1 FAM 360
Bureau OF MEDICAL SERVICES (MED)
(CT:ORG-536; 09-18-2019)
(Office of Origin: MED/DO/EX)
1 FAM 361 chief medical officer /
Designated safety and health official (dASHO) FOR THE BUREAU OF MEDICAL
SERVICES (MED)
1 FAM 361.1 Responsibilities
(CT:ORG-536; 09-18-2019)
a. The Chief Medical Officer is responsible for the worldwide medical
program for the Department and other participating Federal Agencies. The Chief
Medical Officer reports directly to the Under Secretary for Management. The
Chief Medical Officer position is equivalent to Assistant Secretary. He or she
advises the Secretary through the Under Secretary for Management on all health
issues, and provides international and domestic medical support to members of
the Foreign Service and other eligible U.S. Government employees, and to
eligible family members.
b. The Departments worldwide health program provides
medical support through policy and planning to members of the Foreign Service
and other eligible U.S. Government employees, and to eligible family members.
Responsibilities of this Bureau include:
(1) Operation of a worldwide and domestic health
program for eligible beneficiaries;
(2) Administration of medical claims, reimbursements,
and expenditures for the medical program;
(3) Oversight of recruitment, hiring, assignments and
staffing of medical professionals;
(4) The overall substantive responsibility for Volume
16 of the Foreign Affairs Manual (Medical Program);
(5) Oversight of preventive medicine programs;
(6) Provision of medical intelligence and technical
advice to the Department on natural disasters, epidemics, unexplained or
unexpected health incidents, and terrorist acts against the U.S. Government;
(7) Provision and direction of medical support to the
Departments security and protective operations;
(8) Technical review of contracts and other agreements
designed to provide medical care to eligible Government employees and
contractors, and ongoing quality assurance support through the contracts
period of performance.
c. The Chief Medical Officer
also serves as the Designated Agency Safety and Health Official (DASHO).
Along with the Bureau of Overseas Buildings Operations Managing Director for
Operations (OBO/OPS) and the Deputy Assistant Secretary for Operations (A/OPR),
he/she assists the Secretary of State in coordinating the Department's Safety
and Health Program to meet the intent of Executive Order 12196 and the
Occupational Safety and Health Administration (OSHA) standards in 29 CFR, in
accordance with 1
FAM 211.2, 1
FAM 213, and 15
FAM 921.
1 FAM 361.2 Organization
(CT:ORG-402; 11-29-2016)
An organizational chart of the Bureau of Medical Services
is found in 1
FAM Exhibit 361.2.
1 FAM 361.3 Authorities
(CT:ORG-402; 11-29-2016)
The Bureau of Medical Services derives its authority from:
(1) The Foreign Service Act of 1980, as amended, 22
U.S.C. 3901 et seq., particularly sections 901 (Travel, Leave, and Other
Benefits) (22 U.S.C. 4081) and 904 (Health Care) (22 U.S.C. 4084) of the Act;
(2) The State Department Basic Authorities Act of
1956, as amended, 22 U.S.C. sections 2651a et seq., particularly sections 1-4;
(3) The Occupational Safety and Health Act of 1970, as
amended, 22 U.S.C. 651 et seq., particularly at 29 U.S.C. section 668, and
implementing regulations at 29 CFR section 1960.6;
(4) The Privacy Act of 1974, as amended, 5 U.S.C. 552a;
(5) The Freedom of Information Act of 1966, as amended
(FOIA), 5 U.S.C. 552, and implementing regulations at 22 CFR Part 171;
(6) The Omnibus Diplomatic Security and Anti-Terrorism
Act of 1986, as amended, 22 U.S.C. 4802, section 103 (Responsibility of the
Secretary of State).
1 FAM 362 Principal DEPUTY CHIEF
MEDICAL OFFICER (MED/PD)
(CT:ORG-536; 09-18-2019)
a. The Principal Deputy Chief Medical Officer for the
Bureau of Medical Services (MED/PD):
(1) Serves as the chief strategy officer for the
Bureau, translating intent and directives from the Chief Medical Officer and
other Department senior officials to tangible and constructive systems
development. Translates, formulates and implements worldwide medical program
policies for the Department of State and other participating U.S. government
agencies;
(2) Synchronizes the efforts of the Deputy Chief
Medical Officers for Clinical Programs and for Mental Health Programs to implement
cohesive and comprehensive change across the Departments medical enterprise;
(3) Supervises the Regional Medical Managers;
(4) Provides managerial oversight to the Medical
Specialists Staff Office;
(5) Reports to the Chief Medical Officer/DASHO and participates
fully in the operation and management of MED;
(6) When designated, serves as Acting Chief Medical
Officer/DASHO.
b. The Principal Deputy Chief Medical Officer must be
familiar with all major functions of MED. He or she is responsible for representing
MED, serving as liaison with Department Bureau heads, Chiefs of Mission, and
staff members abroad.
