IT'S ON. WE'RE GOOD. WE'RE GOOD NOW, OKAY? WELCOME TO THE TOWNSHIP OF MONTGOMERY BOARD OF
[I. Opening Statement]
[00:00:11]
HEALTH MEETING FROM 4. OCTOBER 11TH. THE MEETING START TIME IS 7 38. YEAH AND IT IS THE INTENTION OF THE BOARD TO CONCLUDE THIS MEETING BY 9 30. ANY AGENDA ITEM NOT CONSIDERED BY 9:30 P.M. WILL BE TABLED UNTIL THE NEXT REGULARLY SCHEDULED MEETING. ADEQUATE NOTICE OF THE MEETING HAS 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. WE'LL DO A ROPE HAUL FORD MEMBERS, DR SORAYA HERE, DR WILSON, DR GRAYSON. DR MCGEARY HERE, DR FAISAL. DR SHARMA. DR NEWMAN HERE, DOCTOR. O MARA HERE. DR MOHAN HEALTH OFFICER DAVONTE PATEL, STAFF SECRETARY JENNIFER FOSTER TOWNSHIP COMMITTEE LIAISON, NINA SINGH. HELP AND ADVISOR DR MANDELBAUM. OKAY? AND DO WE HAVE ANY PUBLIC COMMENT? NO, OKAY. CONSENT AGENDA. ALL MATTERS[IV. Consent Agenda]
LISTED HERE ARE LISTED HERE UNDER ARE CONSIDERED ROUTINE IN NATURE AND WILL BE APPROVED IN ONE MOTION ANY MEMBER MAJOR REQUEST THAT AN ITEM IS REMOVED. FIRST SEPARATE CONSIDERATION, SO WE HAVE THREE MONTHLY REPORTS. THE HEALTH DEPARTMENT MONTHLY REPORT THAT COMMUNICABLE DISEASE REPORT AND THE ANIMAL CONTROL REPORT. OFF FROM SEPTEMBER 2023 AND WE HAVE THE MEETING MINUTES THE MEETING AT THE MINUTES OF THE RIGHT. THE REGULAR BOARD MEETING FROM SEPTEMBER 13TH 2023. CAN I HAVE A MOTION TO APPROVE? I MOVE TO APPROVE THEM. THANK YOU FOR A SECOND. SECOND SECOND, OKAY? THANK YOU. NOW WE'RE GOING TO MOVE ON TO THE ORDINANCE. WE HAVE ALREADY READ[V. PUBLIC HEARING]
THE ORDINANCE IN THE LAST MEETING. SO THIS TIME WE'RE JUST GONNA, UM MOVE. THE ORDINANCE FORWARD, SO THE PUBLIC HEARING AND ORDINANCE 2023-0 TO ESTABLISHING A COMPREHENSIVE FEE SCHEDULE FOR THE TOWNSHIP OF MONTGOMERY BOARD OF HEALTH AND TO PROVIDE FOR ITS ADMINISTRATION IN 2023. THE TITLE IS AN ORDINANCE. 2023-0 TO ESTABLISHING A COMPREHENSIVE FEE SCHEDULE FOR THE TOWNSHIP OF MONTGOMERY BOARD OF HEALTH AND TO PROVIDE FOR ITS ADMINISTRATION IN 2023. IS EVERYBODY HAVE A COPY OF IT. I NEED A DO WE HAVE ANY DISCUSSION? NO OKAY, TOO. WE HAVE EMOTION TOO CLOSE. I MOVED TO CLOSE. THANK YOU SECOND.SICK. OKAY NOW WE'LL TAKE A VOTE ALL IN FAVOR. I THINK OKAY AND OPPOSED. NOBODY REVERSED ANYBODY. ABSTAINING, OKAY? BE IT RESOLVED BY MONTGOMERY TOWNSHIP BOARD OF HEALTH THAT THE FOREGOING AUDIENCE IS HEREBY ADOPTED ON THIS DAY, THE 11TH DAY OF OCTOBER 2023 AND THAT NUDIST HERE OF OR THEREOF BE PUBLISHED IN AN OFFICIAL NEWSPAPER, AS REQUIRED BY LAW.
DO I HAVE TO MOTION AGAIN, JEN? YES, MOTION. MOTION TO ACCEPT IT. OKAY AND SECOND. OKAY, NOW WE DO THIS ROLL CALL. SO, DR SORAYA APPROVED. DR MCGARY APPROVED, DR SHARMA APPROVED DR NEWMAN. YES MARA APPROVED. MOHAN APPROVED. OKAY I THINK THAT'S IT. DID I MISS ANYBODY? NOW.
OKAY WE ARE MOVING. WE ARE OKAY. HEALTH OFFICER COMMENTS. DO YOU WANT TO INVITE? INVITE KEELEY?
[VI. Health Officer Comments]
OUR GUEST. KELLY IS GOING TO BE PRESENTING THE PUBLIC HEALTH RAPID ASSESSMENT TO THE BOARD.THIS IS ALSO A REQUIREMENT OF THE STRENGTHENING GRANT. AND IT COMES WITH A TEMPLATE THAT YOU SEE IN FRONT OF YOU, UM, WHICH CLEARLY USED TO FILL IN A LOT OF OUR MONTGOMERY. DATA SOME OF THE DATA ALSO INCLUDES IN DATA FROM POLICE AND E. M S THAT YOU HAD SEEN IN THE PAST COUPLE OF MONTHS. AND WE WANTED TO GIVE YOU AND, UH, JUST AN OVERALL SENSE OF WHAT THE SOCIAL SERVICES NEEDS ARE IN THE COMMUNITY AND THE DIFFERENT POPULATIONS THAT WE WORK WITH ANY TIME THERE'S A NEW INITIATIVE OR PROGRAM. OR RESOURCES THAT NEED TO BE DISTRIBUTED IN OUR COMMUNITY. SO KILL. IF YOU ALREADY ILL. I'M GOING TO HAND IT OFF TO YOU.
SURE YEAH, I'M READY. UM ERICA, HELP ME PUSH THE BUTTON WHEN I HAVE TO GO TO THE NEXT LINE. CAN
[00:05:05]
YOU JUST TELL US YOUR NAME AND YOUR POSITION FOR THE RECORD? MY NAME IS KELLY CRUZ. I'M THE UH, LOCAL HEALTH OUTREACH COORDINATOR FOR MONTGOMERY TOWNSHIP HEALTH DEPARTMENT. UM AND AMERICA IS WITH ME. SHE'S A HEALTH EDUCATOR. UM OKAY, DO NEXT. SO AS DEVON, HE SAID, THIS IS KIND OF REQUIRED FOR THE GRANT FUNDING POSITION FOR THIS THIS ROLE THAT I HAVE. SO IN THAT TEMPLATE THAT YOU HAVE. THERE'S A WHOLE BUNCH OF INFORMATION THAT THE STATE EARNED. AT THE STATE THAT COMES FROM THE TOWNSHIP THROUGH CENSUS DATA. UM SORRY. MOVE. UH. DO YOU HAVE IT UP? I DON'T HAVE THE WIFE. I LOST THEM. SORRY OKAY. OKAY, THERE IT GOES. GOT TO MUTILATE THE ROUTER CONNECTING SO ADVANCING. HAPPENED TO HIM FEELS SO. WELL I GUESS I CAN STILL KEEP TALKING ABOUT IT REALLY NEEDS SLIDES. UM SO BASICALLY, THIS DEFINES CATEGORY DEFINES AND CATEGORIZES THE PRIORITY POPULATIONS IN MONTGOMERY TOWNSHIP AND ROCKY HILLSBOROUGH. SO PRIORITY POPULATIONS IS THE WORD THAT THE TEMPLATE USED TO TALK ABOUT DISADVANTAGED POPULATIONS OR THOSE THAT DON'T HAVE AS MUCH FUNDS AND OUR FOCUS SPECIFICALLY ON ALICE POPULATIONS. YOU WHICH THERE'S A WHOLE ACRONYM FOR THE WORD, ALICE. BUT IT MEANS THOSE THAT ARE, UM THEY ARE ABOVE THE FEDERAL LEVELS FOR POVERTY, BUT THEY STILL DON'T HAVE ENOUGH TO AFFORD THEIR DAY THEIR DAILY ACTIVITIES OF LIVING, OR THEY MIGHT HAVE TO SACRIFICE MEDICATION JUST TO PAY THEIR BILLS. SO THAT'S WHAT THE ALICE HOUSEHOLDS ARE. SO WE'LL TALK A LITTLE BIT ABOUT THAT IN THIS UM SO LET ME TALK ABOUT SOME HEALTH DISPARITIES AND THEN COMMUNITY IMPACTS THAT COME THAT CAME FROM COVID, 19 AND OTHER INFECTIOUS DISEASES THAT ALSO HAS TALKED ABOUT IN THIS RAPID PUBLIC HEALTH ASSESSMENT. IF YOU HEAR ME SAY ASSESSMENT, I'M JUST TALKING ABOUT THE RAPID PUBLIC HEALTH ASSESSMENT. UM WHEN WE TALK ABOUT SOME OF THESE KEY STAKEHOLDERS THAT ALSO HELP AROUND WELCOME BRICK TOWNSHIP IN ROCKY HARBOR ROW. UM SO YOU CAN GO TO SLIDES OVER. MHM COMPUTER. EMAIL. YOU CAN'T SEE THAT EITHER. I THINK IT'S GOING BACK HERE. NOW THERE YOU GO. GIVE IT CAN YOU EMAIL IT TO ME, YOU KNOW? YEAH. FORWARDED TO MY MOUSE DOESN'T WORK ON THIS LAPTOP. THERE YOU GO. THAT'S UP. LET ME SEE MY NOTES, BUT NO.OKAY WE'LL DO WHAT WE CAN DO THAT WORKS. THAT'S PERFECT, OKAY ? YEAH, WE NEED THE GOING TEXAS.
THERE'S THE ACRONYM FOR ALICE ASSET, LIMITED INCOME, CONSTRAINED AND EMPLOYED. REACH.
THAT WORKS. ALL RIGHT. SO THIS IS THE ALICE HOUSEHOLDS THAT I WAS TALKING A LITTLE BIT ABOUT.
SO AS YOU CAN SEE, IN MONTGOMERY TOWNSHIP, THERE IS 9% OF THE 7960 HOUSEHOLDS, SO THAT DOES EQUATE TO ABOUT DID THE MATH, BUT I DIDN'T PUT IT ON THIS. BUT UM, ANYWAY, SO THAT'S THE MONTGOMERY TOWNSHIP LEVEL OF IT . AND ROCKY HILL BOROUGH HAS 22% THAT ARE ALICE HOUSEHOLDS, AND THEY ONLY HAVE 290 HOUSEHOLDS IN ROCKY HILL BOROUGH. UM AND IN THE IN THE COUNTY LEVEL, THERE'S 21% OF ALICE HOUSEHOLDS AND THEN IN THE WHOLE STATE OF NEW JERSEY, THERE'S 26% SO AS YOU CAN SEE, ROCKY HILL BOROUGH HAS A LITTLE BIT CLOSER TO THE STATE LEVEL. UM, AND A LOT MORE AND MORE THAN THE SOMERSET COUNTY LEVEL. MONTGOMERY TOWNSHIP IS A SMALLER PERCENTAGE. BUT AS YOU CAN SEE THEIR POVERTY PERCENTAGES, ALSO AT 5. SO IN THE RAPID PUBLIC HEALTH ASSESSMENT, I COMBINE BOTH OF THE POVERTY NUMBERS AND THE ALICE HOUSEHOLDS TO GIVE A BETTER PICTURE OF HOW MANY OF THE TOTAL HOUSEHOLDS ARE REALLY IMPACTED BY, UM FUNDS AND FINANCIAL CHALLENGES. SO THAT'S THAT FOR THE ALICE HOUSEHOLDS AND AGAIN, THOSE ARE THE ONES THAT ARE NOT HIGHER THAN THE POVERTY LEVEL BUT ALSO CANNOT AFFORD CERTAIN. UM OTHER TYPE OF EXPENSES. AND SO GIVEN THAT WE HAVE 9% OF FAMILIES IN MONTGOMERY WITH ALICE HOUSEHOLDS
[00:10:06]
THERE HAS BEEN LIKE AN INCREASE IN STUDENTS THAT ARE RECEIVING FREE AND REDUCED LUNCH. SO A LOT OF THESE FAMILIES CLOSET I'M ABOUT THESE FAMILIES. YOU KNOW, THEY'RE THEY'RE ABLE TO BRING THEIR KIDS TO SCHOOL. THEY'RE ABLE TO GET THEIR KIDS TO THESE CLUBS THAT THEY'RE IN OR THESE OTHER. ACTIVITIES BUT SOMETIMES THEY'RE NOT ABLE TO AFFORD LIKE THE LUNCHES, SO A LOT OF THEM HAVE PRODUCED LUNCHES. AS YOU CAN SEE, THERE IS 217 STUDENTS IN MONTGOMERY TOWNSHIP SCHOOLS.THAT'S ABOUT 3.2% OF THE TOTAL STUDENTS. I WAS UNABLE TO GATHER INFORMATION FROM THE PRIOR YEAR.
