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From YouTube: DRUG & ALCOHOL COMMISSION 110321
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DRUG & ALCOHOL COMMISSION 110321
A
I'm
going
to
call
this
meeting
to
order
at
11
36,
it's
good
to
see
a
lot
of
new
faces
and
a
lot
of
familiar
faces.
I
think
this
time
of
the
day
is
a
better
turnout.
It
allows
us
to
be
able
to
see
some
of
you
all
as
opposed
to
our
5
30
wednesday
meeting.
So
I
appreciate
you
all
for
making
the
time
and
the
effort
to
show
up
today.
A
Agenda
and
a
great
presentation
coming
up,
so
I'm
glad
that
you
all
can
be
here
for
the
record.
We're
gonna
go
ahead
and
do
roll
call.
So
I'll
start
off.
Colleagues
present.
C
A
Thank
you
just
to
let
you
all
know
we
have
a
silent
sheet,
so
if
you
haven't
signed
in
please
make
sure
that
you
sign
in.
In
addition,
I
want
to
say
thank
you
to
ms
nancy
guy
and
her
office
for
providing
lunch
today.
Thank
you
very
much
for
for
chick-fil-a.
So
if
you
all
like
you're
more
than
welcome
to
grab
your
lunch
and
have
it
while
we
host
the
meeting,
if
not
you're,
very
well,
to
take
it
afterwards,
but
thank
you
so
much
nancy.
A
Do
we
have
anybody
to
sign
up
for
public
comments,
so
there's
no
public
comments.
We
do
require
an
approval
of
the
minutes
for
the
october
6th
meeting
and
the
minutes
are
in
your
red
folders.
For
the
commission
members
do
I
have
a
motion
to
approve
the
minutes.
I
have
a
first
by
jesse.
Do
I
have
a
second
miss
linda?
We
need
a
commission
member,
I'm
so
sorry.
A
A
Thank
you
for
that.
Moving
on
to
the
administrator's
report,
mr
walls,
do
you
have
any
updates
for
us
with
regards
to
the
detox
or
anything
else?
I.
A
We
are
moving
on
to
discussion
and
possible
action
of
our
membership
again.
I
can't
stress
it
enough
in
every
meeting
that
we
are
very.
A
Very
wanting
to
be
very
active
with
our
community
and
in
order
to
do
that,
our
commission
members
need
to
be
just
as
active.
So
in
the
last
couple
of
meetings,
we've
reviewed
the
meeting
time
and
date
and
right
now
it
shows
that
this
time
and
date
is
working
out
for
the
most
part.
If
in
the
future
it
does
change,
then
we
will
definitely
consider
another
day
or
another
time,
but
as
of
right
now,
I
think
we
have
good
participation
and
I
think
jesse's
made
some
invitations
to
killer
and
robot.
A
You
know
scan
and
everybody
just
to
kind
of
make
sure
that
you
all
are
part
of
these
meetings,
because
we
want
to
know
what's
going
on
in
your
agencies
and
how
we
can
get
more
involved
with
you
and
in
the
community.
So
at
this
time
the
time
and
day
is
working
out,
so
we
will
go
ahead
and
continue
to
have
these
meetings
at
this
time.
I
can't
stress,
attendance
and
participation
is
very
important.
A
In
addition,
I
don't
know
if
anybody
has
given
mr
walls,
the
texas
open
meetings
at
training.
That,
and
is
that
phase
I
can
tell
you
have
not,
but
the
texas
open
meeting
training
is
required
as
part
of
our
appointment,
and
so
I
wanted
to
ask
mr
walls,
which
he
set
up
to
see
if
he
can
go
ahead
and
set
up
a
deadline
that
way
we
don't
have
to
bring
it
up
at
the
next
meeting.
A
So
before
the
end
of
the
month,
make
it
a
point
to
send
in
the
texas
open
reading
act,
training
and
your
certification
for
the
city
secretary.
That
is
required.
D
B
A
Was
saying
that
you
haven't
received
anybody
else's
taxes
open
up
okay,
so
we
set
up
a
deadline
for
the
end
of
the
month
to
make
sure
that
everybody
gets
that
completed.
Mr
walls
will
send
out
that
link
so
that
everybody
can
do
it's
really
easy
and
it's
you
know
it's
really
good
information.
So
I
encourage
you
all
to
get
that
as
soon
as
possible.
B
C
And
our
discussion
had
to
do
with
what
we
want
to
do
with
this
detox
program
and
it
this
is
going
to
be
a
and
I'm
making
this
public.
This
is
a
medical
detox
program.
This
is
what
we
need.
This
is
the
first
step
to
go
into
residential.
C
That
was
a
model
that
we
originally
talked
about
here,
but
nowhere
if
and
and
we
have
our
meeting
and
everybody
agreed-
and
I
want
to
make
sure
that
we
agreed
and
we've
agreed
that
this
is
going
to
be
a
medical
detox
facility
that
will
facilitate
people
getting
into
residential
services,
whether
they
be
a
pillar
or
whether
they
need
some
of
the
resources
and
drug
course.
This
is
going
to
be
medical
detox
run
by
a
doctor
and
nurses
and
the
last
time
we
had
a
meeting
about
this,
the
people
from
who
travel.
C
Here
we
were
talking
about
developing
as
part
of
our
medical
protocol.
When
dr
blatant
is
here,
the
question
that
came
up
was:
are
we
going
to
go
ahead
and
do
this
thing
that
westcare
does
in
las
vegas,
or
are
we
going
to
do
this
thing
that
bear
county
did
as
a
pilot
project
and
and
where
they
got
money,
and
it
was
a
rider
where
they
were
bringing
in
homeless
people
and
having
them
having
them
inebriated,
and
then
they
would
clear
up
and
then
they
could
do
detox.
C
It's
a
medical,
detox,
okay,
there's
going
to
be
doctor
a
doctor
to
run
it.
There
can
be
protocols,
there's
going
to
be
a
nurse
practitioner
or
nurse.
That's
that's
running
running
the
unit.
