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From YouTube: Ways & Means FY24 Budget: Boston Public Health Commission: Physical Health on April 27, 2023
Description
Ways & Means Hearing-Dockets # 0760-0768, FY24 Budget: Boston Public Health Commission: Physical Health
A
A
A
I
I,
don't
have
a
gavel,
so
it's
just
gonna
be
good
morning
to
open
the
meeting
good
morning.
Everyone
for
the
record.
My
name
is
Dania
Financial
Anderson,
the
district
7
City
councilor
I
am
the
chair
of
Boston
city
council
committee
on
ways
and
means
this
hearing
is
being
recorded.
It
is
being
live
streamed
at
boston.gov
for
slash
City,
Dash,
Council
TV
and
broadcast
Infinity
Channel
8,
RCN,
channel
82
and
FiOS
channel
964..
A
The
city
council's
budget
review
process
will
Encompass
a
series
of
public
hearings
beginning
in
April
and
running
through
June.
By
giving
we
strongly
encourage
residents
to
take
a
moment
to
engage
in
this
process
by
giving
public
testimony
for
the
record.
You
can
do
this
in
several
ways:
attend
one
of
our
hearings
and
give
public
testimony.
We
will
take
public
testimony
and
at
the
end,
rather
in
in
my
hearings,
we
will
take
public
testimony
after
the
first
round
of
questions
from
my
Council
colleagues
and
then
and
also
three
hearings
dedicated
to
public
testimony.
A
The
full
hearing
schedule
is
on
our
website
at
boston.gov
forward:
slash
Council,
Dash
budget,
our
schedule
hearings
dedicated
to
public
testimony,
our
Tuesday
May,
2nd
at
2
p.m,
Tuesday
May,
9th
at
6
pm
and
Thursday
May
18th
at
2
pm
for
virtual
testimony.
You
can
sign
up
using
our
online
form
on
our
City
Council
budget
review
website
or
by
emailing
the
committee
at
CCC
dot
WM
at
boston.gov
when
you
are
called
to
testify,
please
state
your
name
and
affiliation
and
or
residents,
and
limit
your
comments
to
just
two
to
three
minutes.
A
To
ensure
that
all
comments
and
concerns
can
be
heard.
Email.
Your
another
option
would
be
to
email.
Your
written
testimony
to
committee
at
ccc.wm
boston.gov.gov
submit
a
two
minute,
video
of
your
testimony
through
the
form
on
our
website
for
more
information
on
the
City
Council
budget
process
and
how
to
testify.
Please
visit
the
city
council's
budget
website
at
boston.gov
forward,
slash
Council,
Dash
budget.
Today's
hearing
is
on.
A
A
Dockets07630765-20766
orders
for
Capital
fund
transfer,
Appropriations
docket,
zero,
seven,
six,
four,
zero,
seven,
six,
seven,
two
zero
seven,
six,
eight
orders
for
the
capital
budget,
including
loan
orders
and
lease
purchase
agreements.
Our
Focus
area
for
this
hearing
will
be
the
focus
of
will
be
the
focus
of
the
hearing
today,
FY
FY
24
budget
for
the
Boston
Public
Health
commission.
A
This
hearing
will
cover
physical
health.
Our
panel
is
for
today
joining
us
from
the
Boston
Public
Health,
commission,
Tim,
Harrington,
director
of
administration
and
finance,
and
also
our
executive
director
for
Boston
Public
Health,
commission
Dr,
bisolo
shukutu
I
am
also
joined
today
by
councilor,
my
Council
colleague
Liz
Braden
District
9
and
councilor
Aaron
Murphy
at
Large.
A
Then
we
typically
have
a
budget
analyst
presentation
to
break
down,
but
since
we
did
not
have
the
raw
data
for
the
budget
for
Boston,
Public
Health
commission
being
in
quasi
agency,
perhaps
we
weren't
able
to
connect
but
we're
happy
to
review
whatever
you
have
and
hopefully
submit
those
requests.
If
we
need
further
information
in
the
budget,
then
I'll
go
to
my
Council
colleagues
for
round
one
of
questioning
each
five
minutes
on
to
public
testimony
two
to
three
minutes.
B
C
D
D
The
board
is
made
up
of
leaders
in
healthcare,
public
health
and
organized
labor,
and
provides
valuable
strategic
guidance
to
vphc's
leadership
leadership
as
a
result
of
Mayor
Wu's
elevation
of
bphc
to
the
city's
cabinet.
We've
been
able
to
collaborate
more
meaningfully
with
other
cabinets
and
leverage
the
work
of
all
city
government
to
build
the
assets
that
promote
health
and
support.
Health
Equity,
so
I
see
the
slides
went
down.
Are
you
all
able
to
see
them
still
I'm,
not
seeing
them?
Okay?
D
Okay,
so
bphc
executes
its
Mission
through
six
bureaus
and
over
40
programs,
and
we
have
a
staff
of
nearly
thirteen
hundred
and
I
want
to
take
this
opportunity
to
publicly
thank
our
staff
for
all
the
work
that
they
do
on
a
daily
basis
and
to
carry
it
out
over
the
course
of
the
past
year.
In
this
morning's
hearing,
I
will
provide
an
overview
of
the
phd's
budget
and
major
accomplishments
and
then
dive
deeper
on
some
of
our
work
that
relates
to
a
number
of
important
areas,
including
Children
and
Families
violence,
prevention,
intervention
and
infectious
diseases.
D
I
would
like
to
thank
chairperson
Anderson
for
the
opportunity
to
focus
on
mental
health
and
Recovery
work
in
this
afternoon's
hearing.
So
we're
looking
forward
to
that
discussion
certainly
is
incredibly
important
for
Boston's
resident
residents
and
is
an
increasing
part
of
our
work
at
the
commission.
I
will
also
touch
upon
the
work
of
Boston
EMS.
As
you
all
are
aware
of.
D
D
Turning
to
our
major
accomplishments,
FY
23
was
both
a
year
of
significant
accomplishments
and
also
a
year
where
we
worked
to
lay
groundwork
and
foundation
for
a
more
impactful
future
bphc
continued
to
mount
a
strong
response
to
the
covid-19
pandemic
and
will
continue
to
do
so
and
also
his
work
to
build
out
systems
that
will
allow
us
to
respond
effectively
to
other
infectious
disease
threats
and
other
public
health
emergencies.
Internally,
we've
made
significant
progress
in
building
up
our
Public
Health
Workforce.
D
That
has
been
an
important
feature
of
our
work
and
we've
made
strides
to
ensure
equity
and
diversity
within
our
Institution.
We've
also
expanded
bphc's
overall
capacity
for
data
collection
and
Analysis
and
are
doing
some
Innovative
work
in
that
area,
and
this
afternoon,
as
I
mentioned,
I'll
speak
to
other
accomplishments
relating
to
the
expansion
of
our
Behavioral
Health
and
Wellness
work,
as
well
as
our
public
health
and
form
response
to
homelessness
and
substance
use
disorder
in
various
areas,
including
massacasts
around
the
city.
So
now
I'm
going
to
turn
the
presentation
to
Tim
Harrington.
E
Thanks
Dr
ojuku
too
and
good
morning,
councilors
again,
Tim
Harrington,
director
of
administration
Finance
here
at
bphc
in
these
next
few
slat
slides
I'll,
provide
a
brief
overview
of
our
proposed
proposed
FY
24
budget
for
all
of
our
bureaus
and
review.
Our
proposed
new
investment
request
and
capital
Improvement
projects
before
I
begin
I
just
want
to
thank
Steve,
Simmons.
Actually,
financial
officer,
Aaron
Burnett,
a
budget
specialist
and
our
entire
finance
department
at
ppac
have
worked
hard
over
the
last
few
months
on
the
on
the
budget.
E
So
first
is
our
proposed
budget
for
fy24
at
the
bureau
level
for
for
four
or
five
bureaus
funding
will
increase
by
two
or
three
percent
recovery
bureaus
increasing
by
three
percent:
child
Adolescent
and
family
health
by
2.2
percent.
In
our
community
initiatives
by
two
percent
Boston
ems's
total
budget
is
increasing
by
two
percent.
That
figure
includes
both
their
City
appropriation
funding,
as
well
as
their
projected
revenue
for
FY
24.
E
infectious
disease,
Bureau
will
increase
by
3.73,
which
includes
one
new
FTE,
which
I'll
discuss
more
in
a
moment.
A
public
health
service
centers,
which
includes
our
I.T
Department
research,
Communications
and
several
other
offices,
will
increase
by
1.89.
That
particular
increase
is
also
due
to
a
proposed
new
FTE
within
the
IT
department
right
now,
homeless.
Services
is
showing
an
increase
of
39,
but
that's
almost
entirely
due
to
the
new
3.3
million
that
bphc
will
be
receiving
in
our
operating
funds.
To
support
a
portion
of
the
low
threshold
sites
will
provide
additional
comments
on
that.
E
In
a
moment,
the
administration
line
increase
of
28
percent
is
due
to
a
proposed
increase
of
six
additional
ftes
in
that
in
the
offices
of
Human,
Resources,
labor,
finance
and
I.T.
That
line
also
includes
the
cola
increases
for
two
of
our
bargaining
units,
as
well
as
the
commission's
non-union
Cola
increases
regarding
the
property
increase
of
15
percent.
That's
entirely
due
to
the
increased
cost
of
utilities.
E
E
For
our
new
investment
request,
the
first
is
our
infrastructure
request,
as
noted
above,
these
are
an
additional
seven
ftes
within
hrit
Finance
in
our
labor
office,
to
strengthen
the
capacity
of
these
core
departments
that
provide
services
to
all
commission
programs
along
those
same
lines.
We're
also
seeking
an
additional
FTE
to
assist
with
Contracting
and
invoicing
in
our
infectious
disease.
E
As
Dr
arjakutu
said,
you'll
hear
more
about
those
new
requests
in
a
few
weeks
that
EMS
is
hearing
on
May
16th,
as
noted
about
bphc,
will
be
receiving
3.3
million
in
funding
to
support
the
city's
low
threshold
sites
over
the
last
18
months
or
so.
Ephd
has
been
working
closely
with
the
mayor's
office
of
housing
to
continue
to
support
several
low
threshold
sites
around
the
city.
E
The
final
new
investment
proposal
is
an
additional
funding
of
two
hundred
thousand
dollars
to
increase
the
response.
Capacity
of
the
neighborhood
trauma
team
next
slide
too.
Let's
then,
briefly,
the
additional
administrative
capacity
ftes.
These
include
two
generalist
and
not
human
resources,
department
devoted
to
homeless
services
and
Recovery,
an
additional
attorney
in
our
labor
and
employment
office,
senior
grants
analyst
and
a
senior
accounts
payable
analyst
in
finance,
a
fiscal
manager
at
IBB
in
the
senior
network,
engineer
nit.
E
In
addition,
there
will
be
one
transfer
this
year
of
an
FTE
from
the
environmental
empowerment
of
the
city
to
our
community
initiatives.
Bureau
to
assist
with
enforcement
in
the
city's
noise
supports
the
next
few
slides
are
new
capital
Improvement
projects
that
we
have
submitted
to
the
city
for
their
review
and
consideration
and
I'll
just
run
through
these
briefly.
E
First
is
an
electoral,
an
electrical
upgrade
and
installation
of
a
backup
generator,
either
at
our
transitions
building
at
the
matapan
campus
transitions
as
a
40
bed,
short-term
substance
abuse
substance,
use
treatment,
program
for
adults
seeking
continued
treatment
after
detox
The
Proposal
is
to
update
the
electrical
paneling
throughout
the
building
and
install
a
generator
that
could
sustain
the
building's
critical
loans
for
up
to
72
hours.
