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From YouTube: Committee on Public Health and Human Services 5-21-2021
Description
The Committee on Public Health and Human Services of the Council of the City of Philadelphia held a Public Hearing on Friday, May 21, 2021, at 2:00 PM, in a remote manner using Microsoft® Teams to hear testimony on the following item:
210364 An Ordinance amending various chapters of The Philadelphia Code to address matters related to the availability of feminine hygiene products in City facilities, and making certain technical changes, all under certain terms and conditions.
B
Thank
you.
I
understand
that
state
law
currently
requires
that
the
following
announcement
be
made
at
the
beginning
of
every
remote
public
hearing
as
follows.
Due
to
the
current
public
health
emergency
city,
council
committees
are
currently
meeting
remotely.
We
are
using
microsoft
teams
to
make
these
remote
hearings
possible
instructions
for
how
the
public
may
view
and
offer
public
testimony
at
public
hearings
of
council
committee
committees
are
included
in
the
public
hearing,
notices
that
are
published
in
the
daily
news,
inquirer
and
legal
intelligencer
prior
to
the
hearings
and
can
also
be
found
on
phl
counsel
dot
com.
B
I
now
note
that
the
hour
has
come.
Madam
clerk,
will
you
please
pull
the
rule
to
take
attendance
members
that
are
in
attendance?
Will
please
indicate
that
you
are
present
when
your
name
is
called
also,
please
say
a
few
words
when
responding
so
that
your
image
will
be
displayed
on
screen
when
you
speak
man,
of
course,.
F
B
B
B
By
continuing
to
be
in
the
meeting,
you
are
consenting
to
being
reported
additionally
prior
to
recognizing
members
for
the
questions
or
comments
they
have
for
the
witnesses.
I
will
note
for
the
record
at
this
time
that
we
will
use
the
chat
feature
available
in
microsoft
teams
to
allow
members
to
signify
that
they
wish
to
be
recognized
in
order
to
comply
with
the
sunshine
act.
B
B
I
I
As
the
deputy
mayor
of
the
office
of
children
and
families,
my
office,
oversees
the
department
of
human
services
parks
and
recreation
and
the
free
library,
I'm
here
today
to
testify
regarding
bill
number
210364,
addressing
matters
related
to
the
availability
of
hygiene
products
in
certain
silly
city
facilities,
specifically
health,
centers,
recreation,
centers
and
libraries.
I
want
to
thank
you,
council,
madam
chair
and
council,
for
highlighting
this
important
issue
facing
our
city,
the
nation
and
the
world.
I
I
The
administration
agrees
with
the
intent
of
this
purpose
of
this
legislation,
as
proposed
to
be
amended
and
will
therefore
provide
these
products
at
designated
facilities
that
are
staffed
by
city
employees.
Thank
you
for
the
opportunity
to
testify
on
this
critical
matter
again.
Thank
you,
madam
chair,
for
your
leadership
to
reduce
barriers
to
address
this
necessary
issue.
My
staff
and
I
and
members
of
the
departments,
are
here
to
answer
any
questions.
B
I
want
to
thank
you
for
your
support
of
this
bill.
I
think
as
well.
I
know
as
a
woman,
any
of
us
who
have
ever
had
the
the
misfortune,
if
you
will
of
needing
a
feminine
hygiene
product
and
not
being
able
to
obtain
it
is
terrifying,
and
you
know
just
really
really
something
that
can
be
humiliating,
to
say
the
least.
B
I
think
that
this
bill
and
these
products
being
provided
will
go
a
long
way
to
addressing
something
that
we
know
is
happening
in
our
city
day
in
and
day
out,
and
that
is
period
poverty
period.
Poverty
is
something
we
can
fix,
and
I
believe
that,
with
this
bill,
we're
going
to
fix
it
in
philadelphia
right
here
and
right
now.
B
B
J
J
It's
a
bill
made
all
more
critical
by
the
coronav
coronavirus
pandemic,
which
has
devastated
many
filled,
the
area
families
and
has
severely
limited
their
ability
to
pay
for
necessities
necessities
like
tampons
beds,
for
women,
girls
used
to
manage
their
periods.
Tampons
and
pads
are
not
luxury
items.
They
are
basic.
Human
girls
need
coupons
and
pads
to
fully
function
in
american
society
to
go
to
work,
to
go
to
school,
to
participate
in
civic
life
and,
most
of
all,
to
maintain
their
dignity.
J
If
you
don't
have
them
because
they
can
afford
them
called
free
of
poverty
and
poverty
in
all
its
dimensions
is
an
important
public
health
issue.
Yet
for
long
long
makers,
all
over
the
globe
have
been
largely
silent
about
period
poverty
and
particularly
its
devastating
effects
on
young
women
teen
who
skip
school
for
five
days.
A
month
simply
because
she
doesn't
have
the
tampons
or
pads
she
needs
to
touch
her
period
is
under
educated
and
frankly,
undervalued
by
our
system.
J
That's
rapidly
thanks
to
women
lawmakers,
like
council,
member
bass
and
those
I
see
sitting
here
on
the
committee,
but
it
changed
fast
enough
year
after
year.
That
shows
that
men
in
the
us
typically
earn
more
than
women
and
that
women
are
more
likely
to
live
in
poverty,
unable
to
afford
the
best
necessities
and
a
restudy
of
low
income.
Men
published
in
the
medical
of
journal
of
obstetrics
and
gynecology
bears
this
revealing.
J
J
J
B
K
G
My
name
is
reverend
dr
michelle
simmons,
and
I
am
the
founder
and
director
of
why
not
prosper,
and
I
want
to
testify
to
the
fact
that
I
think
it
will
be
very
supportive
for
feminine
hygiene
stations
to
be
placed
throughout
our
city
in
any
city
facility.
Rather
it's
a
school
rather
it's
the
building.
G
G
I
don't
know
the
cost
analysis
of
it,
but
a
lot
of
it
just
makes
sense
to
add,
and
I
also
want
to
put
on
a
record
that
I
think
this
also
need
to
happen
in
the
city,
but
also
in
the
prisons.
I
feel
like
the
women
are
being
charged
for
sanitary,
napkins
and
products
now,
and
I
don't
know
where
that
came
from,
but
we
need
to
dismantle
that
as
well.
B
B
Okay,
well,
thank
you
so
much
reverend
simmons
and
for
for
all
of
the
work
that
you
do
and
nurse
may
as
well
for
the
work
that
you
guys
both
do
throughout
the
city
of
philadelphia,
reverend
simmons.
We
we
know
each
other
well
from
germantown
and
and
from
your
crisis
center
for
women
in
germantown,
and
I
want
to
inform
everyone
and
just
just
make
sure
that
folks
know
that
we
currently
give
out
a
number
of
different
products
in
the
city
of
philadelphia
health
clinics.
B
You
know
we
give
out
condoms
in
birth
control
and
we
give
out.
You
know
other
medical
medically
necessary
products.
This
is
not
an
optional
product.
This
is
well
it's
optional
for
men,
it's
not
optional
for
women,
and
this
is
something
that
is
a
medically
necessary
product,
and
so
our
attempt
here
is
to
make
sure
that
these
medically
necessary
products
are
available
throughout
the
city
of
philadelphia.
L
B
And
so
we're
going
to
continue
our
work
on
this
and
we
look
forward
to
working
with
both
of
you,
ladies
and
with
deputy
mayor
figueroa
and
the
department
of
health,
to
make
sure
that
we
have
a
smooth
implementation
of
this
critical
piece
of
legislation.
So
thank
you
so
much
for
being
here
and
for
the
work
that
you're
doing
on
behalf
of
women
and
so
therefore,
on
behalf
of
all
of
us
in
the
city
of
philadelphia.
B
B
B
C
The
first
panel
of
witnesses
includes
dr
jill
bowen,
commissioner
for
department
of
behavioral
health
and
intellectual
disability
services,
roland
lamb,
deputy
commissioner
for
department
of
behavioral
health
and
intellectual
disability
services,
the
planning
individu
innovation
division,
rachel,
eisenberg,
director
of
the
office
of
criminal
justice
and
staff
inspector,
francis
healey
special
assistant
to
the
philadelphia
police.
Commissioner.
F
Thank
you
for
this
opportunity
to
give
testimony
in
response
to
resolution
number
two
one:
zero,
four,
five:
nine.
Regarding
mobile
crisis
response
today,
I
will
speak
about
the
planned
expansion
of
community
mobile
crisis
teams
and
will
be
available
to
answer
questions
about
dbhids's
collaboration
with
the
office
of
criminal
justice
and
the
philadelphia
police
department.
Ppd
one
of
dbhids's
priorities
is
transforming
the
behavioral
health
crisis
system
and
working
to
ensure
the
best
possible
response
for
individuals
experiencing
behavioral
health
crises
in
the
community.
F
Identification
of
the
appropriate
response
depends
on
the
information
gleaned
from
each
call,
which
guides
choice
of
response
to
match
the
needs
of
each
call,
whether
that
response
be
police,
only
cit
trained
police,
co-response
teams
or
behavioral
health.
Only
response
dbhids
is
actively
working
to
expand
staffing
of
the
philadelphia
crisis
line.
The
pcl
operated
by
dbhids
to
enable
the
police
radio
room
to
transfer
behavioral
health
related
crisis
calls
to
a
behavioral
health.
F
F
F
When
all
four
providers
are
on
board,
24
7
coverage
will
occur
with
the
city
being
divided
into
four
regions.
Each
provider
will
cover
a
region
and
each
will
have
three
units
one
for
each
shift
for
the
24
7
coverage,
metrics
and
outcomes
from
the
implementation
of
the
four
community
mobile
crisis
response
teams.
In
addition
to
the
philadelphia
crisis
line,
call
volume
will
advise
us
if
additional
expansion
is
needed.
We
will
monitor
the
initial
implementation
and
keep
the
administration
and
stakeholders
updated
on
our
progress
and
additional
needs
that
may
arise
in
closing.
F
We
are
confident
that
deepening
our
partnerships
and
collaborations
with
these
stakeholder
groups
will
help
people
access
vital
supports
and
services
when
they
may
be
at
their
most
vulnerable
and
most
in
need.
We
are
thankful
to
the
members
of
city
council
for
their
advocacy
for
individuals
with
behavioral
health
concerns
and
intellectual
disabilities.
F
M
Sure,
good
afternoon,
chairperson
bass,
members
of
the
city
council
committee
on
public
health
and
human
services
and
members
of
the
public,
my
name
is
rachel
eisenberg
and
I'm
the
director
of
the
cities
of
office
of
criminal
justice.
Thank
you
for
the
opportunity
to
give
testimony
in
response
to
resolution
number
two
one
210459.
M
The
office
of
criminal
justice
is
part
of
the
managing
director's
office
of
policy
and
strategic
initiatives
for
criminal
justice
and
public
safety.
One
key
goal
of
ocj
is
to
increase
opportunities
to
divert
and
deflect
people
away
from
the
criminal
justice
system.
At
the
point
of
police
contact
to
accomplish
this
goal,
ocj
works
collaboratively
with
various
city
departments,
service
providers
and
community
stakeholders
in
an
effort
to
connect
people
to
services
as
an
alternative
to
their
involvement
with
the
justice
system.
The
911,
triage
and
co-responder
program
is
a
big
part
of
our
work.
M
M
I
should
note
that
the
establishment
of
a
co-responder
program
in
philadelphia
is
only
one
part
of
a
larger
effort
to
change
how
we
meet
the
needs
of
people
in
crisis
who
call
9-1-1.
Commissioner
bowen
described
the
expansion
of
the
mobile
crisis
response
and
enhancements
to
the
philadelphia
crisis
line
that
are
in
the
works.
M
Our
goal
for
this
collaboration
in
the
future
is
to
grow
capacity
for
mobile
crisis
teams
to
respond
directly
to
certain
9-1-1
calls
without
police
involvement,
as
was
made
clear
by
the
killing
of
walter
wallace
jr.
As
he
was
experiencing
a
crisis
episode,
we
recognize
that
more
holistic
changes
to
the
9-1-1
system
are
needed,
especially
for
black
communities
and
other
communities
of
color
who
have
distrust
of
police
efforts,
are
underway
to
improve
how
9-1-1
call
takers
identify
when
someone
is
in
crisis
and
how
we
ensure
the
most
appropriate
responder
is
dispatched
to
assist.
