►
From YouTube: Boulder County Regional Opioid Council (September 2022)
Description
First Meeting of the Boulder County Regional Opioid Council. Recorded Sept. 22, 2022.
For more information on Region 6 Opioids Abatement activities, visit: https://boco.org/Region-6-Opioids-Council
A
A
B
A
You
before
we
start
I
did
put
some
reminders
in
the
chat
um
that
this
is
really
a
meeting
for
the
um
the
rock
members
and
um
but
it's
not
a
public
hearing,
so
there's
no
opportunity
for
public
comment
or
interaction
with
the
council
um
and
we're
asking
for
those
of
you
who
are
stakeholders
and
the
public
if
you
could
turn
off
your
um
microphone
and
cameras
which
I
think
you've
already
done.
So
thank
you
for
that.
We
do
have
the
chat
accessible.
A
However,
just
note
if
you
make
any
comments
or
questions
in
the
chat
that
will
not
be
part
of
the
public
record
and
we
will
not
be
followed
up
on-
will
not
be
followed
up
by
staff
for
the
council
members,
if
you
have
a
question
or
comment
that
you'd
like
to
put
in
the
chat,
you're,
certainly
welcome
to
do
that.
So
thank
you
very
much.
D
So,
as
Robin
mentioned,
my
name
is
Kelly
VI
I
work
with
Boulder
County
Community
Services
on
the
team
that
has
been
pulling
some
of
these
efforts,
together
with
Community,
Partners
and
I'm,
going
to
go
ahead
and
kick
off
our
our
staff
presentation
to
you.
This
is
a
really
brief
meeting
reminder
again
the
the
meeting
Norms
that
Robin
just
mentioned.
D
We
are
asking
um
that
any
questions
or
comments
are
put
into
the
chat
until
the
until
the
breaks
in
the
presentation
we're
going
through
a
lot
of
information,
and
so
we
did
design
sort
of
segments
of
content
that
will
allow
for
questions
or
comments
as
we
move
throughout.
And,
of
course,
if
those
questions
burning,
questions
come
up
like
Robin
said,
go
ahead
and
feel
free
to
put
those
in
the
chat.
D
So
we
do
want
to
start
today
with
a
personal
story
of
impact
from
from
opioids
in
the
epidemic
that
has
sort
of
ravaged
our
communities,
and
we
know
that
we're
about
to
spend
the
next
hour
and
a
half
talking
facts
and
figures
and
recommendations,
and
we
don't
want
to
lose
sight
of
the
fact
that
we're
also
talking
about
lives
that
have
been
impacted.
We're
talking
about
our
community
and
our
members
of
our
community
and
so
um
I.
Do
I
want
to
introduce
Mila
long
who's
here
to
spend
a
few
minutes
sharing
with
us.
D
E
E
uh
I'll
also
begin
by
saying
that
I'm,
a
certified
addiction,
specialist
and
counselor
and
I
have
been
working
at
an
opioid
treatment
program
for
the
last
five
and
a
half
years.
So
I've
really
seen
how
this
epidemic
has
affected
my
clients
firsthand
as
well
as
obviously
it
affected
me.
For
many
years.
E
My
substance
use
began
pretty
early
on
just
with
experimentation.
Smoking
marijuana
in
high
school
I
was
an
athlete.
I
was
one
of
the
top
swimmers
in
the
state
varsity
and
just
like
any
athlete.
I
had
injuries,
but
I
started
experiencing
a
lot
of
chronic
pain
in
high
school
I
was
in
and
out
of
the
hospital.
I
was
having
many
tests
done,
and
eventually
it
got
to
a
point
where
they
decided
to
prescribe
me
opioids.
They
had
no
answers
as
to
what
was
going
on
with
me.
E
um
It
was
pretty
scary
for
me
and
my
family
and
to
me
this
seemed
like
a
godsend.
I
took
that
first
pill
and
um
the
only
way
I
can
really
describe
it.
Is
it
felt
like
home
right,
I,
pretty
quickly
started
self-medicating
with
that.
I
was
also
drinking
a
lot
um
and
using
that
to
not
only
Escape
physical
pain
but
anxiety,
lack
of
confidence.
A
lot
of
things
that
teens
go
through
I
was
never
taught
about.
E
Today,
where
we
go
into
the
high
schools
in
Boulder
Valley
and
we're
able
to
share
personal
stories
and
I
think
reach
them
a
little
better,
but
I
had
no
idea
that
this
could
take
my
life
over
in
the
way
that
it
did
um
so
by
the
end
of
high
school
I
had
switched
to
heroin,
because
I
was
running
out
of
my
prescriptions.
Early
I
was
taking
more
and
more
of
the
this
opioid
medication.
Oxycodone
um
I
couldn't
refill
the
prescriptions
early
I
was
rating.
E
My
friend's
medicine,
cabinets
uh
and
I
I
wanted
to
feel
this
feeling
every
day
right,
but
I
was
also
in
denial
that
it
was
a
problem
or
that
I
didn't
have
control
over
it
um
until
I
went
to
on
a
trip
right,
I
went
on
a
trip
with
my
family
uh
after
my
senior
year
and
within
24
hours,
I
was
in
full-blown
withdrawal.
If
you
haven't
been
through
opioid
withdrawal,
there
is
no
way
really
to
describe
it.
E
Every
bridge
I
was
in
a
lot
of
unhealthy
relationships
committing
crimes
in
order
to
support
my
habit.
uh
The
only
real
support
I
feel
that
I
had
was
connection
with
the
works
program
in
Boulder
County,
where
I
could
go
to
get
safe.
Injection
supplies
um
I
there.
There
was
peer
support
there.
I
could
be
connected
to
Services,
I
could
have
you
know,
HIV
hep,
C,
testing
and
I
felt
welcome
there.
E
um
I
just
want
to
touch
on
how
impactful
peer
support
was
for
me,
even
though
I
went
for
years
using
opioids
having
a
peer
throughout
that
time,
even
if
it
was
just
when
I
went
to
pick
up.
Clean
needles
was
very
impactful
right
and
when
I
finally
did
get
sober,
it
was
one
of
the
most
meaningful
things
for
me,
which
is
why
I
decided
to
enter
this
field
as
well.
E
This
was
a
survival
Instinct
for
me,
I
felt
that
there
was
no
choice
um
and,
of
course,
there
was,
but
it
certainly
didn't
feel
that
way
and
um
no
treatment
programs
were
working
and
everything
that
I
had
heard
about
medication,
assisted
treatment
on
the
streets
was
not
good
right
and
I
had
never
been
referred
to
that
um
it
wasn't
until
I
hit
my
very
Rock
Bottom.
After
my
last
overdose,
it
was
about
my
sixth
overdose.
E
E
The
first
thing
I
did
when
I
left
was
use
right,
that
it
was
the
control
that
it
had
over
me
and
um
how
much
it
consumed
my
life,
um
but
I
started
methadone.
