{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T09:26:22Z","timestamp":1772011582255,"version":"3.50.1"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Behav Health Serv Res"],"published-print":{"date-parts":[[2022,10]]},"DOI":"10.1007\/s11414-022-09800-9","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T20:15:27Z","timestamp":1653596127000},"page":"470-486","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Behavioral Health Providers\u2019 Experience with Changes in Services for People Experiencing Homelessness During COVID-19, USA, August\u2013October 2020"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9094-0674","authenticated-orcid":false,"given":"Ruthanne","family":"Marcus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley A.","family":"Meehan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexiss","family":"Jeffers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia H.","family":"Cassell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Barker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha P.","family":"Montgomery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandi","family":"Dupervil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankita","family":"Henry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Cha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thara","family":"Venkatappa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"DiPietro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaina","family":"Boyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshmi","family":"Radhakrishnan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca L.","family":"Laws","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria L.","family":"Fields","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Cary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meagan","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregorio J.","family":"Bautista","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleta","family":"Christensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Barranco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hedda","family":"McLendon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Mosites","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"9800_CR1","unstructured":"Center for Substance Abuse Treatment. Behavioral health services for people who are homeless. SAMHSA\/CSAT Treatment Improvement Protocols (TIP) Series 55. HHS Publication No. (SMA) 13\u20134734. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013. Available online at: https:\/\/store.samhsa.gov\/sites\/default\/files\/d7\/priv\/sma13-4734.pdf"},{"key":"9800_CR2","unstructured":"U.S. Department of Housing and Urban Development Office of Community Planning and Development. The 2020 Annual Homeless Assessment Report (AHAR) to Congress. In U.S. Department of Housing and Urban Development (Ed.); 2021:1\u2013104. Available online at: https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2020-AHAR-Part-1.pdf"},{"key":"9800_CR3","unstructured":"National Health Care for the Homeless Council. Homelessness & health: What\u2019s the connection? February 2019. Available online at: https:\/\/nhchc.org\/wp-content\/uploads\/2019\/08\/homelessness-and-health.pdf"},{"key":"9800_CR4","unstructured":"Kuhn R, Richards J, Roth S, et al. Homelessness and public health in Los Angeles. UCLA Fielding School of Public Health. 2020. Available online at: https:\/\/escholarship.org\/uc\/item\/2gn3x56s"},{"key":"9800_CR5","unstructured":"Sutherland H, Ali MM, Rosenoff E. Individuals experiencing homelessness are likely to have medical conditions associated with severe illness from COVID-19. HHS Office of the Assistant Secretary for Planning and Evaluation Office of Disability, Aging and Long-Term Care Policy. June 2020. Available online at: https:\/\/aspe.hhs.gov\/system\/files\/pdf\/263671\/COVIDIB.pdf"},{"key":"9800_CR6","doi-asserted-by":"publisher","first-page":"e85","DOI":"10.1017\/S0950268820000722","volume":"148","author":"CY Liu","year":"2020","unstructured":"Liu CY, Chai SJ, Watt JP. Communicable disease among people experiencing homelessness in California. Epidemiology and Infection. 2020;148:e85. https:\/\/doi.org\/10.1017\/S0950268820000722.","journal-title":"Epidemiology and Infection."},{"issue":"17","key":"9800_CR7","doi-asserted-by":"publisher","first-page":"523","DOI":"10.15585\/MMWR.MM6917E2","volume":"69","author":"FA Tobolowsky","year":"2020","unstructured":"Tobolowsky FA, Gonzales E, Self JL, et al. Covid-19 outbreak among three affiliated homeless service sites - King County, Washington, 2020. Morbidity and Mortality Weekly Report. 