[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

Vance County Opioid Committee Meeting - 9-8-26

Transcript