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Fine, how about all of you?
Okay.

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Ms. Perry is going to continue um to be
our not our secretary, but our liaison

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because as you can see on our new
minutes, I think that it would be

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beneficial and after consulting with um
County Manager Perry, we thought that a

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secretary might really be beneficial to
make sure that we have correct names of

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people, first and last names, and we
don't miss any of the information that

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we're sharing at the meeting at the
meeting. So, having that delegated

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person to make sure that we have those
things in place would be beneficial for

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us.
And of course, we'll put that to a vote

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because it's not my decision. It'll be
on our committee's decision.

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Ms. Perry is going to share our
financial report. Um Commissioner of

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Finance requested that the committee
receive that information, so we'll

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follow up on that today. That was
started at our last meeting. Um we also

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talked about opioid settlement funds
under option A and B, which is going to

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be a continuation today, and we'll try
to finalize that to make sure

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everybody's on the same page cuz I don't
want that to continue to be a question,

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right? I think at this time we need to
start trying to make some decisions on

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where we're going to start making some
disbursements so we can benefit our

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Vance County.
Um Quinton had shared some post overdose

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information
and some ED information.

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We also discussed the
the importance of prevention, education,

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and outreach, which was one of the
reasons I think we were swaying toward B

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for some of us discussing it around the
table, but we want to make sure we

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discuss it and finalize what option
we're going to go with.

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Um we also talked about the need to
identify some existing prevention things

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that we're doing. So, we don't have to
reinvent the wheel, we don't need to. We

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might be able to support some of the
spokes that we already have.

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Um, we talked about being more involved
with JCPC, so we can get some more

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information from them and being at their
meeting. So, I am going to try to attend

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some more of those. And if I can't, I'm
going to be sending a representative

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that can share some information that I
can come back and share with you all.

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Um, harm reduction and Narcan was
discussed. We know that there are two

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dispensers here, one at Vance Recovery
and also one at the PD.

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Street drug testing was discussed.
And um, we dug into option B a little

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bit. Um, and we have some action items,
which are staff will provide future

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financial reports
on the committee binders. So, we've done

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that, we can check that off. Gathering
information about post overdose deaths.

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We've done that, we can check that off.
We're going to look at some additional

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data points that we may not have looked
at yet.

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And we're going to continue developing a
resource list of the available resources

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that we have in Vance County. So, um,
Miss Kathy had already done one for

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Granville and she's been generous about
sharing that with all of us, but it may

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be beneficial to do something like that
for us for Vance because we have some

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resources that are here that are not in
that brochure that people can take

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advantage of. And we can discuss that as
a team.

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So,
can I get a motion

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on the floor about the approval of the
>> the minutes.

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» Second.
>> All right, thank you.

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Okay, so our first discussion item if
anybody has anything

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after we review the minutes, any
feedback or any comments? Yes, ma'am.

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» want to be sure
um

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cuz I don't we're going to continue to
discuss option B and A and

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at least in the draft it said we had
reached a consensus. We were doing B

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which I don't recall
happening so I don't want to be on

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record for supporting that. I think
it's certainly a consideration.

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» So we going to do that. I think it'll be
good to do that today and thank you for

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bringing up your concern. Yes, ma'am.
Thank you.

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» Whatever however it moves, but I just
think it's important that we just leave

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it open
>> Oh.

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» that we're considering everything at
this point.

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» Yes.
>> Cuz I want to let you talk about this a

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little bit before you came in. But
before I came in 2023, I had when I came

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on board the clerk at the time, I asked
her had the commissioners ever made a

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decision about A or B and she said the
commission suggested B and moving

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forward with B. So I think that's the
direction that our board wants to go

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with B. Um like I said I was never able
to find the minutes that supported that,

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but I would support B.
I don't have a vote, but my

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recommendation to the board would be
option B. But I'll let y'all determine

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how y'all want to move forward.
>> It's a it's going to be the board of

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commissioners of Multnomah
>> Absolutely.

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» chooses that that format.
>> That's right. That's right.

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Yeah, we only you all only recommend
That's right.

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» So I think it's just important that
Sandy, you're aware and Renee, you're

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aware
that there's that strategic there's a

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process that you need to go through.
>> Mhm.

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» And then
>> Okay, cuz we've discussed those and

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» Yeah.
>> talked about them before.

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» Absolutely. Yeah, yeah, yeah. And then
um and if there are specific strategies

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then that the board of commissioners are
really um supportive of would really

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love to see happening. I think that
would be I mean I know it's on the

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agenda, so maybe we can include that as
our part of our discussion, but I think

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that would be really helpful.
>> All that was included brought her motion

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up.
>> Everybody said all right?

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» For approval of the
>> minutes, right?

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» Yes, that I just shared.
>> Did you get a copy of that?

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» Yes, ma'am. So, and I opened that up and
that's how we kind of went down that

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rabbit hole cuz I wanted to make sure
that everybody had a say so in the

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minutes and if anybody had feedback, I
want to make sure that we open it up to

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the floor because everybody has a voice
here and it's important that we listen

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to everyone. So, thank you.
>> And just I would like to be on the

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record to abstain from the
>> I support the okay.

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» Mhm. Yes, Lorraine.
I'm regretting the consent.

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» And that's going to be our Did we talk
about the secretary? That's going to be

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second, so we'll move into that. So, how
do you guys feel

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about getting a secretary for our OAC
meeting?

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» I think it's
something that should be

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that gives you some backup and
conversation and you can communicate.

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» And in documentation, how about you, Ms.
Cassada?

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» Mhm.
>> Absolutely. It'll be probably better to

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be productive.
>> Okay. And Ms. Kathy?

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» Yeah.
>> Okay. How about our folks that's on

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online?
>> I agree.

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» Thank you.
>> Thank you, Ms. Ann.

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» Um is Elliot on He's not on yet? Okay.
>> So, how many do we have to

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» I agree. I'm sorry. I agree as well.
This is Kelly.

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» All right, very good. We enough
>> I believe so.

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» Okay.
Okay. Anybody against it? Any room for a

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discussion
about having a secretary to support us

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and that way we do have somebody that
can document on what we're saying. I

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know that um, Perry had a lot on her
plate, so

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a lot.
>> I needed to go back and and listen to

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all of it and I appreciate you being
liaison, so I think

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» And they can be shorter, too.

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» And if anybody has anything to add to
that, if you guys want to jump in, the

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floor is open.
>> I do not want to be secretary.

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» My plate is very full, so I know I would
not be a great secretary right now cuz

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you have to go back and get solid votes,
you know, and these notes will be on

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record. And it's to support us, right?
We want to remember who said what in

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what context, what we agreed on cuz it's
important to be able to go back and see

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what we discussed and what our decisions
were.

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» And
I spoke to the Warren County management

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and they actually have a person that
comes in and plays that role for them

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and it's actually a free service. So,
let me do some research on that. Um,

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listen, I was told that this person does
it free for

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Warren County. So, I'm going to do some
research and let y'all know.

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» Okay, that's good.
>> make a decision, I'll continue doing it.

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Let me just do some research to see
about this person. She just emailed me

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back.
>> Wonderful.

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» She's doing a little bit of research for
that.

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» Is everybody in agreement with that
around the table?

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Okay.
>> Wonderful.

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» Wonderful, wonderful. Okay, so let's
let's go down now and get to the

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nitty-gritty with action A and B. So,
does everyone around the table know what

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action A and B is?
I know I handed out the information in

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our booklets, so everybody should be
privy to both of those options. I also

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provided worksheets in our earlier
meetings um, for the B route.

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» So, B was more educational.
>> Yeah, B was and and that was the

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reasoning for us discussing and
highlighting being because of the

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prevention and the education. Right?
Because

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I believe and anybody definitely guys
y'all can disagree. We want to be able

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to address the opioid crisis, right? And
I think that that comes with education

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and prevention. You got to put things in
place to teach people not only treat

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it's not about just giving somebody some
medication to feel better. We need to be

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digging a little deeper. How did we get
into this problem? What led us, you

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know, into these problems? So how do we
address those so we don't lean on

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substances to deal with some of the
things that we have going on

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emotionally. I think it helps us to
address that trauma.

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» I think it would be great if to get
information from the schools.

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» Mhm.
>> Um

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you know, and maybe look at at their um
discipline report.

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Right? Let's see cuz they could do that
every year.

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And and then maybe um
I honestly don't know if health has even

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been if if health that
in Granville schools that and then, you

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know, the you know, don't forget the
charter schools as well.

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Um
So I think that would be really helpful

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in terms of the justification
that um is going to be needed for for

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you know, when you do the worksheets and
all.

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And then um
just information maybe from the

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substance treatment providers, too.
Getting their input on what do they see

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would be really helpful on the front end
in terms of the prevention side.

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» Okay.
>> Hey, I'll just add Kathy just to that

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real quick. Hey, everybody. I'm sorry I
joined late and I'm sorry I'm not there

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with you in person.
Um

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I just wanted to mention I like that
idea of Kathy of course anything that

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we're going to do as far as programming
we got to get a pulse check from them on

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what's what's happening, but um
as you know, Kyle Wright and Insight

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Human Services do some of that federal
block grant prevention work that's, you

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know, just scraping the surface. They do
great work, but they don't get funded

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enough to really
um you know, make a big dent in

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prevention education and and most of
what from what what I've understood,

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most of what they're able to do
is elementary age uh programming with

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some of the SAMHSA curriculum.
Um so, just kind of maybe we could

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invite him or maybe just get some
insight and maybe a report from them.

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Um
on, you know, just

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where they've hit, what kind of programs
they've they've administered over the

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last cuz they've been the they've been
the prevention education block grant

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provider for
um gosh, at least 5 years, I believe.

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» And do you have his contact information,
Elliot? This is Sandy.

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» Oh, yeah.
Yeah, Cathy and I got him on speed dial.

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» Okay. Perfect, perfect. So, we can
definitely um look into that to um

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support our option. So, I'm going to put
that question on the table or like who

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is voting for option A? Can I see by
show of hands or by voice?

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» I'll make a motion we can go with option
B.

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» Can I get a second on that motion?
>> I second that motion.

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» Okay, can we get out of it? Okay.

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Do I have eyes on our video on our
virtual teams?

