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From YouTube: Social Services Committee - Nov. 11, 2021
Description
Discussion of Support Services. Find the agenda, packet and more information on the committee's web page: https://www.cityofevanston.org/government/social-services-committee
A
A
E
A
F
G
D
E
A
H
A
D
B
D
D
A
A
D
B
B
B
Okay,
so
let
me
just
flip
through
we
have
our
agenda,
so
we
we
can
start
just
by
briefly.
Staff
was
in
discussion
with
city
staff
working
with
populations
of
need
to
identify
community
needs,
and
this
is
just
lists.
Those
community
needs
briefly
that
happened
in
november
20th,
so
this
was
sort
of
right
in
the
middle
of
cobit
and
staff
met
with
health
and
human
services,
youth,
young,
adult
victim,
advocates,
police
department
of
fire
and,
of
course,
our
ombudsmen,
the
social
services
that
agencies
identified
through
applications.
B
I'm
sorry
let
me
go
back
so
for
individual
and
group
counseling
really
around
those
mental
health
services.
Let
me
just
point
out
that
the
top
referral
referring
partners
were
turning
point.
Trilogy
thresholds
you
and
the
family
institute
at
northwestern
university
top
partnering
agencies
around
workforce
development
included
the
youth
job
center
curt's,
cafe,
evanston,
rebuilding
warehouse
and
oakton
community
college,
and
everyone
identified
erie
as
our
primary
partner
for
or
our
main
partner
for
primary
care.
B
B
I
F
B
D
D
C
No
not
that
way.
In
fact,
that
is
something
I
know
that
they
were.
You
know.
Obviously
we
know
their
repair
of
last
resort,
but
not
maybe
the
way
it
should
be
anyway,
because
it
hadn't
occurred
to
us
if
we
started
payment
that
this
could
preclude
somebody's
eligibility.
Now
there
are
people
who
are
not
yet
on
medicaid,
and
so
that
was
something
we
talked
a
lot
about,
and
one
of
the
things
was
there.
D
Yeah,
so
I
can
walk
through
a
little
bit
about
how
this
works
very
high
level.
You
are,
let's
just
put
aside
the
public
health
emergency
because
it
has
changed
eligibility
requirements
significantly,
but
you're.
You
are
correct
that
there
can
be
some
retroactivity,
so
first
and
foremost,
eligibility
always
goes
back
to
the
date
of
application.
So
if
you
apply
on
november
first
it
takes
them
nine.
You
know
90
days
to
approve
your
eligibility.
It
goes
back
to
when
you
submitted
it.
D
However,
there
are
also
time
periods
where
you
can
go
back
prior
to
submission
of
application.
I
believe
it's
90
days
prior
to
application,
and
that
is
oftentimes.
Think
of
it
sort
of
worst
case
scenario,
somebody's
in
a
car
accident
or
or
whatnot.
They
need
to
get
care
right
away.
Then
they
submit
their.
Then
the
hospital
or
the
other
provider
submits
their
application.
D
They
can
go
back
retroactively
for
a
period
of
time,
so
I
I
believe,
that's
90
days
prior
to
the
application
being
submitted
again
separate
and
apart
from
public
health,
emergency
eligibility
changes,
the
the
peace
around
payment
and
medicaid
being
the
payer
of
last
resort,
never
impacts
the
medicaid
member
themselves.
They
don't
ever,
you
know
lose
eligibility,
they
have
full
coverage.
D
What
where
this
would
become
complicated
is
actually
for
the
provider
or
the
agency
that
we're
trying
to
offer
support
to,
and
why
this
is,
I
think,
unique,
is
that
it
would
be
under
a
fee
for
service
structure.
So
if
it
were
just
a
grant
or-
and
it
wasn't
tied
to
individuals
specifically
and
the
individual
care
that
they're
providing,
then
it
is
a
grant
that
is
supporting
access
and
you
know
access
to.
D
D
They
would
be
putting
themselves
in
jeopardy
and
if
evanson's
not
gonna
pay
at
least
the
medicaid
fee
for
service
rates,
then
we're
making
it
almost
administratively
a
complete
nightmare.
So
I
just
didn't
know
if
we
obviously
for
non-non-medicaid
eligible
members
or
remember
for
services
that
aren't
covered
by
medicaid
right.
This
isn't
an
issue.
It's
just
those
medicaid
eligible
members,
medicaid
covered
services,
medicaid
enrolled
providers
of
which
the
ones
you
just
listed,
they
they're
all
medicaid
enrolled
providers.
C
C
C
It
could
be
something
like
that,
maybe,
but
but
I
mean,
because
one
of
the
things
that
we
figured
would
not
work
and
when
we
haven't
gotten
into
discussions
with,
so
this
is
really
helpful
in
detail.
Is
we
don't
want
if
they're
already
strapped,
for
getting
payments
which
they
sometimes
are
when
they're
accepting
medicaid?
We
wanted
to
try
to
make
it
it's
like
easier
for
them
to
take
the
medicaid
clients
and
start
getting
compensation
for
it,
because
one
of
the
things
was
like
well.
C
D
C
D
H
Cost
that
last
one
just
just
threw
me
off.
I
thought
I
was
following
him
and
that
last
thing
just
threw
me
off
so
costs
not
reimbursed
under
medicaid,
but
I
thought
you
said
earlier
that
non-medicaid
eligible
services
wouldn't
be
an
issue
and
what
you
brought
up
so
how
I'm
trying
to
yeah
it's
in
the
line.
