Dr. Cuoco had been employed at the New York City Department of Health and Mental Hygiene (DOHMH) until his retirement in June 2016 and move to Mesa Arizona. At DOHMH Dr. Cuoco served in several related roles: Deputy Director of Behavioral Health Integration for the NYC Assisted Outpatient Treatment Program (AOT); Director of Program Initiatives and Community Liaison in the Bureau of Alcohol and Drug Use Prevention, Care and Treatment; Director of Behavioral Health and Social Services for the DOHMH’s nine STD Clinics and Acting Assistant Commissioner. In 2007 in collaboration with HRA, Dr. Cuoco spearheaded New York City’s Managed Addiction Treatment Services (MATS) program. MATS was a program serving high cost users of Medicaid paid alcohol and drug treatment services. This strengths-based case management program saved over 65 million dollars since its inception – never denying recipients access to care. In partnership with OASAS, DHS and Project Renewal, he planned developed and implemented the first NYC Shelter–based detoxification program. Dr. Cuoco and his staff also provided training and established SBIRT (Screening Brief Intervention and Referral for Treatment for Alcohol and Substances) programs throughout the City training over 2000 clinicians. These programs are located in a variety of settings ranging from School-based health programs and primary care practices to hospital emergency rooms. These OASAS approved trainings qualified NYC providers for Medicaid reimbursement. Dr. Cuoco also provided clinical supervision to the Department’s STD Clinics in its nascent SBIRT program. He had collaborated on the successful bid for SAMHSA’s repeat funding which maintained and expanded these services throughout NYC, and the SBIRT driven CDC funded Community Transformation Grant. While in AOT, Dr. Cuoco served as clinical consultant on co-occurring Psychiatric and Substance Use issues and created and implemented in-service training for Social Work Staff on the major psychiatric disorders and co-occurring alcohol and substance use. His work delved into the high recidivism rates among select AOT clientele. The findings were presented at the 2015 APA annual meeting and became the basis for ongoing in-service trainings, targeted early interventions and a reduction in the recidivism rates. Dr. Cuoco has served as: Acting Assistant Commissioner for Alcohol and Substance Abuse Services (DOHMH); Co-Director of Montefiore’s Comprehensive Service Unit for Alcohol and Substance Use; Associate Executive Director of Residential and Rehabilitation Services at the Bridge, Inc.; and Associate Director of Psychiatric Administration at Bellevue Hospital where he was Director and co-founder of the CSS Homeless Project. In each of these positions he has used metrics to improve service delivery, increase State and JCAHO re-certifications and staff accountability. He has served on a number of boards and maintained a private psychotherapy practice. Until his move to Mesa Arizona he was a longstanding Adjunct Assistant Professor at the Hunter College’s Silberman School of Social Work. Dr. Cuoco has also been on faculty at Albert Einstein College of Medicine, NYU and the LIU CW Post Schools of Social Work. Dr. Cuoco graduated from: Brooklyn College (BS), Yeshiva University (MSW), and the CUNY Graduate Center- Hunter College School of Social Work (DSW). He also obtained additional training in Psychoanalysis, Ericksonian Hypnosis and Trauma Informed Care.