VITAE
LENORE BALSAM BEHAR
OFFICE ADDRESS
1821 Woodburn Road
Durham, North Carolina 27705
Phone: (919) 489-1888
Fax: (919) 489-1832
Cell (919) 740-6362
e-mail: lbehar@nc.rr.com
WEBSITE http://www.lenorebehar.com/
PERSONAL
Born: October 6, 1938, Pittsburgh, Pennsylvania
Husband: Victor S. Behar, M.D. (married August 31, 1958)
Children: Marcy Behar Bolster, M.D. (born July 17, 1962)
Jeffrey Victor Behar, M.D. (born October 1, 1965)
Susan Behar Bonsell, MBA (born November 4, 1968)
EDUCATION
1956-57 University of Pittsburgh
1957-63 Duke University
A.B., 1959, with High Honors in Psychology
Ph.D., 1963
EXPERIENCE
1962-63 Clinical Psychologist, Psychiatric Outpatient Clinic, Duke University Medical
Center, Durham, NC
1963-65 Staff Psychologist, Community Guidance Center, San Antonio, TX
1964-65 Staff Psychologist, Robert B. Green Hospital, San Antonio, TX
1965-77 Assistant Professor of Psychology, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC
1969-73 Chief of Child Psychology, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC
1969-73 Director, Therapeutic Nursery School, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC
1971-73 Director, Project EarlyAid, University of North Carolina and Orange-Person-Chatham Mental Health Center, Chapel Hill, NC
1973-87 Chief, Child Mental Health Services, Division of Mental Health, Mental Retardation and Substance Abuse Services, Raleigh, NC
1976-80 Adjunct Associate Professor, Department of Special Education, School of Education, University of North Carolina, Chapel Hill, NC
1978-02 Consulting Associate Professor, Department of Psychiatry, Duke University Medical Center, Durham, NC
1979-81 Teaching Fellow, The Center for Early Adolescence, The University of North Carolina at Chapel Hill, NC
1985 Guest Faculty, Bush Institute Seminar on Shaping Public Policy, University of Michigan, Ann Arbor, MI
1987-2000 Chief, Child and Family Services Section, Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Raleigh, NC
1987 Visiting Professor, The Florida Mental Health Institute, University of South Florida, Tampa, FL
1988 Guest Faculty, Vanderbilt Institute for Public Policy, Nashville, TN
- Guest Faculty, Harvard Medical School Seminar on Managed Care, Boston, MA
- Director, Research, Grants and Program Development, North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services
2001-02 Director, Program for Child and Family Research
Associate Director, National Center for Child Traumatic Stress
Duke University Department of Psychiatry and Behavioral Sciences
- Research Consultant, Research & Training Center for Children’s Mental Health, Florida Mental Health Insitutute, University of South Florida, Tampa, FL
2002- Program Consultant, Alisos Institute, Santa Barbara, CA
2002- Director, Child and Family Program Strategies, Durham, NC
AWARDS
1959-62 United States Public Health Service Fellowship
1962-63 Postdoctoral Research Fellow; Department of Psychology, Duke University
1968 American Psychiatric Association Award for Model Programs; for Project EarlyAid
1988 Florida Mental Health Institute, Research and Training Center; Outstanding Service Award
1992 North Carolina Department of Human Resources; Secretary's Award for Excellence
1993 American Psychological Association Award for Model Programs; for the Fort Bragg Child/Adolescent Mental Health Demonstration
1993 Keystone Founder Award; Pennsylvania Department of Mental Health/Mental Retardation, for Leadership in Case Management Services
1995 Robert Wood Johnson Mental Health Services Program for Youth and Washington Business Group on Health, for leadership in Child Mental Health
1995 American Psychological Association, Nicholas Hobbs Award
1995 North Carolina Association of County Directors of Social Services, for Improving Services to Children with Emotional Disturbance
- Florida Mental Health Institute, Research and Training Center for Children’s Mental Health, Gwen Iddings Award
- North Carolina Mental Health Association
PROFESSIONAL SOCIETY MEMBERSHIPS
Fellow American Psychological Association, Divisions12, 27, 37 (1966-2001)
Fellow American Orthopsychiatric Association (1966-2000)
Fellow American College of Mental Health Administration (1993-)
Member State Mental Health Representatives for Children and Youth (1973-2000)
Member North Carolina Psychological Association (1980-2001)
PROFESSIONAL ACTIVITIES
1966-2002 American Psychological Association
1979-82 Treasurer, Section I, Division 12
1983-84 President Elect, Section I, Division 12
1983-86 Treasurer, Section IV, Division 12
1984-85 President, Section I, Division 12
