In 2018, Dr. Marks was a Co-I on four grant applications. A SAMHSA grant was funded ($31,207,494) and a NIDA HEALing Communities application will be submitted in December and reviewed in January. She was also awarded a Behavioral Science Pilot Grant. Dr. Marks published two second author manuscripts in peer-reviewed journals and two first author book chapters. In addition, she reviewed manuscripts for four journals. Dr. Marks directed two SAMHSA grants totaling $50 million dollars, led the development of the Kentucky Cabinet for Health and Family Services’ substance use strategic plan and co-chaired a workgroup developing a statewide quality outcomes measurement system for substance use treatment. Dr. Marks was invited to speak at two national meetings. The Hazelden Betty Ford Foundation invited her to speak at an Oregon Recovers state meeting in Portland Oregon and The Department for Medicaid Services invited her to speak on a panel at their Quality and Sustainability meeting in Baltimore Maryland. Dr. Marks also delivered an invited plenary address at The Kentucky School for Alcohol and Other Drug Studies.