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From YouTube: Committee on Ways & Means on May 17, 2018
Description
Dockets #0559-0565- FY19Budget: Boston Public Health Commission (1)
A
The
austin
brighton
district
city
councillor
today
is
Thursday
May
17th.
We
are
here
with
our
good
friends
from
the
Boston
Public
Health
Commission,
to
discuss
homeless
services
and
recovery
services
through
the
Boston
Public
Health
Commission
like
to
remind
folks
this
is
a
public
hearing.
It
is
being
both
broadcast
and
recorded
on
our
CN
channel,
eighty
to
Comcast,
channel
eight
Verizon
1964
and
streamed
at
Boston
dot,
govt
backslash
city
council,
TV
I'd
like
to
ask
folks
in
the
chamber
to
silence
their
electronic
devices.
A
At
the
conclusion
of
the
departmental
presentation
and
questions
from
my
colleagues,
we
will
take
public
testimony.
There
is
a
sign-in
sheet
to
my
left
by
the
door.
We
ask
that
you
state
your
name
affiliation
residence
and
please
mark
the
box.
Yes,
if
you
wish
to
testify,
we,
we
still
have
several
weeks
remaining
in
the
budget
review.
We
ask
all
of
our
constituents
and
residents
in
the
city
of
Boston.
If
they'd
like
to
participate,
you
can
email
the
committee
at
CCC
dot
WM
at
Boston
gov.
A
You
can
send
mail
to
us
at
Boston,
City
Hall,
one
City,
Hall,
plaza
Boston
Mass
is
arrow
to
two
zero
one
care
of
the
Committee
on
ways
and
means
you
can
also
attend
a
hearing
on
June
5th
between
the
hours
of
2:00
p.m.
and
6:00
p.m.
or
after.
If
we
have
many
people
where
we
will
just
have
public
testimony
on
any
aspect
of
the
FY
19
budget.
A
B
B
The
executive
director
of
the
Boston
Public
Health,
Commission
and
I'm
joined
this
morning
by
our
director
of
administration
and
finance,
grace
Connolly
and
Jen
Tracy,
who
is
the
director
of
the
mayor's
office
of
recovery
services,
as
you
mentioned
this
morning,
we're
gonna
go
over
the
accomplishments
and
future
initiatives
from
our
recovery
services
and
homeless
services
bureau
good
morning
counselor.
Will
the
city
has
a
really
strong
system
of
care
for
individuals,
families
and
communities
that
have
been
affected
by
substance
use
disorders
and
this
continuum
of
care
is
extremely
complex.
B
We
work
very
hard
to
make
sure
that
this
system
is
as
easy
to
navigate
as
possible
for
those
that
need
our
support.
We
have
an
excellent
partnership
with
the
network
of
community-based
providers
throughout
the
cities
and,
through
this
partnership,
we're
able
to
offer
programs
and
resources
aimed
at
preventing
addictions
and
supporting
the
treatment
and
recovery
of
those
impacted
by
substance
use
disorders.
B
We
also
provide
a
range
of
services
to
try,
including
emergency
shelter,
career
counseling,
job
training
and
transitional
and
permanent
housing
support
services
along
through
that
again
through
the
Commission
and
along
with
the
network
of
providers.
The
collaboration
between
both
of
these
bureaus
ensures
that
were
able
to
coordinate
in
a
way
that
we
offer
high
Val
high
quality
critical
services
to
vulnerable
populations
in
this
slide,
there's
an
org
chart
that
shows
where
these
two
bureaus
sits
within
the
organizational
structure.
B
Again,
I
said
that
the
bureau
of
recovery
services
works
really
closely
with
Jen
Tracy,
who
leads
our
mayor's
office
of
recovery
services.
It's
ensure
that
the
programming
and
the
resources
that
we
offer
are
comprehensive
and
support
prevention,
treatment,
recovery
and
long-term
long
term
support
services.
B
What
I
would
like
to
ensure
that
you
take
away
from
our
presentation-
and
the
discussion
in
this
morning,
is
that
there
is
a
continuum
of
care
and
the
challenges
between
homelessness
and
addiction.
We
know
are
intertwined
so
through
these
two
bureaus.
We
work
very
collaboratively
to
engage
our
communities
and
guests
in
clients,
engage
our
provider
community
and
transition,
our
guests
and
clients
to
safe
supportive
housing
and
long
term
recovery.
B
In
this
slide,
we're
offering
you
just
a
snapshot
of
some
of
the
services
that
are
offered
by
the
recovery
services
Bureau,
and
there
are
a
lot
but
two
that
I
would
like
to
a
highlight
that
wouldn't
have
been
possible
without
FY
18
investments
and
support
from
Mayor
Walsh
include
the
following.
First,
the
paths
program
was
able
to
extend
walk-in
hours
of
operation
on
weeknights
and
weekends
to
remain
open
until
7:00
p.m.
on
weekdays
and
from
8:00
to
4:00
p.m.
on
weekends.
B
B
In
this
slide,
we
highlight
some
of
our
youth
prevention
efforts
at
the
Commission
and
in
collaboration
with
the
mayor's
office
of
recovery
services.
Through
John's
leadership,
we
were
able
to
partner
with
Blue
Cross
Blue
Shield
Foundation
of
Massachusetts
to
conduct
the
city
of
Boston's.
First
ever
youth
substance,
use
prevention,
needs
assessment
and
strategic
planning
process.
B
We
were
also
through
this
process
able
to
assess
the
capacity
of
the
existing
youth
substance,
use
prevention,
services,
identify
gaps
and
develop
actionable
recommendations.
This
report
and
the
recommendations
are
in
final
in
the
final
stages.
At
this
point,
we've
also
through
our
youth
prevention
efforts,
been
able
to
collaborate
with
320
community
partners
to
assess
prescription,
drug
misuse
and
alcohol
use
among
our
young
people
and
over
200
youth
participated
in
our
education
and
planning
activities.
B
I
know
something
that
we've
worked
with
both
the
City,
Council
and
obviously
Jen,
and
the
mayor
has
been
around
our
engagement
Center
if
you
haven't,
visited
it
before
I.
Welcome
you
to
come,
stop
by
and
see
the
space.
It's
a
welcoming,
drop-in
center
for
individuals
receiving
services
in
our
new
Market
Square
neighborhood.
We
opened
it
last
August
as
a
six-month
pilot,
and
so
I
wanted
to
share
some
of
our
learnings
in
this
first
phase.
B
As
I
mentioned,
it's
a
safe
space
for
participants
to
connect
to
the
different
homeless
and
recovery
support
services
that
are
offered
by
the
city
and
our
partners
and
to
spend
time
in
a
low
threshold
atmosphere.
Three
primary
goals
of
the
pilot
included
to
improve
quality
of
life
for
individuals
experiencing
homelessness
and
addiction;
second,
improve
the
quality
of
life
for
area
residents
and
businesses,
and
third
to
improve
collaboration
with
area
law
enforcement
and
first
responders.
B
There
are
different
comfort
items
that
are
offered
through
the
center,
including
portable
toilets
and
the
newly
added
shower
space,
water,
coffee
and
light
snacks.
We
also
have
an
increased
an
included
recreational
space
both
indoors
and
outdoors,
to
facilitate
social
station
access
to
TV
phone
chargers,
a
quiet
space
for
reading
with
books
that
have
been
donated
by
our
partners
at
the
Boston
Public
Library
and
work
stations
which
allow
the
guests
who
are
visiting
our
clients
to
access
email,
look
at
job
and
work
on
job
applications
and
set
up
meetings
with
housing.
B
Housing
advocates
program
staff
at
the
Commission
rotate
through
the
center
and
offer
support
in
navigating
these
different
systems.
We
also
work
with
Boston
healthcare
for
the
homeless
to
provide
daily
nursing
services
from
8:00
to
4:00
p.m.
and
this
allows
our
participants
to
reconnect
with
health
insurance,
make
primary
care
appointments
and
receive
routine
medical
care
as
needed.
Acute
patients
are
triage,
DD
the
healthcare
for
the
homeless
main
outpatient
center,
with
assistance
from
our
staff.
B
We
collect
metrics
on
how
we're
doing
in
terms
of
the
services
that
we
offer
and
we're
also
in
the
process
of
developing
a
qualitative
evaluation
of
the
space
in
collaboration
with
the
mayor's
office
of
new
urban
mechanics.
We're
really
pleased
that
Mayor
Walsh
has
included
one
point:
nine
million
dollars
in
the
FY
19
budget
directed
to
the
engagement
Center,
to
support
this
effort.
While
we
plan
for
a
future
permanent
structure.
B
B
Canvassing
our
neighborhood
in
pairs
to
offer
guidance
to
people
who
are
in
need
of
recovering
homeless
services,
point
them
in
the
right
direction
if
they're
seeking
shelter,
services
or
recovery
treatment,
support
services,
and
we
also
make
sure
that
the
outreach
teams
are
trained
on
how
to
link
individuals
with
the
mayor's
3-1-1
for
recovery
services
hotline.
Our
team
is
an
amazing
team
of
staff.
They
know
everyone
who's
on
the
street.
