►
Description
City of Charleston Health and Wellness Advisory Meeting 4/6/2022
B
D
B
Mike
seeking
for
all
their
work
over
the
weekend
and
for
the
past
few
months
because
of
their
work
and
others,
the
cooper
river
bridge
run
was
a
great
success.
This
past
weekend,
it
brought
in,
as
you
know,
every
time,
thousands
of
people
for
fun
and
healthy
event
and
showed
our
area
in
a
very
positive
light
and
also
boosted
our
local
economy
a
little
bit.
B
But
I
also
want
to
congratulate
paul
who
was
the
recipient
of
the
joseph
p
reilly
community
service
award,
which
is
an
award
given
every
year
before
the
cooper
river
bridge
run,
and
some
of
you
know
that
paul
served
on
the
board
of
directors
for
the
cooper
river
bridge
run
for
27
years,
and
he
served
as
the
board
chair
this
year.
So
a
lot
of
deserving
people
won
that
in
the
past,
but
none
more
deserving
than
paul
and
we
know
all
the
great
work
you
do
with
everything
you
need.
D
B
Want
to
let
you
know
too.
I
also
spoke
with
laurie
yarborough
last
night,
mayor
teckenberg
this
morning.
They
both
asked
that
I
send
their
apologies,
but
they
have
a
conflict
and
won't
be
able
to
attend
this
this
morning,
but
they
also
asked
that
I
thank
everybody
for
their
work
and
everybody
that's
been
here.
So
we
are
going
to
skip
the
approval
of
the
minutes
this
morning
and
we
will
approve
those
at
the
next
meeting.
D
Yes,
thank
you
and
thanks
for
letting
us
present
this
today,
so
jennifer
butler
is
with
us
from
the
state
office
of
carolina
department
of
mental
health.
She
was
over
suicide
prevention
for
many
years
and
has
done
many
other
things
with
the
department,
but
now
she
is
the
director
of
emergency
services,
so
that
includes
private.
That
includes
suicide
prevention,
team,
mobile
crisis
teams
across
the
state
crisis,
stabilization
units
embedded
clinicians
in
law
enforcement
and
probably
a
few
other
things
right,
jennifer.
D
I
don't
know,
but
but
she's
here
today
to
present
some
interesting
data
for
you,
so
welcome
jennifer.
E
Thank
you
good
morning,
everyone,
I
hope,
you're
all
doing
well
on
this
post
stormy
day
and
hopefully,
everybody's
safe,
he's
watching
this
and
we're
gonna
talk
this
morning
about
some
suicide
prevention.
Information
regarding
the
data,
some
particular
charleston
related
data,
as
well
as
just
understanding
the
the
landscape
and
how
we,
as
community
members
and
community
leaders,
can
be
a
part
of
preventing
suicide.
E
So
I'm
going
to
attempt
to
share
my
screen.
I
will
give
you
a
heads
up.
Technology
is
not
always
my
friend
we're
going
to
go
for
it
and
see
how
how
it
looks
all
right.
Are
you
able
to
see
just
the
finding
meaning?
Okay,
that
that's
a
surprise
that
that
actually
worked?
We
can
still
see
it
perfect,
all
right,
so
I've
titled
this
finding
meaning,
because
when
we
talk
about
data
oftentimes,
it
can
feel
cold
because
you're
talking
about
numbers,
but
these
numbers
actually
represent
lives.
E
So
let's
talk
a
little
bit
first
about
what
suicide
is,
what
the
thoughts
and
behaviors
are
suicidal
people
are
typically
suffering
from
a
great
deal
of
emotional
pain
we
find
sometimes
particularly,
for
example,
with
the
pandemic.
Where
folks
were
like,
can
you
tell
us
how
the
pandemic
is
impacting
suicide?
E
E
Most
people
who
experience
that
suicidal
ideation
do
not
die
by
suicide,
and
this
is
where
this
is
a
hopeful
stat
here.
93
of
people
who
attempt
suicide,
do
not
go
on
to
die
by
suicide
later
in
life,
and
you
may
say:
okay
well.
Why?
Well,
because,
usually
after
they've
had
an
attempt,
ideally
they've,
gotten
resources,
they've
gotten
the
care
that
they
need.
They've
gotten
the
family
support
the
community
support
around
them
to
help
through
that
crisis
and
they're
able
to
work
through
what's
going
on.
E
E
So
that's
up
from
2019
it's
up
by
16
deaths
and
the
national
suicide
rate
number
went
down
in
2020,
but
south
carolina's
went
up
a
little
bit
we're
ranked
24th
in
the
nation
for
suicide
deaths.
Ideally,
we
would,
at
this
point,
be
able
to
tell
you
in
south
carolina
how
many
were
kids,
how
many
were
adults?
How
many
were
this
particular
race
and
ethnicity?
E
Where
were
they
in
the
counties
but
unfortunately,
because
of
the
pandemic,
that
has
really
slowed
data
releases,
and
so
we
don't.
We
still
don't
have
south
carolina's
breakdown
in
that
way,
but
we
can
show
you
a
little
bit
about
some
other,
what
we
call
real-time
indicators
of
distress
so
because
death
data
can
have
such
a
long,
a
long
pause
before
we
actually
get
it.
We
look
at
things
like
the
number
of
calls
to
the
lifeline
that
are
that
came
in
from
south
carolina.
D
E
E
E
E
But
if
you
remember
in
2020,
we
were
in
the
middle
of
a
pandemic,
and
so
many
people
may
not
have
been
able
to
go
to
the
emergency
room
to
actually
seek
seek
care.
And,
of
course,
these
numbers
only
track.
