►
From YouTube: September 28, 2021 Public Health Advisory Committee
Description
Additional information at
https://lims.minneapolismn.gov
A
A
Thank
you
before
we
begin
I'd
like
to
note
that
this
meeting
includes
the
remote
participation
of
members
as
authorized
under
minnesota
statutes,
section
13d.021
due
to
the
declared
local
healthcare
clinic.
I
will
now
call
this
meeting
to
order
and
ask
hattie
to
call
the
role,
so
we
can
verify
the
presence
of
apora.
B
D
B
E
B
Later
yeah,
I
just
heard
the
doorbell,
but
it
looks
like
it
was
gretchen.
I
just
wanted
to
make
sure
it
wasn't.
Lisa
nicotras
not
going
to
be
here
tonight
correct
anna
harkin.
B
B
G
B
G
E
And
I
believe
it
was
babette
appland
who
had
emailed
that
she
was
not
going
to
be
able
to
attend
tonight.
A
Okay,
I
think
that
that
makes
everyone
account
for
wonderful,
so
per
usual,
we
are
going
to
vote
on
the
agenda
and
the
minutes
from
the
last
meeting
at
the
same
time,
but
I
just
want
to
make
sure.
Is
there
any
discussion
on
last
month's
minutes
before
we
vote
to
approve.
A
Seeing
none
mary
you're
unmuted.
May
I
have
a
motion.
A
Thank
you
I
and
the
agenda
for
tonight's
meeting.
A
Thank
you.
I
appreciate
your
formality
in
that
motion.
Andrew
it
looks
like
you
are
unmuted.
Would
you
mind
seconding.
A
Fantastic
patty
will
you
please
call
roll
the
motion.
B
G
B
B
A
A
Awesome,
thank
you
very
much
hattie.
I
said
those
are
approved.
We
are
next
going
to
move
into
a
presentation
on
promoting
and
addressing
mental
health
in
hennepin
county
and,
as
you
may
recall,
from
past
discussion,
mental
health
kept
coming
up
as
an
intersection
with
a
lot
of
the
priorities
that
we've
already
identified
and
now
we'll
be
talking
through
a
little
bit
later
on
in
this
meeting,
and
as
it
so
happens,
committee
member
meredith
martinez
is
was
willing
to
present
to
us
today
and
she
came
with
some
colleagues
so
margaret.
D
Awesome
great
give
me
just
a
second
here
to
pull
up
my
slides.
D
All
right:
do
you
guys
see
the
slides
awesome?
Yes,
we
do
great
okay.
Well,
so
I'm
super
excited
to
be
able
to
present
at
the
meeting
tonight
to
you
all,
just
because
I've
been
in
those
conversations
recently
when
we've
been
talking
about
the
importance
of
mental
health,
and
there
happens
to
be
a
lot
happening
at
hennepin
county
around
promoting
mental
health
and
addressing
mental
illness
and
disparities
in
this
area.
So
I
just
want
to
make
sure
we
have
an
opportunity
to
oh
there's
a
hand
up.
H
F
E
H
H
D
All
right,
so
I
wanted
to
make
sure
that
leah
and
cindy
have
an
opportunity
to
address
the
group
and
to
introduce
themselves.
So
I'm
really
fortunate
that
I
have
really
awesome
colleagues
with
me
here
tonight
to
present
and
so
I'll
turn
it
over
to
them
if
they
want
to
just
say
who
they
are
and
say,
hello,
sure.
L
Hi,
you
guys
I'm
leah
kaiser
and
I
am
the
senior
department
administrator
for
behavioral
health
in
hennepin
county
in
human
services.
Nice
to
see
everybody.
M
D
Great,
so
I'm
going
to
be
kicking
us
off
here,
but
oh
just
happened.
E
D
Okay,
so
leah
cindy
and
I
will
be
jumping
around
a
little
bit-
we're
we're
each
going
to
be
taking
a
few
of
these
slides,
we'll
try
to
go
through
them
pretty
quickly,
so
that
we
make
sure
we
have
time
for
questions.
So
I
will
just
start
at
the
beginning
just
to
give
you
a
highlight
of
what
we're.
Actually
it's
there's
a
little
bit
of
an
echo.
So
if
anybody's
not
muted,
if
you
could
mute
yourself,
that
would
be
great.
That's
me.
D
Sorry,
thanks
margaret,
so
we
can
give
you
an
overview
of
the
current
landscape
of
mental
health
in
the
county.
D
D
D
Mental
health
is
central
to
overall
good
health
and
it
intersects
with
a
lot
of
other
areas
in
our
lives.
So
that's
why
this
work
is
so
important
and
why,
when
we
talk
about
mental
health
as
you'll
see
throughout
this
presentation,
there
are
a
lot
of
other
areas
that
that
are
important
to
address
in
order
to
make
sure
that
that
mental
health
is
in
place
for
our
residents.
D
L
Okay,
so
just
some
level
setting
so
mental
illness
are
conditions
that
impact
a
person's
thoughts,
feelings
and
behavior.
They're
they're
considered
fairly
common
conditions
in
the
general
population
every
year
about
one
in
five
adults
and
one
in
six
kids
are
going
to
be
diagnosed
with
some
type
of
mental
illness.
L
There
are
estimates
that
suggest
that
up
to
50
percent
of
the
us
population
will
develop
a
mental
health
disorder
in
their
in
their
lifetime,
at
some
point,
but
most
disorders,
especially
serious
disorders,
beginning
in
childhood,
and
in
adolescence,
there's
hundreds
and
hundreds
of
different
types
of
diagnoses
and
a
whole
bunch
of
ways
to
categorize
them.
They
they
range
from
mild
to
serious
and
the
impact
to
the
person's
functioning
can
also
range
from
mild
to
severe.
L
Let's
see,
can
you
yeah,
you
got
it
okay.
So
if
you,
if
you
look
at
the
hennepin
county
adult
population,
we
have
about
a
million
people,
it's
a
little
more
than
that
of
those
roughly
200
000
will
be
diagnosed
with
some
type.
Any
type
of
mental
illness
and
50
000
will
develop
a
serious
mental
illness
that
substantially
interferes
with
their
functioning.
L
The
areas
that
we
tend
to
look
at
is
family
community,
school
and
work.
So
when
we
do
functional
assessments,
those
the
the
key
areas
of
life
functioning
that
we
focus
on
about
25
000
will
eventually
go
on
to
develop
a
very
serious
condition
that
is
classified
as
a
serious
and
persistent
mental
illness.
Those
are
defined
in
statute
and
it's
not
only
a
diagnostic
determination,
but
it
also
includes,
like
I
mentioned,
serious
functional
limitations,
the
severity
of
their
symptoms
and
the
use
of
more
restrictive
services
like
hospitalizations
next
slide,
please,
okay!
L
So
then,
looking
at
kids,
the
number
of
children
and
youth
living
in
hennepin
county
between
the
ages
of
16
or
6
to
18
is
approximately
200.
000
about
17.5
percent
will
be
diagnosed
with
any
type
of
mental
illness,
and
10
of
the
total
population
between
6
to
18
will
develop
a
serious
emotional
disturbance.
Just
a
quick
note
on
on
this.
For
kids,
we
don't
use
the
same
categories
of
serious
mental
illness
and
serious
and
persistent
mental
illness
because
of
how
diagnoses
are
categorized
for
children
versus
adults,
given
that
kids
are
still
in
development.
D
Yeah
so
again,
this
is
just
a
graphic
that
reiterates
what
we
talked
about
earlier
about
how
mental
health
relates
to
social
determinants
of
health,
really
looking
at
the
impact
of
mental
illness
on
overall
health.
D
If
you
look
at
the
impact
on
housing,
21
people
experiencing
homelessness
have
serious
mental
illness.
We
also
know
that
there's
correlation
with
income,
unemployment
and
financial
stability
as
well
as
education,
transportation
and
justice.
So
when
we
talk
about
mental
health
promotion
and
reducing
disparities,
this
is
really
needing
to
look
at
an
overall
picture
of
the
social
determinants
of
health.
D
The
county's
role
in
the
mental
health
system
is
one
of
partnership
with
the
state,
so
the
mental
health
system
is
governed
through
the
state
department
of
human
services.
We
at
the
county
work
really
closely
with
them
to
advocate
for
good
policies
that
improve
lives
of
residents
in
hennepin
county.
D
D
And
then
this
is
just
another
graphic
again
showing
the
services
on
a
spectrum
or
a
continuum
by
age.
So
we'll
we'll
touch
on
a
few
of
these
things
today,
but
really
thinking
about
you
know
we're
lucky
to
have
a
wide
range
of
services,
both
contracted
and
county,
run
across
the
age
and
intensity
continuum.
