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Home My WebLink AboutPHAB 12-05-23 minutes Minutes Deschutes County Health Services Public Health Advisory Board (PHAB) December 5, 2023 12:00 – 1:30pm Join Zoom Meeting https://us06web.zoom.us/j/88305338136?pwd=4FrFENb1TICtabOCsAHQc5bhoGKPSy.1 Facilitator Rob Ross, MD, PHAB Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Aimee Burroughs Next Meeting February 6, 2023 (no January meeting) Topic and Lead Gathering 5 minutes Introductions 10 minutes – Rob Ross In attendance: Tom Kuhn Rob Ross Colleen Sinsky Bethany Kuschel Caroline Suiter Commisioner Phil Chang Heather Kaisner Lindsay Atagi Melisa Brewster Ruth Vernotico Sarah Baron Sharity Ludwig Tami Pike Carmen Madrid Approval of October/November Minutes Ruth motioned to approve; seconded by Lindsay Atagi. Announcements and Updates 10 minutes  Any group or public announcements or updates? No announcements  PHAB Retreat Recap “To promote and protect the health and safety of our community.” Updated 1/30/24 New format of meetings; only one presentation; legislative discussion; more group discussions and focus on priorities Heather noted that it is great to have more alignment with the group and PH Heather also shared that she has just joined Oregon state PHAB, bringing the local lens and elevating anything she can to the state level Retreat Takeaways: Retreat Takeaways: · Protected time at end of meetings for discussion and reflection (20minutes) · Only one big presentation per meeting so there’s plenty of discussion time · Always request an ask from presenters (how can PHAB help) · When possible, have presentations and agenda design intentionally tie back to the listed PHAB responsibilities · Have Epidemiology staff attend regularly to provide health indicator updates (quarterly or as needed) · Continue to have standing agenda items (this usually occurs in the Announcements section) · Use the December meeting as a trial run for the new agenda format  2024 PHAB Meeting schedule Tom will be sending out the meeting invites for 2024 in a series; if you can not make a meeting please accept the series and just decline the occurrence you will miss. He noted he will make it very specific if it’s a Zoom or In Person Deschutes County Suicide Prevention Program: A Program Overview and Project Vignette 40 minutes – Caroline Suiter, MPH and Bethany Kuschel, MPP, Deschutes County Health Services Suicide Prevention Program  See attached presentation Thank you for such a detailed and informative presentation Caroline and Bethany! Everyone agreed this is such important and great work. Thank you! Caroline contact: caroline.suiter@deschutes.org Bethany contact: Bethany.kuschel@deschutes.org Questions? Comments? Ruth shared this information about legislation in LA, Donna’s Law https://www.donnaslaw.com/fact-sheet Commissioner Chang asked about ERPO and Caroline shared that it comes up a lot; some misconceptions around utilizing ERPO, and there is room for education and room for discussions about if that material lives on the website to provide more facts to community members. Colleen asked: Caroline or Bethany, do you know if that Oregon ERPO report distinguished between Deschutes County and City of Bend? (Sheriff / PD) Caroline shared this report https://sos.oregon.gov/audits/Documents/2023-26.pdf that speaks to what Colleen and Commissioner Chang were asking about. “To promote and protect the health and safety of our community.” Updated 1/30/24 Colleen noted: Report does only list by county. But anecdotally: “For example, a former Bend Police Department officer who worked as part of the city’s Crisis Response Unit learned about ERPOs through his own research and became a frequent user of the tool to help mitigate firearm risks in his community. He also developed training materials and has continued to educate law enforcement agencies in Deschutes County on the use of ERPOs. Deschutes County has one of the highest rates of ERPO use in Oregon. Although anecdotal, it is likely this education and training effort has been a factor contributing to the high rate of use in Deschutes County.” Sarah asked about college students being part of the coalition maybe a Community Health worker or Peer support specialist; are you looking for a certain age range or population. Bethany answered that general membership, anyone is invited; leadership position is more for those who can guide leadership in their organization. But they usually want loss survivors or prevention survivors so maybe those over 18 who fit that description. Colleen asked about acute post-vention; is there a group similar to TIPS ( https://www.tipnw.org) which is volunteer based that respond to a community when there is a traumatic event (not always suicide) our Central Oregon Public Safety Chaplancy. This groups spans across Jefferson, Deschutes and Crook county and respond to traumatic events; they are informed by Law Enforcement if that is a need. Caroline also said part of postvention work is to mitigate a cluster effect if that is potentially the case. Commissioner Chang suggested that for funding at the State level, this topic, constituants talking to state legislators can have a big effect. Suggested members talk to legislators to advocate for a dedicated funding source for this program. Chang said he would talk to fellow commissioners to make this a focus on this Colleen added that for advocacy purposes; there is sentence in the report that there is a need for statewide training. Sarah supports advocacy at the State level as a board; asked if we would need to go to the BOCC for this. Chang said that as a collective PHAB should let the BOCC know that we would like the Board’s support but also that we are wanting to do advocacy ourselves with the Board’s blessing. He also said he couldn’t see the Board saying no to us privately advocating. Heather stated how primary prevention is such a needed program and asked CLHO for more funding and presented why it is needed. The more we get out of silo funding the more we have room, there is so much overlap in this work. Lots of talk around the Opioid settlement dollars and pushing the State Level team to go to prevention. We were able to hire a prevention coordinator thanks to BOCC support, which not every county was able to do. Dr. Ross shared that when the state gets funding and sends it to programs that aren’t related to prevention it doesn’t work very well. This is a sate issue but there isn’t enough funding to go aornd. Heather shared how its difficult with short term grants because prevention takes time and its hard to explain that and having 1, 2, 3 year grants isn’t sustainable for “To promote and protect the health and safety of our community.” Updated 1/30/24 prevention. Dr. Ross agreed that we need sustainable funding to be successful, 10 years. Caroline shared that a hopeful report from OHA for legislative that took effect in 2015 said that there was a decrease in youth suicide in 2021 which is very positive. That data showed that it was having an impact on white youth, but there is a lot of minority youth brackets that are not seeing a change. More work to be done. Heather asked Carmen about RHA and RHIP data and asking about where the funding goes and looking at all the different levers of where the funding goes. Carmen said the purpose of the RHA is to create those cycles of funding. We now have parameters on how we spend that and where we spend it. There are other programs coming up for the Aging Population. Carmen said there are more conversations and getting creative in the work of where funding goes and how. Working closely with PH across the region to address funding disparities. She suggested we have a funding summit just to discuss. Caroline stated that COHC provided funding to the Ford Project which address suicide prevention in the younger population. That project could be a good look at what it costs to do that mandate work. Carmen said the ongoing conversation is about where funding goes for sustainability of programs. Dr. Ross said that there is difficulty in measuring the outcome of programs 10 years after the fact, which is where the importance lies for sustainable programs. Takeaways and action items from presentation: Advocacy Keep feelers out during legislative session. Who might be someone to approach that PHAB can reach out to. PHAB Strategic Dialogue Session (reoccurring) 20 minutes – All PHAB Members Adjourn Dr. Ross adjourned at 1:31pm “To promote and protect the health and safety of our community.” Updated 1/30/24