1 FAM 362.1 Medical Specialists
Staff Office (MED/PD/MSSO)
(CT:ORG-536; 09-18-2019)
a. The Medical Specialists Staff Office is responsible
for providing professional, medical administrative and training support to
medical specialists employed by the Bureau and to overseas Health Unit
personnel. The Medical Specialists Staff Office:
(1) Oversees the medical professional development and training
for medical specialists;
(2) Defines and develops the curriculum for continuing
medical education programs provided by the Bureau for its professional staff;
(3) Oversees on-going medical training and continuing
education for locally employed medical personnel employed in overseas Health
Units;
(4) Coordinates the Bureau orientation process for new
Foreign Service medical personnel;
(5) Manages the Medical Provider (MP) program
assignment process;
(6) Oversees mentoring processes and programs for the
medical specialists staff;
(7) Develops nursing protocols utilized in overseas
health units;
(8) Participates
in MEDs credentialing process and assists in determining clinical privileges
of Foreign Service Medical Specialists and Personal Service Contractors through
reviews of clinical performance and competencies;
(9) Manages
staffing support for Health Units abroad through deployment of rovers,
re-employed annuitant (REA) personnel, personal service contractors, and other
resources;
(10) Liaises
with the Bureau of Administration Logistics Management Acquisitions (A/LM) on
procurement support for overseas Health Units; and
(11) Liaises with Human Resources Career Development
and Assignments Office (HR/CDA) on all Foreign Service medical specialist assignments.
b. The Director of the Medical Specialists Staff Office
reports directly to the Principal Deputy Chief Medical Officer. He or she supervises the
Director of Overseas Nursing, the Training and Professional Development
Coordinator, and the MP rovers.
1 FAM 362.2 Regional Medical
Managers (RMM)
(CT:ORG-536; 09-18-2019)
a. Regional Medical Managers (RMMs) are responsible for
providing MED-specific oversight and direction to medical personnel in their
assigned geographic region. RMMs:
(1) Provide guidance on medical program management
issues to Foreign Service Medical Specialists located in their region;
(2) Provide direct clinical supervision to
Foreign Service Regional Medical Officers (RMOs) and Medical Providers
(MPs) assigned within their regions.
(3) Coordinate Bureau response to medical crises in
their region;
(4) Oversee the development of staffing plans for
their assigned regions;
(5) Ensure newly hired medical employees in their
assigned regions have appropriate mentorship;
(6) Participate in the quality assessment process for
Health Units and medical staff; and
(7) Report directly to MED senior leadership on issues
regarding the medical program at posts and on the performance of medical
professionals in their regions.
b. RMMs are supervised by the Principal Deputy Chief
Medical Officer.
1 FAM 363 DEPUTY CHIEF MEDICAL OFFICER
FOR OPERATIONS (MED/DO)
(CT:ORG-536; 09-18-2019)
a. The Deputy Chief Medical Officer for Operations
(MED/DO):
(1) Serves as the chief operating officer for the Bureau
of Medical Services, with oversight responsibility, through the Executive
Director, for human resources, budget, resource planning, acquisitions,
informatics, legislative affairs, and all other management functions;
(2) Provides managerial oversight, through the
Managing Director of Operational Medicine, for the development, resourcing,
synchronization, coordination, deployment, and sustainment of medical support
to security, protection, and crisis response operations, including medical
support provided by employees of other Bureaus under 16 FAM 135 and
through third party contracts;
(3) Provides executive oversight, through the Director
of Medical Informatics, for the resourcing, development, refinement,
sustainment, and compliance of information management systems within the Bureau
of Medical Services;
(4) In consultation with the Managing Director for
Operational Medicine, develops, coordinates, and maintains interagency liaison
functions with other federal Departments and Agencies, the intelligence
community, international partners and organizations, non-governmental
organizations, and private industry;
(5) Reports to the Chief Medical Officer/DASHO and
participates fully in the operation and management of MED;
(6) When designated, serves as Acting Chief Medical
Officer/DASHO;
(7) Serves as the Bureaus Management Control
Coordinator in accordance with 2 FAM 022.8.
