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From YouTube: Special Committee on Gun Violence Prevention 3-2-2022
Description
The Special Committee on Gun Violence Prevention of the Council of the City of Philadelphia held a Public Hearing on Wednesday, March 2, 2022, at 1:00 PM to hear testimony on the following items:
211026 Resolution authorizing the Special Committee on Gun Violence Prevention to conduct hearings to examine our national youth mental health crisis and its role in the ongoing epidemic of gun violence.
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A
Due
to
the
current
public
health
emergency
city,
council
committees
are
currently
meeting
remotely,
we
are
using
microsoft
team
to
make
these
remote
hearings
possible
instructions
for
how
the
public
may
view
and
offer
public
testimony
at
the
public.
Hearings
of
council
committees
are
included
in
the
public
hearing,
notices
that
are
published
in
the
daily
news
inquiry
and
legal
intelligence,
sir
prior
to
their
hearings
and
can
also
be
found
on
phl
counsel,
dot
com.
A
B
A
A
Before
we
begin
to
hear
testimony
from
the
witnesses
we
have
for
today,
everyone
has
been
invited
to
the
meeting.
To
testify
should
be
aware
that
this
public
hearing
is
being
recorded,
because
the
hearing
is
public.
Participation
in
viewers
have
no
reasonable
expectation
of
privacy.
By
continuing
to
being
in
the
meeting,
you
are
consenting
to
being
recorded
additionally
prior
to
recognizing
members
for
the
questions
or
comments
they
have
for
witnesses.
A
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.
The
chat
feature
must
only
be
used
for
this
purpose,
and
I
want
to
take
a
moment
to
thank
all
of
my
colleagues
for
taking
time
out
of
their
schedule
and
participating
in
this
very
critically
important
issue.
It
has
become
almost
a
cliche
that
we
are
living
in
a
time
of
multiple
crisis.
A
A
crisis
of
racial
and
economic
inequality
I'll
add
to
that
a
crisis
of
mental
health,
particularly
for
our
youth.
As
an
elected
official
who
got
his
start
inside
as
an
anti-violence
activist,
I
have
worked
closely
with
youth
and
youth
serving
organizations
for
my
entire
adult
life.
I
have
never
seen
youth
mental
health
worse
than
it
is
now
pervasive
trauma
the
non-stop
toxic
dynamics
of
social
media,
the
extreme
social
isolation
of
the
pandemic.
A
Together,
these
factors
have
created
a
perfect
storm
for
youth
mental
health.
In
response,
health
leaders
have
raised
a
call
to
action.
In
october,
a
coalition
of
children's
health
care
associations
declared
a
national
state
of
emergency
emergency
in
youth,
health
and
youth
mental
health
in
the
assembly,
the
u.s
surgeon
general
issued
a
rare
advisory
on
the
devastating
effects
of
today's
challenges
on
youth
mental
health.
A
These
calls
to
action
are
essential
and
timely,
but
neither
of
them
address
the
record-breaking
level
of
gun,
violence
that
is
plaguing
our
nation
and
our
city
as
corbin
19
restrictions,
relax
and
the
weather
gets
warmer
too
many
youth
are
still
have
health
or
too
many.
Youth
are
still
held
captive
in
their
homes
because
unprecedented
gun,
violence,
too
many
youth,
are
repeatedly
traumatized
by
gun
violence
and
as
it
victimizes
them
their
families,
their
schools
and
their
communities
too.
Many
youth
do
not
have
a
model
for
conflict
resolution
that
doesn't
involve
a
gun.
A
We
know
for
a
fact
that
hurt
people
hurt
people
and,
ultimately,
when
our
young
people
are
shell-shocked
when
they
see
the
level
of
gun
violence
taking
place
in
our
communities.
If
they
do
not
have
a
way
to
express
themselves,
then
we
will
continuous
continuously
see
the
repeated
levels
of
gun
laws
that
we're
seeing
today.
A
I
look
forward
to
diving
into
this
very
critically
important
issue,
because
at
the
end
of
the
day,
we
must
make
sure
that
we're
doing
all
that
we
can
do
to
provide
a
bright
future
for
our
youth
at
this
time.
We're
going
to
ask
for
any
other
council
members
who
want
to
make
remarks
before
we
call
our
first
panel.
D
We
all
know
how
significant
and
wide-reaching
and
deep
this
issue
goes
and
no
one's
looking
for
miracles,
but
we
are
looking
for
advances.
You
know.
Last
year
the
children,
the
committee
on
children
and
youth
released
a
youth-powered
anti-violence
agenda
that
listed
a
number
of
priorities
around
mental
health
responses,
young
people
and
gun
violence,
and
that
those
were
put
forward
by
young
people
who
had
been
directly
involved
along
with
advocates
in
addressing
gun
violence
in
communities
and
through
the
year.
D
That's
why
we
worked
so
hard
with
cbh
back
in
2017
to
bring
social
workers
to
our
public
schools
institute,
what's
called
a
step
program,
but
you
know
it
should
be
notable
that
we
have
not
expanded
the
step
program
significantly
enough
and
they
have
not
been
specifically
tied
to
addressing
school
communities
that
are
deeply
impacted
by
gun
violence,
and
it
seems
clear
that
you
know
among
the
things
that
I
think
we
are
we
want
to
be
looking
for
today.
Is
that
not
only
do
we
have
a
crisis
among
our
young
people?
D
We
also
have
a
crisis
on
the
staffing
end
that
we
need
to
rethink
a
care
economy,
and
this
is
not
just
in
response
to
the
emergencies
that
are
happening
right
now.
Councilmember
johnson,
I
think
I've
said
to
you.
I
am
consistently
haunted
by
the
last
time
that
we
saw
a
significant
amount
of
gun
violence
in
our
city
prior
to
now,
and
that
was
in
2006
when
we
had
over
400
homicides
and
murders
in
the
city
of
philadelphia.
D
D
I
think
one
of
the
things
that
I
want
us
to
be
careful
about
and
to
be
thoughtful
about,
and
the
reason
why
this
hearing
matters
so
much
and
why
we
need
to
be
so
deeply
committed
to
it
is
that
if
the
gun,
violence
and
the
gun
number
the
homicides
go
down,
that
does
not
mean
our
commitment
to
this
issue
goes
down.
We
have
generations
of
children
for
whom
harm
has
been
caused
and
will
live
with
them
for
a
very
long
time
and
our
mission
as
an
as
a
city.
D
Of
deep
care
and
compassion,
but
if
you
just
even
want
to
think
from
an
economic
security
and
public
safety
standpoint,
we
have
actually
got
to
spend
the
next
15
years,
ensuring
that
the
young
people
of
today
are
cared
for
through
teenager
childhood
and
adulthood,
so
that
this
this
horror,
the
horrors
that
they
have
seen
over
the
last
two
years
do
not
continue
to
revisit.
So
our
system
does
need
to
change.
It
needs
to
change
dramatically.
D
We
need
to
expand
interest
access
incentives
for
people
to
pursue
work
in
a
care
economy
and
social
workers
in
therapeutic
services
and
mental
health
supports
and
counseling
and
school
counselors
psychologists.
This
has
got
to
be
the
work
of
our
city
right
now.
This
is
not
the
work
of
this
moment
in
response
to
crisis.
This
is
the
work
of
our
city
for
the
next
generation.
D
A
I
Good
afternoon
chairpersons,
kenyatta,
johnson
and
helen
kim
and
members
of
the
special
committee
on
gun
violence
and
the
committee
on
children
and
youth,
I
am
dr
jill
bowen,
commissioner
of
the
department
of
behavioral
health
and
intellectual
disability
services.
Dbhids
joining
me
today
is
dr
tamara
williams,
chief
clinical
officer
for
cbh
and
yolanda
hughes,
director
of
trauma
response
and
emergency
preparedness,
dbh
ideas.
I
Today
I
will
speak
about
trauma
and
the
significant
impact
it
has
on
individuals
and
communities
across
philadelphia.
We
have
been
committed
to
creating
a
system
of
care
that
integrates
trauma-informed
practices,
policies
and
environments.
Trauma-Informed
practice
recognizes
how
trauma
affects
individuals,
families
and
communities
and
recognizes
signs
and
symptoms
of
trauma.
Trauma-Informed
systems
can
not
only
respond
to
trauma,
but
can
reduce
re-traumatization
trauma
poses
a
significant
threat
to
the
overall
health
and
well-being
of
our
city.
I
Exposure
to
trauma
affects
all
pandemic,
related
isolation,
grief,
loss
and
disruption
to
services
and
routines
violence,
racism,
political
unrest,
substance
use,
disorder,
crises,
shelter,
insecurity
and
poverty.
These
are
just
a
few
of
the
contributors
to
trauma
that
are
faced
every
day
and
that
many
especially
black
and
brown
philadelphians
have
faced
over
decades
and
centuries.
I
I
Parents
are
anxious
and
afraid
to
allow
their
children
to
be
out
of
their
sight
and
are
using
apps
on
their
children's
phones
to
track
their
whereabouts
and
requiring
more
frequent
check-ins
due
to
high
anxiety,
bullying
and
threats
of
serious
bodily
harm.
Using
social
media
were
also
cited
as
pervasive.
I
This
is
the
time
to
assess
what
is
most
effective
and
expand.
What
works
to
bring
resources
into
the
communities
where
healing
occurs
and
with
strength
already
resides
and
to
ensure
ease
of
access
to
information,
knowledge,
skills
and
treatment
through
an
approach
we
refer
to
as
tech
tec,
dbhids
focuses
our
strategy
on
addressing
trauma,
achieving
equity
and
engaging
community.
I
We
do
this
by
prioritizing
initiatives
that
move
us
forward
on
these
domains.
There
are
a
number
of
resources
available
through
dbhids
community
behavioral
health
and
the
vast
provider
network,
and
we
have
been
sharing
information
on
strategies
and
partnerships
that
help
us
mobilize
supports
to
make
meaningful
connections
with
people
who
need
resources
and
treatment.
I
Our
list
of
trauma-focused
initiatives
can
be
found
at
dbhids.org
trauma.
We
are
actively
expanding
and
coordinating
our
services
to
address
the
current
needs
of
individuals
and
communities
and
to
prepare
for
the
effects
of
prolonged
trauma
that
can
be
anticipated.
As
we
move
forward,
there
are
37
trauma-focused
initiatives
and
our
coordination
and
integration
of
these
services
has
been
a
priority.
I
They
are
organized
into
a
continuum
that
includes
individual
intervention,
community-based
interventions,
web-based
resources
and
trainings
and
hospital-based
programs.
Initiatives
highlighted
today
are
evidence-based
or
informed
and
actively
proceeding
to
increase
ease
of
access
connectedness
or
to
expand
their
capacity
and
reach
individual
interventions
to
ensure
we
are
prepared
to
serve
children.
I
Before
pax
was
implemented,
there
were
only
three
agencies
that
specialized
in
pediatric
trauma.
Currently
there
are
approximately
115
active,
trauma-focused,
cbt
clinicians
across
22
locations
and
20
provider
agencies,
services
in
schools
delayed
by
the
pandemic.
This
year
we
were
able
to
more
fully
roll
out
the
new
continuum
of
supports
for
children
in
schools,
as
well
as
the
community
cbh
contracts
with
27
agencies
to
provide
intensive
behavioral
health
services.
Ibhs
in
242
schools
across
the
city,
ibhs
improves
access
and
quality
of
care
for
children
and
includes
individual
therapy.
I
Family
therapy,
individualized
services
by
a
behavioral
health
technician,
case
management
services
and
family
peer
services,
currently
serving
nearly
6
000
students.
Ibhs
providers
support
these
students
across
environments,
inclusive
of
home
school
and
community.
Ibh
providers
have
been
provided
additional
resources
by
cbh
to
ensure
availability
to
support
the
schools
and
communities
impacted
by
gun
violence.
I
Other
supports,
provided
by
dbhs
in
schools,
are
school-based
prevention
services.
These
services
are
being
expanded
to
support
the
intensive
trauma
that
that
continues
to
affect
our
children.
The
goal
of
these
services
is
to
support
philadelphia
residents
and
families
through
prevention,
education
and
policies
that
reduce
risk
factors
and
increase
protective
factors.
I
The
network
of
neighbors
responds
to
invitations
by
communities
in
response
to
trauma
and
utilizes
psychological
first
aid
and
post-traumatic
stress
management
to
trauma-informed
interventions
for
supporting
communities
impacted
by
trauma.
Since
september
2020,
the
network
responded
to
more
than
88
schools.
I
53
of
the
88
were
gun,
violence
related
and
the
others
were
in
response
to
a
range
of
stressors,
including
for
those
experiencing
traumatic
loss
in
the
wake
of
the
devastating
fire
in
fairmount,
because
the
network
of
neighbors
is
one
of
the
most
sought
after
and
highly
regarded
community
support
programs
and
because
we
know
that
communities
have
the
power
to
heal.
We
are
pleased
to
report
that
we
have
received
additional
state
funding
to
expand
the
network
of
neighbors
to
add
response
planners
and
community
trauma
responders
to
be
organized
in
regional
teams
for
increased
capacity
and
access.
I
I
In
267-233-4837,
2021
dbh
ideas
launched
a
public
awareness
campaign
titled
boost
your
mood.
The
campaign
brings
behavioral
health
resources,
including
wellness
tips
and
emergency
and
non-emergency
behavioral
health
phone
numbers
directly
to
the
community,
using
a
scannable
qr
code
or
by
going
to
dbhids.org
boost
boost.
Your
mood
includes
resources
from
phone
numbers
for
direct
and
immediate
care
to
an
anonymous
screening
to
help
people
understand
their
needs
to
information
about
specialized
care
for
children
and
families,
addressing
trauma
and
violence
and
resources
for
faith
and
spiritual
leaders
and
much
more
in
january
2022.
I
With
the
help
of
community
members,
we
created
a
trauma
palm
card
designed
to
provide
clear
information
to
the
public
about
how
to
access
both
individual
and
community
supports
the
card
is
the
first
of
a
series
of
palm
cards
that
will
both
inform
and
help
people
navigate
the
various
supports
available
based
on
specific
traumatic
events.
Our
communications
plan
includes
includes
providing
information
door
to
door
in
neighborhoods,
highly
impacted
by
poverty
and
crime,
and
also
through
collaborations,
with
our
city
agencies
and
community-based
organizations.
I
Palm
cards
and
communication
materials
are
now
easily
accessible
to
all
directly
by
clicking
the
download
campaign
materials
button
at
the
bottom
of
the
home
page
at
dbhids.org
boost
our
behavioral
health
training
and
education
network
bh
10
currently
provides
trainings
addressing
trauma
for
providers
and
others
300
philadelphia,
school
district,
counselors
and
behavioral
health
support
staff
received
training
in
november
of
2021
and
865
individuals.
Of
course,
a
variety
of
stakeholders
received
trauma
awareness,
training
in
fiscal
year
21..
