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From YouTube: Boulder County Regional Opioid Council (June 2023)
Description
Seventh meeting of the Boulder County Regional Opioid Council (BCROC). Recorded May 22, 2023. For more information on Region 6 Opioids Abatement activities, visit: https://boco.org/Region-6-Opioids-Council
A
B
Oops
there
we
go
so
can
everyone
see
my
my
slide
deck?
Yes,
perfect,
okay,
great,
so
just
to
kick
us
off
with
our
usual
meeting
agenda
recap
and
our
virtual
meeting
guidelines.
So
as
a
reminder,
this
is
not
a
public
hearing.
There
are
members
of
the
public
invited
to
attend
and
listen
in
today
and
if
there
are
any
burning
questions
or
comments
or
feedback,
we
do
welcome
those
to
be
put
in
the
chat.
B
However,
this
is
we
won't
be
including
those
comments
or
responding
to
them
in
the
course
of
the
council's
conversation
today,
and
they
will
not
be
a
part
of
the
public
record.
So
with
that
in
mind,
our
meeting
agenda
for
today
we're
going
to
start
with
a
discussion
of
the
Innovation
grant.
That
is
a
new
opportunity
put
forward
by
the
opioid
abatement
council
at
the
state
level
at
the
AG's
office.
B
We're
also
going
to
have
a
quick
presentation
from
Indira
Goodwill
from
Boulder
County
Public
Health
on
one
project
that
we
could
potentially
put
forward
as
recommended
program
for
that
Innovation
grant
funding
I'm
going
to
give
a
recap
of
our
initial
work
and
conversations
with
our
facilitation
and
evaluation
subcontractor
that
we've
talked
about
in
the
last
few
Council
meetings.
That's
going
to
be
helping
us
with
Community
engagement
and
strategic
planning
efforts.
B
I
do
also
have
some
additional
feedback
from
biobot,
as
well
as
our
opioid
operations
group,
in
terms
of
the
continuing
conversation
on
Wastewater
testing
for
Fentanyl
and
then
Robin's
going
to
lead
the
council
in
a
reflection
of
this
group's
work.
Today,
what
is
working,
what
could
be
better
in
the
future
Etc,
and
then
we
will
close
out
with
items
for
the
good
of
the
order.
B
B
So
again,
this
is
an
opportunity
that
was
just
put
forward
in
early
may,
I.
Think
in
our
April
meeting
we
had
some
information
that
this
was
coming,
but
not
a
ton
of
information
about
what
it
was
going
to
look
like
yet
so
did
want
to
just
flesh
out
that
understanding
of
what
this
opportunity
is.
B
So
this
is
again
put
forward
by
the
Attorney
General's
office.
This
is
a
funding
opportunity
that
looks
very
similar
to
the
infrastructure
grants
that
we
have
discussed
in
this
group
in
the
past,
in
that
it
sort
of
sits
outside
of
the
regular
funding
stream
for
the
allotment
of
dollars
coming
to
each
region.
These
dollars
are
sort
of
a
held
that
part
of
that
10
percent.
B
That's
held
back
from
Regional
allocations
by
the
state,
specifically
for
the
purposes
of
launching
these
grant
opportunities
that
look
a
little
bit
more
like
traditional
rfps,
rfas
and
other
competitive
bid
processes.
B
So
the
opioid
abatement,
Innovation
Challenge,
as
it's
called
the
purpose,
is
really
to
support
new
and
emerging
approaches
to
combating
the
opioid
crisis
and
generating
implementable
Solutions,
and
also
to
encourage
ideas
that
are
sort
of
new
and
emerging.
Maybe
don't
you
know,
have
sort
of
the
backing
or
the
evidence
base.
Quite
yet,
we've
talked
a
little
bit
about
that
in
our
operations
group.
What
what's
it
going
to
take
to
really
start
to
elevate,
new
and
innovative
ideas
as
well?
And
so
this?
B
This
is
really
an
opportunity
that
the
states
put
forward
for
Regions
to
to
do
that.
So
the
target
Focus
areas
of
this
funding
opportunity.
They
look
pretty
similar
to
the
approved
purpose
areas
that
we've
talked
about
those
five
approved
purpose
areas
and
all
the
projects
and
programming
that
sort
of
fall
within
those
categories.
So
prevention
harm
reduction,
treatment,
recovery,
there's
some
additions
in
this
that
are
not
included
in
those
five
approved
purpose
areas.
B
So
additional
call
outs
for
this
Innovation
Grant
care
coordination
and
build
out
of
the
Care
Continuum
Behavioral
Health
Services,
primarily
in
the
criminal
justice
or
law
enforcement
space.
So
anywhere
along
that
sequential
intercept
model
and
then
also
just
a
note.
Since
I
I
know,
we
did
have
some
interdiction
tools
and
technologies
that
were
funded
in
our
first
round.
B
So,
just
a
few
more
nuts
and
bolts
on
the
funding
opportunity,
the
deadline
for
responses
to
the
request
for
applications
is
at
the
end
of
June.
There
is
up
to
four
million
dollars
available
in
this
funding
period,
And,
there's
sort
of
three
funding
tiers
or
buckets
that
applicants
can
apply,
for
they
can
apply
for
one
of
the
following
three
tiers
within
the
two-year
budget
cycle.
B
So
there's
a
small
funding
opportunity,
a
medium
and
a
large
funding
opportunities
or
excuse
me
opportunity,
with
corresponding
sort
of
caps
on
what
those
funding
requests
can
be
also
similar
to
the
infrastructure.
Grant
collaborations
are
incentivized,
so
the
AG's
office
has
been
pretty
clear
and
consistent
both
with
the
infrastructure
conversation
and
now
with
the
Innovation
Grant
dollars,
and
that
they're
really
hoping
to
see
regions
either
partner
among
programs
within
the
region,
partner
across
regions,
potentially
neighboring
regions
getting
together
for
an
application
and
then
also
really
hoping
to
see
these
recommendations
come
with.
B
Excuse
me,
these
applications
come
with
letters
of
recommendation
from
a
Region's
Regional
Council,
so
I'm
going
to
pause
and
see
if
there's
any
general
questions
on
that
before
I
hand
it
over
to
Indira
to
intro
some
opportunities
that
they're
thinking
of
putting
forward
for
funding.
B
C
That
sounds
great.
Thank
you
Kelly,
so
I'm,
India,
guzrael,
I
use
she
her
pronouns
and
I
am
the
division
manager
for
communicable
disease
and
Emergency
Management
at
Boulder,
County,
Public
Health,
and
over
the
past
year,
since
January
of
2022,
we
we've
had
an
interdisciplinary
group
from
across
the
county.
That's
been
working
on
the
fentanyl
response
and
we've
identified
some
areas,
as
collectively
as
a
group
that
we
think
might
be
a
good
fit
for
this
AG
Innovation
Grant,
and
so,
as
Kelly
mentioned.
C
The
focus
of
this
challenge
is
intentionally
meant
to
be
broad,
to
encourage
ideas
and
solutions
that
maximize
the
impact
of
the
state's
dollars
and
the
intent
of
it
also
is
to
accelerate
accelerate
progress
with
Innovation
to
to
combat
Colorado's
opioid
crisis,
and
so
one
of
the
things
that,
when
I
think
about
Innovation
and
and
is
that
you
know
Innovation,
isn't
necessarily
always
change
management.
C
It's
definitely
a
creative
process
that
helps
to
bring
people
together
to
build
kind
of
a
larger
Collective
vision,
and
you
don't
always
have
that
Vision
very
in
the
beginning,
you're
building
it
just
like
scientists
when
they're
trying
to
go
to
the
moon
or
do
something
like
that
they
are
working
in
a
creative
space,
and
so
I
do
think
that
this
is
an
opportunity
for
us
to
leverage
our
existing
relationships
to
work
in
a
creative
space,
because
the
the
challenges
that
we
have
before
us
are
are
kind
of
large
and
deep.
