►
Description
Docket #0845 - Hearing regarding the expansion of the Boston Services Team
A
A
B
What
I
think
is
tremendous
early
work
with
then
councillor
presley
now
congresswoman
presley
regarding
an
increase
in
the
funding
that
we
had
for
our
best
team,
so
mobile
crisis,
clinicians
that
are
a
critical
part
of
boston's
ability
to
respond
adequately
to
public
and
mental
health
emergencies
across
our
city.
The
brief
bit
of
history-
and
I
think
jenna,
will
do
some
of
this
and
her
remarks
in
her
presentation
to
the
group,
but
we
had
just
a
few.
B
B
When
I
joined
the
council,
I
was
doing
some
work
with
then
councilor
presley
around
the
importance
of
having
these
clinicians
as
a
part
of
that
work,
and
we
were
able
to
advocate
for
and
get
some
additional
funds
to
hire
two
more
clinicians
and
and
then,
as
a
part
of
our
operating
budget,
increase
the
number
of
clinicians
that
were
doing
that
work
and
create
some
security
around
the
work,
so
they
weren't
reliant
on
on
those
grants.
B
We've
now
moved
to
this
point
where
we
have
two
million
dollars
invested
an
additional
up
to
15
clinicians,
which
would
right-size.
I
think
this
this
force
of
clinicians
to
best
respond
to
the
the
needs
of
our
residents
across
the
city.
I
just
want
to
thank
the
mayor
for
that
investment.
It
is
a
tremendous
event,
investment,
something
that
we've
been
working
towards
over
the
last
few
years
and
the
last
few
years
that
I've
been
on
the
council.
B
So
I
think
that
this
this
effort,
this
work,
will
have
a
huge
impact
on
the
quality
of
life
for
our
residents,
especially
those
that
don't
need
a
police
response,
but
a
mental
health
response
to
the
crisis
that
they're
in
the
midst
of-
and
I
just
want
to
congratulate
and
thank
jenna
and
peter
messina
and
the
rest
of
their
team
and
tasha
from
bmc
on
the
work
that
they've
done
to
date.
I've
been
I've
had
a
front
row
seat
to
the
efforts
and
the
thoughtfulness
that
they've
put
in
to
thinking
about
how
this
fun.
B
B
I'm
excited
to
see
the
presentation
in
full
today
and
to
share
that
work
and
to
share
my
work
with
colleagues
on
the
council
and
excited
to
get
to
work
with
these
clinicians
for
the
benefit
of
our
residents
across
the
city
of
boston.
So,
thank
you,
madam
chair,
and
thank
you
to
the
colleagues
who
are
here
today
to
hear
about
this
work
and
to
ask
about
this
work
and
be
more
informed
about
this
work
and
and
maybe
inform
this
work
going
forward.
Thank
you,
madam
chair.
A
Thank
you,
councilor
sabi
george.
I
also
want
to
acknowledge
we've
been
joined
by
councillor
julia
mejia.
So
thank
you
for
being
here
and
I
just
want
to
echo
the
thanks
to
folks
from
the
administration
bmc
as
well
for
being
here
this
morning
we
have
a
lot
of
great
panelists,
I'm
going
to
jump
right
in
and
turn
it
over
to
you
sergeant,
messina
or
jenna.
Are
you
going
to
lead
the
the
presentation?
A
That'll?
Be
me
okay,
so
we'll
turn
it
right
over
to
you
get
right
into
it
and
then,
after
all
the
panelists
speak.
We'll
then
go
to
olly
questions.
If
they
want
to
add
in
the
opening
remarks,
they
can
do
so
then
so
jenna,
it's
all
you
and
I
think,
kerry
working
behind
the
scenes
is
going
to
help
us.
C
C
Everybody
see
that
okay,
everybody
hear
me:
okay,
okay,
great,
so
I'm
jenna
savage,
I'm
the
deputy
director
of
research
and
development
at
the
boston
police
department.
I'm
gonna
be
doing
this
presentation
with
tasha
ferguson
and
lauren
snyder.
From
best
I
wanna
first
say
thank
you
to
madam
chair
for
hosting
this
hearing
and,
of
course,
to
counselor
savvy
george
for
sponsoring
it.
It's
been
a
pleasure
working
with
you
on
this
work
over
the
years.
So,
let's
get
right
to
it.
C
So
just
to
give
a
sense
of
the
scope
of
the
issue
in
2019
there
were
about
10
000
mental
health
calls
for
service
in
the
city
of
boston,
the
the
the
code
edp
is
for
emotionally
disturbed
person
and
about
7.
000
of
them
were
edp2,
which
means
that
there
was
either
a
weapon
present
or
some
sense
of
violence
or
threat
of
violence
to
sell
for
others
and
to
those
types
of
calls
that
are
coded
at
these
sedp
twos.
Both
police
and
ems
respond
to
those
calls.
C
There
are
also
edp
three
calls
and
there
were
about
2
700
of
those
where
just
ems
responds
those
are
lower
level.
You
know
there's
no
sense
of
violence,
no
threat
no
risks
or
concerns,
but
we
should
also
keep
in
mind
that
these
10
000
are
severe
under
count,
because
these
are
only
those
calls
that
are
coded
specifically
as
mental
health
related.
C
So
keep
in
mind
that
there
are
so
many
other
types
of
calls
that
end
up
having
mental
health
involved,
including
domestics,
investigate
persons,
family
trouble,
overdoses,
I
mean
so
many
different
calls
involve
mental
health,
so
10
000
is
severely
under
counting
just
the
extent
of
the
scope
of
the
issue,
but
just
to
give
a
sense
of
how
many
calls
we
get
in
the
city
of
boston
and
thank
you
to
ems
for
their
data
on
that.
C
First,
they
could
send
the
person
with
ems
and
have
them
transported
to
an
emergency
department
which
can
be
absolutely
the
proper
response,
but
there
are
also
cases
where
that's
not
necessarily
the
best
response.
It's
also
expensive
and
it
doesn't
guarantee
the
person
is
going
to
get
the
services
they
need.
The
person
can
also
just
be
told
to
kind
of
stay
where
they
are
or
move
along,
and
that
does
not
connect
them
to
services
in
any
way,
shape
or
form
or
when
there's
criminal
behavior
involved.
C
They
can
be
arrested,
which
again
might
be
the
proper
response,
but
then
involves
the
person
with
mental
health,
mental
health
issues
in
the
criminal
justice
system,
which
can
have
its
own
repercussions
and
since
2010
formerly,
the
bpd,
has
been
partnering
with
the
boston,
medical,
center's,
boston,
emergency
services,
team,
their
mental
health
partner,
and
that
has
really
changed
the
way.
Bpd
does
business.
With
respect
to
mental
health
response,
and
with
that,
I'm
going
to
turn
over
to
tasha
ferguson.
D
So
what
I'm
going
to
describe
first
and
thank
you
jennifer,
setting
that
up
also.
Thank
you.
Certainly
the
city
council
for
inviting
us
here
today
is
our
general
best
team,
our
overall
team,
which
does
respond
to
the
community
with
and
without
police,
and
so
I
think,
that's
an
important
context
to
set.
So
we
are
the
emergency
services
provider
that
covers
the
greater
boston
area
and
that
is
all
of
suffolk
county
as
well
as
brookline,
cambridge
and
somerville.
D
There
are
emergency
services,
programs
that
cover
every
city
in
town,
in
massachusetts
and
for
our
area
and
responding
to
boston,
boston,
medical
center
is
the
lead
agency.
We
also
work
with
two
community
partners:
bayco
human
services
and
north
suffolk
mental
health
association
to
deliver
services
into
the
community.
D
So
the
core
of
what
best
is
is
that
it's
a
mobile
psychiatric
response
to
the
community,
and
this
is
performed
by
masters
level
clinicians.
It
is
available
24
7
to
the
residents
in
the
areas
that
we
serve
and
I'll
just
point
now
and
just
illustrate
that
at
the
bottom
of
each
of
these
slides
is
our
800
number.
This
is
a
toll-free.
D
Our
goal,
our
mission
and
the
mission
of
all
emergency
services
programs
is
to
respond
in
a
mobile
capacity
into
the
community,
to
the
site
of
where
someone's
experiencing
their
crisis,
to
help
resolve
that
crisis
and
and
hopefully
in
responding
to
the
community
to
also
reduce
overcrowding
at
emergency
departments,
which,
I
think
we're
all
well
aware,
is
a
significant
issue
in
the
commonwealth
right
now.
D
Our
clinicians,
who
work
for
best,
are
really
experts
in
emergency
psychiatric
evaluation
and
also
into
linkages
to
treatments,
and
so
these
can
be
traditional
behavioral
health
resources.
They
can
also
be
other
kinds
of
basic
resources
and
needs
that
we
know
that
many
of
the
individuals
struggling
with
behavioral
health
and
community
experience
alongside
their
behavioral
health
issues.
Let
me
pause
here
to
say
also
by
behavioral
health
that
does
extend
as
well
to
people
with
substance,
use
disorders
or
concerns
around
substance.
D
We
also
run
through
emergency
services
to
community
crisis
stabilization
units
which
are
treatment,
settings
they're,
24-hour
treatment
settings.
We
have
two
units
located
in
boston.
One
is
on
the
boston
medical
center
campus
in
the
solomon
carter,
fuller
building,
and
then
we
have
an
additional
unit
in
the
longwood
medical
area
at
20
vining
street,
which
is
a
mass
mental
building.
D
Okay,
so
you
know-
and
I
think
this
is
really
the
the
crux
of
what
we're
meeting
about
today-
how
how
best
helps
bpd
officers
and
again,
let
me
offer
for
context
here.
This
is
both
in
terms
of
our
co-response
project
and
partnership
that
we've
had
with
bpd
for
many
years
now.
It's
also
for
officers
who
may
not
be
currently
partnered
with
a
co-responder.
D
They
equally
have
access
to
the
rest
of
our
best
resources,
and
I
think
that's
important,
because
even
with
additional
clinicians
and
we're
very
grateful
for
the
opportunity
to
expand
our
team,
there
are
still
always
going
to
be
far
fewer
clinicians
writing
with
officers
than
officers
out
in
the
community.
You
know
providing
for
the
public.
So
even
if
an
officer
is
not
paired
with
a
clinician,
they
can
still
receive
these
benefits
and
we're
very
happy
to
offer
them.
D
So
one
is
that
whenever
there's
an
individual
with
behavioral
health
issues,
again
traditional
mental
health
concerns
or
substance
use
disorder
in
the
community.
We're
able
to
assist
the
officer
in
determining
the
correct
response
so
for
individuals
who
might
have
very
high
needs
be
sort
of
dangerous
to
themselves
or
others.
We
are
able,
through
consultation
with
our
psychiatrist,
to
either
issue
a
section
12
or
assist
police
in
appropriately
issuing
a
section
12
to
have
the
individual
brought
to
an
emergency
department
for
further
evaluation.
D
We're
also
able
again
either
on-site,
because
it's
a
co-responder,
clinician
or
a
mobile
team
clinician
may
be
able
to
meet
an
officer
at
a
scene
where
they're
assisting
an
individual
in
the
community.
We
can
offer
intervention
right
on
site,
and
this
often
looks
like
de-escalating
the
situation,
having
a
just
brief
therapeutic
opportunity
for
the
person
to
express
their
concerns
and
making
recommendations
to
them
about
what
kind
of
behavioral
health
services
may
be
beneficial
to
assist
them
with
whatever
brought
them
to
police
attention.
D
Aside
from
those
services
that
we
offer
in
the
community,
we
are
also
able
to
go
into
police
stations
to
assist
with
an
individual
who
might
be
being
held
in
a
holding
cell
at
that
time
and
experiencing
some
crisis.
And
so
again
that
looks
like
de-escalating
the
situation
or
assisting
to
de-escalate
the
situation.
D
Providing
a
safety
assessment
on
whether
or
not
the
person
should
continue
to
be
held
in
the
holding
cell
or
if
that
situation
is
not
appropriate.
We
would
assist
in
issuing
a
section
12
to
transport
the
person
again
to
an
emergency
department
where
their
needs
can
be
met,
and
we
are
responsible
to
connect
with
the
desert
designated
forensic
professional.
D
D
In
addition
to
those,
we
will
also
provide
follow-up
or
intervention
for
individuals
who
may
be
repeat,
9-1-1
callers,
and
there
are
many
unfortunate
cases
where
individuals
due
to
symptoms
of
their
mental
illness
or
sometimes
some
of
our
frail
elderly
consumers
that
we
meet
in
the
community
have
a
lot
of
fears
which
result
in
them
calling
911
repeatedly.
There
is
not
a
public
safety
concern,
but
certainly
they
do
need
support
and
our
hope
would
be
to
support
them
so
that
we
can
reduce
their
call
to
the
911
and
reduce
that
expenditure
of
resources.
D
Certainly
many
of
the
calls
that
we
assist
bpd
with
involve
families
that
are
experiencing
a
crisis,
an
interpersonal
crisis,
a
domestic
crisis,
and
so
we
provide
some
support
and
referral
to
services
for
individuals.
In
those
circumstances,
I
mentioned
briefly
already
that
some
of
the
individuals
we
interact
with
maybe
older
adults,
but
equally
for
juveniles-
or
you
know,
youth
in
the
community,
both
in
the
community
and
at
schools,
we're
able
to
provide
a
response
to
them
when
they've
been
brought
to
the
attention
of
police.
D
Finally-
and
I
think
this
is
very
important-
whenever
able
we
assist
in
diverting
situations
that
do
not
require
an
ems
ride
to
the
emergency
department,
this
is
important,
as
we
mentioned
earlier,
for
reducing
ed
overcrowding
when,
when
the
emergency
department
is
not
necessary
for
someone
to
receive
services,
and
also
certainly
it
results
in
significant
cost
savings.
You
know
there's
an
estimate
here
of
about
four
thousand
dollars
for
per
diversion.
We
think
it
may
even
be
higher
than
that,
but
you
know
sort
of
minimally
we're
looking
at
saving
a
lot
of
monetary
resources.
D
There
are
many
ways
in
which
boston
police
assist
my
team
currently
and
so
one
increases
safety
and
allows
the
clinicians
to
really
go
to
environments
that,
without
the
presence
of
boston
police,
we
may
not
feel
are
appropriate
to
send
a
clinician
into,
and
let
me
highlight
here,
our
clinicians
are
mental
health
experts,
but
they
are
not
public
safety
experts,
and
so,
if
a
situation
requires
some
physical
intervention
or
the
assurance
of
physical
safety,
and
we
often
will
call
upon
boston
police,
even
if
we
didn't
initially
arrive
on
scene
with
them,
we
may
be
calling
9-1-1
to
have
someone
respond
to
assist
us
with
that
situation
for
clinicians
who
are
corresponding
with
police.
D
It's
a
significantly
faster
response
time.
All
emergency
services
programs
have
a
one-hour
response
time
and
that's
part
of
our
contract
and
sort
of
the
metrics
that
we
try
to
reach.
But
one
hour
can
feel
like
a
very
long
time
when
somebody's
in
crisis,
and
so
our
clinicians,
who
are
right
around
in
cars
with
officers,
are
able
to
arrive
on
scene
much
much
faster
than
that
and
provide
a
more
immediate
response
which
again
may
help
to
prevent
a
further
escalation
of
the
situation
or
need
for
a
arrival
at
an
emergency
department.
D
It
also
allows
us
to
even
just
introduce
the
idea
of
emergency
services
to
individuals
so
that,
if
the
reason
they
did
not
call
best
in
the
first
place
was
because
they
were
not
aware
of
our
services-
and
you
know,
despite
efforts,
that
certainly
continues
to
be
the
case
on
some
occasions.
We
can
now
provide
them
that
information
so
that
moving
forward,
they
could
choose
to
call
us
if
they
are
comfortable
with
that,
if
they
do
find
themselves
in
need
of
behavioral
health
services.
D
D
What
we
have
heard
previously
from
officers
is
that
they
may
not
feel
totally
comfortable
doing
so
until
they
really
have
that
knowledge
and
expertise
that
I
think
we
provide
either
directly
on
scene
or
through
trainings,
which
you're
going
to
hear
about
in
a
little
bit
to
help
them
make
sure
that
they
are
fulfilling
that
responsibility
safely,
appropriately
ethically,
and
so
we're
happy
to
you
know,
provide
them
assistance
to
again
sign
their
own
section
12s
or
to
issue
it.
You
know,
in
the
case
that
our
psychiatrist
may
be
a
better
source
of
that.
D
C
Sasha
just
to
give
a
bit
of
history
as
counselor
sabby
george
mentioned,
we've
been
going
back
with
best
for
quite
a
while.
Now
the
1
800
number's
been
around
I'm
not
even
sure
how
long
and
initially
the
bpd
partnership
with
best
was
with
a
focus
on
homelessness
with
our
former
former
street
outreach
team,
which
many
of
you
probably
remember,
al
zallaway.
He
was
wonderful
and
is
now
happily
retired,
but
in
2010
I
should
give
a
shout
out
to
andrea
hall.
C
From
best
this
is
tasha's
predecessor
who
came
to
us
and
with
the
idea
of
expanding
this
and
making
this
partnership
more
formal,
and
at
that
time
we
applied
for
a
federal
grant
through
bja
and
also
a
state
department,
mental
health
grant
as
well,
and
the
bja
grant
the
federal
grant
allowed
us
to
develop
an
e-learning
video,
which
is
a
electronic.
C
You
know
a
virtual
way
for
officers
to
learn
and
it
was
made
mandatory
for
all
officers
to
really
learn
about
who
is
best
when's,
the
right
time
to
call
them
what's
the
best
or
what's
the
best
way
to
contact
them.
So
it
really
just
started
to
increase
awareness
about
best
existence
and
how
that
can
be
helpful
and
helpful
to
officers.
C
At
that
point,
I
think
most
people
did
not
really
know
about
them
and
then,
through
our
state
dmh
grant,
we
were
able
to
launch
this
co-response
program
and
that
was
through
again
dmh
funds
and
it
was
piloted
in
district
v2,
which
is
roxbury,
and
that
was
okay,
so
more
about
the
co-response
program.
So,
as
tasha
mentioned
clinicians
when
they're,
corresponding
or
just
through
24
7
hotline
they're
available
citywide
but
beginning
in
2010,
we
started
this
co-response
program
using
grant
funds
first,
the
department
of
mental
health
and
then
over
the
years.
