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From YouTube: Interim Joint Committee on Health Services (7-24-23)
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A
B
C
B
A
F
A
Any
opposed
okay,
the
minutes
are
approved,
so
we're
going
to
go
ahead
and
get
started.
I
wanted
today
to
be
a
discussion
about
a
a
real
problem
that
we
see
not
in
just
our
state
Across.
The
Nation
but
I
wanted
to
highlight
some
of
the
programs
that
we
have
here
in
Kentucky
and
really
talk
about
some
of
the
the
prevention
initiatives,
violence,
prevention,
initiatives
that
are
working
and,
first,
to
give
us
an
overview
of
the
problem
and
the
situation
that
we
are
facing
here
in
Kentucky.
A
G
Thank
you
and
good
afternoon:
I'm
Colonel,
Philip,
Burnett
Jr,
currently
the
commissioner
of
Kentucky
State
Police,
and
thank
you
for
having
me
here
today
to
hear
about
some
of
the
progress
that
law
enforcement
in
Kentucky
has
made
over
over
this
past
year
past
for
the
year
2022..
One
thing
that's
here
to
particularly
discuss
was
about
the
annual
crime
in
Kentucky
report.
G
That
is
a
report
that
Kentucky
State
Police
has
a
compiled.
We
can
track
that
back
to
1978..
Each
year
we
take
crime
data,
that's
submitted
by
all
law
enforcement
agencies
within
Kentucky.
They
take
it
and
they
report
that
data
to
us.
So
in
a
nutshell,
the
KSP
is
basically
the
central
repository
for
crime
data.
G
What
we
will
do
is,
then
we
take
that
data
and
then
we
will
submit
that
to
the
FBI
and
then
they
will
do
statistical
analysis
and
and
other
things
like
that,
as
well
to
capture
of
events.
That's
happened
in
Kentucky.
G
The
FBI
basically
considers
once
admission
the
most
accurate
and
timely
and
efficient
that
they
can
have,
and
Kentucky
is
one
of
the
few
states
in
the
nation
that
has
that
capability
to
expand
from
that
as
well
of
the
Kentucky
State
Police,
we
have
a
a
reporting
system.
It's
a
unified
reporting
system
that
we
call
Kentucky
Ops
and
what
that
stands
for
is
Kentucky
operating
or
I'm.
Sorry,
Kentucky,
open
portal,
Solutions,
that
is
a
database,
a
reporting
system
that
Kentucky
state
police
offers
to
all
agencies
in
Kentucky.
G
It's
free
of
charge.
It's
free
software,
it's
free
maintenance
and
it's
free
support
and
all
agencies
in
Kentucky
utilize
that
reporting
system
not
just
for
Crime
reporting,
but
also
for
traffic
enforcement
or
traffic
collisions,
except
for
four
agencies
in
Kentucky.
Those
four
agencies
do
utilize
our
online
collision
and
e-citation,
but
as
far
as
the
neighbors
reporting,
they
have
their
own
private
reporting
capabilities.
G
So,
but
what
they
do
is,
each
month
they
take
their
crime
data
and
they
submit
it
to
us
and
that's
how
we
tabulate
the
annual
crime
in
Kentucky
report
I
think
we
sent
that
out
to
everyone
to
be
able
to
look
at
and
see
and
to
be
able
to
review
it's
also
available
on
our
on
our
website.
Kentuckystatepolice.Org.
G
When
the
report
came
out,
it
has
some
very
promising
crime
statistics
that
we
were
able
to
review
not
only
for
the
Kentucky
State
Police,
but
we
report
this.
So
every
law
enforcement
entity
in
Kentucky
can
look
at
it
and
they
can
tailor
their
needs
for
Public
Safety
per
their
County
and
that's
how
it's
broken
down
in
Per
County.
G
G
We
have
determined
that
they
may
have
been
a
issue
with
reporting
on
homicides
with
lmpd.
We're
still
looking
at
that
to
see
if
that's
on
the
reporting
software,
if
that's
on
how
that
come
about,
but
they
were
less
homicides
that
were
actually
submitted
for
the
crime
in
Kentucky
report
then
was
actually
tracked
there,
but
still
yet
from
what
we
do
know.
There
is
anywhere
from
a
30
percent
to
a
approximately
19
percent
reduction
in
homicides
across
the
state
of
Kentucky.
G
Obviously
any
homicide,
any
violent
crime
against
any
Kentuckian
is
is
unacceptable
and
that's
what
law
enforcement
Works
toward.
G
What
we
have
tracked-
and
this
is
you
know-
well
we're
a
primary
Kentucky
or
we
have
statewide
jurisdiction
and
we
operate
in
across
Kentucky,
but
just
what
we
have
worked
from
the
previous
year,
2022
to
2021,
we
have
a
reduction
of
five
percent
in
assault,
offenses,
a
30
percent
reduction
in
homicide,
and
we
do
have.
We
did
work,
an
increase
of
16
percent
of
robberies
and
an
increase
of
four
percent
of
sexual
forcible
sexual
offenses.
But
that's
just
what
KSP
works.
G
That
is
aside
from
the
annual
crime
in
Kentucky
report
that
we're
still
looking
through
to
solidify
some
of
that
information.
G
As
a
you
know,
one
of
the
questions
that
was
brought
to
me
was:
how
do
we
track
a
homicide
or
violent
crime
with
firearms?
That's
one
thing:
that's
very
difficult
for
us
to
to
be
able
to
track.
What
we
can
say
is
that
a
firearm
was
in
that
particular
crime,
but
it
may
not
have
been
as
a
result
of
a
homicide
or
an
assault
just
that
a
perpetrator
may
have
had
a
farm
with
on
their
person
at
that
time.
G
G
You
know
I
talk
about
some
of
the
significant
reductions
in
the
violent
crime
in
Kentucky,
but
also
just
talk
about
three
of
our
largest
categories
of
arrest
in
Kentucky.
The
largest
number
of
arrests
that
we
have
is
illegal
drug
charges,
which
is
encompasses
18
percent
assault,
which
is
number
two
with
ten
percent,
and
then
third
is
DUI,
which
is
4.9
percent.
G
You
know
we
utilize
Partnerships,
that's
part
of
our
mission
to
be
able
to
accomplish
Public
Safety
and
by
all
of
us
working
together.
You
know.
That's
that's!
Obviously
that
has
improved,
but
you
know
we're
not
going
to
limit
we're,
not
just
going
to
be
happy
with
where
we're
at
you
know
we're
consistently
using
new
Equipment
Technology
other
investigative
methods
to
bring
down
violent
crime
across
Kentucky.
You
know
we're
very
proactive.
You
know
we
want
to
be
out
on
a
horizon.
G
We
want
to
be
proactive
to
to
provide
for
Kentucky
instead
of
reactive
and
as
law
enforcement
you
have
to
be
able
to
do
both
of
them,
but
I
think
in
today's
time,
using
the
technological
means
that
we
have.
You
know
we
have
to
be
proactive
about
that
and
and
Partnerships
you
know.
That's
one
thing:
we've
been
very
we've
been
very
cognizant
of
within
KSP.
You
know
I'll
attend
Kentucky,
Sheriff's
Association.
G
Let
them
know
that
we're
a
partner
and
there's
an
issue
that
we
can
do
or
we
can
work
to
bet
work
together
better
to
build,
provide
a
better
Public
Safety
for
entities.
That's
what
we'll
do,
but
I
want
to
take
this
opportunity
to
thank
all
the
law
enforcement
that
across
Kentucky
that
have
put
forth
such
hard
initiatives,
but
it's
just
not
it's
just
not
that,
but
law
enforcement
has
to
have
support
and
we've
had
support.
G
G
You
know
with
the
you
know,
with
the
raises
that
was
administered
to
Kentucky,
State,
Police
and
also
other.
You
know
aspects
to
help
our
agency.
It's
really
warded
off
of
retirements
and
resignations.
It's
dramatically
increased.
Our
recruitment
has
increased
our
numbers
when
I
was
here
two
years
ago
we
were
hovering
around
in
the
700s,
with
the
class
Kentucky
State
Police
Class
103
that
will
be
graduating.
August
11th
will
be
up
around
9
40.
G
G
So
you
know
and
I
talk
with
other
entities
across
state
police
agencies
and
Highway
patrols
across
the
country
and
and
they're
really
in
awe
of
where
we're
at
you
know
on
our
numbers
on
our
Recruitment
and
our
retention
and
our
pay
so
I
want
to
thank.
You
know
everybody
involved
for
that
for
us,
but
you
know,
obviously
you
know
I
talk
about
some
of
the
highlights,
but
you
know
crime
is
still
here
and
I
said.
G
If
we
have
one
single
violent
crime,
that's
too
many,
but
we're
going
to
keep
working,
but
things
we
have
is
you
know
we
still
have
our
victims
Advocates.
You
know
each
of
our
16
posts
across
the
state
has
a
victim
Advocate.
You
know
we
still
do
community
outreach.
We
do
Trooper
Island
Angel
initiative,
Handle
With
Care.
We
have
an
apprenticeship
program,
Shop
with
a
trooper
cram.
The
cruiser
I
can
go
on
and
on
and
on
both
Kentucky
State
Police,
as
well
as
other
agencies
across
Kentucky.
G
You
know
we
become
I,
think
more
involved
in
community
efforts
than
we
have
in
my
28-year
career,
but
that's
something
that's
grown
over
my
career
I
mean
we
really
push
for
our
Troopers
and
officers
to
be
at
schools
at
sporting
events,
at
any
type
of
thing
that
we
can
do
to
interact
with
the
community
and
I
think
they
have
they
support
us.
I
mean
they
support
us
because
we're
a
part
of
the
community
and
also
with
trust.
You
know
we
want
Community
to
trust
us.
You
know
now
we're
rolling
out
a
body
cam
system.
G
You
know
we
want
to
have
support
and
we're
only
as
good
as
how
the
community
supports
us
and
I
think
that
we
are
we're
very
successful
there.
To
this
point.
G
But
engagement
is
what
it
is:
engagement,
Partnerships
and
as
long
as
we
can
keep
going
with,
that,
I
feel
like
I
hope
that
these
crime
rates,
especially
violent
crime
rates,
continue
to
go
down
and
I
hope
next
year
that
our
numbers
are
down
much
more
than
what
they
are
today.
But
I
know
one
thing:
Kentucky,
State
Police
and
our
partners
in
law
enforcement
will
work
to
make
sure
that
it
is
some
other
things
that
was
I
was
asked
to
talk
about
is
what
strategies
are
we
doing
right
now
to
took
him
bad?
G
G
We
as
I
talk
about
our
number.
One
arrest
are
illegal
drugs,
We've,
really
expanded
our
criminal
interdiction
teams
and
some
of
the
illegal
drug
seizures
that
we
have
across
this
state
are
phenomenal
huge
seizures
of
Fentanyl
methamphetamine
illegal
firearms.
G
But
you
know
it's
just
not
proactive
as
I
talked
about,
but
we
want
to
educate.
We
provide
programs
at
schools
like
for
electronic
crimes,
Branch
providing
things
for
online
bullying
cyber
bullying,
those
type
other
crimes
anything
to
feed
upon
our
children.
That's
that's
the
things
we
look
at
we.
You
know
we
have
to
protect
our
most
vulnerable,
our
children
and
our
elderly,
and
then
we
we
work
out
for
the
mayor,
but
you
know
we
consistently
modify
our
strategic
plan.
G
You
know
to
look,
you
know
what
are
the
oncoming
obstacles
and
oncoming
issues
in
Kentucky
and
that's
we
continue
to
do
that
and
I
feel,
like
we've
been
pretty
successful
so
far,
some
of
the
things
that
we've
done
in
the
past
has
prepared
us
to
answer
some
of
the
issues
that
Kentucky
has
faced
in
the
past
few
years.
G
But
again
he
had
the
crime
in
Kentucky
report
and
I
know.
My
time
is
limited.
I
can
sit
here
and
talk
about
some
of
the
successes
that
we've
had
but
I'll.
That's
all
I
have
and
I'll
open
it
up
in
questions.
A
Commissioner
Burnett,
thank
you
so
much
for
this
great
report.
I
mean
it's
certainly
good
news
to
hear
that
some
of
our
violent
crimes
are
are
down
and
I
love
hearing
about
the
initiatives
that
you've
undertaken
and
just
in
terms
of
community
policing.
A
Generally
speaking
in
all
of
the
the
different
initiatives
that
you've
talked
about-
and
you
know
it
might
seem
strange
to
have
a
hearing
on
violence
in
health
services,
but
we
know
that
violence
and
and
all
of
the
varying
varying
facets
that
that
we
see
all
the
different
types
of
violence
that
we
see
certainly
affect
health
and
the
well-being
of
our
families
and
our
communities.
So
I
I,
guess
you
know
we.
We
have
added
all
of
these
programs,
the
angel
initiative,
the
Handle
With
Care.
