Public Safety & Criminal Justice Reform Committee - Regular Meeting

I wanna call to Toledo City Council Public Safety and Criminal Justice Reform Committee meeting of 03/20/2025. Clerk call the roll.

Hobbs? Here. Williams? Hartman? Here. McPherson? Here. Morris? Here. Sorantu? Here. Quorum present.

Thank you all for being here this afternoon. We are this is a continuation of a meeting that we started with the One Ohio Recovery Foundation. I wanna acknowledge our council president, president Hartman, is here. And we are trying to show the funding and how this funding is operating, how the agencies are using the funding, how it's helping them. And, ultimately, our community then has an idea as to who they can go to to get help for this very serious epidemic that is happening in our country.

And so I wanna welcome you here today. Thank you for being here. And hope I got it right, miss Alicia Nelson, the one Ohio executive director. Thank you for taking time to come to our city and help us understand this and serving in this way.

Hopefully, I turned that on correctly. Thank you all for the opportunity to come to present, share a little bit about who we are, what we're doing. I'll start with a little bit of background around what we're dealing with and how we got here with the settlements. And then I'll finish with the work that we've done over the last year since I've been the Executive Director. Happy to take any questions at any point in time.

But really thank you for the opportunity. I just wanted to spend some time with this concept of addiction, and it is a treatable chronic medical disease involving complex interactions among brain circuits, genetics, the environment. And all of these things are what we're going to be talking about today. And this is what has brought us together as a foundation and what we're addressing when it comes to substance use disorder. And we understand this disease to be a progressive disease.

And it really starts with anyone, right? It can start with any family member. It holds no discrimination across economic and social standards. It can start with just harm what some may think is harmless everyday use and it progresses its way to a substance use disorder. And that's from caffeine to tobacco, to marijuana, all the way to illicit drugs.

And today we're going to talk a lot about the opiate settlements, but it's just a part of what makes this conversation important. The disease of addiction is is is has many characteristics. It's a chronic disease, just like heart disease and diabetes. It's a treatable disease and we want to make sure that people know that. Although there are some days that hope seems lost, there is always hope when it comes to this disease.

And so we want to make sure that that's a part of our conversations. And we know that it's also a potentially fatal disease. And we've seen that in our overdose death rates. I'm sure as you all have looked at the counties and the city's numbers, it's alarming to see what's happened over the last decade or more. And we understand this disease to have, and many of the one of my good friends who mentors me that is a clinician talks about this as a bio psychosocial disease that really legged stool that needs all these things need to be treated at once, which makes this disease so complex.

And that makes our treatment providers who we funded or here today so special because they understand not only they have to treat the health of a person, they have to treat the family connectedness that that person experiencing the disease has and as well as working on that purpose and and really getting them back to work in the community has all been a part of a number of the programs that we funded that we'll talk about today. Why this is important for Ohio? For some reason, and I think I'm looking for the research just as you probably are, Ohioans are abusing abusing and developing substance use disorders at a higher rate than the national averages. I have some of the statistics here, but the one I'll point out today is, you know, nationally seventeen point eight percent of United States residents are experiencing substance use disorder in Ohio. That number is nineteen point two percent.

We don't know why that is, but we want to make sure that it's in. It's an important piece to why we gotta con. We must continue our efforts to address this disease and figure out solutions to make sure that this doesn't continue as a trend. What we know and the good news is while there's still much work to be done to mitigate the ongoing epidemic, the CDC trends are state trends have shown the decrease of overdose deaths in recent months and years. And we'll talk more about that here in a moment.

But you know when we think about that decline, we want to just point out some of the things that are being recognized as supporting factors. Not only are our treatment providers doing excellent work, but we see targeted distribution of naloxone as an effective strategy. Access to the evidence based programs that we'll talk more about today has been definitely a game changer. Resumption to pre pandemic prevention and response programming. Those efforts to communicate to the public of prevention messaging that's evidence based are working.

And then shifts in the illicit drug supply from things like carfentanil and fentanyl to xylazine and methamphetamines, which just naturally change the course of that chronic disease, that substance use disorder, and the effects it has on the body. I think one of the important pieces to this as we think about that decline though, is that it's not time to take our foot off the gas. There is still much work that needs to be done as it relates to addressing this crisis, and this is exemplified by the Ohio Department of Health report in 2023 that showed an overall decline in overdose death rates and unintentional overdose deaths, but then also shows demographic groups that are disproportionately impacted and rates continue to rise amongst some populations. And so we contemplated that and shared a snapshot of what those look like. Overall, the unintentional drug overdose rate was thirty nine.

When you look at men in particular, it's fifty four point three. And when you look at black men as an example, it's one hundred point three. And so there are certain demographics and populations that we really need to be tuned into and making sure that all the services we have are reaching populations that are in most need at the time. One of the things that we talk often about and why I mentioned heart disease and diabetes is the reason why we still have so many people that have not sought for treatment is the stigma associated with this disease. Forty four percent of the people with a substance use disorder who did not receive treatment cited it was because of stigma that they didn't go.

And so we want to make sure that we're having these these conversations and we really appreciate you all bringing this to this committee and elevating the need for conversations moving forward. What we know works is a number of things, and we're going to talk through a few of the programs you're going to hear about who are doing excellent work in our communities. But they all exist for the most part in the what is called continuum of care. And so everything from prevention, harm reduction I know I was talking to one of your folks that are working on harm reduction here today treatment and more important and equally important recovery supports are a part of what you'll hear from today. And so these programs kind of fall in line with the continuum of care.

What we want from all of these programs, and I think I skipped through, is really recorded and evidence based. And so we know that we need to have prevention, screening, early intervention, treatment and management of these disorders, as well as recovery supports. And we need to make sure that we're engaging these individuals for a long period longer periods of time. And so what you see on the chart titled lasting impact is that for individuals with substance use disorder, keeping them in those services for zero to one, one to three or three plus years really increases their opportunity to maintain their recovery for a lot for the long term. And so you see that in the chart there at eighty six percent if we can keep them engaged for three three or more years.

All of this kind of brings us back around to how did we get here? How did we get to this foundation? I want to talk a little bit about the settlements themselves. I'll speed through some of the details of that. And then if you have any questions, I'm happy to answer what I know.