C
So
the
second
piece
about
an
intervention
is
that
we
definitely
want
to
leverage
existing
best
practices.
So
when
I
worked
in
healthcare,
I
was
part
of
a
healthcare
solution,
a
healthcare
system
that
won
the
Malcolm
Baldridge
award,
which
is
the
National
Quality
award,
and
what
you
learn
about
the
that
process
start
with
best
practice
and
and
can
we
do
better
next
slide?
Please.
So
when
we
take
a
look
at
the
10
fact
that
Kevin
10
evidence-based
strategies
for
preventing
opioid
overdose,
this
is
from
the
CDC.
These
best
practices
are
being
implemented
in
Boulder
County.
C
We
are
targeting
naloxone
distribution.
We
are
offering
medication
assisted
treatment,
not
only
in
our
Health
Care
Systems,
but
also
in
our
jail.
We
are
providing
academic
detailing.
We
have
done
that
in
the
past.
We
haven't
done
it
for
a
couple
of
years,
but
that
was
something
our
chief
medical
officer,
Dr
urbina
and
Jamie
feld-led,
with
our
Health
Care
Systems,
to
get
everybody
up
to
speed
on
how
to
how
to
support
people
who
are
struggling
with
addiction.
C
We,
as
we've
started
to
eliminate
those
prior
authorizations.
So
that's
that's
good.
We've
seen
we
don't
necessarily
screen
for
Fentanyl
and
routine
clinical
toxicology,
but
it
is
something
that
we
have
talked
to
the
State
Health
Department
about
as
part
of
a
health
alert
Network
to
get
more
Physicians
doing
that
we
have
Good
Samaritan
laws.
C
We
have
not
naloxone
distribution
and
treatment,
centers
such
as
the
criminal
justice
setting,
and
so
we've
done
a
lot
of
this,
and
then
we
have
the
third
order
access
program
in
the
country,
so
it
does
feel
like
we
in
Boulder
County
are
doing
a
lot
of
these
best
practices
next
slide
please.
C
But
the
challenge
is
that
our
drug
landscape
is
really
changing
and
I.
Think
these
past
few
years
have
really
shown
that
you
know
in
2016
I'm
just
going
to
do
a
little
historical
piece.
You
know
we've
dealt
with
the
rising
rates
of
opioid
addiction,
so
we
started
our
substance
use
Advisory
Group.
We
joined
the
National
opioid
litigation
right
at
the
county
and
of
the
community.
C
We
worked
hard
to
make
sure
that
our
partners
were
supported
with
harm
reduction
and
we've
really
adopted
a
lot
of
these
best
practices,
but
unfortunately
it
just
may
not
be
enough.
We
may
not
be
able
to
stop
the
flow
of
drugs
into
the
community,
we're
starting
to
see
new
and
different
drugs
these
designer
drugs-
and
we
really
do
need
a
different
approach.
C
So
we
believe
that
the
changing
landscape
means
that
we
need
to
consider
doing
more
targeted
intervention
and
engaging
the
community
and
being
part
of
the
solution.
This
is
not
something
government
can
solve.
The
community
has
to
be
involved,
and
so
we
have
three
strategies
that
we're
proposing
for
this
Grant
application.
One
is
to
build
a
comprehensive
data
surveillance
system
for
opioids,
Fentanyl,
xylazine
and
Other
Drugs,
and
the
problem
that
we
have
is
we
do
not
have
the
internal
infrastructure
needed
to
build
a
robust
data
surveillance
system
to
monitor
data.
C
We're
really
pleased
with
what
has
the
commander
goldberger
has
done
with
the
sheriff's
office,
with
getting
law
enforcement
to
enter
data
into
OD
map,
and
we
do
have
public
health,
Hub,
syndromic
surveillance
capabilities,
but
most
of
our
data
for
public
health.
We
have
to
wait
a
year
for
all
those
Vital
Statistics
data.
C
Our
second
strategy
is
really
around
having
a
community
trainer
a
dedicated,
Community
trainer.
So
one
of
the
problems
that
we're
having
is
we
are
the
harm
reduction
program
is
a
grant
funded
program
and
the
demand
from
the
community
for
harm
reduction
in
naloxo
training
is
super
high
and
our
existing
staff
cannot
keep
up
with
the
demand
for
the
community.
C
In
addition,
some
of
the
trainings
that
are
done
are
not
evenly
distributed
across
the
the
county,
and
so,
as
a
result,
we
have
some
disparities,
In
Pockets
of
areas
that
are
not
receiving
that
training,
and
we
feel
that
we
need
to
start
building
a
training
plan
that
targets
adults
and
works
with
the
business
community
and
parents.
So
businesses
who
serve
priority
populations,
parents
that
we're
trying
to
reach
and
and
building
kind
of
a
larger
awareness
about
not
just
harm
reduction,
but
also
access
to
Locks
to
naloxone.
C
C
We
we
need
to
consider
the
annual
harm
reduction
Summit
for
providers
and
partners
and
open
to
the
community
to
talk
about
the
changing
drug
landscape
and
to
be
very
transparent
with
the
community
of
what
we're
facing.
This
is
also
an
opportunity
to
coordinate
all
of
our
vending
machine
placement
based
on
the
data.
That's
coming
out
of
OD
map
and
making
sure
that
naloxone
is
placed
in
specific
areas
of
community
members
can
access
it
as
well
as
just
being
present
at
community
events.
C
C
So
we
recognize
that
some
individuals
and
groups
are
at
greater
risks
or
negative
Health
outcomes
due
to
their
social
or
economic
position
within
Society
or
other
historic
systems
of
Oppression,
and
that
can
limit
their
access
to
services,
and
so
because
of
this
increased
risk
of
Overdose
related
harms
and
death.
We
focus
on
naloxone
training
and
access
for
the
following
primary
populations,
so
these
are
people
who
use
drugs
explore
drugs,
recreationally
use
drugs,
parents
of
Youth
and
Young
adults
who
use
drugs.
They
inhaled
people
with
criminally
Injustice
involved
and
service
providers
of
priority
populations.
C
We
also
recognize
the
systemic
oppression
of
people
of
color
who
use
substances
such
as,
and
so
as
such
we
prioritize
black
indigenous
and
people
of
color,
as
well
as
individuals
with
language
access
challenges.
So
this
is
kind
of
our
equity-based
framework
for
implementing
these
strategies,
and
that's
it
that's
why
I'm
hoping
for
questions
or
comments
or
concerns.
E
Indira,
can
you
so
sorry?
I
was
just
going
to
ask
a
quick
question:
can
you
speak
a
little
bit
to
who
participated
in
the
development
of
the
Grant
proposal.
C
Well,
we
haven't
written
the
grant
proposal,
but
this
was
all
in
developed
by
the
larger
fentanyl
group
and
that
group
we
did
a
little
bit
more
and
well.
I
should
say
Commander
goldberger,
Allison,
Bailey
Georgia
about
picothe
and
I
did
a
little
bit
more
of
a
entrina
faith,
a
community
services.
We
did
a
little
bit
of
a
deeper
dive
on
that
Community
engagement
component,
but
we
will
be
once
we
get
approval
from
The,
Rock
I
think
our
goal
is
to
then
share
with
everyone.
C
Our
plan
just
to
make
sure
all
the
rest
of
the
partners
are
supportive
of
it.
C
It
included
the
school
districts
representatives
from
the
school
districts,
the
University
of
Colorado,
the
Sheriff's
Office,
the
DA's
office,
Boulder,
Community,
Hospital
I,
know
I'm,
forgetting
oh
mental.