I
Some
examples
of
the
trainings
offered
include
trauma,
trauma-informed
tools
and
support
for
recovery,
psychological
first
aid
and
a
racial
and
social
justice
series
trauma-specific
sessions,
hospital-based
programs
dbhids
also
provides
funding
for
trauma-specific,
behavioral
health
case
management
and
other
components
of
intervention
and
prevention
of
future
violence.
Through
the
healing
hurt
people
program
healing
her
people
provides
trauma-informed
case
management
services,
peer
mentoring
and
coordinates
referral
linkages
for
individuals
between
10
and
29
years
of
age.
I
In
addition,
dbhids
continues
to
support
the
efforts
of
the
cure
violence
program,
a
community-based
violence,
intervention
program
that
serves
individual
survivors
of
gun
violence,
dbhids
has
deployed
multiple
trauma,
supports
and
services
in
partnership
with
other
city-wide
trauma-related
efforts.
In
response
to
incidents
of
gun,
violence
across
the
city,
dbhids
has
connected
individuals
and
families
to
needed,
supports
and
has
helped
communities
to
heal
as
partners
in
the
overall
philadelphia
roadmap
for
safer
communities.
Citywide
strategy
dbhids
will
continue
to
be
a
solution-focused
trusted
partner
and
a
safety
net
for
the
city
of
philadelphia.
I
Thank
you
to
all
the
members
of
city
council
for
holding
hearings
on
this
very
important
issue.
We
hope
that
the
viewing
public
will
be
encouraged
to
connect
to
supports
as
a
result
of
this
platform.
Thank
you
for
the
opportunity
to
testify.
My
colleagues
and
I
are
available
to
answer
any
questions.
A
With
the
new
support
for
neighborhood
network.
Do
you
mention
after
keep
the
grant?
I've
worked
with
them
in
several
capacities
around
the
issue
of
gun
violence,
and
I
want
to
get
an
idea
of
staffing
to
date
and
what
their
staffing
look
like
in
terms
of
addressing
this
issue
on
a
citywide
level
and
then
also
in
terms
of
the
healing
hurt
people
initiative.
I
So
that's
a
that's
exactly
right
and
it's
a
it's.
I
think
a
important
distinction
so
that
everybody
who
is
who
is
exposed
to
trauma,
especially
children,
are
going
to
have
their
wellness
impacted.
If
you
think
that
this
from
a
population
health
perspective,
we
look
for
wellness
in
the
community,
the
community
is
being
bombarded
by
traumas,
particularly.
The
discussion
today
is
gun
violence,
and
that
is
a
significant
trauma.
I
I
The
schools
which
have
social
connectedness
that
was
disrupted
as
well
so
network
of
neighbors
is
one
of
the
examples
of
programs
that
are
effective
and
therefore
the
effort
to
scale
it
up.
The
program
is
unique,
and
I'm
going
to.
I
have
yolanda
hughes
here
who
is
the
director
of
the
program
who
can
explain
how
it
works,
why
it
is
unique,
why
a
scale-up
and
also
includes
built
into
the
program
sustainment.
I
A
Dr
jill,
before
yolanda,
come
on,
I'm
looking
forward
to
hearing
her
remarks,
how
many
staff
people
in
neighborhood
networks-
because
I
remember
when
I
was
working
with
them
and
in
point
breeze-
that
one
time
it
was
like
two
staff
rooms
for
the
whole
city
of
philadelphia.
This
was
about
two
years
ago
and
there
was
a
homicide.
We
had
a
meeting
at
wharton
square
apartment,
so
I
know
they
had
to
cover
a
wide
swath
of
area
with
a
high
demand
because
of
the
homicides
but
had
that
staff
grown.
J
I
Skills
to
the
community,
so
they
have
an
active
network
of
more
like
yolanda,
can
tell
you,
but
I
think
it's
more
like
50
that
are
available
in
the
community
that
have
been
trained
specifically
to
be
able
to
be
activated.
What
we've
done,
though,
is
taken
the
model
and
increased
it
by
four
times
so
that
we
can
regionalize
and
have
instead
of
one
team,
that
kind
of
covers
the
whole
city
be
able
to
have
several
teams
that
each
cover
a
region
of
the
city
are.
A
I
From
so
the
answer
is
both
so,
yes,
there
are
about
four
times
as
many
heart
there
will
be
once
we
get
everybody
on
board
they're
actively
recruiting
now
for
supervisors
and
for
staff
that
will
be
employed
by
the
city
and
then,
in
addition
to
that,
they
will
be
enabled
to
expand
tremendously
the
skills
and
the
that
next,
I
think
of
them
as
concentric
circles
of
skills
and
abilities.
And
then
what
you've
got
is
the
ability
to
blanket
a
system
and
you've
embedded
and
sustained.
I
Once
somebody
learns
a
skill,
it's
theirs
to
keep.
You
know.
Sometimes
you
drop
things
in
and
then
they're
gone.
You
know
you,
you
can't
you
don't
undo
skills
and
training
and
knowledge,
and
so
the
whole
premise
is
built
on
embedding
that
level
of
resilience
into
the
communities.
But,
yes,
we
are
increasing
the
staffing.
That's.
G
I
So,
in
order
for
us
to
do
something
on
the
scale
of
blanketing
the
city,
the
approach
was
to
regionalize.
So
we
would
we
thought
about
how
you
can
make
a
community
focused
and
have
increased
capacity
of
the
folks
who
are
hired
by
the
city
to
train
up
in
each
of
those
areas.
So
we
will
have
about
four
times
as
many
folks
once
everybody
gets
hired
on
and
then
they
will
be
be
training
additional
by
the
time
we
are
done
with
all
of
those
trainings.
G
Yes,
what
we're
looking
at
is
we
believe
that
the
community,
once
they
have
the
training
they
can
support
their
own
community.
Of
course,
with
you
know
our
guidance,
our
support,
our
technical
assistants.
So
by
regionalizing
the
city,
we
can
have
teams
doing
a
couple
of
things
one.
They
will
of
course
respond
to
any
traumatic
or
overwhelming
experience
in
in
the
community
two.
They
are
actually
building
connections
and
relationships
with
other
community
organizations,
whether
it's
block
captains,
whether
it's
any
organization,
is
working
to
support
the
community.
So
that's
another
function.
G
The
other
function
is
to
train
people.
What
we're
actually
working
on
doing
is
to
have
trainings
come
to
the
community,
so
have
trainings
in
that
particular
community.
Train
up
a
team
of
community
trauma
responders,
continue
to
work
with
them
and
to
support
them
so
that
when
a
situation
happens
in
their
community,
they
feel
skilled
enough
to
respond
to
it
and
call
on
us
for
technical
assistance
and
support
and
guidance.
G
A
And
I
want
to
add:
what's
the
timeline,
because
we
know
for
full
staffing
and
again,
I
know
y'all
are
receiving
a
grant
because
it's
about
to
get
hot
outside
right
and
one
thing.
I
believe
that
we
feel
that
as
a
city
is
that
we
know
every
summer
and
when
that,
when
the
when
it
gets
nice
outside,
we
see
an
increase
in
significant
gun,
violence
right
and
being
in
front
of
the
issue
from
an
offensive
standpoint,
I
believe,
is
probably
the
best
method
and
so
do.
A
I
have
a
timeline
on
ramping
up
on
the
staffing
strategy
for
additional
trainings
and
then
I
also
want
to
go
into
schools.
I
know
it's
mentioned
that
6
000
students
are
served
in
the
schools
right
and
then
obviously,
between
charter
schools
and
traditional
public
schools,
just
about
200
000
students,
right
and
so
separate
from
the
timeline
and
staffing
right
for
a
network
of
neighbors
want
to
get
an
idea
of
from
dr
jill
as
well
in
terms
of
how
we're
servicing
those
students
that
attend
public
and
private
schools.
A
Because,
ultimately,
I
believe
and
just
know
that
when
someone
comes
up
to
a
school
and
a
student
is
murdered
or
a
student
is
shot
right,
you
have
a
whole
school
right
now,
that's
in
trauma
right
and
you
have
children
around.
How
do
they
respond?
Do
they
respond
picking
up
a
gun?
Do
some
get
depressed
through
some
say,
I'mma
drop
out
of
school
because
I
don't
feel
safe.
A
G
Sure,
thank
you.
So,
regarding
our
timeline
with
hiring
individuals,
there
is
no
secret
that
is
difficult
to
find
staff
right
because
of
the
situation
that
we're
in
nationwide.
So
so,
regarding
our
timeline,
we
are
looking
at
the
option
of
building
up
teams
first,
so
we
would
have.
Let's
say
we
have
four
teams.
We
would
like
to
have
and.
A
G
G
Our
goal
is
to
always
invite
them
to
the
training
so
that
they
know
the
skills
of
how
to
respond
and
support
their
own
community.
So
it's
kind
of
like
very
intentional,
so
we
have
a
training
scheduled
in
april
on
april,
4th
through
the
7th,
where
we
have
been
putting
the
word
out
about
people
attending
the
training,
so
they
can
become
a
community
trauma
responder.
G
Once
people
are
a
community
trauma,
responder
we've
also
been
working
behind
the
scenes
of
organizing
different
clusters
throughout
the
city.
So
we
have
a
west
philly
southwest
philly
cluster,
a
south
philadelphia
clusters,
so
grouping
all
of
the
trauma
responders
together
so
that
one
they
can
know
each
other
two.
They
can
also
support
each
other
when
situations
arise
in
their
community
and
we
can
build
a
broader
connections
right
because
you
know
sometimes
things
happen
in
one
particular
neighborhood,
and
you
may
not
know
that
another
person
has
a
resource
or
a
connection.
So
that's
the
goal.
A
Awesome
awesome
I,
like
that
terminology
blanket
the
city
with
trauma,
support
because
we're
in
the
city
right
now
with
shell
shock,
all
of
us
young
people,
adults
as
well
waking
up
day
in
and
day
out,
we're
hearing
about
some
young
person
on
being
murdered
day
in
and
day
out,
regardless
of
the
circumstances.
So
thank
you,
dr
jill.
I
I
Emergency
departments
had
some
higher
suicide
presentations
than
they
had
in
the
past,
and
some
of
the
conditions
that
were
presenting
to
the
crisis
response
centers
were
a
bit
more
challenging
than
what
were
pre-pandemic.
So
we
saw
a
increased
strain
on
the
the
higher
acuity
services,
so
inpatient
psychiatry,
programs,
crcs,
etc.
For
for
kids.
I
So
with
that
in
mind,
what
we're
trying
to
do
is
connect
people
as
early
as
possible,
so
the
schools
are,
of
course,
a
great
place
to
do
that,
so
the
it's
not
just
the
the
programs
that
we
have
in
the
schools.
There
are
also
programs
that
the
schools
run.
There
are
prevention
programs,
there
are
outreach
programs
and
also
reaching
to
the
families,
because
they
are
the
greatest
opportunity
for
support
what
we
worry
about
and
what
was
alluded
to
some.
I
I
think
in
some
of
the
opening
comments
are
the
social
drivers
of
health
and
behavioral
health
or
the
social
determinants.
So
we're
talking
about
poverty,
we're
talking
about
housing,
insecurity,
we're
talking
about
food
insecurity,
we're
talking
about
employment
risks,
so
we're
looking
not
just
at
the
kids
when
it
comes
to
that,
but
the
families
and
so
dbhids
has
been
involved
in
looking
at
folks
that
we
serve
in
terms
of
making
those
connections
at
various
points.
I
So
having
those
questions
be
part
of
the
behavioral
health
assessment,
whether
it's
at
a
crisis
level
or
a
community
level,
what
is
going
on
in
terms
of
those
social
drivers,
what
is
their
situation
in
terms
of
housing?
Are
there
subsidies
available
for
those
individuals?
Are
there
connections
to,
and
referrals
and
link
linkages
to
job
opportunities,
etc?
If
there's
food
insecurity,
or
is
this
some
way
to
connect
them
up?
So
that's
that
is
all
part
of
our
overarching.
I
So
yes,
there's
a
there's
a
whole
algorithm
I'll
ask
dr
williams
who's
on
it.
Tamara
williams,
who
can
who
is
the
liaison
through
cbh
oversees
that
that
whole
process
can
help,
give
you
those
specifics.
But
yes,
absolutely
there
is
a.
There
is
a
continuum
for
how
we
get.
We
get
tapped
to
come
in
and
be
helpful
and
supportive.
L
A
Okay-
and
I
want
to
ask-
I
don't
know-
this
is
a
better
question
for
the
district
or
your
team
separate
from
the
student.
Are
we
addressing
the
school
as
a
whole
like,
for
instance,
john
bartram,
high
school?
I
was
just
there
in
my
district,
young
man
was
murdered
after
school
and
the
next
day
there
was
a
trauma
team.
A
I
think,
from
from
from
your
team
talking
to
the
young
people,
helping
them
process
their
feelings
based
upon
what
has
happened
the
day
prior
to
the
day
prior
to
the
presentation
with
the
young
man
losing
his
life.
Is
that
a
is
that
an
automatic
protocol
for
all
schools
or
the
schools
have
to
request
the
type
of
need
of
support
on
an
individual
basis?
And
then
also,
can
you
give
me
an
expert
opinion
on
when
there
is
a
murder
at
a
school?
A
L
There's
a
lot
there.
I
think
you
know
to
answer
your
first
question.
The
process
is
a
mixture
of
of
things,
so
there's
some
automaticity
to
what
gets
activated,
but
also
it
very
much
depends
upon
the
assessment
of
those
who
are
on
site
and
who
have
the
most
information
about
the
incident
that
has
occurred.
Sometimes
that's
the
principle.
Sometimes
it's
the
school
counselor.
B
L
That,
I
think,
tells
you
something
about
the
level
of
communication
and
collaboration
that
occurs
when
there
is
a
significant
incident
or
a
critical
incident
in
a
community
as
far
as
whether
a
school
should
stay
open
or
not.
When
there's
a
tragedy
again,
I
think
there
too,
it's
highly
dependent
upon
the
school
staff
and
the
principal's
sort
of
assessment
of
the
school
temperature
at
the
time.
L
A
Your
expert
opinion
be
because
I
know
on
one
end:
teachers
and
principals:
they
work
the
environment
right,
but
they
aren't.
They
don't
really
take
a
clinical
approach
right
regarding
impacts
of
trauma
on
young
people,
they're
just
assessing
the
environment
and
what's
actually
happening,
and
I
just
want
to
get
your
perspective
as
a
professional.
A
How
do
you
assess-
because
I
guess
the
point
I'm
getting
at
right
is
when
we
talk
about
gun
violence
and
mental
health
with
young
people
right
and
trauma
right,
they
have
to
process
it
some
way,
somehow,
rather
it's
home,
rather
than
school
and
they're,
going
to
figure
out
a
way
how
to
process
what
just
happened
on
their
own.
