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From YouTube: Drug and Alcohol Commission Meeting 030321
Description
Drug and Alcohol Commission Meeting 030321
B
Okay,
I'm
going
to
call
the
meeting
to
order.
It
is
5
35.
On
wednesday
march
3rd
we
will
begin
our
meeting
for
the
laredo
web
county,
drug
and
alcohol
commission.
The
first
first
is
a
roster
roll
call.
So,
as
I
mentioned,
it
is
myself,
mr
hernandez,
mr
elial,
ms
mendez
mr
montemayor,
representing
the
commission,
and
then
we
have
miss
moreno
as
our
guest
and
then
we
have
mr
walls
and
miss
paola
as
a
representative
for
the
city
of
laredo.
If
I
missed
anybody,
could
you
please
let
me
know.
B
B
Okay,
thank
you
very
much
and,
as
a
matter
of
fact,
I
want
to
be
able
to
introduce
miss
velez,
who
is
now
taking
the
role
of
andrea.
She
will
be
assisting
with
our
meeting
and
minutes
and
then
will
hopefully
be
able
to
send
something
to
andre.
I
had
already
spoken
to
her
and
I
discussed
that
we
would
miss
her,
but
we
hope
that
miss
velez
would
be
able
to
do
a
great
job
as
well.
So
welcome
on
board
ms
velez.
C
B
Well,
welcome
on
board
we're
gonna
go
ahead
and
move
on
to
the
approval
of
minutes
for
february
3rd
2021.
They
were
sent
out
earlier
today
by
andrea.
Will
you
please
review
them
if
you
haven't,
and
if
not,
can
I
please
take
a
motion
to
accept
motion
to
approve?
I
have
a
first
by
ms
mendes.
D
B
B
Do
I
have
his
motion
to
say
I
approval
perfect?
Thank
you.
Any
opposed
motion
carries
minutes
are
approved
as
written
moving
on
to
the
discussion
and
possible
action
on
several
subtopics,
including
the
update
on
the
detox
facility,
mr
walls.
I
know
that
there
was
a
meeting
on
february
16th.
Can
you
give
us
an
update
on
that?
Please.
A
If
anybody
wants
to
see
it,
it
is
a
video
recorded
in
the
archives
there
of
the
city
council,
just
a
little
bit
of
background
on
the
drug
rehab
agency
for
they've,
been
working
in
the
in
the
business
about
10
years
and
they've
helped
open
over
30
treatment,
centers
at
all
levels
of
care,
including
detox
they've
worked
in
10
states,
including
texas,
and
they
specialize
in
licensing
accreditation,
risk
management,
operational
and
strategic
planning.
A
So
you
know
that
we
have
a
a
consulting
group
that
is
very
familiar
with
with
what
they
are
doing.
D
Of
that
and
I'm
very
impressed
with
with
their
knowledge,
because
you
know
I
have
licensed
sites
and
it's
a
lot
of
work,
it's
a
full-time
job
and
you
know
I
I
had
to
do
that
when
I
was
a
deputy
director
treatment
or
program
director
and
it
you
know
it's
a
full-time
job
yeah
and
you
have
to
be
knowledgeable.
I
had
to
learn
as
I
go,
but
it's
always
better
to
have
consultants
that
can
do
all
of
this
because
it
takes
so
much
work.
D
So
the
idea
that,
while
we're
building
it
they're
going
to
be
also
looking
at
the
way
the
facility
is
but
they're
going
to
be
able
to
help
us
with
the
licensing
and
the
protocols
that
are
required
by
the
state.
So
I
I
think
that
that's
a
really
good
thing.
I
think
it's
you
know
that
way.
It's
almost
like,
like
the
house,
is
being
built
and
we're
just
going
to
be
able
to
move
in.
D
A
No,
that's
exactly
it
and
what
they're
doing
right
now
is
they're
developing
human
resource
documents,
clinical
documents
and
protocols,
billing
mechanisms
and
procedures
they're
also
going
to
create
and
submit
the
actual
licensing
application
with
the
state
of
texas.
That
way,
they've
already
made
contact
with
those
partners
up
there.
D
The
way
that
process
works,
you
actually
have
to
start
you.
You
have
to
start
seeing
some
clients
and
have
some
records,
and
then
you
know,
then
they
accredited
that
and
I
think
we'll
get
through
that
without
any
problems.
You
know
as
long
as
we
as
long
as
we
train
the
staff
appropriately
and
whatever
agencies.
A
Yeah,
I'm
sorry
marina
was,
I
guess,
giving
us
a
little
bit
of
feedback
there.
So
I
went
ahead
and
muted
her,
but
no
absolutely
jesse
you're
completely
on
the
right
track
there.
That's
exactly
why
the
city
of
laredo
did
hire
the
drug
rehab
agency.
You
know
they're
they're,
extremely
professional.
A
Very
you
know
very
good
partners
to
have
in
this
and
so
we're
we're
really
lucky
to
have
them.
That's
all
I
have
for
my
report.
B
Thank
you
very
much.