A
All
of
the
wonderful
work
that
you
all
are
doing
and
that's
I
think
we're
seeing
the
the
fruits
of
of
those
efforts
pay
off
part
of
what
you're
going
to
see
today
are
some
other
potential.
Partnerships
and
I
would
love
to
see
KSP
work
with
all
of
these
groups,
and
you
probably
are
already
but
and
certainly
you're,
aware
of
them.
I
love
that
you're
in
schools-
you
know,
bullying
is
a
huge
problem.
Cyber
bullying
is
becoming
more
and
more
of
a
problem.
That's
a
tough
one
to
handle.
A
We,
we
see,
you
know
increased,
suicidal
ideation
in
kids,
and
you
know
I
think
that
that's
probably
a
big
part
of
it.
We
have
a
couple
of
questions.
I
have
one
quick
question
about
the
crisis:
intervention
training
that
KSP
receives.
Would
you
estimate
that
most
of
your
officers
are
trained
in
Cit.
G
I
would
be
saying
it's
close
to
half.
That
is
where
consistently
there's
only
so
many
slots
available
for
Crisis
Intervention
take
or
training
technique,
training
and
it's
a
very
good
program,
and
that's
something
especially
our
Cadets
when
they
come
out,
they
are
getting
that
but
we're
trying
to
bring
in
our
our
more
season
Troopers
and
officers
and
they
were
pushing
those
through
as
we
have
the
availability
in
spots.
Okay,.
H
A
I
Thank
you,
chairman
Moser.
Thank
you
so
much
it's
great
to
hear
that
especially
violent
crime
is
going
down.
I
did
want
to
know.
Do
you
have
any
percentage
like
of
recidivism
for
specifically
violent
crime
to
know?
Are
these
the
same
handful
of
of
perpetrators
or
are
they?
Do
you
have
that
information
I'm.
I
G
I
You
one
one
more
quick:
do
you
do
you
find
that
that,
with
most
of
the
violent
crime
that
it
is
that
there
is
a
large
case
of
recidivism.
J
G
G
L
Thank
you,
madam
chair,
commissioner.
Thank
you
and
I
really
appreciate
everything.
Ksp
is
doing
for
our
Commonwealth
I
want
to
talk
a
little
bit
about
the
angel
initiative.
How
does
that
program?
Is
that
working
well,
for
you
guys.
G
It
is
seem,
like
our
numbers
have
went
down
slightly,
but
we
still
do
very
push
that
program
it.
You
know
we
still.
We
advertise
it.
It's
on
our
website.
You
know
our
Troopers
are
aware
of
it.
If
they
see
someone
that
that
they
say
maybe
a
candidate
they'll
even
talk
about
it,
you
know
how
that
program
can
be
very
beneficial
for
them
to
help
them
out
of
the
drug
addiction
that
they
may
have.
G
They
do
have
that
in
other
states.
Maybe
other
agencies,
but
far
as
Kentucky
is
the
only
one
that
I'm
aware
of
they
may
Jeffersontown
may
have
that
program
on
a
local
level,
but
I'm
not
for
sure,
but
as
far
as
a
Statewide
initiative
we're
the
only
one
here.
E
Thank
you,
madam
chair.
Thank
you,
commissioner,
for
your
presentation,
the
information
and
Happy
75th
Anniversary
to
State
Police.
Thank.
E
Appreciate
the
job
that
you
do
coach
here,
Moser
made
a
comment
about,
may
seem
unusual
to
have
Texas
State
police
report
to
Health
Services,
but
crime
is
costly,
particularly
in
terms
of
health
dollars,
and
we
only
have
so
many
dollars
available
to
us
particularly
gunshot
wounds.
Seeing
costs
literally
thousands
of
dollars
to
take
care
of
those,
and
so
we
appreciate
anything
you
can
do
to
impact
from
crime
in
Kentucky.
To
that
end,
what
can
we
do
as
a
legislator
to
help
you
do
your
job.
G
Just
the
continued
support
that's
been
offered
to
us,
you
know
make
sure
that
we're
competitive,
competitive
and
pay
which
helps
with
our
recruiting
and
the
and
you
know
supporting
with
you
know
our
budget.
You
know
that
we
have
with
all
the
initiatives
that
we
provide
kentuckians
as
long
as
those
are
the
things
monetary
support
and
just
public
support
that
we
have,
as
we've
went
the
past
few
years
and
I
think
that's
that's
what
we
need
just.
E
A
quick
follow-up,
please:
how
is
recruitment
now,
since
we've
made
some
some
changes
too,
it's.
G
It's
been
phenomenal
from
where
it
was.
We
are
starting
a
class
in
January
and
we
have
over
500
applications.
So
far,
those
numbers
are
very
inspiring
and
we're
graduating
a
class
of
51.
G
and
August
the
11th,
and
we
actually
started
the
second
largest
class
that
we
had
ever
started
for
this
current
class
is
graduating,
so
our
numbers
are
up,
and
the
great
thing
about
it
is:
we've
not
had
retirements
or
resignations,
because
ours
are
our
most
seasoned,
Troopers
and
officers
their
most
experienced,
and
those
are
the
ones
that
we
really
need
to
hang
on
to
as
long
as
we
can
and
we've
had
I.
Usually.
Typically,
this
is
a
big
retirement
month.
G
I
think
I've
had
two
retirement
memos
and
that's
it
where
we
may
average
in
the
high
30s
or
low
40s
great.
E
G
Especially
after
August
11th,
when
those
other
51
graduate
that
they
will
be
doing
traffic
safety
for
the
Commonwealth.
D
Thank
you,
madam
chairman.
I
have
a
question,
but
I
also
have
a
comment
that
I
want
to
make
this.
The
comment
I'll
make
first,
is
a
follow-up
on
representative
Palumbo's
question
I'm,
going
to
begin
by
saying:
I:
don't
think
that
I
would
categorize
incest
as
consensual,
so
maybe
you
need
a
new
category
for
that,
and
also
could
you
provide
us
with
more
detailed
data
on
that,
because
I
think
there's
probably
more
categories
in
there
than
we
might
think
yeah.
G
And
and
they
would
be-
and
we
categorize
those
things
by
FBI
on
our
reporting
statistics
and
I'll-
be
glad
to
break
that
down
for
for
you
and
get
that
to
you
as
far
as
we
can
that
our
data
allows
to,
but
on
our
reporting
data
we
just
go
by
what's
FBI
statistical
requirements.
So
that's
how
we
come
with
that.
It's
it's
nothing
that
that
we
think
about
a
particular
offense.
That's
just
some
of
the
reporting
issues
that.
D
G
A
Okay,
we,
we
still
have
a
long
list
of
legislators
and
colleagues
who
would
like
to
ask
questions.
If
you
have
a
question
that
we
can
push
off
a
little
bit,
I'd
like
to
move
ahead.
Okay,
Senator
Berg
was
your
specific
to
KSP
quickly.
Thank.
H
M
H
The
data
by
County
would
would
have
more
significance
to
me
if
if
it
was
standardized,
so
if
we
could
go
per
100
000
so
that
way,
we
have
something
to
compare
23
to
490
and
know
what
the
difference
is.
If
that
makes
sense,
it
does
so.
I
would
really
appreciate
that
if
it's
available
and
then
very
quickly,
my
second
question,
which
doesn't
have
to
be
answered
I,
just
want
to
bring
it
up.
I,
don't
see
where
we're
talking
a
lot
about
cyber
crime
and
and
specific.
G
G
You
know
we're
always
looking
to
expand
as
far
as
reporting
the
FBI
really
pushes
entities
on
breaking
different
things
out
where
they
can
gather
data
where
they
can
look
at
it
as
a
thing
for
you
know
how
to
tackle
the
issues
across
the
country
in
Kentucky,
so
they
will
push
those
down
to
us
and
we'll
see
about
how
expanding
some
of
those
reporting
categories.
H
A
very
quick
follow-up:
you
know
this
this
cyber
bullying
like
when
those
of
us
who
receive
it
like
I,
got
an
email
last
week
from
somebody
who
gave
me
his
name
gave
me
what
state
I
could
look
him
up
online
I
could
find
the
guy
who
says
he
can't
wait
to
watch
me
bury
my
second
child.
H
There's
nobody
to
report
it
to
I,
don't
even
know
who
to
call
and
say
this
is
happening
so
just
for
another
time.
Thank
you.
Thank
you.
A
Thank
you.
We
have
Representatives
Dodson,
rourkes
and
Wilner.
Do
you
all
have
a
question
for
the
commissioner?
Thank.
O
You,
madam
chair,
thank
you,
commissioner
Burnett
for
coming
today.
I
want
to
ask
this
question
with
your
vast
years
of
experience
in
the
law
enforcement.
Do
you
see
a
direct
correlation
when
we,
as
a
general
assembly,
are
tougher
on
crime?
That
crime
does
come
down,
for
instance,
the
fentanyl
bills
that
we're
trying
to
pass
things
that
we're
trying
to
do?
Do
you
see
a
direct
correlation
us
helping
you
when
we
are
tougher
on
crime.
G
You
know
I
see
that
a
combination
of
things
you
know
holding
people
accountable
as
well
as
getting
people
treatment
and
I,
think
that
that's
a
that's
a
based
on
two
different,
two
different
things
to
be
able
to
help
someone.
You
know
if
they're
in,
if,
if
they've
committed
a
crime,
but
you
know
there's
treatment
as.
M
G
As
enforcement
and
holding
people
accountable,
so
I
do
feel
like
those
marry
up
with
each
other.
O
And
going
forward,
do
you?
Do
you
see
areas
that
we
as
a
general
assembly
could
fix,
because
you
guys
have
worked
within
the
parameters
you've
been
given?
What
we
can
do
to
help
make
your
own
job
a
little.
G
Easier,
just
just
the
continued
support
that
we've
had.
You
know
since
I've
been
on
the
Command
Staff
the
past
past
six
years.
You
know:
we've
had
great
support
from
the
general
assembly,
you
know
when
we've
request,
equipment
and
and
and
finances
for
competitive
salaries,
and
that's
the
things
that
make
sure
that
we
have
Remain
the
premier
law
enforcement.
You
know
with
those
things
because
it
takes
us
a
while
to
catch
up.
You
know
if
we
lag
behind,
but
you
know
as
long
as
we
keep
where
we're
at
just
keep
growing
I.
G
You
know
I
feel
like
the
agency
will
continue.
It's
aspiring
that
we
have.
A
Okay,
thank
you
certainly
I
think
with
the
the
results
that
we're
seeing
in
this
report,
you
can
expect
continued
funding.
We
are
very,
very
thankful
for
all
the
work
that
you're
doing
and
it's
it's
making
a
big
difference.
P
Very
quick
you
mentioned
ksb's
victim,
Advocates
or
victim
Services.
P
G
We
have
it
both
ways,
typically,
that
our
victims
Advocates,
will
reach
out
to
them.
If
we
come
across
them
in
an
investigation
or
you
know
they
do
Outreach
efforts
like
we
do
Shop
with
a
trooper
Trooper
Island
those
things
that
we
see
some
of
our
needy
children.
You
know
if
they
see
a
direct
correlation
for
victims,
Advocates
to
be
able
to
help
and
assist
those.
We
do
I
mean
if
we
were
to
have
a
a
tragic
incident
on
our
highways.
G
You
know
our
victims,
Advocates
are
always
far
out
and
reach
in
to
be
able
to
interact
mostly
with
our
cases,
but
we're
also
available
for
any
of
the
law
enforcement
agencies
that
operate
within
that
post
area
post
District
because
they
may
not
have
those
resources.
So
we
offer
that
as
well
to
them.
Q
Thank
you,
madam
chairman,
thank
you
for
the
report.
Thank
you
for
your
presentation
and
thank
you
for
the
work
you
do
I'm.
This
great
report,
ton
of
information
in
here
very
detailed,
I'm
interested
if
there's
anything
in
here
if
I
were
to
dig
into
the
whole
report
about
gun
violence,
because
guns
can
be
associated
with
a
lot
of
different
crimes.
So
is
there
a
place
to
see
that
specifically
and
are
you
aware
of
any
Trends
around?
You
know,
violence
that
includes
a
firearm
in
the
state.
G
Far
as
our
data
and
what
we're
able
to
collect
the
only
thing
we
can
collect
on
I
mentioned
what
KY
Ops
was
ever
ever
agency
in
Kentucky,
utilizes
kyops,
except
for
four.
So
what
we
can
determine
is
if
a
firearm
was
involved,
but
we
cannot
say
if
that
farm
was
involved
in
the
assault
in
the
the
homicide.
Just
at
that
there
was
a
firearm
involved.
G
Somehow
that's
the
only
thing
we
can
track,
so
we
can't
necessarily
track
it
based
on
our
capabilities
right
now
with
firearm
violence,
but
I
do
know,
you
know
we
continue
to
look
to
be
able
to
expand
and
to
be
able
to
collect
such
data,
because
you
know
one
of
the
things
that
we're
very
successful.
