10:02:39 There are some numbers. I ask that you keep your camera on, and if you can, and your mic off, and then we will call upon you so that way. 10:02:47 We're not walking over each other. If you're a member of the public you will have an opportunity at the end of the meeting for public comment. 10:02:51 I ask that you keep your cameras off in your mics off at the time, so we can respect everybody who is speaking during this Board meeting. 10:02:59 All right. Well again. Thank you. Everybody for coming today. 10:03:04 We'll just kind of jump right into it and look at our next slide. 10:03:11 Go ahead! 10:03:10 Okay. 10:03:13 Lisa, you wanna talk about today's agenda. 10:03:16 Yeah. Sorry. I didn't mean to jump in. Good morning, everybody. 10:03:19 So this is a kind of a rough agenda. Already it looks like we'll probably have a few changes in terms of timing, but we just want to acknowledge that we recognize that you've spent a lot of time together over the past several months learning and taking in so much information about the opioid settlement how other states are managing their settlements. 10:03:44 The opioid crisis harm reduction people impacted by the crisis and more and we're very aware that you are more than ready to get to the actual work of getting these settlement dollars out into the community where they can do the most good but today is really our first steps toward that action so after roll call and then a quick report out from the data system subcommittee we'll be handing it off to 10:04:04 Jenni and Kana. Our facilitators from Pr will be leading us in a conversation about what you want to accomplish the values and principles that you'll be applying in your work, and how we're gonna make these decisions together so by the end of the meeting we'll be going over next steps and as always leave time for public comment so this is a high-level overview of the planned conversation and we 10:04:27 have some times in here to use this guides, but we will be flexible with the timing, so that we can give plenty of space to all of the things you're going to be exploring together today. 10:04:36 So next slide, and these are some objectives that your co-chairs, drafted with Pr. So the plan, the goal, is to have worked together to create a common vision for success, and you will have identified the values and principles that will be your guideposts as we embark on the task of allocating these funds and you will have used these values to determine the decision making structure that 10:05:00 will be that will be using during our work together. So that being said, we can move on to roll, call. 10:05:09 We do have 3 people who have excuse themselves out, and they are David Hart. Nicholas. O. 10:05:15 Cone and Judge Lininger. So I'll read all of the names except those ones John Mcelveen. 10:05:25 Present. 10:05:23 Tammy Kane, Suleiman. 10:05:31 Oh, Hi, Tammy, okay, Annelise. Dolph. 10:05:35 Awesome. 10:05:38 Okay. 10:05:38 Present. 10:05:30 Sorry. Couldn't get asked me. Here. Okay. 10:05:41 Here! 10:05:44 Present. 10:05:47 Here! 10:05:39 Laurie Treeger. Skyler, Brockernap, Joanne Lynnville, Julia. 10:05:50 Here! 10:05:52 Here! 10:05:55 Here! 10:05:51 Hi, Duke, Carrie Bradjotti, Rick Trilvin, Fernando Pena, Captain Lee, Eb. 10:05:58 Sure! 10:06:01 Presence. 10:06:02 Representative, Maxine Dexter. 10:06:05 Present. 10:06:07 Senator Lou. Frederick. 10:06:10 Okay. We're done with Roll callly. Oh, and I'm going to do that snapshot. 10:06:16 I forgot next slide, please. So as the project update today, I wanted to give you a fiscal snapshot. 10:06:24 So we just received this report yesterday, and the left table shows you which payments have been received to the the state portion of the Opioid Settlement Treasury Fund, and, as you can see, payments have been received by the distributors and J Amp. 10:06:41 J. And so far $36,183,906 have been deposited into the account, and the board allocated 17 million dollars. 10:06:54 Of this in March to the data system set aside, and then the Save Lives organ allocation. And then out of this comes the Administrative fund that Oha manages, and that Administrative Fund is staffing and contracts so at this time you have 2 contracts related to this project which are Pr and Pdes we'll be talking more about the Peas later so on the right are approximate remaining payments that are anticipated 10:07:23 for 2023 I did reach out to Doj to ask about the status of these settlements, and it sounds like they will be finalized hopefully in a few weeks, and then the payments will start flowing in. 10:07:38 So at this time, you have a total of 18.6 million dollars, that to allocate, and then an expected additional nearly 28 million dollars. 10:07:51 By the end of this year, hopefully, and then also important to your discussion is that the amounts are much less in subsequent years. 10:07:58 At this time we know that there are additional settlements pending, but at this point the amount anticipated for 2024 is about 12,002,025 is about 15 million, and then subsequent years will be about 16.5 million. 10:08:16 This status changes all the time as more settlements come through, and that's it from me. 10:08:25 I did a subcommittee report. David Harts, not here, but I believe an analyst. 10:08:30 We're gonna jump in and give us a very brief. 10:08:32 Yeah, very, very brief. The data Subcommittee don't have any recommendations or action items just wanted to report out. 10:08:41 I think the last time we've reported out we mentioned or explained to folks, we are kind of going in this direction of figuring out what our end product needs to be. 10:08:52 I think the data subcommittee had spent a little bit of time thinking about. Do we need to survey all the data that's out there? 10:08:59 And that really isn't the right approach. It's more to figure out what we want our end product to be. 10:09:04 And so moving forward, the data subcommittee is gonna work with Pdes to develop what we think might be a good kind of survey engagement process of stakeholders to figure out what the end product for that data I don't wanna say, dashboard because we haven't even decided that but what the data. 10:09:24 Is that we need to get to, and anybody on the data subcommittee. If you would like to jump in and add to that. 10:09:32 But at this point we don't have any kind of recommendation. We don't really know. We haven't scoped that work yet with Pdes to report out to the board get and what that will look like. 10:09:47 More to come! 10:09:53 I think, yeah, I think this is me, too, to talk about the piece. We there's actually even one additional P contractor in this space. 10:10:04 So before I turn it over to Prr. I just wanted to take a step back and talk about the different consultants we have working in Oregon right now, because they there's actually 3 different P consultants working on at least 4 or 5 projects and so just to make sure everybody is grounded and who's doing what so we have talked in the past as a board with Pdes which is program development 10:10:39 our program design and evaluation services, which I believe is a project that sits within Oj and across multiple county does have a contract with them to do. Evaluation of Osa support to the board. 10:11:05 Folks will probably remember that survey that we went over last time. The data Subcommittee is also working with Pdes. 10:11:24 I think they're also doing save lives organ evaluation. So that's Pdes. 10:11:35 Before I get to prr, he's gonna be working with at least 2 projects with OA. The 2 that I know of. 10:11:39 They're doing a behavioral health facility, assessment and cost analysis for the state, so that we can understand for both substance use, disorder, mental health, and co-occurring disorder what we need as a state and what it will cost to build that out and then they're also doing a financial analysis showing us where kind of all of our substance use disorder, funding is going in the state so all 10:11:58 things that will be really useful to us next year that are adjacent with a P. Contractor. So finally, we have with us today. 10:12:16 Prr. Which I'll leave it to you all. I don't know historically what Prr. Stood for. 10:12:23 I think now you just go by. Prr, who is the consultant working directly with us on our consumer engagement, our consumer, community engagement and facilitation, and so and the folks for her last time will remember that folks didn't introduction today we have Sarah rose Zell who's a lease i'm gonna kill your name. 10:12:42 Van Daventer, who will be taking notes, and then Jenny Thacker and Kyana Wheeler, who will be here leading our vision values and decision, making conversation for most of the rest of the meeting until we turn it over for public comments. I'll turn it back to you Lee, since you have your hand up. 10:12:57 Thank you before we start. I just wanna acknowledge Senator Frederick has also joined the meeting, so the record can show that that is here. So we'll then move on to Pra. 10:13:11 Alright. Thank you, everybody. We're excited to be here, Jenny Thaker, from Prr. 10:13:19 And you know, before we get to what all of you want to accomplish as a group today, we wanna recognize what you've already done. 10:13:33 So just to start out you spent many, many, many hours together taking in a ton of information from experts on opioid addiction. 10:13:44 Opioids, opioid settlement, best practices relevant laws and regulations, existing programs, harm reduction prevention strategies, equity. 10:13:54 And of course, listening to the recommendations of people who are closest to the issue of opioid addiction. 10:13:58 You've also worked together to establish functioning bylaws, and you've already allocated significant funding, as Lisa mentioned, to save lives, organs, harm reduction, clearing house and the data systems project and that's a lot so just wanted to we just Wanna acknowledge and thank you for all of the learning and thoughtfulness and all that you've accomplished 10:14:25 so far, but you know sometimes, especially when we're moving quickly, we could just go ahead and go to the next slide. 10:14:34 It's helpful to take a step back and review the foundations of the work that we're doing and to make sure that we're setting ourselves up for continued success and that's what we're going to be spending time on today. 10:14:49 I know that again. You've been doing a lot of listening and taking in information hopefully. Today will feel a little bit more interactive, maybe even a little fun. 10:15:03 But some of the important foundations that we'll be thinking about together today are a clear idea of what we're all striving towards. 10:15:12 You know, the question that we want to think about together is, what is our destination? What do we want to? 10:15:23 And what do we need to accomplish we also want to make sure that we're working together with a common set of values to guide our work. 10:15:24 And an understanding of where those values come from. And if we want to think about an agreed on set of principles that are informed by those values, it's important to have our values and our principles firmly articulated because they help us set priorities as we move forward and of course we want to make sure that we have a clearly articulated decision making process and the good news is that you've already gotten started on some of 10:15:54 this work you have in your bylaws that you adopted in February. You have a clear purpose. 10:16:02 You have your principal stated, and you have an outline of the decision making process. And so we're not going to redo that work. 10:16:14 But we just wanna revisit and build on what you've already done, so that we can uncover any assumptions or differences of understanding and walk away from today's meeting with the strong foundations in place so that we can hit the ground running in our October meeting. 10:16:29 So, so Kana and I know that you have all been spending your time listening. 10:16:34 So I'm gonna just about ready to stop talking and to start facilitating soon. Next slide. 10:16:41 Please. But this is only going to be at first, second. So thanks for bearing with with me. So in your bylaws, your stated purpose is to determine the allocation of funding from the opioid settlement prevention treatment and Recovery fund Funding from the Opioid so okay I'm sorry in your bylaws your State of purpose is to Determine the allocation of funding 10:17:07 from the Opioid Settlement prevention, treatment and recovery fund established in Section 4, 9 of House Bill 498. 10:17:16 The question that I want us to answer today is, How will we know we have been successful? 100 if we put it in another way, what does success look like, or how will we know that we have achieved what we set out to accomplish? 10:17:30 So right now, what we're gonna do is take some time just about 3 min or so to think about and answer those questions for yourselves. 10:17:42 Sarah Rose is going to put the questions in the chat so you have them to reference, and you can write some keywords. 10:17:54 You can draw a picture you can make a bulletin list or tell a quick story whatever works best for you. 10:17:59 Don't worry about word smithing right now. We could take care of that together. Just come up with something that's meaningful to you. 10:18:09 So again, those questions are, how will we know we have been successful? What does success look like, and how we know we have achieved what we set out to accomplish? 10:18:25 And I will! 10:18:28 Let's see, I'll let you know when we have about a minute left, and I'll let you know again when we have about 30 s left. 10:18:40 Feel free to turn off your camera. If that's helpful, 200 and we can start just about no. 10:19:18 Jenny, can we? Or can we see the questions up on the screen? 10:19:26 Okay. Thanks. 10:19:24 They're in the chat. Yes, so essentially. What does success look like? How will we know we've been successful? 10:19:35 How will we know what we have achieved, what we set out to accomplish? It's 3 ways of essentially asking the same question. 10:21:06 Have about one more minute left. 10:21:43 30 s! 10:22:00 Alright time to start wrapping things up. 10:22:10 Okay, let's put that final polish on. Things. Come back together. 10:22:17 Go ahead and turn on your cameras. That makes sense to you. 10:22:24 Okay, so what we're gonna do now is I am going to ask one of you to share your vision of success. 10:22:37 And and then I'll ask a second person, or if anyone has a very different vision of success. 10:22:48 And then we're just gonna have a conversation where we try to reconcile these different visions of success and to something that feels like something that the Board can agree on. 10:22:58 So Fernanda, if it's okay with you, and understanding that you may have to step away at some point, would you be willing to share your vision of success? 10:23:11 And I will take notes here in the whiteboard. 10:23:26 Yeah. 10:23:18 Let's go first. So I did more kind of like a general, yeah pressing. And so biggest things that come out for me is overdose reversal somehow, that we are focusing a lot of our I'll say that we are focusing our efforts from the bottom. 10:23:47 Up, by which I mean most urgent needs, which is keeping people alive and reversing, overdoses, sourcing underserved communities. 10:24:01 Sir, sourcing emergency services, providers like with those resources. Yeah, that's what I got. 10:24:13 Okay. 10:24:18 So in your vision of success, we want to really work on the bottom line of keeping people alive, making sure that underserved communities have the resources that they need to do that and making sure that emergency providers have the resources they need to do that. 10:24:39 Correct. 10:24:39 So does anybody have a very different vision of success, and that doesn't mean that you agree or disagree with what Fernando has put out. There. 