Yeah.
D
You
know,
six
months
after
the
application
is
submitted
because
there's
a
backlog
in
processing,
but
because
of
that
issue,
yes,
that
agency
a
provided
eventually
to
a
medicaid
member,
a
medicaid
eligible
service,
but
it's
six
months
later,
that
the
the
likelihood
that
they're
going
to
submit
a
claim
to
it
to
the
medicaid
agency
for
that
service
rendered
six
months
prior
is
probably
pretty
low,
and
so
that's
probably
a
cost
not
covered
under
medicaid.
Could
they
go
through
the
process
and
do
it
all
absolutely?
D
H
And
so
people
who
wouldn't
just
high
level
be
eligible
for
medicaid,
then,
because
if,
if
then,
it
becomes-
and
I
think
the
report
also
called
attention
to
this-
it-
may
it
caught
attention
to
the
fact
that
benefits
enrollment
was
also
an
issue
unless
the
people
that
we're
talking
about
just
aren't
eligible
for,
for
whatever
reason.
So
I'm
just
wondering
high
level.
What
are
some
of
the
common
reasons
why
someone
wouldn't
be
eligible
for
medicaid.
D
D
C
A
D
H
H
D
D
H
C
H
B
H
Is
there
ever
a
case
where
somebody
restructured
or
their
medical
benefits
that
they
could
actually
afford
counseling,
but
are
concerned
they
couldn't
that
would
it
would
be
expensive
and
that
if
they
had
some
type
of
counseling
around
their
insurance
program
that
they
could
adjust
make
adjustments
to?
You
know
expand
that
coverage.
You
know,
I
don't
know
I'm
not
in
in
the
healthcare
providing
industry,
but
I'm
just
curious.
Is
I'm
just
trying
to
see
if
this
is
a
do?
H
H
So
I
just
I'm
trying
to
pinpoint
is
this:
do
we
need
to
invest
money
in
helping
people
understand
medical
coverage,
whether
that's
medicaid
or
any
other
coverage,
in
order
to
make
sure
that
they
get
counseling
and
whereas
it's
something
else
so
but
I'll
I'll,
stop
there?
So
other
folks
can
get
the
questions.
D
J
No,
no
problem,
I
don't.
I
have
a
question,
a
couple
questions
or
thoughts,
but
I
don't
know
who
they're
necessarily
directed
toward.
But
it
sounds
like
there's
two
sort
of
issues,
because
one
is
the
funding
folks
who
aren't
medicaid
eligible
as
we
just
discussed,
but
also
the
very
long
waiting
list
and.
J
If
it's
possible
for
us
also
to
try
to
recruit
additional
agencies
that
aren't
medicaid
affiliated
yet
so
that
the
pool
of
agencies
is
increased,
you
know
with
this
money
that
they
could
also
then
see
more
people,
because
that's
that's
another
part
of
the
the
problem
is
it's
hard
to
get
in,
in
addition
to
not
having
the
financial
means
to
pay
for
it.
So
I
just.
A
D
No,
I
think
it's
a
great
point,
amanda
and
then
naya
also
just
indicated
this
in
the
chat
that
their
connections
they're,
seeing
the
same
thing
of
just
many
providers,
not
accepting
medicaid
and
from
both
from
the
member
or
the
the
individual
patient
perspective
it's
hard
to
get
into
medicaid
at
times,
but
also
from
the
provider
perspective.
There's
a
lot
of
barriers
as
well,
especially
as
you
indicated
for
smaller
providers,
and
so
some
assistance
there
to
expand
access
could
be
something
new.
I
think
definitely
to
explore
further
and.
I
C
C
I
can
one
of
the
things
that
we
actually
talked
about
initially
in
what
we
wanted
to
try
to
do.
I
don't
know
that
we
can
take
it
on
quite
yet.
I
think
we
might
have
to
start
with
sort
of
more
basics
and
then
work
up
to
it,
but
we
we
talked
about
that.
Can
people
get
into
services
and
are
there
enough
providers
who
take
medicaid,
and
we
also
talked
about
one
of
the
potential
barriers
which
wasn't
showing
up
in
this.
But
we
hear
a
lot
about.
C
Is
certain
groups,
especially
people
of
color,
frequently
say
they
don't
find
providers
that
they
are
comfortable
going
to
and
that
sort
of
thing,
and
I
really
do
think
those
things
have
to
be
looked
at.
I
would,
I
think
we
need
to
take
sort
of
baby
steps
and
try
to
see
where
we
can
get
and
maybe
expand
to
that,
because
I
think
it's
very
important,
but
I
just
don't
know
that
we
have
the
bandwidth
or
the
funding
right
now
to
take
that
on.
C
I
Hi,
I
can
speak
to
a
couple
of
things.
That's
been
mentioned,
so
I'm
a
mental
health
therapist
that
works
for
a
private
practice
in
northbrook
and
we
do
not
take
medicaid
or
medicare
it's
very
difficult
to
get
panel
with
them.
First
of
all,
there's
a
lot
of
hoops
that
they
want
you
to
jump
through
and
then
they
don't
even
pay
a
lot
towards
the
service.
I
So
that's
one
thing:
we
loved
and
we'd
love
to
be
able
to
take
it,
but
it's
it's
just
a
lot
to
be
able
to
take
medicare
and
then
the
other
situation
that
you
just
mentioned.
