It's Sunday and welcome to show thank you so much for joining us today and vote on the year coming up. The individuals who otherwise would not be receiving our services are receiving services period integration on metropolitan human services. History and efforts to reduce drunk people feel idea to wait. I think some people are surprised at the time tried. So. We will learn about the secret. Rituals and Hillary to a tour of the history of Mardi Gras in New Orleans. Metropolitan human services district has been awarded at the three million dollars grant. To reduce drug and hoping I death rates. Donnie is the talk about the grant and what the funds will be used for is doctor Rochelle had done the executive medical director of metropolitan human services district. Back to Dan thank you for being with us thank you in the morning before we speak specifically about the grant and what it will be used for. Tell us about the role in the mission of metropolitan human services district absolutely. A metropolitan human services district is one of ten. Legislatively in enabled local governing authorities. I'll buy that we mean they are federally and state funded to provide services for individuals who. Suffer from three disabilities one is mental illness the Evelyn is addictive disorders. And the third is intellectual and developmental disabilities. Those populations. Of individuals that we prioritize a typically individuals who otherwise would not be receiving. Our services are receiving services period so we really are safety net. Authorization that the state system really has in place to make sure. That everybody has service and you all in Warren act says that by the legislature back in 2003. Exactly. And what was going on at the time what you needed this type of legislative body formed. So Jeff some Paris was the first of its kind then capital area and Baton Rouge area we were third. All of our districts and in particular. The Orleans and and on and plaque almonds. Parishes. District which is metropolitan human services district. We were divided agencies we had the office for addictive disorders which handled addiction. We have office for citizens with developmental disabilities at the state level that handle. I deep problems and then we have some health. Com in order for us to really better serve. Populations that have a mix of those conditions it was really bad and bring all of those offices under one problem. So that we can better integrate care to better meet the need for people with an economy of scale kind of thing yet exactly. Let's talk about the granted it's quite impressive it's a three million dollar grant. How are you able to secure those funds so actually the primary. Agency that was awarded the grant was the Louisiana department of health's. Office of behavioral health. Com and we of the sub recipient of the grant. Department made the decision to pilot. Use of such violence in our area. Because Orleans parish has really the largest percentage of individuals. Who had illicit drug problems. Com we have also one of the highest death rates due to all be lights in particular is the second time that with this it is apply for the grant. This was the successful time of application and so that grand really will afford us the opportunity to add capacity. To our treatment environment but it also allows us to partner with for either. Com accredited agencies. An inept partnering. We're able to provide a number of different types of services that anyone agency alone. Oh would have difficulty provide. We're joined by doctor had done on the doctor Rochelle had Dunham is the executive medical director of a metropolitan human service services district. And use of you mentioned partnerships. What did you all learned as far as best practices of how important partnerships are as opposed everybody's doing their own thing yet you know mom and gain economy of scale but also because the need is so excessive. For mental health treatment as well as for substance use treatment on it really really is important to hold dollars and pool. Resources because no one really has the full complement of everything that anyone person leaves one person walks and two years adding. And they need an array of things. On if you offer one or two you only and a marginal mean meet their need and so they will continue to have problems and really cost the system. So it's a really cost effective measure. To partner and to use each other's resources in a complimentary fashion so what we have not done. With the grant is create duplicity so for the most part. All five agencies including metropolitan. Offer a slightly different package that we unite together through. Resource coordination to make sure that everything is moving smoothly and efficiently. And this is over a three year period yes that's right and the a three year period. So tell. Little bit about. Just the profile of who we're talking about in new laws it said there's an illicit drug problem. What does that really mean in who's being impacted by this yes so where are being impacted by it because it somewhere another. Either you related to someone with a substance use problems. Or you are impacted because financially through the criminal justice system. On taxpayer dollars through the health care system. Com we're all paying for it in somewhere in other. So when we talk about illicit drugs were talking about drugs that are not