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00:13:04,480 --> 00:13:08,560
» Yes, I.
>> Yes, ma'am.

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» Okay, I for Kelly, Elliot.
>> Yes, ma'am. That's I for option B.

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» Is that
>> I for me as well. I just cannot press

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the unmute fast enough.
>> Okay, thank you so much. All right, so

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now the consensus is B.
>> And I agree.

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00:13:22,240 --> 00:13:27,640
» Okay, yes, ma'am. [laughter] Yes, ma'am.
Cuz I didn't want to keep on doing ring

193
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around the rosy with that. We needed go
ahead and get deal with that and make

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sure we know what we're doing and then
we could start hammering down on these

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worksheets cuz the real fun begin.
>> [laughter]

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» The worksheets, does everybody have
worksheets in their books?

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» I did not bring my book, Shannon. I left
it.

198
00:13:42,720 --> 00:13:45,360
» Okay.
>> But

199
00:13:43,880 --> 00:13:49,440
» I know you're probably in it or not. I'm
sure you know what's in there, right?

200
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And so in our books we should all have
worksheets. If we don't, please please

201
00:13:51,120 --> 00:13:55,760
let me know so we can get those out.

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00:14:02,000 --> 00:14:08,160
And we won't go through each worksheet
one by one, but the main thing is just

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to make sure that right now you do have
them because I know we only have an hour

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for this meeting.
And um we do have

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more things that we have to go over. So
my main concern is that you have them

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and that they can be reviewed
because we have already um engaged some

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stakeholders. This meeting is open,
guys. So if there are people or agencies

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that you want to be involved, please
feel free to have them come and join.

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Um I I am open to that because the more
feedback that we get from the community,

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the better we'll be with this OAC
committee, right?

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» I'm not sure if we're going to do that.
Open up, we have a public comment

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00:14:46,000 --> 00:14:48,520
period.
>> That's what I was saying.

213
00:14:46,800 --> 00:14:49,360
» So if they don't So nobody comes in and
talks.

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00:14:48,839 --> 00:14:52,360
» That's right.
>> Okay.

215
00:14:50,000 --> 00:14:54,760
» We need to advertise and set a public
comment period. We didn't have a time to

216
00:14:53,920 --> 00:14:59,000
do it.
>> But if you want to do that for the next

217
00:14:56,240 --> 00:15:02,520
meeting, you have to re-advertise it.
>> Okay.

218
00:14:59,520 --> 00:15:03,920
» Um but I was I was thinking that
>> Oh, I did.

219
00:15:03,400 --> 00:15:07,360
» But also
>> We have Yeah, we have

220
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Also remember when you have your annual
meeting

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00:15:08,520 --> 00:15:14,400
um on the 22nd of February
>> Okay.

222
00:15:13,240 --> 00:15:16,920
» So that's the purpose of that meeting.
>> That's a good That's a good thing,

223
00:15:16,000 --> 00:15:21,640
right?
>> Shannon, I think we have worksheets.

224
00:15:18,560 --> 00:15:24,800
» You guys don't have worksheets? Okay.
Yeah, I did pass them out. So let me see

225
00:15:23,480 --> 00:15:29,280
if we can get some
>> Cuz they have the same thing.

226
00:15:28,000 --> 00:15:32,560
» See the
NOAs and the

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00:15:34,800 --> 00:15:40,800
» I may have to go and I don't have my
computer. I'll make sure that I bring

228
00:15:38,400 --> 00:15:44,760
I'll email everybody worksheets, okay?
We'll do that. That would

229
00:15:42,360 --> 00:15:48,040
» Speaking of the smart goals.
>> This may have been what I handed out. Is

230
00:15:46,520 --> 00:15:50,560
this what you guys are saying? I think
maybe that's

231
00:15:50,720 --> 00:15:53,520
» Did you email that to us?

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00:15:54,080 --> 00:15:58,760
» Did I email it or did I hand it out?
>> You know I was at the last meeting.

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00:15:57,720 --> 00:16:02,600
» Okay.
All right.

234
00:16:00,120 --> 00:16:07,520
» They will They will say at the top NCO
settlements exhibit C laboratory

235
00:16:04,680 --> 00:16:14,080
strategic planning worksheets for the
>> I will make sure I get those out to you

236
00:16:09,520 --> 00:16:14,080
guys, okay? By the end of the week.

237
00:16:18,200 --> 00:16:27,200
» Cathy sent us something last week.
It's uh

238
00:16:23,120 --> 00:16:30,280
Exhibit C, but that's just from the so
>> So, and you guys don't have anything in

239
00:16:28,600 --> 00:16:33,280
your book that looks like this?
Worksheets.

240
00:16:31,600 --> 00:16:36,560
Okay.
So, it'll be important that I make sure

241
00:16:34,800 --> 00:16:41,520
you have what we need to review. So,
I'll make sure you guys get those

242
00:16:38,600 --> 00:16:41,520
worksheets.

243
00:16:46,600 --> 00:16:51,320
» I I well
>> Okay. Do you have them on your email

244
00:16:49,960 --> 00:16:53,280
right now, Cathy? Would you be able to
send them out, please?

245
00:16:52,680 --> 00:16:55,680
» Uh
>> That way I can make sure they're out

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00:16:54,440 --> 00:17:00,560
today.
>> I'm not connected,

247
00:16:58,680 --> 00:17:04,120
but I'm not I'm not connected, but when
I get back to the office, I can do that.

248
00:17:02,680 --> 00:17:09,040
» Send it out to the group. Thank you,
Cathy. I appreciate that. And then that

249
00:17:06,400 --> 00:17:13,240
way we can everybody can review them.
And guys, if you have any questions,

250
00:17:11,360 --> 00:17:17,079
feel free to reach out to me. And if I
can't answer then I'm

251
00:17:15,800 --> 00:17:20,880
» Yeah, does it say to
>> Does worksheet for me?

252
00:17:19,319 --> 00:17:24,560
That looks That looks like it.
>> Surely it came out April.

253
00:17:22,800 --> 00:17:28,600
» Yes.
>> You guys have that in your book in your

254
00:17:26,000 --> 00:17:28,600
workbooks?

255
00:17:30,640 --> 00:17:33,640
» So, it'll be

256
00:17:34,040 --> 00:17:40,160
» Keep going. There should be one There
should be a bunch of them.

257
00:17:37,280 --> 00:17:44,840
These were some instructions.
>> It's a total of 15 pages I'm reading.

258
00:17:42,920 --> 00:17:48,520
» Is it 13 or 15?
>> It's 15 I'm reading.

259
00:17:46,760 --> 00:17:50,240
» You need wireless.
>> Oh, this is a good one.

260
00:17:49,480 --> 00:17:52,520
» That's it.
>> Yeah.

261
00:17:57,960 --> 00:18:03,600
» Pre-notebook
>> Okay. And guess what? I don't have that

262
00:18:01,280 --> 00:18:06,840
top sheet. I had this, so I probably was
what was confusing. Yeah.

263
00:18:08,680 --> 00:18:13,840
Yeah.
And Kathy is going to email out what she

264
00:18:12,120 --> 00:18:18,400
has to to make sure that we're on the
same page. Make sure everybody has the

265
00:18:16,160 --> 00:18:21,960
same exact work sheets.
Cuz we're going to have to start diving

266
00:18:20,080 --> 00:18:26,440
into those during our meetings.
>> Okay. So, now I got to find everybody.

267
00:18:24,440 --> 00:18:29,640
» Okay. Perfect. Thank you so much um for
doing that. You didn't want to be the

268
00:18:28,040 --> 00:18:32,360
secretary, but I sure appreciate you
sending those.

269
00:18:32,857 --> 00:18:38,840
» [laughter]
>> All right. Port team.

270
00:18:37,560 --> 00:18:44,360
I want to put that out there so
everybody can um Let's talk about a port

271
00:18:41,640 --> 00:18:49,480
team, the benefits, what work what's
working, what's not working, and we do

272
00:18:47,280 --> 00:18:52,080
have a county paramedic right now,
right?

273
00:18:50,120 --> 00:18:55,720
» Yes, he is on
>> Oh, boy. So, but what is his focus? What

274
00:18:54,680 --> 00:18:59,400
is his role?
>> He's I think he's still kind of building

275
00:18:57,600 --> 00:19:02,240
that program.
I think it's mostly going to be the

276
00:19:01,240 --> 00:19:05,640
frequent
the year readmissions to hospitals and

277
00:19:05,000 --> 00:19:08,440
stuff like that.
>> Yeah.

278
00:19:06,360 --> 00:19:12,200
So, it's not that agenda, that opioid
piece.

279
00:19:09,240 --> 00:19:12,200
» Previously

280
00:19:12,880 --> 00:19:17,520
we were focusing on something different
with that.

281
00:19:15,480 --> 00:19:21,760
» Yeah, but that was remember it's up to
years to get it from you. So that would

282
00:19:19,120 --> 00:19:23,760
have been 2020 to 2024.
>> Yeah, I think it's like I said it's

283
00:19:23,280 --> 00:19:26,160
still
>> Yeah, still trying to figure out what

284
00:19:25,800 --> 00:19:29,000
yeah.
>> I think when we we initially started we

285
00:19:28,280 --> 00:19:31,960
we talked
both with the hospital about being a

286
00:19:30,600 --> 00:19:37,000
part of it.
And they chose not to do that and so we

287
00:19:35,680 --> 00:19:40,720
I think we were going a different
direction with uh

288
00:19:39,000 --> 00:19:44,400
I think we were assisting people with
their medications and those kind of

289
00:19:42,200 --> 00:19:48,160
things. We helped them figure that out.
>> Yeah, it's

290
00:19:46,160 --> 00:19:51,880
also it's up to years to fill it so to
get that position that they're trying to

291
00:19:49,880 --> 00:19:55,880
figure out what direction that it needs
to go in. And when the employee came on

292
00:19:54,320 --> 00:20:00,000
board he had to go out so he's out right
now. So the position is

293
00:19:57,520 --> 00:20:03,280
» Might might want to call up Franklin
County. Franklin County did the pilot

294
00:20:02,160 --> 00:20:06,000
for that.
And they they their program is really

295
00:20:05,240 --> 00:20:09,600
strong.
>> Okay, you mean as far as opioids?

