HomeMy WebLinkAbout07 July
Human Services
HEALTH BOARD MINUTES
JULY 23,1996
CITY OF PORT TOWNSEND
REPRESENTATIVE:
Ted Shoulberg, City Council Member
STAFF MEMBERS:
David Specter, Health Department Director
Jean Baldwin, Director of Nursing Services
Larry Fay, Director of Environmental Health
Chester Prudhomme, Director of Substance Abuse
Thomas Locke, M.D., Health Officer
BOARD MEMBERS:
Robert Hinton, Chairman
Richard Wojt, Member
Glen Huntingford, Member
The meeting was called to order by Acting Chairman Richard W ojt in the temporary absence of Chairman
Robert Hinton. The following Board and staff members were present: Commissioner Glen Huntingford,
David Specter, Larry Fay, Jean Baldwin, Chester prudhomme, Judi Morris, Sherrie NeSmith, and Diane
Espenson. Chairman Hinton arrived shortly after the meeting began. Health Officer Thomas Locke,
M.D. and the City Council's representative Ted Shoulberg were not present.
APPROVAl, OF MINUTES: Commissioner Huntingford moved to approve the minutes of June 25,
1996 as presented. Commissioner Wojt seconded the motion which carried by a unanimous vote.
PUBLIC COMMENT PERIOD: No public comments.
DIRECTOR'S REPORT
FINANCIAL REPORT: David Specter reported that 47.1% of the budget has been expended and
48.7% of budgeted revenues have been collected as ofJuly 1, 1996. Salaries and professional services
are below budget projections. Some adjustments will be made for equipment and vaccines, but overall,
the budget is in good shape. Revenue is tracking close to projections as well. Intergovernmental funding
and grant payments are coming in on time. This month he will begin preparing a midyear budget forecast.
Newspaper articles printed in July have been included in the Board members' packets for their review.
These articles have been compiled in a notebook at the Health Department which is available to the
public. David Specter stated that the Health Department is getting some good coverage in both the Port
Townsend Leader and Peninsula Daily News. Judi Morris is coordinating the media campaign and press
releases for Health Department services.
HEALTH
DEPARTMENT
360/385-9400
ENVIRONMENTAL
HEALTH
360/385-9444
DEVELOPMENTAL
DISABILITIES
360/385-9400
ALCOHOL/DRUG
ABUSE CENTER
360/385-9435
FAX
360/385-9401
HEALTH BOARD MINUTES - JULY 23, 1996
Page: 2
COMMUNITY MOBTUZA TION PROJECT ON YOum: David Specter explained the
background of this project. He stated that there is a crisis among the youth in this community due to
their use and abuse of drugs and alcohol. This is not just a problem in Port Townsend. It is a problem
County-wide. Youths are a major priority, not only in terms of our society, but in terms of where the
most impact can be made from a public health standpoint. It is much better to intervene when people are
young and preserve the future years of productivity and life that they have ahead them. From a public
health perspective, the impact diminishes when intervention occurs at older ages. This is an area that the
Health Department has targeted as a priority for taking action right now.
David Specter continued by explaining that nothing has changed in this community for a number of years
with regard to the use and abuse of drugs and alcohol. The community has become more aware of, and
concerned about the problem. The Health Department is proposing to use funds available through the
State Department of Health which have been allocated to address urgent public health needs and build
local public health capacity. This priority project would be an appropriate use of the funds. David
Specter presented a summary of the six-month project titled "Community Mobilization Project on Youth"
and additional information on the funding to the Board for review. The goal is consistent with the
direction of the Board. It will wll create any new programs or staffing that will exist beyond this project.
This is a community problem, not just the Health Department's problem. The Health Department can
offer resources and technical assistance with facilitation and the development of strategies. The estimated
project cost is $12,225. One-third (1/3) ofthat is for staffing.
Commissioner Huntingford asked how this project relates to the community health assessment and if it is
premature to begin the project before the health assessment is completed and priorities have been
established? Jean Baldwin answered that it all ties together. In looking at all the health assessment data
in draft form it is obvious that there is a problem with drugs and alcohol. Even two years ago when the
Public Health Improvement Plan was done, the number one problem was drugs and alcohol. The funding
from the state is for long range prevention and services and is set aside to develop a plan based on the
results of the assessment.
Chester Prudhomme stated that by doing this project the Health Department is not getting ahead of the
community, the analysis, or the priority setting, they are catching up to the Community which is ahead of
the Health Department. There are groups forming in the Community that are concerned with the drug
and alcohol problem, there are other agencies struggling with their role in addressing the issue and there
is money available through the Police Department that may have an impact on getting services into
schools. He feels this project needs to be used for planning purposes to organize our resources and make
them the most effective.
Jean Baldwin reported on the status of the community network plan and how it relates to this project.
Chester Prudhomme introduced Diane Espenson, Lucy Holloway, and Laurie McGinnes, of the parenting
group S.A.N.E. (Substance Abuse, No Excuse), and presented two newspaper articles on the
consequences of teenagers drinking alcohol.
Lucy Holloway and Laurie McGinnes believe that based on incidences of drug and alcohol use that they
have become aware of, the problem must be extensive if it is affecting good stable families in the
community. Many young people in school use drugs and it is not just the street kids, it is the kids playing
on football, basketball, and soccer teams. It is the kids with 4.0 grade averages. Drugs are now affecting
every echelon in the school. Ms. Holloway then distributed a newspaper article written by Valerie
HEALTH BOARD MINUTES - JULY 23, 1996
Page: 3
Hamm, a student at Port Townsend High School, which describes how this problem is affecting students.
The young people who do not use drugs are the minority, and the minority is getting even smaller. Ms.
Holloway attended the drug forum to share the statistics she had learned from the 1995 survey. She
believes the statistics of young people who have either experimented with, or are using drugs, is
somewhere around 90%. Her daughter spent a very lonely year in high school this past year because she
chose not to party and go out on the weekends, and not to participate in school activities because drugs
were there and available. She feels this is a community crisis and something needs to be done before drug
and alcohol use becomes the normal thing to do. It is hurting many kids in high school and it is trickling
down to even younger kids. The parenting group S.A.N.E. wants to raise the awareness of the problem
in other parents. Smoking marijuana and drinking among young people is socially, behaviorly, and
recreationally accepted. Young people feel this is normal. Their definition of a "druggie" is someone who
uses the "hard stuff". This is a serious problem. The community has a huge mind set that is difficult to
change. The definition of what is "normal" needs to be changed. There has been drug and alcohol
education through the schools, but it is time for parents to support the schools and reinforce what is
taught in these programs, by way of networking and talking with each other. There is a "parent pledge"
form which enables parents to network with one another so parents know whose homes are safe for their
children. Parents want a safe place for their children to go to school. The children of this community are
at stake and something needs to be done about this problem.
