►
Description
Meeting of Council's Committee of the Whole to hear testimony on the following bills/resolutions: Bill Nos. 160170, 160171, and 160172 & Resolution No. 160180 regarding the FY2017 Capital Budget.
Testimony from:
Arthur C. Evans, Commissioner
http://phlcouncil.com/FY17-council-budget-center
A
B
2017
resolution
number
one
601
8,
o
resolution
providing
for
the
approval
by
the
Council
of
the
city
of
Philadelphia,
of
a
revised
five-year
financial
plan
for
the
city
of
Philadelphia,
covering
fiscal
year
2017
through
2021,
and
incorporating
proposed
changes
with
respect
to
fiscal
year
2016,
which
is
to
be
submitted
by
the
mayor
to
the
Pennsylvania
intergovernmental
cooperation
Authority.
The
authority
pursuant
to
the
intergovernmental
cooperation
agreement
authorized
by
an
ordinance
of
this
council,
approved
by
the
mayor,
On
January,
3
1992
bill
number,
1,
563,
a
buy-in
between
the
city
and
the
authority.
Thank.
A
You
missed
it
today.
We
continue
to
public
here
in
the
community
hole
to
consider
the
bills
read
by
the
clerk
that
constitute
proposed
operating
and
capital
spending
measures
for
fiscal
2017,
a
capital
program
and
a
for
looking
capital
plan
for
fiscal
2017
through
fiscal
2022.
Today
we
will
hear
testimony
from
the
following
departments:
behavioral
health,
Public,
Health,
Department
of
Human
Services
office
of
supportive
housing
and
mr.
sit.
The
first
person
to
testify
is
dr.
Arthur
at
them
Evans.
Thank
you.
C
Good
morning,
president
Clark
and
members
of
City
Council
I'm,
dr.
Arthur
C
Evans
Commissioner
of
the
Philadelphia
Department
of
Behavioral
Health
and
intellectual
disability
services.
Joining
me
today
is
David
Jones,
Deputy,
Commissioner
and
I'm
pleased
to
provide
testimony
on
my
department's
fiscal
year.
2017
operating
budget,
the
mission
of
the
Department
of
Behavioral,
Health
and
intellectual
disability
services
or
DBH
IDs
is
to
support
a
vision
of
recovery,
resilience
and
self-determination
for
individuals
in
need
of
our
services.
C
This
increases
primarily
in
the
health
choices,
behavioral
health
fund
and
is
attributed
to
a
tribute
to
a
projected
increase
in
the
enrollment.
Due
to
Medicaid
expansion
under
the
Affordable
Care
Act,
the
FY
17
operating
budget
request,
told
requests
of
1.6
million
includes
I'm
sorry,
1.6
billion
includes
thirteen
point:
nine
million
in
the
general
fund,
261
million
in
the
grants,
revenue
fund
and
1.3
million
three
bill;
I'm
sorry,
1.3
billion
in
the
health
choices
behavioral
health
fund,
the
DB
hid
s.
C
Twenty
four
point:
nine
million
is
in
class
one
hundred
one
point:
five
million
is
in
class
two
hundred
one
hundred
and
ninety
five
thousand
and
class
three
hundred
one
hundred
and
forty
five
thousand
and
class
four
hundred
and
1.7
million
is
in
class.
Eight
hundred
DBH
ideas
will
continue
to
focus
on
fundamentally
transforming
the
local
network
of
care
in
2017
and
FY
2017
un
initiatives
plan
for
this
fiscal
year
or
next
fiscal
year
include
the
following
addiction:
services.
Expansion.
C
This
initiative
will
expand
resources
for
persons
with
co-occurring
addictions
and
mental
health
issues,
including
the
following
components:
jail
diversion
and
trauma
recovery
interventions
will
swell
in
support
of
will
be
in
support
of
the
city's
increased
efforts
to
increase
pro-social
behaviors
and
provide
alternatives
to
incarceration.
This
project
significantly
expands
access
to
addiction,
treatment
and
case
management
services.
Pre
engagement
activities
are
designed
to
encourage
positive
growth
and
change
and
will
include
screening
peer
support,
family
engagement
and
outreach
services.
C
Early
intervention
assessments
and
psychoeducation
services
will
benefit
individuals
at
risk
for
of
developing
substance,
use
related
problems,
including
adolescents,
and
their
families.
Medication,
assisted
treatment
will
relink
incarcerated
individuals
with
community
methadone
clinics.
Medication
assistant
treatment
will
also
be
extended
to
opiate
addicted
pregnant
women.
Second
initiative
is
Children's
Services
transformation.
C
New
services
will
be
established
to
continue
the
transformation.
The
behavioral
health
service
system
for
children
and
families
in
Philadelphia
services
will
include
children's
mobile
crisis,
stabilization
teens
that
will
respond
to
children
and
youth,
as
well
as
their
families
and
foster
families
who
are
experiencing
emotional,
emotional
and
behavioral
health
emergencies.
These
teams
will
offer
in-home
as
well
as
school-based
supports,
including
short-term
therapy
recovery
planning
and
service
linkages.
C
Third
initiative
is
our
public
health
approach
to
trauma
an
array
of
community
based
trauma-informed
services
will
be
established
to
mitigate
the
impact
of
trauma
on
underserved
individuals,
families
and
neighborhoods
across
the
city
program.
Components
will
include
efforts
to
increase
trauma
awareness
and
promote
coping
skills
via
community
education
and
workshops.
C
Well,
they
will
also
include
trauma
reduction,
outreach
response
teams
that
will
work
to
reduce
the
spread
of
community
violence
via
conflict
mediation,
facilitating
service
linkages
and
conducting
community
trauma,
awareness
events
and
specialized
evidence-based
trauma.
Training
and
consultation
will
be
provided
to
our
behavioral
health
providers.
Community
organizations,
peers,
family
members,
courts,
parole,
probation
officers,
prisons
and
other
system
partners.
