►
From YouTube: Pittsburgh City Council Post-Agenda - 5/2/23
Description
Discussion on the state of mental & behavioral health services
A
C
A
Thank
you
all
for
being
here,
we're
also
joined
by
councilwoman
Warwick.
Does
anyone
have
any
do
you
have
any
presentations
that
you
wanted
to
present
or
any
comments
you
want
to
open
up
with
no
okay
with
that
said,
I
just
want
to
talk
a
little
bit
about
the
state
of
mental
health
in
the
city
of
Pittsburgh,
we're
hearing
so
much
about
some
of
the
things
occurring
in
the
city
and
oftentimes.
A
We
hear
how
it's
there's
a
shortage
or
there's
some
relation
to
mental
health,
and
it's
it's
a
prevalent
conversation
right
now,
but
I
think
for
us
we're
trying
to
figure
out
on
Council
what
it
is
we
can
do
what
it
is.
We
need
to
do
how
we
need
to
be
supportive
and,
frankly,
you
know
what
other
people
we
should
be
expecting
from
other
people
and
for
me,
I'd
like
to
talk
a
little
bit
about
second
Avenues
Commons
and
I
want
to
thank
Ricky
for
helping
us
pull
this
all
together.
A
A
A
F
Happy
to
talk
about
it
so
for
I
assume,
there's
pretty
decent
knowledge
of
Second
Avenue
Commons,
but
just
for
background,
it's
a
I
mean
you
know,
built
a
state-of-the-art
shelter,
homeless,
shelter
and
navigation
system
with
part.
You
know
we
built
this
with
Partners
from
action,
housing
and
UPMC
PNC
Bank
was
a
big
contributor.
Mercy
runs
the
the
social
services
part.
F
F
There
are
upstairs
there
are
apartment
style,
single
single
room,
occupancies
about
43
of
them
and
then
there's
also
an
overflow
shelter
that
we
use
this
winter
that
can
hold
up
to
about
45
people.
So
the
if
we're
thinking
about
you
know
how
it
how
it
started,
how
it's
going
I
think
it's
difficult
to
operate
and
run
a
shelter
like
that.
I
should
also
say:
Second
Avenue
Commons
has
a
great
board
as
well
and
I.
Think
the
city
has
a
I'm,
confident
the
city
has
membership
on
that
board.
F
F
F
And
we're
happy
to
share
data.
I
mean
there
are
a
number
of
different
reasons
why
there
be
911
calls.
The
thing
you
would
hear
about
most
are
calls
I
mean
because
it
because
it's
a
it's
a
major
issue
for
people.
You
would
hear
about
calls
for
overdose,
but
there's
also
medical
transports
that
are
calls
there
are
I
I,
don't
want
to
I,
don't
want
to
be
wrong,
but
I
think
initially
there
might
have
even
been
some
challenges
with
the
you
know.
F
The
fire
alarm
system
that
would
create
causing
that
many
people
in
a
in
a
building
tends
to
have
a
lot
of
calls.
So
they're
again
could
be
mental
health.
Calls
there
as
well.
So
there's
a
variety
of
calls
and
we
we
know
you
know
that's
also
city
data,
but
we've
we've
got.
We
track
this,
and
so
we
happy
to
give
you
some
of
that
breakdown.
I.
A
Think
we
had
did
a.
We
did
a
resource
Fair,
a
mental
health
resource
Fair
up
in
Mount
Washington.
There
were
people
there
and
somebody
who
had
said
that
they
had
previously
worked
there
and
that
there
was
a
number
I
think
it
was
over.
200
911
calls
to
this
to
the
shelter
at
the
time
and
that
that
was
a
couple
weeks
ago,
so
they
may
have
stabilized
by
then
so.
I
I
want
to
know.
If
people
are
calling
I
thought
they
stopped
calling
because
they
feel
like
they're,
not
getting
the.
A
They
needed
or
they
calling
not
calling,
because
the
help
has
come
and
they're
getting
they're
getting
some
changes
there.
One
of
the
things
she
said
was
it's
because
it
is
so
low
barrier
that
people
sometimes
come
in
with
weapons
and
things
like
that
and
it's
difficult
for
people
to
want
to
work
there,
and
so,
if
you're
saying
that
the
staff
is
stabilizing
there,
were
you
aware
of
those?
Are
you
aware
of
those
those
issues?
I'm
sure
you
probably
were
yeah.
F
Some
of
those
challenges,
including
concerns
on
our
behalf
that
were
discussed
in
that
in
that
email
we've
been
working
closely
with
mercy
and
other
partners
to
to
to
stabilize
that
there
are
so,
the
the
you
know:
I,
don't
obviously
I'm
not
operating
the
the
shelter
but
set
up
thoughtfully
with
with
amnesty
lockers.
There
is
security
at
at
the
door
and
I
think
even
Mercy's,
potentially
pursuing
some
additional
security
resources,
so
I
mean
obviously
there
shouldn't
be
weapons
inside
the
building.
That's
you
know,
that's
not
permitted.
There
are.
A
A
Intended
for
June,
could
you
give
us
an
estimate
and
I
know
you
have
to
go
with
three
o'clock,
so
I'll
try
to
keep
my
comments
to
you.
Briefs
of
the
other
members
can
ask
you
stuff,
do
any
of
you
know,
then
the
number
of
homeless
people
looking
seeking
shelter
needing
shelter
in
the
city
of
Pittsburgh
or
in
this
region.
F
Yeah,
so
homelessness
I
don't
mean
to
give
more
information
than
than
you
want,
but
just
for
background,
the
way
HUD
thinks
about
homelessness,
and
that's
our
you
know
our
funder
for
homeless
Services
includes
both
unsheltered,
sheltered
and
actually
folks
in
transitional
housing
and
so
typically
I.
You
know,
if
you
ask
kind
of
person
on
the
street
they're
only
thinking
about
unsheltered
right
when
they
think
about
homelessness,
but
when
we
think
about
what
the
way
HUD
counts
that
right.
F
F
F
So
we
have
we've
increased
incentives
to
landlords
to
rent
to
our
population.
We
provide
case
management,
we
provide,
you
know
like
a
repairs
and
security
deposit
and
all
of
that
stuff
and
it's
it's
helping.
So
we
are
getting
more
landlords
willing
to
run
to
our
population,
which
means
there
is
more
flow
through
the
system
and
and
that's
good
for
that's
Obviously
good
for
everyone.
I
I
Just
total
number
sort
of
counted
as
like
in
the
homelessness
count
through
HUD
standards,
increases
and
I
understand
what
you're
saying
about
not
always
knowing
the
number
of
unsheltered,
but
is
that
the
reason
why
it
increases
like
I
still
don't
I'm,
not
quite
grasping?
Why,
then,
the
count
increases
when
we
shelter
more
people?
This.
F
We're
I'm,
so
if
you
go
in
Allegheny
County
analytics
that
website,
you
can
find
there's
a
dashboard
of
all
of
the
previous
point
in
time
counts.
We
will
release
this
year's
count
soon,
we're
hoping
by
the
end
of
May,
and
so
you
can
see
how
that
like
shelter
has
changed.
I
mean
one
of
the
things
that
I
think.
If,
if
you
don't
mind
that
I
think
is
important
when
we
talk
about
so
there's
families
that
can
experience
homelessness
and
there's
singles
and
people
typically
think
about
kind
of
single
people.