10:24:52 But maybe your emphasis is different, or you might articulate it differently. Is there another vision of success that somebody wants to share? 10:25:01 I think us, I'm just gonna say. 10:25:01 So I see. Oh, yeah, Sarah, let me know. It was first. Julia, what's your visionistics? 10:25:08 Oh! So! And I don't think it's necessarily widely different. It's maybe a little bit I'll just read it. 10:25:18 So I've got data demonstrates a reduction in drug related deaths. I wrote equity people's lives aren't being ruined by drugs. 10:25:26 People in this. I guess maybe this is really where I want to focus on is people in all areas of the State have unrestricted access to treatment. 10:25:34 And anyone who wants help has it. 10:25:38 I mean, that's a vision. It may not become a reality, but that would be ideal. 10:25:44 Yeah. So people. So data demonstrates a reduction in drug related deaths. Equity people in all areas of the State have unrestrricted access to treatment. And you mentioned 2 other things that I wasn't quite fast enough to capture. 10:26:02 Okay. 10:25:59 Alright! Anybody who wants help has it, and then people's lives aren't being ruined by drugs. 10:26:07 Okay. 10:26:08 I don't know if that's. 10:26:19 Okay, so we wanna live in a world where you know, people were, yeah, people's lives aren't completely derailed by drug addiction. 10:26:30 And anyone can get help if if they need it. And, Rick, I want to give you an opportunity, since you were almost as fast as Julie, raising your hand to tell us what your thoughts are. 10:26:49 So I preface this by just saying that from Clinician point of view, 40 years in the field, this is the most unprecedented drug prices I've seen with Fentanyl. 10:27:05 So I put down little more bluntly. Fewer dead people as her goal, and then I agree with everything everyone else has said. 10:27:21 I would add unrestricted access to medication, assisted treatment. The Ccos are still, with the exception of pacific source, still have, for all these medications. 10:27:38 So they're kind of save a nickel on over the over dead bodies, and then 2. 10:27:51 This was the. 10:27:57 The prescription drug crisis was phone was based off of an inappropriate means of treating chronic pain. 10:28:09 We still don't have never addressed the chronic. Proper treatment of chronic pain in the State, and we swung back and forth between thinking Methadone and Xanax was a good idea, and to now it's nothing. 10:28:27 You know, people aren't getting enough, or for everything, and so by psychosocial approach to chronic pain, management. 10:28:41 Yeah. 10:28:34 We just don't have any means of paying for that, so that needs to be included somehow. 10:28:44 Okay, so, Laurie, do you have? Do you have another different vision? Or is your vision adding to to what we've already heard? 10:28:59 Okay. All right. 10:28:57 Yes, to both. So I noticed some same things. I'm glad Rick brought up, because I had to parody around chronic pain treatment as far as insurance and coverage and increased access to medicaid assistant treatment, but and I added not only in our jails or something about bridging some people's first interaction, with treatment, is when they're 10:29:19 taken into jail, but they're not there long enough for for the treatment to stick, so something about bridging between people who first encounter treatment through criminal justice system into community also had a visible decrease in death. But the one piece I had that hasn't been mentioned. 10:29:37 Specifically is a decrease in usage among use, and that connects to another point I had, which is sort of on what Fernando said. 10:29:47 I have that the money is distributed in ways that reflect the inequitable impact of the crisis, and I mean that both by geography and by populations. 10:29:59 And I guess I didn't see the 3 questions, as all a different way of asking the same question. 10:30:06 So I answered each of them, and the last one about what we've accomplished and how we'll know is that we haven't determined as a group yet. 10:30:12 What we're trying to accomplish. So it's hard to know if if that's what we're moving toward. 10:30:17 So, Laurie, before we dig into those things a little bit, can you? So that money is distributed in ways that reflect inequitable? 10:30:29 Okay. 10:30:27 Impact of the crisis from a population perspective so racial and cultural disparities, age, disparity, but also geography. 10:30:39 Okay. 10:30:43 And that. 10:30:50 And then another thing that you wanted was for us to have an agreed on. 10:30:40 Around the State. For example, we have the highest rate of overdose deaths by county so something's going on in my county. 10:31:01 What was this? The last thing you mentioned? 10:31:08 How will we know? 10:31:02 Oh, just you ask the the third question, the way it was posed was how we've achieved what we've set out to accomplish, and I don't think we've agreed what we're trying to accomplish yet. 10:31:15 So I can't say how we'll know. That's right. 10:31:15 Yeah. Yeah. Well, that's you know. That's what we're doing today. 10:31:21 So I wanna acknowledge, Anais, that you have your hand up, and then also to just ask the group what I'd like to do here is to start looking at the similarities and the differences. 10:31:37 See if there's anything that's missing in these 4 different visions of success and and then kind of work together on what that common vision of success Laurie, that you're asking for is Anais. 10:31:52 Do you have something to add? 10:31:52 Okay. 10:31:52 I do, and it's not that I didn't have these other things. I just don't see up here yet a vision of success, including primary prevention. 10:32:03 So I have in it, in addition to less overdose stuff and other things, prevent substance, misuse, and addiction. 10:32:12 In the first place, and so how like? For how will we know? I have? Of course it's I manage some equity in there, too. 10:32:22 People, especially youth, native Americans, Alaskan natives, Black and Latinx people in Oregon will have other skills and supports and won't use substances. 10:32:34 In the first place. 10:32:35 Okay, I will have other whats and supports. 10:32:42 I just said skills and supports. But really, it's just that prevention bucket. 10:32:44 Okay, yeah, yeah. 10:32:49 Can I ask a quick question, Alice? Do you see chronic pain, management and treatment as primary prevention? 10:32:59 Is there an overlap for you? There? I do. I'm just curious. If you do. 10:33:03 I would say so, but I think primary prevention is bigger than just that. Just the pain management. 10:33:09 Yeah. 10:33:07 Yes. Okay. Yeah. Okay. Thanks. 10:33:12 Okay, so there is a lot here. You know, we definitely want to, you know. Alright, keep people alive. 10:33:23 We wanna make sure that the communities that currently don't have resources have resources to keep people alive. Chronic pain treatment, you know, making sure that there's a way to make have people continue with treatment once they start treatment if they started in the criminal justice system distribute money in ways that are that reflect the impact of the crisis keep people from getting into substance abuse in the first place, part 10:34:00 of that might be with the the pain prevention. Yes, fewer dead people access to treatment, and that you know, people in all areas of the State have have access to it feels like there's a lot of similarities here. 10:34:20 What? What are the things that are common across these 5 different visions that have been shared? John, do you want to share? 10:34:33 Sure. Thanks, thanks, Jenny. Yeah, I'll share what I put. And then I just had a comment, sort of just thinking about the themes. 10:34:41 Okay. 10:34:41 That we've talked about. You know what what I put was answer to your question regarding how do we know if we're being successful? 10:34:53 We know that we're being successful. If we have team more responsive, accessible, and flexible system to address the impact of opioid use and misuse within the State, and that goes to a lot of these different things, you know, and want to just follow up by saying something about what the theme I think you know the overwhelming theme that we hear which is I think very legitimate and in my opinion is the 10:35:18 primary thing that we need to focus on. And Rick has said this, and he said it a few times and I've also said it. 10:35:24 We are there people here that have been involved in this work for a long time and it's seen a lot of different patterns and a lot of different drug trends and a lot of different use patterns and populations working in treatment. 10:35:38 This is completely unprofited. We have very little to base on what is going to happen next. 10:35:48 We could start to build. And I think we need to do that. Even this group start to think about, how do we take those steps to make the system more responsive, more flexible, more accessible. 10:35:59 Rick even mentioned it again, you know, talking about our pay or partners. There's key individuals and groups and organizations that are really key to success here that need to engage fully in it. 10:36:15 But this is unprecedented. We have a wave of overdose and death that it's just one of the highest passes growing in the United States, and we don't see it abating because of the unbelievable amount of supply and saturation that we're in communities are experiencing now from fentanyl but i'll say this over the last couple of years there 10:36:31 are a few states that have reduced overdose that, in the northeast. Primarily now, they didn't start yesterday. 10:36:38 They started this 3, 4, 5 years ago, when the toll of Fentanyl got higher late, 20 teams and the like and there's an absolutely clear way as to how they did that number one. 10:36:48 They double down on harm reduction. They made it accessible to absolutely every single person in every community. Underserved communities communities of different socioeconomic status, but focusing on the people that are impacted. 10:37:02 The most number 2 was a complete what I call before, and other meetings a full court press on him at not that not available to everybody. 10:37:10 Everybody in a correctional facility, who is in that facility doesn't matter how long they're there or get started on mit the rates of success and the rates of overdose in that population dropped. 10:37:24 Rhode Island is an excellent example during a time when their overdoses were skyrocketing, not even as much ours, which is scary, they reduced overdose in that population that trend that trend related to were resulted in overall drops in overdose number 3 was pure recovery support available anywhere. 10:37:43 And everywhere around the State. I'm talking over Rhode Island's example, so people could connect. And that's a responsive system. 10:37:51 That's a system where things are tied together where there's not a demand for someone to enter a Cisco in a different way. 10:37:58 But they can start out by helping us stay alive through harm reduction, but get access to Mit get access to appear. 10:38:07 Those are things. Those are literally pillars which resulted when these were pressed forward. 10:38:12 4 or 5 years ago in these many of these States, in New England, especially Rhode Island, New Hampshire, partially as well. 10:38:18 They did begin to bend the curve. It wasn't a situation where they invested in this, and all of a sudden there was some plummeting, with the exception of corrections, focus correctional M at drops overdose almost immediately, so as an aggregate. 10:38:34 I think those are things to think about when we talk about a model. And just one last thing this doesn't preclude prevention as Analyze was talking about. 10:38:44 You know I'm a firm believer that we can walk and shoe. Come at the same time, and those that work can also go on parallel to this. 10:38:48 So, thanks for the time. Appreciate it, Tim. 10:38:50 Yeah. Yeah. So some of the themes that you mentioned that are that you're seeing and best practices around the world. 10:38:56 But also that you see in some of the similarities that you're seeing. And these visions are access focusing on harm, reduction. 10:39:11 And and when you mentioned access you were talking about recovery support. So support whether it's in the corrections system or in the community available to everyone. Anyone everywhere around the State. 10:39:40 Joanne, do! 10:39:41 Well, one of the one of the to answer the first question, I think. And, mind you, there are people as we just heard, that are working with these issues on a daily basis for years? 10:39:54 And so they have access to information that maybe not all of us have, but it also may be fragmented. 10:40:08 And so II kind of am going back a little bit to have. We really defined the root causes that are specific to Oregon. 10:40:20 In the metrics are we concerned about? Oh, overdoses and deaths? Are we concerned about addiction? 10:40:30 Are we concerned about lack of availability to to treatment, sir? You know really good comprehensive treatment. 10:40:46 And do we have adequate prevention services across the State in in, you know, in a really broad way, so it's kind of going back to saying we could look at a national model, or we could look at an Oregon model. 10:41:05 I'm not sure that it's different, but it would be good from our perspective to really be looking at. 10:41:13 And really define what are the priorities for us here in Oregon? And then, in answer to your number 2 question, I think allocation of the funds need to go to both harm reduction, and I agreed that in availability of of really evidence based treatment, and then how do we know and I think if we've done a good job defining 10:41:45 our metrics upfront, and definition of what are specific issues and problems and concerns are here in Oregon. 10:41:54 Then we look, go back and look at those metrics. So if it is numbers of deaths, if it is numbers of if it is racially inequality, if it is the unavailability of access to service to a treatment, services, that I think we look at it a success being moving those metrics, and looking at have we actually utilize the funds, that we have available and I think we can't really ignore I think primary prevention, is is an important part of it and 10:42:35 I think we're talking about future Opioid remediation as well, and I don't wanna leave out the health care providers. 10:42:47 And I think this was touched on a little bit that I think we need to I think there's an educational component that needs to be addressed both in prescribing and in treatment and incentivizing somehow incentivizing treatment, particularly with primary care physicians who may be overprescribing or creating some issues in the very beginning and then the last one I 10:43:16 think has to do with. Is there some way that we can use some of these funds to extend the insurance or the funding of treatment, and follow up long-term care for for opaid use? 10:43:40 Disorder. Our clients who really want treatment really would like to can't find access to it, can't afford it. 10:43:50 Can't, you know there's no incentive for treatment to be provided? 10:43:57 So so those are my thoughts. 10:43:59 Thank you. Yeah. And a lot of that sort of reflects also what we've heard before. 10:44:06 The treatment and community. But some of the things that you pulled out that were different were identifying the root causes of the problems here in Oregon. 10:44:18 So that would be something that like a primary thing, and would help us understand. Once those causes are identified and metrics are identified, to to track those things, you know. 10:44:30 How are we moving? Those metrics would be something that that we could think about, so so that could be another component of success. 