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From YouTube: Committee on Boston's COVID-19 Recovery on June 3, 2022
Description
Dockets #0503, 0504, 0265, 0590, 0638 - This hearing is one in a series to discuss American Rescue Plan Act (ARPA) funding proposals from the Mayor and from Councilors. This hearing will focus on Public Health COVID-19 Response and Behavioral Health
A
Calling
this
hearing
to
order
for
the
record,
my
name
is
kenzie
bach,
I'm
the
district
8
city
councillor
and
also
the
chair
of
the
boston
city
council's
committee
on
boston's
covet
19
recovery.
A
This
public
hearing
is
being
recorded,
it's
being
live
streamed
at
boston.gov
city
council
dash
tv
and
broadcast
on
xfinity
channel
8,
rcn,
channel
82
and
fios
channel
964.,
we'll
be
taking
public
testimony
at
the
end
of
the
hearing.
So
if
you're
interested
in
testifying
here
with
us
in
the
chamber,
please
sign
up
over
there,
there
are
sheets
near
the
door
and,
if
you're
interested
in
testifying
virtually,
please
send
us
an
email
at
ccc.covit19
at
boston.gov
and
we'll
get
you
the
virtual
link.
A
A
Today's
hearing,
I'm
going
to
read
a
couple
of
dockets
and
I'll
just
explain
what
we're
doing
so.
Today's
hearing
is
on
docket
0503
message
and
order
authorizing
the
city
of
boston
to
accept
and
expand
the
amount
of
349
million
five
hundred
thousand
dollars
in
the
form
of
a
grant
awarded
by
the
united
states
department
of
treasury
to
be
administered
by
the
city
of
boston's.
A
Chief
financial
officer,
collector
treasurer
from
the
coronavirus
state
and
local
fiscal
recovery
fund
in
the
treasury
of
the
united
states,
established
by
section
9901
of
the
american
rescue
plan
act
of
2021
arpa
and
pursuant
to
the
requirements
of
the
arpa.
The
grant
payment
would
fund,
covet
19
response
and
recovery
efforts
and
accelerate
a
green
new
deal
for
boston
through
once
in
a
generation.
Transformative.
A
Investments
that
address
the
systemic
health
and
economic
challenges
in
the
areas
of
affordable
housing,
economic
opportunity,
inclusion,
behavioral,
health,
climate
and
mobility,
arts
and
culture
and
early
childhood,
and
then
docket
0504
message
and
order
authorizing
the
city
of
boston.
To
accept
and
expand
the
amount
of
40
million
in
the
form
of
grant
awarded
by
the
united
states
department
of
treasury
to
be
administered
by
the
city
of
boston's.
A
Chief
financial
officer
collector
treasurer
from
the
coronavirus
state
and
local
fiscal
recovery
fund
and
the
treasury
of
the
united
states
established
by
section
9901
of
the
american
rescue
plan
act
of
2021
arpa
and
pursuant
to
the
requirements
of
the
arpa.
The
grant
payment
would
fund
provision
of
government
services
to
the
extent
of
the
reduction
in
revenue
of
such
state
territory
or
tribal
government
due
to
the
coven
19
public
health
emergency
relative
to
revenues
collected
in
the
most
recent
full
fiscal
year
of
the
state
territory
or
tribal
government
prior
to
the
emergency.
A
So
those
two
mouthfuls
are
the
administration
dockets
we're
actually
mainly
focused
on
the
first
one,
the
350
349.5
million,
which
for
folks
watching
at
home-
and
I
know
all
the
counselors
have
heard
me
say
this
already-
but
basically
that's
kind
of
the
remaining
amount
of
undesignated
general
funds
that
came
to
the
city
from
the
american
rescue
plan
act.
So
it's
distinctive
from
you
may
have
heard
about
funds
for
rental
relief.
A
A
This
is
general
money
that,
although
there
are
restrictions
on
how
we
spend
it
they're
much
more
general
and
so
there's
a
lot
more
options
for
the
city,
and
so
the
administration
put
forward
a
proposal
back
in
mid-april
at
the
same
time
as
they
filed
their
budget
for
how
to
spend
this
money
and
what
the
coco
19
recovery
committee
is
doing,
is
sort
of
digging
into
those
proposals
and
and
separating
them
out
by
chunks,
because
350
million
is
a
lot
of
money
to
talk
about
all
at
once,
and
you
heard
me
read
through
those
eight
categories
and
also
at
the
same
time,
you
know
we're
we're
trying
to
make
sure
that
we
also
discuss
counselor
ideas
for
how
to
spend
this
money,
because
it's
one-time
funds-
and
I
think
everybody
feels
a
sense
of
the
need
to
get
this
right
and
make
sure
that
we're
spending
it
in
really
impactful
ways.
A
So
to
that
end,
we
also
at
each
of
these
committee
hearings
by
topic.
We're
co-noticing
any
counselor
dockets
that
have
come
in
that
are
in
this
category
and
that's
because
those
may
be
topics
that
come
up
today
as
counselors
are
discussing
with
the
administration
and
kind
of
comparative
value
of
spending
money
on
different
things.
So
I'll
read
those
documents
in
a
second
just
to
be
clear.
Several
of
the
council
dockets
we
haven't
had
like
a
proper
hearing
of
their
own
on
and
we
still
intend
to
do
that
for
counselors,
who
are
who
want
it.
A
So,
for
instance,
like
this
morning,
we
co-noticed
the
one
about
municipal
composting
with
the
climate
agenda,
but
we
haven't
really
discussed
that
issue
in
depth
yet
and
we
plan
to,
and
so
there
are
a
couple
that
I'm
about
to
read
where
that
is
likely
also
the
case
so
docket.
In
addition
to
those
two
mayoral
dockets,
we
have
docket
zero.
A
Two
six
five
order
authorizing
the
city
of
boston
to
accept
an
expanded
grant
funded
through
the
coronavirus
state
and
local
fiscal
recovery
fund
and
the
treasury
of
the
united
states,
established
by
section
9901
of
the
american
rescue
plan
act
of
2021
arpa.
That
is
a
docket
sponsored
by
councillor
baker,
which
we
have
had
a
dedicated
hearing
on
then
docket
zero.
Five,
nine
zero
order
for
hearing
to
discuss
ways
in
which
arpa
funding
can
support
an
ecosystem
of
non-profit
holistic,
wrap
around
health
services
for
disenfranchised
populations.
A
That
is,
a
docket
lead,
sponsor
counselor,
fernando
sanderson,
which
we
have
not
yet
had
a
dedicated
hearing
on
and
then
docket
0638
order
for
a
hearing
to
discuss
the
possibility
of
allocating
arpa
funds
for
the
expansion
of
south
boston
community
health
center.
That's
a
docket
lead
sponsor
council
president
ed
flynn,
which
again
we
have
not
yet
had
a
dedicated
hearing
on
so
for
anyone
watching
at
home.
A
A
So
I'm
joined
here
by
my
colleagues,
counselor
aaron
murphy
at
large
and
also
the
chair
of
our
public
health
committee,
counselor,
julia
mejia
at
large
councilor,
tanya,
fernandez,
anderson,
district,
seven
and
councillor
liz
braden
district,
nine
and
today's
hearing,
I
should
have
said
at
the
ad
set-
is
focused
on
the
arpa
dollars
in
the
public
health
and
behavioral
health
buckets.
So
with
this
hearing
today,
we
will
have
covered
all
of
the
initial
buckets
proposed
by
the
administration.
A
We
did
climate
and
mobility
and
digital
equity.
This
morning
we
did
housing
on
wednesday
and
last
week
we
did
early
childhood
arts
and
culture,
economic
inclusion
and
I
think
that's
all
of
them
so
yeah.
So
at
the
so
with
the
conclusion
of
this.
Today's
hearing,
this
kind
of
like
introductory
just
period
of
going
through
the
proposals
we
will,
if
we
will
have
finished
and
then
we'll
have
continuing
hearings,
as
we
figure
out
what
to
do.
A
But
I'm
delighted
to
be
joined
here
today
by
dr
bisola
otokutu,
the
executive
director
of
the
boston
public
health
commission,
tim
harrington,
their
director
of
a
f
and
jen
tracy,
the
director
of
recovery
services.
I
think
we
also
have
pj
can
a
deputy
director
for
policy
and
planning
on
call,
and
I
imagine
there
may
be
some
other
public
health
commission
staff
on
call
in
the
room.
A
So
thank
you
all
for
the
work
that
you
do
and
we
look
forward
to
hearing
you
as
appropriate
and
I'll
just
note
that
we
do
have
folks
signed
up
for
public
testimony
and
I
will
probably
be
aiming
to
at
least
take
the
folks
who
are
initially
signed
up,
because
we
have
six
people
signed
up
right
now.
I'll
take
those
people
after
our
first
round
of
counselor
questions.
If
further
people
sign
up
we'll
wait
until
the
end.
A
But
I
want
to
let
the
folks
who
are
here
already
know
that,
after
at
least
after
everybody
on
the
council
asks
their
first
round
of
questions,
you'll
get
a
chance
to
testify.
So
now,
without
further
ado,
I
want
to
hand
the
floor
over
to
dr
ajikutu
and
thank
you
for
joining
us.
B
Great
good
afternoon,
chairperson
bach
and
members
of
the
city
council,
thank
you
for
the
opportunity
to
testify
before
you
here
today
regarding
the
boston
public
health
commission's
art
bus
spending
proposals
for
the
record.
My
name
is
dr
basolo
jacoutu
and
I'm
the
commissioner
of
public
health
for
city,
boston,
executive,
director
of
the
boston
public
health
commission
and
I'm
joined
here
this
afternoon
by
tim,
with
tim
harrington,
bphd's,
director
of
administration
and
finance
and
jennifer
tracy
who's.
Our
director
of
office
of
recovery
services
at
bphc,
and
I
was
hoping
to
pull
up
some
slides.
A
B
Is
everyone
up
yeah
we're?
Have
them
be
ready
to
go?
Okay,
okay,
so
the
proposed
investments
that
we
will
outline
today
are
all
eligible
under
arpa
criteria
and
address
major
urgent
public
health
challenges
in
boston.
These
include
covenanting,
mental
and
behavioral
health
and
substance
use
disorder.
B
So,
let's
start
with
covet
19,
while
the
state
of
the
coba
19
pandemic
no
longer
constitutes
a
public
health
emergency.
Our
pandemic
response
efforts
as
a
city
continue.
So
what
I
provided
here
are
trends
in
relatively
recent
data.
If
you
look
at
the
seven
day
trends,
essentially,
what
we're
seeing
is
that
the
viral
concentration
in
the
wastewater
regionally
is
trending
downward
case
rates
are
also
trending.
Downward
and
hospitalizations
are
stable.
All
of
this
is
hopeful
news,
but
we
are
continuing
to
follow
these
data
very
closely.
B
We
need
to
ensure
that
our
recovery
is,
as
I
said,
equitable,
but
it
also
depends
on
our
ability
to
address
disparities
by
race
and
ethnicity
and
by
neighborhood.
Much
work
has
been
undertaken
thus
far
to
address
disparities,
and
on
this
slide,
we've
included
the
percentage
of
boston
residents.
Who've
received
one
dose
of
a
cova
19
vaccine
by
race
and
ethnicity,
on
your
left
and
by
neighborhood
on
your
right.
B
So
what
you
see
here
is
the
sum
of
a
lot
of
work.
That's
gone
on
at
the
commission,
as
well
as
beyond,
with
our
many
community
and
academic
and
health
center
partners,
and
we
certainly
still
you
know,
have
a
lot
of
work
to
do
to
overcome
disparities
fyi.
Just
as
a
city,
we
are
approximately
74
vaccinated
overall,
also
regarding
vaccination,
but
not
on
this
slide.
Approximately
54
of
fully
vaccinated
individuals
in
boston
are
boosted
and
we're
well
aware
that
that
percentage
is
sub-optimal.
B
There
continue
to
be
very
stark:
racial
and
ethnic
disparities
in
vaccination
uptake
amongst
five
to
11
year
olds,
which
we
have
been
working
very
closely
with
bps
to
overcome.
It's
been
a
long
process
and
we
are
making
some
progress
and
then
we
also
need
to
prepare
for
new
challenges
regarding
the
rollout
of
vaccines
for
children
under
five.
B
So,
regarding
vaccination
with
new
arpa
funding,
what
we
plan
to
do
is
to
strengthen
our
ongoing
covenant
vaccination
efforts.
Much
of
this
effort
will
be
focused
on
funding
the
chcs
and
other
local
community
partners
to
support
a
wide
range
of
vaccinated,
related
efforts,
and
that
includes
community
education.
Outreach
as
well
as
administration
of
vaccines.
B
B
B
So
because
it's
been
such
an
important
tool.
What
we
would
like
to
do
is
not
only
have
regional
information.
We
would
like
to
have
more
granular
information
related
to
what's
happening
in
boston,
so
what
we
anticipate
doing
if
we're
awarded
this
funding,
is
to
actually
have
sampling
sites
at
10,
different
neighborhoods
within
10,
different
neighborhoods
around
the
city,
because
we
also
know
that
some
neighborhoods
are
not
accessing
testing.
So
it's
very
difficult
to
know
exactly
what's
happening
within
neighborhoods
and
we
want
to
be
able
to
implement
a
solid
response
that
promotes
equity.
B
In
addition,
we
thought
also
about
you
know.
If
we
have
outbreaks
in
certain
schools,
could
we
be
sampling
the
water
there?
So
we
know
when
their
changes
when
their
fluctuations,
whether
or
not
there's
actually
spread
from
the
community
to
the
school
or
from
the
school
to
the
community?
All
that
work
can
be
done
and
we've
talked
with
our
partners
about
this,
and
this
money
would
be
used
to
move
that
to
move
that
strategy
forward.
B
Another
proposed
investment
will
specifically
focus
on
community
health
centers.
As
you
heard,
we
are
really
looking
to
utilize
our
vaccination
testing
funds
to
support
and
build
capacity
at
the
community
health
centers.
This
amount
of
money
that
I'm
going
to
describe
is
this
book
is
very
focused,
very
specifically
on
chcs.
B
So
how
we
plan
to
use
this
funding,
basically
one
to
support
community
health
centers
to
ensure
access
to
care,
particularly
for
those
who've,
been
disconnected
from
care
because
of
covid,
and
that
might
mean
you
know:
nate,
patient
navigators,
community
health
workers,
other
resources
to
increase
access
and
then
to
make
sure
we're
focusing
on
neighborhoods
and
populations.
Who've
been
disproportionately
impacted
by
coke
19.