A
couple
days
later,
I
had
no
idea
that
this
was
such
a
life-saving
medication
that
I
was
four
times
less
likely
to
overdose
by
taking
this
medication,
even
if
I
continued
to
use
that
it
was
the
most
successful
treatment
for
opioid
use
disorder
and
it
saved
my
life
um
naloxone
also
saved
my
life.
E
E
um
I
lost
my
best
friend
to
overdose
in
2019
uh
and,
to
this
day,
I
have
lost
I,
believe
it's
24
people
to
overdose,
so
every
every
single
one
of
you
being
here
means
the
world
to
me
that
we
have
these
funds
that
we're
able
to
hopefully
help
the
community
even
more
and
I.
Hope
that
my
story,
just
you
know
in
some
way,
can
can
be
inspiring
to
you
guys
that
you
know
this.
This
is
no
joke.
E
D
A
G
A
The
Proposal
on
the
table
is
that
the
Boulder
County
would
serve
in
this
capacity.
So
um
if
anyone
else
would
like
to
to
raise
their
hand
at
this
point
for
another
suggestion,
otherwise,
let's
vote
on.
Let's
formally
ratify
this
decision,
so
if
everyone's
in
favor
again
thumbs
up
either
on
screen
or
with
the
little
emojis
looks
like
we
have
consensus.
So
thanks
so
much
for
helping
us
take
care
of
these
housekeeping
issues.
I
really
appreciate
it
and
I'll
turn
it
back
over
to
Kelly.
D
So
in
April
2021,
the
Attorney
General
released
a
report
that
outlined
five
approved
purpose
areas,
and
these
are
sort
of
the
sectors
uh
that
are
approved
for
um
for
opioid
settlement
dollars
to
be
allocated
towards.
So
those
five
approved
purpose
areas
are
prevention
and
education,
harm
reduction,
criminal
justice
treatment
and
Recovery,
and
you
can
see
underneath
each
of
those
sort
of
some
examples
of
the
types
of
programs
that
would
fall
within
those
categories.
D
um
This
group
is,
is
has
been
meeting
since
May
to
develop
policy
recommendations
and
funding
recommendations
to
the
council.
Here
today,
the
membership
of
the
operations
board
is
comprised
of
non-profits
government
Representatives,
subject
matter:
experts
across
the
different
program,
types
in
those
five
approved
purpose
areas
and,
of
course,
folks
with
life
experience
and
the
primary
charge
of
this
group
again,
was
to
develop
the
two-year
plan,
recommendations
that
we're
going
to
go
through
later
today.
D
D
In
terms
of
the
breakdown
of
allocation
amounts
that
have
come
to
the
region
so
of
the
full
allocation
amount
that
went
to
Boulder
County,
60
percent
of
that
amount
went
to
a
regional
share,
so
it
went
to
the
county
itself.
The
remaining
40
percent
of
that
Boulder
County
Regional
dollar
was
allocated
across
the
remaining
municipalities.
D
The
total
settlement
coming
to
Boulder
County
as
a
whole
Boulder
County
region
in
year.
One
is
2.2
million
dollars
and
some
change,
and
then
year
two
is
about
a
million
dollars.
In
subsequent
years
we
are,
anticipating
will
also
be
about
a
million
dollars.
It
is
important
to
note
that
these
settlements
are
ongoing,
and
so
some
of
these
dollar
amounts
are
likely
to
change.
D
Since
then,
any
of
the
additional
funds
that
local
municipalities
decided
to
pool
into
the
regional
share
have
been
added
to
our
full
allocation
amount.
So
that's
why
you
see
a
discrepancy
between
the
2.2
million
dollars,
which
are
the
dollars
that
are
under
the
full
purview
of
this
Council
versus
the
1.8
million
dollars
that
we
developed
our
recommendations
around
so
I
just
wanted
to
point
that
out
because
moving
forward,
we
are
going
to
be
having
more
conversation
about.
You
know
now
that
we
have
those
additional
450
000
from
pooling
funds.
D
D
D
All
right
hearing,
none
I'll,
just
keep
on
going,
um
so
we
are
Switching
gears
a
little
bit
we're
going
to
be
talking
about.
You
know
what
are
the
known
impacts
in
our
community
from
this
epidemic,
um
so
we
sort
of
broke
down
this
next
data
section
into
two
uh
sort
of
components,
and
one
is
looking
at
the
anecdotal
evidence
or
sort
of
that
qualitative
evidence
from
individuals
that
are
on
our
operations
committee
and
have
that
subject
matter,
expertise
and
then
the
second
portion
will
be
more
of
the
quantitative
figures
of
impact
across
Boulder
County.
D
So
in
terms
of
that
anecdotal
evidence,
um
we
had
a
conversation
in
our
opioid
operations
committee
a
number
of
months
ago,
and
we
had
this
exercise
called
the
landscape
analysis
and
we
just
asked
the
group
to
to
look
across
those
five
approved
purpose
areas
and
to
let
us
know,
what's
really
going
on
in
the
community.
So
what
are
the
strengths
and
the
weaknesses
that
we
know
to
exist
across
Boulder
County
in
these
five
areas?
And
so
these
are
some
of
the
trends
that
came
out
of
that
discussion
in
terms
of
prevention
and
education.
D
The
group
identified
that
Boulder
County
has
a
strength
in
that
Narcan
and
training
around
use
of
said
resources
or
Revival.
Excuse
me
said:
resources
are
more
available.
County
also
has
really
strongly
established
venues
of
collaboration.
We
have
coalitions
that
are
known
to
host
educational
campaigns,
resource
sharing,
Etc,
some
of
the
weaknesses
that
we
know
about
in
prevention
and
education
have
to
do
with
the
fact
that
early
intervention
is
lacking,
and
it's
not
necessarily
coordinated
with
some
of
our
harm
reduction
programming.
D
We
also
heard
a
lot
about
not
having
enough
targeted
education
or
efforts
to
reach
specific
populations
with
that
targeted
education
same
for
the
clinical
Community,
not
enough
Outreach
to
the
clinical
clinical
community
that
has
to
do
with
safe
prescribing
practices,
also
heard
that
we
have
a
weakness
in
equity
issues.
All
of
the
education
and
resources
that
are
available
are
not
available
to
specific
communities
and
again
having
to
do
with.
D
D
There's
also
a
long-standing
historical
support
for
syringe
exchange
programs
in
terms
of
weaknesses,
not
enough
safe
injection
sites,
not
enough
safe,
syringe
disposal
sites
and
remaining
stigma
around
harm
reduction
philosophy,
especially
with
specific
populations,
also
heard
that
naloxone
still
needs
to
be
more
available,
even
as
that
excess,
even
as
that
accessibility
is
increasing.
We
need
to
have
that
available
through
more
organizations
so
that
the
few
withstanding
orders
are
not
overwhelmed
by
demand
in
terms
of
Criminal
Justice.