1986-88 Member at Large, Division 37
1987-89 Member, Committee on Children, Youth and Families
1975-94 State Mental Health Representatives for Children and Youth
1978-83 Member, Board of Directors
1986-88 Chair, Board of Directors
1991-94 Representative to National Consortium on Child and Adolescent Mental Health
1977-78 Member, President's Commission on Mental Health, Task Panel on Mental Health and the Family
1979-85 Chairperson, Professional Advisory Board of Martha Stuart Communications, Inc., New York, NY
1980-83 Member, National Advisory Council, National Study of Organizations Providing Services to Children and Youth with Special Problems, The School of Social Services Administration, University of Chicago
1983-85 Member, Special Review Committees, Office of Extramural Project Review, National Institute of Mental Health
1985-86 Chairperson, Oversight Committee for Child Mental Health Study, Office of Technology Assessment, U.S. Congress, Washington, DC
1985-89 Member, Family Preservation Network of Child Welfare League of America
1986-88 Adjunct Member, American Psychiatric Association, Juvenile Justice Task Force
1989-90 Member, Oversight Committee for Adolescent Health Study, Office of Technology Assessment, U.S. Congress, Washington, DC
1989-91 Member, Advisory Board, Interagency Collaboration Study, Youth Law Project, San Francisco, CA
1989-99 Member, Advisory Board, Center for Research and Training for Emotionally Disturbed Children and Adolescents, Florida Mental Health Institute, Tampa, FL
1991-94 Member, National Consortium on Child and Adolescent Mental Health
1992-94 Secretary, National Consortium on Child and Adolescent Mental Health
1992-94 NIMH Task Groups to Implement Recommendations for Public-Academic Linkages Conference. Chairperson, Task Group for Defining Clinical Competencies/Establishing Standards of Care
- Member, Advisory Board, School of Social Work, University of North Carolina at Chapel Hill
- Member, Steering Committee, Technical Assistance Center for the Evaluation of Children's Mental Health Systems, Judge Baker Children's Center, Boston, MA
- Member, International Advisory Committee, 6th International Conference on Grief and Bereavement in Contemporary Society, Jerusalem, Israel
- Member, Advisory Board, Rosalynn Carter Institute, University of Georgia
2002- Member, Child Welfare League of America/American Academy of Child and
Adolescent Psychiatry, Committee on Mental Health Needs of Children in Foster Care
- Member, Child Welfare League/Robert Wood Johnson Summit on Children in Foster Care
- Founding Member, Alliance for the Safe, Therapeutic and Appropriate use of Residential Treatment (A START) see: http://cfs.fmhi.usf.edu/projects/astart.htm
- Certified Facilitator, Concept Systems, Inc. see: http://conceptsystems.com/
OTHER APPOINTMENTS
1989-91 Member, Raleigh-Durham Airport Authority
1993-98 Memberm Raleigh-Durham Airport Authority
1993-95 Member, Executive Leadership Board, Duke University
1993-95 Member, Duke Development Council, Duke University
2007-11 Member, Board of The Chamber Orchestra of the Triangle
CONSULTANTSHIPS
1978-79 Consultant to Vermont Department of Mental Health
1978-79 Consultant to National Institute of Mental Health, Children and Youth Mental Health Services Initiative, "Most-In-Need" Program
1980-82 Consultant to Jewish Board of Children and Family Services of New York
1983-85 Consultant to National Council of Jewish Women, West Virginia Chapter: High Risk/High Need Study
1983-84 Consultant to South Carolina Developmental Disabilities Council Project: Alternative Models for Development of Continuum of Care Treatment System for Emotionally Disturbed Children and Youth
1984-89 Consultant to the Florida Mental Health Institute: Policy and Programs for the Emotionally Disturbed Delinquent, Tampa, FL
1984-87 Consultant to Center for Research and Training for Emotionally Disturbed Children and Adolescents, Florida Mental Health Institute, Tampa, FL
1984-85 Consultant to West Virginia Department of Justice, Lawsuit on Children with Special Needs
1985-86 Consultant to North Dakota Legislative Committee on Needs of Children
1985-88 Consultant to Louisiana Department of Mental Health; Child and Adolescent System of Services Program
1986-88 Consultant to District Of Columbia Mental Health Reorganization Project
1986-87 Consultant to New Jersey Division of Mental Health and Hospitals
1986-87 Consultant to ADAMHA, Development of Office of Substance Abuse Prevention (OSAP)
1987-88 Consultant to New Jersey Department of the Public Advocate. Slocum v. Perselay et. al.
