About

4-A-Change was started by brothers, Mike and John Trapp. It is an attempt to build a sustainable venture while avoiding both a board of directors and employees. Mike left the organization in 2021. John served for 12 years as a practice manager at Tod Mikuriya, MD an alternative medical clinic in Berkeley California working with a harm reduction approach. John established the practice and developed all forms, processes, and an electronic health record system. John has experience working in the environmental and social justice fields, working as a grass roots organizer as well as working on political campaigns and working for a political action committee. Besides running 4-A- Change, John is also Operations Manager for Room at the Inn. John’s strengths include organizational excellence, accounting, office and management software, and computer setup, maintenance and repair.

Current Long-Term Contracts A unique contract with Columbia’s Downtown Community Improvement District to aid struggling individuals. An outreach and case management contract with the city of Columbia Missouri.

About

4-A-Change was started by brothers, Mike and John Trapp. It is an attempt to build a sustainable venture while avoiding both a board of directors and employees. Mike left the organization in 2021. John served for 12 years as a practice manager at Tod Mikuriya, MD an alternative medical clinic in Berkeley California working with a harm reduction approach. John established the practice and developed all forms, processes, and an electronic health record system. John has experience working in the environmental and social justice fields, working as a grass roots organizer as well as working on political campaigns and working for a political action committee. Besides running 4-A-Change, John is also Operations Manager for Room at the Inn. John’s strengths include organizational excellence, accounting, office and management software, and computer setup, maintenance and repair.