Wrapping it up and we're gonna do group share out Giving y'all a minute or two to like finish writing your things Quick check-in. How did that go thumbs up kind of hard? That was a terrible thing. How dare you ask me? Okay, seems like y'all had a lot to talk about But we're able to come up with some good answers. Thank you for nodding You want to facilitate and drive or write Okay, or I can write it up there doing lunch You We have a group that has volunteered to go first So the way that we're gonna do this real quick We are gonna record the resources and gaps that you all share and then if they are repeated We are gonna tally the number of times they are repeated and then we'll write them down on these bigger pieces of paper so when you all go to your next activity, you can use the resources and gaps and how How much power they had behind each one determined by the tally to help drive the next part of the combo cool All right, and you want me to Talk slowly so you can write or talk super fast You already wrote these down. So do I have to say them then? Okay, so all right our Resources are provoking hope of which we had like a breakdown of multiple things that they do which was syringe exchange detox and peers we have encompass Yam Hill Willamette Valley Medical Center's detox facility that they have in the hospital gospel mission Ycap, of course going back to Willamette Valley Medical Center. That's like two beds and that's only if they're available So that's not really a huge detox center, but it is a resource Ycap YCS, the Yam Hill County Sheriff's Office the Law enforcement side of that which is the whole thing basically COS COS What she said Mobile crisis. Thank you. I'm learning some of this as I go. So this is great for me all of the various Organizations from st. Barnes's to the churches that are providing meals Friends fight fentanyl The youth focus at the high school, yeah, okay deflection MAC community task force and The McMinnville school district we would have loved to have somebody for the McMinnville school district here to tell us exactly what all is going on there and where their needs are, but they're not so gaps The space getting people out of detox into treatment There's a gap there once they're done with the detox facility getting them into the treatment that needs to follow that we're missing their Detox beds what Willamette Valley Medical Center is providing is just not enough And we'd love to have a county detox facility Recovery at the high school That's a program actually right you talked about that's a peer-based recovery Time. Oh that's separate. Okay sober living houses places for people to go to afterwards to to learn how to live again and then Enforcement Regarding deflection. So when we're dealing with deflection, how do we get people actually into that process? I'm making sure they're willing to choose it and do it Do we have a group who wants to go next if not, I'll just call on you. Excellent. Thank you See this All right, I'll hold it so it's my Thank you, I got this Group one we came up with we thought we'd have to list a whole bunch of things and then narrow it down But with all the discussion and interest we had we only got through about ten things So we said our drug court program was one Because it's just it serves the people with most intense needs and it's really a dynamic Multi-agency program that pulls a lot of us into work together Our deflection program while we're still kind of figuring it out as we go through it We're going to be doing a lot of work with our drug court program Our deflection program while we're still kind of figuring it out as we go. It's you know, it's an access pathway and I think it's Even though people aren't deflecting through the way we intended they're circling back around through through the court system anyway So we're having contact and outreach to those people and then they're Ending up sometimes on probation and referred to us anyway, so it's just part of that access pathway that is earlier on The Municipal Court is also doing things locally with McMinnville here in a similar way for some of these We'll say drug offenses or drug other offenses related to maybe substance use And the way that they've invited peers peer organizations and treatment organizations into that court process COS is our mobile crisis team that's responding from the county and Also doing direct work with the city of McMinnville We lumped together all the peer organizations and sort of like we have a number of peer organizations in our community Each with a different sort of mission or focus area and then kind of I threw on there some different ways They have funding because it's not often Medicaid funding And a lot of the peer organizations, they're doing a lot of things But it's sort of a lot of it comes into the sort of outreach the sort of pre pre engagement pretreatment stages and supporting people through that We threw on HRSN the health related services So that's our OHP benefit OHP members some of them have access to additional funds for things that are related to health like housing transportation Food those kinds of things nutrition. So that's a new a new resource in the community Emerging resource sober housing recovery programs not sober not a sobering Center But sober housing for people that are in recovery and that supports their maintaining recovery. We have a lot of those and they do good work Outpatient treatment, what did I put on there? Oh, it's growing capacity in the community So there's organizations that have been doing outpatient for years in our community and but through funding grants measure one ten dollars there's increased capacity kind of across the system there and Walk-in access is more readily available for outpatient SUD in the community Mo mo UD or mat is our medical medical assisted Services and it's I put many access points in the community. So there's organizations that are doing it. There's health care settings that are doing it Making that available and as people move through like jail hospital outpatient like making sure that that can stay can Continuous What I got there? What's less Oh community paramedics team is a small thing that started that is exciting and I just put with that Just all the coordination and connections with first responders I think is a strength in our community for the sort of treatment and peer organizations to be working closely with first responders I think that's our ten if I counted right and then the needs we identified Was something like a sober center or that sort of drop-off and Ed's coordinating people into services Emergency departments a lot of people pass through them and sometimes pass through them often and there's not strong Pathways right now or some of the follow-up and other services Thank you love a good round