M
The
goal
assert
program
is
to
increase
de-escalation,
reduce
arrests
and
increase
service
connections
for
people
in
crisis,
who
call
9-1-1
the
cert
program
is
an
active
partnership
between
the
philadelphia
police
department
and
the
department
of
behavioral
health
and
intellectual
disability
services.
This
partnership
pairs,
behavioral
health
professionals
with
cit
trained
police
officers
to
respond
to
people
in
crisis.
M
Prior
to
launching
the
cert
pilot,
the
assigned
officers
and
behavioral
health
staff
participated
in
a
specialized
80
hour
training
program.
This
program
was
designed
by
police
and
behavioral
health
training
experts
and
incorporated
principles
from
both
fields.
It
also
allowed
for
team
building
and
cohesion
among
staff
and
offered
simulations
of
real
scenarios
that
that
the
cert
teams
will
encounter
in
the
field.
M
The
cert
pilot
involves
four
behavioral
health
and
officer
paired
units
and
two
peer
teams
that
are
currently
assigned
to
supervision
within
the
existing
police
service
details.
They
are
engaging
with
people
who
are
experiencing
a
crisis
by
monitoring
police,
radio
or
being
called
in
to
support
patrol
officers.
M
M
We
are
actively
collaborating
with
community
partners
who
have
been
providing
feedback
on
different
aspects
of
the
pilot,
we're
also
working
with
peer
cities
across
the
country.
As
as
who
are
rolling
out
similar
programs,
we're
always
looking
to
engage
with
residents
and
organizations
who
want
to
share
their
feedback.
M
We
have
regular
meetings
with
community
stakeholders
because
we
know
that
we
can't
design
these
programs
and
services
in
a
vacuum
if
we
want
to
see
meaningful
change
in
the
city.
Thank
you
for
giving
me
the
opportunity
to
provide
testimony
today
and
myself,
and
my
colleagues
are
available
from
ppd
and
dbh
are
available
for
questions
from
the
committee.
B
B
Okay,
very
good,
very
good,
so
well,
thank
you
very
much
again
to
the
entire
piano
for
being
here.
I
think
that
we
are
really
on
the
cusp
of
doing
something.
You
know.
That's
number
one
is
a
little
bit
overdue,
but
number
two,
how
we
think
of
policing
how
we
think
of
you
know
addressing
issues
within
our
community,
particularly
mental
health
issues,
has
greatly
and
dramatically
changed
in
the
last
few
years
and
I'm
glad
to
see
that
we
are
moving
forward
and
doing
things
in
a
different
way.
B
That
would
reduce
the
amount
of
involvement
with
the
philadelphia
police
department
and,
at
the
same
time,
add
the
mental
health
component,
which
we
know
is
greatly
greatly
needed
in
the
city.
I'm
wondering
if
someone
could
talk
to
us,
dr
bowen
or
rachel,
if
you
could
talk
to
us
about
involving
or
actually
mobile
crisis
units
versus
the
co-responder
model.
B
One
of
the
things
that
I
heard
from
advocates
today
and
I'm
sure
we'll
hear
further,
is
that
it
should
be
either,
and
so
I'm
wondering
if
I
could
hear
your
professional
opinion
on
that,
you
know
on
what
you
think
the
appropriate
model.
Should
it
be
both
models.
Should
it
be
one
model,
can
we
effectively
do
both?
I
know
sometimes
in
the
city
of
philadelphia.
We
don't
really
walk
into
them
at
the
same
time
very
well.
So
is
this
something
we
should
do
at
the
same
time?
F
Why
don't
I
start
with
that
and
then
rachel
you
can
jump
in
because
that's
how
we
collaborate
and
that's
what
we
would
need
to
do
in
in
this
model.
Let
me
start
by
saying
it
does
not
need
to
be
an
either
or
it
can
be
a
both,
and
the
idea
in
the
philadelphia
model
is
to
offer
the
opportunity
to
connect
to
different
responses
depending
on
what
the
individual
issue
is.
F
F
As
long
as
there
is
also
a
component
that
is
behavioral
health
only
so
that
for
calls
that
do
not
require
any
police
involvement,
there
is
a
robust
response
within
the
system,
so
that
is
where
we
stand
right
now,
but
we
are
very
aware
that
we
need
to
evaluate
these
models.
They
are
all
culture
change.
F
That
includes
the
co-response,
and
I
just
want
to
say
that
our
early
feedback
on
the
this
pilot
rollout
has
been
very
positive
in
that
it
has
resulted
in
no
injuries
and
no
arrests
and
time
to
spend
to
to
de-escalate
and
to
work
with
the
person
in
distress
in
a
very
different
way
than
a
police-only
response
would
have
been
before.
Co-Response
was
on
the
ground
at
all.
M
To
that,
thank
you,
commissioner
bowen.
I
just
think
the
in
addition
to
everything
that
you
mentioned.
One
thing
I
would
add
is
that
what
we're
learning
from
you
know
this
process
and
from
speaking
to
other
jurisdictions,
who
are
grappling
with
the
same
challenges,
is
that
you
know
this
range
of
options
really
allows
our
system
and
and
our
community
to
assess
what
what
the
needs
of
the
individual
are
and
provide
that
range
of
responses.
M
So
I
think
it
really,
as
the
commissioner
said,
doesn't
need
to
be
an
either
or,
and
many
places
like
us
are
kind
of
exploring
standing
up
and
or
building
on
multiple
models
and
focusing
attention
on
on
accurately
discerning.
What
the
appropriate
type
of
response
is
when
someone
calls
9-1-1,
and
that
itself
is
that
you
know
is,
is
it
an
undertaking
that
you
know
needs
a
lot
of
attention.
D
You
know
I
apologize.
I
was
actually
just
finishing
up
a
cit
class
up
at
the
academy.
No
I'm
so
far,
I'm
very
happy
with
it
with
the
the
format
that
we're
trying
to
work
out
in
philadelphia.
We're
trying
to
make
it
very
specific
to
philadelphia
and
working
in
collaboration
with
dbhids
has
been
a
real
there's.
A
synergy
created
we're
pulling
our
resources
together
to
try
to
come
up
with
the
pools
in
which
we
can
actually
like
put
these
calls
from
9-1-1.
D
So
we
can
better
address
and
better
make
sure
or
more
accurately
identify
and
then
hopefully
focus
the
right
resources
for
these
individuals
as
they
may
come
in,
and
that
that
will
be
a
challenge
without
a
doubt.
But
I
think
the
fact
that
we're
we're
already
trying
to
understand
this
process
is
a
huge
step
in
the
right
direction.
The
mental
health
behavioral
script
that
we
are
that
we
implemented
with
the
assistance
of
dbh
ids.
They
have
helped
develop
it
and
we've
since
tweaked
it.
D
I
will
honestly
say
it's
probably
radically
changed
how
the
police
officers
are
responding
to
these
assignments
to
crisis
related
assignments,
irrespective
of
the
correspondent
model.
We
have
cit
trained
officers
out
in
the
field,
we've
had
them
for
a
long
time,
but
we
are
better
utilizing
them
as
a
result
of
that
script,
they're
being
immediately
dispatched.
So
I'm
getting
two
cit
officers
to
more
assignments
more
often
than
ever
before,
and
I
think
that's
a
win
in
and
of
itself.
B
Excuse
me
of
the
tragic
events
around
what
happened
to
mr
walter
wallace,
who
was
having
a
mental
health
crisis,
and
the
outcome
was
that
he
was
killed.
You
know
by
a
police
officer,
can
you
can
you
talk
to
us
about
what
would
happen
with
a
a
mobile
response
unit
and
what
what
would
happen
now
walk
us
through?
If
you
can,
what
would
happen
now?
What
would
we
expect
in
something
like
that
same
situation
of
someone
having
a
mental
health
crisis,
a
family
calling
in
distress?
B
D
Can
I
jump
in
there
real
quickly
from
the
police
department's
perspective?
As
I
just
mentioned,
the
mental
health
call
script
is
the
key
for
officers
to
de-escalate
situations
oftentimes
they
have
to
shift
get.
I
I
do
this
in
training.
I
reference
shifting
gears
from
crime
fighter
mode
to
actually
social
worker
mode.
The
sooner
they
can
do
that,
the
more
likelihood
the
escalation
can
occur
and
things
can
slow
down
in
the
case
that
you
just
mentioned.
D
What
would
be
different
today
is
the
fact
that
most
likely
there'd
be
two
cit
officers
dispatched
if
the
fact
because
the
family
did
not
mention
anything
originally
on
police
radio.
However,
the
script
in
essence
pulls
that
information
out
of
the
call
callers
from
our
dispatchers.
Our
dispatchers
are
also
now
chained
in
de-escalation
skills,
as
well
with
a
minister
with
a
mini
cit
training
course,
but
I
think
what
the
difference
would
be
is
the
officer
would
have
that
information
before
responding
to
the
scene
and
that
would
entitle
them
or
enable
them
to
actually
slow
down.
D
It's
not
a
crime
in
progress
and
actually
respond,
probably
in
a
slower
fashion
and,
like
I
said,
oftentimes
things
escalate
and
then
force
is
necessary
to
get
out
of
a
certain
situation.
I
think
now
the
officer
would
be
with
that
information
would
slow
down.
I
mean
the
approaching
the
step.
Is
you
know
as
they?
We
all
saw
the
video
when
they
move
right
directly
up
to
the
steps
they
may
have
taken
a
more
tactically
advantaged
position.
D
I
can't
I
don't
on
a
second
guess:
second
quarterback
it,
but
without
additional
information,
that's
exactly
what
we're
trying
to
get
our
cito
officers
in
tuned
with
the
ability
to
de-escalate
slow
down,
and
we
often
try
to
do
that
once
you're
on
scene
in
split
seconds,
so
ability
to
get
some
more
information
to
the
officer.
Why
they're
responding
to
the
call
is
incredibly
important.
Also,
like
I
mentioned
very
briefly,
the
this,
the
dispatcher's
cit
training.
D
Now
that's
an
eight-hour
block
of
training,
but
I
think
you
have
to
fully
understand
the
value
of
the
dispatcher
in
the
de-escalation
process.
Their
ability
to
actually
de-escalate
the
caller
is
incredibly
important,
but
also
in
the
manner
in
which
they
dispatch.
The
calls
I
mean
they
understand
we're
all
humans,
dispatcher
dispatches
in
in,
like
using
extreme
caution.
We
don't
know
what
you
have
out
there.
The
officers
will
respond
in
more
tense,
so
the
ability
to
actually
calm
it
down
you're
actually
de-escalating
the
officers
before
they
get
on
scene
providing
information.
F
B
Good
question
staff
inspector
healey,
one
of
the
things
you
just
mentioned,
was
that
if,
if
the
call
came
in,
if
the
walter
wallace
call
came
in
today,
that
one
of
the
differences
would
be
it
would
sort
of,
things
would
slow
down
a
little
bit
and
I
just
want
to
make
sure
that
we're
still
prioritizing
the
call,
because
I
know
that
calls
are
prioritized
based
on.
If
a
crime
is
being
committed,
a
crime
is
not
being
committed,
but
a
family
is
still
in
distress.
D
Yes,
as
I
mentioned
with
the
with
the
mental
health
call
script,
the
problem,
the
calls
will
be
categorized
as
a
certain
way
if
it's
a
person
with
a
weapon
as
a
person
with
a
weapon.
However,
the
additional
information
that
the
family
can
provide
over
9-1-1
is
being
pushed
out
to
the
police
officers
through
the
dispatchers
when
they
dispatch
the
assignment.
So
a
person
with
a
weapon
use
caution
officer
could
be
a
potential.
D
302
would
be
the
terminology
probably
pushed
out,
rather
than
it's
a
person
with
a
weapon
use
caution
that
sets
the
whole
tone
of
how
those
officers
respond
and
that's
very
much
part
of
the
entire
cit
training
separate
and
apart
from
the
co-responder
training,
so
we're
spending
the
right
people
to
the
right
assignments.