We
have
a
very
robust
intelligence
section
and
we
have
criminal
analysts
that
all
16
of
our
post-
and
we
also
that
is
another
service.
G
That's
offers
to
all
of
us
our
agencies,
our
local
agencies,
that
they
can
utilize
that
but
intelligences
like
technology
is
technology,
so
we're
consistent
using
that
intelligence
to
make
sure
that
we
target
the
most
violent
criminals
in
our
communities
and
that's
one
of
the
good
things
about
crime
in
Kentucky
as
well.
You
can
see
that
report
Per
County
and
they
can
see
not
just
what
their
agency's
doing,
but
whatever
other
agency
operating
in
that
county
is
doing.
A
Okay,
thank
you.
So
much
I
really
appreciate
all
the
great
information
and
your
work,
keeping
us
all
safe.
A
A
A
If
you
can
just
introduce
yourself
for
the
record
and
and
go
ahead
with
your
presentation,
let
me
it's
really
quickly.
R
R
So
many
things
we
get
to
hear
today
are
what
we're
proud
of
about
Kentucky,
which
is
really
incredible,
so
I'm
very
grateful
to
be
with
you
all
so
you're
already
hearing
me
use
this
term
power-based
personal
violence
when
I
say
that
I
mean
intimate
partner,
violence,
domestic
violence,
sexual
violence,
bullying,
cyber
bullying,
stalking,
elder
abuse.
Child
is
all
of
those
pieces
right
where
someone
has
power
over
another
person.
R
We've
been
around.
Some
of
you
might
know
us
as
women's
crisis
center
in
in
2021
our
Focus.
We
do
the
same
kind
of
work,
but
we
focus
so
much
on
prevention
and
what
we're
doing
and
everything
we
do
is
funneled
through
those
lenses
and
so
you're
like
ion.
What
does
that
mean?
Everything
that
propels
our
agency
forward
ends
in
those
three
letters
ion
so
prevention,
intervention,
transformation,
collaboration,
protection,
compassion?
All
of
those
things
end
in
iom
and
I
would
be
remiss
if
I
didn't
take
a
moment
to
appreciate
you
all
and
the
support
that
you've.
R
Given
the
ion
Center
and
all
of
our
programs.
We
are
a
dual
designated
program:
all
right
crisis
center
and
a
domestic
violence
program,
and
the
support
that
the
general
assembly
gave
us
really
helped
Propel
us
even
further
forward,
and
so
we're
super
grateful
also
to
Center
Senator
Rocky
Adams
for
that
safe
at
homes
act.
That
also
was
really
incredible.
So
thank
you.
I
also
want
you
to
have
a
sense
of
because
of
that
investment
and
I'm,
just
one
of
13
and
15
right
because
of
that
investment.
R
We
have
provided
over
25
000
safe
bed
nights,
73,
000
meals
like
we
are.
We
are
responding
to
every
hospital
call,
so
we
are
able
to
do
so
much
and
then,
if
you're,
looking
at
prevention
in
the
in
the
month
of
November
alone
in
2023,
the
iron
ion
Center
trained
7
000
high
school
students.
So
we
are
there
every
day
doing
this
and
couldn't
do
it
without
you
as
I
bring
that
back
to
Kentucky
even
more
so
what
we
know
is
that
one
in
seven
Kentucky
youth
are
physically
hurt
by
a
dating
partner.
R
R
Again,
all
the
things
that
we
do
are
through
these
three
levels
of
prevention,
but
I
again,
based
on
your
time,
I
want
to
get
to
the
good
stuff
Green
Dot.
So
what
research
tells
us
is
for
folks
to
actually
engage
in
violence
prevention.
They
have
to
do
these
five
things.
They
have
to
believe
there's
an
issue.
R
They
have
to
believe
that
they're
a
necessary
part
of
doing
something
about
it
know
what
to
do,
how
to
do
it
and
it's
got
to
be
manageable,
so
Green
Dot,
if
you
didn't
know
this,
it's
Kentucky,
proud
born
at
the
University
I
worked
alongside
Dr,
Dorothy,
Edwards
I
think
it
was
about
2007.
When
we
created
Green
Dot.
R
It
has
now
spread
to
42
States
Across,
the
Nation
it
has
been
adopted
by
by
people
it
has
been
adopted
by
the
Pentagon
and
I
believe
the
Navy
and
so
Green
Dot
has
spread
and
we
have
led
the
way
and
it's
working.
R
So
if
you
can
imagine
you're
like
what
does
Green
Dot
even
mean,
if
you
haven't
heard
right,
a
red
dot
to
us
is
a
moment
in
time
that
somebody
makes
a
choice
to
hurt
somebody.
So
it's
some
the
time
that
it
takes
to
send
that
email
to
you,
Senator
Berg,
it's
the
time
that
it
takes
for
somebody
to
hit
their
partner,
the
time
that
it
takes
to
sexually
assault
somebody.
We
know
that
we've
got
enough
red
dots
in
our
state
that
46.3
percent
of
women
are
hurt
right.
R
We
know
this
so
in
order
for
us
to
do
something
about
it,
we've
got
to
have
a
solution,
that's
similar,
and
that's
where
Green
Dots
come
in.
Green
Dot
is
a
moment
in
time
that
somebody
makes
a
choice
to
keep
something
from
happening
in
the
first
place.
It's
a
moment
in
time
where
somebody
speaks
up
and
says
do
not
say
those
kinds
of
things.
It's
a
moment
in
time
that
somebody
causes
a
distraction
when
there's
a
there's,
a
kid
crying
and
you
feel
like
that
parent's
gonna
hurt
them
causes
a
distraction
in
the
Kroger.
R
There
are
two
types
of
green
dots,
so
I
also
want
to
point
out
like
why
this
works
so
well.
It's
because
there's
lots
of
options
and
lots
of
ways
to
get
involved.
So,
commissioner,
was
talking
about
proactive,
like
we,
don't
have
to
wait
for
the
generations
of
families
to
come
through
our
doors,
which
is
why
Rape
Crisis,
centers
and
domestic
violence
programs
have
been
leading
this
charge.
We
don't
want
to
see
generations
of
families
get
hurt,
so
we
can
proactively
work
with
our
communities
and
endorse
two
new
behaviors
violence.
R
Isn't
okay
everybody's
got
to
do
something
about
it
right
and
then
also
give
people
skills
tools
and
knowledge
to
see
something
and
actually
respond.
So
this
is
all
about
bystanding.
It's
about
knowing
our
greatest
resource
is
all
of
us.
If
we
know
what
to
do
how
to
do
it
and
it's
actually
manageable,
it
works
and
people
jump
into
this
quickly.
R
We
also
don't
have
to
have
a
lot
of
personal
growth.
How
many
times
have
we
gone
through
a
training
where
you're
like
all
right,
just
be
brave,
be
brave
and
stand
up?
This
is
actually
there's
a
Green
Dot
for
you.
You
can
truly
do
something
directly.
You
can
delegate
it
or
you
can
cause
a
distraction.
So
again,
Green
Dot
is
based
on
who.
J
R
Are
as
a
human
being
and
what
community
you're
with
and
how
to
do,
those
goal
is
very,
very
simple,
more
green
dots
than
red
and
we
watch
those
numbers
come
down,
so
we
can't
afford
to
wing
it
with
folks
lives.
You
can't
either.
We
cannot
afford
to
wing
it
just
because
something
feels
good
doesn't
mean
we
should
be
doing
it.
So
what
we
know
we
were
part
of
a
five-year
CDC
research
project
on
Green
Dot.
What
we
found
in
Green
Dot
high
schools.
There
was
a
17
to
21
reduction
in
sexual
violence.
R
That
was
that
was
presented
in
the
Journal
of
preventative
medicine.
So
again,
when
we
think
about
the
health
consequences,
and
we
think
about
the
connection,
we
know
that
we
create
safety
through
this
program,
and
we
also
know
that
that
applies
to
other
pieces
of
the
work
that
we
do.
R
As
you
can
see,
I
talk
very
fast
trying
to
get
in
all
the
things
ion.
Center
has
the
first
Green
Dot
City
in
the
nation
in
Maysville
Kentucky,
we're
very
proud
of
this.
What
we
were
able
to
do
is
take
six
subgroups
in
our
community,
including
Health
Care,
non-profits,
City
and
County
government
education,
Church,
faith-based
communities
that
actually
started
in
the
faith-based
communities
trained
15
of
the
leaders
in
that
community,
and
we
were
able
then
to
become
the
first
Green
Dot
City
in
the
nation.
R
It
has
now
informed
the
state
and
the
nation
we're
going
to
hopefully
have
the
second
in
Covington
Kentucky,
and
we
just
launched
our
next
Green
Dot
City
initiative
in
Warsaw.
We
also
have
Rape
Crisis
centers,
all
over
the
state,
who
are
also
providing
Green
Dot
to
high
schools,
colleges
and
communities
as
well.
Ion
Center
has
the
largest
prevention
team,
because
a
really
important
piece
of
this
for
me
is
that
we
prove
we
provide
half
of
our
resources
to
primary
prevention.
R
We
have
to
keep
this
from
happening
in
the
first
place
and
we
can
create
safer
communities.
So
Maysville
is
a
Green
Dot
City.
It
also
works
if
you're
thinking,
why
15
to
20
percent
of
folks
trained
in
a
particular
subgroup.
It's
diffusion
of
innovation
Theory
so
that
if
we
train
those
popular
opinion,
leaders
those
influencers
to
model
and
endorse
the
behavior
savior,
we
actually
see
it
diffuse
throughout
the
community,
much
faster
so
and
the
other
good
news
like
I'm.
All
about
sharing
good
news.
R
R
R
And
we
see
that
time
and
time
again
we
have
five
years
of
data
at
ion
Center
and
55
percent
of
the
high
school
students
that
we
talk
to
have
experienced
sexual
assault
or
seen
it
73
of
our
high
schools
have
seen
or
experienced
Dating
Violence
58
of
our
community
members
and
we've
done
comprehensive
Community
trainings
have
experienced
power-based
personal
violence
and
46
of
our
our
college.
Students
have
also
experienced
that.
R
So
what
this
does
not
only
do
we
prevent
it,
hopefully
from
happening
again
but
happening
in
the
first
place
as
well,
and
we
connect
people
to
resources
while
we're
in
our
community
again,
we've
been
training
lots
of
folks
we've
trained
the
Attorney
General
ion
centers
trained
to
the
Attorney
General's
office,
all
of
their
staff,
all
of
the
faith-based
communities
in
Maysville
all
of
the
again
the
bars
and
restaurants
Braxton
Brewing,
Mad,
Tree
Brewing
just
had
us
come
in
and
train
their
staff.
It
is.
R
It
is
something
that
everybody
can
jump
into
and
it's
manageable
and
so
I
wanted
to
give
you
a
sense
of
what
that
really
looks
like
what
we're
able
to
do
so.
It
starts
with
about
25
folks,
and
it
can
last
for
a
community.
It
lasts
about
three
hours.
The
training
is
virtual:
we're
able
to
access
much
more
many
more
people.
Now
everyone
will
also.
Everyone
also
gets
a
50-minute
overview
speech
or
a
90-minute
overview
speech,
and
so
there's
lots
of
ways
that
we
can
tailor
this
and
adapt
it.
R
But
again
we
have
been
working
really
hard
to
engage
all
members
of
our
community
to
be
active
bystanders.
So
I
wanted
to
leave
you
with
some
of
these
to
give
you
a
sense
of
what
it
looks
like
on
that
Community
level
and
how
it
can
be
structured.
You
can
find
us
in
a
whole
host
of
places
to
learn
more
about
what
we
do,
but
I'd
also
love
to
open
it
up
for
questions.
A
Oh
my
gosh
Christy
that
was
so
fabulous.
There's
such
great
information
and
it's
exciting
that
you
know
we
have
this
great
program
in
our
state
and
it
started
here
and
it's
spreading
nationally.
It's
very
exciting
I
just
want
to
thank
you
for
your
work
and
you
kind
of
answered.
My
question
I
had
a
question
about
funding.
So
do
you
charge
businesses
to
come
in
and
do
the
the
training
we've.
R
Charged
we
charge
matry
Brewing,
they
have
money,
so
we
were
able
to
charge
them
actually
all
of
the
schools
and
when
we
do
Green
Dot
cities,
that's
all
free
of
charge.
So
all
of
those
subgroups
were
free
of
charge.
So
it
is
really
critical
that
we
have
that
funding
support
because
we
do
not.
We
only
want
to
charge
for
folks
like
Paycor
has
has
connected
with
us
and
they
named
a
stadium.
So
we
think
they
could
probably
pay
us
25
a
person,
but
everything
else
we
do
is
free
of
charge.
Okay,.
J
R
R
A
So
Senator
Douglas,
you
have
a
question.
