Ms. Butler serves as the representative from Maryland and as the Secretary of the Board of Directors for the American Association for the Treatment of Opioid Dependence. She is Vice President for Services Programs of the Institutes for Behavior Resources, Inc. in Baltimore, and in this capacity she is responsible for the operation and development of R.E.A.C.H. Mobile Health Services, a
mobile-medication program providing a full range of psychosocial services to 600 opioid dependent patients.

Ms. Butler is internationally recognized as one of the few experts in the development and implementation of mobile medication services for substance abusers. Recognizing the potential that this model of service delivery has an expanding access to care, Ms. Butler spends much of her time sharing this innovative approach with a variety of professionals from different parts of the world.

Ms. Butler has devoted a three-decade career to working with the substance abusing population. As a former methadone maintenance patient herself, she has integrated her experiences as a consumer with on-going education and training in order to develop and provide the best treatment services that funding will permit.

Ms. Butler has pioneered such programs as home-care hospice services to methadone patients suffering from HIV/AIDS and primary health care services in methadone programs in the late 1980's, a time before either were considered "best practices". She expanded much needed medication-assisted treatment slots by successfully partnering with 4 traditionally "abstinent-based" programs, using the mobile unit to dispense medication at those programs. Ms. Butler is widely recognized as a pacesetter in program development and an advocate for humane and appropriate quality care for those suffering from the disease of opioid dependence.

For her contributions in the field of medication-assisted treatment, Carol was awarded the Nyswander-Dole "Marie" Award at the Inaugural National Methadone Conference in 1991.