There's
going
to
be
nurses
around
the
clock,
we're
going
to
have
a
triage
which
the
triage
would
be
the
lpcs,
because
we're
treating
co-occurring
psychiatric
substance
disorders,
we'll
go
ahead
and
do
their
assessment,
and
if
they
meet
this
criteria
by
a
state,
then
they
will
be
brought
in
to
the
detox
program.
If
not,
they
will
be
referred
out
to
different
providers.
C
When
we
were
talking
about
crisis
stabilization,
because
you
do
the
detox
for
four
to
seven
days
depending
on
the
situation,
but
we
there's
some
people
that
may
need
crisis
stabilization.
For
example,
you
want
opiate
addicts
that
maybe
there's
a
333
percent
chance
that
they're
gonna
they're
gonna
overdose.
If
we
send
them
out
without
anything,
we
want
them
to
stabilize
a
little
bit
more
and
they
all
have
cochlear
issues.
Alcoholics
that
went
through
really
bad
withdrawal,
or
even
some
people,
the
reasons
head
of
hypnotics.
That
can
you
go
into
seizures.
C
We
want
to
give
them
some
time
for
christ
stabilization.
This
is
not
going
to
be
somewhere
where
people
just
come
in
and
they're
inebriated.
Well,
that's
one
of
the
criteria,
but
it
doesn't
mean
that
they're
going
to
meet
the
criteria,
so
somebody
can
bring
them
in
they
can
come
they.
We
can
admit
them.
24
hours
a
day,
seven
days
a
week,
they
can
be
referred
by
the
drill
court.
They
can
be
referred
by
family.
C
C
Okay,
so
this
is
what
I
would
like
to
vote
put
it
to
vote,
and
I
don't
correct
me
if
I'm
wrong
what
we
were
talking
about
was.
I
want
the
committee
to
vote
that
this
is
going
to
be
used.
Our
facility
that
we're
getting
ready
to
build
is
going
to
be
a
medical
detox
facility
following
the
statutes
of
the
state.
C
A
No,
may
I
ask
just
for
the
record,
as
opposed
to
nothing.
C
C
Instead
of
taking
them
to
jail-
and
I
said
absolutely
not-
this
is
a
medical
detox,
there's
criteria
that
has
to
go
in
there,
so
you
know
pillar
and
scan.
Have
these
programs
now
where
they
can
go
out.
They
have
mental
health
providers,
can
go
out
with
police
to
sheriffs
and
they
can
actually
probably
refer
some
of
the
people
there.
Ems
has
the
skills
to
determine
whether
or
not
they
can
come
in
to
the
detox
program.
C
But
this
is
not
going
to
be
where
someone
has
a
dwi
and
then
you
bring
them
in
and
you
know,
and
anyway
we
have.
We
have
no
capacity
to
hold
them
because
they
can
leave
against
medical
advice,
and-
and
so
this
has
to,
we
need
to
follow
the
protocols
that
the
state
set
up
for
a
medical
detox
program
and
that's
what
I
want
to
take
the
vote
on,
because
we.
F
C
E
Okay,
but
you
know
from
what
I
understand,
they're
still
talking
about
how
it's
going
to
actually
be
done
exactly
we're
still
it's
not
next
month
and
it's
probably
not
two
months
away
as
much
as
we
want
it
to
be.
I
still
think
we're,
maybe
six
months.
C
C
Let's
look
how
we
can
build
a
residential
right
not
to
take
away
like
I
told
we
say
today,
it's
not
going
to
take
away
what
you
have
it's
going
to
enhance
what
we
already
have
in
the
community
and
then
we
have
to
bring
in
all
the
aspects,
because
we
have
to
treat
co-occurring
psychiatric
substances
disorders.
That's
why
we
have
to
have
lpcs
on
board,
and
so
I
want
to
be
able
to
put
this
up
to
those,
because
a
question
was
asked
of
me
and
I
said
okay.
C
If
anyone
has
a
problem
with
it,
then
you
know
that's
going
to
have
to
be
up
for
discussion,
but
we
can't
just
we
have
to
follow
the
protocol
and
medical
detox.
That's
the
whole
discussion
we
have
this
week
in
our
our
meeting.
We
all
agreed-
and
I
even
asked
did
any
we
have.
We
ever
talked
about
anything
other
than
medical
detox.
I
don't
think
so.
I
don't
think
we
ever
have
to
talk
about
anything
other
than.
C
E
That's
what
that's
what
I
understand
so
you
know,
and
I
agree
with
you-
I've
always
heard
that
it
would
be
a
medical
detox
facility.
However,
I
would
wait
until
we
get
the
approved
permit,
an
application
back
from
the
state,
and
you
know
and
take
it
from
there.
C
Well,
I
agree,
I
believe,
that
permanent
license
it's
going
to
be
a
license
from
state
we're
having
someone
license
it
they're
going
to
license
their
text
administrative
code,
chapter
48
for
detox.
So
there's
that's
not
going
to
be
a
question
about
it.
That's
that's
my
point,
and
so
I
just
wanted
to
address
this
as
an
issue
that
we
need
to
just
go
ahead.
C
There
was
a
question
asked
with
me
and
I
answered
it
by
saying:
no,
I
believe
that
other
than
the
time
that
westcare
wanted
to
do
this,
they
wanted
to
follow
their
protocol
that
they
do
in
vegas,
and
that
was
in
2013
we've,
always
in
our
in
our
drug
and
alcohol
commission.
We've
always
talked
about
a
medical
detox.
D
C
F
C
And
so
we
need
one
for
adults
and
we
need
to.
Hopefully
in
this
predictive
program
we
have
adults
in
adolescents,
so
I
just
want
to
make
sure
that
we
take
a
vote
saying
this
is
what
we
talk
about.
This
is
what
we've
agreed
on.
G
A
Recommendation
as
to
the
medical
detox
program
and
then
maybe
proposing
that
even
eventually
to
the
city
council,
so
that
they
make
the
ultimate
vote
and
we
close
that
and.
E
Yeah-
and
I
agree
that
the
the
redwood
county
drug
and
alcohol
commission
would
make
its
recommendations
to
the
city
saying
this
is
what
we
feel
is
the
best
course
or
the
best
avenue
for
for
this
facility.
