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A
I
want
to
thank
everyone
for
joining
us
today
to
celebrate
this
critical
Federal
investment
in
the
work
of
confronting
the
Public
Health
crisis,
that
is
structural
racism
and
in
combating
substance,
use
disorder
and
homelessness
in
the
city
of
Boston.
Of
course,
I
want
to
thank
mayor
Wu
for
joining
us
and
commissioner
ojakitu
for
hosting
us
this
morning
and
for
being
incredible
Partners
in
this
work
and
in
the
work
of
really
empowering
Community
every
single
day.
A
I
want
to
also
thank
our
partners
in
healthcare
and
in
substance,
use
disorder
services
for
joining
us
today
and
for
your
year-round,
the
work
that
you
do
year
round.
The
work
of
healing
and
Collective
Public
Health
I'll
be
briefing
my
remarks
not
only
because
I'm
battling
laryngitis,
but
because
we
want
to
have
a
free-flowing
conversation
about
the
impact
of
this
grant,
as
well
as
the
work
that
we
have
before
us
as
policy
makers
to
build
healthy
communities
and
to
make
sure
that
everyone
is
safely
housed
and
on
a
pathway
to
lifelong
Health.
A
Today's
announcement
is
really
an
example
of
something
that
I
characterize
as
Cooperative
governing
it's
the
best
sort
of
partnership,
those
things
that
are
Community
Driven
government
endorsed
and
invested
in
the
Boston
Public
Health
commission,
the
mayor
of
Boston,
our
student
Partners
here
are
leading
innovating
and
thinking
about
big
ways
to
address
systemic
issues
like
homelessness,
addiction
and
structural
racism.
I
want
to
applaud
the
Biden
Administration.
A
You
know,
I
think
in
order
to
Be
an
Effective
lawmaker
at
the
most
basic
level.
It's
our
job
to
to
Center
the
humanity
and
dignity
of
people
and
to
solve
problems
and
I
believe
to
do
that
to
advance
legislation
that
is
responsive
and
so
I
want
to
applaud
the
Biden
Administration,
the
Department
of
Health
and
Human
Services,
and
the
office
of
minority
health
for
being
responsive
to
our
advocacy
and
modeling.
This
grant,
after
a
bill
that
I
introduced
in
partnership
with
Senator,
Elizabeth,
Warren
and
congresswoman
Barbara
Lee,
and
that
is
our
bill.
A
A
So,
in
order
to
apply
for
this
grant
funding,
municipalities
and
organizations
have
to
demonstrate
a
commitment
to
identify
new
and
innovative
ways
to
address
policies
that
may
create,
or
perpetuate
Health
disparities
and
may
contribute
to
structural
racism.
I
think
this
is
a
well-timed,
certainly
long
overdue,
but
it's
well
timed
in
that.
We
have
many
times,
we've
said
and
heard
others
talk
about
that.
A
A
However,
it
is
only
a
first
step
committed
to
continuing
to
Advocate
at
the
federal
level
for
investment
in
the
local,
Solutions
and
approaches
that
match
the
need
on
the
ground
and
that
municipalities
know
best.
That
was
a
key
component
to
our
bill.
The
anti-racism
public
health
act
in
that
I
did
have
an
incredible
two
religion.
A
Education,
I
was
serving
on
the
Boston
city
council
for
eight
years
being
the
founder
and
chair
of
the
committee
on
healthy
women,
families
and
communities
really
highlighting
that
the
health
of
the
individual,
the
family
and
the
community
are
inextricably
linked.
So
we're
very
closely
with
the
commission
and
it's
so
important
that
we
not
have
a
one-size-fits-all
approach
and
that
we
Empower
municipalities
and
public
health
departments
and
community-based
organizations
that
are
trusted,
voices
and
know
how
best
to
to
engage
in
power
and
reach
impacted
families
and
community
members.
A
And
so
in
that
vein,
I
would
like
to
ask
our
esteemed
participants
to
introduce
themselves
and
share
any
opening
remarks
before
we
jump
right
into
the
public
health
discussion.
So
we'll
begin
with
my
my
table
mates
here
with
the
mayor
and
the
commissioner
respectively,.
B
Thank
you
so
much
Congressman
Presley
and
it's
an
honor
to
sit
at
this
table
with
these
amazing
partners
and
leaders
and
Community
Advocates,
who
every
single
day
think
about
not
only
how
to
respond
to
immediate
needs,
but
to
change
the
system
and
build
the
infrastructure
that
we
need
so
that
we
will
be
on
a
different
trajectory.
Moving
forward.
B
I
I
want
to
Echo
the
thanks
and
highlight
that
we
wouldn't
be
here
today
without
the
leadership
and
vision
of
the
congresswoman,
alongside
congresswoman
Lee
and
Senator
Warren,
for
ensuring
that
this
landmark
anti-racism
and
public
health
act
set
a
mark
planted
a
flag
and
now
has
resulted
in
direct
resources
to
our
community.