The
cost
of
that
project
is
to
be
determined.
The
second
request
is
a
chiller
replacement
in
a
related
HVAC
upgrades
at
the
Woods
mall
and
shelter
in
the
finman
building.
E
Those
two
adjacent
buildings
share
HVAC
systems
and
we're
requesting
that
ground,
melted,
chili
wouldn't
be
replaced.
We
had
some
issues
with
that
last
summer,
as
well
as
repairs
to
the
HVAC
system
that
has
needed.
The
estimated
cost
of
a
chiller
replacement
is
likely
in
the
amount
of
five
hundred
thousand
seven
hundred
thousand
dollars.
E
The
third
request
is
for
upgrades
to
the
medical
intent
Intelligence
Center
for
the
mech.
The
mix,
Services
bphc's
operations
centered
during
emergencies,
but
on
a
daily
basis,
is
a
space
that
Boston
EMS
Public
Health,
prepare
this
office
uses
for
programs,
training
and
Seminars.
The
mick
was
built
initially
in
2008.
The
latest
updates
to
that
space
were
2014..
E
D
Thanks
Tim
talk
through
a
number
of
programs,
as
well
as
a
bit
more
in
terms
of
our
achievements.
So,
as
you're
all
aware,
there
continue
to
be
challenges
with
Recruitment
and
Retention
of
employees
across
all
sectors.
These
challenges
have
been
magnified
for
the
public
health
Workforce
who's.
You
know
they're,
basically
suffering
from
fatigue
and
borne
out
in
the
wake
of
the
Copa
19
pandemic.
So
we're
really
committed
to
working
on
this,
as
well
as
to
ensuring
that
the
PHD
support
Force
reflects
the
communities
that
we
serve.
D
But
these
challenges
in
mind,
one
of
our
ongoing
goals,
is
to
strengthen
and
support
our
Workforce.
To
do
this,
we
established
a
workplace
Improvement
initiative
initiative
which
we
call
when
w-iin,
which
seeks
to
enhance
workplace
conditions,
improve
work,
flexibility,
motivate
staff
and
acknowledge
the
value
of
our
colleagues.
When
initiatives
have
included
establishing
a
permanent,
hybrid
telework
policy
for
eligible
employees,
engaging
employees
in
Divine
in
defining
bphc's
core
values,
enhancing
our
staff
appreciation
events
and
supporting
bphc's
Wellness
at
work
group
as
well
as
internal
Communications.
D
We
now
have
an
all
staff
newsletter
and
bi-weekly
reflection
rounds,
LED
four
and
by
our
staff.
We've
also
expanded
our
Consortium
for
professional
development
to
provide
additional
professional
growth
opportunities
and
established
and
emerging
leaders,
training
programs
in
partnership
with
academic
institutions.
We
have
internal
job
fairs
as
well
as
inequitable
evaluation,
training,
and
then
we've
invested
in
our
human
resources
department
and
with
the
intent
that
we,
you
know
want
to
ensure
it'll
be
a
big
capacity
to
serve
our
Workforce.
D
We
are
also
looking
Beyond
bphc's
walls
at
the
larger
Public,
Health
Workforce
and
Healthcare
Workforce
in
an
effort
to
address
inequity
in
higher
education
attainment
and
to
increase
diversity
among
public
health
and
Healthcare
Professionals
in
Boston.
We
recently
established
and
issued
an
RFP
to
start
a
generational,
Health
scholarship
program
and
that
our
RFP
has
been
responded
to
the
recipients
have
not
been
announced
yet.
D
But
we
are
really
proud
of
this
effort
to
reach
beyond
our
walls
and
think
about
what
the
pipeline
should
look
like,
as
we
think
about
the
deficits
and
the
need
to
build
infrastructure
within
Public
Health
Systems,
as
well
as
amongst
Healthcare
professionals,
so
the
scholarship
will
support
Boston
students
of
color
looking
to
enter
critical
roles
in
public
health,
medicine,
Behavioral,
Health
and
more.
Finally,
in
regards
to
this
topic,
bphc
was
awarded
one
of
the
CDC
strengthening
U.S
Public
Health
infrastructure,
Workforce
and
Data
Systems
grants.
D
So
this
is
a
national
Grant,
federally
funded
I'm
using
a
lot
of
the
funds
from
from
arpa.
It's
the
first
of
its
kind
transformational
five-year
Grant
awarded
to
cities
in
States
across
the
country.
They
receive
different
amounts.
We
happen
to
receive
8.9
million,
which
will
allow
us
to
expand
the
work
that
we
had
already
started
and
really,
you
know,
invest
in
professional
development
as
well
as
organizational
Performance,
Management
and
quality
improvement
initiatives.
D
Our
hope
is
just
to
overall
in
enhance
and
strengthen
our
Public
Health
Department
next
slide
through
this
FY
24
budget.
Mayor
Wu
has
prioritized
making
Boston
the
best
place
in
the
country
to
raise
a
family
at
bphc.
We
have
a
wide
range
of
very
long-standing
programs
and
services
that
are
working
towards
creating
a
healthy
Boston
for
our
children
and
families.
I
just
thought
that
it
would
be
helpful
to
highlight
a
few
of
these
so
healthy
baby.
Healthy
child
provides
free
home
visits
for
pregnant
and
parenting
families
in
Boston.
D
These
visits
include
parenting
support
nutrition,
counseling,
Mental,
Health
and
Family
Planning
referrals,
the
healthy
baby,
healthy
child
food,
pantry
or
Shirley's
pantry
and
Mattapan
provides
approximately
5
000
food
boxes
to
families
every
year
and
with
a
healthy
start
and
housing
program,
which
is
a
partnership
between
bphc
and
Pha
The
Boston
Housing
Authority.
We
are
able
to
provide
75
housing
units
of
dedicated
housing
paired
with
Supportive
Services,
comprehensive
Supportive
Services
for
families
with
young
children
who
are
at
risk
of
of
homelessness.
D
Bphc's,
asthma,
prevention
and
control
program
includes
a
direct
service
that
provides
free,
asthma
prevention,
asthma,
awareness,
home
business
to
Residents
across
the
lifespan,
and
these
are
conducted
by
trained
community
health
workers
in
FY
23.
We
conducted
365
of
these
visits
program
provides
education,
support,
low-cost
supplies,
referrals
to
reduce
environmental
asthma
triggers
the
program
also
works
to
build
the
asthma
prevention
system
by
training,
community
health
workers
and
convening
the
Boston
home
visiting
collaborative
to
address
asthma
care
coordination
across
the
city
more
effectively
this
year,
bphc
trained
55
community
health
workers
in
asthma,
home
visiting
topics.
D
Finally,
the
mayor's
health
line
has
continued
to
provide
free,
confidential,
multilingual
information
and
referral
services
staff
help
Boston
residents
with
a
variety
of
services,
including
enrolling
in
health
insurance,
finding
social
services
and
locating
covid-19
resources
in
FY
23.
The
mayor's
health
line
answered
5
000
calls
assisted
over
1200
individuals
to
enroll
in
health
insurance
and
assisted
over
2
000
clients
with
health
insurance
case
management
of
note.
D
Looking
ahead
to
fy24,
the
mayor's
health
line
will
be
really
important,
as
we
think
about
Mass
health
and
eligibility
redetermination
and
the
needs
that
that
our
residents
have
to
get
information
to
find
sufficient
resources.
So
we
are
really
enhancing
a
lot
of
the
the
work
in
that
area
with
the
mayor's
health
line.
I
think
it's
really
important
a
really
important
resource
that
we
should
highlight
next
slide.
D
Violence,
of
course,
and
promoting
safe
and
healthy
communities
is
certainly
an
important
issue
here
at
the
Boston
Public
Health
commission,
as
it
is
across
the
city,
bphc
is
committed
to
addressing
violence
through
the
public
health
lens
of
primary
prevention,
so
obviously
preventing
it
for
occur,
secondary
prevention,
reducing
its
immediate
harms
and
then
tertiary
prevention,
so
decreasing
long-term
impact
and
improving
long-term
outcomes
in
close
coordination
with
Partners
across
city
government
as
well
as
community-based
partners.
Our
work
is
Guided
by
the
principles
of
health
and
racial
equity
and
acknowledges
structural
racism
as
a
root
cause
of
violence.
D
We
strive
to
adopt
the
principles
of
trauma-informed
practices
at
all
levels
of
our
work
and
engagement
with
communities.
Bphc's
neighborhood
trauma.
Team
network
plays
a
unique
role
in
Boston's
violence
prevention
infrastructure.
They
provide
comprehensive
trauma,
support
to
impacted
residents
in
communities
where
violence
has
occurred.
That's
both
at
the
immediate
time
post
the
violent
incidents
as
well
as
longer
term,
with
additional
funding
in
FY
24.
We
plan
to
expand
on-call
services
to
24
7
access
for
constituents
so
that
their
needs
are
are
met
in
an
ongoing
way
in
FY
23.
D
We
worked
to
build
a
Continuum
of
violence,
Prevention
Services
targeted
to
a
diverse
population
or
diversity
and
age
population.
This
Continuum
includes
long-standing
programs
like
safe
and
successful
youth
initiative
or
ssyi,
which
is
a
partnership
with
BPD.
It's
comprehensive
public
health
program
providing
case
management,
Outreach
Services
to
youth
ages,
17
to
24.
These
are
individuals
who
have
been
identified
as
being
most
likely
to
either
be
a
victim
or
perpetrator
of
violence
and
in
2021
because
of
the
need
to
expand
Services
beyond
the
24
year
old
age.
You
know
age.
D
We
launched
the
Men's
Health
Initiative,
which
is
designed
to
engage
enrolled
individuals
who
are
above
the
target
so
24
and
up
with
no
age
limits
and
still
do
the
same
type
of
case
management
and
critical
stabilization
services.
We
seek
to
build
up
strong
connected
communities
in
addition
to
providing
this
direct
service
and
case
management.
D
The
AP
uses
the
trauma-informed
community
engagement
strategy
to
shift
away
from
the
expectation
of
violence
and
to
address
persistent
social
environmental
issues
that
contribute
that
contribute
to
elevated
levels
of
violence,
VIP
works
with
residents
and
other
community
members
in
six
micro,
neighborhoods
Orchard,
Gardens,
Madison,
Park,
Village,
upham's,
Corner,
Grove,
Hall,
Belmont,
Geneva
and
matapan.
So
we
continue.
D
D
Bphc
continue
to
lead
Copa,
19
vaccination,
vaccination
testing
efforts,
city-wide
in
addition
to
establishing
and
maintaining
five
standing
vaccination
testing
sites
at
locations
throughout
Boston.
We
also
spearheaded
the
initiation
of
larger
scale,
vaccination
events
like
two
at
White
stadium
in
Franklin
Park
and
our
standing
covid-19
vaccination
sites.
We
also
provided
flu
vaccination
as
well
as
testing
and
health
education.
D
We
also
developed
an
operational
plan
that
is
guiding
will
continue
to
guide
the
Copa
19
response
efforts
as
well,
as
you
know,
we're
doing
in
terms
of
deployment
of
vaccination
testing
and
other
mitigation
strategies.
The
what
the
systems
that
we've
developed
allow
us
to
scale
up
or
scale
down
our
efforts
and
our
city-wide
response
is
needed
and
then
finally,
I
want
to
highlight
our
Wastewater
surveillance
program,
which
launched
in
February
of
2023.
D
It
utilizes
samples
from
11
maintenance
sites
around
the
city
for
more
localized
estimates
of
circulating
covid-19
and
its
variance
of
Boston
updated
data
is
available
on
our
covid-19
website
as
part
of
boston.gov
and
I.
