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From YouTube: Committee on Ways & Means FY23Budget: BPHC Pt.II
Description
Dockets #0480 - 0486 - FY23Budget: Boston Public Health Commission (Part II)
Held on May 17, 2022
A
The
council's
budget
review
process
will
encompass
a
series
of
public
hearings
beginning
in
april
and
running
through
june.
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
at
each
departmental
hearing
and
also
at
two
hearings
dedicated
to
public
testimony.
A
The
full
hearing
schedule
is
on
our
website
at
boston.gov
for
slash
council
dash
budget.
Our
scheduled
hearings
dedicated
to
public
testimony
was
april
26
at
6
pm
and
the
following
on
june,
2nd
at
6
pm.
You
can
give
testimony
in
person
here
in
the
chamber
or
virtually
via
zoom
for
in-person
testimony.
Please
come
to
the
chamber
and
sign
up
on
the
sheet
near
the
entrance
for
virtual
testimony.
A
Boston.Gov,
when
you
are
called
to
testify,
please
state
your
name
and
affiliation
and
residence
and
limit
your
questions
or
comments
to
two
minutes
to
ensure
that
all
comments
and
concerns
can
be
heard.
Email.
Your
written
testimony
to
the
committee
at
ccc.wm
boston.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.
A
Please
visit
the
city
council's
budget
website
at
boston.gov
forward,
slash
council
dash
budget.
Today's
hearing
is
on
docket
zero.
Four,
eight
zero,
two
zero
four
eight
two
orders
for
the
fy
23
operating
budget,
including
annual
appropriations
for
departmental
operations
for
the
school
department
and
for
other
post
employment
benefits,
opeb
docket,
zero.
Four,
eight
three
orders
for
capital
fund
transfer
appropriations,
docket
zero,
four,
eight,
four:
two:
zero:
four:
eight
six
orders
for
capital
budget,
including
loan
orders
and
lease
purchase
agreements.
A
Our
focus
area
for
this
hearing
will
be
austin.
Public
health
commission
bphc
part
2,
including
emergency
medical
services,
homeless,
services,
recovery
services,
our
panelists
for
today's
hearing
are
dr
pisola
ojikutu,
commissioner
of
public
health
city
of
boston
and
executive
director
of
boston,
public
health,
commission,
tim
harrington,
director
of
administration
and
finance
james
hooley,
chief
of
emergency
medical
services.
A
Before
I
turn
over
to
the
administration
for
the
presentation,
just
so
that
I
explain
the
format
you
will
have
about
10
to
15
minutes
for
your
presentation,
we'll
do
one
round
of
questions.
Each
counselor
will
have
eight
minutes
for
their
questions
and
answers
and
then
we'll
go
to
public
testimony.
If
there's
anyone
signed
in,
we
will
then
go
to
second
second
round,
depending
on
how
much
time
we
have
then
a
third
round
for
final
comments
and
statements.
A
A
B
Good
afternoon,
and
thank
you
again,
chairperson
anderson
and
members
of
the
council,
for
the
opportunity
to
testify
today
for
the
record,
my
name
is
dr
bisolo
chikutu,
and
I
am
commissioner
of
public
health
for
city
of
boston
and
executive
director
of
the
boston
public
health
commission.
I'm
joined
by
tim,
harrington,
director
of
admin
and
finance
for
the
commission
and
chief
james
hooley
chief
of
department
for
ems,
as
well
as
other
members
of
ems
who
will
be
introduced
later.
B
So
this
session
will
focus
on
the
work
of
three
bphd
bureaus
that
deeply
impact
the
lives
of
those
experiencing
acute
public
health
needs,
the
homeless,
services,
bureau,
recovery,
services,
bureau
and
boston
ems,
and
hopefully
you
all
have
the
slides
in
front
of
you
to
follow
along.
So
I'm
going
to
start
with
the
homeless
services
bureau.
Our
homeless
services
bureau
has
been
at
the
center
of
the
commission's
response
to
the
crisis
related
to
copenhagen
and
unsheltered
homelessness.
B
We
run
two
emergency
homeless
shelters
and
they
remain
fully
operational
throughout
the
pandemic,
sheltering
on
average
460
guests
per
night
and
providing
130
000
total
shelter
nights
to
over
3
500,
unique
individuals
throughout
the
year.
We
provide
a
broad
range
of
services
to
emergency
shelter
guests,
including,
of
course
shelter.
Food
health
needs
in
general.
The
shelter
serves
as
a
starting
point
for
connections
to
housing
as
well
as
employment.
B
Just
this
year,
110
clients
were
provided
employment
with
our
serving
ourselves
or
sos
workforce
training
placement
program
in
response
to
the
humanitarian
crisis
at
mass
and
cass
homeless
services
established
an
emergency
response
team.
The
did
street
outreach,
including
direct
clinical
and
housing
relocation
supports,
as
well
as
transportation
services
to
assist
with
ongoing
engagement
of
unsheltered
individuals
and
services
and
removal
of
the
encampments
to
respond
to
the
needs
of
this
population.
We
opened
dorm
1,
which
is
now
a
low
threshold
space
at
112..
B
It
holds
25
houses,
25
previously
unsheltered
individuals
who
are
experiencing
substance
use
and,
in
addition,
in
conjunction
or
collaboration
with
saint
francis
house,
we
also
established
willows
a
low
threshold
housing
program
for
women.
On
the
fifth
floor
of
the
bphc
woods
mueller
women's
shelter,
we
also
met
the
needs
of
this
population
by
providing
over
7
300
meals
to
other
low
threshold
sites
in
the
city
and
established
transportation
services
to
take
people
who
are
currently
in
the
mass
and
cass
area
to
nearby
day
services
to
meet
our
goal
of
making
homelessness.
B
B
In
addition,
you
may
have
already
heard
from
chief
sheila
dillon
that
we
are
moving
towards
and
engaged
in
shelter
transformation.
So
I
think
it's
important
to
talk
about
this
a
little
bit,
because
what
we're
trying
to
do
is
make
shelter
spaces.
You
know
better,
for
people
make
them
easier
to
access,
make
them
better
places
to
stay
as
well
as
keeping
them
as
transitional
spaces.
B
They'll
actually
have
a
place
to
go
and
have
a
you
know,
interact
with
community
at
this
in
this
courtyard
area,
we're
also
working
to
provide
recovery
and
harm
reduction
services
on
site
by
adding
four
harm
reduction,
specialists
or
recovery
coaches
and
establishing
staff
training
in
that
area.
I
think
that
this
is
another
important
piece
as
we
try
to
make
this
a
place
where
people
who
are
experiencing
substance
use
disorder
can
be,
and
you
know,
access
services.
D
B
B
B
Recovery
services
also
created
a
low
threshold
employment
program
in
conjunction
with
the
new
market
business
association,
providing
work,
opportunities
for
56
individuals
experiencing
homelessness
and
17
of
those
individuals
have
been
hired
into
meaningful,
long-term
employment.
So
that's
a
good
outcome.
B
We've
worked
to
address
barriers
to
entering
shelter
into
transitional
housing,
in
addition
to
the
work
to
transform
our
shelters
and
creating
new
transitional
housing.
We've
also
partnered
with
community
organizations
to
implement
a
program
that
allows
allowing
unhoused
individuals
to
store
their
items,
which
is
a
big
deal.
These
are
things
that
belong
to
people,
so
having
storage
space
available
is
important.
B
In
regards
to
community
engagement,
there
has
been
a
significant
effort
over
the
course
of
the
last
year,
with
the
nubian
square
community
engagement
team
working
to
develop
a
team
of
folks
from
that
community
who
do
outreach,
engage
unsheltered
individuals,
particularly
those
who
are
living
with
substance
abuse
disorder
to
engage
in
housing,
shelter,
treatment,
harm
reduction.
This
was
a
collaborative
effort
with
bpd
the
local
businesses,
as
well
as
mbta,
so
more
work
in
this
area
of
community
engagement
is
upcoming
in
the
next
fiscal
year.
B
B
In
addition,
I
think
it's
important
to
mention
that
we
developed
a
harm
reduction
toolkit
which
has
been
disseminated
and
utilized
by
the
community
health
centers
as
they
attempt
to
increase
their
harm
reduction
work.
I
also
want
to
mention
something:
that's
I
think,
unique
and
important
in
relationship
to
what
was
talked
about
this
morning.
B
We
have
been
working.
You
know
very
closely
with
a
number
of
youth-focused
community-based
organizations
to
develop
a
youth
substance,
use
prevention
program,
and
it
is
an
online
youth
engagement
portal
called
the
cope
code
club,
as
we
all
probably
know,
a
lot
of
issues
with
with
kids
in
terms
of
them.
Starting
use
of
drugs
relate
to
anxiety
and
depression
and
trauma,
and
this
is
actually
a
really
nice
portal.
I
wish
we
had
included
some
pictures
in
this
presentation.
B
It's
a
great,
you
know
thing,
that's
that
is
well
utilized
and
you
know
hopefully,
will
continue
to
in
years
to
come,
because
I
think
it
works
really
well
with
the
youth
themselves.
It
has
a
youth
advisory
board,
it
has
a
community
advisory
board
and
I
think
it's
definitely
something
that
we
should
continue
to
invest
in
in
terms
of
new
items
for
the
fiscal
year
23..
B
We
will
be
expanding
low
threshold
and
harm
reduction,
focused
spaces
throughout
the
city,
we're
looking
for
new
day
spaces,
so
people
can,
you
know,
have
access
to
harm
reduction
as
well
as
access
services
elsewhere,
not
just
at
the
engagement
center
and
then.
In
addition,
I
think
that
it's
been
really
important
to
do
community
engagement
and,
I
think,
we're
all
well
aware
of
the
disproportionately
high
rates
of
overdose
amongst
black
individuals,
particularly
black
men.
So
we
are
planning
to
invest
in
community-led
engagement
teams
in
three
boston
neighborhoods,
where
communities
have
been
disproportionately
impacted.
B
This
would
be
similar
to
the
work
that
has
been
done
in
nubian
square,
but
you
know
expanded
improved
upon.
As
you
know,
you
learn
as
you
go,
and
I
think
that
it's
going
to
be
critically
important,
because
these
issues
are
certainly
not
just
limited
to
any
one
group
or
limited
to
the
mass
and
cast
area
and
just
one
final
thing
and
then
I'll
turn
it
to
chief
hooley.
B
There
is
a
warm
weather
plan
and
a
longer-term
plan
in
regards
to
substance
use
disorder,
particularly
in
the
mass
and
cass
area,
but
beyond
that
will
be
unveiled
by
the
mayor's
office
soon.
That
will
provide
more
overview
and
insight
into
you
know,
sort
of
the
way
forward
or
the
path
forward.
In
regards
to
a
lot
of
the
issues
that
the
recovery
service
bureau
engages
in
so
I'll
turn
it
to
chief
holy.
A
E
As
we
have
our
own
small
unit,
you
know
mirroring,
what's
going
on
with
the
commission
of
the
1010
and
the
assistant
chief
of
staff,
aaron
cerino,
who
didn't
have
a
lot
of
work,
pulling
all
this
materials
together
for
me
and
the
fact
that
we
know
we're
going
to
get
questions.
We
always
want
to
deliver
promptly
questions
responses
here,
so
we'll
all
be
taking
in
information
and
and
and
when
I
get
stumped,
which
happens
a
lot.
E
E
E
We
are
now
we
are
a
two-tiered
911
ems
system,
which
means
we
operate
basic,
like
support
and
advanced
life
support
ambulances
21
on
during
peak
times,
21
basic
life
support
ambulances,
five
advanced
life,
supporting
ambulances
during
the
peak
day
and
evening
shifts,
and
we
tailor
our
staffing
by
hours
of
the
day.
Our
lowest
staffing
levels
are
between
2
a.m
and
6
a.m,
which
does
correspond
with
our
lower
demand.
E
E
We
added
two
additional
bls
ambulances
back
in
the
early
days
of
the
covet
crisis,
one
to
help
with
inc.
We
didn't
see
an
increase
of
calls
back
then
initially,
but
the
degree
of
difficulty
turning
calls
around
cleaning
trucks,
the
ppe
and
we
we
knew
that
we
were
going
to
need
more
help
out
there.
We
did
that,
basically
through
the
use
of
overtime.
E
E
E
In
total,
we
currently
have
427
full-time
positions
through
the
fy
23
investments
that
we
seek.
We
are
looking
to
increase
this
to
451
total
for
the
fiscal
year
coming
up
on
slide
three,
the
charts
there
are.
I
just
want
to
demonstrate
that
our
personnel
are
our
highest
priority.
You
know,
in
fact,
out
of
a
budget
that
is
certainly
like
most
city
departments.