1987-88 Consultant to West Virginia Council on Developmental Disabilities, Certificate of Need Process
1987-88 Consultant to Nebraska Department of Institutions, Child Mental Health Planning Process
1987-88 Consultant to Robert Wood Johnson Foundation, Princeton, New Jersey
1988 Consultant to Massachusetts Department of Mental Health
1988-89 Consultant to the Office of the Attorney General, Maryland. Lisa W. et al. v. Wilzack et al.
1989 - 90 Consultant to Research Triangle Institute, Evaluation for the Child and Adolescent System of Services Project
1989 Consultant to Menninger Foundation Board of Trustees
1991-93 Consultant to Annie E. Casey Foundation
1992-93 Consultant to Arizona Center for Law in the Public Interest. J. K. et al. v. Caldwell et al.
1993 Consultant to William M. Mercer, Inc., Medical Audit Services Unit
1993 Consultant to Delaware Department of Children, Youth and Their Families
1994-95 Consultant to the Office of the Attorney General, Hawaii. Jennifer F. et al. v. Waihee et al.
- Member, Technical Assistance Panel, Felix v. Waihee/Cayetano, US District Court, Hawaii
- Consultant to Montana Community Partners
- Consultant to the National Council of Juvenile and Family Court Judges
2002- Consultant to the Alisos Institute*
2004- Consultant to Mississippi Department of Mental Health*
2003-2005 Consultant to Trauma Resources for Youth (TRY), Jackson, MS*
2006- Consultant to CommUNITY Cares, Hattiesburg, MS*
2006- Consultant to Circle of H.O.P.E., St. Joseph, MO*
2007- Consultant to the Florida Institute for Family Involvement*
*Concept Mapping
EDITORIAL ACTIVITIES
1981 Guest Editor, Journal of Clinical Child Psychology, 10(1).
http://www.apa.org/about/division/div53.html
1991-99 Consulting Editor, Journal of Emotional and Behavioral Disorders
http://www.ingentaconnect.com/content/proedcw/jebd
1993 Guest Editor, Administration and Policy in Mental Health, 20,(4)
http://www.springerlink.com/content/1573-3289/
1994-98 Editorial Board, Journal of Practical Psychiatry and Behavioral Health
http://www.practicalpsychiatry.com/
1999- Editorial Board, Journal of Disability Policy Studies
http://www.ingentaconnect.com/content/proedcw/jdps
2007- Editorial Board, Child Trauma www.childtrauma.com
PUBLICATIONS
Behar, L.B., & Altrocchi, J.C. (1961). Agreement on the concept of the ideal psychiatric nurse as
a function of experience. Journal of Clinical Psychology, 17, 66-96. http://www3.interscience.wiley.com/cgi-bin/jhome/31171?CRETRY=1&SRETRY=0
Behar, L.B., & Brehm, J.W. (1966). Sexual arousal, defensiveness and sex performance in affiliation. Journal of Experimental Research in Personality, 3, 195-200. http://www.apa.org/journals/
Behar, L.B. (1967). The effects of cognitive dissonance on inappropriate emotional reactions. Journal of Personality and Social Psychology, 35, 505-519. http://www.apa.org/journals/psp/
Spencer, R. & Behar, L.B. (1969). Adaptation in hemophiliac adolescents. Psychosomatics, 10, 304-309. http://psy.psychiatryonline.org/
Behar, L.B., & Spencer, R. (1969). The relationship between psychological adjustment and perception of maternal attitude. Journal of Abnormal Psychology, 74, 471-474. http://www.springerlink.com/content/1573-2835/