prescribed. Not legally available that cause. I'm cycle active changes in the very calm which translates into a behaviors that a problem. And soul. We find though that we have a problem both sides because of prescribing. Narcotics are scheduled drugs in an approach in an inappropriate fashion but even sometimes an appropriate fashion because they are addictive. They can result in seeking illicit drugs because she can't get prescriptions anymore. And that's where a lot of the deaths occurring particularly do heroin because people are being prescribed. Com medications. They the panel would get them canceled and they seek street drugs illegal illicit drugs that aren't FDA approved in an art being prescribed. But are being used at levels that people don't understand the toxicity and so would it take you they overdose because of the high cut trees. It's interesting just this week terrorism the story about doctors are now saying the last thing they want to let you go lower back pain is prescribe it OP LA. All of that and are we turning a corner on not only the patient. But the medical profession and what their prescribing yes the standard of care has always stand up for pain management that that's the last resort. And it's only in certain situations that you should be using mobile it anyway for example cancer a malignant pain pain that person. Would you know it's nearing their end you want to make it comfortable. But for everything else you really should avoid using opiates as much as possible because ultimately you gonna develop tolerance. And you don't need more get the same effect. And so the idea really is to use things like non steroid pills medications that. Are not addictive but alleviating anti inflammatory Tyrone almost like beings. Bomb in it also some more advanced medications that are not narcotic. In addition to other lifestyle changes and other palliative. On nontraditional care acupuncture actually is very rightly mentioned that also your dog biscuit. Exercising. Is good. In general for physical health and sell those types of things either way even what you eat makes a difference and to give us an example of that. Sell. You know we we recommend that the high compliment of fruits and vegetables. That should be the number one thing that's on your plate festivals. On carbohydrates pulling it down in good. But it cannot complex you know they convert almost immediately into each other and that energy is not the best image. So the full allows you the sustenance. To endure. Exercising in physical fitness and actually it gives you the right amount of vitamins minerals and all these things are packed multiple strength. And two resiliency. And ability for your body to heal itself. All of that's impact to help them. We have food is this is really can be as that you are in absolutely. We've been talking to the doctor had done I'm doctor shell had done and and metropolitan human services district serves adults children and families of Orleans I commend the saint and I parishes the talk specifically about. The three million dollar grant that they're the agencies are going to be able to use of the next three years and also about what's happening in a metropolitan area. An and and again you talked about who use sir. So how do you do when you're you talked about the true partnership so what are some of the things that you're seeing us our success stories. So we actually provide. Outpatient services primarily we have made referral relationship. With hospitals university asked for example but. As people are admitted or discharge we catch them. And continue their care and what we specifically offered to a five clinics. I'm because we operate five clinics across the Arlene Saint Bernard area and we also provide funding for plaque omens for services there. We provide assessments for our idols disability populations. We also provide. Therapy com bowl for mental illness and for substance use. On it with the right individual and group there people we also provide Russell's coordination. Resource coordination and advocacy. And also a key key important ingredients of behavioral health care because adequacy is people with lived experiences. Experiences helping people. With live experiences so people with addiction how the people with addiction they are in recovery they've learned some stuff. They can pass it on it meant to our and in some cases they are word in their voice is more except it. Then there's also recovered support. I'll tell you that equally important to us having a license clinicians because we do have. The largest complement of license clinicians to provide a hero services. In the entire area because where because of what we're funded and because all right enabling legislation. But I will tell you that equally important to have a license providers is having the recovery support services available to people self. I can do well in your medication doctor but it you don't have a fun place to live yet some homeless you know I don't have a means of income. I'm still kind of in the same place and I don't wind up back in a higher level of care. Because I don't have the money the time on the entrance of a priority did you take medication when norm and asleep at night in Al loses. So what the salon so that's been a very important part of what we brought to our metropolitan and that is creating a whole recovery. Support unit that involves peers. As well