C
C
This
transformation
really
has
promoted
a
move
to
recovery
from
behavioral
health
challenges,
to
strengthen
the
resiliency
of
children,
for
children,
experiencing
social
emotional
problems
and
to
offer
individuals
with
intellectual
disabilities
opportunities
to
exercise
choice
and
self-determination.
In
terms
of
our
intellectual
disabilities
services
initiatives,
the
department
serves
approximately
7600
children
and
adults
with
intellectual
disabilities
annually.
Also,
the
department
serves
through
our
infant
toddler,
early
intervention
program,
6,400
infants
and
toddlers
each
year
and
in
2000
and
the
FY
15
we
serve
200
more
than
we
had
accommodated
in
previous
years.
C
In
closing,
we
appreciate
the
continuing
support
of
council
members
and
the
ongoing
efforts
to
highlight
behavioral
health,
as
well
as
intellectual
disability
issues,
and
to
secure
the
resources
to
meet
the
growing
demand
for
behavioral
health
and
intellectual
disability
services.
My
staff
and
I
welcome
their
opportunity
to
meet
with
council
members
at
your
convenience
to
engage
in
further
discussion
regarding
these
issues
similar
to
last
year.
I
extend
the
personal
invitation
to
you
and
your
staff
to
participate
in
our
mental
health.
First,
aid.
C
Yes,
yes,
we
have.
We
have
met
with
the
new
leader
of
the
that
office.
We've
had
internal
discussions
under
leadership
of
Eva
Gladstein
who's,
the
deputy
managing
director
over
the
Health
and
Human
Services
organizations
and,
and
so
I
think
we
are
poised.
We've
certainly
been
planning,
we've
been
doing
our
own
homework
and
research
around
Community
Schools
we've
been
thinking
about
how
the
behavioral
health
services
can
fit
into
that
model,
and
so
we're
poised
to
assist
Council
and
the
administration
and
making
sure
that
behavioral
health
is
addressed.
C
Yeah,
so
we
I
guess
I
should
put
my
comments
a
little
bit
in
context,
so
one
of
the
things
that
we've
been
doing
historically,
but
particularly
with
this
administration
in
the
school
district,
is
we
have
ongoing
relationships.
I
meet
with
dr.
heit
fairly
regularly.
We
one
of
the
things
that
we've
been
doing
to
your
point
about
demographics
and
needs
one
of
the
discussions
that
we've
been
having
is
how
do
we
take
the
resources
that
we
have
and
that
we're
investing
into
schools
and
targeted
in
the
areas
that
have
the
highest
need?
C
So
that's
a
conversation
that
we've
had
ongoing
even
before
the
the
discussions
around
Community
Schools
has
really
started
to
emerge
out
of
those
discussions.
We've
identified
certain
areas
of
the
city,
certain
schools
that
we
think
have
high
needs.
That's
obviously
information
that
we
would
be
happy
to
provide
in
terms
of
those
discussions,
and
so
you
know
I
think
we
have
a
good
sense
of
where
those
resources
should
be
directed.
But
you
know
at
this
point
obviously
we're
still
in
the
early
stages
of
trying
to
figure
that
out.
You.
C
A
B
C
A
All
right,
I
just
want
to
go
direct.
Okay.
Thank
you.
There's
another
issue
that
you
know.
Council
finds
itself
in
the
midst
of
them.
Some
people
didn't
think
we
should
be
involved
in
it,
but
we
are
this
whole
criminal
justice
reform
issue.
We
formed
a
special
committee
to
deal
with
that
and
has
all
aspects
and
individuals
and
stakeholders
involved
in
that
committee
have
done
some
very
good
work.
A
One
of
the
focal
points
of
that
is
obviously
alternatives
to
incarceration
and,
as
we
found
a
significant
I
have
to
tell
you.
This
is
what
you
do.
Significant
amount
of
these
individuals
have
mental
health
challenges
as
well
as
addiction
challenges.
Have
you
played,
or
will
you
be
in
a
position
to
play
a
role
in
a
very
aggressive
way
of
working
with
the
committee
and
see
jab,
which
is
sure,
and
also
as
a
part
of
the
MacArthur
grant?
A
C
The
answer
to
all
of
those
is
yes:
we
actually
spend
quite
a
bit
of
our
time
energy
resources
on
the
issue
of
the
interface
between
behavioral
health
and
criminal
justice.
In
fact,
I
probably
say:
I
spend
a
third
of
my
time
right
now
on
forensic
related
issues,
and
we
do
that
through
a
variety
of
means.
There
are
number
of
specialty
courts,
including
mental
health
court,
there's
treatment
courts
there
there's
amp
program
in
all
of
those
specialty
courts.
C
We
also
have
a
number
of
diversion
programs,
including
the
fur
program,
which
is
forensic
intensive
recovery
program
which
diverts
thousands
of
individuals
who
have
drug
addiction
each
year
out
of
the
criminal
justice
system.
Those
are
individuals
who
have
been
adjudicated
and
their
sentences
are
shortened
in
order
to
get
them
into
treatment,
which
is
a
better
setting
for
them.
So
there
are
any
number
of
those
initiatives
that
we're
doing
and,
as
you
develop
your
initiative,
we
certainly
can
be
a
part
of
that
and
can
support
your
efforts
around
that.
Okay.
A
Thank
you.
We
look
forward
today,
one
last
question:
I'm,
not
sure.
If
I'm
you're,
the
person
I
should
be
asking
in
significant
parts
of
my
district,
probably
other
districts
they're
like
these
houses
that
individuals
that
get
these
houses
and
they
have
individuals
that
come
in
either
to
name
on
the
street
halfway
houses
know
you
understand
what
I'm
not
sure
who
governs
the
placement
in
the
monitoring
of
those
particular
houses.
Sure
so.
C
What
you're
probably
referring
to
our
recovery
houses?
Yes,
then,
those
are
not
licensed,
they're,
not
regulated.
At
this
point,
we
fund
some
recovery
houses.
We
create
standards
for
those
houses,
they
operate
under
our
standards,
but
most
and
fund
about
20
a
little
over
20
recovery
houses
across
the
city,
but
there
are
in
fact,
probably
in
the
neighborhood
of
about
300
in
the
city
that
are
not
funded
by
us
and
therefore
have
no
contractual
relationship
with
the
city
or
with
our
department.