THIS CAME DIRECTLY FROM THE SCHOOL BOARDS. FOR THE RATE OF THE STUDENTS THAT THEY HAD, BUT I'M HEARING IS IT'S AN INCREASE FROM THE LAST COUPLE OF YEARS. SO YOU CAN GO ONTO THE NEXT ONE.
SO THIS IS SOME DATA THAT WAS SHARED WITH ME FROM THE E. M S. SO SOME OF THIS DATA WAS ALREADY SHARED HERE, AND I PUT THE POLICE NUMBER OF CALLS INTO A GROUND. YOU CAN SEE A BIGGER, BETTER PICTURE OF WHAT HAS BEEN GOING ON IN THE LAST COUPLE OF YEARS. SO ON THE GRAPH FROM THE LEFT THAT IS POLICE CALLS PER CATEGORY. SO WHEN THE POLICE WAS HERE, THEY WERE TALKING ABOUT DIFFERENT CALLS. SO THEY HAD LIKE PSYCHIATRIC CALLS. UM. SUICIDE CALLS THINGS LIKE THAT, SO I CATEGORIZED THEM AS FAMILY CRISIS. SUICIDE ATTEMPTS. DOMESTIC VIOLENCE IS AND THEN LOOKED AT EACH YEAR. SO THIS IS FROM 2013 TO 2022. AND AS YOU CAN SEE THE TRENDS THEY DO GROW UP, THEY INCREASE AT A STEADY KIND OF RIGHT AND THEN GO DOWN AND NOW IN 2021 AND 2022, WE CAN SEE THAT THERE'S A LOT MORE IN THE BLUE COLUMN THAN THERE WAS IN 2013 AT LEAST. 50 PLUS MORE CALLS. UM. AND THEN OVER ON THE SLIDE ON THE RIGHT IS THE IMF SHIFTS WHEN THEY HAVE FIVE OR MORE CALLS, AND THIS IS JUST AN INCREASE OF SOUL, SO YOU KNOW YOU IN ONE SHIFT. THEY'RE GETTING FIVE OR MORE CALLS 104 SHIFTS IN A YEAR. THAT'S ALMOST HALF MILLION. YEAH, MAYBE NOT ALMOST HALF, BUT IT IS CLOSE TO HALF. UM SO AS YOU CAN SEE THAT ALSO INCREASED FROM 2018 TO 2022. AND AS YOU CAN SEE, IN THE RAPID PUBLIC HEALTH ASSESSMENT. WE GET THE CENSUS DATA ON MONTGOMERY TOWNSHIP, AND IT IS ABOUT 25,000 PEOPLE, SO AS YOU CAN SEE, THERE'S PROBABLY BEEN A GROWTH OVER THE YEARS HERE IN THIS TOWNSHIP AND YOU CAN SEE THE GROWTH HAPPENING IN THESE CHARTS AS WELL WITH THE CAUSE THAT THEY'RE GETTING AND THE DEMAND THAT'S BEING PLACED ON THE POLICE AND E. M S. SO THEN CONTINUING THIS TO THE HEALTH DEPARTMENT. WE HAVE SOME SERVICES CALLED REGISTER READY, WHICH YOU PUT RESIDENTS INTO THIS SO IN CASE OF AN EVENT WHERE WE HAVE NO SERVICE OR SOMETHING, WE KNOW WHO TO GO OUT TO. THESE ARE PEOPLE THAT HAVE, UM LIKE LIVING ON VENTILATORS OR NEED ELEKTRONIK SERVICES FOR, UM OR JUST ASSISTANCE GETTING OUT OF AN EMERGENCY, SO I WE USE THE STREAMLINED DATA FROM REGISTER READY AND OTHER OUTREACH SERVICES HERE AT THE HEALTH DEPARTMENT, SO WHEN WE GET CALLS UM, WE DOCUMENT THEM IN RED CAP, WHICH IS A UM, HIPPO COMPLIANT WEBSITE ONLINE AND WE CAN SEE LIKE WE COULD SEE THE TRENDS OF HOW MANY OUTREACH ATTEMPTS THAT WERE GETTING SO ON THE LEFT SIDE . YOU WILL SEE THAT ALL THE CATEGORIES THAT WE HAVE. WE HAVE SOCIAL DETERMINANTS OF HEALTH. SO THAT'S TRANSPORTATION, FOOD, UTILITIES, HEALTHCARE, BEHAVIORAL, HEALTH, HOUSING AND OTHER. THE OTHER CATEGORY CAN BE THINGS SUCH AS LEGAL SERVICES THAT RESIDENTS NEED SO THEY'RE CALLED US TO THE HEALTH DEPARTMENT. UM OTHER CAN ALSO BE THE REGISTERED. READY UM, APPLICATIONS THAT WE'RE GETTING AND PUTTING THESE RESIDENTS IN THERE. SO FROM MARCH OF 2023 TO SEPTEMBER OF 2023. THIS IS THE DATA WE HAVE FROM THAT RED CAP SERVICE. SO SOME OF THESE CAN BE , UM, CATEGORIZED TOGETHER, SO IT'LL SAY OTHER AND IT COULD BE OTHER AND BEHAVIORAL HEALTH RIGHT? SOMEONE HAS LEGAL SERVICES, AND THEY NEED BEHAVIORAL HEALTH SUPPORT BECAUSE OF THAT, SO WE CAN CATEGORIZE THEM UNDER TWO THINGS , SO WE ARE NOW IN THE PROCESS OF. USING THESE SOCIAL DETERMINANTS AND CREATING MORE OF A LIKE STREAMLINED SERVE LIKE DOCUMENTATION SERVICE. BUT ADVOCACY. THESE ARE JUST THE NUMBERS THAT WE'VE BEEN SEEING HERE AT THE HEALTH DEPARTMENT.
SO FROM MARCH TO JUNE, THERE WAS 13 13 MORE CALLS THAN IN THE BEGINNING OF MARCH AND MARCH IS WHEN THEY JUST STARTED TO DOCUMENT IT. IN THIS RED CAP SERVICE BEFORE THEY WERE STILL GETTING CALLS. IT'S NOT THAT THOSE WEREN'T HAPPENING. THIS IS JUST WHEN THEY STARTED TO ROLL OUT THIS NEW RED CAP DATA. UM SO SEPTEMBER HAD JUST PASSED SO THAT ONE IS A LITTLE BIT LOWER
[00:15:08]
AT THIS POINT, BUT AS YOU CAN SEE, THERE ARE DEMANDS HAPPENING AT THE HEALTH DEPARTMENT LEVEL AS WELL AS THE EMS AND THE POLICE. LEVEL. AND AGAIN. THESE ARE THE SOCIAL DETERMINANTS OF HEALTH THAT RESIDENTS IN MONTGOMERY AND ROCKY HILL EXPERIENCE, SO THERE'S A 44.3% OF RESIDENTS EXPERIENCING HIGH RENT BURDEN. THERE IS ABOUT ARE ABOUT 101,180 HOURS HOUSEHOLDS OR THOSE LIVING IN POVERTY IN MONTGOMERY AND ROCKY HILL TOWNSHIP TOGETHER ROCKY YARBOROUGH TOGETHER AND ABOUT 275 RESIDENTS ARE WITHOUT HEALTH INSURANCE UNDER THE AGE OF 65.MORE THAN HALF THE RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH, AND A LOT OF THE THINGS IN THIS TOWN ARE VERY ENGLISH BASED, SO THERE'S LANGUAGE BARRIERS HAPPENING HERE AND LAST , BUT NOT LEAST, WE'VE BEEN DOING SOME PEDESTRIAN SAFETY AND TRYING TO GET OUT AND LETTING THE RESIDENTS KNOW ABOUT THE PEDESTRIAN SAFETY. BUT AS YOU CAN SEE OUR SCORES, NOT EVEN HALF WHERE 43% OUT OF 100 FOR A WALK ABILITY SCORE, AND THAT MEANS ARE YOU ABLE TO WALK FROM YOUR HOUSE TO THE GROCERY STORE SAFELY? UM IT'S NOT JUST OH, YOU CAN WALK. IT'S MORE OF THE SAFETY COMPONENT. THIS IS ALSO FOR BIKING, AND THIS COMES FROM THE CITY HEALTH. FORGET THE SOURCE THAT IT CAME FROM. BUT CITY HEALTH DASHBOARD CITY HALL PASSWORD? YEAH. UM SO YEAH, AND THEN GOING ON TO THE NEXT ONE. THIS IS JUST SOME ACKNOWLEDGMENTS THAT I HAVE. SO I WANT TO THANK THE POLICE DEPARTMENT IN THE EMS FOR PROVIDING US THEIR DATA AT THE PRESENTATION OF THE BOARD OF HEALTH MEETINGS AND THE PUBLIC HEALTH NURSES AND STAKEHOLDERS IN MONTGOMERY TOWNSHIP. THEY PROVIDE SO MANY RESOURCES AND SUPPORTS. WHEN WE GET THESE CALLS, WE USE THEM AND PROVIDE THE RESIDENTS WITH SOME MORE SUPPORTS BY, UM DEPENDING ON THOSE IN MONTGOMERY TOWNSHIP IN ROCKY HILL, BURROW AS YOU CAN SEE ON THAT LAST PAGE OF THE ASSESSMENT. THAT'S ALL THE REASON NOT ALL THERE'S A LOT MORE, BUT THOSE ARE MAJORITY OF THE RESOURCES THAT WE USE HERE AT THE HEALTH DEPARTMENT WHO WE REFER RESIDENTS, TOO. SO THAT'S IT FOR MY PRESENTATION ABOUT IT . I CAN TELL YOU A LITTLE BIT MORE ABOUT MY DAY TO DAY, BUT I THINK THAT KIND OF SUMS IT UP. IF YOU HAVE ANYBODY HAS ANY QUESTIONS OF COURSE, THE QUESTION ABOUT THIS NUMBER OF CALLS BUT CATEGORY FROM 2013 TO 2022 AND I, THESE ARE THESE SEPARATELY TAKEN OUT FOR MONTGOMERY OR THIS IS THE NUMBER BECAUSE WHEN POLICE DEPARTMENT PRESENTED THEY HAVE, I BELIEVE NOT ONLY MONTGOMERY, THERE ARE CERTAIN CALLS THEY ENTERED IN FROM OUTSIDE OF HMM. SO I WAS JUST WONDERING HOW THESE FIGURES. ONLY FOR MONTGOMERY OR THESE ARE THE FIGURES YOU GOT FOR EVERYTHING FROM POLICE DEPARTMENT. I'M ACTUALLY NOT SURE ABOUT WHERE THE CALLS COME FROM, BUT I KNOW THAT IT'S FROM THE MONTGOMERY TOWNSHIP POLICE DEPARTMENT SO I CAN GET MORE INFORMATION ON THAT IF YOU NEED THAT, BUT I'M JUST USING THE DATA THAT THEY PRESENTED HERE AT THE BOARD OF HEALTH MEETING AND JUST PUT INTO A VISUAL. YEAH. I HAD A QUESTION. SO THANK YOU SO MUCH FOR BRINGING THIS DATA. YOU KNOW, UM, I HAD A QUESTION REGARDING THIS WE DO. DO WE INVEST? INVEST BACK UP, BUT AT LEAST AIDAN BUT MAYBE IT WAS THE INVESTMENT. YEAH I AGREE. WE GET CALLED IT IN WHAT THEY CAN'T CALLS BROOKE POLICE ABOUT THE POLICE. NEVER LEAVE MONTGOMERY MONTGOMERY TO ADD TO THAT THAT COULD ALSO CONTRIBUTE TO THAT FIVE PLUS CAUSES SHIFT BECAUSE A LOT OF THE TIMES BECAUSE WE AS SID MENTIONED HERE AT THE BOARD OF HEALTH MEETING THEY USE EACH OTHER AROUND HERE BECAUSE THERE ARE GAPS WHERE IT'S LIKE WE'RE ALL THE WAY OVER HERE AND THEN A CALL FROM PRINCETON WHEN IT'S CLOSER TO MONTGOMERY, SO THEY WILL USE EACH OTHER MUTUAL AID. HILLSBOROUGH AND PRINCETON AT TIMES ARE VERY UNDERSTAFFED, AND THEY'RE BOTH PAID SQUADS. AND SO WE HAVE TO GO AND TAKE CARE OF IT, AND THERE'S TIMES WE GET TWO AND THREE CALLS. AND WE DON'T CHARGE THEM BECAUSE WE HAVE NO WAY TO DO IT. BUT WHEN THEY COME HERE TO CHARGE US, WHICH NO ONE HAS DONE IN FOUR YEARS, WE HAVE NOT USED MUTILATED FOUR YEARS.
