The high-stress environment of 2008 looks sure to continue into this year as economic challenges remain. In challenging times people naturally tend to become more insular. It is at times like this, however, that they must all reach out even more to connect with the important people in their lives. You can do this by fostering the following five key relationships: 1. patients, residents, clients and their families, 2. communities, 3. co-workers, 4. supplier colleagues, and 5. colleagues. The above relationships will allow them to successfully meet the challenges they face in 2009. Be assured that ACHE's elected officials and staff are there to support you.