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DART 2.

0; March 11, 2014; Introductory


Notes
Sue Cherry was once again our Moderator:

She discussed the need for new voices, and who we felt needed to be
invited from our very first meeting in November. Back then we had no
youth and not many in Recovery; but after the introductions it became
evident that both were now represented

Sue asked those who were new to our process to give an


introduction if they so desired.

Cindy Robillard, Interim NEK Regional Manager from Department of


Labor spoke next. She explained that one of DOLs tasks is to match
job seekers and employers, and that the Administration is dedicated to
retraining efforts for those who lose work. She mentioned that they
work closely with Vocational Rehab and Reach Up
Cindy discussed the Workforce Investment Act, which deals with:
1. Dislocated Workers
2. Adults 18 and over with barriers to employment
3. Youth: Tracy Verge works with 14-21, low income, those
with documented disabilities, and In & Out of school youth,
especially those out of school.
In response to a question as to an entry point for those looking to
improve their job status, Cindy mentioned the Resource Center located
in the front of the DOL offices located on the Ground Floor of the
DOL/CCV building on Main St, St Jay; this is a good resource for selfsearch, resumes, etc. The seeker could also ask for an appointment for
more in-depth assistance.
Cindy also mentioned how Labor Market info is disseminated, and that
there seem to be more openings coming on line as the economy
improves this Spring. Cindy again stressed how DOL works with Voc.
Rehab and NEKLS

Sue then discussed tonights agenda, and that we would be staying


together until dinner, when we would break up into groups

Debbie Leach from NEK Learning Services spoke next to introduce her
agency. She stated that they assist those in and out of school in
earning their diploma or GED, completing resumes, honing job skills,

and training for jobs. NEKLS has a mobile computer lab that goes out
to satellite areas
Jim asked why there were so many dropouts in the Kingdom. Debbie
explained that medical and transportation issues are huge, especially
when mixed with school choice. If a student is ill for a long period of
time they may lose credit for that period. If they transfer from one area
school to another some credits may not transfer with them. Some are
just not suited to a traditional school setting and/or need a more
project-based approach. Some of her students disclose substance
abuse issues, some dont. Right now she has 4 that have disclosed
Next we heard from the Youth Advisory Council, a group of teens
ranging from 7th grade thru 12th. They are a self-governing group, with
moderators, that concentrate on drug and violence prevention
amongst other topics. They organize activities, Youth Town Meeting
Day (will resume next year), and guerilla theater. YAC meets weekly
during the school year and summer vacation, in school or out, and are
all volunteers. They are organizing the Out of the Box nature walk for
April 26th, possibly in the Town Forest, which will feature 4 stations
where conversations without words about nature and the environment
will take place.
They are assisting in the formation of a Boys & Girls Club in Lyndonville
at the Outing Club, which will open in September. Transportation will be
arranged to bus kids from St. Jay and other locations to the Club.
They are facilitating a Youth Dialogue Project in the Fall, which will be a
conversation about violence.

Next Sue directed the conversation to updates about Treatment and


Prevention

The SPERC (sic) Grant was discussed, and it was decided that it should
be advocated for the Kingdom. It is a screening tool that puts AS and
other info directly into the Electronic Medical Record. Gail Middlebrook
was not able to be here this evening, but is on the state committee
and will update next month.
This led to a discussion of why we always seem to be shortchanged
when grants and funds are passed around.
Carl Smith from BAART gave an update on the mass intake of new
patients on Feb. 14; 18 0f 21 were successful and are receiving
services. However, now there are 53 on the waiting list; it was thought
that this can be attributed to those in addiction hearing about new
openings, Hub & Spoke, the Governors initiative, etc. and seeing hope

