Apr 13, 2023 City Council Meeting 04/13/2023

[00:00:02]

HE'S OUT THERE.

[ Call to Order]

SO, GLAD TO SEE YOU HERE.

AND CLERK, WILL YOU PLEASE TAKE THE ROLE? MAYOR HARKEY, PRESENT VICE MAYOR ORLANDO.

HERE.

COUNCIL MEMBER AND CNI HERE.

COUNCIL MEMBER ELLIS.

HERE.

COUNCIL MEMBER STEWART.

HERE.

COUNCIL MEMBER HARRIS.

HERE.

COUNCIL MEMBER POSTON.

HERE.

WE HAVE A QUORUM.

THANK YOU SO MUCH.

OUR INDICATION TONIGHT WILL BE BROUGHT BY REVEREND SARAH OGILBY DUNIGAN FROM THE VALLEY UNITARIAN UNIVERSALIST CONGREGATION, REVEREND AND OUR PLEDGE OF ALLEGIANCE BY VICE MAYOR MATT ORLANDO.

GOD OF MANY NAMES AND NO NAME AT ALL, BE WITH THESE LEADERS AND COMMUNITY MEMBERS TODAY.

HELP THEM TO LISTEN MORE DEEPLY, TO ASK MORE QUESTIONS, AND TO HOLD THIS COMMUNITY AND ITS NEEDS IN THE CENTER OF THEIR DECISIONS.

HELP THEM TO CONSIDER FAR INTO THE FUTURE AND TO LEARN FROM THE PAST.

HELP THEM TO LEARN AND GROW AS LEADERS AND AS HUMANS.

SHAPING THIS COMMUNITY FOR OTHER HUMANS.

BLESS THIS COMMUNITY WITH COMPASSION, INTEGRITY, AND TRUE LEADERSHIP.

FOR ALL OF THIS, WE PRAY AND GIVE THANKS FOR YOUR GUIDANCE AND LOVE.

AMEN.

AMEN.

PLEASE JOIN IN HONORING THE AMERICA.

UH, PLEDGE LEADS TO OUR FLAG.

I PLEDGE ALLEGIANCE TO THE FLAG OF THE UNITED STATES OF AMERICA AND TO THE REPUBLIC FOR WISHES STANDS ONE NATION UNDER GOD, INVISIBLE WITH LIBERTY AND JUSTICE FOR ALL.

AND, AND, AND MAYOR.

THANK YOU REVEREND MAYOR.

I APOLOGIZE.

I WAS TALKING TO A FORMER AIR FORCE GUY LIKE I WAS, AND WE WERE TALKING ABOUT OLD AIRPLANES, SO I APOLOGIZE.

YOU ARE, YOU ARE FORGIVEN FROM MYSELF AND COUNSEL.

THANK YOU,

[ Consent Agenda Items listed on the Consent Agenda may be enacted by one motion and one vote. If a discussion is required by members of the governing body, the item will be removed from the Consent Agenda for discussion and determination will be made if the item will be considered separately. Proposed Motion: Move to approve the Consent Agenda of the April 13, 2023, Regular Meeting, Items 1 - 16.]

WE HAD A ROBUST CONVERSATION ON MONDAY RELATED TO THE CONSENT AGENDA.

UNLESS SOMEONE WOULD LIKE TO PULL SOMETHING TO ACTION, A MOTION WOULD BE IN ORDER.

MAYOR, COUNCIL MEMBER HARRIS, UH, MOVE TO, TO APPROVE THE CONSENT AGENDA OF APRIL 13TH, 2023.

UH, REGULAR MEDIA ITEMS ONE THROUGH 16.

AYE.

WE HAVE A MOTION BY COUNCIL MEMBER HARRIS.

UH, SECOND BY COUNCIL MEMBER ENCINAS.

ANY RECUSALS EXPLANATIONS? MERIT COUNCIL MEMBER HARRIS? NO.

COUNCIL MEMBER.

I'M SORRY.

YOU'RE LOOKING GOOD.

STEWART .

THANK YOU.

MUST BE BETTER DRESSED.

.

UM, HEY, I, UH, JUST WANTED TO MAKE A NOTE ON ITEM NUMBER THREE, WHICH IS THE SHORT TERM RENTALS.

I HAD, UH, VOTED NO AGAINST THAT.

ON OUR FIRST TIME AROUND, I'VE TALKED WITH STAFF AND I UNDERSTAND THAT THE, UH, ADDED TAX TO THIS PARTICULAR ORDINANCE IS NOT GOING TO BE, IN FACT UNTIL WE TALK ABOUT IT IN A LITTLE BIT MORE DETAIL.

UH, SO I'LL BE VOTING YES ON NUMBER THREE TONIGHT, BUT I DO WANT TO EXPLAIN MY CHANGE OF VOTE.

AND THAT'S BECAUSE THE POLICY IS GOOD IF IT'S WITHIN THE STATE STATUTE, AND WE CAN TALK ABOUT THE FEES THAT COULD BE ASSOCIATED WITH THAT LATER.

THANK YOU.

VERY GOOD.

COUNCIL, PLEASE VOTE.

MOTION CARRIES UNANIMOUSLY.

THANK YOU, CLERK.

WE DO HAVE TWO PRESENTATIONS CALLED IN

[17. Briefing and Discussion Regarding the Chandler Police Department Collaboration with Solari, Inc., for Crisis Response Services Including Training of 911 Operations, Policy Development and Referral of Non-Emergency Mental Health Calls, as requested by Councilmember Harris]

ITEM NUMBER 17 IS A BRIEFING AND DISCUSSION REGARDING THE CHANDLER POLICE DEPARTMENT COLLABORATION WITH SOLARI FOR CRISIS RESPONSE SERVICES, INCLUDING TRAINING OF 9 1 1 OPERATIONS, POLICY DEVELOPMENT AND REFERRAL OF NON-EMERGENCY MENTAL HEALTH CALLS IS REQUESTED BY COUNCIL MEMBER HARRIS.

CHIEF.

WELL, GOOD EVENING MAYOR MEMBERS COUNSEL, IF I CAN FORGIVE THIS OUT.

GIMME ONE SECOND HERE.

I'M GONNA ASK THE, UH, FIRE CHIEF TO COME FORWARD AND HELP ME WITH THE AV EQUIPMENT.

I'M SERIOUS.

, THEN THIS IS A REMOTE.

THAT'S THE FIRST, THAT'S THE FIRST TIME HE ASKED FOR FIRE SUPPORT.

.

ALL RIGHT.

YOU GOT A FRIEND IN ME, .

ALL RIGHT, SO HERE WE GO.

ALL RIGHT, ON A MORE SERIOUS NOTE.

SO A LITTLE OVER A YEAR AND A HALF AGO, UH, SOME OF YOU MAY RECALL, I SPOKE WITH COUNSEL ABOUT, UM, SOME, UH, PROTOCOL CHANGES WE MADE OPERATIONALLY IN OUR EMERGENCY CALL CENTER, UH, SPECIFICALLY RELATED TO CALLS INVOLVING, UH, MENTAL HEALTH.

AND BACK IN AUGUST OF, UM, 2021, WE ADJUSTED OUR GUIDELINES AND BEGAN TO, TO DEFER A VERY LIMITED AMOUNT OF CALLS TO SOLAR CRISIS NETWORK.

[00:05:01]

SO THOSE ARE CALLS THAT IN THE PAST OFFICERS WOULD RESPOND TO.

IN THIS CASE, NOW, WE'VE HAD 300 INSTANCES WHERE WE'VE BEEN ABLE TO DEFER THAT CALL TO SOLARI INSTEAD OF, UH, DISPATCHING AN OFFICER.

SO LAST JULY, COUNCIL APPROVED FUNDING, UH, TO CONTRACT WITH SOLARI, UH, AND EMBED A CRISIS COUNSELOR, UM, INSIDE OUR COMMUNICATION CENTER.

AND THE COUNSELOR, THE WHOLE INTENTION BEHIND THAT IS TO HAVE THAT PERSON COME IN AND LOOK AT OUR, OUR POLICIES AND PROCEDURES, IDENTIFY OTHER CALLS THAT COULD BE DIVERTED TO SOLARI, UM, AND PROVIDE TRAINING BASICALLY TO OUR DISPATCHERS AND OUR, OUR OFFICERS.

AND WHILE THEY'RE ON SCENE, THEN ACTUALLY ACT AS, UH, DECISION MAKERS ON OTHER CALLS THAT COULD BE ACTUALLY TRANSFERRED OVER AND THEN TRACK AND, AND COUNT THE PROGRESS OVER OVER TIME.