Yeah.
Definitely
that's
exactly
what
we're
here,
for
I.
A
Think
I
think
we'll
be
on
with
with
your
part
of
the
the
detox
committee
jesse
and
everybody
who's
a
part
of
it.
I
think,
maybe
putting
down
the
steps
for
the
next
thing
to
maybe
get
an
mou
or
an
moa
with
all
the
services
that
are
the
agencies
that
will
be
servicing
the
detox
facility
and
then
working.
C
Towards
that
I'm
already
working
and
they
weren't
there
this
week,
but
there.
C
Already
working
on
at
least
the
protocols
that
I'm
going
to
submit
and,
of
course
we
have
the
agencies
here,
because
we're
gonna
have
to
make
referrals
and,
as
I
told
police
can's
always
here,
I'm
glad
pillars
back
again
in
the
picture.
We
have
to
use
these
resources
because
you
know
we're
at
capacity
the
drug
court's
capacity.
C
You
know
you
know,
scan
pillar,
there's
they're
they're,
treating
quadrant
for
clients
more
severe.
You
know
so
they're,
not
you
know,
they're
doing
outpatient
services,
but
we
don't
have
any
residential.
C
We
don't
have
any
detox
so
they're
having
a
service
of
more
severe
clients,
quadrant,
poor
clients
and,
and
so
it's
harder
to
treat
quantum
four
clients.
When
you
know
you're
set
up
as
an
outpatient,
intensive
outpatient,
but
scan
and
pillar
have
done
a
very
good
job,
doing
it
and
and
they're
equipped
to.
B
C
You
know
so
that's
something
we
can
do
in
our
committee,
but
this
was
something
I
wanted
to
address
as
a
very
important
issue
to
let
you
all
know.
A
Thank
you
very
much.
Thank
you
so
much
for
your
hard
work.
I
know
that
this
is
the
most
active
subcommittee
group
and
it
obviously
has
a
great
mission
up
ahead,
and
so
I
appreciate
you
all
taking
the
time
to
to
be
a
part
of
it
and
to
be
able
to
research
and
make
these
recommendations.
C
Thank
you
and
you
got
to
remember
it-
did
a
lot
of
initial
work
on
how
the
facility
is
going
to
be
laid
out.
He
came
in
with
the
blueprints
and
all
that
stuff.
So
it's
been
a
team
effort.
You
know,
you
know
where
I
will
bring
certain
skills.
You
know
I
bring
your
skills,
marita
and
everyone.
Everybody
brings
certain
skills
to
the
table.
B
C
A
And
I
thank
you
all
for
that.
I
know
that
everybody
has
a
different
skill
set
and
the
talent
and
experience
as
a
matter
of
fact
miss
alonso
was
not
here
at
the
last
meeting.
She
wanted
a
little
bit
more
info
on
the
detox
facility.
A
F
Just
because
she
has
an
idea,
it's
going
to
be
at
the
old
juvenile
center,
where
they
have
the
part
of
the
building.
Now
is
the
probation
environment
right
for
it's
a
treatment
program
for.
F
Right
and
we're
actually
going
to
use,
I
call
it
the
jail
part
of
it
in
the
back
and
that's
what
we're
going
to
renovate
and
I
think
they
already
finished
submitting
all
of
this
yeah
some
chicago.
G
Have
a
residential
curiosity
right
now
we
have
about
18
clients.
G
C
All
of
these
people
could
be
getting
services
here
in
radar
and
that's
what
we
want
to
do
and
we
want
to
open
it
up
to
the
community,
not
just
not
just
the
people
in
the
drug
court
which
a
lot
of
them
will
come
from,
but
we
want
to
open
up
the
community
and
we
have
to
figure
out
how
we're
going
to
make
this
run
by
okay,
because
there's
really
no
funding
for
detox.
C
You
know
in
the
state
of
texas
or
even
samsa,
so
we
have
to.
We
have
to
learn
how
to
build
insurances
and
all
that
right.
So
those
are
all
issues
that
we
will
talk
about
in
the
future,
but
but
I
think
I
think
we're
off
to
a
good
start.
I
just
wanted
to
clarify
the
issue
of
medical
detox.
A
Well,
thank
you
very
much
for
that
update
at
this
time
we're
going
to
move
on
to
the
stakeholder
agency
updates
and
for
those
of
you
who
are
new.
We
allow
the
stakeholders,
the
agencies
that
service
the
community
to.
B
A
J
No,
no
updates
at
this
time,
just
if
there's
any
new
programs
or
if
there's
any
changes
to
the
programs.
Definitely
let
us
know
so
that
we
know
you
know
to
keep
on
referring
the
clients
that
way
or
if
any
requirements
have
have
changed
for
the
referrals
and
you're
from
from
tropical
texas,
behavior.
Okay,.
J
C
A
You
have
any
other
updates
from
stakeholders
pillar.
Would
you
all
like
to
share
anything
that
you
all
have
upcoming
or
some
of
the
services
that
you
all
provide.
K
Well,
we
still
have
our
general
population
services.
We
do
have
several
new
programs,
one
of
them.
I
think
jesse
made
mention
canon
right
now,
which
is
the
crisis
program
that
we
have
going
right
now:
they're
working
with
the
police
department,
that's
what
we
know
where,
as
opposed
to
sending
the
times
to
the
jail
and
they
can
be
sent
to
the
future,
which
is
what
we
are
partnering
with
or
there
they
have
a
crisis
team
as
well.
To
respond
to
these
calls.
K
The
program
that
lord
smith
and
I
work
at
is
called
bridges
and
that's
an
exclusively
male
program
over
18
years
old,
it's
a.
We
can
treat
mental
health
issues,
substance,
use
issues
and
risky
behaviors
as
well.
K
K
C
Can
you
add
about
your
partnership,
clear
choice.
K
Well,
we
don't
know
a
lot
about
it
because
I'm
not
in
that
program,
but
I
can
ask
and
bring
more
information
in
the
next
meeting.
Okay,.
B
C
Pillar
is
developing
with
clear
choice
so
that
they
can
help
with
this
particular
program,
the
crisis
program
and
that's
where
they
can
go
ahead
and
take
people
that
are
in
crisis.
