Support for our container housing application from the Local Action Team

I am delighted that the London Road Area Local Action Team has written a letter in support of the planning application by QED and BHT for 36 temporary homes to be provided in converted shipping containers at Richardson’s Yard off New England Hill.

The planning application number is BH2013/00245.  The Chair of the London Road LAT, Philip Wells, has written:

“I have been mandated by the London Road Area LAT meeting to write in support of this application. Representatives of BHT and developers have attended at least three open meetings on this subject.

“The majority of members present at the meeting 19th March 2013 and at previous meetings felt that this was an imaginative and appropriate provision to meet a very real need in Brighton for affordable accommodation for people making a genuine effort to get back into mainstream life in our city.

“Although the spaces concerned started life as shipping containers this is best thought of as a recycling venture resulting in comfortable, if quirky, well-equipped, energy-efficient dwellings. Some of our members’ accomodation is smaller than these units!

“The developers might consider giving the final edifice a brightly coloured finish, which would emphasise rather than attempt to disguise, the imaginative and unusual features of the housing provision.

“It would be only fair to mention the concerns that were raised by a small minority of members. This concern reflects the perception that London Road has more than its fair share of “street drinkers, drunks and drug users” – to put it most crudely – and that this development might seem to add to these problems rather than contribute to their solution.

“However the BHT CEO Andy Winter gave assurances, over and above planning considerations, that tenants would be assessed for suitability and great care would be taken that any problems of this nature would be remedied. This management would thus be comparable with similar existing accommodation in Ditchling Rise where no problems have come to the attention of the community as far as we are aware.

“Indeed we would hope possibly to welcome tenants to future LAT meetings as a helpful contribution to the community life of the area.”

South African housing delegation visits Brighton

A delegation of housing experts from South Africa has visited Brighton and Hove. The delegation was led by the Deputy Minister for Human Settlements, the Honourable Zoliswa Kota-Fredericks, and the Chief Executive Officer of the Southern African Housing Foundation, John Hopkins.

During the visit the delegation was received by the Mayor, Cllr Bill Randall, and met with various housing leaders in the City including the Chair of the Housing Committee, Cllr Liz Wakefield.

This annual event is a particular joy for me as I was born and brought up in Cape Town where most of the delegates come from.  It is inspiring to hear how our South African colleagues are coping with huge challenges, and it was an honour to show them some of BHT’s work tackling addiction and homelessness.

The delegation toured various development sites including the Open Market and a site in Wellington Road where the first council houses to be built in the City for twenty years are nearing completion.

Minister Kota-Fredericks was particularly interested in the possibilities of partnerships between the public and private sectors, and to learn what works and what problems there have been.

I liked the concept of ‘human settlements’ that goes above and beyond housing on its own.  The proposals for Toads Hole Valley is an example of this, what in the UK is referred to as one world living.

The delegates are today attending the Chartered Institute of Housing conference being held at the Metropole Hilton.

Twitter, who I am following, emails, and some shameless self-promotion

Do you, like me, sometimes pretend to know what people are saying when in fact you don’t?  I find this happens often on social media which can be fast moving and I find myself running just to stand still.

I don’t really get LinkedIn, I keep up with my daughter and nieces (I have no nephews) through Facebook, and feel out of my depth with most other social media. But I love Twitter. Some people liken Twitter to another email inbox. It is nothing like that. While emails demand and consume, Twitter feeds and inspires. While emails are a burden, Twitter is an inspiration.

I used to read two or three newspapers a day, now the only daily I read is the wonderful Brighton Argus. People criticise the Argus, but we would sorely miss it if it was not there. The cause for turning my back on daly papers is Twitter. I get far more information through Twitter, access to good writing, and most of all, I am entertained.

I follow too many people. It is said that it is possible to effectively follow a maximum of 150 people. I know I skim read my Twitter feed but there are those Brighton folk whose posts I always read including @Tony_Mernagh @huxley06 @robert_nemeth @ridgwaytim @brightonargus @BHcitynews @ChSuptBartlett @LisaSaysThis @ValeriePearce @RichDB_Brighton @IanChisnall @MelitaRadio @OurDaughtersUK @AMOQI @bonettpa @ArgusBizness and, in the interest of political balance, @chrishawtree @CoxGraham and @ThePennyDrops as well as my 45 or so @bht_sussex colleagues who are on Twitter. An absolute delight is @davemarthur who invariably makes me laugh or otherwise reminds me of my political roots. Apologies to those I have not mentioned – the list was getting rather long.