B
They
work
really
hard
to
develop
relationships
with
individuals
so
that
we
can
meet
them
where,
where
they
are,
and
that's
really
important
for
the
clients
that
we're
serving
the
outreach
teams
also
provide
additional
support
and
capacity
and
picking
up
syringes
that
they
might
find
and
do
a
lot
of
work
engaging
with
neighborhood
business
leaders
and
providers
to
hear
how
they
can
support
the
work
that
they're
doing
in
our
communities.
In
this
slide,
we'll
focus
on
our
homeless
services
bureaus.
So,
as
I
mentioned,
there's
a
variety
of
programs
that
fall
under
this
Bureau.
B
They
provide
services
related
to
obviously
emergency
shelter,
health
and
behavioral
health
services.
Job
readiness,
training,
substance,
use
treatment,
recovery,
support
and
rapid
rehousing.
Last
year,
the
bureau
provided
emergency
shelter
to
approximately
seven
hundred
and
forty-one
men
and
women
each
night,
which
was
a
13
percent
increase
over
2017.
We
worked
with
area
shelters
which
included
Pine,
Street,
Inn,
pilgrim,
shelter,
the
night
Center
Boston
rescue
mission
and
st.
B
Francis
house
to
ensure
that
every
person
seeking
shelter
had
a
place
to
stay
both
woods,
Mullen
our
women's
shelter
and
112
Southampton
Street
our
men's
shelter
provided
support
during
the
closure
of
pilgrim
shelter
in
December
of
last
year
and
helped
respond
to
the
capacity
problems
that
we
saw
at
South
Station.
During
that
extremely
cold
stretch
of
weather
that
we
experienced
this
year.
B
The
homeless,
Services
Bureau
supported
over
250
individuals
in
housing,
search
and
stabilization
services
through
structured
case
management
and
the
Bureau
has
already
placed
33
clients
in
permanent
housing
in
the
month
of
April,
and
that
represents
the
highest
number
of
placements.
So
far
in
2018.
B
We're
also
really
proud
of
the
renovations
that
we've
been
able
to
do
at
our
women's
shelter.
They
began
in
January
of
this
year
and
they're
slated
to
be
completed
by
June
next
month.
Once
we're
finished,
the
Commission
will
be
able
to
apply
to
become
a
licensed
satellite
mental
health
clinic,
which
is
the
first
step
that
we
need
to
take.
First
write,
billable
mental
health
services
and
this
new
office
space
will
provide
a
safe
confidential
meeting
space
for
our
guests
and
our
staff
and
help
increase
case
management
services.
B
Hearing
back
from
group,
a
community
advisory
group
of
female
guests.
They
also
told
us
that
they'd
like
a
lounge
space,
more
safe,
dignified
space
to
stay
and
so
we're
creating
a
lounge
space
and
it
suspensory
on
the
second
and
third
floor
guests
for
the
guests
at
gain
access
to
toiletries
as
needed,
there's
going
to
be
improved,
new
lighting
flooring
and
painting,
including
the
dormitory
space,
which
make
it
a
more
therapeutic
and
safe
environment
for
our
women.
B
Obviously,
none
of
the
work
in
the
bureau
would
be
possible
with
an
NGO
without
ongoing
community
and
provider
engagement,
and
in
this
slide
we
highlight
some
of
the
successful
partnerships
and
relationships
that
we've
developed
with
health
care
for
the
homeless.
Friends
of
Boston's,
homeless,
other
areas,
shelters
and
obviously
our
partners
under
Chiefs,
Sheila,
Dillon
and
D
and
D
and
Jim
green.
These
collaborations
have
added
to
the
success
of
our
programs,
including
front
door,
triage
rapid
rehousing
and
Workforce
Development.
B
So
in
closing,
I
want
to
thank
mayor,
Walsh,
councilor,
co-moh
councillor
Wu,
our
colleagues
at
the
Office
of
Budget
management
team,
for
your
continual
support
and
service
I
want
to
thank
our
Board
of
Health.
We
just
met
last
night,
further
continuing
guidance
and
leadership
during
this
process,
and
we've
worked
closely
with
our
board
members
in
preparing
for
this
hearing
and
preparing
our
FY
19
budget.
Submission
obviously
want
to
thank
Jen
for
her
leadership
through
the
mayor's
office
of
recovery
services
and
look
forward
to
working
with
the
council
as
we
move
forward
through
this
fiscal
year.
B
C
You
good
morning
my
name
is
Barry
Connelly,
director
of
administration
and
finance
for
the
Public
Health
Commission
I'm,
just
gonna
very
quickly
give
a
brief
overview
of
the
Commission
as
a
whole,
and
then
these
specific
bureaus.
So
our
proposed
total
budget
for
next
year
is
approximately
171
million
dollars,
which
includes
an
appropriation
request
of
eighty
four
point:
nine
million
anticipated
external
funding,
totaling
forty
six
and
a
half
million
in
revenue,
primarily
from
third-party
billing,
totaling,
thirty,
seven
and
a
half
million.
C
This
is
an
increase
of
approximately
five
and
a
half
million
dollars
from
the
city
of
Boston,
1.5
related
to
fixed
cost
pension,
health
insurance
and
such
and
then
3.8
million
related
to
new
initiatives.
So
this
includes
the
engagement
Center,
youth
outreach
workers,
EMS
FTEs,
as
well
as
neighborhood,
trauma
team
funding.
This
is
a
very
robust
budget
and
we're
very
excited
about
next
year.
C
In
addition
to
that,
the
capital
plan
has
also
included
some
projects
related
to
recovery,
services
and
homeless
services,
a
new
roof
or
201
River
Street,
which
houses
our
linemen
and
transitions
program
planning
for
the
engagement
center.
A
new
elevator
for
woods,
Mullen,
which
goes
hand-in-hand
with
the
renovations
that
are
currently
underway,
as
well
as
a
generator
for
112,
which
will
support
the
men's
shelter
as
well
as
the
engagement
center,
and
then
these
are
for
the
possibilities
to
just
give
much
better
services
to
our
clients.
The
FTEs.
C
We
have
an
increase
of
approximately
45
FTEs,
the
appropriation
funds
about
nine
hundred
twenty
four
of
our
total,
approximately
1,100
FTEs.
We
have
38
FTEs
increasing
this
year
from
city
funds.
19
are
directly
related
to
the
engagement
Center
14.4
to
our
right
in
recovery
services,
and
there
are
also
five
public
safety
officers
that
were
adding
to
ensure
that
the
engagement
center
works
with
the
homeless
shelter.
C
In
that
we
have
a
very
robust
safety
contingent
there
to
protect
the
clients,
as
well
as
the
employees,
and
then
other
maintenance
and
capital
funds
will
be
used
to
continue
to
support
our
core
Public
Health
functions
and
just
promoting
health
and
safety
of
the
residents,
the
workers
and
the
visitors
in
Boston.
Thank
you.
A
D
You
good
morning,
everyone.
This
was
really
helpful.
A
lot
of
wonderful
stuff
happening
I
wanted,
if
possible,
grace.
If
we
could
dive
a
little
bit
more
into
the
FTEs.
Just
so
I
have
a
sense,
I
know.
I
know
we
talked
about
EMS
separately
and
or
they're
there
before
us
fairly
often
so
in
terms
of
the
1100
FTEs
I,
see
on
the
one
of
the
supporting
documents,
866,
internal
and
250
to
external,
could
you
give
just
a
breakdown
of
how
that
falls
by
division?
C
So
in
the
recovery
services
bureau
for
FY
19,
the
proposed
FTE
total
is
70
point
9
to
17
or
77
77
0.92,
okay,
the
current
FTE
total
is
50
7.58.
So
the
net
increase
to
the
bureau
of
recovery
services
is
thirteen
point
three:
five
and
people
move
between
grants
and
internal
funding.
So
overall,
that's
the
net
increase
for
recovery,
child
adolescent
and
family
health,
which
we'll
talk
about
this
afternoon
is
ninety
seven
point:
six
three
for
FY
nineteen
and
ninety
six
point:
eight
four
on
internal.
So
that's
an
increase
of
point:
seven:
nine
community
initiatives.
C
Forty
seven
point:
five:
four:
four
fi
nine
18:48
point:
nine
six
for
FY
18;
so
that's
a
small
decrease
of
1.4
to
EMS
is
420
proposed
for
FY
19
and
400
for
FY
18
homeless
services
is
seventy
one
point.
Seventy
two
and
that's
the
same
for
eighteen
and
nineteen
infectious
disease
is
twenty
three
point:
zero,
nine
for
nineteen
and
twenty
four
point:
six,
four
for
eighteen.
So
that's
a
decrease
of
one
point:
five
five
and
then
our
Public
Health
Service
Centers.
Those
are
the
same
for
both
years.
At
sixty
point
six.
C
Those
are
the
primary
activities
that
support
our
programs
and
then
we
have
administration
FTEs
for
FY.
Nineteen,
that's
109
point
two:
five
versus
FY
18
at
104
point
two:
five
in
that
five
FTE
difference:
those
are
the
public
safety
officers
that
will
help
support
the
engagement
Center
and
then
our
property
management
department,
it's
23
for
19
and
22
for
18,
so
overall
for
FY
19,
its
920
3.75
and
886
point
59.