That's
first
and
foremost,
which
are
the
cit
officers,
and
we
will
have
you
know
in
the
future
many
more
corresponding
units
available.
But
I
think
that's
what
we're
talking
about
the
cit
officers
are
trained.
F
And
I
think
it
to
differentiate
response
time
to
the
event
is
different
than
when
you're
there,
the
slowing
down
once
you're.
There
is
critically
important
because
you're
taking
the
time
to
really
engage
the
individual
in
distress
and
the
family.
So
when
we
talk
about
this
slowing
down,
that
is
a
once
you're
there
and
on
site
taking
the
time
to
really
engage
develop.
F
M
And
we
are
seeing
you
know
a
lot
of
examples
of
that
in
in
the
early
days
of
the
pilot,
where
the
of
the
co-responder
pilot,
where
you
know
these
units
are
able
to
take
the
time
with
individuals.
And
you
know
where
the
initial
circumstance
may
have
looked
like.
Someone
was
unwilling
to
accept
services
voluntarily
over
the
course
of
that
interaction
and
actually
going
through
the
steps
to
de-escalate
people,
end
up
becoming
a
lot
more
willing
to
get
a
connection
to
services
and
that
will
potentially
kind
of
meet
their
needs
over
the
long
term
and.
B
H
H
I
just
want
to
put
a
couple
things
on
a
record
as
far
as
questions
and
if
we
can
just
give
some
responses,
I'm
going
to
run
down
these
questions
and
as
many
responses
as
we
can
get
today
would
be
appreciated
and
what
can't
be
answered
today,
please
follow
up
with
us.
So,
first
of
all,
we
would
like
to
know
how
much
are
the
folks
that
are
being
paid?
How
much
are
the
folks
going
to
be
paid
that
are
going
to
be
working
in
the
mobile
crisis
unit?
H
We
also
want
to
know,
is
the
department
intentional?
Is
it
the
department's
intention
that
the
mobile
crisis
response
unit
workers
will
have
access
to
health
care
benefits?
We
also
want
to
know
about
the
non-police
co-responders.
Does
anyone
on
the
panel
know
how
much
they'll
be
paid
as
well
too?
We
want
to
also
know
about
the
evaluation
process.
So
how
does
dbh
ids
and
mdo
plan
to
evaluate
both
the
mobile
crisis
unit,
as
well
as
the
the
co-responder
model?
F
F
F
H
H
We
also
want
to
put
the
emphasis
on
a
city
council
having
some
type
of
communication
and
transparency,
as
it
relates
to
the
evaluation
process
and
just
that
ongoing
dialogue,
to
assure
that
we're
doing
things
and
and
doing
things
in
a
way
that
work,
I
will
submit
the
rest
of
the
questions
in
writing
and
I
will
pass
on
my
time
because
I
know
a
couple
of
my
colleagues
have
questions
as
well.
Thank
you,
madam
chair.
E
We've
been
working
very
closely
with
a
broad
group
of
providers
known
as
the
care.
You
know
the
the
broader
group
of
coalition
providers
who
are
looking
for
mental
health
treatment,
social
workers
and
supports
for
people
who
are
in
distress,
and
one
of
the
things
that
I
think
I
want
to
be
very
clear
about-
is
that
there
is
some
tension
between
the
co-responder
model
and
the
mobile
crisis
response
model.
E
Law
enforcement
response
to
mental
health
crises
is
clearly
disfavored
by
the
mental
health.
Clinician
field,
as
evidenced
by
federal
samsa
guidelines,
which
clearly
state
that
mental
health
first
responders
should
quote
unquote,
respond
without
law
enforcement
accompaniment
unless
special
circumstances
weren't
their
inclusion.
E
They
could
call
maybe
another
three-digit
number,
but
I
think
what
you're
hearing
from
the
tensions
that
are
existing
right
now
between
the
different
groups
is
that
a
law
enforcement
response,
even
with
some
training,
is
not
the
same
as
a
mental
health.
Clinicians
responding,
and
so
my
first
question
is:
how
did
the
co-responder
model
actually
come
to
be
developed
instead
of
a
mobile
crisis?
Expansion
in
the
first
place.
M
You
know
we're
really
thinking
about
these
things
as
as
kind
of
link
you
know
linked
with
one
another
and
and
using
the
opportunity
when
someone
calls
9-1-1
and
hopefully
in
the
future,
other
numbers
other
than
9-1-1,
as
as
kind
of
variations
that
are
available
depending
on
the
nature
of
the
call,
and
so
recognizing
that
you
know
a
correspondent
model
was
never
going
to
be
the
silver
bullet.
It
was
never
going
to
kind
of
resolve
all
types
of
or
meet
the
needs
of.
F
If
I
may,
council
member,
I
think
that
we're
in
alignment
with
samhsa
and
that
we
really
are
looking
for
behavioral
health,
only
responses
unless
there
are
special
circumstances,
and
I
think
that
those
special
circumstances
which
would
have
had
a
police
only
response
is
where
we
would
then
have
a
behavioral
health
and
police
co-response,
not
sending
police
when
behavioral
health
response
is
appropriate,
and
I
I
do
know
that
there
are.
This
is
a
tension
point,
and
I
it's
it's.
F
I
think
an
important
conversation-
and
you
know
that's
one
of
the
reasons
why
the
monitoring
and
evaluation
is
so
is
so
important
and
for
people
to
see
what
this
co-response
actually
looks
like
on
the
ground.
The
early
indications
are
that
it's
a
you
know
it's
it's
a
it's
a
model
that
people
may
find
useful,
but
I
think
that
we
fully
appreciate
that
tension
between
behavioral
health
only
responses
right
now.
E
So
I
had
a
couple
of
questions
I
mean
the
one
thing
I'll
say
is
that
it's
more
than
an
important
conversation
for
those
who
are
in
the
field
and,
as
we
know
with
walter
wallace,
it's
a
life
or
death
conversation.
That's
the
issue
that
we're
dealing
with
right
now.
We
are
here
in
part
because
somebody
died
that
should
not
have
who
was
suffering
from
mental
health
distress.
We
can
go
through
and
rewind
the
tapes
and
all
of
this
kind
of
stuff,
but
the
end
of
the
day.
E
The
conversation
that
we're
having
is
about
a
life
and
death
conversation,
and
for
so
many
black
and
brown
people,
immigrant
folks,
as
well
as
I
know,
with
christian
hall
out,
you
know,
with
state
police
responses.
This
is
more
than
just
important.
It's
not
a
matter
of
policy,
it
is
a
matter
of
life
and
death.
E
That's
that's.
I
think
one
core
question:
I'm
not
clear
about
the
co
in
the
co-responder
model.
I
am
clear
that
a
cit
office,
an
officer
who
has
had
some
cit
training,
may
arrive
on
the
field.
I
do
not
actually
believe
that
a
cit-trained
officer,
even
slightly
de-escalated,
even
with
time,
is
able
to
meet
many
of
these
needs.
As
a
clinician
would,
as
I'm
sure
you
understand,
dr
bo
and
you
are
a
professional
in
the
field,
you
have
hours
and
hundreds
and
hundreds
of
hours
of
training,
and
you
do
not
carry
a
gun.
E
D
Let
me
jump
in
there.
First
and
foremost,
this
is
a
pilot
program,
there's
only
four
teams,
so
I
can't
promise
that
a
co-responding
team
will
respond
anywhere.
I'd
be
very
honest
with
you.
It's
a
pilot
program
to
see
how
it's
working,
but
you
raise
the
the
point
of
direct
dispatches,
is
something
we're
we're
trying
to
work
out
now,
as
it
stands
right
now
from
a
labor
perspective.
D
Just
bear
with
me
for
a
second.
When
I
dispatch
a
call,
two
officers
are
assigned
and
that's
been
our
past
practice.
So
we
need
to
put
two
officers
to
an
assignment
and
the
problem
with
the
co-responder
model
is
it's
one
police
officer
and
a
civilian,
and
that
officer
is
responsible
for
the
safety
of
the
civilian
in
the
vehicle.
So
we're
trying
to
figure
out
what
what
calls
we
can
safely
send
a
one
officer
assignment
to
without
violating
contract
provision.
D
So
we're
gonna
need
to
work
with
the
fop
on
this
one,
but
we're
looking
to
see
how
we
can
identify
those
specific
calls,
because
when
they
come
in,
they
come
in
in
a
very
broad
bucket
person
screaming
person
with
a
weapon
and
trying
to
parse
that
out
to
figure
out
which
bucket
it
should
go
into
cit
direct
co-responder
model,
the
crisis
line
or
to
direct
dispatch
to
the
mobile
emergency
team.
You
know
in
in
the
future.
So
that's
what
we're
trying
to
do,
but
as
it
stands
right
now,
the
officers
are
in
the
field.
D
They
are
responding
proactively
to
the
crt
related
calls
today
are
showing
up,
at
the
same
time,
for
a
lot
of
the
calls
now
only
in
a
very
small
part
of
the
city,
east
division
and
in
central
right
now,
because
only
two
teams
but
they're
they're
self-responding
and
then
they're
being
called
in
by
other
police
officers
at
this
point.
But
our
goal
is
to
find
that
niche
that
they
can
fall
into
where
we
can
direct
dispatch
them
safely.
M
M
E
I
think
one
of
the
questions-
and
you
heard
this
right-
the
question
is-
is
that
you
know
the
co-responder
model
is
first
of
all,
I
want
to
state
for
the
record.
I
absolutely
support
officers
fully
cit-trained
officers
if
we
could
have
every
single
police
officer
have
see
full
cit
training
if
their
certification
for
it.
I
am
fully
in
support
of
that.
I
think
it's
necessary.
I
think
it's
fantastic.
You
know.
E
You
know
all
these
types
of
things
that
I
think
have
been
largely
promoted
by
you
know,
chief
former
former
philadelphia
police
chief
ramsey,
for
example,
among
many
other
leading
chiefs
around
police
chiefs
around
the
nation,
but
I
think
you
know
what
we're
hearing
is
that
and
madam
chair,
I
hope
you
know
after
this
I'll
I'll
kind
of
ask.
Maybe
one
more
question,
but
just
you
know
to
clarify
again.
E
Thank
you.
What
what
we
have
is
a
a
mod,
a
co-responder
name,
not
necessarily
a
model,
because
we
don't
have
enough
in
there
and
we
cannot
actually
guarantee
that
there
will
be
a
correspondence.
I
think
deputy
commissioner
healey
is
that
right,
I'm
sorry!
I
don't
want
to
mess
up
your
title,
so
I
apologize.
E
Okay,
inspector,
heals
stuff
and
sector
healing-
I
I'm
happy
to-
I
know
you're
on
a
lot
of
these,
so
you
know
it's
it's
important
that
I
get
your
title
correct,
but
I
think
you
know
and
and
we're
spending
six
million
dollars
for
this
right.
The
question
is:
is
that
from
the
from
the
you
know,
the
the
treatment
not
trauma
coalition
and
what
a
lot
of
clinicians
will
say
is
that
the
money
really
needs
to
go
into
that
expansion
on
the
full-on
mobile
crisis
units?
E
I
think
you
know
the
the
pilot
nature
of
the
of
the
you
know.
The
the
so-called
co-responder
model
is
all
the
more
reason
why
we
should
go
in
for
a
non-law
enforcement
response
that
could
actually
become
more
responsive
and
the
problems
that
I
think
inspector
healy
laid
out
about
whether
you
know
it
violates
the
fop
contract,
which
you
know
like
that's
a
whole
complicated
nature
it.
It
encourages
us
to
say
that
we
should
actually
be
doubling
our
efforts
within
the
mobile
crisis
unit.
E
Rather
than
pursuing
half
measures
or
non-measured,
I
mean
not
saying
it's
non,
you
know,
because
I
don't
want
to
denigrate
some
serious
work.
That's
going
on
into
it
around
cit
trained
officers.
You
know
improvements
on
police
dispatch,
all
those
things
absolutely
100
important,
but
you
know
the
6
million
that
has
been
allocated
and
the
work
through
the
macarthur
foundation
should
really
be
around
the
development
and
expansion
of
the
non-law
enforcement
response.