C
So
there
is
legislation
that
has
passed
at
the
state
level
to
have
deed
app,
which
is
the
the
state
agency
responsible
for
addiction
to
regulate
recovery
houses
they're
in
the
process
of
defining
what
a
recovery
house
is
and
putting
together
those
regulations.
Those
are
due
to
come
out.
Hopefully,
some.
C
C
A
C
C
E
C
E
Want
just
one
statement:
I
reckon
well,
thank
you
and
your
staff
for
all
the
work.
You've
done
your
time
with
the
city,
especially
regards
to
the
issue
of
autism.
As
you
know,
I've
been
a
strong
proponent
for
that
issue
and
your
work
and
the
support
from
not
only
funding
but
also
providing
resources
for
the
foot
up
autism
project
that
are
very
important
for
this
initiative
along
those
lines
and
the
council
president
talked
about
community
schools,
but
in
addition
to
community
school
were
also
discussing
pre-k
and
so
I'm
curious
from
the
perspective
from
your
office.
E
Has
there
been
any
involvement
and
discussions
and
reference
to
incorporating
opportunities
for
early
diagnosis
of
children
that
may
be
on
the
spectrum
autism
as
part
of
the
pre-k
initiative
by
the
administration?
As
you
know,
based
on
you
know,
your
work
in
your
office
as
well
as
participant
participating,
would
have
put
out
the
autism
project
and
our
hearings.
We
had
recently
that
one
of
the
best
ways
to
address
and
identify
children
who
may
be
on
the
spectrum
of
autism
is
that
early
diagnosis
from
curious.
C
C
Fortunately,
in
the
area
of
pre-k,
though
one
of
the
programs
that
we
operate
is
the
early
intervention
program,
we
screen
about
our
serve
about
6,400
children,
zero
to
three
in
that
program,
all
of
those
children
once
they
reach
the
age
of
sixteen
months,
is
screened
for
autism,
and
so
we're
able
to
identify
a
lot
of
children
at
a
very
early
age
who
are
on
the
spectrum.
The
one
of
the
things
that
the
the
early
intervention
staff
I
think
have
done.
C
A
really
great
job
of
is
continuing
to
expand
the
places
where
we
are
screening,
children
and
the
places
that
we're
touching
so,
for
example,
the
pre-k
programs
there's
a
connection
with
those
programs
and
that's
allowing
us
to
identify
more
children,
we're
in
the
health
centers
we're
working
with
the
Kulas
and
DHS
and
in
the
office
of
supportive
housing.
So
I
think
all
of
those
are
opportunities
for
us
to
not
only
identify
children
who
have
developmental
delays.
But
it's
also
because
of
this
Universal
screening,
an
opportunity
to
drive
to
identify
children
on
the
spectrum.
Thank.
E
I
just
hope
that,
as
part
of
this
pre-k
initiative
that
type
of
work
that
your
office
does
and
ruffridge
the
early
intervention
can
be
intertwined
in
this
discussion.
As
we
talk
about
expanding
pre-k
and
providing
more
opportunities
for
pre-k
providers
to
open
ditional
quality
slots
that
this
type
of
information
is
provided
in
those
daycare
providers.
E
However,
the
most
important
thing
is
getting
them
information
as
early
as
possible,
so
they
can
work
with
multiple
providers
to
help
provide
continuum
of
care.
Another
question
I
want
to
bring
up
to
you
and
it's
more
kind
of
an
update.
I
know
through
the
work
of
former
counsel,
Dennis
O'bryan
and
former
speaker.
The
house
who
I
saw
your
earlier
very
instrumental
in
introducing
getting
past
act
62
and
reference
to
making
sure
that
private
Shores
are
providing
services
for
families
that
children,
autism
spectrum.
From
my
understanding,
secretary
Dallas
has
been
in
conversations
with
insurance
companies.
E
C
So,
as
you
know,
X
62
requires
private
insurances
to
pay
for
the
first
30
plus
thousand
dollars
in
cost
for
children
who
have
autism
I.
Think
there
been
two
major
problems
of
first
big.
The
biggest
problem
is
that
meaning
the
insurance
companies
don't
want
to
pay,
and
we
think
that
that's
a
violation
of
the
parity
laws
and
then
the
second
problem
that
the
private
insurers
have.
My
view
is
that
they
don't
have
the
continuum
of
services
that
they
should
have
available
on
the
issue
of
parity
and
whether
and
getting
the
providers
to
pay
there.
C
There
have
been
a
number
of
challenges,
there's
actually
been
some
litigation,
I
am
through
CB,
h
and
joan
ernie
and
within
our
agency
there
have
been
ongoing
conversations
about
that.
The
conversations
right
now
are
about
insurances,
insurance
companies,
who
haven't
paid
where
we've
paid
and
our
ability
through
third
party
liability
to
recoup
those
dollars,
and
so
those
conversations
and
that
is
being
worked
through
now.
C
C
E
Went
to
the
coordination
of
benefits
exactly
exactly
okay.
One
final
point
on
seconds:
my
time
is
up
and
I
think
this
example
is
another
example
of
too
often
where
the
city
is
paying
for
services
that
others
should
be
paying
for
exactly.
It's
an
economic
issue
that
we,
as
taxpayers
in
the
city
of
Philadelphia
and
the
Commonwealth,
were
paying
for
services
that
private
entities
should
be
paying
for
stamps
and
too
often,
we've
seen
this
issue
in
multiple
scenarios,
which
ultimately
causes
a
problem
in
the
city
of
Philadelphia.
E
F
Let
me
say:
I
always
appreciate
your
availability,
your
good
work
and
the
good
work
of
your
department,
and
especially
looking
forward
to
our
hearing
on
Friday
May,
the
20th,
and
in
that
regard,
I
know,
you've
got
a
full
plate
and
there's
so
many
things.
But
let
me
just
ask
you
a
few
questions
and,
as
you
know,
I've
been
doing
these
community
meetings
and
Councilman
DOM.