And then I'll speak to One Ohio Recovery Foundation itself and what we've been working on. As you are well aware, we've been working a long time, and I'm going to kind of skip through this timeline over the next few slides to just showcase how this has been long in the making. These conversations, the settlements themselves started way back in 2017, and we luckily were able to reach the One Ohio MOU, which we we all refer to as the one Ohio MOU, the memorandum back in 2020. And so since then, you know, things were put in place to continue the settlements and and and that's what you'll see on these coming slides. So in those one Ohio MOU, it allowed our state to negotiate with the pharmaceutical industry.

And in those negotiations we laid out a plan that puts 55¢ of every dollar to this foundation that I'm proud to be a part of. 30% of every or 30¢ on every dollar comes straight to local governments, which I'll talk a little bit more about in a moment. Moment. Then $0.15 on every dollar goes to the state of Ohio. We did not.

The foundation did not receive our first payments on those funds, although it MOU was signed in 2020 until March or March 2023. And so since then I was hired in September 2024. We've been working or excuse me, September 2023. We've been working hard to get our first round out the door, which I'll talk about in a moment. But one Ohio, the foundation is estimated to receive about 800,000,000 over the life of the over the duration of the settlement payments.

And we'll keep talking through that. The local government share, the 30%. I just wanted to spend a few moments in case this is helpful to you. As you know, we don't manage distribute or have a role in those 30% share to you all at all. And there's a lot of information on the Brown Greer website.

Who is this? The settlement administrator administrator that distributes those checks. But there is some guidance that I wanted to make sure that this council was aware of from the auditor of state and and that information is in the slides that really details what is possible when it comes to how the auditor would like to see these funds treated and segregated within your accounts. When you or if you have any questions related to how much money has Toledo received, we do have an opiate settlement tool on your on our website that will allow you to take a moment to get the information that will give you the totals for what has been paid out and also what's estimated. The settlements themselves are moving, and there's a lot of movement within even the news and the Supreme Court decisions that are happening, but Brown Grier's website and this website should be able to give you that information over the long term.

What's important to note in all of this is that all three funded entities, the foundation, the local governments, and the state, all are operating under what's called the approved purposes. And you will see that as a part of the programming that we're going to talk about today, all of the funding that we provided to the community thus far falls into one of these 10 buckets. And so we'll be happy to answer any questions about the approved purposes as listed in the MOU. And really there are a number of comprehensive frameworks that can guide any future decisions of this council, but they're that have guided us to just speak to our ability to fund, assess, and collaborate, which is really the impetus of the work that we do at the foundation. So a little bit about us.

This will be the last few things that I will share, and I'd love to love for you to hear from some of our grantees that are here today. But we are a nonprofit charitable foundation, and I of

of

we're

we're California. And

in one of our eight metropolitan regions across the state. We have leaders from each of these regions that serve on the foundation board that governs us. 11 members appointed by the non metro regions, regions, eight members appointed by our metro regions, five statewide appointed by the governor, four by the general assembly, and one by the attorney general. I am proud to be a partner with Scott Silek, who represents Region 4 on my board and has been a great mentor to me over the years. So really, really great resource that you have here in your community.

Our purpose is threefold. We we really think about this not only from a foundation perspective of funding, but we want to be an advocate and we also want to promote health and safety. And so to the extent that we can partner with you grantees, our universities in the state, and those around the country to just show what's working and hope to duplicate those efforts as quickly as possible, we will. And so we're excited to be a partner in that way. Last year, I won't read through all of this, but last year we put together our first grant round.

And we received over 1,400 applications from organizations across the state of Ohio in those 10 kind of abatement strategies, what we call them areas, whether that's treatment, harm reduction, recovery, supports, prevention. And so what that landed us with as we close out that first round is that in our 2024 regional grant cycle, we awarded over 45,000,000, a little over $45,000,000. We funded two forty five projects that represent two zero organizations. Some organizations were funded in multiple counties. The process was important though.

And so with those applications we worked with the region representatives that are volunteers from your community. They weighed in and recommended the projects that they thought made would make the difference here locally, and recommended those projects to our board. And we're very proud to be able to have funded those groups. From this chart, you'll see that the two areas that we have funded the most are prevention and recovery supports. And we were really proud to be a partner in those things because they are traditionally underfunded programs across the state.

And so we we really feel like we were able to fill a gap and a need across the state and certainly here in Lucas County. So what that looked like for this area of the state that was $2,140,000 awarded to eight organizations. You're going to hear from some of them, so I won't steal any of their shine here today, but they're all listed in your packet. If you wanted to take another look organizations and and really it was clear that you all had a priority in this community to fund programs for prevention, recovery, supports, and then I think our third most important category was services for impacted children and families. And so you're going to hear from those groups later today.

But as I close, I think that just a few things to leave you with, you know, as I shared a lot today, but if if you hear nothing else to now is not the time to take the foot off the gas. I know that you all are continuing to fund efforts and and really look for ways to address this crisis. Although the overall numbers are declining, there is still much work to do. This is a problem that will be with us. Unfortunately, has been with us and will be with us for a while, and so we need to continue our efforts because they are making a difference.

I would encourage family members and individuals who are in in your purview to to join us at our region level. We have volunteers and we we want to hear from folks and then if there's ways that we can collaborate with you all, we would love and entertain that opportunity to to collaborate. So with that, I take any questions.

Miss Nelson, thank you so much. Thank you for an amazing presentation. I have some questions I definitely want, but I'm gonna have our other council members come forward at this time. Councilwoman Morris.

Thank you. Thank you for coming and briefing us. I just have some issues with the way that things are being either reported or not reported with the funding. I believe in the organizations that you had mentioned that we fund, and I believe our in our local organizations and all of the good work that they do. I don't believe in the state of Ohio.

And I there's been some articles that have been critical of 84,000,000 that has been untraceable in some of in the 158,000,000 that we received in the opioid settlement from 2022 and 2023. So have a real issue with transparency. And maybe you can walk me through some of the things that the organization is doing for transparency. And maybe you can walk me through how the money gets to Ohio, you know, from the government part of it, if it just comes directly to you folks. And then I know that we're, you know, got the regions and such, but I'm really more looking at whose hands are touching the money and how you are reporting it in a transparent fashion.

Thank you for the question. Happy to answer if that's okay. I think it's important to kind of start with the structure. The structure of this MOU laid out that 15% of the funds go to the state and 30% go to local governments. We do not have a hand in those those dollars. They those checks are cut directly from the brown. We're administrator for most. There is a there is another administrator, but for the most part from the administrator to those governments.