Well,
we
just
talked
to
Mental
Health
Partners
and
we've
been
talking
with
them.
Also
Denver,
Recovery
Group
and
the
treatment
side,
and
there
may
be
another
partner.
I
might
be
forgetting
I'm.
Sorry.
F
He's
into
Europe,
so
my
curiosity
is
more
about
kind
of
connection
to
the
different
groups.
So
you're
talking
about
Sue
AG
being
helping
with
some
of
this
community
outreach
and
there's
overlap
with
members
of
Sue
Ag
and
the
operations
board
for
the
opioid
Council
correct,
I,.
B
Yeah
there
are
I,
know
Georgia,
Nico,
Commander
goldberger,
excuse
me
and
Trina
I
I
believe
Allison
Bailey
as
well.
So
there's
some
crossover
yeah.
F
B
If
I'm
going
over
the
catalog
of
current
programs
that
we
that
we
funded
nothing's
coming
to
mind,
is
it
being
duplicative,
so
I
know
that?
Well,
maybe
I'll
back
out
of
that
we
did
fun
swag,
so
I
don't
know.
If
that
is
in
any
way
sort
of
duplicative.
We,
we
did
put
some
funding
forward
to
support
swag
and
the
Personnel
that
facilitates
sprag,
so
that
might
be
a
little
bit
of
duplication
there,
but
swag
does
so
much
their
sort
of
reaches,
pretty
Broad
and
so
I
think.
B
F
G
And
I
would
just
say
to
your
point
Susan.
It
would
feel
to
me
if
this
gets
funded,
that
strategy
three
should
fall
into
the
larger
region
plan
so
that
it
doesn't
get
separated
out
by
an
effort
under
Sue
AG,
separate
from
what
we're
trying
to
do
together,
because
I
think
these
efforts
could
really
contribute
to
the
larger
Regional
effort,
but
that
the
third
strategy
feels
like
it
should
be
kind
of
brought
into
the
Ops
group,
with
some
support
and
guidance
by
the
region.
Council.
B
One
other
thing:
I'll
mention
that
just
came
to
mind
that
we
did
Fund
in
this
past
funding
cycle
are
those
vending
machines
that
Indira
mentioned
that
have
harm
reduction
supplies
and
are
can
available.
So
those
would
be
part
of,
as
she
mentioned
strategy,
one
I
believe,
which
is
just
sort
of
using
data
to
analyze,
where
the
best
placement
for
those
machines
would
be
I.
Don't
want
to
speak
out
of
turn
there
and
dear
I.
Think
I
heard
that
correctly,
but
that
would
be
another
tie
into
some
of
the
current
strategies
that
we're
funding.
C
That's
right,
so
the
the
ODI
map
data
is
really
vital
for
us
to
take
a
look
at
where
we
need
to
resource
the
community
in
terms
of
naloxone,
and
so
we
have
a
lot
of
Partners
who
want
to
do
the
vending
machine
which
is
great
and
so
Boulder
Community,
for
example,
I
think
CU
now
wants
to
do
them.
C
Mhp
wants
to
place
them
so
Georgia
is
bringing
together
like
a
comprehensive
group,
that's
going
to
look
at
the
data
and
help
make
sure
that
we're
placing
them
in
areas
that
are
high
demand
or
where
we're
seeing
a
lot
of
overdoses,
and
so
that
will
and
to
identify
any
you
know
spots
that
we
might
be
missing
and
then
I
would
just
say
that
you
know
that's
really
important,
because
we
want
to
meet
people
where
they're
at
in
terms
of
the
community
and
making
sure
that
they
have
access.
So
we
don't
want
to
leave
any
spots.
C
G
Could
you
talk
a
little
bit
about
what
this
looks
like
budgetarily,
where,
where
are
the
resources
needed
to
do
this?
Various
the
various
pieces
of
this
work?
Well,.
C
We
just
started
building
a
budget
and
it
was
probably
around
550
000.
Maybe
a
lot
of
money
is
going
to
go
out
towards
to
the
community
in
terms
of
you
know,
just
like
paying
members
or
providing
stipends
for
members
of
the
community
engagement
work
group
to
participate,
so
we
have
active
participation
and
then
also
just
making
sure
that
we
have.
You
know
a
community
trainer.
C
We
need
to
hire
a
data
epidemiologists
who
handle
all
of
the
data
surveillance
system
needs
that
we
have
we're
going
to
need
that,
regardless
of
you
know
whether
we
get
this
grant
or
not.
That's
that's
something
that
we're
going
to
need
in
hell.
C
I
I
can't
remember
exactly
what
the
budget
is,
but
I
want
to
say
it's
between
like
five
five.
Fifty
something
like
that.
A
Indira
there's
a
question
in
the
chat
from
Wendy
Schwartz
from
the
city
of
Boulder
who's
sitting
in
her
area.
It
says
Indira.
Can
you
clarify
regarding
all
the
partners
you
just
listed
off
they've
been
part
of
the
development
of
the
items
on
the
fentanyl
proposal.
You
just
listed
off
correct
and
I
think
the
answer
is
yes
right.
C
The
answer
is
yes,
the
the
difference
is
that
we
applied
for
a
harm
reduction.
Expansion,
Grant
back
in
I,
can't
even
remember,
I
think
it
was
January
and
we
were
notified
that
we
didn't
get
it
because
they
needed
to
fund
other
communities
for
that
harm
reduction.
Grant,
which
is
good,
I,
would
say,
Wendy
that
all
the
partners
are
aware
that
we're
applying
for
this
grant.
C
They
just
may
not
be
aware
of
the
strategy
three
built
out
that
we're
wanting
to
do
and
that's
something
that
once
I
get
approval
here,
that
we
will
take
back
to
the
Sentinel
group,
although
I
will
say
I,
we
just
had
a
meeting
with
some
of
the
school
districts
and
CU
and
MHP.
Was
there
and
they're
aware
of
the
strategy?
Three
I
think
it's
probably
just
the
district
attorney's
office
that
I
have
unsured.
B
A
A
H
A
Thank
you,
CJ
any
more
discussion
or
questions
before
we
move
the
vote.
I
think
this
approach
India
is
really
going
to
serve
the
the
work
of
Barack
in
addition
to
the
community,
so
I
think
it's
a
really
it's
a
nice
match.
A
C
You
I
I
think
that
strategy
three
is
definitely
you
know
we're
going
to
build
a
bigger
vision
of
the
group
and
I
think
it's
really
going
to
support
the
work
across
the
whole
County
with
all
the
municipalities,
though
it'll
be
I'm,
open
and
excited
to
see
where
this
takes
us,
because
I
think
that
without
Community
engagement
in
this
from
the
substance
use
issues
that
we're
facing
right
now
is
it's
going
to
be
really
challenging.
Moving
forward,
so
I
appreciate
the
support.
B
You
and
one
thing
I'll
also
offer
Indira
I
wonder
to
what
extent
it
might
be
good
to
have
conversation
about
any
way
that
the
operations
group
can
help
in
in
planning
or
executing
part
of
this
I
just
want
to
make
sure
that
that
group
and
their
expertise
is
plugged
in
to
any.
You
know,
sort
of
way
that
makes
sense
for
for
you
all,
so
maybe
you
and
I
can
just
touch
base
on
that
offline
and
see
what
the
opportunity
is.
C
C
I
think
the
tie-in
will
make
for
a
stronger
application
and
leveraging
those
Community
Voices
that
and
having
them
lead
in
that
space.
I.
Think
it's
going
to
be
great.
B
Hey,
thank
you.
Everyone
seeing
no
more
questions
on
this
topic,
I'm
going
to
go
ahead
and
move
us
forward.
