►
Description
Docket #0234 - Hearing to review the women-specific outreach and healthcare programming to combat the opioid crisis
A
Good
morning,
everyone,
my
name,
is
liz
braden.
I
am
the
chair
of
the
boston
city
council
committee
on
strong
women,
families
and
communities.
I'm
joined
this
morning
by
my
colleague,
counselor
anissa,
sabi
george,
who
is
the
lead
sponsor
of
this
hearing.
This
hearing
is
being
recorded
and
broadcasted
on
xfinity
channel
8,
rcn
channel
82.
A
C
Thank
you
very
much,
madam
chair.
While
the
opioid
epidemic
is
currently
impacting
our
entire
city,
we
are
seeing
an
alarming
increase
in
the
number
of
young
women
struggling
with
addiction
and
an
increase
in
sexual
violence.
The
traumas
leading
to
addiction
and
experienced
experiences
due
to
addiction
or
homelessness
last
a
lifetime,
but
they
also
can
be
carried
forward
for
generations.
We
need
a
public
health
response
that
makes
health
care
and
recovery
programs
widely
available,
with
a
particular
focus
on
women
dealing
with
opioid
opioid
us
disorder.
C
We
have
a
responsibility
to
these
women
to
their
families
and
future
generations
to
stop
the
cycles
of
trauma,
homelessness
and
addiction,
I'm
eager
to
hear
from
our
panelists
about
what's
working
on
the
ground
and
what
policy
or
budgetary
changes
we
need
to
make
to
expand
to
those
efforts.
I
know
this
won't
be
the
last
time
we
have
this
conversation,
but
I
am
grateful
for
all
of
you
who
are
here
today
to
help
us
improve
the
city's
efforts
to
supporting
women
dealing
with
addiction,
but
also
dealing
with
you
know.
C
I'm
grateful
to
them
for
their
efforts
day
in
and
day
out,
it's
a
sort
of
a
24
hour,
a
day
effort
that
needs
to
be
sort
of
managed
and,
I
think
increase.
We
need
to
be
looking
at
an
increase
in
services
and
improvement
of
services
to
women
in
particular,
who
are
living
unsheltered
and
and
although
we
see
a
lot
of
that
sort
of
play
itself
out
at
the
intersection
of
mass
ave
and
melania
cass
boulevard,
it
is
certainly
something
that
women
are
impacted
by
across
across
our
city
in
all
of
our
neighborhoods.
B
B
Our
street
outreach
team
provides
narcan
directs
people
to
care,
provides
recovery,
coaching
and
support.
The
engagement
center
offers
a
safe
place
for
people
to
go
off
the
street
during
the
day
for
social
interaction,
bathrooms
and
medical
support.
From
the
boston
from
the
healthcare
healthcare
for
homeless,
nursing
staff,
our
a-hope
program
provides
comprehensive
drug
user
health
and
critically
important
work
connecting
people
to
care.
Hiv,
sti,
testing,
narcan
and
overdose
prevention
linkages
to
medical
care,
behavioral,
health
and
social
services.
B
Prior
to
the
pandemic,
ahope
provided
women
identifying
drop-in
hours
every
week
on
tuesdays,
women
could
come
and
attend
groups
get
supplies,
get
off
the
street
and
be
in
a
safe
place
with
other
women.
Have
lunch,
participate
in
activities
and
access
specific
services,
such
as
from
barc
intimate
partner,
violence,
team
from
bmc,
self-defense
class
on-site
nurses
for
hiv
medications,
birth
control
and
sti
support.
B
This
need
was
identified
pre-covered
and
with
our
recent
move
back
indoors
after
providing
services
outside
for
the
past
year,
we
will
move
to
institute
this
programming
again
next
door
is
our
paths
program
where
people
are
placed
in
treatment
with
transportation.
Seven
days
a
week
during
the
pandemic,
the
program
sent
almost
4
000
people
to
treatment
fighting
for
access
at
all
points
in
the
continuum
in
madapan,
we
have
three
residential
programs
that
support
up
to
100
men
and
women
in
early
recovery,
helping
to
stabilize
them
for
the
next
step
on
their
journey.
B
Two
programs
serving
women
include
entree
familia,
a
12-month
residential
substance,
use
treatment
program
that
provides
bilingual
bicultural,
gender,
specific
substance,
use
disorder,
treatment
to
pregnant
and
postpartum
women
and
their
children.
All
of
our
programming
is
evidence-based,
with
proven
success
in
providing
culturally
sensitive
services
to
all
women
and
their
children.
A
population
historically
underserved
in
substance
use
treatment.
B
B
Some
of
the
needs
that
are
specific
to
this
population
are
access
to
safe
spaces
that
are
women
identified.
Only
more
sane,
specific
nurses,
women
who
do
choose
to
go
to
the
hospital
after
an
incident
of
assault
or
rape
will
be
met
with
quality
and
appropriate
care,
replication
of
best
practices
to
increase
access
to
medical
care,
similar
to
project
respect
at
bmc,
more
training
to
providers
and
other
sectors
on
how
to
talk
about
survival.
B
Sex
building,
trusting
relationships,
engagement,
the
intersection
with
trafficking
substance
use
as
a
chronic
disease
stigma
and
discrimination
related
to
substance,
use,
trauma-informed
care,
increased
housing
and
treatment
beds
for
women,
reunification
and
family
resources,
along
with
resources
for
women
who
are
pregnant
and
using
and
support
during
during
postpartum
and
up
to
a
year
of
support
for
women,
basic
needs
and
safe
spaces
such
as
food
showers
and
laundry.
To
address
these
gaps.
B
The
city
has
participated
with
the
state
department
of
public
health
and
various
organizations
to
conduct
a
needs
assessment
specific
to
addressing
the
unique
needs
of
women
who
are
engaging
with
substance
use.
What
we
found
in
what
we
see
daily
is
that
women
do
not
merely
have
enough
support
resources
or
access
to
adequate
and
competent
care.
B
Women
who
engage
with
substances
and
who
are
unhoused
have
unique
needs
often
take
part
in
survivor
sex
in
order
to
meet
some
of
their
most
basic
needs.
When
engaging
in
this
practice,
women
are
then
exposed
to
communicable
diseases,
sexual
assault,
violence
abuse
and
are
often
stigmatized
in
the
process.
B
Our
office
has
spent
the
past
year
advocating
for
women
and
their
needs,
and
our
efforts
have
been
successful.
The
department
of
public
health
recently
awarded
two
million
dollars
for
a
new
model
of
care
focused
on
low
threshold
housing
for
people
experiencing
homelessness
that
are
at
risk
for
hiv
and
who
have
a
substance,
use
disorder.
B
This
first
time
effort
also
includes
two
outreach.
Coordinators
focused
solely
on
reaching
women
an
incredible
step
for
our
unhoused
female
population,
but
there
is
still
much
work
to
be
done
as
organizations
reopen
and
restrictions
are
gradually
lifted.
We
will
work
together
with
the
mayor
and
the
council
and
our
partners
to
meet
the
complex
needs
of
women
with
substance
use
disorder.
B
D
Great
good
morning,
chairman
breda
and
the
members
of
the
council,
I
want
to
thank
councillor
sabi
george,
for
sponsoring
this
hearing
order
and
all
of
you
for
bringing
us
together
on
this
important
topic.