B
Behavioral
health
was
also
prioritized
in
the
2020
community
health
improvement
plan,
and
we
also
know
that,
because
of
what's
happened
in
terms
of
racism,
institutional
structural,
racism
and
copenhagen,
obviously
all
of
these
needs
have
been
exhaust
exasper
exacerbated
sorry
about
that,
and
that
we
know
that
these
persistent
mental
and
behavioral
health
disparities
have
existed.
Certainly
they've
gotten
worse.
B
So
what
we
would
like
to
do
is
to
utilize
arpa
investment
dollars
to
build
a
center
for
behavioral
health
and
wellness,
basically
housed
within
boston
public
health
commission.
This
new
entity
is
not
brick
and
mortar.
The
plan
is
for
it
to
be
a
place
where
or
an
entity
within
which
we
can
collaborate.
We
can
strategize.
We
can
think
about
new
interventions.
B
It
can
be
a
resource
not
just
to
be
phc
but
a
resource
to
the
entire
city
and
to
communities
who
are
looking
for
needs
or
looking
for
resources
such
as
this
we're
in
the
process
of
shaping
this
initiative.
This
center
is,
is
in
evolution,
we're
at
very
early
stages
and
of
course,
you
know
we're
hoping
for
this
funding.
B
We
certainly
plan
to
deal
with
many
different
aspects
of
mental
and
behavioral
health
and
I'll
talk
through
some
of
them,
but
I
I
just
want
the
city
council
to
understand
that,
as
this
process
is
an
evolution,
we
certainly
want
to
deal
with
many
different
assets.
Aspects
of
mental
and
behavioral
health,
including
these
issues
across
the
life
span.
The
age
span,
youth,
mental
health
veterans,
mental
and
behavioral
health,
as
well
as
the
elderly,
and
so
we
will
have
more
to
say
about
this
in
the
coming
days.
B
So,
as
I
mentioned,
we
know
that
we
need
more
behavioral
health
services
across
the
city.
But
again
the
center
is
not
meant
to
be
a
brick
and
mortar
sort
of
site
for
service
delivery.
Rather
it's
an
opportunity
to
collaborate
and
invest
in
strategies
that
will
ensure
long-term,
sustainable
solutions
to
boston's
unmet
behavioral
mental
health
needs.
B
So,
with
this
funding,
what
we
plan
to
do
is
to
create
a
behavioral
health
workforce
pipeline
to
fill
significant
gaps
that
I've
mentioned
again.
We
want
to
build
a
more
diverse
workforce.
That's
both
culturally
and
linguistically
responsive
we'd
like
to
invest
in
non-clinical
training
programs,
clinical
training
support
placements
in
bphc,
as
well
as
in
city
departments,
high
school
and
college
pipeline
programs,
and
to
also
meet
staff
and
administrative
needs.
To
run
the
program
of
note.
B
We
are
already
doing
some
of
this
work
at
the
commission,
and
that
includes
through
bay
hack,
the
boston
area,
health
education
center,
which
is
a
youth
passport
pathway,
as
you
all
know,
for
health
careers
working
to
raise
the
proportion
of
the
youth
from
underserved
populations
to
successfully
pursue
careers
in
health
and
health
education.
B
B
So,
in
addition
to
pipeline
and
development
and
workforce
building,
we
would
like
to
ensure
that
the
center
is
leading
the
way
in
terms
of
capacity
building
and
training,
particularly
amongst
our
own
workforce,
within
the
city
and
and
beyond.
We
know
that
employees
are
struggling
with
their
own
mental
and
behavioral
health
needs.
B
They
many
of
them
are
being
confronted
with
behavioral
needs
of
the
public
every
day.
You
know
whether
they
be
folks
who
work
in
libraries,
coaches
on
the
field
of
our
city,
parks,
city,
council,
staffers
or
really
anyone
interacting
with
city
residents.
Most
people
do
not
have
the
training,
knowledge
or
capacity
to
assist
our
residents
with
support
that
they
need.
B
B
So
with
this
funding,
we
plan
to
invest
in
communication
campaigns,
a
website
and
additional
digital
and
multi
multimedia
tools
to
address
the
stigma
related
to
mental
health
and
behavioral
health.
By
acknowledging
the
needs
experienced
by
many
boston
residents,
sheer
coping
skills
and
connect
residents
to
resources,
I
also
want
to
add
that
this
isn't
just
about
digital
virtual
multimedia
support.
It
really
is
about
getting
out
there
because
in
doing
the
footwork,
because
the
reality
is
that
a
lot
of
people
don't
access
resources
in
that
way.
B
So
over
the
past
year,
we've
placed
over
1800
people
in
substance,
use
treatment,
programs,
we've
provided
residential
substance
use
treatment
to
432
individuals
on
our
matapan
campus.
We've
delivered
opioid
overdose
prevention
in
response
to
over
5
000
individuals
distributed
26
000
more
than
26
000
doses
of
naloxone
through
our
drug
user
health
program
and
removed
over
1
million
syringes
from
city
streets
and
parks
through
the
community
syringe
redemption
program.
B
Our
programming
has
always
met
clients
where
they're
at
have
worked
to
engage
people
in
services
that
are
the
best
for
them
at
the
right
time
for
them.
I
think
that
it's
important
to
note
that
during
the
community
engagement
process
in
let's
go
together.
This
is
where
the
slide
actually
comes
from.
The
needs
related
to
individuals
experiencing
substance
use
disorder
were
highlighted,
and
that's
why
we're
making
many
of
the
proposal
requests
that
I'll
that
I'll
review.
B
So
we
recognize
that
we
need
to
create
a
safer
and
cleaner
neighborhood
environment
and
increased
service
provision
in
areas
across
boston,
so
in
terms
of
what's
happening
in
the
mass
avenue
and
milner
cass
area.
What
we
plan
to
do
now
that
the
encampment
has
been
removed
is
to
continue
our
successful
recovery
services
program
with
increased
street
outreach
harm
reduction
referrals
to
treatment.
B
We
know
there's
a
lot
of
work
that
needs
to
be
done
in
this
area
and
we
certainly
are
looking
forward
to
having
additional
funding
to
staff
additional
support
to
do
the
work
that
needs
to
be
done.
Much
of
this
also
means
providing
cleaning
enhanced
transportation
to
services,
both
in
other
neighborhoods
and
outside
of
boston
and
expanding
services,
to
address
housing,
stability
and
security.
B
We
also
plan
to
create
the
recovery
services,
coordinated
response
or
serve
team,
to
provide
city-wide
outreach
consistent
with
the
encampment
liaison
protocol
to
be
better
able
to
respond
to
unsheltered
individuals
and
to
be
able
to
respond
to
different
geographic
locations
around
the
city
and
then,
lastly,
but
certainly
not
least,
we
need
to
support
additional
community
engagement
around
the
city.
It's
not
just
about
what's
happening
in
the
mass
avenue
and
building
a
cass
area.
Certainly
other
communities
are
looking
for.
Engagement
want
to
be
a
part
of
this
process.
B
I
also
want
to
mention
two
additional
programs
that
we're
asking
for
funding
for
one
to
expand
harm
reduction
outreach
and
that
essentially
means
to
do
a
lot
of
the
work
that
we're
already
doing
with
the
a-hope
program
to
do
that
in
more
places
around
the
city
to
meet
people
where
they're
at
and
then
lastly-
and
I
would
say
this
is
incredibly
important-
the
other
things
are
also
very
important.
But
I
think
this
is
something
that
we
are
aware
is.
B
A
critical
need
is
looking
for
and
adding
additional
engagement
spaces,
so
these
are
places
that
would
be
drop-in
sites
places
where
people
can
go
to
find
services
and
to
be
welcomed
and
to
explore
options
for
them,
whether
it
be
harm
reduction
or
if
it's
treatment
or
to
be
placed
on
housing
lists
around
the
city.
So
it's
not
just
located
in
one
particular
area.
It's
maybe
in
multiple
areas
around
the
city.
So
we
are
also
asking
for
up
to
three
sites
funding
for
up
to
three
sites
to
establish
these
drop-in
centers
around
the
city.
B
So
I
think
this
is
my
last
slide.
I
just
want
to
briefly
touch
base
on
other
investments
that
will
not,
within
our
bucket,
have
a
direct
impact
on
long-term
health,
health
equity,
wellness
within
the
city
of
boston.
Certainly,
mayor,
wu's,
overarching
goal
of
making
transformative
investments,
and
hopefully
the
strategies
and
interventions
that
I
mentioned,
are
you
think
they're
categorized
as
such?
We
certainly
do
believe
that
that's
the
case.
B
All
of
these
are
meant
to
set
up
a
strong
foundation
for
the
city
of
boston,
and
there
are
many
other
strategies
that
have
been
implemented
by
other
other
folks
that,
I
think,
are
very
important,
but
they're
also
public
health
related,
so
boston,
being
the
best
biking
city,
the
idea
that
that
may
be
the
possibility
of
being
a
more
walkable
city,
the
fear
free
bus
expansion,
the
electrification
of
the
bps
bus
fleet.
B
A
Thank
you
so
much
dr
erjakutu
and
I'll
reserve
my
questions
and
go
to
colleagues.
So
we'll
start
with
the
public
health
chair,
aaron,
murphy
and
then
it'll
be
mejia
fernandez,
anderson,
brayden
flynn,
council
murphy
of
the
floor.
C
On
the
health
response
to
the
ongoing
substance
use
crisis,
are
we
specifically
going
to
support
veterans
with
ptsd
and
mental
health
conditions?
Do
we
have
a
plan
specifically
for
that
population.
D
In
in
our
work,
although
we
serve
everyone
that
comes
to
our
door
veterans,.
D
C
Yeah
because
do
see
a
need-
and
please
jen-
because
I
know
you're
an
expert
in
this
field,
though,
that
a
comprehensive
women's
shelter
would
be
very
helpful
and
important
for
our
women
and
also
on
as
the
chair
of
veterans
and
just
knowing
that
they
have
specific
needs,
like
our
seniors,
do
right
and
their
mental
needs.
So
is
there
a
plan
or
have
you
thought
about
targeting
those
two
populations
differently
and
not?
I
know
that
you
do
support
everyone
that
comes
through
the
door,
but
putting
specific
funding
specifically
for
those
two
groups.
D
G
B
So,
within
the
center,
our
hope
is
to
address
issues
with
mental
and
behavioral
health
across
the
lifespan.
I
think
we
also
turn
to
you
all
as
city
councilors,
to
say
what
are
you
hearing?
What
is
it
that
we
need
to
be
doing?
You
also
mentioned
women,
and
I
just
wanted
to
comment
that
you
know
woods
mullen
being
you
know
the
shelter
that
it
is
we
do
and
we
did
establish
low
threshold
housing
for
women
who
are.
B
C
And
on
the
programming
topic
when
I
visited
saint
francis
recently,
karen
spoke
about
how
more
women
are
coming
to
saint
francis.
The
first
day
the
bus
was
available.
She
said
two
women
came
and
the
day
I
was
there,
they
were
44.,
so
that
was
wonderful
to
hear.
But
is
there
a
need,
or
do
you
think
we
should
target
more
money
specifically
to
that
program
or
others
across?
Are
there
other
shelters
or
programs
in
the
city
that
we
can
help
get
women
away
from
mass
and
cass
area
into
places
like
saint
francis.
B
B
Certainly
this
is
an
evolution,
we're
waiting
for
the
rfp,
the
proposals
that
will
come
in
and
we'll
see
which
places
you
know
want
to
do
this.
G
C
And
I
know
with
the
mental
health,
it's
good
to
hear
the
focus
there
and
it's
very
connected
to
open
spaces
parks.
Schools
with
you
know,
sports
programming,
athletics,
and
do
you
have
a
partnership?
D
Yeah,
absolutely
I
mean
the
phoenix
is
one
partner,
as
you
know
that
we've
worked
with
consecutively
over
the
years.
We
actually
brought
them
to
boston
when
they,
you
know
when
they
reached
out,
found
a
temporary
space
for
them,
and
now
they
have
this
large
space
in
the
new
market
square
area,
but
and
have
also
done
a
lot
with
us
around
the
housing
folks
and
working
on.
We
got
a
grant,
a
rise
foundation
grant
to
buy
supplies,
and
you
know
sheets
and
linens,
and
everything
like
that.
D
Phoenix
house
helped
organize
that,
with
the
peer
recovery
centers
across
boston
to
provide
people
with
essential
needs,
so
we'll
continue
to
work
with
phoenix
and
we'll
continue
to
build
that
partnership,
but
wellness
and
and
substance
use
and
recovery
is
about
physical
wellness.
It's
also
around
the
arts,
music
and
other
ways
that
we
can
incorporate
strength
and
recovery
into
into
people's
lives.
So
you
know
we
have
several
projects
happening
with.
All
of
that
in
mind.
Thank
you.
Yes,.
B
But
what
I
would
say
is
that
mayor
wu-
and
you
know
the
boston,
public
health
commission-
I
think
we're
we're
committed
to
exploring
every
possible
opportunity.
We
know
that
services
are
needed.
We
know
that
space
is
needed,
whether
that
be
long
island
or
some
other
place
around
the
city.
B
C
And
lastly,
I
will
be
leaving
earlier.
I
have
my
first
in-person
physical
in
three
years,
so
I
will
say
before
I
please
everyone
make
a
make
an
appointment
with
your
doctor
and
have
a
physical.
So
I'm
sorry
I
won't
be
here
for
the
whole
meeting,
I'm
not
leaving
yet,
but
I
will
not
be
here
for
another
round
of
questioning.
So
thank
you.
C
C
Is
south
boston
health
center?
Yes
always
have
found
myself
and
my
family
have
always
gotten
our
health
care
at
the
health
centers.
Thank
you
so
much.
H
I'm
also
a
proud
community
health
center
person,
I'm
from
dorchester
community
health
and
my
whole
entire
family
has
gone
through
that
and
my
daughter
now
too
so
strong.
H
H
I'm
excited
to
see
some
investments
around
workforce
development.
I
think
when
we
met,
I
talked
a
lot
about
that
and
it
seems
like
we
are
going
to
be
pouring
some
resources
to
help
employees
too
right.
So
it's
not
just
so
I'm
happy
to
see
that
we're
moving
in
that
direction,
because
I
we
can't
be
well
and
do
well
if
we're
not
taking
care
of
ourselves,
and
we
can't
show
up
for
our
folks
if
we're
not
taking
care
of
ourselves.
So
I'm
glad
to
see
that
can
you
you
talked
about
a
vaccination.
B
H
H
Right
so
with
that,
because
there's
been
so
many
different
surges
and
spikes
with
covet,
you
know
rates
and
all
these
new
strains
coming
on
to
the
scene
just
curious
about
how
you
plan
to
navigate
that.
