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- In our breakout sessions,

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we are here back for our final talk

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and we are excited to present

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some of our health department
colleagues here today.

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Shari, I'm gonna introduce you

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and then I understand you
have a couple people with you,

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I don't know if you wanna
provide a brief introduction

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and that way we can roll through

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and give you as much time as possible.

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So, Shari Levine is coming to us today,

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she's extensive professional
experience in communication

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and writing for public
and professional audience.

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She works in the health,
wellness and fitness industry,

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she has experienced
consulting with nonprofits

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using program evaluation,
editing, journalism

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and creative writing.

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She is a strong media and
communications professional.

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She, as far as education

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have a master's in public health degree,

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focused on health education
and behavioral sciences

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from Emory University,

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presently she is working
as the Information Director

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for the Vermont Department of Health,

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Division of Maternal and Child Health.

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And from March, 2020 to September, 2021,

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she served on the Vermont
Department of Health,

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COVID-19 Crisis in Emergency Response Team

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in data assessment, message design

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and evaluations to help inform
our monitors of the risk

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in the nature of COVID-19
and has many hats

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in communications and
we have worked with her

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on several different campaigns,

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and I'm really excited to have the ability

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to turn the mic over,

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and I will let you
introduce your copresenters.

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- Thanks, Michelle, if I knew
you were gonna read that,

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I would've written one sentence.

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But thank you everyone
for hanging in there,

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and staying till the end of this,

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we are so happy to be here.

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I'm gonna be joined by
two of my colleagues,

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one is Jennifer Zoller.

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She's the substance use
information specialist

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for the Alcohol and Drug Abuse Programs

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or the ADAP division at
the health department.

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And as a special guest,
we're having Janet Kilburn,

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join us a little bit later
to talk about Help Me Grow.

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So now I hope this is okay with everyone,

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I'm gonna turn off my camera,

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'cause then I'm a much better presenter

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when I'm not looking at myself.

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So Jen, do you wanna start the slides?

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Thanks.

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Okay, so the 1 More Conversation Campaign

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that was developed at
the health department

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in collaboration with clinicians
from around the state,

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was special thanks to Dr. Marge Meyer,

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Dr. Shepherd and the ICON
team for their participation.

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Next slide please.

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(clears throat)

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Okay, for this campaign,
we created resources

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for both providers and patients
to encourage and support

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frequent conversations about
substance use in pregnancy

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and while breastfeeding,

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and to help streamline
the referral process

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by promoting the statewide contact centers

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that serve families in Vermont.

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Next slide please.

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In 2019, the health
department put together a team

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to address Vermont's high rates

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of substance use in pregnancy.

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At that time, we had
just retired a campaign

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that some of you may
remember was called 049,

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it was developed in Minnesota

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and it was targeting clinicians

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to address high rates of
alcohol use during pregnancy.

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049 did not prove to be effective,

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so we started again from
scratch building a new campaign.

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First, we contracted with JSI,

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to conduct a formative evaluation.

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Some of you may have been part of this,

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and we wanna thank you.

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The evaluation identified
that most providers in Vermont

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were screaming for substance use

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during the first prenatal visit,
but not again, after that,

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despite a need to
continue the conversation

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throughout pregnancy and postpartum.

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There are many reasons for this,

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as many of you know,
including time constraints,

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challenges talking about the topic

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because of stigma and shame

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and the fear of legal consequences.

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And in the evaluation,
clinicians also told us,

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that they needed accurate
patient education materials

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that explained the
risks of substance used,

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and supported the message
that there's no safe amount

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during pregnancy or while breastfeeding.

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Next slide, please.

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We then worked with the marketing agency

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to review the evaluation report

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and identify the goals of this campaign.

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We decided to create tools
to support conversations

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at each prenatal visit.

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To address some of the barriers,

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we acknowledge how difficult
these conversations can be,

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and address both the patient
and providers concerns.

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Again, Dr. Shepherd and
members of the ICON team,

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reviewed the patient education materials

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and helped us modify
the text, the content,

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and remove any judgemental language.

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Now I'm gonna hand it over to Jen,

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and she'll talk about
the provider resources.

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- Thanks Shari.

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Well, we created two
different sets of materials

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for this campaign.

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The first set being four providers,

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they are available on a
provider specific website,

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on the health department's webpage,

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it's healthvermont.gov/1moreconversation.

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On this page we have a
description of the campaign,

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as well as all of the available tools

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that I'm gonna go over in
detail, the next few slides.

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But so folks know where
they can find them,

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there's one page that
has everything listed.

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So we developed this
tip sheet for providers,

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it has a brief description of the campaign

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in the little overview section
and then dives into some tips

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for providers to have
conversations with their patients,

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we want to keep them really brief

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and just mostly to be reminders of things,

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to be mindful of, while
having conversations

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and to make it easy for
folks to incorporate this,

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into every visit as
Shari mentioned before,

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beyond just the initial
visit with patients.

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Each tip sheet also has a link
to all of the available tools

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to support providers in
having these conversations.