Sarah
about
people
of
color,
not
finding
people
like
them,
what
they
feel
comfortable
with.
I
am
one
of
two
black
therapists
out
of
seven
there
and
I
was
the
only
one
for
two
years
until
four
months
ago,
when
we
hired
someone
else
and
during
the
pandemic
my
caseload
doubled.
I
C
I
am
so
glad
you're
on
the
committee
I
mean
these
are
the
things
that
we
really
need,
help
and
guidance
on,
and
so
I
think
we
need
to
start
talking
more
about
it
and
and
even
as
we
try
to
figure
out
some
short-term
things,
because
I
really,
I
really
do
think
it's
important-
that
these
are
some
of
the
biggest
problems
that
are
affecting
people.
So
the.
H
I
So
I
have
30
patients
on
my
caseload
and
that's
all
that's
a
lot.
You
know
full
time
for
us
usually
should
run
around
20,
maybe
18
to
20.
But
what
saves
me
is
that
some
of
my
clients
don't
see
me
every
week.
I
have
every
other
week
or
once
a
month
something
like
that.
But
that's
that's
a
pretty
high
case
load
and
we
have
a
waiting
list.
H
And
and
well
that's
that's
this
and
then,
and
then
how
many?
What
is
the
standard
in
terms
of
of
how
many
patients
you
should
meet
with
how
many
hours
you
should
spend
working
with
patients
today?
Is
there
a
like
a
industry
standard
of
you
shouldn't
go
over
this
amount
or
how
does?
How
does
that
work
in
terms
of
daily
caseload.
I
So
that's
really
left
to
us
independent
that
the
you
know
you
leave
the
when
we
work
for
a
private
practice.
They
leave
our
hours
up
to
us,
but
what
we
can
handle
I
mean
there
are
times
where
I
have
between
five
and
seven
clients
back
to
back.
My
monday
through
wednesday
are
my
happy
days.
I
I
don't
leave
work
till
seven
or
eight
and
then
friday
and
sunday's
a
little
lighter.
But
again
we
pick
our
schedule.
I
I
mean
I
try
to
make
sure
that
I
see
people
enough
people
and
I
try
to
give
myself
a
little
free
time,
but
sometimes
it's
just
not
possible
and
we
get
caught
up
sometime
because
we
say
we
want
to
help.
You
know
we
don't
want
to
keep
turning
people
away.
So
then
we
pile
on
and
then
you
know
we
may
be
a
little
bunker
sometimes.
I
I
I
So
that's
the
other
side
of
that
and
it
depends
on
again
what
type
of
agency
you
work
for.
So
you
know
I
have
to
do
notes.
You
know
I'm
I'm
tasked
with
doing
notes,
I'm
tasked
with
running
folks
down
sometime
when
they're
not
paying
their
balance
or
their
co-pays
we're
attacked
with
even
checking
in
with
some
of
our
clients.
Other
providers
like
their
psychiatrists,
their
kids.
You
know
checking
in
with
their
social
workers.
D
And
demeter
did
you
have
a
sense
of
because
I
I
recognize
the
medicaid
reimbursement
is
so
much
lower
even
than
medicare
and
medicare
is
lower
than
the
commercial
reimbursement,
but
sort
of
what
that
gap
is
either
by
percentage
or
sort
of
dollars
for
what?
Why
there's
that
barrier
from
accepting
medicare
and
medicaid.
I
I
We
offer
a
pathways
program,
whereas
we
as
individual
therapists
decide
whether
or
not
we
want
to
take
it's
like
pro
bono.
So
right
now
I
have
two
clients
who
they
only
pay
to
practice
20,
but
I
don't
get
anything
for
them
because
one
was
a
student,
a
college
student
and
the
other
one
just
didn't
have
it
and
I
just
said:
okay
I'll.
Do
it,
but
yeah
right.
D
But
the
obviously
very
limited
capacity
of
how
you
could
take
on
patience
in
that
in
that
manner,
and-
and
I
would
also
think
that,
if
potentially
medicaid
members
reimbursements
lower
but
also
the
need
in
terms
of
the
amount
of
work
that
you
as
a
therapist,
have
to
do
with
these
members,
probably
more
trauma
more
challenges.
With
these
members,
it
becomes
capacity
is
just
limited.
I
D
D
B
C
B
C
B
Slide
all
right,
so
so
these
are
for
the
committee's
consideration.
I
mentioned
two
applications
that
didn't
fit
case,
management
and
safetynet,
but
were
identified
as
as
referral
partners.
So
it's
trilogy
for
individual
and
group
counseling
and
the
youth
job
center
for
workforce
development
and
job
training
impact
behavioral
health
partners
has
received
city
funding
in
the
past
and
historically
for
their
clinical
services
and
support
services.
B
C
I
I
mean
it's
interesting,
because
when
you
look
at
the
the
needs
you
know,
mental
health
challenges
for
everyone,
as
especially
the
people
who
have
the
most
difficult
overall
situation
is,
is
huge.
Job
training
or
getting
back
employed
is
obviously
also
a
big
one,
and
so
it's
a
question
of.
Does
the
committee
feel
that
we
should
focus
on
particular
these
three
any
combination?
