MEETING PACKET JULY 2015 CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH ���1!�L?ww�,�
120 WASHINGTON STREET,4'"FLOOR Prevent. protect.
TEL. (978) 741-1800 FAx(978)745-0343
KIMBERLEY DRISCOLL tramdin@salem.com
LARRY RAMDIN,RS/REHS,CHO,CP-FS
MAYOR HEALTI I AGENT
NOTICE OF MEETING
You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting
Tuesday July 14, 2015 at 7.00 PM
City Hall Annex 120 Washington Street 3rd Floor Room 312
MEETING AGENDA
1. Call to order
2. Approval of Minutes
3. Chairperson Communications ' `^
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4. Public Health Announcements/Reports/Updates ,
a. PHN Report r—:*
b. Health Agent D
C. Administrative C50
d. Council Liaison Updates o
5. Tobacco Violation hearings: Sunoco 145 Canal St. 2nd offense
Global 200 Canal Street 3`d offense
Hearing requested: North Shore Vapor 300 Highland Ave -1"offense
6. Updates from Joyce Redford, M. Ed., North Shore/Cape Ann TAPP, Program Director
7. Update on North Shore Medical Center
8. Opiate use epidemic/discussion- updates on opiate use, overdose in Salem and strategies to
reduce
9. New Business/Scheduling of future agenda items
This notice posted on "Official Bulletin Board"
City Hall, Salem, Mass. on.JUL 10 2015
Larry Ramdin at �:GCS in accordance with MGL Chap. 30A,
Health Agent Sections 18-25.
cc: Mayor Kimberley Driscoll, Board of Health, City Councilors
Next regularly scheduled meeting is August 11, 2015 at 7pm at City Hall Annex, 120
Washington Street 3 d Floor Room 312.
Know your rights under the open meeting law MGL chapter 30A ss 18-25 and City
Ordinance section 2-2028 through 2-2033
CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES
June 9, 2015
DRAFT
MEMBERS PRESENT: Dr. Danielle Ledoux, Acting Chair, Mark Danderson, Janet Greene &Paul Kirby
OTHERS PRESENT: Larry Ramdin Health Agent, Suzanne Doty, Public Health Nurse, Heather Lyons-Paul
Clerk of the Board &Wendy Kent, Opiate Task Force Coordinator
MEMBERS EXCUSED: Dr. Shama Alam(Chair),
TOPIC DISCUSSION/ACTION
1. Call to Order 7:20pm
2. Minutes of Last Meeting J Greene motioned to accept the minutes. P Kirby 2"d. All
(May 19, 2015) in Favor. Motion Passed
3. Chairperson Announcements Dr. Ledoux forwarded the article from the Salem Evening
News on the public meeting to the members of the Board. She
has submitted her resignation from the Board to the Mayor's
office.
4. Monthly Reports-Updates
A. Public Health Nurse's Copy available at the BOH office
Report
B. Health Agent's Report DEP will be installing cameras on Harmony Grove Rd due to
the influx of illegal dumping in the area. The community
service program has cleaned up the area. The department will
be looking into purchasing four cameras to be placed at
locations around the city were illegal dumping is an issue.
Waste Management has taken over the trash and recycling
contract from North Side Carting
Copy available at the BOH office
C. Administrative Report Copy available at the BOH office
M. Danderson motioned to accept reports. J Greene 2"d All
in favor. Motion Passed
D. City Council Liaison No Council report tonight
Updates
P. Kirby motioned to take item 5 out of order to hear
Wendy Kent V.J Greene 2"d All in favor. Motion passed
49 5. Wend Ken Opiate Task Fund for o iate overdose studies was started back in 2006
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Force Coordinator, program in Lynn, MA. A community wide assessment was done. In
overview and update 2013 the grant was expanded to a regional level adding Salem
and Peabody to The Opiate Task Force. The numbers of
overdoes are still growing. Although white males and females
are the highest at risk population onset is getting younger do to
prescription drugs. No one is immune to opiate addiction. It's a
chronic brain disease.
In the last year the public has become much more aware of
opiate use even though it's been an issue for many years.
Wendy is working with Salem Now to get more information
out there. The North Shore Medical Center, Police, Fire,
Schools, Boards of Health, and local businesses all on board to
help educate the public.
The focus for Salem is primary prevention and to educate the
public in hopes that it will lead to support systems for user,
families and friends and more treatment facilities. Lynn now
has a residential treatment center.
The Board discussed what their role is on this topic.
J Greene—The Board needs a clear mission; Improve the
quality of life for everyone seeking help. There is not enough
post overdose care. It's as important to follow up with these
people as it is for victims of violent crimes. I think we are
underestimating how big the problem is.
W. Kent -North Shore Medical Center is working on getting
programs in place for post treatment. There is still a stigma
around opiate use so a lot of data is not available because of
that.
L Ramdin - On Junel7th there is a Public Health Safety and
Environmental Committee Meeting at Salem High School at
6:15pm. This will shed some light on the issue. As we continue
to look into this the Board of Health will have a clearer path on
how they can be involved.
W. Kent - In closing the ground work is being laid but there is
so much more work the communities need to do to lead people
into recovery. Rates are climbing in the US to a great degree.
This is a multilayered addiction so it's very challenging to
understand.
6. New Business/Scheduling of future agenda Larry will be on vacation for the July meeting.
items Keep opiate updates on agenda.
MAOPC Salem working group update
7. MEETING ADJOURNED: P Kirby motioned to adjourn the meeting.
M. Danderson 2nd All in favor. Motion passed
8:45pm
Respectfully submitted,
Heather Lyons-Paul
Clerk of the Board
Next regularly scheduled meeting is July 14, 2015 at 7pm
At City Hall Annex, 120 Washington Street,Room 311 Salem.
i
1
Suzanne Doty RN,BSN
Salem Board of Health
Public Health Nurse
Public Health Nurse Report
Reporting on June 5th, 2015 to July 9th, 2015
Disease Prevention
• Investigated reportable diseases and reported case information to MDPH.
• In contact with North Shore Pulmonary Clinic and MGH pulmonary clinic on current
active tuberculosis cases.
• In contact with NSMC Infection Control department for prevention of disease within the
hospital.
Health Promotion
• Updated the Salem Board of Health Facebook and Twitter pages with information on the
Opioid Crisis public forum held on June 171h, the opening day of the Farmers Market and
food safety for the summer.
• On June 91h surveyed all pharmacies in Salem on the standing Narcan orders and
trainings. All CVS and Walgreens have trained employees and have at least one type of
Narcan available in store, Walmart does not and Target has begun the process.
• Completed 9 Camp Inspections including:
o Campfire
o Lynch Van Otterloo YMCA
o Children's Island
o Salem YMCA
o Naumkeag
o Forrest River
o Rebel Shakespeare
o Salem State University Athletic Camps
o Schooner Camp
Meetings/Trainings
• On June 111h attended this North Shore REACT meeting where a new grant called
Confronting Abuse in Later Life North Shore(CALL-NS)was discussed. This grant will
help provide services for people over 50 years old who are experiencing or are at risk for
abuse.
• On June 241h attended there North Shore Cape Ann Emergency Preparedness coalition
meeting where we were introduced to the HMCC host agent.
' s
• On June 25`h attended a Foodborne illness documentation training held by MDPH
regarding changes made to improve foodborne illness investigation within MAVEN.
• Met with 3 candidates to assist with interviews for a summer student intern.
Monthly Report of Communicable Diseases
June 2015
Disease New Carry Over Discharged Total#Of Running Total for
Reported Cases this Total for 2014
Month 2015
Tuberculosis 1 0 0 1 3 5
(Active)
Latent 1 0 1 1 3 31
Tuberculosis*
Calicivirus/No 0 0 0 0 1 1
rovirus
Campylobacte 1 0 1 1 5 10
riosis
Chikungunya 0 0 0 0 0 1
Ehrlichiosis 0 0 0 0 0 1
Enterovirus 0 0 0 0 0 0
Giardiasis 0 0 0 0 1 0
Group A 0 0 0 0 2 2
Streptococcus
Group B 0 1 1 0 5 6
Streptococcus
Haemophilus 0 0 0 0 1 0
Influenzae
Hansen's 0 0 0 0 0 0
Disease
Hepatitis B* 0 0 0 0 0 2
Hepatitis C* 2 0 2 2 13 37
Influenza* 0 0 29 27
e a 0 0
Legionellosis 0 0 0 0 0 0
Lyme 2 0 2 2 2 7
Disease*
Malaria 0 0 0 0 0 1
Meningitis 0 0 0 0 0 2
Pertussis 0 0 0 0 0 2
r
Salmonellosis 2 0 1 2 4 3
Shigatoxin 0 0 0 0 0 1
Producing
Organism
Shigellosis 0 0 0 0 0 4
Streptococcus 0 0 0 0 1 2
Pneumoniae
Varicella* 0 0 0 0 0 3
Vibrio 0 0 0 0 0 0
West Nile 0 0 0 0 0 0
Yersoniosis 0 0 0 1 1 0
Total 9 j 1 8 10 j 71 j 148
*Notifications only, LBOH not required to follow up or investigate per DPH.
Summary of Current Communicable Diseases
Note: There have been 2 confirmed cases of Lyme's Disease and 2 suspect or probable cases reported in
June 20 11. There is no follow up required by LBOH.
Group B Streptococcus (carried over): This patient was seen in the ED with a fever and discharged after
showing improvement on antibiotics and continued the medication at home. They had no history of recent
travel and did not attend a supervised care setting. They are currently not working as a good handler or in
a healthcare or care setting. None contacts have become ill that they are aware of. There is no further
follow up required and this case is closed.
Active Tuberculosis: In June, a Salem resident was diagnosed with an active Tuberculosis infection. I
accompanied them and their significant other to their first appointment with the pulmonary clinic to
complete an assessment, do medication teaching and to explain the process of Directly Observed Therapy
and a contact investigation. I began DOT daily following that appointment. They have been very
compliant with DOT and are taking their medications without any side effects at this time. They are
feelings well and no longer have symptoms of Tuberculosis. I am beginning the contact investigation and
planting PPDs on all household contacts this coming week,per the TSA nurse and protocol.
Campylobacter: This patient has recovered from the illness. There were not able to remember specific
food items that may have caused the illness and had no known shared exposure. They are not a food
handler or working in a caretaker position. No contacts have become ill. There is no further follow up
necessary at this time and this case is closed.
Salmonella:
Case#1:This patient was treated with antibiotics and has recovered from their symptoms. They are not
• aware of any contacts becoming ill at this time. I collected all the information that they were able to give
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me about what they ate during the incubation period and reported it to food protection at MDPH. The
town where this person ate has been notified and conducting follow up. At this time we are unaware of
any linked cases. The patient is currently retired and has no household contacts.There is no further follow
up necessary and this case is closed.
Case#2: This case was reported recently and I was not provided with a phone number. A letter has been
mailed to their house and I am following up with the medical provider at this time. This case will remain
open until an interview and investigation is complete or they are lost to follow-up.
•
Health Dept. Clerical Report FY
Burial Permits Permits Plan Reviews Certificate of Copies / Fines Revenue Permit Fees
$25 Fitness $50
July-14 $450.00 $815.00 $850.00 $2,115.00 Food Service Est. <25seats $140
August $900.00 $2,415.00 $1,950.00 $5,265.00 2S-99 seats $280 >99 seats $420
September $775.00 $1,000.00 $180.00 $950.00 $200.00 $3,105.00 Retail Food <i000sq' $70
October $625.00 $1,804.00 $1,350.00 $7.00 $3,786.00 1000-10,000 $280 >10,000 $420
November $675.00 $0.00 $90.00 $1,700.00 $2,465.00 'Temp.Food 1-3 days s3oo
December $850.00 $50,095.00 $3,450.00 $54,395.00 4-7 days s600 >7days $
Example of>7 day temp food permit.
January-15 $725.00 $2,670.00 $180.00 $650.00 $800.00 $5,025.00 14(da s)divided bY 7=2 xs600=$1200
February $675.00 $5,895.00 $1,550.00 $100.00 $8,220.00 Frozen Desserts $25
March $1,500.00 $2,635.00 $1,350.00 $5,485.00 Mobile Food $210
April $975.00 $2,235.00 $3,100.00 $100.00 $6,410.00 Plan Reviews New s180
May Remodel sgo
$550.00 $5,335.00 $1,300.00 $7,185.00
June Catering s25pereventl$200
$1,725.00 $3,470.00 $180.00 $4,050.00 $500.00 $9,925.00 catering kitchen
Body Art Est. $315
Total $10,425.00 $78,369.00 $630.00 $22,250.00 $1,707.00 $113,381.00 Body Art Practitioner 13s
Tobacco Vendors $135
Fiscal Year Budget 2015 Suntan Est. $140
Rec.Day Camp $10
Salary Startinq Ending Expenses Ext.Paint Removal $35
Full Time $341,229.00 $9,727.00 Startinq Ending Transport Off.Subst. s1o5
Part Time $15,997.00 $7,569.50 $17,050.00 $8,062.41
Overtime $2,000.00 $281.83 Swimming Pools Seasonal $140
Balance $359,226.00 $17,578.33 Health Clinic Revolving Account Annuals210 Nonprofit$40
$14,646.64 Title V Review s18o
Well Application s18o
Disposal works s225/18o
Memo
Date: May 26,2015
To: Larry Ramdin,Health Agent .9 2 0 1��
Cry,�-,�From: Joyce Redford,Director EGr 4p ;,HEALTH
RE: Salem Tobacco Compliance Checks
On May 11th and 13th,2015,the North Shore/Cape Ann Tobacco Alcohol Policy Program conducted targeted
compliance checks in the City of Salem. In addition to Joyce Redford,Director,and Peter King,Inspector,two under
aged youth participated in these checks. Twenty-four(24)establishments were checked and three(3)sales occurred.
Statically,an 87'1 compliance rate was achieved.
Violations occurred in the following establishments:
Establishment: Address: Offense: Fine:
Sunoco 145 Canal St. 2nd $200.00+7-day suspension
Global 200 Canal St. 3rd $300.00+3o-day suspension
North Shore Vapor 30o Highland Ave is,
• 1st violation sale of nicotine to a minor $100.00
• 2nd violation self-service display $200.00
Enclosed you will find a copy of the violation notices that were issued to each establishment at the time of the
compliance check
Should you have any questions regarding these checks please do not hesitate to contact me at 781-586-6821
. t
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4T"FLOOR Ptib11C�Ie..alth
Prevent.Promote.Protect.
TEL. (978) 741-1800 FAZ(978) 745-0343
KIMBERLEY DRISCOLL lramdin@salem.com
L,\RRY R,1MD1N,RS/RI?I1S,CIK),CY-FS
MAYOR HI?,A1;I'i i AG
June 24, 2015
Re: Hearing Request for Tobacco Violations
Sunoco
145 Canal Street
Salem, MA 01970
Dear owner:
The Salem Board of Health requests your presence at the next Board of Health meeting for a
discussion of the tobacco violations at Sunoco on 145 Canal Street.The meeting will be held
Tuesday, July 14, 2015 at City Hall Annex 120 Washington Street 4th Floor, Salem MA 01970
If you have any questions, contact me at 978-741-1800.
Sincerely,
For the Board of Health
Larry Ramdin, Health Agent
LR/HLP
cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford,
Director, North Shore/Cape Ann Tobacco Alcohol Policy Program
i
CITY OF SALEM, MASSACHUSETTS lu
BOARD OF HEALTH
S STREET, ..FLOOR PubhCHealtl><
120 W.-�.HINGTON S ,4 Prevent.Promotes Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
L;1RRY ILIMDIN,RS/RIsI IS,CI IO,Cl F S
MAYOR HI?;v;I'II AGI?N'I'
June 9, 2015
Sunoco
145 Canal Street
Salem, MA 01970
Dear Owner:
On Wednesday May 13,2015 at 12:55pm personnel from the North Shore/Cape Ann Tobacco Alcohol Policy
Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product
to a minor. A 17 year-old female purchased a tobacco product from a clerk in your store. Documentation is
now on file at the Board of Health regarding that sale.
North Shore Vapor is.in violation of Regulation 24 of the City of Salem Board of Health restricting the sale and use
of tobacco products&nicotine delivery products. According to Section D.,tobacco and nicotine delivery product
sales to minors prohibited;the sale of cigarettes, chewing tobacco, snuff, or any tobacco/nicotine in any of its
forms to any person under the age of twenty-one shall be punished by a fine of($200.00 Hundred Dollar fine)for
the second offense.A 7 day suspension of your tobacco permit to be determined at the next regularly
scheduled Board of Health meeting held on the second Tuesday of the month @ 7pm.
FOLLOWING THE THIRD(3RD)OFFENSE, THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR 30
DAY SUSPENSION OF THE PERMIT.
The North Shore Tobacco Control Program and the Salem Board of Health have worked with you and your
employees to demonstrate methods to ensure compliance with this regulation.
Therefore, you are ordered to pay a fine of$200.00 for the violations stated above. A check or money order
payable to the City of Salem must be at the Board of Health office, 120 Washington Street, 4ch floor,within
ten days of receipt of this notice.
Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A
request for such a hearing must be received in writing in this office of the Board of Health within seven(7)days of
receipt of this Order. At said hearing,you will be given the opportunity to be heard and to present witness and
documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an
attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or
investigation reports, orders,and other documentary information in the possession of this Board, and that any
adverse party has the right to be present at the hearing.
If you have any questions regarding this notification please call me at 978-741-1800.
Sincerely yours,
Larry Ra in
Health Agent
LR/hlp
CERTIFIED MAIL: 7012 1640 0002 3313 0539
cc: North Shore/Cape Ann Tobacco Alcohol Policy Program
Shama Alam, Board of Health Chairperson and Members
Violation Notice
City own Board of Health
lic Health
vent. Promote. Protect.
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This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products
&Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation.'
Name of esta - ishment
Address
Date oT violation Time of violation Minor's a e/gender Minor's ID#
(Ordinance,Sectpn,Regulation) A'1N
Act Constituting Violation)
' information:
Narrative informa ,
. , .
fy
� ,under the pains and penalties-of perjury,that the above report is true to the best of my knowledge
an r.e ef.
IN A
Inspec r i ature) "(Print name)
VE 4 S ,CEA�IE1\1T;.I acknowledge I received this Violation Notice on , 20
atd I am being given a carbon copy of this notice.I also a knowledge that I
have been in ormed t a the Peabody B d 4 Health will provide additional,follow-up information to
this violati n notice.,,
s 1 - /
1 t --
Print name
X_jWner anag /Clerk;Signature ( )
If vendor refuses this Notice or if the inspector feels unsafe in delivering it,an explanation must be
written on.a note attached hereto.Mailing of this Notice is thus required.
Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-58676821 with questions
Establishment-white NSTCP-yellow Board of Health-pink
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CITY OF SALEM, MASSACHUSIJTTS
BOARD OF HEALTH
120 WASHINGTON STREET,4 FLOOR FPublicHea"
romote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramclin@salem.com
L,AR.RY ILIMDIN,RS/RI?F[S,Cf-iO,Cl?-FS
MAYOR I AG 13NT
June 24, 2015
Re: Hearing Request for Tobacco Violations
Global
200 Canal Street
Salem, MA 01970
Dear owner:
The Salem Board of Health requests your presence at the next Board of Health meeting for a
discussion of the tobacco violations at Global on 200 Canal Street. The meeting will be held
Tuesday, July 14, 2015 at City Hall Annex 120 Washington Street 41h Floor, Salem MA 01970
If you have any questions, contact me at 978-741-1800.
Sincerely,
For the Board of Health
Larry Ramdin, Health Agent
LR/HLP
cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, &Joyce Redford,
Director, North Shore/Cape Ann Tobacco Alcohol Policy Program
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CITY OF SALEM, MASSACHUSETTS IV
BOARD OF HEALTH
120 WASHINGTON STREET,4"'FLOOR vPublicHealth
TEL. (978) 741-1800 FAX(978) 745-0343
revent.Promote.Protect.
KIMBERLEY DRISCOLL 1ramdin&sa1em.com
L.\RRY IUMDIN,RS/RI:}IS,ClIO,CP-f�S
MAYOR HF,.11.;I'H AGIiN'I'
June 9, 2015
Global
200 Canal Street
Salem, MA 01970
Dear Owner:
On Wednesday May 13,2015 at 12:25pm personnel from the North Shore/Cape Ann Tobacco Alcohol Policy
Program conducted a compliance check to determine if your permitted establishment would sell a tobacco product
to a minor. A 17 year-old female purchased a tobacco product from a clerk in your store. Documentation is
now on file at the Board of Health regarding that sale.
North Shore Vapor is in violation of Regulation 24 of the City of Salem Board of Health restricting the sale and use
of tobacco products&nicotine delivery products. According to Section D.,tobacco and nicotine delivery product
sales to minors prohibited;the sale of cigarettes,chewing tobacco, snuff, or any tobacco/nicotine in any of its
forms to any person under the age of twenty-one shall be punished by a fine of($300.00 Hundred Dollar fine)for
the third offense. A 30 day suspension or revocation of your tobacco permit to be determined at the next
regularly scheduled Board of Health meeting held on the second Tuesday of the month at 7pm.
FOLLOWING THE THIRD(3RD)OFFENSE, THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR 30
DAY SUSPENSION OF THE PERMIT.
The North Shore Tobacco Control Program and the Salem Board of Health have worked with you and your
employees to demonstrate methods to ensure compliance with this regulation.
Therefore,you are ordered to pay a fine of$300.00 for the violations stated above. A check or money order
payable to the City of Salem must,be at the Board of Health office, 120 Washington Street,4`h floor,within
ten days of receipt of this notice.
Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A
request for such a hearing must be received in writing in this office of the Board of Health within seven(7)days of
receipt of this Order. At said hearing, you will be given the opportunity to be heard and to present witness and
documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an
attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or
investigation reports, orders, and other documentary information in the possession of this Board, and that any
adverse party has the right to be present at the hearing.
If you have any questions regarding this notification please call me at 978-741-1800.
Sincerely yours,
Larry Ramdin
Health Agent
LR/hlp
CERTIFIED MAIL: 7012 1640 0002 3313 0546
cc: North Shore/Cape Ann Tobacco Alcohol Policy Program
Shama Alam, Board of Health Chairperson and Members
j( ? Violation Notice
CGO/7'rown., " Board of Health
blic Health W -
vent. Promote. Protect.
This notice is to inform you that your establishment violated the Board of Health Sale of Tobacco Products
&Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation. .
Name of establishment
rn(YN
Address .
Date af viola on Time of violation Minor's age/gender Minor's ID#
in
inane,Section Regulation)
V-0br
ki L Yl�
(Act Constituting Violation)
Narrative information:
I••SaffirrmntuDdle%
, r the puns aenalties o er what the above report is true to the best of m knowledge
P PJry p Y g
(and Belief.*
eZ,r -
Inspectt + ignatur`e) (Print name) }'
` `: EI\TI�O' STATEMEN : I acknowledge I received this Violation Notice on `� , 20
at AMIPM d I am being given a carbon copy of this notice.I also Acknowledge that I .
E have been informed t a the Peabody Board of Health will provide additional,follow-up information to
this violation notice.
f 1..�.- ems
Owner`/Manager/Clerk(Signature) (Print name)
If vendor refuses this Notice or if the inspector feels.unsafe in delivering it,an explanation must be
written on a note attached hereto.Mailing of this Notice is thus required.
Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions
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June 22, 2015
North Shore VaporZ
300 Highland Ave CI
Salem MA 01970 BCARp Oiz H TH
This letter is in response to the fine sent to North Shore Vapors, received on June
19, 2015 by certified letter.
I would like to request a hearing before the Board of Health pertaining to the fine
received for a violation on May 11, 2015.
Certified letter mailed June 23, 2015, to the City of Salem Board of Health 120
Washington St 4th Floor, within the required 7 days of receipt of order.
Regards,
Alan Kelleher
NS VaporZ
i
• a
CITY OF SALEM, MASSACHUSETTS 10
BOARD OF HEALTH
120 W ASHINGTON STREET 4"t FLOOR NbliCHedth
Prevent.Promote.Protect.
TEL. (978) 741-1800 FAx(978) 745-0343
KIMBERLEY DRISCOLL Iramdin@salem.com
L,1RRY iL1MDIN,KS/KF,HS,CHO,CP-IS
MAYOR HI iU..'n-i AGUINT
June 26, 2015
Re: Hearing Request for Tobacco Violations
North Shore VaporZ
300 Highland Avenue
Salem, MA 01970
Dear owner:
The Salem Board of Health in response to your request will hold a hearing at the next Board of
Health meeting for a discussion of the tobacco violations at North Shore VaporZ 300 Highland
Avenue. The meeting will be held Tuesday, July 14, 2015 7:00pm at City Hall Annex 120
Washington Street 4 Floor, Salem MA 01970
If you have any questions, contact me at 978-741-1800.
Sincerely,
t✓
'4V'--M
For the Board of Health
Larry Ramdin, Health Agent
LR/HLP
cc: Dr. Shama Alam, Chairperson of the Board of Health, Board Members, 8t Joyce Redford,
Director, North Shore/Cape Ann Tobacco Alcohol Policy Program
i
i
•
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET,4"FLOOR PublicHealth
TEL. (978) 741-1800 FAR(978) 745-0343 Prevent.Promote.Protect.
KIMBERLEY DRISCOLL 1ramdinQsa1em.com
MAYOR L:1RRY ILM)IN,RS/Ri3IIS,CI IO,CP-],'�
HLAL'n i A(,1?NT
June 9, 2015
North Shore Vapor
300 Highland Avenue
Salem, MA 01970
Dear Owner:
On Monday May 11,2015 at 5:24pm personnel from the North Shore/Cape Ann Tobacco Alcohol Policy Program
conducted a compliance check to determine if your permitted establishment would sell a tobacco product to a
minor. A 16 year-old female purchased a tobacco product from a clerk in your store and there is a self-
service display. Documentation is now on file at the Board of Health regarding that sale.
North Shore Vapor is in violation of Regulation 24 of the City of Salem Board of Health restricting the sale and use
of tobacco products&nicotine delivery products. According to Section D.,tobacco and nicotine delivery product
sales to minors prohibited;the sale of cigarettes, chewing tobacco, snuff, or any tobacco/nicotine in any of its
forms to any person under the age of twenty-one shall be punished by a fine of($100.00 Hundred Dollar fine)for
the first offense. North Shore Vapors is also in violation of Section J., Self-Service displays:All self-service
displays of tobacco products and/or nicotine delivery products are prohibited and shall be punished by a fine of
($200.00 Hundred Dollar fine)for the second offense within the first visit to your store. No suspension will be
given at this time.
FOLLOWING THE THIRD(3")OFFENSE, THE BOARD MAY CONSIDER POSSIBLE REVOCATION OR
SUSPENSION OF THE PERMIT.
The North Shore Tobacco Control Program and the Salem Board of Health have worked with you and your
employees to demonstrate methods to ensure compliance with this regulation.
Therefore, you are ordered to pay a fine of$300.00 for the violations stated above. A check or money order
payable to the City of Salem must be at the Board of Health office, 120 Washington Street, 4`"floor,within
ten days of receipt of this notice.
Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A
request for such a hearing must be received in writing in this office of the Board of Health within seven(7)days of
receipt of this Order. At said hearing, you will be given the opportunity to be heard and to present witness and
documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an
attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or
investigation reports, orders, and other documentary information in the possession of this Board, and that any
adverse party has the right to be present at the hearing.
If you have any questions regarding this notification please call me at 978-741-1800.
Sincerely yours,
Larry Ramdin
Health Agent
LR/hlp
CERTIFIED MAIL: 7012 1640 0002 3313 0522
cc: North Shore/Cape Ann Tobacco Alcohol Policy Program
Shama Alam, Board of Health Chairperson and Members
' Violation Notice
City f own` Y Board of Health
he Health
vent. Promote. Protect. ,
This notice is to inform-you that your establishment violated the Board of Health Sale of Tobacco Products
&Nicotine Delivery Products and/or Environmental Tobacco Smoke(ETS)Regulation.
r ..
No
Name of establishment
Ad ress
Date Of viol ion Time o .viola 'on Minor's age/gender Minor's ID#
(Ordinanc , ec ion, ilatto r
I
(Act Constituting Violation)
Narrative information: f
VCA
.. - t I;a",under the pains d penalties of perjury,that the above report' e to the best owledge
and belief.
Inspec¢r ignature) (Print name)
} VENDOR S�Eacknowledge I received this Violation Notice on , 20
at" d I am being given a carbon copy.of this notice.I also cknowledge that I
have�teeninmed that the Peabody Board of Health will provide additional,follow-up information to
6 this violation notice.
A
. Cl rk(Signa ure (Print name)
vendor refuses this Notice or if the irispector.feels unsafe in,delivering it,an explanation must be
written on a note attached hereto.Mailing of this Notice is thus required.
Contact the North Shore/Cape Ann Tobacco Alcohol Policy Program at 781-586-6821 with questions ,
Establishment-white NSTCP-yellow Board of Health--pink
A 1Q1� NOV 13 P 1: 0.3 `
CITY OF SALEM. MA
`- Regulation 24 of the City of Salem Board of Health t.�_IKS 0I FICE
Restricting the Sale and Use of Tobacco Products & Nicotine Delivery
Products
A. Statement of Purpose:
Whereas there exists conclusive evidence that tobacco smoke causes cancer, respiratory
and cardiac diseases,negative birth outcomes, irritations to the eyes,nose and throat
(Centers for Disease Control and Prevention(hereinafter"CDC'),Health Effects of Cigarette Smoking
Fact sheet, (January 2012));whereas among the 15.7%of students nationwide who currently
smoked cigarettes and were aged less than eighteen(18)years, 14.1%usually obtained
their own cigarettes by buying them in a store(Le., convenience store,supermarket,or
discount store)or gas station during the thirty(30)days before the survey(CDC, Youth Risk
Behavior,Surveillance Summaries. 2009,MMWR 2010:59(No. SS-55)at 11);whereas nationally in
2000, sixty-nine(69%)percent of middle school age children who smoke at least once a
month were not asked to show proof of age when purchasing cigarettes (CDC, Youth
Tobacco, Surveillance Summaries.2000,A"R 2001:50(No.SS-w));whereas the U.S.
Department of Health and Human Services has concluded that nicotine is as addictive as
cocaine or heroin(U.S Department of Health and Human Services.How Tobacco Smoke Causes
Disease:The Biology and Behavioral Basis for Smoking Attributable Disease:A Report of the Surgeon
General,Atlanta, GA: U.S Department of Health and Human Services, Centers for Disease Control and
Prevention,National Centerfor Chronic Disease Prevention and Health Promotion,Office on Smoking
and Health,2010.);whereas despite state laws prohibiting the sale of tobacco products to
minors, access by minors to tobacco products is a major problem;whereas according to
the CDC, cigarette price increases reduce the demand for cigarettes and thereby reduce
smoking prevalence, cigarette consumption, and youth initiation of smoking(U.S.
Department of Health and Human Services Reducing Tobacco Use:A Report of the Surgeon General.
Atlanta, GA. U.S Department of Health and Human Services, Centers for Disease Control and Prevention,
National Centerfor Chronic Disease Prevention and Health Promotion,Office on Smoking and Health,
2000 at 358);
Whereas the 2012 U.S. Surgeon General's Report on Preventing Tobacco.Use Among
Youth and Young Adults, reports that in 2005 Ringel, Wasserman, &Andreyeva(U.S.
Department of Health and Human Services,Nicotine Addiction,Atlanta,GA: U.S.Department of Health
and Human Services, CDC,National Centerfor Chronic Disease Prevention and Health Promotion, Office
on Smoking and Health, 1988) conducted logistic regression analyses to examine whether
increased cigar prices and state.tobacco control policies affected the rate of cigar use.
(U.S.Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young
Adults,Atlanta GA: U.S.Department ofHealth and Human Services, Centersfor Disease Control and
Prevention National Centerfor Chronic Disease Prevention and Health Promotion, Office on Smoking
and Health,2012 at 706). Using the 1999 and 2000 iterations of the National Youth Tobacco
Survey, Ringel and colleagues analyzed data from 33,632 adolescent participants aged
nine to seventeen. They found that increased cigar prices significantly decreased the
probability of male adolescent cigar use and found that a 10'/o increase in cigar prices
would reduce the sample's cigar use by 3.4% (Ringel JS, Wasserman J,Andreyeva T,Effects of
Public Policy on Adolescents'Cigar Use:Evidence From the National Youth Tobacco Survey, 95 Am.J. —
Pub.Health 995-8(June 1,2005);whereas according to the CDC's youth risk behavior
surveillance system, the percentage of high school students in Massachusetts who
reported the use of cigars within the past 30 days went from 11.8% in 2003 to 14.9%in
2009 (CDC, Youth Risk Behavior.Surveillance Summaries,2009.MMWR 2010,59(No. SS-55)at 72;
CDC, Youth Risk Behavior. Surveillance Summaries,2003.MMWR 2004;53(No.SS-02)at 54); whereas
nicotine levels in cigars are generally much higher than nicotine levels in cigarettes. (Nat'l
Cancer Institute at the Nat 7Inst. of Health, Questions and Answers About Cigar Smoking and Cancer
(Oct. 27, 2010)); —
Whereas commercial Roll Your Own(RYO)machines enable loose, unpackaged tobacco
to be poured into a machine and placed into empty,unpackaged cigarette tubes to be
inhaled by individuals who smoke them This procedure provides risk of contamination
of the tobacco and unsanitary conditions in the machine and is injurious to public health;
whereas commercial Roll Your Own(RYO)machines located in retail stores enable
retailers to sell cigarettes without paying the federal and state excise taxes that are
imposed on conventionally manufactured cigarettes (RYO FILLING STATION,
www.nLofillingstation.com(Feb.27,2012). High excise taxes encourage adult smokers to quit
and deter youth from starting(Kenneth E. garner,Smoking and Health Implications of a Change in
the Federal Cigarettte Excise Tax,255 J.AM.MED.Ass N 1028(1986),Frank J.Chaloupka&Rosalie
Liccardo Pacula, The Impact of Price on Youth Tobacco Use, in 14 SMOKING AND TOBACCO
CONTROL MONOGRAPHS:CHANGING ADOLESCENT SMOKING PREVALENCE 193(U.S.Dep't
Health and Human Services et al. eds., 2001)). Therefore, inexpensive cigarettes, like those
produced from RYO machines,promote the use of tobacco,resulting in a negative impact
on public health and increased health care costs, and severely undercut the evidence-
based public health benefit of imposing high excise taxes on tobacco;
Whereas the sale of tobacco products and nicotine delivery products are incompatible
with the mission of health care institutions because they are detrimental to the public
health and undermine efforts to educate patients on the safe and effective use of
medication;
Whereas educational institutions sell tobacco products to a younger population, which is
particularly at risk for becoming smokers and such sale of tobacco products and nicotine
delivery products are incompatible with the mission of educational institutions that
educate a younger population about social, environmental and health risks and harms;
Now,therefore it is the intention of the City of Salem Board of Health to regulate the
access of tobacco products and nicotine delivery products.
B.Authority:
This regulation is promulgated pursuant to the authority granted to the City of Salem
Board of Health by Massachusetts General Laws Chapter 111, Section 31 that "Boards of
Health may make reasonable health regulations".
C. Definitions:
For the purpose of this regulation,the following words shall have the following
meanings:
Blunt Wrap: Any tobacco product manufactured or packaged as a wrap or as a hollow
tube made wholly or in part from tobacco that is designed or intended to be filled by the
consumer with loose tobacco or other fillers.
1
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NORTH SHORE Contact: Laura Fleming, NSMC
MEDICAL CENTER (978) 354-2060
Email: Ifleming2@partners.org
NSMC announces improved plan for better care
and healthier communities
Salem Hospital to expand; Former Spaulding site part of the plan
(EMBARGOED for release until 3 p.m., EST,Tuesday,June 30, 2015)Salem, Mass. —North Shore
Medical Center (NSMC) and Partners HealthCare announced today a revised restructuring plan that
improves care and coordination across a wide spectrum of health services. This plan realigns practices
and facilities to make high-quality care more effective and efficient and improves access to the
community-based care that North Shore residents use most. It builds on a similar plan announced
two years ago that was revised in light of Spaulding Hospital North Shore's decision to close later this
year.
Key elements of the plan include:
• Consolidating NSMC hospital-based medical, surgical and behavioral health services on one
campus at Salem Hospital and expanding and improving that facility to serve the needs of the
North Shore region. All inpatient services currently based at NSMC's Union Hospital Campus will
be consolidated at Salem Hospital over the course of the next three years.
• Converting the current Spaulding Hospital North Shore, located on the campus of NSMC Salem
Hospital,to a 100+-bed Center of Excellence in Behavioral Health that will be directly aligned with
Massachusetts General Hospital and add 40-50 new beds to the region for psychiatry and
behavioral health services. Spaulding's decision to close its long-term care facility presents NSMC
with new opportunities for configuring its care facilities.
• Expanding community-based outpatient primary, specialty, urgent care and behavioral health
services throughout the North Shore at North Shore Physicians Group (NSPG) offices, and in
collaboration with the Lynn Community Health Center and North Shore Community Health
Center.
The robust NSPG practice currently on the Union Campus will remain in Lynn and will give residents
and Union neighbors access to expanded outpatient primary, specialty and behavioral health
services. We remain fully committed to providing emergency care to our communities in Lynn, Salem
and throughout the region. In addition to the expanded Emergency Department in Salem,we will
continue to operate the current Emergency Department on the Union Campus over the transition of
the next several years and will work with the city and community to ensure a long-term approach
that is inclusive and meets their needs.
•
According to NSMC President Robert G. Norton, "We are confident that this plan succeeds in
delivering the highest quality care to our patients in a comprehensive and thoughtful way. In the new
heath care environment,this plan will help us better coordinate care, improve quality and more
• effectively contribute to the overall health of our communities."
Support for the plan was echoed by NSMC's trustees. "As members of this community, we have a
special commitment to ensuring that NSMC delivers care of the highest quality and value," said
Richard Holbrook, Chairman and CEO of Eastern Bank and Chairman of the NSMC Board of Trustees.
"We are investing more than $200 million in our communities because we believe this is the best plan
for the patients and families of the North Shore."
Meeting a critical need
Plans also focus on expanding services to help meet the overwhelming demand for addiction
treatment, a priority shared by Governor Baker and communities across Massachusetts. The Center
of Excellence in Behavioral Health will integrate addiction treatment with inpatient and outpatient
psychiatry, behavioral health services and further development of community based programs. "The
synergies created by bringing together the best of academic and community care will help meet the
region's needs at a time when these critical services are in great demand," says Jerrold F. Rosenbaum,
M.D., chief of Psychiatry at Massachusetts General Hospital.
The NSMC plan also addresses the clinical and financial challenges of providing the highest level of
inpatient care -- including the demand for more and more sophisticated technology and specialized
clinical expertise, despite declining census-- in two inpatient facilities that are less than six miles
apart.
Improvements on the Salem Campus
To accommodate the consolidation of medical, surgical and behavioral health services, NSMC will
build a new Emergency Department and two additional family-centered inpatient units at NSMC
Salem Hospital. The former Spaulding Hospital North Shore will be renovated to accommodate
expanded behavioral health services for children, adolescents, adults and seniors. Key access areas
such as the hospital's main entrance and green spaces will also be reconfigured and renovated to
improve way finding and provide a more welcoming and efficient patient experience. "Consolidating
services is vital to enhancing quality of care and improving the patient experience," says Mitchell S.
Rein, M.D., NSMC Senior Vice President and Chief Medical Officer. "With a single hospital, we can
provide deeper specialization, better coordination of care and enhanced safety."
Robust primary, specialty and urgent care to expand in Lynn
As care increasingly shifts from inpatient to outpatient settings and the role of primary care expands,
NSMC will be expanding its North Shore Physicians Group (NSPG) practices in Lynn. These expanded
services will include primary, specialty and urgent care and associated outpatient services that will
serve a wide range of health care needs of local residents. Even with this expansion, however,the
medical center will be left with a significant amount of excess property on the Union Hospital site, so
it will engage with Lynn city officials and the Lynn community about the best options for reuse.
• Continued investment in community health
The plan includes continued investment in community health that builds on years of collaboration
with community organizations,the Lynn Community Health Center and the North Shore Community
Health Center to increase access to a spectrum of care. In addition to providing support for
vulnerable populations, NSMC will be collaborating to address obesity, addiction and teen pregnancy
in local communities.
More integrated care improves quality,coordination
Integral to the plan are new models of care at NSMC that improve coordination, efficiency and safety.
One example is the Integrated Care Management Program that is helping NSMC to manage its most
complex patients, by using early intervention and better care coordination to prevent admissions and
unnecessary emergency room visits. And NSMC is investing in Partners eCare,the electronic
healthcare system that enables all caregivers in the Partners system to access their patients' health
information at any time, enhancing coordination, quality and safety.
"By making the best use of health care resources available in the region to the greatest benefit of
patients in the area, we are advancing the goals of population health management," says Norton.
"Furthermore, by caring for patients within a coordinated system, we can monitor the quality of their
care more effectively and avoid repetitive procedures, such as tests and imaging that can happen
when a patient sees a number of disconnected providers."
Mission remains unchanged
"Our mission to provide the finest care to the patients of greater Lynn, Salem and throughout the
North Shore will never change," says Norton. "We believe that this consolidation coupled with the
• investments in primary, urgent, and specialty care, behavioral health services, care coordination and
community health resources is in the best long-term interests of the communities we serve. In short,
we will offer increased access, better care, and lower costs."
NSMC(North Shore Medical Center)is a multi-site health system headquartered in Salem, Mass.,
which includes NSMC Salem Hospital, NSMC Union Hospital in Lynn, MassGeneral for Children at
North Shore Medical Center, NSMC Heart Center and the physician network known as North Shore
Physicians Group. NSMC and Massachusetts General Hospital together provide care at the Mass
General/North Shore Center for Outpatient Care and the Mass General/North Shore Cancer Center in
Danvers. NSMC is a member of Partners HealthCare. For more information, please visit our website
at nsm c.partn ers.org
Partners HealthCare is an integrated health system founded by Brigham and Women's Hospital and
Massachusetts General Hospital. In addition to its two academic medical centers, the Partners system
includes community and specialty hospitals(including NSMC and Spaulding), a managed care
organization, community health centers, a physician network, home health and long-term care
services, and other health-related entities. Partners HealthCare is one of the nation's leading
biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
Partners HealthCare is a non-profit organization. For more information, please visit
http://Www.partners.orgl.
To: NSMC Physicians, Employees and Volunteers
• From: Robert G.Norton, President
Date: June 30, 2015
Subject: Moving forward with plans for NSMC's future
I have the great privilege of representing NSMC at many forums where I often hear firsthand about the many ways
each of you has profoundly affected the lives of local patients and families. These stories reinforce how vital our
mission remains to the communities we serve. Today I am reaching out to you to share important steps for
advancing that mission for decades to come.
As many of you recall, two years ago we announced a plan to reconfigure the way we provide care in our
communities, improve clinical quality, expand access to vital services and maximize our resources for greater
impact. That plan included medical and surgical consolidation of our Lynn and Salem campuses as well as
significant investment in community and behavioral health, primary care expansion, and chronic disease
management—all reflecting a new model of care designed to meet the needs of North Shore patients and families
more effectively.
Despite the delay in our inpatient construction, essential elements of the plan have advanced significantly over the
past two years including the opening of North Shore Urgent Care in Danvers to provide a more efficient model for
emergency care. We have also expanded our primary care network--a key building block to increasing access to
care--welcoming 18 primary care physicians to North Shore Physicians Group (NSPG)and our affiliated practices
and community health centers since 2013. Additionally, 10 of our NSPG primary care practices have earned
• certification as Patient Centered Medical Homes, by focusing on disease prevention and highly-coordinated care
management while meeting exceptional standards for patient care and service.
We have continued to fortify important programs with community health centers and organizations including high-
risk patient management programs for our most vulnerable patients and increased access to addiction care. Within
our hospitals, a new approach to performance improvement has advanced patient care quality, safety, and
performance, and helped us tackle some of the most vexing challenges in our facilities today. Your insights and
experience are vital to this work and our journey to more effective and patient-centered care.
More recently, the decision that Spaulding North Shore would close its inpatient facility on the Salem Campus has
opened new opportunities for us to further improve our original plan. We are now prepared to move forward and
are confident that the revised plan is even more effective in delivering high quality care in a thoughtful and
comprehensive way.
Our updated plan calls for consolidating all hospital-based medical, surgical, and behavioral health services on one
regional campus in Salem. All inpatient services currently on the Union Campus will be consolidated at Salem
over the course of the next three years.The Center of Excellence in Behavioral Health originally planned for the
Union Campus now will be located in Salem in the current Spaulding North Shore building.
To ensure that we have the capacity to care for all of the patients and communities we serve, we are making a
significant investment in a new state-of-the-art Emergency Department and two additional family-centered
• inpatient units on the Salem Campus. The new construction will be sited on the Spaulding/Dove Ave. side of the
campus between the current Davenport and Spaulding North Shore buildings. To ease traffic flow, plans also
include construction of an access road from the Highland Avenue side of the campus to the Spaulding/Dove Ave.
side. Key access areas including the hospital's main entrance and green spaces will be reconfigured to improve way
finding and provide a more welcoming patient experience.
The robust NSPG practice on the Union Campus will remain in Lynn and will give residents and Union neighbors
access to expanded outpatient primary, specialty and behavioral health services, keeping these services convenient
and close to home. We remain fully committed to providing emergency care to our communities in Lynn, Salem
and throughout the region. In addition to the expanded Emergency Department in Salem, we will continue to
operate the current Emergency Department on the Union Campus over the transition of the next several years and
will work with the city and community to ensure a long-term approach that is inclusive and meets their needs.
Even with expanded NSPG services, this plan will leave us with a significant amount of excess property on the
Union Campus, so we will engage with Lynn city officials and community members about the best options for
reuse. As we define the future vision for the Union Campus, we will readdress the question about where to locate
our Lynn-based services to best meet the needs of our communities. As always, we will continue to support and
collaborate with our affiliated community health centers,to ensure access to a robust spectrum of care in Lynn,
Salem and beyond.