10:44:38 There's also this piece about education that I think was different from what we've heard before. 10:44:47 Lee, do you have any similarities or differences that you wanna identify? 10:44:50 Well from my my standpoint, just looking at the divisions and what I've heard today, which are all great, I think one of obviously the big similarities is success. 10:44:59 What I'm here for. A lot of everybody is a reduction in life lost due to opioid, overdose. 10:45:05 Obviously a metric, not something. We can look at. The question is how we get there. I also see similarities where everybody's talking about an increase in accessibility to resources, and those resources being recovery treatment harm reduction specific to those impacted communities again, bypark criminal justice which I think goes back to the our first, similarity of vision which is reduction lives lost and it 10:45:35 those resources are increased, we should be seeing that metric moving, and then the other third one. I hear I kind of Simmons 3 is the third one, I see, is really an increase in prevention and education. 10:45:50 Across the board, and I was like, as John said, and I totally agree with him, should go and walk at the same time. 10:45:55 Is that all 3 of these things are not independent of each other. They all work together at the same time, I think those are some of the similarities I see the big differences are what is missing I really do think is the the definition of the metric. 10:46:11 We will all wanna save lives. How do? How do we are measuring that? What does that look like? 10:46:15 We all wanna increase resources. What does that mean? Well, how do we determine that overall? But I think I just the nice thing I see from the conversation as I see so many of us are all on the same page. 10:46:27 Yeah. 10:46:27 Just we just getting there's really what we're trying to do. 10:46:32 That is where the tricky part happens, but without a common vision it is really difficult to to understand how we're doing. 10:46:44 We need to have a destination, right? So does anybody want to take a stab at sort of combining what we've heard into something that feels like a common vision. 10:46:59 Face specifically talking about one statement, or we can get multiple statements. 10:47:03 Well, I mean, I think a vision it's I think it's fine. If a vision is a set of bullet points, I think that is fine, and you know that's something that maybe the staff can can sort of Wordsmith later. 10:47:20 But you know I mean, we wanna let's like at least get down the the common bullet points and then see if we all agree with those before we move forward. 10:47:31 Yeah. 10:47:30 Well, then, II would just jump in and just say the first one, I think, is the one I see the most which I mentioned, which is success. 10:47:37 Is a reduction lives lost due to the opioid epidemic. I see that is something that everybody across the board, we all said, and what some of the other. 10:47:49 And I'll I'll just hop on to my co-chair. There. 10:47:52 II think the overarching theme is reduction in lens lost, and in order. 10:47:58 What I've heard is in order to achieve that, a focus on harm, reduction, access to treatment for everyone everywhere, and prevention and education on the front end in order to achieve the decrease in deaths. 10:48:23 So how harm reduction accesses treatment across Oregon for everyone. And the last thing you said was. 10:48:31 Prevention. 10:48:32 Okay. 10:48:36 Prevention. Education, she said. 10:48:38 Okay. 10:48:40 Yeah, I think I'm kind of hearing fewer people using and of the people using fewer of them dying. 10:48:52 Honestly, I think what Lori said is. 10:48:57 It is spot on cause I was struggling with. Obviously I want fewer deaths. That that is a vision. 10:49:05 But I also want fewer people using, because that affects the communities it affects so many things. So it's great that they're not dying. 10:49:13 But if they're still struggling with drugs, it's still a problem. So I think what Lori said was perfect. 10:49:18 Yeah, yeah, I mean, one of the things that was mentioned earlier was people's lives are no longer being ruined by by drugs. 10:49:28 So if they get into the opioid pipeline through whatever means, I mean, obviously, we want fewer people getting into that pipeline. 10:49:36 But if they do get in there, how can we make sure that that's not a life ruining occasion? 10:49:46 Fernanda. 10:49:46 And if I'm jumping again I apologize. I gotta do that. Is it possible to make a positive thing? 10:49:55 That is the reduction in the live block that there's a way of sort of negative money. Yeah. 10:50:05 Yeah, yeah, I mean, let's, do you want to take a crack at it? 10:50:11 Oh, we invision a state where people are choosing to, and then I don't know what will come after that. 10:50:25 Choosing to hey! Help your choices around some. 10:50:33 Tammy, do you have a suggestion? 10:50:38 I was just gonna add a piece around across the lifespan. I think I automatically go to adults. 10:50:48 But you know, and someone else mentioned news that we also see pregnant persons impacted we're losing lives. 10:50:55 Invents toddlers through exposure. So I just wanna make sure or thinking just across the license on the last. 10:51:08 Rick! 10:51:11 I generally support, Fernando's approach of trying to state these things in the positive, but this time I'm going to disagree. 10:51:21 I think, having a really in your face statement about fewer deadlines, or you know, how are you? Do that? 10:51:29 More technically, I think, is really useful here. I just think the the extent of the crisis is such that we need to say that out loud. 10:51:41 And then I like, I think, having just come off of the maternal mortality and Morbidity Review Committee, where the majority of the desk we reviewed were behavioral health related. 10:52:01 I, Hi! How are you? I have a very soft spot in my heart for that population. So, and then I don't want us to drop the chronic pain stuff. 10:52:13 I think that's the origin of all this. 10:52:19 So wanna make sure that. And you know, I think that goes into into the education piece as well. 10:52:29 You know, how are? How are we treating chronic pain? Yeah. 10:52:40 Oh, I'm sorry. I think you're on mute. 10:52:43 Thanks, Kenny. I just would, you know. Add to what works that I you know it's interesting when we talk about, you know, messaging this variety of a problem, or you know what that looks like. 10:52:55 It's easy it kinda like my standpoint, we can do both. You know. We can recognize, you know, there's some good things that happened. 10:53:03 We need to continue to invest in those, but also being realistic of the problem, I really, it's difficult to understand. 10:53:10 You know what I've said. I think what others include, Rick have said. This is unprecedented. 10:53:16 We have a level of volume of the substances in our communities that is overwhelming. It is the driver, the things that drive, you know. 10:53:26 It's a little bit of an awkward razor thing. Sometimes the most obvious thing the unbelievable supply and the unbelievable potency are driving the dots. 10:53:35 That's that's an acute problem. That's not a theoretical problem, or like an existential problem. 10:53:43 That literally is many of you, maybe you know, saw the article yesterday. If you had access to it about increasing rates of overdose and death within organs, prison system, these things are directly related. 10:53:54 I can't stress how tangibly they are related. And I also wanna I think, a powerful statement, and also to be realistic. 10:54:02 As I mentioned before. You know, we have a couple states that lessons death rates, and then in the New England area, primarily one. 10:54:09 That was because they started a couple of years ago, and we've started a lot of great work, I think, even through some of Aj stuff. 10:54:16 And the last Oregon and some of our 4 projects that there's people that have participated in here that have really made a great impact. 10:54:24 And there's some modeling around that, as we've all heard through the educational part of our presentations that have been really effective. 10:54:33 It's really the volume needs to increase. And I think there kinda is that to track thing where you know we do look at prevention. 10:54:41 And then we look at and have them like lead put out like we said, very well. They do work together, and they're part of the same system, and we can do both at the same time and being responsive to, you know, youth and the like, because again, what I mentioned before that's what's driving the youth overdose rate it's nothing more than pokemon availability and the idea that you 10:55:10 Hmm! 10:55:04 know years ago, you know, experimentation generally was not feal. It is fatal now, so II think we just have to be very realistic about not scare people, not use scare tactics, you know, just say, no, it doesn't work. 10:55:22 But be very realistic about that fact and empathetic. But you could be. I think we could do both so I like the idea of some kind of statement from the Board as an entity, saying that they recognize these things because it's important for Oregonians to know that that we understand that and we're not living in a situation where we're naive to what the impacts are on 10:55:44 Umhm. 10:55:45 different communities. 10:55:46 Yeah, I that's great. Thank you, John. And I think we might not get to a completely word. Smith statement today. 10:55:53 But I think we have a lot of elements to a good statement. Here, Laurie, what were you going to share? 10:56:00 Thank you. Yeah, I'm really appreciating all of this. And the fundamental. I'm sure it's attention. 10:56:08 But what I'm hearing is some of what we're talking about is about people rightly so, and some of it is about the system. 10:56:13 And so to Fernando's point about creating a positive. You know, a vision statement should be positive cause you wanna envision a good thing right? 10:56:21 So if we envision an Oregon where everyone has, you know, the tools, resources, and supports, they need to live healthy, happy, pain, freefree lives, or whatever it might. 10:56:34 That's like so big. Who knows what that's about? And then the mission gets at sort of this list of ways we address building a system specifically related to Opioid use that helps make that vision? 10:56:49 Come true, does that? That's what I'm hearing that that's where we're sort of going back and forth between. 10:56:59 Yeah. 10:57:00 The entering the people and centering. You know the how these dollars will help to mend or create or fill gaps in a system and whether that's system is around, how the supply is getting here or that other things people have available to them to manage pain or other ways, they have to manage the desperation of oppression, and poverty by all of that can be included in the certain 10:57:26 bullet list of our mission is to address the things. How's it I do appreciate the notion of the wanting to set out what it looks like. 10:57:35 The good thing it looks like, but also really centering, that we're talking about human lives. 10:57:41 Yeah, that are being impacted right now in a way, that is, you know, as has been said several times unprecedented. 10:57:49 So so what we I put in sort of a parking lot, for, you know, not right now, but important to do, you know, creating a vision statement and a mission statement? 10:58:05 And I think this is something that you know, taking this input that staff can work on on doing the word smithing of and and come back to all of you to see what you think about it can be sort of an iterative process. 10:58:23 But I do think what we have in our combined vision is, I think there's already a lot here. 10:58:34 We know that we want a reduction in lives lost due to the opioid epidemic we want to focus on harm reduction, access to treatment across Oregon for everybody. 10:58:49 We want to increase prevention, education and chronic pain, treatment, education and access essentially fewer people using, and of the people using fewer of them dying in order to do that. 10:58:59 We'll want to focus on distributing funds in a way that reflects the inequitable impact of the crisis and and also make sure that we, that we're measuring things as well so that we know how well we're doing so that is sort of the bones of our you know of our vision for success does that feel like 10:59:34 it encompasses everything that folks want to have in it. Is there anything that we should add to it? 10:59:42 Jenny. I wanted to call attention to Senator Frederick, who put something in the chat. 10:59:47 Yes. Yeah. So, Senator Frederick, you said that you wanted to reference the early identification of potential issues for individuals, especially young people. 11:00:01 And I think that is, you know, that speaks a little bit to how do we make sure that fewer people start using right? 11:00:09 What are the, what are the things that are? Sort of the root causes of of using here in Oregon, especially for young people? 11:00:22 Then? And how do we? How do we prevent them? Is that Senator Frederick? 11:00:30 Would you? Does that sort of capture what you were thinking? Or do you feel like it's something a little bit more nuanced than that. 11:00:43 Okay. 11:00:38 Well, I'm actually thinking that it's it's more active than that I'm looking at particular how we provide a real identification of of the issues for individuals, especially children in our schools. 11:01:01 Before they reach the point where they are basically trying to self medicate if you will, because we need to. 11:01:11 I think we need to find a way to be active about that rather than waiting until we find that there's a problem. 11:01:17 But how do we? How do we provide basically a a sense of of worth to children before they have it before they struggle to find a way to do something that themselves, or using one kind of vehicle or another? 11:01:35 And whether it's I mean, it doesn't matter what kind of chemical enhancement they might be wanting to use for the to how do? 11:01:46 How do we interrupt that particular pathway? So that's what I'm thinking about. 11:01:55 And I that I just I'm not sure where that fits in. I think it may be part of the education, but I think it's also being active as adults to say, we need enough counselors that can identify when a child is having a problem early on. 11:02:09 Thank you. 11:02:13 So yeah, more resources in place at that level as well. Alright. So that was a big discussion. 11:02:23 It was kind of heavy. We have a little bit of extra time because we didn't go into depth. 11:02:31 And for the data subcommittee report, as we thought we were going to. So Kana suggested that we take a little 5 min break, but I will defer to our co-chairs. 11:02:48 Lean on Alice. If you think that's okay, it's a 5 min break. Everybody just like, you know. 11:02:59 Do move around, do whatever it is that you need to do, check your email and then come back at 1107. 11:03:01 What do you think, Lee? 11:03:01 I'm good with that. Let's just do quick break, and obviously come back at people still feel like they need a couple moments we can discuss, but just kinda wake the board, so to speak, but let it go go. 11:03:11 Do some? Yoga, Hi, guys! 11:03:18 But alright! We'll see everyone back here. Then, at 1108. 11:03:21 Thanks. John, thanks. 11:08:37 Oh, Hello, folks! I'm gonna bring us back. 11:08:49 When you're ready ways. I know you're back. Sorry if you say Hello, do a reaction turn on a camera. 11:09:10 Thank you. Thank you. Just gonna get folks a moment. 11:09:20 Come back! Welcome back! 11:09:25 So great, for you all decided to take a break with me. I was like Whoa! This is a bit the word I would use would be full. 11:09:35 I felt full and definitely to take that up, and with my body just a bit. 11:09:46 So just taking a moment. 