Was
there
the
other
day
and
before
that,
councilman
Murray?
F
It
appears
to
me
that
our
city
right
now
kind
of
operates
in
silos.
I
think
there
was
a
drug
policy
in
the
80s
that
doesn't
seem
to
have
worked
out.
Well
and
now
we
have
our
prayer,
we
have
probation,
we
have
courts,
we
have
drug
treatment
court.
We
have
deceptive
police,
the
PHA
police,
all
kinds
of
stuff
going
on,
but
is
it
possible
for
your
department
to
provide
an
overall
guideline
of
the
appropriate?
You
know
kind
of
interactions
ensuring
that
people
are
properly
equipped
to
do
their
jobs?
F
C
Often
it
could
be
the
state
it
could
be.
Addiction
is
in
one
agency.
Mental
health
services
are
in
a
different
agency.
Children
are
often
in
different
agencies
and
adults.
Medicaid
is
often
separated
from
grants,
and
what
that
creates
is
exactly
what
you're
saying,
which
is
a
fragmented
approach
to
how
the
issue
is
dealt
with.
C
Think
in
terms
of
the
the
points
that
you
were
making
about
the
different
entities,
one
of
the
things
that
again
I
think
and
I
have
to
give
my
predecessors
a
lot
of
credit
for
this
because
they
set
the
stage
for
this
I.
Think
one
of
the
things
that
is
done
here
in
Philadelphia,
unlike
many
other
places,
is
that
the
behavioral
health
system
is
very
intentionally
integrated
into
lots
of
different
other
places.
So
you
know
I
mentioned
the
the
courts.
C
So
if
you
go
into
any
court
in
Philadelphia
any
of
the
specialty
courts,
there
is
a
behavioral
health
presence
and
people
who
are
both
providing
services
but
often
advising
the
the
judges
around
how
to
access
services.
If
you
look
at,
you
know
any
number
of
things
you
know:
police
are
Child,
Welfare,
DHS
or
oh
Sh.
C
F
They
have
narcan
for
their
police
officers,
indelible
County
and
none
for
their
police
officers
in
Philadelphia
and
and
so
we
have
a
lot
of
non
city
entities
that
if
they
were
to
cooperate,
I
suppose
I
think
they
don't
have
the
kind
of
expertise
that
your
department
has
that
if
you
could
get
the
the
temple
police,
the
housing
police,
the
you
know
to
at
least
in
in
some
level
of
guidance
and
cooperation,
I,
think
that
would
be
better
for
the
efficiency
and
addressing
the
problem.
Sure.
C
No
I'm
absolutely
agree
with
that.
We
are
looking
at
how
to
expand
narcan
availability,
and
this
is
an
area
where
other
entities
outside
of
our
entities
outside
of
us
that
are
very
involved
in
that,
for
example,
Philadelphia
Police
Department
has
narcan
available.
They've
had
over
a
hundred
saves
themselves,
and
we
have
some
efforts
at
expanding
narcan,
available,
I
think
in
the
next
fiscal
year.
We're
talking
about
at
least
by
700,
and
many
of
those
would
include
some
of
the
people
that
you're
talking
about
okay.
F
The
final
thing
I'll
talk
about
was
that
the
counties
and
the
reasons
come
up
I'm
just
going
to
kind
of
cite
some
things
that
I
kind
of
have
heard
on
these
community
meetings.
A
woman
has
private
insurance
she's
in
Chester
County.
Her
daughter
comes
to
Philadelphia
and
sometimes
comes
back
to
Chester.
The
provider
tells
her
your
private
insurance
won't
cover
the
treatment
you
need
to
get
public
assistance.
She
goes
the
drops
her
private
insurance
goes
to.
Public
assistance
gets
some
level
of
treatment,
her
daughter's
in
Philadelphia.
F
She
goes
to
get
services
and
they
tell
her
that
your
insurance
only
covers
Chester
County
contracted
service
providers.
You
need
private
insurance.
That's
one
example.
Example
number
two
is
a
person
comes
in
to
a
treatment
facility.
They
know
it's
him,
but
his
ID
expired
two
days
earlier.
No
services
no
come
in
we'll
get
your
ID
we'll
treat
you
in
the
meantime
just
know:
services
and
the
third
example
and
there's
like
a
lot
of
example.
I'm
sure
you
know
them
all
but
I'm,
just
bringing
up
for
clarity,
sake.
F
A
the
insurance
covers
a
detoxing
Monday
through
Friday,
so
someone
comes
in
on
a
Friday
or
a
Thursday.
They
can't
service
the
person,
the
person
may
be
heavily
drug
addicted,
and
this
is
the
chance
to
actually
you
know,
provide
the
service.
They
got
to
come
back
on
Monday
right
if
they're
going
to
come
back
on
Monday
if
they
come
back
on
Monday
and
they
haven't
used
drugs
for
three
days,
they're
not
eligible
for
services-
and
you
have
addressed
this
in
your
new
programs.
C
When
you
are,
when
you
have
public
assistance,
especially
for
your
behavioral
health
benefit,
it
is
tied
to
your
county
of
origin,
and
so,
if
you
live
in
Philadelphia
and
you
have
medical
assistance,
we
are
the
Behavioral
Healthcare
pair,
no
matter
where
you
show
up,
and
so
we
pay
for
services
for
individuals,
no
matter
where
they
are
around
the
state.
If
someone
in
another
county
comes
to
Philadelphia
and
they're
saying
the
insurance
won't
cover
them,
that
is
an
issue
with
the
payer
in
whatever
county
that
is,
and
I
would
think
that
that
would
be
a
problem.
F
F
C
C
We
can
certainly
talk
about
it.
Let
me
just
say
about
the
IDS
I
think:
that's
totally
unacceptable.
That
particularly
if
someone
knows
someone
you
know,
sometimes
provider
agencies
can
get
rigid
and
if
that's
the
case,
you
know
those
are
kinds
of
incidences
that
we
need
to
know.
There's
a
whole
initiative
to
make
sure
that
people
get
IDs
in
the
Gladstein
has
been
very
instrumental
in
doing
that
which
turns
out
to
be
a
really
important
issue
for
people
having
access
to
services.
