Nenana Wellness Coalition Minutes
16 December 2003
In attendance:
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Bear Ketzler
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Endil Moore
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Jason Moore
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Joshua Titus
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Alvina Fowler
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Kat McEroy
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Tracy Wiggins
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Paul Verhagen
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Roy Smart
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Ricky Martin
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Patty Adkisson
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Shelly Citron
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Virginia Young
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Lois Law
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Gayle Ramey
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Dick Farris
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Christina Sunnyboy
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Milt Haken
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Ginger Albert
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Brenda Dow
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Ruth Ritenski
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Meeting convened at noon.
Bear introduced Dick Farris who has been asked to assist us with his grant writing skills and then asked Milt to give a report on the conferences he attended in Seattle
Milt Haken
Drug Impairment Recognition Conference. Several states are passing laws that require drivers of vehicles involved in a motor vehicle accident to be tested for drug use - prescription or otherwise. Preliminary statistics indicate that the problem of driver impairment is much greater than expected. Some states have begun training officers as Drug Recognition Experts (DRE’s). Alaska will have 12 of them by this summer and Milt (Nenana’s Chief of Police) is one of them. A DRE has been trained to recognize the indicators of drug impairment through tests similar to field sobriety tests for alcohol. Examples were given of impairment by such seemingly harmless drugs as caffeine which if taken on an empty stomach in sufficient quantities can cause driver impairment as reported by an incident involving a truck driver who took large numbers of caffeine pills on top of high caffeine content drinks in an effort to stay awake after too many hours of driving. Judges have convicted people for causing accidents if they were driving while using medications that cause drowsiness and, of course, more and more people are being convicted of driving while under the influence of illegal drugs.
Alternative To Incarceration Conference. As a result of dwindling budgets and other social concerns more and more states are seeking alternatives to incarceration. One jurisdiction that Milt learned about three programs offered in the Seattle area - DUI Alternate Sentencing, Day Reporting, and Work Crew. Under the DUI Alternate Sentencing program offenders are given the option to participate in a 24 hour alternative DUI Education Program that takes the place of the mandatory 24 hour jail sentence. Participants are not released before the 24 hours (Cots are provided for those who wish to sleep for some of the 24 hours). No information was given regarding the other two options but he will make the brochures available to us.
Education Components. Milt shared information with us on a program called What’s a Life Worth wherein drivers must watch a CD on the subject before receiving a driver’s license. He provided a copy of the CD for our review. Another innovative program includes a DUI simulator that consists of goggles and a go-cart wherein the driver and a passenger enter onto a race track in the school gym and attempt to drive while their vision is ‘impaired’ through the goggles and the reaction time of the go cart is slowed to simulate the reaction time of an impaired person. The biggest effect has been on the passengers who realize that they have no control whatsoever when driving with a drunk driver. Cost is $8,000.
Enhanced 911 Teleconference. Milt attended a statewide teleconference regarding implementation of enhanced 911 throughout Alaska. GPS abilities are likely to be mandated so that location of 911 cell phone callers can be immediately determined.
Endil Moore.
Endil reported on the visit that four of our members (Chief Haken, Captain Moore, Mayor Mayrand and Bear Ketzler) made to FCC to check out their electronic monitoring program. They visited with Ron Winkleman who showed them the B.I. Guard Center product. FCC has the capacity of monitoring up to 15 bracelets at a time. They demonstrated the use of the bracelets as well as the breathalyzer and voice print components. Amazingly, by requiring the individual to speak just three words - Yukon, Chena, and Willow - the voice recognition is very high. Defendants must apply to participate in the electronic monitoring program and must not be sex offenders or have been convicted of domestic violence. They must have a dedicated phone line to their residence. They were also shown a tracking component that allows police or probation officers to drive by a location where the defendant is supposed to be and receive a signal from their bracelet as long as it is within 600(?) feet.
Endil further reported on another system called Shadow Track which is cheaper and appears to be as good or better. He will provide us with copies of the literature he received.