2020;69(17):523-526. https:\/\/doi.org\/10.15585\/MMWR.MM6917E2","journal-title":"Morbidity and Mortality Weekly Report."},{"issue":"4","key":"9800_CR8","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1136\/bmjebm-2020-111426","volume":"26","author":"NE Okonkwo","year":"2020","unstructured":"Okonkwo NE, Aguwa UT, Jang M, et al. COVID-19 and the US response: Accelerating health inequities. BMJ Evidence Based Medicine. 2020;26(4):176-179. https:\/\/doi.org\/10.1136\/bmjebm-2020-111426","journal-title":"BMJ Evidence Based Medicine."},{"issue":"26","key":"9800_CR9","doi-asserted-by":"publisher","first-page":"E716","DOI":"10.1503\/cmaj.200834","volume":"192","author":"M Perri","year":"2020","unstructured":"Perri M, Dosani N, Hwang SW. COVID-19 and people experiencing homelessness: Challenges and mitigation strategies. CMAJ Canadian Medical Association Journal. 2020;192(26):E716-E719. https:\/\/doi.org\/10.1503\/cmaj.200834","journal-title":"CMAJ Canadian Medical Association Journal."},{"issue":"1","key":"9800_CR10","doi-asserted-by":"publisher","first-page":"42","DOI":"10.7326\/M20-3799","volume":"174","author":"JH Rogers","year":"2021","unstructured":"Rogers JH, Link AC, McCulloch D, et al. Characteristics of COVID-19 in homeless shelters: A community-based surveillance study. Annals of Internal Medicine. 2021;174(1):42-49. https:\/\/doi.org\/10.7326\/M20-3799","journal-title":"Annals of Internal Medicine."},{"issue":"4","key":"9800_CR11","doi-asserted-by":"publisher","first-page":"e202","DOI":"10.1016\/S2468-2667(21)00001-3","volume":"6","author":"T Roederer","year":"2021","unstructured":"Roederer T, Mollo B, Vincent C, et al. Seroprevalence and risk factors of exposure to COVID-19 in homeless people in Paris, France: A cross-sectional study. The Lancet Public Health. 2021;6(4):e202-e209. https:\/\/doi.org\/10.1016\/S2468-2667(21)00001-3","journal-title":"The Lancet Public Health."},{"key":"9800_CR12","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1101\/2020.08.23.20178236","volume":"25","author":"J Lemieux","year":"2020","unstructured":"Lemieux J, Siddle KJ, Shaw BM, et al. Phylogenetic analysis of SARS-CoV-2 in the Boston area highlights the role of recurrent importation and superspreading events. Preprint. MedRxiv: the Preprint Server for Health Sciences. 2020;25:25. https:\/\/doi.org\/10.1101\/2020.08.23.20178236","journal-title":"MedRxiv: the Preprint Server for Health Sciences."},{"issue":"2","key":"9800_CR13","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1093\/cid\/ciaa1071","volume":"73","author":"E Imbert","year":"2020","unstructured":"Imbert E, Kinley PM, Scarborough A, et al. Coronavirus disease 2019 (COVID-19) outbreak in a San Francisco homeless shelter. Clinical Infectious Diseases. Aug 3 2020;73(2):324-327. https:\/\/doi.org\/10.1093\/cid\/ciaa1071","journal-title":"Clinical Infectious Diseases."},{"issue":"4","key":"9800_CR14","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1177\/0033354920936227","volume":"135","author":"TP Baggett","year":"2020","unstructured":"Baggett TP, Racine MW, Lewis E, et al. Addressing COVID-19 among people experiencing homelessness: Description, adaptation, and early findings of a multiagency response in Boston. Public Health Reports. 2020;135(4):435-441. https:\/\/doi.org\/10.1177\/0033354920936227","journal-title":"Public Health Reports."},{"issue":"17","key":"9800_CR15","doi-asserted-by":"publisher","first-page":"521","DOI":"10.15585\/MMWR.MM6917E1","volume":"69","author":"E Mosites","year":"2020","unstructured":"Mosites E, Parker EM, Clarke KEN, et al. Assessment of SARS-CoV-2 infection prevalence in homeless shelters \u2014 four U.S. cities, March 27\u2013April 15, 2020. Short Survey. Morbidity and Mortality Weekly Report. 2020;69(17):521-522. https:\/\/doi.org\/10.15585\/MMWR.MM6917E1","journal-title":"Morbidity and Mortality Weekly Report."},{"issue":"4","key":"9800_CR16","doi-asserted-by":"publisher","first-page":"e186","DOI":"10.1016\/S2468-2667(20)30053-0","volume":"5","author":"J Tsai","year":"2020","unstructured":"Tsai J, Wilson M. COVID-19: A potential public health problem for homeless populations. Note. The Lancet Public Health. 2020;5(4):e186-e187. https:\/\/doi.org\/10.1016\/S2468-2667(20)30053-0","journal-title":"Note. The Lancet Public Health."},{"issue":"6","key":"9800_CR17","doi-asserted-by":"publisher","first-page":"2119","DOI":"10.1007\/s13524-018-0717-0","volume":"55","author":"VA Fusaro","year":"2018","unstructured":"Fusaro VA, Levy HG, Shaefer HL. Racial and ethnic disparities in the lifetime prevalence of homelessness in the United States. Demography. 2018;55(6):2119-2128. https:\/\/doi.org\/10.1007\/s13524-018-0717-0","journal-title":"Demography."