Those
who
walked
into
an
emergency
room,
not
everyone
who
attempts
suicide,
actually
seeks
medical
treatment.
E
E
E
So,
as
the
other
thing,
that
sort
of
happens
is
sometimes
when
I
present
this
data,
I
remember
there
was
a
community
member
once
that
said,
jennifer
you're
punishing
us
because
we're
calling-
and
you
want
us
to
call-
we
do
want
them
to
call.
So
I
think
these
numbers
also
represent
both
the
level
of
distress
that
individuals
are
in,
as
well
as
how
how
often
they
are
able
to
seek
resources.
We
want
them
calling
in.
We
want
to
see
the
numbers.
E
I
would
rather
see
high
numbers
here
than
high
def
numbers,
so
when
we
think
about
the
lifeline,
the
national
suicide
prevention
lifeline
is
operated
in
south
carolina
by
the
mental
health
america
of
greenville
county
they're.
Our
only
call
center
at
this
time
in
south
carolina
we're
hopeful
that
we're
going
to
get
funding
to
start
a
second
one
that
actually
will
be
in
charleston
with
jennifer
roberts
and
the
charleston
dorchester
mental
health
center.
E
E
988
is
coming
july,
16
2022.
It
was
passed
into
law
by
congress
in
2020.
They
gave
each
state
two
years
to
ready
themselves
for
this
launch
so
that
ten
digit
number
is
going
to
go
down
to
a
three-digit
number.
So
it's
easier
to
remember,
which
will
increase
access,
which
is
a
good
thing,
but
we
also
have
to
be
ready
for
which
is
why
we
need
as
much
support
as
we
can
and
asking
our
legislature
to
fund
the
entire
continuum
of
care
for
9.88.
E
So
when
we
think
about
that
entire
continuing
care,
what
we're
talking
about
is
who
answers
the
call?
So
that
means
trying
to
get
two
call
centers
in
south
carolina
so
that
a
hundred
percent
of
calls
are
answered
by
south
carolinians
who
know
our
resources,
who
know
where
things
are
in
our
state
who
responds
to
the
call?
That's
our
mobile
crisis
program.
We
are
blessed
in
south
carolina
to
have
a
mobile
crisis
program
across
the
entire
state,
but
we
need
to
make
this
more
robust.
E
We
need
to
make
sure
that
our
rural
areas
have
more
than
one
team,
so
we
can
reduce
response
time.
We
need
to
make
sure
in
our
high
volume
areas
like
charleston,
they
have
more
access
to
more
than
one
team
at
a
time
to
make
sure
that
we're
able
to
respond
and
expanding
telehealth
as
well
as
where
do
they
go
right
now.
South
carolina
has
one
crisis
stabilization
unit
and
that
is
in
charleston
south
carolina.
E
But
if
I'm
in
anderson
and
I
need
to
go
somewhere,
I'm
not
going
to
get
a
bed
in
charleston
to
be
able
to
go
and
seek
that
care.
So
we're
also
asking
the
state
legislature
to
fund
seven
more
crisis
stabilization
units
across
the
state,
so
you
can
see
that
we're
really
trying
to
enhance
and
strengthen
the
crisis
response
continuum
of
care
in
south
carolina
part
of
988
or
the
national
suicide
prevention
lifeline
is
that
they
also
offer
chats
and
text
messages.
E
E
E
So
this
is
for
charleston
county.
So
if
you
look
at
this
graph,
you
can
see
that
in
terms
of
sex,
male
or
female
and
all
of
our
information
comes
from
dhec
labeling.
So
you
can
see
that
there's
been
a
steady
increase
for
both
male
and
female
in
charleston,
from
2016
to
2020,
so
it
continues
to
go
up.
E
When
you
look
at
this
graph,
you
can
see
this
is
broken
down
by
the
ages.
This
is
the
first
time
we've
actually
looked
at
children
under
the
age
of
10,
and
this
came
from
really
a
call
to
action
from
the
palmetto
poison
control
center,
as
well
as
child
and
child
advocates.
That
said,
we've
got
to
really
pay
attention
to
these
elementary
school
age
children.
E
So
if
you
look
at
that,
you
can
see
that
the
15
to
19
in
charleston
had
an
increase.
The
20
to
24
year
olds
had
a
tremendous
increase
again
45
to
54,
and
then,
if
you
look
at
the
85
and
over
and
75
to
84,
they
also
had
an
increase.
What
I
like
about
this
slide
is
that
it
kind
of
will
point
in
direction
in
terms
of
a
a
community
group
such
as
yourselves
of
community
leaders
to
say,
okay,
what
are
we
doing
with
our
middle
school
and
high
schoolers?
E
E
So,
as
you
look
at
this
one,
this
is
attempts
by
sex,
and
so
you
can
see
the
attempts
actually
went
down,
whereas
the
deaths
were
up,
and
so
unfortunately,
I'm
not
sure
if
that
really
means
that
we're
seeing
more
individuals
dying
by
suicide
than
our
attempting.
But
again
the
attempts
are
going
to
come
from
only
those
who
went
into
the
emergency
room,
whereas
the
death
we're
going
to
get
that
from
all
death
records.
E
So
as
you
look
at
this
one,
you
can
see
that
for
charleston
that
85
and
older
had
a
pretty
significant
jump
in
2020,
and
so
looking
at
what
is
going
on
with
them.
I
can
tell
you
that
statewide
that
10
to
14
year
old
population
has
been
the
only
age
group
that
has
consistently
gone
up
for
the
last
five
years,
and
so,
even
though,
in
your
county,
they
went
down
statewide.
E
That
is
an
area
of
concern
with
10
to
14
year
olds
and
also
the
25
to
44
year
olds
have
been
struggling,
statewide,
the
most
all
right.