Think.
One
of
the
reasons
why
I
wanted
to
bring
this
up
is
because
this
is
a
great
example
of
the
type
of
enhanced
surveillance
improvements
in
data
that
we
are
working
toward
and
that
we
built
so
that
we
can
more
safely
and
clearly
address
the
needs
of
our
residents.
C
D
A
B
You,
madam
chair,
thank
you
Tim
and
Dr
aljakoto
for
your
presentation,
see
I'm,
just
curious.
You
know
in
terms
of
the
trauma
and
violence,
work
that
you
do.
Are
you
partnering
with
our
public
schools
on
those
issues,
because
you
know
that's
where
our
young
people
spend
a
lot
on
huge
amount
of
their
time
is
in
the
school
building
and
what
are
the
Partnerships
in
that
space?.
D
Partnerships
with
public
schools
that
address
violence
and
we're
working
on
building-
and
we
have
established
mental
health
Partnerships
with
schools,
because
we're
talking
about
preventing
violence
as
well
as
managing
it,
I
would
say
just
one
thing
about
the
start,
strong
program
just
to
say
a
little
bit
about
what
we're
doing
with
young
people
in
general.
And
then
we
can
go
back
to
BPS
more
broadly
so
start
strong.
It's
a
program
focused
on
11
to
18
year
olds
to
prevent
violence,
particularly
as
it
relates
to
relationships
and
promoting
healthy
relationships.
D
We
of
course
have
our
our
school-based
health
programs,
which
I
think
is
really
really
important,
and
we
definitely
you
know,
build
on
a
lot
of
the
mental
health
work
there.
I
can
tell
you
exactly
how
many
you
know
like
staff
we
actually
have
in
that
I'm
just
going
to
look
at
just
over
here.
So
I
can
actually
tell
you
how
many
people
we
actually
have
working
in
that
we
work
at
six
high
schools
providing
both
you
know:
mental
health
curriculum,
mental
and
Behavioral
Health.
We
encourage
access
to
resources.
D
We
encourage
access
to
our
case
management
and
Behavioral
Health
Services
and
we're
building
on
that
partnership
and
we're
actually
going
to
talk
about
that
later.
This
afternoon,
I
mentioned
this
because
I
think
that
there's
a
you
know
strong
intersection
and
in
what
we're
doing
with
behavioral
mental
health
and
violence
and
violence
prevention.
A
D
D
The
other
thing
is
that
within
our
Office
of
Recovery
Services,
we
do
provide
training
to
BPS
and
we
have
people
who
go
and
visit
schools
and
a
lot
of
the
requests
that
we've
been
receiving
most
recently
have
been
about
vaping,
but
we
also,
you
know,
can
provide
training
in
regards
to
other
substances.
So
that's
that's,
certainly
something
that
that
we
would
provide
if,
if
asked
so,
it's
definitely
something
that
we're
we're
working
on.
B
D
Our
Focus
right
now
is
on
covet
a
lot
of
the
restriction
in
expanding.
Is
it's
about
money?
You
know
and
and
resources
that
we're
putting
into
this.
We
have
been
working
with
biobond
to
do
a
small
pilot
to
look
at,
particularly,
you
know,
opioid
and
opioid
surveillance
so
to
to
screen
for
use,
but
that
is
a
small
pilot
and
also
looking
for
other
pathogens,
including
influenza.
D
B
Yeah,
it
seemed
like
a
really
incredibly
valuable
tool
to
sort
of
see.
What's
coming
down
like
it's
something,
that's
three
weeks
out
that
we
sort
of
say
oh
something's
happening,
we
need
to
be
ready
for
it,
it's
very
good
and
Madam
chair.
How
am
I
doing
for
time
you
your
time
is
up
and
time's
up.
Thank
you.
Thank
you.
Dr
ojikotu
thank.
C
You
thank
you
chair
and
thank
you
for
that
presentation
of
a
few
just
highlights.
I
noticed
under
the
major
in
initiatives
I'm
happy
to
see
that
we
got
it
in
the
budget
to
start
the
EMS
I
know
not.
Everyone
knows
that
EMS
training
and
all
of
that
comes
under
your
budget,
so
good
to
see
that
is
there
more
specifics
on
the
planning
underway
for
the
recovery
services?
Is
there
more
to
say
about
that.
C
Going
to
talk
about
the
one
that
was
specific
to
Long
Island,
sorry,
the
one
that
said
planning
underway
when
it
was
under
the
capital
budget
section
where
I
talked
about
planning
underway,
which
I
know
we've
talked
about
planning
underway.
But
do
you
have
any
specific
plans
using
the
money
that
we'll
get
from
this
year's
capital
budget.
D
So
Tim
may
want
to
speak
more
about
the
capital
budget
piece.
I
I
will
say
just
a
few
words
about
Long
Island.
Just
that
that's
at
all
helpful.
We
are
still
in
the
process
of
exploring
any
and
all
opportunities.
As
you
know,
councilor
Murphy
to
meet
the
city's
recovery
needs
and
looking
for
a
long-term
solution.
So
we
recognize
Long
Island
as
I'm
sure
you
do
as
a
remarkable
asset,
so
we're
continuing
to
lay
the
groundwork
necessary
if
we
need
to
use
utilize
it
in
that
capacity.
D
E
So
right
now
you
know,
PFD
is
really
handling
that
project.
For
us
we
meet
with
them
basically
weekly
on
on.
You
know
what
they're
doing
right
now
on
Long
Island
and
it's
really
just
the
beginning
basis
of
that
project.
It's
basically
in
a
nutshell:
it's
the
stabilization
piece
of
it
so
that
their
buildings
don't
further
deteriorate
and
that's
this
sort
of
initial
15
to
20
million
dollar
project
that
PFD
is
handling
bphc.
E
C
Awesome.
Thank
you,
as
we
know
many
of
these
non-profits
that
you
fund
or
services
that
are
so
needed.
Any
any
big
changes.
I
mean
I,
know
I
read
through
them
about
any
that
are
kind
of
phasing
out
that
you
thought
have
seen
their
life
or
any
added
ones
that
are
you're
excited
about.
Seeing
that
we've
put
into
the
budget
for
the
coming
year.
F
D
We're
doing
a
lot
of
case
management
on
mastercast
I
think
it's
been
very
effective
and
working
on
it's
expanding
work
with
Elliot,
as
you
probably
know
that
we're
doing
this
sort
of
one-on-one,
as
well
as
overnight
case
management,
really
getting
people
off
the
street,
so
I
think
that's
exciting
and
I.
Think
it's
actually
working
trying
to.
C
Think
I
think
too
I
know
we've
been
at
Community
meetings
and
something
that
I
hear
and
I
would
assume.
Colleagues
here
also
is
from
non-profit
providers
who
sometimes
feel
like
they
can't
get
in
and
I
know.
That's
a
bigger
conversation
about.
How
do
you
get
grants
from
the
city,
but
were
there
any
that
you
know
we
see
it
valuable
that
we
were
able
to
kind
of
and
I
know
during
the
Opera
funding.
D
So
I
I
hear
you
I
think
that
we've
had
multiple
conversations
since
that
particular
community
meeting
at
common
square
about
smaller
organizations.
That
really
do
feel
like
the
work
that
they're
doing
you
know,
needs
to
be
funded
and
should
be
funded.
We're
continuing
to
investigate
this.
We've
received
additional
information
about
a
number
of
them.
We
need
to
look
into
them.
We
need
to
evaluate,
what's
actually
happening
before
we
can
make
additional
decisions.
Most
of
our
arpa
money
has
been
obligated
at
this
point.
D
We
are
looking
at
expanding
some
of
our
opportunities
with
our
arpa
funding
to
fund
some
of
the
organizations
that
did
a
lot
of
the
covid-19
work,
who
also
want
to
do
work
with
all
the
other
chronic
you
know,
other
chronic
diseases
and
trying
to
make
sure
that
people
get
into
care
and
so
on
so
forth.
So
we're
working
on
a
number
of
things
to
make
sure
that
Community
organizations
actually
get
the
funding
that
they
they
need
to
do
the
work
they
do,
which
is
so
critical.
C
Awesome
one
last
thing
in
Council
of
Braden
highlighted
this,
but
the
counseling
I
have
visited,
succeed.
Boston,
which
is
the
BPS
Counseling
Center
and
talked
with
one
of
their
social
workers,
is
trained
and
specifically
works
with
substance.
Abuse
and
vaping
is
one
of
the
biggest
things
that
they're
dealing
with
right
now,
just
wondering
if
we
have
thought
about
really
pushing
into
our
schools
or
Community
sectors
with
more
you
know,
specifically
trained.
C
You
know,
medical
workers,
social
workers
that
can
really
you
know,
teach
our
teachers
and
our
coaches
and
our
summer
camps
and
our
kids
about
this
fair
I
know,
there's
the
bigger
issues
about
you
know
heroin
and
Fentanyl,
and
all
that
that
you
are
always
working
on
and
trying
to
do
better.
But
it
seems
like
this
is
kind
of
overtaking
a
lot
of
our
middle
schools
and
even
younger
high
schools
and.
D
And
I
agree
with
you
and
absolutely
think
that
that's
important
in
these
discussions
that
we're
having
with
BPS
we
are
talking
about
how
to
select
particular
schools.
We
know
that
there
are
specific
needs.
We
know
that
there's
many
things.
There
are
many
things
that
are
happening
there,
where
training
of
staff,
not
just
teachers
but
across
the
entire
campus.
You
know
of
schools
how
to
engage
students
in
support.
D
You
know
how
to
create
them
in
discussions,
not
just
about
substance
abuse
but
about
you
know
mental
and
Behavioral
Health
in
general,
and
so
we're
in
we're
still
in
the
middle
of
that
process,
and
that's
that's
really
arba
funded
right
now.
These
you
know
this
ongoing
work
that
we're
going
to
do
at
specific
schools.
We
would
also
like
to
develop
a
system
where
we
have
trauma-informed
schools
and
by
trauma-informed
schools.
D
I
mean
places
where
it's
just
part
of
the
culture
of
the
school
for
people
to
engage
in
conversations
for
people
to
come
for
help
for
people
to
look
for
support,
whether
that
be
not
just
students
but
faculty,
you
know
and
staff,
so
we're
in
I
think
some
transformative
discussions
about
how
we
can
really
look
at
BPS
as
a
place
where
this
is.
This
is
where
you
get
resources
and
in
all
these
areas,
including
substance
use
and
you
know,
would
love
to
talk
to
you
more
as
these
conversations
evolve.
C
G
Morning
good
morning
and
thank
you,
madam
chair,
and
good
to
see
you
doctor
and
Jimmy
always
a
pleasure
just
going
to
be
consistent
in
Prior
years.
Just
want
to
talk
a
little
bit
about
our
EMS
9-1-1
call
operators
overworked
understaffed
kind
of
a
lousy
situation.
They
don't
have
four
and
two
no
packing
available
for
the
workers,
particularly
the
shifts
they
have
so
I.
I
know
you
guys
are
aware
of
the
situation.
G
I
know
that
I've
been
working
with
my
colleagues
as
well
as
the
mayor
to
try
to
some
of
that
contractual
stuff
is
obviously
out
of
ideas.
But
what
are
we
doing
from
a
leadership
and
management
perspective
to
to
restore
order
and
to
and
to
make
that
workplace
a
better
situation
and
also
paying
attention
to
detail
to
some
of
the
trauma
that
they
experience
and
making
sure
that
they
get
an
opportunity
to
debrief
and
have
some
space
over
there,
particularly
after
a
traumatic
call?
