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<span
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 Health &amp; Addiction Services, MH &amp; A </span><span style=3D'position=
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 Housing Team (CHT) Initial </span><span style=3D'position:absolute;top:12.=
75%;
 left:9.92%;width:80.14%;height:7.25%'>Evaluation Findings (2008)</span></d=
iv>
 <div v:shape=3D"_x0000_s64519" class=3DHB style=3D'tab-interval:.5in'>
 <div style=3D'mso-line-spacing:"90 -176 0";position:absolute;top:22.0%;
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 top:0%;left:3.35%;width:96.64%;height:100.0%'><span style=3D'color:#9A3520=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.47%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>CHT =
able
 to connect with 74% of clients living in initial 8 sites&#13;</span></span=
></div>
 <div style=3D'mso-line-spacing:"90 -176 0"'><span style=3D'position:absolu=
te;
 top:29.5%;left:12.92%;width:89.7%;height:4.25%'><span style=3D'color:#9A35=
20'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.34%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>41% =
of CHT
 clients had not accessed any VCH health services </span></span><span
 style=3D'position:absolute;top:33.25%;left:12.92%;width:77.15%;height:4.25=
%'><span
 style=3D'color:#9A3520'>in 12 months prior to CHT contact&#13;</span></spa=
n></div>
 <div style=3D'mso-line-spacing:"90 -176 0"'><span style=3D'position:absolu=
te;
 top:41.0%;left:12.92%;width:85.76%;height:4.25%'><span style=3D'color:#9A3=
520'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.49%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>30% =
of
 clients seen 6 or more times by CHT were referred to </span></span><span
 style=3D'position:absolute;top:44.5%;left:12.92%;width:77.15%;height:4.25%=
'><span
 style=3D'color:#9A3520'>other VCH health services&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"90 -176 0"'><span style=3D'position:absolu=
te;
 top:52.25%;left:12.92%;width:86.32%;height:4.25%'><span style=3D'color:#9A=
3520'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.47%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>40% =
of
 clients referred for primary care or Adult/Older Adult </span></span><span
 style=3D'position:absolute;top:55.75%;left:12.92%;width:87.82%;height:4.25=
%'><span
 style=3D'color:#9A3520'>Services, 50% referred for addiction services, 10%
 referred for </span></span><span style=3D'position:absolute;top:59.5%;
 left:12.92%;width:77.15%;height:4.25%'><span style=3D'color:#9A3520'>mental
 health services&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"90 -176 0";position:absolute;top:67.0%;
 left:9.92%;width:95.31%;height:4.25%'><span style=3D'position:absolute;
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'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.24%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>In c=
lients
 seen by CHT 6 or more times the ER reduction was 30%&#13;</span></span></d=
iv>
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te;
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3520'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-3=
.31%;
 font-family:Arial'>&#8226;</span></span><span style=3D'color:#9A3520'>CHT
 interventions reduced semi/non-urgent ER visits by 55% for </span></span><=
span
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'><span
 style=3D'color:#9A3520'>previously</span><span style=3D'color:#9A3520'> </=
span><span
 style=3D'color:#9A3520'>high usage clients</span><span style=3D'color:#9A3=
520;
 mso-special-format:lastCR;display:none'>&#13;</span></span></div>
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>Evaluation
 of Primary Outreach </span><span style=3D'position:absolute;top:15.75%;
 left:9.92%;width:80.14%;height:7.25%'>Services (CHT, CTST, COT 2010)</span=
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%'><span
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20-day
 period after </span><span style=3D'position:absolute;top:30.25%;left:53.74=
%;
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 had <b>20% fewer ED</b> visits </span><span style=3D'position:absolute;
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span><span
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test
 reduction was with </span><span style=3D'position:absolute;top:52.25%;
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/b></span><span
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 visits declined by <b>15%</b> </span><span style=3D'position:absolute;
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g=3DEN-CA>Average
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%'><span
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span
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 lang=3DEN-CA>Fall/Winter 2010/2011 <br>
  </span></span><span style=3D'position:absolute;top:15.75%;left:9.92%;
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n><span
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span
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g=3DEN-CA>Respiratory
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span
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span
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span
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span
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g=3DEN-CA>Rashes,
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span
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g=3DEN-CA>Detox/treatment
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 <div style=3D'position:absolute;top:78.75%;left:9.92%;width:80.14%;height:=
4.75%'><span
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span
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g=3DEN-CA>Mental
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 <div style=3D'position:absolute;top:87.5%;left:9.92%;width:80.14%;height:4=
.75%'><span
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span
 style=3D'visibility:hidden'><span class=3DBB style=3D'position:absolute;le=
ft:-3.88%'>&#8226;</span></span><span
 lang=3DEN-CA style=3D'display:none'>&#13;</span></span></div>
 <div style=3D'position:absolute;top:96.5%;left:9.92%;width:80.14%;height:4=
.75%'><span
 style=3D'position:absolute;top:0%;left:3.73%;width:96.26%;height:100.0%'><=
span
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ft:-3.88%'>&#8226;</span></span>&#13;</span></div>
 <div style=3D'position:absolute;top:105.25%;left:9.92%;width:80.14%;height=
:4.75%'><span
 style=3D'position:absolute;top:0%;left:3.73%;width:96.26%;height:100.0%'><=
span
 style=3D'visibility:hidden'><span class=3DBB style=3D'position:absolute;le=
ft:-3.88%'>&#8226;</span></span><span
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g=3DEN-CA>STI
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span
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g=3DEN-CA>TB
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span
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g=3DEN-CA>Dental
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span
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g=3DEN-CA>Methadone
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span
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g=3DEN-CA>Harm
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g=3DEN-CA>Outreach
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g=3DEN-CA>Referrals
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h:92.69%;
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:#FBA919;
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%;
 color:black;mso-color-index:1'>Costs of alcohol-related harm in Canada (20=
02) </span></span><span
 style=3D'position:absolute;top:28.99%;left:12.92%;width:77.15%;height:5.5%=
'><span
 lang=3DEN-CA style=3D'font-size:120%;color:black;mso-color-index:1'>$14.6 =
billion</span><span
 lang=3DEN-CA> &#13;</span></span></div>
 <div class=3DB style=3D'position:absolute;top:38.75%;left:9.92%;width:81.4=
6%;
 height:4.75%'><span style=3D'position:absolute;top:0%;left:3.67%;width:96.=
32%;
 height:100.0%'><span class=3DBB style=3D'position:absolute;left:-3.81%'>&#=
8226;</span><span
 lang=3DEN-CA>productivity (illness/ premature death):<span
 style=3D'mso-spacerun:yes'>&nbsp; </span>7.1billion&#13;</span></span></di=
v>
 <div class=3DB style=3D'position:absolute;top:47.5%;left:9.92%;width:80.14=
%;
 height:4.75%'><span style=3D'position:absolute;top:0%;left:3.73%;width:96.=
26%;
 height:100.0%'><span class=3DBB style=3D'position:absolute;left:-3.88%'>&#=
8226;</span><span
 lang=3DEN-CA>direct health care:<span style=3D'mso-spacerun:yes'>&nbsp;
 </span>$3.3 billion&#13;</span></span></div>
 <div class=3DB style=3D'position:absolute;top:56.49%;left:9.92%;width:80.1=
4%;
 height:4.75%'><span style=3D'position:absolute;top:0%;left:3.73%;width:96.=
26%;
 height:100.0%'><span class=3DBB style=3D'position:absolute;left:-3.88%'>&#=
8226;</span><span
 lang=3DEN-CA>law enforcement:<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n>$3.1
 billion&#13;</span></span></div>
 <div class=3DB1 style=3D'mso-line-spacing:"100 0 0";mso-char-wrap:1;mso-ki=
nsoku-overflow:
 1;position:absolute;top:61.0%;left:12.92%;width:77.15%;height:4.25%'><span
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4%;
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:#FBA919;
 font-family:Arial'>&#8226;</span><span lang=3DEN-CA style=3D'font-size:120=
%;
 color:black;mso-color-index:1'>This translates to $463/ every Canadian&#13=
;</span></div>
 <div class=3DB style=3D'position:absolute;top:78.25%;left:9.92%;width:80.1=
4%;
 height:4.75%'><span style=3D'position:absolute;top:0%;left:3.73%;width:96.=
26%;
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 style=3D'position:absolute;left:-3.88%'>&#8226;</span></span><span
 style=3D'mso-special-format:lastCR;display:none'>&#13;</span></span></div>
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iv>
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.75%'><span
 style=3D'position:absolute;top:0%;left:3.73%;width:96.26%;height:100.0%'><=
span
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ft:-3.88%'>&#8226;</span></span>&#13;</span></div>
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5.5%'><span
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y:
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ndex:
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4.75%'><span
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pan
 class=3DBB style=3D'position:absolute;left:-3.31%'>&#8226;</span>the reduc=
tion of
 alcohol related morbidity and mortality&#13;</span></div>
