Examine the proven specific steps and techniques for local practitioners to establish a formal DEC alliance. Participate in instructor led discussions and activities focused on key stakeholders who should be at the table to help form a local DEC alliance, challenges of collaboration and sustaining that collaboration, and the benefits of changing practices and procedures on an on-going basis to benefit drug endangered children. Discuss and develop protocols and MOU’s to assist disciplines in institutionalizing DEC efforts and responses within each community. Explore successes and experiences of local DEC alliances in various jurisdictions across the country, including tribal communities.