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[*A portion of this video is without audio*]

[III. Special Presentation by Empower Somerset]

[00:05:48]

AND WE'RE LOOKING AT THE COMMITMENT TO SCIENCE, WHICH MEANS WE ARE CONTINUALLY LOOKING

[00:05:55]

FOR NEW AND BETTER SOLUTIONS. WE'RE NOT TAKING OLD INFORMATION . THE FIELD OF SUICIDOLOGY IS ACTUALLY RELATIVELY NEW. AND SO WE'RE CONTINUALLY RESEARCHING GETTING NEW INFORMATION AND WITH THE LIFELINE'S PROGRAM BECAUSE WE'RE CONTINUALLY TEACHING ACROSS THE COUNTRY, WE'RE LEARNING FROM SCHOOLS AND WE'RE ADAPTING AND IMPROVING THE PROGRAM, SO IT FITS BETTER ALL THE TIME ON THE NEXT SLIDE. WHAT YOU'LL SEE IS JUST WANTED TO GIVE YOU QUICK INFORMATIONS. YOU HAVE THE FACTS. THESE ARE THE RISK FACTORS FOR SUICIDE. AND THESE ARE THE INDIVIDUAL ONES AND WHAT I WANT TO BASICALLY POINT THE YOUR ATTENTION TO IS 11 OF THE MOST IMPORTANT ONES IS PREVIOUS SUICIDE ATTEMPT ONCE SOMEONE IS ATTEMPTED SUICIDE IN THEIR COPING REPERTOIRE FOR LIFE. AND SO IT'S A VERY HIGH RISK FACTOR AND THE OTHER ONE ALL THE WAY DOWN TOWARDS THE BOTTOM SENSE OF HOPELESSNESS. AND THAT'S ONE OF THE REASONS WE'RE ESPECIALLY LOOKING AT GETTING INTO SCHOOLS BECAUSE WE KNOW POST PANDEMIC. THAT SENSE OF HOPELESSNESS IS INCREASING IN KIDS, NOT DECREASING ON THE NEXT SLIDE, YOU'RE GOING TO SEE OTHER RISK FACTORS, RELATIONSHIP COMMUNITY AND SOCIETAL RISK FACTORS AGAIN, REALLY TAKING A PUBLIC HEALTH APPROACH TO SUICIDE PREVENTION, WHICH YOU'LL SEE HERE ESPECIALLY IF YOU LOOK AT THE LAST SECOND TO LAST SOCIETAL RISK FACTOR. EARLY EASY ACCESS TO LETHAL MEANS OF SUICIDE AMONG PEOPLE AT RISK ONE OF THE THINGS WE FOCUS ON IN SUICIDE PREVENTION AND VERY SPECIFICALLY IN THE LIFELINES CURRICULUM IS MAKING SURE WE ARE EDUCATING ABOUT REMOVING ACCESS TO LETHAL MEANS NEW JERSEY HAPPENS TO HAVE THE LOWEST SUICIDE RATE IN THE COUNTRY RIGHT NOW. WITHOUT MAKING A GIANT POLITICAL STATEMENT ABOUT THIS. WHAT I'LL SAY IS THE FACT THAT WE HAVE VERY STRICT, UNCONTROLLED LAWS AND THAT CURRENTLY 50% OF PEOPLE WHO HAVE BEEN SUICIDE ARE DYING BY FIREARM DEATHS. YOU CAN DRAW A CORRELATION BETWEEN THE FACT THAT WE HAVE THOSE SUICIDE RATE AND WE HAVE SUCH SUCH HIGH GUN PRODUCTION LOSS, BUT THAT BEING SAID REMOVING ACCESS TO ALL THE OTHER MEANS BY SUICIDE PRESCRIPTION ON PRESCRIPTION MEDICATIONS MAKES A BIG DIFFERENCE. SINCE ONE OF THE THINGS WE TEACH IN SCHOOLS TO MAKE SURE COUNCILS ARE MAKING PARENTS AWARE LOVE ON THE NEXT SLIDE, BECAUSE I'M NOT GOING TO BE ALL NEGATIVE. I WANT TO LOOK AT PROTECTIVE FACTORS RIGHT BECAUSE RISK FACTORS ARE IMPORTANT, BUT WE NEED TO KNOW.

THE PREVENTION PART IS THE PROTECTIVE FACTORS, RIGHT PROTECTIVE FACTORS AND I'M GOING TO JUST HIGHLIGHT ONE IN EACH CATEGORY. INDIVIDUAL PROTECTIVE FACTORS EFFECTIVE COPING AND PROBLEM SOLVING SKILLS, WHICH MEANS WHEN WE GO INTO SCHOOLS, WE WANT TO MAKE SURE WE ARE TEACHING KIDS HOW TO SOLVE PROBLEMS. REALLY AND ACTUALLY ADDRESSING THAT ISSUE IN RELATIONSHIP PROTECTIVE FACTORS FEELING CONNECTED TO OTHERS, WHICH MEANS WE MAKE WE MAKE CONNECTIONS WITH THE PEOPLE WHO ARE TEACHING THE SCHOOL TEACHERS WHO ARE TEACHING THE CURRICULUM TO THE STUDENTS AND MAKING SURE THAT THOSE STUDENTS NO MORE THAN ONE PERSON IN THE SCHOOL. THEY CAN GO TO TALK TO COMMUNITY PROTECTIVE FACTORS. UM AGAIN, FEELING CONNECTED TO SCHOOL COMMUNITY, OTHER SOCIAL INSTITUTIONS AND SOCIETAL, WE GO BACK TO REDUCING ACCESS TO LETHAL MEANS. SO THAT'S BASICALLY, GIVE ME THE NEXT SLIDE. IF YOU DON'T MIND, SO THAT'S KIND OF JUST A BACKDROP. I WANTED TO GIVE YOU SO WE'RE ALL ON THE SAME PAGE WHEN WE TALK ABOUT A PUBLIC HEALTH APPROACH TO SUICIDE PREVENTION LIFELINE IS A TRILOGY ON THE NEXT SLIDE, YOU'LL SEE UM IT'S A COMPREHENSIVE SCHOOL BASED TRAUMA INFORMED APPROACH.

THERE'S A TRILOGY. THAT TRILOGY HAS THREE PARTS, POST PENSION TEACHERS, SCHOOLS HOW TO RESPOND IN THE EVENT OF A TRAUMATIC LOSS IN SCHOOL THAT COVERS NOT JUST SUICIDE. BUT ANY LOSSES IN SCHOOLS FROM PRE K TO 12 INTERVENTION TALKS ABOUT TALKING TO STUDENTS AT RISK FOR SUICIDE.

AND PREVENTION IS THEN THE PART WHERE WE ROLL OUT AN ACTUAL COMMUNITY EDUCATION PROGRAM AND STUDENT EDUCATION, PRO AND STUDENT EDUCATION PROGRAM WITH THE GOAL BEING WHEN WE ENTER LIFELINES IS NOT LIKE CHECK A BOX WE GOT TRAINED. THERE'S LOTS OF TRAININGS OUT THERE. THEY'RE LIKE THAT, RIGHT? WE ALL GOT TRAINED. WE CHECKED THE BOX. I HAVE THE CERTIFICATE TO PROVE IT. LIFELINES IS REALLY LOOKING AT MAKING A WHOLE DISTRICT CULTURE SHIFT IN OUR ATTITUDE AND HOW WE TALK ABOUT SUICIDE AND OUR COMMUNITY AND OUR SCHOOL. ON THE NEXT SLIDE. UM

[00:10:04]

ONE OF THE BIG SHIFTS IS THIS IDEA OF A COMPETENT COMMUNITY THAT I THINK I TALKED ABOUT THIS IN EVERY LIFELINES TRAINING. I DO THAT CONCEPT THAT EVERYONE HERE CARES ABOUT EACH OTHER'S WELFARE. AND KNOWS HOW AND WHERE TO GET HELP. IF A COMMUNITY MEMBERS IN NEED, THAT'S JUST NOT TEACHERS, KNOWING HOW TO HELP THEIR STUDENTS, THAT'S STUDENTS KNOWING HOW TO IDENTIFY THEIR FRIENDS WHO ARE WORRIED ABOUT WHAT WE KNOW IS THAT KIDS KNOW SOMETHING'S NOT RIGHT WITH THEIR FRIEND LONG BEFORE WE KNOW AS ADULTS. AND THAT'S STARTING, YOU KNOW, USED TO BE MAYBE IN HIGH SCHOOL AND MIDDLE SCHOOL THAT'S STARTING IN 4TH AND 5TH GRADE. KIDS KNOW THEY'RE NOT HANGING OUT ANYMORE. THEY'RE SAYING KIND OF SCARY THINGS ON THEIR PRIVATE SOCIAL MEDIA ACCOUNTS ARE POSTING THINGS KIDS KNOW FIRST, AND SO WE DON'T WANT KIDS TO SAVE A FRIEND'S LIFE BY DOING SOMETHING WE WANT THEM TO GET THAT OTHER PEER TO AN ADULT. HOW TO GET HELP. ON THE NEXT SLIDE.