SO IN DECEMBER, LAST DECEMBER, COUNCIL APPROVED A SERVICE AGREEMENT WITH SARI, AND ON MARCH 21ST, POLICE ANNOUNCED THAT WE IDENTIFIED A PERSON AND THEY STARTED, UM, UH, WORKING IN OUR DISPATCH CENTER ON MARCH 21ST.

THIS PAST YEAR, THEY WORK 20 HOURS A WEEK.

THEY WORK ON TUESDAYS AND FRIDAYS FROM NOON TO TO 10 30.

AND THIS AGREEMENT IS FOR, IS FOR ONE YEAR.

WE'RE USING ONE TIME FUNDING, AND WE'LL BE COMING BACK IN THE UPCOMING, UH, UPCOMING BUDGET REQUEST, ASKING FOR, UH, ANOTHER YEAR.

SO THE WHOLE, UH, INTENTION BEHIND THIS, UH, THIS RELATIONSHIP EXISTS AND ELSEWHERE IN THE VALLEY, AND WE, UH, CONSERVATIVELY ESTIMATE THAT WE CAN DIVERT AT LEAST 800 CALLS WE'RE PREDICTING AND LIKELY MORE OVER THE COURSE OF A YEAR.

SO IF WE'RE ABLE TO DO THAT INSTEAD OF SENDING OFFICE OFFICERS TO A SCENE, UH, THAT'S A, THAT'S A GREAT WIN.

SO THAT'S THE, UH, THE UPDATE ON WHERE WE ARE RIGHT NOW, AND I'D BE HAPPY TO ANSWER ANY, ANY QUESTIONS.

YEAH.

THANK YOU, CHIEF.

UM, I APPRECIATE THE PRESENTATION.

UM, YOU'VE ANSWERED ALL MY QUESTIONS.

UH, I JUST WANNA MAKE A COUPLE OF COMMENTS.

I THINK THIS IS A GREAT PROGRAM OF HOW WE'RE ADDRESSING MENTAL HEALTH AND HOW WE'RE USING OUR RESOURCES PROPERLY.

UH, WE WANNA MAKE SURE OUR OFFICERS ARE TAKING CARE OF THE ISSUES THAT MATTERS TO OUR EVERY, TO CRIME AND THINGS THAT KEEPS OUR COMMUNITY SAFE.

AND, UH, THIS ASPECT, WE WANT THE PROFESSIONALS TO HANDLE, UM, THESE TYPE OF ISSUES BECAUSE, YOU KNOW, AS THEY SAY, SOMETIMES IT'S ABOVE THE PAY GRADE IN WHICH YOU'RE GETTING PAID TO DO.

AND SOMETIMES PEOPLE HAVE DIFFERENT EXPERTISE.

SO, UM, I JUST WANTED TO GIVE THE COMMUNITY AN UPDATE.

YOU GIVING ME AN UPDATE.

I THINK THIS PROGRAM IS WORKING GOOD, AND I HOPE THAT, UM, COUNCIL CONTINUES, MAYOR AND COUNCIL CONTINUES TO SUPPORT DIVERSION PROGRAMS LIKE THIS TO HELP US WITH OUR MENTAL HEALTH ISSUES IN OUR COMMUNITY.

SO THANKS, CHIEF.

THANKS, MAYOR.

ANY ADDITIONAL COMMENTS? VICE MAYOR.

THANKS, CHIEF.

JUST A CLARIFICATION.

YOU SAID THURSDAY AND FRIDAY, OR THURSDAY THROUGH FRIDAYS, THURSDAY AND FRIDAY FOR A TOTAL OF 20 HOURS PER WEEK.

SO, QUESTION FOR YOU, AND HAVE YOU, HAVE YOU DONE A, A DEEPER DIVE TO SEE IF WE ADDED ADDITIONAL DAYS THAT WHAT WE WOULD WE ACCOMPLISH? SO THIS IS A BETA PROGRAM, AND WE JUST STARTED JUST OVER TWO, TWO WEEKS AGO.

SO THE WHOLE, THE INTENTION IS TO START THIS.

LET'S GET A YEAR'S WORTH OF DATA, LET IT PLAY OUT.

WE ANTICIPATE BETWEEN 800 AND THOUSAND CALLS, UH, BUT WE'RE NOT GONNA KNOW UNTIL IT'S OVER.

AND ONE OF THE, UH, ONE OF THE RESPONSIBILITIES WILL BE TO TRACK ALL THOSE TYPE OF CALLS SO WE HAVE A BETTER UNDERSTANDING A YEAR FROM NOW WHAT THE RESULTS HAVE BEEN AND WHAT WE CAN DO MOVING FORWARD.

OKAY.

SO I, I GUESS I'M CONFUSED.

WE'RE ONLY DOING THIS TWO WEEKS NOW.

I I THOUGHT WE TWO DAYS A WEEK FOR A YEAR.

THIS IS A ONE YEAR PROGRAM.

OKAY.

JUST STARTED.

YEAH.

OKAY.

SO YEAH, I, I HEARD, THANKS, MAYOR.

I, SO WE JUST STARTED MARCH, BUT I THOUGHT WE PUT FUNDING IN THIS LAST YEAR.

WHAT, WHY DID IT, IT TAKE SO LONG TO, RIGHT.

BECAUSE IT'S A PROCESS.

SO WE NEED TO HAVE A SERVICE AGREEMENT.

THEY HAD TO HIRE SOMEONE, THEY HAD TO IDENTIFY ANOTHER PERSON TO BRING ON BOARD.

THEY HAD TO GO THROUGH A BACKGROUND PROCESS.

SO THINGS ARE SLOW.

OKAY.

THINGS DON'T HAPPEN OVERNIGHT, UNFORTUNATELY.

SO IT JUST TOOK THIS TIME, IT TOOK THIS LONG, UH, TO GET THAT PERSON ACTUALLY STARTING, WHICH EVOKES PLENTY, WAS APPROVED ON JULY 1ST.

WE DIDN'T, UH, WE WEREN'T ABLE TO KICK THIS OFF UNTIL MARCH.

OKAY.

THANK YOU.

THANKS, MAYOR.

MAYOR.

OH, COUNCIL MEMBER ELLIS, AND THEN COUNCIL MEMBER POSTED.

THANK YOU, CHIEF.

I MEAN, THIS IS SUCH AN AMAZING TIME FOR ME TO SIT HERE AND HEAR THIS THING COME TO FRUITION.

WE HAVE THIS DISCUSSION 2019, UH, WHEN I SAT DOWN IN YOUR OFFICE AND YOU LITERALLY TOLD ME OUT OF THE 3% OF THOSE THAT YOU INTERFACE WITH, 2% OF THEM ARE HAVING SOME MENTAL ILLNESS DIFFICULTIES.

AND AT THAT TIME, AS A PSYCH NURSE, I UNDERSTOOD THAT IF YOU HAD THAT KIND OF HELP WITH A TRIAGE PROFESSIONAL TO UNDERSTAND WHEN THEY GET A CALL, WHERE TO FUNNEL THAT CALL, AND THEN ALSO TO WORK, UH, IN CONSULT WITH HAVING A UNIT

[00:10:01]

AND SO, I'M SO PROUD OF THIS PROGRAM.

I'M VERY THANKFUL THAT, UH, A CITY MANAGER, THANK YOU SO MUCH FOR PUSHING THE AGENDA AND MAKING SURE.

AND I WANT TO THANK MAYOR AND CONS FOR SAYING YES TO IT ALONG THE WAY, AND THEN PUTTING ACTUALLY OUR MONEY WHERE OUR MAP IS.

AND SO THANK YOU AGAIN FOR CONTINUING LEADERSHIP IN THAT AREA, AND I KNOW YOU GOING TO CONTINUE TO GROW THIS PROGRAM, AND THE PEOPLE OF CHILDREN WILL BENEFIT THE MOST OUT OF IT.

APPRECIATE YOU, SIR.

THANK YOU.

THANK YOU.

COUNCIL MEMBER POSTED.

CHIEF, I JUST WANTED TO CLARIFY, DID YOU SAY WE, YOU ARE ANTICIPATING ABOUT 800 TO A THOUSAND CALLS OVER THE NEXT YEAR, CORRECT.

TO BE DIVERTED? CORRECT.

OKAY.

