►
From YouTube: July 15, 2021 Public Health & Safety Committee
Description
Additional information at
https://lims.minneapolismn.gov
B
Good
afternoon
and
welcome
everyone
to
the
regularly
scheduled
meeting
of
the
public
health
and
safety
committee
for
july
15th
2021,
my
name
is
philippe
cunningham
and
I
am
the
chair
of
this
committee.
As
we
begin,
I
will
note
for
the
record
that
this
meeting
has
remote
participation
by
members
of
the
city,
council
and
city
staff
as
authorized
under
minnesota
statute,
section
13d.021
due
to
the
declared
local
public
health
emergency.
The
city
will
be
recording
and
posting
this
meeting
to
the
city's
website
and
youtube
channel
as
a
means
of
increasing
public
access
and
transparency.
B
C
B
Let
the
record
reflect
that
we
have
a
quorum
today
and
can
conduct
the
business
of
this
committee.
So,
colleagues,
with
that
the
agenda
for
today's
meeting
is
before
us,
we
have
three
items
for
agenda
and
four
discussion
items.
The
first
item
up
is
on
our
consent.
Agenda
is
confirming
mayoral
appointments
and
reappointments
to
the
minneapolis
advisory
committee
on
people
with
disabilities.
B
I
highly
recommend
for
folks
to
check
out
the
rca
to
be
able
to
see
the
little
blurbs
about
each
of
the
folks
who
are
volunteering,
their
time
and
expertise
and
lived
experience
to
help
us
operate
better.
B
B
Those
items
pass
and
we'll
be
forward
to
forward
it
to
our
full
city
council
meeting
next
friday.
With
that
colleagues,
we
will
be
moving
now
to
our
discussion
items
so
first
up
that
we
have
just
when
I
first
say
we
have
some
very
exciting
presentations
today,
getting
some
good
information
about
really
important
work
that
the
city
has
been
leading.
So
first
up,
we
have
receiving
and
filing
an
introduction
presentation
on
canopy
mental
health
and
consulting
the
vendor,
providing
the
city's
mobile
behavioral
health
crisis
response.
B
So
we
have
brian
smith
of
the
performance
office
of
performance
and
innovation,
as
well
as
presenters
from
the
from
canopy
health
and
council,
mental
health
and
counseling.
So
with
that,
I
will
turn
it
over
to
brian
smith.
Welcome
good.
D
Afternoon
jared
cunningham
members
of
the
committee
it's
exciting
day,
as
councilmember
cunningham
said,
I'm
brian
smith,
the
director
of
the
office
of
performance
and
innovation
here
at
the
city
of
minneapolis,
and
I'm
here
today
to
introduce
canopy
mental
health
to
the
public
health
and
safety
committee
and
to
anyone
that
may
be
watching
this
broadcast
live
or
later
canopy.
Mental
health
is
the
vendor
that
has
been
chosen
by
a
working
group
of
city,
employees
and
community,
subject
matter:
experts
and
residents
to
provide
behavioral
global
behavioral
health
services
to
the
residents
of
minneapolis,
24
7
via
9-1-1.
D
The
new
alternative
to
police
response
to
behavioral
health
calls
getting
to
this
point
has
taken
quite
some
time
and
connect,
and
I
could
never
thank
my
team
enough
for
all
the
heavy
lifting
that
has
been
done
to
get
us
here
so
to
andrea,
larson,
gina,
allen,
renee,
young
jonathan
williams,
kensel
juan
yonicke
and
taylor
krause
dotson.
Thank
you
so
so
much.
D
We
wanted
to
take
this
opportunity
to
introduce
the
canopy
team
and
know
that
we'll
be
bringing
additional
updates
on
the
projects
as
we
head
towards
launch.
With.
That
said,
I'd
like
to
introduce
you
to
canada,
mental
health,
to
say
a
few
words.
We
can
stand
for
any
questions
from
the
committee
once
they've
introduced
themselves,
so
turn
it
over
to
canopy
memphis.
D
A
Right
good
afternoon,
everybody
before
I
introduce
my
colleagues,
I
just
want
to
say
a
little
bit
more
about
canopy
mental
health.
Canopy
mental
health
was
established
with
the
vision
of
centering
the
experiences
and
mental
health
needs
of
bypoc
and
other
marginalized
communities.
A
Canopy
is
a
majority
black
owned
business
committed
to
providing
person-centered
and
high-quality
mental
health
to
diverse
communities
in
the
twin
cities,
canopy
was
established
or
the
establishment
of
canopy
coincide
with
the
culvert
19
pandemic
and
the
arrests
following
the
systemic
racism.
Following
the
death
of
george
floyd.
A
In
our
first
inception,
canopy
was
challenged
to
creatively
problem
solve
to
meet
the
needs
of
community
in
unprecedented
times.
Canopy
offers
its
first
sessions
via
telehealth
and
sense
transition
which
allows
individuals
and
families
to
access
mental
health
care
without
comprising
their
safety.
In
response
to
overwhelming
need
for
services.
Canopy
has
grown
from
its
original
for
mental
health,
therapists
to
a
group
of
20,
diverse
mental
health
providers,
including
a
psychiatric
medical
provider.
A
Kenneth
p's
ownership
team
has
experience
working
with
diverse
age
groups
and
communities
across
disciplines
and
settings,
including,
but
not
limited
to
crisis.
Stabilization
public
schools,
mental
health
organizations,
outpatient
clinics,
case
management,
community
based
rehabilitative
services,
the
establishment
of
canopy
roots
mobile
crisis
response
is
based
on
the
idea
that
high
quality
community
crisis
response
services
are
culturally
responsive
and
provided
by
a
team
of
racial
and
cultural
identities.
A
Exceptional
crisis
response
services
are
provided
by
responders,
who
are
well
trained
and
supported
by
their
team
and
fairly
compensated
for
the
challenging
and
yet
complex
work.
They
do
canopy
roots
mobile
crisis
response
program
is
founded
upon
a
commitment
to
serve
our
diverse
communities
and
to
continuously
affirm
the
safety,
dignity
and
interconnectedness
of
all
people.
A
Candace
hanson
who
wasn't
able
to
join
us
today
is
one
of
the
therapists
and
owners
of
canopy
taylor.
Schultz
is
a
therapist
and
owner
at
canopy.
Mental
health.
Cyrus
hansen
is
a
owner
and
one
of
the
business
operators,
a
canopy
mental
health
and
consultant,
and
lastly,
cherie
hanson
is
a
therapist
and
owner
at
canopy
mental
health
and.
B
D
You
so
council,
member
chair,
cunningham,
the
council
members.
If
there
are
any
questions
that
you
have
for
canopy
mental
health,
the
owners,
slash
therapists,
team
members
and
they'll
stand
for
those
now
and,
as
I
said
before,
there'll
be
updates
coming
to
you
all
more
regularly
since
we're
getting
closer
to
launch.
But
if
you
have
questions
today,
we'll
stand
for
those,
if
not
we'll,
go.
E
Thank
you,
cunningham,
and
thank
you
and
welcome
to
everybody
on
this
team.
I'm
very
excited
to
see
this
getting
rolled
out
and
just
wanted
to
take
a
moment
to
acknowledge
the
terrific
work
of
brian
smith
and
everybody
at
the
office
of
performance
and
innovation
on
getting
us
to
this
point.
I
know
we've
got
really
solid
plans
for
measuring
the
effectiveness
of
this
program
and
really,
you
know,
learning
as
we
go
and
really
making
sure
that
we're
putting
something
into
the
field
that
really
is
helping
community.
E
It
sounds
like
we've
got
the
right
team
and
I'm
excited
to
see
this
actually
put
into
action.
So
thank
you
for
coming
to
introduce
yourself
and
I'm
really
anxious
to
see
the
results
of
a
project.
That's
been
a
long
time
coming,
and
I
know
that
everybody
is
looking
for
some
relief
in
this
system
and
looking
for
ways
to
produce
better
outcomes
for
our
residents.
So
thank
you
and
anticipating
some
great
work.
F
Thank
you
very
much,
and
I'm
incredibly
excited
about
this,
and
I'm
I'm
not
sure
if
I
missed
it,
but
I'm
curious
in
finding
out
when
this
will
actually
start.