11:09:49 For folks to get back with us. 11:09:53 I'm really, really grateful to see him to talk while we wait. I'm really really grateful to seeing the amount of time that you all have spent doing the work, investing in understanding, getting, you know, an awareness of the landscape you know, education from folks who need to in part to share to help connect to larger landscape understanding like I just appreciate the time taken and 11:10:30 it's really present today in this space. In this moment the amount of time that folks have taken, the amount of time that you all have spent, one of the things as a facilitator. 11:10:44 One of the things that I'm very aware of often is when we won't take the time, because what gets lost is the amount of time you all spent just a moment ago doing that work that's what actually gets lost. 11:10:56 When we hurry right you'll never. The information will never get lost. You will always get the information, but when we cut down time, what happens is we cut down the ability for us to spend time with the information with each other and so it's just real it just resonates in me with me today how much time you all have been putting in how much time you all spend having these conversations, because you're 11:11:29 taking and we're gonna do some more of that part of what my work is in. The way that I facilitate is to get us from here like I of our head into the room, into the space into curiosity, into a imagination. 11:11:42 We're gonna do that a little bit. Today. I'm gonna sort of move us into that using a icebreaker. 11:11:51 Do folks I'm sure folks have experienced ice breakfast. Do folks know what the purpose of an icebreaker is? 11:11:57 I guess, to ask questions cause we have a little bit more time today do you folks know what the purpose of an icebreaker is? 11:12:02 Anyone. 11:12:10 You get people comfortable. 11:12:07 For yourself. Do you know the purpose of the next? Okay, it does get people comfortable absolutely. That is an interpersonal experience. 11:12:17 It gets people comfortable. Do we know what it does for our body? 11:12:22 For you! 11:12:26 2 s is enough for me to say that I'm gonna share one of the things that happens when we get into a space, and we just begin. 11:12:37 Is that only a certain part of our thinking, our decision making is functioning. Only one part of that is functioning. 11:12:46 The full capacity of how we think about the world isn't functioning, that one part that is functioning is a need to fix. 11:12:56 To need to fix the part that happens when we do something such as an icebreaker, and we end up going. 11:13:04 Uha, or we laugh, or we say no way, or we do those kinds of like things that ignite curiosity. 11:13:16 What happens in our brain is we seek to heal rather than fixed. And so if we've got a leaky, we can fix it all we want with all the Band-aids, all the magical tapes that we see on TV ads, we can fix it. 11:13:29 With all that or we can ask is this the boat we want and we can seek a better way, and we can seek to heal. 11:13:34 And so, when we do, icebreakers, it ignites this thing and us that makes us laugh or go no way. 11:13:41 It makes that causes interconnection between us. But one of the things that does for our bodies is, it removes stress, it can remove if you're a gardener, you can remove up to 2 years of stress off your life by doing the things that make you laugh playing with kids those kinds of things that can remove a number of stress. 11:14:04 That you hold it can shift the way that your body sits. It can slow down your heart. They can do all those things, you all know. 11:14:12 You all are connected to medical in one way or another, right? That there's this way, that our body will react and function when we are igniting the full curiosity of our our being, and one of the things that does. 11:14:27 Then, and I promise you, whatever stress you remove, you'll get it at the next meeting. It will it will come back. You won't miss it. 11:14:33 You can put that right back in your pocket. But the continuation of doing those things and actually relieve us helps us to be in our bodies different and so part of the way that I do our work is to bring us from our headspace into our body. Space. 11:14:49 But what that is, just space. And it's harder to do that online these days. You all should experience, and in person workshop. 11:14:58 I love to be in person, and be with people. And you kind of didn't feel what's happening in the room. 11:15:03 You missed that online. So one of the things I'm gonna do is we come back in this room and thank you all for coming back with me. 11:15:10 One of the things I'm gonna ask as we come back into this room is, we're in a different space than we were when we left the room. 11:15:19 But we're coming back into it. At that moment when you come back to the work, drop in the chat for me. 11:15:27 Just one word I told you my word was full one word about how you're feeling going from the last session with this time in the chat. 11:15:35 Just one word. 11:15:37 It's one of the ways that we can bring the experience for having individually into a collective space. Even when we're online. 11:15:55 Someone in the chat I'll move on. When I got a couple. Oh, I'm sorry there are things in the chat. 11:16:03 Forgive me. I just it, says new, and I just never went down. I love it. I was thinking maybe I was having my own experience all by myself. 11:16:11 Thank you all folks said, encouraged, Hopeful, excited, purposeful, hopeful, thoughtful, hopeful, encouraged. A full jet. 11:16:22 I love learning new words. If I didn't say it right, please correct me, and I will go look that one up. 11:16:30 Thank you for that. Y'all appreciate it. I'm gonna turn us to an icebreaker. 11:16:36 Are we ready I'm returned to an icebreaker, and that hopefully will continue some of the ways in which we imagine success. 11:16:45 But hopefully we'll also ignite some curiosity, and Sarah Rose, can you hit me with the 9 dots? 11:16:53 Now, if you all have experience, the 9 dots activity don't ruin it for everybody else. You can be the person to figure it out and show everyone that you already knew. 11:17:03 But I don't shout it out so the 9 dots is an activity. It's actually a math. 11:17:11 Activity and math. I always said I wasn't good at math, and my parents reminded me that when I was in school I used to go to the math competitions and all that, and I don't know where that narrative came from. 11:17:21 Later in life, sometimes in college, but when I found out this is the math problem, I felt re in love with it. 11:17:31 So it's actually a math problem. It's called 9 dots. The instructions are, I'm gonna ask you to copy these 9 dots onto a paper in front of you. 11:17:41 I'm gonna have. You see, if you can solve the problem, let me give a second to copy those 9 dots. 11:17:55 And the problem they have to solve the directions are using 4 straight lines, connect all the dots without lifting your pen. 11:18:09 Using 4 straight lines. 11:18:13 Connect all the dots without lifting your pen, and they give us about 60 s. 11:18:19 Thank you, Sarah. We're putting that in the chat. 11:18:41 30 s! 11:19:06 Let's go ahead and bring our attention back to anyone. Figure it out. I will connect all 9 dots. 11:19:13 Using 4 straight lines, never lifting our pen. Anyone figure it out. 11:19:25 Don't see any hands correct me if I and missing any, I'm gonna do it for us. 11:19:34 And do it for us. And we're gonna use line one. 11:19:42 Line, 2 line oops! I am start again. It's not doing that. Let me sure. 11:20:00 This again! 11:20:05 And he is line one, line 2, line 3, and line 4. 11:20:16 So connected all 9 dots. We went through every single dot, 4 lines, never lifting our pen. 11:20:26 How did we answer this problem? How did we get here? 11:20:37 I'm familiar with this one. I had to be sound, though me, too, every single time, and I've been doing this one for 15 years. 11:20:42 Every single time I have to go back through it. 11:20:47 You're not alone. How do we get here? 11:20:49 Thinking outside the box. 11:20:52 Thinking outside the box, what box? 11:20:58 Box that was created by the 9 dots. 11:21:01 The box that was created by the 9 dots, the box with no lines, with calls through, created by the 9 dot. 11:21:07 Anyone else see a box? 11:21:12 Not box. Let's see if I can. And here that box is right here. 11:21:21 And what most of us did was, think, how do we inside this box solve this problem? 11:21:30 I like this activity, because one of the things it does is it reminds us that we put limitations on ourselves and on our own thinking. 11:21:39 It is so quick to happen that we don't even notice when it's happening. You know, who solves this every single time. 11:21:48 Kindergarteners every single time I mean. I'm sure not everyone. I have a Kindergartner grandkid, and we're not playing this one. 11:21:58 But most of the time the folks that solve this are right around 4 and 5. And the reason is because a lot of their limitations have not been set yet. 11:22:09 I like to use this also, because I use it to talk about a study that NASA did when they were trying to figure out how much of the staff was using, how much of their genius the staff was using right, because in order to do a NASA does we need some creative genius do we not we need to imagine and be able to see things we have not yet seen right in order. 11:22:30 To do some of that work. And Sarah, they were wondering how much of that creative genius their staff, are working with and they found, is about 2%. 11:22:39 People were working at about 2% of their genius. And so they're curious as to why and how this happens and the subsequent studies went on to find that we're working at the fullest capacity of our genius right around 4 and 5 years old we're working at about 8 98,% of our creative genius things that don't exist exist the possibilities are endless and what they 11:23:04 found is that even by 10 years old we're down to about 30% of our genius. And by the time that we are an adult, that's generally about 2%, every single one of you in this room, we did all that brilliant work around what's this look like if you're only working with 2%. 11:23:23 And so when we talk about solving, what does that mean? Then? Right it means that we're limiting ourselves. 11:23:29 It means that we're boxing ourselves in it means that we're putting parameters around things that actually have holes in them. 11:23:35 And then we can go in and out of and inside the lines and create circles around things that look like squares. 11:23:42 But we don't. And so I wanna talk a little bit right now about what those things are that keep us boxed in. 11:23:50 That keep us limiting ourselves, I'm gonna ask you to just throw some things out. What kinds of things limit us? 11:24:00 I'm gonna add one of those things right now. This is so tiny on the screen. I'm gonna make it bigger. 11:24:08 We just did I'm gonna do this. Hold on. Oh, you are actually seeing what I'm playing with. 11:24:20 Okay, so we actually just did a break where I was like, come back, come back right. Things limit us. 11:24:31 I talked about how you all spend a lot of time open and listening and doing lots of the information, but also connecting with the information and work. 11:24:42 So time is one of those things that boxes this in. We always say we don't have enough time yeah, I'm gonna duplicate some things that we keep at the same size. 11:24:50 But what else are we limited by? 11:24:57 Bye! 11:24:59 Past experience. 11:25:00 Yeah, absolutely experience. 11:25:06 I love somebody in the chats. I don't before I that you know I was full by the implied box. 11:25:11 Absolutely me, too. That's why, every single time I gotta remember how it's done, because things like that right? 11:25:18 What else? 11:25:20 Money. 11:25:21 Roof. Say it again for the people in the back. What else? 11:25:30 I got an existing structures that are already in place. 11:25:39 Sort of on that line. Laws, statutes! 11:25:42 Absolutely. 11:25:48 Yeah, they're gonna go faster than I do. 11:25:47 Yeah, other people and differing ideas. 11:25:58 Can we even? 11:25:58 Ideology. 11:26:04 Language. Okay. 11:26:12 That world view, how we see ourselves, how we see others how we see other systems, how we do you, what our role is in that. 11:26:21 Our place in the world. 11:26:26 I love that last one. Just say that whole thing provides Connecticut. 11:26:29 Yes, Scarcity, Mindset. 11:26:33 Yeah. 11:26:36 So you all are getting to another place that I wanna go. And so I'm wondering if we can go there so we're getting to another conversation. 11:26:49 Really, that's tied to and connected to how we hold this information that holds it in place. That boxes that that really limits our thinking, and the I wanna start with a another question to sort of get us thinking along these similar lines. 11:27:10 And a masses. Take a minute to do a personal right to ourselves. You can think you can draw. You can imagine but I'm gonna ask us to do a personal right to ourselves for 1 min, and the prompt is, how do you know what is right? 11:27:29 And wrong. 11:27:32 How do you know what is right and wrong? 11:27:47 I'm sorry I didn't tell you to go, but yeah, if you have not started. 11:28:14 Seconds, left. 11:28:40 Go ahead and bring your attention back. 11:28:46 Now this is the part where, if we were in person, I'd say, turned here, elbow, neighbor, and answer a little different question, and that question would be, who helped you make sense of that? 11:29:00 And because we don't have elbow partners, and we're not gonna break out in groups. 11:29:06 I'm gonna ask you to go back and think about that as another 1 min question. Who helped you make sense of what is right and wrong? 11:29:17 1 min! 11:29:59 30 s, left a little under. 11:30:12 About 10 s. Let me have you wrap up your last thoughts. 11:30:19 And that's pretty. It, Mike. 11:30:24 So those are 2 different questions, how do we know it is right and wrong, and that next part about that who helped us make sense of that? 11:30:31 And Sarah Rosana, ask if we can go back to the whiteboard. 11:30:39 And let's go ahead and start listing. How do we know what's right and wrong? Who helped us make sense of that? 11:30:48 Where did we learn what's right and wrong? 11:30:57 Hey, Karen? 11:30:59 Parents Family. 11:30:54 Just toss them out. Yeah, parents, some of our first teacher family. 11:31:03 Coaches. 11:31:07 You said. I'm sorry. Coaches. 11:31:12 Is that what I heard? Somebody said Coaches I love when people bring in sports, sports is very clearly one of the things that I've helped this make sense of what is right and wrong, and we don't talk about that a lot. 11:31:26 Yeah, parents and family. One of our first. 11:31:32 One of the people who first help us understand the ways in which we're supposed to be with that. Hello! 11:31:38 Oh, sorry as spiritual or faith. The leaders! 11:31:42 Yeah, yeah. Absolutely. Religion. Spiritual faith, leaders, places of worship. 11:31:48 Even I very much learned how I're supposed to act in church. No one actually sat me down and told me that I learned real quick, right where else? 11:31:59 Who else? 11:32:02 Features. 11:32:01 I think also our our own nature, and the morals of the culture and society in which we grew up. 11:32:12 And so, Joanne. One of the things I'm getting to is exactly some of those nuggets right? 11:32:17 And inside that culture we learn things right. And those things helped us know. Oops don't do that again. 11:32:25 I was a middle child. One of the things he said was nature right? I was a middle child. I learned real quickly. 11:32:38 ! 11:32:30 I don't wanna do that. And I'm not responsible for that. But like, yeah. So where we're situated in, our families can inform what are some other places inside that culture and ways of being that we learn. 