UM IF THEY WOULD COME HERE, AND THEY WOULD CHARGE OUR RESIDENTS, RIGHT RIGHT AND YOUR QUESTIONS? REALLY I THINK WE'RE TRYING TO FIGURE THAT OUT THAT THE TOWNSHIP IS TRYING TO FIGURE OUT A WAY BECAUSE YES, WE DO REALIZE THAT THIS IS GOING AND WORSE. YES HILLSBOROUGH IS NOW COVERED BY ROBERT WOOD JOHNSON. AND ADAM COST ISSUES. THEY'VE DECIDED TO KEEP ONE AMBULANCE AND SO WHAT HAPPENS IS WE ROUTINELY GO TO HILLSBOROUGH AS A MUTUAL AID BECAUSE THEY DON'T WANT TO PAY.
HILLSBOROUGH TOWNSHIP DOESN'T WANT APRIL AMBULANCE. WE'RE TRYING TO FIGURE IT OUT. I THINK WE'LL SEND THEM AN INVOICE. WAIT FOR IT. YES WE WILL BE DOING THAT. DON'T WORRY, IT'S A
[00:20:06]
CONVERSATION AMONG THE TOWNSHIP COMMITTEE AND WE'VE BEEN LOOKING AT IT. I UNDERSTAND IT HAS REACHED OUT. HE'S BEEN IN SENDING EMAILS TO US, SO IT'S A PROBLEM. YES, TOTALLY AGREE. SO MY QUESTION WAS REGARDING THIS AD LIST THAT OH, YEAH, IT'S BIG, IT SAYS, LIKE THE FIGURE ONE SOURCES FROM THE AMERICAN COMMUNITY SURVEY 2021. SO IS THAT, LIKE EVERY YEAR DATA LIKE, WHAT'S THE TREND LIKE, YOU KNOW? ARE WE SEEING AN UPROAR TREND OR IS IT GETTING BETTER? AND THE SECOND PART OF THE QUESTION IS ALSO LIKE REGARDING THE AGING LIKE IS IT WITH THE AGING POPULATION? LIKE YOU KNOW? ARE WE SEEING THAT IS THE DATA GOING TOWARDS IN THE UPWARD DIRECTION , THOSE FOR THE HOURS HOUSEHOLD INFORMATION, AND THIS WAS THE MOST UPDATED THAT GOES WITH THE CENSUS DATA BECAUSE THE CENSUS DATA IS IT IS FOR 2022. BUT UM, I THINK IT GOES BACK LIKE THE NUMBERS WERE THE SAME. SO I JUST USED THIS RESOURCE. I DON'T KNOW WHERE THE DISCONNECT WITH WITH THE YEAR FOR THAT, UM BUT THE NUMBERS WERE ALL THE SAME IN THE POVERTY LEVELS WERE THE SAME AS THE CENSUS DATA THAT I HAD. SO I USED THAT RESOURCE. THAT'S WHY I'M NOT SURE WHAT THE DAY EXACTLY ON THAT ONE AND THE DEMOGRAPHIC PROFILE IF THEY ARE OLDER, AND THESE ARE THE ONES EXPERIENCING THAT IT DOESN'T SAY THAT ON THE ALICE THING. IT JUST USES THE WHOLE POPULATION AS A AS A TOTAL. I'M SURE THAT THERE IS MORE INFORMATION TO BREAK IT DOWN. I JUST DON'T HAVE THAT ONE READILY ACCESSIBLE RIGHT NOW. AND WHAT'S THE TREND THAT WE'RE SEEING? WE ARE SAYING THAT WE ARE HEADING IN THE RIGHT DIRECTION, OR IS IT LIKE, YOU KNOW, IT'S JUST LIKE ONE SNAPPED. SHORT, LIKE, YOU KNOW. UM, I'M NOT. I'M NOT SURE THE ANSWER TO THAT. I MEAN, I'VE ONLY BEEN HERE FOR FOUR MONTHS, SO I DON'T SEE AS MANY FRIENDS. I KNOW THE CALL VOLUME AND WE TEND TO GET OLDER, OLDER ADULTS . NOT MANY YOUNGER KIDS ARE CALLING THE HEALTH DEPARTMENT.BUT THAT COULD ALSO BE AN AGE BARRIER THING, TOO, BECAUSE YOUNGER POPULATIONS MIGHT NOT THINK TO CALL THE HEALTH DEPARTMENT WHERE OLDER POPULATION MIGHT BE LIKE, OH, WAIT. I KNOW I CAN CALL. I CAN RELY ON MY TOWNSHIP OR SOMETHING WHERE YOUNGER ADULTS MIGHT BE LIKE. OH LET ME JUST CALL A FRIEND OR MY MOM OR SOMETHING FOR SUPPORT OR ANY ANY OTHER KIND OF SUPPORT INSTEAD OF THE TOWNSHIP, SO THAT COULD BE SOME SKEWED DATA THERE, BUT FROM WHAT I'VE SEEN, IT'S BEEN OLDER POPULATION CALLING US I HAVE A QUESTION REGARDING THE FOOD INSECURITY AND THE SCHOOL LUNCH . THE FEAR REDUCED LUNCH, SO YOU KNOW, OBVIOUSLY IT'S STILL SURPRISING. I MEAN, SHOCKING, ACTUALLY, THAT 3.2% OF OUR TOWNSHIP HAVE TO BUY REDUCED HER FREE LUNCH, WHICH THAT'S A VERY BASIC NECESSITY. SO I DON'T KNOW AGAIN. IF YOU HAVE THE TREND, LIKE HAS THAT BEEN GOING UP THE LAST FEW YEARS? I DON'T KNOW. OR IS IT JUST POINT IN TIME, AND THEN IS THERE ANY WAY TO EVENTUALLY FIGURE OUT HOW MUCH OF THIS POPULATION NEEDS TO USE OUR FOOD PANTRY OR HOW WE LINKING, YOU KNOW RESOURCES BECAUSE IF THEY CAN'T AFFORD LUNCH QUESTION IS, ARE THEY ABLE TO GET ANY MEALS OR HOW MUCH FOOD INSECURITY DO THEY HAVE ON A DAILY BASIS? AND THEN THE LAST PART OF IT WAS ALSO THE UNINSURED LIKE IS THE SAME POPULATION, ALSO PART OF THE UNINSURED THAT THEY HAVE LIMITED ACCESS TO HEALTH CARE. SO I WONDERED IF THAT WOULD BE SOMETHING WE COULD LOOK INTO. YES SO APPLE IT AND SEE WHAT I'VE BEEN HEARING IS THAT THIS TREND IS INCREASING. I DO HAVE DATA FROM THE, UM THE PRINCETON ELKS CLUB. THEY HAVE THE FOOD BANK AND I HAVE DENISE CRAWLEY'S INFORMATION FOR THE, UM, THE PANTRY THAT THEY HAVE. SO THERE ARE SOME RESEARCH. THERE ARE SOME DATA ON THAT. I JUST DON'T KNOW. ARE THEY THE SAME? ARE THEY THE SAME PEOPLE WONDERING IF THERE'S CROSSLINK AND FIGURE OUT IS THIS THE SAME POPULATION OF PEOPLE THAT NEED HELP AND OTHER RESOURCES, YOU KNOW? ARE THESE ALL FALLING UNDER THE CRACKS, SO TO SPEAK, AND I THINK IT'S INTERESTING THAT YOU MENTIONED THAT BECAUSE THIS IS SOMETHING WHERE THE HELL HAWK COULDN'T LIKE, GO INTO THE SCHOOL. SO WE SEE THAT THERE IS AN INCREASE HERE. DO THESE. DO YOU KNOW IF THE STUDENTS HAVE THESE THINGS AT HOME AND ASKING THEM THESE? UM THERE'S A STANDARD SET OF QUESTIONS THAT YOU CAN ASK TO DETERMINE THE SOCIAL DETERMINANTS OF HEALTH THAT SOMEONE HAS LIKE A GET IT DOWN TO A NUMBER BECAUSE WE LIKE NUMBERS, BUT YOU CAN SEE. OKAY ARE YOU HAVING DIFFICULTY LIKE FOOD INSECURITY AT HOME? I MEAN , I CAN ELABORATE A BIT ON THAT. I'M A PEDIATRICIAN BY TRADE, SO I KNOW IN MY LAST 15 YEARS, WE HAVE REALLY SWAYED TO KIND OF IDENTIFY THESE SOCIAL DETERMINANTS OF HEALTH. SO PART OF OUR REGULAR CHECKUP IS ASKING THOSE QUESTIONS AND ALSO THE ACES. THE ADVERSE CHILDHOOD, YOU KNOW THE THOSE LINK WITH THE SOCIAL DETERMINANTS OF HEALTH, SO I JUST WONDERED IF THERE IS A WAY MAYBE WE CAN WORK WITH THE SCHOOLS, GET SOME OF THIS OVERLAP OR DATA AND FIGURE OUT. IS THERE A WAY TO CAPTURE THESE FAMILIES AND TRY TO ASSIST MORE? YEAH YEAH, AND I THINK WE HAVE TO GO THROUGH THE MUNICIPAL ALLIANCE. WE HAVE A LOT OF STRONGER CONNECTIONS IN THE SCHOOLS, SO WE ARE ABLE TO GET THIS INFORMATION AND REALLY HONE IN ON GETTING THESE KIDS, THEIR SUPPORT OR THEIR FAMILIES, NOT EVEN JUST THE STUDENT. IT'S LIKE
[00:25:05]
THE ENTIRE LARGER THAN JUST THAT. THANK YOU. DID YOU WANT TO ASK HIM? I DID. I. I'M NOT SURE WE HAVEN'T FIGURED OUT. I'LL SAY THAT SO FOR THE RED CAP OUTREACH ATTEMPTS, SO CAN YOU WALK US THROUGH A LITTLE BIT ABOUT HOW SOMEBODY GETS IN TOUCH WITH SOMEBODY EVER HEALTH DEPARTMENT AND THEN WHAT HAPPENS AFTER THAT ? SURE SO WE GET A WHOLE BUNCH OF DIFFERENT AVENUES TO THE HEALTH DEPARTMENT SO SOMEONE CAN CALL ADMINISTRATION ASKING FOR HER SUPPORT FOR SOMETHING. SO THEN THEY'LL GET REFERRED TO THE TO ME AT THE HEALTH DEPARTMENT. UM SO YOU KNOW, SOMEONE CALLS UP THERE, THEY'RE COMPLAINING, OR THEY'RE UPSET ABOUT HOUSING OR SOMETHING, RIGHT? SO THEN I'M TRYING TO TALK TO THEM. AND THEN I'M HEARING WHAT'S GOING ON. AND AS I'M HEARING WHAT'S GOING ON, I'M LOOKING AT MY RESOURCES IN HERE LIKE I KNOW IF USED THIS ONE BEFORE THEY CAN HELP WITH SOMETHING LIKE THIS, OR THIS IS SOMETHING THAT KEEPS HAPPENING AT THIS PLACE. LET ME SEE WHAT'S GOING ON HERE, PIKE RUN OR SOMETHING LIKE THAT, RIGHT? UM AND THEN WE CAN GO AND TALK TO THOSE. THOSE COMMUNITY DEVELOPERS THERE TOO. SO I KEEP HEARING THIS THING IS HAPPENING OR JUST SEEING LIKE WHAT THE GENERAL CONSENSUS IS THERE, UM, SO WE'LL JUST GET CALLS BASED ON WHATEVER RIGHT AND THEN THAT'S WHEN WE USE THAT RED CAP TO SAY OKAY, SOMEONE'S CALLING ABOUT HOUSING. SO I'M GONNA PUT THIS DOWN AND WE HAVE A RUNNING LIST OF RESOURCES THAT ARE AVAILABLE IN THE COUNTY AND IN FROM MONTGOMERY TOWNSHIP, SO AS I'M ON THE PHONE, I SEE THIS LIST OR THERE'S LIKE A BREAKDOWN. YOU