C
We
also
got
federal
bja
funds
as
well,
but
basically
we
are
able
to
put
clinicians
directly
in
district
stations
where
they
can
ride
along
with
officers
and
again
we
piloted
it
in
area
b,
we've
also
used
these
funds
to
support
a
part-time
peer
specialist
and
again
we
had
a
bja
funded
clinician
for
a
while
on
area
c,
which
is
south
boston
and
dorchester.
C
But
currently
those
funds
have
expired,
and
that
really
goes
to
the
point
of
how
difficult
it
is
to
rely
on
grant
funding
for
these
positions
because
the
funds
come
and
go
and
it
makes
it
really
hard
to
have
that
turnover
and
establish
those
relationships
because,
as
you
probably
can
imagine,
it
was
not
easy
getting
officers
to
trust
these
clinicians
and
having
them
ride
with
them.
It
took
a
long
time.
C
So
I
should
also
give
a
shout
out
to
ben
linski,
who
is
now
an
officer
himself,
but
he
really
did
that
groundwork
of
kind
of
working
through
the
barriers
of
officer,
trust
and
getting
to
know
people
and
really
made
it
possible
for
this
program
to
to
take
root
but
beginning
in
2017,
and
here
I
have
to
thank
again
councillor
savvy
george
and
then
council
presley
took
an
interest
in
this
and
really
brought
us
the
forefront
and
enabled
us
to
get
city
council
like
operating
budget
funds
to
hire
more
clinicians
and
we've
had
about
234
thousand
dollars
in
our
operating
budget
since
then,
since
since
2017.
C
So
for
the
last
three
fiscal
years.
So,
in
addition
to
our
one
dmh
funded
clinician,
who
still
covers
area
b,
which
is
roxbury
matapan,
we
now
have
because
of
city
council
funds,
a
full-time
clinician
covering
area,
a
a
part-time
clinician
area
e
and
a
clinician
who
covers
dairy
area
d4.
But
that
person
also
is
the
clinical
supervisor.
C
C
E
Clinicians
are
usually
paired
up
with
the
officer
at
the
discretion
of
the
duty
supervisor
at
roll
call.
Sometimes
that
happens
because
an
officer
makes
themselves
available,
they
like
being
partnered
with
a
clinician
and
they
offer
themselves
up
for
that
capacity
and
other
other
times
the
the
decisions
made
based
on
sort
of
the
sectors
that
the
officer
will
be
covering
and
what
makes
the
most
sense
to
give
the
most
flexibility
for
moving
around
the
district
to
field
these
kinds
of
calls.
E
But
we
start
the
ship
with
the
officer
we
get
into
the
cruiser
with
them.
We
are
outfitted
with
radios
with
vests
for
safety,
and
when
the
officer
signing
on
to
the
system
within
dispatch,
they
let
the
dispatcher
know
that
the
clinician
from
best
will
be
riding
with
them
for
that
shift.
So
the
dispatcher
then,
is
aware
that
they
can
channel
any
of
the
calls
that
relate
to
edps.
These
emotionally
disturbed
person
classify
classified
calls
or
any
other
kinds
of
related
calls,
such
as
family
trouble
or
man
down
calls
of
that
nature
to
this
unit.
E
E
There
are
pros
and
cons.
Certainly
to
that.
One
of
the
great
things
is
that
there
are
people
in
distress
a
lot
of
the
times
on
calls
that
aren't
designated
as
emotionally
disturbed
persons,
so
we're
sometimes
able
to
help
with
distressed
family
members,
so
the
officer
is
able
to
attend
to
their
duties
or
people
who
are
traumatized
because
of
whatever
incident.
E
Some
crime
has
occurred,
some
things
such
as
that,
but
additionally,
because
we
might
be
on
unrelated
calls
if
a
dispatcher
is
to
dispatch
a
call
to
a
unit
that
does
not
have
the
clinician,
because
that
clinician
is
tied
up
on
a
non-related
call
with
their
officer
the
clinician's
always
listening
on
the
radio.
So
when
that
officer
wraps
up
those
functions,
the
clinician's
able
to
say
hey,
there's
another
unit
responding
to
an
edp
call.
You
know
a
few
blocks
away.
Could
we
go
and
support
that
officer?
So
both
things
are
happening.
E
The
dispatchers
are
trying
to
send
these
kinds
of
calls
to
the
unit.
That
includes
the
clinician
and
officer
co-responding,
but
then
also
the
clinician
is
sort
of
screening
the
environment
both
over
the
radio
and
on
the
the
computer
and
the
cruiser
so
that
they
can
see
what
what
details
are
coming
in
and
if
these
are
calls
that
they
think
that
they
could
be
helpful
with
so
in
one
or
the
other
of
those
ways.
That
brings
the
clinician
and
officer
paired
to
the
scene
of
one
of
these
calls
and
the
clinicians
doing
their
assessment.
E
Initially,
we
want
to
make
sure
the
scene
is
safe.
If
we're
going
to
support
an
officer,
who's
already
responded
to
a
call,
then
that's
sort
of
already
been
taken
care
of
before
we
arrive.
But
if
the
clinician
and
officer
paired
are
the
first
to
arrive
on
scene,
the
officer
is
making
sure
that
there's
no
immediate
safety
concern
the
clinicians
getting
involved,
providing
an
assessment
of
the
person's
clinical
needs
and
then
consulting
with
the
officer.
E
So
the
officer
can
make
the
best
decision
around
what
to
do
next,
so
we're
not
dictating
to
the
officers
that
this
person
must
go
to
a
hospital
or
they
must
not,
or
that
we
could.
We
must
provide
some
sort
of
service,
but
we're
giving
the
officer
an
expanded
menu
of
potential
dispositions
for
that
call
than
they
might
have
without
our
consultation.
E
So
sometimes
the
clinical
recommendations
may
be
something
that's
sort
of
secondary
that
we
might
make
to
the
the
person
in
need,
but
their
criminal
justice
related
needs
may
take
precedence,
and
so
we
might
be
leaving
information
about
the
best
team.
And
perhaps
you
know
how,
as
a
follow-up
or
next
time,
that
might
be
able
to
be
utilized
at
other
times.
We're
sort
of
saying:
hey.
E
The
behavioral
health
component
here
really
takes
priority
and
we
need
to
get
that
person
the
care
that
they
need
and
that
perhaps
the
criminal
nature
of
whatever
may
have
brought
the
call
to
light
may
not
be
all
that
that
critical.
Perhaps
it's
a
issue
of
trespassing
or
shoplifting,
something
with
maybe
a
lower
level
kind
of
crime
where
perhaps
charges
don't
need
to
come
from
that
incident,
or
maybe
the
person
might
be
able
to
be
summoned,
and
so
it's
really
up
to
the
officer
to
make
that
judgment.
E
Call
in
that
moment
about
whether
it's
going
to
you
know
be
the
clinical
needs
that
that
are
going
to
dictate
the
disposition
or
more
pressing
state
public
safety
needs
resulting
from
more
serious
criminal
activity.
E
So
that's
sort
of
that
options
piece
we're
often
in
that
moment,
working
with
ems
to
help
with
transports
if
a
person
does
need
to
be
brought
to
an
emergency
department.
So
as
you've
seen
on
some
previous
slides,
we
have
other
resources
available
to
us.
Sometimes
we're
having
a
best
mobile
clinician
come
out
and
do
follow-up
because
they
have
the
luxury
of
a
bit
more
time
than
the
corresponds.
Clinicians.
Have
since
they're
working
at
the
pace
of
the
police
officer,
sometimes
that's
what
we
do.
E
We
leave
the
person
and
a
clinician's
following
up
other
times
we're
sending
the
person
to
the
hospital
with
ems
and
other
times
we're
able,
through
this
partnership
with
the
police,
to
use
that
cruiser
as
a
alternative
transport
to
get
folks
to
locations
that
they
couldn't
have
gotten
to
without
this,
this
interface
really.
So
these
urgent
care
sites
are
the
way
I
describe
them,
often
is
sort
of
a
psychiatric
minute
clinic.
So
it's
a
place
of
staff.
E
We
can
bring
somebody
make
a
warm
hand-off
help
them
get
their
needs
met
more
quickly
than
in
an
emergency
department,
but
there's
certainly
less
structures
in
place
around.
You
know.
People
would
not
be
appropriate
to
be
brought
there
if
they
need
to
be
restrained
or
are
medicated
on
site
or
those
kinds
of
things,
so
we're
making
those
decisions,
and
then,
as
sasha
mentioned,
trying
to
figure
out
like
what's
the
right
way
to
get
the
person
to
those
services.
E
Sometimes
it's
ems-
sometimes
it's
on
their
own,
sometimes
best
is
coming
to
them
and
sometimes
dpd
is
doing
that
transport
and
then
the
call
gets
closed
and
both
both
parties
document
their
efforts,
as
I
mentioned.
Sometimes
that
might
involve
a
follow-up
visit
from
best,
so
the
call
might
kind
of
shift
from
being
a
police-based
call
to
a
more
behavioral
health-focused
intervention
that
can
last
longer,
but
the
police
intervention
ends
at
that
point.
E
This
is
a
slide
that
I
use
when
training
the
recruits
at
the
boston
ems
academy
and
it
sort
of
highlights
the
way
that
our
our
co-response
clinicians
are
thinking
about
triage
when
they're
in
the
community.
So
we're
really
kind
of
the
legs
for
those
urgent
calls
that
come
through
9-1-1
to
try
to
figure
out
how
to
navigate
this
situation
through
potential
best
resources
and
again.
That
decision
ultimately
rests
with
the
police
officer.
E
But
this
is
how
we're
thinking
through
what
guidance
we
might
offer
to
the
officer
in
that
moment,
so
the
kind
of
most
calm
lowest
tier
of
these
interventions
would
be
pass
off
to
a
mobile
crisis
clinician.
So
we
might
make
that
decision
if
the
person's
safe
to
wait
at
home,
wherever
they
might
be,
so
they
have
a
they
have
a
space
to
wait
in.
E
These
folks,
that
are
served
most
by
the
best
by
this
intervention
are
people
who
are
help
seeking
and
recognizing
that
they're
in
need
of
some
sort
of
service
themselves
that
they
might
be
able
to
hold
on
until
that
next
helper
can
come
on
scene
that
it's
not
so
critical
that
they
can't
be
left
to
themselves
or
with
another
person
to
provide
some
ancillary
support
until
we're
able
to
get
more
clinicians
back
to
their
scene
to
assist
them.
E
E
So
again,
I
just
mentioned,
like
the
person
on
the
street
corner,
may
be
difficult
to
locate
somebody
without
an
address,
or
things
like
that,
if
we
were
just
to
send
a
clinician
on
their
own,
so
we're
again
evaluating
what's
the
safety
of
the
environment
and
what's
the
safety
of
the
person
so
for
people
who
have
a
bit
more
urgency
and
their
need
to
be
evaluated,
we
might
consider
utilizing
the
best
urgent
care
centered
drop-off
sites.
E
So
these
are
locations
where
at
this
point,
only
ems
is
not
able
to
bring
people
to
these
settings,
but
boston
police
officers
are
able
to
do
that
safely.
Transport,
as
well
as
we
can
guide
folks
to
get
there
independently
or
we
can
even
assist
with
getting
people
cab
vouchers
to
be
able
to
safely
access
these
locations.
E
E
E
It
is
a
voluntary
environment
in
the
urgent
care
site.
So
this
is
not
a
location
where
we
would
be
sending
people
under
section
12..
The
person
would
have
to
be
in
agreement
that
you
know
this
is
something
that
they
want
to
do
if
they
change
their
mind
at
some
point.
During
that
process,
they're
able
to
walk
out
and
suspend
the
encounter,
so
we
are
trying
to
be
thoughtful
about
who
we're
bringing
there
and
when
we're,
bringing
people
there
and
all
of
the
the
best
ways
to
meet
that
person's
needs.
E
And
then
there
are
certainly
times
where
these
are
calls
that
are
coming
in
as
emergent
through
the
911
system
and
sometimes
we're
getting
to
those
scenes
deciding
that
the
behavioral
health
needs
are
going
to
take
precedence
and
the
disposition,
and
that
we
need
to
get
this
person
to
an
emergency
room
for
further
evaluation.
But
in
addition,
more
of
the
safety
and
containment.
E
So
that
might
be
the
best
and
most
appropriate
option
if
the
person
has
any
urgent
comorbid
medical
conditions.
So
if
they're
actively
overdosing
in
the
moment,
if
they
have
perhaps
self-injured
significantly
and
they
need
medical
attention
to
address
those
wounds
or
that
kind
of
thing.
Sorry
for
this
jargon
on
this
slide
high
likelihood
of
means
inpatient
level
care
as
a
disposition.
So
if
from
the
community,
this
person's
behavior
is
such
where
we
believe
that
it
is
likely
that
they
will
end
up
needing
to
be
hospitalized.
E
As
a
result
of
the
evaluation,
it
may
make
sense
to
have
that
person
just
start
their
encounter
in
the
emergency
department,
because
that
is
where
they
will
be
waiting
to
be
transferred
to
an
inpatient
facility
for
admission,
if,
in
fact,
the
case
unfolds
the
way
we
anticipate
it
to
when
we
have
that
initial
triage
in
the
community
and
then
if
people
are
disoriented
in
the
community,
they're
not
sure
where
they
are,
who
they
are
time
date
place.
E
E
C
Thank
you
all
right,
you're
stuck
with
me
for
the
duration
for
the
rest
of
the
presentation,
so
some
outcomes
of
bpd
partnering
with
best,
and
there
are
a
lot
of
them
and
there's
quite
a
few
of
these
slides
as
a
result
just
for
comparison
and
as
a
kind
of
demonstration
of
input
and
buy-in
from
the
bpd
in
20
in
2010.
C
When
this
kind
of
first
started
a
total
of
25
people
were
referred
to
best
by
bpd
by
comparison
in
fiscal
year
2020
we
had
401
times
that
emergency
department
and
ambulance
ride
transports
were
avoided.
We
had
10
people
get
holding
cell
evaluations,
we
had
bpd,
seek
referrals
and
consultations
through
the
1-800
hotline
for
236
people,
and
they
refer
directly
to
the
clinicians
for
563
people
and
also
importantly,
as
lauren
and
tasha.
Both
mentioned
best
is
really
important,
also
for
doing
follow-ups.
C
C
other
outcomes.
Obviously,
as
you
can
imagine,
is
divergent
from
arrest,
so
it's
important
to
note
that
about
66
of
the
times
that
bpd
and
best
corresponded
to
a
call
for
service
66
of
those
were
non-criminal
behaviors
and
the
bpd
is
just
going
to
be.
You
know,
that's
a
reality
is
that
people
are
going
to
call
9-1-1
for
these
types
of
situations,
and
it's
really
helpful
to
have
the
best
there
to
help
especially
handling
non-criminal
cases.
C
But
importantly,
in
34
there
was
criminal,
behavior
involved
and
out
of
those
34
percent
of
the
total,
which
is
people
were
arrested,
only
27
percent
of
the
time
having
a
best
clinician
there,
as
lauren
mentioned,
especially
it's
a
really
huge
tool
for
officers
to
have
as
an
alternative
to
arrest,
and
even
when
arrest
is
required
and
again
sometimes
that
is
the
appropriate
response.
There's
also
a
best
encourages
bpd
to
issue
summons
instead
of
arresting
on
scene,
which
enables
the
best
clinician
to
stay.
There
provide
more
help.
C
The
person
you
know
can
actually
stay
home
and
get
summoned
to
court
at
a
later
date,
which
really
allows
for
for
more
assistance
in
the
moment,
and
as
tasha
mentioned,
a
lot
of
training
developments
have
happened
over
the
years
again.
Our
initial
federal
funding
allowed
us
to
make
an
e-learning
video
about
best.
C
As
I
mentioned
recently,
we
developed
an
e-learning
video
on
section
35s,
which
is
mandatory
detox,
we're
going
to
be
making
one
for
section
12s,
which
have
been
mentioned
a
couple
of
times,
which
is
mandatory,
psych
evaluations,
so
we're
working
on
that
again.
These
are
tools
that
are
being
increasingly
used
by
officers
that
are
hugely
important.
C
We've
also
had
best
come
in
and
teach
our
our
officers
at
the
academy
they're
apart,
every
recruit
class
that
comes
through
is
taught
by
lauren,
usually
with
dan
harlow.
We,
you
know,
we
have
they,
you
know
they
they
get
to
know
their
faces
and
they
really
kind
of
the
second
they
come
in.
They
know
who
best
is
and
how
they
can
be
helpful
and
they
also
do
other.
You
know
in-service
trainings,
for
veteran
officers.
We've
also
been
getting
cit
training
for
officers.
C
So
as
crisis
intervention
team,
which
is
a
40-hour
mental
health
training
for
officers,
that's
a
best
practice
in
and
of
itself,
we've
been
using.
We've
been
very
fortunate
to
get
state
dmh
funds
to
provide
backfills
so
that
our
officers
can
go
to
training
centers
locally,
particularly
in
brookline
and
somerville,
to
receive
these
40
hours
of
cit
training.
C
We've
had
more
than
110
officers
trained
so
far,
but
best
is
always
heavily
involved
in
that
as
well
and,
even
more
importantly,
we're
looking
into
developing
our
own
cit
training
out
of
our
bpd
academy,
because
part
of
the
issue
is
when
you,
when
you're
learning,
what
the
proper
response
is
to
a
mental
health
related
call.
It
really
is
important
to
know
what
your
local
service
providers
are,
your
local
resources.
C
I
mean
they'd,
be
there
from
the
ground
up,
and
it's
also
important
to
note
that
when
officers
arrive
with
clinicians,
they
receive
one-on-one
training.
In
just
fiscal
year,
20
alone
we
had
over
160
officers
enrolled
with
clinicians
and
those
clinicians.
You
know
those
officers
are
learning
on
the
go:
they're
learning
how
to
fill
out
section,
12s,
they're
learning
about
the
urgent
care
center,
and
so
it's
really
wonderful,
and
I
also
want
to
mention-
I
think,
we've
got
at
least
a
few
of
our
clinicians
besides
lauren
here,
and
so.
C
If
anyone
has
questions
for
them,
they've
been
just
a
phenomenal
team.