Lastly, Endil discussed having seen the felons lined up in a hallway before being moved somewhere else and at that moment he decided that we should do everything we (Wellness Coalition) can to prevent any of our people from having to spend any time in the same facility as felons.
Paul Verhagen
Paul shared some thoughts (attached) on coming up with a mission statement. Forms were then distributed upon which we were asked to take five minutes to write down our thoughts of just what our mission is. He suggested that we not discuss the results yet, but instead repeat the process at another meeting or two in order to allow all to participate or for additions to our prior thoughts.
Paul also shared thoughts (attached) on development of non-medical emergency response teams who would be available to respond to calls regarding individuals who are at a point of crisis that needs immediate intervention but have not yet crossed the line wherein an ambulance would be dispatched. Endil Moore expressed concern that crisis intervention teams should work together with EMT’s and other first responders because there is often such a fine line between what is and isn’t a medical emergency. What might not appear to be a medical emergency at first could become such within seconds. On the other hand, a situation that might be called in as a medical emergency could be declared as a non-medical at the scene and yet it might still not be wise in many cases for the individual to be left alone when the emergency medical providers leave. Endil offered to act as a ‘bridge’ between the groups because he already works with the medical responders and is willing to work with non-medical responders as well. Patty A. said that she has information on crisis intervention that she thinks will be helpful and will get that information to us. Tracy Wiggins offered to follow up on this by working with Endil, Patty, Shelly C., and Ricky M. - each of whom expressed interest in seeing such a program developed.
Paul invited the Wellness Coalition to meet at his house for next week’s meeting. The invitation was accepted.
Bear Ketzler
Bear reported on his visits to the two Fairbanks Oxford houses. Things are progressing nicely for the newest house which is accepting applicants right now. He told about a conversation that he and Paul had with Luki(?) the coordinator of one of the two Anchorage Women’s Oxford houses. Luki has offered to come and speak with us any time that we would like her to. The agency she works for has funds for such travel.
General Announcements and member comment
Our Nenana A.A. group held their second meeting. Six people attended the first meeting and seven people attended this last week.
Christina S. would like to re-start Little Dribblers but needs help with funding. Tracy, Endil and Bear each said that they can come up with some funding. Gary E. suggested that it would be fun kids and adults if we held five minute Little Dribbler games during half-time of our J.V. games. That would be a logical time to do it because most people would already be there for the J.V. game and would not have to come again at another time. Christina will follow up on this. Shelly offered to help.
Bear introduced Rick Ferris and suggested that we might want to brainstorm some more about development of our proposed Regional Behavior Center. We talked about the concepts that we have previously discussed and at the end of discussion Rick said that he thinks we are already well on our way and probably don’t need his help with the brainstorming part. He went on to congratulate us and said that he believes what we are hoping to put together will serve as a model for other communities. He offered to help us obtain funding - an offer that was gratefully accepted as Rick is acknowledged as being very good in this field.
Bear reminded us that we have talked about methods of making our programs self-supporting, including the therapeutic aspect of growing, raising and catching one’s own food. Paul suggested that we consider using the old mission model. Beat told about a stand alone wood burning heating system that will be tried out on George Hall. It is a stand-alone system (similar to the HASHA’s that are common in Healy). If successful we may want to consider incorporating it into any facilities that we build, especially in light of our intention of making them as self-supporting as possible.
Ricky M. suggested that our programs need to be less coercive than some other models and that there needs to be a ’seamless’ flow into aftercare. He suggested that we use the same people who serve in the in-patient portions of our program as transitional counselors into the aftercare program.
Paul suggested that in order to accomplish the things we have been talking about we will need to develop various components to our program that are each self-standing but fully integrated with each other. That will allow us to meet the requirements of the many agencies who may wish to send people to us but who could not if we didn’t provide for their concerns (such as Nygren credit, jail-like facilities, etc.) on one hand, and less coercive programs on the other hand.