So where in the state of Ohio is it? Is it? Is it housed?

It would be with the attorney general's office for the state share as a settlement and then with those local governments themselves. And so every local government, I think there's 1,500 entities that are receiving checks directly from the administrator. And you can go on our website and click the information and find who has been received how much payments as as as it stands right now. Because we do not regulate or oversee those funds, we don't have access to how those funds will be are being spent. But based on the auditor's guidance, it should be handled in a public in the public forum.

So at the end of the day, the auditor is the person who has the role for transparency? Is that what I'm understanding?

At the end of the day, the auditor put out guidance to to really showcase where the explain how local governments in the state should handle it. As a nonprofit, nongovernment, nonstate entity, which is what we are, we put our information on our website. So you can go to our website. Every meeting is public, and that includes all of our committee meetings as well as all of our financials. And every dollar can be tracked on our website and how we've spent it so far.

And so the only expenditures that we've had is the 4% for administrative oversight for our team. The rest has gone to community and direct payments of that 45,000,000.

Yeah. I just you know, we had our last briefing. Scott, Director Sialak was here and as soon as I went upstairs and was doing some work, that article came out talking about the lack of transparency. And and I just again, I just don't have faith in in the state of Ohio and how it handles this. I understand you're a different entity, not necessarily the government arm of of this settlement, but I have some real issues.

And I would hope that the members of the various divisions of of the One Ohio recovery would keep their eyes open because at the end of the day, if money is missing, that is not honoring all of those all of the good work that you do in our community, and it's not honoring those whose lives we've lost in this struggle. So I will continue to push this as much as I can. I've had a member of my family who's passed away from this epidemic, And in her memory, I will continue to fight to give to give all of those dignity. So thank you.

Thank you, councilwoman.

Thank you, councilwoman Morris. Do we have anyone from the audience that has questions for miss Alicia Nelson at this time? Anyone from the audience that has questions for her? Alright. Wanna acknowledge chief Allison Armstrong being here as well. Do we have doctor Phil Akins and the Harbor team? Are they here? Do you wanna come forward and kinda share with us? Are they here? Don't see that. Yeah. They're not

here. Alright.

I know we have the Lucas County Children's Services here. Would you all come to the table? And and miss Nelson, if we can find a way to keep you here just in case they wanna go back and forth. But if you all would come at this time, we would appreciate you. Thank you for being here today. Thank you so much. If you would give us your names and your particular departments. Also glad to have the CEO of Toledo Urban Federal Credit Union, doctor Suzette Cowell, is here as well. Thank you for being here.

Good afternoon. My name is Tiana Jackson with Lucas County Children's Services.

Good afternoon. My name is Chiana Beale and I'm the director of social services at Lucas County Children's Services. Good afternoon everybody. My name is Amy Galvin, and I am the manager of our family and community engagement department.

Thank you all for being here. And I wanna say we do apologize for our our monitors not being on. Miss Mary is the greatest IT person you will ever meet. There's nothing she can't do. So something is really, really wrong if it's not working when she has her hands on it. So but we're we do apologize. Had we known that, we would have handouts for everybody. And if you desire to have one, we will make copies and make sure you get it.

Thank you. It's an honor to be here before you guys to discuss an exciting and transformative opportunity for families in Lucas County. Our agency, Lucas County Children's Services, has been awarded $463,802 through the One Ohio grant. This funding is more than just a number. It's a direct investment in the well-being of our children, families, and community.

Today, I want to share how this grant will directly impact the families we serve and why it is a crucial step forward in collective efforts to provide stability, support, and hope for families. As many of you know, substance use disorder is one of the leading causes of child welfare involvement. Just in 2024, forty three percent of our cases that were opened involved substance use as a primary factor. Of cases involving substance use, thirty seven percent of those cases involve heroin and opiates. Too often we see families struggling to stay together because of addiction.

Many families find that they've lost connection with loved ones or connections have been weakened over time. The good news is recovery is possible and with the right support families can heal and thrive. With this grant funding, we will enhance our services to ensure that families experiencing or have been impacted by substance use related challenges receive the resources and interventions they need to stay intact and strengthened. This includes wrapping natural and community support around families impacted by opioids. We emphasize in our grant proposal that it is critical to increase and strengthen kin support for parents and for children.

We also want to give families kinship options when out of home placement is necessary. We believe that children do better when they can remain within their family systems when safe and appropriate. What we also know as a child welfare agency that we cannot do this alone. That's why our grant has partnered with three key programs, within the, within the county. We have teamed with Ohio Start, Connect to Family, and Kinship Navigator services through Area Office of Aging.

These are all evidence based programming. First, our collaboration with Ohio Start. It stands for sobriety, treatment, and reducing trauma. It's been in place with our agency in a partnership with TASC since 2020. This program provides families with a much different approach.

It consists of a caseworker, a family peer mentor with real life experience in addiction, recovery, and child welfare involvement. This allows the worker to focus on child safety resource linkage while the peer mentor provides the live experience of navigating the challenges of treatment, recovery, and the system. I am proud to share that in 2024 our Ohio Start supervisor was named supervisor of the year recognized recognized statewide for their outstanding leadership. Additionally, in 2025, our program was certified, meaning we are meeting the highest standards of the Ohio Start program. Since implementation, Ohio Start has served 46 families, making a significant impact within our our community.

Our agency has invested in this model, and we have currently two teams also known as dyads. This grant will support our expansion of a third dyad by providing resources, linkage, and kinship support. Our agency is committed to bringing Ohio Start to all families and providing a different approach to addiction and recovery that focuses on healing, support, and reunification whenever possible. Next, we are partnering with a statewide program called Connect, which will help us with intentional family finding. Connect to Family is an innovative program that strengthens family connection for children in care.

The family finding approach goes beyond just identifying potential relatives. It's a thorough process that locates and engages extended family members in ensuring that children are placed with kin when safe and appropriate. Once family members are identified, identified, Connect to Family helps us engage them meaningfully. The program provides resources, guidance in navigating the child welfare system and connecting to local service. This ensures that kinship families are supported and prepared to offer, stability and care for the children in need.

We are also incorporating the youth roundtable approach as a part of this collaboration with Connect. This approach brings together key community members, family members, service providers, and others involved in the child's life to develop a holistic support plan. The roundtable is designed to create a collaborative unified approach and ensuring all aspects of child welfare are considered and that child's connection to family are not just preserved but strengthened. Lastly, we are partnering with the Area Office of Aging's Kinship Navigator Services. Once we have identified kin, we know that they need support and resources for them to be successful.