CAN CLICK AND THEN IT'LL BRING HOUSING. SO ALL THE HOUSING RESOURCES COME UP. SO THEN ONCE WE HEAR ALL THIS, UM AND WE PROVIDE THE RESOURCES, YOU PUT IT INTO THE RED CAP, AND THEN YOU CAN CLICK WHICH BUTTON IT IS LIKE, OKAY, THIS IS THE DETERMINANT FOR HOUSING. BUT IT'S ALSO A LEGAL SERVICE. YOU CAN CLICK OTHER AND THEN WE'LL DOCUMENT IT THAT WAY SO WE CAN STILL SEE WHAT THE DATA IS THAT WE'RE DOING, AND THERE'S A NOTE SECTION. YOU COULD PUT A BRIEF OVERVIEW. WHAT DID WHAT DID I WHAT DID THIS PERSON HAVE TO SAY? WHAT WAS THEIR REQUEST? WHAT RESOURCES DID I GIVE THEM IS THEIR FOLLOW UP. IF THERE'S A FOLLOW UP, WHEN ARE WE FOLLOWING UP? AND WHEN WE FOLLOW UP? WHAT ARE WE PROVIDING THEM WITH? SO UM, SOMETIMES THEY JUST NEED A RESOURCE. SO YOU GIVE THEM THE RESOURCE AND THEN YOU CAN TRY TO FOLLOW UP. DO THEY ANSWER? YES. NO. IF NOT, YOU'LL JUST DOCUMENT THAT I TRIED. TO REACH OUT FOLLOWING UP WITH THEM. AND THEN WHEN I FOLLOWED UP MY HAD X Y AND Z PREPARED FOR THEM. WE SENT SOME EMAIL FOLLOW UP. SOMETIMES THEY ASK FOR TEXT MESSAGE FOLLOWS UP FOLLOWS UP. SO, YEAH, WE CAN DO THINGS LIKE THAT. BUT AGAIN. I HANDED OUT THAT RESOURCE BROCHURE. THEY CAN CALL THAT NUMBER. THEY CALL ANY HEALTH DEPARTMENT OR ANY DEPARTMENT IN THE MUNICIPAL BUILDING. THEY TYPICALLY REFER THEM TO THE HEALTH DEPARTMENT. SO IN THAT SERVICE, JUST A FOLLOW UP QUESTION. YOU COULD ACTUALLY SEE THE RESOLUTION OF THE OUTREACH ATTEMPT. YEAH, YOU CAN SEE WHAT WHAT I DID. SO YOU'RE NOT REPEATING THE SAME THING, BECAUSE IF SOMEONE KEEPS CALLING AND THEY'RE GETTING THE SAME THING OVER AND OVER, THEY'RE JUST GONNA NOT GONNA CALL THIS RESOURCE. THAT'S WHAT I WAS THINKING. YOU CAN SEE. OKAY THIS PERSON CALLED, UM, AND IT'S IMPORTANT TO NOTE THAT THEIR NAMES ARE IN THE FILES, BUT THEY ARE UNDER RECORD NUMBERS, SO IT'S VERY LIKE THE IDENTIFIED HAVE TO SEE THEIR NAME. IT'S VERY LIKE CONFIDENTIAL AND THERE'S ONLY A SELECT FEW OF US THAT HAVE ACCESS TO THE RED CAP DATA. SO LIKE THE PUBLIC HEALTH NURSES, DEVON J. AND I HAVE IT SO THAT IF THE PUBLIC HEALTH NURSES THEY WERE, THEY WERE THE ONES THAT USED THE RED CAP BEFORE. SO YOU CAN SEE WHAT GOES ON IN THAT, AND YOU CAN SEE NOTES FROM THE FIRST TIME THEY CALLED C, OKAY. THEY'RE CALLING ABOUT THE SAME THING. UM AND IF THEY ARE, AND WE HAVE PROVIDED THEM THE RESOURCES, IS THERE SOMETHING BIGGER AT PLAY. THANK YOU FOR THE RED CAP SYSTEM. JUST SO YOU ALL ARE AWARE IT WAS CREATED, YOU KNOW, IN HOUSE, YOU KNOW, KATIE REALLY SPEARHEADED THAT SO IT'S AND I DON'T KNOW IF, UM IF ANY OF YOU HAVE USED RED CUP IN YOUR RESEARCH AND OTHER PROJECTS, BUT WE WERE LUCKY ENOUGH TO GET ACCESS TO RED CAP IS A VERY EXPENSIVE SYSTEM TO GET ACCESS TO, AND, UM IT WAS THANKS IN PART OF THE NEW JERSEY STATE DEPARTMENT OF HEALTH, AND WE WERE ABLE TO GET ACCESS TO THE SYSTEM AND WE CAN FIGURE IT IN A WAY TO MATCH WHAT OUR NEEDS WERE, UM IN IN TERMS OF CREATING A CALL LOG OF SORTS, TRACKING ACTIVITY, KEEPING TRACK OF YOU KNOW THE DIFFERENT CASES THAT ARE COMING THROUGH SO THAT WE'RE NOT LOSING SIGHT OF THEM SO THAT THERE'S CONTINUOUS FOLLOW UP.DONE. UM SO YOU KNOW, IT WAS KATIE REALLY SPEARHEADED THAT EFFORT IN CREATING THAT SYSTEM FOR US, AND THAT'S SOMETHING THAT CAN BE USED AS A MODEL TUNE NATIONALLY. SO EVERY EVERY CALL , EVERY CALL WITH THE REQUEST GETS LOGGED INTO THE SYSTEM AS AS BEST TO OUR ABILITY AS POSSIBLE. YEAH SOMETIMES I GET CALLS THAT ARE LIKE, OH, CAN YOU TRANSFER ME TO THIS PERSON? I'M NOT GONNA LOG THAT BECAUSE IT WASN'T SO MUCH OF A SOCIAL SUPPORT. YEAH BUT ANYTIME I'M
[00:30:01]
PROVIDING A RESOURCE OR I'M CONNECTING SOMEONE TO SOMETHING ELSE, OR JUST EVEN BEING LIKE A SOCIAL SUPPORT IN SOME WAY, I WILL DOCUMENT IT BECAUSE I MEAN , I DON'T KNOW HOW MANY OTHER HEALTH DEPARTMENTS DO THIS. I'VE NEVER HAD A HEALTH DEPARTMENT JOB, BUT I FEEL LIKE IT'S SOMETHING THAT SHOULD BE DOCUMENTED. SO AND I WOULD SAY THAT THE NUMBERS ARE DEFINITELY AN UNDERCOUNT OF WHAT WE WE'VE WE'VE BEEN DOING. WE'RE TRYING TO GET BETTER AT, YOU KNOW, REALLY, YOU KNOW, USING THE SYSTEM FOR ALL OF THE SOCIAL SUPPORT SERVICES, BUT KEELY EVEN DOING A REALLY GREAT JOB IN DOCUMENTING EVERYTHING, SO AT LEAST, YOU KNOW, WE CAN VOUCH FOR JUNE ONWARDS THAT IT'S OKAY . THAT'S GOOD TO GET USED TO IT. SO I HAVE ONE MORE QUESTION, KEELY. SO FOR THE GREAT. I'M JUST NOTICING THAT AMONG THE SOCIAL DETERMINANTS OF HEALTH, THE CATEGORY WITH THE LARGEST NUMBER OF OUTREACH ATTEMPTS IS ACTUALLY OTHER. YOU HAVE A ROUGH ESTIMATE OF LIKE, WHAT OTHER LOOKS LIKE IS IT SO DISPERSE OR ARE THERE SOME KEY THEMES? SO THAT QUESTION I FIGURED PEOPLE TO ASK SO I CAME PREPARED IT SO APOLOGIZE. AM THAT PERSON SO BECAUSE BECAUSE, UM BUT THIS IS JUST DISCRETION IS USED BY A LOT OF PEOPLE THAT USE THIS SO OTHERS CAN JUST BE THAT THEY DIDN'T UNDERSTAND. WAS IT THIS OR WAS IT THAT SO IT'S KIND OF JUST LIKE A SAFEGUARD WAS LIKE, OKAY, WE'LL PUT IT IN THAT A LOT OF THE TIMES I DO OTHER BECAUSE THERE'S A THERE'S A SECTION WHERE YOU CAN WRITE UNDER OTHERS YOU CLICK OTHER AND THEN THERE'S A TYPE BAR, SO I'LL PUT LIKE LEGAL BUT FOR SOMETHING LIKE THE RED CAP DATA DOESN'T PROVIDE THAT. IT JUST SAYS THAT IT'S UNDER OTHER SO I THINK WHAT I HAVE USED IT FOR WAS REGISTERED . READY? UM, I'VE HAD LEGAL SERVICES OR TRYING TO FIGURE OUT WHAT THE HEALTH DEPARTMENT PLAYS LIKE WHAT ROLE THEY HAVE IN SOMETHING, SO I'M NOT GOING TO WRITE THAT WHOLE THING OUT UNDER THE OTHER SECTIONS, SO I'LL JUST PUT OTHER OR IT COULD JUST BE LIKE RESOURCE THEY WANT TO KNOW WHICH ISN'T RELATED TO SOME OF THE SOCIAL DETERMINANTS OF HEALTH. THEY COULD JUST BE RESOURCES IN THE IN THE COUNTY OR UM. SO YEAH, IT IS. IT IS KIND OF DIVE, DIVERSE. UM BUT THOSE ARE THE FEW FEW PROMINENT ONES THAT I TYPICALLY USE OTHER FOR WHEN I USE IT. BUT AS I WAS SAYING EARLIER, WE ARE IN THE WORKS OF TRYING TO CREATE A MORE CONCISE WAY TO DOCUMENT THINGS SO YOU KNOW, KIND OF LIKE SOMEONE SAYS THIS BREAKDOWN. OKAY, THAT'S WHAT THAT IS. OR SOMEONE SAYS THIS, SO WE WERE, UM, MINIMIZE THE OTHER SECTION. IT KIND OF FOCUS ON OR MAYBE JUST ADDING LEGAL IN THERE SOMETHING SINCE WE USE IT SO MUCH FOR LEGAL OR REGISTER READY LIKE ADDING THESE THINGS IN WHAT IT BE PRODUCTIVE OR UNPRODUCTIVE , OR SHOULD WE JUST KEEP OTHER TYPE OF THING? BUT OKAY. I HAVE ONE MORE QUESTION. SORRY APOLOGIZE IN ADVANCE, SO. ONE OF THE TWO, SO I THINK THE SOCIAL DETERMINANTS OF HEALTH IS A GREAT WAY TO CATEGORIZE THAT THE DATA AND THAT REACH THERE'S A CATEGORY THAT I THINK FOR THE STATE OF NEW JERSEY WOULD BE HELPFUL, AND I DON'T KNOW IF YOU'RE SEEING THIS AT ALL BUT MATERNAL HEALTH. AND INFANT HEALTH, I THINK IS ONE OF THE AREAS ESPECIALLY IN NEW JERSEY, WHERE WE'RE SEEING HIGHER RATES OF MATERNAL AND INFANT MORTALITY WAS JUST WONDERING IF YOU COULD . COULD WOULD WE BE ABLE TO ADD THAT AS A CATEGORY DOES IT HAVE TO FALL UNDER SOCIAL DETERMINANTS OF HEALTH? SO YOU KNOW WHAT WE'RE TRYING TO DO IS SINCE IT IS A NEW SYSTEM, IT'S SORT OF LIKE A WORK IN PROGRESS AND TRYING TO INCORPORATE QUALITY IMPROVEMENT AS WE SEE WHAT WE HAVE ALREADY DOCUMENTED.SO THE GOAL WOULD BE TO REALLY ANALYZE THE OTHER CATEGORY AND TRY TO CATEGORIZE THEM AND COME UP WITH NEW CATEGORIES, AND KEELY IS GOING TO HELP US WITH CONTINUOUS QUALITY IMPROVEMENT OF THE SYSTEM. GREAT JOB. THANK YOU. EVERYTHING AGREE? DOESN'T GIVE YOU REAL PICTURE RIGHT.