b. The Deputy Chief Medical Officer for Operations must
be familiar with all major functions of Bureau of Medical Services. In
consultation with the Managing Director of Operational Medicine, he or she is
responsible for representing MED, serving as liaison with outside federal
Departments and Agencies, the National Security Council at the Policy
Coordination Committee level, Department Bureau heads and Executive Directors,
Chiefs of Mission, and staff members abroad.
1 FAM 363.1 Managing Director of
Operational Medicine (MED/DO/OM)
(CT:ORG-536; 09-18-2019)
a. The Managing Director of Operational Medicine has
primary responsibility for formulating, directing, and implementing policies
that provide medical support to covered personnel in high threat environments,
and is responsible for planning, resourcing, and executing health support
activities in such environments outside normal Health Unit activities.
b. The Managing Director of Operational Medicine
directly supervises the Director of the Office of Strategic Medical
Preparedness and the Director of the Office of Protective Medicine, and retains
responsibility for the management, direction, and development of functions
administered by the Office of Strategic Medical Preparedness and the Office of
Protective Medicine.
c. The Directorate of Operational Medicine
(MED/DO/OM):
(1) Directs liaison activities with medical support
counterparts within other U.S. government departments and agencies as the
Departments focal point medical contingency planning and response;
(2) Directs and oversees the Department's
multi-mission aviation support services contract, to include the provision of
all program office management functions;
(3) Provides medical direction for a program for
qualified Emergency Medical Technicians in the Bureau of Diplomatic Security
and other participating Bureaus, in consultation with MEDs credentialing
executive; and
(4) Directs interagency strategic medical planning
fellowship programs with the Department of Defense and other partner
organizations.
d. The Managing Director of Operational Medicine represents
MED on medical security and intelligence issues, serving as liaison with
Department and interagency leaders. He or she reports directly to the Deputy
Chief Medical Officer for Operations.
1 FAM 363.1-1 Office of Strategic
Medical Preparedness (MED/DO/OM/SM)
(CT:ORG-536; 09-18-2019)
a. The Office of Strategic Medical Preparedness is
responsible for developing strategic medical contingency plans, managing the
Departments strategic stockpiles of medical equipment and pharmaceuticals, and
developing and executing mass casualty training programs for high threat posts.
b. The Office of Strategic Medical Preparedness
(MED/DO/OM/SMP):
(1) Conducts collaborative efforts with DS/C/WMD to
identify emerging biological and chemical threats to Department operations;
directs program office planning, resourcing, and the logistical management of
centrally administered MED emergency response kits, and MEDs Medical
Counter-Measures Program for biological/ nuclear/ chemical warfare agents,
pandemic illness, HIV, and other highly infectious pathogens, including
stockpiles of personal protective equipment.
(2) Develops and directs medical planning and support
for Department responses to natural and man-made disasters.
(3) Ensures the quality of the Departments emergency
medical response education programs; develops and directs medical training,
sustainment, and integration for Chief of Mission personnel deploying to
non-permissive environments; and develops and directs a mass casualty mobile
training program to serve high threat posts.
c. The Director of the Office of Strategic Medical
Preparedness reports directly to the Managing Director of Operational Medicine.
1 FAM 363.1-2 Office of
Protective Medicine (MED/DO/OM/PM)
(CT:ORG-536; 09-18-2019)
a. The Office of Protective Medicine is responsible for
the development and execution of medical support to security, protective, and
crisis response operations.
b. The Office of Protective Medicine (MED/DO/OM/PM):
(1) Develops and directs medical support programs to
security, protection, crisis response, and other special operations, including
medical planning and MED personnel detailed to support protective details,
crisis response, re-entry operations, and other high risk or high consequence
operations overseas;
(2) Develops and executes comprehensive medical
support to travel by the Secretary and other designated officials, including
in-transit direct medical support during travel by the Secretary;
(3) Provides supplemental medical support to high
threat posts at the request of Post or at the direction of the Managing
Director of Operational Medicine;
(4) Develops and directs medical and subject matter
expert support to the Foreign Emergency Support Team and other post-event
support elements;
(5) Provides medical direction for a program for
qualified Emergency Medical Technicians in the Bureau of Diplomatic Security
and other participating Bureaus, in consultation with MEDs credentialing
executive.
c. The Director of the Office of Protective Medicine
reports directly to the Managing Director of Operational Medicine.
