Regular Monthly Mtg-Sept. 18th, 2018

Regular Monthly Meeting
Lawrence Township Board of Supervisors
September 18th, 2018
7:00 P.M.
Municipal Building
45 George Street, Clfd Pa.

 

Chairman Randy Powell called the meeting to order.

 

Pledge of Allegiance to the Flag.

 

Roll call of Supervisors showed Jeremy Ruffner, Daniel Mitchell and Randy Powell all present.

 

Comments from the audience: Terry Struble-Clearfield Area School Superintendent, was present to express his concerns and opposition of the Health Clinic for Suboxone Practice that is looking at putting in the clinic going into Hyde City at the Glenn Wise property near the railroad tracks. Mr. Struble explained that all of the school buses from the High School are required to stop at the railroad tracks crossing and open their door to verify both directions. This is moving approximately 1,100 students, twice a day, and also the vehicle traffic with the students that drive. These buses stop 350 feet from the location of the Suboxone Clinic. Mr. Struble did not feel this is safe for the students. He looked at alternate routes for the school buses and for them to reroute up Washington Avenue to the railroad track underpass they are not permitted to make left turns but also the buses would not be able to make the turn. If they reroute via Coal Hill Road all the busses would enter Clearfield Borough and this would cause extended bus runs for almost all students with run times at a dramatic increase. Mr. Struble asked the Supervisors to look at what could be done to stop this clinic from being at this location in the township.

Rick Swatsworth asked what the nature of this business is and has the township issued a building permit. He also opposes this business from coming in. It was explained to Mr. Swatsworth that the Code Officer has prepared the permit for the upgrades to the building, but it has not been paid for at this time. They also have to get the HOP, Highway Occupancy Permit, from Penndot. Mr. Swatsworth also asked not to forget the Grandmother and three-year-old child that were hit and killed in Mahaffey from a methadone intoxed driver.

Chairman Powell let the public know that the CEO from ARS was present to answer questions.

Brett McGennis explained that this is not a Meth Clinic but a Suboxone Clinic where they are given prescriptions to get the medication from a Pharmacy and not on location. This is also an Insurance based practice. All Doctors are licensed and held to strict limits.

Shannon Hull felt this is going to cause accidents and that is the last thing that is needed. This is bringing more people in that will go to local pharmacy’s and driving and trying to sell the medication or trying to sell to our children. This is not needed in our town. It is already unsafe for our children to be downtown among the drugs that people are trying to sell.

It was also explained that there is a medication that may be dispensed at the clinic that is called Vivitrol.

Lisa Fletcher asked what form of medication and Mr. McGennis explained it is a liquid form.

Mike Boal asked if this is a profit for the business. Mr. McGennis responded that every business looks for a profit but also their business belief system and goal is to give life back to these patients. Mr. Boal also asked how many miles they are looking to pull people from. They are located in, Clarion, Meadville, Johnstown, Indiana, and looking at putting one in State College. Mr. Boal asked how far away patients are going to come and this will bring more people on drugs to our area.

Police Chief Douglas Clark asked the hours they are open. Mr. McGennis responded that when they start a clinic, they are typically open about 4 hours per week and at prescheduled appointments. Chief Clark also asked of the 34 clinics that they already have in place do any of them dispense medication and Mr. McGennis responded that they

 

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do not. Chief Clark asked what the average amount of patients they see on a weekly basis. Mr. McGennis responded that some clinics see 10 people per week in maybe a rural area, but in a city area may see more. In the Clarion area they see about 40 a week and are open one day a week, and only expand hours if needed. In Cranberry they have been open about 6 years. Chief Clark asked how many patients get prescriptions in Cranberry and he responded that about 200 per week and has built up over time. Chief Clark asked over all the patients that have gone there over the 6 years how many no longer need the medication. Mr. McGennis responded that most of the patients stay on the medication.

Chief Clark asked if there is a system in place to cure these patients and Mr. McGennis response was that medically they will always be in the medication. You say you do not dispense medication but what type of policy do you have in place if your clinic is notified that an individual has been arrested for DUI. Mr. McGennis responded If they are only on suboxone medically suboxone you cannot get high, it has a peak effect. These are board certified physicians that work with the patients.

Chief Clark explained that the number of DUI’s the department has that 90% are drug related. Chief Clark also asked what type of policy they have in place that if a patient is in an accident after taking the drug and driving do they stop giving them medication.

When looking at Meth Clinics it is different than Suboxone and it is different with the effect of the meds.

Mike Boal asked the supervisors to put conditions on the Building Permit for operation of hours and what can be dispensed.

Mr. McGennis explained that they would have no problem with required hours of operation or what medications are allowed to be dispensed at this location.

Rhonda Martell has seen the out come of the Meth clinic with a mother of two small children crying because the mother was passed out in the parking lot of their business. Will these people that come to the Meth Clinic also come to your clinic. Mr. McGennis responded that they will be tested before given any medication. They also work with the patients to taper them off of the medication.