If
nobody's
saying
hey
wait
a
minute,
let's
take
a
look
at
you
know
as
a
school
environment.
L
L
I
Yeah,
no,
I
mean,
I
think,
we're
talking
about
it's,
not
it's
not
an
either
or
I
think
that
the
processing
has
to
happen
in
multiple
places,
because
the
person
lives
in
multiple
places
and
because
they're
carrying
that
stress
around
them,
wherever
they're
going,
and
so
they
absolutely
need
that
help.
The
concern
about
going
home
in
is
a
route
as
a
disruption
to
routine
and
to
support
system
that
you
know
exists
in
the
schools.
I
It
also
may
add
stress
to
parents
who
also
may
need
some
supports,
and
I
think
it's
maybe
not
the
best
time
for
kids
to
maybe
have
down
time
with
it,
going
on
social
media
to
address
some
of
the
concerns
or
the
need
to
process.
So
you
know,
there's
a
lot
of
factors
to
take
into
account
when
you're
looking
to
address
such
a
profound
impact,
but
we
we
need
to
bring
services
to
where
people
are
and
the
more
we
can
be
there
with
the
better.
Thank.
G
You
I
wanted
to
respond
to
your
comment
and
your
question.
I
just
wanted
to
add
a
few
things.
It's
very
important
for
schools
to,
as,
as
we
mentioned,
take
a
temperature
to
see
what
works
for
the
students
justin
when
we
have
supported
schools.
Schools
have
done
various
things
to
support
students
afterwards,
sometimes
they
reach
out,
they
consult.
G
Some
schools
will
have
the
school
open
but
they're,
not
necessarily
having
a
day
of
full
education
but
they're,
providing
a
space
for
students
to
kind
of
gather
and
to
talk
about
their
friend.
I
wanted
to
also
talk
about
staff,
so
the
network
of
neighbors
provide
supports
to
staff
that
work
in
the
school
as
well.
So
it's
not
just
the
students,
but
staff
have
been
impacted
when
something
happens,
so
we
definitely
work
with
the
school
to
support
the
staff.
How
can
we
support
the
staff,
because
the
staff
needs
support
in
order
to
support
the
students
right?
I
I
think
it's
a
good
moment
to
just
be
clear
that
when
we
talk
about
communities
it
may
be
neighborhoods,
but
it
may
be
a
school
as
a
community,
a
an
agency
or
a
place
of
employment.
Maybe
a
community.
You
know,
city
council,
amongst
yourselves,
you
actually
are
a
community
and
so
network.
Is
a
network
of
neighbors
responds
to
a
community
as
they
define
their.
A
There
was
a
report
some
time
ago
regarding,
and
I
think
dr
jill
in
the
last
hearing
you
touched
on
it,
but
I
just
want
to
clear
what
you
clarify
for
the
record.
There
is
a
report
by
one
of
the
local
media
outlets,
saying
the
city
of
philadelphia
has
a
lack
of
trauma,
counselors
right,
the
avp
actually
did
the
actual
report,
anti-violence
partnership
right.
Can
you
and
I
remember
your
response
and
that's
totally
not
the
case-
we're
we're
staffed
up,
but
can
you
clarify
where
we're
at
in
terms
of
trauma,
counseling
trauma,
counselors
support.
I
People
may
be
talking
about
folks
who
maybe
go
out
and
respond
directly
to
a
a
a
gun
incident
right
so
and
that
would
be
the
office
of
violence
prevention,
the
gun,
violence
initiative
and
we
get
to
have
to
help
mostly
to
make
the
connections
into
the
into
the
treatment
continuum.
That's
you
know
where
we
work
in
that
and
so
make
once
you
make
that
connection
in.
I
There
are
folks
who
work
on
the
ground
and
try
to
get
out
directly
to
to
the
to
the
kids,
and
I'm
not
sure
if
some
of
those
folks
are
saying,
there's
not
enough
of
them
within
their
own
groupings
and
it
there
may
be.
There
may
not
be
enough.
There
may
be
we're
we're
looking
at
that,
but
what
we're
trying
really
hard
to
do
is
close
the
gap.
This
is
one
of
the
things
we've
intensively
been
working
on
since
this
past
year.
I
We're
also
trying
to
close
that
gap
between
people
having
a
need
having
capacity
and
not
being
able
to.
You
know
that
that
doesn't
meet,
and
some
of
that
is
why
we
are
created
a
trauma
resource
card
that
was
built
by
getting
the
information
from
the
people
who,
what
lived
experience
to
say
it.
We
need
the
information
to
be
stated
this
way,
the
language
that
you
use
needs
to
be
like
this.
You
need
to
answer
these
questions
on
this
card.
Like
am
I
experiencing
trauma.
I
Is
this
thing
that
I'm
experiencing?
Is
that
trauma
related
and
then
what
am
I
supposed
to
do
once
I
once
I
make
that
connection
and
then
the
idea
of
the
door
to
door?
We
already
have
thousands
of
those
cards
distributed
by
connecting
up
with
oseps
and
others
who
are
out
there
distributing
and
then,
of
course,
to
make
sure
that
all
of
this
is
easy
to
find
on
a
website
the
the
whole.
If
you
go
to
the
dbhids
trauma
page
now,
it's
quite
different.
I
A
Can
you
I'm
gonna
wrap
up,
because
I
know
my
colleagues
is
waiting
to
ask
questions.
Last
thing
I
like
the
palm
card
approach
and
I
just
want
to
push
just
a
little
further
regarding
maybe
partnering,
with
like
power,
99
107.9
right,
because
there's
a
undercurrent
of
young
people
right
who
really
are
suffering
right
and
if
we
can
make
that
connection
to
that
generation,
maybe
some
of
those
media
outlets
that
they
are
actually
listening
to.
I
H
D
Kim,
thank
you,
mr
chairman.
Thank
you
so
much
councilmember
kenyon
sanchez.
I
do
appreciate
that.
So
I
wanted
to
ask
a
few
clarifying
questions
on
some
of
the
affirmative
outreach
to
violence
victims,
because
I
wasn't
entirely
clear
so
who
is
responsible
for
contacting
individuals
who
have
been
victims
of
or
exposed
to
gun
violence
within
a
specific
period
of
time
to
offer
trauma,
support.
I
So
when
there's
an
incident
of
that
sort,
the
office
of
violence
prevention,
the
gun,
violence
initiative-
they
are
the
ones
who
go
out
and
they
will
connect
us
in
as
needed.
We
are:
we've
been
called
in
a
fair
amount
to
make
the
connections
for
families
or
for
individuals
into
a
trauma,
trauma,
treatment,
opp
office
of
violence,
prevention,
yeah.
D
I
D
Who's
tracking,
whether
that
actually
happens
and
what
percentage
of
victims
actually
who
are
co,
what
percentage
of
victims
are
actually
contacted?
What
percent
are
contacted
within
the
10
days
and
then
what
percent
of
the
victims
who
are
contacted,
actually
connect
with
you
and
then
connect
with
trauma
services.
I
I
D
L
D
So
do
you
have
data
on
the
the
people
that
you
actually
serve?
I
know
that
ovp
may
have
data
on
people
who
are
contacted,
but
do
you
have
data
on
the
people
that
you
actually
serve
that
you're
able
to
share
with
our
committee
specifically
around
young
people,
and
just
you
know,
obviously
we're
not
interested
in
names
or
any
kind
of
specifics
that
would
violate
privacy,
but
a
little
bit
more
about.
D
C
D
I
We
we
could,
we
can
likely
get
numbers
of
folks
who
were
referred
to
us
from
ovp
and
then
we're
referring
to
the
network.
But
what
happens
beyond
that?
Would
it
would
be
depending
on
the
assessment
that
would
be
done,
what
the
needs
are
for
that
individual
are
and
then
they
would
be
entered
into
treatment.
I
What
I
can
tell
you
is
that
there's
nearly
six
thousand
that
are
treated
through
ibhs,
and
that
is
a
tier
three
level
so
which
means
that
the
schools
who
tend
to
do
the
tier
ones
and
the
tier
twos
felt
that
more
support
was
needed,
and
if
that
gives
you
some
sort
of
sense
of
the
need
at
that
level.
Now,
to
the
extent
that
someone
amongst
those
6
000
are
impacted
by
gun,
violence
or
impacted
by
other
issues.
I
I
don't
know
that
we
have
that
specific
level
of
you
know
personal
health
information
for
us
to
report,
but
maybe
some
aggregate
of
that
that
tamara
may
be
able
to
get,
but
I
think
it's
very
hard
to
tease
out
causes
because
everybody
is
so
affected
by
all
of
it.
So
it
someone
may
not
have
been
referred
specifically
because
of
gun
violence,
but
they're
also
impacted
by
it.
Nonetheless,.
D
I
think
one
of
the
reasons
why
I
asked
that
is
because
I
mean
I
think
our
young
people
are
suffering
in
general.
There's
no
question:
I
think
council
member
johnson
went
through
all
the
different
ways
in
which
young
people
are
suffering,
and
I
know
just
from
being
within
our
schools
where
we
have
324
teacher
vacancies.
That's
almost
10
000
kids,
without
a
teacher
in
the
classroom
every
day
and
then
you've
got
something
like
90.
D
You
know,
you've
got
a
huge
number
of
absences
that
occur
every
day
over
a
thousand
teacher
t
substitute
teachers
are
needed
every
single
day
in
our
public
schools.
Right
now,
that's
three
thousand
kids.
You
know
that
don't
have
like
a
regular
point
of
contact.
I
mean
it's
a
major
major
crisis,
so
there's
no
question
that
young
people
are
struggling
and
we
want
to
be
thoughtful
about
all
of
that.
D
I
Yeah
I
mean
some
of
that
depend,
so
it
depends
on
the
level
of
care.
I
think
the
impact
of
the
of
the
staffing
is
significant
across
the
board,
so
as
much
as
we
still
have
capacity,
there's
more
capacity
and
community-based
levels
of
care
than
in
some
of
the
higher
acuity
levels
of
care
where
chop
may
be
looking
to
be
referring.
I
For
example,
we
have
plenty
of
challenges
with
you
know,
stepping
up
there
was
just
a
bearish
light
at
the
end
of
the
tunnel
owners
getting
some
feedback
last
week
that
the
pools
were
increasing
in
terms
of
the
the
employees.
I
know
you
know
that
we're
hiring
up
our
mobile
crisis
and
one
of
the
providers
was
able
to
successfully
get
get
a
team
on
the
ground
and
another
provider
struggling
a
little
more.
So
this
it's
it's.
I
I
appreciate
your
comments
in
terms
of
the
data
and
being
able
to
appropriately
resource
based
on
what
the
needs
are
and
what
the
the
data
is.
Some
of
this
whole
approach
this
year
for
us
has
been
to
look
very
intensively
at
the
data
and
the
outcomes
and
what
works?
That's,
why
network
of
neighbors,
for
example,
is
being
scaled
up
because
it's
effective.
So
I
think
that
your
your
approach
makes
a
lot
of
sense
and
we
will
go
and
look
to
see,
there's
so
many
ways
in
which
people
get
access.
I
Sometimes
referrals
are
just
the
parents
are
not
ready
in
that
moment
to
to
engage
in
treatment
either
for
themselves
or
their
family,
so
they
take
information
and
then
we
may
not
know
when
or
if
they
connect
it
up.
So
this
it's,
it's
not
the
easiest,
since
there's
so
many
multiple
ways
that
people
enter
the
the
treatment
continuum
to
know
how
much
of
that
was
was
gun
violence,
but
we
certainly
would
be
willing
to
help
you
to
see
where
we
might
have
some
ability
to
add
to
that
understanding.
D
I
had
two
more
additional
questions,
so
what
you
know
similar
to
what
we
were
talking
about
that?
Actually
it
may
not
be
so
much
of
a
financial
issue
as
we're
seeing
right
now,
as
we
just
have
a
massive
shortage
of
of
people.
You
know,
and
so
I'm
curious.
This
is
not.
You
know
necessarily
immediate,
but
you
know
a
little
bit
as
we're
looking
ahead.
D
I
Here
so
we've
looked
at
all
of
that.
There
were
times
in
this
these
past
months,
when
either
testing
mandates
or
vaccine
mandates
created
possibilities
of
intense
vacancies,
or
when
there
wasn't
certainty
about
how
that
would
play
out.
It
definitely
brought
us
all,
together
with
the
providers
and
other
agencies,
to
understand
where
there
is
capacity
to
do
things
differently.
I
Schools
we've
incentivized,
some
of
it
is,
is
financial.
Some
of
it
is
looking
to
make
sure
we're
talking
about
full-time
jobs
with
benefits.
Some
of
it
was
looking
at
salaries.
There
have
been
hiring
bonuses,
there
have
been
retention
bonuses.
There
have
been
multiple
ways
in
which
the
network
has
attempted
to
provide
opportunities
for
providers
to
shore
up
their
workforce.
D
And
I
would
say
that
if
network
of
neighbors
has
150
volunteers,
we
should
be
starting
with
them
too.
You
know
that
they
could
get
training.
We
should
be
looking
at
what's
offered
within
ccp
what
it
would
take
to
get
degreed
opportunities
and
that
we
should
be
looking
at.
You
know,
individuals
who
are
already
like
deeply
engaged
on
this,
so
absolutely
we'll
continue
to
be
partners
with
you
on
it.
D
You
know,
obviously
we're
deeply
interested
in
supplying
all
of
our
areas
of
great
need,
but
I
also
think
it
taps
into
a
lot
of
people's
desires.
Right
now
to
be
helpful.
You
know
if
there's
one
thing
that
that
did
also
crop
up
amidst
this
terrible
pandemic:
it's
mutual
aid
programs
and
caring
groups
and
others
that
really
tried
to
look
out
for
one
another
and
if
there's
any
way
to
tap
into
any
of
that
and
continue
to
expand
it.
That
would
be
interesting.
D
I
Oh
so
again
the
that's
the
office
of
criminal
justice
that
has
is
standing
that
up.
So
it's
not
behavioral
health,
particularly
that's
standing
that
up
but
they're
moving
that
along,
as
I
understand
it
quite
nicely,
and
it's
going
to
roll
out
pretty
soon.
Our
role
in
that
is,
I
don't
know
if
someone
was
answering
that,
but
our
role
in
that
is
that
we
are
partners
with
that
and
ready
and
able
to
receive
any
behavioral
health
needs
that
come
through
that
pipeline.
H
Can
you
speak
to?
How
are
we
holding
the
provider
network
accountable?
You
know
when
you
hear
all
of
you
talk
about
this.
It
seems
like
it's
seamless,
but
I
think
what
councilmember
again
was
saying
what
we're
all
saying:
it's,
not
seamless
for
families
right.
This
is
the
ideal,
the
aspirational,
but
we're
not
there.
So
can
you
speak
to
me
about
lessons
learned
around
school
opening
this
year?