C
Thank
you,
madam
chairman,
Ms,
Birch
I
think
this
is
really
an
exciting
program.
Yes
and
I.
Think
you
bring
a
lot
of
enthusiasm
in
here
today,
but
but
I
don't
want
to
I,
don't
like
throwing
dampers
on.
C
R
C
Well,
my
question
is
yeah
because
I
think
this
really
is
great
training
right
now.
How
do
we
get?
How
do
we
get
our
parents
involved
with
our
young
ones
in
the
beginning
in
the
early
stages,
so
that
we're
not
always
having
to
take
care
of
such
large
numbers
in
the
pipeline?
I
mean
I.
R
I
think
that's
a
tough
question.
I
think
helping
people
understand
what
healthy
relationships
look
like
is
a
great
way
to
start,
I
mean
the
earlier.
We
can
start,
but
I
also
think
that
helping
people
understand
that
bystanding
and
and
being
an
active
bystander
is
possible.
R
C
That
help
a
little
bit
or
just
one
shortly
Madam
chair,
please,
no,
no,
you,
you
and
I
are
in
perfect
agreement
we're
in
agreement
right.
My
question
is
my
question:
is
how
do
we
do
this
you're
out
you're
out
there
on
the
street?
You
know.
S
R
Right
which
again,
we've
got
our
middle
school
program,
which
I
didn't
talk
about.
So
all
the
Rape
Crisis
Centers
do
middle
school
work
which
helps
but
you're
right.
The
elementary
piece
too,
but
I
also
do
think
it's
about
this
community.
That
says
violence
isn't
okay
and
if
we
all
do
our
part,
we
send
a
really
powerful
message
to
those
to
those
perpetrators.
R
That's
I
think
also
why
we
saw
a
17
to
21
reduction
reduction
in
perpetration
because
those
folks
were
even
in
this
community
being
trained
right
and
they're
hearing
their
peers
say
this
is
not
okay
and
we're
not
going
to
stand
for
this
here
and
it
actually
shifted
and
changed
their
behavior.
So
you're
right.
R
We
want
to
be
proactive
right,
but
we
also
are
working
ourselves
into
that
earlier
and
earlier,
the
more
that
we
change
those
adults
around
us
right
and
then
we
make
communities
say
that
violence
isn't
okay
and
we
all
have
to
do
something.
We
see
that
modeled
all
around
us
I
believe
that's
going
to
trickle
in
earlier
and
earlier.
Thank.
A
You
very
much
that's
my
experience.
Thank
you.
Thank
you,
madam
chair,
of
course.
Okay,
thank
you,
I.
We
have
one
more
question
from
Senator
Berg
and
then
we're
going
to
move
on.
H
Thank
you.
This
has
been
extra
extremely
extremely
interesting
I
wish
we
could
get
it
more.
Statewide
I
would
love
it.
This
is
a
question
that
I've
I've
been
angsting
about
and
I,
don't
know
if
you
know
the
answer,
if
you
feel
like
you
can
impact
the
answer,
but
you
know
unless
session
we
we
limited
the
amount
of
discussion
that
we're
allowed
to
have
at
schools
about
family
relationships,
sexual
education,
I'm,
assuming
that's
going
to
include
sexual
violence.
H
How
do
we
make
sure
that
our
children
are
informed
and
and
knowledgeable
about
being
able
to
protect
themselves
when
we're
not
even
allowed
to
talk
about
this
at
our
schools
anymore?
That's
my
question.
I'm
worried
that
we're
actually
making
it
easier
for
people
who
want
to
take
advantage
of
children
because
we're
no
longer
allowed
to
teach
them
how
to
protect
themselves.
I.
R
Keep
going
back
to
the
buy
Center
piece
it's
so
we
are
all
bystanders
and
if
we
have
skills
and
tools
and
we're
able
to
be
those
active
bystanders-
and
we
hope
folks
understand
and
and
look
at
high-risk
situations
or
what
could
be
a
high-res
situation.
How
do
we
intervene
earlier
and
earlier
and
earlier
right
in
those
situations,
so
we
don't
have
a
victim
that
we're
talking
about
right,
so
I
think
that's
why
primary
prevention
and
and
focusing
on
that
and
funding.
R
Some
of
that
is
so
important
that
we
get
ahead
of
this
before
we're
even
talking
about
violent
relationships,
or
you
know
things
that
again
any
we
serve
any
Survivor
right,
but
we
want
to
try
to
get
to
folks
before
that
even
happens.
The
most
proactive
piece
so
certainly
is
difficult,
but
again
we're
focusing
on
that
active
bystander
and
not
on
the
folks.
Who've
been
hurt
right
in
this
program,
particularly
thank
you.
A
Oh,
of
course,
thank
you
so
much.
We
will
stay
in
touch.
Thank
you.
Next,
we're
going
to
hear
from
the
children's
home
executive
director
Rick
worth
is
with
us,
as
is
Julie
Raya,
and
we're
going
to
say
about
10
minutes.
If
you
can
just
give
us
an
overview
of
why
early
intervention
with
children
is
so
important
and
and
of
course,
what
you're
working
on
thanks.
S
S
I'm
thrilled
that
to
be
in
this
room
chairwoman,
Mosher
chairman
Meredith,
while
we
have
all
of
this
brain
power
focused
on
health
and
wellness
and
I,
think
it
is
absolutely
thrilling
that
we're
talking
about
violence
as
a
health
and
wellness
issue,
and
how
do
we
prevent
it
and
I
think
it's
fortuitous
that
we're
following
the
ions
Center,
because
the
questions
naturally
started
gravitating
to
what
are
we
doing
sooner
rather
than
later?
S
What
are
we
doing
with
younger
populations
and
I
think
maybe
after
145
years
of
existence
as
a
children's
home,
we
might
be
able
to
contribute
to
that
discussion
that
has
started
today.
Violence
is
a
health
and
wellness
issue,
and
if
we
dig
deep
enough,
we
will
find
out
that
violence
like
so
many
other
social
ills,
has
two
key
ingredients.
S
There's
always
two
ingredients
in
so
many
of
the
problems
that
we're
dealing
with
in
Kentucky
and
Across
the
Nation,
sometimes
the
referred
to
as
co-occurring
disorders,
mental
health
and
addiction
and
I
think
that
we
might
have
some
work
that
might
be
of
interest
to
you.
That's
happening
at
Children's,
Home
of
Northern
Kentucky.
So
there
are
efforts
to
integrate
Mental
Health
Services
across
Health
Care
educational
Judicial
Systems.
S
They
reap
benefits
our
problems,
so
many
times
is
that
they
have
a
short
attention
span
that
will
pay
attention
to
mental
health
issues
only
following
a
national
crisis
or
a
crisis
here
in
our
own
Commonwealth.
The
question
that
we're
addressing
and
have
been
addressing
at
Children's
Home
of
Northern
Kentucky
is
how
do
we
bring
early
intervention
services?
S
Representative
Douglas?
You
were
just
asking
about
that
to
youth
so
that
we
can
reduce
the
prevalence
for
violent
behaviors
and
that
and
so
that
we'll
have
long-term
sustainable
results.
We
have
been
working
on
a
four-pronged
solution
at
chnk.
We're
presenting
that
to
you
today
and
the
four
prongs
of
our
approach.
Number
one
is
embracing
a
culture
of
trauma-informed
care.
The
second
prong
is
moving
Mental
Health
Services
Upstream.
S
The
third
prong
of
our
approach
is
advancing
implementation
of
evidence-based
practices
designed
to
address
violent,
behaviors
and
then
finally
expanding
access
to
Mental,
Health,
Services
and
reducing
barriers
that
are
preventing
people
to
from
getting
the
care
that
they
need
in
a
timely
way.
That's
convenient
so
I'm
going
to
take
the
first
two
prongs
and
then
my
chief
strategy
officer
at
CH
and
K
is
going
to
take
the
last
two
prongs.
Our
first
prong
is
creating
a
trauma-informed
environment.
S
I
know
many
of
you
are
coming
from
a
healthcare
background.
It's
no
surprise
to
you
that
trauma
informed
is
some
wording
that
can
be
batted
around
a
very
haphazardly
in
this
day
and
age
at
Children's
Home.
We
don't
bet
that
around
casually.
We
are
the
first
provider
in
the
Commonwealth
of
Kentucky
and
currently
the
only
one
to
have
teamed
up
with
the
international
movement
called
The
Sanctuary
model
of
trauma-informed
care.
We
got
licensed
in
that
approach
in
2016.,
it's
International
in
scope.
It
was
born
in
the
1980s
in
Philadelphia
and
it
spread
around
the
nation.
S
So
Sanctuary
model
is
a
blueprint
for
clinical
and
organizational
change.
It
really
focuses
not
on
CH
and
K
becoming
the
best
children's
home
in
the
Commonwealth,
but
rather
how
do
we
create?
How
do
we
become
the
leaven,
the
yeast
for
creating
a
trauma-informed
wider
Community
with
Healthcare
organizations
with
our
education
partners
with
the
court
system
with
law
enforcement
organization?
S
Sanctuary
model
also
helps
us
to
realize
that
it's
not
just
the
victim.
It's
not
just
the
person
who's
experienced
trauma
that
can
experience
adverse
experiences.
Our
systems
that
are
supposed
to
be
helping
can
become
overwhelmed
very
quickly.
I'm
talking
about
systems
such
as
the
Cabinet
for
Health
and
Family
Services
dcbs,
child
welfare
providers
across
the
Commonwealth,
so
Sanctuary
is
really
an
organizing
principle.
It's
an
approach
to
life
and
at
its
basis,
it's
a
movement
away
from
what's
wrong
with
you
to
what
happened
to
you,
we
have
to
learn
to
speak
the
language
of
trauma.
S
S
We
have
passed
that
out
to
every
one
of
our
managers
every
one
of
our
board
members
and
in
fact
that's
what
we've
been
doing
over
the
last
few
years.
How
do
we
have
the
right
services
at
the
right
time
at
the
right
place
at
the
right
level
so
that
we
do
not
continually
try
to
drink
out
of
a
fire
hose
where
more
and
more
families
are
imploding
in
Kentucky
because
of
the
violence
of
child
abuse,
child
neglect?
S
How
can
we
move
those
Services
upstream,
and
so
what
you're
looking
at
in
this
particular
graphic
is
the
work
that
we're
doing
across
multiple
Healthcare
education
and
Judicial
Systems
related
to
more
outpatient
services.
Our
goal
had
to
change.
We
could
not
simply
sit
back
and
say
we
want
to
be
the
best
residential
care
facility
that
would
not
be
helping
the
Commonwealth
I
do
think
we
have
a
great
Residential,
Care
Center.
Our
goal
is
to
make
sure
that
the
Kentucky
families
don't
need
dcbs
to
begin
with.
S
What
are
we
doing
to
move
services
so
that
families
don't
implode?
What
that
looks
like
specifically
for
us
is
expanding
day
treatment,
services
in
schools,
expanding
family
preservation
and
families,
where
there's
an
imminent
risk
of
a
child
being
removed
into
cabinet
custody,
growing,
partial
hospitalization,
and
that's
not
just
for
the
kids.
What
we
realized
is
if
we
provide
services
to
kids
only
we
can
do
that
until
the
cows
come
home
and
we're
still
not
creating
social
impact.
S
We
have
to
simultaneously
prevent
violence
and
provide
treatment,
services
to
adults
who
are
raising
kids
and
so
there's
a
big
movement
in
our
organization
to
grow
partial
hospitalization
both
for
adult
caregivers
and
for
children.
And
finally,
how
do
we
move
into
as
child
welfare
welfare
providers
into
a
digital
first
mindset?
S
Sometimes
non-for-profits
are
Johnny,
come
lately
to
some
really
important
aspects
of
social
movements
and
we
can't
afford
to
be
Johnny
come
lately
in
this
arena.
In
other
words,
we
know
that
Telehealth
Services
is
a
vital
part
of
Health
Care
and
the
Commonwealth.
Now
our
children's
home
has
provided
over
10
000
Telehealth
Services.
Since
the
pandemic
began,
that's
not
going
away
and
it
can
be
very
effective
in
beginning
an
approach
for
the
right
services
at
the
right
time.
T
Trauma-Focused
cognitive
behavioral
therapy
is
one
that's
very
commonly
used
in
very
sensitive
to
the
unique
problems
of
Youth,
with
PTSD
specific
to
abuse
and
violence,
but
functional
family
therapy,
which
is
fairly
new
to
the
Northern
Kentucky
area.
Targets.
Youth
with
presenting
concerns
that
add
the
violent
acting
out.
Behaviors
and
substance
use
behaviors
multi-systemic
therapy
right
now.
Chnk
is
one
of
three
just
three
organizations
in
the
Commonwealth
utilizing
MST
to
work
with
the
older
adult
I'm.
Sorry,
the
older
adolescent
population,
who
have
already
experienced
involvement
with
the
Juvenile
Justice
System.