 <span style=3D'position:absolute;top:46.75%;left:12.92%;width:86.89%;heigh=
t:
 4.75%'><span class=3DBB style=3D'position:absolute;left:-3.44%'>&#8226;</s=
pan>the
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tion:
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ic
 and excessive alcohol consumption&#13;</span>
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.75%'><span
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span
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ft:-3.88%'>&#8226;</span></span><span
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.75%;
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 <div style=3D'position:absolute;top:44.0%;left:9.92%;width:80.14%;height:4=
.75%'><span
 style=3D'position:absolute;top:0%;left:3.73%;width:96.26%;height:100.0%'><=
span
 class=3DBB style=3D'position:absolute;left:-3.88%'>&#8226;</span>Detoxific=
ation/withdrawal
 management&#13;</span></div>
 <div style=3D'position:absolute;top:53.0%;left:9.92%;width:80.14%;height:4=
.75%'><span
 style=3D'position:absolute;top:0%;left:3.73%;width:96.26%;height:100.0%'><=
span
 class=3DBB style=3D'position:absolute;left:-3.88%'>&#8226;</span>abstinenc=
e based
 support groups</span></div>
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lute;
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y:
 "Century Gothic";mso-ascii-font-family:"Century Gothic";mso-hansi-font-fam=
ily:
 "Century Gothic";font-size:83%;color:#262B2D'>VCH services available to th=
ose
 with severe alcohol </span></span><span style=3D'position:absolute;top:27.=
75%;
 left:11.04%;width:85.39%;height:4.75%'><span style=3D'font-family:"Century=
 Gothic";
 mso-ascii-font-family:"Century Gothic";mso-hansi-font-family:"Century Goth=
ic";
 font-size:83%;color:#262B2D'>dependence have been primarily abstinence bas=
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 style=3D'position:absolute;top:32.25%;left:11.04%;width:78.08%;height:4.75=
%'><span
 style=3D'font-family:"Century Gothic";mso-ascii-font-family:"Century Gothi=
c";
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mming
 such as:&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 50 0";mso-char-wrap:1;mso-kinsoku-over=
flow:
 1;position:absolute;top:39.0%;left:11.04%;width:78.08%;height:4.75%'><span
 style=3D'font-family:"Century Gothic";mso-ascii-font-family:"Century Gothi=
c";
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226;</span>Decrease
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 spread throughout the day&#13;</span></div>
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226;</span>Prevention
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/div>
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53%;
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8226;</span>Reduce
 use of emergency and acute care services&#13;</span></div>
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.15%;
 height:4.25%'><span style=3D'position:absolute;top:0%;left:3.88%;width:96.=
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15%;
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26%;
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8226;</span>40%
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.15%;
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226;</span>A
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.75%;
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ute;
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89%'><span
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.24%;
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ize:
 89%'>Homeless - currently at </span></span><span style=3D'position:absolut=
e;
 top:23.5%;left:12.92%;width:39.32%;height:3.75%'><span lang=3DEN-CA
 style=3D'font-size:89%'>Pennsylvania Supported Suites&#13;</span></span></=
div>
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ute;
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89%'><span
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.23%;
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ize:
 89%'>On Income Assistance - since at </span></span><span style=3D'position=
:absolute;
 top:35.25%;left:12.92%;width:36.32%;height:3.75%'><span lang=3DEN-CA
 style=3D'font-size:89%'>PSS&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:43.25%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
 top:0%;left:7.61%;width:92.38%;height:100.0%'><span style=3D'font-size:89%=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.24%;
 font-family:Arial'>&#8226;</span></span><span lang=3DEN-CA style=3D'font-s=
ize:
 89%'>Married &#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:51.24%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
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'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.24%;
 font-family:Arial'>&#8226;</span></span><span lang=3DEN-CA style=3D'font-s=
ize:
 89%'>Has one child &#13;</span></span></div>
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 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
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'><span
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.24%;
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ize:
 89%'>Legal issues (+)&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"50 -192 0";position:absolute;top:65.75%;
 left:9.92%;width:41.76%;height:3.75%'><span style=3D'mso-special-format:no=
bullet;
 display:none;color:#FBA919;font-family:Arial'>&#8226;</span><span lang=3DE=
N-CA
 style=3D'font-size:89%;color:black;mso-color-index:1'><b>Substance Use His=
tory -
 Alcohol:</b></span><span lang=3DEN-CA style=3D'font-size:89%'> &#13;</span=
></div>
 <div style=3D'mso-line-spacing:"50 -192 0";position:absolute;top:72.0%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
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'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
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 89%'>Started at age 8 &#13;</span></span></div>
 <div style=3D'mso-line-spacing:"50 -192 0";position:absolute;top:78.25%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
 top:0%;left:7.61%;width:92.38%;height:100.0%'><span style=3D'font-size:89%=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.24%;
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ize:
 89%'>Drinks 40 ounces daily&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:86.0%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
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 lang=3DEN-CA style=3D'font-size:89%;display:none'>&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"50 -192 0";position:absolute;top:92.5%;
 left:9.92%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
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 position:absolute;left:-8.24%;font-family:Arial'>&#8226;</span></span><span
 lang=3DEN-CA style=3D'font-size:89%;mso-special-format:lastCR;display:none=
'>&#13;</span></span></div>
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 <div style=3D'mso-line-spacing:"100 -192 0"'><span style=3D'position:absol=
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89%'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-7=
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ize:
 89%'>Listerine (preferred) + other non-</span></span><span style=3D'positi=
on:
 absolute;top:23.5%;left:53.74%;width:36.32%;height:3.75%'><span lang=3DEN-=
CA
 style=3D'font-size:89%'>beverage alcohol &#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:31.5%;
 left:50.74%;width:39.51%;height:3.75%'><span style=3D'position:absolute;
 top:0%;left:7.58%;width:92.41%;height:100.0%'><span style=3D'font-size:89%=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.2%;
 font-family:Arial'>&#8226;</span></span><span lang=3DEN-CA style=3D'font-s=
ize:
 89%'>Not interested in abstinence</span><span style=3D'font-size:89%;displ=
ay:
 none'>&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:39.5%;
 left:50.74%;width:39.32%;height:3.75%'><span style=3D'mso-special-format:n=
obullet;
 display:none;color:#FBA919;font-family:Arial'>&#8226;</span><span
 style=3D'font-size:89%;color:black;mso-color-index:1'><b>Past Medical Hist=
ory
 Includes:&#13;</b></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:47.75%;
 left:50.74%;width:39.32%;height:3.75%'><span style=3D'position:absolute;
 top:0%;left:7.61%;width:92.38%;height:100.0%'><span style=3D'font-size:89%=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.24%;
 font-family:Arial'>&#8226;</span></span><span style=3D'font-size:89%'>Seiz=
ures
 &#8211; status epilepticus&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0"'><span style=3D'position:absol=
ute;
 top:55.75%;left:53.74%;width:42.88%;height:3.75%'><span style=3D'font-size=
:89%'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-6=
.98%;
 font-family:Arial'>&#8226;</span></span><span style=3D'font-size:89%'>Mult=
iple
 fractures (wrist, humerus) </span></span><span style=3D'position:absolute;
 top:59.25%;left:53.74%;width:36.32%;height:3.75%'><span style=3D'font-size=
:89%'>MVA&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0";position:absolute;top:67.25%;
 left:50.74%;width:43.25%;height:3.75%'><span style=3D'position:absolute;
 top:0%;left:6.92%;width:93.07%;height:100.0%'><span style=3D'font-size:89%=
'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-7=
.44%;
 font-family:Arial'>&#8226;</span></span><span style=3D'font-size:89%'>Brain
 abscess 2007 (prev. IVDU)&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"100 -192 0"'><span style=3D'position:absol=
ute;
 top:75.25%;left:53.74%;width:36.32%;height:3.75%'><span style=3D'font-size=
:89%'><span
 style=3D'mso-special-format:bullet;color:#FBA919;position:absolute;left:-8=
.24%;
 font-family:Arial'>&#8226;</span></span><span style=3D'font-size:89%'>145
 admissions Hospital </span></span><span style=3D'position:absolute;top:78.=
75%;
 left:53.74%;width:37.26%;height:3.75%'><span style=3D'font-size:89%'>Admis=
sions
 (Aug 2008 to Aug </span></span><span style=3D'position:absolute;top:82.25%;
 left:53.74%;width:42.13%;height:3.75%'><span style=3D'font-size:89%'>2010 =
=3D 1
 admission every 5 days)&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"50 -192 0";position:absolute;top:89.0%;
 left:50.74%;width:39.32%;height:3.75%'><span style=3D'mso-special-format:n=
obullet;
 display:none;color:#FBA919;font-family:Arial'>&#8226;</span><span
 style=3D'font-size:89%;mso-special-format:lastCR;display:none'>&#13;</span=
></div>
 </div>
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style=3D'font-family:Calibri;mso-ascii-font-family:Calibri;mso-hansi-font-f=
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<div class=3DO>Click to edit Master text styles&#13;</div>