I'M GOING TO JUST GIVE YOU A QUICK OUTLINE OF WHAT HAPPENS DURING THE TRILOGY TRAINING. SO YOU KNOW YOU HAVE THE IDEA. THE LIFELINES IMPLEMENTATION TRADING PROCESS. IT IS A HEAVY LIFT.

I'LL JUST BE HONEST IT IS. YOU KNOW, IT IS A COMMITMENT BY A SCHOOL DISTRICT BECAUSE IT IS A WHOLE CULTURE SHIFT. SO THERE'S THREE FULL DAY TRAININGS. IN ADDITION TO SEVERAL MEETINGS THROUGHOUT THE PROCESS, WHERE WE KIND OF CHECK IN THE POST MENTION TRAINING TEACHES CRISIS INTERVENTION THEORY AND THE DEVELOPMENTAL IMPACT OF GRIEF AGAIN. THAT'S PURE PRE CREATED.

12 LOT OF PEOPLE UNDERSTAND HOW TEENAGERS RESPOND TO GRIEF BUT AREN'T SO CLEAR ON HOW FOURTH GRADER MIGHT RESPOND TO LOSING A CLASSMATE. WE TEACH HOW THE IMPORTANCE OF TRAUMA INFORMED USING THAT TRAUMA INFORMED LENS . WHEN YOU'RE MAKING A DECISION, THIS COMES DOWN TO THE FACT THAT UM, HAVING A MEMORIAL IN YOUR SCHOOL AFTER SOMEONE DIES. SEEMS LIKE A REALLY NICE IDEA. TO ALL OF US, EXCEPT THOSE OF US WHO KNOW THAT THAT CAN RE TRAUMATIZE SOMEONE IN THE SCHOOL. AND SO IF WE TEACH, WE TALK ABOUT THAT, AND THEN HOW TO KIND OF BALANCE THE NEEDS OF PEOPLE TO MARKET DEATH. AND THE NEED TO PROTECT THOSE 19% OF STUDENTS WHO ARE THINKING ABOUT SUICIDE IN YOUR SCHOOL WHO MIGHT BE ADVERSELY IMPACTED BY SOMETHING THAT THEY SEE. AND THEY'RE ALREADY THINKING ABOUT DEATH. AND THEN, LIKE, WAIT A SECOND. THAT'S A I COULD DO THAT. RIGHT SO THAT'S THAT'S THE IDEA ABOUT THE TRAUMA INFORMED LENS, AND THEN WE TALK ABOUT HOW TO WORK WITH THE COMPETING PRESSURES THAT COME BECAUSE WHEN SOMETHING HAPPENS IN A SCHOOL, EVERYBODY HAS AN IDEA OF HOW THE SCHOOL SHOULD HANDLE IT. AND SO WE REALLY TEACH THE SCHOOL TO FEEL COMPETENT AND EMPOWERED TO MAKE DECISIONS FOR THEMSELVES. THE NEXT SLIDE TALKS ABOUT INTERVENTION INTERVENTIONS. MY FAVORITE TRAINING BECAUSE WHAT IT DOES IS IT MAKES A CONVERSATIONAL APPROACH TO CRISIS AND SUICIDE. YOU KNOW HOW IT IS. WHEN YOU KNOW SOMEONE'S GOT BAD NEWS OR UPSET. SOME OF US ARE LIKE I JUST WISH YOU'D FEEL BETTER. HAVE SOME ICE CREAM LIKE WE JUST RIGHT. WE WANT TO TAP DOWN THE INTENSE FEELINGS AND EVEN SCHOOL COUNSELORS HAVE THOSE FEELINGS. EVEN SCHOOL COUNSELORS GET ANXIOUS WHEN SOMEONE SAYS THEY'RE THINKING ABOUT DYING AND WHAT HAPPENS MOST OF THE TIME WITH AN ENTERING COUNSELORS, THEY PICK UP THE PHONE. THEY MAKE A CRISIS REFERRAL. THAT STUDENT IS GONE, THE EMERGENCY ROOM SAYS. BECAUSE FIVE HOURS GOES BY EMERGENCY MEDIUM SCREENING HAPPENS. THEY SAY THE STUDENT IS COMPLETELY NOT SUICIDAL. SEND THEM BACK TO SCHOOL. WELL THIS CHILD NEEDED HELP FOR SOME REASON, AND THEY DIDN'T GET IT. AND SO THE IDEA IS TO HAVE A CONVERSATIONAL APPROACH. WHERE, INSTEAD OF PANICKING BECAUSE SOMEONE WANTS TO DIE. WE TEACH COUNSEL TO THINK THIS PERSON DOES NOT WANT TO LIVE FEELING IS TERRIBLY THEY FEEL RIGHT NOW. YOU SEE, LIKE, IF YOU THINK THAT THEN YOU'RE LIKE WAIT. WHAT'S GOING ON YOUR LIFE THAT HAS YOU FEELING SO TERRIBLY NOW WE CAN HAVE A CONVERSATION. I HAVE NO FRIENDS . I'M FAILING MY CLASSES. MY PARENTS HATE ME. MY DOG DIED. WE CAN FIND OUT WHAT'S GOING ON. AND THOSE THINGS WE CAN HELP WITH. WE CAN GIVE YOU COPING SKILLS. WE CAN GET YOU RIGHT. YOU SEE HOW THAT WORKS, SO THAT'S THE IDEA OF INTERVENTION.

WE'RE TRYING TO STOP THAT CONSTANT BACK AND FORTH BETWEEN EMERGENCY ROOMS. WE ALSO TALK ABOUT REALLY IMPORTANT THINGS LIKE DEVELOPING SAFETY PLANS WITH OUR STUDENTS WHO ARE HAVING A HARD TIME HOW TO WORK WITH PARENTS. TO WORK AS A TEAM TO GET HELP FOR CHILDREN BECAUSE SOMETIMES AS AN ADVERSARIAL HOME AND SCHOOL RELATIONSHIP, AND HIS CHILD IS IN CRISIS, AND WE TALKED ABOUT HOW TO TAKE STUDENTS BACK INTO THE SCHOOL COMMUNITY WHO HAVE BEEN OUT FOR SUICIDE RELATED ABSENCE BECAUSE, AS WE SAID, ONE OF THE BIGGEST RISK FACTORS PRIOR SUICIDE ATTEMPT. WE HAVE A VERY VULNERABLE STUDENT IN THE SCHOOL. HOW DO WE BUILD A SAFETY NET TO SUPPORT THEM, BUT NOT SMOTHER THEM? SO THAT'S INTERVENTION. AND THEN PREVENTION IS THE ONE THAT WE ALL THINK MOST ABOUT. YOU CAN GET THE NEXT SLIDE. PREVENTION IS LIKE THE ONE EVERYONE THINKS LIFELINES IS ABOUT. BUT IT'S THE THIRD AND FINAL STEP AND WE ONLY DO IT LAST BECAUSE WE PUT ALL THE OTHER THINGS IN PLACE. FIRST PREVENTION GIVES SCHOOLS, A TRAINING, A TRAIN THE TRAINER AND ALL THE INFORMATION THEY NEED TO EDUCATE ALL OF THEIR

[00:15:02]