G
That's
number
one
to
want
to
make
sure
I
illustrate
all
the
time
about
our
EMTs.
We
get
the
best
EMS
division
in
the
country.
I
was
proud
to
lead
the
effort
on
the
council
to
to
get
them
group
four
several
years
ago,
so
just
want
to
make
sure
we're
paying
attention
to
attrition
paying
attention
to
the
fact
that
our
city
is
growing
and
the
need
to
make
sure
that
you
know
our
public
health
and
Public
Safety
Services
stay
on
par
with
that.
G
Lastly,
this
is
more
probably
the
first
two
to
the
doctor
and
Tim,
just
as
I
always
do
just
looking
at
our
leases
sort
of
what
we
own,
what
we
don't
own,
what
we
lease,
particularly
the
the
command
center
that
you
and
I
talked
about
just
about
every
year,
making
sure
that
you
know
that
is,
you
know,
I
know
their
older
buildings,
but
make
sure
that
we
have
Cutting
Edge
technology
in
the
event
of
a
situation.
Clearly
we're
home
to
the
Marathon
bombing,
September
11th
was
launched
from
Logan
Airport.
G
Those
are
the
things
that
you
know
when
and
if
we
have
a
need
that
Command
Center
it's
privacy
in
the
Heart
of
the
City,
making
sure
that
that
it's
up
to
date,
we've
got
the
equipment.
We've
got
the
technology
and
we'll
continue
to
make
those
upgrades
improvements,
preferably
at
that
footprint,
because
it
is
in
the
epicenter
of
our
city
units
closely
accessible
to
the
amount
of
different
agencies
that
will
sort
of
descend
on
that.
If
we
need
them.
So
that's
it
for
me.
G
With
respect
to
Public
Health
and
our
clinicians,
please
make
sure
that
they're
close
of
the
action,
please
make
sure
we
don't
have
anybody
on
the
payroll
but
we're
paying
significant
amount
of
dollars
to
to
provide
Public,
Health,
Services
and
advice
to
bostonians
that
they're
not
calling
it
in
from
out
of
state
or
they're
not
far
distances
away,
so
that
in
the
event
that
we
need
them,
they
can
be
front
and
center
in
front
of
folks
and
that's
going
to
be
I.
Think
they're
going
you're
going
to
start
to
see,
I!
G
Think
folks,
looking
at
Department
after
Department
after
Department
Statewide
and
then
I
think
they're
going
to
stop
to
focus
and
I
know
you
don't
fall
under
the
residential
requirement.
But
my
hope
is
that
we
don't
have
clinicians
and
Specialists
and
board
members
owning
it
in
from
out
of
state
I.
Think
it's
a
bad
look
and
I
think
the
residents
and
taxpayers
and
folks
that
are
concerned
about
public
health
deserve
to
have
someone
that's
a
little
bit
closer
to
the
action
here
in
our
city
or
in
close
proximity.
G
So
that's
my
old
Pine
and
thank
you,
madam
chair
I'll,
await
the
responses
from
this
team
and
thank
you
for
the
work
you
do
doctor
and
Tim
on
behalf
of
the
city
and
be
half
of
the
folks
that
you
represent.
We've
got
a
lot
of
folic
division
department.
They
do
great
work
and
I
appreciate
all
of
that.
They
do
to
make
our
city
healthier
and
safer.
D
Thank
you,
councilor
Clarity.
We
appreciate
your
support
sincerely
across
all
the
areas
that
we
manage
over
here
as
commission,
so
I
know
that
EMS
is
presenting.
We
usually
are
together
we're
present
they're
presenting
their
portfolio
and
more
of
their
budget,
though
Tim
talked
a
little
bit
about
it
on
the
16th.
At
that
time.
They'll
also
talk
about
work,
that's
being
done
in
regards
to
9-1-1
I.
Do
hate
the
chief
holy
regularly,
but
I'd
like
him
to
talk
more
about
that.
D
Quite
honestly,
I
would
want
I
do
want
to
say
something
about
the
issue
of
Recruitment
and
Retention
of
EMS
Personnel.
That's
a
huge
issue
in
FY
23
we
did
receive
24
EMT
positions.
We've
had
two
remarkable
I
think
you've
been
at
some
of
these
graduations
two
remarkable
EMT
recruit
classes
in
the
past
year.
E
Sure
and
I'll
be
brief
for
bragging
stream
have
had
a
number
of
meetings.
Counseling
with
you
know
the
city's
OBM
with
folks
from
OEM
around
the
future
of
that
building
the
lease
for
that
building
is
in
place
for
a
few
more
years,
but
we
need
to
sort
of
come
up
with
kind
of
a
long-term
plan
for
either
that
building
or
something
else,
I
mean
that's
a
as
you
go.
That's
a
that's,
a
massive
building
that
houses
a
lot
of
EMS
sort
of
infrastructure
equipment
and
now
only
in
this
over
the
last
seven
years.
G
Very
good
I
appreciate
that
Jamie,
so
I've
been
happy
to
be
part
of
the
discussions
on
behalf
of
the
councils
on
the
sort
of
I
guess
the
public
safety
side
of
it
is
the
chair
of
Public
Safety,
working
with
with
OBM,
but
if
we're
in
an
integrated
facility,
for
example,
like
our
fire
headquarters,
a
very
Antiquated
building,
we
need
to
have
that
Revisited
as
well
as
the
command
center.
So
thank
you
both.
Thank
you,
madam
chair.
H
H
Thank
you
just
a
couple
issues
I
I
want
to
follow
up
on
one
of
the
one
of
the
issues
I've
focused
on
over
the
last
five
or
six
years
is
how
how
we're
supporting
our
residents
with
HIV
and
AIDS
in
what
Outreach
we're
doing
in
terms
of
public
education,
Medical,
Care,
Social,
Services,
any
any
other
type
of
support.
We
are
providing
with
people
with
HIV
or
Aids,
something
some
it's
an
issue.
H
That's
been,
that's
always
been
important
to
me,
but
can
you
give
me
a
little
bit
of
a
briefing
where
we
are
I
know
during
the
pandemic
we
actually
had
the
number
of
AIDS
cases
actually
went
up
in
Boston,
mostly
I,
guess
so
drug
use
with
with
with
needles
in
including
in
the
master
cast
area.
But
can
you
give
me
an
overall
view
of
what
you're,
seeing
with
HIV
and
AIDS
in
how
this
budget
will
support
people
living
with
AIDS.
D
So
within
our
thank
you,
counselor
Flynn
I
appreciate
this
question.
You
probably
know
I'm
an
HIV
physician,
so
it's
kind
of
it's
my
area,
but
I
want
to
talk
to
you
a
little
bit
about
the
specific
services
and
the
work
that
we
do
here
at
the
Boston
Public
Health
commission,
because
I
think
it's
it's
really
important.
What
you're?
Bringing
up
for
a
lot
of
people
HIV
has
fallen
off
the
radar.
D
Unfortunately,
even
though
a
lot
of
people
remain
at
risk,
both
through
injection
drug
use,
as
well
as
through
higher
risk,
sexual
behavior
and
I,
think
we
need
to.
You
know
recognize
that
within
the
Infectious
Disease
Bureau
we
have
the
Ryan
White
HIV
AIDS
program
and
that
program
has
been
funded,
not
just
in
Boston
but
stuff
through
Suffolk
County.
D
So
it's
a
lot
of
work
that
we're
doing
Beyond
just
our
own
City,
because
obviously
infectious
diseases,
don't
just
you
know,
maintain
or
stay
within
borders,
and
what
we're
doing
through
that
Ryan
White
AIDS
program
is
we're
funding
organizations
that
are
doing
exactly
what
you're
asking
about
they're
doing
the
case:
management
they're,
doing
health,
education,
Health,
literature,
health,
literacy,
mental
supports.
It's
really
working
Beyond,
just
the
clinical
care
just
beyond
the
HIV
treatment
and
the
antiretroviral
therapy
actually
to
all
the
wrap
around
and
comprehensive
services
that
are
needed.
D
So
that's
a
really
key
piece
of
what
we
do
within
the
Infectious
Disease
Bureau.
We
have,
through
this
budget
through
new
Investments,
ask
for
some
additional
administrative
support,
because
that
is
critical
for
us
to
have
the
administrative
support
to
make
sure
that
these
organizations
get
the
funding
that
they
need
to
do
the
work
that
they're
doing
so
that's
one
piece
of
of
what
I
wanted
to
mention.
The
other
thing
is
that
we
are
a
strong
partner
in
the
ending
the
HIV
collaborative
across
the
country.
D
We
do
our
work
here
in
Suffolk
County,
but
this
is
a
collaborative
with
many
different
organizations
around
Suffolk
County,
including
our
community
health
centers,
like
Fenway
Health,
like
others,
who
are
doing
very
strong
work
in
HIV.
We
meet
with
them
regularly
and
contribute
to
all
aspects
of
the
work,
including
Research,
into
what
we
could
be
doing
better.
So
I
think
we're
very
much
so
involved.
It's
very
much
a
top
priority
of
ours
in
terms
of
HIV
cases.
D
You
are
probably
well
aware
of
the
increase
in
cases
that
were
due
to
an
injection
drug
use
outside
of
Boston,
and
then
there
was
a
concern
and
increase
that
related
to
injection
drug
use
for
the
most
part
that
involved
Boston.
We
are
very
aware
of
this
and
I
think
what
we're
doing
to
ensure
that
that
doesn't
happen
again.
D
Is
that
we're
working
with
our
one
of
our
closest
Partners
Boston
healthcare
for
the
homeless,
where
we're
providing
pre-exposure,
prophylaxis
and
I
think
that's
a
key
piece
to
the
puzzle,
because
we
have
people
who
may
not
be
ready
to
be
in
recovery,
who
are
still,
you
know,
utilizing
or
using
injection
drugs
injectable
drugs,
and
they
are,
you
know
at
risk.
So
one
of
the
major
strategies
that
really
works
very
well
is
giving
them
HIV
medication
as
a
preventative
therapy,
and
that's
something
that
Boston
healthcare
for
the
homeless.
D
What
was
Boston
health
care
for
the
homeless
does,
and
we
support.
The
other
thing
that
we
do
is
harm
reduction
and
these,
as
you
know,
Boston
has
been
a
leader
in
harm
reduction
since
early
90s,
late,
80s
I
mean
we've
been
doing
this.
It
works,
it's
been
very
effective
in
keeping
our
numbers
low,
whereas
other
cities
I
know
across
the
country
who
are
not
doing
harm
reduction
or
not
doing
as
much
pre-exposure
prophylaxis
are
having
surges.
A
A
I
I
I
I'm,
just
I,
wanted
to
just
lean
in
a
little
bit
more
until
some
of
the
the
programming
around
mental
health
and
wellness
and
the
intersection
with
our
Boston
public
schools,
because
I
do
see
that
there
is
an
opportunity
for
more
collaboration
and
coordination.
You
know
you
have
the
yidn
program
that
is
run
out
of
the
Boston
Public
Health
commission,
which
is
a
program
that
focuses
on
chronically
absent,
Youth
and
I
know
that
some
of
their
triggers
are
are
sometimes
they're
not
going
to
school
because
there
are
experiencing
mental
health
and
wellness
issues.
I
D
So
I
think
that's
a
great
question.
Counselor
Mejia
I
said
a
few
words
before,
but
I'll
I'll
speak
about
the
youth
development
Network,
because
I
do
think.
That's
a
critical
piece
of
the
work
that
we're
doing
within
schools.
As
you
recall,
the
fy23
line
item
the
council
city
council
supported
a
160
000
increase
of
the
budget,
which
I
think
was
very
important.
