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rs (nursepractitioners, physician39。s assistants, registered nurses, and licensed practical nurses) and medical social workers, who deal with issues ranging from health insurance access to housing and provide triage for mental health services, as well as a freestanding munitybased physician practitioner model. Primary care providers can readily refer clients to onsite mental health and other prevention services, including stress reduction programs, nutritional counseling, and substance abuse treatment. Patients who need to be hospitalized are followed by their Fenway health care providers at the Beth Israel Deaconess Medical Center. Mental Health and Addiction Department Staff psychiatrists, psychologists, and social workers offer a wide range of mental health services, including individual, group, couples, and family therapy and psychiatric medication evaluation and management, which includes 24hour beeper coverage to handle emergencies. The department oversees one of the largest HIV counseling and testing sites in New England and offers support groups for individuals living with HIV as well as individuals who are HIVnegative and need support in maintaining lowrisk behaviors. Fenway has developed a program of services for survivors of domestic and homophobic violence, including urgent medical care。 shortterm crisis counseling and longerterm therapy for survivors, their partners, and other loved ones。 referrals to LGBTsensitive medical and legal professionals。 and advocacy to ensure that cases are aggressively investigated and prosecuted. The staff has also provided education, mining, and consultation to first responders (emergency medical technicians, police, and public officials). Wellness Programs and Community Education Over the years, Fenway has developed an integrated program of munity education and health promotion to plement its primary clinical services. Current activities include HIV risk reduction and health promotion programs for infected persons, with specialized activities oriented toward different munities (., AfricanAmerican women, younger Latino men). Many of these programs are conducted both in Spanish and in English. They include small group sessions, outreach, referral, and collaboration with local health organizations serving munities of color. Fenway offers smoking cessation education (including educational presentations to schools and agencies), support groups, and acupuncture. Fenway also maintains the largest gay and lesbian help and crisis intervention telephone hotline in New England. The hotline is staffed 7 nights per week and provides confidential information, referrals, crisis intervention, and support to callers nationwide. A special hotline addresses the concerns of LGBT youth. Fenway sponsors munity health education workshops, forums, and lectures that have dealt with updates on HIV treatments, prevention, and selfcare strategies as well as other munity health concerns, such as hepatitis. Research and Ev