B
C
C
B
C
K
K
B
K
A
A
Thank
you
well,
you're
invited
we'll
make
sure
that
we
get
your
email
and
send
out
those
indications,
because
we
want
to
know
how
you're
all
doing
we
want
to
know
how
many
clients
we
served
and
how
many
clients
were
successful
in
going
through
your
program.
So
thank
you
very
much
for
that
is
anna.
Do
you
have
any
updates
with
your
program.
H
So
that
helps
us,
because
we,
whenever
we
would
get
tired
of
science,
we
would
assess
the
first
reception
and
we
would
have
to
refer
out
so
now.
They'll
be
able
to
stay
with
mr
davis.
C
I
met
him
the
other
day,
very
nice
pam
you,
you
still
see
people
that
have
the
trichroom
issues,
some
of
them
that
have
okay
and
some
of
them
that
use
alcohol.
Maybe
some
of
them.
You,
opiates.
H
Yes,
and
so
we
also
have
a
psychiatric
psychiatrist,
also
on
board.
H
L
Yes,
we
would
like
to
show
so
I
have
some
updates
from
the
prevention
and
intervention
side
with
the
prevention,
the
webb
county
coalition.
They
did
participate
with
grade
ribbon
month.
L
They
were
at
martin
high
school,
where
they
were
able
to
do
population
their
parade,
their
rally,
but
only
with
the
students
and
staff
from
lisb
because
of
the
restrictions
they
were
able.
The
coalition
also
participated
in
various
presentations
and
events
in
the
community
to
help
raise
awareness
on
the
importance
of
being
drug
free.
They
did
participate
in
the
da's
national
team.
Backfield
events
that's
held
every
six
months
to
help
the
community
dispose
of
unwanted
and
expired
prescription
medication.
L
L
They
are
celebrating
the
great
american
smokeout,
which
is
celebrated
nationwide
on
the
third
thursday
of
november,
which
will
be
november
18..
Just
pretty
much
speak,
encourage
smokers
to
quit
or
decline
to
quit
smoking.
In
regards
to
our
prevention
program,
our
ypi
and
our
yps
programs.
B
L
The
students-
and
this
is
working
with
middle
schools
and
high
schools.
We
do
have
recovery,
support
services,
programs
as
part
of
spam
for
adolescents
and
for
adults,
the
youth
government,
community
services
program
or
yrcs.
L
We
do
provide
services
to
youth
ages
13
to
21.,
so
this
would
be,
for
you
know
any
youth
who
not
just
are
going
through
treatments
or
maybe
have
completed
treatment,
but
there
are
some
youth
who
maybe
are,
I
guess,
in
the
transition
of
seeking
treatment
services,
but
we
also
accept
youth
who
maybe
are
exhibiting
some
type
of
you
know
high-risk
situations.
L
We
do
have
the
adult
recovery
support
services
as
well,
and
initially
the
program
was
aimed
for
anybody
with
an
opiate
use
history,
but
we
do
provide
services
now
for
anybody
that
dies
in
the
substance
use
history.
They
do
a
lot
of
case
management,
services
for
the
adults,
18
and
up,
and
they
are
accepting
referrals.
A
A
Miss
martha
hernandez,
who
is
part
of
west
hair,
currently
has
the
face
coalition
meeting
during
the
time
that
we
have
our
meeting.
But
I
wanted
to
make
sure
that
I
reported
on
behalf
of
her.
They
also
took
part
in
the
red
rhythm
week
and
they
did
a
two-day
conference
online
and
they
involved
several
stakeholders
that
are
present
here.
They
also
included
myself
as
a
representation
of
the
radio
crime,
stoppers
and
the
drug
and
alcohol
commission.
A
So
I
did
the
welcoming
speech
for
for
that
day,
so
they
had
over
100
attendees
in
both
days,
and
it
was
a
really
good
turnout
between
students
and
also
parents,
teachers
and
some
law
enforcement
officers.
So
just
wanted
to
make
sure
that
I
included
that,
for
you
guys
any
other
comments
from
any
other
stakeholders
that
I
may
have
missed.
D
Madam
chair,
yes,
with
driving,
we
don't
have
a
an
office
per
se
or
see
anyone,
but
we
do
if
you
know
of
anybody
that
was
a
victim
of
a
drunk
driving
crash
or
something
we
do
offer
support
in
in
counseling,
because
you
know,
as
you
know,
you
know
you,
you
survive
it
or
your
family
members
are
left
and
you
know
sometimes
well
not
sometimes
most
of
the
time
they
need
counseling.
D
So
if
you
know
of
anyone,
you
know,
please,
you
know
get
a
hold
of
us
so
that
we
can
make
a
referral.
The
services
are
free,
lab
pays
for
that.
So,
just
let
us
know
we
did
participate
in
red
ribbon.
We
did
a
presentation
at
seattle,
high
school
and
at
delhi,
independent
school
district.
So
we're
glad
that
we're
able
to
you
know
continue
with
presentations
because
outreach
is
is
very
important
and
and
all
the
work
that
everybody
does,
what
other
services
do
you
provide
basically
that
well.
D
D
What
they
might
need,
you're,
mentioning
you
know
some
services
that
you
know
folks
would
have
to
pay.
You
know
we're
willing
to
to
partner
up
with
that.
We
we're
a
small
non-profit.
We
heavily
rely
on
donations,
but
you
know
whatever
we
can
help,
I
mean,
even
if
it's
100
bucks,
to
get
somebody
to
get
some
services
we're
willing
to
do
it.
C
B
C
B
C
You
know
elizabeth
tiller,
because
I
want
to
say
that
there
was
like
seven
counselors
from
pillar
that
are
trained
in
emdr,
so
not
just
in
your
program
but
in
the
general
services.
So
that
may
be
a
discussion
you
may
want
to
have
with
a
man
in
a
tudor,
because
what
is
the
rate
for
seven
sessions?
Thirty,
five
dollars.
Yes,
that's
very
cheap.