T
Our
fourth
prong,
of
course,
is
expanding
access
to
Mental
Health
I
want
to
just
quickly
take
a
moment
to
demonstrate.
The
level
of
need
need
is
outpacing
availability,
especially
since
the
onset
of
the
pandemic.
So
in
a
recent
report
from
Mental
Health
America
Kentucky
was
listed,
31st
and
prevalence
to
mental
illness
among
Youth
and
in
relation
to
access
to
care
to
put
that
into
context.
15
percent
nearly
51
000
Kentucky
youth
ages,
12
to
17,
experienced
at
least
one
major
depressive
episode
this
past
year,
but
only
40
excuse
me.
T
Professional
shortage
areas
are
also
exacerbating
barriers
to
access
so
per
the
county.
Health
ranking
and
road
maps
report.
Kentucky's
ratio
of
residents
to
mental
health
professionals
averages
390
to
1
versus
the
national
average
of
350
to
1.
that
may
not
sound
too
terribly
off
center.
However,
there
are
counties
in
Kentucky
that
have
as
many
as
over
4
000
residents
for
every
one
mental
health,
professional
and
in
the
12
counties
of
the
northern
Bluegrass
region.
There
are
many
the
ratios
are
much
worse.
T
There
are
counties
with
with
as
many
as
six
times
the
number
of
residents
for
every
one
professional
mental
health
provider.
So
together
we
believe
we
can
do
more.
Ch
and
K
has
experienced
some
real
success
and
expanding
its
services.
Utilizing
this
four-pronged
approach
and
we'd
like
to
build
on
this
success.
Chnk
is
committed
to
a
five-year
expansion
plan
that
will
allow
us
to
help
to
double
our
impact
and
close
the
gap.
S
So
we
started
in
1882
as
an
orphanage,
and
we
had
the
luxury
of
setting
in
a
very
nice
house
on
a
very
large
Hill
and
we
rated
waited
for
people
to
ring
the
doorbell
when
they
needed
us,
and
then
we
opened
the
doors
and
we
took
really
good
care
of
them.
After
that,
doorbell
sounded.
We
can't
afford
to
sit
on
a
hill
in
a
nice
house
waiting
for
the
doorbell
to
ring.
S
We
have
to
get
out
there
and
move
Services
forward,
and
that
means
having
Partnerships
with
the
purpose
and
not
simply
Partnerships
with
other,
like
providers.
We
have
to
have
Partnerships
that
are
lateral
and
horizontal.
If
we're
going
to
create
a
solution
to
this
issue
of
violence
in
the
Commonwealth,
so
we
certainly
have
referring
Partnerships
with
Saint
Elizabeth
Healthcare,
with
Cincinnati
Children's
Hospital
medical
center
with
sun
Behavioral
Health
with
Pediatric
Associates
of
Northern
Kentucky.
S
But
you
might
expect
those
kind
of
relationships,
given
the
fact
that
we
do
work
in
the
mental
health,
Arena
I
think
you
might
be
interested
to
know
that
every
school
superintendent
of
every
Public
School
District
in
Northern
Kentucky,
has
signed
a
letter
of
support
for
our
four-pronged
approach
and
especially
our
growing
access
to
mental
health
care.
We
just
presented
to
every
police
chief
in
the
Northern
Kentucky
area
and
we're
preparing
to
go
and
expand
that
conversation
with
all
police
Chiefs
around
the
Commonwealth
of
Kentucky.
T
So
in
closing,
we'd
just
like
to
note
that
we
can
reap
many
benefits
by
creating
these
collaborative
Partnerships
and
in
this
way
create
an
easier
path
to
mental
health.
So
some
of
those
results
being
a
reduced
number
of
Youth
in
juvenile
justice
system,
reduced
youth
suicide
rates,
reduced
number
of
children
and
States
custody,
and
certainly
safer
communities
at
this
time,
we'd
be
happy
to
take
questions.
A
I
just
want
to
thank
you
for
being
here
today
for
this
presentation,
and
certainly
your
work
in
Northern,
Kentucky
and
I
wanted
everyone
to
hear
about
an
example
of
a
really
great
and
robust
program.
Who
is
thinking
upstream,
and
thank
you
for
that
recommendation.
I
read
the
book.
I
I
recommend
it
to
everyone.
It's
it's
an
important
part
of
being
proactive,
and
so
we
have
a
couple
of
questions.
We
are
going
to
do
this
quickly
because
we've
got
a
few
more
presentations
that
I
want
to
get
to
so
representative
Adam.
U
T
Recent
just
recently,
we
did
receive
an
increase
in
the
reimbursement
rate
specific
to
a
residential
treatment
for
youth
who
are
Wards
of
the
state.
Our
outpatient
services,
though
rates
just
recently
changed.
There
was
a
slight
increase
in
some
of
the
services,
not
all
of
those
services,
so
certainly
we
do
find
ourselves
in
the
position
of
having
to
find
other
ways
to
serve
more
with
less.
But
with
that
in
mind,
we
also
reach
out
to
the
Managed
Care
organizations
and
see
if
we
can't
negotiate
some
higher
rates.
S
Senator
I
can
just
also
chime
in
as
the
CEO
and
one
of
the
reasons
that
we
have
been
able
to
effectuate.
This
kind
of
Upstream
movement
has
not
been
because
of
our
dependence
upon
the
Medicaid
rates.
Those
need
to
be
addressed
in
our
humble
opinion,
but
we
have
been
very
fortunate
at
CH
and
K
to
find
private
donor
dollars
to
help
us
fund
the
work
that
we
to
fund
the
blueprint
that
we've
put
together
here.
It's
probably
no
surprise
to
any
of
you.
S
U
I
have
one
follow-up
Madam
chair,
you
know,
as
you
know,
we're
coming
up
on
a
budget
year
and
these
services
that
you
all
provide
are
grow
increasingly
important
to
stabilizing
families
across
the
Commonwealth.
So
I'm
encouraging
you
all
to
stay
engaged
in
this
process
so
that
we
can
understand
what
your
pressure
points
are
coming
up
on
a
budget
session,
because
that's
when
we're
going
to
discuss
all
of
these
dollars
and
and
we
need
to
make
sure
that
you're
a
part
of
that
conversation.
So
thank
you
for
your
presentation
today.
A
Thank
you,
Senator
Adams,
I
do
know
your
name
I
I,
just
I
would
like
to
add,
while
we're
talking
about
funding
that
Children's
Home
is
really
doing
a
lot
of
work
in
raising
those
private
dollars,
and
so
you
know
when,
when
the
state
is
able
to
match
your
hard
work,
I
think
it
really
pays
dividends
for
everyone.
So
I
know
that
the
home
of
the
Innocence
is
doing
the
same.
I
would
just
you
know,
I
applaud
those
efforts
because,
as
you
know,
our
tax
dollars
are
stretched
very
thinly.
A
So
representative
willner.
Q
Thank
you
very
much.
Thank
you.
This
wonderful
presentation
and
I'm
behind
the
camera
I
can't
see,
but
I
I
really
appreciate
the
work
you're
doing
so
much
of
what
you're
talking
about
getting
Upstream.
Q
The
system-wide
trauma-informed
approach
is
written
right
into
Senator,
wise's,
2019,
school
safety
and
resiliency
act,
getting
more
Mental,
Health
Providers
into
schools
to
provide
that
primary
treatment
and
to
have
the
trauma-informed
approach.
My
own
sense
is
that
we
have
not
invested
enough
in
that
approach
and
I'm
just
curious
from
your
Vantage
Point.
Are
you
seeing
that
work
in
the
schools?
Q
S
Think
I
can
take
an
initial
stab
at
that
and
then
I'll
ask
Julie
to
make
sure
she's
chiming
in
on
anything
I'm
missing
here.
But
I
can
tell
you
this
representative.
The
public
school
districts
in
Northern
Kentucky
are
our
largest
customers.
They
were
the
first
ones
knocking
on
our
door
as
we
began.
This
four-pronged
approach
and
expanding
access
to
Services
the
school
districts
are
in
dire
need
of
more
support,
services
related
to
addiction,
treatment
and
mental
health,
and
it's
not
just
for
the
students.
S
It's
also
for
the
families
of
the
students
and
for
the
parents
who
are
struggling
to
get
the
student
to
school
on
time.
Etc
I
know
this
is
anecdotal,
but
we
actually
had
a
school
district
at
a
considerable
distance
distance
from
CH
and
K
Pi
wall
of
its
leadership
team
members
in
a
van
and
drive
up
to
my
office
one
day
asking
what
it
would
take
to
get
more
additional
services
in
their
school
district,
which
is
in
one
of
the
regions.
F
You,
madam
chair
representative,
thank
you
for
that
shout
out
and
we're
working
together
as
a
school
safety
task
force
of
funding.
That's
working
on
this
interim.
My
question
to
you
is:
have
you
had
any
discussions
or
collaboration
with
the
Kentucky
Center
for
school
safety
and
I,
appreciate
the
work
you're
doing
with
the
superintendents
I?
Think
that's
exactly
the
right
pathway,
but
I'd
also
like
to
know.
F
Has
there
been
any
discussion
if
not
I
would
strongly
encourage
if
you
can
to
reach
out
to
the
Kentucky
Center
for
school
safety
is
I
think
this
collaboration
can
continue
to
to
improve
Senator.
S
Thank
you
and
I
can
tell
you.
Sometimes
the
answers
are
yes,
no
and
not
yet
that
would
be
a
not
yet
and
so
but
Julie's
our
chief
strategy
officer,
and
we
will
make
sure
we
heed
your
words
and
we'll
make
that
contact.
A
A
Love
partnering
with
you
and
and
I
love
the
coordination
that
that
you're
able
to
really
pull
together
in
Northern
Kentucky,
and
hopefully
we
can
scale
this
on
a
Statewide
level
and
but
anyway,
great
example
of
what
we
should
be
doing.
Thank.
A
A
V
Yeah
so
representative
Moser,
thank
you,
chair,
Moser
and
every
one
of
you
all
for
you.
All's
work
for
your
constituents
and
equally
at
the
same
time,
our
our
little
a
few
moments
with
you
guys
is
about
the
kids,
the
kids
and
the
Commonwealth,
and
especially
specifically
Metro
Louisville
I'm
Christopher
2x
I'm,
the
executive
director
of
2x
game
changers.
Our
focus
is
About
Kids,
4
and
13
years
old
that
have
been
affected
by
either
first
or
secondary
trauma
issues
due
to
violence.
V
To
my
left,
you,
all's
right
is
Dr
Keith
Miller,
he's
a
trauma.
Surgeon
department
of
surgery
at
uofl,
Hospital,
uofl
health.
To
my
right,
you
always
left
is
Dr
Christopher
Jones
he's
the
director
of
transplant
at
uofl
Jewish
and
the
Traeger
Center
at
University
of
Louisville
hospital
and
health,
and
they
are
here
as
collaborative
Partners
in
the
work
as
it
relates
to
kids
I'd
quickly
like
to
say,
because
Dr
Miller
is
going
to
chairwoman.
V
Moses
is
going
to
handle
our
presentation
of
slides
and
and
everything
that
that
entails,
but
I'd
quickly
like
to
say
about
how
we
got
to
this
space
and
it's
based
on
many
kids
across
Jefferson.
County
in
Metro,
Louisville
who've
been
impacted
by
the
violent
crime
issues.
I
first
want
to
say
I
want
to
thank
you
for
inviting
such
informative
guests,
the
Kentucky
State
Police,
Commissioner
ion,
and
also
the
group
that
just
spoke
in
front
of
us
just
now,
which
is
c
h,
n
k
they
were
so
informative.
V
V
Based
on
the
trauma
that
they're
surrounded
by
in
their
neighborhoods
in
Jefferson,
County
alone,
really
quickly
in
the
last
four
years
since
the
pandemic
has
occurred,
there's
been
600
individual
citizens
plus
now
that
have
been
lost
to
fatal
homicides,
600
plus
and
unfortunately,
we're
on
a
track
in
Jefferson
County
to
enter
into
the
four
straight
year
with
a
hundred
homicides
Plus.
And
when
you
look
at
the
non-fatal
shootings
that
affect
kids
also
we're
looking
at
almost
climbing
their
2000.
V
In
that
same
four-year
time
frame
and
Dr
Miller
speak
a
little
bit
about
that
as
a
trauma
surgeon
in
the
kind
of
workload
they
have
to
deal
with
at
uofl
hospital.
But
the
hope
that
we're
trying
to
bring
to
this
conversation
is
the
platforms
we
built
within
2x
game
changers.
We
have
this
medical
partnership
that
you'll
hear
about
in
a
few
minutes,
which
is
the
future
healers
program
for
kiddos
4
to
13
years
old
that
deal
with
this
trauma.
