We are about to move the mental health services of one of our CBOCs into new space, two doors away from the rest of the CBOC (located in a strip shopping center). The medical side of the CBOC is run by contract workers, so we have very little say or control over them. The mental health providers of the CBOC are VA employees. The mental health staff are one APN, one LCSW, a full-time clerk, and one part-time LCSW. We have been trying to figure out procedures in the event that someone should be out sick, or in the unlikely event that only one person should be in (e.g., if one person is on vacation, the part-time person is scheduled off and someone else calls in sick). Do we send someone in from another CBOC? Do we divert patients to another CBOC? Do we send someone down from our Medical Center or divert patients up to the Medical Center? Does anyone else have a small CBOC in a similar situation, with any suggestions of how to handle such problems? Thank you. Steven M. Herman, Ph.D., HSPP Director, Psychiatry Ambulatory Clinic Lead Psychologist Richard L. Roudebush VAMC Associate Professor of Clinical Psychology in Clinical Psychiatry Indiana University Medical Center 1481 West 10th Street (116P) Indianapolis, IN 46202 phone 317-988-2770 fax 317-988-2884