Being followed by famous people can be very flattering until you realise that three of the ‘big names’ who follow me follow thousands, even tens of thousands of people. I was thrilled when Desmond Tutu followed me. It wasn’t a fake account, it was actually the Tutu Foundation, sadly not the great man himself.

But back to my main point, not keeping up with the jargon. I have sympathy for David Cameron. I too thought LOL was “lots of love” although it is something I have never tweeted, and certainly never to Rebekah Brooks! I regularly RT but I hadn’t realised that I also MT. Apparently I have been MT-ing for months. I learned today that one should insert MT if you have modified a tweet, MT standing for ‘Modified Tweet’.

When I first joined Twitter I didn’t realise that to RT did not imply endorsement although, as was pointed out to me last year, a pattern of RT-ing can convey a message, such as the number of Tweets I re-Tweeted on the impact of welfare reform.

I had hoped that to MT was to offer some kind of endorsement, as in ‘meaningful tweet’. Alas, no. There are some tweets I would like to endorse. I would suggest ET but that acronym has already been taken.

I will continue to RT and try to remember to MT. When I do, it usually implies, but not always, endorsement from me, for what that is worth, which is probably not a lot! If you have yet to join Twitter, delay no more. A good starting place is to follow @AndyWinterBHT. How is that for a shameless bit of self-promotion!

Drug and Alcohol Conference 5th July 2012

The Drugs & Alcohol Today exhibition co-hosted with the 16th Annual Sussex DAAT Drug & Alcohol conference

Thursday 5th July 2012               Holiday Inn, Brighton

The event features a full programme of CPD accredited seminars and the exhibition of local, regional and national organisations and projects.

Only £30 to attend, with free places available to people currently using drug and/or alcohol services, unwaged, full-time students and volunteers.

How to register to attend

Exhibitors include

  • ADFAM
  • Pavilion bookshop
  • Brighton & Hove Drug & Alcohol Action Team
  • Frontier Medical Group
  • Action for Change
  • Blithe Computer Systems
  • Phoenix Futures
  • Kenward Trust
  • Open University
  • Trust the Process Counselling
  • Illy Systems

Seminars include

  • Drugs strategy update: the current landscape
  • Unpicking the alcohol recovery agenda: how can local authorities combine responsibilities and resources to maximum benefit?
  • The long view: what does the future look like for the sector without a national champion?
  • Managing substance misuse during pregnancy
  • What does recovery mean for families?
  • Prevention, alcohol, and young people
  • Transitions for young people
  • Case Study: Delivering an effective early intervention model for drugs & alcohol – Nottingham DrugAware Programme
  • Resilience
  • Recovery Pathway
  • Case Study: The Frequent Flyers Project
  • Case Study: The hostel-based Clinical Nurse Pilot
  • Peer mentoring, SMART and volunteering
  • Drug & alcohol consultations in A&E
  • Workforce support & development
  • Case study: Operation Street
  • Joint commissioning for substance misuse
  • The role of GPs in recovery

Speakers include

  • Martin Barnes, Chief Executive, DrugScope
  • Eric Appleby, Chief Executive, Alcohol Concern
  • Carole Sharma, Chief Executive, Federation of Drug & Alcohol Professionals
  • Richard Pike, South East Recovery Community Coordinator, CRI
  • Joss Smith, Director of Policy and Regional Development, ADFAM
  • Andy Winter, Chief Executive, Brighton Housing Trust
  • Mark Gilman, National Strategic Recovery Lead, National Treatment Agency
  • Sergeant Richard Siggs, Sussex Police
  • Nicola Singleton, Director of Policy Research, UKDPC
  • Tom Scanlon, Director of Public Health, NHS Brighton & Hove

Delegation from the Southern Africa Housing Foundation visits Brighton

A delegation from the Southern Africa Housing Foundation has come to Brighton on a fact-finding visit. The delegation included John Hopkins, Chief Executive of the SAHF, and Katleho Nchapha and Ntombenhle Nzimande of the Gauteng Partnership Fund.