1 FAM 363.2 Office of the Executive
Director (MED/DO/EX)
(CT:ORG-536; 09-18-2019)
a. The Office of the Executive Director is responsible
for management and administrative operations to ensure policies and programs of
the Bureau are efficiently and effectively implemented. The Office of the
Executive Director:
(1) Provides fiscal management of the Bureaus budget;
(2) Formulates, coordinates and submits Bureau
resource plans and requests;
(3) Handles claims from Department of State personnel
covered by the medical program for reimbursement of covered medical expenses;
(4) Provides general services support, including medical
supplies procurement, to the domestic operations of the Bureau outside the
Managing Directorate of Operational Medicine;
(5) Provides Human Resources support to Bureau
personnel either directly or through a HR shared services provider;
(6) Interfaces with Executive Offices of Regional
Bureaus and outside Agencies whose personnel are participants in the medical
program;
(7) Liaises with the central ICASS council as needed.
b. The Executive Director directly supervises the
Deputy Executive Director, the Chief of Human Resources, Chief of Logistics
Support, and the Budget Division Chief and reports directly to the Deputy Chief
Medical Officer for Operations.
1 FAM 363.3 Office of Medical
Informatics (MED/DO/IT)
(CT:ORG-536; 09-18-2019)
a. The Office of Medical Informatics is responsible for
developing, maintaining, and adapting medical information management systems
and tools to meet the needs of the Departments medical program. The Office:
(1) Manages electronic health record systems utilized
by the Department for the provision of medical care and medical program
administration;
(2) Oversees the development and maintenance of
telemedicine support services;
(3) Develops and supports medical information
databases maintained by the Bureau that detail local medical resources at
overseas posts;
(4) Supports other information management needs of
Bureau Offices; and
(5) Provides technical support to the Bureau on all information
technology needs including computer and telephonic systems.
b. The Director of the Office of Medical Informatics
reports directly to the Deputy Chief Medical Officer for Operations.
1 FAM 364 Deputy CHIEF MEDICAL OFFICER
For CLINICAL ProgramS (MED/CP)
(CT:ORG-536; 09-18-2019)
a. The Deputy Chief Medical Officer for Clinical
Programs is responsible for overseeing all clinical functions, services, and
programs provided by the Bureau to Department of State employees, their
eligible family members and others participating in the medical program. The
Deputy Chief Medical Officer for Clinical Programs:
(1) Has primary responsibility for formulating and
implementing clinical care policies for the Departments worldwide medical
program;
(2) Supervises the Managing Director for Clinical
Services, and the Directors of the Office of Foreign Programs and the Office of
Occupational Health and Wellness, and the Unit Chief for Quality Management;
(3) Through the Managing Director, provides oversight
and supervision to the Office of Medical Clearances and the Office of
Examinations;
(4) When designated, serves as acting Chief Medical
Officer/DASHO.
b. The Deputy Chief Medical Officer for Clinical
Programs must be familiar with all major functions of MED. He or she is
responsible for representing MED, serving as liaison with Department Bureau
heads, Chiefs of Mission, and staff members abroad.
c. The Deputy Chief Medical Officer for Clinical
Programs reports through the Principal Deputy Chief Medical Officer to the
Chief Medical Officer/DASHO.
1 FAM 364.1 Managing Director for
Clinical Services (MED/CP/CS)
(CT:ORG-536; 09-18-2019)
a. The Managing Director for Clinical Services is
responsible for oversight, execution, and policy development for all aspects
and components of the medical clearance process, including physical examination
and laboratory services directly provided domestically by the Department,
clearance determinations and adjudications, maintenance of required medical
records, and appeals of medical clearance decisions.
b. The Managing Director for Clinical Services directly
supervises the Director of the Office of Medical Clearances and the Director of
the Office of Examinations.
c. The Managing Director of Clinical Services reports
directly to the Deputy Chief Medical Officer for Clinical Programs.