11:32:48 Yeah, I said, my own nervous system. It's not like a location place, but it's a you know. 11:32:54 Yeah, your personal response to the world, I call it. When you touch the world and it touches you back. I learned things from that right. 11:33:04 How about like? What was one of the first places when we were talking about NASA study and talking about how it's 4 and 5 year olds that really are working with their genius? 11:33:14 But like, if I 10 were at 30%, what happened to that kid? Where do you go? 11:33:19 Cool. 11:33:20 It's cool. That kid went to school right to school. One of the first places, right? One of the first or authorities in our life were teachers right when the first ones outside our family. 11:33:37 What about? I'm thinking of my kid here, and all the things I learned. This activity was built on what I understood that he understood. 11:33:46 And then I was like I didn't teach you that. But what about where we live? 11:33:53 The type of housing we live in? Did it teach us things? 11:33:59 What about the neighborhood we lived in? Did it teach us things? 11:34:04 Yeah, I think friends, friends are another place, and you know I know from my my research that the influences are different at different stages in life. 11:34:22 So what influences you as a child versus a middle schooler versus a high school versus college versus a spouse? 11:34:36 All of those things make differences along the continuum. 11:34:39 Yeah, and I, even as we enter into some of those connections and relationships at those different stages in our lives. 11:34:50 I remember when we first went to like we first got married, and you do the thing, and you buy the house right. 11:34:56 And so we went first, went to financial institution to do that, and learned a whole lot about the ways that I didn't understand. The money. 11:35:04 Right? So money is an impactful thing. Even those financial institutions, and that all happened because I did this thing that I understood to be true. 11:35:15 You get married, you buy the house like those you go to school, you get married you buy the house right. You have the kids. 11:35:24 There's this whole narrative right so I learned a lot about that. I even learned. And I'm sorry. 11:35:26 Pushing you all to directions, so forgive me cause I love this activity around things that I learned I learned even in school, not to bring certain foods. 11:35:40 Did some folks learn that? 11:35:43 I learned that there were thoughts about foods that I ate. What are some of the other things that people learned? 11:35:58 We got a good one in the chat. 11:36:01 Media. This is my favorite one. When folks bring that one up because you're so much what goes under media. 11:36:12 So if we add media, what else can we add to media? We've got authors and reading literature was where I first fell in love. 11:36:20 And so that's a big one to me. So that literature what else do we have about media? 11:36:24 Social, media. 11:36:25 Social media, strong influence, social media. What's another media influence? 11:36:31 Well, for me growing up movies was a big part. 11:36:38 Thank you. 11:36:34 Absolutely absolutely. Movies is where I learned a lot of my morals. 11:36:41 Music and song, lyrics. 11:36:44 Music, music, song, lyrics. Right? I go from songwriters really easy to poetry. Hey? 11:36:53 What about those expensive 30 s spots on the Super bowl? 11:37:01 Advertisements, right the only thing that's made you spend 3 months salary on a rock. 11:37:05 Right advertisements. 11:37:13 Other thoughts. 11:37:20 I'll tell you a couple about mine. Still, I grew up in in Seattle area as the bus only ran twice a day. 11:37:31 I was not allowed to take the bus. I drove everywhere the moment I could drive, and that has been impactful. 11:37:40 So this day salad a lot about transportation and navigating my neighborhoods. 11:37:46 Transportation connects to me again, because the school that I ended up this face doesn't. There's not a lot of these spaces in his acquire. 11:37:54 I just tell you that. And so where I found friends were in places that we talk about, that have transportation connections such as across the tracks over the bridge right? 11:38:04 There's a lot of transportation references. I learned a lot about neighborhoods from transportation. 11:38:10 And so you all are saying a number of things in the last activity around the 9 dots about the things that keep us locked in the things that keep us boxed in. 11:38:24 What are some of the ways that some of these keep us boxed in when we're trying to get to when we're trying to get to? 11:38:35 I don't wanna say fixing, but healing like collectively, this problem. There's a lot of things that folks are saying like. 11:38:46 There's, you know, across generations, across age, across a lifespan. Right? There are lots of things around. 11:38:58 So talking about what we understand is pain management that we learned a lot around. I don't even see medicine in here right? 11:39:07 But we learn a lot around medicine, and folks talk about nervous system and things of that nature. 11:39:12 What are some of the things we learned? 11:39:22 I'm not sure, totally understand the question, but I think that, like through all these things, we learned what's normal, you know, and and we don't want to be not normal, you know. 11:39:38 And so you learn how to be, and how to think, and how to act. 11:39:44 I just wanna say I love all of that because I wanted to be anything but a key. Ona growing up. 11:39:50 And it's thing I'll be a Jennifer. I will be a Sarah. 11:39:54 I will be anything other than now. Find me a I love it. There's not one close right. 11:40:02 And so this way, in which we always wanted to be normal, right? And as we grew up we found nobody's normal for one. 11:40:10 There is no such thing as normal. We create normal. Right? So thank you for naming normal. What other sort of dominant understanding did we gather in those similar ways? 11:40:28 That vulnerability is a weakness. 11:40:29 Yeah, absolutely. If you would need, if you need. There's so many places in which need translates to lack trans translates to week translates to all of these things that I you should be able to do it on your own. 11:40:45 You shouldn't need other things you shouldn't need. I? Just recently diagnosed at 88. 11:40:50 I was like so many things, make sense. I have a different brain. So many things make sense, but like it's very, very clear that we're learning ways in which to behave. 11:41:02 And what's important about that? What's so important about that was that we do that without question. We do it without intro getting. 11:41:10 Did anyone teach you when you're at the grocery store? I actually did teach my kids this when I learned no one taught me this to anyone. 11:41:19 Teach you how to go through the store. Where fresh produce is always on the sides, where those kind of things where junk food is down, the centers. 11:41:28 Where did anyone teach those things to anyone? Teach you when you come up to the front, except for Covid times when you come up to the front and you stand in line January 2, that you should give some distance between the person in front of you and you did anyone teach you not to stand up to next to them, like this right no one taught us? 11:41:48 Those things right when we get into an elevator did anyone teach you to turn around and face the door? 11:41:52 You're gonna walk out of. 11:41:54 Right. 11:41:58 We have this way of understanding and kids at the age of. By the time they're 3, 4, and 5, understand the structures of the world. 11:42:05 How they're to behave, who they, what identities are prioritized, and that they wish they had. 11:42:13 They understand, what, how the hierarchy of race in this country they understand the hierarchy of gender in this country, and nobody sat them down and told them right. 11:42:21 It's because they absorbed every bit of exactly what Joanne was naming around what our culture is, and the important part about understanding our socialization and that's what this is is. 11:42:33 We're being socialized into our culture. Sorry if I didn't actually say that out loud. This is our socialization. 11:42:38 And the difference between our socialization and our culture culture is what we have in socialization is how we are taught to get there, how we are taught to behave, what is gonna be rewarded and what is gonna be punished and when we're talking about success. 11:42:53 We had lots and lots to say. I mean, there were so many hands we couldn't right, but we never interrogate this part of that. 11:42:59 We never interrogate what I learned about medicine. What I learned about folks who are in need in our vulnerable. 11:43:08 What I learned about trauma. 11:43:11 I had a. 11:43:17 I'm sorry I was. Gonna say, one thing that I actually wanna move on to another thing. And so I was gonna give an example. 11:43:22 I could talk all day about me, learning how I learned I learned, but just wanted to name, that this is the important part about understanding how to break the square, that we exist within is to interrogate it. 11:43:37 I often ask people that I am with. Say, if you remember me, I do anti-racism work right, but we need to get here before we can get there. 11:43:48 And so one of the things that is important about how we understand what we're trying to solve is to understand how we even got to the beliefs we have about where we are right. 11:44:03 I have a I'm in love with advertisements. I just. I'm addicted to the old. 11:44:10 When they were selling opioids on the back of magazines, and teachers like, I am addicted to these advertisements because it really is a snapshot of who we are and what we believe at a point in time and I'm always interested in when we in 20 years what we look back and feel ashamed about about this time. 11:44:32 About the things that we believe and understand stood right, and we only get there and are able to open up that box when we understand exactly how we got to where we got to. 11:44:40 Now around what I took to be true around understanding sports. When I really began to understand the world of sports I had lots of opinions about people, and how they got to the performance that they got you. 11:44:52 And then I began to understand the world of sports a little differently, and just began to understand people's reasoning. 11:44:58 Didn't say it's my reasoning. I began to see and understand others reason reasoning right? So I wanna stop here for a moment. 11:45:07 And just connect. I was just gonna I was just thank you, Sarah, for going back to looking at each other. 11:45:18 I was just like, where do we go? Because on our whiteboard is so many things who helped us make sense of it? 11:45:22 What did we learn? And so I was like, where do we go to look at when we have this conversation? Let's look at each other. 11:45:30 What does this mean to our work? Why does this mean to the work of all the things that you all took in over these last number of months? 11:45:37 What we understand about the funding and access and priorities, what we even talked about success. Name something about how we are connecting that box we're stuck in with, where we need to go, and our socializations right through the middle of it. 11:45:57 Any thoughts? 11:46:04 I guess, and I kinda said this a few meetings ago. I think what I what I'm struck with this. 11:46:12 I want to not do the I mean. I certainly evidence and things that work are great, but I want us to think outside the box and be open to to things that have to funding things that might not be the norm, you know. 11:46:31 And looking beyond the things that we know, and being open to some. Yeah outside the box, ideas and thoughts. 11:46:44 I mean, I know that's scary, because we only have a little bit of money, but that's I think that's important. 11:46:51 And again I'm gonna keep coming back to that geographic equity. I think that they're so it's so easy to focus the big bang for our buck. 11:46:57 And the most populated areas and the big cities. And I just wanna make sure that we're, you know, again, thinking, thinking everywhere and not just kind of putting our money where we know it's gonna work. 11:47:13 I wanna put money where we hope it's gonna work. 11:47:21 Ended, adding things that I hear to the chat. 11:47:28 Yeah, I would say that. 11:47:34 I can barely hear you. I'm so sorry. 11:47:36 Sorry. Yeah. I was gonna say that, I think, what I've been witnessing through these meetings over the past couple of months is one of the biggest barriers we have as a system which is we treat money as a strategy instead of money as a tactic. 11:47:53 And one of the biggest misconceptions or unspoken assumptions that we have is that money will solve anything, and also that we have to solve anything. 11:48:03 I'm a pragmatic idealist, which means I'd like us to get to a place where the world is a better place, and then we take steps in that direction rather than trying to figure out the answer at the beginning. 11:48:16 That's how we lock ourselves into further boxes because we can come. We try to achieve our metrics rather than the next best algorithm. 11:48:25 Money is a tactic. It's not a strategy. And yeah. 11:48:31 Hmm! Thank you for that. I hope I caught it. Well, let me know how I can edit it. 11:48:39 Yeah, you know, Fernando, I don't know if this makes sense as a follow on. But one of the first things I thought when you gave us that exercise with the 9 dots was, I need more than 4 lines. 11:48:49 I wasn't like. Oh, I'm sorry or I can't do it. I was just like I'm gonna have to go find more lines. 11:48:54 So, it's sort of like that, like, if this is the money we have. But this is the problem we're trying to solve. 11:49:01 We need more things. It's not just the money like. So being willing to just name the impossible equation, we've been handed. 11:49:10 And insist that more other things be brought forward. 11:49:16 There's so much in there that I was like, oh, I can't even put that just into words, because there's a conversation we're about to have next that really goes down. 11:49:28 Like, though that understanding I appreciate you naming. It's not that one of the things in finance that I learned is, it's not that you need more money. 11:49:37 You need to learn how to handle your money right? You'll if you need more money, you'll always need more money and so that's the way I really heard that was sort of back to like money is not the strategy. 11:49:48 But like ability to understand it is a resource and not the only resource. There is a level of currency that can get spent in ways that aren't money right? 11:50:00 And so I really appreciate that it's not just. I can't solve it. I need more to solve it with. 11:50:11 So should we move to the next. Everything I do is next activity on. I don't tell you what to think. 11:50:19 You come to conclusions of what you should think. We're usually around what I thought you should think too. 11:50:23 So we're usually in the same bucket. But I wanted to move to a tool it's less an activity than a tool. 11:50:30 It is a tool in your tool belt, and when I first started doing 25 years ago, when I first started doing An anti-racism work, one of the things that was the clearest tool that helped me narrow down. 11:50:44 What it is I'm looking at, and where the conversation needs to be is called the 4 levels. Can we go to the and Sarah Rose? I apologize. 11:50:56 I probably skipped. Going to one section of the Powerpoint. But can we go to the Powerpoint at the slide that we? 11:51:03 The socialization socialization slide that we anticipated showing. 