So
that's
a
difference
of
37
point
one:
seven
and
those
the
internally
funded
FTEs,
okay,.
D
And
then
it's
slightly
different
from
the
I
think
from
what
we
have
and
one
of
the
it
says.
Fy
19
projected
internals
860
6.4
anyway,
I'm
sure
I'm
know
that
your
version
is
the
correct
one.
But
just
it's
there's
a
slight
difference
in
in
the
materials
that
we
had
and
one
of
the
appendices
on
page
43,
I,
don't
know
if
you
have
the
numbered
version,
but
it's
page
43
of
our
appendix
anyway.
D
The
the
larger
reason
I
was
asking,
and
this
was
really
helpful
to
see
the
breakdown
it's
it's
you
all
have
so
many
different,
related,
but
kind
of
very
different
missions
under
under
your
umbrella
and
I
was
curious
in
terms
of
the
overtime
amounts.
What
some
of
those
were
most
associated
with,
for
example,
and
let
me
find
it
I-
think
the
administrative
over
timeline.
D
Was
let's
see
it
says
285,000
663
in
FY
17
year
to
date,
FY
2018
is
321,000
and
so
you're
projecting
381
thousand
over
time
in
administration.
So
what
does
that
primarily
go
to
or
which
is
it
just
from
the
administrative
division
that
you
described
earlier,
or
is
it
kind
of
come
from
everything
administration.
C
C
D
Other
small
things,
one
around
your
external
or
your
vendors
that
you
have
relationships
with,
and
it
looks
like
comparing
some
of
the
documents
here-
that
you
have
sixteen
point:
five
million
dollars
of
contracts
with
MWBE
minority
and
women-owned
business
enterprises,
and
does
that
make
up
about
50
percent
of
your
contracts
or
we
have
another
appendix
that
has
another
that
has
thirty
three
million
dollars
in
external
contracts.
I
guess!
The
question
is
how
many
of
your
dollars
that
are
going
out
into
the
community
are
in
this
MWBE
bucket,
which
it
seems
is
fairly
significant.
It.
D
Wonderful
I
mean
I.
It
seems
just
from
looking
at
a
lot
of
other
budgets
this
year
and
in
previous
years
that
you
all
are
putting
some
focus
on
this
err
on
this
I
was
curious
as
to
as
to
whether
you
have
internal
policies
and
procedures
that
specifically
focus
on
supplier
diversity
or
how
you're
getting
to
such
a
results.
We.
D
B
Right
so
we
currently
have
five
and
have
FY
19
we
received
of
additional
resources
and
the
the
plan
is
to
go
from
five
to
six
and
what
we
know
from
the
data
that
the
trauma
teams
collect
is
that
we
need
an
additional
team
in
Dorchester.
So,
pending
final
approval
from
the
city
council,
we'll
begin
to
plan
on
are.
B
A
B
Question
we
actually
work
closely
with
commissioner
Morales
when
we
reconstituted
redesign
the
neighborhood
trauma
response
teams.
We
worked
with
Commission
Morales
because
his
Street
workers
are
often
on
the
first
on
the
scene
along
with
BPD
and
Boston
EMS.
So
we
did.
We
did
collaborate
with
Commissioner
and
his
team
around
how
they
connect
to
the
work
that
we
were
doing
through
our
neighborhood
trauma
teams.
I
know
that
we've
also
done
training
and
work
with
his
team
and
the
street
outreach
teams
that
are
in
our
recovery
services
Bureau.
A
Yeah
I
would
say
that's
imperative
because
we
know
most
court-involved,
especially
young
people.
If
we
want
to
intervene,
most
court-involved
have
drug
connections
as
well
and
and
a
lot
of
homelessness
as
well.
So
it's
great
to
keep
that
collaboration
going
and
cross-training.
Maybe
I
just
wanted
to
do
some
housekeeping
on
budget
stuff
and
some
of
the
information
we
received.
A
It
says
in
the
pre-hearing
request:
the
BPH
sees
external
funds
are
expected
to
decrease
by
nine
fifty
four
to
forty
and
we
actually
on
when
we
did
the
math.
It
might
just
be
a
math
error,
but
we're
actually
increasing
by
nine
twenty
one
I
believe.
Can
you
explain
maybe
what
happened
in
that
calculation?
There.
C
Were
two
things
on
the
external
spreadsheet?
There
was
a
formula
error.
One
of
the
cells
wasn't
actually
capturing
a
subtotal
okay,
so
the
actual
positive
variance
for
FY
19
verses
18
is
961.
585
increase
in
external
funding
in
the
write-up
summary
of
the
FY
2019
external
funds,
changes
that
was
a
version
control
issue.
Okay,.
F
A
Technology,
but
in
fact
it's
it's
actually
an
increase
yeah
and
you
know,
let
me
applaud
the
mayor
for
great
investments.
Increased
investments,
especially
in
homeless,
and
you
know,
we've
had
a
lot
of
leadership
come
out
of
our
council
with
councilor,
nice,
asabi,
George
and
and
and
others
Frank
Baker
is
here
as
well
with
recovery
and
we're
making
significant
investments
there,
which
I
hope
will
be
a
fruit.
A
A
A
Okay,
I'm
gonna
shift
a
little
bit
to
the
capital
budget
because
she's
several
years
ago,
the
the
trilogy
project,
Trinity
project.
Sorry
thank
you,
trinity
project
and
wanted
to
get
a
status
update
on
that.
You
know
we
were
told
during
you
know
those
hearings
when
we
gave
them
some
credits
and
and
other
benefits
to
build
this
project
that
they
would
house
the
EMS
training
facility.
There
would
be
so.
Can
you
give
me
an
update
and
if
we
need
to
kind
of
follow
up
with
the
b
ra,
maybe
on
what
their?
If
anything's
changed.
C
B
Ago
so
I
can
say
that
you
know
as
part
of
the
due
diligence
that
grace
and
I've
been
doing
with
our
team
and
administration
and
finance.
We
know
that
the
project
is
really
large
and
complicated,
both
legally
and
financially.
So
there
are
a
couple
different
parties,
as
you
mentioned,
that
we're
involved
trinity,
boston,
medical
center
and
some
ongoing
issues
that
are
at
play.
A
I
mean
I
would
have
to
review
the
hearing
because
it
was
so
long
ago,
but
I
would
suggest
that
someone
review
that
hearing
where
they
made
commitments
to
the
city
in
order
to
get
the
benefits
that
would
made
this
a
feasible
project.
I
know
it
included
a
lot
of
affordable
housing,
which
we
desperately
need
more
of,
but
it
also
included
community
benefits
for
the
city
of
Boston,
for
EMS,
specifically
and
I
want
to
make
sure
that
you
know
they're
held
accountable
for
those
commitments
and
they
were
made
in
less
good
times.
A
So
when
you
do
have
more
information,
if
you
could
get
us
some
kind
of
documentation
and
if
it
deviates
from
commitments
that
were
made,
you
know
we'll
have
our
central
staff,
maybe
research
that
and
your
staff.
We
just
want
to
make
sure
that
that
developer
is
held
accountable
for
those
commitments,
because
we
all
voted
to
support
it
based
on
a
lot
of
factors.
But
you
know
the
affordable
housing
was
a
huge
piece,
but
also
the
benefit
to
our
EMS
workers
and
and
staff
No.
B
Thank
you.
Thank
you
for
your
focus
and
attention
on
this.
We'll
go
back
we'll
revisit
the
hearing,
as
you
suggested,
deliberations
and
and
you're
right
I
mean
I
think
that's
part
of
the
due
diligence
that
has
to
go
into
looking
at
how
the
properties
were
valued
at
that
point
in
time,
because
we
know
things
such
conditions
have
change
absolutely
so
as
soon
as
we're
able
to
share
something
with
you'll
be
sure
to.
E
Here
welcome,
I
was
listening
in
my
office,
so
I
appreciate
everything.
Mike
I
did
have
some
line
of
questioning
on
the
Trinity
project.
I
was
I.
Was
there
at
that
hearing
and
I
know
that
there
was
some
promises
made,
so
I
just
have
to
echo
what
councilor.
She
almost
said
that
you
know
there
was
some
promise
about
square
footage
and
things
like
that
regarding
UMass
benefit,
so
we
need
to
make
sure
we
hold
their
feet
to
the
fire.
E
So
that
was
one
of
my
questions,
but
really
the
only
other
question
that
I
had
was
about
the
Harbor
Island
study.
Can
you
dig
a
little
deeper
into
exactly
what
that
is?
We
had
our
Public
Works
hearing
yesterday.
They
have
the
money
in
the
capital
to
rebuild
the
bridge.
I
know
there's
some
issues
with
Quincy
and
everything
else,
but
last
year
and
I'd
like
actually
like
to
do
it
again.
B
Thank
You
councillor
I'm
glad
that
you
all
had
a
chance
to
go
out
to
Long
Island
last
year
and
agree
that,
with
the
recent
weather,
there
probably
have
been
even
more
significant
issues
related
to
the
facilities
on
the
island
on
the
Harbour
Island
project
I'm.
Actually,
there
the
way
that
the
work
has
been
structured
is
that
chief
Marty,
obviously
chief
Osgood,
is
our
lead.
