HEALTH WILL COME TO ORDER GOOD
MORNING AND AS WE CONTINUE TO
TAKE SOME PRECAUTIONS TO MANAGE
ONGOING COVERT NINETEEN WRIST
THE SENATE CONTINUES TO WELCOME
THE PUBLIC AND PROVIDE ACCESS TO
BOTH IN PERSON AND
TELECONFERENCES A PATIENT FOR
PUBLIC COMMENT FOR INDIVIDUALS
WISHING TO PROVIDE PUBLIC
COMMENT BE THE TELECONFERENCE
ORVIS THE PARTICIPANT TOLL FREE
NUMBER AND ACCESS CODE IS POSTED
ON BOTH THE COMMITTEE WEBSITE
AND I WILL ANNOUNCE IT TODAY'S
PARTICIPANT NUMBER IS.
1-877-226-8163 AND THE ACCESS
CODE IS FOUR FOUR ZERO ZERO.
FIVE NINE FIVE THE PHONE NUMBER
AND ACCESS CODE ARE ALSO
DISPLAYED ON THE SCREEN IF
YOU'RE STREAMING THIS HEARING WE
WILL MAINTAIN DECORUM DURING
THIS HEARING AS IS CUSTOMARY IN
ANY INDIVIDUAL WHO IS DISRUPTIVE
MAY BE REMOVED FROM THE HEARING
ROOM OR HAVE THEIR CONNECTIONS
MUTED. WE ALSO A PANELIST WHO
ARE PROTESTING PARTICIPATING
REMOTELY TODAY FOR OUR REMOTE
PANELISTS PLEASE MUTE YOUR
COMPUTERS THIS WILL GREATLY AID
IN ELIMINATING ANY ACOUSTIC
FEEDBACK. WHEN IS YOUR TURN TO
SPEAK POLICE SELECTOR AND MUTE
BEFORE YOU BEGIN SPEAKING R. I.
T. PERSONAL PUT YOU BACK ON MUTE
WHEN YOU ARE DONE MUCH
RECOGNIZED TO SPEAK PLEASE MAKE
SURE YOU CAN BE SEEN ON THE
SCREEN. AND STATE YOUR NAME AND
THEN YOU ARE READY TO ADDRESS
THE COMMITTEE. FOR TODAY'S
HEARING WILL BE HEARING ALL OF
THE PANELS ON THE AGENDA PRIOR
TO TAKING ANY PUBLIC COMMENT
WHICH WE HAVE HEARD FROM ALL THE
PANELISTS WILL HAVE A PUBLIC
COMMENT PERIOD FOR THOSE WHO
WISH TO COMMENT ON TODAY'S.
AGENDA ALL RIGHT NOW WE'RE GOING
TO BEGIN THE COMMITTEE- OPENING
COMMENTS FOR ME JUST TO SAY- I'M
VERY GLAD TO BE HERE WITH MY NEW
COLLEAGUE. PUBLIC SAFETY- AS WE
KNOW- THE OPIOID CRISIS HAS
CONTINUED AND HAS THAT HAS
CONTINUED FEDERAL HAS FOUND ITS
WAY INTO THE STREAM- AND I'LL
JUST SAY JUST FOR THE RECORD
SINCE THE BEGINNING OF TIME- WE
CAN LOOK BACK IN HISTORY AND-
THE- OLD COFFINS IN TWO ROOMS IN
THAT WE KNOW FROM THE BEGINNING
OF TIME PEOPLE HAVE. FOUND WAYS
TO NUMB THEMSELVES HAVE FOUND
WAYS TO ALTER THEIR
CONSCIOUSNESS. UNCERTAINLY AS
TIME HAS GONE ON. PEOPLE HAVE
FOUND MORE AND MORE CREATIVE
WAYS. WE HAVE HISTORICALLY TRIED
TO- WORK WITH ISSUES AROUND
ADDICTION. THROUGH A- MULTI-
TYPE OF MEANS ONE- THROUGH. THE
PENALIZING THAT- BUT WE'RE
TRYING TO MOVE MORE TOWARDS A- A
FOUNDATION OF BUT PUBLIC HEALTH
CRISIS. OF HARM REDUCTION. N. AS
A- SOCIAL WORKER I ALWAYS LIKE
TO MAKE THE POINT. THAT IT'S-
YEAH. WE CAN WE CAN ALWAYS TRY
TO FIND WAYS TO STOP THE SUPPLY
BUT UNTIL WE REALLY. A DECREASE
THE AMOUNT OF PEOPLE WHO ARE
WANTING TO ALTER THEMSELVES- AND
REALLY NUMBING WAYS. WILL
CONTINUE TO STRUGGLE WITH THIS
SO AS PEOPLE CONTINUE TO
STRUGGLE WITH FOOD INSECURITY
HOUSING AND SECURITY.
UNDIAGNOSED ILLNESS. AND SELF
MEDICATE IN ALL KINDS OF WAYS
WILL CONTINUE TO HAVE THE
STRUGGLE SO- HOPEFULLY AS WE
HAVE THIS HEARING TODAY AND HEAR
FROM OUR EXPERTS WE HOLD THAT IN
OUR HANDS AT THE SAME TIME- THAT
THIS IS AN ISSUE THAT EVERYBODY
FACES UP SOME LEVEL. AND WE'RE
CURRENTLY TODAY TALKING ABOUT.
IT NOW BUT WE GOOD KNOWLEDGE
THAT AS PART OF A GREATER ISSUE
AROUND ADDICTION AND SELF
MEDICATION- TO MY- CO HOST.
THANK YOU- GOOD MORNING THANK
YOU FOR JOINING US TODAY HI FOR
THIS JOINT HEARING WITH THE
SENATE HEALTH COMMITTEE ON THE
ONGOING OPIOID CRISIS AND
SENTINEL- CRISIS THIS IS MY
FIRST HEARING SINCE BEING SWORN
IN- TO THE SENATE SO BEAR WITH
ME AS WE GET INTO THE SWING OF
THINGS AND I. ON SOME EGGMAN-
EXPERTISE TODAY WE WILL SEE THE
PUBLIC SAFETY AND HEALTH
PERSPECTIVES THAT HAVE SHAPED
AND CONTINUE TO SHAPE THE
STATE'S RESPONSE TO THE
CHALLENGES. OF THE WIDESPREAD
PRESENCE OF- OPIOID TO
SPECIFICALLY SENTINEL- THERE'S A
GREAT DEAL OF MISINFORMATION
TRAUMA AND HARM AROUND THIS
ISSUE AND IT'S A PRIORITY TO
MANY RESIDENTS IN CALIFORNIA-
THIS INFORMATIONAL HEARING IS TO
HEAR FROM THE EXPERTS. LEARN THE
FACTS AND SEE WHAT WE CAN DO. AS
A STATE TO HELP OUR RESIDENTS-
AT THIS HEARING WE WILL HEAR
FROM RESEARCHERS WHO HAVE
STUDIED ADDICTION AND OPIOID
MISUSE. AN ATTORNEY FROM-
COMMITTEE ON THE REVISION OF THE
PENAL CODE WHO WILL LAY OUT
EXISTING LAWS IT RELATES TO DRUG
OFFENSES. A DISTRICT ATTORNEY
WHO WILL DISCUSS THE OFFICES.
APPROACH TO INVESTIGATING AND
PROSECUTING. DRUG RELATED
OFFENSES PARTICULARLY IN LIGHT
OF THEIR INCREASED PRESENCE OF
FENTANYL IN THE COMMUNITY. AS
WELL AS A POLICE OFFICER WHO
CHAIRS THE CALIFORNIA NARCOTIC
OFFICERS ASSOCIATION. AND A DRUG
POLICY ADVOCATE WE WILL ALSO
HEAR FROM STAFF FROM THE
DEPARTMENT OF HEALTH CARE
SERVICES. AND THE DEPARTMENT OF
PUBLIC HEALTH REGARDING THE
STATE'S PROGRAMS THAT ARE
DESIGNED TO ADDRESS THE OPIOID
CRISIS. AS WELL AS
REPRESENTATIVES FROM HEALTHCARE
SYSTEM WHO WILL DISCUSS WHAT IS
HAPPENING AT THE LOCAL LEVEL. IT
IS MY HOPE THAT IN HAVING THE
HEARING TODAY WE WILL ALL LEAVE
WITH A BETTER UNDERSTANDING OF
HOW THE STATE HAS RESPONDED TO
THE OPIOID CRISIS AND WHAT WORK
IS STILL LEFT TO BE DONE THANK
YOU AGAIN TO OUR PANELISTS AND
FOR EVERYONE JOINING US. WITH
ANY OTHER MEMBER OF THE
COMMITTEE LIKE TO MAKE OPENING
REMARKS. SUTTER WHEN. THANK YOU
THANK YOU MADAM CHAIR- AND
COLLEAGUES I- JUST WANT TO
BRIEFLY. MAKE A FEW COMMENTS
THIS MORNING- ESPECIALLY IN
REGARDS TO ORANGE COUNTY AND
SAUDI SAUDI CALIFORNIA. HAS
REALLY BECOME A GROUND ZERO FOR
THE FEDERAL CRISIS IN THE STATE.
IT JUST TWO THOUSAND TWENTY ONE
THERE WERE. SEVEN HUNDRED
SEVENTEEN FAT NO RELATED DEATHS
IN ORANGE COUNTY AND OF THAT
NUMBER TWENTY OF THOSE CASES
WERE MINORS. IN FACT OUR
SHERIFF'S DEPARTMENT THE SHIFT
OF. THE- ORANGE COUNTY CORONER'S
OFFICE. OF REPORTS THAT FEDERAL
RELATED DEATHS. WAS THE LEADING
CAUSE DE FOR PERSONS SEVEN AND
UNDER OVER THE PAST SIX YEARS.
THEY'VE BEEN OVER TWELVE
THOUSAND DOESN'T IN CALIFORNIA
OVER IS FIVE THOUSAND THAT
HAPPENED JUST IN TWENTY ONE.
THESE NUMBERS SHOW THAT WE ARE
PAST THE POINT OF CRISIS WE ARE
FACING A PROBLEM BIGGER THAN WE
ARE WILLING TO MET AND WE HAVE A
RESPONSIBILITY TO FIND SOLUTIONS
TO ENDING THIS CRISIS. LAST YEAR
MY COLLEAGUES TONIGHT WE'VE BEEN
TO DO SOME BILLS. TO ADDRESS THE
FEDERAL CRISIS AND ONE OF WHICH
I IN AUTHOR AB NINETEEN FIFTY
FIVE WHICH WOULD HAVE ALIGNED
THE PENALTY FOR A PROFESSION-
POSSESSION OF FAT NO. WHAT DID
IT WITH THAT OF OTHER- DRUGS
LIKE COCAINE AND HEROIN- MY BILL
WAS TARGET JUST TO. DEALERS AND
TRAFFICKERS. AND WE'RE TAKING
THEM OFF OF OUR STREETS- BUT
UNFORTUNATE WAS DEFEATED UPON
WHAT HAS AND- HAS ONLY CONTINUED
TO GROW WORSE AND I'VE RE
INTRODUCED A BILL THIS YEAR AS
SB SIXTY TWO. AND JUST A FEW
MORE COMMENTS- IT JUST TWENTY
TWENTY TWO. THIS YEAR. I MEAN
LAST YEAR OUR ORANGE COUNTY
SHERIFF'S DEPARTMENT SEES FOUR
HUNDRED AND FORTY NINE POINT
NINE POUNDS OF FAT NO. AT FOUR
HUNDRED AND FIVE THOUSAND TWO
HUNDRED EIGHTY THREE. FEDERAL
LACED PILLS. A SIGNIFICANT
INCREASE FROM THE ONE HUNDRED
THIRTY TWO POINT NINE POUNDS AND
SIXTEEN THOUSAND TWO HUNDRED
SEVENTY FEDERAL LACED PILLS.
SEASON TWO THOUSAND TWENTY ONE.
THOSE NUMBERS SHOULD SCARE ALL
BUS. THOSE NUMBERS REPRESENT
THOUSAND MORE DEATHS AND
HUNDREDS MORE BROKEN FAMILIES.
AS MENTIONED I TRULY BELIEVE WE
HAVE A CRISIS ON OUR HANDS OUR
CHILDREN ARE DYING. MOTHERS AND
FATHERS ARE DYING COMMUTERS
ACROSS CALIFORNIA BEEN IMPACTED
EVERY DAY BY FAT NO. AND I HOPE
THAT TODAY WE'VE SPENT. NOT JUST
LISTENING AND LEARNING BUT THAT
WE WILL HAVE. A PATHWAY TO
ENDING THIS CRISIS. ONE THING
YOU KNOW AS A MOM OF A TEN YEAR
ON A TWELVE YO. WHAT BREAKS MY
HEART IS WHEN. LAST HALLOWEEN. I
HAD TO TELL MY CHILDREN TO BE
CAREFUL. WITH GETTING CADDIES
JUST FROM THEIR FRIENDS BECAUSE
THEY MIGHT NOT EVEN KNOW WHEN
YOU ARE HAVING SAID NO. THIS
GUY'S AS SKITTLES. AND SMARTIES
. IT BREAKS MY HEART AS A MOM TO
SAY. MOST OF THOSE CAMERAS
YOU'RE GOING TO GET TONIGHT.
YOU'RE NOT GONNA BE EATING THEM
. WE SHOULD BE IN THAT
SITUATION. AND SO- AGAIN TO BOTH
OF OUR CHAIR THANK YOU FOR
HOSTING THIS AND FOR MAKING THIS
A PRIORITY FOR US. THANK YOU
VERY MUCH TO VICE CHAIRS CENTER
WHEN. THANK YOU- NOW LET'S START
WITH OUR FIRST PANEL WILL NOW
HEAR FROM OUR FIRST PANELIST DR
JOSEPH FRIEDMAN WITH THE MEDICAL
INFORMATICS MATIX HOME AREA AND
CENTER FOR SOCIAL MEDICINE AND
HUMANITIES AT UCLA.
WELCOME THANK YOU. FOR
OKAY THANK YOU SO MUCH FOR THIS
OPPORTUNITY TO PRESENT THIS
INFORMATION TO YOU. I'M GOING TO
BE PRESENTING ABOUT THE OVERDOSE
CRISIS IN CALIFORNIA KEY TRENDS
. QUICKEST CLAMORED THAT THE
POINTS MADE HERE ARE OF COURSE
NOT NECESSARILY REPRESENTATIVE
OF UCLA OUR FUNDERS. NOW THE
FIRST POINT HERE IS THAT
OVERDOSE DEATHS IN CALIFORNIA
ARE DRIVEN BY FENTANYL BUT ALSO
STIMULANTS AND THIS IS VERY
IMPORTANT TO UNDERSTANDING THE
NATURE OF THE OVER THE SORT OF
EVOLVING CRISIS HERE YOU CAN SEE
ON THE Y. AXIS THE NUMBER OF
OVERDOSE DEATHS EACH YEAR IN
CALIFORNIA HERE IS SHOWN ON THE
X. AXIS. ONE THING THAT JUMPS
OUT IS OF COURSE THAT OVERDOSE
DEATHS IN CALIFORNIA HAVE
VIRTUALLY TRIPLED IN THE PAST
TEN YEARS AND- YOU CAN TO OVER
ELEVEN THOUSAND AND THE MOST
RECENT YEAR OF DATA THAT IS
COMPLETE. THE COLOR OF EACH
SECTION OF THE BAR SHOWS YOU
WHICH SUBSTANCES WERE INVOLVED
IN EACH DEATH AND WE CAN SEE
THAT BY TWENTY TWENTY ONE
ACTUALLY THE MOST COMMON
CATEGORY OF OVERDOSE STAFF
INVOLVED BOTH SENTINEL AND
STIMULANT MOSTLY METHAMPHETAMINE
AND ALSO COCAINE AT THIRTY THREE
PERCENT. AN ADDITIONAL 29%
INVOLVED STIMULANTS WITH NO
PHONE SIGNAL 23% INVOLVED SEE A
FENCE NO WITHOUT STIMULANTS AND
ONLY 15% DID NOT INVOLVE ONE OF
THESE TWO DRUG CATEGORIES. TO
FENCIBLES VERY IMPORTANT BUT WE
ALSO HAVE TO TALK ABOUT
STIMULANTS AND THEIR CO USE
TOGETHER. THE SECOND KEY POINTS
THAT I WANT TO MAKE HERE IS THAT
OVER THE PAST FIVE YEARS
OVERDOSE RATES HAVE INCREASED
THE FASTEST IN CALIFORNIA OF ANY
STATE IN THE COUNTRY. HERE ON
THE X. AXIS YOU CAN SEE THE
PERCENT CHANGE OVER THE PAST
BILL MOST RECENT FIVE YEARS OF
FINALIZED DATA THAT WE HAVE FROM
TWENTY SEVENTEEN TO TWENTY
TWENTY ONE. YOU CAN SEE THAT IN
CALIFORNIA OVERDOSE DEATHS
INCREASED BY A HUNDRED AND 30%
MEANING THEY MORE THAN DOUBLED
IN THIS PERIOD. AND WE ARE
UNFORTUNATELY THE NATIONAL
LEADER ON THIS ISSUE. AND YOU
CAN SEE THAT UNFORTUNATELY THERE
HAVE BEEN INCREASES IN ALMOST
EVERY STATE IN THE COUNTRY. AND
IT'S ALSO IMPORTANT TO NOTE THAT
CALIFORNIA HAD MORE OVERDOSES IN
TWENTY TWENTY ONE THAN ANY OTHER
STATE OF COURSE WE ALSO HAVE A
VERY LARGE POPULATION BUT IF
THERE'S ONE PLACE TO INTERVENE
ON THE OVERDOSE CRISIS IN THE U.
S. IT'S CALIFORNIA RIGHT IF YOU
HAD TO PICK ONE. AND THIS KIND
OF REFLECTS CALIFORNIA FOR A
LONG TIME WE HAVE STABLE LOW
OVERDOSE TRENDS FAR BELOW THE
NATIONAL AVERAGE AND
UNFORTUNATELY. WE HAVE LOST
COMPLETELY LOST ADVANTAGE AT
THIS POINT IN CAUGHT UP TO THE
NATIONAL AVERAGE. IT'S ALSO
IMPORTANT THE THIRD POINT HERE
IS THAT BLACK AND INDIGENOUS
CALIFORNIANS ARE THE MOST
AFFECTED BY DRUG OVERDOSE NOW
AND I THINK WE HAVE TO VIEW THE
OVERDOSE CRISIS AS A RACIAL
JUSTICE ISSUE. HERE ON THE Y.
AXIS YOU CAN SEE THE DEATH RATE
PER HUNDRED THOUSAND INDIVIDUALS
FROM ALL TYPES OF OVERDOSE. ON
THE X. AXIS AGAIN THIS YEAR. AND
THERE IS ONE LINE HERE FOR THE
OVERDOSE RATE AMONG NATIVE
AMERICANS AND BLUE. AMONG BLACK
NON HISPANIC INDIVIDUALS AND
PURPLE AMONG WHITE NON HISPANIC
INDIVIDUALS AND READ- HISPANIC
OR LIGHT NEXT INDIVIDUALS AND
GREEN AND THEN ASIAN NON
HISPANIC INDIVIDUALS IN YELLOW.
AND YOU CAN SEE THAT. REALLY FOR
THE PAST COUPLE OF YEARS WE'VE
SEEN MARKETED OUT RACIAL AND
ETHNIC INEQUALITY IS AN OVERDOSE
. AND BY TWENTY TWENTY ONE THE
BLACK OVERDOSE DEATH RATE WAS
44% HIGHER THAN THE WHITE OVER
TO SATURATE. ANSWER THAT'S RATE
AMONG NATIVE AMERICANS WAS 51%
HIGHER THAN WHITE INDIVIDUALS I
THINK. YOU KNOW OVER THE PAST
DECADE WE'VE SEEN A LOT OF PRESS
COVERAGE TALKING ABOUT THE SORT
OF WHITE PROBLEM OF ADDICTION
AND OVERDOSE AND HE CALIFORNIA
THAT'S NEVER BEEN TRUE I THINK
THAT NARRATIVE HAS BEEN KIND OF.
FLAWED FOR THE DURATION OF THE
TIME THAT IT'S EXISTED BUT
REALLY NOW WE MUST CONSIDER
THESE KIND OF SHARP. AND
CONTINUALLY RISING RACIAL
INEQUALITIES IN THIS KEY HEALTH
ISSUE. AND THE LAST POINT THAT I
MAKE IS THAT COUNTERFEIT PILLS
ARE REALLY A KEY FACTOR FOR RISK
IN CALIFORNIA AND THEY ARE
DRIVING NEW RISK AMONG
SUBPOPULATIONS NOT PREVIOUSLY
VERY VULNERABLE SUCH AS TEENS IN
CALIFORNIA. SO THIS IS A RECENT
HEADLINE FROM AN LA TIMES PIECES
HAS SEVENTH LA UNIFIED SCHOOL
DISTRICT STUDENT TEEN OVERDOSE
FROM POSSIBLE FENTANYL LACED
PILLS. HERE'S A GRAPHIC SHOWING
SOME COUNTERFEIT AND AUTHENTIC
OXY CODE OWN SOLD ON THE BLACK
MARKET. AND THE POINT THAT I
HOPE TO MAKE THIS FIGURES THAT
THERE IS NO WAY TO TELL THE
DIFFERENCE BETWEEN THE AUTHENTIC
AND COUNTERFEIT TELLS JUST BY
LOOKING AT THEM. OUR TEAM WAS
ABLE TO USE SOPHISTICATED DRUG
CHECKING TECHNOLOGIES TO TELL
THE DIFFERENCE WE FOUND FAKE
PILLS CONTAINING FENTANYL
CONTAINING HEROIN AND CONTAINING
ALL KINDS OF OTHER NOVEL
SYNTHETIC DRUGS BUT- YOU KNOW A
TEENAGER COULD NEVER TELL THE
DIFFERENCE JUST BY LOOKING AT
THESE THINGS. AND THIS IS A NEW
THREAT AND OUR TEAM ACTUALLY WAS
ABLE TO PUBLISH AN ARTICLE LAST
YEAR. SHOWING THAT FOR THE FIRST
TIME IN HISTORY THE HIGH SCHOOL
AGE TEEN OVERDOSE DEATH RATE IS
SPIKING. AFTER DECADES OF FLAT
TRENDS ROUTINES FOR KIND OF
INSULATED FROM OVERDOSE DEATH
RATES GOING UP AMONG ADULTS. AND
FOR THE FIRST TIME OVER THE PAST
TWO YEARS THIS ISSUE IS REALLY
AFFECTING TEENS- ESPECIALLY- IN
OUR STATE IN CALIFORNIA WE
SHOWED THAT. TEENS ON THE WEST
COAST WERE DISPROPORTIONATELY
AFFECTED AS WELL AS NATIVE AND
HISPANIC AND LATIN EXTREMES. AND
IT THIS IS ENTIRELY COMING FROM
A SENTINELS. HERE YOU CAN ACCESS
ALL OF THE ARTICLES REFERENCED
DURING THE STOCK. THANK YOU VERY
MUCH AND I THINK WE'RE SUPPOSED
TO WAIT FOR QUESTIONS TO THE END
BUT I HAVE SOME ALREADY BUT
WHAT. NEXT WE HAVE DOCTOR
RICHARD RAWSON PROFESSOR
EMERITUS WITH THE DEPARTMENT OF
PSYCHIATRY IN BIO BEHAVIORAL
SCIENCES AT THE UNIVERSITY OF
CALIFORNIA LOS ANGELES. HI AND
WELCOME THANK YOU BOTH FOR BEING
HERE THANK YOU VERY MUCH- IN
APPRECIATE JOE'S COMMENTS THOSE
ARE SOME EXCELLENT DATA HE'S
PRESENTED I'M GONNA TOUCH ON A
COUPLE OF DIFFERENT- ISSUES.