B
Sure
so,
in
terms
of
the
variance
of
concern,
I
think
one
of
the
major
issues
to
keep
in
mind
is
that
what
we're
seeing
right
now
is
increased
transmissibility,
not
necessarily
increased
severity
of
disease,
which
essentially
means
that
we
are
seeing
a
lot
of
covenant,
and
that
was
part
of
the
data
that
I
showed
you
in
terms
of
hospitalizations.
What
we're
still
seeing
are
people
who
are
either
unvaccinated,
or
they
have
some
underlying
reason
that
they're
actually
ended
up
having
more
severe
disease
and
having
to
be
hospitalized.
B
We
are,
in
my
conversations
with
the
hospitals,
seeing
less
severe
illness,
less
fewer
people
who
are
in
the
icu
for
covid
and
we're
seeing
more
cases
of
people
who
are
within
our
you
know,
data
who
are,
incidentally,
diagnosed
with
covet
19,
as
opposed
to
being
admitted
with
with
covenanting.
So
as
we
see
these
new
variants,
part
of
what
we
need
to
do
as
a
commission
is
make
sure
that
we're
having
enough
people
who
are
getting
tested
getting
pcr
tested
so
that
we
can
actually
know
what's
what's
happening.
I'm
sorry,
if
I'm
not
answering.
H
H
Yeah,
I
have
I'm
working
on
my
how
I
show
up
in
this
world.
So
sorry,
I'm
just
really
trying
to
work
on
my
face.
So
I
was
nervous
about
my
time,
but
no
I'm.
I
I'm
glad
that
we're
thinking
about
it.
So
I'm
glad
that
you
got
a
plan
for
it.
So
that's
good!
Thank
you.
I
do
have
two
more
questions
that
I
just
really
wanted
to
make
sure
that
I
we
we
talked
a
little
bit
about.
Are
you
I'm
sure,
you're
familiar
with
the
youth
development
network?
H
Yes
and
that's
under
the
boston,
public
health,
commission?
Yes,
and
so
I'm
just
curious
about,
because
that's
a
a
group
that
I've
worked
with
on
a
volunteer
basis
for
the
and
also
through
the
organization
that
I
founded
many
years
ago
every
summer
and
they
work
with
young
people
who
are
chronically
absent,
and
what
we've
been
hearing
is
that
a
lot
of
our
young
people
it's
hard
to
get
them
back
into
school.
H
Right,
that's
a
very
specific
line
item
that
falls
under
your
jurisdiction
and
there
are
a
lot
of
young
people
dealing
with
mental
health
and
wellness
issues,
as
well
as
the
impact
that
kova
has
had
on
the
entire
family
unit.
H
So
some
young
people
have
had
to
take
on
two
to
three
jobs,
just
to
help
support
their
families.
So
there's
some
real
issues
that
are,
you
may
not
think,
fall
into
public
health,
but
they
do
yeah,
and
so
I'm
just
curious
about
what
you're
thinking
about
in
terms
of
funding
to
support
the
youth
development
network
and
increasing
their
capacity,
because
I
also
have
learned
that
they
are
struggling
to
hire
people
because
of
the
rates
of
pay
so
just
curious
about
how
we
can
use
some
of
this
particular
emergency.
B
The
issue
of
I'll
start
with
staffing,
staffing,
recruitment
and
retention
has
been
a
challenge
across
the
commission
and
across
city
departments,
as
you
probably
are
aware
of,
we
are
trying
to
approach
these
issues
holistically
across
the
commission
and
we're
working
on
issues
related
to
increasing
compensation
staff,
appreciation
staff
wellness
all
of
these
important
critical
areas,
because
you
know,
if
you
just
look
across
the
commission,
we
have
a
lot
of
positions
that
are
currently
open.
You.
I
B
H
So
this
is
what
I'm
this
I
just
want
to
just
because
I
I
know
that
my
ringer
is
going
to
go
off.
I
just
really
want
us
to
spend
a
little
bit
of
time
on
the
youth
development
network
because
they
have
a
position
available
at
brighton
and
they
haven't
been
able
to
fill
it
right
in
high
school,
and
I
only
know
that
I'm
not
calling
you
out,
counselor
breeden,
I'm
just
naming
that,
because
I
know
that's
your
neck
of
the
woods
and
I
just
want
to
elevate
that.
H
Okay
and
they
have
identified-
and
I
only
know
this
because
of
my
intimate
work
with
this
particular
network-
not
because
they
happen
to
be
in
brighton.
They
also
have
a
site
at
the
burke
and
they
also
have
charlestown
so
they're
across
a
number
of
different
high
schools.
H
So
I
want
to
go
back
to
how
can
we
utilize
some
of
this-
the
funding,
this
one-time
funding,
even
if
it's
not
going
to
be
sustainable
for
ever,
but
at
least
to
address
the
immediate
concern
that
the
youth
development
network
is
having
in
supporting
our
students
who
are
chronically
absent
and
not
going
to
school,
because
they're
still
dealing
with
the
impact
of
covet?
I
just
really
want
us
to
consider
that
as
a
as
as
an
investment
that
you
would
be
willing
to
make
and
to
consider
making
with
this
particular
hearing
that
I'm
in
right
now.
B
So
I'm
I'm
happy
to
consider
that
as
a
potential
funding,
a
use
of
funding,
I
think,
as
you're
mentioning
very
critical
issue
and
I
think
again
that
a
lot
of
what
we're
facing
is
that
our
salaries
aren't
necessarily
competitive
and
we
need
to
work
on
that.
I
mean
I
actually
looking
at
the
salaries
within
the
youth
development
network,
ridiculous,
it's
something
that
from
day
one
when
I
started
this
job,
I
said
we
have
to
have
a
workplace
improvement
program
and
number
one
on
that
list
of
workplace
improvement.
B
H
That's
why
people
have
to
take
on
two
to
three
jobs,
just
to
be
able
to
work
for
you
guys
right
and
but
I'm
not
going
to
harp
on
that
issue.
I
will
just
say,
because
I
I'll
wait
for
my
second
round
of
questions,
because
I
I
want
to
go
back.
I
just
I
will
say
and
stress
again
that
when
I
think
about
the
one-time
investments-
and
I
think
about
what
this
is
supposed
to
be
for
it's
supposed
to
be
for
covet-
and
you
know,
code
of
relief
and,
like
you
know,
recovery
blah
blah
blah.
H
So
if
that's
the
case,
the
youth
development
network
is
dealing
with
a
lot
of
challenges
that
young
people
are
experiencing
as
a
result
of
covet
so
much
so
that
they're
not
going
back
to
school,
and
I
think
that
we
have
an
opportunity
and
a
responsibility
to
think
financially
how
we
can
support
the
youth
development
network.
With,
with
with
these
fundings.
A
Thank
you,
counselor
understanderson
thank.
J
You,
madam
chair,
I
guess
my
you
know
my
questions
are
similar
to
my
colleagues
in
terms
of
building
capacity
and
I'm
really
concerned
about
especially
behavioral
health.
In
terms,
I
read
the
packet
once
again,
because
I
had
to
really
try
to
understand
the
how
and
in
terms
of
behavior
health
and
training,
I
guess
already
existing
staff,
your
program
in
the
com,
your
program,
that
you
are
trying
to
implement
in
schools
and
collaborate
with
community
to
build
capacity.
B
They
are
looking
for
this
type
of
partnership.
They
would
like
to
have
more
people
who
could
work
in
different
capacities
across
sort
of
the
the
spectrum
of
things
that
people
do
in
terms
of
behavioral
and
mental
health,
but
they
don't
see
these
pipeline
programs.
They
don't
see
necessarily
programs
like
bay,
heck
for
specifically
for
behavioral
and
mental
health.
So
that's
that's
one
strategy
I
think.
Secondarily,
an
another
strategy
is
goes
towards
this
issue
of
compensation
and
pay
and
why
people
don't
necessarily
go
into
those
particular
jobs.
B
Now,
while
we're
dealing
with
this
holistically
with
within
the
commission,
I
think
our
focus
is
going
to
need
to
be.
How
do
we
make
these
positions
more
desirable
for
people
and
that's
going
to
take
a
lot
of
discussions.
An
external
advisory
committee
will
be
established.
We
would
love
to
talk
to
you
more
about
what
you're
hearing
thinking
about
how
to
do
this.
So
I
don't
think,
there's
one
strategy,
yet
I
think
the
how
some
of
the
things
I
think
we
can
get
started
on
right
away.
B
J
B
So
we
collect
a
number
of
different
data
elements
in
terms
of
measuring
equity.
Certainly
we
look
at
race
and
ethnicity
and
brought
in
a
broad
sense
to
determine
who's,
getting
access
to
services
and
I'll
provide
an
example.
We
also
think
about
what
neighborhoods
people
are
coming
from:
it's
not
just
race
and
ethnicity.
It's
actually,
who
folks
are.
We
are
working
on
strategies
to
understand
nativity,
better
to
understand
what
countries
are
countries
of
origin
of
individuals.
B
So
we
know
who
who
are
the
people
who
are
actually
accessing
the
services
that
has
been
a
little
bit
more
of
a
challenge,
but
certainly
something
I'm
very
interested
in
promoting
and
pushing
forward.
So
it's
certainly
something
that
we're
looking
at.
Let
me
just
give
actually
two
examples.
So
going
back
to
our
housing
surge
program
where
we,
you
know,
offered
people
housing
in
these
six
different
sites
back
on
january
12th.
B
The
first
step
of
that
process
was
data
collection.
You
know
we
were
very
intentional
and,
as
you
said,
I
think
it's
incredibly
important
to
know
what
you're
doing
before
you
do
it
and
actually
have
a
plan
in
place,
and
course
correcting.
You
know
if
you
don't
see
what
should
be
happening
happening,
so
we
went
on
the
street,
with
tablets
went
to
each
tent
to
find
out
who
was,
in
there
race,
ethnicity,
re-entry
veteran
status.
B
What
housing
plan
they
already
had,
what
substances
they
were
using
did
they
have
a
mental
health
provider?
Did
they
have
a
doctor
and
we
provided
that
information
to
we
disseminated
the
best
that
we
could
widely
and
there's
actually
a
dashboard
available
to
say
where
people
went
so,
in
other
words
to
know,
were
there
differences,
statistically
significant
differences
between
individuals,
whether
it
be
women,
men
partners?
B
People
of
you
know
racial
ethnic
differences
in
who
got
access
to
what
congregate,
setting
versus
actually
a
hotel
so
on
and
so
forth,
and
we
haven't
found
significant
differences,
but,
along
the
way,
each
week
we
were
looking
at
reports
to
see
you
know
what's
actually
happening
to
people
within
these
settings.
You
know
are
some
settings.
I
like.
J
That
I,
like
that,
you
had
a
plan
and
you
knew
what
you
were
doing
beforehand.
You
could
monitor
it
and
actually
course
correct
it
as
you
go.
How
does
that?
How?
How
does
that
compare
or
how
does
that
comparable
for
specifically
racial
equity,
as
it
relates
to
opera
funds,
because
that
it's
a
different
problem?
It's
a
different.
B
Priority
well,
some
of
the
arpa
funds
will
be
used
for
the
same
subs,
the
public
health
response
to
addiction.
So
we're
going
to
be
doing
the
same
things
in
terms
of
data
collection
being
intentional,
knowing
who's
getting
what
and
that
has
been
our
process
in
terms
of
vaccination
as
well
as
testing
to
know
who's
getting
tested.
B
What
neighborhoods
are
not
getting
tested
and
one
of
the
reasons
just
going
back
to
arpa
funds,
specifically
that
we
wanted
to
enhance
our
ability
to
do
wastewater
surveillance
so
that
we
know
where
there
is
more
coven
is
because
we
know
by
neighborhood
certain
people
aren't
accessing
testing,
so
we're
not
getting
the
case
rate
we're
not
getting
accurate
community
positivity.
But
if
we
know
that
certain
neighborhoods
clearly-
and
we
can't
get
that
data
now,
but
once
we
have
the
funding
we
can
know.
Oh
look,
there's
a
hot
spot
there.
B
We
need
to
push
more
services
into
that
area.
We
need
to
push
more
health
communication
into
that
area.
So
I
think
that
everything
we
put
forth
has
metrics
outcomes
and
equity
focus,
and
we
are
being,
I
believe,
intentional,
along
the
way
in
how
we
are
designing
our
programs
and
how
we
will
adjust
them
if
they
become
inequitable.
J
J
J
Things
so
I
mean
sorry,
our
pro
funds,
behavioral
health
stuff-
that's
going
to
be
expensive.
B
So
the
mastercast
dashboard
is
actually
live
now,
so
you
can
actually
see
who
went
where
you
can.
Actually,
I
believe
that
we
were
trying
to
build
in
the
issues
of
race
and
ethnicity.
I
will
look
at
that
and
get
back
to
you
to
see
if
that
is
updated
or
how
often
it's
updated,
but
our
intention
is
to
be
as
transparent
as
possible.
The
point
of
having
dashboards
is
so
that
anybody
can
look
and
analyze
the
data
themselves.
B
B
Yes,
we're
going
to
continue
to
populate
for
all
substance
for
the
public
health
response
to
substance,
use
that
dashboard
will
continue
to
be
populated
so
that
you'll
be
able
to
see
data
as
to
where
people
are
going.
Who
had
access
to
medication
for
opioid
use
disorder?
Who
has
access
to
a
physician
who's
been
lost
to
follow-up,
you
know
deaths.
Unfortunately,
I
mean
all
of
this
is
is
really
important
for
the
public
to
know
with
these
with
these
dollars.
J
Sorry
and
the
other
part
of
the
question
was
in
terms
of
communicating
stigma,
I
mean
particularly
to
quote
I
guess
it
was.
You
mentioned,
communicating
it
as
it
as
as
it.
In
fact
that
I
can't
find
my
sentence
that
I'm
trying
to
rush
here,
you
talked
about
behavioral
health
communication,
address
stigma
of
mental
health,
behavioral
health
by
acknowledging
the
needs
this.
This
was
in
a
packet.
B
So
I
think
what
were
what
I
was
saying
there.
What
we're
saying
is
that
different
communities
understand
mental
and
behavioral
health
in
different
ways.
I
think,
first
of
all
acknowledge
that
everybody's
not
going
to
take
the
same
message
internalize
it
in
the
same
way
and
then
go
and
run
and
access
a
therapist,
acknowledging
that
people
are
coming
from
different
places.
You
have
to
meet
them
where
they're
at
you
have
to
provide
them
with
services.
They
want
to
access,
not
the
services
that
you
think
they
may
want
to
access.
B
I
think
that
acknowledgement
is
a
really
important
part
of
the
process.
My
thought
about
these
communication
campaigns,
and
certainly
will
you
know,
contract
with
you
know,
specialists
in
this
area
is
that
they
have
to
be.
You
know,
involved
with
you
know
they
have
to
be
led
by
communities.