Ms. McGinnes stated that SAN.E. is in total support of this mobilization project. The group wants to
work as a partner with the local police, the County and the schools. This problem is not anyone person's
fault, but the community needs to come together to deal with it. Just the other day she overheard a
conversation which was not intended for her to hear, about special sheets of acid being prepared for the
first day of school. She feels that if the community works together, young people will have a safe place
to live.
Ms. Espenson stated that she also supports this project and really believes in what S.A.N.E. is trying to
do. Recently, someone commented to her about the serious drug problem at the high school. Like so
many people she thought it wasn't that bad, until she talked with her sixteen-year-old son about the
problem. Her son stays home a lot and does not participate in activities because his friends have chosen
to take a different path. This has really opened her eyes.
Chester Prudhomme stated that he has heard from other parents that their children want to move from
this community and go to different schools because they're afraid of what is going to happen when they
get into high school and junior high school. He also heard that one of the local coaches is leaving, in
part, because of threats he received over trying to make his teams drug and alcohol free.
Commissioner Huntingford asked about the parent pledge form and what type of restrictions other
parents are considering? He and his wife have reevaluated how often they will let their children out of the
house. What kind of rules are parents going to set for their children? Dealing with this problem cannot
fall on the schools entirely. Parents need to play an important role and take some responsibility as well.
Sherrie NeSmith stated that there is an active group of parents in the Chimacum area that already have
the parent pledge.
Commissioner Huntingford stated that there are some young people that have no limit or curfew on when
they have to be home at night. How can there be any control if there are no limits?
HEALTH BOARD MINUTES - JULY 23, 1996
Page: 4
Ms. Holloway stated that parents need to network with each other and agree to the standards set forth in
the parent pledge. On August 2, 1996, she will be hosting a gathering with school athletic coaches. The
coaches will be asked to arrange a parent meeting to introduce the parent group S.A.N.E. and present the
parent pledge. At this meeting parents will be asked to sign the parent pledge and agree to a voluntary
urine analysis of their children prior to the sport seasons. This is the approach that S.A.N.E. is using to
get other parents involved.
Ms. McGinnes stated that the parent pledge also recommends curfew times for various ages of children.
A directory listing families that have signed the parent pledge will be developed which will enable parents
to call other parents to verifY the activities of their children. The involvement of several families will give
support to the individual family.
There will be a public forum on August 5, 1996, where members of SAN.E. will be proposing a closed
campus for the Blue Heron Middle School.
The school district is very much in support of what S.A.N.E. is trying to do.
Chairman Hinton stated that he also supports the efforts of S.A.N.E., however, we live in a liberal society
here. When parents use and abuse drugs in front of their children, it says, by example, that it's
acceptable and makes it difficult for schools and the police to educate children otherwise.
Dr. Medina, Superintendent of the Port Townsend School District stated that as a parent he sets up a
relationship with the parents of the children that his children spend time with and he feels that this
concept needs to be spread throughout the community and can be done through the mobilization project.
His main concern is that in this community there is very clearly a "norm" of acceptability of the use and
abuse of drugs, which is one of the most dangerous situations in terms of what we are dealing with.
Changing the "norm" is very difficult. The community needs to set the ground rules and expectations for
the quality oflife and type of society we want to live in and then support and reinforce that.
As leaders of the community, we need to take active roles in reviewing the information and coordinating
resources. The issue is not drugs, the issue is the type of environment our children live in. Drugs are
symptomatic of being in an environment where it is acceptable to use them. They are not only
acceptable, but highly available in this community as well. The school district is working on campus
security. The parking lot is being redesigned for easy management and there will be a person who
monitors the parking lot.
Dr. Medina asked that the County provide health services at the schools rather than requiring students go
to the Health Department. He realizes that funding is tight for the County, however, the school district is
asking that the County fund a portion of a substance abuse prevention position. The school district needs
approximately $8,000 to assist with the funding of this position.
David Specter stated that he has talked about this project with the State Department of Health who feels
it fits within the intent of what the funding is to be used for. If the Board agrees with the use of the
funding for this project then the Health Department can proceed upon the Board's approval.
Commissioner Huntingford moved to begin the Community Mobilization Project on Youth.
Commissioner Wojt seconded the motion which carried by a unanimous vote.
Discussion ensued regarding funding of the substance abuse prevention position.
HEALTH BOARD MINUTES -JULY 23,1996
Page: 5
NURSING DIRECTOR'S REPORT
PROGRAM IJPDA TE: See above.
ALCOHOL AND DRUG ABUSE SERVICES DIRECTOR'S REPORT
PROGRAM UPDATE: Chester Prudhomme stated that the Alcohol and Drug Abuse Division is
being audited by the State Auditor this week. These audits are required every three years, however, it
has been six years since one has been conducted. He also reported that the division is 10% ahead oflast
year's figures with regard to the number of clients. Revenues are beginning to reflect that increase.
ENVIRONMENTAL HEALTH DIRECTOR'S REPORT
PROGRAM UPDATE: See below.
PROPOSED CHANGES TO TEMPORARY FOOD SERVICE PERMIT POLICY: Larry Fay
explained that this policy what put together in response to the waiver policy that the Board of
Commissioners adopted last year, which in effect eliminated waivers from fees except in special
circumstances. The policy was modified so that the permit is issued once for multiple occurring events.
In the past permits were issued for each event, which was not a problem because fees were not charged
for temporary food service permits. The policy allows temporary food service for up to 14 days and the
fee will be either $25 or $50, depending on the degree offood preparation (ie. storing vs. actual
cooking). The policy has been reviewed by the Food Service Advisory Committee which is in support of
it. The Board concurred to adopt the policy as modified and directed Larry Fay to make the changes and
prepare the document for the Board's signature within the next couple of days.