Delegation from the Southern Africa Housing Foundation at the Moulsecoomb Housing Centre

Delegation from the Southern Africa Housing Foundation at the Moulsecoomb Housing Centre

The delegation met with Cllr Bill Randall, Leader of Brighton and Hove City Council, Cllr Liz Wakefield, Cabinet Member for Housing, and Cllr Rob Jarrett, Cabinet Member for Adult Social Care and Health.

The delegation toured various development sites around the City as well as the Moulsecoomb Housing Centre and BHT’s First Base Day Centre.

Southern Africa Housing Foundation 2012: at the Open Market development site are (left to right) Ntombenhle Nzimande, Katleho Nchapha, Andy Winter, John Hopkins, Sonja Hopkins, and Cllr Liz Wakefield

Southern Africa Housing Foundation 2012: at the Open Market development site are (left to right) Ntombenhle Nzimande, Katleho Nchapha, Andy Winter, John Hopkins, Sonja Hopkins, and Cllr Liz Wakefield

Given my upbringing in South Africa, this is one of my favourite events of the year, and John and Sonja Hopkins have become old friends.  When I was in Cape Town a couple of years ago they invited be for a barbeque (braaivleis in South Africa) at their home.

Championing abstinence is what is needed to tackle the drugs problem in Brighton and Hove

Brighton and Hove has the unenviable record of having the highest rate of drug-related deaths in the country.  The problem of drugs is being addressed at two events being held in the City during September.  I was recently invited to speak at the first event, a ‘Round Table’ discussion organised by the MP for Brighton Pavilion, Caroline Lucas.  I will also be speaking at the second event, open to the public, which is being organised by the MP for Hove, Mike Weatherley.  Details of this event can be found here.

Here is the text of my contribution to the Round Table discussion:

BHT’s treatment programmes and the benefits of an abstinence based approach

BHT services support chaotic drug users, many with a history of street homelessness, through harm minimisation interventions (such as the needle exchange operating at the Phase 1 Project), and we champion abstinence through our Detox Support Project and our residential rehab, the Recovery Project.

However, nothing we do, none of the services we offer, provides the answer we are seeking today. But each is a means to an end – and that end is normal living free from drug dependency.

If clients move from chaotic use to using a needle exchange, that’s great but we have to ask “what next?” If they stabilise their drug use by going on a maintenance script.  We again must ask “what next?” If they detox, at BHT we ask what next?  If they go into residential rehab, we continue to ask “what next?”

I believe all interventions have a place in the recovery process.  However, we must constantly ask what is best for our clients. And we must actively help clients move through to the next stage of recovery. 

If any service does not move its clients through to the next stage at the earliest possible opportunity, not months and years into an intervention but within days and weeks, that service is selling its clients short.

I fear that there has been, for over two decades, a government-led lack of ambition on behalf of drug users. It has resulted in far too few clients moving from dependency into abstinence, and too many people have been left with one foot still in drug-using culture.

In Brighton andHove, the promotion of abstinence has been largely ignored.  Other than CRI’s St Thomas Fund and BHT’s Addiction Services, no funded service has abstinence as its primary focus.

This has resulted, inevitably, in a year on year increase in the number of addicts, either using street drugs or those on maintenance scripts (and they are probably topping up on street drugs).

Why are we failing to get beyond harm minimisation, through abstinence and into stable housing, education, training and employment?  I can think of three possible reasons:

Skills: Are our workers as skilled as they should be?  Do we need to review our training so that they can become more effective in helping clients achieve abstinence?

Attitude: Too many in the drugs field find too many reasons why an abstinence approach is not right for a particular client or as they will say, the client is not ready.  There used to be a programme locally called the Abstinent Programme but meaning abstinence from street drugs. There is a lack of ambition.

Policy: Medicated treatment as an outcome has been the policy of successive governments and also at a local commissioning level.  We now have a perfect opportunity to change that.  The Coalition Government’s strategy is for a ‘treatment revolution’ and that abstinence should be championed.  I welcome this wholeheartedly, although I have doubts about the approach it is taking to payment by results.

What are the consequences of us not championing an abstinence approach in all services:

  • Ever-increasing numbers of drug users
  • Ongoing social dysfunction
  • More and more children needing to be looked after by the local authority at huge cost
  • Increased domestic violence
  • An inevitable increase in drug-related deaths
  • An increase in crime
  • Increase demands on health services
  • Damage to the reputation of the City and consequentially its economic health.