11:51:08 Yeah. One. Sec. 11:51:09 Thank you. 11:51:18 So this is one of the similar whiteboards to something that you all have done. What I did is take all the pieces of the things that they named, and color coded them and separated them out into the 11 identities that when we're talking about an intersectional anti-racist analysis like this is what I would be centering is the 11 social identities that are considered nationally when we're having a conversation 11:51:47 around equity the ones those are in the purple, the ones in the green are the systems that all of those things move in and out of, when we, when like, I introduced myself and say things such as Keanu Wheeler, I you see her pronouns identify as Black what i'm doing is telling you how i've probably interacted with systems my whole life that's what that is and 11:52:07 it will say a whole lot around ways that you know who's in the room that can help sort of how Laurie was naming. 11:52:15 Make a bigger, fuller picture. The more resources, right? But socialization is the way we learn to integrate into our culture, into our society again, culture. 11:52:22 Is something we have. Socialization is how we get there. This slide. I wanna take you to that is, it's the next slide. 11:52:30 Sarah rose and I just wanna say, Lisa, thank you for your you know I'm gonna do this, and then we can and move on to making sure we get our breaks and things. 11:52:46 This is the tool in the tool belt that I was naming. It's called the 4 levels. 11:52:51 The 4 levels mean that everything is happening at each of these levels all at once, but also in a very individual way. 11:53:02 And when we were talking about. Yes, money is a resource. It's a tactic. There is a larger picture that is happening where all of these things interconnect to other things. 11:53:16 I'm trying to remember who it was by looking at the pictures in front of me. I know John was one of them, and I wanted to name the other person. 11:53:26 Actually think I took a note about it. Who had named that? There is a number of other things that this is connected to, not just the way we use medicine, but it's connected to the way communities experienced from an impact the way that we first get it introduction right it's in all these other systems right and so when we talk about those interconnections. 11:53:54 Then it's important that we also are able to separate them and break them down, because the problems at each of these level require a solution at that level. 11:54:04 We cannot take a problem that happens in one space and solve it with a a solution that happens in another space. 11:54:13 And I'm gonna give you an example in just a moment I'm gonna ask Sarah Ros if you can drop those definitions in the chat that are in our doc, and I wanna talk about each of these levels. 11:54:32 So the structural level is the biggest level. It is society at our largest. It is when we talk about data. 11:54:40 This is a cross multiple populations across multiple age brackets. This is across multiple things, right? So structural is the biggest picture we have when we talk about things, I'm gonna give you just an example. 11:54:57 When we talk about how house taxes go towards schools, those are 2 systems that are web together that work across the multitude of things. 11:55:15 The next level, being institutional means one of those institutions so if I'm talking about just the school system that's the education system, that is an institution. 11:55:20 It can also be a web cause it's multiple schools. So it can also be a structure. Depending on how we're defining it. 11:55:27 But when I'm talking about howing and there's multiple types of housing as an institution, how many, together with education as an institution, we've now webbed together a structure. 11:55:38 And so that's the difference between those 2. It is the skyline of downtown right is the structure, the one institution, the one building that you're looking at would be the institution within that structure, and that's how you separate those 2 but structural is multiple institutions working together. 11:55:58 Institutional is a single institution. Interpersonal is really the people. It is between individuals within an institution or within our society. 11:56:07 But it's an added between people level. The internal is the thoughts that are in our head. Those are the narratives we tell ourselves about the big picture, about the institution and about the people. 11:56:21 We're connecting with, and also is telling us a lot about ourselves. And so when we were talking about the ways in which success looks like if we separated it at these levels, we would have to have solutions that function at those similar levels we're not gonna take an institutional process which would be a policy and expect that it's going to have an answer on an internal problem which is really about the way we 11:56:50 think and understand the world and hold it to be true. Those 2 things can't connect, but we can have a enter and interpersonal solution. 11:57:01 Talk, help, someone talk through right? What this happening in the internal narrative in the head. But the internal narrative is the thing that would need to change so what I'm wanna make sure we understand and connect is the issue the problem. 11:57:18 That they need to be solved at a structural net level needs a structural solution. Multiple institutions working together it to change data across the society, multiple institutions. 11:57:30 We need to work together right? The work that you all are doing is really about this board, and that is in and of itself institution. 11:57:37 This board is an institution. What are the policies and practices? The belief systems, the principles you stand on those kinds of things is the institution, the way you personally feel about that we gotta come together collectively and build something that is coordinated that we all believe in that we all can stand on because we might have interpersonal experiences feelings. 11:58:01 Understandings. But we have to make this a collective thing in this institutional board, right and some of those things that then functions to do is means that we have to either connect some of our thinking change, some of our thinking hold multiple truths which is what we're doing we're talking about the both the end of things holding multiple truths it is a tool that I really want folks to be able to hold in their 11:58:25 toolbox because we're saying, Well, hey, you know that thing that they did on the East coast happened in this way. 11:58:31 Those structures looked like this. Do we have that same structures? Can we look at it in a way that it's our structures right? 11:58:39 But institutionally, our decision making model looks like this because these, the principles we collectively agree on now we all might come to the table and have different thoughts about how to make that happen. 11:58:49 But we can collectively agree on these things. And so it's important. We understand, there's multiple levels in which we hold this work so that we understand what also solutions we're talking about. 11:59:02 And so my favorite moment is when we're talking about how somebody did something and everybody's waiting for the thing about like, well, what did they say? 11:59:10 There's a whole array of things happening. What systems did they engage in? What institutions are they part of? 11:59:18 What's the narrative in their head that they're having conversations then about does this make sense for folks as a tool that I really want folks to be able to hold onto will probably come back to these multiple multiple times? 11:59:28 This is originated from anti-racism work actually to talk about where those systems of harm happen. 11:59:37 But you can use this at a multitude of levels to really understand, to really understand what it is that we are trying to solve for. 11:59:49 Stop there. We're gonna go to break. But any questions before we do any thoughts that folks want to put in the room. 12:00:04 I'll I'll just jump in real quick as we're including. What is this like? 12:00:10 The end of 2 h, and acknowledge that it's really hard, like kind of. I know I'm seeing it, Kiana. 12:00:19 Beonna! 12:00:21 I just wanna acknowledge it is so hard to do this work online when we're all little. 12:00:27 Boxes, and not sitting next to you, and just really really appreciate you going through this with us and making us think and thinking about the structures. 12:00:40 And I think going forward we'll all probably need to take a little moment to trace it back to the work that is ahead of us right now. 12:00:49 Thank you. 12:00:50 Thank you. 12:00:57 Alright! Thanks for putting that in the room. Thanks, folks. I'm gonna pass it back to. 12:01:04 Who am I passing it back? Lisa? Is it you? 12:01:07 A lead us into the break. 12:01:11 Okay. 12:01:11 All right. It's heavy work. Lot to think about. Let's take a little break. 12:06:42 Brian gets started with, bring it started with a mentor. If folks do not know how to use mentor, and you will open up a browser and you will type in Sarah Rose. 12:07:04 Keep putting the chat where folks go. You will type in mentee.com go to that site. 12:07:12 It will ask you for a code. You will type in this code, and you will be able to respond. 12:07:20 I we talked a bit about the values we learned some of the ways in which we hold society let's talk a bit about what we want to make sure I'm part of the work we do. 12:07:31 I, what are some of the values that feel important to our work, important to this Board's work? 12:07:41 And this is also gonna let you not only add values, but in a second we'll be able to vote on those values, and we'll move to the top some that a higher votes. 12:08:01 So as we get connected to the mentee.com, and folks get to that code that has this responses waiting. 12:08:15 We'll start to see some populating. 12:08:22 Just yet. 12:08:33 Values are starting to populate. 12:08:37 Thank you. Jenny, for putting in the chat, that the question is, what are the values that you wanna bring to this work? 12:08:44 Starting to get some populating values of that empathy transparency. 12:08:51 I'm a huge proponent of both. Somebody put in integrity, honesty, compassion, feel free to separate those out. 12:09:00 If other folks agree. An anti-racist, I'm a big proponent of an anti racist Lens. 12:09:11 Thank you. 12:09:17 Rental allies, to populate. We've got about it. Says 3 folks have added so far, or 6 responses. 12:09:26 I'm sorry. 12:09:29 Accountable compassion folks at courage. And because we're gonna vote on these, I'm hoping that we can. 12:09:37 I actually love that they're together, cause we can vote them high and still connect what we're gonna do is we're gonna take some of these responses and not some of them were to take all of these responses. 12:09:48 And we're going to. I'm gonna hand it off to Jenny, and we are going to really connect to how the values that we bring to our work become the filter in which we look through. 12:10:02 And we can say all day long that we want certain things and not actually look through them as a filter. 12:10:10 I mean, I have a Gym membership because I believe in a healthy body. But the Gym membership goes to the gym more than I do, and so we can believe in something and still not exercise the the actual membership of it. 12:10:22 And so we're gonna talk through how we can make sure that the values keep that in them as well. 12:10:28 But we're gonna make sure that these values become a filter in which we look at the decisions through. 12:10:37 So I'm gonna pass it off to Jennie. 12:10:39 Hey? Let me raise my! I'm sorry it's David Hart. And I'm in a hotel in New York and having technical problems, and can't even raise my hand so I couldn't give my input. 12:10:49 I would like to add a science evidence-based. 12:10:54 Yes, and we talked a bit about evidence-based. 12:10:56 I know everyone might not. That would be my contribution to the values I would suggest. 12:11:05 Can someone put that in there? 12:11:14 Jenni, I'm pass it off to you. 12:11:15 Yeah. Thanks. Kana. So we spent a lot of time before the break talking about how we're socialized. 12:11:25 We talked a little bit about the 4 levels, and can I explained what those 4 levels are? You know the connection that that I wanna make here is our values come from our socialization. 12:11:41 They come from the the, you know, the culture that we're in. And so we just wanna be mindful of that. 12:11:55 We wanna be mindful of, of maybe who whose values maybe aren't always represented. And then we want to think about the difference between, you know, the values that we hold individually. 12:11:59 That's that. You know that individual level. And then the values that we want to create and to always come back to as an institution, as a board. 12:12:14 So you know what is, what are the differences? They don't have to be the same right? You know our values as a board don't have to incorporate all of the values that we have as individuals, so you know as you're thinking about the kind of values. 12:12:42 That you feel are important to our work. The next thing that we'd like you to do is to you can sort of upvote or like values that you see here. So as you're looking at that, it looks like everybody has responded. 12:13:03 But now what we'd like you to do is go ahead. I think everyone has 3 likes or 3 votes, so go ahead and take a look at the values that you see here, and. 12:13:23 Our our folks able to to vote on the values that there I'm seeing some head nods alright. 12:13:31 I'm just getting to it now. I'm sorry. Did you say 3? 12:13:38 That's right. Yes, 3, and I'll I'll let us start seeing the results. I don't wanna. 12:13:34 I think you get 3. Sarah Rose will tell me if I'm wrong , so maybe just if you're David, you can just raise your hand, or if you're everyone else, you could just give a thumbs up, either through the reaction or on the screen. 12:14:00 If you have been able to vote, and that way Sarah's will know that that everybody is voted. 12:14:19 Wonderful. Sorry go ahead. 12:14:16 Seeing lots of thumbs up. Okay, alright. Has anybody not voted? 12:14:25 I'm sorry I got back couple of months late, so I'm not exactly sure what's happening right now. 12:14:30 So is that we're just these are values that folks have contributed where that they want to bring into this work. 12:14:39 And what we're going to do is to decide as a group what are the values that this Board wants to adopt? 12:14:49 Really to act as a guide, a touchstone as we move forward in our work, because the values are things that will keep coming back to when we have to make difficult decisions when we need to set priorities. 12:15:13 You know, these values are going to be really important for us to keep referring back to. So these are values that folks feel are important to the work. And Deb, you get 3 votes so you can like 3 of them. 12:15:31 And then we'll see which which ones sort of. 12:15:31 Thank you. 12:15:31 And when you've done that, Zeb, just go ahead and give a thumbs up, either through your reaction or on the screen. 12:15:35 And then Sarah Rose will show the results. 12:16:18 Yeah. 12:16:17 Just one more thing. Where am I supposed to vote? Am I just writing down my? 12:16:24 Oh, no! You can vote in the I'm sorry. Go to Mentee com amynti.com and use that code. 12:16:35 1, 6, 1, 2, 9, 8, 3, 7, and that'll take you to this thing that you're seeing on the screen right now. 12:16:41 Okay. 12:16:41 It's also in the chat. 12:16:46 I didn't go back far enough when I was telling you what we were doing. 12:16:49 That's all right. 12:17:24 And Sarah rose. If you have any words of advice. 12:17:34 Is that where you're able to access the Mt, okay? 12:17:36 Yeah, I just submitted the results. 12:17:39 Oh, wonderful. Okay, I will show the results. 