This
is
a
movement
and
a
push
that
the
congresswoman
has
championed
since
her
time
on
in
Boston
serving
on
the
council,
and
we
love
to
see
that
Municipal
and.
B
Continue
to
bear
fruit
for
our
residents
and
community
members
in
the
Massachusetts
7th.
It
also
empowers
agencies,
like
the
Boston
Public,
Health
commission
and
our
counterparts
across
the
country
to
really
dig
up
the
roots
of
structural
racism,
which
is
the
the
foundation
for
all
of
the
health
inequities
and
public
health
challenges
that
we
have
been
watching
grow.
B
Of
course,
you
know
this
group.
Doesn't
the
folks
at
this
table
will
speak
to
this
in
in
much
more
depth
and
expertise,
but
it's
important
to
always
start
by
remembering
where
we
are
today
and
that
today,
in
the
healthcare
Mecca
of
the
world,
in
the
the
place
where
patients
from
all
around
the
planet
come
to
receive
care,
we
still
see
tremendous
gaps
right
for
our
own
residents
that
continue
to
highlight
racial
disparities
and
economic
injustices
as
well.
B
Patients
of
color
receive
less
effective
and
less
Compassionate
Care
than
white
patients,
and
this
weight
and
strain
of
racism
on
people
of
color
continues
to
be
measured
and
captured
in
the
data
in
terms
of
mental
health
and
physical
health
metrics,
and
so
this
funding
that
is
going
to
deliver
nearly
half
a
million
dollars
to
the
Boston
Public
Health
commission
under
Dr.
Ojukutu's
leadership
will
ensure
that
we
can
continue
pushing
for
the
mix
that
I
think
we've
already
seen
delivering
results
in
Boston
to
push
for
new
Big
Ideas.
B
That
really
show
the
potential
and
possibility
of
making
a
difference
when
we
decide
to
get
at
the
root
causes
of
challenges.
I
know
we'll
talk
a
little
bit
more
about
the
overlapping
crisis
of
mental
health
and
homelessness
and
substance
use
very
close
to
here,
geographically
as
well,
but
also
to
just
get
our
services
out
into
Community.
B
We
at
a
time
when
nationally
we
see
weaponization,
politically
of
vaccinations
and
and
the
pandemic
and
pandemic
response
here
in
Boston,
Dr
ojikutu,
just
LED
several
vaccination
and
booster
clinics,
or
we
had
hundreds
of
people
lined
up
in.
B
C
E
You
know
sometimes
I
like
to
start
with
definitions,
because
I
think
this
grant
is
so
very
focused
on
structural
racism.
We
don't
always
you
know,
pay
attention
to
what
that
means.
Structural
racism
is
the
way
in
which
public
policies
and
institutional
practices
perpetuate
racial
inequity
in
our
world.
For
me,
I
like
to
say
it
very
simply
and
say
it's
about
it's
about
hierarchy,
it's
about
privilege
and
it's
about
power
that
excludes
non-white,
individuals
and
it
manifests
a
systems,
failure
and
I.
E
It
needs
to
be
a
first
step
for
many
people
and
there
are
many
steps
beyond
that
on
a
path
to
recovery,
we're
taking
this
very
seriously
so
starting
in
December
of
2021,
we
implemented
a
plan
to
move
people
who
are
on
the
street,
not
more
than
a
block
or
two
from
right,
where
we're
sitting
from
tents
into
homes.
You
know
transitional
housing,
which
we
call
you
know
low
threshold,
because
it's
for
people
who
don't
necessarily
have
to
stop
using
you
know
they
still
have
substance
use
disorder,
but
they
have
a
home.
E
They
have
a
house,
they
have
a
place
where
they
can
sleep
at
night
and
that's
been
critical
so
since
that
time
of
417
people
have
entered
low
threshold
housing
and
we
currently
have
about
189
who
are
currently
housed,
and
this
is
really
a
critical
thing.
You
know
I
want
to
say
this
and
really
highlight
the
point
that
this
is
novel.
Other
people
around
the
country
aren't
doing
this
at
least
not
at
this
scale
and
I.
I.
E
Do
really
commend
the
commitments
here
in
Boston
to
to
move
this
forward
a
little
bit
about
race
and
racial
inequity,
Baseline
data
from
those
individuals
who
we
initially
housed
a
22
identified
as
black
35
identified
as
latinx
so
about
57
were
people
of
color
and
in
more
recent
data
here
that
we've
acquired
from
from
folks
who
are
out
living
on
mass
massacass
and
in
that
area,
and
we've
seen
an
increase
in
the
number
of
people
of
color
who
are
actually
out
there
and
who
are
suffering
because
we
know
there's
this
long.
E
History
of
inequitable,
access
to
substance,
use
treatment,
housing,
Prevention
Services.