FIRST BEING FINAL AND- JUST TO
GIVE YOU A QUICK OVERVIEW OF.
SOME OF THE INFORMATION WE KNOW
ABOUT THE NORTH FIRST THING
THAT'S IMPORTANT IS TO KNOW HOW
POTENT FENTANYL IS AND HOW
DEADLY. THESE ARE THE WHAT WOULD
BE CONSIDERED LETHAL DOSES OF
HEROIN AND FENTANYL AS YOU CAN
SEE WITH FENNEL YOU'RE REALLY
TALKING ABOUT A NUMBER OF GRAINS
OF THE DRUG GETS ABOUT. THIRTY
THIRTY TO FIFTY MILLIGRAMS FOR A
FATAL DOSE OF HEROIN ABOUT TWO
TO THREE MILLIGRAMS OF FENTANYL-
AND HERE'S SOME OF THE DATA
REINFORCING WHAT JOE JUST
DISCOVERED. 64% OF THE DEATHS-
IN BETWEEN TWENTY TWENTY AND
TWENTY TWENTY ONE IN THE UNITED
STATES INCLUDED FENNEL. IT'S
MANUFACTURED IN MEXICO USING
INGREDIENTS FROM CHINA. AND
OTHER PARTS OF THE WORLD. THE
YOU SENSE OF THE POTENCY OF FIVE
POUND BAG OF FIGURE ABOUT BY
POUND BAG OF SUGAR. A FIVE POUND
BAG OF THUNDERBIRD UP PROVIDE
ENOUGH FEDERAL TO ONE MILLION
LEGAL DOSES. SO ONE OF THE
CHALLENGES IS THAT OF THE FINAL
IS POTENT THAT YOU DON'T NEED TO
BRING MUCH OF IT ACROSS THE
BORDER IN ORDER TO. HAVE AN
EXTREMELY DANGEROUS SITUATION AS
JOE MENTIONED IT'S PRESENTED IN
POWDER AND MIXED INTO ALL OF THE
DRUGS NOW IN CALIFORNIA
VIRTUALLY ALL THE DRUGS COCAINE
METHAMPHETAMINE. HEROIN ALL OF
THEM HAVE FENDALL MIXED IN
FAMILY SEATING IN THESE VARIOUS
PILLS THAT ARE SOLD- WELL AS AS
ONE OF THEM METHODS OF SALES.
IT'S APPROXIMATELY FIFTY TIMES
STRONGER THAN HEROIN. MANY OF
THE INDIVIDUALS WHO USE WHO RULE
OVER TO US FROM FENNEL FALL IT'S
AN UNINTENDED OVERDOSE THEY
DIDN'T KNOW THEY HAD FENTANYL.
IN THE DRUG THAT THEY WERE
PURCHASING AND OFTEN IF THEY GO
TO PURCHASE COCAINE OR PURCHASED
METHAMPHETAMINE THEY END UP
OVERDOSING FROM SENTINEL- YOU
CAN OVERDOSE ANY NUMBER OF WAYS
INGESTING THE DRUG AND- THROUGH
A NUMBER OF WAYS YOU CANNOT
INJURE YOU CANNOT OVERDOSE
THERE'D BEEN SOME. OF REPORTS OF
PEOPLE HAVING IT ON THEIR SKIN
AND OVERDOSING OF FENNEL IS NOT
ABSORBED THROUGH THE SKIN AND
ADEQUATE DOSES TO CAUSE AN
OVERDOSE. AND OF COURSE THE
PRIMARY APPROVED FOR REVERSING
OVERDOSES WITH THE USE OF
NALOXONE ALTHOUGH THE AMOUNT OF
NALOXONE MAY BE HIGHER THAN
WE'VE SEEN WITH OTHER DRUGS.
THERE ARE OTHER THINGS ON THE
HORIZON FENDALL IS NOT THE ONLY
ONE OF THESE COMPOUNDS THAT
WE'VE SEEN IN OTHER PARTS OF THE
UNITED STATES WE HAVE OTHER
FORMS. OF FENNEL PEAR FLOOR
FENTANYL IS BEEN SEEN IN
TENNESSEE AND KENTUCKY
CARFENTANIL IS EVEN A HUNDRED
TIMES MORE POTENT THAN FENTANYL
LUCKILY THAT IS. NOT MADE ITS
WAY. THERE WAS ONE DOES YOU KNOW
ONE IN. IN THE MIDDLE. OF OR
THREE YEARS AGO BUT LUCK. THAT
.COM IS NOT MADE WAY INTO THE
DRUGS. A SECOND DRUG THAT'S MORE
RESEARCH BUT SHOWING UP. UNDER
THERE WAS AN ORDER IN THIS
FRANCISCO CHRONICLE LAST WEEK ON
ON THIS DRUG IS AYE LEVINE SILAS
DEANE IS A DRUG THAT IS BANNED-
SCENE AND THE EAST COAST IN
PHILADELPHIA PARTICULARLY FOR
ABOUT THE LAST TEN YEARS. IT'S
NOW THROUGHOUT NEW ENGLAND IT'S
AN ANIMAL TRANQUILIZER IT'S
WIDELY USED BY YOUR- THAT'S WITH
A LARGE ANIMALS FOR HORSES AND
COWS IT'S A- COMMON TRANQUILIZER
USED. IT'S NOT APPROVED FOR USE
WITH ALL HUMANS IT'S ONLY A
VETERINARY DRUGS- IT'S AN
ANESTHETIC LAST ON OUR TO TWO
HOURS. IT WAS TESTED FOR USE AS
A TREATMENT IN HUMANS BUT DID
THE TRIALS WERE TERMINATED DUE
TO SEVERE HYPERTENSION AND
CENTRAL NERVOUS SYSTEM
DEPRESSANT EFFECTS. ITS MAIN
EFFECTS ARE PRODUCES. CNS
DEPRESSION THAT IS A- IT'S JUST
THE- OF THE CENTRAL NEW SYSTEM.
PROFOUND IT TAKES A MINUTE OR
TWO TO ACT ALLOWS UP TO FOUR
HOURS IN THE MAIN REASON SANDEL
IS NOW IN THE- SILAS DEANE IS
NOW IN THE DRUG SUPPLY. IS AS A
WAY OF EXTENDING THE EFFECTS OF
FENNEL PEOPLE DON'T USE I WAS
SEEN BY ITSELF THE USE IT
TOGETHER WITH FENNEL TO EXTEND
THE VERY SHORT ACTING AFFECTS OF
FENNEL FENNEL BY ITSELF. AS A
VERY BRIEF AFFECT SO THE AD
SILENCING IN THE GET A LONGER
FACT. IT'S UNKNOWN ON THE STREET
AS A DRUG CALLED FRANK ELIOT IS
IT PRODUCES ITS OWN SEDATION BUT
PEOPLE DON'T TAKEN TOGETHER AS I
LOSING HIGH THEY TAKE IT MAINLY
TO EXTEND THE AFFECTS. OF-
FENNEL. ALL IN THE CASE OF AN
OVER. EVEN KNOWS LOSING IS NOT
AN OP. IT'S CALM USE WITH FOR
THEN- OVER FILLED IS NEEDS TO BE
TREATED. WITH LAW. THE WAY YOU
WOULDN'T A WITH A OPIOID BECAUSE
PROBABLY THE MAIN WE DRUG THE
COMEDY. IS NOT SIGN UNITS IT'S A
COMPANY'S WITH THAT- ONE OF THE
USE EFFECTS OFFEND IS IT
PRODUCES WON'T. OPEN MORE ALL ON
THE SKIN. NOT JUST THE INJECTION
SITES BUT ALL OVER THE SKIN ON
THE LEGS ON THE ARMS THESE-
ULCERS DEVELOP VERY RAPIDLY. ARE
THEY ARE THEY GET INFECTED QUITE
COMMONLY AND THERE ARE NOW PART
OF ALL THE HARM REDUCTION
PACKAGES NEED TO INCLUDE WOUND
CARE. OF FOR THE DISAFFECTED
FENNEL PRODUCES AND EVEN- IN IN
NEW ENGLAND WHERE I AM NOW WE'RE
SEEING A LOT OF THAT IS
EMERGENCY ROOMS ARE SEEING A LOT
OF PEOPLE COMING IN WITH THESE
LOANS. I WAS INSTALLED MAKE A
FEW COMMENTS ABOUT THE NATURE OF
ADDICTION- AND SUBSTANCE USE
DISORDERS JUST TO CLARIFY THAT
WE'RE NOT DEALING WITH THE MORAL
ISSUE HERE WE'RE NOT DEALING
WITH THE ISSUE OF. OF SOME SORT
OF PSYCHOLOGICAL- NO.
MALFEASANCE FOR DISORDER BUT BY
THE DICTION IS A IS A
COMPLICATED. OF A COMPLEX
DISORDER WHY DO SOME PEOPLE GET
ADDICTED AND OTHERS DO NOT.
ADDITIONALLY A PERSON TAKES THE
DRUGS HOPING TO CHANGE THEIR
MOOD THEIR PERCEPTION OR THEIR
EMOTIONAL STATE. IT MAKES THEM
FEEL BETTER THAT IS IT
TRANSLATED INTO THE LIGHT TO
CHANGE THEIR BRAIN THEY HOPE TO
CHANGE THE WAY THEIR BRAIN
REACTS. WHY DO SOME PEOPLE GET
IN TROUBLE WITH DRUGS AND SOME
PEOPLE GET ADDICTED AND OTHERS
DON'T. IT'S BECAUSE THE
VULNERABILITY TO ADDICTION IS IN
PART GENETIC AND IN PART IN
TERMS OF THE ENVIRONMENT THAT
THE PERSON HAS HAS. LIVED IN-
WHAT WE NOW THINK OF ADDICTION
AS A BRAIN DISEASE. YOUR REASON
TAKE A DRUG IS TO WHAT IT IS
BECAUSE WHAT IT DOES TO THEIR
BRAINS. AFTER A WHILE THEY CAN'T
STOP WHY CAN'T THEY STOP BECAUSE
THEIR BRAINS HAVE BEEN REWIRED
ADDICTION IS A BRAIN DISEASE BUT
IT'S NOT JUST A BRAIN DISEASE.
THERE ARE OTHER THINGS THAT GO
INTO IT WE HAVE GENETICS WE HAVE
THE ENVIRONMENT WE HAVE TRAUMA
AND ALL THOSE THINGS GO INTO
DETERMINING. WHO IS IT
VULNERABLE TO GETTING ADDICTED
WILL GET ADDICTED AND WHO. ARE
THE PEOPLE THAT WILL NEED
TREATMENT. AND I WILL STOP THEIR
. THANK YOU OUR LAST PRESENTER
IS DR DURING YOUR RATA A
RESEARCH PSYCHOLOGIST AT UCLA.
THANK YOU THANK YOU FOR HAVING
ME- I JUST HAVE A FEW SLIDES.
THREE I THINK. WHICH I NOW
REALIZE YOU PROBABLY WON'T BE
ABLE SEE VERY WELL IN THE ROOM
BECAUSE THEY'RE INCREDIBLY
DENSE- HELLO. SO WE HAD A. I'M
AT THE UCLA- IS. IT IS SUCH
ABUSE PROGRAMS WHERE I WORK THE
STATE- AT THE END INDEPENDENT
EVALUATOR OF A LOT OF THE THINGS
THAT DHS IS DOING- THERE WE GO
OKAY- SO THIS JUST A- IT'S A IF
YOU CAN READ IT BUT THE WHOLE
POINT OF THIS LIST. WAS JUST
THAT THERE'S A LOT GOING ON
RIGHT NOW- IS JUST- IT WHICH IS
GOOD A GOOD THING THERE'S A LOT
OF FUNDING COMING IN WHICH IS
ALSO A GOOD THING FROM MANY
DIFFERENT SOURCES. SO USUALLY I
STEP IS WORKING- IN IN SOME WAYS
ON ON SALUTE EVALUATING SOME OF
THESE PROJECTS IN DEPTH AND IN
OTHER CASES. MONITORING THEM
BEGIN COLLECTING INFORMATION
FROM THE MOTLEY OM ON A
QUARTERLY BASIS- THROUGHOUT DATA
PORTAL THAT WE'VE- WE'VE
CREATED- AND SO WHAT WE'RE
STRUGGLING WITH RIGHT NOW IS
BECAUSE THERE IS SO MUCH GOING
ON THAT. HOW DO WE GET THIS TO
POLICY MAKERS BOTH AT THE UCS
AND FOR LEGISLATORS TO
UNDERSTAND WHAT'S HAPPENING OUT
THERE SO. WHAT THE IN
TRADITIONALLY WE'VE CREATED
THESE HUGE TWO HUNDRED THREE
HUNDRED PAGE REPORTS AND WE KNOW
IT'S HARD. FOR US TO READ IT
MUCH LESS- THOSE OF YOU WHO
HAVE. VERY BUSY LIVES- SO WHAT
WE'RE WORKING ON- RIGHT NOW IS
TO THINGS INTO MORE DASHBOARD
FORM AND DATA BRIEFS. AND SO
THIS IS JUST AN EXAMPLE AGAIN
YOU PROBABLY CAN'T READ VERY
MUCH BUT THIS- THIS IS A- THESE
ARE JUST SOME SHOTS FROM A
DASHBOARD THAT WE HAVE UP
CURRENTLY JUST FOR S. WAR TO NOW
THERE'S- BEEN OTHER THINGS.
BECAUSE FOR ONE S. T. R. E. M.
C. O. D. US WHOLE WHOLE MISHMASH
OF ACRONYMS- BUT THIS. WILL JUST
GIVE YOU AN IDEA FOR YES OR TWO
YOU KNOW THEY THIS DIFFERENT
EIGHTY EIGHTY THOUSAND OF
PATIENTS THAT STARTED ON ON
MATT. THINGS LIKE THAT AND YOU
CAN LOOK AT CHARTS OF UP EITHER
BY PROJECT. BY PROJECT OVER
TIME- IF YOU ADD IN OTHER
PROJECTS YOU KNOW IT'S ALL OVER
A HUNDRED THOUSAND PEOPLE- THERE
MIGHT BE SOME DATE ISSUES WITH
DOUBLE COUNTING THINGS LIKE THAT
ACROSS PROJECTS BUT- IT'S A
LARGE NUMBER. BUT- CLEARLY IT
HASN'T. BEEN ENOUGH TO REVERSE
THE- THE OVERDOSE- TRENDS BUT
IT'S BEEN. IT'S BEEN A LOT AND
WE THINK. THAT IF THESE EFFORTS
HAVE BEEN UNDERWAY. THAN IT
WOULD HAVE BEEN WORSE AND WE ARE
UNDERTAKING IN A MATTER
EXPANSION IMPACT ANALYSIS RIGHT
NOW. IN THE HOPE OF TRYING TO
TEASE OUT BUT WHAT WOULD IT HAVE
LOOKED LIKE IF BILLS- EFFORTS.
HADN'T BEEN IN PLACE- THESE JUST
SOME IDEAS ABOUT. COULD BE NEXT
UP WE'VE- THE- WHAT. WE'VE COME
TO FOR MARIN. A FOR TALKING TO
PEOPLE FROM SERVICE FOR
INTERVIEWS- HELLO OF STICK OR-
TO ABOUT CONTINUING. EDUCATION
EXPAND CONTINUES THE MINISTRY
FIRST TO ME. USED TO. ALSO JUST
FEDERAL STRIPS- TAKING ADVANTAGE
REALLY OF THE- OF THE- RECENTLY
THAT THE- FOR THE PREPARE FOR
NEXT FOR HAVE GOT AWAY THANK IT
GIVING US A NEW OP. FOR OUT TO
NEW PROVIDER WHO MIGHT BE TO
START PRESCRIBING BUPRENORPHINE-
THAT THEY HADN'T. CONSIDERED
DOING THAT BEFORE. ELIMINATING
DISPARITIES IS VERY IMPORTANT-
EXPANDING BEYOND. THE STD
PROGRAMS WERE RIGHT NOW YOU KNOW
THERE THERE'S A STATISTIC THAT-
SAM'S- THE FEDERAL GOVERNMENT
OUGHT. OFTEN PUTS OUT- ABOUT 95%
OF THE FOLKS WHO DON'T GET
TREATMENT- THEY DON'T. THINK
THEY NEED TREATMENT SO WE CAN'T
JUST WAIT FOR THEM TO WALK INTO
THE TREATMENT SUBSPECIALISTS.
SUBSTANCE USE TREATMENT- DOORS
WE HAVE TO GO OUT GET THEM IN
WITH PRIMERICA WITH HARM
REDUCTION- WAITING FOR THOSE
OPPORTUNITIES WHEN THEY ARE
READY SO THAT WE WILL BE READY-
WE NEED TO ADDRESS SHORT TERM
FUNDING CHALLENGES LOTS A LOT OF
TIMES IT'S THESE- THESE FEDERAL.
GRANTS THAT COME INTO YOUR
BATCHES OF LIKE SO ARE INSULT
IT'S HARD TO. PLAN AND BUILD OUT
NOT KNOWING. IF IT'S STILL GOING
TO BE THERE A COUPLE OF YEARS.
WELL I REALIZE THAT'S PROBABLY A
FEDERAL PROBLEM- BUT WE CAN
ADVOCATE FOR. YOUTH PREVENTION
LOWERING BARRIERS TO GETTING
TREATMENT- AND THEN IN ROLLING
IN MEDICARE ALL. OF THOSE ARE
JUST SOME IDEAS HAPPY TALK
FURTHER AND- HAPPY TAKE. YOUR
INPUT ON WHAT WOULD BE USEFUL TO
HAVE ON THINGS LIKE OUR
DASHBOARD IN OUR DATABASE. AND
THAT'LL- THANK YOU JUST A
REMINDER TO THE- THAT- EVERY
SLIDES WILL BE AVAILABLE FOR
YOU. ON THE- HEALTH COMMITTEE'S
WEBSITE. RIGHT. THANK YOU TO THE
PRESENTERS FOR FIRSTHAND ONLY- I
WANT TO ASK OUR COMMITTEE
MEMBERS IF THEY HAVE ANY
QUESTIONS. SENATOR RUBIO. GOOD
MORNING- AND I'M NOT SURE WHO
SET THIS FIRST BUT- HEARING THE
COMMITTEE- FROM MY OFFICE I
HEARD SOMEONE SAY THAT- IT IS.
CREATED ACROSS THE BORDER IN
MEXICO DO WE KNOW ANY OTHER
AREAS THAT IT IS MANUFACTURED.
ANALISTA FUNCIONAL HAS BEEN MANY
. THE LAST FIVE YEARS THE
INGREDIENTS FOR FEDERAL THEIR
PRECURSOR CHEMICALS COME
PRIMARILY FROM CHINA AND INDIA
BUT THEY ARE TURNED INTO FENNEL
IN ON THE WEST COAST OF MEXICO
IN LABORATORIES- THERE ARE DAY
ABOUT SIXTY YEARS AGO THEY-
DISCOVER WELL THEY WERE THEY
WERE GIVEN THE RECIPE FOR HOW TO
CREATE AND- OUT OF THE-
MANUFACTURING. BEFORE THAT THE
ONLY SOURCE OF DENTAL WAS FROM
PHARMACIES WHERE YOU WERE
GETTING PHARMACEUTICAL- FENNEL.
BUBBLE WHAT WHAT IS NOW ON THE
STREET IS VIRTUALLY ALL
MANUFACTURED IN MEXICO AS FAR AS
I KNOW. TO HAVE KNOWLEDGE OF-
HILL- ACTIVE GOING ON THAT DISK
IN THE LAST YEAR SO HERE IN THE
STATES WHERE NOW THEY'RE BEING
MANUFACTURED HERE. NOT THAT I
KNOW OF. THANK YOU. FOR SENATE
MAJORITY. THANK YOU GOOD MORNING
I'M DOCTOR BERADA YOU SPOKE
ABOUT THE LAURIE BERRIES OF
TREATMENT YOU KNOW SOME OF THE
CONCERNS I HEAR THAT PEOPLE ARE
TURNED AWAY FOR LACK OF
INSURANCE OR THAT REHAB
TREATMENTS ARE ONLY THIRTY DAYS
LONG AND THAT'S NOT LONG ENOUGH.
BUT THROUGH CAL AIM YOU KNOW
WE'RE TRYING TO INTEGRATE EVERY
FIFTEEN AND YOU KNOW WITH SADDAM
UNDER S. U. D. UNDER YOU KNOW
THE MENTAL AND PHYSICAL HEALTH
OF THE INDIVIDUAL SO WERE. WERE-
ADDRESSING THAT DEMOGRAPHICS BUT
THERE'S STILL INDIVIDUALS THAT
DON'T FALL INTO THAT LITTLE LOW
INCOME A STILL DON'T HAVE
INSURANCE FOR THOSE SOME OF THE
BERRIES ARE USEFUL GOVERNOR CAN
YOU SPEAK ON OTHER BEARS IN
SPECIFIC- I THINK ALL OF THAT IS
TRUE I THINK EVEN AMONG THE
MEDICARE. POPULATION IT'S
IMPORTANT FOR US TO MAKE IT AS
EASY AS FOR PEOPLE IS TO GET
INTO TREATMENT AS POSSIBLE AND
TO INTEGRATE WITH THINGS LIKE
HARM REDUCTION- SO THAT WHEN
THEY WERE THEY'RE READY FOR
TREATMENT THEY THEY- WILL GET
LINKED TO IT. I THINK- WE'VE
THERE ARE IMPORTANT PARTS OF
DRUG MEDICAL ORGANIZED DELIVERY
SYSTEM IT'S NOT PART OF CALAMP.
