Attended seven of twelve meetings, representing council district two.

We got a real chair.

I'm fine.

You're fine.

Okay.

All right.

Thank you for coming with the initial chat.

All right.

In two minutes or less, tell us a little bit about yourself and why you'd like to continue serving on the sales tax overview committee.

I am a native Tulson, born and raised here.

I have always lived in District Two.

No desire to live anywhere else.

Thank you.

And um anything else you want to share?

I have been on the Sales Tax Soverview Committee and I thoroughly enjoy it.

I like to make sure and see that the city is using the tax money the way they're supposed to.

That was one of my biggest things.

People always think, do they really use it like they're supposed to?

Now you can answer.

I can say yes.

Very good.

We toured the zoo yesterday and saw the construction that they're doing out there.

It is going to be amazing.

I can't wait to go back once it's done.

I am a retired project coordinator in the oil and gas industry, which consisted of connecting natural gas from the well head to the main pipeline.

And everything in between from one step to the next.

Also, I wrote legal contracts to purchase natural gas.

Did that for a number of years and absolutely loved it?

Well, thank you for your willingness to serve.

You certainly seem to be fully qualified.

So thank you.

All right, we will be voting on your um uh additional appointment or your reappointment on April 1st at 5 o'clock.

Uh you can attend if you would like to have words, but it's not necessary.

And thank you for your willingness to service.

Does anyone have any questions for me?

How long have you been serving on here?

I started serving, I believe in 1919.

Um the person that had the commission.

2019.

Because the person that originally held this seat vacated and counselor Q asked me to fill in.

Okay.

Thank you for your service.

Yeah, sure.

Thank you.

Thank you.

Yeah, thank you, sir.

Thank you all.

Thank you.

Agenda item number three, Joseph Paul has Hassan.

He's not here.

Okay, maybe he'll come in.

We can go back to him.

Uh agenda item number four, resolution authorizing payment of $61,000 to Joyce Moore, plaintiff, and Chris L.

Knight, PC Attorney at Law, Buley, chiropractic, River West Medical Clinic, Tulsa Diagnostic Imaging, and Orthopedic and Spine Center from the sinking fund as a payment of a judgment and attorney fee award in case number CJ 2022, 1821, Joyce Moore, Jo Joyce Moore versus City of Tulsa et al.

This carries the emergency claw.

Hello.

Good afternoon, counselors.

Chad Becker from Treasury here as always to uh give you assurance that there is a sufficient uh cash balance in the sinking fund to pay this judgment ahead of the levy placement on the tax rolls.

Uh this judgments in addition to the ones that will follow on the agenda have been approved by the court and the mayor and with council's approval.

Uh finance will issue payments, the payments to the claimants and forward all the necessary paperwork to the county to levy repayments to the sinking fund over a three-year period in cases of these judgments and uh comrades from City Legal is here to discuss this first case.

Thank you, Chad.

Good afternoon, counselors.

Uh Comrade Tacnal City Legal.

Um this was a uh motor vehicle accident that occurred at 91st in memorial where uh the officer uh rear ended the plaintiff, so the city was at fault, and the sixty-one thousand dollars was a negotiated settlement.

We came to uh uh with the plaintiff and her attorney for medical bills, um property damage and lost wages.

Questions or comments?

Thank you.

Agenda item number five, resolution authorizing, I'm sorry.

Yeah, agenda item number five resolution authorizing payment of $65,000 to Achilles, a ponte, plaintiff, and Iceman Lawroom, attorneys piece, orthopedic, Tulsa Medical, yeah, Tulsa Medical and Orthopedic Center, Diagnostic Imaging Solutions, Foundation Radiology, and Orthopedic and Spine Center from the sinking fund as a payment of a judgment, an attorney fee award in case number CJ 2024 00056, Achilles LaFante versus City of Tulsa at all.

A Kiddy's LaFante versus City of Tulsa at all cares of the emergency cars.

Okay.

So this was uh this is another uh motor vehicle accident uh occurred near uh 51st and Yale Avenue again.

Uh this was in uh situation where uh the city employee uh rear-ended the plaintiff and uh so again admitted liability case and the sixty-five thousand dollars uh was a negotiated settlement to cover the uh medical bills uh pain and suffering and lost wages.

Questions or comments?

Thank you.

Agenda item number six resolution authorizing payment of 150,000 to Karina Hopgood, plaintiff, and Griffin Reynolds and Associates, attorneys at law, heritage medical clinic, OMSS, the orthopedic center, Berkman Chiropractic, and Perini ICARE from the sinking fund as payment of a judgment and attorney fee award in case of the CJ 2025 1532, Karina Hobgood versus City of et al.

This carries the emergency clause.

That portion's the same.

We had for Shell McGrew from Regal Journal to discuss this case.

Thank you.

Uh good afternoon, counsel.

This is another admitted liability case.

Uh there was uh city employee for the parks department in an F 250 pickup truck, slid on the ice, was in a head-on collision with a plane of surprise.

Uh she had a collapsed lung and serious other injuries.

She's in the hospital over 10 days, so we negotiated settlement we have 1500 to cover her medical bills, loss of earnings, and paying suffering.

Questions or comments?

Thank you.

Resolution authorizing payment of 75,000 dollars to the glacia de Amore Ministries, Frazier Gonzalez, and Iris Gonzalez Plaintiff and Boston Law Group, attorneys at law from the sinking fund as a payment of a judgment and attorney fee award, case number CJ 2024, 2143, Iglesia de Amore Ministries, Frasier Gonzalez, and Iris Gonzalez versus City of Tulsa et al.

So this case was a uh water and sewer over here is the emergency call.

Sorry.

I'm sorry.

Go ahead.

Uh this case was a water and sewer overflow that occurred at the uh Iglesia Diamore Ministries Church.

Um the church was purchased or the building, the property was purchased uh in 2021.

And uh in 2023, there were issues with the with the line and there was an overflow into the church.

Uh through the investigation, it was discovered that back in 1999 we did a rehabilitation process.

Uh and for some reason uh the the properties line was not connected to the city main line, and uh we didn't discover the issue until there was the the overflow and it caused the damage to the interior of the church.

Uh they had damages upwards of $50,000, so we came to a settlement for the $75,000 with the uh the church uh and and the uh minister for the church and the attorneys involved.