We
also
had
a
working
group.
This
could
be
a
whole
presentation
in
and
of
itself
there's
this
thing
called
the
the
boston
community
justice
project,
which
is
part
of
a
larger
massachusetts
initiative
initiated
by
the
trial
court,
and
I
mean
I'm
guessing.
C
Maybe
some
of
you
have
come
to
one
of
these,
but
we
do
these
things
called
sequential,
intercept
mappings,
where
you
locate
intercepts
where
you
can
try
and
prevent
people
with
mental
health
and
substance
abuse
issues
from
becoming
involved
in
the
criminal
justice
system.
So
you
bring
together
partners
from
all
along
the
spectrum
and
really
identify
where
there
are
gaps
and
where
their
priorities
and
trying
to
improve
connections
and
partnerships
and
collaborations,
and
it's
a
phenomenal
project.
C
Thank
you
to
marissa,
hevel
who's
been
hugely
helpful
and
thank
you
to
judge
coffey
out
of
west
roxbury,
who
really
spearheaded
this
in
boston
and
so
for
that
project.
There
is
a
steering
committee
that
best
of
bpd
are
both
heavily
involved
in
and
there's
also
different
subcommittees
that
help
to
address
the
issues
that
are
identified
and
one
of
those
issues
that
was
identified
from
the
get-go
and
at
every
mapping
we've
had
is
the
need
for
more
co-responders.
C
So,
for
a
few
years
now,
we've
had
this
co-responder
subcommittee
that
is
largely
composed
of
bpd
best
in
ems.
We
also
have
other
partners,
as
you
can
see,
like
dds
the
mayor's
office
of
recovery
services,
melissa
moravido,
who
is
our
academic
partner
out
of
umass
lowell
who's,
helping
us
do
evaluations
over
the
years.
C
Everyone's
involved
we've
been
meeting
monthly
for
years
now,
and
it's
really
helped
to
improve
relationships
across
these
different
agencies,
and
it's
going
to
really
naturally
evolve
into
a
working
group
that,
as
we
expand
our
bpd
best
partnership
can
really
help
guide
that
expansion
and
improve
relationships,
because
we
already
have
this
great
working
group
in
place.
So
that's
going
to
be
huge
other
outcomes.
C
I
could
also
do
a
whole
presentation
on
the
street
outreach
unit,
who
I
believe
is
here
today.
If
you
have
questions
for
them,
but
they're
a
relatively
new
addition
to
the
bpd,
they
are
a
proactive
group
of
officers
who
you
know,
get
reach
out
to
high
utilizers
of
services
in
a
really
unique
and
wonderful
way.
So,
of
course,
they
work
very
closely
with
best
clinicians
and
then
we
also
again,
that's
sergeant
peter
messina
is
here
from
there.
C
Definitely
mike
stratton
couldn't
make
it
today,
but
they've
just
they've
changed
the
whole
game
having
their
presence
in
their
buy-in.
We
also
have
hub
tables
currently
in
east
boston
in
jamaica,
plain,
but
we're
looking.
We
just
posted
a
job
position
if
you're
interested
in
a
hubs,
a
citywide
hub
coordinator.
We
want
to
take
that
model
citywide
again,
I
can
go
into
that,
but
best
of
bpd
both
work
closely
together
on
that
best
assists
bpd
with
code99s,
which
are
barricaded
individuals.
C
So
if
someone's
barricaded
themselves
and
they're
locked
themselves
in
a
room
with
a
knife
best
is
on
that
call
list,
they're
going
to
be
there
and
help
negotiate
that
situation
and
be
on
hand
to
provide
mental
health
assistance
dedicated
car
pilot
program.
We
worked
with
melissa
morbido
on
that
as
well,
but,
as
lauren
mentioned,
our
clinicians
when
they
arrive
with
officers,
are
not
in
a
dedicated
car,
which
means
again,
if
they're
with
an
officer
and
there's
a
burglary
around
the
corner.
C
They're
gonna
have
to
go
to
that
burglary
and
the
clinician
ends
up
sitting
in
the
car
and
waiting
while
the
officer
goes
to
to
assist
it's
not
always
the
best
use
of
the
clinician's
time.
So
we
did
a
pilot
program.
I
guess
a
couple
years
ago
now,
where
we
were
actually
able
to
use
funds
to
have
a
dedicated
mental
health
car
which
made
a
huge
difference
so
that
when
the
clinician
was
responding
to
mental
health,
that
you
know,
that
was
what
they
were
doing.
C
That
car
only
went
to
mental
health
calls
and
when
they
weren't
going
responding,
they
could
do
proactive
follow-ups
and
we
found
that
the
follow-ups
and
melissa
could
probably
speak
to
this
better
when
she
testifies
later.
But
the
follow-ups
play
a
huge
role
and
really
can
make
a
huge
difference.
C
So
having
that
better
use
of
clinician
time
is
just
kind
of
a
pipe
dream
but
someday
having
a
mental
health
multiple
months.
Multiple
mental
health
cards
would
be
great
just
something
to
keep
in
mind.
We've
also
been
working
really
closely
with
boston,
public
schools,
melissa
and
I
have
been
doing
a
bunch
of
research
with
boston,
public
schools
and
with
our
research
partner,
jen
green
at
boston
university.
We're
also
part
of
a
mental
health
and
crisis
intervention
coalition.
C
That's
focusing
on
mental
health
in
schools
and
we
meet
regularly
and
of
course,
counselor
savvy
george
has
a
mental
health
providers
roundtable
that
we
all
participate
in
and
she's
gonna
be
having
an
upcoming
mental
health
commission
that
we'll
be
happily
involved
in
so
bpd
and
best
since
we
kind
of
started
this
thing
have
been
doing
just
a
ton
of
work
together
and
it's
been
a
real
pleasure.
C
So
that
brings
us
to
where
we
are
today
and
our
current
gap.
So,
as
you
know,
we
have
only
four
clinicians
right
now,
which
seems
just
so
sparse
compared
to
our
needs,
city-wide
and
again,
keep
in
mind
that
one
of
those
clinicians
is
grant
funded,
so
only
three
of
them
are
stably
funded
through
the
operating
budget.
C
So,
as
you
can
imagine,
we're
lacking
coverage
in
various
ways,
including
not
every
district,
let
alone
area
has
its
own
clinician
and
even
in
those
districts
and
areas
that
do
have
them,
they
only
have
them
on
one
shift,
so
we
have
other
shifts
that
aren't
covered.
We
have
specialized
units
that
would
benefit
from
having
clinicians
the
operations.
9-1-1
call
center
is
something
we're
thinking
about
doing.
Having
a
clinician
embedded
there.
C
I
think
we're
going
to
talk
more
about
that
in
a
second
proactive
follow-up,
as
I
mentioned,
is
a
huge
benefit
of
clinicians
and
there's
a
gap
there.
We
need
more
of
that
threat
assessment,
there's
a
whole
other
level
that
sergeant
cena
still
here.
He
can
talk
about,
but
that's
a
whole
level
of
the
game
that
we're
just
not
we're
not
doing
it
right
now
and
again,
peer
support.
C
We
have
a
part-time
peer
specialist,
now
funded
through
our
dmh
grant,
but
having
peer
services
is
really
important
as
well,
and
so
we
really
could
use
more
of
that
and
then
so
now
that
we're
up
to
two
million
dollars
in
our
current
final
year
budget,
which
is
amazing,
we're
obviously
going
to
continue
to
support
the
three
existing
clinician
positions,
but
it's
going
to
enable
us
to
hire
15
more
so
some
things
that
we're
thinking
about
doing
are
a
full-time
clinical
supervisor.
C
We
have
lauren,
who
supervises
now
part-time,
but
we're
going
to
have
you
know
a
lot
more
clinicians
now,
so
we're
gonna
probably
need
a
full-time
supervisor
as
well,
more
district
level,
clinicians
weekends.
After
hours,
a
couple
of
specialized
units
that
we
think
could
use
some
coverage
would
be
the
school
police
unit,
a
family
justice
group
which
includes
sexual
assault,
unit,
human
trafficking,
domestic
violence
and
crimes
against
children.
C
The
street
outreach
unit
would
benefit
from
having
one
assigned
just
to
them,
because
they're
again
they're
doing
that
proactive
outreach
and
having
a
clinician
with
them,
who
has
access
to
everyone's
medical
records,
is
usually
helpful
operations
911
call
center.
We've
talked
about
embedding
a
clinician
in
the
911
call
center,
so
they
can
triage
calls
as
they
come
in.
So
they
cannot.
C
You
know,
so
they
can
actually
possibly
help
right
there
and
just
take
care
of
things,
but
make
sure
they
really
identify
what
the
call
is
and
who
would
best
assist
and
possibly
do
some
active
assisting
over
the
phone.
We
also
want
to
share
these
funds
with
boston.
Ems
who's
been
an
amazing
partner,
and
they
I
mean.
The
reality
is
that
bpd
and
ems
are
going
to
be
working
together
on
a
lot
of
these
calls.
So
we
know
a
clinician
would
also
be
hugely
helpful
for
them.
C
So
we
think
we
would
like
to
have
a
clinician
that
can
help
ems
with
follow-up
as
well.
Their
squad
80
would
benefit
from
having
a
clinician
and
they
also
have
a
grant
coming
through.
It's
called
the
et3
program
that
will
enable
them
to
transport
to
non-eds.
I
think
we'll
ultimately
want
to
have
a
clinician
for
that.
So
there's
there's
just
so
much.
We
can
do
just
to
demonstrate
buy-in.
This
slide
just
shows
in
2010
when
we
first
got
a
clinician.
C
We
kind
of
had
to
shove
that
clinician
down
a
captain's
throat,
they
didn't
really.
You
know
we
just
we
tried
to
force
it
and
we
it
took
years
for
this
this
program
to
really
take
root,
and
now,
when
deputy
stratton
surveyed
all
the
captains
to
see
who
would
want
what
they
all
came
back
with
at
least
one
clinician,
including
a
bilingual
in
east
boston,
the
need
is
out
there
but,
more
importantly,
the
buy-in.
The
need
was
always
there.
C
The
reality
is,
but
the
buy-in
has
been
a
challenge
over
the
years
and
now,
as
you
can
see,
the
captains
are
just
really.
They
understand
the
value
of
this
program.
They
all
want
clinicians,
including
the
family
justice
group.
It's
just
the
need.
Is
there
the
want.
Is
there
so
with
respect
to
next
steps
that
working
group
I
mentioned
as
soon
as
we
have
this
meeting,
I'm
gonna
get
that
working
group
going
virtually,
so
we
can
start
really
guiding
the
expansion
of
this
program.
C
I
believe
five
of
the
positions
have
already
been
posted,
just
kind
of
generic
clinician
positions,
so
just
because
the
hiring
process
will
probably
take
a
bit
and
we're
gonna.
Finalize
that
budget
and
and
get
going
well,
that's
it!
Thank
you.
A
Jenna,
thank
you
guys
so
much
to
the
entire
team
for
this
incredible
presentation,
denise
and
I
were
texting
just
to
make
sure
we
had
all
the
panelists
and
talk
about
a
timely
update,
given
all
that
we're
talking
about
in
terms
of
the
collective
trauma
we're
all
feeling
with
respect
to
so
much
so.
Thank
you
guys
so
much
for
the
thoroughness
before
I
go
to
colleagues
and
including
the
lead
sponsor.
I
just
want
to
quickly.
A
F
I
just
need
one
second
to
get
into
my
office
and
close
the
door.
How
are
you.
A
I'm
doing
well
and
take
your
time
while
you're
doing
that.
I
want
to
check
to
see
if
the
other
panelists
are
here
too
do
we
have
mike
andrick,
and
I
apologize
mike
if
I
said
your
last
name
wrong.
A
E
Mike
vandrick
is
listed
as
an
attendee
right
now,
but
he
maybe
could
get
moved
into
that
particular.
A
Perfect,
oh
john:
if
you
need
more
time,
I
can
start
with
another
panelist.
Let
me
give
you
a
few
more
minutes.
A
Take
your
time
melissa!
How
about
I
go
to
you
to
provide
some
testimony
and
then
go
back
to
john
and
then
mike,
oh
great,
okay,.
G
I'm
so
I'm
melissa,
marvito,
I'm
on
faculty
at
the
school
of
criminology
and
business
studies
at
umass,
lowell
and
I've
been
working
with
bpd
is
an
academic
partner
for
the
last
10
years
evaluating
the
co-responder
program.
In
that
time,
I've
seen
the
correspondent
program
grow
in
size,
acceptance
and
impact,
and
I
fully
believe
that
the
program
is
ready
to
expand.
So
let
me
share
how
I
know
this.
G
Over
the
last
decade
I've
been
collecting
a
lot
of
data.
I've
conducted
right
along
with
clinicians
and
corresponding
teams.
I've
interviewed
officers
and
clinicians.
I've
looked
at
calls
for
service
data
and
analyze
the
information
collected
by
the
clinicians
to
learn
about
their
cause
for
service
and
we've
learned
a
lot.
So
it's
very
difficult
to
measure
the
absence
of
a
thing.
I
can't
tell
you
how
many
incidents
will
potentially
be
escalated
because
of
core
response,
but
what
I
can
tell
you
is
that
the
work
of
the
teams
is
incredibly
promising.
G
Last
spring
cpd
conducted
a
dedicated
car
pilot
that
jenna
mentioned,
and
this
meant
that
the
team
would
be
freed
up
to
only
respond
to
calls
for
service
that
involves
behavioral
health,
and
we
wondered
if
there
would
be
enough
for
the
clinicians
to
do
right
and,
if
there'll
be
a
good
use
of
time
for
boston,
bpd
and
the
results
were
really
exciting.
G
First,
the
pilot
confirmed
that
most
of
the
incidents
involving
people
experiencing
behavioral
health
challenges
fall
within
the
gray
area,
so
there
are
cause
that
are
not
serious
crime
right
and
could
be
addressing
any
number
of
ways.
G
Okay,
it
was
not
surprising
to
see
that
the
clear
response
team
used,
formal
responses
very
infrequently
the
most
common
response-
was
leaving
the
individual
in
the
community,
as
larry
mentioned,
and
connecting
with
the
best
order,
support
or
both
okay.
We
also
found
that
when
the
team
was
not
responding
to
calls
for
service,
they
were
using
their
time
to
do
follow
up
with
so
follow-ups,
typically
stem
from
referrals
made
by
other
officers
by
courts
by
schools
and
people
in
the
community,
and
sometimes
even
the
individuals
themselves
would
reach
out
for
help.
G
The
combination
of
the
clinician
and
the
officer
means
that
it's
sort
of
a
no
wrong
door
approach
right,
so
the
teams,
given
their
different
resources,
are
able
to
marshal
all
of
the
city
resources
for
the
benefit
of
community
members
who
don't
know
where
else
to
go
or
who
else
to
ask
for
help.
G
So
also
what
dana,
varan
and
tasha
have
not
shared
with
you
is
that
bpd
is
considered
to
be
a
leader
in
close
friends.
The
council
of
state
governments
and
the
bureau
of
justice
assistance
have
both.
Concerns
have
been
often
out
of
a
success,
and
this
is
without
clinicians
available
to
every
district.
So
I
really
welcome
the
expansion
of
the
correspondent
program
with
this
funding
and
I'm
particularly
excited
because
over
the
past
decade
we've
been
doing
the
hard
and
unglamorous
but
super
important
work
of
putting
data
collection
systems
in
place.
G
So
we
have
baseline
data,
I
will
be
able
to
track
the
work
of
the
new,
corresponding
clinicians
and
their
impact
on
boston.
There
will
be
accountability
and
clear
outcome
measures
from
these
new
clinicians,
and
I
just
want
to
say
that
it's
really
been
a
pleasure
to
work
with
the
city
on
this
program.
Thank
you.
A
Thank
you
so
much
melissa
and
thank
you
for
your
work
and
your
testimony.
I
will
then
go
to
john
and
john.
Are
you
ready,
if
not
no
pressure?
I
can
always
go
to
to
mike.
F
Hi,
no
I'm
all
set
good
morning
again.
Everybody
and
thank
you,
for
you
know
inviting
me
for
the
the
testimony
on
this
very
important
matter.
I
know
that
you
guys
are
all
working
hard
as
a
collaborative
and
there's
been
many
instances.
F
You
know
in
the
city
that
definitely
need
this
very
meaningful
service.
I
just
want
to
introduce
myself.
In
my
background,
I've
been
in
the
ems
field
for
about
20
years.
10
of
those
years
were
spent
working
for
boston
ems
as
an
emt,
and
I
currently
work
in
the
commonwealth
as
a
firefighter
and
paramedic
and
manage
a
very
large
ambulance
service
as
my
second
job.
F
So
I
heard
that
us,
you
know
everyone
discussing
code,
99s
and
you
know
people
with
co-occurring
disorders,
you
know,
and
for
those
that
aren't
clinically
familiar
that
are
sitting
on
the
panel.
That's
somebody
with
underlying
mental
health
condition,
that's
complicated
by
drug
and
alcohol
abuse.
F
It
just
means
that
there
wasn't
fundamental
training
like
you
know,
lauren
and
her
other
colleagues
had
expressed,
and
it
resulted
in
a
code
99
situation
when
there
was
a
potential
weapon
and
it
was
freezing
out
and
we
were
outside
for
over
90
minutes,
trying
to
negotiate
the
paranoid
state
drug
induced
paranoid
state
that
my
family
member
was
in
in
the
south
end
and
it
caused
an
entire
street
block
to
be
closed.
F
At
the
end
of
it,
when
he
came
out
peacefully,
which
you
know
he
normally
would,
but
we
didn't
know
what
we
were
going
into,
she
was
able
to
de-escalate
him,
make
him
feel
safe
and
given
her
clinical
master's
level
background
and
understanding,
you
know
the
collateral
behind
everything.
When
we
got
to
speak,
he
was
assessed
by
ems.
He
was
cooperative,
she
was
able
to
get
in
touch
with
mass
general
in
our
affiliate
hospital
and
we
were
able
to
get
him
on
a
section.