That
is
the
you
know
the
highest
portion
of
our
of
our
expenditures.
E
E
We
added
20
fdes
and
fy
17
4
and
fy
18,
another
20
in
fy
19
and
then
4
in
fy
20.,
with
no
changes
over
the
past
two
years.
Well,
dear
most
of
our
hirings
last,
all
of
our
hirings
last
two
years
has
been
to
try
to
keep
up
with
attrition,
we
hope
to
add
an
additional
24
in
fy
23.
With
that
investment
that
we
have
presented,
the
majority
of
our
members
are
emts
the
base
of
life
support.
They
do
the
bulk
of
the
calls
they're
working
in
ambulances
and
in
dispatch
operations.
E
E
The
chart
on
the
right,
the
bar
graphs,
shows
you
the
average
years
of
service
for
members
in
each
rank.
It
illustrates
two
important
facts:
one
we
we
are
for
the
most
part,
able
to
retain
a
lot
of
years,
a
lot
of
historical
knowledge,
a
lot
of
collective
intelligence
gets
passed
down
and
we
are
able
to
retain,
and
that
positively
does
improve
our
quality
of
care
and
impacts
that
but
number
two.
E
It
does
show
that
promotion
positively
does
impact
retention
where
we
supervisors
rarely
leave
prior
to
retirement
the
same
way
with
people
in
management
and
for
the
most
part,
a
lot
of
our
paramedics
slide:
four:
okay
diversity
and
race.
As
a
department,
we
do
see
a
great
value
in
reflecting
the
community
that
we
serve.
E
This
is
an
increase
of
115
compared
to
last
year
and
an
increase
from
115
last
year,
107
the
year
prior
increases
in
overall
department.
Diversity
is
achieved
through
our
emt
hiring
process,
that's
our
gateway
into
the
job
and
that's
where
we've
really
been
placing
a
lot
of
our
focus,
trying
to
develop,
develop
the
pool,
develop
the
farm
team
out
there.
If
you
will,
because
we
are
constrained
by
the
prerequisite
to
be
hired
to
work
here
as
an
emt,
you
have
to
be
certified
as
an
emt
by
the
state.
E
E
However,
we
do
offer
twice
a
year
what
we've
called
the
our
community
emt
program.
It's
often
on
site,
it's
our
program
as
a
priority
for
city
residents.
First,
we
have.
We
only
take
city
residents
to
begin
with,
only
after
that,
where
we
open
it
to
other
paying
members,
it
runs
twice
a
year.
It's
been
our
largest
feeder.
If
you
will
of
persons
coming
into
our
system
coming
in
sitting
for
our
exams.
E
In
the
last
few
years,
we've
even
been
able
to
enhance
that
lower
some
of
the
barriers
by
our
program
is
we
we
cover
our
expenses
with
it,
and
we
also
would
prob
we're
at
least
half
the
cost,
if
not
less,
of
the
programs
that
are
available
in
community
colleges
or
other
places
in
the
state.
So
we
do
try
to
keep
it
affordable
for
people
who
are
just
even
just
thinking
of
becoming
an
emt.
E
We
have
a
program
that
we
work
with
the
office
of
workforce
development
city
academy,
which
gives
basically
scholarships
to
city
residents
who
have
come
into
their
program
who
who
have
applied
to
them,
who
take
a
bridge
course
with
them
or
with
us,
especially
which
is
really
good
for
folks
who
may
have
been
out
of
school
for
a
couple
of
years.
You
want
to
get
back
into
like
the
study
habits,
because
a
lot
of
things
in
an
emt
class
and
even
later
in
the
paramedic
program,
are
studying
different
modules.
E
Our
empty
emt
program
has
a
very
high
success
rate
for
our
people
from
boston
residents,
who
take
our
course
and
complete.
It
have
a
very
high
pass
rate
first
time
pass
rate
for
the
state
exams,
both
practical
and
the
written.
So
we're
proud
to
say
that
and
again
that's
one
environment.
It
also
gives
us
a
chance
to
keep
an
eye
on
potential
candidates
for
us
to
start
recruiting
there
early,
then
the
second
part
for
developing
personnel.
E
We
recognize
that
in
our
paramedic
paramedic
ranks
right
now,
percentage-wise,
that's
our
least
diverse
promotional
rank
right.
At
this
time
we
last
year
we
promoted
three
people
from
the
paramedic
ranks
into
management,
ranks
two
deputy
superintendents,
I'm
sorry
yeah,
two
deputy
superintendents.
I
was
like
two
of
the
paramedics
who
came
up
to
the
deputy
superintendent
of
rank
had
worked
for
us
before
as
paramedics,
so,
but
we
welcome
them
into
their
their
jobs.
E
A
total
of
10
emts
who
work
for
boston,
ems,
who
also
just
by
being
virtues
of
membership
and
usa,
were
able
to
apply
and
get
the
cost
of
the
paramedic
certification
covered
in
a
program
they're
taking
at
bumpy
hill
and
they're
in
their
second
year.
Right
now
and
fy
23
upon
completing
the
course
and
securing
state
certification
they'll
be
eligible
eligible
to
apply
for
the
promotional
exam
for
a
paramedic
as
well.
So
we're
really
looking
forward
to
that.
E
E
Last
year
we've
one
of
it
was
a
workplace
wellness.
Annual
annual
wellness
checks,
we're
trying
to
work
with
our
peer
support
system.
We
do
one-on-one
meetings
with
counselors,
so
people
can
meet
privately
or
we've
we're
trying
to
get
our
to
bring
an
additional
counselor
onto
that
contract.
So
we
can
do
that.
We've
developed
our
own
in-house
infection
control
team
to
deal
with
kovid
to
deal
with
people
with
testing
positives.
To
this
day.
E
You
know
we
had
to
put
a
couple
of
people
out
this
week,
even
with
a
very
high
rate
of
of
vaccination.
We're
still
we're
still
experienced.
Even
people
have
been
boosted.
So
it's
it's
difficult.
So,
but
we
we
have
a
very
effective
infection
control
team,
okay,
real
quick!
This
is
slide.
Seven
eight.
C
E
E
E
Okay,
we
come
back
to.
I
think
these
ones
are
rather
important.
Real,
quick
advancements
in
patient
care.
The
next
three
slides
are
going
to
cover
accomplishments
goals
and
investments
of
the
next
year.
This
past
year,
we
contract
we
contract
with
a
company
by
the
name
of
cordy,
to
incorporate
artificial
intelligence
in
our
9-1-1
call,
taking
process
with
the
work
with
work
on
the
system,
development
and
integration.
This
past
year,
we
plan
for
it
to
go,
live
in
fy
23..
E
Initially
the
focus
will
be
on
cardiac
arrest
incidents.
You
know
our
most
sensitive
one.
We
want
to
make
sure
that
we
don't
miss
those
the
call
taking
point
where
information
such
subtleties
is
patient.
Breathing
may
be
used
as
an
early
alert
to
our
emp
call
taker
regarding
our
life-threatening
condition,
we're
using
grant
funding
as
an
additional
proof
of
concept,
as
we
rolled
out
mechanical
chest
compressions
to
all
of
our
front
line
ambulances
this
year.
This
serves
as
a
valuable
tool
for
our
personnel
when
for
caring
and
cardiac
arrest.
E
These
are
mechanical
devices
that
we
put
on
people
that
they
keep
up
and
they
sustain
cardiac
compressions
during
a
cpr
they've
been
proven
to
show
increase
in
survival
in
some
settings,
so
we
can
continue
with
other
things
uninterrupted
and
it's
it
also.
It
helps
keep
our
people
able
to
do
that.
Physically.
That's
a
very
demanding
thing
to
do
a
long,
resuscitations.
E
Okay,
enhanced
behavioral
health,
okay,
while
caring
for
the
needs
of
patients
experiencing
behavioral
health
emergency
health
has
always
been
an
emergency
behavioral
health
emergency
has
always
been
important
to
us.
We've
been
working
concertedly
for
a
novel
approach
to
response
model.
For
for
that
2021,
we
responded
to
ten
thousand
two
hundred
three
calls
of
a
tight
coded,
zdp
or
emotionally
disturbed
persons.
E
Five
thousand
six
hundred
and
ninety
six
of
those
were
edp.
Twos
were
the
patients
determined
to
be
possibly
a
threat
to
themselves
or
others,
and
the
other
four
thousand
five
hundred
were
lower
acuity
acuity
edp
trees,
this
calendar
year,
you
know
we're
still
where
we're
still
seeing
consistent
numbers
with
that.
E
So
for
the
first
part
we
we've
ruled
out
a
three-part
training
to
all
of
our
personnel
to
build
in
our
own
ability
to
take
care
of
our
own
mental
health
and
our
patients
experiencing
a
mental
health
crisis
as
components
of
a
mobile,
integrated
health
care
model,
we're
planning
to
roll
out
two
new
services
to
patients.
The
first
will
be
at
the
point
of
the
911
call.
E
Patients
having
low
acuity
behavioral
health
emergency
will
be
screened
by
our
emt
call
takers
at
the
dispatch
operations
for
eligibility
for
a
warm
off
to
masters
level.
Behavioral
health,
clinician
at
the
boston,
emergency,
medical
boston,
emergency
services,
team,
the
best
call
center
at
boston
medical.
If
they
meet
that
criteria,
our
emma's
call
taker
will
ask
the
patient's
approval
to
be
transferred
to
that
bridge
connection.
E
The
best
clinician
will
then
speak
to
the
patient,
determine
the
best
support
that
patients
behavioral
needs,
they'll,
connect
them
to
appropriate
services,
which
may
not
include
the
dispatch
of
an
ambulance
that
may
not
include
transport
to
an
emergency
room.
It
could
improve
other
services
direct
from
best.
If
at
any
time
it's
determined,
the
patient
requires
an
ambulance
response.
The
call
will
be
transferred
back
to
us.
E
This
unit
is
intended
to
complement
and
not
to
replace
the
boston
police
correspondent
program
which
is
already
in
place
and
has
been
helpful,
so
we're
requesting
an
additional
four
positions
to
help
support
this
alternative
response
unit.
This
this
pilot,
similar
to
when
we
started
our,
can
unit
our
community
assistance
team
or
squad
80.
E
In
addition
to
sliding,
in
addition
to
and
just
that,
graph
up
there,
I
just
want
you
to
see
both
data.
Why
we
need
the
20
people
in
addition
to
that.
Four.
In
addition
to
the
four
of
these,
we
also
put
over
20
fds
to
formally
incorporate
the
two
front
line
ambulances
that
we
added
during
our
covert
19
response.
We
had
two
additional
ambulances
on
days
and
evenings.
E
We
staffed
them
on
overtime
back
then
to
help
us
with
response
times,
and
we
found
them
invaluable.
This.
These
extra
units
allowed
us
to
meet
our
response
time
goal
in
2020,
which
a
median
response
time
priority
one
of
six
minutes.
You
know
for
the
last
several
months
we've
been
slipping
to
6.3,
and
you
know
we
do.
C
E
That
those
additional
units
to
try
to
eat
to
even
try
to
get
back
to
our
minimum
response
goals
that
we
set
for
priority.
One
calls
that
chat
and
the
slide
shows
the
daily
calls
by
the
month,
and
you
can
see
that
that
it
does
vary
by
by
month
by
time
of
year
and
how
the
2019
versus
2020
the
orange
line-
and
I
won't
go
all
through
that.
But
this
year
in
yellow,
which
is
important,
shows
that
we
continue
to
show
an
upward
trend.
E
And
if
we
want
to
meet
that
demand
in
a
world
where
culvert
is
still
continuing,
we
do
feel
that
that's
why
we
did
put
in
for
the
additional
20
positions
that
we
would
need
to
stop.
These
two
additional
units-
and
I
already
spoke
about
a
little
bit
about
recruitment
and
I
already
talked
about
the
emt
class
and
how
we
set
that
up
and
how
we
want
to
keep
working
on
community
engagement
and
we
we
did
have
ben.
Thank
you,
council
baker.
I
saw
yesterday
at
the
graduation
and.
E
F
Thank
you,
dr
ojakutu,
for
the
tremendous
work
you
are
doing
and
also
chief
hooley,
who
was
we've
worked
with
for
for
many
years
and
of
great
great
respect
for
you,
chief
myself
and
council
of
flaherty,
especially
have
been
advocating
for
an
ems
presence,
as
you
know,
down
at
the
south
boston
waterfront.
That
neighborhood
continues
to
grow,
whether
it's
residents
and
employees,
visitors
tourists.
F
E
Yeah,
I'm
happy
to
tell
you
what
what
I
do
know
I
know
for
for
several
years.
