DPAC Minutes May 2018
DRUG POLICY ADVISORY COUNCIL MEETING MINUTES
Date: May 3, 2018
Location: Pape State office Building, 215 East 7th Street, Des Moines, Iowa
Called to Order: May 3th at 1:00 p.m.
Adjourned: May 3th at 3:30 p.m.
Voting Members Present: Barb Anderson; Vern Armstrong; Marty Duffus (for Dave Lorenzen), Paul Feddersen; Thomas Ferguson (for Jennifer Miller), Kevin Gabbert (for DeAnn Decker) Matthew Harkin; Jason Haglund (for Jane Larkin); Bob Larson (for Warren Hunsberger); Dave Lorenzen; Amanda Potterfield, Steve Michael; Jason Sandholdt; and Dale Woolery. Non-voting members: Stephan Arndt; and Jason Johnson (for Chuck Connors).
Voting Members Absent:
Katrina Carter, Chris Wilson (excused).
Guest Presenters: Doug Hurley, Shawna Isaac, Nicole Quade, Sarah Reisetter, Amanda McCurley, David Parziale
Other Guests: Crystal Arroyo
Staff: Dennis Wiggins
Welcome and Introductions
Interim Director Woolery called the meeting to order and welcomed attendees.
Approval of the October 5, 2017 minutes
Motion to approve minutes. Minutes approved.
What You Don’t See
Doug Hurley (Division of Narcotics Enforcement) and Shawna Isaac (Des Moines Police Department) briefed the council on a project from the Iowa Narcotics Officers Association (INOA) titled What You Don’t See. The project is designed to raise awareness and help identify signs of youth drug use by staging a bedroom with various drug paraphernalia, packaging, concealment aids, and pro-drug images which are commonly found in the room of a drug–involved youth.
The project includes a three phase educational experience, starting with an introductory video presenting real life experience of Iowan’s affected by illegal drug use. The second phase is a walk through the bedroom where potential signs of drug use are identified. The third phase includes access to educational materials which can be taken home.
Local officers and substance abuse prevention staff will be present in each of the three phases to instruct and respond to questions.
The What You Don’t See program is a mobile, trailer based, operation which is available at no charge to communities throughout the state. Requests must be made by an INOA member who has completed a short training on the project. The trailer will be staffed with at least three people, two of which must be law enforcement officers. Requests to schedule the trailer can be made through the What You Don’t See website – https://whatyoudontsee.com.
AmeriCorps/VISTA Opioid Response
Nicloe Quade, David Parziale, and Amanda McCurley briefed the Council on the Corporation for National and Community Service (CNCS) opioid initiative. The CNCS is the federal agency for volunteering and is the umbrella agency which includes Senior Corp, AmeriCorp, and other service programs. Nationally, the CNCS has invested over $10.5 million in opioid-related AmeriCorp and SeniorCorp projects, supporting 1,200 members in 45 states.
Through the Rural Development and Opioid VISTA project, Volunteer Iowa recently placed Vista service members in three Iowa sites to assist with planning and organizational capacity building to respond to the opioid crisis and to help bring individuals out of poverty.
The Iowa Department of Public Health has been involved with the Americorp Substance Abuse Prevention program for several years. Americorp members are placed in communities throughout Iowa and provide direct service to the community. Thirty one members have served at 12 local sites with an emphasis on mentoring and on opioid and prescription drug misuse. Since 2015, AmriCorp members have recruited 1,281 new mentors and volunteers who donated nearly 6,000 hours service. Members have created and facilitated 84 trainings benefiting 676 participants.
Medical Cannabidiol Update
Sarah Reisetter from the Iowa Department of Public Health presented an update on Iowa medical cannabidiol (mCBD). Sarah reported that the IDPH has issued the first of up to two manufacturing and five dispensary licenses.
The IDPH is in the process of developing Administrative Rules. Rules have been developed covering qualifying debilitating medical conditions and the regulatory framework for manufacturing/dispensing. Rules are being developed to cover laboratory testing and the form and quantity of products that will be available in Iowa. The rulemaking process is expected to be completed by the end of the fiscal year.