F
By
the
way,
were
we
still
trying
to
figure
out
how
to
allocate
resources
for
people
that
suffer
from
co-occurring
disorders,
and
I
had
to
have
this
telephone
conference
with
the
judge
and
the
affidavits
and
lauren
was
able
to
help
advocate
from
the
best
team,
with
the
clinicians,
the
psychiatrist
and
the
doctors
at
mass
general
to
find
him
reasonably
unfit
and
hold
him
on
a
section
12
until
I
could
get
the
court
because
it
was
a
friday
right.
F
So
we
know
that
a
section
35
is
a
civil
commitment
warrant
of
apprehension,
and
you
send
someone
you
know
essentially
after
the
process
in
the
court
system,
to
go
to
a
psychiatric
and
substance
abuse
facility
for
up
to
90
days.
Typically,
it's
21,
given
the
capacity
limits
that
they
have,
but
anyhow
that
section
12
hold
and
lauren
working
with
boston,
police
in
combination
with
boston
ems.
F
F
So
I
heard
a
lot
of
people
say
a
lot
of
important
things
so,
and
I
agree
with
all
of
them
right
at
the
end
of
the
day,
he
got
what
he
needed
and
it
gave
me
time
to
get
this
section.
35
done
had
it
not
been
for
her
and
boston
police
working
together,
he
would
have
been
discharged
from
that
hospital
and
we
would
have
repeated
it
again
and
unfortunately,
despite
the
section
35
that
was
issued,
he
was
released
early
and
that's
a
state
level
issue.
F
He
came
to
my
home
where
I
lived
and
broke
in
in
a
paranoid
state
in
a
multi-dwelling
home
that
I've
lived
in
for
almost
18
years,
I'm
a
constituent
in
boston
and
been
there
for
20
years
and
being
a
first
responder
and
feeling
unsafe,
I
contacted
9-1-1,
I
contacted
my
family,
we
had
another
code,
99
situation
and
again
dan
responded
in
and
lauren
communicated
with
me
immediately,
and
we
were
able
to
use
the
court
system
to
have
him
committed
for
competency
to
stand
trial
which
gave
us
that
layer
of
protection
to
go
into.
F
I
believe
it
was
bridgewater
state
hospital
and
get
psychiatric
evaluation
and
get
these
resources,
but
none
of
it
would
have
happened
without
boston,
police
cross-pollinating
with
the
best
team.
I
think
that
is
the
best
collaborative
that
could
ever
happen
in
2001
when
I
started
working
for
boston
ems,
which
is
a
division
of
the
public
health
commission
which
I'll
I
I
hope
everybody
knows,
I'm
certain
that
you
do
again.
It's
just
to
echo
preceding
all
of
these
efforts
and
collaborative.
I
haven't
worked
there
in
quite
some
time,
but
it
would
be.
F
Can
we
have
boston,
ems,
respond
or
start
ems
this
way,
because
the
officers
didn't
have
that
training
and
that
wasn't
a
fault
of
their
own.
It
was
given
the
call
volume
and
the
crime
that
they
were
facing.
They
would
never
section
12
somebody
we
would
have
to
physically
restrain
them
safely,
take
them
to
the
hospital,
and
now
that
we
have
these
resources.
F
I
understand
there's
concerns
around
law
enforcement
around
the
country,
there's
all
sorts
of
layers
of
things
that
are
happening
and
we
may
have
the
community
think
that
it's
not
a
good
idea
to
have
the
police
respond,
but
it
actually
is
as
if
they're
trained,
dan
and
lauren
have
to
be
the
best
team,
no
pun
intended
that
I've
ever
worked
with,
even
as
a
professional.
F
I
would
love
to
have
that
resource
available
here
in
the
community
that
I
work
and
I
work
for
the
town
of
nick
and
we
have
those
very
same
calls
right
now,
I'm
the
als
coordinator
here,
but
with
respect
to
boston.
F
You
guys
have
all
these
amazing.
We
have
all
these
amazing
resources,
I'm
I'm
a
resident
of
jamaica
plain,
I'm
a
constituent.
I
support
everyone.
I
support
everything
that
we
need
to
do,
but
without
that
team
effort
it
wouldn't
have
it
wouldn't
have
went
well
that
would
have
it
could
have
been
a
bad
outcome.
Had
she
not
been
there
and
had
there
not
been
that
proper
training.
So
I
know
this
stigma
around
the
police,
but
with
proper
training-
and
you
know
the
safety
concerns
that
we
were
faced
with
that
day
of
weapons
firearms.
F
We
weren't
sure,
given
this
paranoid
state,
we
could
have
had
a
catastrophic
event
on
two
occasions
within
30
days
of
each
other,
so
this
code
co-response
this
tier
response
that
we're
working
on
it
can't
go
away.
It
has
to
be
it
has
to
be
built
upon.
There
has
to
be
more
officers
trained
and
more
people
like
lauren
that
are
available
to
assist
the
community,
and
I
think
that
funding
is
so
important
for
better
outcomes
under
you
know,
section
12s
and
section
35
processes
and
thinking
of
people
that
have
you
know,
co-occurring
disorders.
F
I
just
I'm
in
my
office
right
now,
and
I
just
had
someone
throw
something
at
me
and
I
I
just
want
to
bring
two
things
up
too.
Just
to
I've
gotten
my
point
across
about
my
personal
story.
We
give
this
out
like
it's
candy,
okay,
narcan.
Everyone
see
that
we
give
this
out
like
it's
candy
for
people
that
have
opiate
addiction.
We
spend
millions
of
dollars
in
the
commonwealth
on
opiate
addiction
and
no
one's
families
immune
to
some
type
of
substance,
abuse
or
mental
health
issue
right.
F
So
what
lies
between
it
is
the
stigma
and
the
reason
my
family
member
didn't
want
to
get
help
for
his
mental
illness
and
for
his
substance.
Abuse
with
stimulants,
which
created
the
paranoia
on
top
of
his
mental
health
disease,
which
led
to
these
multiple
encounters
with
boston,
police
and
with
ems,
was
the
fact
that
the
resources
and
training
weren't
so
readily
available,
because
they're
pressed
on
issues
like
hyper
focused
on
only
opiate
addiction
and
co-occurring
disorders,
so
by
not
having
the
police
respond
or
be
involved
with
just
having
a
civilian
best
team
masters
level.
F
So
even
now
any
single
call
in
the
city,
hey
example
of
boston
ems,
sends
ambulance
two
to
roxbury.
For
an
edp,
they
have
an
edp
two
and
an
edp
three.
I
don't.
I
don't
know
if
it's
changed.
We'd
have
to
ask
chi
fully
that
or
someone
from
boston
ems.
F
If
you're
sending
a
civilian
clinician
in
to
go
in
and
do
an
assessment,
it's
a
nightmare
not
sending
the
police
in
for
them
just
even
the
way
it
was
handled
when
the
swat
team
came
and
how
the
training
that
the
best
team's
already
done
with
boston,
ems
and
boston
police,
it
was
a
180
from
the
training
that
we
had
when
I
worked
there
for
for
10
years.
F
So
I
can't
thank
them
enough
for
everything
that
they
did.
I'm
happy
to
report
that
my
cousin
is
stable,
he's
medicated,
he's
sober.
He
continues
to
be,
thankfully,
to
the
resources
in
the
city
of
boston,
mass
general
and
support
from
us,
and
especially
actually
from
the
district
attorney's
office,
because
they
weren't
out
to
criminalize
him
nor
with
the
police.
F
Their
goal
was
the
second
occurrence
of
the
code.
99,
the
d.a
told
me
at
west
roxbury
district
court.
This
screams
treatment,
treatment,
treatment
and
recovery
mandated
by
the
court
may
be
under
stipulations
or
whatever,
but
it
all
the
nexus
was.
The
best
team
was
involved
with
boston
police.
They
even
showed
up
at
the
court
to
assist
me
and
speak
to
the
d.a
and
give
them
the
collateral
behind
it.
Had
they
not
been
in
place,
I
don't
know,
I
don't
know
where
me
and
my
family
would
have
been.
A
F
H
Awesome.
Thank
you.
Thank
you
very
much.
So
my
name
is
mike
andrick
and
I'm
the
director
of
the
pine
street
inns
outreach
team
and
our
dmh
match
team,
which
is
a
modified
act
team.
I'm
a
masters
level.
Clinician
I've
been
working
with
the
homeless
for
the
better
part
of
27
years.
H
I
can't
tell
you
how
grateful
I
am
that
you
come
out
on
the
vans
with
us,
and
you
see
the
world
through
our
lens.
So
thank
you.
A
special
thanks
to
the
department
and
neighborhood
development
for
their
support
with
the
daytime
outrage
teams,
specifically
jim
green
and
specifically
sheila
dillon
for
their
leadership
and,
of
course,
just
special
thanks
to
linda
downey,
a
leader
second,
to
none
in
her
work
with
the
homeless.
H
Additionally,
linda
also
walks
the
walk
for
the
past
34
years.
The
pine
street
inn
has
been
on
the
streets
at
night
with
our
outreach
fans
over
the
last
five
to
seven
years
with
the
city
support.
We've
also
developed
a
robust
presence
during
the
day
with
over
15
clinicians
and
outreach
specialists.
I
oversee
both
those
components.
H
Homelessness
in
general
has
many
root
causes,
including
poverty,
high
cost
of
rental
housing,
trauma
addiction,
folks
that
are
struggling
with
their
mental
health,
domestic
violence
and
also
systemic
racism
for
those
on
the
streets
at
night
addiction,
mental
illness
are
at
the
forefront
each
night.
Our
outreach
fans
see
between
100
to
140
people,
unsheltered
homeless,
men
and
women.
H
Our
goal
is
to
keep
them
safe
and
to
get
them
into
housing.
We
use
contingency
management
to
build
rapport,
trust
kind
of
on
the
front
end.
Last
year
we
housed
150
homeless
men
and
women
in
permanent
supportive
housing.
H
We
partner
with
the
best
clinicians
led
by
lauren
snyder
lauren,
is
known
as
the
best
of
the
best
of
the
best
team.
Lauren
snyder
is
incredible:
she's,
innovative,
she's,
passionate
and
really
really
knowledgeable
because
of
lauren's
leadership.
Innovation,
we're
able
to
tackle
problems
citywide
through
the
lenses
of
a
social
worker
and
with
the
clinical
expertise
that
best
has
best
with
its
current
four
clinicians
and
co-response
approach
has
made
a
difference
in
our
work.
H
If
best
we're
able
to
increase
the
number
of
clinic
clinical
staff,
we
can
do
so
much
more
and
we
know
that
the
need
is
there,
we've
partnered
with
warren
and
her
teams
on
countless
occasions.
Some
of
these
situations
have
been
behavioral.
Health
crises
related
or
involved
homeless.
Persons
struggling
with
the
traumatic
brain
injury
in
addiction,
having
the
best
team
embedded
in
law
enforcement
departments
across
the
city,
has
enabled
us
to
provide
the
appropriate
intervention
needed
for
persons
on
the
streets.
H
H
Pine
street
readily
partners
with
co-response
teams,
as
it
relates
to
substance
abuse
services
like
detox,
post,
detox,
section
35
treatment
placements
this.
This
partnership
ends
up
being
a
continuum
of
sorts
for
individuals
struggling
with
addiction,
but
they
step
up
into
a
higher
level
of
care.
Right
like
it
could
be.
It
could
be
high
point
out
of
brockton,
it
could
be
plymouth,
it
could
be
the
rap
program
in
taunton
and
with
our
with
our
clinical
services
at
pine
street.
H
You
know
also
assist
us
with
stepping
a
person
out
of
the
35
into
recovery,
services,
housing
and
mainstream
benefits,
so
big
kudos
to
mike
stratton's
entire
team
and
lauren
snyder.
I
can't
thank
you
enough
for
the
work
that
you
guys
do
day
in
and
day
out
by
the
city
of
boston,
embracing
this
co-response
system
that
readily
partners
with
the
pine
street
inn
and
many
other
homeless
stakeholders
across
the
city.
H
H
We
know
our
staff
are
taking
a
risk
by
intervening
there
there's
some
locations
at
varying
points
across
the
city
that
have
limited
egress
areas.
You
know
so
it's
always
nice
to
partner
with
warren.
Anyone
from
mike
stratton's
team,
particularly
danny
carlo
danny,
has
just
mad
mental
health
skills.
Danny
does
a
great
job,
so
it
keeps
us
safe,
keeps
the
clients
safe
and
it
keeps
our
team
safe.
I
mean
we're
out
there
every
single
day,
every
single
night
we're
committed
to
the
mission,
vision
and
values
of
the
pine
street
end.
H
H
H
Joe
had
recently
had
his
blood
pressure
taken
and
his
blood
pressure,
no
joke
was
224
over
138
on
a
96
degree
day
with
the
heat
index
of
102
joe,
was
dressed
in
layers
of
clothing,
including
including
a
tattered
snowmobile
suit.
In
a
winter
knitted
cab
joe,
had
been
known
to
be
aggressive
in
this
presentation,
and
we
were
collectively
concerned
with
him
potentially
having
a
heart
attack
or
a
stroke.
H
H
As
sam
continued
to
stabilize
pine
street
assisted
the
stepping
sam
down
into
the
pine
street
post
detox
program
at
the
shattuck
campus,
then
sam
stepped
into
permanent,
supportive
housing
at
pine
street.
In
jamaica
plain,
this
was
a
joint
effort
with
many
shared
decisions
between
pine
street,
the
co-response
team
to
stabilize
and
place
him
in
housing
we
placed
one
of
the
highest
utilizers
of
emergency
services
into
permanent,
supportive
housing.
H
Scam
is
still
is
still
housed
today,
a
year
later.
What
I
would
share
with
this
group
is
miracles
happen
every
single
day
when
we
partner
with
the
co-response
team
counselors.
We
know
street
homelessness
is
important
to
you,
because
you
care-
and
we
know
it's
a
priority
for
your
neighborhoods.
You
represent
from
a
quality
of
life
standpoint
as
much
as
we've
done
together
to
move
homelessness,
homeless,
individuals
off
the
streets
and
into
housing.
We
know
there
is
so
much
more
to
do.
H
Supporting
best
expansion
in
supporting
the
co-response
approach
will
be
an
effective
means
to
ending
homelessness
for
more
people.
I
would
just
like
to
thank
all
of
you
today
for
talking
about
this
important
issue
and
just
recognize
warren
snyder
for
her
innovative
work
with
the
best
team
and
also
mike
stratton's
team,
danny
harlow,
the
whole
crew
they're
amazing.
So
I
would
personally
say
thank
you.
Everyone.
A
Thank
you
so
much,
and
also,
of
course,
thank
you
to
bpd,
and
I
think
some
of
the
people
suggested
this.
Obviously,
in
the
time
period
in
which
we're
in
especially
talking
about
policing,
we
often
don't
highlight
all
the
great
work
that
our
police
department
is
doing,
whether
out
of
the
grants,
division
or
with
respect
to
these
issues.
So
thank
you
so
much
and
thank
you
to
our
administration
for
still
being
on.
A
I'm
going
to
turn
this
over
to
counselor
sabi
george,
who
I
think
is
then
going
to
introduce
sergeant
messina
and
allow
him
to
introduce
his
team
and
then,
if
counselor,
sabe
george,
has
a
few
more
questions
feel
free
to
just
continue.
Thank
you.
B
Thank
you.
Thank
you,
madam
chair,
and
thank
you
everyone
here,
for
you
know
jenna
tasha
and
lauren,
for
the
very
thorough,
very
thorough
presentation
just
really
appreciated
me.
I
continue
to
learn
every
single
day
about
the
tremendous
work
that
you
all
do,
and
I
hope
that
my
colleagues
found
that
presentation
worthwhile.
I
think
I
think
that
they
did
and
I
received
text
messages
during
the
presentation
to
that
effect
mike
john
and
melissa.
B
You
know
it
makes
it
all
more
real,
and
I
know
peter's
here
peter
messina,
with
his
team
from
bpd
that
are
doing
this
work
every
day.
So
I'd
love
to
give
peter
an
opportunity
just
to
introduce
his
team,
but
also
talk
a
little
bit
about
how
co-response
and
his
outreach
team
work
sort
of
every
single
day
and
sort
of
give
us.
If
you
don't
mind
peter
just
a
snapshot
into
the
sort
of
day-to-day
work
that
you're
all
doing
on
behalf
of
our
residents
welcome
peta.
I
Thank
you
very
much
council.
My
name
is
sergeant
peter
messina
assigned
to
the
street
outreach
unit.
My
officers,
who
are
also
on
this
call
officer,
claire
duffy
officer
dan
harlow
officer,
joshua
officer,
josh,
dela,
rosa
and
officer
marty
depina.
I
So
our
our
mission,
as
with
the
street
outreach
unit,
is,
is
to
promote
community-based
outreach
through
partnerships
in
collaboration
to
those
affected
with
mental
illness,
substance,
abuse,
disorder
and
homelessness
in
a
professional,
humane
and
supportive
manner.
Our
main
mission
with
the
street
outreach
unit
is
a
proactive
prevention,
intervention
and
de-escalation.
I
This
partnership
with
the
best
team,
allows
us
to
accomplish
these
this
mission,
especially
the
prevention,
intervention
and
de-escalation
segment
to
it
our
day-to-day
operations.
One
one
question
I
had
I'm
trying
to
keep
track
of
all
everything
that
we're
doing,
but
one
of
the
main
things
of
this
past
year.
I
Since
we,
since
we
began
back
in
october
I'll
use
october
1st,
we
responded
to
nine
code,
99s
all
involving
mental
health
individuals
suffering
from
a
mental
right,
a
mental
health
crisis
and
those
were
nine
successful
situations
that
allowed
us
to
intervene,
the
escalated
situation
and
to
get
the
individual
into
treatment
safely.
I
I
was
involved
in
a
couple
of
them.
I
know
dean
and
lauren
were
involved
in
a
lot
of
them
as
well,
along
with
claire
and
josh
delille,
one
that
I
was
involved
with
had
to
do
with
an
individual
who,
who
was
allegedly
in
his
apartment,
with
a
with
a
rifle
full
call
out
of
all
the
of
the
swat
team,
the
entertained,
possibly
in
a
hostage
negotiation
team
to
de-escalate
situation,
but
it
was,
he
was
the
individual
who
was
involved
in
this.