So
no
more
numbers.
Let's
talk
about.
What
do
we
need
to
be
mindful
of
when
we
think
about
risk
factors?
Think
about
things
like,
as
it
says,
on
the
screen?
Traveling
along
life's
path
and
protective
factors
are
like
your
seat
belt
they're,
like
checking
your
tires
to
make
sure,
there's
enough
air
having
good
windshield
wipers
in
a
storm.
E
Those
things
that
we
do
that
are
around
us
to
protect
us
while
we're
traveling
down
the
life's
path,
whereas
risk
factors
might
be
those
bumps
in
the
road.
The
potholes
are
a
tornado
storm
that
could
look
like
substance
abuse,
poverty,
violence
in
the
community,
things
that
cause
us
to
step
off
our
path.
E
So
in
looking
at
the
american,
indians
and
alaskan
natives,
these
are
some
of
their
risk
factors
related
to
suicide,
but
they're,
actually
common
among
anyone,
so
historical
trauma,
cultural
distress,
family
disruption
or
abuse,
mental
illness
and
it's
stigma.
Substance
use
anything
that
is
going
to
lay
heavy
on
not
only
the
individual
but
also
their
community.
E
E
Well,
the
truth
is
yes,
these
are
the
populations
that
have
the
higher
numbers,
but
remember
we're
all
at
risk.
It
really
should
be.
This
slide
says
everyone,
because
just
because
you're
human
we're
all
vulnerable
to
having
that
darkness
overwhelm
our
capacity
to
cope
on
any
given
day,
no
matter
how
strong
we
are,
how
many
resources
we
are,
we
have
in
place
we're
all
vulnerable.
E
So
what
do
we
look,
for?
This
is
a
phrase
to
kind
of
remember
the
warning
signs
of
suicide.
So
what
I
want
you
to
remember
is
really
two
words:
change
and
pain.
So
if
someone
is
having
physical
pain,
mental
pain,
spiritual
pain,
that's
an
indicator
of
a
risk
factor
for
suicide
and
any
change,
so
are
they
having
a
change
in
their
mood?
Perhaps
they
have
become
more
depressed,
but
perhaps
they
were
depressed
for
a
while
and
now
their
spirit
is
lifting.
E
That
is
not
a
sign
of,
oh
necessarily
of
oh
things
are
moving
in
the
right
direction
that
actually
could
be
a
sign
of
they've
come
to
terms
with
taking
their
life
check
in.
If
there's
a
change
with
emotion,
if
there's
a
change
in
behavior,
if
there's
a
change
in
the
way,
they
appear
their
appearance,
the
way
they're
interacting
in
relationships
check
in
you
know
we
had
the
back
in
2001
after
9
11,
we
had
to
see
something
say
something,
and
that
was
all
about.
E
If
you
see
something
that
looks
like
it's
out
of
place
like
a
backpack
right
laying
there
that
nobody
knows
where
that
came
from,
and
we
were
supposed
to
say
something
right
so
that
the
backpack
didn't
explode
and
didn't
destroy
everything
around
it.
You
have
to
do
that
with
suicide
too.
If
you
see
something
say
something
because
otherwise
that
may
result
in
a
death
that
then
impacts
and
devastates
all
those
around
them
the
community
around
them.
E
So
thinking
about
all
of
these
things,
kind
of
just
make
sure
we
check
in
no
matter
what
so
what
are
protective
factors.
These
are
some
that
are
listed
here
on
the
screen.
What
I
want
you
to
remember
most
about
protective
factors,
is
one
protective
factor
can
sort
of
negate
the
impact
of
four
risk
factors
just
one.
E
You
may
have
heard
that
if
you've
ever
experienced
trauma,
training
and
they've
said
you
know,
if
an
individual
has
one
person
in
their
life,
they
can
survive
a
trauma
better,
but
think
about
this.
In
terms
of
really
all
of
you
are
protective
factors.
You
have
the
ability
to
go
into
your
community
into
your
daily
lives
and
really
help
individuals
who
have
multiple
risk
factors,
even
though
you're
taking
this
training
or
you're
hearing
me
talk
because
you're
in
a
meeting
that
doesn't
mean
that
this
is
the
only
time
you
should
be
having
this
conversation
use.
E
E
So
this
is
a
quote
from
the
canadians.
First
nation
elder
and
it
says,
silence
is
dangerous.
When
we
pretend
the
problem
is
not
there.
Communication
is
a
healer
to
break
the
silence,
so
I
was
meeting
with
a
church
here
in
richland
county
and
they
said
something
very
similar.
They
said
jennifer.
We
act
like
this
isn't
happening
in
our
community
and
we're
dying,
and
so
it's
important
that
we
remember
that
we're
ethically
responsible
for
the
lethal
use
of
language,
and
so
what
I
mean
by
that
is
a
couple
of
things
number
one.
E
If
we
don't
use
language
at
all,
because
we
don't
check
on
each
other
if
we
just
see
something
or
we
just
keep
passing
by,
but
also
if
we
use
language
that
is
stigmatizing,
saying
things
like
you
know,
suicide's
a
sin
or
why
on
earth?
Would
you
want
to
do
that?
You
have
everything
or
even
just
kind
of
using
language
in
our
everyday
interactions
that
doesn't
allow
for
connection
to
another
human
being.
E
E
So
what
do
we?
You
know?
There's
a
training
called
talk,
saves
lives
and
it
sounds
like
a
really
simple
concept
right.
I
just
need
to
talk
about
it.