296
00:20:07,880 --> 00:20:12,840
» As far as no as far as the community
paramedic.

297
00:20:11,040 --> 00:20:17,840
» And and that was my next point right a
community paramedic with a focus on

298
00:20:15,040 --> 00:20:23,000
opioid not just like the community
paramedic that we have.

299
00:20:19,200 --> 00:20:26,920
» it'd be probably more ideal to follow
I know you got Edgewater we got

300
00:20:24,960 --> 00:20:31,280
Granville is doing their thing. Um
>> Don't follow up.

301
00:20:28,960 --> 00:20:31,280
Right.

302
00:20:32,800 --> 00:20:38,880
» The the huge paramedic is going to be
pretty busy on just the other

303
00:20:37,840 --> 00:20:42,800
» Doing other stuff right.
>> And Vance County also unfortunately it's

304
00:20:40,840 --> 00:20:46,320
going to be very busy.
Um but so far I think some of the

305
00:20:44,000 --> 00:20:50,480
numbers I've I'm seeing is like just
Vance recovery is dealing with around

306
00:20:48,240 --> 00:20:55,960
400 patients. That's people that's
willing to actually walk into the help.

307
00:20:53,520 --> 00:20:59,400
Um and then those numbers that
>> I see

308
00:20:56,760 --> 00:21:02,840
» I mean we're seeing just the minor parts
of it cuz it's only people that's

309
00:21:00,480 --> 00:21:08,000
dealing with emergencies so that's maybe
what 10 a month that we're seeing.

310
00:21:05,840 --> 00:21:11,560
Um and then I think the fatality rates
seem like they dropped some, but I'm

311
00:21:10,160 --> 00:21:16,000
trying to get numbers on how much
Narcan's being given out and I think

312
00:21:14,440 --> 00:21:18,720
you've gotten me that and it looks like
we're getting a good deal of Narcan

313
00:21:17,640 --> 00:21:22,320
that's being
put out there, but I can't get really

314
00:21:20,920 --> 00:21:25,080
good numbers cuz not everybody's
tracking in how much Narcan's being

315
00:21:23,960 --> 00:21:29,520
given out.
Um, so I'm it's a pretty large

316
00:21:27,920 --> 00:21:33,640
population that's out there. It's just
trying to dig out big of a population.

317
00:21:32,280 --> 00:21:38,360
So, I think
having that uh port person community

318
00:21:36,200 --> 00:21:42,440
paramedic that would be bridging that
gap to kind of

319
00:21:41,040 --> 00:21:44,000
knit all these different agencies
together.

320
00:21:43,000 --> 00:21:47,360
» So, explain to me what a female told me
about port. So, that's essentially a

321
00:21:46,200 --> 00:21:48,920
community paramedic.
>> Yes.

322
00:21:47,760 --> 00:21:52,920
» Okay. Okay. Okay. Hey, so
>> It would be like so say for instance if

323
00:21:51,040 --> 00:21:56,440
we get somebody to overdose who's port
person could go out to them and then

324
00:21:55,280 --> 00:21:59,200
hey, would you like me to help with a
follow up?

325
00:21:57,760 --> 00:22:02,720
Um, and there's different programs out
there. Some of them do the

326
00:22:01,160 --> 00:22:06,600
buprenorphine brand name Suboxone.
>> Buprenorphine. Buprenorphine.

327
00:22:04,640 --> 00:22:10,920
» Um, some could do that. Some could do
wound care to prevent readmissions to

328
00:22:08,560 --> 00:22:15,320
the hospital. And you can do depending
on the medical director even do

329
00:22:13,000 --> 00:22:20,240
pre-hospital antibiotics. Um,
and so this it can potentially help on a

330
00:22:18,080 --> 00:22:24,800
large scale if it's set up correctly.
>> A big A big piece of the port though is

331
00:22:22,800 --> 00:22:30,800
also peer support.
So, and and what might be helpful is to

332
00:22:28,640 --> 00:22:37,040
share the um
the Excel module spreadsheet that track

333
00:22:33,880 --> 00:22:42,560
These are the um expectations for each
of the strategies. So, peer support is a

334
00:22:40,000 --> 00:22:47,920
big part of port. Otherwise, there's not
a huge difference between community

335
00:22:45,240 --> 00:22:51,120
paramedics and that. Exactly.
So, the port person and this is

336
00:22:49,480 --> 00:22:54,480
something Rambles working on cuz they
don't have someone right now, but

337
00:22:52,560 --> 00:22:58,920
they're looking to hire
is somebody who's going to stay with

338
00:22:55,920 --> 00:23:03,880
those clients for up to 6 months to
really provide that bridge of care. So,

339
00:23:01,400 --> 00:23:09,920
you've got your community paramedics who
are there on the scene within 24-48

340
00:23:07,360 --> 00:23:14,200
hours after an overdose providing
buprenorphine, providing harm reduction,

341
00:23:12,320 --> 00:23:17,000
but then that peer support person is
taking care of maybe all the other kind

342
00:23:16,000 --> 00:23:20,040
of needs.
>> So, I think

343
00:23:18,240 --> 00:23:24,240
if I'm not mistaken, Buncombe actually
uses some of their money to hire, you

344
00:23:22,880 --> 00:23:28,400
know, peer support team. They can just
drug low on the street that's willing to

345
00:23:25,520 --> 00:23:31,360
help somebody or I think uh Mr. Bromley
over here mentioned something about

346
00:23:29,640 --> 00:23:34,200
music in your churches in the
neighborhood.

347
00:23:32,480 --> 00:23:40,320
Potentially use the churches, if they're
willing to, also be peer support to help

348
00:23:36,720 --> 00:23:47,280
out as well. Um so, that could be uh
a resource in the community.

349
00:23:42,160 --> 00:23:53,200
» In In fact, where Vaya is in the process
of training and educating the church

350
00:23:50,240 --> 00:23:56,880
members and leaders on how to deliver
mental health services and be in that

351
00:23:55,240 --> 00:24:00,880
bridge to connect them with like the
RHAs, the Daymark, the Legacy.

352
00:24:00,160 --> 00:24:04,920
» That's a good job.
>> For people that don't know.

353
00:24:02,640 --> 00:24:06,000
» They could be that bridge, in my
opinion.

354
00:24:05,480 --> 00:24:10,080
» Right.
>> Cuz I mean, I've been here for 13 years

355
00:24:08,600 --> 00:24:14,640
in Buncombe. There's a lot of resources
that I'm just now learning about.

356
00:24:12,400 --> 00:24:18,200
And it's a lot of others out there that
still

357
00:24:15,920 --> 00:24:22,520
There's a lot of
you know, people like to say bad things

358
00:24:20,320 --> 00:24:26,240
about substance abuse
and education needs to be

359
00:24:24,360 --> 00:24:29,800
there for that as well.
And I mean, some of the stuff that I was

360
00:24:27,400 --> 00:24:35,880
looking at, I mean, I think like vehicle
costs, you could get a 70 grand

361
00:24:33,040 --> 00:24:40,160
and run it 36. I think for lighting, you
could add a technician. What else? About

362
00:24:38,120 --> 00:24:44,640
10,000
I think the tank holds just under 15

363
00:24:42,640 --> 00:24:49,760
gallons. So, if you fill that tank up to
the max every single day, you're looking

364
00:24:46,880 --> 00:24:55,400
at maybe what, 11,000 a year. So, that's
what just under 6,000 just on a, you

365
00:24:52,720 --> 00:24:58,520
know, truck fuel, lights.
Now obviously, the personnel would be

366
00:24:57,120 --> 00:25:03,080
the issue. You you want to keep it at a
competitive rate. Um It looks like from

367
00:25:00,800 --> 00:25:08,120
what I'm seeing with 55 to 60 would be a
pretty competitive rate.

368
00:25:05,280 --> 00:25:12,560
Now, obviously, I'm not overly familiar
what adds on to that. So, I mean, how

369
00:25:10,440 --> 00:25:15,800
much would add on to that?
And then would the

370
00:25:13,920 --> 00:25:19,440
board like to Would the county like to
pay for a part of it and then the OBS

371
00:25:17,360 --> 00:25:24,000
money come from it or
And then plus

372
00:25:21,680 --> 00:25:27,160
you know, maintaining it after all the
month funds are gone.

373
00:25:26,000 --> 00:25:30,760
It could be
a trial. Obviously, you don't want to

374
00:25:28,560 --> 00:25:34,480
say trial, but you know, see how it goes
and then if it shows as beneficial to

375
00:25:32,840 --> 00:25:39,200
the county, then
it could be up to the board in

376
00:25:36,920 --> 00:25:43,960
what 2037 2038.
>> Mhm.

377
00:25:40,240 --> 00:25:50,360
And also, I would like to look at
maybe not exactly a four-team, but like

378
00:25:48,040 --> 00:25:55,480
a county paramedic maybe in a peer
support like a maybe a two-man team

379
00:25:52,920 --> 00:26:00,400
versus a five-man team because it's a
lot easier to support two staff than it

380
00:25:57,960 --> 00:26:03,960
would be for five. You know, and then if
the program can build and be

381
00:26:02,440 --> 00:26:08,160
self-sufficient,
then it can add one to staff members.

382
00:26:06,560 --> 00:26:12,120
» Well, that's what I was I was kind of in
the thought process of doing maybe like

383
00:26:10,520 --> 00:26:16,080
a two-person
four-team and then you can rotate them.