UPDA TE ON MEMORANDUM OF AGREEMENT: OUlMPER COMMUNITY CREDIT
UNION: Larry Fay stated that the Health Department has been managing the septic system loan
program. The purpose of this agreement is to contract the management of these loans to an institution
that specializes in that area. He presented the draft agreement to the Board which was reviewed by
Quimper Credit Union Board of Directors last week. Commissioner Wojt asked if the Health
Department called for Request for Proposals? Lany Fay replied they did not, but he will look into
whether or not it is required that they do so.
ONSITE DESIGNER LICENSING: STATE PILOT PROGRAM: Larry Fay stated that in 1987
Jefferson County began a designer program for onsite sewage systems. Jefferson County's program was
always limited to the design of conventional systems, however, in 1990 a lawsuit was filed by a group of
engineers against the State Department of Health, the State Board of Licensing for Engineers and every
County that had a designer program, challenging the authority of these agencies to certifY individuals to
do what they perceive as the practice of engineering. The decision was handed down by the Court that
Counties do not have the authority to test the competency of engineers. Jefferson County has not
certified any new designers, although they have continued to license individuals that have already been
certified. The Court ruled that only engineers that were licensed by the State Board of Licensing for
Engineers were authorized to do the work of engineering, and Counties can review the work of engineers
and make a determination on whether or not to issue a permit. The Court, however, did not rule on
whether or not onsite sewage system design was the practice of engineering. This leaves the issue open
for discussion. It is hoped that the Department of Health and State Board of Licensing for Engineers can
work out an agreement on how to handle this limited practice of engineering. The proposal is that the
State Board of Licensing for Engineers develop an area or special category oflimited practice license for
onsite sewage system design. It would require that they get some legislative authority to do that, but in
HEALTH BOARD MINUTES -JULY 23,1996
Page: 6
the short term they want to develop a pilot program to evaluate whether this approach will work. Lany
Fay has indicated to the State that Jefferson County would be interested in participating in a pilot
program. He feels Jefferson County can benefit from this type of approach, rather than attempting to
develop our own training certification program locally.
OI,D BUSINESS: Larry Fay then reported that Mr. Holmstein, who had been before the Board during a
previous meeting to discuss his concerns regarding his property north of the closed County Landfill, had
applied for a waiver from the State Department of Ecology to drill a well less than 1000 feet from the
closed landfill and it was denied. Mr. Holmstein was concerned because he needs to have water in order
to get a building permit. He appealed the waiver decision to the State Pollution Control Hearings Board
which upheld the State Department of Ecology's denial of the application. Larry Fay stated that P.D.D.
has a water system which is approximately 'h mile north of his property that may be able to serve Mr.
Holmstein's property and others in the area if the County made application for a water right to that
system. Due to liability issues the County may not want to consider this possibility. Commissioner
Huntingford stated that ifMr. Holmstein says that he is unable to use his property because of the landfill
then so will other property owners in the area. David Specter stated the difference is that Mr. Holmstein
purchased his property after the landfill was established, knowing that it was there. There may be other
individuals that purchased their property prior to the establishment of the landfill in the area which has
since affected the use. Commissioner Huntingford suggested that there may be a need for the extension
of urban services for health reasons. Larry Fay is not certain how the State Department of Ecology
would be able to do this from a water rights standpoint. At some point the property in this area will need
to be dealt with on an individual basis or the County may want to work with the P.U.D.
Hearing no new business, the meeting was adjourned. The next meeting will be held on Tuesday, August
27,1996 at 1:30 p.m.
'-.......~
COUNTY BOARD OF HEALTH
'-
Jefferson Count
Health and Human Services
! NEWS
~------------------------------------------------------~
Port Townsend Leader, Wednesday, July 3 -- South County Medical Clinic gets enthusiaslic response
Port Townsend Leader. Wednesday, July 3 -- Quilcene clinic to draw blood in Brinnon
Port Townsend Leader, Wednesday, July 3 -- Counselors come to Quilcene
Port Townsend Leader, Wednesday, July 3 -- Diabetes classes at Quilcene clinic
Port Townsend Leader, Wednesday, July 3 -- Nutrition advice given at Quilcene clinic
Port Townsend Leader, Wednesday, June 26 -- Alcohol and traffic death statistic clarified
Port Townsend Leader, Wednesday, June 26 -- Ropes course tests faith. stamina
Port Townsend Leader, Wednesday, June 26 -- Hadlock clinic no sandbox for teen health problems
TPLACE
The LEADER
Section C
Wednesday, July 3, 1996
CLASSIFIED ADVERTISING' REAL ESTATE ADVERTISING' PUBLIC NOTICES
South County Medical Clinic
gets enthusiastic response
r
By Vivia,.., Kuehl
LaadlJ' CQ"triMiog Wriler
Silt months after its opening
the South County Medical C lioic
in Quikene is thriving.
Fl'Imily nurse practitioner
Merrily Mount, the clinic's sole
ml'dical provider, is pleased
with the clinic's progress. Local
residents and the county's medi.
COol community are pLellsed with
h{'r.
"1 think ~he's fabulous,M 5aid
QuikenelBrinnan Chamber of
Commerce President Joe Day.
"She's a sweet Lady, intelligent,
,"fOry direct in taking care of OUT
nE'en!. She under!ltAnds the two
cnmmunitie!l nnd their needs,
is very Qutg"oing. willing to lis.
Ll!n, and creates a dialogue to
help make hath communities
ol'tter. l'm ha.ppy with it.~
The clinic. begun as a col-
Inhorntion of the chamber, Jef.
!"NsonGenernl Hospitltlnno the
.T("ffcr~rm County Henlth De.
partment, has gradually in-
cre[\~ed the nuroher of patient!
~r>en since opening Feb. 5, and
is ri2"ht on tnr~et for pLanning
r>xtH!ctntions.
,,]t's doing very wel1.~ said
nann Michelsen, clinic ndmin-
i~trntor and director of patient
~('rviCC'!1 at .Jeffer!lon General
11{)~pitnl. "We'r!! up to 12.6 pn-
li('nt~ a day. Wp"re right nt the
point 'If adclinj{ n third person
to hr>lp Merrily out.-
Currently, medicnl reception-
i~t Cindy Rondpnll is the onLy
I'mployce hesides Mount.'Two
volunteer nurses have been
srhcrluled to aS9ist through ru-
Physical therapist Keith ReI:
ral health clinic internships,
Many others liTe offerin~ part-
time services.