Well,
it
actually
can
be
that
simple
have
conversations,
not
necessarily
when
someone
is
in
crisis,
but
go
ahead
and
start
having
conversations
about
suicide
is
something
that
is
of
concern
in
charleston
county
and
what
are
we
going
to
do
about
it?
E
We
are
going
to
be
a
part
of
the
solution,
a
part
of
the
flourishing
of
our
community,
so
having
those
conversations
with
people
when
they
are
in
the
midst
of
an
ideation
or
a
suicidal
crisis,
connecting
them
to
resources
and
when
someone
dies
by
suicide,
making
sure
that
we
wrap
love
around
those
lost
survivors
and
remembering
that
sometimes
we
are
the
law
survivor,
whether
that's
where
the
clinician
or
where
the
teacher
or
where
the
employer.
We
are
also
considered
a
law
survivor,
and
I
don't
know
that
we
always
identify
ourselves.
E
We
just
keep
moving
and
that
trauma
keeps
staying
with
us
as
a
community.
The
more
that
you
can
talk
about
suicide
and
make
this
a
safe
place
to
talk
about
it.
The
safer
your
community
will
be
so.
Why
don't
we
talk
about
it?
A
lot
of
reasons,
if
you
think
about
minority
cultures
in
particular,
there
may
be
historical
trauma
or
cultural
issues
regarding
guilt
and
shame
where
it's
not
okay,
to
say:
you're,
not
okay,
we
don't
have
those
problems.
E
It
can
also
be
a
collective
grief
with
a
great
deal
of
that
unspoken
conversation,
and
maybe
we
don't
do
it
because
we
think
we're
being
polite
or
respectful
by
saying.
Well,
I'm
sure
they
don't
want
to
talk
about
this,
because
this
might
be
too
much
for
them.
Well,
it
may
be,
but
also
we've
also
heard
law.
Survivors
say
you
know,
no
one
will
say
my
child's
name.
E
E
We
did
a
faith,
training
recently
called
soul
shop
and
we
had,
it
was
actually
hosted
in
charleston
county
and
it
was
the
first
time
south
carolina
was
chosen
to
do
this
pilot,
and
so
it
was
soul
shop
for
the
black
churches,
and
this
came
up
a
lot
with
them
about
why
they
don't
have
these
conversations
and
why
this
was
a
barrier,
particularly
in
their
faith
community.
And
so
we
had
a
really
open
and
productive
conversation
about
what
it
has
to
be.
E
E
He
knew
he
had
lost
friends
to
suicide
and
he
said
I
want
to
be
a
part
of
this
I'll.
Put
the
lifeline
flyer
up
in
my
window
I'll
give
out
things
to
in
the
bags
when
people
check
out
and
he's
continued
to
do
that
and
that's
sort
of
a
really
great
way
of
saying
we
all
have
a
part
and
something
simple
is
just
starting
and
asking
businesses
to
say:
will
you
post
something
in
your
window
that
talks
about
resources
that
tells
people
where
they
can
go?
E
E
E
So
who
are
they
interacting
with
they're,
interacting
with
you,
with
their
friends
with
their
coworkers
with
their
church
members
with
their
neighbors
with
their
business
owners?
And
that's
why
this
takes
this
is
going
to
require
a
community
approach
to
preventing
suicide.
Just
like
we
all
learn
cpr.
E
I
watch
a
lot
of
grey's
anatomy,
but
I
can't
perform
a
surgery,
so
I've
taken
cpr
for
many
years,
cpr
doesn't
mean
that
I
can
go
and
do
heart
surgery
right.
If
I
find
someone
that
is
in
distress,
it
means
I
can
give
care
until
someone
else
can
come
and
that's
what
we
have
to
start
to
do
with
suicide
prevention.
E
So,
lastly,
the
greatness
of
a
community
is
most
accurately
measured
by
the
compassionate
action
of
its
members.
We
need
actionable
change,
not
just
conversation,
and
we
do
need
the
conversations,
but
we
can't
stop
there.
We
need
actionable
change,
really
saying:
okay,
we
heard
this
information
and
I
think
they're
going
to
be
slides,
sent
out
that
give
you
even
a
deeper
dive
into
charleston's
numbers
after
this
meeting,
but
really
thinking
about
now.
What
do
we
do?
E
B
Well,
thank
you
very
much
great
information
and
I
do
see
that
dr
annie
andrews
put
something
in
the
chat
on
an
article.
So
if
you'll
reference
that
as
well
and
thank
you
for
that
and
very
good
presentation,
a
lot
of
great
information,
any
questions.
C
I
don't
have
a
question,
but
just
a
quick
comment.
Thank
you
so
much
for
that
presentation.
That
was
really
fantastic,
great
information,
and
I
just
want
to
mention
that,
when
we're
talking
about
youth
suicide,
we
have
to
remember
to
talk
about
secure
firearm
storage
in
the
home,
and
that
can
greatly
reduce
the
risk
and
that's
an
action
we
can
all
take
today
without
any
additional
community
resources
or
legislative
change.
E
You
are
absolutely
correct
and
in
south
carolina,
the
number
one
method
of
suicide
deaths
is
firearms,
of
course
nationally
as
well,
and
the
number
one
method
for
attempts
is
poisonings,
and
so
that
was
part
of
the
reason.
The
palmetto
poison
control
stepped
forward
last
year
because
they
were
actually
seeing
very
young
elementary
school-aged
children
who
were
intentionally
ingesting,
poisons
to
die,
and
so
I
think
that
you're
exactly
right.
E
The
lethal
means
conversation
has
to
occur
and
research
shows
that
if
a
doctor
or
a
physician
or
a
medical
professional,
that
person's
life
talks
about
lethal
mean
safety,
the
individual,
the
parent
is
three
times
more
likely
to
actually
follow
through
and
safely
store.
