Pam has 43 years of experience working in a variety of capacities in the substance use and mental health services field including serving appointments under two Florida Governors to manage Florida’s publicly funded substance use prevention and treatment system. After leaving State government, in 1995 she moved to Key West Florida and ran Safe Port, the largest family-centered treatment program in the country at that time for child-welfare involved pregnant and parenting women with concurrent opioid, methamphetamine, and other substance use and mental health disorders and their children (serving 100 people including children at any given time). Pam has since been working as a national consultant for 25 years, and has now delivered training or technical assistance in every state in the country, two US territories, and with a grantee cohort of 160 tribes.