H
What
are
some
of
the
things
we've
learned
that
we
want
to
change
to
ensure
that
providers
are
in
school
buildings
in
august,
when
principals
are
there,
that
staffing
is
online,
that
all
of
the
things
are
in
place,
so
that
again,
this
is
the
second
year
it's
a
covet
year
for
some
people.
This
is
new,
speak
to
me
a
little
bit
about
what
we're
going
to
do
different
next
year
around
this
work.
H
I
I
Among
you
know
the
the
leah
zones,
the
schools
and
the
the
ibhs
providers
is,
is
pretty
key.
Some
of
the
staffing
issues
were
plaguing
some.
They
were
plaguing
the
the
providers
differently.
Not
everyone
had
the
same
challenges,
but
they
ultimately
all
ensured
that
every
member
that
was
referred
to
them
received
services,
which
was
really
key
and
was
great
to
be
on
that
side
of
it.
L
Yes,
that's
right.
We
are
in
the
process
of
collaborating
with
the
school
district
and
have
also
gotten
some
supports
from
city
council
as
well
to
be
able
to
put
together
a
survey
so
that
it
speaks
to
you
know.
Essentially
how
do
people
think
things
are
going
in
terms
of
delivery
of
treatment
via
ibhs
programs?
L
I
think
the
other
thing
that
we've
done
to
sort
of
lessons
learned
is
making
sure
that
everyone
who
needs
it
has
contact
information
for
the
right
people
so,
for
example,
at
cbh
one
of
the
groups,
that's
important
for
people
to
know
about
at
the
school
as
well
as
our
providers
is
the
cph
consultation
liaison
team.
So
we've
made
sure
that
everyone
has
the
contact
information
for
that
as
well.
H
So
I
want
to
go
back
to
accountability
to
providers
and
I
look.
I
appreciate
the
parents
have
a
responsibility
and
young
people
do,
but
ultimately
they're
people
in
a
system
being
paid
to
do
some
of
this
work.
So
I
want
to
go
back
to
you
know,
and
I
think
you
know
if
it's
not
measured,
it's
not
managed.
H
H
Has
some
of
the
language
access
to
access
skills,
because
I
know
that
for
some
providers
this
new
model
is
different
right
and
so
people
try
to
adapt
to
this
model,
but
that
some
people-
maybe
this
is
not
the
work
that
they
should
be
doing.
So
how
are
we
going
to
grade
these
providers
so
that
we
can
compare
them
all
things
being
equal?
They
never
are.
How
do
we
built
in
incentives
right
and
you
know
how
do
we
assure
that
there's
equity
in
this
provider,
space.
I
So
one
thing
I'm
going
to
speak
to
in
tamra,
you
can
say
some
more,
but
they
are
held
accountable
to
the
standards
that
the
state
has
set
for
ibhs.
So
there
is
information
that
lets
us
know
whether
they're
they're
able
to
you
know,
meet
those
standards
and
meet
them
appropriately.
I
think
the
feedback
from
the
parents
and
from
the
the
school
or
from
the
principals
are
is
meant
to
be
another
way
to
know
that
the
customers
are
satisfied
with
what
is
being
provided,
but
as
far
as
holding
them
accountable
for
meeting
the
standards.
I
H
I'm
looking
for
an
easy
way
for
users
for
elected
officials.
For
all
of
us
to
say
this
is
a
good
provider.
These
are
the
standards
by
the
state.
Here's
a
report
card
so
that
if
a
parent
or
a
user
or
principal,
is
not
satisfied
because
a
person
is
not
meeting
those
standards.
You
know
this
is
supposed
to
be
a
choice
matter
right,
so
I
know
in
the
selection
of
providers
all
the
schools
were
consulted,
but
not
everybody
got
to
make
decisions.
So
to
me
it's
like.
H
I
want
to
hold
folks
to
a
standard,
but
I
also
want
it
to
be
transparent
and
clear
to
parents
and
users
of
provider
capacity,
strengths
weaknesses,
so
that
they
know
what
they're
measuring
it
against
right.
You
ask
a
parent,
a
survey
and
you
check
off
a
box,
and
you
ask
the
questions
in
a
very
limited
way.
They
don't
know
what
they're
entitled
to
right.
They
don't
know
what
those
providers
are
supposed
to
provide
as
part
of
that
tier
three.
So
how
do
we
like
connect?
H
L
So,
for
example,
a
you
know,
confidential
area
in
space
to
provide
therapy
and
so
forth,
and
so
we
do
monitor
that.
That
is
being
adhered
to,
that
that
that
agreement
is
being
adhered
to.
The
other
area,
where
there's
accountability
is
just
in
terms
of
straightforward
service
delivery.
So
are
they
actually
providing
individual
therapy?
Are
they
providing
family
therapy?
H
Okay,
we'll
continue
this
conversation.
I'd
I'd
like
to
find
a
way
after
this
year
to
get
you
know
some
feedback
from
principals
about
again,
what's
really
happening
and
again
you
know
some
of
the
staffing
that's
on
the
ground
is
very,
very
good.
Others
are
very
inexperienced.
You
know
my
experience
and
my
conversations
with
principals
is
that
there
is
an
inconsistency
across
the
board
and
again
it's
a
new
program,
and
so,
as
someone
who's
advocating,
I
want
to
see
it
work.
H
I
just
want
to
get
to
standards
that
are
a
little
bit
clearer
for
the
average
person
to
to
be
able
to
see
and
monitor,
and
so
in
this
survey
for
principals.
Maybe
there
should
be
a
space
for
a
full
evaluation
for
principals
about
what
they
received.
You
know
how
the
provider
adapted
to
their
school-based
reality,
based
on
the
fact
that
some
schools
had
much
more
issues
than
others
and
that
that
that
feedback,
you
know,
be
real
transparent
for
the
selection
of
you
know.
H
Potentially,
if
principals
want
to
make
changes
to
providers,
you
know
who
haven't
met,
you
know
some
basic
standards
again.
You
know
this
is
really
hard
work.
I
think
councilman
johnson
said
some
people
didn't
want
to
show
up
to
certain
areas.
I
for
sure
some
of
my
schools
in
kensington,
thank
god
every
day
that
people
just
show
up
with
all
the
challenges
that
are
there.
H
But,
notwithstanding
that
you
know,
I
want
to
make
sure
that
these
providers,
who
are
again
we're
investing
millions
of
dollars,
are
either
meeting
that
threshold
for
principals
or
they're
not
and
if
they're,
not,
then
that
you
know
we're
not
waiting
five
years
to
say
this
is
a
bad
provider
or
this
provider
match
does
not
work
in
these
schools
because
of
what's
on
the
ground.
The
other
thing
that
I
you
know
challenge
us
to
think
about.
H
With
some
of
these
some
of
the
you
know
the
folks
lived
experience
that
are
working
with
us.
You
know
what
is
the
possibility
of
some
of
the
connectivity
between
some
of
them
and
some
of
these
providers
with
some
of
the
work
that
they're
doing
right,
because
again,
people
need
trusted
messengers
during
this
time.
People
don't
trust,
and
you
know
to
to
the
extent
that
some
of
these
grassroots
initiatives
that
you're
doing
are
having
a
better
yield.
H
I
know
how
many
millions
and
the
effort
that
has
gone
into
this,
but
the
system
has
to
work
and
it
has
to
be
seamless
for
everybody
for
the
person.
Who's
least
informed
has
to
feel
like
this
is
a
seamless
process
for
them,
and
you
know
navigating
27
programs
is
quite
difficult
right,
and
so
I
just
want
to
make
sure
that
we're
doing
the
best
and
the
way
to
do
that
is
to
really
manage
the
data
which
providers
are
providing
what
it.
What
interventions,
how
many
hours
of
services
all
of
the
all
the
thresholds?
H
Hopefully
you'll
get
out
this
spring
to
visit
some
of
the
schools
and
look
at
some
of
these
programs
as
they're
operating,
because
you
know
it's
always
good
to
see
right
and
to
talk
to
principals,
as
I
said
in
students
directly
about
how
how
they're
measuring
the
program
impact.
So
thank
you,
ladies,
so
very
much
for
your
efforts.
Thank
you,
mr
chair.
I
B
A
A
C
Sure
and
good
afternoon,
everyone,
my
name
is
adidi
bassin,
I'm
a
pediatrician
at
children's
hospital
of
philadelphia,
a
researcher
at
jobs,
policy
lab
and
center
for
violence
prevention.
My
research
really
focuses
on
understanding
and
addressing
social
determinants
of
health,
to
promote
health
equity
for
children.
I'd
like
to
thank
councilmember
johnson
and
the
entire
special
committee
on
gun
violence
for
the
opportunity
to
speak
to
you
today
regarding
youth,
mental
health
and
the
gun
violence
crisis
here
in
philadelphia.
C
I'll
start
by
discussing
my
experiences,
caring
for
children
exposed
to
gun
violence,
review
findings
from
a
recent
study
that
conducted
on
the
mental
health
impacts
of
violent
exposure
and
then
outlined
some
policy
recommendations
for
supporting
children's
mental
health
and
reducing
their
exposure
to
gun
violence.
But
I
wanted
to
begin
with
a
patient's
story.
C
She
told
me
her
symptoms
began
after
one
of
her
classmates
in
school
was
killed
in
a
shooting,
and
she
said
that
she
no
longer
felt
safe
anywhere
in
her
home
in
her
neighborhood
or
at
her
school.
She
was
surrounded
by
reminders
of
her
classmate's
death
and
felt
overwhelmed
by
her
grief
and
afraid
for
her
own
life.
C
This
encounter
was
heartbreaking
and
it
stayed
with
me
as
a
pediatrician.
I
work
hard
to
keep
my
patients
healthy
and
to
protect
them
from
harm.
That's
why
I
recommend
vaccines
for
infants,
and
I
tell
children
to
wear
my
comments,
but
in
this
case
I
really
felt
powerless
unable
to
protect
my
patient
from
the
gun,
violence
in
her
community
and
its
threats
to
her
physical
and
mental
health.
C
We
all
know
that
gun
violence
is
an
epidemic
for
children
living
in
philadelphia.
There
are
more
than
1800
shootings
in
the
city
during
2021
alone,
and
each
of
these
shooting
victims
had
friends,
neighbors
and
family
members
who
were
also
affected
at
our
top
primary
care
clinic
in
cobbs
creek
70
of
clinic
patients
living
in
philadelphia
had
one
or
more
shootings
on
their
block
in
just
the
past
three
years.
C
So
my
experience
is
caring
for
these
children
motivated
me
to
work
with
two
great
mentors,
dr
joel
fine,
who
is
the
co-director
of
chop
center
for
violence
prevention
and
dr
gina
south.
The
faculty
director
of
the
penn
urban
health
lab
to
study
the
effects
of
gun,
violence,
exposure
on
children's
mental
health,
and
we
did
a
study
in
which
we
basically
mapped
all
shootings
in
west
southwest
and
south
philadelphia
between
2014
and
2018,
and
then
look
to
see
how
frequently
children
living
in
the
surrounding
blocks
came
to
the
trap.
Emergency
room
with
mental
health
related
symptoms.
C
And
what
we
found
was
that
in
the
two
months
following
a
shooting,
children
in
the
surrounding
four
to
six
blocks
were
almost
twice
as
likely
to
come
into
the
er
for
mental
health.
Symptoms.
Things
like
anxiety,
depressed
mood,
insomnia
and
intentional
self-harm,
and
this
association
was
strongest
for
children
within
two
to
three
blocks
of
the
shooting.
C
Fortunately,
there
are
proven
policy
solutions
that
can
help
reduce
gun,
violence,
exposure
and
protect
children's
mental
health,
and
I
think
some
of
these
include
evidence-based
public
health
interventions.
Things
like
safe
gun,
storage
and
background
checks,
place-based
interventions
like
home
remediation
and
vacant
lot.
Greeting
and
hospital-based
violence
prevention
programs
like
chops
violence,
intervention
program
and
drexels
helping
hurt
people,
among
others,
reducing
neighborhood
gun
violence.
C
Exposure
is
particularly
urgent
now,
as
you've
heard,
given
the
surge
in
depression
and
anxiety
symptoms
among
teenagers
during
the
pandemic
and
as
you'll
hear
from
my
child
colleague,
dr
rhonda
boyd
who's,
also
testifying.
There
are
also
disparities
in
the
mental
effects.
Mental
health
effects
of
the
pandemic.
Suicide
rates
of
black
young
people
have
increased
significantly
since
2019,
and
I
share
and
echo
her
concern
that
the
mental
health
needs
of
youth
of
cholera
are
being
missed
as
clinicians.
C
So,
in
conclusion,
my
clinical
experiences
as
a
pediatrician
have
shown
me
that
living
near
gun
violence
can
have
far-reaching
impacts
on
children's
mental
health
and
with
our
research,
we've
shown
that
mental
health-related
symptoms
severe
enough
to
require
an
emergency
room
visit,
can
occur
within
days
of
exposure
to
gun
violence
and
can
last
for
weeks
to
keep
children
safe
and
protect
their
mental
health.
We
must
first
and
foremost
reduce
the
number
of
guns
in
local
communities.
C
Gun
violence
is
a
public
health
crisis
and
philadelphia's
children
are
suffering,
so
we
really
have
to
work
together
to
protect
and
care
for
these
children
and
their
families
and
keep
them
healthy
and
safe.
Again,
I'd
like
to
thank
you,
council,
member
johnson,
for
the
invitation
to
testify
and
city
council
for
holding
a
hearing
on
this
really
important
issue,
and
I
look
forward
to
taking
your
questions.
A
A
H
B
Well
good
afternoon
my
name
is
rhonda
boyd
and
I'm
a
child
psychologist
in
the
department
of
child
and
adolescent
psychiatry
and
behavioral
sciences
at
children's
hospital
of
philadelphia
and
a
researcher
at
chop
policy
lab.
Finally,
I
am
an
associate
professor
at
the
university
of
pennsylvania
in
berlin
school
of
medicine,
on
behalf
of
chop,
I'd
like
to
thank
councilman
pangata
johnson,
for
the
invitation
and
to
this
committee
for
holding
a
hearing
on
this
vital
issue,
intersection
of
youth,
mental
health
and
gun
violence.
B
As
a
postdoctoral
fellow
at
johns
hopkins
university,
I
study
community
violence
exposure
and
its
impact
on
black
urban
youth
throughout
my
career
community
violence
has
not
remained
my
primary
research
focus.
However,
I
have
continued
to
include
its
assessment
in
my
research
and
published
on
the
topic
more
recently
due
to
the
troubling
upward
trend
in
suicide
deaths
among
black
children.
My
colleagues
and
I
at
chop
shifted
our
attention
to
focus
on
research
in
this
area.
B
B
For
example,
a
child
can
be
neglected
emotionally
exposed
to
domestic
violence,
hear
gunshots
frequently
in
their
neighborhood
and
bully
others
in
school.