FACULTY AND STAFF. LIFELINE TRAINERS. I JUST MEET WITH KEY STAKEHOLDERS IN THE SCHOOL. I TEACH THEM HOW TO TEACH ALL OF THEIR FACULTY AND STAFF, THE MOST IMPORTANT THINGS ABOUT SUICIDE PREVENTION AND TO BE ABLE TO DO THAT EVERY YEAR UNTIL THE END OF TIME, SO EVERYONE KNEW WAS GETTING NEW INFORMATION AND HOW TO EDUCATE ALL THE PARENTS AND CAREGIVERS BEFORE THEY TEACH THE STUDENT CURRICULUM. IF WE DON'T TELL THE ADULTS THE MESSAGE, THEN WE TEACH A STUDENT CURRICULUM AND WE TEACH THEM STUDENT CURRICULUM . HERE'S THE WARNING SIGNS, AND HERE'S WHAT TO DO. TELL A TRUSTED ADULT. THEN A STUDENT GOES HOME AND SAYS TO THE PARENTS. YOU KNOW WHAT? JEREMY? NEVER RESPONDED TO MY TEXTS ANYMORE. I'M SORRY TO EVEN KNOW YOU WERE JEREMY JOHN. SORRY IT'S VERY RARE. THERE'S A JEREMY IN THE ROOMS, DR GRAYSON. JUST NEVER HAPPENED. JOHN JOHN NEVER RESPONDS TO MY TEXT. JOHN NEVER RESPONDED TO MY TEXTS, YOU KNOW, AND HE DOESN'T EVEN LOOK AT ME AND THE MOTHER PARENT. NOW THE STUDENT IS EXPLAINING A WARNING SIGN A SUDDEN CHANGE IN BEHAVIOR THAT'S LASTED FOR MORE THAN TWO WEEKS. SOMETIMES THE PARENTS I MIGHT HAVE SAID THIS TO MY KIDS WILL. WHAT DID YOU DO TO YOUR FRIEND? HE PROBABLY IS NOT AT YOU. WHY DON'T YOU MIND YOUR OWN BUSINESS YOU'RE WAY BEHIND IN YOUR CHEMISTRY HOMEWORK. WE MISSED IT. WE MISSED THE OPPORTUNITY. AND SO THAT'S THE IDEAS. WE HAVE TO TEACH THE ADULTS HOW TO RESPOND APPROPRIATELY AND NOT PANIC AND NOT THINK THEY'RE OVER. YOU KNOW WHAT I MEAN? UNDERSTAND THAT THAT WHERE HOW YOU HAVE TO DO SOMETHING ABOUT THAT, AND BEFORE WE TEACH THE KIDS AND THEN THE STUDENT CURRICULUM, WHICH IS PART OF LIFELINES IS A COMPLETELY MANUAL EYES CURRICULUM. IT'S MEANT TO BE TAUGHT BY PE AND HEALTH TEACHERS AS PART OF THE HEALTH CURRICULUM . IT GOES FOR GRADES. 5 TO 12. WE DON'T TEACH EVERY YEAR. WE'RE NOT QUITE THERE YET. SORRY I DIDN'T MAKE A SLIDE FOR THIS GOES FOR GRADES. 5 TO 12. WE DON'T TEACH EVERY YEAR WE HAVE A CURRICULUM FOR 5TH AND 6TH GRADERS. FOUR SESSIONS. WE HAVE A CURRICULUM FOR SEVENTH THROUGH 10TH. THAT'S ALSO FOR SESSIONS. MOST SCHOOLS TEACH IN, LIKE 7TH AND 9TH, BECAUSE THE SEVENTH GRADER NINTH GRADER ARE TWO COMPLETELY DIFFERENT CHILDREN, SO WE TEACH IT TWICE. AND THEN THERE'S 11 TO 12. THE 11TH TWELVE'S ONLY TWO SESSIONS, AND IT IS TARGETING THE SUICIDE PREVENTION FOR THE 18 TO 24 YEAR OLDS. IT STARTS TALKING TO KIDS ABOUT THE FACT THAT THEY'RE GOING TO BE LEAVING SCHOOL, AND THEY HAVE EXPECTATIONS OF WHAT THAT'S GOING TO BE LIKE, AND SOME OF THEM WILL TURN OUT AND SOME OF THEM WON'T AND THEY'RE NOT GONNA HAVE THE SAME SUPPORT NETWORK. THEY CAN'T WALK DOWN THE HALL, THE COUNSEL'S OFFICE AND START PREPARING THEM FOR BEING ABLE TO HANDLE SOME OF THE CHANGES THAT HAPPENED AFTER HIGH SCHOOL. BECAUSE THOSE COLLEGE KIDS COLLEGE AGE KIDS 1918 1924 YEAR OLDS ARE VERY HARD TO TARGET IN SUICIDE PREVENTION, AND THEIR RATE IS PRETTY HIGH, SO THE IDEA OF THAT CURRICULUM IS TEACHING SOME LIFE SKILLS BEFORE YOU LEAVE SCHOOL. NOW I'LL GET THE NEXT SLIDE. JUST TALK FROM A SCIENTIST, SCIENTIFIC POINT OF VIEW LIFELINES OBJECTIVES. THE ACTUAL OBJECTIVES HAVE BEEN MEASURED AND PROVEN TO ACTUALLY HAPPEN. SO THIS IS WHAT THE GOAL IS, AND THIS IS WHAT HAPPENS, DEVELOP SCHOOL BASED EXPERIENCE AND SUPPORT FOR RESPONDING TO ADOLESCENT SUICIDE BEHAVIOR. THAT'S THE WHOLE POST PENSION INTERVENTION TRAINING AND THEN TO INCREASE THE PROBABILITY THAT PEOPLE COME TO CONTACT WITH THE POTENTIALLY SUICIDAL ADOLESCENT.

CAN IDENTIFY THEM KNOW HOW TO RESPOND AND GET HELP FOR THEM QUICKLY AND THEN TO MAKE SURE THAT YOUTH ARE AWARE OF HELPING RESOURCES SO THEY ARE INCLINED TO SEEK HELP. AS AN ALTERNATIVE TO SUICIDE. VERY, VERY STRAIGHTFORWARD. I THINK THAT'S IT IS THAT IT? THAT'S IT. SO QUESTION. I'M SORRY. THERE IS ONE MORE SO HERE IS AGAIN JUST A KIND OF WHAT LIFELINES DOES.

THIS IS WHAT I SEE HAPPENING WHEN I WORKED WITH THE SCHOOL. WE ENCOURAGE THOSE PROTECTIVE FACTORS. THE COURSE OF THE CURRICULUM AND TEACHING TEACHERS AND COUNSELORS HAD A TALK TO STUDENTS WHERE IT'S AN EMPOWERMENT BASED PROGRAM. THE GOAL IS THAT I'M THERE. I'M VERY CLOSE TO SCHOOLS. USUALLY IMPLEMENTATION TAKES SIX MONTHS, MAYBE A YEAR. THEY HAVE MY CELL NUMBER. WE'RE IN CONTACT ALL THE TIME. WE WORKED TOGETHER, AND BY THE END, THEY FEEL LIKE THEY CAN HANDLE ANYTHING THAT HAPPENS, UM INCREASES THE COMPETENCY AND SKILLS OF SCHOOL STAFF AND FACULTY ITSELF. SUSTAINING ONCE IT'S IMPLEMENTED ONCE I'M GONE. THEY JUST THINK WHAT WOULD MARNIE SAYING? THAT'S WHAT THEY DO? OKAY? QUESTIONS, THOUGHTS. THAT IS IT NOW, RIGHT? LET ME CHECK. ALRIGHT. MORNING. YOU SAID THAT, UM PART OF IT CAN BE IMPLEMENTED IN PE CLASS. YES SO THE ACTUAL STUDENT CURRICULUM, SO THE STUDENT FACING PART, MOST SCHOOLS TEACH IT BECAUSE MOST PE CLASS MOST HIGH SCHOOLS AND MIDDLE SCHOOLS TEACH HEALTH IN ONE OF THE SEMESTERS OF PE, AND USUALLY IT'S A PE TEACHER WHO'S DOING IT. SO THAT'S USUALLY WHAT HAPPENS. THE LIFELINE. THE LIFELINES CURRICULUM FOR STUDENTS IS COORDINATED WITH NATIONAL CURRICULUM STANDARDS

[00:20:05]