A further consequence of not changing is that in ten years time we, or our successors, will be sitting in a room like this asking what can be done about the drug problem in the City and the unacceptably high drug-related death rate.

So, we should start by acknowledging that clients want abstinence.  Locally, just 9% leave drug services drug free, compared to a national average of 14%.

BHT originally adopted an abstinence approach directly in response to demands from clients. Over the years this message from clients has become stronger, and those who make it into our service offer the criticism that they were either not made aware of our service, or abstinence was never presented as an option.  In fact, it is not uncommon for clients to say they were actively discouraged from seeking abstinence.

A monitoring questionnaire used to ask clients what they wanted to achieve when approaching a drug service.  In year 1 the answer, in 83% of cases, was abstinence.  The question was discontinued.

Unless we collectively overcome this lack of ambition for our clients, unless we seek the best outcome for them (and at the earliest opportunity), and until we stop justifying drug use as a “life style choice”, we will continue to fail our clients and our City.

Finally, a question: What would you want for your son or your daughter if they had an addiction? Ongoing maintenance or a clear move towards a drug-free life?  We should also want the best for our clients.

Suicide is often not related to mental illness – defending local services

I have just been interviewed for an item to go out later in the week on BBC South Today. The item is aiming to highlight the number of suicides of those who have been in the care of NHS mental health services across the south. Compared to other localities, it appears that Sussex has a higher rate of suicides amongst those leaving mental health services.

The problem with Freedom of Information disclosures, on which this report is based, is that it is all too easy to conclude that this higher rate is due to failures on the part of NHS services. It ignores many other attributable factors such as the influence of alcohol and drugs, relative levels of social and financial deprivation and, critically, the varying means by which people kill themselves. On all these factors, Sussex is likely to fare worse than other areas. For all we know, the mental health services locally might be doing a better job in more challenging circumstances than their counterparts in Berkshire, Dorset and Surrey.

The area I know best, Brighton and Hove, is a mixture of affluence and deprivation. I believe that the services for those with mental health problems, offered by statutory and voluntary sector services alike, are better than at any time in the 25 years that I have worked in mental health and support services. Services work better together and there is more varied provision for those in most need.

That is not to say that more does not need to be done. The alcohol and drug problems in Brighton and Hove will result in higher mortality rates including those who are suicidal as alcohol is often associated with suicide and drugs provide the means.

Debt is also a major issue and is likely to become more so. The number of those who are ‘financially fragile’ is increasing and debt is a causal factor in suicide and homicide. No matter how excellent a mental health service is, unless the debt issues are addressed, the risk of suicide can remain. If someone with crippling debt is hospitalised because they are a risk to themselves, unless the debt can be addressed, they will still be facing a box full of unopened bills on their discharge. That could well tip the balance even if they have had the most excellent in-patient experience.

So what can be done? Number one is the need to address alcohol and drug misuse, both during inpatient episodes and in the community. The second priority is to ensure that our assessments focus on precipitating factors for suicide, such as debt, relationship breakdown, bereavement, and pain. Where support hasn’t been arranged around these issues, it must be put in place.

Thirdly, we need to recognise the excellent support services that are out there. BHT’s own Route 1 Project provides support and accommodation to those leaving hospital. This ranges from high support to much lower interventions. In the eight years that Route 1 has been operational we have not had a single suicide. This is an example of the excellent partnership work between Sussex Partnership NHS Trust and a third sector organisation, benefiting those who are most vulnerable.

Suicide isn’t usually to do with mental illness. Social interventions can often be more relevant than those provided by mental health services. I admire and respect the work services are doing locally and I know there isn’t complacency. But we must make sure that the right interventions are being provided in each and every case, and we must be careful not to blame NHS services when other factors are probably more relevant. I am not sure that this is the view that the BBC reporter was looking for.

Recovery is Possible – Official government policy!

I feel very positive about the publication of the Government’s new Drug Strategy with its emphasis on abstinence. For those with an addiction, as BHT clients have told over many years, they cannot control their use and abstinence is the only sustainable option. Abstinence allows, as it is said “a bridge to normal living”. This must include training, work experience and employment. As someone with a great commitment to creating opportunities for our clients, the options available to them are severely limited if they maintain a drug-using lifestyle, be it with illegal or prescribed drugs. I personally would be most reluctant to entrust responsibility to an individual who still has a foot in the drug using culture.

