PAAG MEETING MINUTES

WEDNESDAY – 11 AM, JUNE 23rd, 2004

Corporate Office, Canoga Park

 

 


Attendees (PAAG)

Steve Day

Alicia Smith

Bill Lidikay

Deanne Yocum

Elisa Jones

Georgia Raines

Laird Hammond

 

Maryann Sandoval

Mike Marks

Peggy Marks

Norma Gonzalez

Richard Lopez

Rueben Ornelas

Russell Idanza

Linette Sanboy

Maria Morales         

Invitees (Aegis)

Udi Barkai

    Notes taken by Thaiphong Vo

 

 

 

 

 

 


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The following matters were discussed and concluded:

 

1.      Introductions: The PAAG Members and Aegis Staff Members were introduced, and the sign-in sheet was signed.

2.      Previous Meetings: Steve Day and Udi have detailed the proceedings of previous PAAG meetings, and briefed the forum on the opinion letters and resolutions that the PAAG have been previously issued.

3.      Keys to Recovery: The forum held an extensive discussion on the major role of support groups in the successful recovery of patients, and therefore the necessity for the development of K2R Local Chapters in adjacent to each of the clinics. 

The discussion revolved around the best methods to develop and maintain effective weekly meetings.  The following recommendations were made:

a.       P,P&P’s: It is important that the local chapters maintain their autonomy and run their meetings to the best interests of their specific chapter.  However, it is equally important that the K2R comply with the K2R Policies Protocols and Procedures and that all local chapters will share the same values, and structure, especially as it relates to Code of Ethics.

b.       Preferred Venues: It was concluded that it is very important and practical to run the weekly meetings in the Aegis facilities.  Some members have raised the concerns that venues other than Aegis clinics are hurting the attendance rates. 

In clinics with limited space, it recommended that the meeting would be scheduled during hours of non-operation.  It was also recommended that the members consider consolidation of meetings of nearby clinics.  The use of community venues (e.g., Churches, Hospitals, etc.) will be considered a last resort.

c.       Preferred Days and Hours: It was agreed that the best attendance is achieved when the meetings are conducted through the clinic’s operating hours (when possible), and that after hours and weekends will be considered a second priority, mainly as a compromise when space is limited.

d.       Proximity of Aegis Staff Members: All the members have expressed their opinion that the “closed meeting” should be held outside of the immediate presence (both sight and sound) of Aegis Staff Members.  The distance would allow the meeting to be held in full confidentiality.  However, it was agreed that the local members would reserve the right to invite Aegis staff members or any other individual to an “open meeting”, as provided in the Policies, Protocols and Procedures.  Most times, the group will invite outside third parties to help them with education on relevant topics (e.g., Medical Lectures and nutrition, parenting, etc.) 

The members acknowledge the logistical and regulatory constraints of holding K2R meetings, which require the presence of Aegis staff members in the clinic during the meeting period, especially to protect confidentiality of patient records and ensure the security of the facility.   It was also noted that the compensation for the Aegis staff members’ time and other related expenses (e.g., cleaning, food and beverages) would be paid by Aegis Institute.


e.       Meeting Optimal Attendance: Steve has emphasized the importance of reaching a “critical mass” in each of the weekly meetings.  He expressed his opinion that the optimal attendance would be above seven participants, and also mentioned that based on his experience it is better to begin with at least ten members in a K2R local chapter.

f.        Dedicated Groups: All the other members have repeated the previous motion that support groups play a major role in the successful recovery of patients, and that the more Aegis patients attend these groups, the higher their clinical and recovery success rates will be.  It was also recommended that Keys to Recovery would develop dedicated groups for Relapse Prevention, Life Skills, Alcoholism, Single Parents, Hep-C, Anxiety, Mild-Anger Management, etc.,

g.       Referrals: It was also recommended that the Aegis clinics would support the local chapters, by referral of their patients to the meetings, and reinforcing the participation with K2R as part of the patient’s rewarding system (e.g., “Take Homes”).

h.       Non-Aegis Patients: The members did not conclude the discussion on the involvement of non-Aegis patients in the weekly meetings.  On one hand, it is important to do Outreach for other audiences (e.g., recovering addicts) and set an example of acceptance and compassion that is different from some of AA and NA practices.  On the other hand, the group has acknowledged the patients sensitivity to confidentiality related matters.  It seems that each chapter will have to develop their own opinion on this matter.

4.      K2R Best Practices: The members had a short discussion on the best practices for having successful K2R weekly meetings, and the possible obstacles that they may face.  It was agreed that in extreme situations the meeting chair may need to exclude a destructive member or one who acts as a nuisance to the group. 

5.      PAAG Involvement with K2R: Steve has opened a discussion on the involvement of the PAAG members in the development of local PAAG chapters, as well as the heading of weekly K2R Meetings.  The following members have expressed their interest in taking the additional responsibilities, which include: Bill, Georgia and Ruben, Mike and Peggy, Russell, Marianne, Robert, Dolores.

6.      AB2136: Udi has presented to the members, the provisions of AB2136 as they relate to the protection of patient’s rights and the prohibition of judges, parole & probation officers from making medical decisions (ordering people to get off methadone).  The members have reviewed the enclosed AB2136 Opinion Letter, and endorsed the new legislation.  The signed sheets are held with Steve Day.

7.      Update on Computers: Udi updated the PAAG forum on the progress Aegis Institute has made on the progress that Aegis Institute has made in getting donated computers, and expressed the hope that the computers would be available within the next two months.

8.      Meeting Adjournment, delivery of materials.