V
W
I
think
today,
we've
talked
a
lot
about
reactivity
and
proactivity,
and
you
know
I
can't
think
of
I'm,
a
very
small
part
of
our
most
reactive
tool
to
combat
this
issue
issue,
which
many
of
you
are
as
well
and
that's
in
the
hospital
where
we
try
to
stop
bleeding.
We
try
to
patch
holes.
We
try
to
get
individuals
back
to
their
lives
here.
We're
going
to
talk
about
a
proactive
measure
called
the
future
healers
program,
the.
Why
I
think
we've
talked
about
the.
Why
here
enough?
W
But
this
is
a
study
we
did
about
a
year
ago,
where
we
looked
at
the
years
of
potential
life
lost
in
Jefferson
County
to
interpersonal,
Community
violence,
so
you're
looking
at
and
compared
this
tried
to
compare
it
in
a
way
that
can
make
sense
to
people
to
the
covet
pandemic,
and
here
you
can
see
that
we
lost
almost
twice
as
many
years
of
potential
life
to
gun
violence
in
Jefferson
County,
as
we
did
to
the
covet
pandemic.
That's
not
to
de-emphasize
the
importance
of
the
covet
pandemic
to
those
of
us
that
lost
people.
W
This
is
to
just
re-emphasize
that
there's
this
other
issue
going
on
in
our
state
in
our
County,
that's
been
that's
exerted
and
equal,
if
not
more,
of
a
toll
on
our
community
than
the
other.
There's
two
reasons
for
this
one.
The
case
fatality
rate
for
a
firearm
injury
is
high
right.
If
you
get
shot,
there's
a
one
in
five
chance
based
on
our
data
that
you
will
die
as
a
result
of
those
injuries.
W
The
second
piece
is
that
it
disproportionately
impacts
younger
individuals
and
that's
how
we're
going
to
transition
into
talking
about
future
healers
and
talk
about
those
proactive
measures.
It's
a
complex
issue.
We
all
know
this.
If
there
were
easy
solutions,
everyone
in
this
room
would
have
had
them
and
we'd
be
moving
on,
and
but
the
the
socioecological
model
helps.
Someone
like
me
understand
the
complexity
of
this
issue.
W
I
think
if
you
look
at
the
numbers
of
Jefferson
County
you're
talking
about
129
injuries
per
hundred
thousand,
so
you're
talking
over
one
in
a
thousand
people
that
are
injured,
but
what's
the
true
impact
of
that
and
the
true
impact
of
that
is
that
those
individuals
have
families
they
have
loved
ones.
They
have
people
that
care
about
them
and
that
family
moves
through
that
trauma
together,
and
these
can
result
in
adverse
childhood
experiences.
W
I
can't
tell
you
the
number
of
times
that
I've
gone
out
into
a
family
room
and
talked
to
families,
giving
them
the
worst
news
that
you
can
imagine
and
there's
multiple
children
in
that
room
with
them
and
their
lives
are
forever
altered
in
a
way
that
many
of
us,
hopefully
can
never
imagine
so
so
you
talk
about
these
adverse
childhood
experiences.
You
talk
about
multiple
injuries
throughout
the
community
that
intersperse
and
then
you
talk
about
the
way
that
this
impacts
society
as
a
whole
and
results
in
sort
of
a
perpetuation
of
this
cycle.
W
What
is
an
adverse
childhood
experience?
We
all
know
that
in
this
room,
but
they're
potentially
traumatic
events
that
during
childhood,
they
influence
your
outcomes
throughout
your
life
right,
they're,
connected
to
lung
disease,
kidney
disease,
stroke,
coronary
heart,
disease,
diabetes
and
not,
unsurprisingly,
violent
injury.
W
There
are
protective
factors.
This
is
the
plus
side.
I,
don't
want
to
bring
all
doom
and
gloom
to
this
meeting.
There
are
protective
factors
and,
as
we
look
at
the
future
healers
program,
what
it's
really
about
is
it's
trying
to
add.
We
can't
do
everything
Senator
Douglas,
you
know
you
brought
up
some
good
points
about
that.
You
know
working
in
the
fam.
We
can't
do
all
that,
but
we
can
add
layers
as
a
community.
We
can
add
layers.
W
We
can
add
for
these
protective
factors
that
you
see
with
the
green
check
marks
here
and
that's
what
future
healers
is
about.
What
can
we
do
as
a
community
to
add
these
protective
layers
so
that
when
these
things
do
happen
and
you
have
adverse
childhood
experiences,
this
is
one
mechanism,
the
one
that
we're
talking
about
here
today,
whereby
you
can
add
those
layers
and
benefit
Society,
community
and
families
as
a
whole.
W
If
you
want
to
talk
about
where
it's
at
on
the
on
the
prevention
intervention,
Continuum
we've
heard
a
lot
about
that
today
from
on
this
Continuum
future
here
here
is
where
I'm
at
I
don't
know
if
this
pointer
will
work,
but
this
is
where
I'm
at
down
here
tertiary,
individual
one
patient
at
a
time.
That's
what
we
do:
one
patient
at
a
time,
one
family!
At
a
time
the
beauty
of
future
healers
is
up
and
to
the
right
in
the
prevention,
intervention,
Continuum
and
that's
important,
because
now
you're
changing
community
and
contextual
preventative
strategies.
N
W
Our
mission,
your
guys,
would
like
well
they're
talking
a
lot
about
it,
but
what
is
it
yeah?
Our
mission
is
pretty
clear:
build
stronger
Bridges
between
the
Healthcare
Community
and
our
local
youth,
most
impacted
by
gun
violence.
We're
talking
about
four
to
13
year
old
children.
Here
we're
talk,
Chris
talked
about
this
a
little
bit,
but
we're
85
to
90
percent
of
those
children
have
been
impacted
by
violence
in
some
way.
Some
have
been
shot.
Some
have
lost
brothers
sisters,
moms
dads,
some
hear
gun
fire
on
a
regular
basis.
W
So
here's
the
partnership-
you
can
see
University
of
Louisville
school
of
medicine,
the
the
medical
students
where
the
where
the
thought
leaders
behind
this
and
actually
brought
these
groups
together,
you're
talking
about
a
department
of
surgery,
you
talk
about
uofl
health
and
then
obviously
these
the
these
institutions
don't
work
without
facilitating
the
the
work
that
happens
in
the
community
and
we
found
the
perfect
partner
in
Christopher
2X
and
Game
Changers,
and
so
this
is
the
model
that
we
work
with.
How
does
it
work?
W
We
meet
monthly
for
a
couple
hours
at
these
locations
within
Louisville
if
you're
not
familiar
with
Louisville
Galt
House
hotels,
hotel
in
Louisville,
the
Chestnut
Street
YMCA.
We
have
many
events
at
the
hospital
itself
which
the
kids
love.
We
talked
about,
Associated
Partnerships,
with
the
zoo
and
I
always
tell
Chris
I,
never
forget
that
the
zoo
always
beats
the
hospital
I
mean.
Can
you
imagine
trying
to
compete
with
the
zoo,
not
a
chance,
but
not
easy,
not
easy,
but
we
try.
So
these
are
some
of
the
places
that
these
things
happen.
W
They
happen
on
a
monthly
basis.
We
talk
about
a
variety
of
things.
We
talk
about
stop
the
bleed.
We
talk
about
nutrition,
mental
health
and
well-being,
fire
safety.
We
bring
experts
from
Outside
the
Fire
Department,
the
EMS,
a
variety
of
Partners
have
been
in
there.
We
teach
them
a
little
bit
of
surgery,
that's
what
Dr
Jones
is
for
and
myself
maybe,
but,
and
so
we
go
through
this
whole
curriculum
the
results.
This
is
what
it
looks
like
again.
This
is
a
two-year-old
program.
It's
grown
beyond
our
wildest
dreams.
W
I
I
assume
we'll
be
able
to
give
you
some
more
Concrete
Salt,
where
you
can
say:
okay,
I
can
stick
my
teeth
into
that,
but
for
now
for
us
sitting
at
this
table,
these
are
results
enough
to
see
this
on
a
monthly
basis.
It
is
translatable.
This
is
the
other
thing
that
we
talk
about.
It
is
translatable.
W
It
is
a
model
that
you
can
take
not
only
in
the
medical
community,
but
also
if
you're,
an
engineering
or
law
enforcement,
and
you
take
the
pieces
from
this
model
partnering
with
the
community
partner,
taking
an
institution
and
and
and
and
make
putting
the
time
and
effort
into
it.
Our
our
most
recent
partner
is
Vanderbilt
and
they've
expanded
the
program
to
Nashville.
Certainly
many
of
you
heard
about
the
high
profile,
shooting
that
happened
in
Nashville
several
months
ago
that
prompted
the
group
to
reach
out
to
us
and
begin
this
program.
V
One
quick
thing
on
the
numbers,
so
in
July
of
21,
when
we
kicked
off
the
future
healers
program,
the
concept
came
in
around
the
fall
of
20.,
but
we
started
with
25
participants
and,
as
of
today,
when
we
kick
off
in
August
on
August,
12
are
23-24
medical
curriculum
session
year
calendar.
We
have
120
kids
now
and
we
plan
on
expanding
it
even
way
more
than
that
so
Dr
Jones.
X
Yeah
so
girl
there
we
go
so
I
know
a
lot
of
people
ask
well
what's
a
transplant
surgeon
doing
as
a
part
of
this
right.
You
don't
have
anything
to
do
with
trauma
and
everything,
but
it
kind
of
goes
back
to
something
my
grandmother
used
to
always
tell
me
and
I
just
want
to
read
it,
and
it
was
her
quote.
She
said
most
people
don't
want
to
be
a
part
of
the
process.
X
I
I
need
to
get
out
of
the
hospital,
and
I
need
to
be
more
involved
with
the
community
with
these
medical
students
with
our
Community
Partners,
in
order
to
curb
the
violence
that
we're
seeing
in
in
Louisville
I
just
want
to
say
as
far
as
future
healers
is
concerned,
it
is,
it
is
a
brand
new
kind
of
never
before
seen
type
of
program.
That's
out
there
and
one
of
the
things
that
we
we
demand,
and
this
goes
back
to
Senator
Douglas
and
one
of
the
you
know
his
questions
he
he
brought
up.
X
We
require
that
when
we
have
our
lectures
and
our
fun
time
that
parents
are
there,
parents
have
to
stay
right
and
it's
like
I
tell
everybody.
You
know
this
is
not
a
babysitting
service
all
right.
This
is
something
for
parents
to
come
and
learn
from
as
well
as
the
kids
and
believe
it
or
not.
The
parents
actually
learn
a
lot.
I
would
think
you
know,
depending
on
the
things
that
we're
talking
about
there.
X
We
also
have
to
recognize
the
needs
of
all
of
the
different
entities
that
are
involved
right,
whether
that
be
the
children,
whether
that
be
the
parents
and
whether
that
be
the
medical
students
and
I
try
to
bridge
the
gap
between
all
three
groups
in
order
to
make
sure
that
everybody's
getting
what
they
need
out
of
the
program
in
order
to
make
sure
that
we
can
move
forward
in
a
good
way.
So
with
that,
so.
V
One
last
thing
representative
Moser
before,
and
we
opened
up
the
questions,
so
we
give
great
clarity
to
everybody
in
here.
We
never
tout
ourselves
as
the
ones
who
are
going
to
stop
balance
on
the
front
line.
Okay,
we're
being
honest
about
that.
This
is
a
long-term
approach,
but
this
came
out
of
a
need
again
when
we
started
to
see
kiddos
many
years
into
observation,
starting
to
pick
up
some
of
these
behavioral
issues
at
the
earliest
ages.
V
We
know
that
these
kiddos
can
at
least
be
an
example
by
saying
I
love
you
but
I'm
not
going
to
follow
this
destructive
pathway
and
hopefully
that
rubs
off
and
like
Dr
Jones,
said
chairwoman
Moser
that
one
thing
we
did
when
we
started
these
platforms
was,
and
we
had
a
hunch
that
if
the
parents
could
be
invited
in
and
could
buy
into
this
wholesale
with
us
and
stay
at
the
sessions,
this
could
be
something
that
could
rub
off
on
them
in
a
positive
way
and
we're
just
scratching
the
surface
and
hopefully
we're
going
to
expand
these
services
to
others
in
Jefferson
County
and
wherever
else
we
might
take
it.
V
A
I
just
want
to
thank
you
you
so
much
for
being
here
and
for
all
the
work
that
you're
doing.
You
know
how
excited
I
am
about
your
program.
I
brought
Christopher's.
Well
the
the
concept
Christopher
Chris
you
were,
you
were
busy
when
we
were
in
DC
at
a
meeting
and
wanted
a
presentation
about
game
changers,
but
I
want
to
see
this
go
across.
The
nation,
I
I
think
that
this
is
addressing
the
trauma,
of
course,
and
the
hopelessness
that
these
kids
are
often
experiencing
and
Dr
Miller
and
Dr
Jones.