D
So
there
are
community-based
programs
such
as
we've
got
like
community
supports.
We
also
have
outpatient,
and
then
there
may
be
some
instances
where
you
know
we
provide
a
service
one
time
only
to
someone
who
needs
it
or
there's
ongoing
services
for
those
who
need
it.
So
we
have,
you
know
low
level
intensity.
D
D
Community-Based
services
help
people
stay
in
the
least
restrictive
settings
and
emergency
care
helps
people
move
from
mental
health
crisis
to
recovery
compared
to
most
places
in
the
country,
and
our
state.
Hennepin
county
has
a
broader
range
of
mental
health
services
that
span
from
low
intensity
to
high
intensity
in
minnesota.
L
So
the
research
in
this
area
tells
us
that
the
first
time
that
most
people
seek
help
for
their
mental
illness,
it
tends
to
be
10
years
after
symptoms.
First
appear
and
white
people
tend
to
access
supports
at
a
higher
rate
than
black
brown
and
indigenous
people.
So,
for
example,
50
of
white
adults
versus
33
percent
of
black
or
african
american
adults
access
formal
mental
health
supports.
L
We
know
that
lack
of
access
is
one
of
the
most
salient
factors
that
creates
an
inequitable
system.
Evidence
around
what
works
and
treatment
also
tends
to
mask
hidden
disparities
in
program
effectiveness.
So
there's
there's
very
few
empirical
studies
in
the
mental
health
field
that
have
validated
treatment
specifically
for
people
from
diverse
cultural
backgrounds.
L
The
current
model,
as
meredith
mentioned,
is
heavily
funded
through
medicaid
and
that
that
medicaid
model
tends
to
support
a
medical
model
that
doesn't
fund
interventions
outside
a
more
westernized
approach.
So
we
know
that
how
illness
is
understood
requires
cultural
considerations
and
that
stigma
exists
around
mental
illness.
L
There's
a
distrust
and
fear
within
many
communities
that
have
had
traumatic
exposure
in
government
programs
and
language
differences,
create
obstacles
to
persons
ability
to
access
and
fully
participate
in,
in
the
variety
of
interventions
that
we
do
have
so
the
collective
impact
on
these
obstacles
compounds
the
barriers
that
black
brown
and
indigenous
people
face
when
seeking
help
for
mental
health,
I'm
now
getting
a
bit
of
feedback.
If,
if
those
could,
oh
there,
you
go,
you
got
it.
Thank
you.
D
Next
slices
yeah,
so
I'll
just
cover
this
pretty
quickly.
One
of
the
areas
in
public
health
that
we
focus
on
quite
a
bit
is
early
childhood
mental
health
and
we
work
closely
with
cindy's
area
as
well
to
to
focus
on
this.
So
the
role
of
public
health
in
in
this
is
really
to
promote
mental
well-being
and
mental
health,
starting
in
early
childhood
and
continuing
across
the
lifespan.
D
So
our
role
focuses
on
prevention
and
early
intervention
and
well-being.
We
take
a
holistic
approach
to
mental
health,
which
includes
promoting
exercise
and
activity,
diet,
nutrition,
healthy
relationships
with
others.
It
also
includes
addressing,
to
the
extent
possible
social
determinants
of
health,
providing
families
with
basic
needs,
food
security
and
really
trying
to
support
the
family
unit
so
that
that
in
turn
helps
promote
early
childhood
mental
health.
D
So
just
really
quickly,
when
we
talk
about
early
childhood
mental
health,
what
we
mean
is
really
that
we're
talking
about
relation
children's,
a
child's
relationship
with
parents,
caregivers
relatives,
teachers
and
peers
and
how
these
relationships
shape
the
architecture
of
their
developing
brain.
So
social
emotional
development
is
also
known
as
infant
and
early
childhood
mental
health.
D
It's
basically,
the
definition
is
the
developing
capacity
of
the
young
child
to
experience,
regulate
and
express
emotions,
form
close
and
secure
interpersonal
relationships
and
explore
the
environment
and
learn
in
the
context
of
a
caregiving
environment
that
includes
family
community
and
cultural
expectations
for
young
children.
So
that's
a
very
broad
definition
and,
as
you
can
see,
the
the
mental
health
of
a
child
and
an
infant
is
very
dependent
upon
their
relationship
with
their
caregivers
and
the
world
around
them.
D
D
So
we
do
mental
health
or
social
emotional
screening
and
are
able
to
refer
children
and
families
to
to
resources
that
they
might
need
if
there
are
concerns
and
then
also
providing
parent
education
or
caregiver
education
and
support,
as
well
as
information
and
skill
building
around
child
development.
D
That
really
supports
this.
So
just
to
give
you
a
quick
snapshot
of
that
evidence-based
home
visiting
says.
There's
some
data
here.
We
in
hennepin
county
have
home
visiting
that's
delivered
through
contracted
providers
through
multiple
programs
and
models.
The
city
of
minneapolis
also
has
their
own
home
visiting
programs
and
services,
so
they
they
also.
You
all
also
provide
these
services
to
residents
in
minneapolis,
so
just
wanted
to
show
some
some
facts
here
where
evidence-based
home
visiting
does
show
effectiveness
in
parent
support
and
supporting
the
mental
health
both
of
the
caregiver
and
the
child.
M
So
I'm
going
to
talk
just
a
little
bit
about
what
hennepin
county
human
services
is
doing
related
to
children's
mental
health
and
the
types
of
services
that
we
provide.
As
meredith
said
earlier,
we
we
work
in
ensuring
that
there's
a
viable
continuum
of
services
through
a
combination
of
both
contracts
with
providers
in
the
community
and
services
provided
by
our
own
staff.
M
We
currently
have
68
contracts
with
various
providers
in
the
community
to
provide
the
array
of
services
you
see
listed
on
the
screen
and
roughly
that
array
of
services
is
touching
around
3
500
youth
a
year.
We
really
want
to
focus
on
the
outcomes
of
improving
the
ability
of
children
to
function
in
their
home
schooling
community
and
to
support
their
family
and
par
or
caregiver
to
be
able
to
respond
to
the
unique
mental
health
needs
of
their
child.
M
M
Improving
the
functional
capacity
of
the
youth,
as
well
as
working
with
their
families,
to
be
able
to
to
provide
that
support
in
terms
of
hennepin
is
very
intentional
in
in
contracting
with
provider,
agencies
were
well
aware
of
our
kind
of
the
the
stigma
around
mental
health
and
that
it
gets
exasperated
with
a
connection
to
hennepin
county,
often
when
people
think
of
hennepin
county,
they
think
of
child
protection
and
then
they're
they're
less
likely
to
reach
out
if
it's
a
hennepin
county
service,
so
we're
very
intentional
about
using
our
provider
community
to
eliminate
that
barrier
to
access.
M
So
we
also
realize
that,
in
order
to
really
work
well
and
provide
this
continuum
of
services,
we
have
to
collaborate
and
integrate
across
systems.
Children
are
involved
in
the
education
system
on
the
the
health
system,
as
I
said,
the
child
protection
and
juvenile
justice
systems.
So
our
work
also
is
about
bringing
all
those
systems
together
to
have
more
of
an
integrated
approach
to
providing
services.
M
The
one
service
that
hennepin
county
human
services
does
provide
is
a
children's
mental
health
case
management.
We
do
provide
this
on
both
a
contracted
and
with
our
hennepin
county
staff.
Our
hennepin
county
staff
tend
to
work
with
the
youth
that
have
multiple
system
con
involvement
and,
as
a
result,
have
a
complex
set
of
needs
and
are
often
involved
with
the
judici
with
the
the
the
juvenile
court,
either
through
a
juvenile
justice
or
child
protection
case.
M
So
we
currently
have
around
20
children's
mental
health
case
managers
that
are
hennepin
county
employees
who
per
her
provide
this
service
and
they
they
come
with
a
unique
set
of
skills
in
knowing
how
to
navigate
all
these
various
systems,
as
well
as
the
mental
health
system
to
be
able
to
connect
children
to
the
level
and
type
of
service
that
they
need
of
our
case
managers.
M
M
Hennepin
county
also
has
been
very
innovative
in
our
school
mental
health
program.
With
this
program
started
in
the
early
2000s
with
five
minneapolis
public
schools.
M
Today
we're
able
to
provide
mental
health
services
in
the
school
in
164
schools
in
hennepin,
county,
eight
and
eight
head
start
programs.
These
services
are
on
provided
by
our
community
providers
and
we
work
with
16
different
providers
that
provide
these
services
and
we
cover
around
75
77
percent
of
the
school
districts
in
the
county.