I
know
that
I
did
see
dr
martin
martinez
the
following
day,
come
out
on
kgns
with
a
report
regarding
that
and
his
support
to
the
to
the
detox
facility
facility.
So
it
was
good
to
see
him
on
there,
but
thank
you,
mr
wells,
for
your
update
on
that.
At
this
point,
do
we
have
any
work
group
reports
from
any
of
the
groups.
B
And
then
what
I'm
going
to
do
is
actually
I'm
going
to
send
out
a
a
friendly
reminder
on
the
groups
that
we
currently
have
and
then,
if
there
are
any
changes
to
those
groups,
we'll
be
happy
to
make
them
and
hopefully
we'll
be
able
to
start
working,
whether
it
be
through
zoom
or
go
to
meeting
or
webex
to
trying
to
see
if
we
can
try
to
regain
a
little
bit
of
more
of
activity.
B
Despite
the
the
covid
situation,
I
know
that
we
have
several
groups,
including
prevention,
outreach,
education,
intervention,
treatment,
rehabilitation,
detox,
transitional
support
and
transition
and
after
care.
B
So
in
essence,
what
mr
hernandez
is
going
to
be
providing
to
us
is
going
to
be
part
of
a
educational
presentation
for
us
so
that
we
can
learn
more
and
maybe
continue
to
strive
and
strive
for
our
mission,
so
I'll
go
ahead
and
send
out
the
last
update
to
the
work
groups
and
then,
if
there
are
any
changes,
we'll
go
ahead
and
make
them
right
now,
moving
forward
to
stakeholder
agency
updates,
do
we
have
any
stakeholders
present?
B
B
D
B
You
thank
you
for
joining
us,
miss
anna.
Do
you
have
any
updates
for
us?
No
ma'am,
I
don't
have
any
updates.
Okay
got
it.
Thank
you
and
I
don't
see
anybody
else
that
I
didn't
I
see
brianna
has
joined
us
welcome,
but
that's
that's
about
it.
Okay,
all
righty,
then
moving
on
to
our
community
presentation
that
way,
so
that
it
wasn't
going
to
be
short.
B
We
had
some
some
form
of
education
and
I
asked
mr
hernandez
to
be
able
to
present
to
us
for
10
15
minutes,
and
if
we
have
any
questions,
we
can
go
ahead
and
ask
him
those
questions.
But
mr
hernandez,
the
floor
is
yours.
All.
D
Right
well,
thank
you
and
what
I'm
going
to
do
is
I'm
going
to
email
this
whole
presentation
after
I
finish
to
the
list,
so
everybody
has
it.
Now
it's
going
to
be
longer
than
what
the
what
I'm
going
to
present,
but
this
is
part
of
a
training
that
I
do
on
co-occurring
issues
and
how
to
provide
treatment
for
it.
So
you
know
the
question
is
what
came
first,
the
chicken
or
the
egg?
D
You
know
what
came
first
and
substance,
abuse,
substance,
use
issues
or
the
mental
health
issues
which
came
first
and
typically,
you
know
substance
use,
doesn't
happen
in
the
vacuum
and
you're
going
to
find
that
mental
health
issues
typically
are
their
primary
and
they
need
to
be
treated
back
in
the
day
when
I
first
started
in
the
80s
88.
D
This
is
called
dual
diagnosis
and
we
had
a
problem
for
many
years,
treating
dual
diagnosis,
because
the
agencies
that
provided
services,
whether
it
was
back
then
the
radio
state
center
and
the
racetrack
center,
actually
had
the
mental
health
services,
but
also
subsidy
services.
We
wanted
to
split
up
and
the
radio
state
center,
which
eventually
turned
into
puerto
rican
health
center
and
the
non-profits
started
taking
over
the
the
substances
treatment.
D
What
would
happen
is
that
you
had
somebody
would
go,
let's
say:
scam
or
ammo
or
staccato,
and
they
would
present
themselves
with
a
substance
use
disorder,
but
they
also
had
a
mental
health
disorder.
So
then
they
would
be
sent
to
border
region
community
health
center,
and
they
said
now
you
have
substance
use
disorder.
D
We
can't
treat
you
here
either,
so
you
have
to
go
back
and
forth
and
they,
the
clients
will
go
back
and
forth
sometimes
and
there
in
the
early
2000s
state,
mandated
that
community
behavioral
health
centers
needed
to
treat
welfare
and
psychiatric
substance
disorders,
and
the
process
began
also
to
integrate
services
between
the
substance,
use
providers
and
the
mental
health
providers
who
pro
through
a
program
called
cox
d,
which
was
for
co-creating
psychiatric
substance
disorders,
to
provide
some
case
management
and
counseling
services,
whether
you
were
either
in
the
substance,
abuse
program
or
the
the
behavioral
health
program,
and-
and
so
this
these
type
of
services
have
started
and
there's
certain
models
that
are
very
effective
to
treat
cochrane
psychotherapy,
substance,
use
disorders,
it's
actually
tip
42
treatment,
improvement
protocol
from
samsa.
D
D
How
do
I,
how
can
I
move
this
and
now
it's
not.
D
It
is
okay,
so
here
it
is.