The Center of Excellence in Behavioral Health will include inpatient and outpatient psychiatry, behavioral health
and addiction care for adults, children, adolescents and seniors and be directly aligned with Massachusetts General
Hospital. We will expand inpatient care to more than 100 beds, adding 40-50 to our current capacity and
developing specialized services on these units. The current Adult Psychiatry unit on Axelrod 7 East will relocate to
the renovated floors in Spaulding as well. Plans also call for expanding services to help meet the overwhelming
demand for addiction treatment, a priority we share with Governor Baker and communities throughout the
. Commonwealth. By integrating behavioral, medical and surgical facilities on one campus we will be better
equipped to manage the complex needs of our patients. Furthermore, the synergies created by bringing together the
best of academic and community care will help meet the region's need at a time when critical services are in great
demand.
We expect that this plan will take a total of three years to implement fully, during which time Union Hospital will
remain open. Construction will be staged, however, which may enable some inpatient services to move sooner
within that time frame.
We recognize that this is a significant turning point for NSMC and that these decisions affect the lives and
livelihoods of our nurses, staff, physicians and patients, so we will work with all affected staff members to help
with the transition. Our commitment to you in the months ahead is to provide communication, support and
opportunities for input and open dialogue. We have scheduled Town Meetings on both campuses (details below)
and encourage you to come hear more details and discuss your concerns. In the meantime, please talk with your
directors and vice presidents to share your questions and thoughts.
In all of the stories I hear about NSMC, it is clear that each of you makes an extraordinary difference in caring for
your communities and advancing our important mission. We believe that this plan is the best way for your
important work to continue and that consolidation, coupled with continued development of primary, urgent and
specialty care, behavioral health, care coordination and community health resources is in the best interest of the
communities we serve. Thank you for your continued dedication, service and compassion.
Town Meetings: Union: Today,3:30 p.m. in the Cafeteria
Salem: Today, 5:30 p.m. in D102
i
Overdose variables-Salem Calendar Year 2015 2013 87
11 FATALS 95 ods 2014 124
Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15
#Overdoses 16 10 10 10 15 9 14 6 13
#Fatal 1 1 1 0 2 3 2 1 2
Gender Male 9 4 8 5 11 8 10 3 3
Female 6 5 1 4 41 1 4 3 1
Age <25 3 1 1 2 4 1 2 4
25-30 4 4 2 4 1 2 5 1 1
31-40 4 3 4 2 8 3 4 2
41-50 3 1 1 1 2 3 1
51+ 1 1 1 1 1 2 1 1
Race/Ethnicity White/Non-Hisp 15 9 8 9 14 7 14 6 2
African American 1
Hispanic 1 2
Asian
Unknown
Mode of use 11V 7 5 5 4 4
Sniffing 1 2 3 1
Mixing* 5 1,ALC 3,alc
Rx Opiates 1 2 1 1
Relapse/Low tolerance 1 WEEK 1 6M, 2 J 13M, 1m
crushed percocet and
*If indiviudal admits to mixing opiates and other drugs,what were they?
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9
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40
TABLE OF CONTENTS
I.ABSTRACT..........................
II. REPORT TEAM ....................................................................
III. INTRODUCTION .....................
IV.THE COMMUNITY MOBILIZATION LANDSCAPE ........................................
V. SCENARIO FOR A NEW COMMUNITY SUBSTANCE ABUSE COALITION.......................
VI. RECOMMENDATIONS FOR POLICY MAKERS AND HEALTH OFFICIALS
1. Support Local and Regional Coalitions to Enhance Collective Impact.......................8
a. Fund Start-Up Grants for Local Coalitions and Expand Regional Efforts
b. Improve Statewide Coalition Coordination and Information Dissemination
c. Convene More In-Person Meetings
d. Create an Online Resource Repository
2. Develop Prevention Curricula for Students and Parents.............................
1
3. Make Available More Timely, Comprehensive Data .................................................... 11
4. Provide More Treatment Resources, Including Beds ...................................................1 I
S. Change Practices in Prescription of Pain Medications .......................
6. Don't Lose Focus on Non-Opioid Substances 11
..............................................................12
7. Use Media Campaigns to Create Public Aware 12
ness and Action .................................
8. Encourage Policy Makers to Become Better Informed ................................................ 12
VII.APPENDICES
A. SUCCESSES, CHALLENGES AND LESSONS LEARNED
• What's Worked Well .....................................................14
• Challenges ......................................................
• Most Important Factors for Effectiveness ................. 18
• Advice for Other Communities ....................................19
B. 152 PROGRAMS AND ACTIVITIES .......................:....................................................:
C. RESPONDENT AND COMMUNITY THUMBNAILS 3
D. ACKNOWLEDGMENTS .......................
E. MASSTAPP DESCRIPTION �••�••�����•..••.•....•.•.•..•....'.•" 0
.................................................................................................41
F. ABBREVIATIONS
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
U"'° 617-965-3711 • www.mahealthcouncil.org
�K
2
BMWs
TABLE OF CONTENTS
I.ABSTRACT....................................................................
II. REPORT TEAM ......................
III. INTRODUCTION
IV.THE COMMUNITY MOBILIZATION LANDSCAPE ........................................
V. SCENARIO FOR A NEW COMMUNITY SUBSTANCE ABUSE COALITION ............................7
VI. RECOMMENDATIONS FOR POLICY MAKERS AND HEALTH OFFICIALS
1. Support Local and Regional Coalitions to Enhance Collective Impact.......................8
a. Fund Start-Up Grants for Local Coalitions and Expand Regional Efforts
b. Improve Statewide Coalition Coordination and Information Dissemination i
c. Convene More In-Person Meetings
d. Create an Online Resource Repository
2. Develop Prevention Curricula for Students and Parents ............................................. 10
3. Make Available More Timely, Comprehensive Data .................................................... 11
4. Provide More Treatment Resources, Including Beds ...................................
S. Change Practices in Prescription of Pain Medications """'' 11
6. Don't Lose Focus on Non-Opioid Substances ......• 11
7. Use Media Campaigns to Create Public Awareness and Action ...........................
8. Encourage Policy Makers to Become Better Informed
VII.APPENDICES
A. SUCCESSES, CHALLENGES AND LESSONS LEARNED
• What's Worked Well .....................................................14
• Challenges .........................................
• Most Important Factors for Effectiveness ................. 18
• Advice for Other Communities....................................19
B. 152 PROGRAMS AND ACTIVITIES .......................:..........................................
C. RESPONDENT AND COMMUNITY THUMBNAILS 3
D. ACKNOWLEDGMENTS ......................................................................
E. MASSTAPP DESCRIPTION """"••••••••••••••••••••••• 40
.................................................................................................41
F. ABBREVIATIONS
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
UZI@
617-965-3711 • www.mahealthcouncil.org
2
Community substance abuse prevention coalitions are reflections of a growing understanding that
multi-sector, multi-pronged approaches are needed for collective impact in order to address an
epidemic in Massachusetts of overdose deaths from heroin and other opiates. Coalitions vary
greatly, however, in funding, leadership, member makeup, level of participation, programs and
effectiveness. A diverse sample of local and regional coalition coordinators across the state were
interviewed. They were passionate and hard-working but some felt isolated with insufficient
support and are running a risk of burn-out. They expressed a need for reliable funding, technical
assistance, better information about what's happening around the state and more opportunities
to meet with statewide peers. Recommendations for policy makers involve funding, the creation
of an online resource repository and more opportunities for interaction among coalition leaders.
Additional recommendations involve school prevention curricula, media campaigns, prescribing
practices, expanding access to treatment and suggestions for how legislators can become better
informed. Also included are successes and challenges described by respondents, advice for other
communities and a list of 152 reported coalition initiatives and activities.
d
t.
Jeffrey R. Stone, MBA
Director of Programs
Principal Researcher
Susan H. Servais
Executive Director
Carol Pryor, MPH
Editorial Consultant
Liana Jaeger
Research Assistant
Massachusetts Health Council,200 Reservoir Street,Suite 101,Needham,MA 02494
U
617-965-3711 • www.mahealthcouncii.org 3
f 'y
CI
In late 2012, the Massachusetts Health Council published the 7th edition of our health status
indicators report, "Common Health for the Commonwealth."The report documented a dangerous
spike in opioid addiction and overdose deaths, particularly in several hard hit areas of the state.
Media coverage of our report and subsequent news stories about opioid overdoses in various
cities set off an alarm that immediate action was needed to address the issue statewide.
Two years later, our 2014 indicators report documented that the opioid addiction and overdose
problem had gotten worse... except in a few cities and towns that were addressing the problem
head on and seeing positive results. In the same year, the opioid overdose epidemic in
Massachusetts was declared a public health emergency.A key component of the statewide effort
is promoting effective community mobilization through the formation of multi-sector task forces
and coalitions at both the local and regional levels, with roles for everyone in helping to promote
awareness, prevention, intervention, treatment and recovery. The term "multipronged effort" has
never been more appropriate.
Many city and towns across the Commonwealth have taken up the challenge and are doing
important work to address the issue of substance abuse within their communities. The
Massachusetts Health Council wanted to know what they are doing and what successes they have
achieved in the hope that others can replicate some of these efforts to respond to the opioid
problem in their own communities. Our desire to bring that information forward was the impetus
for this research paper.
This report focuses particularly on the formation,organization,and coordination of local
coalitions and task forces.Through telephone and in-person interviews with community
coordinators and collaborating agencies, we collected data to assess what coalitions are doing at
the local level and what they view as their successes. We conducted the interviews with
coordinators of 21 local and regional substance abuse prevention coalitions across the state in
February and March of 2015. Our sample includes large and small communities and long-
established and new coalitions. We gathered information from at least one group in each of the 14
counties in the Commonwealth. We delved into the "who, how, what, when, where and why"of
these coalitions, including current activities, challenges they face and recommendations for other
communities.
We wish to spotlight the critical role community substance abuse prevention coalitions can play
-whether they are based in cities,towns, neighborhoods or regions-and the need to support
them in multiple ways to enhance their effectiveness and sustainability.Their coordinators,
collaborating partners and volunteers are the people on the ground doing the intense)
personal
work of mobilizing the whole community. They are pounding the pavement; collecting data; doing
strategic planning;and working with people with Substance Use Disorders, local police, district
attorneys, drug courts, high schools, middle schools, elected officials, parent groups,treatment
centers, houses of worship, support groups, prescribers and pharmacies, the business community,
councils on aging, civic groups and many others.
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
�m
617-965-3711 • www.mahealthcouncil.org
4
- i
In late 2012, the Massachusetts Health Council published the 7th edition of our health status
indicators report, "Common Health for the Commonwealth."The report documented a dangerous
spike in opioid addiction and overdose deaths, particularly in several hard hit areas of the state.
Media coverage of our report and subsequent news stories about opioid overdoses in various
cities set off an alarm that immediate action was needed to address the issue statewide.
Two years later, our 2014 indicators report documented that the opioid addiction and overdose
problem had gotten worse... except in a few cities and towns that were addressing the problem
head on and seeing positive results. In the same year,the opioid overdose epidemic in
Massachusetts was declared a public health emergency.A key component of the statewide effort
is promoting effective community mobilization through the formation of multi-sector task forces
and coalitions at both the local and regional levels, with roles for everyone in helping to promote
awareness, prevention, intervention,treatment and recovery. The term "multipronged effort"has
never been more appropriate.
Many city and towns across the Commonwealth have taken up the challenge and are doing
important work to address the issue of substance abuse within their communities. The
Massachusetts Health Council wanted to know what they are doing and what successes they have
achieved in the hope that others can replicate some of these efforts to respond to the opioid
problem in their own communities. Our desire to bring that information forward was the impetus
for this research paper.
This report focuses particularly on the formation,organization,and coordination of local
coalitions and task forces.Through telephone and in-person interviews with community
coordinators and collaborating agencies,we collected data to assess what coalitions are doing at
the local level and what they view as their successes. We conducted the interviews with
coordinators of 21 local and regional substance abuse prevention coalitions across the state in
February and March of 2015. Our sample includes large and small communities and long-
established and new coalitions. We gathered information from at least one group in each of the 14
counties in the Commonwealth. We delved into the "who, how, what, when, where and why"of
these coalitions, including current activities, challenges they face and recommendations for other
communities.
We wish to spotlight the critical role community substance abuse prevention coalitions can play
-whether they are based in cities,towns,neighborhoods or regions-and the need to support
them in multiple ways to enhance their effectiveness and sustainability.Their coordinators,
collaborating partners and volunteers are the people on the ground doing the intense)
y personal
work of mobilizing the whole community. They are pounding the pavement;collecting data; doing
strategic planning; and working with people with Substance Use Disorders, local police,district
attorneys, drug courts, high schools, middle schools, elected officials, parent groups,treatment
centers, houses of worship, support groups, prescribers and pharmacies, the business community,
councils on aging, civic groups and many others.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
a 617-965-3711 • www.mahealthcouncil.org
4
Many of our substance use prevention coalitions have existed for a long time, usually targeting
youth and usually focusing on alcohol and marijuana, rather than heroin and other opioids. In the
past two or three years,they have responded to the dramatic increase in heroin use and
overdoses. In addition, many new coalitions have formed.Their coordinators and directors are
invariably passionate and willing to share everything they know about what works, but concerned
about sustainability if their coalition runs out of funding.Some coalitions are unfunded and this is
not the kind of work that unpaid volunteers can shoulder for very long.
We offer this research paper to policy makers, health officials and Massachusetts communities as
an informative snapshot of varied community approaches in early 2015. It is our hope that
community coalitions will utilize some of organizing tips, program ideas and moral support offered
by their peers in this report as they set up their own coalitions to fight opioid abuse and other
substances on the local level. We also hope that policy makers will consider the funding and policy
recommendations to support the coalitions themselves and to effect environmental changes that
will prevent substance abuse and help those with Substance Use Disorder to get treatment and
move to recovery.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
617-965-3711 • www.mahealthcouncii.org
(—j—jg
5
The substance use prevention coalitions in Massachusetts that we studied are organized in a
variety of ways. Some that have existed autonomously for years within a single community are
now becoming part of the Massachusetts Overdose Abuse Prevention Collaborative (MOAPC)
coalitions of contiguous communities,funded by the Massachusetts Department of Public Health's
(DPH) Bureau of Substance Abuse Services (BSAS). Others are collaborating, at least on the level of
information-sharing, via local Community Health Network Areas (CHNA's), District Attorneys'
regional initiatives or other multi-community efforts..Some are involved in several overlapping
collective efforts.There is, however, a distinct ethos of sharing among those working hard to
address the crisis and they find invaluable the multiple opportunities to network with peers and
exchange information and best practices.
There are also a variety of funding streams for substance abuse prevention coalitions. Some
coalitions receive funding from multiple sources, while some are unfunded and depend on
volunteer efforts and in-kind contributions of time, media, materials and so on. Federally
supported Drug-Free Communities (DFC)grants,which supply up to$125,000 per year for up to
ten years, have had a huge impact.These grants require adherence to the Strategic Prevention
Framework(SPF), a deliberate, step-by-step process designed to achieve sustained, community-
level impacts. They also require that coalitions recruit members from 12 community sectors to
ensure broad-based input and participation in prevention efforts.Almost all coalitions include as
core members municipal police, fire and health departments, as well as the local public schools.
State-funded MOAPC cluster grants require regional coalitions to follow a clear process as well.
MOAPC grants pay for technical assistance to participating communities from the Massachusetts
Technical Assistance Partnership for Prevention (MassTAPP), an agency that contracts with BSAS
to guide community coalitions in key functions such as planning, capacity building, and use of data.
While most long-established substance use prevention coalitions in Massachusetts have been
focused on youth and on alcohol, marijuana and tobacco, a few have focused for many years on
heroin. Although they are experienced in this area, the dramatic increase in heroin overdoses in
the past two to three years has been a huge challenge for them. Thus longstanding coalitions as
well as brand-new ones are grappling with the unexpected surge in both fatal and non-fatal
overdoses. Coalitions are taking on this challenge while simultaneously preparing for the opening
of medical marijuana facilities in their communities.
Once established,groups typically meet monthly or every other month.They organize a wide
range of prevention-related activities—listed in this report—that typically involve working with
school-age youth,the general community,those who prescribe potentially addictive prescription
painkillers,and pharmacists who fill those prescriptions. Many coalitions go beyond prevention
and try to help those with Substance Use Disorders (SUDS) identify treatment and recovery
services. They also may advocate for greater resources for these services, which are currently not
sufficient to meet the dramatically increased need. •
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham, MA 02494
617-965-3711 ! www.mahealthcouncil.org
uK
6
The substance use prevention coalitions in Massachusetts that we studied are organized in a
variety of ways. Some that have existed autonomously for years within a single community are
now becoming part of the Massachusetts Overdose Abuse Prevention Collaborative (MOAPC)
coalitions of contiguous communities,funded by the Massachusetts Department of Public Health's
(DPH) Bureau of Substance Abuse Services (BSAS). Others are collaborating, at least on the level of
information-sharing, via local Community Health Network Areas (CHNA's), District Attorneys'
regional initiatives or other multi-community efforts..Some are involved in several overlapping
collective efforts.There is, however,a distinct ethos of sharing among those working hard to
address the crisis and they find invaluable the multiple opportunities to network with peers and
exchange information and best practices.
There are also a variety of funding streams for substance abuse prevention coalitions. Some
coalitions receive funding from multiple sources, while some are unfunded and depend on
volunteer efforts and in-kind contributions of time, media, materials and so on. Federally
supported Drug-Free Communities (DFC)grants, which supply up to$125,000 per year for up to
ten years, have had a huge impact. These grants require adherence to the Strategic Prevention
Framework(SPF), a deliberate, step-by-step process designed to achieve sustained,community-
level impacts. They also require that coalitions recruit members from 12 community sectors to
ensure broad-based input and participation in prevention efforts.Almost all coalitions include as i core members municipal police, fire and health departments, as well as the local public schools.
State-funded MOAPC cluster grants require regional coalitions to follow a clear process as well.
MOAPC grants pay for technical assistance to participating communities from the Massachusetts
Technical Assistance Partnership for Prevention (MassTAPP), an agency that contracts with BSAS
to guide community coalitions in key functions such as planning, capacity building, and use of data.
While most long-established substance use prevention coalitions in Massachusetts have been
focused on youth and on alcohol, marijuana and tobacco, a few have focused for many years on
heroin. Although they are experienced in this area, the dramatic increase in heroin overdoses in
the past two to three years has been a huge challenge for them. Thus longstanding coalitions as
well as brand-new ones are grappling with the unexpected surge in both fatal and non-fatal
overdoses. Coalitions are taking on this challenge while simultaneously preparing for the opening
of medical marijuana facilities in their communities.
Once established,groups typically meet monthly or every other month. They organize a wide
range of prevention-related activities—listed in this report—that typically involve working with
school-age youth, the general community,those who prescribe potentially addictive prescription
painkillers, and pharmacists who fill those prescriptions. Many coalitions go beyond prevention
and try to help those with Substance Use Disorders (SUDS) identify treatment and recovery
services.They also may advocate for greater resources for these services,which are currently not
sufficient to meet the dramatically increased need.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
8 617-965-3711 • www.mahealthcouncil.org
6
' Me 7e
Based on data and survey results collected for this research paper, a set of"best practices" has
emerged for mobilizing a substance abuse coalition. Each community is unique, of course, and the
following scenario combines elements from all of the communities we studied.
In 2012,two deaths by opioid overdose of residents in the 25-35 age range occur in a
Massachusetts town, and two high school students in the town have had non-fatal opioid
overdoses.An anonymous student survey conducted every two years indicates a slight increase in
use of prescription painkillers by high school students.
The principal of the high school and the head of the town's health department touch base
informally and decide to request a meeting with the police chief.They all agree that a larger
meeting should be convened among adults to discuss opioid use among the town's youth.The
high school has a Students Against Destructive Decisions (SADD) chapter that has not been very
active in recent years.
A new core group emerges.The principal, health department head, and police chief invite a variety
of people to an initial meeting: a selectman,the superintendent of schools, residents involved in
youth sports, health education teachers, a popular coach, a school-based police officer, and
several others.At the meeting, some people report that three nearby towns have recently formed
coalitions on the same issue and a regional meeting is coming up.
The group agrees to reach out to their contacts in nearby towns to find out what they are doing,
who is leading the effort, and if they have funding to support their efforts. From this outreach,
they learn about grant programs available to communities willing to mobilize themselves to
address substance and opioid abuse by engaging all "sectors" in their communities and following a
prescribed strategic planning process.
Members of the new working group attend a meeting of the regional information-sharing group,
where they meet peers from other towns.They learn how existing coalitions got started and how
they secured state grants and applied for other funding.The informal working group officially
chooses a name for itself and commits to work on the perceived threat to the lives and health of
people in their town.
The health department initially commits a staff person part-time to coordinating meetings.This
person diligently sends out frequent and timely communications and reminders.The group
secures a state grant and begins a process of outreach, engaging anyone and everyone who is
affected by substance abuse or can provide data or participate in town-wide efforts to promote
awareness and prevention. It builds an active membership of 50 people,of whom about 25 attend
meetings every two months. New subcommittees work on specific tasks and report back at
meetings.The high school begins a new substance abuse prevention group, following a successful
• model in a nearby town. With the funds it has secured,the coalition recruits a full-time
coordinator to help plan and implement an effective, multi-pronged prevention program.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
Um
617-965-3711 • www.mahealthcouncii.org
7
Recommendations for
Policy Makers and Health Officials
From Survey Respondents
NIV EA:
DO MU
a. Fund Start-Up Grants for Local Coalitions and Expand Regional Efforts
b. Improve Statewide Coalition Coordination and Information Dissemination
C. Convene More In-Person Meetings
d. Create an Online Resource Repository
Mobilizing communities to form substance abuse prevention coalitions to support joint action is as
essential to this fight as the work of the coalitions' individual members from various sectors.As
critical as police, EMTs, hospitals, school personnel, courts, health departments and others are,
they would not be nearly as effective in the battle against opioid overdoses if they were not
working strategically together. The whole is truly greater than the sum of the parts. .
Although org
anizing,ganizing, coordinating and maintainingsubstance a abuse coalition is rewarding work,
it can also be personally intense and emotionally demanding. Underage drinking coalitions have
been around a long time but many have added new areas of focus on the opioid epidemic and the
arrival of medical marijuana. New coalitions in particular are engaged in outreach to community
members who may not be r
Y receptive or cooperative. Their
soldiers eir founders and coordinators are the foot
who drive the work and need support. According to some of our survey respondents:
"Infor
mation shar
ing needs to be improved across state-funded, federally-funded agencies and
unfunded coalitions- and there are lots of unfunded coalitions. Some groups have no training at
all. People need training."
