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May 24, 2012--A multi-billion dollar federal initiative to move low-income elderly and disabled people from long-term care facilities into the community has fallen far short of its goals, as many states have struggled to cobble together housing and other services.Wayne Cook watches neighborhood children play in the courtyard as home health aide Jacqueline Goodman organizes his daily medications at his home in San Leandro, Calif.

The Center for Addictions Triage and Treatment could add up to nearly 100 sorely-needed detox, sobering and residential treatment beds.

Forcing companies to gear up production won’t provide much-needed doses anytime soon because expanding production lines takes time and establishing lines in repurposed facilities can take months.