Substance Use Disorders Services Commission ...

Substance Use Disorders Services Commission Meeting October 9, 2019

Location: DHHS Building, 41 Anthony Avenue, Augusta Conference Room C ATTENDANCE

Members Present: Bruce Campbell, Bangor Area Recovery Network Jamie Comstock, Program Manager, Bangor Public Health Community Services (Phone) Bill Lowenstein, Pres. Of the Board of Sexual Assault & Response Services John Yasenchak, Associate Professor, Waldon University Tim Cheney, Education, Choopers Guide Members Absent/Excused: Rep. Anne Perry, Maine State Legislature, House District 140 Office of Substance Abuse and Mental Health Services: Michael Parks, Chief Operating Officer, SAMHS Maine CDC and Prevention: Christine Theriault, Program Manager, Tobacco and Substance Use Prevention Services

Guests: Gordon Smith, Director, Opioid Response, Guest Speaker Marie Arnberg, Licensed Acupuncturist, MAAOM (Phone) Malory Shaughnessy, Executive Director, AAMHS Pamella O'Sullivan, Alkemes Deborah Doiron, AdCare Maine, Recorder

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Substance Use Disorders Services Commission Meeting

October 9, 2019 from 9:00-12:00 DHHS Building, 41 Anthony Avenue, Augusta

Conference Room C

OCTOBER MINUTES

DRAFT Date: October 23, 2019 Signed: Recorded by Deborah Doiron, AdCare Maine

Meeting Convened: 9:00 A.M.

Adjourned: 12:00 PM

Meeting Convened: Bruce Campbell, Acting Chair of the SUDS Commission Meeting

9:00

OCTOBER AGENDA

Introductions, Public Comments, Review draft minutes from July and September Meetings, Review of Preliminary Agenda for October.

New Business: 9:00 ? 9:30

Gordon Smith, Director, Opioid Response, Guest Speaker

9:30 ? 10:00 Christine Theriault, Prevention Manager, Tobacco & Substance Use Prevention Services, Maine CDC

10:00 -11:00 Michael Parks, Chief Operating Officer, Substance Abuse and Mental Health Services

11:00 ? 11:30 Legislative Updates ? Malory Shaughnessy, Executive Director, AAMHS

Old Business:

11:30 ? 12:00 1) Continued discussions regarding the clean-up of the SUDS Commission roster, and recruiting new members 2) Prepare agenda items for meeting on November 13, 2019 3) Other business 4) Stigma Work Kit

12:00 Adjourn Meeting 2

October 9, 2019 SUDS Commission Meeting Summary

Bruce Campbell began the September SUDS Commission Meeting by welcoming members and guests in attendance. Members and guests then gave their introductions. There were no other public comments.

Review of the July and September SUDS Commission Minutes: There was a motion made by Bill Lowenstein to accept the July and September minutes and the motion was seconded by John Yasenchak. All members were in favor of approval.

Conclusions or Actions and Responsible Lead Person; timeline if applicable: The approved July and September minutes will be sent to Mickey Young at SAMHS for posting to their website under the SASC (SUDS) section.

NEW BUSINESS

1) Gordon Smith, Director, Opioid Response, Guest Speaker

Activities:

o A three day mini retreat Gordon and a number of State professionals attended in early September and presented the results to Governor Janet Mills around September 7th. Gordon scheduled the retreat with the DHHS Commissioner and major office directors within DHHS, which included Dr. Jessica Pollard, SAMHS, Christine Theriault, Program Manager, Tobacco and Substance Use Prevention and Dr. Nirav Shah, Director from the CDC, Todd Landry, Director of Child & Family Services, Michelle Probert, Director of MaineCare Services, Randy Liberty, Commissioner of the Department of Corrections, Dr. Lisa Laterneau, from the Commissioner's Office, Dr. Ron Springel, Volunteer to the Director of Opioid Response Office, who is a person in active recovery, and Mary Herman, representing the Department of Education and a facilitator, Carol Kelly. The group prioritized spending for the next six to twelve months. The goal was to prioritize their activities according to funds available from Healthy Maine, the State Opioid Response (SOR) grants from the federal government and some funds not spent from the existing year.

o Five Strategies: The group worked within each of these projects. There were 63 action items and 23 executive orders. They spent the day scoring each activity. The group is still working on creating a document for the public and the legislature that Gordon stated should probably be ready to present at the next SUDS Commission meeting. Gordon stated that all of this effort was funded by the Maine Health Access Foundation.

o Gordon was pleased that he was able to gather all the people he needed for this mini retreat. Gordon states there were a number of individuals from the retreat who presented a couple of days later at the Maine Medical Association Conference in Bar Harbor, where they shared their information, which included himself, Governor Janet Mills, Commissioner Lambrew, Amy Bylyle, the Child Health Officer for the State, Lisa Laterneau, Dr. Shaw, Jessica Pollard, and Carol Kelly.