B
B
So
sorry
for
the
the
dense
slide
here,
but
we
did
have
our
first
call
with
third
Horizon
strategies
last
week
and
just
started
to
talk
to
them
about
the
General
Vision
of
the
work
and
what
we're
really
hoping
to
achieve
with
their
assistance.
B
So
as
a
reminder-
and
we've
talked
a
lot
about
it
in
this
group,
we
did
move
with
that
shovel
ready
approach
because
of
our
time
limitations
in
the
first
round
of
funding.
But
knowing
that
we
wanted
to
kind
of
come
back
and
broaden
that
that
understanding
of
what
our
region
needs
for
more
of
a
landscape
view
we.
B
So
we
had
a
little
bit
of
conversation
about
what
that
might
look
like
and
also
just
being
real
realistic
about
what
we
can
accomplish
and
within
when
we
know
we
do
want
to
develop
an
entire
strategic
plan.
B
But
we
also
know
that
we
have
some
some
timelines
already
Upon
Us
in
terms
of
submitting
our
our
next
funding
recommendations
in
December
and
so
had
a
little
bit
of
conversation
about
how
we
might
weave
in
this
broader
strategic
planning
efforts,
while
also
developing
doing
some
really
tangible,
near
and
long-term
goals,
to
make
sure
that
we
have
at
least
our
process
framework
complete
and
sort
of
pinged
to
some
priority
areas.
B
By
the
time
we
have
to
put
out
rfps
or
begin
a
competitive
bid
process
in
the
fall
of
this
year
or
end
of
summer
really.
So
we
had
some
conversation
about
the
the
main
phases
of
work
that
the
group
would
be
taking
on
process
facilitation.
So
we
let
them
know
that
we're
really
looking
for
tools,
strategies
how
we
can
plug
into
some
known
principles
or
best
practices
for
thinking
really
critically
about
our
regional
strategy
tools,
methods
to
vet
all
funding
opportunities
against
those
priority
areas.
B
This
is
another
sort
of
big
body
of
work
that
we've
expressed
is
of
top
importance
to
Us,
increasing
our
ability
to
be
transparent
about
this
process.
As
we
learn
more
about
our
standardized
process,
our
timelines,
any
competitive
funding
opportunities
making
sure
that
all
of
that
is
tying
into
the
community
in
a
thoughtful
way.
B
So
really
early
and
often
was
our
answer
when
they
asked
you
know
how
much
Community
engagement
and
when
so,
really
starting
the
conversation
on
what
it
looks
like
to
launch
community
convenience
or
and
or
develop
some
ongoing
feedback
mechanisms
throughout
this
process
and
then
evaluation.
This
is
sort
of
that
third
chunk
of
work.
B
So
really,
you
know
where
this
stands,
this
one's
a
little
bit
further
out
sequentially,
just
as
we
start
to
develop
our
priorities
first
and
foremost,
but
really
this
work
will
be
going
on
and
woven
in
along
the
entire
sort
of
work
trajectory.
So
you
know
for
now,
we've
asked
for
third
Horizons
to
plug
in
at
the
state
level.
We
know
that
the
AG's
office
hosts
those
monthly
learning
forums
and
the
June
conversation
we
believe
is
going
to
be
dedicated
to
program
outcome
reporting.
B
So
the
the
settlement
regions
will
be
coming
forward
to
talk
about
how
they're
envisioning
outcome,
reporting
developing
kpis
or
key
performance
metrics
for
their
you,
their
funded
programs
Etc.
So
that's
really
where
we
sit
in
terms
of
those
big
three
bodies
of
work
that
they're
going
to
be
taking
on
with
us
first
and
foremost,
and
then
we
had
a
conversation
about
logistics
and
timelines.
So
we
talked
in
this
Council,
maybe
two
or
three
months
ago
about
what
our
known
Milestones
are.
B
So
if
you
can
recall
knowing
that
every
September
we
have
our
excuse
me
every
every
September.
We
have
an
understanding
of
what
our
funds
are
going
to
be
for
the
following
year:
every
December
we
submit
a
plan
and
then
every
start
q1
of
the
following
year.
We
disperse
those
funds
so
talking
through
with
third
Horizon.
B
B
So
one
thing
we're
thinking
of
is
potentially,
if
we're
at
a
good
space
to
kind
of
expand
on
this
by
June,
maybe
having
some
representatives
from
third
Horizon
present
at
the
council.
If
the
council
agrees,
that
would
be
a
good
space
to
welcome
them
in
and
talk
a
little
bit
more
in
depth
about
some
of
these
plans.
D
B
E
Thanks
Kelly,
just
a
question
related
to
a
recent
suggestion
of
the
benefit
of
a
landscape
analysis
I'm,
assuming
that
first
bullet
point
is
that
is
that
in
alignment
with
that
suggestion,
but
I
just
want
to
clarify,
if
that's
part
of
the
expectation
of
their
work,
yeah.
B
Correct
so
I
believe,
are
you
nuria's
input
earlier
before
the
meeting?
Yes,
exactly
so
part
of
that
is
getting
an
understanding
of
what's
already
going
on
in
the
space.
What
have
we
already
figured
out
and
investigated
through
other
efforts
like
Community
Health
needs
assessments,
some
of
the
roadmap
planning
and
then
also
this
group
did
specifically
call
out
to
another
one
of
nuria's
points
being
really
conscious
of
what
other
funding
opportunities
there
are.
B
So
having
that
view
of
you
know
when
a
funding
request
comes
forward,
is
it
in
fact
the
most
appropriate
space
to
fund
it
through
abatement
dollars,
or
is
there
another
pocket
of
funding
out
there
and
available
that
might
be
a
better
fit
for
that
programming?
So
there
was
some
conversation
about
that
for
sure.
Thank.
E
C
B
So
I
wanted
to
revisit
some
of
our
ongoing
conversation
around
testing
of
Wastewater
for
traces
of
Fentanyl
and
other
opioids,
and
as
a
reminder,
we've
had
this
conversation
in
the
last
few
Rock
meetings,
and
now
we
were
also
able
to
have
this
conversation
in
our
our
last
operations
group
as
well.
So
I
did
want
to
update
on
some
of
the
questions
that
this
Council
brought
forward
in
our
April
conversation,
as
well
as
some
feedback
that
the
operations
group
has
had
subsequent
to
that.
B
So
as
a
reminder,
this
conversation
is
about
the
opportunity
to
test
the
Boulder
County
Wastewater
system
for
Fenton
traces
of
fentanyl,
with
the
global
goals
of
potentially
targeting
resources
and
initiatives
to
areas
where
there
might
be
spikes
and
also
to
potentially
evaluate
long-term
impact
of
any
interventions
that
we're
putting
abatement
funds
towards.
B
So
again
we
had
that
conversation
in
March
April.
We
had
the
conversation
again
and
Illustrated
or
brought
forward
a
couple
more
specific
questions
that
council
members
wanted
more
on.
So
there
was
conversation
on
the
testing
capabilities.
How
can
we
really
figure
out
illicit
versus
prescription
use
more
on
local
contacts?
There
are
some
conversations
percolating
between
these
testing
agencies
and
players
within
the
state,
so
cdphe.
What
does
that
context?
Sort
of
add
to
the
mix
more
on
use
cases
also
more
on
cost.
B
B
Okay,
let's
see
whoops
yeah,
okay,
so
I
had
an
opportunity
to
meet
with
the
crew
from
biobot
again
and
just
talked
a
little
bit
more
about.
You
know
what
can
be
detected
and
so
they're
focused
primarily
right
now
is
on
Fentanyl
and
xylazine.
There
is
capability
to
also
test
for
math,
cocaine
and
heroin.
B
B
So
this
was
a
big
conversation
that
we
wanted
more
clarity
on
from
them,
which
is
how
do
we
really
know
what
we're
seeing
in
this
Wastewater
data
in
terms
of?