I
did
it
okay,
so
this
is
just
an
idea
of
how
it's
important
for
us
to
work
in
the
community,
the
consumer
and
family.
When
we're
working
people
cochrane
psychiatric
subsidies
disorders,
the
community
has
to
be
able
to
work
together
and
they
a
consumer
and
their
family
need
to
be
able
to
access
services
at
whatever
entry
point,
whether
it
is
a
justice
system
or
whether
it
is
scam
or
the
food
bank.
D
If
there's
any
anybody
that
presents
themselves
with
issues
they
can,
they
can
start
up
and
start
off
on
this
wheel
anywhere
and
end
up
at
the
right
services.
So
let's
say
someone
goes
to
social
services
like
a
food
bank
or
bethany
house
and
it's
and
they
feel
that
there's
something
there
they
can
enter
the
wheel
and
eventually
get
to
the
providers
that
actually
provide
these
services,
which
are
on
top
I'm
a
pillar
border
region.
D
Community
health
center
scan
west
care,
if
they're
still
here
in
narrato-
and
you
know,
but
they
should
be
able
to
enter
the
wheel
and
through
referral
the
referral
process
get
the
right
services
right.
So
there's
no.
There
should
be
a
no
wrong
way
for
somebody
to
access
services.
So,
for
example,
an
adolescent
goes
to
scan
and
they
scan
finds
out
that
maybe
parents
have
some
problems.
They
can
actually
treat
them
there,
but
they
can
also
refer
to
the
board
of
reading
community
health
center
and
the
clients
are
getting
being
treated
comprehensively
right.
D
That's
what
we
want.
We
want
to
be
able
to
have
integrated,
comprehensive
treatment
of
people
with
corporate
psychiatric
substance
disorders.
We
don't
want
people
to
fall
through
the
cracks
now.
What
are
they?
Individuals
with
cocaine,
psychiatric
substance
disorders,
people
that
both
have
have
a
psychiatric
and
substance
use
issues?
It
used
to
be
called
dual
diagnosis:
are
there
it's
individuals
that
have
both
mental
health
disorder
and
the
substitutes
as
well?
D
And
these
are
the
individuals
that
more
likely
fall
through
the
cracks,
because
you
know
it's
easy
to
it's
easier
to
treat
someone
with
a
mental
health
issue
than
someone
that
has
two
both
issues
now
I've.
Never
in
33
years,
I've
never
seen
anyone
that
that
has
come
through
my
office.
That
did
not
have
a
cold
cream
psychiatrist
people
use
substances,
but
there's
always
a
mental
health
issue.
D
That's
primarily
there
effective
treatment
attends
to
the
multiple
needs
of
the
individual,
not
just
the
substance
use,
so
you
have
to
go
ahead
and
work
work
towards
works
towards
developing
an
assessment,
a
comprehensive
assessment
that
includes
not
only
the
mental
health
but
substance
use
and
a
treatment
plan.
That's
going
to
address
those,
and
you
know
over
time
you
address
those
things
with
with
evidence,
science-based
models.
D
So
you
know
this
is
what
it
looks
like.
This
is
where
people
with
substance
use,
substance,
use
disorders
and
people
with
mental
disorders
they
come
into
play.
We
obviously
have
people
that
have
mental
disorders
and
that's
all
they
have
there's
a
contention
that
people
may
just
have
a
substance
use
disorder.
D
I
can
let
you
know
that
I
have
not
seen
that,
because
what
I
do
typically
see
is
people
may
have
a
a
more
moderate
or
severe
substance
use
disorder
with
a
a
mild
mental
disorder
like
adhd
or
generalized
anxiety
disorder,
but
they
still
have
the
co-occurring
issues,
and
so
we're
going
to
talk
a
little
bit
about
that
in
a
minute.
D
According
to
general
america,
the
journal
of
american
medical
associations
about
37
percent
of
all
abusers
and
53
of
drug
users
also
have
at
least
one
serious
mental
illness,
okay
and
so
we're
talking
about
serious
mental
illness.
We're
talking
about
the
lesson
here,
like
a
generalized
anxiety,
disorder
adjustment
disorders.
D
You
know
you
can
have
those
issues
and
also
use
substances
and
you're
going
to
notice
that
there's
different
quadrants
of
care
for
those
of
all
the
people
diagnosed
as
mentally
ill
25,
29
percent
have
been
diagnosed
with
either
alcohol
or
drug
use
disorders,
and
so,
but
you
got
to
remember
that
these
are
the
only
the
clients
that
are
presented
in
postal
services.
D
If
someone
is
intoxicated
or
you
know,
under
the
influence
of
drugs,
it's
very
hard
to
work
with
people,
so
we
have
to
get
them
detox
and
get
them
prepared
and
we
have
to
work
with
them.
Active
drug
and
alcohol
use
when
you're
having
active
drug
and
alcohol
use,
that's
primary
and
it's
not
going
to
go
away.
So
even
if
somebody
has
a
code
current
issue
before
we
can
treat
anything,
we
have
to
stop
drugging
off
quality.
Well,
how
do
you
do
it?