So questions or comments agenda item number eight, resolution authorizing a designated official to submit a joint application with Tulsa Public Schools for the Oklahoma Opioid Grant Award, finding extraordinary need to come to combat the opioid crisis in the city of Tulsa.

This carries the emergency clause.

I am Natalie Russell, I am the ODOA abatement response coordinator for the city of Tulsa.

So this is an application for funding the three-year cycle with the Oklahoma Attorney General opioid abatement grant.

That's a mouthful.

This application is asking for the continuation of some citywide efforts that are currently um unfolding in cycle one application, so that would include uh my efforts, um, the overdose response team efforts with the Tulsa Fire Department, uh school-based prevention, education, and intervention, and then uh on this application we'll be adding pre-okes as a contractor to fulfill um contingency management MOED or medications for opioid use disorder and um executing substance use first aid community training.

This application also contributes to achieving goals affiliated with three out of the six of the mayor's priorities, student outcomes, um ending homelessness, and uh public safety.

Okay, what's the amount of the award?

I don't see it in the agenda.

They we are allowed to apply for up to 2.25 million over a three-year term.

We are asking for a total of 2.249.

Just understand.

Just what is that?

Okay, I get it.

Makes sense.

Any questions or comments?

I do.

Hold on.

Three hands, one of them.

I'm gonna start down here.

And go right there.

Oh, was it Corey?

Is it Criops?

Creo, yes.

And how did they get that contract?

Um, good question.

I we we made a selection based out of our um in the first cycle, we established a governance committee or governance board, and we opted to use the methamphetamine treatment continuum board.

Um we kind of had to pivot a little bit.

The original design of the governance board was to help us um decide which uh direction we wanted to take the application, each funding cycle.

Uh, but the OAG moved up the funding portal, the application opened up the application several months earlier than um they have in the past.

Uh so I've got a call for proposals amongst that group because they are all leaders and experts in the substance use field.

Right.

Um, and we had three people submit proposals.

So I put together a committee to review those proposals.

Um, myself, Robert Harman with the county.

He serves in the same capacity as me, and a few other um of my co-workers in my department that currently coordinate grants.

Okay.

So they made the selection.

Thank you.

You're welcome.

Counselor Bellas.

I'm just curious, and this might be I can always check with someone offline if this is like a deep dive question.

How similar is this to some of our past applications for these dollars?

Because you know, I know we've gone for some of these programs annually.

Is this kind of asking to try to continue doing some existing work as it completely setting up something new?

With CREOX, it is something new.

Okay.

Um with the Tulsa Fire Department is continuation of the peer recovery support services.

Okay, but the addition of a paramedic.

Okay, okay, thanks.

That's helpful.

Counselor Director Wright.

Thank you.

I just was wanting to go back to the three pillars that you mentioned.

You said what were the three student outcomes, student outcomes, homelessness, and what was the other public safety.

Public safety.

So student outcomes, um, we meet part of one of the goals of improving mental health outcomes for children and families through school-based prevention education and intervention.

Or ending homelessness, um, we contribute by creating a citywide system of mental health in substance use supports by prioritizing um referrals from current safe move Tulsa Partner Tulsa Day Center and Housing Solutions identified clients through an MOU with CREOS to get engaged them with um the MOUD and contingency management services.

Okay, and is that MOUD through the low barrier shelter, or is there another way that they're doing that?

They will any clients that are identified through those um agencies will have priority in accessing those services.

Okay, so it's system-wide, it's not just it is system one for somebody.

Yes.

Sorry, the winter shelter, I guess is what I was thinking of.

I was just thinking like how would they access that?

Okay.

So yeah, any client identified through Safe Move Tulsa.

Through safe move.

Okay.

Are you done?

Um, I think so.

I do oh no, wait, I have a question about the um fire department.

Two peer two peer recovery support specialists and emergency tech medical technicians.

That's item B on your project.

Is that fully funded?

Or is this a partial?

Is this grant partially funded?

Yes, it would be they would be fully funded for two years for three years.

Okay, and right now they don't exist or they're on a different grant.

They exist right now.

Uh the two PRSSs were funded by cycle one.

Um that's like the paramedic or something.

The paramedic is funded through another grant, but we need two paramedics in order for this project to go uh full-time.

So if we if we got these dollars, this would move that forward for three years.

And then during that time we find other grant monies and/or general funds.

Okay.

Yes.

Got it.

Thanks.

Okay.

Counselor Gilbert.

Yeah, my questions were right along with Councillor Dr.

Wright.

So I would we dedicated so much of this opioid m opiate money the last time for Safe Move to launch it.

So I was just wanting to know how safe move was going to be a part of it.

So different opium source.

Yes.

Oh, okay.

Okay.

Good to know.

Gotcha.

I always have to put that caveat out there when I introduce myself and make sure everybody knows.

I only manage the state level opioid.

Okay, okay.

That's good to know.

Okay.

Thank you for that clarification.

But if we're starting new stuff with grant dollars, we as the people that have to find general funds at some point.

Just keeping track.

I mean, I guess we could always find a new grant source for these programs, but we need to be mindful that when we take these things on and if we get the dollars, yeah, and they are successful, which we want them to be.

You know, there is always kind of a general fund to ask down like those dollars sunset.

Good news about the AGs opioid funds 18 more years.

Yeah, yes.

So technically, as the government, we can every year as long as it's separate.

Maybe they have to keep applying and just selected and there's all of the is it from new stuff?

Is or it's sustaining dollars too.

Both.

That's what she just says.

Yeah, it is both.

If it's a sustaining product, uh if it's a sustaining application, you have to wait until that three-year term ends, and then you can apply for to sustain that effort.

Any other questions or comments?

Thank you.

Agenda item number nine resolution requesting quality event designation for the 2026 Black Wall Street Rally to be held May 14th through the 16th, 2026, identifying the city of Tulsa as the events post community.

This carries the emergency claw.

Who's here from Brandon Jackson?

Well, there we normally have someone here from the chamber.

No, go ahead.

Sometimes it's chamber on us depart the managed entities or not.

Okay, go ahead.

Yeah.

Hello, good afternoon.