<div class=3DO1>Second level&#13;</div>

<div class=3DO2>Third level&#13;</div>

<div class=3DO3>Fourth level&#13;</div>

<div class=3DO4>Fifth level</div>

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------=_NextPart_01CC3BFA.38F75DA0
Content-Location: file:///C:/4C7358F3/VCHSupportingHealthDTES_files/script.js
Content-Transfer-Encoding: quoted-printable
Content-Type: application/javascript; charset="us-ascii"

function LoadSld()
{
	var sld=3DGetObj("SlideObj")
	if( !g_supportsPPTHTML ) {	=09
		sld.style.visibility=3D"visible"
		return
	}

	if( MakeNotesVis() ) return

	runAnimations =3D _InitAnimations();
=09
	if( IsWin("PPTSld") )
		parent.SldUpdated(GetSldId())
	g_origSz=3DparseInt(SlideObj.style.fontSize)
	g_origH=3Dsld.style.posHeight
	g_origW=3Dsld.style.posWidth
	g_scaleHyperlinks=3D(document.all.tags("AREA").length>0)
	if( g_scaleHyperlinks )
		InitHLinkArray()
	if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) )
		document.body.scroll=3D"no"
	_RSW()
	if( IsWin("PPTSld") && parent.IsFullScrMode() )
		FullScrInit();
=09
	MakeSldVis();
	ChkAutoAdv()

	if( runAnimations )
	{
		if( document.all("NSPlay") )
			document.all("NSPlay").autoStart =3D false;

		if( sld.filters && sld.filters.revealtrans )
			setTimeout( "document.body.start()", sld.filters.revealtrans.duration * =
1000 );
		else
			document.body.start();
	}
}

function MakeSldVis()=20
{
	var fTrans=3Dg_showAnimation && SldHasTrans()
	if( fTrans )=09
	{
		if( g_bgSound ) {
			idx=3Dg_bgSound.indexOf(",");
			pptSound.src=3Dg_bgSound.substr( 0, idx );
			pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1)));
		}
		SlideObj.filters.revealtrans.Apply()=09
    }
	SlideObj.style.visibility=3D"visible"
	if( fTrans )
		SlideObj.filters.revealtrans.Play()
}
function MakeNotesVis()=20
{
	if( !IsNts() ) return false=20
	SlideObj.style.display=3D"none"
	nObj =3D document.all.item("NotesObj")
	parent.SetHasNts(0)
	if( nObj ) {=20
		nObj.style.display=3D""
		parent.SetHasNts(1)
	}
	return 1
}
function ChkAutoAdv()
{
	if(SldHasTrans())
		SlideObj.onfilterchange=3DAutoAdv
	else
		AutoAdv()
}
function AutoAdv()
{
	if(!IsWin("PPTSld") || !gUseSldTimings )return
	var sld=3DGetCurSld()
	if( (sld.mAdvDelay>0) && !parent.IsFramesMode() )
		setTimeout("parent.GoToNextSld()",sld.mAdvDelay)
}
function GetObj(id)
{
	if(g_supportsPPTHTML) return document.all(id);
	else return document.getElementById(id);
}
function SldHasTrans() { return SlideObj.style.filter !=3D ""; }
function GetSldId()=20
{
	var regExp =3D /file:\/\/\//i
	var pos =3D location.href.search(regExp)
	if (MHTMLPrefix !=3D "" && pos !=3D -1)
		sId =3D location.href.substring(pos)
	else
	{
		sId =3D RemoveFilePrefixFromHref(location.href);
		var regExp =3D /\//
		var fixedHref =3D sId
		var pos =3D -1
=09
		pos =3D fixedHref.search(regExp)
		while (pos !=3D -1)
		{
			fixedHref =3D fixedHref.replace(regExp, "\\")
			pos =3D fixedHref.search(regExp)
		}
=09
		if (g_fBaseHyperlink =3D=3D true)
			sId =3D "file:///" + fixedHref;
		else
			sId =3D fixedHref.substring(fixedHref.lastIndexOf('\\') + 1)
	}
=09
	return sId
}
function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx=
tmenu") && PPTSld.ctxtmenu.style.display!=3D"none" ) { PPTSld.ctxtmenu.styl=
e.display=3D'none'; return true } return false }
function IsWin( name ) { return window.name =3D=3D name }
function IsNts() { return IsWin("PPTNts") }
function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) }
function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"=
 && navigator.appVersion.indexOf("Windows")>0 ) }
function SupportsPPTHTML()
{
	var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0
	if( msie >=3D 0 )
		ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) )
	else
		ver=3DparseInt(appVer)

	return( ver >=3D 4 && msie >=3D 0 )
}
function _RSW()
{
	if( !g_supportsPPTHTML || IsNts() ||
	  ( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) )
		return

        var padding=3D0;
        if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6

	cltWidth=3Ddocument.body.clientWidth-padding
	cltHeight=3Ddocument.body.clientHeight-padding
	factor=3D(1.0*cltWidth)/g_origW
	if( cltHeight < g_origH*factor )
		factor=3D(1.0*cltHeight)/g_origH

	newSize =3D g_origSz * factor
	if( newSize < 1 ) newSize=3D1

	s=3DSlideObj.style
	s.fontSize=3DnewSize+"px"
	s.posWidth=3Dg_origW*factor
	s.posHeight=3Dg_origH*factor
	s.posLeft=3D(cltWidth-s.posWidth+padding)/2
	s.posTop=3D(cltHeight-s.posHeight+padding)/2