D
You
stop
it
through
the
through
a
detox
program
and
some
some,
maybe
inpatient
services
where
you
treat
both
issues
at
the
same
time.
So
whenever
we're
going
into
our
phase
two
model
of
a
residential
program,
we're
going
to
set
it
up
to
treat
people
with
corporate
psychiatric
substance,
use
disorders
and
actually,
for
now
you
see
funding
from
the
federal
government
for
substance
use.
It
has
to
provide
treatment
for
co-occurring
psychiatrists.
D
C
D
D
You
know
in
our
own
culture
going
out
and
reaching
to
a
mental
health
provider.
Substance
provider
is
a
big
issue,
they're
afraid
on
many
different
levels.
So
that's
why
it's
so
important
to
continue
educating
our
community
and
that's
what
our
work
workshop
with
prevention
and
education,
those
groups.
They
have
to
find
a
way
to
disseminate
information
about
how
these
services
that
are
offered
in
different
areas
and
different
agencies
like
scan
and
biller.
You
know
border
reading.
The
health
center
can
actually
be
a
benefit
to
them.
Lack
of
treatment
resources.
D
You
know
laredo,
I
I
was
listening
to
dr
ricky
the
other
day
and
he
was
talking
about
how
we
are
the
bastard
child
of
the
province.
Well,
you
know
I
have
used
that
term
many
times
about
we're
the
master
child
for
mental
health
and
substance
abuse
resources.
We
do
not
get
the
resources
that
other
people
other
communities
our
size
get
and
we
have
to
actively
work
we're
blessed
with
what
we
have.
But
I
can
let
you
know,
but
from
it
took
us
a
long
time.
D
We
we
had
certain
funding
level
at
88
in
88
and
it
completely
went
down
and
it
wasn't
for
the
people
that
scan
or
the
people
pillar
or
the
people
at
webb,
county
or
the
city
of
laredo
that
have
applied
for
these
grants.
We
wouldn't
be
for
a
wrap.
We
still
have
a
long
way
to
go,
we're
still
under
service.
D
We
don't
have
the
number
of
mental
health
professionals
that
we
need
to
have
in
the
community.
You
know
we
have
what
two
maybe
two
and
a
half
practicing
psychiatrists
in
private
practice,
but
that's
not
enough
for
a
community
our
size
we
may
be.
We
have
a
number
of
a
private
psychotherapist,
and
so
we
have
lack
of
treatment
resources.
D
Then
there's
the
unwillingness
for
people
to
access
services,
there's
different
stages
of
change,
that
people
go
through
when
they
experience
health,
mental
health
substance
use
issues
and
when
you're
in
a
stage
of
pre-contemplation
or
denial,
you're
not
going
to
want
to
go
into
services.
So
we
have
to
find
ways
to
link
them
into
services
to
provide
the
science-based
type
of
treatment
or
services
to
move
them
from
pre-contemplation
to
action
and
there's
things
that
we
can
do
to
do
that
and
that's
in
later
on
in
the
this
presentation
that
I
explained.
D
Basically,
what
happens
is
that
people
with
cochlear
issues
have
multiple
system
utilization.
They
go
to
er
substance,
use,
treatment,
housing,
psychiatric
hospital,
jail
employment,
but
they
don't
get
anything
and
we
spend
a
lot
of
money
in
our
communities
getting
them
these
services.
You
know
the
er
is
a
lot
of
times
overrun
with
people
that
have
substance,
use
issues
or
mental
health
issues.
They
cannot
handle
them.
Jails
are
overrun.
You
know
with
these
issues,
people
don't
don't
have
employment
housing,
it's
overwhelming.
D
You
know
we
have
all
of
these
issues
that
these
that
people
co-current
issues
are
utilizing
and
if
they're
not
all
working
together,
all
integrated,
then
it's
not
working.
Now
I
can
let
you
know
that
back
about
six
years
ago,
I
wrote
a
grant
for
the
city
of
laredo
to
integrate
services,
not
only
co-occurring
psychiatric
subsidies,
but
also
hiv
services,
and
it
was
a
grant
that
was
under
the
auspices
of
the
city
of
arena.
D
I
wrote
that
grant
I
was
evaluated
for
grant.
It
was
very,
very
successful
okay,
but
that
was
just
that
was
just
a
grant
as
far
as
implementation,
it
was
just.
It
was
just
an
initial
grant
to
see
if
this
type
of
integration
would
work.
There
was
only
about
13
programs
in
this
in
the
united
states
have
got
this
and
was
to
see
if
integration
could
actually
be
successful,
and
we
proved
that
it
was.
It
was
a
very
great
program.
D
I
do
know
that
pillar
has
continued
to
work
in
their
grants
with
integration.
I
know
that
scam
has
always
integrated,
but
we
did
have
a
grant
that
showed
that
integration
of
cochrane
services,
including
hiv,
was
possible
and
all
housed
in
the
same
place.
D
These
are
the
four
quadrants
of
care,
and
this
is
the
second
I'm
saying
people
with
substance,
substance,
use
and
mental
health
disorders.