My
name
is
stephanie
and
I'm
the
interim
director
of
homeless
services
at
the
boston
public
health
commission,
where
we
aim
to
make
homelessness.
Rare
brief
and
one
time
at
our
woods
mullen
emergency
shelter.
We
serve
any
individual
18
years
or
older,
who
identifies
as
the
woman
who
is
experiencing
a
crisis
of
homelessness.
We
are
often
the
absolute
last
stop
for
women.
D
In
2020,
we
serve
close
to
1200
women
at
our
woods,
mullen
shelter
where
they
could
utilize
our
facilities
to
have
a
safe
place
to
sleep
shower,
have
warm
meals
and
access
to
our
housing,
behavioral,
health
and
workforce
development
services,
close
to
a
quarter
of
these
guests,
were
actually
brand
new
to
us
entering
homelessness.
For
the
first
time,
the
women
we
serve
are
strong,
resilient,
savvy
and
never
afraid
to
tell
you
how
things
actually
are
so
I'll
try
to
follow
suit.
In
my
remarks,
I
want
to
tell
you
about
two
of
our
guests:
frankie
and
colleen.
D
Frankie
arrived
at
with
melon
shelter,
struggling
with
her
ongoing
addiction
to
heroin
and
amphetamines.
She
recently
had
found
out.
She
was
pregnant.
Our
staff
were
able
to
connect
her
with
a
local
methadone
clinic
to
curb
her
cravings.
She
also
got
connected
to
services
at
rosie's
place
and
the
on-site
doctor
from
healthcare
for
the
homeless,
who
works
out
of
our
woods
mullen
clinic.
She
will
tell
you
she's
still
struggling,
but
also
that
she
has
more
hope
than
before
and
is
working
with
our
staff
to
quickly
leave
shelter
to
a
permanent
place.
D
While
she
eventually
has
made
it
to
detox
on
several
accounts,
she's
always
discharged
back
to
shelter,
to
an
environment
where
she
is
struggling
or
many
are
struggling
just
like
she
is
frankie
and
colleen,
give
us
a
small
window
into
the
utter
tragedy
of
when
trauma,
homelessness,
mental
illness
and
substance
use
disorder.
All
collide,
80
percent
of
our
guests
have
at
least
one
disabling
condition.
40
are
survivors
of
domestic
violence
and
60
have
a
mental
health
diagnosis.
D
D
D
D
In
closing,
I
want
to
thank
the
committee
on
strong
women,
families
and
communities
for
allowing
me
this
opportunity
to
testify
while
we're
proud
of
the
work
we
do.
The
needs
are
endless
and
urgent
and
we
look
forward
to
working
with
this
committee
and
all
of
our
partners
here
to
better
understand
the
drug
epidemic
among
women.
I'm
happy
to
answer
any
questions
from
the
committee.
Thank
you
so
much.
A
E
Here
I
go
again
good
morning:
everyone,
sorry
for
the
inconvenience
I
am
here
to
represent
project
place.
I
also
want
to
say
thank
you
to
the
city
council
to
the
other
speakers
to
everyone
else
that
was
here
to
hear
what
we're
talking
about
project
place.
We
work
with
the
women.
I
coordinate
a
women's
program
called
working
opportunities
for
women
and
what
we
do
is
we
get
women
from
all
the
different
trauma
that
are
existing
women
that
are
coming
in
from
the
homeless,
shelters
women
coming
out
of
recovery,
women
re-entering
the
community.
E
We
have
women
that
are
been
trafficked
working
with
them.
Our
main
purpose
is
to
have
them
to
get
secure,
get
reunified
with
their
families
and
provide
some
job
training,
so
they
can
be
feel
and
become
self-sufficient,
build
some
confidence
with
in
themselves
and
some
self-esteem,
which
is
an
important
part
of
the
recovery.
E
We
also
have
spark,
which
is
a
program
where
we
are
working
with
women
that
have
been
traumatized,
that
need
a
little
bit
more
before
they're
ready
to
go
to
work
with
some
assistance
around
their
mental
health.
This
can
also
go
for
another
month
or
when
this
person
feels
or
we
feel
that
they're
ready
to
move
into
the
next
aspect
of
what
they're
doing
I
work
along
with
crew
crew
is
the
program
where
women
that
are
coming
out
of
the
house
of
correction.
E
They
come
to
us
and
they
are
provided
with
services
through
crew
and
working
very
closely
with
them
around
providing
jobs,
leadership
working
with
other
people,
understanding
what's
going
on
in
their
life,
providing
recovery
treatment,
sending
other
resources
out
to
them
and
especially
giving
them
a
second
chance
at
life
to
recover
themselves.
Some
of
the
women
we
work
with
have
never
had
a
job.
E
Some
of
the
women
have
been
in
situations
of
coming
off
the
streets
from
recovery
coming
into
us
from
being
trafficked,
building
trust,
building
a
place
to
feel
comfortable
and
able
to
talk
very
openly
about
what's
going
on
with
them,
and
we
work
really
hard
to
provide
this.
I
don't
have
our
exact
numbers,
but
due
to
this
pandemic,
we
do
everything
very
virtual.
We
do
have
appointments
where
they
can
come
into
the
office
and
meet
with
us.
I
will
meet
with
them
where
they
are
I've
been
here
for
six
years.
E
I
provided
and
worked
with
many
many
women,
and
I
know
the
needs
of
a
lot
of
these
women
are
not
being
given
or
met.
We
need
the
services
and
we're
asking
that
we
can
provide
a
little
bit
more
project.
Place,
works
really
hard
to
make
sure
that
the
women
that
are
coming
to
us
know
that
the
resources
are
out
here
and
always
looking
for
new
new
resources,
because
the
resources
are
not
always
available,
they're
not
always
able
and
people
do
not
always
respond
back
to
us.
A
A
F
F
Gain
guidance
of
navigating
the
work
world
with
the
quarry
and
project
place
develops
industry-specific
skills
with
corey
friendly
employers,
work
opportunities
are
focused
on
local
growth
industries,
set
a
path
for
positive
career
trajectory
and
we
do
all
sorts
of
things
like
provide
assistance
with
probation
and
parole
and
their
release.
We'll
give
you
a
ride
home.
F
But
the
crew
class
itself
is
provides
like
hard
and
soft
skills
that
assist
in
daily
life
like
decision
making
understanding
your
individual
characteristics,
your
interpersonal
competence
and
relationships,
it's
working
through
disagreements,
parenting
skills,
like
emotional
management
and
in
job
readiness
skills.
It's
like
resumes
interviews
and
vocational
interests.
The
case
management
and
discharge
planning
is
provided
alongside
house
of
corrections,
case
managers,
which
is
awesome
because
it
allows
us
even
through
kovaid,
with
the
pandemic.
F
When
we
weren't
allowed
inside,
we
were
still
kind
of
allowed
to
collaborate
and
work
with
them,
but
once
graduated
and
named
a
crew
alum,
we
provide
case
management
services
for
as
long
as
you
are
willing
and
able.
I
think
I
know
we're
going
to
talk
a
little
bit
more
later
about
like
what
we
decide
as
as
needs,
but
just
quickly.