C
H
I'm
sure,
even
you
know
our
response
to
to
mental
health
concerns
and
just
the
ongoing
need
for
trauma
and
foreign
therapy
and
counseling
will
also
be
a
focus,
but
I
know
for
sure
workforce
development
will
be,
which
is
why
you
know
I'm
leaning
more
towards
benefits,
enrollment
help
with
benefits,
enrollment
and
and
access
to
individual
and
group
counseling,
and
so
then
the
question
becomes,
you
know
how
do
we
get?
How
do
we
make
the
most
impact
with
these
funds?
H
I've
had
conversations
with
staff
in
our
health
department
who
feel
like
when
we
stretch
our
funds
too
thin
between
different
organizations.
We
really
don't
get
the
best
impact
and
that
maybe
we
should
focus
on
one
area
and
direct
those
funds
there
so
that
we
can
provide.
You
know,
services
for
a
larger
group,
and
so
those
are
just
my
first
thoughts
is
is
how
you
know:
how
do
we
make
the
most
impact
with
these
funds?
H
J
Yeah,
I
really
I
really
agree
with
the
sentiment
around
not
stretching
too
thin
and
really
trying
to
think
about,
what's
going
to
be
most
impactful
and
I'd
sort
of
like
to
put
a
plug
in
for
focusing
on
mental
health
services.
Yes,
I
am
biased
as
a
clinical,
social
worker
and
things
like
that,
but
I
do
think
I
mean
with
the
pandemic.
A
J
D
Any
other
points
of
view
that
folks
want
to
make
sure
that
they
voice
hear-
and
I
just
wanted
to-
I
remember
the
the
three
jessica
from
your
slides,
but
then
the
other
provider
also
sort
of
didn't
fit
into
those
categories
necessarily
so
it
would
be.
It
was
mental
health,
workforce
training
and
then
primary
care.
But
then
there
was
that
follow-up
slide
where
there
was
some
other
provider
or
agencies.
Sorry-
and
I
can't
recall
the
types
of
services
they
provided.
C
They
have
now
remember
that
one
of
the
things
we
said
up
front
was
with
this
change.
Not
everybody
is
necessarily
going
to
be
funded
or
funded
for
the
same
things.
Even
there
are
some
agencies
that
have
applied
differently,
but
they
both
applied.
So
we
want
to.
You
know
we
agreed
to
sort
of
not
consider
them
under
case
management
and
safety
net,
but
so
we
didn't
want
to
leave
them
hanging.
We
wanted
to
hear
from
the
committee
if
you
want
us
to
pursue
anything
further
with
that.
D
I
mean
in
my
mind,
although
perhaps
I
I
I'm
familiar
with
tossing
you
know,
broadly
speaking,
and
that
I
think
their
services
probably
fit
into
mental
health
and
counseling
services.
Given
you
know
the
trauma,
you
know
it's
trauma,
recovery,
I'm
less
familiar
with
the
the
supportive
housing
for
the
developmentally
disabled
and
the
services
that
sort
of
the
city
was
funding
there.
C
We
can
give
you
a
little
bit
of
background
on
what
our
funds
have
been
used
for,
so
they
have
housing
and
services
associated
with
that
to
an
extent,
but
there
are
sometimes
that
shore
doesn't
provide
some
of
the
services.
It
can
even
be
like
how
often
some
kind
of
extra
caregiver
might
come
in,
or
something
like
this
that
they'd
grant
they
aren't
without
services.
C
It's
that
they
would
be
better
off
if
they
had
more,
and
so
that's
one
of
the
challenges
is
when
we
move
to
a
we're
trying
to
get
to
the
people
who
have
the
greatest
needs
and
the
least
access
to
services.
It's
it's
a
balancing
act,
and-
and
that's
just
you
know
so
they
when
we
talked
about,
we
want
to
make
sure
that
people
getting
into
case
management
have
their
basic
needs
covered,
so
they
can
move
forward.
C
You
know
sure
services,
clients,
don't
you
know,
can
ultimately
achieve.
You
know
independence
there.
They
never
will
be
able
to
achieve
independence,
so
they
kind
of
don't
fit
that
model
either,
because
you
know
they
are
people
who
always
need
support
and
and
that's
we
acknowledge
that
it
just
they
don't
fit
into
the
and
they
can't
the
other
challenges
from
a
standpoint
of
of
taking
on
more
clients,
there's
very
little
turnover.
So
again
it's
not
getting,
and
so
I
that's
that's
the
challenge
where
and
how
did
they
fit?.
E
E
C
E
C
E
H
H
C
If
we
can
work
that
out,
because
that's
kind
of
the
first
step
and
then
you
know,
demeta
gave
us
a
lot
a
very
valuable
perspective
on
people
who
are
not
necessarily
fitting
into
going
to
those
agencies
or
other
places
that
take
medicaid
or
or
or
or
they're.
Looking
for
something
that
they
can't
get
through
the
services
that
they
can
generally
find,
which
is
counselors
or
or
professionals
in
the
mental
health
field
who
they
feel
comfortable
going
to,
which
is
you
know,
and
they
say
I
don't
know
how
quickly
we
can
address
that.
C
Said
that
the
so
the
support
services
would
be
paid
out
of
city
local
funds
is
that
gives
us
greater
flexibility
to
develop
systems
to
accommodate
those
sorts
of
needs
that
we
can't
do
with
our
federal
funds,
for
example,
because
federal
funds
we
would
have
to
go
out
and
procure-
and
it's
like
we'd
have
to
say
we
are
looking
for.