as some of mine in a fight staff working with those issues which you see the role of metropolitan human services district going for what's the long range. Fourth Cassel even need to think so metropolitan. Home is. Intended to be iconic in this area. It is supposed to and he. The place you think. When you think about person in need of mental health services. On and or addiction and or intellectual developmental disability needs you should think metropolitan. We are funded in that way and we sir we are intended to serve the general population. Do you think that he like couple mines this always want to get the word out more we've got support to do honestly just being totally transparent here. But I have hired a fine dynamic nuke communications director. And she is on the bow with making sure that that named it and she did reach out to me as a and the New York. Talking about metropolitan human services district and which are all about as well. Any thoughts for a family members she said Bieber all impacted what should they do. As you have to want. The change in what the healing right so absolutely this is all unfortunately voluntary. And by choice on the acceptance of that is that somebody's asylum silo greatly feared. On because the judgment is such we can't force. Assistance to individuals and people have issues with that but in reality that's what we can do. A barring that scenario people we are have a right exercise choice. What families have to understand that they have to exercise a different kind of choice because when you have a family member and I'm talking specifically about the addictions this. Or other combination of addiction and mental illness which is also. In half the cases com you have to understand that that person on drugs. Is not the person. Who you have been accustomed to loving the way you. And you have to change. As they change you know stop loving him. But the behavior of the actions of things you do can actually hold on them more. You can actually most now is in able. On their pay and their family members to get sick there they don't mean to love them but is that things that they do giving them money com. Sometimes giving them shelter. Is problematic because there threshold for basic need gets lowered or. Because the need for drugs get higher and higher and so whatever they need to do in our to support that. Primal need for drug use is very primitive they need at that level all will completely exhaust. I'm not a family I'm always thinking well if I just lovable little bit harder and pray a little bit harder that's right print a little bit harder. It'll fix this brain disease because that's limited inches of rain. This water and I you have to accept that that our first and spam have to do is that's a different kind of brain on drugs. And so the behavior is going to be very different from a normal person. And you'll often be more victims and help our that gory and so you've got to learn and make that ship. Families in our to protect themselves because you'll spiral downward right within. Them so for those who end up getting help is because they they reach some kind of rock bottom themselves. Yes that's usually that's usually what we say that we use that terminology to describe their limit. The limit they reach a intolerance. Of the insanity that they're living in only until a person reaches that. That continually chasing that continually chasing it at whatever cost. And legal or anybody they need to minority get there because the gain at the primitive drive. To get that rain and it state that they they are trying to achieve and so. Bomb until they have a moment of lucid idiots what we say that's really what happens when he. Hit rock bottom. Where they can see the disparity in what they're doing and where they're trying to go in their lives it's only the and that and that window and those important for an agency like metropolitan. To be able to respond when they present themselves because the windows all the open there. It's a one of the things that we don't metropolitan it's evolving our system to to be more treatment on to me. Mom and dad brain is it forever altered in some way. So so so what research tells us in an addiction now just by training and certification what our research tells us is that you know the ball. With a propensity to develop a substance use disorder aren't. And still the only difference between when you become user or not is if your exit polls solid no exposure. I'm never if you have that type of experience a very well convenience circumvent that whole boring circuitry. That's why prevention is so important that's why a percentage of our dollars from the federal level. Allocated to prevention 20% of what we get them permission to we have a lot of programs. In the school. If the person does develop a full blown addictive disorder. All it's a lifelong process trying to. Help help that boring to stay in control. But it only takes exposure to edge of the drug on the substance that game four to reactivate. Them and and the stress there are life situation those things can tell people because it's a way of coping you know sausages wrapped presents some underlying problem for which people. Dedicating or trying to cope. And so a lot of art treatment is about first of all what is it underline problem you're trying to address and then what can opt for you that's better. Then these substances Agee is if we can't figure out Monica it's very difficult to help people. Com come on up into recovery as. Valuable advice so we've talked about a lot a lot so is there a website are some information. The people can get our number that they can call it our web site is ME ST LE dot or but our number is 568313504. 