Cynthia Thomas is the division director for the Vermont Department of Health, Division of Alcohol and Drug Abuse Programs (ADAP) and has been in Vermont state government for over 17 years. Her previous positions were in utilization management and quality improvement at the Department of Mental Health and she was the Medicaid Director of Quality Improvement & Clinical Integrity for the Department of Vermont Health Access before to moving to ADAP. Prior to employment in state government, Thomas provided direct clinical care in community mental health, managed care and private practice. She is a licensed clinical mental health counselor and holds a certification in quality improvement.