What's,
you
know,
prescription
use
versus
illicit
use,
so
there
were
a
couple
layers
of
how
biobot
really
addresses
this
concern.
The
first
is
that
they
use
prescription
data
from
sample
sewer
sheds,
so
Steve
from
biobot
was
talking
to
me
about
how
they
have
a
number
of
sewer
size
that
they
test
at
to
get
sort
of
a
prescription
Baseline.
B
So
they
have
an
understanding
of
what
a
baseline
amount
of
opioids
from
prescriptions
are
in
any
given
community,
and
then
they
use
that
to
sort
of
base
their
their
other
data
projections
against
that
Baseline
to
see
if
and
when
there
are
spikes,
another
sort
of
intervention
that
they
play
to
to
really
try
to
figure
out.
The
distinction
between
illicit
use
and
prescription
drug
use
is
showing
up
in
Wastewater
is
to
test
for
whether
the
ingredients
and
the
drugs
have
been
are
raw
or
if
they've
been
metabolized.
B
So
in
talking
with
their
their
group,
you
know
getting
more
understanding
around
this
raw
ingredients.
In
the
Wastewater
would
indicate
dumping
sort
of
a
dumping
event
is,
is
sort
of
described,
as
you
know,
the
drugs
entering
the
system
as
part
of
a
byproduct
or
waste
product,
which
really
indicates
that
someone
in
that
area
is
doing
some
illegal
drawing
these
these
drugs
up
production
of
these
illicit
drugs.
So
it
really
points
at
the
illicit
use
and
in
turn,
metabolized
drugs
really
point
to
consumed
drugs.
B
B
All
right
so
in
terms
of
use
cases
again,
the
big
two
that
the
biobot
crew
keeps
coming
back
to
is
that
this
allows
for
measurement
of
intervention
Effectiveness
and
targeting
interventions
to
specific
communities,
specific
events,
specific
areas
so
in
terms
of
measuring
intervention
Effectiveness.
So
you
know
one
thing
that
their
team
continues
to
point
out
is.
This
is
really
a
great
way
to
measure
use.
B
It
doesn't
exactly
tell
the
same
story
as
some
of
the
other
data
that
we've
talked
about
using
such
as
OD
rates,
hospitalizations
or
law
law
enforcement
encounters,
and
so
one
of
the
examples
that
their
team
gave
is.
You
know
you
can
sort
of
see
in
some
communities,
maybe
an
OD
raid
or
hospitalization
rates
might
go
down,
but
if
your
use
status
stays
high
and
you're
continuing
to
have
these
spikes,
then
you
could
point
or
paint
the
story
correlate
this
to
some
strong
efficacy.
B
Every
reversal
interventions
may
be
more
prevalence
of
Narcan
or
naloxone
within
the
community.
Another
example
they
gave
in
terms
of
targeting
interventions.
So
they
mentioned,
you
know
more
about
how
spikes
in
dumping
are
more
indicative
of
illicit
drug
use
and
production.
Within
a
community
and
how
you
can
Target
interventions
a
little
bit
more
towards
those
those
quote-unquote
dumping,
spikes
and
similarly
metabolized
use,
spikes
can
also
have
targeted
interventions
or
resources
placed
around
known
events
or
periods
of
time
in
which
folks
are
consuming
more
opioids
and
they're,
showing
up
in
Wastewater.
B
Using
that
data
to
then
inform
having
reversal
re
sources,
materials
or
Narcan
and
naloxone
available
at
those
events
in
the
future
also
talked
about
an
area
that
planned
for
these
metabolized
use,
spikes
by
coordinating
with
local
Hospital
systems
and
First
Responders
around
some
of
those
known
events
that
cause
some
of
these
spikes
in
drug
use
in
terms
of
cost
got
a
little
bit
more
information
there
as
well.
So
I
did
mention
last
month
that
this
was
about
fifty
thousand
dollars
a
year
for
each
testing
site
and
that
is
inclusive
of
weekly
tests.
B
B
They
did
offer
to
a
host
of
a
phase
pilot
with
us
if
we
were
interested
in
pursuing
this,
but
not
yet
totally
bought
in
on
diving
all
in
and
testing
across
all
of
our
communities,
so
making
an
offer
to
really
work
with
with
Boulder
County
region,
to
phase
in
a
pilot
with
strategic
testing
of
specific
sites
for
six
to
12
months
and
really
sort
of
guided
digestion
of
that
data
to
really
tie
into
some
of
our
Public
Health
approaches
and
our
opioid
strategies
I'm
going
to
pause
there
and
see.
B
F
Was
curious,
I'm
curious,
also
how
they
or
we
would
come
up
with
whatever
those
pilot
testing
sites
would
be,
I
mean
for
me
if
it's
actually
three
sites
across
Boulder,
County
and
we'd,
be
talking
about
150
000
a
year
to
test
I
I
still.
This
is
still
interesting
to
me,
because
I
think
we
have
limited
resources
elsewhere
to
be
able
to
Target
interventions
or
prevention
and
I.
F
Think
if
we
have
about
it's
kind
of
it's
kind
of
the
same
way
we've
talked
about
when
we
use
the
GIS
mapping
data
to
try
to
look
at
Social
vulnerability
or
how
we're
investing
other
funds
so
I.
It's
still
interesting
to
me
and
I
I
would
love
to
hear
some
dear
is
on
I'd
love
to
hear
from
Indira
and
Lexi
too
on
you
know
just
the
plan
that
you're
putting
together
for
the
grant.
It
seems
like
this
information
could
help
to
Target
Geographic
areas
of
where
you're
doing
the
trainings.
F
Some
of
the
Outreach
engagement
in
businesses,
those
kind
of
things
so
I
just
I'd,
be
curious
to
hear
their
perspective
as
well.
C
Yeah
I
think
I
think
doing
the
actual
testing
of
the
Wastewater
first
of
all,
Wastewater
is
the
future,
so
I
just
want
to
recognize
that,
but
doing
the
testing
of
the
Wastewater
is
going
to
require
a
lot
of
internal
systems
on
how
we
respond
and
I'm
so
I
think
when
we
think
about
the
cost
of
doing
the
actual
tests.
Yes,
it
seems
reasonable,
but
there
has
to
be
a
whole
response,
team
and
infrastructure,
that's
built
with
it
that
have
to
complement
what
we
might
be
seeing.
C
E
E
Having
this
in
addition
to
OD
map,
particularly
in
terms
of
Trends
and
I'm,
just
a
little
concerned,
given
some
of
the
response
from
the
municipalities
about
what
does
that
50
000
a
year,
get
you
because
what
I
was
hearing
from
the
municipalities
is
that
it
is
a
pretty
heavy
lift
for
them,
and
so
that
infrastructure
is
not
just
kind
of
County
infrastructure
to
make
meaning
of
the
data,
but
also
the
point
of
sight,
support
that
would
be
needed
and
I'm
just
not
quite
clear
on
what
that
fifty
thousand
a
year
includes
and
I'll
pause.
E
A
I
Yeah
I
think
what
I'm
still
struggling
with
this
is,
if
you're,
if
you're,
just
doing
a
single
side
of
testing-
and
it
happens
to
be
at
your
wastewater
treatment
plant-
you
just
kind
of
at
the
certain
point
go.
Why
can
you
really
glean
out
of
this
information?
Because
in
our
case
you
know
multiple
hospitals,
multiple
clinics,
you
have
the
transitory
nature
of
people
coming
in,
so
just
a
holistic
testing
at
your
plant,
actually
really
I.
Don't
think
tells
you
a
lot
in
order
to
to
get
good
data
to
understand.
What's
going
on?
I
I
Yeah
it's
just
when
we,
when
we
did
the
covid
testing
and
really
understanding
what
does
it
mean?