So
it's
very
important
that
we
have
those
conversations.
B
Thank
you
paul.
E
I
think
we
can
create
one.
One
of
the
things
I
didn't
talk
about
was
that
we
started
last
year,
the
south
carolina
communities
of
care,
and
it
is
this
community
approach.
It's
the
very
first
time
that
zero
suicide,
which
is
a
healthcare
framework,
has
being
allowed
to
be
used
in
the
community
setting.
E
We
chose
the
10
counties
that
had
the
highest
risk
factors,
whether
that
was
death,
or
that
was
real-time
indicators
of
distress
and
some
other
factors.
Charleston
is
one
of
those
counties,
so
we've
been
searching
for
just
individuals
or
organizations
that
will
post
something
to
say,
I'm
a
south
carolina
community
of
care
partner,
but
I
think
that
we
could
definitely
with
jennifer
roberts,
help
kind
of
create
something
that
said
your
life
matters
and
then
what
would
be?
What
resources
you
would
want
on
that?
I
think
that's
a
fabulous
idea.
B
And
I
I
had
a
question,
I
know
you
had
that
list
of
at-risk
on
there
you
one
of
the
first
ones
was
american
indians
and
alaska
natives.
Is
that
an
issue
in
the
state
of
south
carolina
or
is
that
just
a
national
thing?
Is
it
just
on
there
in
the
tribal
areas
or
what's
the
situation
there.
E
It
is
a
national
thing,
their
rates
are
going
up.
I
was
talking
to
the
kataba
nation
folks
yesterday,
and
their
number
in
particular
is
low,
but
they
have
other
indicators
of
risk
factors,
so
other
indicators
of
substance
abuse,
maybe
violence
in
the
community,
poverty
and
things
like
that
that
are
impacting
their
risk,
their
vulnerability,
and
so
those
are
universal.
E
And
so,
even
though
contamination
is
our
only
federally
recognized
tribe,
we
have
several
state
recognized
tribes
that
we're
hoping
we're
now
partnering
with
catawba
nation
to
say:
can
we
then
help
them
go
into
the
other
state,
recognized
tribes
and
talk
about
these
issues?
But
that
definitely
is
a
national
concern
and
one
of
the
things
I'll
say
in
terms
of
minorities?
Is
that
and
I
apologize?
E
This
is
how
dhec
reports
this
information
out
when
they
look
at
race
and
ethnicities,
they
only
say
white,
black
and
other
well
other
could
be
lots
of
things
and
that's
not
very
helpful
to
lump
it
into
one
little
segment.
But
what
we've
seen
in
south
carolina
is
that
our
the
rate,
the
folks
who
are
falling
in
the
other
category,
are
actually
going
up,
whereas
we
may
see
the
white
and
the
black
numbers
going
down
or
stay
are
kind
of
staying
the
same.
F
I'm
kevin
this
is
joey
current
with
try
to
unite
away.
I
just
wanted
to
remind
the
folks
on
this
call
to
you
know,
as
we
stay
consistent
with
presentations
that
we've
heard
before
suicide
was
as
a
reminder,
one
of
the
top
causes
of
premature
death
in
south
carolina
in
2020,
right,
which
is
which
all
which
all
contributes
to
the
disparities
in
life
expectancy
that
we
see
across
our
county,
so
just
to
tie
everything
together.
This
is
a
great
presentation.
We
really
appreciate
you
coming
to
speak
with
us
today
on
it.
F
B
You
joey
anyone
else,
well,
jennifer
butler
and
jennifer
roberts.
Thank
you
so
much
great
information
and
we
very
much
appreciate
your
time
and
getting
this
out
to
us.
So
thank
you
so
much
thank.
B
G
Thanks
everyone,
I
too
found
that
information
really
helpful
and
if
you
share
the
presentation
with
paul
I'd,
love
to
share
it
with
some
folks
here
at
dmx.
G
Thankfully,
the
news
around
covet
is
largely
good
today,
which
is
great
to
say,
be
able
to
say.
After
two
years
we
had
statewide
951
cases
this
past
week
and
two
deaths.
G
Those
numbers
do
continue
to
go
down
here
in
south
carolina,
although
we
have
seen
some
other
trends
in
in
the
northeast
and
a
few
other
states.
G
Dhec
has
transitioned
to
weekly
presentation
of
data
that
comes
out
every
tuesday
and
it
provides
data
from
sunday
to
the
saturday
before
that,
tuesday
and
other
than
that.
I
did
want
to
just
mention
the
ba2
variant.
That
is
a
variant
of
the
omicron,
and
that
we
believe
is
some
of
the
reason
for
the
increases
happening
in
some
european
and
asian
countries,
and
perhaps
the
northeast
as
well.
G
Cdc
recently
said
that
over
half
of
cases
reported
are
now
the
ba2
variant
nationwide,
our
public
health
lab
the
last
time
our
whole
genome
sequencing
samples
were
run
about.
10
were
the
ba2
variant
here
and
the
last
time
I
checked
with
musc,
who
does
whole
genome
sequencing
on
all
of
their
positive
pcr
results.
They
had
seen
no
ba2
variant,
although
they
were
about
because
they're
just
less
specimens
coming
in,
they
do
want
to
get
sort
of
sufficient
numbers
to
do
a
run.
G
So
it
had
been
a
few
weeks
since
they
did
that
and
we
do
have
in
the
state
antivirals
the
pax
levied
being
sort
of
the
most
popular
and
most
efficacious.
G
Those
are
available
at
pharmacies
for
those
that
qualify,
which
are
people
most
at
risk,
for
severe
consequences
from
the
infection
with
cdc's
new
sort
of
community
level
rating
system.