Uh, I'm Brandon Jackson, and I'm a senior partner with the Black Wall Street Rally.

Um we're uh motorcycle enthusiasts, cultural tourism events is held every May in the Greenwood district.

And um this year we were uh ranked number two in the USA Today for cultural events, and so we're trying to um have the city of Tulsa be our whole city and I identified that at the state level.

So I'm here to have the resolution push forward.

It's true to me.

Questions or comments?

A lot of motorcycles are in that time.

My only comment is I've never every year I get to hear people's like Google maps read aloud so loudly from the motorcycles, it's one of the funniest things I hear every year of the clockwork because you they'll play it's like really loud.

I'm not complaining it's a big fun event.

Um, but every time you can hear people's Google maps going because they're visiting, and I just think it's really fun.

Giving directions.

Yeah, we're yeah, you know, they're visiting, you can tell where they're going, you know, where the party is because my favorite direction in the hotel where they're all staying, because they all have like swag and yeah, yeah, groups and yeah, it's good other.

We appreciate when everyone comes in this house.

It looks like they also bring in quite a bit of a oh it's a big event.

It's a huge yeah, it's really big whole tune and yeah, and everything.

Can you have questions or comments?

If this is a push forward, when would it be at the council level?

It is on the agenda for next week, April 1st.

And if you approve it, then I have soon do we get it from around to get to the OTC?

To get what?

The the document would go to the mayor's agenda the next Wednesday.

So when the next week, so the the Wednesday after the first.

So that's what the eighth?

Do you have any other time?

And then I don't know what I don't know the logistics of the time frame after.

When do you need this agenda?

Last month.

You know, but last last year we get the deadline.

So we've been pressing for this for the last four months.

Oh, okay.

And um, the lady was doing it was out of town, and then somebody was back from then just get her.

So the tax commission doesn't give you a lot of support.

So, you know, they're so you need this document to give to provide to who's tax commission.

Okay.

By when you say last time.

What's your deadline?

They haven't they didn't they haven't said that.

Okay, so what things gonna stop or not happen from it being waylaid?

I'm just trying.

Well, you don't qualify for the incentives if we don't get any of the head of time.

They'll say we don't have no time to review it.

So we're gonna within that 45-day period now.

Well, when did the 45 day period begin?

Well, I mean this now, it'd be better be in 45 days.

The bid is a so do we need to get this done to I'm just trying to ask you.

You can't agenda.

Oh, um never carrying the emergency call.

Never mind, they burn me.

I just want to ask them.

Do you just need a copy of the resolution?

I wasn't sure if it was like on our first signed resolution.

Yeah, okay.

Okay, she can get that to you.

Let me know.

Okay.

Appreciate your support.

Thank you.

Thank you.

Agenda item number 10, ordinance amending to Tulsa Revised Ordinance Title 5, board boards, board commissions and committees.

Chapter 5, Greater Tulsa Area Indian Affairs Commission, reorganizing the readability, restructuring commission appointees and terms, providing for the tribal delegates from the Muscogee Creek Nation, the Cherokee Nation, and the OSH Nation, providing that the City of Tulsa's director of tribal policy and partnerships or similar position in the absence thereof shall be an ex officio non-voting member of the commission.

Who was with the okay?

I've been working with City of Tulsa on this proposed amendment to the ordinance for over a year, and I'm just here to answer any questions and encourage your vote and support uh passing it.

Questions or comments?

Thank you.

Agenda item number 11 ordinance amendment that's also revised ordinance title 35 infrastructure development by amending chapter 2, infrastructure development permits, section 200 definitions, and amending section 202, contracts, bonds, and insurance to eliminate the requirement for filing the certificate of formal acceptance in the office of the county clerk.

Agenda item number who's here for that.

Come on up.

Sorry, uh Michael Lane sent me in here, and I did not know.

At the last minute, yeah.

Come on, come on up.

Tell us who you are.

And uh my name is Laura Ferguson, and I work uh in the infrastructure department here with the city.

Um formal acceptance is part of my my job.

So what that is is formal acceptance is when um the developer of the infrastructure basically signs over the infrastructure to the city of Tulsa.

The city of Tulsa then takes over that the responsibilities for that infrastructure.

Um so what we're doing is we are just removing the requirement um to file the paperwork with the county clerk as our legal department has determined that there's no need, need for that.

All right, questions or comments anybody?

Thank you.

Thank you.

Thank you.

Welcome to 4-4 for meetings.

Agenda item number 12 license agreement between the city of Tulsa and Salinas Babanau Telephone Company for property locate located at 4330 road, 160 feet north of Cripple Creek, prior, Oklahoma.

That's that's an address for you, isn't it?

Uh to install a four-inch PVC duct and fiber optic line underneath raw water flow flowliness.

Mays County.

All right, this is a new one.

Pole Zachary Public Works.

Um, our flow lines, we have about 150, 200 foot swath of land all the way out to Lake Spavanaugh and to Lake Gucci.

And we routinely have buried utilities and things like that that are wanting to go under our lines, and we have a set program for how deep they have to be.

Uh and what we get is we get conduit basically from edge of our right-of-way to the edge of edge right-away to edge right-a-way.

And they have to bore and go underneath.

So we're our flow lines are protected.

Uh we're about six feet below uh the bottom of the pipes.

Uh, and these are frequent flyers uh with us.

Uh they normally do put in these lines like this.

Um, and we're having a similar one on an adjacent section line road here, just on the next issue.

But with this, all this information is provided to not only uh representatives of the authorities, boards, and commissions, but the uh TMUA as well.

Uh they're aware of things like this, and nobody offered any objection, waterfare department uh or TWA.

So we would recommend approval of this license agreement for the phone company.

Phone company questions or comments.

Thank you.

Yes, ma'am.

Number 13, license agreement between the city of oh, I'm sorry.

No, that's the same.

Okay, started out the same license agreement between the city of Tulsa and Salina.

Okie still pronounced it Salina, don't they?

Not Salina.

Salina Spavanau Telephone Company for property located at 425 feet north of driveway to 3456 South 432nd Road, prior Oklahoma, to install a four-inch PVC duct and fiber optic line underneath raw water flowliness.

Mays County.

Yes, ma'am.

This is the same as the other item.

It's just on a parallel roadway on South 432 Road.