Behar, L.B. (1972). Mental health consultation to day care centers. North Carolina Journal of Mental Health, 74(4). http://www.carolinajournal.com/
Behar, L.B., & Stringfield, S. (1974). A behavior rating scale for the preschool child. Developmental Psychology, 10, 601-610. http://www.apa.org/journals/
Behar, L.B. (1976). Early aid to mentally disturbed children. Popular Government, 41(4). http://www.iog.unc.edu/popgov/
Behar, L.B., Bissette, W., & Paul, J. (1976). The relationship of mental health and education. North Carolina Journal of Mental Health, 3(4), 62-73. http://www.carolinajournal.com/
Runquist, M. & Behar, L.B. (1976). Prevention of mental health problems; Meeting needs or imposing values? American Journal of Orthopsychiatry, 44, 269-270. http://www.apa.org/journals/ort/
Behar, L.B. (1977). Preschool behavior questionnaire. Journal of Abnormal Child Psychology, 5(3), 265-275. http://www.springerlink.com/content/1573-2835/
Harrington, W.A., Behar, L.B., Rosenthal, Susan B., & Paul, J. L. (1980). The development of a technical assistance system for residential treatment programs. Child Care Quarterly, 9(2), 12-118. http://www.ccrcinc.org/
Behar, L.B. (1981). A statewide prevention effort. Journal of Prevention, 3, 46-51. http://www.springerlink.com/content/1573-6547/
Behar, L.B. (1982). The Children's Defense Fund analyzes the impact of the Reagan budget cuts on children. Journal of Clinical Child Psychology, 11(3), 128-134. http://www.apa.org/about/division/div53.html
Behar, L.B. (1985). Changing patterns of state responsibility: A case study of North Carolina. Journal of Clinical Child Psychology, 14(3), 188-195. http://www.apa.org/about/division/div53.html
Behar, L.B. (1986). A state model for child mental health services: The North Carolina experience. Children Today, 15(3), 16-22. http://www.findarticles.com/p/articles/mi_m1053
Behar, L.B. (1990). Financing mental health services for children and adolescents. Bulletin of the Menninger Clinic, 54(1), 127-139. http://www.menningerclinic.com/research/bulletin.htm
Behar, L. (1990). Fort Bragg demonstration project-community mental health services for children and adolescents. The Child, Youth and Family Services Quarterly, 13(2), 3 & 13. http://www.apa.org/about/division/div37.html
Bickman, L.B., Heflinger, C.A., Pion, G., & Behar, L.B. (1992). Evaluation planning for an innovative children's mental health system. Clinical Psychology Review, 12, 853-865. http://www.ingentaconnect.com/content/els/02727358
Friedman, R.M., Burns, B.J., & Behar, L. (1992). Improving mental health and substance abuse services for adolescents. Administration and Policy in Mental Health, 19 (2), 191-206. http://www.springerlink.com/content/1573-3289/
Heflinger, C.A., Bickman, L.B., Lane, T.W., Keeton,W.P., Hodges, V.K., & Behar, L.B. (1992). The Fort
Bragg child and adolescent demonstration: Implementing and evaluating a continuum of care. In
Algarin & R.M. Friedman (Eds.), A system of care for children's mental health: Building a
research base. (4th Annual Research Conference Proceedings) Tampa, FL: Florida Mental Health Institute.