So
when
we'll
have
these
responders
on
the
street
ready
to
go
and
also
if
we
can
clarify
about
how
people
might
access
that
service,
I
know
that
we'll
be
using
9-1-1,
but
people
have
been
asking
me.
Is
there
any
way
I
can
indicate?
G
G
We
do
not
have
a
date
set
yet
since
we've
been
working
on
getting
to
a
to
a
decision
and
signed
contract,
but
we
will
let
you
know
as
soon
as
we
can
when
that
date
is
firm
and
then
your
second
question
about
how
how
the
teams
will
get
dispatched,
they
will
be
dispatched
via
911,
so
someone
witnessing
or
experiencing
a
behavioral
health
crisis
can
call
9-1-1.
F
It
does,
I
guess,
it'll,
be
interesting
to
learn
what
the
criteria
are.
I'm
I'm
not
sure
what
the
public
response
this
will
be,
but
I'm
thinking
there
might
be
more
people
calling
9-1-1
and
they'll
feel
a
sense.
F
I
don't
know
so
what
it'll
be
something
to
track
and
study
and
to
be
aware
of,
and
I'm
also
certain
that
if
a
mobile
behavioral
crisis
team
arrives
at
a
scene
and
it
seems
dangerous,
they
will
be
understand
how
they
can
call
to
get
somebody
to
help
secure
the
scene
for
them,
and
I
also,
conversely-
and
I'm
just
kind
of
saying
this
out
loud,
to
reassure
my
assumptions
if
a
paramedic
fire
police
response
comes
in
a
9-1-1
call
and
goes
wait
a
minute.
F
This
could
be
handled
better,
probably
from
our
behavioral
crisis
team
they'll
know
that
then
they
can
call
and
get
them
to
come,
and
I
think
this
could
I
mean
potentially
we're
using
this
well.
This
could
really
create
a
great
kind
of
menu
of
responses
to.
We
could
have
a
much
better
way
to
meet
the
needs
of
each
particular
situation.
You
can
correct
me
if
any
of
my
assumptions
are
wrong
or
comment
if
you'd
like.
G
Chair
cunningham
house,
member,
gordon
you're,
making
the
correct
assumptions-
and
I
do
think
it's
important
to
point
out
that
they
are
assumptions
right.
This
is
well,
we
have
ongoing
funding
and
we're
committed
to
doing
this
work.
We
are
piloting,
we
are
piloting
how
to
roll
it
out,
and
so
I
I
just
want
to
continue
to
reinforce
that
that
we're
going
to
set.
We
will
establish
a
set
of
criteria
and
processes
at
the
start
of
the
program,
and
then
we
will
learn
what
works.
What
doesn't
work,
how
to
shift
how
to
adapt?
G
We
will
learn
as
we
track
metrics
and
outcomes
how
what
the
demand
is
and
if
the
demand
goes
up
or
goes
down.
I
think
we
all
have
some
hypotheses
about
that
which
we
will
make
sure
that
we're
you
know,
reporting
back
on
and
so
you're
exactly
right
about
all
of
that
and
then
and
it
will
be
developed,
and
I
you
know,
as
we've
said,
the
whole
time
it's
a
pilot.
G
We
ask
for
flexibility,
as
we
figure
some
of
this
out
and
learn
during
the
process
and
know
that
that
what
we
start
with
may
not
be
what
we
end
with,
but
we're
in
we're
in
this
to
improve
outcomes
for
residents,
while
keeping
all
of
our
responders
safe.
F
Wonderful,
fantastic,
I
just
I'm
very,
I
don't
know
comforted.
I
guess
to
know
that
we
have
so
many
great
staff
keeping
an
eye
on
this
so
carefully
and
we're
all
working
together
on
it,
and
I
really
appreciate
all
your
efforts
to
make
sure
that
we
get
this
right
and
we
do
it
in
a
way
that
we
can
keep
getting
it
right
and
improving
it
as
we
go.
B
Great,
thank
you.
So
much
are
there
any
questions,
other
questions
or
comments
from
my
colleagues
well
I'll.
Just
briefly,
add
my
welcome
and
congratulations
on
the
founding
of
this
business
and
this
work.
This
is
a
good
example
of
real
time
building
new
systems
and
much
to
andrea's
point
it's
an
iterative
process.
Never
do
we
want
to
see
government
say
here.
Is
this
exact
thing
that
we're
going
to
do
and
in
no
way
shape
or
form?
Are
we
going
to
change
what
we
have
brought
forward?
B
That
is,
that's
not
good
governing.
What
we
should
be
doing
is
learning
and
adapting
and
changing
and
improving.
We
should
be
having
ongoing
quality
improvements,
and
that
is
a
part
of
good
governing,
and
so
I'm
very
grateful
to
the
office
of
performance
and
innovation,
because
I
feel
that
is
really
a
solid
hub
of
where
we
have
good
governance
in
action
of
essentially
treating
this
as
ongoing
like
this
is
an
iterative
process,
we
roll
it
out.
We
learn
we
circle
back,
we
adapt
and
and
continue
to
do
better
work.
B
As
a
result
of
that,
I
think
that
there
sometimes
can
be
unrealistic
expectations
of
government
to
do
something
at
the
you
know
overnight,
and
do
it
perfectly
immediately
and-
and
we
have
to
have
some
space
in
order
to
be
able
to
learn
as
an
institution
as
well,
and
so
I'm
very
excited
about
this
work.
Making
this
solid
progress
as
well
as
for
us
to
be
able
to
say
like
we
did
it,
we
found
a
provider
that
is
culturally
competent
that
reflects
the
community
and
that
shares
our
values.
B
And
so
I'm
I'm
incredibly
grateful
very
excited
about
this
work.
Thank
you
to
the
team
for
all
of
the
opi
team
for
all
of
your
work
and
making
this
happen.
This
is
what
it
looks
like
to
take
something
from
a
community
demand
all
the
way
through
concrete,
real
action,
and
so
we'll
definitely
be
on
standby
here
at
the
public
health
and
safety
committee
for
ongoing
updates,
and
we
look
very
much
so
forward
to
being
of
support
and
growing
and
learning
together.
B
So
with
that,
thank
you
all
so
much
for
for
your
presentation
and
thank
you
to
the
the
canopy
team
for
being
here
to
introduce
themselves
look
forward
to
working
in
partnership
with
you
all.
Thank
you.
Thank
you.
Thank
you
all
right
great,
thank
you.
So
with
that
I
will
direct
the
clerk
to
file
that
report.
B
Next
up
for
discussion,
we
have
receiving
and
filing
our
monthly
update
report
on
covet
19..
Today
we
have
commissioner
gretchen
musicant
here
to
give
us
our
presentation.
Welcome
commissioner.
H
Thank
you,
chair
cunningham,
so
it's
been
about
a
month
since
I
was
here
talking
about
these
numbers
and
we
have
some
good
news.
So,
let's
start
with
the
next
slide.
If
you
would
please,
as
you
can
see,
the
trajectory
of
the
virus
outbreak
among
us
here
in
minneapolis
is
graphed
out
for
you
and
we
are
seeing
numbers
that
are.
We
have
not
seen
since
the
beginning
of
covet
here
in
minneapolis
and
that
that's
a
very
good
thing,
so
the
new
cases
per
day
remain
low.
H
There
has
been
a
slight
uptick,
it's
a
little
hard
to
see
because
it's
still
such
a
low
number.
Over
the
past
couple
of
weeks,
we
had
seen
eight
cases
per
day,
we're
now
seeing
about
10
cases
per
day
and
in
addition
to
cases
fewer
people
are
experiencing
severe
covet
illness,
even
if
they
test
positive.
H
This
underscores
the
importance
of
getting
vaccinated
and
when
we
see
more
cases,
it's
not
just
a
matter
of
our
concern
for
the
individual
health
of
those
people
who
are
infected,
but
more
cases
in
a
community
also
offers
offers
the
opportunity
for
some
of
the
new
variants
to
take
hold,
and
it
even
gives
an
opportunity
for
new
variants
to
emerge.
The
more
cases
there
are
in
a
community
next
slide.
Please.
H
H
So
this
is
in
the
midst
of
our
good
news,
something
that
we
are
watching
and
concerned
about
and,
as
we
see
pockets
of
unvaccinated
people
within
our
city,
even
though
our
overall
rates
are
good,
we
are
concerned
about
their
well-being
in
light
of
this
variant,
so
the
bottom
line
is,
we
still
need
to
have
people
get
vaccinated
if
they're
not
vaccinated,
to
wear
a
mask
and
to
get
tested
if
they're
unvaccinated
next
slide.