12:18:02 Sorry I'm getting a bit of a technical. Let's share the things. Seems to be an annotation mode. 12:18:14 There we go! 12:18:22 And then in your I can definitely, you can. 12:18:23 Yeah yeah. Let's look at all answers. So am I seeing this? Right? 12:18:30 That it looks like accountability is the one that received the most votes, and then there's a lot of of support for empathy, for anti-racist being a value for equity being a value. 12:18:54 And then, similarly, integrity, honesty, compassion, compassion, shows up a couple of times and evidence-based showing up a couple of times. 12:19:10 So I wonder if yeah, evidence-based showing up? 12:19:15 In 2 places. So I think that it looks to me like the ones that are sort of rising to the top, and I think we need to have a discussion about, you know, if there are things that are sort of synonyms or similar here. 12:19:33 But which does it feel like accountability, integrity, and honesty are all sort of in the same family. 12:19:48 I'm seeing some head nods, but anybody disagree with that. 12:19:54 Could you? Which one? 12:19:54 Is there? Yeah, go ahead. Okay. 12:19:55 I think I would. Did did you say accountability, integrity, and honesty? 12:20:03 Yeah. So I'm just looking at the words that got a lot of the values that got a lot of votes. 12:20:09 And there's accountability, and then integrity and honesty also got a lot of votes, votes. 12:20:18 And so I'm wondering if you know ideally what we wanna do is get this down to sort of 3 to 5 values that we as a group can agree on. 12:20:29 And so, you know, that's part of what I'm doing. Here is what you know, thinking together, you know, it's it's a question. 12:20:37 Our accountability, integrity, honesty, are those similar enough that we can sort of compress it into one thing, or do we wanna separate those out? 12:20:45 And anaise you. You think perhaps we should separate those out? It sounds like. 12:20:50 I'm happy to hear from others. I guess the no. Yeah. I'm happy to hear from others. 12:20:56 I don't think of those same things personally like I think of honesty as being more with transparency, and I think transparency and accountability are 2 different things, but happy to hear. 12:21:08 Yeah. 12:21:07 Okay, yeah, David. And then John. 12:21:16 Davis, having a hard time with technical issues. 12:21:20 Sorry I'll have 3 devices going to interface with you. Now I actually see accountability as somewhat different. 12:21:29 Okay. 12:21:30 Honesty and integrity. 12:21:35 Okay. So you agree that they're different. And, John, how about you? 12:21:45 They tend to, you know, do it? At least I think that there are I think there's some nuance here. 12:21:52 I almost think compassion not meaningless in a year, but it almost is kind of separate from integrity and honesty in the sense of, you know, when I think of accountability as a public survey, II think about being being able to answer to your decisions and being able to convey that to people in an honest way I think there is some honesty there's really more integrity. 12:22:20 Involved with accountability, because I think that builds trust, and it doesn't mean that you always make the perfect decision. 12:22:29 Umhm. 12:22:28 But it means that your decisions are based around solid things. Like many of these other things, science evidence based innovation. 12:22:39 You know, with equity. It's kind of like part of that. And you know, defining that is really important. 12:22:47 I think, to analyze made an excellent point cause we have this debate. I think, in government a lot about transparency versus accountability, transparency is one of those words where you could interpret it in a any number of different ways which sometimes are not particularly meaningful not saying that isn't important and isn't meaningful, but you know when when I think of my experience just working the 12:23:13 deal for years, but also really in government. You know, I think of the fact that you know, when we make decisions as government, they could have this entity as a board which is a you know, kind of an arm of governance in a sense, in that one thing, when we talk about and this is really important I think for our decisions with this board when you see the satisfaction of the general public with the goings-on of government or the 12:23:39 like it's generally not focused on in many cases. I'm not saying in all cases it's not focused on the actual decision and the outcome, because whether you're in the public or private sector, people make decisions and maybe not even purposely that don't work out as well, as they could where the dissatisfaction comes is in a lack of accountability and a lack of being able to say hey 12:24:01 Umhm. 12:24:02 this is why we did this. This is why I put my name on it. And it's got my name on it, and that comes with that integrity and being, you know, integrity, I think, is really linked to accountability, because that's the ability to both. 12:24:16 You know, take credit or say, Hey, we've been a part of this, or say, Hey, no, that wasn't the greatest thing we're gonna go back to drawing board. 12:24:23 Try again. You know, I think that that's a really important sort of distinction between accountability and the rest of those things. 12:24:30 And it's really the thing that I think when people don't express when people don't earnestly I was supposed to be honest honestly act in in a somewhat accountable manner. 12:24:42 That's what I've seen in my experience tends to create the most dissatisfaction with people looking at your work. 12:24:50 Product. 12:24:49 Yeah, yeah, I know, I agree. I think that's really well, stated John. And and I also just wanna apologize because I think we probably should have told you from the beginning that we were really looking for, you know, one word. 12:25:04 For each value. So having you know this, you know, integrity, honesty, and compassion sort of mashed together, it does create some confusion, and I apologize for you you know compassion and courage has 2 votes. 12:25:23 You know what are people voting for? Compassion, courage, or courageous compassion? You know that is confusing. Right? 12:25:31 And but compassion does show up a couple of times. So far. 12:25:42 What I'm getting is that we do think that accountability and honesty and integrity are important, and they're different. 12:25:50 Sounds like evidence based is also, you know, we're kind of rising to the top as well. 12:26:01 Compassion seems to be rising to the top. 12:26:03 Uhhuh. 12:26:01 I think what John said was really important, and what I'm hearing is you know, accountable to whom, and that's like after the factory did a thing or transparency. 12:26:06 So some of it is more internal, and, like the lens we're using collectively as a board to look through, to do the work, and the other is how outside partners, entities, community affected folks are gonna experience what we've done. 12:26:20 Somehow, to me there's an internal external. There's a way you could apply any of these words to either of those things, but that might be a helpful, organizing framework. 12:26:29 So internal and external. So one of the things that we're gonna talk about next is principles, and you know, and the difference between values and principles. 12:26:44 And I think that might be helpful just to, you know. Have us not race ahead, but because, you know, values are things that we believe in and principles are how we operationalize the things that we believe in. 12:27:00 So, you know, that's important to think about. So as we think about the you know, operationalizing these. 12:27:06 And what the verbs are, then you know, that might be where we talk about, accountable to whom that internal versus external. 12:27:17 But actually, can you, Sarah? Can you keep the? The? The mentor results up? 12:27:27 That will be helpful. Thank you. 12:27:40 So you know, Joanne thought that equity and anti racist are are similar enough to include together. 12:27:55 They both show up with 4 votes. Does. Do we agree with that? As a group? 12:28:04 Julia says, no, okay. 12:28:05 Yeah, and the reason why I say that is what I mean. I in my mind, equity is not just equity of people. 12:28:13 It's the geographic equity and so it's very much, not simply anti-racist. 12:28:20 It's equity on a lot of different levels. 12:28:23 So you're just putting forward, suggesting that equity is larger than just being anti-racist. 12:28:31 Yes. 12:28:31 Alright! Do! What are you thinking? 12:28:36 Do you wanna clarify? And this is the part where I always smile in the conversation, because no, this is clear. 12:28:45 Nobody nobody knows that this means that nobody actually knows or anti racism means anti-racism means simply equity plus hours power defining how things have to happen. 12:28:54 That's all. Anti-racism, and the reason it has racism attached to it is because we won't talk about that part, and so it keeps it on the table. 12:29:03 But it really is just. It's from civil rights. And it's asking, how does power function? And that's around geography. 12:29:11 It's around. There's 11 social identities. It can't talk the question it asks is who is most impacted and why and so I can't talk about any of the things without talking about all of the things. 12:29:22 And so, if the only thing it adds to equity, is, it asks, and how does power make that cell? 12:29:30 Who is deciding. So, just wanting to clarify, we get scared of things and don't define them, and wanting to make sure that we clarify and do define. 12:29:43 Sort of that. 12:29:40 Sorry, and wanting to add that I connect them together, me personally. 12:29:50 Connect them together. Okay, and Kana, and you're connecting them together. Would you say that equity is like that? Anti-racism is sort of a a subset of equity like it? 12:30:08 It is very similar to reminds me of the sat question about these things are the same. It is very similar to how somebody said accountability, and I think integrity went together. 12:30:20 I think, is who said it, and I was like, oh, that's exactly how I think about it. The difference between equity and anti-racism is equity doesn't want to talk about race, and doesn't talk about power. 12:30:36 Okay. 12:30:30 Those are the 2, the differences. So they're one of the I connect them together. You can't have anti-racism without equity. 12:30:41 Okay. So if we were gonna pick one to be a value that this group is moving, it is, you know, inboding or coming back to what would that value be just asking for some suggestions either in the chat or you know, go ahead and share. 12:30:59 So based on what Kana said. I mean, I would say, anti-racist. I guess my concern is how this values statement. 12:31:08 I, you know, like, what does it mean to to the How is this used? Is it, you know? Is it gonna be clear to all of us and everybody else that we are that we're following the definition of anti racist in the way? 12:31:25 Kana just said it. 12:31:30 Wanting to share. We can use different where I saw my hand up. Oh, sorry we can use different words that get to that. 12:31:38 People use anti-pression. People use racial equity. People use power analysis. People use a number of different words just adding power to equity is one of folks. 12:31:50 Intentions. Anti- oppression is what has gotten a lot of traction lately. 12:31:55 How do people think about anti impression, anti- oppression? 12:32:02 David. 12:32:03 Intersectional equity. 12:32:05 Concerned about the methodology. Yeah, I mean, we were asked to generate words, instructions weren't perfect, you know. 12:32:16 People were thinking whatever they were thinking when they said that. You know I didn't even see evidence base when I said scientific evidence base, you know. 12:32:25 So I think, and then I heard this discussion of anti-racism. And maybe it's because I'm a little tired and Jet lagged. 12:32:33 I didn't really follow it. Okay. So I'm a little concerned about our are coming up with words. 12:32:43 Well! 12:32:40 Now that maybe evolve it, it might have been what we thought when we generated them. So that's. 12:32:47 I have a go ahead. Kana! 12:32:47 And can we and Jenni, before we say that? Can we connect? Exactly this was, and David, you may have missed the activities. 12:32:54 Yeah, II have to be active. 12:32:55 This is exactly what the activities. This is exactly what the activities we're generating is what is happening for us at personal levels. 12:33:02 How do we make that intentional thing around this board? How do we bring together collective things where we've but we might have different understandings of them, because it's exactly the work you're doing out there the people of different understandings that people have different needs like all of those things and so what we're trying to do in this moment is not be perfect but be somebody said really good language but before. 12:33:23 Movement, and doesn't mean that we're stuck in a box and limited. We can shift. 12:33:30 We can change. We can course correct. But this is you. All this is who you are, and so just wanting to also remind us that this is why we did the activities. 12:33:38 That's why they were so hard to talk about, like the things that limit us, the things that expand us is exactly for these reasons this is the work. 12:33:47 Yeah, even after this you still have these kinds of conversations. This is the work. 12:33:51 So we're getting some traction for intersectional equity. Here I see some head, nods. 12:33:59 Yeah. David. 12:34:03 I would love a definition. Sorry. 12:34:09 I'm not sure what it sounds great, but I don't really know what it means. Maybe. 12:34:15 It's yes. 12:34:15 So at a high level, can we just say that we're defining as a group intersectional equity to include anti-racism principles? 12:34:28 Okay. 12:34:25 And geographic equity, and all of the the these different principles. Yeah. 12:34:34 I think that was helpful. 12:34:31 I think it's similar to if we had to expand any of these right, we could get a definition, and then we could get this boards. 12:34:43 Definition. 12:34:45 So going back to and, David, you're right. This is the methodology here is not perfect. The point is to have the conversation, because right now we haven't had the conversation right. 12:34:58 So you know, we're just surfacing some of these some of these things that are important to surface. 12:35:04 But but if we do want to get to a list of 3 to 5, values that we, as a board agree on, one of them, it sounds like is going to be intersectional equity, accountability, honesty, integrity, compassion, evidence-based are all words. 12:35:22 That are coming up to? What are what are people? Where do people wanna land? I mean, evidence base is really important to David. 12:35:31 And it's important to at least 3 other people. Do we want to adopt evidence base as one of the values that moves forward? 12:35:41 That will keep coming back to. 12:35:45 With evidence base. I would like to put it in for evidence and form one of the ways that inequity exist is that we do not do enough evidence based research on underserved communities, and so often we limit the availability of resources for pretty innovative programs because they're not evidence-based and that's really just the so everything's informed allows us the ability to use the best of what's been done 12:36:15 without locking us into the box. When it shows that we do not replicate enough scientific research with under. 12:36:23 Thank you for bringing that out, and I see Tammy also agreeing with that, and a lot of nods here. 12:36:30 I'm also seeing a lot of so adaptability, flexibility, and innovation. 200 come up are coming up, and between those they have a 7 or yeah, 6 votes, is there something that sort of combines adaptability? 12:36:50 Flexibility and innovation. 12:36:56 David, do you have? Are? Do you have? 12:36:58 No, I actually was still on to be honest with you. And and first they weren't 3. 