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From YouTube: USCM - Substance Use and Recovery Task Force
Description
Mayor Walsh joins mayors from across the country at the United States Conference of Mayors, to participate in a round table discussion on how to improve substance use prevention in their cities. The program elevates the voices of youth affected by the opioid epidemic, and highlights the importance of a continuum of care in cities.
A
What
Chris
is
message
today
is
is
something
that
we
need
to
continue
as
Minister
talk
around
the
country.
There's
a
lot
of
stigma
with
with
addiction
that
that's
out
there
still
and
I
just
think.
We
have
a
real
opportunity
here
to
do
some
incredible
things.
We
have
some
incredible
speakers
here
today
and
we're
gonna
turn
it
over
to
them
in
a
minute.
I
wanted
to
say
a
couple
things
I
want
to.
A
Thank
I
don't
mean
it's
here,
but
I
want
to
thank
naina
Whaley
for
being
the
co-chair
and
doing
some
incredible
work
in
2017
we
in
Miami
we
had
a
knock
in
training.
You
know
we
started
the
recovery
toolkit.
So
what
that
means
is
any
new
mayor's
at
the
table.
We
have
a
curry
toolkit
that
we
can
get
you
to
help
you
in
your
cities
and
what
we're
doing
here
and
best
practices
around
the
country.
Quite
honestly,
in
2018
seeing
coin
case
in
viniq
mertay
spoke
and
they
he
wrote
a
book
called
Dreamlands.
A
That
was
absolutely
incredible
and
if
you
really
want
to
understand
the
opioid
crisis
and
the
heroine
not
the
beginning,
because
we
happened
before
that.
But
if
you
want
to
get
a
good
grasp
or
would
get
battling
with
America
right
now
get
the
book
Dreamlands.
It's
incredible
pathway
to
Dowlen
how
heroin
really
peaked
here
in
America,
but
also
how
and
what
in
New
Mexico
as
they
were
sugarcane
farmers
turning
into
poppy
seed
farmers
and,
at
the
same
time,
talks
about
the
1850s
of
opiates
when
they
started
and
in
how
that
evolved
into
something
special.
A
So
I
would
suggest
you
get
that
the
national
conversation
has
certainly
evolved.
People
are
talking
about
addiction
and
disease.
People
are
talking
about
medication,
assisted
treatment,
people
are
talking
about
alternatives,
to
prison
and
in
jails,
etc,
and
you
know
all
of
those
work,
but
I
do
think
that
it's
important
for
us.
We
can't
just
be
a
society
that
that's
about
medically
assisted
treatment.
We
have.
We
can't
just
do
that.
I
mean
that's,
not
gonna
work
we
have
to
have.
We
have
to
have
some
other
recoveries
there
as
well.
A
We
need
to
remind
people
that
we
need
a
full
continuum
of
care.
What
that
means
is
when
somebody
goes
into
detox.
They
have
access
to
detox
and
then,
when
they
get
into
detox,
have
an
opportunity
to
get
into
a
long-term
living
situation
if
they
need
it,
something
we
have
to
work
on.
It
also
talks
about
prevention
and
I.
Think
Chris
Herren
touched
upon
that
today,
something
we
have
to
do
a
better
job
of
prevention,
as
well
as
as
well
as
long-term
recovery.
A
Our
speakers
today
again
to
demonstrate
the
range
of
interventions
possible.
Each
point
curriculum
point.
The
key
key
themes
of
the
conversation
today-
innovation,
collaboration,
equality
and
I-
think
we'll
have
a
good
conversation
here
before
I
turn
it
over
to
my
first
speaker,
I'd
like
to
take
a
minute,
if
we
wouldn't
mind
going
around
the
table
and
introduce
and
the
mayors
of
the
mayor's
get
into
yourself,
but
I
want
to
I
about
two
people
here,
three
people
I
want
to
talk,
introduce
myself.
A
One
is
we
have
we
created
the
office
of
recovery
services
and
we
have
an
area
of
Boston
that
there's
a
lot
of
services
and
there's
a
methadone
clinic
and
a
homeless
facility
there,
and
we
have
a
lot
of
police
issues
there
and
we
have
a
deputy
superintendent
for
the
Boston
Police
Department.
That
is
doing
an
awful
lot
of
work
with
the
providers
and
with
the
community
with
the
police
and
we're
doing
a
lot
mobile
training
with
the
police.
It's
deputy
superintendent,
when
he
caught
us
here
today,
I
think
the
super
antennas
are
being
hit.
A
A
A
And
I
have
two
speakers:
I,
don't
speak.
The
first
person
that's
going
to
speak
is
the
help
Newman
service
chief
for
the
city
of
Boston,
mighty
Martinez
and
mine
is
going
to
talk
about
youth
prevention
efforts
in
our
city,
as
as
the
Secretary
of
Health,
Human,
Services
and
then
joined
by
molarity
is
Dana
right:
Dana,
Danae,
barg
who's,
a
graduate
of
the
2015
austere
guy
high
school
recovery
high
school
in
Boston
and
I'll.
Tell
you
how
this
works.
A
A
Afl-Cio
right
now
really
ask
the
guy
was
a
fire
fight,
EAP
and
Kerri
Healy
lieutenant
governor
of
Massachusetts
who's
was
a
Republican
and
I
say
that,
because
it's
important
that
this
is
not
a
Democrat
Republican
diseases,
the
disease
and
they
came
back
and
we
could
file
legislation
in
Massachusetts
to
create
recovery,
high
schools,
and
now
we
have
one.
We
have
a
graduate
of
the
2015
class,
so
I'm
going
to
turn
the
microphone
over
to
Manny
Martinez.
A
B
You
Thank
You
mayor.
You
know
one
of
the
things
that
we've
been
looking
at
when
we
talk
about.
You
know
this
disease.
We
focus
a
lot
of
recovery,
obviously
that
the
mayor's
leadership
created
the
mayor's
office
of
recovery
services.
First
in
the
nation
whose
director
gen
Tracy
I
think
is
here
today
and
through
her
lead
ship
back
here
through
her
leadership,
been
able
to
really
do
some
amazing
work.
B
Mazing
things
around
the
epidemic,
from
distribution,
narcan
and
creation
of
an
engagement,
Center,
better
partnerships
of
Public
Safety,
really
doing
more
to
bring
the
disease
out
of
the
shadows
on
the
municipal
level.
But
when
you
look
at
this
issue
on
all
levels,
you
got
to
look
at
prevention
when
you
think
about
the
continuum
of
care.
Yes,
recovery
services
are
critical
access
to
beds
access
to
resources,
but
we
all
know
that
in
any
health,
health
and
human
service
issue
it
the
more.