The previous one was on South 433 Road.

Same situation.

All right.

So we won't have you back up sign.

Agenda item number 14 license agreement between the City of Tulsa and Kendall Wheat here Main Street, Inc.

to install decorative gateway markers in City of Tulsa's waterway in various locations across the Kendall Whittier district.

Yes, ma'am.

We did receive an application for installing decorative gateway markers on city owned land along the borders of the Kendall Whittier district.

Within the back up of the packet, it does show the details of the various locations with photos and everything that we've taken of these locations.

We did route this to the 30-plus uh right-of-way occupants, and we received no objections.

Um and also the terms of the agreement.

Uh the license agreements are very similar to this.

That if we need to have them move, they need to be relocated as part of a utility uh work.

Uh they will do so and it will be at no cost to the citizens of the city of Tulsa.

Um but all these site locations we looked at and screened and have no objections and would recommend your approval of this agreement.

All right.

Pretty cool signs, yeah.

I'd say six six feet tall.

It should be closed now.

Cool.

It's in the signal.

Yeah, the action.

Yeah, six foot and that's the poll.

The poll portion, and then the sign is actually ten feet on top of that.

Oh, I love that.

Okay, thank you.

Um agenda item uh 15.

Change order number one to contract number 137527 between the city of Tulsa and Magnum Construction Inc.

for project number 146120 in the amount of 43,829 and 48 cents in adding 185, adding 185 days, calendar days for the addition of ballistic upgrades for a door, frames, and hardware for the Gil Creese division for Tulsa Police Department, Union Division renovations, Gill Creeks and Riverside Division.

Yes, ma'am.

This uh this came up during the project that the police department would really have preferred to have uh these ballistic upgrades to these doors and frames hardware uh in these uh particular locations, and the the large reason for the time extension is the advanced getting it getting this things ordered and getting them here.

It's not necessarily the install as much as it is the lead time in getting this stuff here.

So with this, this represents 1.96 percent of a change order out of a 2.2 million dollar contract.

Um we would recommend approval of this to meet the requirement, job requirements and performance requirements of these doors.

Ballistic upgrades for a door.

Does that mean they're bulletproof?

Yes, sir.

I'm just kidding.

Yes.

Oh, it does ballistic.

Oh shit, yeah.

I'll just kill those doors seem like they're ballistic proof already.

Or just school.

Might be some explosions.

Of course they are, but it is an old school.

It is an old school, yeah.

All right, uh, agenda item 16 resolution authorizing condemnation of property owned by Kevin Lamb and Bernadette Lamb, located at 4155 South Zoonas Avenue, Parcel 12A, Bullwood Acres Edition, and existing public necessity requires that requires the acquisition of a sanitary sewer easement for 46th Street and Lewis Avenue, unsewered area.

Contract two, area two in council district nine.

Yes, ma'am.

We're trying to get sanitary sewer into this area, and we've identified the parcel.

We have presented it to the property owner who then brought in his attorney, and we have been working with them now for over five months, waiting for response, and we are not getting any response from the actual counter offer or anything like that, but we are hoping to construct the project uh this summer and due to the non-agreement, just because we have not heard any response, and we can't get them to respond.

We need to move forward with the project.

So we're asking for a little help from the courts.

Questions or comments?

Hmm.

She said, hmm.

Well, look, okay.

So you've reached out to them and they haven't returned the call.

I mean, that whole neighborhood wants to get this updated.

Yes, ma'am.

No.

Okay.

Yeah.

In the packet, we give a detail of our conversations and our dates.

And it is one of the same attorneys we were doing with the power lines.

Oh fascinating.

Yes.

Thank you.

Consistency.

I've got it.

Got it.

Thanks.

Good.

Yeah.

All right.

Agenda item number 72.

Presentation by representatives policy initiatives.

Or we said assessment.

Use disorder treatment gaps and opportunities or improvement in Tulsa County.

Councilor Bellis brought this agenda item to us.

Yeah.

Apparently.

No.

I'm just glad to agree that Healthy Minds is here to share with us.

You know, I um especially with we've seen so much instability of the funding landscape and the policy landscape in the mental health space.

So I'm really glad that we have Healthy Minds that have kind of advised us on the kind of state of our community when it comes to these needs and what we could do going forward in the legal as we are mindful of this is a kind of piece of the puzzle when it comes to our you know homelessness housing mental health crisis.

And of course, they have a really beautiful needs assessment.

Didn't you send that dates?

Yeah, yeah.

Yeah.

Yeah, that's where I was like now talking about what we should do with it.

I was like, give us homework related to the reading.

So all of itself.

I'll just pass it over to Healthy Minds.

They have a beautiful presentation.

Oh man, yeah.

Perfect.

Thanks.

All right, let's go.

Just make sure I have Christian.

Thank you.

Uh Councillor Bellis, we really appreciate the invite to do this.

Yeah, so we'll go through just a brief high-level overview, just as a reminder.

I know you all received this report.

Um, just a reminder of what it said, and happy to talk about what it means for the city and implications here.

Um in background, Healthy Minds was hired by the Tulsa County Board of Commissioners because they wanted to spend their opioid money appropriately.

And they wanted to take politics out of the process and wanted to put data in the foreground.

And so they requested that we as an organization, if you're not familiar with Healthy Minds, we'll be update here in a minute.

Um, that we provide some sort of both qualitative analysis of what the community wants, but it sees as the gaps and the needs, as well as quantitative analysis.

And a lot of quantitative data went into this from claims data to public safety information and data as we boil down to some recommendations for pathways that the county can take for investing.

Um, as I mentioned, Healthy Minds Policy Initiative, we are an organization that is a nonprofit dedicated to transforming mental health outcomes in Oklahoma.

The way that we do that though is really to partner with counties, cities, the state, um, and local governments and leaders uh to provide assistance to accomplish the goals that we all share, uh, which is improving the lives of our of our residents.

So I am Zach Stoiga, president and CEO of Healthy Minds.

Um, I have my colleague here, Dr.

Shannon Dial, who will introduce herself in a moment, um, and we'll go through briefly here uh what we found.

Um, just a little bit of in context, um, this started showing me the population increase expected in Tulsa County.

We have about 22% of our residents, about 100,000 have a substance use disorder.

