►
Description
House Budget Hearings- February 14, 2022- House Hearing Room 1
A
A
A
B
C
A
D
Thank
you,
madam
chair.
I
appreciate
it.
Certainly
it's
good
to
see
the
committee
and-
and
we're
very
excited
to
be
here
to
my
left.
I
have
deputy
commissioner
jordan
allen
on
program
operations
to
my
right,
deputy
commissioner,
andy
kidd,
with
our
fna
team,
very
excited
about
what
we've
been
doing
inside
didd,
certainly
appreciate
the
legislature's
support.
D
So,
as
the
chair
mentioned,
we
certainly
want
to
be
receptive
to
your
questions
and
give
you
plenty
of
time
to
be
able
to
ask
us
questions
about
what
we're
doing,
how
we're
honoring
taxpayer
dollars,
but,
most
importantly,
the
tennesseans
that
we're
serving
so
I
will
send
it
over
to
deputy
commissioner
kid
and
we'll
begin
our
presentation.
Thank
you.
E
E
The
next
is
tennessee
believes
this
is
an
additional
five
hundred
thousand
dollars,
that
that
makes
a
million
dollars
total
for
our
tennessee
beliefs
program
and
that's
grants
to
colleges
and
universities
to
help
those
with
idd
attend
college.
This
year's
funding
will
be
focused
on
tcats
vocational
schools
and
trade
schools.
F
Thank
you
good
morning,
members
of
the
committee,
madam
chair.
The
lending
center,
in
essence,
is
a
virtual
lending
environment
where
we'll
have
enabling
technologies
packages
of
technologies
that
can,
and
in
fact
now
have
helped
people
live
much
more
independently
rely
less
on
paid
staff,
which
you
know
the
continued
staffing
crisis
is.
This
is
helping
us
impact
that
positively
we
won't
own
any
of
the
equipment,
so
we
won't
need
to
store
it.
It'll
be
hosted
virtually
and
give
us
the
opportunity.
We
hope
to
reach
many
more
people
in
services.
E
Thanks,
jordan,
the
next
line
item
is
for
benefits
counselors,
and
these
are
three
benefits:
counselors
that
will
work
in
the
regions
to
help
those
people
that
we
support,
as
they
might
receive
waiver
services,
but
they
also
want
to
be
employed.
There's
been
some
concern
among
people
that
they
might
lose
some
type
of
ssi
benefits
or
other
benefits,
and
these
benefits
counselors
to
help
those
people
understand
that
they
can
be
employed
without
losing
any
other
benefits
that
they
might
receive.
E
E
Next
line
item
is
for
it,
licensing
we're
currently
replacing
our
case
management,
billing,
evv
systems
and
but
we'll
have
to
have
our
current
systems
concurrently
run
with
the
new
system
for
around
a
year,
and
so
this
is
just
to
absorb
that
cost.
This
is
a
non-recurring
for
one
year,
just
so
that
we
can
run
those
until
we
have
all
the
data
transferred
to
the
new
system.
E
F
Members
of
the
committee,
the
maps
program
in
short,
is
targeted
at
transitional
age,
youth,
so
kids
in
the
school
system.
The
intent
of
the
program
is
to
get
the
attention
of
and
work
with,
people
and
families,
while
they're
still
in
school
leveraging
some
of
the
vocational
training
and
the
school
experience
they're
having
and
then
helping
them
transition
into
adulthood
with
tools
that
allow
them
to
be
as
as
functionally
independent
as
they
want
to
be.
So
the
plan
will
be
to
get
in
work
with
kids
teach
them
how
to
navigate
their
communities.
F
We're
thrilled.
This
has
been
a
gap
to
be
quite
honest
for
years
and
years,
and
so
we're
thrilled
to
have
the
opportunity
to
catch
these
kids
before.
Unfortunately,
a
learned
dependence
begins
to
set
in
which
we've
seen
almost
over
a
generation
now
so
happy
to
answer
any
other
questions
about
that
program.
E
Thanks
jordan,
the
next
line
item
is
for
the
dsp
wage
and
nursing
rate
increase,
and
that's
73.1
million
24.