Limits on the quantity and form will include:
- 90 day supply of each product purchases at a dispensary
- Manufacturers will be permitted to manufacture products in the form of oral/topical/nebulizable/and suppository.
Sarah reminded the Council that physicians do not “prescribe” mCBD, but a physician is required to certify that the patient has one of the qualifying conditions and provide them with information developed by IDPH on the use of mCBD. Patients or primary caregivers can obtain a CBD application from IDPH. If approved by IDPH, the patient or primary caregiver must go to an Iowa DOT location to obtain the registration card. IDPH will maintain a CBD patient registry which shall be used by dispensaries to verify patient/caregiver registration. As of April 19th, the IDPH has approved 290 patient cards and 91 primary caregiver cards.
Per state statute, a Medical Cannabidiol Board has been established, comprised of seven physicians, 1 pharmacist, and 1 law enforcement official. The role of the board includes:
- Accepting and reviewing petitions to add/remove medical conditions
- Making recommendation about addition/ removal of medical conditions
- Working with IDPH regarding requirements for licensure (complete)
- Advising IDPH regarding the location of manufacturers and dispensaries (complete)
- Making recommendations about form and quantity of mCBD (complete)
- Making recommendations about THC cap (currently 3%)
Sarah reported that the initial rulemaking process will be finalized by late June, a second manufacture could be licensed by July, and the manufacturers will begin producing mCBD by October. Product is expected to be available for purchase in December.
Community Mental Health Update
Sheriff Sandholdt updated the council on HF 2456 which provides for consistent access to mental health and substance abuse services. The bill requires the establishment of a minimum of six regional access centers. Sheriff Sandholdt indicated that the details on where the centers will be located and how they will be organized and operate have yet to be worked out by DHS, but they have already begun reaching out to stakeholders for input on the planning process.
HF 2456 also charged the Department of Human Services to convene a stakeholder workgroup to review the commitment process under Iowa Code Chapters 125 and 229 and make recommendations for improvement in the process and any amendments to law to increase efficiencies.
Dale Woolery: Provided a legislative update on bills involving drug control issues. See handout attached.
Matt Harkin: The Des Moines metro is fortunate to have mobile crisis teams and medical facilities. Nearly all mental health crisis responded to by the teams have a correlated substance abuse issue.
Jason Haglund: Central Iowa is expanding the coverage of first responders who carry Naloxone. All law enforcement in Story County have been trained and now carry Naloxone.
Kevin Gabbert: IDPH is involved with five different grants focusing on opioids. Alcohol, meth, and marijuana remain the most abused drugs in Iowa. IDPH will be rolling out some public service messages focusing on methamphetamine in the near future.
Stephen Arndt: Working with Veteran Administration to identify vets accessing local treatment and identify why they use community centers and how the Veterans Administration can assist.
Barb Anderson: Project Aware grant funding through SAMHSA is available to assist with community mental health crisis training.
Jason Johnson: Civil operations is focusing on cocaine, methamphetamine, and marijuana. The Midwest Counter-Drug Training Center continues to provide no cost training and is able to provide the training in your community.
Steve Michael: The Legislature directed CJJP to conduct an interim study on specialty courts cost and their effectiveness. The Juvenile Justice Improvement Assessment project findings are mostly positive. Primary needs for improvement includes mental health and racial disparity.
Vern Armstrong: DHS is working with stakeholders on implementation of HF 2456. A new medicare provider will be announced soon.
Paul Feddersen: With the help of IDPH, every officer in DPS will be trained and will carry Naloxone. DNE agents are seizing record amounts of meth. Opioid/fentanyl seizures will likely double in this fiscal year compared to last year. Other states in the midwest are finding fentanyl in cocaine and methamphetamine.
Next meeting will be announced at a later time. There being no other business, the meeting was adjourned.
Dale R. Woolery, Interim Director