	if( g_scaleHyperlinks )
		ScaleHyperlinks( factor )
}
function _InitAnimations()
{
	animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined';
	isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode();
	g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc=
reen && parent.IsSldVisited());
	if( g_animUseRuntime ) {
		collSeq =3D document.all.tags("seq");
		if( collSeq !=3D null ) {
			for(ii=3D0;ii<collSeq.length;ii++) {
				if( collSeq[ii].getAttribute( "p:nodeType" ) =3D=3D "mainSeq" ) {
					g_animMainSequence =3D collSeq[ii];
					break;
				}
			}
		}
=09
		if( g_animItemsToHide && document.body.playAnimations !=3D false ) {
			for(jj =3D 0; jj < g_animItemsToHide.length; jj++) {
				if( hideObj =3D GetObj(g_animItemsToHide[jj]) )
					hideObj.runtimeStyle.visibility=3D"hidden";
			}
		}

		if( g_animInteractiveItems ){
			for(jj =3D 0; jj < g_animInteractiveItems.length; jj++) {
				if( triggerObj =3D GetObj(g_animInteractiveItems[jj]) )
					triggerObj.runtimeStyle.cursor=3D"hand";
			}
		}
	=09
		if( gUseSldTimings && ''+g_animSlideTime !=3D 'undefined' ) {
			adjustedTime =3D document.body.calculateAutoAdvanceTimes( g_animSlideTim=
e, g_animEffectTimings );
			if( IsWin("PPTSld") && adjustedTime !=3D g_animSlideTime ) {
			   var sld =3D GetCurSld();
			   sld.mAdvDelay =3D adjustedTime * 1000;
			}
		}
	}

	return g_animUseRuntime;
}

gSldJump =3D 0, gSldJumpTrack =3D 0, gSldJumpIdx =3D "";

function _KPH()
{=20
	if( IsNts() ) return;

	if( !parent.IsFramesMode() && event.keyCode =3D=3D 27 && !HideMenu() )
		parent.window.close( self );
	else if( event.keyCode =3D=3D 32 ) {
		if( window.name =3D=3D "PPTSld" )
			parent.PPTSld.DocumentOnClick();
		else
			parent.GoToNextSld();
	}

	CatchNumKeys( parent, event );
}

function CatchNumKeys( win, event ) {
	if( win.IsFullScrMode() && (48<=3Devent.keyCode) && (event.keyCode<=3D57) =
) {
		gSldJump =3D 1;
		gSldJumpIdx +=3D (event.keyCode-48).toString();
	}
	if( win.IsFullScrMode() && gSldJump && event.keyCode =3D=3D 13 ) {
		var numSlds =3D parent.GetSldList().mList.length
		if ( gSldJumpIdx > numSlds )
			gSldJumpIdx =3D numSlds;
		if ( gSldJumpIdx >=3D 0 ) {
			if ( gSldJumpIdx =3D=3D 0 )
				gSldJumpIdx =3D 1;
			var jumpTo =3D parseInt(gSldJumpIdx);
			gSldJump =3D 0; gSldJumpIdx =3D "";
			win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref )
		}
	}
}

function _KDH()
{
	if( event.keyCode =3D=3D 8 ) {
		event.returnValue =3D 0;
		parent.GoToPrevSld();
	}
}
function DocumentOnClick()
{
	if( IsNts() || parent.HideMenu() ) return;
	if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) ||
	    (event && (event.keyCode=3D=3D32) ) )
		parent.GoToNextSld();
}



var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""=
, g_bgSound=3D"",
    g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser =
=3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1;
var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w=
indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va=
r g_animManager =3D null;
var g_animUseRuntime =3D false;
var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime;
var g_animMainSequence =3D null;

var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram=
es", gIsEndShow=3D0, NUM_VIS_SLDS=3D22, SCRIPT_HREF=3D"script.js", FULLSCR_=
HREF=3D"fullscreen.htm";
var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO=
tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true
window.gPPTHTML=3DSupportsPPTHTML()
var g_fBaseHyperlink =3D false;
var gMainDoc=3Dnew Array(new hrefList("slide0061.htm",1,-1,1),new hrefList(=
"slide0039.htm",1,-1,1),new hrefList("slide0017.htm",1,-1,1),new hrefList("=
slide0031.htm",1,-1,1),new hrefList("slide0037.htm",1,-1,1),new hrefList("s=
lide0038.htm",1,-1,1),new hrefList("slide0032.htm",1,-1,1),new hrefList("sl=
ide0033.htm",1,-1,1),new hrefList("slide0034.htm",1,-1,1),new hrefList("sli=
de0058.htm",1,-1,1),new hrefList("slide0054.htm",1,-1,1),new hrefList("slid=
e0055.htm",1,-1,1),new hrefList("slide0057.htm",1,-1,1),new hrefList("slide=
0060.htm",1,-1,1),new hrefList("slide0048.htm",1,-1,1),new hrefList("slide0=
049.htm",1,-1,1),new hrefList("slide0059.htm",1,-1,1),new hrefList("slide00=
50.htm",1,-1,1),new hrefList("slide0051.htm",1,-1,1),new hrefList("slide005=
2.htm",1,-1,1),new hrefList("slide0053.htm",1,-1,1),new hrefList("slide0029=
.htm",1,-1,1));

/*********************************************
 Frameset functions

 These functions control slide navigation
 and state of the frameset.
**********************************************/

function RemoveFilePrefixFromHref(href)
{
	var regExp =3D /^file:\/\/\//i;
	return href.replace(regExp, "")
}

function FullScrInit()
{
	g_allowAdvOnClick =3D GetCurSld().mAdvOnClk
	document.body.style.backgroundColor=3D"black"
	document.oncontextmenu=3Dparent._CM;
	document.onkeydown =3D _KDH;
	document.ondragstart=3DCancel
	document.onselectstart=3DCancel
	self.focus()
}

function Redirect( frmId )
{=09
	var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId()
	if(idx>=3D0) str=3Dstr.substr(1);
	if( window.name !=3D frmId && ( sId !=3D str) ) {
		obj =3D GetObj("Main-File")
		window.location.href=3Dobj.href+"#"+sId
		return 1
	}
	return 0
}

var MHTMLPrefix =3D CalculateMHTMLPrefix();=20
function CalculateMHTMLPrefix()
{
	if ( document.location.protocol =3D=3D 'mhtml:') {=20
		href=3Dnew String(document.location.href)=20
		Start=3Dhref.indexOf('!')+1=20
		End=3Dhref.lastIndexOf('/')+1=20
		if (End < Start)=20
			return href.substring(0, Start)=20
		else=20
		return href.substring(0, End)=20
	}
	return '';
}

function GetTags(base,tag)
{
	if(g_supportsPPTHTML) return base.all.tags(tag);
	else return base.getElementsByTagName(tag);
}


function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP=
refix+GetHrefObj( gCurSld ).mNtsHref ) }

function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() }

function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() }

function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() }

function SetHasNts( fVal )
{
	if( gHasNts !=3D fVal ) {
		gHasNts=3DfVal
		UpdNavPane()
	}
}

function ToggleOtlText()
{
	gOtlTxtExp=3D!gOtlTxtExp
	UpdOtlPane()
}

function ClearMedia()
{
	// Clear any sounds playing before launching another browser window. Other=
wise,
	// in fullscreen mode, you'll continue to hear the sound in the frames mod=
e.
	if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0;
}