All
of
our
counties
in
low
country
region,
including
charleston,
are
in
the
green
zone
and,
and
that
looks
at
sort
of
three
metrics.
Two
of
them
are
hospital-based.
G
You
cover
19
hospital
admissions,
a
rate
over
the
past
several
seven
days
and
the
percent
of
staffed
inpatient
beds
occupied
by
coca-19
patients,
as
well
as
a
more
general
rate
of
new
cova-19
cases
in
the
past
seven
days
and
all
of
those
need
to
be
in
the
green
range
for
there
to
be
an
overall
green
or
low
community
level.
And
so
those
also
come
out
once
a
week.
And
we
will
continue
to
follow
those
such
that.
If
we
see
increases
additional
recommendations
may
come
out
to
prevent.
G
Continued
increases
and
a
possible
transmission
possible
surge,
so
dhec
is
moving
from
an
instant
command
system
to
a
covid
office.
I
think
that's
happening
at
many
healthcare
systems
as
well.
G
We've
also
given
recommendations
to
the
schools
that,
given
the
two
weeks
of
less
than
10
percent
of
the
community,
meaning
students
and
staff
being
positive,
they
also
can
choose
to
suspend
contact,
tracing
testing
and
quarantines
if
they,
if
they
so
choose,
there
is
still
testing
available
for
students
and
staff
in
the
charleston
county
school
district
and
that
funding
does
go
through
sort
of
mid-summer.
G
G
That's
based
on
mostly
on
data
out
of
israel,
who,
back
in
early
january,
began
offering
a
second
booster
to
health
care
workers
as
well
as
those
over
60.
Different
countries
have
used
different
criteria.
He
has
used
over
70
nursing,
home
residents,
immunocompromised
and
healthcare
workers.
If
it's
been
six
months,
but
right
now,
cdc
and
fda
are
using
50
and
over
and
and
those
who
are
immune
compromised.
G
G
I
know
that
some
people
are
taking
advantage
of
it
and
others
are
waiting
to
see
more
data
to
be
further
out
from
their
last
booster,
but
especially
for
those
who
are
older
and
those
immune
compromised.
I'm
glad
that
it
is
an
option.
I
think
that's
all
I
have
to
say
about
covet.
I
did
just
want
to
mention
our
shape
initiative,
our
sexual
health
awareness,
sti
prevention
and
education
initiative.
G
After
our
last
meeting
paul
and
I
spoke-
and
he
had
a
great
idea
to
think
about
perhaps
doing
some
what
we
would
call
fast
track-
cities
community
chats
so
fast
track.
Cities
is
the
proclamation
mayor,
teklenberg
signed
on
to
several
years
ago.
G
The
work
to
end
the
hiv
epidemic
here
in
the
city
of
charleston
these
community
chats
would
really
be
a
way
to
begin
continue
and
sort
of
re-energize
the
conversation
around
hiv
around
the
shape
initiative
and
what
we're
hope
to
do
and
to
expand
it,
not
just
in
the
city
of
charleston,
but
also
across
the
tri-county
region.
G
So
we
got
a
suggestion
paul
to
presented
at
the
next
mayor's
commission
on
homelessness
and
affordable
housing.
That
happens
at
the
end
of
may.
My
understanding
is
that
brings
together
passionate
volunteers
from
across
the
tri-county
area.
G
We
certainly
know
that
there,
those
are
risk
factors
for
hiv
and
and
so
we're
hopeful
that
maybe
that
group
will
partner
with
us
to
assist
in
helping
us
to
identify
locations
and
those
who
may
be
able
to
to
join
us
for
those,
so
just
wanted
to
bring
that
up
to
this
group.
G
Certainly,
if
anyone
is
interested
in
working
on
that,
let
me
know,
and
what
else
I
wanted
to
say
just
two
other
things
in
dhec
is
having
a
free
testing
day
for
stis
on
april,
the
12th
that
includes
chlamydia
gonorrhea,
syphilis,
hepatic
c
and
hiv
paul
sent
out
the
flyer.
For
that,
please
help
get
the
word
out.
G
Unfortunately,
we
have
seen
increases
in
most
of
our
sexually
transmitted
infections
over
the
the
covered
pandemic
time
and
one
last
plug
for
the
inaugural
lgbtq
health
summit
through
musc,
that's
happening
tomorrow
and
friday.
G
It
is
free
registration,
it's
virtual,
to
attend
and
they're
lots
of
great
speakers
around
healthcare
for
for
the
lgbtq
population,
and
so,
if
I
think
you
can
find
it
with
a
quick
google
search,
but
if
you
have
any
trouble
and
you're
interested,
you
can
attend
part
or
all
of
it,
I'm
happy
to
send
the
registration.
B
Thank
you,
dr
richardson,
any
questions
and
tracy.
I
know
a
lot
of
times
you
jump
in
when
dr
richardson's
here
not
to
put
you
on
the
spot,
but
I
just
wanted
to
make
sure
we
didn't
leave
you
out
so.
E
Good
morning,
everybody
nothing
really
to
report
from
the
city.
A
E
Morning,
definitely
just
as
always
thank
you,
dr
richardson,
for
all
the
support
that
you've
given.
A
To
the
city
during
the
pandemic,
so
we
really
appreciate
it.
Thank
you.
B
Thank
you,
tracy
tracy's
been
extremely
busy
lately
and
we
appreciate
her
joining
in
this
morning.
She's
been
doing
a
lot
for
the
city
and
a
lot
of
meetings
and
a
lot
of
time.
She's
put
forth.