M
You
know
as
we
we
really
focus
our
energy
around
this
service
because,
as
as
leah
said
earlier,
people
are
often
experiencing
services
10
years
before
they
actually
get
services.
We
also
know
that
the
first
place
that
their
symptoms
also
often
show
up
are
in
the
schools
and
so
by
getting
there
earlier.
M
M
So
the
other
thing
I
just
want
to
say
the
funding
for
school
mental
health
is
is
a
bit
complicated,
as
is
for
a
lot
of
our
services
and
we
fund
this
service
with
a
combination
of
property
tax
dollars,
state
grant
dollars,
some
of
the
school
districts
contribute
dollars
as
well,
and
about
70
percent
of
the
cost
is
covered
through
direct
billing
to
private
and
and
public
health
care
plans.
M
Next
slide,
please
so
the
other
thing
I
just
want
to
touch
on
is
children's
mental
health
is,
is
right
now
embracing
a
pretty
comprehensive
system,
transformation
effort
and
we're
utilizing
a
framework.
That's
called
system
of
care
to
do
that.
Transformational,
work
system
of
care
is
not
a
new
concept.
It's
a
concept,
that's
been
around
for
a
long
time.
M
It
was
developed
by
samsa,
and
what
this
this
framework
provides
is
an
over
arching
set
of
values
and
principles
that
are
used
to
coordinate
and
develop
the
continuum
of
services,
and,
as
you
see
on
this
slide,
the
fundamental
value
is
that
the
youth
and
the
parent
need
to
be
at
the
center
of
all
decisions
that
are
made
not
only
at
a
direct
service
level,
but
at
a
program,
operational
level
and
also
at
a
system
policy
level,
and
you
know,
as
as
we
do
this
work,
and
we
we
gain
more
capacity
to
understand
what
this
means
is.
M
It
really
means
that
the
voice
of
parents
and
youth
are
important
in
in
deciding
how
we
allocate
our
resources
and
how
we
structure
our
system
and
it's
it
often
requires
a
move
away
from
a
medical
model
approach
that
leo
was
talking
about
earlier
into
a
more
holistic
well-being
approach,
that's
inclusive
of
the
family,
so
the
rest
of
the
values
are
the
cultural
responsiveness,
the
ability
to
integrate
across
systems
using
data,
qualitative
and
quantitative,
to
inform
our
decisions
being
aware
of
the
trauma
and
the
trauma
impact
on
the
youth
and
the
families,
and
to
be
able
to
engage
with
that
child
and
families.
M
M
However
wraparound,
which
is
in
the
middle,
is
a
server
a
service
model
that
around
delivering
care
coordination
services.
That
really
is
focused
around
the
values
of
system
of
care
and
really
focuses
on
that
holistic
approach,
as
well
as
that
approach
to
really
trying
to
be
creative
and
how
you
bring
together.
Formal
and
informal
supports
to
support
that
youth
to
stay
with
their
family.
M
So
it's
a
really
different
paradigm
than
is
often
used
in
medical
model,
defined
care
coordination
and
the
the
one
the
f
the
last
pillar
is
what
we
call
family
response
and
stabilization,
and
this
is
a
service
model.
M
That's
been
developed
at
a
national
level
and
has
been
found
to
be
effective
in
other
parts
of
the
country
and
being
able
to
really
support
families
early
when
they're
experiencing
stress
related
to
their
child
child's
behavioral
or
mental
health
issues,
and
that
service
involves
direct
outreach
when
a
parent
reaches
out
with
a
sense
of
urgency
and
concern
and
stress
and
goes
out
there
immediately
to
to
help
the
family
in
some
cases
define
what
the
the
underlying
drivers
to
their
their
stress
is
as
well
as
start
to
to
help
the
family
learn
how
to
connect
with
the
types
of
services
in
the
service
continuum
that
will
help
to
support
their
youth
and
them
to
keep
their
child
in
their
home.
L
Okay,
so
we're
gonna
shift
gears
a
little
bit
and
start
talking
about
the
the
move
from
our
service
array
from
children
to
adults
and
cope.
Is
a
nice
one
to
do
this
transition
because
it
provides
services
for
both
children
and
adults.
So
in
hennepin
county
there
is
an
emergency
response,
a
mental
health
emergency
response,
their
mobile
team
called
cope.
L
L
It
runs
a
crisis
call
line,
so
you
know
folks
can
call
this
number
call
cope
and
what
will
happen
when
they
call
is?
There
will
first
be
a
phone
assessment.
L
An
advantage
of
having
this
operated
in
the
county
is
that
the
the
person
that's
handling
the
crisis
call
can
look
up
the
individual
in
a
in
a
bunch
of
data
systems
to
try
to
understand.
You
know
more
fully,
what's
happening
out
in
the
field,
sometimes
they're
able
to
respond
with
either
information
or
referrals
they're
asking
quite
a
bit
of
information
about
what
does
the
person
need?
How
acute
or
how
serious
is
this?
You
know.
Sometimes
it's
a
matter
of
de-escalation.
L
You
can
do
that
either
over
the
phone
or,
if
they're
not
able
to
do
that
over
the
phone.
They
have
the
capacity
to
go
into
the
field
to
help
de-escalate
situations.
They
very
seldomly
use
law
enforcement
to
go
along
with
them,
but
they,
but
they
can,
if
they
need
to
contact
through
9-1-1,
to
get
some
additional
support.
L
This
slide
is
showing
you
know
the
the
steady
increase
of
these
coke
calls
over
the
years.
You
know
we
we
saw
a
decrease
in
2020.
We
saw
that
all
over
the
mental
health
system,
though
primarily
because
we
think,
because
of
stay-at-home
orders
and
people
weren't
moving
around
one
of
the
most
common
ways
that
calls
come
through
is
by
either
family
or
friends
or
support
that
are
you
know
in
contact
or
seeing
something
happen
and
under
kovid.
L
You
know
it
was
like
things
were
much
less
visible
and
that
that
is
not.
That
does
not
equate
with
with
the
needs,
though,
of
of
our
individual
communities.
I'm
going
to
go
on
to
the
next
slide
here,
oh
and
meredith,
will
you
will
you
take
this
one
sure.
D
Yeah,
I
can
talk
about
this,
so
I'm
just
moving
along
that
continuum.
Public
health
also
has
a
mental
health
center,
which
does
serve
adults
and
some
children
that
are
that
are
already
receiving
county
services.
So
this
is
an
outpatient
mental
health
center.
They
provide
assessment
and
diagnosis
as
well
as
medication
management,
individual
and
group
therapy,
and
also
they
have
programming
and
services
for
co-occurring
mental
health
and
substance
use.
D
They
also
do
medication,
assisted
therapy
and
co-occurring
groups
for
that
they
also
are
in
the
process
of
moving
into,
and
I
think
I'll
just
maybe
go
to
the
next
slide,
moving
into
a
new
location.
D
They
are
moving
into
the
south
human
services
hub
location
on
lake
street,
and
with
that
move
there
are
several
new
partners
that
are
coming
together.
So
the
mental
health
center
will
be
there
as
well
as
east
lake
clinic
through
hennepin
healthcare,
as
well
as
some
other
services
like
wic,
is
in
that
building
so
really
looking
at
having
some
integrated
care
between
the
mental
health
center
and
primary
care
is
a
really
exciting
opportunity
for
us
to
think
about,
and
that
they're
just
finishing
the
construction
on
that
building.
D
Now
I
think
they
just
did
like
the
ribbon
cutting
today
or
yesterday
with
covid.
I
think
there's
a
little
bit
of
a
delay
in
actually
getting
the
providers
in
there
and
getting
up
and
running,
but
but
hopefully
soon
they'll
start
seeing
patients
at
that
location.
L
So
at
any
given
time,
there's
close
to
7
000
adults
that
are
served
through
39
contracts
in
adult
behavioral
health,
like
like
cindy
said
earlier,
you
know,
there's
a
range
of
services
that
we
contract
for
and
under
those
39
contracts.
We
have
a
continuum
that
offers
everything
from
support
of
housing
and
employment
to
intensive
care
such
as
assertive
community
treatment
teams
are
called
act
teams
and
intensive
residential
treatment
services.
L
A
really
important
part
of
the
service
continuum
is
our
contracted
case
management
similar
to
children.
It
coordinates
access
to
needed
medical,
social,
educational,
vocational
and
other
necessary
services.
Together,
they
provide
case
management
alone,
provides
support
up
to
4
500
individuals
at
any
given
time.
So
this
is
a
fairly
large
area
for
us,
hennepin,
county
county's.
Seven
community
support
programs
also
serve
around
2500
individuals.