Jefferson County Health De.
partment nas consolidated its
services to the south county in
the clinic. The ""enness program
is starting with a dietitian and
diabetes education. The WIC
program for nutritirlflal screen-
ing ofwl')men, infants, and chi!.
rlren is scheduipd to visit the
clinic.
Commuflit~. Cnunselinj{ is
nlRO pnrticipl'ltinC with a r€'l!:u-
Inr Rchedule fnrcounlleling np'
pointments.
Keith Re:ot ofQuikene Physi.
cnl Therapy, who rented th~
space before the clinic mo"'ed
in. Rnid the ~h:nred nrrnnj;tement
is working ~ut "pry wl'll.
"'There's a lot mor!'! aware-
ness since the clinic arrived,"
said Re:ot. "I [pel rr>nlly good
nbout the stability :llld I can 10:0
ahead with m'" 1onlll"-term j{oal
to live and WOrK herp, knowing
it's realistic,"
Meanwhile M"Ullr.~ following
of pleased patient!! is growing.
~l was sick last wl"t"k and Mer.
rily fixedmeup:sAlo Day. "Fot'
JURt gettinj{ a checkup or if you
had a cold or fiu and just need
antibiotics to get over it, in the
past I've had to drive to Olym-
pia where my regul,nr doctor i!l.
It's nice that we only have to j{O
to Quilcene and not have to drive
45 or 60 miles away. So that
part 1 really lib. ThC'clinicglves
a sense of security for .'\Orne of
our seniors in the communitit's
and it's nice to havl" th!'! medicnl
e1i nic a part of the hUlIi nei'l1'l com.
Or. Richard Lynn
Receptionist C$ndy Ron~au
munity 31'1 well.~
Dr. Anne Biedel, Jeffer::;rm
General Hospital medical chief
of...taff. believes the clinic rllld
Mount are llerving the arcn well.
"I think Merrily ha.srlone nn
excellent jl')b: said Dr, Bip.del.
"She is very com petent. She has
a broad experience in general
care and is hooked into the local
medica! community. This
(clinic) is filling a. gap in our
~ervice area. Most peopll! ,~l'(!n
there were either not getting
care or were going Ilut of town.
MerrilyhMhcJpf'rluurlncnlfnlk
connect to our Inenl hospit.ll.~
F'our months after opcninl>l".
the clinic became n certifipd
rural health clinic on June 61 A
thoro\Jgh examination by nn 11'1-
Rpector from the state Depart-
mentofHealth and Human Ser-
vices (DHHS) confirmed the
clinic is meeting federnl ~t;1n-
dard1'l.
~We've met the standards of
DHHS in providing healta care
to a rural community: said
Mount. ~t donllike to use the
word minimal because I think
we're maximal. I think we're
above the standard DHHS
would expect,~
Certification hrings chanl!:es
in reimbursement rntell. gunr.
anteeing the stability of the
clinic; in long rllnlte plnnnine;,
thus ensuring longevity.
-I'm pleased. that DfIltS has
certified us.~ said Mount. "It nl.
lows us to brinli\' more types of
programs into the clinic. Per!l()n-
ally, it makes me f~1 a sense of
~ucceIlS. We reached:n 2M1 within
See CUNlC. Back Page
Nurse practftloner Merrily Mount.
Quilcene
clinic to
draw
blood in
Brinnon
South County Medical
Clinic is expanding to
Brinnon with a blood draw
station at the Brinnon Se-
nior Center starting this
fall.
Clinic family nurse prac-
ti tioner Merrily Mount will
visit the center to draw
blood two times a month,
once in the morning for fast-
ing blood tests and again
two weeks later in the after-
noon for prothrombin blood
tests.
The dates are tentatively
set to coincide with blood
pressure check days.
"The people in Brinnon
won't have-to drive up, even
this far, for a blood test,"
said Mount.
The idea grew from the
efforts of the Brinnon Se-
nior Center health chair
Theresa McCartney, who
is working toward the es-
tablishment of a Brinnon
clinic.
"I think it's great,"
said Brinnon Senior
Center President Neal
Vanderpol. "It'll be part
of our monthly health
calendar. All we're going
to do is furnish the room.
It'll be a help, and it's a
start toward a Brinnon
clinic. This is a good way of
starting it."
Karen Cochrane is offering weekly
counseling services at the South
County Medical Clinic.
- Photo by Viviann Kuehi
Counselors
come to
Quilcene
By Vivian" Kuehl
Leader Contributing Writer
Community Counseling is com-
ing to the South County Medical
Clinic every Monday.
Therapist Karen Cochrane will
be alternating with Dennis
Watson in moving an exam table
aside to set up shop in the clinic's
Room 3 for weekly adult or child
and family therapy services.
"I feel real positive about it,"
said Cochrane. "I think it will
work out real well."
The therapy is solution-fo-
cused, looking toward workable
solutions in the short term and
emphasizing strengths, said
Cochrane.
Currently the counseling
schedule is half a day each week,
but can expand up to a full day to
meet the needs of south county
residents.
Appointments may be made
by calling Community Counsel-
ing at 385-0321.
Diabetes classes
at Quilcene clinic
By Viviann Kuehl
Leader Contributing Writer
Diabetic education classes at
the South County Medical
Clinic began last Friday with
an enthusiastic response from
the students.
"It's the best thing that's
happened to a lot of people,"
said Brinnon resident Carol
Purtle, of the. clinic and the
four-week clas,ft:atrgfit-~ dra-
. betes educator arid..!~gistered
nurse Diane Bommer.
A relatively high proportion
of diabetic patients are in the
south county, said clinic nurse
practitioner Merrily Mount.
"This is very im portant be-
cause it's a long way to go to
Port Townsend, especially in
winter," said Purtle. The drive
from Brinnon to Port
Townsend is at least 45 min-
utes each way.
In the class Bommer
teaches diabetic patients how
to manage their constantly
changing blood sugar levels.
She provides important infor-
mation and consultation to
patients with both Type I
(early onset) and Type II
(adult onset) diabetes, to those
new to the disease and those
needing a refresher course.