384
00:26:14,520 --> 00:26:18,880
So, they work Monday, Tuesday, off
Wednesday, Thursday, and work Friday,

385
00:26:17,400 --> 00:26:23,560
Saturday, Sunday and then opposite of
that and then the other person will fill

386
00:26:20,920 --> 00:26:26,560
in. It can be a 10-hour day or a 12-hour
day,

387
00:26:24,640 --> 00:26:31,960
but the goal would be is you know,
follow up with these overdoses

388
00:26:29,760 --> 00:26:35,600
and then potentially getting them some
sort of you know, medication to help

389
00:26:34,080 --> 00:26:40,960
them with withdrawals until we can get
them placed somewhere or you know,

390
00:26:38,640 --> 00:26:44,560
whatever case. The first 72 hours is the
most critical and right now we're just

391
00:26:42,760 --> 00:26:48,000
not doing anything other than taking
them to the hospital where they get

392
00:26:45,560 --> 00:26:54,080
discharged, go home, and relapse.
So, I think a four would be extremely

393
00:26:50,960 --> 00:26:57,480
extremely useful.
>> And it would definitely be important to

394
00:26:55,840 --> 00:27:01,760
connect with the resources that we
already have, right? To pick up those

395
00:26:59,480 --> 00:27:06,840
pieces like bringing them to Legacy
Visions, Today's Marks, and tapping into

396
00:27:04,880 --> 00:27:10,920
what we have.
>> also helping, you know, even the jail. I

397
00:27:09,320 --> 00:27:13,600
mean, how many people are in the jail
that we've helped? Let's not get to

398
00:27:12,160 --> 00:27:18,760
over.
I mean, so like I said, I think that

399
00:27:15,960 --> 00:27:22,360
creating that team could be that bridge
between all these different agencies and

400
00:27:21,640 --> 00:27:27,360
resources.
>> And just an FYI, both Rural Health Group

401
00:27:25,240 --> 00:27:32,400
as well as
GBPH, our Vance Clinic, are are both

402
00:27:30,720 --> 00:27:37,000
federally qualified health centers,
which means that we treat uninsured.

403
00:27:35,400 --> 00:27:39,960
» Yeah.
And so that would be the thing that we

404
00:27:38,480 --> 00:27:44,840
could potentially do is transport,
potentially transport to these

405
00:27:42,800 --> 00:27:48,200
facilities, Vance Recovery when they're
open, Rural Health.

406
00:27:47,120 --> 00:27:52,880
And then the other thing that we can
even potentially do would be blood draws

407
00:27:50,680 --> 00:27:57,080
for, you know, checks of hepatitis and
AIDS and

408
00:27:54,680 --> 00:28:03,840
it could be also
what's needle exchange.

409
00:28:00,320 --> 00:28:06,960
Yeah. So I mean, I think it's a huge
benefit to the community that we need to

410
00:28:05,400 --> 00:28:09,200
look at strongly into.
>> Yeah.

411
00:28:07,480 --> 00:28:13,560
» All right, do you have
some parameters that Franklin County

412
00:28:11,080 --> 00:28:13,560
uses?

413
00:28:14,360 --> 00:28:22,240
» Uh that has kind of more with
specifically protocols for folks that

414
00:28:18,560 --> 00:28:26,640
are opioid use disorder identified, no.
Um they've had, uh you know, there a lot

415
00:28:25,200 --> 00:28:31,200
of what they've been doing is following
folks that come out of the hospital. Um

416
00:28:29,520 --> 00:28:37,520
they're you know,
SPMI, mental health, folks that that are

417
00:28:34,520 --> 00:28:41,600
not successful primarily with taking
uh medications on a given regimen, that

418
00:28:39,600 --> 00:28:45,880
kind of thing.
You know, I know that they obviously

419
00:28:43,000 --> 00:28:51,000
coordinate really carefully with the uh
with the clinics in Franklin County,

420
00:28:47,800 --> 00:28:55,560
Visions and some of the others, but um,
with with specifically the interface

421
00:28:53,240 --> 00:28:59,200
with opioid use disorder and what may be
kind of similar to with the way a poor

422
00:28:57,160 --> 00:29:03,440
team would function, we'd have to reach
back out to them.

423
00:29:00,720 --> 00:29:07,040
I do know, um, you know, I think
and I I don't know have the the latest

424
00:29:05,280 --> 00:29:10,800
and greatest from from Franklin County,
but um, you know, they've had a

425
00:29:09,200 --> 00:29:15,960
community paramedic that's been in that
position, like you said, Dan, for gosh,

426
00:29:14,840 --> 00:29:18,480
many years.
>> Yeah.

427
00:29:16,360 --> 00:29:22,640
» Seven years, maybe eight years.
>> Seven years.

428
00:29:20,120 --> 00:29:27,200
» Yeah, I I think Halifax actually has a
little bit more of a um,

429
00:29:25,320 --> 00:29:31,080
a focus, you know, they've they've had
their community paramedicine program

430
00:29:28,840 --> 00:29:33,920
around a little bit longer. Um, they
were one of the first in the general

431
00:29:32,400 --> 00:29:37,680
region in the original five county
region that that started community

432
00:29:35,640 --> 00:29:40,480
paramedicine. But it might it might
behoove us if we're going to reach out

433
00:29:39,080 --> 00:29:44,000
and just kind of
get a sense of the way they're

434
00:29:41,440 --> 00:29:47,120
functioning to to to talk to Franklin
and maybe another county, maybe like

435
00:29:45,680 --> 00:29:49,400
Halifax.
>> And I've actually reached out with

436
00:29:48,560 --> 00:29:51,840
Edgecombe.
>> Uh-huh, it was a positive too.

437
00:29:50,400 --> 00:29:53,240
» Yeah, and I spoke with him for
>> Yes.

438
00:29:52,880 --> 00:29:55,560
» Yeah.
>> It was

439
00:29:54,440 --> 00:29:58,440
a pretty good conversation.
>> I think Orange County is supposed to be

440
00:29:57,200 --> 00:30:01,040
another one that's supposed to have a
very well put together program.

441
00:29:59,640 --> 00:30:04,520
» I think it would benefit us. Good for
them. Good for them.

442
00:30:02,640 --> 00:30:06,240
» But but they've got just whole lot of
money.

443
00:30:04,800 --> 00:30:08,400
» We got to do too, but
>> Orange County's got the Cadillac riding

444
00:30:07,760 --> 00:30:12,120
around.
>> Just yeah, yeah. Right, right, yeah.

445
00:30:10,760 --> 00:30:15,480
But the goal is to get the blueprint
regardless of what county you get the

446
00:30:13,720 --> 00:30:17,720
blueprint of like what they do, what's
working for them. Yes.

447
00:30:17,400 --> 00:30:21,160
» Yeah.
>> And I and I I know money's always going

448
00:30:20,280 --> 00:30:25,680
to be a big talk.
>> Yeah.

449
00:30:22,680 --> 00:30:27,840
» Outside of position and the vehicle,
that would be the main cost.

450
00:30:26,840 --> 00:30:30,720
» Yeah, salary is the
>> Because we we would have to get rid of

451
00:30:29,640 --> 00:30:33,560
our resources.
>> Right.

452
00:30:31,120 --> 00:30:35,000
» The testing kits, the syringes, I think
we can

453
00:30:34,280 --> 00:30:36,480
» The equipment.
>> is there.

454
00:30:35,600 --> 00:30:39,040
» I mean, we're already getting put
equipment every day.

455
00:30:37,760 --> 00:30:41,520
» Technically, you don't need a cardiac
monitor cuz you're not going to be

456
00:30:40,440 --> 00:30:46,440
automatically dispatched. You're
self-dispatched. So, our cardiac monitor

457
00:30:43,760 --> 00:30:48,400
is not truly needed. Um so, the
equipment's already pretty much there.

458
00:30:48,160 --> 00:30:52,680
» Right.
>> Um the only thing is just the salary and

459
00:30:51,240 --> 00:30:54,360
the the finances.
>> Mhm.

460
00:30:53,560 --> 00:30:56,400
» Yeah.
>> Okay.

461
00:30:54,560 --> 00:30:59,960
» And I would just expand on what Kathy
was saying real quickly about peer

462
00:30:57,920 --> 00:31:03,720
support. I totally agree that that needs
to be a component, but it doesn't need

463
00:31:01,960 --> 00:31:07,040
to That can be a hard position to fill,
and and Kathy and I are obviously both

464
00:31:05,320 --> 00:31:11,120
working in Granville on their on their
team, and they're still recruiting. Even

465
00:31:09,680 --> 00:31:13,720
though there's a lot of certified peer
support specialists kicking around out

466
00:31:12,760 --> 00:31:16,000
there,
um

467
00:31:14,440 --> 00:31:21,240
to find one that's a really good match
for this um niche position can be very

468
00:31:18,600 --> 00:31:27,040
difficult. And um you know, I would just
encourage if we build that position into

469
00:31:23,920 --> 00:31:31,040
a proposal that we not wait um that
there's work that can be done in

470
00:31:28,760 --> 00:31:35,960
partnership and possibly through, you
know, different memorandums of agreement

471
00:31:33,080 --> 00:31:39,680
or or relationships with our providers
to incorporate some of the peer support

472
00:31:37,520 --> 00:31:43,880
that's already going on, you know, and
not wait to implement a program because

473
00:31:42,120 --> 00:31:45,600
of a you know, a challenging position to
fill like that.

474
00:31:44,960 --> 00:31:50,240
» Mhm.
>> I'll tell you another where area that I

475
00:31:48,080 --> 00:31:56,240
think the port could really be helpful
is we know that something like 60% of

476
00:31:53,640 --> 00:31:59,080
the people who get arrested bond out.
>> Yeah.

477
00:31:56,880 --> 00:32:03,760
» And so, we're missing a potential
population right there of people who've

478
00:32:01,200 --> 00:32:05,320
been arrested for drug use or
>> Yeah.

479
00:32:03,960 --> 00:32:09,240
» both of
you know, something like that to connect

480
00:32:07,240 --> 00:32:13,280
them to the port, I think would be
another opportunity to get more people

481
00:32:11,520 --> 00:32:16,520
into treatment.
>> I think there's some even some software

482
00:32:15,040 --> 00:32:20,240
that uh
I was being told about that even

483
00:32:18,400 --> 00:32:24,200
connects all of these things together,
so it helps us I would have to do more

484
00:32:22,520 --> 00:32:28,560
research on on the software. I don't
know. The cost could be astronomical in

485
00:32:27,040 --> 00:32:30,240
the way the software is and how they use
it.

486
00:32:29,320 --> 00:32:33,320
Um
I know that's one also there is some

487
00:32:31,720 --> 00:32:37,400
software out there that may help them
with some of these processes.