F
K
F
Yep,
it's
separate
I'm
happy
to
share
information.
You
know
back
with
you
with
you
guys,
the
with
Council
the
yeah.
It's
run
through
DHI,
Human
Services
runs
that
program
and
we
work
with
you
know,
landlords
all
over
all
over
the
the
county,
and
you
know
just
happy
to
provide
more
information
on
the
specific
incentives
and
who
to
contact.
F
We
released
a
kind
of
a
toolkit
for
for
landlords
again
to
try
to
make
it
easier
and
I
think
what
we
were
mostly
dealing
with
during
coming
out
of
the
pandemic
is
that
you
know
the
the
rents
have
gone
up
and,
and
so,
if
you
can
rent
to
other
people,
what
what
you
know
why
choose
this
population,
so
I
want
to
really
encourage
people
to
to
choose
this
population.
These
are
folks
who
have
been
through
our
other
programs,
so
we're
not
typically
at
least
sending
people
directly
from
the
street
into
permanent
Supportive
Housing.
F
K
And
that
it
also
because
you
know
we-
we
talk
a
lot
about
transitional
housing
and
you
know
which
is
of
course
important,
but
sometimes
I
feel
like
there's
a
lot
of
the
time
when
we,
you
know-
and
it's
sort
of
makes
people
feel
better
to
kind
of
have
this
vision
of
like
oh
you're
gonna.
You
know
you're
gonna
come
out
of
this
and
then
you're
gonna,
be
you
know,
a
functioning
member
of
society,
but
but
a
lot
of
the
time.
That's
just
not
going
to
happen
right,
like
that's
just
I
mean
the
real.
K
The
the
reality
of
the
situation,
so
I
mean.
Is
there
when
we
talk
about
transitional
housing?
Is
that
sort
of
like
a
quasi-permanent
option
for
some
people
who
you
know
really
aren't
going
to
be
able
to
manage
to
pay,
rent
or
or
you
know
that
type
of
thing
on
on,
like
a
long-term
basis
on
their
own.
F
Yeah
and
I
would
say:
I,
don't
I'm
I'm,
reasonably
knowledgeable
about
our
Housing
Programs
I.
Don't
have
housing
other
housing
experts
here
so
but
permanent
Supportive
Housing,
so
not
transitional
people
can
stay
and
so
that
that's
the
intent
transitional
would
be
would
would
be
by
definition,
something
where
we
are
stabilizing
and
trying
to
move
people
on
to
a
more
permanent
situation,
which
could
be
the
kind
of
subsidized
program.
That's.
J
H
F
And
and
of
course,
our
case
managers,
we
have
a
number
of
providers
who
provide
case
management
to
that
population.
They
help
people
get
connected
with
Benefits,
which
could
include
like
SSDI
and
other
other
public
benefits
they
work
with
them
on.
You
know,
on
jobs
of
course,
and
you
know,
substance,
use
issues,
mental
health
issues
that
they
might
be
struggling
with,
so
those
those
folks
all
have
case
managers
we're
not
just
placing
them
in
you,
know
scattered
site
housing
all
throughout
the
county.
There's
people
to
work
with
them.
Okay,.
C
C
C
We
also
anybody
that
calls
us.
We
get
calls
a
lot
of
calls
recent
most
recently
in
the
last
year,
so
people
parents
looking
for
service,
is
for
children.
That's
that's
like
in
a
crisis
state
right
now
and
and
that's
that's
across
the
country-
that's
not
just
here
in
Pittsburgh
so
but
and
it's
mostly
people
looking
for
resources,
so
we
try
to
you
know
we
try
to
help
them
with
any
resources.
C
We
would
have
been
there
in
person,
but
we
did
send
a
number
of
materials
for
for
the
folks
about
violence
and
and
and
how
to
talk
to
your
your
children,
about
it
and
about
gun,
violence
and
tragedy,
and
everything
what
to
look
for
in
terms
of
mental
health
issues
to
trauma
from
traumatic
incidents,
we're
doing
a
lot
of
work
in
the
in
the
schools
I.
Let
other
people
talk
besides
me.
C
C
A
Be
honest
with
you,
because
one
of
my
concerns
are
that
we
have
so
many
people
working
in
the
community
now
and
they're
doing
all
sorts
of
mental
health
services
and
mental
health.
You
know
counseling
and
training,
and
a
lot
of
them
are
not.
You
know,
certified
and
and
they're,
not
social
workers,
they're,
not
psychologists.
L
A
Lot
of
efforts
to
try
to
get
Mental,
Health
Services
to
people
and
yet
I
hear
the
waiting
list
for
offices
are
tremendously
long.
I
I'm
hearing
people
are
like
more
aware
of
things
like
you
know:
postpartum,
depression
and
anxiety,
I'm,
hearing
a
lot
of
more
people
being
diagnosed
with
those
things,
but
then
there's
no.
It
seems
like
there's
such
a
lack
or
a
wait
time
and
getting
to
the
to
the
doctors
they
get
identified.
They
get
they
get,
they
understand,
they
have
some
issues
and
then
they
can't
get
to
an
appointment.
C
I
mean
in
our
in
our
opinion,
families
are
the
safety
net
for
for
children
and
and
adults
who
need
services
and
aren't
experiencing
problems.
When
there's
a
waiting
list
for
services,
they
have
their
family
and
their
families
are
out
there.
You
know
a
lot
of
folks
move
back
home,
a
lot
of
folks
get
discharged
from
the
hospital
to
their
family
when
there's
no
placements
for
them
and
and
like
I,
said
we
we're
getting
the
calls,
because
folks
can't
get
an
appointment,
and-
and
you
know
so,
and
we
we
keep.
C
C
Our
programs
are
evidence-based
and
the
the
the
people
doing
them
have
been
trained
and
certified
to
do
them
and
they're
and
they're,
supervised
or
overseen
by
our
office,
and
everybody
in
our
office
is
either
a
family
member.
Someone
who
lives
with
a
mental
illness,
a
mental
health,
professional
or
all
three
so
and
and
and
it's
it's
family
support,
I
mean
and
and
peer
support,
and
it
it
I
believe
that
it
was
like
what
got
us
through
the
pandemic.
We,
we
ran
support
groups
across
the
store
State.
C
We
we
have
31
Affiliates
in
the
state
that
we're
responsible
for
and-
and
we
ran
support
groups
seven
days
a
week
morning
afternoon
evening,
Saturday
night
movie
night,
they
were
there
were
virtual
support
groups
right
and
we
served
over
22
000
people
in
those
support
groups
and
people
in
Pittsburgh
and
the
Allegheny
County
participated
in
in
groups
in
Philadelphia,
Bucks
County
and
vice
versa.
There
were
groups
being
run
here.
The
people
from
those
counties
were
participating
in.
C
I,
do
the
well,
it's
a
one,
eight
eight,
eight,
two,
six,
four,
seven,
nine,
seven,
two
and
somebody
answers
live
every
day
from
nine
to
two.
We
also
get
Rick.
We
have
an
info
buying
that
if
we
get
a
request
for
resources,
we
we
respond
our
our
goal
and
typically
we
meet.
It
is
to
respond
within
24
hours
to
any
request
for
information.
A
My
office
I
tried
telling
them
to
do
that.