You
know
counselors,
who
you
know
who's
going
to
bid
on
this.
It
just
isn't
their
method
of
not
with
cdbg
anyway.
C
What
they
were
doing
was
not
really
fitting
either
the
safety
net
or
case
management,
but
they
could
be
a
a
fee
for
services
or
whatever
you
want
to
call
it
safety
net.
Excuse
me
support
services
for
mental
health
services
and
are
there
others,
I
I'm
sure
there
are.
We
could
certainly
try
to
do
a
broader
search,
but
that
would
be
kind
of
our
first
starting
point
would
be
those
agencies.
C
The
nonprofit
agencies
that
are
the
sort
of
go-to
would
be
great.
Actually,
if
all
of
you
professionals
could
even
send
us
other
ideas,
because
you
know
ultimately
we're
going
to
need
that,
but
we're
not
trying
to
limit
it
necessarily
and-
and
we
don't
know
that
all
of
them
will
be
interested
in
working
with
us
on
this
sort
of
thing.
C
You
know
it's
kind
of
like
very
different
from
what
how
we
funded
any
of
them
in
the
past
and
and
we
haven't
directly
funded
some
of
them
ever
just
because
they
haven't
either
applied,
or
you
know
just
it
hasn't
worked
out
that
way.
You
know
it's.
There
are
a
number
of
mental
health
agencies,
the
nonprofits
sort
of
are
regional.
I
mean
there's
turning
point
in
skokie
and
there's
jocelyn
center
up
in
northbrook.
All
of
them
serve
people
in
this
area,
and
you
know
I
mean
I
don't
know.
C
Maybe
there
would
be
a
way
to
actually
get
some
provider
who
would
say
that
they
can
allocate
a
person
who
could
come
and
work
literally
in
evanston
someplace.
That
would
be
more
convenient
for
evanson
clients.
I
don't
know
those
are
types
of
things
that
might
be
able
to
be
worked
out,
especially
if
we
are
having
some
agencies
making
a
lot
of
referrals
to
them.
I
don't
know,
but
that
that
might
not
work,
because
that
would
require
clients
to
all
be
available
on
the
same
day
or
something
like
that.
H
Necessarily
is
there
any
way
to
model
out
what
the
need
is,
and
I
know
that's
always
hard
to
to
to
wrap
oneself
around,
but
you
know
one
place
to
start
is
just
looking
at.
I
don't
know.
I
said
we
want
to
say
what
what
the
agency
is,
who
the
you
know
what
who
the
agencies
are
turning
away,
but
we
need
to
get
some
sense
of
what
the
need
is.
I
think
the
first
place
to
start
is
with
the
agencies
that
are
providing
the
service
forever
to
residents.
H
They
would
just
be
helping
people
sign
up
for
medicaid,
helping
them
restructure
their
current
coverage
to
to
get
it
etc
or
any
other
way,
and
you
you
still
can
get
the
same
end
result.
If,
if
that
happens,
to
be
the
biggest
barrier
versus
okay,
should
we
pay
for
the
service
directly
and
then
even
in
there?
It's
like
do
we
I'm
always
want
to
look
at.
H
C
So
we're
not
trying
to
cover
all
mental
health
services
needs.
Remember
the
the
these.
These
support
services
are
supposed
to
be
connected
to
people,
individuals
and
households
that
are
in
case
management.
So
I
think
that
what
we
can
do
is
try
to
quantify
better
by
talking
to
the
case
management
agencies
that
we've
just
funded
the
need,
and
maybe
that
will
help
provide.
H
B
Actually
so
we
we
did.
I
have
not
presented
that
the
information
in
this
way
because
it
is
sort
of
a
moving
target.
But
when
we
had
our
sort
of
roundtable
discussions
with
agencies,
they
did
identify
roughly
approximate
the
number
of
participants
they
worked
with
and
it
was
anywhere
from
1
to
10
10
to
30.
You
know,
30
to
50,
50
plus
and
again
it's
a
moving
target
as
to
the
number
of
participants.
B
H
A
H
Work
off
of
obviously
it
won't
be
perfect,
but
it'll
give
us
a
better
sense
of
how
to
think
about
this
and
and
even
going
a
little
deeper
into
you
know,
demeter
wonderfully
kind
of
broke
down
some
of
her
some
of
her
some
of
the
folks
she's
working
with
are
you
know
once
a
week.
Some
are
monthly,
even
knowing
those
kind
of
breakdowns
would
be
helpful.
You
know
how
many
people
are
bi-weekly
versus
weekly
versus
monthly.
H
Is
that
working?
You
know
all
of
that
matters
in
terms
of
wrapping
our
head
also
around
costs,
because
all
those
have
a
different
cost
associated
with
it,
because
it's
a
different,
you
know
staff
time
associated
with
it.
So
I
think
the
more
we
can
wrap
our
head
around
that
the
the
easier
it
will
be
for
me
personally
to
provide
some
some
opinions
or
direction.
C
I
also
want
to
thank
dimita.
I
I
think
this
is
an
interesting
idea
x,
amount
of
therapy
sessions
for
individuals
at
an
agency
where
their
needs
are
met,
regardless
of
where
it
is.
You
know
I
mean
that
that's
another
potential
way
of
looking
at
funding,
something
if
that
can
be,
and
getting
to
different
agencies.
Yeah.