THAT LIKE ASEM ASSESSMENTS THAT
I THINK- THE IDEA IS THAT WE DO
TO GET THEM INTO THE RIGHT- THE
RIGHT PLACE THE RIGHT LEVEL OF
CARE- WE ALSO HAVE TO MAKE SURE
THAT. BECAUSE THESE ARE OFTEN
LENGTHY ASSESSMENT IT DOESN'T
STOP PEOPLE FROM GETTING CARE AT
. WHEN THEY'RE IN CRISIS AND SO
I THINK THE CHANCES THAT HAS A
DONE A GOOD JOB OF TRYING TO
CREATE FLEXIBILITY THAT THAT
THAT YOU KNOW AND THEY
ASSESSMENT DOESN'T HAVE TO BE
DONE. ON DAY ONE- BUT I THINK
THERE'S A LOT MORE THAT CAN BE
DONE I'M- NOT AN EXPERT IN A
MEDIC CAL ENROLLMENT BUT I'VE
HEARD COMPLAINTS FROM-
STAKEHOLDERS IN THE FIELD ABOUT
THAT THAT THAT. GETS IN THE WAY
WHEN PEOPLE WHO ARE HOMELESS AND
THEY NEED TO- YOU KNOW GET INTO
TREATMENT QUICKLY- SO I THINK WE
NEED TO LOOK AT PROCESSES LIKE
THAT ALSO. THANK YOU. SENATOR
WHEN DID YOU HAVE A QUESTION
THANK YOU- ARE THERE ANY. ANYWAY
IN THE STATE THAT WE CAN- FIGURE
OUT AN AVENUE TO HELP LAW
ENFORCEMENT LIKE EXAMPLE TWO
BANKING PHARMACEUTICAL OR TRADE
WITH OTHER NATIONS THAT PRODUCES
SO THE STROKES LIKE IS THERE ANY
. THAT IS OUTSIDE OF THE STATE
OF CALIFORNIA MAYBE OTHER STATES
ARE DOING THAT'S WORKING WITH
THESE. OTHER ENTITIES. YOU KNOW
WE FOCUS ON PUBLIC HEALTH I
THINK WHAT I WILL SAY IS THAT I
THINK- UNFORTUNATELY LAW
ENFORCEMENT BASED APPROACHES-
SIMPLY WON'T BE ENOUGH TO HANDLE
THIS KIND OF ISSUE BECAUSE I
THINK. THERE'S JUST A REALLY BIG
DEMAND FOR THESE KINDS OF
PRODUCTS AND SO WHAT WE'VE SEEN
ACROSS THE BOARD IS THAT. APPS
ABSOLUTELY THERE'S AN IMPORTANT
ROLE FOR KIND OF MINIMIZING THE
AVAILABILITY OF THE MOST HARMFUL
SUBSTANCES IN OUR SOCIETY BUT-
IT HAS TURNED INTO A WELCOME ALL
RIGHT WHERE. YOU TAKE ONE DEALER
OFF THE STREET AND THEN THERE'S
ANOTHER DEAL IN THEIR PLACE THE
NEXT DAY BECAUSE OF THE KIND OF
MARKET ECONOMICS OF THE
SITUATION AND THERE'S THIS HUGE
DEMAND IN OUR COUNTRY FOR THESE
PRODUCTS. AND UNFORTUNATELY AS
WE'VE KIND OF. TURNED MORE AND
MORE MONEY INTO CRACKING DOWN ON
THE AVAILABILITY. WE JUST HAVE
KIND OF MORE PURE MORE DANGEROUS
PRODUCTS FLOODING OUR STREETS SO
I THINK INSTEAD OF THIS KIND OF
WHACK A MOLE OF- HOPING TO KIND
OF- USED. SORT OF MILITARIZED
FORCES IN OTHER COUNTRIES AND
POLICE IN OUR COUNTRY I THINK
WHAT WE HAVE TO FOCUS ON IS.
KIND OF THE DETAILS OF THE LIVES
OF PEOPLE WHO ARE SUFFERING FROM
SUBSTANCE USE DISORDERS AND- HOW
WE CAN BEST SUPPORT THEM TO KIND
OF PREVENT OVERDOSE FROM
HAPPENING IN THE CHAOS OF. OF A
SUBSTANCE USE DISORDER. I'D
MAYOR MAN YES- I KNOW THE- WE'VE
- SPENT LOTS OF MONEY FOR
TREATMENT. FOR THOSE WHO ARE
USING. THESE DRUGS RIGHT FOR
THOSE WHO ARE ADDICTED. THE IT
DOESN'T SEEM LIKE IT'S WORKING
HOW MUCH MORE MONEY DO YOU WANT
TO SPEND AYE AYE I THINK IT'S
GREAT YOU HAVE TO HAVE TWO
APPROACHES RIGHT- I UNDERSTAND
WHAT YOU'RE SAYING THAT. LAW
ENFORCEMENT BUT YET. YOU'RE
PUTTING SO MUCH MONEY INTO AN
EFFORT THAT. IS NOT PROVING. TO
WORK. OF COURSE YOUR DATA FROM
IN CALIFORNIA GOT THE HIGHEST
NUMBER OF. ADDICTIONS AND THE
MOST DEATH IN THE COUNTRY. SO
WHAT WHAT WHAT OTHER PURCHASE I
MEAN. WE CAN KEEP ON HANDING YOU
MONEY BUT IS IT WORKING AND I'M
NOT I'M NOT HERE SUGGESTING YOU
KNOW MANDATORY. YOU KNOW FORCING
PEOPLE. I'M NOT IT'S JUST THAT
WHAT OTHER APPROACHES DO WE NEED
TO DO- TWO TO AT LEAST GET US IN
THE RIGHT DIRECTION IT'S WE'RE
NOT GOING THAT DIRECTION. I
WOULD CERTAINLY AGREE WE'RE NOT
GOING IN THE RIGHT DIRECTION I
THINK IF YOU LOOK
INTERNATIONALLY THERE ARE SOME
HELPFUL EXAMPLES OF COUNTRIES
THAT HAD A RISING OVERDOSE
CRISIS AND WERE ABLE TO REVERSE
THEM. AND THOSE COUNTRIES DIDN'T
NECESSARILY- ACCOMPLISH THAT
THROUGH DECRIMINALIZATION A LOT
OF THOSE COUNTRIES STILL
CRIMINALIZE THE SALE OF THESE
DRUGS AND CERTAINLY LAW
ENFORCEMENT PLAYED A ROLE IN
THAT. BUT THEY INVESTED HEAVILY
IN HEALTH CARE AND SOCIAL
SERVICES SO YOU KNOW THE VAST
MAJORITY OF DRUG POLICY FUNDS IN
THE UNITED STATES ARE. ARE STILL
SPENT ON LAW ENFORCEMENT
CRIMINAL JUSTICE BASED
APPROACHES. THANK RELATIVE TO
OTHER COUNTRIES TO SPEND FAR
MORE ON LAW ENFORCEMENT AND KIND
OF MILITARIZED INTERVENTION AND-
IN OTHER COUNTRIES AS AS A
NATION AND SO YOU KNOW WE SPEND
FAR LESS ON ON SOCIAL SERVICES
ON HOUSING ON ON HEALTHCARE- AND
CERTAINLY I THINK YOU KNOW
TREATMENT FOR SUBSTANCE USE
DISORDERS IS A CRUDE YOU KNOW
CERTAIN MEDICATIONS IS A
CRITICAL PIECE. BUT
UNFORTUNATELY WITHOUT THE KIND
OF COMPREHENSIVE STABILIZATION
FROM A FROM A DEFECTIVE SAFETY
NET SYSTEM IT'S NOT ENOUGH
MEDICATIONS ARE NOT A MAGIC
BULLET. PEOPLE NEED STABILITY IN
IN EVERY SECTOR FOR LIFE TO BE
ABLE TO RE BILLS AND SO I THINK.
YOU KNOW UNFORTUNATELY- YOU KNOW
I THINK IT IS A MATTER OF WHERE
WE'VE BEEN SPENDING MONEY AND
IT'S NOT IN THE RIGHT PLACES.
THANK YOU SENATOR CHOI BOOK.
THANK YOU- MEDICARE'S. SO. I'VE
HAD THE OPPORTUNITY SAID PUBLIC
FOR THE PAST. TWO YEARS. AND
IT'S BEEN LEARNING EXPERIENCE
FOR SURE. AND FIVE. EVER HEALTH
IS ONE OF THE- ISSUES THAT I'M-
REALLY INTERESTED IN IN PURSUING
IN TRYING TO ADDRESS. HERE
LEGISLATIVELY AND WIRED I'VE
BEEN. VERY EAGER TO. COLLABORATE
WITH MY COLLEAGUES ON ON ON
THESE ISSUES ESPECIALLY AS IT
RELATES TO HOMELESSNESS. AND
OTHERS BECAUSE EVERYTHING HAS A
RIPPLE EFFECT. I HAVE A COUPLE
OF QUESTIONS AND CALL ME BEGIN
WITH THE COMMENTS- IT WHICH HAVE
TO DO WITH MY COLLEAGUE. FROM
ORANGE COUNTY. M. SOME OF THE
CONCERNS THAT I'VE HEARD FROM
OUR PUBLIC SAFETY SEPT SECTOR IS
THAT WE DON'T HAVE ENOUGH TEETH
. MEETING THAT- OUR PUBLIC
SAFETY OFFICERS LAW ENFORCEMENT
OFFICERS DON'T HAVE THE ABILITY
TO COMPEL PEOPLE TO STAY IN
TREATMENT OR GET THE TREATMENT
THAT THEY NEED WHEN THEY ARE-
UNDER THE INFLUENCE OF CERTAIN
TO HAVE- WE QUEUED SORROW NOT
CAUGHT X. AND WHICH LEAD ME TO.
THE QUESTION OF. AB OPIOID
PSYCHOSIS. AND WHAT THAT ENTAILS
IS THERE A- IS THERE A- AND OF
COURSE SOMEONE MYSELF WHO
BELIEVES IN GOVERNMENT. YEAH NOT
NOT CONTROLLING YOU BUT IS THERE
A POINT WHERE YOU FEEL THERE
NEEDS TO BE- INTERVENTION- BY A
LAW ENFORCEMENT PER SE WHICH IS
USUALLY THE FIRST LINE OF
DEFENSE UNLESS WE HAVE CERTAIN
COUNTIES LIKE MY COUNTY. THAT
HAS THE ABILITY TO HAVE PEOPLE
WHO ARE SPECIALIZED IN DEALING
WITH PEOPLE WITH- BEHAVIOR
HEALTH ISSUES- IN THEIR PATROL
BUT NORMALLY IT'S LAW
ENFORCEMENT. IS THERE A POINT
WHERE YOU FEEL THAT WE NEED TO
START- BEING ACTIVELY ENGAGED IN
HELPING PEOPLE MAKE THOSE
DECISIONS BECAUSE THEY DON'T
HAVE THE- MENTAL CAPACITY TO BE
ABLE TO MAKE THAT CHOICE TO SEEK
TREATMENT AS YOU MENTIONED
EARLIER. I THINK THAT'S THAT'S
AN IMPORTANT CONCEPT IS BEING-
LOOKED AT VERY CLOSELY BUT I
WOULD ARGUE THAT THE- THE GROUP
THAT SHOULD BE CONSIDERING
INVOLUNTARILY OR- WELL WHATEVER
THE RIGHT WORD IS- PUSHING
PEOPLE INTO HEALTH SERVICES
SHOULD BE THE- MENTAL HEALTH
SYSTEM AND NOT THE POLICE- THE-
FIFTY ONE FIFTIES. FOR PEOPLE
WHO ARE A DANGER TO THEMSELVES
AND OTHERS- I STILL I THINK MANY
OF THE PEOPLE WE SEE NOW WITH
SEVERE METHAMPHETAMINE PSYCHOSIS
AND FENDALL ADDICTION. ARE A
SEVERE DANGER TO THEMSELVES OR
OTHERS AND I DO THINK THERE WILL
NEED TO BE SOME CONSIDERATION OF
HOW DO WE- MOVE THESE PEOPLE
INTO MENTAL HEALTH FACILITIES
WHERE WE CAN PROPERLY TREAT THEM
BUT THEY NEED TO BE TREATED IN
MENTAL HEALTH FACILITIES NOT
JAILS. AND I THINK THAT THE- WE
DON'T REALLY HAVE A SYSTEM SET
UP FOR THAT AT THIS POINT AND I
DO THINK THOUGH THAT THE- COME
UP COMBINATION OF. HAVING PLENTY
OF HARM REDUCTION SERVICES SO
THAT PEOPLE ARE REDUCING THE
RISK TO THEMSELVES BUT FOR THOSE
WHO ARE SO PROFOUNDLY ADDICTED
AND PSYCHOTIC THEY CAN'T TAKE
CARE OF THEMSELVES AND THEY
CAN'T RATIONALLY DECIDE. I DO
THINK THIS ISSUE OF- THE FINDING
SOME WAY TO A LINK AN
INVOLUNTARY. ACTION TOO BECAUSE
THEY'RE THEY'RE JUST NOT CAPABLE
OF THEIR DECISION MAKING.
WELCOME TO. YES SO I ABSOLUTELY
AGREE WITH YOU- WITH REGARDS TO-
OUR COMMUNITY IS A SYSTEM NOT
BEING THE OPTIMAL PLACE FOR
TREATMENT FOR OF MANY OF THESE
INDIVIDUALS WHO ARE ACTUALLY
SUFFERING FROM. PSYCHOSIS AND
I'VE HEARD THIS FROM MY LOCAL
SHARES IT'S ONE OF THE REASONS
WHY WE INTRODUCED US BILLS LAST
YEAR AND I'M- INTRODUCING THEM
AGAIN IN ORDER TO EXPAND OUR
MENTAL HEALTH BED CAPACITY- IN
IN OUR STATE OF CALIFORNIA
BECAUSE IT IS ONE OF THE ISSUES
THAT WE HAVE IN C. ACROSS. ONCE
AGAIN IN MY EFFORT TO UNDERSTAND
THE ROOT OF THE PROBLEM AND HOW
TO ADDRESS IT. THESE
CONVERSATIONS CAME THROUGH
BECAUSE OF THE CONVERSATIONS
I'VE HAD WITH MY LOCAL SHERIFF.
IN SAN MARINO COUNTY WITH
REGARDS TO OKAY HOW DO WE DIVERT
AND AS I SPENT AN EARLIER WE DO
HAVE CERTAIN COUNTIES THAT DO
HAVE THE CAPACITY OR HAVE THE
ABILITY TO HELP PEOPLE WITH
BEHAVIORAL HEALTH TRAINING. AT
EIGHTEEN- WORKING IN
COLLABORATION WITH A LOCAL LAW
ENFORCEMENT TO DRIVE OUT TO MEET
INDIVIDUALS THAT ARE. CALLED
UPON TO THIS IS THE TATE- HELP.
BUT IN THAT ORDER THAT'S WHY I
WANTED TO ASK TO MAKE SURE. IS
THERE A POINT WHERE WE- NEED TO
COME IN AND INTERVENE SPECIALLY
UNDER THE NOTION OF- OKAY
PSYCHOSIS WHICH IS BECOMING VERY
PREVALENT- AND THE OTHER THING
ONCE AGAIN GOING BACK TO. HOW DO
WE COMPEL PEOPLE. TO STAY WITHIN
THE PROGRAM AND IN THIS IS THIS
IS SOMETHING THAT WITH REGARDS
TO BILLS THAT WORK WE'VE BEEN
INTRODUCING IN TRYING TO ONE
EXPAND. CAPACITY NUMBER TO MAKE
SURE THAT WE HAVE THE TEETH IN
THERE- IN ORDER FOR PEOPLE TO BE
COMPELLED TO STAY IN THERE WHEN
THE FREE TO CERTAIN POINT OF.
PSYCHOSIS AND NUMBER TWO HAVE
THERE BEEN. ANOTHER QUESTION BY
TRACKING I THINK WE'RE ON THE
SAME TRACK- DO WE KNOW. HAVE
THERE BEEN ANY STUDIES THAT.
DIRECTLY ADDRESS THE ROOT OF THE
INCREASE OF BEHAVIORAL HEALTH.
YOUR CONCERNS WITHIN OUR SOCIETY
OR COMMUNITIES OUR CULTURE AS A
WHOLE WHAT IS AND WHAT FACTORS
ARE CONTRIBUTING TO THIS
INCREASE THAT WE'VE SEEN THE
PAST TEN TWENTY YEARS. THAT HAVE
ONE ADDED IMPACT ON THE SUICIDE
LEVELS IN ORDER TO USE OR
OVERDOSE. SO WE ALREADY THANK
YOU FOR THIS QUESTION- IN TERMS
THE FIRST AREA THERE IS ALREADY
KIND OF MEDICAL LEGAL
INFRASTRUCTURE IN PLACE WHERE IF
PEOPLE ARE A DANGER TO
THEMSELVES OR OTHERS THEY CAN BE
KIND OF. TREATED MEDICALLY
AGAINST THEIR WELL WITHOUT THEIR
CONSENT IT HAPPENS COME ALL THE
TIME TO MILLION IN HOSPITALS
AND- MEDICAL FACILITIES- I KNOW
THAT THERE'S BEEN A NUMBER OF
DEVELOPMENTS AROUND THE
LOGISTICS AROUND MAYBE WE NEED
ADDITIONAL MECHANISMS TO BE CUT
PULLING PEOPLE INTO THOSE CASES.
I CAN TELL YOU FROM HAVING BEEN
IN THE PSYCH WARD AND HOSPITALS
IN CALIFORNIA THAT WE YOU KNOW
PLEASE DO BRING PEOPLE AND ALL
THE TIME AND SAY THIS PERSON
COULD HAVE PSYCHOSIS. CAN YOU
PLEASE VALUE WITH THEM TO SEE IF
THERE DANGER FOR THEM SELF AND
THAT CAN TRIGGER IS THE
HEALTHCARE PROCESS THAT MANY
CASES. DOES LEAD TO THEM BEING-
ACTUALLY CONSERVE AND LAND
LOSING THE LEGAL RIGHT TO DECIDE
ABOUT THEIR HEALTHCARE SO IT
DOES HAPPEN I THINK. THE AND
THEN OF COURSE OF SOMEONE IS
COMMITTING CRIMES AGAINST OTHER
PEOPLE THAN SIMILARLY THAT
TRICKLE TRICKER TREATERS A
CRIMINAL JUSTICE PROCESS THAT-
IN MANY CASES. MAY INCLUDE
MANDATORY TREATMENT REST OF THAT
THAT'S ALREADY HAPPENING I THINK
THE DEBATE IS KIND OF ABOUT DO
WE NEED NEW MECHANISMS CLEARLY
WE NEED NEW RESOURCES RIGHT
EVERYBODY I THINK IT'S- A KIND
OF. BOTH SIDES OF THE AISLE
EVERYBODY ACROSS THE ACROSS THE
SPECTRUM OF THESE ISSUES WHO
WORKS ON SECOND SYSTEM MARKS ON
ADDICTION AGREES. WE DON'T HAVE
ENOUGH BEDS AS YOU MENTIONED AND
SO. PEOPLE ARE BROUGHT INTO THE
HOSPITAL AND CLEARLY THEY HAVE
PSYCHOSIS BUT IT'S VERY HARD TO
FIND A GOOD KIND OF LONG TERM
SPOT FOR THEM TO. TO GET CARE
EVEN FOR A LOT OF PEOPLE WHO DO.
NOT CARE I THINK. THE ISSUE OF
PSYCHOSIS IS A SPECIALLY RELATED
TO STIMULANTS- RATHER YOU KNOW I
THINK WITH OPIOIDS THERE IS
OFTEN. AN ELEMENT OF PSYCHOSIS
PRESENT BUT THE- STIMULANTS ARE
REALLY YOUR METHAMPHETAMINE
COCAINE REALLY THE TRUCKS AND
BRING ON NEW LEVELS OF SHORT
TERM PSYCHOSIS IN PEOPLE. AND
THEN AS FAR AS THE SECOND
QUESTION OF WHY IS OUR SOCIETY.
SORT OF- DESPAIRING TO SUCH A
BIG DICK I MEAN I THINK THIS IS
A KIND OF A SOCIAL SIGN QUESTION
I FINE INTERESTING. OF STUDY TO
LENGTH AND IF. THE BEST ANSWERS
CAN FIND RELATE TO RACE OF
SOCIAL INEQUALITY AND POVERTY
AND LACK OF OPPORTUNITY AND
ADVANCEMENT- MORE PEOPLE OR IF
YOU KNOW A LOT OF PEOPLE ARE
REALLY STRUGGLING AND BELIEVE
THAT THIS IS AN UNFAIR COUNTRY
TO LIVE IN. THANK YOU. SENATOR
RUBIO. YES THANK YOU. AND THE
QUESTION ASKER RATHER COMMON AS
WELL IS JUST BASED ON JUST ME
TRYING TO UNDERSTAND AND-
BECAUSE CLEARLY I DON'T
UNDERSTAND HOW THE USE OF
FENTANYL. AND I'M JUST A LITTLE
CURIOUS YOU KNOW WE'RE TALKING
ABOUT RIGHT NOW THE LEVEL OF
DESPAIR IN THE USE OF TRUCKS
RIGHT NOW. BUT I JUST WANT TO
JUST GO BACK A LITTLE BIT YOU
KNOW THAT THE SIXTIES SEVENTIES
AND EIGHTIES I WANT TO
UNDERSTAND. THE DIFFERENCE
BETWEEN THE USE OF LIKE I HEARD
YOU SAY IT MAYBE I'M SORRY I
DON'T KNOW WHO SET THIS BUT-
THEIR ANIMAL TRANQUILIZERS BUT I
REMEMBER ALSO LIKE THAT. I WOULD
SAY THE SEVENTIES AND EIGHTIES
THEY WERE USING P. C. P. BACKS
AND WHICH WAS ALSO AN ANIMAL
TRANQUILIZER. AND SO I'M JUST
CURIOUS TO KNOW- BECAUSE I HAVE
TO BELIEVE THAT DRUG USE HAS
ALWAYS BEEN PART OF OUR SOCIETY
THE DESPAIR INTO. AND HAS ALWAYS
BEEN PART OF OUR SOCIETY. YOU
KNOW FOOD INSECURITY HOUSING. SO
AGAIN I'M JUST TRYING TO
UNDERSTAND THE DIFFERENCE
BETWEEN YOU KNOW THE SIXTIES
SEVENTIES AND EIGHTIES IN THE
USE OF THOSE. DRUGS IS THAT WE
DIDN'T HAVE COULD DATA BACK IN
THE DAYS THAT'S JUST A QUESTION
OPPOSE. IS IT A FAIR COMPARISON
TO SAY THAT NOW THE USE OF DRUGS
IS WAY HIGHER THAN IT WAS. BACK
THEN. AND IF WE'RE NOT USING THE
DRUGS FACT. THAT WE USED TO USE
FACT THAT NOT WE BUT YOU KNOW IN
GENERAL- LIKE PCP. OTHER TRIBES
LIKE WALKED BECAUSE- THOSE
STRIKES TO GO DOWN IN USAGE CAN
WE REPLICATED. SO I'M TRYING TO
COMPARE THE ERROR AS BECAUSE- I
GREW UP IN A IN AN AREA WHERE
THE DRIVES ARE VERY PREVALENT A
LOT OF DRUG USE AGENTS SO. I
MEAN IN THAT MOMENT HE MIGHT IT
WAS THE WORST OF THE WORST TIME
KIND OF COMPARE AND IF. THEY'RE
NOT USING THOSE DRUGS AS OFTEN
AS THEY WERE BEFORE WHAT CAUSED
IT. AND CAN WE REPLICATE IT WHAT
CAN WE USE TO MAKE THE AT THE- I
DIMINISH THE USE OF FENTANYL. IN
TODAY'S SOCIETY. SO THE- SINGLE
. IMPORTANT FACTOR DRIVING THE
OVERDOSE CRISIS AN OVERDOSE
DEATH RATES IS THE DANGER OF THE
STREET DRUG SUPPLY YOU'RE
ABSOLUTELY CORRECT. PEOPLE FOR
DIFFERENT CULTURAL REASONS HAVE
BEEN USING DIFFERENT DRUGS OVER
THE ENTIRE HISTORY OF THIS
COUNTRY. AND THE REASON YOU KNOW
TWENTY YEARS AGO THE U. S. WAS
NOT AN EXTREME GLOBAL OUT LIAR
IN OVERDOSE DEATH RATES. AND THE
DRUGS THAT PEOPLE ARE USING IN
OUR COUNTRY WERE SIMILAR TO THE
DRUGS PEOPLE USING IN OTHER
COUNTRIES. WE ARE NOW SOMETHING
LIKE TWENTY TIMES HIGHER THAN
THE GLOBAL AVERAGE FOR TWO TO
THREE TIMES MORE AFFECTED BY
THIS ISSUE THAN THE SECOND MOST
AFFECTED COUNTRY. WE ARE AN
EXTREME GLOBAL OUT LIAR IN. IN A
KIND OF UNIQUE CRISIS THAT NO
COUNTRY HAS REALLY EVER SEEN.