Please.
H
So
I'm
going
to
show
you
two
maps
they're
quite
similar.
This
first
one
is
a
map
of
those
percent
of
people
who
have
received
at
least
one
vaccine
dose
you'll
see
a
white
area
in
the
middle.
That
does
not
mean
that
nobody
has
received
vaccine
there.
It's
just
that.
We
don't
have
the
denominator
very
well
well
enough
identified
of
how
many
people
live
there.
H
Most
zip
codes
are
above
70
percent,
the
lowest
rates
are
in
the
cedar
riverside
and
this
and
its
surrounding
area
and
in
the
near
north.
But
we
have
seen
improvement
in
all
these
areas.
H
H
H
But
the
relative
success
in
various
zip
codes
is,
is
solid
and
is
useful
for
comparison,
and
we
continue
to
work
with
community
partners
and
trusted
messengers
to
ensure
that
vaccine
education,
outreach
and
access
in
areas
of
the
city
where
vaccine
demand
is
weak,
so
that
we
can
encourage
continued
vaccination
and,
as
I
said,
we
have
seen
gentle
but
steady
progress
and
we
are
focusing
on
55403
55404,
55411
12
and
5
5
4
5
4,
as
the
zip
codes
of
our
highest
involvement.
H
We
continue
to
offer
some
walk-in
clinics
and
park
avenue.
Methodist
church
is
one
area
that
is
ongoing.
We
are
also
going
to
certain
events
like
the
camden
farmers
market,
both
of
those
are
this
weekend.
We
are
also
this
weekend,
partnering
with
the
state
of
minnesota
health
department
at
the
twin
cities,
pride
festival
and
we'll
be
offering
multiple
types
of
vaccine,
and
we
are
also
on
a
regular
basis
going
to
the
salvation
army
in
northeast
minneapolis.
H
H
Indefinitely,
in
addition
to
these
highlighted
areas
that
we're
directly
involved
in,
we
know
that
there
are
other
efforts
going
on
with
barber
shops
and
tito
wilson's
barbershop
has
been
featured
in
news
articles.
H
H
So
public
information
and
outreach
continue
to
be
very
critical
and
we
have
a
new
vaccine
social
media
toolkit
which
can
be
accessed
on
our
hub.
It's
available
in
english,
spanish,
hmong
somali
and-
and
there
are
more
than
200
multilingual
messages
contained
in
it
and
really
focusing
in
four
categories:
engaging
people
informing
people,
reassuring
people
and
promoting
the
vaccination.
H
H
Continuing
in
that
public
information
and
outreach,
we
are
working
with
trusted
messengers.
Today,
I
believe
this
evening.
There
is
a
facebook
live
event
with
latinx
physicians,
unidos,
minnesota,
youth
and
there's
the
address
there.
If
you,
if
you
want
to
watch
that,
I
believe
that's
at
6
00
p.m
today
and
will
continue
to
be
watchable
after
it
occurs.
H
We
are
also
pulling
together.
Another
facebook
live
event
in
at
the
end
of
the
month,
with
north
point
and
north
minneapolis
community
members,
and
we
are
working
with
the
five
community
based
mou
partners
that
we
have
to
develop
some
culturally
specific
videos.
Those
should
be
available
at
the
end
of
the
month
or
july
23rd.
I
guess
the
picture
here
is
of
individuals
from
one
of
our
mou
partners
and
they
speak
lao
and
hmong
and
have
helped
us
with
the
video
recording
for
these
languages.
H
We
also
heard
today
that
we
wrote
a
letter
of
support
for
a
somali
community
organization
that
applied
to
the
national
association
of
city
and
county
health
officers
for
a
grant
to
address
the
covid
vaccine
issues
in
the
somali
community,
and
they
were
informed
that
they
received
the
grant
and
so
we'll
be
working
with
them
to
help
them
implement
that,
to
the
extent
that
they
would
like
our
partnership
next,
please
so
things
have
changed
since
the
last
time
that
I
presented
to
you
at
the
state
level,
the
kovid
19
peacetime
emergency
officially
officially
has
ended
as
of
july
1st.
H
We
I'm
sure
feel
like
that's
old
news
already,
and
there
is
an
ongoing
public
health
disaster
declaration,
which
will
help
extend
some
federal
emergency
food
assistance
benefits
and
there's
also
an
executive
order
related
to
covet
19,
staffing
and
unemployment.
That
will
continue
through
august
1st.
Both
of
those
continuations,
we
believe,
are
to
the
benefit
of
the
community
and
then
locally.
Our
mask
mandate
has
been
lifted,
and
I
reported
that
last
time,
but
the
emergency
regulations
remain
in
effect
through
september
next
slide.
Please.
H
And
then,
finally,
our
city
staff
response,
we
are
right-sizing
our
response
to
meet
the
changing
needs
and
we
have
a
phased
demobilization
of
our
incident
management
team,
but
we'll
continue
to
emphasize
core
functions
like
vaccinations,
testing
and
communications,
and
this
will
allow
a
number
of
our
staff
to
return
to
their
usual
jobs
and
functions
which
which
are
great.
This
picture
is
a
picture
of.
We
had
a
gathering
outdoors
with
our
staff
and
and.
H
Our
lead
team
received
an
award
just
for
their
creativity
and
persistence
through
this
time
of
covid,
many
of
them,
helping
with
the
covet
response
and
also
finding
time
to
work
in
the
community
on
lead
related
issues.
So
we
hope
that
there's
more
and
more
opportunity
for
us
to
to
do
that
work.
In
addition
to
addressing
the
ongoing
issues
related
to
the
pandemic,
I
will
stop
there
and
if
there
are
any
questions,
be
happy
to
answer
them.
B
Great,
thank
you
so
much
for
this
update
just
want
to
give
a
shout
out,
because
tito
wilson
is
a
constituent
in
ward,
4
and
my
barber
so
go
so.
I
know
he's
doing
a
lot
of
really
great
work
in
the
community
and
definitely
stands
as
an
example
of
how
community
gathering
spaces
can
really
be
leveraged
for
for
good
for
the
overall
community.
B
So,
thanks
for
for
sharing
that,
I'm
very
excited
to
see
those
numbers
in
terms
of
like
our
overall
infection
infection
rates
and,
as
you
know,
to
your
point,
slow
and
steady,
getting
there
with
with
the
vaccination
percentages.
So
I'm
curious
as
to
why,
for
the
first,
the
first
map
was
at
15
and
over.
H
The
the
maps
were
not
15
and
over.
The
maps
are
done
for
the
whole
population,
because.
B
H
So
sorry,
to
require
such
careful
listening
as
I
use
my
statistics.
H
But
yes,
we
have
some
some
challenges
in
terms
of
denominator,
because
we
are
waiting
for
the
next
census,
and
so
our
numbers
in
terms
of
being
able
to
look
at
both
race
and
age
and
other
factors
gets
diminished
as
we
go
to
to
smaller
areas.
Until
we
can
get
those
new
larger
numbers
from
the
census.
B
Right,
thank
you
so
much
for
that.
Sorry,
for
my
confusion,
great,
are
there
any
questions
or
comments
from
my
colleagues.
B
I'm
not
seeing
any.
Thank
you
so
much,
commissioner,
really
great
updates
and
great
work
to
the
team.
I
know
I
say
this
every
month,
but
oh
my
gosh,
you
all
have
been
putting
in
the
time
the
energy
over
time
expanding
folks.
You
know
when
we
all
you
know
had
to
the
whole
city.
We
had
to
tighten
our
belts
because
of
coved
budget
constraints.
B
You
all
were
asked
to
do
more
and
more
and
your
staff
have
has
been
absolutely
amazing,
shout
out
to
tony
hauser
for
for
her
work,
as
well
as
neua
for
really
doing
phenomenal
work,
income
and
showing
up
above
and
beyond
time
and
time
and
time
again.
So
so,
absolutely
a
big
thank
you
to
the
health
department
team
for
all
that
you
have
done
during
this
time
that
the
pandemic
is
not
over.