That's
really
difficult
to
judge
so
I
appreciate
that
and
I
just
want
to
say,
I
think
we
first
met
when
we
did
a
post
agenda
with
Ricky
moody
in
2014.
that
long
yeah
that's
and
we
started
that's.
When
we
first
started
talking
about
mental
health
in
the
city
in
this
section
and
the
City
of
Pittsburgh,
then
we
had
our
staffs
all
trained
on
how
to
handle
a
mental
health.
Emergency
call,
but
I
would
say
that
was
2014.
That's.
C
We
have
a
program
cos
against
stigma
and
mayor
peduto
and
mayor
Gainey
both
have
taken
the
pledge
to
be
an
executive
against
stigma,
and
what
that
has
led
to
is
we've
done.
Multiple
presentations
for
the
city,
employees
worked
with
the
the
the
I
want
to
say
the
human
resource
department
I
mean
I've
done
several.
H
C
H
E
Really
good
at
giving
information
to
people
who
might
not
be
aware
they
have
a
mental
health
issue
so
before
even
seeking
treatment,
we're
educating
people
on
symptoms
and
what
that
might
look
like
family
members,
you'll
give
them
support
around
you
know
their
family
and
kind
of
just
educating
people
on
what
services
are
out
there,
as
well
as
what
mental
health
looks
like
in
a
whole,
so
I
think
before
even
seeking
treatment
they
have
to
have.
An
understanding
of
this
is
happening.
A
L
L
No
I
appreciate
it.
It's
not
like
you
know
you
thought
of
this,
so
that's
that's
great
I
wanted
to
thank
thank
her.
You
mentioned
the
the
the
meeting
that
we
have
with
the
community
after
the
Airbnb
incident
tragedy,
which
happened
in
my
district
and
and
that
was
an
event
that
my
office
partnered
with
I,
actually
started
out
with
several
conversations
with
people.
But
ultimately
we
came
together
with
a
large
amount
of
support,
and
you
were
part
of
that.
L
So
thank
you,
so
I
just
wanted
to
so
whenever
when
I
apologize,
since
I
was
30,
maybe
I
missed
this,
but
I
just
want
to
kind
of
get
a
understanding
of
how
this
is
structured.
So,
first
just
to
just
for
to
give
me
up
to
speed
mental
health
and
Behavioral
Services
in
the
city
of
Pittsburgh
the
discussion,
but
we
have
the
county
and
then
are
you
funded
by
the
county?
Yes,
okay!
So
how-
and
this
is
how's
the
DHS
it
does
and
who
funds
the
like?
L
F
F
F
F
L
So
we
spend
400
million
or
we
you
know
basically
on
some
level.
It's
all
taxpayer
because
we're
it's
coming
through
Federal
to
the
state,
so
taxpayers
are
paying
400
million
to
solve
issues
really
in
the
and
provide
care
for
mental
mental
and
Behavioral
Health
physics,
okay
and
now,
and
how
long
has
the
contract
been
with
upmc's
Community,
Care
yeah.
G
F
L
G
Sure
so,
when
Aaron
talks
about
you
know
we
partner
with
Community
Care
we
partner
with
Community
Care.
So
we
are
very
much
you
know
in
discussions
with
them
daily
around
our
Behavioral
Health
System,
and
because
it's
such
a
large
contract
right
and
because
we
get
such
little
money
to
you
know
cover
the
uninsured
or
those
with
you
know,
Commercial
Insurance,
because
we
all
know
that
commercial
insurance
doesn't
necessarily
pay
for
those
critical
services
that
some
people
need.
H
H
F
L
There
an
opportunity
like
how
do
we
solve
the
issue
that
all
of
us
face,
especially
in
districts
where
there
is
people
outside
that
you
know,
are
going
through
different
challenges
and
just
recently
I
you
know
took
over
part
of
I
shouldn't
say
that
I
now
represent
part
of
downtown
and-
and
you
know,
as
you
know,
I
represent
the
Northside
as
well:
13
Neighbors
on
the
North
side
and
so
they're.
You
know
these
are
new
issues.
They're
old
issues
of
people
who
are
experiencing.
You
know.
L
You
know
saw
on
some
level
of
you
know
mental
and
Behavioral
Health.
They
would
be
in
need
of
those
Services
I'm,
not
sure
the
appropriate
language,
but
people
who
receive
Care
Health
Care
through
DHS.
Ultimately,
you
know
they're
outside
they're,
in
in
my
district,
in
several
other
districts,
and
what
I'm
currently
I'm
always
faced
with
is
how
do
we,
the
city,
communicate
to
those
constituents
to
the
residents
and
even
these
in
the
individuals?
I'm,
not
sure
you
know
if
they're
there
for
the
day
or
the
next
day?
L
But
how
do
we,
even
when
we're
communicating
with
them?
You
know
if
they
reach
out
to
our
office,
but
specifically
specifically
I'm
talking
about
like
whenever
the
community
reaches
out,
because
they're
not
understanding,
what's
happening
when
they're,
seeing
an
individual
in
a
certain
State
and
and
maybe
experiencing
homelessness,
you
know
what's
happening,
what's
the
plan
what's
going
on
and
we're
left,
you
know
you
know
at
the
meetings
trying
to
explain.
L
You
know
how
we
interface,
how
the
sitting
interfaces
with
with
the
issues
but
I'm
going
to
be
honest,
like
I'm
I'm,
always
looking
for,
like
you
know
a
representative
or
someone
to
assist
in
that
conversation,
how
do
we
like
facilitate
like?
How
do
we
get
to
a
facilitated
conversation
with
these?
You
know,
Community
groups,
organizations
a
clear
message
to
residents
on
what
you
know,
how
we're
solving
these
issues-
and
you
know
we're
the
ones
that
are
at
the
community
meeting.
L
You
know
the
council
and
the
mayor's
team,
and
you
know
the
count
not
trying
to
disk
the
county
but
I'm
just
saying
the
County's,
just
not
at
the
table
at
those
meetings.
Whenever
those
come
one
of
those
those
questions
come
up
and
so
I
want
to
get
to
a
place
where
we
can.
You
know
have
those
have
those
answers.
You
know
immediately
to
people.
H
L
And
also
I
mean
we
should
also
be
mindful
that
I
mean
I,
think
people
who
reach
out
feel
like
they
deserve
that
answer
right
away,
and
so
that's
also
like
well.
This
is
care
that
we're
giving
this
Healthcare
is
it
private
health
care
that
we're
giving
right
that
the
people
are
giving.
So
it's
I
know
that's
a
tricky
conversation,
but
I
still
would
like
to
get
to
a
place
where
we
have
this
engagement.
Where
we're
recognizing
like
here
where
the
problems
are
solved
like
we
want
to
be
a
bigger
sport.
F
No
I
mean
I
was
I,
I
mean
I
I,
don't
think
we
don't
I
mean
we
haven't
been
invited
to
those
meetings.
Right
I
mean
I
I,
we
know.
Obviously
we
don't
think
we
do
not
in
any
way
think
of
ourselves
as
supporting
something
outside
of
the
city
and
and
the
outlying
areas
of
the
county
right.
We
know
the
city
is
the
most.
You
know
the
largest
biggest
source
of
our
clients,
our
needs.
The
city
is
part
of
the
county.
F
F
Everyone
I
think
also
knows
we're
trying
to
build
up
our
crisis.
Services,
there's
more.