So
thank
you,
tracy,
and
I
do
see
that
dr
andrews
had
another
thing
in
the
chat.
So
if
you'll
take
a
look
at
that
when
you
get
a
chance,
any
other
questions
for
dr
richardson
paul.
A
I
always
have
a
question
for
katie,
but
katie.
The
the
the
second
booster
shot
is
that
what
clinics
are
doing,
that
is,
that
is
like
muc
rope
or
all
everybody
got
it
or
is
it
just
isolated.
G
I'll,
let
merida
speak
for
roper
and
annie.
If
she
knows
about
musc,
I
can
speak
for
the
dhec.
We
continue
to
to
have
vaccine
available
at
all
of
our
health
departments
at
least
one
day
a
week,
and
that
can
be
both
walk
walk-in
or
by
appointment,
and
then
I
know
most
of
the
pharmacy
chains
continue
to
have
the
vaccine
available
and
again
that
can
be
walk-in
or
or
by
appointment.
C
I
don't,
I
can't
confirm,
but
I
assume
it
continues
to
be
available
just
like
you
said
at
all
the
musc
pharmacies
and
clinics
on
a
walk-in
or
appointment
basis.
A
Correct,
as
for
our
rover,
saint
francis,
it's
all
of
our
express
cares.
So
all
of
those
have
it
you
just
it's
more
of
a
walk-in
type
of
thing
as
well.
G
A
Katie
one
other
question:
I
heard
about
immunizations
reminders
out
there
again
and
I
thought
you
might
want
to
give
another
plug
on
that
as
well
too.
G
Yeah,
so,
as
many
of
you
remember,
dr
kanaka
joined
us
recently
to
talk
about
delays
in
childhood
immunizations
around
the
pandemic.
During
the
pandemic,
we
did
send
out
a
han
or
a
health
alert
to
our
network
since
that
time,
because
we've
had
two
different
outbreaks
of
varicella
or
chickenpox
in
our
communities.
G
One
of
them
was
in
the
charleston
area,
and
so
it
is
a
good
reminder
that
that
there
are
lots
of
other
vaccines
that
are
highly
effective
and
do
a
great
job
in
preventing
illness
and
that
kids,
who
may
have
delayed
going
to
pediatricians
for
well
child
checks
during
the
pandemic.
This
is
a
great
time
to
make
those
appointments
and
get
called
up.
B
All
right,
very
good
anything
else
for
dr
richardson.
We
still
have
about
10
minutes
left.
We've
got
one
other
item
on
the
agenda
here,
but
oh,
thank
you
very
much,
dr
richardson.
Thank
you
very
much
for
your
report,
appreciate
that,
and
we
do
have
one
more
item
on
the
agenda.
We'll
kind
of
go
around
dr
andrews
anything
from
musc
that
you'd
like
to
report.
C
No
aside
from
what
I
already
put
in
the
chat,
which
is
this
friday,
the
annual
pitts
lectureship,
which
is
actually
run
by
the
ethics
department
at
musc
and
this
year,
it's
a
whole
day
on
gun,
violence,
prevention
and
it'll.
There's
outside
speakers
and
internal
speakers,
and
it's
free
and
it's
hybrids.
You
can
come
in
person
or
do
it
online.
It's
a
really
great
opportunity
to
really
hear
what's
going
on
in
the
city
and
across
the
country
as
in
regards
to
gun
violence
and
gun,
violence,
prevention
efforts.
A
Now
we
actually
have
a
few
things
coming
up
that
I
don't
have
with
me,
but
it's
everything
where
that
that
we've
been
talking
about
everything
with
covet
is
we've
noticed
a
decline,
so
that's
been
mean,
I
think
it's
been
like
katie
said
it's
just
been
awesome
to
see.
A
Hopefully
this
starts
to
continue
on
this
path.
It'd
be
amazing,
but
but
everything
that
we
have
available
at
all
the
urgent
care
express
cares
that
we
have
and
we're
still
we
do
have
some.
We
have
some
things
coming
up
with
our
new
diversity,
inclusion,
group
and
I'll
I'll
send
those
out
to
everybody
to
paul
and
we
can
put
those
out
as
well.
B
A
Yes,
sir,
we're
excited
for
the
upcoming
spring
break
for
everyone.
We
don't
have
anything
at
this
time.
You
know
we
are
we're
sliding
into
end
of
the
year,
so
we've
got
spring
break
next
week
and
then
we'll
be
transitioning
into
prep
and
planning
for
graduations
this
year,
they're
at
coliseum
and
the
performing
arts
center
like
they
were
free
coven.
So
that's
an
exciting
return
there
and
then
you
know
before
we'll
know
it
we'll
be
gearing
up
for
the
next
school
year.
That's
set
to
start
august
17th
great.
B
That
joey
correct
anything.
You
want
to
report
out.
F
No,
just
just
gonna
continue
supporting
all
the
great
health
partners.
We've
got
in
our
community
here
at
trident
united
way,
just
a
reminder
for
folks,
it
is
national
public
health
week,
and
so,
if
you
know
someone
who
works
in
public
health,
thank
them
for
what
they
do,
which
I
I'm
guessing
is
a
lot
of
the
folks
on
this
call.
So
thank
you
so
much
for
everything
you
do
and
and
have
a
great
day.
D
Yeah
I'll
add
a
couple
things,
so
I
wanted
y'all
to
know
so
or
we
have.
You
know
we
run
the
mobile
crisis,
statewide
call
center
here
and
and
about
one
third
of
the
calls
we
get
about.
