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d cSfATE4 <br /> C <br /> i <br /> 40" M1T <br /> y � QVAM �• <br /> North Carolina Department of Health and Human Services <br /> Division of Mental Health , Developmental Disabilities and Substance Abuse <br /> Services <br /> 3001 Mail Service Center • Raleigh , North Carolina 27699 - 3 001 <br /> Tel 919J33J011 • Fax 919 - 733 - 1221 <br /> Michael F . Easley , Governor <br /> Carmen Hooker Odom , Secretary Michael Moseley , Director <br /> April 22 , 2004 <br /> MEMORANDUM <br /> To : Legislative Oversight Committee Members <br /> MH / DD/SAS Commission <br /> Consumer/ Family Advisory Committee Chairs <br /> Advocacy Organizations and Groups <br /> North Carolina Association of County Commissioners <br /> County Managers <br /> County Manager Chairs <br /> North Carolina Council of Community Programs <br /> State Facility Directors <br /> Area Program Directors <br /> Area Program Board Chairs <br /> Provider Organizations <br /> MH / DD /SAS Professional Organizations and Groups <br /> MH / DD /SAS Stakeholder Organizations and Groups <br /> Other MH / DD/SAS Stakeholders <br /> From : Mike Moseley <br /> Re : Communication Bulletin # 017 *Sqwe plan <br /> - <br /> Maintaining Public Sector Access onununic r <br /> to Psychiatrists <br /> The purpose of this communication is to provide guidance as area /county programs proceed <br /> with divestiture of currently employed psychiatrists . Psychiatrists play a crucial role in <br /> diagnosing , treating and medically managing the care of persons with mental illness , <br /> developmental disabilities and substance abuse disorders . There are approximately 850 <br /> psychiatrists in North Carolina working in various settings , e . g . , academia , private practice , <br /> state facilities , federal facilities , public mental health clinics , etc . According to the U . S . <br /> Bureau of Primary Health Care , ninety- seven ( 97 ) of the State ' s one hundred ( 100 ) counties <br /> are designated as under served relative to psychiatry . The continued availability of this <br /> relatively scarce psychiatry resource for public sector clients is pivotal as system reform <br /> unfolds and the local authorities assume greater responsibility for serving those clients who <br /> are the most disabled . It is , therefore , incumbent upon the managers of the public mental <br />