We
need
to
retain
staff
in
this
area.
D
The
goal
is
to
enhance
the
Outreach
and
engagement
of
young
people
who
are
disconnected
from
school
and
with
that
investment
we
increase
the
salaries
of
the
youth
development,
Network
staff
created
a
new
staff
position
and
invested
in
an
evaluation
to
identify
areas
of
strength
and
potential
areas
of
growth
within
the
youth
development
networks.
That's
a
key
piece
of
what
we're
doing
with
with
BP,
in
partnership
with
BPS
for
young
people,
four
young
people
who
are
at
risk.
D
I
Sorry
about
that
I
got
disconnected
that
there
are
a
number
that
I
see
when
I
think
about
wraparound
Services
I,
think
about
Boston
Public
Schools
is
one
and
I'm
glad
to
see
that
there's
some
stuff,
but
then
there's
also
the
nonprofit
sector,
which
Council
Murphy
was
talking
about.
Some
of
these
organizations
that
haven't
had
access
or
opportunities,
I
I
think
that
there
is,
as
you
continue
to
move
through
this
work
from
a
violence
prevention
standpoint
to
really
do
a
whole
audit
and
an
assessment
about.
I
Where
are
the
organizations
that
are
really
giving
us
a
return
on
that
investment?
And
what
are
the?
What
are
the?
Where
are
the
gaps
that
we
need
to
fill
and
the
role
of
the
Boston
Public
Health
commission
can
play
for
being
a
convener
around
that
that
level
of
coordination
I
think
that
there
is
an
opportunity
there.
So
it's
not
so
much
of
a
question.
I
It's
just
more
something
for
us
to
consider
and
one
of
the
other
things
that
I
just
wanted
to
uplift
as
as
I
have
for
floors,
because
I'm
not
going
to
be
here
for
the
mental
health
and
wellness
a
hearing
later
this
afternoon.
But
I
I
want
to
underscore
that
the
next-
and
we
know
this-
that
the
next
pandemic
is
going
to
be
Mental
Health.
And
we
have
to
really
start
thinking
about
this
from
an
emergency
response
framework
and
I'm
curious
about
what
thoughts
of
any
of
you've
given
to
that.
D
So
I
agree
am
I.
You
guys
can
hear
me
right.
There
was
a
little
yes,
okay,
so
I
agree
with
you
that
mental
health
is
a
crisis
across
our
city
and
across
you
know
the
United
States,
and
that
we
need
to
be
preparing,
as
well
as
thinking
broadly
about
what
we
could
be
doing
differently.
I
think
a
lot
of
the
work
that
we're
doing
that's
funded
currently
by
arpa
is
really
doing
the
work
that
you're
referring
to
number
one
we're
preparing,
because
we
need
a
stronger
pipeline.
D
We
need
more
people
and
I'm,
not
talking
long-term
training,
necessarily
I'm
talking
about
preparing
short,
short-term
medium
term
to
get
people
trained
to
do
this
work,
both
in
BPS
and
outside
of
BPS,
and
to
get
more
diverse
and
culturally
and
linguistically
competent
providers.
That's
one
piece
of
this.
Another
piece
is,
as
I
mentioned,
working
more
closely
with
BPS
I,
won't
necessarily
repeat
that,
but
the
other
piece
is
engaging
communities
in
these
discussions
about
Mental,
Health
Services
and
what
their
mental
health
needs
are
and
I
think
from
a
public
health
standpoint.
D
Those
are
kind
of
the
pieces
that
we
are
are
very
much
so
focused
in
on
I,
mean
certainly
I,
think
there's
a
lot
more
to
be
said
about
service
provision
and
other
pieces.
But
it's
really
the
health
literacy
piece
making
sure
that
we
have
the
workforce
available
and
working
with
our
schools
to
build
stronger
infrastructure
that
those
are
our
focal
points
right
now
and
they're
all
underway.
All
three
of
those
areas
are
underway,
yeah
and.
I
Tomorrow,
at
the
book
we're
having
our
mental
health
and
wellness
day,
I
believe
Dr
Simon
was
inviting
the
superintendent
will
be
there.
So
it's
going
to
be
a
day
of
wellness
and
we
hope
that
you
will
join
us
if
your
schedule
permits,
because
we
think
that
Wellness
needs
something
that
the
district
across
all
119
schools
should
be
focusing
on.
Thank
you.
Counselor
Anderson
I
really
do
appreciate
the
grace,
and
this
is
a
great
example
of
why
virtual
works,
because
now
I'm
able
to
meet
with.
F
F
A
D
So
I
think
that's
a
great
question.
It's
hard
to
fix
problems.
If
you
don't
know
exactly
where
you're
making
progress
or
where
you're
not.
There
are
a
number
of
things
that
we're
doing
that.
I'll
talk
to
you
about
one.
You
know
we
as
the
Boston
Public
Health
commission
are
the
convening
organization
for
the
Boston
Chennai
chip.
So
that's
the
community
health
needs
assessment
and
Community
Health
Improvement
program
that
or
Community
Health
Improvement
plan.
I
should
say
that
is
convened
around
Boston
involves
many
many
different
organizations
as
well
as
healthcare
providers.
D
So
it's
not
just
in
in
public
health.
It's
certainly
within
the
Health
Care
System.
Those
documents
are
online
and
what
you'll
see
is
that
we
essentially
have
done
focus
groups.
We've
been
working
with
key
stakeholders
working
with
leadership
working
with
residents
to
find
out
what
their
needs
are
and
then
in
different
ways.
We
are
targeting
areas
and
there
is
an
investment
put
forward
to
address
those
needs.
D
D
So
what
happens
within
the
China
chip
is
that
the
hospitals
then
invest
in
their
resources,
but
we
influence
that
process.
We
try
to
influence
that
process
so
that
we're
getting
investment
into
the
areas
where
the
community
actually
needs
the
most
or
articulating
their
their
highest
level
of
concern.
So
that's
one
piece
of
our
assessment
process.
Secondly,
we
do
the
health
of
Boston
which
which,
as
you
I'm,
sure,
you're
aware
pre-covered.
It
was
a
yearly
assessment,
a
broad
snapshot
if
you
will
of
health
status
within
Boston.
D
The
previous
last
health
of
Boston
report
was
2016-2017
because
of
issues
that
preceded
me.
We
did
not
have
another
health
of
Boston
report
and
then
kova
hit
and
now
we're
back
to
producing
those
reports,
and
so
we
have
I
believe
six
reports
we're
doing
individual
report,
so
asthma,
heart
disease,
cancer,
life
expectancy
and
immortality,
diabetes
and
violence
are
the
reports
that
we
hope
to
have
available
soon,
I've
seen
them
so
they're
they're
almost
ready,
we're
just
trying
to
perfect
them,
and
then
they
will
be
available
online.
D
D
D
We
would
love
to
have
dashboards
for
each
each.
You
know
a
health
indicator
and
that
can
is
part
of
sort
of
a
longer
term
plan.
We've
looked
at
and
we've
been
working
on
a
Health,
Equity
dashboard,
it's
it's
challenging,
you
know
and
we're
working
on
some
of
that
and
I
think
I
spoke
about
that
in
in
previous
in
previous
hearings,
but
what
we
plan
to
do
as
we
see
that
there
are
problems
like
the
first
thing
we
do
is
feed
those
back
to
the
community
right.
D
So
we
want
to
make
sure
that
community
members
actually
know
that
this
is
what
what's
happening
now:
the
China
chip
process
there's
already
a
process,
that's
ongoing
to
inform
community
members
of
what
the
needs
assessment
and
what
the
what
sort
of
the
plan
in
general
is
in
terms
of
the
chip,
the
community
health
Improvement
plan
in
terms
of
the
health
of
Boston.
Our
plan
is
to
do
a
summer
series,
so
we
plan
to
go
around
to
neighborhoods
and
talk
about
these
data
in
a
way
that's
digestible
for
communities,
so
they
understand.
D
What's
what's
going
on
and
there's
some
key
and
concerning
disparities
that
we
see
you
know
throughout
the
city
and
and
covid
has
done,
you
know
if
we
put
it
in
context,
what
happened
from
2019
to
2020
has
changed
the
health
profile.
You
know
and
worsen
things
for
a
lot
of
people
and
we'd
like
to
share
that
information
and
then
come
up
with
interventions
that
are
driven
by
the
community.
The
community
should
have
a
say,
and
what
is
it
that
you
think
needs
to
change
in
regards
to
some
of
these
issues?
D
So
that's
what
we
plan
to
do.
Similarly,
with
the
HIV
needs
assessment,
our
we
have
a
whole
Equitable
Community
engagement
plan,
which
involves
informing
community
members
of
whatever
they
contributed
to
and
then
implementing
as
we
can,
based
on
funding
their
suggestions
and
then
telling
them
what
changed
the
next
time
that
we
evaluated.
So
that's
a
that's
an
important
process
that
we
undertake.
A
And
knowledge
is
important.
Right.
Information
is
important
right.
It's
part
of
the
preventative
measures
I
just
Wonder,
then
how
are
you
connecting
that
to
your
wrap
around
services?
So
if
you
have
the
study
or
if
you
have
this
assessment-
and
you
understand
the
need
and
you're
preparing
this
overarching
sort
of
action
plan
to
address
them
in
implementation
of
your
wraparound,
then
you
also
get
further
data
right
that
you
can.
That
could
further
inform
your
work.
A
D
I'll,
give
you
a
good
example
just
because
you
know
I
think
an
example
is
helpful.
So,
more
than
a
year
ago,
when
we
started
the
work
in
the
Mass
Ave,
a
million
pass
area
and
I'm
mentioning
this,
because
I
think
I
can
give
you
a
trajectory
that
showed
exactly
how
we
followed
through
on
data.
We
did
point
in
time
assessments
so
that
we
understood
who
was
actually
in
the
tents
that
were
there
and
who
are
currently
in.
D
You
know
some
of
the
tents
that
are
down
there
now
to
get
a
better
sense
of
who
they
are
and
what
their
needs
are,
and,
and
so
it
wasn't
just
about
moving
people.
It
was
about
understanding
what
it
is
that
it
was
missing
and
certainly
housing
was
one
of
them.
But
you
know
many
people
didn't
have
access
to
Mental
Health
Providers
many
people
didn't
have
access
to
health
care
providers.
Many
people
you
know
did
not
feel
as
though
they
had
adequate
access
to
medication
to
treat
opioid
use
disorder.
D
So
in
that
process,
what
we,
what
we
did
in
moving
people,
is
to
get
those
Services
then
provided
at
the
low
threshold
housing
where
they
they
were
existing.
So
I
think
that
followed
through
on
what
the
information
was
that
we
received
now
fast
forward
to
what's
happening
now,
as
we
continue
to
have
aggregation
in
individuals
living
existing,
engaging
in
injection
drug
use
and
other
forms
of
drug
use
in
that
area
is
that
we
are
doing
an
assessment,
a
regular
sort
of
case
management
assessment
for
people's
needs,
so
finding
out
okay.
D
What
is
it
that
you
need?
What
what
are?
Where
are
you
on
the
housing
list?
Is
it
housing
that
you
really
need,
or
is
it
something
else,
and
then
how
do
we
link
you
to
that
and
I
think
that
that's
been
I
think
a
successful
process,
because
what
we've
done
with
the
dashboard
that
I
know
that
you're
you're
well
aware
of,
is
had
you
know,
sort
of
continuous
monitoring
of
the
process.
So
with
every
intervention
you
can
then
look
online,
say:
okay.
Well,
it's
been
two
months.
