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Home My WebLink About1998-12-02 VLLA Special Meeting Agenda & Minutes0 a To: From: Date: RE: ��,�� ,; _� �: .��. �. � � : ;, _ � -, �: ..��.� :�. /-�� /� � ,.�'��- �� -�� ' �- ; �' � � -------- � � � � �;,�� ; �L� ��`�-�� I -' �EMORANDUM ��.�� i� . ti � � `� . . . Bill Bishop, David Chapm, Connie Knight, Licensing Authority members); and Cindy Greg �son, Ka��' Lorelei Donaldson, Town Clerk November 18, 1998 / \�� ,Lc�C: . j � �` ��% .r��j4 ,, � , , ,:;�� .. � � �CL � >�=�'� �, ;�. i � � � / , ' �'9' -� � ✓ � �- � Vieth and M arba (Local _ ;en, Mark mith, Jeff Layman .�� l �%�J %��G ��! C;J�� Joint Meeting, Wednesday, December 2, 1998 This is to confirm the meeting between members of the Local Licensing Authority and members of the Eagle County Detox Task Force. The meeting is scheduled for Wednesday, December 2, 1998, at the Town of Vail Council Chambers from 6:00 p.m. to 8:00 p.m. Dinner will be provided, so please call me at 479-2136 by Monday, November 30th, if you cannot make the meeting. Thank you! See you on December 2nd! � . - � . � :�r /' - , , � ;�.� , � , �� . � ��C . � l, ,��I � �.�_ , c��'f� �-, t.�7-�_ � t � �� '� � f l�-h �c t_�- �, . �� , '-�� `��jS c<<> � � Q�,� �- ll �� l / ��'�r" �' ,� < i `�'_ �Ci i—*� � .� -,� �(�ti'�6'- � ' � � �� '� .,_ a � "�,� ,{�- �— L'��i�^'��w � � �- � _ � � :� - `.� c;o� ' �u`�' � � �� ,��; , .— .,� G L� �-`' �rv,,�`�� (��—�-�s,,,��1 � � �; � ; � _ � � � �� l % ' ..(% ' � i �l t � �� x z�_ t �� C �� ^ �__° �' -' �? � s � (,� c. � l� 1 � � J � � � �� , �-,� ;;',.�� v,�.��( / _k � '� � , /. , <, � �t. � � � li-�f l%� �l �o ��G�L.. � I � ,7�� • t,� �L�;Y,�. 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L�+TRODi,'CTION � � During the pas� four years '� County. Sh ' Depuries, Aspe^s ?ofic� Officers, =- . nowmass Village P�lice O�ce:s, -' Coi:nty Servic�s Pezsonnel, Asp� ' �� 'allev �os�ital PersonneL Rec Comm ' i bers, Aspen Counseims St and Coiorado West Recoven� Cente: pe:sonnel have Zru��led to�:wL: to mabe the `P�tk�n � County deto�cncation holdin� iac�.uty a iunctional asset in the communiry. We have met a numbe: of obstacles that aL' seem to boil down to one sperific problem : the �'RC detoaificstion' holdin; facilit�- lacated in the Schulrz Health and Human Services building is inadequate and can not meet tbe needs of our resort com.muniry. •The basic premise of the ope:ation la hold'mQ rac:iity, open lOpm -?am) is se:iousiy flawed and ' does not even minimallv address the scope of.��e substance abuse problem m the uppez Roa.*zn� Fork Valley. The resuit of uying to uuiize this inadequate se:-vice is that public safery and other refe.;al ageats choose an option oth�: than d�toxincation for t'�eir substance abuse contacts over ": % of the time. Tnis naper w�l explore the issues, the playe:s, itie curreat sir.:ation, and potent:ai solutions to this nroblem N�TL�RE :��-D E�'TE`�' OF THE DETOY PROBLEI�1 Lr" PTTKL'�i COL'�"TY LOCAI. DETOX HISTORY Local law enfo.c�meat a�racies nave aiu•avs had to deal with those indivi�uals ior wnom :he.,�ate oi intoxication presents a danQe: to themsetves or othe:s. P:ior t� 19fi:, intoxicated persons we: e nandled 'm an infoz:nal .`ashion, with iittle or no thous:at �ven to their �ituation-other than to �nd them a place to "sie� it o�'. This aequently resuhed 'm the off'icer ��ing his alconol contact a nde home or often a bian.ket on the couch in the office. � . In the 1980's , tninQs be�an to chan�e. Liabiiirv issues and a desire to provide a more "treatment" oriented procedure resulted in the use, bv local ageacies, of the Mountain Rivers Treatment Facilitv m Glenwood Sprinss. r Pitkin Counrv besan subsidiang the:r operations m 1982, bv COIIL:`1DLlLIIla 5�000. In 1986, Colorado wesc ReQional Mental Health C°nter took over operarions of Mountaim Rivers calling the new faciurv Colorado West Recovery Center. In Septem�er of 1986, the Anti-Dru� Abuse A� w�as passed and the Aspen Pofice Department submitted a Request for Fund'm; Proposal in 1988. �is RFP resulted in a�ant which w�as approved in September of 1,989 for the purpose ofpurchasing a Dod�e Ivlmi Van so that CW�C could transport Pit� County alcohol contacts from Aspen to the 24 hour recovery center in Glenwood Sprinss. . . . _ ,� �. -�-��.;�,�� ,�.f.f.