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Governor's Overdose Prevention and Intervention Task Force Meeting
Elizabeth Samuels
36:35
Substance Misuse Assistance Response Team = SMART
ianknowles
40:30
The lack of diversity is especially marked in the clinical BH service delivery
Michelle Harter
42:55
Anchor Recovery has put diversity at the top of our training and hiring protocols. We feel strongly that recoverees need to feel and see equality and diversion in our direct service requirements and our training protocols. We have a long way to go as a community.
Dennis w/PWR
42:55
Sec Jones, thank you for that question, I am a co-chair of the GOTF Racial Equity Work Group and would enjoy touching bases with you regarding diversity. My email is dbailer@weberrenew.org
Linda.Mahoney
42:57
New classes are forming to become a Certified Peer Recovery Specialist. Anyone interested should reach out to a CPRS at any of our Recovery Centers. Diversity is welcomed!
Kathy Sullivan
47:09
Kudos to Jonathan for helping our coalition and Coastline achieve this designation!
Dawn Allen
47:50
Thrive is very honored to be a part of this important initiative!
Jeffrey Bratberg
47:57
https://bhddh.ri.gov/whats_new/pdf/Drug%20Take%20Back%20Day%20-Disposal%20Sites%2010.24.2020%20updated%2010-13-2020.pdf?
Karen Jeffreys
51:32
Amen!
Karen Jeffreys
52:25
Speaking the truth, thank you Machiste!
Alexandra Collins
52:26
Yes Machiste!
Michelle McKenzie
53:32
Thank you Machiste!
Michelle Harter
53:41
Thank you Machiste!!!!
Max Krieger
54:09
^^ shame on PPD for trying to arrest these people. thank you for bringing this to our attention Machiste
Dennis w/PWR
55:13
Thank you, Machiste!!
Christa Thomas-Sowers
55:16
THANK YOU Machiste.
Karen kaplan
55:19
wonderful message
Diane Dufresne
55:20
So eloquently expressed Machiste! Thank You!
Heather Seger
55:20
Thank you Machiste
Enrique Newman
55:21
Thank you, Machiste!
Laurie MacDougall
55:21
Wow Machiste, Thank you for this. Thank you for advocacy!
Diego Arene-Morley
55:26
Thank YOU Chiste!!!
Tom Coderre
55:30
🙏
Marti Rosenberg
55:30
Thank you so much - very powerful.
Donna McDonald
55:31
Thank you
Jennifer Rancourt
55:51
very well said! So powerful! Thank you!
Bethany Alexander
56:08
awesome job Machiste
Melissa.Godfrey
56:15
Thank you for your powerful message Machiste
Sarah
56:29
Machiste, thank you for that. amazing
Karen Jeffreys
56:34
Great words for us to remember everyday. Thanks Machiste!
Taylor Bryan Turner, SAMHSA
56:54
Thank you, Machiste. Onward.
Diego Arene-Morley
01:01:25
Making sure I saw this right: The rate among Hispanics has DOUBLED at the same time period the rate for non-hispanic has increased safter mostly decreasing. The Hispanic rate was growing that entire time, never decreasing.
Cathy Schultz
01:06:24
Is there any Scituate and North Kingstown representation?
Karen Jeffreys
01:06:58
What was the total number of overdose deaths in North Kingstown?
Carol Hall-Walker
01:09:04
Is there any correlation with an uptick in unemployment and the hot spots? Is Cocaine use increased among all age groups or the younger cohort?
Heidi Driscoll
01:09:26
Do we know if this uptick was after March
Laurie MacDougall
01:12:10
Hide Driscoll, I think the uptick started closer to December 2019
Carol Hall-Walker
01:18:21
Thank you, great data and update on work underway.
Paulette Hamilton
01:18:30
Did DLT get a grant to train opioid healthcare workers? How can we find out please?
machistel.rankinricares
01:18:42
Thank you ladies!!
Susan Jacobsen
01:18:55
Is there an opportunity to link the follow up on ROAD recommendations by linking to evaluation of the mini/other grants and projects like CODE?