They
have
a
variety
of
supports
that
include
drop-in
access
to
housing
and
employment,
as
well
as
activities
to
promote
health
and
wellness
and
community
connections.
L
Sometimes
you'll
hear
them
referred
to
as
a
as
either
a
hub
and
smoke
spoke
model
or
oh
sorry,
about
a
year
ago,
the
the
programs
because
of
covid
had
to
pivot
their
on-site
offerings
to
a
virtual
format,
and
they
delivered
really
innovative
outreach
and
engagement
strategies
to
keep
people
connected
to
mental
health.
While
they
were,
you
know,
experiencing
a
lot
of
isolation.
L
They
kept
members
informed
about
their
resources
throughout
the
entire
pandemic,
and
we're
really
grateful
that
that
we
have
they're
called
csp
is
out
in
our
community.
We
use
the
racial
equity
impact
tool
to
incorporate
recommendations
from
our
local
advisory
council.
There's
a
statute
that
requires
that
the
county
responds
to
gaps
in
our
mental
health
system.
L
L
L
L
The
county
directs
directly
operates
nine
teams
of
case
managers
so
close
to
100
staff.
We
serve
approximately
a
thousand
people
at
any
given
time.
I
mentioned
earlier
that
functional
assessment
is
a
really
important
part
of
understanding
a
person's
needs,
and
so
these
teams
develop
a
functional
assessment
and
they
complete
individual
community
support
plans.
They
help
people
access
and
coordinate
necessary
services
that
relate
to
their
overall
functioning.
L
One
of
the
main
areas
of
focus
for
the
for
these
teams
is
to
support
people
under
what's
called
civil
commitment
and
those
they
also
support
individuals
seeking
assistance
voluntarily,
but
by
far
the
the
most
common
condition
under
which
we're
providing
county
operated
staff
for
providing
case
management
is
for
people
that
are
court
ordered
our
teams
are
mobile.
We
offer
multi-disciplinary
support
that
includes
licensed
social
workers,
alcohol
and
drug
counselors,
registered
nurses,
case
management,
assistants,
vocational
specialists
and
peer
recovery
specialists.
L
L
Next
slide,
please.
So
one
of
the
big
things
that
the
county
took
on
about
seven
years
ago
is
this
intersection
between
health,
human
service
and
and
public
safety.
So
back
in,
I
think
it
was
like
2015.
L
We
brought
key
stakeholders
together
and
we
gathered
a
bunch
of
data
from
multiple
states,
counties,
city
systems
and
we
created
a
process
map
of
the
criminal
justice
system
completed
an
environmental
scan
of
what
was
working
and
what
wasn't
working.
We
took
a
look
at
national
best
practices
across
different
jurisdictions
that
included
houston,
miami-dade,
los
angeles,
chicago
and
new
york
city.
L
Once
we
collected
all
this
information,
we
we
stood
back
to
look
to
see
what
all
this
information
revealed
about
the
system
in
place
in
hennepin
county
and
what
we
found
was
that
our
our
system
is
fairly
fragmented
and
that
overall,
these
three
huge
systems,
health,
human
service
and
public
safety-
tend
to
work.
In
silos,
and
unfortunately,
we
spend
a
lot
of
time
intervening
at
crisis
points
and
at
later
stages
in
a
person's
mental
illness.
L
L
It
comes
to
us
from
samsa
substance,
abuse
and
mental
health
service
administration,
and
what
it
does
is
is
break
down
the
criminal
justice
system
into
five
distinct
but
they're
they're
kind
of
overlapping
phases,
or
touch
points
that
we're
now
using
to
target
efforts
to
disrupt
the
cycling
effect
that
we
can
see
each
point
across
the
criminal
justice
system
is
an
opportunity
to
intercept
people
and
and
set
them
on
a
path
for
recovery,
so
at
each
intercept
throughout
this
system,
we're
building
a
pretty
robust
response
using
professional
mental
health,
social
workers.
L
The
sequential
intercept
model
focuses
on
system
change
within
public
safety,
but
even
the
first
intercept
involves
a
law
enforcement
income
encounter,
so
the
state
department
of
public
safety
and
and
local
law
enforcement
agencies
regulate
the
911
system,
and
the
current
response,
as
most
people
know,
is,
is
threefold.
It's
police,
fire
and
ems
hennepin
county
is
trying
to
go
even
further
upstream,
so
we
would
call
that
like
intercept
zero
to
redirect
people
away
from
law
enforcement,
encounters
where
we
can
in
2020.
L
Our
report
is
due
back
to
the
board
at
the
end
of
this
year.
2021.
L
one
of
the
things
that
that
we
put
in
place
back
in
2019
was
something
that
we're
calling
embedded
social
workers.
We
there
were
six
cities
at
the
time
that
came
forward
to
the
county,
to
ask
to
partner
with
us
for
a
new
response
to
these
mental
health
calls
and
to
provide
some
some
response
in
the
field.
L
So
key
leaders
across
these
different
cities
were
raising
some
some
fairly
concerning
points
in
the
system
that
they
that
they
were
asking
for
partnership
around
one
was
that
you
know
there's
this
over
reliance
on
law
enforcement
to
respond
to
mental
health
calls
which
is
putting
residents
and
officers
at
risk
for
unnecessary
and
and
avoidable
law
enforcement
contacts.
L
They
were
concerned
about
working
with
people
living
with
mental
illness
that
that
they
don't
have
the
right
training
and,
as
we
know,
you
know,
working
with
individuals
in
in
mental
health
with
mental
health
conditions
requires
specially
trained
professionals
that
clearly
exceeds
the
training
of
our
law
enforcement
personnel
residents.
Shouldn't
wait
until
a
problem
hits
a
crisis
point
to
get
help
and
that
there's
an
over
reliance
on
on
lauren
this
over
reliance
on
law
enforcement
results
in
an
overburdened
police
department
and
underserved
residents.
L
So
we
started
by
embedding
social
workers,
professional
mental
health
workers
into
these
various
police
departments.
The
collaboration
is
allowing
for
a
tailored
assessment
in
response
for
a
911
police
and
social
workers
are
now
relying
on
each
other's
expertise
to
identify
needs
and
get
people
connected
to
resources.
L
Our
hope
is
to
prevent
the
next
call
and
future
arrests.
The
model
is
now
expanded
to
12
cities
and
seven
more
police
departments
are
interested
in
participating
through
the
use
of
arp
funds.
We
expect
to
expand
this
program
to
every
every
police
department
within
hennepin
county,
we're,
focusing
primarily
on
our
suburbs,
because
minneapolis
is
trying
to
test
out
a
different
response
and
both
of
us
are
learning
from
each
other.
L
In
this
on
this
map,
just
to
kind
of
orient
you,
the
blue
sections
in
the
map
represent
cities
that
are
currently
participating
in
in
the
program.
L
The
darkest
tone
cities
are
where
the
most
mental
health
related
calls
are
coming
from,
with
the
exception
of
minneapolis
and
the
lightest
colored
sections
are
the
newest
cities
that
are
participating
in
in
having
an
embedded
social
worker
in
their
police
department
next
slide.
L
Some
of
you
might
be
familiar
with
this,
but
the
county
owns
a
building
at
1800
chicago
most
people
know
1800
chicago
for
for
an
old,
antiquated
model
of
detox.
That's
usually
what
the
communities
understand
that
building
to
be,
but
in
2016
the
county
board
approved
renovations
to
the
building,
and
that
started
a
multi-year
project
to
transform
the
facility
into
a
behavioral
health
center.
It's
kind
of
like
a
urgent
care
or
stabilization
center.
The
building,
if
you're
not
familiar,
is
located
in
south
minneapolis.
L
It's
really
close
to
the
public
safety
facility,
hcmc,
shelters
and
a
whole
bunch
of
community
service
providers.
At
this
location
we
already
had
like
county
case
managers,
vocational
specialists
and
economic
supports,
serving
residents
with
mental
illness
and
substance
use
disorders.
So
the
the
first
step
in
the
renovation
was
on
the
third
floor.
That's
where
we
had
that
detox
program,
that's
operated
by
the
american
indian
community
development
corporation.
L
L
On
the
second
floor,
we
also
contract
with
an
agency
to
deliver
those
services
we
contract
with
re-entry
house
and
then
the
third
and
final
stage
of
the
renovation
was
completed
in
2020,
where
we
established
a
walk-in
clinic
on
the
first
floor
and
and
so
now,
individuals
can
either
walk
in
on
their
own
police,
can
drop
them
off
the
entire
capital
project,
renovated
about
4,
200
square
feet
and
included.
