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From YouTube: CB14 Human Services Committee Meeting (11/7/2022)
Description
Human Services Committee Meeting
Date: Monday, November 7, 2022, 6:30 PM
Location: Online via Webex
AGENDA
1. Maternal and perinatal health services presentation – Berenice Kernizan, By My Side Doula Services Coordinator, Healthy Start Brooklyn, NYC Department of Health and Mental Hygiene, Center for Health Equity and Community Wellness
2. Health Equity and Access to Care (HEAC) Study – Professor Diana Romero, Principal Investigator, CUNY School of Public Health and Health Policy
3. Other business
A
B
D
C
Okay-
and
you
are
the
coordinator
at
by
my
side,
Duel
of
services
at
Healthy,
Start
Brooklyn-
is
that
part
of
the
New
York
City
Department
of
Health
and
mental
hygiene,
yes,
okay
and
so,
and
part
of
the
Health
Equity
and
Community
Wellness
Division
I
guess
so
you
have
the
floor.
Tell
us
maybe
a
little
more
about.
You
know
what
you
do
and
then
go
for
it.
Thank
you.
C
A
E
E
E
E
So
let's
just
get
started
so
a
little
bit
about
what
duels
are
first
right
in
the
U.S
I'm
just
going
to
read
from
my
notes,
the
US
is
the
only
industrialized
country
where
rates
of
maternal
mortality
and
morbidity
are
rising.
We
are
also
spending
the
most
money
on
Health
Care
per
capita.
What
are
some
solutions
to
this?
The
use
of
doulas
has
been
identified
as
an
effective
intervention
that
can
help
to
decrease
the
racial
disparities
and
improve
birth
and
maternal
Health
outcomes.
But
what
exactly
is.
E
So
a
doula
is
a
non-clinical
birth
professional.
The
doula's
role
is
to
support
a
pregnant
mom
in
labor,
emotionally
physically,
and
also
by
providing
information
throughout
her
labor
and
also
prior
to
her
giving
birth.
So
typically,
a
doula
meets
a
mom
before
she
gives
birth
and
creates
a
birth
plan
with
her,
and
then
the
duel
is
on
call
for
Mom
starting
at
37
weeks
and
when
Mom
goes
into
labor
or
the
pregnant
person
goes
into
labor.
E
The
Doula
is
there
to
support
her
and
also
we
provide
a
couple
of
postpartum
visits
as
well,
so
what
to
do
with
it?
So
those
are
through
a
lot
of
things.
So,
if
you
focus
on
the
left
hand,
side
of
the
screen
you'll
see
that,
like
I
mentioned,
the
duels
also
help
with
birth
plans
right
so
really
getting
the
individual.
E
So
we
also
provide
tips
for
making
labor
more
comfortable,
including
position
changes
getting
in
and
out
of
the
shower
Etc
like
I
mentioned
we're
advocating
for
the
individual,
so
doulas
we're
not
making
decisions
for
that
individual.
We're
just
saying:
hey
here's
option,
A
and
option
based
off
of
what
the
provider
has
said
and
helping
them
to
make
an
informed
decision.
So
we
would
like
to
call
that
informed
consent
and
informed
decision
making
right
so
after
birth,
a
doula
will
flag
any
warning
signs
with
you
or
your
baby.
E
So
we're
also
checking
on
Mom
at
home
to
see
how
the
she's
adjusting
and
the
parents
are
adjusting
to
the
new
baby,
we're
normalizing
the
transition
to
Parenthood
or
a
new,
a
new
addition
to
the
already
existing
family,
and
we
are
encouraging
clients
again
to
seek
support
as
needed.
So
it
can
be
support
as
far
as
like
breastfeeding
support,
Mental
Health,
Counselors
Etc,
so
the
by
my
side,
birth,
Support
Program
serves
Central
Brooklyn
and
Eastern
Brooklyn.
E
Since
2010.,
we
are
funded
by
the
Healthy
Start
Brooklyn
Grant,
which
is
a
Federal
grant
housed
within
the
NYC
Department
of
Mental
hygiene,
health
and
mental
hygiene.
So
when
you
think
about
the
department
of
the
Doh,
you
could
think
about
Healthy
Start
and
then
by
my
side,
birth
support
is
under
that
umbrella.
So
a
lot
of
terms
is
to
say
all
of
that,
the
by
my
side,
birth,
Support
Program.
E
No
one
really
knows
how
long
labor
is
so
the
Doula
is
there
to
support
as
well
and
I.
Think
one
thing
I
forgot
to
mention
was
that
in
between
those
visits,
the
duel
is
also
in
contact
with
the
the
pregnant
person
right.
So
that
means
that
they
have
on
the
doula's
phone
number,
so
the
client
can
reach
out
to
the
Doula.
E
So
by
my
side,
we're
community-based
doulas
and
that's
when
we,
when
we
speak
about
referrals,
respond
people
they're
speaking
about
Mental,
Health
Resources,
let's
see,
there's
a
mom,
perhaps
facing
you
know,
issues
with
ACS
we're
there
to
support
them,
also
and
guide
them
in
the
right
direction
of
where
they
can
help
find
a
parent
Navigator
who
can
help
them
through
those
systems
right.
So
the
impact
of
doula
support.
E
So,
if
you
can
see
here
what's
going
on,
is
that
this?
This
big
slide
just
basically
says
about
four
things:
right:
doulas
we
improve
birth
outcomes
for
all.
We
improve
Health
Equity
right,
making
sure
that
you
know
there's
a
big
difference
between
equality
and
Equity.
So
when
we
speak
about
equality,
it's
different
from
Equity
right,
so
Equity
means
that
we're
providing
people
to
access
right
clients
or
anyone
to
access.
E
The
experience
of
care
and
doulas
are
also
cost
effective.
For
example,
each
C-section
avoided
provides
four
thousand
459
dollars
in
medical
care
savings.
There
are
higher
breastfeeding
rates
to
both
short
and
long
term
costs
for
both
mother
and
baby,
and
do
the
support
during
pregnancy
is
associated
with
the
reductions
in
pre-term,
birth
and
low
birth
weight
which
are
leading
causes
for
of
infant
mortality.
Excuse
me,
during
labor
to
Doula
support
is
associated
with
lower
rates
of
C-section
birth
as
well
as
decreases
in
other
interventions,
such
as
medical
pain,
management
and
instrumental
deliveries.