HAS A LIST OF FOR EACH CURRICULUM HERE IS ALL THE NATIONAL CURRICULUM STANDARDS IT TAKES OFF. AS SCOPE AND SEQUENCE LISTING IT SO IT'S EASILY YOU CAN TAKE A LOOK AT WHAT YOU HAVE IN YOUR HEALTH CURRICULUM RIGHT NOW. AND SEE WHAT YOU CAN BECAUSE I KNOW THERE'S NO MORE EXTRA TIME IN THE SCHOOL DAY. SO YOU CAN LOOK AT WHAT YOU COULD TAKE OUT THAT THIS IS THE PLANTING. AND HOW DO YOU HOW WOULD YOU IMPLEMENT THE PARENT PIECE EDUCATING PARENTS AND CAREGIVERS. EXCELLENT SO THE WAY THE WAY THAT WORKS AND IS IN THE PREVENTION TRAINING THAT I DO THE FIRST HALF OF THE DAY TRAINS THE TRAINER ON HOW TO DO THAT. WE HAVE, LIKE ACTIVITIES WHERE WE TALK ABOUT WHAT DO YOU THINK PARENTS NEED TO KNOW ABOUT SUICIDE PREVENTION AND WHAT THE FACULTY AND STAFF NEED TO KNOW. AND WE MAKE A LIST AND WE TALK ABOUT WHAT THAT PRESENTATION LOOKS LIKE AND WHAT SCHOOLS DO IS EVERY YEAR BEFORE THEY TEACH THE STUDENT CURRICULUM. THEY OFFER A PARENT WORKSHOP FOR THE PARENTS THAT ARE GOING TO BE LEARNING THAT YEAR. SO AGAIN, MAYBE A SCHOOL TEACHERS IN 5TH, 7TH, 9TH AND 11TH, SO THEY HAVE AN OPEN HOUSE EVENING OR RESUME ASSUMED PARENT WORKSHOP FOR THOSE GRADES EVERY YEAR. IT'S 30 MINUTES. UM I GIVE HIM A POWER POINT THAT THEY CAN USE. USUALLY THE FIRST YEAR. SOME OF MY SCHOOLS ARE LIKE, ALL RIGHT, THANKS. THE POWER POINT WERE GOOD. SOME OF MY SCHOOLS ARE LIKE, COULD YOU LIKE GO THROUGH IT WITH ME? ONE TIME, WHICH I DO. IT REALLY IS GIVING THEM ALL THE CONTENT THAT I'VE BEEN TALKING TO THE SCHOOLS ABOUT MULTIPLE TIMES, AND THEY'RE PREPARED, BUT THEY HAVE THE POWER POINT TO USE AND ALL THE CONTENT AND THEY WOULD DO THAT EVERY YEAR. IT'S USUALLY ABOUT 30 MINUTES. SOMETIMES THEY DO IT , EVEN IF BACK TO SCHOOL NIGHT OR RIGHT AFTERWARDS. AND THEN I RECOMMEND THEY RECORDED WHETHER IT'S VIRTUAL OR LIVE, AND THEY PUT IT ON THE SCHOOL WEBSITE BECAUSE LOTS OF PARENTS YOU GET 10 PARENTS, YOU'RE WINNING. AT THAT PRESENTATION. KEN IS A GOOD NUMBER. BUT WHEN THE PARENTS HAVING A HARD TIME AND THEY'RE WORRIED ABOUT THEIR CHILD THEY CAN GO TO THE SCHOOL WEBSITE. WATCH THE TRAINING THEN AND SAY OH, WAIT. THAT IS A WARNING SIGN OR WAIT MY CHILDS A PAIN IN THE NECK, BUT ACTUALLY NOT SHOWING ME WARNING SIGNS. ANYTHING ELSE? HERE. HE WAS. THAT'S A GREAT QUESTION. SO WHAT I'M GONNA TELL YOU IS THIS IS WHERE IT'S WEIRD TO HAVE HAVE MY BUT I SHOULD TALK IN THE MICROPHONE. I'M GOING TO TALK IN THE MICROPHONE AND TURN BACK AND LOOK AT YOU. OKAY SO, UM WHAT? WE KNOW WHAT I DON'T PRETEND TO KNOW. I DON'T WANT TO BREAK IT. IT LOOKS VERY EXPENSIVE BACK. UM, WHAT WE KNOW IS THAT ADAM DURING ADOLESCENCE , ESPECIALLY EXPOSURE, WHAT WE CALL EXPOSURE, WHICH IS EXPOSURE TO THE DEATH OF ANY REASON, SO OVERDOSE CAR ACCIDENT EXPOSURE TO DEATH FOR ANY REASON INCREASES THOUGHTS OF MORTALITY AND DEATH IN ADOLESCENTS. SO IF APPEAR IS TO DIE BY OVERDOSE THAT THERE IS AN INCREASED RISK FOR PEER GROUP OR NOWADAYS BECAUSE OF SOCIAL MEDIA. ANYBODY WHO'S EXPOSED THAT LOSS TO BE THE INCREASED RISK FOR SUICIDE. EXPOSURE IS A VERY IMPORTANT FACTOR, ESPECIALLY IN ADOLESCENCE. PRE ADOLESCENTS NOT AS MUCH AND AS WE GET OLDER. IT MIGHT. I MEAN, I DON'T KNOW WHEN SOMEONE MY AGE DIES. I TOTALLY NOTICE, RIGHT? TOTALLY NOTICED. IT DOESN'T MAKE ME THINK ABOUT MY OWN MORTALITY MOST OF THE TIME DURING ADOLESCENCE, THOUGH , IT'S PSYCHOLOGICALLY VERY DISORGANIZED TO HAVE APPEARED. I DOES THAT HELP YOU? AWESOME HOW WELL ACCEPTED. HAS THE PROGRAM BEEN IN THE COMMUNITIES THAT YOU'VE IMPLEMENTED? THAT'S A GREAT QUESTION. UM SO TYPICALLY BECAUSE I TRAIN LIFE FINDS ALL OVER THE COUNTRY AND NEW JERSEY HAS BEEN VERY GENEROUS WITH GRANT WORK. UM SO USUALLY THE COMMUNITIES ARE COMING TO ME. SO MY USUAL FORAY INTO A SCHOOL IS A COMMUNITY HEALTH ORGANIZATION OR COMMUNITY MENTAL HEALTH SERVICES WHO ARE PROVIDING YOU KNOW WHO ARE DOING THIS OUT OF A REQUEST FROM SCHOOLS TO HAVE THIS SO IN THAT CASE, IT'S VERY SIMPLE BECAUSE LIKE THEY WANTED ME HERE, WHERE IT'S GRANT FUNDED , IT CAN BE A LITTLE BIT DIFFICULT, AND THAT'S ONE OF THE THINGS THAT WE DO IN THE TRAININGS. AND THAT'S WHY THERE'S MEETING. I CAN MENTION THERE WAS MEETINGS BESIDES TRAININGS. IT'S NOT LIKE JUST TRAIN AND GO. THIS IS WE START WITH THE ADMINISTRATOR MEETING WHERE I MEET WITH ALL THE ADMINISTRATORS AND WE TALK ABOUT THINGS LIKE THAT. HOW IS THIS GOING TO GO OVER IN THE COMMUNITY? UM AND WE ADDRESS IT AS WE GO IN GENERAL. ONCE THE COMMUNITY IS EDUCATED AND UNDERSTANDS THAT THE IDEA IT'S ABSOLUTELY FINE. WE ALWAYS RECOMMEND THAT YOU LET PARENTS OPT THEIR CHILDREN OUT. UM, WHAT WE NOTICE IS THE OPT OUTS ARE NEVER OR VERY WHAT THE CORRELATION BETWEEN OPT OUT AND RECENT FAMILY TRAGEDY ARE HIGH. BUT. THAT'S WHERE WE'RE SEEING

[00:25:05]

THE OPT OUTS BECAUSE IF AND HONESTLY, THAT'S WHEN I WOULD RECOMMEND AN OPT OUT. UM AND I DON'T SEE A LOT OF COMMUNITY MEMBERS OPTING OUT BECAUSE THEY ARE AGAINST THE PROGRAM. IT'S JUST AN EDUCATION. PEOPLE ARE WORRIED ABOUT IT. BUT IS THIS SINGLE LIKE WEBINAR THAT YOU DO WITH PARENTS ENOUGH BECAUSE INEVITABLY, YOU'RE GOING TO GET THE PARENTS WHO SAY I DON'T WANT TO INTRODUCE THE IDEA OF SUICIDE THAT IS STANDING THAT SOMETIMES IT'S ACTUALLY YOU NEED TO TALK ABOUT IT. RIGHT. SO THAT IS A QUESTION. SO ONE OF THE CONTENT THAT I GIVE FOR THEM TO TEACH IN THE CONTENT THAT I TEACH THE SCHOOLS, A COMMONLY ASKED QUESTIONS ABOUT SUICIDE. SIDE IS DOESN'T TALKING ABOUT SUICIDE PLANT THE IDEA? IN THE MIND OF A VULNERABLE YOUTH. SO WE SO WE KNOW THAT QUESTION. RIGHT AND THEN WE SO WE ADDRESS IT. AND THE ANSWER TO THAT, JUST BY THE WAY IS NO. BUT I HAVE MORE THAN THAT. IT IS NO BECAUSE ONE ESPECIALLY TODAY, MORE THAN EVER BEFORE SUICIDE HAS TALKED ABOUT ALL THE TIME IN SERIOUS WAYS BECAUSE SOMEONE HAS DIED BY SUICIDE AND THEN JOKINGLY WAYS BECAUSE PEOPLE STILL SAY THINGS LIKE I'M GONNA KILL MYSELF. IF THAT HAPPENS ONE MORE TIME. SO IT'S ALREADY SPOKEN ABOUT AND WHAT WE DO BY TALKING ABOUT SUICIDE AND UPFRONT. VERY FACTUAL WAY IS WE GIVE THE OPPORTUNITY FOR SOMETHING THAT'S BEEN ROLLING AROUND IN A CHILD'S MIND TO COME OUT OF THEIR MOUTH , AS OPPOSED TO HAVING AN ACTION TAKEN. SO WHAT WE SAY IS TALKING ABOUT SUICIDE IS SO IMPORTANT BECAUSE IT'S BASICALLY SAYS HERE'S AN ADULT WHO I TRUST MY PE TEACHER, MY HEALTH TEACHER WHO'S TALKING ABOUT SOMETHING.

