Dr. Nancy Downing is currently PI on a $4Million DOJ/OVC funded grant to develop and implement Tex-TRAC, a remote telehealth sexual assault nurse examiner program in Texas. Dr. Downing is also Co-PI of a HRSA funded Rural Community Opioid Response Program, (RCORP) Planning Grant, and is Co-PI on a RCORP Implementation grant. She worked for 10 years in an inpatient medical-psychiatric unit where a large portion of the patient population was impacted by substance use. She has been a certified forensic nurse since 2004; her practice includes providing medical forensic exams for children who have been abused and/or neglected. She is President-Elect of the International Association of Forensic Nurses and the first nurse appointed by the Governor to the Texas Forensic Science Commission in 2016.