[0:00] Fine, how about all of you?
Okay.
[0:04] Ms. Perry is going to continue um to be
our not our secretary, but our liaison
[0:10] because as you can see on our new
minutes, I think that it would be
[0:14] beneficial and after consulting with um
County Manager Perry, we thought that a
[0:20] secretary might really be beneficial to
make sure that we have correct names of
[0:26] people, first and last names, and we
don't miss any of the information that
[0:31] we're sharing at the meeting at the
meeting. So, having that delegated
[0:36] person to make sure that we have those
things in place would be beneficial for
[0:41] us.
And of course, we'll put that to a vote
[0:43] because it's not my decision. It'll be
on our committee's decision.
[0:48] Ms. Perry is going to share our
financial report. Um Commissioner of
[0:53] Finance requested that the committee
receive that information, so we'll
[0:57] follow up on that today. That was
started at our last meeting. Um we also
[1:03] talked about opioid settlement funds
under option A and B, which is going to
[1:08] be a continuation today, and we'll try
to finalize that to make sure
[1:12] everybody's on the same page cuz I don't
want that to continue to be a question,
[1:17] right? I think at this time we need to
start trying to make some decisions on
[1:21] where we're going to start making some
disbursements so we can benefit our
[1:25] Vance County.
Um Quinton had shared some post overdose
[1:31] information
and some ED information.
[1:35] We also discussed the
the importance of prevention, education,
[1:41] and outreach, which was one of the
reasons I think we were swaying toward B
[1:46] for some of us discussing it around the
table, but we want to make sure we
[1:50] discuss it and finalize what option
we're going to go with.
[1:54] Um we also talked about the need to
identify some existing prevention things
[2:00] that we're doing. So, we don't have to
reinvent the wheel, we don't need to. We
[2:05] might be able to support some of the
spokes that we already have.
[2:10] Um, we talked about being more involved
with JCPC, so we can get some more
[2:14] information from them and being at their
meeting. So, I am going to try to attend
[2:19] some more of those. And if I can't, I'm
going to be sending a representative
[2:23] that can share some information that I
can come back and share with you all.
[2:28] Um, harm reduction and Narcan was
discussed. We know that there are two
[2:33] dispensers here, one at Vance Recovery
and also one at the PD.
[2:39] Street drug testing was discussed.
And um, we dug into option B a little
[2:45] bit. Um, and we have some action items,
which are staff will provide future
[2:51] financial reports
on the committee binders. So, we've done
[2:55] that, we can check that off. Gathering
information about post overdose deaths.
[3:00] We've done that, we can check that off.
We're going to look at some additional
[3:05] data points that we may not have looked
at yet.
[3:09] And we're going to continue developing a
resource list of the available resources
[3:14] that we have in Vance County. So, um,
Miss Kathy had already done one for
[3:20] Granville and she's been generous about
sharing that with all of us, but it may
[3:24] be beneficial to do something like that
for us for Vance because we have some
[3:28] resources that are here that are not in
that brochure that people can take
[3:32] advantage of. And we can discuss that as
a team.
[3:36] So,
can I get a motion
[3:40] on the floor about the approval of the
>> the minutes.
[3:45] » Second.
>> All right, thank you.
[3:51] Okay, so our first discussion item if
anybody has anything
[3:55] after we review the minutes, any
feedback or any comments? Yes, ma'am.
[4:00] » want to be sure
um
[4:03] cuz I don't we're going to continue to
discuss option B and A and
[4:08] at least in the draft it said we had
reached a consensus. We were doing B
[4:13] which I don't recall
happening so I don't want to be on
[4:17] record for supporting that. I think
it's certainly a consideration.
[4:22] » So we going to do that. I think it'll be
good to do that today and thank you for
[4:26] bringing up your concern. Yes, ma'am.
Thank you.
[4:30] » Whatever however it moves, but I just
think it's important that we just leave
[4:33] it open
>> Oh.
[4:35] » that we're considering everything at
this point.
[4:37] » Yes.
>> Cuz I want to let you talk about this a
[4:40] little bit before you came in. But
before I came in 2023, I had when I came
[4:44] on board the clerk at the time, I asked
her had the commissioners ever made a
[4:48] decision about A or B and she said the
commission suggested B and moving
[4:51] forward with B. So I think that's the
direction that our board wants to go
[4:55] with B. Um like I said I was never able
to find the minutes that supported that,
[4:59] but I would support B.
I don't have a vote, but my
[5:03] recommendation to the board would be
option B. But I'll let y'all determine
[5:06] how y'all want to move forward.
>> It's a it's going to be the board of
[5:09] commissioners of Multnomah
>> Absolutely.
[5:12] » chooses that that format.
>> That's right. That's right.
[5:15] Yeah, we only you all only recommend
That's right.
[5:18] » So I think it's just important that
Sandy, you're aware and Renee, you're
[5:24] aware
that there's that strategic there's a
[5:27] process that you need to go through.
>> Mhm.
[5:30] » And then
>> Okay, cuz we've discussed those and
[5:33] » Yeah.
>> talked about them before.
[5:34] » Absolutely. Yeah, yeah, yeah. And then
um and if there are specific strategies
[5:40] then that the board of commissioners are
really um supportive of would really
[5:46] love to see happening. I think that
would be I mean I know it's on the
[5:49] agenda, so maybe we can include that as
our part of our discussion, but I think
[5:54] that would be really helpful.
>> All that was included brought her motion
[5:57] up.
>> Everybody said all right?
[5:59] » For approval of the
>> minutes, right?
[6:02] » Yes, that I just shared.
>> Did you get a copy of that?
[6:07] » Yes, ma'am. So, and I opened that up and
that's how we kind of went down that
[6:11] rabbit hole cuz I wanted to make sure
that everybody had a say so in the
[6:16] minutes and if anybody had feedback, I
want to make sure that we open it up to
[6:20] the floor because everybody has a voice
here and it's important that we listen
[6:24] to everyone. So, thank you.
>> And just I would like to be on the
[6:27] record to abstain from the
>> I support the okay.
[6:31] » Mhm. Yes, Lorraine.
I'm regretting the consent.
[6:34] » And that's going to be our Did we talk
about the secretary? That's going to be
[6:38] second, so we'll move into that. So, how
do you guys feel
[6:43] about getting a secretary for our OAC
meeting?
[6:47] » I think it's
something that should be
[6:50] that gives you some backup and
conversation and you can communicate.
[6:55] » And in documentation, how about you, Ms.
Cassada?
[6:58] » Mhm.
>> Absolutely. It'll be probably better to
[7:01] be productive.
>> Okay. And Ms. Kathy?
[7:03] » Yeah.
>> Okay. How about our folks that's on
[7:06] online?
>> I agree.
[7:11] » Thank you.
>> Thank you, Ms. Ann.
[7:13] » Um is Elliot on He's not on yet? Okay.
>> So, how many do we have to
[7:20] » I agree. I'm sorry. I agree as well.
This is Kelly.
[7:24] » All right, very good. We enough
>> I believe so.
[7:28] » Okay.
Okay. Anybody against it? Any room for a
[7:32] discussion
about having a secretary to support us
[7:36] and that way we do have somebody that
can document on what we're saying. I
[7:41] know that um, Perry had a lot on her
plate, so
[7:45] a lot.