B
I
think
that
a
lot
of
folks
are,
you
know,
feel
like
it's
being
it's
behind
us
we're
not
quite
there
yet,
and
so
I
appreciate
the
long-term
view
that
you
all
have
around
right-sizing
the
response,
but
making
sure
folks
understand
nope
we're
not
throwing
away
all
the
work
like
work
is
still
going
to
be
going
as
well.
So
with
that,
thank
you
so
much,
commissioner.
B
Great
next
up
on
our
oh,
I
will
say
I
will
direct
the
clerk
to
please
file
that
report
and
next
up
on
our
agenda,
is
item
number
six,
which
is
receiving
and
filing
an
update
on
the
fast
track
cities
initiative,
and
I
know
that
we
have
some
special
guests
here
with
us
today.
B
In
addition
to
our
esteemed
deputy
health
commissioner
noya
woodbridge,
we
also
have
matt
torbin,
sorry,
if
I
say
your
name
incorrectly
with
the
aliveness
project,
as
well
as
craig
gordon,
with
the
youth
and
aids
project
and
ashley
hall.
So
with
that,
I
will
turn
it
over.
I
believe
to
noya
welcome.
J
I
thank
you,
chair
cunningham,
I'm
actually
going
to
have
sarah
shealy
who
oversees
the
fast
track
city
initiative.
For
us
start.
This
presentation
welcome.
I
Thank
you.
Both
we
can
go
to
the
next
slide,
actually
to
get
started
good
afternoon,
chair
cunningham
and
members
of
the
committee.
Thank
you
for
having
us
here
today
to
talk
about
our
fast
track
work
and
the
current
metro
area
hiv
outbreak.
I
My
name
is
sarah
sheeley
and
I'm
the
youth
development
and
sexual
health
coordinator
in
the
the
health
department
and
fast
track
is
one
of
the
initiatives
that
I
coordinate
so
I'll
quickly.
Introduce
our
speakers
today.
Cree
gordon
is
a
community
engagement
coordinator
at
the
university
of
minnesota,
using
aids
project.
I
K
Sounds
good
hi
everyone
again,
my
name
is
cree
gordon
and
something
that
will
make
the
chair
excited
is
that,
as
of
july
1st,
I
now
live
in
ward
4..
It
only
took.
K
Go
ahead
in
advance,
thank
you,
and
so
just
a
little
background
for
folks
who
might
not
be
familiar
with
fast
track
cities
so
fast
track.
Cities
is
a
global
initiative
intended
to
respond
to
the
hiv
aids
epidemic
and
ended
by
the
year
2030
and
in
2018.
K
Minneapolis
became
the
first
city
in
our
state
to
join
this
initiative,
and
so
some
of
the
things
that
the
initiative
provides
is
access
to
technical
assistance
to
our
local
health
departments,
consensus
building
and
coordination
among
key
stakeholders,
capacity,
building
and
support
for
clinical
and
service
providers,
community-based
organizations
and
affected
communities.
And
what
I
like
to
say
is:
is
that
fast
track?
Essentially
our
work?
K
We
get
to
sort
of
fill
in
the
gaps
where
our
county
and
state
health
departments
may
not
have
services
or
may
not
have
like
the
funding
or
time
to
be
attentive
to
certain
issues
that
are
affecting
hiv
next
slide.
Please,
and
so
our
biggest
targets-
and
this
isn't
just
the
fast
track,
cities
targets,
but
these
are
global
targets,
so
even
like
our
own
cdc
uses
these
as
targets
that
we
want
to
achieve.
So
the
goal
is
to
have
90
of
people
living
with
hiv
know
their
hiv
status.
K
90
of
people
who
are
who
know
their
status
are
on
antiretroviral
therapy.
K
90
of
people
living
with
hiv
on
therapy
have
achieved
viral
suppression
or
what
you
might
hear
as
an
undetectable
viral
load
and
to
have
zero
hiv
stigma
and
discrimination,
and
just
so,
you
know
kind
of
where
we
are
here
in
the
city
of
minneapolis.
I
pull
some
numbers
for
us.
K
Our
first
number
for
the
number
of
people
with
hiv,
knowing
their
status
is
approximately
87
with
about
69
of
those
folks
on
antiretroviral
therapy
and
88
of
the
people
who
are
taking
their
meds,
are
virally
suppressed,
and
so
that
middle,
so
we're
very
close
on
the
first
and
third
number,
but
that
middle
number
is
where
we're
struggling
and
that's
not
unique
to
minneapolis.
K
That
is
where
most
cities
and
areas
affected
by
hiv
are
struggling
and,
and
you
know,
people
fall
in
and
out
of
care
for
a
variety
of
reasons
based
on
you
know
their
standings
in
life
or
things
like
that.
But
we
are
working
together
both
like
within
our
group
in
the
city
with
the
county
and
the
state
to
help
elevate
that
number
and
so
yeah
I'll
pass
it
on
to
ashley.
L
The
first
one
is
the
opt-out
approach,
which
is
where
hiv
testing
is
routinely
offered
as
a
default
unless
well,
it
just
gives
patient
the
decision
to
decline
or
accept
the
hiv
test
and
a
few
things
about
the
opt-out
approach
is
that
is
recommended
by
cdc
for
hiv.
Screening
routinely
order
hiv
testing
as
a
default
unless
patient
declines
and
there's
two
parts
to
it.
L
First,
we
will
inform
the
patient
that
the
hiv
hiv
test
will
be
performed
and
then
the
second
thing
is
it
gives
them
the
opportunity
to
to
decline
the
test
and
something
about
it
is
that
it
normalizes
testing,
promotes
universal
screening,
removes
bias
of
who
is
at
risk
and
ensures
testing
of
patients
who
may
not
disclose
high-risk,
behaviors
or
who
may
not
feel
like
they
are
at
risk,
and
this
project
was
taking
place
at
the
neighborhood
health
source
clinic,
and
can
you
go
to
the
next
slide?
Please.
L
Another
project
that
we
worked
on
was
the
multicultural
storytelling
project
for
stigma
and
discrimination.
When
it
comes
to
hiv,
the
storytelling
project
gave
people
a
chance
to
tell
their
stories
about
living
with
hiv,
how
their
life
would
be
different
without
it
and
the
stigma
that
they
have
experienced
from
others
because
of
their
diagnosis,
and
the
stories
will
be
used
to
educate
providers
on
the
experiences
of
community
members,
who
are
most
impacted
by
hiv
and
related
stigma.
L
And
a
few
themes
that
we
use
for
the
stories
hidden
storytelling
project
were
community
is
crucial
using
their
language
and.
M
Thank
you
next
slide:
mata
buren.
He
him
executive
director
liveness
project.
So
our
number
one
priority
right
now
with
the
with
the
minneapolis
fast
track
city
standards
initiative
is
addressing
the
current
hiv
outbreak.
So
minnesota
has
seen
a
significant
increase
in
hiv
infections
in
hennepin
and
ramsey
counties
as
well
as
duluth.
M
An
outbreak
was
declared
by
the
state
health
department
in
hennepin
and
ramsey
last
summer
in
2020,
with
cases
dating
back
to
2018,
and
the
duluth
area
was
just
declared
an
outbreak.
This
past
spring
of
2021,
with
cases
dating
back
to
2019.
minnesota's
outbreak,
is
so
to
see
the
cases
have
risk
factors
consistent
with
the
national
outbreaks.
As
you
can
kind
of
see
from
the
slides
here.
M
The
the
the
communities
where
we
see
a
significant
increase
are
are
tied
largely
to
the
encampments
that
we've
been
seeing
in
the
city
for
the
last
couple
years
and
then
in
conjunction
with
that
intravenous
drug
use
and
men
gay
by
men
and
trans
women
who
have
sex
with
men
and
with
that
of,
we
could
go
to
the
next
slide.
M
If
there
is
sort
of
one
thing
that
you
could
take
away
from
this
presentation
today
is
that
we
are
in
an
unprecedented
moment.
This
is
the
first
time
in
this
history
of
minnesota
that
the
health
department
has
declared
an
official
hiv
outbreak
in
what
is
so
heartbreaking
and
frustrating
about.
That
is
that
we
have
been
making
progress.
M
We've
making
them
been,
making
a
lot
of
progress
over
the
last
five
to
ten
years
in
the
city
of
minneapolis,
reducing
new
infections,
getting
people
connected
to
care,
getting
people
on
antiretroviral
medications
and
starting
to
bend
the
curve
down,
and
we
have
been
working
diligently
to
get
us
to
an
end
of
hiv
in
minnesota.