The
mayor's
lead
on
discussions
and
planning
around
the
reconstruction
of
the
bridge
and
then
from
our
Health
and
Human
Services
cabinet,
chief
Marty
Martinez
and
our
and
Jen
Tracy
who's.
B
G
So
I
think
you
asked
you
know
the
right
questions,
the
the
dollars
that
have
been
put
aside
for
the
Harbor
Islands
study,
or
to
do
just
that
to
assess
all
the
facilities
on
the
island
and
to
begin
the
process
of
coordinating
the
feedback
that
we
need
to
gather
from
across
sectors
and
partners
and
across
the
region.
Around
services.
E
E
G
H
F
G
Councillor
McCarthy's
point
about
you
know:
what
condition
are
the
buildings
in?
What
are
we
looking
at
after
not
being
there,
but
just
maintaining
the
grounds?
That's
what
the
million
dollars
will
be
used
for,
as
well
as
starting
the
planning
process
for
convening
and
coordinating
the
the
research
that
we
need
to
do
in
the
feedback
from
our
state
partners
and
community
partners.
So.
H
If
we
have
a
million
to
figure
out
what
what
condition
the
buildings
are
in
and
what
what
we
could
potentially
relocate
for
services
or
create
new
services
over
there,
with
that
million
right
good
good,
can
you
talk?
Whoever
wants
to
talk
about
and
I'm
sorry
I
missed
the
the
slide
show
I
was
running
a
little
bit
late.
Can
you
can
you
talk
about
under
the
homeless
services
access
to
employment
in
the
first?
H
B
F
B
We
were
able
to
support
over
250
individuals
mm-hmm
that
what
came
through
both
of
our
shelters,
Atwoods,
Mullen,
and
also
what
112
Southampton
Street
urban
shelter
in
terms
of
housing,
search
and
stabilization.
So
they
get
assigned
case
manager
and
then
they
were
able
to
place
3333
clients
so
far
in
permanent
housing.
That
was
33
I,
believe
in
the
month
of
April,
which
is
the
highest
number
of
any
month
to
date
and
doesn't.
H
H
H
B
C
B
G
B
A
pilot
phase,
so
we've
been
working
with
Jen
and
Devin
Larkin
and
her
Bureau
and
with
the
mayor's
office
to
collect
different
measures
on
how
the
engagement
Center
has
been
used.
We're
also
doing
a
qualitative
studies
so
talking
with
clients,
people
in
the
neighborhood
about
their
thoughts
on
how
the
engagement
Center
is
gone.
It
has
been
I,
think
successful
in
terms
of
bringing
people
in
on
any
given
day.
B
We
have
a
hundred
individuals
who
are
in
the
engagement
center,
and
so
what
we'll
do
is
go
through
the
process
of
looking
at
all
of
the
different
data
that
have
been
collected.
The
conversations
that
Jon,
Devin
and
I
have
had
with
partners
who
have
helped
us
with
the
engagement
Center
and
then
in
FY
19,
go
through
a
more
structured
planning
process
and
what
to
do.
Based
on
what
we've
learned
in.
B
H
Can
we
talk
a
little
bit
about
so
so
those
studies
also
are
talking
about
EMS
training,
academies
and
EMS.
You
know
just
an
EMS
Academy
study.
Those
and
I
know
that
you
guys
aren't
necessarily
prepared
for
the
Trinity
deal,
but
that
Trinity
deal
was.
They
were
supposed
to
build
out.
The
the
e
of
the
EMS
training,
I,
believe,
training
academy
for
us
and
I
correct,
no
I.
H
H
C
F
C
H
A
I
B
B
We
we
also
that's
our
needle
exchange
and
harm
reduction
service
delivery
program,
and
we
also
provide
a
one-stop
Center
through
paths
to
help
individuals
and
family
members
and
there's
a
link
now
with
three
one:
one:
two
paths
for
individuals
who
are
ready
to
seek
treatment
and
care,
and
so
we've
been
focused
on
harm
reduction
and
access
to
treatment,
and
that
is
the
mayor's
position
as
well.
In.
B
A
hope
is
in
our
finland
building,
which
is
next
door
to
healthcare
for
the
homeless.
So
that's
on
site.
We
also
through
a
partnership
with
healthcare
for
the
homeless
and
MGH,
the
the
Craft
Center.
We
operate
a
mobile
van
called
the
care
zone,
and
on
that
van
we
have
typically
a
clinician
from
health
care
for
the
homeless
and
one
of
our
staff
from
a
hope,
and
so
we're
able
to
provide
do
needle
exchange
through
the
carosone
van
as
well,
where.
B
Currently
there,
whatever
it
also
in
a
pilot
phase,
that's
a
belief
slated
to
wrap
up.
It
was
a
six-month
pilot
phase.
The
two
locations
based
on
the
public
health
data
that
we
had
and
conversations
in
planning
with
Elsie
Tavares,
who
leads
the
craft
center
and
healthcare
for
the
homeless
and
Jen
Tracy
in
the
office
of
recovery
services,
realized
really
zeroed
in
in
two
locations
for
this
initial
pilot,
so
the
Dudley
Street
neighborhood
and
then
also
downtown
West
End
and
we're
in
Dudley
Street.
It's
right
near
Dudley's
station.
I
B
The
Commission
actually
worked
really
closely
with
our
colleagues
in
the
office
of
Neighborhood
Services
to
facilitate
introductory
meetings
between
the
craft,
Center
staff
and
also
key
business
civic
leaders
in
both
neighborhoods,
so
that
they
knew
what
the
initial
thinking
and
plans
were
and
to
answer
any
questions.
I
know
that
one
of
the
questions
that
came
up
that
they
wanted
to
the
the
team
wanted
to
quickly
just
spell
was
that
it
wasn't
a
mobile,
safe
injection
site.
B
I
I
think
it's
really
important
to
make
sure
that
we
have
recovery
services
for
individuals
who
need
those
services,
so
I'm
grateful
for
the
work
that
you're
doing
I
think
there's
also
a
tension
between
residents
and
and
business
owners
when
it
comes
to
where
those
services
should
be
placed
right
now,
I
know
there.
There
are
businesses
in
the
dudley
area
anyway,
who
are
having
difficulty
with
this
issue,
and
I'm
wondering
if
you
can
just
speak
to
how
your
office
is
being
responded.
I
B
Again,
we
work
we
work
really
closely
with
Jerome
Smith
steam
and
ons,
when
there
are
concerns
like
that,
with
the
neighbourhood
liaison
they're,
the
ones
who
are
embedded
in
the
neighborhoods
day
in
and
day
out,
and
we
when
there
are
issues
or
concerns
around
things
like
recovery
services
or
homelessness
or
if
they're,
finding
needles.
The
staff
at
the
Commission
through
our
Bureau
director,
Devon
Larkin,
and
also
Jen
Tracy
and
Brendan
little
in
the
office
of
recovery
services,
we're
always
willing
to
meet
with
business
leaders.
In
one
great
example.
B
I
think
that
I
would
highlight
is
the
work
that
we
did
in
collaboration
with
the
Newmarket
business
district
and
partners
there.
They
were
definitely
involved
in
the
planning
and
development
of
the
engagement
center,
so
I
think
you're
raising
a
good
point
in
terms
of
you
know,
partnering
with
businesses
and
making
sure
that
we
hear
their
concerns
and
that
we're
working
to
support
them
in
addressing
them
and.
I
F
I
I
I
was
struck
each
time,
though,
that
the
residents
don't
reflect
the
diversity
of
the
the
city
or
the
neighborhood
in
which
they
are,
and
you
know,
I
know,
vii
abuse
is
an
issue
that
affects
everyone,
regardless
of
race,
religion,
gender,
etc,
but
I'm
wondering
how
individuals
of
color
in
communities
of
color,
so
we
have
these
these
sites
that
are
providing
good
services
for
those
in
recovery,
but
the
the
surrounding
community,
which
often
struggles
with
substance
abuse,
doesn't
seem
to
have
access
to
these
sites.
Can
you
speak
to
why
that
is.
B
Well,
I
can
speak
to
and
I
know
that
Fred
at
the
Hope
House
had
a
successful
blue
ribbon.
They
they
had
a
cutting
because
of
the
additional
beds
that
they
were
able
to
provide
and
I
think.
This
issue
that
you
raised
in
terms
of
equitable
access
to
treatment
and
recovery
services
is
an
important
one.
I
know
at
the
Commission
what
I'm
proud
to
share
and
we
can
share
the
resources
with
you
offline
is
that
through
our
Bureau
of
recovery
services,
we
have
many,
if
not
all,
of
our
materials
are
offered
in
multiple
languages.
B
We
know
from
the
state
data
in
terms
of
the
next
phase
of
their
work.
Latinos
are
in
terms
of
racial
ethnic
groups,
they're,
seeing
an
increase
in
terms
of
the
impact
of
the
opioid
epidemic
on
Latinos.
We
do
overdose
prevention
trainings
in
Spanish
we
have
materials
modules
online
that
are
also
in
Spanish,
and
so
this
is
something
that
we
take
very
seriously.
J
You
chair,
thank
you
all
of
you
for
being
here
as
well
as
your
team
that
joined
you
today
in
the
audience.