I've
never
met
anyone
that
didn't
have
a
co-occurring
issue,
so
you
have
quadrant
one,
the
less
severe
mental
disorders,
less
severe
substance
disorders,
those
people-
you
know
it
could
be
that
they
may
have
a
stress,
related
disorder,
anxiety
they
may
be
using
and
I'm
not
minimizing
the
use
of
cannabis.
But
you
know
compared
to
heroin.
D
Cannabis
is
more
of
a
less
severe
substance,
use
disorder
right
and
people
may
have
quadrant
two
more
severe
mental
disorders
and
less
severe
substances,
or
so
you
may
have
people
that
are
are
bipolar
and
they
may
be
using
some
substances,
but
they're
primarily
have
bipolar.
They
may
have
schizophrenia.
D
Then
they
have
the
less
severe
mental
disorder,
like
maybe
maybe
anxiety,
adhd
adjustment
disorder,
but
very
severe
substance
use
disorders.
You
know
where
the
people
are
using
cocaine
heroin
and
then
you
have
quadrant
four
more
severe
mental
disorder,
more
severe
substance
use
disorders
in
the
three
programs
that
I
evaluate
right
now
I
do
two
for
the
county
and
one
one
for
pillar.
I
do
the
the
webb
county
drug
court.
I
do
the
the
judge
of
almost
veterans
court
and
then
I
do
the
the
pillar
tce
hiv
program.
D
The
clients
that
we
see
coming
into
the
program
are
quadrant
four
clients,
more
severe
mental
disorders,
more
severe
substance
use
disorders,
and
the
reason
is
that
they're
coming
in
like
this
is
because
we
do
not
have
a
residential
program
or
services
to
treat
the
substance
use.
We
don't
have
the
capacity
to
treat
all
the
various
severe
mental
disorders.
All
these
people
are
coming
into
outpatient
services
and-
and
it's
overwhelming
the
system-
it's
it,
it
can
break
the
system.
D
It's
almost
like,
if
you
can
imagine,
what's
been
going
on
last
year
with
the
covid,
where
the
emergency
room
has
been
overrun,
the
hospitals
have
been
overrun
because
of
covet
cases.
This
is
what's
going
on
in
our
substance,
use,
treatment,
centers
and
I'm
sure
scan
could
have
tested
it.
I'm
still
are
gonna
test
it
and
our
behavioral
health
providers
like
filler
and
scan
and
border
region
health
center.
It's
they're
being
overrun
right,
and
this
is
what
we
see
most
of
the
time.
D
So
how
do
you
treat
this
less
severe
mental
disorders?
Less
severe
substance
disorders?
They
basically
are
primary
health
care
settings.
They
can
be
outpatient.
A
lot
of
these
are
the
people
that
come
to
me,
although
I
see
all
different
quadrants.
As
a
matter
of
fact,
I
do
a
lot
of
quadrant
four
clients,
because
I
specialize
in
working
with
ptsd
and
personality
disorder
and
co-occurring
issues.
I
see
a
lot
of
quadrant
poor
clients,
but
you
know
less
severe
cases
can
be
seen
in
the
community:
more
severe
mental
disorder,
less
severe
substance
use
disorder.
D
The
locus
of
care
needs
to
be
primarily
the
mental
health
system,
but
when
you
have
more
severe
mental
disorder,
less
of
your
substance,
disorder,
yeah.
Okay,
it's
going
to
be
treated
at
border
region,
community
health
center,
but
there's
an
understanding.
There
has
to
be
a
treatment
for
a
corporate
psychiatrism
before
and
they
work
together
with
the
substances
provided,
but
it's
primarily
the
local
care
is
a
mental
health
system.
D
Less
severe
mental
disorder,
more
severe
substance
use,
the
locus
of
care
should
be
substance
use
system,
so
those
are
are
like
if
they
go
in
the
scans
residential
program
or
their
outpatient
program,
but
they
all
know
that
they
they
have
occurring
issues
so
they're,
probably
in
the
cop
speed
program
for
case
management
and
they're
working
with
more
recommending
health.
D
Unfortunately,
the
more
severe
mental
disorders,
more
severe
substance
use
disorders,
the
locus
care
a
lot
of
times
tends
to
be
state
hospitals,
jails,
prison,
emergency
rooms.
We
want
to
get
it
out
of
that
point
and
the
only
way
we
can
get
it
out
of
there
is
by
by
building
an
infrastructure
in
our
community
that
where
we
can
take
care
of
our
people-
and
so
that's
where
we
are
at
right
now
we're
at
the
inception
of
building
up
this
network
of
care
where
we
can
treat
these
people
that
are
overwhelming
our
outpatient.
Remember
I
mean
it's.
D
You
know
I
was
today.
I
was
talking,
I
was
doing
supervision
and
in
the
just
in
the
web
county
drug
court
program.
We
have,
let's
see
I
have.
I
had
it
right
here
with
me.
We
have,
I
don't
wanna,
I
just
don't
wanna
take
a
guess.
I
have
the
actual
number
we
have
19
and
you
have.