We
really
feel
that
this
grant
is
going
to
move
things
forward
and
we're
going
to
use
this
grant
to
ensure
that
there
is
equity
in
in
how
we
proceed
with
this
particular
initiative.
The
low
threshold
housing
as
well
as
other
work
that
we're
doing
around
the
city.
E
C
E
We
want
to
make
sure
that
we
are
providing
services
to
everyone,
not
just
about
the
people
who
are
who
are
there
and
I
also
want
to
say
that
we're
documenting
and
disseminating
this
information.
We
want
to
be
transparent
about
what's
happening,
and
we
want
to
engage
people
in
these
discussions
because
it's
so
critical
for
for
all
of
us
to
be
at
the
table,
so
I'll
stop
there
and
I
just
want
to
thank
again
congresswoman
Presley,
as
well
as
Senator
Warren,
for
their
efforts
to
make
this
grant
possible.
E
F
Good,
so
my
name
is
wendia
Rodriguez
and
I'm.
The
program
manager
at
National,
Hospital
I'm
also
a
person
in
long-term
recovery,
and
for
me
that
means
I
get
to
sit
at
tables
like
this.
F
It's
so
wonderful
to
hear
about
this
bill
and
what
it
can
possibly
do.
My
passion
right
now
is
looking
at
the
intersection
of
substance,
use,
disorder
and
race
and
how
that
affects
people
I've
been
a
recovery
coach
also
for
a
long
time,
and
one
of
the
things
that
you
know
always
struck
me
was
seeing
people
who
go
into
treatment,
people
of
color
go
into
treatment
and
then
have
to
face
racism
while
they're
getting
treatment,
and
that
has
always
been
something
that
I
really
want
to
address,
and
you
know
hopefully
part
of
this
grant.
D
You
terrific
hi
everybody
I'm
Dr,
Miriam,
kamarami
I'm,
the
medical
director
of
the
Grayson
Center
for
addiction
at
Boston,
Medical,
Center
and
I
really
want
to
thank
you,
congresswoman
Presley,
for
shining
this
light
on
the
need
for
public
health
level
interventions
to
address
systemic
racism
and
helping
to
provide
the
resources
to
allow
that
to
happen.
I
think
the
partnership
with
the
city
of
Boston
is
ideal,
because
that's
what
this
Administration
has
been
all
about:
Mary
Wu
and
public
health
commissioner
ojikuchu
have
for
the
first
time
said.
D
The
solution
to
people
living
in
encampments
on
house
needs
to
involve
housing
that
works
for
those
individuals
and
combining
that
with
wraparound
Treatment
Services
is
an
incredibly
powerful
model.
We
often
hear
that
people
who
are
experiencing
homelessness
don't
want
to
be
housed,
but
they
like
living
on
the
street
and
yet
no
folks
who
have
come
out
of
the
encampments
and
gone
into
the
housing
that
we're
operating
at
The,
Roundhouse
and
collaboration
with
the
city.
No
one
has
chosen
to
leave
and
go
back
to
the
street.
D
Everybody
wants
a
safe
place
to
live
with
dignity,
and
that
can
be
a
platform
to
then
engaging
with
treatment,
services
and
kind
of
getting
a
handle
on
all
of
the
issues
that
combine
to
cause
real
challenges
for
our
patients
at
BMC.
In
the
graken
center
we've
engaged
in
a
project.
To
specifically
ask
the
question:
how
can
we
make
addiction,
treatment,
services
more
appealing
and
effective
for
black
people
throughout
my
career
in
addiction
and
medicine,
I've?
D
You
know,
inadequate
access
to
treatment
that
is
inequitably
distributed
and
then
unfortunately,
bad
experiences
during
treatment
and
in
many
ways
and
there's
so
much
work
that
we
need
to
do
there
in
order
to
address
that,
and
we
need
to
start
by
being
humble
and
standing
back
and
asking
the
question
what
what
will
make
a
difference?
How
do
we
address
this?
D
Make
the
services
available,
in
combination
with
services,
to
address
issues
of
homelessness
and
poverty,
and
so
on
that
stand
in
the
way
of
people
recovering,
and
it's
been
incredibly
exciting
to
feel
the
partnership
with
the
city
to
feel
like
we're
all.
We
all
have
the
same
aim
to
address
these
things
from
a
public
health
and
treatment,
centered
focus
and
really
help
people
make
changes
to
improve,
improve
their
lives,
so
we're
so
appreciative.
Thank.
A
G
Okay,
good
morning,
everybody
I'm
Dr
Denise
de
la
senesis
and
I'm
chief
medical
officer
at
Boston
hospital
for
the
homeless
program,
so
delighted
to
be
here.
Thank
you
so
much
for
the
honor
congresswoman
Presley
mayor,
wujikudo
I
think
it's
just
absolutely
fantastic
that
we
are
shiny,
a
light
on
the
fact
that
structural
racism
is
a
public
health
emergency.