function FullScreen()
{=20
	if ( PPTSld.g_animUseRuntime )
		PPTSld.document.body.pause();
	ClearMedia();
	var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF =
: FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref;
	if (MHTMLPrefix !=3D "")
		href =3D RemoveFilePrefixFromHref(href)
	if(PPTNav.event.ctrlKey) {
		var w =3D (window.screen.availWidth * 1.0) / 2.0
		var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW
		win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top=
=3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h );
		if( win.document.body && PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
	else
	{
		win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" );
		if( win.document.body && PPTSld.g_animUseRuntime )
			win.document.body.PPTSldFrameset=3Dwindow;
	}
}

function ToggleVNarration()
{
	rObj=3DPPTSld.document.all("NSPlay")
	if( rObj && !PPTSld.g_animUseRuntime ) {
		if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) )
			rObj.Play()
		else if( rObj.playState =3D=3D 2 )
			rObj.Pause()
		else
			return;
	}
	else if( PPTSld.g_animUseRuntime )
	{
		narObj =3D PPTSld.document.all("narrationID")
		if( narObj )
			narObj.togglePause()
	}
}

function GetCurSldNum()
{  =20
	obj=3DGetHrefObj(gCurSld)
	if( obj.mOrigVis =3D=3D 1 )
		return obj.mSldIdx
	else  =20
		return gCurSld
}

function GetNumSlds()
{  =20
	if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 )
		return GetSldList().mNumVisSlds;
	else
		return GetSldList().mList.length
}

function GetSldNum( href )
{
	for(ii=3D0; ii<GetSldList().mList.length; ii++) {
		if ( GetSldList().mList[ii].mSldHref =3D=3D href )
			return ii+1
	}
	return 1
}

function GetHrefObj( sldIdx ){ return GetSldList().mList[sldIdx-1] }

function IsFramesMode(){ return ( SCREEN_MODE =3D=3D "Frames" ) }

function IsFullScrMode(){ return ( SCREEN_MODE =3D=3D "FullScreen" ) }

function GoToNextSld()
{
	ii=3DgCurSld + 1
	if( GetHrefObj( ii-1 ).mOrigVis =3D=3D 0 ) {
		if( ii<=3DGetSldList().mList.length ) {
			obj=3DGetHrefObj(ii)
			obj.mVis=3D1
			GoToSldNum(ii)
			return
		}
	}
	else {
		obj=3DGetHrefObj( ii )
		while ( obj && ( obj.mOrigVis =3D=3D 0 ) )
			obj=3DGetHrefObj(++ii)
		if( obj && obj.mOrigVis ) {
			GoToSldNum(ii)
			return
		}
	}
	if( gSldStack.length > 1 )
		PopSldList();
	else if( !IsFramesMode() ) {
                if( gLoopCont )
			GoToFirst()
                else
			EndShow()
	}
}

function GoToPrevSld()
{
	ii=3DgCurSld-1
	if( ii > 0 ) {
		obj=3DGetHrefObj(ii)
		while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) )
			obj=3DGetHrefObj(--ii)
        if( ii =3D=3D 0 ) ii=3D1
		GoToSldNum(ii)
	}
}

function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) }

function GoToLast()
{
	ii=3DGetSldList().mList.length
	if( ii !=3D gCurSld )
		GoToSld( GetHrefObj(ii).mSldHref )
}

function GoToSldNum( num )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	obj =3D GetHrefObj( num )
	obj.mVis=3D1
	gPrevSld=3DgCurSld
	gCurSld =3D num;
=09
	if (MHTMLPrefix !=3D "")
		PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref=
))
	else
		PPTSld.location.replace(obj.mSldHref)
	=09
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}

function GoToSld( href )
{
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
	GetHrefObj( GetSldNum(href) ).mVis=3D1
	if (MHTMLPrefix !=3D "")
		PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href))
	else
		PPTSld.location.replace(href)
}

function SldUpdated( id )
{
	if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return
	gPrevSld=3DgCurSld
	gCurSld=3DGetSldNum(id)
	if( IsFramesMode() ) {
		UpdNavPane(); UpdOtlPane(); UpdNtsPane()
	}
}

function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) }
function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO=
bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) }
function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) }

function CloseWindow() {
	if( HideMenu() ) return;
=09
	var event =3D PPTSld.event;
	if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D=
=3D32 || event.type=3D=3D"click" ) )
		window.close( self );
	CatchNumKeys( self, event );
}

function Unload() { gIsEndShow=3D0; }

function SetupEndShow() {
	gIsEndShow=3D1;
	PPTSld.document.body.scroll=3D"no";
	PPTSld.document.onkeypress=3DCloseWindow;
	PPTSld.document.onclick=3DCloseWindow;
	PPTSld.document.oncontextmenu=3D_CM;
}

function EndShow()
{
	if( IsFramesMode() ) return
	if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue

	doc=3DPPTSld.document
	var dir =3D doc.body.dir
	if( dir !=3D "rtl" ) dir =3D "ltr";
	doc.open()
	doc.writeln('<html><body dir=3D' + dir + ' bgcolor=3Dblack onload=3Dparent=
.SetupEndShow() onunload=3Dparent.Unload()><center><p><font face=3DTahoma c=
olor=3Dwhite size=3D2><br><b>' + ENDSHOW_MESG + '</b></font></p></center></=
body></html>')
	doc.close()
}

function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue }

function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited }

function hrefList( sldHref, visible, advDelay, advClk )
{
	this.mSldHref=3D this.mNtsHref =3D sldHref
	this.mOrigVis=3D this.mVis =3D visible
	this.mVisited=3D false
	this.mAdvDelay=3D advDelay
	this.mAdvOnClk=3D advClk
}

function SldList(arr,curSld,fEnd)
{
	this.mCurSld =3D curSld;
	this.mList =3D new Array();

	var idx =3D 1;
	for(ii=3D0;ii<arr.length;ii++) {
		this.mList[ii] =3D new hrefList( arr[ii].mSldHref, arr[ii].mOrigVis, arr[=
ii].mAdvDelay, arr[ii].mAdvOnClk );
		if( arr[ii].mOrigVis )
			this.mList[ii].mSldIdx =3D idx++;
	}
	this.mNumVisSlds =3D idx-1;
	this.fEndShow =3D fEnd;
}

function GetSldList() {	return gSldStack[gSldStack.length-1] }
function GetCurSld() { return parent.GetSldList().mList[parent.gCurSld - 1]=
 }

gSldStack =3D new Array();
gSldStack[0] =3D new SldList(gMainDoc,gCurSld,1)
function ToggleOtlPane()
{
	frmset=3Ddocument.all("PPTHorizAdjust")
	frm=3Ddocument.all("PPTOtl")

	if( gOtlOpen )
		frmset.cols=3D"*,100%"
	else
		frmset.cols=3D"25%,*"

	gOtlOpen=3D!gOtlOpen
	frm.noResize=3D!frm.noResize
	UpdOtNavPane()
}

function ToggleNtsPane()
{
	frmset=3Ddocument.all("PPTVertAdjust")
	frm=3Ddocument.all("PPTNts")

	if( gNtsOpen )
		frmset.rows=3D"100%,*"
	else
		frmset.rows=3D"*,20%"

	gNtsOpen=3D!gNtsOpen
	UpdNtsPane()
}

/*********************************************
Custom Shows implementation

When ViewCustomShow() is called, we create
a new array that is a subset of the slides in=20
the main doc. This list pushed on a stack so
we can return after the end of the custom
show.
*********************************************/
function ViewCustomShow(idx,fEnd)
{
	if( !IsFullScrMode() ) return;
	var sldList =3D new Array();
	var custShow =3D custShowList[idx-1];
	var jj =3D 0;
	for( ii=3D0;ii<custShow.length;ii++ ) {
		if( custShow[ii] <=3D gMainDoc.length )
			sldList[jj++] =3D gMainDoc[custShow[ii]-1];
	}
	if (sldList.length > 0) {
	PushSldList(sldList,fEnd);
	gCurSld =3D 1;
	}
	else
		if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue
}

function PushSldList(arr,fEnd) {
	var ii =3D gSldStack.length;
	gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd);
	GoToSld( gSldStack[ii].mList[0].mSldHref );
}

function PopSldList() {
	if (gSldStack[gSldStack.length-1].fEndShow)
		EndShow()
	else {
	gCurSld =3D gSldStack[gSldStack.length-1].mCurSld;
	gSldStack[gSldStack.length-1] =3D null;
	gSldStack.length--;
	var sldList =3D gSldStack[gSldStack.length-1];
	GoToSld( sldList.mList[gCurSld - 1].mSldHref );
	}
}
var custShowList=3Dnew Array();