B
Some
of
the
issues
that
were
facing
on
the
local
level,
and
so
what
we
did
recently-
and
we
want
to
highlight
this
for
you
and
you're
in
your
packet,
there's
a
one-page
for
the
mayor's
to
see
related
to
a
youth
substance,
use
prevention,
strategic
plan
and
what
we
did
is
the
office
of
recovery
services
partnered
with
Blue
Cross,
Blue,
Shield
here
locally
to
sort
of
say:
let's
understand
what
are
the
prevention,
specific
issues
that
impact
young
people
in
our
communities?
What
are
those
issues
and
what
can
we
do
to
sort
of
elevate?
B
This
work
all
out
the
same
time
focused
on
recovery,
focusing
on
treatment
focusing
on
access
to
care.
How
do
we
make
sure
that
we
start
at
the
beginning?
You
heard
Chris
Herren
sort
of
talk
about
that
through
its
entire
journey,
come
back
to
what's
those
prevention
messages
that
are
there
and
how
can
we
focus
on
it,
and
so
we
sort
of
elevated
a
variety
of
issues
that
came
up
through
the
voices
of
young
people,
CBO's
community
health
organizations,
schools
and
really
tried
to
understand
what
are
the
unique
issues
facing
youth?
B
What
are
the
unique
issues
facing
our
systems
and
how
do
we
ensure
that
we
put
in
resources
around
prevention,
and
so
what
we
did
is-
and
we
haven't
released
this
report,
yet
it's
going
to
be
released
here
shortly
in
a
couple
weeks,
but
what
we
basically
did
is
said,
there's
five
broad
strategies
that
we
know
is
important
when
we're
thinking
on
a
municipal
level,
around
prevention
as
connected
to
this
larger
continuum
of
care,
expanding
leadership
and
coordination
was
the
main
one.
It
was.
B
How
do
we
make
sure
that
there's
not
a
bunch
of
stuff
happening
in
a
bunch
of
places,
but
how
do
we
use
not
only
the
leadership
of
the
mayor,
but
the
leadership
of
trying
to
raise
up
these
issues
in
the
community
to
have
better
coordination?
So
one
of
those
strategies
will
be
there
coordinated
youth
substance,
abuse
prevention,
task
force
that
will
help
us,
create
more
coordination
on
that
level
and
ensure
that
the
resources
are
connected.
B
We're
gonna
increase
prevention,
work
in
all
city
agencies,
so
obviously
we
have
over
150
public
schools
in
Boston
variety,
different
services
and
programs
happening
there.
How
do
we
ensure
that
we
have
better
access
to
data
that
will
tell
the
story
from
our
schools
looking
at
our
Boston
centers
for
youth
and
families,
36
facilities
across
the
city?
How
do
we
ensure
that
those
programs
that
are
happening
in
every
neighborhood
include
prevention
as
well?
It
also
includes
consistent
messaging
and
ensuring
that
we're
talking
about
prevention
in
all
places.
B
I
talk
a
lot
with
CBO's
and
we've
talked
about
this,
where
we
say
that
you'll
talk
to
a
CBO
and
they'll
say
our
committee
based
organization
and
they'll
say:
well,
we
don't
do
substance,
abuse,
prevention,
work
and
they
say
if
you
work
with
young
people,
you're
doing
substance,
abuse
prevention
work
and
we
have
to
do
a
better
job
of
ensuring
organizations,
understand
that
and
their
connection
to
us
and
their
connection
to
those
resources.
It
includes
pathways
to
care,
obviously
in
different
avenues,
as
well
as
better
engagement
of
the
academic
and
philanthropic
sector.
B
This
prevention
report,
to
be
honest
with
you,
isn't
groundbreaking.
It
tells
us
what
a
lot
of
a
lot
of
things
that
we
already
know,
but
what
it
has
done
and
what's
unique
for
us
in
Boston,
is
it
sort
of
raised
the
question
when
you
think
about
substance,
use
prevention,
issues
for
young
people
in
Boston,
we're
talking
predominately
youth
of
color?
What
are
some
of
the
issues
that
are
impacting
there?
B
So,
as
we're
battling
the
opioid
epidemic,
we
have
to
remember
what
alcohol
and
marijuana
use
looks
like
within
young
people
within
communities
the
impacts
of
trauma
when
people
are
dealing
with
violence,
the
impact
of
some
of
the
challenges
that
our
neighborhoods
experience,
and
so
when
you
think
of
prevention,
you
think
of
youth.
We
got
to
think
about
the
full
continuum
of
the
epidemic
of
of
substance
use
and
what
does
it
mean,
and
how
do
we
create
resources
to
do
that?
B
So
that's
really
about
ensuring
that
programs
and
resources
meet
young
people
everywhere,
they're
at
every
community
right
and
within
every
population
that
might
be
engaged
with,
and
that's
what
we're
trying
to
do
in
Boston
and
using
the
leadership
of
a
mayor
through
this
officer
recovery
services,
but
to
raise
up
prevention.
It's
got
to
be
part
of
the
conversation,
not
an
also
hat.
It
has
to
be
central
to
how
we
think
about
this
continuum,
and
so
I
can't
think
of
no
better
way
than
to
think
about
that
continuum
of
schools.
B
Then,
to
hear
from
de
neige
a
graduate
of
hasta
got
high
school,
where
I
had
the
privilege
of
speaking
out
just
last
week
and
to
really
be
able
to
understand
what
does
it
mean
to
have
not
only
that
continuum,
but
have
the
messages
and
the
services
be
handily
and
readily
available
for
all
young
people,
so
they
get
their
needs
met
and
we
can
sort
of
tackle
this
epidemic
for
multiple
stages.
So
let
me
now
introduce
the
neh
and
have
her
tell
you
a
little
bit
about
her
experience.
B
B
C
C
It
was
a
phase
it
was
looked
at,
and
so
there
wasn't
a
lot
of
support.
There
were
three
guidance
counselors
for
500,
plus
kids
in
a
school.
You
know
it's
not
as
individualized
and
so
I
was
introduced
to
Austin
I
recovery,
high
schools
through
the
Cushing
house
in
South
Boston
and
the
cabin
foundation
and
I
was
18
years
old
and
I
had
dropped
out
of
high
school
and
I
had
like
three
more
credits
to
graduate
and
I
just
didn't
have
the
motivation,
and
so
they
kind
of
lit
the
fire.
C
For
me
to
be
like
you
need
to
go
back,
it's
something
that
is
achievable
and
there
once
I
entered
auste
guy,
so
many
doors
have
opened
for
me
and
I
say
this
with
so
much
gratitude
for
where
I
came
from,
because
if
it
wasn't
for
us
a
guy
and
the
guidance
counselor
Roger,
the
principal
like
I,
wouldn't
be
where
I
am
today.