AND THEN WILL THE, WILL THERE BE A, LIKE A DOLLAR AMOUNT OR AN HOURS, YOU KNOW, A YEAR FROM NOW WHEN YOU COME BACK AND BEGIN TO TALK ABOUT IT? WELL, WE, WE, WE CAN, WE CAN LOOK AT THOSE NUMBERS, WE CAN LOOK AT EXACTLY HOW MANY CALLS, AND WE CAN EXTRAPOLATE AN ESTIMATE OF WHAT THAT WOULD'VE COST PERFECT.

AS FAR AS STAFF HOURS RESPONDING TO THOSE CALLS.

UH, BUT AGAIN, SOME OF THOSE CALLS MAY LAST 15 MINUTES SURE.

AND SOME MAYBE EIGHT HOURS.

SURE.

SO WE CAN COME UP WITH AN ESTIMATE.

YEAH.

BUT IT SEEMS, IT SEEMS LIKE IT'S A GOOD INVESTMENT AS OPPOSED TO AN EXPENSE IF WE LOOK AT IT THAT WAY.

SO THANK YOU.

IT'S AN INCREDIBLE INVESTMENT, AND THIS WAY WE'RE ABLE TO USE OFFICERS TO DO AND RESPOND TO THINGS THAT THEY'RE TRAINED TO DO, AND WE'RE ABLE TO LEVERAGE OUTSIDE RESOURCES TO HELP THE COMMUNITY, LET THE PROFESSIONALS DEAL WITH THE ISSUES THAT THEY'RE TRAINED TO DO.

THANK YOU.

I LOVE IT ALL.

THANK YOU, CHIEF, ON THIS ONE.

UM, ITEM

[18. Briefing and Discussion on Current Chandler Opioid Data and Public Safety Response Protocols as well as Information Regarding the One Arizona Opioid Settlement Funds Agreement, Its Approved Purposes, and Current and Future Distribution, as requested by Councilmember Harris]

AND CHIEF, BEFORE YOU GET UP THERE, COUNCIL, I, I HOPE THAT, AGAIN, WITHOUT KNOWING MORE OF THE FUNDS, AND WE'LL HAVE A, HAVE OPPORTUNITY TO HAVE A ROBUST CONVERSATION OF WHERE FUNDS COULD GO IN THE FUTURE.

SO THIS IS MORE OF A, OF A BASELINE IF I'M NOT CORRECT.

IS THAT CORRECT? COUNCIL MEMBER HARRIS? VERY GOOD, SIR.

OKAY.

THANK YOU, MAYOR AND COUNSEL.

SO, UH, WHAT I WANNA DO TONIGHT IS GIVE YOU A, A QUICK BRIEFING ON OUR 2022, UH, OPIOID OVERDOSE DATA.

AND THEN AFTER A FEW SLIDES, I'M GONNA TURN IT OVER TO DON, WHO'S GONNA TALK ABOUT THE ACTUAL SETTLEMENT AGREEMENT.

SO IN 2022, UH, THE CHANDLER FIRE DEPARTMENT RESPONDED TO 767 OVERDOSE INCIDENTS FOR US.

AN OVER AN OVERDOSE INCIDENT IS ANY TYPE OF ABSORPTION, INGESTION, INJECTION OF SOME TYPE OF SUBSTANCE THAT GOES INTO THE BODY, HAS SOME TYPE OF SYSTEMIC RESULT WHERE THE PATIENT BECOMES SYS, UH, SYSTEMICALLY, UM, SOMEHOW THEIR HEALTH IS COMPROMISED.

UH, 9 1 1 CALLS PLACE, AND WE RESPOND, UH, WITHIN THAT UMBRELLA.

IT'S NOT JUST OPIOIDS, IT'S ALCOHOL, IT'S OTHER PRESCRIPTION MEDICATIONS.

IT CAN EVEN BE, UH, CHEMICALS THAT ARE UNDERNEATH, UH, THE, THE SINK.

SO 767, UH, TOTAL INCIDENTS OF THOSE INCIDENTS, 505, UH, EITHER HAD A DIRECT OR INDIRECT CORRELATION TO OPIOIDS.

UH, THE REASON THAT IS, IS THAT WHEN WE SEE, UH, OVERDOSE PATIENTS, THEY ARE USUALLY OVERDOSING ON MULTIPLE MEDICATIONS.

SO IT CAN BE AN ALCOHOL AND OPIOIDS, IT CAN BE SOME TYPE OF BENZO AND OPIOIDS, UH, OR IT CAN JUST BE OPIOIDS.

WE CAN'T TRULY DETERMINE WHAT IS CAUSING THE OVERDOSE, UH, THAT COMES FROM THE HOSPITAL THROUGH POST-DISCHARGE BLOOD DRAWS, THINGS LIKE THAT.

UH, BUT WE KNOW WE WERE ON SCENE AND THERE WAS AN OPIOID PRESENT.

EITHER THEY, UH, THE PATIENT'S FAMILY VERBALLY STATED IT, OR WE SAW SOMETHING, PILL BOTTLES, UH, FOR HEROIN NEEDLES, SOMETHING LIKE THAT.

SO THAT'S A TOTAL OF 66% OF OUR OVERDOSE CALLS, UH, THAT ARE DIRECTLY TIED OR DIRECTLY OR INDIRECTLY TIED TO OPIOIDS.

NOW, I DID GIVE A PRESENTATION BACK IN 2018 FOR THE PUBLIC SAFETY SUBCOMMITTEE.

I BELIEVE THE VICE MAYOR WAS PART OF THAT PRESENTATION.

I'M GOING TO BRING YOU BACK TO SOME OF THOSE NUMBERS JUST TO SHOW YOU, UH, WHERE WE'VE COME FROM.

AND SO, IN 2018, WE HAD 422 OVERDOSES, UH, WITHIN OUR RESPONSE AREAS, UH, OF THOSE 422, ONLY 20% WERE ACTUAL, UH, TIED TO INDIRECTLY OR DIRECTLY TO OPIOID, UH, DRUGS.

WHEN WE LOOK AT THE DEMOGRAPHICS OF OUR PATIENTS, AND THESE ARE SPECIFIC PATIENTS THAT, UH, THAT IT'S CONFIRMED THAT OPIOIDS ARE PRESENT.

UH, WE KNOW THAT 60% ARE MALE, 40% ARE FEMALE.

UH, THESE NUMBERS THAT WE SEE HERE ON THIS CHART ARE CONSISTENT WITH THE STATE.

[00:15:01]

AND SO ALL OF OUR NUMBERS, I BACK CHECKED TO SEE WHERE WE ARE BENCHMARKED ACROSS THE STATE.

AND WE'RE PRETTY CONSISTENT.

WHEN WE LOOK AT THE AGE OF OUR PATIENTS, UH, FROM 20 TO 29 YEARS OLD, THAT ACCOUNTS TO 18% OF OUR OPIOID OVERDOSES.

AND THEN THE HIGHEST IS OUR 30 TO 39 IS 24%.

IF YOU COMBINE THOSE TWO TOGETHER, IT'S 42% BETWEEN 20 AND 39.

THE SIGNIFICANCE OF THIS NUMBER IS THAT WHEN WE LOOK AT OP OPIOID, OPIOID PRESCRIPTIONS, OVER 70% OF ALL PRESCRIPTIONS ARE FOR 55 AND OLDER.

AND SO THAT TELLS YOU THAT THESE AREN'T NECESSARILY PRESCRIPTION DRUGS THAT'S PRESCRIBED BY A DOCTOR, UH, THAT THEY'RE OVERDOSING ON.

SO WE LOOK AT THE DRUGS, WHAT, WHAT TYPE OF SPECIFIC OPIOIDS ARE, UH, THESE INDIVIDUALS TAKING? AGAIN, I SAID THAT, UH, WE DON'T HAVE THE ABILITY TO DO THE, THE LAB WORK TO DETERMINE WHAT IT IS, BUT WE DO GET THIS INFORMATION, UH, POST-DISCHARGE FROM THE HOSPITALS.

THEY HAVE AN OBLIGATION TO REPORT IT TO THE STATE.

AND SO THIS IS STATE DATA FROM 2022.

UH, RIGHT NOW, 64% IN 2022 OF ALL OPIOID OVERDOSES WERE FROM FENTANYL.

I WENT BACK TO 2018.

IT WAS 12.7%.

SO IT HAS SKYROCKETED, UM, FROM, YOU KNOW, 13% TO 64%.

UH, AS OF TODAY, UH, 2023 IS ON PACE TO BE 79% OF ALL OVERDOSES THAT ARE TIED TO OPIOID IS FROM FENTANYL.