Diabetic classes are important
not only because techniques
change and knowledge needs
to be updated, much like first
aid training, but because
people are at different stages,
with different needs at differ-
ent times in their lives, said
Bommer.
A Quilcene resident taking
the class for the first time is
looking forward to learning
more than a garage sale herb
book could impart about the
diet and exercise necessary to
control diabetes..OtherJl are
drabetesvetera11S fin"'tunin.z
to the stage-of their disease.
Support is an important as-
pect of care in a disease where
blood sugars can change dra-
matically on a daily basis.
Brinnon resident Bonnie
Fisher felt like she didn't have
access to care when she went
to a doctor in Bremerton. Her
questions went unanswered
and her health declined when
getting through to a caregiver
proved to be daunting.
Bommer is very available
by phone to her students, a
welcome change for Fisher,
and an appreciated contact for
others.
"If she wasn't there to back
me up, I'd just give up," said
Fisher. "I'm looking forward
to keeping up with my blood
sugar better."
Patients are seen individu-
ally by Bommer as a prereq-
uisite to the class. Call the
Jefferson General Hospital at
385-2200 for information.
Nutrition advice given
at Quilcene clinic
'-
By Viviann Kuehl
leader Contributing Writer
You are what you eat and no-
body can translate that into tha
basics of a heal thy body better:
than a dietitian. .
Registered dietitian Irene
Marble is available at the South
County Medical Clinic twice a
month to create dietary programs
tailored to individual needs, in-
cludingweightmanagement, dia-
betic adjustments, and' vitamin
deficiencies_
The work of a nutritionist ia
more than the'stereotypical for-
bidding of potato chips, said
Marble, and can even include pro-
moting exercise.
"I can evaluate nutritional
problems, and suggest custom-
ized nutritional programs," said
Marble. "One thing I've learned
is that diets are not effective, so I
give as few formal diets as pos-
sible. I give suggestions to modify
what people are already eating."
Good nutrition doesn't mean
avoiding your favorite foods all of
the time, but eating a balanced
diet in moderation, said Marble.
Patients with nutrition-related
problems may be scheduled fow
appointments at the South
County Medical Clinic by calling
Jefferson General Hospital at
385-2200, extension 2700. Marble
is in her office there on Monday,
Wednesday, and Friday.
0' ;.. _. -,.. ' ..",
Registered dietitian Irene Marble
can tailor an individual program of
healthy, and happy, nutrition.
- Phota-by Viviann Kuehl
.'
Alcohol and traffic
death statistic clarified
Alcohol is a more serious prob-
lem on Jefferson County roads
than across the nation, but alco-
hol is not involved in every fatal-
ity on the highway.
A story in last week's edition of
The Leader, quoting raw statis-
tics, matched a graph showing
traffic fatalities to a graph show-
ing alcohol-involved traffic deaths
between 1980 and 1990. They
were identical.
Lesa Barnes, who is working
on an interpretation of the raw
data for the Jefferson County
Community Health Partnership,
said those statistics deserve clari-
fication.
"We donot believe that all traf-
fic deaths are alcohol-related,"
Barnes said. "However, 3. major-
ity of fatal motor vehicle acci-
dents are reported to involve al-
cohol either in the victim or the
other driver at the accident. This
is pretty much true across the
Lee.. cI!",-
/'/2(.(1(.
state and may represent a num-
ber of things."
Barnes said the information is
still in rough draft form and that
not all data are available. That's
what her job entails now, filling
in the gaps and seeking answers
to the questions the statistics
pose.
"Washington state reports in-
dicate a significantly higher per-
centage of alcohol-related traffic
fatalities than appearnationally,"
Barnes said. "Is this due to a
systematic reporting problem or
a higher rate of substance abuse?
We do not know; these are some
of the issues the community
health partnership data team is
tackling."
For more information about
the survey, or the work of the
health partnership, call the Jef-
ferson County Health and Hu-
man Services Department at 385-
9400.
Liquor sales improve
Liquor sales at Port
Townsend's state-operated booze
emporium rose by $10,000 in :\olay
from the April figure, and im-
proved the Key City's ranking
among the 160 state stores to
136th, from 139th.
According to the Washington
State Liquor Control Board, gross
sales in Port Townsend for April
were listed at $83 .-103.24; the May
figure was $93,918,28.
For the state. the April sales
totaled $28,8 million; Mav sales
were $32 million. '
Ropes course tests faith, stamina
.. .
By Heidi Stout .. '''.
leaderSlafflotern
Through thick underbrush and
pllst <l scattering of deer tracks,
Judy Fliesem and Kellie Ragau
:lee a. ropes course. .IiYJ
That underbrush is nt:l'-":'
Beausite Lake, a ~anis camp
south of Chima cum. Friesem and
Ragan hope three acres ofland at
this site may be transformed into
a ropes course as early as this
faJL
The women have worked
nearly two years in the planning
stages of the ropes course, Thi:J
summer, their task is to raise the
$20,000 needed from public and
private donations to build the first
.\-H, handicapped-accessible
course in the state.
"We were happy to partner
with the Kiwanis camp in this,~
Ragan said. WThe course is some-
thing the camp envisioned 10
years down the road, but we want
to make it a reality now."
To gather support and fund-
i ng, Ragan and Friesem have been
visiting community events, in-
cluding Hadlock Days, and tak-
ing people to the Whidbey Island
course.
"Once people baveexperienced
(a ropes course], I think they are
especially likely to support this
activity monetarily and with their
e-nthusiasm," FI.iesem said. A
fundraising brochure has also
been published and distributed
co some community residents.
F:.iesem expectS that the
course wiUbe designed with coun-
terw~ights and pulleys Lo help
move a pel.son in a wheelchair
through and over the obstades,
She explained that 4-H will pro.
viue the safety inspection and
cel.tifieation.
The \\'11idbey Island course is
not handicapped-accessible, but
is the dO::iest tourse for Jefferson
County residents_ The Beausite
Lake course is plo.nned to pl"ima-
rily benefitJctferson and Clallam
cuunties.
This grass roots effort has
gained momentum through its
planning stages as more people
get on board, Ragan said, Diana
Pelletier, a part-time teacher at
Chimacum, recently joined the
effort because ~I have. a vested
inter;,st in yo~th programs in the
area, she Said.