E
For
example,
a
use
of
the
use
of
a
forceps
additionally,
women
who
have
dual
support
are
more
likely
to
initiate
breastfeeding,
are
less
likely
to
experience.
Postpartum
depression
may
feel
more
confident
about
their
pregnancy
and
labor
and
have
greater
satisfaction
with
the
birth
experiences,
and
then
you
know
there
are
also
lower
rates
of
postpartum
depression
and
lower
rates
of
instrumental
deliveries.
E
Another
another
example
of
an
instrumental
delivery
would
be
the
use
of
a
vacuum
during
labor,
so
access
to-do
lists
doulas
are
not
covered
by
insurance,
so
they
historically
have
been
limited
to
people
who
can
pay
out
of
pocket
and
NYC
private
Doula
cost
can
cost
anywhere
from
several
hundreds
to
several
thousands
of
dollars.
Only
six
percent
of
women
have
had
a
doula
attend
their
birth.
The
main
barrier
to
to
this
is
the
access
to
access
is
financial.
E
E
I
will
explain,
but
what
you're
seeing
here
on
the
map
on
the
right
is
what
we
identify
as
the
tree:
a
tree
map,
so
in
April
2020,
the
city
launched
the
task
force
on
racial
inclusion
and
Equity
tree
for
short,
in
response
to
the
sport,
disproportionate
impact
of
covid-19
on
communities
of
color,
in
partnership
with
the
NYC
Department
of
Health
and
mental
hygiene,
and
using
and
utilizing
pandemic
and
health
of
pandemic
Health,
as
well
as
socioeconomic
indicators.
The
task
force
has
identified
33
priority,
neighborhoods
of
focus,
which
you
see
highlighted
here.
E
E
The
second
is
expanding
and
strengthening
the
Doula
Workforce,
which
consists
of
training
communities,
community
members
to
become
doulas,
providing
apprenticeships
and
continuing
education,
as
well
as
creation
of
a
community
Advisory
Board.
To
hear
from
doulas
and
community
members
alike
about
what
is
what
is
working
and
what
is
it?
The
third
is.
The
support
is
supporting
hospitals
and
becoming
more
Doula
friendly
right,
because
doulas
are
not
the
solution
to
everything,
but
you
know
we
can
help.
So
we
can't
do
the
help.
We
can't
do
that
without
enlisting
in
the
help
of
the
hospitals.
E
So
the
CDI
mission,
in
short,
is
what
you
see
here
on
your
screen.
We
are
hopeful
that
the
three
components
of
the
CDU
CDI
expanding
access
to
Doula,
strengthening
and
expanding
the
Doula
Workforce
making
hospitals,
Doula
friendly,
will
achieve
these
outcomes
all
right.
So
what
you
see
on
your
screen
here
on
the
lower
left
of
the
infant
outcomes?
E
So,
typically,
when
someone
has
dual
support,
these
things
will
decrease
right,
preterm,
birth,
low
birth
rate,
birth
weight,
breastfeeding
will
increase,
mother
and
baby
bonding
will
increase,
infant
and
mortality
will
also
decrease
and
then
the
maternal
outcomes,
the
cesarean
births
will
decrease,
satisfaction
and
birth
experience.
Overall,
would
it
will
increase
perinatal?
Depression
will
decrease
severe
maternal
mortality
and
morbidity
will
also
decrease.
E
E
But
I
think
that
they
will
be
joining
us
the
next
round,
but
bpn
does
also
provide
Doula
services,
so
client
eligibility
there
are.
These
are
the
basic
eligibility
criterias.
There
are
no
criteria
per
se.
Undocumented
individuals
are
also
eligible.
Uninsured
individuals
are
eligible
as
well.
The
priority
is
given
to
clients
who
are
in
foster
care
are
giving
birth
for
the
first
time,
let's
say,
clients
that
giving
birth
for
the
first
time
in
general.
Let's
say
it's
been
10
years
right
because
we
know
with
signs
things
are
always
changing.
E
So
another
eligibility
is,
you
know,
a
client.
That's
perhaps
had
a
previous
traumatic
birth
experience
had
no
other
labor
support
having
a
high-risk
medical
condition,
so
I'm
wrapping
it
up
here.
So
how
do
you
refer
clients?
So
if
you
go
to
this
web,
our
website
for
short
nyc.gov,
Health,
Doula
you'll,
find
this
landing
page
here,
and
you
can
learn
more
about
what
I've
been
speaking
about,
but
to
for
to
refer
clients
at
this
point
you
would
just
go
to
the
landing
page.
E
So
I'll
save
you
some
time
there
and
just
to
speak
about
Healthy
Start
Brooklyn,
pretty
quickly
again,
because
by
my
side
originated
from
Healthy,
Start,
Brooklyn
and
CDI
is
a
I
guess,
I
would
say
the
baby
of
by
my
cyber
of
support
right.
So
this
is
some
of
the
programs
that
we
offer
at
Healthy
Start
Brooklyn.
We
have
childbirth
education
classes,
Doula
support.
Of
course
we
have
a
fatherhood
program.
E
We
have
mental
and
mental
health
support.
We
have
parenting
education,
which
are,
for
example,
we
have
a
a
class
called
family
foundations.
So
let's
say
a
family
is
the
parents
are
together
and
they
want
to
learn
better
communication
skills
or,
let's
say
they're
not
together,
and
they
want
to
learn
better
communication
skills,
that'll
be
family
foundations
and
then
our
partners
at
Caribbean,
Women's
Health.
E
They
also
offer
a
parenting
class
and
one
more
parenting
class
is
coming
down
the
pipeline
over
at
the
other
department
of
health
building
and
Brownsville.
So
look
out
for
that
it
should
be
starting
pretty
shortly
and
if
you're
interested
in
referring
a
client
to
classes.
This
is
the
landing
page
for
that
as
well,
and
usually
there
you
go
nyc.gov
Health,
slash
HSB
is
where
you
can
refer:
clients
to
the
childbirth,
education
classes.
E
We
even
have
a
a
class
called
Reach
Out
stay
strong
Essentials,
which
is
a
class
for
for
new
moms
or
pregnant
moms
to
learn
how
to
mitigate
postpartum
depression
right.
So
we
have
tons
of
classes
in
short,
so
if
you're
ever
looking
for
us-
and
you
want
to
know
how
to
refer
clients
for
Doula
Services,
these
are
some
of
the
folks
that
I
work
with
Ashley.
You
can.
