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This legislative report describes activities the Commission completed in Year Four, including the development of procurement documents, changes to the service model, and a timeline for implementation of a restoration center in Middlesex County.

It follows previous reports from Year Three (providing a plan to pilot a restoration center in Middlesex County), from Year Two (providing findings from a planning process to design a restoration center, based primarily on the work of a contracted consulting entity, Advocates), and Year One (providing findings and recommendations from an analysis of the gaps in the current system of behavioral health care and criminal justice diversionary services).