D
15
and
16.,
we
have
31
people
out
of
town
and
residential
treatment
because
we
don't
have
the
capacity
here
in
radio,
so
in
other
words,
they
come
in
the
direct
code
program.
They
qualify
for
services,
but
they're
quadrant,
poor
clients,
and
so
we
because
we
don't
want
anything
to
happen
to
them.
They
have
to
be
referred
to
an
appropriate
level
of
care,
so
they're
being
referred
to
residential.
D
So
we
have
all
these
people
out
of
town,
because
we
can't
we
don't
have
any
services
here
and
they
stay
in
the
jails
because
we
don't
have
a
place
to
detox.
So
that's
what
we're
that's,
what
our
our
work
groups?
That's,
what
we're
doing
in
this
drug
and
alcohol
committee,
creating
that
that
type
of
space?
Now,
what
is
it
that
we
see?
We
see?
Obviously,
depression
mood
disorder
spectrum,
including
bipolar
disorder.
You
know
all
of
that
can
be
treated.
We
have
anxiety
disorders,
generalizations
of
compulsive
phobias.
We
have.
D
We
can
work
with
schizophrenia
schizophrenics
if
they're
stabilized
with
medication.
Now,
if
they're
not
stabilized,
then
they
may
not,
they
have
to
be.
You
know.
The
primary
locus
of
care
has
to
be
the
border
region
health
center,
but
they
can
once
they're
stabilized.
They
can
be
treated
in
an
integrated
faction
fashion.
D
We
have
to
learn
from
from
what
we
did
with
the
city
of
laredo
for
five
years,
how
we
provided
integrative
care,
what
we're
doing
with
some
of
the
samsa
grants
where
we're
having
like,
like
the
drug
court,
the
veteran
support
and
pillar,
they
have
a
one-stop
shop
where
everything
can
be
done.
I
believe
scan
has
the
same
thing,
and
so
we
have
to
move
towards
that
direction
where
we
provide
integrated
care
and
we
have
better
communication
amongst
the
agencies.
So
I'm
going
to
stop
here
because
then
we're
really
going
to
stop.
D
B
B
I
know
that
this
information
is
very
good
as
I'm
writing
down
the
part
of
the
different
you
covered
different
things
on
the
work
group,
so
I'm
hoping
that
I'm
able
to
call
some
of
the
members
and
ensure
that
what
we're
part
of
our
work
group
that
we're
actually
doing
something
and
the
information
that
you
provided
is
going
to
be
of
good
you.
So
thank
you
for
that.
D
You're
very
welcome
and
anytime,
you
need
any
information,
there's
so
many
different
trainings
that
I
you
know
like
I'm
in
a
six
week
process
of
doing
all
of
pillars
training.
So
I
have
lots
of
different
trainings.
You
know
and
if
you
ever
need
anything
I'd
be
happy
to
present.
B
Well,
as
a
matter
of
fact,
mr
hernandez,
since
you
just
mentioned
that
I'm
just
curious,
we
currently
have
the
work
groups
where
it's
prevention,
outreach,
education,
intervention,
treatment,
rehabilitation,
detox,
transitional
support,
transition
and
aftercare,
which,
from
a
while
back,
we
had
discussed
that
those
were
the
groups
that
we
were
much
needed
and
in
transition
to
one
another.
D
We
have
to
have
started
having
a
discussion
about
integrated
services
for
the
population
that
we're
going
to
be
looking
at,
which
has
cochrane
psychiatric
and
subsidies
disorder,
so
yeah
mental
health
and
cocaine
psychiatric
substance
disorder
should
be
a
work
group,
with
a
focus
being,
let's
figure
out
how
we
can
move
through
integrated
care
eventually,
because
without
integrated
care,
the
model
that
the
city
had
was
pretty
was
pretty
good.
It
was
the
the
city
got
the
grant
and
there
were
city
employees.
D
D
There
was
a
combination
of
counselors
of
the
licensed
professional
counselors
were
from
pillar,
so
there
was
a
combination
of
staff
from
pillar
the
city
of
laredo,
and
so
in
other
words,
if
somebody
had
to
go
in
there,
that
was,
let's
say
at
risk
for
hiv
and
they
go
in
and
they
they
go
and
they
have
their
hiv
tests
done
there
at
that
time.
They're
screened
for
other
issues
that
they
they
have.
D
For
substance
disorders
and
mental
health
disorders,
but
when
they're
screened,
if
they
qualify
for
the
program,
then
we
could
let
them
know
hey.
You
know
we
also
have
these
services
here.
You
know
whether
it's
mental
health
services
alone
or
substitute
services
or
the
different
quadrants,
typically
with
all
the
quadrants.
It
was
just
in
one
place
and
that's
what
we
want
to
do.
D
That's
what
we
want
to
strive
for
where
all
the
community
stakeholders
I
mean.
We
have
a
good,
a
good,
a
good
group
of
stakeholders
here,
but
the
let
me
let
me
just
go
to
one
slide.
We
have.
We
don't
know.
D
Oh,
I
have
to
go
to
the
slide.
This
is
this:
is
it
okay
there?
Okay?