E
You
know
you
can
take
a
screenshot
of
this
if
you'd
like,
and
you
can
email
me
I'm
the
second
person
there,
we
have
Cora
Saunders.
So
if
you're
looking
for
somebody
to
come
present
in
an
area,
Cara
can
come
to
present
and
then
you
also
have
Gabriella
Mary,
Powell
and
Regina.
So
that's
it
hope
you
had
in
touch
of
your
time.
E
So
I
I
would
like
to
differ.
I
think
that
with
Doula
support
we're
there
we're
you
know
birth
Partners
we're
encouraging
our
clients
to
go
to
prenatal
visits.
We're
asking
them
to
check
in
on
us
check
in
with
us
at
the
prenatal
visits,
I
didn't
catch.
The
other
part
of
your
question,
but
you
know
I
feel
like
as
far
as
I
think
I
heard
something
about
Midwifery
and
stuff,
so
everything
that
we
have
been
doing
it
by
my
side.
D
Yes
and
no
I
mean
I'm,
not
I'm,
not
questioning
the
benefit
of
What
You
Do
by
any
means
so
I'm.
Sorry,
if
it
sounded
like
I,
was
and
I'm
very
much
aware
of
the
of
the
evidence
about
doulas.
But
my
question
is,
you
know,
is
really
with
how
are
your
your
organization,
your
affiliate
organizations,
I
mean
what
it
sounded
like
women
start
working
with
the
doula
in
the
later
part
of
the
pregnancy.
E
I
misunderstand
because
sometimes
we
do
have
last-minute
clients,
but
sometimes
we
have
clients
that
are
due
in
March,
for
example
right.
So
we
encourage
clients
to
reach
out
the
earlier
the
better,
because
it
can
really
help
build
that
Rapport
and,
in
addition
to
I,
think
one
of
the
other
points
we
were
saying
about.
Just
like
you
know,
increasing
prenatal
visits.
One
thing
that
we
also
are
doing
is
part
of
the
city.
City-Wide.
E
What
we
can
do
is,
you
know,
meet
with
those
providers
and
kind
of
help
mitigate
whatever
issue
they're
having
having
to
really
Center
the
client
back
to
there
and
let
them
know
like
okay,
look,
you
know,
I
had
a
concern.
The
concern
was
addressed
so
I'm
going
to
continue
with
my
prenatal
care
I'm,
not
just
going
to
walk
in
last
minute,
for
example,.
D
F
It
thank
you.
It's
trinisha,
hi
Nina
I,
hear
what
you're
saying
I
think
what
you're
saying
is
that
Doula
care
has
a
different
aspect
since
it's
not
clinically
based,
and
maybe
it
won't
improve
the
maternal
morbidity
rates
here
in
New,
York
City
and
at
some
of
the
proven
ways
to
increase
or
rather
decrease
the
maternal
mortality.
Morbidity
may
be
censored
around
offering
Alternative
forms
of
health
care
or
even
having
providers
similar
to
themselves,
which
is
different
than
what
a
doula
can
offer.
So
I
hear
what
you're
saying,
but
it's
it's
like.
D
No
it
it
has
to
do
with
the
fact
that
that
women
need
to
understand
the
importance
of
going
whether
they're
going
to
midwives,
whether
they're
going
to
an
MD
Clinic
that
that's
not
you
know,
I
mean
that's
their
decision,
I
think,
although
of
course
I'm
biased
toward
they're
going
to
midwives
whenever
possible.
But
the
idea
is
that
you
know
they
really
should
be
starting
prenatal
care
by
you
know,
six
weeks,
if
possible,
even
pre-pregnancy.
D
Eight
weeks
is
possible
rather
than
you
know,
Finding
finding
themselves
hope
you
know
getting
into
a
clinic
by
say,
28,
29
weeks
and
then
hearing
about
your
program.
So
there's
there's
a
lot,
there's
a
lot
that
goes
on
before
they
get
to
that
point
and
and
I
think
that
that's
really
my
concern.
I
I,
absolutely
think
that
what
you
offer
women
is
fantastic
and
I.
Don't
want
to
be
misunderstood
on
that.
You
know.
D
E
No
problem
and
I
think
one
last
thing
I'll
say
about
that
point.
Is
you
know,
I
think.
Sometimes
what
happens
when
people
are
seeking
prenatal
care?
Is
that,
depending
on
their
insurance,
they're
kind
of
being
shuffled
around,
you
know
to
different
dividers
and
stuff,
and
sometimes
it
discourages
them?
And
then
another
thing
is
too
is
that
when
they
go
sometimes
to
visit
providers
they're
spending
hours
in
the
waiting
room
right,
which
is
like?
E
Oh,
my
God,
I'm
pregnant
there's
only
a
vending
machine
here,
like
you
know,
if
I
don't
have
to
come
next
week
or
two
weeks,
you
know,
I
won't
come
so
and
then
also
the
Antiquated
ways
of
like.
Let's
say
you
call
a
hospital,
you
need
to
speak
to
your
doctor
right
like
can
you
imagine
how
many
channels
I
mean
we've
all
been
through
it
so
I
think
that's
it's
just
more!
E
So
just
getting
rid
of
the
old
ways
of
doing
things
and
you
know
being
more
Innovative
and
really
getting
people
to
say,
like
Oh,
no
you're
going
to
come
to
an
appointment-
and
you
know
your
doctor's
not
going
to
be
triple
booked
and
you'll
be
able
to
get
in
within
an
hour
of
seeing
them.
I
think
that
would
really
encourage
folks.
Of
course,
we
could.
We
could
go
out
all
day,
but
I
know
we
are
only
here
till
8
30,
so.
B
G
G
E
E
G
C
B
Right,
I,
I,
gotta
bounce
back
on
my
reminder
just
now
so
I
think
where
we
we
might
not
be
hearing
from
the
Heek
program
this
evening,
we'll
try
to
bring
them
back
so
Joel
if
you
wanna
Jolene,
if
you
wanna,
switch,
go
right
ahead
to
Rebecca
Herman
and
then
the
good
news
is
that
this
leaves
extra
time
for
Dr
kodoff,
who
is
here
to
join
us
and
has
some
information
to
offer
as
well.
Okay,.
C
Sounds
good
so
and
I
saw
Rebecca
shaking
her
head
stuff
was
that
was
being
said,
so
she
probably
has
some
things
to
add
to
what
we've
heard
already
so
Rebecca
Herman
is
with
the
Flatbush
Behavioral
Health
Center
she's,
the
assistant
director
of
field
operations
and
Clinical
Director
at
the
Flatbush
recovery
and
Wellness
Center.