OXYCODONE, WHICH IS A PRESCRIBED MEDICATION, IS 13% IN 2022.

IF WE GO BACK TO 2000, UH, 18, IT WAS 28.8%.

SO AGAIN, WHAT WE'RE SEEING IS THE ACTUAL PRESCRIPTION, THE PRESCRIBED MEDICATIONS THAT ARE OPIOID, UH, THOSE OVERDOSES ARE COMING DOWN, OTHER MEDICATIONS IS AT 18%.

AND THOSE ARE ALL THE OTHER PRESCRIPTIONS.

IT WAS AT 45% IN 2018.

UH, A LOT OF THAT IS DUE TO THE FACT THAT IN 16 AND 17, GOVERNOR DOUG DUCEY, UH, PUT LEGISLATION INTO EFFECT THAT REALLY CLAMPED DOWN ON PHYSICIANS AND THEIR ABILITY TO, UH, PRESCRIBE OPIOIDS.

IN FACT, WHAT THEY DID WAS THEY CREATED A DATABASE, WHEREAS IF YOU WERE, UH, SOME PEOPLE CALL THEM PAIN SEEKERS, WHERE YOU WERE DOCTOR SHOPPING WITH THE SAME, UH, CHIEF COMPLAINT TRYING TO GET MEDICINE, ONCE YOU HIT FOUR DOCTORS, FOUR PRESCRIPTIONS, IT WOULD FLAG THE SYSTEM AND THEY WOULD KNOW TO STOP THAT.

UH, I CAN TELL YOU THE RESULTS OF THAT LEGISLATION AND, AND REALLY A PUSH BY AZ D H S.

IN 2018, THERE WAS THREE, 3,700,000 OPIOID PRESCRIPTIONS DELIVERED IN ARIZONA.

IN 2022.

IT WAS, UH, 2.3 MILLION.

SO WE'VE SEEN ALMOST A 1.4 MILLION, UH, PER PRESCRIBED OPIOID REDUCTION IN THE SYSTEM, WHICH IS REALLY GOOD.

UM, UNFORTUNATELY, IT'S BEING REPLACED WITH FENTANYL.

UH, HEROIN IS ANOTHER BIG MOVER ON, ON THE ONE END OF THE SPECTRUM, FE UH, FENTANYL IS GROWING.

HEROIN IN 2018 WAS 25%.

SO EVERY OVERDOSE IN THE STATE OF ARIZONA THAT WAS REPORTED, AND THIS IS, UH, POST-DISCHARGE INFORMATION WAS ATTRIBUTED TO HEROIN, UH, IN 2018, 25%.

TODAY IT'S 3%.

AND SO THE TRENDS CONTINUE TO TR TO, TO CHANGE ON US.

I THINK THAT, UH, YOU PROBABLY ALL KNOW THIS, BUT I'M GONNA SAY IT AGAIN ANYWAYS.

UH, THE BIGGEST DANGER HERE AND WHY I BELIEVE WE ARE SEEING MORE OVERDOSES IS THAT FENTANYL IS SO MUCH MORE POWERFUL THAN ANY OF THESE OTHER DRUGS.

AND SO YOU CAN TAKE HEROIN, UH, AND CERTAINLY WE'VE HAD OVERDOSES WITH THAT.

UH, BUT YOU CAN TAKE FENTANYL AND IT'S A HUNDRED TIMES WORSE.

UH, SOME OF THE OVERDOSES, UH, JUST READING THROUGH THE STATE'S WEBSITE, UH, THERE'S NO INTENT TO OVERDOSE.

IT'S DISCHARGE DIRECTIONS.

AND INSTEAD OF TAKING ONE PILL, THEY TAKE TWO.

BUT IT'S SO POWERFUL THAT YOU CAN HAVE, UH, RESPIRATORY DEPRESSION.

YOU CAN HAVE ALTERED LEVEL OF CONSCIOUSNESS.

AND SO THEY ARE SEEING A LOT OF OVERDOSES, UH, AS I SAID, THAT WHAT THEY'RE CALLING IS ACCIDENTAL, RIGHT? THERE IS ABSOLUTELY NO INTENT, UM, TO, TO DO THAT.

UH, BUT THIS, UH, SPEAKS VOLUMES.

AND, UH, WE'VE SEEN NATIONWIDE THAT THE FENTANYL CRISIS IS CONTINUING TO GROW IN A, CERTAINLY HAPPENING HERE IN THE STATE OF ARIZONA.

WHEN WE LOOK AT THE CHANDLER FIRE DEPARTMENT AND THE CALLS THAT WE RAN IN 2022, I TOOK, UH, THE THREE ON THE E M S SIDE OF THE HOUSE.

THE THREE, THREE MOST PREVALENT CALLS WERE, WERE FALL INJURIES AT 17%.

AND WE RUN AROUND, UH, 23, 20 4,000 EM S CALLS.

UH, ALTERED LEVEL OF CONSCIOUSNESS, WHICH IS OUR STROKES, UH, DIABETIC EMERGENCIES, WAS AT 10%.

RESPIRATORY EMERGENCIES, WHICH IS ASTHMA, C H F C O P D WAS AT 9%, AND OVERDOSES WERE AT 4%.

AND BACK IN 2018, IT WAS AT 2%.

SO IT HAS DOUBLED.

IT'S

[00:20:01]

UM, BUT WE CERTAINLY DO HAVE, UM, WE DO HAVE SOME OVERDOSES WITHIN OUR SYSTEM.

UH, THERE WAS A SPECIFIC QUESTION ABOUT NARCAN USE.

AND AS YOU KNOW NOW, THERE'S BEEN A LOT OF NEWS ON NARCAN.

UH, NARCAN IS A DRUG THAT YOU PUSH, IT WILL BIND TO THE RECEPTOR SITES IN YOUR BRAIN, UH, WHERE OPIOID, IF YOU THINK OF OPIOIDS AS A KEY, AND THESE RECEPTOR SITES AS LOCKS, THE OPIOID WILL GO IN THERE.

THAT'S WHAT GIVES US OUR PAIN RELIEF.

UH, THAT FEELING, UH, THAT HIGH FEELING THAT PEOPLE GET WHEN YOU PUSH NARCAN.

NARCAN GOES IN AND IT BLOCKS THE KEY.

AND SO WITHIN SECONDS FROM WHEN WE PUSH NARCAN, WE WILL GET A PATIENT THAT WILL TURN AROUND, EVEN IF THEY'RE SO RESPIRATORY DEPRESSED, A LOT OF TIMES THESE PEOPLE WILL COME UP RIGHT AWAY.

UH, WHAT DID WE SEE IN 2022? WELL, WE ADMINIS WE ADMINISTERED IT 342 TIMES.

THAT WAS OUR PARAMEDICS.

UM, THAT'S, THAT'S A LOT HIGHER THAN 2018, WHICH WAS AT 82.

BUT I'M GONNA EXPLAIN A LITTLE BIT ON ONE OF THE REASONS WHY, UH, BYSTANDER ADMINISTRATION, THIS IS SOMETHING THAT YOU CAN BUY OVER THE COUNTER NOW.

SO WE'RE SEEING MORE AND MORE PEOPLE, UM, IN THEIR HOMES THAT HAVE NARCAN.

UH, THEY'RE INTER, THEY'RE, UM, THEY'RE ADMINISTERING IT THROUGH THE NASAL CAVITY.

WE GET ON SCENE, WE DO AN ASSESSMENT, UH, YOU KNOW, AND WE WILL ENSURE THAT THE PATIENT HAS COME AROUND, BUT WE ARE SEEING A LOT MORE OF THIS.

AND THEN FINALLY, UH, OUR POLICE OFFICERS HAVE THE ABILITY AND THE TRAINING, UH, AND THE, UH, THE DRUG ITSELF TO ADMINISTER NARCAN.

UM, AND THEY ARE CERTAINLY USING THOSE WHEN IT'S PRESENTED WITH THAT OPPORTUNITY.

ONE THING WITH NARCAN, AND IT'S REALLY IMPORTANT THAT YOU UNDERSTAND THIS IS 342 TIMES THAT WE ADMINISTER.

IT DOES NOT MEAN THAT THOSE WERE 342 PEOPLE THAT WERE HAVING AN OPIOID PROBLEM.

UH, NARCAN IS ESSENTIALLY THE ONLY DIAGNOSTIC DRUG THAT WE HAVE THAT WE CARRY AS PARAMEDICS.