L
Replacing
you
know,
mechanical
plumbing
electrical
systems
throughout
the
building
and
the
building
is
now
completely
transformed
into
a
specialty
center,
specifically
for
people
living
with
mental
illness
and
substance
abuse.
L
L
It's
really
critical
for
law
enforcement
because
it
operates
as
a
as
an
alternative
to
jail
and
it's
open
to
anyone
in
the
community.
The
environment
was
designed
with
ongoing
input
from
our
community
residents
that
were
likely
to
use
the
center.
I
mentioned
earlier
local
advisory
council
and
then
key
stakeholders
from
across
health,
human
service
and
public
safety
agencies.
L
We
have
five
contracted
agencies
providing
support
there,
including
hennepin
healthcare.
All
of
us
are
working
together
to
provide
holistic
and
integrated
person-centered
care,
it's
it's
a
really
cool
environment
and
that
it's
not
only
co-located
and
multidisciplinary,
but
the
but
the
approach.
We
always
talk
about
this.
A
lot
we
talk
about,
like
each
discipline,
is
expected
to
change
its
practice
and
break
away
from
the
traditional
models
of
care.
L
L
I
mentioned
earlier
that
that
arp
funds
are
helping
to
to
expand
a
range
of
services.
The
county
board
recently
approved
20
million
dollars
in
arp
funds.
This
chart
is
showing
you
that
the
breakdown
of
how
we
are
distributing
those
funds
across
the
continuum
of
mental
health
supports
that
you've
heard
yeah.
This
is
our
last
slide.
L
The
the
main
focus
is
trying
to
target
funding
towards
residents
that
have
been
disproportionately
impacted
by
kovid
and
by
already
existing
disparities,
we're
trying
to
lower
barriers,
improve
outcomes
and
expand
our
capacity.
The
whole
vision
of
these
are
to
focus
on
early
intervention
and
to
try
to
prevent
the
over
reliance
on
these
deep
end.
Services,
driving
disparity
reduction
and
the
other
core
component
of
all
of
these
is
that
it
will
require
us
to
build
partnerships,
stronger
partnerships
across
health,
human
service
and
public
safety
systems
that
are
needed
for
widespread
system
reform.
L
That
was
our
last
slide.
I
think-
and
hopefully
there's
still
time
for
questions
that
we
realize
that
that
was
a
lot.
A
Wow,
thank
you
all
so
much
I
admit
when
I
saw
32
slides
there
at
the
bottom.
I
thought
oh
gosh,
but
really
it's
a
wonder
that
you
are
able
to
fit
so
much
information
into
32
slides
and
we
are
a
deeply
appreciative
committee
members,
as
was
really
good
stuff.
So
please
raise
your
hand
and
we
can
start
the
round
of
questioning.
K
K
I
heard
you
talk
a
lot
about
trying
to
work
away,
kind
of
or
outside
of
the
medical
model
working
in
a
health
system
myself.
I
really
appreciate
that
not
kind
of
over
relying
on
that
kind
of
medical
western.
Can
you
talk
a
little
bit
about
outcomes
that
you're
seeing
or
are
ways
that
you
are
starting
to
measure
success
around
some
of
the
work
you're
doing
or
the
models
you're
using.
L
Do
you
want
to
speak
to
some
of
the
stuff
that
you're
doing
I'll
I'll
pull
up
some
of
my
outcomes
for
some
of
the
things
in
adults
and
cindy?
I
don't
know
if
you
have
some
outcomes
that
you
want
to
talk
to.
D
Yeah
I
mean,
I
think,
for
us
the
the
work
that
we're
doing
between
our
public
health
nurses
and
like
screening,
and
doing
health
assessments
for
children
that
are
in
out
of
home
placement.
We
are
trying
to
move
further
upstream.
D
So
we
know
that
that
population
is
one
that
we
want
to
pay
specific
attention
to
and
do
those
screenings
and
connect
them
to
resources
and
also
we
want
to
expand,
and
we
will
be
able
to
do
that
with
our
arp
funding
to
look
further
upstream
so
that
you
know
when
families
are
coming
in,
maybe
they're
getting
connected
to
economic
assistance
or
the
parent
support
outreach
program
or
something
that
doesn't
have
to
do
with
child
protection
that
we're
able
to
identify
those
families
and
then
be
able
to
do
connect
them
with
our
public
health
nursing
team
to
do
screening
and
referral
and
follow-up.
D
So
we
are
just
now
starting
that
expansion,
so
we
don't
have
data
yet,
but
the
measures
that
we
would
want
to
see
to
look
at
are
you
know
number
of
screenings
number
of
referrals
that
are
done,
but
then
also
trying
to
look
at-
and
this
is
I
don't
know
how
you
would
get
at
this,
but
like
making
sure,
is
there
a
way
to
look
at
like
those
families
that
may
have
had
some
interaction
with
child
protection
but
didn't
end
up
in
out
of
home
placement.
So.
L
So
I
mentioned
assertive
community
treatment
teams-
and
I
just
I'm
gonna
zip
through
a
couple
of
slides
to
give
you
some
stats
around
that.
So
so,
for
example,.
E
Leah,
I
have
to
stop
you
there,
because
this
is
a
public
meeting.
You
cannot
put
up
any
slides
that
were
not
previously
provided
to
us,
because
the
city
clerk's
office
requires
for
open
meeting
laws
that
all
material
is
available
more
than
48
hours
in
advance
of
a
meeting.
So
you
could
talk
through
your
slides,
but
that's
exactly.
L
Right,
yep,
that's
exactly
right!
I
was
just
going
to
refer
to
some
of
them.
So,
okay,
sorry,
I
misunderstood
them.
No,
that's!
Okay,
and
if
you-
and
if
you
are
interested
in
reviewing
both
of
the
presentations
that
were
given
to
the
board
from
which
the
material
that
was
presented
today
is
coming
from
both
of
those
are
public
and
available
on
on
the
county
website
as
well.
E
L
Okay,
so
I'm
just
going
to
read
from
the
slides
that
I
have
so,
for
example,
with
assertive
community
treatment
teams.
There
were
in
this
particular
study.
There
were
70
individuals
served
85
percent
of
those
70,
so
I
can't
do
the
math
off
top
of
my
head,
but
85
percent
I
have
remained
in
stable
housing.
L
95
percent
have
been
connected
to
health
insurance
and
medical
care.
65
percent
are
employed
and
32
maintained
employment.
So
that's
you
know.
That's
just
one
one
program
that
we're
mentioning
about.
You
know
some
of
the
the
positive
outcomes.
L
There
were
also
really
significant
positive
outcomes
with
our
embedded
social
workers,
where
we
pulled
some
data
from
brooklyn
park
and
we
identified
the
top
25
highest
callers
to
911
that
were
calling
for
a
mental
health
crisis.
After
they
started
working
with
one
of
our
embedded
social
workers,
we
were
able
to
reduce
those
calls
by
85
percent
yeah
and
and
the
way,
though,
that
we
did
it
was
because
we
were
connecting
them
to
a
bunch
of
services.
So
you
know
we
connected.
L
We
made
over
1200
care
coordination
connections,
employment,
legal
economic
supports,
provided
transport,
assisted
with
mental
health
services,
substance
abuse
treatment.
You
know
the
one
of
the
main
objectives
with
the
embedded
social
workers
is
to
try
to
get
people
that
haven't
been
able
to
either
navigate
the
system
or
get
access
to
services
to
get
connected
to
those
services
so
that
they're
able
to
meet
their
needs.
You
know
and
and
remain
stable
in
their
communities
with
1800
chicago.
L
We
studied
550
people.
I
don't
have
the
total
number
of
people
served,
but
we
did
like
a
pre
and
post
and
we
were.
We
were
able
to
find
that
for
people
that
came
through
our
walk-in
clinic
35,
there
was
a
35
reduction
in
jail
bookings.
L
There
was
29
fewer
hospital
admissions
and
40
increases
in
mental
health
supports.
So
these
are.
This
is
just
a
smattering
of
some
of
the
outcomes
that
we've
been
able
to
see.
One
of
the
fun
pieces
about
working
across
health,
human
service
and
public
safety
is
that
we
look
through
the
lens
of
all
those
different
disparity
domains,
so
we
are
pulling
regularly.
L
L
You
know
we're
enhancing
the
services
with
different
programs,
but
collectively
we
know
that
that
one
program
isn't
going
to
produce
the
kind
of
outcomes,
especially
for
really
complex
populations,
and
so
we,
so
this
is
the
benefit
of
being
able
to
to
look
more
completely
at
our
at
our
system
efforts.
So
those
are
just
a
range
of
outcomes
that
we've
been
able
to
track
cindy.
I
don't
know
if
you
want
to
add.