So
tell
us
more
about
what
you
do
Rebecca
and
you
have
before.
H
Sure,
thank
you
Joel.
My
name
is
Rebecca
Herman
I
am
a
licensed
clinical
social
worker
and
I'm.
Also
a
Master
Level
case
act.
That's
a
credentialed
alcohol
and
substance
abuse.
Counselor
I
have
been
at
the
Flatbush
Behavioral
Health
Center
for
about
two
years
and
I
have
many
titles,
which
basically
means
that
I
have.
H
B
A
C
C
C
H
H
Okay,
I
wanted
to
talk
about
the
services
that
we
offer
here
at
the
Flatbush
Behavioral
Health
Center,
which
is
part
of
something
called
a
certified
community
behavioral
health
clinic.
We
are
part
of
Catholic
Charities,
Brooklyn
and
Queens,
which
is
the
largest
Catholic
Charities
in
the
United
States.
We
have
over
160
programs
over
Brooklyn
and
Queens,
but
the
Flatbush
Behavioral
Health
Center
is
the
only
brooklyn-based
program
that
offers
mental
health
and
substance
use,
Services,
Under,
One
Roof,
so
Carl
was
speaking
about
funding
a
minute
ago.
H
Our
funding
comes
from
samsa
from
the
federal
government.
We
were
the
recipients
of
a
very
generous
Grant
to
fund
our
certified
Behavioral
Health
clinic.
So
we
are
able
to
provide
a
multitude
of
services
right
here
in
Flatbush.
We
are
located
in
the
Flatbush
Junction
area,
so
right
where
the
Aldi's
and
the
target
is
and
everything
the
TD
Bank
parking
lot
we're
towards
the
back.
Our
offices
are
in
the
very
back
of
that
parking
lot.
I'll
tell
you
a
little
bit
about
the
services
that
we
offer
here
at
the
clinic
here
at
my
clinic.
H
We
offer
Mental
Health
Services.
We
have
a
team
of
psychiatric
nurse
practitioners
and
licensed
mental
health.
Excuse
me,
we
do
have
some
Mental
Health
Counselors.
We
also
have
licensed
social
workers
here
and
they
provide
individual
Psychotherapy
and,
of
course,
the
psychiatric
nurse
practitioners
under
the
guidance
of
an
MD.
The
psychiatrists
provide
psychotropic
medication
management.
H
My
the
program
when
I
came
on
here.
The
program
that
I
was
hired
to
oversee
was
what
was
then
called
the
Flatbush
addiction
treatment
center.
We've
changed
our
name
through
the
Flatbush
recovery
and
Wellness
Center
to
better
reflect
our
client-centered
approach
and
general
recovery
approach,
as
opposed
to
Healing
from
a
disease
and
kind
of
to
take
the
addiction
piece
out
of
it,
because
that
word
carries
so
much
stigma
we
find,
but
anyway,
that's
kind
of
my
bread
and
butter.
H
That's
the
thing
I
get
most
excited
about
is
promoting
that
program,
because
within
the
ccbhc
you
know
we
have
mental
health.
We
have.
We
have
some
nurse
Wellness
services,
but
we
also
have
the
Addiction
Services,
which
I
find
are
kind
of
unique
in
this
area.
I,
don't
know
of
a
bunch
of
addiction
treatment
centers
in
the
Flatbush
area,
but
there
is
a
demand
and
the
kind
of
treatment
that
we
provide.
Here
we
offer
we
offer
an
array
of
services.
We
of
course
help
people
who
come
voluntarily.
H
We
help
people
who
are
mandated
by
the
courts.
We
also
have
a
DWI
tracker
program.
We
work
closely
with
Brooklyn
task
to
keep
folks
out
of
jail
and
put
them
in
a
program
instead
make
them
do
the
course
of
the
program
in
order
to
get
their
driving
rights
back
and
as
of
recently,
we've
really
been
promoting
the
use
of
medication-assisted
treatment
for
opioid
use
disorder.
We've
always
provided
it
for
alcohol
use
disorder
and
that's
been
pretty
well
received
among
the
population.
H
Here
it's
been
a
little
more
challenging
to
get
the
opioid
treatment
off
the
ground.
We
know
there's
an
epidemic
out
there.
We
know
there's
a
stigma
attached
to
it
as
well.
There's
an
initiative,
though.
Actually,
we
were
the
we're
part
of
an
initiative
from
the
Department
of
Health
and
mental
hygiene
to
reduce
barriers
to
accessing
opioid
medication,
assisted
treatment
and
when
I
say
that
what
I
mean
is
primarily
the
trade
name
Suboxone.
So
the
sublingual
tablets.
H
It's
doesn't
carry
as
much
of
a
risk
of
overdose
or
abuse
as
methadone
and
the
tradition,
and
it
doesn't
have
to
be
prescribed
in
the
everyday
clinic
setting
like
a
methadone
clinic,
but
it
also
carries
its
own
unique
set
of
challenges,
primarily
the
induction
piece.
So
but
we're
really
excited
about
that
and
we're
also
offering
the
mat
in
the
article
31
licensed
office
of
mental
health
clinic,
which
is
the
Flatbush
Behavioral
Health
Center.
Those
are
the
two
big
things
we
have
here:
substance
use
and
mental
health.
H
We
also
have
an
internal
mobile
crisis
team,
which
provides
24-hour
emergency
Crisis,
Intervention
and
stabilization
to
Catholic
Charities
clients
and
clients,
who
may
call
the
call
center
in
distress.
So
we
do
get
some
clients
who
aren't
within
our
agency
just
yet
but
they're
in
need,
so
they
call
our
call
center
and
we
do
assist
them.
We
have
benefits
coordinators
on
site
that
help
connect
clients
with
nutritional
assistance,
SNAP
benefits,
housing
vouchers,
Insurance,
re-upping,.
I
H
H
You
go
to
one
of
the
two
programs
and
that's
kind
of
that's
like
the
health
home
model,
where
you're
getting
a
lot
of
intensive
assistance,
making
your
appointments,
getting
applications
for
housing
completed
things
of
that
nature,
and
the
other
thing
that
we
do
here
is
we
utilize
peers,
Certified,
Recovery
peers.
We
also
have
a
veterans
peer
here
to
cater
to
the
veterans,
environment
or
the
veterans
that
we
had
coming
on
yeah.