We
can
do
there,
but
988
is
the
solution
that
that
you
know
the
federal
government
and
locally.
We
are
trying.
We
are
building
up
to
support
that
in
partnership
with
with
lots
of
others
who
are
doing
incredible,
work
on
the
ground,
but
I
think
the
short
answer
to
that
is
we.
We
certainly
want
to
happy
to
be
there
alongside
also
happy
to
provide
as
much
technical
assistance
training
to
City
staff
Council
staff.
F
To
so
you
can
answer
those
questions,
our
directors
actually
I've.
You
know
kind
of
talked
about
this
before
I
mean
our
director's
Action
Line
can
help,
but
I
mean
if
people
you
know
some
of
these
are
policy
questions.
Some
of
these
are
where
do
I
get
Services
now,
and
some
of
them
are
complaints
about,
or
concerns
about,
Society,
so
I
feel
like
we
would
want
to
handle
those
those
three
things
differently,
but
you
know
we
we
want
to
be
partners
there.
That
is
the
way
the
funding
goes.
L
Yeah
I,
don't
know
what
that
looks
like
and
I
know.
You
know.
I
definitely
recognize
that
every
time
this
happens,
we
don't
reach
out
and
say
you
know,
can
you
please
get
a
representative
here,
but
just
wanted
to
bring
that
up?
Obviously,
it's
something
that
you
know:
I've
probably
brought
up
to
you
in
the
past
and
just
kind
of
won
the
you
know
just
talk
through
that
a
little
bit
more,
but
you
know
specifically
like
whenever
I
started
to
represent
part
of
downtown
I
made
it.
L
L
They
were
talking
through
the
the
push
and
the
reorganization
of
more
police
downtown,
and
you
know
it
was
recognized
in
the
walkthrough
that
we're
not
going
to
solve
all
these
issues
like
we're,
not
gonna,
be
able
to
police
our
way
out
of
what's
happening
outside
and
I
recognized
that
it
was
good
to
hear
that
you
know
they
recognize
that
as
well,
and
so
how
do
you?
How
does
the
mental
health
and
Behavioral
Services
work
with?
Are
the
police,
Fire
EMS.
F
I
mean
started
my
day
at
eight
on
a
call
on
the
call
with
police
and
and
may
end
the
day
that
way,
we'll
see.
So
we
we
do
really
try
to
partner
with
with
police,
we're
particularly
partnering
around
downtown
issues
right
now
and
coordinating
how
we
handle
various
various
issues.
I
think
and
others
are
welcome,
long
run.
F
H
F
That's
what
the
city
has
been
primarily
doing
and
there's
you
know
multiple
different
ways.
You
can
kind
of
orchestrate
that
in
a
county
like
ours,
we
thought
smart
to
Pilot,
a
bunch
of
different
approaches
and
then
scale,
because
we're
going
to
have
to
scale
in
some
way.
That
makes
sense
financially
too.
H
F
You've
got
over
a
hundred
police
departments,
so
I
mean
we
spend
a
lot
of
our
time.
Thinking
about
how
we
can
help
be
there
and
support
people.
I'll
just
say
I
mean
you
know
also.
Everyone
should
know
that
these
services
are
voluntary
and
often
people
know
about
these
services,
and
this
is
a
tricky
sort
of
public
policy
issue.
L
F
Yeah
I
mean
we
are
we're
piloting,
we're
piloting
that
kind
of
work
now,
and
you
know
it's
worth
having
this
discussion
also
with
the
city
the
city
has
like
we,
we
we
have
to
work
alongside
municipalities
right,
so
we
have
to
take
the
lead
on
also
what
they
are
comfortable
with.
We
don't,
you
know,
make
the
rules
on
how
they
deploy
their
force
and
their
if
they're
not
going
to
be
so.
F
F
So
nine
and
that's
not
our
renaming
it
there's
a
national
988
number
so
that
no
matter
where
you
are
in
the
country,
you
could
call
988
talk
to
somebody
get
crisis
response.
That's
an
important
kind
of
national
infrastructure.
That's
been
set
up
and
the
local,
the
the
folks
running
it
locally
are,
is
resolved.
L
G
G
So
when
you
think
about,
like
your
outpatient
service
services
and
things
of
that
nature-
and
some
are
more
of
the
non-traditional-
type
supports,
you
know
and
we
find
those
through
Nami
and
we
find
those
through
afn,
which
is
the
Family
network,
and
you
know
we
we
are
able
to
and
that's
our
goal
right
to
link
because
it
is
a
voluntary
service.
So
the
more
that
we
can
engage
and
the
more
that
we're
able
to
develop
relationships
with
individuals
and
build
kind
of
that
trust.
G
The
more
confidence
that
we
have
in
you
know
the
person
continuing
with
that
engagement
and
then
decreasing
the
engagement
with
the
police
right
like
that
is
kind
of
what
you
know
our
goal.
Is
there
resolve
as
everybody
else,
though
we're
experiencing
Staffing
shortages
and
it's
you
know
it's
unfortunate
because
you
call
9-1-1
oftentimes
most
times
right.
You
get
a
pretty
quick
response.
H
G
F
G
H
G
But
what
we're
experiencing
right
now
is
not
you
know,
staff
leaving
to
go
to
another
provider,
but
staff
were
leaving
to
go
to
Sheets
staff
were
leaving
to
go
to
retail
and,
as
you
know,
right
pandemic.
The
need
went
up
for
Behavioral,
Health
Services
and
we're
losing
the
staff
so
as
quickly
as
the
need
is
going
up.
That's
about
as
quickly
as
we've
been
losing
the
stuff.
So
we
need
to
figure
that
out
and
we
are
on
that
road
to
figuring
that
out
and
getting
new
graduates
also
into
the
field.
G
Okay,
yeah,
it's
a
it's
a
combination.
It's
through
the
you
know
the
count,
so
the
county
and
Community
Care
and
and
yeah
yeah
peachy,
which
is
the
Pittsburgh
Council
of
Higher
Education,
which
is
a
11
colleges
and
universities.
I
think
it
is
around
here
and
also
a
partnership
with
smill
business
college
with
Penn
State
too.
H
G
Provide
services
in
one
of
our
areas
that
we're
experiencing
long
wait
times
and
Staffing
shortages.
Then
we,
through
this
program,
will
be
able
to
pay
up
to
twenty
five
thousand
dollars
for
individuals
with
bachelor's
degree
and
up
to
forty
five
thousand
dollars
for
individuals
with
a
master's
degree,
and
that
is
in
turn
for
a
two,
a
two-year
service
agreement
so
that
they
will
stay
in
that
position
and
deliver
those
service
that
we
need
and
there's
a
hundred
and
eighty
individuals
that
will
end
up
going
through
this.
G
This
program,
which
is
significant
and-
and
we
you
know
you
ask
about
you
know-
are
we
watching
and
kind
of
monitoring
what's
happening?
That
also
is,
will
you
know
we're
tracking
outcomes,
we're
tracking
the
individuals?
Are
they
staying
in
their
services?
And
you
know
in
their
jobs
and
things
of
that
nature?
G
Opt-In
and
opting
in
took
a
commitment
on
their
part
to
increase
the
pay
for
workers,
because
workers
were
making
twelve
dollars
an
hour,
and
you
know
making
twenty
five
thousand
dollars
a
year
expecting
to
go
out
into
these
off
hours
and-
and
you
know,
and
you
could
go
elsewhere
and
make
a
lot
more
than
that
and
not
have
to
work
weekends
or
or
off
hours.
