North Carolina Medical Journal



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Nov/Dec 2009

Putting People First: Services and Supports for People with Developmental Disabilities

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For information, please contact us at the North Carolina Institute of Medicine
630 Davis Drive, Suite 100
Morrisville, NC 27560
E-mail: ncmedj(at)nciom(dot)org

Phone 919.401.6599 ext. 25
Fax 919.401.6899



Staff and Editorial Board

THE NORTH CAROLINA MEDICAL JOURNAL
Founded by the North Carolina Medical Society in 1849
Published by The North Carolina Institute of Medicine (ISSN 0029-2559)

Publishers
Pam C. Silberman, JD, DrPH
President and CEO
North Carolina Institute of Medicine, Morrisville

Eugene W. Cochrane, Jr.
President
The Duke Endowment, Charlotte

EDITOR-IN-CHIEF
Thomas C. Ricketts III, PhD, MPH
Deputy Director
Cecil G. Sheps Center for Health Services Research
and
Professor
Health Policy and Management and Social Medicine
University of North Carolina at Chapel Hill

SCIENTIFIC EDITOR
John W. Williams, MD, MHS
Duke University, Durham

ASSISTANT SCIENTIFIC EDITOR
Ben Powers, MD, MHS
Duke University, Durham

EDITORS EMERITUS
Francis A. Neelon, MD
Duke University, Durham

Gordon H. DeFriese, PhD
University of North Carolina at Chapel Hill, Chapel Hill

ASSOCIATE EDITORS
Dana D. Copeland, MD, PhD
WakeMed, Raleigh

Mark Holmes, PhD
North Carolina Institute of Medicine, Morrisville

Mary L. Piepenbring
The Duke Endowment, Charlotte

Charles F. Willson, MD
East Carolina University, Greenville

SECTION EDITOR, RUNNING THE NUMBERS
Paul A. Buescher, PhD
NC DHHS, Raleigh

MANAGING EDITOR
Christine Nielsen, MPH
North Carolina Institute of Medicine, Morrisville
919.401.6599 ext. 25
fax: 919.401.6899
email: cnielsen (at) nciom (dot) org

ASSISTANT MANAGING EDITOR
Phyllis Blackwell
North Carolina Institute of Medicine, Morrisville
919.401.6599 ext. 27
fax: 919.401.6899
email: pblackwell (at) nciom (dot) org

BUSINESS MANAGER
Adrienne R. Parker
North Carolina Institute of Medicine, Morrisville
919.401.6599 ext. 28
fax: 919.401.6899
email: adrienne_parker (at) nciom (dot) org

GRAPHIC DESIGN
Angie Dickinson Design
770.704.0996
email:angiedesign (at) windstream (dot) net



EDITORIAL BOARD
Cynthia B. Archie, RN, MSN, EdD
Wayne Community College, Goldsboro

William K. Atkinson II, PhD, MPH, MPA
WakeMed Health and Hospitals, Raleigh

J. Steven Cline, DDS, MPH
Division of Public Health, NC DHHS, Raleigh

Fred M. Eckel, MS
North Carolina Association of Pharmacists, Chapel Hill

Elizabeth R. Gamble, MD, MSPH
Wake Forest University Baptist Medical Center, Winston-Salem

Ted W. Goins, Jr.
Lutheran Services for the Aging, Salisbury

Beth A. Griffin, MHP, PA-C
New Hanover Community Health Center, Wilmington

Blaine Paxton Hall, MHS-CL, PA-C
Duke University Health system, Durham

Margaret N. Harker, MD
Morehead City

Robert T. Harris
Trust for America's Health, Raleigh

Olson Huff, MD
Action for Children North Carolina, Asheville

Thomas G. Irons, MD
East Carolina University, Greenville

Delma H. Kinlaw, DDS
North Carolina Dental Society, Cary

Julienne K. Kirk, PharmD
Wake Forest University Baptist Medical Center, Winston-Salem

Ricky L. Langley, MD, MPH
Division of Public Health, NC DHHS, Raleigh

Mark Massing, MD, PhD
The Carolinas Center for Medical Excellence, Cary

Jane B. Neese, RN, PhD
University of North Carolina, Charlotte

M. Alec Parker, DMD
North Carolina Dental Society, Cary

Deborah Porterfield, MD, MPH
Division of Public Health, NC DHHS, Raleigh

Senator William R. Purcell, MD
North Carolina General Assembly, Laurinburg

Dennis R. Sherrod, RN, EdD
Winston-Salem State University, Winston-Salem

Polly Godwin Welsh, RN-C
North Carolina Health Care Facilities Association, Raleigh

Joyce M. Young, MD, MPH
IBM Corporation, Research Triangle Park

The Journal is published by The North Carolina Institute of Medicine and The Duke Endowment under the direction of its Editorial Board. Copyright© Copyright 2003 North Carolina Institute of Medicine. Address manuscripts and communications regarding editorial matters, subscription rates, etc., to the address below. All advertisements are accepted subject to the approval of the Editorial Board of the North Carolina Medical Journal. The appearance of an advertisement in this publication does not constitute any endorsement of the subject or claims of the advertisement. Listed in Index Medicus.

Advertising: 919.401.6599 ext. 27

Printing: The Ovid Bell Press, Inc., 1201-05 Bluff St., Fulton, MO 65251, 800.835.8919. Annual subscription (6 issues): $40 (plus 7% NC sales tax = $42.80). Institutional subscriptions: $60. Single copies: $10 Periodicals postage paid at Morrisville, NC 27560 and at additional mailing offices.





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