We
identified
some
strengths
in
our
partner
coordination
and
a
shared
philosophy
around
decriminalization.
D
Also
new
programming
that
is
focused
specifically
on
Juvenile
Justice
clients
with
co-occurring
needs
in
terms
of
weaknesses
in
the
criminal
justice,
space,
Workforce
shortages
and
a
lack
of
sustainable
funding
for
some
of
those
resources
like
treatment
that
are
being
offered,
while
folks
are
in
the
CJ
system,
another
weakness
and
not
quite
a
weakness.
This
was
actually
identified
as
kind
of
a
strength,
but
we
need
a
little
bit
more
of
it.
um
We
have
a
lot
of
diversion
programs,
but
the
group
did
identify.
We
need
more.
D
We
need
more
to
really
prevent
um
folks
from
even
entering
the
system,
so
provided
more
at
an
upstream
space
and
then
also
to
prevent
uh
re-entering
the
system.
Another
weakness
identified
is
an
inability
to
carry
some
of
those
Services
forward
as
folks
re-enter
the
community.
So,
in
that
strengths,
column,
the
fact
that
we're
able
to
initiate
care
is
great,
but
individuals
in
those
programs
are
finding
it
increasingly
challenging
to
connect
folks
from
the
CJ
system
back
to
community-based
resources.
D
um
In
terms
of
weaknesses,
we
identified
that
Services
aren't
really
Equitable,
so
they're
not
reaching
the
correct
populations
at
the
correct
time.
We
are
lacking
intensive
outpatient
and
other
treatment
for
specific
populations,
pregnant
women,
youth,
lgbtq,
plus
uninsured
non-english
speakers
and
those
with
co-occurring
disorders.
Also,
access
remains
difficult.
So,
despite
an
increase
in
navigation
Services,
we
did
identify
that
folks
are
just
not
able
to
access
treatment
at
the
level
that
is
necessary
and
then
also
identified.
Is
that
the
full
sort
of
care
Continuum
is
broken
around
treatment.
D
So
it's
it's
difficult
to
really
Bridge
these
points
of
initial
Outreach
assessment,
detox,
coordinated
entry
and
then
providing
ongoing
case
management
to
folks
as
they
re-enter
the
community.
And
finally,
our
last
approved
purpose
area
is
recovery.
In
terms
of
strength.
The
group
identified
that
an
increasing
use
and
peer
support
Specialists
again
also
that
there's
a
pretty
low
barrier
to
entry
to
some
recovery
based
program.
D
So
a
little
bit
more
of
the
harm
reduction
approach,
approach
in
terms
of
weaknesses,
a
lack
of
sober
living
options,
not
enough
focus
on
recovery
and
transition
planning
so,
as
folks
are
moving
from
more
intensive
treatment
spaces
back
into
the
community.
That
bridge
is
a
little
bit
weaker
than
it
should
be,
not
enough
support
and
some
remaining
stigma
around
certain
populations
and
Workforce
issues.
Yet
again,
so
not
enough
Staffing
to
really
uh
to
really
meet
the
demand,
and
also
we
heard
a
lot
about.
H
H
It's
our
community
members
who
are
affected
by
our
opioid
epidemic,
um
I'm,
going
to
be
discussing
a
number
of
people
who
have
died
or
have
had
Healthcare
interactions
throughout
this
presentation,
and
these
numbers
represent
our
families,
our
friends,
loved
ones
neighbors
that
have
been
affected
um
also,
as
a
heads
up.
I
know
that
our
slides
are
sent
out
ahead
of
time
and
mine
have
shifted
a
little
bit.
So,
just
to
note,
um
I
will
be
discussing
kind
of
a
high
level
about
this
data.
uh
There
is
a
opportunity
for
future.
H
um
The
purpose
of
the
section
really
again
that
lay
of
the
land
and
kind
of
get
a
sense
of
the
scope
of
the
impact
and
harm
that
opioids
have
had
in
our
community
I'm,
going
to
be
discussing
actual
numbers
more
throughout,
um
because
they're
more
easily
understood
and
again
I'll
be
discussing
actual
people.
As
a
result,
um
it's
different
than
you
maybe
have
heard
in
the
past
or
in
other
contexts.
H
H
um
These
can
help
inform
which
data
points
we
look
to
shift
over
time
and
we
don't
necessarily
have
all
of
the
things
those
different
uh
proof,
Focus
areas.
We
don't
necessarily
have
the
data
for
that
at
a
community
level,
but
these
are
things
that,
hopefully,
these
different
strategies
that
we
deploy
will
be
leading
to
impact
really
important
to
note
as
we
go
into
it,
I'll
be
looking
a
lot
at
rates
and
knowing
that
emergency
department
visits
are
happening
higher
than
either
emergency,
then
Hospital
admissions
or
deaths.
H
So
when
looking
at
it
from
a
racialized
lens,
we
are
seeing
an
increase
in
all
other
races.
We
I
kind
of
data,
wise
access
um
categories,
end
up
being
white
non-hispanic,
sometimes
unknown,
like
the
emergency
department,
visits
chart
and
all
other
races
are
the
main
ways
that
we're
able
to
look
at
this,
and
so
noting
that
since
2017,
we
have
seen
increasing
emergency
department
visits
and
deaths
for
people
who
are
not
white
non-hispanic.
H
H
H
um
So
just
things
to
to
know
as
we
go
forward
and
the
emergency
department
visits
are
still
much
higher
than
we're
seeing
of
deaths,
um
but
I
think
no,
and
then
we
are
going
to
say
age.
uh
We
are
seeing
these
large
differences
in
terms
of
emergency
department,
visits
and
deaths
when
it
comes
to
age.
H
H
Going
into
kind
of
what's
happening
in
terms
of
type
of
opioid
drug
um
opioids
that
we're
seeing
in
the
community
drugs
seizures
in
Colorado
or
increasing
at
higher
rates
than
heroin.
um
This
is
for
color
again.
This
is
Colorado
on
the
whole.
Most
of
what
I'm
talking
about
has
been
Boulder
County
um
that
we've
seen
like,
as
you
can
see,
right
huge
shift
in
terms
of
fentanyl
less
so
in
terms
of
heroin.
H
um
Opioid
analgesics
are
kind
of
my
understanding
of
them.
um
So
forgive
me
if
I'm
wrong,
but
it's
basically
anything
that
is
manufactured
uh
in
like
that
would
be,
could
be
a
prescription,
but
sometimes
include
Street
production
of
them
as
well.
So
fentanyl
is
an
analgesic,
um
so
to
summarize
the
we
need
to
keep
an
eye
to
these
shifting
Trends
in
terms
of
both
gender
and
racial
disparity.
We
are
seeing
them
shift
over
time
um
and
Fentanyl
is
on
the
rise
in
terms
of
seizures
and
deaths.