 

Warren Bartholomew asked about the Vivitrol and is it dispensed at this location and what happens if the township requires nothing to be dispensed at this location. Mr. McGennis responded that ARS does do vivitrol and Suboxone but if it is required and a condition to not do the vivitrol at this location then they won’t. He also asked if the doctors push for their patients to taper off the medication. Mr. McGennis responded that is a conversation between the patient and their doctor to make that determination. Some patients cannot function without it. Mr. McGennis also explained that the patients go to their own therapist at least once a month and it is a requirement depending on their Insurance and a confirmation is faxed to them from their therapist.

It was also asked how long does the prescription last and Mr. McGennis responded that depends on what state they are in and their Insurance. A new patient has to come every two weeks until they have six visits, with the goal to go on a monthly program. That does not occur if they have a relapse during treatment then they are put on probation and then they would have to come every two weeks.

Jeannette Peacock asked if they have a maintenance program. Mr. McGennis explained that they do and some go off the medication and some stay on for a longer time. Look at trying to find the ones that want help and need help.

Shannon Dysard asked for confirmation on his comment about vivitrol and if they do plan to administer it at this location. Mr. McGennis did explain that they do administer this medication by injection at the clinics but if it is a requirement that they do not do the injections at this location then they will not.

Ed Clark moved back to this area and what is different now for this area is the Meth Clinic and what it is doing to this town. Why is the Meth clinic here and we should not focus on what is here but the people that manage this town?

 

 

 

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Supervisor Ruffner presented information that he looked up pertaining to this issue:

FACTORS TO BE CONSIDERED WHEN EXAMINING

THE NEED FOR D&A SERVICES

  • Is there an established need for the service? When determining the need for services there should be a formal process undertaken with local stakeholders. When the Clearfield-Jefferson Drug and Alcohol Commission conducts Needs Assessments for all levels of drug and alcohol treatment services the following information is collected and analyzed: local drug and alcohol treatment data; local court related data; ancillary service data; Administrative Office of PA Courts data; and many focus groups with individuals/family members that are in recovery or currently seeking treatment services. It is up to the Commission to look at existing services and the demand. In the 18-19 Treatment Needs Assessment, the only needs for treatment services that were identified are for residential detox and rehab services. Suboxone services are currently being offered in Clearfield and Jefferson Counties. Question: Does ARS have any data that suggests that there is an established need for additional Suboxone services?  

 

    1. Mr. McGennis responded the need is to get patients out of a cash base service and into an Insurance based service.
    2.  
  • Geo-Access refers to the number of services that are located within a designated radius. Is geo-access and other standards currently being met?

 

The Clearfield community is rich in services available for the substance abuser and particular the Opioid Use Disorder (OUD) individual. Services are as follows:

  • The Clearfield-Jefferson Drug and Alcohol Commission operates a Center of Excellence for Medication Assisted Treatment and contracts with two physicians in the Clearfield area to provide Suboxone and Vivitrol.
  • Clearfield is also home to a Certified Community Behavioral Health Clinic that also provides Suboxone and Vivitrol services for individuals.
  • The Discovery House located in the Clearfield area also provides Methadone and Suboxone for OUD individuals. A total of 5 separate physicians offer Medication Assisted Treatment services in relation to the above licensed programs, in 7 locations across the two-county region.  September 18th, 2018Question: What geo-access standard does ARS feel is not being met?
  • Mr. McGennis referred back to the previous response regarding the other facility with a cash base provider who are not contributing positive relief to the community and to those patients.
  •  
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  • Current and historical capacity and whether or not there are waiting lists for existing providers.

 

The Drug and Alcohol Commission does weekly capacity checks with local providers in order to determine whether or not individuals are waiting to get into any level of services. Currently, there are no waiting lists for any type of Medicated Assisted Treatment.

Question: What information does ARS possess that indicates that there are waiting lists with existing providers?

Mr. McGennis response was the issue is not whether there is a waiting list or not but the care that they are getting is not the best and from a financial perspective hurting the community.

 

  • Current research shows that the approach to Medication Assisted Treatment must be multi-faceted in order to be effective. This includes, drug and alcohol treatment services, case management services, primary care physicians and pharmacy.

 

 

Question: Has ARS connected with any local resources regarding setting up these services? Has ARS contacted the Single County Authority responsible for the assessment of need, planning, implementation and evaluation of all drug and alcohol services for Clearfield and Jefferson counties?

The marketing that we do and the reach out we do once an applicant has been approved is to reach out to all drug and alcohol therapist.

 

 

 

 

 

 

 

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How many doctors will be at this location. One doctor at a time. It was asked if medical assistance is allowed at this location. Why does this company want to come to this location? This could draw people from 200 miles away to come to this clinic. The doctors are very limited to what they are allowed to write a prescription for and they run checks to be sure they have not already got the drug from another location.

There was a concern about the patients getting the medication and selling it. Mr. McGennis explained that they run taxology test that will show they are not taking the medication and if they are not then they are discharged from the program.

Janet Jury expressed her concern of the Clinic coming to this area. Thanked Supervisor Ruffner for the research he did of what the county does offer. She felt that ARS is valuing their business on a cash clinic and forgetting what the county has to offer.