What excites me about today’s announcement is that the approach we have taken in BHT over many years is being endorsed at the highest levels of government. Our services range from engaging with drug users at their most chaotic point, stabilising them and then helping them (in partnership with the NHS, City Council and the charity Crime Reduction Initiatives) to move through detoxification, into rehabilitation and then onto employment, training and employment.

What clients want and what they can achieve must never be held back by an absence of ambition on the part of professional workers. Even this morning, on the radio, there have been drug workers (not from this area I hasten to add) saying that abstinence is not something everyone can achieve and maintain. I think that is defeatist nonsense. It isn’t easy but I don’t believe we should write anyone off. With the government’s emphasis on abstinence, we are left in no doubt what is required of us and I for one am excited about the difference this should make to addicts up and down the country. For about 20 years BHT’s Addiction Services has been saying “Recovery is possible”. This is now government policy!

Heritage Lottery Funding for First Base Day Centre

Pictured at the announcement of the award on Monday 15th November were (left to right) Caroline Lucas (Member of Parliament for Brighton Pavilion), Stuart McLeod (Head of the Heritage Lottery Fund in the South East), Councillor Maria Caulfield (Cabinet Member for Housing on Brighton & Hove City Council) and Andy Winter (Chief Executive, BHT)

Great news.  BHT has been awarded a Heritage Lottery Fund (HLF) grant of just under £320,000 to help restore the hidden architectural details of St Stephen’s Hall in Montpelier Place, Brighton – home to First Base Day Centre.  This exciting five year project will give service users, together with local schools and the wider community, the opportunity to get involved in an education and activity programme that will bring to life the history of St Stephen’s Hall through historical research and practical conservation workshops, while investigating the history of homelessness and the welfare state in Brighton.

The announcement was made earlier today at First Base Day Centre, which is already undergoing substantial refurbishment thanks to a grant from the Departent for Communities and Local Government and in partnership with Brighton and Hove City Council.

You can read more on the Heritage Lottery website

Reflections on 25 Years at BHT

I started working for BHT 25 years ago today. I hope you will forgive me for posting something more lengthy than usual: my reflections on BHT, what we are here to do, and the need to increase the pace and scale of change for the benefit of our clients.

BHT’s Mission (“combating homelessness, creating opportunities, promoting change”) doesn’t go back quite 25 years, but it continues to provide a neat summary of what we are about. Or does it? We have recently reviewed the Mission and what we mean by it, and fresh challenges have emerged, not least because of the economic and social policy changes we are facing.

In his speech in Downing Street, immediately after being asked to form a government, David Cameron said he aimed to “help build a more responsible society here in Britain… those who can should and those who can’t, we will always help. I want to make sure that my government always looks after the elderly, the frail, the poorest in our country”.

Since that speech, government ministers have emphasised the message that individuals ‘who can’ are expected to take responsibility for addressing their situation and for moving from dependency on benefits and into work. Measures are being put in place to put pressure on claimants to seek work. The change to housing benefit eligibility is an obvious and high profile measure that the government seems determined to implement in spite of wide-spread opposition.

There are some proposals which I, personally, welcome and endorse. The government is determination to tackle drug problems. Those with drug problems will have to engage in treatment or they will lose their benefit entitlement. I have some serious concerns about this, but not so the treatment model that Ministers are promoting. They have instructed the National Treatment Agency to “champion abstinence”, a 180 degree change from that of the previous government where stabilisation and harm minimisation was the objective. This is a policy change that I, personally, have advocated for more than a decade and one which I warmly welcome.

I believe that if we are to see lasting change for those with addictions, achieving abstinence is not the end goal, it is merely the starting point for a transition to normal living.

The services provided by BHT remain as relevant as ever, and the need is likely to increase. What each service seeks to achieve will need to be reviewed, partly in light of the changing social policy and financial environment, but mainly because regular reviews are the right thing to do.

BHT must retain and enhance its reputation of ‘doing difficult’, working with homeless men and women, including those with complex needs, and we must retain our ability to work with people where they are at. But we must also ensure that by emphasising the vulnerabilities and problems experienced by some of our clients, we do not ‘ghettoise’ all clients. Many of our clients are in housing need simply because of the lack of affordable housing. As my colleague John Holmström continually reminds me, we must put housing back into homelessness!

