Hello, Happy to chat with you about my work on providing TIC trainings in Primary Care safety net (PRIMARY CARE serving publicly funded patient populations) settings here in Portland , Oregon. I have been doing this for about 5 years now and appreciate the challenges for clinic staff and have seen the embrace of this practice spread across our community. There is a spreading recognition of the value to both practitioners and patients in adopting this cultural attitude. Laurie Lockert, MS, LPC