},{"issue":"10","key":"9800_CR18","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1176\/appi.ps.202000244","volume":"71","author":"SJ Bartels","year":"2020","unstructured":"Bartels SJ, Baggett TP, Freudenreich O, et al. Covid-19 emergency reforms in Massachusetts to support behavioral health care and reduce mortality of people with serious mental illness. Review. Psychiatric Services. 2020;71(10):1078-1081. https:\/\/doi.org\/10.1176\/appi.ps.202000244","journal-title":"Review. Psychiatric Services."},{"key":"9800_CR19","doi-asserted-by":"publisher","unstructured":"Jones CM, Guy GP, Board A. Comparing actual and forecasted numbers of unique patients dispensed select medications for opioid use disorder, opioid overdose reversal, and mental health, during the COVID-19 pandemic, United States, January 2019 to May 2020. Drug and Alcohol Dependence. 2021\/02\/01\/ 2021;219:108486. https:\/\/doi.org\/10.1016\/j.drugalcdep.2020.108486","DOI":"10.1016\/j.drugalcdep.2020.108486"},{"key":"9800_CR20","doi-asserted-by":"publisher","unstructured":"Taquet M, Luciano S, Geddes JR, et al. Bidirectional associations between COVID-19 and psychiatric disorder: Retrospective cohort studies of 62\u2008354 COVID-19 cases in the USA. The Lancet Psychiatry. 2021\/02\/01\/ 2021;8(2):130\u2013140. https:\/\/doi.org\/10.1016\/S2215-0366(20)30462-4","DOI":"10.1016\/S2215-0366(20)30462-4"},{"issue":"3","key":"9800_CR21","doi-asserted-by":"publisher","first-page":"992","DOI":"10.1111\/1475-6773.12009","volume":"48","author":"LA Lebrun-Harris","year":"2013","unstructured":"Lebrun-Harris LA, Baggett TP, Jenkins DM, et al. Health status and health care experiences among homeless patients in federally supported health centers: Findings from the 2009 Patient Survey. Health Services Research. Jun 2013;48(3):992-1017. https:\/\/doi.org\/10.1111\/1475-6773.12009","journal-title":"Health Services Research."},{"key":"9800_CR22","doi-asserted-by":"publisher","unstructured":"Finnigan R. Self-reported impacts of the COVID-19 pandemic for people experiencing homelessness in Sacramento, California. Journal of Social Distress and Homelessness. 2021:1\u20139. https:\/\/doi.org\/10.1080\/10530789.2021.1879618","DOI":"10.1080\/10530789.2021.1879618"},{"issue":"4","key":"9800_CR23","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1016\/j.jadohealth.2020.07.013","volume":"67","author":"JS Tucker","year":"2020","unstructured":"Tucker JS, D'Amico EJ, Pedersen ER, et al. Behavioral health and service usage during the COVID-19 pandemic among emerging adults currently or recently experiencing homelessness. Research Support, N.I.H., Extramural. Journal of Adolescent Health. 2020;67(4):603-605. https:\/\/doi.org\/10.1016\/j.jadohealth.2020.07.013","journal-title":"Journal of Adolescent Health."},{"issue":"12","key":"9800_CR24","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1016\/S2215-0366(20)30343-6","volume":"7","author":"S Dotson","year":"2020","unstructured":"Dotson S, Ciarocco S, Koh KA. Disaster psychiatry and homelessness: Creating a mental health COVID-19 response. The Lancet Psychiatry. 2020;7(12):1006-1008. https:\/\/doi.org\/10.1016\/S2215-0366(20)30343-6","journal-title":"The Lancet Psychiatry."},{"key":"9800_CR25","unstructured":"Centers for Disease Control and Prevention. COVID-19: People with certain medical conditions. Available online at: https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/need-extra-precautions\/people-with-medical-conditions.html"},{"key":"9800_CR26","doi-asserted-by":"publisher","unstructured":"Czeisler M, Lane RI, Petrosky E, et al. Mental health, substance use, and suicidal ideation during the COVID-19 pandemic - United States, June 24\u201330, 2020. Morbidity and Mortality Weekly Report. Aug 14 2020;69(32):1049\u20131057. https:\/\/doi.org\/10.15585\/mmwr.mm6932a1","DOI":"10.15585\/mmwr.mm6932a1"},{"issue":"7","key":"9800_CR27","doi-asserted-by":"publisher","first-page":"e25583","DOI":"10.1002\/jia2.25583","volume":"23","author":"TI Vasylyeva","year":"2020","unstructured":"Vasylyeva TI, Smyrnov P, Strathdee S, et al. Challenges posed by COVID-19 to people who inject drugs and lessons from other outbreaks. Note. Journal of the International AIDS Society. 2020;23(7):e25583. e25583. https:\/\/doi.org\/10.1002\/jia2.25583","journal-title":"Journal of the International AIDS Society."},{"issue":"4","key":"9800_CR28","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1016\/j.jadohealth.2020.07.026","volume":"67","author":"CL Auerswald","year":"2020","unstructured":"Auerswald CL, Adams S, Lightfoot M. The urgent and growing needs of youths experiencing homelessness during the COVID-19 pandemic. Editorial. Journal of Adolescent Health. 