It
is
a
Public,
Health
crisis.
G
Many
of
us,
in
public
health
and
in
medicine
have
known
this.
For
for
for
a
very
long
time,
we
see
it
on
a
daily
basis
on
the
basis
of
the
patients
that
we
care
for
and
in
fact,
at
healthcare
for
the
homeless
program.
Every
day
we
are
caring
for
individuals
who
are
at
the
intersection
of
homelessness
of
racism,
structural
racism
and
also
of
addiction.
G
We
for,
on
our
part,
a
healthcare
for
the
homeless
program.
We
we
strive
to
provide
not
only
the
highest
quality
care
for
our
patients,
but
also
the
most
Equitable
care,
and
we
do
that
through.
We
strive
to
do
that
by
provision
of
low
threshold
services
and
designing
Innovative
services
with
all
patients,
including
patients
of
color
in
mind.
We
have
a
very
robust
consumer
Advisory
board
that
really
helps
vet.
All
of
our
initiatives
and
I
will
say
that
our
patient
population
is
struggling
incredibly,
as
you
can
imagine.
G
So
there
is
a
high
prevalence
of
what
we
call
comorbid
disease
for
a
patient
population
which
is
a
layered,
chronic
medical
diseases
on
top
of
Behavioral
Health
diseases
on
top
of
addiction
and
then
add
on
top
of
that.
The
trauma
the
trauma
of
day
in
and
day
out,
not
having
their
their
basic
needs,
met
housing,
hadn't
having
to
do
with
food
insecurity
and
then
also
structural,
racism
and
the
weathering
that
accompanies
that.
G
To
the
indignities
of
structural
racism
and
also
interpersonal
racism,
which
so
exists
or
anything
a
health
care
for
the
homeless
program,
we
have
built
a
structure
of
not
only
integrated
by
primary
care
and
Behavioral
Health
in
order
to
better
meet
the
needs
of
our
patient
of
our
patients,
but
we've
also,
of
course,
integrated
addiction,
medicine
services.
We
provide
medication
for
for
opiate
use
disorder
to
more
than
600
patients
across
more
than
30
sites.
G
We
are
just
incredibly
incredibly
grateful
to
be
at
the
table
for
this
and
hope
to
continue
to
be
at
the
table
for
the
city's
efforts
and
conditions
efforts
moving
forward
with,
with
this
grant
plan,
funding
for
all
of
the
Innovative
programming
and
Equitable
designs
that
we
can
put
in
place.
So,
thank
you
very
much.
Thank.
A
H
Thank
you
so
much
for
allowing
me
to
be
here:
I'm
Dr,
Charles,
Anderson
I'm,
the
president
CEO
at
the
dimmick
center
special
thanks
to
you,
congresswoman
for
your
hard
work
and
making
this
opportunity
available
for
us.
It's
it's
timely!
It's
important!
Thank
you,
mayor
Wu!
Thank
you,
Dr
Jacob,
thank
you
for
all
of
your
leadership
in
helping
us
really
seize
this
moment
and
address
these
opportunities
that
in
front
of
us
I'd
also
like
to
thank
you
from
the
onset
of
doing
this.
In
this
real
realm
of
positivity.
I
C
H
It's
your
kind
of
Relentless
energy
that
helps
remind
us
that
we
can
solve
these
problems.
They
are
solvable.
Solutions
are
about
an
active
process,
it's
not
a
noun,
it's
really
a
verb,
it's
how
we
come
together
actively
and
do
this,
and
this
this.
This
funding
is
part
of
the
field
that
supports
that
engine,
to
drive
solutions
and
I.
Thank
you
for
that
academic
center.
We
actually
are
a
federally
qualified,
Community
Health
Center.
We
serve
over
20
000
residents,
we're
down
a
nine
Acre
campus
right
in
the
middle
of
Roxbury
on
our
campus.
H
What
we've
done
in
terms
of
substance
use
disorder
is
that
30
percent
of
the
non-hospital
detox
beds
for
the
city
are
on
our
campus,
so
we've
got
39
beds
going
to
44
soon
and
we
do
about
2
000
missions
a
year
through
our
detox,
but
it
just
doesn't
stop
at
detox,
because
once
someone
goes
through
detox,
there's
other
stages
of
that
process.
This
is
a
chronic
disease
that
can
be
managed,
but
you
can't
do
it
in
a
fragmented
system.
H
If
you
have
detox
somewhere,
you
have
next
steps
other
places
around
the
state.
It
makes
it
more
difficult.
So
what
we've
actually
done
at
the
dimmick
center
is
we
offer
detox
step
down,
which
is
clinical
stabilization
and
residential
recovery?
Well,
what
does
that
mean?
It
means
someone
like
a
patient.