That's
the
entire
goal
of
the
fast
track
cities
initiative
and
that's
what
we
are
trying
to
do:
there's
currently
no
cure
for
hiv,
but
with
the
tools
that
we
have.
We
know
we
can
get
there.
M
If
we
can,
if
we
can
marshal
the
political
will,
the
community
will
that
we
can
get
people
tested
and
knowing
their
status.
M
We
can
people
get
people
into
care,
we
can
get
people
virally
suppressed
and
we
can
expand
the
use
of
prep
in
minneapolis
and
with
those
if
we
can
can
attack
those
areas,
we
know
we
can
get
to
an
end
of
hiv,
so
it
is
so
frustrating
that
we're
now
fighting
a
new
outbreak
and
seeing
new
increased
cases
in
minneapolis
so
and
if
we
were
not
living
through
a
another
global
pandemic.
M
This
should
and
would
be
front
page
news,
and
so
we
want
to
take
every
opportunity
we
can
to
raise
that
awareness
with
you
raise
that
awareness
with
the
residents
of
minneapolis
and
the
state
of
minnesota
sort
of
a
another
kind
of
unfortunate
anniversary
tied
with
this
outbreak
this
year.
This
this
summer
june
5th
1981
was
the
first
officially
declared
a
case
of
hiv
as
documented
by
the
cdc
and
now
40
years
later.
Here
we
are:
we've
made
a
lot
of
progress.
We
we
are.
M
We
know
that
the
end
is
in
sight.
People
living
with
hiv
can
live
long
and
healthy
lives,
but
we
still
have
a
lot
of
work
to
do
and
and
particularly
in
addressing
this,
this
current
outbreak.
So
with
that
appreciate
your
time,
look
forward
to
working
with
you
all
more
closely
as
we
work
as
partners
in
combating
the
hiv
epidemic
in
minneapolis,
and
with
that
we
can
move
to
the
next.
J
J
All
right,
thank
you,
everyone
so
thankful
to
have
matt
and
pre
with
us
to
help
do
this
presentation
and
thank
them
for
all
the
time
that
they've
put
in
over
the
last
couple
of
years
that
I've
been
involved
with
us
to
help
the
city
of
minneapolis
advance
the
work
of
the
fast
track
cities
initiative,
I'm
going
to
talk
a
little
bit
about
our
ongoing
work
and
investment
into
the
fast
track
city
initiative
and
our
work
around
hiv.
J
As
noted
in
the
couple
slides
that
matt
shared
and
was
talking
about,
there
is
a
significant
link
between
hiv,
homeless
and
homelessness
and
hiv
use,
and
so
we,
as
a
health
department,
have
for
about
a
year
now
been
intentionally
looking
at
the
crossover
between
those
three
areas:
the
the
homelessness
team,
the
opioid
response
team,
sarah
and
ashley,
and
I
meet
on
a
monthly
basis
to
jointly
talk
about
the
work
that
we
are
doing.
And
where
can
we
come
together
to
do
some
common
work
that
will
impact
all
three
issues?
J
There
are
a
couple
of
examples
of
how
we
do
that
right
now,
one
is
last
fall,
or
last
summer
we
applied
for
a
grant
from
the
minnesota
department
of
human
services
to
do
outreach
in
the
homelessness
encampments,
specifically
to
increase
awareness
about
hiv,
increase,
testing
and
increased
connection
to
services
for
those
living
with
hiv,
and
we
have
two
contracts,
one
with
the
alignments
project
and
the
other
with
the
indigenous
people's
task
force.
To
do
that
work.
J
We
are
in
the
process
of
writing
an
rfp
that
will
be
released,
that
will
fund
organizations
and
programs
that
are
doing
work
at
that
intersection
of
hiv,
opioids
and
homelessness.
We
hope
to
get
that
rfp
released
by
the
end
of
august,
and
that
is
using
some
money
that
we
recently
received
from
a
cdc
grant.
J
We
are
not
seeing
we're
not
seen
as
needing
it
as
much
as
other
cities
in
the
country,
and
so
we
just
often
don't
qualify
for
federal
dollars
that
are
available,
federal
dollars
that
do
come
to
the
state
of
minnesota,
go
to
the
state
of
minnesota,
either
the
department
of
health
or
the
department
of
human
services
and
the
county.
They
do
not
come
directly
to
the
city,
so
we
really
rely
on
any
grant.
J
Writing
that
we
can
do
in
this
work
for
private
grant
dollars,
and
we
rely
on
on
the
city
general
fund
to
support
this
work,
and
we
we
just
don't
have
enough
of
either
right
now
to,
I
think,
really
have
an
impact
on
this
issue
in
a
way
that
is
needed,
given
that
we
are
in
the
middle
of
an
outbreak,
so
we
will
continue
to
seek
and
try
to
get
dollars
to
do
this
work.
J
One
other
thing-
and
I
this
was
mentioned
earlier
as
well,
but
one
other
thing
that
I
would
respectfully
request
of
you
and
the
other
council
members
is
that
you
help
us
make
people
aware
of
this
hiv
outbreak.
J
As
many
have
pointed
out,
we
have
been
in
the
middle
of
a
global
pandemic
for
18
months,
and
that
really
has
made
it
so
that
this
hiv
outbreak
is
in
the
shadows
and
if
we
were
not
dealing
with
coven
over
the
last
18
months,
this
hiv
outbreak
would
be
getting
a
lot
more
attention
for
many
people
and
because
of
we
are
now
kind
of
winding
down
with
kovitz
stuff
and
because
it's
simply
important,
we
need
to
start
drawing
attention
to
the
fact
that
we,
as
a
city,
are
in
the
middle
of
an
hiv
outbreak,
and
there
are
things
that
we
as
a
city
can
be
doing
about
that.
J
J
We
also
would
ask
that
you
promote
the
work
that
we
are
doing.
We
have
managed
to
secure
some
grant
dollars.
We
have
managed
to
secure
some
general
fund
dollars.
We,
along
with
our
stakeholder
group,
have
been
able
to
do
some
really
important
work
and
we
need
to
be
able
to
talk
about
that
and
share
that
information
with
the
general
population
in
minneapolis.
J
B
Thank
you
all
wow
really
amazing
work,
and
I
think
that
you
know
I
know
this
point
has
already
been
made,
but
just
the
fact
that
we're
dealing
with
such
a
global
pandemic
has
really
hidden
this
very
serious
issue,
and
I'm
grateful
to
you
all
for
your
work,
your
due
diligence
and
keep
fighting
this
fight
and
for
for
really
helping
us
continue
to
move
forward
and
make
progress
and
make
sure
that
this
is
included
in
the
city
budget
and
that
we
are
investing
in
it.
B
B
Just
want
to
also
say
thank
you
to
councilmember
goodman
for
her
leadership
around
this,
and
thank
you
again
team
for
all
that
you
do.
Please
do
keep
us
updated
on
progress
that
you
make
and
let
us
know
how
we
can
be
of
support
great.
Thank
you
team.
B
I
will
direct
the
clerk
to
please
receive
and
file.
I'm
sorry
file
that
report.
I
do
want
to
circle
back
and
just
share
on
that.
Commissioner.
Music
hand
has
said
that
I
just
wanted
to
make
sure
folks
knew
that
the
maps
that
were
presented
were
based
on
people
15
and
older,
which
was
a
change
in
the
way
that
it
had
been
from
the
maps
that
have
been
presented
last
month,
so
just
to
make
sure
we
get
that
on
the
record
for
clarification.
B
Thank
you
for
that
additional
information,
commissioner
and
colleagues.
Our
last
presentation
for
today
is
receiving
and
filing
an
update
focusing
on
the
school-based
clinics
clinic
services,
statistics
and
client
perspectives,
and
so
I
will
welcome
barb,
barbara
kyle,
who
is
the
manager
of
the
school-based
clinics
to
kick
us
off
today?
Welcome.
N
Great
thank
you
good
afternoon,
chair
cunningham
and
council
members.
My
name
is
barbara
kyle
and
I'm
the
manager
of
the
school-based
health
clinic
and
I'm
here
today
to
give
a
brief
overview
of
our
school-based
clinic
program.