UM, AND WHAT THAT MEANS IS, THIS IS OUR RESPONSE PROTOCOL.

WE'LL DO AN INITIAL ASSESSMENT OF THE PATIENT.

WHAT WE'RE TRYING TO DETERMINE IS WHAT IS THEIR LEVEL OF CONSCIOUSNESS.

WE WILL LITERALLY PUT OUR, OUR, UM, KNUCKLES INTO THEIR CHEST AND TRY TO GET SOME TYPE OF PAINFUL RESPONSE TO SEE IF THEY COME UP.

IF THEY DON'T, IF THEY'RE NOT RESPONSIVE TO PAIN, WE KNOW THAT THEY'RE FAR ENOUGH DOWN THAT NOW THEIR RESPIRATORY SYSTEM IS COMPROMISED.

FIRST THING WE'LL DO IS WE'LL CHECK THEIR BLOOD SUGAR, WHETHER YOUR BLOOD SUGAR IS HIGH, BUT GENERALLY IT'S, WHEN IT'S LOW, IT WILL MIMIC WHAT AN OVERDOSE WILL LOOK LIKE.

UH, IF THEIR BLOOD SUGAR IS GOOD, IF IT'S WITHIN ITS NORMAL RANGES, THEN WE ARE GOING TO PUSH NARCAN.

DOES NOT MEAN THAT THEY ARE OVERDOSED ON OPIOIDS, BUT IF WE PUSH IT AND THAT PATIENT COMES BACK RIGHT AWAY, IT IS CONFIRMED THAT IT'S AN OPIOID.

IF WE PUSH IT AND THEY DON'T, THEN WE MOVE ON.

WE START ASSESSING FOR STROKES, WE START LOOKING FOR ANY OTHER TYPE OF TRAUMA.

UM, ANYTHING ELSE THAT COULD BE GOING ON.

SO WHEN I SAY THAT ALL 347 AREN'T OPIOIDS, UM, A LOT OF TIMES WE'RE USING IT AS A DIAGNOSTIC TOOL.

OBVIOUSLY, ONCE WE, UH, PUSH THE DRUG, UH, IF THEY RESPOND, WE WILL TRANSPORT THAT PATIENT.

THE POLICE DEPARTMENT ALSO HAS PROTOCOLS THAT ARE VERY SIMILAR TO US.

UH, THEY WILL ARRIVE ON SCENE.

THEY WILL ASSESS THE LEVEL OF CONSCIOUSNESS OF THE PATIENT, UM, BASED ON THEIR ASSESSMENT.

THEY WILL NOT CHECK BLOOD GLUCOSE.

THEY WILL GO RIGHT TO THE NASAL NARCAN.

UH, THEY'LL PUSH THAT.

IF THE PATIENT, UH, OBVIOUSLY COMES TO, THEY KNOW THAT IT'S AN OPIOID.

IF IT'S NOT, UM, THEN THAT'S PRETTY MUCH WHERE THEY STOP.

PART OF THEIR PROTOCOL IS THEY'RE CALLING FOR US RIGHT AWAY.

UH, THIS IS A CARE THAT HAS TO BE HANDED OVER TO A PARAMEDIC.

UH, SO WE WILL GET THESE PATIENTS, UH, FROM OUR, OUR POLICE OFFICERS, AND THEN WE'LL MAKE THE FINAL DETERMINATION AS FAR, FAR AS WHETHER WE TRANSPORT OR NOT.

OKAY.

SO THAT IS ALL I HAVE.

I'D BE HAPPY TO ANSWER ANY QUESTIONS OR I CAN TURN IT OVER TO DON.

COUNCIL MEMBER HARRIS NA.

CHIEF, THANK YOU SO MUCH, UM, FOR THE PRESENTATION.

I THINK THIS WAS IMPORTANT FOR THIS INFORMATION TO LAY A BASIS OF WHAT WE'RE DEALING WITH, UH, WHAT YOU'RE DEALING WITH, AND MAKING SURE THAT, UM, OUR COMMUNITY IS AWARE.

AND I APPRECIATED, UH, THE INFORMATION THAT WAS SHOWN IN TERMS OF THE AGE GROUP, BECAUSE THIS IS A PART OF THAT CHART WAS SHOWING OUR YOUTH, UM, WHICH COULD BE SCHOOL AGE OR IN SCHOOL.

UM, MY ONLY QUESTION IS, IS HOW ARE WE, UM, DO WE HAVE A PLAN? DO WE SHARE THIS INFORMATION WITH C U S D? DO WE HAVE A PLAN TO SPEAK TO OUR YOUTH ABOUT THIS? UM, IS IT SOMETHING THAT, IS THAT OUTSIDE OF OUR PURVIEW AS A CITY? HOW DO WE SHARE THIS INFORMATION? BECAUSE I THINK THAT'S IMPORTANT.

UH, AND, AND FOR OUR C U S D OR OTHER SCHOOLS, NOT JUST C U S D, BUT OTHER SCHOOLS TO HAVE THIS INFORMATION UP THROUGH THE MAYOR COUNCIL MEMBER HARRIS, WE DO NOT SHARE OUR, UH, OUR DATA WITH, UH, C U S D.

WE DO SHARE

[00:25:01]

AND THEN WHAT THE HOSPITALS ARE REQUIRED TO DO IS EVERY YEAR THEY HAVE TO DO A, A COMMUNITY NEEDS ASSESSMENT.

AND THEY HAVE TO IDENTIFY WHAT ARE THE FIVE BIGGEST HEALTH RISKS TO THE CITY OF CHANDLER.

UM, WHAT ARE THE FIVE BIGGEST SOCIAL IMPACTS THAT ARE CAUSING THOSE? AND SO IT'S ABOUT AN 80, I THINK, 90 PET RADAR LAST NIGHT, 90 PAGE DOCUMENT, UM, BASED OFF OF THAT.

AND THEY, THEY HAVE THE SAME DATA WE DO.

SO WE'RE SENDING OUR PATIENTS TO THEM BASED OFF OF THAT.

THEY HAVE TO THEN MAKE A PLAN ON HOW, WHO THEY'RE GONNA PARTNER WITH, WHETHER IT'S NONPROFITS, WHETHER IT'S THE CARE CENTER, THE SCHOOL, AND THEN HOW ARE THEY GONNA CONVEY THAT PREVENTATIVE INFORMATION? UM, HOW ARE THEY GOING TO MAKE SURE THAT THERE'S A LEVEL OF AWARENESS, UM, WHAT TYPE OF SERVICES THAT THEY HAVE, DO THEY HAVE TO PROVIDE? AND SO I, AS I SAID, I DID READ THAT LAST NIGHT, THE ASSESSMENT FOR 2022, THE 2023 ASSESSMENTS NOT DONE.

THAT'S SOMETHING THAT'S COMING SOON.

UH, BUT I BELIEVE IT WAS THEIR NUMBER TWO PRIORITY AS FAR AS HEALTH GOES WAS, AND IT'S OPIOID IS IN THERE, BUT IT'S SUBSTANCE ABUSE OVERALL.

UH, AND THEY HAD LISTED AT LEAST 15 DIFFERENT PARTNERS THAT THEY THOUGHT WOULD BE GOOD PARTNERS TO, TO GET THAT MESSAGE OUT.

EACH ONE OF THESE GROUPS HAVE A DIFFERENT MISSION ON HOW TO SUPPORT IT, WHETHER IT'S EDUCATION, WHETHER IT'S TREATMENT, UH, WHETHER IT'S JUST A FULL WRAPAROUND SERVICE.

AND SO, UM, WE DON'T DIRECTLY GIVE THE NUMBERS, BUT DIGNITY DOES.

AND WE GIVE OUR NUMBERS TO DIGNITY.

WELL, THANK YOU.

UH, UM, I WILL PROBABLY RESERVE THE REST OF MY QUESTIONS FOR DAWN WHEN SHE DOES THE FINANCIAL PRESENTATION.

GREAT.

THE OPIOID ADDITIONAL QUESTIONS FOR CHIEF? YES.

KA CHIEF, WE TALKED ABOUT KNOCKING.

AND, UH, IT IS IMPORTANT FOR PEOPLE TO REALIZE THAT IT CAN ALSO BE AVAILABLE TO THOSE NONPROFITS.

UH, AND THOSE PEOPLE THAT ARE TRAINED CAN ALSO ADMINISTER THAT.

IT'S NOT ONLY THE 9 1 1 WHEN THEY GET UNSEEN THAT CAN ADMINISTER IT.