D
C
H
H
But
the
reason
why
I
also
talk
about
in-house
is
because
also
what
I've
heard
in
previous
conversations
is
that
we
have
a
lack
of
therapist
for
our
spanish-speaking
population,
which
is
important,
and
so
we
could,
you
know,
hire
for
that
directly
as
opposed
to
hoping
someone
else.
Has
it
and
that
and
also
trying
to
get
you
know
we
heard
from
demeter
today
about
trying
to
get.
You
know
more
african-american
therapists
in
particular
african-american
men.
So
all
of
these
things
we
have
much
greater
control
over.
H
If,
if
we're
thinking
about
bringing
folks
on
as
opposed
to
trying
to
find
this
this
out
in
the
from
our
agencies,
and
if
we
do
end
up
going
through
agencies,
I
think
we
still
need
to
make
sure
that
they
can
provide.
You
know
that
you
know
that
they
can
address
that
that
that
that
gap
you
know
in
service
from
spanish
speaking,
therapists.
Also,
you
know
african-american
in
a
diverse,
racially
diverse
group
of
therapists.
I
think
that's
important.
D
J
F
J
J
So,
but
if
someone
has
a
really
great
need,
they
may
not
be
in
outpatient
services,
they
may
go
to
inpatient
or
intensive
outpatient
or
if
they
can
be
seen,
you
know
every
other
week
or
once
a
month,
because
that's
what
the
agency
can
support
based
on
their
caseloads.
You
know,
I
think,
sometimes
in
private
practices.
J
People
can
be
seen
more
frequently
because
they
do
have
control
over
their
case
loans,
as
demeta
was
saying,
but
if
you're
at
a
larger
agency,
you
may
have
hundreds
of
clients
that
you're
seeing
once
a
month
or
or
you
know
even
less
frequently-
and
maybe
that's
not
exactly
what
you
know
this-
the
person
needs
or
could
benefit
most
from,
but
that's
sort
of
what's
available.
So
I
think
if
we
can
think
about
shortening
those
time
spans
so
like
people
could
be
seen
every
week
or
twice
a
month,
you
know
that's
probably
I.
J
D
E
C
Yes,
they
do,
and
I
think
they
will
they
do,
for
the
people
that
are
in
case
management.
Absolutely,
I
think
council
member
burns
may
have
been
thinking
more
broadly,
and
you
know
one
of
the
things
that
we
were
certainly
trying
to
encourage
in
our
discussions
with
providers
about
the
whole
system
is,
we
said
there
might
be
something
like
somebody
who
simply
does
benefits
enrollment
and
stuff
nobody
applied
under
that.
C
You
know
adjusting
and
things
like
that
and
maybe
identifying
things
that
we
may
want
to
look
for,
that
we
don't
have
funded,
but
one
of
our
challenges
is
that
I
think,
would
be
beneficial
if
we
don't
do
that
until
we
get
an
idea
of
what
our
cdbg
funding
is,
we
don't
really
know
what
we
got.
You
know
how
we
should
what
we're
working
with
so
so
I
think
that
that
might
be
something
we
should
look
at
as
we
get
kind
of
to
a
next
step.
C
D
D
And
then
the
one
thing
I
just
want
to
revisit
again,
I
guess
I
I
very
much
agree
with
the
focus
on
mental,
but
I
I
do
I
I
do
worry
sort
of
how
especially
casa
is
sort
of
sitting
out
there
without
without
support
and
just
the
wrecking.
I
I
have
I'm
a
little
concerned.
I
I
do
sort
of
see
their
surfaces
fitting
under
that.
A
F
A
D
H
I
just
wanted
to
say
that
that
just
to
go
back
on
the
on
the
navigating
the
system,
part
is
just
that
we,
as
all
as
taxpayers,
put
a
lot
of
money
into
medicaid
and
and
so
with
local
governments.
We
always
always
have
an
issue
with
funding.
You
know
we
don't
have
the
same,
we're
not
funded
at
the
same
level
as
the
state
and
federal
et
cetera.
So
unless
it's
the
system
is
just
completely
bankrupt
and
there's
nothing
to
get
out
of
it.
It's
like
it's
stretched
to
its
full
capacity,
and
it's
it's.
H
H
We
should
always
do
that,
and
you
know
I
think
the
reason
going
back
to
why
it's
important
to
see
what
the
need
is
is
because
you
know,
even
if
we
fund
picasso
or
someone
else,
if
they
don't
have
the
capacity
to
take
in
you
know
new
community
members,
then
we're
right
back
in
the
same
same
problem.
Whereas
if
we
know
what
the
number
is
again,
we
might
be
able
to
build
a
new
program,
maybe
with
some
partner
agencies,
to
serve
that
need,
as
opposed
to
trying
to
fit
it
into
an
agency.
D
There
is
a
real
opportunity,
I
think,
to
help
individuals
navigate
the
health
care
benefit
industry
because
it's
quite
complicated
and
it's
now
really
different
than
it
was
even
two
years
ago.
In
terms
of
you
know
the
in
terms
of
the
cost
from
a
patient
perspective,
and
so
I
do
think
you're
right
that
there's
a
lot
there.