F
I
think
one
thing
that
project
place
strives
with
it's
like
communication
and
care
coordination
being
a
team
and
having
a
team
involved
kind
of
recognizing
that
people
have
more
than
just
their
addiction
and
that
we
need
to
recognize
that
their
family
supports
could
be
useful
to
them
and
kind
of
getting
to
know
them
beyond.
Just
their
addiction
really
helps
facilitate
change
and
sustain
that
change
in
their
life.
F
A
G
G
G
Okay,
see
here:
let's
try
that
is
that
going
to
be
yep
yep,
that's
good
enough.
I
think
so.
So
my
name
is
iveen
costello,
I'm
a
pediatrician
above
the
medical
center,
and
I
have
worked
in
the
city
of
boston,
my
entire
sort
of
pediatric
career
at
two
of
the
community
health
centers.
And
then
six
years
ago
I
came
back
to
boston
medical
center
as
the
chief
of
ambulatory
pediatrics
four
years
ago.
G
The
idea
being
that
we
all
know
that
we're
more
likely
to
take
care
of
our
children
than
we
are
to
take
care
of
ourselves.
Mothers
are
much
more
likely
to
bring
their
children
for
appointments
than
they
are
to
come
in
and
take
care
of
themselves,
and
we
try
to
capture
the
moms
while
they're
here
and
then
work
very
hard
to
connect
them
to
their
own
postpartum
care.
Mental
health
care
addiction,
care,
community
services,
parenting
supports
you
know
you
name
it
that's
a
big
part
of
of
what
we
do.
G
G
The
vast
majority
of
the
women
we
take
care
of.
We
have
seen
so
far.
This
program
started
four
years
ago
about
350
mother
infant
pairs,
and
we
still
have
right
now.
Our
cohort
has
about
250
kids
in
it
and
we
get
I'm
actually
seeing
three
new
babies
this
afternoon
that
are
products
of
the
respect
program.
You
know
infants
born
to
mothers
with
opiate
use
disorder.
G
G
G
Well,
everyone
knows
if
you're
in
my
situation
and
you're
pregnant,
you
go
to
bmc,
and
so
they
typically
will
present
to
the
emergency
room,
saying
you
know,
I'm
a
heroin
addict
and
I
am
a
pregnant
and
they'll
come
in
and
then
kelly's
group
will
take
over
and
provide
very
high
level
of
care.
So
by
the
time
I
meet
them,
they're
still
quite
early
in
their
recovery,
and
now
they
have
a
really
irritable
and
nudgy
newborn.
G
So
even
babies
who
don't
suffer
from
severe
withdrawal.
These
are
dysregulated
babies
that
are
difficult
to
care
for
hard
to
feed
hard
soothe
hard
to
get
them
to
sleep,
which
just
increases
the
stress
on
our
mothers.
This
slide
just
shows
what
the
risk
of
of
overdoses
and
how
effective
treatment
is.
So
you
can
see
there's
a
dramatic
difference
between
treated
versus
untreated
women,
so
the
treated
bars
are
the
orange
ones.
G
The
gray
ones
are
untreated,
so
women
who
are
on
medication,
assisted
treatment
or
moud,
as
we
call
it
now
are
much
less
likely
to
have
a
severe
overdose,
but
the
risk
goes
up,
and
particularly
in
the
second
half
of
the
first
year
postpartum,
and
that's
exactly
what
we
see.
So
one
of
my
most
important
messages
to
this
group
is
we're
lucky
in
many
ways
in
boston
compared
to
my
colleagues
across
the
country
that
we
do
have
some
recovery
supports
for
women
in
the
postpartum
period,
but
they
don't
last
long
enough.
G
G
We,
the
mom,
who
overdosed
at
the
ymca
two
weeks
ago
and
was
found
you
know
deceased
with
a
needle
in
her
arm
and
a
five-month-old
infant
beside
her
presumed
to
be
dead
for
48
hours
by
the
time
she
was
discovered,
was
a
classic
example
of
a
woman
who
had
been
in
a
recovery
program
with
a
lot
of
supports,
and
then
you
know,
moved
into
a
room
at
the
ymca
which
is
not
adequate.
You
know
for
anybody
with
a
baby,
especially
a
fussy,
irritable
baby.
G
I
just
wanted
to
share
a
little
bit
about
the
demographics
of
our
group.
We
have
worked
really
hard.
Dr
scy's
group
in
particular,
has
worked
really
hard
to
make
sure
that
we're
reaching
communities
of
color,
as
well
as
the
white
community,
which
are
have
been
traditionally
over
represented
among
substance,
use,
disorder
treatment,
and
so
we
it
it
is
changing
like
this
slide,
looks
really
different
than
it
did
two
years
ago
and
we
are
bringing
more
women
of
color
and
more
latinx
women
into
our
community
for
treatment.
G
The
characteristics
of
the
women
we
take
care
of,
I
think,
is
just
worth
mentioning
that
we
see
a
lot
of
relapses.
So
in
our
group
this
is
after
the
first
two
years,
40
of
our
women
relapsed
after
being
enrolled
in
our
program.
So
it's
not
unexpected.
It's
almost
expected,
like
a
good
proportion
of
people,
are
going
to
relapse
and
our
job
is
to
keep
them
safe
and
to
keep
their
children
safe
and
to
do
as
much
as
we
possibly
can
to
promote
their
sustained
recovery.
G
We
now
have
four
maternal
deaths,
because
that's
that's
a
new
one,
because
I'm
a
pediatrician,
I'm
gonna,
say
this,
and
this
will
be
the
last
thing.
I
say
one
of
the
things
that
I'm
profoundly
interested
in
is
prevention
of
the
next
generation,
and
so
we
know
in
because
we're
a
public
hospital.
The
vast
majority
of
the
mothers
in
our
program
grew
up
in
substance,
abuse
families.
G
G
I
learn
about
this
by
asking
people
about
their
tattoos,
because
their
tattoos
are
almost
always
names
of
people
they
have
lost,
and
so
for
many
of
them
their
mental
health
disorders
preceded
their
substance
use
and
they
were
not
adequately
treated
for
their
adhd,
their
depression,
their
anxiety
disorder
and
that's
what
made
them
pick
up
because
they've
lived
very
hard
lives.
So
now
we
have
a
cohort
of
kids
that
we
really
want
to
try
to
prevent.
G
You
know
in
our
group
of
kids,
you
can
see
that
the
vast
majority
of
the
kids
have
a
mental
health
diagnosis
if
they're
over
six
years
old,
well,
over
half
of
them
have
an
iep
in
the
public
school
system.
We
get.
We
field
a
lot
of
calls
from
educators
in
boston
about
how
to
manage
this
population
of
kids.
G
So
I
think
the
average
averages
one
in
five
kids
are
on
an
iep,
but
more
than
more
than
half
of
our
kids
are
on
ieps
and
then
I
just
think
that
my
final
slide
is
just
going
to
be
like
the
future
directions
for
us
is
how
do
we
support
these
women
for
longer
than
a
few
months
after
they
have
a
new
baby?
We
work
really
hard
to
make
sure
that
contraception
is
available
to
everybody
to
reduce.
You
know
to
prolong
the
inter-pregnancy
interval,
because
we
know
that
that
is
you
know.
G
A
A
H
H
Not
that
I
have
any
slides
that
I'm
going
to
present
right
now,
but
I
just
want
to
talk
with
you
a
little
bit
from
the
heart
of
our
team
at
boston,
medical
center
project.