Leah Brown, a certified facili-
tator for the Chimacum School
District, explained that though
she has limited involvement in
building tbis COUl.5C, she has seen
outdoor programs and cballenge
courses like the one planned af.
feet youth in positive ways,
But this course is not just for
young people. "We. can host any-
one from youth programs to
boanl::; or diredors to manage-
....1
l
Leah Brown, KeJlie Ragan, Judy Friesem and Diana Pelletier gather at the proposed Beausite Lake ropes
course, located at the Kiwanis camp south at Chimacum. The women would like \0 begin building the course'
by fall.
ment :eam::i," Friesem saLd.
The course features have not
yet be::n laid out and Rogan ex-
peds :hat will consume a ~Teat
deal 0;' time.
"The handicapped":lI.:cessible
aspl'ct l)j' this course will take a
lot l1lure de.sign than ~ome urthe
other :-Ope,.; courses," she said.
"It'\! ;li~u he tediou::; La <.:lear the
unde~-~rusil, but this pIneo :laS
limirlt'"s potentiai,"' ~Ill: "aid.
Tht Womell IHloe :0 indude
C{)lIr~e dl'llleots Ol;t i1vailnble at
thlO \'.'hldlll.:v bl;:lIlu CUllrse.
In ';ul.v, -fo'riesem Clnd Ragan
plan :u visit an operating handi-
cappej'i1l'ce::;silJle course at .'.oll.
Iiuud:i1 \)regun.
8,)[:} W\l11Wn Dre volunleers un
this ?ruJ~'l"t FI'leseml1.1S U<;:I;;O un
ell\'irL'IlJll\'nL.,d t:dUCi.llur till' the
pust :~; Yc'~lrs i1lld cOllcluded lh;J[
"peup;e nL'l'd to take cure ut"each
other ":.Jdorc Lhey C:.l!"l take care ur
their ~llvirunment."
III :t:!achinl::' people those::;kills,
Frie:;e!ll .said, .she is ..teaching
peace" by buildinl::' l.:ommunity
and comlllunicatiun skills und
helping pl:ople learn to wurk to.
gether.
"I am JI.i.lWn to this work. It i::;
a powerful ..md positive inlluence
in people's lives," Frie:;em said.
Ragan feels her r()l~ in thi::;
proce~.s is ,I:'; a facilitator, .....ork-
ing to :TIclke the cour::;!.) a reality
thrnu.;h bl'r variety of contacts.
As <I ;.:~rS'Hl who w()rks in youth
::;UlJSUl1l.:l' <luu;;!.) prevention, she
:;aid, "~'1l1 i I\to ,llletllati \'C highs."
..1.... <: bl't'll a v,)lunteer in this
projt:(: :,UH.:e November 1994.
Thi:>::i a ll',KhillL; tool, bcilital'
iog d_'lll\c'~ivl' envirollment by
reqU]=-'.I1~ pt"Jpli~ t.o Lnl~t L'ach
other ," she said,
Ragan found a ropes COUI.se
has etfected po.sitive change in
the lives ufyouth by giving them
a sense of accomplishment and
helping them believe in them-
selves.
The group last met at the pro,:
posed rope.s course site. "We
should met::, b_ere every time,",
F:-ie::;em salu_ .:t gives me such a
charge of en ergy and enthusiasm,
knowing we cun make this hap-
pen."
~
'~~,
Youth programs are among many groupS that can benelit from ropes,
course work, Organizers say a ropes course teaches cooperation, com.
munication, and creates a sense ot accomplishment
1-
~l1e Paft TO....Jlsend Jeflerson Coup:v '-EADER
Hadlock clinic no sandbox for teen
Sllmf!rnnvch'H)!;E"to hillcthcir
he:'ld~ in th~ ~nnd and ignore the
rr.o.1ity that tce-nR do indeed have
~e".
The harsh truth of thi!l i~o.
rllnce lies in the number nf un.
wanted pregnl'lncies, prevl'llence
nf selC:ually transmitted di"o;ol\,~eS
rSTD"l, Llnd the Jfrowing numbo;or
oflIIV/A1DSc:u;es ,1mong teen"'.
The Olympic Primary CMe
Medical Group (OPCMGl, con-
",isting of doctors Melanie
McGrory, Maggie Hood, Elinor
Tatham and Claus Janssen. has
npened its Port Hadlock facility
fora teen walk-inc1inic.
The facility (more commonly
known (1,9 Dr. John Rowe's Kiv!ev
Center omce) is being manned
one afternoon each week by pub-
lic health nurses from the
,IeffenlOn County Health and
Human Services d-epartment nnd
by pamily Planning SOCilll
Worker Judy Erickson of the De-
pnrtment of Social and Health
Services.(DSHS).
-DSHS ail throughout the ~tate
has contracts with family plan-
ning clinics. DSIIS pays for four
hours a weeltofnurse practitio-
ner time to work with DSHS cli-
ents- Rnd thl1t[nur!le] is Wendy
White,~EricksonexpI8ined."1 do
outrc8ch, refermls andeduclliion
~n DSHS client"! who are in need
of~ervicc-or to potential cli.
ents."
A puulicherllth nur~ehllndles
the clinical aspect of the walk.in
clinic's pntients' needs. Erickson
will be there to educate and pro-
,.ide necessarv information. The
;llformRtion ~he'll olTer ranges
from "'e:t related diseases <lnci
ilrC'gnancy, to the services DSHS
ullers, tn the illS and nuts oCtne
Wa~hin~on Ba::;ic HeAlth Plan
A program ::;uch n"l the lef':1
clinic rI)so help'" fulfill theIJbllgR
"OO"""",,,_~___ ~..-- ;>
mltment tQ lhe PubliC f1ealt~ ~._ . . ~~
lmprovementPlnn nstate man"" "'" ~__- ~
dnted illan to wnrk together to __ _d ,~ .-
provllle the a::;surnnce 0; .r~~"' ~_ r
everYQnesaccesstomedlc.alcare - c _ - - I
The clime. funded by a Com- ~ .- J
lliunity Service OrganlZa~l(Hl
grant through DSHS, openea last
Wednesday afternoon. It will b..
open on WednesdRYs from 1 to .5
p,m. ~hrQughout the summer
"rfthf!v wrmt to come anujuft
look it o';er, I'll be there stalTir.e
the front," Ericbon said. Just
~top in and say, "!Iil~
. "Pnrents nrevery, very I'/l'l.
come to come and cneck it out.
too. I'd h(" more thnn happy lo
dl~cu~'" ourscrvices and to assist
them hy providing the informa-
tion [thl'Y may ncedllo be the
p ri ma ry sell: eel ucn lor ofthei I' chil.
dren,~ !\he added.