488
00:32:35,280 --> 00:32:41,040
Um and the peer review, I mean, that's
that's going to be our base for the

489
00:32:39,200 --> 00:32:43,520
student.
That would be something that we would

490
00:32:42,040 --> 00:32:47,920
have to work into. I think Like I said,
in Buncombe, I think they hired like

491
00:32:44,840 --> 00:32:51,080
three. But, I'm not sure if were they
like um

492
00:32:49,080 --> 00:32:56,720
» They had They worked with an agency.
Nobody to say you have to have an agency

493
00:32:53,160 --> 00:33:00,600
that can that them and do their um CEs
and things like that. You know, you got

494
00:32:58,840 --> 00:33:04,000
to find that right peer support. I don't
think it needs to be If we were going to

495
00:33:02,640 --> 00:33:07,840
go that route, it wouldn't need to be a
new peer support. It would need to be

496
00:33:06,080 --> 00:33:12,160
somebody that was experienced.
>> Orange County, though, has it fully

497
00:33:09,920 --> 00:33:16,920
integrated. That person actually sits at
their jail

498
00:33:13,680 --> 00:33:21,280
to be working with the port and then
people at the jail. So, if there are

499
00:33:19,240 --> 00:33:25,000
different models out there, but it's
Yeah, they have a couple peer support on

500
00:33:22,600 --> 00:33:28,360
our ACT team and it's hard to fill that
position and they turn over a lot of it.

501
00:33:26,720 --> 00:33:32,360
» Yeah.
>> And I know Visions, they're already

502
00:33:29,840 --> 00:33:37,560
working, you know, with the jail. So,
they already set that road map.

503
00:33:35,520 --> 00:33:40,880
I mean, that we need to follow. So,
that's something then I don't think that

504
00:33:38,840 --> 00:33:45,280
we need to reinvent the wheel on that we
can tap into their expertise, you know,

505
00:33:43,240 --> 00:33:49,760
for those things. But, I want to make
sure I've given everybody an opportunity

506
00:33:47,680 --> 00:33:55,280
to say what they needed to say about the
port team, ask any questions about

507
00:33:52,360 --> 00:34:02,320
community paramedic, and share some of
your thoughts or anything that you have

508
00:33:57,480 --> 00:34:02,320
to say on the computer or on the table.

509
00:34:04,040 --> 00:34:12,360
» Are you wanting a proposal? Are you
wanting Putnam to bring forth a proposal

510
00:34:10,000 --> 00:34:14,919
for this group to consider, Sandy, or
>> the group say? Because this is going to

511
00:34:13,960 --> 00:34:19,040
be a group effort.
>> I think we need to do more research and

512
00:34:16,879 --> 00:34:20,879
get information from all counties.
>> Yeah.

513
00:34:19,600 --> 00:34:22,520
» And then actually see what we can
afford.

514
00:34:21,520 --> 00:34:27,000
» Okay. Maybe
>> from a county perspective. And then I

515
00:34:24,480 --> 00:34:31,000
think if if I'm not if I'm not talking
too much for Elliot, I believe there's

516
00:34:28,760 --> 00:34:35,040
some money's available from Vaya that
can assist with that.

517
00:34:32,919 --> 00:34:39,320
Am I correct, Ella?
>> As far as the

518
00:34:36,720 --> 00:34:41,000
um the actual funding of a of a port
team?

519
00:34:39,720 --> 00:34:44,520
» Yeah.
>> Yeah, I mean there's there's things that

520
00:34:42,840 --> 00:34:48,360
can be put in place that can even be
Medicaid billable when you're talking

521
00:34:46,760 --> 00:34:52,080
you know, the actual coordination
especially for peer support and

522
00:34:50,280 --> 00:34:56,679
transportation that can kind of bake
into a port team and help offset some of

523
00:34:54,760 --> 00:35:01,760
the costs. There's some flexibilities
around transports if they need to go to

524
00:34:58,760 --> 00:35:06,760
a particular facility um you know,
crisis facility, detox, that kind of

525
00:35:04,200 --> 00:35:11,440
thing. Um there's some there's some
flexibilities around that that can

526
00:35:08,080 --> 00:35:17,560
actually be billable. Um but you know,
there's I think when it comes down to

527
00:35:13,760 --> 00:35:20,880
the actual investment of the full-time
if it's going to be if it's going to

528
00:35:19,160 --> 00:35:24,280
live in EMS and it's going to be kind of
a case management type role where you're

529
00:35:22,840 --> 00:35:27,800
following folks, you're keeping in
touch, you're making sure they're making

530
00:35:25,640 --> 00:35:33,400
their appointments, that whole nine.
That needs to be something that is you

531
00:35:29,840 --> 00:35:38,200
know, is seated by the committee. Seated
by the opioid fund and then agreed upon

532
00:35:35,720 --> 00:35:41,440
by the county to fund long-term. But
there's a lot that can be baked in

533
00:35:39,760 --> 00:35:46,160
that's kind of wrapping around a port
team that can enhance all these things

534
00:35:43,760 --> 00:35:49,720
that are you know, some of them are like
I said, you know, billable to their

535
00:35:47,880 --> 00:35:54,720
insurance.
>> So how about maybe having Edgecombe and

536
00:35:52,320 --> 00:35:58,600
Guilford come and present to us and talk
about what's working, what they do?

537
00:35:57,200 --> 00:36:02,920
» That's what I was
>> And Franklin and Halifax. Okay.

538
00:36:01,240 --> 00:36:06,960
» That's what I was going to say if we can
have someone come in and kind of present

539
00:36:04,920 --> 00:36:11,080
and see what other counties are doing.
That would help us be able to make a

540
00:36:08,880 --> 00:36:15,160
good decision and and create a good
stable program.

541
00:36:12,800 --> 00:36:18,400
» Okay.
Yeah, let's send out some meeting

542
00:36:16,600 --> 00:36:19,560
invites. How would we go about
>> Who are going to

543
00:36:19,120 --> 00:36:21,520
» Okay.
>> I'll do Halifax since I used to work

544
00:36:21,480 --> 00:36:23,560
there.
>> Yeah, I can get all that stuff.

545
00:36:22,600 --> 00:36:27,960
» I got it.
And I have their actual policies and

546
00:36:25,400 --> 00:36:30,680
protocols. So they are even anywhere
overall operating system.

547
00:36:28,960 --> 00:36:33,200
» And I'll get with Meredith if she's I
think she's good.

548
00:36:31,560 --> 00:36:36,040
» Frankly.
>> Yes, I'll do Frank cleaning and Halifax.

549
00:36:35,000 --> 00:36:38,320
» You can try to reach out to Orange
County and

550
00:36:36,440 --> 00:36:41,200
» Okay, I got some Did we say Guilford
like somebody said something is working

551
00:36:39,920 --> 00:36:45,440
well with Guilford. Okay.
>> I have some contacts in Guilford.

552
00:36:42,600 --> 00:36:47,200
» So we can see Edgecombe and what other
one I said?

553
00:36:46,600 --> 00:36:50,480
» I said
>> Yeah, you did.

554
00:36:49,160 --> 00:36:53,560
» We can try to follow up with Orange
County students.

555
00:36:51,400 --> 00:36:53,560
» Okay.

556
00:36:53,925 --> 00:36:59,120
» [laughter]
>> I think it's more so the position itself

557
00:36:56,840 --> 00:37:03,560
is I mean the position itself is is the
position itself. Our salary would not be

558
00:37:02,040 --> 00:37:06,080
identical to what
>> the Orange

559
00:37:04,400 --> 00:37:09,600
» office. I mean but the program itself it
shouldn't be too too different. We know

560
00:37:07,720 --> 00:37:12,120
we can't offer salary-wise what Guilford
and Orange offers.

561
00:37:10,520 --> 00:37:13,400
» I think their program is a lot more
robust.

562
00:37:13,000 --> 00:37:16,200
» Yeah.
>> Yeah, that's what I That's what I

563
00:37:14,680 --> 00:37:18,960
understand. I mean I have some
I don't know all of them but I mean I

564
00:37:17,600 --> 00:37:22,280
even heard that some of their stuff from
transport to like different facilities

565
00:37:21,040 --> 00:37:25,440
throughout the state. I don't know how
true some of that is.

566
00:37:23,120 --> 00:37:31,560
» So I think it's just having them to come
out and drop some nuggets on us and

567
00:37:28,240 --> 00:37:34,240
educate us on what they do and we we can
do our own thing that's going to fit

568
00:37:33,160 --> 00:37:37,680
Vance County.
>> Yeah, I think it's important that it you

569
00:37:35,600 --> 00:37:41,360
know we are comparing apples to apples
because you know we don't have a ton of

570
00:37:39,080 --> 00:37:44,600
detox around here. You know, it is a
rural setting and we just want to be

571
00:37:43,360 --> 00:37:46,520
similar to something
>> Right.

572
00:37:45,280 --> 00:37:48,946
» Right. Have something like
>> Cuz I don't have that. This stuff is

573
00:37:48,000 --> 00:37:50,966
» This stuff is
>> [laughter]

574
00:37:51,720 --> 00:37:55,880
» I think I mean we're going to I think
we're in a good position that we can

575
00:37:54,640 --> 00:37:57,360
create our own
>> Mhm.

576
00:37:56,480 --> 00:37:59,440
» solution.
>> There you go. Make it

577
00:37:58,480 --> 00:38:02,400
» It depends on the point of the
community.

578
00:38:00,280 --> 00:38:05,760
» It's a new thing in the state. You know,
it's slowly evolving so you can set it

579
00:38:04,160 --> 00:38:10,280
up how we want it.
>> I like that and I agree with that.

580
00:38:07,960 --> 00:38:14,600
» Gwen, are you on the monthly court
meetings by any chance?

581
00:38:12,640 --> 00:38:21,320
All right, let me I will forward those
emails to cuz that's a great learning

582
00:38:17,000 --> 00:38:25,640
opportunity and networking, too. Okay.
So we're going to move on to our next

583
00:38:23,240 --> 00:38:29,400
topic unless anyone else has anything to
add on what we just covered.

584
00:38:29,760 --> 00:38:35,720
Thank you. Thank you. So,
recommendations to BLCC what we got.

585
00:38:33,880 --> 00:38:41,000
» Uh what we were just talking about at
what date do you think we'll have um

586
00:38:38,480 --> 00:38:45,000
a potential um project ordinance uh to
submit to the commissioners just as a

587
00:38:42,440 --> 00:38:47,760
recommendation down the road?
I'm just

588
00:38:46,000 --> 00:38:52,120
thinking ahead. Are we thinking
November, December for the board to be

589
00:38:50,120 --> 00:38:55,520
significantly December possibly?
>> We'll work after December.