Respect
has
been
sort
of
officially
caring
for
pregnant
women,
with
substance
use
disorders
from
for
decades.
I
think
since
2000
we've
cared
for
almost
6
000
pregnancies
and
we
have
a
lot
of
experience.
H
We
have
a
lot
of
great
outcomes
and
and
huge
successes,
but
you
know
every
day
is
a
is
a
is
a
struggle
and
we
see
it
as
new
opportunities
every
day
for
for
our
moms,
like
dr
costello
was
talking
about
it's
phenomenal
that
we
have
the
so
far
team.
That
is
our
sister
group,
because
my
entire
team,
our
job,
is
to
engage
pregnant
women
in
recovery
care
which
the
pregnancy
sort
of
has
that
inherent
motivator.
So
I
don't
have
to
do
a
lot
of
work
about
getting
women
in.
H
Knowing
that
the
gestational
time
clock
is
always
ticking
and
even
with
all
of
that
work,
we
know
that
the
pregnancy
is
the
easy
part
and
that
the
incredible
challenge
is
to
hold
these
mom's
hands
as
they
enter
early
recovery
and
parenting.
And
we
are
like
dr
costello
said,
or
costello
years,
I've
been
mispronouncing.
That
said,
we
we
are
so
lucky
in
in
the
boston
area
to
have
the
resources
that
we
do
and
we
work
very
closely
with
multiple
of
the
residential
treatment
facilities
in
the
in
the
greater
boston
area.
H
But
just
like
we
are
taking
our
our
prenatal
care
and
extending
it
past
that
traditional
six
weeks
postpartum
into
the
full
year
postpartum,
because
that's
really
the
challenges
for
these
moms
to
stay
in
recovery
stay
focused
on
themselves,
their
health
and
parenting,
and
not
letting
all
of
those
prenatal
care.
Maternal
supports,
drop
away.
That's
one
of
the
biggest
risks
that
you
see
in
davida
schiff's
group
and
her
research,
showing
the
huge
spike
in
maternal
overdose.
Mortality
that
happens
in
that
first
year.
H
A
A
C
I
thank
you
very
much,
madam
chair,
and
thank
you
to
all
the
presenters
this
morning.
Jen
stephanie,
pam,
loris,
eileen
and
kelly
just
very
thoughtful
presentations
and
dr
costello
is
there.
Is
that
the
appropriate
pronunciation
yeah?
If
you
would
share
that
presentation?
I
know
that
we,
you
highlighted
a
number
of
those
slides,
but
they
look
like
a
pretty
thorough
and
thank
you
so
much
for
that
and
we'll
share
it
with
colleagues
who
would
like
to
take
a
view.
C
Take
a
look
at
it,
so
I'm
gonna
just
go
back
sort
of
to
the
top
and
jen
tracy
jen.
Thank
you
very
much
for
joining
us
and
for
your
continued
work,
and
we
know
the
impact
that
covet
has
had
on
our
unsheltered
population
and
those
dealing
with
substance
use
disorder
during
covenant
and
certainly
long
before
that.
So
I'm
grateful
for
your
service,
something
you
know.
C
But
the
24-hour
element
is
particularly
important,
especially
for
women
who
may
have
experienced
some
sexual
violence
or
other
traumas,
and
you
know
I
I
think
about
this-
is
a
real
opportunity
for
us
to
provide
additional
care
to
women
in
particular,
but
women
who
are
going
on
dates
and
need
to
unfortunately
participate
in
the
sex
trade
in
our
human
are
trafficked.
Can
you
talk
a
little
bit
about
any
opportunities
there
might
be
for
increased
services,
especially
overnight
services.
B
Yeah,
thank
you
for
that.
That's
our
overnight
system
of
care.
You
know
outside
of
the
shelter
system,
there's
a
lot
of,
I
think
gaps
for
us
in
the
city
of
boston,
so
we
have
been
looking
at.
How
do
we
provide
some
access
overnight
in
last
year's
budget?
As
you
know,
we
received
some
funding
to
research.
Other
cities
around
low
threshold
space
in
general,
we've
just
completed
a
practice
guidance
around
best
practices
for
low
threshold,
and
when
we
say
low
threshold,
we
mean
really
reducing
the
barriers
to
access
to
create
safe
spaces.
B
You
know,
as
you
just
stated,
we
also
right
before
kovid
and
as
you
did
as
well,
counselor
sabe
george,
you
know
traveled
to
canada
to
look
at
some
of
the
mobile
services
that
that
they
were
doing
to
provide
care
to
women
that
were
in
you
know,
different
pockets
of
the
city,
and
so
I
think,
you're
correct.
This
is
an
opportunity
right
now
we
have
federal
support.
B
You
know
from
the
administration
we
have
our
state
department
of
public
health
receiving.
You
know
additional
support
and
we're
preparing
for
the
opioid
litigation
settlements
across
massachusetts.
As
those
resources
you
know,
come
to
bear.
So
I
think
this
is
the
time
to
really
think
about
what
the
best
model
for
boston
would
be.
Where
would
it
be?
Would
it
be
mobile
and
we're
happy
to
you
know,
join
in
that
conversation
with
you
to
continue
kind
of
the
conversations
that
we've
been
having
you
know
thus
far.
I
just
want
to
say
one
other
thing.
B
C
And
then,
when
they're,
coming
out
in
the
middle
of
the
night,
they're
then
maybe
using
discarded
needles,
and
we
talk
about
the
raising
rise
and
infection
rates,
especially
around
hiv.
There's
this
like
sort
of
loop
and
our
own
policies,
are
getting
in
the
way
of
supporting
our.
You
know
some
of
our
most
vulnerable
residents,
don't
know
stephanie.
If
you
can
talk
a
little
bit
about
that
and
I
do
know
and
then
I'll
I'll,
save
further
conversation
and
question
for
the
next
round.
D
Yeah,
thank
you
so
much.
We
are
working
really
closely
right
now
with
recovery,
and
I've
had
many
many
many
of
our
own
meetings
to
work.
To
address
this.
We
recognize
that
there's
a
concern
there
and
so
we're
working
on
piloting
a
number
of
things.
I
want
to
say
one
of
the
reasons
or
kind
of
benefits
of
opening
these
other
sites
and
reducing
our
shelter
census
is
that
it
does
create
some
better
flexibility
so
before
people
when
they
did
leave
for
the
night.
D
Some
of
it
was
because
we
didn't
know
if
they
were
going
to
come
back,
and
if
we
have
someone
waiting
for
a
bed,
we
wanted
to
give
them
that
bed
and
not
have
someone
sitting
in
a
chair
all
night,
but
that
isn't
as
a
concern
as
much
we
have
as
we
spread
people
out.
We
have
some
better
flexibility
to
start
piloting
that
and
we
are
working
with
partners.
I
had
a
meeting
last
night
with
healthcare
for
the
homeless.
D
D
So
there's
some
definite
constraints
there
of
managing
safety
and
meeting
people
where
they're
at
that
we're
working
really
hard
on
doing
and
look
forward
to
partnering
to
improve
that
also
working
on
clean
needle
distribution.
So
we
don't
want
people
to
we.
We
can't
have
them
in
the
shelter
and
we
don't
want
people
to
have
to
sneak
them
in,
but
we
don't
want
to
have
to
take
away
things
that
they
just
got
next
door.