THE LIKES OF AND IT'S BECAUSE
THE DRUG PEOPLE USING HAVE
BECOME INCREDIBLY DANGEROUS. SO
AS PEOPLE SHIFTED FROM
PRESCRIPTION OPIOIDS TO HEROIN
DEFENSE AND ALL TO NOW THESE.
POLICIES UPS AND FORMULATIONS
BASED ON FENCING OFF AND I WAS
OTHER TRUCKS. YOU KNOW IT'S NOT
NECESSARILY THAT DRUG USE IS
BECOMING THAT MUCH MORE COMMON
IT'S JUST BECOMING MORE
DANGEROUS AND SO- I THINK
ABSOLUTELY GETTING PEOPLE OFF OF
THE MOST DANGEROUS CATEGORY OF
DRUGS LIKE A LIST OF SENTINELS
AND- ON TO SAFER OPTIONS.
IDEALLY IN A CONTROLLED MEDICAL
SETTING LIKE WITH PEOPLE ARE
FEEDING METHADONE. BUT WHATEVER
IT IS WHATEVER SAFER OPTIONS WE
CAN MOVE PEOPLE ONTO IS
ABSOLUTELY THE RIGHT STEP. FOR
REDUCING OVERDOSE DEATH RATES.
WELL THANK YOU FOR THAT BUT YOU
KNOW GOING BACK TO LIKE THE
TAPE. WHICH WAS USE. I'D CALL. A
BIT BACK IN LIKE A SAID NINETY
IS A SEVEN AND EIGHTY. I WAS
ALSO VERY DEADLY IT WAS KILLING
PEOPLE DISPROPORTIONATELY PEOPLE
WERE HAVING THE CYCLE SAYS AS
WELL AND I AND I'M JUST TRYING
TO UNDERSTAND. THEIR FRIENDS AND
WELL. FOR THE SHIFT WAS THE PCP
DOESN'T RESULT IN HIGH OVERDOSE
DEATH RATE IT COULD CERTAINLY
YOU KNOW AS AS A SORT OF. THANK
YOU CERTAINLY CAN CAN CAUSE
PSYCHOSIS BUT THE UNIQUE THING
ABOUT FENCIBLES THAT CAUSES
RESPIRATORY DEPRESSION MEETING
IT SLOWS YOUR BREATHING. TO A
VERY EXTREME DEGREE AND SO WITH
OPIOIDS ARE KIND OF THE MOST
COMMON DRUG THAT CAUSES
OVERDOSES BECAUSE- IF YOU TAKE
TOO MUCH YOU TO STOP BREATHING
AND DIE WERE AS YOU KNOW IT'S A
LOT HARDER TO OVERDOSE ON OTHER
CATEGORIES OF DRUGS SO AS- VERY
POTENT OPIOIDS HAVE TAKEN OVER
THAT'S REALLY BEEN THE KEY
FACTOR DRIVING OVERDOSE DEATHS.
THANK YOU THAT WAS VERY
EDUCATIONAL THING CHARACTER
EGGMAN. AND WANTING TO THE I WAS
THERE WITH ALL THAT PCP STUFF
BACK IN THE EIGHTIES. AND
SEVENTIES. SEPIA SO LIMITING
KUALA PEOPLE THE P. WHO. TCP
OVER TIME WOULD STAY TO NOT LIKE
IT BECAUSE OF THE SITE. IT WOULD
MAKE THEM TO. PSYCHOTIC AND THEY
WOULDN'T GET MUCH OF ANY.
PLEASURABLE EFFECT FROM IT SO I
HAD A FAIRLY SELF LIMITING- IT
WAS ABOUT A THREE OR FOUR YEAR.
READ MORE PCP WAS A PROBLEM. I
ACTUALLY THINK THIS NEW DRUGS
AYE LEVINE. YOU MAY SEE THE SAME
THING WITH THAT I THINK IT MAY
BE A- AT A TIME AND THEN IT GOES
AWAY. FOR DRUGS LIKE FENTANYL.
AND STIMULANTS. THE AFFECT THE
BRAIN IN SUCH A- SORT OF PURE
WAY AND THE REWARD CENTER OF THE
BRAIN- THOSE ARE NOT GOING TO GO
AWAY THE BRAIN IS WIRED FOR
THOSE DRUGS- SO SOME DRUGS WERE
IN IT WE SEEN STIMULANTS AND
OPIOIDS AROUND FOR. YOU KNOW THE
FOREVER BUT- PCP WOULD WAS
INTEREST EXAMPLE BUT IT DIDN'T
GO AWAY YOU'RE RIGHT THANK YOU
DOCTOR RECOMMENDS. THANK YOU
VERY MUCH- THIRTY FRIEDMAN IS
THE DATA THAT YOU INTRODUCED IN
THE BEGINNING HAVING TO DO WITH.
WHO IS MOST IMPACTED DO YOU HAVE
ANY ADDITIONAL DATA THAT SAYS OF
THOSE FOLKS ARE HOUSED OR UN
HOUSED AS WELL AS WE'RE TALKING
ABOUT THE LARGE DEGREE OF
AFRICAN AMERICANS AND INDIGENOUS
PEOPLE. THANK YOU THAT'S A
FANTASTIC QUESTION- WE DO KNOW
THAT ON HOUSE TO PEOPLE RIGHT
OUT OF AN EXTREME KIND OF
DISPROPORTIONATE RISK IN IN DRUG
OVERDOSE. I DON'T HAVE THE
STATISTICS WITH ME TODAY BE
HAPPY TO SHARE THEM WITH HER
OFFICE THEN OKAY THAT WOULD BE
FANTASTIC- AND THEN ALSO. WHEN
WE WERE TALKING ABOUT- THE SAME
DEMOGRAPHIC ISSUES IS THAT ALSO
FOR AGE CONTROL I MEAN IF SO
WHEN WE TALK ABOUT THE TEENS IS
IT ALSO ARE WE SEEING IT MORE
AND AFRICAN AMERICAN AND IT DID
YOU JUST POPULATIONS. SO IN
ADOLESCENCE WE SAW THAT-
HISPANIC IN MY NEXT TEENS AS
WELL AS NATIVE AMERICAN TEENS
WERE DISPROPORTIONATELY
AFFECTED. THERE ARE SOME KIND OF
DIFFERENCES IN AGE PATTERNS
BETWEEN RACIAL GROUPS- FOR
VARIOUS REASONS I'D BE HAPPY TO
TALK ABOUT WHERE. ACTUALLY AMONG
AFRICAN AMERICANS THE HIGHEST
OVERDOSE DEATH RATES ARE AMONG
COME SLIGHTLY OLDER FOLKS SORT
OF FIFTIES TO SIXTIES. AND THEN
FOR Y. INDIVIDUALS. ASSUME A
YOUNGER COHORT. AND DO WE KNOW
AVENUE DIFFERENCES ARE I MEAN TO
WORKING WITH A LOT OF THE
MAYOR'S AROUND THIS. THEIR
SEEING A SIMILAR OF THE HOMELESS
CAMPS LOT OF THE FOR. YOU KNOW
BEING TO- THIS SOUNDS LIKE WE
THE COMBINATION OF STEMMING.
CREATING THESE OVERDOSE. BUT DO
KNOW IF. ENOUGH IN THE PAST AND
WE HAVE DONE PUBLIC INFORMATION
CAMPAIGNS I AM THINKING THAT
IMPACTS A YOUNGER DEMOGRAPHIC-
IS JUST MAYBE DOING SOME
EXPERIMENTATION. VERSES VERSES
BEING ADDICTED DO YOU HAVE
ANYTHING THAT DRAWS THOSE TWO
THINGS OUT. YEAH ABSOLUTELY I
MEAN WE ACTUALLY DO KNOW THAT IN
THE VAST MAJORITY OF TEEN
OVERDOSE DEATHS WERE NOT TALKING
ABOUT PEOPLE WHO ALREADY HAVE A
SUBSTANCE USE DISORDER OR USING
CHAOTICALLY IN MANY CASES IT'S
JUST. SOMEONE WHO HAS
EXPERIMENTED WITH THE
PRESCRIPTION MAKE PRESCRIPTION
PILLS A HANDFUL OF TIMES WHEN
TRAGEDY STRIKES AND SO. I THINK
ABSOLUTE JUST EDUCATION ABOUT
THE RISKS AND- IT IS A KEY
STRATEGY FOR THAT DEMOGRAPHIC
OKAY HAVE WE SEEN ANYTHING WITH
THE PUBLIC INFORMATION CAMPAIGNS
THAT WE'VE DONE. WITH FEDERAL
THAT HAS SHOWN ANY KIND OF
IMPACT AND DECREASE. IT'S VERY
VERY HARD TO DO GOOD RESEARCH
ABOUT THE CAUSAL IMPACT OF
INTERVENTIONS IN A CONTEXT WHERE
RATES DEATH RATES ARE GOING UP
ACROSS THE BOARD- BUT I CAN
GUARANTEE YOU THAT. EDUCATING
PEOPLE ABOUT THE RISKS IS
CRITICAL WE KNOW IN FROM SURVEYS
WHEN YOU TALK TO TEENAGERS THEY
DON'T KNOW THAT MOST BILLS OUT
THERE FAKE WHEN YOU TALK TO
ADULTS THEY REALLY DON'T
UNDERSTAND THE RISKS OF
SENTINEL. TO EDUCATING THE
GENERAL POPULATION ABOUT THESE
ISSUES IS ESSENTIAL. AND IT
MAKES SENSE THAT WE SEE A LOT OF
THE OVERDOSE DEATHS IN THAT
OLDER DEMOGRAPHIC AND WE ALSO
KNOW THAT THAT'S ALSO THE
LARGEST. DEMOGRAPHIC GOING INTO
HOMELESSNESS OR PEOPLE OVER
FIFTY- SO JUST I MEAN JUST FROM
A PURE TO THINK ABOUT WE TALK
ABOUT DIFFERENT THINGS AND YOU
TALK ABOUT THE- TEEN OVERDOSE
THAT'S NOT REALLY AN ISSUE OF
ADDICTION BUT MORE FOR
EXPERIMENTATION- BUT- A LOT OF
OUR OLDER FOLKS WHO ARE DYING.
IT'S FROM LONG TERM ADDICTION
ISSUES THAT NEED DIFFERENT KINDS
OF TREATMENT. THANK YOU. THANK
YOU- I HAVE. A COUPLE QUESTIONS
MYSELF- TO DO. ROSS AND USED
THAT SENTINELS AND ABSORB IN STE
- I JUST WANTED TO UNDERSTAND A
LITTLE BIT. WHEN POLICE OFFICERS
FOR DEALING WITH SENTINEL- THERE
HAVE BEEN SOME USE CASES WHERE
THEY'VE BEEN EXPOSED AND
OVERDOSED HI CAN YOU PROVIDE A
LITTLE BIT MORE CLARITY ON THOSE
SITUATIONS OR WHAT'S HAPPENING
EXACTLY THERE. YES THAT'S BEEN
LOOKED AT- PRETTY EXTENSIVELY
BECAUSE THE TOXICOLOGY PEOPLE
ARE GOING IT'S IMPOSSIBLE THAT
CAN CAN BE. OF NO EFFECT- YOU
CAN'T ABSORB ENOUGH THAT NO
THROUGH THE SKIN. TO PRODUCE AN
OVERDOSE AND THE EXPLANATION AS
I UNDERSTAND IT JOE FRIEDMAN MAY
HAVE MORE INFORMATION. IS THAT
IT'S ESSENTIALLY A PANIC ATTACK
THE PEOPLE- HAVE- HERE THAT THIS
DRUG IS SO DEADLY THAT JUST COME
IN CONTACT WITH IT. AND YOU GET
THESE VERY RARE AND UNUSUAL-
REACTIONS THAT- OBVIOUSLY THEY
LOOK LIKE A DRUG REACTION BUT
THAT THEY'RE NOT. WEEKLY OTHER
THERE'S BEEN A NUMBER OF- KIND
OF COMMENTARIES AND STUDIES WERE
YOU CAN REVIEW VIDEOS AND THE
SYMPTOMS THAT LAW ENFORCEMENT
OFFICERS AHEAD OUR CONVICTS
EVICTING. ARE NOT CONSISTENT
WITH A DRUG OVERDOSE THE
CONSISTENT WITH A PANIC ATTACK-
IT'S SORT OF A MASSIVE STEREO
EFFECT THANK YOU AND THEN- YOU
KNOW WE MENTIONED A COUPLE OF
OTHER DRUGS- SPECIFICALLY. A
DRUG CALLED FRANKENSTEIN HAS
BEEN IN THE NEWS LATELY MOSTLY
ON THE EAST COAST AND FLORIDA-
AND- I CANNOT PRONOUNCE IT NIGHT
DIZZINESS COMPOUNDS. I SO- I
JUST WANTED TO UNDERSTAND IS
CURRENT POLICY LANGUAGE IN THE
STATE OF CALIFORNIA BROAD ENOUGH
TO COVER THESE NEW NEW DRUGS OR-
IN YOUR OPINION WHAT DO YOU
THINK. WELL I ISOTONIC ZINE
WHICH IS THE I SO IS- IT IS AN
OPIOID AND IT IT IT'S ONE OF THE
VARIANCE. I HAVE SOME SLIDES ON
THOSE THEN WE'RE SEEING IN
DIFFERENT PARTS OF THE COUNTRY
YOUR QUESTION ABOUT WHETHER
CALIFORNIA'S LAWS ARE BROAD
ENOUGH TO COVER THOSE I DON'T
KNOW THE ANSWER TO THAT. BUT
THAT WOULD BE A VERY IMPORTANT
QUESTION I DON'T KNOW WHAT
FRANKENSTEIN IS I DON'T KNOW.
WHAT YOU'RE A DROP AGAINST BUT-
THERE ARE A LOT OF NEW VARIANTS
I MEAN FENDALL HAS FORTY
DIFFERENT- ANALOGS THAT OF ALL
WOULD NEED TO BE COVERED I'M
SURE THOSE ARE ALL COVERED BUT-
YOUR QUESTION IS A GOOD ONE AND
REALLY DOES NEED TO BE CAREFULLY
CONSIDERED. THANK YOU AND ONE
FINAL QUESTION IS THAT YOU
STATED THAT IT YOU KNOW A LOT OF
THESE DRUGS REWIRE THE BRAIN-
AND ADDICTION IS PRIMARILY
BECAUSE OF A LOT OF THIS- IN
REGARDS TO PSYCHEDELICS WHICH IS
ALSO A BIG TOPIC OF CONCERN IN
THE STATE OF CALIFORNIA- DO YOU
BELIEVE THAT ONE IT'S- ADDICTIVE
AND TO- THE NEGATIVE. EFFECTS-
IF THERE ARE ANY. I DON'T THINK
THERE'S MUCH EVIDENCE THAT THEY
PRODUCE ADDICTION ARE CERTAINLY
IN HIGH DOSES THEY CAN PRODUCE
SOME NEGATIVE SIDE EFFECTS-
THEY'RE NOT EIGHTY- IN MEAN IN
TERMS OF ALL THE DATA THAT JOKE.
A PROVIDED AND- STAYING FOCUSED
ON THE DRUGS THAT ARE KILLING
PEOPLE AND ARE CAUSING PSYCHOSIS
CENTER CONTRIBUTING TO- THE
PEOPLE NOT BEING HOUSED IN
PEOPLE BEING- ALL OF THAT I
THINK PSYCHEDELICS ARE VERY
SMALL PART OF ALL OF THAT
PICTURE AND THAT- CERTAINLY
THERE YOU NEED TO BE CONSIDERED
BUT I DON'T I DON'T SEE THEM AS
BEING A MAJOR PART OF THAT-
CONCERN. THANK YOU I WANT TO
THANK ALL OF OUR PANELISTS FOR
JOINING US TODAY I REALLY
APPRECIATE THE INFORMATION THAT
YOU GUYS PROVIDED WE WILL BE
STARTING OUR SECOND PANEL- OUR
FIRST PANELIST WILL BE RICK
OWENS SENIOR STAFF COUNSEL WITH
THE COMMITTEE ON THE REVISION OF
THE PENAL CODE. THANK YOU GUYS
THANK YOU VERY MUCH.
GOOD MORNING CHAIRS A MEMBERS OF
THE COMMITTEE. MY NAME IS RICK-
AND I'M A SENIOR STAFF ATTORNEY
FOR THE COMMITTEE ON REVISION OF
THE PENAL CODE. I WAS ASKED TO
GIVE A BRIEF OVERVIEW OF THE
RANGE OF PUNISHMENTS AVAILABLE
UNDER CALIFORNIA LAW FOR THE
SALE OF ILLEGAL DRUGS. HAS
SPECIFICALLY FICTIONAL. JUST A
BRIEF BACKGROUND ON THE
COMMITTEE ON RESERVE THE PENAL
CODE. THE PINNACLE COMMITTEE IS
A STATE ENTITY CHARGED WITH
MAKING RECOMMENDATIONS TO THE
LEGISLATURE AND GOVERNOR. ABOUT
CRIMINAL LAW. FIVE MEMBERS OF
THE PINNACLE COMMITTEE APPOINTED
BY THE GOVERNOR. AND ONE MEMBER
EACH COMES FROM THE ASSEMBLY AND
THE SENATE. THE COMMITTEE'S
GOALS ARE TO IMPROVE PUBLIC
SAFETY. WHILE REDUCING
UNNECESSARY INCARCERATION AND
IMPROVING EQUITY. WHAT TODAY'S
TOPICS. THERE ARE SEVERAL
EXISTING LAWS THAT CAN BE
APPLIED TO THE ILLEGAL SALE OF
DRUGS. DEPENDING ON THE FACTS
AND CIRCUMSTANCES OF THE CASE.
THE APPLICATION OF THESE LAWS
CAN RESULT IN SIGNIFICANT.
PRISON SENTENCES. ACTUALLY WHEN
ENHANCING FACTORS SUCH AS THE
TRANSPORTATION OF DRUGS BETWEEN
COUNTIES. THE SALE OF DRUGS IN
LARGE QUANTITIES FOR THE SALE TO
MINORS ARE PRESENT AND- EXISTING
LAW ALREADY ALLOWS A TWELVE YEAR
PRISON SENTENCE FOR SINGLE
FICTIONAL SALE BY AN ADULT TO A
MINOR. SPECIFICALLY THAT
CONVICTION FOR SELLING DRUGS IS
GENERALLY PUNISHABLE BY UP TO
FIVE YEARS IN COUNTY JAIL. BUT A
PERSON CAN BE SENTENCED TO UP TO
NINE YEARS IN STATE PRISON.
SELECT COUNTY JAIL THE STATE
PRISON FOR THE SALES FOR SELLING
DRUGS TO A MINOR. I HAVE THREE
MORE YEARS CAN BE ADDED TO A
SENTENCE WHEN THERE'S A FOUR OR
MORE YEAR AGE DIFFERENCE BETWEEN
THE BUYER AND THE SELLER FOR A
TOTAL OF TWELVE YEARS IN PRISON
. AND A CONVICTION FOR SELLING
DRUGS TO A MINOR IS A STRIKE
UNDER THE THREE STRIKES LAW IN
CERTAIN CIRCUMSTANCES. WHICH
WILL RESULT IN THE DOUBLING OF
ANY FUTURE SENTENCE. CONSECUTIVE
SENTENCING CAN ALSO INCREASE THE
PUNISHMENT FOR DRUG SALES
BECAUSE A JUDGE CAN ADD
ADDITIONAL PUNISHMENT. FOR ANY
ADDITIONAL COUNTS THAT A PERSON
IS CONVICTED OF. AND AS NOTED IF
A PERSON CONVICTED OF DRUG SALES
HAS A PRIOR CONVICTION FOR
STRIKE OFFENSE THE LAW REQUIRES
THAT THERE SO TO SPEAK DOUBLE.
IN SOME CASES REQUIRES THE
IMPOSITION OF AN ADDITIONAL FIVE
YEAR ENHANCEMENT. THE AMOUNT OF
DRUGS SOLD CAN ALSO INCREASE THE
PUNISHMENT. A SENTENCING
ENHANCEMENT RELATING TO THE
WEIGHT OF THE DRUGS CAN ADD
ANYWHERE FROM THREE TO TWENTY
FIVE YEARS. DEPENDING ON THE
AMOUNT OF DRUGS. NOTABLY THE
DRUG WAITING HAVE SMITH. IT ONLY
APPLIES TO CERTAIN DRUGS
INCLUDING COCAINE HEROIN AND
METHAMPHETAMINE. AND DOES NOT
SPECIFICALLY PLAY DEFENSIBLE.
HOWEVER IN PRACTICE AND AS
YOU'VE HEARD BECAUSE FITZSIMMONS
OFTEN MIXED WITH OTHER DRUGS.