A
Thank
you
for
being
here.
I
know
how
hard
it
is
for
you
to
clear
your
schedules
to
be
here
and
I
just
want
to
point
out
that
these
individuals
are
not
being
paid
to
do
this.
It's
because
you
care
about
the
community
and
about
the
kids
and
how
we
reach
them
really
early,
and
so
thank
you
for
setting
a
great
example.
A
H
Please
I
just
I
want
to
share
with
you
how
overwhelmingly
proud
I
am
of
our
University
of
our
medical
school
and
of
you
all
and
the
work
that
you
are
doing
in
this
community.
It
is
amazing,
amazing,
work
and
I.
Just
I
cannot
thank
you
enough
and
I
cannot
tell
you
and
I
can't
express
how
proud
I
am
of
you,
as
community
members
and
as
Physicians,
to
take
this
initiative.
It
just
bless.
You
bless
you.
V
You're
too
kind
to
say
that
representing
Moses
one
last
thing
as
it
relates
to
you
know
even
the
Vanderbilt
connection,
it
all
started
when
we
went
to
Washington
in.
V
Excuse
me
and
said:
there's
something:
I
don't
know
what
it
is
in
Louisville,
going
on
with
a
medical
component
and
an
animal
kingdom
component,
that's
trying
to
treat
Trauma
from
something
we've
never
seen
before,
and
so
that
panel
discussion
allowed
a
federal
partner
to
connect
to
Vanderbilt
for
them
to
understand
what
we
were
doing
and
that's
when
they
reached
out
to
us
at
the
end
of
March
of
this
year
and
we're
on
a
pathway
for
the
expansion
in
Nashville
and
very
appreciative
of
it.
A
A
Smart
part
of
all
this,
and
then
you
know,
I
just
want
to
point
out
that
the
kma
is
the
Kentucky
Medical
Association
is
recognizing
game.
Changers
and
Chris
Chris
your
work
and
all
of
your
work
this
year,
as
you're
I,
think
getting
the
distinguished
service
award
this
year,
and
so
that's
exciting,
but
I
I
did
have
a
parent
talk
to
me
about
what
this
meant
to
him
as
a
parent.
A
When
I
was
at
the
Louisville
Zoo
with
you
all,
and
he
said
you
know,
if
I'd
had
this
opportunity,
when
I
was
a
kid,
it
would
have
changed
my
life,
so
I
I
think
it's
wonderful.
We
have
one
more
question
and
then
we've
still
got
a
couple
of
presentations
so.
V
C
Thank
you
so
far,
very
much
Madam
chair,
you
know
my
comment.
Is
this
I?
Don't
I,
don't
think
many
of
the
in
this
room
really
understand
the
depth
of
what
you're
talking
about
I.
Think
what
you're
doing
now
is
you're.
Changing
the
conversational
narrative
from
an
emotional
narrative
to
an
objective,
narrative
and-
and
you
two
gentlemen,
know
what
I'm
talking
about
in
terms
of
where
we
work.
C
I
I
really
am
proud
of
you
all.
You
don't
understand
what
pioneers
you
are.
Most
people
are
afraid
to
move
in
this
area,
and
so
so
you,
gentlemen,
all
all
three
of
you
all-
are
really
moving
into
an
area
that
needs
to
be
explored
further
and
I,
just
you're
changing
the
narrative
from
who
I
want
to
be
like
to
who
I
don't
want
to
be
like
and
I
want
to
applaud
you
all
for
that.
Well,.
V
Thank
you,
madam
chair.
You
know
Senator
Douglas,
really
quick.
You
know
one
one
thing
should
not
be
dismissed
in
regards
to
what
we're
trying
to
attempt
to
do.
Violence
is
one
part
of
this
right,
but
we
want
sincerely
won't
especially
kids
from
challenge
spaces
to
be
acquainted
with
the
Health.
Sciences
is
good
for
them,
and
it's
good
for
them
at
their
earliest
ages
that
we
can
acquaint
them
with
it.
E
A
Don't
have
any
further
questions,
but
I
would
love
to
continue
the
conversation.
In
fact,
I
already
talked
to
you
about
moving
up
into
Northern
Kentucky,
so
I'm
working
on.
A
Okay,
next
we
have
chi
St,
Joseph,
Health
here
and
I
know
Sherry
Craig.
You
have
organized
a
great
group
to
be
with
us.
So
if
you
can
just
introduce
yourselves
for
the
record
and
I
will
just
have
you
go
ahead
and
proceed.
Y
Well,
thank
you,
chairwoman,
Mosher
and
chairman
Meredith
and
members
of
the
committee
for
giving
us
this
opportunity
to
share
with
you
information
about
Chi
St,
Joseph,
Health,
Grant,
funded
violence,
prevention
initiatives,
I'm
Sheri,
Craig,
I'm,
the
market
vice
president
for
external
relations
for
St,
Joseph
and
I'm,
joined
today
by
my
colleagues
who
are
doing
the
violence
prevention
work
in
the
communities.
You
want
to
introduce
yourself.
Y
St
Joseph's
vision
is
a
healthier
future
for
all
inspired
by
faith
driven
by
Innovation
and
powered
by
Humanity
across
our
Geographic
service
area
in
Central
and
Eastern
Kentucky,
our
caregivers
daily
help
patients
grappling
with
the
consequences
of
acts
of
violence.
We
know
that
Medical
Care
accounts
for
around
20
percent
of
the
variation
in
health
outcomes
for
a
population,
whereas
80
percent
can
be
traced
back
to
social
determinants
of
Health,
for
example,
a
safe
environment.
Y
We
also
know
that
Community
violence
impacts,
People's
Health,
both
both
physically
and
mentally
violence
can
cause
significant
physical
injuries
and
mental
health
conditions
such
as
depression,
anxiety
and
post-traumatic
stress
disorder.
Living
in
a
community
experiencing
violence
is
also
associated
with
increased
risk
of
developing
chronic
disease
at
St
Joseph.
We
are
committed
to
building
Healthy
Communities
by
addressing
the
social
issues
and
root
causes
that
can
lead
to
poor
health.
About
15
years
ago,
our
parent
company
Catholic
Health
initiatives
launched
a
national
campaign
called
United
against
violence.
Y
Today,
Chi
is
part
of
common
Spirit
health
and
continues
to
provide
millions
of
dollars
in
Grants
through
its
Mission
and
Ministry
fund,
on
a
crisis
that
is
in
large
part
preventable.
In
Kentucky,
we
have
received
more
than
a
seven
and
a
half
million
dollars
over
a
12-year
period.
These
grants
enable
us
to
reach
beyond
our
Hospital
walls
in
London,
Lexington,
Berea
and
Bardstown,
to
address
root
causes
and
not
simply
respond
to
the
horrific
consequences
left
in
the
wake
of
violent
acts.
Y
Z
Z
Our
program
is
unique
in
the
fact
that
we
do
home
in
on
infancy
to
age
four.
We
do
this
because
the
child
abuse
and
the
child
fatality
review
panel
will
tell
you
that
children
who
are
four
years
of
age
or
younger
are
at
the
highest
risk
for
experiencing
a
fatal
or
near-fatal
event
due
to
child
maltreatment.
So
to
combat
that
issue,
what
we
have
done
is
we
have
implemented
evidence-based
parenting
practices
in
our
community.
Z
With
this
recent
funding,
we
were
able
to
expand
to
other
categories
that
focus
on
near
fatalities
and
child
fatalities,
including
gun
water,
fire
and
infant
abandonment,
and
so
to
save
time.
I'll
skip
right
to
our
highlights
and
we
have
been
able
to
provide
over
200
pack
and
plays
and
to
really
decrease
unsafe
sleep
practices
in
our
community,
and
we
have
been
able
to
provide
car
seats
to
over
30
families
that
really
promotes
safe,
safe
travel
for
our
infants.
Z
We
have
also
been
able
to
distribute
over
40
medication,
lock
boxes,
to
decrease
the
risk
of
Overdose
and
ingestion
for
children,
and
we
have
been
able
to
implement
the
80
Eagle
Gun
Safe
program,
and
this
has
been
a
very
successful
program
in
Knox
County
and
with
its
success.
We
were
able
to
go
into
another
District
this
school
year
and
then,
lastly,
we
were
able
to.
Z
Put
in
a
safe
haven,
baby
box,
this
was
placed
in
Corbin
Kentucky.
This
was
the
first
to
be
placed
in
rural
Kentucky
and
another
is
coming
to
the
London
area.
Soon
these
boxes
covered
under
KRS
provide
mothers
in
crisis,
an
alternative
to
safely
surrender
their
infant.
N
Good
afternoon
my
name
is
Demetria
Blair
and
I
am
the
violence
prevention
manager
for
the
creating
safer
neighborhoods
in
Lexington
Kentucky,
and
our
focus
is
on
reducing
violent
crimes
committed
by
and
against
Youth,
and
it
comes
on
the
heels
of
reports
out
of
Lexington
that
shows
that
60
youth
victims
of
assault
with
weapons
I'm.
Sorry
it
comes
on
the
peels
that
Lexington
has
reported
that
there
have
been
60
youth
victims
of
assault
with
weapons
and
42
of
those
victims
were
in
their
20s
or
younger.
N
The
youngest
homicide
victim
was
16
and
the
youngest
shooting
victim
was
10..
This
follows
that
National
conversation,
that's
happening
that
says
that
homicides
are
the
third
leading
cause
of
death
for
young
people,
ages,
10
to
34
and
the
leading
cause
of
death
among
non-hispanic,
black
or
African-American
youth.
So
our
approach
to
mitigating
this,
these
troubling
statistics,
is
to
do
a
few
things.
N
T
M
Good
afternoon,
thank
you
again
for
your
time.
My
name
is
Brian
Hill
I'm,
the
violence
prevention
manager
for
Berea
in
Madison,
County
I'm
at
St,
Joseph,
Barrio
I've,
been
doing
this
for
about
eight
years,
we've
served
over
5
000
students.
In
that
time,
our
main
focus
is
our
programs.
We
do
the
Green
Dot
program
that
you
heard
about
earlier,
and
we
also
do
a
program
called
sources
of
strength.
We
serve
three
middle
schools,
doing
the
sources
of
strength
program
and
three
high
schools
doing
the
Green
Dot
program.
M
The
focus,
of
course,
is
bullying
data,
sexual
assault,
cyber
bullying,
racism
and
suicide
prevention
with
those
programs.
One
of
the
biggest
things
that
I
want
you
guys
to
be
aware
of
is
that
87
percent
of
the
time
there's
a
bystander
when
we
see
acts
of
violence
in
our
schools
with
the
Green
Dot
program,
we
focus
on
bystander
intervention
to
raise
awareness
and
the
big
thing
is
we
want
to
change
the
culture,
that's
the
whole
focus
of
what
we
do
with
our
programs
with
sources
of
strength.
M
It's
more
of
a
suicide
based
prevention
program,
where
we
focus
on
the
strengths
of
the
students
and
not
only
their
own
strengths,
but
how
they
can
bring
others
along
with
those
strengths.
One
of
the
things
that
I'll
do
since
the
Green
Dot
program
was
covered
so
well
earlier.
I
want
to
highlight
two
things
that
we
do
in
our
programs.
That
I
think
has
the
most
impact
in
our
programs.
The
first
is
our
personal
connections.
M
One
of
the
things
that
we
have
to
remember
with
these
personal
connections
is
that
we're
dealing
with
real
people,
we're
not
just
dealing
with
Statistics
and
numbers,
we're
dealing
with
real
students
who
have
real
issues
and
what
we
do
with
this
program
is
we
ask
each
student
to
anonymously
tell
us
their
story?
What
is
your
connection
to
the
program?
Why
do
you
care
and
over
55
percent
of
our
students
share
stories,
whether
it's
a
personal
experience
or
with
a
family
member
or
someone
that
they're
involved
with
that?
There
is
a
traumatic
event
in
their?
M
It
gets
in
their
experience,
and
so-
and
this
varies
very
greatly
from
just
verbal
bullying
all
the
way
to
we
have
an
experience
where
a
student
was
actually
violently
attacked
by
their
stepfather
and
actually
shot
and
another
student
who
for
years
was
sexually
assaulted
by
their
mother's
boyfriend.
So
we
have
students-
and
this
is
just
a
few
of
the
cases
that
we
hear,
but
these
students
share
their
experiences
and
we
expect
them
to
come
to
school
and
learn
but
they're
experiencing
these
things
on
a
daily
basis.
M
How
would
you
feel
in
that
situation,
and
so
I'm
going
to
be
personal
with
you
guys
today?
I
have
a
son
who
is
eight
years
old.
He
has
cerebral
palsy,
epilepsy,
ADHD
and
he's
been
called
a
loser.
He's
been
made
fun
of
because
he
can't
do
things
that
other
kids
can
do
and
that's
why
I
care?
That's
why
I
do
the
work
that
we
do
with
these
programs
and
I.