The
way
they
had
been
looking
at
to
see
even
going
back
to
the
menino
administration,
trying
to
look
at
different
models
to
get
a
presence
down
there,
whether
it
was
going
to
be
partnering
with
private
developers
or
trying
to
find
some
city
land
to
build
on
or
co-locating
with
other
programs.
E
A
few
years
ago,
the
city
invested,
I
capital
about
a
hundred
thousand
dollars
initially
to
do
a
programming
and
to
look
at
the
various
options.
Lay
them
out,
study
was
done
and
that
was
turned
into
was
it
property
management,
capital,
construction,
I'm
gonna,
show
you
the
departments
and
they
come
up
with
a
you
know
a
couple
of
different
models.
They
looked
at
the
size
of
trucks,
they
made
emails
and
they
mapped
that
out.
They
then
went
back
and
started
working
on
siting,
so
they
did
the
programming
and
they
decided.
E
One
parcel
that
was
on
dry
dog
gav
and
they
determined
that
it
was
too
small.
Even
for
a
single
bank
station
I
mean
the
possible
is
so
small.
One
of
the
reasons
is
still
available.
It's
not
really
big
enough
for
commercial
development
and
it's
it
does
literally
about
the
dry
dock.
This
past
year,
the
bpda
and
the
city
were
discussing
land
farther
down
at
the
end
of
dry
dock.
Down
by
this
one
small
excuse
me,
the
restroom
comfort
station
was
built
down
there
by
a
by
the
end.
E
F
Yeah,
thank
you
chief.
I
am
too
it's
taken
taken
a
long
time,
but
thank
you
to
to
you
and
to
your
team
for
advocating
for
it.
I
also
want
to
thank
the
bppa
ems
division,
the
union
that
have
been
advocating
for
it
as
well,
my
neighbors
in
south
boston.
Obviously,
council
of
council
flaherty,
that's
going
to
be
a
tremendous
asset
to
the
neighborhood
and,
as
we
know,
as
I
mentioned,
the
number
of
residents
and
visitors
continue
to
grow
chief.
What
is
the?
F
E
Our
calls
typically
go
up
citywide
about
one
to
two
percent
a
year
which
doesn't
seem
like
much,
but
when
you're
dealing
with
over
a
hundred
thousand
now
there's
a
couple
thousand
calls
a
year
for
from
about
2007
on
the
seaport
district
was
the
fastest
growing
area.
Percentage
of
that
was
really
driving.
The
number
of
calls
for
us
because
of.
F
All
the
development-
yes,
one
of
one
of
my
other
priorities-
is
getting
a
fire
presence
down
there
as
well.
I
had
a
major
major
company
call
me
up
and
say
to
me:
hey
flynn,
how
come
how
come
you
don't
have
an
ems
station.
You
don't
have
a
fire
station
down
this
south
boston
waterfront.
You
want
all
these
big
national
international
companies
to
go
there,
but
you're
not
providing
any
any
basic
city
services
and
the
residents
have
said
that
to
me
and
council
flaherty
as
well.
F
F
F
You've
referenced
health
and
wellness
of
your
employees
during
the
presentation.
What
are
we
doing
to
make
sure
that
the
health
and
wellness
of
the
rank
and
file
of
your
team
is
addressed?
That's
a
that's
a
major
priority
for
me
and
for
my
my
colleagues
as
well,
but
we
want
to
make
sure
that
they
are
given
the
needed
services.
F
E
Okay,
yeah.
No,
it's
certainly
a
priority
for
us.
Well,
council.
Thank
you
for
for
raising
that.
Well
again,
just
you
know
getting
back
to
sp
specific
for
coving.
You
know
right
right
from
the
beginning,
before
we
even
saw
the
that
first
initial
peak
and
surge,
you
know.
On
the
one
hand,
we
were
fortunate
that
we
had
stockpile.
Maybe
is
the
right
word,
but
we
had
sufficient
stores
initially
of
different
pbe,
because
we
learned
some
of
that
from
h1n1.
E
We
learned
some
of
that
from
some
of
the
ebola
scares
a
few
different,
so
we
had
various
levels
of
pb
and
and
even
going
back
to
this
department
prepared
for
the
possible
re
re-release
into
the
world
of
small
blocks.
If
you
remember
back
after
2001,
when
some
of
those
potential
threats
were
going
out
there,
we
had
people
here
been
trained
and
re-vaccinated
again
for
that,
and
so
we
were
always
trying
to
take
a
proactive
stance
for
that.
E
But
when
we
we
began
to
the
process
again
recommitted
to
the
idea
of
doing
annual
fit
testing
for
our
personnel
to
make
sure
that
even
our
regular
mask
our
n95
mass
that
the
ones
that
you
have
will
pass
testing
quantitative
testing.
We
we
do
that
because
sometimes
people's
features
change,
they
gain
weight
to
lose
weight
whatever
you
want
to
make
sure
that
those
fit
that
you're,
not
just
going
through
the
motions
that
you're
doing
stuff
correctly.
E
We
do
that.
We
we
we
do
keep
a
variety
of
ones
on
available
and,
if
not,
we've
always
sourced
them.
For
people,
we
tried
to
keep
various
levels
of
respiratory
protection
available
for
that
on
some
of
the
other
ppe.
You
know
several
years
ago,
many
years
ago.
Actually
we
we
invested
in
soft
body
armor
for
our
personnel
to
make
that
optional
for
them.
In
case
we
needed
for
some
certain
situations.
E
We
try
to
take
a
lot
of
that
serious
on
the
again
we've
committed
on
the
culvert,
but
we've
brought
in
a
full-time
nurse
for
that
as
well
as
and
at
times
we
contracted
out
with
the
agencies
to
bring
two
three
some
of
them
on.
So
we
would
have
24-hour
coverage
for
that
and
when,
if
you
get
another
surge,
we
bring
them
back
on,
but
we've,
but
we're
never
going
to
go
below
what
we've
brought,
but
what
we
have
right.
E
Now,
oh
okay
and
now
the
last
thing
on
your
good
question
about
bob
personnel
for
new
offering
for
personnel
this
year,
we've
enhanced
the
contract.
We
have-
and
I
mentioned
this
earlier
with
our
onsite
academy
and
our
peer
support
program-
to
include
annual
wellness
checks
for
all
of
our
personnel,
with
the
idea
that,
yes,
some
people
will
seek
help
we'll
go
to
counseling
that
we
make
available
that
we
have
it
available
remotely.
Now
we
have
ps4
people
trained,
that
people
can
anonymous
quietly
get
engaged
and
get
services
from
clinicians.
E
F
Well,
thank
you
chief,
and
I
know
my
time
is
up.
I
want
to
say
thank
you
to
to
you
chief,
but
also
I
want
to
thank
your
the
your
rank
and
file
men
and
women
during
this
pandemic.
They
were
the
real
unsung
heroes
in
this
city,
so
we
just
want
to
say
say
thank
you
to
them
and
to
acknowledge
the
incredible
work
that
they've
done
for
the
residents
of
boston.
Thank
you,
madam
chair.
G
Thank
you
chair
and
thank
you
chief
holy
and
all
the
ems
who
are
here,
and
I
will
echo
what
president
flynn
has
already
said,
but
I
do
want
to
start
by
just
thanking
you
and
everyone
who
have
been
there
before.
We
know
that
your
job
was
hard
and
you
were
always
the
first
one
to
show
up
and
arrive
and
kovid
really
made
it
more
difficult,
but
you
were
always
there
being
so
professional
and
they
are
when
people
need
you
most.
So
it's
a
stressful
job,
and
I
appreciate
that.
G
So
thank
you
for
that
and
yesterday
I
was
I'm
happy
to
join
the
largest
graduating
class
of
the
30
recruits,
and
I
saw
on
the
side
that
there's
a
new
class
10
days
in,
but
every
hearing
we
have
we're
talking
about
staffing
shortages,
and
is
this
amount
of
recruits
coming
in?
Do
we
need
to
support
more
coming
on?
Is
this
going
to
relieve
the
shortages
that
we
are
experiencing.
E
You
I
won,
thank
you
for
the
kind
words
and
thanks
for
being
able
to
make
it
in.
I
know
the
council
was
all
all
the
councils
have
been
very
busy
this
week.
It
was
a
tough
time
for
graduation,
but
we
appreciate
all
your
support.
We
have
the
positions
that
we
have
right
now
that
we've
been
filling
will
get
us
to
the
budget
ones
that
we
already
had
available.
E
We
like,
like
I
said
we
were
with
with
the
troop,
with
retirements
with
some
and
some
other
folks
who
you
know
who
have
left.
We've
we've
lost
some
people
in
recent
months
to
police
departments
are
hiring,
fire
departments
are
hiring,
but
but
also
we
have
people
who
you
know
go
to
get
into
pa
programs.
You
know
they
really
like
the
medicine,
but
they
like
nursing.
E
They
really
like
what
we're
doing
here,
but
sometimes
they'll
like
them.
I
look
at
it
and
say
you
know
how
many
more
third
floor
carries.
Do
I
have
in
my
back,
and
maybe
I'd
rather
do
this
in
a
nice
air
conditioned
hospital
instead
of
another
summer
here,
but
for
whatever
reason,
some
people
move
on.
So
we
we're
always
trying
to
keep
up
with
that.
We
do
get
concerned
that
colwood
may
have
slowed
down
even
the
number
of
people
trying
to
come
in
to
the
profession
or
accelerated
people
leaving
from
it.
E
E
They
would
be
getting
us
to
a
staffing
level
that
we
were
initially
approved
for
back
in
2009,
and
we
then
our
largest
recruit
class
ever
was
supposed
to
start.
I
think
it
was
going
to
be
40
or
44
people
and
with
five
days
to
go
that
class
got
cancelled
and
froze
along
with
some
police
and
fire
classes.
With,
I
was,
I
don't
know,
was
the
the
real
estate
bubble
burst,
though
I
forgot,
which
particular
thing
that
drove
cuts
in
federal
ed.
There
was
a
bit
of
recession
then,
and
we,
those
positions.
E
We
never
got
those
body
back.
We
spent
the
next
10
years,
filling
doing
attrition
so
with
those
ones
that
I
detailed
to
you
in
my
remarks
that
we
got
10
a
few
years
ago,
then
10
more
than
whatever
we
we
finally
got.
We
finally
got
to
where
we
would
have
been
10
years
ago.
So
with
the
investment
this
year,
we'll
be
able
to.
You
know,
really
try
to
play
catch
up
and
try
to
meet
some
of
the
demand
that
we
have
today.
G
But
one
thing
I'm
finding
out
is
many
of
the
resources
like
home
vouchers
are
only
given
to
bps
families,
and
so
we
run
out
of
vouchers.
When
then,
we
need
to
support
our
families
and
children
that
may
be
outside
of
the
bps
system
and
when
we
look
at
the
budget
projection,
so
we
increased
from
21
to
22
under
the
homelessness
service
bureau,
1.66
million
dollars,
but
for
this
coming
budget
we've
only
increased
600
000.
So
did
we
increase
enough
money
and
to
make
sure
that
we're
keeping
up?
G
Because
we
know
many
families
pre-coping
doubled
up
or
lived
in
families
together?
It's
one
of
the
reasons
we're
seeing
more
families
having
to
go
to
shelters
because
they
because
of
covet
and
other
reasons,
don't
feel
safe,
like
living
with
other
family
members,
like
lots
of
different
reasons
and
covet
itself
has
caused.
B
G
G
So
I
do
want
to
go
on
record
that
I'm
definitely
in
support
of
recovery
and
those
non-profits
that
have
a
successful
track
record
in
recovery
services
like
the
gaffin
foundation,
the
phoenix
gym
others
that
I
know
are
supporting
those
struggling
with
this.
But
what's
because
I
I
drive
by
often-
and
I
know
the
warm
weather-
we
knew
that
there'd
be
more
crowds,
but
everyone
should
drive
home
up
mass
ave
today
and
what
you'll
see
is
devastating
and
it's
not
better.
You
know
so
we.
G
B
So
this
is
an
incredibly
important
question
that
you're
asking,
as
I
mentioned
initially
145
people
were
moving
to
the
low
threshold
housing
sites
from
the
encampments
and
approximately
200
total
have
been
moved
in
so
some
have
gone
to
permanently
permanent
housing.
Some
have
gone
into
treatment
and
a
smaller
proportion
have
been
lost
to
follow-up.
B
We
are
aggregating
that
data
and
we're
also
getting
qualitative
data
from
those
people
who
are
in
the
low
threshold
housing
because
we
need
to
understand
what's
happening
with
them
and
where
they
are
in
their
journey,
we'll
just
we'll
call
it
a
journey,
hopefully
to
recovery
and
permanent
housing.
We
have
a
survey
that's
out
now,
we've
surveyed,
36
or
so
of
those
individuals
who
are
initially
housed.