Having
like
this
magnificent
life
that
I
have
and
so
what
it
looks
like
at
all
so
guys.
It's
a
very
positive
learning.
Experience
like
the
class
sizes
are
less
than
20
kids
a
class.
C
You
know
you
get
the
academics
that
you
need,
but
you
also
get
like
the
attention
that
you
need
and
you
like.
If
you're
having
an
off
day,
people
are
gonna
notice
and
so
the
principal
the
guidance
counselor's,
the
recovery
counselor,
it's
all
very
I
can't
say
it
enough.
It's
very
individualized
and
so
there's
a
lot
of
access
to
treatment.
You
know
there's
random
drug
testing
as
well
as
weekly
drug
testing,
to
kind
of
keep
you
motivated
to
doing
the
next
right
thing
and
it's
enjoyable.
C
You
know
like
I
liked
going
to
school
for
the
first
time
in
a
long
time
and
to
be
able
to
complete
my
senior
year
in
that
kind
of
an
environment
was
it
was
really
great,
and
so
we
had
recovery
groups.
We
had
peer
groups,
it's
very
peer
driven
as
well
as
staff,
driven
and
so
kind
of
having
the
support.
Where
is
you're
not
just
another
face
in
a
crowded
at
a
regular
high
school?
C
And
so
now
what
it
looks
like
as
having
graduated
at
18
and
now
being
23
a
visit
regularly
I
shop
around
their
prom,
which
was
really
cool
and
like
and
people
still
look
forward
to
seeing
me.
You
know
after
I,
graduated
I
had
the
opportunity
to
attend
Northeastern
University,
and
that
was
really
awesome.
C
I'm,
like
I,
said,
like
a
couple
weeks
ago,
I
was
able
to
chaperone
the
hasta
guy
prom,
as
well
as
all
the
other
recovery
high
schools.
We
had
Independence
Academy
and
we
had.
There
was
another
one
and
I
can't
think
of
it,
but
they
were
all
there
and
I
was
able
to
be
a
part
of
that
and
I
was
able
to
be
a
woman
of
sobriety
and
attendance
and
be
like
I.
Had
a
student
say
to
me
like
you
make
me
want
to
be
sober
and
to
stay
sober.
C
Don't
think
that
I
would
have
some
of
the
opportunities
that
I
do
if
it
wasn't
for
our
guy
recovery,
high
school
and
like
I'm,
enlisting
in
the
Navy
and
like
my
life,
is
just
like
opening
up
in
abundance.
I'm
like
I,
am
just
so
blessed
and
grateful
for
like
the
life
that
I
have
because
of
us,
a
guy
recovery
high
school,
and
thank
you
so
much
for
having
me
here.
A
Though
a
so
is
awesome,
thank
you,
and
just
so
for
those
at
the
table
wondering
what
the
Cushing
house
is.
We
should
have
explained.
The
big
I
said
have
explained
in
the
beginning:
Cushing
house
is
a
recovery
program
living
a
home
recovery
home
for
that
was
cited
in
Boston,
probably
about
15
years
ago,
saddle
up
boys,
28
boys
for
teenagers
and
then
now
28
beds
for
girls.
So
we
have
it's
for
teenagers,
so
when
we
have
young
people
that
are
looking
again
into
recovery
rather
than
having
go
into
an
adult
home.
A
What's
the
challenge
is
a
little
different.
We
have
them
into
a
younger
person's
home,
usually
ages,
15,
maybe
to
21
22
upon
their
okay,
well,
15
to
22.
So
before
I
before
I
introduce
mayor
Ginter
to
speak
from
Columbus
I'd
like
to
I
forgot
to
do
this
I,
let
you
on
the
table
just
to
introduce
those
toesies
I
represent
your
mayors
and,
if
you're
representing
your
city,
so
you
all
I
will
stop
to
my
right.
My
friend,
if.
E
B
H
H
A
D
Thank
you
very
much
mayor
Walsh
and
for
you
and
mayor
Whaley's
leadership
and
vision
in
putting
this
task
force
together
and
leading
this
important
work
for
the
US
Conference
of
Mayors.
The
country,
as
everyone
knows,
is
in
the
middle
of
this
opioid
epidemic
in
Columbus
in
the
middle
of
the
country,
has
hardly
been
immune
from
that
central
Ohio
saw
more
than
500
overdose
deaths.
Last
year,
there's
almost
two
people
dying
every
day
and
a
47
percent
increase
from
2016.
D
Probably
what
many
of
you
are
seeing
in
your
cities
as
well
in
our
community,
more
than
4,300
residents
are
active
heroin
users
every
day
and
many
of
them
begin
their
road
to
addiction
right
in
their
own
medicine
cabinet.
We
all
could
be
one
surgery
or
one
injury
away
from
the
brain
disease
of
addiction.
An
addiction
can
and
does
happen
to
everyone.
D
The
current
wave
of
overdoses
is
being
impacted
in
Columbus
by
fentanyl,
a
powerful
synthetic
opioid,
that's
being
laced
in
other
drugs,
such
as
cocaine
and
meth.
Often
the
users
don't
know
fentanyl
is
in
the
drugs
they
are
using
and
sometimes
the
sellers
use
fentanyl
as
a
marketing
tool
for
a
better
hi.
So
in
the
last
four
months
of
2017,
75%
of
unintentional
overdose
deaths
involved
fentanyl
in
Central
Ohio,
and
these
are
pretty
stark
statistics
and
there
is
no
doubt
this
is
a
public
health
crisis
in
our
community
in
communities
around
the
country.
D
So
our
our
approach,
I
thought,
was.
If
we've
used
the
Columbus
way,
which
we
pride
ourselves
on
public-private
partnerships,
we
think
we
do
them
better
than
anywhere
in
the
country.
My
guess
is
the
mayors
might
have
some
different
arguments
about
that.
You
do
them
exceptionally
well,
but
if
we
use
that
to
help
revitalize
our
downtown
and
to
help
win
the
Smart
City
challenge
shouldn't.
We
use
that
same
culture
of
cooperation
and
partnership
in
tackling
one
of
the
biggest
public
health
crisis
of
our
time.
D
So,
almost
a
year
ago,
we
implemented
the
Franklin
County
opiate
action
plan
that
really
has
four
overarching
goals:
preventing
opiate
abuse
and
addiction.
Reducing
the
number
of
opiate
related
deaths,
expanding
access
for
treatment,
improving
safety
in
our
community.
So
to
do
our
work
best,
we
have
to
be
grounded
in
the
understanding
that
heroin,
addiction
and
opiate
addiction
is
a
chronic
relapsing
brain
disease.