So
providers
also
are
coming
to
the
plate
and
and
that's
important
too
I.
L
L
L
Obviously
it's
ran
through
the
county,
but
I
don't
know,
sometimes
there's
a
there's,
an
authority.
This
is
an
authority
and
then
we
have
a
seat
on
an
authority.
Maybe
there's
you
know
a
board.
Is
there
any
way
that
we,
the
city,
officially,
is
at
the
table
to
to
decide
to
make
some
to
be
a
part
of
those
decisions.
F
F
So
we
talk
about
housing,
you're,
aware
of
like
the
housing,
Advisory
Board
and,
for
example,
the
city
has
role
there.
We
have
a
drug
and
alcohol
Council
and
a
mental
health
intellectual
disabilities
board
I,
don't
I
think
there
are
City,
but
we
representation
there,
but
I
can
I
can
I
can
confirm,
and
so
any
of
our
kind
of
advisory
structures.
We're
very
happy
to
have
City
participation
in
I.
F
Understand
that
that's
probably
that's
different
different
than
you
know,
making
decisions
about
how
funding
is
spent,
but
we
we,
you
know
I,
do
think
you
know
we
listen
or
certainly
try
to
listen
to
those
boards
and
groups
and
happy
to
take
input
and
I.
Think
you
know
share
any
any
amount
of
information
about
how
we
spend
those
dollars.
What
percentage
are
spent
within
your
District
or
the
city
as
a
whole,
and
and
so
and
and
how
that
you
know
purports
with
need
right
and
because
that.
L
L
F
F
J
F
L
C
C
C
The
only
other
thing
I
wanted
to
say
is
that
that
we
we
build
relationships
with
elected
officials,
primarily
State,
reps
and
State
Senators,
but
and
and
one
of
the
things
that
we
do
we're
we're
we're
very
happy
to
do
a
training
for
you
or
your
staff
on
the
system
system,
Aaron's
making
it
sound
like
not
so
complicated.
It's
a
complex
system
and
it
takes
like
a
science
and
an
art
to
make
it
to
to
manage
it.
C
E
C
You
know
the
everyday
person
on
the
street
just
doesn't
have
the
beginning
of
understanding
the
the
system
and
that's
a
lot
of
what
we
do.
We
help
people
navigate
the
system
we
get.
We
get
calls
from
a
lot
of
family
members
and
even
individuals
themselves
that
are
trying
to
navigate
this
complex
system
and
it's
it
it's
hard.
I
mean
it
it.
You
know,
but
we
do
that's
one
things
that
we
do
yeah.
L
I
think
you
touch
on
something,
that's
just
so
important
that
and
I'm
I
hope
you
think
this
relays.
Basically
you
know
we
have
Community
engagement
on
topics
about
what
people
are
seeing
outside.
I
mean
it's
not
like.
There's
a
representative
from
that
community
that
comes
and
comes
to
that
meeting
and
you
know
States
look.
This
is
what
I'm
going
through,
and
these
are
the
barriers
that
I'm
going
through
to
I.
Don't
know
b
word,
you
know
you
and
the
community
are
right
now
you
know
like
I'd
like
to
be
there.
L
I,
don't
know
what
that's,
if
that's,
what
they
would
say,
but
you
know
oftentimes,
it's
you
know
the
community
and
what
they're
seeing
and
that
you
know
some
don't
understand
some
want
something
done,
and
then
we
have
elected
officials
Representatives.
You
know
that
you
know
take
in
the
taxpayers
money
and
you
know
trying
to
provide
services,
and
so
then
you
know
we
try
to
you
know,
solve
solutions
that
way
we're
all
at
the
same
table
trying
to
solve
the
solutions
where
we
you
know,
try
our
best
to
do
that.
But
you.
L
Really,
there's
not
an
advocate,
you
know
on
the
side
of
the
people
that
are
outside
dealing
with.
You
know
what
they're
going
through
at
the
table
with
the
community
saying
look
this
this.
Is
this
isn't
working
for
me
or
this
is
working
for
me.
You
know
because
this
is
this
is
a
long.
These
issues
have
been
here
for
a
long
time
and
I
I
think
they,
you
know,
deserve
a
say
or
actually
to
have.
You
know
being
be
heard
publicly
at
meetings
on
what.
F
They're
going
through,
we
do
it.
We
do
really
do
a
ton
of
that.
Of
so
I
mean
I
I,
don't
you
know
you
guys
can
attest
or
not
feel
free
of
people
who,
with
lived
experience
and
mental
health
and
substance,
use
recovery,
family
members,
people
themselves
in
recovery,
people
in
contemplating
recovery,
both
in
terms
of
being
on
boards
like
that,
but
also
just
in
engagement.
F
So
we
we
absolutely
want
to
hear
from
what
what
people
are
are
experiencing
I
just
kind
of
if
I
can
just
real,
quick
on
the
400
million,
which
just
is
like
it's
not
like
every
year.
We're
like
oh
well,
how
you
know,
how
do
we
kind
of?
What
do
we
do?
I
mean
these
are
in
plan
Services,
just
like
your
your
health
insurance,
if
or
any
of
our
health
insurance.
If
you
go,
if
I
go
to
the
doctor,
my
health
insurance
pays
for
it
unless
they
have
some
reason.
F
That
is
that's
really
the
same
thing
here.
So
these
outpatient
inpatient,
Services
we
some
of
what
Joel
was
kind
of
talking
about-
is
how
we
figure
out
how
to
reinvest
and
pay
for
like
we're
paying
for
housing
out
of
Medicaid,
which
is
not
you
know
typical
and
so
like,
like
we're
doing
all
that
kind
of
that.
F
That's
what
we
spend
our
energy
is
trying
to
figure
out
how
to
use
those
those
dollars
to
actually
get
people
what
they
need,
as
opposed
to
just
not
that
I
mean
you
need
the
Outpatient
Care,
the
inpatient,
Care
One
More
additional
thing
about
monitoring.
Since
I
became
director
we
in
the
past
year
we
took
in
house
monitoring
so
for
20.
Whatever
four
years
five
years,
the
the
county
paid
a
group
called
Allegheny
Health
choices
to
monitor
that
contract.
F
I
wanted
full
responsibility
and
authority
to
monitor
myself,
because
it's
that
important
to
have
direct
Hands-On
I
want
to
know
I
want
all
the
data.
I,
don't
want
it
over
here,
let's
be
if
we're
going
to
be
responsible,
let's
be
responsible,
so
we're
building
up
we've
built
up
and
are
continuing
to
build
up
that
team,
that
data
capacity
and
just
being
able
to
have
a
closer
hand
on
that
monitoring.
I
think
well,
I
think
it's
important
and
then
you
it's
not
me
saying
well,
you've
got
this
person
over
here.
F
L
Us
to
the
table
because
I
just
see
such
an
intersection
here
of
of
services,
where
you
know
I'll
go
back
to
the
community
meeting
like
you
know,
they're
like
the
police
can
do
something,
but
then
you
know
if
it
found
that
that's
not
something
that
they
do
and
you
know
then
it's
like.
Well,
this
is
Healthcare,
and
so
then
you
know
we
have
to
have
a
conversation
about
what's
being
done
on
that
side
and
I
know
you
are
doing
it.