D
You,
mr.
president,
and
and
welcome
dr.
Evans
and
Deputy
Commissioner
Jones,
dr.
Evans,
you
know
I
have
long
been
a
fan
of
your
longevity
and
your
commitment
to
the
field
of
behavioral
health
and
just
want
to
say
for
the
record
that
I
thank
you
for
the
leadership
that
you've
provided
to
this
very
important
department
in
the
city
of
Philadelphia.
For
so
many
years,
I
was
a
staffer
when
the
the
Estelle
Richman
was
here
and
cbh
was
a
concept
in
a
mind,
and
people
thought
she
was
crazy.
D
But
I
was
here
as
a
staffer
and
then
I
watched
a
work
that
she
did
as
our
secretary
in
Harrisburg
as
a
legislator,
particularly
from
a
home
health
care
perspective.
So
I've
long
been
an
admirer
of
your
work
and
just
wanted
to
say
that
I
want
to
turn
your
attention
to
page
7
of
14
of
your
testimony
and
you
provide
a
list
for
us
a
financial
summary,
and
these
are
the
know
it
yeah.
These
are
the
the
largest.
Let
me
see
if
this
this
page,
no,
it's
actually
page
11
of
14.
D
But
if
you
turn
to
page
13,
I,
really
love
the
staff,
demographics
that
you
laid
out
where
you
specifically
noted
the
number
that
were
african-american,
the
number
that
were
male
and
the
number
that
were
african-american
and
female,
and
so
my
ask
of
you
today
is
when
I
look
at
our
age.
D
for
example,
and
I
see
that
85%
of
their
workforce
is
minority
or
female.
Do
we
have
a
breakdown
of
the
number
who
are
african-american
minority
and
the
salaries
that
those
employees
meet?
D
C
Okay,
so
so
I
don't
know
that
if
we
have
to
drill
down
to
that
level,
but
I
can
find
out
whether
we,
whether
we
do
or
not,
but
just
from
my
knowledge
of
our
provider
system
I,
can
tell
you
that
in
the
behavioral
health
world,
the
overwhelming
majority
and
many
of
the
organization's
is
african-american
in
terms
of
staff.
So
and
many
of
them
are
african-american
women.
So
there's
sort
of
double
counted
in
terms
of
those
those
numbers.
So.
D
See
the
the
sort
of
pay
scales
right
and
and
what
the
what
the
positions
are
that
that
each
each
of
them
hold,
and
so,
if
we
say
you
know
it's
sort
of
an
executive
level,
how
many
executive
directors,
how
many
CFOs
and
that
that
information.
So
if
you
could
forward
that
to
the
council
president
for
distribution
to
all
members
of
council,
that
would
be
great
and
the
reason
why
I
asked
that
is
because
now
it
is
becoming
less
taboo
and
people
understand
that
challenges
associated
with
behavioral
health.
D
You
know
mental
health
is
not
something
to
be
ashamed
of.
We
too
need
to
from
a
management
perspective,
because
it's
also
a
big
business
and
so
as
I'm
thinking
about
those
who
are
receiving
the
support
and
the
services
and
that
truly
reflects
a
minority.
A
heavily
a
minority
constituency,
I'm
thinking
about
the
bench
of
providers
and.
C
D
D
Engineering
and
math,
and
we
look
at
the
lack
of
a
presence
of
african-americans
and
other
people
of
color
for
me,
if
you
don't
see
it
and
and
have
the
opportunity
to
experience
it,
you
never
know
that
this
is
a
particular
industry
where
you
can
add
value
so
one
day,
I
would
like
to
be
able
to
look
at
the
board
of
these
entities
and
and
see
a
person
of
color
from
Philadelphia
there.
You
know
who
who's
chairing
or
the
CFO,
who
learns
the
business
of
being
a
a
provider,
and
so
I
wanted
you
to
know.
C
C
Let
me
start
with
the
data
and
the
reality
right,
so
I
think
part
of
what
you
were
alluding
to
is
that,
even
if
you
have
an
organization
where
the
majority
of
the
employees
are
minority
members,
when
you
look
at
management
that
it
shifts
very
radically,
that
is
true
in
our
industry,
that's
intrude.
Watts
energy
is
true
in
our
industry,
not
across
the
board,
but
generally
generally
speaking,
I
think
there
are
a
few
things
that
we're
doing
to
to
try
to
deal
with
that.
C
One
of
them
is
that
we
have
a
whole
range
of
internships
within
my
agency,
so
we
have
interns
who
are
high
school
students
who
are
college,
bachelor's
level,
masters
prepared,
doctoral
level
and
postdoctoral.
We
have
people
from
public
health
from
law
from
from
obviously
from
the
behavioral
health
industries
and
in
fact,
one
of
the
things
that
I
get
early
on
in
my
tenure
is
to
create
a
joint
postdoc
with
University
of
Pennsylvania.
So
people
spend
half
of
their
time
at
University
of
Pennsylvania
doing
research
half
of
their
time.
C
In
my
agency
doing
policy
level
work
and
the
whole
idea
is
to
get
people
who
may
not
be
thinking
about
a
career
in
behavioral
health
interested
in
behavioral
and
I
can
say
we
I
did
this
in
Connecticut
and
the
person
who's
running
the
system
is
an
african-american
woman
who
came
in
in
a
similar
kind
of
arrangement.
So
I
know
that
that
kind
of
arrangement
works
and
the
other
thing
that
we're
doing
I.
C
D
I
know
the
Bellas
run,
mr.
president,
if
you
would
just
grant
me
just
30
more
seconds,
I
wanted
to
say
one
I
appreciate
that
and
if,
in
fact,
this
council
can
can
be
supportive
in
reaching
out
to
members
of
the
community
to
fill
any
of
those
internship
opportunities,
that
would
be
great.
Also
I.
Would
you
know
I'm
always
reminding
people
about
the
smaller
institutions
of
higher
learning,
and
you
know,
I'm
biased,
because
I
love
that
place
that
Langston
Hughes
and
Thurgood
Marshall
and
Nnamdi
Azikiwe
came
from
that.