But
you
know
I
think
this
is
this
is
where
this
is
not
just
attention.
E
I'd
be
interested
in
hearing
the
perspective
of
dr
bellen
first,
and
I
also
want
to
underscore
that
this
absolutely
does
not
want
to
say
that
I'm
not
investing
on
the
police
end,
because
I
do
want
to
invest
in
police
officers,
expanded
training,
better
police
dispatching
the
time
that
we
spent
with
9-1-1
ensuring
that
we
slow
resp.
You
know
we
slow
things
down.
We
de-escalate
and
calm
people
down.
100,
but
for
people
experiencing
mental
health
when
it's
a
life
or
death
issue
that
is
at
play,
and
we
have
seen
this
time
and
time
again.
E
We
need
to
be
doubling
down
on
non-law
enforcement
responses,
and
this
should
be
something
that
the
macarthur
work
should
really
be
directing.
We
should
not
be
pursuing
things
that
you
know
are
at
odds
with
what
samsa
is
saying
with
what
other
cities
around
the
country
are
leading
on.
I've
had
the
opportunity
to
be
part
of
the
justice
collaborative
for
a
year,
studying
alternatives
and
mobile
crisis
units
were
among
them,
but
serious
alternatives.
E
I'm
worried
and
concerned
that
the
city
of
philadelphia
is
pursuing
something
when
we
have
the
other
option
here
and
it's
what
samhsa
request
requires
or
recommends,
and
it's
what
other
cities
are
leading
on,
and
I
don't
think
that
we're
at
the
leadership
level,
if
we're
going
to
do
something,
that's
not
a
long
non-law
enforcement
response,
so
I'll.
Let
dr
bowen
I'm
interested
in
and
rachel
from
the
policy
angle
and
then,
of
course,
inspector
healey,
so
nice
up
there
madame.
F
Chair,
thank
you,
council
member,
and
I
I
appreciate
all
that
you
have
said
and
also
appreciate
the
passion
behind
it
which
we
share.
I
think
we're
talking
about
compassionate
response
and
we're
talking
about
appropriate
response
and
that's
why
the
model
has
multiple
options
in
it,
but
we
are
also
exactly
talking
about
doubling
down
on
the
community
mobile
response.
F
I
just
want
to
be
absolutely
clear
that
we
are
very
much
in
the
lead
or
on
the
the
forward
edge
of
developing
a
community
non-police
mobile
response
system
in
the
city
and
right
now
we
have
one
24,
7
mobile
response
and
one
part-time
mobile
response.
We
are
more
than
doubling
with
the
request
for
this
year's
budget
and
based
on
the
the
calls
we
do
need
to
double
down.
F
If
we're
going
to
have
a
a
robust
and
significant
response
that
is
community
only
response
and
ultimately
to
have
folks
be
calling
directly
into
the
pcl
and
not
9-1-1
at
all.
So
we
are
in
a
transition
of
shifting
from
a
fully
911
police
response
to
a
social
service
response.
This
is
a
big
shift
and
we
will
need
to
evaluate
and
make
some
decisions
along.
F
The
way
while
we,
while
we
do
this
response,
I
want
to
say
that
we
have
been
pushing
out
the
pcl
crisis
line
and
communicating
with
folks
that
they
can
call
directly
that's
the
two
one:
five
six,
eight
five,
six,
four
four
zero.
Just
taking
that
opportunity
to
put
that
out
there
right
now,
you
alluded
to
a
three
number,
the
988
that
will
be
coming
in
in
july
of
2022..
F
But
for
now
we
are
pushing
out
the
two
one:
five,
six,
eight
five,
six,
four
four
zero,
because
we
understand
the
urgency
and
the
importance
of
having
a
community
mobile
response,
and
we
are
really
looking
forward
to
being
able
to
increase
the
capacity
of
both
that
line
to
receive
calls
and
the
teams
to
respond
to
them
on
the
ground,
and
that
will
take
us
a
little
bit
of
time
to
get
there.
But
we
are
well
on
our
way
to
having
that
be
a
significant
part
of
what
is
happening
in
philadelphia.
M
Yeah-
and
I
mean
I'll,
add
a
couple
of
points
on
top
of
commissioner
bowen's,
which
is
I
you
know,
I
think
we
also
want
to
stre.
We
see
the
importance
of
the
work
with
9-1-1
and
have
been
prioritizing
and
all
of
our
collaborative
work.
You
know
again
how
to
identify
when
calls
can
be
transferred
away
completely
to
the
philadelphia
crisis
line,
that's
something
that
you
know
we're
working
towards
and
we're
hoping
to
be
able
to
do
such
that.
M
I
think
we
see
the
co-responder
program
as
a
part
of
this
larger
culture
shift
right.
It's
not
designed
to
be.
You
know
just
we're
just
going
to
send
police
with
behavioral
health,
and
you
know
wipe
our
hands
of
that
or
wipe
our
hands
at
the
work
like.
We
are
we're
thinking
about
it
as
a
way
to
shift
sort
of,
as
police
are
going
out
to
these
instances.
M
The
way
they
are
now
really
equipping
them
with
the
tools
to
de-escalate,
as
as
inspector
healy
articulated
and
and
again
that's
going
to
take
time,
and
so
as
we're
going
to
learn
a
lot
from
doing
the
co-responder
model
about
you
know
the
ways
in
which
you
know
policing
practices
are
going
to
change
and
the
way
these
partnerships
can
really
be
advantageous.
I
don't
think
it's
an
alternative.
D
If
I
could
just
jump
in
real
quickly,
I
mean
sometimes,
I
think
the
corresponder
term
is
a
little
bit
misleading.
This
is
a
much
bigger
it's
much
like
we're.
Putting
together
a
larger
puzzle
and
co-responder
is
a
piece
of
the
puzzle
but
everything's
fitting
together,
we've
been
working
and
dr
bowen
has
been
talking
about
expanding
the
crisis
response
of
mobile
teams.
Obviously
the
mobile
teams,
in
collaboration
in
coordination,
with
what
we're
doing
we've
got
the
mental
health
clinician
that
they've
embedded
into
our
police
radio.
D
The
whole
mindset
with
the
with
the
call
script
coming
in
I'll
be
honest
with
you.
We
had
debate
and
one
of
the
some
of
the
last
debates
we've
had
is
like
one
of
the
honest
questions
is:
do
you
want
police
or
do
you
want
a
mental
health
clinician
and
that's
a
very
honest
answer,
but
you
can't
put
that
out
there
if
we
don't
have
all
the
resources
in
place.
So,
commissioner,
outlaw
that's
one
of
the
questions
she
would
like
in
place.
D
That's
been
very
much
a
part
of
this
conversation,
so
it's
not
like
we've
excluded
it
in
lieu
of
the
co-responder
we're
trying
to
figure
out,
like
I
said,
certain
calls
should
definitely
go
to
a
civilian
mobile
response
team.
That
question
is:
how
do
we
identify
those
goals
and
in
the
process
of
developing
that
dr
bone
is
actually
developing
the
logistics,
so
is
when
we
do
get
that
in
place.
We
slip
that
switch,
we're
going
to
have
enough
people
out
there
that
can
actually
respond.
D
The
last
thing
we
can
have
happen
is
you
know:
okay,
you
need
a
mental
health
condition
and
it
takes
24
hours
to
get
there.
That's
not
that's
not
helpful,
so
we
just
need
to
make
sure
we
put
our
ducks
in
a
row
and
I
think,
as
the
doctor
said,
we're
well
along
our
way.
So
I
just
hope
you
just
get
the
picture.
That's
not
just
co-responder,
that's
a
piece
of
a
bigger
puzzle
and
the
mobile
emergency
teams
have
been
a
very
much
a
part
of
it.
D
The
mental
health
clinician
at
radio
at
the
park
so
we're
all
working
together.
How
we
can
direct
these
calls
away
from
cops,
and
you
ask
for
the
police
officer's
perspective
and
I'll
give
you
mine.
I
would
love
not
to
go
to
these
calls.
I
would
much
rather
handle
it
all
as
long
as
it's
safe
enough
and
I'm
sure
these
people
will
be
safe,
I'm
happy
to
pass
off
these
type
of
assignments
because
they
do
get
complicated
and
they're
drawn
out,
and
I
really
don't
like
anything
about
them.
D
D
E
I
think
that,
first
of
all
inspector
healy,
that
is
actually
very
helpful,
and
I
think
it's
a
very
clear.
I
think
it's
it's
it's
a
very
realistic
picture.
I
think
the
challenge
with
rachel,
especially
as
you're
developing
out
the
work
on
the
policy
end,
is
that
we
should
see
the
co-responder
model
as
a
bridge
that
shrinks
into
a
trans
a
full
transition
into
you
know
a
into
the
mobile
crisis
units,
with
the
caveat
that
officers
will
continue
to
be
trained
in
cit.
E
But
what
I
think
we're
hearing
is
that
we're
not
getting
the
clarity
that
the
co-responder
model
is
the
bridge
that
ultimately
moves
and
transitions
over
into
the
mobile
crisis
and
that
we
need
to
see
a
rapid
escalation
of
the
mobile
crisis
units
in
a
way
that
we
would
see
would
say
like
what
we're
doing
with
the
citizens.
Police
oversight.
Commission
right
so,
like
the
citizens
police
oversight.
Commission
starts
with
a
two
million
dollar
effort.
You
know,
starting
in
july,
but
but
within
two
years,
it's
at
13
million
and
122
staff.
E
With
that
kind
of
oversight,
I
want
to
see
if
that's
just
on
oversight-
and
this
is
about
meeting
needs,
we
should
be
numbers
that
are
frankly
multiples
of
that.
I
think
one
council,
member
who
listened
in
on
the
on
the
briefing
that
we
had
with
the
treatment
not
trauma
coalition,
said
that
they
could
use
four
mobile
crisis
teams
in
his
own
district
alone.
E
You
know-
and
so
it's
that
kind
of
thinking
that
we
need
to
be
getting
to,
and
then
the
last
thing
that
I'll
just
say
for
rachel
and
for
dr
bowen
and
and
also
for
inspector
healy.
We
generally
one
of
our
issues
and
I
agree
with
inspector
healing.
We
can't
actually
like
say
that
we're
do
you
want
a
mobile
crisis
unit,
or
do
you
want
the
police
to
respond
when
we
don't
have
the
capacity,
certainly
for
the
one
right?
On
the
other
hand,
we
tend
to
be
a
capacity.
E
We
tend
to
allocate
things
within
philadelphia
based
on
our
own
agency
capacity,
as
opposed
to
what
the
actual
need
is,
and
so
on,
rachel's
and
one
and
on
dr
bowen
and
on
inspector
healy-
and
I
know
inspector
healy
already
said
this
because
commissioner
outlaw
is
committed
to
it.
We
must
understand
what
the
need
is.
We
can
we.
We
have
to
be
careful
that
we
can't
promise
to
meet
needs
that
we
don't
have
capacity
for,
but
we
have
to
understand
what
people
are
asking
for.
E
That
seems
to
be
a
singular
mission
of
the
macarthur
money
that,
because
it's
got
to
determine
where
our
investments
go
and
would
probably
have
had
a
big
influence
on
what
we
chose
to
do
with
our
monies.
Now,
madam
chair,
I'm
done,
but
you
know,
I
think
that
we,
it
just
underscores
more,
that
we
need
to
put
more
money
into
the
mobile
crisis
expansion
and
it's
got
to
be
seen
as
a
rapid
expansion
of
work
beyond
this
year.
This
is
not
a
pilot.
E
This
has
got
to
be
a
core
function
of
of
the
city
because
our
communities
demand
it
and
because
people
suffer
horrible
consequences,
when
we
don't
do
it-
and
I
am-
I
am
done
with
my
line
of
questioning,
but
I
want
to
thank
these
panelists
for
engaging
in
this
conversation.
Thank
you
very
much,
madam
chair.
B
Well,
thank
you
so
much
council
member
for
your
questions
and
councilmember
thomas
too.
I
think
that
you
know
listen.