I
I
A
lot
of
the
individuals
that
we
deal
with
in
the
mass
and
casting
area
and
city-wide
suffer
from
substance
use,
but
they
also
suffer
from
mental
health
issues
as
well,
so
in
and
these
two
issues
intertwine
having
the
best
team
there
with
us
to
deal
with
these
situations
on
on
the
spot
at
that
moment
is,
is
amazing.
It's
it's
a
great
tool
on
our
tool
belt
to
have
and
increasing
the
size
of
the
best
team,
in
my
opinion,
is
essential
for
city
services.
I
I
only
see
positives
to
it
and
I
think
I'm
going
to
pass
it
off
to
my
my
team.
Talk
a
little
about
different
situations.
They've
had
just
a
quick
synopsis
of
different
things
that
they
have
done.
So
I'm
going
to
pass
it
off
to
dan
right
now.
I'm
not
sure
how
to
do
it,
but
dan.
If
you
can
just
unmute
yourself
and
kind
of
just
give
a
quick,
quick.
J
Here
we
go
good
afternoon.
Everybody
hear
me
excellent.
First
of
all,
thank
you
constantly
to
join
for
setting
us
up
all
the
other
counselors
for
joining
jenna
savage
as
well.
Thank
you
to
peter
as
well
and
the
whole
rest
of
the
team.
I
know
my
name
has
come
up
a
lot.
However,
this
work
can't
be
done
without
officer
duffy
de
la
rosa,
delisle
and
depino.
We
are
truly
a
team.
They
did
just
as
much
work
as
I
do
out
there
on
the
street.
J
So
I
guess
a
couple
examples
of
what
laura
and
I
kind
of
do.
One
that
comes
to
mind
is
nine-year-old
girl.
Who's
out
in
brighton
she's
got
some
severe
trauma
history
and
some
mental
health
issues.
This
young
woman
does
not
like
the
police
when
mom
has
to
call
9-1-1
for
her.
She
tells
the
officers
the
stage
away
from
her
house,
one
police
officer
only
to
respond
and
walk
up
to
the
house,
because
law
enforcement
traumatizes
this
girl
every
time
they
go
for
whatever
tribal
history
she
had
in
the
past.
J
J
A
second
story:
real
quick
is
another
individual
out
in
brighton
who
had
been
repeated.
911
calls
to
the
house
the
first
time
it
wound
up
being
an
officer
in
trouble.
Call
this
individual
was
about
six
foot,
three
six
foot,
four
260
270
pounds
and
he
was
fighting
the
officers
there
pretty
well
just
about
the
whole
district
responded
to
get
this
individual
under
control
and
he
was
sent
to
saint
elizabeth's
by
ambulance.
J
He
was
evaluated
by
saint
elizabeth
and
then
released
the
next
morning.
From
that
incident
there
was,
I
believe,
three
or
four
more
9-1-1
calls
to
that
same
address
from
him,
and
he
had
actually
gone
to
the
station
as
well
and
followed
officers
around
station
and
threatened
them.
J
J
If
it
wasn't
for
lauren
being
able
to
have
access
with
the
best
records
and
us
being
able
to
communicate
with
the
district
and
what
was
going
on,
then
we
wouldn't
have
had
an
outcome
that
we
did.
We
wound
up
reaching
out
to
family
members
to
figure
out
what
was
going
on
with
him
from
the
help
from
family
members.
We
got
a
little
bit
more
history.
J
This
individual
originally
was
ultimately
diverted
from
just
being
arrested
on
all
these
charges
and
everything
going
through
the
court
system
to
be
diverted
to
bridgewater
state
hospital
where
he
needed
to
have
more
treatment,
and
then
the
charges
are
going
to
be
pushed
into
mental
health.
So,
ultimately,
at
the
end
of
his
stay
there,
hopefully
they'll
be
diverted
from
actually
doing
jail
time
and
he'll
get
stabilized
in
the
better
situation.
J
Those
are
just
two
examples:
I've
been
with
lauren
for
the
last
two
years.
I've
been
a
police
officer
in
boston.
I
should
have
said
it
was
the
beginning
for
over
20
years
and
from
the
start
of
my
career,
arresting
people
and
sending
him
to
court
and
being
the
outcome
of.
Sometimes
something
happens,
something
so
it
doesn't
happen
to
now
actually
hurting
people,
even
sometimes
using
the
court.
J
I
Thank
you
thanks
dan,
a
few
of
my
other
officers
would
like
to
just
give
a
quick
one
minute,
two
minutes.
Thank
you
very
much.
I'm
gonna
pass
this
off
to.
K
Say
this
whole
response
is
very
good
going
to
a
scene.
That's
a
crisis
with
the
best
clinician
and
you
have
all
their
information.
In
the
background
on
the
person
that
you're
going
to
assist.
It
goes
a
long
way
with
how
you
respond
and
how
you
handle
them.
Instead
of
just
thinking,
it's
someone
who's
committing
a
crime.
If
you
have
their
name
already,
and
you
could
have
a
little
bit
of
the
back
story,
it
gives
you
the
game
plan
on
how
to
approach
them.
But
in
addition
to
the
crisis,
calls
that
we
go
on.
K
We
also
do
a
lot
of
outreach
and
with
collaboration
with
pine
street
and
the
best
team,
we
go
around
different
parts
of
the
city,
nubian
square,
mass
and
cass
area,
eggleston
square,
and
it's
great
because
we
offer
people
services
when
they're,
not
in
a
crisis
situation.
K
Another
day
we
were
out,
I
was
with
mike
o'neill
from
pine
street
a
large
schneider
from
the
best
team,
and
we
were
just
outreach
and
talking
to
people
giving
them
some
cold
gatorade
asking
if
they
need
any
help
and
one
of
the
ladies
started
breaking
down
and
she
started
kind
of
going
into
a
crisis.
She
was
talking
about
her
drug
use
and
her
mental
health
history,
and
it
was
amazing
having
a
best
clinician
right
there
with
us,
because
it
was
the
easiest
way
to
connect
to
the
services.
K
So
we
all
talked
and
see
what
we
could
do.
Lauren
was
able
to
de-escalate
her
tell
her
several
options
of
what
she
could
do
from
that
point
forward,
and
it
was
just
a
situation
that,
if
we
didn't
have
a
best
clinician
with
us
on
scene,
just
doing
outreach
in
the
community
that
individual
wouldn't
have
got
the
help
that
she
needed
at
that
time.
L
Hello,
everybody,
so
I
just
I
want
to
pass
along
a
quick
story.
Not
too
long
ago
I
was
working
with
one
of
the
best
clinicians
and
I
got
a
call
from
project
place,
a
social
worker
project
place
who
said
she
was
speaking
with
the
gentleman
that
was
one
of
her
clients
that
was
suicidal
in
the
anders
square
area.
L
He
had
called
her
numerous
times
and
was
talking
about
his
ideas
of
what
he
wanted
to
do,
and
it
was
perfect
because
I
was
working
with
one
of
the
best
clinicians
and
I
was
able
to
pass
the
information
to
her.
So
we
could
get
a
little
bit
of
a
background
on
the
gentleman
we
were
dealing
with
are
hopefully
going
to
be
dealing
with
in
a
positive
way.
It
took
us
about
an
hour
to
locate
him.
He
was
riding
the
train
back
and
forth
and
getting
off
the
various
stops.
L
L
You
know,
thinking
about
some
things.
He
was
a
little
bit
hesitant
at
first
and
going
in
with
some
background.
Information
from
best
was
certainly
helpful
and
the
clinician
was
on
standby
a
little
ways
away
because
we
weren't
sure
exactly
what
he
was
going
to
be
doing
what
his
ideas
were.
We
ended
up
walking
from
anders
square
all
the
way
to
85
east
newton
street
to
the
walk-in
clinic
for
the
best
team,
and
on
that
walk
he
had
no
idea.
L
I
was
a
police
officer
until
we
got
to
about
topeka
street
and
at
that
point
he
was
not
only
excited
that
I
was
a
police
officer,
but
that
we
were
there
to
help
him
and
get
him
the
services
he
needed.
L
The
transition
from
the
phone
call
that
we
got
to
meeting
up
with
him
the
long
walk
which
at
times
seemed
like
a
lifetime
because
of
the
things
he
was
talking
about,
but
then
the
ease
of
walking
into
the
85
east
newton
to
get
him
the
help
that
he
needed
and
having
the
clinician
with
us
to
transition
into
that
facility.
It
turned
out.
He
was
also
covered
positive.
L
So
he
went
from
there
to
the
hospital
but
maintained
contact
with
me
during
his
hospital
stay
and
and
continued
to
express
his
appreciation
that
the
two
of
us
were
there
to
to
make
his
life
easier
and
and
to
make
sure
he
didn't
do
something
he
he
shouldn't
have
to
this
day,
he's
still
doing
pretty
good,
and
I
attribute
that
to
our
relationship
with
best
and
the
way
we
were
able
to
handle
that
situation
that
day.
So
just
a
quick
story
and
thank
you
for
listening.
M
Good
morning,
everybody
thanks
for
letting
me
speak.
One
of
the
things
that
I
wanted
to
talk
about
was
how
we
have
tools
on
our
tool
belt
when
we
go
to
different
calls
and
prior
to
this
I
worked
in
c11.
I
was
there
for
about
10
years
and
prior
to
that,
I
was
in
matacan.
I
was
there
for
three
years
and
then
I
was
a
civilian
in
9-1-1.
M
One
of
the
things
that
attracts
you
about
coming
to
this
job
is
problem-solving
and
up
until
we
were
given
the
best
team
access
to
the
best
team
or
being
able
to
ride
around
with
them
to
co-respond,
it
became
quite
difficult
because
the
only
thing
that
you
could
do
is
call
ems
and
then
hope
that
whoever
was
in
the
er
that
day
would
be
able
to
help
that
person
or
refer
the
parent
out
to
the
pediatrician
to
reach
out
and
get
a
referral
to
a
you
know,
a
psychologist
or
a
counselor,
and
then
hope
that
you
wouldn't
have
to
come
back
to
the
house
again
and
when
you
have
to
keep
going
back
and
forth
constantly,
it
could
be
really
really
difficult,
and
one
of
those
experiences
that
I
had
at
c11
was
we
had
one
of
our
best
team
clinicians.
M
Her
name
was
jen.
I
was
signed
with
her
that
evening
and
we
went
to
one
of
our
houses
that
we
went
to
every
single
day
with
the
same
problem.
Somebody
was
suffering
from
mental
health
issues
that
were
not
being
appropriately
dealt
with.
There
were
about
three
or
four
police
officers
already
in
there.
When
I
got
in
there
with
the
best
team
clinician
and
he
was
very
upset,
he
was
yelling,
he
was
screaming.
He
was
intimidating
people,
it
was
not.
M
M
His
tone
of
voice
changed
his
whole
temperament
changed
and
he
was
able
to
hash
things
out
with
her
make
an
appointment
with
somebody
at
bmc.
She
was
able
to
follow
up
with
him
to
see
what
was
going
on.
She
was
able
to
give
services
to
the
family
members
on
scene,
give
them
advice
on
what
to
do
and
that's
not
something
that
we
could
really
do.
So.
M
I
just
thought
that
was
fantastic,
that
we
were
able
to
do
that
with
her
provide
a
situation
to
a
family
that
was
having
the
place
in
their
lives
every
day,
which
is
you
know
hard?
You
know
you
don't
want
that
kind
of
situation
to
happen
on
a
daily
basis.
So
I'm
grateful
that
we
have
this
opportunity
and
I
hope
it
continues
and
it
expands.
I
Thank
you
very
much
claire.
I
have
one
last
officer.
I
just
don't
see
his
name
on
here
officer,
josh,
dela
rosa
who
was
true.
A
B
Great
thank
you.
Thank
you,
madam
chair,
and
thank
you
for
allowing
peter
and
his
team
to
introduce
themselves
because
they're
doing
a
lot
of
this
work
day
in
and
day
out,
especially
around
the
areas
and
some
of
the
effort
around
mass
and
cath.
B
So
I
just
want
to
thank
them
and
I'm
I
know
the
program
pretty
well
so
I'd
love
to
just
give
the
rest
of
this
opportunity
to
colleagues
to
ask
their
questions
and
engage
with
both
jenna
and
tasha
and
lauren,
but
also
peter
and
his
team,
or
you
know
mike
and
sort
of
the
interface
that
some
of
our
non-profit
partners
have
with
the
efforts
and
the
work
on
the
street.
A
No
thank
you,
council,
wasabi
george,
and
I
will
tell
you
normally
these
hearings,
since
the
council
is
doing
a
lot
of
talking,
so
it
was
nice
frankly
for
us
to
really
listen
to
you
guys
and
give
everyone
an
opportunity
to
really
talk
about
the
critical
work
you're
doing
on
the
ground
every
single
day.
We
don't
get
to
hear
this
often
enough.
So
thank
you
and
of
course
thank
you
to
the
partners
on
the
ground
as
well.
A
I'm
going
to
so
I
think
council
braden
had
to
jump
but
she's
going
to
try
to
come
back
on.
I
also
know
council
o'malley
had
to
jump
to
an
appointment
as
well,
but
it's
grateful
for
the
work
you're
doing
so
now,
I'm
going
to
go
to
council
flaherty.
N
Thank
thank
you.
Councillor
campbell
and
counselor
sabi
george.
Both
of
you
have
done
excellent
work
on
on
this
issue.
For
many
years.
I
want
to
say
thank
you
to
the
best
team
for
the
incredible
work
you're
doing
in
our
city,
you're,
saving
people's
lives.
You
work,
you've
developed
a
great
working
relationship
with
the
boston
police
and,
as
we
often
say,
we
can't
arrest
our
way
out
of
problems
and
in
the
best
team,
is
playing
a
huge
role
in
in
helping
so
many
people
dealing
with
many
challenging
issues.
N
N
O
I'm
on
it,
madam
chair,
how
are
you
you
have
the
floor
very
good.
Thank
you.
I
obviously
want
to
thank
you,
obviously,
for
for
hosting
and
for
council
wasabi
george
for
her
great
work
on
in
the
space
over
the
years.
She's
been
a
leader
and
has
been
a
great
and
positive
reflection
of
the
council
in
in
this
space,
so
kudos
to
the
great
work
that
that
she's
been
doing.
O
I
also
recognize
the
numbers
in
terms
of
if
we,
if
we're
going
to
continue
to
support
this,
then
we
need
to
continue
to
fund
it
and
early
on
in
the
call
on
the
zoom.
We
heard
that
the
in
the
vicinity
of
about
10
000
calls
a
year
and
it
seemed
like
it
was
a
little
bit
of
a
low
number
in
terms
of
just
everything
that
goes
on
and
that
just
round
numbers
that's
about
30
calls
a
day,
I'd
love
to
see
a
dedicated
patrol
car
forth.
O
Just
this
and
let's
beef
up
the
program.
The
gentleman,
I
think
was
john
george's
had
described
kind
of
how
how
in
real
life
it
plays
out
and
and
that's
that
couldn't
have
been
more
accurate,
had
a
very
similar
experience
dealing
with
the
situation
last
fall
and
my
time
as
an
assistant
district
attorney
when
these
situations
arise,
particularly
when
there
are
weapons
involved
in
or
it's
a
domestic
situation,
they
go
from
bad
to
worse,
really
quick,
so
I
guess
the
I.
O
The
question
is
to
who
to
to
the
folks,
and
the
clinician
side
is
I'd
love
to
get
into
what
the
response
time
is
from
the
moment
that
that
call
comes
in
to
the
moment
that
they
pair
up
with
the
boston
police
officer
and
then
they
get
to
the
scene.
I
think
response
times
are
critical
if
we're
going
to
continue
to
to
promote
and
to
push
it
to
fund
this
program.
Very
much
like
we
have
measuring.
O
You
know,
sort
of
metrics,
if
you
will
for
for
our
response
times
for
police,
fire
and
ambulance.
I
think
this
is
a
critical
the
best
in
trying
to
have
the
right
and
more
appropriate
trained
people
responding
to
the
911
calls.
O
That
has
to
be
a
piece
of
the
of
the
equation,
and
then
I
wanted
to
see,
I
guess
what
it
would
take
if
we
had
dedicated
content
to
kick
into
the
car
or
two
into
the
throat,
you
know
string
to
the
radio
they're
tapped
into
it
and
then,
when
a
call
comes
in
and
again
on
average,
that's
about
30
calls
a
day,
and
there
are
some
neighborhoods.
I
looked
at
the
track
that
was
described
as
some
parts
of
our
city
that
don't
have
that
type
of
coverage.
O
Area
c,
for
example,
didn't
have
it
looks
like
didn't,
have
any
one
assigned
to
that.
There
are
a
couple
of
questions,
but
I
want
to
thank
everyone,
particularly
questions
that
are
on
here
to
my
assistant.
O
Oftentimes
families
will,
instead
of
calling
911
they'll,
actually
call
the
damn
what
I
saw
when
I
worked
in
the
da's
office
oftentimes,
depending
on
where
the
doctor
lived.
The
doctor
would
then
call.
O
O
So
not
sure
if
the
well-being
check
is
listed
as
those
calls,
so
then
the
clinician
would
be
at
their
home.
They
would
call
in
the
boston
police
would
do
a
well-being
check
and
then
they
would
check
back
with
either
the
family
or
the
family
would
then
call
the
connection
and
say:
yeah
police
came
here.
They
did
a
well-being
check,
and
this
is
what
happened
so
eliminating
sort
of
that,
I
think,
needs
to
be
part
of
the
discussion
too.
O
So
we're
gonna
get
clinicians
involved
and
either
have
identitative
patrol
folks
are
not
calling
in
well-being
to
9-1-1.
They
should
be
going
through
this,
the
best
system
as
well.
So
it's
just
again
personal
experience
in
situations
that
I've
dealt
with
in
another
capacity,
but
that's
it
in
a
nutshell,
and
I
appreciate
everyone's
work
and
attention
to
detail
here.
This
is
a
great
program
and
look
forward
to
continue
to
support
it
and
to
continue
to
support
the
lead
sponsor
and
you
as
the
chair.
Thank
you.
A
Right,
I'm
going
to
ask
if
that
could
be
you
jenna
or
I
can
have
you
defer
to
another
team
member.
It
could
be
sergeant
messina
actually
thinking.
I
was
actually
thinking.
E
E
We
are
on
route
to
the
call,
so
once
that
gets
dispatched
out
so
similarly
working
with
a
regular
best
call
center,
1-800
number
they're
usually
quoted
within
an
hour
that
a
clinician
will
get
there.
