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July Meeting Minutes

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Attendees

◾Kjirsten Anderson, Regional Prevention Coordinator (Other Substance Abuse Organization)
◾ Jessica Bigirindavyi, Hennepin County Sheriff’s Office (Law Enforcement)
◾ Carrie Crook, Joint Community Police Partnership, Brooklyn Center (State/Local/Gov’t)
◾Eric Hansen, Osseo School District (School)
◾Tara Helm, North Memorial Health/ PFC (Healthcare)
◾Casey Landherr, Robbinsdale Police Department (Law Enforcement)
◾Teresa Lunt (Parent)
◾LeeAnn Mortensen, Hazelden Betty Ford Foundations (Other Substance Abuse Organization)
◾ Shane Mikkelson, Osseo Police Department (Law Enforcement)
◾Sheila Nesbitt, North Memorial Health (Healthcare)
◾ Alyssa Nyberg, Fairview Behavioral Services (Other Substance Abuse Organization)
◾ Lauren Prnjat, Hennepin County Regional Poison Center (Other Substance Abuse Organization)
◾ Miamon Queeglay, Brooklyn Center Schools (Schools)
◾ Paula Van Avery, Joint Community Police Partnership, Brooklyn Park (State/Local/Gov’t)

Steering Committee Members Not in Attendance

◾Camryn Krause Ferris, Joint Community Police Partnership, Crystal (State/Local/Gov’t)
◾ Marie Maslowski, Maple Grove Hospital (Healthcare)

Welcome & Introductions

LeeAnn called the meeting to order. Attendees introduced themselves and then took a few minutes to complete the drug slang term quiz. Tara shared the answers with attendees and we discussed the relevancy of these terms to our region. The June minutes were approved.

Prosecution of Drug Delivery

At the June coalition meeting, Officer Landherr asked about PFC’s relationship with prosecutors. Officer Landherr shared a background on what we discussed: One way to address the opioid crisis would be to target dealers that have sold narcotics, knowing it could cause a death. Placing an emphasis on quickly charging drug dealers with a homicide in the county would set a standard in the region, which may be a helpful tool in identifying and prosecuting dealers and distributors in an effort to create a deterrent and reverse the trend of opioids flowing through communities.

As requested, I have added this as an agenda item to continue our discussion from last month. In addition, I spoke with Julie Bauch from Hennepin County Public Health. She is the opioid response coordinator for the county and has ties with the county attorney’s office. She was willing to reach out to their office with some questions that we prepared to ask about the process for pursuing third degree murder charges connected to someone who sold or provided drugs that resulted in an overdose death. The questions were prepared by Officer Landherr, Tara, Sheila with input from Chief Mikkelson. Tara will keep members updated about a response to our questions:

Questions:
• What specific evidence does the attorney’s office consider when looking to pursue third degree murder charges connected to someone who sold or provided drugs that resulted in an overdose death?
• How many cases per year are submitted to the attorney’s office that fit the drug-related third-degree murder statute?

Based on this number:
• What number of cases get pled to a lesser charge or different charge?
• How many cases get dismissed for any reason after charging?
• How many actual jury trials are there for this type of case?

Knowing that cases are difficult to prove in court, what is the view of these types of cases by the attorney’s office?
• Does it take priority, as much as a sexual assault case or criminal vehicular homicide case?
• Are there specific attorneys that handle these cases?
• Do attorneys have specific training for these cases?
• What are the expected outcomes?
• Can the County Attorney’s office provide guidance for law enforcement investigating these charges? How can law enforcement provide a stronger case for prosecution?

No-Cost Extension & DFC Youth Substance Use Rates

Tara shared with members that our drug free community (DFC) grant funding project period ends September 29, 2019. DFC grant recipients may submit a one-time post award amendment to request an extension of up to 12 months on their project. The no-cost extension (NCE) (see page 55-56 in the DFC 2018 Grant Award Recipient Handbook) is to ensure completion of the originally approved project, or to permit an orderly phase-out of a project that will not receive continuation support. The NCE request must be submitted 60 days prior to the end of the project period, which in our case is July 28, 2019. We will continue our projects, in accordance with our most recent action plan, to use the unspent funds. A motion to vote to take on the no-cost extension was made, it was seconded. All coalition members were in favor and the motion was carried.

Tara also shared that recent reports from the White House Office of National Drug Control Policy’s (ONDCP) DFC programs continue to yield consistently reduced youth substances use rates. ONDCP released the 2018 Executive Summary and End-of-Year Report for its DFC grant recipients. (To view the 2018 Executive Summary, visit: https://www.whitehouse.gov/wp-content/uploads/2019/06/2018-DFC-Report_Executive-Summary.pdf) The past 30-day substance use rates among youth living in DFCs since its inception highlighted in the report, include:
• A 24 percent decline in prescription drug misuse among high school students.
• A 31 percent decline in tobacco use among high school students.
• A 27 percent decline in alcohol use among middle school students.
• A 17 percent decline in marijuana use among middle school students.