B
It
has
been
a
bit
of
a
slow
process
because
it
tends
to
be
a
transient
population,
though
they
do
have
a
place
to
sleep
at
night,
we're
working
on
getting
that
done
and
I'm
hoping
in
the
next
month
or
so
we'll
have.
You
know,
results
that
could
be
reported
out.
The
actual
plan
that
the
mayor
is
going
to
release,
I
believe
next
week,
is
both
the
warm
weather
plan,
which
is
what
you're
seeing
right
now
and
I
agree
everybody
should
drive
past,
but
it's
also
the
mid
and
long
term
plan.
A
B
H
Where
we're
losing
good
people,
partly
because
of
salary,
the
working
conditions,
they
don't
get
weekends
off.
It's
just
it's
get
to
the
point
where
we're
at
a
crisis,
and
I
think
if
we
need
to
address
it,
I
would
like
to
see
it
addressed
on
this
budget,
along
with
bfd
and
bpd's
budget,
where
we're
actually
respecting
our
911
dispatchers,
who
are
phenomenal.
H
H
We
probably
don't
find
that
guy
for
a
decade
until
we
do
another
capital
project
over
at
back
base
station.
Among
other
things,
if
you
listen
to
a
fire
command
and
you
you
understand
the
critical
role
that
these
dispatchers
play,
but
so
I
know
that
we're
losing
them
and
I
think
that's
a
solvable
problem.
We
need
more
of
them.
H
We
need
them
to
be
paid
better
and
we
need
them
to
have
shifts
that
are
commiserate
with
them,
having
a
life
and
being
able
to
sustain
themselves
and
their
families,
and
that
doesn't
happen
and
that's
a
disgrace
from
my
perspective.
It's
not
you
know
it's
not
nothing
that
you've
caused,
but
I've
had
this
discussion
with
bft
and
bfd
and
btd.
H
H
You
can
call
9-1-1
in
a
very
no
matter
where
you
are
in
the
city
in
a
very
short
period
of
time:
blue
lights,
orange
lights
or
red
lights
are
coming
to
help,
and
the
fact
that
the
dispatchers
complete
continue
to
get
disrespected
in
the
process
is
is
upsetting
to
me.
So
I
want
that
addressed
at
some
point
in
the
resubmission
shifting
gears,
obviously
to
to
mass
and
cass.
H
H
For
the
sake
of
those
seeking
help
and
trying
to
turn
their
lives
around,
as
well
as
the
residents
that
live
down
there
and
the
businesses
that
do
business
down
here,
and
in
addition
to
those
that
are
lighting
fires
and
using
open
flame
to
heat
down
there,
all
of
it
it
has
to
go,
and
we
need
that
partnership
for,
for
you
folks,
obviously
to
do
what
you
guys
do
best,
which
is
to
provide
that
public
health
and
to
put
people
back
together.
So
just
opining.
H
I
guess
on
that
which,
which
leads
me
to
the
question
around
the
engagement
center,
obviously
because
of
a
recent
uptick
in
violence
down
there.
The
engagement
center
was
closed.
You
know
have
have
our
operations
changed
in
response
to
the
uptick
in
the
violence.
How
are
we
ensuring
that
clients
down
there
are
going
that
are
going
there
for
services
and
for
help
are
being
protected?
H
How
are
we
ensuring
that
the
people
that
are
actually
down
there
doing
the
lord's
work
are
also
protected
from
from
those
that
are
down
there
not
to
get
help
not
to
get
treatment
to
recovery?
They
don't
have
to
stir
it
up.
They're
down
there
to
sell
their
wares
they're
down
there
to
be
mischievous
and
destructive,
and
because
we
don't
we,
we
don't
rely
or
we
don't
have
a
better
partnership.
Maybe
or
we
don't
call-
you
know
our
police
department
when
necessary,
it
allows
it
to
fester
and
get
out
of
control.
B
So,
thank
you.
Councillor
flynn
really
important
questions,
so
I
just
wanted
to
comment.
First
of
all
that
we
are
in
collaboration
with
bpd
on
this
issue.
We
know
that
this
is
a
public
safety
and
a
public
health
emergency.
We
can't
do
anything
at
least
not
anything
successfully.
If
we're
not
working
together,
we've
been
meeting
regularly.
We
just
met
this
morning
at
9
00
a.m,
with
c6
and
the
street
outreach
unit
to
talk
through
some
of
what
we're
seeing.
B
There
has
been
this
sense
of
escalation
and
we
definitely
need
to
get
on
top
of
it.
Part
of
the
warm
weather
plan
that
I
mentioned
that
will
be
released
next
week.
Is
you
know,
an
increased?
You
know,
police
presence,
we've
see,
we've
had
an
increased
police
presence
along
that
area.
You
know
with
regular
street
cleanings.
Every
day
the
police
are
out,
the
police
are
helping
us
to
prefer
people
places
in
terms
of
the
engagement
center.
Specifically
so
atkinson
street
is
has
been
closed.
This
has
been
going
on
for
now.
B
Two
weeks
plus
the
engagement
center
has
been
closed,
except
for
clinical
services.
We
have
people
there
who
are
accessing
hiv
treatment
as
well
as
prevention
for
hiv
infection,
hep
c
treatment.
This
is
all
really
important,
and
so
we've
been
navigating
people
down
the
street,
so
they
can
get
those
services
because
of
what's
been
happening,
as
you
articulated
very
clearly,
we
wanted
to
make
sure
that
the
engagement
center
was
safer.
B
All
of
this
has
been
going
on
because,
as
you
said,
we
need
to
make
make
sure
people
are
safe,
so
moving
forward,
the
ec
needs
to
be
reopened,
so
people
have
access
to
the
services
even
like
basic
amenities
like
bathrooms,
down
there,
so
it
will
be
reopened,
but
only
with
these
different
safety
concerns
and
this
plan
and
these
safety
measures
have
been
discussed
and
worked
on
with
bpd.
Okay.
H
And
then
the
integrated
those
teams
that
do
the
housing
navigation
and
the
behavioral
health.
I
believe
it
was
in
the
book
that
there's
210
clients
currently
how
many
are
boston
residents
and
if
there
are,
if
they're,
non-boston
residents
are
we
seeking
reimbursement
from
their
hometowns
and
their
home
communities.
H
Yeah
this
is
this
yeah,
so
we've
launched
the
two
integrated
teams,
one's
the
housing,
navigation,
the
other
one's
behavioral,
health,
yes,
and
they
supply
services
to.
I
think
it
was
identified
as
210
clients,
and
I
just
want
to
know
of
the
210-
how
many
of
them
are
boston
residents,
how
many
of
them
are
not,
and
for
those
that
are
not
are
we
seeking
reimbursement
from
their
respective
hometowns
and
communities,
because
it
always
falls
on
boston,
the
last
census
that
was
down
there,
a
significant
amount
of
those
individuals
and
poor
souls
down.
H
There
were
not
from
boston
because
their
communities
dropped
the
ball
because
their
communities
push
it
or
leave
it
to
us
to
solve
everyone's
substance
and
abuse
treatment,
problems,
affordable
housing,
all
of
it
comes
to
boston.
The
time
has
come
for
our
counterparts,
suburban
counterparts
to
to
step
up
to
the
plate,
and
if
I
may,
just
sneak
in
one
last
question
commit
chief.
You
know
I
just
did
my
first
ride
along.
I
suggest
all
of
my
colleagues,
particularly
the
newer
members.
H
Please
take
full
advantage
of
doing
a
ride
along
with
ems,
to
see
how
dedicated
how
passionate
and
how
professional
they
are
it.
Obviously,
it
enhanced
my
appreciation
for
the
work
you
did,
but
I
also
led
the
effort
to
get
group
four
for
your
members
as
council
president
working
alongside
you
and
and
the
ems
and
and
bppa
for
the
union
that
represented
the
members,
but
I
saw
that
the
average
years
of
service
is
12
years.
H
H
I
guess
it's
just
the
rigors
of
the
job,
arguably,
but
I
was
always
hoping
that
group
four
would
help
sort
of
stabilize
and
provide
sort
of
a
pathway
to
retirement
for
the
men
and
women
that
that
work
under
you,
and
I
just
saw
that
a
significant
number
obviously
retire
after
leave
after
12
years.
Can
you
just
explain
why
that's
the
case,
if
you
have
you
have
an
answer,
a
solution
and
we
can
work
together
to
make
sure
I
mean.
E
We
do
have
a
fair
amount
of
people
that
are
actually
have
moved
on
to
a
regular
retirement
and
we've
we've
had
several
people
go
out
in
the
last
couple
of
years
again,
not
due
to
disability.
You
know,
because
years
ago,
like
people
retired
from
here
were
people
who
could
you
know
disable
because
of
something,
and
it
was
you
know.
Fortunately
when
when
when
that
was
passed-
and
I
think
you
know,
thankfully
the
we-
we
did
see
a
lot
of
people
who
stayed
we.
E
What
we've
noticed
is
yes,
if
we
can
keep
people
beyond
a
certain
time
frame.
If
we
keep
you
like
say
up
by
12
years
or
so,
there's
a
good
chance,
we're
going
to
be
able
to
retain
you,
okay,
here
or
if
you
are
able
to
especially
people
who
are
able
to
make
it
to
supervisory
ranks
or
other
ranks
stuff
they
they
tend
to
be
lifers,
which
is
thank
goodness
for
us
that
they
do
and
they
import
a
lot
of
the
wisdom.
E
I
think
in
the
first
few
years-
and
I
don't
know
how
much
of
it
is
now
is
just
part
of
the-
I
don't
want
to
say
the
great:
what
do
they
call
it?
The
great
things
we're
dealing
with
the
last
couple
of
years
is
that
you
do
see
some
movement
where
somebody
will
just
decide.
I'm
moving
to
california,
I'm
like
right,
but
and
some
of
those
even
people
who
were
born
and
raised
here.
E
H
C
I
I
I
I
E
I
That
brings
me
to
the
question.
I
know
we're
talking
about
a
new
ambulance
bay
or
a
double
bay
at
in
austin
brighton
at
st
elizabeth.
Just
generally
speaking,
what
arrangements
does
ems
have
with
host
hospitals?
You
know,
is
it
just
what
what's
the
arrangement
do
they
do
they
charge
rent
or
is
it
a
gratis,
or
do
you
take
care
of
maintenance
and
and
utilities?
What's
the
what's
the
deal.
E
E
E
We
have
spare
personnel
that
you
know
we
don't
have
lockers
for
everybody
at
every
place.
The
tufts
I'm
certainly
going
back
to
the
beth
israel
deaconess.
They
built
a
very
nice
facility
for
us
back
in
the
geez,
the
90s
two
bay
facility,
an
als
bls
unit
there
with
an
office
space
above
and
you
know
adequate
space
up
there,
locker
rooms,
sure
I
don't
know
yeah
yeah,
but
there's
no
there's
no
charges
there.
Yeah.
I
So
I
think
that's
something
to
to
bear
in
mind
when
we
look
at
you
know
the
this:
the
workload
in
departments
all
across
the
city
in
your
department,
especially
when
you're
talking
about
adding
an
additional
24
positions
and
then
also
I
want
to
echo
my
colleague,
counselor
flaherty's,
advocacy
and
concern
about
you-
know
the
911
call
center
dispatchers.
You
know
we
understand
that
they're
under
extreme
pressure
and
added
added
shifts
and
a
lot
of
overtime,
because
there
are
not
don't
have
adequate
staffing
levels
either.
I
Yeah,
I
think,
madam
chair,
oh
yeah,
yes,
the
the
best
clinicians
the
ems
ems
is
proposing
to
have
four
additional
best
positions.
Is
that
correct
and
the
non-additional?
It's
a
new,
a
new
new
program
and
then
the
bpd
boston
police
department
has
has
best
clinicians
that
have
been
in
the
field
now
for
about
a
year.
It
would
be
really
interesting.
I
I
E
I
mean
look
at
doing
up,
recording
data
and
doing
evaluation
on.
It
is
obviously
going
to
be
very
important
for
for
outcomes
whether
it's
just
number
of
encounters
patience,
patient
satisfaction,
you
know,
client
satisfaction,
are
people
are
happy
with
it.
Do
people
wind
up
still
wanting
having
to
go
to
an
emergency
room,
or
can
they
be
seen
somewhere
else
safely,
efficiently,
yeah
and
get
their
services
there,
which
is
a
cheaper
delivery
model
than
going
to
emergency
room,
because.