>> I needed to go back and and listen to
[7:48] all of it and I appreciate you being
liaison, so I think
[7:54] » And they can be shorter, too.
[8:02] » And if anybody has anything to add to
that, if you guys want to jump in, the
[8:07] floor is open.
>> I do not want to be secretary.
[8:15] » My plate is very full, so I know I would
not be a great secretary right now cuz
[8:19] you have to go back and get solid votes,
you know, and these notes will be on
[8:23] record. And it's to support us, right?
We want to remember who said what in
[8:27] what context, what we agreed on cuz it's
important to be able to go back and see
[8:32] what we discussed and what our decisions
were.
[8:35] » And
I spoke to the Warren County management
[8:38] and they actually have a person that
comes in and plays that role for them
[8:41] and it's actually a free service. So,
let me do some research on that. Um,
[8:45] listen, I was told that this person does
it free for
[8:48] Warren County. So, I'm going to do some
research and let y'all know.
[8:51] » Okay, that's good.
>> make a decision, I'll continue doing it.
[8:53] Let me just do some research to see
about this person. She just emailed me
[8:57] back.
>> Wonderful.
[8:58] » She's doing a little bit of research for
that.
[8:59] » Is everybody in agreement with that
around the table?
[9:02] Okay.
>> Wonderful.
[9:04] » Wonderful, wonderful. Okay, so let's
let's go down now and get to the
[9:08] nitty-gritty with action A and B. So,
does everyone around the table know what
[9:15] action A and B is?
I know I handed out the information in
[9:19] our booklets, so everybody should be
privy to both of those options. I also
[9:24] provided worksheets in our earlier
meetings um, for the B route.
[9:31] » So, B was more educational.
>> Yeah, B was and and that was the
[9:35] reasoning for us discussing and
highlighting being because of the
[9:39] prevention and the education. Right?
Because
[9:43] I believe and anybody definitely guys
y'all can disagree. We want to be able
[9:48] to address the opioid crisis, right? And
I think that that comes with education
[9:52] and prevention. You got to put things in
place to teach people not only treat
[9:58] it's not about just giving somebody some
medication to feel better. We need to be
[10:02] digging a little deeper. How did we get
into this problem? What led us, you
[10:05] know, into these problems? So how do we
address those so we don't lean on
[10:09] substances to deal with some of the
things that we have going on
[10:12] emotionally. I think it helps us to
address that trauma.
[10:18] » I think it would be great if to get
information from the schools.
[10:22] » Mhm.
>> Um
[10:24] you know, and maybe look at at their um
discipline report.
[10:29] Right? Let's see cuz they could do that
every year.
[10:32] And and then maybe um
I honestly don't know if health has even
[10:38] been if if health that
in Granville schools that and then, you
[10:43] know, the you know, don't forget the
charter schools as well.
[10:47] Um
So I think that would be really helpful
[10:51] in terms of the justification
that um is going to be needed for for
[10:58] you know, when you do the worksheets and
all.
[11:00] And then um
just information maybe from the
[11:05] substance treatment providers, too.
Getting their input on what do they see
[11:09] would be really helpful on the front end
in terms of the prevention side.
[11:15] » Okay.
>> Hey, I'll just add Kathy just to that
[11:18] real quick. Hey, everybody. I'm sorry I
joined late and I'm sorry I'm not there
[11:21] with you in person.
Um
[11:24] I just wanted to mention I like that
idea of Kathy of course anything that
[11:28] we're going to do as far as programming
we got to get a pulse check from them on
[11:31] what's what's happening, but um
as you know, Kyle Wright and Insight
[11:35] Human Services do some of that federal
block grant prevention work that's, you
[11:38] know, just scraping the surface. They do
great work, but they don't get funded
[11:43] enough to really
um you know, make a big dent in
[11:47] prevention education and and most of
what from what what I've understood,
[11:50] most of what they're able to do
is elementary age uh programming with
[11:56] some of the SAMHSA curriculum.
Um so, just kind of maybe we could
[12:01] invite him or maybe just get some
insight and maybe a report from them.
[12:06] Um
on, you know, just
[12:09] where they've hit, what kind of programs
they've they've administered over the
[12:12] last cuz they've been the they've been
the prevention education block grant
[12:16] provider for
um gosh, at least 5 years, I believe.
[12:22] » And do you have his contact information,
Elliot? This is Sandy.
[12:26] » Oh, yeah.
Yeah, Cathy and I got him on speed dial.
[12:29] » Okay. Perfect, perfect. So, we can
definitely um look into that to um
[12:35] support our option. So, I'm going to put
that question on the table or like who
[12:40] is voting for option A? Can I see by
show of hands or by voice?
[12:45] » I'll make a motion we can go with option
B.
[12:49] » Can I get a second on that motion?
>> I second that motion.
[12:54] » Okay, can we get out of it? Okay.
[12:59] Do I have eyes on our video on our
virtual teams?
[13:04] » Yes, I.
>> Yes, ma'am.
[13:06] » Okay, I for Kelly, Elliot.
>> Yes, ma'am. That's I for option B.
[13:10] » Is that
>> I for me as well. I just cannot press
[13:13] the unmute fast enough.
>> Okay, thank you so much. All right, so
[13:18] now the consensus is B.
>> And I agree.
[13:22] » Okay, yes, ma'am. [laughter] Yes, ma'am.
Cuz I didn't want to keep on doing ring
[13:25] around the rosy with that. We needed go
ahead and get deal with that and make
[13:29] sure we know what we're doing and then
we could start hammering down on these
[13:32] worksheets cuz the real fun begin.
>> [laughter]
[13:36] » The worksheets, does everybody have
worksheets in their books?
[13:41] » I did not bring my book, Shannon. I left
it.
[13:42] » Okay.
>> But
[13:43] » I know you're probably in it or not. I'm
sure you know what's in there, right?
[13:48] And so in our books we should all have
worksheets. If we don't, please please
[13:51] let me know so we can get those out.
[14:02] And we won't go through each worksheet
one by one, but the main thing is just
[14:06] to make sure that right now you do have
them because I know we only have an hour
[14:10] for this meeting.
And um we do have
[14:14] more things that we have to go over. So
my main concern is that you have them
[14:18] and that they can be reviewed
because we have already um engaged some
[14:24] stakeholders. This meeting is open,
guys. So if there are people or agencies
[14:28] that you want to be involved, please
feel free to have them come and join.
[14:34] Um I I am open to that because the more
feedback that we get from the community,
[14:39] the better we'll be with this OAC
committee, right?
[14:42] » I'm not sure if we're going to do that.
Open up, we have a public comment
[14:46] period.
>> That's what I was saying.
[14:46] » So if they don't So nobody comes in and
talks.
[14:48] » That's right.
>> Okay.
[14:50] » We need to advertise and set a public
comment period. We didn't have a time to
[14:53] do it.
>> But if you want to do that for the next
[14:56] meeting, you have to re-advertise it.
>> Okay.
[14:59] » Um but I was I was thinking that
>> Oh, I did.
[15:03] » But also
>> We have Yeah, we have
[15:06] Also remember when you have your annual
meeting
[15:08] um on the 22nd of February
>> Okay.