TOUCH THE NUTRITION HEART. SHE'S LEANING IN THERE. I WAS JUST ABOUT TO SAY THAT KIND OF GOES ALONG WITH ALL THESE KIND OF, UM UM NOT POTENTIAL RISKS, FACTORS , BUT YOU KNOW IF YOU HAVE A PREMATURE BABY AND THE MOM IS UNABLE TO PROPERLY CARE FOR THE INFANT, AND THEY DON'T HAVE HEALTH INSURANCE IF WE DIDN'T KNOW ABOUT IT, WHERE COULD WE SEND THIS FAMILY OR WHICH PEDIATRICIAN WOULD BE ABLE TO TAKE OR PUBLIC CLINICS? SO I THINK THAT'S IMPORTANT TO KIND OF SUB CATEGORIZE AND I KNOW THAT'S THE GOVERNOR, THE FIRST LADY'S KIND OF PLATFORM MISSION.
MATERNAL AND ESPECIALLY WITH MINORITY POPULATION, WHICH IS A BIGGER RISK. SO YES, SO THE ISSUE IS NOT THAT THERE IS RESOURCES BECAUSE THERE ARE ABUNDANCE OF RESOURCES. THE ISSUE IS WHERE DO I FIND THEM? OR WHO DO I CALL TO FIND THEM? WHO'S LIKE THE GATEKEEPER OF RESOURCES CONNECTING? SO THAT'S WHY I THOUGHT WHEN I BUILT THAT BROCHURE TRIED TO TARGET THE THINGS THAT WE'VE BEEN SEEING IN THIS TOWNSHIP SO FOOD, SENIOR SERVICES VETERANS, ALL THOSE THINGS, UM AND I DON'T. I DON'T GET MANY CALLS FROM FROM MATERNITY OR CHILDCARE. BUT WE HAVE THE RESOURCES UP THERE IS YOU FALL HEALTH OFFERS SO MANY SUPPORTS FOR CHILD OR INFANT
[00:35:07]
CARE. WE HAVE A SERVICES FAIR TOMORROW AT MONTGOMERY CROSSING , AND WE HAVE STEPHEN HUNTER FROM OFFICE OF NEW AMERICANS COMING AND HE'S BRINGING INFORMATION REGARDING COVER ALL KIDS. WHICH IS INSURANCE PROGRAM FOR CHILDREN UNDER 19 YEARS AND YOUNGER THAT AREN'T INSURED, SO THEY NO SOCIAL SECURITY NUMBER IS REQUIRED OR ANYTHING SO UNDOCUMENTED INDIVIDUALS CAN ALSO APPLY FOR IT. UM AND THAT'S JUST ANOTHER THING TO GET THESE PEOPLE TO SUPPORTS THAT THEY NEED, UM AND WITHOUT SOMEONE SAYING THESE RESOURCES ARE HERE . THEY'RE HARD TO FIND THEM, BUT VERY, VERY HELPFUL. JUST 11 POINT. I HAVE IT. YOU MAY NOT HAVE THE ANSWER FOR THAT. BUT JUST FOR DISCUSSIONS WHERE EVERYBODY IS OVER HERE. THIS IS MENTAL HEALTH MONTH, AND I NOTICED THAT AND LAST FEW YEARS PSYCHIATRIC EMERGENCY HIGHER, SO IT'S A DEEPER THAN JUST NOT ARE NOT QUESTIONS REGARDING THE STATE AND NUMBERS THAT IN OUR TOWNSHIP, THIS NUMBER IS AND, UM , SORT OF GOING UP THE LAST FEW YEARS, UM, TO LOOK INTO THE CAUSES AND WHAT COULD BE DONE ABOUT THAT? IS THERE ANY WAY TOO, BECAUSE WE RE PAY ATTENTION TO MENTAL HEALTH QUITE A BIT FOR THE CHILDREN. IT'S NOT THAT SO I THINK THIS IS POINT TO BE TO BE THOUGHT ABOUT THAT MUNICIPAL ALLIANCE. YEAH, RIGHT, REALLY STRENGTHENING OR MUNICIPAL ALLIANCE AND COMMUNITY PROGRAMMING. HMM. DOCTOR NEO WAS SAYING THEY SAY THAT RIGHT? YEAH OKAY, AS YOU'RE SAYING THE ACES AND HAS AN IMPACT ON EATING OR THE SOCIAL DETERMINANTS OF HEALTH, SO EVEN THESE OTHER THINGS LIKE THE HIGH RENT BURDEN OR HAVING FOOD INSECURITY OR NOT KNOWING WHEN YOUR NEXT MEAL IS OR ALL THESE THINGS RIGHT? THAT CAN ALSO IMPACT YOUR MENTAL HEALTH. SO THE QUESTION IS, HOW CAN WE IMPACT? HOW CAN WE REDUCE MENTAL ILLNESS OR MENTAL HEALTH ISSUES? BUT THERE'S SO MANY OTHER LAYERS TO IT. IT'S LIKE WHERE DO WE START PEELING THE ONION, BASICALLY RIGHT, BECAUSE THERE'S SO MANY OTHER THINGS TO IT. BUT AS YOU CAN SEE, LIKE, JUST TRYING TO GET THESE RESOURCES OUT AND LETTING PEOPLE KNOW THEY'RE NOT ALONE IS ALSO LIKE ANOTHER TOOL THAT WE CAN GET TO MAYBE EVEN GETTING THEM TO THE RIGHT. UM HEALTH NAVIGATOR BECAUSE WE HAVE THOSE IN THE COUNTY, TOO, SO PEOPLE JUST ARE AFRAID OF THERAPY, OR THEY'RE AFRAID THEY DON'T HAVE INSURANCE THAT COVERS IT. SO THEN NAVIGATOR THAT WE WORK WITH SHE HELPS THEM GET THE SERVICES THEY NEED AND JUST TRYING TO DO AS MUCH AS WE CAN FOR MENTAL HEALTH. WE HAVE TABLING OUT THERE THAT WE TALK ABOUT MENTAL HEALTH, SUBSTANCE USE STUFF. WE DO A BUNCH OF PEOPLE THAT COME IN THE FOOT TRAFFIC AND SEE OR EVEN IF THEY DON'T NEED IT, SHARING THE KNOWLEDGE TO OTHER PEOPLE, JUST GETTING THE RESOURCES OUT. THERE REALLY HELPS. AND THIS IS VERY HELPFUL . BUT LISTENING TO THE QUESTIONS I'M THINKING WE SHOULD HAVE THE MUNICIPAL ALLIANCE COME BY ONCE THE VANGIE AND DO A PRESENTATION OF WHAT THEY ARE DOING. AND WE COULD EVEN HAVE HALF OF THE MUNICIPAL ALLIANCE. YES AMERICA FULL PRESENTATION OF WHAT YOU'VE BEEN DOING WAS THOSE MEETINGS ARE REALLY AMAZING IS WHAT THEY'RE DOING SO IT COULD BE COLLABORATIVE AND ALSO, I THINK WE SHOULD HAVE SOMEONE FROM THE FOOD PANTRY BECAUSE THEY ARE GOING THROUGH A TOUGH TIME AS WELL. HAVE THEM COME BECAUSE SEEMS LIKE THERE IS DEFINITELY UM A DESIRE WITHIN THE HEALTH BOARD TO MAKE THIS INTO ONE ISSUE THAT WE CAN, YOU KNOW, LOOK AT DIFFERENT PRAWNS OF IT, SO I THINK THAT WOULD BE GOOD TO DO THAT AT THE HEALTH BOARD LEVEL AS WELL. I KNOW THEY'RE COMING TO TOWNSHIP REPRESENTATIONS, BUT YOU KNOW, THIS WOULD BE GOOD AS WELL.SOMETHING THAT MIGHT BE UNRELIABLE. IT'S NOT REALLY UNRELATED. BUT AS THESE NUMBERS INCREASE, UM MY MIND WAS JUST THINK, BECAUSE I'VE NEW TO THE HEALTH DEPARTMENT AND I'M NEW TO LEARN ABOUT HOUSING DEVELOPMENTS. AND I'VE LEARNED THAT WHEN A NEW APARTMENT BUILDING IS BUILT, 10% I BELIEVE IS WHAT ZONING SAID IT WAS 10% OF EACH HOUSING DEVELOPMENT HAS TO HAVE LOW INCOME HOUSING. MONTGOMERY KEEPS DEVELOPING AND CREATING MORE APARTMENTS AND MORE PLACES FOR PEOPLE TO LIVE. 10% OF THAT THE THREE OF US 70 UNIT PROPERTY BEING BUILT THAT'S SEVEN FAMILIES, AND THAT DOESN'T MEAN SEVEN PEOPLE. THAT COULD BE SEVEN FAMILIES OF 37 FAMILIES OF FOUR OR TWO, WHATEVER, BUT IF THEY ARE ALSO COMING IN WITH SOME LOW INCOME. THEY MIGHT ALSO HAVE THE NEED LIKE THE NEEDS FOR, UM I LIKE FOOD INSECURITY AS WELL LIKE THAT COULD BE AN ALICE HOUSEHOLD WHERE THEY MAKE ENOUGH TO PAY THEIR RENT. THEY DON'T MAKE ENOUGH TO GET FOOD ON THEIR TABLE, RIGHT? BECAUSE EVEN IF YOU DON'T KNOW IF YOU'VE LOOKED AT THE LOW INCOME APARTMENTS, BUT IF YOU THINK THERE'S LIKE A THRESHOLD OF LIKE 30 TO 60 K HERE, AND IT'S STILL LIKE $1500 FOR RENT, AND THAT'S AT MONTGOMERY CROSSING. JUST DO A LITTLE BIT OF KNOWLEDGE. SO I'M TRYING TO MOVE OUT, TOO. SO I'M LOOKING AT THINGS, BUT IT'S NOT CHEAP AND EVEN WITH THE AFFORDABLE APARTMENTS OR AND IT'S STILL IT'S STILL PRETTY HARD. I DON'T KNOW MANY PEOPLE
[00:40:01]
THAT MAKE $1500 A MONTH GENERAL JUST FOR APARTMENTS, RIGHT? MM HMM. THAT COULD ALSO LEAD TO THIS INCREASE IN CALLS OR THE INCREASE IN THE FREE AND REDUCED LUNCH IS THAT WE'RE SEEING AS WELL. THIS IS AN EXTRAORDINARILY HELPFUL I JUST WANT TO COMMEND YOU ON A REALLY GREAT ANALYSIS OF THE DATA, AND I THINK ONE OF THE THINGS THAT YOU'RE BRINGING TO AT LEAST MY INTENTION TO MAYBE THE BOARDS AS WELL IS THAT THIS IS COLLECTING REALLY GOOD BASELINE DATA FOR US WHERE WE'RE GOING TO SEE CHANGES AS PEOPLE MOVE INTO THE TOWNSHIP AND WE HAVE THE DEVELOPMENT, ESPECIALLY IN THE WITH THE APARTMENTS AND LOW INCOME HOUSING THAT'S GOING UP, SO I THINK THIS IS REALLY HELPFUL AND CAN BE USED TO DEVELOP OUR STRATEGIC PLAN. SO I APPRECIATE THIS VERY MUCH AND YOU WORRY, GRANT FUNDED PERSON AND I JUST APPRECIATE ALL THE WORK YOU'VE DONE, AND I APPRECIATE HAVING THIS GRANT FROM THE DEPARTMENT, THOUGH WE ALL DO IT. HOPEFULLY JAPANESE INCREASES AS THE BASELINE RIGHT HIGHER SCORES A WONDERFUL JOB. IT'S LIKE A GREAT SNAPSHOT.THANK YOU AGAIN. VERY GOOD. THANK YOU SO MUCH JOB. GREAT JOB . HAVE ANY MORE QUESTIONS. YOU CAN ALWAYS EMAIL ME. WE WILL WE WILL. THIS IS GREAT. THANK YOU VERY MUCH. REALLY EXCELLENT.