So
sometimes
that's
just
fine,
but
there
are
times
where
it
isn't
so
having
the
ability
to
be
able
to
get
there
right
in
the
moment
when
there's
something
that
is
more
emergent
is
really
helpful
and
then
on
calls
where
police
only
response
happens.
E
First,
just
out
of
timeliness,
because
the
unit
with
the
co-response
clinician
is
tied
up
on
another
call,
then
you
know
it
might
take
as
much
time
as
it
takes
for
that
unit
to
free
up
from
whatever
they're
already
tied
up
with
to
come
support.
The
officer
who's
arrived
first
on
scene,
but
because
of
coming
with
officers
of
lights
and
sirens,
we're
not
having
to
worry
about
traffic
and
parking
and
all
of
those
kinds
of
things
that
slow
slow.
C
And
I'll
just
mention
as
councillor
flaherty
mentioned
area
c,
not
having
a
clinician,
they
did
have
one
for
a
while.
It
was
bja
funded
through
federal
grant
funds
and
again
it
just
placed
that
point
of
having
to
rely
on
grant
funds,
and
so
we
definitely
intend
to
fill
that
gap
with
these
funds.
But
again
it's
just
the
importance
of
having
it
in
the
operating
budget
for
more
stability.
O
Counselors
on
area
c,
they
they
did
a
realignment
several
years
ago
with
the
district
court
so
and
I'm
not
quite
sure
if
everyone
realizes,
but
the
the
massing
cast
a
lot
of
that
activity
there.
That
actually
now
goes
to
area
c6.
That
actually
goes
to
south
boston
district
court.
So
anytime
that
there's
a
section
or
an
apprehension,
it
goes
there
and
they
don't
have
in
at
one
point.
O
They
actually
had
a
court
clinician
at
the
court,
who's
no
longer
there,
unless
they
retired
or
through
budget
cuts,
but
that's
an
area
that
I
think
needs
to
be
addressed,
whether
it's
true
best
or
what
have
you.
So
I
know
that
there
was
one
there
isn't
one
now
and
that's
slow
that
mass
and
cash
flow
doesn't
go
to
b2
anymore.
It
actually
goes
to
c6,
it
doesn't
go
to
c11,
it
goes
to
c6.
O
So
I
think
that
area
c-
and
maybe
this
is
a
broader
discussion
with
I
wish
we
had
our
partners
in
the
courts
on
this
on
this
at
this
hearing
as
well.
Just
to
give
you
their
perspective
as
how
it
plays
out,
particularly
during
the
sections
that
john
george
just
had
described
earlier,
but
there's
sort
of
a
missing
link.
I
guess
to
this
conversation,
but
I
just
want
everyone
to
know
that.
That's
what
happens!
O
It
all
goes
over
to
c6
and
there's
there's
no
clinicians
that
are
available
to
address
that
in
and
it's
pretty
voluminous
monday
through
friday
up
at
selfie
district
court.
So
that's
that
flow
from
southampton
street
that
comes
down
through
andrew
square
that
ends
up
on
east
broadway
through
the
court
process,
and
so
if
we
could
give
some
attention
to
detail
on
identifying
or
making
sort
of
that
part
of
what
best
does
that
would
be
great.
O
A
Thank
you,
council,
flaherty
councillor,
baker,
you're
up
and
then
after
councillor,
baker
I'll
go
to
councillor
mejia,
because
I
think
councillor
bach
had
to
jump
off
councillor
baker.
Thank
you.
Thank.
P
You,
madam
chair,
I'm
just
more
want
to
preach
to
the
choir
here
about
the
good
work
that
the
clinicians
in
the
in
the
police
side
are
doing
here.
I
have
more
interactions
with
probably
the
police
officers,
and
I
I
would
like
to
use
it
as
an
opportunity
to
thank
peter
and
his
and
his
crew,
but
in
particular
claire
duffy
who's,
actually
working
with
my
office
right
now
on
an
issue.
P
That's
been,
that's
been
an
ongoing
issue
when
it's
mental
health
and
addiction
and
she's
been
great,
just
wanted
to
give
her
a
shout
out,
but
these
are
the
the
types
of
things
that
I
think
with
the
national
discussions
that
are
going
on.
I
think
this
is
the
way
policing
needs
to
happen.
One
of
the
one
of
the
points
that
I
heard
pretty
clearly
was
the
importance
of
of
police
being
paired
on
with
the
with
the
clinicians,
because
we
don't
want
to
send
clinicians
the
same
way
when
ems
would
go
on.
P
We
don't
want
to
put
put
those
people
in
in
harm's
way,
so
I
just
more
want
to
say,
informative,
informative
hearing,
I
enjoyed
it
and
I
look
forward
to
doing
the
work
and-
and
hopefully
hopefully
this
upcoming
year-
we
can
maybe
get
in
front
of
this
a
little
better
when
we,
when
we
normalize
and
and
and
and
are
able
to
actually
work
under
normal
circumstances.
P
With
all
this,
with
all
this
going
on
here
in
the
city
of
boston,
we
heard
we
heard
mr
george
talk
about
how
he
wished
that
that
I
think
it
was
natick
had
access
to
this
type
of
this
this
this
type
of
program.
So
I
just
want
to
make
sure
that
everybody
knows
we
know
the
good
work,
that's
happening
and
look
forward,
look
forward
to
working
with
you
all.
Thank
you,
madam
chair.
A
Q
Thank
you,
counselor
campbell
and
counselor
sabi
george
for
hosting
this
and
helping
us
get
up
to
speed
with
all
the
amazing
work
that
is
being
done
on
this
front.
It
was
very
informative,
an
hour
and
a
half,
and
almost
two
later
I
think
I
got
my
full
understanding
of
all
things
best.
So
thank
you
for
that
tutorial.
I
really
do
appreciate
it
as
a
freshman
counselor
to
be
well
briefed
on.
You
know
everything
that's
happening
in
the
city,
so
I
do
appreciate
the
the
presentation.
Q
C
For
sure
I
can
take
as
far
as
I
know,
what
the
clinicians
we
are
definitely
seeking
to
diversify.
Currently
we
have
four
white
women,
I
believe,
is
what
we've
got,
but
so
we're
definitely
seeking
as
we
and
again
even
just
bilingual.
So
we
really.
This
is
exciting
opportunity
to
bring
on
a
more
diverse
team
of
clinicians
and,
as
far
as
think
tank
goes
in
our
working
group,
we're
not
the
most
diverse
group,
it's
something
we've
talked
about
also
in
the
community
justice
workshop
group.
C
It's
it's
a
tough
issue,
so
we
are
working
on
it.
It's
something
we're
aware
of,
but
we
I
think
we
can
do
better.
C
I
mean,
I
guess,
the
the
people
who
seem
to
be
involved
just
don't
seem
to
be
very
diverse
right
now.
I
guess
I
can't
that's
the
best
I
could
say,
but
we
I
mean
literally
we're
making
a
concerted
effort
to
improve
that.
I
don't
know
if
anyone
can
add
to
that.
But
it's
it's
just
it's
a
tough
situation
that
we
we're
working
with
what
we've
got.
You
know
the
people
coming
to
the
meetings
just
don't
seem
to
be
diverse
and.
B
If
I
could
actually
I
I
think
I
have
some
that
I
could
add,
and
maybe
tasha
from
bmc
could
also
chime
in
through
the
chair,
and
we've
learned
this
through
some
of
the
work
on
the
mental
health
round
tables.
One
of
the
challenges
with
creating
a
more
diverse
field
of
providers
is
access
to
academic
and
educational
opportunities.
B
The
licensing
process,
when
we
think
about
student
loans,
when
you're
going
to
college
to
become
a
master's
level
clinician-
and
we
recognize
and
realize
that
there's
a
real
challenge
within
the
academic
field
to
to
better
train
providers
that
reflect
the
community
and
making
sure
that
we
have
providers
that
are
both
culturally
competent
and
linguistically
competent,
but
also
reflecting
sort
of
a
making
sure
that
it's
it's
our
city's
kids
that
are
looking
to
engage
in
these
career
opportunities.
So
that's
that's
a
topic.
That's
come
up
in
great
detail.
B
We
think
about
the
mental
health
roundtable,
because
we
we
are
always
looking
for
and
want
to
grow
the
field
in
the
profession
and
there's
also
some
concerns
around
pay,
equity
and
an
opportunity
to
make
a
a
salary
in
that
field.
That
could
help
pay
back.
The
student
loans
that
so
many
of
our
our
young
people
find
themselves
having,
if
they're,
to
go
into
to
go
into
this
work
and
the
role
of
an
advanced
degree,
especially
around
clinical
services,
but
tasha.
I
don't
know
if
you
could
speak
to
that
through
bmc.
B
We
also
have
and
I'll
share
with
colleagues
the
job
postings
for
the
these
clinicians
and
this
funding
through
bmc,
because
we
want
to
make
sure
that
our
networks
have
access
to
these
postings.
Sorry,
madam
chair,
for
taking
sort
of
liberty
there,
but
that's
a
very
specific
item.
That's
come
up
both
in
this
work
in
particular,
but
through
the
mental
health
roundtable.
C
I'll
also
mention
I
just
want
to
mention
too:
I
just
got
a
text
from
from
one
of
our
clinicians
who
is
on
this
call,
but
doesn't
want
to
publicly
speak.
One
of
our
current
clinicians
is
in
fact
puerto
rican,
which
I
had
not
realized,
and
she
provides
a
lot
of
bilingual
services
in
east
boston.
So
we've
got
that
and
now
leon.
If
you
want
to
speak
up,
I
would
encourage
you
because
I
think
you
do
phenomenal
work
in
area
a,
but
if
you
don't
want
to
that's
totally
fine
too.
D
And
thank
you
jenna.
That's
and
thank
you
counselor
sally
george,
that's
what
I
was
going
to
add
just
a
little
more
specificity,
but.
D
As
well
as
our
our
peer
specialists
are
both
latina,
so
I'm
just
adding
that
for
some
a
small
amount
of
diversity
to
our
current
staff,
but
but
agreed
that
absolutely
hiring
police
correspondents,
as
well
as
all
of
our
best
clinicians,
who
are
representative
of
the
diversity
of
the
boston
community,
is
a
key
metric,
certainly
from
the
boston
medical
center
perspective,
and
I
think
something
that
we're
looking
at
very
specifically
and
which
is
included
in
the
job
posting
as
well,
that
we
have
preference
for
for
candidates
who
do
represent
the
the
diversity
of
the
city
of
boston.
D
So
absolutely
something
that
we're
looking
at
in
terms
of
hiring
additional
clinicians.
At
this
point,
yeah.
Q
I
know
that
through
the
work
that
I've
done
in
the
past,
we
have
a
whole
entire
network
of
clinicians
of
color
who
are
practicing
here
in
the
city
of
boston,
and
so
I
am
more
than
happy
to
send
you
a
list
of
all
of
the
ones
that
I
know
who
are
highly
engaged
and
have
done
a
lot
of
work
with
the
boston
public
schools
in
regards
to
trauma-informed
practices
and
have
facilitated
and
participated
in
many
ways.
Q
So
I'll
be
more
than
happy
to
put
you
in
touch
with
some
of
the
clinicians
that
I
know
are
doing
this
work
and
there's
there's
one
particular
group.
That's
on
facebook,
it's
the
mental
health
advocates
and
practitioners
of
color.
I
think
it's
a
good
group
for
you
all
to
tap
into
and
just
I
I
and
I
think
that
there
are
some
other
folks
out
in
the
community
like
toy
burton.
Q
She
might
not
be
a
clinician
but
she's
definitely
doing
a
lot
of
work
in
roxbury
and
other
parts
of
the
city
around
mental
health.
So
I'm
just
just
really
for
me.
It's
always
about
like
how
do
we
expand
the
table
and
how
do
we
create
more
spaces
for
different,
diverse
voices
to
help
inform
the
thinking?
So
I
just
really-
I
don't
call
it
out
just
for
the
sake
of
calling
it
out.
Q
I
really
do
call
it
out,
because
I
do
believe
it's
it's
an
opportunity
for
us
to
help,
support
the
work
and
and
find
ways
for
us
to
be
engaged
in
those
conversations.
So
I
offer
myself
to
be
invited
to
your
roundtables
and
you
know
by
all
means,
I'm
a
busybody,
so
please
feel
free
to
engage
me
in
this
process,
because
our
office
is
doing
a
lot
of
work
around
mental
health,
specifically
working
with
young
people
in
this
space,
and
so
I
think
that
that
is
also
for
me.
Q
It's
an
area
of
interest
in
a
personal
personal,
my
own
personal,
lived
experience.
Why
it's
so
important
for
me
to
to
help
support
this
work
so
moving
on
in
terms
of
just
other,
I'm
just
curious
about
some
of
the
con.
The
cultural
competency
training
that
best
team
receives.
Q
I
know
that
mr
magic
mentions
systemic
racism
as
a
factor
that
impacts
your
work.
So
I'm
curious
to
know
how
the
best
team
addresses
that
factor.
D
D
Q
And
in
terms
of
your,
you
know
the
rfp
process
for
the
the
trainers,
I'm
just
curious
in
terms
of
what
opportunities
are
created
for
women
and
minority
businesses
who
are
doing
this
work
to
come
in
and
do
your
training?
Is
that
one
of
the
things
that
you
look
into
or
or
not,.
D
Typically,
when
we're
looking
for
trainers,
we're
looking
for,
we
have
certain
required
areas
of
competency
that
we
have
to
train
on
based
on
our
contract
with
the
state.
So,
typically,
what
we're
doing
is
whenever
we
have
a
content
area,
putting
it
out
to
a
network
of
providers
and
then
seeing
what
response
that
we
get.
But
you
know
it
sounds
to
me
like
there
could
be
a
more
specific
process
that
we
could
engage
in
to
really
attract
or
enhance
our
ability
to
work
with.
D
You
know:
minority-owned
women-owned
businesses
and
and
trainers,
and
so
I
think
that's
something
that
it's
an
excellent
point
that
you
raise
and
I
would
like
to
figure
out
how
to
incorporate
that
moving
forward.
Maybe
with
your
assistance,
absolutely.
Q
Thank
you,
and
I'm
also
just
curious
about
the
best
team
in
the
different
types
of
languages
that
are
spoken
aside
from
english,
and
you
know
what
what
that
process
looks
like
when
when
there's
a
call
like
is,
is
there
any
language
access
support
that
you
need
additional
or
anything
like
that?
Can
you
talk
to
me
about
language
access.
D
Yeah
absolutely
so
we
have
staff
members
who
are
bilingual
bi-cultural
individuals
who
are
native
speakers
of
spanish
haitian
creole
cantonese
and
cape
verdean,
creole
sort
of
speaking
a
little
bit
off
the
top
of
my
head,
but
I,
but
I
know
all
of
those
individuals,
so
I'm
certain
that
those
ones
are
correct
and
then,
if
that
individual
is
an
individual
who
speaks
that
language
is
not
immediately
available
at
the
time
of
a
call.
All
of
our
clinicians
have
access
to
bmt.
Bmc.
Excuse
me
interpreter
services,
who
can
be
engaged
in
real
time
to
provide
telephonic
translation.
D
So
a
language
you
know
if
we
don't
have
a
clinician
who's,
a
native
speaker
of
a
language
that
will
not
prevent
us
from
responding
to
a
call.
Certainly,
we
prioritize
staff
who
are
bilingual
to
go
to
calls
where
language
capacity
is
an
issue,
but
with
the
use
of
the
interpreter
line
we
are
able
to
accommodate.
Q
And
I
know
you
mentioned
earlier,
or
I
think
one
of
the
officers
did
in
terms
of
how
an
officer
assessed
whether
or
not
an
individual
if
the
cases
is
warranted,
you
know
any
further.
I
think
it
was
arrest
or
something
or
it
might
be,
a
low
level.
I
forget
what
it
was,
but
I'm
just
curious
about
how
that
determination
is
made.
Is
there
some
training
around
deciding
what
who
gets
deployed
to
what
calls.
D
Q
I
I
I
don't
know,
but
I'm
just
curious
about
like
how
do
people
decide
what
type
of
services
the
individual
is
going
to
get?
I
don't
know
I'm
just
curious.
I
wish
I
could
remember
what
it
was
that
I
who
it
was
that
they
were.
Who
was
talking
about
it
at
the
moment,
but
it
just
brought.
It
was
something
that
resonated
for
me
that
I'm
like
how
do
who?
How
do
they
determine
what
their
course
of
action
is
going
to
be
well.
I
So
I
can,
I
can
speak
for
that.
If
that's
all
right,
so
we
work,
we've
done
a
substantial
amount
of
training
with
the
best
team,
so
how
it
works
right
now
is
every
day
the
shift
is
pretty
much
covered
from
morning
until
night,
where
there's
at
least
one
best
clinician,
if
not
two
working.
I
If,
if
something,
if
a
bestselling
clinician
is
needed,
city-wide
it
could
be
in
brighton,
it
could
be
in
roxbury
mattapan
high
park
wherever
the
operations
goes
all
out
for
my
unit,
along
with
one
of
our
clinicians,
and
we
respond
with
whoever
is
working
that
day
to
the
call.
So
at
the
call.
The
great
thing
about
having
this
co-response
is
that
at
the
call
we're
collaborating
to
figure
out
what
the
best
course
of
action
this
individual
is
our
primary
our
primary.
I
That's!
What
I'm
looking
for
primary.
I
Is
always
de-escalation
and
diversion
from
the
criminal
justice
system?
We've
learned
and
I've
learned
in
my
15
16
years
in
this
job.
Now
that
that
diversion
is
the
way
to
go,
I
always
thought
the
courts
would
handle
everything
and,
as
I'm
getting
older
now
I
understand
that
it's
that's
not
the
case,
so
diversion
is
huge
and
that's
one
thing
that
that
my
my
squad
is
is
trained
on
and
my
squad
focuses
on.
I
have
josh
ashley
dela
rosa
just
popped
on
if
we
can
loop
back
from
before
josh.
I
If
you
want
to
speak
for
two
seconds,
talk
about
diversion.
A
Well,
yeah
so
councilman.
If
that's
okay,
to
let
joshua
talk
respond
to
your
question,
he
was
off
earlier
and
then
I'll.