[15:13] » So that's the purpose of that meeting.
>> That's a good That's a good thing,
[15:16] right?
>> Shannon, I think we have worksheets.
[15:18] » You guys don't have worksheets? Okay.
Yeah, I did pass them out. So let me see
[15:23] if we can get some
>> Cuz they have the same thing.
[15:28] » See the
NOAs and the
[15:34] » I may have to go and I don't have my
computer. I'll make sure that I bring
[15:38] I'll email everybody worksheets, okay?
We'll do that. That would
[15:42] » Speaking of the smart goals.
>> This may have been what I handed out. Is
[15:46] this what you guys are saying? I think
maybe that's
[15:50] » Did you email that to us?
[15:54] » Did I email it or did I hand it out?
>> You know I was at the last meeting.
[15:57] » Okay.
All right.
[16:00] » They will They will say at the top NCO
settlements exhibit C laboratory
[16:04] strategic planning worksheets for the
>> I will make sure I get those out to you
[16:09] guys, okay? By the end of the week.
[16:18] » Cathy sent us something last week.
It's uh
[16:23] Exhibit C, but that's just from the so
>> So, and you guys don't have anything in
[16:28] your book that looks like this?
Worksheets.
[16:31] Okay.
So, it'll be important that I make sure
[16:34] you have what we need to review. So,
I'll make sure you guys get those
[16:38] worksheets.
[16:46] » I I well
>> Okay. Do you have them on your email
[16:49] right now, Cathy? Would you be able to
send them out, please?
[16:52] » Uh
>> That way I can make sure they're out
[16:54] today.
>> I'm not connected,
[16:58] but I'm not I'm not connected, but when
I get back to the office, I can do that.
[17:02] » Send it out to the group. Thank you,
Cathy. I appreciate that. And then that
[17:06] way we can everybody can review them.
And guys, if you have any questions,
[17:11] feel free to reach out to me. And if I
can't answer then I'm
[17:15] » Yeah, does it say to
>> Does worksheet for me?
[17:19] That looks That looks like it.
>> Surely it came out April.
[17:22] » Yes.
>> You guys have that in your book in your
[17:26] workbooks?
[17:30] » So, it'll be
[17:34] » Keep going. There should be one There
should be a bunch of them.
[17:37] These were some instructions.
>> It's a total of 15 pages I'm reading.
[17:42] » Is it 13 or 15?
>> It's 15 I'm reading.
[17:46] » You need wireless.
>> Oh, this is a good one.
[17:49] » That's it.
>> Yeah.
[17:57] » Pre-notebook
>> Okay. And guess what? I don't have that
[18:01] top sheet. I had this, so I probably was
what was confusing. Yeah.
[18:08] Yeah.
And Kathy is going to email out what she
[18:12] has to to make sure that we're on the
same page. Make sure everybody has the
[18:16] same exact work sheets.
Cuz we're going to have to start diving
[18:20] into those during our meetings.
>> Okay. So, now I got to find everybody.
[18:24] » Okay. Perfect. Thank you so much um for
doing that. You didn't want to be the
[18:28] secretary, but I sure appreciate you
sending those.
[18:32] » [laughter]
>> All right. Port team.
[18:37] I want to put that out there so
everybody can um Let's talk about a port
[18:41] team, the benefits, what work what's
working, what's not working, and we do
[18:47] have a county paramedic right now,
right?
[18:50] » Yes, he is on
>> Oh, boy. So, but what is his focus? What
[18:54] is his role?
>> He's I think he's still kind of building
[18:57] that program.
I think it's mostly going to be the
[19:01] frequent
the year readmissions to hospitals and
[19:05] stuff like that.
>> Yeah.
[19:06] So, it's not that agenda, that opioid
piece.
[19:09] » Previously
[19:12] we were focusing on something different
with that.
[19:15] » Yeah, but that was remember it's up to
years to get it from you. So that would
[19:19] have been 2020 to 2024.
>> Yeah, I think it's like I said it's
[19:23] still
>> Yeah, still trying to figure out what
[19:25] yeah.
>> I think when we we initially started we
[19:28] we talked
both with the hospital about being a
[19:30] part of it.
And they chose not to do that and so we
[19:35] I think we were going a different
direction with uh
[19:39] I think we were assisting people with
their medications and those kind of
[19:42] things. We helped them figure that out.
>> Yeah, it's
[19:46] also it's up to years to fill it so to
get that position that they're trying to
[19:49] figure out what direction that it needs
to go in. And when the employee came on
[19:54] board he had to go out so he's out right
now. So the position is
[19:57] » Might might want to call up Franklin
County. Franklin County did the pilot
[20:02] for that.
And they they their program is really
[20:05] strong.
>> Okay, you mean as far as opioids?
[20:07] » As far as no as far as the community
paramedic.
[20:11] » And and that was my next point right a
community paramedic with a focus on
[20:15] opioid not just like the community
paramedic that we have.
[20:19] » it'd be probably more ideal to follow
I know you got Edgewater we got
[20:24] Granville is doing their thing. Um
>> Don't follow up.
[20:28] Right.
[20:32] » The the huge paramedic is going to be
pretty busy on just the other
[20:37] » Doing other stuff right.
>> And Vance County also unfortunately it's
[20:40] going to be very busy.
Um but so far I think some of the
[20:44] numbers I've I'm seeing is like just
Vance recovery is dealing with around
[20:48] 400 patients. That's people that's
willing to actually walk into the help.
[20:53] Um and then those numbers that
>> I see
[20:56] » I mean we're seeing just the minor parts
of it cuz it's only people that's
[21:00] dealing with emergencies so that's maybe
what 10 a month that we're seeing.
[21:05] Um and then I think the fatality rates
seem like they dropped some, but I'm
[21:10] trying to get numbers on how much
Narcan's being given out and I think
[21:14] you've gotten me that and it looks like
we're getting a good deal of Narcan
[21:17] that's being
put out there, but I can't get really
[21:20] good numbers cuz not everybody's
tracking in how much Narcan's being
[21:23] given out.
Um, so I'm it's a pretty large
[21:27] population that's out there. It's just
trying to dig out big of a population.
[21:32] So, I think
having that uh port person community
[21:36] paramedic that would be bridging that
gap to kind of
[21:41] knit all these different agencies
together.
[21:43] » So, explain to me what a female told me
about port. So, that's essentially a
[21:46] community paramedic.
>> Yes.
[21:47] » Okay. Okay. Okay. Hey, so
>> It would be like so say for instance if
[21:51] we get somebody to overdose who's port
person could go out to them and then
[21:55] hey, would you like me to help with a
follow up?
[21:57] Um, and there's different programs out
there. Some of them do the
[22:01] buprenorphine brand name Suboxone.
>> Buprenorphine. Buprenorphine.
[22:04] » Um, some could do that. Some could do
wound care to prevent readmissions to
[22:08] the hospital. And you can do depending
on the medical director even do
[22:13] pre-hospital antibiotics. Um,
and so this it can potentially help on a
[22:18] large scale if it's set up correctly.
>> A big A big piece of the port though is
[22:22] also peer support.