You
know
they
have
to
be
a
significant
community
engagement
process,
because
what
we
think
may
be
undesirable
to
a
certain
group
of
individuals
may
not
be
you
know
it.
May
it
may
be
that
we're
thinking
completely
differently
than
what
than
what
we're
thinking,
but
we
never
ask.
B
So
so
the
plan
for
the
communication
plan
communication
campaigns
sim,
is
similar
to
what
we've
done
with
other
communication
campaigns.
It's
really
going
to
people,
you
know
meeting
them.
You
know
in
places
where
they
want
to
talk
in
ways
they
want
to
talk
and
having
a
very
intentional
and
intense
process.
B
It's
probably
it's
going
to
take
some
time
to
get
this
done,
understanding
what
they
want
to
see
in
terms
of
mental
and
behavioral
health
and
their
understanding
of
mental
and
behavioral
health,
and
then
it's
going
to
be
working
with
specialists
who
actually
understand
those
communities
to
craft
appropriate
messages,
materials
strategies
that
meet
the
needs
of
a
very
diverse
community,
and
that's
why
we
need
you
know
a
significant
amount
of
funding
to
do
this,
because
we
we
have
such
a
diverse
population
in
boston.
J
Logistically,
I
think,
having
a
breakdown
of
what
that
is,
amount
of
staff
resources,
all
the
materials
like.
What
are
you
creating?
You
know.
What
does
that
look
like,
I
think,
logistically,
because
then
you
would
know
the
need.
If
you
have
the
numbers,
then
you
know
logistically
what
you
need
and
I
think,
having
that
plan
for
us
helps
to
say
yeah
they.
B
I
I
appreciate
that,
and
I
think
that
we
can
provide
you
with
that
plan.
We've
done
thus
far
without
knowing
that
we
were
going
to
have
the
funding.
Necessarily
we've
done
a
landscape
analysis,
so
an
understanding
of
what
programs
are
out
there.
At
least
you
know
within
the
commission,
where
there's
a
lot
of
mental
health
programming,
we
have
hired
our
chief
behavioral
health
officer.
We
are
looking
at
programming
across
the
city
so
that
we
actually
understand
what
the
challenges
are.
B
What
the
capacity
needs
are
because
it
may
be
that
they're
great
programs
out
there,
but
they
just
don't,
have
the
capacity
to
scale
up
you
know
and
if
they
have
the
capacity
we'd
be
meeting
them,
maybe
meeting
the
needs.
So
we
have
to
understand
that
before
we
start
to
implement
anything,
so
I'm
happy
to
provide
more
details
and
certainly
keep
you
very
closely
involved,
as
things
evolve.
A
J
A
K
Hi
this
okay,
a
few
questions
you
mentioned.
You
know
I
think
our
community
health
centers.
I
think
many
of
us
here
all
of
us
probably
get
our
health
care
through
community
health
centers
and
one
of
the
things
that
has
happened
with
covet
is
that
there's
lots
of
deferred
deferred
care
and
I
think
they
are
experiencing
the
same
recruitment
problems
as
everyone
else,
but
they're
also
trying
to
catch
up
with
all
their
deferred
care
for
diabetes
care
and
then
all
the
well
child,
immunizations
etc.
K
Do
you
think
that
this
additional
funding
will
help
take
a
serious
bite
into
that?
I
have
no
idea
just
in
terms
of
the
scale
of
the
problem.
I
I
know
there's
a
problem,
but
I
just
don't
have
a
good
handle
on
the
scale
and
how
much
of
a
backlog,
because
I
know
a
lot
of
people
rely
on
health,
community
health
centers
for
their
care
in
boston.
B
So
I
think
that's
a
really
good
question.
We've
been
engaged
in
a
number
of
conversations
with
the
community
health
center
leadership,
both
their
presidents
and
ceos
and
their
chief
medical
officers,
operations
teams
to
get
a
sense
of
what
they
believe
their
needs
are,
and
one
of
the
most
important
things
that
they've
mentioned
is
that
you
know
we
need
to
have
some
discretionary
funding
so
that
we
can
incentivize
staff.
We
need
to
be
able
to
have
programming
that
will
do
exactly
what
you
said:
bring
people
back
into
care.
B
We
need
staffing,
and
even
if
we
have
a
funding
line
for
staff,
we
need
to
be
able
to.
You
know
incentivize
more.
We
give
people
bonuses
so
in
terms
of
the
actual
amount
that's
going
to
be
needed
across
the
health
centers.
Well,
as
as
you're
well
aware,
some
community
health
centers
are
more
capacitated
in
terms
of
funding
than
others,
and
we've
noticed.
If
you
look
at
what
we
funded
folks
for
over
time,
there
are
certain
community
health
centers
that
we
know
need
more
than
others
and
we're
going
to
have
to
figure
that
out.
B
You
know
what
we'll
do
is
we'll
put
out.
You
know
an
rfp
make
it
as
brief
as
possible
so
that
people
can
easily
respond
and
they'll
tell
us
what
they
need
and
we
may
we
put
us.
We
were
asking
for
3
million
for
this
navigation
process,
but
the
other
buckets
of
of
funding
and
vaccination
and
testing.
Maybe
that
also
is
is
used
in
that
to
do
that
extra
bit.
It's
not
going
to
fund
everything,
but
it's
certainly.
K
Yeah
and
you
can
incentivize
stuff
exactly
and
bonuses
and
whatever
else,
let's
see
in
terms
of
you
know,
the
cove
pandemic
exacerbated
many
mental
health
and
behavioral
health
problems.
K
Where
do
you
have
any
good
sense
of
our
capacity
in
terms
of
substance,
use,
treatment
and
rehab
spaces
in
in
the
city
like?
Have
we
increased
that
capacity
in
response
to
this
challenge?
K
Or
are
we-
and
I
mean
I'm
not
talking
about
I'm
just
talking
about
more,
even
even
dividing
it
into
separate
buckets
like
people
elders
for
examples
are
different
programming
with
specific,
not
and
not
necessarily
are
our
homeless
population
with
substance
use
substance
use
challenges
because
I
know
there's
a
lot
of
there's
a
there's,
a
sort
of
it's
sort
of
an
iceberg
effect.
D
D
Those
very
same
providers
are,
you
know,
are
also
struggling
with
workforce
issues
and
recruitment
retention
as
well
a
lot
of
those
current
programs
that
serve
from
eight
most
of
them
18
and
over
some
programs
that
are
serving
women,
some
firms
that
are
serving
women
and
their
children,
like
you,
know,
hours
in
matapan
and
the
one
at
st
mary's
and
dorchester
sort
of
different
populations,
but
are
struggling
sort
of
with
the
workforce
issue
as
well
as
and
also
covet
covet
outbreaks
within
programs.
G
D
Programs
have
had
to
set
aside
beds
to
isolate
folks
as
well,
as
you
know,
provide
the
same.
The
same
kind
of
of
you
know,
restrictions
and
and
and
everything
like
that
that
everyone
else
has
too.
What
I
would
say
is
some
of
the
opera
money,
specifically
just
to
kind
of
bring
it
back
to
the
dollars
that
we're
targeting
here
is.
One
of
our
goals
is
to
work
with
communities
to
identify
sort
of
for
them
to
identify
the
needs
within
the
community.
D
For
so,
for
example,
the
engagement
teams,
community
engagement
teams
that
we're
looking
to
expand
to
three
different
neighborhoods
this
coming
year,
is
really
an
effort
for
a
community
to
identify
what
their
challenge
is.
So
that
may
be
people
on
the
street
or
that
may
be
you
know,
maybe
the
the
elders
in
the
in
the
you
know
the
older
adults
within
a
community
or
young
people.
K
I
I
really
you
know,
I
think,
the
whole
every
every
hearing
we've
had
with
all
departments
across
the
city,
the
workforce
pipeline
workforce
development
plan
is
critical,
and
I'm
really
glad
to
see
that
you
folks
are
are
also
putting
some
thought
into
that.
How
do
we,
you
know
in
terms
of
the
pipeline
work
with
partnerships?
K
We've,
you
know,
we've
got
all
these
medi
academic,
medical,
centers
and
university
programs
for
professionals
of
all
elks,
and
we
are
we
working
with
those
institutions
in
our
city
to
try
and
capitalize
on
some
of
that
know-how
as
well.
A
A
B
So
I
think
that
what
you're
saying
is
a
critical
piece
to
developing
this
pipeline.
We
have
been
in
discussions
with
you,
know
clinical
partners,
hospitals,
the
chcs
about
what
their
needs
are,
and
it's
overwhelmingly
that
they
need
a
workforce
and
a
strong
workforce,
so
basically
they're
saying
that
their
jobs
out
there
they
need
people
to
be
trained.
They
need
people
to
be
interested
in
this
type
of
in
this
type
of
work,
particularly
in
behavioral
and
mental
health.
B
B
Do
we
try
something
else?
We
have
to
think
about
compensation
and
how
we
can
incentivize
people
to
stay
in
boston,
because
we
have
a
problem
with
training.
Folks
and
then
you
know,
people
people
leave
and
the
point
of
this
funding
is
that
we
want
to
keep
people
here,
so
they
can
serve
the
needs
of
boston
residents.
So
a
lot
of
this
is
an
evolution.
B
K
I
agree
yeah
thank
you
for
all
your
work
and
I
think
I
don't
have
any
further
questions
this
at
this
moment.
Thank
you,
madam
chair.
Thank
you
great,
and
I
look
forward
to
some
other
time.
I'd
love
to
sit
down.
A
Yeah,
thank
you
so
much
councillor
braden
and
we're
going
to
counselor
flynn
next
and
then
before
we
do
my
questions,
I'm
going
to
go
to
the
folks
in
public
testimony
who
were
here
from
the
start.
Just
because
I
know
we've
got
a
couple
of
doctors
who
have
four
o'clocks
that
they
need
to
do,
and
we've
got
some
folks
from
the
community
health
center.
So,
and
so,
if
you
are
in
this
in
the
zoom,
just
know
that
after
counselor
flynn
will
be
going
to
you,
counselor
fellaini
of
the
floor.
F
But
I,
but
I
know
that
the
south
boston
community
health
center
played
a
critical
role
during
the
the
pandemic
and
had
an
opportunity
to
work
with
the
medical
team
at
the
hospital
at
the
health
center.
Helping
seniors,
get
appointments
for
vaccinations
and
other
services
as
well,
and
the
reason
I'm
saying
this
bringing
this
up
is.
This
is
one
of
the
areas
where
I'm
seeking
assistance
from
federal
the
federal
government
for
the
health
center.
They
are
expanding.
F
F
Many
of
the
many
of
the
residents
are
from
the
various
public
housing
developments,
including
mary
ellen
mccomic,
west
broadway
and
old
colony,
and
it
combined
that's
the
biggest
public
housing
area
in
the
city,
most
of
them
most
of
the
residents
most
of
the
patients
tenants
communities
of
color,
many
somalians,
many
african-american
latinx
residents,
immigrants-
and
I
bring
this
up
because
this
is
an
inclusive
health
center.
Just
like
all
of
them
are
so
they
are
expanding,
while
some
of
that
demand
can
be
met
through
telehealth
capacity.
That
has
also
seen
a
large
increase
during
this
time.
F
F
F
F
The
the
current
estimated
cost
for
all
of
this.
It
seems
like
it's
around
8.2
million
dollars,
so
one
of
the
requests
I've
been
trying
to
work
on
in
terms
of
federal
funding
is
supporting
the
south
boston
community
health
center
and
the
timing
of
it.
I
know
the
architectural
selection
is,
is
ongoing.
F
The
design
phase
is
six
to
eight
months
commencing
july
1st,
the
bidding
and
permitting
process
would
start
in
several
months.
So
I
just
wanted
to
put
that
on
the
record
madam
chair,
and
and
also
to
thank
the
boston
public
health
commission
team.
That's
here
for
their
important
work
that
they've
been
doing
during
this
pandemic.
I've
had
an
opportunity
to
work
with
many
people.
F
So
maybe
I'll
I'll
go
to
a
quick
question
or
a
quick
comment,
and
this
is
a
subject
that
is
that
I've
been
focused
on
for
five
years.
F
I
know
the
the
boston
public
health
commission
puts
out
a
report
every
year
and
it's
it's
a
report.
I
always
look
forward
to
reading
and
during
the
pandemic
I
know
we
haven't.
F
Separating
or
doing
more
research
in
terms
of
the
asian
community
of
boston,
for
example
the
area
in
chinatown,
where
we
do
public
health
assessments
at
times
that
area
or
that
that
group
is
categorized
with
the
entire
residence
of
the
downtown
boston
area.
So
I
don't
have
an
accurate
description
of
the
public
health
assessment
in
chinatown
at
times,
and
that's
something
we
have
talked
talked
about
doctor
also.
F
The
the
public
health
assessment
of
various
asian
communities
is
is
significant,
is
different,
such
as
the
vietnamese
community
in
dorchester
compared
to
the
chinese
community
in
downtown
boston
or
the
south
end.
But
I
just
wanted
to
ask
with
with
with
the
availability
of
funding,
are
we
able
to
dig
deep
and
do
more
research
into
the
asian
community
throughout
throughout
boston
and
specifically,
target
target
the
research
and
demographics?
B
B
So
as
we
work
as
we've
discussed
before,
as
we
work
to
reorganize
some
of
our
systems,
one
of
the
things
that
we
are
doing
is
developing
a
health
equity
dashboard.
That
will
essentially
do
what
the
previous
you
know.
Hard
copy
was
doing,
except
that
you'll
be
able
to
actually
sort
through
the
data
yourself.
Communities
will
be
able
to
sort
through
it
themselves
and
they'll
understand
what's
happening.
This
issue
of
data
disaggregation
by
country
of
origin
by
nativity,
I
think
is,
is
one
that
I've
discussed
with
our
research
evaluation
office.
B
B
I
think
that
there
are
challenges
as
we've
discussed
before,
but
it's
not
impossible
and
it's
certainly
it's
worth
all
the
effort,
because
we're
missing
a
lot
in
calling
people
asian
and
not
saying
anything
else
about
them,
calling
people
black
calling
people
latinx
and
not
digging
deeper
into
who
they
actually
are.
So
it's
definitely
high
on
our
priority
list.
F
F
You
know
that
that
neighborhood
is
located
little
literally
on
top
of
the
mass
pike
on
top
of
93
down
the
road.
A
little
bit
from
south
station
train
station
salt
station
bus
station,
where
the
trains
and
buses
are
always
running.
It's
always
the
truck
route,
also
from
maine.
Basically
down
down
to
florida.