D
We're,
also
hoping
and
working
to
provide
data
to
understand
the
scope
of
the
epidemic
and
to
improve
improve
our
systems
to
track
trends
in
the
opiate
use
and
associated
impact.
Like
the
disease.
The
epidemic
is
complex.
It's
going
to
take
all
of
us
working
together
in
our
community,
including
leadership
from
the
private
sector
and
our
atom.
H
boards,
alcohol,
drug
mental
health
addiction
boards
that
are
administered
at
the
county
level
in
the
state
of
Ohio
have
been
incredible
partners.
D
So
we've
just
started
a
pilot
program
with
test
tech
strips
for
users
to
detect
it
fentanyl,
which
can
help
prevent
accidental
overdoses.
The
test
strips
are
being
distributed
throughout
the
comprehensive
harm
reduction
program
that
we
administer
they're,
also
provided,
along
with
risk
reduction,
counseling
access
to
naloxone,
HIV,
hepatitis,
C
testing,
referrals
to
behavioral
and
medical
care,
alcohol
and
drug
referrals
and
clean
syringes.
D
We
have
found
that
a
high
percentage
of
those
who
use
our
harm
reduction
program
get
into
treatment
within
a
year
and
begin
the
long
road
to
recovery.
Another
success
story
for
us
in
Central
Ohio
is
the
opening
of
the
Mary
Haven
addiction.
Stabilization
Center,
Mary
Haven
is
one
of
the
County's
oldest
and
most
comprehensive
addiction
treatment
providers.
They
step
forward
to
open
a
first
ever
addiction
stabilization
center
as
part
of
our
fight
against
opioid
addiction.
D
They
provide
crisis
care
to
individuals
recovering
from
overdose
and
encourage
patients
to
immediately
enter
treatment
and
the
center
offers
withdrawal
management
services
or
detox
post
detox
residential
care
for
up
to
30
days.
So
it's
the
the
beginning
of
a
holistic
comprehensive
care
of
this
as
addiction.
We
know
that
this
holistic
approach
can
bring
the
best
success
in
treating
disease.
D
You
know
as
they
have
with
with
cancer
and
other
major
diseases
that
we
face
as
a
community
acknowledging
and
treating
it
and
continuing
to
remove
this
stigma
as
Chris
and
and
and
Dena
and
others
that
share
their
story.
You
know
we
know
that
Mary
Haven
is
going
to
bring
that
model
to
addiction,
treatment,
we're
looking
to
expand
and
add
stabilization
centers
to
other
neighborhoods
that
have
been
disproportionately
negatively
impacted
by
the
epidemic
and,
as
I
mentioned
before.
One
of
the
key
pieces
to
our
effort
has
been
the
public/private
partnership
and
leadership.
D
We're
blessed
to
be
home
to
Nationwide
Insurance
and
their
CEO
Steve
Rasmus
and
over
a
year
ago
decided
that
this
was
going
to
be
an
issue
that
he
and
the
company
we're
going
to
take
a
significant
leadership
role
in
so
over
a
year.
Nationwide
knows
a
little
bit
about
marketing
and
research
and
so
forth,
and
they
put
their
best
and
brightest
and
did
a
significant
amount
of
research
on
leading
a
prevention
and
education
campaign
in
Central
Ohio
that
will
launch
on
June
18th
and
what
their
data
and
research
demonstrates
is
shocking.
D
Nearly
70
percent
69
percent
of
the
those
parents
polled
and
that
were
part
of
focus
groups
and
discussions
believe
that
opiate
addiction
was
one
of,
if
not
the
biggest
crisis
facing
the
community,
but
only
17
percent
of
those
same
parents
felt
equipped
or
empowered
to
talk
to
their
kids
or
thought
their
kids
would
be
affected
by
it.
So
that
is
the
focus
in
the
in
the
real
target
of
the
campaign
will
be
around
the
parents
of
preteens
and
teenagers
to
really
go
after,
as
we've
talked
about
here
today
and
Chris.
D
You
know
such
a
powerful
tribute
and
story
that
he
shared
with
us
earlier,
but
prevention
and
education
is
where
we
are
going
to
continue
to
focus
our
efforts
as
we
continue
to
expand
addiction
and
in
rehab
services,
but
a
place
that
we're
grateful
for
the
leadership
of
our
private
sector
and
a
place
that
I
think
private
sectors
and
communities
around
the
country
need
to
step
up
and
take
the
lead
on
so
mayor.
Thank.
A
A
I
You
so
much
thank
you,
Mary
roster,
for
for
having
us
here.
I'm
Nisha
Gailey,
one
of
the
cofounders
of
biobot
we're
an
MIT
spin-out
were
located
just
across
the
river
in
Cambridge
Massachusetts
and
we're
developing
a
new
standard
in
order
to
assess
the
opioid
epidemic
and
we're
doing
that
by
measuring
the
concentration
of
opioid
metabolites
in
our
sewage
system.
I
We're
doing
this
because
we
think
that
there's
better
data
that
we
can
have
in
order
to
equip
those
focused
on
treatment
and
those
focused
on
prevention
and
we're
actually
not
the
only
ones
who
think
this
is
working.
Yep,
perfect,
Michael
Bloomberg,
said
earlier
this
year
that
he
believes
that
better
information
could
help
communities
States
and
the
federal
government
monitor
the
scope
of
the
crisis
and
target
interventions
more
effectively.
I
And
earlier
last
year
in
November,
the
President's
Commission
on
combating
the
opioid
crisis,
put
forward
several
recommendations
on
how
to
expand
surveillance
on
opioid
on
the
opioid
epidemic
in
our
cities,
and
one
of
them
was
actually
wastewater
testing
and
so
at
biobot
analytics.
That's
what
we're
facilitating,
because
urine,
which
is
collected
in
our
sewer
systems,
is
actually
a
rich
source
of
information.
On
what
we're
consuming-
and
this
is
all
aggregating
in
Seward's,
public
infrastructure-
that's
owned,
that's
managed
and
that's
maintained
by
cities.
E
E
It
starts
on
the
ground
with
collecting
samples
from
manholes.
Here
in
this
picture,
you
can
see
herbie
who
works
for
the
Cambridge,
Public,
Works
Department,
and
each
time
Herbie
wants
to
collect
a
sample.
It
takes
him
10
minutes
to
deploy
our
box
and
then
get
it
out
the
next
day
and
send
it
back
to
our
lab.
E
In
our
lab.