I
was
talking
to
yesterday,
who
spent
nine
months
on
our
campus
is
able
to
start
her
process
in
detox
and
nine
months
later
she
was
able
to
exit
our
campus
with
a
sense
of
hope,
a
job.
Although
she
corrected
me,
she
doesn't
have
a
job.
C
H
She
never
thought
she
had.
She
has
housing,
and
she
has
this
sense
that
she
knows
that
there
are
people
who
care
about
her
and
that
her
life
does
have
meaning
that's
what
we
do
by
actually
bringing
all
these
Services
together
on.
One
amazing
campus,
serving
hundreds
of
people
every
single
month
on
their
journey.
C
H
People
who
require
in
terms
of
that
change,
there's
there's
lots
of
data
to
support
the
fact
that
when
you
have
racial
and
ethnic
concordance
between
provider
and
patients,
there's
a
different
level
of
satisfaction,
and
when
you
really
talk
to
patients
and
clients
in
this
setting,
what
you
realize
very
clearly
is
there
are
things
that
they're
able
to
talk
about
in
that
situation
that
they
aren't
able
to
talk
about
what
somebody
does
not
look
like
them.
So
it's
about.
C
H
C
H
We're
not
serving
the
needs
of
a
large
group
of
individuals
where
that
is
a
big
part
of
the
issue,
so
we're
introducing
that
in
our
programming
and
the
other
one
is
around
infrastructure.
So
we're
constantly
thinking
about
ways
to
add
capacity,
because
one
of
the
challenges
here
is
do
we
have
enough
capacity
again,
30
percent
of
the
non-hospitalized,
a
non-hospital
beds
on
our
campus.
That's
39
beds,
they're,
roughly
5
000
people
in
this
state.
Roughly
a
thousand
people
I'm.
H
Sorry,
there
are
50
000
people
in
the
state,
roughly
5
000
people
in
the
city
of
Boston
who
are
looking
for
services
every
year.
We
need
to
be
adding
capacity.
We
need
to
add
capacity
of
communities
where
their
individuals
who
want
to
receive
services
in
their
Community
because
that's
where
they
feel
safe
and
protected.
So
those
are
the
things
that
we
look
forward
to
partnering
and
continue
to
partnering
with
you
on
in
terms
of
things
that
we
do
Academic
Center.
A
A
Each
and
every
day,
I
want
to
start
with
a
broad
question
and
then
I'll
get
you
a
more
granular
one
that
I'll
direct
to
the
commissioner,
but
when
I
at
first
ventured
sort
of
into
this
space
legislatively
around
anti-racism
and
public
health,
the
response
by
many
very
well-meaning,
you
know,
colleagues,
allies
advocates
in
this
space
I
think
it's
hard
for
people
to
not
respond
in
a
way
that
is
defensive.
So
if
you
are,
if
you
do,
the
work
of
recovery
and
substance
use
disorder
treatment.
A
If
you
are
a
doctor,
if
you
are
a
dedicated
staff
member
at
a
shelter
supporting
those
that
are
that
are
unhoused
and
sort
of
congregant
in
a
congregant
situation,
the
response
was
often
but
I'm,
not
racist,
right,
I'm,
very
committed
to
my
clients,
I'm
very
committed
to
the
work
that
we're
doing
every
day.
I'm,
not
racist
and
I.
Just
wonder
if
you
can
speak
a
little
bit
to
that,
because
we
know
that
a
lot
of
this
is
well.
A
All
of
it
is
about
social
determinants
right
in
the
Massachusetts
7th
in
a
three
mile
radius
from
Cambridge
to
Roxbury
Harvard
Square
to
Nubian
Square
life
expectancy
drops
by
30
years
now.
That
is
not
something
that
organically
happened
in
The
Ether.
That
is
a
as
a
consequence
of
what
I
would
consider
to
be
policy,
violence
and
budgets
that
don't
codify
the
value
you
know
of
every
life
and
communities
that
have
been
under
resource
but
disproportionately
burdened
by
Environmental
injustices.
A
Perhaps
unequal
access
to
Quality
Health
Care
residing
in
subpar
housing,
which
we
know
housing,
is
a
critical
determinant
of
health
and
then,
of
course,
the
impact
of
racism
itself,
and
so
this
is
about
those
with
multiple
marginalized
identities,
experiencing
layered,
sometimes
legislative
trauma
and
and
how
we
respond
in
this
moment.
So
for
those
who
don't
and
you
all
have
done
an
eloquent
job
already,
but
I
wonder
if
you
would
just
double
down
on
and
whoever
would
like
to
speak
to,
how
does
structural
racism
show
up?
This
is
just
about
training.
A
Doctors
is
it
just
about
a
staff
that
is
reflective
of
the
community
with
what
you're
serving
you
know.