F
So
I
I
compare
that
to
other
other
asian
communities
throughout
boston,
but
I
I
reference
reference
that,
because
of
the
important
role
public
health
plays
in
our
communities,
but
I
will
I'd
like
to
continue
to
work
with
you
doctor
to
make
sure
we
have
the
best
and
accurate
information
on
public
health
data,
and
I
know
your
office
is
committed
to
doing
that.
So
appreciate
all
your
hard
work
and
professionalism
as
well.
A
A
So
we've
got
liz
brown
from
the
charles
river
community
health
center,
dr
simone
ellis
from
the
chief
medical
officer
from
the
harvard
street
health
center,
dr
denise
dylas
from
the
boston
healthcare
for
the
homeless
program,
barry
bach,
the
ceo
of
the
boston
healthcare
for
the
homeless
program,
sandra
mcroom,
the
from
children's
services
of
roxbury,
the
ceo
julie
burns
from
rise
and
marianne
francolis
from
moore.
So
that's
who
we
will
take
right
now
and
if
we
can
pull
up
liz
first
of
all,
just
encourage
folks.
A
I
know
I
said
your
name
and
affiliation,
but
if
you
can
just
repeat
that
for
the
record
and
then
try
to
try
to
keep
it
to
like
three
minutes,
I
this
you
know,
I
know
everybody
who's
about
to
be
testifying,
has
a
wealth
of
knowledge,
but
just
so
we
get
everybody
who
needs
to
get
in
before
four,
and
that
would
be
fantastic,
so
yeah,
three.
Three
four
minutes
would
be
max.
Can
we
get
liz
up.
A
M
All
right
all
right
are
all
set
on
your
end.
Yes,
gekko.
Okay,
great
thank
you
thank
you,
chairbach
and
council
of
reading
and
the
other
members
of
the
city
council.
As
chairbox
just
said,
my
name
is
liz
brown
and
I'm
the
ceo
at
charles
river
community
health.
We
are
located
in
alston,
brighton
and
waltham,
and
we
serve
nearly
15
000
patients
a
year
who
are
the
most
underserved
in
our
community.
M
M
As
you
know,
there
are
21
community
health
centers
located
throughout
the
city
of
boston
in
2020,
boston,
health
centers
saw
over
432
000
patients
reflecting
the
vibrant
diversity
of
the
city
as
a
whole.
64
of
our
patients
identify
as
a
racial
or
ethnic
minority.
83
are
low,
income
and
3
are
homeless.
M
Health
centers
see
patients
of
all
ages
from
infants
to
the
elderly
by
hiring
locally
and
maintaining
a
board
that
is
comprised
of
a
majority
of
patients.
Each
health
center
is
highly
attuned
to
the
unique
strengths
and
needs
of
its
community,
and
I
very
much
appreciate
that
everyone
in
the
audience
knows
that,
and
I
was
delighted
to
hear
how
excited
you
all
are
to
be
patients
and
health
centers.
So
thank
you.
M
M
M
As
we
know,
the
massive
need
for
mental
health
care
coming
out
of
the
pandemic
and
the
pandemic
has
also
shown
the
importance
of
creating
stronger
behavioral
health
workforce
pipeline
programs
that
increase
economic
opportunity
for
underrepresented
groups
and
also
allow
our
patients
of
color
to
receive
care
from
providers
and
staff
who
share
their
racial
and
or
ethnic
background,
and
can
provide
the
culturally
and
linguistically
sensitive
care
that
our
patients
need.
Thank
you
for
the
opportunity
to
provide
this
testimony.
A
N
Thank
you
good
afternoon,
chair
counselor
and
members
of
the
city
council.
My
name
is
dr
simone
ellis.
I'm
the
medical
director
at
harvard
street
neighborhood
health
center.
We
are
located
on
a
very
busy
blue
hill
avenue
corridor
in
dorchester,
we're
honored
to
serve
our
local
community,
who
is
largely
comprised
of
underrepresented
minorities.
N
We
have
patients
who
have
been
with
us
for
40
years
and
some
who
choose
us
as
their
medical
home
as
new
residents
to
this
country.
Our
patients
face
many
challenges,
as
they
are
oftentimes
under
resource
working,
low
income,
jobs,
state,
insured
or
underinsured,
often
facing
issues
of
food
insecurity,
unstable
housing
and
limited
transportation.
N
They
also
deal
with
the
psychological
stress
of
structural
racism
and
cultural
bias.
In
addition,
many
of
our
patients
are
best
served
in
a
language
other
than
english.
I'm
proud
to
say
that
our
staff
from
the
front
desk
to
our
leadership
team
is
representative
of
our
community
and
many
staff.
Members
speak
at
least
two
languages,
while
I'm
new
to
my
role
at
harvard
street.
As
a
physician,
I
know
that
the
last
two
years
have
been
quite
challenging
for
all
of
us
providing
medical
services.
During
this
pandemic.
N
N
That
will
help
our
kovit
recovery
and
response
efforts.
So
we
know
that
it's
going
to
take
some
time
as
a
medical
community
to
confront
the
aftermath
of
covet
right
now.
We
are
in
a
danger
zone-
and
we
mentioned
this
before
earlier.
In
the
hearing
due
to
covin.
Many
patients
have
delayed
their
primary
care
needs,
they've
delayed
their
cancer
screenings
and
we
have
delays
in
access
to
mental
health
services
as
well.
N
We
need
to
recruit
these
providers
and
retain
these
providers
as
well.
Our
community
health
centers
serve
as
a
part
of
our
health
safety
net.
This
proposal
will
help
us
continue
to
diversify
our
workforce
and
improve
access
to
high
quality,
behavioral
health
care
and
expand
our
reach
with
delivering
our
primary
care
services.
I
appreciate
your
time
today.
Thank
you.
A
Great,
thank
you
so
much
next
up
is
dr
denis
de
las
nuevos,
and
then
I'm
just
going
to
make
one
quick
order
adjustment.
I
want
to
make
sure
that
sandra
mccroom
gets
a
chance
to
get
in
before
counselor.
Fernando
sanderson
has
to
step
out
so
she's
going
to
go
after
dr
de
la
sonoesis
and
then
I'll
go
to
you,
mr
brock.
Forgive
me
for
reordering,
but
denise
you
have
the
floor.
E
Thank
you
very
much
good
afternoon,
councilor
bach,
councillor
baker
and
members
of
the
city
council.
I
actually
will
be
testifying
today
on
behalf
of
boston
healthcare,
for
the
homeless
program
and
in
place
of
our
ceo
barry
bach.
My
name
is
dr
denise
de
las
lunas
and
I'm
the
chief
medical
officer
here
at
boston,
healthcare
for
the
homeless
program
in
boston's
south
end
and
at
more
than
30
satellite
sites
throughout
the
city.
E
Our
program
has
invested
deeply
in
meeting
the
evolving
needs
of
our
patients,
as
encampments
started
to
emerge
on
mass
and
caste.
Several
years
ago,
we
deployed
a
total
of
17
fte
of
multidisciplinary
and
multilingual
staff
to
provide
needed
medical
and
addiction
services
in
and
around
the
area,
alongside
dedicated
staff
from
the
commission
throughout
the
pandemic.
We
have
worked
collaboratively
with
the
commission
and
other
partners
throughout
the
city
and
state
to
provide
cova
testing
and
isolation
resources
for
individuals
experiencing
homelessness
and
have
operated
more
than
700
isolation
beds
since
the
start
of
the
pandemic.
E
The
mayor's
proposal
also
includes
six
million
dollars
for
addiction
services,
which
includes
funding
for
the
ongoing
medical
and
behavioral
health
supports
through
the
boston
public
health
commission,
with
whom
we
have
partnered
closely
throughout
our
program's
history.
This
funding
will
support
the
continued
recovery
services
and
encampment
response
services
that
were
supported
by
previous
arba
investments.
E
This
support
is
invaluable
to
our
work
and
would
help
catalyze
transformative
innovation
with
a
focus
on
equity,
and
we
believe
that
the
commission
would
be
responsible
stewards
of
this
funding.
There
is
much
work
to
be
done
and
we
are
fully
committed
to
our
patients
and
to
the
community.
Thank
you
for
the
opportunity
to
provide
this
testimony
and
again
our
ceo,
barry
bach
will
not
be
testifying
today.
Thank
you.
A
Got
it?
Thank
you
so
much
and
thank
you
doctor
all
right
next
up
is
sandra
mcroom
from
children's
services
of
roxbury,
the
ceo
and
then
after
sandra
I'll.
Just
let
council
fernandez
anderson
make
a
brief
statement
about
the
docket
I
mentioned
earlier
that
we're
gonna
have
a
future
hearing
on
and
then
we'll
be
back
to
you,
julie
and
marianne.
So
sandra
you
have
the
floor.
O
Thank
you
so
much.
My
name
is
sandra
mcroom
and
I
am
the
president
and
ceo
of
children's
services
of
roxbury,
and
I
like
to
say
first
again
to
chairman
bach
and
also
councilwoman
fernandez
anderson
for
all
of
your
time
and
support.
Today
I
appreciated
hearing
from
dr
ogden,
as
we
have
partnered
with
them,
and
today,
I'm
here
to
talk
about
and
request
arpa
funding
to
support
children's
services
of
roxbury
to
provide
a
holistic,
wraparound
health
services
to
disenfranchised
populations
in
boston.
O
Children's
services
of
roxbury
is
50
years
old.
So
so
for
five
decades
we
are
the
largest
black-led
non-profit
in
massachusetts,
we
employ
400
plus
members
of
the
boston
community,
we're
in
four
cities
across
the
commonwealth.
And
what
I'd
like
to
talk
about
today
is
the
the
institutional
history
and
the
ecosystem
that
we
have
created
throughout.
Boston
is
a
hidden
gem
and
I
say
we're
a
hidden.
Gem
is
because
we
are
a
lot
of
people,
know
csr.
O
We
are
well
known,
but
not
known.
Well,
we
offer
a
comprehensive
list
of
programs
that
most
people
don't
understand
or
know
about,
because
we
have
kept
our
head
down.
We
have
developed
relationships
and
partnerships,
we
serve
6
000
families
across
the
commonwealth
every
year
and
we
also
run
the
largest
behavioral
health
black
led
behavioral
health
clinic
in
the
city.
Certainly
so
a
lot
of
things
that
dr
ojakutu
spoke
about
today.
We
look
forward
to
partnering
with
her
on
that.
A
significant
thing
that
we've
done
to
put
a
stake
in
the
ground
is.
O
We
were
fortunate
enough
to
purchase
the
building
that
we
now
own
on
dudley
street.
It
is
an
entire
block
of
dudley
just
up
from
the
kroc
center
about
a
mile
up
from
nubian
square,
a
little
less
than
a
mile
from
nubian
square,
and
it
is
significant
because
generations
of
people
have
come
here
for
behavioral
health.
O
The
longevity
of
the
agency
spending
five
decades
to
develop
a
web
of
contacts
and
supportive
services
to
provide
these
wraparound
services
throughout
the
commonwealth.
O
And
we
are
asking
that
the
council
and
the
mayor
use
some
of
this
350
million
dollars,
which
is
a
staggering
amount
of
money
and
yet
still
feels
like
not
enough
to
support
our
efforts
to
rehab
our
building.
O
O
Providing
and
supporting
our
petition
to
request
arco
funding
in
the
in
the
amount
of
one
million
dollars
seems
like
a
very
small
ass,
given
the
amount
of
work
that
csr
can
provide
in
supporting
all
the
efforts
around
the
city
and
be
an
anchor
for
those
families
who
depend
on
those
so
deeply.
So
thank
you
so
much
for
your
time
and
attention
and
we
look
forward
to
partnering
with
you.
A
J
Thank
you
so
much,
madam
chair,
and
for
your
gracious
accommodation
of
allowing
me
to
make
a
statement
after
miss
sandra
mccroone.
J
I
I
really
have
a
deep
appreciation
for
children's
services
of
roxbury
using
miss
mccroone's
words,
because
I
have
worked
there.
I
have
utilized
their
services
after
working
there
to
collaborate
with
dcf,
as
well
as
the
courts
when
I
had
clients
in
public
health
sector,
providing
intensive
care
coordination,
providing
therapeutic
mentoring,
providing
therapeutic
and
training
supports
and
providing
community
program
supports,
which
is
all
under
cvhi
services
in
under
masshealth.
J
So
for
those
of
you
who
are
not
familiar,
this
is
an
agency
that
truly
encompasses
what
wraparound
services
looks
like
and
they
are
not
necessarily-
or
I
should
say
a
lot
of
people
mention.
This
word
sort
of
you
know
as
a
jargon
in
campaigning
or
in
the
community,
wrap
around
wrap
around
wrap
around
without
truly
understanding
with
what
that
really
means
and
to
have
an
agency
that
is
black
owned.
That
has
provided
services
for
over
five
decades.
That
is
strong
in
our
community.
J
That
is
building
capacity
that
continues
to
show
us
what
that
example
is
of
agency,
that
one
provides
services
that
is
impactful
but
effective,
but
also
while
building
capacity
is
truly
again
exemplary
of
what
we
need
in
our
community.
When
I
filed
this
hearing
order
to
have
some
opera
funds,
even
if
it's
a
collaboration
or
through
rfis
or
contractual,
maybe
maybe
contracts
through
the
department
of
public
health,
but
sort
of
that
collaborating
collaboration
or
partnership
with
wraparound
and
holistic
services
or
agencies
that
provide
those
services
in
order
to
not
duplicate
those
efforts.
J
I
think
that
you,
the
bpa
department
of
public
health,
can
collaborate
with
already
existing
services,
and
I
think
that
it's
important
for
me,
as
a
black
woman,
to
receive
services
from
particularly
providers
that
I
know
that
I
can
trust
that
I've
built
relationships
with
that.
I
can
not
be
feel
insecure,
whether
or
not
those
I've
been
misdiagnosed,
whether
or
not
I've
been
over
diagnosed
or
under
diagnosed,
and
I
think
that
we
should
really
be
intentional
when
considering.
How
are
we
building
equity
a
part
of
that
race?
J
Building
racial
equity,
I
think,
is
looking
within
our
own
communities
and
really
respecting
the
agencies
that
are
already
doing
the
work
and
partnering
with
them,
but
also
partnering
with
our
constituents,
our
citizens
of
boston,
that
are
in
need
of
those
services
and
understanding
how
to
meet
those
needs.
So
I
appreciate
your
indulgence,
madam
chair
and
the
time
I
do
apologize.
J
A
Thank
you
so
much
counselor,
friends,
anderson
and
now
we
will
go
back
to
a
couple
of
folks
for
public
testimony
and
then
I'll
ask
some
questions.
So
we've
got
julie
burns
up
next
from
ryze.
Thank
you
for
your
patience
and
then
it'll
be
marianne
from
goulets.
For
more
so
julie.
