thank you Nilda for those words. Lucky to be working with you all.

it's nice to see everyone :)

Orlando Vera Peer Voices of Orange County.

Scott Raboy, he/him, CCAPP Research Assistant, Focused

Nayely Chavez, She/her/hers, HMA, thankful

Melissa Hannah, She, Her, Hers, United Parents, support/oversight- optimistic

Leticia Reyes-Nash, HMA, she, her, hers, feeling hopeful and reflective

Chad Scott Sycamores-Program lead, optimistic

John OConnor (He), HMA Project Manager, feeling urgent (about our work together)

Kris Amezcua, she/her. feeling thankful

Veronica Cerda at United Parents grateful

Kelsey Moore, HMA, she/her/hers, feeling grateful

Nilda, she, Sierra Health Foundation, Senior Program Officer, grateful

Erick Guerrero, He/Him, CAADPE, Researcher/Consultant/ Optimistic

Laura Collins, she/her; HMA, hopeful

Danielle Claybon, she/ her/ella .SHF. I am feeling calm and ready

Lily Tran, Peer Voices of Orange County

Zauna Nuru-Bates, They/them/theirs, Cal Voices, feeling okay

Jia Chen, she/her, CCAPP/Project Lead, Grateful and ready

Janice Mathurin-Boyd, Director of Operations; She/Her; confident

Hopeful but cautious

Stephanie Ramos - Cal Voices - she/her - scattered but hopeful

Hi i’m Lydia Young. She/Her. CABWHP Project asst. Feeling lucky

Janice Forbes, CADTP, Project Manager, Feeling GOODthis morning!

Marisol Garduno, United Parents, Educational Advocate, Achy but grateful haha

Carolina Ayala, she,her,Ella- being thankful and grateful

Hopeful and optimistic!

Excited!

Carolina Ayala, The Happier Life Project (she,her,Ella) being thankful and grateful

Feeling challenged today!

Yadira Castro she/her Peer Voices Of Orange County feeling grateful.

This is interesting I would think they're consistent themes with the evolution of health care overall..

This model is very good.

I like that- Peers are the Belle at the Ball 😊

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RCI Recovery Capital Index 🙌🏼

Great job Jia .. Thanks for sharing this morning

Excellent review!

Great job to both Laura and Jia!

canary in the coal mine

excellent point on org culture.

absolutely Stephanie!

Helping to ensure that Peer Support is culturally appropriate, ex. peers support in a clients preferred language, ability to work with a peer with similar background and or life experience

👏

Thank you Matt, that would be very helpful. We are big on "Wellness at Work".

Harm Reduction at Work: https://www.opensocietyfoundations.org/publications/harm-reduction-work

NHRC Peer-Delivered Syringe Exchange Tool Kit: https://harmreduction.org/issues/syringe-access/pdse-toolkit/

Great links Matt, thanks!

Also would note that www.cabridge.org has done an outstanding job of building peer substance use navigators from the get-go into their emergency department-based MAT access program. They have lots and lots of good lessons to share, and there are tons of education / TA resources on their site

Carolina, that sounds great.

absolutely

When individuals get hired in a peer role, they have been outed to the System. When they try to apply for non-peer positions within the same agency /county, stigma can interfere with their ability to gain employment outside of the peer role.

Yes thank you Laura and Jia for leading this discussion and everyone participating and enriching the presentation.

Replying to "Harm Reduction at Wo…"Hi Matt, I would love to connect to learn about any trainings for our volunteers and peer recovery coaches.

Thank you everyone for listening and contributing. And I think all your insights are very informative and important in starting this conversation around how exactly our systems need to make these changes to better fit those disconnects.

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Traditionally peer run agencies have provided the peers to the system. We may have contracts to provide the peer services. Why are we the side dish? Can we have clinicians contracted to work in a peer run agency instead?

Thanks Stephanie - I think that the work that Orlando mentioned that is being done around peers training clinicians is at least a step in the right direction

Stephanie, I believe we can change that model, the clinician peer model moves to a more realistic recovery.

