All fiscal decisions are made and revolve around the availability of funding provided from the state of Oklahoma. The ODMHSAS operates within this political-type framework and therefore must provide evidence to the public and the legislature that the organization focuses on the mission and goals of the agency by effectively delivering the services it has been statutorily commissioned to do. For example, and as evidence of effective service delivery and system transformation, the ODMHSAS service delivery system continues to operate in an increasingly more integrated manner with collaboration and merging of functions across the realms of mental health, substance abuse, and prevention services. Nevertheless, the amount of funding available to the state and allocated to ODMHSAS ultimately determines the effectiveness and the ability to meet the overall goals of the organization. The past several years has set the tone of limited funding to ODMHSAS. Therefore, programs and treatment services within the ODMHSAS service system are constantly being monitored for their efficiency, productivity, and ability to best meet the goals of the organization. Thus, the underlying principles and strategies that drive the decision-making process of the ODMHSAS is to spend every dollar as effectively and efficiently as possible by integrating services where possible, collaborating with other organizations, and innovating the way in which treatment is delivered across the state