In 2023, the Kinship Navigator program saw a 200% increase in referrals for kinship caregivers needing support that were referred by Lucas County Children's Services. The Kinship Navigator Services will expand the support group or will expand support groups for caregivers, provide publication called Empowering Kinship Families Resources for Opioid Recovery and Prevention, guiding good choices support groups, and launch a podcast specifically addressing the needs of caregivers. Through these resources, this grant will allow us the ability to provide over 120 caregivers with this information, resource linkage and support per year, and an opportunity for over 40 caregivers each year to engage and attend the Good Choices Support Group, and reach over 2,268 individuals with a podcast on the w on WGTE platform. This partnership ensures that our kinship families have the tools and resources necessary to provide stable, supportive, and loving environment for children. We have a group of people here that are supporting this grant.

We have our board members. Again, our chair of our board, Doctor. Suzette Cowell, also Janata McCullough. We have, leadership from our executive director Randall Muth. In addition, Shelby Cauley, our chief counsel.

We have Amy Galvin here who is the lead of our grant implementation and the manager of our family and community engagement. And Tiana Jackson, the manager of family services and also the head of our Ohio STAR program. Our grant will launch in 2024 and together we're committed to supporting families and making a real lasting impact on our community. Any questions?

You lucky you wanted to say something.

No. No. I'm good.

Unless you have questions,

I can answer them for you.

Councilwoman Morris.

Thank you for the important work that you do. Seeing children that are affected by this disease is just it really humbles you and it makes you understand that the demons walk amongst us. And I've had many friends who have worked in the foster care and trying to deal with babies and young people who were born addicted. And everything from sight ish, you know, problems to attention, you know, acting out. And so I just wanted to say thank you.

Thank you on behalf of our community for the hard work that you do. I can understand burnout and I can understand how sometimes it's hard to leave it in the office and to not think about it as you go home to your own family. So thank you very much. Thank you.

I want to say thank you for the amazing work that you do with with with the children. I just that's just I don't I don't know if mentally I can handle that every day. I coached girls basketball for thirty years. And some of the places that my coaches and I dropped those young girls off to after practice, or we picked them up before practice. It was I I just know adults should have been living there.

And many times, these young ladies were going home to take care of two and three babies. The only meal they were getting was after practice, the meal we gave them as a a a pregame meal for during study table. And so I can't even imagine what you see sometime what you hear sometime. And there are some people here that I know in our communities. We saw the effect of crack cocaine very real.

It was a little and it wasn't it wasn't even close to the help that you see now. Was not even available. The help was put them away in prison for the next thirty or forty years. And the babies were just left for big mama or nana or grandma or granny. And if she died, there was nothing.

And so to see the amazing effort and energy energy that you put in. I met with Jeff Delay the other day from Unison and some of the things that he told Andrea and I dealing with children. And then then when they deal with the children, they're a lot of times, these children wind up when they're taken from home, they wind up in other states. Like, they don't even it's one thing if they're in another county or city or somewhere still in Ohio, but for this child to wind up somewhere in another state and to receive treatment and then have to be brought back. So I the amazing work, and I had a great relationship with your previous director, miss Reese.

And it was just as counselor Moore said, it's it's just amazing, when you look at children. And so I I I thank you for being here today. And, it's definitely not about pay because there's nothing you could pay a human being for what it cost to take care of a normal child in a normal situation and to take care of children that are dealing with that are traumatized. I know we'll forget last year, councilwoman Morris and I were in a community meeting together, and there was someone there that was proclaiming city council for this and city council for that, and city council doesn't do this, and city council doesn't do that. But they had some type of program, and they were gonna treat traumatized kids with trauma.

I said, what type of sense does that make? That you're gonna take a kid that's been traumatized, and you're gonna cure them with trauma. Like, are you insane? I mean, you know, so thank you. I I hope that you will continue this work.

And if, you know, whatever we can do, councilwoman McPherson has years of service through TPS to children with with a lot of the needs that you're talking about. And so just just thank you. I don't know what else to say, but but thank you. Any questions from the audience? Any questions from the audience? Anyone in the audience have question? Alright. Director Scott Slilak, thank you so much for being here today. Thank you.

Thank you

so much.

Anybody have anything anything for us? Anything? Alright. Thank you. Do we have representatives here today from the CEF Center?

Would you please come on down? For you all that are in attendance today, I hope that one of my hopes for council members, for you all that are in 10 attendance is that when there is the talk of what city council is not doing, what our city is not doing, what our community is not doing, I hope that you have the courage in the midst of who's ever saying it to call them liars and say that we are. Our city is working hard. Our administration is working hard. Our community leaders are working hard.

Our council is working hard for someone like doctor Suzette Kyle who runs what she runs, and then she's still the board chair. I mean, there is for mister Muth who came here and has an amazing story, please be the sounding board to say that's not true and that we are. And please reverse the question to them and ask them what they're doing and stop depending on others, but ask them what they're doing. Miss Nelson, you still on the high seat, aren't you? And so we have miss Deb Flores here.

We've had several amazing meetings. She, myself, Andrea, her staff. And I'm extremely thankful for you being here, the community that I grew up in. I you all of these amazing agencies here, and I thank you that you're still serving. So, miss Flores, the floor is yours.

Good afternoon, Council, and thank you for the opportunity for us to share some of the work that we're doing and our recent award by One Ohio. My name is Deb Flores. I am the CEO of Zeph Center. I have been in this role since about 2017. To my right.

Hi, I'm Brandon Smith. I'm the Senior Director of Recovery Services at ZEF.

So what we'd like to talk about is a little bit about the ZEF Center to kind of give you the full continuum of care and then to talk about the recent award that we had. So Brandon and I are gonna tag team. It'll be pretty informal and feel free to ask us questions. So the slide that you see is the full continuum of of care at Zeph Center. We are about a $42,000,000 healthcare. We call ourselves a healthcare organization because we provide medical services to include primary care. We have a pharmacy on-site. We have adult psychiatry team. I have probably one of the largest teams in Northwest Ohio. At any given point I have about 35 providers that include psychiatrists to a handful of nurse practitioners and one physician assistant.

And we also have therapists that are on the mental health and addiction side of the house. We also have youth services that support young people. Many of them we partner all the time with children's services. And they have adult or youth psychiatrists and youth therapists. We have the only runaway shelter in Northwest Ohio.