590
00:38:53,680 --> 00:38:56,840
» Yeah, maybe January? That's what I'm
thinking.

591
00:38:55,920 --> 00:38:58,720
» Mhm.
>> That probably would be best.

592
00:38:58,000 --> 00:39:03,520
» Okay.
>> But it gives us more time to meet and uh

593
00:39:01,600 --> 00:39:08,480
get the strategy like you know to be
like you all.

594
00:39:05,760 --> 00:39:12,960
» Does everybody understand um what we
just said?

595
00:39:10,440 --> 00:39:18,560
Any questions about waiting until
January to make some recommendations for

596
00:39:16,040 --> 00:39:23,720
the community for the commissioners?
And that gives us a chance to get some

597
00:39:20,280 --> 00:39:29,040
more education on port, right? We can
talk a little bit more about what we

598
00:39:25,360 --> 00:39:32,960
think these funds may want to go toward.
I definitely want to put it out there

599
00:39:31,000 --> 00:39:37,800
that I want some of the funds to go
toward the crisis center cuz I think

600
00:39:35,600 --> 00:39:41,200
that's going to be very very important
for Vance County.

601
00:39:39,400 --> 00:39:45,800
» So, is it going to be a statement at the
22nd meeting of like what's been going

602
00:39:44,360 --> 00:39:48,960
on and what the recommendations are up
until this point or are you saying that

603
00:39:47,400 --> 00:39:53,400
it'll happen in January?
>> So, I think we need to I think we need

604
00:39:51,040 --> 00:39:57,480
to start getting some recommendations
documented

605
00:39:54,960 --> 00:40:01,640
and so we can explore that and then have
something hard to submit to our

606
00:39:59,600 --> 00:40:05,040
commissioners come January. Does
everyone agree with that?

607
00:40:02,840 --> 00:40:08,520
» Yes, I think January's good that way it
gives us time to create up a whole

608
00:40:06,920 --> 00:40:11,200
program and we have something to
actually present.

609
00:40:09,440 --> 00:40:15,120
» So, at the annual meeting there'll just
be discussion with the public on the

610
00:40:13,000 --> 00:40:18,360
progress that this committee has made
and what we've done up until January.

611
00:40:16,800 --> 00:40:20,640
So, but the recommendations won't happen
until January of 2020.

612
00:40:19,440 --> 00:40:24,520
» That's fine.
>> And so so far we've talked about a court

613
00:40:22,880 --> 00:40:29,520
team, right? We've talked about a
paramedic. I've expressed my interest

614
00:40:27,480 --> 00:40:34,360
for the crisis center. How does everyone
sitting around the table feel about

615
00:40:32,040 --> 00:40:37,320
those funds going toward our crisis
center that's coming to Vance County?

616
00:40:36,320 --> 00:40:41,200
» That's
That's mandatory.

617
00:40:38,280 --> 00:40:41,200
» It is mandatory.

618
00:40:41,440 --> 00:40:45,840
» And that That's That I mean
that's going to be huge.

619
00:40:45,200 --> 00:40:49,680
» Mhm.
>> And and you know, a lot of what we're

620
00:40:48,040 --> 00:40:52,400
talking about with the court and those
kind of things, that facility will

621
00:40:51,520 --> 00:40:54,200
support that.
>> Mhm.

622
00:40:52,840 --> 00:40:57,480
» Yeah, you'll have somewhere to take
people. You won't They'll have

623
00:40:56,040 --> 00:41:00,560
» You won't have to go to Black Mountain.
>> You won't have to go to detox. You got

624
00:40:58,800 --> 00:41:03,640
detox, you got all that stuff right
there locally.

625
00:41:01,560 --> 00:41:06,760
» I mean I mean that's what we're talking
about when adding

626
00:41:04,880 --> 00:41:10,400
» 16 15
>> That is a It's going to be It's going to

627
00:41:08,520 --> 00:41:13,280
be a combination behavioral health and
social services.

628
00:41:11,480 --> 00:41:16,240
» Yes.
>> Um correct.

629
00:41:14,600 --> 00:41:20,160
» How much money do you think we need to
set aside?

630
00:41:18,000 --> 00:41:25,120
» We're still I think still working on the
budget for that. And we're also

631
00:41:23,640 --> 00:41:30,840
I mean we've been talking several years
about this so actually since 2018.

632
00:41:28,680 --> 00:41:36,920
Uh we've been working on this.
And I think there's some some monies

633
00:41:34,400 --> 00:41:42,800
also that would come from Franklin and
Granville counties to support that.

634
00:41:39,240 --> 00:41:47,960
And maybe some other counties also.
>> Yeah, there's already recurring MOE

635
00:41:45,080 --> 00:41:52,600
funds that have been budgeted that have
been designated for that type of a

636
00:41:50,240 --> 00:41:57,680
facility for years. And
so to that point Dan, at this at this

637
00:41:55,440 --> 00:42:01,440
stage, when we're talking operational
costs kind of down the road,

638
00:42:00,120 --> 00:42:05,000
we haven't gotten to a point where we
feel like there's going to be a need for

639
00:42:02,760 --> 00:42:11,200
more money. And we've we've said that to
every county that you know uh

640
00:42:07,880 --> 00:42:15,720
the the existing maintenance of effort
allocations

641
00:42:13,000 --> 00:42:19,080
um you know, should should cover that
for the most part. We've We've really

642
00:42:17,520 --> 00:42:23,200
got to get it up and running to see what
the volume looks like. So much that of

643
00:42:21,160 --> 00:42:26,560
what depends, and this is true
especially in places to take Orange

644
00:42:25,360 --> 00:42:29,400
County for example. They're about to
have two of them in the same county

645
00:42:28,240 --> 00:42:34,000
where you got some of the lowest
Medicaid per capita population in the

646
00:42:32,400 --> 00:42:39,560
state.
If you don't have the revenue that comes

647
00:42:35,920 --> 00:42:44,200
in from the volume of Medicaid and state
funds, you you have to offset it a lot

648
00:42:42,400 --> 00:42:48,040
with county dollars to keep it operating
because you have to keep it staffed for

649
00:42:46,320 --> 00:42:51,360
the number of beds, right? That doesn't
change. You got to be ready for it

650
00:42:49,600 --> 00:42:56,120
whether you get it or not.
So, what we need I think what what we'll

651
00:42:53,360 --> 00:43:00,200
see in this region is the volume that
will sustain it. You don't I don't think

652
00:42:58,080 --> 00:43:04,960
you're going to need as heavily of a
supplement as as you'll see in some

653
00:43:03,200 --> 00:43:09,120
other areas that that cover the
operational cost of it. So,

654
00:43:08,720 --> 00:43:12,360
you know,
>> The big thing in when we toured the

655
00:43:10,680 --> 00:43:14,440
Buncombe facility,
it's secured.

656
00:43:14,120 --> 00:43:18,560
» Yeah.
>> And that's that's not that you don't pay

657
00:43:16,800 --> 00:43:20,080
that Medicaid dollars.
>> No, you don't.

658
00:43:19,040 --> 00:43:22,640
» You can't pay that with Medicaid
dollars.

659
00:43:20,440 --> 00:43:25,720
» So, you got to have you got to have some
cooperation there with law enforcement

660
00:43:24,640 --> 00:43:28,400
and so forth
>> That's right.

661
00:43:26,280 --> 00:43:32,640
» So, you'll you'll have to keep
I think in Buncombe they had two people

662
00:43:30,160 --> 00:43:36,120
there 24/7. Is that correct? Isn't that
right?

663
00:43:34,040 --> 00:43:39,840
» The one that I contracted didn't own
>> I think

664
00:43:38,160 --> 00:43:42,480
Yeah, in Alamance
>> Alamance County Sheriff's Department.

665
00:43:41,240 --> 00:43:44,600
» Alamance is the sheriff.
>> Alamance the sheriff is taking care of

666
00:43:44,200 --> 00:43:48,800
that.
>> 24/7.

667
00:43:46,240 --> 00:43:51,600
» And so, and I think with with off-duty,
right? Or are they

668
00:43:49,840 --> 00:43:54,800
» Off-duty.
>> Are they doing that with off-duty or are

669
00:43:52,920 --> 00:43:58,480
they doing it with They have people
assigned to that.

670
00:43:56,880 --> 00:44:01,640
» They're off-duty. They're assigned. They
have to sign a sheet. We put it out a

671
00:44:00,280 --> 00:44:06,200
month in advance, and this is for
Alamance Behavioral Health. And then the

672
00:44:03,720 --> 00:44:09,760
officers from the surrounding counties
can sign up. But they do it far enough

673
00:44:08,120 --> 00:44:14,480
in advance to make sure that we've got
coverage and if somebody calls out,

674
00:44:11,920 --> 00:44:19,360
we've got somebody to fall back on. Now,
we do have Jake that that kind of land

675
00:44:17,240 --> 00:44:24,200
there and he's just there to office
support. It's like a satellite office

676
00:44:21,960 --> 00:44:29,480
for the sheriff's office. But we do have
one dedicated sworn law enforcement

677
00:44:27,240 --> 00:44:32,480
officer that sits at that entry door
24/7.

678
00:44:33,680 --> 00:44:38,960
» Yeah, utilizing those funds for for
security and just making sure there's an

679
00:44:37,120 --> 00:44:42,760
extension. Obviously, you got to you
know,

680
00:44:40,440 --> 00:44:46,320
make sure that there's some
focus on and hopefully, you know, it

681
00:44:44,960 --> 00:44:52,480
makes sense. I mean, that's that's one
of the priorities in the MOA is

682
00:44:49,840 --> 00:44:55,520
diversion, right? From criminal justice
system. And so when you've got an

683
00:44:54,240 --> 00:44:58,920
extension of law enforcement that's
actually connecting with people at the

684
00:44:57,000 --> 00:45:02,720
facility
and that you know, that could just that

685
00:45:00,960 --> 00:45:08,000
goes a long way. So it makes sense to me
to

686
00:45:04,680 --> 00:45:11,360
for opioid funds to to go towards
supporting that.