D
700
crisis
calls
a
month,
but
we
we
take
about
2,
000,
total
and
one-third
of
those
calls
are
people
with
suicidal
ideation,
so
it
it
we
if
we
are
the
ones
that
are
going
to
expand
988,
we're
probably
going
to
have
to
double
our
team
and
we're
looking
for
space
to
do
that,
but
but
but
that's
exciting,
because
one
of
the
good
things
about.
D
If
if
we
do
take
the
988
line,
you
know
they're
passing
calls
straight
to
our
mobile
crisis
call
center
and
so
and
we're
also
working
with
9-1-1
dispatch,
because
we
have
a
mobile
crisis
embedded
there.
So
it's
a
really
great
opportunity
for
us
here
in
charleston
and
in
our
area
to
really
consolidate
all
of
that
together
and
so
that
you're,
not
people
don't
have
to
call
three
different
people
to
get
the
help
they
need.
So
that's
exciting.
D
D
Got
theirs
they're
not
quite
ready
to
roll
charleston
city
police
department
and
we
are
getting
ready
to
start
hiring
for
that
team
and
they
will
go
out
and
basically
it's
not
the
same
as
mobile
crisis,
but
they
can
be
a
mobile
crisis.
Clinician
but
they're
going
to
go
out
and
find
our
familiar
faces
and
help
them
get
to
appointments
and
help
them
get
just
to
get
their
shots
or
medication
or
housing
needs.
So
they'll
have
a
lot
more
flexibility,
they're,
not
just
an
emergency
team.
D
D
I
also
wanted
to
mention
as
far
as
suicide
prevention,
so
here
at
our
center,
we
asked
the
question
about
suicide
at
every
visit
for
every
patient,
because
we
do
want
people
to
know
something
that
you
can
talk
about
and
we
will
ask
you
about
and
we
do
do
safety
planning
with
everybody
and
making
sure
it's
up
to
date
with
with
people,
and
I
just
have
one
last
thing
to
share
and
I'm
going
to
say
I'm
not
really
speaking
on
behalf
of
the
department
of
mental
health,
but
it
is
about
the
department
of
mental
health.
D
I'm
sure
katie
is
quite
familiar
with
this.
What
I'm
going
to
talk
about,
but
it
is
about
the
s2
bill,
it's
it
passed
in
the
senate
and
is
it's
a
restructuring
bill
that
involves
dhec
the
department
of
mental
health
and
daiotus.
D
D
So
I'm
speaking
from
my
my
own
personal
opinion,
but
but
part
of
the
thing
is,
I
guess,
d-hec
they've
been
trying
to
get
dhec
to
it's
a
large
agency
as
katie
knows,
and
so
they
wanted
to
separate
dhec
out
so
that
it
wouldn't
be
so
large
and
be
easier
to
manage.
But
this
this
new
bill,
if
it
passes
through
the
commit
subcommittees
in
the
house
and
then
the
house
floor,
and
if
the
governor
signs
it,
it
actually
takes
t-heck
into
two
different
agencies.
D
One
would
be
the
department
of
public
and
behavioral
health
and
the
other
side
would
be
environmental
but
of
the
3
000
people
in
dhec.
Now
2
000
of
them
would
go
into
the
public
and
behavioral
health
side.
And
if
you
roll
into
dmh
and
you
roll
in
deodos,
that's
5500
people
that
will
be
in
that
agency.
So
it's
not
actually
making
the
agency
smaller
at
all.
D
It's
making
it
a
lot
larger
and
our
concern
my
concern
I'll
say
the
other
part
is
if
it
does
pass,
it
needs
to
happen
within
a
year,
and
I
can
tell
you
we
tried
to
combine
two
mental
health
centers
in
greenville
and
it
stays
we're
in
year
three
and
it's
still
not
done
right.
That's
a
huge,
huge
thing
to
take
on
and
in
my
opinion,
it's
gonna.
D
It
would
really
affect
patient
care
for
us,
because
we
would
dmh
would
have
to
take
their
eyes
off
the
ball
of
patients
and
work
on
a
reorganization
really
fast
within
12
months.
So
for
us
for
me,
I
worry
about
patient
care.
If
it
does
happen,
we
love
d,
hec
katie,
you
guys
actually
license
our
hospitals
and
our
crisis
stabilization
center.
So
that's
another.
D
This
is
not
the
time
we
are
in
a
mental
health
crisis
nationwide
and
to
take
the
focus
off
of
patient
care
would
be,
I
think,
kind
of
detrimental
to
our
patients
across
the
state.
What
the
mental
health
needs
is
more
funding
to,
for
we
can
raise
salaries
so
that
we
can
get
our
staffing
back
up
to
where
it
was
before
before
covered.
B
Thank
you,
jennifer
I'll,
try
to
pass
that
along
to
people
that
I
know
too
so
to
help
you
out
a
little
bit.
If
I
can
so
anyone
else
did
I
miss
anyone
that
needed
to
say
anything.
I
did
want
to
mention
that
our
we
would
like
to
see
if
our
health
and
all
policies
group
can
get
back
together
before
the
next
meeting
and
maybe
come
up
with
a
report
for
our
may
meeting.
B
If,
if
we
could,
I
know
susan
johnson's
not
on
here
right
now,
but
but
I
don't
know-
maybe
dr
richardson
and
jennifer,
if,
if
joey,
if
y'all
can
pull
that
group
together,
you
know-
I
I
think
it's
important,
that
we
bring
that
back
to
to
this
committee
again,
if
you
would
so,
if
y'all
can
do
that,
I'd
appreciate
it
anything
else
for
the
good
of
this
committee.
B
If
not,
I
will
say
that
we
stand
adjourned.
So
thank
you
very
much
for
your
time.
I
appreciate
everybody
and
thank
you
very
much.