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(clears throat)

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Excuse me.

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And then a list of additional resources,

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and those resources
include screening tools,

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research and reports to help
support and inform providers,

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again to have these conversations

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regularly with their patients.

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We also developed some screens for patient

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or I'm sorry, for provider
waiting room areas

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or providers have screens in
the actual exam rooms as well.

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So they pose a couple of
questions to patients,

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to kind of get the thought
process going that,

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maybe they haven't considered this,

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as part of their health and
their journey through pregnancy

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and breastfeeding.

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So there are five slides that we develop

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to kind of encourage
patients to also initiate

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and be open to these conversations

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with their providers when
they are in the exam room.

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So these are all available on the website

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as I mentioned for download,

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so providers can use them as they see fit

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and if are certain ones that
they like that they can use,

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they all are very simply
designed to make them easy

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to incorporate into
provider kind of slideshows

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that happen in the waiting rooms.

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We also developed a few web banners,

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these are available on the
website as well for download.

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They can be added to provider webpages

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or other digital communications,

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for example, newsletters
or an email communications,

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their small banners

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that just get added to the communications

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to have that extra level of encouragement

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and having conversations with providers.

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And now I'm gonna hand it back to Shari,

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to talk about some of
our patient resources.

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- [Shari] Thanks, Jen.

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We created fact sheets for patients

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that address the most
commonly used substances

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during pregnancy in Vermont,

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including alcohol, cannabis,
opioids and tobacco.

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The fact sheets also address

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the most commonly asked questions

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and again were reviewed by Dr.
Shepherd and the ICON team.

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This first one is the alcohol fact sheet.

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I think I'm gonna run
through these pretty quickly

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so that you can see what they are,

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and then you can come to the website

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and read them more carefully.

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Next slide, please.

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Here's the cannabis fact sheet.

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Next slide.

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One for opioids here and next
slide sheet, slide please.

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This is our tobacco fact sheet.

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In the next couple months
we're gonna be reviewing

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the content on these fact
sheets, adding a QR code

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and printing them out for distribution.

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We'll also be printing out some posters

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that will be sending to
clinicians to hang in offices.

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We'll get them laminated

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to make sure that they will
be lasting for a while.

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Next slide, please.

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We also created rack cards
that can be put into settings

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like your patient waiting rooms.

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One of these is focused on pregnancy

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and one of them is
focused on conversations

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during breastfeeding.

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Now I'm gonna send this back over to Jen,

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to talk about resources in Vermont.

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- Thanks, Shari.

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So beyond one more conversation,

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we wanted to talk about
the additional resources

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we have available for providers
and people who are pregnant

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as it relates to substance use.

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So the VT Helplink is an
alcohol and drug support center,

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this was launched in 2020, actually,

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right after COVID,

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it has been a resource for
people to get information

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on substance use disorder and treatment

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and recovery services.

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There's a lot of
supportive language there,

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as well as if you were to call or chat

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with the call center
staff for VT Helplink,

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they also provide support and information

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as well as referral to services.

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So there are three ways that patients

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and providers can interact
with this service.

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There's a phone number,

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where you can reach a
trained call center person

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who will either speak
to you or your patient

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depending on how you'd
like to have that set up

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to walk through information and support

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and then referral based on the
services that they may need.

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There's also an online chat option,

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so folks can go on the website

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and chat with a call center staff as well.

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And then there's a page where
folks can look up services

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on their own.

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So if you're more familiar
with treatment and recovery

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and maybe know more about what
services you or your patients

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may need, you can go
directly to the inventory

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and select a couple of filters,

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try to get down to what
you're looking for,

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and it will provide direct
information for those services

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on phone numbers, emails
when they're open,

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things like that.

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To support VT Helplink,
we do have two posters

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as well as a rack card
available for providers

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for their offices and waiting rooms.

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Well, we're having, I think
four more posters being created,

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they are under development now

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and will be printed soon for posting also,

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so more to come with that one.

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The other campaign I
wanted to speak about is,

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our Let's Talk Cannabis campaign.

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This is our responsible use campaign,

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so it, unlike one more
conversation which has the...

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There's no safe amount of
substances kind of standing,

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this campaign is really set for audiences

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that might be current users
that we wanna encourage

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to not use during pregnancy
and breastfeeding.

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So the line there is, taking
a break during that time,

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but the campaign goes beyond
that audience as well,

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to talk to adults, parents
and mentors, youth,

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healthcare providers as
well about cannabis use,

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the health implications and
really encouraging people

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to make informed decisions
and for youth to not use

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for developmental reasons.

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And that campaign, we
have six fact sheets,

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five of which are focused
on a particular audience

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and the sixth being a frequently
asked questions fact sheet,

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there's also a rack
card available as well,

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again for patient waiting rooms,

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and these can be downloaded on the website

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let'stalkcannabis.vt.com or
available in print as well.

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So those are two from alcohol
and drug abuse programs,

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I am now going to invite Janet Kilburn,

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to come and speak about, Help Me Grow.

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She is the Early Childhood Director

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at the Health Department's
Division for Maternal

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and Child Health.