H
So
we
utilize
the
peers
as
kind
of
a
a
half
step
between
the
clinical
person,
and
you
know
I
like
to
say
that
a
peer
is
someone
in
between
being
a
clinician
and
being
a
a
a
a
support.
You
know
it's
kind
of
like
they're,
partially
clinical,
but
mostly
they
have
lived
experience,
so
they
are
able
to
meet
the
clients,
sometimes
in
a
way
and
connect
with
them
in
a
way
that
we
as
social
workers
or
you
know,
licensed
health
professionals
cannot
so
that's,
basically
the
whole
Spiel.
H
We
like
to
think
that
if
anybody
walks
in
our
doors
here
at
1623
flat
Bush
that
they
would
be
provided
services
and
given
all
the
wraparound
Services,
they
need.
The
only
thing
we
don't
have
on
site
at
the
moment
is
primary
care,
but
we
do
work
with
New
York
Presbyterian
in
the
Flatlands
area,
some
of
their
clinics.
We
refer
to
their
clinics
quite
a
bit
and
we
do
have
a
pharmacy
on
site
for
our
clients
and
for
our
staff.
H
H
Again,
it
gets
confusing
I
know
so
it's
called
the
Flatbush
Behavioral
Health
Center
and
that's
the
name
of
our
certified
community
behavioral
health
clinic.
It
goes
by
that
name.
It's
also
the
name
of
our
mental
health
clinic.
So
that's
where
it
gets
a
little
confusing
because
it's
the
name
of
the
big
place
and
the
one
program.
But
that
is
the
largest
program
that
we
have
within
the
ccbhc,
so
I
think
that's
why
they
chose
to
check
their
share.
The
name.
H
The
best
way
to
wait
to
referral
is
to
go
through
the
Catholic
Charities
call
center.
It's
a
well-staffed
call
center.
They
are
open,
Monday
through
I,
think
they're
open
Monday
through
Friday,
even
though
we
close
early
on
Friday.
They
are
open,
Monday
through
Friday,
8,
30
a.m,
to
6,
30
p.m
and
I'll,
give
you
that
phone
number
and
then
I'll
pop
it
in
the
chat
as
well.
The
number
is
718
-722
-6001,
and
that
is
how
you
would
make
a
referral
to
our
Clinic.
H
You
would
connect
with
one
of
the
staff
in
the
call
center
who
would
take
insurance
and
demographic
information
and
pass
that
information
on
to
us.
Quick
word,
Catholic
Charities,
like
I,
said
we
have
160
some
odd
programs
over
Brooklyn
and
Queens.
So
if
you
had
somebody
who's
interested
in
something
like
immigration,
Assistance
or
food,
pantries
things
like
that
that
we
don't
deal
with
right
here
at
my
center,
you
can
call
that
call
center
and
they'll
make
a
referral
to
those
programs
as
well.
H
H
We
get
clients
coming
from,
we
have
what
we
call
ucpls,
which
are
Urgent
Care
clients
who
will
come
as
direct
referrals
from
hospitals,
people
being
discharged
from
psychiatric
emergency
rooms,
psychiatric
stays,
inpatient,
detoxes
and
inpatient
rehabs.
Those
referrals
come
directly
from
the
hospitals
from
the
social
workers
there,
but
anyone
can
excuse
me,
anyone
can
call
the
call
center
and
they
can
ask
to
be
connected
with
us
I'm
also
going
to
once
I
find
the
chat
there.
H
It
is
there's
the
chat
I'm
going
to
put
in
the
call
Center's
number
and
then
I'm
going
to
put
in
my
email
address
as
well,
because
I
find
that
sometimes
you
know
we're
such
a
big
organization
and
the
official
line
is
to
have
people
go
through
the
call
center
to
make
the
referrals.
But
if
you
have
questions
or
if
you
want
to
refer
someone
or
you
think
someone
might
be
a
good
referral,
you
can
go
ahead
and
you
can
email
me
and
we'll
have
a
chat.
It's
not
a
problem.
B
Rebecca,
that's
so
typical
of
the
way
you
operate
and
I
want
to
thank
you
for
it.
You're
always
like
so
accessible
and
responsive
and
you've
been
great
with
some
of
the
concerns
that
sort
of
swirl
about
your
your
program
site.
You
get
scapegoated
sometimes
and
you've
always
reacted
to
that
in
a
way
that
is
just
really
graceful.
B
G
G
Did
you
see
you
know
a
moderate,
a
sizable
increase
or
no
increase
in
you
know.
Basically
the
number
of
cases
you
were
getting.
You
know
basically
from
the
pandemic
to
now
and
then
the
follow-up
question
to
that
is,
like
you
said,
your
organization
liaises
with
many
other
different
organizations
for
wraparound
care,
and
so
my
question
is
my
my
follow-up
question
to
that
is
we're
about
two
and
three
quarters
years
into
the
pandemic.
G
So
if
the
speed
had
slowed
down
with
which
these
other
organizations
got
back
to
you
about
the
people
who
are
affected,
are
you
seeing
that
speed
increase
or
staying
the
same,
because
a
lot
of
organizations
have
also
been
hit
hard
in
terms
of
their
their
losing
people
as
well?
You
know
during
the
pandemic,
so
those
are
my
two
questions
for
you.
H
Okay,
the
first
part
the
first
part
of
your
first
question.
You
were
asking
about
kind
of
if
we,
if
I'm
kind
of
paraphrasing,
if
we
saw
more
traffic
since
the
pandemic
with
regards
to
behavioral
health
concerns
mental
health
yeah.
So
the
answer
is
yes,
we
have
seen
ex,
especially
in
the
mental
health
clinic.
H
H
We
we
were
still
taking
in
Urgent
Care
referrals
and
managing
to
connect
them
with
therapists
and
psychiatrists,
but
we
did
have
to
slow
down
our
rate
of
accepting
Open
Access
walk-ins,
which
was
hard
to
do
it's
hard
to
tell
people
who
walk
in
it
needs
services
that
there's
nobody
here
to
see
you
today,
here's
a
referral
somewhere
else.
The
good
news
is
the
good
news
is
that
we
are
much
better
staff
now
and
we're
receiving
those
referrals
and
we're
able
to
address
them.
H
The
bad
news
is
there
still
are
a
lot
of
people
there's
a
big
demand,
especially
in
the
community
here,
people
just
coming
in
as
walk-ins
and
needing
assistance,
there's
so
many
gaps
in
the
mental
health
system,
something
in
between
you
know
it's
just
that.