D
Is
that
working
have
we
moved
more
people
off
the
street?
Well,
maybe
not
okay.
Well,
then,
we
need
to
tweak
again.
We
need
to
do
something
differently.
We
need
to
get
out
there
and
find
out
what
people,
what
more
people
need
in
terms
of
you
know,
access
to
services
or,
as
we
know,
access
to
housing
so
I
hope
that's
helpful.
That's
our
general
way
of
approaching
issues.
D
You
know
what
whatever
they
may
be,
and
you
know
I
think
some
of
them
are
easier
to
approach
in
that
way,
because
there
may
be
more
funding
to
do
so.
There
may
be
more
impetus
per
se,
but
we
would
like
to
be
doing
that
same
thing
with
all
disparities.
All
you
know
chronic
issues.
You
know
the
same
sort
of
process
of
understanding,
where's
the
intervention
what
was
implemented
and
then
what
happened.
A
My
time
is
up
and
I'm
happy
to
follow
up
with
part
two
of
that
I
think
I'm,
trying
to
get
into
the
conversation
about
the
trauma-informed
schools
as
well
as
capital
Investments,
your
work,
obviously
directly.
It
should
inform
Capital
investments
in
the
city
of
Boston.
When
you
talk
about
violence
prevention
intervention
is
all
good,
Boston,
Public
Health
commission
just
does
just
that,
and
some
prevention,
but
true
prevention.
Preventative
measures,
as
you
know,
then,
is
in
investment
in
these
undoing
these
racial
disparities
or
systemic
racism
that
continues
to
perpetuate
it.
A
So
how
do
we
then,
in?
How
does
your
work
inform
Capital
investments
in
a
way
that
it's
more
preventative
and
I?
Think
it's
part
of
it?
Is
that
trauma-informed
schools
that
you're
talking
about
so
that
kids
are
learning
about
you
know,
crisis
Management
in
their
curriculum,
kids
are
informed.
Kids
are
feeling
well
in
a
welcoming
environment
that
it's
okay,
to
address
mental
health,
so
I
appreciate
that
and
I'm
really
looking
forward
to
that,
supporting
that
in
any
way
that
I
can
but
I'll
get
more
into
it.
J
Thank
you,
madam
chair,
thank
you
to
the
bpac
for
being
here
and
all
the
great
work
that
you
do
here
in
the
city
of
Boston.
Currently,
the
bphc
has
six
Bureau
that
outlines
our
City's
Public
Health
priorities.
However,
we
do
not
have
a
violence,
intervention
and
prevention,
Bureau
I
believe
we're
going
to
be
making
progress
in
real
Headway
I'm
in
this
area.
J
It
is
essentially
that
we
establish
a
barrel
that
is
specially
specifically
organized
around
providing
programming
and
services
to
support
our
community
intervention
and
preparedness,
education,
relocation,
Services
trauma
response
and
Recovery
Service,
as
well
as
prevention
intervention
and
distracted
Services.
Furthermore,
I
do
believe
that
we
need
to
house
the
data
and
research
necessary
to
improve
existing
services
and
identify
new
policy.
Pathways
I
believe
that,
through
a
creation
of
the
Bureau
about
this
intervention
prevention,
Bureau,
we
were
able
to
activate
resources
more
rapidly
provide
holistic
services
in
a
coordinated
manner.
D
Ing
really
important
points
in
that
we
know
and,
as
you
are
well
aware,
doing
strategic
planning
around
this
idea
of
how
to
better
coordinate
the
Continuum
of
violence
across
the
city
and
how
to
better.
You
know,
Implement
programming
in
a
more
focused
and
targeted
way.
That
also
incorporates
you
know
the
needs
of
the
community
and
then
is
actually
evaluative.
You
know,
I
mean
we're
actually
evaluating
what's
happening
and
we
actually
know
how
to
then
change
things.
D
So
I
think
we
would
need
to
have
more
discussion
around
the
need
for
a
separate,
Bureau
So.
Currently,
you
know
all
of
our
violence
work,
and
that
includes
primary
secondary
and
tertiary
prevention
exists
within
the
calf
Bureau.
So
that's
the
child,
Adolescent
and
family
health
Bureau
in
the
division
of
violence
prevention
and
as
you
you
well
know,
the
different
programs
that
are
there.
Currently
we
have
ssyi
for
individuals
1724.
We
have
the
Men's
Health
Initiative,
which
is
just
a
small
pilot
for
everyone.
D
Over
24
we
have
the
P2
Boston
that
was
just
funded
by
the
CCC
for
younger
kids,
and
then
we
have.
You
know
the
neighborhood
trauma
teams
and
the
VIP
program
as
well.
As
you
know,
other
programs
that
contribute.
So
you
know,
other
programs
obviously
contribute
to
a
lot
of
aspects
of
violence.
Not
just
you
know,
penetrated
violence,
but
we're
talking
about
you
know
Dating
Violence.
You
know
child
abuse,
the
Family
Justice
Center.
We
have
the
capacity
building
and
training
initiative,
and
all
these
things
are
are
very
important.
D
You
know
I
think
I
wasn't
obviously
around
when
this
was
designed,
but
so
much
of
this
work
it's
about
what's
happening
in
our
communities
and
it's
about
what's
happening
within
families.
You
know
within
neighborhoods,
amongst
in
terms
of
prevention,
really
getting
people
engaged
in
in
programming
and
understanding
the
trauma,
the
the
mental
health.
D
The
you
know,
the
the
systemic
oppression
is
leading
them
to
do
what's
happening,
that
we're
seeing
on
the
street
is
about
a
lot
of
the
work
that
we're
doing
already
in
that
Bureau
in
terms
of
engaging
families
in
terms
of
interacting
with
communities
and
so
I
think
it
was
a
natural
fit
and
sort
of
growth.
You
know
from
a
lot
of
that
that
work
that
we
were
doing
with
children,
adolescent,
adolescents
and
families,
and
that's
somewhat
of
an
interpretation
based
on
how
I
understand
the
way
the
the
bureau
sort
of
evolved.
D
I
D
You
know,
would
a
separate
Bureau
be
better
at
evaluation
with
a
separate
Bureau,
be
better
at
coordination,
maybe
but
Maybe
not.
Maybe
we
just
need
to
be
doing
better
with
what,
with
the
system
that
we
have
so
I'm
I,
think
we're
all
open
to
discussion.
I
I,
like
change
and
I,
like
things
that
you
know,
are
new
and
Innovative.
So
if
there's
a
better
way
to
coordinate
here
at
the
commission,
I
think
we
we
can
do
that.
I
just
want
to
say
one
more
thing.
Just
so
you
understand
councilor
Worrell.
D
We
do
change
structures
here
at
the
commission,
the
Center
for
Behavioral,
Health
and
Wellness.
That
was
designed
as
a
new
way
to
look
at
Behavioral,
Health
and
Wellness,
so
that
we
were
coordinating
across
this
across
the
system
across
the
city
and
we,
you
know
hired
a
chief,
Behavioral,
Health
officer
because
we
felt
like
mental
health
behavioral
health.
These
were
crises
that
were
not
being
dealt
with
in
in
a
way
that
was
coordinated.
So
there
may
be
a
different
way
to
to
organize
things
that
that
may
be
beneficial.
J
J
Do
we
currently
Provide
support
for
women
or
medical
institutions
for
women
who
are
experiencing
uncovered
complications,
and
do
we
have
any
support
for
women
to
access
more
traditional
medical
Pathways
and
then,
following
that,
the
bpa's
website
and
budget
line?
And
we
have
a
BPH
website
and
budget
line
number
that's
dedicated
to
Children
the
newborn
out.
D
So
that
programming,
as
you
know,
it's
really
about
home
visits.
It's
really
about
meeting
people
where
they're
at
within
their
homes,
not
not
just
for
the
pregnant
woman,
it's
also
for
the
partner
and
for
the
extended
family
members
and
a
lot
of
what
they
do
is
referring
women
to
other
support
services
or
bringing
Support
Services
into
the
home,
and
that
includes
Mental
Health
Services.
That
includes
nutrition
counseling.
That
includes
parenting,
support
up
to
age
five.
So
it's
not
just
when
someone's
pregnant
and
then
just
immediately
host
NATO.
D
It's
really
you
know
for
beyond
that,
and
also
Family
Planning
referrals,
which
is
really
important
here
at
the
commission.
What
we
want
to
do
is
augment
that
work,
so
we
are
in
the
process
of
hiring
a
part-time,
obstetrician
gynecologist
who
I've
met.
Who
has
been
you
know,
working
at
one
of
the
community
health
centers,
who
has
deep
vested
interests
in
these
issues,
just
a
bride
to
provide
support
for
our
nurses
and
our
community
health
workers
so
that
they
are,
they
have
the
the
best
knowledge
base
and
infrastructure
to
do
the
work
that
they
do.
D
It
is
a
program
that
that
runs
well,
I
mean,
but
we
have
to
when
we
think
about
disparities
in
a
lot
of
these
issues.
It's
really
Beyond
these
individual
programs.
As
you
well
know,
it's
really
about
broader
issues
and
that's
what's
happening
in
many
of
our
communities.
Is
that
you
know
you
know,
we
have
a
number
of
issues
that
we
don't
have
to
not
really
have
the
time
to
get
into
per
se,
but
it
it's
it's
really
about
more
than
just
what's
happening
at
the
time
of
birth
or
even
in
those
first
five
years.
D
What
we're
trying
to
do
is
support
that,
through
both
having
the
right
and
highest
level
of
professionals
who
are
involved
and
continuing
to
do
more
and
more
of
the
the
home
visit
work,
the
referral
work
and
we're
supporting
some
of
the
initiatives
in
regards
to
birthing,
centers
and
increasing
doulas
and
all
of
the
work,
that's
I
think
is
really
critical
here
in
Massachusetts,
I'm,
sorry,
counselor,
Worrell
that
you
wanted.
The
second
was
there
another
question
that
I
didn't
answer:
I
apologize.
D
My
answer
that
is
yes,
I,
think
with
if
we
need
more
funding
but
targeted
towards
Women's
Health
and
for
you
know,
pregnant
individuals
or
individuals
who
can
get
pregnant
in
general
I
do
think
that
we
need
to
amplify
that
work
and
do
more
and
do
more
in
assessing
and
evaluating
our
programming,
because
I
think
that's
one
of
the
key
issues
that
you've
mentioned
that
other
folks
have
mentioned.
You
know
we're
doing
great
things.
D
At
least
you
know
it
feels
like
we're
doing
great
things,
but
aren't
we
doing
the
right
things
at
the
right
time
for
the
right
group
of
people
so
I
feel
like
there?
There
is
room
for
expansion
there
and
would
love
to
to
do
more
of
that.
Now
that
we
are,
you
know,
sort
of
in
the
point
where
we're
not
as
focused
on
necessarily
coping
19,
where
we
spend
a
lot
of
our
efforts.
We
are
thinking
about
how
we
augment
other
aspects
of
our
portfolio.
J
B
B
No,
because
I
do
don't
know
we
have
a
hub
School
in
Austin
Brighton
that
the
the
clinic
was
suspended
over
the
over
the
duration
over
over
covet
time,
but
we're
hoping
to
get
it
to
get
these
sort
of
services
back
up
again,
because
it's
really
a
a
One-Stop
shop
for
parents
who
are
picking
up
their
kids
and
the
parents
can
get
seen
as
well
as
the
kids.
So
it's
really
helpful.
D
The
work
that
we've
been
doing
in
terms
of
funding
School
in
terms
of
funding
community
health
centers,
has
been
to
support
efforts.