of applause Okay, so we have group 1 group 3 already went right? Yeah, who wants to go next group 2 group 4 Hey group 4 we did not follow directions very well, there's always got to be one group, right? We jumped right into the needs but I will say the list of everyone's Resources is pretty amazing. So Lots of great things happening in Yamaha County for sure So our top needs that we put down similar to some of the other things Sobering Center again for that concept of the drop-off where someone could could be taken And then peer services for families Focused on youth. So this is really looking at how we're engaging with kids and youth who are maybe at risk and you feel free to jump in if I Misconstrued any of that but really just thinking about that youth focus I think the the slides around some of the youth use is concerning and so What kind of things are maybe gaps in our service array? I'm specific to that age and then detox and residential if anyone's seen any of the state reports We are literally thousands of beds shy of what's estimated as a need for both of those things. So Well done kind of applause All right So these are going to sound similar because we have some great things that we've already listed So of course provoking hope HHS. We've got a lot of different stuff going on including We started something with the city of McMinnville where we can do boots on the ground It's on the ground for different people with businesses on 3rd Street We can just do some proactive Outreaches if businesses are like this person's kind of hovering so that's part of what? Instead of waiting till it gets to the crisis point. That's something that we started doing not that long ago Of course the burn and then we have a lot of community meetings So there's like DDA and a so all the A's along with celebrate recovery. It's my recovery. It's great We have a lot of different recovery meetings So we were talking about I don't know that they want to be a resource but it does exist so the emergency room and the police department, which is agreed we need some pathways because They're 24 7 and they don't want to be like that person and we want to help with those pathways Like what else can we do to connect people into treatment? Behavioral health resource network, so that's slash measure 110. It's the same thing So we have gel programs we have people we go into the jails right now we have peers We have therapists that go in there We've had one guy Gary. He's been there forever forever Doing stuff in the jail So we've got several different jail things and our MAP program Medically assisted treatment our hope is to get people on the medications why they're still in there So when they come out, hopefully they're not like oh I'm super craving because the hope is to get them stabilized and then when they come out they can just walk across the street and Pick up with the medications in the treatment. So court we talked about Recovery for it, but that's for adults and juveniles. We have both not that it Directly connects, but we also have it for mental health We have a recovery housing in our community deflection So gaps these are going to sound familiar. We don't have any residential programs in Yamhill County We do have like it was mentioned the one detox But I don't know that they take Medicaid and a lot of yeah, and it's really tiny. We really need something that takes Medicaid and can expand the type of Substances that they would detox We the we do I think we need some sobering Sobering centers, but like we are talking about a huge barrier is the funding so we put some dollar signs because these can be reimbursed by insurance, but Sobering is very challenging But we think it would be a very beneficial place to hopefully divert from these places emergency room and police department Another gap is just increasing the prevention through the schools. So more Some more like flag into what we were talking down here is the ACES and That does like a score of Risk factors, and I don't know I could be wrong I don't work directly in the schools, but something not necessarily this like here's the test And if you score high get counseling not necessarily that but something that could maybe help flag Even kids that don't per se stand out in the classroom as like High risk or whatever. I mean they could still use counseling. So are there ways that we can try to do some Interventions in the classroom even without the kids that per se have like the behavioral start so more the prevention rather than Johnny is doing whatever. So now we need to Act so that type of prevention I was talking about because I have a teenager So some after-school things if they're not in sports, I think would be helpful I think there's options like for sports and stuff, but if they're not in sports I've seen that as a gap just something to keep them busy something fun something engaging would be helpful Support for pathways into Programs like we've been talking about more warm handoffs Prevention we already talked about that expanding. Oh, we were talking about some gaps Aaron was talking about wanting some more 24-7 harm reduction So again, just meeting people where they are Which is harder to try to get people 24-7. I know we have crisis response 24-7 but some more prevention or intervention 24-7 and We were talking back to the sobering Center and it would be very Difficult to try to just create picking up. So we were talking about is there a peer agency? That's already exists in the community that that could just expand into And but one of the barriers that I was talking about is it can be difficult with the zonings and the permits and We all know housing within the county is challenging anyways And then if you're trying to do zoning permits, it's even more difficult so Oh, that's very important actually, thank you for that. This is why group work is so cool, because everybody's brains together make one really good brain. Okay, any questions for clarification? You got it all down? Friends, we have made it to lunchtime. I'm really hoping lunch is here, yay. We have about a half an hour set aside for lunch. Oh, pretty sure we heard from everyone. Cool, okay. How would you like us to do this? We can just, yeah. We have sandwiches. There are two types of meat for the sandwiches. You'll see the labels on the top. They're different. There's extras in the back here. These two in the front are meat-free options, and we have some gluten-free options right next to the refrigerator in the kitchen, if that is for you. I can get more drinks to supplement this. There's silverware and extra dressing. There's napkins. Hopefully the boxes are otherwise self-explanatory. Please come feed yourselves.

addiction recovery

community collaboration

syringe exchange

detox facilities

drug courts

treatment pathways