The
purpose
of
our
hearings
is
to
investigate
is
to
get
information
and
to
make
sure
that
the
public
has
that
information
as
well,
and
I
think
that
thus
far,
we've
done
a
stellar
job
of
putting
information
out
there
asking
questions
that
are
pertinent
and
that
we're
hearing
from
our
constituents
that
they
want
to
know
the
answers
to
and
moving
forward.
B
B
This
worked
and
we're
gonna
try
that
in
six
months
we're
gonna
try
that
next
year-
and
you
know
no,
we
we
need
to
be
on
the
ground
because,
as
we
all
know,
philadelphia
has
a
significant
mental
health
issue,
and
so
addressing
that
issue
is
right
here
and
right
now
in
front
of
us.
So
so
thank
you
to
both
of
my
colleagues
for
your
questions
today.
We're
going
to
move
forward
with
the
next
panel,
madam
clerk,
if
you
call
the
next
panel
forward.
K
B
K
Us
today,
no
thank
you
councilwoman
and
thank
all
the
members
of
this
committee
and
council
as
a
whole
for
your
attention
and
attentiveness
to
this
all-important
issue.
I
I
would
first
like
to
really
congratulate
dr
bowen
and
her
leadership
team
for
taking
such
a
bold
step
in
bringing
these
changes
about.
K
K
K
K
K
K
K
L
K
G
K
B
Absolutely
we
did
absolutely.
I
want
to
thank
you
for
that
very
compelling
testimony
and
for
your
wide
range
of
experience
and
knowledge
on
this
subject
and
issue,
and
and
certainly
as
as
it
was
mentioned
earlier,
the
consortium
is
involved
with
assisting
the
city
and
it's
planning
and
programming
around
this
issue.
G
K
This
is
an
extremely
important
issue
and
the
degree
of
attention
that
you
folks
are
paying
to
it
councilwoman
again,
you're
absolutely
right,
but
those
those
are
matters
that
we
have
to
demonstrate
how
strong
we
are
when
we
come
together
and
focus
on
this
issue.
There's
a
need
for
both
of
us.
There
really
is.
A
B
A
Yes
ma'am,
my
name
is
anthony
arachi,
I'm
with
the
police
advisory
commission
and
for
today
I
wanted
to
say
that
in
philadelphia,
police
response
has
traditionally
been
kind
of
a
one-size-fits-all
answer.
To
calls
for
service
we're
here
discussing
mobile
crisis
response
units,
because
collectively
we
understand
that
one
size
fits
all
does
not
work
as
a
response
when
the
diversity
of
calls
includes
critical
incidents
involving
philadelphia
residents
in
crisis.
A
These
models
include
a
community-based
response,
a
co-response
between
police
and
mental
health
professionals
and
a
system
where
police
can
respond
after
a
mental
health.
Professional
has
made
an
assessment
at
this
time.
Last
year,
a
co-responder
model
featuring
a
mental
health
professional
and
a
law
enforcement
officer
felt
like
a
revolutionary
idea
for
philadelphia.
A
The
fact
that
other
models
are
also
on
the
table
speaks
to
how
committed
the
city
is
to
listening
to
what
residents
are
asking
for,
as
reforms
are
designed
at
its
root.
The
question
of
who
com,
who
comprises
a
mobile
response
unit,
is
inextricably
linked
to
the
question
of
community
trust
in
police.
A
The
work
of
the
pac
is
focused
on
incrementally
building
this
trust,
and
we
know
it
can't
be
rushed
while
city
leadership
works
to
build
this
trust
from
different
angles.
It
is
critical
that
we
all
continue
to
listen
when
philadelphians
tell
us
how
they
want
to
receive
service
when
they
make
the
decision
to
call
for
help.
A
Designing
and
employing
multiple
models
of
mobile
crisis
response
to
meet
the
diversity
of
resident
needs
not
only
provides
better
service,
but
also
ensures
that
law
enforcement
is
being
utilized
efficiently
and
effectively.
Further.
This
would
empower
communities
to
request
the
type
of
ser
the
type
of
response
they
need
from
9-1-1,
making
them
active
participants
in
response
efforts.
A
B
E
I
just
want
thank
you
so
much
madam
chair.
I
just
wanted
to
acknowledge
both
mr
arache
and
and,
of
course,
the
legendary
mr
white
for
your
work
and
looking
forward
to
what
what
lies
ahead,
certainly
for
the
citizens,
police
oversight,
commission,
but
also
the
partnership
that
we're
going
to
be
developing.
But
I
do
want
to
just
make
a
a
comment,
particularly
to
mr
white,
just
to
thank
him
and
the
consortium
for
investing
around
the
police
dispatchers.
E
As
you
know,
our
police
dispatch
unit
is
a
civilian
unit
within
the
city,
labor
unions,
they're,
very
low
paid,
to
say
the
least.
Many
of
them
are,
you
know
for
a
while.
We,
they
were
really
laboring
under
significant
and
serious
issues
around
overtime
council
member-
I
don't
know
if
you
remember
some
of
the
hearings
that
we've
had
about
with
them
that
have
been
really
very
difficult.
E
B
B
B
B
So
I
just
want
to
make
sure
that
we're
utilizing
the
services
of
the
consortium
in
a
way
that
totally
you
know,
connects
and
is
going
to
be
good
for
the
city
of
philadelphia.
So
I
don't.
I
don't
want
to
see
them
taking
sort
of
a
second
shift.
If
you
know
what
I
mean
we
would
like
to
see.
You
know
the
the
consortium
used
in
a
very
robust
way,
because
we
know
that
they
have
the
experience.
B
F
F
The
consortium
would
be
playing
a
major
role
already
working
to
get
them
up
to
expanded,
expanding
their
their
current
capacity
and
to
get
to
a
full-time,
24
7
managing
one
of
the
the
regions.
Their
approach
is
an
excellent
one
and
much
of
the
model
that
we're
we're
building
is
based
on
their
ex
their
experience
and
their
approach,
which
is
a
very
community-based
approach
and
one
that
we
embrace
fully.
So
there
is
no
question
that.
B
F
B
B
N
N
N
Since
2015
over
6
000
people
have
been
shot
and
killed
by
the
police
averaging
around
1
000
per
year
of
those
six
thousand
close
to
fifteen
hundred
or
almost
one
in
four
twenty
three
percent
were
people
who
were
or
perceived
to
be
experiencing
a
mental
health
crisis
with
that
figure
rising
to
thirty
nine
percent
and
small
or
mid-sized
metropolitan
areas
of
these
killings.
Over
42
percent
were
of
black
and
latinx
people.
N
N
The
reason
millions
of
people
across
the
country
rose
up
and
demanded
cities
defend
the
police
is
because
our
communities
desperately
need
resources
and
municipalities
say
again
and
again
that
we
cannot
afford
things
like
violence,
interruption,
programs,
job
training,
programs,
longer
recreation,
center
hours
and
health
care
for
all.
Philadelphia
must
tax.
The
rich
philadelphia
must
reduce
the
police
department
budget.
N
G
N
N
Is
it
better?
Now,
it's
a
little
bit
better.
Now,
okay,
we
keep
responding
to
crises
with
band-aids,
the
murder
of
walter
wallace
jr,
with
an
expansion
of
the
co-responder
model,
an
epidemic
of
gun,
violence
with
a
police
surveillance
program
called
group
violence.
Intervention
philadelphians
deserve
better
programs
and
services
across
the
city
have
been
divested
from
and
defunded
for
decades.
N
B
G
B
H
H
I'm
an
outpatient
therapist
with
the
family
practicing
counseling
network,
president
of
the
pennsylvania
society
for
clinical
social
work
and
member
of
the
philadelphia
treatment,
not
trauma
coalition.
The
group
that
councilwoman
mentioned
earlier.
Thank
you,
councilwoman
gum!
Thank
you,
yes,
for
your
passion
and
for
your
dedication
to
treatment
and
not
trauma.
H
H
H
Thinking
that
either
myself
or
another
clinician
like
myself
that
anyone,
especially
someone
in
the
mental
health
crisis,
would
not
be
even
more
fearful
with
a
police
presence
knowing
full
well
that
they
have
the
ability
to
take
any
one
of
us
out
in
any
given
moment.
There's
no
way
that
that's
doing
what's
needed,
which
is
de-escalating
the
crisis
us
mental
health
clinicians.
This
is
what
we
are
trained
to
do.
H
What
we
willingly
signed
up
to
do-
and
I
want
to
note
that
the
cit
program
for
police
officers
in
philadelphia
is
voluntary
for
the
police
officers,
not
all
police
officers,
as
we
have
seen
and
as
alluded
to
earlier,
have
the
discernment
necessary
to
not
harm
a
person
in
crisis
many
times
in
actuality,
police
officers,
review
people
in
crisis
as
threats
us
clinicians
we
spent
years.
Some
of
us
would
even
say,
blood,
sweat
and
tears
being
trained
and
de-escalation
tactics.
H
This
is
what
we
do.
This
is
how
we
help
people
in
crisis,
to
heal
and
to
promote
long-term
wellness.
So
please,
in
closing
city
council
dbh
ideas,
councilwoman
best,
I'm
asking
with
a
sincere
heart.
Please
take
another
look,
not
all
calls
to
9-1-1
need
the
police
dispersed.
Frankly,
we
need
another.
Three
digit
number,
which
I
know
is
being
worked
on.
Funding
should
be
diverted
from
the
co-responder
model
to
further
expand
mobile
crisis
units.
Co-Response
is
still
a
police
response.
B
Thank
you
so
much
for
your
testimony
and
for
your
experience
I
see
a
question.
There
is
a
question
from
councilman.
Oh
councilman,
I'm
going
to
ask
that
you
hold
that
question.
If
you
can
for
just
a
moment
and
we're
going
to
see
if
we
can
get
our
last
witness
to
testify
and
that
is
nikki
grant
esquire
nikki
are
you
there.
B
C
C
We
came
together
to
form
the
treatment,
not
trauma
coalition,
to
fight
to
ensure
that
what
happened
to
mr
wallace
never
happens
to
another
philadelphian.
Yes,
you've
heard
testimony
today
about
how
the
correspondent
pilot
program,
also
known
as
practice,
intervention
response
teams
or
cirt
you've
heard
testimony
argument
that
police
correspondents
are
a
step
in
the
right
direction.
C
I
want
to
urge
this
body
to
conclude
them,
but
that
what
crt
actually
represents
is
a
further
entrenchment
of
law
enforcement
in
a
place
that
law
enforcement
has
no
business
being
in.
For
the
sake
of
maintaining
the
status
quo,
the
implication
behind
a
continuum
of
care
that
includes
a
correspondent
model
is
that
there
are
some
people
experiencing
mental
crises
who
are
violent.
C
C
C
What
we
have
been
seeing
across
the
country
in
cities
that
have
both
a
police
and
armed
police
response,
such
as
the
star
program
in
denver,
is
that
even
though
non-police
mental
responder
program
is
having
excellent
results,
it
is
undermined
by
having
the
overwhelming
number
of
calls
that
could
be
going
to
a
non-police
response
instead
being
routed
to
the
correspondent
from
the
article.
During
the
initial
six
month
period,
police
received
95
000
calls,
2500
of
which
fell
into
the
star's
scope
of
operation.
C
However,
only
743
calls
were
actually
routed
to
start
representing
under
three
percent
of
all
police
calls
by
comparison.
The
concludes
program
in
oregon
responds
to
seventy
percent
of
all
calls.
We
support
bbh
ideas.
This
proposed
expansion
of
mobile
prices
teams
and
believe
that
this
program
will
save
lives.
However,
in
order
for
community
mobile
crisis
units
to
succeed,
we
must
allow
them
to
actually
be
the
first
responders,
responding
to
all
mental
health
calls.
C
C
B
E
E
This
coalition,
madam
chair,
has
been
meeting
since,
as
you
know,
since
walter
wallace's
murder-
and
you
know
he
they,
they
are
driven,
first
and
foremost
by
their
expertise
and
their
clinical
backgrounds
and
about
you
know
a
real
vision
for
public
safety,
and
I
look
forward
to
continuing
to
partner
with
them
through
this
budget
cycle.
So
I
just
wanted
to
say
and
express
my
thanks
and
thank
you,
madam
chair.