Combating Homelessness

BHT recognises that there is a genuine shortage of affordable and social housing and that alternate provision is required to meet housing needs of our clients through the private rented sector. Securing social housing for our core client group is becoming a less achievable outcome and will remain so, at least during the lifetime of this parliament. Councils are using new legal freedoms to give people with a job an advantage over unemployed people when it comes to gaining social housing. Already Manchester, Rochdale, Newcastle, Barnet, Uttlesford and Westminster (who between them manage almost 86,000 homes) are amongst those who plan to give people in work or training priority in the allocation of social housing.

BHT’s current policy is to campaign for greater provision of social housing. While we will continue to argue the case for public investment into bricks and mortar, in the current environment our clients are likely to be best served by increasing access to the private rented sector. In doing so we will need to be upfront and honest with our clients that social housing is not likely to provide a solution to their housing need. We need to ensure that they are focused on preparing themselves for housing in the private rented sector and all that that entails. If our clients are able to secure social housing, that will be a bonus.

Creating Opportunities

BHT creates opportunities and circumstances that will increase the potential for clients to be housed, undertake training and education, and secure employment since poverty is a major reason for homelessness and ill health. In the current environment, our clients will not thrive if they opt out of engaging in rehabilitation, training and employment opportunities. Our staff must ensure they motivate clients to actively engage with this approach, and they should spell out the consequences of ‘opting out’ in terms of housing opportunities and future welfare benefit entitlement.

We must ask if we trap people with their labels, get people identified by their problem. Do we inadvertently create ‘ghettos’ by reinforcing the problem by providing services that might suggest that mainstream services are for others? Do we have the right attitudes, culture and expertise to ensure that clients have ambitions, and that those ambitions are meaningful and achievable? And do we nurture hope and aspirations within our clients?

On the whole I think we are doing ok and in some areas very well, but there are some areas and individuals who may argue that clients have a right, for example, not to address their alcohol or drug problem, who will excuse a failure of a resident to pay rent, or who will focus on a ‘counselling approach’ at the expense of housing, training and employment solutions. I believe that should such attitudes or work practices exist, they need to change.

Promoting Change

‘Combating homelessness’ and ‘creating opportunities’ are fairly straightforward concepts. Not necessarily so with ‘promoting change’. Most, if not all, staff would support the concept of ‘change’, and BHT does some inspirational work in facilitating change for our clients, but we now need to go to the next level by being clear exactly what “promoting change” means. There may be a few who would qualify a commitment to change with “only if that is what the client wants” or “but clients have the right not to change”. What the client wants or does not want should not be the defining factor for us. We have a moral duty to work in the best interest of the client and clients as a whole. True advocacy requires the advocate to spell out what is best; it is not merely giving a voice to a client’s wishes regardless of how unachievable or non-sustainable such wishes are.

I believe that the pace and scale of change can and must be increased, firstly, because it is right for our clients and, secondly, because of the prevailing economic and social policy imperatives that have emerged following the 2010 general election. There should be an expectation that staff ‘drive’ change. The concept ‘promoting change’ is not passive. In doing so we must equip clients to manage their problems and to sustain progress made.

Whatever our views are of the approach of the Coalition Government, those “who can” who remain dependent on welfare benefits and state support will find fewer opportunities (accommodation, benefits, etc.) and a more ‘coercive’ approach from government. We must prepare our clients for this reality. There needs to be a sense of urgency about this agenda.

During the remainder of 2010/11, we need to review our approach to ‘change’, its scale and pace, and put in place new policies and approaches should they be required.

 There are a number of issues that will need to be explored further. For example: 

  • How can we understand the difference between ‘can’t change’ and ‘won’t change’, and how we should continue to work with clients in each group? We don’t want to create new classes of excluded men and women.
  • How should we position ourselves regarding choices and consequences? For example, with rents, should we only support move on if someone has no arrears, or no arrears for 3 or 6 months, etc.? This is a real client-centred approach where we treat them in the real world, not in some cotton-wool world.
  • What can we expect, even demand, from clients when considering what is “for the greater good”?

How we do this must be left with individual services, but I am giving out a clear message that we need to increase the pace and scale of change. It is a message that should be welcomed by most, not least because the greater the change, and the sooner it happens, can only be good for our clients. BHT, its staff and supporters have a lot to be proud of, and we can be excited about the difference we will be making to the lives of our clients for the next 25 years.