The
covet
19
pandemic
has
likely
increased
child
exposure
to
violent
and
traumatic
experiences,
especially
among
children
of
color.
Second,
community
violence
exposure
has
direct
effects
on
suicidal
ideation
and
behaviors
among
children.
B
Community
violence
can
also
impact
suicidal
ideation
and
behaviors,
indirectly,
through
emotional
reactions
or
mental
health
symptoms
such
as
depression
and
or
anger.
A
recent
study
showed
that
high
school
students
who
had
higher
levels
of
suicidal,
ideation
and
behaviors
were
more
likely
to
have
experienced
school
violence,
and
this
was
similar
across
racial
and
ethnic
groups
further.
I
recently
co-authored
a
paper
with
colleagues
at
johns
hopkins
university,
which
demonstrated
that
black
middle
schoolers,
who
heard
about
violence
occurring
to
a
family,
member
or
friend,
had
increased
thoughts
of
death
a
year
later.
B
B
Finally,
there's
evidence
that
suicide
deaths
and
attempts
have
inc
significantly
increased
for
children
of
color.
The
most
recent
data
from
the
centers
for
disease
control
and
prevention
found
that
although
suicide
deaths
for
the
overall
population
decreased
from
2019
to
220,
they
increased
significantly
for
black
young
people,
ages,
15
to
24
and
latino
children,
ages,
10
to
14..
B
B
B
Also,
the
use
of
guns
was
the
second
most
common
method
for
of
death
for
black
children
in
this
age
group
and
boys
were
more
likely
to
die
by
guns
than
girls
among
those
aged
15
to
17
included.
In
our
study,
they
were
more
likely
to
have
a
recent
legal
involvement
and
test
positive
for
marijuana
at
the
time
of
their
death.
B
B
I
want
to
conclude
with
a
sense
of
urgency
about
the
current
mental
health
status
of
our
children.
I
wish
there
was
no
need
for
me
to
appear
before
you
today,
but
young
children
and
adolescents
across
the
country
are
experiencing
mental
health
stress
at
higher
rates
and
with
more
dire
consequences
than
ever
before.
B
This
dire
situation
led
the
children's
hospital
association,
the
american
academy
of
pediatrics
and
the
american
academy
of
child
and
adolescent
psychiatry
to
declare
a
national
emergency
in
pediatric
mental
health,
and
they
join
together
in
an
awareness
campaign
called
the
sound
alarm
for
kids.
Children
live
within
the
context
of
families,
schools
and
society.
B
They
will
not
thrive
in
under-resourced
environments
and
we
cannot
expect
that
they
will
do
so
or
ignore
their
specific
mental
health
needs.
As
a
clinician,
I
have
long
known
that
there
are
significant
unmet
mental
health
needs
of
children.
However,
their
needs
are
increasing,
especially
during
the
covet
19
pandemic.
B
A
Thank
you
very
much,
and
I
thank
both
of
you
for
your
hard
work
and
dedication.
I'm
around
this
issue.
I
thank
you
for
highlighting
your
testimony.
The
need
for
support,
particularly
for
african-american
children
and
the
health
disparities
that
they
face,
particularly
the
health
care
community,
had
a
question.
My
colleague
councilwoman
jamie
gardier
myself
on
fourth
for
funding
for
a
consistent
consortium
of
a
citywide
hospital-based
violence,
intervention
initiative
held
by
dr
ruth
abaya.
Are
you
two
a
part
of
that
particular
initiative.
A
Okay,
all
right
just
wanted
to
see.
I
think
it
would
be
great,
at
least
if
we
would
make
that
introduction,
because
she's
working
with
a
dashboard
around
this
issue
of
gun,
violence,
prevention
and
mental
health,
and
so
we
want
we're
here
to
also
be
collaborative
and
partnering
and
and
bringing
people
together
around
us
most
important
and
critical
issue.
I
want
to
ask
a
real
quick
question
of
two
of
you
and
then
I'm
gonna.
Let
my
colleagues
ask
some
questions.
C
Sure
I
think
two
things
I
would
especially
highlight
would
be
increasing
connection
to
trauma-based
support.
We
already
talked
about
this
a
little
bit,
but
I
think
that
exposure
to
trauma
is
systematically
under-recognized
and
so
under-treated.
We
don't
always
when
people
come
into
the
hospital
or
clinic
or
even
when
they
interact
with
other
social
service
agencies
realize
that
they
have
this
trauma
exposure
in
their
background,
so
making
sure
that
we
really
are
wrapping
around
these
families
and
providing
every
opportunity
to
recognize
when
people
have
been
through
trauma
and
connect
them
to
support.
B
B
We
need
to
start
as
early
as
possible
when
parents
are,
you
know,
pregnant
delivering.
We
can
identify
things
early
on
and
follow
these
kids
and
monitor
them
across
time
with
regular
screening
and
identification.
So
we
can
sort
of
make
healthy
kids
to
grow
up.
I
mean
those
are
things
that
we
can
do.
Pediatric
settings
through
school
settings
early
on
which
I
think
is
very
important
now
also
which
we
mentioned
probably
in
the
previous
panel.
This
is
of
sort
of
really
providing
interventions
and
culturally
competent
interventions.
A
You
said
something
that
was
so
critically
important.
You
said
culturally
competent,
yes,
a
very,
very
interesting
concept
and
something
that
needs
to.
We
need
to
take
a
deeper
dive
in
terms
of
as
a
society
basic
science
society
around
this
particular
issue
regarding
the
providing
of
services
and
that's
no
different
than
the
kid
being
sent
home
from
school,
because
the
teacher
may
think
in
a
school
setting
that
his
behavior
is
in
some
cases
they
may
say
criminal.
Some
cases
may
say
just
bad,
but
at
the
end
of
the
day
he
may
be
hungry.
A
When
you
talk
about
gun
violence,
particularly
gun
violence,
right
living
in
areas
of
poverty,
but
particularly
on
the
issue
of
gun
violence,
most
young
men,
including
myself,
we
don't
expect
to
live
past
18..
That's
not
the
future.
At
least
that
I
thought
about
right
as
a
young
man,
but
if
you
still
have
conversations
with
some
young
men
today
they
will
say
I
don't
expect
to
live
past
18
21
and
at
least
I
can
speak
from
experience
the
thought
process,
which
is
based
upon
right.
A
The
level
of
gun,
violence
that
I'm
seeing
day
in
and
day
out
in
my
neighborhood
and
so
you're
dealing
with
the
traumas
and
the
stresses
of
living
and
neighbors
that
are
predominantly
one
filled
with
poverty
right.
But
I
remember
saying
my
first
homicide
I
might
have
been
12
right
seen
the
whole
incident
watched
it
happen
went
over
to
the
body
with
everybody
else
after
it
happened.
A
Did
I
process
it
as
trauma
at
the
time?
No,
did
I
act
out
at
the
time?
Oh,
I
don't
think
I
did,
but
maybe
some
of
the
other
behaviors
that
I
probably
did
to
cope
with
living
in
that
environment,
saying
not
only
one
person
but
other
individuals
being
murdered,
and
so
it
become
the
norm
to
self-medicate
right.
It
would
be
nothing
to
smoke
weed.
A
Agencies
rather
be
school
environment,
but
I
would
say,
make
it
more
normal
because
also
in
the
african
american
community,
it's
kind
of
seen
as
taboo
to
even
talk
about
therapy
right
to
sit
down
with
a
counselor
right
seemed
sometime
as
being
weak,
because
you
may
need
to
go
to
talk
to
someone
or
cuckoo
so
to
speak.
And
so
I
just
want
to
commend
the
two
of
you
regarding
that
that
integration
is
starting
early
right,
but
also
highlighting
the
cultural
competency
aspect
of
particularly
dealing
with
african-american
and
brown
children
in
their
approach.
D
Yes,
I
had
a
very
quick
question
for
dr
boyd.
Thank
you
very
much,
mr
chair.
So
you
mentioned
the
importance
of
getting
assistance
to
young
people.
Early,
the
city
of
philadelphia
has
laid
out
a
road
map
for
safer
communities
that
talks
about
how
contact
to
victims
of
gun.
Violence
will
happen
in
10
days
and
connection
to
services
will
happen
seven
days
after
that.
So
that's
like
a
17-day
window.
B
I
mean
that
time
seems
real,
I
mean
part
of
it
is
what
is
maybe
also
practical.
I
do
think
there
may
be
some
slight
touch
that
you
know
whether
there
are
things
which
we
talked
about
in
the
schools
or
in
the
community.
That
could
be
a
lighter
touch
and
as
they
move
on,
maybe
that
could
happen
earlier
until
they
can
actually
get
to
the
the
actual
place
that
we'll
be
evaluating
and
then
do
their
needs.
B
I
think,
as
we
were
talking
about,
there's
natural
assets
in
the
community,
and
so
if
families
know
how
to
talk
to
their
kids,
things
happen
and
neighbors,
and
you
know
the
community
leader
the
church
leaders
that
they
can
actually
start
some
of
this
and
that
whole
thing
a
mental
health
first
aid
before
they
get
into
the
actual
setting.
So
I
always
think
parents
are
the
first
gatekeepers
in
many
ways
they
know
their
children
best
and
what
needed?
A
I
I
just
want
to.
I
want
to
push
you
on
that,
just
a
little
additionally,
a
little
more
before
I
call
the
next
panel,
but
also
even
with
the
parents
right,
particularly
in
neighborhoods
of
poverty.
You
have
a
lot
of
parents
that
have
their
own
issues
right,
sometimes
mom
might
be
getting
hired.
That
may
not
be
in
the
environment,
and
then
I
also
see
other
environments
where
mom
is
doing
the
best
she
can,
because
just
because
you
pull
a
trigger
does
not
mean
you
come
from
a
dysfunctional
household.
A
But
son
just
want
to
be
out
there
and
that's
the
stress
right
and
so
yeah,
I'm
thinking
about
the
holistic
approach
of
the
family
right
and
how
the
whole
family
has
to
also
receive
a
level
of
treatment.
Besides
the
individual,
which
is
usually
the
child.
That's
involved
in
the
gun,
violence
or
any
type
of
negative
behavior,
but
for
the
sake
of
this
particular
hearing
mental
health
and
the
impact
and
interconnection
when
we
see
gun
violence
and
trauma
in
our
in
our
communities.
A
D
N
O
O
O
Thank
you
as
well
to
all
the
council,
members
and
presenters
here
today
who
are
putting
a
light
on
this
critically
important
issue.
I
want
to
start
by
providing
some
introductory
information
on
the
work
you
do
at
uplift
center
for
grieving
children
as
it
pertains
to
what
we're
discussing
here
today
then,
as
requested,
I
will
discuss
what
our
clinical
team
is
seeing
regarding
youth
mental
health,
both
as
related
to
the
covet
pandemic,
as
well
as
the
gun,
violence
epidemic
I'll
share.
O
Some
of
the
concerns
that
our
youth
are
highlighting
and
some
key
issues
that
we
should
be
paying
attention
to
for
grieving
children
helps
children
grieving
a
death
to
heal
and
grow
through
their
grief,
while
strengthening
families,
communities
and
professionals,
understanding
of
how
best
to
respond
to
their
needs.
Our
vision
is
simple
and
direct.
No
child
should
have
to
grieve
alone
to
effectuate.
This
mission
and
vision
uplift
provides
a
variety
of
services
to
support,
philadelphia,
children,
families
and
the
professionals
who
work
with
them.
O
O
First,
we
have
our
family
services
format
where
both
the
child
and
caregiver
can
attend.
Concurrent
peer
support,
grief
groups
which
are
facilitated
by
our
clinicians
families
can
attend
as
long
as
they
need.
We
also
offer
shorter
term
grief
groups
in
schools
and
community
organizations.
These
run
between
five
to
eight
weeks.
O
All
grief
groups
are
run
by
our
master's
level,
trained
clinicians
and
are
curriculum
based.
Our
curricula
include
a
homicide,
specific
loss,
curriculum
spanish
language,
ambiguous
laws
and
lgbtqia
plus
curriculum
second
service.
That
we
offer
is
our
post
crisis
response.
In
addition
to
these
grief
groups,
we
work
closely
with
the
network
of
neighbors
the
school
district
of
philadelphia's
prevention
and
intervention
team
and
other
partners
when
there
is
a
loss
affecting
youth
and
school
communities.
O
Specifically,
our
clinicians
provide
legacy
groups
which
are
memorial
groups
for
youth
who
have
lost
friends
or
teachers
usually
to
homicide.
As
many
of
you
know.
As
I
know,
I've
spoken
about
this
before
when
the
school's
close
to
march
2020,
we
partnered
with
the
school
district
to
create
the
philly
hope
line.
O
The
hope
line
has
also
been
used
in
coordination
with
the
school
district's
office
of
prevention
and
intervention,
as
well
as
the
network
of
neighbors
and
coordinating
post-crisis
response
and
offering
a
warm
line
where
you
affected.
Youth
and
families
can
call
to
receive
support,
also
partner
with
top
and
university
assisted
community
schools,
which
is
part
of
penn's
nutter
center
in
the
growing
resilience
and
teens
project.
O
As
part
of
this
project,
our
clinicians
are
providing
grief
groups
and
ambiguous
loss
groups
at
chop's,
kerabot
center
and
in
schools
in
west
philadelphia,
ambiguous
loss
groups
differ
from
those
groups
for
children,
grieving
and
death,
and
that
ambiguous
loss
is
the
emotional
law
is,
is
the
emotional
and
or
physical
laws
of
someone
or
something
important
in
the
child's
life?
Examples
include
a
child
whose
parent
is
incarcerated
or
a
child
who
is
placed
in
the
foster
care
system
and
is
no
longer
able
to
access
their
prior
parents
or
guardians.
O
A
recent
example
that
we
all
experienced
that
were
that
many
of
us
experienced
ambiguous
losses
during
the
covet.
The
coveted
pandemic
provide
trainings.
Our
team
goes
out,
we
can't
get
to
everyone,
and
so
they
provide
trainings
to
professionals
such
as
teachers,
counselors
social
workers,
therapists,
so
that
they
can
better
understand,
grief
and
trauma
and
how
to
support
children.
O
To
give
you
an
idea
of
the
scope
of
this
work
this
year,
we
will
serve
more
than
2
500
children
and
parents
and
caregivers
directly
in
our
groups
and
services.
This
includes
that
by
the
end
of
the
year,
we
will
have
run
53
family
grief
groups
for
children,
youth
and
caregivers,
with
additional
summer
programming
planned.
O
This
year,
like
last
year,
we
got
off
to
a
slow
start,
given
that
some
of
the
groups
were
virtual,
but
to
give
context
in
2019
we
ran
approximately
200
school
grief
groups,
so
that
is
the
program
that
serves
a
lot
of
a
lot
of
youth
in
our
city
in
our
grit
project
with
chop
and
the
nutters
veteran
center.