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So I'm gonna and pass the button onto Jan.

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- Thank you.

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Good morning all and thank
you for this opportunity

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to share a little bit about Help Me Grow,

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and how we're supporting
the perinatal population,

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new families, expectant
parents in Vermont.

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Next slide.

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I think many of you know that Help Me Grow

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offers a resource hub, we
partner with Vermont 2-1-1

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to have a comprehensive database
of early childhood services

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and supports and resources
including basic need resources

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for all families in Vermont,

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and we have customized our database

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with mental health services and supports.

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And this is particular to perinatal mood

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and anxiety disorder, but
also substance use disorder

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as well as trauma modalities,
family/child therapy

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and other evidence-based
services in Vermont.

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So our 2-1-1 database has
3,000, I think programs,

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1,000 agencies at least
and so we've gone above

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and beyond that to enter
individual clinicians

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and they're training
where they're located,

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do they offer child health,

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do they speak more than one language?

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Do they offer evening therapy appointments

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or support groups, birth classes,

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all kinds of information
that can really help families

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and new moms, new
parenting, pregnant people

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connect to the service and
resource that they need?

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And not just, we don't just give a number,

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we really call back and
follow up with them,

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and help them navigate
that system of support

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to make sure they're gonna get connected,

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and then we follow
after they're connected.

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And one of the things we do,

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because we know there's a
mental health crisis in Vermont

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and there's not enough clinicians,

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and most of our referrals
people really do want

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that individual therapist.

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We connect them with support groups

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and these could even be
like postpartum support,

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international support
groups and chat rooms

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in the meantime or child
health support group.

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We have parents and babies
in four regions in Vermont,

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it's a wonderful clinician
led kinda peer support group

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for new families.

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And so we really wanna support
people with multiple services

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and supports as well.

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We also talk about basic needs,

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we screen with using the hunger vital sign

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for food insecurity.

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So, a comprehensive menu
of services and supports,

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just wanted to be sure that
all of you were aware of that,

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and couldn't utilize us,
right here, you can see,

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you can refer directly to
Help Me Grow on our website,

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there's a downloadable referral form.

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You can also call, dial
2-1-1 extension six

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to get a Help Me Grow staff
person or text us or email us.

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And how about the next slide?

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This is Danielle Delongis,
probably many of you know her

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and this is a great quote from her,

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"Help Me Grow helps me care
not just for the infants

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in our practice, but
also the whole family.

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They help me connect families
to services they might need

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like rent, resources or
child care, collaborative

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and responsive, I appreciate
knowing that the families'

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needs are being addressed as
well as their baby's health."

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So again, that comprehensive
menu of services,

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and we also follow back
with the referring provider,

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so we communicate back
to whoever refers to us,

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whether it's a home
visitor or a nurse man,

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nurse practitioner or
a practice physician.

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Just to let them know
what referrals we've made,

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if the families got connected to what,

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so that when they next see
the family there in the loop

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and they know and can also follow up

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and check in with the family.

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And that's it.

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Next.

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- So this was just a really
quick overview of our work,

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we work really closely with VT Helplink,

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we are happy to hear feedback.

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We want to hear from you, we
wanna know how to make this,

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the most helpful information
and these campaigns

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to be the most helpful for
you and for your patients,

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and please be in touch.

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Next slide, please.

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This has been a great honor to be here,

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and I can't believe we've
made it in the time.

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So, fantastic back to Michelle, I think.

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- I am also highly
impressed that you squeezed

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all of that information into
such a short period of time,

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and I do recommend everybody
reach out to any of us,

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to any of these wonderful colleagues

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at the health department
and to visit these websites

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and take a look.

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See what you think we're
always open for feedback,

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we're always looking
for ideas and revisions,

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and so we can't do that
without your input.

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So I am so excited to wrap
up this conference today,

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we have had great participation,

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we've had wonderful
speakers, this is exciting,

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almost as exciting as doing it in person

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and being able to network,

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but I hope people will consider hopping on

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in about 15 minutes.

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If you haven't already registered

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00:21:39,520 --> 00:21:42,230
for the project scope series of webinars,

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we have shared that in the chat

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and again, it is a free service,

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it is something you can hop
on for this last session

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if you haven't attended the other eight.

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And if you're interested
in that session at all,

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and what we have done
in the prior sessions

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you can find all of the
information and the recordings

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from those didactics on the
project scope Vermont website.

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So without further ado, I think
we will say good afternoon

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and thank you to everyone
for participating.

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Of course we want everybody,

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if you can to take that few
minutes just to do our survey

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00:22:18,500 --> 00:22:21,460
for the evaluation of today's conference

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00:22:22,520 --> 00:22:24,240
and if you don't do it now,

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00:22:24,240 --> 00:22:26,520
we'll probably remind
you via email anyway.

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So, while it's fresh in your
brain we'll have you do that,

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00:22:30,824 --> 00:22:33,860
and then we'll get everyone
off to a nice lunch break

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before the project scope series.

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Thanks everyone.