Carol Hall-Walker
01:19:01
Working with Public Housing to install Narcan boxes to help address the private settings overdose.
jtassoni
01:19:35
they did 1.3 million
Linda Hurley
01:20:04
Can someone provide information for accessing slides from these meetings?
Diane Dufresne
01:20:08
Pawtucket has installed Naloxboxes in all public housing sites....we need to better track how many times they are used
RI DOH
01:22:34
The slides can be found on the www.PreventOverdoseRI.org in the presentation archive. The slides can be viewed by clicking the month and year.
RI DOH
01:23:37
https://preventoverdoseri.org/presentation-archive/
Traci Green
01:25:25
looking across the data shared this and last time, it seems we lose many people who are not connected to care, services, formal labor sources....it seems like we should spend some time trying to understand who we are missing, who is not connecting, who is not “likable” across our datasets (or maybe are only “found” in one dataset). I hope we can listen not just to the data but also to the data silences.
Sarah Saint Laurent
01:27:41
Please do reach out to me if you have people in mind that we should talk to! My e-mail is Sarah.SaintLaurent@bhddh.ri.gov and my desk phone is 401-462-0950
Cathy Schultz
01:29:19
Thank you Traci. Great point and I agree.
Marti Rosenberg
01:31:12
Contact information for Kim and Marti: Kimberly.paull@ohhs.ri.gov, marti.rosenberg@ohhs.ri.gov
Susan Jacobsen
01:31:45
Trauma treatment and also grief counseling for all ages
Andrew Stone
01:35:50
Expanding access to naltrexone (oral and/or long acting injection) for people with addiction who use substances other than opioids (that may have opioid unintentionally mixed in)…. may reduce impulsivity around use, reduce effects of euphoric recall and decrease unintentional OD from those using non-opioid substances. Access to naltrexone remains a barrier.
Alexandria Macmadu
01:36:48
Thanks, Kim, for an excellent overview of the quantitative component of the overdose evidence update!
machistel.rankinricares
01:37:46
RICares would be happy to be involved.
Jonathan Goyer
01:37:53
Is the decrease in deaths of 18-19 year olds year-over-year indicative of effective youth prevention work?
Heather Seger
01:38:46
Good point Jonathan
Dennis w/PWR
01:39:37
Thank you Kim and Marti for a powerfully informative presentation.
Heather Seger
01:39:50
Thank you Kim and Marti!
machistel.rankinricares
01:40:03
Thank you Kim and Marti!
Heidi Driscoll
01:40:22
The Regional preventions would also be happy to be part of focus groups
Linda Hurley
01:40:47
thank you Laurie
Christa Thomas-Sowers
01:41:19
When we continue to punish drug users with punitive arrests (with Black and Hispanic people still being significantly overrepresented in these numbers) we continue to push stigma against people who use. We cannot continue to employ strategies from the failed, racist War on Drugs. Overdose Prevention sites, drug testing, low barrier naloxone and syringe access are shown to be successful.
Jody Rich
01:41:45
I am not opposed to “take back” events, but am not aware of any data to suggest that they have any meaningful impact, and do provide “cover” for the DEA that they point to, instead of other more effective strategies that could be pursued like expanding access to buprenorphine
Susan Jacobsen
01:41:47
Collective Impact is a powerful tool it integrate and align efforts
Michelle McKenzie
01:41:57
Hear! Hear! Thank you Christa.
Cathy Schultz
01:42:49
Continue to look at all the qualitative data points mentioned in the slides. Specifically, isolation, corrections, unemployment, homelessness and housing insecurity. Building individual and community recovery capital and continuing to discuss all social determinants of health.
Diane Dufresne
01:43:11
Thanks Jody, I have always believed that too....more of a "Just Say No" approach!
Kristen Breton
01:43:25
If any of the organizations need the Narcan specific materials (stickers for boxes or windows to help identify the location of Narcan, etc.) I am happy to provide those for you. Also I have some training demos and other educational materials I am happy to provide and mail out if that is helpful for an organization providing training. Please feel free to email me bretonk@ebsi.com (Emergent BioSolutions)
Karen Jeffreys
01:46:20
And we have to follow the “science”. Harm reduction is a best practice because it works!
