Statewide Drug Policy Advisory Council Teleconference March 11, :00-2:00PM

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Mission: Eliminate substance abuse in Florida by coordinating statewide efforts to protect individuals, families, and communities from substance abuse and to treat those with addiction. Vision: A future without substance abuse in Florida Statewide Drug Policy Advisory Council Teleconference March 11, 2016 1:00-2:00PM Teleconference Information Dial In: (888) 670-3525 Access Code: 164 869 6226 Go To Meeting https://global.gotomeeting.com/join/680613277 Meeting ID: 680-613-277 AGENDA: Welcome and Introductions Business 1. Review and approve November 13, 2015 meeting minutes. (Page 3) 2. Review and approve November 20, 2015 meeting minutes. (Page 28) 3. Discuss and approve Workshop Planning Tool identifying goals, outcomes, objectives and action plan from January 29, 2016. (Page 54) 4. Identify topic(s) and guest speaker(s) for May 5 meeting. Public Comment / Open Discussion Next Steps In person meeting May 5, 2015 9AM to 4PM Capital Circle Office Complex 4052 Bald Cypress Way Room 301 Tallahassee, FL 32839 Dr. Jennifer Bencie, Administrator DOH-Manatee Dr. Jennifer Bencie Dr. Jennifer Bencie Dr. Jennifer Bencie and Council Members Lynne Drawdy Council Members/Dr. Bencie Dr. Jennifer Bencie and All Dr. Jennifer Bencie and Council Members

Drug Policy Advisory Council Meeting March 11, 2016 1:00 2:00PM Florida Department of Health Teleconference Health@FLHealth.gov Meeting Minutes Welcome, Introductions, Meeting Minutes- Dr. Jennifer Bencie, Manatee DOH, Chair Meeting called to order at 1:00 PM by Dr. Jennifer Bencie. Ms. Poston called the roll and the following members were in attendance. Members Present: 1. Dr. Jennifer Bencie (Chair, State Surgeon General Designee) 2. Patti Nelson (Office of Planning and Budget) 3. Dan Lostotter for Andy Benard (Attorney General Designee) 4. Mark Baker (FDLE) 5. Jeff Cece (Department of Children and Families Secretary Designee) 6. Patrick Mahoney (Department of Corrections Secretary Designee) 7. Dr. Gayla Sumner (Department of Juvenile Justice Secretary Designee) 8. Angelia Rivers (Department of Education Commissioner Designee) 9. Colonel Gene Spaulding (Department of Highway Safety and Motor Vehicles Executive Director Designee) 10. Colonel Bill Beiswenger (Adjutant General Designee)- Absent 11. Senator Sobel (Member of the Florida Senate) 12. Representative Cary Pigman (Member of the House of Representatives) 13. Aaron Gerson (Chief Justice of the Supreme Court) 14. Mark Fontaine (Member of the public with expertise in substance abuse treatment appointed by the Governor) 15. Kimberly Spence (Governor Appointee Drug Enforcement) 16. Dotti Groover-Skipper (Member of the public with expertise in faith based substance abuse treatment appointed by the Governor) 17. Doug Leonardo (Member of the public with expertise in substance abuse programs and services appointed by the Governor) 18. Peggy Sapp (Member of the public with expertise in substance abuse prevention appointed by the Governor 19. Dr. John VanDelinder (Governor Appointee Faith Based Substance Abuse Treatment) Others Present: Staff Present: Tim Parsons, Department of Children & Families Rebecca Poston, Department of Health Erika Marshall, Department of Health Business 1. There was a motion by Jeff Cece second by Mark Fontaine to approve the November 13, 2015 meeting minutes. Motion carried unanimously. 2. There was a motion by Jeff Cece second by Dottie Groover-Skipper to approve the November 20, 2016 meeting minutes. Motion carried unanimously. 3. The Workshop Planning Tool was discussed. Please see attached planning tool.

4. The Council suggested the following guest speakers and topic(s) for the May 5 meeting. High Intensity Drug Trafficking Area- trend data Department of Children and Family- Epidemiology trend data and performance indicators update. Department of Children and Families- overview from Overdose Prevention Coordinator Department of Corrections- provide an overview of services at the community level, reentry level and trends. Florida Department of Law Enforcement- trend data update. Executive Order Update Public Comment / Open Discussion 1. Mr. Cece requested and the Council provided a letter of support for Partnerships for Success grant. DCF letter of support for Partnerships for Success 2. Ms. Poston requested and the Council provided a letter of support for the Bureau of Justice Assistance grant. 3. Mr. Fontaine provided a synopsis of the drug related bills that passed. Next Steps: 1. Notice next meeting May 5, 2015 from 9-4PM at the Capital Circle Office Complex, Building 4052, Room 301, Tallahassee, FL