Let
you
go
I'll.
Go
back
to
you
from
any
additional
questions.
You
have.
R
Hey
missed
me
on
every
that
is
on
god.
Bless
you
guys
so
yeah.
So
there
is.
The
unit
is
a
little
diverse.
We
also
have
a
portuguese
brother
on
the
unit,
but
in
terms
of
our
co-response,
with
with
the
best
team
clinician,
I
think
it's
one
of
the
best
things
I
don't
know
if
we
even
have
time
to
share
any
testimonies,
but
I
you
know
I'd
like
to
share
a
story
so
like,
for
instance,
on
matapan
a
couple
months
ago.
R
R
It
was.
It
was
a
big
mess
not
to
get
into
all
the
details,
but
one
of
the
best
team
clinicians
decided
to
go
with
me.
Her
name
is
laura
bullis.
We
went
over
to
the
to
matapan
and
we
were
able
to
speak
with
him
and
and
by
the
grace
of
god.
R
We
got
him
the
help
he
needed
and
he
hasn't
been
out
there
terrorizing
matapan
and
he's
connected
to
the
services
he
needs
and
I
think
it's
a
it's
a
great
way
to
to
just
handle
a
lot
of
the
the
situations
that
people
look
down
upon.
You
know,
and-
and
I
do
I
speak
spanish.
R
A
little
bit
of
creole,
but
it's
a
it's
a
blessing.
Q
A
Q
A
Q
R
Q
Okay,
so
when
you
first
learned
about
this
the
best
program
and
and
this
initiative,
what
was
your
initial
reaction
as
a
police
officer?
Did
you
think
what
what
like?
Can
you
give
me
what
your
what
your
journey
was
until
from
first
hearing
about
the
best
and
the
collaboration
and
kind
of
like
what
you
have
learned
as
a
result
of
it.
R
Well,
it's
it's.
I
think
it's
a
great
question,
because
when
I
initially
thought
about
cit
training
and
working
with
best
team
clinicians,
I
didn't
know
it
was
it's
new
to
us
and
anything
in
change
in
policing.
It's
like
what
what
are
they
doing
to
us?
What
are
they
bringing
to
our
to
like
they're
trying
to
change
our
culture?
You
know,
but
they
they
offer
the
cit
training.
I'm
like
you
know
what
let
me
just
try
it
out.
I
heard
about
section
12,
I
didn't
know
nothing
about
section
12..
R
It
was
taught
it
was
taught
to
us
in
the
academy
for
a
brief
period,
and
it's
it's
something.
If
you
don't
practice,
you
don't
you're,
not
gonna
you're,
not
you're,
never
gonna,
know
about
it
so
being
on
the
job
dealing
with
people
that
that
have
issues
with
mental
health
and
not
knowing
what
to
do
it's
one
of
the
biggest
things,
because
I
kid
you
not.
Ninety
percent
of
the
radio
calls
we
get.
Are
the
emotionally
disturbed
persons
or
domestic
violence
so
by
by
being
able
to
have
all
these
tools?
R
Besides
a
a
mace,
handcuffs
and
and
a
firearm,
we
have
the
we.
We
have
the
tools
of
such
as
services
to
be
able
to
connect
these
people,
and
I
think
that's
one
of
the
best
things
so
at
first
I
was
a
little.
R
Q
Thank
you
for
that,
and
then
I'm
also
in
council
campbell
just
one
last
question.
Okay,
if
you
don't
mind
just
one
quick
one:
okay,
I'm
curious
about
you
know
I've.
I've
been
hearing
a
lot
about
the
mental
health
and
homelessness
and
issues
around
substance
abuse.
I'm
curious
about
other
traumas
that
people
face,
whether
it
be
you
know,
sometimes
people
just
lose
a
loved
one
and
they
just
had
a
quick
episode
that
has
nothing
to
do
with
a
mental
health
issue
or
has
nothing
to
do
with
exactly
substance
abuse.
Q
So
I'm
just
curious
about
how
what,
if
any
incidences
you
guys
have
come
across
that
you
know
around
my
way.
There
are
a
lot
of
situations
like
that
that
have
nothing
to
do
with
mental
health
or
substance
abuse,
but
it
definitely
has
something
to
do
with
an
ability
of
a
of
an
emotional,
traumatic
experience
that
you
have
yet
to
face.
So
I'm
just
curious
about
those
scenarios.
R
So
absolutely
so,
aside
from
being
a
police
officer,
I'm
also
a
full-time
pastor
and
I
always
say
there
are
times
where
I
respond
to
a
call
or
I
come
across
somebody-
and
I
say
this
is
a
god
moment
this
isn't
a
police
moment.
This
isn't
a
mental
health
moment.
This
is
a
god
moment
and
something
as
little
as
a
quick
prayer
or
just
giving
them
some
biblical
advice
or
or
just
some
counseling
with
it.
R
It
breaks
a
lot
of
chains
and,
and
you
see
the
person
go
on
about
their
day
and
and
on
with
their
life,
with
just
a
simple
conversation,
and
so
yes,
there
is,
there
is
moments
where
it
isn't
always
a
police
moment
and
it
isn't
always
mental
health.
Pro
problem.
Q
R
Q
And
so
I'm
just
curious
in
terms
of
I'm
not
advocating
for
anybody
to
get
promotions
right,
but
I'm
just
saying
like
I
think
that
it's
important
for
us
to
I
love
the
way.
You
think-
and
I
think
more
in
terms
of
in
terms
of
the
narrative,
that's
out
there
around
police
officers.
Q
I
think
that
we
have
gotten
so
far
away
from
humanizing
people
that-
and
this
goes
humanizing-
both
the
police
officers
and
and
and
the
people
who
are
out
like
so
much
civil
unrest
between
you
know
just
everybody
these
days,
and
I
think
that
the
more
spaces
that
we
can
create
for
conversations
like
this,
where
people
can
see
humanity
and
see
you
know
regular
folks,
like
y'all,
you
know
having
conversations
from
our
heart-led
space.
I
know
that
sounds
kind
of
wonky,
but
we
don't.
Q
Q
We
as
human
beings
make
things
so
much
more
complicated
than
what
they
need
to
be
right,
and
I
think
that
I
don't
know
I'm
just
I'm
just
really
grateful
to
to
have
been
in
this
space,
and
I've
learned
a
lot
about
the
work
that
you
all
are
doing
to
support
our
most
vulnerable
residents
and
so,
and
it
was
great
to
have
you
josh
participate.
Q
Joshua.
Excuse
me
to
participate
with
us
to
give
us
some
perspective,
and
I
hope
that
you
move
on
up
in
the
ranks
so
that
you
could
take
your
your
frame
of
thinking
and
it
should
become.
You
know
a
way
of
being.
So.
Thank
you.
Thank
you
for
your
leadership
in
the
space.
I
really
do
appreciate
it.
J
Is
it
better
now
follow
up
on
the
house
from
here
and
that
last
question?
You
asked
it's
not
within
our
unit,
but,
however,
bmc
does
work
with
boston,
police,
homicide
unit,
the
youth,
violent
strike
force
and
the
community
justice.
J
I
think
group
there
are
trauma
informed,
counselors
through
bmc
that
actually
work
directly
with
them
so
like
a
victim
of
a
shooting
or
stabbing
or
whatnot,
they
get
all
these
cases
and
they
work
with
homicide
and
the
youth
violence
strike
for
us
to
help
these
families
out
and
get
them
into
services
that
they
need.
Q
I
A
Yeah,
thank
you.
Council
mejia.
I
just
have
a.
I
just
have
a
and
thank
you
to
joshua
for
for
getting
on
and
thank
you
superint
sergeant.
I
keep
on
calling
the
superintendent.
They
need
to
make
you.
I
guess
messina
superintendent,
but
thank
you
for
jumping
on
joshua
and
I
know
we
were
waiting.
I'm
looking
for
you
so
appreciate
you
joining
us
to
provide
your
perspective.
R
A
Totally
understand
so,
thank
you.
Thank
you
all.
I
just
have
a
few
questions.
I
saved
mine
to
the
end,
just
to
be
courteous
to
the
panelists,
of
course,
and
my
colleagues
so
I'll
try
to
go
through
quick
and,
and
maybe
the
first,
the
first
directed
to
you
jenna,
based
on
just
the
presentation,
or
I
guess
anyone
could
answer
it.
One
was
you
were
talking
about.
You
know
the
the
data
and
the
outcomes
everything
you
had
in
your
presentation
was
just
so
helpful.
A
I
mean
not
just
talking
about
the
services
you
provide,
but
one
of
the
things
you
talked
about
was
how
the
limited
coding
so
how
the
numbers
just
aren't,
really
really
reflective.
Frankly,
so
what?
What
is
the
barrier
to
coding?
More
of
these
calls
to
get
a
real,
accurate
description
of
not
only
what
the
department
does
what
what
the
need
is
that.
C
Is
a
phenomenal
question
and
that's
an
issue
nationally.
This
is
not
definitely
not
just
a
boston
issue.
I
think
there's
a
lot
that's
to
do
with
call
taker
training,
and
I
should
also
mention
that
our
correspondent
group,
which
is
turning
into
a
working
group,
we
also
often
have
regular
representation
from
our
operations
from
the
9-1-1
call
center.
C
Chris
marconis
often
comes,
but
you
know
I
think
the
police
involvement
starts
at
the
9-1-1
call,
and
I
think
the
questions
that
get
asked
are
hugely
important
and
I
think
that's
also
why
having
a
best
clinician
housed
in
operations
might
be.
C
You
know
really
a
game
changer
for
asking
those
questions
and
really
kind
of
triaging
and
figuring
out
what
the
issue
is,
but
it
really
does
all
come
down
to
call
taker
discretion
and
training,
and
so
again
this
is
a
national
issue
of
really
not
having
any
sense
of
the
actual
scope
of
mental
health
calls
for
service
because
again
other
than
the
ones
that
are
just
a
really
obvious
black
and
white
like
this
is
clearly
a
mental
break
of
some
kind.
C
But
again,
mental
health
is
a
part
of
so
many
calls,
and
you
know,
even
just
over
the
years
we've
pushed
just
to
have
a
mental
health
check
box,
like
kind
of
like
there's
one
for
domestic
violence.
Like
is
this.
A
mental
health
related
call
just
to
give
us
some
better
sense
and
that's
the
thing
we're
still
actively
working
on
it's
still
on
our
radar,
but
it's
really
hard
to
track.
A
No,
I
mean-
and
I
fully
support
anything
to
eliminate
those
barriers
and
why
I
even
brought
it
up
was
not
just
based
on
the
data
and
paying
an
accurate
picture
was
much
of
the
work.
The
council
flynn
and
I
are
doing
with
respect
to
domestic
violence,
sexual
assault.
All
these
types
of
cases
clearly
fall
within
what
we're
talking
about
today,
but
may
not
be
captured.
So
I
will
clearly
work
with
councillor
sabi
george,
on
any
barriers
there.
So
that's
really
helpful.
A
One
of
my
other
questions
had
to
do
with
you
know
before
the
council
were
talking
about
so
many
different
reforms,
I'll
put
that
in
quotes,
but
just
different
ways
to
improve
our
delivery
services
right
and
and
specifically
out
of
our
police
department
and
and
moving
away
from
just
having
9-1-1
calls,
but
looking
at
how
we
use
3-1-1
or
other
ways
in
which
people
access
different
services
through
different
infantry
points.
A
A
So
I
guess-
and
I
really
would
want
to
hear
your
perspective-
or
maybe
this
is
free
for
you
sergeant
soon
to
be
superintendent.
Messina,
the
you
know
as
we're
considering
situations
where
non-police
officers
go
out
or
respond
right.
Clearly
in
mental
health
cases,
you
want
clinicians
there.
You
want
experts
there,
but
in
certain
circumstances
there
seems
to
be
a
need
to
have
an
officer.
A
I
So
so,
thank
you.
It's
a
good
question.
So
so
one
of
our
one
of
our
things
that
what
we're
trying
to
do,
but
due
to
lack
of
manpower
and
like
the
best
clinicians,
where
it's
making
it
difficult,
is
we're
trying
to
do
follow-ups.
So
a
lot
of
these
a
lot
of
these
calls
come
in
low-level
like
edp
calls.
It
could
be
a
person
screaming
on
the
street.
It
could
be
someone
banging
the
floor
of
their
apartment
in
there
to
a
lot
of
people.
I
They're
minor
calls
a
lot
of
the
officers
they're
minor
calls.
What
we'd
like
to
do
is
follow
up
on
those
minor
calls
to
see
what
the
issue
is
do
more
due
diligence
into
that
call.
There's
a
lot
of
these
situations
that
they
involve
a
person
that
may
be
suffering
from
some
sort
of
mental
illness
and
they're,
not
taking
their
medication
and
to
know.
I
Out
there
to
have
just
a
one-on-one
discussion
with
that
individual
could
resolve
so
many
calls
that
may
come
down
may
come
up,
may
come
in
down
the
road,
so
so
calls
like
that
very
low
level.
Calls
that
may
be
a
nothing
thing
could
be
a
quick
incident
report,
quick
call
log.
Those
calls
should
get
diverted
over
to
a
best
clinician,
not
involving
a
co-response
with
the
police
officer.
I
Our
job
is
co-response
is
more
of
an
escalated
level,
so
when
the
best
clinician
goes
out
there
and
assesses
the
situation
on
these
low-level
calls
and
says
okay.
Well,
this
is
more
of
an
this.
This
individual
john
doe
in
our
system
and
they're
suffering
from
x
y
and
z.
Then
it
could
we
could
co-respond
with
them
to
the
call.
So
so
that's
how
I
feel
that
that
could
be
beneficial
having
having
best
clinicians
responding
on
their
own.
Initially.
C
And
I
do
think
it's
helpful
god
jennifer
I
was
gonna
say
it's
also
so
important
to
note
that
1-800
number
that
was
at
the
bottom
of
the
slides
again,
I
hope
we'll
make
it
public,
but
I
think
just
getting
that
word
out
that
the
community
can
access
best
directly
and
I'm
sure
there
are
so
many
situations
where
people
don't
want
to
call
9-1-1.
They
don't
want
an
officer,
but
they
kind
of
feel
like
there's
nothing
else
they
can
do
so.
C
That's
part
of
the
best
part
of
the
co-response
program,
but
also
just
this
hearing,
is
getting
the
word
out
that
people
can
contact
best
directly
and
oftentimes
at
best
response.
If
it's
not
urgent,
urgent,
you
know
that
that
will
avoid
police
altogether
and
that's
that's
part
of
this
program.
That's
a
great
part
of
this
program
is
taking
the
police
out
of
the
equation
where
the
police
aren't
needed,
because
that's
you
know
that
works
well
for
everybody.
A
And
it
also
includes
making
sure
that
those
other
numbers
and
channels
are
staffed
right
and
that's
part
of
the
conversation,
funding
and
staff,
which
counselor
sabi
george,
of
course,
has
been
pushing
for
for
years
to
have
the
capacity.
So
when
folks
call
there's
a
a
quick
response
to
those
calls,
so
that's
that's
helpful.
I
just
have
two
two
more
questions.
One
has
to
do
with
under
what
circumstances,
because
we've
talked
a
lot
about
diversion
and
moving
people
away
from
going
to
court
getting
arrested.
A
A
L
I
can
hop
in
two
if
you'd
like
go
ahead,
josh
go
ahead,
thanks,
josh,
I
I'd
just
like
to
say.
Like
you
know,
one
of
the
main
focuses
of
our
unit
is
creating
non-arrest
pathways
to
treatment
and
recovery,
and
so
one
of
the
things
that
we
need
is
more
tools
in
our
toolbox
for
that
and
having
the
best
team
and
having
all
the
other
resources
in
and
around
the
city,
to
direct
to
the
clients
that
we're
dealing
with
is
one
of
the
most
important
things
for
us
and
for
society.
L
That's
that's
a
win
for
everybody
across
the
board,
the
person
that
we're
dealing
with
and
and
the
services,
and
so
I
think,
education,
more
resources,
the
ability
to
work
with
best.
More
often,
if
we
don't
have
the
tools
when
we
get
to
the
job,
we
can't
use
them,
but
having
resources
like
best
and
like
like
the
other
things
that
are
in
around
the
city,
only
make
our
job
easier
and
people's
lives
better.
M
M
M
So
if
the
police
respond,
even
if
we
come
with,
you
know
a
best
team
clinician,
there's
still
going
to
be
some
data
received
on
the
best
team
side
where
we
can
relay
that
to
court.
We
can
even
go
to
court
and
advocate
as
to
why
this
occurred,
but
by
law
we
are
mandated
to
lock
up
somebody
that
hurt
the
family
member
or
their
significant
other,
or
something
like
that
and
our
hands
are
tied
and
we
are,
you
know,
forced
to
do
that.
That's
the
only
thing
I
could
think
of
I'm
sure.
M
There's
other
situations
where
you
know
we
don't
have
any
place
to
put
this
person
or
something
like
that
and
they've
committed
such
an
egregious
act
that
they
do
have
to
be
locked
up,
but
the
domestic
situations
are
the
first
things.
I
would
think
of.
I
Very
important
is
training.
I
I
know
josh
is
heavily
involved
in
training
dan
lauren.
It
is
huge
to
not
only
take
ours
like
it's,
not
only
the
huge
take
to
train
us
as
a
team,
but
also
to
for
us
to
train
the
rest
of
the
boston
police
department,
the
boston
police
officers.
It
doesn't,
I
mean
society's
changing
this
world
has
changed.
We
need
to
pass
on
these
skills
to
the
officers
that
are
responding
on
the
street.
I
One
thing
I've
learned
in
the
past,
you
know
the
time
I've
been
on
the
job
is
that
the
best
team
is
being
utilized
more
and
more
and
more
de-escalation
is
being
used
more
and
more
and
more
and
that's
important
to
get
up
to
the
to
the
academy
so
to
teach
these
new
recruits
that
are
coming
in
these
new
skills.
I
think
training
them
from
day.
One
on
this
is
huge
and
that's
something
that
we're
trying
to
chip
away
at
now
and
moving
forward
in
this
next.
The
sex
calendar.
A
No,
it's
very
helpful
and
I
I
support
funding
whatever
you
you
guys
need,
including
and
obviously
the
work
with
the
external
partners
and
how
we
can
support
them
too.