We
could
manipulate
the
data,
but
we
just
knew
there
was
a
part
of
this
who's
coming
in
and
out
of
your
community.
How
are
they
you
know
at
your
commercial
centers?
You
know
they
could
augment
you.
They
could
change
your
testing
results
and
then,
who
knows
what's
happening
at
the
hospitals.
A
B
Know,
I
don't
have
a
ton
of
details
about
that.
That
was
literally
a
email
that
was
sent
my
way
from
the
biobot
team
about
an
hour
before
today's
meeting,
and
just
to
say
you
know
if
and
when
you
do
talk
about
this
with
the
Council
next,
please
let
them
know
that
we're
flexible
to
you
know,
put
our
heads
together
and
design
something
that
looks
more
like
a
face
pilot.
Nothing
was
offered
in
the
way
of
what
that
might
look
like
in
terms
of
cost
but
happy
to
look
into
that
more.
B
Actually
yeah:
this
was
one
point
that
I
wanted
to
to
follow
up
in
terms
of
indira's
response,
which
is
you
know,
it
mirrors
exactly
what
we
had
heard
from
the
biobot
team.
They
have
been
continuing
to
work
with
the
AG's
office
a
little
bit
and
cdphe
and
have
been
getting
the
response
that
this
is
all
really
interesting.
B
It's
all
very
Innovative,
however,
there's
a
lot
of
lacking
support
internally
I
shouldn't,
say:
support
capacity
really
internally
to
programatize
anything
that
we
see
from
this
data
and
so
I
think
that's
been
the
resounding
kind
of
feedback
that
we've
heard
both
from
biobot
as
well.
As
you
know,
any
conversations
we've
had
with
those
connections
at
cdphe,
and
it
really
you
know
again
Echoes
what
Indira
just
offered
as
well.
B
One
thing
I
might
offer,
and
maybe
we
can
revisit
this
after
I-
also
kind
of
give
the
the
feedback
from
the
operations
group
is.
You
know,
I
think,
there's
a
there's
a
lot
of
interest
in
hearing
some
of
these
use
cases
I
feel
like
the
council
is.
You
know
intrigued
by
some
of
those
use
cases
that
I
would
be
happy
to
to
get
more
in
the
Weeds
on
some
of
those
to
get
questions
like
Harold.
B
A
Yeah
I
don't
know
if
it's
diving
into
that,
if
we
could
also
hear
from
cities
who
are
doing
it
and
about
the
the
resources
required
the
heavy
lift
on
their
end,
you
know
just
some
some
real
time
conversations
around
that
I
I
I'd
be
curious
about
about
that.
A
I
How
much
time
do
we
spend
on
this?
If
there's
not
a
tangible
Roi
I
think
there's
some
specific
use
cases
when
maybe
you're
identifying
areas
of
the
community,
where
you
think
there's
issues
and
you
could
be
potentially
more
targeted
but
I
just
I'm,
not
sure
what
the
ROI
is
and
how
much
time
do
we
spend
on
this?
If
we
can't
really
lay
that
out
and
say
Here's
why
it's
worth
our
time.
E
Now
I
was
just
going
to
taggle
into
Harold's
comment,
just
a
little
bit
more.
You
know
it
feels
to
me
like,
at
this
beginning
stage
of
really
having
some
resources
to
invest
in
the
work.
I
almost
feel
like
we
need
to.
E
Be
doing
the
work
and
that,
as
we
build
an
infrastructure
to
do
the
work
that
there
may
be
more
opportunities
for
other
funding
sources
to
support.
This
is
an
add-on,
particularly
from
the
state,
or
to
really
be
able
to
produce
a
persuasive
argument
that
having
this
data
tells
us
how
we're
doing
in
terms
of
evaluation.
H
Do
we
do
it
once
and
figure
out
where
we're
at
today,
and
then
we
can
come
back
in
six
months
or
a
year,
and
do
it
again
to
say:
is
it
any
better
or
any
worse,
as
opposed
to
the
ongoing
testing
to
try
to
figure
out
or
try
to
determine
locations
or
areas
that
we
need
to
work
hard
on
I,
I,
think
our
perspective
and
OD
map
would
tell
you
it's
all
over
the
county.
You
know.
H
B
Yeah,
exactly
and
I
think
you
know,
I
can
get
back
to
this
this
group
and
see
what
that
offer
that
last
bullet
might
look
like,
and
if
we
want
to
continue
the
conversation
in
in
Sheriff
Johnson
to
your
point,
I
think
yeah.
What
you're
talking
about
would
really!
B
You
know
be
that
that
first
bullet
in
terms
of
use
case
like
let's
just
see
if
we
can
use
it
to
measure
impact
of
our
interventions
over
time,
and
maybe,
if
we're
not
doing
that
more
frequent
testing,
we
wouldn't
be
doing
it
as
much
to
to
sort
of
get
an
idea
of
those.
Real-Time
spikes
in
that
kind
of
Second
Use
case
category.
I
And
I
think
with
what
the
sheriff
said
you
know
in
terms
of
baselining,
but
I
would
definitely
start,
including
the
Wastewater
professionals,
to
a
certain
point
in
this
conversation
because
they're
going
to
know
flow
rates.
What
times
a
day
you
know
maybe
most
advantageous
for
testing
to
say
are
you
you
know?
I
What
look
are
you
getting
in
the
community
and
I
just
know
this
because
they
talk
to
me
and
we
understand
capacities
and
wind
capacities
or
when
the
flow
rates
are
high
and
what
we're
having
to
do
and
I
think
not
having
that
knowledge
base
can
really
skew
the
results
based
on
what
you're
trying
to
achieve
so
at
some
point
they
need
to
probably
get
into
the
conversation.
B
Yeah
and
thank
you
for
bringing
that
up,
Harold
I
think
one
question
that
I
have
just
a
staff
is
at
what
point
does
it
make
sense
for
me
to
maybe
start
making
those
linkages
and
either
have
guest
presentations
or
at
least
kind
of
follow
the
conversation
between
Wastewater
professionals
and
maybe
the
biobot
crew
I
think
you
know
the
more
technical.
B
A
A
question
about
the
ROI
and
approach
and
resources
needed,
but
I'm
also
hearing
enough.
Well,
let
me
check
this.
Is
there
enough
interest
to
just
continue?
Have
Kelly
continue
the
conversation
without
making
any
decisions
and
bringing
it
back
to
this
group?
F
Robin
I'm
I'm
in
a
place
right
now,
where
I've
I
would
feel
okay,
just
letting
this
go.
I
think
that
there's
so
much
work
around
the
services
Continuum
and
other
things
that
Kelly
and
others
can
be
working
on
and
planning
ahead
for
other
things.
I
I'm
I
do
have
that
question
after
hearing
how
many
sites
and
the
the
ROI
on
this
my
thought
before
was
I
think
it
could
be
helpful
if
we
could
do
some
ongoing
testing
at
all
sites
to
really
understand
where
we're
going
to
Target
interventions,
training,
Outreach
and
I.
F
Just
don't
think
that
the
expense
makes
sense
given
how
many
plants
there
are
so
I.
That's
just
my
just
my
vote
on
that
is
I.
I
would
be
okay,
letting
this
go.
I
I
think
if
I
wouldn't
put
it
at
the
top
of
the
list
and
spend
a
lot
of
time
on
it,
I
would
focus
on
some
of
the
other
activities
that
you
know.
We
can
really
document
and
understand.
But
you
know
as
time
permits
I'm
not
opposed
to
saying,
but
what
would
it
look
like
if
we
did
it
once
a
year
to
get
a
baseline,
but
I
just
wouldn't
spend
a
lot
of
time
on
it.