B
E
Stand
up
so
I've
been
in
I'm
campbell,
actually
assistant
director,
I'm
sorry
yeah
we're
in
such
a
small
room
next
month,
I'll
absolutely
make
sure
we're
in
the
bigger
room
and
we'll
figure
some
way
to
move
that
camera
over
there.
But
congratulations
colleen
not
having
such
a
great
turnout
today,
like
you
say,
I
think
this
is
the
right
time
to
do
this,
but
we're
very
excited
because
maybe
five
minutes
ago
we
gave
out
our
first
pediatric
copic
vaccinations.
So
if
you
guys
know
anybody
who
has
kids,
you.
F
E
We're
bringing
by
we're
giving
out
visors
from
five
to
eleven
and,
of
course
we
have
every.
We
have
all
three
pfizer,
moderna
and
johnson
available
up
until
five
o'clock
every
day,
and
we
don't
even
tell
the
last
person
you
so
welcome
here.
C
Thank
you
monday,
through
friday,
and
thank
you,
but
you
know
remember
it's
such
a
big
link
with
covenant
and
how
it
impacted,
adults
and
adolescents.
A
lot
of
them
started
eating
drinking
more
absolutely.
So
I'm
glad
that
you
congratulations
on
that,
but
there's
a
big
way
to
be
bigger
than
our
substances.
E
E
A
Yeah
they've
been
put
under
a
lot
of
pressure
and
I
think
we
all
have
one
way
shape
or
form.
So
that's
that's
great
news,
mr
walls.
Congratulations
on
that
and
we
only
hope
that
more
people
can
get
vaccinated
so
that
you
know
we
take
care
of
one
another
and
ultimately
it's
everybody's
choice,
but
hopefully
that
prevents
a
lot
of
the
the
covid
spreading
which,
as
a
matter
of
fact,
it's
at
the
lowest
so
we're
we're
in
a
good
state
of
our
community.
Thank
you
for
that.
A
We're
gonna
go
ahead
and
move
forward
with
our
community
presentation
and
I'm
going
to
pass
it
to
mr
jesse,
another
who's
going
to
introduce
our
speaker
for
today.
Okay,.
C
So
I
invited
mr
west
cowell
from
all
for
me
to
come
down
because
it's
kind
of
like
a
you
know.
C
The
last
time
we
had
a
meeting
in
person
we
were
talking
about.
All
companies
was
here.
They
made
a
presentation.
We
had
just
gotten
the
m.a.t
grant
that
the
county
was
going
to
use
medications
as
a
treatment
for
re-entry.
We
were
talking
about
that.
We
were
talking
about
how
big
withdrawal
is
an
important
medication
that
can
be
used
much
more
efficacious
than
methadone
or
other
medications.
This
is
the
way
I
see
it
and
we've
been
using
vivitrol
in
the
drug
court
since
2013.
K
C
And
in
the
first
three
years
that
we
used
it,
we
saved
our
community
over
560
000
in
hospitalization,
going
to
jail,
recidivism
rates
were
low
and
so
from
a
950
thousand
dollar
grant.
By
saving
that
money,
it'd
say
you
saved
our
money,
1.4
million
dollars.
So
we
are
big
proponents
that
live
withdrawal,
and
so
we
brought
west
end
for
training
for
the
for
for
the
drug
court,
the
veterans,
court
and
pillar-
and
I
wanted
wes
to
just
explain
a
little
bit
about
vivitrol
and
what
it
does
sure
can
I
take
this
thing.
M
M
I'm
not
going
to
have
a
panic
attack
so
again,
thank
you,
jesse
and
thanks
for
having
us
here
right.
You
all
have
something
here.
Thank
you
for
what
you
are
doing.
Y'all
have
it
built
in
this.
We
like
to
call
it
an
ecosystem
or
a
web.
If
you
will
where
we
can
track
the
patient
and
have
them
start
on
good
patrol
and
give
them
the
best
success
rate
by
going
into
calcium
and
staying
active
in
their
community
all
those
things
so
my
hat's
off
to
you
all.
You
have
everything
set
up
in
place.
M
It's
really
the
hardest
part
about
my
job,
actually
not
like
a
sales
guy,
I'm
just
not
my
main
job,
probably
is
a
procurement
of
the
patrol
and
just
getting
it
to
patients
a
neat
thing
about
this
medication.
I
don't
know
if
anybody
or
if
you
are
familiar
with
it,
I
don't
mean
to
talk
down
or
anything,
but
essentially
vivitrol
keeps
you
from
having
euphoria.
M
So
if
you
are
to
drink
alcohol
or
if
you're
taking
opioids,
it's
pointless,
you're
not
going
to
feel
anything,
I
mean
you're,
just
not
you're
not
going
to
have
that
dopamine
rush
and
that's
what
vivitrol
blocks
for
28
straight
days,
so
I
mean
you
can
kind
of
put
together
what
that
looks
like
for
your
patient.
You
know
when
they're
having
that
one
moment
per
month
when
they
wake
up
and
it's
like
okay,
I
really
need
to
quit
this.
M
M
No,
and
so
it's.
Why
would
you
dream
right?
It
comes
to
a
point
where
in
the
trials
they
tried
one
and
they
were
just
like
okay.
So
it's
pointless
to
do
that.
So
if
you
have
somebody-
and
this
is
what
we
talk
about-
give
us
the
hardest
one-
you
got
the
one
you've
seen
over
and
over
again
right
I
mean
it's
really
one
of
those
deals
where
a
motivated
patient
in
the
right
circumstance,
member
troll,
can
change
their
life
almost
immediately,
particularly
it's
the
gold
standard
now
for
alcohol
fever.
M
M
So
if
you
have
it
in
your
system,
it
has
to
be
cleaned
down,
so
to
speak,
and
that's
something
that
you
know
medically
supervised
people
like
y'all
know
what
you're
doing
it's
a
done
deal
it's
about
four
to
seven
days.
I
would
probably
guess
you
could
probably
get
it
done.
C
I'm
sorry
yeah.
I
just
want
to
add,
because
you
know
we're
talking
about
the
vivitrol.
Is
the
injectable
form
of
naltrexone?