D
C
G
We
are
not
doing
this
in
the
middle
of
the
night
yet,
but
I
do
know
that
you
know
some
of
the
stories
and
kelly
probably
hears
more
of
them
than
I
do
are
really
harrowing
about.
What's
what's
going
on
with
some
of
our
moms
on
the
street
overnight
lots
and
lots
of
sexual
violence
and
intimate
partner,
violence,
lots
of
traumas
and
they
do
need
a
safe
place
to
go
and
right
now
the
only
place
for
them
to
go
is
the
emergency
department
yeah.
C
A
Very
good,
dr
costello,
before
you
before
you
leave
us.
I
had
a
question
about
the
step-down
programs.
It
seems
like
there's
sort
of
a
threshold
that
that
wants
to
go
through
if
this,
if
this
acute
residential
treatment
programs,
then
when
they
go
to
the
step
down,
there's
fewer
of
those
it
seems
like
that's
a
place
where
people
fall
off
the
cliff
a
little.
How
many
step-down
programs
do
we
have
and
and
what
sort
of
capacity
do
they
have?
And
what
do
you
think
we
might
need.
H
I
mean
we:
we
have
18
family
residential
programs
across
the
state
that
we
can
access
in
our
area.
We
have
two
step
down
programs,
they're,
quite
good,
two
or
three,
I'm
sorry
that
will
accept
women
and
children.
So
that's
a
huge
area
of
deed
and-
and
we
can't
facilitate
the
admission
into
those
beds.
Unless
women
have
six
months
of
recovery
so
and
if
they're,
but
if
they're
not
acutely
requiring
medical
treatment
or
stabilization,
they
can't
access
the
acute
residential
treatment
right
so
that
so
there's
also
these
windows.
H
I
know
we
need
requirements
for
admission,
but
there's
also
windows
of
time
where
women
can't
access
that,
like
if
they're
four
months
postpartum
but
they've,
been
doing
well,
they
still
can't
quite
get
into
those
step-down
programs
so
having,
I
think,
more
availability
for
those
step-down
programs
more
homes
to
do
that,
and
then
also
expanding
those
homes
to
have
services,
not
just
for
the
women
and
children
that
are
in
the
home.
But
those
who
have
graduated
would
be
amazing.
G
You
know
stealing
or
other
things,
and
so
a
lot
of
them
are
really
on
their
own
and
a
lot
of
families
just
don't
feel
like
they
have
the
bandwidth
and
the
skill
to
take
care
of
their
child
with
a
substance,
use
disorder
and
a
small
child
or
an
infant,
and
I
think
you
know
we
do.
I
have
lots
of
grandparents
raising
their
grandchildren
and
I
feel
like
that
is
a
group
that
really
needs
a
lot
more
support
and
how
to
manage.
A
H
Our
we
had
one
project
promise
filled
sort
of
this
amazing.
It
was
an
amazing
program
out
of
the
spark
center
that
provided
ongoing
support
for
our
our
moms
and
the
there's.
I
think
that
their
funding
is
is
ending
and
they
were
our
one
referral
for
an
iop
for
our
moms.
That
really
had
a
huge
impact,
and
I
would
say
we
have
about
four
or
five
women
right
now,
who
are
that
program
is
ending
and
they're
sort
of
graduating
out
of
that
and
they're
in
real
crisis.
A
Dr
koslow,
I
appreciate
your
being
here
and
sharing
your
your
wisdom
and
experience
with
us.
I
know
you
have
to
run
pop
off
right
now,
but
counselor
savvy
george.
I
know
it
seems
like
we're
just
scraping
the
surface
in
this
hearing
and
we're
not
finished
yet,
but
there
may
be
potential
here
to
have
a
working
group
going
forward,
so
I
think
we
have
a
lot
more
to
hammer
out
in
terms
of
identifying
practical
solutions.
I
I
B
D
Oh
okay,
I
don't
have
a
number
in
front
of
me,
but
I
can
look
back
to
you
on
that.
We
do
have.
I
think
more
than
half
of
our
staff
speak
a
language
other
than
english,
so
having
staff
who
both
look
like
and
represent
the
population
that
we
serve,
we
again
have
no
conditions
to
enter
shelter
by
sobriety
immigration
status.
D
We
don't
explicitly
ask
about
that.
We
can
deduce
that
by
people
who
don't
submit
a
social
security
number,
and
so
our
our
biggest
challenges
is
working
to
help
them
find
housing.
So
that's
we
don't
have
that
as
a
precondition,
but
you
cannot
get
a
subsidy
a
federal
subsidy.
If
you
do
not
have
an
eligible
immigration
status,
you
can
apply
for
state-funded
public
housing,
but
the
weight
for
that
is
very,
very,
very
long,
and
so
people
often
don't
have
great
options.
D
We
do
have
other
housing
programs
that
put
people
in
market
rate
units
and
we
can
support
people
financially
that
way,
but
working
you
know
trying
to
be
creative
to
help
people
maximize
their
employment
through
other
other
means
is
our
approach.
So
I
our
best
thing
is
that
we're
trying
to
be
creative.
D
It
is
hard
we
implemented
a
lot
of
kind
of
safety
protocols
and
messaging
during
the
during
the
trump
administration
to
help
people
make
sure
they
felt
safe
in
our
facilities
and
have
kind
of
protocols
at
the
front
door.
Members
from
ice
or
homeland
security
were
to
show
up
in
our
shelters,
so
there's
we're
doing
lots
of
work,
but
much
more
support
is
is
needed
because
some
of
the
options
are
just
not
available
that
we
can
help
other
individuals
with.
Thank
you
for
that.
I
And
can
you
talk
to
us
a
little
bit
about
just
the
overall
stigma
and
kind
of
the
work
that
is
needed
to
have
some
of
the
additional?
You
know
the
family
members
support
the
moms
who
are
going
through
this?
Do
you
do
you
have
that
sort
of
type
of
communication
with
the
families,
or
are
you
able
to
connect
with
with
some
of
the
families
to
help
support
the
women.
I
What
I
have
seen
is
that
when
women
who
are
experiencing
issues
with
recovery
and
are
also
parenting,
that
there
is
a
level
of
stigma
that
is
associated
so
oftentimes,
the
families
are
not
all
in
right,
and
so
there
is
that
additional
barrier
right.
So
I'm
just
curious
who
or
what
or
if
any
of
your
programming
will
help
to
support
kind
of
the
reunification
of
some
of
the
families
to
kind
of
help
wrap
their
arms
around
the
individual
as
well
or
maybe.
This
is
probably
a
different
hearing.
B
Counselor,
I'm
happy
to
answer
that
as
it
relates
to
our
substance,
treatment
programs.
You
know
particularly
antennae
familia
in
matapan,
which
is
a
program
that
a
specific
need
for
women
who
need
treatment
and
have
the
opportunity
to
bring
their
be
reunified
with
their
children
at
the
program,
but
also
serve
pregnant
and
postpartum
women
within
the
program,
and
you
don't
have
to
wait
just
for
this
particular
program.
B
Six
months
to
get
in
either
we
take
people
right
after
they're
medically
cleared,
so
women
can
start
that
process
and
and
work
with
dcf
on
reunification.