A
It's
it
seems
to
me
that
Kelly
that
circling
back
to
biobot
to
to
find
out
what
you
know,
a
baseline
evaluation
would
cost
and
then
an
annual
cost
and
then,
if
there's
opportunity
to
learn
more
as
Harold
said
without
a
lot
of
you
know.
This
is
not
your
number
one
priority,
but
just
stay
open
open
to
that.
A
Susan
I
appreciate
your
your.
You
know
what
you're
bringing
up
in
terms
of
priority
and
the
work
plan,
the
heavy
lift
that
all
this
work
is.
So
maybe
this
can
be
a
compromise
just
checking
out
this
one
or
two
things,
and
then
you
know
bringing
it
back
when
it
makes
sense.
Yeah
that.
B
So
I'm
thinking
I,
probably
should
have
also
presented
this
before
that
last
conversation,
but
I
think
it's
sort
of
the
same
concerns
that
just
came
out
in
our
dialogue.
So
this
is
really
what
the
operations
group
had
to
say
about
this
opportunity.
B
Definitely
I
would
use
the
word
skepticism
as
well
with
that
group.
A
lot
of
concerns
data
concerns.
There
are
comparable
data
Alternatives
that
are
already
in
use
and
not
being
utilized
most
optimally.
So
maybe
we
should
dedicate
our
resources
there,
our
time
and
attention
to
really
figuring
out
how
to
take
those
data
sources
already
and
do
more
of
that
programmatic,
lift
in
response,
and
also
just
some
concern
that
it's
it's
again
it.
B
What
is
it
telling
us
in
terms
of
an
actionable
strategy,
an
actionable
story
about
what's
going
on
in
our
community,
so
some
concerns
about
what
the
data
could
really
paint
for
us
coming
out
in
this
group
conversation
and
then
also
cost
and
process
concerns.
You
know,
Susan
to
your
point,
a
lot
of
what
the
group
said
is.
B
You
know:
we've
had
a
long
ongoing
conversation
in
this
group
where
we've
held
difficult
discussions
about
making
cuts
to
this
program
to
allow
for
more
funding
for
that
program
and
even
getting
those
initial
25
shovel
ready
programs
through
that
first
funding
drop.
It
was
really
difficult.
It
took
a
lot
of
work
for
us
to
kind
of
Pare
down.
Some
of
those
funding
asks
to
really
be
within
our
actual
allowance
for
that
Year's
funding
drop
and
so
their
concern
was,
you
know
it
would
seem
a
little
unfair
to
now
forward
a
very
costly.
B
You
know
definitely
very
expensive
initiative
forward
to
the
front
of
the
line
and
sort
of
bypass
that
ongoing
process
at
the
operations
group
has
largely
held
and
dedicated
a
lot
of
time,
a
passion
and
energy
too,
and
so
that
was
one
of
the
concerns
that
the
group
had
so
I'll
pause
again
and
see
if
there's
any
additional
questions
or
Reflections
from
what
the
operations
group
had
to
say,.
A
Great,
so
we
thought
it
was
good,
a
good
time
for
a
check-in
with
the
rock
to
make
sure
that
we're
facilitating
and
managing
these
meetings
to
meet
your
expectations.
A
Is
there
something
we
should
be
doing
that
you
thought
we
would
be
doing
when
you
signed
on
to
serve
as
a
council
member?
How
can
this
time
that
we
spend
it's
valuable
time?
How
can
we
make
sure
that
we're
also
a
filter
from
new
and
emerging
issues
that
folks
want
to
bring
to
the
table,
and
then
how
do
we
support
council
members
who,
who
would
really
like
to
formally
inform
the
meeting
agendas
which
are
which
are
mainly
staff
driven
at
this
point,
as
well
as
with
the
endpoint
input
of
our
subject
matter?
A
Experts
on
opioids
operations
group,
so
I'm
I
wanted
to
note
that
Maria
sent
us
an
email
earlier
today
with
her
thoughts
about
this.
If
you
have
a
chance
to
review
that,
be
sure
that
you
read
that
I
asked
commissioner
Levy
to
also
send
me
her
thoughts
in
response
to
these
questions
as
well.
A
F
Robin
I
can
share
I
I,
appreciated
nuria's
feedback
or
her
input.
Oh
sorry,
Lexi
you
had
your
hand
up.
I
didn't
put
my
hand
up.
Okay,
okay,
I
have
some
of
those
same
questions
just
on
the
intersection
between
this
work
and
some
of
the
behavioral
health
roadmap.
Work.
I
also
appreciate
that
this
year
was
really
about
getting
some
of
the
money
out
the
door
and
that
the
what
my
understanding
is.
F
The
goal
of
the
group
of
the
operations
group
is
to
really
look
at
the
Continuum
of
services
and
to
be
able
to
share
what
are
gaps
moving
forward
from
their
perspective,
and
so
I
know
that
that
work
will
be
coming
and
I
I
think
what's
working
really
well,
I
really
appreciated
the
the
agendas
and
the
way
that
things
are
presented
and
the
opportunity
to
weigh
in
so
just
from
a
process
perspective
I
really
appreciated
the
way
that
Kelly
I
think
mostly
you
are
presenting
the
information
so
yeah
I
would
just
add
that
I
had
similar
questions
that
Nuria
had
and
I
know
that
it's
a
huge
lift
to
try
to
map
out
all
of
the
services
that
are
happening.
F
All
the
funding
sources
so
just
want
to
acknowledge
that
too.
That
I
think
her
suggestion
was
was
to
do
that.
It's
really
helpful.
If,
if
we
can
do
that,
but
I
think
it's
a
it's
a
hard
thing
to
get
a
really
comprehensive.
Look
at.
E
Just
an
idea
that
I'm
wondering
if
there
might
be
value
to
who
are
consultants
for
our
Consultants
to
be
in
contact,
particularly
with
our
metro,
Denver
Partners
in
this
space,
to
have
a
good
sense
of
what
they're
doing
in
terms
of
Investments.
There
could
be.
You
know,
economies
of
scale
to
be
gained.
There
could
be
some
leverage
opportunities
there
could
be.
You
know,
amazing
innovation,
ideas
that
we
just
haven't
come
across
yet
or
lessons
learned
about.
What's
working
and
what's
not.
A
A
They
they
got
a
lot
of
community
feedback.
Subject
matter
expert
people
have
lived
experience,
agencies,
providers,
treatment
providers,
criminal
justice
and
certainly
concerns
around
opioid
use
and
and
all
those
related
issues
to
opl
use
came
up
and
in
a
way
that
won't
surprise
any
I,
don't
think
anything's
going
to
come
out
in
the
plan
that
would
change
our
work
or
our
Direction.
A
We
know
that
this
work
is
is
needs
to
align
with
the
behavioral
health
work
and
it
also
has
its
own
pathway,
because
it's
a
you
know
with
the
IGA
with
the
state
and
the
AG.
So
what
we
will
be
bringing
that
plan
to
the
Commissioners
mid-july
and
many
of
us
are
involved
in
the
executive
Advisory
board
that
will
be
seen
a
sneak
preview
before
that
I
think
second
week
in
June.
I
I
I
think
the
example
I
used
was
sues
that
we're
seeing
in
our
parks-
and
you
know
our
little
league
teams
and
not
wanting
to
utilize
them
because
of
drug
related
materials
in
the
playing
fields
and
seeing
where
that's
coming
from
and
just
kind
of
you
know,
checking
ourselves
as
we're
going
through
some
of
these
options
to
go.
A
I
I
mean
I
I.
Think
it's
more.
You
know
it's
more
direct
when
we
talk
about
harm
reduction
supplies,
and
you
know
what
our
folks
are,
who
have
you
know,
they're
out
maintaining
facilities
and
interacting
with
individuals
And
when
they
see
it
they're
like.