/*********************************************
 Navigation button implementation

 There are 2 types of buttons: ImgBtn, TxtBtn
 implemented as function objects. They share
 a similiar interface so the event handlers
 can call SetActive, for example, on a button=20
 object without needing to know exactly=20
 what type of button it is.
**********************************************/

//----------------------------------
function ImgBtn( oId,bId,w,action )
//----------------------------------
{
	var t=3Dthis
	t.Perform    =3D _IBP
	t.SetActive  =3D _IBSetA
	t.SetInactive=3D _IBSetI
	t.SetPressed =3D _IBSetP
	t.SetDisabled=3D _IBSetD
	t.Enabled    =3D _IBSetE
	t.ChangeIcon =3D null
	t.UserAction =3D action
	t.ChgState   =3D _IBUI
	t.mObjId   =3D oId
	t.mBorderId=3D bId
	t.mWidth   =3D w
	t.mIsOn    =3D t.mCurState =3D 0
}

function _IBSetA()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
		obj.style.posTop=3D0
	}
}

function _IBSetI()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
		obj.style.posTop=3D0=20
	}
}

function _IBSetP()
{
	if( this.mIsOn ) {
		obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
		obj.style.posLeft+=3D1; obj.style.posTop+=3D1
	}
}

function _IBSetD()
{ =20
	obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
	obj.style.posTop=3D0=20
}

function _IBSetE( state )
{
	var t=3Dthis
	GetObj( t.mBorderId ).style.visibility=3D"visible"
	if( state !=3D t.mIsOn ) {
		t.mIsOn=3Dstate
		if( state )
			t.SetInactive()
		else
			t.SetDisabled()
	}
}

function _IBP()
{
	var t=3Dthis
	if( t.mIsOn ) {
		if( t.UserAction !=3D null )
			t.UserAction()
		if( t.ChangeIcon ) {
			obj=3DGetObj(t.mObjId)
			if( t.ChangeIcon() )
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
			else
				obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
		}
		t.SetActive()
	} =20
}

function _IBUI( clr1,clr2,nextState )
{
	var t=3Dthis
	SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
	obj=3DGetObj( t.mObjId )
	obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj=
.style.posTop
	t.mCurState=3DnextState
	return obj
}

//-----------------------------------------
function TxtBtn( oId,oeId,action,chkState )
//-----------------------------------------
{
	var t=3Dthis
	t.Perform    =3D _TBP
	t.SetActive  =3D _TBSetA
	t.SetInactive=3D _TBSetI
	t.SetPressed =3D _TBSetP
	t.SetDisabled=3D _TBSetD
	t.SetEnabled =3D _TBSetE
	t.GetState   =3D chkState
	t.UserAction =3D action
	t.ChgState   =3D _TBUI
	t.mObjId      =3D oId
	t.m_elementsId=3D oeId
	t.mIsOn       =3D 1
}

function _TBSetA()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gHiliteClr,gShadowClr,0,0 )
}

function _TBSetI()
{
	var t=3Dthis
	if( t.mIsOn && !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
}

function _TBSetP()
{
	if( this.mIsOn )
		this.ChgState( gShadowClr,gHiliteClr,1,1 )
}

function _TBSetD()
{  =20
	this.ChgState( gFaceClr,gFaceClr,0,0 )
	this.mIsOn =3D 0
}

function _TBSetE()
{
	var t=3Dthis
	if( !t.GetState() )
		t.ChgState( gFaceClr,gFaceClr,0,0 )
	else
		t.ChgState( gShadowClr,gHiliteClr,1,1 )
	t.mIsOn =3D 1
}

function _TBP()
{
	var t=3Dthis
	if( t.mIsOn ) {=20
		if( t.UserAction !=3D null )
			t.UserAction()
        if( !t.GetState )
            return
		if( t.GetState() )
			t.SetPressed()
		else
			t.SetActive()
	} =20
}

function _TBUI( clr1,clr2,lOffset,tOffset )
{
	SetBorder( GetObj( this.mObjId ),clr1,clr2 )
	Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}

function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle=
ft }

function SetBorder( obj, upperLeft, lowerRight )
{
	s=3Dobj.style;
	s.borderStyle      =3D "solid"
	s.borderWidth      =3D 1=20
	s.borderLeftColor  =3D s.borderTopColor =3D upperLeft
	s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}

function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }

function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }

function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() }

function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() }

function BtnOnUp()
{
	b=3DGetBtnObj()
	if( b !=3D null )
		b.Perform()
	else
		Upd()
}
function GetNtsState(){ return parent.gNtsOpen }

function GetOtlState(){ return parent.gOtlOpen }

function GetOtlTxtState(){ return parent.gOtlTxtExp }

function NtsBtnSetFlag( fVal )
{
	s=3Ddocument.all.item( this.m_flagId ).style
	s.display=3D"none"
	if( fVal )
		s.display=3D""
	else
		s.display=3D"none"
}

function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etActive() }

function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etInactive() }

function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etPressed() }

function _BSetA_BorderImg()
{=20
	b =3D gBtnArr[this.mBorderId]=20
	if( b !=3D null && this.mIsOn && !b.GetState() ) {
		obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
		obj.style.posTop=3D0
	}
}

function _BSetI_BorderImg()
{=20
	b =3D gBtnArr[this.mBorderId]
	if( b !=3D null && this.mIsOn && !b.GetState() ) {
		obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
		obj.style.posTop=3D0
	}
}


var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"=
THREEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan=
e,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt=
lPane,GetOtlState )
gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN=
tsPane )
gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg;
gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg;
gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.=
ToggleNtsPane,GetNtsState )
gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To=
ggleNtsPane,GetNtsState )
gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n=
b_prevBorder",30,parent.GoToPrevSld )
gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n=
b_nextBorder",30,parent.GoToNextSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent=
.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa=
rent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent=
.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice=
","nb_voiceBorder",18,parent.ToggleVNarration )
gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT=
xt","nb_otlTxtBorder",23,parent.ToggleOtlText )
gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts"
gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState

/*********************************************
 Context menu implementation

 _CM() is the function that's hooked up to
 the oncontextmenu event. Once we're asked to
 show the menu, we first build it by creating
 DIVs on-the-fly. Then we position it=20
 within the screen area so it doesn't get
 clipped.