THAT LIKE I THOUGHT WAS LIKE SO SCARY. I COULDN'T EVEN WHISPER THE WORD AND NOW I CAN SAY THE WORD I CAN HAVE A CONVERSATION ABOUT IT. SO I'LL JUST TELL YOU THIS REAL QUICKLY, SO WE TAUGHT IT. WE TEACH EVERYWHERE AND I GOT SOME GREAT FEEDBACK FROM 1/5 GRADE TEACHER AND PRINCIPAL IN PINE CITY, MINNESOTA, WHERE WE HAD BEEN A LITTLE BOY SAID, TOO, LITTLE GIRL AFTER HAVING DONE THE TRAINING THEY'RE WAITING IN LINE TO GO TO THE NEXT CLASS OR SOMETHING, HE SAID. YOU KNOW THAT THING WE LEARNED. DO YOU EVER DO YOU EVER THINK LIKE THAT? YOU KNOW ABOUT DYING? LITTLE GIRL SAID SHE'S FIFTH GRADE. THEY WEREN'T REALLY FRIENDS. NO. DO YOU? AND HE SAID YES, SOMETIMES I DO. AND SO WHAT HAPPENED? NEXT WAS, SHE SAID, LET'S GO TALK TO MRS SMITH AND SHE TOOK HIS HAND AND THEY WALKED TO THE TEACHER AND THE TEACHER SAID THANK YOU FOR TELLING ME. YOU DID THE RIGHT THING. I'LL TAKE CARE OF IT FROM HERE. OF COURSE, AS LUCK WOULD HAVE IT. THE COUNSELORS ARE THE BUILDING ALL DAY AND IN SERVICE, SO SHE TOOK THE CHILD TO THE PRINCIPLE. WE USED TO USE OUR LIFELINES LANGUAGE, WHICH IS I'M HERE TO MAKE A WARM HAND OFF.

THAT'S WHAT WE TEACH THE LANGUAGE TO USE IT WHEN YOU'RE REFERRING SOMEONE FOR SUICIDAL RISK. I'M HERE TO MAKE IT WARM HAND OFF. THE PRINCIPAL KNEW JUST WHAT TO DO THAT CHILD GOT HELP. SO THAT'S AN EXAMPLE OF IT DIDN'T PLANT THE IDEA IN THE HEAD BUT THOUGHT THE GIRL WHAT TO DO? OTHER QUESTIONS. HI. ALL RIGHT. I'M READY. YOU COULD JUST ASK ME THAT'S TRUE. AND SO THIS IS WHAT WE TALKED ABOUT. YOU ARE NOT IN SOMERSET COUNTY. SO WHAT WE'LL DO IS I'M GOING TO GET YOU SOME INFORMATION TO FIND OUT HOW I KNOW THOSE DISTRICTS HAVE NOT BEEN TAUGHT. I CAN GET YOU SOME INFORMATION HOW TO GET MORE INFORMATION. YOU WOULDN'T FALL UNDER THE EMPOWERED SOMERSET GRANT. THERE IS HOW I SO EMPOWER SOMERSET. STATEWIDE COORDINATOR FOR LIFELINE. ALSO THROUGH THE NEW JERSEY DEPARTMENT OF HEALTH. ON REACHING OUT. IT'S JUST ENOUGH THAT CANNOT EVEN READ.

YEP. MORE. MORE. INVITATIONS, WHICH SCHOOL ARE ALLOWED. SO WE'LL HAVE TO GET IT. CERTAINLY TALK ABOUT IT.

COME BACK. ALRIGHT. GOOD QUESTIONS. SO WE I THINK WITH YOU I CAN DO THIS RIGHT MY BACK.

UM SO AS FAR AS, UM ROTATIONAL SECOND QUESTION WAS TRAINED THE TIME. SO HERE'S THE THING.

LIFELINES THE PROGRAM. UM MORE THE AUTHOR AND I TRAVEL AROUND THE COUNTRY. IT IS PUBLIC PUBLISHED PROGRAM BY HAZEL AND PUBLISHING. SOME SCHOOL DISTRICTS DON'T NEED IT. DON'T GET A TRAINER AT ALL. THEY BUY THE BOOKS FROM THE PUBLISHER, AND THEY SOMEONE READS THE BOOKS AND THEY DO THE WORK. SO IT'S SO THE FIRST THING IS AND AS PART OF FUNDING OR WHEN YOU'RE TRAINED WE REQUIRE THAT THEY FIND OR I REQUIRE SCHOOLS WHO ARE INDEPENDENT, PAYING ON THEIR

[00:30:05]

OWN TO BUY SOME BOOKS BECAUSE EVEN THE WHOLE DAY TRAINING THE BOOKS ARE ABOUT 400 PAGES OF CONTENT PER BOOK. CAN'T TRAIN 400 PAGES OF CONTENT SIX HOURS. EVEN IF I'M A JERSEY GIRL, AND I TALK REALLY FAST, IT'S JUST NOT GONNA HAPPEN. SO UM, SO THERE'S ALWAYS THE BOOKS IN SOME SCHOOLS DON'T GET TRAINED. WHAT WE KNOW IS THAT IT'S A HARD THING TO DO , AND IT'S VERY NICE TO HAVE A TRAINER WHO WALKS YOU THROUGH THE PROCESS. RIGHT NOW THERE'S ONLY A HANDFUL OF LIFELINES TRAINERS IN THE COUNTRY BECAUSE IT'S A FIRST OF ALL TOUGH TOPIC. NOT MANY PEOPLE WANT TO DEVOTE THEIR LIFE TO, UM AND TWO BECAUSE WE ARE CONTINUALLY LEARNING FROM OTHER SCHOOLS AND THAT AND MAKING SMALL ADAPTATIONS TO WHAT THE TRAINING IS. SO THERE ISN'T A TRAIN THE TRAIN THE TRAIN THE TRAINER MODEL, BUT THAT DOESN'T MEAN THAT SCHOOLS CAN'T GO OFF ON THEIR OWN AND DO THEIR OWN THING, BECAUSE AGAIN, IT'S A PUBLICLY ANYONE COULD BUY THE BOOK AND USE THE PROGRAM. UM, AND THE ROTATIONAL BIT NEW STUDENTS DON'T HAVE TO MAKE A DIFFERENCE BECAUSE I NEVER PERSONALLY TOUCH A STUDENT. I'M WORKING WITH THE SCHOOL FACULTY AND STAFF ON WHAT TO DO SO AS NEW STUDENTS COME IN PE AND HEALTH TEACHERS TEACH THE NEW GROUP OF STUDENTS ALL THE TIME WITH NEW STAFF. THAT'S A GOOD QUESTION. I WORK REALLY HARD TO EMPOWER ENOUGH PEOPLE TO LIKE. DOWNLOAD WISDOM TO ENOUGH PEOPLE IN THE SCHOOL THAT IS, NEW STAFF COMES AND WE TALKED ABOUT MAKING SURE POLICIES AND PROCEDURES ARE IN PLACE AND WE DO A LOT. I CONSULT ON THIS SCHOOL'S POLICIES AND PROCEDURES TO MAKE SURE THERE'S A POLICY AND PROCEDURE IN PLACE WHEN YOU ONBOARD NEW STAFF. HOW MUCH OF THIS CURRICULUM CONTENT ARE YOU GOING TO GIVE THEM AND SO THAT'S PART OF MY CONSULTING BEFORE I BEFORE I EVEN GET STARTED. IS CHANGING POLICIES AND PROCEDURES TO IMBUE THIS INTO THE INTO THE SCHOOL SO THEY CAN DO IT ON THEIR OWN. THAT BEING SAID SOMETIMES MANY, MANY YEARS AFTER I'VE TAUGHT SOMEWHERE SCHOOL WILL COME IN ONE REFRESHER. THEY'VE HAD A TURNOVER OF 70% OF THE CRISIS TEAM STAFF AND THEY WANT AND YOU KNOW, SO THAT IS BUT MY GOAL MY PERSONAL GOAL AND LIFELINES GOAL IS THAT WHEN I'M DONE, THE SCHOOL CAN CONTINUE WITHOUT ME ENDLESSLY. THAT WAS ALL THREE, RIGHT? MHM FINE.