That
being
state
chair
hazelwood's
been
a
very
passionate
about
this
and
really
appreciate
that
and
wanted
to
show
that
this
dsp
wage
is
very
important
to
the
department
and
the
administration.
This
takes
it
up
to
13.75.
E
The
next
two
line
items
are
tied
together,
behavioral
start
home
and
in
the
hardening
of
that
start
home.
This
is
for
our
assessment
and
stabilization
teams
to
be
able
to
have
a
facility
or
a
place
to
take
folks
that
are
having
a
behavioral
crisis
in
the
moment,
rather
than
take
them
to
a
hospital
or
a
jail.
This
is
a
home
that
will
harden
so
that
our
folks
that
have
the
special
specialization
can
help
with
those
folks.
D
Yeah,
thank
you
andy
and
again,
committee.
I
appreciate
your
recognition
of
what
we're
doing
and
the
value.
Certainly
there
are
dollars
that
are
going
to
be
attached
to
that.
But,
as
andy
mentioned,
we
have
a
great
partnership
with
the
legislature
and
just
to
highlight
a
couple
of
the
things
that
we're
talking
about.
D
It
was
even
more
detrimental
in
many
cases
for
children
with
disabilities
inside
the
early
intervention
service
delivery
system
that
we
have
that
did
not
get
to
have
that
hands-on,
one-on-one
interaction
with
any
of
their
therapists
or
any
of
the
individuals
that
were
involved
inside
teis.
So
part
of
the
reason
that
we're
wanting
to
actively
promote
extending
this
to
h4s
because
of
the
number
of
children
that
potentially
were
missed
and
did
not
get
services
because
they
historically
have
been
cut
off
at
age
three.
D
They
then
move
into
the
school
system
really
behind
by
18
months,
on
what
early
intervention
could
have
done
for
them,
and
then
you've
got
a
school
system
trying
to
figure
out
how
to
continue
to
help
and
then
ultimately,
down
the
road.
Frankly,
if
we
don't
help
them
when
they're
three
years
old,
you
start
having
to
pay
for
them
even
more
expensively
when
they're
23
years
old,
if
they
have
intellectual
developmental
disabilities
and
entering
our
adult
service
delivery
system.
D
They
become
relationship
builder,
they
become
an
encourager.
They
help
individuals
that
want
to
work,
and
that's
the
last
thing
I'd
like
to
talk
about
before
we
take
your
questions
is
the
maps
program
that
deputy
commissioner
allen
talked
about.
This
really
accelerates
the
opportunity
for
tennesseans
with
disabilities
to
live
independently
work
independently
thrive
in
their
communities,
and
that's
what
we
want
to
do.
A
F
So
the
the
pilot
program
there
essentially
seeks
or
sought
at
this
point
because
we're
about
a
year
into
it
to
equip
people
in
that
local
community
to
travel
independently
around
the
community.
First
and
foremost,
I
want
to
say
that
the
city
of
chattanooga
exceeded
our
expectations
considerably.
We
approached
them
with
the
idea.
F
In
short,
it's
a
combined
travel
training
program,
so
the
city
actually
designated
staff
people
to
learn
the
training
platform
that
we
use,
which
is
a
mobile
application
that
links
the
person
with
the
routes
in
the
area,
provides
video
or
picture
demonstration
of
what
stops
look
like
even
helps
soft
skill
building.
You
know
interactions
in
the
community.
This
is
what
you
might
say
to
the
bus
driver.
F
This
is
you
know,
an
interaction
you
might
have
on
the
bus
and
long
story,
short
covid
kind
of
changed
our
approach
a
little
bit,
but
but
we've
seen
overwhelming
success.
One
thing
I
want
to
say
quickly
is
that
the
general
perception
most
of
the
time
when
we
meet
with
families
or
even
members
of
the
community
is
that
people
experiencing
a
disability
are
because
of
the
level
of
vulnerability
that
that
there
it's
not
possible
for
them
to
do
things
like
take
independently.
F
Take
public
transportation
or
what
we've
found
at
this
point
is
that
just
the
opposite,
intuitively
is
true.
Communities
tend
to
rally
around
programs
like
this.