D
And
a
quick
summary
of
the
landscape
analysis
that
I
gave
earlier
in
terms
of
strengths
that
we
saw
across
the
board
across
the
five
approved
purpose
areas
we
did
have
the
group
identify
that
collaboration
and
partnership
is
strong
across
Boulder
County
in
terms
of
weaknesses
across
all
five
approved
purpose
areas.
The
group
identified
Workforce
shortages
lacking
services
and
remaining
stigma
around
certain
populations,
engaging
with
certain
services
and
inequitable
access
channels
for
all
populations
seeking
treatment.
Recovery
supports.
I
I
um
You
know
you
had
put
the
strengths
overall
strengths
or
collaboration
partnership,
and
it
was
mentioned
around
early
intervention
that
there's
a
lack
of
coordination
and
I.
Think
getting
a
little
more
detail
on
on
that
at
some
point
would
be
great
from
the
Ops
group
on
kind
of
what
they're,
seeing
as
far
as
the
the
gaps
there.
D
I
And
then
the
other
thing
that
would
be
helpful
is
just
how
um
how
the
group
is
defining
early
intervention.
I
know
that,
depending
on
the
system,
we're
talking
about
the
prevention,
early
intervention
intervention
can
mean
different
things
to
different
systems,
so
I
think
giving
examples
of
the
types
of
services
and
programs
initiatives
that
fall
into
that
definition.
For
the
Ops
groups
of
early
intervention
would
be
helpful
too.
I
D
A
G
C
I
uh
I'm
not
muted,
Lisa,
Moreno,
I'm,
the
behavioral
health,
strategic
Planner
on
the
behavioral
health
planning
team,
and
so
my
job
tonight
is
to
walk.
You
introduce
you
to
The
Advisory
Board
and
walk
you
through
the
work
that
the
the
process
that
they
engaged
in
to
get
the
recommendations
developed
that
we'll
be
presenting
to
you
tonight.
C
The
opioid
operations,
Advisory
Group
board,
is
made
up
of
15
people,
which
includes
uh
live
people
with
lived
experience,
County
Staff,
Law,
Enforcement,
representatives
from
law
enforcement,
both
the
DA's
office
uh
and
the
Sheriff's
Office
uh
city
of
Boulder,
City
of
Longmont
and
key
staff
are
from
non-profit
Partners
in
the
community
that
are
service
providers.
We
also
had
a
representative
from
the
town
of
Netherland
for
about
half
of
the
time.
C
A
As
you
go
back
to
your
leadership
group
or
your
community
members
or
stakeholders
to
see
who
should
be
added
so
I'll
stop
there
in
case
there's
any
questions
or
discussion,
or
if
people
are
ready
to
vote
and
and
formally
approve
this
group
because
they
are
having
an
operations
board
is
mentioned
in
our
IGA.
It's
a
very
important
um
role
and
they
do
a
lot
of
heavy
lifting
for
the
work
at
hand
um
so
curious
how
people
would
like
to
proceed.
A
J
Yeah
I'll
just
say
from
my
perspective,
I'm
comfortable
with
the
staff
person
who's
here.
Think
it's
a
good
representative
and
also
would
love
to
see
if
we
can
get
um
someone
from
Netherland
uh
and
defer
if
in
the
future.
uh
If
there
are
additional
folks
that
we
want
to
or
missing
folks
um
that
will
be
identified
fund
the
group
and
then
we
can
certainly
take
a
vote
but
I'm
comfortable
with
where
we
are
with
a
perhaps
a
nod
towards
seeing
if
we
can
get
Netherland
better
represented.
A
I
I
The
early
intervention
piece
there's
a
lot
of
a
lot
of
the
people
who
on
this
list,
are
involved
more
in
the
deep
end
intervention
system,
so
I
just
I'm
just
curious.
If
there
was
conversation
about
that,
but
I
would
be
in
support
of
moving
forward
with
the
group
as
it
is
today
and
then
having
discussion
about
additional
members
later.
K
As
long
as
we're
open
to
adding
individuals
based
on
need
in
the
future
um
I,
you
know
I'm,
specifically
thinking
sort
of
representatives
from
our
Lead
Core
group,
but
you
know
I'm
having
to
be
really
cognizant
also,
if
we're
good
and
I
would
like
to
to
chat
with
them,
but
I'm
good
with
this.
If
we
have
the
opportunity
to
have
people
in
the
future.
G
Yeah
thanks
um
and
sorry
I
had
to
uh
get
off
camera
for
a
minute.
um
You
know
I
appreciate
Joe's
comment
here
about
Melanie
and
I
guess
she
was
invited
and
doesn't
have
time
but
I.
Think
since,
um
since
the
the
criminal
justice
experience
in
particular
the
you
know,
people
coming
out
of
incarceration
and
that
transition
and
that
support
um
just
seems
to
be
such
an
important
part
of
this
or
phase
I
I,
wonder
if
Melanie's
not
available,
whether
there's
somebody
else
or
whether
in
within
Community,
Justice
Services,
maybe
that's
where
it
needs
to
be.
A
So
for
today's
meeting,
how
about
if
I,
propose
a
motion
that
we
approve,
move
the
existing
group
recognizing
the
need
to
add
additional
members
and
allow
that
flexibility
and
rely
on
the
Rock
members
to
forward
names
of
people,
as
well
as
for
the
Operation
board,
to
reach
out
to
other
stakeholders
like
the
school
district
to
add
in
the
future?
How
does
that
sound,
Harold.
K
C
So
our
group,
um
the
strategy
that
we
decided
to
take
to
get
the
recommendations
as
quickly
as
we
could
was
one
that
was
for,
was
very
concrete
and
was
focused
on
shovel,
ready
projects
and
they're.
That's
in
contrast
to
some
communities
that
actually
held
significant
convenings
in
the
beginning
and
then
didn't
end
up
with
concrete
proposals,
but
opened
things
up
for
rfps.
C
um
The
reason
that
we
chose
to
go
this
route
was
for
two
reasons
and
the
first
one
was
that
we
had
a
very
short
timeline
and
a
lot
of
stakeholders
that
we
knew
that
were
already
working
in
the
space
and
we
wanted
to
move
as
quickly
as
we
could.
We
also
had
the
opportunity
to
build
on
work
that
had
previously
been
done
by
County
staff
and
across
departmental
way.
C
They
knew
that
this
this
opioid
funds
were
coming
down
the
pike
and
so
began
last
year
and
looking
at
at
shuttle
ready
projects,
so
that
kind
of
provided
us
uh
us
a
launching
Point
um
from
just
how
to
think
about
it.
um
We
ended
up
reaching
out
far
beyond
County
staff.
As
you
can
see,
we
had
non-profits
and
City
Representatives
on
the
opium
operations
board,
but
we
also
reached
out,
through
the
substance
abuse
advisor
group
to
nonprofits
in
the
community
to
get
their
input
in
terms
of
projects.