 Creating the DIVs using createElement() means
 we don't have to write out any extra HTML
 into the slide HTML files.
**********************************************/
var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr=
row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval"

function ShowMenu()
{
	BuildMenu();
	var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=
=3DPPTSld.event.clientY+doc.scrollTop
	m =3D PPTSld.document.all.item("ctxtmenu")
	m.style.pixelLeft=3Dx
	if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
		m.style.pixelLeft=3Dx-m.scrollWidth

	m.style.pixelTop=3Dy
	if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
		m.style.pixelTop=3Dy-m.scrollHeight

	m.style.display=3D""
}

function _CM()
{
	if( !parent.IsFullScrMode() ) return;
	if(!PPTSld.event.ctrlKey) {
		ShowMenu()
		return false
	} else
		HideMenu()
}

function BuildMenu()
{
	if( PPTSld.document.all.item("ctxtmenu") ) return

	var mObj=3DCreateItem( PPTSld.document.body )
	mObj.id=3D"ctxtmenu"
	mObj.style.visibility=3D"hidden"
	var s=3DmObj.style
	s.position=3D"absolute"
	s.cursor=3D"default"
	s.width=3D"120px"
	SetCMBorder(mObj,"menu","black")

	var iObj=3DCreateItem( mObj )
	SetCMBorder( iObj, "threedhighlight","threedshadow" )
	iObj.style.padding=3D2
	CreateMenuItem( iObj,sNext,M_GoNextSld,M_True )
	CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld )
=09
	CreateSeparator( iObj )
	CreateMenuItem( iObj,sEnd,M_End,M_True )
	mObj.style.visibility=3D"visible"
}

function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa=
lue=3Dfalse }

function Highlight() { ChangeClr("activecaption","threedhighlight") }

function Deselect() { ChangeClr("threedface","menutext") }

function Perform()
{
	e=3DPPTSld.event.srcElement
	if( e.type=3D=3D"menuitem" && e.IsActive() )
		e.Action()
	else
		PPTSld.event.cancelBubble=3Dtrue
}
function ChangeClr( bg,clr )
{
	e=3DPPTSld.event.srcElement
	if( e.type=3D=3D"menuitem" && e.IsActive() ) {
		e.style.backgroundColor=3Dbg
		e.style.color=3Dclr
	}
}

function M_HasPrevSld() { return( parent.HasPrevSld() ) }

function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() }

function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();=
 PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() }

function M_True() { return true }

function M_End() { window.close( self ) }

function CreateMenuItem( node,text,action,eval )
{
	var e=3DCreateItem( node )
	e.type=3D"menuitem"
	e.Action=3Daction
	e.IsActive=3Deval
	e.innerHTML=3Dtext

	if( !e.IsActive() )
		e.style.color=3D"threedshadow"

	e.onclick=3DPerform
	e.onmouseover=3DHighlight
	e.onmouseout=3DDeselect
	s=3De.style;
	s.fontFamily=3DsFont
	s.fontSize=3D"9pt"
	s.paddingLeft=3D2
}

function CreateSeparator( node )
{
	var sObj=3DCreateItem( node )
	SetCMBorder(sObj,"menu","menu")
	var s=3DsObj.style
	s.borderTopColor=3D"threedshadow"
	s.borderBottomColor=3D"threedhighlight"
	s.height=3D1
	s.fontSize=3D"0px"
}

function CreateItem( node )
{
	var elem=3DPPTSld.document.createElement("DIV")
	node.insertBefore( elem )
	return elem
}

function SetCMBorder( o,ltClr,rbClr )
{
	var s=3Do.style
	s.backgroundColor=3D"menu"
	s.borderStyle=3D"solid"
	s.borderWidth=3D1
	s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr
}
------=_NextPart_01CC3BFA.38F75DA0
Content-Location: file:///C:/4C7358F3/VCHSupportingHealthDTES_files/fullscreen.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html>