I
could
go
on
forever
about
it,
but
it
is,
it
is
hard,
it
is
very,
it
is
challenging.
H
I
would
say
that
I
do
see
it
getting
a
little
better.
What
is
surprising
to
me
is
I
know
that
the
opioid
epidemic
is
not
getting
better.
We
know
that
from
what
we
see
in
the
news
and
what
we
see
in
you
know
all
the
research
and
everything
that
talks
about
how
people
or
you
know,
especially
coming
out
of
the
pandemic,
that
they
were
overdosing
and
they
were
you
know
they
were
turning.
They
weren't
getting
their
medication,
so
they
were
turning
to
harder
drugs.
H
All
that
what's
been
a
little
frustrating
on
my
end
is
that
I
know
the
demand.
Is
there,
but
it's
been
hard
to
engage
with
those
folks,
sometimes
I
think
it
has
to
do
with
the
stigma
so
to
kind
of
in
a
roundabout
way
answer
your
question.
I
think
that
there's
absolutely
the
need
is
increasing
also
for
substance,
use
services
and
we're
here
and
we're
ready
to
meet
that
need
we
just
we
just
we're
waiting
for
the
folks
to
come
in
the
door,
pretty
much.
H
D
C
J
Great
I'm
great
I,
want
to
thank
you
for
always
assisting
with
our
community
projects,
always
sending
out
help
in
the
time
of
need.
Thanks
for
the
work
you're
doing
within
our
community.
There's
a
question:
I
have
to
ask
a
lady.
The
other
day
asked
me,
although
I
didn't
know
where
to
turn
for
her,
but
she
has
a
son
who
has
mental
issues
he's
supposed
to
I
think
go
to
the
hospital
to
get
his
shot.
I,
don't
I,
don't
know
if
it's
once
a
month
or
okay
he's.
J
However,
he
does
not
like
going
to
the
hospital,
so
she
was
asking
you
know
if
there's
anywhere
that
he
could
go
to
that
would
administer
I
or
you
know,
like
figure
out
what
he
needs
or
administer
what
he
needs.
So
do
you
are
you
aware
of?
Is
this
something
that
your
your
organization
do
or
are
there?
Is
there
another
organization
that
they
can
be
referred
to.
H
J
J
H
H
A
H
I
would
recommend
you
could
go
through
the
call
center.
I
gave
you
guys
that
number
or
you
could
just
have
them,
do
a
walk-in
on
a
Monday
or
Thursday,
and
we
would
coordinate
with
where
he
was
coming
from
to
make
sure
that
we
were,
you
know,
doing
good
continuity
of
care
and
not
just
starting
with
a
whole
new
regimen
but
yeah.
Absolutely
he
can
get
that
in
a
clinic
setting
like
this.
He
doesn't
have
to
go
to
a
hospital.
D
Thank
you.
First
of
all,
this
is
just
really
great
to
know
about,
because
so
often
I
have
women
who
come
in
for
Women's
Health
Services,
who
clearly
are
in
need
of
other
resources,
including
Mental,
Health
Resources.
So
I
really
appreciate
getting
an
update
here.
I
have
a
question
regarding
the
the
opioid
addiction
issue.
D
I
know
in
New
York
state.
We
have
a
stop
program
where,
if
you
as
a
clinician
say,
are
prescribing
an
opioid
for
any
reason
you
have
to
check
and
find
out
if
the
patient
is
getting
them
from
some
other
place.
It's
supposed
to
be
registered.
I
know
that
you
know.
Hopefully
all
responsible
clinicians
are
much
more
aware
and
much
more
I,
guess,
conservative
and
thoughtful
about
when
and
to
whom
they
prescribe
opioids,
because
they
do
have
legitimate
use.
D
Certainly
so
I'm
I'm,
just
I
I,
guess
I
I'm,
just
I,
don't
know
baffled,
maybe
for
lack
of
a
better
word
that
we
can't.
You
know
where
are
people
getting
these
drugs?
Are
they
getting
them
through
legitimate
sources
or
are
they
resorting
to
you
know
on
the
street
resources?
Do
you
have
any
insights
into
that.
H
A
H
Aware,
as
they
should
have
been
about
the
addictive
potential
and
what
I've
seen
a
lot
of
in
my
career
anyway
is
people
who
have
gone
they've
built
a
tolerance
to
it,
and
then
they
need
to
get
more
and
the
pills
are
too
expensive.
So
they
turn
to
heroin.
They
turn
a
lot
of
times
to
intranasal
heroin.
First,
they
don't
usually
just
go
right
to
IV
usage,
but
for
most
especially
most
of
the
young
folks
that
I've
worked
with
in
my
career,
that's
kind
of
been
the
trajectory.
Unfortunately,.
H
H
We
provide
services
for
children
13
and
up
so
it's
adolescence
for
the
recovery
program
and
we
are
looking
I've
been
trained
in
something
called
child
parent
Psychotherapy,
which
is
a
specific
track
of
treatment
with
young
parents,
not
just
mothers,
but
parents
and
children
four
years
of
age
and
lower
up
to
as
low
as
six
months.
So
that
is
something
that
we
will
be
doing.
E
H
That's
a
little
tricky
and
that's
that's
an
agency.
That's
more
of
an
agency
call
than
a
call
at
my
level
we're
a
huge
agency,
we're
Catholic
Charities,
we're
kind
of
a
paid
to
put
it
that
way,
but
we're
kind
of
a
target
for
lawsuits,
and
things
like
that.
You
know
so.
It's
kind
of
they're,
very
conservative
at
this
agency
about
clinical,
giving
clinical
opinions
on
things
and
writing
so
I
would
say
if
they
wanted
a
second
opinion,
I
just
being
completely
Frank
with
you.
H
If
it's
a
situation
where
somebody
needs
a
second
opinion
on
something
and
they
need
it,
written
I
would
say
this
is
probably
not
the
best
place
for
that.
We
could,
of
course,
do
a
basic
write-up.
That
said
when
they
came,
how
long
they've
been
with
us
their
medications
or
their
diagnosis,
but
that's
pretty
much
95
percent
of
the
time.
The
extent
that
we
would
do.
B
K
K
K
We
converted
our
RN
to
a
certified
diabetes,
educator
who's
dedicated
to
that
we
hired
a
nurse
practitioner
who
does
nothing
but
endocrine
and
metabolic
care.
We
brought
in
a
pharmd
to
do
medication
management.