Elizabeth Samuels
01:46:35
Agree, Machiste. Well said.
Diane Dufresne
01:47:07
Again, the stigma prevents progress!
Karen Jeffreys
01:48:10
Everyone said Housing First was a crazy idea when it first came out - but it proved everyone wrong - 85% success rate nationally and here in Rhode Island when we piloted it - 90% success rate.
Karen kaplan
01:48:47
Excellent, Diego!
Laurie MacDougall
01:49:07
Thank you Diego
Carol Hall-Walker
01:49:47
Director Power made a great point about looking at other countries and their success and replicating the things that are working! Political will is key with Harm Reduction Sites or Safe Injection Sites.
machistel.rankinricares
01:49:48
Did we need to do intensive studies on over incarcerating people, or did we just fill the prisons, KNOWING that poverty is a driver for crime?
Elizabeth Samuels
01:50:17
Great points both Diego and Carol. We have the data to support OPCs.
Laurie MacDougall
01:50:33
There is data and support already. We do have people that have looked at the data that already exists on OD prevention sites.
machistel.rankinricares
01:52:23
YES!!!
Christa Thomas-Sowers
01:52:36
We need to follow the science. We know that fatal overdoses occur when people use alone, without naloxone. We know this will save lives.
Monica Smith (just my name)
01:52:38
Thank you Linda. So much! :)
machistel.rankinricares
01:52:52
THANK YOU LINDA!!
Karen Jeffreys
01:53:05
And we need to build the public will to drive the political will! Educate the general public about why OPCs work and the data that shows they work!
Laurie MacDougall
01:53:06
Exactly, Linda Hurley. We are going to lose too many lives. Let’s stop it now!
Dres Santana Roberts’s iPhone
01:53:15
I agree
ianknowles
01:53:17
Again, the criminalization of addiction imposes a low ceiling on all our efforts
Michelle McKenzie
01:53:24
Such a wonderful conversation everyone - thank you!!
Elizabeth Samuels
01:53:25
Well said Linda!
Dres Santana Roberts’s iPhone
01:53:36
I agree Dennis
Laurie MacDougall
01:54:20
Thank you Dennis
Karen kaplan
01:54:24
I have emailed the Providence Journal editor to follow up on the article they did on the uptick with overdose deaths with successful strategies around the globe regarding this crisis. I suggested Canada’s safe injection sites as well as Portugal’s decriminalization, and other working solutions from around the country. I think we need more people contacting the media to educate the public and sway public opinion towards these trends that are helping.
Diego Arene-Morley
01:54:41
Thank you Dennis... on point as always
Diane Dufresne
01:56:16
Yes Dennis, well said & so important....they are a difficult entity to engage but so integral.....maybe the leadership in the state can be helpful in this pursuit
Linda Hurley
01:56:39
Regulation can also impact our ability to provide harm reduction efforts.
Linda Hurley
01:57:04
Thank you Dr. McDonald
Susan Jacobsen
01:57:44
We can look at working with law enforcement to fully support harm reduction efforts that are legal. For example, we hear from street outreach that law enforcement is confiscating clean needles and naloxone.
Susan Jacobsen
01:58:03
In some communities. Certainly not in all.
Karen Jeffreys
01:58:29
Great idea!
Michelle McKenzie
01:58:31
Great idea Sarah!
Diego Arene-Morley
01:58:47
I second Sarah's motion for a concensus statement.
Karen Jeffreys
01:58:48
Can we follow up with Sarah’s idea?
Christa Thomas-Sowers
01:58:52
Yes.
machistel.rankinricares
01:59:02
Yes Sarah!
Karen Jeffreys
01:59:04
I vote for Sarah’s idea too
Andrew Stone
01:59:06
Agree with Dr. Fessler! Laws don't change unless we all advocate.
Tommy Joyce
01:59:19
We should look at having focus groups including individuals in the OTPs and people who are actively using to see how they would utilize OTCs. Without input from people who would utilize, how can we create a program structure that will be successful
machistel.rankinricares
01:59:26
Machiste L. Rankin mrankin@ricars.org
Laurie MacDougall
01:59:27
With you sara