THAT ARE ELIGIBLE FOR THE
ENHANCEMENT THE WAITING PASSED
WE COULD APPLY TO MANY FEDERAL
RELATED OFFENSES. FINALLY MANY
STATES HAVE SPECIFIC LOS.
ALLOWING FOR MURDER CHARGES
AGAINST PEOPLE WHO SELL FEDERAL
TO ANOTHER AND THE PERSON DIES.
CALIFORNIA DOES NOT HAVE SUCH A
LAW. DESPITE THIS PROSECUTORS IN
CALIFORNIA. RELYING ON CASE LAW
FOR THE CALIFORNIA SUPREME
COURT. HAVE BROUGHT MURDER
CHARGES IN CERTAIN CIRCUMSTANCES
. HOW EXACTLY THESE RULES APPLY
IN THE CONTEXT OF FICTIONAL
CELLS. HAS NOT BEEN DEFINITIVELY
SETTLED BY THE COURTS. IN SOME.
EXISTING LAW PROVIDES A VARIETY
OF PENALTIES FOR THE SALE OF
ILLEGAL DRUGS INCLUDING FENTANYL
. POLICE CAN VARY SIGNIFICANTLY
BASED ON THE FACTS AND
CIRCUMSTANCES OF INDIVIDUAL CASE
. AND THE PENALTIES CARE AND
WITH THE SALE OF DRUGS CAN
RESULT IN LENGTHY TERMS OF
INCARCERATION. INCLUDING A
TWELVE YEAR PRISON SENTENCE FOR
SINGLE FEDERAL SELL TO MINORS.
THANK YOU I'M HAPPY TO ANSWER
ANY QUESTIONS YOU MAY HAVE THANK
YOU WILL HOLD QUESTIONS UNTIL
THE END OF THIS PANEL. NEXT
WE'LL HEAR FROM CONTRA COSTA
COUNTY DISTRICT ATTORNEY DIANA
BECTON. SHE WILL BE JOINING US
AT MORNING THANK YOU. WELCOME
YES GOOD MORNING GOOD MORNING
AND THANK YOU TO ALL OF THE
SENATE PANEL ON THE STAFF. OF
FOR HOSTING US BY CAN BE HEARD
OKAY I UNEXPECTEDLY HAD THE END
OF DRIVING TO SANTA CLARA FOR A
BI. PROSECUTORS MEETING SO
THAT'S WHY I'M NOT ON CAMERA.
BUT WHAT I WANTED SHE TO TALK
ABOUT THIS MORE- IT'S REALLY
ABOUT THE LARGER ISSUE IN OUR
SOCIETY WHERE- WE CALL ON LAW
ENFORCEMENT TO ADDRESS SO MANY
ISSUES. WE CALL ON LAW
ENFORCEMENT. WE CONCERNS ABOUT
THOSE WHO ARE AND HOW THE
KNOCKING IN THOSE NOT THIS. AND
AS WITH ON TODAY WHO HAVE A DRUG
. NEWS AND STARTS. I STRONGLY
BELIEVE THAT AS WE ARE FOCUSED
ON TRADITIONAL TODAY. IT ALL
RIGHT CAN'T YOU SAW. BY POINT TO
THE FIELD. MORE UNDER HOUR.
HANDS BECAUSE AS WE'VE HEARD
OVER TODAY THE POLICY. WHICH
FROM WHAT SOME OF THE LANSING JR
NEWS AND THAT THAT SHOULD. ALSO
RESULTED IN THE PARTS.
YOUR THAT CRIMINALIZATION- I
THINK IT'S CLEAR FROM EVERYTHING
THAT WE'VE HEARD TO DATE THE
CRIMINALIZATION ALONE DOES NOT
WORK BECAUSE IT HAS PRIMARILY
BEEN FOCUSED AGAIN ON POSSESSION
AND USE. WHERE ES THE PUBLIC
HEALTH APPROACH THAT WAS
MENTIONED EARLIER TODAY IS THAT
I BELIEVE A MUCH BETTER SOLUTION
. AMONG THE OVERDOSE RATES ARE
THERE'S NO REALLY NO CORRELATION
TO SHOWING THAT CRIMINALIZATION
ALONE REDUCES THOSE OVERDOSE
RATES BUT AGAIN INSTEAD LEADS TO
MASS INCARCERATION AND THAT HAS
A- DISPARATE IMPACT ON CERTAIN
COMMUNITIES. SO AS WE SHIFT OUR
APPROACH ONE OF THE THINGS THAT
WE'VE DONE- IN CONTRA COSTA
COUNTY IS TO CERTAINLY SHIFTED
FROM CRIMINALIZING THOSE WHO.
HAVE ISSUES WITH SUBSTANCE ABUSE
AND INSTEAD REFERRING
INDIVIDUALS TO TREATMENT
ENCOURAGING THAT TREATMENT. OF
YES WE KNOW THAT WE HAVE SUCH
LOTS A LAWS ON THE BOOKS AS YOU
HEARD ABOUT SO THAT WHEN WE DO
ENCOUNTER THOSE WERE TRAFFICKING
IN OUR COMMUNITIES WHEN WE ARE
DEALING WITH THOSE WHO ARE
SELLING DRUGS IN OUR COMMUNITIES
WHAT WE ARE DEALING WITH THOSE
WHO ARE SELLING DRUGS TO MINORS
IN OUR COMMUNITIES. ALL OF THOSE
LAWS ARE AVAILABLE TO US FOR
PROSECUTION BUT AS FOR THOSE WHO
ARE SUFFERING FROM ADDICTION- WE
ARE STRONGLY RECOMMENDING THAT
WE NOT BRING THOSE CASES INTO
THE CRIMINALS THAT CRIMINAL
JUSTICE SYSTEM BUT INSTEAD
REFERRED THEM TO TREATMENT.
WE'RE ALSO. TALKING ABOUT NOT
ONLY IN OUR OFFICE BUT AS TODAY
I'LL BE MEETING WITH PROSECUTORS
FROM ALL OVER THE BAY AREA WE'LL
BE TALKING ABOUT LESS RELIANCE
ON THE ROLE OF LAW ENFORCEMENT
EVEN RESPONDING TO THESE KINDS
OF ISSUES. AND REALLY THINKING
ABOUT HOW DO WE BE GET INVOLVED
IN THE CONVERSATION TO PROVIDE
GREATER ACCESS TO TREATMENT HOW
DO WE ENCOURAGE PEOPLE TO BE
MORE INVOLVED IN TREATMENT. HOW
DO WE AS A SOCIETY ADDRESS THE
ROOT CAUSES OF ADDICTION. USING
THIS PUBLIC HEALTH APPROACH
THINKING RECOGNIZING THAT THERE
ARE LARGER. ECONOMIC SOCIAL AND
HEALTH ISSUES ARE ALSO DRIVING
PEOPLE INTO ADDICTION INCLUDING
WORKING MORE WITH OUR
COMMUNITIES BECAUSE WE KNOW THAT
THERE'S ALSO AN ADEQUATE
EDUCATION. ABOUT THE SERIOUSNESS
. OF THE USE OF DRUGS IT BUT-
SHOULD. SO- FOR MICE- I'M I'M
ADVOCATING THAT WE- WOULD USE
THE ROLE OF LAW FOR AND- OF
TRYING TO SOLVE THIS- CHUCHUS
SOME. READ IN ADDITION TO THE
PUBLIC HEALTH APPROACH AND THE
SERVICE IS. ALSO FOCUSING ON THE
SUPPLY REDUCTION BUT NOTICE
NOTING THAT THAT IN IT OF ITSELF
IS NOT ENOUGH. BECAUSE WE KNOW
THAT THE DISTRIBUTION AND THE
SALE IS WHAT REALLY A BOLD
WISHING. AND A LOT OF TIMES WHEN
EVEN FORMER PROSECUTING THOSE
WERE SELLING IN OUR COMMUNITIES
WE'RE DEALING WITH THE LOW LEVEL
STREET. SELLERS AND NOT REALLY
GETTING AT THE ROOT CAUSE FOR
THE ROOM SUPPLY- AND SO THIS
FICTIONAL PRICES ARE NOT JUST
ABOUT DRUG PROBLEM BUT MERELY
SYMPTOMATIC OF A LARGER SOCIAL
ECONOMIC. AND HEALTH ISSUES AND
I'M HOPING THAT WE ALSO
CONCENTRATE ON TREATING OTHER
ISSUES SUCH AS POVERTY. TRAUMA
AND MENTAL HEALTH. IN PROVIDING
ADEQUATE ACCESS TO TREE. AND
LESS OUR FOR ON LONG BEING THE
SALUTE TO THIS CRISIS THANK YOU
VERY MUCH THANK YOU. THE
QUESTION THANK YOU OUR NEXT
SPEAKER IS GLENN BACKS WITH THE
ELLA BAKER CENTER. BACK A SORRY
. GOOD MORNING SENATORS AND
STAFF GOING BACK IS FOR THE ELLA
BAKER CENTER FOR HUMAN RIGHTS
THANK YOU FOR INVITING ME TO BE
IN THIS AUGUST GROUP TODAY- IN
BRIEF. I WANTED TO SAY THAT
THERE ARE FOUR PILLARS IN DRUG
POLICY PREVENTION TREATMENT HARM
REDUCTION AND LAW ENFORCEMENT.
UNITED STATES AND CALIFORNIA HAS
INVESTED HEAVILY IN LAW
ENFORCEMENT INCARCERATION
INTERDICTION AND POLICING.
HISTORICALLY WE HAVE NOT
INVESTED IN TREATMENT. WE HAVE
NOT INVESTED HARM REDUCTION.
DURING THE LAST TWO
ADMINISTRATIONS BROWN AND
NEWSOME WE HAVE STARTED TO SEE
ADVANCES IN HARM REDUCTION AND
TREATMENT INVESTMENT. FOR THE
NEXT PANEL SPEAK TO THAT. BUT
IT'S LATE. THE UNITED STATES NOT
TAKING DRUGS SERIOUSLY. IT TOOK
LAW ENFORCEMENT SERIOUSLY IT
DIDN'T CREATE MASSIVE
INVESTMENTS IN BETTER TREATMENT
. WHERE WAS THE RESEARCH IN YOUR
LIFETIME IN MY LIFETIME ON
BETTER TREATMENT. WE HAVE HAD
ADVANCES COOPER NORVING IS MORE
WIDELY AVAILABLE METHADONE THE
RULES HAVE BEEN LOOSENED UP IN
OUR LIFETIME. BUT WHERE HAS BEEN
THE INVESTMENT IN. TREATMENT
FORCE METHAMPHETAMINE AND
STIMULANTS COCAINE. WE'VE MADE
VERY LITTLE PROGRESS BECAUSE WE
DIDN'T TAKE DRUGS SERIOUSLY WE
TOOK PUNISHMENT SERIOUSLY. THE
CRISIS IN THE UNITED STATES IN
CALIFORNIA IS TERRIBLE. ALMOST
ALL OF US IN THIS ROOM HAVE BEEN
AFFECTED ALMOST EVERYONE IN THIS
ROOM IS LOST SOMEONE. THE
OVERDOSE. I HAVE. MOST OF YOU
THREE EXTENDED FAMILY OR FRIENDS
OF LOS SOMEONE TO OVERDOSE. THE
BILL INCREDIBLE PRESSURE IN RAGE
AND SADNESS. AS PUNISHMENT. BUT
THERE'S NO EVIDENCE THAT
PUNISHMENT WORKS PUTTING PEOPLE
AWAY FOR LONGER PERIODS OF TIME
WILL NOT CHANGE HOW MANY PEOPLE
DIE OF OVERDOSE. IT WILL NOT
REDUCE THE DEMAND FOR FENTANYL
METHAMPHETAMINE HEROIN COCAINE.
BUT ONE PERSON. IN PRISON FOR
ONE MORE YEAR COST US ABOUT A
HUNDRED AND FIFTY THOUSAND
DOLLARS A YEAR FROM GENERAL FUND
. TWO ONE PERSON. IMPROVER NORTH
BEING TREATMENT COSTS
APPROXIMATELY SIX THOUSAND
DOLLARS A LITTLE LESS BUT ONE
PERSON AND NOTHING OVER HERE.
LITTLE LESS THAN SEVEN THOUSAND
DOLLARS BASED ON TWENTY TWENTY
ONE NUMBERS. SEVEN HUNDRED FIFTY
THOUSAND DOLLARS COULD SPEND BUT
ONE PERSON IN PRISON FOR ONE
MORE YEAR AND HAVE NO EFFECT
WHATSOEVER ON DEATH RATES. YOU
COULD PUT TWENTY FIVE PEOPLE
INCLUDING OFFERING TREATMENT
TWENTY ONE PEOPLE IN METHADONE
REDUCE THE DEMAND FOR THESE
DRUGS AND SAVE LIVES. RIGHT ASK
YOU TO RESIST THE- THIS IS AN
INCREASE THE PUNISHMENT THAT. HE
WILL BE UNDER INTENSE PRESSURE
TO SEE TOO BECAUSE IT WON'T
CHANGE THE DEATH RATE. IT WON'T
CHANGE THE RATE OF SUFFERING YOU
WON'T HELP FAMILIES WHO'VE LOST
SOMEONE OR DANGER OF LOSING
SOMEONE WHEN I WORKED WITH
FAMILIES OF PEOPLE WHO ARE
GRIEVING I SAY MY KIDS ARE AT
RISK KIDS. I AM MIDDLE CLASS AND
CUT CATION AND LIVING UNITED FOR
MY KIDS ARE AT RISK BECAUSE THEY
LIVE IN UNITED STATES. AND THE
HUNGER FOR DRUGS AND THE- AND
THE MARKET FOR DRUGS IS UNLIKE
ANYTHING WE'VE EVER SEEN THE
RESEARCHER SPOKE TO IT. WE'RE IN
A CRISIS UNLIKE ANYWHERE ELSE MY
KIDS ARE AT RISK EVERYONE'S KIDS
ARE REST BECAUSE- AMERICA'S
HUNGRY FOR DRUGS AND A WASHING
DRUGS. THINGS THAT WE CAN DO
THAT HAVE BEEN PROVEN TO WORK.
IT IS INCREASE THE ACCESS TO
BERMAN OFFERING METHADONE BUT
ALSO STUDY OTHER MEDICATIONS
STUDY SAFE SUPPLY. IF YOU HAVE
PEOPLE WHO HAVE LONG TERM DRUG
USE HISTORIES. WITH STIMULANTS
OR OPIOIDS CONSIDER. GIVING THEM
PSYCHIATRIC TREATMENT HOUSING
CARE AND- SAFER DRUGS THAT ARE
NOT OFF THE STREET. SUPERVISED
BY PHYSICIANS AS THEY DO IN
CANADA AND OTHER COUNTRIES
CONSIDER SAY SETTINGS. THIS
COMMITTEE BOTH THESE COMMITTEES
HAS TWICE PASSED LEGISLATION TO
THE GOVERNOR PUBLIC SAFETY AND
HEALTH COMMITTEES TO PASS
LEGISLATION TO GOVERNOR'S CREW
TO SAVE ENVIRONMENT WHERE
SOMEONE COULD USE DRUGS AND NOT
DIE BECAUSE IT BE SOMEONE THERE.
TO REVERSE AN OVERDOSE. ALSO
INVEST IN OUR REACH TO THE ON
HOLLISTER THIS IS THE CHECKER
OF. HELL TO AUTHORED ONE OF
THOSE BILLS THAT I JUST
REFERENCED ON SPOKE TO THE HIGH
RATE OF DEATH AMONG YEAH HOUSE.
INVESTMENT REACH THE IN HOUSE
BRING THEM NOW LOCKS. BRING THE
FOR TEST STRIPS THAT MANY THEM
ARE BUYING. PURPOSES SO HE WHAT
THEY RELEASED LOCKS ON ACCESS
TO. YOU CAN BRING TREATMENT TO
PEOPLE. IN A HOTEL ROOM IN A
SORROW IN A HOMELESS ENCAMPMENT.
ALL YOU NEED IS A VAN IN A
POSITION OR NURSE PRACTITIONER
TO DELIVER. TREATMENT TO PEOPLE
WHERE THEY'RE AT. BRING PEOPLE
IN THE HOUSE. AND PROVIDE FOR.
TREATMENT IN A LOCK ON TO IN.
AND LEAVING JAIL WHERE ARE
PEOPLE ARE PEOPLE ARE IN
TREATMENT PROGRAMS IN JAILS AND
PRISONS. THESE ARE PLACES WHERE
YOU CAN ACCESS AND THEY ARE IN
CONTACT WITH THE SYSTEM THEIR
EMERGENCY ROOM TO SOMEONE PEOPLE
LEAVING JAIL. ARE THEY GETTING A
WARM HAND OFF TO DRUG TREATMENT.
AND ARE THEY BEING PROVIDED WITH
THE EDUCATION THEY NEED. ABOUT
HOW DANGEROUS IT IS OUT THERE
RIGHT NOW GIVE THE MAILBOX OWN.
GIVEN ACCESS TO TREATMENT. IT'S
A BETTER INVESTMENT OF PUBLIC
DOLLARS THAN INCARCERATION-
THERE'S ALSO EFFORTS ON BETTER
PREVENTION ONE OF THE FOUR
PILLARS OF OUR- DRUG. POLICY
EDUCATE STUDENTS BETTER DR
RANDALL HAS A BILL THAT SPEAKS
TO THAT- HIGH RISK YOUTH IN
JUVENILE HALLS IN OTHER SETTINGS
NEED ACCURATE INFORMATION ABOUT
HOW DANGEROUS IT IS OUT THERE.
AND ACCESS TO HARM REDUCTION.
AND TREATMENT. THE FORTY MILLION
USED TO EDUCATE DRUG USERS
THROUGH SOCIAL MEDIA THAT THE
LEGISLATURE TO GOVERN VESTED IN
SEEMS LIKE A SOUND INVESTMENT
NEEDS TO BE EVALUATED AND
THAT'LL BE DISCUSSED THE NEXT
PANEL I BELIEVE. AND COMMAND
CENTER SKINNER FOR HER WORK TO
ESTABLISH CIVIL PENALTIES NOT
CRIMINAL PENALTIES WITH CIVIL
PENALTIES. FOR THE MARKET PLACE
FOR THE SOCIAL MEDIA COMPANIES.
THAT ARE CURRENTLY. CREATING A
MALL WHERE ONE CAN BUY.
SUBSTANCES AND NEED TO BE HELD
ACCOUNTABLE FOR THEIR ROLE IN
THAT. IN A WAY THAT WORKS AND
CENTERS TRYING TO ADDRESS THAT
IN A CREATIVE. INTELLIGENT
FASHION AS OPPOSED TO USING WHAT
WE'VE ALWAYS DONE WHICH IS.
LET'S PASS MORE PUNISHMENT BILLS
. AGAIN IN SHORT THE PUNISHMENT
BILLS WON'T SAVE LIVES. OTHER
INVESTMENTS ARE BETTER
INVESTMENT CALIFORNIA TAX
DOLLARS THANK YOU. THANK YOU.
OUR NEXT PRESENTER IS SERGEANT
FAY MALONEY AS THE CHAIR OF THE
CALIFORNIA NARCOTIC OFFICERS
ASSOCIATION. WILL BE JOINING US
V. AS IN. OUR PHONE. HELLO GOOD
MORNING EVERYONE. HOW CAN WE
RAISE FOR VOLUME A LITTLE BIT. I
STARTED CAN YOU SPEAK A LITTLE
LOUDER. YEAH HELLO CAN YOU HEAR
ME. OKAY HELLO GOOD MORNING
EVERYONE THANK YOU FOR HAVING
ME- MY NAME IS A MALONEY AND I
AM THE REGION ONE CHAIR FOR THE
CALIFORNIA NARCOTICS. OFFICERS
ASSOCIATION AND I WANT TO THANK
ALL THE SPEAKERS FOR EVERYTHING
THAT THEY HAVE SIDE- CHANNEL HAS
BECOME THE NUMBER ONE CONCERN
FOR ALL LAW ENFORCEMENT FOR ALL
OF OUR COMMUNITIES DUE TO THE
POTENCY. ADDICTION UNFORTUNATELY
BUT DODD NUMBERS THAT WE HAVE
SEEN THAT HAVE BEEN RISING
WITHIN THE PAST YEARS- YOU ARE
OBVIOUSLY ACCEPTING FINAL IN
VARIOUS WAYS THE BLACK MARKET
COOL FEELING IT FROM FAMILY
MEMBERS. I CAN SAY IN ALAMEDA
COUNTY ALONE- THERE'S BEEN A
MINIMUM OF NINETY ONE KILOS AND
AT A HUNDRED AND FORTY THOUSAND
PILLS THAT WERE RECOVERED LAST
YEAR ALONE. I KNOW THE NUMBERS
ARE GREATER FOR EXAMPLE INSIDE
NO COUNTY SINCE WE MONITOR THE
WHOLE STATE AND THE AVERAGE AGE
FOR YOUTH ADDICTED TO FINAL IS
FOURTEEN TO TWENTY AND WE HAVE
TO BE IN THE CASES WERE. EVEN
NOW UNFORTUNATELY AND VENCORE
EXPOSED AND HAVE DIED FROM
OVERDOSES- DUDE IT LEFT OVER
FEDERAL FROM FAMILY MEMBERS-
WORKING FINALLY AGES AND LATE
CHECK SUCH AS MARIJUANA CAN BE
OF FEDERAL PATCHES THAT DOUBLED
IN THE OUT THE- SAKE M. THIRTY.
CODE ON PILLS THAT KIDS ARE
UNFORTUNATELY TAKING- AND NOT
REALIZING IT AND ALL- WHAT WE
HAVE BEEN DOING OBVIOUSLY THE
LAW ENFORCEMENT ASPECT OF IT.
SINCE THE DECRIMINALIZED ASIAN
HAS CHANGED THE WAY THAT WE ARE-
TRYING TO RAISE AWARENESS WITH
THE USE WOULD USE PROGRAMS-
SHARING RESOURCES WITH PARENTS
AND TEENS- WE ALSO KNOW THAT
THERE IS A LOT OF AN ADDRESS
TRAUMAS THAT- BASICALLY FORCE
THESE INDIVIDUALS TO START USING
THESE TYPES OF DRUGS- OR ANY
DRUG THAT LEADS TO THE FINAL AT
THE VERY END. AND WE ALSO HAVE-
THAT ARE USED THAT ARE STARTING
TO USE THE FINAL BUT THEY'RE
AUTOMATICALLY- BECOMING ADDICTED
TO IT JUST AFTER A COUPLE OF
USES AND THEY'RE SO ADDICTED TO
THE HIGH THAT'S CALLED BEING. A
. LARGE CONCERN AND- AS WE WERE
WOULD BE A HOUSING. IT HAS BEEN
- VERY CHAO- WE HAVE COME ACROSS
THE- MANY- ON HOW MEMBERS OUR
COMMUNITY THAT- EITHER WE ARE
CONTACTING THEM BECAUSE- LAW
ENFORCEMENT GETTING COMPLAINTS
ON SOME SORT OF LOW LEVEL CRIME.