E
Those
folks
may,
in
a
very
the
emergency
rooms,
are
all
overtaxed
yeah
exactly
and
some
people
may
sit
there
for
several
hours
and
somebody
just
eat
up
and
leave,
and
then
so
they
wound
up
not
getting
to
a
point
of
care
or
they
wind
up
back
home
and
calling
somebody
else
calls
them
a
day
or
two
later,
and
we
kind
of
repeat
the
thing
so
part
of
this
would
be
one
to
try
to
really
manage
people
who
again,
who
aren't
such
an
acute
critic.
Some
people
start
we're.
E
E
E
Because
we
don't
have
much
information,
all
they
gets
police
fire
ems
and
if
we
go
out
there
and
it
turns
out
with
somebody
who's
got-
maybe
some
chronic
behavioral
disorder
or
somebody
who's
living
in
an
atm
who
now
now
we
have
to
spend
some
time
trying
to
sort
that
out.
You
had
an
amulet
standing
by
and
sitting
at
that
for
a
long
time
that
ambulance
isn't
available
for
another
priority.
E
E
Opioid
crisis
and
a
lot
of
stuff
got
concentrated
with
some
of
the
things
we're
dealing
with
up
in
the
mass
cast
corridor
in
the
area.
We
devoted
that
unit
much
more
to
that
area.
Initially,
that
was
five
days
a
week.
It
was
a
demonstration
just
under
day
shift,
and
we
did
that
by
assigning
on
hand
personnel
when
the
concept
proved
it
was
helping
us
and
it
was
helping
the
personnel
and
they
could
actually
interact
with
some
of
the
outreach
people.
E
J
Thank
you,
madam
chair,
and
thank
you
to
everyone
panelists
today
for
all
of
your
incredible
work:
chief
hooley,
everyone,
I'm
sorry
I
was
late,
so
I
didn't
catch
everyone's
name,
but
you
know,
especially
during
this
pandemic.
You've
borne
an
incredible
weight,
and
so
I
salute
you
I
was
boosted
over.
I
know.
J
Ems
did
incredible
work
at
ifc
in
mattapan
square
and
making
sure
you
know
there's
a
lack
of
there
was
a
lack
of
vaccinations
and
you
guys
stepped
into
that
gap,
and
I
was
boosted
at
fc
by
an
ems
nurse
who
I
now
run
into
all
the
time,
and
it
brings
me
so
much
joy.
So
thank
you
for
all
of
your
work
because
I
was
late.
I
don't
know
who
I
should
address
my
questions
to
on
we're
in
the
office
of
recovery
services,
and
so
it's
you
doctor
educator.
J
J
My
question
is:
is
about
returning
citizens
and
about
how
recovery
services,
overlaps
and
partners
with
returning
citizens
officer
returning
citizens,
not
all
of
our
returning
citizens
and
formerly
incarcerated
folks,
are
you
know
in
need
of
recovery
services,
but
a
good
amount
are,
and
so
how
is
that
partner?
What
does
that
partnership
look
like?
We
know
that
we
have
a
lot
of
folks
coming
transitioning
back
home,
who
there's
often
a
gap
in
the
provision
of
health
care
and
because
of
a
number
of
barriers,
including
access
to
ids.
B
B
A
B
A
B
J
You
who
are
who
is
coming
to
the
engagement
center,
like
what
group
or
entity,
is
coming
to
do
that
id
work.
Let
me
find
that.
Okay,
because
I
mean
that's
an
area
that
my
office
has
been
working
on
quite
a
bit
in
co
in
partnership
with
the
coalition
of
formerly
incarcerated
folks
who
talk
about
the
barriers.
C
J
B
Other
thing
I
just
want
to
add
is
that,
with
some
of
our
low
threshold
housing
initiative,
we
actually
don't
require
paperwork,
so
we
were
actually
putting
people
into
services.
Without
a
lot
of
that,
though,
we
were
getting
them
set
up
for
permanent
housing,
so
that
was
part
of
the
pathway,
and
I
think
that's
one
of
the
things
that
we're
doing
to
increase
access.
J
Okay,
thank
you,
yeah
I'd
love
to
love,
to
learn
more
and
talk
to
you
about
this.
I
think
you
know
the
quest,
there's
a
theme
to
some
of
my
questions
and
chi
fulha.
You
know
you
mentioned
the
united
coalition
of
ems
providers
and
the
work
that
roger
hamlet
has
been
doing,
which
I
think
is
really
great.
You
know
and
I
like
the
fact
that
you
know
I
appreciate
the
acknowledgement
of
that.
There's
a
lot
more
work
to
do.
J
There
seems
to
be
a
pretty
big
gap
or
drop-off
in
diversity
between
emts,
which
is
you
know,
33
diverse
compared
to
paramedics,
which
seems
a
much
lower.
I'm
not,
I
think,
maybe
around
15.
What
explains
that
difference,
and
and
what
are
we
doing
to
increase
the
diversity
numbers
among
our
paramedics.
E
When
we
well
well,
first
off
when
we
well,
we
recognize
that,
and
we
include
that
in
our
remarks
that
we're
we're
keenly
aware
of
it.
You
know
we
when
I
put
that
out
on
the
first
slide,
so
we
did
we,
we
acknowledge
it.
We
know
that
it's
something
that
we've
been
seeking
to
address
for
a
while
when
we
give
promotional
examinations
or
when
we
hire
for
not
higher
paramedics
is
an
internal
posting
right.
We
advance
people
who
already
work
here
and
we
will
advance
people
who
have
paramedic
certification.
E
So
we
a
couple
of
different
things
we
try
to
do
is
similar
to
for
recruiting
and
bringing
in
people
is
we
we
have
people
who
hold
paramedic
certification,
even
if
they're
not
currently
working
for
us
as
medics.
You
know
we
do
open
up
our
refresher
classes,
other
classes
and
other
trainings
so
that
they
can
at
least
get
get
some
maintain
that
certification,
a
few
things.
E
E
Well,
some
of
the
paramedic
training
programs
that
were
available
out
there
can
get
costly.
A
few
years
ago,
northeasterns
was
in
the
20
000
plus
to
do
it
other
places
a
little
bit
less
expensive
or
maybe
half
that
price,
and
they
also
take
a
fair
amount
of
time
and
and
commitment
to
do
that.
It's
a
lot
more
lengthy
than
the
emt
program.
However,
having
said
that,
a
lot
of
people
do
consistently
do
complete
it
and
and
obtain
a
certification.
E
What
we
need
is
to
get
more
employees
here
from
various
race,
ethnicity
certified
one
of
the
big
biggest
enhancement
we
did.
We
did
a
few
years
ago.
We
did
partner
with
the
skill
works
grant
and
we
offered
we
were
able
to
get.
We
did
northeastern
had
a
was
running
a
program
at
the
time
which
was
on
the
expensive
side.
E
However,
with
a
skill
works,
grant,
we
were
able
to
obtain
basically
half-price
scholarships
which
opened
up
to
what
any
department
member
who
was
able
to
get
into
that
program,
and
we
did
pursue
that
until
that
went
away.
That
was
somewhat
successful
in
helping
to
get
some
people
into
the
system
and
to
advance.
C
E
E
So
you
go
down
with
new
york
ems
and
then
you'll
be
responsible
for
staying
down
there
for
a
time,
but
in
this
case,
like
our
members
who
are
going
there
or
even
our
members,
if
they
go
into
another
program
here
up
up
up
up
here
attending
a
program
that
is,
you
know
a
certified
program,
approved
program
and
they've,
a
good
program
that
they're
in
lots
of
times.
We.
H
E
K
J
Oftentimes
because
ems
can
be,
and
often
is
their
first
point
of
contact
for
folks
suffering
from
a
health
care
emergency,
and
I
guess
the
second
part
of
my
question
actually
doesn't
have
to
do
with
bps,
but
more
sort
of
what
is
ems
doing
internally,
to
deal
with
issues
of
bias
that
present
itself
in
the
provision
of
health
care
to
peop
to
our
boston
residents,
especially
from
black
and
brown
communities.
So
just
to
restate
one.
E
E
Why
you
know,
like
again,
does
does
an
emt
or
paramedic
have
to
figure
that
out
from
the
time
we're
incident?
I
won't
call
one
call,
maybe
not,
but
but
to
be
able
to
one
appreciate
that
to
know
that
we're
all
part
of
this
system
to
know
that
we're
all
affected
by
this,
that
we
know
that
patients
that
we're
encountering,
whether
it's
a
kids
with
asthma
are
our
rates
higher
in
a
certain
way.
Our
our
outcomes
are
potentially
going
to
be
worse.
E
E
But
you
know
one
of
the
things
we
we
saw
was
that
when
we
looked
back
that
we
had
encountered
this
one
patient
and
I've,
it's
been
a
couple
years
now
for
me
to
remember
this
and
a
couple
of
times
in
a
in
a
year.
So
right
but
the
last
couple
of
times
you
saw
him.
There
was
less
period
intervening
in
between
where
we
encountered
him
and
looking
at
the
charts
he
was
sicker
each
time
now.
Was
there
something
predictive
there?
Maybe,
but,
but
what
do
we
do
with
that?
E
E
For
for
any
yeah,
say,
young
person
would
ask
for
a
certain
age
and
to
to
try
to
pass
on
to,
and
we
started
doing
before
doing
referrals
to
environmental
health
and
public
health
to
say,
like
hey
under
certain
ages,
it
is
it
issues
more
with
access
to
care,
or
is
it
more
like
environmental
things
like
where
they
live
what's
around
or
is
there
some
kind
of
a
transfer
station
across
the
street?
Is
this
something
else?
C
E
Learning
that
that's
one
set
of
words
to
go
with
another
one,
but
what
we're
trying
to
do
is
like
we're
doing
our
training
and
we're
starting
it
again.
This
cycle
for
diversity,
inclusion
and
inequity
is
to
is
to
try
to
illustrate
cases
like
that,
so
that
we're
doing
our
training
with
our
personnel
internally
to
look
at
structural
racism
to
look
at
a
lot
of
different
things,
we're
not
just
putting
up
terms
in
the
board.
We
want
them
to
have
that
aha
moment
see
the
lights,
see
the
connection.
E
Where
can
we
fit
in
there
so
that
we
can?
We
can
start
to
see
so
one
we're
trying
to
improve
ourselves
internally,
so
we
can
hold
the
mirror
up
and
say,
like
say,
hey:
are
we
really
doing
a
good
job
or
not?
We
like
to
think
we
are
yeah,
so
we're
we're
doing
that
training
ourselves
where
we
took
guidance
from
from
the
initiative
from
the
mayor's
office
and
that
certainly
from
public
health
with
trinisa's
group
and
we're
rolling
our
training
out
from
that.
A
A
L
E
E
E
L
Yeah,
and
is
that,
where
is
that,
where
the
the
best
team
is,
are
they
going
to
be
with
the
squad
80?
Are
they
going
to
be
like?
How
is
that?
How
is
best
going
to
connect
on
to
ems?
You
know,
like
previous
iterations,
we
had
talked
about
some
sort
of
center
down
on
mass
and
cast
where
we
could
have
a
united
kind
of
a
response.
Police
could
be
in
the
ems
could
be
in
their
public.
Work
could
be
in
there.
That's
obviously
not
going
to
happen
now.
So
how
does?
L
E
Way
on
the
so
so
with
the
best,
so
so
again,
we're
kind
of
hoping
to
do.
Is
you
know
first,
if
it's,
if
it's
called
into
9-1-1
trying
to
triage
to
see
like
do
we
even
have
to
go,
or
is
this
something
that
can
be
transferred
into
a
clinician
who
can
talk
with
them,
set
up
something
make
an
appointment
because
they
go
out
to
people
independent?
Now,
that's
the
best
team,
the
best
dope.
We
found
that
out.
L
E
E
It's
not
a
three
one
one,
but
I
I
actually,
I
should
know
the
number
but
but
I
think
the
hospital,
the
I
don't
know
I
don't
know
how
they
advertise
it,
but
it's
not
like
you
know,
911
painted
on
the
side
of
an
ambulance.
You
know
a
police
car,
so
it's,
but
we
would
have
a
connection
to
them,
would
be
actually
the
connection
already
exists.
It
would
be
like
a
one-button
transfer.
We
bring
them
into
the
conference
with
them
once
that
could
go
live.
We
did
that
for
a
little
bit
during
covid.
E
E
People,
well,
we
did
it
with
we
had
we
used
attendings
from
from
boston
medical
center,
docs
emergency
docs
that
we
had
available
and
we
tried
it.
We
did
it
for
like
we
didn't
do
it
for
24
hours
a
day.
We
couldn't
sustain
that,
but
we
did
it
for
a
while,
where
you
know
someone
would
call
it.
Maybe
they
thought
an
abscess
or
some
sort
of
dental
thing.
So,
instead
of
going
to
an
emergency
room,
they
would
set
up
an
appointment
for
them
at
bu,
school
of
medicine,
school
of
dentistry.