We
have
a
dedicated
group
of
scientists
who
then
do
a
chemical
analysis
to
look
at
different
drugs,
and
we
show
the
results
in
a
report
form
to
our
customers,
and
what
these
report
shows
is
the
collective
consumption
rate,
so
how
many
milligrams
of
a
drug
were
consumed
per
1000
people
per
day
in
that
in
a
certain
region?
And
we
can
look
at
illicit
drugs
such
as
heroin
and
fentanyl.
We
can
see
prescription
drugs
such
as
oxycodone
and
codeine,
medication,
assisted
treatment
like
methadone
or
buprenorphine
and
narcan.
E
I
Now
this
data
is
consumption
data,
that's
representative
of
the
entire
population,
that's
living
with
opioid
use
disorder,
so
we're
not
just
counting
overdoses
or
measuring
extreme
that
represent
a
small
number
of
people,
its
consumption
data,
that's
not
regulated,
because
it's
naturally
aggregated
and
anonymized.
It
can
be
easily
shared
amongst
multiple
departments
in
the
city
and
it's
also
a
single
source
of
data,
a
single
source
of
data
from
multiple
types
of
drugs.
I
We've
been
working
with
Cambridge
Massachusetts
for
the
last
several
months
now
on
developing
the
technology.
We're
now
live
in
Cary
in
North
Carolina,
who
was
actually
selected
as
a
champion
City
as
part
of
the
Bloomberg
mayor's
challenge
to
implement
this
solution
and
were
we're
hoping
to
expand
to
about
four
or
five
more
cities
this
year
in
2018
and.
E
Here
you
can
see
Mike
Paciorek
he's
a
deputy
Town
Manager
in
Cary
and
Mike
supported
this
project,
because
he
believes
that
this
technology
will
help
make
Cary
healthier
a
healthier
City,
and
he
sees
the
potential
of
this
technology
beyond
opioids.
As
we
were
saying,
there's
other
problems
that
affect
the
health
of
residents
in
a
community
and
with
this
technology
we
can
look
not
only
at
opioids
but
also
at
infectious
disease,
antibiotic
resistance,
nutrition
and
an
exposure
to
contaminants,
as
well
as
other
substances
like
alcohol
and
tobacco,
to
really
understand.
E
E
G
A
Heroin
fentanyl,
really
wasn't
talked
about
at
the
time
in
different
neighborhoods
you'd,
be
able
to
tell
what
neighborhoods
in
the
city
of
Boston
my
views
exerting
types
of
drugs
in
the
city
in
any
of
your
cities,
that
for
that
matter,
so
I
worry
a
force
that
he's
left
the
next
next
conversation
and
then
we'll
open
up
questions
is
the
police,
assisted
addiction,
recovery
initiative,
Shawn
Rosenthal
is
the
chair.
Alejandra
McDade
is
executive
director
and
those
of
you
that
don't
know
John
Rosenthal.
A
J
Thank
you
so
much
mayor
Walsh
for
having
us
and
for
the
opportunity
to
present
here
to
all
of
you.
Thank
you,
John,
so
piloting
a
new
program
to
place
recovery,
coaches
with
Boston
Police
Department,
and
you
know
we
couldn't
do
it
the
leadership
of
the
mayor.
So
thank
you
for
believing
this
work,
believing
in
the
power
of
the
recovery
community
and
for
making
the
opioid
epidemic
a
top
priority.
I
also
wanted
to
thank
the
Massachusetts
service
Alliance
and
the
Corporation
for
National
and
Community
Service.
J
J
There's
other
sessions
you
could
be
at,
but
being
here
means
that
you
want
to
think
about
what
you
can
do
as
mayor's
to
respond
to
the
mounting
opioid
epidemic
and
I
did
want
to
make
sure
I
recognized
mayor
carpenter
from
Brockton
and
the
mayor
from
New
Bedford
they're
their
leaders
in
this
space
as
well.
They
could
be
presenting,
so
I
wanted
to
make
sure
they
got
a
little
shout
out
because
they're
doing
amazing
work
in
this
in
this
realm,
as
well,
so
again,
I'm
Allie,
I'm,
the
executive
director
of
party
and
like
most
people.
J
J
So
last
spring
I
started
working
with
the
Massachusetts
Service
Alliance
to
develop
the
project
that
we're
here
today
to
talk
about
and
like
I
said,
this
is
a
focus
for
AmeriCorps
and
for
National
Service
on
both
the
local
and
federal
level.
We
know
we've
seen
that
police
have
a
front
row
seat
to
the
opioid
epidemic
and
they're
in
a
unique
position
to
help
people
take
their
first
steps
on
their
recovery
journey.
So
the
program
is
really
about
placing
service
members
into
police
departments
to
prevent
overdose
deaths
and
help
people
access
treatment.
J
So
we
have
22
AmeriCorps
service
members,
supporting
53
police
departments
across
Massachusetts,
and
their
goal
is
really
to
help
build
the
capacity
of
those
law
enforcement
agencies
and
directly
help
individuals
who
are
struggling
with
an
addiction
either
themselves
or
the
addiction
of
a
loved
one.
Each
program
utilizes
the
members
a
little
bit
differently,
but
we're
gonna
mostly
talk
about
our
program
here
in
Boston.
To
start
I
wanted
to
recognize
the
five
Boston
based
AmeriCorps
recovery,
coaches,
they're.
E
J
So
they're
working
with
Boston
Police
Department
as
recovery,
coaches
and
recovery
coaches-
in
short,
what
they
do
is
they
make
referrals
to
treatment.
They
help
people
navigate
recovery,
support
services,
they
remove
any
barriers
that
somebody
might
encounter
and
maybe,
most
importantly,
they
provide
hope
and
optimism
and
encouragement
for
somebody.
So
they
know
they're,
not
alone,
so
there's
four
primary
ways
that
somebody
can
access
and
be
connected
to
these
recovery.
Coaches,
one
is
that
they
can
get
a
referral
from
a
Boston
police
officer
who
sees
somebody
struggling
and
thinks
they
could
benefit
from
a
recovery
coach.
J
They
have
drop-in
hours
at
Boston,
Public
Library's,
so
somebody
could
drop
into
a
one
of
five
Boston
Public
Library
branches
and
have
a
conversation
with
someone
and
get
their
support
they
could
self-refer
by
reaching
out
to
the
coaches
directly.
It
gave
everyone
one
of
these
little
cards.
This
is
basically
what
we
have
spread
across
the
city
and
anybody
who
has
a
card
like
this.
Anybody
who
learns
about
the
recovery
coaches
can
just
reach
out
to
them
directly
at
any
time.
They
also
do
active
street
outreach
trying
to
find
at-risk
community
members
and
offering
their
support.
J
So
two
things
I
wanted
to
focus
on
one
is
cross
collaboration.