C
So
the
first
thing
we
did
was
to
define
a
shovel
ready
and
the
definition
that
we
came
up
with
was
that
any
project
had
to
First
fit
into
the
approved
purposes
given
us
to
by
the
AG's
office
and
that
it
had
to
serve
those
most
vulnerable.
The
dollar
request
for
the
projects
had
to
be
known.
It
needed
to
be
an
existing
project.
That
was
either
that
it
about
to
expire,
because
it
was
out
of
funds
or
um
needed
to
expand,
but
didn't
have
the
funding
to
do
so.
C
There
were
a
number
of
conversations
and
polls
that
we
took
to
at
the
beginning
of
the
process.
The
first
one
was
the
landscape
analysis
that
Kelly
already
presented
to
you.
We
then
asked
everybody
um
three
questions,
two
of
them
which
are
represented
in
this
slide
and
the
first
one
was
how
they
thought
what
they
thought
would
be
the
ideal
allocation
of
these
funds
across
the
approved
purposes.
C
The
next
question
was:
where
was
the
biggest
need,
basically
the
biggest
Gap
in
the
community,
and
you
can
see
that
treatment
was
by
and
far
by
far
the
largest
gap.
The
fourth
question
that
we
asked
that
you'll
see
in
a
slide
coming
up
was
given
the
current
reality
of
the
opioid
price
crisis.
How
would
you
prioritize
investments
in
the
approved
purposes
and
we
had
them
rank
all
five
of
the
approved
purposes.
C
After
our
original
uh
brainstorm
and
Outreach
to
the
community,
we
ended
up
with
63
recommended
projects.
We
knew
immediately
that
we
needed
some
way
to
narrow
those
down,
so
we
developed
a
scoring
criteria.
The
first
criteria
was
the
degree
to
which
the
program
addressed
a
known
service
Gap
in
the
opioid
Service
delivery.
The
second
was
the
degree
to
which
the
program
addresses
no
barriers
to
service
access.
C
The
third
was
that
the
the
demonstrated
proximity
to
opioid
use,
disorder
or
substance
abuse
disorder
is
that
were
impacted
by
or
lead
to,
opioid
use
disorder.
The
third
was
the
degree
to
which
the
effort
reflects
specific
needs
of
identified
communities
that
are
harder
to
serve
because
of
their
geographic
location
or
places
where
they're
just
or
not,
Services
locally
accessible,
and
then
the
fifth
was
that
the
request
was
financially
uh
realistic.
C
Just
a
second,
so
after
after
scoring,
we
ended
up
with
um
34
projects
that
were
1.4
million
dollars
over
the
amount
available,
additional
recommendations
that
the
group
made
was
that
they
really
wanted
to
invest
all
of
the
year.
One
money-
and
this
is
you
know
at
the
time
as
Kelly
mentioned
earlier,
we
were
working
from
a
1.8
million
dollar.
B
C
C
um
They
provided
a
number
of
recommendations
of
how
to
use
any
unallocated
dollars
that
um
you'll
see
those
recommendations
on
one
slide
later
in
the
presentation,
and
then
when
I
told
you
the
fourth
question
that
wasn't
on
the
slide.
Given
the
current
reality
of
the
opioid
crisis,
how
would
they
prioritize
investing
in
the
proof
purposes?
They
wanted
us
to
use
the
answers.
C
The
ranked
answers
to
that
question
to
develop
percentages
um
of
the
1.8
million
um
that
that
and
that
would
allocate
the
funding
across
the
approved
purposes,
the
effects
that
the
little
chunkily
said,
but
I
hope
that
made
sense.
um
So,
basically,
here's
that
he
took
that
question
which
again
was
given
the
current
reality,
the
opioid
price
crisis.
How
would
you
prioritize
the
approved
purposes
and,
on
the
left
hand
side
of
the
slide?
C
You
see
the
answers
to
that
the
over
what
the
majority
of
the
group
believed
that
the
hair
eyes
priority
was
treatment
and
then
harm
reduction
and
then
recovery
and
then
criminal
justice
and
then
prevention
and
education.
We
did
some
fancy
behind
the
scenes
math
and
basically
that
comes
of
the
1.8
million
dollars.
That
means
treatment
would
get
29.7
percent
of
the
funds.
Harm
reduction
would
get
18.79
percent
of
the
funds
recovery
against
18.18
of
the
funds,
criminal
justice,
16.97
and
prevention.
Education
get
16.36
of
the
funds.
C
So
at
this
point
we
were
still
looking
at
34
projects
and
an
overage
of
1.4
million.
So
then
we
created
work
groups
that
were
specific
to
the
approved
purposes
um
and
those
were
um
uh
person
command,
personed
by
individuals
with
uh
subject
matter,
expertise
and
working
in
that
area
uh
from
representatives
from
the
operations
group.
So
they
were
able
to
actually
look
at
all
the
projects
that
were
recommended
and
scored
high
and
figured
out
really
given
what
they
know
from
working
in
the
field.
What
were
the
current
priorities
and
necessities?
C
So
we
at
that
point
based
on
the
work
of
four
work
groups.
They
were
narrowed
it
down
to
25
projects
and
we
came
in
under
the
1.8
million
uh
by
162
393
and
the
reason
we
did
not
have
five
work
groups
is
because
there
weren't
enough
recovery
projects
to
use
the
full
allocation.
That
was
uh
given
for
the
recovery
approved
purpose,
so
they
didn't
need
to
have
a
group
to
muck
through
how
to
shrink
it
down
there.
Any
questions
about
the
process.
I
They
said
Susan
um
sounds
like
an
awesome
process.
I
just
had
a
question,
though
between
slide
31
and
34
and
I
might
be
missing
something,
but
on
slide,
31
I
wasn't
seeing
anything
around
harm
reduction
in
the
where's.
The
biggest
need,
so
I
was
just
confused
on
how
that
ended
up
being
ranked
second
on
slide,
34.
I
may
have
missed.
I,
probably
missed
a
step
there.
So.
C
On
on
31,
it
was
the
question
of
where
was
the
biggest
need,
and
this
harm
reduction
actually
did
not
get,
did
not
come
up
at
all
on
that
ranking
on
that
score,
it
got
to
zero
and
I.
Think
it's
because
where
things
are
currently
harm
reduction
is,
is
one
of
the
bigger
strengths
in
the
county,
so
in
that
the
biggest
need
is
like
think
of
it
as
the
biggest
gaps.
C
G
G
Go
back:
okay,
yeah
that
one,
um
the
you
know
the
the
delineation
between
treatment
and
Recovery
um
sort
of
a
Continuum,
and
it
seems
in
my
the
way
I
understand
it.
Maybe
recovery
supports
uh
relapse
prevention
and
maintaining
whatever
progress
is
made
in
treatment
and
I.