I KNOW SOME OF THE CITIES THAT ARE DEALING WITH IT ON A REGULAR BASIS.

FOR EXAMPLE, WE HAVE A NONPROFIT THAT IS DOWNTOWN PHOENIX EVERY SUNDAY MORNING, AND WE CARRY NARCAN.

AND SO IS, ARE WE WORKING WITH SOME OF OUR NONPROFIT, LIKE A AZ SAND AND ALL THIS OTHER ONE, LIKE YOU MENTIONED, THE CARE CENTER, THAT IF SOMEBODY THAT JUST STEP ON THE PROPERTY AND JUST COLLAPSE, THAT THEY CAN ACTUALLY ADMINISTER? OR DO THEY CARRY IT? AND WHAT'S GOING ON WITH THAT IN THAT AREA? THROUGH THE MAYOR, COUNCIL MEMBER, ALICE, RIGHT NOW, WE ARE NOT, UH, WE, WE DON'T HAVE THE ABILITY, UH, TO PROVIDE THE NARCAN.

NARCAN IS NOW SOLD OVER THE COUNTER.

SO, UH, BEFORE IT WAS NOT, YOU HAD TO GET A, A GRANT AND THEN YOU HAD TO GET A PRESCRIPTION.

I BELIEVE WHEN THE POLICE DEPARTMENT GOT THEIRS, IT WAS THROUGH OUR MEDICAL DIRECTORS.

THERE WAS VERY SPECIFIC TRAINING.

NOW YOU CAN GO TO ANY STORE, ANY DRUG STORE, AND YOU CAN GET THE NARCAN.

UH, THIS DRUG WILL SAVE THEIR LIFE.

THAT IS, THAT'S WHAT IT DOES.

IT, IT, IT IMMEDIATELY STOPS THE EFFECT, ESPECIALLY WHEN SOMEBODY'S IN RESPIRATORY ARREST OR THEY'RE SO FAR DEPRESSED THAT THEY JUST DON'T HAVE THE CELLULAR RESPIRATION.

UM, BUT WE DON'T, AS A FIRE DEPARTMENT OR AS A CITY, UH, I DON'T HAVE THE, UM, I WOULD BE HAPPY TO TRAIN PEOPLE.

BUT AS FAR AS GETTING THE DRUG ITSELF, WE DON'T HAVE A WAY OF DOING IT.

BUT IT IS WIDELY AVAILABLE.

AND, AND EVEN WITHIN THE PAST, UH, SINCE IN THE LAST THREE WEEKS, I'VE SEEN A LOT OF INFORMATION ON THE REGULAR NEWS TELLING PEOPLE TO, TO PURCHASE THIS.

AND SO I DON'T KNOW IF THERE'S GRANT OPPORTUNITIES.

UH, BUT WE WOULD CERTAINLY, UH, TRAIN THEM.

THAT WOULD NOT BE A PROBLEM.

THAT WAS, UH, WHAT I WAS GONNA ASK YOU NEXT.

IS THERE ANYWHERE WE CAN PARTNER WITH ANY ORGANIZATION THAT HAS GRANT TO HELP, UM, EVEN SOLAR OR SOME OTHER ORGANIZATIONS LIKE, UH, YOU KNOW, THAT REALLY WORK WITH, UH, THOSE KINDS OF CLIENTS? I KNOW SOUTHWEST BEHAVIORAL HEALTH MM-HMM.

COULD ALSO BE A GREAT PARTNER IN THAT AREA IF WE COULD APPROACH THEM AND SEE IF THERE'S ANY WAY THAT WE CAN, CUZ WHEN IT IS OVER THE COUNTER, BUT THOSE WHO NEED IT THE MOST, THEY PROBABLY WILL USE THE MONEY TO BUY THE DRUG VERSUS BUY KNOCKING IN ORDER FOR THEM TO DO IT.

THE OTHER THING THAT I WANNA ASK YOU IS, CAN YOU EXPAND ON THE IDEA OF THE FACT THAT IF I'M THAT FAR INTO RESPIRATORY DISTRESS AND EVEN A SUPPRESSION, I CAN'T ADMINISTER NARCAN TO MYSELF.

SO CARRYING, KNOCKING, UH, AND STILL TAKING DRUGS, HOW DOES THAT HELP ANYONE? THAT'S A GREAT POINT.

COUNCIL MEMBER.

UM, BECAUSE AS YOU GET TO THE POINT WHERE YOU REALIZE YOU PROBABLY NEED NARCAN, YOU'RE NOT, YOU'RE NOT REALLY CAPABLE OF SELF-ADMINISTRATION, UH, BECAUSE IT IS IN THE NOSE.

UM, AND CERTAINLY IF YOUR, UH, YOUR RESPIRATORY SYSTEM IS COMPROMISED, THERE IS NO ABILITY.

SO YOU ARE SPOT ON.

[00:30:01]

AND AS WE KNOW, ESPECIALLY WITH FENTANYL, THIS IS NOT A SLOW THING THAT HAPPENS WHEN THAT IS ABSORBED AND IT GETS INTO YOUR BLOODSTREAM.

UH, YOU GO FROM ZERO TO A HUNDRED VERY QUICKLY.

AND, AND AS YOU KNOW, UM, IT, IT WILL KNOCK OUT YOUR ABILITY TO PROCESS INFORMATION, CRITICAL INFORMATION.

AND SO, UH, I, I BELIEVE THE THOUGHT OR THE HOPE IS ALWAYS THAT SOMEBODY WITHIN THE HOUSE, WE SAW THE, THE 77 BYSTANDER ADMINISTRATIONS, SOMEBODY WITHIN THE HOUSE, SOMEBODY WITHIN, UM, YOU KNOW, THE, WHETHER IT'S A BUSINESS OR WHATEVER, THAT ALMOST, IF WE THINK ABOUT AEDS, WE, WE COULD POTENTIALLY SOMEDAY SEE NARCAN IN THERE AS WELL.

UM, WHERE, WHEN YOU SEE SOMEONE WHO'S UNCONSCIOUS, WHO'S NOT RESPONSIVE, IF YOU HAVE THE ABILITY TO DO THAT.

BUT YEAH, THAT'S A GREAT, THAT IS A GREAT POINT.

I WANNA CLARIFY WHEN YOU SAID THAT.

I KNOW IT'S JUST BECAUSE I'M A NURSE, NOT BECAUSE THAT I USE .

CLARIFICATION IS RIGHT.

, THANK YOU FOR THE CLARIFICATION.

THAT WAS CLOSE.

YEAH.

ADDITIONAL COMMENTS, MAYOR, COUNCIL MEMBER STEWART, I, YOU KNOW, I ALWAYS LOOK AT CAUSE AND EFFECT.

IT SEEMED TO ME THAT YOU WERE, YOU MENTIONED THAT, UH, THE GOVERNOR HAD IMPLEMENTED A LAW THAT, THAT STOPPED PEOPLE FROM GETTING WHAT I WOULD CALL REGULATED DRUGS OR REGULATED OPIOIDS FOR AND IF FOR WERE AN ADDICTION.

AND IT SOUNDS LIKE THE LAW ACTUALLY, IF I'M DOING CAUSE AND EFFECT, MOVED THEM TO A LEGAL NON METERED FENTANYL, WHICH IS CAUSING MORE OVERDOSES.

DO YOU THINK? I MEAN, IT'S NOT REALLY A QUESTION, IT'S MORE OF A STATEMENT.

IT SOUNDS LIKE THE INTENDED, UM, PURPOSE WAS TO HELP PEOPLE NOT BE ADDICTS.

BUT WHAT IT ENDED UP DOING, IT SOUNDS LIKE, IS THE LAW ENDED UP MAKING THEM GO TO ILLEGAL DRUGS, WHICH IS CAUSING MORE OF A STRESS ON OUR SYSTEM, MORE A STRESS ON OUR COMMUNITY, MORE OF A STRESS ON OUR FAMILIES.

AND FOR THOSE THAT ARE UNFORTUNATELY HAD HAD TO LOSE FAMILY MEMBERS BECAUSE OF THIS.

SO COUNCIL, MY RIGHT, UNFORTUNATE, I, I TRY NOT TO MAKE ASSUMPTIONS, JUST GIVE YOU THE RAW DATA.

UM, BUT YES, WE PUT, WE PUSHED IT FROM A PRESCRIPTION BASED PROBLEM TO THE SYNTHETIC FENTANYL PROBLEM.

THAT'S A HUNDRED TIMES WORSE THAN THE PRESCRIPTION, RIGHT? SO WE, WE, WE MOVED, WE MOVED IT.

IT'S NOT A STATIC PROBLEM.

AND THAT'S ONE THING I LEARNED GOING THROUGH THIS.

IT'S VERY DYNAMIC AND IT COMPLETELY SHIFTED ON US.

IT WAS AS A YOUNG PARAMEDIC, UH, WHEN I STARTED JOB 25 YEARS AGO, UH, , I REM IT WAS ALWAYS HEROIN.

YOU KNOW, THAT'S WHAT WE SAW.

YOU KNEW YOU COULD SEE IT.

UH, SOMETIMES IT WAS STILL IN THEIR ARM.

AND WE REALLY TRAINED TO THAT.

AND, AND TODAY IT'S NOT, IT'S, IT'S A DRUG THAT'S FAR WORSE, FAR MORE POTENT.

IT'S FAST ACTING, IT'S LONG LASTING.

UH, SO IT'S DANGEROUS.

SO YEAH, THE, IT'S MOVED.

WE SHIFTED THE, WE SHIFTED THE PROBLEM.

WE, IT WAS GOOD INTENT, I BELIEVE.

OH, YEAH.

UH, AND IT WORKED.

YOU CAN SEE THE REDUCTION IN THE AMOUNT OF PRESCRIPTIONS OVER A MILLION, WHICH IS AMAZING.

UH, BUT AT THE SAME TIME, THERE WAS A VOID CREATED AND IT WAS FILLED.

OH.

AND, AND, AND THE, THE CARTELS WILL MOVE RIGHT IN AND TAKE OVER THAT SPACE.

AND THAT'S EXACTLY WHAT THEY DID.

AND SO YOU'RE SEEING IT COMING IN OVER THE BORDER.

IT'S A, IT'S A, IT'S A CRISIS AND IT CONTINUES TO BE A CRISIS.

SO WHILE I APPLAUD LEGISLATORS AND THE GOVERNOR FOR TRYING TO DO SOMETHING TO HELP THE COMMUNITY, THIS ONE SEEMS LIKE IT'S BACKFIRING.

THANK YOU.

YEP.

ALL RIGHT.

THANK YOU, CHIEF.

UM, DAWN.

OKAY, MAYOR AND COUNSEL.

UM, THE NEXT, UH, PART OF THIS PRESENTATION IS REGARDING THE OPIOID SETTLEMENT AGREEMENT.

THE CITY ENTERED INTO MARCH 1ST, 2022.

IT ACTUALLY REPRESENTS A NATIONAL OPIOID LEGISLATION OR LITIGATION SETTLEMENT IN WHICH TWO SIGNIFICANT OPIOID ACTIONS WERE REACHED.

UM, PROPOSED SETTLEMENTS, FINAL SETTLEMENTS.

THE FIRST WAS THE GLOBAL SETTLEMENT WITH THREE OPIOID DISTRIBUTORS, AND THE SECOND WAS, UH, OPIOID MANUFACTURERS.

AND THERE'S FOUR OF THEM.

SO TO DATE, WE HAVE ENTERED INTO TWO OF THOSE AGREEMENTS, AND IT ALLOWS THE STATE AND PARTICIPATING LOCAL GOVERNMENTS TO ENTER INTO THESE AGREEMENTS.

UM, THE SETTLEMENT FUNDS, UH, ONCE WE ENTER IN, ARE SHARED 44% WITH THE STATE, 56% WITH PARTICIPATING LOCAL GOVERNMENTS BASED ON OUR POPULATION, THE SETTLEMENTS, UH, FUNDS HAVE NOT BEEN ESTABLISHED AS ADDITIONAL AGREEMENTS WITH PHARMACEUTICAL SUPPLY CHAIN PARTICIPANTS CONTINUE TO BE ENTERED INTO.

AND SO, LIKE I SAID, WE'VE ONLY SO FAR ENTERED INTO TWO, SO THERE'S MORE TO COME.

AND THEN THESE LOCAL, UH, LOCAL GOVERNMENTS ARE ALLOWED TO USE FUNDS INTERNALLY OR CAN PARTNER WITH COMMUNITY AGENCIES OR REGIONAL PARTNERS FOR MANY OF THE APPROVED PUR PURPOSES, AS LONG AS ACCOUNTABILITY AND REPORTING OBLIGATIONS ARE MET.

SO AS OF, UH, 8:00 AM THIS MORNING, WE HAD NO IDEA

[00:35:01]

AND THEN AT ABOUT NINE 30 THEY LANDED IN OUR INBOX.

SO AS OF THIS MORNING, HOT OFF THE PRESS, WE NOW HAVE THAT WITH TRAINING AT THE END OF THE MONTH, CUZ THERE'S QUITE A BIT OF REPORTING AROUND AN OBLIGATION AROUND, UH, ACCEPTING THESE FUNDS.

SO NEXT, UM, AND I DON'T, DO YOU HAVE THE CLICKER TO CHANGE THE SLIDE? I'M SO SORRY.

THANK YOU FOR BEING MY AV PERSON.

.

SO THEN, THANK YOU.

UH, SO THE NEXT SLIDE WILL, FIRST IS BROKE DOWN INTO REQUIREMENTS.

AND THEN THE FUNDING, WE ANTICIPATE THE REQUIREMENTS ARE 70% OF THE FUNDING RECEIVED MUST BE USED FOR FUTURE OPIOID REMEDIATION.

A MAXIMUM OF 15% CAN BE SPENT ON OPIOID CRISIS RELATED REIMBURSEMENT AND ADMINISTRATIVE EXPENSES.

AND THEN NON-OPIOID REMEDIATION EXPENSES ARE CAPPED AT 15%.

ADDITIONALLY, A REPORT IS REQUIRED TO BE FILED BY JULY 31ST ANNUALLY.

UM, AND SO THAT'S COMING UP REAL SOON BECAUSE SO FAR WE HAVE ACTUALLY RECEIVED THREE PAYMENTS.

SO, UH, IN THE BEGINNING OR WHEN THEY, WHEN THE LITIGATION SETTLEMENT INFORMATION CAME OUT, UH, IT WAS REPORTED THAT ARIZONA ANTICIPATES, AND IT'S STILL AN ESTIMATE TO RECEIVE ABOUT 549 MILLION.

AND BASED ON THE FACT THAT LOCAL GOVERNMENTS WILL RECEIVE 56% OF THAT CHANDLER'S ESTIMATE BASED ON OUR POPULATION, AND ALL THOSE THAT OPTED IN, UM, WOULD RECEIVE ABOUT 2.86.

SO WE COULD, CHANDLER COULD POTENTIALLY RECEIVE UP TO 8.79 MILLION.

UM, BUT IT, THAT'S OVER AN 18 YEAR PERIOD.

SO IT ENDS UP BEING ABOUT, ON AVERAGE, ABOUT 480,000 A YEAR.

SO, UM, IT LISTS HERE THREE PAYMENTS THAT HAVE BEEN RECEIVED TO DATE.

THEY, THE FIRST PAYMENT REPRESENTED 2020 ONES PAYMENT, 2022.

WE GOT A PAYMENT OFF EACH OF THOSE SETTLEMENTS.

ONE FROM A DISTRIBUTOR SETTLEMENT AND ONE FROM A MANUFACTURER'S SETTLEMENT.

AND OF COURSE THEN OUR NEXT STEP IS TO FIGURE OUT HOW WE'RE GONNA USE THOSE FUNDS.

SO THE NEXT SLIDE, UM, WE DUG INTO THE OPIOID SETTLEMENT AGREEMENT THAT THE CITY HAS RECEIVED.

UM, AND IT LISTS HERE, IT SUMMARIZES THE APPROVED PURPOSES.

SO THERE'S A LOT OF DIFFERENT, UM, DETAILS IN THIS AGREEMENT.

BUT THE THREE MAIN CATEGORIES ARE TREATMENT, PREVENTION, AND THEN OTHER STRATEGIES.

AND I WON'T READ THROUGH ALL THESE, BUT, UM, WE HAVE MET AS A TEAM, IF YOU GO TO THE NEXT SLIDE.

UM, AND THE POLICE DEPARTMENT, FIRE DEPARTMENT, THE, UM, LAW DEPARTMENT AND MANAGEMENT SERVICES HAD SOME PRELIMINARY DISCUSSIONS BASED ON THE AGREEMENT.

AND THESE ARE SOME OF THE THINGS THAT CAME OUT OF OUR DISCUSSION.