Where
are
you
getting
this
and
they
say
well
we're
getting
it
from.
You
know
the
harm
reduction
programs-
and
you
know
if
we're
going
to
do
that.
I
How
are
we
talking
to
folks
about
you
know
be
cognizant
of
how
you're
utilizing
these
don't
just
leave
them
in
public
areas
and
and
that's
just
feedback
I'm
getting
from
operations
groups
at
different
levels
that
are
out
talking
to
individuals.
So
it's
more
of
what
is
what's
a
potential
unintended
consequences
and
then
how
can
we
work
to
ensure
that
we're
minimizing
those
to
the
best
of
our
ability?
Because.
D
I
This
it
just
in
turn,
creates
a
different
issue
that
we're
having
to
deal
with
with
other
aspects
of
our
community
and
I.
Think
that
ties
into
the
community
involvement
whenever
we're
doing
something
as
well.
You
know
understanding
what
sector
of
the
community,
where
are
we
going
to
be,
and
maybe
diving
in
a
little
bit
with
those
areas
of
the
community
in
terms
of
whether
it's
a
business
group
or
a
Residential
Group,
to
try
to
understand
their
perspectives
as
well.
I
A
Yeah,
that's
really
helpful
and
it
makes
me
it
reminds
me
of
the
racial
Equity
impact
assessment
that
the
county
does
and
Kelly
I'm.
Thinking
about.
You
know
when,
when
project
proposals
come
in,
you
know
maybe
there's
a
question
about
who
will
be
most
burdened
by
this
or
what
are
the
unintended
consequences
of
this
project.
A
Different
sectors
or
something
like
that?
Not
I,
haven't
fully
thought
it
through,
but
I
think
it's
an
interesting
question
to
to
grapplewood.
B
I
know
that's
great
and
I
think
yeah.
The
react
tool
is
perfectly
it's
great
example
of
a
tool
to
draw
those
conversations
out.
You
know
how
can
we
mitigate
some
of
these
unintended
consequences
or
impacts
to
certain
communities
or
populations,
so
I
think
it
drives
an
important
conversation,
so
I
think
it
would
be
really
interesting
to
include
either
use
of
the
react
or
other.
You
know
comparable
tools
in
the
work
that
third
Horizon
helps
us
develop
around
those
strategic
priorities
and
that
funding
framework
piece
to
included
in
that
so
yeah
thanks
Robin.
B
E
See
I
see
your
hand
up,
I,
know,
I'm,
sorry,
I'm
talking
a
lot
today,
no
I
think
I.
Think
Harold's
point
is
well
taken
that
some
of
the
problems
that
we're
up
against
are
really
complex
right
now
and
they
have
multiple
effects
on
multiple
sectors.
E
I
think
the
you
know
the
meth
conversation
we've
been
having
recently
meth
remediation
is
a
great
example
of
how
big
an
impact
that
it
has
on
housing
authorities
and
just
being
really
conscious
that
the
space
where
we
are
in
a
lot
of
this
opioid
work
right
now
requires
an
intersectoral,
Community
engaged
approach,
because
there
are
too
many
folks
that
are
affected
by
the
decisions
that
get
made
in
programming
not
to
not
only
have
buy-in
across
the
board
but
to
make
sure
that
we're
considering
a
multiplicity
of
impacts
and
spaces.
E
I
Well,
I
think
that's
a
great
Point
Lexi,
many
of
the
things
I'm
referencing
I,
probably
wouldn't
have
brought
up
three
years
ago
because
we
didn't
have
the
Housing
Authority
under
our
purview
and
now
we
do-
and
so
you
know
we're
learning
real
time
in
terms
of
what
we
need
to
think
about.
So
I
think
that's
a
great
point.
A
Any
other
comments
about
our
meetings
and
your
roles
and
our
needs
is
there
interest
in
having
the
council
weigh
in
on
the
agenda
items
you're
always
welcome
to
add
agenda
items,
but
maybe
we
need
to
put
in
a
system
where
we
could
actively
invite
you
and
or
as
Susan
mentioned
you
know,
maybe
the
agendas
have
been
just
fine.
A
A
You
know
the
apps
board
also
weighs
in
and
so
there's
you
know,
real-time
perspective
about
what's
happening
on
the
ground
that
might
float
up
to
an
agenda
item
Kelly,
Jim
and
I
meet
before
the
meetings
to
draft
the
agenda
items
based
on
all
of
the
Intel
that
we
have
and
I
think
you
know
if
I,
if
I
reflect
on
the
missing
piece
for
me,
is
I
really
want
to
make
sure,
there's
a
pathway
in
to
our
monthly
meetings
to
hear
about
what
issues
the
rock
the
council
members
are
hearing
like
Harold
referenced.
A
So
what's
going
on
in
your
agency,
your
municipalities
or
what
are
you
hearing
from
the
community
members
that
might
might
need
to
be
discussed
at
this
meeting,
and
you
could
certainly
float
any
one
of
us?
You
know
a
question
about
it
or
a
comment
that
we
could
turn
into
agenda
items
so
again.
I
just
want
to
make
sure
that
people
are
aware
that
that's
that's
available
to
you.
A
Okay,
I
think
our
last
few
minutes
we
have
if
there
are
any
updates
and
a
reminder
about
a
Statewide
conference.
B
No
worries
so
we
do
have
the
the
annual
conference
this
is
put
on
by
the
AG's
office,
so
it's
the
16th
through
the
18th
it's
in
Montrose,
and
so
we
have
had
well
I've,
been
hearing
a
little
bit
of
you
know,
interest
from
from
staff
members
folks
in
the
community
that
want
to
attend,
and
so
this
is
maybe
not
something
we
need
to
solve
for
today,
but
just
wondering
if
the
council
wanted
to
weigh
in
on
you
know
who
we're
putting
forward
to
officially
represent
the
region
I'm
assuming
there's
a
cap
on
the
number
of
attendees,
so
you
know
to
whatever
degree
we
can
be
thoughtful
about
putting
forward.
B
You
know,
representatives
for
our
region.
That
might
be
something
that
this
this
Council
wants
to
chew
on,
so
just
sort
of
a
queue
up
for
that.
A
I
also
wanted
to
ask
the
council
we're
having
a
really
hard
time
finding
a
date
in
July
for
our
meeting,
and
so
one
option
would
be
to
cancel
the
meeting.
But
I'm
also
aware
that
we
will
be
coming
up
to
our
next
round
of
funding.
Applications
and
Kelly
I
wondered
what
you
thought
about.
What
would
happen
for
the
timing
of
that
if
we
cancel
June
and
if
we
could
tackle
that
conversation
in
July.
B
So
cancel
June
or
cancel
July
was
it
I'm?
Sorry
cancel
July,
okay,
okay,
I
was
like
well.
If
we're
canceling,
June
I
have
a
different
answer,
so
canceling
July
to
me
sounds
okay,
I
think
some
of
the
work
that's
Coming
forward
in
terms
of
timeline
will
have
a
lot
to
do
with
what
comes
out
of
our
continued
work
with
third
Horizons.
So
I
could
see.
B
You
know
the
time
between
now
and
our
June
meeting
being
really
productive
in
terms
of
getting
that
work
plan
together.
Getting
some
plans
for
community
convenings
in
place
and,
having
you
know,
a
lot
of
that
to
sort
of
chew
on
in
June
July
would
be
fine
to
take
off.
In
my
opinion,
I
don't
have
any
major
Milestones,
however,
to
to
Jim's
point
from
earlier.
B
A
Okay,
well,
I
think
we're
done
so
really
appreciate
the
engagement
today
in
the
conversation
and
the
feedback
and
take
good
care
of
yourselves
in
this
troubled
world.
We
live
in
and
we'll
see
you
in
June.