Think
I've
heard
you
say
that
we
didn't
have
enough
recovery
people
from
the
recovery,
Community
or
recovery
programs
to
to
put
a
working
group
together
to
identify
um
Investments
for
that,
but
I
wonder
whether
that
isn't
indicative
of
the
need
to
actually
dedicate
more
funding
in
that
area.
C
Yeah
I
I
think
you're,
absolutely
right.
I
the
mitigating
Factor
here
was
that
we
were
moving
with
a
shovel
ready
project
and
um
which
is
you
know
it
has
its
shortcomings
in
the
sense
that
there
isn't
anything
at
this
moment
that
was
shovel
ready
to
move
forward
in
the
recovery
space,
I
think
beyond
the
three
projects
that
we
got.
Yes,
it
means
that
we
have
a
huge,
gaping
hole
in
the
space
of
recovery
in
the
county.
C
G
Okay,
yeah
so
I
mean
in
a
way
that
that
speaks
to
the
one
of
the
shortfalls
of
focusing
on
trouble
already,
although
I
understand
this
is
just
the
first
Year's
funding
and-
and
we
do
want
to
get
these
These
funds
out
and
put
them
to
use
so
um
I
guess
with
the
understanding
that
that
that's
something
we'll
try
to
address
as
we
move
forward,
I
I
think
I.
I
think
this
is
a
great
process.
K
C
I
mean
I,
you
know
the
I.
What
I
can
tell
you
is
what
we
were
looking
at
was
a
a
one-year
plan
um
and,
as
Kelly
mentioned,
there's
more
money
in
year,
one
and
then
around
a
million
dollars
for
each
year.
Afterwards,
it
was
part
of
the
complication
of
all
of
this.
This
is
a
million
dollars
in
the
scheme
of
the
need
is
not
a
huge
amount
of
money.
K
C
F
Oh
I
was
I
would
just
say
that
what
we
know
is
that
our
time
frame
is
these
18
or
yeah
18
years
of
with
about
17
million
dollars,
plus
additional
dollars.
That
will
come
online
as
there
are
new
settlements,
and
so
this
first
year
was
really
opportunistic.
In
that
we
took
advantage
of
projects
that
were
generally
ready
to
go.
F
What
the
plan
is
moving
forward
is
to
be
much
more
strategic
in
thinking
about
Investments,
and
so,
as
we
move
out
of
this
first
year,
how
do
we
engage
in
processes
that
better
look
at
the
system's
needs
and
how
we
invest
dollars
in
to
building
a
system
around
opioid
use
disorder?
That's
much
more
strategic
targeted
and
you
know
longer
term
look
at
how
dollars
are
used.
I
Don't
know
how
much
data
we're
going
to
have
on
all
of
these
programs
or
the
impact
on
the
broader
systems,
but
I
think
it's
worth
talking
about
if
there's
opportunity
there,
because
not
only
are
we
we
looking
year
to
year
year
over
year
with
these
million
dollars
that
we
have
for
this
we're
starting
to
look
at
broader
impacts
and
and
potential
again
for
for
reinvestment.
For
that.
J
Yeah
and
I
I
appreciate
that
conversation.
Thus
far,
I
I
now
have
two
comments:
I
suppose
one
was
I'm
assuming,
and
maybe
it's
later
on
in
the
presentation
that
as
we're
talking
about
these
interventions,
um
which
I'm
you
know,
excited
to
hear
more
about
and
comfortable
with,
where
with
the
approach
that
the
recommend
of
the
recommendations.
J
But
how
are
we
measuring
that
right
so
that
we
make
sure
um
and
some
are
easier
to
measure
in
a
one-year
term
and
others
just
require
more
time
um
that,
as
uh
we're
investing
time
after
time
that
we're
actually
investing
in
the
right
thing,
right
and
I'm
sure
everybody's
got
that
in
their
minds.
But
at
some
point
would
um
welcome
that
conversation
about
evaluation.
As
we
get
into
this
and
then
the
other
um
thought
I
had
listening
to
the
conversation.
Was
um
you
know
this?
J
E
K
L
Hi
everybody
I'm
Marcy,
Campbell
I,
see
her
pronouns
I,
am
the
Behavioral
Health
System
project
manager
and
have
been
working
to
support
this
project,
so
my
charge
for
today
is
to
give
you
an
overview
of
the
thoughtful
programs
that
the
opioid
operations
group
is
recommending
and
just
to
let
you
know
this
is
today
just
a
high
level
overview
and
an
introduction.
There
won't
be
a
decision
point
today
for
these
particular
projects.
L
L
um
As
was
mentioned,
we
were
working
off
of
that
1.8,
and
this
represents
about
um
1.6
and
a
half
million
dollars
that
the
operations
group
recommended
for
specific
projects,
and
there
is
that
unallocated
portion
of
funding
which
I
will
talk
about
before
we
take
our
next
pause.
So
first
we'll
take
a
look
at
harm
reduction.
L
And
so
that
is
just
a
piece
of
the
pie
and
you
can
see
that
it's
broken
down
into
five
different
programs
that
total
three
hundred
and
ten
thousand
dollars,
and
that
represents
eighteen
point.
Seven,
nine
percent
of
the
funding,
and
so
um
I'll
talk
a
little
bit
about
the
different
programs.
But
I
want
to
orient
you
to
these
tables
that
you'll
see
for
each
of
the
approved
purposes.
L
You'll
see
that
many
of
the
programs
are
based
out
of
Boulder
County
Public
Health
and,
as
has
been
mentioned,
the
works
program
is
our
key
provider
of
harm
reduction
services
such
as
syringe
exchange
and
there's
also
a
project
for
the
city
of
longmont's
parenting.
Support
specifically
for
those
harm
reduction
programs.
L
um
Speaking
to
your
previous
point
and
those
particular
vending
machines
are
one
example:
um
one
is
to
be
located
in
Netherland
and
one
in
Lafayette
to
really
expand
the
reach
of
syringe
exchange
opportunities,
so
those
programs
are
taking
into
consideration
the
regions
and
those
types
of
things
as
well
as
we
take
a
look
next
on.
Our
list
is
prevention
and
education
programs.
So
you
can
see
we
have
a
total
of
seven
programs
that
represent
almost
three
hundred
thousand
dollars
and
that
full
percentage
for
prevention
and
education
um
is
16.36
percent.
L
um
So
there's
a
variety
of
programs
that
are
available
that
were
recommended
by
the
group
and
um
I'm.
Seeing
a
note
about
this,
that
I'll
go
ahead
and
get
to
as
well
um
just
that
these
aren't
replacing
existing
funds,
so
it
would
be
um
an
enhancement
of
funding,
um
and
so
in
the
list
of
prevention
and
education
programs,
you
can
see
a
wide
variety
of
opportunities
here,
including
a
community
Narcan
web,
which
provides
training
for
Narcan
expansion.