1 FAM 364.1-1 Office of Medical
Clearances (MED/CP/CS/CL)
(CT:ORG-536; 09-18-2019)
a. The Office of Medical Clearances is responsible for
adjudicating and issuing medical clearance determinations based upon
established Bureau guidelines, procedures, and Departmental policy. The Office
collects and reviews medical information as necessary to issue medical
clearances to participants in the Departments worldwide medical program,
including Department of State employees, their eligible family members, and
others as specified in 16 FAM 210.
b. The Director of the Office of Medical Clearances
reports directly to the Managing Director of Clinical Services.
1 FAM 364.1-2 Office of
Examinations (MED/CP/CS/E)
(CT:ORG-536; 09-18-2019)
a. The Office of Examinations is responsible for
performing physical and laboratory examinations as required to issue medical
clearances to participants in the Departments worldwide medical program,
including Department of State employees, their eligible family members and
others as specified in 16 FAM 210.
b. The Director of the Office of Examinations reports
directly to the Managing Director of Clinical Services.
1 FAM 364.2 Office of Occupational
Health and Wellness (MED/CP/OHW)
(CT:ORG-536; 09-18-2019)
a. The Office of Occupational Health and Wellness
(MED/CP/OHW) assists the Chief Medical Officer in his or her role as the
Designated Agency Safety and Health Official (DASHO) through the coordination,
development and implementation of program objectives for the Department's
worldwide occupational health and safety program affecting domestic Department
employees, U.S. Government employees abroad under Chief-of-Mission authority and
their eligible family members.
b. The Office of Occupational Health and Wellness:
(1) Offers expert advice, recommendations, and program
implementation on occupational and preventive health services;
(2) In coordination with HRs Work Life Division,
directs the Departments Wellness Program activities;
(3) Liaises with the Departments Safety, Health, and
Environmental Management Office (OBO/OPS/SHEM) and the Domestic Environmental
and Safety Division (A/OPR/FMS/DESD) to reduce workplace injuries and
illnesses;
(4) Provides travel and immunization services
necessary to prevent diseases and illnesses related to overseas deployments to
eligible medical program participants at domestic sites.
(5) Assists the Departments Human Resources Employee
Relations Office (HR/ER) in making disability and reasonable accommodation
determinations through review of pertinent medical documents;
(6) Develops policy on pandemic disease response and
represents the bureau in the Departments overall pandemic response planning;
(7) Advises the DASHO and other Department
stakeholders on the possible health effects to personnel from air pollution and
other environmental hazards;
(8) Provides medical opinions to the Bureau of
Consular Affairs (CA) on visa issues when required; and
(9) Provides pertinent medical opinions to the Office
of the Legal Advisor (L) on extradition issues when required.
c. The Director of the Office of Occupational Health
and Wellness supervises the Occupational Medicine Division Chief, Travel and
Immunization Division Chief, and the Wellness Program Manager. He or she
reports directly to the Deputy Chief Medical Officer for Clinical Programs.
1 FAM 364.3 Office of Foreign
Programs (MED/CP/FP)
(CT:ORG-536; 09-18-2019)
a. The Office of Foreign Programs is responsible for
authorizing and managing medical evacuations of Department of State employees,
their eligible family members, and other participants in the Medical Program to
the United States. The Office also provides guidance and direction to deployed
MED staff on medical evacuations to designated overseas medevac centers. It
develops and implements policy regarding medical evacuations for the
Departments worldwide medical program.
b. The Director of the Office of Foreign Programs
reports directly to the Deputy Chief Medical Officer for Clinical Programs.
1 FAM 364.4 Quality Management
(MED/CP/QM)
(CT:ORG-536; 09-18-2019)
a. The Quality Management (QM) Staff Unit is
responsible for administering the Bureaus quality management system, to ensure
health care is delivered at high standards by properly credentialed medical
personnel. The Quality Management Staff Unit:
(1) Maintains and updates MEDs Quality Manual;
(2) Monitors Bureau adherence to ISO 9001:2008 Quality
Management processes through internal and external quality process audits,
Corrective Action Plans and other risk management programs;
(3) Ensures Bureau operations and personnel comply
with provisions of the Privacy Act;
(4) Directs clinical quality initiatives and peer
review processes to promote standardization of provided care, data collection,
and measurement of outcomes;
(5) Verifies the existence and proper maintenance of
professional credentials, including licensure and professional board
certification for direct-hire MED providers, and other employees/ personal
services contractors assigned domestically or overseas by other Bureaus who
provide emergency medical support and treatment to personnel under Chief of
Mission (COM) authority;
(6) Ensures the management and retention of Bureau
documents and records comply with ISO and Department standards and schedules;
and
(7) Facilitates and provides responses to Freedom of
Information Act (FOIA) requests and EEO processes.
b. The Chief of the Quality Management staff unit
reports directly to the Deputy Chief Medical Officer for Clinical Programs.