If
that's,
you
know
what
is
required,
which
most
often
times
it
is,
and
there
is
a
lot
of
education
within
that
program
around
the
family
piece,
because
certainly
we
know
that
after
the
program
people
go
back
to
their
communities
and
and
their
homes
with
others.
So
there
is
a
lot
of
education
and
support
for
that.
It's
also
a
bilingual
bicultural
program.
I
Thank
you
for
that
and
that's
my
last
question.
Counselor
breeden,
I'm
just
also
curious
around
hiv
and
aids
and
infection
rates
just
curious
about.
If,
if
there
are
any
anything
that
you
all
are
doing
around
just
just
to
kind
of
address
that,
if
that
is
an
issue
that
comes
up
during
your
intake
or
or
are
there
any
additional
support
services
around
stis
and
hiv
and
aids.
D
I
can
speak
from:
let's
go
ahead,
there's
just
from
the
small
piece
that
we're
doing.
We
do
screen
for
that
and
ask
that
in
kind
of
various
intakes
and
don't
expect
that
a
client
might
disclose
that
upon
our
first
meeting
having
hiv
is
a
kind
of
priority
population
in
the
city
for
housing
resources.
So
there
are
multiple
programs
that
individuals
see
that,
so
we
have
a
whole
staff.
D
Who's
kind
of
multiple
staff
are
actually
dedicated
to
helping
individuals
in
those
get
into
housing
which
doesn't
solve
all
of
their
issues,
but
does
help
to
address
their
homelessness
and
get
them
connected
to
other
other
services,
and
we
have
been
working
at
the
health
commission
and
could
loot
back
to
you
on
more
specifics
on
that.
Our
infectious
disease
bureau
is
leading
on
coordinating
the
response
to
the
rise
in
hiv
infection
rates,
particularly
in
the
area
where
our
services
are
located.
I
Thank
you.
Thank
you
for
that.
I
I
don't
have
any
further
questions,
but
I
just
wanted
to
know.
Let
you
all
know
that,
whatever
you
need
from
our
office
we're
here
for
to
support
in
any
kind
of
way
that
we
can.
You
know
it's
budget
season,
so
we
need
those
dollars
to
do
all
of
this
great
work
so
make
sure
that
you
all
articulate
what
those
needs
are,
which
you
have
already
done
so,
but
just
know
that
you
have
a
partner
in
me
and
thank
you
so
much
for
all
your
hard
work.
E
Yeah,
I
want
to
bring
up
something
I
mean
I'm
hearing
all
this:
wonderful
resources
on
shelters,
etc,
medical
care.
What
about
the
development
of
workforce
women?
One
way
to
help
us
move
forward
is
to
provide
women
with
some
self-esteem,
some
kind
of
a
way
to
come
forward
where
they
can
start
looking
at
to
make
a
living.
We
work
with
women
that
are
coming,
like
I
said,
from
the
shelters
off
the
streets
from
being
trafficked
that
have
no
means
of
knowing
afraid
to
work.
E
E
We
have
seen
so
many
success
stories
here
with
women
that
are
doing
well,
that
are
working
in
hospitals
and
psychiatric
departments
that
have
moved
forward
that
have
graduated
from
college,
who
have
graduated
on
scholarships,
provided
that
we
try
to
help
with
moving
forward
to
bring
back
what
they've
been
through
to
share
with
the
women.
In
our
program
I
mean
all
of
everything
that
we're
talking
about
is
important,
but
my
aspect
is
what
about
the
women
in
need
after
they
leave
these
programs
the
day
care?
E
We
have
women
that
can't
come
because
there's
not
enough
daycare
for
them
to
come
to
the
program
they're
only
here
a
couple
of
hours,
but
what
they
get
is
a
lifetime
of
support,
understanding,
love
and
respect.
We
never
turn
you
away,
no
matter.
If
you
relax
times
our
doors
will
always
be
open
to
you
to
come
back
to
grow.
To
pick
up
from
where
you
left
off
at
I
I'm
worried
about
the
mental
health
of
women.
E
We
also
provide
some
mental
health
support,
not
at
the
level
that
you're
doing
it
right
now,
but
we
provide
that
so
you'll
be
able
to
go
to
work,
to
share
your
stories
with
other
women
that
look
like
you
that
sound
like
you
that
you're
not
the
only
one
in
educational
programs,
I'm
so
tired
and
what
we
always
offer
women
hysterically
working
with
children,
cooking
some
food
or
delivering
something.
Why
can't
we
provide
more
programs
for
women
that
are
interested
to
go
to
the
next
level
education?
E
Why
do
they
always
have
to
be
somewhere
where
it's
a
it's?
Not
even
a
trade
ending
up
in
a
dunkin
donuts,
ending
up
being
in
a
stock
room
and
there's
so
much
more
talent.
If
we
take
a
few
minutes
to
analyze
to
talk
to
them
and
understand
who
they
are
and
groups
to
provide
more
groups
around
parity,
even
like
at
our
program,
the
funding,
the
money
to
bring
in
groups
we're
a
non-profit?
E
It's
it's
not
always
the
easiest,
and
I
sometimes
feel
that
we
are
kind
of
overlooked
with
the
services
we
provide
and
I'm
just
curious.
I
don't
hear
anything
about
workforce
development
out
here
and
to
me,
that's
one
of
the
major
fields,
we're
going
to
walk
hand
in
hand
in
recovery,
and
it
has
to
be
a
next
step,
and
I
haven't
heard
that.
A
Thank
you,
pam
for
raising
those
very,
very
important
issues.
I
agree
with
the
workforce.
Development
is
hugely
important
and
educational
programs
not
not
to
see
an
entry-level
job
and
then
dunkin,
donuts
or
somewhere,
that
should
that
shouldn't
be
where
we're
shooting
for
we
should
be
aiming
higher
and
trying
to
recognize
the
the
resilience,
intelligence
and
and
incredible
potential
that
these
women
have.
So
thank
you
for
raising
that.
I
Question,
yes,
I
do
thank
you
thank
you
and
I'm
so
glad
that
pam
brought
that
into
this
space,
because
I
worked
at
goodwill
as
a
job
specialist
and
I
got
like
a
30
000
page
curriculum
to
get
women
back
into
the
workforce,
and
I
threw
it
away,
and
I
said
no,
I
want
to
do
my
own
and
I
focused
on
helping
women
identify
viable
careers.
So
it's
not
just
about
getting
women
work
and
then
having
them
work
at
target,
and
you
know
it's
really
about.
I
If
we're
really
serious
about
self-sufficiency,
we
have
to
really
be
able
to
think
about
workforce
development,
because
when
you
have
a
sense
of
self,
then
you
have
a
sense
of
purpose
right,
and
I
think
that
that
is
all
part
of
that
transition
plan
and
making
sure
that
they're
able
to
fulfill
that
and
then
the
other
piece
that
I
want
to
bring
now
that
pam
has
opened
up.
The
pandora's
box
into
this
conversation
is
that
I
worked
at
project
cope
as
I
was
volunteering.
I
I
didn't
work
there,
but
I
was
doing
training
with
women
who
were
transitioning
out
of
the
shelter
into
their
own
homes,
and
I
think
that
it's
really
important
for
us
to
also
think
about
how,
when
pam
talks
about
self-esteem,
it's
also
looking
at
self-sufficiency
and
making
sure
that
when
they
get
back
into
relationships
and
not
getting
into
relationships,
that
will
also
put
their
housing
at
risk.