So
it's
slide
two
here,
so
we
we're
here-
and
I
know
that
border
region
is
here-
scan
is
here,
and
I
know
that
pillar
sometimes
is
here.
Sometimes
it's
not.
I
know
it's
and
we
may
have
representatives
from
the
justice
system.
I
know
that
falls
here
at
times,
but
we
need
to
be
able
to
have
all
of
these
people
working
together
so
that
we
can
move
towards
ever
eventually
integrated
care.
D
What
is
the
system
going
to
look
like
if
someone
is
at
the
university
and
needs
support
from
from
more
intense
services
that
the
than
the
council
department
can
do
there
with
dr
mello
gonzalez,
I
mean
they're,
they
can
do
the
best
they
can,
but
they're
gonna
be
seeing
people
with
programming
issues.
What
do
they
do?
You
know
what
happens
to
housing
services
when
someone
shows
up
to
there
and
they
need
people,
and
I
I
do
believe
we
have
people
from
housing
in.
D
It
needs
to
be
a
separate
group,
because
prevention
and
reinvention
rehabilitation
are,
you
know,
can
all
be
looked
at
independently,
but
I
think
then
this
piece
of
the
puzzle
can
help
them
come
in
and
then
we
can
begin
working
more
as
an
integrator.
I
think
there's
a
need
for
education
to
happen.
D
D
We
have
rehabilitation,
those
are
specific,
but
then
the
idea
that
I
have
is
that
if
we
put
in
mental
health
and
co-occurring
psychiatric
substance
disorders
with
a
focus
being
on
integration,
then
that
group
eventually
will
become
a
primary
focus
and
people
will
integrate
towards
that
and
we
can
all
discuss
things
because
you
know
it's
one
thing
for,
for
you
know
when
scan
is
doing
primary
prevention,
that's
important
and
we
have
to
do
primary
prevention
to
our
community
and
and
and
yes,
if
somebody
is
they're
doing
primary
prevention
and
someone
presents
itself
with
hey
my
dad
has
this
issue.
D
Then
we
have
to
be
able
to
link
him
up,
but
I
think
the
end
game
is:
let's
keep
our
work.
Work
groups
the
same,
but
let's
work
towards
integration,
even
within
our
own,
with
our
own
work
groups.
You
know,
but
let's
just
start
talking
about
mental
health,
because
we
have
not
talked
about
mental
health
and
we
have
not
talked
about
cochrane
issues
until
the
day
I
mean
I
haven't,
maybe
have
mentioned
it,
but
I
think
that's
just
I
think
just
having
a
group
by
itself
for
right
now
is
okay.
B
B
Definitely
so
I've
already
noted
it
down
and
when
I
send
out
the
email
for
the
reminders
of
the
work
groups
and
if
there
aren't
any
changes,
maybe
somebody
can
come
into
the
mental
health,
co-occurring
group
and.
B
Okay,
yes,
most
definitely
and
you'll
probably
leave
it,
because
I
do
have
members
like
stakeholder
members,
like
ms
ramirez,
miss
carrillo,
I'd,
see
miss
guerrero,
miss
perez
in
a
couple
of
them,
and
so
we
just
want
to
make
sure
that
you
know
they're
able
to
assist
and
be
part
of
it
and,
as
a
matter
of
fact,
if
you
have
any
suggestions
for
anybody
from
outside
this
group
that
you're,
you
know
that
you
might
want
to
consider
being
part
of
that
group
to
assist
you
in
providing
more
information
and
creating
that
integration.
B
I
think
it'd
be
a
wonderful
idea
to
to
do
so.
So
thank
you
very
much.
Does
anybody
have
any
questions
for
mr
hernandez.
B
Okay,
all
righty.
Well,
then,
thank
you
again,
jesse
for
for
actually
doing
this
brief
presentation.
I
know
there's
so
much
to
it
and
I'd
love
to
have
the
opportunity
that
whenever
we
meet
that
there
is
a
a
form
of
education
to
all
the
members.
B
So
if
any
of
the
members
know
somebody
that
might
have
a
wealth
of
knowledge
that
might
be
able
to
provide
us
more
insight
on
their
work
and
what
we're
doing,
I
think
it
would
be
a
great
thing
to
recommend
them,
as
this
will
be
part
of
our
agenda,
so
that
we
can
again
ongoing
education.
The
more
that
we
know
the
the
better
that
it
is
so.
Thank
you
very
much
we're
going
to
go
ahead
and
continue
as
part
of
our
agenda.
E
E
The
commissioner's
appointee-
and
I
did
get
with
one
of
the
commissioners
to
see
if
there
was
a
way
we
could
substitute
one
of
his
appointees
for
for
marina,
and
he
was
just
going
to
out
of
courtesy,
make
a
call
to
who
he
appointed
and
if
everything's,
okay,
I
suggested,
I
recommended
that
he
appoint
marina
as
a
member.
So
I'll
keep
you
all
updated
on
that.
B
Yes,
thank
you
and,
as
a
matter
of
fact,
that's
what
I
was
going
to
ask
you
as
far
as
announcements.