THAT HAD BEEN- COMMITTED WHERE
IN NOT COURSE SPECIALLY IS
SPECIFICALLY IN THE BAY AREA- WE
HAVE WHAT'S CALLED THE KERRS
NAVIGATION CENTERS THAT ARE
THROUGHOUT FOR EXAMPLE ALAMEDA
COUNTY- I BELIEVE THERE IS ONE
IN SAN FRANCISCO AS WELL. WHERE
WE ARE GIVING THE- THE OFFENDER
AT THIS POINT OF THE LOW LEVEL
CRIME AND CHOICE- EITHER YOU CAN
GO TO COURT OR- YOU ARE FREE TO.
GO TO THE KERRS NAVIGATION
CENTER FOR EXAMPLE SO YOU CAN
RECEIVE. A MENTAL HEALTH
SERVICES DRUG ADDICTION SERVICES
LET'S TRY TO GET YOU ACCESS TO
HOUSING A LOT OF THE TIMES WE
ARE SEEING THOSE INDIVIDUALS
THAT ARE CHOOSING- TO JUST GET A
COURT TICKET SO THEY CAN GO TO
COURT BECAUSE THEY CHOOSE NO
TREATMENT. SO IT BECOMES A
CHALLENGE FOR US BECAUSE WE
OBVIOUSLY CAN'T. DO THIS ALONE
WE NEED DESPERATELY A
COLLABORATION FROM SOCIAL
SERVICES PUBLIC HEALTH AND THE
MENTAL HEALTH PROGRAMS- THAT WE
HAVE- WE STARTED TO LOOK INTO
WHAT OTHER STATES HAVE BEEN-
KIND OF- EXPERIMENTING OR
UTILIZING IN THEIR AREAS- ONE OF
THE PROGRAMS THAT WE FOUND- IS
B. KODAK PROGRAM THAT RHODE
ISLAND USES- BASICALLY IF YOU
HAVE. A LOW LEVEL OFFENCE HAD
BEEN COMMITTED BY AN INDIVIDUAL
THAT SUFFERING FROM EITHER
MENTAL HEALTH OR DRUG ADDICTION-
ONCE THEY GO THROUGH THE
DISTRICT ATTORNEY'S OFFICE AND
THEY ARE SENTENCED. THEY ARE NOT
NECESSARILY GOING TO JUST A
REGULAR JAIL INCARCERATED TYPE
OF- STUDYING THEY ARE GOING TO
AS SECURED REHABILITATION
FACILITY. WHERE THEY'RE
RECEIVING. A MENTAL HEALTH CARE
DRUG ADDICTION SERVICES. AND
OVERALL HEALTH OF THE OF WHY
GOING ON IN THERE. AND YOU HAVE
TO ADDRESS THE ALL THEIR POWER
ISSUES THAT LED BY TO THE USE IN
WAY YOUR DRAFTING ALL THEIR
NEEDS ONCE THEY- COMPLETED THEIR
FOURTEEN OR FIFTEEN OR SIXTEEN
WEEK REHAB. PROGRAM THAT THEN
THEY HAVE ACCESS TO THEIR COUNTY
MEDICAL SERVICES WHERE THEY CAN
CONTINUE TO RECEIVE THOSE
SERVICES AND THE SUCCESS RATE OF
THIS PROGRAM IS HIGH- THOSE ARE
THE TYPES OF PROGRAMS THAT WOULD
BE AMAZING IF WE CAN HAVE IN THE
STATE OF CALIFORNIA- BECAUSE
AGAIN I'M GOING TO REITERATE LAW
ENFORCEMENT CANNOT DO THIS ALONE
WE NEED THE HELP. OF ALL OF OUR-
BASICALLY. OUR PARTNERS WITHIN
THE COMMUNITY. THANK YOU. TO
PANEL. YES WE WILL ASK ALL OUR
SENATORS TO HAVE CONCISE
QUESTIONS AS WE ARE LIMITED ON
TIME- BUT DO WE HAVE ANY
QUESTIONS OR COMMENTS. A SENATOR
MENJIVAR. THANK YOU MANAGER MY
QUESTION IS TO- THE LAN. YOU
SPOKE ABOUT HOW YOU WERE YOU
SPEAKING ON USERS OR SELLERS
AND- V. HISTORY THAT SHOWS IS
OBVIOUSLY YOU'RE YOU KNOW YOU'RE
YOU'RE PUTTING A LOT OF-
PUNISHMENT ON THE USERS IT
DOESN'T. IT DOESN'T HELP BUT
WERE YOU SPEAKING ON SHOULD
INCREASING THE PUNISHMENT FOR
SELLERS. TWO THINGS TO BE REAL
QUICK- THERE'S BEEN A LOT OF
PUNISHMENT OF SELLERS GOING BACK
TO THE ROCKEFELLER MANDATORY
MINIMUMS AND YEAH. AND IN
CALIFORNIA SO STIFF PENALTIES
AND LONG TERMS OF INCARCERATION
DID NOT REDUCE THE AVAILABILITY
OF DRUGS BECAUSE EACH. DRUG THEN
THE RESEARCHER MENTIONED TO DRUG
SELLER IS REPLACED BY ANOTHER
DRUG SELLER. AS LONG AS THE
DEMAND IS IN PLACE THIS IS WHY
WE SUPPORT TREATMENT RATHER THAN
ANGER SENTENCES. SO BLOCKING UP
SICEL THEY'RE SENDING PENALTIES
FOR SELLERS WILL NOT CHANGE THE
OVERDOSE NUMBERS IN CALIFORNIA.
THE OTHER POINT WAS THE
DIFFERENTIATION BETWEEN SELLER
AND USER IS GENERALLY A FALSE
ECONOMY MANY PEOPLE WHO ARE
SELLING OR FURNISHING OR
SHARING. ARE THEMSELVES.
ADDICTED OR HAVE A SUBSTANCE
DISORDER SO THEY CAN GET CAUGHT
UP WITH A- BOB POSSESSION FOR
SALE CHARGE EARLY AND- GRINDING
ADDICTION THERE GRINDING
HOMELESSNESS THERE GRINDING
POVERTY YOU CAN GET IT EARLY
SENTENCE YOU NEED ANOTHER
SEVENTEEN OTHER SENTENCE. WHEN
YOU'RE IN THE THROES OF A MENTAL
HEALTH ADDICTION AND
HOMELESSNESS AND POVERTY CRISIS
SO IT'S NOT HARD FOR SOMEONE TO
PICK UP EARLY CHARGES AND THEN
COME BACK IN THE SECOND AND
THIRD TIME. IT'S THE ACCESS TO
TRY HOUSING THAT WILL MAKE THE
GREATEST DIFFERENCE THANK YOU.
SENATOR RUBIO. YEAH THIS. THANK
YOU MADAM CHAIR QUESTIONS FOR
DIANA YOU MENTIONED SOMETHING
ABOUT OFFENDERS HAVING A CHOICE
BETWEEN COURTS. FOR CARE
NAVIGATION CENTERS A LITTLE
CURIOUS ABOUT- CAN YOU EXPAND ON
THE CARE NAVIGATION CENTER. THAT
THAT WAS NOT SORRY SENATOR THAT
WAS NOT MY COMMENT. I DO NOT
SPEAK ABOUT CARE NAVIGATIONAL.
MALONEY'S SERGEANT MALONEY BUT
WITH ARJUN ALONE. THANK. YEAH SO
THE- CARE GRABBING SO IS PROGRAM
THE- IN THE AREA. B. LET SAY WE
A- I'M SORRY THERE'S A LOT OF
ECHO I DON'T KNOW IF YOU CAN
HEAR ME WELL. ANYTIME A LOW
LEVEL OF TECHNICAL THAT HAD
COMMITTED FOR LONG PORT AND IT'S
CALLED OUT WHERE BIO IS IT. A
LOT THEY AFFECT PROP ISSUE HELLO
LEVEL BACK. I AND- BE UNDER. IS
GIVEN A CHOICE GO TO A- LIFE- I
DON'T WANT. DIVERSION WHICH IS
THROUGH THE CARE CONVOCATION
CENTER OR THEY GO TO. AND NOT
HAVE BEEN BE THAT YOU'VE THAT
THE HERE PROBABLY THE YEAR A
HALF AND WORKING ON LOT OF.
INDIVIDUALS ARE GIVING THAT
OPTION CHOOSING THE COR ROUTE I
COULD PROBABLY SAY IN THE BAY
AREA ALONE WE MADE IT HAD. FORTY
INDIVIDUAL THAT YOU WILL BE
UTILIZED SERVICE. ADD WHEN THEY
WERE OFFEND WE FOUND BACK TO THE
PROGRAM THE CARE THAT WE FOR.
AND THIS PROGRAM OFFERS FOR IN-
AND JOB PLACE DRUG ADDICTION
SERVICE- MENTAL SERVICES. AND I
THEM ALL THE DIFFERENT RE THAT
THEY HAVE AND IT'S JUST VERY
RARE THE WERE A TO KEEP. ALL THE
INDIVIDUAL THAT WE COME CON GO-
INTO THE TYPE OF. BECAUSE THEY
DON'T WANT TO GET THEY US- AND
BERKALI- TO OUR- I DON'T I'M NOT
INTO IN DOING. I JUST WANT TO GO
TO COURT. JUST ONE LAST FEEDBACK
WHAT WERE ME. YOU KNOW HE ARMS
YOU AND CLEAR ST YOU OFFERED PRO
AND THEY JUST. TELL YOU TO YOUR
THAT THEY WANT TO BE. CELL AND
THEY WE HAVE- GLAND YOU KNOW
YOU'RE TALKING ABOUT HOW WE NEED
TO GIVE THEM. STILL THERE'S
CLEARLY A YOU KNOW A DE. HERE
BECAUSE YOU KNOW THEY'RE
OFFERING TREATMENT AND THEY'RE
NOT ACCEPTING IT BUT YET YOU'RE
OFFERING THAT WE NEED TO TREAT
HIM SO HOW DO WE FIX THAT.
DISCONNECT ANYBODY HAVE ANY
IDEAS. I REALLY LIKE THE CODE
ACT PROGRAM LEVEL OF IT WHERE IF
THERE IS SOME SORT OF AN
CONVERSATION IT'S NOT I DEALT
WITH THEM. YOUR GREAT ABILITY
HM. I DON'T KNOW WHAT KIND OF-
AND MAYBE REINVENTION OF SOME
SORT OF FIGURED REHAB FACILITY
WHERE IF A PERSON IS. SENTENCED
TO SOME PART OF A JAIL SENTENCE
INSTEAD OF THE SECURED REHAB
FACILITY. TO MAKE SURE THAT
PERSON IS FORCED TO GO INTO THAT
TREATMENT. BECAUSE A LOT OF THE
TIME THEY'RE. NOT TAKING IT BY
CHOICE. THANK YOU FOR THAT THANK
YOUNG TECH CENTER AND WENT THANK
YOU A SERGEANT I THOUGHT FEW
QUESTIONS AND WE TO- ONE IS ARE
WE CALIFORNIA USING EVIDENCE
BASED RESEARCH TO BETTER ASSIST
OUR LAW ENFORCEMENT COMMUNITY
ADDRESSING THE OVER. AND FEDERAL
CRISIS FACING OUR STATE. YES I
BELIEVE SO. N. A. R. THE D. IS
THE DOJ'S OFFICE WORKING. WITH
THE LOCAL JURISDICTION TO BETTER
SUPPORT YOUR LOCAL EFFORTS. YES
THEY ARE- THAT I HAVE A COMMON
MANAGER- TO GLENN I'M SORRY I
HAVE TO. RESPECTFULLY DISAGREE.
BECAUSE WE'VE SEEN WHAT HAPPENED
ONE IN SAN FRANCISCO AND NOT TO
PICK. ON SAN FRANCISCO IN ANY-
RUBIO DISRESPECTFUL WAYS BUT-
WE'VE SEEN IT IN THE LAST FEW
YEARS WHEN WE WERE LIKE GIVING
OUT NEEDLES. IT'S ALL OVER THE
CITY. IT'S TALKED ABOUT ACROSS
THE STATE WHETHER THEY WANT TO
MAKE IT OR NOT IT'S IN
NEWSPAPERS ISN'T PITCHES AND
ARTICLES- I'M HERE NOT TO SAY
THAT WE DON'T- HELP TREATMENTS.
BUT WHAT YOU'RE WHAT YOU'RE
BASICALLY SAYING TO ME IS THAT
WE NEED MANDATORY TREATMENT.
BECAUSE IF NOT THESE INDIVIDUALS
I DON'T GO INTO IT. AND SECOND
IS THAT YOU SAID THAT YOU KNOW
AND THE LAST TWO MINISTRATION
THAT WE'VE INVESTED HEAVILY IN
TREATMENT WHAT HASN'T CHANGED
ANYTHING. AND SO IT'S LIKE DO WE
GET TO THE POINT WHERE WE HAVE
TO ONE I MEAN THERE'S LOTS OF
ARGUMENTS THAT WE NEED TO HAVE
HIGHER PENALTY FOR HIGHER
DISTRIBUTED. JEWELERS I MEAN WE
GOT TO GET THESE HIGHER THAT THE
MAIN KEY PLAYERS WHO ARE GIVING
THESE THOUSANDS AND MILLIONS OF
FAT NOSE INTO OUR COMMUNITIES
OFF THE STREET. N. DO WE NOW GO
TO IN THE DIRECTION MANDATORY
TREATMENT BECAUSE- WE KNOW ALSO
THE CRISIS HOMELESSNESS. ANY
CONVERSATION WE HAVE TO HAVE
ABOUT HOMELESSNESS IS DRUG
TREATMENTS AS WELL BECAUSE IF WE
DON'T THERE IS LITERALLY DYING
ON THE STREET AND THAT'S NOT
VERY COMPASSION OF US IN
CALIFORNIA. SO THAT'S MY THING
IS THAT YOU KNOW YOU CAN TALK
ABOUT. MORE MONEY TREATMENT AND
LESS IT FORSMAN BUT I THINK
ENFORCEMENT NEEDS TO BE HEAVILY
CONCENTRATED ON GOING AFTER
THESE DRUG DEALERS. I'M NOT
TALKING YOU KNOW THOSE WHO ARE-
GHETTO WHO WERE WHO NEEDS
TREATMENT FOR USERS AT ALL
BECAUSE- I'VE GOT SO MANY
FAMILIES COME UP TO ME AND MY
DISTRICT. WHOSE CHILDREN HAVE
DIED. THANK YOU SENATOR WE UP
AND WE AND WE HAVE ONE MORE.
PANEL AFTER THIS WE ASK MORE
ABOUT SOME OF THE TREATMENTS ARE
GOING ON. I APPRECIATE YOU GUYS
THIS TIME WILL MOVE ON TO OUR
NEXT PANEL THANK YOU THANK YOU
VERY MUCH. AND NOW WE'LL HEAR
FROM OUR LAST PANEL FIRST WE
HAVE TYLER SAID WITH DEPUTY
DIRECTOR OF BEHAVIORAL HEALTH.
AND MERRILEES PRESS CHIEF OF THE
COMMUNITY SERVICES DIVISION WITH
THE DEPARTMENT OF HEALTH CARE
SERVICES. WELCOME.
A GOOD MORNING. THANK YOU FOR
THE OPPORTUNITY TO PARTICIPATE
IN THIS JOINT INFORMATIONAL
HEARING MY NAME IS TYLER SAID
WITH THE NAME DEPUTY DIRECTOR OF
BEHAVIORAL HEALTH AT THE-
DEPARTMENT OF HEALTH CARE
SERVICES LIKE TO START BY
SHARING SOME. KEY BACKGROUND AND
CONTEXT BEFORE TURNING IT OVER
TO MERRILEES. PRIOR TO THE START
OF THE OPIOID EPIDEMIC- DH CS
WAS ALREADY REDESIGNING THE
SUBSTANCE USE DISORDER DELIVERY
SYSTEM ACROSS THE STATE. IN TWO
THOUSAND FIFTEEN CALIFORNIA WAS
THE FIRST STATE TO RECEIVE
FEDERAL APPROVAL TO IMPLEMENT A
COMPREHENSIVE SECTION ELEVEN
FIFTEEN WAIVER FOR SUBSTANCE USE
DISORDER. TO DATE OVER THIRTY
STATES HAVE FOLLOWED OUR LEAD
AND IMPLEMENTED THESE WAIVERS.
THE DRUG MEDI CAL ORGANIZED
DELIVERY SYSTEM OR DIEM CO DS
PROVIDES A CONTINUUM OF CARE FOR
ADDICTION TREATMENT FOR MEDICAL
MEMBERS. THE DMC ODS ENABLES
LOCAL CONTROL AND ACCOUNTABILITY
PROVIDES GREATER ADMINISTRATIVE
OVERSIGHT. ESTABLISHES
UTILIZATION CONTROLS TO IMPROVE
CARE AND EFFICIENT USE OF
RESOURCES IMPLEMENTS EVIDENCE
BASED PRACTICES AND COORDINATES
ACROSS SYSTEMS TODAY 96% OF
MEDICAL MEMBERS LIVE IN COUNTIES
THAT PARTICIPATE IN THE DMZ ODS
. UNDER THE CALIFORNIA ADVANCING
AND INNOVATING MEDIC CAL OR THE
CALLIN HIM INITIATIVE DH CS
IMPLEMENTED SEVERAL DIEM CO DS
POLICY UPDATES TO IMPROVE ACCESS
AND QUALITY OF CARE. AND IMPROVE
ADMINISTRATIVE EFFICIENCY. DH CS
RECENTLY EXPANDED MEDICAID A
MOBILE CRISIS BENEFITS YOUR
SUPPORT SERVICES AND CONTINGENCY
MANAGEMENT. WHAT CONTINGENCY
MANAGEMENT HAS BEEN TESTED USING
OTHER SOURCES OF FEDERAL FUNDING
CALIFORNIA IS THE FIRST STATE IN
NATION TO RECEIVE FEDERAL
APPROVAL TO IMPLEMENT
CONTINGENCY MANAGEMENT THE
MEDICAID PROGRAM. THIS IS
IMPORTANT BECAUSE OF THE
INCREASING RATES OF OPIOID
OVERDOSES INVOLVING STIMULANTS
AS YOU'VE HEARD AND BECAUSE
CONTINGENCY MANAGEMENT IS THE
INTERVENTION THAT HAS
DEMONSTRATED THE- MOST ROBUST
OUTCOMES FOR PEOPLE WITH
STIMULANT USE DISORDER.
CALIFORNIA HAS BEEN LEADING THE
WORK IN THIS REDESIGN OF THE S.
U. D. DELIVERY SYSTEM AND WITH
WORK SPECIFIC TO OPIOIDS AS WELL
. OPIOID USE DISORDER AS A
PREVENTABLE PREVENTABLE AND
TREATABLE DISEASE MEDICATIONS
FOR OPIOID USE DISORDER ARE
EVIDENCE BASED AND EFFECTIVE.
LONG TERM RECOVERY IS POSSIBLE
AND OUTCOMES IMPROVE WITH
RETENTION IN TREATMENT.
CALIFORNIA MUST TAKE A STAND
AGAINST STIGMA BECAUSE THEY CAN
PREVENT INDIVIDUALS FROM SEEKING
HELP. SINCE TWO THOUSAND
SEVENTEEN D. H. C. S. AS
ALLOCATED APPROXIMATELY ONE
POINT FOUR BILLION DOLLARS
ACROSS THE STATE THROUGH FEDERAL
STATE AN OPIOID SETTLEMENT FUNDS
TO IMPLEMENT OPIOID PREVENTION
HARM REDUCTION TREATMENT AND
RECOVERY SERVICES GRANTS
PROGRAMS. THE MAJORITY OF GRANT
FUNDING FOCUS ON OPIOIDS IS
ADMINISTERED THROUGH OUR
MEDICATION ASSISTED TREATMENT
EXPANSION PROJECT OR MATT
EXPANSION PROJECT. THE MEASURE
EXPANSION PROJECT HAS
ACCELERATED THE IMPLEMENTATION
OF MEDICATIONS FOR ADDICTION
TREATMENT IN PRIMARY CARE IN
JAILS AND EMERGENCY DEPARTMENTS.
IT IS SUPPORTED TRIBAL AND URBAN
INDIAN COMMUNITIES TO IMPLEMENT
CULTURALLY CENTERED EDUCATION
AND TREATMENT. THAT IS LAUNCH
CAMPAIGNS TO ENGAGE YOUTH AND
EDUCATE THEM ABOUT THE DANGERS
OF FENTANYL LACED IN PILLS. AND
IT HAS DISTRIBUTED OVER TWO
MILLION UNITS OF NALOXONE
LEADING TO OVER ONE HUNDRED AND
THIRTY REPORTED OVERDOSE
REVERSALS. CALIFORNIA HAS
RECEIVED FUNDS FROM OPIOIDS
SETTLEMENTS INCLUDING FIFTY NINE
MILLION DOLLARS FROM MCKINSEY
AND COMPANY AND MOST RECENTLY
THE JANSEN AND DISTRIBUTORS
SETTLEMENTS FROM WHICH THE STATE
IS EXPECTED TO RECEIVE
APPROXIMATELY TWO POINT TWO
BILLION DOLLARS WHICH WILL BE
OVERSEEN AND ADMINISTERED BY DH
CS. T. H. C. S. THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH AND
THE DEPARTMENT OF REHABILITATION
OR ALLOCATED A TOTAL OF ONE
HUNDRED TWENTY SEVEN POINT EIGHT
MILLION DOLLARS IN OPIOID
SETTLEMENT FUNDS. IN FISCAL YEAR
TWENTY TWO TWENTY THREE. FOR
STATE IDENTIFIED PROJECTS THANK
YOU FOR THE OPPORTUNITY TO
COMMENT AT THIS POINT ALTERNATE
OVER TO MARLEY'S PRESS CHIEF OF
COMMUNITY SERVICES DIVISION AT
THE H. C. S. TO WALK THROUGH
SOME OF THESE CRITICAL
INITIATIVES. THANK YOU TYLER.
THE M. ET EXPANSION PROJECT
WHICH IS ESTABLISHED IN TWO
THOUSAND EIGHTEEN AND AIMS TO
INCREASE ACCESS TO MEDICATION
ASSISTED TREATMENT REDUCE UNMET
TREATMENT NEED A REDUCE OPIOID
OVERDOSE RELATED DEATHS. THROUGH
THE PROVISION OF PREVENTION HARM
REDUCTION TREATMENT AND RECOVERY
SERVICES ACTIVITIES. THE PRIMARY
FOCUS OF ALL DH CS OPIOID
RELATED PROJECTS IS TO ENSURE
EQUITY AND INCLUSION FOR ALL
POPULATIONS WHILE REDUCING
OPIOID RELATED OVERDOSE DEATHS.