How
do
we
do
that
in
this
space,
and
actually,
commissioner
I'll
start
with
you,
because
this
grant
is
a
novel
concept
which,
in
and
of
itself,
is
saying
something
right
so
because
it's
granted
specific
to
addressing
issues
with
an
anti-racism
lens?
So
that's
new
and
so
I
know
we're
in
the
early
process
as
commissioner
of
executing
on
this
grant.
But
could
you
share
your
guiding
principles
in
applying
for
and
executing
this
grant.
E
E
Think
that
that's
a
good
thing,
but,
let's
delve
in
and
let's
talk
about
what
that
means
for
most
people,
what
that
means
is
having
a
very
disciplined
approach
to
how
we're
documenting
race
and
ethnicity,
knowing
who
it
is
who's,
getting
access
to
what
you
know
at
what
point
they're
getting
access
to
what
what
their
outcomes
look
like
understanding,
the
disparities,
you
know-
and
maybe
you
know
working
to
fix
them.
So
that's
a
racial
Equity
lens.
What
we
want
is
a
racial
Justice,
lens
and
I.
Think
that
delves
more
deeply
into
what
racism
does.
E
It
means
addressing
the
trauma
that
Dr
Anderson
mentions
and
having
that
woven
into
any
intervention
that
we
try
to
implement.
It
also
means
shifting
power.
It
means
the
people
who
are
living
with
the
problem
need
to
be
at
the
table
addressing
designing
developing
and
you
know,
studying
the
solutions.
I
think
that
is
where
you
dig
into
what
how
you
address
racism,
particularly
as
you
as
you
address
structural
racism,
who's
developing
the
policies.
How
is
it
that
we
are
truly
engaging
them?
E
Are
we
doing
it
in
an
equitable
way,
so
that
not
only
do
they
sit
at
the
table
because
I
know
I
just
use
that
term?
We
all
use
that
term,
but
are
there
voices
being
heard
and
are
there
voices
then
implemented
in
involved
in
the
actual
implementing
of
the
intervention?
So
for
me,
that's
the
difference
between
you
know,
looking
at
race
and
ethnicity,
and
really
addressing
racism
very.
A
Thank
you
for
that
Dr
Anderson
in
all
of
our
HealthCare
Partners
I'm,
going
to
ask
a
question
and
then
we'll
follow
up
with
the
mayor,
so
Dr
Anderson,
you
and
I
have
been
spending
a
fair
amount
of
time
together
through
Community
Project
funding
working
cooperatively
with
those
closest
to
the
pain
we
were
able
to
deliver
a
one
million
dollar
investment
endemic
to
support
that
program
and
invest
in
that
which
you
were
speaking
about,
and
one
of
the
data
points
that
I
found
most
alarming
was
that
during
the
pandemic,
we've
seen
a
69
increase
in
opioid
fatality
of
black
men,
and
so,
as
I
said
at
the
outset,
we
know
that
every
disparity
has
been
exacerbated.
A
I,
wonder
if
our
partners
in
healthcare
would
just
speak
to
how
has
that
shown
up
specific
to
substance,
use,
disorder
and
homelessness?
How
have
you
seen
what
sort
of
Trends
are
you
seeing
and
and
how
disparities
been
compounded?
What
are
you
saying,
I'll.
C
C
H
After
a
while.
You
see
that
you
feel
that,
and
you
make
it
makes
it
really
really
hard
for
a
black
man
who's
just
trying
to
care
for
his
family,
but
in
dealing
with
all
the
other
things
that
he's
dealing
with
in
life
finds
himself
in
this
path
of
trying
to
self-medicate
and
deal
with
the
mental
health
challenges
that
a
system
isn't
able
to
help
them
deal
with.
But
he
can't
raise
his
hand
because
if
he
does
he's
going
to
immediately,
he
thought
of
as
a
criminal
right
he's
going
to
immediately
be
thought
of.
H
H
The
problem
with
fentanyl
is
that
it'll
kill
you
especially
do
that
in
isolation
shuts
down
the
system
the
young
lady
I
talked
to
yesterday,
for
example.
The
main
reason
why
she
came
into
treatment
is
because
she
realized
doing
this
in
isolation,
because
the
stigma
and
not
being
able
to
raise
her
hand
like
anyone
else,
was
going
to
lead
her
to
be
in
a
position
where
she
was
going
to
die
and
die
alone.
A
A
Extinctions
in
treating
bipod
communities
with
men
and
women,
which
I
would
I
would
love
to
unpack
that,
but
before
we
do
because
I
know
we
have
about
five
minutes
and
I
want
to
be
able
to
have
an
even
greater
equality
of
voices
around
the
table.
But
mayor
I'm
going
to
turn
it
over
to
you
because
I'm
curious
about
how
you
would
distill
your
approach
to
addressing
homelessness
through
existing
City
resources,
and
where
do
you
see
you
know
other
avenues
to
partner
but
sort
of?
What's
your
your
guiding
principle
and
frame
there?