That
is,
you
know,
sort
of
within
their
Community
Health
Center
and
within
the
neighborhoods
that
they
serve
because,
obviously,
most
of
our
community
health
centers.
If
not
all,
do
community
outreach,
they
do
engagement,
they
do
you
know
sort
of
mobile
mobile
services,
which
I
think
is
incredibly
important.
Most
recently,
we
funded
through
arpa.
D
This
hasn't
been
announced.
Yet
it's
a
it's
a
handful
of
Community
Health
centers
to
expand
their
work
in
many
different
ways,
because
what
we've
tried
to
do
is
actually
talk
to
the
community
health
centers
and
find
out.
So
what
is
it?
You
really
need,
as
opposed
to
just
putting
out
an
RFP
and
saying
okay.
This
is
what
this
is.
What
we
think
you
should
do
most
of
what
there's
they've
said
is
that
they
want
some
flexible
fun
day.
They
want
to
be
able
to
retain
staff
and
do
things
like
professional
development.
D
So
we
offered
up
to
200
000
for
the
community
health
centers
to
do
whatever
it
is
that
they
think
is
most
needed
in
terms
of
working
with
BPS
I
know
that
some
of
the
community
health
centers
do
do
that
work.
I,
don't
know
that
we're
necessarily
funding
that
directly
through
but,
like
I
said
we
are
funding
the
community
health
centers.
We
also
have
another
line
item
where
we
we
provide
support
to
the
community
health
centers,
and
it
really
depends
on
the
community
health
center
as
to
what
they
need.
D
What
their
base
funding
is,
what
federal
support
their
federal
and
state
support
they're
getting
so
we're
we're
fully
behind
and
supportive
of
expanding
I
have
spoken
to
superintendent,
a
skipper
about
providing
more
Clinical
Services
based
in
you
know
what
the
the
chcs
are
doing
within
their
schools,
because
this
idea
of
having
schools
serve
as
the
sort
of
I.
You
know,
I,
don't
know
if
you
want
to
call
it
One-Stop
shop
or
a
place
where
people
can
truly
engage
in
health
and
wellness,
not
just
the
child,
but
also
the
family
and
the
community.
B
Yeah
and
they
had
one
other
quick
question
and
the
transfer
of
and
from
the
environment,
to
be
bphc
for
environment,
and
my
understanding,
like
I've
heard
from
environment,
that
that's
new
folks
are
more
equipped
to
do.
Enforcement
of
air
quality
and
noise
pollution
issues
is
that
is
that
what
that's
about.
D
Obviously,
noise
is
a
public
health
nuisance
and
concern
and
more
than
a
nuisance,
it's
a
problem
within
within
neighborhoods,
and
so
our
goal
with
this
position
is
to
do
more
work
with
and
enforcement
of
policies
to
eliminate
or
to
decrease
noise
violations
and
to
enforce
noise
noise
violations
and
we're
working
very
closely
still
working
very
closely
with
Chief
Chief
white
Hammond
on
on
other
aspects
of
environmental
health,
as
well.
As
you
know,
keeping
her
abreast
of
how
this
particular
this
particular
work
moves
forward.
H
In
the
outreach
program
you
have
at
the
Family
Justice
Center
on
Commonwealth
Avenue.
Can
you
talk
a
little
about
what
your
role
is,
what
your
team's
role
is
at
the
Family
Justice
Center,
and
what
services
you're
providing?
How
is
that
going
and
what
else
is
there
that
you
need
from
us
that
could
be
helpful
to
the
for
the
that
could
be
helpful
to
the
team.
D
D
It's
not
it's
not
just
for
children.
Either
there
are
lgbtq
qia
Services.
There
are
I,
think
most
of
the
clients
who
come
through
are
actually
Adolescent
and
teenage
women,
so
it
really
provides
a
a
spectrum
of
services
and
in
the
idea,
again
being
that
they're
in
one
space
and
I
think
that
that
includes
the
legal
pieces
as
well
as
the
clinical
pieces.
D
You
know
we
have
several
FTE
in
the
in
the
building
who
are
really
providing
leadership.
So
this
idea
making
sure
the
idea
is
sustainable.
You
know
in
terms
of
the
different
organizations
working
together,
I
think
you
know
there
are
always
challenges
when
you
have
different
organizations
coming
from
different
sectors
who
are
collaborating
and
managing
a
lot
of
that
I
think
we're
doing
a
lot
of
the
training
also
around
what's
happening
so
that
everybody
knows
the
latest
and
greatest
about
their
work,
but
they
also
know
what
everybody
else
is
doing
so.
H
I,
don't
have
any
further
questions.
I
I
just
want
to
add
before
the
pandemic,
I
had
the
opportunity
to
join
city
council
Andrea
Campbell
for
a
tour
of
the
Family
Justice
Center,
and
it
was
probably
the
best
like
two
or
three
hours
I've
had
as
a
city
council
just
seeing
the
work
they
do.
Dr
ojukutu
after
this
budget
season
is
over
would
would
you
join
me.
H
Maybe
in
maybe
in
July,
is
something
for
for
a
visit
and
I
left
I'd
love
to
go
back
there,
and
just
and
just
thank
thank
the
professionals
there,
but
to
see
what
else
is
going
on
and
then
and
then.
My
final
point
is
Dr
Roger,
who
do
I
I
like
when
a
department
head
comes
down
to
these
briefings
and
and
says
to
us
that
you
know
your
department
could
use
more
funding
I
like
that
direct
approach,
instead
of
just
saying
no
we're
fine
with
the
funding
recommended.
H
So
I
appreciate
your
honesty,
your
directness
and
and
and
I
like
to
hear
that,
because
this
certainly
there's
always
more,
we
can
do
and
I
know
you
have
a
plan
if
we
do
have
the
extra
funding.
So
just
want
to
thank
you
for
your
professionalism,
for
your
honesty
and
and
maybe
you
can
join
join
me
sometime
I,
don't
know,
maybe
maybe
in
July,
for
a
tour
of
the
Family
Justice
Center.
If,
if
you
don't,
if
that's
something
you'd
like
to
do.
D
H
J
Thank
you,
chair
and
I'll
start
with
a
question
on
Grant's.
It
was
a
conversation
that
got
brought
up
and
I
know.
We've
had
a
conversation
talked
to
puto
on
this,
but
smaller
non-profits,
you're
amazing
work
in
our
city,
but
often
do
not
have
the
capacity
of
bandwidth
to
be
competitive
for
Grants
and
also
many
have
communicated
views
and
due
to
lack
of
clarity
and
Community
involvement
in
awarding
branch.
J
D
Thank
you,
councilor
Worrell,
so
I
absolutely
support
efforts
to
increase
funding.
If
it's
available
to
smaller
organizations,
I
think
as
we
discussed,
we
would
want
to
pair
that
with
technical
assistance,
as
well
as
a
system
where
we
would
be
evaluating
their
work
during
the
period
that
they
would
be
funded.
I
think
that's
just
essential.
You
know
to
meeting
the
needs
of
our
constituents
as
well
as
to
to
ensure
that
what
we're
doing
is
is
right.
It
fits
the
need,
so
I
think
that's
that's
important.
D
I
think
that
that
would
need
that
would
take
some
planning.
We
need
to
think
about
how
much
money
we
could
put
into
that
in
terms
of
access
to
rfp's,
so
we
we
do
have
an
equitable
procurement
plan.
That
is
part
of
what
we
do
and
part
of
how
we
approach.
You
know
rfps
and
evaluations
and
who
is
a
cube
Hue
who,
what
kind
of
Services
they
will
be,
providing
what
neighborhoods,
what
demographic
group
and
we
have
sort
of
a
multi-level
strategy
for
who
evaluates,
rfps
and
I.
D
Think
looking
at
that
and
providing
that
information
to
you
would
be
helpful,
so
you
kind
of
see
how
how
we
approach
things,
but
I
I,
just
taking
a
step
back,
though
getting
a
sense
of
how
much
money
and
where
we
would
get
the
funding
to
actually
support.
Some
of
these
community-based
organizations
specifically
in
regards
to
violence
is
something
that
we
we
need
to
look
at,
but
I
would
like
it
to
be.
J
Intervention
prevention
is
to
meet
people
where
they're
at
in
order
to
connect
them
with
services,
and
sometimes
we
only
have
like
a
short
window
or
where
we
can
make
an
impact,
and
BMC
and
MGH
serve
most
individuals
suffering
from
penetrating
wounds
which
is
stabbing
and
shooting
victims
and
through
their
buyout
Pro
through
their
buyout
programs.
Hospitals
directly
tell
us
that
the
buyout
departments
are
under
staff
and
unable
to
provide
resources
in
an
effective
manner.
J
D
D
So
it's
maybe
just
saying
a
little
bit
with
VIP
and
the
reason
why
we
think
VIP
is
so
important
is
because
there
there
has
been
less
of
a
of
an
intentionality,
I
suppose
or
a
focus
on
this
issue
of
of
violence
prevention
at
the
community
level.
Now
we
know
what
predisposes
communities
certain
communities
to
violence.
We
know
that
these
are
big
picture
issues.
We're
talking
about.
You
know
structural
racism,
we're
talking
about
lack
of
economic
and
social
Mobility,
things
that
are
happening
within
communities.
D
That
can
you
know,
work
together
and
you
know
have
block
captains
and
people
who
are
supporting
efforts
to
prevent
violence
from
happening
within
those
particular
communities.
So
it's
actually
to
shift
away
from
this
expectation.
Well,
this
is
a
dangerous
neighborhood.
My
neighborhood
is
dangerous
and
said
my
neighborhood
is
resilient,
so
it's
really
a
primary
prevention
on
a
structural
level
really
dealing
with
Upstream
factors
and
it's
it
has
been
working
in
six
micro,
neighborhoods
and
I.
I
think
that
what
they're
doing
is
is
good
work,
I,
think
it.
D
It
should
continue
to
exist
and
I
think
we
should
continue
to
fund
it
at
the
same
time,
violence
secondary
prevention,
so
in
looking
at
incidents
and
gun
violence,
penetrative
violence
that
occur
after
somebody
has
has
been
a
victim
and
then
is
taken
to
a
hospital.
That's
also
critical
I
mean
you
have
the
trauma
of
the
family.
You
have,
whatever
you
know,
safety
issues
that
continue
to
occur.
You
don't
want
this
to
happen
again.
There
are
many
things
that
are
happening
in
viap
has
been
very
active
and
effective
and
I'll.
D
I
think
it
needs
to
be
funded,
but
I
don't
think
it
needs
to
be
funded
instead
of
or
in
lieu
of
this
primary
prevention
piece.
Given.
What
we
know
is
the
problem
and
the
root
causes
and
drivers
of
violence,
so
I
I
think
we
should
focus
on.
You
know
working
with
hospitals
to
ensure
that
they
have
enough
funding
to
keep
these
programs
running.
F
A
Excuse
me
a
moment:
I
just
wanted
to
do
a
sort
of
time
check
with
everyone
and
if
it's
okay,
with
Council
Flynn
and
Council
Braden,
for
you
to
keep
going
you've
been
over
time
about
two
minutes
now
just
wanted
to
check.
If
it's
okay,
then
councilor
roll
can
continue
on
I
like
to
wrap
this
up
within
15
minutes.
If
it's,
okay
with
everyone.
B
J
D
Okay,
so
starting
with
the
VIP
program,
so
we
need
to
evaluate
the
program.
Okay,
we
need
a
updated
more
recent
evaluation.
I
don't
have
an
evaluation
of
VIP.
It
may
have
been
evaluated
in
the
distant
more
distant
past.
I,
don't
have
an
evaluation.
So
that's
a
good
point.