B
B
G
L
K
K
G
K
P
A
L
So
I
would
like
to
begin
by
emphasizing
that
the
discussion
we're
having
today
about
mobile
crisis
units
and
police
involvement
is
primarily
an
issue
of
racial
justice.
We
are
constantly
seeing
on
the
media,
videos
of
police,
violence
against
black
and
brown
people
because
of
white
supremacy
and
racialized
trauma.
Police
officers,
like
most
of
us,
are
likely
to
perceive
the
behavior
of
black
and
brown
bodies
as
threatening
when
they
respond
on
a
call
police
also
are
armed
and
are
trained
to
operate
in
a
military
manner.
L
I
know
the
crt
or
co-responder
model
is
tempting,
as
it
seems
like
a
reasonable
compromise
between
calls
for
abolition
of
police
and
calls
for
support
of
police.
However,
this
is
a
false
compromise.
It's
a
subversion
of
efforts
to
protect
people
of
color,
and
it
rests
on
the
assumption
that
police
presence
is
necessary
at
the
scene
when
people
are
experiencing
the
symptoms
of
mental
illness,
because
those
people
are
inherently
more
dangerous
or
violent
than
others,
which
is
absolutely
not
true.
L
The
co-responder
model
might
look
successful
in
research
because
in
the
research
that's
been
done,
it's
solely
been
compared
to
police-only
responses
and
those
police-only
responses
are
often
a
disaster.
Research
shows
that
the
less
police
involvement
there
is
the
better.
The
outcome
for
the
individual
being
served
and
trainings
like
cit,
which
have
existed
for
over
20
years,
have
not
led
to
a
reduction
in
violence.
L
I
ask
that
you,
please
fund
the
mobile
crisis
units
fully
and
not
a
co-responder
model.
I
ask
that
you,
please
trust
the
science,
the
research,
the
mental
health
community,
consensus,
the
recommendations
of
the
federal
government
and,
most
importantly,
the
voices
of
people
of
color.
Please
value
the
lives
of
people
who
are
the
most
vulnerable
moments
of
their
lives
and
offer
them
treatment,
not
trauma
care
and
not
cops.
Thank
you.
So
much.
P
L
L
Adding
a
clinician
to
the
situation
doesn't
change
the
dynamics
of
a
police
response,
and
I
am
confused
at
best
by
the
idea
that
the
clinician
leads.
The
response
when
the
co-responder
model
is
based
on
having
the
teams
work
out
of
the
regional
operating
centers
of
police
arrive
in
unmarked
police
cars,
where
a
police
officer
literally
gets
out
first
leading
and
engaging
and
then
deciding
whether
or
not
it's
safe.
For
the
clinician
to
engage
that
doesn't
sound
like
a
mental
health
led
response
to
me.
L
Mobile
crisis
units
need
to
be
accessible
via
9-1-1,
to
be
able
to
respond
immediately,
like
police
do
and
to
provide
actual
on-site
services
for
de-escalation
and
connection
with
appropriate
services,
rather
than
information
and
referrals
which
don't
really
help
people
in
crisis.
Who
are
you
know
in
an
emotional
state
of
high
activation,
whether
really
they
need
soothing
and
de-escalation,
not
a
web
of
service
systems?
To
try
to
navigate
independently,
please
divert
funding
from
the
co-responder
model
to
further
expand
mobile
crisis
units.
G
Yeah
no
problem-
I
I
think
some
people
before
me
have
probably
said
it
more
eloquently
than
I
can,
but
I
just
want
to
say
thank
you
to
the
to
the
members
for
for
seeing
the
importance
of
this
issue
and
and
taking
the
time
to
address
it.
I
would
like
to
see
philadelphia
be
on
the
cutting
edge
of
this,
because
I
think
this
is
the
right
thing
to
do.
You
know
having
funding
diverted
from
the
correspondent
model
to
expand
mobile
prices
is,
is
really
no
skin
off
anyone's
back.
B
G
Good
afternoon
my
name
is
dana
charmoi,
I'm
a
child
and
family
therapist
at
family
practice
and
counseling
network.
I
appreciate
the
opportunity
to
speak
with
you
today.
I
have
been
working
the
community
mental
health
for
11
years
and
working
with
the
community.
I've
heard
countless
stories
of
community
members
experiencing
trauma
with
law
enforcement.
G
All
their
fears
were
reinforced
with
the
murder
of
walter
wallace
jr.
Not
only
did
this
show
that
police
are
not
equipped
to
deal
with
mental
health
crisis
situations,
but
their
arrival
leads
to
escalation
and
can
result
in
the
death
of
the
person
who
was
in
distress
and
in
need
of
help.
We
must
provide
a
model
that
provides
de-escalation
assessment
connection
with
resources
and
an
appropriate
level
of
care
and
making
sure
that
we
follow
up
to
make
sure
the
individual
has
secured
the
services
needed
without
falling
through
the
money
cracks.
Co-Response
is
still
a
police
response.
G
Funding
should
be
diverted
from
the
correspondent
model
to
further
expand
mobile
crisis
units.
This
model
is
more
in
line
with
the
best
practice
and
will
serve
better
for
our
communities.
Mobile
crisis
units
need
to
be
easily
accessible,
which
is
why
community
members
should
be
able
to
access
mobile
crisis
through
9-1-1.
G
I've
had
the
opportunity
to
work
in
different
settings.
The
most
effective
settings
are
those
with
collaboration
and
holistic
care.
This
is
why
the
team
should
consist
of
an
experienced
licensed
mental
health,
clinician,
a
nurse
or
emt,
and
a
peer
specialist,
in
order
to
provide
the
appropriate
level
of
care.
Mobile
crisis
should
also
be
able
to
provide
transportation
to
wherever
other
services
are
required.
I'm
hopeful
that
together,
we
can
develop
a
model
that
best
serves
the
community
and
increase
access
to
care
to
those
crisis.
G
We
owe
it
to
the
community
to
create
safety
and
support
when
they
are
most
vulnerable.
We
need
to
make
a
commitment
that,
when
a
family
member
calls
because
they
need
help
for
someone
they
love,
they
do
not
avoid
calling,
because
they
fear
what
would
happen
to
walter,
while
a
junior
could
happen
to
their
loved
one.
Thank
you.
B
Q
Q
We
have
often
tried
to
call
mobile
crisis
to
come
to
our
health
centers
in
order
to
help
transport
patients
to
crisis
response
centers
or
to
go
to
patients,
houses
or
locations
to
get
the
help
they
are
looking
for
and
need
to
stabilize
their
mental
health
in
a
safe
environment.
We
have
waited
hours
for
a
team
to
come
out
or
have
been
told
that
we
should
not
be
a
reasonable
amount
of
time.
Q
I
have
called
mental
health
delegates
office
and
was
told
that
I
need
to
call
9-1-1,
because
mobile
crisis
is
not
allowed
to
do
safety
checks
because
they
cannot
enter
homes
if
needed.
I
don't
blame
mobile
crisis
teams
for
redirecting
us
to
beyond
911
if
they
cannot
check
in
on
people
who
are
in
danger,
transport
people
for
various
reasons
or
concerns,
then
there's
a
huge
gap
in
the
ability
for
mobile
crisis
to
actually
be
helpful.
Four
teams
will
not
be
enough
to
respond
to
crisis
in
that
time.
Q
Q
I
do
not
understand
the
barrier
to
currently
rerouting
911
calls
to
mobile
prices,
so
that
residents
that
don't
know
that
number
would
be
rerouted
automatically
making.
Let's
make
the
mobile
crisis
system
work,
make
one
system
actually
work
instead
of
having
two
lackluster
systems
of
mobile
crisis
and
correspondent
program,
as
others
have
said,
I'm
concerned
about
the
co-responder
program,
because
just
the
uniform
alone
is
going
to
escalate
a
situation
based
on
the
traumatic
history
and
the
traumatic
presence
between
philadelphia
residents
and
police.
I
have
de-escalated
multiple
situations
over
the
years.
Q
Q
The
person
is
asking
for
help,
so
we
need
a
way
to
safely
transport
any
resident
from
any
location
in
any
condition
to
the
health
that
they
are
wanting
and
needing.
We
need
to
spend
all
of
that
money
to
actually
make
our
mobile
crisis
system
work
and
allocate
money
to
increasing
mental
health,
supports
and
services.
So
after
inpatient
treatment
or
even
after
assessment,
there
are
actually
mental
health
resources
for
philadelphia
residents,
no
matter
what
insurance
or
income
to
immediately
connect
with.
So
we
can
reduce
mental
health
emergencies
to
begin
with
and
save
our
residents
lives.
H
B
G
G
L
G
Hello,
this
is
wren
cox
and,
as
you
know,
we're
in
the
midst
of
a
mental
health
crisis,
I'm
a
mental
health
clinician
experiencing
this
firsthand
the
issue
of
inadequate
behavioral
health
support
in
emergency
situations
is
not
new,
but
it's
all
the
more
critical
and
important.
Now
it's
vital
that
we
invest
in
mental
health
services
broadly
and
especially
in
emergency
care.
G
I've
been
listening
to
the
conversation
about
co-response
versus
behavioral
only,
and
I
want
to
show
an
example
that
can
illustrate
the
importance
of
having
a
strong
behavioral
only
response,
as
in
that
said
earlier,
co-response
is
still
a
police
response.
My
ethics
code
requires
that
I
first
do
no
harm,
but
when
an
individual
needs
hospital
services
and
they
have
no
ride,
the
police
are
often
involved
as
amanda
garland
beautifully
highlighted.
G
This
leads
to
a
worsening
of
the
very
shame,
guilt
and
fear
that
the
person
is
already
experiencing.
It
essentially
makes
the
situation
worse.
The
police
presence
often
implies
that
someone
broke
a
lot
or
committed
a
crime
and
to
many
people
of
color
it
represents
death
and
murder.
The
police
presence
simply
worsens
an
already
difficult
situation
and
it's
my
only
option.
G
B
P
Proceed
good
afternoon,
my
name
is
joel
mcintosh,
I'm
the
director
of
a
team
of
behavioral
health
consultants
that
provide
on-demand
behavioral
health
services
at
the
city
of
philadelphia,
health
department,
health
centers.
So
it's
currently
during
the
pandemic,
our
behavioral
health
consultants
have
responded
to
the
increased
needs
of
mental
health
services
of
our
patients,
which
is
often
included
mental
health
crisis.
It
is
clear
to
us
that
the
current
mental
health
system
is
overwhelmed.
P
P
P
Not
adequate
for
an
individual
who
is
experiencing
mental
health
crisis
further.
Our
experience
is
that
mobile
crisis
response
teams
are
in
need
of
more
training.
On
several
separate
occasions,
my
team
members
and
I
have
been
disappointed
by
the
lack
of
professionalism
and
clinical
skill
demonstrated
by
the
mental
mobile
crisis
response
team
staff
on
on
one
occasion.
One
of
my
team
members
was
particularly
surprised
at
the
coldness
that
was
displayed,
leading
us
to
believe
that
there
was
likely
a
high
amount
of
burnout
within
the
team
and
feeling
stressed
behind
their
capacity
to
provide
compassionate
care.
P
On
another
occasion,
the
mobile
crisis
response
team
refused
to
transport,
a
member
that
we
had
already
assessed
that
the
individual
was
not.
In
the
current
crisis.
We
were
told
that
the
mobile
crisis
response
team
had
already
transported
the
individual
too
frequently
and
frequently
to
the
crc,
insisting
involuntary
commitment
was
needed
through
a
police
and
that
we
should
contact
9-1-1.
P
It's
clear
that
our
current
mental
health
system
is
not
robust
enough
and
we
need
more
mental
health
training
for
individuals,
responding
responding
to
these
type
of
crisises.
Also,
the
current
amount
of
mobile
crisis
response
team
is
not
sufficient
and
it's
been
appreciated
by
myself
to
learn
that
of
the
efforts
that
there
is
to
expand
this.
But
I
really
would
like
to
see
more
of
those
mobile
crisis
response
teams
available
to
the
individuals
of
our
city.
Thank
you
very
much.