I
have
some
questions
about.
Our
guests
are
individuals
who
seek
services
and
our
shelters
cute
I
see
that
we've
got
an
average
number
of
517
at
Southampton
Street
to
24
woods
Mullin.
Can
you
talk
a
little
bit
about
the
breakdown
on
where
these
individuals
are
coming
from?
What's
their
community
of
origin,
the
maturity.
J
B
Don't
know
if
we
have
that
readily
available
in
terms
of
the
cost
that
I
think
what
I
understand
you.
Your
question,
which
is
a
good
one,
is
how
much
does
it
cost
per
guest
per
night
yeah
to
house
them
and
that
I'm
watching
grace
tic?
No,
it's
just
something
that
we
might
have
to
provide
to
you
afterwards.
How.
B
J
C
J
J
And
then,
as
we
I
mean,
I'll
I'll
do
a
little
I'll
pull
up
my
the
2002
top
of
my
head.
The
2016
data
on
community
of
origin
shows
that
about
50%
of
the
residents
or
guests
at
our
to
shelters,
50
about
50%
of
them
come
from
outside
of
the
city
of
Boston
noted
as
a
community
of
origin,
and
an
earlier
budget
hearing
with
the
DND
chief
Dylan
mentioned
that
it's
closer
to
60
I
come
from
outside
the
city
of
Boston
and
and
there
is
through
the
intake
and
the
triage
process
at
the
front
door.
J
Data
collected
on
what
communities
in
states
in
other
places
that
they're
arriving
from
and
I
am
looking
for
a
very
direct
correlation
in
the
cost
of
caring
for
our
residents
that
have
become
homeless
or
experiencing
homelessness,
as
well
as
folks
from
other
places.
I'm
I'm,
even
more
specifically
interested
in
the
number
of
individuals
that
we're
caring
for
is
they
experience
homelessness
that
are
from
the
city
of
Quincy,
okay
and
I.
B
C
Dd
funding
we
get.
This
is
specifically
from
the
state
for
the
shelter's,
so
for
the
112
South
Hampton,
that's
four,
four,
seven,
eight
eight
forty
one
say
that
one
more
time,
four,
four
four
four
seven,
eight
eight
four
one
and
then
we
also
have
a
pot
of
money
for
permanent
housing
and
that's
one
99
101
and
then
the
woods
Mullin
piece
is
two
zero.
Four
four
one.
Ninety
four
and
say
that
number
one
more
time:
two:
zero.
Four
four
194
all
totaled,
that's
approximately
six
point:
seven
million
dollars
from
DHCD
and.
C
K
K
Should
get
an
honorary
Doctor
in
my
book
so
great
to
be
with
you
all.
Thank
you
for
the
great
work
you
do.
Thank
You,
chief
Martinez
chief
Julio,
your
colleagues
sitting
behind
you
and
as
well
as
those
behind
me
and
Thank
You.
Mr.
chairman,
I'm,
glad
that
we're
breaking
the
the
public
health
budget
meetings
into
a
series.
So
you
know
there's
a
lot
we
want
to
cover
and
I'll
stay
focused
on
homeless
and
recovery
services.
First
of
all.
Well
done!
This
is
obviously
one
of
the
biggest
issues
were
dealing
with.
K
As
a
city
and
I
know,
the
mayor
is
deeply
committed
to
doing
all
he
can
to
help
those
who
are
struggling,
and
particularly
those
with
the
dual
diagnosis,
mental
health
and
substance
abuse,
which
often
leads
to
homelessness
as
well,
so
I
apologize
for
being
late.
You
may
have
gone
over
this
as
our
homeless
population
decreased.
K
B
B
K
Okay
and
that's
good
news,
you
know
anecdotally,
it
seems
like
the
numbers
are
growing.
I
spend
a
fair
amount
of
time,
walking
jogging
around
particularly
downtown
neighborhoods,
so
that
that's
powerful
to
hear
do
you
have
sort
of?
Is
it
corroborated
by
serving
more
people
in
our
do
we,
the
number
of
people
that
we've
served
and
was
bawlin
in
all
of
our
shelters?
Is
that
increased
you.
B
Know
this
is
actually
something
that
we're
working
on
with
Chief
Dylan
because
of
what
you've
highlighted
you,
despite
the
decrease
by
three
percent
in
this
homeless
census
count.
The
number
of
people
using
emergency
shelter
did
increase
by
one
percent,
as
did
the
number
single
adults
sleeping
on
the
street.
That
number
fell
according
to
the
data
we
have.
B
K
K
B
G
I
think
that's
from
the
PowerPoint,
that's
a
pilot
that
we
are
doing
with
the
Boston
Police
Department
drug
unit,
opiate
overdose
unit
down
in
the
mass
Cass
neighborhood
and
it's
a
diversion
program.
So
police
are
coming
in
contact
with
low-level
drug
offenders
and
providing
them
with
a
summons.
But
in
the
meantime,
to
appear
at
past
program
to
receive
assessment
and
and.
K
K
G
K
B
K
And
again,
I
mean
I,
think
you
guys
are
doing
such
important
work
and
you
and
I
think
you're,
probably
managing
it
or
measuring
it
better
than
you
have
you
have
more
tools,
you
have
more
ways
to
come
and
that's
really
important.
So
I'm
not
looking
to
you
know
underscore
that
things
have
gone
up
or
down,
but
it's
just
important
to
get
the
right
information.
B
B
K
B
Also
collects
syringes
through
different
programs,
so,
for
example,
through
our
a
whole
program
last
year,
they
collected
are
disposed
of
two
hundred
ninety
seven
thousand
five
hundred
syringes
through
that
program
in
an
average
week
and
a
hope
they
collect
approximately
7,000
in
FY
18
across
the
city
over
four
hundred
and
seventy
thousand
syringes
have
been
collected
and
that's
across
a
hope
through
connections
through
three
one,
one,
our
kiosks,
that
grace
talked
about
in
terms
of
what
we
collect
our
outreach
teams
and
then
other
City
departments.
Wow.
K
So
that
is
significant
and
is
that
number
grown
over
last
I
guess
I'm,
looking
more
for
sort
of
trends
in
these
things,
I'm
sure
the
numbers
grown
because
we've
had
and
you've
sort
of
led
and
more
people
are
picking
them
up.
So
it's
not
necessarily
reflective
of
an
increase
of
use,
although
that
probably
is
happening
as
well,
but
the
fact
that
we're
putting
more
resources
to
cleaning
them
up
there.
B
To
increase
the
capacity
across
city
departments,
we
actually
do
a
lot
of
intentional
work
with
other
city
departments.
We've
done
trainings
and
work
with
Parks
Commissioner
cook
at
Parks
and
Rec
we've
done
trainings
for
the
facilities
team
at
bps
around
safety
needle
disposals.
So
this
is
something
that
we
train
and
do
in
partnership
with
other
departments
right.
My.
K
K
G
K
K
Again,
if
we
don't
need,
if
they're
over
flown
there
overflowing,
perhaps
we
should
look
at
expanding
them,
but
I'd
love
to
meet,
follow
up
offline
and
just
get
some
more
of
those
statistics,
because
I
think
it's
a
I
have
heard
from
people.
You
know
who
know
that
I
care
about
the
environment
saying
I
want
to
get
rid
of
these
drugs
I,
don't
want
to
flush
them
down
the
toilet.
What
should
I
do
and
right
it's
better
to
get
something
out
of
their
their
gum
cabinet
in
their
bathroom
absolutely.
L
L
This
dude
is
there
a
town
hall
meeting?
Do
you
survey
them
about
their
experiences?
Have
you
asked
them
what
led
to
them
experiencing
homelessness?
You
know,
anecdotally.
You
know,
I
presume
that
you
know
eviction
fire
just
trying
to
get
a
sense
of
I
know.
We've
made
great
strides
on
veterans
homelessness.
It's
also
been
my
experience
and
one
of
the
things
I'm
looking
to
address
in
that
chronically
homeless
category.
B
Do
so
in
that
front
door,
triage
of
service
that
we
have
the
intake
staff
actually
do
do
an
intake
screening
of
guests
as
they
enter
into
the
shelter
we
want
their
shelter
state
to
be
briefed
right
and
work
really
hard
to
figure
out
what
led
them
to
the
shelter.
Sometimes,
if
you,
as
you
said,
it
might
have
been
some
tragic
circumstance
at
home
in
terms
of
a
fire,
so
they
would
gather
that
information.
B
Sometimes
there
are
family
reunification
issues
if
those
sorts
of
things
are
identified
and
we
can
work
to
find
you
know
reunite
them
with
a
family
member
who
could
take
them
in
that
evening
or
the
next
night
or
the
following
night.
The
shelter
staff
actually
do
work
hard
to
figure
out
ways
to
avoid
they're
having
stay
at
the
shelter.
B
If
there
are
options,
the
other
way
that
we
get
guests
sort
of
stories
or
profiles,
is
it
woods
Mullen
we
do
have
a
consumer,
Advisory,
Council
and
so
with
the
women
they
do
have
meetings
we're
using
quality
improvement
techniques
to
facilitate
discussions
with
the
women
to
focus
on
how
we
can
make
their
experience
at
the
shelter
better.