L
A
K
F
Is
obviously
a
large
thing
right
so
sure,
separate
and
apart
and
they
have
different
kind
of
identity?
You
know
they
also
run
Western
Psych
and
a
number
of
hospitals
right.
So
resolve
is
run
really
by
the
Western
Psych
part
of
UPMC,
which
is
different
from
Community
Care
Behavioral
Health,
which
is
its
own.
F
K
K
K
Right,
I,
don't
feel
comfortable.
Calling
police
in
situations
like
that
I
know
that
community
members
don't
always
feel
comfortable
calling
police
right.
It
doesn't
feel
right
feels
mean
right
to
call
the
police.
Can
they
call
resolve
I
mean?
Is
that
something
they
can
do
I
mean
even
if
it's
not
like
someone
doesn't
have
to
be
there
in
10
minutes,
but.
G
Yes,
absolutely
and
and
resolve
is
really
there
and
you
know,
over
the
14
years,
12
years
that
resolve
has
has
been
in
place.
They
really
have
become
more
of
the
catch-all
and
I'm
going
to
say,
like
that
number
became
more
of
the
catch-all.
I
will
say
that
you
know
under
Aaron's,
Direction
she's,
really
like
expanding
that
there
should
be
a
number
to
call
to
be
able
to
get
human
services
that
do
not
necessarily
equal
a
mental
health
crisis,
and
when
I
answered
your
question
about,
you
know
right
now.
G
But
what
to
look
for
how
to
intervene
when
to
you
know,
because
sometimes
the
intervention
could
could
be
the
Community
member
you
know
approaching.
If
comfortable
and
asking
hey,
you
know,
can
I
assist
you
in
some
way,
or
you
know
and
being
able
to.
You
know,
get
that
first
interaction
and
then,
if
the
per
the
person
may
say
like
I
need
something.
D
H
G
K
Know
and
engaging
right
themselves
so
which,
which
you
know
is
fine.
So
what
is
you
know
roughly
if
someone
were
just
so
I
can
sort
of
yeah
expectation
set
right
exactly
because
this
is.
This
is
helpful
to
me
right.
This
is
helpful
to
me
what
can
in
terms
of
like
how
long
it
takes
for
someone
to
pick
up
the
phone?
What's
the.
D
K
That
someone's
gonna
answer,
okay
and
then
and
then
in
terms
of
because,
like
I
said
this
rarely
I
mean
if
it
was
urgent
urgent,
then
they
would
call
9-1-1
right
if
something
really
bad
is
happening,
but
most
of
the
time
we're
just
talking
about.
So
what
is
the
kind
of
the
average
for
the
mobile
unit?
Time
to
you
know
to
come
out.
Is
it
like
tomorrow?
Well.
K
G
G
So
if
an
individual
is
in
a
not
in
any
immediate
danger
resolve
they
triage
right
and
they
would
respond
to
an
individual
who
is
having
thoughts
of
harm
to
themselves
or
to
others
before
responding
to
you
know
an
individual
who
may
be
safe
at
that
moment,
so,
oh
yeah,
so
they
triage
okay,
they
could
walk
the
person
through
that
when
they
call
like
the
the
caller.
So
if
it,
if
it
were
somebody.
H
D
F
I
Thank
you.
Thank
you.
I.
Let's
see,
there
are
a
couple
of
buckets
of
conversations
that
I
like
to
to
ask
or
to
have
I
guess.
One
is
I've,
heard
the
theory
from
maybe
some
other
cities
or
jurisdictions
where
like
if
they
have
a
bucket
of
money
and
they're
deciding,
let's
say
binary
choice
between
hiring
say
for
social
workers
to
go
into
a
school
or
to
work.
I
Let's
just
say
that
this
is
specifically
specific
to
the
the
youth
Mental
Health
crisis
across
the
country,
so
they
could
hired
four
professionals
to
go
into
schools
on
a
rotating
basis
or
they
could
spend
the
same
amount
of
money.
Training.
Doing
intensive
trainings
of
whatever
sort
is
the
most
helpful
to
a
lot
of
people
who
work
with
youth
right,
so
teachers
Crossing
about
guards
school
bus
drivers,
anyone
coaches,
rec
center.
In
our
case,
like
Rec,
Center
directors.
E
Yeah
I
think
it's
important
to
do.
The
the
latter,
like
you,
said,
to
educate
these
people,
who
are
directly
involved
with
the
population
we're
talking
about
just
because,
like
you
said,
situations
may
rise
and
they
have
the
skills
and
kind
of
in,
in
nami's
case
always
the
personal
experience,
because
we're
either
a
family
member
or
an
individual
with
experience.
E
So,
although
you
know,
and
I
and
I
do
a
lot
of
presentations
and
I'm
always
like
I'm,
not
a
therapist,
but
I
can
give
you
these
tools,
and
you
know
kind
of
the
skills
to
have
these
tough
conversations
or
to
deal
with.
Maybe
a
crisis
situation
that
you're
able
to
refer
out
to
a
professional,
that's
more
suited
to
you
know,
help
whatever's
going
on.
D
E
F
I
And
that's
helpful
I
mean
we
don't
have
the
schools
right,
but
we
can
coordinate
with
schools,
but
we
do
have
rec
centers
healthy,
active
living
centers
for
older
adults,
crossing
guards
who
we've
we've
put
through
trainings
around
mentorship,
but
maybe
not
this
kind
of
work.
We
have
access
to
those
who
we
funded
the
community
organizations
that
work
with
youth
who
we've
funded
sports
leagues,
like
so
many
I,
think
in
our
in
our
in
our
orbit,
who
we
work
with
I
think
that
could
benefit
from
this.
So
it's
helpful
to
hear
your
perspective.
Thank
you.
I
The
only
other
well
I
have
two
two
other
questions.
One
is
I
understand
that
there
are
racial
disparities
in
terms
of
access
to
mental
health,
especially
crisis
service.
This
is
you
know,
research.
Our
office
pulled
together
that
frequent
the
frequent
utilizers
of
Mental
Health
crisis
Services
tend
to
be
older,
more
likely
to
be
male
and
black
and
I.
You
know
that
some
some
of
the
disparities
have
to
do
with
costs,
stigma
and
minimization
low,
perceived
effectiveness
of
treatment.
Accessibility.
I
Does
this
sync
up
with
with
what
you
understand
as
well,
and
you
know
if
so
I
know
that
Nami,
you
are
all
working
on
the
on
this
exact
thing.
I
would
love
to
her,
and
you
mentioned
it.
I'd
love
to
learn
a
little
bit
more
about
what
that
looks
like
how
you're
you
know
entering
communities,
and
you
know
what
success
he
might
have
seen.
I
E
Thank
you,
so
I
think
we
are
trying
to
be
more
intentional
on
you
know,
reaching
out
to
communities
who
may
not
know
about
Nami
who
traditionally,
like
you
said,
have
a
stigma
around
mental
health.
Last
year
we
had
our
first
annual
Blackman
Ohio
Summit,
so
it
was
the
the
purpose
of
it
was
to
like
bring
communities
together,
give
them
some
education.
We
had
a
couple
speakers
tell
some
personal
stories
and
then
we
had
a
really
organic
conversation
about.
E
You
know
what
the
community
members
are
feel
like
the
issues
are
in
their
own
community.