I usually say when I talk about us we have at any given point about 200 people that spend the night with us. And that could be from living in one of our group homes, our apartment complexes, our runaway shelter, our crisis stabilization unit, our detox unit, and any of our sober living houses. So we always have many people that stay overnight with us. We have the SUD which is substance use disorder. We use a lot of acronyms in this industry. So I'm gonna have Brandon talk a little bit about that part of our continuum of care.

So one of the great things about ZEF and one of the reasons I came to ZEF from my previous job was the continuum, right? So a lot of places have recovery partial hospitalization programming or they'll have outpatient treatment. ZEF has it all. And ZEF also does all of the federally approved forms of medication assisted treatment or sometimes it's called MOUD or Medications for Opiate Use Disorder. So ZEF does that whole continuum from methadone, Suboxone, Vivitrol, inpatient detox, inpatient residential, recovery housing, all the and then on top of that we do we have a recovery support center.

We run some of the large we host some of the largest 12 step meetings in the county at our building on Ashland. And our recovery housing is one of the largest in the state, and it's been certified since 2015 through Ohio Recovery Housing. So one of the things that ZEPF has been an early adopter of that really sets us apart is our peer services that we have. And we'll get into that a little bit more when we talk about what we're using the money from One Ohio for, but having certified peers in our programs that have lived experience, right, that can provide that hope and healing. We also have one of the largest gambling treatments in the state of Ohio.

Right? So I could keep going.

Problem gambling awareness month. Right now, we toured the casino this week with the gaming commission and dropped our podcast. We have a podcast. It's very insightful and talks a lot about the what what creates gambling addiction. You know, what is the warning signs, trigger signs, and things like that. Well, and things like that. Thank you. One of the other things that we are the crisis provider in Lucas County. So that includes everything from 20 fourseven call centers. So if you call our number we have staff that are available to really safety plan, see what the situation is.

When we took over crisis services I was really surprised at the number of calls that would appear to be more of a nine eleven call. Domestic violence, someone has a gun, someone has a knife, but they're calling us because they don't want their loved one to be arrested. So they think if we come out and we respond, it's gonna not end up with incarceration or anything like that. And so we work with all of our safety partners from the fire department to local police TPD to all of the municipalities, Sylvania, all of those folks for crisis services. We have a 16 bed unit for people which is a lower level of care than a hospital.

So someone could present at the door and say that they don't feel safe in their own home. They don't feel safe that they could take care of themselves. They might harm themselves or someone in their family. We have within twenty four hours we will have a psychiatrist available to do an assessment and provide medications if necessary. So crisis services and workforce development.

You'll see in one of the photos that we this happened on Monday night. This would be slide number four. All of the gentlemen in the photo, there is a release on file, graduated from our fatherhood program and they live in our sober living house. So workforce development, we have a SAMHSA grant that's about $7,500,000 for five years to create fatherhood programming which ties people to employment, job training. We use a nurturing fathers curriculum so that we can bring families back together and try to support a two parent household and have good relationships.

And so that's part of our workforce development. I think Brandon talked a little about the peers. We have peers working in 18 different departments in our organization. From IT support to Brandon runs the kitchen in our sober living house. They could be working in there. They are in the call center and providing every level of employment in our organization.

Yeah. So the next slide you'll see on three is the four dimensions of recovery. These are from SAMHSA and it's Health, Home, Purpose, Community. So everything we do within our agency, especially related to recovery, we're working on those four big pillars of recovery. So health, you know, Deb just touched on the fact that we have primary care and integrated primary care.

I'll kind of jump ahead a little. One of the outcomes of the so what we did with the One Ohio Money is employed some additional certified peer supports and one for an activities of daily living peer to help with some skills that our clients and residents don't always get to build. And so one of our strategic objectives is to link more people to our primary care, right? A lot of times, mental health, substance use, you're neglecting your physical health, or you don't have access, or you've struggled to engage in those things. And a lot of those things can mimic other things.

It's hard to know we're an integrated person, right? And so I heard earlier talking about the biopsychosocial model, we have to treat it all. We can't just treat with therapy. We can't just treat with medication. We can't just treat with primary care. Home, like Deb said, we house over 200 people every night from our OMAS licensed group homes to our recovery housing to our inpatient units. The purpose is through work, school, volunteering, and creative endeavors. We all have purpose. That's why we're here today. That's why we get up.

That's why we keep doing the stuff that Children's Services is doing. There's purpose in it. And that's how you get through some of these really hard things. And so we got to give our clients and the people that we're serving that purpose as well. So we do that through linking them with volunteer opportunities, through helping them find work, helping them go back to school, and Deb touched on a few of those things.

And then one of the last ones is the community. And I think that's one of the while certified peers play a role in all these dimensions, that's one of the big ones. One of the most- the biggest thing for recovery is often disconnection. Most emotional isolation, right? Talk about recovery is that addiction is isolation and recovery is connection, right? And so having someone that is trained but has also been in somewhat like your shoes that you can connect with helps break down so many barriers. So we are addressing all of those through our grant award with our certified peers.

So what I did is I listed a hyperlink here to the Ohio Recovery Housing Certified certification. What it takes to be a certified recovery house. And I think Brandon mentioned that. And so there's different levels of care. And the higher the level, the more expensive it is for us. And so we currently have five properties. We don't list their addresses because we that's their home. It's where they live. It's where they live. And so we just don't like to advertise, Oh hey, there's people living in a recovery house there.

And so that is a photo of one of the largest ones that we have. And we currently have about 95 men that live in that facility. It was an old dormitory. And so can you imagine 95 people coming out of recovery that are filled with emotion and many of them have their life's possessions with them. And so we have many challenges as it relates to the facilities and behaviors and just helping them to stay focused on their journey of sobriety.

And then we have Level two houses as well. It's not as intense the amount of work that we have to do. It's for people that usually step down from the level threes. And one of the in One Ohio what we were awarded for was the recovery support abatement strategy. As Director Nelson mentioned there were different abatement strategies. This is the one that we felt really resonated with us. And by region they picked what you were allowed to apply for. And in our region I don't believe we're allowed to apply for capital dollars. And that's really what we need at ZEPF Center. I don't know about other Silver Living houses.