568. 3130 and that opens the Wendell to the world metropolitan new services district including appointments. Our crisis. Intervention on teens as well as all of our services Bible 456831. There. This work is so critical why do you do it. It honestly is calling for me. Partially it's ministry for me. It is it was a personal choice. It's where the polls the all working in the service of others and so calm I really really love doing this work on I love helping people bill now and learn how to do this work. And I love working with families as well as the people were suffering. On the challenge that they agree on the test for my ability to help them pull their lives. It's just marine. So it's not a job it's. It sounds like. That's the root shell hit done on the executive medical director of mr. Pollack and human services this could be the team with the appreciated. Joining us now and road show marketing associate at the historic New Orleans collection. And Kurt Owens docent. At the historic old has collections thank you both of being with us and good morning it is Marty nighttime and you have a wonderful exhibition called rights. Rituals and revelry that hissed a history of Mardi Gras in New Orleans you had to be at the rights rituals and relevant up pretty well what is this of this whole thing all about. For our fiftieth year at the collection we began a series of guided tour short history galleries. Every month we had a different gallery tour and for carnival time last year. It was of course Carl and I was charged with creating a history of more bigger tour to walk her guests through the galleries. And discuss the development of Mardi Gras celebrations here in New Orleans. Let's like film wonderful assignment to the hole was perfect for me the things that people don't know when you sort of putting this together. About modified we don't we all claim we knew everything about carnival. Well I began the two were discussing the ancients 5000 years ago and people weren't aware that a lot of the spring celebrations started. With the celebration of the Vernal equinox. Of course today we get Easter because of its relation to Vernal equinox and that's sort of surprises people that it's this arbitrary seeming date. That varies all the time and they're always a little surprised when they learned that Mardi Gras is only just the last date. A much larger season. And tell us about the tour how is all gonna come together and the dates tourists on the tour is going on now come through February 24. Available every day Tuesday through Sunday so everyday except for Monday at 11 AM. And towards our five dollars per person or free for collection members so if your collection member and think there's nothing more to see come on out I take it different. View on an and and the history galleys are also open for self guided tours. Free and anytime Oro. But this particular tour are we looking at. The rights rituals and revelry it's gonna be guided correctly docents there to help you through it and we have agreed deal. Visual aids that we like to add to the galleries for the tour. And just a chronological. Look at the development of the celebration here in new how Long Will it last each toward. About an hour about an hour. So you can't get enough of this gets to we're talking about rights rituals and revelry the history of Mardi Gras in New Orleans I guess our current Owens. Docent at the historic New Orleans collection and and road show marketing associate at historic New Orleans collection. This throughout the four even he would analyze things about the French and Spanish colonial eras to look at some of the things that will be taught touched upon. Will what do they beginning notions here in New Orleans is the development of it. From the very beginning sixteen. Hour. Founders older brother this year you reveal. Was sealing up the river march 3. 69 and realize they're having fun back in Paris let's pull the ship over have a drink. So I claim that that's the beginning with the haggard at war. Back at critics about it have a good time to list as do it right here so muddy ground during the early days of Louisiana State that we learned a great deal. About the earliest days. New Orleans from. Young man who signed on as a clerk for compute the west heading from Paris to North America to work here to Louisiana and he kept a diary. That we have required that we have translated and published now. And we know that in around 1729. Years ago. He was really pointing for fun back in Paris and sought out and traveled to a party but by you seem Johnson bunch of friends of his Macon music and pounding on drums and cross dressing is in masquerade of course. And Marc Antoine Kaya with a fellow. Gave us some great reports about how they were dressed while they were doing and I'm the general celebration in the area. Was it unusual or usual for a company meant to keep. A journal or diary like this summer he was he somebody special no I don't believe it was a usual to keep a diary it was a usual for this one to have remained out of sight for soul of and an attitude by the media experts administration's. These