A
B
It's
I
think
in
some
ways
it's
challenging
to
distill,
because
homelessness
is
the
symptom,
not
the
problem,
and
so
all
of
our
efforts
around
how
we
plan
and
permit
development
in
our
city,
how
we're
investing
in
schools
and
Youth
Development.
It
really
all
is
the
actual
solution,
but
in
terms
of
how
we've
been
particularly
thinking
about
again
led
by
Dr
ojukutu
and
chief
Dylan
in
our
housing
cabinet
and
others
across
the
team,
Jen
and
everyone
who's
here
today,
it's
it's
really.
B
We
have
to
get
to
root
causes,
and
so
you
heard
some
of
the
numbers
about
hundreds
of
people
served
through
our
housing
surge
prior
to
January
of
this
year.
The
city
of
Boston
did
not
have
any
low
threshold
fully
medically
supported
housing
units
that
we
could
directly
connect
residents
and
house
that
masking
cast
to
and
in
being
able
to
stand
up
about.
200
of
those
units.
We've
seen
remarkable
remarkable
success
for
individuals
who
are
able
to
access
these
units
and
the
services.
B
It's
been
transformational
72
people
now
not
only
served
by
this
housing
but
then
transitioning
on
to
permanent
housing,
with
jobs
and
careers,
with
services
with
rent
resources.
To
help
with
that
of
the
individuals
who
are
in
those
housing
units
now
I
think
a
couple
statistics
I
want
to
lift
up
more
more
than
80
percent,
have
a
housing
plan
in
place,
working
with
case
management
and
coaches,
and
six
percent
have
even
identified
a
way
to
pay
for
rent
once
they
identify
an
apartment
in
housing.
B
Now,
of
course,
the
challenge
for
Boston
is
that
we
are
a
center
city
and
as
the
service
City
in
a
regional
and
National
crisis
here,
and
so
we
continue
to
say.
A
Thank
you.
I
know
that
we
have
to
transition
to
the
presser
shortly
but
wendia,
since
it's
important
to
all
of
us
to
to
Center
those
closest
to
the
pain.
Who've
been
the
most
directly
impacted.
Your
story
is
certainly
an
inspiring
one
and
we're
grateful
for
all
the
lives
that
you're
changing
and
saving.
Now
do
you
want
to
speak
a
little
bit
about
sort
of
what
you're
seeing
now
and
how
we
can
best
support
the
work
that
you
do
and
yeah
the
communities
you
said.
F
So
one
of
the
things
that
we're
doing
at
MGH
is
also
looking
at
a
racial
equity
and
racial
Justice.
Lens
and
part
of
that
work
is
inviting
the
community
and
looking
at
communities.
I
I
live
in
Mattapan
and
I,
always
say:
mattapan's
kind
of
a
desert
between
Mattapan
and
Hyde
Park.
It's
there's,
no
there's
aren't
there
aren't
even
like
peer-to-peer
meetings.
You
know
for
Recovery
there,
and
so
one
of
the
things
that
we're
looking
at
is
really
looking
at
the
different
kind
of
hot
spots
in
Boston
and
where
there's
a
lot
of
substance
use.
F
Let
people
have
the
wall
down
even
easier.
So
when
I
was
coaching,
you
know
once
people
would
meet
me
and
they
said.
Oh,
my
God
thank
God
you're
black
other
black
people
and
I
said
yes,
you
know,
and
I
would
tell
them
my
story
and
share
with
my
share
about
my
story
and
share
that
I'm
from
Mattapan,
and
this
is
what
I'm
doing
and
it
inspires
hope.
F
And
so,
if
we
can
have
more
people
who
are
in
recovery,
more
black
men,
we
need
so
many
more
black
men
who
are
recovery,
coaches
and
trained
as
recovery
coaches,
because
recovery
coaching
is
so
near
and
dear
to
my
heart
and
I
really
really
believe
that
that
is
the
gap.
That's
that's
where
the
Gap
is
it's.
You
know,
after
treatment
and
still
having
that
support.
Where
can
I
still
find
the
support?
Where
can
I
still
find?
F
You
know
somebody
who
understands
what
I'm
going
through,
and
that
is
a
really
important
piece
that
I
think
has
been
missing
in
this
process
and
Recovery
coaching
is
still
fairly
kind
of
new,
but
if
you
know
in
Massachusetts
we're
training,
coaches
I
was
I'm
telling
doctor
that
you
know
we
are
making
sure
that
our
coaches
also
have
a
racial
Equity
lens
and
what
are
they
doing
to
look
at
themselves
and
look
at
their
biases?
And
how
can
they
be?
You
know
advocates
in
the
places
that
they're
working,
excellent.
G
Word
about
how
careful
active,
how
how
fantastic
it
is
to
be
at
the
table
with
such
esteemed,
not
only
colleagues
but
also
with
you
all
as
leaders,
and
also
to
highlight
that
you
know
within
the
home,
assist
phase
and
again
this
this
this.