You
on
the
floor.
I
Thank
you
so
much
madam
chair
and
thank
you,
members
of
the
council.
My
name
is
julie
burns
and
I'm,
the
president
and
ceo
of
the
rise
massachusetts
foundation,
I'd
like
to
speak
in
support
of
the
health
commission's
proposal
to
use
arpa
funding
to
support
innovative
prevention
and
response
models
to
mental
health,
substance
use
and
wellness
that
address
systemic
racial
inequities
through
a
comprehensive,
coordinated
citywide
response
rise.
I
We
share
their
belief
that
urgent
workforce
investments
are
critical
if
we
hope
to
hold
on
to
the
gains
made
by
the
blue
administration
at
mass
and
cast
and
begin
to
address
the
root
causes
of
mental
health
and
addiction
to
increase
access.
So
more
people
receive
the
type
of
care
they
need.
We
must
also
increase
the
number
and
diversity
of
providing
providees
providers.
Sorry,
while
providing
opportunities
for
education
and
training,
so
practitioners
of
all
types
are
prepared
for
the
ever-changing
landscape
of
the
overdose
crisis.
I
The
commission
staff,
especially
those
of
the
office
of
recovery
service
and
a-hope,
have
worked
tireless
tirelessly,
often
without
recognition
or
support
throughout
the
pandemic,
and
they'll
continue
to
do
so
during
what
is
likely
to
be
a
difficult
summer.
Investing
in
this
workforce
is
important
and
will
literally
save
lives.
I
I
would
also
like
to
log
our
support
for
continued
funding
for
the
engagement
center
and
community
outreach
teams.
There
is
deep
stigma
and
misunderstanding
about
the
disease
of
addiction,
and
many
people
do
not
seek
treatment
because
of
the
way
they
have
been
treated
by
the
health
care
system.
In
fact,
only
about
11
percent
of
people
with
substance
use
disorder
seek
treatment.
I
The
engagement
center
is
a
critical
low
threshold
option
for
people
unwilling
to
go
to
a
traditional,
brick
and
mortar
site.
It
also
provides
a
person-centered
space
where
outreach
workers
and
clinicians
can
start
to
build
trust
and
support
individuals
on
a
path
to
recovery.
If
that's
what
they
want,
it's
an
important
tool
and
should
be
funded
appropriately
as
a
public-private
partnership.
Rye
stands
ready
to
work
with
the
commission
and
the
council
to
achieve
the
goals
laid
out
by
the
wu
administration
and
request
the
council's
support
for
this
important
funding
request.
Thank
you.
A
Thank
you
so
much
julia,
thank
you
for
testifying
and
for
your
patience
again,
marianne
francoulas
for
more
and
then
I'll
go
to
my
questions
and
then
second
round
for
counselors
marianne,
you
have
the
floor.
P
I
needed
to
unmute,
we
hear.
A
P
Very
good,
that's
wonderful!
Thank
you,
chair
kinsey
bach
and
all
the
city
council
members
for
allowing
me
to
speak.
It
was
wonderful
to
hear
from
dr
odo
kuto
as
from
the
boston
public
health
commission,
as
well
as
jen
tracy
from
the
office
of
recovery
services,
the
doctors
from
the
community
health
center,
the
services
of
children
of
roxbury,
as
well
as
rice,
which
we
really
really
really
appreciate
in
a
great
big
way.
P
P
All
has
been
exacerbated
by
the
covet
endemic
alcohol
and
other
addiction
have
reached
severe
heights,
as
witnessed
on
melania
cast,
heightened
overdose
race
and
and
on
house
populations.
So
we're
grateful
to
be
here
in
support
of
those
opera
fundings.
P
We
support
the
20
million
dollars
to
ensure
an
equitable
response
to
the
ongoing
endemic,
as
well
as
the
18
million
dollars
to
support
behavioral
and
mental
health,
which
is
so
important.
12
million
dollars
for
that
new
center
for
behavioral
health
and
wellness
is
a
great
idea
with
an
overarching
mission
to
reduce
stigma,
as
well
as
a
community
driven
response
and
to
train
a
cultural,
responsive,
workforce.
We've
learned
and
we
learned
that
people
need
a
cultural
lookalike
that
understands
the
culture
and
need
of
services.
P
It's
really
important
to
have
that
six
million
dollars
for
our
public
health
response
to
the
ongoing
substance,
use
and
mental
health
prices,
and
among
those
recommendations
that
that
we
support,
would
is
an
increased
support
for
harm
reduction
efforts.
As
mentioned
we
see
over
and
over
those
that
working
from
a
hope
they
support
and
and
help
people
every
day
who
are
at
the
death
or
door
of
death
and
that
help
and
support
needs
of
incentives.
So
what
they
do
is
we
don't
want
to
see
them
burn
out.
P
It
is
so
important
to
keep
the
engagement
center
alive
and
well.
We
know
that
there
is
a
need
for
a
safe
environment.
G
P
As
they
need
to
go
in
and
that
would
include
more
support
to
ensure
safety
and
de-escalation
from
any
outside
interference,
the
addition
of
three
engagement,
center-like
services
in
boston,
neighborhoods,
where
people
are
families
living
with
addiction,
might
get
help
to
learn
to
navigate
the
system
and
know
there
is
a
place
to
go
in
their
own.
Neighborhood
is
really
great
planning.
This
will
help
to
break
the
stigma
and
discrimination
experience
and
get
people
to
talk
about
it.
P
We
we
see
this
as
a
replica
replication
of
the
boston
public
health
commission's
house,
which
stands
for
providing
access
to
addictions,
treatment,
hope
and
support
on
a
one-stop
shop
for
anyone,
individuals,
families,
community
partners,
other
treatment
providers.
Looking
for
information
about
how
to
access
substance
use
treatment
services,
we
would
like
to
add
that
it's
probably
not
a
bad
idea
to
add
in
the
establishment
of
long
island
to
support
an
addiction
recovery
campus.
P
P
The
the
boston
coalitions
provide
opportunities
for
families,
schools
and
activities
to
educate
our
communities
about
to
live
drug-free,
most
importantly,
to
help
our
youth
we
recognize
all
of
the
above
requires
incentives
to
build
qualified
staffing,
and
that
means
providing
the
equity
that's
needed
to
make
that
happen.
Addiction
and
most
mental
health
disorders
are
chronic
accordingly.
P
Recovering
from
these
disorders
is
a
lifelong
process,
and
many
individuals
require
long-term
support
to
sustain
recovery
at
moore.
We
firmly
believe
in
the
value
of
peer
recovery
support
services
by
providing
peer
recovery
approaches,
as
well
as
mental
health,
certified
theory
specialists
to
help
lower
the
barrier
barriers
and
provide
the
intensive
support
that
people
early
in
recovery
really
require.
P
These
services
should
be
made
available
to
offer
support
to
all
individuals
during
and
after
treatment
and
even
without
treatment.
In
addition,
we
recommend
the
city
continue
to
utilize.
The
resources
of
the
peer
recovery
support
services
such
as
their
own,
safe
and
sound
recovery
center,
phoenix
in
newmarket
square
recovery
on
the
harbor
in
east,
boston,
divine
recovery
center
in
south
boston
and
step
rocks
in
roxbury.
P
We
recommend
that
the
city-
you
will
continue
to
work
with
these
recovery
centers
to
make
supports
readily
available
to
all
residents
and
which
is
truthfully
important.
Thank
you.
Thank
you
will
gladly
offer
our
services
to
boston
residents
to
find
a
way
to
enhance
these
services,
to
use
their
voices
to
share
their
stories
with
purpose,
point
and
passion,
as
well
as
navigate
the
system,
while
moving
to
make
public
policy
changes
to
build
the
way
for
the
right
services
at
the
right
time
by
the
right
provider
with
no
wait
lists
in
a
recovery
system.
P
A
A
All
right,
I'm
going
now
to
my
questions
and
thank
you
guys
for
your
patience
as
well,
and
just
all
the
all
these
different
efforts
so
on
the
wastewater
I'm
just
so
is
the
idea
that
we're
gonna
actually
have
monitoring
like
closer
to
the
like
at
the
at
the
level
of
the
pipes,
kind
of
for
different
neighborhood
areas,
exactly.
B
That
that
is
the
idea
in
discussions
with
biobot,
we
talked
about
doing
10
neighborhoods,
so
that
we
would
get
a
better
sense
of
what's
really
happening
and
have
a
better
surveillance
sort
of
perspective
on
what's
happening
in
terms
of
covet.
19.
B
I
would
need
to
pull
up
the
budget
for
that
and
I
could
actually
get
you
the
specific.
G
B
This
meeting
we
do
have
some
estimates
and.
A
And
do
we
have
any
sense
of
like
because
I
agree
with
you:
it's
such
a
useful
tool
and
I
think
it's
been
great,
that
you
guys
have
been
using
it
so
much
and
and
that
we've
been
ahead
of
the
curve
on
that,
but
mostly,
as
you
know,
because
it's
sort
of
it
doesn't
lie
right
like
and
you
don't
have
to
achieve
testing
to
kind
of
know.
Like
okay,
we've
got
an
uptick
here.
Do
you
think
that
there
are
applications
of
that
to
other
diseases
like
going
absolutely.
B
Absolutely
and
just
to
speak
about
opioid
use,
I
mean
you
could
actually
detect
that
in
the
wastewater,
so
you
actually
know
have
a
better
sense
of
what's
happening
across
neighborhoods.
So
there
are
many
uses
and
we've
been
exploring
that
with
with
biobot
to
talk
about
what
more
we
could
do
and
not
just
focus
in
on
coca-19.
A
And
fundamentally,
in
terms
of
like
adding
other
things
that
we
might
want
to
know
like,
presumably
it's
like
it's
the
same
sample,
that's
being
taken,
it's
just
a
question
of
what
tests
you're
running
on
the
sample
exactly
exactly
great.
Well,
I
think
expanding
that
so
that
we
had
like
this
more
accurate
snapshot
of
the
public
health
situation.
The
city
in
general
is
great.
I'm
I
just
wanted
to
fly.
You
know
with
the
this
point
about
about
the
training
for
folks
I
I
feel
really
strongly
like
our
frontline
city
staff.
A
You
know
really
are
definitely
you
know
like
in
that
position
you
described,
and
I
think
we
would
all
say.
That's
true.
Also
of
our
council
staff.
Like
you
know,
a
number
of
you
know,
my
staff
have
ended
up
being
sort
of
like
frontline
person
for
somebody
in
a
crisis
right,
and
we
have
amazing
staff
here,
but
I
think
folks
haven't
had
that
training
a
lot
of
time.
A
There's
a
lot
of
people
who
come
into
the
council,
it's
their
first
job
or
or
it's
or
it's
their
first
job
in,
like
you,
know,
public
facing
services
and
maybe
they're
at
an
office
before
etc.
So
I'm
kind
of
curious
how
you're
thinking
about.
I
can
imagine
a
lot
of
demand
for
that,
and
I
can
imagine
us
coming
to
you
and
saying:
hey:
can
the
city
council
staff
be
on
that
list?
So
how
are
you
thinking
about.
A
B
So
there
isn't
a
plan
yet
to
be
quite
honest
with
you,
but
there
have
been
other
trainings
that
we've
offered,
particularly
in
issues
related
to
anti-racism
policy
dei.
You
know,
so
we've
done
other
things.
I
think
that
probably
what
we
would
end
up
doing
is
something
akin
to
a
pilot.
You
know
and
see
how
it
works,
see
what
the
interest
is,
what
the
uptake
is
and
how
training
might
work.
If
it's,
you
know
virtual
most
likely.
B
What
is
it
that
you
know,
sort
of
the
time
span
of
the
training
and
make
it
feasible,
and
you
know
we're
not
going
to
be
able,
with
this
time,
limited
funding
to
do
everything
we
want
to
do,
and
I
think
that's
has
to
be
sort
of
understood
in
this,
but
is
this
something
that
we
could
scale
up?
You
know
with
more
resources
in
in
city
funding
over
the
years.
A
It's
not
a
problem.
That's
going
to
go
away,
so
no,
certainly
not
okay,
yeah,
so
more
more
to
talk
about
there
and
then
this
pipeline
issue.
I
mean
you've,
alluded
to
it
a
couple
of
times
and
it
is
a
theme
we
keep
talking
about,
but
just
you
know
I
would
echo
counselor
mejia
and
the
fact
that
it
just
seems
like
and
you
right
that
compensation
is
the
name
of
the
game,
and
so
I
just
what
I'm
wondering
about
is
how
are
you
thinking
about
like
we
invest
in
this
pipeline?
A
We
want
to
have
diverse
individuals,
filling
these
roles
that
need
feels
really
strong,
but
no
matter
how
much
we're
cultivating
diverse
individuals
like
folks
are
going
to
go
elsewhere.
If
the
pay
is
better
and
the
work
is
less
hard.
So
how
one
of
the
things
that
we've
been
stressing
with
the
arco
funds
is
how
we
create
good
jobs
for
boston
residents
right,
not
just
job
but
good
jobs
and
in
child
care.
One
of
the
things
that
we
were
talking
a
lot
about
last
week
was
sort
of
like
how
can
we
use
our
arpa
funds?
A
We
think
about
an
enduring
impact
to
kind
of
like
help
nudge
the
whole
state,
like
child
care
platform
like
up
in
terms
of
what
compensation
norms,
are
and
sort
of
use
us
as
the
leading
edge,
since
we
think
the
state
house
is
likely
to
take
up
reimbursement
rates
and
stuff
next
year
on
child
care.
So
I'm
sort
of
curious.
B
Right
so
I
I
agree
with
you
that
that's
really
the
challenge
I
mean
people
have
to
feel
like
there's
a
job,
that's
well.
They
will
compensate
them
well
at
the
end
of
the
day.
Otherwise,
they're
not
going
to
engage
in
that
funding
or
their
that
training
process
or
they'll
go
and
find
some
other
sector
to
work
in,
and
there
are
plenty
of
opportunities
with
so
many
people
leaving
leaving
jobs.
B
What
I
would
say
is
that
we
are
at
you
know,
sort
of
stage
one
in
this
process
with
behavioral
and
mental
health
and
stage
one
has
been
talking
to
those
providers
who
are
looking
to
hire
people
they're
looking
for
people,
and
they
don't
believe
that
they're
people
out
there.
So
what
we're
saying
is,
if
you
have
the
jobs
and
we
can
offer
them
at
market
rates,
then
we
can
find
people
who
will
train
and
we
can
hopefully
keep
them
here
in
boston.
B
So
that's
kind
of
what
we're
thinking
is
that
you
know
you
go
through
the
training,
here's
an
opportunity,
here's
and
here's
something
that
we
can
offer
you
that
will
you
know,
compensate
you
well,
here's
training
that
you
don't
have
to
pay
for
per
se
and
that's
a
good
opportunity
for
a
lot
of
people.