That's
been
around
for
years
exactly
and
we
don't
you,
we
use
it
a
lot
for
opiate
addicts,
but
we're
not
using
the
committee
enough
for
alcoholics,
and
I
I
I'm
glad
that
west
you're
targeting
them
targeting
that
because
it
is
a
dopamine
recovery,
blocker
prevents
euphoria
for
for
use
of
alcohol,
so
go
ahead.
I
just
wanted
to
add
that
I
think
you're
targeting
the
the
alcohol,
which
is
right.
M
Has
mood
funds
to
this
issue
thetexasmood.org
if
you're
familiar
with
that
moud
they're
changing
their
name,
I
mean
they
are
allocating.
I
think
it's
more
like
400
million
dollars
just
for
the
alcohol
component
and
vivitrol
being
a
part
of
that
for
the
uninsured
patients
covet
made
things.
Go
bananas
300
times
more
alcohol
sold
in
the
first
month
300
times
that
seemed
like
much.
M
But
when
you
look
at
the
number
and
the
data
on
it,
it
was
a
ton,
it's
not
that
they
always
maybe
have
had
some
drinks
and
the
fever
trial
is
not
maybe
going
to
end
all
be
all,
but
it
was
able
to
meet
them
where
they
were
and
reduce
their
heavy
drinking,
and
that's
what
our
clinical
trial
was
able
to
show.
We
have
coverage
in
a
lot
of
the
places
like
what
jesse
was
saying.
The
medicaid.
M
The
va
is
a
major
client
for
us,
and
it's
because
they
see
the
value
in
having
the
vivitrol
on
board
the
long-acting
injection,
because
the
naltrexone
molecule
works.
We
know
that
the
problem
is,
you
have
to
take
it
every
day,
five,
six
times
a
day.
Well,
I
like
to
tell
the
deal
where
I
take
the
only
way
I
don't
know
I
take
my
hard
medicines
when
my
throat
starts
burning,
so
it's
kind
of
like
one
of
those.
This
is
hard
to
stay
compliant,
but
the
medication
works.
M
So
when
we
put
it
into
that
oral
system,
I
mean
to
the
shot
it
stays
in.
The
system
for
28
days
had
a
55
reduction
in
opioid
cravings.
Self-Reported.
We
don't
know
why
point-blank
we
don't.
I
there's
a
lot
of
things
that
we
can
like
believe
to
or
try
to
put
commonsensically
together,
but
we
don't
actually
know
why
it
was
quite
a
find
in
our
clinical
trials.
M
I
think
they
were
very
excited
and
to
that
point,
with
the
clinical
trials
they
all
had
hiv,
not
all,
but
they
had
hep
c
hiv
on
antidepressants
liver
function
had
some
problems
there
and
there's
some
things
that
we
have
in
there
with
safety
for
that,
but
in
general
these
are
the
people
that
you're
to
see
and
have
the
opportunity
to
be
on
vivitrol.
M
We
have
some
new
stuff
in
the
uninsured
patients
and
what,
in
order
to
really
get
those
funds,
we
have
to
show
like
what
jesse's
talking
about
a
continuity
of
care,
because
you
can't
just
give
them
like
harris
county
is
a
good
example.
They
bought-
I
guess,
probably
80
doses
or
so
from
us
recently,
but
they
had
and
they
put
in
that
kind
of
pilot
and
he's
already
got
it
exactly
how
it
should
have
been.
But
they
have
this
to
where
it's
the
same
thing.
Where
you
have
counseling,
you
can
follow
them
into
the
community.
M
They
get
their
shop
right
before
they
come
out
of
the
wall,
and
then
they
go
to
a
fqhc
and
literally
they
I
mean
they
bust
them
to
that
place
and
follow
them.
I
mean
it's
one
of
those
deals
where
I
mean
it's.
It's
pretty
strict
the
neat
thing
about
those
funds:
it's
not
limited
to
one
shot
to
one
person.
So
if
you
have
a
super
motivated
patient
and
they
need
a
couple
of
months
because
a
lot
of
times
they
recommend
jesse,
said
13
to
18
months.
Well
that
that's
the
program.
C
M
And
they
they
have
things
like
from
the
first
shot
to
the
second,
it's
called
waterfall
data.
You
have
like
a
70,
better
chance
of
them
going
into
remission.
You
know
it's
just
one
of
those
things.
In
my
opinion,
this
is
sort
of
my
opinion,
but
if
you
have
that
on
board,
there's
a
part
of
that
that
mentally
gives
me
stability
right.
So
I
have
that
on
board
and
in
the
clinical
trials
they
doubled
up
their
time
in
counseling,
while
they
were
on
vivitrol
double.
M
So
if
we
can
keep
them
in
those
programs,
that's
really
where
the
hard
work
is
done.
It's
not
the
shot,
shot's
half
of
it,
if
you're
not
willing
to
do
the
hard
work
I've
heard
of
a
guy
in
the
galleria
area
down
in
houston
three
years,
three
years
on
vivitrol
I
mean
you
know
not
for
nothing,
but
you
might
want
to
address
where
it
hurts
all
right.
Where's,
the
pain
man
got
to
figure
it
out,
but
six
to
12
months
is
about
what
we
see
in
general.
M
Like
I
said,
I
don't
really
get
paid
on
that.
It's
not
some
thing
for
me
to
be
like.
Oh
keep
them
on
forever.
What
I
can
say
is
one
to
two
months.
Certain
people
do
amazing,
I
mean
you
can
think
of
how
that
could
be,
but
think
of
your
frequent
flyers
and
that's
how
I
like
to
put
it.
I
don't
need
to
be
rude,
but
the
ones
you
see
a
lot
trying.
Why
not.
C
And
if
you
follow
the
rule,
the
protocols
from
542
from
samsung
you
want
to
treat
cochrane
psychiatric
and
subsidies
are
sourced,
concurrently
and
aggressively,
and
so
we
can
stabilize
them
from
using
heroin
or
alcohol.
It's
good
they're
going
to
go
ahead
and
capture
their
mental
health,
their
psychotherapy
a
lot
better
and
that's
what
we
want
addressing
the
alcohol
is
a
big
deal,
and
I
I
do
you
know
I'll
call
it
for
me.
