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THERAPEUTIC HEALTH SERVIVCES <br /> • What determines capacity?Is that something that can be modified in the future? <br /> o The State of Washington and the Snohomish County Council determine capacity of local <br /> clinics.Due to increased demand for treatment in Snohomish County over the past 10 <br /> years,THS has been repeatedly asked to increase our census progressing from 350,to <br /> 500,to 600 and then to 750,and currently to 850. It is doubtful that the census would <br /> be allowed to increase above this number at a single branch. <br /> • Is it common for methadone clinics to be within a block of institutions serving children <br /> (schools,children's museum)?Are there cases where this has been done successfully? <br /> Our Shoreline Branch is within 1,000 feet of Shoreline High School.Our Summit/Seneca <br /> Branch is just two blocks from The Northwest School.To date,we have not had any <br /> problems involving our patients and the students. Some evidence indicates that in <br /> locales where methadone clinics have been located,crime and illicit activity have <br /> decreased:http://www.futurity.org/methadone-clinics-neighborhoods-crime-1097432/, <br /> https://hu b.ihu.edu/magazine/2016/spring/nimbv-drug-treament-centers/. <br /> Furthermore,a patient's likelihood to be involved in property and violent crime goes <br /> down significantly while they are in treatment: <br /> https://www.ncbi.nlm.nih.gov/pUbmed/9494936 <br /> • Who has governance over the clinics?What does the governance involve? <br /> o THS is governed and monitored by multiple federal,state and local entities. The Drug <br /> Enforcement Agency(DEA)has oversight of our medication and its management. The <br /> Pharmacy Board completes an annual audit/survey. The Commission on Accreditation <br /> of Rehabilitation Facilities (CARF) reviews our operations every three years.The <br /> Washington State Department of Behavioral Health and Rehabilitation (DBHR) provides <br /> licensure for all our behavioral health services. THS is required to follow all federal <br /> regulations and the Washington Administrative Codes. THS has contracts with North <br /> Sound Behavioral Health Organization(NSBHO)and Snohomish County Human Services. <br /> We also have extensive contracts with the City of Seattle and with King County.Our <br /> contract performance is regularly audited by contract monitors.Internally, as a 501(c) <br /> (3), not for profit organization,THS is governed by its own volunteer Board of Directors. <br /> • Do we have an overlay map of the Everett and downtown core and what services are in place <br /> or projected? <br /> o THS does not have this information. <br /> Exhibit 2 -page 30 <br />