1 FAM 365 DEputy CHIEF MEDICAL OFFICER
for MENTAL HEALTH programs (MED/MH)
(CT:ORG-536; 09-18-2019)
a. The Deputy Chief Medical Officer for Mental Health
Programs is responsible for mental health services worldwide, and provides
direction to all units within the Directorate. He or she provides guidance to
senior Department leaders on sensitive mental health, crisis response, disaster
planning/response, and morale issues. The Deputy Chief Medical Officer for
Mental Health Programs:
(1) Oversees the Regional Medical Officer Psychiatrists
(MED/RMOPs) assigned abroad, and has overall responsibility for recruiting,
hiring, and training all mental health services personnel;
(2) Serves as the chairperson for the Departments
Family Advocacy Committee in Washington;
(3) Supervises the Directors of the Office of Overseas
Mental Health Services and the Office of Employees Consultation Services, and
the Director of the Diplomatic Security Support Program;
(4) When designated, serves as acting Chief Medical
Officer/DASHO.
b. The Deputy Chief Medical Officer for Mental Health
Programs reports through the Principal Deputy Chief Medical Officer to the
Chief Medical Officer/DASHO.
c. The Deputy Chief Medical Officer for Mental Health
Programs must be familiar with all major functions of MED. He or she is
responsible for representing MED, serving as liaison with Department Bureau
heads, Chiefs of Mission, and staff members abroad.
1 FAM 365.1 Office of Overseas
Mental Health Services (MED/MH/MHS)
(CT:ORG-536; 09-18-2019)
a. The Office of Overseas Mental Health Services is
responsible for coordinating medical evacuation, hospitalization, treatment
referrals, and the medical clearances system of mental health patients for MED.
Component divisions and programs include the Child and Family Services division,
the Alcohol and Drug Awareness Program (ADAP), and the RMO/P rover position.
b. The Director of the Office of Overseas Mental Health
Services reports directly to the Deputy Chief Medical Officer for Mental Health
Programs.
1 FAM 365.2 Office of Employee
Consultation Services (MED/MH/ECS)
(CT:ORG-536; 09-18-2019)
a. The Employee Consultation Services Office provides
crisis intervention, problem assessment, brief counseling, and referral
services to eligible employees. Components include the Employee Assistance
Program which utilizes licensed clinical social workers to offer confidential
services and assistance to all Foreign Service and Civil Service employees and
their family members of the Department of State and USAID, and the Deployment
Stress Management Program which offers pre- and post-deployment support
services for employees in high-threat assignments, and real time support for
both employees and families during the deployment period.
b. The Director of the Employee Consultation Services
Office reports directly to the Deputy Chief Medical Officer for Mental Health
Programs.
1 FAM 365.3 Diplomatic Security
Support Program (MED/MH/DSSP)
(CT:ORG-536; 09-18-2019)
a. The Diplomatic Security Support Program (DSSP)
provides in-depth analysis and recommendations regarding forensic mental health
matters and related cases referred to the Chief Medical Officer, senior leaders
at the Bureaus of Diplomatic Security (DS), the Office of the Legal Advisor
(L), and Human Resources. Functions and responsibilities include:
(1) Perform and supervise complex expert witness
forensic psychological evaluations and consultations relating to diplomatic
security concerns, including security clearance issues;
(2) Provide consultation to DS on Special Agent
Fitness for Duty matters;
(3) Serve as the Departments subject matter expert on
forensic psychological issues;
(4) Provide faculty support to the DS Training Center
on various topics; and
(5) Consult as appropriate with other USG entities involved
in national security operations.
b. The director of the DSSP reports directly to the
Deputy Chief Medical Officer for Mental Health Programs.
1 FAM 366 THROUGH 1 FAM 369
UNASSIGNED