L
So
it's
training
to
help
folks
understand
how
to
use
Narcan
and
actually
distribute
Narcan
includes
a
train,
the
trainer
model
and
really
is
geared
towards
spreading
that
reach
all
across
the
region
and
to
different
priority
populations.
You
can
also
see
opportunities
to
reach
priority
populations
through
community
health
workers
through
school
education
in
the
youth
and
recovery
program,
for
example,
and
a
variety
of
other
opportunities
such
as
our
swag
group.
That
has
been
doing
amazing
work
for
a
long
time
in
the
community.
L
L
And
those
five
projects
here
that
you
can
see
on
the
screen,
one
is
to
support
medical
assisted
treatment
in
the
jail,
as
well
as
there's
also
a
case
management
program,
specifically
for
opioids
through
the
Sheriff's
Office.
Additionally,
as
you
saw
Emily
share
about
the
data
on
um
the
substances
coming
into
the
community,
there
is
also
investigation
equipment
to
track
that
particular
purpose.
L
Next,
on
the
list,
we
have
treatment
with
five
programs,
so
you
can
see
a
variety
of
opportunities
with
treatment
that
was
our
largest
approved
purpose,
so
folks
put
29.7
percent
as
that
amount
for
these
particular
programs,
and
you
can
see
a
list
here,
I
know,
rewind
was
referenced
as
one
of
the
programs
that
offers
bilingual
bicultural
services
and
leaf
is
providing
some
Mountain
surfaces.
So
again
you
can
see
how
equity
and
Regional
reach
was
considered
throughout
last
but
not
least,
is
recovery.
L
There
were
three
total
programs
that
were
recommended
for
the
amount
of
200
000,
which
again
is
less
than
the
18.18
percent
um
that
the
group
put
aside.
So
there
is
um
some
recovery
programs
for
lgbtq
plus
individuals,
some
work
in
the
city,
as
well
as
some
outdoor
recreation
and
Recovery
support,
specifically
for
individuals.
L
One
thing
that
we
mentioned
was
that
there
were
unallocated
funds
and
the
opioid
operations
group
did
take
some
time
to
provide
some
recommendations
to
this
group
on
how
those
unallocated
funds
might
be
spent,
and
you
can
see
a
variety
of
things,
including
pieces
that
you
all
have
talked
about
today.
But
we
also
talked
about
that,
reserving
some
for
administrative
costs,
which
could
include
the
evaluation
piece
that
you
all
have
discussed
as
well
today.
L
I
Thanks
um
looks
like
an
awesome
list,
so
I'll
wait
for
some
of
my
questions
until
I.
Look
through
more
of
the
detail
that
Tucker
will
provide.
I
did
have
um
one
thought
about
the
unallocated
funds
and
just
wondering
if
it's
been
discussed
around
Flex
funds
that
go
directly
to
individuals
or
families
who
are
in
recovery.
Is
that
part
of
any
of
those
programs?
I
L
G
Yeah
thanks-
and
um
this
is
a
fantastic
start
and
and
I
know
what
I'm
about
to
say
is
opposite
of
having
trouble
ready
projects,
but
just
on
the
the
um
treatment
um
Investments
um
and
lions
was
mentioned.
As
some
helping
serve
the
mountain
communities,
um
you
know
I
I,
guess
I.
Wouldn't
you
know
it
is
a
small
rural
community,
but
I
think
we
really
need
to
work
hard
to
find
some
Services
up
in
Nederland.
A
very
distinct
Community
has
its
own
challenges:
stock,
Transportation
challenges
in
addition
to
just
its
location.
So
um
definitely.
K
L
J
L
L
um
There
are
peers
in
the
mental
health
partners,
Community
Health
worker
project
as
well,
so
that
there
are
several
throughout.
That
was
something
that
really
came
up
as
a
strong
desire
of
the
operations
or
the
opioid
operations
group
and
so
um
you'll
be
able
to
see
those
nuggets,
as
you
tease,
into
the
details
of
each
project,
but
I
think
that's
something
that
the
group
wants
to
keep
on
the
Forefront
for
the
future.
Dialogue
as
well
is,
is
how
do
we
continue
to
support
peers
um
in
this
work
agreed
thanks.
So
much
absolutely.
B
Awesome,
thank
you.
Marcy
uh
hi
everybody.
My
name
is
Tucker
yerman
I
am
a
member
of
the
behavioral
health
planning
team
uh
within
Boulder,
County's,
Community,
Services,
Department
and
I
use
he
as
pronouns
I'm,
going
to
take
what
Marcy
introduced
as
far
as
the
specific
programs
and
kind
of
walk
us
through
how
we
actually
then
take
those
and
receive
funding
from
the
state.
B
So,
like
Kelly
introduced
at
the
beginning
of
this
presentation,
the
operations
board
has
been
going
off
of
some
documentation
from
the
Attorney
General's
office
that
lined
out
the
purposes
for
the
funds
in
five
different
approved
areas,
um
and
then
once
the
cost
system
was
released,
they
changed
it
to
align
more
with
the
state's
mou,
which
uses
three
what
they
call
approved
sections.
So
the
approved
sections
um
approved,
use,
sections
are
broken
down
into
different,
approved
use
areas
and
then
nested
even
further
into
approved
use
line
items
so
as
a
region.
B
What
we
will
do
is
go
in
to
the
cost
system
go
into
the
approved,
use
sections
and
actually
then
put
funds
into
approved
use
line
items.
So
as
an
example,
recovery
was
an
original,
just
kind
of
approved
purpose
bucket.
As
far
as
the
state's
system
is
concerned
and
kind
of
going
to
your
comment,
commissioner
Levy
the
recovery
is
in
the
treatment
approved,
use
section
within
the
people,
in
treatment
and
Recovery
approved,
use
area,
and
then
recovery
is
its
own
line
item.
B
um
When
we
go
to
request
the
funds
we
don't
have
to
put
program,
information
on
the
actual
programmatic
information
will
be
necessary
next
September
in
our
annual
reports.
So
at
this
point,
we'll
just
go
in
and
kind
of
allocate
our
overall
funds
into
the
different
buckets
um
and
then
for
the
um
for
ease
of
understanding
and
purposes,
moving
forward
um
the
operations
board
and
we're
recommending
that
this
Council
as
well
stick
with
the
five
original
approved
purposes.
B
Knowing
that,
as
we
enter
the
funds
into
the
cost
system,
it
is
broken
down
in
the
languages
slightly
different,
but
in
with
the
the
Slate
of
programs
that
we're
recommending
today
that
broke
down
into
15
different
approved
used
areas,
and
so
we
figured
the
five
sections
is
just
easier
to
kind
of
stick
with
and
understand
and
then,
as
far
as
requesting
our
funds,
uh
the
submission
dates
for
this
year.
One
funding
request
the
first
one
was
September
15th,
but
moving
forward.