So
there
needs
to
be
a
whole
comprehensive
conversation
around
what
these
transition
plans
look
like
and
that
we're
really
tapping
into
the
the.
I
Why
that
oftentimes,
the
situations
that
we
find
ourselves
in,
and
I
think
that
that
the
workforce
development
piece
is
definitely
crucial.
Because
then
that
gives
you
a
sense
of
self
and
stability
is
key.
And
then
the
other
piece
of
it
is
making
sure
that
when
women
are
transitioning
into
their
own
homes,
which
is
the
ultimate
goal
that
they
can
keep
it
right
and
and
sometimes
it's
the
relationships
that
we
get
into
with
our
partners,
that
put
our
livelihoods
and
our
homes
at
risk.
I
A
Thank
you
country
here.
I
think
the
one
thing
that
strikes
me
from
this
conversation
is
the
is
that
I
think
kelly
raised
the
issue
about
that.
This
is
not
a
an
acute
illness.
This
is
a
chronic,
a
chronic
health.
Con
condition
that
has
has
legs
that
keeps
it
going
over
many
years
and
that
so
much
of
our
systems
is
is
really
geared
up
for
the
more
acute
level.
I'm
just
thinking
in
terms
of
how
long
do
we
is
it?
A
H
Yeah
well
I'll
jump
in
on
that
a
little
bit
just
in
my
small
piece
of
it
is
having
the
the
medical
side
to
refocus
what
postpartum
care
looks
like
and
and
recovery
and
postpartum
care
to
be.
We've
stretched
it
to
continue
for
a
full
year.
I
think
a
lot
of
recovery
programs
will
will
say
that
that
first
year
is
is,
you
know,
gives
you
a
solid
ground,
but
that
certainly
is
not
where
that
ends.
F
So
we
take
you
from
the
jail
facilities
you
release
and
we
work
with
you
for
two
years,
but
we
say
to
you
we're
always
here
for
you
like
you
can
call
us
no
matter
what,
because
I
mean
you
could
be
at
the
top
of
your
top
of
a
mountain
one
day
and
be
rock
bottom,
the
next,
and
we
want
to
be
there
to
support
you.
So
it's
like,
I
think,
in
terms
of
asking
how
long
these
services
need
to
be
continuing.
F
I
think
it's
always
just
because
I
feel
like
there's
always
going
to
be
somebody
who's
at
that
level
of
need,
but
it's
not
to
say,
obviously,
if
we're
doing
our
jobs
right,
that
level
of
need
should
diminish
and
they
should
be
less
reliant,
less
reliant
and
less
reliant.
But
I
think
just
the
comfort
and
support
of
knowing
that
somebody
with
the
right
level
of
right
level
head
is
there
for
you
helps
you
continue
to
sustain.
F
So
it's
like,
even
if,
like
some
models,
you'll
reach
out
to
somebody
every
week
twice
a
week
and
then
you
know
once
they
start
sustaining
you
reach
out
to
them
once
a
month,
and
then
they
start
sustaining
you
reach
out
to
them
every
six
months
and
then
it's
like
really
just
every
year,
just
to
check
in
say:
hey
did
you
not
call
us,
and
you
really
need
us
like
what's
going
on?
Do
you
need
somebody?
F
Because
I
think
everybody
needs
somebody,
so
I
think,
in
terms
of
when
we're
thinking
about
like
continuing
that
care,
the
wraparound
of
our
family
supports
and
the
wraparound
of
keeping
everybody
involved
also
holds.
Everybody
holds
that
person
accountable
a
little
more,
but
just
going
to
to
reiterate
back,
I
think
it's
vital
to
keep
these
types
of
services
available
like
at
all
times
for
people,
because
you
there
is
really
no
tell
but
outside
inside
forces,
could
implement
change
in
those
people's
lives
where
they
might
feel
like
they
need
it
again.
E
Thank
you.
May
I
say
one
more
thing
please,
and
I'm
done,
I
think,
when
we
all
identify
with
our
clients
or
our
participants,
that
we've
all
suffered
a
trauma
and
every
woman
at
some
place
in
our
life,
we've
suffered
a
trauma
and
I
think
when
we
can
go
back
and
remember
those
places
in
our
life
and
we're
working
with
somebody
and
we
leave
our
doors
open
and
to
don't
have
to
share
all
of
our
stories.
E
But
let
them
know
that
I'm
I'm,
like
you,
I'm
a
human
I've
been
through
this
I've
been
through
a
dp
when
I
was
younger,
but
I
had
mentors.
I
had
people
around
me
had
women
that
took
me
by
the
hand
and
said
you
know
you're
much
better
than
this.
You
can
do
a
lot
better
than
this.
You
need
to
go
and
work
with
somebody
that
can
hold
your
hand
and
walk
you
through
some
things.
I
just
think
it's
the
time
that
we
put
in
and
like
larissa,
was
saying
what
we
do
retention
every
six
months.
E
We
will
call
a
thousand
people
from
ten
years
ago,
just
to
say
hi,
hey,
remember
me:
what
do
you
need?
How
are
you
doing?
We
have
people
walk
through
the
stores
from
15
years
ago
that
have
just
been
released
from
being
locked
up
for
10
and
come
back
and
start
their
life
all
over
again
and
very
grateful.
E
We
all
might
not
be
here,
but
there's
somebody
here
that
they
remember.
We
have
a
staff
member,
that's
been
here,
she's
been
here
20
years.
She
knows
everybody
and
still
knows
their
name.
It's
nice!
When
you
can
walk
in
after
three
years
and
say:
oh
my
god,
look
it's
karen
and
you
remember
her
and
she
remembers
you
it's
a
sense
of
community.
E
It's
a
synth
of
feeling
wanted
and
a
sense
of
growth,
and
that's
I'm
saying,
but
that's,
I
think,
any
of
the
services
we
provide.
We
need
to
humanize
it
a
little
bit
more,
be
a
little
bit
more
warm,
be
a
little
bit
more
open
and
and
and
be
very
honest
that
I've
been
in
situations
in
my
life
too.
People
relate
to
you
when
you
can
relate
to
them.
E
E
Maybe
I
don't
know
so
I'm
just
saying
here
where
we
are
I
I
know
we
give
a
place
of
hope
and
if,
if
some
kind
of
way
we
could
join
in
and
have
young
women
contact
and
come
and
spend
a
little
time
or
we
meet,
it
would
just
be
wonderful
to
share
all
of
these
resources
for
a
little
bit
more
growth
to
bring
women
into
programs
where
we
are
willing
and
able
and
wanting
to
provide
the
services.
That
might
be
helpful.
C
Yeah,
thank
you
again,
madam
chair
and
again
thank
you
to
our
guests,
and
you
know
sort
of
this.
This
conversation,
you
know
in
the
hearing
order,
was
really
to
have
a
more
formal
conversation
about
some
of
the
challenges
that
our
women
in
particular
need.
And
so
I
appreciate
pam
shifting
the
conversation
towards
some
of
the
solutions,
kelly,
switching
the
conversation
towards
some
of
the
solutions,
especially
thinking
about
this
medical
home
model
and
creating
that
physical
space.
C
For
these
things
to
happen,
and
I
think
it
is
in
the
true
sense
of
the
word
creating
a
recovery
center
for
that
work
to
do,
and
then
some
of
the
conversation
around
the
sprint
versus
the
marathon.