Statewide Drug Policy Advisory Council Goal, Outcomes, Objectives and Action Plan DPAC Purpose: Conduct a comprehensive analysis of the substance abuse problem in Florida Seek input from a broad spectrum of public and private sector partners Examine outcome measures from existing programs to establish effectiveness Research other state and federal strategies Develop a compendium of best practices in drug abuse strategies ad programs Recommend to the Governor & Legislature a statewide drug control strategy that provides a coordinated, integrated, multidisciplinary response to address substance abuse Prepare a report to the Governor, President of the Senate, and Speaker of the House of Representatives by December 1 annually Goal: Produce an annual data-driven report with a list of prioritized recommendations and actions for reducing substance abuse in Florida Expected Outcomes: Reduce the mortality rate per 100,000 for licit and illicit drugs (target - TBD) Reduce the rate of heroin overdoses (target - TBD) Reduce the number of individuals with substance abuse addictions (target - TBD)

Research & Analysis Problem Statement: There is no sustainable process to compile massive amounts of data and information, perform analysis and develop an evidence-based call to action for the annual report. Objective: By 6/30/16 develop a comprehensive repository of meaningful data and resources related to substance abuse. Schedule epi work group to present to DPAC May meeting DCF Schedule EMSTARS data presentation May meeting DCF Each agency will produce a comprehensive list of data sources May meeting All agencies (DCF, DOH, AHCA, FDLE, DOC, Medical Examiner, DOE, Associations) Catalog measures used by substance abuse providers May meeting DCF Identify any data gaps and develop action steps to close the gaps May meeting DPAC Prepare a Florida drug fact sheet (infographic) June 30, 2016 DCF Develop a process for data analysis to turn data into actionable information to support decision-making, including determining trends and cause and affect relationships, to propose and prioritize recommendations. September 30, 2016 DPAC

Coordination & Outreach Problem Statement: There are many diverse groups and disciplines working on substance abuse issues with no coordinating body. Objective: By 10/31/16, develop a process to integrate resources across state agencies to create the biggest impact on substance abuse issues in Florida. Identify all groups, committees, agencies, and MOUs related to substance 5/31/16 DPAC Members abuse Identify all state agencies funding substance abuse and identify opportunities 6/30/16 DPAC members for integration/maximizing benefit Establish formal two-way communication mechanisms with Coalitions by 5/31/16 DCF surveying annually to determine their metrics, trends, data from required prevention assessments Process map a drug overdose (from each stakeholder perspective with 6/30/16 DPAC emphasis on opportunities to target integration, prevention) Develop a promotional campaign for prevention (using hand-washing or child abuse model) 9/30/16 DPAC Objective: By 6/30/16 develop a process to research, identify and share best practices from across the nation. Schedule presentation by Manatee Community Paramedicine project to DPAC May meeting Bencie Schedule presentation on learnings from Governor s Executive Order in May meeting DCF Broward, Pinellas and Alachua Send information on potential best practices from other states to Becky 3/31/16 DPAC members Poston (e.g. California Medicaid waivers) Identify national groups to provide briefings (NAMSTL, NAG, Legal Action 3/31/16 DPAC members Center) Identify Florida providers with potential best practices (as evidenced by 3/31/16 DPAC members outcomes) Compile list and process for members to prioritize May meeting Becky Poston Schedule via webinars and presentations at DPAC meetings Ongoing Becky Poston Objective: Develop an early warning network focused on supply reduction for emerging substances Obtain OSI reports and analyze health risks for emerging substances (such as 6/30/16 DOH Flakka) Develop early warning alert system based on data and distribute to all 12/31/16 DOH stakeholders (law enforcement, AG, prosecutors, medical community, use Fusion Centers to get to RDSTFs and across all disciplines) Trend data and target law enforcement activities based on ER visits/deaths 12/31/16 DOH

Treatment, Management and Harm Reduction Problem Statement: There is insufficient treatment capacity and restrictions which impact use of beneficial treatments. Objective: Provide recommendations in December 2016 annual report to maximize existing resources Research evidence-based practices to reduce barriers to employment (lack of 9/30/16 DCF identification, housing, Level 2 screenings) for inclusion in annual report Propose mandatory reporting by physicians in PDMP. 9/30/16 DCF Review data from drug courts to support recommendations to remove restrictions expanding use of medical assistance treatment. 9/30/16 DCF Objective: Remove barriers to evidence-based treatments Collect data on use of Narcan in Florida 9/30/16 DCF Develop presentation to educate and promote use of effectiveness 9/30/16 DCF treatments such as Narcan, Naloxone Exploring statewide standing order by State Surgeon General 9/30/16 DOH Obtain legal option on standing orders 9/30/16 DOH Identify other evidence-based harm reduction strategies (e.g. needle exchange programs) for inclusion in the annual report 9/30/16 DCF

Create and Communicate a Call to Action Objective: By 12/1/16, produce and communicate the annual report. Review data and identify prioritized list of recommendations 9/30/16 DPAC Identify hard ROI (return on investment) for all recommendations 9/30/16 DPAC Staff to draft for review/approval by DPAC members 10/31/16 DPAC members Brief agency heads on DPAC priorities 10/31/16 DPAC members Route for approval by State Surgeon General 11/1/16 Bencie Report approved 11/30/16 State Surgeon General Prepare one-page overview (visual, easy to read, comprehend) 12/10/16 DOH Brief Governor 12/10/16 State Surgeon General Schedule briefing with key legislators (Senator Soble or new chair) 12/10/16 DPAC Schedule press briefing 1210/16 DPAC Hold stakeholder summit to share report 12//31/16 DPAC