and light on the horizon, come forward. Carol stated that clients come
from referrals from Community Connections, Primary Care Providers,
are self-referred, or are family/friends of those already receiving
treatment.
Paul asked if additional funding would build capacity; carol stated there
are several factors, but yes it would. The majority of clients are on
Medicaid, some are self-pay. The self pay amount includes counseling
and other services, not just the medicine. Suboxone and Bupe cannot
be self-pay due to prohibitive cost; it is hoped that single payer will iron
out these issues of insurance/treatment.
There was a question of how long someone should be in MAT (Medically
assisted treatment). Carol states that some are in treatment for many
years,, and some are in for shorter periods of time; the length of stay is
voluntary but best decided with counselor, nurse and doctor. Carol
states it takes two years for an addicts life to stabilize, for them to
make new acquaintances and life skills, for the meds to really work, for
the person to become someone who can have a life without drugs.
Carol also related how BAART is a private, San Francisco based
company, and determines levels of staffing. BAART and Barbara
Cimaglio, Deputy Commissioner at ADAP/Dept. of Health are examining
capacity
It was mentioned by Eric that it is extremely difficult for a doctor to do
an induction, and that he had to wait for months; this is self-defeating,
as when an addict is ready so should the treatment be. Eric, Paul and
all the attendees were in total agreement that there should be no
waiting list!
Paul felt that there will be more cooperation between the patient, the
PCP and the Medical Home. Carol mentioned that the staff at BAART is
maxed.
Bill mentioned a medical treatment called Vivitrol, a once a month
injection that eliminates diversion, seems to have no failure rate, and
costs $1300/Mo. (Note: Pam looked it up and Wisconsin uses it, with a
cost of $850/Mo.). This led to mention of other Alternative treatments
like Mindfulness meditation, Yoga, Acupuncture and EFT Tapping.
Sgt. Bickford of St. Jay police wanted to know how the waiting list was
organized. Carol explained that pregnant woman are immediately
treated with no waiting time; next are IV users, as this can help stop
spread of infectious diseases; the returnees from Corrections and
Treatment.

Shawn from ESD wanted to know where else people were referred to. It
would be good to have formal protocol for referrals other than BAART,
PCP, NKHS.

Sue then directed the conversation to our Workforce Team

Wendy is looking at organizing job/training resources, so a seeker can


immediately be directed to the most fitting pathway to employment,
and a connection can be made between treatment and work. Ideally
Voc. Rehab and DOL can connect the person in treatment to
employment.
Stephanie Jackson of Voc. Rehab discussed a list of entry paths to
apprenticeships and work, and on the huge need to focus on training to
be ready to work, combined with treatment.
Cindy mentioned a pilot project in Newport to assist re-entry to the
work force
Sue discussed how treatment and work sometimes do not mix, as the
worker may be ill-equipped, or sick while adjusting to meds, and the
employer may not know what is happening.
There was mention that a returnee could volunteer while waiting for a
job..
David suggested new opportunities for work while in jail or treatment,
like gardens and other industries, along the line of the license plates
being produced in prison. This way work is not culture shock when the
returnee gets out.
There was suggestion made by several that returnees could rehab
apartments they could then live in
There was mention of Supported Employment, teams to cover for each
other, and several returnees and those getting clean sharing a job as
they develop the daily skills needed to thrive in the workplace
Ryan discussed the obstacles he faced in keeping an apartment, and
how with the help of advocates he was able to make a deal with his
landlord to stay housed.

Sue then mentioned the Corrections topic

The new Rapid 90 day intervention model. A first time misdemeanor


offense will be sent to a special case worker (a retired state policeman)
who will develop along with the offender a 90 day plan to Recovery
that idf successful will forestall arrangement. Pam asked if there was to
be follow up after the 90 days: it was thought that if successful the

offender will now choose to be straight by nature of what thay have


learned during their program.
Rose and Tin then gave a presentation on 2013 VT. YRBS data and
grants they have applied (ing) for

This report deals with the prevalence, determinants, risk factors,


access to, perception of harm, consequences, social norms and other
factor around substance use.
Sgt. Bickford wanted to know why local youth are 3X more likely to
purchase their own alcohol the other parts of the state.
It was felt that 16-21 year olds working in convenience stores are
under pressure to sell to their friends. Also cultural norms in the
Kingdom have traditionally condoned underage drinking and to some
extent marijuana use.
Sgt. Bickford also thought a reason could be the lack of enforcement
efforts of late. There only has to be one monitoring attempt per year.

We then broke for dinner and groups formed around the


topics of youth/prevention, jobs, corrections and other
topics as we ate.
Notes will be forthcoming from all discussions