We've
provided
45
groups
since
that
the
inception
of
that
project
in
2020.,
we've
provided
post-crisis
support
and
legacy
groups,
nearly
115,
youth
and
caregivers.
O
O
Finally,
since
october
the
hope
line
has
now
been
seeing
double
the
callers
that
we
had
been
seeing
previously
so
without
the
service,
and
support
on
that
are
are
clearly
increasing
as
well
in
april
2020,
when
I
testified
here
about
how
the
this,
how
the
work
that
we
do
at
uplift
has
given
us
a
front
row
seat
to
the
intersection
of
the
crises
plaguing
our
city,
gun,
violence,
homicide,
coven,
19,
the
fall
of
the
pandemic
and
racial
trauma.
I
shared
about
the
confluence
of
factors
that
had
put
our
children
and
families
into
a
state
of
crisis.
O
O
The
surgeon
general
noted
the
unprecedented
challenges
facing
youth
with
the
hope
with
the
pandemic,
including
the
high
numbers
of
deaths
and
the
distancing
from
supportive
loved
ones.
The
advisory
was
noticeably
silent
on
homicide,
the
increase
of
gun
violence
occurring
nationwide
and
how
these
factors
could
affect
youth
mental
health.
O
The
report
did
note,
however,
that
youth
mental
health
is
influenced
by
neighborhood
safety
and
that
youth
mental
health
is
at
higher
risk
when
a
youth
has
experienced
trauma,
experiences
more
adverse
childhood
experiences,
such
as
community
violence
and
when
youth
live
in
an
urban
environment.
Additionally,
the
group's
advisory
noted
a
higher
risk
for
mental
health
issues
are
well
represented
in
our
city,
population,
racial
and
ethnic
minority,
youth
and
low-income
youth.
What
we
at
uplift
are
seeing
indicates
that
many
philadelphia
youth
are
at
high
risk
for
mental
health
challenges,
as
defined
by
this
advisory.
O
O
Forty
percent
of
youth
in
our
family
services
groups
have
lost
a
loved
one
to
homicide.
I
can
tell
you:
I've
been
at
uplift
now
for
nine
years
that
back
probably
four
four,
maybe
five
years
ago,
these
numbers
were
closer
to
twenty
and
thirty
percent:
twenty
percent
family
services,
thirty
percent
in
school
groups.
O
O
While
death
of
a
father
is
the
number
one
reason
you
seek.
Our
services,
pure
death,
typically
to
homicide,
is
the
number
two
reason
that
you
seek
uplift
services
in
our
school
groups.
Our
youth
are
reporting
that
they
are
fearful
and
reticent
to
be
outside
their
neighborhoods.
They
share
that
their
parents
and
caregivers
often
won't
allow
them
to
be
out
and
about
while
community
gun
violence
has
long
been
a
problem.
O
Youth
youth
report
that
there's
a
shift
now
one
of
my
clinicians
actually
specifically,
she
said
this
is
kind
of
the
words
of
the
kids
that
they're
they're
used
to
kind
of
be
the
kind
of
the
rule
that
you
didn't
shoot.
You
didn't
shoot
in
certain
areas,
you
you
didn't
you
know,
or
at
certain
times,
and
that
now
they
feel
like
they
can
be
shot
anywhere
anytime,
they're
scared,
anytime,
they're,
out
walking
to
or
from
school,
even
even
for
youth,
not
in
a
grief
group
due
to
homicide
laws.
O
Many
youth
are
affected
by
the
homicide
losses
and
are
talking
about
it
in
group,
they're,
going
to
be
long-lasting
effects
as
well
related
to
the
pandemic.
Our
youth
are
still
feeling
the
reverberations
of
the
pandemic.
They're
still
they're,
reporting,
record
levels
of
isolation
and
loneliness
during
the
shutdown
and
many
are
still
grieving.
The
fact
that
there
are
things
they
couldn't
do
during
provide
that
related
to
losing
loved
ones
such
as
attending
funerals
or
memorials
of
loved
ones
who
died
during
the
pandemic.
O
Research
has
shown
that
not
being
involved
in
that
morning.
Closure
process
actually
can
prolong
and
complicate
the
grief
process.
On
top
of
all
these
death
losses
and
community
violence,
you
are
also
processing
difficult,
ambiguous
losses,
including
having
incarcerated
loved
ones
and
youth
in
the
foster
care
system
grieving.
O
The
loss
of
caregivers
that
they
don't
have
access
to
return
to
schools
has
been
positive
generally
and
overall
for
all
of
our
all
the
youth
that
we
work
with,
but
like
everywhere,
the
schools
are
short
staffed,
meaning
the
counselors
are
often
spread
thin,
and
this
makes
them
less
available
to
the
students
and,
as
one
of
my
as
one
of
my
clinicians
said,
the
kids
feel
it.
That
said,
the
youth
are
lead
to
be
back
in
the
school
buildings
and
for
these
services
to
be
back
in
person
as
well.
O
O
Despite
efforts,
research
shows
that
support
and
social
emotional,
perfect
protective
factors,
as
well
as
psychosocial
services,
can
aid
in
processing,
difficult
emotions
and
build
resilience
as
referenced
in
the
advisory
it'd,
be
my
advice
to
have
schools
and
government
agencies,
like
the
network
of
neighbors,
continue
to
partner
with
community-based
youth
and
family
serving
agencies,
as
they
do
already.
That
said,
I
know
that
many
of
these
agencies,
like
our
own,
are
at
maximum
capacity
absent
additional
capital
investments.
While
there's
been
some
distribution
of
funding
around
violence
prevention,
additional
investment
is
likely
necessary.
O
This
mental
health
crisis
is
not
going
to
bait
tomorrow
or
even
the
next
year
here
at
our
staff.
We
talk
about
this
being
something
we'll
be
seeing
for
the
next
10
years.
We
need
to
be
equipped
to
handle
these
reverberations
down
the
line.
Thank
you
again
for
your
time
for
giving
up
center
for
grieving
children
and
the
children
and
families
we
serve
are
always
here
today.
A
K
N
Public
and
private
funders
should
continue
to
invest
in
innovative
mental
health
programming
and
partnerships
like
the
one
between
chop
and
gerard
college
to
support
philadelphia
children
in
their
ability
to
grow
and
thrive.
A
key
goal
of
our
partnership
is
to
create
a
replicable
model
for
behavioral
health
services
on
other
school
campuses.
K
K
Thank
you,
I'm
going
to
jump
in
with
during
the
academic
day.
Gerard
college
provides
a
holistic
education
across
disciplines
where
students
learn
to
explore
and
grow.
We
provide
a
supportive
and
nurturing
environment
where
each
student
is
recognized
as
a
physical,
mental
and
emotional
individual
and
a
citizen
of
their
community
in
the
world.
Mindful
of
our
past,
we're
always
building
towards
the
future,
promoting
21st
century
skills
and
competencies.
K
In
2020,
it
became
evident
that,
due
to
the
global
pandemic,
systemic
racial
injustice
and
gaps
in
concrete
solutions
to
support
youth,
mental
health,
that
more
support
was
needed
for
our
students.
Gerard
college
created
the
achievement
team
to
identify
and
remove
barriers
to
academic
behavioral
and
social
emotional
growth.
It
consists
of
a
director
two
school-based
social
workers
and
two
behavioral
specialists.
N
N
The
clinic
is
staffed
part-time
by
a
social
worker,
myself,
a
psychologist
and
a
psychiatrist,
and
this
has
provided
immediate
benefit
and
accessibility
to
services
for
students,
families
and
staff.
The
chaplain
and
the
achievement
teams
work
in
tandem
to
identify
and
meet
the
needs
of
the
school
community.
Using
a
three-tiered
approach.
N
The
first
and
largest
here
is
universal
support.
You
may
all
be
familiar
with
this
three-tiered
model,
and
this
encompasses
programming
that
all
students,
families
and
staff
have
access
to.
So
at
that
level,
we've
done
things
like
professional
development
for
academic
and
residential
staff
to
prepare
them
to
support
the
social
and
emotional
growth
of
the
students.
N
This
year,
our
staff
from
chop
are
facilitating
ongoing
trainings
in
trauma-informed
and
restorative
practices
for
the
classroom
and
residential
settings,
since
gerard
has
the
kids
for
so
much
of
of
the
24-hour
period
and
we've
seen
tremendous
growth
in
gerard
staff.
Through
implementation
of
this
skill
set
also
year
round,
students
are
having
weekly
lessons
from
a
social
and
emotional
curriculum
teaching
them
life
skills
like
emotion,
management
and
regulation,
social
skills
for
maintaining
relationships
and
lessons
about
racial
injustice
and
how
to
become
active
citizens.
N
K
College
also
strives
to
maintain
a
strong
school-to-home
connection.
A
family
engagement
association
chaired
by
parents
meets
monthly
which
allows
for
dialogue
with
school
representatives
and
helps
us
to
gauge
family
needs
in
real
time
through
the
family
association.
The
achievement
team
is
also
able
to
offer
psychoeducational
training.
For
example,
last
month
we
partnered
with
our
chop
clinicians
for
a
seminar
on
supporting
children's
mental
health
during
the
remote
learning.
K
The
family
association
also
works
closely
with
the
family
engagement
coordinator,
who
serves
as
the
primary
point
of
contact
for
all
family
questions
and
concerns.
Campus-Wide
the
coordinator
holds
daily
office
hours
for
families
to
reach
out
and
have
easy
access
to
the
correct
person.
To
answer
a
specific
question,
another
psycho-social
tier
one
support
that
we
offer
all
students
is
our
sexual
health
curriculum.
Through
this
program
we
focus
on
responsibility,
rights
and
relationships.
K
We
feel
empowering
students
through
education,
that
includes
functional
knowledge
related
to
sexuality
and
the
specific
skill
skills
necessary
to
learn
and
implement
healthy
behaviors
is
critical
for
our
tier
two
programming.
We
serve
a
more
targeted
group
by
employing
goal
driven
and
solution,
focused
programming
for
students
at
risk
of
difficulty.
K
For
example,
we
offer
skills
development
for
students
for
children
and
students
struggling
with
academic
performance.
This
can
include
goal
setting
around
organization
and
motivation,
behavioral
consultation
in
the
classroom
to
address
disruptive,
behaviors
and
meetings
with
our
interdisciplinary
child
study
team
to
further
identify
impedements
to
growth.
K
So,
during
a
typical
child
study
team
meeting,
we
include
members
of
the
achievement
team,
academic
team
and
the
residential
team
as
well
and
at
times
family
members
as
needed.
We
discuss
areas
of
strength
and
growth
and
set
targeted
goals
linked
to
concrete
interventions
from
there
we're
going
to
monitor
the
student's
progress
and
follow
up
in
four
to
six
weeks
to
determine
if
the
child
needs
further
intervention
or
if
the
goals
were
met.
N
By
addressing
the
social
and
emotional
needs
of
students,
we
enhance
their
ability
to
form
meaningful,
healthy
friendships
and
eventually
intimate
partner
relationships
by
giving
them
the
tools
for
managing
anxiety
and
depression.
We
build
their
sense
of
well-being,
we
restore
their
academic
motivation
and
we
reduce
their
need
to
self-medicate
with
drugs
and
alcohol
by
building
their
connections
with
parents,
teachers
and
residential
staff,
we're
contributing
to
healthy
models
of
adulthood,
and
in
each
of
these
we
see
a
path
away
from
violence.
N
We've
learned
that
a
major
strength
of
our
partnership
is
the
crisis
intervention
opportunity.
We've
been
able
to
identify
students
and
families
in
crisis
and
get
them
connected
very
quickly
to
the
psychologist
or
psychiatrist.
Without
a
long
wait.
There
are
tremendous
delays
and
weights
nationwide
at
this
time
for
high
quality,
psychological
and
psychiatric
service,
or
even
just
adequate
access
to
youth,
mental
health
care
and
so
being
right.
There
on
campus
has
just
been
a
huge
advantage
and
has
really
enhanced
accessibility.
K
In
addition,
through
chop's
telehealth
program,
the
clinicians
were
able
to
continue
with
most
therapy
uninterrupted,
while
our
students
did
remote
learning
off
and
on
over
the
past
few
months.
This
continuation
of
services
was
especially
critical,
given
that
our
students
were
remote
during
the
omicron
variant.
Services
were
not
halted
during
this
fragile
time
for
students
who
were
already
struggling
and
have
been
expecting
to
be
back
on
campus
and
having
that
continuation
was
invaluable.
K
We
have
seen
real
time
the
effects
of
gun
violence
on
our
students
and
been
able
to
provide
crisis
and
grief
counseling
to
the
students
and
families
in
need
the
whole
child
approach.
We
are
employing
acknowledges
the
real
life
challenges
faced
by
children
and
families
in
philadelphia
and
its
approach,
and
it's
an
approach
that
holds
promise
for
reducing
violence
in
our
city-wide.
N
So
thank
you
for
both
summer
and
I
for
this
opportunity
to
shine
a
light
on
the
great
work
that's
happening.
We
think
through
chop
and
gerard
college
and
this
partnership
funded
by
independence,
blue
cross
foundation,
and
we
urge
you
to
continue.
You
know
looking
for
these
types
of
partnerships
in
order
to
expand
similar
mental
health
resources
for
children
in
philadelphia.
A
F
F
My
approach
to
therapy
is
that
I
integrate
hip-hop
culture
into
my
therapeutic
approach
so
that
I
can
engage
people
who
are
historically
resistant
to
traditional
forms
of
therapy.
One
of
the
things
I
want
to
do,
I
I
I
thoroughly
enjoyed
listening
to
the
people
speak
in
on
this
platform.
You
know
I've
been
here
since
about
one
o'clock
and
a
few
things
have
happened.
I've
been
so
moved
by
the
testimony.
F
F
I
was
on
a
cbh
panel
discussion.
It
was
learning
collaborative
about
the
use
of
mental
health
crisis
center,
something,
and
although
I
thoroughly
enjoyed
the
discussion
when
I
thought
about
the
people
at
24th
and
lehigh,
they
would
be
accessing
this
information
that
was
being
displayed.
I
realized
that
if
they
were
on
that
zone
meeting,
they
wouldn't
have
been
able
to
understood
what
we
were
talking
about,
because
the
language
was
different,
and
that
is
what
makes
me,
I
think,
a
special
clinician
in
that
I'm
bilingual
enough
to
disseminate
the
information.
F
F
F
So
I'm
intentional
in
the
way
that
I
dress
in
the
language
that
I
use
and
I
purposely
try
not
to
talk
in
clinics.
You
know
when
I'm
gauging
people
in
therapy.
You
know.
