Monroe said the state association recently met with the county commissioner’s association and “basically said they are not supportive of the 10-county solution in the southeastern part of Ohio.” “That’s been the big issue, sustainability,” she said, adding that the state DD agency wants to do a staggered approach based on need. Monroe said that without state support, Lawrence County DD would have had to let go of the early intervention program in December and if it wasn’t for Lawrence County school districts, the DD school would have closed. Monroe said that one of the fears is that Ohio’s DD system would start operating under a managed care system and eliminate county DD boards. Holliday said it is critical to have local control and local input since no one else knows the needs of Lawrence County citizens better than local people.