Behar, L.B., Holland, J.M., & Macbeth, G. (1993). Distribution of mental health service components and their costs within a system of care for seriously disturbed and at risk children and adolescents. Administration and Policy in Mental Health, 20,(4), 283-296. http://www.springerlink.com/content/1573-3289/
Burns, B.J., Farmer, E.M.Z., Angold, A., Costello, J.E. & Behar, L.B. (1996) A randomized trial of case management for youths with serious emotional disturbance. Journal of Clinical Psychology, 25,(4), 476-486. http://www3.interscience.wiley.com/cgi-bin/jhome/31171?CRETRY=1&SRETRY=0
Zipper, I.N., Broughton, A., & Behar, L. (2000) Changing practices with children and families in North Carolina using technology to facilitate collaboration and training. Journal of Technology in Human Services 17,(1), 49-69. http://journalseek.net/cgi-bin/journalseek/journalsearch.cgi?field=issn&query=1522-8835
Freed, G.A., DeFriese, G.H., Williams, D., & Behar, L. (2001) Preventive service delivery for children in a managed care environment: contrasts and lessons from Israel. Health Policy, 55, (3), 209-225. http://www.elsevier.com/wps/find/journaldescription.cws_home/505962/description#description
Behar, L.B. (2003) Using Litigation to Improve Child Mental Health Services: Promises and
Pitfalls. Administration and Policy in Mental Health, 30, (3), 199-218. http://www.springerlink.com/content/1573-3289/
Funderburk, B.W., Eyberg, S.M., Rich, B.A., & Behar, L.B. (2003) Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education & Development. 14 (1), 67-81. http://www.acsu.buffalo.edu/~wangxc/EE&D/specialissues.htm
Macy, R.D., Behar, L.B., Paulson, R., Delman, J., Schmid, L. (2004) Community based acute post traumatic stress management: a description and evaluation of a psychosocial intervention continuum. Harvard Review of Psychiatry, 12, 1-12. http://www.tandf.co.uk/journals/titles/10673229.asp
Mikula, J., Macy, R., Behar, L., Paulson, R., Schmid, L. (2004) Community-based response to trauma: A three-part study of a successful program. A system of care for children's mental health: Expanding the research base. (17th Annual Proceedings) Tampa, FL: The Research and Training Center for Children’s Mental Health, University of South Florida. http://rtckids.fmhi.usf.edu
Behar, L., Friedman, R., Lynn, N. (2006) A study of service innovations that enhance systems of care. Selected readings in systems of care. Tampa, FL: The Research & Training Center for Children’s Mental Health, University of South Florida. http://rtckids.fmhi.usf.edu or http://www.lenorebehar.com
Friedman, R.M., Pinto, A., Behar, L., Bush, N., Chirolla, A., Epstein, M., Green, A., Hawkins, P., Huff,
B., Huffine, C., McGinnis, L., Mohr, W., Seltzer, T., Vaughn, C., Whitehead, K., & Young,
C.K. (2006). Unlicensed residential programs: The next challenge in protecting youth. American Journal of Orthopsychiatry, 76 (3), 295-303. http://content.apa.org/journals/ort/76/3
Behar, L., Friedman, R., Pinto, A., Katz-Leavy, J, & Jones, W.G. (2007). Protecting youth placed in unlicensed, unregulated residential "treatment" facilities. Family Court Review, 45 ,3, 399-413. http://www.blackwell-synergy.com/toc/fcre/45/3
Behar, L., Friedman, R., Pinto, A., Katz-Leavy, J, & Boyles, W. (2008). Addressing abuse and mistreatment of youth placed in residential “treatment” facilities. In C Newman, C. Liberton, K.Kutash, and Freidman, R. (Eds.) A system of care for children's mental health: Expanding the research base. (20th Annual Proceedings) Tampa, FL: The Research and Training Center for Children’s Mental Health, University of South Florida, 289-292. http://rtckids.fmhi.usf.edu
Katz-Leavy, J, Behar, L., Friedman, R., & Pinto, A. (2008). a pilot study of state regulations pertaining to residential treatment programs for youth. In C Newman, C. Liberton, K. Kutash, and Freidman, R. (Eds.) A system of care for children's mental health: Expanding the research base. (20th Annual Proceedings) Tampa, FL: The Research and Training Center for Children’s Mental Health, University of South Florida, 293-295. http://rtckids.fmhi.usf.edu
BOOKS; CHAPTERS IN BOOKS
. Behar, L.B., & Stringfield, S. (1975). Preschool Behavior Questionnaire. Learning Institute of North Carolina: Durham, NC
Behar, L.B. (1981). Serving emotionally and behaviorally disturbed children through interstate placement: An unwritten policy. In J. White (Ed.), Major issues in juvenile justice. Columbus, OH: The Academy for Contemporary Problems.
Behar, L.B. (1981). Special populations: Children's services. In W.H. Silverman (Ed.), Community mental health: A sourcebook for professionals and advisory board members. New York: Praeger.