INCREASING ACCESS TO MEDICATION
ASSISTED TREATMENT. AND REDUCING
UNMET HARM REDUCTION PREVENTION
TREATMENT AND RECOVERY SERVICES
NEEDS. THE PROJECT FOCUSES ON
POPULATIONS WITH LIMITED MA T.
ACCESS INCLUDING BLACK TRIBAL
AND URBAN INDIAN HISPANICS BLACK
NECKS LGBTQ PLUS COMMUNITIES
PEOPLE EXPERIENCING HOMELESSNESS
AND PEOPLE IN CRIMINAL JUSTICE
SETTINGS AND YOUTH. THE
CALIFORNIA M. A. T. EXPANSION
PROJECTS SUPPORTS MORE THAN
TWENTY PROJECTS ACROSS THE
STATE. AND HAS EXPANDED ACCESS
TO M. A. T. AND MORE THAN SIX
HUNDRED AND FIFTY ACCESS POINTS
INCLUDING HOSPITALS JAILS INDIAN
HEALTH PROGRAMS MENTAL HEALTH
SUBSTANCE USE DISORDER PROGRAMS
COMMUNITY HEALTH CENTERS AND
MORE. SOME OF THE KEY PROJECTS
INCLUDE OUR CALIFORNIA YOUR
OPIOID RESPONSE FOR YOUTH THIS
PROVIDES GRANTS TO NONPROFITS
SCHOOLS AND OTHER GROUPS
TACKLING OPIOID USE AMONG YOUNG
PEOPLE TO SUPPORT PREVENTION
TREATMENT AND RECOVERY SERVICES
FOR OUR YOUTH AGES TWELVE
THROUGH TWENTY FOUR. WHO ARE AT
RISK OF AN OPIOID USE DISORDER
OR STIMULANT USE DISORDER SINCE
SEPTEMBER OF TWENTY TWENTY MORE
THAN SIXTEEN THOUSAND YOUTH HAVE
RECEIVED ONE ON ONE ENGAGEMENT
APPROXIMATELY SEVEN THOUSAND
YOUTH RECEIVED EARLY
INTERVENTION AND MORE THAN THREE
THOUSAND YOUTH RECEIVE TREATMENT
FOR AN OPIOID USE DISORDER.
ANOTHER PROJECT IS R. M. A. T.
AND JAILS AND DRUG COURTS THIS
PROJECT INCREASES ACCESS TO MIT
IN COUNTY JAILS AND DRUG COURTS
WHILE ALSO BUILDING COUNTY
CAPACITY TO EFFECTIVELY RESPOND
TO INDIVIDUALS WITHIN THE
JUSTICE SYSTEM THOSE THAT ARE
IMPACTED WITH A SUBSTANCE USE
DISORDER. THE GOAL IS FOR THE
COUNTY TEAMS TO HAVE AT LEAST
TWO FORMS OF FDA APPROVED
MEDICATION WITHIN THEIR JAIL TO
TREAT OPIOID USE DISORDER. AS OF
AUGUST OF TWENTY TWENTY TWO OVER
THIRTY TWO THOUSAND INDIVIDUALS
HAVE RECEIVED MA T. WHILE
INCARCERATED ACROSS THIRTY SIX
COUNTIES DUE TO THIS PROJECT.
CALIFORNIA'S EFFORTS ARE ALSO
EXPANDED UNDER OUR NEW CAL AIM
JUSTICE INVOLVED INITIATIVE
WAIVERS WHICH WILL OFFER A
TARGETED SET OF MEDICAID
SERVICES INCLUDING MEDICATION
ASSISTED TREATMENT TO YOUTH AND
ADULTS IN PRISONS JAILS AND
YOUTH CORRECTIONAL FACILITIES.
FOR UP TO NINETY DAYS PRIOR TO
RELEASE. THE FUNDING OPPORTUNITY
WILL SERVE AS A KEY RESOURCE TO
SUPPORT JAILS TO OFFER M. A. T.
AND FACILITIES WARM HANDOFFS AND
LINKAGES TO COMMUNITY BASED M.
A. T. PROVIDERS. ANOTHER PROJECT
I WANNA HIGHLIGHT IS OUR
NALOXONE DISTRIBUTION PROJECT
THIS IS A KEY INTERVENTION IN
CALIFORNIA'S EFFORT TO CURB THE
OPIOID OVERDOSE CRISIS IT
PROVIDES FREE NALOXONE. WHICH IS
A MEDICATION USED TO REVERSE
OPIOID OVERDOSES THE COMMUNITY
ORGANIZATIONS AND ENTITIES TO
DATE. THE NDP HAS DISTRIBUTED
MORE THAN ONE POINT NINE MILLION
UNITS TO MORE THAN THREE
THOUSAND THREE HUNDRED UNIQUE
ORGANIZATIONS. AS TYLER REPORTED
WE'VE HAD MORE THAN A HUNDRED
AND THIRTY THOUSAND OVERDOSES
JUST FROM THE NDP ALONE. TO
ADDRESS THE OPIOID CRISIS AND
USE THE NDPS DISTRIBUTED MORE
THAN. ALMOST FORTY SIX THOUSAND
KITS OF NALOXONE TO OVER SEVEN
HUNDRED UNIQUE K. THROUGH TWELVE
ENTITIES HOWEVER THE NDP IS NOT
THE SOLE SOURCE FOR NALOXONE IN
CALIFORNIA. IT'S AVAILABLE TO
ALL MEDICAMENTOS WITH THE
PRESCRIPTION AND MANY OTHER
SOURCES OF HEALTH COVERAGE SUCH
AS MEDICARE AND PRIVATE
INSURANCE. NALOXONE CAN ALSO BE
PURCHASED BY PARTICIPATING
COMMUNITY PHARMACISTS TO
INDIVIDUALS IF APPLICABLE
REQUIREMENTS ARE MET. COUNTIES
ALSO HAVE FEDERAL GRANT FUNDING
AND OPIOID SETTLEMENT FUNDING
THAT CAN BE USED TO PROVIDE
NALOXONE TO LOCAL COMMUNITIES AS
WELL. THE LAST M. A. T. PROJECT
I'D LIKE TO HIGHLIGHT IS THE CAL
BRIDGE BEHAVIORAL HEALTH
NAVIGATOR PROGRAM. C. A. BRIDGE
LAUNCH AT FIFTY TWO HOSPITALS
AND TWO THOUSAND EIGHTEEN WITH
THE GRANT FROM THE M. A. T.
EXPANSION PROJECT IN TWENTY
TWENTY A STATE APPROPRIATION OF
TWENTY MILLION DOLLARS EXTENDED
FUNDING TO FIFTY TO MORE
HOSPITALS AS A PART OF THE
BEHAVIORAL HEALTH PILOT PROJECT.
IN THE SPRING OF TWENTY TWENTY
TWO A NEW APPROPRIATION OF FORTY
MILLION. WITH FUNDING THROUGH
THE QUEUE HOME AND COMMUNITY
BASED SERVICES LAUNCH. WHERE NOW
WE HAVE THREE HUNDRED AND THIRTY
ONE HOSPITAL EMERGENCY
DEPARTMENTS IN CALIFORNIA THAT
ARE PROVIDING THESE. THEY'RE
UTILIZING THESE GRANT FUNDS AND
PROVIDING SUBSTANCE USE
NAVIGATOR SERVICES AND ADDING
MENTAL HEALTH NAVIGATORS TO
THEIR EMERGENCY DEPARTMENTS AND
THIS HELPS INDIVIDUALS THAT ARE
SEEKING ADDICTION TREATMENT AND
SUPPORTIVE CARE IN THE EMERGENCY
DEPARTMENT SETTING. SINCE TWO
THOUSAND EIGHTEEN THERE HAS BEEN
OVER TWO HUNDRED AND FORTY
THOUSAND PATIENTS WHO HAVE BEEN
SEEN BY SUBSTANCE USE NAVIGATORS
IN THE EMERGENCY DEPARTMENT. OF
THESE APPROXIMATELY A HUNDRED
FORTY THOUSAND HAVE BEEN
IDENTIFIED AS HAVING AN OPIOID
USE DISORDER. AND EIGHTY TWO
THOUSAND ENCOUNTERS OCCURRED OR
MA T. WAS PRESCRIBED OR
ADMINISTERED. NUMBER TO ANSWER
ANY QUESTIONS THANK YOU OUR NEXT
SPEAKER IS ROBIN CHRISTIANSEN
CHIEF OF THE SUBSTANCE AN
ADDICTION PREVENTION BRANCH
DEPARTMENT OF PUBLIC HEALTH
WELCOME. THANK YOU GOOD MORNING
TEARS WILL HAVE AN ADMIN AND
MEMBERS OF THE COMMITTEE MY NAME
IS ROBIN CHRISTENSEN I'M THE
CHIEF OF THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH
SUBSTANCE AN ADDICTION
PREVENTION BRANCH THANK YOU SO
MUCH FOR INVITING ME HERE TODAY.
SO SUBSTANCE ON ADDICTION
PREVENTION BRANCH )
TWENTY TWENTY TO BRING TOGETHER
JUST FIRST SET OF PROGRAMS AND
CREATE A HOME FOR BEHAVIORAL
HEALTH PREVENTION. AND ARE
REALLY AT HOME A HOME FOR
APPROACH FOR SUBSTANCE MISUSE
AND ADDICTION PREVENTION UNDER
THE CENTER FOR HEALTHY
COMMUNITIES. OUR BRANCH AIMS TO
PREVENT AND REDUCE THE HARMS
THAT ARE CAUSED BY SUBSTANCE
RELATED AN ADDICTIVE DISORDERS.
AND WE'RE HOME TO FOR PROGRAMS
WHICH INCLUDE HUGE CANNABIS
PREVENTION ALCOHOL MISUSE
PREVENTION. PROBLEM GAMBLING AT
OUR OVERDOSE PREVENTION
INITIATIVE. THE OVERDOSE
PREVENTION INITIATIVE LEADS THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH APPROACH TO THE OPIOID
EPIDEMIC AND OUR STRATEGIES
ADDRESS RESEARCH AND
SURVEILLANCE. PRIMARY PREVENTION
ACTIVITIES INCLUDING PUBLIC
AWARENESS HARM REDUCTION AND
STRENGTHENING COMMUNITY CAPACITY
AND PARTNERSHIPS. SO AS PART OF
THE OPI WE'VE DEVELOPED AND
PROVIDE ON GOING SUPPORT FOR THE
PUBLIC FACING CALIFORNIA'S
OVERDOSE SURVEILLANCE DASHBOARD.
WHICH PROVIDES DATA ON FATAL
DRUG RELATED OVERDOSES EMERGENCY
DEPARTMENT VISITS AND
HOSPITALIZATIONS RELATED TO NON
FATAL OVERDOSES. AND SCHEDULED
PRESCRIPTION OPIOIDS. WE MAKE
THIS DATA AVAILABLE AT THE STATE
COUNTY AND ZIP CODE LEVEL. AND
IT IS AVAILABLE ONLINE ON OUR
DASHBOARD. SOME OF WHAT WE'VE
LEARNED IS THAT IN TWENTY TWENTY
ONE MORE THAN SEVEN THOUSAND
CALIFORNIANS DIED FROM AN OPIOID
RELATED OVERDOSE AND OVER 80% OF
THESE DEATHS WERE RELATED TO
FUNCTIONAL. FROM TWENTY NINETEEN
TO TWENTY TWENTY ONE WE
EXPERIENCED A ONE HUNDRED AND
28% INCREASE IN THE RATE OF
OPIOID RELATED OVERDOSE DEATH IN
CALIFORNIA. OVER THAT SAME TIME
PERIOD THE MORTALITY RELATED TO
FENTANYL INCREASED BY NEARLY
THREE HUNDRED PERCENT. OVERDOSE
DEATHS ASSOCIATED WITH STIMULANT
DRUG USE HAVE ALSO BEEN
INCREASING ALTHOUGH THE RATES OF
THAT INCREASE ARE A BIT LESS.
WHEN WE BREAK THIS DOWN BY
DEMOGRAPHIC OPIOID RELATED
OVERDOSE DEATHS
DISPROPORTIONATELY IMPACT MEN.
ADULTS BETWEEN THE AGES OF
TWENTY FIVE AND FORTY FOUR A
NATIVE AMERICAN ALASKAN NATIVES
AND BLACK AFRICAN AMERICANS. WE
CAN ALSO LOOK AT THIS
INFORMATION BY COUNTY AND START
TO LOOK AT SOME TRENDS IN
VARIATION AND WE SEE THAT THERE
ARE SOME COUNTIES SUCH AS
MENDOCINO AND LAKE COUNTY WHICH
HAVE THE LARGEST OPIOID RELATED
OVERDOSE DEATH RATES PER ONE
HUNDRED THOUSAND RESIDENTS SO.
WHEN YOU'RE THINKING ABOUT THIS
AS A RATE IN IN TERMS OF THE
BURDEN ON THE POPULATION. LOS
ANGELES COUNTY EXPERIENCE THE
HIGHEST BURDEN BY COUNT WITH
NEARLY SIXTEEN HUNDRED OPIOID
RELATED OVERDOSE DEATHS IN
TWENTY TWENTY ONE. SAN FRANCISCO
COUNTY CONTINUES TO BE OF
CONCERN DUE TO BOTH THE HIGH
OPIOID RELATED OVERDOSE
MORTALITY RATE AT FORTY TWO PER
HUNDRED THOUSAND RESIDENTS. ALSO
COUPLED WITH THE HIGH TOTAL
COUNTS ITSELF FOUR HUNDRED
THIRTY FIVE DEATHS IN TWENTY
TWENTY ONE. IN ADDITION TO OUR
SURVEILLANCE WE CONDUCT
ADDITIONAL EXAMINATION OF CASE
REPORTS WILL TAKE THE MEDICAL
EXAMINER CORONER REPORTS FROM
THE OVERDOSE DEATHS AND WE LOOK
AT DRUG RELATED. OVERDOSE DEATHS
RATES IN PARTICULAR MY LOOK AT
THIS IN DEPTH IN TWENTY ONE
PARTICIPATING COUNTIES. THIS
HELPS US TO BETTER UNDERSTAND
SOME OF THE CIRCUMSTANCES
SURROUNDING OVERDOSE DEATH WHERE
IT OCCURRED. WHERE THEY PEOPLE
AROUND WHETHER OPPORTUNITIES FOR
INTERVENTION. WELL THE PILOTING
A PROJECT TO GET OVERDOSE
INFORMATION MORE RAPIDLY. AND
THIS IS CALLED SYNDROMIC
SURVEILLANCE IT IS A WAY OF UP
MONITORING SYMPTOMS AND
CONDITIONS AS THEY APPEAR AT THE
HOSPITAL OR THE EMERGENCY
DEPARTMENT. THIS INFORMATION
THEN COME BECOMES AVAILABLE TO
US IN NEAR REAL TIME AND IT CAN
BE USED TO PROVIDE OVERDOSE
SPIKE ALERTS. IN TERMS OF OUR
PREVENTION WORK OUR STRATEGIES
ALSO INCLUDE PREVENTION
INCLUDING- INCREASING AWARENESS
THROUGH LARGE SCALE PUBLIC
AWARENESS CAMPAIGNS AND WORKING
WITH LOCAL PARTNERS. IN THE
CURRENT FISCAL YEAR THE
SUBSTANCE AN ADDICTION
PREVENTION BROWN JUST RECEIVED
FUNDING TO SUPPORT STATEWIDE
MEDIA CAMPAIGN WITH THREE
PRIMARY THEMES AND AUDIENCES. TO
PREVENT SUBSTANCE MISUSE AMONG
TEENS AND YOUNG ADULTS TO STOP
OVERDOSE AND OVERDOSE DEATHS
AMONG ADULTS WITH A HARM
REDUCTION APPROACH. AND TO RAISE
AWARENESS AMONG FAMILIES AND
COMMUNITIES REDUCING STIGMA AND
EQUIPPING INDIVIDUALS TO BE ABLE
TO HAVE THE INFORMATION THAT
THEY NEED TO RESPOND WITH
LIFESAVING STRATEGIES SUCH AS
THE USE OF NALOXONE. THE
CAMPAIGN WILL BE USING TRUSTED
AND PREFERRED CHANNELS
PRIORITIZING DIGITAL AND SOCIAL
MEDIA. AND WE WILL BE ENGAGING
WITH LOCAL COMMUNITIES COMMUNITY
PARTNERS TO PROVIDE FAMILIES AND
COMMUNITIES WITH THE INFORMATION
THAT THEY NEED AND ALSO HELPING
TO LIFT UP LOCAL SUCCESS STORIES
. GIVEN THE URGENCY OF THE
OVERDOSE CRISIS THE INITIAL
CAMPAIGN MESSAGES ARE
ANTICIPATED TO BE LAUNCHED LATER
THIS SPRING AND THE FALL MEDIA
CAMPAIGN LAUNCHED LATER THIS
YEAR. WE ALSO HAVE ADDITIONAL
STATE LEVEL PARTNERSHIPS FOR
EXAMPLE WE WORK WITH THE
DEPARTMENT OF JUSTICE TO PROMOTE
THE EXPANSION AND THE USE. OF
THE STATE'S PRESCRIPTION DRUG
MONITORING PROGRAM KNOWN AS
CURES THIS TRUCKS AND MONITOR
SCHEDULES TWO THREE AND FOUR
DRUGS AND IT LOOKS AT THE
PRESCRIPTIONS THAT ARE WRITTEN
AND DISPENSED IN CALIFORNIA. AND
IT PROVIDES THE DEPARTMENT OF
JUSTICE AND OTHERS ACROSS THE
STATE WITH INFORMATION THAT THEY
NEED TO MONITOR FOR PATTERNS
THAT MIGHT. INDICATE
PRESCRIPTION DIVERSION OR
POTENTIALLY RISKY PRESCRIBING
PRACTICES. WE ALSO PARTNER WITH
OUR COLLEAGUES HERE AT THE
DEPARTMENT OF HEALTH CARE
SERVICES THROUGH THEIR
MEDICATION ASSISTED TREATMENT
PROGRAM THERE EXPANSION PROGRAM
TO HELP SUPPORT EMS FIRST
RESPONDERS TO PROVIDE INITIAL
TREATMENT. AND THEN SOME
CONNECTIONS TO LONGER TERM
SUBSTANCE USE DISORDER TREATMENT
OPTIONS. WE PARTNER WITH
EDUCATIONAL LEADERSHIP SO WE
HAVE BEEN WORKING TO EXPAND
RESOURCES AND INFORMATION
AVAILABLE TO SCHOOLS COLLEGES
AND UNIVERSITIES AND THIS
INCLUDES PROVIDING TRAINING TO
EDUCATORS ON THE LOCKS OWN
PROVIDING TECHNICAL ASSISTANCE.
ON THE LOCKS ON ACCESS AND
DISTRIBUTION POLICIES AND REALLY
BRINGING TOGETHER PARTNERS SO
THAT WE ARE ABLE TO LIFT UP AND
HIGHLIGHT SOME OF THE EXCELLENT
WORK THAT'S ALREADY BEING DONE
AT SCHOOLS AND COLLEGES ACROSS
OUR STATE. WE HAVE LOCAL
PARTNERSHIPS WE SUPPORT TWENTY
ONE LOCAL OVERDOSE SAFETY
COALITIONS WHICH REPRESENT
TWENTY FIVE COUNTIES ACROSS THE
STATE THEY ARE WORKING. TO
REDUCE OPIOID AND OTHER DRUG
RELATED OVERDOSES AND DEATHS
ACROSS CALIFORNIA. HER
COLLEAGUES THAT THE CDPH OFFICE
OF AIDS ALSO SUPPORT SIXTY EIGHT
HARM REDUCTION PROGRAMS. AND
FORTY TWO COUNTIES WHICH HELP TO
SUPPORT THE WORK THAT SOME OF
THOSE COALITIONS ARE DOING. OUR
COALITIONS ARE WORKING ON A
RANGE OF STRATEGIES THAT ALIGN
WITH THE DEPARTMENT'S OWN
STRATEGIES THE TAYLOR OF THE
WORK TO THEIR COMMUNITY NEEDS
THROUGH GRANTS THAT LEAVES
PROVIDE TO THEM. SOME OF THE
EXAMPLES OF THE WORK THAT THEY
DO INCLUDE STRENGTHENING HARM
REDUCTION APPROACHES AT THE
LOCAL LEVEL. BUILDING
CONNECTIONS WITH LAW ENFORCEMENT
STRENGTHENING YOUTH PREVENTION
EDUCATION AND INCREASING ACCESS
TO TREATMENT AND SERVICES.
HOWEVER NOT ALL CORNERS OF OUR
STATE HAVE ACCESS TO HARM
REDUCTION SERVICES SO WE WORK
WITH A DISTRIBUTION PARTNER TO
PROVIDE LIFESAVING HARM
REDUCTION SUPPLIES AND TREATMENT
AND INFORMATION. TO INDIVIDUALS
ACROSS THE STATE WHO ARE AT RISK
OF OVERDOSE OR HARM HIM
SUBSTANCE USE. FINALLY WE
PARTNER WITH THE ACS RELATED TO
THE DOCKS- DISTRIBUTION PROGRAM
CDPH JUST ROLE HERE IS TO
ADMINISTER THE STATE WIDE
STANDING ORDER FOR NALOXONE.
THIS AUTHORIZES ENTITIES IN THE
STATE SUCH AS SCHOOLS COMMUNITY
BASED ORGANIZATIONS AND
LIBRARIES TO ADMINISTER AND
DISTRIBUTE NALOXONE TO OTHERS
WITHOUT A PRESCRIPTION. IT KIND
OF WORKS HAND IN HAND AS THEY
ARE ABLE TO ACCESS THAT FREE
NALOXONE THREE DH CS IS PROGRAM
. CDPH WELCOMES THE OPPORTUNITY
TO EXPAND ITS LOCAL PARTNERSHIPS
AND TO STRENGTHEN THE STATE'S
RESPONSE TO THIS CRISIS I WOULD
ALSO BE HAPPY TO RESPOND TO ANY
QUESTIONS. THANK YOU WE HAVE ONE
LAST SPEAKER RYAN MILLER DEPUTY
DIRECTOR OF BEHAVIORAL HEALTH-
WITH RIVERSIDE UNIVERSITY HEALTH
SYSTEM. GOOD MORNING EVERYONE
CAN YOU HEAR ME ALL RIGHT
THROUGH THEM YES THANK YOU. I'M
A GOOD MORNING AND SO. THANK YOU
FOR HAVING THIS YEAR WE REALLY
APPRECIATE OUR PARTNERS- AND
EVERYTHING EVERYONE IS DOING.
