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s 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。 referrals to LGBTsensitive medical and legal professionals。s first munitybased AIDS research programs in 1983 and received its first state and federal funding in 1984. Fenway39。s collaborations with laboratory, clinical, behavioral, and public health researchers at Harvard, Tuffs, and Brown universities. Fenway has been a leader in HIV prevention research and was recently awarded a contract from the National Institute of Allergy and Infectious Diseases to serve as the primary agency for a consortium including investigators at Brown University and in southern India. The research and evaluation department consists of more than 30 highly trained and experienced staff, including physicians, a senior survey research methodologist and behavioral scientist, clinical psychologists, public health professionals, data analysts, regulatory affairs specialists, health educators, nurses, interviewers, and outreach workers. Fenway has an institutional review board, as well as several munity advisory boards that help the research and clinical programs staff evaluate the responsiveness of the current research agenda to munity needs and expectations. Along with its increased expertise in studying the health care concerns of men who have sex with men, Fenway has developed a lesbian health research agenda, mensurate with the expansion of clinical programs for women and reflecting the munity39。 access to care to a study of sexually transmitted diseases among lesbians to the evaluation of different techniques of alternative insemination. A recent study of health care access for sexual minority women used area probability sampling for parison with a randomdigitdialed telephone survey in the same geographic area Program Support and Sustainability Fenway Community Health started as a free clinic, supported partially through donations by clients and partially through subsidies from the city of Boston. Over the past 3 decades Fenway has bee a sophisticated muitidisciplinary center that is supported through a variety of sources, including patients39。s wide array of programs, and the center continues to solicit independent donors, corporations, and foundations and to conduct fundraising activities. Fenway is one of the major beneficiaries of the BostonNew York AIDS Bicycle Ride. Next Steps Fenway Community Health has evolved over the past 3 decades from a munity health center to a model dem