So
then,
in
turn,
we
are
able
to
offer,
like
Chris,
said,
training
on
support
group
leaders,
classes
to
help
people
again
understand
and
have
that
support
around
mental
health.
So
this
year
we're
having
our
second
annual
Blackman
Health
Summit.
It's
going
to
be
at
the
Louisiana
house
on
July
19th.
So
again
we
are
having
speakers
and
inviting
the
community
out
to
have
those
conversations.
So
I
think
stigma
is.
E
You
know,
in
my
opinion,
at
the
top
of
the
list
in
these
communities
that
prevents
people
from
reaching
out
even
having
these
conversations.
So
we've
been
again
intentional
on
trying
to
go
to
different
events
that
might
not
be
mental
health
related
like
the
music
festival
and
just
have
a
table
there
and
be
able
to
talk
to
people
and
just
try
to
normalize
this
conversation.
E
So
I
think
you
know
attacking
the
stigma
piece
and
trying
to
normalize
the
conversation
could
really,
you
know,
give
people
thinking
and
say:
maybe
I
can
reach
out.
You
know
for
help
and
not
feel
so
alone,
and
also
we
created
a
African-American
mental
health
resource
guide
for
Allegheny
County,
which
is
full
of
black
therapists,
some
psychiatrists
different
programs
within
African-American
Community,
that's
around
mental
Wellness.
E
So
we
know
it's
important
that
people
will
get
services
from
people
who
look
like
them,
so
they
can
feel
more
comfortable
and
have
that
understanding
you
know
so
you
know
I
always
tell
people
you
know
to
find
a
good
therapist.
You
might
have
to
go
through
a
few
right,
so
it's
very
and
your
treatment.
Won't.
You
won't
get
the
best
treatment
if
you're,
not
comfortable
with
your
provider.
E
So
just
trying
to
you
know
put
all
that
in
one
place
because,
as
we
talked
it's
very
hard
to
navigate
this
system
prior
to
Nami,
I
was
a
service
coordinator.
Working
with
the
homeless
population,
I
worked
in
a
homeless,
shelter,
so
I
definitely
understand
some
of
the
struggles
and,
like
you
said
it's
voluntary
and
you
know.
Sometimes
you
go
to
a
person
and
they're
just
not
ready,
and
so
now
what
do
you
do?
It's,
like
you
said,
continuous
engagement
and
just
trying
to
build
a
relationship.
A
B
So
I
just
wanted
to
also
add
in
on
that.
Excuse
me
that
I've
been
speaking
director
Dalton
about
the
fact
that
last
summer
there
was
an
uptick
in
black
men
who
were
overdosing
in
opioids
and
the
need
to
maybe
insert
some
health
promotion
campaigns
to
those
populations.
So
I
will
say:
we've
been
in
conversation
about
that.
B
I
also
mentioned
a
few
weeks
ago.
That
sometimes
I
think
that
when
that
data
hits
the
air
providers,
don't
necessarily
materialize
programs
around
it.
So
that's
another
way
to
sort
of
hone
in
on
where
the
issues
are
with
the
black
male
population,
whether
it's
substance
use
disorders
or
if
it's
mental
health
disorders,
and
where
can
we
get
the
providers
to
go
into
those
spaces,
so
I
will
say
councilwoman
we
have
had
those
conversations
also.
B
So
I
would
say
that
the
black
male
population
right
now
and
this
city
may
not
necessarily
be
honed
in
on
as
effectively
as
it
could
be.
I
think
there's
more
work
to
do,
but
I
think
that
Summits,
like
the
black
mental
health
Summit
that
you're
going
to
participate
or
operate
actually
in
July
I
think
that's
helpful
and
I
plan
to
be
there.
Also
I
did
get
the
directory
from
the
black
therapist
Collective.
So
I
can
share
at
the
council
too.
A
K
So
I
mean
I,
don't
know
these,
maybe
aren't
isn't
as
common.
You
know,
but
it
sort
of
pops
up
and
it's
it's
a
big
problem
for
I
mean
I.
Have
a
I
was
just
at
a
hearing
this
morning.
Right
I
have
a
whole
neighborhood
that
is
sort
of
rallying
behind
this
one
home
and
again
it's
it's
a
very
tricky
situation,
because
you're
dealing
with
with
a
homeowner
who
has
lived
in
a
neighborhood
for
many
years.
There
are,
you
know,
people
who've,
grown
up
and
around
you
know.
K
So
so
it's
nobody
wants
to
see
anyone
put
out
of
their
house,
but
at
the
same
time
it's
so
yeah,
so
I
guess
I'm,
because
just
practically
speaking,
I
like
to
know
what
what
I
can
do,
what
services
are
available.
Even
if
that's
just
sort
of
moving
the
things
you
know
what
I
mean
like
getting
the
space
cleaned
up.
D
G
We
do
not
have
anything
specific
as
in
a
hoarding
task
force
or
anything
like
that,
but
our
providers
are
definitely
equipped
to
manage
and
treat
the
behaviors
that
we
often
see
as
the
root
cause
kind
of
of
the
hoarding,
and
you
know
for
so
long
I
think
it
was
looked
at.
As
you
know,
more
of
an
obsessive,
compulsive
disorder
type
you
know
concern,
but
as
more
and
more
research-
and
you
know-
and
we're
talking
about
a
very
small
part
of
the
population,
I
think
it's
like
in
the.
G
Of
you
know
it's
like
less
than
three
percent,
or
so
I
mean
it's
it's
pretty
small,
but
we're
you
know,
learning
that
it's
you
know
major
depressive
disorder.
It's
you
know
anxiety,
it's
attention
disorders
also,
and
because
what
happens
is
that,
like
one,
you
know
the
behaviors
that
kind
to
go
behind?
That
is
one.
You
don't
want
to
get
rid
of
your
stuff
right.
You
kind
of
accumulate
new
stuff.
G
So
how
do
we
like
and-
and
the
third
is
like
disorganization
right
and
sometimes
then
the
situation
becomes
out
of
control
and
then
it
becomes.
You
know
what
we're
seeing
there.
So,
even
though
we
don't
have
anything
specific
to
hoarding,
we
do
have
providers
that
are,
you
know,
have
specialty
and
provide
specialty
evidence-based
practices,
as
Chris
was
talking
about,
such
as,
like
cognitive
behavioral
therapy,
to
address
those
underlying
you
know,
conditions
I
I,
do
know
that
a
lot
of
people
ask
like
well
who
can
come.
Take
the
stuff.
H
G
Know
and
that's
a
process
also,
and
we
have
to
be
careful-
that
in
taking
the
stuff
we're
doing
it
in
a
way,
that's
not
going
to
cause
harm
or
more
harm
to
the
individual
and
and
that's
not
what
the
neighbors
want
to
hear
right,
I'm
sure
that
if
we
live
next
to
an
individual,
that
was
accumulating
things
and
not
you
know
getting
rid
of
them.
That's
not
what
we
want
to
hear,
but
you
know
it
it's.
G
A
G
K
I
mean
it
would
be
great
if,
if
and
I
mean
I'm
happy
to
facilit
I
always
say
if
you
want
to
do
a
pilot
program,
I've
got
I've
got
something
for
you,
but
some
kind
of
coordination,
because
it
is
the
two
things
right.