You
know
whether
it
be
for
recovery,
coaches,
whether
it
be
for
therapists.
I
mean
these
are
the
type
of
things
that
we're
that
we're
exploring
right.
A
So
I
think
the
things
I
would
say
is
one
you
know.
I
really
think
the
job
guarantee
thing
is
so
key,
and
it's
where
we
end
up
it's
just
like
we
just
do
not
want
to
build
bridges
to
nowhere
for
people
right,
and
so
I
just
think
and
saying
to
our
employers,
like
put
your
you
know,
put
put
it
on
the
line.
If
you
say
what
you
really
need
is
us
to
help
create
an
employee
ecosystem,
then
you
got
to
hire
the
people
who
were
training.
A
So
I
think
that's
a
really
important
component-
and
I
think
you
know
tren-
was
here
last
week
saying
the
same
thing
in
the
life
sciences
space.
So
I
just
feel
like
we
should
all
be
on
the
same
page
there,
and
then
I
think
one
of
the
things
we
were
talking
about
in
our
hearing
back
on
the
third.
Our
initial
overview
hearing
related
to
a
docket
counselor
braden
filed,
is
like
just
in
general.
A
So
I
think
just
flagging
that
I
think
that's
something
that
the
council
wants
to
understand
how
how
we're
going
to
actualize,
especially
with
money
from
arpa
that
would
go
into
like
sort
of
third-party
contract
things.
So
I'm
flagging
that
out
for
later-
and
that
is
my
time
and
I'm
gonna-
let
councillor
mia-
go.
H
Can
we
get
her
mic
there
on
go?
Nobody
tries
to
silence
me,
so
I
know
it's
friday
and
I'm
not
gonna.
Ask
you
too
many
questions.
I
promise
I'm
gonna
get
you
out
of
here,
so
I
think
it's
just
four
little
things
that
I
can
really
want
to
just
expand
upon
a
little
bit.
I've
been
talking
a
lot
about
immigrants
and
you
know
we
have
a
most.
H
You
know
our
health
is
the
last
thing
that
we
prioritize,
because
we
just
don't
have
the
time
to
to
consider
that
we
also
in
in
communities
and
immigrant
communities
in
particular
there,
and
I
think,
all
communities
there's
a
lot
of
stigma
around
mental
health
services.
So,
can
you
just
talk
to
me
about
any
specific
things
that
you're
going
to
be
doing
around
engagement
and
community
awareness
that
is
hyper
focused
on
immigrants
and
not
just
about
vaccines
and,
like
I
already
know
all
the
efforts
that
are
being
done
in
that
space?
B
So
I
was
actually
going
to
speak
to
the
center
for
behavioral
health
and
wellness.
I
think
a
lot
of
what
we're
going
to
be
doing
particularly
around
this
issue
of
stigma
that
you
mentioned
is
going
to
involve
community
engagement
and
when
I
say
community
engagement,
I
don't
think
we
can
approach
this.
B
So,
in
the
community
engagement
process
that
we
will
use
to
figure
out
what
the
campaign
is,
is
going
to
look
like
what
the
various
campaigns
will
look
like
it's
going
to
be
about
getting
to
dig
deep
and
getting
the
sense
of
who
people
are
and
what
their
perceptions
are
regarding
mental
and
behavioral
health.
Otherwise
we're
not
going
to
get
very
far
right.
H
And
I
just
want
to
add:
there's
two
things
to
consider
as
you
move
towards
this
is
that
there
is
this
perceived
assumption
that
everybody
knows
how
to
read
and
write,
and
there
are
a
lot
of
people
who
come
here
from
different
countries
with
interrupted
education
and
don't
know
how
to
read
and
write.
So
as
you
consider
your
outreach
efforts
also
be
super
mindful
that
you
have
to
think
about
audio
and
visuals
and
other
ways
or
even
putting
people's
flags,
so
that
you
can
make
sure
that
everybody
has
access
to
this
information.
H
So
I
just
and
that's
going
to
take
some
financial
incentives
and
in
investments.
So
I
just
want
to
talk
a
little
bit
more
about
the
I
think
when
we
met.
I
talked
to
you
about
a
program
that
our
office
created.
It's
the
mental
health
wellness
ambassadors
program
and
we
have
young
people
that
we've
trained
we've
partnered
up
with
clinicians
of
color
to
design
this,
and
we
have
young
people.
I
believe
12
young
people
across
the
city
of
boston,
serving
as
mental
health
ambassadors.
H
H
I
kind
of
want
to
just
talk
a
little
bit
about
that,
because
a
lot
of
our
salons
and
barbers
that
participated
in
that
program
have
continued
to
be
engaged
with
the
clinicians
and
are
still
reporting
that
their
clientele
are
experiencing.
Mental
and
health
and
wellness
supports.
H
So
I
know
that
you
all
created
a
program
you're
working
with
ian
from
barbara
time.
H
Yes,
I
know
you
are
because
we've
been
helping
him
with
some
of
his
outreach,
specifically
in
the
latinx
community,
so
I
think
that
I'm
glad
to
see
that
that
program
is
being
replicated,
but
I
do
believe
that
in
in
terms
of
immigrant
communities
that
that
stigma,
you
know
that's
a
really
good
place
for
you
all
to
to
build
that
program,
a
little
bit
more
right,
just
something
for
you
all
to
to
consider.
H
Not
all
of
these
are
going
to
be
questions.
These
are
just
things
for
you
all
to
consider
and
take
note
of.
I
didn't
hear
a
lot
about
hiv
and
aids
and
substance
use.
I
mean
I
did
hear
some
through
the
recovery
lens
and
you
know
that
work,
but
I
I
do
know
that
there
was
an
uptick
in
hiv
and
aids
and
also
domestic
domestic
violence
during
the
pandemic.
So
I'm
just
curious
about.
Where
does
that
land
in
terms
of
your
goals
and
objectives
and
the
work
that
you
plan
to
be
doing
around.
B
That
so,
in
terms
of
hiv,
yes,
there
has
been
an
uptick
as
you're
well
aware.
I
think
that
a
lot
of
the
work
that
we're
doing
in
regards
to
harm
reduction
in
regards
to
pre-exposure
prophylaxis,
particularly
with
boston
healthcare
for
the
homeless,
have
been
incredibly
important
as
we
think
about
how
we
protect
folks
from
both
hiv
as
well
as
hepatitis
c.
B
So
these
are
things
that
we're
you
know
very
much
so
focused
in
on.
I
think
that,
as
a
commission,
we
are
very
much
so
involved
in
the
ending
the
hiv
epidemic
collaborative
which
is
part
of
federal
funding
that
comes
to
suffolk
county.
We
meet
with
them
to
discuss,
not
only
you
know,
risk
transmission
related
to
injection
drug
use,
but
also
other
forms
of
risk
transmission
would
still
occur
here
in
massachusetts,
though,
numbers
and
rates
have
been
decreasing
over
time.
There
are
still
many
people
who
are
at
risk.
B
There
are
many
people
who
are
not
getting
access
to
testing,
unfortunately,
and
who
delay
treatment
because
of
issues
related
to
stigma,
and
you
know
issues
that
relate
to
a
lot
of
what
we
said
about
in
terms
of
mental
and
mental
health
and
other
issues.
I
think
it's
also
important
to
note
that
you
know
we
offer
you
know
hiv
counseling
and
testing
as
well.
As
you
know
other
services,
and
we
can
talk
more
about
that-
you
probably
already
know
this
through
our
a-hope
program
and
other
services.
B
So
it's
hugely
important
and
we
probably
should
have
said
more
about
it,
but
it's
core
and
key
to
all
the
work
that
we're
doing
yeah.
H
H
Okay,
private
identified.
Okay!
That's
fine!
Okay!
Great!
So
you
don't
have
to
answer
that
question,
but
I
got
alarm
like
oh,
my
god,
because
there's
also
surveillance
happening
and
drones
being
bought.
Without
our
permission
now
we
can't
even
use
the
bathroom
without,
like
I'm
just
like
whoa,
I
needed
to
just
find
out.
Okay,
don't
worry
about
the
answer?
Okay,
so
I
so
then
I
do
want
to
just
offer.
We
have
been
in
communication
and
and
and
developing
a
pilot
if
you
you've
mentioned
about
that.
This
is
gonna.
H
You
know
we're
just
doing
this
because
we
have
the
capacity
we
have
the
resources.
We
have
the
connections
and
the
folks
who
have
the
appetite
to
want
to
help.
Do
this
work
we're
going
to
be
partnering
up
with
the
btu,
which
is
the
bosch's,
the
boston
teachers
union
mamlio,
which
is
the
black
and
brown
police
officers
seiu,
and
these
are
frontline
workers
right.
H
H
What
they
don't
have
access
to
are
people
who
are
able
to
help
replicate
scale
or
expand
or
to
add
an
evaluation
component
to
the
work
to
be
a
thought
partner,
and
I
think-
and
not
because
these
are
programs
that
I
am
involved
with,
but
just
in
general.
I
think
that
we
have
a
mentality
here.
H
That
is
not
in
the
collaborative
spirit
and
I
would
love
to
find
ways
to
be
able
to
be
more
collaborative
and
also
because
I'm
going
to
have
to
vote
on
these
things.
I
want
to
make
sure
that
I'm
voting
on
things
that
are
meeting
the
needs
of
the
constituents
and
I'm
a
city-wide
counselor.
So
I
represent
all
700
000
constituents.
H
I
want
to
know
like
dollar
for
dollar.
What's
going
to
be
the
return
on
investment,
how
do
we
know
that
the
investments
we're
making
are
going
to
hit
the
targets
that
we're
aiming
for?
And
I
don't
think
that
the
way
we
have
been
holding
these
conversations
make
me
feel
like
I'm
walking
out
of
here,
knowing
that
these
things
on
a
implementation
standpoint
still
feel
like.
B
And
I
agree
with
you:
council
media,
I
think
I'm
very
outcomes
driven
very
data
driven
in
terms
of
how
I
think
about
the
work
that
I
do
and
in
the
work
that
the
commission
does.
I
think
that
step
one
is
the
vision
you
know,
step
two
is,
let's
get
the
money
to
support
the
vision
and
then
step
three
which
actually
started
during
step.
B
One
is
pulling
together
this
implementation
plan,
this
operations
plan,
which
includes
the
metrics,
the
outcomes
what's
the
process,
but,
more
importantly,
what's
the
outcome
that
we're
looking
for
year
one
year
two
year,
three,
that's
all
in
process.
I
think
that
one
of
the
things
that
is
important
is
us.
You
know
sharing
that
with
you
along
the
way,
as
opposed
to
coming
to
a
hearing.
It
is
a
bit
challenging
and
I
don't
think
you
it's
easy
for
you
to
grasp
all
the
pro
all
the
thought
and
everything
that's
gone
into
getting
to
those
outcomes.
C
H
Is
that
yeah?
I
also
just
think
because
then
it
just
feels
transactional
right.
I
always
I
don't
want
to
ever
feel
like
an
atm
like
I
want
to
be
a
partner
in
the
work
that
you
all
are
doing,
even
though
I
don't
work
for
the
commission,
but
I'm
deeply
invested
in
the
work
that
you're
doing,
because
that's
the
work
that
I
come
from
right
like
I
come
when
the
peer
institute
was
under
the
boston
public
health
commission,
that's
the
work
that
I
did
back
in
the
90s,
so
I'm
deeply
committed
to
the
work.
H
I
just
feel
somewhat
disconnected,
and
I
I
just
I
don't
think
that
that's
something
that
I
can
fix
here
in
this
chamber.
I
just
think
that
that's
just
a
matter
of
being
in
government.
I
just
have
to
come
to
terms
with
that.
This
is
the
environment
that
I'm
in
right
now
and
I
just
have
to
just
deal
with
it,
but
it
just
doesn't
it
there's
something?
H
That's
missing
and
I
just
can't
name
it,
but
I
appreciate
you
receiving
the
feedback
and
I
look
forward
to
building
meaningful
partnerships
to
move
the
needle,
and
I
really
do
appreciate
your
leadership
and
I've
got
a
lot
of
folks
who
have
spoken
so
highly
of
you
and
that
they're
so
happy
that
you're
in
your
role-
and
I
want
to
be
supportive.
B
A
Thank
you.
Thank
you,
so
much
counselor
mejia
and
I
a
second
round
of
questions
and
then
we'll
wrap
up.
So
if
anybody
is
intending
to
testify,
you
should
sign
up
in
the
corner
right
now
or
you
should
email
us
at
ccc.covin19
boston.gov
and
get
into
the
zoom
straight
away,
because
otherwise
we'll
be
completing
the
hearing
yeah.
So
I
guess
I
mean
just
to
follow
up
on
what
counselor
mejia
said.
A
It
does
feel
to
me,
like
there's
a
real
distinction
here
between,
like
programs,
that
you
guys
have
been
running,
that
you
need
extensions
of
funding
for
or
you're
taking
the
next
step,
like
with
the
wastewater
thing
right,
where
it's
like
super
clear
where
the
dollars
would
be
going
and
the
need
and
all
that,
and
then
it
feels
like
with
the
behavioral
health
thing.
The
need
is
super
clear.
Like
you
said,
it's
we're
talking
about
it
all
the
time
in
the
council.
A
A
So
when
so,
but
they've
already
started,
they
started
june
1st.
Okay,
all
right
this
week
got
it,
and
so
is
that
person
partly
tasked
with
sort
of
flushing.
This
thing
out.
B
Partially,
I
think
that
this
person
will
be
looking
at
what
it
is
that
we
need
to
do
citywide
in
terms
of
collaboration
in
terms
of
building
capacity,
to
support
better
behavioral
and
mental
health
services
across
the
city,
and
that
will
likely
come
in
the
form
of
a
plan
which
I
think
we
discussed.
You
know
at
other
hearings
that
I
think
will
be
very
useful
to
understand
both
where
we
are
where
we
want
to
go
and
then
hopefully,
where
we
will
end
at
year
say
two.
You
know
over
time.
B
So
it's
really
one
in
the
same.
The
center
is
meant
to
support
the
plan,
but
the
center
is
also
operating
as
a
initiative
where
people
will
collaborate,
as
I
said,
to
work
on
safe
workforce
to
work
on
communication
and
stigma
and
then
to
work
on
this
capacity
building
piece.
Those
would
all
be
part
of
the
plan,
but
there'll
be
other
things.
That'll
be
part
of
the
plan.
B
You
know
I
mean
I
think
that
there's
there's
a
lot
that
we
need
to
work
on,
there's
a
lot
of
capacity
that
needs
to
be
built,
and
I
I
do
think
that
you
know
we
could
use
the
center
and
it
does
sound.