VERY GOOD. GREAT JOB. ERIN THE NEXT SORRY, ERICA. NO YOU'RE OKAY. AARON WERE LIKE YOU SAID AARON SAID ERIKA. ERIKA IS OUR NEW HEALTH EDUCATOR AND SHE'S ALSO MUNICIPAL ALLIANCE COORDINATOR. UM WE BECAUSE WE HAVE OUR OWN MUNICIPAL ALLIANCE, WE WE'VE BEEN TASKED WITH MANAGING THE OPIOID SETTLEMENT FUNDS. AND SO ERIKA'S ROLE TODAY IS TO TALK ABOUT IN GENERAL TERMS. YOU KNOW WHAT? WE DON'T WANT TO SEE AMERICA'S THUNDER, BUT ERIC HAS BEEN TALKING BUT OPIOID SETTLEMENT FUNDS UM, AND THERE'S A LOT OF ROOM FOR ALIGNING WITH OUR OTHER INITIATIVES. HELP OKAY, SO I'M ERICA. I'M THE HEALTH EDUCATOR. UM TODAY I AM GOING TO TOUCH ON THE OPIOID SETTLEMENT FUNDS. THERE IS A LIST OF PRE APPROVED PROGRAMS AND WE WENT THROUGH THEM DAVONTE MYSELF, KEELY AND THE NURSES AND KIND OF PICKED OUT PROGRAMS THAT ALIGN WITH WHAT WE'RE ALREADY DOING, BUT STUFF THAT WE WOULD ALSO LIKE TO REACH INTO. IT IS A LOT OF WORDS. SO I DO APOLOGIZE ON THAT . BUT THIS IS THE EXACT WORDING THAT WAS IN THE LIST OF THE PROGRAMS THAT WERE APPROVED FROM THE STATE DEPARTMENT OF HEALTH. YES SO I CAN READ THROUGH THESE.
AND IF YOU GUYS WANT THESE, UM OKAY, PERFECT. SO IF YOU GUYS WANT THESE, I CAN SHARE THEM AND EMAIL THEM OUT EITHER GENERATIVE UNDIE AND HAVE THEM SHARE THEM WITH YOU. BUT A LOT OF THESE ARE PROGRAMS THAT AGAIN WE ARE ALREADY DOING AS A HEALTH DEPARTMENT SO WE WOULD USE THE OPIOID SETTLEMENT FUNDS TO KIND OF ASSIST WITH FUNDING FOR SOME OF THEM AND OTHERS ARE PROGRAMS THAT WE ARE HOPING TO JUST CONTINUE TO GROW AND HAVE AS AN INITIATIVE WITHIN THE HEALTH DEPARTMENT. SO WHENEVER YOU GUYS ARE DONE, LET ME KNOW THERE'S THREE SLIDES WITH A LOT OF WORDS. MM HMM.
MOST OF THIS IS TIED TO PREVENTION. A LOT OF IT IS THINK THAT WE'RE ALREADY DOING THERE'S ROOM FOR ALIGNMENT. AND WE JUST HAVE TO YOU GET GET OUR COMMUNITY STAKEHOLDERS TOGETHER.
AH GOOD BACK INTO THE COMMUNITY TRIED TO IDENTIFY WHAT THEIR NEEDS ARE AND WORK WITH THE DIFFERENT POPULATIONS CAN WORK WITH THE PROVIDERS WITH, UM PARENTS, STUDENTS. UM THERE'S ALSO AN OPPORTUNITY TO WORK WITH OUR SOMERSET COUNTY HUMAN SERVICES, FOLKS WHO. WHAT ARE THE SAME? THE ACTIVITIES, THOUGH LIKE THAT YOU HAVE BECAUSE WE DO NEED IT FOR THE D A. LIKE, WHAT IS THE TME ON APPROPRIATE? PRESCRIBING PRESCRIBING OF OPIOIDS LIKE YOU HAVE IT AS LIKE. HE D, C, D, C AND SAM SO THEY HAVE WEBINARS ALREADY, YOU CAN EXIST A MATTER OF GOING ONLINE AND VIEWING IT AND GETTING YOUR SEMI'S OKAY. QUESTIONS WE NEEDED AROUND THE COMMUNITY COALITIONS. YOU'RE LAUGHING AT ME LIKE, WHY ARE YOU LAUGHING AT ME FOR THE COMMUNITY COALITIONS? DO WE HAVE EXISTING COMMUNITY COALITIONS THAT YOU FEEL LIKE WE SHOULD BE REACHING OUT TO OR DO WE NEED MORE? I THINK OUR MUNICIPAL ALLIANCE IS A FANTASTIC ONE NOT TO TOOT MY OWN HORN IS THE COORDINATOR BUT I THINK THEY'RE FANTASTIC. THEY DO FOCUS ON A LOT OF, UM, PRESCRIPTION, KEEPING IT OUT OF THE WRONG HANDS. WE HAVE THE DROP BOX IN FRONT OF THE POLICE DEPARTMENT. WE'VE BEEN PROMOTING THAT A LOT. UM I THINK THAT WOULD BE GREAT. BECAUSE I MEAN, AS THE D U. I S AND THE DWTS WITHIN MONTGOMERY GO DOWN THE FUNDING FOR THE MUNICIPAL ALLIANCE GOES DOWN. SO WE HAVE SEEN A DROP IN THAT WHICH IS GOOD, SO THIS WOULD BE A GOOD
[00:45:04]
KIND OF ASSIST WITH SOME OF THE PROGRAMS WERE HOPING TO DO. I JUST SPOKE WITH LAURIE. HOW FAR CHAIR TODAY AND SHE IS STARTING . I TOLD HER WE NEED TO HAVE SOME CONCRETE PROGRAMS, ESPECIALLY FOR THIS FUNDING. WE NEED TO BE READY TO HAVE THINGS OUT AND IN THE COMMUNITY, UM SO I'M GOING TO SCHEDULE ANOTHER MEETING WITH HER, AND WE'RE GOING TO KIND OF PICK BECAUSE AS ARMENIA'S POLL ALLIANCE HAS BEEN MEETING I HAVE BEEN ASKING FOR OTHER IDEAS TO USE THIS FUNDING FOR BECAUSE I HAVE IT ON OUR LAST SIDE. BUT IF YOU GUYS WANT TO KEEP READING THE TWO OTHER SLIDES THAT HAVE LOTS OF WORDS. UM WE HAVE A TOTAL OF AT LEAST IN OUR SYSTEM. CURRENTLY $33,000 AND SOME CHANGE THAT I CAN'T REMEMBER OFF THE BACK OF MY HAND. BUT WE HAVE THAT FUNDING AND WE I THINK IT WOULD BE GREAT TO KIND OF ASSIST WITH SOME OF THEIR INITIATIVES BECAUSE JUST BASED OF OFF JUST BASED OFF OF WHAT LAURIE AND I HAVE BEEN DISCUSSING IT WE NEED TO DO A LITTLE BIT MORE FOCUSED NOT ONLY ON MENTAL HEALTH BUT ON KEEPING OPIOIDS AND DRUGS OUT OF THE WRONG HANDS.I'M RIGHT. AND I WAS GONNA SAY I'M READY FOR NUMBER THREE. THERE YOU GO. I TRIED TO PICK PRETTY COLORS GOOD.
VERY GOOD POINT. MAN. THANKS. THE CROPS HAVE SOME CLOSING REMARKS, BUT DEVON HE ALSO TOUCHED ON SOME OF THEM WERE REALLY JUST HOPING TO ALIGN WITH WHAT WE'RE ALREADY DOING THROUGH OUR MUSIC ALLIANCE PROGRAM. WE WANT TO KIND OF TIE IN SOME PROGRAMS WITH DIRECT DEPARTMENT. BUT THE MAIN FOCUS IS ON PREVENTION AND EDUCATION. I KNOW THERE WAS TALK ABOUT DOING OUR OWN QUARTERLY NARCAN TRAININGS. UM WE DECIDED THROUGH DISCUSSING WITH RUTGERS THAT WE'RE GOING TO PARTNER WITH RUTGERS FOR THE TIME BEING, AND IF WE SEE A RISE IN NEED, OR YOU KNOW ANYTHING THAT THEY WANT FROM THAT WE WILL BE SCHEDULING OUR OWN QUARTERLY NARCAN TRAININGS. UM BUT THERE'S OUR TOTAL IS A $33,876 AND WE CURRENTLY HAVE $2000 THAT WE HAVE PUT TOWARDS RED RIBBON WEEK , WHICH IS THE LAST WEEK OF OCTOBER AND WE ARE WORKING ON PUTTING TOGETHER SOME PROGRAMMING WE'RE GOING TO DO, UM, A LITTLE DISPLAY IN THE FRONT OF THE BUILDING WITH RED LIGHTS AND SOME SIGNAGE. IT'S ALL IN THE WORKS, BUT THAT'S WHAT WE HAVE SO FAR AND THEN, AS WELL AS WHAT THE VANKE HAD MENTIONED, WE'RE GOING TO BE RELYING A LOT ON THE SOMERSET COUNTY HUMAN SERVICES DEPARTMENT TRAINING WITH WRITERS DO THEY GIVE THEM NOR CAN THEY GIVE THEM WITH KIDS IN A LITTLE BAG ABOUT NOW? I SEE IN NEW YORK CITY.