B
The
state
has
been
flexible
for
this
first
year
of
funding,
knowing
that
every
region
is
kind
of
figuring
out
their
their
processes.
So
we
have
November
1st
and
December
15th
as
Windows
to
be
able
to
then
go
into
the
cost
system
and
allocate
where
we'd
like
the
funds
and
then
the
attorney
Attorney
General
there
what
they
are
calling
their
Colorado
opioid
abatement
Council
will
then
review
those
funding,
requests
and
then
approve
them.
So
I've
gone
through
all
of
the
recommendations.
B
The
programs
specifically
that
we
are
putting
forward
today
and
made
sure
that
they
have
a
line
item
in
the
cost
system.
So
we're
in
anticipating
that
everything
put
in
front
of
you
would
be
approved
by
the
Attorney
General's
office
and
then
on
an
annual
basis
moving
forward.
It
will
only
be
open,
On,
That,
September
15th
window
to
be
able
to
go
in
and
submit
our
annual
submissions
and
then
every
spring
in
March
on
March
15th.
We
can
go
back
into
the
cost
system,
move
money
between
different
buckets
and
request
additional
funds.
B
Should
we
have
funds
left
over
so
I'm
kind
of
like
we're
figuring
out
here.
The
operations
board
was
going
off
of
that
1.8
million
dollar
number
um
recently
finding
out.
We
have
2.26
million
dollars,
which
is
awesome
for
our
year.
One
funding
allocation:
we
don't
have
to
use
all
of
that
money,
um
it
will
kind
of
be
stored,
and
so
we
can
go
back
at
a
later
date
and
pull
additional
funds.
If
there
are
additional
funds
left.
B
And
then,
lastly,
just
to
kind
of
wrap
this
up
Robin
sent
out
last
week
um
a
packet
of
information
about
all
of
the
programs,
so
I'll
just
kind
of
run
you
through
that
and
then
Robin
will
kind
of
work
you
through
that
at
the
very
very
end,
but
the
the
packet
of
information
is
broken
into
two
sections.
The
first
section
kind
of
as
Marcy
was
going
through
was,
is
a
high
level
overview
of
all
of
the
programs.
B
B
So
that's
just
high
level
information
and
then
actual
program
details
are
then
in
the
second
section.
So
that
includes
some
information
about,
um
like
you
were
asking
about.
Commissioner
Levy
of
is
this
sustaining
a
program?
That's
losing
funding
or
expanding
an
existing
program.
Does
this?
What
kind
of
service
is
happening
at
this
point?
The
geographic
representation
stuff
like
that?
So
um
we
have
a
lot
more
in
information
about
each
individual
program.
B
So
if
you
have
questions
about
a
specific
program,
please
reach
out
to
Robin
and
then
she
can
kind
of
direct
connect
with
the
appropriate
person.
To
answer
that
question
and
with
that
being
said,
then
I'm
going
to
just
turn
it
over
to
Robin
who's,
going
to
kind
of
explain
where
we're
going
from
here
and
wrap
the
meeting
up.
A
Thank
our
staff
team
for
this
amazing
um
download
of
information.
This
has
been
complicated
work
and
continued
conversation
with
the
state
as
what
happened
today,
when
we
learned
we
had
additional
funds.
So
thanks
to
our
staff
team
and
to
the
operations
board
for
doing
the
heavy
lift.
um
So
again
we
will.
We
would
really
like
to
submit
our
plan
for
the
November
first
deadline,
which
will
require
us
to
determine
those
allocation
cost
buckets
of
of
dollars,
not
the
specific
projects.
A
However,
we
really
want
to
hear
from
you
if
you
have
any
concerns
about
the
projects
we'd
like
you
to
review
them.
Many
of
your
staff
have
been
involved
in
putting
them
forward,
so
you
may
already
have
a
lot
of
knowledge
about
them.
We
also
want
to
especially
here
if
there's
critical
projects
missing,
you
know
so.
Claire
talked
about
treatment
as
well
as
recovery
was
mentioned,
um
and
so,
if
there's
something
that
you
really
think
we
should
propose
in
this
first
tranche.
A
So
if
you
think
we
should
put
more
in
the
treatment
pie,
we
want
to
hear
about
that,
and
then
you
know
again
our
IGA
talks
about
that
we're
making
decisions
by
consensus,
and
so
we'd
like
to
hear
from
you.
If
you
have
concerns
what
would
you
need
to
hear
from
us
or
what
would
you
need
changed
in
order
to
move
those
projects
forward
um
and
then
again,
today
we
were
throwing
a
curveball.
A
We
heard
that
we
had
almost
half
a
million
dollars
in
additional
funds,
um
we'd
like
to
recommend
that
we
actually
start
with
the
existing
project
proposals
and
the
amounts
and
then
look
at
what
do
those
additional
dollars
allow
us
to
bring
forward
and
for
year
two.
So
that
would
re
that
would
bring
an
additional
1.4
million
dollars
and
then
we
can
play
with
that
challenging
conversation
about
what
sustainable
funding
versus.
Where
do
we
keep
space
and
funding
for
new
programs,
as
maybe
existing
programs
actually
impact
the
community
in
a
positive
way?
A
Good,
we
did
our
job
there's
no
questions,
I'm
sure
you
have
lots
of
thoughts
and
lots
of
questions.
This
is
less
to
digest
um
because
we're
out
of
time
and
and
I
I
think
what
we'll
do
is
we'll
we'll
figure
out
the
scheduling
challenge
for
an
October
meeting
offline
in
a
similar
way
that
we
did
we'll
probably
use
a
doodle
poll
again,
um
and
you
know
any
lingering
questions
that
you
have
again.
It's
a
lot
to
digest
and
process.
I
think
I
think
just
for
ease.
A
If
you
want
to
send
those
to
me
and
then
I
can
point
them
to
the
right
people
to
get
the
right
answer
and
we'll
make
sure
everybody
gets
the
question
and
the
answers
and
then
I'll
stop
um
as
we're
four
minutes
over,
but
I
just
wanted
to
offer
any
comments
uh
from
anyone
for
the
good
of
the
order,
as
well
as
turn
the
the
conversation
back
to
Claire.
If
you
have
any
uh
closing
comments
and
again
so
appreciate
your
engagement,
um
it's
very
very
helpful.
G
G
um
We've
done
a
tremendous
amount
of
work
behind
the
scenes
to
get
us
here.
I
think
we're
off
to
a
great
start
and
I
just
want
to
appreciate
all
that
work
and
then
look
for
the
doodle
poll.
Let's
get
that
filled
out
as
quickly
as
possible,
and
we
know
what
a
challenge
it
is
to
get
this
High
performing
group
together.
So
thank
you,
um
I
guess
that's!
That
is
the
concluding
remark,
so
we'll
go
ahead
and
end
the
meeting.
Thank
you
thanks.
Bye-Bye.