Everyone in the fight is working really hard and they sometimes forget they themselves need help
to stay effective and avoid the real risk of burn-out. Prevention advocates can feel isolated within
their communities as they try to change policy and social norms.The high intensity of the work
necessitates a correspondingly high level of support both for those interacting directly with people
with Substance Use Disorders as well as those doing outreach and organizing.
a. Provide Start-Up Grants for Local Coalitions and Expand Regional Efforts
Establish and publicize an easily accessible start-up grant program to communities for substance
abuse prevention activities. Many communities in the Commonwealth started their coalitions
successfully with small grants of around$2,500 from such funding sources as Mass in Motion or
CHNAs. Availability of such sources, however, is inconsistent.Also, expand and promote the •
MOAPC cluster grant program: •
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
VK 617-965-3711 • www.mahealthcouncil.org
�m
8
o
Recommendations for
Policy Makers and Health Officials
From Survey Respondents
a. Fund Start-Up Grants for Local Coalitions and Expand Regional Efforts
b. Improve Statewide Coalition Coordination and Information Dissemination
c. Convene More In-Person Meetings
d. Create an Online Resource Repository
Mobilizing communities to form substance abuse prevention coalitions to support joint action is as
essential to this fight as the work of the coalitions' individual members from various sectors.As
critical as police, EMTs, hospitals,school personnel, courts, health departments and others are,
they would not be nearly as effective in the battle against opioid overdoses if they were not
. working strategically together.The whole is truly greater than the sum of the parts.
Although organizing, coordinating and maintaining a substance abuse coalition is rewarding work,
it can also be personally intense and emotionally demanding. Underage drinking coalitions have
been around a long time but many have added new areas of focus on the opioid epidemic and the
arrival of medical marijuana. New coalitions in particular are engaged in outreach to community
members who may not be receptive or cooperative. Their founders and coordinators are the foot
soldiers who drive the work and need support. According to some of our survey respondents:
"Information sharing needs to be improved across state-funded, federally-funded agencies and
unfunded coalitions-and there are lots of unfunded coalitions. Some groups have no training at
all. People need training."
Everyone in the fight is working really hard and they sometimes forget they themselves need help
to stay effective and avoid the real risk of burn-out. Prevention advocates can feel isolated within
their communities as they try to change policy and social norms. The high intensity of the work
necessitates a correspondingly high level of support both for those interacting directly with people
with Substance Use Disorders as well as those doing outreach and organizing.
a. Provide Start-Up Grants for Local Coalitions and Expand Regional Efforts
Establish and publicize an easily accessible start-up grant program to communities for substance
abuse prevention activities. Many communities in the Commonwealth started their coalitions
successfully with small grants of around $2,500 from such funding sources as Mass in Motion or
CHNAs. Availability of such sources, however, is inconsistent.Also, expand and promote the
MOAPC cluster grant program.
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
a
617-965-3711 • www.mahealthcouncii.org
8
b. Improve Statewide Coordination and Information Sharing Among Coalitions
Support more statewide coordination and information-sharing between and among ALL existing
community and regional substance abuse coalitions.
• Include BSAS-funded and federally funded Drug-Free Communities (DFC) coalitions, as well
as locally funded (CHNAs, District Attorney programs, etc.) and unfunded groups
• Increase regular communication to coalitions about legislative and policy changes, like:
o The 2014 DPH Opiate Task Force (40 pages of recommendations)along with the
disposition of each proposal and contacts for following up
o A compilation of the 2015 legislative proposals to deal with substance abuse issues,to
allow groups to publicize and advocate for them
c. Convene More In-Person Conferences and Meetings
• Organize more in-person conferences and workshops around the state where people from
coalitions in Massachusetts can meet each other,share ideas, and gain support. Facilitating
contact among prevention people is very valuable.
• Develop workshops and materials to share resources and best practices.Workshops and
materials should be aimed at:
o both brand-new and more experienced coalition members
o rural, urban and suburban coalitions
Different types of geographical areas can have very different needs. For example, one
coalition leader reported attending a national substance abuse conference and realizing
that her rural Massachusetts area had more in common with communities in
Appalachia than with most communities in Massachusetts.
• Organize other convenings during the year using other modes of communication, such as
bimonthly or monthly call-ins or webinars.
For example, Michael Morrissey, District Attorney of Norfolk County, holds regular regional
meetings that provide community members a chance to meet peers, network and share new
ideas, and learn about substance abuse education, advocacy and policy change.These
meetings provide training for new members and are re-energizing for veteran coordinators.
The district attorney also uses drug forfeiture funds to support school-based prevention
events, Naloxone grants, and workshops where community activists can mentor one another.
• Organize regular conference calls for Drug-Free Communities coalitions (DFC). The
approximately 35 DFC coalitions would benefit from enhanced communication and
collaboration.
• Expand regional task forces to develop and implement opioid-specific strategies. In this way,
the many communities without grassroots coalitions will not be left behind.
Follow models like those that already exist in Franklin County, Norfolk County and now
Worcester County.These regional efforts can implement a top-down roll-out of programs
such as outreach to individual pharmacies in the Prescription Drug Monitoring Program
(PDMP). County-level structures help ensure that every community has some representation in
the work.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
„� 617-965-3711 • www.mahealthcouncii.org
!Iif� 9
d. Create an On
line Repository of Resources
Many coalitions feel pressure to unnecessarily"re-create the wheel." MassTAPP should serve as
leader and coordinator of an effort to create an online repository of resources, which could
include, for example, Power Points, event flyers, write-ups, and news articles that people in
different communities have already developed.
In
WrJz
Fund evidenced-based prevention curricula in all public schools, with varying curricula for peo, le
of different ages. Respondent: "There needs to be a e-a p
g ppropriate health education/substance
abuse education programming in every grade level for public schools." Our kids need to be
informed at an early age in order to make better,safer decisions.
Adolescence and pre-adolescence are critical times for preventing drug addiction. Groups should
bring back the Drug Abuse Resistance Education (DARE) program or other tested programs that
accomplish the same goals. Substance abuse prevention education in schools for children at even
younger ages is also critical. Families should be engaged through students' homework assignments
as part of health and wellness education.
Such an effort should:
• Fund training and staff for both public and private schools to deliver curricula based on best-
practice recommendations, such as LifeSkills or other programs rated by SAMHSA's National
Registry of Evidence-based Programs and Practices.
• Extend curriculum ideas to ALL schools. Cross-promote community substance abuse
prevention forums that include families with children in private schools because private
elementary and secondary schools generally provide NO health education.
• Require parents to attend a class to help them understand the realities of substance abuse on
adolescent brain development and recognize the warning signs of abuse. Respondent: "This
class should not be voluntary or it is just preaching to the choir; it needs to be a mandatory
part of education in our state. Not my kid" is just not an acceptable excuse for parents
anymore. This class should be offered in every school in the state. Parenting classes for
elementary and middle school kids are also much needed.
• Consider developing a program in conjunction with the Sheriff's and District Attorney's offices
that provide parolees in recovery to speak to middle school or high school students. Parolees
can talk about their experiences and tell kids what their addiction has cost them.
• Renew funding for competitive grants for substance abuse counselors, which have been cut.
The Massachusetts Department of Elementary and Secondary Education (DESE) managed the
application process when these grants existed.
Massachusetts Health Council,100 Reservoir Street,Suite 101,Needham, MA 02494
617-965-3711 • www.mahealthcouncil.org
10
f
d. Create an Online Repository of Resources
Many coalitions feel pressure to unnecessarily"re-create the wheel." MassTAPP should serve as
leader and coordinator of an effort to create an online repository of resources, which could
include,for example, Power Points, event flyers,write-ups,and news articles that people in
different communities have already developed.
a
Fund evidenced-based prevention curricula in all public schools, with varying curricula for people
of different ages. Respondent: "There needs to be age-appropriate health education/substance
abuse education programming in every grade level for public schools." Our kids need to be
informed at an early age in order to make better,safer decisions.
Adolescence and pre-adolescence are critical times for preventing drug addiction. Groups should
bring back the Drug Abuse Resistance Education (DARE) program or other tested programs that
accomplish the same goals. Substance abuse prevention education in schools for children at even
• younger ages is also critical. Families should be engaged through students' homework assignments
as part of health and wellness education.
Such an effort should:
• Fund training and staff for both public and private schools to deliver curricula based on best-
practice recommendations, such as LifeSkills or other programs rated by SAMHSA's National
Registry of Evidence-based Programs and Practices.
• Extend curriculum ideas to ALL schools. Cross-promote community substance abuse
prevention forums that include families with children in private schools because private
elementary and secondary schools generally provide NO health education.
• Require parents to attend a class to help them understand the realities of substance abuse on
adolescent brain development and recognize the warning signs of abuse. Respondent: "This
class should not be voluntary or it is just preaching to the choir; it needs to be a mandatory
part of education in our state." "Not my kid" is just not an acceptable excuse for parents
anymore.This class should be offered in every school in the state. Parenting classes for
elementary and middle school kids are also much needed.
• Consider developing a program in conjunction with the Sheriff's and District Attorney's offices
that provide parolees in recovery to speak to middle school or high school students. Parolees
can talk about their experiences and tell kids what their addiction has cost them.
• Renew funding for competitive grants for substance abuse counselors, which have been cut.
The Massachusetts Department of Elementary and Secondary Education (DESE) managed the
• application process when these grants existed.
Massachusetts Health council,200 Reservoir Street,Suite 101, Needham, MA 02494
�11C
617-965-3711 ! www.mahealthcouncil.org
10
�Jk=0S- j=ft-N=VGW=,-,'0f
• Continue to monitor and respond to problems related to underage drinking and marijuana and
tobacco use-don't let them fall through the cracks.
o Regarding marijuana use:
■ Do not recreationalize marijuana.
■ Have tighter regulations on medical marijuana facilities; ban the sale of
EDIBLES containing marijuana.
■ Encourage politicians to inform themselves about the facts of marijuana
legalization. For example, politicians need to know how legalization will affect
our youth. They should study reports documenting the impact of legalization in
Colorado,some of which include upsetting and frightening impacts on youth.
■ Decide how to respond to a possible referendum on legalizing the social use of
marijuana.
One respondent commented, "I would like to see legislators in that case
[passage of such a referendum] REFUSE to allow it to take effect until the
research has been done. I think laws should not be passed by the vote of an
uneducated public who are not experts in the topic under consideration."
o Regarding alcohol use:
■ Ban powdered alcohol.
o Regarding tobacco use:
■ Make 21 the age of legal purchase statewide.
• ■ Ban e-cigarette sales to all 18 year olds. i
Currently,the research on the impact of e-cigarettes is not adequate.
• Continue to monitor and respond to the use of other substances, including steroids, MDMA
(ecstasy or"Molly"), Flakka, bath salts, spice, K2,Scooby Snax, N-Bomb, Kryptonite, Cloud 9,
Bliss,and Adderall.A growing number of teens are abusing Adderall, an AND stimulant,to
help them study or lose weight.
WE
• Create and launch public awareness media campaigns about the substance abuse epidemic.
Use them in communities, schools, and news programs.
• Launch a LOCK IT UP safe storage of medications campaign to decrease youth access to opiates
and prescription medicines.
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Policy makers need to become better educated on issues related to Substance Use Disorder,
including the continuum of care,treatment barriers, and likelihood of relapses with opiates.
Legislators need to back up proposed legislation with solid public health data.
• • Attend community and regional coalition meetings. It is an excellent way for policy makers to
get this education and inform their legislative priorities.As one respondent said, "Instead of
Massachusetts Health Council,200 Reservoir Street,Suite 101,Needham,MA 02494
8617-965-3711 • www.mahealthcouncii.org
12
S • Universally screen for substance use in public schools, i.e.the SBIRT model (Screening, Brief
Intervention and Referral to Treatment)
o Make SBIRT a state mandate, like health screenings for scoliosis or eye problems.
o Train staff, such as school nurses,to do screenings.
Provide and encourage more comprehensive and timelier data on fatal and non-fatal opioid
overdoses and non-fatal reversals(from hospitals, EMTs, police, towns,the state, etc.) at the
community level, so that local communities can better track and respond to the problem.
m N
ffllffi���� �`
• Respond to these common problems families face when dealing with substance abuse
treatment and create enforceable guidelines:
o Lack of available beds in detox and longer-term or other treatment facilities
o Lack of or inadequate insurance coverage
• Study BSAS-funded treatment outcomes to evaluate what is working and why
o Work with the Treatment Research Institute in Philadelphia and John Kelly at
Massachusetts General Hospital
o Direct money to programs that have proven results to avoid re-creating the wheel
. • Fund Vivitrol for inmates
o Vivitrol reduces the craving for heroin and facilitates addiction remission.
• Fund more Recovery Community Centers (nine now exist in Massachusetts)
o Create a center demonstrating best practices
• Fund an intensive Recovery Coach pilot
o Follow post-inpatient stays with aggressive support (Gosnold model)
o Follow up on Senator Therese Murray's Section 35 study about triaging patients to
appropriate levels of care— Respondent: "Most patients stay only 17 out of possible 90
days of care."
• Target interventions for those at high risk for Substance Use Disorder.
o Reduce risk factors for all ages, not just youth
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• Mandate and enforce usage of the Prescription Drug Monitoring Program by all prescribers.
• Establish prescriber guidelines for hospital Emergency Departments.
• Respondent: Remove Press Ganey-type patient satisfaction ratings from the compensation
structures of all prescribers.These ratings create an inherent `perverse incentive' by financially
motivating doctors to appease patients seeking prescription pain relief."
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham, MA 02494
UN
w--"% 617-965-3711 • www.mahealthcouncii.org
11
• Continue to monitor and respond to problems related to underage drinking and marijuana and
tobacco use-don't let them fall through the cracks.
o Regarding marijuana use:
■ Do not recreationalize marijuana.
■ Have tighter regulations on medical marijuana facilities; ban the sale of
EDIBLES containing marijuana.
■ Encourage politicians to inform themselves about the facts of marijuana
legalization. For example, politicians need to know how legalization will affect
our youth.They should study reports documenting the impact of legalization in
Colorado,some of which include upsetting
p g and frightening impacts on youth.
■ Decide how to respond to a possible referendum on legalizing the social use of
marijuana.
One respondent commented, "I would like to see legislators in that case
[passage of such a referendum) REFUSE to allow it to take effect until the
research has been done. I think laws should not be passed by the vote of an
uneducated public who are not experts in the topic under consideration."
o Regarding alcohol use:
■ Ban powdered alcohol.
• o Regarding tobacco use:
■ Make 21 the age of legal purchase statewide.
■ Ban e-cigarette sales to all 18 year olds.
Currently,the research on the impact of e-cigarettes is not adequate.
• Continue to monitor and respond to the use of other substances, including steroids, MDMA
(ecstasy or"Molly"), Flakka, bath salts, spice, K2,Scooby Snax, N-Bomb, Kryptonite, Cloud 9,
Bliss, and Adderall.A growing number of teens are abusing Adderall, an ADHD stimulant,to
help them study or lose weight.
OAKEN M- 1
• Create and launch public awareness media campaigns about the substance abuse epidemic.
Use them in communities, schools, and news programs.
• Launch a LOCK IT UP safe storage of medications campaign to decrease youth access to opiates
and prescription medicines.
.i`i �.'StIT i.•.--ice _ �t�.t��4��L..,19�s��..'.'`�.-,.'..•.
Policy makers need to become better educated on issues related to Substance Use Disorder,
• including the continuum of care, treatment barriers, and likelihood of relapses with opiates.
Legislators need to back up proposed legislation with solid public health data.
• Attend community and regional coalition meetings. It is an excellent way for policy makers to
get this education and inform their legislative priorities.As one respondent said, "Instead of
Massachusetts Health Council,200 Reservoir Street,Suite 101,Needham, MA 02494
a
617-965-3711 • www.mahealthcouncil.org
12
creating new organizations and committees,the senators and representatives need to take an
active role in the groups currently doing the work in their communities.
• The state should produce a master status report on government activities related to the opioid
overdose crisis for use by community coalitions.According to one respondent, "So much is
already happening at the State House- Mental Health Subcommittee,Opioid Task Force,etc. -
coalitions can't keep up with all the information. It needs to be collated into a master status
report."
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
„� .� 617-965-3711 • www.mahealthcouncii.org
QK 13
ell I
Please see Appendix F for Abbreviations and Acronyms
What has worked well with
regard
to building and sustaining. . 9 nin
coalition and addressing the substance use issues? g the
DIVERSE INVOLVEMENT
• We're able to include the 12 sectors
• Getting all partners on the same page, working on the same problem
• Buy-in from schools and police
• Having the right people at the table right from the get go.The ability to get them there,
whether it's about drinking,the opioids,the MOAPC.The right people can provide the right
data (schools, etc.)
• Having the county convene it in a neutral convening role and having county staff
researchers. It was helpful that I already had an existing advisory group
• Having treatment providers involved [e.g. Gosnold, Brien Center,pec umshospital,
health center]
• Individuals stepping up when needed, including
• From Day One, all players and stakeholders were included in the conversation
• My connection with the CHNA work
• Passionate residents that want to be involved: harness that energy
EDUCATION,AWARENESS AND DISPELLING STIGMA
• Having a visible community dialogue
• Making people aware that it affects everyone
• Media campaigns
• Constant reaching out,emailing, schmoozing them—keeping them interested and that we
want them. All our communications—the newsletters are helpful to parents.
• We saturated the town with education and awareness
• Coalition development: marketing, outreach
• Getting people to know who you are-Website, Facebook,twitter, newspapers
PROGRAMS AND ACTIVITIES
• Speaker series, symposiums
• Reducing high school use rates for alcohol by 15%
• Policy Changes: prescription practices at the emergency rooms,getting the police to carry
Narcan,drop boxes, changing the norms here
• Our Drug Awareness Week is successful -getting other communities doing the same thing
during the same period works well
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
""""""°'r°' 617-965-3711 • www.mahealthcouncil.org
�K
arum muxoi
14
,
Please see Appendix F for Abbreviations and Acronyms
What has worked well with regard to building and sustaining the
coalition and addressing the substance use issues?
DIVERSE INVOLVEMENT
• We're able to include the 12 sectors
• Getting all partners on the same page, working on the same problem
• Buy-in from schools and police
• Having the right people at the table right from the get go.The ability to get them there,
whether it's about drinking, the opioids, the MOAPC.The right people can provide the right
data (schools, etc.)
• Having the county convene it in a neutral convening role and having county staff
researchers. It was helpful that I already had an existing advisory group existing
• Having treatment providers involved [e.g. Gosnold, Brien Center,Spectrum, hospital,
health center]
• Individuals stepping up when needed, including youth who have stepped up
• From Day One, all players and stakeholders were included in the conversation
• My connection with the CHNA work
• Passionate residents that want to be involved: harness that energy
EDUCATION,AWARENESS AND DISPELLING STIGMA
• Having a visible community dialogue
• Making people aware that it affects everyone
• Media campaigns
• Constant reaching out,emailing, schmoozing them—keeping them interested and that we
want them. All our communications—the newsletters are helpful to parents.
• We saturated the town with education and awareness
• Coalition development: marketing, outreach
• Getting people to know who you are-Website, Facebook,twitter, newspapers
PROGRAMS AND ACTIVITIES
• Speaker series, symposiums
• Reducing high school use rates for alcohol by 15%
• Policy Changes: prescription practices at the emergency rooms,getting the police to carry
Narcan, drop boxes, changing the norms here
• Our Drug Awareness Week is successful -getting other communities doing the same thing
• during the same period works well
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham, MA 02494
K 617-965-3711 • www.mahealthcouncil.org
14
• laminated card is very helpful for first responders. It has signs of overdose, risk factors,
numbers to call for treatment, and Learn to Cope information.
• Medication drop-off boxes
• Parents' social marketing campaign regarding underage drinking
• Safe Homes Directory—parents who agree to be listed
• "Last Night" high school graduation night program has worked tremendously. It eliminated
the fights and other problems on that night. 95%of kids come to it.The parents are big
into that.The cost was$25,000 to run for entertainment, card tables,games, basketball,
arts, etc.
• Chris Herren speaking and Project Purple (an initiative of former NBA player Chris Herren
to assist individuals and families dealing with addiction)
• Drug Court
• Rewriting the health curriculum for entire district K-12
• Working with hospital to hand out Narcan at emergency room
• Making presentations that bring people in
PROCESS,TECHNICAL ASSISTANCE AND STRUCTURE
• Having MassTAPP's help
• The assessment and building partnerships
• Using environmental strategies
• That we applied as a countywide entity
• Implementing at population level change
OUTREACH, FACT-FINDING, RELATIONSHIP-BUILDING
• Listening and asking questions
• Going to community partners and not saying this is how it will be but asking how they see
the problem
• Meeting with police chief and each school principal
• Relationship building approach
• Events at a local school in the neighborhood with the most issues and most arrests,
reaching people that can't travel easily
• Having a good perspective of who/what the community is: unspoken rules and how things
operate, work with someone who is established in the community, knowing who needed to
be at the table
• Being flexible about where and when you meet and how you communicate
• Not pigeon-holing concepts: think outside of the box
• High regard for coalition members: not leaving anyone out... I went to everyone
• Having data that reflects the actual situation in the community; doing data-driven
initiatives
• COORDINATION AND STAFFING
• Having a really committed person working on it,whether paid or not
• That it's part of my job at the police department.The PD deals heavily with substance
abuse and it's my paid job to be involved and also the school department and board of
health. It's part of our jobs
lddwbk Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
,., 617-965-3711 9 www.mahealthcouncii.org
►ItC 15
•
• Endless amounts of energy
• We have a paid person who moves it forward
• That the lead person was trained to elicit and grow leadership from the community
What have the challenges been?
GETTING AND KEEPING PEOPLE INVOLVED
• Always trying to get more members and keep all 12 sectors involved
• Keeping folks engaged and motivated
• Getting people who understand the problem -therapist, addiction therapists- in core
group
• Getting people to come to the meetings
• Dependable volunteers not there
• Staff turnover among your partner organizations
• Keeping the same energy
• Competing topics and priorities for the city. There are only so many people in a town of
40,000 who will come to the table. We see the same people at groups on many different
topics.
• Community responsiveness to some of our strategies -a theater donated space to show
The Hungry Heart film over seven days and only 75 people showed up. Discouraging.
• Maintaining energy—feel like if I let up at all,things start to slip.
• Showing the community it's really an issue here
• Maintaining commitment, attendance, proper subgroups, using strengths: making sure
people feel useful
• Doing too much stuff yourself because you are not engaging the community
• We haven't developed an active steering committee: a big struggle
ORGANIZING IT ALL
• Where do we go from here: organizational,goals
• So many people involved: everyone has a different idea of what's best
• Initiated by mayor: but don't want to be political
FUNDING AND GETTING ATTENTION FROM GOVERNMENT
• Funding for adequate paid staff
• Grant reporting requirements can be cumbersome
• Funding is always a challenge-there's no guarantee of it. We have a good relationship
with BSAS fortunately. To build financial sustainability into everything we do.
• A lot of work to do, not enough resources:financial, and human
• Have three years left on DFC grant- figuring how to sustain it without that money •
•
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
617-965-3711 • www.mahealthcouncil.org(j:7*
16
• Endless amounts of energy
• We have a paid person who moves it forward
• That the lead person was trained to elicit and grow leadership from the community
What have the challenges been?
GETTING AND KEEPING PEOPLE INVOLVED
• Always trying to get more members and keep all 12 sectors involved
• Keeping folks engaged and motivated
• Getting people who understand the problem-therapist,addiction therapists-in core
group
• Getting people to come to the meetings
• Dependable volunteers not there
• Staff turnover among your partner organizations
• Keeping the same energy
• Competing topics and priorities for the city. There are only so many people in a town of
40,000 who will come to the table. We see the same people at groups on many different
topics.
• Community responsiveness to some of our strategies-a theater donated space to show
The Hungry Heart film over seven days and only 75 people showed up. Discouraging.
• Maintaining energy-feel like if I let up at all, things start to slip.
• Showing the community it's really an issue here
• Maintaining commitment,attendance, proper subgroups, using strengths: making sure
people feel useful
• Doing too much stuff yourself because you are not engaging the community
• We haven't developed an active steering committee: a big struggle
ORGANIZING IT ALL
• Where do we go from here: organizational,goals
• So many people involved: everyone has a different idea of what's best
• Initiated by mayor: but don't want to be political
FUNDING AND GETTING ATTENTION FROM GOVERNMENT
• Funding for adequate paid staff
• Grant reporting requirements can be cumbersome
• Funding is always a challenge-there's no guarantee of it. We have a good relationship
with BSAS fortunately.To build financial sustainability into everything we do.
• A lot of work to do, not enough resources:financial, and human
• • Have three years left on DFC grant- figuring how to sustain it without that money
LD Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
617-965-3711 • www.mahealthcouncii.org
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16
GETTING AND USING ACCURATE DATA •
• Getting people to understand what effective prevention really is; based on data
• People get all riled up when something happens and want action now, based on emotions,
not data
• Keeping people engaged but patient at the same time. Getting them on board with the SPF
(Strategic Prevention Framework). They see headlines,feel a sense of urgency, and want
to do something without really having an organized plan in place.
• Data collection: no crisis when started and people would give data; now, hard to get data
because of all the new red tape- People call trying to get the data from hospital, and I can't
get it-When I finally get data, it's like a year later
• People are so eager to do things that communication is lost, redoing things that are already
done
What do you consider the most important factor that allows (or will
allow) your coalition to be effective?
OUTREACH, FACT-FINDING, RELATIONSHIP-BUILDING
• Community outreach - being able to get to the people that need help or resources
• Finding people that care about youth
• Capacity,forming relationships
• Communication: letting people talk,feel heard, asking for input
• • Be appreciative, acknowledging 0
RELATIONSHIPS AND TRUST
• Collaborative partnerships-we wouldn't exist if we didn't have them
• Having the trust and confidence of the town to do the right thing
• Having the police and schools and residents working with you
• No infighting! Coalitions can have that problem. New communities don't know each
other. Building relationships.
• Thoughtful process that engages a lot of people
• Strong relationships throughout the region
• Collaborating groups have been open and honest about what they can do and would like to
do.
COMMITMENT
• That many of us are closely tied and dedicated to kids-either as parents or in the schools
• Acknowledgement from others that there is a problem and there are ways to work with it
• Getting a group of educated, dedicated volunteers, willing to roll their sleeves up and work
• Passion:they want to help the young people in the community, like a community mom that
cares because of her past or a math teacher who gives tech support
• Collaboration and commitment of leadership team
• Need diverse (with all sectors)group that is passionate
• • Know what your resources are
• Harnessing energy from community: residents need to want change
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
617-965-3711 • www.mahealthcouncii.org�K
18
• STIGMA/DENIAL ,
• Some people don't want to be affiliated because it's like they'd have to admit they know
somebody with these issues.
• The idea that "it won't happen to my child - it's the other kid." Drugs don't discriminate
between good students and bad students.
• The "not my kid" attitude—those parents are the last ones to know.
• Reaching young adults, age 18 to 35. There's a gap in our ability to reach and intervene
with people in their twenties, post-high school,who don't think their substance use is a
problem.
• Addressing stigma - people that don't want to come out to these meetings because of the
attitude that"the people that use are junkies"
• Overcoming the attitude that nobody in our town will be open to this discussion,that
people are too closed and private—in the end,the coalition was actually well received!
REACHING AND EDUCATING PEOPLE
• Educating the community about the actual issues whether it's alcohol, marijuana or other
substances
• Getting people to understand what the issue is. For example the police department may
see people as criminals. Physicians are reluctant to implement the three-day prescription
supply guideline and use the PDMP program,which has a 10-day lag time.
• Educate general public on disease of addiction and normalizing the discussion of it
• Fighting the attitude that it's expected and OK to be wild as a teenager
• Hard to reach parents- language barriers, Haitian creole, other African backgrounds,
poverty,violence
• Still a very segregated community: so need to go to all corners—conflict and tension, both
racially and economically
• Addiction can be concealed fairly easily
CONNECTING PEOPLE WITH RESOURCES
• Transportation issues getting people to counseling and treatment at distant locations
• Access to treatment and not having a full continuum of care
MAKING CHANGES IN BEHAVIOR AND NORMS
• Changing community norms around drinking
• Adult substance abuse is a challenge, whether it's parents or other adults
• Substances are constantly changing. New ones come up or become popular especially with
the youth.
• The marijuana situation is completely out of control among youth.They think it's now an
OK thing to do.
• It's hard for us to move away from just opiate-focused work because it is such a huge issue:
It's hard to address underage drinking in the community; people think less about drinking
or"lesser" drugs
• We're really worried about the medical marijuana plant that is coming into our community •
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
617-965-3711 • www.mahealthcouncii.org
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•
GETTING AND USING ACCURATE DATA
• Getting �people to understand what effective prevention really is;based on data
• People get all riled up when something happens and want action now, based on emotions,
not data
• Keeping people engaged but patient at the same time. Getting them on board with the SPF
(Strategic Prevention Framework). They see headlines,feel a sense of urgency, and want
to do something without really having an organized plan in place.
• Data collection: no crisis when started and people would give data; now, hard to get data
because of all the new red tape- People call trying to get the data from hospital, and I can't
get it-When I finally get data, it's like a year later
• People are so eager to do things that communication is lost, redoing things that are already
done
What do you consider the most important factor that allows (or will
allow)your coalition to be effective?
OUTREACH, FACT-FINDING, RELATIONSHIP-BUILDING
• Community outreach- being able to get to the people that need help or resources
• Finding people that care about youth
• Capacity,forming relationships
• Communication: letting people talk, feel heard, asking for input
• Be appreciative,acknowledging
RELATIONSHIPS AND TRUST
• Collaborative partnerships-we wouldn't exist if we didn't have them
• Having the trust and confidence of the town to do the right thing
• Having the police and schools and residents working with you
• No infighting! Coalitions can have that problem. New communities don't know each
other. Building relationships.
• Thoughtful process that engages a lot of people
• Strong relationships throughout the region
• Collaborating groups have been open and honest about what they can do and would like to
do.
COMMITMENT
• That many of us are closely tied and dedicated to kids- either as parents or in the schools
• Acknowledgement from others that there is a problem and there are ways to work with it
• Getting a group of educated, dedicated volunteers, willing to roll their sleeves up and work
• Passion:they want to help the young people in the community, like a community mom that
cares because of her past or a math teacher who gives tech support
• • Collaboration and commitment of leadership team
• Need diverse (with all sectors)group that is passionate
• Know what your resources are
• Harnessing energy from community: residents need to want change
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
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617-965-3711 • www.mahealthcouncil.org
18
•
FUNDING
• Champions: working with legislators, people that can make decisions; legislator found
money in State House to help this coalition and hosted forums at local hospital
• Support of town for being our fiscal agent;the town now funds her job
• Support from community, including hospital
PROCESS AND PLAN
• Strategic planning: next steps
UNDERSTANDING THE COMMUNITY AND DATA
• Be mindful of where people are coming from and what's appropriate for the community
• First-hand knowledge of the police department based on our calls for service
• Being open-minded and listening to others who have been affected
• Need the data and hard facts so that people can't ignore the issues
FUNDING
• Long-term funding. You need staff.Without staff, our volunteers would have burned out a
long time ago. Brandeis University told us it will take at least 10 years of prevention
activities and work on environmental and community norms to see a change and they were
right.
• The county's investment got us off the ground
EDUCATING AND RAISING AWARENESS
• The concept of substance abuse as a public health issue is important
• Publicity of what we're doing
• The commitment to addressing substance abuse as a whole:the agencies and
organizations that work with these ignored people know that these people can also have
other diseases that make them stigmatized.
What advice or tips would you give to other communities thinking about
forming a substance abuse task force or coalition?
DIVERSE INVOLVEMENT
• Following the DFC model with 12 sectors gets you a well-rounded group. Even add other
sectors and get them to bring people. Different members bring different skills. Have a
well-rounded and diverse membership.
• Get a wide range of people involved-- Police,fire, clergy, residents, students.
• Build relationships- have key players as part of your team-get community buy in—get
non-professionals in neighborhoods, leverage religious institutions, health fair.
• Find like-minded people and start, because it's overwhelming for one person.
• Don't only speak to providers: you need patients, consumers,youth, parents.
• You need volunteers.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
., ... 617-965-3711 • www.mahealthcouncii.org
BRICE 19
• Get a diverse representation of community stakeholders, leaders and members at the table '
to understand what you're trying to do.
• Try to reach every facet of the community—police, fire but also the mom of three
teenaged boys and even a new mom.
• Recruit well-known local people like local store owners, restaurant owners, pizza places. If
they're well known, it helps.
• Find your community champions. Go to schools, Police, local parents are, community service organizations. Get them all to sit clergy,
d and brainstorm ve
how to start and get funding.
• Need the 12 sectors represented. And we use them throughout the year.
• Make sure you have as man
y people from as many stakeholders, schools, police department,fire, parents,students, nonperent areas as rofits.
s. —key
DON'T RE-CREATE THE WHEEL
• Try not to re-create the wheel. Ask for help or resources from other coalitions.
• Need structure,talk to other communities, see who has been successful, no need to re-
create the wheel,find what has and hasn't worked to tap your resources and learn from
others' mistakes.
• Don't reinvent the wheel. Piggyback on other good things already ha
ppeing in the
community.Ask questions of other coalitions regarding what they do and if it worked.
• We used the experience of the Town of Falmouth -they had a DFC grant and had expertise
on the SPF and were very helpful.
• Reach out to pre-existing coalitions in other communities for guidance. Don't need to
reinvent the wheel. Learn what works and what doesn't work elsewhere.
• See what coalitions are nearby and ask them directly. There are some funds for mentoring.
START SLOWLY, HAVE A PLAN, BUILD GRADUALLY
• Tread lightly-don't go out suddenly with a big opiate coalition and a "rah, rah"attitude.
• Start slowly and do a few good things.
• Don't worry about funding in the beginning. Can get space and resources from schools, etc.
Grants can come later.
• Recruit a core group so you are not dependent on one or two people.
• Important to have a smaller group of planning advisors and not name a steering committee
off the bat.
• Having a clear agenda is important: HUGE.
• People like to come in and know what they will do, have time planned.
• Connect with a local CHNA and with MassTAPP-they have real)
analysis. Y good trainings and data
• Build relationships; everything else will come.
• Don't get bogged down by so many opinions and ideas: but utilize them and stay focused.
• Use your data, be strategic.
• Get all sectors on board early: school principals,selectman, etc.
• Plan, and have a timeline.
• Manage meetings effectively; do agendas, send out minutes.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
K 617-965-3711 • www.mahealthcouncil.org
20
Get a diverse representation of community stakeholders, leaders and members at the table '
to understand what you're trying to do.
• Try to reach every facet of the community—police, fire but also the mom of t teenaged boys and even a new mom. three
• Recruit well-known local people like local store owners, restaurant owners, pizza places. If
they're well known, it helps.
• Find your community champions. Go to schools, police, local clergy, find out who the active
parents are, community service organizations. Get them all to sit around and brainstorm
how to start and get funding.
• Need the 12 sectors represented. And we use them throughout the year.
• Make sure you have as man
y people from as many stakeholders, schools, police department,fire, parents,students, nonerent areas aspr
Pofi s.ssibl —key
DON'T RE-CREATE THE WHEEL
• Try not to re-create the wheel. Ask for help or resources from other coalitions.
• Need structure,talk to other communities,see who has been successful, no need to re-
create the wheel,find what has and hasn't worked to tap your resources and learn from
others' mistakes.
• Don't reinvent the wheel. Pi g
ood things community.Ask questions of Piggyback
coalitions regarding what rthey ydo and if i happening t
the
• We used the experience of the Town of Falmouth -they had a D C grant and had expertise
on the SPF and were very helpful.
• Reach out to pre-existing coalitions in other communities for guidance. Don't need to
reinvent the wheel. Learn what works and what doesn't work elsewhere.
• See what coalitions are nearby and ask them directly. There are some funds for mentoring.
START SLOWLY, HAVE A PLAN, BUILD GRADUALLY
• Tread lightly-don't go out suddenly with a big opiate coalition and a "rah, rah"attitude.
• Start slowly and do a few good things.
• Don't worry about funding in the beginning. Can get space and resources from schools,etc.
Grants can come later.
• Recruit a core group so you are not dependent on one or two people.
• Important to have a smaller group of planning advisors and not name a steering committee
off the bat.
• Having a clear agenda is important: HUGE.
• People like to come in and know what they will do, have time planned.
• Connect with a local CHNA and with MassTAPP-they have
analysis. e really good trainings and data
• Build relationships; everything else will come.
• Don't get bogged down by so many opinions and ideas: but utilize them and stay focused.• Use your data, be strategic.
• Get all sectors on board early: school principals, selectman, etc.
• Plan, and have a timeline.
• Manage meetings effectively; do agendas, send out minutes.
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• Use social media: get people to like you.
• Publicize it with Facebook and a website as quickly as possible.
• Public awareness: We spent a lot of time branding:t-shirts, logos,wrist bands.
• Having MassTAPP at the table also-follow evidence-based activities.
• Ask for MassTAPP's help in identifying another coalition that could mentor you.
• Be patient. You may be doing things that bear fruit later on. You may think you're not
doing very much but you may be doing quite a lot.
• Be open and receptive to people who have problems that you may think fall out of your
scope. If you help them, it will help the relationship and the coalition later.
• Just because another community does something one way,that doesn't mean you have to
do it that way in your community. One of the challenges of the regional coalitions, like
MOAPC, is that the different stages of different communities can be a challenge. It takes a
while to get it up and running to everyone's satisfaction.
• Start small and work big. Do planning and discussion and identify where the problems are.
• If you get too big too fast, if you falter it will fall apart.
RESPECT THE COMMUNITY AND GATHER DATA
• Don't go into it blind.
• As soon as you can, access local data.
• So many coalitions that have popped up that are giving people poor/wrong data.
• How,where, why:what treatment is available.
• Utilize people's lived experience to provide context to the factual history.
• Be genuine: make good relationships with the townies.
• Know your environment:talk with people in diverse neighborhoods.
• Read the paper,go to community police meetings.
• Understand that your community is unique. Ask questions or do focus groups before
investing a large amount in a campaign or initiative.
• Understand your community and population for what it is. Start with places where people
are working with active users, like clinics, and then work your way back.
• Spend time talking to people individually first to see what their agenda is, what have they
already done instead of making people come join something new.
• Getting out there, pounding pavement, what does community want: start where the
community is at.
• Find natural stakeholders.
• Do your homework:go and understand what the issue is, understand where it started,
what services are available,who it is impacting and how
• Data, data, data. Before you take the first step get the right people at the table and collect
the data. Funders will require hard data on the extent of the problem. People who can get
the data are people from the schools and the rest of the 12 sectors.
• Use the police department to find out the calls they're getting,talk to the schools and the
parents about what's going on in their neighborhoods.
• Share information and data responsibly.
• From the assessment and key informant interviews, we learned we need to do a better job
of engaging youth in this effort.
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TAKE ACTION TO SAVE LIVES
• Do it! Do it! It takes a village. These are our children. It's our community.
• Do it! People want to help and get involved.
• Have passion to pull community together.
• Having personal experience with substance use, like having lost a family member, can
sometimes help in this work but sometimes it can also cloud your judgment.
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TAKE ACTION TO SAVE LIVES
• Do it! Do it! It takes a village. These are our children. It's our community.
• Do it! People want to help and get involved.
• Have passion to pull community together.
• Having personal experience with substance use, like having lost a family member, can
sometimes help in this work but sometimes it can also cloud your judgment.
•
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
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Please see Appendix F for Abbreviations and Acronyms
This section lists the range of programs and activities that substance abuse prevention coalitions
have initiated, implemented,funded, publicized, planned or advocated for. Repetition of an idea
indicates that multiple respondents reported it.
SCHOOL-BASED AND OTHER YOUTH PROGRAMS
• Youth at Risk-we pay high school students to work in bullying prevention,substance abuse
workshops and a documentary is being done
• Youth Pride/Tolerance Day annually in June
• Youth Dance
• Winter"Happy, Healthy Drug-free Evening"-we have a police officer as DJ
• Movie nights
• Last Night program on high school graduation night has worked tremendously. 95%of kids
come and the parents are big into that. It eliminated the fights and other problems on that
night.The cost was$25,000 for entertainment, card tables,games, basketball, etc.,arts.
• Kids Talent Night fundraiser
• Event at YMCA,any middle school/high school for a play night
• Youth diversion programs
• Project Purple/Chris Herren - PSA's,school announcements, tee shirts,awareness campaigns
for drugs and opiates for the kids and parents. We have 100 to 200 kids involved.
• Safe Prom—substance-free after-prom party
• School resource officer in the regional high school
• Healthy prom and graduation
• Partnering senior athletes in high school with freshman athletes: healthy decision mentoring
• Mental health work: advisor program in school-advisor/advisee
• Campaigns with youth focus: a week of training on social marketing
• "Opi-ODDS" (Defy The Opi-Odds,which raises teen awareness around the opioid epidemic)
• Campaigns: around prom/graduation, social hosts
• Primary education with teens at health center on weekly basis,then population-level change
• Annual "Town Hall Meeting" led by youth after training
• Youth prevention group: school kids that work with the volunteers
• Raise money for"5th Quarter" after football games
• Kids events
• Lunches in high school: provide students with SUDs with lunch, support them with any
services, separate cafeteria
• "Turn It Around" student campaign to raise awareness about dangers of prescription drug
abuse- kids love it
• Fourth-grade "Rad Kids" program—keep yourself safe-discussed drugs and medications
• Advisee/advisor program at high school: connectedness within school, if a young person is
connected,won't use substances as much
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• Experts coming in for grades 8-9 to do substance abuse screening- identify at risk kids-all kids
screened unless parents opt out- if people are rated high,they will be referred
• SBIRT screening in school nursing
• Train high school and middle school teachers to recognize signs of substance use
• Youth activities at Boys and Girls Club
PARENT/ADULT TRAININGS AND CONVERSATIONS
• Parent trainings and trainings for caregivers
• Risk and protective factors training
• Operation Parent-due to a lot of overdoses in suicides
• Conversations on risky behaviors and preventing and delaying alcohol use
• Safe Ride Contract where parents must talk to their kids about expectations and a way out, a
written agreement
• Parent Survey as part of our social norms promotion campaign-e.g. "93%of parents talk to
their kids about substance use"
• This year we put out a new edition of the Safe Homes Directory.A list of parents who are
willing to be listed. It facilitates communication between parents and you agree you will not
serve alcohol to kids and will monitor what kids are doing at your home.
• Table Talks for educating parents. Held at 12-15 private homes. Reaches parents who hide
their heads a lot when schools notify them.
• Facilitate "Guiding Good Choices," also for parents, held at a church hall.
• Parent dinners-age-specific to their kids and discuss the YRBS (Youth Risk Behavior Survey)
• Alcohol awareness
• Social Hosting legal responsibilities and liabilities
• Working with drivers'education people
• Connecting individuals with providers- unofficial refer
rals
• "Above the Influence"-adapted national campaign: "talk-they hear you"
• Community programing to strengthen families
• Learn to Cope chapter meets weekly and the police department is sometimes invited
• Narcan training every 3 months for community members
• Training for overdose prevention for everybody
• Parent education going through a mock youth bedroom
• Community Education on Good Samaritan Law-calling 911 and legal issues
PRESCRIBERS AND DISPENSERS OF PRESCRIPTION PAINKILLERS
• Prescription practices at the emergency rooms
• Scope of Pain Training for Physicians and other prescribers
• Created network of prescribers to alert them to Scope of Pain trainings
• Created brochure for all prescribers in county titled Prevent Misuse of Prescription Drugs and
they also give it to people who get a prescription
• Reach out to dentists
• Reach out to pharmacists so they can give out the misuse brochure.
• Working with the prescribers to reevaluate their practices
• Engaging prescribers to educate their patients
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
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• Experts coming in for grades 8-9 to do substance abuse screening- identify at risk kids-all kids
screened unless parents opt out- if people are rated high, they will be referred
• SBIRT screening in school nursing
• Train high school and middle school teachers to recognize signs of substance use
• Youth activities at Boys and Girls Club
PARENT/ADULT TRAIN INGS AND CONVERSATIONS
• Parent trainings and trainings for caregivers
• Risk and protective factors training
• Operation Parent-due to a lot of overdoses in suicides
• Conversations on risky behaviors and preventing and delaying alcohol use
• Safe Ride Contract where parents must talk to their kids about expectations and a way out,a
written agreement
• Parent Survey as part of our social norms promotion campaign -e.g. "93%of parents talk to
their kids about substance use"
• This year we put out a new edition of the Safe Homes Directory.A list of parents who are
willing to be listed. It facilitates communication between parents and you agree you will not
serve alcohol to kids and will monitor what kids are doing at your home.
• Table Talks for educating parents. Held at 12-15 private homes. Reaches parents who hide
• their heads a lot when schools notify them.
• Facilitate "Guiding Good Choices," also for parents, held at a church hall.
• Parent dinners-age-specific to their kids and discuss the YRBS (Youth Risk Behavior Survey)
• Alcohol awareness
• Social Hosting legal responsibilities and liabilities
• Working with drivers' education people
• Connecting individuals with providers- unofficial referrals
• "Above the Influence"-adapted national campaign: "talk-they hear you"
• Community programing to strengthen families
• Learn to Cope chapter meets weekly and the police department is sometimes invited
• Narcan training every 3 months for community members
• Training for overdose prevention for everybody
• Parent education going through a mock youth bedroom
• Community Education on Good Samaritan Law-calling 911 and legal issues
PRESCRIBERS AND DISPENSERS OF PRESCRIPTION PAINKILLERS
• Prescription practices at the emergency rooms
• Scope of Pain Training for Physicians and other prescribers
• Created network of prescribers to alert them to Scope of Pain trainings
• Created brochure for all prescribers in county titled Prevent Misuse of Prescription Drugs and
they also give it to people who get a prescription
• • Reach out to dentists
• Reach out to pharmacists so they can give out the misuse brochure.
• Working with the prescribers to reevaluate their practices
• Engaging prescribers to educate their patients
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• Talking with pharmacies to do safe disposal and how to keep medications out of the hands of
young people and people with addiction
• Pharmacy- information distribution to customers
• Promoting awareness and use of PDMP- practitioners and pharmacists either don't know
about it or don't use it; identifying repeat users
• Scope of Pain: educating providers-want to include dentists
• Now pulling in others from MOAPC for prescriber education-dentistry is huge current focus
OTHER ACTIVITIES SUPPORTING PREVENTION
• Expanded substance abuse to look at behavioral health and mental health first aid. Very well
received.Adults are signing up to be trained re mental health issues.
• Involvement in Shannon Grant Community Safety Initiative regarding risky behaviors
• Pushed for regulating e-cigarettes like tobacco, and limiting tobacco and alcohol signage
• We were one of the first communities in Massachusetts to ban sales of tobacco products in
pharmacies.
• After-school program
• Before-school program (meals)
• Doing prevention for all ages: "healthier community"
• Limit access and availability of tobacco—can't buy cigarettes here under age 21
• Doing fuel,food assistance
• Ban flavored tobacco products
• Work with Parks and Recreation to make parks more family friendly: concert in the summer for
teens, chemical free, Splash Pad for little kids in the summer. Park Is notorious for drug
dealing:trying to get more power in numbers for parents.
• Tobacco Day at school
COMMUNITY EVENTS AND ENGAGEMENT
• Annual candlelight vigil and lantern release for remembrance, prevention and recovery. We
got the idea from an annual national prescription abuse summit conference,the NOPE
(Narcotics Overdose Prevention and Education)Task Force.
• Week-long Stand Up to Substance Abuse
• Health Fair with treatment providers
• Tables at community events
• Engage businesses to spread message
• Held event at a school in the neighborhood with most issues and arrests, reaching people who
can't travel easily
• Drug Awareness Week in October
• Summer:tabling, health fairs
• Our Drug Awareness Week is successful getting other nearby communities doing the same
thing during the same week for more awareness
• Public forum at school with resource tables
• Event at library:watching Anonymous People video with panel discussion
• Event at senior center regarding their prescriptions
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SOCIAL NORMS MEDIA CAMPAIGNS •
• PSA's regarding overdose prevention on cable TV,twitter,e-mail, etc.
• Billboards
• Parents developing social marketing campaign focused on underage drinking
• Social norms marketing campaigns, correcting misperceptions on behalf of high school and
middle school students and the general public-posters on buses,on ferries, at doctors' offices
• PSA's with local radio stations on top four issues
• Publication -putting together ads with local newspaper on making good choices
• Press conference
• Create TV show for local TV channel related to opiates, posted on YouTube
• Photo voice project that displays throughout community
POLICY CHANGE ADVOCACY
• Drug Court to address revolving door of arrests with substance abuse
• Reduce drug sales in local parks
• Increase size of police force
• At council meetings, advocating for environmental changes
• Environmental scans: of neighborhoods, what areas could be used for drug usage, report back
to youth committee to eliminate
• Advocacy walks
• Narcan (Naloxone)
o Getting police and fire depts to carry Narcan -we did everything: funding, education,
advocacy
o Narcan training
o Work with Walgreens to carry Narcan
o Working with hospital to hand out Narcan at emergency room
o Work to get more Narcan out if there is a bad batch of heroin out
WORKING WITH ALCOHOL SERVERS AND RETAILERS
• Alcohol compliance checks for bars, restaurants and stores. We supported police in that.
Police officer goes with young person to local market to see if they can buy cigarettes or
alcohol underage.
• "21-Proof"training for anyone who sells or serves alcohol
• Responsible beverage-serving trainings at restaurants
• Sticker Shock program with all liquor stores and Sticker Shock ads at movie theaters
• Worked with the selectmen of the various towns to get responsible beverage policies
ADDING SCHOOL CURRICULUM
• School curriculum changes
• Working with schools on standardizing the health curriculum at middle and high schools
• Rewriting the health curriculum for entire district, K-12
• Prevention curriculum in middle school
• Trying get better curriculum to fit into K-12
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
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SOCIAL NORMS MEDIA CAMPAIGNS
• PSA's regarding overdose prevention on cable TV,twitter,e-mail, etc.
• Billboards
• Parents developing social marketing campaign focused on underage drinking
• Social norms marketing campaigns, correcting misperceptions on behalf of high school and
middle school students and the general public-posters on buses,on ferries, at doctors' offices
• PSA's with local radio stations on top four issues
• Publication -putting together ads with local newspaper on making good choices
• Press conference
• Create TV show for local TV channel related to opiates, posted on YouTube
• Photo voice project that displays throughout community
POLICY CHANGE ADVOCACY
• Drug Court to address revolving door of arrests with substance abuse
• Reduce drug sales in local parks
• Increase size of police force
• At council meetings, advocating for environmental changes
• Environmental scans:of neighborhoods,what areas could be used for drug usage, report back
to youth committee to eliminate
• Advocacy walks
• Narcan (Naloxone)
o Getting police and fire depts to carry Narcan-we did everything:funding,education,
advocacy
o Narcan training
o Work with Walgreens to carry Narcan
o Working with hospital to hand out Narcan at emergency room
o Work to get more Narcan out if there is a bad batch of heroin out
WORKING WITH ALCOHOL SERVERS AND RETAILERS
• Alcohol compliance checks for bars, restaurants and stores. We supported police in that.
Police officer goes with young person to local market to see if they can buy cigarettes or
alcohol underage.
• "21-Proof"training for anyone who sells or serves alcohol
• Responsible beverage-serving trainings at restaurants
• Sticker Shock program with all liquor stores and Sticker Shock ads at movie theaters
• Worked with the selectmen of the various towns to get responsible beverage policies
ADDING SCHOOL CURRICULUM
• School curriculum changes
• Working with schools on standardizing the health curriculum at middle and high schools
• Rewriting the health curriculum for entire district, K-12
• Prevention curriculum in middle school
• Trying get better curriculum to fit into K-12
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• Focus on preventing first-time use awareness
• Changing school curriculum to include more drug
LAW ENFORCEMENT
• We responded to home break-insto mont py
• District Attorney's t escription drugs.
ask force me project
• Participating in community policing pro 1
DATA GATHERING
• Work with first responders to get data from entat ve fornbetter overdose reporting regarding state
• We advocate with our state repre
police,hospitals, DPH, and local police and boards of health teachers survey done by Health
• Other surveys in addition to YRBS: law enforcement survey,
Imperatives, high school focus group attitude and belief surveys
• Surveying: anyone attending
FORUMS AND SPEAKERS
• Public forums of all kinds
• Forum on depression,suicide and addiction with a doctor from MGH
• Sheriff came and talked to high school
• Panel to answer any community questions
• Speaker series with different topics
0 • Monthly library speakers
FILMS
• "What Happened Here" -movie on recovery
• "Unguarded" by Chris Herren
• "Anonymous People"
SAFE STORAGE AND SAFE DISPOSAL OF PRESCRIPTION DRUGS
• Prescription medication drop-boxessetting up table,education
• Drug Take-Back days-presenting,
• Medication drop boxes at the four police departments
• DEA National Drug Take-Back days
• Kiosk at police station for drug take-back• Educate people at senior center regarding medication and drop off locations
SUPPORT GROUPS IN MIDDLE SCHOOL ected by someonOeOelse's substance abuse -10 week
• Kids of Promise program kid
with own substance use.They are 8
• Insight Group for high school students dealing ing school day which is very important.
groups. Principals allow them to attend de s and kids both go to overdose prevention training
• Loved Ones Raising Loved One
for the public
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FAMILY SUPPORT AND RECOVERY SUPPORT
• Learn to Cope chapter
• Funding parent support groups for parents of chronic users- licensed social worker
• Training Recovery Coaches-follow-up pilot program with police and recovery coaches to do
home visits after Narcan reversals. The training recovery coach is provided at a free family
support meeting. Gosnold will pay for it.
PRINTED MATERIALS
• South Shore guide to treatment providers available to schools, on town website,on our
website, at all our events, available to nearby towns and we mail it to all households
• Well-Being Books we created to help the public understand their community based on data
• Laminated cards with signs of overdose, resources and phone numbers are very helpful for first
responders
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
VK 617-965-3711 • www.mahealthcouncil.org
wum muxai
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•
FAMILY SUPPORT AND RECOVERY SUPPORT
• Learn to Cope chapter
• Funding parent support groups for parents of chronic users- licensed social worker
• Training Recovery Coaches-follow-up pilot program with police and recovery coaches to do
home visits after Narcan reversals. The training recovery coach is provided at a free family
support meeting. Gosnold will pay for it.
PRINTED MATERIALS
• South Shore guide to treatment providers available to schools,on town website, on our
website, at all our events,available to nearby towns and we mail it to all households
• Well-Being Books we created to help the public understand their community based on data
• Laminated cards with signs of overdose, resources and phone numbers are very helpful for first
responders
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
617-965-3711 • www.mahealthcouncii.org
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F
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Please see Appendix F for Abbreviations and Acronyms
The responsibility for any inaccuracies in Appendix C is entirely ours and we welcome corrections.
BARNSTABLE
GROUP NAME Barnstable County Public Health District
RESPONDENT Beth Albert, Barnstable MOAPC Coordinator
COUNTY Barnstable
REGIONAL PARTICIPATION MOAPC and Barnstable County Regional Substance Abuse Council
POPULATION(APPROXIMATE) 214,990(county)
DATE BEGAN 2014
REASON FOR FOUNDING We knew we needed to be organized to get grants and address the
issues.
WHO FOUNDED County Department of Human Services and the chief of police
MAIN FOCUS Following the SPF model and doing assessment to determine focus
#OF MEMBERS 12 of 15 towns actively participating
COORDINATION/STAFF 1 FT Senior Program Manager(50%on the substance abuse
council), 1 PT coordinator
FUNDING SOURCES DFC,MOAPC,SAPC(underage drinking grant)
OTHER RESOURCES RECEIVED HRiA helped us with epidemiological data pulls. Cape Cod
Healthcare also helped with data.
TIP Important to have a smaller group of planning advisors and not
name the steering committee off the bat.
BARRE/QUABBIN
GROUP NAME Quabbin Drug Resistance Unifying Group(Q-DRUG)
RESPONDENT Nekr Jenkins,Athol Area YMCA Project Purple Coordinator
COUNTY Worcester
REGIONAL PARTICIPATION Q-DRUG—see towns below
POPULATION(APPROXIMATE) Barre—5,398; Hubbardston—4,382;Oakham—1,902;
Hardwick—2,990; New Braintree-999
DATE BEGAN 2014
REASON FOR FOUNDING Had experienced heroin fatalities for a decade;400 people
responded to survey to see if community felt it was a problem
WHO FOUNDED Chief of police, administration of high school and a town minister
MAIN FOCUS All ages but more on middle school and high school;focus is mostly
on opioid prevention
#OF MEMBERS About 50 at meetings,mostly adults
MEETINGS Monthly at senior center
COORDINATION/STAFF Purple Project Coordinator and a town selectman;Coordinator is
funded by grants from YMCA and Chris Herren/Project Purple
FUNDING SOURCES YMCA grant
OTHER RESOURCES RECEIVED Technical assistance,data,staff
'i TIP Find like-minded people to start; it's overwhelming for one person
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BERKSHIRE(NORTHERN BER KSHIRE COUNTY)
GROUP NAME Berkshire Opioid Abuse Prevention Collaborative(BOAPC)
RESPONDENT Lois Daunis, Northern Berkshire Community Coalition(NBCC)
Prevention Coordinator and Grants Manager
COUNTY Berkshire
REGIONAL PARTICIPATION MOAPC,since 2013,county-wide-32 communities broken into 3
sections,one of which is Northern Berkshire
POPULATION(APPROXIMATE) North Adams-13,708;Adams—8,485;Clarksburg—1,702
Florida—752;Savoy—692;Williamstown—7,754;
New Ashford-228
DATE BEGAN 1999;attention to opioids began 2011
REASON FOR FOUNDING In 2011 NBCC members heard about people who died from or were
addicted to opioids
WHO FOUNDED Our executive director and staff
MAIN FOCUS 50%opioids
COORDINATION/STAFF 1 FT and 3 PT
FUNDING SOURCES 1999 DPH funding for youth substance abuse prevention (alcohol,
marijuana and tobacco),DFC, MOAPC
OTHER RESOURCES RECEIVED Technical assistance for online reporting on environmental factors,
number of people impacted,etc. And technical assistance for data
collection for the strategic prevention framework from MassTAPP.
TIP Ask for MassTAPP's help in identifying another coalition that could
mentor you. There is some mentoring funding.
BROCKTON
GROUP NAME Brockton Mayor's Opioid Overdose Prevention Coalition
RESPONDENT Hilary Dubois,Coordinator
COUNTY Plymouth
REGIONAL PARTICIPATION MOAPC EEEE�
POPULATION(APPROXIMATE) Brockton—93,810;E. Bridgewater—13,794; Rockland—17,489
Whitman—14,489
DATE BEGAN 2007
REASON FOR FOUNDING Brockton was 51h-highest in state in overdoses
WHO FOUNDED Person from High Point Treatment Center and former Mayor
MAIN FOCUS 90%opioids
#OF MEMBERS 25 regulars at meetings;40 at MOAPC regional meetings
COORDINATION/STAFF 1 FT
FUNDING SOURCES MassCALL II, MOAPC, DFC
OTHER RESOURCES RECEIVED Support in data analysis,communications
TIP Do your homework: understand what the issue is,where it started,
what services are available,who and how this is impacting the
community.As soon as you can,access local data.
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
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BERKSHIRE(NORTHERN BERKSHIRE COUNTY)
GROUP NAME Berkshire Opioid Abuse Prevention Collaborative(BOAPC)
RESPONDENT Lois Daunis, Northern Berkshire Community Coalition(NBCC)
Prevention Coordinator and Grants Manager
COUNTY Berkshire
REGIONAL PARTICIPATION MOAPC,since 2013,county-wide-32 communities broken into 3
sections,one of which is Northern Berkshire
POPULATION(APPROXIMATE) North Adams-13,708;Adams—8,485;Clarksburg—1,702
Florida—752;Savoy—692;Williamstown—7,754;
New Ashford-228
DATE BEGAN 1999;attention to opioids began 2011
REASON FOR FOUNDING In 2011 NBCC members heard about people who died from or were
addicted to opioids
WHO FOUNDED Our executive director and staff
MAIN FOCUS 50%opioids
COORDINATION/STAFF 1 FT and 3 PT
FUNDING SOURCES 1999 DPH funding for youth substance abuse prevention(alcohol,
marijuana and tobacco),DFC, MOAPC
OTHER RESOURCES RECEIVED Technical assistance for online reporting on environmental factors,
number of people impacted,etc. And technical assistance for data
collection for the strategic prevention framework from MassTAPP.
TIP Ask for MassTAPP's help in identifying another coalition that could
mentor you. There is some mentoring funding.
BROCKTON
GROUP NAME Brockton Mayor's Opioid Overdose Prevention Coalition
RESPONDENT Hilary Dubois,Coordinator
COUNTY Plymouth
REGIONAL PARTICIPATION MOAPC
POPULATION(APPROXIMATE) Brockton—93,810;E. Bridgewater—13,794;Rockland—17,489
Whitman—14,489
DATE BEGAN 2007
REASON FOR FOUNDING Brockton was 5th-highest in state in overdoses
WHO FOUNDED Person from High Point Treatment Center and former Mayor
MAIN FOCUS 90%opioids
#OF MEMBERS 25 regulars at meetings;40 at MOAPC regional meetings
COORDINATION/STAFF 1 FT
FUNDING SOURCES MassCALL II, MOAPC, DFC
OTHER RESOURCES RECEIVED Support in data analysis,communications
TIP Do your homework: understand what the issue is,where it started,
what services are available,who and how this is impacting the
community.As soon as you can,access local data.
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham,MA 02494
617-965-3711 • www.mahealthcouncil.org�K
30
CHARLESTOWN(Boston neighborhood)
GROUP NAME Charlestown Substance Abuse Coalition
RESPONDENT Sarah Coughlin, Director
COUNTY Suffolk
POPULATION(APPROXIMATE) 17,052
DATE BEGAN 2004
REASON FOR FOUNDING In 2003 Charlestown had highest heroin overdose rates in
Massachusetts
WHO FOUNDED Concerned residents,social worker, Massachusetts General
Hospital people, police officer, head of Charlestown Against Drugs
(a collaborating group)
MAIN FOCUS 60%opioids;all ages, 18-25 males were most affected
#OF MEMBERS 25 at monthly meetings, plus task forces;total of about 80 in all
MEETINGS Weekly
COORDINATION/STAFF 4 paid: all full time,3 funded through MGH, 1 through DFC
FUNDING SOURCES DFC,MGH, MassCALL II, Boston Public Health Commission, Boston
Alliance for Community Health, Determination of Need
OTHER RESOURCES RECEIVED Office at Boys&Girls Club(also fiscal agent);MGH Center for
Community Development:use their evaluation teams to look at all
surveys;Charlestown Health Center(of MGH)to spread word;
Schools:allow students to use school time,survey distribution
TIP Get out there and pound the pavement. Find out what the
community wants.Start where the community is at. Find your
natural stakeholders
COHASSET
GROUP NAME Safe Harbor Cohasset Coalition
RESPONDENT Christine Murphy of the Social Service League
COUNTY Norfolk
REGIONAL PARTICIPATION Norfolk County DA Meetings,CHNA-20,South Shore FACTS
POPULATION(APPROXIMATE) 7,542
DATE BEGAN 2014
REASON FOR FOUNDING Several overdoses in town and just outside town
WHO FOUNDED Concerned resident(Christine)
MAIN FOCUS Combination of cannabis,alcohol and opioids;all ages
#OF MEMBERS Number of attendees at first three meetings:60, 68 and 36
COORDINATION/STAFF Christine,who is volunteering
FUNDING SOURCES Small grants from Social Service League,CHNA-20, Rotary
OTHER RESOURCES RECEIVED One person provided technical assistance for a couple of months,
paid for by CHNA paid
TIP Get all sectors on board early:school principals,selectman,etc.,a
core group and steering committee not dependent on 1 or 2 people
I
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
FFIK 617-965-3711 9 www.mahealthcouncil.org
i
GROUP NAME DANVERS
RESPONDENT DanversCARES
COUNTY Jason Verhoosky
REGIONAL PARTICIPATION Essex
MOAPC with Gloucester and Beverly
POPULATION(APPROXIMATE) 26,493
DATE BEGAN 2007;opiate work,2012;earlier used Communities That Care mod
REASON FOR FOUNDING YRBS showed increase in usage of prescription painkillers el
WHO FOUNDED Public health person and person from the schools
MAIN FOCUS
# Youth;25%on opioids since MOAPC
MEETINGS MEMBERS 30-40 attend meetings;80 total
Monthly
COORDINATION/STAFF
2 FT, 117
FUNDING SOURCES
DFC, BSAS Underage Drinking Grant, Community mental health
grants,American Heart Association grants
OTHER RESOURCES RECEIVED In-kind matches-tech support and space-from school department
TIP
and town.support from school committee and town government Do it!Talk to other communities and see who has been successful
find what has and hasn't worked to tap your resources and learn
from others'mistakes. Have perspective on who/what the
community is, unspoken rules and how things operate. Have the
Passion to pull community together.
GROUP NAME EVERETT
RESPONDENT
Everett Community Health Partnership-Substance Abuse Coalition
Jean Granick, Director
COUNTY Middlesex
REGIONAL PARTICIPATION MOAPC(Cambridge is lead municipality)
POPULATION(APPROXIMATE) Everett-42,935
DATE BEGAN
REASON FOR FOUNDING Around 2003
Cambridge Health Alliance acquired Whidden Memorial Hospital;a
comprehensive community needs assessment identified substance
abuse as a public health priority.
� WHO FOUNDED Cambridge Health Alliance in partnershi
partners. P wit h city and community
MAIN FOCUS Alcohol,tobacco and other drugs,adults and youth; now 25%on
#OF MEMBERS opioids.
Core group of 50-60 strongly connected and inner core of 15;very
MEETINGS
large youth sector(Teens in Everett Against Substance Abuse)
2 large meetings a year for entire coalition membership plus
working groups on opioids,Youth Networkers, etc.
COORDINATION/STAFF
1 FT director, 1 FT coordinator plus an evaluation person
FUNDING SOURCES 2-year Robert Wood Johnson Foundation Demand Treatment Grant
thru Boston Univ., DFC, MOAPC, HRiA for tobacco efforts,TriCAP
(antipoverty agency),federal STOP(Sober Truth on Prevention)
OTHER RESOURCES RECEIVED MassTAPP, CADCA, Institute for Community Health provides
TIP
evaluators,office space/phones from Cambridge Health Alliance
Be patient. You may think you're not doing much but
doing quite a lot. You maybe doing thing You may be
s that bear fruit later on.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
►�JK 617-965-3711 • www.mahealthcouncil.orR
1
GROUP NAME DANVERS
RESPONDENT DanversCARES
COUNTY Jason Verhoosky
REGIONAL PARTICIPATION Essex
POPULATION(APPROXIMATE) 26,493C with Gloucester and Beverly
DATE BEGAN
2007;
REASON FOR FOUN opiate work,2012;earlier used Communities That Care model
DING YRBS showed increase in usage of prescription painkillers
NDED
WHO FOU
MAIN FOCUS Public health person and person from the schools
Youth;25%on opioids sinc M e OAPC
MEETINGS# MEMBERS 30-40 attend meetings;80 total
COORDINATION/STAFF Monthly
FUNDING SOURCES 2 FT, 1 PT
DFC, BSAS Underage Drinking Grant,Community mental health
grants,American Heart Association grants
OTHER RESOURCES RECEIVED In-kind matches-tech support and space-from school department
TIP
and town.support from school committee and town government
Do it!Talk to other communities and see who has
find what has and hasn't worked to to s been successful, ,
from others'mistakes. Have perspective on who/what the ources and
from
community is,unspoken rules and how things operate. Have the
passion to pull community together.
GROUP NAME EVERETT
RESPONDENT Everett Community Health Partnership-Substance Abuse Coalition
COUNTY Jean Granick, Director
REGIONAL PARTICIPATION Middlesex
MOAPC POPULATION(APPR (Cambridge is lead municipality)
ATE BEGAN OXIMATE) Everett-42,935
D
Around 2003
REASON FOR FOUNDING
Cambridge Health Alliance acquired Whidden Memorial Hospital;a
comprehensive community needs assessment identified substance
WHO FOUNDED abuse as a public health priority.
Cambridge Health Alliance in partnership with city and community
MAIN FOCUS Partners.
Alcohol,tobacco and other drugs,adults and youth;now 25%on
#OF MEMBERS opioids.
Core group of 50-60 strongly connected and inner core of 1S;very
MEETINGS large youth sector(Teens in Everett Against Substance Abuse)
2 large meetings a year for entire coalition membership plus
COORDINATION/STAFF working groups on opioids,toYouth Networkers,etc.
FUNDING SOURCES
1 FT director, 1 FT coordinar plus an evaluation person
2-year Robert Wood Johnson Foundation Demand Treatment
Grant
thru Boston Univ.,DFC, MOAPC, HRiA for tobacco efforts,TriCAP
OTHER RESOURCES RECEIVED
(antipoverty agency),federal STOP(Sober Truth on Prevention)
MassTAPP, CADCA, Institute for Community Health provides the
TIP
evaluators,office space/phones from Cambridge Health Allia '
Be patient.You may think you're not doing much b nce
be
doing quite a lot. You may be doing things that bear fruit later on.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
nalc
617-965-3711 0 www.mahealthcouncii.orF
r
FALL RIVER
GROUP NAME BOLD(Building Our Lives Drug-free)at SSTAR(Stanley Street
Treatment And Resources)
RESPONDENT Mike Aguiar, BOLD Coalition Coordinator
COUNTY Bristol
REGIONAL PARTICIPATION New MOAPC
POPULATION(APPROXIMATE) Fall River—88,857;Taunton—55,874; Dighton—7,086
DATE BEGAN 2004
REASON FOR FOUNDING We had a heroin problem—the price went down,quality went up
and high school kids started using and experimenting
WHO FOUNDED One of our therapists ran across the DFC grant opportunity
MAIN FOCUS Youth and parents,today it's 2/3 focus on opioids
#OF MEMBERS 200 people attend at least one meeting during the year
COORDINATION/STAFF 2 FT,2 PT
FUNDING SOURCES DFC, BSAS PFS2(age 18-25 prescription drug abuse prevention),
family strengthening grant
OTHER RESOURCES RECEIVED MassTAPP provides technical assistance and we will learn from
Quincy's MOAPC how to organize the regional coalition
TIP Before you take the first step,get the right people at the table and
collect the data.Funders will require hard data on the extent of the
problem .