Peer Certification had stigma built into it. One of the ethical violations can be “shall not provide services under the influence of any amount of alcohol, marijuana, or illicit drugs.” If someone is in recovery, they are required to complete an addiction treatment program and plan for continued care. Why is this a requirement only for people in recovery. Very stigmatizing. Shows a clear difference in how we treat Consumer Peers and other Peer categories.

Wanted to highlight the need to align policy with practice realities to promote equity & diversity. Consider the case of the bifurcated opioid treatment system that separates individuals based on race, insurance coverage and SES - if minority member, uninsured and low SES you are likely to receive methadone, if White, privately insured and mid to high SES, likely to receive buprenorphine. Client option in meds, clinic, professional, respect, schedule, etc is limited by system design. Policy needs to align with practice realities.

Can we add our CBOs logo to welcome/kick-off slide?

Thank you for calling that out Erick! Yes, aligning policy with practice is a major feat, but critical to ensuring success and sustainability of a recovery model of care

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Re outing peers when they’re labeled as such, that’s a good rationale for giving folks normal job titles and career paths that accurately describe their work. Outreach worker, substance use / recovery navigator, healthcare coordinator, etc etc.

Excellent point Matt!

I need to run to another meeting, but thanks so much for the excellent organization and presenting here and the rich discussion.

Are these documents also in Spanish? If not, should we have our own translators translate the materials used for focus groups?

Replying to "Wanted to highlight …"This brings me to a question I have about MAT. In Our area there are cities that have SUD/OUD very prevalent. They do not provide or have the California bridge program that provides low barrier entrance to MAT services in the ER with a follow thru to Clinics that engage you in somewhat wrap around services.However the NICER city here does have that in their ER. I ask myself WHY does Temecula have it and HEMET does not when the need is so high?Whom do I approach with this. Do they not know at the HEMET hospital that this exists.

Replying to "Wanted to highlight …"Oops 🙊

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Yes this presentation will be available also in spanish

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Replying to "Yes this presentatio..."Yay!! Thank you :)

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I like these slides and feel they will be very helpful.

Set context for how why we're here?

The project as a whole, where the information will go and help inform policy

Replying to "The project as a who…"Is this clear???? I don’t feel that I am clear in what is happening info with this information other than a round of finding for round 2.

can we get all the reporting date deadlines to make sure we have our meetings in time to report

I always found it helpful to "blame the funder for the question asking" .. which is true in this case :)

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Nayely I agree it does help to build a relationship, but also they need to feel that this information will be used and help another.

Our first focus group are LGBTQ youth. Very nervous with these questions

That's what I was thinking Leticia

maybe a QR code

If we could do a digital survey of a sorts.

That is s great idea Leticia. For certain populations it may be helpful.

The link would be helpful, but also having a paper option for folks who may not have access to devices.

This is where it is important to know where does this information go and how it is used.

Thank you 🙂

Is there a photo release form we can use?

Thank you!!

2 minutes - organization, target population, partners you are working with, how its going :)

feel free to put any questions for stephanie here :)

feel free to put any questions for melissa here :)

feel free to put any questions for Jia here :)

feel free to put any questions for Chad here :)

feel free to put any questions for Kris here :)

feel free to put any questions for Janice here :)

Thank you Nayely for providing that space 🙂

The Happier Life Project, Indigenous community

Great meeting, very helpful to keep us moving forward and on the same page.

Thank you.

Thank you!!

CBHA is working with Neighborhood Wellness Foundation seeking African American community members with lived systems experience for our first session. Other orgs and populations to come in future sessions.

This is awesome! I had it ending at 1pm in my calendar. Yay!! Self Care time :)

Great job!!! You all are awesome!!!

Great meeting, thanks everyone!!!

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Thank you all!☺️

Facilitating an 11am, need to hop, but also happy to chat media discussions in the future.

Thank you...this is exciting work!

Great session. Thank you Leticia, Nayely, Kelsey and All.

Thanks everyone!!

Thank you!