�..� �. By 1989, the concept of transporting all detox clients to Glenwood Springs was beins questioned. A task force of local law enforcement, medical and treatment personnel authored a proposal to the BOCC requesting a local deto?dfication holding facility be located 'm the A.spen Community Center. This project w•as approved and m 1990, space was found 'm the Community Center and a cash donation of � 1i,200 was funded. The Ciry ofAspen also contnbuted �5,000 that year. In 1991, the Citv of A��en agreed to contnbute �6000 annually to the operation of a local holdin� facility which was relocated to the new county owned Schultz Building when it opened in 1992. Pitkin County donated the space in addition to a cash donation of � 1',600. During the planning phase of the Schultz Buildin�, CWRC a�eed to curtail � their seivices to the hours oi lOpm to 7am in an effort to comply with the requests ofthe � other tenants of the building who were concerned about havina detox clients around the buildin� and childcare center during normal working hours. Since that time, local law enforcement and CWRC have been dehbezatins the issue of what represented an adequate service leveL This issue revotved primaiily around how to Qet the down-valley CWRC staff to cover the up-valley hold'mg fac�ity. CWRC has z�cperienced significant staffin; problems due to labor costs and labor availab'uity and �ould only make their seivice available 8 hours a day, 4 days a week. Discussions proceeded for the ensuing yeais and it was not until August of I995 that a plan was put into effect by CWRC, the APD and the PCSO to experiment with coveraQe 7 niQhts a week for the hold'mg facility for a period of 6 months. A.fter this period, these agencies w�ould a�ain re�zew the e�ectiveness of such a staffin� pro�am. The result of havin� a local holding facilitv which could be used 7 ni�ts a week, was that the number of mtoxicated individuals who became recovery center clients, rose corresponaingly. How�eve: , problems associated w-ith the physical plant, �taffing level and availabiiity, and, of course, fundina, �ed to further dialogue between Colorado West and it's Aspen area law enforcement custon�ers. At present, this dialogue is beina held on a monthly basis under the title of the Chemical Dependency Task Force. This entiry has included representatives of Colorado West, the :�PD, PCSO, SVPD, Basalt Pd, .��en CounselinQ Cente:, and Pitkin County Human Senlces. In addition, this tasl�.force has included members of the recoverin� community, and members of the Aspen Valley Hospital staff The task force meets monthIv and its' current aQenda is the realization of a �� hour local, secure detoxification center. � Current Detocification Services The Aspen holding facility is only available to clieats from lOpm to 7am. The holdina facility counselor works =� hours on-call and w�ll res�ond in person to a page within 60 minutes. The counselor then monitors the clieat either at the jail or at the holdina facility until they can be released. If a client is m need of furthez detox after 7am he is transported to the Glenwood Recovery Ceater. By com�arison, the CWRC in Glenw�ood Sprinas provides non-medical decoxification to indi�iduals who are in withdrawal from alcohol or druQs. This pro�ram i� �iewed as beinQ a verv important component towards lon� term sobriery. The client L oluntarilv admits himsel£�herself to detox, or they are refened throu�h other a�encies su�h as probation officers, la�v enforcement, social services, family or friends. CW�C's 2 ,,�.�� ,��. _ . �� : _ �, .�. � � � .� � �.. _. primary goal is to provide the client a safe detox, determme his or her motivation towards sobriery, and to work together with the client on an effective ueatment plan. The maxi�um stay for detox is frve days, the mmimum stay is until clients B.A.C. is .00 and is no lon�er in withdrawaL NATL�tE ��VD E�CTEN'T OF THE PROBLEI�I IN PITKIN COL�"TY � The Aspen Institute Health Care Task Force comg�leted a Community Health Assessment Report in October, 1996. This re:�ort articulates the exaggerated nature of our drug and alcohol abuse problems by citing several selected aicohol and dru� related��risk factors collected by the Alcohol and Drug Abuse Division (ADAD) of Colorado �� , Department of Human Senzces . Consider the followzng �formation: Lifestyfe Eagle Garfield Pitkin Colorado frleasure Issue I Countv I Countv I Countv ( I� D�Z arrest rate f 163.24 74.16 i 1�3. 