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii">
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this)"
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  <div id=3DPPTP1 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0061.htm');" id=3DPPTL1>Supporting Healt=
h in
  DTES Housing</a></font></div>
  <div id=3DPPTC1 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>June 23, 2011</li>
   <li>Anne McNabb, Director, Inner City</li>
   <li>Mental Health &amp; Addiction Services, MH &amp; A Housing, Aborigin=
al
       Health Services</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
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  <div class=3DsldNum><font size=3D2>2</font></div>
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  <td>
  <div id=3DPPTP2 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0039.htm');" id=3DPPTL2>Primary Outreach
  Services<br>
    <br>
    Clinical Housing Team<br>
    Clinical Tenant Support Team<br>
    Clinical Outreach Team</a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
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  <td>
  <div id=3DPPTP3 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0017.htm');" id=3DPPTL3>Population serve=
d</a></font></div>
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  <ul>
   <li>A population at the centre of a serious health and social system cri=
sis:</li>
   <ul>
    <li>Individuals with significantly under treated and untreated mental
        health, addiction and medical problems</li>
    <li>Many are involved with the criminal justice system</li>
    <li>High users of emergency services</li>
    <li>Many are homeless on the street or living in inadequate housing</li>
   </ul>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
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  <div id=3DPPTP4 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0031.htm');" id=3DPPTL4>Primary Outreach=
 Teams</a></font></div>
  <div id=3DPPTC4 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Serve clients who live in the Downtown Core and the Downtown Eastsid=
e</li>
   <li>Serve clients who are housed in supportive low threshold housing or =
are
       chronically homeless and need clinical interventions</li>
   <li>Teams support over 1205 individual units across 17 sites plus shelte=
rs</li>
   <li>Teams support improved integration of services &amp; partnerships wi=
th
       community housing partners</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>5</font></div>
  </td>
  <td>
  <div id=3DPPTP5 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0037.htm');" id=3DPPTL5>Single Room Occu=
pancy
  Hotels</a></font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>6</font></div>
  </td>
  <td>
  <div id=3DPPTP6 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0038.htm');" id=3DPPTL6>Partnerships</a>=
</font></div>
  <div id=3DPPTC6 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <ul>
    <br>
    <li>Portland Hotel Community Services</li>
    <li>RainCity Housing and Support Society</li>
    <li>Lookout Emergency Aid Society</li>
    <li>Atira Women&#8217;s Resource Society</li>
    <li>MPA Society</li>
    <li>BC Housing</li>
    <li>Government Ministries</li>
    <li>City of Vancouver</li>
    <li>Providence Health Care</li>
    <li>Salvation Army</li>
   </ul>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>7</font></div>
  </td>
  <td>
  <div id=3DPPTP7 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0032.htm');" id=3DPPTL7>Primary Outreach=
 Teams</a></font></div>
  <div id=3DPPTC7 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Multidisciplinary Teams:</li>
   <ul>
    <li>Physicians, Nurse Practitioner, Nurses, Case Managers, Health Care
        Workers &amp; the recent addition of Psychiatry sessions</li>
   </ul>
   <li>Services</li>
   <ul>
    <li>Diagnosis, diagnostics, medication management, wound and skin suppo=
rt,
        management of chronic disease, HIV and AIDS, Hepatitis C, palliative
        care, mobility issues</li>
    <li>Provide mental health and addiction referral, assessment and treatm=
ent
        including Methadone maintenance</li>
    <li>Relationship building, advocacy, connection, decreased social isola=
tion</li>
    <li>Act as the primary point of care connection for primary &amp; acute
        care, community partners and family and social agencies</li>
   </ul>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>8</font></div>
  </td>
  <td>
  <div id=3DPPTP8 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0033.htm');" id=3DPPTL8>Clinical Housing=
 Team
  (CHT) Initial Evaluation Findings (2008)</a></font></div>
  <div id=3DPPTC8 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>CHT able to connect with 74% of clients living in initial 8 sites</l=
i>
   <li>41% of CHT clients had not accessed any VCH health services in 12 mo=
nths
       prior to CHT contact</li>
   <li>30% of clients seen 6 or more times by CHT were referred to other VCH
       health services</li>
   <li>40% of clients referred for primary care or Adult/Older Adult Servic=
es,
       50% referred for addiction services, 10% referred for mental health
       services</li>
   <li>In clients seen by CHT 6 or more times the ER reduction was 30%</li>
   <li>CHT interventions reduced semi/non-urgent ER visits by 55% for
       previously high usage clients</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>9</font></div>
  </td>
  <td>
  <div id=3DPPTP9 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0034.htm');" id=3DPPTL9>Evaluation of Pr=
imary
  Outreach Services (CHT, CTST, COT 2010)</a></font></div>
  <div id=3DPPTC9 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>In the 120-day period after initiation of POS treatment, clients had=
 20%
       fewer ED visits than prior to POS.</li>
   <li>The greatest reduction was with the most frequent users of the ED wi=
th 58%
       fewer ED visits.</li>
   <li>Urgent visits declined by 22% overall (6% CHT) while less urgent vis=
its
       declined by 15% (21% CHT).</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>10</font></div>
  </td>
  <td>
  <div id=3DPPTP10 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0058.htm');" id=3DPPTL10>HEAT Shelters:<=
span
  style=3D'mso-spacerun:yes'>&nbsp; </span>COT Clinical Support</a></font><=
/div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>11</font></div>
  </td>
  <td>
  <div id=3DPPTP11 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0054.htm');" id=3DPPTL11>Frequency of
  Visits/Contacts</a></font></div>
  <div id=3DPPTC11 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Average Number of Visits to Cardero and Howe Street Shelters: 3/each=
 per
       week</li>
   <li>Average Number if Phone calls from Cardero and Howe Street Shelters:
       4/each per week</li>
   <li>6 Staff: 1 Clinical Coordinator, 2 HCW, 2 RN's, 1 Case Manager, 2
       Physician Sessions</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>12</font></div>
  </td>
  <td>
  <div id=3DPPTP12 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0055.htm');" id=3DPPTL12>Fall/Winter 201=
0/2011
  <br>
    Clinical Interventions:</a></font></div>
  <div id=3DPPTC12 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Respiratory infections</li>
   <li>Gastrointestinal infections</li>
   <li>Influenza vaccine blitzes</li>
   <li>Abscesses/wound care</li>
   <li>Rashes, animal/insect bites, minor injuries</li>
   <li>Detox/treatment referrals</li>
   <li>Mental health assessments</li>
   <br>
   <br>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>13</font></div>
  </td>
  <td>
  <div id=3DPPTP13 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0057.htm');" id=3DPPTL13>Clinical Interv=
entions:</a></font></div>
  <div id=3DPPTC13 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Prescription medication &amp; renewals</li>
   <li>STI testing</li>
   <li>TB assessments</li>
   <li>Dental referrals</li>
   <li>Methadone maintenance support</li>
   <li>Harm reduction interventions</li>
   <li>Outreach visits to hospital</li>
   <li>Referrals to other community services</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>14</font></div>
  </td>
  <td>
  <div id=3DPPTP14 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0060.htm');" id=3DPPTL14>Recommendations=
 2011/12
  <br>
    <span style=3D'mso-spacerun:yes'>&nbsp;</span>VCH Clinical Support</a><=
/font></div>
  <div id=3DPPTC14 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Dedicated locked cupboard space for health care supplies (this was o=
nly
       available at Howe St).</li>
   <li>Dedicated space within the shelter for hand washing, privacy and
       clinical assessments.</li>
   <li>Scheduled clinics plus on-call availability</li>
   <li>Pneumonia/Influenza Vaccine Blitzes</li>
   <li>TB/HIV, POC testing blitzes</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>15</font></div>
  </td>
  <td>
  <div id=3DPPTP15 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0048.htm');" id=3DPPTL15>Managed Alcohol=
 Program</a></font></div>
  <div id=3DPPTC15 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <br>
   <br>
   <br>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>16</font></div>
  </td>
  <td>
  <div id=3DPPTP16 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0049.htm');" id=3DPPTL16>Background</a><=
/font></div>
  <div id=3DPPTC16 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Costs of alcohol-related harm in Canada (2002) $14.6 billion</li>
   <li>productivity (illness/ premature death):<span
       style=3D'mso-spacerun:yes'>&nbsp; </span>7.1billion</li>
   <li>direct health care:<span style=3D'mso-spacerun:yes'>&nbsp; </span>$3=
.3
       billion</li>
   <li>law enforcement:<span style=3D'mso-spacerun:yes'>&nbsp; </span>$3.1
       billion</li>
   <ul>
    <br>
    <br>
   </ul>
   <li>This translates to $463/ every Canadian</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>17</font></div>
  </td>
  <td>
  <div id=3DPPTP17 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0059.htm');" id=3DPPTL17>Treatment Goals=
</a></font></div>
  <div id=3DPPTC17 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <br>
   <li>WHO 2001 goals of therapy</li>
   <li>the reduction of alcohol related morbidity and mortality</li>
   <li>the reduction of other social and economic problems related to chron=
ic
       and excessive alcohol consumption</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>18</font></div>
  </td>
  <td>
  <div id=3DPPTP18 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0050.htm');" id=3DPPTL18>VCH Services</a=
></font></div>
  <div id=3DPPTC18 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Detoxification/withdrawal management</li>
   <li>abstinence based support groups</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>19</font></div>
  </td>
  <td>
  <div id=3DPPTP19 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0051.htm');" id=3DPPTL19>Managed Alcohol
  Protocol</a></font></div>
  <div id=3DPPTC19 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Expected Client Outcomes</li>
   <li>Reduce risks related to drinking</li>
   <li>Increase client engagement</li>
   <li>Decrease frequency of intoxication through providing small amounts of
       alcohol spread throughout the day</li>
   <li>Prevention of withdrawal and attendant adverse consequences</li>
   <li>Reduce use of emergency and acute care services</li>
   <ul>
    <br>
    <br>
    <br>
   </ul>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>20</font></div>
  </td>
  <td>
  <div id=3DPPTP20 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0052.htm');" id=3DPPTL20>Guidelines &amp;
  Assessment</a></font></div>
  <div id=3DPPTC20 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Dosing &amp; Frequency</li>
   <li>1 standard drink per hour; up to 12 drinks in 24 hours</li>
   <li>40% beverage alcohol</li>
   <ul>
    <br>
    <br>
   </ul>
   <li>Assessment</li>
   <li>A brief assessment must be completed prior to each dose</li>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>21</font></div>
  </td>
  <td>
  <div id=3DPPTP21 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0053.htm');" id=3DPPTL21>Case Study:<span
  style=3D'mso-spacerun:yes'>&nbsp; </span>50 year old male</a></font></div>
  <div id=3DPPTC21 class=3DCTxt style=3D'display:none'><font size=3D2>
  <ul>
   <li>Homeless - currently at Pennsylvania Supported Suites</li>
   <li>On Income Assistance - since at PSS</li>
   <li>Married</li>
   <li>Has one child</li>
   <li>Legal issues (+)</li>
   <li>Substance Use History - Alcohol:</li>
   <li>Started at age 8</li>
   <li>Drinks 40 ounces daily</li>
   <br>
   <br>
   <br>
   <li>Listerine (preferred) + other non-beverage alcohol</li>
   <li>Not interested in abstinence</li>
   <li>Past Medical History Includes:</li>
   <li>Seizures &#8211; status epilepticus</li>
   <li>Multiple fractures (wrist, humerus) MVA</li>
   <li>Brain abscess 2007 (prev. IVDU)</li>
   <li>145 admissions Hospital Admissions (Aug 2008 to Aug 2010 =3D 1 admis=
sion
       every 5 days)</li>
   <br>
   <br>
  </ul>
  </font></div>
  </td>
 </tr>
 <tr onmouseover=3D"Over(this)" onmouseout=3D"Out(this)" onclick=3D"Follow(=
this)"
  style=3D'cursor:hand'>
  <td align=3Dright valign=3Dtop>
  <div class=3DsldNum><font size=3D2>22</font></div>
  </td>
  <td>
  <div id=3DPPTP22 class=3DPTxt><font size=3D2><a
  href=3D"javascript:GoToSld('slide0029.htm');" id=3DPPTL22><span
  style=3D'mso-spacerun:yes'>&nbsp;</span></a></font></div>
  </td>
 </tr>
</table>



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