I
know
that
I'm
using
motivational
interview
on
the
cbt,
but
to
them
it's
just
we're
having
a
just
conversation
that
they
can
just
relate
to,
and
I'm
just
there
to
support
hip-hop
psycho
ed
is
an
intervention
where
I
use
bibliotherapy,
which
all
of
us
know
is
the
use
of
books
and
words
to
help
people
in
therapy
to
develop
coping
skills.
F
My
most
recent
book
is
titled.
What's
free
it
ain't
being
booked
on
paper,
it
uses
a
therapeutic
analysis
of
meek,
mill's
legal
legal
experiences
and
explores
how
the
hip-hop
culture
has
been
impacted
by
mass
incarceration
trauma
about
gun,
violence
and
the
opioid
epidemic,
and
I'm
mentioning
the
opioid
epidemic
because
a
lot
of
times
when
we
talk
about
violence
and
the
trauma
associated
with
it,
we
don't
realize
that
what
maybe
we
do
realize.
But
we
don't
reference
enough.
That
violence
doesn't
occur
in
a
vacuum.
F
There's
a
lot
of
interrelatedness
in
violence
and
drug
use.
You
know
people
use
drugs
to
become
violent.
People
use
drugs
to
cope
with
the
loss
of
violence,
about
people
use
drugs
to
deal
with
the
loss
of
people
that
they
lost
to
violence.
People
also
use
drugs
to
be
or
feel
comfortable
in
violent
environments.
F
F
Another
thing
about
substance
use
disorder
is
that
when
I
engage
members
of
the
hip-hop
culture,
I
understand
that
one
of
the
more
frightening
trends
in
the
hip-hop
culture
is
the
trend
where
some
of
the
more
famous
rappers
of
the
hip-hop
culture,
glamorize
the
use
of
opioids
and
there's
been
a
lot
of
research
that
has
been
relating
opioid
use,
disorder
to
an
uptick
in
violence
and
for
years
I've
been
telling
people.
I
understand
that
the
opioid
use
disorder
and
ground
zero
in
the
opioid
use
disorder.
F
Ramp,
artists,
talking
about
popping
purposes,
and
so
many
rap
songs
that
impressionable
use
wonder
impressionable
use
wonder
what
it's
like
to
take
percocets.
Unfortunately,
these
impressionable
dudes
don't
understand
that
80
percent
of
new
heroin
users,
first
abuse
opioids
with
the
use
of
percocets
and
vicodins
and
other
narcotic
pain
pills,
so
that
program
hip-hop
psychoa,
is
designed
to
meet
members
of
the
hip-hop
culture
and
make
them
more
comfortable,
engage
in
therapy.
F
A
F
F
Mash
is
an
acronym
for
mental
health
support
after
stuff
happens,
and
the
mass
project
is
a
mobile
therapeutic
intervention
that
stabilizes
those
who've
experienced
violence
until
they
can
get
to
therapy
in
the
mass
project.
I
facilitate
wellness
groups
in
philadelphia
communities
that
have
been
impacted
by
violence.
F
I
offer
pro
bono
therapeutic
services
where
I
go
to
areas
that
have
been
impacted
by
violence,
I'll
get
a
rec
center
and
I'll
hold
trauma-informed
town
halls.
Where
I
engage
members
of
the
community
about
the
experience
of
trauma,
we
talk
about
what
they
see,
what
they
witness
and
I
provide
resources
where
they
can
get
help.
I
also
use
bibliotherapy,
where
I
introduce
people
into
the
benefits
of
reading
and
in
a
partnership
with
the
office
of
violence
prevention,
who
bought
a
few
thousand
dollars
worth
of
books
that
I
give
out.
F
We
stress
the
importance
of
reading,
because
a
lot
of
therapeutic
interventions
are
curriculum-based
and
when
you
understand
a
lot
of
people
who
experience
violence,
a
lot
of
them
have
literacy
challenges
and
could
benefit
and
increasing
their
their
their
ability
to
read.
So
what
I
do
is
I
write
books
that
are
based
in
topics
that
they're
relevant
or
that
are
relevant
to
the
people
that
I
engage,
and
that
makes
them
more
interested
in
reading.
F
I
also
use
that,
as
an
interest
point
to
slip
in
some
information
about
some
behavior
health
initiatives
and
developing
coping
skills,
so
the
books
are
therapeutic
in
a
sense
and
they
are
part
of
a
curriculum
that
I
use
in
both
of
the
programs
that
I
speak
of.
I
haven't
held
any
groups
in
the
past
year
or
two,
and
that
was
because
of
kovid,
but
now
that
we're
opening
back
up
we're
starting
to
have
these
wellness
wellness
groups
and
you
you
can
be
invited
to
them.
I
can
give
you
my
contact
information.
F
My
email
is
honesty,
herps,
dot,
crc
at
gmail.com.
You
can
email
me
and
find
out
how
you
can
purchase
a
book
or
how
you
can
come
to
one
of
my
wellness
groups
because,
as
the
city
is
opening
up,
we
are
welcoming
the
opportunity
to
get
off.
Zoom
zoom
is
cool,
but
of
all
the
zone
meetings
that
I've
gone
to
I've
never
seen
a
shooter
attend
the
zone
meeting.
Also
people
aren't
getting
shot
and
getting
killed
virtually
so
in
order
to
help
the
people
that
we're
trying
to
help
you
got
to
get
out
there.
F
F
A
A
Miss
summers:
can
you
give
me
an
idea
of
the
percentage
of
students
that
actually
utilize
the
counseling
services,
specifically
around
being
impacted
by
gun
violence?
Either
them
family
members,
friends
or
the
level
of
gun
violence
they
have
been
seeing
in
their
neighborhood,
and
I
know,
gerard
college
is
still
is
still
on
an
overnight
school,
correct,
correct,
yeah,
we're
residential,
yes,
so
obviously
like
for
me
as
a
young
man
growing
up
in
south
philly.
A
I
attended
mansfield
university
and
I
think
the
trauma
that
I
went
through
was
that
every
time
I
would
go
home
from
school
like
somebody
would
be
murdered
right
and
then
I
would
go
back
to
college
and
have
to
deal
with
I'm
somebody
close
to
me
being
murdered
in
my
neighborhood,
and
so
that's
something
I
don't
live
with
as
a
young
man
growing
up,
but
give
me
an
idea
of
how
your
services
has
been
utilized.
Regarding
this
issue
of
gun
violence
being
available
on
campus
for
students,.
K
However,
dr
waters-
and
I
talked
about
that
actually
this
week
when
we
were
preparing
for
today-
and
we
talked
about
the
fact
that
our
psychosocial
intake,
that
is
done
by
the
social
workers,
asks
tremendous
questions
about
domestic
violence
and
it
asks
about
exposure
to
violence
in
the
home
and
the
community,
and
so
it
doesn't
tease
out
exactly
if
a
child
has.
Our
student
has
experienced,
gun
violence
or
lost
a
loved
one.
As
a
result,
there's
two
questions
that
we
could
pull.
K
Data
from
one
would
be
if
they've
lost
a
loved
one
or
someone
close
to
them
and
have
experienced
grief
in
the
last
six
to
12
months,
and
then
the
other
question
would
be,
as
I
mentioned,
have
they
been
a
victim
or
experienced
some
sort
of
domestic
violence,
but
we
did
talk
about
that.
We
might
need
to
tease
that
out
so
that
we
have
more
accurate
data
around
what
what
is
the
cause
of
the
the
trauma.
So
that's
something
that
we're
seriously
considering
editing
on
our
psychosocial
intake.
A
Losing
loved
ones
or
friends
day
in
and
day
out,
because
every
day
we
turn
on
the
news,
like
some
young
person,
is
murdered
horrifically
right,
but
life
goes
on.
You
know
we
got
james
harden
with
the
sixers.
You
know
john
b
scoring
50.,
but
underneath
all
of
that
right
you
know
some
children
and
people
in
general
may
be
dealing
with
the
pressures
of
life
around
this
impact
of
gun,
violence.
K
K
A
Yes,
I
know
you're
mentioning
a
testimony.
The
increase,
in
request
for
support
for
individuals
dealing
with
grief,
counseling
right,
how
many
schools-
I
think
you
mentioned,
though,
but
reiterated
how
many
schools
do
you
partner
with?
How
do
you
establish
those
partnerships
and
one
of
the
key
things
that
I
heard
you
say
at
the
telling
of
your
testimony-
was
that
resources
are
needed
to
expand
capacity,
and
so
can
you
reiterate
the
key
point
in
terms
of
how
many
schools
you
partner,
with
that
increase
of
support
of
requests
for
brief
counseling
support.
O
Absolutely
yeah,
so
we
I
believe
by
the
end
of
this
year,
we're
going
to
be
on
over.
I
think
it's
about
110
schools
total
we
partner
at
multiple
levels,
so
we're
you
know
we're
very
you
know
we're
very
close
to
dr
jamie
banks,
who
oversees
prevention
intervention
at
the
school
districts
we
partner
at
that
level,
which
is
how
we
go
in
and
do
our
our
post-crisis
work.
We
also
work
very
closely
with
yolanda.
O
O
I
I
absolutely
know
that,
because
in
prior
years
we've
gotten
to
closer
for
200,
so
I
know
that
we,
I
think
I've
heard
I
think
there
may
be
like
20
or
30
on
the
wait
list.
So
that's
something
we're
trying
to
push
through,
but
that's
all
just
just
pure
human
resource
power
of
the
fact
that
we're
we
are
hiring
people.
We
have
found
success
in
hiring
people.
O
We
have
raised
what
we
pay
people,
which
means
that
you
know
that
doesn't
necessarily
mean
that
people
are
giving
us
more
for
reimbursements
or
anything,
but
we
tried
to
figure
out.
How
are
we
going
to
make
this
happen?
So
we've
definitely
done
some
some
tweaking
on
our
end.
We
have
a
new
person
starting
on
monday,
so
you
know
so
we're.
Definitely
we've
been
able
to
kind
of
meet
that
challenge,
but
but
it's
still
like
we
just
defined
the
funds
for
additional
folks.
O
That's
not
you
know
one
year
or
two
years
or
time
limited
in
these
ways
and
yeah
so
and
then
the
schools
get
to
us.
They
send
emails
from
the
district,
but
also
the
counselors
now
know
us
pretty
well
so
they'll
just
reach
out
directly
to
our
team
and
say
hey.
I
need
a
grief
group
for
my
school
this
year,
but
I,
but
I
know
this
is
something
that
across
the
board,
everyone
stretches
to
their
max
because
there's
just
it
feels
like
like.
O
I
I
referenced
earlier,
the
nine
years,
but
I
I
actually
said
this
to
a
leader
the
other
day
of
another
agency
in
the
city.
I
was
like
I've
been
here
nine
years
and
I'm
overwhelmed
by
where
we
are
right
now
like
because
I
I
it
just
feels
a
different
pace
and
it's
overwhelming,
because
you're
trying
to
like
meet
the
need-
and
it's
just
in
my
clinicians-
are
out
there
every
day
and
it's
just
it's
almost
impossible
understood.
A
You
know
I
you
know
I
was
talking
to
someone
the
other
day.
I
said
if
you
have
a
shooting
up
at
a
school
you're,
not
only
having
the
impact
on
the
victim
and
the
victim's
family,
but
you
have
a
whole
school
community
trying
to
process
what
just
happened
and
some
will
process
it
by
picking
up
guns,
some
will
become
depressed.
Some
may
seem
to
drop
out
of
school.
A
A
The
level
of
involvement
and
intervention
with
young
people
right,
you
talked
about
being
culturally
competent
and
speaking
the
language
of
some
of
the
young
people
who
are
dealing
with
trauma
who
are
self-medicating,
who
are
picking
up
guns
and
so
give
me
another.
Give
us
an
idea
on
your
rules
of
engagement.
How
receptive
the
young
people
are
in
taking
your
unique
approach
by
using
hip-hop
in
a
therapeutic
approach
and
addressing
the
mental
health
and
gun
violence
and
substance
issues
that
we
deal
with
with
our
youth.
F
An
excellent
question:
I
did
an
event
about
six
weeks
ago.
It
was
actually
covered
in
the
metro,
and
I
engaged
a
group
of
about
15
young
men
and
the
engagement
that
you
speak
of
started
as
soon
as
they
saw
me.
You
know
I
had
some
nike
acg
boots
on.
I
had
a
hoodie
on.
I
had
some
jeans
on
and
I
had
a
scully.
F
F
You
know-
and
I
was
intentional
in
not
talking
about
the
songs
that
I
like.
I
asked
them
about
the
songs
that
they
liked,
and
I
remember
you
when
I
talked
a
little
while
ago
we
were
talking
about
drill
music,
film,
music
little
dirt.
I
started
talking
to
you
yeah.
I
started
talking
to
him
about
that.
Then
we
started
talking
about.
You
know
how
rap
has
been
a
vehicle.
F
You
know
for
young
people
to
express
their
grief
and
their
anger
about
violence
that
occurs
in
the
city,
but
then
I
was
able
to
slip
into
questions
about
trauma
and,
surprisingly
few,
a
few
of
the
people
that
were
in
the
group
had
been
in
therapy,
so
they
were
able
to.
You
know,
become
group
leaders
and
start
talking
to
their
peers
about
their
experience
of
ptsd
depression
and
how
to
get
treatment.
For
so
you
know
we
just
it
was
just
nine.
F
A
That's
what's
up
that's
what's
up
and
it's
good
to
hear
that
most
importantly,
meeting
young
people,
where
they're
at
goes
a
long
way
and
I'm
letting
down
their
guard
and
trying
to
figure
out
how
to
express
themselves
in
a
way,
that's
positive
or
even
being
vulnerable,
to
talk
about
why
they
are
picking
up
a
gun.
While
they
are
self-medicating
a
lot
of
times
you
get
to
the
root
causes.
You
know.
A
What's
going
on
in
the
household
afraid,
one
of
the
key
reasons
why
young
people
carry
guns
because
they
don't
want
to
be
a
victim
right,
and
so
everybody
else
was
carrying
one.
I
don't
want
to
get
vic
and
so
I'm
starting
to
carry
a
gun
as
well,
and
then
the
self-medication
just
based
upon
some
for
heart,
some
for
just
the
the
pressures
of
life
just
in
general
right.
But
but
we
we
do.
Thank
you
one
for
taking
time
on
your
your
schedule
and
responding
to.
A
I
want
to
follow
up
with
you
to
continue
to
see
how
you
can
collaborate
with
some
of
the
other
things
that
the
sick,
that
the
city
of
philadelphia
is
doing
also,
most
importantly,
as
we
stay
on
top
of
this
issue,
find
ways
to
get
our
young
people
on
the
right
path.
And
I
try
to
explain
to
someone
yesterday:
it's
a
marathon
not
a
sprint
right.
A
M
I'm
well
thank
you.
I
thank
you,
council,
member,
johnson
and
all
of
city
council
for
your
ongoing
leadership
and
support.