D
The
idea-
and
the
hope
is
always
that
case
management
does
that
work
that
that
that
would
be
the
goal,
but
I,
but
whether
or
not
you
know
that
we're
all
we're
achieving
that
necessarily
in
a
broad
perspective,
or
just
for
that
small
group
of
people,
I
think,
is
where
there
that's,
where
the
real
opportunity
is-
and
I
think
that's
what
you're
pointing
out
councilman
burns
is
that
that's
where
you're
gonna
have
potentially
a
larger
bang
for
your
buck.
If
you
will.
H
And
and
hopefully,
long-term
coverage
right
right,
working
with
one
of
these
agencies
and
the
way
we're
thinking
about
now
we
run
out
of
funding,
then
what
right?
Where
are
we
leaving
our
community
members?
And
so
I
really
want
to
set
people
up
for
long-term
coverage
because
they'll
need
it.
You
know,
and
not,
because
we
all
needed
to
to
a
certain
degree
to
have
that
consistent
support
in,
and
you
know,
ongoing
counseling
and
someone
to
talk
to
and
work
through
your
life
with.
H
I
think
all
of
that
is
something
that
probably
should
happen,
the
rest
of
someone's
life
if
they
are
interested
in
that.
So
how
do
we
provide
people
long-term
coverage?
I
think
it
is
more
likely
to
go
through
an
insurance
process,
as
opposed
to
kind
of
these
one-off.
Okay.
We
can
pay
up
to
this
amount
and
then
you're
on
your
own
again
so
yeah.
I
just
want
to
add
that.
D
B
B
I
apologize
178
9112
to
allocate,
and
I
have
not
done
the
math
to
know
what
the
difference
is
but-
and
I
hear
share
your
concern
about
the
agencies.
Northwest
casa
and
the
other
agencies
who
are
sort
of
waiting
in
the
wings
for
for
lack
of
a
better
term
staff
is
in
communication
with
these
agencies
to
quantify
the
number
served
and
the
hours
of
service
provided.
D
C
C
C
You
know
it's
a
safety
net
service,
but
they
serve
a
very
broad
area
and
our
historical
numbers,
even
when
we
funded
them
in
past
years,
of
their
anticipated
numbers
of
evanson
clients
versus
the
actual
numbers
of
evanston
clients
got
out
of
proportion
to
from
a
staff
standpoint
to
the
number
of
people
we
were
serving,
and
that
was
something
we've
been
discussing
with
them.
They've
also
gone
through
a
transition,
their
long
time
term
long
time,
executive,
direct
director
left
sometime
in
2020.
C
C
They
are
mandated
as
the
advocacy
contacts
for
our
to
they
have
memoranda
of
understanding
with
our
two
hospitals
and
one
of
the
things
we
have
found
from
discussion
with
our
our
advocates
is.
There
is
sometimes
confusion
between
who
is
advocating.
You
know,
because
if
say
somebody
comes,
who
is
a
victim
comes
to
the
police
first
and
is
connected,
or
some
of
them
actually
connected
with
our
advocates
and
then
they're
already
working
with
them?
C
It's
it's
a
complicated
thing
to
figure
out,
as
I
say,
what
what
our
funding
does
to
expand
their
capacity
to
serve
evanston
resident,
it
expands
their
capacity.
But
does
it
result
in
expanded
service
to
evanson
is,
is
a
question
that
we
haven't
been
able
to
answer?
Is
that
a
fair
way
of
putting
it
jessica,
yeah?
Well,.
B
I
think
the
missing
component
is
that
the
city's
health
and
human
services
department
has
victim
advocates
on
staff
who
don't
only
work
with
sexual
assault
survivors.
They
work
with
sort
of
victims
of
all
crimes,
but
but
sexual
assault
does
fall
in
that
purview.
So
one
of
our
one
of
the
things
that
we're
exploring
is
how
those
services
overlap.
C
Apparently,
at
some
point,
maybe
eight
years
ago,
or
something
there
was
this-
there
was
a
shift
in
this
in
these
to
these
memoranda
of
understanding,
for
who
was
responsible
for
what.
So
there
are
agencies
that
have
a
limited
understanding
of
this
was
pretty
new,
basically
cover
an
area,
and
they
have
a
memorandum
of
understanding
with
the
hospitals,
so
they
are
supposed
to
be,
but
the
advocates
there,
but
what
we
used
to
have
from.
C
According
to
one
of
our
advocates
who's
been
working
for
a
long
time
is
they
used
to
be
able
to
refer
people
that
they
started
working
with
for
the
counseling,
and
that
link
seems
to
be
broken
right
now?
Okay
and
we're
trying
to
work
on
if
it
can
be
reestablished
and
we
actually
had
ike
agbo?
Who
is
the
direct
our
you
know,
director
of
health
and
human
services
and
one
of
the
advocates
in
a
discussion.
C
So
perhaps
we
should
continue
to
explore
that
and
bring
you
back
more
information
as
we
have
it,
because
we
agree
that
the
counseling
services
very
much
fit
into
what
we're
trying
to
prioritize
for
funding.
But
we
haven't
figured
out
how
we
can
get
people
to
access
that
directly
as
a
referral
from
even
our.
B
Would
the
committee
want
to
entertain
a
discussion
of
perhaps
exploring
partnerships
with
other
mental
health
providers
in
the
community
who
were
recognized
by
partners
as
as
providers?
So
I'm
sorry
I'm
flipping
through
my
notes,
but
I
am
thinking
of
they
were
identified.
I
apologize
in
the
memo
trilogy
thresholds
here
we
go
turning
point.