Shelly C. suggested that we need to prepare participants in our programs for full reintroduction into society by exposing them while they are still in treatment to some of the kinds of risks they will face when they are finished with treatment in order to help them develop the skills they will need.
Kat M. expressed concern that we not become part of the problem we are attempting to fix. She suggested that if we are not careful we could inadvertently develop a program wherein people are very successful at not relapsing - but only if they remain in Nenana. She suggested that we don’t want to contribute to further drain from rural communities throughout Alaska.
Paul suggested that we must co-develop our programs with as many other communities as we can. He suggested that we work with communities like Tanana and work with people like Dr. Gooding and the Tanana Counseling Center, and others. Then when participants are released they will be returning to their own communities but still be participating in sister programs that exist in their own community. He talked about the need to continually look at the holistic aspect of our proposed program.
Kat called it Whole Family Healing.
Ricky suggested that we re-evaluate the Alkali Lake model.
Kat said that RMHA has copies of all their material available for review.
Endil expressed concerns that we not wait too long in the process before addressing the property needs of our program. He suggested that we begin now looking for a large tract of land sufficient to meet our current needs as well as our needs well into the future. He stressed the need for us to be able to expand.
Bear mentioned that Huna is doing something similar to what we are trying to do and that Senator Stevens has really gotten behind them. It was suggested that we inform his office of what we are working on as soon as possible so that he might keep us in mind for some of the available funding - which he can’t do if he doesn’t know about our efforts.
Bear introduced Brenda Dow and Ruth Ritenski who work for the state as Public Guardians. They congratulated us on the progress we are making and said that our programs will be of great benefit to some of their clients.
Meeting adjourned at 2:35 PM.
Minutes distributed on 12/22/03
Please review the above minutes and notify me if there is a need for any changes or corrections at paulverhagen@prodigy.net. Thank You.

Win -The Nenana Wellness Coalition
Nenana Wellness Coalition
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Emergency First Responders (EFR’s)
I recently received a call from a service provider friend of mine from one of the villages that I cover asking for help. A friend of ours, a local woman with serious addiction problems, recently pled out to a crime and at sentencing, while she was sober, agreed that she needs help with her problem. She agreed to enter a treatment program in lieu of going to jail but, as sometimes happens, never made it into the treatment program because she took a detour to the bars in Fairbanks on the way to treatment. After several days of drinking she tried to kill herself. My service provider friend from Tanana received a frantic call from someone who found the woman. She called the police and asked them to take her to the hospital under the protective custody statutes and at the same time, called some other women from Tanana who happened to be in Fairbanks and asked if they would go to where this woman was and be there with her while the police were en-route because the service provider knew from prior experience that it might be hours or even days before the police got there. When the police did finally arrive our friend was transported to Fairbanks Memorial Hospital for a 72 hour hold but again, as often happens, she checked herself out before the 72 hours was even up.
My friend from the village was calling me to see if there was anything that the courts can do to intervene before this woman succeeds at taking her life or dies from drinking and drugging. The answer to that question is - maybe. The courts can take action, even emergency action, but the process involves multiple agencies and takes time. It involves the court system, the district attorneys’ office, local law enforcement and sometimes other agencies. All of the agencies are very busy and are each day being asked to do more and more all the while their funding is being cut. People like our friend from the village could be dead by the time the machine that we call government gets gears up to respond.
There has to be a better way and I believe that the Nenana Wellness Coalition can play a part in helping develop a better way. We might consider the idea of fostering an Emergency First Responders (EFR) program (perhaps a cross between the EMT program and the A.A. model of service). Such a program could be duplicated in any city or village anywhere and could consist of teams of first responders made up of people who are very familiar with addictive behavior from first hand experience, people who have been in this woman’s shoes, people who work to keep themselves healthy by serving others - others who are now where they once were. There are lots of people who fall into this category. People who want to serve, and will serve, if someone informs them of the need and helps them get started with organizing themselves.