So, and and what might be helpful is to
[22:28] share the um
the Excel module spreadsheet that track
[22:33] These are the um expectations for each
of the strategies. So, peer support is a
[22:40] big part of port. Otherwise, there's not
a huge difference between community
[22:45] paramedics and that. Exactly.
So, the port person and this is
[22:49] something Rambles working on cuz they
don't have someone right now, but
[22:52] they're looking to hire
is somebody who's going to stay with
[22:55] those clients for up to 6 months to
really provide that bridge of care. So,
[23:01] you've got your community paramedics who
are there on the scene within 24-48
[23:07] hours after an overdose providing
buprenorphine, providing harm reduction,
[23:12] but then that peer support person is
taking care of maybe all the other kind
[23:16] of needs.
>> So, I think
[23:18] if I'm not mistaken, Buncombe actually
uses some of their money to hire, you
[23:22] know, peer support team. They can just
drug low on the street that's willing to
[23:25] help somebody or I think uh Mr. Bromley
over here mentioned something about
[23:29] music in your churches in the
neighborhood.
[23:32] Potentially use the churches, if they're
willing to, also be peer support to help
[23:36] out as well. Um so, that could be uh
a resource in the community.
[23:42] » In In fact, where Vaya is in the process
of training and educating the church
[23:50] members and leaders on how to deliver
mental health services and be in that
[23:55] bridge to connect them with like the
RHAs, the Daymark, the Legacy.
[24:00] » That's a good job.
>> For people that don't know.
[24:02] » They could be that bridge, in my
opinion.
[24:05] » Right.
>> Cuz I mean, I've been here for 13 years
[24:08] in Buncombe. There's a lot of resources
that I'm just now learning about.
[24:12] And it's a lot of others out there that
still
[24:15] There's a lot of
you know, people like to say bad things
[24:20] about substance abuse
and education needs to be
[24:24] there for that as well.
And I mean, some of the stuff that I was
[24:27] looking at, I mean, I think like vehicle
costs, you could get a 70 grand
[24:33] and run it 36. I think for lighting, you
could add a technician. What else? About
[24:38] 10,000
I think the tank holds just under 15
[24:42] gallons. So, if you fill that tank up to
the max every single day, you're looking
[24:46] at maybe what, 11,000 a year. So, that's
what just under 6,000 just on a, you
[24:52] know, truck fuel, lights.
Now obviously, the personnel would be
[24:57] the issue. You you want to keep it at a
competitive rate. Um It looks like from
[25:00] what I'm seeing with 55 to 60 would be a
pretty competitive rate.
[25:05] Now, obviously, I'm not overly familiar
what adds on to that. So, I mean, how
[25:10] much would add on to that?
And then would the
[25:13] board like to Would the county like to
pay for a part of it and then the OBS
[25:17] money come from it or
And then plus
[25:21] you know, maintaining it after all the
month funds are gone.
[25:26] It could be
a trial. Obviously, you don't want to
[25:28] say trial, but you know, see how it goes
and then if it shows as beneficial to
[25:32] the county, then
it could be up to the board in
[25:36] what 2037 2038.
>> Mhm.
[25:40] And also, I would like to look at
maybe not exactly a four-team, but like
[25:48] a county paramedic maybe in a peer
support like a maybe a two-man team
[25:52] versus a five-man team because it's a
lot easier to support two staff than it
[25:57] would be for five. You know, and then if
the program can build and be
[26:02] self-sufficient,
then it can add one to staff members.
[26:06] » Well, that's what I was I was kind of in
the thought process of doing maybe like
[26:10] a two-person
four-team and then you can rotate them.
[26:14] So, they work Monday, Tuesday, off
Wednesday, Thursday, and work Friday,
[26:17] Saturday, Sunday and then opposite of
that and then the other person will fill
[26:20] in. It can be a 10-hour day or a 12-hour
day,
[26:24] but the goal would be is you know,
follow up with these overdoses
[26:29] and then potentially getting them some
sort of you know, medication to help
[26:34] them with withdrawals until we can get
them placed somewhere or you know,
[26:38] whatever case. The first 72 hours is the
most critical and right now we're just
[26:42] not doing anything other than taking
them to the hospital where they get
[26:45] discharged, go home, and relapse.
So, I think a four would be extremely
[26:50] extremely useful.
>> And it would definitely be important to
[26:55] connect with the resources that we
already have, right? To pick up those
[26:59] pieces like bringing them to Legacy
Visions, Today's Marks, and tapping into
[27:04] what we have.
>> also helping, you know, even the jail. I
[27:09] mean, how many people are in the jail
that we've helped? Let's not get to
[27:12] over.
I mean, so like I said, I think that
[27:15] creating that team could be that bridge
between all these different agencies and
[27:21] resources.
>> And just an FYI, both Rural Health Group
[27:25] as well as
GBPH, our Vance Clinic, are are both
[27:30] federally qualified health centers,
which means that we treat uninsured.
[27:35] » Yeah.
And so that would be the thing that we
[27:38] could potentially do is transport,
potentially transport to these
[27:42] facilities, Vance Recovery when they're
open, Rural Health.
[27:47] And then the other thing that we can
even potentially do would be blood draws
[27:50] for, you know, checks of hepatitis and
AIDS and
[27:54] it could be also
what's needle exchange.
[28:00] Yeah. So I mean, I think it's a huge
benefit to the community that we need to
[28:05] look at strongly into.
>> Yeah.
[28:07] » All right, do you have
some parameters that Franklin County
[28:11] uses?
[28:14] » Uh that has kind of more with
specifically protocols for folks that
[28:18] are opioid use disorder identified, no.
Um they've had, uh you know, there a lot
[28:25] of what they've been doing is following
folks that come out of the hospital. Um
[28:29] they're you know,
SPMI, mental health, folks that that are
[28:34] not successful primarily with taking
uh medications on a given regimen, that
[28:39] kind of thing.
You know, I know that they obviously
[28:43] coordinate really carefully with the uh
with the clinics in Franklin County,
[28:47] Visions and some of the others, but um,
with with specifically the interface
[28:53] with opioid use disorder and what may be
kind of similar to with the way a poor
[28:57] team would function, we'd have to reach
back out to them.
[29:00] I do know, um, you know, I think
and I I don't know have the the latest
[29:05] and greatest from from Franklin County,
but um, you know, they've had a
[29:09] community paramedic that's been in that
position, like you said, Dan, for gosh,
[29:14] many years.
>> Yeah.
[29:16] » Seven years, maybe eight years.
>> Seven years.
[29:20] » Yeah, I I think Halifax actually has a
little bit more of a um,
[29:25] a focus, you know, they've they've had
their community paramedicine program
[29:28] around a little bit longer. Um, they
were one of the first in the general
[29:32] region in the original five county
region that that started community
[29:35] paramedicine. But it might it might
behoove us if we're going to reach out
[29:39] and just kind of
get a sense of the way they're
[29:41] functioning to to to talk to Franklin
and maybe another county, maybe like
[29:45] Halifax.
>> And I've actually reached out with
[29:48] Edgecombe.
>> Uh-huh, it was a positive too.
[29:50] » Yeah, and I spoke with him for
>> Yes.
[29:52] » Yeah.
>> It was
[29:54] a pretty good conversation.