E
They
could
phone
in
a
prescription
if
need
be,
and
the
state
at
that
time
approved
an
under
an
emergency
waiver
which
has
since
expired,
but
but
so
similarly,
we
could
do
that
for
a
little
bit
on
the
phone
as
far
as
the
best
team.
If
we
had
a
best
member
clinician
with
us,
it
could
come
in
through
a
a
nine-on-one
call.
It
could
come
from
one
of
our
crews
on
scene,
ambulance,
eleven.
They
they.
L
E
Right
so,
but
we
had
also
the
ability
to
talk
to
them
on
the
phone
or
talk
to
the
clinician
on
the
phone.
So
if
it
was
a
case
we
could
get
some
advice
or,
and
hopefully
if
the
police
are
able
to
retain
having
the
best
clinicians
out
there,
but
we
could
share
them
as
a
resource
as
well,
because
I
mean
right
now
I
mean
we
do
calls
with
the
bpd
best
teams
on
scene,
and
you
know
they.
We
they'd
do
section
12s
and
section
35s
with
them
the
other
day.
E
I
was
so
we're
doing
the
when
they're
doing
the
street
cleanup
where
we
do
meet
with
dpw.
They
do
a
quick
huddle
every
morning
and
they
work
with
the
needle
teams
to
make
sure
there's
a
whole
choreographed
thing
how
they
clean
the
streets
every
morning,
and
you
know
we
have
somebody
who's
involved
in
the
planning
for
that
they
weren't
available
one
morning.
Actually
I
stopped
by
to
visit
it,
and
but
our
squad
80
was
involved
with
the
bpd
and
their
best
unit
for
section
35,
where
they
had
somebody
there.
L
It
should
be
used.
I
think
it's
something
like
we're
told
all
options
are
on
the
table,
but
the
section
35
and
the
section
12
option
doesn't
really
seem
like
it's
on
the
table,
which
is
why
I
think
we
have
the
open
air
drug
market
and
the
open
prostitution
and
just
everything
happening
right
on
the
street
on
on
mass
and
cast
whether
it's
albany
street,
whether
it's
topeka
street
or
bradson
street.
I
I
think
it's
because
we've
well.
I
don't
even
want
to
go
down
that
rabbit
hole
with
you,
but
I
appreciate
I
appreciate
it.
L
I
want
to
ask
some
questions
about
the
roundhouse
now
doctor.
I
think
these
will
probably
be
yours.
I
thought
that
dr
burrell
would
be
here,
but
I
guess
not.
We
don't
seem
to
rate
these
days
how
many
people
were
on
the
street
when
we
started
clearing
them.
What
was
the
actual
number
down
there
when
we
were
clearing
the.
B
L
Let
me
just
finish,
and
you
can
you
can
answer
that,
like
it
looks
like
they're
down
there
now,
because
they
think
we're
handing
out
rooms.
Is
that
I
mean
how
does
somebody
come
down
here
and
then,
like?
Are
we
okay?
Only
the
only
the
60
people
were
allowed
in
there,
we're
not
letting
any
more
in
there
are
we
going
to
continue
to
backfill
that
with
just
whoever
shows
up
on
our
door.
B
The
numbers
down
there,
it's
probably
about
in
terms
of
actual
people,
the
same
numbers
what's
gone-
are
the
tents,
the
structures
right.
So
I
think
that
was
a
big
thing,
though,
because
that
is
what
leads
to
a
lot
of
problems
right:
the
public
health
issues,
the
infection
control,
the
different
things
that
are
happening
there
in
those
the
violence,
the
you
know
what
we
have
down.
There
is
a
situation
where
you
do
have
a
lot
of
people
who
are
on
the
streets,
and
some
of
them
are,
you
know,
living
on
the
streets.
B
A
lot
of
them
are
from
the
shelter
they
come
out
of
the
shelter
they
don't
have
the
back
area,
the
courtyard
that
I
discussed
that
we're
creating
they
don't
have
a
place
to
spend
the
day
and
they
end
up.
You
know
kind
of
sitting
and
aggregating
on
the
street,
so
that
has
been
an
ongoing
issue
and
that's
part
of
the
winter
or
excuse
me,
the
summer
plan
the
warm
weather
plan
that
we're
coming
up
with
that
you
will
hear
about
more
from
dr
burrell
next
week.
B
In
terms
of
the
round
house.
I
think
that
there
was
a
waiting
list.
You
know
people
who
were
in
the
encampments,
who
you
know
were
going
to
then
be
put
into
low
threshold,
but
I
think
the
bigger
part
of
the
story-
and
I
guess
the
more
the
successful
part
of
the
story-
is
that
a
number
of
those
people
have
been
put
into
permanent
housing.
A
lot
number
of
them
put
into
treatment,
a
number
of
them
put
on
medication
for
opioid
use
disorder.
So
that's
a
good
thing.
L
Yeah
it
because
under
new
initiatives,
number
six,
it
says
you're
looking
to
expand
the
net.
The
network
of
daytime
low
threshold,
yes
like.
Where
is
that
going
to
happen
in
in
to
get
back
to
roundhouse,
get
back
to
roundhouse
when
it
was
first
loaded
to
us?
It
was
a
six-month
thing
and
then,
when
we
started
looking
at
the
mou,
it
was
a
one-year
extension,
a
two-year
extension.
Then
then
an
option
to
buy
that
to
me.
L
There
hasn't
been
one
mention
of
an
end
date
on
that.
So
that
tells
me
that
the
the
talk
around
you
know
decentralizing
services
is
all
that
just
talk,
because
that's
that's
a
that's
a
lot
of
heavy
use
there.
That's
that's
using
in
their
rooms.
That's
everything
that
happens
on
the
street.
I
would
have
to
think
is
going
on
behind
closed
doors
now,
just
behind
closed
doors.
We
can't
see
it.
That's
all
going
to
continue
to
happen.
L
There,
like
I'm
concerned
that
public
health
or
or
bmc,
is
going
to
try
and
buy
this
place
and
keep
it
running
and
operating
the
way.
It
is
because
I
I
don't,
I
don't
feel
like
we've
been
really.
I
I'll
speak
for
myself.
I've
been
paid
attention
at
all
in
this.
In
this
whole
conversation,
just
the
fact
that
it
was
started
at
six
months
and
there's
an
option
to
buy
there
for
like.
So
what
is
the
change
of
use
there
at
the
roundhouse?
That
was
the
that
was
granted
by
isd?
L
That
was
temporary
because
it
wasn't
a
an
emergency,
that's
180
days
that
ends
in
may.
I
think
what
happens
after
that,
like
is,
is
bmc
or
public
health
gonna
come
to
the
community
like.
If
I
wanted
to
do
a
deck
on
my
house
and
needed
a
zoning
change,
I
would
have
to
go
to
the
community
is
bmc
or
public
health
going
to
come
to
the
community
and
say
we
want
a
change
of
use
on
this
here.
Now
we're
going
to
zoning
and
we're
doing
the
process
now
like.
L
B
B
I
don't
think
that
I
guess
I'll
say.
I
think
that
a
lot
of
the
work
that
we're
doing
there
is
trying
to
save
lives,
as,
as
you
well
know,
and
I
think
we're
all
very
concerned
about
the
situation-
we're
concerned
about
people
who
are
living
down
there,
who
are
spending
their
days
down
there,
we're
concerned
about
the
uptick
in
violence,
we're
trying
to
make
this
a
workable
situation,
meaning
that
we
do
have
to
find
some
alternate
day
spaces
where
those
will
be
located
are
not
known
yet.
B
So,
that's
very
clear
to
me,
and
I'm
telling
you
you
know
exactly
it's
not
known.
We
do
have
an
rfp
out
there
to
see
if
anybody
would
be
willing
to
have
much
smaller
day
spaces
than
say
the
engagement
center
is
that
the
way
this
is
going
to
go?
You
know.
Hopefully
you
know
that
would
give
people
other
places
to
go
during
the
day,
because
we
know
that
that
is
what
people
need.
They
need
access
to
services.
B
So
all
of
these
places
or
any
of
these
places
that
are
part
of
this
plan,
as
you
see,
will
be
service.
Centers
there'll
be
places
where
people
can
get
harm
reduction.
People
need
clinical
care,
people
can
get
their
medications.
People
get
actually
get
access
to
things,
as
opposed
to
necessarily
there
being
places
where
you
know.
People
are
just
just
engaging
throughout
the
day
and
you
know
aggregating
so
creating
a
similar
situation
to
what
we've
seen
on
southampton.
L
And
to
make
a
point,
I
just
think
that
we're
100
focused
on
harm
reduction
or
just
harm
reduction,
just
harm
reduction,
and
I
don't
think,
there's
I
don't
think,
there's
nearly
enough
talk
when
it
comes
to
intervention,
section,
35,
section
12..
We
have
again
back
to
all
this
opera
money.
We
have
opera
money.
Have
we
have?
We
have
we
built
any
beds
that
can
be
detox
beds?
L
You
know
a
thief,
but
yet
we're
going
to
give
him
a
housing
without
even
any
paperwork
and
we've
got
people
on
housing
lists
for
years
that
that
that
can't
get
in
housing,
but
we're
going
to
totally
focus
on
and
allow
people
to
continue
to
do
drugs,
while
they're
in
the
apartments,
while
they're
in
these
low
threshold
places.
There's
no
talk
of
okay.
You've
got
to
get
off
that
at
some
point.
It
doesn't
seem
like
there
is
any
to
me
and
and
and
I've
dropped
a
lot
of
people
off
at
detox.
L
L
You
know
I've
seen
people
go
to
jail
and
come
back
sober
because
they
went
to
jail
because
they're
unable
to
get
what
they
need
to
stay
high
to
not
be
sick,
because
it's
about
not
being
sick
and
how
do
we
think
that
low
threshold
housing
in
the
middle
of
the
wild
west
when
you're?
Even
if
you
do
have
five
days
10
days
30
days,
sober
your
first
step-
is
going
to
be
on
mass
and
cass
all
the
drug
dealers
are
all
over
you
and
my
last
point
I'm
going
to
make.
L
We
said
the
police
are
involved
in
this.
I've
heard
stories
of
of
public
health
people,
nurses
being
openly
hostile
to
the
police.
We
don't
need
you
here.
We
don't
want
you
here,
you're,
not
part
of
this
solution.
You
don't
need
to
answer
that.
That's
just
what
I've
heard
and-
and
it
isn't
it
to
say
that
we're
working
together
and
all
options
are
on
the
table.
Let's
really
put
all
options
on
the
table.
Let's
talk
about
section
35s,
let's
figure
out
where
we
can
do
something
in
boston,
section,
35,
section
12s!
L
I
mean,
I
think,
we're
leaving
a
lot
on
the
table
when
we
cleared
the
tents,
the
people
that
stayed
there.
We
wouldn't
have
got
them
out
of
there
with
a
crowbar
because
that's
where
they
want
to
be,
because
that's
where
their
life
is
that's
where
it's
easy
for
them,
we're
calling
them
comfort
stations.
They
should
be
made
uncomfortable,
it's
going
to
be
uncomfortable
here.
L
B
Now
you
were
respectful.
I
just
think
that
maybe
we
disagree
on
some
things
and
maybe
we
can
come
to
some
agreement.
Part
of
what
we're
doing
here
is
harm
reduction,
but
part
of
what
we're
doing
is
also
exposing
people
and
educating
people
about
recovery
and
treatment.
Within
the
last
fiscal
year,
the
recovery
service
bureau
referred
more
than
1800
people
to
treatment.
Now.
B
I'm
letting
you
let
me
finish.
Let
me
finish:
okay
and
in
addition
to
referring
people
to
treatment.
As
I
said,
we
do
hundreds
of
referrals
and
starts
on
medication
for
opioid
use
disorder,
and
I'm
going
to
get
you
the
numbers
and
dr
burrell
will
get
you
the
numbers
in
terms
of
the
actual
placements
in
permanent
housing,
along
with
the
number
of
people
who
are
actually
on
medication,
for
opioid
use
disorder
who've
been
in
the
roundhouse,
as
well
as
in
vision
and
the
other
low
threshold
sites.
B
So
I
think
that
you
will
have
this
information
you'll
see
that
these
sorts
of
things
they
do
work
for
people
and
the
evidence
base.
Is
there
that
low
low
threshold
housing,
having
a
place
to
sleep,
having
a
safe
place
to
be
is
a
critical
piece
of
recovery,
as
is
actually
explaining
to
people
that
harm
reduction
is
important
and
giving
them
access
to
clean
needles
and
access
to
prevention?
For
you
know,
hiv
and
other
things.
L
I
don't
disagree.
