During this time frame 4190 people were identified as having received DSMT at those hospital programs documented by a change for service generated in MARS. To be eligible for the AIC component of this study, a person had to have there initial education session during this time frame and have at least 2 ALC levels (1 before and 1 after the the initial ses-sion). Of the 4190 people receiving DSMT, 382 (9%)