C
D
E
C
D
D
It's
really
interesting
when
I
was
in
Harrisburg
council
president
opioids
and
heroin
addiction
is
now
is
now
getting
a
lot
of
attention
and
I
found
it
really,
because
some
of
us
have
been
hollering
about
those
of
those
challenges
for
for
many
many
years
and
now,
all
of
a
sudden,
even
in
the
Pennsylvania
House,
that
this
has
become
a
major
issue
because
it
had
been
reaching
communities
that
many
people
thought
were
exempt.
I
mean
I
literally
heard
things
from
time
to
time.
Like
you
know,
you
know
we,
you
know
we,
we
don't
have
that
it.
D
You
know,
though,
those
people
you
know
have
that
challenge,
but
now
it's
reached
into
communities
where
they
know
that
their
race,
ethnicity,
nothing,
exempts
you
from
the
horse
of
addiction
associated
with
opioids.
Now
it's
a
lot
of
attention.
I
haven't
heard
a
lot
about
this
thing
called
synthetic
joint
and
it's
no
I'm,
you
know
I'm
I
was
born
in
72.
Is
it's
called
synthetic
marijuana.
D
As
I
talked
to
some
providers,
particularly
a
friend
of
mine,
who
had
been
doing
work
in
West
Philadelphia
and
some
in
Northwest
Philadelphia,
they
sit
with
our
young
people.
You
know
they
are
seen.
Definitely
an
increase
in
the
level
of
overdoses
and
sometimes
deaths
with
young
people
who
are
consuming
this
so
I
know
my
times
up.
Mr.
president,
if,
on
the
next
round,
you
could
give
us
some
follow
up
about
that
trend.
That
would
be
helpful.
Sure.
Thank
you
for
your
patience.
Mr.
president,
Thank.
B
You,
council,
president,
well
good
morning,
good
morning,
sir,
how
are
you
hey?
You
know.
I
said
that
I
have
a
club,
a
general
question
and
I
try
to
understand
your
budget,
but
the
way
and
your
testimony
I
guess.
On
page
seven,
it
said
in
2016
the
budget
was
1.2
1
8
billion
roughly
and
in
2017
it's
one
point:
five:
seven:
seven
billion
it's
a
360
million
dollar
difference
which
is
pretty
much
related
to
the
increased
cost
in
the
Affordable
Care
Act.
That's
really
the
the
big
shot
there.
B
C
So
our
budget
has
been
proportionally
pretty
much
the
same.
You
know
for
the
last
couple
of
decades,
the
the
of
what,
if
you
take
this
year's
budget
1.2
billion
about
1%,
is
city
general
fund,
only
14
million
dollars
most
the
other
99%
of
our
budget,
comes
through
the
state
and
is
a
combination
of
state
and
federal
dollars.
C
C
C
340
million
will
be
from
the
health
choices
program
and
then
about
18
million
from
the
general
fund
that,
in
terms
of
the
increase
in
appropriation,
so
if
you
take
the
340
million,
where
we're
saying
that
is
primarily
due
to
anticipated,
increases
related
to
the
Affordable
Care
Act,
we
may
not
realize
all
that,
in
fact,
we
probably
won't
realize
all
of
that.
But
when
we
set
the
budget
we
try
to
target
the
that
the
maximum
that
we
may
potentially
get
through
those
increases.
So.
C
It
won't
cost
the
city
anything
different,
the
14,
it's
approximately
14
million
dollars
that
we
get
from
the
city
general
fund.
Almost
all
of
that
is
match
for
the
state
grants
that
we
get.
So
the
ratio
is
for
every
dollar
that
the
city
puts
in
were
able
to
draw
nine
dollars
from
the
state,
and
so
that
number
has
remained
relatively
consistent
over
the
last
ten
years.
C
It's
been
roughly
about
1415
million
dollars,
and,
and
so
the
city
isn't
being
asked
to
put
in
any
additional
dollars
in
order
to
draw
down
revenue,
and
so
that
remains
flat.
The
the
health
choices
funding
the
Medicaid
funding
is
different.
We
get
paid
on
a
capitated
basis,
which
means
that,
for
every
Philadelphian
and
for
every
Philadelphian
who
is
on
medical
assistance,
we
get
a
capitated
payment
or
per-member
per-month
payment
and
because
those
numbers,
the
number
of
people
who
have
medical
assistance,
is
going
up.
That's
why
we're
anticipating
an
increase
in
revenue
in
that
Sam.
B
E
Accounts
president
I
just
want
to
follow
up
on
the
comments
that
council
and
Parker
made,
and
also
when
I
thank
councilman
Oh
for
his
leadership
in
regards
to
the
opioid
issue.
I
had
a
chance
to
learn
about
this
issue
in
more
detail
when
I
had
a
chance
to
tour
some
of
the
method
on
clinics
with
rollin
land
from
your
office
and
really
got
an
understanding
of
the
issue
and
some
of
the
siting
and
locations
I
also
know
the
National
League
of
Cities
has
been
very
involved
and
trying
to
address
this
on
a
national
perspective.
E
But
one
thing
that
came
up
in
those
conversations
a
few
years
ago
was
the
issue
reference
to
sighting
of
locations.
I
know
that
your
office
have
worked
with
Lake
counseling,
junk,
reduce
games
and
spend
time
working
with
mint
and
references
cited
a
location
on
state
road.
But
then,
in
the
past
couple
years,
there's
been
additional
locations
that
are
opening
up
in
the
city
under
the
pain
management
perspective
and
I
was
somewhat
shocked
to
find
out.
They
did
that
they
did
not
have
to
even
contact
the
local
office.
E
No
your
office
to
even
let
them
let
you
know
about
this
location
main
opening
in
the
city
that,
although
they
got
proof
at
the
state
level-
and
it
was
a
real
disconnect
from
that
perspective-
has
there
been
any
change
in
that
regard
and
then
one
other
follow-up
question
I
had
in
reference
to
medical
marijuana,
as
you
know
that
legislation
recently
passing
it
was
acts
16,
cymatic,
governor,
wolf
and
I'm
gonna
be
looking
to
having
hearings
on
that
issue.