She is very upset with the property owner that brought this clinic to the area. Did they do a study of the location and what could happen to the children. We are not helping the people by continuing to give them the medication. Your business has not truly looked for an area that has a Police Force to help them with what you are bringing in. She felt that Mr. McGennis had contradicted himself several times and it is unbelievable this is not what my home town that she grew up in needs.

Chairman Powell thanked everyone for their comments and preceded with the meeting.

 

Daniel Mitchell motion to approve the minutes of the September 4th, 2018 meeting as written, Jeremy Ruffner second. Motion carried with none opposed.

 

Police Report: Chief Clark had nothing to present but asked if there were any questions for him at this time. None presented.

 

Clearfield Municipal Authority Report: None.

 

Engineer’s Report: None.

 

Solicitor’s Report: Mr. Naddeo asked for an Executive Session for potential litigation.

 

Recreational Park Board Report: None.

 

Code Enforcement Officer: In Debra Finkbeiner’s absence the Secretary presented the report.

A minor Subdivision was presented for Mary Sellers with lot 2 being consolidated, Parcel # 123-K6-13 located at 2499 Flegal Road Clearfield PA Randy Powell motion to approve, Jeremy Ruffner second. Motion carried with none opposed.

 

A reminder was also presented to residents when cutting grass to not blow the grass onto roadways and alleys. Fines may be issued for failure to comply, these clippings get into storm system and grass also makes roadway slick, especially for motorcycles. This also includes leaves, please do not rake leaves out onto roadways, they may be raked to the curb for pickup but please do not put on the roads.

 

Roadmaster’s Report:Roadmaster Woodling reported that the Paving Project has been completed.

He also reported that the crew continues in installing the playground equipment at the Recreational Park.

 

 

 

 

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Secretary/Treasurer’s Report: The Treasurer’s Report for the month of August was submitted for the supervisor’s review.

 

The Secretary/Treasurer asked permission to transfer funds from the Reserve Account to the General Fund for the Police Department Invoices paid for grant funds in the amount of 1,796.46, Randy Powell motion to approve, Jeremy Ruffner second. Motion carried with none opposed.

 

The Secretary/Treasurer also asked permission to transfer funds from the Hyde Building account to the General Fund for funds that Commonwealth of Pennsylvania deposited into that account for Game Commission payment in lieu of taxes in the amount of 4,749.00. Jeremy Ruffner motion to approve, Daniel Mitchell second. Motion carried with none opposed.

 

The bids were opened for the sell of a piece of property owned by the township that is located off of the township property on George Street.

Frances Greenland                       5,317.00

Terrance & Judy Duncan             6,300.00

Jeremy Ruffner motion to accept bid from Terrance and Judy Duncan in the amount of 6,300.00, Daniel Mitchell second. Motion carried with none opposed.

 

The Secretary presented a news release from Penndot and gave it to the news media present pertaining to Child Passenger Seat Checks that will be held on September 26th, 2018 from 2:00 PM to 6:00 PM at their building at 70 Penndot Drive Clearfield, PA

 

Supervisor’s Report: Jeremy Ruffner presented a request from Glen Richey Fire Company for repairs to update the QRS in the amount of 4,476.23 and asked the township to help pay for the repairs. Jeremy Ruffner motion to pay the entire estimate for the repairs to the QRS, Daniel Mitchell second. Motion carried with none opposed.

Jeremy Ruffner motion to purchase two more cameras from the Phone Guys for the township building, Randy Powell second. Motion carried with none opposed.

 

Supervisor Ruffner reported that he is still working at putting a Dog Park at the township Recreational Park and forming a committee to do that and ask if anyone is interested in being on the committee to please contact him.

 

Daniel Mitchell asked Supervisor Ruffner to look at what the township may need to use the software for the sign inventory. Secretary Shaffner let Supervisor Ruffner know he can contact Terri Kunkle at Goshen Township because they purchased the equipment to do the sign inventory and she may be able to direct him in what needs to be done.

 

Randy Powell: No Report.

 

Roadmaster Ronald Woodling requested to have a survey done on 104th Calvary Road to Mann Road for weight limit. He is to go ahead and have it done.

Holly McGovern Buck requested Speed Limit signs on Mann Road to help slow down the traffic.

 

Randy Powell motion to pay the list of bills in the amount of 95,068.71, Jeremy Ruffner second. Motion carried with none opposed.

 

 

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Jeremy Ruffner motion to adjourn to Executive Session for possible litigation, Randy Powell second.

8:20 P.M.

 

Jeremy Ruffner motion to return from Executive Session, Daniel Mitchell second.

8:35 P.M.

No other business to come before the board.

 

Randy Powell motion to adjourn, Jeremy Ruffner second.

 

Meeting adjourned.

 

 

Present: Secretary Barbara Shaffner, Roadmaster Ronald Woodling, Police Chief Douglas Clark, Solicitor James Naddeo & Linda Lewis,

List attached of all others present.

 

 

 

 

Respectfully Submitted,

 

______________________________

Barbara S. Shaffner, Secretary

 

 

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