GREENFIELD
GROUP NAME Greenfield Safe Schools,Safe Streets Coalition
RESPONDENT Maureen Donovan,Safe Streets Coordinator
COUNTY Hampden
POPULATION(APPROXIMATE) 1531060
DATE BEGAN 2009,Communities That Care,SAMHSA mentoring grant
REASON FOR FOUNDING Substance use prevention in youth
WHO FOUNDED Youth Commission person,team from schools appointed by
Superintendent
MAIN FOCUS Youth; 20%on opioids,80%on alcohol,marijuana,tobacco
#OF MEMBERS 25-30 meeting attendees,70 on list
MEETINGS Full meeting every other month and steering committee meets in
the off-month
COORDINATION/STAFF 2 FT,2 PT
FUNDING SOURCES DFC,Communities That Care
OTHER RESOURCES RECEIVED Mini-grant from The 84 project:$2,000 for tobacco;grant-writing
from grant manager who works for schools;volunteering: had over
15,000 volunteer hours in-kind time from coalition members
G TIP Having a clear agenda is important: HUGE. People like to come in
and know what they will do, have time planned.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
ni"`� 617-965-3711 0 www.mahealthcouncil.org
GROUP NAME HAVERHILL
RESPONDENT
Haverhill Overdose Prevention and Education Task Force
Kim Boisselle, LICSW, Program Director,Structured Outpatient
COUNTY Addiction Program,Team Coordinating Agency
Essex
REGIONAL PARTICIPATION
Recently collaborating with Methuen, Lawrence,Andover
POPULATION(APPROXIMATE) 60,879
DATE BEGAN 2014
REASON FOR FOUNDING High number of opioid overdoses in city in 2014
WHO FOUNDED Mayor Fiorentini made calls to people to come to meeting
MAIN FOCUS 100%on opioids;all ages
#OF MEMBERS Average 40 at meetings; 75 on list
COORDINATION/STAFF Part-time co-chairs are Kim and Karen Pugh(community member
Who works in health care)
FUNDING SOURCES None yet—collaborating with Lawrence,Methuen,Andover to get
grant
OTHER RESOURCES RECEIVED Police Department data; Mayor's office resources;local access TV
station to film;grassroots group of family members of those who
have died from heroin:they share information on their Facebook
group;Greater Lawrence Family Health Center provides Narcan at
no cost
TIP Do it! People want to help and get involved.
GROUP NAME LOWELL
RESPONDENT
TeenBLOCK Program, Lowell Community Health Center
Linda Sopheap Sou, Director
COUNTY Middlesex
REGIONAL PARTICIPATION Greater Lowell Health Alliance MOAPC
POPULATION(APPROXIMATE) 106,519
DATE BEGAN 2007 as Lowell Roundtable on Substance Abuse Prevention
REASON FOR FOUNDING Underage drinking and tobacco use
WHO FOUNDED Person who worked at Greater Lawrence Healt h Center
MAIN FOCUS 50%underage alcohol;50%#OF MEMBERS - opioid overdose prevention
Lowell members
MEETINGS Meets every other month with regional group;subcommittees
COORDINATION/STAFF meet the other month
Lowell CHC—1.5 staff
FUNDING SOURCES MassCALL II; DFC,Massachusetts Youth Against Tobacco; DA's
Office
OTHER RESOURCES RECEIVED
MassTAPP:training,technical assistance through MOAPC;CADCA:
technical assistance, resources, Office of National Drug Control
Policy: up to date things that are happening at federal level, we pay
for some of it but then get a lot of free things; "High intensive drug
trafficking area":focused on law enforcement,federal data sharing;
local police department:crime analysis
TIP Spend time talking to people individually first to see what their
agenda is and what they have already done.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
now
617-965-3711 9 www.mahealthcouncil.ore
r
GROUP NAME HAVERHILL
RESPONDENT Haverhill Overdose Prevention and Education Task Force
Kim Boisselle, LICSW,Program Director,Structured Outpatient
COUNTY Addiction Program,Team Coordinating Agency
Essex
REGIONAL PARTICIPATION
Recently collaborating with Methuen, Lawrence,Andover
POPULATION(APPROXIMATE) 60,879
DATE BEGAN 2014
REASON FOR FOUNDING High number of opioid overdoses in city in 2014
WHO FOUNDED Mayor Fiorentini made calls to people to come to meeting
MAIN FOCUS 100%on opioids;all ages
#OF MEMBERS Average 40 at meetings; 75 on list
COORDINATION/STAFF Part-time co-chairs are Kim and Karen Pugh(community member
who works in health care)
FUNDING SOURCES None yet—collaborating with Lawrence,Methuen,Andover to et
grant
OTHER RESOURCES RECEIVED Pol lice Department data;Mayor's office resources; cessg
TV
station to film;grassroots group of family members of those who
have died from heroin:they share information on their Facebook
group;Greater Lawrence Family Health Center provides Narcan at
no cost
TIP Do it! People want to help and get involved.
GROUP NAME LOWELL
RESPONDENT
TeenBLOCK Program, Lowell Community Health Center
Linda Sopheap Sou, Director COUNTY �
REGIONAL PARTICIPATION Middlesex
Greater Lowell Health Alliance MOAPC
POPULATION(APPROXIMATE) 106,519
DATE BEGAN 2007 as Lowell Roundtable on Substance Abuse Prevention
REASON FOR FOUNDING Underage drinking and tobacco use
WHO FOUNDED Person who worked at Greater Lawrence Health Center
MAIN FOCUS 50%underage alcohol;50%opioid ov
#OF MEMBERS 30 Lowell members erdose prevention
MEETINGS Meets every other month with regional group;subcommittees
COORDINATION/STAFF meet the other month
Lowell CHC—1.5 staff
FUNDING SOURCES MassCALL II; DFC, Massachusetts Youth Against Tobacco; DA,s
Office
OTHER RESOURCES RECEIVED
MassTAPP:training,technical assistance through MOAPC;CADCA:
technical assistance, resources, Office of National Drug Control
Policy:up to date things that are happening at federal level,we pay
for some of it but then get a lot of free things;"High intensive drug
trafficking area":focused on law enforcement,federal data sharing;
local police department:crime analysis
TIP Spend time talking to people individually first to see what their
agenda is and what they have already done.
Massachusetts Health Council,200 Reservoir Street,Suite 101,Needham, MA 02494
617-965-3711 • www.mahealthcoi,nrii
nim II
LOWELL(GREATER LOWELL)
GROUP NAME MOAPC Greater Lowell Collaborative
RESPONDENT Peter Saing,Outrea Worker at Lo
ch well Health Dept.
COUNTY Middlesex
REGIONAL PARTICIPATION Lowell is lead on MOAPC which includes Billerica,Chelmsford,
Dracut,Tewksbury,Westford,and Wilmington
POPULATION(APPROXIMATE) Billerica—40,243;Chelmsford—33,802; Dracut—29,457
Lowell—106,519;Tewksbury—28,961;Westford—21,951
Wilmington—22,325
DATE BEGAN 2007, now a MOAPC cluster
MAIN FOCUS overdose prevention
#OF MEMBERS 1 or 2 from each participating MOAPC community
MEETINGS Usually meet monthly
COORDINATION/STAFF Lowell Health Educator and Lowell Outreach Worker coordinate the
MOAPC
FUNDING SOURCES Lowell Health Department;MassCALL, MOAPC
TIP Build relationships,get key players on your team,have community
buy-in.
MARTHA'S VINEYARD
GROUP NAME Martha's Vineyard Youth Task Force, Dukes County Health Council
RESPONDENT k2004
mie Vanderloop
COUNTY kes
POPULATION(APPROXIMATE) ,535
DATE BEGAN
REASON FOR FOUNDING Series of alcohol-related youth fatalities
WHO FOUNDED A member of the Dukes County Health Council got a one-year
planning grant from Health Imperatives Outcomes Project
MAIN FOCUS Youth and also ages 18-26 re alcohol and substance abuse
#OF MEMBERS 50 on email list,20-25 attend meetings
MEETINGS Monthly coalition meetings and Steering Committee meets weekly
COORDINATION/STAFF 2 FT and 10-hour Project Next person
FUNDING SOURCES Attorney General Underage Drinking Grant in 2006, BSAS underage
drinking grant in 2007, DFC in 2008,Tower Foundation (Project
Next)
OTHER RESOURCES RECEIVED In-kind from county:office space at county building, MassTAPP
technical assistance,CADCA(conferences,evaluation resources)
0 TIP Piggyback on good things already happening in the community.
Massachusetts Health Council, 200 Reservoir Street,Suite 101 Needham MA 02
494
617-965-3711 • www.mahealthcouncil.org
GROUP NAME NANTUCKET
RESPONDENT
Alliance for Substance Abuse Prevention(ASAP)COUNTY Catherine Kelly, DFC Grant Director
Nantucket
POPULATION(APPROXIMATE) 10,399
DATE BEGAN 1995
REASON FOR FOUNDING To deal with alcohol problems on the island
WHO FOUNDED Local citizens
MAIN FOCUS DFC funding
primarily is for youth-focused prevention but 50%of
our#OF MEMBERS 20 resources are on opioid crisis
COORDINATION/STAFF 1 FT and consultant for TA and data
FUNDING SOURCES DFC,a community foundation,Town of Nantucket,golf club
OTHER RESOURCES RECEIVED Volunteer help,space at the police department and at the schools
TIP Try to reach every facet of the community
ce,fire ut also the
mom of three teenage boys and even a new mol'm plus well-known
local people like local store and restaurant owners.
GROUP NAME AIEEDHAM
Needham Coalition for RESPONDENT Youth Substance Abuse Prevention
Carol Read, Program Director
COUNTY Norfolk
REGIONAL PARTICIPATION Norfolk County DA meetings
POPULATION(APPROXIMATE) 28,88o
DATE BEGAN
2009(was off-shoot of suicide prevention coalition)
REASON FOR FOUNDING To deal with alcohol and marijuana but later, in 2010,heard
ioids from anecdotes about o
P
WHO FOUNDEDyoung adult surveys
State Rep. Denise Garlick,a Needh
a��resi�ent,founded the suicide
prevention coalition;a consultant and Carol founded the substance
abuse coalition
MAIN FOCUS All youth through high school. Main focus is alcohol and marijuana
but some focus on opioids as well.
#OF MEMBERS 20 attend monthly meetings,active communications with 45 and
total list of 120
MEETINGS Monthly
COORDINATION/STAFF 1 FT, 1 PT and non-paid leadership team
FUNDING SOURCES DFC,donations—we put it in a 501c3 OTHER RESOURCES RECEIVED Town provides office space(and is the fiscal agent),office assistant
gives her time, Beth Israel Deaconess Needham hospital did survey,
free cable production, meeting space at Needham Public Library,all
office supply materials, and we get food donations
TIP There isn't a quick fix to this:that's why the DFC grants are for u to
10 years(2 five-year periods). p
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
617-965-3711 0 www.mahealthcotinrii pro
GROUP NAME NANTUCKET
RESPONDENT
Alliance for Substance Abuse Prevention(ASAP)COUNTY Catherine Kelly,DFC Grant Director
Nantucket
POPULATION(APPROXIMATE) 1 ant
DATE BEGAN 399
1995
REASON FOR FOUNDING To de;!, with alcohol problems on the island
WHO FOUNDED
MAIN FOCUS Local citizens
DFC funding primarily is for youth-focused prevention but 50%of
our resources are on opioid crisis
#OF MEMBERS 20
COORDINATION/STAFF 1 FT and consultant for TA and data
FUNDING SOURCES DFC,a community foundation,Town of Nantucket,golf club
OTHER RESOURCES RECEIVED Volunteer help,space at the police department and at the schools
TIP Try to reach every facet of the Community
mom of three teenage boys and even a new mol'm plus well-known ce,fire but also e local people like local store and restaurant owners.
• NEEDHAM
GROUP NAME Needham Coalition for Youth Substance Abuse Preventio t
RESPONDENT nCarol Read,Pro
COUNTY Norfolk gram Director
REGIONAL PARTICIPATION Norfolk County DA meetings
POPULATION(APPROXIMATE) 28,886
DATE BEGAN 2009(was off-shoot of suicide prevention coalition)
REASON FOR FOUNDING To deal with alcohol and marijuana but later, in 2010,heard
WHO FOUNDED
anecdotes about opioids from young adult surveys
State Rep. Denise Garlick,a Needham resident,founded the suicide
prevention coalition;a consultant and Carol founded the substance
abuse coalition
MAIN FOCUS All youth through high school. Main focus is alcohol and marijuana
but some focus on opioids as well.
#OF MEMBERS 20 attend monthly meetings,active communications with 45 and
total list of 120
MEETINGS Monthly
COORDINATION/STAFF 1 FT, 1 PT and non-paid leadership team
FUNDING SOURCES DFC,donations—we put it in a 501c3
OTHER RESOURCES RECEIVED Town provides office space(and is the fiscal agent),office assistant
gives her time, Beth Israel Deaconess Needham hospital did survey,
free cable production, meeting space at Needham Public Library,all
office supply materials,and we get food donations
TIP There isn't a quick fix to this:that's why the DFC grants are fo
10 years(2 five-year periods). r up to
Massachusetts Health Council,200 Reservoir Street,Suite 101,Needham, MA 02494
nft
617-965-3711 0 www.mahealthcoiinril n,n
SCITUATE
GROUP NAME Scituate FACTS (Families,Adolescents and Communities Together
against Substances)
RESPONDENT Annmarie Galvin,Co-chair
COUNTY Norfolk
REGIONAL PARTICIPATION Working with nearby towns,CHNA 20,South Shore FACTS
POPULATION(APPROXIMATE) 18,133
DATE BEGAN 2011
REASON FOR FOUNDING Heard whispers about heroin use and heard about a death
WHO FOUNDED Annmarie(resident)reached out to police chief,selectman and
schools superintendent
MAIN FOCUS Youth and young adults,50%opiates,50%other substances
#OF MEMBERS 40 people regularly attend or volunteer
COORDINATION/STAFF 1 FT and 1 PT staff person plus trainings,equipment
rFUNDINGSOURCES DFC
SOURCES RECEIVED Town provides office space, phone, IT,payroll accounting
Start slowly and do a few good things. Don't worry about funding
in the beginning. Can get space and resources from schools,etc.
Grants can come later.
SOUTH HADLEY
GROUP NAME South Hadley Drug and Alcohol Prevention Coalition
RESPONDENT Karen Walsh-Pio, Coalition Coordinator
COUNTY Hampshire
REGIONAL PARTICIPATION MOAPC(Northampton is lead municipality)
POPULATION(APPROXIMATE) 17,514
DATE BEGAN Formed in 2005 as task force and became coalition in 2012
REASON FOR FOUNDING A young man who was a high school senior died two weeks before
Christmas of a heroin overdose
WHO FOUNDED The superintendent of schools called for a task force. Had 300
people at the first meeting. A lot of upset parents were unaware
that heroin was in town.
MAIN FOCUS Youth;alcohol,marijuana and now 50%focus on opiates
#OF MEMBERS About 60 members. 50 came to a retreat and 12 kids came. 15 to
20 come to monthly meetings.
MEETINGS Monthly
COORDINATION/STAFF 1 FT coordinator, project director who works for the schools,
evaluators from Collaborative for Educational Services in
Northampton (paid under the DFC)
FUNDING SOURCES DFC
TIP Do it! It takes a village.These are our children. It's our community.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
617-965-3711 • www.mahealthcouncil.org
11 Ric
GROUP NAME SPRINGFIELD
RESPONDENT SCOOP:Springfield Coalition for Opioid Overdose Prevention
COUNTY Marie Graves, Project Director
REGIONAL PARTICIPATION Hampden
POPULATION(APPROXIMATE MOAPC
)
DATE BEGAN Springfield-153,060;Chicopee—55,298; Holyoke—39,880
REASON FOR FOUNDING 2008
WHO FOUNDED Opioid overdoses in Springfield
MAIN FOCUS Man at city Department of Health and Human Services wrote grant
#OF MEMBERS 18-35 year-olds; 100%on opioids
20 consistent collaborative partners;50 others who are"here and
MEETINGS there members"
Every two-three months
COORDINATION/STAFF 1 FT and she could use more coordinators: "if the funding away,the program could go away"because she would be gone and
her providing direction would be gone
FUNDING SOURCES MaSSCALL2, Partnerships for Success, MOAPC,appl in c
OTHER RESOURCES RECEIVED for DFC grant y g urrently
MassTAPP technical assistance, meeting space,transportation,food
-can get most things because of her relationships with people(first
TIP
two months,she just visited places and formed relationships)
Build relationships. Understand the community
what it is. Go to clinics where people are working with act eIon users
and then work your way back. Everything else will come.
GROUP NAME TEWKSBURY
RESPONDENT Greater Lowell MOAPC and Tewksbury CARES
COUNTY Police Officer Jenny Welch,Tewksbury Police Department
REGIONAL PARTICIPATION Middlesex
Greater Lowell MOAPC
POPULATION(APPROXIMATE
DATE BEGAN � 28,961
Tewkbury CARES started around 2007 and is trying to revamp.
Police Department and Board of Health became part of a Greater
Lowell Health Alliance Task Force and now,MOAPC
REASON FOR FOUNDING In 2012,we went to an event in a nearby community ono '
WHO FOUNDED and we decided to do something in our town. plates
MAIN FOCUS Police Department and School Department started latest efforts
MEETINGS Mainly youth, 759�on opiates
Most meetings are with MOAPC collaborative
COORDINATION/STAFF Part-time for Officer Welch,School Department and Healt
Department people—it's part of their jobs. h
FUNDING SOURCES Put in for a BSAS grant for a FT substance abuse coordinato
OTHER RESOURCES RECEIVED Lowell Board of Health materials r
TIP People sometimes don't feel comfortable going
topic ings
in their hometown,so events in nearby towns can be
hon this
elpful.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
�H.' 617-965-3711 0 www.mahealthcouncil.ore
GROUP NAME SPRINGFIELD
RESPONDENT SCOOP:Springfield Coalition for Opioid Overdose Prevention
COUNTY Marie Graves, Project Director
REGIONAL PARTICIPATION Hampden
MOAPC
)
POPULATION(APPROXIMATE)DATE BEGAN Springfield-153,060;Chicopee—55,298;Holyoke—39,880
REASON FOR FOUNDING 2008
WHO FOUNDED OPioid overdoses in Springfield
MAIN FOCUS Man at city Department of Health and Human Services wrote grant
#OF MEMBERS 18-35 year-olds;100%on opioids
20 consistent collaborative partners;50 others who are"here and
MEETINGS there members"
Every two-three months
CO Every
1 FT and she could use more coordinators:"if the funding away,the program could go away"because she would be gone and
FUNDING SOURCES her providing direction would be gone
MassCALL2, Partnerships for Success, MOAPC,applying currently
for DFC grant
OTHER RESOURCES RECEIVED
MassTAPP technical assistance,meeting space,transportation,food
-can get most things because of her relationships with people(first
IF. TIP two months,she just visited places and formed relationships)
Build relationships. Understand the community
laon
what it is. Go to clinics where people are working with c t ve useors
and then work your way back. Everything else will come.
GROUP NAME TEWKSBURY
RESPONDENT Greater Lowell MOAPC and Tewksbury CARES
COUNTY Police Officer Jenny Welch,Tewksbury Police Departmen
REGIONAL PARTICIPATION Middlesex t
POPULATION(APPROXIMATE Greater Lowell MOAPC� 28
DATE BEGAN ,961
Tewkbury CARES started around 2007 and is trying to revamp.
Police Department and Board of Health became part of a Greater
Lowell Health Alliance Task Force and now,MOAPC
REASON FOR FOUNDING In 2012,we went to an event in a nearby community o
WHO FOUNDED and we decided to do something in our town. n opiates
MAIN FOCUS Police Department and School Department started latest efforts
MEETINGS Mainly youth, 75%on opiates
Most meetings are with MOAPC collaborative
COORDINATION/STAFF Part-time for Officer Welch,School Department and H
FUNDING SOURCES Department people—it's part of their jobs. ealth
Put in for a BSAS grant for a FT substance abuse coordinator
• OTHER RESOURCES RECEIVED Lowell Board of Health materials
TIP People sometimes don't feel comfortable going
topic in their hometown,so events in nea by towns cant ings be helpful,
Massachusetts Health Council 200•+ Reservoir Street,Suite 101,Needham, MA 02494
�K 617-965-3711 • WWw,mahealthcouncil.ore
GROUP NAME WESTFORDWestford Health Department and WASA(Westford Against
Substance Abuse)
RESPONDENT Ray Peachey,Substance Abuse Coordinator for Health Department
COUNTY
and board member of WASA
Middlesex
REGIONAL PARTICIPATION Greater Lowell Health Alliance MCAPC
POPULATION(APPROXIMATE) 21,951
DATE BEGAN WASA began in 1986
REASON FOR FOUNDING We had a big underage alcohol and marijuana problem.
WHO FOUNDED Health Department,School Department and Police Department
MAIN FOCUS All residents but mostly youth; Health Department focus is 30%on
opioids and WASA is 50%on opioids
#OF MEMBERS 13-member board and 10 show up at regular meetings
MEETINGS Monthly
COORDINATION/STAFF 1 PT coordinator—Ray—who shares coordination with WASA
president who is not paid
FUNDING SOURCES MOAPC, Nashoba Valley Health Care,one-time SAMHSA grant
OTHER RESOURCES RECEIVED In-kind information technology,office space
TIP First,do planning and discussion and identify where the problems
are. If you get too big too fast, if you falter it will fall apart.
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
EK 617-965-3711 • www.mahealthcouncil.org
( 6wa5
7,4
In addition to the survey respondents from individual and regional coalitions, we wish to thank
these individuals for the information, insights and referrals they generously provided.
Jennifer Bastille, Crime Analyst/Community Outreach Specialist
Taunton Police Department
Donald Gallagher, Director Of Community Outreach and Education
Northwestern District Attorney's Office
Dr. William R. Geary, Deputy Director, Evaluation and Research
Community Anti-Drug Coalitions of America (CADCA)
Marisa Hebble, MPH, Coordinator
Opioid Task Force of Franklin County and the North Quabbin Region
Carol Ireland, Co-advisor
Violence Intervention and Prevention (VIP) program, Haverhill High School
Edward G.Jacoubs, MSW, Director of Grants and Sponsored Programs
Plymouth County District Attorney's Office
Deborah Milbauer, LCSW, MPH, Community Health Specialist
MassTAPP, Education Development Center
Jose Morales, Director of Prevention
Bureau of Substance Abuse Services, Massachusetts Department of Public Health
Paul Muzhuthett, Regional Director
Northeast Regional Health Office, Massachusetts Department of Public Health
Kate-Marie Roycroft, MSPA, Director of Public Policy
Alliance of Massachusetts YMCAs
Donald Thompson, Deputy Chief
Haverhill Police Department
Ryan Walker, Community Coalition Coordinator
Norfolk District Attorney's Office
Laura Washington, Program Director, BOLD Coalition
Stanley Street Treatment and Resources (SSTAR)
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
Ull}� 617-965-3711 0 www.mahealthcouncil.org
•
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In addition to the survey respondents from individual and regional coalitions, we wish to thank
these individuals for the information, insights and referrals they generously provided.