So
I'm
curious
from
your
perspective.
What
your
thoughts
on
that
as
well
sure.
C
Okay,
so
let
me
sort
of
clarify
the
difference
between
methadone
or
medication,
assisted
treatment
and
pain
management,
that
the
the
major
difference
is
that
the
pain
management
clinics
are
purportedly
designed
to
help
people
with
physical
pain
and
physical
challenges
that
they
may
be
having.
So
that
is
not
under
our
purview
at
all,
and
so
those
clinics
have
no
relationship
to
the
behavioral
health
world.
They
have
no
obligation
to.
Let
us
know
they
do
have
licensing
issues
that
they
have
to
deal
with:
medication,
assisted
treatment.
C
On
the
other
hand,
our
methadone
clinics
are
obviously
related
to
the
treatment
of
addiction,
and
when
those
programs
are
created,
they
are
not
required
to
come
to
us
most
often
they
do,
because
we
are
a
payer
and
most
often
to
be
economically
viable.
They
need
to
come
to
us
to
be
paid.
There
are
instances,
though,
where
a
couple
of
instances
where
providers
have,
because
they
can
go
directly
to
the
state,
get
a
license
and
then
open
up
shop.
C
There
have
been
a
couple
of
instances
where
those
programs
have
essentially
done
that
bypassing
us
and
but
for
the
most
part
providers
do
come
to
us
because
they
know
that
they
need
to
get
our
refunding,
get
our
funding
and
then
on
the
medical
marijuana
thing
so
yeah.
So
I'll
give
you
my
personal
view.
We
haven't
really
discussed
this
internally.
I
personally
believe
that
that
incarcerated
people
for
addiction
doesn't
make
any
sense.
So
I
am
a
big
proponent
of
decriminalization.
I.
C
Think
that
when
you
go
beyond
the
medical
use,
as
has
happened
in
other
places,
I
think
that
that
can
be
problematic
but
I.
Think
in
terms
of
you
know
the
kinds
of
restrictions
and-
and
you
look
from
state
to
state
there
are
the
the
level
of
restriction
are
different.
You
know
my
understanding
of
the
Pennsylvania
law
is
that
it's
a
little
more
restrictive
than
other
places
and
I
think
that
that's
probably
wise.
C
F
That
was
none
of
their
concern
and
basically
you
treat
our
folks,
but
we
don't
treat
your
folks
type
of
mentality,
and
now
it
just
seems
you
know
I
think
Bucks
County
has
more
deaths
from
drug
overdoses
than
Philadelphia
County
anyway,
it
just
seems
that
the
people
are
moving
back
and
forth.
You
know
Bucks
County,
Philadelphia,
County,
Camden,
County,
Bucks
County,
going
around
a
lot,
and
you
know
so
many
people
who
kind
of
tell
their
tales
one
way.
F
C
So
I
think
I'm
getting
the
the
underlying
gist
of
the
the
question.
I
think
that
the
issue
of
what
happens
when
someone
shows
up
at
the
door,
you
know
and
I
was
treatment
provider.
For
many
years
before
I
came
into
the
government.
You
know
my
position
has
always
been
as
a
practitioner
to
treat
the
person
address.
The
needs
figure
out
the
money
part
of
it
later.
C
I
think
the
idea
that
you
know
a
treatment
program
would
ask
someone
to
come
back
because
it's
Friday
is
absurd
and,
to
the
extent
that
we
have
provided
to
know,
one
of
the
things
that
roan
lamb
has
been
doing
with
our
providers
is
making
sure
that
you
know
we
don't
have,
or
they
don't
have
policies
like
that.
We
we
just
issued
an
RFP
yesterday,
and
you
know
in
that
RFP
we
specifically
wrote-
and
this
was
this-
was
for
mental
health
and
mental
health
and
addiction
services.
C
F
I
agree
with
you,
but
I
will
say
that
it
appears
to
me
that
there's
far
more
people
who
need
help
than
their
space
available-
and
you
know
the
provider,
they
need
to
pay
their
folks
and
pay
the
rent
and
everything
else
and
it's
you
know,
wouldn't
be
a
change
in
the
system
to
ensure
that
payment
is
made
available
for
services.
Seven
days
a
week.
I'm.
C
Oh,
they
will
get
paid,
I
mean
the
issue
is
not
that
they
won't
get
paid.
The
issue
is
that
for
administrative
convenience
they
have
reduced
hours,
they
would
do
staffing
and
and
I
get
why
providers
might
want
to
do
that
because
it
saves
cost.
But
the
reality
is
that
if
you
are
providing
an
addiction
and
to
your
point,
someone
who's
ready
today
may
not
be
ready
an
hour
from
now,
let
alone
two
days
from
now
and
so
I.
Think.
C
If
we're,
if
we're
going
to
have
a
responsive
system,
we
have
to
have
to
the
extent
possible
treatment
on
demand,
and
so
that
means
when
people
show
up
at
the
door,
they
should
be
admitted
and-
and
you
know,
we're
going
to
have
to
figure
out
how
to
make
sure
that
that
providers
can
afford
to
do
that.
But
I
think
it's
incumbent
upon
them
to
raise
the
issue
that
we're
not
able
to
serve.
People
are
showing
up
out
our
doors,
because
you
know
the
radar,
those
kind
of
things
I'm
willing
to
have
that
conversation.
C
D
C
B
Good
morning
Council,
my
name
is
Roland.
Lamb,
I
am
the
Deputy
Commissioner
for
the
Department
of
Behavioral
Health
mental
disability
services.
I
am
also
the
outgoing
director
for
the
office
of
addiction,
services
Councilwoman.
The
idea
of
synthetic
marijuana
or
k2
and
spice
have
been.
You
know,
prevalent
and
pervasive
for
many
years
now,
it's
becoming
worse
because
of
the
fact
that
the
manufacturers
of
k2
and
spice
have
adulterated
the
drug.