But
I
really
want
to
focus
on
our
mental
health
services,
and
I
have
two
of
my
colleagues
with
me
today
that
are
mental
health
therapists
in
the
clinic
for
hussein
and
nadia
sullivan-marshall
and
they're,
going
to
share
more
about
our
model
after
our
general
overview
and
share
a
little
bit
more
about
a
client's
perspective.
N
This
is
a
door
wrap
at
one
of
our
schools,
and
it's
just
we
want
to
be
loud
and
let
people
know
we're
there.
You
know
we
have
been
on
providing
school-based
clinic
services
for
over
about
40
years
or
one
of
the
first
school-based
clinic
programs
in
the
nation
that
the
health
department
started.
So
we
have
a
very
strong
record
of
providing
school-based
health
services
next
slide.
N
The
school-based
clinic
has
an
integrated
care
model.
We
provide
a
range
of
medical
services,
mental
health
services,
health
education
to
all
students,
regardless
of
their
insurance
status.
We
do
require
some
parent
consent
for
certain
services
and
others
are
under
a
minor
consent.
Our
goal
is
to
break
down
barriers
to
care
for
young
people
and
be
very
accessible,
and
we
are
where
students
are
in
school
or
have
been
in
the
past
our
overall
program
at
the
seven
locations
we
have
about
25
ftes,
providing
this
care,
this
range
of
one-to-one
care,
but
we
also
do
classroom
presentations.
N
N
I
just
wanted
to
tell
you
a
little
bit
about
the
clients
that
we
serve.
You
know
many
of
our
students
are
in
our
their
families
are
disproportionately
impacted
by
health
disparities,
and
so
I
think
we're
in
a
unique
position
to
address
young
people
this
past
year,
we
we
had
about
935,
unique
overall
clients
in
our
student
clinics
and
157
of
those
were
mental
health
clients,
and
that
was
for
over
5000
visits
and
20
2090
were
mental
health
visits.
I
just
put
on
a
little
bit
of
demographics.
N
I
wanted
to
share
you
know
the
students
in
minneapolis,
public
schools,
about
64
percent
are
bipac
or
american
indian
and
our
students
that
we
serve
represent
the
students
within
the
schools
and
so
about.
65
percent
of
our
students
are
spy
poc
or
american
indian
students
and
those
demographics
vary
by
the
school
that
we're
in
based
upon
based
on
the
student
body
as
well.
We
also
really
try
to
be
friendly
and
outreach
to
lgbtq
plus
of
young
people,
gender
non-conforming
students,
homeless,
students
and
students
with
a
lot
of
different
disabilities
and
abilities.
N
N
So
last
school
year
about
59
or
60
were
in
a
public
health,
a
public
assistance,
type
of
health
care
insurance
about
23
were
in
private
or
commercial
in
about
18,
had
no
insurance
and
again
these
percentages
vary
school
to
school
and
they
very
visit
to
visit,
because
insurance
is
a
very
mobile
type
of
thing
and
it
fluctuates
quite
a
bit
next
slide.
N
I
wanted
just
to
share
a
little
bit
about
how
we're
funded
our
budget's
about
3.1
million
dollars
annually,
and
we
we
get
about
a
third
of
our
funding
from
billion
insurances.
We
call
third
third
party
billing,
both
private
and
public
insurance.
N
We
also
receive
the
maternal
child
public
health,
grant,
it's
a
federal
grant
that
the
health
department
allocates
to
the
school-based
clinic
program
and
we
also
receive
local
public
health
dollars
from
the
health
department.
In
addition
to
those
funding
streams,
we
have
a
variety
of
competitive
grants
that
we
have
and
different
contracts,
and
I
just
listed
a
few
of
those-
we
have
a
dhs
children's
mental
health
grant.
N
We
have
a
youth
prize,
doing
health,
mentoring
and
health
education.
We
have
a
health
department,
one
doing
more
of
the
same,
and
we
have
a
couple
different
contracts
for
uncompensated
care
and
we're
always
looking
for
finding
more
funding
sources
to
help
really
stretch
and
serve
more
students
next
slide.
N
Well,
I
just
wanted
to
highlight
you
know:
we've
talked
a
lot
about
it
during
this
meeting
and
the
other
presentations,
but
you
know
this
has
been
a
very
challenging
year
for
everyone
and
I
think,
but
we've
also
done
a
lot
of
innovative
things
this
past
year.
So
just
kind
of
briefly,
I
feel,
like
our
staff,
has
been
really
resilient.
Thinking
of
new
ideas
when
schools
close,
we
had
no
access
for
about
five
months
to
any
of
our
clinics.
N
We
did
set
up
a
mini
clinic
in
my
office
downtown
for
some
clients,
but
we
really
didn't
get
back
into
the
clinics
until
last
summer
and
then
for
very
limited
visits.
We
pivoted
to
our
a
telehealth
model
and
that
took
a
lot
of
technology
learning,
but
also
learning
how
we
could
best
connect
and
use
that
to
be
connected
with
our
young
people.
Writing
new
policies,
procedures
figuring
out
how
to
build
that
to
keep
the
revenues
coming
was
a
big
pivot.
N
We've
also
did
a
lot
of
new
outreach
activities
this
past
year,
staff
did
things
like
deliver
medications
to
people's
homes,
meet
them
at
the
school
parking
lot
or
another
convenient
location.
We
also
did
some
dropping
off
of
sti
or
sexually
transmitted
infection,
testing
materials
and
picking
up
specimens.
N
N
We
also
were
able
to
organize
and
do
some
vaccination
clinics
for
young
people
in
may
and
june.
When
the
the
age
limit
went
down,
we
we
still
were
able
to
get
some
of
those
younger
12
and
up
kids.
We
also
worked
really
hard
this
past
year,
looking
for
more
money
trying
to
find
grants
and
other
ways
to
continue
our
work.
N
We,
our
youth
council,
is
really
exciting
and
continue
to
meet
virtually
all
year.
Twice
weekly.
That
picture,
which
is
maybe
blurry
to
see
online,
are
a
four
of
us.
The
graduates
and
their
first
get
together
at
the
end
of
the
year
physically,
and
they
have
glasses,
on
that
say:
20
21
as
new
high
school
graduates
and
the
picture
above
is
some
of
the
school-based
clinic
staff
working
at
a
washburn
vaccine
clinic
that
we
did
so
just
in
summary,
you
can
go
to
the
next
slide.
N
N
Our
clinic
revenues
from
third
party
billing
was
was
down
about
57
percent
sti
testing
was
down
about
59
percent,
which
is
really
troubling
just
hearing
from
our
previous
presentation
and
knowing
that
gonorrhea
and
chlamydia
are
at
pandemic,
have
been
at
pandemic
levels
in
the
last
10
years
or
longer.
We
also
did
less
physical
exams,
and
so
that
meant
we
didn't
do
as
many
vaccinations
in
the
childhood
series
and
boosters.
N
We
did
have
more
acute
visits
this
last
year,
and
so
you
know,
we've
had
a
lot
of
changes
and
a
lot
of
the
the
impact
that
really
again
affected
young
people,
and
so
I
think
now
I
want
to
turn
it
over
to
nadia
sullivan
marshall,
to
kind
of
to
focus
on
our
school-based
mental
health
model
and
take
it
from
there.
O
O
We
are
very
much
in
constant
contact
with
the
same
sub-systems
and
same
key
players
that
the
students
we
serve
are
involved
in
and
so
in
practice.
This
looks
like
our
student
support
teams,
which
their
makeup
looks
a
little
different
from
school
to
school,
but
each
student
support
team
has
key
players,
including
the
mental
health
clinicians
from
that
school
site,
school
social
workers,
school
guidance,
counselors
school
psychologists,
sometimes
the
nurse.
O
Their
student
support
team
in
response
to
kovid
they
put
on
a
trauma-informed
training
for
parents
of
students
who
were
eager
to
better
understand
their
children's
emotional
and
behavioral
response
to
the
pandemic
and
gain
some
knowledge
and
skills
on
how
to
support
their
children
and
that
trauma.
Informed
training
had
cameos
from
mental
health,
clinicians
the
school
guidance
counselors,
the
school
social
workers
and
that
presentation
that
webinar
was
posted
to
the
school
website
and
was
accessible
to
all
families
during
a
time
of
remote
learning.