We
have
a
health
coach
who's
dedicated
to
this.
We
have
a
new
nutritionist
who
comes
in
twice
a
week
to
do
one-on-one,
nutritional
counseling
waiver,
behavioral
health
specialist
who
works
with
patients
who
have
distress.
So
we
we
built
this
team.
We
also
added
to
the
technology
that
we
think
really
makes
this
work.
K
Also,
the
most
important
technology
is
continuous
glucose
monitors,
which
is
really
revolutionized
the
care
people
living
with
diabetes.
These
are
those
little
devices
you've
seen
people
wear
on
their
arm
or
their
belly.
It
continuously
measures.
Blood
glucose
people
share
their
data
with
their
health
care
team.
Most
people
like
to
share
some
people,
don't
by
say,
99
out
of
100.
If
you
ask,
can
you
share
your
data
with
us?
They
say
absolutely.
This
gives
us
both
access
to
what's
happening
between
visits
and
on
a
daily
basis.
K
We
really
look
at
these
readings
and
see
who's
in
control
who's,
not
in
control
a
lot
of
times.
The
insurance
doesn't
pay
for
this,
so
we
were
fortunate
to
have
some
charitable
support
external
funding
to
purchase
some
of
these
devices
for
patients
that
the
insurance
wouldn't
pay
for
Commercial
Insurance
space
for
11.99
pays
for
it.
It's
a
struggle
to
get
everyone
else
to
pay
for
it.
Although
New
York
state
is
sort
of
improved
the
the
regulations
on
this,
we
also
invested
in
a
retina
camera.
K
This
is
a
a
camera
that
can
take
a
picture
of
patients
retina
rate
when
they
first
come
and
see
us,
so
we
can
shoot
it
to
an
ophthalmologist
find
out
very
quickly
whether
someone
has
a
diabetic
retinopathy
without
actually
seeing
the
optimized.
If
they
have
disease,
then
they
have
a
formal
visit.
We
have
point
of
care
hemoglobin
A1c
testing,
which
is
a
new
device
which
we
added
and,
of
course
we
have
our.
We
really
optimize
use
of
our
EMR,
especially
the
patient,.
C
K
So
people
can
shoot
us
their
their
blood
test,
results
and
glucose
readings
between
visits,
so
the
technology
was
expanded.
The
team
was
built
and
then
the
self-management
education
was
also
critical.
To
do
that,
we
strongly
believe
that
the
best
self-management
would
come
from
highly
trained
peers.
So
we
coordinated
with
an
organization
called
Health
people.
K
This
is
what
I
do
when
I'm
in
that
situation
and
it's
it
becomes
also
a
there's
a
socialization
event.
There.
We
just
started
those
classes
where,
maybe
at
week,
two
or
three
we,
the
these
peer
leaders
were
trained
just
about
a
month
ago.
This
program
really
launched
in
in
the
late
spring.
So
we're
really
excited
about
this.
We
think
the
the
expansion
of
the
hours,
the
the
team
we
have,
the
use
of
Technology.
K
We
also
use
a
fair
amount
of
insulin
pump
technology,
which
we
don't
see
a
lot
in
central
Brooklyn,
but
we
when
patients
are
appropriate,
we
definitely
use
the
use,
insulin,
pumps
and
then
the
peer-led
classes.
We
think
we've
created
something
that
is
sustainable
and
accessible
to
more
and
more
patients
in
central
Brooklyn,
and
that's
a
quick
flyover
of
our
Diabetes
Center
I'd
be
happy
to
answer
any
questions.
B
And
in
the
interest
of
time,
too,
we'd
be
happy
to
field
any
that
come
if
people
want
to
send
us
an
email
and
we
can
send
it
over,
we
can
also
send
it
to
tahisha
who's
been
just
great
and
I
really
appreciate.
You
wanted
to
acknowledge
that
you're
here
and
thank
you
for
everything
all
of
your
your
communication
and
support.
K
And
tahitia
can
help
us
out
and
provide
all
the
contact
numbers
and
address,
but
we're
at
1110
Eastern
Parkway,
which
is
the
corner
of
Utica
and
Eastern
Parkway.
It's
on
the
second
floor.
It's
right
at
the
I
guess
it's
the
three
and
fourth
Subway
and
the
46
bus,
one
other
I,
think
it's
the
11
bus
there.
K
So
it's
a
little
bit
of
a
Transit
Hub
and
we
have
a
a
office
manager
that
manages
all
the
referrals
there
via
the
fax
machine
is
like
literally
a
foot
from
her
arm
and
that's
how
we
get
most
of
our
our
patients.
But
we
have
patients
from
all
over
Brooklyn
coming
there
now
and
we're
you
know,
there's
an
urgent
circumstance.
K
We
we
see
patients
right
away,
sometimes
the
same
day.
Sometimes
next
day
we
get
referrals,
for
instance,
from
our
wound
care
center
of
people
that
are
facing
in
amputation,
and
so
we
we
don't
wait
on
those
patients.
We
we
try
to
see
them
that
afternoon
or
the
following
day
to
try
to
save
their
limb.
I
Yes,
I
just
wanted
to
add,
also
hi
everyone
I
think
I
was
on
mute
when
I
said
hi
everybody.
Thank
you
so
much
for
having
us.
It's
always
an
honor
to
to
you.
You
speak
this
wonderful,
a
care
that
you
do
with
the
patients,
especially
with
the
diabetes
community,
and
and
thank
you
so
much
for
having
us
tonight,
I
wanted
to
add
that
with
the
dsmp
program,
which
is
the
diabetic
self-management
program
that
we
have
running
right
now,
this
is
fairly
new.
I
Like
Dr
kodra
said,
so
we
will
be
commenting
new
cohorts
during
the
day
and
also
next
month
as
well.
So
if
your
organization
would
like
to
start
a
class
session,
we
are
open
we're
opening
opportunities
for
the
community
for
nighttime
classes
afternoon
classes,
because
we
really
want
to
make
sure
that
we
bridge
that
gap
between
our
community
and
give
access
to
our
patients
who
are
struggling
with
diabetes
and
to
make
a
difference
within
our
community
with
one
Brooklyn
health
and
Pierre
Toussaint
is
available.
I
We
have
so
many
other
services
that
we
offer
as
well,
but
tonight
we
wanted
to
focus
on
Diabetes,
because
November
is
diabetes
awareness
month.
So
we
are
open
to
any
other
questions
that
you
guys
may
have.