12 76.38 i per 10,000 (1994) � Retail Sales- ' $�,107.2 �678 $5,3Q9 �490 per capita (5 Drinlang PlaceS yr rate) Retail �ales- I$;76.8 �206.2 I�;47.8 �1�0.4 Per capita (� Liquor Stores i I I vT. Rate) Liquor Licsnse ( 101..i I 61.� I 1�5.4 �9.� per 10,000 I i I (� vr rate) DC,I Case I 24.51 I 1�.22 ?0.22 11.24 Per 1,000 (� Filings i � I vr. Rate) :�lcohoi reiated I 1.36 I 1?4 j.7� 6 per 10,000 fatal c:ashes I I �(� vr rate) •= i2°'o and_71% ofxhe providers surveved bv the Janus I�eaithcare Consuhants for the Communiry Health Assessment identined alcohol abuse and substance abuse as the second and third most si�ificant heaith issues in the valley followmg health insurance as the primary issue. The substance abuse problem in our community takes up enormous resources and manpower. Consider the follow�ing: In 199�/96 ACC identi.fied 300 clients see�dng treatment for drug and aicohol problems, clocking 3327 total contacts and 6679 hours. The total number of unduplicated clients was 265. Last year, ACC received over 500 calls reaardin� the Intensive Outpatient Chemical Dependency Prog:am. Of this number, almost half were assessed for this pro�am. Pitkin County Social Services reports that 90 percent of their child welfare cases invoive dru� and alcohol abuse. From the period of 8/92 to 10/96 local law enforcement have responded to approximately 3,096 incidents in which the officer reported alcohol beine invo�ved. �.,�.�_ .. �:� � _, �� . _ � ,�a _ ., • Of those incidents 951 arrests invo�ving aicohol were made. � Of all subjects resisting arrest by ApD lpp% involved alcohol. � Less than 5% of the alcohol related arrests resuited in a transfer to detox because of the d�fficuhies with the cunent level of service. National statistics involving substance abuse revealed the followin�: � Nearly one-fourth of all ersons admitted to a v P aeneral hospitals have alcohol problems or are undiagnosed alcoholics bemg treated for the consequences of their drin.kmg, • From 1985 to 1990 she economic cost of alcoholism and alcol�ol related problems rose �0°% to �98.6 billion. Reduced or lost productivity and premature death accounted for % 1°% of this cost: medical care for more than 10 °% and crime for nearly 6°% • AIco�ol cantributes to 100,000 deaths annu o' preventable mortali r �'' �� lt the third lead'm� cause of ry in the L S, after tobacco and diet/activity patterns. Absenteeism among alcoholics or problem drmkers is 3.8 to 8.3 times �eater than normal and up to 16 times �eater amon� all emnloyees with alcohol and other drug- reiated problems. Dru�_usin� emnloyees use thr�ee times as many sick bene$ts as other workers. They are five times more like�y to file a workmen's coa�ensarion claim. PROBLE1�iS ASSOCIATED WI'rg LOCAI, DETOX The problems associated with the local detox facility are a microcosm of the lar;er problems facing Pitkin Counr�, sociery; namely, transportation and housing. Problems of transsr�ortation we:e evident from t�e �tart. Even with the purchase of the van in 1989, there still was an unacceptable period of delay betuieen when the detox contact was first made and when the individual was transnorte3 to the Glenwood facility. Delays of 3 to 4 hours we:e common, while Colorado West attem�ted to contact their "on call" c�rriver for the n.iaht, who frequently responded from as far away as Rifle. Since the alcohol contact was, technicaliy not under arrest, the contactin� officer was obliged to maintain custody of the individual within the confines of the Pitkin County Jail. Liability issues dictated that the mtoxicated individual be held 'm the jail isolation cell which is as far removed from a therapeutic setting as can be ima�ned. The police officer cannot respond to any other calls for service duriag this time. �� dual who is deto�ang from alcohol represents a serious medical liabiIiry to t11e