O
So
you
can
see
how
we
respond
to
macro
needs,
but
most
of
our
time
is
spent
in
microsystems
working
with
our
students
and
their
families,
and
so
how
do
our
students
find
us?
How
do
they
get
from
the
classroom
to
the
clinic
referrals
and
accessing
the
clinic
is
largely
facilitated
by
our
school
social
workers?
Any
adult
in
the
building
that
has
a
concern
about
a
student
or
a
student
themselves
can
present
themselves
to
the
school
social
workers
and
those
social
workers
will
assess
and
make
the
appropriate
referral
to
us.
O
It
should
be
noted,
though,
that
self-referral
these
past
few
years
is
increasing,
so
students
are
walking
into
the
clinic
and
advocating
for
themselves
seeking
mental
health
services
by
word
of
mouth.
Maybe
they
have
a
friend
or
a
sibling
that
receives
services
through
us,
and
so
that's
very
exciting
as
well.
To
have
more
students
come
and
be
confident
in
accessing
those
services.
O
However,
our
capacity
is
reached
by
about
mid-november,
so
before
the
holidays,
our
case
laws
are
full
and
our
capacity
changes
not
changes.
It
differs
slightly
depending
school
to
school.
O
Generally
speaking,
we
have
one
full-time
staff
member
and
then
we
have
a
graduate
level
intern
that
can
provide
services
as
well,
but
that
graduate
level
intern
isn't
guaranteed
from
year
to
year
and
so
between
a
staff.
Member
and
a
intern
we
serve
between
20
to
30,
kids
and
that
that
caseload
is
is
in
the
range
that
it
is
due
to
the
high
needs
of
our
students
and
a
lot
of
the
ancillary
services
that
we
provide
for
those
students,
including
family
therapy,
iep
meetings
etc.
O
Of
course,
after
a
student
is
referred
to,
services
we
do
need
to
get
consent
and
parent
involvement
is
ongoing.
O
O
O
Students
have
seen
with
covid
that
our
health
care
system
is
broken
and
not
perfect
and
that
there
are
inequities
within
the
health
care
system.
They
saw
what
the
social
uprisings
in
which
minneapolis
was
a
huge
part
of
they,
especially
speaking
for
roosevelt
students,
quite
literally
in
their
backyard,
experiencing
racism
and
police
brutality.
O
How
many
of
our
students
are
going
to
be
affected
by
the
eviction
moratorium
and
our
juniors
and
seniors,
who
are
looking
to
go
to
college
are
realizing
how
expensive
it
is
and
really
questioning
if
they
will
be
able
to
obtain
such
an
education
and
so
we're
seeing
a
lot
of
hopelessness,
we're
seeing
a
lot
of
difficulty
finding
meaning
and
we
really
are
working
to
instill
hope
in
our
students
and
purpose
and
trying
to
overcome
some
of
these
very
heavy
issues
and
then,
of
course.
O
Lastly,
on
top
of
everything
else,
these
are
teenagers
who
are
going
through
very
normal
developmental
milestones
and
so
they're
learning
some
very
complex
social
skills
and
they
are
questioning
their
identity
and
and
managing
the
anxiety
and
overwhelm
what
comes
with
that.
So
there's
a
lot
of
work
being
done
in
our
therapy
rooms,
and
with
that
I
will
hand
it
over
to
my
colleague
farah,
who
is
going
to
talk
more
about
therapy
behind
closed.
O
B
B
O
Oh
so
it
looks
like
her
computer
is
frozen,
so
I
can
pick
up
where
she
was
going
to
present.
Is
it
okay?
If
we
move
to
the
next
slide.
P
P
One
of
the
really
unique
things
about
our
services
is
that
we
meet
students
exactly
where
they're
at
and
so
during
the
school
year
when
we're
in
the
building
we're
seeing
students
during
the
school
day,
and
so
I
think
that
removes
a
lot
of
various
barriers
around
access
that
students
and
families
may
not
always
have,
and
even
though
school
ends
during
early
june,
we
still
see
students
through
the
summer
and
so
often
times
we're
meeting
them
at
home.
P
So
some
of
the
challenging
challenges
are
like
presenting
problems
that
students
are
bringing
into
therapy
like
nadia,
said
earlier,
there's
a
lot
of
existential
crises
that
students
are
having,
in
particular
because
of
everything
that's
happening
in
our
society
in
our
country,
and
specifically
here
at
home.
In
minneapolis,
students
are
oftentimes
reporting,
suicidal
ideation,
self-harm,
a
lot
of
anxiety,
depression
and
a
lot
of
trauma.
A
lot
of
our
students
have
adverse
childhood
experiences,
a
lot
of
complex
trauma
or
acute
trauma
in
general.
P
Historically,
in
the
field
of
psychology
and
mental
health,
bypoc
students,
bipac
people
in
general
have
been
harmed
by
the
field,
and
so
we
try
to
make
sure
that
we
are
transparent
about
that
in
order
to
hopefully
take
away
some
of
the
stigma
around
mental
health,
but
also
making
sure
that
we're
addressing
race-based
trauma
in
our
work
and
making
sure
that
we
understand
that
our
bypoc
students,
especially,
are
navigating
systems
of
oppression
that
very
much
impact
impact.
Their
mental
health,
and
so
their
anxiety
is
not
just
this.
P
You
know
individual
deficit,
but
anxiety
and
depression
and
trauma
are
a
result
of
the
systems
that
our
students
or
families
are
interfacing
with
and
interacting
with
and
school
is
a
part
of
that
system.
So
addressing
the
impact
of
that
as
well
and
making
sure
that
we're
meeting
students,
academic
and
social
needs
in
the
building
and
what
that
really
looks
like
is
collaborating
with
our
school
social
workers
and
our
school
counselors
and
and
teachers
and
case
managers
to
make
sure
that
we're
supporting
students
needs.
P
Because
again,
we
know
that
students,
mental
health
is
very
much
impacting
how
they're
showing
up
in
the
classroom
or
how
they're,
showing
up
in
the
school
building
and
so
helping
teachers
by
collaborating
with
our
school
social
workers
and
counselors
in
like
five
or
four
meetings,
for
example,
to
help
teachers
develop
strategies
and
how
to
support
students
that
might
be
highly
anxious
or
really
depressed,
or
to
just
help
them
understand.
The
way
in
which
you
know
what
trauma
could
look
like
right
that
a
student
who
might
be
labeled
as
aggressive?
P
Maybe
you
know
instead
of
asking
questions
like
what
is
wrong
with
this
student,
you
know
being
curious
and
compassionate
and
and
wondering
what
has
happened
to
the
student
in
order
to
try
and
understand
the
bigger
picture
and
what
might
be
going
on
and
then
also
just
connecting
families
to
resources
in
the
building
and
the
community.
And
so
you
know
it's
again
really
unique
the
way
in
which
we
do
therapy
at
the
school-based
clinic
we're
not
just
an
outpatient
clinic
where
we
see
students
once
a
week
for
therapy.
P
P
P
There's
research
that
shows
you
know
there
are
one
in
five
students
in
high
school
that
have
a
diagnosable
mental
health
condition
and
when
there's
only
one
full-time
therapist
in
the
building.
That
means
that
there
are
a
lot
of
students
who
we
are
not
reaching
and
who
are
not
maybe
able
to
access
our
services
because
we
get
full
really
quickly
like
nadia
mentioned
earlier,
and
so
I
just
really
want
to
highlight.
P
I
think
the
most
important
thing
is
really
the
stories
and
the
feedback
from
you
know
the
people
that
we're
working
with
the
students
and
the
families
that
we
support
in
our
services.
So
I
really
just
want
to
be
able
to
read
some
of
these
quotes
out
loud
so
that
you
guys
can
all
hear
and
see
the
impact
of
our
work
with
our
students
and
families.
P
P
P
He
has
also
been
able
to
increase
his
social
skills
and
make
friends
at
school
as
a
parent.
I
also
felt
really
supported.
One
of
my
worries
was
that
my
son
would
not
graduate
on
time,
and
I
was
able
to
lean
on
his
therapist
who
connected
me
to
his
social
worker,
school
counselor
and
case
manager,
to
make
sure
that
he
would
have
all
the
support
he
needed
to
graduate
on
time.
I'm
so
grateful
that
we
have
had
the
support
over
the
last
four
years
next
slide.
Please.
