21 Reasons is a project of MCD Public Health. Since 1966, MCD Public Health, and our parent company Medical Care Development, Inc., have been a transforming force in public health, earning a reputation for responsive, impactful health initiatives. Our initiatives are grounded in content expertise, professional integrity, strong fiscal management, creative problem solving and effective collaboration. MCD Public Health provides program management and content expertise in a wide variety of public health programs in Maine and nationally including substance abuse prevention, quality improvement, telehealth and chronic disease. We work in partnership with communities, organizations, and government agencies to create and implement programs, policies and systems that will generate lasting change. We integrate research-based evidence and best practice standards with new opportunities and creative approaches to crafting solutions.