THEY ALSO PROVIDE FENTANYL TEST STRIPS. ARE WE DOING THAT? UM SO DRUG USERS CAN TEST THEIR DRUGS TO MAKE SURE THEY'RE NOT LACED SENTINEL, SO I DON'T BELIEVE WE , AS A HEALTH DEPARTMENT ARE NOT CURRENTLY WE HAD TALKED ABOUT DOING THAT ENDS. I LYSINE TEST STRIPS. UM ZEILE'S IN TEST STRIPS, AS FAR AS I KNOW, ARE STILL CONSIDERED DRUG PARAPHERNALIA. SO WE DO NOT HAVE THEM. I KNOW THE LAST TIME WE SPOKE WITH KEN FROM COMMUNITY IN CRISIS. HE TOLD US THAT THE FENTANYL TEST STRIPS WHERE APPROVED, WE CAN GIVE THEM OUT TO DISTRIBUTE A COME TO THE HEALTH DEPARTMENT. YES YEAH. TEST STRIPS. YEAH I DON'T THINK I DON'T THINK THAT STRIPS ARE WELL ENOUGH NOTES. I DON'T. I MEAN, I CAN THEY KNOW, BUT DO THEY KNOW? NO MAYBE THE PEOPLE THAT NEED TO KNOW NO TRUE. YEAH THAT IS SOMETHING. I MEAN, IF WE'RE GIVING, NOR CAN I KIND OF THINK WITH IT, WE SHOULD BE GIVING. YOU KNOW THAT'S A VERY GOOD IDEA FOR US TO ADD, BECAUSE WE DO HAVE THE FUNDS FOR IT. SO UM, LET'S HOPEFULLY PREVENT THE NEED NO, ABSOLUTELY. YEAH, BECAUSE WE ALSO DID RECEIVE NARCAN FROM THE COUNTY. SO WE HAVE BEEN DISTRIBUTING THAT WITH
[00:50:04]
THE STANDING ORDERS FROM THE CDC. UM, BUT THE RUTGERS KIT COMES IN A LITTLE RED POUCH. IT GIVES YOU TWO DOSES OF NARCAN AND YOU GET A MOUTH GUARD. IN CASE YOU HAVE TO DO CPR. UM AND THERE'S A LITTLE INSTRUCTION SHEET IN THERE, TOO. FOR EVERYTHING. I TOOK THE TRAINING . I THOUGHT IT WAS FANTASTIC. I HAD GOT MY OWN LITTLE KIT. SO THAT'S GREAT. YEAH. THE QUESTION IS, COULD THIS BE TRAINING DONE SPECIFICALLY THE HIGH SCHOOL SO WE'RE CURRENTLY WORKING ON CREATING A FLYER TO PROMOTE THE RUTGERS TRAININGS. SO I DO BELIEVE I FINISHED IT. I JUST HAVE TO SEND IT OUT. BUT WE WERE TALKING ABOUT GIVING IT OUT IN OUR MUNICIPAL ALLIANCE GROUP AND THEN, FURTHERMORE, SENDING IT OUT TO THE PRINCIPAL'S SHARING IT WITH THE NURSES THE SCHOOL NURSES AND THEN SHARING IT WITH THE STAFF IN GENERAL, SO EACH OF THE TEACHERS CAN HAVE A KIT JUST YOU KNOW, GOD FORBID. GOOD IDEA . YEAH, TARGET THAT POPULATION. HAVE YOU CONNECTED WITH THE YOUTH ACTION BOARD AT THE HIGH SCHOOL YET? I HAVE BEEN TO A FEW OF THEIR MEETINGS S OKAY. GREAT THANK YOU. WHERE ARE THE WHERE ARE THEY BEING HELD? THE NORTH END. THERE ARE THE HERE. SO THESE ONES ARE VIRTUAL. UM THEY HAVE A SET TIME. I BELIEVE IT'S 12 PM SO PEOPLE CAN DO IT DURING THEIR LUNCH BREAK BECAUSE I KNOW THAT WHEN I WAS SPEAKING TO THE WOMAN WHO HOLDS THEM AT RUTGERS, SHE DIDN'T WANT TO TAKE AWAY FROM ANYBODY'S FAMILY TIME. UM WHAT ABOUT I MEAN, BUT LIKE THE KIDS, KIDS NEED TO DO IT TENDER. OH THAT WAS MY OTHER CONCERN THAT I WAS THINKING ABOUT RECENTLY AS I WAS MAKING THIS FIRE TODAY, AS I THOUGHT THAT WE DO NEED TO KIND OF EITHER. MAYBE DO AN AFTER SCHOOL PROGRAM OR, LIKE KIDS CAN SIGN UP TO COME DO THIS TRAINING AND YOU KNOW WHAT? THE WORKING PERSON IN THE STANDING YES. YES OF THEIR WORKDAY CAN DRAIN. YES. SO THAT'S ALSO WHY WE HAD SPOKEN WITH RUTGERS. WHERE IF WE DO SEE ANY INCOMING CALLS THAT ARE LIKE, YOU KNOW, I CAN'T MAKE YOUR TRAININGS THAT ARE AT NOON. WOULD YOU POTENTIALLY BE ABLE TO HOLD ONE BECAUSE THERE IS A MINIMUM NUMBER OF ATTENDEES THAT HAVE TO BE IN THE RUTGERS TRAININGS SO AS YES ISN'T GOING TO WORK FOR IT? HMM CAN'T DO NO, NO. DEFINITELY ONE WEEK AND THREE. THE NO TAPES? YEAH TO GET DIFFERENT GROUPS OF PEOPLE ALSO HAVE SO IT'S THROUGH THE ROBERT WOOD JOHNSON MEDICAL SCHOOL. I THINK IT'S JUST PSYCHIATRY SCHOOL, BUT THEY DO HAVE THEIR EMAIL AND THEIR PHONE NUMBER SO EITHER IF THEY HEAR RUTGERS CAN REACH OUT TO US, OR THEY CAN EITHER PROBABLY CALLED, PROBABLY END UP CALLING KEELEY REALLY? IS THAT INFORMATION WITH ME? I HAVE THE CONTACT WITH RUTGERS TO KIND OF, YO, WE'VE BEEN GETTING CALLS ABOUT THE TIMING ISSUES.CAN WE DO ONE? AT SOME TIME THAT WORKS FOR MORE PEOPLE LIKE WE'RE GETTING FEEDBACK ABOUT IT. BUT THE NOON HAS WORKED FOR OUR STAFF IN THE TOWNSHIP. I LOOK FOR THAT STUFF BECAUSE I KNOW MY CLERK LISA TOOK IT AND A FEW PEOPLE HAVE TAKEN IT WITHIN THE TOWNSHIP. BUT YES, IF WE CAN HAVE ANOTHER TIME, THAT WOULD BE GREAT IN WHAT WOULD WE SAY TO THEM? YES THAT'S THE QUESTION. I WOULD SAY THAT WE DO SO WE ACTUALLY PUBLIC HEALTH PERSON. I CREATED A TEMPLATE BECAUSE WE HAVE NARCAN AND WE HAVE A STANDING ORDER TO USE IT. SO THERE SPECIFIC RULES THAT WE HAVE TO GO BY SO THAT WE CAN INFORMATION ABOUT HOW YOU USE YOUR NARCAN PREVENTION RESOURCES . WHEN YOU'RE READY FOR HELP VISIT THE NUMBERS YOU CAN CALL INFORMATION ABOUT UM, WHAT IT LOOKS LIKE THINGS LIKE THAT. SO WE HAVE TO HAND THAT OUT. WE CAN GIVE OUT NARCAN. WE JUST HAVE TO SAY. UM, THESE ARE INSTRUCTIONS FOR IT. WE DON'T HAVE TO, LIKE, READ. THE THING FOR BASIC RED ONES FROM THE STATE FOR MILLIGRAM FOR MILLIGRAM, AND WE HAD TO PUT THAT ALWAYS FREAKING TRANSFERRED THE PATIENT. ON HER, SO THE SHEETS THAT ARE PRETTY KNOW THAT THEY'RE KIND OF FILLED ONE. WE GIVE ONE IF WE GIVE IT OUT. AT THIS POINT, I THINK WE WOULD GIVE OUT ONE. DEVON J. AND I WERE TALKING WITH THE PUBLIC HEALTH NURSE ABOUT I SAW SOMEWHERE. THERE'S A NOR CAN IN THE BATHROOM. SO INSTEAD OF LIKE FALLING AND LIKE, YOU KNOW, MAYBE THEY'RE AFRAID TO CALL THE POLICE DEPARTMENT THERE. YOU COULD JUST PUT IT THERE. IN CASE YOU NEED IT, BUT THERE ARE SOME RULES BECAUSE WE HAVE TO TRACK KIND OF RECALLS HAPPENING, RIGHT ? I COULD GET THIS. SOMETIMES THEY MIGHT NOT WANT TO GIVE US OUR INFORMATION AND OKAY, BUT STILL HAVING DON'T LIKE TRACK IT, SO WE'RE TRYING TO SEE WHAT WE COULD DO, BUT ALSO HAVING IT LIKE MORE READILY ACCESSIBLE THAN GOING UP TO THE HEALTH DEPARTMENT. YES IN THE MUNICIPAL BUILDING, BUT IF WE CAN GIVE MORE THAN ONE THAT WOULD BE GREAT. THEY JUST CAME OUT WITH A PRESCRIPTION 8 MG DOSE BECAUSE OF FENTANYL. WE'RE FINDING WE NEED MORE THAN 4 MG. SO IF THERE'S ANY WAY TO GIVE MORE THAN ONE AT A TIME, BE AN IDEA. I ALSO HAVE TO JUST GET MORE FROM THE COUNTY BECAUSE WE DISTRIBUTED A LOT TO THE SCHOOLS, SCHOOL NURSES, SO THEY'RE OUT DISTRIBUTING. I THINK WE GAVE OUT 16 AND WE HAD TWENTIES. PROBABLY AFFORD, BUT WE CAN ALWAYS GO BACK TO THE
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COUNTY AND GET THEM FROM FEDERICO OVER THERE. UM, BUT YEAH, THAT'S WHAT WE DO RIGHT NOW. I DID GET A CALL, BUT THE PERSON EVER CAME. I WAS LIKE SO MUCH TIME TO BUILD HANDOUT. YEAH I CAN SEND OUT THAT FIRE TO SEE WHAT IT LOOKS LIKE IT. YEAH THANK YOU. THANK YOU. BECAUSE THE QUESTIONS. ANOTHER QUESTION . I HAVE A QUESTION ABOUT FUNDING FOR NEXT YEAR FOR THIS.SO WHAT IS THE OPIOID SETTLEMENT WHEN YOU LOOK LIKE FOR 24. DO YOU ANTICIPATE THE SAME AMOUNT TRENDING UPWARD? NO WE JUST KNOW THAT IT'S WE WILL. WE SHOULD BE EXPECTING THESE PAYMENTS FOR ANOTHER 15. 2 17 YEARS. WOW. UM SO MY MONTGOMERY LIKE FOR A SEGMENT. 30,000 IS A LOT RIGHT.
BUT OUR NEIGHBORING COUNCILOR GETTING THERE GETTING A WHOLE LOT MORE SO BASED ON SOME TYPE OF FORMULA THAT I'M NOT. I'M NOT. I DON'T KNOW. I DON'T KNOW THE FORMULA, BUT FORMULA BASED ON NEED. YOU DON'T KNOW. I THINK IT MIGHT BE BASED ON NEED AND MAYBE BASED ON DATA OF UM, APPEARED YOU STAYED UP? PROBABLY OR, UM, WERE THEY TARGETED TO ISN'T IT LIKE PEOPLE HAVE MORE DEATHS? I KNOW LIKE WESTERN MORE DEBTS. DEFINITELY MORE. BECAUSE PURDUE PHARMA MARKETED HARD RIGHT? RIGHT, RIGHT. THAT'S TRUE , BUT WITHIN THE STATE OF NEW JERSEY WE DON'T KNOW HOW IT'S DISTRIBUTED EXAMPLE. I DON'T KNOW IF THE TOP OF MY HEAD BUT I CAN CERTAINLY FIND OUT THEY HAVE, UM THEY HAVE THESE TASK FORCES AT THE COUNTY LEVEL. UM PEOPLE WHO KNOW MUCH MORE ABOUT THIS THAN ME, BUT THERE'S DEFINITELY THERE'S A LOT OF STRUCTURE AND SIGNS BEHIND HOW THEY'RE GOING ABOUT IMPLEMENTING THIS PROGRAM. HOW THEY'RE EXPENDING THE FUNDS. UM WHO WAS GETTING HOW MUCH? YEAH AND THE COUNTIES TAKING. UH YOU KNOW, A LEADERSHIP ROLE IN THE BIG PICTURE OF WHAT? WHAT DOES THIS LOOK LIKE? FOR SOMERSET COUNTY? UM BECAUSE NOT ONLY ARE INDIVIDUAL MUNICIPALITIES GETTING THIS FUNDING, BUT SO MUCH. THE COUNTY AS A WHOLE IS ALSO GETTING A LOT OF FUNDING TO. AND SO IT JUST REQUIRES ALL OF THE KEY PARTNERS GETTING TOGETHER AND COMING UP WITH A PLAN, WHICH IS WHAT'S GOING ON RIGHT NOW. THE REASON I ASKED WAS RELATED TO THAT AND ALSO RELATED TO, SO IF WE CAN BANK ON HAVING THIS THESE DOLLARS FOR THE NEXT FIVE YEARS SOUNDS LIKE LONGER, LIKE HOW WOULD WE FIT THAT INTO OUR STRATEGIC PLAN? KNOWING LIKE WHAT KIND OF GOALS COULD WE SET FOR OURSELVES USING THESE DOLLARS? IT WOULD BE USEFUL TO KNOW HOW THEY FIGURED OUT THOUGH, BECAUSE WHAT IF THEY'RE LIKE, OH, THIS IS WORKING SO GREAT THAT YOU DON'T NEED AS MUCH MONEY NEXT. LIKE YOU KNOW, YOU COULD SEE IT BEING A ROLLERCOASTER OF OH, YOU'RE DOING GREAT. WE'LL GIVE YOU LESS. OH YOU'RE DOING TERRIBLE.
GIVE YOU LIKE HOW HOW IS IT FIGURED OUT? YEAH I KNOW THAT OUR OUR COUNTY MUNICIPAL LINES COORDINATOR, SHE TOOK ON ANOTHER TITLE WHEN WE GOT THESE FUNDS SO I CAN REACH OUT TO HER AND SEE IF SHE CAN SHARE THE ALGORITHM ALGORITHM WITH ME AND HOW WE GOT THESE FUNDS AT THIS RATE THAT GREAT THAT WERE UNDER REPRESENTING OUR NEED. THAT'S THE OTHER THING THAT I'M YEAH, YEAH, CONCERNED ABOUT BECAUSE I CAN TOTALLY REACH OUT AND SEE IT. SERIOUSLY COMES BACK HERE.
THAT'S GREAT. THANK YOU. THANK YOU. THANK THANKS, ERICA. ERICA. GREAT, GREAT JOB. GOOD JOB.