My
name
is
tiffany
thurman,
I'm
the
new
vice
president
of
government
affairs
for
greater
philadelphia
ymca,
I'm
here
today,
along
with
my
colleagues,
justin
spencer,
lindsay
and
veronica
in
support
of
resolution
211026,
the
panzera
has
exposed
the
extent
of
inequality
that
black
and
brown
families
experience
regarding
access
to
basic
services,
poverty,
inadequate
schooling,
lack
of
workforce
training
and
unemployment
remain
drivers
of
violence.
M
M
Gpy
has
a
long
and
successful
history
of
engaging
individuals
and
stakeholders
to
strengthen
communities.
Our
newly
formed
gun,
violence
prevention
program
is
an
extension
of
the
work
we
already
do,
which
includes
providing
access
to
learning
opportunities
after
school
enrichment
and
positive
physical
development
opportunities.
M
Our
goal
is
to
enhance
these
proactive
factors,
that
is,
the
conditions,
support
system
and
socioeconomic
skills
that
help
people
deal
more
effectively
with
stressful
events.
By
providing
this
additional
service,
we
will
reduce
risk
to
teenagers
on
probation.
We
will
simultaneously
support
other
individuals,
families
and
communities.
Our
understanding
here
at
gpy
is
that
gun.
Violence
amongst
youth
is
a
extremely
complex
issue.
There
are
various
forms
of
violence
that
youth
may
experience
and
witness
in
their
lifetimes.
M
Our
approach
is
inspired
by
a
particular
violence
reduction
strategy
called
cure.
Violence
that
aims
at
creating
individual
level
and
community
level
change
in
communities
in
which
using
gun
violence
to
settle
various
forms
of
conflict
has
become
an
unfortunate
norm
with
the
gun,
violence
prevention
program,
we
are
reaffirming
and
acting
on
our
commitment
to
safety,
healthy
living,
social
responsibility,
equity
and
justice.
M
We're
convening
several
partners
to
address
youth
gun
violence
with
preventative
methods,
implementing
proactive
factors
to
mitigate
risk
factors.
Now,
more
broadly,
our
partnerships
and
work
aims
at
offering
equal
access
to
basic
services,
resolving
any
inequities
and
removing
institutional
barriers
that
limit
the
ability
of
all
people
to
develop
their
full
potential.
M
We're
now
in
our
first
pilot
year.
So
in
this
first
pilot
year,
the
program
will
take
place
at
our
christian
street
branch.
The
area
that
area
has
struggled
with
a
surge
in
gun
violence,
and
we
have
convened
several
partners,
individual
education,
public
safety
experts
and
community
leaders
to
offer
support
system
and
resources
to
youth.
M
Two
weeks
ago,
we
launched
this
program
through
an
event
called
exercise,
your
voice,
which
we
hosted
simultaneously
at
west
philadelphia,
columbia,
north
and
then
our
christian
streetwise.
More
than
150
teens
young
adults,
community
stakeholders
gathered
for
an
evening
of
engagement
and
important
conversations
about
how
gun
violence
is
plaguing
their
communities.
M
The
program
launched
the
program
launch
helped
to
inspire
and
encourage
young
adults
and
community
stakeholders
to
see
the.
Why,
as
a
true
partner
in
the
fight
against
gun
violence,
to
see
the,
why,
as
a
safe
space,
to
gather
for
purposeful
conversation
and
to
see
the
y
as
a
venue
for
resources
to
support
young
people
who
are
impacted
by
gun
violence?
And
now
I'd
like
to
call
my
my
colleague,
justin
spencer
lindsey,
who
serves
as
the
executive
director
of
west
philadelphia
branch.
Justin,
will
read
a
statement
for
one
of
our
young
adults.
J
Thank
you,
tiffany.
Thank
you
councilman.
Yes,
I
will
be
able
to
share
yasir's
story.
As
you
know,
I
will
be
able
to
tell
you
about
what
gun
violence
has
or
has
plagued
his
life,
and
you
know
I
will
truly
not
do
him
justice,
but
you
know,
as
tiffany
reiterated
the
importance
of
you
know.
Hearing
our
young
people's
voices
is,
it
is
paramount,
so
I'm
going
to
read
and
yasir
put
this
together
himself,
and
hopefully
you
know
at
another
date
and
time.
You
know
we
can
hear
from
him.
J
But
again
his
name
is
yasir
vincent
he's,
a
former
athlete
and
currently
up
a
coming
music
artist.
He
previously
he
is
from
the
west
philadelphia
area
where
he
spends
a
lot
of
his
time
at
the
malcomus
park.
He
identifies
himself
as
roles
as
a
father,
brother,
boyfriend
and
son.
I
mean
all
these
roles
are
significant
to
him,
because
these
rules,
these
roles,
have
made
him
of
who
he
is
today.
J
J
His
mother
and
a
younger
sister
and
being
the
only
male
in
his
household,
he
had
to
take
the
place
of
what
we
call
in
society
as
the
man
of
the
house,
because
if
he
didn't,
who
else
would
he
sees
this
as
something
that
reoccurs
very
quite
frequently
in
black
communities
when
young
males
are
forced
to
take
the
title
of
man
at
such
a
young
age?
Due
to
the
absence
of
their
fathers
or
father
figures
growing
up
in
a
household
in
community,
he
had
to
grow
thick
skin
and
always
had
to
keep
his
guard
up.
J
Being
a
young
african-american
man
to
yasir
is
extremely
exhausting,
especially
being
a
black
male.
It
doesn't
always
matter
where
you
come
from
your
background.
It's
always
a
struggle.
It
can
get
to
be
very
difficult
for
black
males
in
erc's
perspective,
to
try
and
make
something
of
themselves
when
they
are
constantly
stereotyped
as
a
threat
to
society
based
off
of
how
they
look.
J
He
goes
on
to
say
that
many
people
from
his
area
in
the
west,
philadelphia
neighborhood,
have
beat
the
struggles,
but
many
have
failed
trying
to
get
out
of
the
hood
or
got
caught
up
in
things
that
are
around
them
growing
up.
His
mother
had
to
do
what
he
had
to
do
for
him
and
his
sister,
but
it
was
really
a
lot.
You
know
and
didn't
get
the
experiences
of
things
like
family
time
or
basic
interactions,
because
you
know
his
mother
had
to
provide
so
he
was
basically
raised
on.
J
You
know
what
he
calls.
Tough
love
and
being
a
young
man
raised
off
of
tough
love
coming
from
his
environment,
and
background
can
really
sometimes
portray
for
certain
people,
destructive,
behaviors
or
even
put
themselves
in
a
certain
position.
All
these
factors
you
also
goes
to
point,
can
affect
someone's
mental
health
in
a
long-term
capacity.
J
Yasir
also
wanted
to
point
out
that
poverty
is
one
of
the
biggest
leading
causes
for
gun
violence
in
his
neighborhood.
If
you
want
to
be
honest,
which
is
why
he
believes
communities
are
being
affected
by
gun
violence
so
heavily,
he
believes
that
innocent
lives
are
even
being
taken
from
families
due
to
gun
violence
and
yasir
himself
almost
could
have
had
his
life
taken
from
him
from
gun
violence
as
well,
and
he
was
in
a
situation
where
he
was
just
minding
his
own
business
walking
home
from
a
park
when
this
incident
happened.
J
Yasir
would
have
shared
his
story
but,
like
I
said,
I'm
not
going
to
to
share
his
personal
personal
experience,
but
he
really
wants
to
be
appreciative
of
where
he
is
today,
because
he
only
sees
us
one
life
and
his
could
have
been
taken
away
by
a
straight
bullet.
He
said
you
don't
have
to
be
from
the
street
life
and
really
wants
to
emphasize
to
be
impacted
by
gun
violence.
J
J
He
says
what
you
see
sometimes
is
what
you
get,
and
he
really
believes
that
he,
everyone
should
take
the
initiative
and
actually
do
more
for
youth
in
our
city
to
change.
The
statistics
and
yasir
also
wanted
to
provide
context
of
what
places
like
the
ymca
meant
to
him.
Yasir
grew
up
and
learned
a
lot
of
things
that
helped
him
today
from
the
ymca.
J
He
found
family
integrity,
responsibility
and
loved
that
it
was
a
place
where
he
could
come
to
be
safe
and
he
felt
safe
around
the
people
and
the
y
he
felt
like
he
could
be
a
place
where
he
could
get
off
the
streets
and
a
place
where
there
was
fun
and
hospitality
and
kindness
served
in
every
way.
He
was
he's
been
attending
the
y
since
four
years
old,
and
it
was
a
place
that
he
calls
the
second
home
during
the
beginning
of
the
pandemic.
J
Yashira
wants
to
point
out
that,
because
of
places
like
this,
where
he
was
able
to
have
and
be
in
a
safer
environment,
actually
resulted
in
him
in
getting
shot
during
that
time.
In
almost
losing
his
life
hit.
The
y
to
him
is
a
place
where
you
know
he
could
come
to
escape
and
live
and
not
have
to
worry
about
guns
or
drugs
and
violence,
and
me
personally
being
the
new
exec
of
the
west
philadelphia
ymca.
J
A
A
L
A
That
I
could
be
supportive
of
those
efforts,
don't
hesitate
because
it's
truly
important
imperative-
and
you
can
mention
this
to
your
executive
team-
that
our
young
people
have
those
alternatives
to
standing
on
the
corner
and
have
those
safe
spaces
to
develop
as
young.
Ladies
and
young
men,
it's
very,
very
important
to
have
those
outlets,
and
so
I
commend
you
on
your
team.
I
think
I
see
y'all
sierra
who
stepped
up
to
the
plate,
who's
also
gonna
call
as
well
yeah.
You
have
any
comments
that
you
would
like
to
make.
E
We
need
to
come
together
and
what
I
mean
by
that
is
like
this
set
example.
We
could
date
date,
we
our
product,
our
environment.
So
what
I
mean
by
that
is
the
young
kids,
as
I
just
was
walking
down
the
block.
Now
I've
seen
eleven
day,
twelve
thirteen
they
out
there
sending
crack
literally.
I
just
was
talking
to
his
name
literally
just
now,
as
I
came
into
the
building,
so
we
can,
I
feel
like
we
need
to.
We
need
to
be
the
angels,
not
necessarily
like
that.
We
need
to
pull
them
in.
E
E
E
E
I
know
it's
hard
because
it's
a
lot
of
talking,
but
we
have
to
put
initiative.
We
have
to
the
ymca,
for
example,
I've
been
here
my
whole
life,
so
it
always
took
me
out
of
trouble
anything
anything.
I
need
to
take
off
my
mind.
Also
when
the
ymca
went
away.
I
got
into
a
lot
of
trouble.
I
had
nowhere
to
go
so
literally
in
west
philadelphia.
We
have
the
power
center
and
a
ymca,
that's
not
open
on
63rd
and
cops
right
now,
63rd.
E
We
only
have
here,
I
feel
like
we
should
do
for
events
or
advertisement
to
pull
these
kids
in,
and
you
know
you
have
to
have
a
membership
to
get
here,
so
we
should
do
like
some
type
of
like
free
event
for
people
to
come.
Get
them
saying.
You
know
how
we
do
a
jacket
drive.
I've
been
doing
a
jacket,
job
and
volunteering.
My
feelings,
my
whole
life.
E
E
A
That's
what
it's
about.
If
you're
not
at
the
table,
then
all
the
work
that
we're
doing
is
for
not
so
we
thank
you
for
saying
you
know
what
let
me
come
and
let
my
voice
to
this
conversation
because
a
lot
of
times
we
talk
at
you
as
opposed
to
not
with
you
at
the
table,
then
we're
not
making
that
connection.
So
I
do
want
to
thank
you
and
commend
you
on
your
efforts
appreciate
y'all.
B
Hi
good
afternoon,
hey
daphne,
how
are
you
I'm
good
boy?
Yasir
is
really
a
hard
act
to
follow,
but
I'll
do
my
best
here.
Yes,
wonderful,
wonderful
comments
from
him
really
puts
everything
so
far
this
afternoon
in
perspective
good
afternoon.
My
name
is
daphne
and
I'm
a
volunteer
for
most
man
for
gun
sense
in
america.
B
B
Today,
I'm
providing
some
additional
data
about
mental
health
and
suicide,
which
is
a
much
less
publicized
aspect
of
gun.
Violence
in
our
city
in
our
country,
firearms,
leading
cause
of
death,
children
and
teens
ages,
1
to
19
results
in
the
united
states
and
pennsylvania
from
2019
to
2020
the
firearm
suicide
rate
of
people
ages,
10
to
24,
increased
15
percent
and
for
adolescents
ages,
10
to
14
the
firearms
in
2020
was
the
highest
reported
by
the
cdc.
B
B
B
One.
Last
data
point
specific
to
our
city:
15
of
the
philadelphia
respondents
to
the
pennsylvania
youth
survey
reported
that
it
was
very
easy
or
sort
of
easy
to
get
a
handgun
volunteers
from
mom's
demand.
Action
in
every
town
for
gun
safety
run
a
program
called
be
smart
for
kids,
which
provides
education
on
gun
safety
to
the
community.
B
B
R
is
for
recognize
the
role
of
guns
and
suicide
and
t
is
tell
your
peers
to
be
smart.
You
can
find
more
information
at
the
website,
be
smart
for
kids.org
mom's
demand.
Action
will
have
a
table
at
the
auto
show
over
the
next
two
weekends,
where
we
will
hand
out
gun
safety
information,
including
gun
locks
to
our
neighbors.
B
Efforts
to
increase
awareness
of
risk
factors
improve
access
to
mental
health
and
support
our
kids
can
reduce
levels
of
gun
violence.
This
is
such
a
complex
issue
and
I'm
glad
to
hear
from
the
council
people,
johnson
and
kim
that
you
are
thinking
about
the
long
game
here,
because
it
really
is
a
decade
decades,
all
long
game
that
we
all
are
playing.
B
B
A
A
My
only
comment
is,
is
to
your
mom
demand
action
team,
because
let
them
know
that
councilman
king
out
of
johnson
appreciates
their
efforts
for
being
on
the
front
line.
Addressing
this
issue
and
the
work
that
you
have
done
on
the
state
level,
with
ceasefire,
as
well
as
working
with
miss
dorothy
johnson
spike,
with
mothers
in
charge
and
so
keep
up.
The
good
work.
C
B
A
Thank
you
if
there
is
no
other
questions
or
comments
from
members
of
the
committee.
This
concludes
the
special
committee
on
gun,
violence,
hearing
on
youth,
mental
health
trauma
and
gun
violence.
I
want
to
thank
all
of
my
colleagues
for
taking
time
out
of
your
schedule
and
being
a
part
of
this
hearing.
I
also
want
to
thank
all
of
the
panelists
and
witnesses
for
taking
time
out
of
their
schedule
and
participating
in
this
hearing,
and
also
thank
my
staff,
brett
and
joshua
for
organizing
this
hearing.