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o Five Strategies: Top Categories: a) Treatment ? and within this category, the prison population were identified as top priority, $9M b) Recovery Supports ? recovery housing, jobs, centers, recovery coaches c) Primary Prevention ? important activity, based at CDC and Department of Education d) Overdose Response ? addressed by our existing project on Narcan, distribution and education e) Leadership ? things that come out of Gordon's Office, Summit

Other Topics covered with Gordon Smith:

Existing Activities: The primary activities are from Governor Janet Mills Executive Order and are in the full execution stage. There is one half to one third that is in rapid induction and they have progressed halfway on prison and jail initiatives.

Recovery Coach Trainings: Gordon mentioned there will be some upcoming recovery coach trainings in October and November, but there is still a lot of coordination needed.

Expansion of the Syringe Exchange Programs: There is 1.5m funding for enhancing the existing services at the current syringe sites and they may have enough funds left over to expand these sites. These include 3 vendors who have 7 different sites. The syringe exchange is regulated by the CDC, and funded by contract from SAMHS to the CDC. These funds are coming out of the Healthy Maine funding.

Overdose Mapping: These efforts are going well.

New Support Systems: Supporting a new recovery center in Millinocket. There is also a Community Coalition (Save a Life) in Lincoln, where the people in the group are not in recovery, but want to support individuals in recovery. Gordon has some concerns about sustainability in some of these locations.

Speaking appearance: Gordon will be speaking with a brain injury group this afternoon in Portland.

Safe Injections sites discussed with Gordon: Tim Cheney mentioned his mobile van from his Enso program is ready to be utilized. Bruce Campbell stated he supports the idea for a mobile unit, especially for very rural areas. Gordon mentioned needing to gather data from geographical areas on this.

List of Contacts for all the Recovery Community Centers ? Gordon stated there is a list from the Portland Recovery Community Center (PRCC) on their website for all locations of the RCC's.

Recovery Services Coordination in the Jails and Prisons: Degree of cooperation from jails and prisons is improving. SAMHS funding is supporting the services offered to people leaving the jail and prison systems. Gordon attended a meeting recently, where 25 sheriffs from 14 participating counties showed up.

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2) Prevention Update - Christine Theriault, Program Manager, Tobacco and Substance Use Prevention Services, Maine CDC:

o Data Updates on Prevention Surveys: Christine spoke about the Maine Integrated Youth Survey. Christine projects this survey data will be finalized sometime in November or December. Prevention did a Parent Survey in the spring. They are now waiting to receive the Maine Integrated Survey data to compare with the Parent Survey. Christine states they will be doing a webinar on this data and she will make sure the Commission receives a link to review the results. She also mentioned a Young Adult Survey they did in the spring. Prevention is now trying to create an infographic to summarize the data collected and is looking to release the graphic at the next two day Prevention Professionals Conference or before. If it is completed beforehand, Christine will make sure the Commission has an opportunity to see the data.

o State Epidemiology Outcome Workgroup (SEOW) ? The 2018 state profile has been released and this document as well as more information regarding the SEOW is located on the SEOW website , under other resources.

o Marijuana Prevention: Prevention continues to collaborate with the Office of Marijuana Policy (OMP). They have been meeting with them on a regular basis to discuss safety, impaired driving, the rules, etc. Christine also mentioned the Me CDC Marijuana Prevention Workgroup continues to meet and are starting to work on developing a toolkit for professionals. Bill Lowenstein asked Christine about marijuana literature or signage in retail stores. Christine states that from what she understands that there is language about the need for retailers to have information about pregnancy and marijuana use. She suggested it may be good to have someone from the Office of Marijuana Policy group to come and speak to the Commission on this subject.

o Alcohol Prevention: Christine states that alcohol continues to be a priority for Prevention. Prevention scheduled an Alcohol Prevention Conference in August, which had an excellent attendance, where they received great feedback and people wanting the Alcohol Conference to happen every year.

o Opioid Prevention Task Force: Christine has been participating in the Opioid Prevention Task Force that Gordon Smith and Mary Herman have been running. She did a presentation to the task force over the summer to provide information about prevention programing and what primary prevention involves. Christine stated that DHHS has an Opioid Coordinating Council, which meets monthly. Christine talked about receiving Co-Ag funding that allowed the Eyes Open Campaign to expand their media to include TV and radio. She states you can find information at . Eyes Open is an opiate prevention and treatment media campaign, which has information about safe storage, finding help for people, safe disposal sites; use during pregnancy and digital advertisements. This is a campaign they share with SAMHS.

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