Um, and about 6.6% have a mental uh serious mental illness that is significant enough to really have consequences in their daily functioning.

Um, unfortunately, we have about 77% of our 100,000 residents with a substance use disorder do not receive treatment that they need.

Um so if you do some quick backup napkin math, that's about 77,000 in Tulsa County.

Um really unfortunate numbers there.

As we dive dive into this a little bit, uh, first we want to look at where the need is in the county.

And the map that you're seeing here is a composite of data from the U.S.

Census Bureau derived information uh called the social vulnerability index.

There are four large categories that are compiled here.

For example, housing instability, membership in a historically disadvantaged community, poverty status, transportation ability, um, and food insecurity, things like that are included in this map.

And what this shows us is that there are areas of our community, of course, that are more vulnerable, we believe, to mental health and public health crises in other areas of our community.

Um, this is a sort of a bird's eye view of where we think approximate need is in our community.

And by the way, these measures are also used historically by city planners and emergency planners to determine areas of communities that are more prone to disasters.

So, as we're doing disaster planning, this is a very similar measure that is used.

So we wanted to look at this because we wanted to compare where the services are, and we wanted to look at the zip code level access to those services.

Um, and we found that there are some mismatches here.

Um, and one area that there's mismatches is in the location of the providers.

Um the blue dots are our C C B H C Certified Community Behavioral Health Clinics.

If you're familiar with that term, these are public mental health providers who were safety net services certified by the state to provide a broad spectrum of services that really no other provider does offer from therapy all the way through to team-based services and care, home-based services, things like that.

These providers are charged with serving communities regardless of ability to pay, so they are very important to this conversation.

So you can say the name again.

C C B H C is the abbreviation.

Certified community behavioral health clinics.

Okay.

Family and children's services, Cree Oaks, brand and Calcutta Harbor's.

Okay.

And then similar the CCARCs are that, but for addiction substance use disorder.

So the dots here are not largely located in the areas of highest need.

You can see those zip codes here that are the highest starting with 74110, which I believe is the highest Shannon in the state.

Is that true?

Yes, by district.

In the state.

So for conventional statewide.

So it's not the highest, but it's number two or something like that.

Wow.

Right.

Really close.

Right.

Very, very close to 100.

100 would be that 100% of the zip codes in the state are less vulnerable than you your 74110, 741.5 here in Tulsa County.

So we looked at the location of providers and we found a little bit of mismatch.

When we looked at the Medicaid claims data, we also found a mismatch in terms of whether these people in these communities are accessing the services they need.

Fewer people per capita are accessing services from these zip codes largely than other areas of town, which is interesting.

Here's another way of looking at some of the access challenges.

Exactly.

So yeah, that's not accessing that's exactly where we're yeah, these images just show it so clearly, right?

And when you think about transportation to get to these impossible, right?

The disparity is huge.

So these maps are showing you on the left a 15 minute drive time to one of these dots.

And on the right, a 30-minute public transit trip to one of these dots.

No surprise there.

I'm gonna pass it to Shannon if you wouldn't mind, Dr.

Dial doing a quick intro, and then we're gonna go through some of our findings.

Hi you guys, uh Dr.

Shannon Dial.

I work for Healthy Minds, and I'm a licensed mental health professional.

I was one of the lead researchers on this project and have really enjoyed all that I've been able to find out through this project and learn more about our community, and I hope to share that with you guys today.

Uh, and easy to understand detail.

One thing I wanted to add about the social vulnerability index is that we did it at the zip code level, and it's even parable down, able to be pared down to the census track.

So if your zip if your zip code for your district was one of these, we could actually help you or show you how you can go down to the exact census tract that is the most vulnerable census tracts within your zip code.

It is fascinating.

Um, all my colleagues tell me that I'm gonna get a social vulnerability index tattoo because the tool is so fascinating, and it's available for everybody to use, and it has just provided a wealth of information about our community.

So the tool.

The CDC Social Vulnerability Index, if you um Google it, um, it's really easy, and um, just as a tidbit, when you look at the map and look at the tool, if you zoom to level eight, that opens up the zip code and census track availability for you to look at the zip codes in your area and to see where they fall in the case.

The social vulnerability index.

Okay.

So I wanted to share another key finding that we had in our assessment, and that is that in our community the substance use uh problems have evolved.

And I think one thing that was most surprising to us is that the overdose death rates uh in the overdose death in our in our community involved multiple drugs.

We call that polysubstance use.

That is through looking at ME data, it was very rare that somebody died by over from overdose by from one drug.

Um, and we found both quantitatively and qualitatively in our discussions with our community members that methamphetamine is a huge concern.

There's a lot of talk about opioids, and there's a lot of talk about opioid dollars, but we want to be mindful that methamphetamine is still at the front of everybody's mind and still at the front of treatment needs, and it adds a lot of complexity when methamphetamine is combined with opioids, and we're seeing a great deal of that.

Um, we're gonna talk a little bit more in a minute about medication for opioid use disorder.

It's called MOUD before it's been called medication assisted treatment.

I'll talk about that a little bit more.

But I wanted to note this figure for you here on this slide.

And this is the overdose death rates by drug for Tulsa County.

It's hopeful that these rates are declining, but one thing that I wanted to mention about our community is that Tulsa County, despite declining rates in overdose, and this is statewide as well.

Tulsa County is notably higher in their overdose death rates than Oklahoma County, and the state averages overall.

As you guys know, Tulsa's smaller than Oklahoma City, Tulsa County smaller than Oklahoma County.

And so that was something notable that we saw throughout the statistics that we measured in this project.

And in the report, there's a lot of comparisons to Oklahoma County, just because we wanted you guys just to be able to see where that compared to somebody near to you.

But there were notable and drastic differences between Tulsa County and Oklahoma County, and they were always notably higher here in Tulsa County.

So I just wanted to mention that to you guys.

Why?

I don't know.

I'm not.

What do you think, Zach?

That's a complex question.

We get asked that a lot.

We get asked that a lot.

We don't have a good answer as a short position of that.

There's potentially I don't want to.

Maybe we can talk offline about there's not enough concreteness here for me to respond, probably right here on that.

Oh, yeah.

It's never mind.