Slepping on pareot.,<;' toes is
the In...t thing either Erickson Of
White want to do, but ultimatelv
theirdients'needscomefirst. -
"Forkidsove; 14, the l:\wMVS
they lire 3ble to receive fam(iy
pl'-llming llod STD ::;ervices with-
out p,'lrcntal pcrmis!!ion," White
f>"plnined."Werlefinitclyencour.
ngc them tQ have II dialogue with
their porl'llt.'1ll.bouttheirneed for
UtiI' !\t"rvicC!'I, hut if they do not
have thntllptiun or if they're not
comfurti"lblewith that[we're here
for themJ.~
"Thi~ isddini tely for guys, too
I think it's very import..1nt for
guy!! to take re!'ponsibilitr frr
UH'ir pnrt in b('ing ~eJ(ually 1'lC"
tive."' Erick~on ,~trc~scd, "Wf"r~
nl n fll1inl wlwrf' ,qTD~ .1C:N: ~,
By Sa"d'f Hi!'r"hi!'lman
L""d",ConI,ibuli"qW,ilc,
<'rvollc. ~o rc::;pon...ibilily for~cxu-
nlityrloc",nntjU.'llfnlltotheyoun({
wnmpnflnvmnre."
"I think lthc clinic I i.'l rCDllv
~uIMthin~ lhnt'::; needed: Whit~
admitted. "WenlreRdy did l\ pilot
proJfram at the Teen Center and
(thekid~saidl. 'Ye..., wewr\ntthe~e
s('fvices:~
por eilj:hi weeks la~t winter n
similAr teen clinic effort ,vas nc-
tempted at ~he Tri-Area Teen
Resource Center
'''Thedoctor.~werenotinvolvcd
intheteencellterattempt,"Erick.
son Mid. "The [teen center] faeil-
itywasjust not conducive to pri-
vacy or doing clinical exams."
But :1112 hprllth WOd~N::; 1)('-
li('vedth('cuncpptw:'l~"lr"llgnl1d
net'd~tl in th" Tri-,\rl':'l
"[ ~hillk noout (1 lhird or thl'
clientswe~"rvc:'lrefl"!IOltheTri.
Aren,~ White rt'colleclcd. "Al1d
lhnt'fl fllllll/:e.'l, not ju::;t t('('n~."
"WI".'re renlly tryillL: to InnkC'
thi.'lservic" much mUff' Ilcc,,~~ihl(~
to the people in the Tri.ArC'Il,'
Erickson added
^ letter from .Jean Ihldwin,
the henlth df'pDrtment's dir"ctor
of nursing, to the OPCMG wn~
the beginnillll: ofwhllt.'lE'fJIll'" like
the perfect soluti{)n - using its
Port Hadlock facility Oil theatlcr-
noons it.s normally closed.
\Vhi!.' ill<' dinil' i.~ ~\Irf{'ntlv
'<~"r:,.!il\L: t(-I'n". it. i::;."pl~ll tn nn;"
"1,,'ill(he~flllll"l\(\itywllo WU"I"
likl! III 'WCI'::;S lhi~ ~('rvic('
1'~vm('Tltifll'nlclllnlf'llcll1n::;lirJ.
illl(s~;"ilc', Cljpl1t<twill he:'l",k"d tn
pay wh....t tlll'Y l'I'In. hut no ((nil
",111 hI' rl'f,,~,.d l,rC:;IIlI"f' tlwv're
'mahlt, (<I pay, \r tlwy '1\l.111fy,
En<.:k!\on <.:nllld put c1icnt,::; on
DSll,S, 'jr l:l'lp thr!n ('moll inthc
W:'l~hill~too Sn::;ic IIp.1lth Plan.
whpfrill!\urflOCl'rnVl'rnl;:ecnn be
"bl....i!l\~d for M little iI.<t $10 a
nlullth. ut'pf'lHling 'In one'~ in-
come
P:'lmily plnnnillJl: service", in~
cludp th~ wid~ r~llge of birth con-
Wednesday. June 26, 1996-A7
health problems
lrolnwthod::;;nllllualcx:J!1I<tanrl
I'AI' ti'!'ls (fur ("clvicnl cnllcorJ;
III VIA I 08 cnUll'::;I'lin!,:, l("'~l i ng nn<l
infurmnlion; pn'gnnllcy I\'~tillg-;
and STD s(n'!'llinl! nnd ll'C:'lt-
IIH'llt.lr~IlJn('o'wha!;,1 "......d ![lllt'
l'i'fcrn.dlun[Jll.v~i("in",lhrllursc::;
will <10 I lint. tun.
Li.<;tcn to the teen!;
"'1\,.lIi,.rt"gnnhn"pl"y"d"hig
pnl'till Lllf~"ulJeflChwork.'While
noff.d. "'1'\w ~d\Olll h.,~ 11.1::;" ll('ell
ill(,I'f'diltly supportiv(' with the
'"'tn'rI<.:h.ll'~rcnl]yn~"mln()rlity
!JlOjl'ct-tort':Jcl1th('llecdsof
Ilwkid,,"
(~himnCllmSchooltcnch('r](nv
MlIcilcrwnsalsointhcmidstofrt
nIl. Tlu're were 6,\ !\tlrvey,::; com.
plptcrl by stlldf'nts At Chimacum
I{igh
"It'::; Wf'at to ~Cf' the kids were
::;u re~oon"'1"I('. We told (hem it's
furtl1eglJ)'!\, loo.,\lotorthegtIYfl
fillrdnutlh('~llrvcvs,~WhlteSRld.
'The thin~ tl~e kids :-eally
wnnted were the STD services,
birth contrnl ~nrl family plnn.