BUT CERTAINLY THERE'S BEEN NO DECISIONS YET ON HOW THESE WILL BE USED.

THESE FUNDS ARE CURRENTLY JUST SITTING IN OUR GENERAL FUND.

UM, BUT THESE WERE OBVIOUS THINGS.

I THINK THAT THAT CAME UP INTERNALLY BECAUSE WE HAVE SEEN INCREASE IN COSTS.

UH, BUT OF COURSE, WE'RE ALSO TALKING ABOUT HOW DO WE MOVE THE NEEDLE INTO THE FUTURE? HOW DO WE, YOU KNOW, POSITIVELY, UM, TRY TO HELP TURN AROUND THIS CRISIS.

UH, WE CAN CERTAINLY OFFSET AND DO SOME OF, OF THE PREVENT TO TRY TO PREVENT OVERDOSE DEATHS.

BUT THERE'S SO MUCH MORE TO THIS TOPIC.

SO, UM, IF YOU TURN THE PAGE, AGAIN, THIS IS THE LAST ONE, THE NEXT STEPS WE NEED TO COME TOGETHER, UM, INTERNALLY AND ASSESS OUR COMMUNITY NEEDS.

WE NEED TO DETERMINE IF WE NEED TO INCLUDE OTHER PARTNERS.

AND THEN OF COURSE, WE NOW HAVE OBTAINED FINAL REPORTING AND ACCOUNTING RULES.

UH, BUT WE WILL HAVE TO REVIEW THOSE AND GO TO THE TRAINING AND FIND OUT EXACTLY WHAT IS REQUIRED.

UM, THEY'RE WRITTEN PRETTY HIGH LEVEL, SO I THINK THERE'LL BE A LOT OF QUESTIONS FROM COMMUNITIES THAT HAVE OPTED IN.

AND THEN FINALLY, UH, THAT FUTURE CON CONVERSATION WILL COME BACK TO YOU WITH A RECOMMENDED STRATEGY FOR DISCUSSION.

WITH THAT COUNCIL MEMBER HARRIS ANSWER QUESTIONS.

THANK YOU SO MUCH DON, AND THANK YOU CHIEF.

AND, UH, I WANTED TO BRING THIS FOR NOT TO REALLY HAVE A, JUST A DISCUSSION ABOUT IT, BUT JUST TO MAKE SURE, UM, GRANT WOODS, UH, FOUGHT FOR THIS, FOR STATES TO HAVE TO COMBAT OPIOIDS AND THESE ISSUES AND THE DOLLARS THAT WILL BE USED FOR THIS.

I KNOW THAT, UM, THE, UH, JOSH AND THE CITY HAVE PLANS, BUT I WANTED TO MORE SO BRING IT TO US SO WE CAN KNOW WHERE WE ARE.

BUT ALSO

[00:40:01]

UM, YOU KNOW, MOVING FORWARD, AND THERE PROBABLY IS A LOT OF QUESTIONS, BUT I JUST KIND OF WANTED TO BRING IT FORWARD JUST TO KIND OF GIVE COUNCIL, UH, AN IDEA THAT THIS IS, THERE IS THIS ISSUE HERE AND WE'RE GONNA RECEIVE FUNDS TO ADDRESS THIS ISSUE.

AND I JUST WANTED COUNCIL, MAYOR AND COUNCIL TO LOOK AT THIS AND SAY, OKAY, LET'S PUT THIS FORTH TO STAFF.

YOU KNOW, THERE IS SOME GUIDELINES, BUT WHAT DOES THAT LOOK LIKE? AND TO BRING IT BACK TO MAYOR AND COUNCIL IN SOME TYPE OF STUDY SESSION OF SOME SORT TO, SO FOR OUR INPUT, UM, TO MAKE SURE THAT WE'RE DOING EVERYTHING WE CAN TO, UH, ADDRESS THE ISSUES THAT PERTAINS TO OUR COMMUNITY.

AND I KNOW THAT IN OUR COMMUNITY WE DO HAVE THESE ISSUES.

THAT'S WHY SOME OF THOSE DOLLARS ARE COMING.

BUT I WANTED TO MAKE SURE THAT STAFF PUT FORTH, UM, YOU KNOW, A STRATEGY AND FOR IT TO COME BACK TO MAYOR AND COUNSEL FOR US TO REVIEW.

UH, THAT, THAT'S ALL I HAD.

I JUST WANTED TO BRING IT UP.

AND THEN PERHAPS IN THE STUDY SESSION OF SOME SORT, WE CAN ASK, GET INTO MORE DETAILS AND ASK DEEPER QUESTIONS.

SO WITH THAT BEING SAID, THANK YOU MAYOR.

THANK YOU.

COUNCIL MEMBER.

ADDITIONAL QUESTIONS.

YES, WE THANK YOU.

SO, UM, DAWN, I KNOW WE JUST GOT SOME OF THE CRITERIA TODAY.

LITERALLY, UM, I GUESS MY QUESTION IS, WE JUST HEARD THE CHIEF SAY OPIOID USES TRENDING DOWNWARDS, YET FENTANYLS, TRENDLY HUGELY UPWARDS, ALMOST, UH, LEAPFROGGING.

UM, AS WE PREPARE THIS MESSAGING, HOW DO WE INCORPORATE OTHER, UM, UH, DRUGS THAT CAUSE ADDICTION TO THIS? I MEAN, IF WE SAY THE WORD OPIOID AND OTHER THINGS, I MEAN, I'M CONCERNED HERE THAT WE'LL BE FOCUSING JUST ON OPIOIDS.

THE MESSAGING WHEN REALLY SHOULD BE FOCUSING ON DRUG OVERDOSE IN GENERAL, UH, THROUGH THE MAYOR, VICE MAYOR.

UH, YOU'RE CORRECT.

THIS IS NOT, UM, ALTHOUGH THE, YOU KNOW, THE, IT'S A LARGE PERCENTAGE, 66, I BELIEVE WAS THE NUMBER PERCENTAGE OF OUR OVERDOSES ARE, UH, DIRECTLY OR INDIRECTLY TIED TO OPIOIDS.

WE SHOULD NOT FORGET ABOUT THE OTHER 34%, UH, BECAUSE THAT, THOSE CAN WREAK HAVOC ON YOUR HEALTH AND YOUR LIFE.

AND SO, UH, IT SHOULD DEFINITELY BE A BROADER APPROACH, UH, OUTSIDE OF JUST OPIOIDS TO SEE, YOU KNOW, HOW, UM, YOU KNOW, ALL OF THE OTHER PRESCRIPTION DRUGS, UH, ALCOHOLISM, YOU KNOW, WHAT CAN WE DO FROM, UH, FROM THE CITY'S PERSPECTIVE? UH, WE, WE HAVE A, A PROGRAM CALLED COMMUNITY RISK REDUCTION.

AND WE LOOK AT EVERYTHING FROM, UH, YOU KNOW, WHAT'S HAPPENING WITH, UH, WITH OVERDOSES TO, UH, HOW MANY CHILDREN ARE FALLING OFF THEIR BIKES WITHOUT WEARING HELMETS.

AND IT IS, UH, WE'RE CURRENTLY GOING THROUGH THAT PLAN FOR OUR ACCREDITATION PROCESS, UM, AND WE WILL BE EVALUATED ON IT.

BUT IS IT WE ARE GOING TO UTILIZE ALL OF THE INFORMATION THROUGH THE HOSPITALS TO PUT A, UH, A CAMPAIGN TOGETHER.

I KNOW SOME OF YOU GUYS HAVE PARTICIPATED IN OUR WALK FOR DROWNING THAT WAS BORN OUT OF THAT DOCUMENT OF WE'RE SEEING MORE DROWNINGS, WHAT CAN WE DO? UM, AND SO WHAT WE MAY HAVE TO DO IS ENGAGE, YOU KNOW, THOSE POPULATIONS, ENGA, ENGAGE THE SCHOOLS.

UH, BUT TO YOUR POINT, IT IS, UH, IT'S A, IT'S A BROADER MESSAGE.

IT'S NOT JUST SPECIFIC TO OPIOIDS.

SO AGAIN, OBVIOUSLY IF IT'S A BROADER MESSAGE AND WE MAY BE HANDS TIED, WE GOTTA FIGURE OUT, THERE'S OTHER RESOURCES THAT WE CAN UTILIZE TO MAKE IT A BROADER MESSAGE.

BUT I GUESS MY, MY FIRST POINT, SECOND POINT, AND PROBABLY MORE CRITICAL QUESTION IS TIMELINES.