I
don't
disagree
that
harm
reduction
is
important.
I
I
know
it's
important,
but
I
think
when
that's
our
only
game,
we
have,
and
that's
the
only
thing
we're
going
to
do
and
of
course
you
can
show
me
numbers
that
are
going
to
be
favorable
to
you.
It
seems
like,
since
we've
been
this
last,
however
many
years
10
15
years,
when
it's
all
harm
reduction,
what
was
it?
What
was
there?
A
hundred
thousand
or
two
hundred
thousand
opioid
deaths
in
in
in
the
country
last
year,
going
through
the
roof?
L
That's
an
epidemic,
we're
not
talking
about
that
and
it's,
and
that
coincides
with
with
taking
trying
to
get
people
off
this
drug
and
get
them
on
an
fda,
approved
drug
and
again
I
see-
and
I
know
that
I
know
I'm
sorry-
I
see
the
value
in
it.
I
know
the
value
in
it,
but
I
just
think
we're
going
about
it
the
wrong
way
and
putting
people
in
housing.
Without
that
carrot
and
stick
approach,
can
you
be
sober
for
a
little
while
then
we'll
give
you
keys
to
a
house,
you.
C
B
Right
well,
essentially,
what
I
was
saying
was
that
you
know
we
have
a
very
strong
evidence
base
stating
that
housing
is
an
important
first
step
for
people
on
their
path
to
recovery.
Otherwise
we
wouldn't
have
established
low
threshold
housing.
We
are
evidence-based,
data-driven
folks,
you
know,
but
we
see
people
out
in
the
street
and
we
know
that
we're
giving
them.
You
know
syringe
services
and
we're
doing
harm
reduction.
We
realize
that
living
on
the
street,
that's
not
a
path
to
recovery
for
the
vast
majority
of
people.
B
Therefore,
we
made
this
significant
investment
as
a
city,
because
we
think
that
it
works,
and
I
I'm
certain
that
the
numbers
that
you
will
see
and
they're-
not,
I
don't
think
you
can
twist
numbers
to
that
extent-
they're
not
in
anyone's
favor
they're,
the
actual
numbers
of
people
who
have
left
those
places
gone
to
permanent
housing.
Those
people
have
gone
into
treatment.
B
Those
people
are
on
medication,
for
opioid
use
disorder
and
those
people
who
are
lost
to
follow
up,
because
this
is
complicated
and
there
are
lots
of
people
who
are
not
going
to
do
well
necessarily,
and
I
think
we
need
to
realize
that
too.
I
think
overall,
this
is
a
very
difficult
situation
and
we're
doing
all
the
collaboration
that
I
believe
is
necessary
to
make
it
work.
L
And
I
think
it's
going
to,
I
think
we're
going
to
look
back
in
a
couple
years
when
we've
spent,
you
know
probably
a
couple
hundred
million
per
year
on
this
housing
people
that
that
I
think
they
need
something
more
than
I
think
they
need
to.
I
think
they
need
some
healing
before
they
get
into
housing.
Maybe
it
should
be
group
housing
first,
I
don't
know
I
I
have.
I
have
a
group,
that's
at
my
playground
in
my
neighborhood
there's
five
of
them.
L
Every
one
of
them
has
a
section
eight
to
go
in
some
place,
but
yet
they
they
choose
to
use
that
playground
the
only
place
in
the
neighborhood
for
little
kids
to
go.
They
choose
to
use
that
to
shoot
up
in
and
uses
their
bathroom.
All
of
them
have
section
eights.
All
of
them
have
some
place
to
go,
but
they
choose
to
stay
right
there
because
there's
no
rules,
so
you-
and
I
disagree-
I
I
I
think,
there's
somewhere
in
the
middle
there-
that
I
think
we
should
we
should
be
working
on.
B
In
opera
money
this
year,
let
me
just
say
one
additional
things
I
think
is
really
important
councillor
baker,
because
I
think
all
of
us
want
to
know
how
much
money
we're
spending
what's
the
most
effective
pathway.
What
makes
most
sense
so
we're
actually
evaluating
these
the
number
of
people,
the
total
number
of
people
who've
been
placed
into
all
these
different
settings.
It's
not
just
roundhouse.
You
know
that
they're
pallets.
You
know
that
they're
congregate,
settings,
112
and
willow's.
B
B
Otherwise
it
might
be
that
that
some
of
these
hotel
settings
are
the
best
place
for
a
certain
type
of
individual.
So
I
think
we
have
to
get
the
information
understand.
It
see
what
works
best
for
people
and
also
realize
that
this
is
just
complicated.
Addiction
is
just
complex.
I
don't
think
there's
one
answer.
Addiction
is
complicated,
but.
A
A
A
L
Arrived
in
april
last
year,
they
all
happened.
At
the
same
time.
It
was
a
coordinated
event.
I
think
they
weren't
there
before
we
always
had
people
there
for
years.
It
got
worse
during
the
that
the
opioid
crisis
last
10
years,
but
the
tents
all
showed
up
on
mass
and
cass
over
a
weekend
last
year,
and
then
it
just
grew
because
it
was
about
housing
first
about
a
year
about
a
year,
the
tents
they
were.
There
were
encampments
in
different
spots,
but
you
had
to
look
for
them.
You
had
to
find
them.
D
D
C
A
A
There
were
some
level
of
wraparound
services
right.
We
had
a
community
supports
program
through
masshealth
csp,
we
had,
they
could
do
outpatient
right,
they
could
have
an
outreach
worker,
they
could
have
a
street
worker
or
they
could
have
a
case
manager
if
whether
it
was
through
housing,
woods
mullen
clinic
or
the
shelter.
A
B
Counselor
counselor
anderson.
I
think
it
would
be
helpful
to
have
a
really
thought
through
well
throw
through
timeline.
I
was
just
texting
with
some
of
my
colleagues
who've
been
around
much
longer
than
I
have
and
they
would
like
to
get
back
to
you
with
a
good
timeline.
I
mean
we
could.
I
could
speculate,
but
I
I
really
wanna
appreciate
that
where
the
where
the
programs
came
when
they
came
in,
I
think
that
would
be
helpful
for
all
of
us.
No
problem.
A
B
B
We
started
making
arrangements
to
get
service
providers
in
and
then
the
decision
was
made
by
january
12th
to
essentially
move
everybody.
You
know
who
was
willing
to
go
and
everybody
was
willing
to
take
down
their
tent
and
go.
There
were
no
issues
with
that
to
move
them
into
some
low
threshold
setting.
I
think
it's
important
though,
as
I
was
explaining
is
that
we
didn't
send
everybody
to
a
hotel
room.
There
were
different
types.
There
are
different
types
right,
so
there's
congregates,
that's
important
for
us
to
recognize
they're
the
palace.
B
There's
a
state
funded,
you
know,
mechanism
for
low
threshold
housing
and
people
were
sent
there.
You
know
in
a
way
that
we
thought
was
somewhat
systematic.
You
know,
I
think
I
told
you
we
did
an
equity
analysis
to
see
where
people
were
going.
I
think
overall,
what
we're
trying
to
find
out
is
what
works
best.
You
know
what
works
for
best
for
people
as
they
sort
of
on
their
journey
to
recovering.
Hopefully,
so
that's
why.
B
I
think
that
it
was
challenging,
so
dr
burrell
really
led
that
process
and
probably
would
be
better
placed
to
speak
in
detail
because
she
went
to
all
the
community
meetings.
You
know
I
went
to
some
of
them.
I
think
there
were
lots
of
challenges,
lots
of
concerns
about
the
roundhouse
and
the
existence
of
the
roundhouse
concerns
about
having
folks
be
in
low
threshold
housing
in
other
neighborhoods
around
the
city
and
that's
been
an
ongoing
challenge,
but
it
was
able
to
move.
We
were
able
to
move
it
forward.
I
think
maybe
that's.
A
Prior
to
that,
I
used
to
work
with
clients
in
long
island,
and
I
know
I
know
that
the
service
I
know
I'm
very
familiar
with
the
services
in
place
up
to
about
that
time
and
what
I
saw
in
the
last
several
years
with
mass
and
cass
is
this
increase
right
of
people
coming
in
and
nothing
happening?
Nothing
happening.
Pre
this
administration
pre,
dr
pisola
pre-doc
free,
dr
burrell.
A
Nothing
happening
nothing
happening.
Just
outreach
street
teams
outreach
street
teams.
Then
it
was
like
okay.
Well,
they
can't
go
cold.
We
need
tents,
right,
heat,
exhaustion
or
whatever
else.
So
it
was
like
a
temporary
and
it
was
very
communicated.
You
know
well
communicated.
It
was
going
to
be
temporary
situation
with
the
tents
low
threshold
housing
as
dr
vissolo
is
explaining
is
really
evidence-based
and
it
is,
it
does
prove
it's
been
proven
that
this
is
the
best
most
effective
way
of
people
getting
treatment.
I
understand
evidence
I
don't
agree.
A
I
totally
get
it.
I
understand
that
you
don't
agree,
I'm
now
just
stating
my
point
and
I'm
saying
that
yeah.
Well,
I
see.
Yes,
you
are
absolutely
right
and
you're
yeah
you're
welcome
to
respond.
I
guess,
but
I
have
heard
you
disagree
already
and
I'm
saying
to
you.
I
guess
now,
fine,
let's
do
this
fine,
I'm.
L
And
this
is
my
opinion
also,
so
the
proliferation
of
methamphetamine
happened
also
methamphetamine,
just
strips
people
of
their
their
inhibitions
and
that's
why
a
lot
of
them
are
out
on
the
on
the
street.
Otherwise
they're
not
gonna
they're,
not
gonna
care,
so
little
of
themselves
than
to
go
and
do
what
happened
on
the
street
class
here
to
me,
they'll
all
that
look
like
methamphetamine
induced.
A
The
challenge,
the
challenge
is
that
the
challenge
is
right
there,
that
people
don't
actually
have
all
the
answers
and
that
different
methods
have
been
tried
in
different
countries.
But
there
are
evidence-based
research
that
we
can
talk
offline
and
that
we
can
look
up
or
get
from
public
health
to
actually
show
you
what
you're
asking
for
there
there's
actually
research
that
shows
you.
A
A
C
B
Well,
just
to
start
bpd
is
at
the
table.
We
have
been
meeting
with
them.
We
have
been
talking
through
strategies.
We
are
sort
of
working
on
a
collaborative
approach,
because
this
isn't
just
this
shouldn't
just
be
led
by
public
health.
This
isn't
just
about
public
health.
This
is
about
public
safety.
We've
been
working
with
many
different
stakeholders,
including
ems,
including
other
folks,
who've,
been
helping
us
to
deal
with
this.
I
don't
think
that
there's
one
strategy
that's
going
to
work.
B
I
think
many
different
options
are
on
the
table,
but
I
don't
think
we
can
deviate
from
the
fact
that
we
have
to
treat
people
with
empathy.
We
have
to
treat
people
as
though
they
have
an
illness.
That
is
why
we're
doing
the
things
that
we
are
doing
so
yes,
public
health,
is
leading
in
terms
of
the
that
underlying
thematic.
You
know
sort
of
impetus
for
doing
this,
but
bpd
is
right
there
at
the
table,
we're
all
talking
about
how
to
manage
this.
This
very
difficult
situation.
A
The
other
point
that
I'll,
thank
you
so
much
about
sol.
There's
the
point
that
I'll
make
is
like.
I
get
that
you
this.
This
hits
home
and
your
compassion
and
you
have
been
very
respectful-
and
I
appreciate
you
for
that.
But
the
other
thing
is
that
we
have
to
understand
the
language
that
we
use.
Even
when
we're
just
talking
about
our
cousins
or
our
family
members.
There
are
people
watching
and
there
are
ways
of
communicating.
A
You
know
this,
this
type
of
thing
in
ways
that
we're
not
offending
people,
and
so
I
I
try
to
remind
for
me.
I
tell
myself
that
I
try
to
remember
to
come
from
a
strength-based
point
of
view
in
terms
of
how
we're
talking
about
recovery,
because
we
can
hurt
people,
you
know
in
the
way
that
we
speak,
and
this
is
a
very
hard
disease
that
we're
talking
about,
like
I'm,
always
talking
about
equity
right,
I'm
always
like
hey.
How
are
we,
including
nubian
square?
A
The
black
folks
has
been
you
know
suffering,
and
what
did
we
do
with
the
crack
epidemic?
And
up
to
now,
I'm
always
trying
to
bring
that
forward
and
saying,
let's
make
sure
that
we
are
doing
this
with
an
equitable
lens,
but
ins
and
still-
and
I
come
from
a
generation
that
you
know.