We
do
have
a
couple
of
people
and
I
did
send
out
the
attendance
sheet,
so
I
will
send
it
out
to
you
all
so
that
you
all
can
review
and
look
at
your
own
attendance,
but
I
do
know
that
there
are
a
couple
of
vacancies
with
the
city
of
laredo.
So
if
anybody
knows
anybody,
I
think
they
should
recommend
that
they
contact
their
council
member
for
appointment.
B
That
way,
you
know,
I
guess,
the
more
that
we
are
the
better
that
we
are
able
to
tackle
this
issue
in
our
community.
So
thank
you
mara,
for
actually
asking
in
regards
to
that.
I
know.
Miss
moreno
has
been
part
of
our
group
for
a
while
now
and
she's
very
active
and
her
attendance
is
sometimes
required
for
quorum,
so
I
think
she
would
be
a
great
asset
to
being
part
of
the
commission.
So
thank
you
very
much
on
that.
B
On
that
note
also,
I
did
receive
a
note
from
judge
donald
herrina
and
he
was
congratulated
on
the
appointment
as
chair
for
the
commission.
So
I
wanted
to
put
that
on
record
that
he
did
send
a
congratulations.
So
I
do
appreciate
that
it
was
actually
a
motivation
for
me.
So
let
him
know
mara
and
then
also
andrea,
had
mentioned
that
while
paola
is
going
to
be
doing
the
minutes,
it
was
recommended
that
part
of
our
bylaws
do
state
that
we
should
have
a
secretary.
We
haven't
actually
appointed
a
secretary.
B
So
that
might
be
something
that
if
anybody
is
interested
in
the
position
of
secretary,
please
let
us
know,
because
that
would
help
paola
and
the
commission
to
maintain
the
minutes.
The
secretary
does
require
to
be
in
attendance
for
the
majority
of
the
minutes
or
the
the
meetings.
I'm
sorry.
So,
if
anybody's
interested,
please
let
us
know
and
then
of
course
we
discuss
the
attendance
and
the
vacancies
and
the
bylaws
will
be
sent
to
you
guys,
just
as
a
review
for
what
we're
doing.
B
I
think
it
would
only
be
just
that
ms
quintanilla
was.
B
I
know
things
are
going
to
be
changing
in
the
next
couple
of
weeks,
but
the
problem
has
not
decreased.
I
think
it
has
actually
has
increased
in
our
community,
so
we
need
to
be
prepared
to
be
able
to
tackle
it.
With
regards
to
national
drug
and
alcohol
facts
week.
There
is
some
things
that
I'm
going
to
be
doing
on
behalf
of
the
drug
and
alcohol
commission
with
the
schools.
B
I
will
be
sending
out
a
flyer
just
to
kind
of
allow
teachers
to
be
able
to
q
a
their
their
students
and
learn
more
about
drug
facts
and
I'll
go
ahead
and
give
you
an
update
on
that
and
survey
afterwards
for
the
next
meeting.
But
are
there
any
other
announcements
from
anybody.
A
Yeah
I'd
like
to
in
light
of
everything
that's
going
on,
and
I
think
you
get
the
nail
right
on
the
head
colleen,
I'm
more
than
happy
to
share
or
host
any
type
of
virtual
meeting,
whether
it's
a
work
group,
you
know
by
all
means
I
highly
recommend.
A
B
Much
mr
walls
and-
and
I
have
a
zoom
account-
that's
paid
for
and
a
go-to
meeting
account
so
if
anybody
ever
wants
to
meet
outside
those
meeting
via
would
be
via
web
you're
more
than
welcome
to
utilize
them.
So
thank
you
very
much
for
that
all
righty.
Well
paola.
How
did
you
do
this
meeting.
C
I
her
to
come
to
stay
with
me
for
today
just
to
get
my
feet
wet,
but
yes,
I'm
surviving.
Thank
you.
B
All
right
just
wanted
to
make
sure
that
I
mentioned
the
names
again
and
again
and
as
everybody
as
you're
trying
to
get
acquainted
with
everyone's
name
and
and
who's
who,
but
thank
you
very
much
again.
Andrea
you'll
be
getting
something
on
behalf
of
the
commission
and
I
will
drop
that
off
early
next
week.
Thank
you
again
for
all
the
things
that
you've
done
for
our
our
commission
and
being
on
top
of
all
of
us.
B
So
we
appreciate
that
if
there
are
no
other
announcements,
I
will
go
ahead
and
ask
for
adjournment.
It
is
currently
6
18..
Do
I
have
a
motion
to
adjourn.
B
Mr
walls,
mr
wells,
I
don't
think
you
can
adjourn.
I
think
he
needs
to
be
a
commission
member.
Can
I
have
a
commission
member.
B
Yes,
okay,
perfect!
All
right!
I
have
a
first
by
jesse
in
a
second
by
mera,
all
in
favor
to
adjourn
the
meeting.
C
B
And
here
pokemon,
all
right,
we'll
see
you
next
time.
We
appreciate
you
coming
in
and
doing
the
best
that
you
can
do
for
our
community
we'll
be
in
touch,
and
hopefully
we'll
see
you
all
next.