I
would
like
to
say
that
evaluation
program,
evaluation,
I,
think,
is
something
that
we
need
to.
We
were
working
towards
enhancing
and
we've
been
building
up.
D
This
Center
of
you
know
data
science
evaluation,
so
we're
we're
working
on
enhancing
our
ability
to
evaluate
our
programming,
because
I
think
that's
really
important
in
terms
of
the
the
Mayor's
Hotline.
Are
you
talking
I
I,
just
I
just
want
to
be
clear.
Are
you
referring
to
our
new
new
investment
in
regards
to
the
24
7
hotline
for
NTT?
Is.
J
D
E
J
And
some
of
this
I
guess
my
other
question
is:
can
some
of
the
services
that's
provided
by
the
helpline
be
supported
because
I
feel,
like
everyone
calls
3-1-1
now
like
we're,
telling
everyone
to
call
3-1-1
for
everything
like?
Can
some
of
those
Services
be
merged
through
a
collaboration
of
3-1-1?
Is
that
do
we
see
any
possibility
of
that,
or
these
are
two
separate
things
like?
Are
these
specific
nurses
that
can
guide
people
through
medical
situation
so.
D
The
mayor's
health
line
gets
a
lot
of
calls
too,
certainly
nothing
on
the
level
of
3-1-1.
The
idea
with
the
mayor's
health
line
is
really
to
focus
in
particularly
now
that
the
Federal
Emergency
is
ending
as
of
May
11th.
There
is
this
issue
of
Mass
health
returnation,
which
is
sort
of
linked
to
the
the
Federal
Emergency.
D
We
have
to
make
sure
that
the
300
000
people
who
are
in
Boston
City,
who
are
on
MassHealth,
actually
continue
to
receive
it
or
who
are
moved
on
to
some
other
form
of
insurance
that
they
can
afford,
or
they
will
lose
health
coverage.
So
the
mayor's
health
line
is
actually
been
working
to
enroll
people
in
services,
so
in
in
health
insurance.
D
So
in
terms
of
their
numbers,
it
looks
like
I'm,
just
you
know,
reading
some
of
my
details
here
that
they
answered
5
000
calls
in
FY
23,
assisted
over
1200
individuals
and
then
also
us
with
health
insurance
and
then
actually
did
case
management
with
2
000
clients.
So
this
is
about
linking
people
to
Primary
Care
Services,
navigating
Services
oftentimes
for
people
who
are
non-us
foreign,
who
may
not
may
speak
a
language
other
than
English.
We
do.
D
D
311
does
many
many
remarkable
things
in
terms
of
offering
services
to
two
constituents,
so
you
know
I
I
commend
them
for
for
their
work
also,
but
you
know
I
would
want
the
mayor's
health
line
to
focus
particularly
right
now,
where
there's
this
issue
of
Mass
health
redetermination
on
insurance
coverage.
Thank.
E
D
A
Thank
you,
counciloral
Dr,
jukutu,
I,
think
just
to
piggyback
off
of
what
council
Rowe
was
saying
in
terms
of
merging
or
collaboration
last
year.
One
of
the
requests
were
that
we
move
funds
to
support
or
clinically
train
the
3-1-1
staff
to
be
able
to
handle
some
of
the
trauma.
Reform
trauma
calls
traumatic,
calls
that
they
receive
and
I
think
some
sort
of
trauma-informed
wraparound
training.
A
I
I,
don't
know
what
they're
called
ftes
that
it
it
would
make
sense,
and
so,
when
we
tried
to
do
that,
the
funds
sort
of
just
stayed
in
a
Public
Health
commission,
and
we
were
informed
by
the
administration
that
that
fund
the
funds
for
those
trading
all
the
funds
to
access
those
Services
were
available
and
at
any
time
that
Boston
Public,
Health,
commission
and
3-1-1
was
going
to
work
together
in
order
to
contract
a
third
party
or
if
you
had
those
trainings
available
to
train
the
3-1-1
callers
I'm.
Rather,
workers
ftes.
D
D
What
I
would
say,
though,
is
that
one
of
our
goals
within
within
our
arpa
funding
under
behavioral
mental
health
is
to
provide
trauma-informed
services
and
training
to
staff
across
the
city,
so
that
would
include
3-1-1
callers
and
that
funding
has
been
set
aside.
So
we
are
with
that
funding.
We
are
issuing
rfps
so
that
we
can,
you
know,
get
folks
in
who
have
that
kind
of
scale
of
capacity
to
do
that
kind
of
work.
So,
but
I
will
look
into
this
issue
that
you're
mentioning
I,
I,
don't
and
I.
D
Don't
honestly
have
an
answer
for
that.
Our
also
our
capacity
building
and
training
initiative,
which
is
within
our
child,
Adolescent
and
family
health
program,
already,
does
support
City
departments
and
provides
that
capacity,
building
and
training
in
regards
to
mental
health
supports.
So
what
we're
doing
with
our
funding
is
really
scaling
things
up
to
a
better
to
better
meet
the
needs.
You
know,
because
we
know
that
the
needs
are
are
high,
so
why
don't
we?
D
A
I
wanted
to
my
next
question
was
in
terms
of
certificate
programs
or
any
trainings.
Could
you
tell
me
what
was?
Is
it
currently
available,
what
you're
offering
at
bphc
and
again,
if
I,
if
I'm,
if
I'm,
not
clear,
I
apologize,
English
is
my
fifth
language,
and
sometimes
communication
can
be
tough.
So
if
I
don't
know
what
I'm
talking
about
I
just
want
Clarity
to
understand
exactly
where
resources
are
so
that
we
can
be
a
better
support
to
our
constituents.
D
D
Think
one
of
the
oldest
and
most
I
guess
well-known
across
the
state
program,
is
our
community
health
education
center,
which
is
check
where
we
are
focused
in
on
providing
training
to
community
health
workers
who
are
critical
to
not
just
the
health
centers
but
critical
within
all
parts
of
communities,
and
certainly
we
continue
to
employ
some
of
them
here
within
the
within
the
Boston
Public
Health
commission,
the
curriculum
for
check
is
actually
online.
We
do
cover
lots
of
different
lots
of
different
areas,
including
you
know.
D
You
know,
needs
assessments
within
communities,
behavioral
mental
health
re-engagement
and
referral
and
care.
They
do
a
lot
of
ways,
as
I
mentioned.
They
also
do
the
healthy
baby,
healthy
child
home
business.
They
do
the
asthma
home
visits
so
critical
Workforce
and
we
have
trained
thousands
of
them
over
the
years.
I've
the
30th
year
anniversary
is
next
year.
I
think
if
I'm
not
wrong
about
that.
D
A
Thank
you
and
again,
if,
if
it's
available
to
our
constituent
service
director
as
well,
that'll
be
great
as
far
as
the
recovery
team
and
I
don't
know.
If
this
question
is
for
you
the
Recovery
Service
Bureau,
the
total
total
listed
amount
is
listed
as
nine
nine
million
431
998,
but
the
actual
total
of
the
line
items
Total
Recovery
Service
Bureau
is
one
million
47
thousand
four
hundred
and
twenty
dollars.
A
A
E
Yeah
I'd
have
to
take
a
look
at
the
numbness
they're
they're
recommended
budgets
for
fy24,
it's
just
over
9.2
million,
initially
in
in
one
of
the
documents
that
came
over
from
ovm.
We
are
adding
a
Wireless
position
and
that
may
have
been
situated
in
the
recovery
services
Bureau,
but
that's
actually
going
to
sit
within
the
human
resources
department
within
the
administration,
so
it
may
have
accounted
for.
But
right
now
the
FY
24
budget
proposed
fy24
method
for
Recovery
is,
is
the
9.2
million
billion.
E
A
A
I
do
so.
You
have
in
total
Public
Health
Services
96,
you
know
million,
but
then
from
the
listed
104.
So
there's
it
decreases
on
all
categories
and
I
think
if
we
can
get
some
clarity
on
that,
the
difference
between
23
and
24,
FY,
23
and
FY
24
also
not
entirely
correct,
and
so
the
following
sections
for
that
I
see
it
as
being
incorrect,
is
Recovery
Service,
Bureau
and
child
Adolescent
and
family
health
Bureau.
The
program
operations
line
item
under
Public,
Health,
Service
Center
and
the
property
section
as
well.
E
Yeah
I'm
happy
to
take
a
look
at
exactly
what
document
you
have
in
front
of
you.
You
know
what
we've
submitted
up
to
OBM
doesn't
show
that
it
does
show
the
increases
that
I
did
talk
about
it
in
my
slides
but
again
having
to
follow
up
with
your
offline
commission.
We're
on
the
same
page
on
that.
Okay,.
A
Doctor,
thank
you
so
much
Tim
Dr
jakutu.
As
far
as
the
trauma
informed
schools,
I
really
wanted
to
hear
I'm
very
interested
in
terms
of
curriculums
or
how?
How
exactly
would
this
program?
Is
it
just
a
starting
conversation?
I
know
the
councilman
here
had
and
myself
had
filed
something
in
terms
of
implementing
social,
social,
emotional,
health
or
or
education
in
the
curriculums
in
BTS,
wanted
to
understand
exactly
where
you
are
with
that
process.
And
what
were
you
thinking
so.
D
A
Yeah
that'd
be
great,
I
think
along
the
lines
of
actually
embedding
it
in
curriculums.
We
were
thinking
that
in
so
in
in
health
class
Beyond,
you
know
learning
about
sex,
ed
and
everything
else.
I
mean
I
know
that
they
do
some
problem.
Solving
and
I'm,
not
sure
where
Boston
BPS
curriculum
is
at
at
this
point,
but
it
would
seem
it
would
make
a
lot
of
sense
if
it
would.
It
was
just
sort
of
there's
this
continuity
of
learning
about
health
and
understanding.
A
You
know
just
emotional
intelligence
being
able
to
navigate
or
manage
your
emotionalities
would
make
sense
to
teach
kids
from
early
on.
It
just
seems
like
some
schools
have
it
and
some
schools
don't
and
all
of
our
services
seems
to
be
sort
of
reactionary
or
intervention,
but
not,
but
but
not
preventative
in
terms
of
mental
health
in
the
schools.
A
I
guess
we
I
and
obviously
this
afternoon
we
have
a
robust
group
of
Youth
who
wants
to
engage
in
conversations
about
mental
health
with
you.
So
there
was
a
purpose
behind
having
a
separate
hearing
a
lot
of
community
Advocates
and
youth
wants
to
come
in
and
testify
and
ask
questions,
and
we
would
like
to
have
a
nice
cordial
conversation
with
Community
I
hope.
You
are
looking
forward
to
that.
I
know
that
I
I
know
that
I
am
I.
A
I've
invested
my
whole
life
in
youth
services
and
my
concentration
is
cool
as
Youth
Development
I
was
a
foster
parent
for
17
years.
So
really
really
excited
about
that
and
hope
that
my
Council
colleagues
can
join
as
well:
Council
Braden
and
Council
Flynn
and
counciloral.
Any
last
comments
and
remarks.
Please
feel
free
to
come
out
from
you.
H
B
J
A
Thank
you.
Thank
you
all
and
Dr
jakutu
I
think
the
hearing
this
afternoon
will
probably
Encompass
more
conversations
about
social
workers
or
First
Responders
programs
and
in
terms
of
how
we
are
collaborating
with
non-profits
to
be
able
to
do
that
or
how
we
can
invest
all
the
funds
that
are
going
to
be
allocated
toward
that.
So
a
little
heads
up
for
that
conversation.
Thank
you
very
much
and
I
won't
hold
you
up
any
further.
This
hearing
is
adjourned.
Thank
you.