I
say
we
use
terms
that
we
can't
just
can't
say
anymore,
and
so
I
think
that
even
when
it
hits
home
even
when
we
know
that
you
know
this
is
something
we've
dealt
with.
A
I
think
no,
no,
I
don't
think
I
want
to
like
manage
how
you
talk.
I
I
think
I
was
saying
for
myself
in
terms
of
how
we
communicate
and
going
back
and
forth
and
just
being
mindful
and
not
getting
too
emotional
about
it
for
me,
because
then
I
don't
want
to
like
say
anything
out
of
nowhere
that
offends
people
right.
So
I
rather
talk
to
you
offline
about
this.
If
you've
done,
if
you've
said
anything,
I
wasn't
actually
like
managing
how
you
were
talking.
I
think
you
did
really
good.
L
Okay,
we
had-
and
you
were
just
mentioning
all
all
options
are
on
the
table.
What
I'm
saying
is
the
section
35,
the
section
12
option
isn't
on
the
table
in
a
little
little
bit.
We
talk
about
the
police
being
involved,
so
the
police
have
someone,
that's
obviously
whacked
out
on
meth,
running
up
and
down
in
the
middle
of
traffic
naked
right.
L
What
are
they
supposed
to
do?
Pick
them
up
and
do
what
with
them,
bring
them
back
to
the
station,
because
that's
all
bring
them
back
the
station
bring
them
in
front
of
a
judge
and
they're
out
the
very
that
same
day.
If
we're
not
sectioning
people
or
even
if
we
had
a
program
that
was
a
section
35
program,
people
could
self-section
themselves
because
I'm
sure
there's
people
down
there
that
have
had
enough
that.
B
Would
say
I
just
want
to
clarify
my
statement,
I
didn't
say
all
or
if
I
did,
I
misspoke,
I
said
most
options,
but
we
have
to
lead
with
empathy
and
with
a
public
health
approach.
That's
really
what
I
want
to
end
this
with,
because
I
kind
of
think
we
have
to.
We
can
continue
to
have
conversations
about
it
and.
L
A
A
A
I
don't
have
an
issue
with
that.
I
just
want
to
redirect
us
back
to
the
questioning
and
then
I'll
go
to
counselor
roozi
for
her
questions
and
then
back
to
you
for
more
questions
not
reiterating
the
same
point
hopefully
and
then,
and
then
we
can
wrap
up
after
that,
okay,
counselor
lujan.
You
have
the
floor.
J
Thank
you,
madam
chair,
you
know,
council
baker.
A
trick
would
be
just
to
say
your
statement
and
at
the
end
ask
a
question
by
saying
what
do
you
think
you
know,
but
I'm
not
encouraging
you
to
do
that
and
just
say
I
have
a
question
just
about
where
in
our
budget
are
we
addressing
the
black
maternal
health
crisis
and
the
disparities
when
it
comes
to
birth?
J
B
B
I
just
have
one
more
question
after
this,
so
I'll
just
tell
you
we
provide
in
this
last
fiscal
year,
we've
provided
services
to
more
than
800
children,
more
than
385
pregnant
women
and
522
postpartum
women.
Most
of
them
are
women
of
color,
low-income
women
of
color
and
that's
providing
services
in
their
home.
B
A
A
B
J
J
Yeah
it's
on
one
page
123
of
our
budget
book
and
then
the
last
thing
I'll
say
is
that
in
the
budget
book
you
know
it.
Talks
about
the
homeless
service
bureau
is
not
broken
out
by
section
programs
for
us
to
understand.
What's
actually
happening,
this
breakdown
of
youth
housing
like
if
that
you
know
it's
help,
especially
when
there's
significant
funding.
J
That
breakdown
would
be
helpful
for
us
to
understand,
like
what
does
it
programmatically
look
like
and
where
are
we
putting
our
money
in
in
homeless
services
and
homeless
services,
but
that
would
also
go
to
youth
rapidly
housing
too
right
within
90
days.
What
does
that?
I
mean
it's
hard
to
re-house
someone
in
90
days.
J
You
know,
and
I've
tried
multiple
times
as
an
attorney
now
as
city
councilor,
so
would
like
to
know
what
that
program
looks
like
because,
if
there's
there's,
if
there's
something
that
we're
doing,
that's
successful,
I'd
like
to
I'd
like
to
recreate
it
and
I'll
find
for
you
that
line
up
that
page
with
that
information.
Just
so
that
you're
able.
D
A
M
M
M
M
I
have
facts
and
figures
that
I've
put
together
in
a
proposal
which
the
clerk
I
think
has
distributed
to
the
counselors,
so
I
won't
go
too
heavy
into
that
and
instead
wanted
to
to
share
personally
why
I
believe
so
strongly
in
the
work
that
the
phoenix
is
doing.
My
mom
is
sober.
My
brother
is
sober
ironically
at
the
age
of
21.,
and
I
share
that
just
to
say
that
I
know
what
sobriety
looks
like.
I
didn't,
however,
know
what
a
recovery
community
looks
like
until
I
started
working
in
the
field.
M
My
first
experience
working
in
a
recovery
community
was
my
first
job
outside
of
college
in
seattle.
When
I
moved
across
country
to
try
something
new,
I
was
about
three
weeks
into
the
job.
When
I
got
a
message
from
one
of
my
best
friends
from
college
saying
that
her
boyfriend
had
died
of
using
drugs,
I
immediately
went
outside.
It
was
in
the
workday
to
call
her
and
was
crying
outside
and
called
my
colleague
and
said.
I
need
to
have
someone
bring
out
my
bag.
I
need
to
go
home
and
be
alone.
M
He
came
outside
and
walked
around
with
me
and
got
me
to
open
up
about
what
had
happened,
and
I
shared
the
tragedy
and
explained
that
I
just
needed
to
go
home
and
be
alone.
He
paused
and
said
to
me.
I
don't
know
if
you've
caught
on
yet
to
what
we're
doing
here,
but
when
one
of
us
is
hurting,
we
don't
let
you
be
alone.
M
It
was
at
that
moment
that
I
really
learned
what
a
recovery
community
was.
It's
not
just
a
place
to
sit
and
be
sober.
It's
a
healing
environment
where
people
build
relationships
and
lean
on
each
other
for
support
and
work
through
things
together.
Knowing
that
the
trauma
of
substance
use
extends
beyond
the
individual.
M
I
thought
about
that
moment
a
lot
during
the
pandemics,
and
so
many
of
us
are
suffering
alone
and
turning
to
drugs
and
alcohol
to
cope,
overdoses
have
increased
by
30
percent
just
from
the
year
prior,
as
we've
heard.
That's
why?
I
feel
fortunate
that
places
like
the
phoenix
exist.
They
don't
let
people
be
alone.
The
phoenix
invites
anyone
with
48
hours
of
sobriety
to
come
be
a
part
of
healing
community.
M
The
phoenix
is
for
people
who
are
new
to
recovery
in
long-term
recovery,
friends,
families,
allies
supporters.
Anyone
who
wants
to
live
a
sober,
healthier
life,
the
phoenix
is
for
people
who
have
lost
confidence
and
self-esteem
and
need
a
place
where
they
know
that
they'll
find
love
and
support
to
build
them
back
up.
M
The
phoenix
recognizes
that
addiction
is
not
an
individual
problem,
but
it's
a
combination
of
traumatic
life,
experiences,
complex
relationships,
poverty,
generational
trauma,
and
so
it
takes
a
community
approach
in
which
all
are
welcome
to
normalize
that
healthy,
sober
community
to
normalize.
What
healthy
sober
community
looks
like
and
to
give
each
other
support
to
live
full
meaningful
lives.
M
At
a
recent
phoenix
family
night
that
we
had
one
of
our
regular
team
members
brought
her
grandson.
I
was
moved
thinking
about
the
power
that
her
recovery
work
will
have
on
her
family.
Not
only
is
she
breaking
the
intergenerational
cycle
of
trauma
by
working
on
her
own
recovery,
but
her
grandson
is
able
to
be
a
part
of
that
recovery
and
witness
firsthand
and
experience
what
resilience
and
health
looks
like
we're.
Deeply
invested
in
the
boston
community.
M
M
We've
also
included
a
request
for
a
capital
improvement
to
the
building
which
will
allow
us
to
maximize
space
so
that
we
can
have
multiple
classes
going
on
at
once
our.
Finally,
we
also
request
three
hundred
thousand
dollars
of
general
operating
support
for
three
years,
so
that
we
can
remain
a
consistent
resource
and
support
our
work
as
we
rise
to
the
challenges
posed
by
the
pandemic.
M
Today,
we're
submitting
a
proposal
for
five
million
dollars,
and
we
respectfully
request
that
you
consider
this
as
it
will
be
a
tremendous
improvement
as
we
aim
to
reach
thousands
more
people
in
recovery
and
those
who
love
them
and
support
them
all
with
free,
accessible
healing
recovery,
support
and
community.
Thank
you
for
your
time.
A
Maddie,
I'm
very
I'm
so
impressed
with
your
work
and
thank
you
so
much
for
taking
the
time
and
being
patient
and
waiting
for
your
turn
really
appreciate
the
work
that
you
guys
do
at
the
phoenix
and
yeah
just
completely
impressed
with
you.
Thank
you
so
much.
Thank
you.
I
appreciate
the
time
so
I
don't.
I
don't
have
any
other
questions.
I
think
we
can
wrap
it
up
here.
Do
you
have
any
closing
statements
I
wanted
to
address
the
ems.
A
I
didn't
really
have
a
back
and
forth
with
you
guys,
but
chief
hooley.
I
really
appreciate
you.
We've
only
had
maybe
one
or
two
encounters
ever
and
you
just
strike
me
to
be
just
a
really
decent
human
being,
and
I
appreciate
the
work
that
you
do.
I
appreciate
the
ems
everyone
in
your
department
and
I
really
really
appreciate
that.
You
understand
that
we
should
move
toward
ecuador,
equitable
pay
and
higher
hiring
of
people
of
color
in
your
department.
A
I
really
appreciate
that
you
understand
that
and
that
you
so
eloquently
explained
today
that
we
have
began
to
do
a
better
job
and
being
more
intentional
with
outreach
and
how
we
are
paying
for
trainings
really
want
to
work
with
your
department
and
seeing
how
we
can
increase
the
funding
to
pay
for
those
trainings
and
certifications
for
especially
recruits
of
color
and
we'll
definitely
be
in
touch.
We're
very
interested
in
this.
We've
been
talking
to
different
organizations
and
people
that
are
interested
in
supporting
you
as
well.
E
Well,
thank
you
very
much
for
those
very
gracious
words.
No
we're
doing
this
because
it's
the
right
thing.
You
know
we
realize
that
and
as
an
agency
we
boss,
ems
has
always
tried
to
and
in
the
field
of
ems,
we've
always
tried
to
lead
the
way,
but
we've
always
thought
of
it,
and
we
have
certainly
focused
on
technical
training
and
a
lot
of
things,
but
but
we
also,
we
want
to
incorporate
all
of
this
into
it
and
it
isn't
one
or
the
other
it's
it
has
to
be.
E
E
I
didn't
come
near
answering
your
question
when
I
started
going
down
about
a
few
different
things,
so
I
will,
but
we
we
do
have
several
programs
that
we've
done
in
a
continuing
to
do
in
bps
and
have
made
different
attempts
for
other
outreach
and
things
that
we've
done
at
specialty.
Schools,
kids
at
risk.
A
few
other
ones,
but
but
also
things
to
try
to
improve
cardiac
arrest
survival
across
the
city
by
getting
cpr
or
anytime,
taught
everywhere
stuff,
we'll
deep,
we'll
detail
that
all
out
writing
return
it
to
you.
A
Thank
you
so
much.
I
think
the
equity
packet
that
we
sent
was
sort
of
combined
all
in
bphc,
and
we
would
like
to
see
the
demographics
in
your
agency.
I
saw
that
the
chart,
but
I
didn't
actually
outline
the
numbers
and
in
the
way
that
we
asked
if
you
contract
out,
if
there's
any
procurements,
we
would
like
to
see
the
demographics
and
locations
of
those
as
well.
We
will
be
calling
you
back
for
as
a
chairways.
A
It
means
I'll
be
calling
you
back
for
equity
hearing
in
the
budget
that
we've
that
I
filed
a
couple
of
months
ago
in
that
we're
looking
to
sort
of
compile
and
aggregate
data
on
equity
and
just
being
really
intentional
about
measuring
how
we
are
working
on
equity,
in
the
city
of
boston
and
leading
by
example.
As
I'm
sure
we
all
want
to
do
that.
It's
a
difficult
thing,
because
sometimes
this
conversation
can
pose
or
some
people
may
feel
uncomfortable
and
as
though
it
poses
a
threat
to
their
livelihood
or
their
self-preservation.