But what I wanted to say is that it's $400,000 for two years. So 200,000 each year. And I put two photos in there. One is we were able to from some of our workforce development dollars is to create a computer lab in the basement of this one facility. So that people could actually have they could do their appointments. They could apply for jobs and have interviews. They can do job search. Anything that they need to do we have a computer lab. And then the other facility is a house in the old West End. And as you can imagine there's a lot of upkeep and we put in new flooring.

And so the women there create their own meals. They grocery shop. They community live, about 12 of them, in that facility. So Brandon's going to talk a little bit about the I know we talked for a second about what we were funded for One Ohio, Ohio, but the actual duties of the peers that we employ were employing.

Sure. So we have two certified peer support specialists. So that's a license from the state of Ohio governed by the Chemical Dependency Professionals Board that has been newer. And they are one of their primary roles is doing recovery plans, right? So when you go to treatment, you're going to meet with a therapist, you're going to meet with counselor, they're going to do a treatment plan.

When you go to your doctor, they're going to do some sort of a treatment plan. But those other dimensions of someone's life that you're addressing as a peer support, right? So there's all sorts of the Ohio Code lays out what peer support does and it's a lot different than traditional treatment. So they're going to be doing those recovery plans with all of our residents at the recovery house. So about 150 people that will get more individualized care in that realm of their recovery.

They are working to train them on activities of daily living. So our activities of daily living, shopping, budgeting, getting medication, following through with your appointments, going and building community support. They will be able to provide additional support for those individuals because we know, just like we shared earlier, the longer someone stays in recovery, stays engaged, the higher their chances of success are. Some of the other things that they would be doing is helping them coordinate with our recovery support center, coordinate with local 12 step or self help meetings, things like that to help them engage back in the community. It's one of the biggest telltale signs on if someone's going to be successful is if they're engaging with support, right?

The data shows us that you just add one person in your life that's using and your risk of relapse goes up by like fifty percent. And that's not just with substance use, right? So for post traumatic stress disorder, one of the biggest predictors of developing it after an incident is your amount of social support. So we're addressing this really vital need that while it's been being addressed in treatment for years, it's not necessarily the peers have a special role as someone with lived experience, who know the community, who part of their code of ethics is to share their experience, strength, hope. Right?

So one of the things as a therapist, I'm a licensed social worker, is that you're very careful with self disclosure, right? It's a boundary thing. Peers are it's literally in their ethics. You're going to share your experience. And that provides so much hope. It breaks down so many barriers. So we're really excited to be able to have more peers dedicated to and also while they're working on these outcomes of health, home, community, purpose.

I'm not doing my job if I don't talk about some of the challenges that we continue to see. And so the last page is just really challenge budget. We have aging facilities and we are supported in part by the Lucas County Mental Health and Recovery Services Board. But when you have a true recovery house and it's certified, you're not allowed to have treatment there. And so there are not always good characters in this industry.

And so there are people disclose to us that, Well, if you stay in our recovery house you have to come through treatment with us or we'll kick you out. You have to do these certain things or you're not allowed to stay with us. And so we don't get paid. We think it's their job to be in recovery and working their treatment plan and their program. So we don't charge rent until months after they've been staying with us. We want them in groups. We want them in treatment. And so there is no revenue for this. This is We lose about $800,000 a year in our recovery housing. And so you say, Why do you do that?

Well, we're again we get some funding and so this helps us. But also we had to fix the elevator our big recovery house and it cost us $400,000 This elevator was like 30 years old. We couldn't go any longer without fixing the elevator. And so I think some of the challenges are our buildings and the budget. Staffing everyone's talking about staffing. It's just really complex. We have a union environment and so we have we are not allowed to pay wages that people say, Well, I want this amount. Well, we have a union contract and we have to adhere to that. And so that's sometimes a challenge for us. Multi system challenges.

I think you heard from our friends here at Children's Services that oftentimes women leave treatment because they need to get back to taking care of their children. And so they have many challenges. We have people that are court ordered into treatment, criminal justice, the child welfare system, child support. They see this huge number over their head. I've got to get back to work or they're going to arrest me again. And we want them to stay in treatment. So we've worked with all of our county partners and community partners. And then the multiple barriers to employment. When you have felony records, it makes it hard for you to be employable. And it also aftercare housing is the word I use.

But it's how do you apply for housing if you have you can have all types of challenges for housing related to a criminal history. And so those are some of the challenges that we face. And this is our house in the old West End that we own and we have about 12 women that live there. About 12. Yeah. So any questions for us?

Any questions from the audience for miss Flores, anything? Thank you, ZEPP Center, for the great work that you do, and thank you, miss Flores. Thank you, mister Smith, for coming today. And I know I wanted to ask one question I have. When you're dealing with detox, so is it a certain amount of days that they get, or do they just stay until you think that they are like, is it a certain amount of days, or do they stay until they

There is this thing called the ASAM level of care. And Brandon knows all the what the acronyms mean and he trains on it. And so when you come to us we evaluate you for the appropriate level of care. So detox, we can't keep you in detox for thirty days. We're gonna do an assessment and see based on this criteria and that's called a 3.7 level of care. And I'm going to flip that to you.

Yeah. So there's a couple types of withdrawal management or detox right now. Three point seven is medically managed and three point two is clinically managed. We have both of those. I would say the average length of stay for someone coming in needing a medical withdrawal management protocol with medications and nursing is three to seven days.

One of the how that kind of ties into what ZEP does is our inpatient residential where you can after you're medically managed, right, you're no longer in imminent risk of withdrawal and physical health complications, that we still have an inpatient unit where you're getting thirty hours of treatment a week for fourteen to forty five days. And that's one of the things we don't have enough of in the community, where most of the time people go in, they do three to four days in detox, they go to a recovery house, and they go in partial hospitalization, right? Some people need more intensive services inpatient for longer. Thank you. Councilwoman Morris.

Thank you. I guess I'm going to focus a little bit more on the crisis care. And so we were handed these little cards and it says crisis care and it has a telephone number. Is that the twenty four hour number that we can?

Yes. Help. That is the number in Lucas County.

Okay. And so one of the things that I've been critical of is our police department having all of their all of our officers CIT trained. I think you know it is important that when someone is having a crisis and acting out a lot of times you know they just want that person to stop. And it's not necessarily they don't want them to get arrested. They don't want them to they just want them to get the care that they need.

And so I would really like us somehow as a community to manage, you know, you know, having someone to go out and talk to someone who might be having an issue and putting them in the back of a police car is not usually a good thing to do for someone who's having a mental crisis. And so I'd really like us as like I said as a community to kind of come together in some form or fashion. And I know that you know there's been people out there who've said you know defund the police. No, it's really augment the police. Augment our services so that we can get services to those in a timely fashion.