It
may
sound
a
bit
gray
area
right
now,
and
I
acknowledge
that
and
that's
largely
because
I
think
that
we
need
to
dig
in
and
get
down
to
what
it
is
that
we
really
want
the
center
to
be.
B
A
Yeah
got
it
no,
and
I
I
just
I
think
it
gets
back
to
this
and
we're
all
we're
all
trying
to
figure
out
this
chicken
and
egg
thing
of
like
you
know
the
council's,
like
I
said,
the
council
feels
this
huge
pressure
around
this
funding
and
making
sure
that
it
goes
right
that
it
goes
to
the
right
things
and
that
we
in
the
long
term
feel
like
you
know.
We
had
this
moment
and
we
helped
to
appropriate
to
things
that
were
really
critical
for
the
residents
of
boston
and
they
bore
fruit
right.
A
So
I
think
a
lot
of
what
you're
hearing
is
like
people
want
to
sort
of
see
enough
of
the
seeds
to
know
it's
going
to
bear
fruit
and
and
at
the
same
time
recognize
that,
especially
when
you
talk
about
capacity
like
it's
chicken
and
egg,
if
you
need
the
personnel
in
order
to
figure
out
the
thing,
so
you
know,
I
think
that's
what
a
lot
of
us
are
struggling
with,
and
am
I
right
just
looking
at
so
the
the
center?
A
It's
a
6
million
ask
and
then
sorry
is
the
4
inside
of
that,
or
is
that
another?
For
the
so
you've
got
the
I'm
just
going
back,
I'm
just
back
sorry,
I'm
just
inside
this
is
I'm
back
in
the
525
the
detail.
Dock.
A
Right
and
so
when
I
look
at
that,
I
think
yeah,
so
that's
in
terms
of
personnel,
just
looking
at
your
ten
percent
like
so
that's
1.6
million
towards
personnel
across
those
three
programs,
and
so
what's
the
can
you
give
me
a
little
bit
more
sense
in
those
three
buckets
of
what
we
anticipate
those
personnel
hires
being
like?
We
must
have
some
back
of
the
envelope
for
getting
those
numbers
and
then
how
do
we
think
about?
A
Because,
obviously
again,
one
of
our
challenges
right
is
the:
how
do
we
seed
things
that
could
become
permanent
without
creating
a
ton
of
cliffs
where
we've
funded
personnel,
who
we
won't
be
able
to
fund
in
three
years?
So
and
obviously
I
know
the
1.6
is
over
it's
over
the
arpa
period.
So
it's
not
like
a
1.6
recurring.
But
just
can
you
talk
to
me
a
little
bit.
Do
you
have
a
sense
of
what
that
personnel
expense
is
across
those
three
things.
B
Right,
you
have
more,
oh
okay,
so
essentially
the
way
that
we've
looked
at
the
center
is
that
it.
As
I
mentioned
we
based
at
the
boston
public
health
commission,
the
chief
behavioral
health
officer
will
be
supporting
the
center,
but
then
there
will
also
be
these
other
three
ftes
that
will
be
specifically
assigned
to
the
center
and
each
one
of
these
individuals
will
have
a
carved
out
scope
of
work.
B
So
essentially
there
might
be
one
person
who
is
the
director
of
workforce
development,
and
I've
mentioned
a
number
of
things
that
I
think
would
constitute
a
full-time
job
under
workforce
development
and
that
person
would
certainly
be
working
across
the
city
to
accomplish
the
many
tasks
that
that
we've
articulated
within
the
center.
There
may
also
be
other
people
who
are
already
at
the
commission
so,
for
example,
for
example,
so
the
public
health
response
to
addiction
that
certainly
falls
within
this
idea
of
the
center.
B
This
idea
of
behavioral
health
wellness,
and
so
that
might
be
somebody
you
know
who
is
very
much
so
focused
in
on
what's
happening.
You
know
sort
of
across
the
city
in
terms
of
recovery
treatments,
the
sort
of
broad
gamut
of
the
continuum
to
address
individuals
adjust
the
needs
of
individuals
that
are
experiencing
substance
use
disorder.
B
In
addition,
there
may
be
somebody
within
the
center
who
is
focused
in,
for
example,
in
some
issues
related
to
communications
and
stigma
and
reaching
communications
and
an
expert
in
health
communications.
So
that
may
be
another
person
who's.
You
know
within
the
center
who
may
be
dealing
with
a
specific
scope
of
work.
We
also
need
administrative
support
within
the
center
in
order
to
do
all
the
things
that
we're
talking
about
in
terms
of
collaboration
building
this
external
advisory
committee
helping
to
develop
this
plan.
G
A
Like
we
gotta
know
how
many
of
those
balls
we're
putting
in
the
air
and
what
the
expectations
are
that
we're
setting
up-
and
I
just
think
the
the
count
like
so
that
that
distinction
of
sort
of
like
and
also
there's
something
different
like
because
the
personnel
line
on
this
report
that
we
got
from
you,
it's
helpful
but
there's
something
different
between
oh,
like
we're
going
to
have
a
short-term
contract
and
I'm
hiring
some
administrative
capacity
to
manage
that
short-term
contract,
which
then
will
be
unnecessary.
A
G
A
To
have
you
try
to
narrate
through
right
but
yeah,
and
then
I
was
just
gonna.
I
think
similar.
It
would
just
be
helpful
to
understand
on
the
health
the
health
center
money
side.
Is
that
all
just
like
rfp'd
out
and
then
you
see
who
responds
like
how
did
is
that?
How
that
works?
Okay
and
then
the
summer
program-
is
that
in
partnership
with
success,
link
like
is
that
a
success
or
is
it
its
own
thing?
I'm
sorry,
the
summer
programs
isn't
there
a
summer
program
people
had
to
apply
by
april
30th.
A
B
Right
so
bay
heck
is
the
boston
area
health
education
center,
which
you
probably
you
know,
are
very
familiar
with,
and
it
may
be
sort
of
a
platform
or
an
example
of
what
we
can
do
to
build
more.
You
know:
behavioral
health,
mental
health
pipeline
initiatives
at
the
commission,
given
that
it
has
been
successful,
yeah
yeah.
A
Yeah,
I
think-
and
the
thing
I
would
just
say-
and
I
sort
of
already
referenced
this,
but
just
just
like
you
guys-
are
the
public
health
experts
and
we
all
reach
out
to
you
about
public
health
challenges
in
the
city.
Even
if
it's
other
departments
having
them,
I
would
say,
like
the
public
health
commission,
is
not
going
to
become
workforce
development
experts
so
like,
and
this
wheel
has.
It
has
been
invented
both
well
and
poorly
many
times
before.
A
A
Sit
in
a
training
program
and
then
there's
no
job
then,
like
you
know
it's
just
it's
it's
always
disappointing,
and
so
just
yeah.
We'll
definitely
want
to
follow
that
interest.
But
but
thank
you
for
so.
You
know
we'll
have
some
committee
follow-ups,
but
thank
you
guys
so
much
and
I'll
I
will
go
to
counselor
mejia
for
a
final
word.
H
A
H
I
I
didn't
see
any
mention
around
violence
prevention,
and
I
know
that
the
city
has
public
safety
and
they
they
have
soar.
But
I
do
know
that
there
is
the
intersection
of
mental
health
and
wellness
and
violence,
and
so
just
are
we
looking
are.
We
are
you
utilizing
any
of
these
dollars
to
look
at
violence
prevention.
H
B
Have
been
very
successful
and-
and
you
are
well
aware
of
what
what
they
do,
what
our
our
hope
is
is
with
this
center
is
that
we'll
be
cross
pollinating
and
building,
and
I
don't
want
to
say
building
company.
I
suppose
I
don't
want
to
see
building
capacity,
but
building
support
for
all
of
these
initiatives.
So.
B
H
Yeah,
I
love
that
and
I
think
that's
really
important
to
to
continue
to
uplift
because
going
back
to
the
resource
rich
for
coordination.
Poor
is
that
often
times
our
families
are
shopping
in
a
number
of
different
places
just
to
eat
right
and
they
could
have
every
all
their
needs
met
in
one
place.
So
I
think
that
that's
really
brilliant.
I
really
do
appreciate
that
in
terms
of
the
community
based
rfps
and.
H
G
H
But
are
doing
tremendous
work
and
I'm
just
curious
about
how
do
you
plan
to
utilize
these
funds
and
being
super
intentional
about
creating
space
for
some
of
these
smaller?
You
know,
grassroot
organizations
to
also
be
part
of
your
pool.
B
So
we
have
an
equitable
procurement
plan
policy
that
relates
to
some
of
what
you're
saying,
meaning
that
not
only
are
we
talking
about
smaller
entities
but
diverse
entities,
because
they
are
oftentimes
left
out
of
the
these
grant
processes,
as
you
well
know,
so
that
has
been
established
and
we
have
sort
of
a
checklist
as
we're
going
through.
You
know
vendors
or
grantees
that
allows
us
to
understand
exactly
what
our
outcomes
are,
because
again,
this
goes
back
to
what
are
we
doing
with
our
dollars.
So
I
think
that's
very
important.
B
The
other
thing
is
that
you
know
we've
made
an
intentional
effort,
I
think,
over
the
years
to
offer
funds
to
smaller
entities
when
we
get
larger
sums
of
funding
for
different.
You
know
reasons
you
know:
we've
divvied
that
up
and
helped
people
by
giving
them
smaller
sums
of
money.
There's
a
pro
and
a
con
to
that
right
because
I
mean
the
pro
is
that
yeah
we're
reaching
into
smaller
groups
smaller
organizations.
The
con
is
that
I
mean
the
reality
is.
B
If
we
want
to
truly
build
sustainable
entities
that
can
do
the
work,
then
we
should
be
giving
them
larger
sums
of
money,
and
that
leaves
out
certain
you
know
certain
people.
So
it's
balancing
that.
H
At
some
point,
we're
going
to
have
to
say
yay
or
nay
to
this
right
to
these
proposals.
But
I
just
want
to
make
sure
that
there
is
some
like.
I.
I
need
to
see
that
the
time
that
we
spent
here
was
worth
it
was
worth
it
right
so
that
you
are
not
coming
back
to
me
with
like
the
same
powerpoint
presentation,
then
I'm
going
to
vote
yes
or
no
on
something
that
I
already
spent
three
hours
listening
to
and
that
nothing
that
you
heard
from
any
of
the
counselors
that
were
here
was
implemented
or
considered.
A
H
Will
not
be
happening
yeah,
so
I
just
want
to
be
really
clear
about
that,
because
that
is
just
that
goes
back
to
community
engagement
and
even
though
I'm
a
city
councilor.
I
still
feel
like
my
voice
matters
here,
so
I
just
want
to
be.
I
want
to
be
really
clear
that
I
am
going
to
be
really
looking
at
some
investments
for
the
youth
development
network
and
I
think
that
we
we
have
an
opportunity
to
really
support
young
people
who
are
chronically
absent.
H
I
was
one
of
those
kids
and
so
for
me,
this
is
personal
and
I
continue
to
work
with
them,
and
I
want
to
make
sure
that
we're
utilizing
our
dollars
to
make
sure
that
we
can
get
these
kids
back
into
schools
because
they're
struggling
and
so
it's
a
win-win
for
everyone,
including
boston
public
schools,
that
are
struggling
right
now
too.
So
I
just
want
to
underscore
that
advocacy.
There.
A
I
want
that
and
are
you
okay,
you
good?
Oh.
A
And
and
sorry
doc,
doctor
could
you
I
have
one
in
a
similar
gray
zone
between
the
budget
and
the
arpa.
I
think
when
you
guys
were
here
for
budget.
We
talked
about
the
sort
of
lack
of
definition
of
what
was
happening
with
that
1.75
million,
and
I
think
I
I
underscored.
Then
it's
super
important
that
to
me,
but
also
to
a
lot
of
community
advocates
that
in
the
sort
of
shuffle
of
that
money
over
onto
the
pphc
side,
that,
like
real
money,
be
held
for
actual
implementation
of
a
non-police
response.
A
B
I
think
that
I
think,
there's
still
a
lack
of
complete
clarity
on
that.
I
think
what's
happening
now,
is
that
some
of
that
money
is
going
to
the
community-led
design
group.
F
B
October,
exactly
by
the
fall,
the
remainder
of
the
money,
some
of
it
is
planned
to
go
to
ems
and
some
of
it
potentially
to
be
discussed
with
the
new
police.
Commissioner,
and
I
think
that
there's
been
some,
you
know
desire
to
wait
and
sort
of
see
what
that
discussion.
What
comes
out
of
that
discussion?
B
A
Pilot
right
was
the
idea
of
hey
that's
how
we
ended
up
at
a
three-stranded
space
right,
because
there
was
a
kind
of
initial
response
in
at
the
department
level
of
kind
of
like.
Let's
keep
this
all
in
co-response,
stuff
and
and
really
community
advocates
who
had
pushed
for
the
funding
were
like.
No,
you
know
we
were
trying
to
dream
about
an
unarmed
response
model,
and
so
I
think
it's
sort
of.
I
think
it's
just
it's
worth.
You
know,
because
you
didn't
own
it
through
that
whole
process.
A
That,
like
I
think
for
folks,
it
feels
like
kind
of
round
two
of
the
same
argument
about.
Is
there
going
to
be
any
money
left
for
the
thing
we
were
actually
dreaming
of
at
the
beginning,
when
we
advocated
for
this
money,
which
was
not
to
have
it
all,
go
to
co-response?
So
I
just
think
like.
I
just
think
that
carving
out
that
space
for
a
pilot
is
really
important-
and
I
think
people
are-
I
think
I
and
lots
of
others
are
very
comfortable
with
the
idea
that
yeah
you
don't.
A
This
is
an
area
where
yeah
you
don't
know
what
the
process
is
going
to
recommend.
So
you
can't
say
exactly
what
it
would
end
up
going
towards,
but
the
idea
that
we
would
run
a
process
and
they
would
make
a
bunch
of
recommendations
in
the
fall
and
then
there'd
be
no
money
to
launch
anything
is
a
is
a
hard
sell,
so
just
just
reflecting
that
so
yeah
all
right
and
that
that
concludes
for
me
and
from
counselor
mejia,
and
I
don't
think
we've
had
anyone
else
sign
up
for
public
testimony.
A
So
thank
you
again,
both
for
being
with
us
for
three
hours
today,
and
also
for
just
the
tremendous
work
that
you
guys
do
at
the
commission.
I
mean
and
have
been
doing
at
just
like
total
warriors
through
this
whole
three-year
process,
really
appreciate
it
and
jen.
I
didn't
get
to
ask
you
any
questions,
but
continue
to
always
really
appreciate
the
orc
work.