FIRST THING I WANT TO SAY IS A
LOT OF WHAT I WILL COVER IS MORE
OF A LOCAL IMPACT OF INITIATIVES
ROLLED OUT. THE YOU CAN REFER
BACK TO DARYN SLIDE ON ALL THOSE
PROJECTS THAT WAS IT- QUITE A
LIST AND THEN EVERYTHING KIND OF
THE TYLER MERRILEES KIND OF
COVERED. AND I ALSO WANT TO JUST
THINK CENTER WHEN YOUR COMMENTS
ARE ON THE LIST AND WHY WE'RE
ALL DOING THIS AND THE IMPACT IT
HAS ON OUR SOCIETY- YOU JUST
REALLY RANG TRUE IN THE
BEGINNING OF THE SERVICE AT THE
TONE. EVERY JOB RIGHT INTO CAL
AIM AND THE DMC ORGANIZE
DELIVERY SYSTEM- THAT YOU HEARD
FROM TYLER I'M REALLY. AT A
IMPACT- YOU- ROLLOUT OF WE HAD
ABOUT A POINT MILLION DOLLARS.
CONTRACT WITH THE STATE FARM-
DRUG WHEN CAL. WE'RE NOW
CURRENTLY AROUND NINE MILLION.
SO BESIDES IT THE IMPACT ON
FUNDING BEING PUSHED INTO OUR
SYSTEM WHAT THAT TRANSLATES TO A
HUMAN WORLD. IS WE'VE HAD OVER
8100% INCREASE OF SERVICES TO
OUR ADULTS. AND THE 2100%
INCREASE FOR SERVICES. FOR YOU.
WHAT OF THOSE BIG FAT THAT THEY
WEREN'T INTO WAIVER OF YOU BOTH
FOR AS YOU DO PROGRAM JUNE.
WHERE IN THE- AS OPPOSED TO ABBY
UNLOCKED THE FOR WALLS OF
CLINICS WE'RE ABLE TO GO OUT TO.
ARE HUMANS. ARE ANGELA THEM SIR
AND BRING THEM BACK INTO
TREATMENT. WHICH IS INCREASED
SIGNIFICANTLY. ONE OF THE NEWER
ELEMENTS OF CALLIN THAT WE
REALLY. REALLY EXCITED ABOUT IS
THE FACT THAT THEY ARE NOW GOING
TO BE. REIMBURSABLE SERVICES FOR
A SOUND POINT FIVE EARLY
INTERVENTION. FOR UNITS WHICH
JUST- ENHANCES OUR ABILITY IN
THOSE SCHOOL SYSTEMS AND REALLY
GET TO OUR YOUTH IN A PREVENTIVE
CULTURE BEFORE THEY END UP IN
OUR TREATMENT CULTURE. I'M ALL
OF OUR IS. IT ALL OF MY ITEMS IN
RIVERSIDE COUNTY WE DO HAVE A
FEDERAL TASK FORCE THAT WAS SET
UP AFTER MANY OF THESE ITEMS AND
I'LL TALK ABOUT WE'RE HERE. THAT
IS RUN BY A BOARD OF SUPERVISORS
AND EXECUTIVE OFFICE AND SO MOST
EVERYTHING I SHARE HERE IN A AND
A LOT THAT I WON'T IS ALL DRIVEN
UP THROUGH THEIR REPORTED OUT ON
AT THE HIGHER LEVEL. I DO WANT
TO TAKE A CHANCE TO TALK ABOUT
THE STATE OF BETTER STOCK GRANTS
ANIMATED EXPANSION GRANTS- THE
MARLIES MENTIONED. AND HOW THEY
KIND OF HAVE A REALLY CHANGED
THE CULTURE FOR US. IN
SPECIFICALLY IN THE DETENTION
AND CRIMINAL JUSTICE WORLD WITH
COLLABORATIVE COURTS MY LEAST
MENTIONED YOU KNOW MENTAL HEALTH
COURT RECORDS THINGS LIKE THAT.
THREE GREEN. IF YOU WILL OUR
COURTS ESPECIALLY WHEN
COLLABORATIVE COURTS IN OUR
JAILS- WE'RE NOT VERY FOR TO THE
USE OF MY- IS. TREATMENT AND
THAT'S WHERE WE STARTED AND SO
WITH THE H. MAKE GRANTS AT THE
STATE ROLLED OUT TO US AND YOU
USE THE CODE. AND TECHNICAL.
WE'VE BEEN ABLE TO CHANGE THAT
CULTURE DRAMATICALLY. TO WHERE
WE ARE PRESCRIBING MEDICATION
ASSISTED TREATMENT IN OUR
DETENTION- FACILITIES BOTH ADULT
AND JUVENILE. AND ALSO FOR IT
AND FOR A REALLY SPECIFIC
EXAMPLE AT THE ENTRY ANYONE
WITHOUT- YOU DE COMING INTO
JAILS. I INSTANTLY GETS A COW
SCREENING BUT THEY ALSO GET
NALOXONE- AT THE GATE UPON
DISCHARGE. NOW IT HAS GONE DOWN
INTO. MORE HMA GRANTS WHICH IS A
SPAN AROUND HOUSE I CAN'T
HOSPITAL. IN A- PRESCRIBING TASK
FORCE MEDICATION. TREATMENT TASK
FORCE. AND THEN DRIVING DOWN A
LITTLE BIT FARTHER ONE OF THE
BIG- TICKET ITEMS FOR US IS
KNOWING THAT. THOSE IN SUBSTANCE
USE DISORDER TREATMENT NEED A
SAFE PLACE TO LIVE AND SO. THE
WRAPAROUND FUNDS THAT HAVE BEEN
SENT OUT FROM THE STATE. THAT WE
CAN USE FOR RECOVERY RESIDENCES
A CASE OVER LIVING HAVE HAVE
BEEN ENORMOUS IN SHOWING THAT-
WE RUN OUR STATS FOR THE LAST
THREE YEARS. IN THE IN THE WAY
OF RECOVERY RESIDENCES AND WE'VE
SHOWN OVER 30% HIGHER-
COMPLETION RATE IN A POSITIVE
SENSE. ALSO. WANTED TO MENTION
AND OCSO PROJECT. AND THIS PIECE
IS AROUND THAT ATTITUDES IN THE-
ON THE STREET SO WHEN THE STATE
FIRST ROLLED OUT THE NALOXONE.
WE ORDERED MASS MASS AMOUNTS TO
GET OUT TO OUR COMMUNITY BUT THE
PROBLEM WAS NOT EVERYBODY WANTED
IT NO AND PEOPLE SAID THEY
WEREN'T TRAINED AND SO WITH THE
HELP OF THE STATE ARE PARTNERS
WE'RE ABLE TO TRAIN PEOPLE. AND
NOW IF WE FAST FORWARD. WE CAN'T
GET ENOUGH OF IT AND WE JUST
KEEP ORDERING WERE GIVEN OUT. TO
OUR POLICE OR SHARE. IN OUR
JAILS TO OUR TREATMENT STAFF
MENTAL HEALTH TREATMENT STAFF
ARE FIELD BASED TEAMS SURGEONS
BEEN A HUGE CHANGE IN THAT DUE
TO THE- AND- STUDENTS IN GOING
TO THE FURTHER WITH EIGHTY. AND
HAVE A DAY. SO THE EATING BRIDGE
WE HAVE A COUNTING ON AND-
PRIVATE HOUSE ENERGY. BUT FOR US
WHAT WE'VE DONE IS TAKEN IDEA.
PRESS MORE STATE RESOURCES INTO
IT SO THAT WERE ACTUALLY- RUN
EIGHT. BRIDGE PRO. IN NUMBERS
ROOM AND INPATIENT UNIT IN A
HOSPITAL. I'M FROM SEVEN AM TO
SEVEN PM SEVEN DAYS A WEEK THREE
HUNDRED SIXTY FIVE DAYS A YEAR.
AND WE SEE ABOUT ON AVERAGE NOW
LAST YEAR I THINK WE HAD JUST
UNDER NINE HUNDRED. READINGS
THAT WE'RE ABLE TO DO AND LINK
THEM OUT THE TREATMENT. WITH ME
NOW TO. THE CROSS THE SYSTEM AND
KIND OF BACK TO THAT IDEA AROUND
CALAIS MEDINA COD YES. IT FEEL
BASED SERVICES WE HAVE ADDED IT
NOT ONLY AOD COUNSELORS BUT
ALSO- S. UT EDUCATION TO ALL
OVER A FIELD BASED TEAMS WHETHER
THIS THESE ARE ALL OF OUR CRISIS
OUT REACH JAMES. THEIR WORK AND
TOO MANY THAT RESPOND HOSPITALS
LAW ENFORCEMENT SCHOOL SYSTEMS
AND PARKS AND EVERYTHING IN
BETWEEN CHORE HOMELESS OUTREACH
TEAMS AND JAZMIN JAMES. NON THEN
ALL FOR AND WE TO REMIND- UNDER
. THE CENTERS OF DISEASE CONTROL
PREVENTION OVER DATA RIGHT. OUR
PUBLIC HEALTH WAS ALL ABLE. PULL
DOWN. THE FUNDING THAT IS BEING-
MADE A- COMPRISED SET. WHERE
PUBLIC BAY HEALTH EMS. AB
PARTNERED UP TO OVER OVER A
SURVEY REALLY SHOW OVER TO TASK
. NINE ONE ONE CALLS CAN. AND
ALL OF THAT DATA IS NOT RIGHT
AVAILABLE- PAIRED OFF OF WHAT
THE STATE IS A PUBLIC HEALTH IS.
DOING ON THEIR MAIN WEBSITE HAS.
ENABLED US TO REALLY HAD A HIGH
POCKET POINTS. WELL THAT
SERVICES WERE NEEDED. AND IF IT
AT ALL OUT FOR I THINK AROUND A
PROP. FOUR MONIES. I'M NOT ALL
COUNTY CAN APPLY FOR THESE YES-
FORGET JUST GET A PEN POINT IN
THAT TOWN FORCE I'VE HAD USE
THOSE SIXTY FOUR MINUTES TO AND
SOME OF THESE THAT I'VE SHOW
TODAY. THANK YOU. THANK YOU-
THAT CONCLUDES OUR PRESENT AND
PRESENTERS TIME- DO WE HAVE ANY
QUESTIONS FROM ANY OF THE
SENATORS. US SENATOR RUBIO.
SORRY IS AN- THE TOP THAT I
REALLY WANTED TO GET INTO AND
LEARN BUT I THINK THIS IS FOR.
BOB FOR ROBBING YOU TALKED ABOUT
PARTNERING WITH SCHOOLS AND I'M
JUST A LITTLE CURIOUS I KNOW
THAT. A TEACHERS ARE GIVEN THIS-
ENTIRE EDUCATION ABOUT FOR
EXAMPLE EPIPEN AND- AND B. BITES
AND ALL THAT IS IT SOMETHING
THAT YOU THINK SHOULD BE COME
PART OF THE NOW TO EDUCATION
PROCESS. LEARNING ABOUT THESE
TYPE OF- PURITAN AND HOW TO TAKE
CARE OF THE ISSUE I KNOW RIGHT
NOW YOU'RE JUST PARTNERING ON
THE SIDE BUT IT'S NOT NECESSARY
PART OF WHAT. TEACHERS GAD. WHAT
IS YOUR OPINION ON EDUCATING
THEM AND MAKING IT PART OF THE
PROCESS TEN YEAR. I DON'T REALLY
HAVE AN OPINION ON THAT IT
SOUNDS LIKE A POLICY ANGLE MY
COMMENT ON OVERDOSE AWARENESS
WOULD GENERALLY BE IN SUPPORT OF
INCREASING SUBSTANCE USE
PREVENTION. EDUCATION BROADLY-
CURRENTLY WITHIN STATUTE.
SCHOOLS ARE ABLE TO ADMINISTER
NALOXONE AND SO WE'VE BEEN
WORKING WITH THEM TO. COME UP
WITH APPROPRIATE POLICIES THAT
WORK WITHIN THEIR SCHOOL BASED
POLICIES. THANK YOU OUT ONE LAST
QUESTION IS AT. WHAT IS NOT
LOCKS AND HOW DO YOU ADMINISTER
IS IT LIKE AN EPIPEN CAN YOU
HELP ME UNDERSTAND THAT THERE
ARE A FEW DIFFERENT FORMS OF THE
LOCKS OWN THE GENERAL FORM THAT
WE ARE TALKING ABOUT WHEN WE
DISCUSSES WITH SCHOOLS IS
THERE'S A NASAL FORM OF NALOXONE
THAT IS RELATIVELY EASY TO
ADMINISTER. THE DEPARTMENT OF
PUBLIC HEALTH HAS THE TRAINING
WHICH IS AVAILABLE ON OUR
WEBSITE WHICH PROVIDES GUIDANCE
ON HOW TO ADMINISTER- IT IS. IF
YOU'VE USED FLOW NAYS OR
SOMETHING LIKE THAT IT JUST IT
LOOKS QUITE A BIT SIMILAR. IT'S
ESSENTIALLY A NASAL SPRAY
THERE'S ALSO AN INTRAMUSCULAR
INJECTION FORM THAT IS CLOSER IN
LINE WITH THE DESIGN OF AN
EPIPEN. THANK YOU THAT'LL THANK
YOU MEDICARE. DR THANK YOU- AND
I AM I THINK THIS IS TO. THEM AT
BEGINNING MISTER. AND MAYBE MISS
PETTUS- SO ALL THE PROGRAMS
YOU'RE TALKING ALL THE- OF THE-
AT- ARE THE EVALUATIONS AND THE
UPDATES ON THOSE FOUND ON YOUR
DASHBOARD AND ARE THOSE MOST OF
THOSE. EVALUATIONS ON
EFFECTIVENESS AND OUTCOMES. ARE
THOSE THOSE ARE CONDUCTED BY X.
OF OUR PRESENTERS ON THE OUR
FIRST PANEL CHECK CORRECT IS
THAT HOW THE RELATIONSHIP GOES.
THROUGH TWO SEPARATE PASSWORDS I
CAN SPEAK TO OURS WE HOSTED
MINISTRY TO DATA WHICH CONTAINS
ALL OF THE- THE RECORD OF
MORTALITY AND MORBIDITY FOR
OVERDOSE AND OTHER SUBSTANCES WE
HAVE. CANNABIS ON THERE AS WELL
FOR EXAMPLE- BUT NO THAT. DOES
NOT INCLUDE A VALUATION
INFORMATION. BUT WE DO WITH M. A
T. EXPANSION FOR AS THE
RESEARCHERS- SPOKE AT UCLA THEY
HAVE PUT TOGETHER A PORTAL FOR
US- WITH ALL THESE VARIOUS
PROJECTS THAT WE HAVE THE
DASHBOARDS WE ALSO HAVE. SOME
INDEPENDENT EVALUATIONS WITHIN
SOME OF THESE PROJECTS LIKE THE
ET BRIDGE THEY HAVE THEIR OWN
YOU KNOW SO WE HAVE FOR WORKING
ON PULLING ALL THAT UP TOGETHER
BUT WE DO HAVE SOME. GENERAL
DASHBOARDS AND ADDS WE GET
ADDITIONAL FUNDING NUMBER
PUTTING THAT WITH AND NOT AS
WELL. AND FOR THE DRUG MEDI CAL
ORGANIZED DELIVERY SYSTEM WE DO
HAVE- AN INDEPENDENT EVALUATOR
AND THAT IS UCLA WHO PRESENTED
THE FIRST PANEL. AND THOSE
INDEPENDENT EVALUATIONS ARE
AVAILABLE ON OUR WEBSITE. OKAY
JUST AS AS WE CONTINUE TO TALK
ABOUT THE INTERVENTIONS THAT
WE'RE TAKING IS ALWAYS REALLY
IMPORTANT TO MEASURE THE
EFFECTIVENESS AND OUTCOMES OF
THOSE SO WE KNOW WHAT TO KEEP
LEANING ON AND WHAT TO
POTENTIALLY SHIFT TO. THANK YOU
ALL VERY MUCH FOR YOUR THREE
PRESENTATIONS AND WORK THANK YOU
ALL- WE HAVE NO FURTHER
QUESTIONS- WILL MOVE ON TO
ANYONE WHO'D LIKE TO PROVIDE
PUBLIC COMMENT. DUE TO
CONSTRAINTS REGARDING THE LENGTH
OF OUR HEARING AS WELL AS
TECHNOLOGY CONSIDERATIONS EACH
INDIVIDUAL'S PUBLIC COMMENT IS.
AND WILL BE LIMITED TO ONE
MINUTE. LET'S BEGIN WITH ANY
INDIVIDUALS HERE IN THE ROOM
TWELVE HUNDRED. SEEING NO PUBLIC
COMMENTS- WE WANT TO THANK YOU
WE WILL MOVE ON TO THOSE WAITING
TO PROVIDE PUBLIC COMMENT VIA
THE TELECONFERENCE ORVIS.
MODERATOR IF YOU WOULD PLEASE
PROMPT INDIVIDUALS WAITING TO
PROVIDE PUBLIC COMMENTS- WE WILL
BEGIN. AGAIN ONE MINUTE ONLY.
THANK YOU FOR THOSE ON THE PHONE
YOU MAY PRESS ONE FOLLOWED BY
ZERO THE JOIN THE QUEUE FOR
PUBLIC COMMENT. WILL GO FIRST IN
LINE SEVENTEEN. THANK YOU FOR
TAKING MY CALL I AM. VERY
CONCERNED WHEN THEY WERE TALKING
ABOUT THE PRICE OF KEEPING
SOMEONE INCARCERATED. THE HUMAN
LIFE IS IMPORTANT TO MEET THEM
AT A COST. WHERE ARE CHARACTER
EIGHT STRESS. BUT THE PEOPLE AND
- HAVE MANAGED. THANKS KEVIN MY
OF OUR TO. PROGRAMMING THAT.
SECOND I HAD A FLAT FEE FROM.
COMPANY TO KEEP MAKING THIS
HAPPEN CORRECT STATE. ORDERS
THANK YOU VERY MUCH FOR YOUR
CALL NEXT PLEASE. OUR NEXT COMIC
COM FROM LINE TWENTY. PLEASE GO
AHEAD. YES HELLO CAN YOU ME.
HELLO YES WE CAN HEAR YOU. OKAY
I ONE OF THE- IT IS. HERE'S THE
THING I LOOK TO. GEAR HEARING
HERE. AND I UNDER ABOUT THE I
NEED WE SAW OF THEIR HAVING.
LIKE THE LAST DOLLARS EIGHTY.
WHY AREN'T WE DOING SOMETHING.
IN THE CONCERNS OF THE COMPLEX
THESE. I MEAN YOU'RE SERVICING
EVERYWHERE. WHY HAVE THEY HAPPEN
OR- FINAL VOTE EVEN. AS A LOT OF
. PLEASE MAKE SOME SENSE- I IN
THIS PROGRAM A PERSON THANK YOU
GUYS NEED TO BE. THE ONLY THAT
THE BILL MAKE FAR MORE. IRWIN
ECHO RIGHT NOW IN AMERICA. NO
THAT ARTICLE. THE WEEK OF THAT
ESPECIALLY IF YOU'RE ARE GOING
THANK YOU THANK YOU NEXT CALLER
PLEASE. THANKS FOR YOUR COMMENT
FROM LINE TWENTY FOUR. THANK YOU
SENATORS AND ANALYSTS FOR THE
HEARING MY NAME'S JOHN GRIFFIN
DURING THE SENIOR ADVOCATE WITH
EDTA THE CALIFORNIA COUNCIL OF
COMMUNITY BEHAVIORAL HEALTH
AGENCIES WHICH REPRESENTS MENTAL
HEALTH AND SUBSTANCE USE
COMMUNITY BASED ORGANIZATIONS
ACROSS THE STATE. GRATEFUL FOR
THE PURPOSE OF THIS HEARING IN
PRETTY ONGOING LEGISLATIVE
EFFORTS TO CURB THE FRONT NON
OPIATE CRISIS THAT IS IMPACTING
CALIFORNIA WIENER MEMBERS STAND
READY TO CORDON PARTNER WITH THE
LEGISLATURE IN ITS WORK TO
REDUCE OVERDOSE THAT EXPAND
ACCESS TO EFFECTIVE TREATMENT.
AND TO ADDRESS THE SOCIAL HEALTH
AND ECONOMIC FACTORS DRIVING
THIS CRISIS THANK YOU SO MUCH
FOR YOUR LEADERSHIP TODAY THANK
YOU NEXT CALLER. WE HAVE LINED.
THREE IN MORNING EDITOR AND-
COMMITTEE MEMBERS. MY NAME IS
LINDA RICH BUT YOU'RE GETTING-
THE PREVIOUS CALLERS CREEK IF
THE EVERYTHING IN. FOR
EVERYTHING RAW RAW RAW BUT- THIS
WHICH FOR BORDER WHERE THE ITEMS
ARE COMING OVER NUMBER ONE.
THAT'S FOCUSED CURRENTLY NUMBER
. TWO THE CARD THREE CAN ALL THE
FENDERS WE NEED. THE PENALTIES-
THE WORLD THE LEGISLATIVE
POLITICAL. BUT WHAT I IF YOU.
CAN KEEP PUTTING IT ON IT-
PROBABLY THIS IS BIGGER THAN ALL
OF US NOW AND IT SEEMS TO ME
THAT STARTED. THANK YOU VERY
MUCH YOU NEXT CALL PLEASE. WE
HAVE A COMMENT FROM LINES. YEAH
I EVERYTHING YOU ARE TRYING TO.
THAT I'M AFRAID SHOW. MORE HAVE
TO BE DONE I THINK WE NEED MORE
LAWS. AND MORE WILL BE PRETTY.
THE PERPETRATOR WANT COVERED. IN
A THIRTY ABOUT. THE FACT THAT
THEY WERE DOING IT FOR THEIR OR
DEALING OR WHATEVER IT'S REALLY
REALLY SCARY OUR CHILDREN AND
FAMILY.
THANK YOU TO ALL THE INDIVIDUALS
PROVIDED PUBLIC COMMENT TODAY IF
YOU WERE NOT ABLE TO PARTICIPATE
PLEASE SUBMIT YOUR COMMENTS OR
SUGGESTIONS IN WRITING TO EITHER
THE SENATE PUBLIC SAFETY OR
SENATE HEALTH COMMITTEE OR VISIT
THE COMMITTEES WEBSITES YOUR
COMMENTS AND SUGGESTIONS ARE
IMPORTANT TO US AND WE WANT TO
INCLUDE YOUR COMMENTS IN THE
VISUAL HEARING RECORDS. THANK
YOU AND WE APPRECIATE YOUR
PARTICIPATION AGAIN THANK YOU TO
EVERYONE WHO WAS PATIENT AND
BECAUSE THE COOPERATION OF
EVERYONE HERE- WE HAVE CONCLUDED
THE GENDER OF THE SENATE PUBLIC
SAFETY AND HEALTH COMMITTEES
LARGER AND- THANK YOU.