It's
like
the
mental
health
component,
but
then
it's
also
like
the
physical,
so
like
some
kind
of
coordination
between
DHS
and
the
health
department
to
like.
K
K
H
F
Thank
you,
I
mean
we
sorry.
If
it's
okay,
just
one
additional,
we
will
do
well
checks
for
people
right,
and
so,
if
the
neighbors
were
concerned,
you
know
it's
not
an
emergency.
It's
not,
but
can
you
go
see
if
they're,
okay,
and
at
that
point
we
could?
You
know
when,
when
resolving
our
folks
are,
of
course
like
doing
their
best
work,
they
could
get
people
to
see
that
this
isn't
safe
for
them.
F
J
G
The
other
thing
I
wanted
to
mention,
too,
is
that
if
there's
family
members
or
if
their
friend
like
we
can
also-
and
all
you
know
the
the
professionals,
the
experts
resolve,
can
also
engage
with
them.
You
know,
even
though
it's
voluntary
for
the
in
the
it
doesn't
mean
that
resolve
can't,
engage
with
others.
G
They
can't
speak
specifically
about
the
person's
situation
or
you
know,
share
their
protective
health
information,
but
they
most
certainly
can
talk
about
the
like
Hoarding
in
general
and
what
you
can
you
know
provide,
and
what
to
look
for
and
how
to
best
to
try
to
you
know,
interact
with
that
person.
Yeah.
A
A
So
I
know
a
family
that
I'm
trying
to
be
mindful
with
where
their
mother
was
a
hoarder
and
the
father
was
not
around,
and
then
they
were,
she
lost
custody
of
all
her
kids
and
they
all
went
into
foster
care
system
all
abused
in
the
foster
care
system,
and
just
all
sorts
of
things
happen.
So
to
me,
hoarding
is
such
a
big
issue.
That
I
think
we
should
be
focusing
a
little
bit.
It
may
not
be
a
big
percentage,
but
the
impact
it
has
on
the
people
that
it
doesn't.
A
You
know
that
are
involved
is
significant
and
so
I
really
wish
that
we
would,
you
know,
try
to
work
work
on
something
if
it
was
something
we
can
do
together.
Maybe
working
with
our
PL
and
I,
the
health
department
used
to
do
some
things
in
that
area
and
then
I
believe
they
turned
it
over
and
said
that
they
weren't
involved
anymore.
We
actually
had
a
gentleman
and
I
want
to
give
him
a
shout
out
to
orbovich
in
Elliott.
A
At
one
point,
there
was
a
person
who
called
out
for
help
and
he
paid
paid
for
a
dumpster
and
got
the
volunteers
together
and
they
went
and
helped
clean
out
the
space
for
the
person
who
was
asking
for
help
at
that
time.
But
there
was
a
lot
of
underlying
issues
as
you
mentioned,
so
it
wasn't.
That
was
one
part
of
what
needed
to
happen,
but
there
was
a
lot
more
that
needed
to
occur.
So
I
think
it's
such
a
complicated
issue,
and
it
it
really
is
it's
a
danger
for
our
firefighters.
A
It's
a
danger
for
the
people
living
in
those
homes.
Our
firefighters
have
to
respond
to
fires
in
those
in
those
those
properties,
and
it
also
puts
other
people
at
risk,
and
so
I
remember
at
one
time
we
had
I
think
it
was
two
fires
in
one
neighborhood
because
of
hoarding.
So
it's
an
issue
that
we
need
to
really
address
and
for
the
people
living
in
it,
the
kids
that
affected
by
it
the
family
is
effective,
but
also
for
our
First
Responders.
A
So
I
just
want
to
say
that
part
and
in
terms
of
training
I
just
want
to
bring
this
up.
I
understand,
train
the
trainer.
I
understand
you
know
doing
the
peer-to-peer
mentoring,
all
that
sort
of
thing,
but
one
of
the
reasons
I
I
get
concerned
when
I
hear
that
we're
empowering
a
lot
of
people
to
do
mental
health
work
is
because
the
issues
are
getting
more
significant,
more
severe
they're,
not
getting
better
and
we've
been
doing
this
for
a
long
time.
A
A
I
did
a
you
know:
anger
management
for
about
50
people
in
Pittsburgh,
Public,
Schools,
50,
parents
and
after
the
sessions
I
mean
it
was
several
sessions
in
a
row
after
them,
everybody
caught
up
and
thanked
me
and
said
how
really
changed
you
know
their
lives
and
the
whole
bit
this
one
mother
came
up.
I
was
up
at
a
concession,
stand
and
doing
some
work
up
here
and
she
came
up
and
she
said
to
me.
She
said
something
I
couldn't
hear
her,
because
there
were
kids
in
front
of
the
concession
stand.
There
was
a
fan.
A
I
said
to
my
daughter.
What
did
she
say?
She
said
she
said:
tell
the
coach
to
take
that
uniform
and,
and
she
just
went
off
and
so
I
said:
I.
Guess
that
didn't
work,
so
sometimes
you
actually
do
need
a
professional.
You
know
with
with
you
know
real
skills
and
real
ability
and
and
knowing
when
to
say.
A
B
So
I
just
wanted
to
touch
base
on
some
conversations.
We've
had
we've
had
the
last
few
weeks.
You
know
we
had
a
significant
provider,
close
the
location
in
the
city
neighborhood
and
although
it
was
a
problem
that
was
identified
by
members
of
the
community
who
reached
out
to
myself
and
others,
I
do
want
to
say
that
the
director,
Dalton
and
I
have
come
up
with
a
possible
protocol
about
assessing
for
need
and
that
type
of
impact.
B
Secondly,
I
think
that
some
things
that
seem
to
be
a
challenge
as
far
as
navigating
the
system
include
the
basic
things
like
the
actual
website
and
I've
reached
out
to
director.
Before
about
that,
and
if
there's
any
type
of
assistance,
the
community
can
get
to
be
able
to
understand
how
to
access
and
navigate
that
website
a
little
bit
easier.
That
may
be
helpful,
but
final
closing
thought.
B
I
think
that
conversations
like
this
are
beneficial
I
think
is
good
to
let
the
community
know
the
State
of
Affairs
and
what
services
are
available
and
I
do
appreciate
everybody
coming
I
know:
I
spoke
to
Nami,
we
had
a
meeting
last
week.
It
was
very
productive
for
future
collaborations
and
I.
Think
the
leadership
from
DHS.
A
And
I
just
want
to
thank
you
director.
You
I
worked
before
you.
We
did
work
with
Mark,
Turner
and
I
want
to
say
it's
really
difficult
coming
in
after
somebody
has
been
in
a
position
for
so
long,
but
I
think
you
have
really
been
very
helpful
to
us.
I
just
want
to
thank
you
for
the
last
few
meetings,
especially
you've
been
and
in
between
there's
a
lot
of
emails
in
between
a
lot
of
fun
conversations
with
you
and
Ricky,
but
emails
in
between
so
I
want
to.
Thank
you
for
that
for
your
work.
A
Then
I
want
to
thank
you
all
for
your
work.
You
know
we
really
think
a
lot
of
people.
We
invite
you
back
to
the
table.
Okay,
so
so
I
just
want
to
thank
you
for
your
work
and
I
just
want
to
say
to
encourage
people
that,
if
they're
struggling
in
any
way
that
there
there
is
help,
then
call
9988,
correct.