It's
a
big
deal.
C
We
already
know
it
works
really
well
for
the
opiates
you're
not
going
to
use
opiates,
but
you
know
we
need
to
get
it
out
in
the
community,
we're
looking
at
ways
that
we
can
get
more
doctors
involved,
more
nurses
involved
more
community
people
involved.
I
think
I
think
joseph
got
talked
to
when
we
had
lunch
with
his
night.
C
I
think
he
mentioned
that
he
might
be
interested
in
something
like
this
for
for
the
new
grant,
and
so
you
know
that's
another
introduction.
I
told
bless
next
time
he's
around
be
happy
to
introduce
him
to
luis.
M
This
is
what
it
takes,
though,
what
I've
seen
it
takes
the
stakeholder
meeting.
It
takes
everybody
knowing
that
y'all
got
some
neat
stuff
right
here,
and
this
room
has
already
gotten
pretty
much
everything
you
need.
So
it's
a
policy
and
a
program
that
once
it's
in
there
and
they've
piloted
in
so
many
different
areas,
it's
so
effective.
It
just
is
the
dwi
courts
is
a
great
place,
but
not
just
there,
and
I
don't
mean
to
pigeonhole
it,
but
it's
the
ones
you
see
over
and
over
again.
M
We
can
change
our
life.
We
really
can
it's
it's
amazing.
What
happens?
It
really
is
like
I
said,
I'm
not
a
sales
guy.
I'm
not
my
whole
job
is
procurement.
I
don't
really
have
to
sell
it
very
much.
That's
probably
that
guy
will
sell
it
faster
than
anybody.
I've
never
seen
somebody
so
passionate
about
food,
but
he
knows
what
it
is.
It's
non-narcotics
non-diversity
in
a
lot
of
ways
we're
the
good
guys.
M
You
know
I
mean
these
people
that
are
staying
on
methadone,
not
that
they
don't
need
it,
but
they're
incentivized
to
have
those
patients.
You
start
paying
people
to
have
200
exactly
200.
You
know
on
supplicate
or
methadone.
I
don't
know
what
you're
doing
you
know
what
I
mean
you're,
just
keeping
them
on
it
forever.
F
B
C
C
Some
people
do
methadone
in
it,
that's
worked
for
them,
but
we
have,
but
sometimes
programs
don't
monitor
as
well,
and
so,
if
they're
using
methadone,
they
can
also
use
heroin
and
you
know
they're
checking
for
drugs
and
they
can
use
methanol
and
heroin
and
they
can
use
pastas
and
they're
eating
all
sorts
of
things.
And
so
we're
talking
about
this
client.
M
Diversion
is
a
big
deal
in
the
methadone
and
the
sublocate
world.
They
have
these
different
things.
I
mean
it's
crazy,
like
cheek.
It
y'all
ever
heard
of
that
they
take
this
supplicate
piece
and
they
put
it
in
their
cheek
because
it's
their
daily
or
whatever
it
is,
and
they
come
out
and
sell
it.
I
mean
there's
a
lot
because
it's
narcotic,
it's
that's
the
cool
thing
about
vivitrol
as
well:
non-narcotic
non-development.
B
C
C
Where
we
are
the
only
felony
dwi
court,
you
know,
let's
get
it
out.
We
know
it
works
for
the
opiates
we're
going
to
use
it
for
open
opiate
use
disorders,
but
let's
also
get
it
out
there
in
the
community
and
educate
communities,
and
that's
that
that
is
my
whole
goal
here,
for
you
guys
to
just
go,
educate
people
and
come
up
with
more
ideas
to
educate,
more
and
more
so
vivitrol
can
be
something
that
is
in
the
community's
mind.
Have
you.
F
M
M
G
B
C
H
A
One
of
the
suggestions
that
we
can
do
is
probably
host
an
event
to
invite
our
medical
staff
members
to
learn
more
about
not
only
vivitrol
but
other
of
the
resources
that
we
have
available,
because
if
dr
gongora
is
the
only
one
who's
in
ministry-
and
that
was
my,
my
question
is
like
well,
who
administers
it.
B
A
It's
only
one
person,
but
then
you
have
clients
or
patients
rather
that
you
know
that
may
need
this.
Then
why
not
be
able
to
offer
it
to
them?
If
you
can
offer
them
xyz
medicine.
C
C
The
last
thing
that
dr
gonzalez
was
working
on
before
the
covet
pandemic,
because
we
had
the
presentation
from
vivitrol
from
locker
maze
was
setting
up
a
meeting
with
the
hospitals.
So
we
can
provide
the
doctors
cmes
so.
M
C
A
I
just
finished
working
with
the
nursing
program
with
tammy,
because
they
did
a
they
did,
something
that
is
is
nursing
in
the
community.
So
they
wanted
to
know
what
resources
are
available
to
to
the
community
and
crimestoppers
was
one
of
those,
since
they
actually
promoted
crime
stoppers.
It's
funny
and
I'll
go
ahead
and
reach
out
to
ms
linda
who's.
The
director
she's.
A
She
is
there,
but
they
have
different
instructors
and-
and
she
was
part
of
the
this
class
and
supervised
this
group,
so
I'll
go
ahead
and
let
her
know
sure,
because
I
think
that
that
would
be
a
great
opportunity.
I
think.
A
M
F
M
The
strong
I
mean
the
overall
structures
here
because,
to
be
honest
with
you,
the
counseling
is
more
important
and
we
look
at
that
like
that
and
where
they
go
and
how
they
get
that
continuity
of
care
is
what
we
call
in
our
business.
That's
a
huge
deal
to
us
and
it's
important
just
about.
We
can
train
almost
anybody
to
do
the
shot
and
we
can
get
other
people
psychiatrists
to
do
the
prescription.
H
M
The
spike
right
and
then
that
just
kind
of
makes
sense
and
then
the
other
one's
the
injection
site
reaction
and
isr.
We
have
rims
kits
for
that.
We
do
a
lot
of
training.
I
actually
have
a
clinical
nursing
educator
will
come
out,
we'll
all
do
the
demo
together.