M
I
think
that
the
outcomes
for
kids
are
are
similar,
the
the
services
that
we're
starting
to
pilot
we're
just
starting.
So
we
don't
have
the
the
depth
of
now
information
that
we
had
just
shared.
A
Okay,
thank
you
so
much
for
those
responses,
I'm
seeing
babette
and
then
aaron
aaron.
I
would
have
been
you
first,
but
your
hand
went
down
and
then
it's
back
up
again:
okay
and
then
james
riley
is
third
and.
D
N
Thank
you
well
fantastic
presentation
and
very
impressed
with
the
depth
and
breadth
of
the
services
that
that
you
provide.
So
thank
you
very
much
to
I
have
a
two-part
question.
The
first
is
it.
It
seems
to
me
that
one
of
the
challenges
that
people
face,
particularly
as
they're
ex
beginning
to
experience
a
mental
health
issue
or
a
family
member
is
where
do
I
go?
N
Where
do
I
turn,
and
I'm
I'm
wondering
if
how
you
are
helping
the
you
know,
the
general
population
understand
how
to
access
these
services,
particularly
with
your
impressive
focus
on
trying
to
get
upstream,
and
then
also
I'm
wondering
how
you
are
viewing
and
preparing
for
988.
L
D
Because
of
the
nature
of
our
work,
where
we're
actually
doing
some
routine,
like
the
nature
of
screening,
is
that
you're
you're
looking
at
things
before
something
actually
comes
up,
I
mean
it
is
early
identification.
So
I
don't
know
that
the
question
is
as
relevant
to
the
role
of
public
health
with
like
early
identification,
but
certainly
there
are
times
when
families
know
that
something
might
be
like
there's
something
going
on
with
their
young
child
or
infant
or
young
child,
and
they
don't
know
what
to
do
about
it.
D
So
there's
a
lot
of
information
out
there
in
the
public
domain
statewide
around.
I
don't
know
if
you've
heard
of
help
me
help
me
connect
or
help
me
grow,
which
is
basically,
if
you've
got
any
questions
about
your
child's
development,
you
can
connect
and
it's
a
phone
number
you
can
call-
or
you
have
a
local
number
for
help
me
connect
and
that
even
though
it's
not
mental
health
specific,
they
are
able
to
like
that.
D
That
is
a
way
into
it's,
basically,
a
referral
mechanism
into
additional
screening
and
or
assessment
or
resources,
so
for
the
little
young
for
the
young
ones.
You
know
birth
to
five.
There's
definitely
ways
to
do
that
in
the
in
the
public
domain,
and
I
don't
know
cindy
or
leah
if
you
guys
want
to
speak
to
front
door
or
yeah.
If
you
want
to
talk
about
that
for
hennepin
county.
L
Yeah,
so
there's
so
hennepin
county
operates
something
called
the
front
door
social
services
where
anybody
can
call
in
and
receive
you
know,
information,
consultation,
referrals,
support,
etc,
and
that's
that's
available.
You
know,
monday,
through
friday,
you
know
regular
business
hours.
One
of
the
things,
though,
that
I
think
is
really
key
to
getting
the
word
out
about.
Where
do
I
go
for
help?
How
do
I
get
help?
Is
you
you
heard
both
cindy
and
I
talk
about
that?
L
We're
trying
to
partner
with
these
natural
access
points,
so
schools,
that's
a
huge
conduit
to
helping
families
know
where
they
can
get
help.
So
our
school-based
mental
health
program
is
really
critical
in
that
the
work
that
we're
doing
with
child
protection
is
another
avenue.
You
know
we
serve
a
lot
of
families
in
child
protection
where
either
the
parent
or
the
child
has
a
mental
health
condition.
L
So
you
know
being
able
to
to
like
make
that
encounter
count
so
that
we
can
help
walk
them
through
where
to
get
services
same
thing
with
you
know
all
of
the
work
under
under
both
juvenile
justice
and
in
the
adult
justice
realms
where,
as
as
people
come
into
contact
with
different
county
systems,
we're
able
to
help
them,
navigate
and-
and
you
know,
quickly,
assess
and
get
them
into
services.
L
That's
a
big
part
of
our
strategy,
and
then
one
of
the
things
that
is
coming
through
arp
is
it's
a
mental
health
campaign
where
you
know
we're
going
to
focus
quite
a
bit
on
suicide
prevention,
because
that
that
was
such
a
an
explosive
thing,
especially
with
young
people
over
kovid.
L
But
in
that
we
are
also
trying
to
consider
how
we
can
create
a
public
health
campaign
or
a
mental
health
campaign
that
that
also
directs
people
to
services,
including
when
988
rolls
out
or
when
to
call
to
call
cope.
You
know
that
whole
realm
of
trying
to
to
create
you
know
through
social
media
and
through
you
know,
avenues
with
like
you
know,
bus
stations
and
air
broadcasts,
and
things
like
that.
How
do
we
start
to
get
the
word
out
one
around
where
they
can
access
services
and
and
reducing
stigma?
L
You
know
to
to
make
it
okay
to
reach
out
for
those
supports,
because
it
still
is
quite
a
feat
for
somebody.
You
know
to
pick
up
a
phone
and
and
call
so
we're
again,
just
like
so
much
of
our
work,
we're
trying
to
come
at
it
through
multiple
angles
that.
N
L
There's
we're
certainly
at
the
table
there's
a
variety
of
structures
that
are
trying
to
connect
in
and
part
of
the
work
under
this
9-1-1
task
force
that
I
talked
about
earlier
is
to
try
to
fit
all
these
resources
together,
so
that
they're
aligned
and
they
make
sense
for
our
residents.
So
in
the
process
of
looking
at
988
and
looking
at
911
and
looking
at
cope
and
embedded
social
workers
in
1800
we're
trying
to
figure
out
from
the
user
experience
from
the
resident
experience.
So
it's
kind
of
that
end
to
end.
L
How
do
we
fit
all
these
things
together
and
that
that
is
certainly
under
the
charge
of
this
task
force?
Thank.
J
Well,
that
was
a
perfect
segue
into
my
question,
which
is
you
know
what
are
the
biggest
obstacles
at
this
time
to
to
fully
integrating
all
these
different
services?
It
seems
like
you,
have
multiple
jurisdictions
here
you
mentioned
municipal
state
county,
as
well
as
being
involved
with
different
agencies.
You
know
police,
human
services,
public
safety.
J
You
know
what
what
are
the
biggest
obstacles
at
this
time?
Are
they
bureaucratic?
Is
it
actual
legal
jurisdiction,
funding
political
will?
If
you.
J
Speak
on
that,
you
know
what
what
challenges
is
your
task
force
facing.
L
Yeah
I'll
tell
you
what's
fantastic:
what's
working
really
well
are
those
partnerships
across
all
those
jurisdictions?
I
will
tell
you
we
are
really
really
fortunate
in
hennepin.
I've
worked
across
this
country
in
this
space
for
many
years,
and
and
certainly
what
we
have
in
hennepin
with
our
partnerships
and
our
relationships
is,
is
to
be
envied
for
sure.
You
know
you're
talking
about
at
times
very
adversarial
environments,
and
that
is
not
the
case
in
in
hennepin.
For,
for
the
most
part,
the
barriers
you
know
are
are
more
oh
issues
around.
L
Like
change
management,
you
know
communication
right.
So
how
do
you
get
the
word
out?
There's
so
many
resources
so
like?
How
do
we
inform
the
public
about
all
that
we
have
to
offer
it's
it's
a
huge
challenge
right.
So
what
are
we
doing
about
that
and
then,
in
terms
of
the
alignment,
you
know,
there's
there's
quite
a
bit
of
work
to
do
around
our
data
infrastructure
so
that
we
can
respond.
L
You
know
kind
of
breaking
away
from
those
siloed
approaches
that
our
capacity
to
be
able
to
see
either
an
individual
through
see
them
through
multiple
systems
or
collectively
on
the
aggregate
to
make
sure
that
that
we're
not
like
creating
policies
like
I'll,
be
over
here
in
human
services,
creating
a
policy
and
I've
just
completely
screwed
something
up
over
in
in
the
criminal
justice
system.
So
how
do
we
have
these
data
infrastructures
that
start
to
show
this
system
working
together
and
that
just
takes
time?
L
You
know
it's
it's
a
lot
of
work,
and
this
is
these-
are
really
complex
systems
and
complex
structures,
so
we're
on
the
right
path.
But
but
it's
just
gonna
take
us
a
while.
So
can.
D
I
add
one
thought
to
that,
so
I
have
a
very
specific
barrier
that
we
see
come
up,
especially
with
infants
and
young
children
and
cindy.