Jennifer Bastille, Crime Analyst/Community Outreach Specialist
Taunton Police Department
Donald Gallagher, Director of Community Outreach and Education
Northwestern District Attorney's Office
Dr. William R. Geary, Deputy Director, Evaluation and Research
Community Anti-Drug Coalitions of America (CADCA)
Marisa Hebble, MPH, Coordinator
Opioid Task Force of Franklin County and the North Quabbin Region
Carol Ireland, Co-advisor
Violence Intervention and Prevention (VIP) program, Haverhill High School
Edward G.Jacoubs, MSW, Director of Grants and Sponsored Programs
Plymouth County District Attorney's Office
Deborah Milbauer, LCSW, MPH, Community Health Specialist
MassTAPP, Education Development Center
Jose Morales, Director of Prevention
Bureau of Substance Abuse Services, Massachusetts Department of Public Health
Paul Muzhuthett, Regional Director
Northeast Regional Health Office, Massachusetts Department of Public Health
Kate-Marie Roycroft, MSPA, Director of Public Policy
Alliance of Massachusetts YMCAs
Donald Thompson, Deputy Chief
Haverhill Police Department
Ryan Walker, Community Coalition Coordinator
Norfolk District Attorney's Office
Laura Washington, Program Director, BOLD Coalition
Stanley Street Treatment and Resources (SSTAR)
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
nalc 617-965-3711 0 www.mahealthcouncil.org
tom#
The Massachusetts Technical Assistance Partnership for Prevention (MassTAPP) provides valuable
technical assistance to substance abuse coalitions across the state. MassTAPP has provided the
following descriptive information:
The Massachusetts Technical Assistance Partnership for Prevention is funded by the
Massachusetts Department of Public Health's Bureau of Substance Abuse Services (BSAS)
to support communities across the Commonwealth of Massachusetts in
addressing substance abuse prevention. Expert staff offers technical assistance, capacity
building, and resources BSAS-funded programs and other communities across the state.
Critical to successful coalition work is a thoughtful and comprehensive prevention planning
process which is data-driven and employs evidence-based strategies.The Strategic
Prevention Framework(SPF), developed by the Substance Abuse and Mental Health
Services Administration (SAMHSA), is a model planning process that can help communities
. achieve high levels of effectiveness and have long-lasting impact.The SPF consists of five
steps:Assessment(data gathering to define the local problem), Capacity Building(engaging
• coalition partners and securing resources), Planning(using data to identify evidence-based
strategies known to be effective), Implementation (enacting chosen strategies), and
Evaluation (measuring the impact of the strategies). Important components also include
attention to issues of cultural competency and sustainability. The most successful coalitions
utilize a community-driven planning process that engages a broad range of voices to make
long-lasting community change.
• For more information about MassTAPP: www.masstapp.edc.org
• For more information on SAMHSA's SPF: http://captus.samhsa.gov/prevention-
practice/strategic-prevention-framework
•
•
Massachusetts Health Council, 200 Reservoir Street,Suite 101, Needham, MA 02494
VK 617-965-3711 • www.mahealthcouncil.org --
•
AI
.F.. ;IVOa t
BSAS Bureau of Substance Abuse Services
CADCA Community Anti-Drug Coalitions of America
CHNA Community Health Network Area (a DPH-established program)
DESE Massachusetts Department of Elementary and Secondary Education
DFC Drug-Free Communities
DPH (or MDPH) Massachusetts Department of Public Health
MassTAPP Massachusetts Technical Assistance Partnership for Prevention
MassCALL Massachusetts Collaborative for Action, Leadership, and Learning
MOAPC Massachusetts Opioid Abuse Prevention Collaborative
PDMP Prescription Drug Monitoring Program
SADD Students Against Destructive Decisions
SAPC Massachusetts Substance Abuse Prevention Collaborative
SBIRT Screening, Brief Intervention, and Referral to Treatment
SOAP Structured Outpatient Addiction Program
SPF Strategic Prevention Framework
RWJF Robert Wood Johnson Foundation
South Shore FACTS South Shore Families,Adolescents& Communities Together
Against Substances
SUD Substance Use Disorder
SAMHSA Substance Abuse and Mental Health Services Administration •
YRBS Youth Risk Behavior Survey •
1
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
norm
617-965-3711 9 www.mahealthcouncil.org
BSAS
Bu
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au of Substance Abuse Services
CADCA Community Anti-Drug Coalitions of America
CHNA Community Health Network Area (a DPH-established program)
DESE Massachusetts Department of Elementary and Secondary Education
DFC Drug-Free Communities
DPH (or MDPH) Massachusetts Department of Public Health
MassTAPP Massachusetts Technical Assistance Partnership for Prevention
MassCALL Massachusetts Collaborative for Action, Leadership, and Learning
I' • MOAPC Massac
husetts Opioid Abuse Prevention Collaborative l
PDMP Prescription Drug Monitoring Program
SADD Students Against Destructive Decisions
SAPC Massachusetts Substance Abuse Prevention Collaborative
SBIRT
Screening, Brief Intervention,and Referral to Treatment
SOAP Structured Outpatient Addiction Program
SPF Strategic Prevention Framework
RWJF Robert Wood Johnson Foundation
South Shore FACTS South Shore Families,Adolescents&Communities Together
Against Substances
SUD Substance Use Disorder
• SAMHSA Substance Abuse and Mental Health Services Administration
YRBS Youth Risk Behavior Survey
I
Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham,MA 02494
na% 617-965-3711 0 www.mahealthcouncil.org
•
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•
MASSACHUSETTS
HEALTH COUNCIL
•
The Massachusetts Health Council is a 501(c)(3) non-profit organization whose mission is to
improve and protect the health of the Commonwealth's residents through education, advocacy
and policy change,engaging our members in critical discussions and cooperative action.
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Massachusetts Health Council,200 Reservoir Street,Suite 101, Needham, MA 02494
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CITY OF SALEM
BOARD OF HEALTH
MEETING MINUTES
July 14, 2015
DRAFT
MEMBERS PRESENT: Dr. Shama Alam, Chair, Mark Danderson, Janet Greene, &Paul Kirby
OTHERS PRESENT: Suzanne Doty, Public Health Nurse, Council Liaison Beth Gerard, David Greenbaum, Sr.
Sanitarian, Heather Lyons-Paul Clerk of the Board&Joyce Redford, Dr. NSTAPP
EXCUSED: Dr. Danielle Ledoux &Larry Ramdin, Heath Agent
TOPIC DISCUSSION/ACTION
1. Call to Order 7:23pm
2. Minutes of Last Meeting Add to minutes discussion Larry or Suzanne will collect
(June 9, 2015) data about people entering the hospitals and arrest
records for Opiate overdose.
P. Kirby motioned to accept the minutes with corrections
M. Danderson 2"d All in Favor. Motion Passed
J. Greene motioned to take the agenda out of order. P.
Kirby 2"d all in favor
3. Chairperson Announcements The status of the home rule petition that will reduce the
Board to 5 members is still in state committee.
Dr. Alam would like to coordinate the packets getting out in
the mail earlier. Some members are not getting theirs until
the Monday before the meeting.
Dr. Alam would like to keep a direct line of communication
open with the Mayor.
4. Monthly P P Re orts-U dates
A. Public Health Nurse's *Suzanne Doty updated dated the Board on the MAOPC Salem
Report working group meeting. Topics discussed were, current
opioid overdose statistics in Salem, plans for community
education and outreach and planning for Anonymous People
movie viewing in Salem this fall.
*The Middleton Jail has started a voluntary Vivitrol
injections program These injections will help reduce opioid
addictions.
*Healthy Street coordinator will be with Suzanne at the
Farmers Market next week.
Copy available at the BOH office
Rodent issue concerns are being address throughout the city.
B. Health Agent's Report Copy available at the BOH office
• C. Administrative Report Copy available at the BOH office
J. Greene motioned to accept reports. P Kirby 2"d All in
favor. Motion Passed
L
D. City Council Liaison Public Safety Council will be keeping the opiate subject on
Updates the table as a topic of discussion.
5. Tobacco Hearings Joyce Redford addressed the Board about the violations
listed below.
a) Sunoco 145 Canal Street 2"d The owner addressed the Board asking that there should be
Offense discretions made for the businesses in cases that the
suspension will bankrupt the business. He has lost 70%of
business due to construction on Canal Street already. The
owner runs trainings in house so his staff is trained. Paul
Kirby said the Board has no discretionary powers on these
regulations. Janet asked if there is there an appeal process.
Joyce Redford replied that the Board has 21 days to enact the
penalty. Also the owner can appeal the fine at Superior Court
but not the suspension.
P. Kirby motioned that the permit for Sunoco be
suspended for a period of 7 days for repeat violations of
Salem Board of Health regulation #24 in accordance with
section P, violations. 2"d M Danderson
Discussion M. Danderson requested the Board amend the
motion to add the dates of suspension.
J. Greene motioned that the tobacco permit for Sunoco
be suspended for a period of 7 days for repeat violations
of Salem Board of Health regulation#24 in accordance
with section P,violations for the following dates of
• August 4, 2015 to August 10, 2015. 2"d M. Danderson. All
in favor. Motion passed
b) Global 200 Canal Street 3rd Owner stated The Board should conceder penalizing the
Offense store employees for these violations. Joyce Redford
discussed with the Board how the inspections are done by
her department. Dr. Alam would like to have educational
classes available for tobacco control throughout the year for
establishments that hold tobacco permits.
M. Danderson motioned that the permit for Global be
suspended for a period of 30 days for repeat violations
starting Aug 1 and ending Aug 30 in accordance with
The Salem Board of Health regulation#24 in section P,
violations. P. Kirby 2"d All in favor. Motion passed
c) North Shore VaporZ 300 North Shore VaporZ did not show for the hearing.
Highland Avenue—Request P. Kirby motioned that we issue a fine of$200 for North
Shore Vapors for 2 separate violations received on the
same day. J. Greene 2"d All in favor motion passed
6. Updates from Joyce Redford *J. Redford addressed the Board about restricting flavored
tobacco. She stated that Danvers has regulations against
• sales of flavored tobacco now; Beverly and Saugus are
considering restrictions as well. The Board is interested in
having Joyce come back for a presentation on flavored
tobacco/nicotine delivery products.
*In 2014, 30 communities in Massachusetts went to the age
f
restriction of 21+ for tobacco sales. There are now 65
communities that have adopted this age restriction in their
regulations.
*Joyce will coordinate training programs for the Tobacco
Vendor in Salem with Larry Ramdin.
7. Update on North Shore Medical Concerns of emergency preparedness came up in the events
Center— emergency preparedness that Spalding is closing and new plans are in place for the
vacancy of the building. David Greenbaum informed the
Board that NSMC is state mandated to have their own
emergency plans in place and because of the state mandate
the plans will be updated to reflect the changes happening at
the hospital. The City of Salem Board of Health also has
their own emergency preparedness plans in place along fire
and police. All members of the Board of Health department
are certified in ICS and NIMS. Drills are done and overseen
by the state for the hospital and the city on a regular basis. If
an emergency dispensing sight is needed due to a localized
outbreak, plans are in place and if volunteers are needed they
will be pulled off a list provide by the Medical Reserve Core
(MRC). Anyone can sign up as a volunteer for the MRC.
They are always looking for medical and nonmedical
volunteers as staff during emergencies and emergency
operations. Memorandums of understanding are also signed
and on file in case we need more supplies during an
emergency. Salem is part of The Regional North Shore/Cape
Ann Emergency Preparedness Coalition which is now called
Health and Medical Coordinating Coalition(HMCC). The
change in the name is due to changes in the way the state is
now funding the coalitions. The Board is interested in
meeting with the coalition coordinator to discuss more on
emergency preparedness.
8. Opiate use epidemic/discussion Suzanne Doty, Public Health Nurse, updated the Board on
updates on opiate use, overdose in the MAOPC Salem working group during her report earlier
Salem and strategies to reduce in the meeting.
9. New Business/ Scheduling of future Keep opiates on agenda.
agenda items Local Board of Health Emergency Preparedness - Invite
Coalition Coordinator.
10. MEETING ADJOURNED: J. Greene motioned to not hold an August meeting. M.
Danderson 2"d all in favor motion passed.
Meeting adjourned 10:00pm
Respectfully submitted,
Heather Lyons-Paul
Clerk of the Board
Next regularly scheduled meeting is September 11, 2015 at 7pm
At City Hall Annex, 120 Washington Street,Room 312 Salem.
i
T
' Health Agent report September 2015
Announcements
• The City is saddened by the death of City Council Dean and former state Fire Marshal,
Councillor Joseph O'Keefe.
Community Outreach
• Larry Ramdin provided advice on selection of Noise meters , training in use of meters
and background noise sampling protocols to the Police Department
• We are continuing to plan for the screening of the "Anonymous People"to that end we
have acquired 2 copies of the video.
• The Health Agent met with representatives of Girls Inc. to discuss the SAPC grant and
moving the project forward in Salem
Public Health Highlights
• Household Hazardous waste day was held on September 26 and over 300 cars brought
waste to dispose of at the various collection sites. We collected, hazardous chemicals,
batteries, tires, white goods, mercury containing devices,propane cylinders and non-latex
paint.
• The Department will be pre-occupied with events related to Haunted happenings
Meetings and Trainings
• Larry Ramdin, David Greenbaum, Elizabeth Gagakis and Jefrey Barosy attended the 53ra
Annual Yankee Conference that was held at the Hawthorne Hotel. The Conference
brought Environmental Health practitioners from all over New England to Salem.
• Larry Ramdin, Health Agent presented at the Yankee Conference on "What's
Happening in Food Safety"
• Jeffery Barosy and Elizabeth Gagakis completed their Food Inspector training program
that was sponsored by the MA Local Public Health Institute.
• Larry Ramdin attended the Opioid Summit that was held at the Massachusetts Medical
Society, in Waltham MA. The conference discussed the current opiate issue facing the
nation and recognized it as a Public Health problem. They discussed strategies including
increasing treatment and other tools to treat this public health epidemic.
• The Health Agent met with representatives of Girls Inc. and the Lynn Health Director to
discuss the SAPC grant and moving the project forward in Salem
Inspections
Item Monthly Total YTD 2014 Total
i
i
Certificate of Fitness 57 432 559
Inspection
Certificate of Fitness 0 4 17
reinspection
Food Inspection 18 157 384
i�
Food Re-inspections 9 49 124
Retail Food 0 9 23
Inspections
Retail Food 0 1 7
reinspection
General Nuisance 1 21 14
Inspections
Food— 0 0 1
Administrative
Hearings
Housing Inspections 14 145 183
Housing re- 3 25 39
inspections
Rodent Complaints 3 19 23
Court 0 6 10
Hearings/filings
Trash Inspections 15 86 218
• Orders served by 0 0 2
Constable
Tanning Inspections 0 1 1
Body Art 0 0 1
Swimming pools 0 17 23
Bathing Beach 7 106 100
Inspection/testing
Recreational Camps 0 12 14
Lead Determination 0 0 1
Septic Abandonment 0 0 1
•
Septic System Plan 0 0 1
Review
Soil Evaluation 0 0 1
Percolation tests 0 0 2
Total 128 1318 1739
Suzanne Doty RN, BSN
Salem Board of Health
Public Health Nurse
Public Health Nurse Report
Reporting on June 10th, 2015 to September 3rd, 2015
Disease Prevention
• Investigated reportable diseases and reported case information to MDPH.
• In contact with North Shore Pulmonary Clinic and MGH pulmonary clinic on current
active tuberculosis cases.
• In contact with NSMC Infection Control department for prevention of disease within the
hospital.
• Monitored 3 very low risk travelers who came to Salem from Ebola affected countries,
temperatures were reported twice daily every day for 21 days and all were compliant and
had no signs and symptoms during the potential incubation period.
Health Promotion
• Updated the Salem Board of Health Facebook and Twitter pages with information on the
Farmers Market including a week we would be having Narcan teaching and dispensing
and opiate/overdose education and another post for presenting the Bite Lab at our tent.
Also posted information about the North Shore Community Health Centers Block
Party/Health Fair, International Overdose Awareness day including the observance in
Salem and information on the MIIS for vaccine records.
• Participated in Public Safety day at the Salem Willows on August 2"d by giving away
MyPlates to children and families which teach food proper groups and portions for meals.
• Participated in the North Shore Community Health Centers Block Party/Health Fair on
August 151h with Mary from the Health Streets Outreach Program, our table featured
Narcan, overdose prevention and abuse information, healthy eating and drink magnets,
hypertension pamphlets and fast food guides.
Meetings/Trainings
• On July 16`h attended the Salem REACT meeting to collaborate with Public Safety, the
Council on Aging and North Shore Elder services to promote health and wellness for
seniors in our community.
• On July 281h attended a MIIS Training for updates on the data base and roster entry of
vaccinated patients.
• On August 111h attended the MAOPC Salem Working Group meeting where we
discussed numerous ideas for outreach for overdose prevention.
•
• On August 20th completed a vaccine reimbursement webinar training to maximize our
• reimbursement for vaccine purchasing and administration.
• On August 21St met with Dennis Levasseur from Emergency Management to assess the
items stored on Emergency Dispensing Site trailer at the High School.
• On August 26th met with the activities director at the Council on Aging for wellness
clinic planning, I will begin holding a wellness clinic for the seniors on Wednesdays
starting September 23�d
• On August 3 1"attended the International Overdose Awareness Day observance at Derby
Square. We represented the 91 overdoses in Salem by wearing purple shirts and 10 of
those people wore black arm bands for those that have passed away. The Mayor and
several others spoke about the crisis and coming together to combat it.
• On September 2"d met with a student nurse who will be completing her clinical hours for
public health with our department beginning in mid-September. She is currently a
pediatric nurse and a Salem Resident.
Monthly Report of Communicable Diseases
July/August 2015
Disease New Carry Over Discharged Total#Of Running Total for
Reported Cases this Total for 2014
Month 2015
Tuberculosis 1 1 0 2 3 5
(Active)
Latent 2 0 2 2 5 31
Tuberculosis*
Babesiosis 1 0 1 1 1 0
Calicivirus/No 0 0 0 0 1 1
rovirus
Campylobacte 2 0 2 2 7 10
riosis
Chikungunya 0 0 0 0 0 1
Ehrlichiosis 0 0 0 0 0 1
Enterovirus 1 0 1 1 1 0
Giardiasis 0 0 0 0 1 0
Group A 1 0 1 1 3 2
Streptococcus
Group B 1 0 1 1 6 6
Streptococcus
Human 1 0 1 1 1 0
Granulocytic
Anaplasmosis
• Haemophilus 0 0 0 0 1 0
Influenzae
• Hansen's 0 0 0 0 0 0
Disease
Hepatitis B* 0 0 0 0 0 2
Hepatitis C* 5 0 5 5 18 37
Influenza* 0 0 0 0 29 27
Legionellosis 0 0 0 0 0 0
Lyme 0 0 0 0 2 7
Disease*
Malaria 0 0 0 0 0 1
Meningitis 0 0 0 0 0 2
Pertussis 0 0 0 0 0 2
Salmonellosis 1 0 1 1 5 3
Shigatoxin 0 0 0 0 0 1
Producing
Organism
Shigellosis 0 0 0 0 0 4
Streptococcus 1 0 1 1 2 2
Pneumoniae
. Varicella* 0 0 0 0 0 3
Vibrio 0 0 0 0 0 0
West Nile 0 0 0 0 0 0
Yersoniosis 0 0 0 0 1 0
Total 17 1 16 18 87 148
*Notifications only, LBOH not required to follow up or investigate per DPH.
Summary of Current Communicable Diseases
Note: There have been no confirmed cases of Lyme's Disease but 16 suspect or probable cases reported
in July and August 2015. There is no follow up required by LBOH.
Active Tuberculosis:
Case#1: In June, a Salem resident was diagnosed with an active Tuberculosis infection. I accompanied
them and their significant other to their first appointment with the pulmonary clinic to complete an
assessment, do medication teaching and to explain the process of Directly Observed Therapy and a
contact investigation. I began DOT daily following that appointment. They have been very compliant
with DOT and are taking their medications without any side effects at this time. They are feelings well
and no longer have symptoms of Tuberculosis. I completed a contact investigation and planted PPDs on
• all household contacts per the TSA nurse and protocol, contacts with positive results were referred to the
pulmonary clinic.
Case#2: In August, another Salem resident was diagnosed with active Tuberculosis. They were
hospitalized on proper precautions while they were contagious and started on medications. I began DOT
with them after they were discharged from the hospital. Their symptoms have improved and they continue
to tolerate treatment well. They have been very compliant with DOT and I accompanied them on their
first visit to the pulmonary clinic. I will follow up with a contact investigation 8 weeks post exposure per
protocol.
Babesiosis: This person was tested by their primary care after reporting symptoms of tick borne illness
and treated with antibiotics; they reported 2 recent tick bites. Case management from their primary care
has been following up and states that this case is feeling well.
Campylobacter:
Case#1: This case had recently traveled out of state. They stated that none of their contacts have gotten
ill. They are currently unemployed and their symptoms have resolved. There is no further follow up
required and this case in now closed.
Case#2: I was unable to reach this patient by mail or phone and this case has been lost to follow up.
There have been no related cases reported.
Group A Streptococcus: This case was inpatient at the hospital requiring observation but since recovered.
They had not had any recent surgeries or known exposures. No known contacts became ill and
preventative symptoms surveillance education was provided to the household. Per DPH there is no further
follow up and this case is now closed.
Group B Streptococcus: This case reported feeling better while being cared for my homecare nurses and
taking an antibiotic regimen, they are homebound and retired. No contacts have become ill. There is no
further follow up required and this case is closed.
Enterovirus: I did not receive a return phone call after mailing a certified letter and was not able to reach
by phone. This case has been lost to follow up. There have not been any other reported cases of
enterovirus in Salem.
Human Granulocytic Anaplosmosis: This patient was been by their primary care and treated with
antibiotics. They did not need to be hospitalized and had a history of tick borne illness. They had recently
traveled to Vermont. There is no further follow up required and this case is closed.
Streptococcus Pneumoniae: This case was hospitalized and their conditioned improved with treatment.
They had received one of the pneumococcal vaccines; I reported all vaccine information to DPH.No
known contacts have become ill. There is no further follow up required and this case is now closed.
Salmonella: This case had recently traveled out of the country for 2 weeks and became ill towards the end
of their stay. They are currently unemployed and have no known contacts that are ill. I educated them on
the prevention of spread and they said their symptoms are improving since beginning treatment. There is
no further follow up necessary and this case is now closed.
0
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