kinds of journals were published. But they all would then have had to go through the crown and have been edited in this one because it had never been published in its day. Never got that level of censorship so it's unusual in that it's completely. What he broke without any influence from the higher up. We're talking about the history of Mardi Gras in New Orleans and when did we start to see. Thinks that a such a staple of the crews are our social aid and pleasure club and those come into existence. It's the organized crews didn't really establish themselves here until mid nineteenth century. That was an establishment. Transition from that made him the streets. A group of gentlemen decided she tried to organize it increased prayed they invented the crew of Coleman's. End. Really set the standard for the organization of creating and celebrations. The socially and pleasure club was at the very beginning of the twentieth century. They organized after. I understand seeing a musical comedy at the pity is a hall. And senior group of actors singing in Zulu costumes there never was a king like me. And they immediately began to cost him as Zulu warriors and established the tradition of creating for themselves. Within a few years he organized into these who socially and pleasure club and last year celebrating their hundredth anniversary. It was there very important role for the social aid and pleasure clubs especially with making a difference in in in the city. Where they part of that as well as a post who disappeared gathering of Mardi Gras folks. I think they met a great impact because they were able to show. To the world that. Organizations. For carnival seasons could include everybody. That everyone had the opportunity and the facility to go out and create the zulus. That's that was themselves as a complete parity of wrecks and so the notion of satire was increased and the fun and crazy this well. Just group. And is this these tours for locals are do you think is going to be people who are visiting for the Mardi Gras season I think anybody would enjoy these tours and people who are just visiting who know nothing about. We in Louisiana history or carnival. We'll get it and really enjoy it because two or not only takes you through the history of carnival takes you through the history of the state and city. As your balance he get a little bit of a overall history too as you go. But locals as much as we think we now everything there's always something and that you haven't heard yet or story that you've heard that maybe aren't sure whether or not it's going to be an actuary at the step. Some convince sister and it made me is not so I think it's an. The visual aids that they pull out too we have such vast holdings of Marty our staff so that she get to see all the invitations it and things that you wouldn't necessarily. To see on a regular tour or at Tennessee your daily life I'm very apparent interest in what some of the things in me I know. I Kurt about. Mardi Gras Indians we think we know everything about them but Mardi Gras Indians had their Genesis with the world's industrial and cotton exposition in 1985. The wild west show was appearing during liberals fear here and on Monday grunting in 1985. The group of pony Indians. Pre two city and bring immediate hit. And they're always been a great connection between. Enslaved African Americans and native American tribes. A great connection between. Dim as they struggled. So the establishment of a Mardi Gras Indians organization. Seem to be a natural outgrowth of that course today it is all high drama and costumes and feathers and beads. And in the beginning I think it was far simpler. But it has also transition as everything seems to transition for cart. We think ill of a Mardi Gras and carnival that there's so many traditions but the what I'm hearing it has always been adaptable and flexible. Whatever they the social issue whatever is going on in the area at the time would you agree current. Absolutely and what I think some people are surprised at is the number of times people have tried to. Outlaw cars celebrating carnival. There's been. A long history of may him in the streets and frequently the newspapers just to cry at all and scream before it stopped. There was great fears within the span restaurant in 1760s that they would outlaw carnival they only outlawed masking at that time. Because they felt that masks were a threat to the security distinct. There were efforts in the beginning of the nineteenth century to outlaw carpal because of the pandemonium in the streets. And yet every time it has always come reaching back there seems to be some sort of primal urge Jews celebrate in the early spring. Also this does not be a very hard sell for you and as the marketing you know I almost don't have to do any promotion and I'll just as people come in and ask what. What's available today really come in off the street even if they don't even know where they stumble into this easy sitters and Marty tour. A man on man. And I challenge is to try to control the size of the crowds. We frequently have. Great. Show people showing up port. On Saturday I had a two or thirty all of a sudden. And people walking in from the galleries hearing discussion going on and adding to it so that's a challenge. That is until 42 days thank you so much for joining us until next time enjoy this Sunday and the rest of your week.