This
might
be
true,
for
your
group
as
well
is
actually
the
the
number
of
mental
health
providers
that
can
actually
provide
services.
D
L
L
Yeah
and
that's
gotten
way
worse
because
of
kovid
we're
seeing
we
already
had
workforce
shortages
in
the
mental
health,
realm
pre-coveted
and
now
postcovid.
It's
it's
really
difficult
for
community
agencies
to
to
hire
and
retain
staff
that
that's
a
very,
very
serious
problem.
L
The
other
thing
that
I
would
say
is
along
the
lines
of
culturally
specific
providers.
We
know
that
we
have
huge
disparities
with
our
bipod
communities
and
we
are
working.
You
know
diligently
to
try
to
bring
online
a
network
that
is
representative
of
the
range
of
cultures
that
we
have
in
hennepin
and
again
we
have
a
long
way
to
go
in
in
developing
that
that
broad
network,
so
those
are
some
some
really
key
barriers
for
us
for
sure.
L
I
I
Okay
I'll
give
it
a
shot,
then,
hopefully
I
can
finish
regarding
slide.
26.
I
L
L
Okay,
so
yes,
we
have
been
watching
that
that
bill
progressed.
It
was
passed
last
legislative
session.
We
maintain
a
pretty
close
relationship
with
with
nami
around
this,
and
what
we're
trying
to
do
is
again
to
integrate
all
of
these
different
mental
health
responses,
many
of
which
are
mobile
into
the
911
they're
called
psaps,
the
911
centers.
L
So
the
travis
law,
as
you
are
probably
aware,
says
that
9-1-1
will
direct
mental
health
calls
to
mental
health
professionals,
and
so
this
is
part
of
this
task
force
work
to
try
to
identify
and
it
gets
really
complicated
really
quickly,
but
to
identify
mental
health
related
calls
and
then
to
get
them
to
the
right
response.
Sometimes
say
a
person
will
call
in
and
say
I'm
having
shortness
of
breath,
and
we
think
it's
a
medical
call
and
it
turns
out
to
be
you
know,
an
anxiety
attack
or
something
that
requires
a
mental
health
support.
L
The
same
could
be
true
where
it
looks
like
it's
mental
health
and
it's
a
medical
condition.
So
if
a
person
calls
in
saying
I'm
having
a
panic
attack-
and
it
turns
out
that
they're
having
some
underlying
health
conditions,
so
we're
trying
to
tease
through
all
of
that
to
make
sure
that
that
we
bring
the
right
resources,
we're
piloting
a
bunch
of
different
responses.
So
you've
already
heard
us
talk
about
the
embedded
social
workers.
L
We
have
cope,
we're
looking
at
piloting
how
to
connect
more
closely
with
our
ems
system,
and
all
of
that
is
is
in
the
plans
for
for
testing
and
then
implementation
in
whoops.
Did
we
lose
him
in
2022.
B
B
A
Okay,
well,
this
is
recorded
and
so
that
response
will
be
made
available
on
youtube.
Unfortunately,
we
are
over
time
substantially
and
so
to
be
respectful
to
our
presenters
and
to
the
rest
of
the
agenda.
I
will
ask
that
you
check
that
recording
or
that
you
just
reach
out
to
leah
directly
by
email.
Would
that
be
okay
with
you
leah.
A
Wonderful.
Thank
you.
Yes,
of
course,
thank
you
for
that
great
question.
I
I
actually
had
the
same
question
about
the
response.
I
thought
well,
the
9-1-1
should
go
to
cope
or
whatever.
So
I
appreciate
you
asking
thank
you
very
much
leah,
mary
and
cynthia
for
that
wonderful
presentation.
A
A
Now,
just
before
the
meeting,
I
sent
you
all
a
google
doc
that
you
should
have
access
to
where
we
can
collaboratively
take
notes
within
those
breakout
groups
on
what
our
actions
are.
If
you
have
any
what
you
might
want
for
additional
information
or
really
whatever
you
feel
like
you
need
in
order
to
advance
on
either
a
priority,
that's
in
the
general
purview
of
your
subcommittee
or
since
you
have
access
to
the
entire
dock.
A
A
So
the
way
we're
gonna
do
it,
because
I
wanna
make
sure
that
if
you
wanted
to
move
to
a
different
subcommittee,
you'd
be
able
to
hattie
I'm
going
to
ask
that
you
call
the
roll
go
down
in
order
of
the
roll
and
committee
members.
You
can
just
let
hattie
know
if
you'd
like
to
be
moved
into
the
racism
as
a
public
health
crisis.
A
Correct
and
then
you
are
going
to
move
them
into
those
breakout
rooms,
okay,
yeah
and
maybe
10
minutes
before
eight.
I
will
come
back
to
get
gretchen's
report.
A
G
F
A
A
Can
do
that
it
will
take
a
second
because
I've
just
got
a
couple
of
screens
going,
so
I
said,
go
for
it
now
and
then
you
can
move
if
necessary.
Would
that
be
okay?
For
you
said
anna.
C
I'll
do
the
environment
and
mental
health
committee.
Thank
you.
B
B
B
A
B
A
E
E
I
So
it
seems
like
outside
of
racism
is
a
public
health.
There's
small
small
groups
here.
E
E
As
people
rsvp'd
with
me,
if
I
was
on
their
rsvp,
I
did
write
back
to
them
and
say:
hey
you
know
if
you
haven't
had
a
chance
to
respond
to
jerome's
email
about
ideas,
resources,
actions,
etc.
Please,
you
know
take
some
time
to
do
that,
so
that
we
get
their
input
and
I
think
it's
a
good
idea
for
us
to
reach
out
after
the
meeting.
You
know
to
ask
that
same
question
just
to
make
sure
that
all
voices
have
a
chance
to
provide
their
input.
E
A
We
did
well
I
bcc
to
everyone,
except
for
us.
They
wouldn't
have
been
able
to
get
it.
You
would
have
been
one
of
the
only
people
to
have
gotten
those
responses,
but
it
was
really
just
bad,
bad
and
laura
who
responded
back,
which
is
what
prompted
the
google
doc,
because
I
thought.
Well,
it's
a
crazy
time.
The
world
seems
like
it's
on
fire.
A
J
A
Yeah,
you
know
one
of
my
concerns,
maybe
part
of
the
reason
why
it
always
seems
like
I'm.
Rushing
us
to
do
stuff
is
that
you
know
I
feel,
like
you,
were
appointed
to
take
actions
and
create
policy
and
the
like,
and
I'm
like.
Oh
we've
spent
months
working
on
structure,
I
need
to
make
sure
people
are
getting
to
subcommittees
and
think
they
are
brainstorming
and
making
the
magic
happen,
and
so.
A
B
E
Some
of
this
we
could
have
done
like
in
one
or
two
meetings.
You
know,
because
you
have
everybody
in
the
room,
and
you
know
we
talked
about
this.
As
with
the
co-chairs
is
that
you
know
you
give
people
dots
and
then
you
get.
You
know
immediate
feedback
from
folks
and
yeah.
This
definitely
adds
and
and
layers
of
responsiveness.
J
A
A
A
O
A
A
E
And
jerome
did
people
have
any,
do
you
feel
like
people
in
the
rooms
had
enough
direction
in
terms
of
like
what
needs
to
be.
B
A
A
Yeah,
send
me
send
me
over
to
racism
as
a
public
health.
Please.
E
E
E
B
O
D
B
B
O
E
Yes,
I
would
agree:
okay,
jerome
had
kind
of
taken
all
the
information
off
of
a
survey
that
we
did
with
the
phac
members
and
sort
of
grouped
them
into
these
various
categories
and.
E
H
E
O
O
E
Yeah-
and
I
think
that
goes
right
along
with
the
comment
that
I
made
in
terms
of
yeah,
if
you
only
have
like
two
people,
you
know
or
three
people
in
a
subgroup.
E
E
And
I
shouldn't
say
that
it
hasn't
been
the
whole
year,
but
we
started
the
year
with
asking
members,
especially
new
members.
You
know
like
what
is
you
know,
a
big
yeah
public
health
concern
in
your
area.
You
know,
meaning
like
your
award
or
your.
You
know,
representative
area,
and
then
we
came
back
to
that
a
few
months
later
and
then
we
did
the
survey
so
yeah
we'll
get
it
figured
out.
E
O
E
Yeah-
and
they
did
not
like
have
you-
know,
super
specific
requests
this
time,
which
is
why
I
didn't
send
you
an
email.
You
know
that
said:
hey,
they
want
you
to
talk
about
these
three
things.
You
know
they
just
they
really
wanted
to
be
able
to
spend
more
time
on
this
priority.