SHEILA BERENSON FROM HOPEWELL BOARD OF HEALTH. I WANTED TO ASK ABOUT THE LAW THAT WAS PASSED IN AUGUST, 2019 GOVERNOR MURPHY SIGNED A LAW THAT REQUIRES STATE OF BOARD OF EDUCATION TO REVIEW AND UPDATE THE NEW JERSEY STUDENT LEARNING STANDARDS IN COMPREHENSIVE HEALTH AND PHYSICAL EDUCATION TO ENSURE THAT MENTAL HEALTH EDUCATION IS INCORPORATED. IN A AGE APPROPRIATE WAY THROUGH 12. SO IS THIS PART OF THAT OR BECAUSE APPARENTLY THIS IS, YOU KNOW, LEGISLATION THAT HAS PASSED. JUST CURIOUS IF YOU HAVE INCORPORATED THOSE STANDARDS INTO YOUR PROGRAM, OR YOU KNOW IF THERE ANY INTERACTION BETWEEN THE TWO, SO THAT THIS CURRICULUM AGAIN IS HITTING NATIONAL CURRICULUM STANDARDS, WHICH USUALLY COMES ENCOMPASS MOST OF THE ONES THAT DIFFERENT STATES REQUIRE. AND THERE ARE SOME OF THOSE WHAT I DO WANT TO SAY THAT WITH THAT I WANT TO BE CLEAR THAT WE REALLY DO DIFFERENTIATE SUICIDE PREVENTION FROM MENTAL HEALTH EDUCATION. BECAUSE THERE WAS A TIME WHERE WE WERE CONCERNED THAT STILLMAN WAS THAT WE WANT TO IDENTIFY THE OPPRESSED PEOPLE BECAUSE WE'RE WORRIED ABOUT SUICIDE. NOW WHAT WE KNOW IS THAT THERE IS MANY, MANY PEOPLE IN THIS WORLD WHO ARE DEPRESSED WHO ARE NEVER SUICIDAL. AND THERE'S MANY PEOPLE IN THIS WORLD WHO ARE SUICIDAL AND NOT DEPRESSED. AND SO COMBINING MENTAL HEALTH AND SUICIDE PREVENTION DOES A DISSERVICE BECAUSE WE MISS A LOT OF KIDS. ESPECIALLY KIDS DOCTOR SAYING THAT DIFFERENT SITES HTTP. THINGS UP. SO I DON'T KNOW THE EXACT ANSWER TO WHETHER TEXAS THIS CHECK THAT BOX. CURRICULUM STANDARDS. HIT IS LIKE 45. BECAUSE THERE'S LIKE 45 NATIONAL CURRICULUM STANDARDS THAT TEACHING THIS FOR SUCH A CURRICULUM. CHECK THE BOX. UM BUT SPECIFICALLY, I DON'T KNOW ABOUT THIS PARTICULAR ONE. I DON'T I DON'T KNOW. SCHOOLS ARE GETTING HASN'T COME UP BEFORE. IS THAT EFFECTIVE. IT WAS SIGNED INTO LAW ON AUGUST 2019. WAS IT TO BE EFFECTIVE IN SPORT? USUALLY THEY GIVE SCHOOLS EACH ONE ELSE. YEAH I DON'T KNOW. OKAY, SO THE ANSWER TO THAT. BUT WHAT I WILL SAY AGAIN IS THAT WE DON'T MENTION MENTAL HEALTH OR DIAGNOSIS ANYWHERE. ANYWAY POINT I THINK IN THE ENTIRE TRILOGY QUESTIONS MENTIONED ONE TIME IN RELATION TO COVER EXISTING DOCUMENTS. BUT WE REALLY DON'T APPROACH ME. YOU KNOW THE PUBLIC THREE. THANK YOU. SO I THINK THAT YOU COULD YOU KNOW HOW TO

[00:35:05]

REACH KRISTEN, UM AND WE'LL MAKE SURE YOU GET JOE'S CONTACT INFORMATION OR YOU CAN GET CHRISTIANS AND SO WE CAN CONNECT YOU WITH SERVICES. WE'RE GOOD. WE'RE GOOD. THANK YOU, MARTIN.

THANK YOU SO MUCH. THANK YOU VERY MUCH. THANK YOU VERY MUCH. THANK YOU. THANK YOU. THANK YOU VERY MUCH. WHAT WAS OUR ROLE CULTURE? THANK YOU VERY MUCH AGAIN. I APPRECIATE IT AS

[Items I - II]

EVERYONE ELSE HERE WAS VERY GOOD . UM SO WELCOME TO OUR JOINT BOARDS OF HEALTH MEETING ON DECEMBER 14TH 2022. WE WILL CONCLUDE THE MEETING BY 9 30, IF POSSIBLE, ANY AGENDA ITEM THAT CONSIDERED BY 9 30 WILL BE TABLED UNTIL THE NEXT REGULARLY SCHEDULED MEETING. ADEQUATE NOTICE OF THE MEETING IS REQUIRED BY SECTION THREE D AND FOUR. A OF THE OPEN PUBLIC MEETING ACT HAS BEEN PROVIDED TO THE PUBLIC AND FILED WITH THE TOWNSHIP CLERK. WORLD CALL FROM MONTGOMERY FIRST DR SORAYA HERE, WOLFSON AND. DR GRAYSON. THAT'S ME, DOCTOR MCGARY. HERE IS A LITTLE DR SHARMA. DR NEWMAN HERE , DOCTOR. O MARA, DR MOHAN. AND THE VALUE BATTLE HERE. JENNIFER FOSTER SINGING AND DR MANDELBAUM IS NOT HERE. WILL DO WELL CALL FOR ROCKY HILL. NEXT MARRIED GERMAINE. ROBERT OLSON. JOSEPH PORTAL. FOR THE COB. PAUL LACAVA SORRY. SUSAN FISHER. AND ROBERT COURIC. YOUR EX. SORRY I APOLOGIZE. HE'S DEAD. I SAID IT RIGHT IN MY HEAD. I WAS LIKE, YOU'RE NOT RIGHT. NO, THAT'S NOT . YOU SAID IT RIGHT IN MY HEAD. BUT THEN I DIDN'T SAY IT RIGHT? UM THANK YOU VERY MUCH. PENNINGTON'S ROLL CALL DAN BOONE. TONY LEWIS. SUSAN PARIS.

STEVE PLATTENBURG. YEAH. MARJORIE CAPLIN. AND KEN GROSS. AND THIRD. WE HAVE HOPE. WELL, MARY KATE LUNDQUIST. HERE ARE RAINER STONE. THEY GET THAT ONE, RIGHT? DAMMIT CORRECT ME, PLEASE . IT'S REINERT. SON RHINOS, THEN I APOLOGIZE. KATHY RYAN AND JULIE DRAWBRIDGE. I THINK I GOT THAT ONE. OKAY, WE'RE MISSING ONE. NEVER STEALER. YOU DIDN'T MAKE MY LIST O R S V P AND EVERYTHING. I'M SORRY. DEB MUST HAVE BEEN SAID OLD LIST HERE FOR ME. JUST SAY YOUR NAME AGAIN.

DEBORAH STEALER. THANK YOU APOLOGIZE FOR THE OVERSIGHT LIAISON FROM HOPE. OBARA COUNCIL. OKAY THANK YOU. OKAY SO WE DID THIS SPECIAL PRESENTATION ALREADY. APPARENTLY, WE SHOULD HAVE DONE THE ROYAL CALL FIRST. THAT'S OKAY. AND I MESSED THAT UP. PUBLIC COMMENTS. ANYONE HAVE A PUBLIC COMMENT TODAY. I'M GOING TO FOREGO THE LONG AS A COMMENT. WE CAN'T SEE YOUR FACE IN MY NECK AND I'M SITTING IN A BOOSTER. I'M SITTING IN MY BOOSTER SEAT. ALSO LIKE I HAVE TO SEE IT SO HIGH, JUST BUILDING FLOOR DATING. I LEARNED THAT THE REASON IT'S LIKE THAT IS BECAUSE THIS IS BULLETPROOF. BULLETPROOF TAKE US OUT. WE'RE SAFE. SCARY IT'S LIKE YOU ARE THE BODY TO GO TALLEST BETTER WHEN THE CHAIR IS LIKE THAT. YEAH THAT'S MUCH WORSE. YOU HAD A BALL LOOK LIKE MUNCHKINS. NO FEEL LIKE EDITH AND FEEL REALLY SHORT. RIGHT LIKE GROUND MEETINGS OVER. THANK YOU, UM, PUBLIC COMMENTS ANYONE? NO. ALRIGHT. THANK YOU VERY MUCH. ONTO THE CONSENT AGENDA.