So,
thank
you
and-
and
my
last
is
just
on
the
positions
there's
a
lot
of
new
positions,
which
is
fantastic,
the
hub
position.
Obviously,
we've
been
going
back
with
jenna
with
your
whole
team
on
that
which
is
really
exciting,
that
there
was
funding
for
that.
A
But
I
know
counselor
sabi
george
is
going
to
get
that
to
the
council,
because
there
are
organizations
that
are
doing
the
work
right
now
I
mean
I
always
think
about
father's
uplift
in
my
district,
which
works
with
a
lot
of
folks
recently
incarcerated.
I
mean
a
specific
population
but
very
diverse
in
their
team,
who
would
love
to
see
these
positions
and
to
then
give
them
out
to
their
network
with
the
hopes
of
increasing
diversity,
so
look
forward
to
receiving
those
and
sharing
those
and
then
on
the
data
piece
and
I'm
curious.
A
If-
and
this
is
my
last
thing-
I
guess
I
could
go
on
and
on
but
my
on
the
data
piece
and
in
the
slides
curious.
If,
if
you
break
it
down
any
further
by
whether
it's
the
the
outcomes,
the
dispositions
or
anything
by
neighborhood
by
gender,
race,
ethnicity,
income,
if
there's
other
sort
of
markers,
which
I
think
help
connect
to
other
issues
that
folks
might
be
going
through
and
other
policy
considerations
too.
So
just
curious.
If
the
data
has
any
any
demographics
or
any
other
information
that
might
be
useful.
C
I'm
gonna
defer
to
lauren
on
that
because
all
the
data
that
we
showed
in
lauren.
I
hope
that
I
didn't
just
put
you
on
the
spot,
but
basically
all
of
our
co-response
data
comes
through
best.
E
Sorry,
two
speakers
come
on
wrong,
so
we
do
track
date
of
birth
for
calls
for
people
who
we
have
that
information
on
who
have
disclosed
that.
So
we
could
break
it
down
by
age
because
we
have
staff
generally
sort
of
geographically
placed
within
a
district.
We
have
that
we
we
do
track
like
the
address
that
something
happens
or
the
home
address
for
a
person
which
is
often
times
homeless,
because
those
folks
are
living
in
public
spaces
and
then
draw
a
lot
of
attention
to
anything
that
they're
doing
as
a
result.
E
So
we
have
information
about
where
these
events
are
happening
and
the
age
range,
but
we
don't
currently
track
anything
about
cultural
or
racial
breakdown
at
all.
We
track
how
long
calls
usually
take
us,
whether
they're,
where
the
calls
come
from
whether
whether
they
were
referred
from
9-1-1
or
sometimes
even
you
know,
directly
from
commuter
community
providers.
Things
like
that.
Can
I
make
one
comment
about
the
last
question
that
you
posed
as
well
about
the
arrest
piece.
E
I
know
myself
and
I
think
that
this
is
true
of
all
the
clinicians,
that
there
are
the
calls
that
we're
able
to
get
to
that.
There's
a
clear
issue
on
scene
that
the
person
has
mental
health
needs
and
our
consultation
on
the
scene
as
requested,
but
then
there's
folks
that
it
may
not
be
so
clear
on
scene
and
then
the
person's
arrested,
because
there
was
something
you
know
serious
going
on
in
the
community
and
as
they're
trying
to
book
the
individual
and
get
through
that
process.
E
It
becomes
clear
that
there's
something
that's
just
the
communications
breaking
down
that
they're
having
difficulty
having
this
person
respond
to
like
simple
commands,
and
it
might
be
at
that
point
that
the
clinician
becomes
involved
in
where
we
decide
or
we
you
know
we
consult
and
say:
could
this
person
potentially
be
summonsed
instead
of
being
booked
so
that
we
could
get
them
to
a
hospital?
Or
there
are
cases
we've
consulted
on
cases
where
the
person's
been
arrested
for
murder
there's
nothing
more
serious.
The
person
needs
to
be
in
the
containment
of
a
holding
cell.
E
However,
that
doesn't
mean
that
they
won't
also
have
mental
health
needs
that
we
can
help
to
address.
So
we
can
intervene
at
any
point.
So
sometimes
diversion
is
you
know
like
the
the
gold
star
and
the
gold
standard,
but
realistically
it's
not
always
clear,
and
sometimes
there
are
cases
where
it's
just
for
in
the
interest
of
public
safety.
That
arrests
can't
be
avoided,
but
that
doesn't
mean
that
we
just
kind
of
walk
away.
We
still
try
to
offer
assistance,
we
get
involved.
E
I
gave
her
the
statistic
of
10
formal
holding
cell
evaluations
done
by
co-response
clinicians
in
the
past
year,
but
there
are
so
many
more
that
aren't
full-fledged
evaluations
that
safety
in
the
cell
is
maintained,
but
that
the
person's
still
struggling
or
now
that
they're
in
a
cell
is
an
opportunity
where
they're
realizing
the
writing's
on
the
wall
and
something
needs
to
change
in
their
life,
and
so
clinicians
are
often
enlisted
to
help
in
those
moments
to
engage
that
person
in
some
discussion
to
help
motivate
them
towards
some
change
and
capitalize
on
those
epiphany
moments
that
sometimes
happen
when
people
do
suffer
those
kinds
of
consequences.
E
As
a
result
of
their
behavior
in
the
community,
sometimes
we're
also
able
to
reach
out
to
family
members
or
staff
in
group
home
settings
places
where
people
may
have
psychiatric
medications
being
held,
and
we
try
to
coordinate
with
those
parties
to
get
those
medications
brought
to
the
station.
So
those
folks
can
be
medicated
while
they're
being
detained
and
communicating
any
ongoing
mental
health
concerns
to
the
clinicians
at
the
court
so
that
they
know
that
they're
receiving
somebody
who
may
continue
to
be
really
struggling.
E
So
there
is
a
place
for
this
role
that
is
beyond
just
aversion
from
arrest.
Although
that's,
of
course
like
very
important
and
at
any
point
we
can
do
that.
We
like
to
try
to
offer
some
other
pathway,
but
there
are
going
to
be
people
that,
for
public
safety's
sake
cannot
be
diverted,
and
I
think
that
that
is
something
that
I
think
I
hope
we
can
track
a
little
bit
better
in
the
future
about
you
know
what
are
those
other?
E
What
are
those
other
tasks
and
quantifying
whether
that
intervention
from
the
corresponds
clinician
shaped
the
outcome,
even
if
diversion
for
arrest
was
not
possible,
even
if
we
couldn't
or
didn't
need
to
transfer
that
person
to
a
setting
of
care,
but
that
we
were
able
to
push
that
envelope
in
some
direction
to
help
motivate
them
to
change
or
to
introduce
them
to
some
services?
They
can
follow
up
on
themselves
once
they're
out
of
custody
or
educating
their
family
members.
If
we're
calling
and
saying,
could
you
please
bring
his
meds
by
here?
E
Here's
some
resources
you
may
not
have
known
about
so
I
just
wanted
to
share
that
in
response
to
the
questions
about
rest.
A
No
that's
very
helpful,
and
I
appreciate
that
not
extremely
helpful,
so
thank
you
and
and
I'll
just
end
before
I
turn
it
over
to
the
the
sponsor
for
any
closing
remarks
or
anything
final
on
the
data
piece.
A
I
I
think
at
some
point
it
would
be
great
to
gather
any
other
demographics,
because
I
think
it
helps
inform
policy
discussions
and
other
things
we
should
be
working
on
so
whether
it's
neighborhood
gender
race,
ethnicity,
it's
all
connected
right,
and
so
I
just
I
really
appreciate
the
presentations
today
and-
and
I
really
also
appreciate
everyone
sharing
specific
stories
as
to
how
this
work
shows
up
on
the
ground
and
in
the
community.
So
thank
you
and
counselor
sabe
george.
A
Thank
you
for
calling
for
the
hearing,
I'm
going
to
turn
it
over
to
you.
B
B
Welcome
thank
you.
I
do
want
to
note
that,
during
the
presentation
that
we
had
highlighted
the
best
hotline
number,
the
800
981
help
help,
but
because
of
the
closed
captioning
through
our
feed,
it
was
blocked
through
most
of
it.
So
I
just
I'm
going
to
reiterate
for
the
public,
and
I
ask
my
colleagues
if
they're
going
to
share
this
or
tweet
about
this
on
social
share
on
social
media,
that
they
also
include
the
best
hotline
number.
B
B
That
bmc
does
have
a
24
7
hotline
available
for
any
one
of
our
residents
to
call
our
community
members
to
call
and
reach
out
for
help,
and-
and
I
think
that
that
bmc
partnership,
the
boston
police
partnership
and
the
work
that
continues
in
community
that
this
sort
of
co-response
model
with
the
partnerships
that
are
here
today
with
pine
street
in
and
so
many
other
organizations
that
it
does
really
highlight.
B
This
work
really
highlights
what
true
partnership
can
do
to
support
our
residents
in
our
communities
across
the
city,
and
I
think
that
this
in
the
mayor's
investment
through
his
budget
that
we
pass
the
end
of
june
really
will
go
a
long
way
and
I'm
really
excited
to
get
these
new
providers
on
on
board
and
onboarded
and
appreciate
the
the
work
that
they'll
be
able
to
do
for
our
residents
and
we'll
share
those
job
postings
I'll
share
those
with
colleagues
so
that
they
can
share
those
job
postings
for
with
with
all
of
our
networks,
our
respective
networks,
and
I
want
to
note
that
some
of
this
investment
also
will
go
to
make
sure
that
that
salary
question
is
also
responded
to
that
we're
paying
our
co-responders
wages
and
salaries
that
they
they
need.
B
I'm
certain
that
they're,
it's
not
going
to
be
as
high
as
that.
We
need
it,
but
in
but
I
did
you
want
to
recognize
that
that's
been
a
real
concerted
effort
with
jenna
and
her
team
through
this
work
and
through
evaluating
where
co-responders
should
be
assigned
and
placed
and
available-
and
I
do
want
to
appreciate-
I
don't
know
if
peter
had
said
this
or
one
of
the
other
police
officers
had
said
this
sort
of
the
evolution
of
the
use
of
clinicians
on
the
street
and
the
real
partnership.
B
Again
that
that's
created
and
the
support
that
it's
offered
our
residents,
who
are
in
a
time
of
need-
and
I
think
that
john
george's
during
his
testimony
earlier
said
it
best
when
speaking
about
his
loved
one,
that
he
got
what
he
needed
when
he
needed
it.
And
that's
really
the
the
impact
of
a
corresponding
model
and
having
those
providers
available
is
that
we
can
get
our
residents.
B
The
needs
respond
to
the
needs
that
they
have
in
their
moment
of
need,
and
I
do
want
to
just
uplift
because
it
was
brought
up
a
few
times,
but
the
boston
community
justice
project
that
I've
had
the
benefit
of
being
a
part
of
over
the
last
few
years
has
is
really
sort
of
an
extension
of
this
work
and
that
work
continues,
and
I
want
to
thank
jenna
in
particular,
but
the
entire
team.
That's
here
today
and
and
more
for
holding
one
of
your
meetings
at
city
hall.
At
the
beginning
of
this
year.
B
I
thought
to
myself
oh
wow,
that
was
a
couple
years
ago,
but
no,
it
was
just
the
beginning
of
this
year
that
that
that
your
regular
meeting
was
held
at
city
hall,
and
you
welcomed
in
my
colleagues
to
hear
about
that
work
prior
to
sort
of
your
more
formal
meetings.
So
I
am
excited
about
the
next
steps.
I'm
excited
about
this
investment
and
getting
an
onboarding
providers
and
making
sure
that
you
know
we're
in
this
constant
state
of
evaluation
so
that
the
providers
are
where
they
need
to
be.
So.
B
Thank
you
jenna
and
lauren,
and
tasha
and
petite,
and
you
know
the
entire
team,
peter
josh
joshua
dan
claire,
who
I
think
is
still
on
and
arty,
because
you
know
I
I
come.
I
interact
with
you
guys,
both
both
through
these
meetings
but
seeing
you
do
this
work
firsthand
and
it
really
is
it's
really
important
and
impactful,
and
I
think
that
this
this
investment
is
just
going
to
make
all
of
those
efforts
better.
So,
madam
chair,
that's
it
for
me.
I
don't!
I
don't
know
if
there
is
public
testimony.
A
A
No,
I
don't
have
anyone.
Okay,
thank
you.
Corey
you're,
the
best
you're
welcome
too.
Thank
you
essential
staff.
What
would
we
do
without
you
guys?
I
love
you
guys.
We
do
too.
So
I
don't
know
if
sergeant
or
jenna
lauren.
Anyone
have
any
final
remarks
before
we
wrap
up.
I
know
how
busy
you
guys
are
so
I'll
turn
the
floor
over
to
you.
C
J
I
just
gotta
say
thank
you
all
right,
two
people,
one
room
gonna
say
thank
you
again
and
to
follow
up
to
you
is
the
second
question
about
the
arrest.
Just
if
someone
gets
arrested
doesn't
mean
the
door
is
closed,
there's
still
options
after
that,
for
them
to
be
diverted,
and
sometimes
we
need
to
arrest
somebody
in
order
to
get
them
into
treatment.
A
D
Just
just
a
big
thank
you
again
for
inviting
us
here
today
and
giving
us
the
opportunity
to
speak.
I
think
you
know
both
the
best
team
as
a
whole
and
our
partnership
with
the
police
has
such
an
important
role
to
play
in
really
serving
the
members
of
our
community
serving
them
where
they
would
like
to
be
served
and
serving
them
when
they
need
to
be
served,
and
so
any
opportunity
to
extend.
That
is
really
key
from
my
perspective.
So
thank
you.
Thank
you
again
so
much
madam
chair,
and
and
thank
you
to
councillor.
E
Just
wanted
to
thank
you
as
well,
and
I
just
wanted
to
share
that.
I
spent
my
whole
career
at
the
intersection
of
the
mental
health
system
and
the
criminal
justice
system,
and
I
think
this
kind
of
discussion
provides
an
opportunity
for
us
to
figure
out
how
to
have
these
systems
that
are
incongruent
at
times,
communicate
well
with
each
other,
and
I
think
we
have
some
people
calling
911
who
may
have
been
better
served
to
call
best.
They
really
didn't
need
that
response.
E
We
have
some
people
calling
the
best
800
number,
where
it's
too
emergent
and
it's
not
safe
to
wait
to
have
a
clinician
come
on
their
own
because
of
the
timely
factor
or
because
they
need
an
officer
really
to
maintain
the
safety.
E
So
I
think,
through
the
support
we
get
from
the
council
and
from
partnerships
like
this,
we
can
really
do
our
best
to
right-size
those
interventions,
and
I
really
thank
you
for
your
support.
A
Thank
you,
lauren
sergeant,
do
you
want
to
wrap
us
up?
Do
you
want
to
say
anything
or
josh
or
joshua
I
see
faces?
I.
I
Just
dan
and
lauren
said
it
the
best.
Thank
you
for
all
involved.
I
I
it
was.
It
was
great
being
able
to
testify
today
to
give
you
guys
a
hopefully
a
thorough
explanation
as
to
the
benefit
of
having
a
core
response
to
the
best
team
with
us.
So
thank
you
so
much
to
everybody
involved,
especially
city
councilors,
simon
george
yourself
and
and
my
team
and
jenna
and
lauren
from
and
all
together.
So
thank
you
so
much.
L
Yeah,
I
just
I
think,
I'd
be
remiss
if
I
didn't
say
this:
I've
been
a
police
officer
for
almost
20
years
and
policing
in
my
time
has
certainly
changed,
and
when
the
sergeant
asked
me
to
be
on
this
meeting,
it
wasn't
anything
he
was
ordering
me
to
do.
It
was
something
I
wanted
to
do,
because
I
want
to
be
here
to
say
that
this
does
work
and
if
it
didn't
work
I
wouldn't
be.
L
I
wouldn't
have
been
on
this
call,
and
so
we
see
it
every
day
we
see
the
stuff
working
every
day
and
people
are
surprised
sometimes
when
they
see
the
job
that
we're
doing
as
police
officers.
But
it's
it's
a
non-traditional
approach
and
it's
the
future.
So
I
just
want
to
say
thank
you
for
listening
to
us
today.
A
Q
No,
I
just
wanted
to
say
thank
you
to
everyone,
jenna
peter
josh,
the
whole
squad
for
sharing
so
much
lauren
and
everyone
on
the
call
today
I
I
walked
away
learning
a
lot
and
actually
leaving
really
hopeful
for
what
is
to
come.
Oftentimes.
We
don't
come
into
these
spaces
and
leave
with
a
sense
of
oh
okay.
This
is
good
to
hear
and
know,
and
and
and
and
support,
right
and
officer
josh.
Q
I
also
really
do
appreciate
your
service
and
you
are
incredibly
correct
when
you
talk
about
what
the
future
looks
like,
and
I
think
that
the
more
we
can
lead
again
with
some
heart
and
really
with
some
compassion.
I
think
that
this
is
what
the
city
needs
in
this
moment
in
time,
and
I
think
that
this
approach
really
centers
that
in
in
seeing
people
seeing
people
seeing
the
human
right
so
so,
thank
you.
Thank
you
for
all
that.
You
do
it's
great.
We
appreciate
it.
Q
I
know
I
always
come
across
as
the
little
rebel
rouser,
but
know
that
my
heart
is
always
in
the
right
place,
and
I
really
do
appreciate
everyone
and
all
your
work
and
the
service
that
you
do
for
our
city
and
thank
you,
counselor
sabi
george,
for
your
commitment
to
this
particular
issue
and
all
that
you
do
for
those
who
are
struggling
with
mental
health
and
substance,
abuse
and
homelessness.
Q
A
A
Thank
you,
of
course,
thank
you
to
all
of
our
and
all
of
our
employees
from
the
administration
for
the
work
you
guys
do
every
day,
including
the
panelists
who
had
to
jump
a
little
early
and
for
the
partners
on
the
ground
and
to
those
who
provided
public
testimony
and
shared
some
of
their
stories,
which
is
not
easy
to
do
in
a
space
like
this.
So
thank
you
so
much
and
again,
thank
you,
counselor
sabe
george.
Thank
you,
central
staff,
carrie
cora.
Thank
you
guys.