, where the emphasis is a little bit different, conor house, and, maybe progress, mental health being the primary disease, and healthright 3 healthright 360, substance abuse be the primary disease. >> if a person needs a mental health placement or substance abuse placement, they're in the same room, so they can determine which way that person needs to go. >> supervisor ronen: and is that a doctor who makes that determination? >> i'll have our director of public health answer that, but it's usually some type of social worker or clinician who is trained in what is the priority, what is the clinical presentation of that person? they will review that and say based upon these criteria, you need this level of care. >> good morning, supervisors. so the assessment is done by a qualified practitioner, and that may be a clinical social worker or licensed family marriage therapist or nurse practitioner, and these individuals are all qualified to diagnose and assess treatment, so that is the structure at any given time. and also for our treatment access program, we have people that are cert