YEAH. GREAT JOB. GOOD JOB. WE HAVE DIVINE. YEAH I MEAN, THE LAST THING REALLY WAS JUST ABOUT SO THAT RECORDS UNIVERSITY SCHOOL OF NURSING HAD REACHED OUT TO US. THEY'RE INTERESTED IN MODIFYING AND CREATING SOME TYPE OF INTERNSHIP PROGRAM WHERE THEY CAN PARTNER WITH US. UM AND I EMAILED, UM, CARRYIN, BUT WE'RE THIS IS DIFFERENT THAN HOW WE'VE PARTNERED WITH THEM. IN THE PAST. WE MOSTLY HAD THEIR STUDENT INTERNS AT OUR CLINICS DURING COVID. YOU KNOW, THEY WERE PHENOMENAL. THIS WOULD BE A BIT MORE IN DEPTH. WHERE WOULD BE ONE OR TWO NURSES COMPARED TO A GROUP OF THEM, AND THE IDEA IS TO REALLY EXPOSE THEM TO THE PUBLIC HEALTH NURSING FIELD BECAUSE THAT THAT'S SUCH A GREAT NEED IN OUR STATE WERE VERY UNDERREPRESENTED. THERE'S A CRITICAL SHORTAGE OF PUBLIC HEALTH NURSES STATEWIDE. AND IT'S IMPORTANT FOR US TO KIND OF ADVANCED THE FIELD IN THE PROFESSION OF PUBLIC HEALTH NURSING IN THE STATE, AND THIS IS ONE WAY THAT YOU KNOW WE CAN HELP AND, UM, FOR THE PROGRAM IS STILL UNDER DEVELOPMENT. BUT THEY'RE LOOKING FOR SITES WHERE THEY CAN PLACE THEIR NURSES. UM SO JUST LOOKING FOR, UM, INPUT FROM THE BOARD AND SUPPORT, I GUESS FROM FROM YOU ALL. VOTE OF SUPPORT. WHAT WOULD BE HELPFUL TO YOU THINK IT SOUNDS LIKE A GREAT IDEA? HOW LONG WOULD THAT BE? HOW LONG THEY LIKE? YOU KNOW WHAT? THE SEMESTER BY SEMESTER? IS THAT WHAT YOU'RE ASKING? I'M ASKING, HOW IS IT GOING TO
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IMPACT YOU? OR IS IT GOING TO BE MORE WORK FOR YOU FOR YOU? SO THAT THE NURSES ARE VERY PASSIONATE ABOUT HAVING AND IT'S SOME TYPE OF INTERNSHIP PROGRAM AND MENTORING. AND THEY FEEL THAT IT WOULD. IT WOULD BE BETTER FOR THEM TO ALSO, YOU KNOW, MAKE THEIR WORK MORE FULFILLING, UM, DO YOU HAVE PROJECTS IN MIND FOR THEM? OR WOULD YOU ALWAYS? YES WE ALWAYS HAVE PROJECTS. THEY'VE IDENTIFIED SOME QUALITY IMPROVEMENT. UM DATA TRACKING COMMUNITY PROGRAMMING. IT'S NOT MORE WORK THAN IT'S WORTH. BECAUSE SOMETIMES YEAH. OH, NO, I COMPLETELY UNDERSTAND, BUT THE NURSES ARE ACTUALLY FOR IT. THEY WANT THIS. YEAH I DON'T KNOW WHAT NEED IS SAYING BECAUSE YOU COULD HAVE INTERNS WALKING AROUND, YOU KNOW, AND YOU'RE TRYING TO KEEP THEM BUSY PHARMACY STUDENTS THAT HAVE CREATED HAVOC IN MY LIFE, AND SO SOMETIMES IT'S YOU KNOW, BUT IF THEY'RE SELF MOTIVATED, AND YOU FEEL LIKE THEY CAN PROVIDE YOU A SERVICE, IT'S GREAT. IF YOU FEEL LIKE YOU'RE SPENDING MORE TIME EDUCATING THEM THAN THEY'RE DOING WORK FOR YOU ARE KEEPING THEM BUSY. OR KEEPING THEM? YEAH, I'VE HAD THAT. AS LONG AS THEY DON'T SLOW US DOWN. EXACTLY I MEAN, JUST MAKE SURE IT'S A WIN WIN. SURE. I DON'T THINK WE NEED TO VOTE. YOU DON'T NEED A VOTE, OKAY? SO DO YOU WANT US TO VOCALLY AND FOR THE RECORD SAY WE SUPPORT YEAH. AH THAT'S A GOOD SUPPORT, FURTHERING WITH THE NURSING PROGRAM JUST IN CASE IT COMES TO THE TOWNSHIP. IT SHOULD BE THAT YOU VOTED ON IT, ESPECIALLY IF IT'S WORK FOR DEVON. GEE, WE HAVE TO JUSTIFY. OKAY BUT SO DO IT. NOW I THINK YOU SHOULD VOTE BECAUSE YOU KNOW FOR ANY REASON IT'S MORE WORK, PUT IT ON THE AGENDA. MAYBE YOU NEED A FORMAL. YEAH WE CAN PUT IT. LIKE A FORMER GONNA SING. IF SHE HAS DONE SOMETHING SIMILAR FOR OTHERS, AND JUST PUT IT IN THE AGENDA, JUST SAY VOTE ON SUPPORT FOR THE PARTNERSHIP. JUST BETTER CHECK IF WE HAVE TO WRITE, LIKE, SOMETIMES EXACTLY RIGHT RIGHT RIGHT NOW, TOO. SO. ALWAYS A GOOD IDEA TO BUSINESS THEN IS BUSINESS. OH I HAVE SOMETHING HE'S DONE WITH HER NEW BUSINESS, THEN YOU KNOW, WE'LL PUT THIS UNDER NEW BUSINESS. SORRY. I MEAN, I DIDN'T HEAR WHAT YOU SAID. I SAID, I HAVE[VII. New Business ]
SOME GOOD STUFF TO TALK ABOUT. BUT I'M GONNA PUT THAT ON MOVING TO NEW BUSINESS BUSINESS. IT'S NOT NEW BUSINESS. IT'S SOMETHING THAT HAPPENED LAST WEEK. DR JOHN ANYMORE. WHO KNOWS? SO YOU KNOW, WE HAD A REQUEST FROM THE GOVERNOR'S OFFICE THAT THEY WERE DOING, UM, AN EVENT, WHICH WAS A ROUNDTABLE DISCUSSION ON REPRODUCTIVE RIGHTS IN NEW JERSEY, AND THEY NEEDED A SOUTH ASIAN DOCTOR TO BE PART OF IT. SO I THOUGHT MY HEALTH BOARD. WHY NOT? SO I REACHED OUT TO DR JOHNNIE MORTON, AND SHE WAS THERE WITH THE GOVERNOR ON THE ROUND TABLE. HAVING A DISCUSSION AND I THINK IT WAS GREAT TO SEE SOMEONE FROM MONTGOMERY PART OF THAT DISCUSSION. SO I WANT TO SAY CONGRATULATIONS TO HER AND JOHNNY. I HEARD FROM THE GOVERNOR'S OFFICE THAT THEY REALLY APPRECIATED WHATEVER POINTS THAT YOU MADE. THERE WAS VERY WELL APPRECIATED. THANK YOU SO MUCH. YOU MADE US ALL LOOK GOOD. THANK YOU FOR THE OPPORTUNITY AND THANK YOU FOR HAVING ME. THAT'S GREAT. GREAT THANK YOU FOR DOING THAT. I'M ALWAYS LIKE, HOW CAN I GET MY MONTGOMERY PEOPLE IN WHEN THE MAYOR'S, UH, YOU KNOW, I WAS THERE AS WELL SUPPORTED AS WELL . SO IT WAS OVERALL GOOD EXPERIENCE. SO THANK YOU, NINA. YOU'RE WELCOME. ANYTIME THEY ASKED ME, I'M LOOKING AT HOW WE CAN GET THE MONTGOMERY. TERRIFIC DOCTORS IN THERE AND ONE LAST THING NOVEMBER 3RD. WE'RE DOING A DIV ALI AT THE HIGH SCHOOL, WHICH IS THE MONTGOMERY DIWALI FROM 6 TO 8. SO I JUST WANT TO INVITE YOU ALL SO I DON'T HAVE TO SEND AN EMAIL SPECIALLY SO BUT PLEASE WOULD LOVE TO SEE YOU ALL 6 TO 8 NOVEMBER THIRD. THE HIGH SCHOOL. NO TICKETS FREE FOR ALL. BRING ALL YOUR NEIGHBORS. BRING ALL YOUR FRIENDS. WILL DO. SOME DEER PAINTING WILL DO WRONG GOALIE 6 TO 8. YES I'VE EVER ASKED A LOT OF THE SCHOOL BOARD MEMBERS TO COME AND YOU KNOW JUST SO THAT THE SEE EVERYBODY AND IT WILL BE A GOOD WAY. SOCIAL CONNECTIVITY MENTAL HEALTH. IS IT IS THIS? UM, WHO'S SPONSORING THIS? WELL, IT'S ME AND UM, THE PRINCIPAL HEATHER HEATHER PINOT, THE SCHOOLS AND, UH, YOUR DEPUTY MAYOR ARE SPONSORING IT. SO YEAH, WE'RE JUST TRYING TO DO SOMETHING WHICH WILL BRING THE PEOPLE TOGETHER. AND I ALWAYS SAY SOCIAL CONNECTIVITY IS A WAY TO BUILD MENTAL HEALTH. WHEN PEOPLE SEE EACH OTHER, THEY COME OUT.THEY HAVE FUN TOGETHER. YOU MEET YOUR NEIGHBORS. YOU LIKE EVERYBODY. IT'S ALL GOOD FOR THAT. THANK YOU. GETTING? YEAH, SURE. MY GOOD NEWS IS DONE. NOW. LET'S GET TO SOMETHING ELSE NEXT. OKAY SO WE ONE OTHER ITEM OF NEW BUSINESS. WE DON'T HAVE THEM YET, BUT I WANTED TO GIVE
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YOU A PREVIEW THAT BONDI HAS USED SOME MORE GRANT, WHICH IS REALLY OUTFITTING THIS ROOM, ANOTHER USING OTHER GRANT FUNDING. WE WERE WILL HAVE TABLETS IN FRONT OF US, SO WE DON'T HAVE TO WHO WE DON'T HAVE TO GO LIKE THIS. AND SO THAT'S ANOTHER THING THAT SHE'S DONE SOME OF OUR REALLY STRONG GRANT FUNDING. THANK YOU. THANK YOU. GOOD JOB. NEXT SCREEN. I'M STARTING TO BELIEVE THAT THEY COME IN, RIGHT, JEN CROSS OUR FINGERS. THAT'S GREAT. THAT'S NO WONDER THE COUNTY LOOKS AT OUR HEALTH DEPARTMENT TO GET IDEAS, RIGHT? WE ARE A LEADER IN OUR IN OUR COUNTY AND MAYBE IN OUR STATE JOB. THANK YOU. THE ONE. FOR THE NEW JERSEY DEPARTMENT OF HEALTH COMMISSIONER, I. I DID REACH OUT TO, UM, OUR DEPARTMENT OF HEALTH OFFICE OF LOCAL PUBLIC HEALTH AND THE NEW JERSEY ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS TO INVITE THE DEPUTY COMMISSIONER WHO'S INTERESTED IN VISITING THE HEALTH DEPARTMENT. I HAVEN'T HEARD BACK, OKAY, BUT WE I THINK IT'S ALSO THE BOARD ALSO HAS A CHANNEL TO THE STATE HEALTH DEPARTMENT THROUGH THEIR ELECTED AND APPOINTED OFFICIALS SO I CAN HELP WITH, UM YOU KNOW, WITH THE LETTER THAT CAN YOU GUYS CAN SEND OVER TO THE COMMISSIONER'S OFFICE AND THAT WOULD BE THROUGH YOUR CHAIN OF COMMAND. SO WE WOULD SEPARATE SEPARATE THAN MINE, SO I JUST WANT TO MAKE SURE THAT'S CLEAR. SO WHEN YOU SHOW DRAFT SOMETHING UP, AND I ACTUALLY WOULD PREFER THAT WE ALL SIGN IT. YES, OKAY. AND I THINK YOU CAN. YOU CAN HAVE EVERYBODY'S SIGNATURE, OF COURSE , ALL SITTING AROUND VIA EMAIL OR GREAT. THAT'S WONDERFUL. KEEP KEEP LOOKING IN YOUR INBOX, AND I GET THAT IN THE NEXT COUPLE OF WEEKS. THAT SOUNDS GOOD. OKAY. I THINK THAT'S IT. NOTHING ELSE, OKAY? ADJOURNMENT HAVING NO FURTHER BUSINESS TO DISCUSS THE MEETING WILL NOW ADJOURN AT 8 44 PM MOTION TO ADJOURN. THANK YOU AND A SECOND. THANK YOU. OKAY, GUYS. PERSON IN TEXAS. THANK YOU VERY MUCH. THANK YOU, GUYS. THAT WAS A REALLY GREAT, WONDERFUL JOB.* This transcript was compiled from uncorrected Closed Captioning.