I was about to speculate related to like the medic historical trauma, but that's all.

Yeah, I mean, in terms of what plays into drug use trauma historically, plays into drug use.

We have a history in Tulsa.

Of in particular, some of the large the most impactful drugs being methamphetamine.

Um I started my career, as some of you know, as a 5 a.m.

beat reporter at the Tulsa World, listening to the police scanner.

And that was back in the days when we were cooking meth.

And every morning there would be a meth fire that we would go out to.

We don't see that anymore.

Uh the reason we don't see that anymore is because of the changes in laws at the state level that have made the ingredients harder to get.

We are now importing it from Mexico.

So it is stronger, more available, and the model is here.

Um so this is actually one of the I think methamphetamine, and Shannon mentioned this, is still the top drug of concern for us, even though fentanyl and some other issues are emerging.

Methamphetamine is really the core of what's happening in Tulsa County.

Um, there was a New York Times report.

I think it was on the front page in 2020, I believe, that cited Tulsa as a methamphetamine hotspot in the nation.

Um that story really spurred a lot of interest, and um, as a result of that story, Healthy Mind started the Tulsa methamphetamine coalition that has since become the official advisory board of some of the city's work, as was mentioned by a previous presenter.

Um, and that work has resulted in a few things.

Number one new treatment pathways, Narcan distribution at the fire departments, um, local contingency management programs, which is the most evidence-based best practice gold standard approach for addressing methamphetamine.

It is two to three times more effective than standard treatments.

We're doing it in Tulsa as a result of that work.

Um it's kind of under the radar, but pilots at Grand and Family Children's Services.

And there has been a new wave of, I think we didn't have big assessment planning process with this group over the last few months that's gonna result in a new wave of strategies for addressing methamphetamine.

So some of this downward trend, I think there has been some good work happening in Tulsa.

Um, the downward trend is a national trend as well.

But Oklahoma had the highest year-over-year decrease in overdose deaths.

So we are doing some things here better.

Yeah, Tulsa.

I just wondered if also income, if the income standards are higher in Oklahoma City versus in Tulsa, and that also leads to uh disparities in poverty, if that's also part of the equation of why it's higher.

Yeah, and it's it's it's such a great point because you know, remember we talked about the most vulnerable zip codes, and our next slide will show you when we looked at overdose deaths in those zip codes specifically.

Does anybody have the next slide?

Yeah, I'm sorry.

Yeah.

Thanks.

Um, so what we did is we looked at the zip codes with the highest overdose death rates in in our community, and this is from the medical examiner data.

We kind of color-coded that.

You can see those with the lines did not have enough deaths to kind of meet being able to be captured.

Now, I want also to tell you by residents or where it occurs.

Good question, you guys.

This is this is for this data only, this is the death that occurred in the zip code and not in the hospital.

So anybody that was found like wherever they physically worry when they're not.

Okay, I just wanted to check based on like to where they might live.

Right.

So we may not live.

When we looked at deaths in the zip code specifically, you can see that this is over a four-year time period.

74115 in our community, which, if you remember, was also on the high SVI list.

74115 had the highest in this look at the data from the Oklahoma State Department of Health and the medical examiner data.

Wow.

That's that's our district.

Yeah.

So to your point about vulnerable zip codes, um, what determined those vulnerable zip codes is race, housing, those kinds of things, and you can see a direct potential correlation to overdose deaths and drug use.

It's very interesting.

Our neighborhood condition index data also supports that.

Wow.

So it doesn't support the idea of drug use so much as it does equity in a scale of zero to five, and where it's rates in employment and parks and education, social determinants of health.

Yes.

One thing we're doing in in Oklahoma County is looking at these zip codes with a these these high high zip codes with a really intentional focus and doing some specific work in these high need zip codes.

It's really fascinating when you look at how many how much need is in these high zip codes and how these data points continually point us back to these vulnerable areas.

Next slide.

As I mentioned before, we were talking about MOUD or medications for opioid use disorder, which is the gold standard treatment.

It is a pharmacological intervention to help people with withdrawal and craving.

We were very, very excited about the progress that Tulsa is making in the number of people enrolled or had at least one visit for an MOUD appointment.

We pulled the largest providers of MOUD here in Tulsa County, and we found that almost half, if you could see that we estimate that about 15,000 people in our community are estimated to have opioid use disorder.

And we found through the self-report of our organizations that they had seen at least 7,000 unique individuals for at least one point appointment for MOUD, which is excellent.

And to tell you guys how how great this was to see this at about 50% in Oklahoma County, we found less than a thousand to be being served for MOUD by their largest providers.

And so this is 4% compared to 50%.

Yeah.

So I'm sorry?

4% being seen in Oklahoma County and 50% being seen in Tulsett County.

So we're doing a lot better than Oklahoma County in this this regard.

We also looked at this and used a very interesting tool called the WISIP tool.

It's out of the University of Washington.

And they estimated that if all of our citizens in Tulsa County that needed to receive MOUD engaged in MOUD, the city could realize over a $50 million financial impact of that service engagement and that targeted intervention, which we thought was amazing.

When asked why more people don't engage with MOUD, it usually has to do with transportation.

In the beginning of OMO MOUD patients usually have to go multiple times a week for dosing.

Something that is a possibility is long-acting injectables, which allows people to have to attend less visits, but that medication is very, very expensive.

Just one quick point on this.

Those have impacted substance use providers in particular.

So we don't expect this number to approve in the coming years.

It would get worse.

Yeah, so it's going to be low.

I was just wondering, thank you.

How many excuse me, how many or if it's even counted of these individuals or unsheltered?

That would be a demographic we could ask them to get to break it down by housing status.

But it's a good point because what when we asked if anybody had mobile MOUD to meet people in the homeless community, um, very few said that that was a possibility for them at this time, but would be interested in being able to do that in the future.

That's when you mentioned transportation as a thought of and even so, I mean, how did how would that affect the outcome of the zip code data that we're getting?

It would decrease the overdoses, most likely.

Interesting.

Well, and it also shows a focus where possibly in shelter needs really are greater accessibility to resources.

Yes, and thank you because all of the people we talked to in our community when we talked about, you know, kind of what is your biggest concern about people's engagement with treatment, and everybody said it's their basic needs aren't met.