B
Initially,
it
was
problematic
because
there
was
no
identifiable
formula
or
chemical
makeup
for
this
drug
that
people
could
identify
in
terms
of
your
analysis
or
testing,
and
it
has
been
a
moving
target
in
that
respect
because
of
the
fact
that
people
been
able
to
actually,
in
some
cases,
get
the
drug
over
the
internet
and
made
it.
You
know
quite
available,
but
there's
also
been
adulterated
by
synthetic
cannabinoids
and
actually
feel
that
need
the
determination
of
k2
and
spice
is
being
synthetic.
Marijuana
is
really
a
misnomer.
We
should
call
it
what
it
is.
D
D
B
Did
it
designer
drugs
are,
as
in
actuality,
they're
about
32
chemical
combinations
that
people
have
identified
right
now
that
could
could
qualify
as
k2
and
spice?
We
have
a
problem,
but
the
we
have
a
people
problem
there's
more
than
a
drug
problem.
The
fact
that
we
have
you
know
folks
that
are
are
looking
for
alternatives,
looking
for
chemical
alternatives
and
finding
them,
and
you
know,
in
what
we
normally
would
not
say
at
non-traditional
places.
You
know,
is
the
problem
right
now.
B
We
have
a
lot
of
young
people
who
are
exposed
to
k2
and
spice,
and
we
also
have
a
lot
of
young
people
that
are
being
now
exposed
to
the
medicine
cabinet.
Where
they're
you
know,
they're
they're
experimenting
with
drugs
and
that
in
that
way,
we're
also
concerned
about
the
fact
that
we're
seeing
more
incidences
of
dextromethorphan
and
decedent's
in
the
city
of
Philadelphia
in
combination
with
other
drugs.
B
B
Don't
know
what
they're
all
what
I'm
trying
to
say
is.
Is
that
it's
just
not
one
drugs
anymore.
We
have
a
number
of
drugs
that
people
are
taking,
whether
it
be
benzodiazepines
whether
it
be
you
know,
opiates,
whether
it
be
amphetamine
type
drugs,
whether
it
be
alcohol
and
combination
with
all
the
above.
We
ever.
You
know
whether
we
have
dextromethorphan
whether
we
have
synthetic
cannabinoids.
D
Listen
I
want
to
thank
you
for
your
expertise
and
for
putting
that
valuable
information
on
the
record
for
us
and
dr.
Evans,
I
I
too,
need
to
say
thank
you.
I've
been
hosting
a
series
of
town
meetings
are
started
in
my
legislative
district
I've
continued
that
effort.
As
a
council
person,
we
host
these
meetings
in
every
region
or
wards
which
is
like
sort
of
the
political
address
that
we
will
give
them
and
your
office
has
always
been
there,
and
so
when
they
stand
up
to
sort
of
give
an
overview
of
the
office.
D
It's
one
of
those
offices
where
you
hear
people
listen,
but
when
they
go
back
to
their
table,
you
see
people
quietly
go
over
to
the
table
to
get
the
brochure
and
to
get
the
information
because
they
don't
want
to
stand
up
in
the
community
meeting
at
large
to
talk
about
the
need
to
connect
to
your
department.
So
I
want
to
you
know:
I
know
it's
tough.
Those
meetings
are
in
the
evening.
Your
people,
like
you
know
they
start
at
usually
at
7:00.
D
C
You
and
I
really
appreciate
you
mentioning
that,
because
you
know
the
department
has
really
tried
to
reach
into
the
community.
What
we
recognize
is
that,
if
we're
going
to
be
effective,
we
can't
build
little
treatment
programs
in
the
community
and
didn't
expect
people
are
going
to
figure
out
how
to
get
there
and
understand
the
services,
and
so
I
want
to
also
publicly
thank
my
staff
who
work,
weekends
and
evenings
after
they've
worked
the
long
day.
So
I
appreciate
you
acknowledging
that
so.
F
You
very
much
council
president,
so
just
kind
of
wrapping
up
now
so
I
I
do
for
for
the
people
who
may
be
listening
or
watching.
I
would
like
to
note
that
since
2000
there's
been
a
200%
increase
in
deaths
from
heroin
and
opioids
in
2014,
there
were
47,000
drug
overdose
deaths
about
half
from
heroin
and
opioids,
so
that
so
there
is.
Is
this
problem
and
we've
just
kind
of
legalized
medical
marijuana,
but
I
understand
that
you
cannot
get
medical
marijuana
until
after
there
has
been
a
failure.
C
You
know
what
I
have
not
looked
at
that
legislation.
So
I,
don't
know
all
the
ins
and
outs
of
it.
Well,
you
know
I'll
be
reviewing
it.
You
know
over
the
next
weeks
or
so,
but
I
don't
know
the
specifics
of
that
legislation.
What
I
do
know
is
that
in
comparison
to
some
other
states,
it's
a
little
more
restrictive
than
in
some
other
state.
So
I
just
don't
know
the
details
at
this
point.
So.
F
Me
personally,
I
would
just
think
that
there's
been
no
deaths
from
from
marijuana
that
I'm
aware
of
just
from
smoking,
it
medically
or
otherwise,
but
you
know
from
opioids,
which
are
very
addictive.
There's
just
a
lot
of
prescriptions.
Written
I
wouldn't
understand
why
wouldn't
is
leave
that
to
the
doctors
like?
Let
him
prescribe
this
or
prescribe
that
why
they
have
to
fail
at
the
opioids
before
they
get
medical
marijuana.
You
know
my
mother
is
95.
She
she
fell,
hurt
her
hip
and
she
has
opioids
right
now.
F
It
worries
me
a
lot
at
her
age
that
she's
getting
opioids
now
my
mother,
the
wife
of
my
father,
who's,
a
pastor
I,
cannot
imagine
her
smoking
marijuana
right
at
all,
but
I
would
prefer
her
smoking
marijuana
than
taking
all
these
bills
absolutely
laying
in
bed.
I
just
think
it
would
be
smarter,
alternative
and
I.
Just
wonder,
where's
that
legislation
in
the
state
sure.