[V. Consent Agenda]

ALL MATTERS LISTED HERE UNDER ARE CONSIDERED ROUTINE NATURE WILL BE APPROVED. IN ONE MOTION, ANY MEMBER REQUESTED AN ITEM BE REMOVED FOR SEPARATE CONSIDERATION. MONTHLY REPORTS THE HEALTH DEPARTMENT MONTHLY REPORT FROM NOVEMBER 2022 THE COMMUNICABLE DISEASE REPORT FROM NOVEMBER 2022 THE ANIMAL CONTROL REPORT FROM NOVEMBER 2022. THE NETS. UPDATES FROM THE REGULAR MEETING OF THE BOARD OF HEALTH HEALTH ON NOVEMBER 9TH 2022 APPROVED. I DID. SECOND THANK

[VI. Health Officers Comments]

YOU. ALRIGHT ONWARD TO THE HEALTH OFFICER COMMENTS THIS BANGUI. SO UM, TALKING ABOUT THE

[00:40:06]

BUDGET, WE ARE REWORKING OUR BUDGET BECAUSE WE FOUND OUT YESTERDAY FROM THE STATE HEALTH DEPARTMENT THAT MONTGOMERY TOWNSHIP WILL BE RECEIVING ABOUT $131,000 IN PUBLIC HEALTH INFRASTRUCTURE MONEY. WE'RE STILL READING UP ON YOU KNOW WHAT THE UM YOU KNOW WHAT OUR CRITERIA IS? THE MONEY IS STILL RESTRICTIVE. SO OUR CURRENT COVID GRANTS THAT WE HAVE RIGHT NOW, WHICH IS REALLY WHAT IS FUNDING. OUR ACTIVITIES ARE VERY RESTRICTIVE THIS PUBLIC HEALTH INFRASTRUCTURE MONEY THAT WE SHOULD BE RECEIVING. I THINK EITHER END OF THIS YEAR OR EARLY NEXT YEAR IS ALSO RESTRICTIVE, BUT LESS RESTRICTIVE AND THE GOAL IS FOR THERE TO POTENTIALLY BE ADDITIONAL FUNDING. UM MAYBE THE THIRD OR FOURTH QUARTER, SECOND OR THIRD QUARTER OF 2023 . SO THE GOOD NEWS IS THAT YOU KNOW, WE WILL TAKE PRESSURE OFF OF OUR MONTGOMERY TOWNSHIP BUDGET. AND SO WE'RE REWORKING THAT TO MAKE SURE THAT WE TAKE INTO CONSIDERATION THESE NEW REQUIREMENTS THAT WE'RE GETTING FROM THIS INFRASTRUCTURE MONEY. AND UM, SO I'LL PRESENT THAT AT THE JANUARY MEETING. UM BUT YOU KNOW THE MAIN THINGS THAT WE HAD INCLUDED IN THE BUDGET THAT I HAD UPDATED THE BOARD ON LAST MONTH FOCUSED ON FURNITURE AND STORAGE, UM ADDITIONAL MONIES FOR FLU VACCINES BECAUSE WE HAVE BEEN VACCINATING MORE PEOPLE. THERE IS STRONGER DEMAND AND, UM AND WITH ANIMAL CONTROL ARE SHELTERING FEES ARE GOING UP FOR IMPOUND IN TOWN, SO THAT'S SIGNIFICANT COST TO US. THAT'S AT LEAST I ESTIMATE ABOUT 4 TO $5000 INCREASE, AND THERE'S ALSO EXTRA FEES AND POSTAGE AND MAILING FOR OUR PET LICENSING, AND SO WE WILL INCORPORATE THAT INTO OUR BUDGET. BUT THE GOOD NEWS IS THAT IT WILL TAKE PRESSURE OFF OF OUR BUDGET OR OPERATIONAL BUDGET. AND UM WE ARE ALSO IN TERMS OF STAFFING. WE HIRED A NEW INFECTIOUS DISEASE PREPAREDNESS GENERALIST, RYAN CAMPBELL. HE'S A MARINE NATIONAL GUARD. HE'S FINISHING HIS MPH ANY DAY NOW IN INFECTIOUS DISEASES AND MICROBIOLOGY, AND SO HE'S BEEN HELPING US WITH MANAGING ALL OF OUR OUTBREAKS THAT WE'RE SEEING IN OUR HEALTH CARE FACILITIES, LONG TERM CARE FACILITIES AND SCHOOLS, DAYCARES, SO HE'S HE'S A GOOD ADDITION TO THE TEAM.

WE'VE ALSO HIRED A NEW LOCAL HEALTH OUTREACH COORDINATOR. HIS NAME IS AARON TWITCHELL. HE ALSO COMES WITH AN EXTENSIVE BACKGROUND. IN UM AND I THINK PASTORAL AND CHAPLAIN SERVICES IS A BOARD CERTIFIED CHAPLAIN. UM SO HE'S GOING TO REALLY HELP US WITH OUR HUMAN SERVICES, SOCIAL SUPPORT AND OUTREACH NEEDS AND TOWN. WE'VE BEEN AS A BEEN UPDATING THE BOARD. WE HAVE BEEN SEEING AN INCREASE IN SOCIAL SUPPORT AND HUMAN SERVICES RELATED REQUESTS AND CALLS WE'RE STILL WE'RE STILL LOOKING FOR A PART TIME PUBLIC HEALTH NURSE. IT IS. I DON'T HAVE TO TELL TELL YOU GUYS HERE, BUT IT HAS BEEN VERY CHALLENGING TO FIND A PUBLIC HEALTH NURSE, BUT WE'RE CONTINUING THE SEARCH WILL KEEP IT GOING BECAUSE YOU KNOW WE NEED AH, WE NEED MORE SUPPORT. AND YOU KNOW, I ONLY HAVE ONE PUBLIC HEALTH NURSE, SO FINDING VACCINATORS HAS ALSO BEEN CHALLENGING. UM BUT SO IN TERMS OF STUFF AND PART TIME ANIMAL CONTROL OFFICER SO WE'RE LOOKING FOR PART TIME PUBLIC HEALTH NURSE AND PART TIME ANIMAL CONTROL OFFICER. IN TERMS

[VII. Covid Updates]

OF COVID UPDATES. SO WE ARE IN. WE'VE WE'RE IN THE MEDIUM RISK, ACCORDING TO THE CDC COMMUNITY LEVELS WE HAVE BEEN, UM, HEARING AND RECEIVING INFORMATION ABOUT HOSPITAL ADMISSIONS INCREASING BY 60% WE HAVE ALSO BEEN RECEIVING PHONE CALLS FROM PARENTS ASKING ABOUT MASKING AND YOU KNOW THERE'S A LOT OF INFORMATION THAT THEY'RE SEEING ON THE NEWS ABOUT THE TRIPLE DES MICK. FLU AND RSV. SO OUR RECOMMENDATION IS THAT THOSE THAT ARE HIGH RISK FOR SEVERE ILLNESS WHERE HIGH QUALITY MASKS WHEN IN PUBLIC INDOOR SETTINGS AND FOR OTHERS TO TEST BEFORE VISITING THOSE WHO ARE AT HIGH RISK. UM AND WHERE A MASK WITH THEM WENT INDOORS. WE HAVE OUR TESTING SERVICE THAT WE'RE OFFERING. STILL MONDAY THROUGH FRIDAY, 8 TO 5 PM AND WEDNESDAYS FROM AH. TEND TO TEND TO SIX I THINK, BUT IT COULD BE WRONG FOR WEDNESDAY'S AND. THE OTHER THING WAS PEDIATRIC RESPIRATORY, EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS WERE HIGH, UM, AROUND THANKSGIVING TIME AND AFTER THANKSGIVING, UM THEY'RE THEY'RE CONTINUING TO TREND DOWN NOW, BUT THE EXPECTATION IS THAT WE ARE GOING TO SEE AN INCREASE IN ILLNESSES AND RESPIRATORY ILLNESSES AND SEE THEM PEAK MID JANUARY, SO WE JUST WANT EVERYBODY TO BE YOU KNOW, UM AWARE OF THAT, AND TO IF YOU ARE IMMUNOCOMPROMISED OR HIGH RISK, OR YOU'RE GOING TO BE AROUND

[00:45:05]

THOSE WHO ARE WE ENCOURAGE YOU TO WEAR A MASK. WHEN DURING THAT, UM AND THEN INFLUENZA CONTINUES TO TRACK HIGHER AND EARLIER THAN IN PAST AND PAST SEVERAL SEASONS. WE'RE SEEING THAT IN OUR FLU AT OUR FLU CLINICS, WE ARE HOSTING A FLU CLINIC THIS FRIDAY, RIGHT HERE, OUR PARTNERING WITH ANIMAL PHARMACY. I KNOW THAT THERE IS STRONG DEMAND FOR FLU VACCINES FROM RESIDENTS IN TOWN. WE, UM WE HAD OVER 75 PEOPLE WHO CAME TO OUR CLINIC LAST WEEK WHEN ONLY 19 HAD REGISTERED, SO WE HAD TO. THERE WAS SOME LONG LINES HERE AND IN THE LOBBY BUT BETWEEN PEOPLE WHO ARE INTERESTED IN FLU AND COVID. WE WERE ABLE TO VACCINATE MOST OF THEM. BUT THERE IS STRONG, STILL STRONG DEMAND FOR THE FLU VACCINE AS WELL. EVERY TIME WE'RE HOSTING A CLINIC WE'RE SEEING UM, ANYWHERE FROM, UM, WELL, 75 LAST WEEK, BUT IT'S TYPICALLY 100 OR 230. VACCINES THAT WERE ADMINISTERING. STILL STRONG DEMAND THERE. AH! AND

[VIII. Animal Control Updates]