IWIl!:"
'Il'~ gUilf!; ~o be drop-in. Cer-
1.1ir1lvif.~omconewAntedtomAke
no :JppointmrnL they could by
cnlling .18;'-9400: Erick~oT1 of.
(...red 'We,e trving to make:J
serious :Jltempt"atmee<:.ing ehe
np.e-ds of the kids :lnci have the
sefl'ice~ uewhat they wane."
'.
Every Wednesday afternoon some 01 these lolks will be manning lhe teen walk-in lamily planning clinic III the
Olympk Primary Care Medl~.il1 Group'~ "Por1 Hadlock ofllcE'. From left, ,Wendy White, Hilary Metzger. Kellle
Raga", Judy Erickson, and Penis lan~loia.' - Photo by Saney ,"{ers.'lelman
--
PT dad
jailed
for teen
party
Alcohol: Sheriff investi-
gates deputy who did not
break up bash.
By Kirby Neumann-Rea
Peninsu~ Dally News
PORT TOWNSEND - A Port
Townsend father pleaded guilty
this week to furnishing alcohol to
minors in a June 8 high school
graduation beer party that was vis-
ited twice by a Jefferson County
sheriff s deputy.
District Court Judge Tom Ma-
jhan sentenced Bili McIntire to the
full penalty, 60 days in jail. .
"This is intolerable, and thIS
court will not tolerate it, not now or
ever," Majhan told McIntire, 48..
Majhan granted him permISSIOn
to be released by day to his job as a
mill worker.
McIntire's plea came just three
days after 17-year-old Joyme
Spencer of Port Hadlock died in a
car accident county authorities be-
lieve was caused by drunken driv-
ing.
Please turn to AlcohoVA2
iAlcohol
Continued from Ai
"But for some adult furnishing
alcohol to a juvenile, that child
might be alive," Majhan said. He
was not referring to McIntire spe-
cifically, but to the general prob-
lem of adults giving minors alco-
hol.
Majhan also lambasted deputy
Tim Delaney, who twice went to
the party but did not issue citations
or break up the party. The party
was on McIntire's property on Fox
Trail Road near Port Townsend.
Delaney'left after McIntire told
him "everything is under control."
"In my opinion," Majhan said.
"the sheriff had_ ~ duty t9 preal< 1IJ.t
party up' the first time the sheriff
I was'there;".""'.'" ,> .' .:,....: -~-' ..,.
. Majhan talked to Prosecuting
Attorney David Skeen about Ite and
Skeen alerted Sheriff Pete PICClnI.
"If there was any wrongdoing by
the officer, we will deal wit~ it I
was not happy with it at all, PIC-
cini said of Delaney's decision not
to stop the party. "My policy has
always been that graduation keg-
gers will be taken care of."
Undersheriff Ken Sukert and
Sgt. Dale Wurtsmith are conduct-
ing an internal investigation, which
will take another two weeks. Pos-
sible penalties include oral. or
written reprimand and suspensIOn
without pay, Sukert said.
McIntire provided a keg of beer,
along with soda pop and enough
hot dogs and hamburgers to feed 50
people. He confiscated students'
keys as they arrived at the party.
He said some youths stayed the
night, and adults drove others
home.
"I realize purchasing beer for
minors is the wrong thing to do,"
McIntire told Majhan. "But I tried
to keep the kids otI the street dur-
ing graduation as much as I pOSS1-
bly could because I know that all
graduating kids do parties. I tned to
keep them on my private property,
and I did a fairly good Job. People
stayed overnight, my wife took
kids home, and they left their cars
there.' Thet"'Nrfe backc the~next
. morning .to.. be issued their keys,
anclthe)(. were free to go." .
Majhanreplied: "You took theIr
keys. That's good. I have no idea
of the genetic makeup of anyone
of the kids, but you might have
started one of them down the road
to alcoholism for the rest of their
lives."
Survan told Majhan, "I think the
conduct is outrageous. It's a clear
violation of the law, and if my
child were up there 1'd be unhappy
with Mr. McIntire because he's
usurping my parental authority, and
the parental authority of all the
others .
)Youth dies following
:Swansonville crash
By Janet Huck
Leader Staff Writer
, An early morning drive down a
: winding Port Ludlow road ended
; tragically Sunday with the death
t ofa 17-year-old Chimacum High
. School (CHS) student, reported
the Washington State Patrol
(WSP).
Four Tri-Area teenagers were
. coming home from a late-night
. party about 3 a.m_, said WSP
,Trooper Richard Louthan. They
were traveling about 50 mph in a
25-mph zone on Swansonville
'Road, according to the driver's
. estimate, when they approached
. a right-hand curve, the trooper
reported.
"They failed to negotiate the
corner until. it was too late," ex-
plained Louthan. The car contin-
ued off the road, hitting a tree.
The 1985 Nissan was totaled.
Speed is the number one fac-
tor," declared Louthan, "And al-
'Cohol is a factor, too, but I don't
'know how great a role it played."
A Jefferson County Sheriff
'. deputy smelled alcohol on the
;driver's breath, noted Louthan,
: and a sample of the driver's blood
. .is being analyzed for a blood alco-
:. hollevel. The driver was arrested
: after the accident and the WSP is
: investigating it as a possible ve-
:hicular homicide:
"This is a tragedy that no one
: wants to happen, but it happens
: all too often around the country,"
: said Louthan.
, James Paul ~Jayme" Spencer
. III suffered massive head trauma,
. .
. according -to the WSP report. He
: was airlifted to Harborview Medi-
: cal Center in Seattle where he
: died 15 hours later.
. The CHS football player was
: working at Safeway this sum-
. mer.
All three of his companions
were also injured. David E.
Brewer, the 19-year-old Port
Townsend driver, was admitted
to Jefferson General Hospital in
serious condition with lacerations
and contusions. He is still hospi-
talized.
Passengers Verning Bates, a
19-year-old Port Townsend resi-
dent, was taken to JGH with a
possible neck injury , and 17 -year-
old Matthew Welch ofChimacum
was treated for lacerations. Both
were treated and released from
the emergency room.
Only one passenger was wear-
ing a seat belt. He received only
minor injuries, according to
Louthan, who is still investigat-
ing this aspect.
"Seat belts may have mini-
mized the injuries," said Trooper
Louthan.
,.---
.'
!_',
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