>> I think Orange County is supposed to be
[29:57] another one that's supposed to have a
very well put together program.
[29:59] » I think it would benefit us. Good for
them. Good for them.
[30:02] » But but they've got just whole lot of
money.
[30:04] » We got to do too, but
>> Orange County's got the Cadillac riding
[30:07] around.
>> Just yeah, yeah. Right, right, yeah.
[30:10] But the goal is to get the blueprint
regardless of what county you get the
[30:13] blueprint of like what they do, what's
working for them. Yes.
[30:17] » Yeah.
>> And I and I I know money's always going
[30:20] to be a big talk.
>> Yeah.
[30:22] » Outside of position and the vehicle,
that would be the main cost.
[30:26] » Yeah, salary is the
>> Because we we would have to get rid of
[30:29] our resources.
>> Right.
[30:31] » The testing kits, the syringes, I think
we can
[30:34] » The equipment.
>> is there.
[30:35] » I mean, we're already getting put
equipment every day.
[30:37] » Technically, you don't need a cardiac
monitor cuz you're not going to be
[30:40] automatically dispatched. You're
self-dispatched. So, our cardiac monitor
[30:43] is not truly needed. Um so, the
equipment's already pretty much there.
[30:48] » Right.
>> Um the only thing is just the salary and
[30:51] the the finances.
>> Mhm.
[30:53] » Yeah.
>> Okay.
[30:54] » And I would just expand on what Kathy
was saying real quickly about peer
[30:57] support. I totally agree that that needs
to be a component, but it doesn't need
[31:01] to That can be a hard position to fill,
and and Kathy and I are obviously both
[31:05] working in Granville on their on their
team, and they're still recruiting. Even
[31:09] though there's a lot of certified peer
support specialists kicking around out
[31:12] there,
um
[31:14] to find one that's a really good match
for this um niche position can be very
[31:18] difficult. And um you know, I would just
encourage if we build that position into
[31:23] a proposal that we not wait um that
there's work that can be done in
[31:28] partnership and possibly through, you
know, different memorandums of agreement
[31:33] or or relationships with our providers
to incorporate some of the peer support
[31:37] that's already going on, you know, and
not wait to implement a program because
[31:42] of a you know, a challenging position to
fill like that.
[31:44] » Mhm.
>> I'll tell you another where area that I
[31:48] think the port could really be helpful
is we know that something like 60% of
[31:53] the people who get arrested bond out.
>> Yeah.
[31:56] » And so, we're missing a potential
population right there of people who've
[32:01] been arrested for drug use or
>> Yeah.
[32:03] » both of
you know, something like that to connect
[32:07] them to the port, I think would be
another opportunity to get more people
[32:11] into treatment.
>> I think there's some even some software
[32:15] that uh
I was being told about that even
[32:18] connects all of these things together,
so it helps us I would have to do more
[32:22] research on on the software. I don't
know. The cost could be astronomical in
[32:27] the way the software is and how they use
it.
[32:29] Um
I know that's one also there is some
[32:31] software out there that may help them
with some of these processes.
[32:35] Um and the peer review, I mean, that's
that's going to be our base for the
[32:39] student.
That would be something that we would
[32:42] have to work into. I think Like I said,
in Buncombe, I think they hired like
[32:44] three. But, I'm not sure if were they
like um
[32:49] » They had They worked with an agency.
Nobody to say you have to have an agency
[32:53] that can that them and do their um CEs
and things like that. You know, you got
[32:58] to find that right peer support. I don't
think it needs to be If we were going to
[33:02] go that route, it wouldn't need to be a
new peer support. It would need to be
[33:06] somebody that was experienced.
>> Orange County, though, has it fully
[33:09] integrated. That person actually sits at
their jail
[33:13] to be working with the port and then
people at the jail. So, if there are
[33:19] different models out there, but it's
Yeah, they have a couple peer support on
[33:22] our ACT team and it's hard to fill that
position and they turn over a lot of it.
[33:26] » Yeah.
>> And I know Visions, they're already
[33:29] working, you know, with the jail. So,
they already set that road map.
[33:35] I mean, that we need to follow. So,
that's something then I don't think that
[33:38] we need to reinvent the wheel on that we
can tap into their expertise, you know,
[33:43] for those things. But, I want to make
sure I've given everybody an opportunity
[33:47] to say what they needed to say about the
port team, ask any questions about
[33:52] community paramedic, and share some of
your thoughts or anything that you have
[33:57] to say on the computer or on the table.
[34:04] » Are you wanting a proposal? Are you
wanting Putnam to bring forth a proposal
[34:10] for this group to consider, Sandy, or
>> the group say? Because this is going to
[34:13] be a group effort.
>> I think we need to do more research and
[34:16] get information from all counties.
>> Yeah.
[34:19] » And then actually see what we can
afford.
[34:21] » Okay. Maybe
>> from a county perspective. And then I
[34:24] think if if I'm not if I'm not talking
too much for Elliot, I believe there's
[34:28] some money's available from Vaya that
can assist with that.
[34:32] Am I correct, Ella?
>> As far as the
[34:36] um the actual funding of a of a port
team?
[34:39] » Yeah.
>> Yeah, I mean there's there's things that
[34:42] can be put in place that can even be
Medicaid billable when you're talking
[34:46] you know, the actual coordination
especially for peer support and
[34:50] transportation that can kind of bake
into a port team and help offset some of
[34:54] the costs. There's some flexibilities
around transports if they need to go to
[34:58] a particular facility um you know,
crisis facility, detox, that kind of
[35:04] thing. Um there's some there's some
flexibilities around that that can
[35:08] actually be billable. Um but you know,
there's I think when it comes down to
[35:13] the actual investment of the full-time
if it's going to be if it's going to
[35:19] live in EMS and it's going to be kind of
a case management type role where you're
[35:22] following folks, you're keeping in
touch, you're making sure they're making
[35:25] their appointments, that whole nine.
That needs to be something that is you
[35:29] know, is seated by the committee. Seated
by the opioid fund and then agreed upon
[35:35] by the county to fund long-term. But
there's a lot that can be baked in
[35:39] that's kind of wrapping around a port
team that can enhance all these things
[35:43] that are you know, some of them are like
I said, you know, billable to their
[35:47] insurance.
>> So how about maybe having Edgecombe and
[35:52] Guilford come and present to us and talk
about what's working, what they do?
[35:57] » That's what I was
>> And Franklin and Halifax. Okay.
[36:01] » That's what I was going to say if we can
have someone come in and kind of present
[36:04] and see what other counties are doing.
That would help us be able to make a
[36:08] good decision and and create a good
stable program.
[36:12] » Okay.
Yeah, let's send out some meeting
[36:16] invites. How would we go about
>> Who are going to
[36:19] » Okay.
>> I'll do Halifax since I used to work
[36:21] there.
>> Yeah, I can get all that stuff.
[36:22] » I got it.
And I have their actual policies and
[36:25] protocols. So they are even anywhere
overall operating system.
[36:28] » And I'll get with Meredith if she's I
think she's good.
[36:31] » Frankly.
>> Yes, I'll do Frank cleaning and Halifax.
[36:35] » You can try to reach out to Orange
County and
[36:36] » Okay, I got some Did we say Guilford
like somebody said something is working
[36:39] well with Guilford. Okay.
>> I have some contacts in Guilford.
[36:42] » So we can see Edgecombe and what other
one I said?
[36:46] » I said
>> Yeah, you did.
[36:49] » We can try to follow up with Orange
County students.
[36:51] » Okay.
[36:53] » [laughter]
>> I think it's more so the position itself
[36:56] is I mean the position itself is is the
position itself. Our salary would not be
[37:02] identical to what
>> the Orange
[37:04] » office. I mean but the program itself it
shouldn't be too too different. We know
[37:07] we can't offer salary-wise what Guilford
and Orange offers.
[37:10] » I think their program is a lot more
robust.
[37:13] » Yeah.
>> Yeah, that's what I That's what I
[37:14] understand. I mean I have some
I don't know all of them but I mean I
[37:17] even heard that some of their stuff from
transport to like different facilities
[37:21] throughout the state. I don't know how
true some of that is.
[37:23] » So I think it's just having them to come
out and drop some nuggets on us and
[37:28] educate us on what they do and we we can
do our own thing that's going to fit
[37:33] Vance County.
>> Yeah, I think it's important that it you
[37:35] know we are comparing apples to apples
because you know we don't have a ton of
[37:39] detox around here. You know, it is a
rural setting and we just want to be
[37:43] similar to something
>> Right.
[37:45] » Right. Have something like
>> Cuz I don't have that. This stuff is
[37:48] » This stuff is
>> [laughter]
[37:51] » I think I mean we're going to I think
we're in a good position that we can
[37:54] create our own
>> Mhm.
[37:56] » solution.
>> There you go. Make it
[37:58] » It depends on the point of the
community.
[38:00] » It's a new thing in the state. You know,
it's slowly evolving so you can set it
[38:04] up how we want it.
>> I like that and I agree with that.
[38:07] » Gwen, are you on the monthly court
meetings by any chance?
[38:12] All right, let me I will forward those
emails to cuz that's a great learning
[38:17] opportunity and networking, too. Okay.
So we're going to move on to our next
[38:23] topic unless anyone else has anything to
add on what we just covered.
[38:29] Thank you. Thank you. So,
recommendations to BLCC what we got.
[38:33] » Uh what we were just talking about at
what date do you think we'll have um
[38:38] a potential um project ordinance uh to
submit to the commissioners just as a
[38:42] recommendation down the road?
I'm just
[38:46] thinking ahead. Are we thinking
November, December for the board to be
[38:50] significantly December possibly?
>> We'll work after December.
[38:53] » Yeah, maybe January? That's what I'm
thinking.
[38:55] » Mhm.
>> That probably would be best.
[38:58] » Okay.
>> But it gives us more time to meet and uh
[39:01] get the strategy like you know to be
like you all.
[39:05] » Does everybody understand um what we
just said?
[39:10] Any questions about waiting until
January to make some recommendations for
[39:16] the community for the commissioners?
And that gives us a chance to get some
[39:20] more education on port, right? We can
talk a little bit more about what we
[39:25] think these funds may want to go toward.
I definitely want to put it out there
[39:31] that I want some of the funds to go
toward the crisis center cuz I think
[39:35] that's going to be very very important
for Vance County.
[39:39] » So, is it going to be a statement at the
22nd meeting of like what's been going
[39:44] on and what the recommendations are up
until this point or are you saying that
[39:47] it'll happen in January?
>> So, I think we need to I think we need
[39:51] to start getting some recommendations
documented
[39:54] and so we can explore that and then have
something hard to submit to our
[39:59] commissioners come January. Does
everyone agree with that?
[40:02] » Yes, I think January's good that way it
gives us time to create up a whole
[40:06] program and we have something to
actually present.
[40:09] » So, at the annual meeting there'll just
be discussion with the public on the
[40:13] progress that this committee has made
and what we've done up until January.
[40:16] So, but the recommendations won't happen
until January of 2020.
[40:19] » That's fine.
>> And so so far we've talked about a court
[40:22] team, right? We've talked about a
paramedic. I've expressed my interest
[40:27] for the crisis center. How does everyone
sitting around the table feel about
[40:32] those funds going toward our crisis
center that's coming to Vance County?
[40:36] » That's
That's mandatory.
[40:38] » It is mandatory.
[40:41] » And that That's That I mean
that's going to be huge.
[40:45] » Mhm.
>> And and you know, a lot of what we're
[40:48] talking about with the court and those
kind of things, that facility will
[40:51] support that.
>> Mhm.
[40:52] » Yeah, you'll have somewhere to take
people. You won't They'll have
[40:56] » You won't have to go to Black Mountain.
>> You won't have to go to detox. You got
[40:58] detox, you got all that stuff right
there locally.
[41:01] » I mean I mean that's what we're talking
about when adding
[41:04] » 16 15
>> That is a It's going to be It's going to
[41:08] be a combination behavioral health and
social services.
[41:11] » Yes.
>> Um correct.
[41:14] » How much money do you think we need to
set aside?
[41:18] » We're still I think still working on the
budget for that. And we're also
[41:23] I mean we've been talking several years
about this so actually since 2018.
[41:28] Uh we've been working on this.
And I think there's some some monies
[41:34] also that would come from Franklin and
Granville counties to support that.
[41:39] And maybe some other counties also.
>> Yeah, there's already recurring MOE
[41:45] funds that have been budgeted that have
been designated for that type of a
[41:50] facility for years. And
so to that point Dan, at this at this
[41:55] stage, when we're talking operational
costs kind of down the road,
[42:00] we haven't gotten to a point where we
feel like there's going to be a need for
[42:02] more money. And we've we've said that to
every county that you know uh
[42:07] the the existing maintenance of effort
allocations
[42:13] um you know, should should cover that
for the most part. We've We've really
[42:17] got to get it up and running to see what
the volume looks like. So much that of
[42:21] what depends, and this is true
especially in places to take Orange
[42:25] County for example. They're about to
have two of them in the same county
[42:28] where you got some of the lowest
Medicaid per capita population in the
[42:32] state.
If you don't have the revenue that comes
[42:35] in from the volume of Medicaid and state
funds, you you have to offset it a lot
[42:42] with county dollars to keep it operating
because you have to keep it staffed for
[42:46] the number of beds, right? That doesn't
change. You got to be ready for it
[42:49] whether you get it or not.
So, what we need I think what what we'll
[42:53] see in this region is the volume that
will sustain it. You don't I don't think
[42:58] you're going to need as heavily of a
supplement as as you'll see in some
[43:03] other areas that that cover the
operational cost of it. So,
[43:08] you know,
>> The big thing in when we toured the
[43:10] Buncombe facility,
it's secured.
[43:14] » Yeah.
>> And that's that's not that you don't pay
[43:16] that Medicaid dollars.
>> No, you don't.
[43:19] » You can't pay that with Medicaid
dollars.
[43:20] » So, you got to have you got to have some
cooperation there with law enforcement
[43:24] and so forth
>> That's right.
[43:26] » So, you'll you'll have to keep
I think in Buncombe they had two people
[43:30] there 24/7. Is that correct? Isn't that
right?
[43:34] » The one that I contracted didn't own
>> I think
[43:38] Yeah, in Alamance
>> Alamance County Sheriff's Department.
[43:41] » Alamance is the sheriff.
>> Alamance the sheriff is taking care of
[43:44] that.
>> 24/7.
[43:46] » And so, and I think with with off-duty,
right? Or are they
[43:49] » Off-duty.
>> Are they doing that with off-duty or are
[43:52] they doing it with They have people
assigned to that.
[43:56] » They're off-duty. They're assigned. They
have to sign a sheet. We put it out a
[44:00] month in advance, and this is for
Alamance Behavioral Health. And then the
[44:03] officers from the surrounding counties
can sign up. But they do it far enough
[44:08] in advance to make sure that we've got
coverage and if somebody calls out,
[44:11] we've got somebody to fall back on. Now,
we do have Jake that that kind of land
[44:17] there and he's just there to office
support. It's like a satellite office
[44:21] for the sheriff's office. But we do have
one dedicated sworn law enforcement
[44:27] officer that sits at that entry door
24/7.
[44:33] » Yeah, utilizing those funds for for
security and just making sure there's an
[44:37] extension. Obviously, you got to you
know,
[44:40] make sure that there's some
focus on and hopefully, you know, it
[44:44] makes sense. I mean, that's that's one
of the priorities in the MOA is
[44:49] diversion, right? From criminal justice
system. And so when you've got an
[44:54] extension of law enforcement that's
actually connecting with people at the
[44:57] facility
and that you know, that could just that
[45:00] goes a long way. So it makes sense to me
to
[45:04] for opioid funds to to go towards
supporting that.
[45:09] » I wanted to make sure that everybody
sitting around the table, you know,
[45:13] heard that and understood that. I just
want to make sure we are transparent and
[45:17] everybody understands
what's going on.
[45:22] Okay.
So next is our annual opioid meeting.
[45:27] » Mhm.
>> So that meeting is scheduled for
[45:29] September the 22nd at 5:00 p.m. The
commissioners will have their regular
[45:32] work session from 4:00 to 5:00 and we
will go directly into the annual opioid
[45:36] meeting. And I gave everyone a copy of
the presentation from last year, what we
[45:41] did last year and I already changed the
date for it for this year, but I just
[45:44] haven't been able to change the
statistical data on it yet. But that's
[45:48] essentially what Sandy and I plan to go
over at that meeting and if anyone has
[45:52] any suggestions on what we can add, what
y'all want us to add, we can do that.
[45:56] But please attend if you're able to do
so. September the 22nd at 5:00 p.m.
[46:01] Okay. And the
notifications and invitations have
[46:05] already gone out to the municipalities
to listen.
[46:10] Any questions or comments?
You guys all have a copy of on what will
[46:15] be discussed. Any questions or further
discussion?
[46:19] » And there will be public comment period
after this meeting.
[46:26] » Reporting.
>> So, Stephanie and I are in the process
[46:29] of doing all of our annual reporting.
The good thing is we haven't spent any
[46:32] money.
So, that part of it will be easy. So,
[46:35] we're in the process of doing that cuz I
think it's due September 22nd. 22nd. I
[46:39] think that's the date. So, the finance
director and myself are working on those
[46:43] reports. And the other thing is just the
survey.
[46:47] The annual they send out a annual
request for contact information. So, I
[46:52] did that last week.
[47:00] » And then we do have a opioid meeting
coming up. Is that April, I mean,
[47:04] October 8th?
>> October 8th.
[47:11] » Okay.
Did anybody have anything else that they
[47:14] wanted to add or share to our meeting
today?
[47:16] » Yeah.
>> Go ahead.
[47:18] » I think Ali got a swimming pool screen
right there.
[47:21] » [laughter]
[47:24] » Yeah.
>> I heard that.
[47:27] » I can't believe that.
[47:29] I just
>> Yeah.
[47:31] » I really appreciate Ali. It's been a
pleasure working with him for years.
[47:34] » Yes.
>> And he's he's done a tremendous job for
[47:37] us and we're wishing the best as he
moves forward in his in his career.
[47:42] » Yeah.
>> Huge loss.
[47:43] » We wish you the best, Ali. Huge loss.
>> Yeah.
[47:49] » Thank you guys.
I don't know what to say. I've been It's
[47:52] been a It's been a
mixed bag of emotions for sure. Y'all
[47:56] know that this has been a big part of my
life for um almost 11 years and it's
[48:01] been
it's been a good part of my life. I'll
[48:04] tell you that. Man, the people that I've
been able to work with, everybody
[48:07] sitting at this table pretty much I've
known for
[48:10] just about that amount of time uh
and uh
[48:14] you know
I
[48:16] none of this happens in a in a vacuum.
It feels like that sometimes, you know,
[48:19] it feels like we're all operating in our
little silos and doing our own little
[48:23] thing and
uh I got to tell you like in places like
[48:26] Vance and places like the region that
I've been able to work in um
[48:31] you that may be where people gravitate
back to to say oh these are the sources
[48:35] of some of the problems, but the people
that are actually doing the work work
[48:38] well together.
And I've really seen that. Uh I've
[48:42] worked in other counties where that
absolutely does not happen.
[48:46] And um even though there's mixed views
and mixed opinions um I've just
[48:52] it's it's been pretty awesome to sit at
the table with people that can actually
[48:56] get some stuff done. I know this group
has been talking about things and we've
[48:59] been talking about certain things for a
long long time, but when it comes right
[49:03] down to it um
we can get work done and and I've
[49:07] I've seen that. So, I hope where I'm
going I can operate the same way and you
[49:11] know, take
take kind of what I've seen and what
[49:14] I've learned out of this community and
and see it happen in in other places,
[49:18] but
um
[49:20] I've loved being here and I it's always
felt like a home away from home to me.
[49:25] So.
I appreciate you guys very much.
[49:28] And it's a small world. Yeah, yeah,
right back at you.
[49:31] Really hate not Y'all y'all know I'm a
in person person. I really hate being on
[49:34] the screen doing this. I wish I could be
sitting at the table with y'all. I've
[49:37] got my exit interview like as soon as I
hop off this thing. So.
[49:41] » That's why I'm got to be ready to just
boom, you know, transition back over,
[49:44] but uh
you know, um I just I thank each and
[49:48] every one of you and I appreciate y'all.
>> With with your next venture we're not
[49:53] going to
let you get off with the regional
[49:55] stepping up.
>> [laughter]
[50:01] » That's one of the other beauties of
working in Vance, you know, we work got
[50:05] to got a region supporting each other
and
[50:07] I'll continue to be a part of it, so.
>> Thank you.
[50:12] » Thank you, Elliot.
>> Yeah, appreciate you. Thank you.
[50:15] » you have anything for us?
[50:19] » No, but as we go on, I don't know how
much we can really discuss about the
[50:25] um crisis facility, but it might be a
good idea for people who don't
[50:31] or have like never visited one to kind
of understand what
[50:36] each part of that
uh facility is going to handle and what
[50:40] like what they what it means, like the
difference between the 24-hour chairs
[50:43] and things of that sort um as well as
you know, the outpatient things. So, I
[50:47] think that um we all know it because
well, those of us who are mental health
[50:52] know it because we have been there, done
that type thing. But I think to really
[50:56] understand the value of what the crisis
and the diversion center does for each
[50:59] community
um is to really
[51:02] really walk everybody through. So, if
that's an option in the future to do
[51:06] that, Sandy, I think we should kind of
take the opportunity to do that.
[51:10] » Okay.
>> Definitely.
[51:11] » So, everybody can get some So, we can
So, we can
[51:14] really educate everybody as to why this
really solves
[51:18] » [clears throat]
>> like
[51:20] all but transportation. I mean, even if
you look at a law enforcement you're
[51:24] talking about a warm handoff from law
enforcement to law enforcement if you're
[51:27] talking
um you know, sheriff to sheriff or
[51:31] local police to our sheriff or whoever
officer do. So, it's a lot of there's a
[51:37] lot of details that we know
the benefit because we work in mental
[51:41] health, but I think that
those who don't
[51:45] may not understand it and that it but I
really you know, it's for it to be
[51:49] successful, we need everybody in the
community to have buy-in.
[51:53] Um
and we need everybody in the community
[51:56] to really understand like how much this
is going to take off the plates of
[51:59] others
and um kind of just go from there. If
[52:02] that's just something I'd like to
suggest if anybody
[52:05] um from your team or you know, whatever
is kind of willing to
[52:10] to kind of do that.
>> I think that that's a great suggestion
[52:13] and we can definitely do that and so you
guys don't just hear my voice all the
[52:17] time. I can have another one of our RHA
representatives come down and we can
[52:22] talk about a BHOC and what a behavioral
health urgent care really does, how it
[52:28] benefits the community, how that goes
from mobile crisis to the BHOC to our
[52:33] FBC, which is a facility-based crisis,
what that looks like, time frame,
[52:40] um what actually happens in each
>> it'd be good to bring in employees up
[52:44] there, too.
Like what kind of employees to expect,
[52:47] who they who people in the community can
expect to talk to if they're bringing
[52:50] people there um and what kind of
what kind of
[52:55] um
psychiatrist, nurse practitioners,
[52:58] whatever. Like who's going to touch
these people
[53:00] um that that we drop off there and and
for and for what reasons and why and
[53:05] then obviously aftercare and follow-up.
>> Yep.
[53:08] Love that. Thank you for that
suggestion.
[53:11] Yep. Kelly, did you have anything?
>> No, um I've heard a lot of good things.
[53:17] I'm catching up since I let I missed the
last meeting, but um Elliot, we sure
[53:22] will miss you. Um thank for your
service.
[53:26] And just listening, but everything
sounds good so far.
[53:30] » Thank you.
>> I mean, who's that other person? CJ
[53:36] Judge Barnett?
>> Um
[53:39] I'm kind of like Kelly. I missed the
last uh but thank you for this the
[53:43] opportunity to get on Zoom. That makes
it a whole lot easier for me. I think
[53:47] one of the other components that Nicole
brought up too is if you have a a mental
[53:52] health crisis facility or substance
abuse
[53:54] facility, um the judicial system's going
to be involved as well um because we
[53:59] have to hold hearings within 7 days of
someone being admitted. So, um
[54:04] and I'll be honest with you, I don't
think anybody's reached out to us about
[54:08] how that's going to look. So, that might
come in that can um that's a
[54:11] conversation. Um we have Frank we have
Franklin. We do uh youth behavioral
[54:17] center in
uh Granville County and we do Central
[54:20] Regional Hospital. So, that's going to
add another court um onto us and so I
[54:25] think that's um really important too for
the public and for the people to
[54:28] understand that from a judicial
perspective um what needs to be shown.
[54:32] They have to be a danger to themselves
or others um in order then for them to
[54:36] be confined um in a facility.
>> Thank you so much for that, Judge.
[54:42] » Judge, let me let me put a fine tip on
that too just as far as timing so that
[54:46] you don't feel that there's um cuz that
will you know we're in a stage now and a
[54:50] phase with the facility where we we
anticipate it being kind of an 18-month
[54:55] build and and go live, right? Um and
even after it's it's live and and open,
[55:02] there is a process by which the state
has to monitor and doesn't license it to
[55:07] actually accept involuntary commitments
until the a full year of it being in
[55:12] operation. So, um
you know for processes that are that
[55:16] will involve the judicial system and
that kind of thing with regard to
[55:20] involuntary commitments, just keep that
in mind, you know, we're we're going to
[55:24] have a hopefully a gradual
build and a and a runway there um to to
[55:29] get that ramped up. So, I didn't I
didn't want you to feel like there was a
[55:33] um you know that that that'll happen all
at once. And some of that my apologies
[55:37] if you already were aware of as far as
the the requirements, but it'll it'll be
[55:41] some time that it's operating before the
the IBC protocol um is as that they're
[55:46] able to accept IBCs and admit them in
the facility.
[55:50] » Appreciate that. We just kind of got
thrown into Franklin County and you
[55:53] know, we only have seven judges for five
counties and so like adding on another
[55:57] court date, that's going to be a
>> I know, right?
[56:00] » Hopefully by then we'll have another
judge, so.
[56:04] » And everybody, to piggyback off of what
you both just said, our goal is to be
[56:09] able to assess somebody that comes in
involuntarily and be able to coach them
[56:15] into a voluntary status versus needing
to transport them to another facility.
[56:21] So, we want to have people there that
are skilled that can convince that
[56:26] person to say, "Hey, you know what?
Let's de-escalate. Let's give you some
[56:30] water, some food." It may have been
situational. We know that a lot of IBCs
[56:35] are situational, right? Now, we do have
people that are certified and they
[56:40] really really need inpatient and maybe 7
and 14 days won't do it, but that
[56:47] program is going to be a benefit for
people that are involuntarily committed
[56:51] at the magistrate's office or by an
officer that they're driving down the
[56:55] street and they see Tink Tink jumping up
and down in front of Sheetz. We want to
[57:00] be able to support the community in
those spaces, so they will not have to
[57:05] hold that IBC. And it won't lead to a
CPE or to somebody needing to spend that
[57:11] 7 days being committed.
>> Yeah.
[57:18] Yeah. Good conversation. Thank you,
everybody, and I hope everyone on the
[57:22] meeting was able to share what they
felt, ask questions, and felt supported.
[57:29] » I do have one question.
>> Yes, ma'am.
[57:30] » Do you want to do a public comment
period?
[57:32] » Yes.
>> After So, which meeting you want to do
[57:34] it at? do that?
>> Um, want to do it at the next meeting?
[57:37] Maybe let's do it at the next one. Is
that okay with the group to do public
[57:41] comments after our next meeting? Is
anybody against of that?
[57:45] » So, we have an hour meeting, do you want
to dedicate 30 minutes to it?
[57:49] » Yeah, let's do 30. I think that's
sufficient.
[57:51] » Okay. So, 30 minutes of the next meeting
will be public comment.
[57:53] » Public comment. Okay, I'll I'll get that
added.
[57:56] » Okay.
>> Okay.
[57:57] » So, with the our meeting just be a half
hour then?
[58:00] » Our meeting can be a half hour. We'll
keep a tight agenda, and then cuz I
[58:04] think it's important for the public to