jail. These transportation issues wer� not alleviated by the room in the Schultz B��• ��Y�g, they were cou�ounded. Detox staffwere sti71 re ondina down-valley, with a resuitant time la� measured in hours. Addition � � from ciient was removed from the jaii to the Schultz BuildinQ, an additionaiycomplicarion took place. Because of the required procedure to be out of the build.ing by 7 Aiyi the resuitant wake-up and subsequent transport to Glenwood Springs bzought on its own set of problems. Clients often woke up belligerent and no longer cooperative. They would frequently leave the hoiding facility against medical advice and public safety o8icers then needed to pursue these clients on foot. In short, the concept of housing a detox patient for less than the requisite number of hours for adequate detoxification rea�ains a faulty one. •• � . �,..�� . , , > � �-.,�-.� :: �� . �:�. : Curreut �;�ues with the holding facility: The following problems with the cutrent holding facility have been raised by the CD Task Force: . There is an inadequate facuity at the Schultz building that is only open from IOpm to 7am Z'he reason for these limited hours is that the detox is located directly above a local c�ildcare center. Issues of child safery are raised when we discuss any extensian cf detox hours as the children are in the facility from 7:30am to �:30 pm. • The current facility can not be secured :.: belli�erent clients who reiuse to cooperate with treat�aent ma.i leave the defox prior to being nedically released then have to be pursued b,y tne anestmg jurisdiction. � Sta�� at the detox remains inadequate. r,lthourh there i� 24 hour on-caJl cover�ge, it oft�n tsi:es 2-5 days for a person to detoxify from alcohol and d.*u�s. Clients can not say.;n t�� de�ox a�er 7am and musz be t:ansfer:ed to Glenwood iftliey wish to remain in veatrsent. . • There a:e cusrodv issues between psblic safety jurisd.ictions and CWRC. Often when a pu�iic safery officer is faced with r�leasing a client to a respons�ble party or supervising the clieut until detox shows up he wiil choose the release in order to dis�ose of the case quickly. • There a�re iiabilirv is�ues. The hospral is c�urious about a detox client bem� : s�ge*tzsed by CWRC in the hos�itaL T"�e jail is cauaous about detoxinQ a client m the jai:. T`a� public safety officers are worried about what happens if the clieats leave the ho�:r�.1 or detox. T�e:e ara issues around the transportation or detox clients to Glenwood. CWRC has ju�r received a car from Pit1Qn County fleet that thev can now put a ca�e in to provide su�ety for the caunselor. Many ciients resst bema transported to Glenwood as it is diffic�:lt to get back upvailey in the morning or next day to get back to �vork. As a lar�e niunber of the alcohol contacts made by local law enforcement are tourists, puolic safery officers ar� sensiuve to craaspo��za themto Glenwoed Springs.. � Tnere e�dsts a si�ificant level of caiumL:�iry de�ial regarding the suostance abuse proolers.s in the community. Substance use is a bia component of our tourist economy. This has been a pemussive community that is just now wakin� up �to the realitv that substance abuse is harmfui to the community, the family, the individual, and the chilciren. The systems in our community enable substance abusers in our communitv. • Clieats �vho are reieased to a sober party are not gettinQ any treatment or intervention. • Althou�h local fundin� is provided to CWRC it ouly serves to minimally staff our holdin? faciliry and doesn't address the need for extended care and treatment.. + Staff tumover at CWRC has creat�d manv obstacles to the provision of consistent and adequate seivice to Pitkia County. • UsinQ CWRC in Glenwood Sprin�s as a regonalized detoxification center has had similar neaative results in Summit, Routt and Eagle counries. These counries are currently e�cplorin; local options to detoxification. �.� � . , .