I
will
definitely
leave
my
contact
in
the
chat.
Should
a
question
come
up,
please
feel
free
to
email
me
once
again.
Thank
you
so
much
for
having
us.
D
Thank
you.
I
actually
had
some
questions,
all
right,
Nina
sure,
yes,
I'm
picking
up
the
questions
tonight,
but
you
know
Healthcare
is
is
my
thing
too.
So
two
questions,
actually
one
is:
how
would
somebody
who's
not
a
king's
brook
or
one
Brooklyn,
Health
patient
get
referred
and
number
two.
Is
there
been
any
thought
to
addressing
the
just
staggering
number
of
young
people
who
are
being
addressed
so
that
you
know
the?
K
K
K
One
is:
we
do
have
a
diabetes
prevention
program,
which
is
run
by
a
health
coach
that
you
know
you
may
know
Janine
and
that's
another
conduit
to
getting
care
for
people
who
have
pre-diabetes
and
you're
correct
that
the
young
patients
are
a
little
bit
of
an
extra
challenge
because
it's
a
different
disease.
It's
a
different
disease.
K
If
you
are
22
years
old
and
you
have
diabetes
or
especially,
if
you
have
type
2
diabetes
compared
to
the
same
exact
disease
in
someone
who's,
you
know
65
or
70
years
old
and
develops
a
type
2
diabetes,
I'm,
always
teaching
them
medical
resonance
because
they
see
patients
who
are
19,
20,
23
years
old
and
they
have
hemoglobin
a1cs
that
are
are
6.2
or
6.3
and
they
sort
of
think
to
themselves.
Well,
this
isn't
so
bad
and
I
I
turn
to
them
and
say
you
know.
This
is
a!
K
This
is
a
19
year
old.
This
is
a
night.
This
is
not
a
75
year
old,
with
an
A1C
of
that
level.
The
this
this
person
has
to
get
into
a
lifestyle
program
to
avoid
really
catastrophe,
so
you're
correct
everything
we
can
do
to
bring
into
the
fold
those
young
patients,
the
the
the
outcome
is
Amplified
a
thousand
fold,
so
you
know
I,
think
the
diabetes
prevention
program
helps
I,
think
really
educating
patients
on
the
significance
of
pre-diabetes
in
that
age
group.
That's
that's!
K
Not
a
inconsequential
Discovery
pre-diabetes
in
a
20
year
old
that
that
is
a
serious
identification
that
has
to
be
addressed,
and
the
good
news
is
that
there's
a
lot
of
ways
to
manage
it
now
diet
and
exercise
by
far
or
the
best,
but
there's
medicines
that
look
pretty
safe
with
few
side
effects
and
can
really
forestall
the
development
of
diabetes.
So
when
diet
and
lifestyle
fails
in
that
group,
we're
not
hesitant
to
add
some
type
of
medication
that
may
prevent
diabetes.
K
It's
a
it's
also,
a
great
question:
we
don't
do
a
lot
of
work
with
gestational
diabetes,
because
what
happens
is
at
least
in
the
local
areas.
A
lot
of
those
patients
get
sort
of
swallowed
up
by
the
high-risk
pregnancy
teams
and
they
tend
to
do
the
day-to-day
and
week-to-week
management.
We
used
to
do
a
little
bit
more
in
the
past
and
what
was
happening
is
the
the
insulin
was
being
adjusted
by
two
teams:
it
it
didn't.
It
wasn't
really
the
best
care
I
think
the
solution
to
that.
K
Really,
if
we're
going
to
do
it
and
we'd
be
happy
to,
is
to
have
actually
co-located,
obstetrician,
high-risk,
pregnancy
and
endocrine,
if
it's
co-located
I
think
it
can
work
extremely
well,
but
otherwise
it
gets
a
little
disjointed
and
so
most
of
our
patients.
They
end
up
being
managed
in
various
very
well
run
high
risk
breaking
agency
programs.
J
Yeah,
thank
you
thanks
Sean
and
thank
you
Nina
for
asking
that
question.
I
was
going
to
ask
about
the
young
people,
but
I
also
wanted
to
ask
about.
It
was
brought
to
my
attention
with
this
little
girl
that
her
sugar
level
was
like
300
in
the
300s.
Her
mom
is
a
diabetic,
but
her
mom
is
not
taking
the
child
to
the
doctor
for
that.
So
what
can
be
done
for
a
child
like
that.
K
Well,
I
mean
she
would
need
the
best
care
would
be
through
a
pediatric
endocrinologist
who
can
bring
those
sugars
down?
It
would
depend
on
how
she's
managed
would
depend
on
what
type
of
Diabetes
she
she
has,
which
usually
can
be
figured
out
on
the
first
visit,
with
a
couple
of
a
basic
lab
tests
to
see
if
she's,
making
insulin
or
not,
but
but
someone
like
that
would
should
be
seen
by
a
pediatric
endocrinologist
pretty
quickly.
K
B
F
Mortality,
particularly
plaguing
marginalized
communities
and
I,
just
wanted
to
share
that
with
you
know,
with
the
board
and
if
anybody
had
any
suggestions
of
where
we
may
be
able
to
place
this
facility.
If
anybody
knows
anybody
who's
interested
in
supporting
us,
we
want
to
hear
about
it.
So
that's!
That's
all
I
wanted
to
say.
B
B
E
Thanks
it's
baronis,
but
yeah
I,
just
wanna
I,
just
wanna,
also
just
vouch
for
Tunisia
and
say
she's.
An
awesome
Midwife
I've
had
clients
that
have
been
referred
by
tranisha
and
I've
also
referred
clients
we
through
Tunisia,
so
I
just
want
to
say
that
I'm
excited
to
see
Haven
Midwifery
birthing
center
come
to
fruition.
You
know,
because
we
don't
really
have
a
lot
of
birthing
centers.
So
whatever
we
can
do
to
get
this
ball
rolling
I
I
encourage
everyone
to
to
you
know
just
she.
They
just
need
a
home.
B
The
health,
the
health
disparities,
I
can't
remember
the
numbers,
maybe
you
know
them
off
the
top
of
the
health
disparities
when
it
comes
to
to
perinatal
prenatal,
postnatal
care
in
black
and
brown
communities
is
stunning
like
stunning
and
so
yeah.
This
is
where
that
needs
to
be,
and
it
was
remiss
and
Joel
de
Sue
from
from
council
member
Rita
Joseph's
office
has
also
been
on
this
meeting
with
us
for
the
duration.