P
Before
attending
therapy,
I
struggled
with
my
mental
health
internally
and
found
it
hard
to
open
up
to
anyone
finding
a
therapist
was
for
me
because
I
didn't
want
to
feel
pitied
or
to
paint
those
around
me
as
bad
people.
I
find
I
found
someone
I
really
connected
with
through
the
south
high
clinic
and
my
therapist
helped
me
cope
and
find
my
way
through
my
mental
health
struggles.
P
I
accomplished
a
lot
during
therapy
and
was
able
to
finish
high
school
at
a
better
place
than
when
I
than
where
I
started
south
high
client
12th
grade
access
to
therapy
has
helped
me
to
learn.
Has
helped
me,
learn
a
lot
about
myself
and
giving
me
tools
to
manage
my
emotions,
better
south
high
client
11th
grade,
and
then
last
quote.
I
am
a
black
and
white
male,
certainly
not
the
typical
demographic
to
use
therapy
to
their
advantage.
However,
therapy
has
become
a
time
of
the
week.
P
I
can
always
look
forward
to
it's
a
consistently
safe,
flexible
and
comfortable
space
to
express
and
discuss
the
most
personal
and
private
matters
of
my
being,
even
if
I
felt
so
terrible
that
I
want
to
lie
in
bed
and
never
get
up
or
so
great
that
I
can't
imagine
ever
having
an
urge
to
see
my
therapist.
I
know
there's
someone
in
my
corner,
someone
who
can
give
me
unbiased
and
meaningful
advice
and
feedback.
It
helps
me
to.
It
helps
me
think
deeply
about
my
behavior
decisions,
relationships
and
thought
processes.
P
P
I
have
been
going
to
therapy
for
eight
months
now
and
I
have
been
able
to
stay
on
top
of
my
mental
health
and
clear
up
my
baggage.
The
experience
that
I
have
had
has
has
surpassed
my
expectations.
I've
gained
insight.
That
has
helped
me
come
to
terms
with
some
of
the
worst
things
that
have
happened.
To
me.
My
mind
is
in
a
place
of
clarity
and
peace.
That's
priceless
south
high
client
12th
grade.
N
This
is
a
picture
of
our
team.
The
last
time
we
were
all
together
and
I
thought
it
was
kind
of
nice
to
just
kind
of
see
some
of
the
folks
in
the
clinic.
N
I
feel
like
we
have
a
very
passionate
committed
team,
as
you
just
heard,
from
two
of
our
therapists
and
I
think
in
we're
very
excited
to
get
back
to
school.
There's
a
lot
of
work
to
be
done,
a
lot
of
catch
up
on
things
that
we
haven't
been
able
to
do,
and
we
also
know
that
there's
going
to
be
more
needs,
especially
mental
health
needs
of
students,
and
so
we're
really
looking
to
establish
more
stable
funding
to
be
able
to
provide
those
services.
N
B
Great,
thank
you
so
much.
I've
very
much
still
been
looking
forward
to
this
presentation
for
quite
some
time
now,
given
all
of
the
excellent
work
that
you
all
do
and
it
flies
behind
behind
the
radar
so
wanted
to
bring
it
to
the
forefront.
So
folks
are
aware
of
the
amazing
work
that
you
all
are
doing
and
the
impacts
that
you're
having
in
young
people's
lives.
B
F
Thank
you
very
much,
and
I
really
appreciate
it.
I
think
this
is
the
most
comprehensive
report
we've
ever
gotten
and
we've
it's
nice
to
get
them
at
least
annually
to
see
what's
happening,
and
I
know
that
over
the
years
we've
been
able
to
expand
the
school-based
clinics,
and
I
have
to
tell
you
that
I
hear
from
both
teachers
and
from
parents
and
families
about
how
what
a
treasure
they
are
and
how
much
people
appreciate
having
them
in
the
high
schools-
and
I
think,
that's
significant.
F
I
know
we
don't
have
them
in
all
the
alternative
schools
and
I
think,
there's
actually
need-
and
people
have
been
asking
about
why
we
can't
maybe
provide
some
of
these
services
in
the
middle
schools
or
in
other
programs
too.
F
So
there's
an
interest
in
expanding
it,
and
I
know
that
would
cost
cost
money
and
take
resources,
and
we
want
to
do
it
very
very
well,
but
that
just
shows
what
value
service
it
is
and
the
good
work
you're
doing
and
having
to
be
so
flexible
during
the
pandemic
and
trying
to
still
meet
needs
must
have
been
incredibly
challenging.
F
I
know
it
was
for
all
those
families
who
were
away
from
their
schools
and
all
those
children,
so
it
will
be
nice
to
get
back
to
more
normal,
and
then
we
can,
I'm
sure,
there'll,
be
a
lot
more
work
to
do
as
well
as
we
come
back
to
that.
So
mostly
just
wanted
to
say
how
appreciative
I
am
how
well
this
actually
fits
into
the
whole
idea
about
making
schools
more
complete
schools
and
kind
of
curious.
F
If
there's
been
talk
about
how
to
provide
more
of
those
services
to
folks
who
are
in
alternative
programs
still
run
by
the
public
schools
or
even
some
of
those
lower
grades
or
to
some
of
the
family
members,
maybe
who
aren't
enrolled
in
the
school
and
get
us
started
to
think
about
what
that
might
take.
N
Well,
thank
you
councilman
gordon.
I
think
those
are
great
questions
and
really
appreciate
your
positive
feedback.
N
I
know
that
a
couple
years
ago,
minneapolis,
along
with
st
paul
and
other
parts
of
the
state
where
we
have
school-based
health
care
center,
started
a
state
school-based
health
care
alliance
and
one
of
the
goals
we
have
is
looking
at
trying
to
see.
If
there
is
funding
like
other
states,
have
to
expand
and
pull
in
more
of
the
21st
century
schools
and
and
doing
things
in
a
best
practice
manner
to
expand
to
middle
schools.
N
You
know
across
the
nation
many
rural
districts
have,
you
know,
k-12
school-based
health
care,
centers,
and
so
I
think,
working
with
working
with
our
national
alliance
and
I
think,
there's
some
federal
talk
and
some
money
potentially
coming
for
expansion,
and
I
do
know
that
students
in
many
other
schools
in
minneapolis
could
really
greatly
benefit,
and
so
I
think
we're
looking
and
partnering
with
our
colleagues
in
the
state
with
our
new
state-based
school-based
healthcare
alliance
and
really
would
like
to
see
that
happen
as
well.
F
Well,
if
I
could
just
add
mr
chair
as
you're
looking
at
that
and
as
you're
looking
for
partners
and
maybe
some
pilots
and
test
out
some
models,
I
think
there
would
be
great
receptivity
here
in
minneapolis
and
great
support
for.
B
Great,
thank
you
councilmember
gordon.
I
wanted
to
ask
just
quickly.
I
saw
that
there
was
a
clinic
at
henry,
which
I
know
about
and
I'm
very
excited
about,
but
I
don't
think
there
was
one
at
north
is
that
correct.
N
Council,
chair
cunningham,
I
did-
I
didn't
put
it
on
the
map
because
we
don't
operate
that
clinic,
but
north
high
has
a
very
strong,
successful,
school-based,
comprehensive
clinic
like
ours.
It's
operated
by
north
point
and
it
started
years
before
ours.
So
we
partner
with
them
and
our
statewide
association
and
work
closely,
but
we
don't
provide
the
direct
services,
but
north
does
have
a
very
strong
committed
school-based
health
care
center.
B
B
I
know
that
these
sort
of
services
would
have
made
a
big
difference
if
I
would
have
been
able
to
have
access
to
those,
and
many
of
my
peers
could
have
had
access
to
those
resources
back
in
the
day
when
I
was
in
high
school,
so
I'm
so
grateful
that
we
have
the
opportunity
to
support
the
work
that
you're
doing
and-
and
you
know
the
the
point
is
well
taken
and
well
heard-
that
the
scale
isn't
what
it
needs
to
be
based
on
the
demand
and-
and
so
that's
that's
heard,
received
and
and
shall
be
taken
into
consideration.
B
So,
thank
you
so
much
and
I
will
direct
the
clerk
to
file
this
report
and
with
that
colleagues,
we
have
concluded
all
of
the
business
before
us.
So
without
objection.
I
will
declare
this
meeting
adjourned
thanks.
Everyone.