2020;67(4):461-462. https:\/\/doi.org\/10.1016\/j.jadohealth.2020.07.026","journal-title":"Editorial. Journal of Adolescent Health."},{"issue":"2","key":"9800_CR29","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","volume":"42","author":"PA Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics. Apr 2009;42(2):377-81. https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010","journal-title":"Journal of Biomedical Informatics."},{"key":"9800_CR30","unstructured":"Centers for Medicare & Medicaid Services. Medicare telemedicine health care provider fact sheet. Available online at: https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicare-telemedicine-health-care-provider-fact-sheet"},{"key":"9800_CR31","unstructured":"National Health Care for the Homeless Council. COVID-19 and the Health Care for the Homeless Community: Ensuring access to care through state medicaid telehealth policies. Available online at: https:\/\/nhchc.org\/wp-content\/uploads\/2020\/11\/Issue-brief-COVID-19-Homelessness-Telehealth-final.pdf. Accessed August 25, 2021"},{"key":"9800_CR32","doi-asserted-by":"publisher","first-page":"100330","DOI":"10.1016\/j.invent.2020.100330","volume":"21","author":"R Ojha","year":"2020","unstructured":"Ojha R, Syed S. Challenges faced by mental health providers and patients during the Coronavirus 2019 pandemic due to technological barriers. Editorial. Internet Interventions. 2020;21:100330. https:\/\/doi.org\/10.1016\/j.invent.2020.100330","journal-title":"Editorial. Internet Interventions."},{"issue":"5","key":"9800_CR33","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1177\/1357633x20916567","volume":"26","author":"AC Smith","year":"2020","unstructured":"Smith AC, Thomas E, Snoswell CL, et al. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare. 2020;26(5):309-313. https:\/\/doi.org\/10.1177\/1357633x20916567","journal-title":"Journal of Telemedicine and Telecare."},{"key":"9800_CR34","doi-asserted-by":"publisher","unstructured":"Bagley SM, Hadland SE, Yule AM. A commentary on the impact of COVID-19 on engagement of youth with substance use and co-occurring psychiatric disorders. Article. Journal of Substance Abuse Treatment. 2021;121108175. https:\/\/doi.org\/10.1016\/j.jsat.2020.108175","DOI":"10.1016\/j.jsat.2020.108175"},{"key":"9800_CR35","doi-asserted-by":"publisher","first-page":"108181","DOI":"10.1016\/j.jsat.2020.108181","volume":"121","author":"R Tringale","year":"2021","unstructured":"Tringale R, Subica AM. COVID-19 innovations in medication for addiction treatment at a skid row syringe exchange. Journal of Substance Abuse Treatment. 2021;121:108181. https:\/\/doi.org\/10.1016\/j.jsat.2020.108181","journal-title":"Journal of Substance Abuse Treatment."},{"issue":"1","key":"9800_CR36","doi-asserted-by":"publisher","first-page":"58","DOI":"10.2105\/AJPH.2020.305956","volume":"111","author":"J Alarc\u00f3n","year":"2021","unstructured":"Alarc\u00f3n J, Khan TV. Adapting backpack medicine in COVID-19 response for people experiencing homelessness in southern California. American Journal of Public Health. 2021;111(1):58-61. https:\/\/doi.org\/10.2105\/AJPH.2020.305956","journal-title":"American Journal of Public Health."},{"issue":"4","key":"9800_CR37","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1097\/JAC.0000000000000352","volume":"43","author":"KJ Heflin","year":"2020","unstructured":"Heflin KJ, Gillett L, Alexander A. Lessons from a free clinic during COVID-19: Medical students serving individuals experiencing homelessness using tele-health. Journal of Ambulatory Care Management. 2020;43(4):308-311. https:\/\/doi.org\/10.1097\/JAC.0000000000000352","journal-title":"Journal of Ambulatory Care Management."}],"container-title":["The Journal of Behavioral Health Services &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11414-022-09800-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11414-022-09800-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11414-022-09800-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T21:07:21Z","timestamp":1664399241000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11414-022-09800-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,26]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["9800"],"URL":"https:\/\/doi.org\/10.1007\/s11414-022-09800-9","relation":{},"ISSN":["1094-3412","1556-3308"],"issn-type":[{"value":"1094-3412","type":"print"},{"value":"1556-3308","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,26]]},"assertion":[{"value":"18 April 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 May 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}