B
Q
C
B
K
Yes,
my
name
is
stephen
straus,
I'm
with
the
real
community
safety
team
of
power
live
free,
a
group
of
50
religious
congregations
across
the
city
committed
to
racial
and
social
justice,
and
I
thank
you
for
holding
this
hearing.
Our
behavioral
health
system
is
broken.
There
is
no
more
dramatic
proof
than
the
fact
that
our
jails
and
prisons
are
teeming
with
mentally
ill
and
intellectually
and
developmentally
disabled
people
who
are
warehoused
rather
than
treated
and
supported.
K
Unsurprisingly,
then,
police,
not
crisis
counselors
are
the
typical
first
responders
to
people
suffering
breakdowns.
The
result
has
been
widespread
tragedy.
Every
major
city
and
countless
smaller
communities
across
our
nation
can
list
tragic
cases
of
people
in
breakdown
who
have
lost
their
lives
at
the
hands
of
the
police
and
whether
police
receive
crisis
intervention,
team
training
or
use
some
other
training.
Regimen
does
not
seem
to
matter
at
this
point.
It
is
beyond
dispute
that
armed
authority
figures
and
people
in
behavioral
health
crises
are
a
dangerous
mix.
K
Last
october,
26
philadelphians
witnessed
the
killing
of
walter
wallace
jr,
who
was
having
an
episode.
He
was
known
to
the
ppd
as
someone
with
serious
behavioral
health
issues,
his
community
mental
health
care
provider.
The
consortium
could
have
been
called.
There
was
a
far
brighter
scenario
for
mr
wallace,
but
it
didn't
happen.
The
contrast
between
armed
police
barking
orders
to
someone
already
in
distress
and
the
crisis
team
of
a
medic
and
clinician
and
or
peer
specialist,
whose
jobs
are
to
de-escalate
and
support,
could
not
be
greater.
K
K
We
appreciate
the
strides
that
have
been
made
since
walter
wallace,
but
we've
got
to
go
further,
as
others
have
said,
and-
and
there
are
built-in
obstacles
to
the
co-responder
model-
take,
for
example,
the
security
requirement
that
to
drop
off
someone
to
a
crisis
center
correspondent
teams
first
have
to
shackle
and
cut
them
before
entering
the
vehicle.
If
that's
not
a
recipe
to
incite
fear
and
violence,
I
don't
know
what
is
the
city
should
reconsider,
expanding
its
correspondent
program
and
use
all
that
is
learned
to
move
to
the
civilian
model.
K
I
I
My
team
and
I
have
worked
with
consumers
who
have
required
the
assistance
of
the
philadelphia
mobile
crisis
unit
and
others
who
are
seeking
mental
health
support.
We
have
numerous
consumers
who
desperately
need
consistent,
behavioral
and
mental
health
case
management
and
just
can't
get
it.
We
have
worked
with
consumers
needing
emergency
crisis
response
and
have,
and
have
the
mobile
team
not
make
it
out
or
make
it
hours
later
or
state.
The
individual
is
not
enough
of
a
harm
risk
to
themselves.
I
We've
also
seen
consumers
bounce
around
from
cop
car
to
psyche
unit,
with
no
guidance
upon
discharge
and
no
follow-up
on
services.
I
have
co-workers,
who
are
not
mental
health
caseworkers,
acting
as
if
they
are,
they
are
checking
in
weekly
with
these
folks
providing
peer
support
and
information
and
referral
services.
I
The
staff
are
constantly
trying
to
navigate
the
cvh
and
dbh
ids
system
and
avoid
any
ppd
involvement
as
social
service
workers.
We
can
tell
you
firsthand
that
our
city
is
not
properly
helping
our
residents,
who
need
mental
health
care.
Many
other
major
cities
have
already
shown
that
a
well-trained
and
funded
group
of
mental
health
professionals
drastically
reduces
the
need
for
law
enforcement
and
can
immediately
get
a
person
the
help
and
support
they
need
that
can
otherwise
take
years
to
get
when
bounced
around
from
cop
card
to
hospital,
etc.
I
I'd
like
to
give
two
quick
examples
of
consumers
who
would
greatly
benefit
from
a
better
mental
health
crisis
response
process
by
the
city,
I'm
changing
their
names
for
the
purpose
of
this
testimony,
hermann
was
going
through
a
mental
health
crisis.
His
family
was
concerned
about
him
and
they
called
the
cop,
although
herman
was
eventually
able
to
get
the
mental
health
help
that
he
needed.
He
does
not
share
the
story
from
that
day
about
his
mental
health
recovery.
I
Instead,
he
speaks
about
how
the
cops
tackled
him
to
the
ground
and
assaulted
him.
As
herman's
advocate,
we
know
he
would
have
had
a
better
experience
to
recovery.
If
a
well-trained
crisis
response
team
worked
with
him,
another
consumer
named
bob
has
paranoia
and
hoarding
tendencies
bob
has
called
the
police.
On
numerous
occasions.
The
police
visit
bob's
house
do
a
welfare
check
on
him
and
leave
when
bob
feels,
as
if
he's
having
a
heart
attack,
which
is
actually
a
panic
attack.
Bob
goes
to
the
hospital
and
spends
the
night
there.
B
Thank
you
for
being
here
today
and
for
your
patience
and
speaking,
and
while
we
have
it
actually
shout
out
to
liberty,
resources
and
lisa
jackson,
who
does
a
tremendous
job
over
there
and
you
as
well.
Thank
you
so
much
for
being
here.
We
could
have
the
next
witness
state,
your
name
for
the
record
and
proceed
next.
We
have
d.d.
C
G
G
Okay,
great,
my
name
is
d.d
risher,
I'm
councilman
best,
I'm
in
your
district.
I
also
work
on-site
in
a
24-hour
women's,
safe
haven
down
in
center
city.
I'm
actually
calling
you
from
work-
and
I
haven't
heard
all
the
hearings
because
they're
traveling
to
work,
but
I
just
want
to
put
some
real
live
experience.
G
We
completely
need
a
mobile
mental
health
crisis
unit,
not
a
co-responder
unit
and
just
to
give
a
real-life
story.
From
last
night
the
police
were
called.
They
were
very,
very
rough
with
the
woman
who
had
escalated
and
it
traumatized
a
number
of
residents
here
and
we've
been
trying
to
calm
them
all
day
long.
You
never
know
who's
going
to
come,
men
are
triggering
uniforms,
are
triggering
white,
policemen
are
triggering
and
policeman
triggering
often
these
are
women.
G
Who've
left
lived,
their
entire
lives
in
context
of
violence
and
so
to
send
a
police
contingent
in
or
policemen
in
these
situations
is,
is
I'm
trying
to
find
the
word?
It
is
the
opposite
of
what's
needed,
and
this
feels
like
a
funding
decision
we
should
have
made
it
should
have
been
doing
for
15
years.
G
I
mean
I
wasn't
here
last
night,
but
I
know
that
mood's
here
so,
and
the
second
thing
I
want
to
say
is:
I
don't
understand
why
in
the
world,
as
amanda
garland
said,
we
would
ever
have
a
988
number
to
go
differently
from
a
9-1-1
number,
and
while
we
couldn't
have
a
seamless
system
where
9-1-1
is
called
and
the
independent
mobile
crisis
unit
is
mobilized
immediately
from
9-1-1,
we've
got
to
keep
it
simple.
These
are
best
practices
everywhere.
G
Philadelphia
can
do
this
and
should
be
doing
this
and
to
do
anything
different
to
not
make
if
we
have
to
do
the
co-responder.
The
transition
fund
make
it
as
quick
as
possible.
Thank
you
for
your
time.
This
is
really
a
very
urgent
issue
and
thank
you,
representative
bass,
for
introducing
the
resolution.
B
L
L
The
the
excuse
me,
the
cbh,
the
community
behavioral
health
association
had
a
meeting
last
week
and
on
the
13th
may
13,
and
they
were
saying
you
know
we
don't.
Even
we
don't
have
enough
behavioral
health
providers
to
even
support
the
system
that
we're
in
so
it's
it's
kind
of
a
like
a
bittersweet
moment
that
we're
going
through
is
like
people
want
to
take
care
of
themselves,
which
is
awesome,
yeah
and
then
the
other
hand
is
like
we
don't
have
enough
people.
L
L
B
O
O
O
Thank
you
for
allowing
me
to
speak
today
in
the
spirit
of
normalizing
pronouns.
I
used
she
her
and
hers
in
the
spirit
of
may
being
mental
health
awareness
month.
I
am
normalizing
mental
illness.
I
am
bipolar
2
and
any
prejudices
or
stigma
that
follow
are
your
own.
I
apologize.
If
I
exceed
3
minutes,
it's
rare
that
mentally
ill
voices
are
centered.
We
are
usually
silenced,
discredited,
spoken
for
or
made
invisible
judy
humans
once
said.
O
O
I
support
mobile
crisis
teams,
but
I
recognize
they
are
the
band-aid
on
a
hemorrhage.
If
they're
left
as
the
only
remedy,
will
these
teams
prevent
police
misconduct
all
over
remove
stigma
regarding
mental
health
treat
the
60
percent
of
americans
that
need,
but
are
not
receiving
mental
health
care,
address
mental
health
impacts
of
the
opioid
epidemic
generational
trauma,
created
by
gun,
violence
or
solved
for
departmental
record
data
analysis
gaps
relating
to
individuals
with
mental
health
challenges.
O
Earlier
this
year,
fop
president
john
mcnessie
called
charges
that
were
based
on
an
autistic
man's
statement
as
well
as
his
mother's
statement.
Faithless
implying
his
officers
were
beyond
reproached
while
an
autistic
man
and
his
mother
were
not
that
enforcement
of
mental
health
stigma
cannot
stand
unanswered
several
times.
I've
come
across
the
statistic
that
police
officers
are
more
likely
to
complete
suicide
than
be
killed
in
the
line
of
duty.
How
does
this
happen?
O
I
can
tell
you:
it
occurs
in
a
professional
culture
where
our
men
and
women
in
uniform
cannot
get
the
treatment
they
need
because
of
a
stigma
perpetuated
by
their
fop
president
and
other
leaders
to
dismiss
the
autistic
and
does
not
make
it
possible
for
the
police
to
receive
treatment
with
without
threatening
their
career
track.
This
is
what
we,
as
a
society
ask
of
our
police
richards
florida
in
his
book.
The
new
urban
crisis
describes
cities
as
being
living
organisms
and
those
who
are
the
same.
I
agree.
O
What
works
for
some
cities
will
not
work
for
philadelphia.
I
believe
the
city
needs
to
partner
with
an
entity
such
as
the
university
of
pennsylvania,
to
create
a
study
that
will
provide
data
driven
solutions
specifically
for
philadelphia.
This
must
include
finding
ways
to
remove
the
mental
health
stigma
in
invite
in
vipoc
communities.
O
O
We
need
to
realize
that
the
opioid
that
was
our
it
cannot
be
fixed
with
free
needles
and
narcans
that
this
specific
mental
health
crisis
is
making
our
communities
and
city
weak.
It
siphons
approximately
between
60
to
70
million
dollars
from
our
local
economy
dearly,
not
to
mention
the
generational
trauma
it
creates
and
the
lies
that
are
stolen.
O
O
The
criminal
justice
system
of
the
united
states
is
a
complex
national
enterprise,
consisting
of
a
multitude
of
independent
units
of
government
jurisdictions
and
agencies
that
must
coordinate
their
activities
in
order
to
achieve
a
common
goal.
An
efficient
and
effective
justice
system
to
effectively
coordinate
these
activities
system.
Stakeholders
must
effectively
share
information.
O
However,
due
to
its
diversity
and
decentralization,
this
justice
system
lacked
a
common
framework
for
sharing
data.
In
other
words,
it
lacks
common
data
architecture.
The
primary
hypothesis
of
this
project
was
that,
while
the
justice
community
has
invested
significantly
in
developing
information
sharing
standards,
which
are
critical
components
of
data
architecture,
it
has
not
developed
a
complete
enterprise
view
of
the
justice
process
that
properly
identifies
all
the
components
required
to
understand
the
entire
enterprise,
nor
has
it
properly
scaled
these
exchanges
to
maximize
your
utility
across
organizational
boundaries.