We
know
that
we
had
had
issues
around
complaints
from
the
guests
and
so
trying
to
really
zero
in
on
how
to
make
it
a
better
space
for
them
and
I'm.
Not
sure.
B
L
Consumer
definitely
so
my
question
about
the
intake
is
really:
are
we
tracking
what
we
learn
from
those
intakes
so
that
we
can
determine
where
are
their
trends?
So,
for
example,
this
council
passed
the
Jim
Brooke
stabilization
act,
the
mayor
signed
it.
It
was
not
signed
at
the
State
House,
so
I'd
be
curious.
You
know
how
many
people
are
you
seeing
in
shelter
who
were
there
because
of
eviction?
You
know
so
just
better
understanding.
What
is
the
common
theme
or
theme
or
what
are
the
trends?
L
B
L
There
was
a
slide
about
the
number
of
referrals
I
think
it
was
the
engagement
center.
Are
we
also
able
to
track
sort
of
soft
landings
so
after
you've
had
that
initial
touch?
So
I
can't
find
the
slide
right
now,
but
there
was
a
number
that
spoke
to
touches.
You
know
contact
a
number
of
referrals,
and
so
beyond
the
referrals
are
we
able
to
track
how
many
of
them
had
a
soft
landing
and
ended
up
being
gainfully
employed
or
going
to
the
treatment
or
whatever
the
service
was
I?
Can.
B
L
L
You
know
one
of
the
things
I'm
going
to
be
bringing
before
the
council
is
the
shortage
of
public
facilities
of
restrooms,
and
and
it's
it's
it's
it's.
You
know
our
population
is
growing,
and
so
we've
got
to
be
thinking
about
every
amenity
and
it
seems
that
in
terms
of
public
bathrooms,
we
are
losing
them
because
many
of
them
are
becoming
Needle
galleries.
L
We
had
this
problem
at
many
of
our
branch,
libraries,
where
they
were
locking
their
bathrooms
because
they
were
becoming
Needle
galleries,
they're
sort
of
an
underground
where
those
battling
substance
abuse
will
be
communicating
with
each
other
about
where
to
go.
So
I
just
wanted
to
understand.
If
there
are
any
trends
and
if
the
hurt
is
in
terms
of
needles
is
being
bore
by
some
places
and
communities
or
public
venues
more
than
others,.
B
So
you
raised
two
questions
very
important
issues
around
the
bathrooms
and
then
whether
there
are
any
hot
spots
for
needles,
so
I'll
take
the
bathroom
question
first
and
actually,
through
our
Bureau
of
recovery
services,
we
actually
do
have
a
whole
series
of
materials.
Online
I've
actually
shared
them
with
other
colleagues
in
other
cities,
because
the
staff
do
a
great
job,
doing
overdose
trainings,
specifically
for
businesses,
but
it
would
that
have
public
restrooms,
because
obviously
we
want
to
have
public
restrooms
in
space
for
everyone.
B
But
we
know
that
this
is
something
that
we
see
in
terms
of
people
who
are
overdosing
in
restrooms,
which
is
why
we've
done
this
training
in
terms
of
hot
spots.
We
do
collect
information
on
where
the
sharps
are
collected
and
I've,
seen
different
versions
of
the
map
they're
everywhere
and
the
mobile
sharps
unit
is
deployed,
and
we
can
provide
that
for
you.
L
So
was
the
unit
and
I
do
want
to
give
a
shout
out
to
Carlos
Enriquez
and
others
who
have.
You
know
continue
to
amplify
this
issue
in
terms
of
parks
specifically,
but
are
the
mobile
sharps
units
dispatched
based
on
three
one?
One
calls
only
or
are
they
you
know,
sort
of
roving
or
the
multi
linked
to
those
those
hotspots
on
their
own?
They
do.
They
have
to
be
prompted.
B
G
L
Thanks,
thank
you
very
much.
I
would
be
interested
in
the
hotspots,
though,
and
then
in
terms
of
gender.
Well,
before
I
get
the
gender
I
wanted
to
ask.
How
are
we
accommodating
our
shelter
gasps
our
LGBTQ
youth,
specifically,
who
often
speak
about
feeling
unsafe
and
that
there's
not
really
a
space
for
them
or
any
of
our
shelter
that
might
be
members
of
the
community
or
transitioning?
How
do
we
accommodate
them
right
now?
We.
B
F
L
L
What
was
offered
to
me
is
that
for
every
eight
beds
available
for
a
man
there
was
only
one
available
for
a
woman
and
I,
don't
know
if
you
all
have
had
the
opportunity
to
do
any
of
that
deep
dive
to
see
if
there
are
disparities
and
treatment
across
gender
lines,
either
for
recovery
or
those
experiencing
homelessness.
That's.
B
I
mean
that's
a
great
question
and
so
I
thank
you
for
raising
that
up
as
an
issue
in
terms
of
equitable
access
to
care
based
on
gender
and
I.
Don't
I
don't
know
off
the
top
of
my
head,
but
I
can
come
back
with
more
details
to
see
whether
we
have
done
a
deeper
dive
and
done
some
analysis
on
that
for
both
of
our.
L
L
B
I
mean
I
think
it
really
that
that
falls
under
this
state
I
mean
what
I
can
share
with
you.
That
I
know
anecdotally
is
that
we
do
have,
and
this
is
where
again
back
to
the
engagement
center,
we
do
have
guests
who
are
married
couples:
spouses
partners,
you
know
one
in
the
woods,
Mullin
shelter,
you
know
another
in
112,
South,
Hampton,
Street
and
the
engagement
Center
is
where
they
can
be
together
during
the
day
when
they're,
not
in
those
you
know
the
the
Mahler,
the
men's
or
women's
shelter.
L
But
I
would
like
to
just
better
understand
what
trends
we're
seeing
in
your
front
door,
triage
specifically
around
eviction
fire
individuals
that
have
criminal
records
or
may
have
been
recently
released
and
then
again,
the
gender
disparities
in
terms
of
treatment,
beds
and
homeless
beds,
and
then
not
only
what
our
policy
is
when
it
comes
to
LGBT
the
community
and
with
a
youth
overlay.
But
what
are
our
practices.
F
H
F
G
We're
working
with
both
the
police
department,
with
judge
coffee
from
West
Roxbury
District
Court,
which
is
the
the
lead
on
the
mass
trial
court,
section
35
pilot
in
Boston,
as
well
as
the
section
35
programs
statewide
that
are
available
to
coordinate
people's
care.
So
we
understand
that
you
know
some
people
may
need
a
section
as
a
last
resort,
but
we
want
to
make
sure
that
we're
there
when
they
get
sectioned
in
care
to
connect
with
them
and
to
coordinate
their.
H
But
they
do
coordinate
with
someone
at
paths
or
someone
someone
in
your
shop.
That's
that's
good
to
hear
the
Suffolk
County
recovery
panel.
How
was
that
going
and
I
saw
you
you,
somebody
was
at
twelve
recovery
panels
were
attended
so
whatever
what
our
our
action
items
coming
out
of
those?
How
are
we
working
with
South
Bay,
and
can
you
explain
that
relationship
a
little
bit
what's?
Is
it
a
success
or
sure.
G
G
By
community
providers,
faith-based
groups
provide
treatment
providers.
Mental
health
providers
whatnot
are
welcome
to
come
in
and
meet
with
folks
prior
to
their
release,
to
make
those
connections
give
them
information
and
make
sure
they
know
in
what
community
resources
are
available
for
them
when
they
come
out.
So
that's
been
very
successful.
Excellent.
H
So
you
saw
if
someone
maybe
from
Chelsea
or
whatever
they
they
were
able
to
speak
to
services
in
Chelsea
and
get
them
on
their
path.
Great
excellent.
That
sounds
really
good
in
the
engagement
center
again.
How
long
do
you
that
this
may
be
for
you
Monica
or
Jen?
How
long
do
we
think
that
that
planning
that
that
study
is
gonna
happen?
When
do
we
think,
like
we'll,
have
a
will
have
a
sense
of
what
what
we
should
be
doing
where
it
should
be
built,
and
you
know
what
it
will
look
like
well,.
B
B
H
B
We
I
think
we
would
have
to
we
will
work
with
Jen
and
chief
Martinez
and
obviously
the
mayor
and
other
partners,
so
I
know
that
when
we
first
designed
the
pilot,
we
work
closely
with
the
commissioner
Christopher
on
that
front.
So
there
are
multiple
departments
and
colleagues
who've
been
involved
in
the
planning
and
implementation
yeah.
H
I'm
just
I'm
a
big
fan
of
the
engagement
center
and
a
big
fan
of
dev
and
a
big
fan
of
Jen
and
and
and
everybody
that
works
all
of
us,
our
Sara
Mac
and
it's
it's
yeoman's
work.
We're
totally
swamped
with
it
and
with
that
being
said,
I
would
like
to
somewhat
be
briefed
or
involved
in
the
long
island
sort
of
planning,
because
in
my
district
I
have
Long
Island
is
mine
and
also
the
South
Hampton
corridor
is
mine.
H
I
was
at
the
Quincy
meeting
last
Thursday
night
and
they
aren't
very
happy
so
I
think
that
that
we
should
really
be
thinking
about
how
we
move
forward.