If
you
all
want
to
it's
kind
of
fun
actually,
but
somebody
has
to
let
me
shoot
them
so
y'all
can
decide.
M
I
L
C
I
C
And
he
couldn't
get
it
well,
I'm
glad
I'm
glad
that
he
got
it
so
marina
go
ahead
and
tell
wes
a
little
bit
about
what
you
do,
I'm
telling
them
what
you!
What
do
you
do
and
what
your
program's
about?
How.
I
Do
you
mention
your
program?
Yes,
sir,
I
have
an
organization,
that's
called
mike's
purpose
and
my
son
actually
died
from
a
drug
overdose
from
an
opiate.
I
I
I
didn't
know
about
a
lot
of
the
stuff
that
that
you
know
that
I
haven't
got
here
already
and
I
wish
I
would
have
right,
but
so
now
what
I
do
is
I
go
and
I
go
to
schools
and
I
present
my
some
story
and,
and
and
I
go
so
I
I've
been
doing
the
virtuals,
also
in
harmony
and
virtually
memorable
middle
school,
they
actually
did
the
whole
school.
I
watched
my
presentation
and
just
trying
to
save
a
parent
from
going
through
what
I
went
through.
C
You
know
and
we
still
have
those
people
and
they're
they're
hidden-
and
you
know
I
you
know,
I'm
64.,
you
know
you
know
we
are
you
know,
I.
I
treat
a
lot
of
adolescents
with
heroin
addicts
for
a
long
time
and
we
need
to
break
the
cycle.
That's
that's
all.
C
C
I
would
not
recommend
vivitrol
if
I
didn't
believe
in
it.
I
would
people
to
recommend
to
a
family
member
and
that's
the
absolute
truth.
I,
from
from
almost
day
one
when
I
understood
it,
the
pharmacology
of
it
and
how
it
could
benefit.
You
know
I've
been
a
big
fan
because
I've
been
around
methadone.
I've
been
around
buprenorphine.
C
C
A
Do
we
know
how
many
vivitrol
injections
have
been
administered
here
in
our
community
in
the
last?
I
guess
whatever
you've
done.
G
The
injections
stopped
between
march
and
may
of
2020,
and
we
have
yet
to
pick
it
back
up
and
that.
G
In
there,
and
actually
during
the
time
I
wasn't
with
the
drug
court,
but
at
the
time
there
was
21
shots
that
are
biles
rather
that
the
doctor
was
storing
for
us
and
because
of
the
pandemic.
M
One
thing
that
they
want
to
add:
just
I
mean
one
nice
little
thing
was
you
can
still
get
runners
high
chocolate
high
all
that
it
doesn't
squash
your
fun
of
life,
just
just
so
we
I've
had
people.
Ask
me
before,
like.
M
C
C
C
Monday
morning
now
I
you
know
the
model
that
you
talked
about
in
houston.
We
had
we,
the
the
grandpa
that
I
wrote
on
behalf
of
the
drug
and
all
club
commission
a
year
or
two
ago,
the
medication
system,
treatment
program.
We
got
it
funded
and
we
had,
I
want
to
say
over
a
hundred
doses,
to
give
our
population
we
can
use
it.
However,
we
want
it
one
at
a
time
or
up
to
six
depending
on
how
pillar
was
pillar
was
going
to
be
doing
the
counseling,
unfortunately,
because
of
coven
pandemic.
C
That
fan
fell
apart,
but
I
do
want
to
work
with
aaron,
because
we
have
that
grant
polish
and
I
want
to
go
ahead
and
see
how
we
can
go
ahead
and
bring
that
money
back
into
our
community,
because
you
know
that
was
100
or
more
doses
and
and
the
health
department
was
going
to
help
us
doing
the
purchasing
because
they
could
get
at
a
lower
rate.
Well,
we
can
do.
M
C
That
helped
us
that
helped
us
a
lot
increase.
The
amount
of
you
get
voted
out,
yeah.
That
was,
that
was
what
we
did.
So
I'm
ready
to
do
that
one
again
as
long
as
you
call
aaron
and
have
her
connect
with
me.
M
Our
government
relations,
let
me
work
for
the
governor
abbott
for
like
15
years
she's.
Probably
like
my
age.
I
guess
she
knows:
hey
she's,
I'm
working
on
something
she's
like
I'll
call.
The
director.
Oh
okay,
I
have
a
cell
phone.
Oh.
I
M
A
A
To
our
medical
field,
to
our
doctors
and
our
nurses
to
know
that
there
is
this
medicine
that
can
definitely
help.
So
thank
you
so
much
for
your
time
last
friend,
coming
out
here.
Thank
you
jesse
for
the
invitation
we're
moving
forward
and
almost
done
do
we
have
any
other
announcements,
any
announcements
that
you
all
want
to
share.
A
I
know
that
is
working
on
that.
I
know.
Tiffany
had
sent
a
recommendation
that
there
was
this
gentleman
who
was
trying
to
get
in
from
the
bwi
court.
Mr
alaska
sent
down
an
email
that
he
had
a
staff
member.
I'm
not
sure
that
name
with
you
know
who
it
is.
A
Then
we've
already
I've
already
reached
out
several
times
to
the
administrative
assistants
and
I
think
mr
walls
had
done
so
the
same
thing
after
I
did
and
they
are
actually
reaching
out
to
council
members
themselves
and
they
have
had
no
luck.
So
we're
going
to
try
to
see
if
we
can
go
one
more
time
or
try
to
figure
out,
but
we
do
need
those
vacancies
to
be
fulfilled
and
those
are
coming
in
from
our
new
council
members.
A
Everybody
else
is
still
pending.
I
think
we
have
mr
gutierrez
who
are
pending
their
appointment.
A
Okay
and
then
we
actually
had
dr
martin
martinez,
appoint
someone,
but
that
person
has
not
yet
been
to
our
meetings
whatsoever.
F
F
D
A
Your
attendance
is
not
counted,
it
is
12
44
and
I
am
calling
this
meeting
to
order.
Do
I
have
a
first
person?
I
do
have
a
second
second
by
jesse.