M
Y
And
just
lastly,
I
will
mention
that
we
have
a
Green
Dot
program,
also
in
Bardstown
Kentucky
and
Nelson
County,
where
we're
working
with
the
Nelson
County
Schools
again
it's
that
power
based
personal
violence
is
not
okay
and
that
no
one
has
to
do
everything.
But
everyone
has
to
do
something
and
what's
your
Green
Dot,
the
Green
Dot
being
that
intervention,
we're
doing
that
through
students
by
role
modeling
in
the
classrooms
having
conversations
expressing
support
in
meetings
classes
are
among
their
peers.
Y
A
Thank
you
so
much
for
being
here
today,
I
I
love
hearing
about
all
the
great
programs
and
again
I
just
wanted
to
highlight
some
of
the
the
really
great
programs
that
we
have
going
on
here
across
our
state
and
the
work
that
you
all
are
doing
is
making
a
huge
difference.
A
So
I
think
what
we
are
going
to
do
now
is
and
and
I
don't
see
any
questions
right
now,
but
if
some
come
up
in
the
next
minute
or
so
we
can
entertain
those.
But
we
were
going
to
hear
from
the
safe
KY
application
about
the
safe
KY
application,
but
actually
representative
KET,
Ken
Fleming
is
the
sponsor
of
this.
I
was
going
to
have
him
talk
about
it.
He's
talked
about
it
before
I
think
we're
going
to
push
that
off
to
a
later
date.
A
But
it's
it
ties
in
with
this
as
far
as
Crisis,
Intervention
and
and
allowing
kids
to
get
the
the
help
that
they
need
when
they
need
it.
So
anyway,
I
think
we've
we've
had
a
lot
of
great
information
shared
today.
Thank
you
again
to
everyone
who
is
here.
We
have
some
regs
that
we're
going
to
consider
and
I
know
that
the
committee
was,
you
received
an
email
with
all
of
the
links.
Did
everyone
have
an
opportunity
to
see
those
regs?
A
Okay,
we
will
consider
those
reviewed
I
know
that
the
I
don't
know
if
the
Kentucky
Board
of
Nursing
is
here
with
us
yeah.
A
There
were
not
questions
about
today's
rugs,
but
I
just
wanted
to
address
something
that
that
members
of
our
committee,
I,
think
and
others
probably
have
heard
about,
and
it's
a
reg
that
we
passed
last
year
or
was
it
like
yeah
January
2022,
it
was
201
Kar,
020
215
that
had
to
do
with
the
training
for
implicit
bias
and
I.
Think
that
we
had
a
couple
of
questions
about
this
and
and
I
understand
that
it
was
just
implemented
and
that's
why
we're
we're
just
hearing
about
it.
A
Now,
there's
an
article
that
was
written
and
I
just
I
had
a
question
and
maybe
a
comment
or
two
and
I
just
wondered
if
it's
customary
for
the
Kentucky
Nurses
Association
to
develop
training,
which
is
mandatory
for
licensure
renewal
for
the
Kentucky
Board
of
Nursing
and
in
terms
of
this
particular
reg
on
implicit
bias.
AA
Okay
and
I
appreciate,
actually
this
even
being
brought
to
light
because
we
have
been
getting
several
emails
and
phone
calls
and
we
have
it
on
our
website,
but
we
are
not
endorsing
any
program
that
creates
the
program.
There
are
multiple
Health,
Care
Systems
and
those
systems
have
created
their
own
and
educational
programs
for
their
employees.
So,
while
Kentucky
Nurse
Association
has
a
program,
it
is
not
endorsed
by
the
Kentucky
Board
of
Nursing.
Anybody
is
welcome
to
do
any
1.5
CE
training
on
the
implicit
bias.
AA
We
pass
that
as
long
as
well
as
the
suicide
prevention
for
nurses
in
particular,
that
was
2.0
our
CES
at
the
same
time.
So
that's
just
trying
to
clear
up.
The
other
thing
is
is
that
we
would
not
take
a
nurse's
license
away
from
them
if
they
have
not
completed
the
CES.
Nor
would
we
for
any
CES
that
doesn't
constitute
the
to
the
level
of
a
threat
to
Public
Safety,
so
we
certainly
would
not
take
anybody's
license.
We
go
through
our
CE
audit
in
November,
and
that
includes
the
suicide.
AA
At
that
time
we
find
somebody
who
hasn't
submitted.
We
send
them
a
notice.
That
says,
please
submit
your
CES
if
they
continue
to
just
not
want
to
do
the
CES,
then
it
could
lead
to
like
a
civil
penalty
like
a
hundred
dollars
would
be
Max.
So
it's
not
anything,
it's
not
a
form
of
discipline
if
they
don't
do
it,
but
we're
welcome
and
open
any
suggestions.
If
you
feel
like
we
need
to
remove
it
from
our
regulation.
We're
certainly
open
to
that
and
I
can
take
it
back
to
my
board.
AA
Jeff
and
I
were
just
talking.
We
were
not
in
our
positions
when
this
reg
came
through
with
the
implicit
bias
and,
however,
I
know
past
experiences
and
certainly
characteristics
like
that.
You
know
lead
people
to
how
they
actually
perceive
and
kind
of
leads
to
some
of
the
bullying
and
things
that
you
know
we've
heard
about
today
from
this
group
and
so
but
we're
open
to
anything.
And
if
your
recommendation
is
for
us
to
remove
it,
then
we'll
take
it
back
to
our
board.
A
AB
It
is
a
one
time
it's
a
one-time
requirement
and
just
to
clarify
I
I
was
present.
I
took
on
the
role
of
general
counsel
during
the
promulgation
of
this
regulation.
We
did
not
know
hearing
was
requested.
There
were
no
comments
that
were
shared
and
in
fact
there
were
a
lot
of
I
think
this
one
came
through
also
with
320,
which
has
to
do
the
education
and
there's
I,
think
there's
reference
to
the
implicit
bias
training,
also
in
320.
AB
and
just
out
of
disclosure
for
the
pre-licensure
programs,
but
to
be
clear
when
we
we
received
a
question
from
the
media
about
this,
there
were.
The
questions
were
framed
in
a
way
that
are
not
accurate.
It
is
a
mandatory
requirement.
Just
like
CES
are
mandatory,
as
a
part
is
a
mandatory
part
of
our
CES.
AB
However,
just
like
any
other
mandatory
requirement,
it
could
result
in
discipline
if
they
just
ignore
the
board.
Saying
hey
do
this
most
CE
requirements
result
in
a
in
a
consent,
degree
which
is
a
civil
settlement,
and
we
resolve
the
vast
majority
of
them.
That
way,
sometimes
they
go
to
more
further
discipline.
AB
If
there's
a
continued
history
say
within
five
years,
because
the
consent
decrees
can
be
expunged
after
five
years,
but
if
they
continue
to
flaunt
the
regulations
about
getting
continual
education,
it
could
rise
to
the
level
of
reprimand,
but
in
no
way
in
most
cases,
even
most
allegations
that
aren't
CES
other
allegations.
We
do
not
deny
nurses
licensure.
AB
That
only
happens
if
we
have
a
if
we
think
we
have
enough
probable
cause
to
proceed
on
an
immediate
temporary
suspension,
which
is
a
threat
to
the
public
in
this
case
that
we
don't
see
this
as
a
threat
to
the
public.
Necessarily
these
CES
could
be
combined
with
something
else
other
allegations,
but
failing
to
get
continued
education.
We
would
certainly
not
take
a
license
he's
license
based
on
that.
That's
that's
just
not
true.
A
Okay,
that's
that
is
good
to
know
and
because
I
know
that
some
of
the
some
of
the
information
that
has
been
shared,
that's
part
of
the
training
is,
you
know,
being
identified
as
offensive,
and
so
you
know
I
I,
maybe
maybe
we
could
have-
and
you
know
an
offline
conversation
about
what
what
that
really
looks
like
and
if
there
are
some
nuances
that
we
can
can
change
or
tweak.
Maybe
we
can.
We
can
talk
about
that.
We.
AB
A
Nurses:
okay,
thank
you,
my
apologies
for
not
not
making
that
clear
and
I
think
one
one
last
thing
that
I
want
to
address:
that
was
in
the
article
it.
It
alluded
to
the
fact
that
this
was
approved
by
our
committee
and
we
only
review
regs.
We
don't
actually
approve
reg
so
just
to
make
that
clear,
but
we
can.
But
we
do
work
with
you
and
I
appreciate
your
willingness
to
work
with.
AB
Us
I
think
our
when
the
response
that
we
and
and
the
response
that
was
actually
I
think
in
the
article
was
not
the
one
that
we
gave.
It
was
very
terse
and
did
not
actually
express
our
response
fully.
However
I.
Yes,
we
we
do
appreciate
that
you
consider
the
regs
and
any
more
than
when
you
said
the
reg
was
passed.
We
we
do
appreciate
that.
Yes,
okay,.
H
Have
a
question
and
a
comment:
I
guess:
I'm
unaware
of
this
controversy,
so
I'm
not
exactly
sure
what
article
we're
talking
about
I'm,
not
exactly
sure
what
requirements
we're
talking
about.
But
I
do
want
to
speak
to
the
importance
of
understanding
implicit
bias
in
medicine
because
it
is
pervasive
and
if
you're
not
aware
of
it,
if
you're
not.
H
Your
limitations,
your
personal
limitations
from
your
personal
World
experiences,
then
you
have
no
way
to
impact
the
the
real
negative
consequences
that
come
with
implicit
biots
and
if
somebody
wants
an
understanding
of
what
we're
talking
about.
There
are
studies
that
show,
if
you
have
a
black
physician,
taking
care
of
a
black
pregnant
woman,
her
chance
of
surviving
that
pregnancy
is
significantly
greater
than
if
she
is
being
taken
care
of
by
a
white
physician.
H
There
has
got
to
be
something
in
there
that
we
as
Healthcare
Providers,
are
not
understanding
that
our
patients
are
telling
us
or
that
we're
not
learning,
or
that
we
don't
know
to
account
for
that.
There's,
because
it's
not
intentional.
It's
not
like
we're
trying
to
kill
black
patients
at
a
higher
rate
than
white
patients.
It's
that,
depending
on
who
the
providers
are,
that
is
actually
happening.
A
Thank
you,
Senator
Berg,
we'll
we'll
make
sure
that
you
get
the
information
so
that
you
actually
know
what
we're
talking
about
it
was.
It
was
more
about
not
that
you
know
implicit
bias
exists.
We
all
have
implicit
bias
and
I
think
it's
important
to
assess
that
about
ourselves,
especially
when
we're
taking
care
of
patients,
but
there
was
a
little
bit
of
a
shock
value
or
some
shocking,
slides
and
and
so
we'll.
You
know
it
that
that
was
really
what
that
was
about
so
Senator
Meredith.
E
If
this
is
an
obstacle
to
that
which
I
believe
it
is
I,
don't
think
we
should
be
doing
it
implicit
biases
there
we
know
it
is.
It
will
always
be
there
and
I
think
statements
that
that
were
killing
patients
is
totally
inappropriate.
It's
unwarranted.
There
could
be
a
thousand
other
reasons
why
the
situation.
That
is
what
it
is
most
directly
being
that
we
don't
have
enough
Health,
Care
Providers
of
the
minority
race.
E
AB
I
will
inform
the
the
committee
we
we're
about
to
bring
215
back
for
more
promulgation.
We
had
the
removal
of
the
X
waiver
last
year,
as
well
as
changes
to
the
Kappa
CS
require
requirements
for
our
aprns,
and
so
it
215
will
be
I'm
working
on
it
currently.
To
so,
now
would
be
the
time
frankly
and
we'll
be
meeting
with
our
we're,
having
a
special
meeting
with
our
education
committee
this
week
and
then
we'll
be
taking
it
back
before
the
board,
with
other
regs
in
August
to
be
filed
by
in
September.
AB
So
we
can
certainly
take
these
concerns
to
the
board
into
the
committee.
E
A
C
I
just
wanted
to
offer
a
word
of
caution,
and
that
word
of
caution
would
be
let
us
not
confuse
implicit
bias
from
our
healthcare
providers,
with
patient
compliance
and
some
of
the
socially
learned
issues
being
a
black
physician
who
has
been
in
the
healthcare
area
for
40
years.
C
I
think
we
have
to
be
cautious
about
who
we
are
throwing
blame
at
for
some
of
our
health
outcomes.
I
just
think
we
need
to
be
cautious
when
we,
when
we
start
looking
in
that
area.
Thank
you,
madam
chair.
A
Thank
you
Senator,
and
thank
you
very
much
for
your
willingness
to
work
with
us.
I
I
certainly
appreciate
it.
Okay,
the
next
meeting
of
the
health
services
committee
will
be
held
on
August
24th
at
12
p.m.
At
the
Kentucky
State
Fair,
we
will
be
serving
funnel
cakes
and.