Behar, L.B. (1988). The North Carolina Willie M. program: One model for services to multiply handicapped children. In J. Stark; F. Menalascino; M. Albarelli; and V. Gray (Eds.), Mental health in people with mental retardation: diagnosis, treatment, and service programs. New York, NY: Spring-Verlag.
Behar, L.B. (1988). An integrated system for services for severely disturbed children. In J. Looney (Ed.), Chronic mental illness in children and adolescents. Washington, DC: American Psychiatric Press, Inc.
Behar, L.B. (1988). The importance of research in formulating public policy. Research in public policy. Tampa, FL: Florida Mental Health Institute.
Behar, L.B. (1994). A need for public-academic collaboration in the training of child mental health professionals. In P. Wohlford (Ed.), CASSP/NIMH conference proceedings on public-academic linkage. Washington, DC: CASSP Technical Assistance Center, Georgetown University.
Behar, L., Munger, R., & Bainbridge, T. (1994). An academic-community liaison to increase professionals' understanding of service continua: The child and youth demonstration project.
In P. Wohlford (Ed.), CASSP/NIMH conference proceedings on public-academic linkage. Washington, DC: CASSP Technical Assistance Center, Georgetown University.
Behar, L.B. (1995). State level policies in children's mental health. In L. Bickman & D. Rog (Eds.), Vol. 1. Creating a children's mental health service system: Policy, research and evaluation. New York, NY: Sage Publications.
Behar, L.B. (1995). Implementing and monitoring case management. In B. Friesen (Ed.), Building on family strengths: Case management for children with emotional, behavioral or mental disorders. Baltimore, MD: Paul H. Brookes Publishing Co.
Behar, L.B. (1995). The impact of evaluation on shaping public policy. In K.A. Maloy & C. Nixon (Eds.), Vol. 3. Evaluating mental health services: How do programs for children "work" in the real world. New York, NY: Sage Publications.
Behar, L.B., Bickman, L., Lane, T., Keeton, W.P., Schwartz, M., & Brannock, J.E. (1996). Fort Bragg child and adolescent mental health demonstration project. In Michael Roberts (Ed.), Model programs in service delivery in child and family mental health. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
Behar, L.B. (1996). Trends in financing systems of care. In B. Stroul (Ed.). Children’s mental health: Creating systems of care in a changing society. Baltimore, MD: Paul H. Brookes Publishing Co.
Farmer, E.M.Z., Burns, B.J., Guiles, H.B., Behar, L., & Gerber, D.I. (1997) Conducting randomized trials in children’s mental health: Experiences and lessons from one venture. In C.T. Nixon & D.A. Northrop (Eds.), Vol. 4 Evaluating mental health services: How do programs for children "work" in the real world. New York, NY: Sage Publications.
Zipper, I.N., Broughton, A., & Behar, L. (2000) Changing practices with children and families in North Carolina using technology to facilitate collaboration and training.
In Jerry Finn & Gary Holden (Eds,) Human services online: A new arena for service delivery. Binghamton, NY. The Haworth Press, Inc., pp. 49-67.
Behar, L.B. (2002) Children’s mental health services: The challenge of changing policy
and practice. In William Reid & Stuart Silver (Eds.) Handbook of mental health administration and management. New York, NY Brunner-Routledge, pp. 149-162.
Behar, L.B., Friedman, R., Hernandez, M., Moss, C., Dixon, D. (2005) The use of flexible funds: finding ways to support good practice. Promising Practices Series. Substance
Abuse and Mental health Services Administration, Child and Family Services Branch.
(Publication date to be determined)
CONGRESSIONAL TESTIMONY
Behar, L.B. (1986, October). Individualized case planning as a remedy for serving multiple handicapped children. Testimony before the Select Committee on Children, Youth, and Families, U.S. Congress, Washington, DC
Behar, L.B. (1987, June). Children in state custody. Testimony before the Select Committee on Children, Youth and Families, U.S. Congress, Washington, DC
Behar, L.B. (1991, April). Close to home: Community-based mental health services for children. Testimony before the Select Committee on Children, Youth, and Families, U.S. Congress, Washington, DC
Behar, L.B. (1994, March). Inclusion of mental health and substance abuse services under health care reform. Testimony before the Senate Committee on Labor and Human Resources, U.S. Congress, Washington, DC
revised February 2008