�� . �� . ,� � � �_ - . _ CURRE;�1'T FUNDING In 1996 CWRC (Aspen Holding Facility) was funded from the following sources: Pitkin County/ �24,276 cash �6,169 in-1Qnd City of Aspen/ $9,000 Neighbor To Neighbor / �3,OQ0 DETOX OP'TIONS FOR PITKIN COUNTY No Change- I{eep the detox in�the Schultz building. �7Ve could continue to`use ?4. hour on-call staff or even Do back to 11-7 si�ift work. This would resuit � continued miniznal use of referrals to detox A limit�3 number of people would be referred for treatment. Costs would remain about t�e same. Law rnf�rcement agencies would be tied up with custody, transportation, anc� disnosition issues. �Ve coul.d ty to tap in more to the recovezmg c�mmuniry to help diminish the continued resource depletion. �. Create a loca124 hour detox iacilitv There is a strong ar�ument for the deveiopment of an eYQanc3ed, pe~manent, 24 hour detox facility in tu� u�per Roaring For'r. Va:Iey region. This site would offer 24 hour detox to 3-5 individuai_s at one time, UA monitoring, Antabuse monitor:ng, and Level I alco:nol education. Exte�sive use of the r�coveJ�g communiry would be recommended. :�ftercare could increase revenues. Current �otential �i�es for this �bind of raciiiy include the Sopris Tree Farm er the proposed AVf-1 medical office'ouilding (MOB). Capital co�ts for both sites are estimated at � 1� 0/sq. ft.. AVH architect Ted Guv esti�nates that r.he creation of a 1200 square foot Detox Ceater in the MOB aara�e would cost �2�0,000. Design needs in either the Sopris Tree Farm or AVH MOS include: �� 1000 to 1200 square feet � Locked doors • Capaciry to manage women, men and adolescents simultaneously • 2=� hour access • Tbree separate bedrooms allowing for males, females, and children under 18. double bunking would occur. � One room would need to be a day room to allow progam and �roup meetings and allow a table and chairs for 6-8 persons. • A bathroom and shower is needed in the Detox space for all and a toiletJsiuk would be needed in the locked bedroom Access to a washer dryer in the building is needed. •:� work s�ace for 2 counselors to observe the day room or the secure rooms, a desk to chart, files and PC, and have a door for privacy for calls or an intake with a client is� needed. • The Detox space would have 2-� hour capacity so attention to access of an into�dcated client mi�ht require a separate or rear entrance for police officers. • A�oup room for support and educational offerings to accommodate 12-15 persons is needed by this room could be a part ofAspen Counseling Centers' �oup space.or another �oup room in the building, and does not have to be physically located 'm the Detox. BOCC SUPPORT NEEDED , The choices facing the task force and BOCC at this time involve what option to choose for future detox in our community. Obviausly option number one - no change -� - would require little work, similar financiai resourc�s and a slight effort in utilizing the � recoverin� comm�uuty more consistently. Option 2 requires more effort, political cooperation and financial support. The Chemical Dependency Task Force recommends that Pitkin Gounty, City of Aspen, and the Tawn of Snowmass Villa�e join together to pursue the creation of a locaL � 24 hour, secured detox faciliry. AlthouQh. there are significant capital and operarional costs related to such a project , we be;ieve that this is the most efficient and effective way to address the detoxification needs in our community. We are willmg to work with these political entities to pursue this goaL The task force has identi.fied lonQ te�m goals if the direction of the BOCC is to pursue option 2. 1. T� find a site for an expanded, pe:maueut, ?4 hour detox aud treatmeat faciiity 2. To obtain a full range of community gartners 3. To pursue capital development grant mc�nev -l. To establish a per�nent funding stream for the detox �. To c:eate a plan for Detox to be a financially viable operation In addition we have ideutified several short term goals. 1. To find_ an interim facility that can house a 24 hour detox (AVI-� room 109 when available) 2. To address CWRC's issues with 2� hour on-call and facility sta�ns issues 3. To raise communiry awareness through local media, community action �oups, professional groups, train.in� and ne�w�ork.ing. 4. To recnut more CDTF members to espand the work �oup �. To aniculate and pursue alternative funding sources 6. To lobby Eagle County and Basalt for par�nership 7. Be�in to educate public safety officers about detox ser�ices