They they can't they can't move on to worry about treatment when they're hungry and cold.

Um in fact, an interesting story is somebody shared with us who uh is unhoused that they actually used their drugs as a protective mechanism to keep them awake, um to keep them safe, and so I thought that's a business.

A form of bartering as well.

That's right.

I mean, it's a it's a way for them to have some kind of value that they can train somebody else.

Yes.

Next slide.

One thing that was surprising to uh me about our community and talking to our interviewees for this project and our key stakeholders was how many people said they had difficulty getting naloxone.

If you're familiar naloxone, is the nasal spray.

A kit has two doses.

Um, even the fire department expressed immense difficulty being able to get naloxone.

I will say that since we did this work, there's been a lot of opiate funding and a lot of grants approved, and so I would assume that a lot of people have been trying to write naloxone into their grants.

Um but when we looked at the numbers, yes.

No, no, finish your seven.

Okay, that's okay.

If I have a question once when we we we estimated that about 15,000 kids would basically meet the need, but obviously we want more than that in our communities, and what we found is that the state, the department of mental health had given about 45,000 kids to Tulsa County, um, but over 23,000 of those kits went to the CCBHCs, certified community or health centers.

Um, but to have basic entities like fire and some of the homeless shelters and some of the youth shelters not know where they could get in a lock zone or have to buy it themselves because it wasn't available through a free avenue.

Um that was concerning to me because it seems like over the past years that this has been available everywhere.

When asked about if it's available to those incarcerated or discharging from jail, um, it seemed like it was available to them, but it was optional for them to pick it up out of a bat a basket.

It wasn't really handy they didn't really, it wasn't really matched with education, um, but there was some in the jail, but it does have an expiration date too.

So there has to be a strategic plan with an allox and distribution.

That's what I was gonna ask is if there's any, especially maybe from the cost perspective to like coordinated community bulk purchasing because you know I've I see this a lot um working in a different medical space, but where you know you go to do bulk purchasing, and if there has to be like a you know specific physician health care provider that signs on across entities that's hard to share, but this since this doesn't have to be disseminated by like a licensed physician, right?

In that case, then you know that kind of opens it up to coordinated bulk purchasing, potentially by understanding that could be pretty complicated with all these different agencies, or I wouldn't know who the right central hub of that would be, but I think my understanding is the department of mental health has multiple companies that they have an arrangement with and can connect people to um and so they recommend and have vetted those companies available to people that have the money for those.

I would just be curious that like more broadly though, across the whole system instead of different agencies or entities doing that purchasing if you could have one that could get like really the right, usually the more you buy in these medical spaces, like those yeah, and it really lowers the cost per unit in a pretty efficient way.

I'm just naming that as a I'd be curious what the I don't know, maybe it's you guys who like the best neutral convener of coordinating that is, but there could be some real both cost savings and making sure someone's the right hub to get that out to all those more direct community providers instead of them great idea being stuck somewhere.

Um moving on to our third key finding, and that is that Tulsa County can divert more people away from the criminal legal system uh into treatment and save tons and tons of money for our community.

When we when we looked at our relationships and our conversations with those in the jail, um, including the sheriff, we understood that there's an immense need for treatment and mental health services in jail.

We were encouraged by the amount of MOUD care and counseling happening in the jail, but um the sheriff did say that there had been multiple overdoses, and while many of those uh inmates had been saved, the frequency of those overdoses seemed immense.

Um when we in the jail, yes, so they were high when they went in, or they getting it in the jail.

Yeah.

They're getting meth in the jail.

Getting drugs in the jail.

Um and so because of that, to your point, um, what we found again to that naloxone when people leave, sometimes people are actively using in jail or aren't fully detoxed or are detoxing in jail.

And so we believe that um a robust education and naloxone program in the jail as people transition from the jail into the community would be very important, as I'm sure you guys know.

Some people some people go in at high rates of use, stay in jail for 30 or 60 days and come out and then use the same um amount as when they before they went in, and oftentimes that can be a deadly uh impact.

And so just to think about in you just to put a pinpoint in your mind, we talked about transition from jail to the community, but transition from ER to the community is also a really really risky time.

So that would be another time where people need to be monitored, tracked, given the loxone checked on.

Um instead of just saying call this place on Monday, they're given an actual appointment and said, Hi, you have an eight o'clock with Shannon on Monday, and that's very different than um often what we see in our communities is that somebody just says call one of these places on Monday.

Yeah.

Yes, so we would need then facilities where people could actually go with beds and monitoring situations, um rehab type programs where they could stay.

Is that I believe Oklahoma County is building a place like this Medical respite center correctly.

It's like a diversion uh a diversion.

Right connected right.

It's it's a divergence interconnected to the jail, um, and people can be triaged um who are determined to meet appropriate need to be treated in this mental health center.

I think it's gonna have up to 60 beds potentially.

Oh wow, and that is kind of literally a diversion to this door instead of this door to jail, which uh I think is a great model.

I believe it's a maps project.

Uh like attaching green into the jail.

Similar, yeah.

Okay.

Well, they already do that with alcohol now.

I mean, so we're at the silvering center, we have something like that.

Yeah, but it's not attached to the jail.

Yeah, it's not right.

The proximity called uh critical time intervention as well that can go and deliver some sort of mobile care in that way.

But um the program they're building in Oklahoma City is next door to the jail.

That's right.

That's right.

But they're building a brand new jail for a billion bugs or something like that.

So they can't part of their maps.

Well, yeah.

Next slide.

Yeah, they did.

Yeah.

Um finally our fourth finding had to do with children and youth in this community.

Um, while we found in the data that the Oklahoma Prevention Needs Assessment showed that youth reported um a reduced use and alcohol in marijuana, that was somewhat opposite of what the principals and the teachers in the schools were saying.

And that is that is that is that they were overwhelmed by marijuana and vape uh difficulties in their schools and presence in their schools, and had immense difficulty engaging with parents oftentimes about vape use.

This is Oklahoma Prevention Needs Assessment.

It's given every two years for six.

Is that what's folded to YRBSS?

It's a separate.

It's totally separate.

Okay, I wasn't sure if it's a good thing.

So that's gonna continue happening this data.

Uh huh.

Okay.