THEN. MOVING ON TO ANIMAL CONTROL UPDATES WE HAVE BEEN TALKING ABOUT THE NEED TO INCREASE OUR PET LICENSING. AND ONE THING WE'VE LEARNED IS THAT WHEN WE HAVE BEEN SENDING OUT OUR PET LICENSE RENEWAL LETTERS , THEY HAVE BEEN GOING TO PEOPLE WHO HAVE ALREADY WHO HAVE ALREADY LICENSED THEIR PETS. SO NEW RESIDENTS, RESIDENTS HAVE GOT A NEW PETS. PEOPLE ARE TENANTS. PEOPLE WHO ARE RENTING HAVE HAVE NOT BEEN INCLUDED IN THAT MAILING. SO THAT'S ANOTHER REASON WHY OUR MAILING AND POSTAGE WILL BE COST WILL BE INCREASING, BUT THE GOAL IS TO MAIL A POSTCARD WITH KEY INFORMATION ABOUT PET LICENSING AND OUR UPCOMING RABIES CLINIC IN JANUARY, JANUARY 14TH AND 15TH TO LET RESIDENTS KNOW THAT YOU KNOW. TO BE AWARE OF, UM WHY IT'S IMPORTANT TO LICENSE AND LICENSE HERE CATTLE DOG AND TO GET THEM VACCINATED AGAINST RABIES. UM AND THEN WE'RE DOING THESE CLINICS IN EARLY JANUARY. WE HAVE ALSO. WAS THE LICENSING SUPPOSED TO GO ONLINE AT SOME POINT, SO THE LICENSING THAT THAT'S WHAT I THOUGHT? YES IT IS. ONLINE LICENSING IS ONLINE. THERE ARE RESIDENTS WHO PREFER TO COME IN IN PERSON AND WHO DON'T FEEL COMFORTABLE USING THE ONLINE SYSTEM WHO PREFER TO DO IT. OLD SCHOOL. WITH WHAT WITH, UM YOU KNOW, ON PAPER, SO WE WILL HAVE BOTH, UM YOU KNOW, BOTH SYSTEMS AVAILABLE PAPER AND THE ONLINE SYSTEM. THE ONLINE SYSTEM WILL BE ACTIVE WITH THE 2023 INFORMATION. UM I THINK FIRST THING IN JANUARY. WE'RE NOT ALLOWED TO ACCEPT ANY LICENSING MONEY IN 2022 FOR 2023 , SO THAT'S THE REASON SO WE'RE TRYING TO PLAN IT SO THAT THE POSTCARDS GO OUT. UM AS CLOSE TO JANUARY AS POSSIBLE THAT THAT BEING SAID, IS THERE POSSIBILITY OF GETTING RID OF THE POSTCARDS BEING DONE ONLINE AND JUST GO VIA EMAIL ALTOGETHER, AND THAT PEOPLE KNOW THAT THIS IS SOMETHING THAT'S REQUESTED AND THEN ALLOW THEM TO ACCESS THE PORTAL. EVENT BECAUSE IT SEEMS LIKE THAT WOULD BE A COST SAVINGS. EVENTUALLY WE DO WANT TO DO THAT, BUT WE DON'T HAVE EVERYONE'S EMAIL ADDRESSES. BUT THE GOAL IS TO MOVE TOWARDS THAT. MUNICIPAL ALLIANCE UPDATES

[IX. Municipal Alliance Updates]

. I WANTED TO SHARE THAT OUR MUNICIPAL ALLIANCE CHAIRPERSON LAURIE HUFF, SHE WAS NOMINATED AND WON THE SOMERSET COUNTY VOLUNTEER OF THE YEAR AWARD THROUGH THE GOVERNOR'S COUNCIL ON ALCOHOLISM AND DRUG ABUSE. PREVENTION UM, SO WE'RE HOPING TO ONCE SHE GETS A COPY OF THAT RESOLUTION TO SHARE IT WITH EVERYBODY. SHE HAS BEEN TREMENDOUS VOLUNTEER. AND THROUGHOUT COVID HELPING US YOU KNOW, THE HEALTH DEPARTMENT. WE WERE MOSTLY BUSY HANDLING COVID , AND SHE REALLY TOOK ON THE ROLE OF COORDINATING OUR MUNICIPAL ALLIANCE ACTIVITIES AND MAKING SURE WE'RE FOCUSING ON MENTAL HEALTH AND WELLNESS. AND, UM AND HELPING WITH THE HOSTING MANY PROGRAMS DURING COVID, SO SHE'S ALSO BEEN ADVOCATING FOR PRESCRIPTION MEDICATION DROPBOX RIGHT HERE IN THE LOBBY, WHICH IS IN THE WORKS, SO WE'LL SHARE THAT ONCE YOU KNOW, WE HAVE THAT IN PLACE , AND YOU KNOW, SO YOU KNOW, REALLY WANT TO THANK LAURIE HUFF , AND I'M VERY GRATEFUL FOR HER HELP AND HER SERVICE. UM SHE'S BEEN A GREAT PERSON TO WORK WITH, AND AH, AND SHE'S BEEN DOING IT FOR FREE AS A VOLUNTEER, UM THAT'S THE BEST PART. WE ALSO HAVE HOSTED OUR COMMUNITY LEADERS MEETING AND THIS WAS OUR FIRST MEETING THIS THIS YEAR, I BELIEVE, AND IT'S UM WE'RE HOPING TO HOLD THESE MEETINGS. QUARTERLY COMMUNITY LEADERS MEETING CONSISTS OF ON SCHOOL DISTRICT LEADERSHIP. FAITH PLACES OF WORSHIP, FAITH

[00:50:01]

LEADERS LAW ENFORCEMENT HEALTH DEPARTMENT MUNICIPAL ALLIANCE, UM, NONPROFITS AND ANY BEHAVIORAL CARE AND HEALTH CARE FACILITY PARTNERS IN THE AREA. SO CARRIER CLINIC UM STONEBRIDGE, AND SO IT'S BEEN A GOOD A GOOD INITIATIVE IN GETTING EVERYBODY AROUND THE TABLE TO TALK ABOUT ISSUES THAT CONCERNED THEM. AND THINGS THAT THEY THINK WE SHOULD FOCUS ON IN TERMS OF PROGRAMS AND SERVICES. THEN, UM THE OTHER UPDATE WAS. WE RECEIVED INFECTION CONTROL MANY GRANT FOR $2500. THIS IS A TRAIN THE TRAINER TO PROVIDE INFECTION CONTROL TRAINING TO OUR LONG TERM CARE FACILITIES. SO OUR GOAL IS TO HOST THESE TRAININGS AND PROVIDE THESE TRAININGS FOR BOTH THE LONG TERM CARE FACILITIES THAT WE HAVE A RIGHT CURRENTLY IN MONTGOMERY AND IMPENDING TONIGHT, UM SO AND HOPE, MAYBE EVEN PARTNER WITH OUR NEIGHBORS WHO MIGHT NEED HELP DUE TO STAFFING SHORTAGES. WE WILL ALSO BE RECEIVING, UH, A LITTLE OVER $10,000 IN OPIATE OPIATE ABATEMENT SETTLEMENT ON SO MANY COMMUNITIES ACROSS THE COUNTRY. THIS IS FROM A $26 BILLION SETTLEMENT NATIONALLY, AND SO THE GOAL WILL BE TO PROVIDE PREVENTION EDUCATION AS IT RELATES TO, UM, PREVENTION MISUSE PREVENTION. 10,058 OR SOMETHING ALONG THOSE LINES, RIGHT LITTLE OVER 10,000. I THINK THAT'S IT. THANK YOU. THE BOGGY, UM ANY OTHER NEW BUSINESS

[X. New Business]

FROM ANYONE. I JUST HAD ONE QUESTION REGARDING THE MONKEY POX OR IMPACT SAYS IT'S CORRECTLY REFERRED TO NOW I GUESS WE HAD ONE CASE. AND DR MOHAN AND I WERE DISCUSSING IT.

SO I GUESS WE HAVE VACCINE AND ACCESSIBLE. YES SO THERE IS MAXINE. ACCESSIBLE HEALTH DEPARTMENTS HAVE ACCESS TO THE STATE HUB, WHICH IS A SEPARATE STREAM THAN UH THAN THE GENERAL PUBLIC IF THEY'RE INTERESTED IN GETTING VACCINATED DID ALL THE CONCRETE CONTACT TRACING MORE FROM AN E. M S PERSPECTIVE. WE DID THE CONTACT TRACING AND THERE'S YEAH. YEAH, WE DID THE CONTACT TRACING THERE IS NO YEAH , NOTHING TO E. M S. WE WILL. WE WILL NOTIFY YOU. EVERYTHING ELSE. ANYONE? NO. ALRIGHT MOTION TO ADJOURN NO FURTHER BUSINESS TO DISCUSS MEETING MILITARY AND NOW AT. 2030 27 TO BE EXACT. THANK YOU

* This transcript was compiled from uncorrected Closed Captioning.