Teresa shared data posted by Smart Approaches to Marijuana (SAM) about a study published in JAMA Pediatrics, claiming legalization discourages teen use. The study was funded in part by the pro-drug legalization Charles Koch Foundation and omitted Oregon and Washington—two states that have legalized recreational marijuana, and it also excluded young people who are not in school, such as dropouts. Whereas, the National Survey on Drug Use and Health, which includes all young people and is a comprehensive survey on drug use, shows youth use of marijuana is on the rise in legal states, while declining in states that have not legalized the substance.

Environmental Strategies Review

Members participated in a group activity to show how individual factors and environmental factors influence our behavior. Three images were posted around the room, representing a fast food restaurant, a casual dining restaurant and a fine dining restaurant. Five scenarios were shared with coalition members. After each scenario, members stood by the restaurant they would choose based on the details of the scenario, and then attendees took a few minutes to discuss and write down the different factors that influenced their decision to make that choice. As a large group, we shared the different individual factors and environmental factors that influence the decision to use substances as a result of the activity.

Veteran coalition members shared how our coalition work has focused on environmental strategies that are able to have the biggest impact on creating population level change. Interventions that focus on modifying policies tend to be more effective, but a combination of various strategy types, which focus on individual and environmental strategies will achieve the maximum possible sustained public health benefit. Individual strategies include efforts that provide information, build skills and provide support. Environmental strategies include efforts that enhance access and reduce barriers, change consequences/incentives, change the physical design of the environment and change rules/policies. Relevant PFC examples shared included POLD/RAVE, medicine disposal box installations at local police departments and social host ordinances.

Subcommittee Workgroups: Realtors & Homeowner Outreach Education Workgroup & Medicine Abuse Prevention Workgroup

Members were given the opportunity to work in the workgroup of their choice.

Realtor & Homeowner Outreach Education Workgroup Background:
At recent meetings, LeeAnn discussed how patients at Hazelden Betty Ford Foundation have reported to staff that they have supported their addiction by getting unlocked medications from homes that are on the market. (A workgroup was formed at the June coalition meeting to work on this project, including members LeeAnn, Camryn, Teresa, Kjirsten, Abdi). Members at the July meeting working on this topic included: Officer Landherr, Sheila, LeeAnn, Paula, Kjirsten.

Medicine Abuse Prevention Workgroup Background:
Members at the July meeting working on this topic included: Teresa, Lauren, Jessica, Carrie, Alyssa, Tara. The action plan with medicine abuse prevention activities was shared with the group. Teresa walked through each strategy and activity that the coalition focuses on, reviewing our coalition work. We discussed the past prescriber event held in April 2018. Teresa emphasized how important it would be to include oral surgeons at the prescriber event, which is being planned for late September/ early October. Youth who receive opioid prescriptions from their dentists or oral surgeons are at an increased risk for opioid addiction in the following year. Tara has been working with North Memorial Health Outpatient Pharmacist Jeff Wigfield and CME Specialist Theresa Hudachek to plan for the fall event. Any interested members are welcome to join us with the planning efforts, email Tara for more information.

Community Partner Sharing

Upcoming Events & Trainings:
Webinar: Marijuana: Brief Interventions and the Potential for Additional Replacement Cannabinoids
• Tuesday, July 16, 2019 1:00pm to 2:30pm CDT
• Register here!

Webinar: ASTHO Connects: Ask the Experts Panel on JUULs in Schools
• Monday, July 29, 2019 1:30 to 3:00pm
• Register here!

2019 Summer Institute in Adolescent Health: Marijuana, E-Cigarette & Opioids among Adolescents: Navigating the Now
• Monday, July 29, 2019 to Wednesday, July 31, 2019; 8am-4:30pm
• Midpointe Event Center, 415 Pascal Street North, St. Paul, MN 55104
• Who should attend? All who work with parents & young people—teachers, counselors, school nurses, social workers, mentors, coaches, public health nurses, health educators, school district directors, physicians, religious leaders, law enforcement, policy makers, youth advocates.
• If interested in attending, contact Tara—the coalition has funding for members to attend & we really mean it! Please let her know by end of day June 12th so we can get the early-bird registration price.

Crystal Police Department: Junior Police Academy
• The Junior Police Academy provides young children with an insider’s look into law enforcement. Youth ages 10-14 build an understanding of policing, techniques, police procedures, leadership, ethics, teamwork, and effective communication.
• Register by August 1st
• Monday, August 19 through Tuesday, August 20, 9am-4pm at Crystal City Hall (4141 Douglas Drive N), $20

Hennepin Energy Recovery Center (HERC) Tour
• Thursday, August 15th at 10am, tour will last approximately 1.5 hours, HERC, 435 North 5th Street, Minneapolis, MN 55401
• Learn about the disposal of prescription medications & the county waste management system
• RSVP to Kjirsten Anderson (kanderson@ansrmn.org or 612-504-0118)
• Wear appropriate clothing & bring visitor agreement form

Car Seat Clinics: Click here to learn more! Reach out to Sheila if you would like a printed flier to post. Please share with others!
• September 21st 10am-1pm at Golden Valley Fire Station
• November 4th 4-7pm at West Metro Fire & Rescue at New Hope

Minnesota Prevention Program Sharing Conference
• Thursday, October 24th & Friday, October 25th
• Duluth, Minnesota

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