The Nenana Wellness Coalition need not, nor should we, do all the work. We don’t need to, nor perhaps should we, fund the program, they are capable of doing it themselves (like A.A. and Oxford House) if we but help get things rolling. To do this we might want to facilitate meetings to discuss the situation and help those who are interested get started. Perhaps we could begin by doing something as simple as compiling a list of people who have previously been helped whose goal for their own sobriety is to help others. Perhaps with their permission we could distribute this list to our local service providers and other agencies so that they will have someone to call when they receive calls like my friend received. We might ask them to invite others to a bigger meeting to discuss the problem and ask them if they would be willing to respond when a call comes in as the two women from Tanana did.
As Emergency First Responder Teams they might be called upon when someone is in a non-medical crisis (threatened suicide is not considered a medical emergency) as a means of helping prevent a medical crisis. Such a team doesn’t need expensive equipment in order to help people keep from relapsing, committing crimes, or even suicide. They might help provide transportation to AA meetings, treatment programs, doctor’s appointments, etc. They could be available to take calls from the person in crisis, the court, police, friends, family, etc.
We needn’t design the program in details ahead of time - just encourage its creation and give it a helping hand. Who knows - it might be one of us, or our own, whose life is one day saved by that which we help to start.

Win -The Nenana Wellness Coalition
Nenana Wellness Coalition
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Mission Statement
A wise bit of counsel tells us not to run faster than we can walk. Whenever I hear this saying I envision a toddler who is just learning to walk who gets so excited that he leans forward and starts to run only to crash headlong into the couch! I also think about another saying that tells us “That which we persist at doing becomes easier – not because the nature of the thing has changed but because our capacity to do it has increased”. Thus as the toddler’s muscles grow and he gains a better sense of balance and gets a little more experience it isn’t long before he is running to and fro!
One thing that I have enjoyed about our work as the wellness committee has been that we have taken the approach of the tortoise in the story of the tortoise and the hare. We have been meeting steadily and, slowly but surely, we have been making progress. We have not yet tried to run even though we, like the toddler, have gotten excited about the potential that we see for ourselves. No one has been overly pushy. Anyone who has wanted to has been able to participate, all speakers have been treated with respect even when there were clear differences of opinion, and our numbers have grown steadily. From my perspective our ability to “walk” is improving. Some day we may find ourselves running like the wind and great things may be accomplished, but in the meantime we must work slowly and carefully to increase our abilities so that we don’t end up crashing headlong into a “couch”.
At our last meeting we agreed that we will be able to accomplish more if we refine our focus. We talked about the need for good records of our meetings, about reviewing the things we’ve talked about doing, and laying out plans to get them done. We also talked about developing a mission statement as a means of having something that we can look to in order to ensure that our actions are fulfilling our intentions.
In the spirit of continuing forward with a slow but steady pace I suggest that we NOT attempt to develop a mission statement in hurry. I suggest that we work at it for a while so that all who desire can be involved in the process. I have written on a piece of paper the phrase “The mission of the Nenana Wellness Coalition is:” and have left a blank space behind it. I suggest that we take a few minutes for each of us to fill in the blanks with whatever comes to mind. I have written the same phrase three times because we may each have in mind more than one idea of what the Nenana Wellness Coalition should be working to accomplish.
I suggest that we not discuss our answers today. In fact I suggest that we do this same exercise for the next few meetings and that we spend no longer than three to five minutes each time doing it. Doing it this way will give those who can’t be here today the opportunity to have some input. It will also allow us to think about our mission during the intervening time. Perhaps next time your answers will be the same and you will choose not to add anything but, on the other hand, if you’ve thought about something else you will be able to add it.
After we’ve collected all the answers we can compile the results and then would be a good time to talk about them. Only then would it be appropriate to decide on our mission statement.
If you are agreeable with this approach we’ll pass out the forms and take three to five minutes today and then move on to our next item of business.
The Nenana Wellness Coalition
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Mission Statement
The mission of the Nenana Wellness Coalition is:
The mission of the Nenana Wellness Coalition is:
The mission of the Nenana Wellness Coalition is: