are victim impact serv-
ices and panels in many states across
the country. The voices of the victims
are being heard in court rooms
Innovative model of patient care created
by Daniel Apelian
reating patients with HIV/AIDS is
T a complex process. It entails
maintaining a stable relationship
among physicians, caseworkers and
providers. In 2008, AIDS Project
Worcester (APW) and AllCare Phar-
macy designed an innovative model of
patient care, adding to that list of col-
laborators the pharmacy that provides
medications for
APW’s patients.
A l l C a r e
pharmacy is
formally noth-
ing more than a
tenant of APW,
sub-leasing
space from the
agency. However, the two organiza-
tions work closely with each other, and
by sharing resources and information,
are more often than not able to ad-
dress the needs of their clients. All em-
ployees of AllCare Pharmacy are
well-informed of all the services that
APW provides, and vice-versa. The All-
Care Pharmacy at APW is the result of
three years of strategizing, studying
and coordinating patient care.
AIDS Project Worcester is one of the
oldest organizations of its kind in the
United States. Its mission is to edu-
cate, advocate and service persons at
risk of or who are living with HIV/AIDS
and other chronic illnesses. AllCare is
a small, privately run pharmacy that
serves the general public, but focuses
on helping the patients served by APW
manage the complicated prescription
regimens associated with their dis-
eases. This is a unique collaboration
between a world-renowned social serv-
ice organization and a clinical phar-
macy that is equipped to complement
APW’s work in supporting people with
HIV/AIDS.
through victim impact statements.
Community groups are forming victim
impact panels through which victims
are able to tell offenders about the im-
pact of the crime
on their lives and
on the lives of their
families, friends
and neighbors.
These panels were
originally formed
in 1982 by Moth-
ers Against Drunk
Driving (MADD) to
let the offenders
know of the devas-
tating effects that Rep. Brian M. Ashe
drunken driving accidents have caused.
These panels have given victims a
voice and offered structure as well as
a positive outlet through which they
can share their personal experiences.
The panels have helped criminal jus-
tice professionals to see more than just
the crime and the criminal. They have
also helped offenders to understand
the impact of their crimes on victims
and communities. It personalizes their
crimes by putting a face alongside the
act. It makes it real.
We have come a long way when it
comes to supporting victims, including
passage of the Victim Bill of Rights
(M.G.L. chapter 258B) in 1984. But
there is still much work that can be
done. I stand behind Senate Bill 1559:
An Act to Protect and Advance the
Rights of Child and Adult Victims and
Witnesses of Crime. It makes the cur-
rent Victim Bill of Rights stronger, and
is an important next step in making
sure that victims of crimes are sup-
ported and heard.
Rep. Brian M. Ashe represents the
Second Hampden district.
Although not commonly thought of
as the type of organization that part-
ners with social service agencies, phar-
macies can play a big role in patient
disease management. Maintaining
medication compliance is a constant
battle for infectious disease providers
and patients; AllCare Pharmacy offers
direct observational therapy, compli-
ance monitoring, assistance with
HDAP enrollment (HIV Drug Assis-
tance Program), and complimentary
pill boxes and medication blistering.
Such programs are an essential tool in
maintaining the relationship between
the pharmacy and the client — and by
extension, the relationship between
the client and APW. While most phar-
macies charge for every service they
provide — containers for disposal of
syringes that have been used for med-
ical injections, home delivery of med-
ications, private consultation —
AllCare offers a package of services free
of charge to APW’s clients. Offering
these services for free is a vital part of
helping clients stay compliant with
their medications.
AllCare’s mission is very similar to
that of APW. We are here to educate
our patients on medication-related
matters, lifestyle changes that can
eliminate further complications due to
disease, and to counsel on prevention
techniques for at-risk patients. Our
close physical proximity and our
shared missions created a natural op-
portunity for innovation — and a
higher standard of care for our clients.
Daniel Apelian is the manager of
records at the AllCare Pharmacy. For
more information about member organ-
ization AIDS Project Worcester, please
visit www.aidsprojectworcester.org.
TAFDC: Programs escape budget axe, and BUDGET: Governor makes human services cuts
advocates thank legislators for support Continued from page 1
ple of years, the department has expe- creases in funding for the MassHealth
Continued from page 1
Rep. Kay Kahn praised the gover-
nor’s decision in her remarks: “We want
to say thank you to the governor, to
(Department of Transitional Assistance
Commissioner) Julia Kehoe, to all of the
advocates who are here and who have
lent your voice to this important step
we were able to take.” Other legislators
who attended the meeting include Sen.
Gale Canderas, Rep. Byron Rushing,
Rep. Alice Wolf, and Rep. Barbara L’I-
talien. DTA Commissioner Julia Kehoe
also joined the event, and thanked ad-
vocates for all of their hard work.
Advocates and clients spoke to the
importance of TAFDC in helping low-in-
come families survive during the most
serious economic crisis in recent his-
tory. “I don’t know what to say right
now except that I am very grateful for
this program,” said one program bene-
ficiary. Speakers also discussed the
need to continue to advocate for pro-
grams like TAFDC as the state heads
into another budget cycle.
Boston Center for Independent Liv-
ing Executive Director Bill Henning said
FY ’11. He has also recommended in-
in a written statement: “We need to ed-
ucate decision makers about the utter
necessity of this subsistence benefit
program that serves our most vulnera-
ble children and parents, many of
whom have disabilities or are caring for
family members with disabilities.”
(Funding for TAFDC was increased
by 4 percent in the governor’s budget
recommendations for FY ’11, released
on Jan. 27.)
After the event, many of the atten-
dees visited the offices of their repre-
sentatives and senators to thank them
personally for their support of the cut
reversal.
Rep. Alice Wolf said in her remarks
that in all her time in public office, “I
have never seen anything like this fiscal
crisis we are going through now.” She
encouraged advocates and clients to
continue making their voices heard.
She said she was “not trying to prom-
ise you a rosy future – but many people
are paying attention.” She stressed the
importance of talking to state represen-
tatives and senators: “don’t let them off
the hook.”
rienced a decrease in funding of ap-
proximately $100 million, while at the
same time, caseloads are rising. And
the last thing you want to do is not be
available for the children and families
that need the assistance of the Com-
monwealth to stay safe,” said Barbara
Talkov, executive director of the Chil-
dren’s League of Massachusetts. “They
are not going away. They are going to
show up in other parts of the system
whether it’s DYS, or the courts, or the
streets, or someplace else. ”
The Association for Developmental
Disabilities Providers estimates that an
$11.6 million reduction in the budget
for community residential services will
mean a loss of services for more than
150 people living in community pro-
grams. ADDP also estimates that more
than 30 group homes could close their
doors if the budget cuts are not re-
versed. A $1.1 million cut to the budget
of the Mass Rehabilitation Commission
will also have a serious impact — 1,400
clients could see a 20 percent reduction
in the number of hours they receive
program.
Executive Office of Health and
Human Services Secretary Dr.
JudyAnn Bigby praised the governor for
his “thoughtful, strong and steady lead-
ership” during the fiscal crisis, but also
noted that the cuts will be felt: “I un-
derstand that the reductions we have to
make will be difficult,” said Bigby in an
email to the provider community. “De-
spite these…difficult reductions, we are
committed to developing strategies and
initiatives that will help mitigate the im-
pact these reductions will have on the
people we serve. We look forward to
working with you to implement these
efforts.”
The Council, however, feels that
cuts should be made across the state
budget in order to preserve services to
our most vulnerable. “We know the
economy is bad and Governor Patrick is
dealing with a $3 billion budget gap,”
said Providers’ Council President and
CEO Michael Weekes. “He has called
for a ‘shared sacrifice’ when making

SECTOR: Nonprofits must adapt for 2010 homemaker services.

Continued from page 1
on mergers, collaborations, innovation,
and creating new models of service.” He
also encouraged the sector to improve
upon the way it presents itself to those
outside of the nonprofit community:
“We need a communications strategy to
talk to people we could never talk to be-
fore. It’s a better opportunity now to get
our messages across.”
The Boston Foundation’s (TBF) Di-
rector of Programs Geeta Pradhan
noted that in response to the economic
crisis, TBF will emphasize funding for
operations and capacity building. She
encouraged nonprofits to devise ways to
work together, for example, by sharing
back office operations: “We need to look
at our missions. Look at our efficien-
cies. How do we coordinate the work of
multiple organizations so we have more
impact?”
James Westra, a director at the
In order to meet the increase in de-
these difficult decisions, but he has
placed the huge burden of balancing
United Way of Massachusetts Bay & mand, the governor has proposed a 4 this budget on the human services
Merrimack Valley and a partner at the percent increase ($11.1 million) in community and avoided cuts to other
law firm of Weil, Gotshal & Manges, en- funding for TAFDC (Transitional Aid for sectors. That does not, in our judg-
couraged nonprofits to engage in policy Families with Dependent Children) in ment, speak to a shared sacrifice.”
debates that affect the sector. He also
advised nonprofits to think long-term:
“Although we can take comfort in some
modest recovery, clearly we’re in for a
PR V I D E R S’
long haul; governments will be under COUNCIL
stress for a long time so nonprofits that for caring communities
rely on government funding will be
under pressure. As a sector, we have to
be focused, mission-drive, and less or-
Please renew your Council membership for 2010 so we can: continue
ganization-driven. One of my take- to advocate on your behalf; provide you with
aways is that this sector has to look at
increased efficiencies, shared facilities,
breaking news, information and The Provider; and
space, et cetera. We must work to- continue to offer exciting programs and trainings.
gether more efficiently in the days
ahead.” To renew your membership, you can visit us online at providers.org/renew
If you have any other questions, contact Membership Development Associate
Information for this story was taken
from Associated Grant Makers’ website Kevin B. Gilnack at 617-428-3637 x124 or email him at kgilnack@providers.org.
and massnonprofit.org.

FEBRUARY 2010 ■ THE PROVIDER ■ PAGE 7

 CALENDAR OF EVENTS • WINTER 2010
DATE: Thursday, February 11
What: Emerging Leaders Network
Where: HMEA, 8 Forge Park East, Franklin
The Providers’ Council is taking a leadership role in the national media When: 12:30 p.m. to 2:30 p.m.
campaign for the 2010 Census with Nonprofits Count (nonprofitscount.org). At DATE: Wednesday, February 17
stake is one of our congressional seats, as well as funding for our entire state. What: What You Need to Know about the New Data
We are encouraging you to get your board, staff and the people you serve Security Regulations
Where: Plymouth Church, 87 Edgell Road, Framingham
behind this effort. Our members should be receiving a Census 2010 poster When: 9:30 a.m. to 12 p.m.
shortly. April 1 is Census Day! Cost: $55 for members, $85 for non-members

DATE: Monday, March 8

Please start your efforts soon to alert your community about the census. What: Strategies for Making Evidenced-Based Practices
Through staff meetings, newsletters and agency gatherings, please get the Work with Real Kids in Clinical Care
word out and make copies available to be sure everyone realizes how easy and Where: Plymouth Church, 87 Edgell Road, Framingham
fast the form is to complete. We are hoping to receive a form for "group When: 10 a.m. to 1 p.m.
Cost: $55 for members, $85 for non-members
quarters" and will distribute it once it is available.
DATE: Wednesday, March 10
Questions? E-mail Michael Ripple at mripple@providers.org or call him at 617- What: Human Resources Roundtable
Where: TBD
428-3637. Please help Massachusetts communities remain strong by When: 12:30 p.m. to 2:30 p.m.
participating fully in the 2010 Census. Thank you!
DATE: Tuesday, March 30
What: Being Effective with Difficult People
Visit the Providers’ Where: Plymouth Church, 87 Edgell Road, Framingham
Council website and: When: 9:30 a.m. to 12:30 p.m.
• Post a job on Jobs with Heart Cost: $55 for members, $85 for non-members
• Register and pay for events and
trainings online Pre-registration for all of these events is required unless otherwise
• Find out more about our latest noted. Online registration is available for most events.
public policy & advocacy efforts No login or password is required. Simply visit
• Explore the Members Only http://www.providers.org and look on
the page’s left-hand side for the event you wish to attend.
section and the info just for you!
Visit www.providers.org today! Questions? Email Sara Morrison Neil at smorrison@providers.org or
Questions? Need a log-in for the website? Carly Burton at cburton@providers.org.
Call Bill Yelenak at 617-428-3637 x122.

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