And so I know even in my own district I've had individuals who have not had enough clothes on and who were in, you know, neighborhoods where it's inappropriate and you know trying to figure out how you know who do you call? Do you call the police? Yes, you know you put something around this person, but at the same time, what is that root cause? Why is this person you know clearly having some struggles? Is it drugs?

Is it mental? Is it coexistence, right? Codependency. So anyway, I guess the long and the short is is that, you know, we up here and I'm maybe I shouldn't speak for all of us, but certainly those who are in the neighborhoods and those who just have family members who are just really going through some really hard times. We're all in it together.

We're all humans. And so, you know, and we're smart and let's let's try to find some way that we can treat people with dignity and and keep, you know, our neighborhood safe for kids to go out and and play. So anyway, I just I just really want to, you know, we really need to promote this a little bit more. I think I think everybody this should be everywhere. This this number should be everywhere in Lucas County so that everyone knows where where to call. Thank you.

We would love the opportunity to come back and talk about the full crisis continuum of care from the twenty fourseven hour to going out and responding with law enforcement to how we partner with the community. We had the diversion grant where if someone calls from the dollar store and said this person's been out here, they're doing public urination or those type of things. Law enforcement drops them off to us. And they don't have to take them and book them. They don't have to take them to the hospital.

We will triage this triage the situation and figure out what is the best appropriate plan for safety for this individual. Sometimes they're just hungry. And so we would be happy to come talk more about some of the things that we're doing. We work with the jail on how do we get people out of the jail. What where can they go? What is the best avenue? And so my team works really well with all of our community partners on finding just the right way to support people. I think that sometimes people want somebody fixed overnight. Plan, and we all have to be involved in the plan.

And that person has to want the help as As

the other challenge, they have to want the plan.

Thank you. Thank you, Chair.

Thank you again for the opportunity.

Thank you. Thank you, miss Flores. I think I just read an article. I think it was Memphis, Tennessee. They built a hospital. I think it was $24,000,000 that is gonna be completely dedicated to mental health. Nothing, you know, nothing but just mental health and recovery. That's it. And I'd love to know how they did it, but that that is an amazing, amazing concept. Thank you, miss Flores.

I'm gonna have doctor Atkins come quickly for us from Harbor. I wanted to ask, miss Nelson, and you would probably just have to get this you could email it to me or whatever. But I was particularly intrigued with, I think, about eight pages in. It talked about overall demographic, and it was 39%. And then men was 54, and then black men was a 100.3%.

And I probably understand of what goes into a lot of that. But if you have notes or anything you could send me on that, I'd really like to just try to understand more why it is hitting black men so hard that it's over a 100%. And so I know there's a lot of things you could probably talk about today, and I don't wanna wear you out. But even if you could email that to me some of those that information, I would really, really appreciate that because that's you know? We can

send you over the range for

some details. Alright. Thank you. Doctor Atkins from Harbor is here. Good to see you, sir. Thank you for being here today. He's not last but not least. He was first. Your mic. There you go.

For the guy who's, you know, ten minutes early is five minutes late, I need to talk to Doctor. Flores over there about getting into crisis services. So I'll just take a moment to catch my breath. Thank you, Chairman Hobbs. And it's great to see Director Nelson, a longtime friend and colleague.

I'm here from Harbor, and Harbor is a comprehensive behavioral health agency. I am just about three years here as a Telodian and enjoying my time here very much. Prior to coming to Toledo, I was Director Silak's counterpart in Union County and also in Algonaguay's Hardin County. So I find myself back at a provider and very happy to be so. One of the things that is probably my greatest interest is prevention.

And we talk so much in our business and behavioral health about problems and healing problems and creating interventions. And all of that stuff is something I'm very committed to. But when I get an opportunity to vision into the prevention space, that's very exciting for me. You know, there's an analogy that preventionists use about a pond where, you know, fish are swimming in a pond. We usually use the analogy of children as the fish.

And progressively their pond has become more polluted. And we tend to blame them for not being able to swim flapping as well or whatever being fish do. But we really have to look at the context and the setting of the environments. And that's what council does consistently. You look at bettering the environment and cleaning the pond for our residents.

And as resident here, I appreciate that. Region four for this initiative was relatively unique. And I can't speak to exactly how many of the regions put prevention on as one of their strategies. But I really appreciate the foresight of people like Matt Bell and Director Sialak for doing that because I think it's really important that we look at populations that maybe need a little bit extra, maybe need a little bit more assistance in coming into community. I loved the quote from our Zeph friends on addiction is isolation and recovery is connection.

And I really believe that prevention is connection. We know that in our senior adults Harbor has senior adult prevention programming that we do, that social connectedness is the most protective factor that we can give our seniors. It is one of the most protective factors we can give our young people. So in looking at the One Ohio Foundation dollars, there were some populations that Harbor has identified in concert with our key community partners, the biggest one being the Mental Health and Recovery Board, to look at populations that may not have specialty programming and may not have the kinds of representation that they may need to be happy and healthy. So our project is to contextualize it a bit to harbor is this is kind of our entree into a specialty set of services for people who identify as LGBTQ.

This is a particularly difficult time for those folks. I'm very proud to live in a community whose council has shown leadership in these areas. I think certainly with things like counsel ensuring that we have resources to make sure that there's adequate healthcare that where folks can understand people who are LGBTQ. So I really appreciate that. So it's kind of into that context set forth this initiative.

And the ideas in prevention is that we have a couple of things that we do. The first thing we do is we have to create a setting. We have to create a setting that is safe and engaging. And we do that by having things like boys and girls clubs or midnight basketball leagues or church youth groups. Or we create settings where people are comfortable and can connect.

And so it's great to have a setting, but we know that we want specific outcomes for our investment in prevention. So we also have to look at things like people's knowledge, their attitudes towards health behaviors, towards high risk behaviors, towards help seeking. Do they have the skills to follow through with some of these things? It's not enough to just give somebody a pamphlet or a class. They actually have to have the skills.