With
all
of
this,
you
know
come
up
with
a
good
plan
I'd
like
to
if
I'm
allowed,
to
be
involved
in
that
plan,
and
you
know
not
to
just
to
be
another
person.
Another
thought
another
sort
of
an
opinion,
but
thank
you
and
Jen.
Thank
you
for,
for
you
know
the
work.
H
I
know
it's
difficult
and,
and
it
seems
like
we're
serving
like
counselor
asabi
George
talks
about
I,
know
we're
serving
a
lot
of
the
region
here
and,
and
we
don't
want
to
say
you
can't
come
to
bar,
but
because
we
do
it,
we
do
it
the
best
I
think,
because
you
guys
do
it
the
best.
That's
why
people
are
coming
here.
So
if
we're
able
to
I
think
do
something
out
at
Long
Island
that
will
will
potentially
be
just
additional
services.
H
J
Thank
You
chair
I,
just
following
up
on
councillor
Baker's
last
comment
about
us
doing
some
of
these
services,
the
best
in
the
city
of
Boston
I.
Think
one
of
the
challenges
is
that
many
cities
and
towns
don't
do
it
at
all
and
we
really
need
the
the
rest
of
the
Commonwealth
but
the
rest
of
the
region
to
also
be
providing
these
services
in
their
cities
and
towns
to
help
to
help
their
residents
and
support
their
residents.
What
is
the
just
to
follow
up
on
council
Presley's
questions
about
the
mobile
sharps
team?
B
G
J
G
J
J
I
didn't
know
if
you
had
something
else
to
add
there.
That
was
impressive.
The
number
ten
yeah
that
would
be
great,
wouldn't
it
especially
when
we
think
about
some
of
the
other
work
that
the
mobile
sharps
teams
do:
they're,
not
just
picking
up
needles,
they
are
building
and
having
relationships
with
individuals
who
are
suffering
from
addiction
and
homelessness.
At
the
same
time,
can
we
talk
a
little
bit
about
what's
happening
with
the
paths
program
I'm
just
in
general,
and
you
know
a
little
bit
of
a
story
about
that.
B
So
that's
this
really
has
been.
You
know
it's
unique.
There
isn't
anything
like
it
in
the
state
in
terms
of
the
services
that
were
able
to
provide,
we
had
just
been
Jen
and
I,
we're
actually
in
a
conversation
yesterday
praising
the
program
and
the
work
that
they
do,
because
its
high
traffic
in
terms
of
individuals
who
come
in
and
really
impressive
in
terms
of
the
way
that
our
staff
are
able
to
help
clients
navigate
a
really
complex
system
of
care.
B
Depending
on
what
type
of
services
we
had
a
group
of
visitors
from
the
National
League
of
Cities
and
last
week,
and
they
asked
about
whether
there
was
like
this
master
database
that
the
staff
were
using
to
help
individuals
who
were
seeking
care
make
their
way
through
the
maze
and
what
I
can
share
with
you
and
Jen
will
probably
echo.
This
I
hope
is
that
the
staff
have
developed,
really
strong
relationships
with
different
treatment
providers
to
the
level
that
you
know.
B
I
I
didn't
quite
appreciate
until
that
visit
that
if
they
have
an
individual
client
and
that
person
smokes
they
can
and
and
a
lot
of
our
clients
do
smoke
that
they
can
easily
on
which
detox
or
care
facilities
do
not
allow
smoking
and
that's
not
the
place
that
we're
going
to
take
our
clients,
but
there's
definitely
a
need
to
hopefully
work
with
the
state.
I
know
the
Commissioner
had
been
thinking
about
this
and
my
early
discussions
with
her
expanding
it
and
using
that
model
and
spreading
it
throughout
the
state.
G
For,
for
that
service
paths
is
placing
up
to
20
people
a
day
who
walk
in
or
call
in
the
help
line
to
treatment
placement
they
get
them
there
through
providing
transportation
as
well,
which
is
why
they're
so
successful
so
outside
of
Boston
inside
of
Boston
outside
of
Boston,
the
metro
areas,
far
out
as
Worcester
Brockton
Tewksbury,
where
the
treatment
beds
are
available
that
Danny
last
year
they
placed
over
2,600
people
in
treatment
from
that
program.
So
those
are
some
of
the
things
to
brag
about.
Do.
B
Definitely
I
mean
I
also
think
that
the
way
that
we
sequenced
and
the
investments
that
were
made
in
terms
of,
for
example,
the
investments
that
were
made
to
keep
the
engagement
center
paths
a
hope
open
through
the
weekends
and
extended
hours
those
three
locations
work
very
closely
in
terms
of
when,
when
one
of
our
staff
at
the
engagement
center
encounters
someone
who's
ready
for
treatment,
they
can
walk
them
right
over
to
paths
or
vice
versa.
If
we're
full
in
the
engagement
center,
they
serve
as
surge
capacity.
B
The
well
Pat,
no
I
meant
between
engagement
center
paths
in
a
home
I
mean
the
way
that
we've
set
up
the
schedule
is
that
they
they're
able
to
work
together
right
because
there
was
initially
in
the
pilot.
The
engagement
with
center
was
open
for
extended
periods
of
time,
and
that
wasn't
we.
We
had
to
also
expand
the
hours
at
paths
and
also
a
hope,
so
those
investments
were
helpful
because.
B
Storage,
tent
we've
worked
really
hard
to
flip
it
and
create
a
welcoming
space,
but
the
winter
was
really
hard.
The
engagement
center
in
terms
of
the
floors,
the
heat
grace
and
her
team
at
property
worked
with
us
to
try
to
make
improvements
to
keep
it
well
heated,
particularly
in
that
cold
winter
stretch
that
we
had.
B
Instead,
you
know
staff
did
as
well
as
could
be
expected,
but
we
were.
We
were
happy
to
and
the
clients
happy
to
get
back
into
the
engagement
center
they've
remediated,
the
property
around
the
engagement
center,
but
I
mean
I.
Think
a
lot
of
the
challenges
have
been
structural,
I.
Think,
with
this
new
investment,
we
are
going
to
be
able
to
staff
up.
B
So
we
have
a
program
director
that
will
be
able
that
we
have
in
place
and
then
I
think
we
continue
to
work
with
the
state
to
your
point
in
terms
of
bearing
or
shouldering
the
burden
of
engaging
clients
that
might
not
be
Boston.
Residents
have
had
good,
productive
discussions
with
the
state.
In
the
last
fiscal
year
the
state
contributed.
B
The
state
Department
of
Public
Health,
contributed
250
thousand
dollars
to
our
efforts
at
the
engagement
Center
and
graces
and
I
are
working
closely
with
commissioner
burrell
and
Jen
and
Devon
to
identify
what
additional
resources
they
can
contribute
in
this
next
fiscal
year,
particularly
since
it's
in
our
FY
19
budget,
but
I
mean
I.
Think
structural
would
be
the
biggest
challenges
at
this
point
and
making
sure
that
we're
continuing
to
provide
the
level
of
service
I.
G
Would
just
add
you
know
another
challenge,
which
is
also
an
opportunity
by
the
engagements
that
are
being
there,
but
the
population
that
does
spend
time
at
the
center
is
a
very
challenging
population,
many
of
which
have
spent
decades
out
on
the
street,
and
so
the
opportunity
is
that
we
have
a
place
for
them
to
go
and
we're
able
to
start
coordinating
more
of
their
care
across
services.
But
again
it's
you
know
that
there's
the
engagement
center
has
provided
spot
for
people
to
go,
which
is
which
is
great,
and
then
the
work
is
just
beginning.
J
Then,
what
about
the
between
the
engagement
center
in
South,
Hampton,
Street,
shelter,
the
the
engagement
with
the
other
property
owners,
the
both
you
know,
the
C
Fire
Department
is
there.
There
are
some
private
businesses
there.
There
are
some
agencies
that
provide
other
social
services
that
are
in
the
immediate
area.
What's
the
relationship
with
those
partners
and
both
you
know,
the
good
parts
and
the
bad
parts
I
think.
B
I
mean
I
think
the
good
part
is
that
they've
really
have
rallied
around
creating
this
welcoming
space
I
mean
we
work
with
new
market.
They
provide
donations.
They
work
with
us
to
ensure
that
it
is,
they
have
palm
cards
to
direct
their
business
owners
have
palm
cards,
so
if
they,
you
know
encounter
someone
and
they
need
to
refer
them
or
send
them
somewhere.
So
I
think
we
have
really
we've
developed
a
good
relationship
in
terms
of
referrals
and
building
the
engagement
center
and
the
services
together.
B
I
think
you
know
some
probably
ongoing
challenges
would
be
to
maintain
this
level
of
urgency,
this
sense
of
urgency
in
keeping
the
engagement
center
open
and
making
sure
that
we
have
appropriate
resources
and
good
communication
across
the
neighborhood
in
terms
of
the
different
types
of
things
that
we
provide.
So
we
do
that
in
a
number
of
different
ways
and
Gent
really
does
with
Devin
lead
a
lot
of
those
community-based
efforts,
and
you
know
discussions
particularly
with
Commissioner
Finn
and
New
Market
Square,
the
neighborhood
associations.