This
intersection
of
addiction
and
substance
use
disorder.
We
know
that
there
has
been
a
racist
War
on
Drugs.
We
know
that
that
has
bled
into
and
has
deeply
impacted
the
care
over.
The
individuals
who
we
see
on
the
streets
today
it
is.
G
It
is
part
of
the
fabric
of
why
they're
there,
and
so
we
want
to
be
at
the
table,
continue
to
be
at
the
table
with
this
Innovation,
with
increasing
advocating
for
increased
Workforce
diversity,
increase
investments
in
recovery,
coaching
in
Behavioral
Health
supports
in
connections
to
care,
upon
release
from
prisons
and
jails,
which
is
a
really
really
vulnerable
time
for
individuals.
Experience
who
are
experiencing
homelessness
when
they're
released.
G
We
have
set
up
some
programming
around
around
Correctional
linkages
to
care
mobile,
Health
fans
et
cetera,
but
it's
not
enough.
It
is
definitely
not
enough,
and
so
we
we
welcome
the
opportunity
again
to
continue
to
collaborate
with
the
city
with
you
all
and
are
so
grateful
for
the
amount
of
support
through
this
grant,
that
is
being
funneled
into
again,
highlighting
and
lifting
up
this
important
Public
Health
crisis
I
want
to
thank
you.
Thank.
D
Thank
you
again.
Congresswoman
yeah
I
wanted
to
just
pick
up
on
a
theme
here
about
Workforce
Development
that
the
addiction
Workforce
is
severely
inadequate
to
meet
the
need,
and
in
particular
there
is
not
nearly
enough
black
indigenous
and
people
of
color
in
the
addiction
treatment
Workforce.
D
A
The
moment
you
know
we
find
ourselves
managing
and
navigating
are
these
layered
unprecedented
challenges
and
I.
Thank
you
for
meeting
the
moment,
with
unprecedented
compassion
and
Leadership
and
investment,
and
also
collaboration,
and
you
know,
I'm
just
so
grateful
to
have
you
all
as
partners
in
the
work
of
changing
and
saving
lives
every
day,
and
that's
all
that's
what
we
all
want
to
do
so,
we'll
transition
now
to
the
press
conference
and
give
them
a
moment
to
physically
set
the
room
and
then
I
hope
you'll
join
us.
Thank
you.
Everyone
thank.
I
A
I
Your
thoughts
on
working
at
a
congress
particularly
trying
to
deal
with
structural
racism
and
how
we
intersects
with
public
health,
how
that
may
work
and
how
challenging
that
Envy
after
after
the
elections
at
the
house,
for
instance,
there's
Republican
and
there's
many
many
more.
You
know
well.
A
Dr
Anderson
did
reference
my
the
lack
for
a
better
phrasing
optimism,
bias
about
all
things
and
and
I
have
that
same
optimism
when
it
comes
to
our
chances
for
the
midterms
I.
A
People
are
very
clear
that
abortion
care,
which
is
Health
Care
our
reproductive
freedom
and
bodily
autonomy,
and
the
very
preservation
Integrity
of
our
democracy,
are
all
on
the
ballot
and
I.
Think
that
has
made
that
much
more
plain.
When
people
see
the
threats
to
our
democracy
and
to
our
lives
with
political
violence
and
the
like
what
happens
in
the
hands
of
far-right
extremists,
insurrectionists
and
conspiracy,
theorists
so
I
think
President
Biden
made
it
very
clear.
A
What's
its
daycare
I
think
the
Dems
have
a
good
story
to
tell
and
I'm
working
hard
for
the
next
five
days
locally
and
nationally
to
ensure
that
we
do
keep
the
house
and
grow
our
majority
in
the
Senate.
So
we
can
abolish
the
filibuster
and
continue
to
do
this
work
on
behalf
of
the
American
people.
I
E
Thank
you
for
that
that
question.
So
the
bulk
of
the
funding
is
for
the
city
of
Boston.
We
obviously
have
a
concentrated
crisis
occurring
in
the
mass
and
cast
area
and,
as
you
all
well
know,
we
have
approximately
200
people
who
are
aggregated
there
per
day
and
we're
certainly
looking
for
any
opportunity
to
help
them
move
into
housing.
E
This
low
threshold
housing
that
I
mentioned
and
to
move
on
to
recovery,
but
what
we
plan
to
do,
which
I
think
is
critically
important,
is
getting
out
into
other
communities
because
there's
certainly
people
who
are
living
with
and
experiencing
substance
use
disorder
and
unsheltered
status
in
other
neighborhoods,
all
throughout
Boston.
So
we
have
Community
engagement
teams
that
we've
established
who
are
working
with
both
community
members
as
well
as
Business
Leaders
years
decreasing
stigma.