This
is
a
key
feature
of
the
program:
we're
partnering
with
various
city
agencies
like
the
libraries,
the
mayor's
office
of
recovery
services,
Boston
Public,
Health,
Commission
and,
of
course,
we're
also
partnering,
with
treatment
centers
with
hospitals
with
neighborhood
associations
and
organizations
that
provide
related
services
such
as
housing.
We
also
really
put
a
focus
on
equity,
inclusion
and
diversity
in
this
program
model,
both
in
terms
of
the
members
and
in
terms
of
the
program
services.
J
So
right
from
the
jump,
we
wanted
recovery,
coaches,
the
ideal
profile
of
a
recovery
coach
to
be
a
person
who's
per
in
recovery,
so
we're
reframing
that
experience
as
an
asset.
It's
no
longer
something
that
might
be
held
against
you
in
a
job
interview.
It's
now
an
asset
also
we're
prioritizing
passion
and
lived
experience
over
educational
and
work
experience
and
we're
actually
investing
in
our
members,
so
that
this
is
a
workforce
development
pipeline
and
after
they
complete
their
year
of
service,
they
can
go,
get
meaningful
jobs
in
this
field.
J
Also,
we're
trying
to
make
these
services
available
in
different
parts
of
the
city
in
Boston
were
really
lucky.
There's
a
lot
of
support
services
related
to
recovery,
but
sometimes
the
the
services
are
mostly
concentrated
in
certain
areas
of
downtown.
So
we
wanted
to
make
these
services
available
out
in
neighborhoods
that
have
less
current
access
to
services
and
I'm
happy
to
report.
We
achieved
these
goals
and
we
have
a
really
amazing
team.
Everybody
on
our
team
is
from
Greater
Boston.
J
Actually,
three
out
of
five
members
are
supporting
the
communities
that
they
themselves
grew
up
in
everybody's
personally
in
recovery
and
has
direct
experience
navigating
the
treatment
systems
here
in
Boston.
So
that's
how
it's
going
so
far.
It's
a
really
new
program.
We're
excited
to
share
more
as
our
program
develops.
It
will
share
on
a
state
level.
J
Since
we
started
the
program
in
October,
2017,
we've
helped
over
3,000
people,
unique
individuals
who
are
affected
with
substance
use
disorders
and
a
hundred
percent
of
the
police
departments
that
we're
working
with
have
reported
that
they
feel
the
members
have
improved
their
program,
efficiency
and
effectiveness.
So
that's
kind
of
a
program
snapshot
I'm,
going
to
turn
it
over
to
John
Rosenthal.
Thank.
H
You
thank
you
for
being
an
amazing
partner,
so
Marty
Walsh
is
a
pretty
unique
individual
who
is
as
compassionate
as
any
elected
official
I've
ever
met
and
runs
an
amazing
city,
and
we
have
partnered
on
homelessness
prevention
through
Friends
of
Boston's
homeless,
stop
handgun
violence,
gun,
violence,
prevention,
I'm,
a
gun
owner,
and
we
created
this
nonprofit
we've
enacted
laws
and,
as
Boston
goes
so
goes.
The
state
and
I
know
we're
not
here
to
talk
about
gun,
violence
prevention,
but
it
is
a
they're,
bad
public
policy.
H
That's
leading
to
bad
public
health
outcomes
when
you
can
go
to
30
states
and
get
guns
without
an
ID
or
background
check.
We
are
an
urban
state.
We
have
the
most
effective
gun
laws,
we've
reduced
the
rate
of
gun
deaths
in
Massachusetts
since
1994
by
40%,
and
we
have
the
lowest
gun
death
rate
in
the
nation
of
any
state.
So
we've
kind
of
proven
the
gun,
laws,
work
and
again,
as
as
Massachusetts
goes,
it's
really
dependent
upon
our
big
cities
so
gun
violence.
H
Prevention
has
made
a
huge
difference
without
banning
anything
except
for
military-style
assault,
weapons
and
large
capacity
ammunition.
Magazines
that
come
denominator
in
the
daily
mass
shootings,
but
we
we
started
that
effort
by
working
with
law
enforcement
and
convert
conservative
voice
of
law
enforcement
and,
and
it
was
successful
so
using
that
model
as
a
businessperson
who's
constantly.
You
know,
working
with
the
city
and
in
a
partnership
environment,
around
homelessness
and
gun
violence.
We
started
the
police,
assisted
addiction
and
recovery
initiative
in
June
of
2015
in
the
city
of
Gloucester,
a
community
of
28,000
people.
H
300
treatment
centers
across
the
country
have
joined
our
effort
and
and
across
the
country,
now
411
police
departments
in
32
states
of
providing
pre-arrest
access
to
treatment
for
anyone
with
disease
of
addiction,
and
we
have
placed
since
June
of
2015
over
15,000
people
into
treatment
through
police
departments.
This
is
like
Man,
Bites
Dog.
This
is
you
know
the
conservative
voice
of
law
enforcement
saying
we
cannot
arrest
our
way
out
of
a
public
health
epidemic
and
we
started
by
equipping
every
police
officer
with
narcan.
Then
we
started
equipping
families
with
narcan.
H
We
have
two
primary
models:
ones:
the
Gloucester
police
model.
We're
welcoming
people
into
the
station
24/7
like
an
emergency
room.
Police
departments
are
open
24/7,
unlike
emergency
rooms,
of
pretty
much
no
shame
blame
and
kick
you
back
to
the
street
to
die.
The
police
are
providing
free
arrest,
access
to
treatment
same
day.
One
thing
that
we
didn't
realize
is
how
many
treatment
centers
would
want
to
join
this
effort,
so
300
treatment
centers
are
on
a
list.
H
So
if
your
chief
or
you
mayor's
decide,
you
want
to
do
a
a
law
enforcement
based
pre-arrest
access
to
treatment
program,
we
provide
you
with
a
list
of
300
treatment
centers
who
will
take
anyone
the
police
call
with
or
without
insurance.
So
we
have
also
found
that
these
treatment
centers,
like
all
of
us
in
the
general
public
and
probably
even
you
mayor's
before
you
became
mayor-
you
kind
of
vote-
it's
engrained
in
you
to
not
say
no
to
police
officers.
H
So
when
a
police
officer
calls
a
treatment
center,
a
treatment
center
people
are
the
same
way.
So,
whereas
we
have
all
experienced
addiction
and
our
families
I,
don't
think
anyone's
immune
any
longer
and
65,000
people
will
die
or
more
this
year
and
and
if
it
weren't
for
narcan,
that
number
would
be
five.
Ten
times
more
I
mean
in
the
city
of
Gloucester.
We've
had
two
to
three
saves.
We
still
have
two
to
three
saves.