687
00:45:09,640 --> 00:45:15,640
» I wanted to make sure that everybody
sitting around the table, you know,

688
00:45:13,280 --> 00:45:19,840
heard that and understood that. I just
want to make sure we are transparent and

689
00:45:17,520 --> 00:45:23,280
everybody understands
what's going on.

690
00:45:22,200 --> 00:45:27,480
Okay.
So next is our annual opioid meeting.

691
00:45:27,240 --> 00:45:31,360
» Mhm.
>> So that meeting is scheduled for

692
00:45:29,080 --> 00:45:34,880
September the 22nd at 5:00 p.m. The
commissioners will have their regular

693
00:45:32,720 --> 00:45:39,200
work session from 4:00 to 5:00 and we
will go directly into the annual opioid

694
00:45:36,880 --> 00:45:42,400
meeting. And I gave everyone a copy of
the presentation from last year, what we

695
00:45:41,160 --> 00:45:45,880
did last year and I already changed the
date for it for this year, but I just

696
00:45:44,280 --> 00:45:50,360
haven't been able to change the
statistical data on it yet. But that's

697
00:45:48,040 --> 00:45:54,320
essentially what Sandy and I plan to go
over at that meeting and if anyone has

698
00:45:52,360 --> 00:45:57,880
any suggestions on what we can add, what
y'all want us to add, we can do that.

699
00:45:56,280 --> 00:46:03,360
But please attend if you're able to do
so. September the 22nd at 5:00 p.m.

700
00:46:01,960 --> 00:46:07,120
Okay. And the
notifications and invitations have

701
00:46:05,240 --> 00:46:09,600
already gone out to the municipalities
to listen.

702
00:46:10,080 --> 00:46:17,840
Any questions or comments?
You guys all have a copy of on what will

703
00:46:15,600 --> 00:46:20,920
be discussed. Any questions or further
discussion?

704
00:46:19,480 --> 00:46:23,560
» And there will be public comment period
after this meeting.

705
00:46:26,120 --> 00:46:31,240
» Reporting.
>> So, Stephanie and I are in the process

706
00:46:29,720 --> 00:46:33,400
of doing all of our annual reporting.
The good thing is we haven't spent any

707
00:46:32,520 --> 00:46:36,680
money.
So, that part of it will be easy. So,

708
00:46:35,480 --> 00:46:41,800
we're in the process of doing that cuz I
think it's due September 22nd. 22nd. I

709
00:46:39,480 --> 00:46:45,960
think that's the date. So, the finance
director and myself are working on those

710
00:46:43,280 --> 00:46:49,640
reports. And the other thing is just the
survey.

711
00:46:47,200 --> 00:46:55,360
The annual they send out a annual
request for contact information. So, I

712
00:46:52,360 --> 00:46:55,360
did that last week.

713
00:47:00,640 --> 00:47:05,920
» And then we do have a opioid meeting
coming up. Is that April, I mean,

714
00:47:04,400 --> 00:47:08,400
October 8th?
>> October 8th.

715
00:47:11,280 --> 00:47:15,880
» Okay.
Did anybody have anything else that they

716
00:47:14,160 --> 00:47:17,480
wanted to add or share to our meeting
today?

717
00:47:16,640 --> 00:47:20,680
» Yeah.
>> Go ahead.

718
00:47:18,400 --> 00:47:23,442
» I think Ali got a swimming pool screen
right there.

719
00:47:21,422 --> 00:47:23,442
» [laughter]

720
00:47:24,040 --> 00:47:29,520
» Yeah.
>> I heard that.

721
00:47:27,040 --> 00:47:29,520
» I can't believe that.

722
00:47:29,680 --> 00:47:32,920
I just
>> Yeah.

723
00:47:31,200 --> 00:47:35,120
» I really appreciate Ali. It's been a
pleasure working with him for years.

724
00:47:34,560 --> 00:47:39,880
» Yes.
>> And he's he's done a tremendous job for

725
00:47:37,640 --> 00:47:42,720
us and we're wishing the best as he
moves forward in his in his career.

726
00:47:42,040 --> 00:47:46,520
» Yeah.
>> Huge loss.

727
00:47:43,400 --> 00:47:48,720
» We wish you the best, Ali. Huge loss.
>> Yeah.

728
00:47:49,000 --> 00:47:54,680
» Thank you guys.
I don't know what to say. I've been It's

729
00:47:52,680 --> 00:47:58,040
been a It's been a
mixed bag of emotions for sure. Y'all

730
00:47:56,520 --> 00:48:03,120
know that this has been a big part of my
life for um almost 11 years and it's

731
00:48:01,800 --> 00:48:06,080
been
it's been a good part of my life. I'll

732
00:48:04,640 --> 00:48:09,040
tell you that. Man, the people that I've
been able to work with, everybody

733
00:48:07,480 --> 00:48:12,720
sitting at this table pretty much I've
known for

734
00:48:10,280 --> 00:48:15,760
just about that amount of time uh
and uh

735
00:48:14,600 --> 00:48:18,360
you know
I

736
00:48:16,400 --> 00:48:21,400
none of this happens in a in a vacuum.
It feels like that sometimes, you know,

737
00:48:19,920 --> 00:48:24,600
it feels like we're all operating in our
little silos and doing our own little

738
00:48:23,040 --> 00:48:28,640
thing and
uh I got to tell you like in places like

739
00:48:26,680 --> 00:48:33,560
Vance and places like the region that
I've been able to work in um

740
00:48:31,360 --> 00:48:37,440
you that may be where people gravitate
back to to say oh these are the sources

741
00:48:35,400 --> 00:48:40,360
of some of the problems, but the people
that are actually doing the work work

742
00:48:38,720 --> 00:48:43,880
well together.
And I've really seen that. Uh I've

743
00:48:42,600 --> 00:48:48,440
worked in other counties where that
absolutely does not happen.

744
00:48:46,200 --> 00:48:54,480
And um even though there's mixed views
and mixed opinions um I've just

745
00:48:52,160 --> 00:48:57,960
it's it's been pretty awesome to sit at
the table with people that can actually

746
00:48:56,120 --> 00:49:01,400
get some stuff done. I know this group
has been talking about things and we've

747
00:48:59,720 --> 00:49:05,000
been talking about certain things for a
long long time, but when it comes right

748
00:49:03,480 --> 00:49:09,480
down to it um
we can get work done and and I've

749
00:49:07,840 --> 00:49:13,040
I've seen that. So, I hope where I'm
going I can operate the same way and you

750
00:49:11,920 --> 00:49:16,280
know, take
take kind of what I've seen and what

751
00:49:14,440 --> 00:49:19,680
I've learned out of this community and
and see it happen in in other places,

752
00:49:18,240 --> 00:49:22,400
but
um

753
00:49:20,720 --> 00:49:26,240
I've loved being here and I it's always
felt like a home away from home to me.

754
00:49:25,040 --> 00:49:30,000
So.
I appreciate you guys very much.

755
00:49:28,640 --> 00:49:32,880
And it's a small world. Yeah, yeah,
right back at you.

756
00:49:31,400 --> 00:49:36,000
Really hate not Y'all y'all know I'm a
in person person. I really hate being on

757
00:49:34,640 --> 00:49:39,200
the screen doing this. I wish I could be
sitting at the table with y'all. I've

758
00:49:37,360 --> 00:49:43,000
got my exit interview like as soon as I
hop off this thing. So.

759
00:49:41,440 --> 00:49:46,080
» That's why I'm got to be ready to just
boom, you know, transition back over,

760
00:49:44,840 --> 00:49:50,800
but uh
you know, um I just I thank each and

761
00:49:48,320 --> 00:49:54,160
every one of you and I appreciate y'all.
>> With with your next venture we're not

762
00:49:53,040 --> 00:49:57,314
going to
let you get off with the regional

763
00:49:55,720 --> 00:49:59,334
stepping up.
>> [laughter]

764
00:50:01,120 --> 00:50:06,760
» That's one of the other beauties of
working in Vance, you know, we work got

765
00:50:05,080 --> 00:50:11,680
to got a region supporting each other
and

766
00:50:07,800 --> 00:50:13,920
I'll continue to be a part of it, so.
>> Thank you.

767
00:50:12,680 --> 00:50:18,880
» Thank you, Elliot.
>> Yeah, appreciate you. Thank you.

768
00:50:15,040 --> 00:50:18,880
» you have anything for us?

769
00:50:19,400 --> 00:50:28,160
» No, but as we go on, I don't know how
much we can really discuss about the

770
00:50:25,560 --> 00:50:33,440
um crisis facility, but it might be a
good idea for people who don't

771
00:50:31,520 --> 00:50:38,080
or have like never visited one to kind
of understand what

772
00:50:36,000 --> 00:50:42,160
each part of that
uh facility is going to handle and what

773
00:50:40,800 --> 00:50:46,480
like what they what it means, like the
difference between the 24-hour chairs

774
00:50:43,760 --> 00:50:51,120
and things of that sort um as well as
you know, the outpatient things. So, I

775
00:50:47,720 --> 00:50:54,360
think that um we all know it because
well, those of us who are mental health

776
00:50:52,760 --> 00:50:57,960
know it because we have been there, done
that type thing. But I think to really

777
00:50:56,360 --> 00:51:00,720
understand the value of what the crisis
and the diversion center does for each

778
00:50:59,520 --> 00:51:04,280
community
um is to really

779
00:51:02,160 --> 00:51:07,800
really walk everybody through. So, if
that's an option in the future to do

780
00:51:06,560 --> 00:51:10,840
that, Sandy, I think we should kind of
take the opportunity to do that.

781
00:51:10,080 --> 00:51:12,920
» Okay.
>> Definitely.

782
00:51:11,520 --> 00:51:16,560
» So, everybody can get some So, we can
So, we can

783
00:51:14,040 --> 00:51:19,080
really educate everybody as to why this
really solves

784
00:51:18,535 --> 00:51:23,040
» [clears throat]
>> like

785
00:51:20,880 --> 00:51:26,360
all but transportation. I mean, even if
you look at a law enforcement you're

786
00:51:24,600 --> 00:51:29,040
talking about a warm handoff from law
enforcement to law enforcement if you're

787
00:51:27,800 --> 00:51:34,520
talking
um you know, sheriff to sheriff or

788
00:51:31,760 --> 00:51:40,240
local police to our sheriff or whoever
officer do. So, it's a lot of there's a

789
00:51:37,400 --> 00:51:43,960
lot of details that we know
the benefit because we work in mental

790
00:51:41,720 --> 00:51:47,760
health, but I think that
those who don't

791
00:51:45,600 --> 00:51:51,560
may not understand it and that it but I
really you know, it's for it to be

792
00:51:49,600 --> 00:51:54,720
successful, we need everybody in the
community to have buy-in.

793
00:51:53,480 --> 00:51:58,240
Um
and we need everybody in the community

794
00:51:56,080 --> 00:52:00,560
to really understand like how much this
is going to take off the plates of

795
00:51:59,480 --> 00:52:03,640
others
and um kind of just go from there. If

796
00:52:02,600 --> 00:52:08,280
that's just something I'd like to
suggest if anybody

797
00:52:05,680 --> 00:52:11,960
um from your team or you know, whatever
is kind of willing to

798
00:52:10,000 --> 00:52:16,120
to kind of do that.
>> I think that that's a great suggestion

799
00:52:13,920 --> 00:52:21,000
and we can definitely do that and so you
guys don't just hear my voice all the

800
00:52:17,960 --> 00:52:25,720
time. I can have another one of our RHA
representatives come down and we can

801
00:52:22,840 --> 00:52:31,160
talk about a BHOC and what a behavioral
health urgent care really does, how it

802
00:52:28,240 --> 00:52:37,520
benefits the community, how that goes
from mobile crisis to the BHOC to our

803
00:52:33,600 --> 00:52:42,680
FBC, which is a facility-based crisis,
what that looks like, time frame,

804
00:52:40,600 --> 00:52:45,480
um what actually happens in each
>> it'd be good to bring in employees up

805
00:52:44,120 --> 00:52:48,960
there, too.
Like what kind of employees to expect,

806
00:52:47,560 --> 00:52:53,800
who they who people in the community can
expect to talk to if they're bringing

807
00:52:50,440 --> 00:52:56,760
people there um and what kind of
what kind of

808
00:52:55,200 --> 00:52:59,520
um
psychiatrist, nurse practitioners,

809
00:52:58,360 --> 00:53:03,520
whatever. Like who's going to touch
these people

810
00:53:00,960 --> 00:53:07,560
um that that we drop off there and and
for and for what reasons and why and

811
00:53:05,400 --> 00:53:09,880
then obviously aftercare and follow-up.
>> Yep.

812
00:53:08,480 --> 00:53:15,040
Love that. Thank you for that
suggestion.

813
00:53:11,880 --> 00:53:19,480
Yep. Kelly, did you have anything?
>> No, um I've heard a lot of good things.

814
00:53:17,560 --> 00:53:24,320
I'm catching up since I let I missed the
last meeting, but um Elliot, we sure

815
00:53:22,120 --> 00:53:28,160
will miss you. Um thank for your
service.

816
00:53:26,200 --> 00:53:31,040
And just listening, but everything
sounds good so far.

817
00:53:30,400 --> 00:53:35,240
» Thank you.
>> I mean, who's that other person? CJ

818
00:53:36,080 --> 00:53:41,240
Judge Barnett?
>> Um

819
00:53:39,600 --> 00:53:45,280
I'm kind of like Kelly. I missed the
last uh but thank you for this the

820
00:53:43,480 --> 00:53:49,800
opportunity to get on Zoom. That makes
it a whole lot easier for me. I think

821
00:53:47,720 --> 00:53:54,040
one of the other components that Nicole
brought up too is if you have a a mental

822
00:53:52,280 --> 00:53:57,560
health crisis facility or substance
abuse

823
00:53:54,880 --> 00:54:02,040
facility, um the judicial system's going
to be involved as well um because we

824
00:53:59,640 --> 00:54:06,120
have to hold hearings within 7 days of
someone being admitted. So, um

825
00:54:04,920 --> 00:54:10,360
and I'll be honest with you, I don't
think anybody's reached out to us about

826
00:54:08,240 --> 00:54:14,800
how that's going to look. So, that might
come in that can um that's a

827
00:54:11,880 --> 00:54:19,240
conversation. Um we have Frank we have
Franklin. We do uh youth behavioral

828
00:54:17,320 --> 00:54:22,280
center in
uh Granville County and we do Central

829
00:54:20,840 --> 00:54:27,280
Regional Hospital. So, that's going to
add another court um onto us and so I

830
00:54:25,280 --> 00:54:30,520
think that's um really important too for
the public and for the people to

831
00:54:28,720 --> 00:54:34,480
understand that from a judicial
perspective um what needs to be shown.

832
00:54:32,960 --> 00:54:40,760
They have to be a danger to themselves
or others um in order then for them to

833
00:54:36,680 --> 00:54:44,240
be confined um in a facility.
>> Thank you so much for that, Judge.

834
00:54:42,520 --> 00:54:48,800
» Judge, let me let me put a fine tip on
that too just as far as timing so that

835
00:54:46,000 --> 00:54:52,600
you don't feel that there's um cuz that
will you know we're in a stage now and a

836
00:54:50,520 --> 00:54:58,840
phase with the facility where we we
anticipate it being kind of an 18-month

837
00:54:55,120 --> 00:55:04,480
build and and go live, right? Um and
even after it's it's live and and open,

838
00:55:02,320 --> 00:55:09,960
there is a process by which the state
has to monitor and doesn't license it to

839
00:55:07,720 --> 00:55:14,920
actually accept involuntary commitments
until the a full year of it being in

840
00:55:12,280 --> 00:55:18,400
operation. So, um
you know for processes that are that

841
00:55:16,880 --> 00:55:22,520
will involve the judicial system and
that kind of thing with regard to

842
00:55:20,360 --> 00:55:26,080
involuntary commitments, just keep that
in mind, you know, we're we're going to

843
00:55:24,000 --> 00:55:31,320
have a hopefully a gradual
build and a and a runway there um to to

844
00:55:29,840 --> 00:55:35,760
get that ramped up. So, I didn't I
didn't want you to feel like there was a

845
00:55:33,760 --> 00:55:39,600
um you know that that that'll happen all
at once. And some of that my apologies

846
00:55:37,800 --> 00:55:43,560
if you already were aware of as far as
the the requirements, but it'll it'll be

847
00:55:41,760 --> 00:55:49,280
some time that it's operating before the
the IBC protocol um is as that they're

848
00:55:46,640 --> 00:55:51,800
able to accept IBCs and admit them in
the facility.

849
00:55:50,480 --> 00:55:55,360
» Appreciate that. We just kind of got
thrown into Franklin County and you

850
00:55:53,440 --> 00:55:59,600
know, we only have seven judges for five
counties and so like adding on another

851
00:55:57,760 --> 00:56:01,280
court date, that's going to be a
>> I know, right?

852
00:56:00,200 --> 00:56:04,240
» Hopefully by then we'll have another
judge, so.

853
00:56:04,440 --> 00:56:12,520
» And everybody, to piggyback off of what
you both just said, our goal is to be

854
00:56:09,960 --> 00:56:18,960
able to assess somebody that comes in
involuntarily and be able to coach them

855
00:56:15,400 --> 00:56:23,800
into a voluntary status versus needing
to transport them to another facility.

856
00:56:21,880 --> 00:56:28,280
So, we want to have people there that
are skilled that can convince that

857
00:56:26,360 --> 00:56:32,920
person to say, "Hey, you know what?
Let's de-escalate. Let's give you some

858
00:56:30,640 --> 00:56:38,520
water, some food." It may have been
situational. We know that a lot of IBCs

859
00:56:35,840 --> 00:56:44,000
are situational, right? Now, we do have
people that are certified and they

860
00:56:40,200 --> 00:56:49,400
really really need inpatient and maybe 7
and 14 days won't do it, but that

861
00:56:47,040 --> 00:56:54,160
program is going to be a benefit for
people that are involuntarily committed

862
00:56:51,680 --> 00:56:57,840
at the magistrate's office or by an
officer that they're driving down the

863
00:56:55,680 --> 00:57:02,400
street and they see Tink Tink jumping up
and down in front of Sheetz. We want to

864
00:57:00,000 --> 00:57:08,680
be able to support the community in
those spaces, so they will not have to

865
00:57:05,120 --> 00:57:15,080
hold that IBC. And it won't lead to a
CPE or to somebody needing to spend that

866
00:57:11,720 --> 00:57:17,520
7 days being committed.
>> Yeah.

867
00:57:18,080 --> 00:57:25,400
Yeah. Good conversation. Thank you,
everybody, and I hope everyone on the

868
00:57:22,840 --> 00:57:29,880
meeting was able to share what they
felt, ask questions, and felt supported.

869
00:57:29,120 --> 00:57:31,880
» I do have one question.
>> Yes, ma'am.

870
00:57:30,200 --> 00:57:32,920
» Do you want to do a public comment
period?

871
00:57:32,520 --> 00:57:35,400
» Yes.
>> After So, which meeting you want to do

872
00:57:34,600 --> 00:57:38,880
it at? do that?
>> Um, want to do it at the next meeting?

873
00:57:37,560 --> 00:57:43,640
Maybe let's do it at the next one. Is
that okay with the group to do public

874
00:57:41,320 --> 00:57:47,280
comments after our next meeting? Is
anybody against of that?

875
00:57:45,720 --> 00:57:50,320
» So, we have an hour meeting, do you want
to dedicate 30 minutes to it?

876
00:57:49,040 --> 00:57:53,080
» Yeah, let's do 30. I think that's
sufficient.

877
00:57:51,080 --> 00:57:55,760
» Okay. So, 30 minutes of the next meeting
will be public comment.

878
00:57:53,880 --> 00:57:56,600
» Public comment. Okay, I'll I'll get that
added.

879
00:57:56,040 --> 00:57:59,640
» Okay.
>> Okay.

880
00:57:57,480 --> 00:58:01,920
» So, with the our meeting just be a half
hour then?

881
00:58:00,120 --> 00:58:08,280
» Our meeting can be a half hour. We'll
keep a tight agenda, and then cuz I

882
00:58:04,480 --> 00:58:08,280
think it's important for the public to