E
E
J
A
Okay,
it
looks
like
we
are
all
coming
back
in.
I
do
apologize
for
the
brevity
of
that
working
meeting.
We
were
interrupted
in.
A
Really
great
thought,
as
a
matter
of
fact
and
the
racism
as
a
public
health
crisis
group,
I
encourage
all
of
the
subcommittee
members
to
exchange
emails
communicate
frequently,
and
then
please
know
that
we
unders
your
co-chairs
understand
that
you
need
more
time
and
that
we
will
have
whole
meetings
dedicated
to
this
work
likely
starting
next
month.
G
A
And
you
can,
you
are
encouraged
even
to
meet
outside
of
these
at
this
time,
because
you
know
you're
taking
on
big
big
stuff
and
it
takes
a
lot
of
thought.
A
Okay,
so
I
apologize
for
that
now
we're
going
to
turn
it
over
to
gretchen
for
the
director's
report
and
I
apologize
question
that
you
will
have
to
be
shorter
than
usual
as
well.
O
O
And
and
maybe
you
had
12
or
13
minutes-
I
don't
know
so
just
a
couple
things
to
be
aware
of
this
week.
Our
the
department's
budget
presentation
will
be
given
to
city
council
on
thursday
at
11
30.,
there's
just
a
couple
change
items,
there's
just
kind
of
like
new
funding
that
the
mayor's
recommending,
but
it's
also
an
opportunity
to
hear
about
our
overall
programming
and
how.
D
O
Supported
so
the
mayor's
recommending
funding
for
the
opioid
community
development
of
an
opioid
community
hub
and
more
funding
for
inspiring
youth,
which
is
one
of
our
violence,
prevention
programs
and
then
more
funding
for
rebuild
resilient,
which
is
using
some
of
our
environmental
health
approaches
and
coupling
those.
When
businesses
are
trying
to
recover
from
the
civil
unrest
and
develop
in
important
cultural
business
corridors.
O
The
budget
at
1,
30,
public
health
and
safety
is
going
to
have
presentations
several
presentations
on
public
safety,
including
from
the
coordinator's
office,
so
you'll
be
hearing
about
the
city's
version
of
a
mental
health
response
to
folks
who
are
in
crisis
and
sort
of
where
that's
sitting,
as
well
as
hearing
updates
on
the
office
of
violence,
prevention
and
some
updates
from
the
police
department,
on
crime
statistics
and
and
how
things
are
going
in
that
way,
so
that,
if
you
have
time
or
check
it
later
afterwards,
because
it
sure
it's
all
archived,
the
city
received
a
gold
medal
from
an
organization
called
city
health.
O
They
had
had
identified
10,
who
received
gold
medals,
and
now
minneapolis
has
been
added
to
that
list.
Boston
and
seattle
and
san
francisco,
and
quite
a
number
of
folks
that
we
like
to
be
compared
to
and
the
city
council
received,
that
recognition
about
a
little
over
a
week
ago
and
that
we
actually
have
like
a
you,
know,
gold
medal
and,
I
think,
there's
a
press
release.
O
I
wanted
to
give
you
just
a
little
update
on
covid
stuff.
The
rates
are
quite
high.
O
I
have
an
email
from
louisa,
our
epidemiologist,
and
so
vaccine
rates
continue
to
inch
up
in
minneapolis
79
of
those
12
and
over
have
gotten
at
least
one
dose,
and
nearly
75
percent
have
gotten
fully
vaccinated
that
compares
to
the
state
it
compares
favorably
to
the
state.
The
state
is
at
73
percent,
we're
for
one
dose
well
we're
at
79
and
fully
vaccinated.
We're
at
about
75
and
the
state
is
at
69.,
so
we're
we're
doing
well
in
the
metro
area.
You
know
as
an
average
within
that
average.
O
We
are
seeing
a
lot
of
cases.
However,
our
seven
day
average
case
rate
is
24
per
hundred
thousand,
and
so
that
puts
us
up
in
the
community
spread
category
really
high.
O
We
remember
not
that
long
ago,
when
we
were
up
there
and
then
we
came
down
and
now
we're
way
up.
Our
staff
are
getting
so
many
cases
for
contact
racing.
They
can't
keep
up.
Our
rate
is
lower,
however,
than
the
state
which
is
at
nearly
40
per
100
000
and
we're
at
24
for
a
hundred
thousand,
so
things
are
really
blossoming
in
a
not
so
positive
way.
We
are
also
in
the
middle
of
testing
and
piloting
a
employee
requirement
for
weekly
testing
that
will.
O
Out
of,
if
you're,
fully
vaccinated
and
we're
starting
with
the
staff
at
the
convention
center
and
then
we'll
be
moving
across
the
enterprise
and
and
finishing
that
or
doing
that
for
everyone
and
then
finally,
I
know
that
there's
been
interest
in
this
group
and
having
some
young
people
as
members
of
the
committee
and
three
committees
have
been
identified
that
are
good
candidates
for
a
pilot,
public
health
advisory
committee
seac,
who
we
have
worked
collaboratively
with
in
the
past
and
then
the
south
side
green
zone,
and
we
had
hoped
to
get
a
cdc
staff
person
to
help
us.
O
O
Council.
Member
gordon
is
very
interested
in
this,
and
so
there
might
be
something
we
can
do,
even
if
we
don't
have
the
staff
support.
So
that's
that's
my
pre-made
list
of
things
to
talk
to
you
about
anything
else.
You
want
to
ask
me
about
I'm
happy
to
answer
in
the
next
couple
minutes.
A
I
do
I
have
a
quick
question
regarding
vaccine
or
the
testing
option
for
unvaccinated
employees.
It
will
that
cost
be
borne
by
the
employee
or
will
be
borne
by
the
city.
The
cost
of
testing.
O
We
are
not
starting
with
it
being
born
by
the
city
and
we
are
lucky
enough
to
have
free
testing
provided
by
the
state
at
the
convention
center.
Now
they
didn't
design
that
site
to
be
a
an
occupational
testing
site.
It
was
more
for
community
use,
so
we're
working
through
that,
but
yeah
it
would
be
very
expensive
to
pay
for
that
and
at
this
point,
we're
starting
without
that
expense.
D
Do
you
happen
to
know
what
the
breakdown
looks
like
or
the
the
can
you
quantify
the
number
of
employees
that
you
think
that
will
apply
to
or
the
number
who
are
not
vaccinated,
or
are
you
guys
still
in
the
process
of
determining
that.
O
O
We
can
look
at
various
ways,
but
only
parts
of
the
picture
emerge,
and
so
we
really
don't
have
a
full
picture,
but
we're
hopeful
that
it's
pretty
good
but
recognize
that
there
will
be
pockets,
probably
even
within
certain
departments
that
are
less
well
represented.
D
Yeah
we're
finding
that
in
hennepin
county
as
well,
that
we
couldn't
figure
that
out
beforehand
with
the
data
that
we
had
and
we
had
to
wait
until
the
attestation
forms
were
completed
and
we're
still
in
the
process
of
that.
But
there
is
there's
a
definitely
a
proportion
of
staff
that
are
not
that
are
not
planning
to
get
vaccinated.
M
A
Rochester
schools
were
able
to
compile
some
data
showing
the
percentage
of
their
students
that
had
already
been
vaccinated,
and
it
was
a
pretty
high
number
do
you
happen
to
know?
If,
and
I
know
wanda
is
not
here,
so
she
would
have
a
better
idea.
Do
you
happen
to
know
if
similar
work
is
being
done
in
our
school
system?.
O
I
don't
know
that
luisa,
our
epidemiologists
are
working
very
closely
with
the
schools
to
handle
outbreaks
and
there
have
been
quite
a
number
of
outbreaks
and
people
needing
to
quarantine.
We
had
to
close
edison
high
school
for
two
weeks,
just
because
so
many
of
the
kids
not
necessarily
were
infected
but
needed
to
be
quarantined
because
they've
been
exposed
because
in
high
school
you
move
from
class
to
class.
O
A
E
A
E
This
this
is
the
last
week
to
apply
for
your
seat.
If
you
are
interested
in
re-upping
for
an
additional
term,
I
sent
out
emails
today
and
got
positive
responses
from
a
number
of
people.
So
thank
you
for
that.
If
you
can
get
it
in
by
thursday
afternoon,
that
is
sort
of
our
drop
dead
date.
So
please,
if
you're
gonna,
apply,
do
it
by
thursday
afternoon
and
I
provided
everyone
with
a
link.
A
A
C
C
E
Yeah,
I
think
the
the
person
who
was
taking
you
know
that
application
had
probably
just
processed
somebody
who
was
interested
in.