And those are the things that really stack on each other to bring behavioral change. So the Mental Health and Recovery Board about a year ago convened a work group, interagency work group, Zephy's represented, Ohio Guidestone, many of our organizations that serve in the behavioral health space, to look at services for people who are LGBTQ. I was kind of surprised coming from the Columbus area prior to coming to Toledo three years ago that there are very few identified programmatic units that are actually working to serve this population collectively. Lots of great efforts here and there, but one of the things that we're trying to do in the broader context is bring these folks together. So there are four goals that we have as part of our prevention initiative.

And the first is creating that safe space. One of the things that we know, particularly about substance use, is that the setting matters. We also know that there are groups of people particularly for whom alcohol using situations, substance use situations are kind of their collective place. That's where they gather. Gay bar, for example.

That's where folks gather. Nothing wrong with that, but we want to make sure that people have alternative places as well. And so we are creating some social connectedness, which we know is a protective factor. This our project will serve young adults who are 18 to 26. We call those transitional youth in my business now, which kills me because I think I was I had a mortgage and a marriage and a few other things by that time.

I certainly didn't consider myself a youth then. Probably do now, but So is to create those settings where people can come together in healthy, holistic, safe spaces. Knowledge is extremely important. And the knowledge that we're talking about here is the knowledge of self advocacy and being able to advocate for yourself not only in your identity, but in things that will protect you. Things that will protect you from other high risk behaviors.

And certainly we know that people who are LGBTQ are overrepresented in the behavioral health system. They are overrepresented in the addictions treatment systems. That's not because there's anything inherently wrong with them. It's just because we have a lot they have a lot of extraneous pressures. And they have a lot of settings where those things where that high risk use is kind of the norm.

So it was right in line with our vision to create, you know, opiate, methamphetamine, other drugs of abuse, free zones for these groups of people so that they can have time to develop and time to kind of learn about themselves. The other thing that is a concern with many groups who are kind of outside of kind of the traditional populations is having trusted gateways into the behavioral health system. So if it is, you know, if we have communities of color, we need to have them represented and who is serving them and how we connect with them and how we connect with the people who have wisdom in their communities. The same is true here. What we know about the LGBT community is it's not a community.

It's communities. It's many different walks of life, many different socioeconomic statuses, many different, you know, races and belief systems. So the core of our initiative revolves around an evidence based curriculum called AFFIRM. AFFIRM is an eight session, manualized experience educational experience for folks to come in, learn some self advocacy skills, learn some things about themselves, learn how to be successful in community, not only in the LGBTQ community but in the community at large. And also start to take a look at some self assessment to see if there are some things that maybe from a behavioral health standpoint I might want to work on.

At the end of that experience, we have a screening process that we've adapted from an evidence based practice called SBIRT, Screening, Brief Intervention, and Referral to Treatment, where people can self assess and get some additional insight into things that they may need to work on after the class. Key to all of this, and you've heard this I think in all three presentations, is peer support. Peer support is it is the wave of the future and it's not because it's trendy, it's because it works. You know, I remember back when I was just out of undergrad and I was, you know, broke trying to find money and work odd jobs. And I was a substitute teacher.

And I got into long term sub three weeks in a physics class. Now, I didn't take physics. I'm like I'm a human services type. So I was a little intimidated, but I found out that if you read in the back of the book, there were some blue pages that kind of told you what was ahead. And I think peer support is a lot like that. You know, we're going through this experience together, but I've just read a couple of chapters ahead so I know what's next. And that adds such incredible, intense credibility to the experience of connecting with someone. So when ZEPF says they have peer support in what did you say? 18 different categories? That's just a that's thrilling to me.

I am very fortunate to have just come off of the licensing board that is going to be certifying peers and taking that on and have worked on that project now for almost six years. This is an entirely new type of professional. This isn't a paraprofessional. This isn't an aide or, you know, a junior counselor. This is an entirely new type of professional that we're bringing up.

And it's so exciting to see it across these projects because it is it's effective, you know. I think of the times that I personally have had something that I needed to talk with someone about. It was always more effective if I knew somebody had kind of been there, done that. So very excited to see that. So as part of the larger kind of context for this, we will be continuing to establish and flesh out an advisory council for these services based on what the Mental Health and Recovery Board has started and we've started to convene.

We'll be doing some mapping of the many different groups that are trying to do this work and do some coalition building around bringing folks together, around organizing, and just offering a different kind of safe space for folks. And, you know, it really doesn't the belief systems people have about people who are LGBTQ vary, acknowledge that. And what I do know though is that as at Harbor, our core values are Harbor Helps. And the H is it's an acronym, the H is Help First. And we don't ask who you voted for when you came in the door.

We don't ask, you know, if this person agrees with this person, we help. And one of the things that I know from both my professional research and just my observation is that we can have some really well intentioned folks on the front lines. But if they don't have competence in certain areas, well, those good intentions only go so far. And we can have some really competent people. But if they don't have the compassion that goes with it to meet people where they're at, that only goes so far.

So our goal for this is to meet people where they are, to be the H in Harbor Helps, and see if we can bring some folks together in our community in a way that makes them happier, healthier Telodians. Happy to take any questions.

So much, doctor Atkins. Any questions? Any questions? I'm really trying to going once, twice, trying my best to stick to 04:30 because I know you are very busy, and I'm so humbled that you thought enough to be here today, especially miss Lisa Nelson being here today. I'm I'm just I'm very thankful. Any questions at all? Did Richard have something? Richard? Did he have something? Richard?

No. Okay. Alright. Well, thank you again for all of our directors that are here, every agency. The one thing I'd like from Lucas County Children's Services, miss Bill, is you talked about three pieces that you all work in.

And not to belong to time, but if you could tell me, like, are there some core things that you do across all three of those and then some things separately in each one that I can just, you know, under understand that better. And, doctor Atkins, the you talked about having the prevention and having gathering places. The one question I have for you is, do you deal with youth or just adults?

This particular initiative is 18 to 26 years old. But we serve many, many, many kids. The kids space is kind of my one of my domains at Harbor, and we serve a lot of kids. We actually started at birth, early intervention through,

you know, adulthood, so. Thank you, Councilwoman Mc Pherson. Thank you, councilman Sorantu. Again, thank you, president Hartman. Thank you, councilwoman Morris, to miss Julie, miss Andrew who helped put this all together for me. And to everyone that's here, if I did not call your name, please comment to my head and not my heart, but every director and agency represented here today today. I thank you again to chief Armstrong being here. You don't wanna say anything, do you, chief? No. Alright. Thank you. Okay. I'm making sure I wanna recognize everyone. Thank you. And if that be all, this meeting is adjourned.