Every
week
the
City
of
Boston
has
two
to
three.
H
Every
day
saves
I'm
at
if
not
I
can
weren't
in
the
pockets
of
first
responders.
So
it's
it's
not
complicated.
This
is
a
disease
that
was
largely
created
by
aggressively
marketed
and
over
prescribed
pharmaceutical
drugs.
80%
of
people
who
end
up
with
heroin
use
today
start
with
legally
prescribed
opioids
that
were
misrepresented
back
in
the
90s
as
not
as
addictive
as
they
are,
and
now
we're
starting
to
see
as
the
numbers
are
showing
roughly
70.
80
%
of
people
who
overdose
today
will
have
fentanyl
mixed
with
their
heroin
or
cocaine.
H
So
there
are
only
two
options
for
you
all
and
all
of
us.
It's
long-term
treatment
or
death
with
the
disease
of
addiction,
and
it
has
been
allowed
to
run
rampant
for
decades
because
of
the
stigma,
shame
and
blame,
and
the
fact
that
law
enforcement
has
changed
the
conversation
and
if
the
police
in
your
community
and
the
mayors
and
you
want
to
do
this,
you
will
be
amazed
at
the
community
response.
So
we
didn't
realize
you
know
whether
we
didn't
know
how
many
people
would
come
in
and
we
say
if
you
relapse
to
come
back.
H
We
also
have
come
to
the
conclusion
that
you
know:
Congress
listens
to
law
enforcement
differently
too,
and
so
we
were
a
part
of
the
White
House
brought
us
a
number
of
times
in
the
last
few
years
to
help
Congress
enact
billions
for
a
billion
for
treatment.
It's
going
to
take
many
billions,
but
in
the
meantime,
until
there
is
a
long
term
treatment
system
like
exists
for
cancer,
heart
disease
or
diabetes,
we
are
going
to
continue
to
lose
a
hundred
and
fifty
Americans
a
day
to
this
epidemic.
That's
largely
preventable,
so
we
need
a
long
term.
H
Treatment
system
like
exists
for
every
other,
chronic
disease
and
law
enforcement
are
leading
that
effort.
We
only
have
four
and
a
hundred
and
eleven
law
enforcement
officers
agencies
in
32
states.
We
need
the
thousands
and
you
will
also
find
in
your
community
that
you
will
save
money,
because
it
is
much
less
expensive
to
get
someone
to
treatment
than
into
jail,
transported
back
and
forth,
and
you
will
see
a
reduction
in
crime.
H
We've
seen
roughly
a
30
percent
reduction
in
ancillary
crimes
associated
with
addiction
like
Breaking
and
Entering
smash-and-grab
me
shoplifting,
because
you
know
these
are
folks
that
when
they
are
cut
out
for
their
doctor
for
an
oxy
ad,
it's
a
dollar
milligram
on
the
street.
That's
80
bucks
a
pill
times
four
to
five
to
ten
a
day
you
go
broke
and
you
go
to
cheap
heroin
and
fentanyl.
H
So
this
is
something
that
is
going
to
be
a
part
of
all
of
our
lives
for
many
decades,
but
we've
got
to
create
a
treatment
system
that
blind
to
this
disease
and
law
enforcement
has
started
that
effort
and
the
more
mayor's
the
more
law
enforcement
join,
the
quicker
we'll
get
to
that
long
term
treatment
system.
Thank.
A
G
G
Walsh,
you
know
what
you
just
got
through
saying
we're
doing
in
Ocala,
but
I
didn't
know
about
your
program
at
all.
Sat
down
here
and
started
reading
your
information
I
went
wow,
we're
doing
that.
But
you
know
I
talked
about
this
task
force
when
I
get
back
home
and
all
the
great
ideas
that
come
from
this
this
group
here
and
one
of
them
that
we
are
doing
is
the
amnesty
program.
You
know
we
recognize
that
we
did
have
a
problem.
G
We
started
a
task
force,
but
our
chief
said
you
know:
let's
do
the
embassy
program
and
we've
done
it.
We've
had
I,
think
10
people
walk
in
and
said
you
like,
I'm
done.
I
can't
do
this
anymore
and
then
we
partner
with
the
rehab
facilities
that
they
guarantee
that
they
will
treat
them.
You
know
through
the
detox
and
rehab
if
they
need
that,
and
you
know,
one
of
the
things
you
said
was
on
point
was
we
had
a
gentleman
the
other
day
that
came
in
and
he
goes
look
he's
I
can't
do
this
anymore.
G
I
can't
live
like
this.
He
said
you
know.
I
may
be
a
drug
addict,
but
I
feel
like
I'm
going
to
someone
and
I'm
not
a
thief.
I
just
need
some
help
and
he
walked
in
off
the
street.
We
have
a
sign
of
them
from
the
police
department
that
says
yeah
you
can
come
in
and
and
do
that
we
also
did
the
narcan,
which
has
helped
you
know
tremendously.
G
We've
saved
a
lot
of
lives
through
that
I
won't
go
into
the
numbers,
but
you
can
imagine
they're
they're
significant
so
but
I
wanted
to
thank
this
committee.
Thank
You,
mayor
Walsh,
for
this
group,
and
the
idea
is
that
we've
come
up
with
came
directly
from
this
group
here.
So
I
want
to
thank
you.
It's.
F
C
F
Of
a
job
in
leading
the
country
on
these
issues,
so
the
level
of
sophistication
and
determination
that
has
made
a
difference
in
a
lot
of
places,
including
my
city,
which
you
know
every
time
we've
talked
about
either
either
with
you
directly
or
your
team.
We've
pulled
away
something
new
that
we
can
take
back
home.
So
it's
really
good,
so
I
for
our
part
in
Bedford.
F
So
we
have
so
we
were
a
city
of
a
sixth
of
the
size
of
Boston
and
we
have
two
to
three
saves
a
day
and
ourselves,
and
we
were
one
of
the
first
communities
to
arm
everybody
with
every
first
respondent,
with
with
narcan
and
you're
right,
we
would
have.
The
bodies
would
be
piling
up
if
we
didn't
have
an
arcane
available
through
our
Greater
New
Bedford
opioid
task
force,
which
I
formed
a
couple
of
years
ago.
We've
tried
to
take
a
multi-faceted
approach
that
includes
all
the
things
that
we've
talked
about
it
beyond
narcan.
F
In
prediction,
we
have
a
DEA
task
force
in
the
DEA
office
in
New
Bedford,
a
Police
Department's,
ramped,
up
interdiction,
recovery,
coaches,
the
clergy
ride-alongs
see
CIT
teams,
it
runs
and
an
appropriate
messaging
age,
appropriate
messaging
in
our
schools,
because
you
have
to
sighs
that
off.