B
You
know
again
going
back
to
the
National
League
of
Cities
visit.
We
had
Steven
Fox
joined
us
in
our
discussions.
He
was
the
keynote
speaker
that
we
had,
because
the
other
mayor's
who
were
there
and
the
police
chiefs
wanted
to
understand.
How
do
we
engage
community
in
Boston
and
our
efforts
around
recovery
services,
and
so
he
really
was
part
of
our
team
that
presented
sort
of
our
experience
in
our
neighborhood
from
a
community
perspective.
G
Along
with
that,
we
did
tremendous
amount
of
work.
We've
done
developing
relationships,
you're
you're
at
the
meetings
as
well
in
your
area,
and
we
and
we
value
the
partnerships
and
it's
taken
a
lot
of
hard
work
to
sort
of
educate
and
inform
people,
but
also
to
consistently
be
at
the
table
with
them
to
try
to
attack
this
really
complex
issue
which
really
there
is
no
silver
bullet
for
I.
G
Think
that
and
the
you
know
the
crowds
move
they
merge
in
different
areas
and
in
each
time
we
try
to
reach
out
or
we
reached
out
to
from
a
community,
and
we
try
to
be
there
and
work
on
really
tactical
issues
that
we
can
all
solve.
So
that's
with
partners
from
Public,
Safety,
Public,
Health,
many
city
departments
and
then
business
owners
and
community
right
now
we're
meeting
every
other
week
with
the
block
of
Atkinson,
South,
Hampton
and
Topeka
Street.
Because
of
the
way
the
crowds
have
have
moved,
you're
meeting.
J
I'd
say
some
of
some
of
the
visual
things
that
I
see
personally
and
that
we
hear
of
is
this
increase
in
you
know,
certainly
people
that
are
suffering
and
need
care,
but
also
a
significant
increase
I'd
say
in
trash.
A
significant
increase,
probably
in
some
significant
criminal
activity
there
have
been
incidents
is
down
there
recently
that
have
not
been
great.
J
J
B
On
the
street
level,
I
can
say
that
you
know
we
just
focused
our
remarks
on
the
our
Street
engagement.
Our
street
outreach
workers,
but
there
is
a
coordinated
patrol,
not
Patrol,
sort
of
a
coordinated
schedule
that
we
do
with
multiple
partners
in
the
community
with
recovery
service,
our
recovery
services
bureaus
so
definitely
there's
a
across
the
different
shelters
and
then
clinics
in
the
area
they
do
do
or
schedule.
So
it's
not
just
our
street
workers
that
are
doing
that.
B
Engagement
on
the
street
level,
I
think
what
you're
pointing
out-
and
we
see
it
because
we
drive
by
we're
in
we're
there
every
day
and
on
the
weekends
and
many
evenings
some
of
those
structural
changes
that
you
saw-
and
we've
heard
this
in
the
community
meetings
with
the
additional
fencing
on
Mass
Ave
has
pushed
individuals,
the
garbage
that
we
see
piling
up
and
other
things
out
into.
You
know
down
massive
towards
Colombia
behind
Newmarket
and
in
other
neighborhoods
and
I
think
we're
we.
B
We
have
seen
that
we
have
worked
as
a
good
team
with
Public
Works
and
BPD
to
enhance
bike
patrols
to
help
with
trash
pickup.
So
we
do
this
routinely,
you
know
call
each
other
email
each
other.
If
we're
you
know
after
hours
or
if
we
see
something
to
engage
our
other
city
partners
in
helping
us
address
some
of
those
things.
B
L
C
L
C
Are
working
on
that,
so
the
engagement
center
has
several
computers.
We
also
have
computers
at
10:22,
Mass
Ave,
which
is
working
with
our
homeless
guests
to
get
employment.
Okay,
that's
our
employment
center;
okay,
we're
identifying
resources
for
that,
and
we
are
coordinating
with
to
it
to
actually
get
that
Wi-Fi
access
there.
Okay,.
C
L
C
We're
hoping
by
the
end
of
next
year,
okay,
so
that
we're
replacing
our
cabling
now
and
then
we've
got
a
whole
series
of
IT
infrastructure.
Okay
and
then
we
have
to
identify
some
computers
and
get
them
ready
and
deploy
them.
Actually,
our
most
challenging
issue
may
actually
just
be
finding
space
within
the
shelters
because
they
are
very
busy
I
think
getting
designated
spacing
for
that.
Okay,.
L
And
then
I
think
my
final
question
was
around
is
do
I,
know,
Pine,
Street
Inn
does
work
to
civically,
engage
their
shelter
guests.
I
was
just
wondering:
do
we
offer
voter
registration
forms?
What
are
we
doing
around?
You
know
civic
engagement
and
to
make
sure
folks
are
educated
about
upcoming
elections
and
the
like.
We.
B
M
Thank
you,
Thank
You,
counsel,
CMO
and
now
thank
you
guests
for
being
here
and
I
just
want
to
say,
first
of
all,
say:
Jenna
I've
seen
you
at
so
many
meetings
and
cc-1
the
helping
so
many
people
across
the
city.
We
just
want
to
say
thank
you
to
be
a
dedicated
work,
you're
doing
you're
doing
an
excellent
job.
M
I
know,
there's
a
in
terms
of
the
salt
end.
There's
a
severe
concentration
of
recovery
services.
There
I
know
residents
are
very
sympathetic
and
very
compassionate
trying
to
help
help
the
community
suffering
from
substance
abuse
along
with
Andrew
square
in
South
Boston.
There's
a
lot
of
substance,
abuse
programs,
but
is
there
any
plans
to
you
know
make
sure
every
may
board
also
is
able
to
contribute
to
helping
helping
those
suffering
from
substance
abuse,
not
just
concentrating
it.
On
a
few,
a
few
neighborhoods.
B
So
it's
a
really
good
question
in
terms
of
access
to
services
and
so
one
resource.
You
know
our
our
programs
that
we've
talked
a
bit
about
what
we
offer
through
the
Boston
Public
Health
Commission
and
while
they're
in
our
neighborhood
in
the
south
and
Roxbury,
we
actually
also
have
resources
available
in
Mattapan
on
our
campus
there's.
We
have
several
residential
rehabilitation
programs
sited
there
and
then
all
of
our
services
are
obviously
offered
citywide.
B
We
work
closely
with
our
Boston
community
health,
centers
and
they're
in
most
of
our
neighborhoods
throughout
the
city
and
I
know
that
they've
done
a
lot
of
work
to
integrate.
Behavioral
health
and
substance
use
treatment
services
within
their
primary
care
setting,
but
they
still
have
a
long
way
to
go.
M
Was
a
before
this
trouble
as
a
probation
officer
for
ten
years
at
Suffolk,
Superior
Court,
supervising
the
homeless
community
and
I
would
often
visit
Long
Island
for
most
a
ten
year
period
and
at
that
time
this
is
the
previous
administration
going
over.
That
bridge
was
was
very
scary.
I
thought
that
bridge
should
have
been
shut
down
years
ago,
but
I
do
think.
M
Then
the
mayor
made
an
excellent
choice
of
of
closing
that
bridge
immediately
and
I'm,
proud
of
what
he's
accomplished
since
then,
and
it's
a
it's
a
it's
a
credit
to
you
and
to
your
team
for
working
hard
and
making
sure
that
those
that
left
the
island
also
got
the
treatment
that
they
needed
as
well
in
in
my
district
I.
Think
I
have
all
maybe
three
or
four
homeless
shelters.
I
have
Pine
Street
in
st.
Francis
house,
Boston
rescue.
You
know
in
Center
for
homeless
veterans
as
well.
M
What
can
what
can
the
business
community
do
to
help
on
this
crisis?
Can
they
play
a
key
role?
Can
they
do
something
specifically
to
help
those
suffering
from
substance
abuse
and
in
in
in
being
part
of
the
solution?
I
know
there
are
some
that
are
doing
great
work,
but
overall,
what
what
could
they
do?.
G
Yeah
I
think
there's
there's
a
lot.
They
can
do
where
we've
engaged
a
lot
of
businesses
on
a
variety
of
fronts,
first
and
foremost
on
the
ground,
in
their
neighborhood
and
and
where
they
are
to
be
educated
on
the
population
and
be
part
of
the
solution
either
by
investment
or,
as
in
the
case
of
the
engagement
Center.
What
we've
learned
is
that
businesses
have
participated
in
giving
back
in
ways.
Just
recently,
we
had
some
file
cabinets
that
we
needed
a
business
donated
brand-new
file
cabinets
great.
F
B
Was
just
gonna
jump
in
I
mean
I
think
one
way
that
we
could
push
business
businesses
to
help
us
in
this,
because
your
question
is
good.
A
good
one,
I
think
is
around
raising
awareness
and
there's
still
a
lot
of
stigma
around
addiction,
and
yet
it
impacts
everyone
loved
ones,
family
members,
employees
and
so
I
think
where
we
could
partner
with
businesses,
might
be
to
raise
awareness,
share
stories
of
people
who
might
come
forward
who
work
in
different
employment
business
settings
to
share
their
recovery
stories
and
their
struggles
and
challenges.