You said six, ten and twelve.

Six six, eight, ten, twelve every two years.

What aren't the vaping laws kind of loosey goosey?

Yes.

I mean, to where I mean to buy cigarettes now you have to be a certain age, right?

Is is it 18, 21?

But vaping the the law, I mean, you can walk into a smoke shop and buy vapes at 13.

It it seems like the most common report was that children were receiving them from their parents or older older siblings.

Yeah.

Um, but I have heard that stores are pretty lenient.

Um so just one one finding at the time of our assessment was that only four of the 23 school districts in Tulsa County had received at this time had received money for prevention and upstream prevention, which we believe is essential to diverting youth um into more healthy coping factors than the use of substances.

We found that even though um the data showed that uh fewer youth were using alcohol in marijuana, the risk factors still seemed very high, which would put our youth at high risk of engaging in early substance use or as a gateway to later adult um more intense use of substances and so based on these findings, Healthy Minds identified five key areas for improvement for Tulsa County, uh aligning the substance use services with the changing trends in our community, addressing the unmet needs in those vulnerable zip codes, diverting people away from the legal system and making those high risk transitions like out of the ER in jail a lot safer, preventing behavioral health problems among youth.

And I'll let Zach tell you guys how Tulsa County used our assessment.

So they did issue $4.5 million in opioid settlement grants that were granted directly to the county for their settlements.

But do and anticipate the county will use this to both go after H funds through those opioid settlement dollars, and as those dollars come in directly to the county over time to use this assessment moving forward.

But these these recommendations were used initially to give these 4.5 million dollars out.

So I mean, so those so these key areas of improvement.

I mean, I think for me it would be helpful because these are like more general statements.

What specifically can the city and and those of us around this table?

What can we do?

Activities, ideas, suggestions as far as specific ideas can we implement a policy.

Can we take it policy funding of various programs and different um areas, whether it's schools, whether you know all of these entities that make up a community of people, what would a strategic plan look like in that regard specifically?

So would be helpful.

I'm not saying that's your job.

Uh apply for a grant to come up with it.

And part of that is the Method Vitamine Coalition doing the last three months, this planning that we've been doing will come out with the next phase of that work, and so we'll have some really specific things that are those who are working in the space.

Okay.

Um so that's number one, but things I will point to.

Um prevention dollars in schools don't grow on trees.

There's no way to bill for prevention services, but we can really truly prevent 60 to 70% of these things from happening, and there is no way to fund it other than federal block grant dollars, local philanthropic grants, and things like that.

Um so to the extent that you know we can look at any partnerships there, um, I believe the opioid grant that you all just discussed includes some prevention services or TPS, which is a good thing.

Um, another thing I would point to is the Central Health Crisis System is a really important diversion tool, and if I'm the city, I'm looking at those dollars coming in through the jail through our police force, the manpower extenders that really help utilize public safety dollars better.

That is working in Tulsa right now today.

It's not perfect, but it is working.

Um, we've seen, I just looked at the numbers, so forgive me for being a little bit vague, but about six to seven thousand, I believe, police diversions in last year because of COPES being embedded 24-7 at the 911 center.

So we're not even calling police out to these calls anymore.

They're able to kind of go and do their jobs, which is enforcing the law instead of being a clinician.

And the clinicians are able to take those those folks and get them help.

And a lot of those have substance use disorder.

In fact, um, I think more than half last time we looked at the data of the crisis center admits in Tulsa are related to substance use disorder and methamphetamine specific.

Um so that's a big overlap there.

Um, a lot of work is happening through the first responder advisory council on that right now.

Um, so we've actually just hit the first year, full year of implementation of this in March.

Um so we'll be looking at doing some data and then letting you all know and kind of what's going on there and talking about a next phase of that of that work soon.

Uh but exciting work there, and I think there's a dollar figure associated with what the city has saved from that, but I don't recall off the top of my head.

I wasn't prepared to talk about that, sorry.

But it really is working, so doubling down on that, there will be a funding need to continue in expanding that work.

Um, and part of that is because if you call 911 and say you need police, you now get diverted through a calls, a call matrix and an evidence-based tiered approach determining what is the violence risk and who needs to go out.

But if you say medical or another issue, you don't go through that triage model.

So there's a whole area of our 901 center that is not that is not um associated with that yet, but that's the next phase important.

And I would just add that you know, you guys will hear about further opioid money like you did today, and there will be renewals of that money, and I think that you guys are poised in a great position to point people to things that we have spent money on here in our community to find out the gaps and the holes, and so aligning that funding to these specific areas is so important.

Um and those opioid dollars are for a long time, and so um we've done the work to identify the gaps, and so let's put the money to match the gaps, I think is important.

So much like what the locations of services are.

Yeah, yeah.

I mean it's not happening.

I mean, three of the zip codes are in district one, and the highest ones are district three predominantly shared with district six.

Um mine was on there too.

Yeah.

You're right.

Um is there a link to the 16 organizations that received this money?

Yes.

Oh, okay.

County website.

Yeah, okay.

And just to applaud the county, what was so great, um, as Zach mentioned, they awarded based on our our work here, they actually took each key area key finding and matched the award to that section of this assessment, which was so cool.

It's really a great way of comparing the need with the dollars that we've received in our community.

And that's on the website.

Yes, yes.

Okay.

Thank you for coming today.

Yes.

So informative.

Well, those OPU and settlement dollars, as we know, are a once-in-a-lifetime generational opportunity to abate a crisis that happened and and and truly impacted every layer of strata of our community.

Um if we don't get that right, we will have passed up a massive opportunity.

I know that local jurisdictions are often met by folks holding their hand out saying we're doing good work and there's no argument that there's a lot of good work going on.

But what we are hoping and encouraging any local jurisdiction to look at the need relative to the community need and make sure those dollars are meeting a community need that will move a needle somewhere in our community and not just a good program.

That sounds good.

It's not a comment on how Tulsa is using its dollars, just a philosophical comment generally.

Any other questions or comments?

Alright, well, thank you so much.

Thank you.

Thank you.

So important.

Yeah, a lot of good work.

Thank you for looking at this.

We are jarring towards they'll also perform what's known as a lead service line inspection.

Lead, which is a toxic metal that was used in plumbing materials in the past.