The
family
institute
at
northwestern.
C
C
This
is
really
input,
but,
but
we
can
take
that
and
start
talking
to
these
agencies,
and
you
know
see
what
we
can
work
out
and
looking
at
those,
I
would
think
particularly
the
people
who
are
being
referred
or
looking
for
services,
but
don't
don't
fit
medicaid,
especially,
and
then
also
talking
to
them
of
what.
What
could
we
do
to
help
them
get
medicaid
people
into
services
more
quickly?
If
it's,
you
know
will
be
the
approach.
Does
that
make?
Does
that
sound
like
a
good
starting
point?
C
H
And
what
I
was
going
to
say
really
quickly
is
that
is
some
of
this
doesn't
even
have
to
be
that
challenge
and
if
we
have
waiting
lists,
you
know
if
these
agencies
have
waiting
lists
and
if
they're
having
some
residence,
if
that's,
what
we're
only
on
just
call
them
it's
like
hey,
I
mean
that's
case
management
right,
you
know,
hey,
you
know
we're
working
on
something
with
the
city.
You
know
we
want
to
figure
out.
If
the
barrier
is,
do
you
not
have
medicaid?
Are
you
not
eligible
for
it?
Are
you
earning
too
much?
H
Do
you
have
you
know
insurance
coverage
current?
You
know,
insurance
coverage
does
the
cover
you
know
counseling.
Does
it
not
why
you
know?
Could
it
you
know
just
this
information
is
out
there
if
we
just
ask
for
it
and
not
that
you
would
have
to
to
track
all
that
information
down,
but
if
the
agencies
are
willing
to
do
it,
we
can
really
have
a
good
look
at.
H
H
How
the
agencies
asked
the
people
on
the
waitlist,
let's
be
clear,
because
we're
talking
about
people
in
the
way
you
described
it
earlier,
just
work
with
me
real
quick.
The
way
you
described
it
earlier
is
that
the
the
support
services
that
we
were
talking
about
are
exclusively
for
clients,
if
I
can
call
them
that
of
agencies
that
we're
already
funding
right
so,
but
I
would
imagine
that
those
agencies
have
wait
lists
for
individual
and
group
counseling
correct,
so.
A
C
D
C
I
think
we
do
thank
you.
I
mean
I
I'm
hearing
that
the
focus
is
going
to
be
mental
health
services,
individual
counseling
group
counseling,
whatever
that
is
actually
and
then
the
really
trying
to
figure
out
the
barriers
to
getting
people
who
may
all
our
agencies
our
case
management
agencies,
clients
who
may
already
be
in
the
queue
of
any
of
the
mental
health
providers.
C
What
can
we
do
to
move
them
up
in
the
queue
and
get
them
out
of
the
queue
and
get
them
into
services
and
then
try
to
quantify
the
needs
for
new
clients
or
new
case
management?
Clients
would
be
being
referred.
How
can
we
get
them
services,
whether
it's
working
with
those
agencies
expanding
to
other
agencies,
you
know
really
quantifying?
C
C
So
we
want
to
know
how
you
work
it
out.
We
said:
okay,
we're
going
to
work
on
it,
we'll
see
if
we
can
do
it,
but
one
of
the
challenges
of
funding
is
so
much
of
it
is
you
can
do
only
this
one
little
thing
and
it
goes
to
different
organizations
and
there's
no
way
to
coordinate
it.
So
what
we're
hearing
is
you're
trying
something
that
we
think
is
really
bold
and
could
be
wonderful.
Please
tell
us
if
you
can
get
it
to
work.
C
And
it's
wonderful
to
have
a
committee
with
so
many
mental
health
professionals
who
can
give
us
the
kind
of
perspective
that
you
are
giving
us
now,
because
you
know
it
is.
It
is
a
little
bit
daunting
but
we'll
I
think
we've
got
a
path
forward
and
you
know
we
will
be
able
to
report
to
you
on
how
how
much
we've
accomplished.
C
D
C
C
C
C
You
know
the
reason
is
simply
that
those
were
the
standing
committee
schedules
that
they
have
been
that
way
for
years,
when
we
were
in
person,
because
we
had
difficulty
getting
people
to
come
at
six.
I
don't
believe,
there's
any
reason
the
committee
couldn't
to
change
its
time,
especially
if
it
works
best
for
people.
While
we're
virtual,
I
mean
those
are
flexibilities
that
the
committee
can
have,
and
we
would
just
put
it
on
the
calendar,
and
I
personally
don't
have
any
attachment
to
seven
o'clock
versus
six.
G
A
A
With
oh
sorry,
oh
I
was
gonna
say
I
agree
with
six
as
long
as
we're
operating
in
a
virtual
environment
and
it's
fine
for
everybody,
but
I
think
once
once
more
and
more
people
start
to
go
back
to
the
office
and
need
to
eventually
start
to
make
their
way
back
to
be
able
to
attend
these
meetings.
Six
is
gonna,
be
a
lot
harder.
A
H
E
D
E
C
C
I
want
to
be
able
to
do
it
for
the
committee's
convenience,
but
if
we
as
you
say,
if
we
change
them
all
and
then
we
change
back
it's
kind
of
like
I
don't
know
it
doesn't
make
that
much
difference
other
than
we
put
it
on
the
calendar
and
people
hopefully
will
look
at
the
calendar
and
see
if
it
changes.
But
you
know
I
don't
know.