O
The
police
are
a
small
part
of
a
complicated
criminal
justice
system
that
those
suffering
with
mental
illness
are
expected
to
navigate
it's
already
a
given
that
philadelphia
system
is
difficult.
There
are
so
many
questions.
What
services
am
I
applicable
for?
How
do
I
find
them?
I'm
a
protected
class.
What
are
my
rights?
This
paperwork,
I'm
expected
to
sign,
do
I
actually
understand
it.
Philadelphia
needs
a
core
archival
system
to
improve
efficiency,
accountability
and
progress.
Having
a
data
driven
system
is
necessary
for
a
city
that
is
the
size
of
philadelphia.
O
Please
keep
all
this
in
mind,
while
creating
mental
health,
mobile
units
and
demand
from
our
politicians
that
we
deserve
walter
wallace
should
have
never
been
released
from
prison
without
being
rehabilitated.
A
young
officer
should
never
have
been
forced
to
shoot
him
and
a
family
should
not
have
been
made
to
victims.
Why
the
da's
office,
led
by
d.a
krasner,
did
not
put
mr
wallace
into
a
diversion
program
or
insist
on
treatment
is
well
beyond
my
understanding.
O
In
the
name
of
progress,
we've
been
playing
moneyball
with
the
criminal
justice
system.
Let's
get
the
numbers
down,
you
know
the
numbers
we
actually
share.
Meanwhile,
violent
offenders
are
released
without
being
rehabilitated.
We
need
transparency
and
organization,
accessibility
and
data-driven
progress
in
order
for
smaller
programs
like
crisis
intervention
units
to
be
effective.
Thank
you.
C
B
P
P
I
live
in
a
collective
house
of
six
people
and
throughout
the
pandemic
we
supported
each
other
as
best
as
we
could,
but
one
housemate
became
more
and
more
isolated
during
the
pandemic
and
stopped
talking
to
us.
At
the
beginning
of
the
year
I
reached
out
to
have
a
conversation
about
what
I
felt
were
interpersonal
tensions
in
the
house,
but
in
our
conversation
it
became
increasingly
clear
that
my
housemate
was
going
through
psychosis.
P
P
P
In
one
of
the
moments
of
extreme
psychosis.
We
called
mental
health
crisis
service
lines
who
suggested
calling
302
we
describe
what
was
going
on
and
they
advised
us
to
put
away
all
the
sharps
as
they
said
in
preparation
for
the
mobile
crisis
unit,
but
the
unit
was
busy
on
a
call
after
call
and
it
took
hours
to
like
hear
from
them
and
we
had
to
call
them
kind
of
constantly
to
the
drivers
to
check
on
their
status.
P
In
the
meantime,
my
housemate
had
discovered
the
missing
knives
and
started
texting
us
about
it,
singing
about
knives
loudly
in
the
hallway
and
sending
us
pictures
of
them
licking
a
plastic
knife
that
they
had
found.
I
felt
and
still
feel,
threatened
and
scared
by
my
housemate,
but
as
someone
who
was
pepper
sprayed
by
the
police
on
52nd
street
last
year
and
someone
who
knows
well
the
story
of
walter
wallace,
I
have
a
lot
of
fears
of
involving
the
city
or
the
police
in
a
situation
that
could
harm
me
or
leave
me
feeling
like.
P
I
had
blood
on
my
hands
if
they
harmed
my
housemate.
Who
is
black
and
queer
the
conversations
with
302
made.
It
seem,
like
I
wouldn't
be
seen
without
the
police,
and
without
stating
that
my
housemate
had
verbalized
specific,
violent
threats
against
me,
and
I
couldn't
do
that.
Ultimately,
the
crisis,
the
mobile
crisis
units
after
hours
of
us
waiting,
chose
not
to
come
because
we
wouldn't
say
those
magic
words
of
this
person
has
made
violent
threats
against
me
or
themselves.
P
They
had
lots
of
people
waiting
for
them
and
ultimately
decided
out
of
urgency
that
our
situation
wasn't
as
dire
as
others.
I
felt
I
had
no
real
help
or
support
from
the
city.
We
need
to
invest
in
mobile
crisis
response
dispatches
that
are
separate
from
the
police
and
co-responders
people
in
my
situation
are
worse,
should
not
have
to
deal
with
the
hours
of
not
knowing
what
to
expect
if
anything
when
they
call
302.
P
I
have
a
lot
of
anger
and
resentment
for
my
abusive
housemate,
but
I
also
don't
think
they
deserve
to
die,
and
the
city
needs
to
make
big
and
bold
investments
in
health
care
resources
that
include
mental
health,
and
we
could
do
this
if
council
moved
away
from
tax
cuts
that
they've
been
suggesting
to
conversations
about
how
to
tax
the
rich
and
have
them
pay
their
fair
share.
I
believe
health
care
should
be
a
human
right,
and,
if
it
was,
I
wouldn't
be
actively
being
traumatized
in
my
home
today.
B
J
Can
hear
you
well
hi
everyone,
my
name
good
afternoon,
members
of
city
council.
My
name
is
katya
perez
and
I
am
the
mass
liberation
organizer
at
reclaim
philadelphia,
I'm
here
to
testify
and
to
ask
a
city
council,
fully
fund
mobile
crisis
units
that
operate
completely
separate
from
the
police
department.
J
I
am
asking
that
you
all
commit
to
vote
no
on
the
correspondent
model.
I
am
asking
that
you
all
prioritize
the
well-being
of
the
most
vulnerable
among
us
in
philadelphia.
This
includes
black
brown
and
poor
philadelphians
returning
citizens,
immigrants
and
children
who
learn
from
an
early
age
to
fear
and
distrust
the
police.
J
J
20
years
later,
I
myself
was
in
a
very
toxic
relationship
that
turned
abusive
and
every
once
in
a
while.
There
were
episodes
of
violence,
intimate
partner,
violence,
domestic
violence
is
a
behavioral
health
issue
and
needs
to
be
addressed
by
a
trauma-informed
mental
health
specialist,
not
the
police.
J
I
described
during
a
previous
hearing
testimony
an
incident
on
broad
street
near
temple
university,
where
I
tried
contacting
emergency
mental
health
services,
but
there
was
no
one
that
could
help
that
wasn't
the
only
incidence
of
violence
where
I
desperately
needed
help,
but
I
knew
that
calling
the
police
was
not
the
answer.
There
are
several
reasons
why
people
will
avoid
calling
the
police
issues
of
immigration
if
anyone
in
the
household
is
on
probation
or
parole
if
there's
active
drug
use
in
the
household
when
people
are
in
crisis
and
they
need
to
help.
J
The
last
thing
we
want
to
worry
about
is
a
threat
of
arrest
or
death
by
cops.
I
asset
city
council
makes
sure
that
the
department
of
behavioral
health
and
intellectual
disability
services
has
the
investment
needed
to
be
well
equipped
to
handle
mental
health
crises.
Without
the
police,
we
need
to
make
sure
everyone
responding
and
in
facilities
are
trained
in
trauma-informed
practices.
J
We
do
not
need
a
correspondent
model.
We
need
fully
funded
mobile
crisis
units
separate
from
the
police.
We
need
a
department
of
behavioral
health
that
is
well
equipped
to
address
the
trauma
caused
by
poverty
incarceration
over
policing
and
white
supremacy.
We
need
healing
and
care
not
more
costs.
Thank
you.
B
G
G
I
know
that
the
question
has
been
posed,
that
of
who
do
philadelphians
want
to
see
when
they
call
9-1-1
for
help
when
a
mental
health
crisis
arises,
and
I
would
suggest
that
there
actually
is
only
one
answer
as
opposed
to
no
single
answer,
and-
and
that
answer
is
a
mental
health.
Clinician
that
the
the
answer
really
just
lies
in
appropriate
treatment.
G
It
doesn't
matter
if
it's
someone
who
is
just
a
grieving
widow
and
just
needs
help.
It
doesn't
matter
if
they're
simply
all
put
in
to
some
type
of
restraint.
They
are
handcuffed.
If
we,
you
have
a
police
officer
who
is
trained
somewhat,
they
may
be
willing
to
cuff
them
in
front
instead
of
in
back,
but
either
way.
G
And
anyone
who
is
a
parent
and
looks
back
in
the
photo
album
can
see
santa
claus
pictures
when,
when
a
child
is
an
infant
or
a
toddler
or
really
young,
that
just
being
placed
in
front
of
santa
claus
and
put
on
their
lap
creates
tears
and
and
fear,
and
it's
not
because
santa
claus
and
the
person
in
that
uniform
has
bad
intentions.
It's
actually
the
opposite.
But
it's
because
there's
something
tied
to
the
uniform
there's
something
tied
to
just
being
in
the
presence
of
something
that
you're
not
anticipating.
G
G
The
fact
remains
that
intentions
are
always
secondary
to
bias
and
in
times
of
crisis,
we
always
revert
back
to
what
we
know
on
an
instinctual
level,
and
I
just
don't
think
that
it's
anything
that
police
can
ever
be
properly
trained
for,
and
I
don't
think
that
it's
anything
that
the
average
civilian
and
citizen
can
be
prepared
for
when
they
see
a
holster
with
a
gun
on
the
side
or
a
taser
or
someone
in
a
cop
uniform.
It
just
doesn't
communicate
that
we're
here
to
help
you
and
mental
health
crisis.
B
I
could
not
agree
with
you
more,
thank
you
very
much
for
your
testimony
and
for
calling
in
today,
and
I
think
that
there's
agreement
across
the
board
that
we
do
not
want
to
criminalize
or
stigmatize
mental
health,
especially
since
it's
been
that's,
that's
been
the
pattern
so
much
in
the
past.
So
thank
you
so
much
for
being
here
with
us
today
and.
B
B
Okay,
there
being
no
further
questions
from
members
or
the
committee
and
no
other
witnesses
to
testify.
I
will
ask
if
there's
anyone
else
present
in
this
hearing,
whose
name
we
have
failed
to
call,
and
that
wishes
to
offer
testimony
on
the
bill
or
resolution
being
offered
today,
which
we
have
done
and
hearing
none.
I
want
to
thank
all
the
panels
and
witnesses
for
their
participation.
B
K
B
All
right
so
this
concludes
the
public
hearing
of
the
committee.
We'll
now
go
into
our
public
meeting
to
consider
the
action
to
be
taken
on
the
bill
before
this
committee
today,
madam
clerk,
would
you
please
call
the
role
to
take
attendance
members
that
are
in
attendance?
Well,
please
indicate
that
you
are
present
when
your
name
is
called
and
also
please
say
a
few
brief
words.
Madam
clerk.
B
C
B
B
Can
we
get
a
second
second?
Thank
you.
The
chair
knows
for
the
record
that
council
member
kim
seconds
the
motion
and
it's
been
moved
and
properly
seconded,
that
the
amendment
to
bill
number
210364
be
approved.
All
of
those
in
favor
of
this
motion
will
signify
by
saying
I
I
I
I
anyone
anyone
opposed
okay,
the
eyes
have
it.
The
motion
carries
and
the
amendment
to
bill
number
two
one
zero
three
six
four
has
been
approved.
B
A
B
Second,
the
chair
knows
for
the
record
that
council
member
again
seconds
the
motion:
it's
been
moved
and
properly
seconded
that
bill
number
210-364,
as
amended,
be
reported
from
this
committee
with
a
favorable
recommendation
and
further
move
that
the
rules
of
council
be
suspended
to
permit
first
reading
of
this
bill
at
the
next
session
of
council.
All
of
those
in
favor
of
the
motion
will
signify
by
saying
I
anyone
opposed
no
okay,
the
eyes
have
it
and
the
motion
carries.
B
This
concludes
the
business
before
the
committee
on
public
health
and
human
services
today
I
want
to
thank
everyone
for
attending
and
I
really
want
to
thank
everyone
for
providing
information,
having
a
open
dialogue
and
conversation
and
really
informing
council
and
the
public
regarding
the
co-responder
model,
and
also
the
crisis
intervention
units
which
are
very
much
needed
in
the
city
of
philadelphia.
Thank
you
so
much.
Everyone
for
your
attendance
have
a
great
weekend
and
please
be
safe.
Thank.