For
obvious
reasons,
one
place
that
we
have
struggled
and
I,
you
know
Marty,
Martinez
and
I
saw
one
another
and
over
in
Cambridge
at
an
Elsi
event
was
it
about
a
month
or
so
ago.
F
We
were
one
of
the
presenting
cities
there
and
one
of
the
things
that
that
that
we
find
challenging
you
know
just
thrilled
this.
This
open
is
the
recency
or
lack
of
recency
and
accuracy
and
data
that
would
be
useful
in
helping
us
make
our
approach
more
granular.
The
approach
has
to
be
granular.
You
have
to
identify
who's
at
risk,
who's
already
established
themselves
as
being
at
risk.
F
Obviously
those
who've
already
overdosed
are
the
ones
who
stand
out,
but
even
tracking
them
is
difficult,
tracking,
the
so
called
super
users,
the
people
who
bounce
back
and
forth
and
who
ultimately
are
going
to
die.
If
somebody
doesn't
get
a
hold
of
his
heart,
we
find
that
emergency
room
data
and
I
think
by
the
way
they
you
know,
you
sure
your
your
quotation
from
Mayor
Bloomberg
up
there
was
was
appropriate,
but
much
of
the
data
emerges
when
someone
either
is
an
emergency
room
or
they
die
right.
F
So
you
know
we
have
in
the
data
that
we
get.
Sometimes
it's
three
or
four
years
old.
It's
the
methodology
varies
like
so.
If
someone
from
New
Bedford,
you
know,
goes
to
Providence
that
overdoses
there
it's
treated
as
a
Providence
problem,
even
though
the
property
of
the
problem
is
really
a
New
Bedford
problem,
or
vice
versa.
So
you
know
we're
trying
to
work
through
that
and
to
try
to
get
everybody
who's
involved
in
the
effort
on
the
same
page
in
terms
of
how
they
just
track
information
and
I,
don't
made
as
much
and
I.
F
Believe
me,
I,
think,
the
stuff
that
you
guys
are
doing
or
going
to
be
part
of
it
Maryna
a
new
ship
but
I
think
there's,
there's
also
need
for
other
data
sources
that
are
that
are
assembled
in
a
way.
That's
consistent
in
a
way
that
everybody
understands
and
there's
a
level
of
communication
about
it
that
that
helps
us
and
I.
Don't
so
I
throw
this
open
to
somewhat
of
a
you
know,
no
there's
a
rhetorical
question,
but
a
comment
and
just
a
request.
If
anybody
has
any
particular
insight
on
how
to
do
that.
A
Anyone
thinks
we
can
do
with
this
is
take
the
information
back
our
office
of
recovery
services
here
and
work
with
the
conference
in
trying
to
figure
out
every
state
collects
data
in
a
different
way.
Yes,
four
years
a
lot
of
debts,
one
as
hot
failure
and
other
the
other
other
types
of
illnesses
when
it
really
was
overdoses
and
still
today,
I
think
there's
a
lot
of
families
which
don't
want
to
admit
the
fact
I
don't
want
to
say
that
their
loved
one
died
of
an
overdose.
A
They
describe
it
a
little
differently,
so
I
think
I'd
love
to
work
with
Jen
and
Jen
and
and
Brendan
from
my
office
with
the
conference
and
really
look.
Is
there
a
national
standard
policy
that
we
can
do
and
figure
I
think
might
brought
at
Shelley
when
he
was
at
the
bureau?
Down
in
Washington
was
trying
to
come
up
with
some
standard
policy
for
the
country,
so
I'd
love
to
maybe
talk
about
what
we
can
look
at
and
try
and
get
the
information.
If
that's
helpful,
I
don't
feel
else
wants
to
come.
Yeah
just.
J
As
a
quick
follow-up,
one
model
that
we
have
operating
really
well
is
in
Plymouth
County
Massachusetts.
They
have
all
27
towns,
I
mean
mayor.
Carpenter
could
talk
about
this
too,
but
basically
it's
a
law
enforcement
database
where
all
the
communities
put
data
in
in
real
time,
so
every
non
fatal
overdose
every
fatal
overdose.
Every
at-risk
referral
is
put
into
this
law-enforcement
database
and
it's
also
a
management
tool
that
would
trigger
an
overdose
follow-up
visit,
a
home
visit
with
an
outreach
team.
J
So
their
model
works
really
well
because
it
is
it's
real-time
and
it
activates
this
automated
follow-up
system,
so
I'd
be
happy
to
chat
more
about
that.
One
of
the
things
that
they
found
as
well
is
that
about
40%
of
people
overdose
in
a
town
that
they
don't
live
in
so
without
this
cross-jurisdictional
collaboration
that
40%
of
people
are
actually
slipping
through
the
cracks
and
would
not
get
an
overdose
follow-up
triggered
in
a
traditional
system
where
you're,
just
thinking
about
your
own
community.
H
H
A
A
We
have
it
here
today
and
use
that
toolkit
into
if
you're
doing
something
creative
in
your
town
like
putting
a
notification
in
the
window
of
a
police
station
which
I
don't
know
if
it's
in
the
toolkit,
but
with
if
they
get
that
in
there
I
think
we
should.
We
be
continually
sharing
best
practices
on
that
stuff,
because
that's
so
important
and
I
and
I'll
just
turn
all
of
the
second
minute
and
and
Mitchell's
point
is
absolute.
Accurate.
Their
study
came
out
in
Massachusetts
this
year.
That
said,
overdose
overdose,
so
going
down
in
Massachusetts,
I.
A
Think
it's
a
fake,
stat
and
I
just
think.
We
have
to
be
very
careful
because
when
I
talk
to
the
superintendent
on
police
issues
or
police
departments,
every
single
arrest,
just
about
is
is
is
addictive.
It's
drugs
or
alcohol.
When
I
talk
to
sheriff
Thompkins
every
single
person,
that's
in
GL
is
drugs
or
alcohol,
so
I
don't
see
it
going
down,
and
so,
when
you
talk
to
the
law
enforcement,
you
find
out
clearly
math.
You.
G
Know
just
say
one
of
the
things
we
did
do
recently
was
we
charged
the
drug
dealer,
first-degree
murder,
we
max
it
match
the
toxicology
report
from
the
heroin
and
the
person
that
that
died.
Of
course,
the
person
made
it
were
lazy
for
us.
He
was
videotaping.
They
him
shooting
the
heroin
in
them
and
then
raping
them
and
sending
the
text
message
saying
this
is
good.
Stuff
it'll
kill
you
yeah,
so
the
grand
jury
indicted
him
yeah.
That's.