Joseph Marafito is a Community Psychologist with over 30 years of progressive supervisory, program development and administrative experience in both the public and private sectors. He has worked as a clinician, community systems developer in both adolescent and adult services, and as an administrator of community based HCS waiver services. He has expertise in program evaluation, public policy development, fiscal management, revenue enhancement, program development, regulatory issues, residential program management and community outpatient services. He has enjoyed his work with executive and legislative branches of government through policy committees and workgroups advising branch administrators on system development and policy related matters. He also has significant experience serving on policy committees of human services trade associations. Joseph accomplished significant population reduction over a two year period at the beginning of the deinstitutionalization movement in CT; developed an agency in CT that provided community based services and eventually the first supported living program in CT; co-wrote and negotiated substance abuse grants; and expanded a substance abuse residential program serving adults to include adolescents and developed out patient services for both age groups in NY. A sample of recent consultant experiences include the restructuring and quality oversight of a Center for Excellence serving adolescents with co-occurring conditions (ID/DD and MH); and projects with states, disability organizations, health care companies, and private ID/D providers for organizational development, management innovation, reorganization, clinical program reviews and program evaluation. As a consultant, Joseph has completed an environmental scan for a health care organization; produced white papers regarding the inclusion of individuals with ID/D into managed care for long term services for another health care organization; evaluated of a state system’s quality assurance regulations, policies and procedures; researched systems development for children with co-occurring conditions; including research regarding the role of MCOs; and conducted clinical reviews for the implementation of Settlement Agreements.