12:37:07 I think there was a total of 5 Si just have to remind everybody that we are required under the terms of the judgment. The money. 12:37:18 It's the rules of the money that it has to be evidence informed. 12:37:26 The meaning of that term is not defined, and you know it is squishy, and I think where I would draw it is maybe different than others. 12:37:38 Evidence, informed doesn't mean to randomize placebo control trials. Right? But it doesn't mean, you know, a modicum of evidence. 12:37:49 So you know this may be something that we have to address later. Maybe I'm being too definitional now. 12:37:59 But I just wanna be make draw the line. Understand that as much as I respect Fernando. I don't. 12:38:05 Necessarily wanna get to Lucy Goosey on? What is the meaning of evidence? Informed? 12:38:13 How did this done? Because I was just called that David David. I think you may have understood what I said. 12:38:20 I'm advocating for the term evidence, informed as well. 12:38:25 No, I was saying that it's a squishy term. I've heard it bandied about a lot. 12:38:31 I was part of the team that negotiated that term into the document that controls, and it means different things to different people. 12:38:37 That's why we agreed. We're able to reach an agreement on it. 12:38:41 Yeah, I mean, honestly, all of these terms mean different things to different people. Which is why we're having this conversation right now, right? 12:38:47 David. So you know, our purpose is to sort of surface some of those things so that we can be clear at least to understand. 12:38:56 You know where there are differences, you know, if nothing else. John. 12:39:03 Thanks, Danny, I would just add, and I think kind of following up on what Fernando said, and also relating it to bridging it to what they have mentioned. 12:39:12 You know, there's something that historically, if we look at the behavioral health which is in my area of work for a long time, we run into different things when we talk about evidence, there's a lot of amazing behavioral health research. 12:39:28 It looks different, and thinking of what David said about you know Placebo, and you know control trials and life. 12:39:34 There is very legitimate science, and like, and evidence that comes out of things that are not, I can be squishy right. 12:39:44 I like to use a term, and I've used it forever. We always say evidence base fraction, or nothing wrong with that. 12:39:51 But I would I would say, if we wanna think about shoring that word up, you know. Evidence informed is, we think, about another term, and I've used this in kind of research and thinking of behavioral health research. 12:40:04 And practice-based evidence. 12:40:07 Things that have worked, that we see positive results, and it might not be this, you know, hugely constructed, you know, control to trial. 12:40:20 It does not diminish. It's it does not diminish. It's helpful qualities and ability to help in different situations. 12:40:34 So like practice based evidence. Like we have to. You know, when we think of things, I think of things like, you know, 1520 years. 12:40:45 Think about, think about peer work in the recovery space. That's an excellent example, you know. 1520, 30 years ago we had, and I think it's still good. 12:40:54 We have to have good boundaries between. You know what people's roles are in our field and in the Sud field. 12:41:00 But if we hadn't have taken some chances on investing in certain initiatives and certain programs, we wouldn't know how effective they are which we know today how effective they are so that's a great example they can't look squishy sure. 12:41:20 Certainly but it's very legitimate and a very real thing. So I just always love practice based evidence. 12:41:27 You know what works what we've seen work in a particular area, or with a particular population extrapolate, that you know. 12:41:33 And let's look at other ways that it can work. I don't think again it's a little bit of my walk-in. 12:41:42 I don't think they're not mutually exclusive. I think they kind of work like a Venn diagram you know there are approaches there's lots of examples with things like Mit, and it's application in different settings and in different populations. 12:41:53 And it could be you know whether it's a partial population or a particular demographic or geographic. 12:41:58 Area. There's all kinds of different things that we can use practice based evidence to enhance the effectiveness of evidence-based practice. 12:42:08 Yeah. And I think that's where you know, I see a lot of this adaptability, flexibility and innovation sort of being complementary to the evidence informed or evidence-based value. 12:42:28 You know, as it's laid out here, Kana. 12:42:34 I'm John. I have so many times that I would love to talk with you over an old fashioned at dinner. 12:42:42 It would be fascinating. I just wanna say yes to like all of the things that have been said to all from all the corners of the universe wanted to name that. 12:42:54 Please let us know. Let us not get stuck and naming a thing as much as I understand the goal of the thing, or I mean, there are words that didn't exist, for how we define something before somebody put words to them. 12:43:11 So we can also put words to things. But the heart of what folks are trying to get to in the way that we're trying to create Venn diagram. 12:43:24 Or I love how you were naming these things are not mutually exclusive because they work in tandem. 12:43:26 If we went back to the activity where we talked about the things that boxes in one of them was other people's thoughts right? 12:43:32 And so like, let's get from this interpersonal space to this institutional space and connect and create. 12:43:39 Someone said in the chat, a core value. And so just reminding us, Let's not get stuck because stack is also the thing that limits us and what we're really trying to do again, y'all is limit the number the folks are dying right. 12:43:53 And we're stuck on a word so like, let's not limit ourselves in that way. Thanks. 12:43:58 And Laurie, thank you for putting in the chat, too, that you know we can stipulate that we're working within the confines, and the terms of the settlement, and the enabling legislation, so that so that we don't need to necessarily restate those things in this work that we're doing I think that's helpful lisa put in the terms of the agreement from that the 12:44:24 House Bill. So thank you for doing that, Lisa. And yeah, go ahead. 12:44:26 Right. So sorry. I just, I guess. Shorter way to say that is fidelity to the agreement and the enabling legislation is a core value. 12:44:34 Yeah, or it's a principle that we're going to. Which I think is one of your stated principles already that we're going to work with in the the, you know the confines of the agreement. 12:44:49 So. So I think that is helpful. It is 1244. I wanna make sure that we give the 10 min that we need to in order to. 12:44:59 But for public comment. So we're gonna stop this conversation at at 1250. And I think what I want to do is to I think this is a conversation that we can continue offline if it's okay with the chairs. 12:45:24 And and Lisa with you, and Tiana, and I will think about how to help us continue. 12:45:32 Oh! So we there's nobody signed up for public comment. Yes, okay. So we have a little bit more time. 12:45:37 Maybe let's see if we can get through the values, conversation, and the in that case. So okay, so we want to have something about evidence informed practice, based evidence, evidence based something around that in our core values it seemed like, like, there's a lot of support for something we can word, Smith it later, we want to have we like intersectional equity. 12:46:13 We wanna think about accountability, honesty, and integrity, and how those things are similar and different in our values. 12:46:26 What about this flexibility, innovation, and adaptability? 12:46:29 So II heard. 12:46:34 You are heard, David! 12:46:40 You're doing great. 12:46:36 Thank you. This is very difficult where I'm sitting, because I was just trying to figure out how to input. 12:46:46 I did not have an opportunity to a boat for flexibility. I think it's really important, because we have a relatively, there's a lot of money out there, but we could probably move faster and quicker to fill needs like we did with save lives of Oregon. 12:47:05 Or I thought this board was very effective, because we were flexible and we're able to address and immediate need and not get too caught up in procedure. 12:47:16 So I really like flexibility is one of our. 12:47:24 So David likes flexibility. How about other folks? 12:47:30 Second, that notion, flexibility that's close enough. I'm I think I'm the only person who voted for humility and flexibility for me is close enough to you. 12:47:41 Know that I would be happy happy with that. So! 12:47:43 Is it because humility gives us an opportunity to learn from our mistakes and do things differently? 12:47:48 For, Nanda. Is that what you were thinking? 12:47:49 Well, I mean, humility in general is just one of my card values in life, but I think you know it puts us into a position that we recognize that we are dealing with individuals and very complex issues and just the idea. 12:48:06 I said this already, just the idea that we're going to install addiction. It's just purely ridiculous, right? 12:48:10 Hmm! 12:48:13 And so your ability to me is always a ground background grounding value, and that, like this is bigger than I can actually handle on my own, or unless let's always remember that the new evidence information there's somebody who always is gonna have a better idea. 12:48:31 And that's there's a couple of close that are really fortunate. But that's just to put this in space of remembering that we have active. 12:48:41 This, we can only make that better be open to better, better ways of approaching this things. Flexibility is close enough to that for me. 12:48:55 Thank you, Fernanda. 12:48:57 And I agree with that. I voted for innovation, and I think the way Fernando said, it is exactly what I was thinking. 12:49:04 I just wanna make sure that we're not closed to new ideas and better ideas and different ways of doing it. 12:49:11 And I think flexibility captures that just fine for me. 12:49:15 Yeah, you think outside the box? 12:49:16 Yeah. Yeah, as I'm listening to this flexibility and adaptability are important. Also, let's just let's just manifest really great things happening. 12:49:25 We design a program, and then some whole other source of resource comes in to address a particular part of the system that we've said. 12:49:36 That's where we want to invest. But now there's a whole other influx of resource going to that. 12:49:40 Maybe we wanna adapt right? It gives us an opportunity to stay contextual and not stay. Bridget in. 12:49:49 We made decisions at a point in time. And and that's our story, and we're sticking to it. 12:49:53 Thank you. Yeah. So a lot of a lot of support for flexibility, innovation, adaptability. So another thing that I see a lot of here is. 12:50:03 And I see some ties in between them. Our empathy and compassion, and so and you know, there, like, there's a lot of votes for, you know, compassion is kind of in a couple of different places, but if we count those there's 1, 2, 3 4 5 you know votes for compassion and 4 votes, for empathy this is does that feel like a core value that that this group can get behind 12:50:38 Okay. Seeing some. Had lots of head nods. All right. 12:50:44 Okay, so that means what we have here. And you know, always keeping in mind that the methodology here is not perfect. 12:50:56 And you know, just like in the work that you guys do every day. This conversation didn't go exactly as planned but that's great, because humans are yeah, part of all of the work that we do. 12:51:11 And we need to have humility is, and adaptability and flexibility when we're all working together. 12:51:15 But it it seems to me like that. We have this idea of intersectional equity. 12:51:26 We have this idea of compassion and empathy, in the work that we do. We have this idea of evidence informed or evidence-based. 12:51:36 We have this idea of flexibility, innovation, adaptability, sort of family of words, and one, and accountability, honesty and integrity. 12:51:49 And we need to think a little bit more how to how to tease those apart. Those are the things that that I think are rising to the top in this conversation. 12:52:01 Does that feel right to everybody? 12:52:05 And again. We can do some workshopping, and we're smithing offline to with the staff in order to sort of get these things in a more perfect place and then present them to you later. 12:52:21 But but it seems like that's the direction that we're going. And I saw a lot of head nods. 12:52:29 Okay, so does it feel, okay? If there are a couple of to do that, I think came from today's conversation and a couple of things that we didn't get to. 12:52:42 So you know one of the the things that we didn't get to was just inviting, just taking a look at the principles that are in the bylaws and making sure that that they do, in fact, that our values are informing those principles that these values that we talked about today are formulas principles so we'll need to do that at another time and the next big thing that we wanted 12:53:24 to do today that we didn't get to was to take a look at our decision making process and make sure that it is also both that it helps us achieve our vision of success, and that it is informed by our values and our principles. So that's another we'll table that for another time. 12:54:05 But in the to do's come piece of it. We'll want to sort of wordsmith, and and sharpen up these values and. 12:54:29 Okay, thank you, Jennie. Let's see, what did I say I was gonna talk about? Oh, so, with the help of Pr and your co-chairs, I am. I have drafted a document that will be sent out to all board. Members at least. 12:54:42 A week in advance of our October meeting, and that will be a collation of all these recommendations. The Board has heard. 12:54:46 So what I've done is gone back and Re listened to all of your previous meetings, collated recommendations that you've heard from various speakers, including Dr. 12:55:01 Todd Corsis and the people with lived experience, for example, and then crosswalk that with Exhibit E. 12:55:06 And then the Alcohol and Drug Policy Commission Strategic Plan, as well as the Osu Gaps analysis and then a few other documents to help inform this work, such as the State opioid response. 12:55:16 Grant had a needs assessment as well. Just to show this board where the biggest gaps are in the State to help inform your allocation decisions. 12:55:29 Oh! And Sarah Rose is compiling some information about what other States are doing who are ahead of us in the process, and a few of us met with North Carolina to hear about their process. 12:55:42 We're meeting with Rhode Island in a week or 2, and Virginia is doing some interesting stuff. 12:55:50 So we're hoping to learn from our colleagues about best ways to prioritize allocations, to help inform your decisions. 12:56:02 Alright! Are we still no public comments? 12:56:08 Oh, yeah. No. No. Problem. 12:56:12 Okay, well, in that case, thank you. Everybody for spending your time with us today. We really appreciate it. There's so much good thinking happening here and we're really excited to get to those actions. 12:56:28 At Leasta was talking about in October, and we're gonna take all of this good thinking, and we'll give you a meeting summary a meeting summary shortly, and some of the other work that we're the those to do that we talked about as well, so thank you everybody have a Terrific Wednesday. 12:56:49 Thank you. 12:56:50 Thank you so much for your time and effort. Bye, all.