Certainly
when
we
think
about
recovery-
and
we
talk
about
recovery,
it
is
a
marathon
and
it's
a
lifetime
of
work.
C
All
of
the
solutions
there
need
to
be
thought
of
in
a
sprint
mentality,
because
you
know
any
one
person
today
needs
that
help
right
now.
So
I
am,
you
know,
curious
about
some
of
anyone,
whether
it's
larissa
jennifer,
jen,
pam
or
kelly.
What
your
or
stephanie
what
your
thoughts
are
around
some
of
the
solutions
that
we
need
to
be
working
towards,
and
you
know
our
hope
with
this
hearing
is
that
it
will
inform
some
of
the
budget
work
that
we're
in
the
midst
of
on
the
city
council
today,
yeah.
F
So
I
think
that
more,
I
don't
have
the
answers
necessarily,
but
I
think
maybe,
following
in
entrela
familia's
footsteps
are
like
researching
other
places
of
what
that
looks
like
for
for
keeping
women
with
their
children
while
they're
in
care,
because
I
think
that's
definitely
like
within
history-
is
something
that
really
keeps
them
from
being
able
to
stay
in
that
in
those
processes
in
general.
Oh,
I'm,
sorry,
no.
C
No,
no!
That's
fine
in
some
of
those
programs
when
you
think
about
the
intergenerational
moms
and
children
in
services
and
in
programs
together
jointly,
do
we
see
higher
rates
of
longer-term
recovery
and
success
in
those
programs?
Is
there
data
that
supports
those
efforts?
You
know
as
a
mom,
I
see
sort
of
the
benefit
of
doing
that
work
together
and
doing
it
in
you
know
not
being
separated
from
from
your
child
or
your
children,
but
are
we
seeing
success
absolutely.
H
F
Thank
you.
Another
thing
I
feel
like
is
a
really
big
gap.
Is
funding,
and
I
mean
that's
everyone's
struggle.
Luckily,
access
to
recovery
has
been
really
helpful
on
my
experience
with
helping
the
women
on
my
case
will
be
funded
into
their
sober
homes
for
at
least
six
months,
fortunately,
for
most
when
they're,
starting
looking
for
housing,
six
months
and
they're
usually
successful,
but
when
they
have
like.
I
have
a
client
on
my
caseload
who
is
dcf
involved,
and
she
has.
F
F
C
We
think
about
creating
that
lifelong
opportunity
for
family,
for
mother,
for
child
and
sort
of
the
generational
opportunities
it
creates-
and
I
appreciate
pam
too,
with
your
talk
about
the
workforce
development
piece
and
how
you
know
this
teaching
a
woman,
not
fishing
for
her
but
teaching
her
how
to
fish
and
creating
those
opportunities.
Is
that
lifetime?
C
A
Thank
you
I
before
we
wind
up,
I
wanted
to
read
into
the
record
a
letter
from
counselor,
andrea
campbell,
dear
chair
woman,
braden
and
colleagues
of
the
committee
of
strong
women,
families
and
communities.
I
regretfully
cannot
attend
today.
Today's
hearing
on
docket
zero,
two
three
four
ordered
for
a
hearing
to
review
the
work.
Women
specific
outreach
to
health
and
health
care
programming
to
combat
the
opioid
crisis,
as
the
opioid
crisis
continues
to
devastate
families
and
communities
in
boston
and
across
the
commonwealth.
A
It
is
critical
that
we
develop
solutions
in
to
this
issue
that
are
centered
around
healing
and
both
of
the
individuals
and
our
communities.
I
will
be
ably
represented
by
a
member
of
my
staff
today
at
today's
hearing
and
look
forward
to
reviewing
the
committee's
report
and
working
with
the
committee
on
any
recommended
next
steps:
sincerely:
andrea
jay
campbell
city,
boss,
city,
councillor,
district
4.,.
A
H
F
A
I
I
So
I
think
that
that
constant
check-in
is
really
important,
and
I
think
that
that
is
part
of
the
long-term
sustainability.
I
think
that
you
should
be
someone
who
is
getting
support
for
life
literally
right,
because
I
just
don't
think
that
one
and
done
is
enough,
and
then
I
also
think
that
there's
an
opportunity
to
really
think
about
how
we
include
some
of
our
smaller
businesses
and
in
this
sort
of
work
right
it,
like
literally
it
does
take
a
village.
I
There
are
a
lot
of
barber
shops
and
hair
salons
in
the
city
of
boston
that
could
provide
makeovers
right
or
just
like,
because
those
things
help
boost
your
self-esteem
right.
So
I
I
would
really
encourage
us
to
really
think
like
how
how
what
does
a
community-wide
wrap-around
your
arms
approach
looks
like
when
we're
involving
all
of
the
different
touch
points
like
the
community
health
center,
that
the
mom
goes
to
now
like
what?
What?
What
do?
We?
What
do
we?
What?
I
What
are
we
arming
those
nurse
practitioners
with
information
on
like
so
that
when
they
are
seeing
a
patient
that
they
can
be
super?
Mindful
of
like
even
the
tone
and
language
or
even
information
that
they're
sharing?
You
know
when
you
go
to
the
bodega
at
the
your
local
convenience
store?
What
information
is
there
that
kind
of
helps
reinforce
your
your
your
recovery
and
your
journey
right?
I
So
if
there's
anything
that
you
all
want
to
reach
out
to
our
office
for
if
there's
women
that
want
to
go,
get
their
hair
done
and
look
beautiful,
because
that's
part
of
the
self-esteem
if
they're
gonna
go,
there's
dress
for
success,
which
is
a
non-profit
organization
that
helps
women
dress
for
success.
So
you
know,
let's
just
let's
just
think
about
like
how
we
can
all
be
more
supportive.
I
A
C
Thank
you
very
much
ma'am
chair,
and
I
am
just
grateful
for
everyone's
presence
here
today
and
commitment
to
continuing
this
work
and
doing
it
partnership.
I
love
the
idea
council
braden
of
a
working
session
of
some
sort
going
forward.
I
think
that
this
will
certainly
be
a
topic
that
comes
up
in
a
few
of
our
budget
hearings
over
the
next
few
weeks.
C
So
I
look
forward
to
continuing
the
advocacy
for
more
of
the
sustainable
work
and
pam
kelly,
larissa
and
stephanie
anyone,
sorry,
anyone
who
knows
he
astro
agrees
anyone
who
would
like
to
inform
some
of
those
things
that
we
need
that
we
need
to
be
investing
in
I'd
love
to
hear,
and
you
you
know,
certainly
find
me
offline.
Thank
you.
Thank
you.
Ma'am
thank.
E
Everybody,
yes,
thank
you
and
I
invite
everybody
get
out.
One
thing
project
place
is
happening,
our
gala
on
may
the
6th
may
the
13th.
If
you
go
online,
you
do
not
have
to
make
a
donation
if
you're
interested
in
seeing
what
we
do
in
the
wonderful
video
of
some
of
our
successes,
both
men
and
women,
please
go
to
projectplace.org,
go
to
the
gala,
just
register
yourself.
It's
free!
You
do
not
have
to
donate
everybody
says:
oh
donations,
no
just
come
and
see
what
we
do.
That's
all.