Certainly
the
the
city
of
chattanooga
did
that,
and
the
maps
program
that
commissioner
just
mentioned
will
capitalize
on
some
of
the
success
and
what
we've
learned
in
that
project
by
expanding
the
the
technology
and
expanding
the
number
of
communities
within
which
we
implement
this
travel
program.
A
Well,
I
was
at
the
kickoff
for
that
program
and
I
really
had
not
had
a
lot
of
feedback,
so
I'm
glad
again
with
all
the
challenges
of
covid
and
everything
else.
I'm
glad
that
there
was
a
positive
outcome
and
something
that
can
be
replicated,
and
then
you
mentioned
the
hotline,
the
suicide
hotline,
and
that
is
just
for
people
with
developmental
disabilities
how's.
D
It's
provided
and
I'll.
Let
deputy
commissioner
kids
share
a
little
bit
more,
but
that's
also
adult
protective
church
who
worked
very
closely
with
department
of
human
services
to
have
a
24-hour
hotline
available.
Our
investigators
would
go
out
to
investigate
any
complaints
of
of
abuse
or
something
potentially
traumatic.
That
might
be
happening.
You
see
more
and
more
of
those
and
unfortunately,
as
deputy
commissioner
kidd
referenced
because
of
the
pandemic,
we
saw
a
lot
of
those
cases
go
up
because
more
people
were
confined
to
their
homes.
D
More
people
were
subjected
to
abuse,
certainly
something
that
we
want
to
be
very
careful
about,
and
I
think
if
you
look
around
the
state
you've
seen
instances
of
drug
use
rise.
You
know,
suicides
things
that
are
very
traumatic
and
very
unfortunate
and
detrimental
that
was
driven
in
large
part
by
the
pandemic.
D
This
is
a
hotline
that
is
available
to
caregivers,
to
families,
to
anyone
that
might
suspect
abuse
of
our
population,
but
also
of
other
populations.
They
can
call
in
and
report
anonymously
what
they
think
might
be
going
on
and
then
we
take
over
from
there
and
open
up
an
investigation
and
can
send
someone
out
to
actually
view
the
situation
that
they're
reporting.
So
I
don't
know
if
andy
wants
to
add
anything
to
that
or
not.
E
C
C
D
Yes,
sir,
there
has
been-
and
it's
a
great
question-
first
appreciate
your
very
kind
words.
We
certainly
believe
what
we're
doing
is
very
mission
driven
above
anything
else.
So
thank
you
for
your
kind
comments
here.
But
yes,
sir,
to
answer
your
question.
It
is
we've
seen
just
last
year.
I
think
we
had
a
nine
or
ten
percent
increase
in
referrals
to
our
program
and
over
the
last
three
years
it's
been
closer
to
20
when
you
combine
that
and
that's
including
a
pandemic.
So
I
think
one
of
the
things
that
the
pandemic
has
done.
D
Representative
faison
is
allow
parents
to
actually
be
present.
Many
of
the
folks
have
to
work,
and
we
understand
that
they're
having
to
be
around
their
children
more
when
some
of
their
jobs
might
be
working
from
home.
So
I
think
it's
allowed
the
the
families
and
individuals
close
to
a
child
to
see
that
there
might
be
some
developmental
delays
there
and
I
think
that's
accelerated
some
of
the
referrals
that
we've
seen
into
the
program.
D
But
yes,
sir,
we've
seen
quite
the
uptick,
and
I
think
it
you
know
represents
the
strength
and
stability
of
the
program
that
families
trust
us
enough
to
refer
their
child.
But
it
also
shows
us
the
need
there
and
why
we're
happy
to
be
able
to
present
that
we
need
a
little
bit
more
of
this,
because
it's
helping
tennesseans.
C
Charlotte,
can
I
phone,
commissioner,
can
you
tell
the
committee
specifically
on
this
program
and
then
dids
as
a
whole?
How
do
you
measure
success
when
you
look
at
at
what
everything
you're
saddled
with
with
this
program
ts?
How
does
can
you
kind
of
quantify
how
you
would
say
now
I
heard
you
say
just
a
minute
ago:
the
families
are
being
more
engaged,
so
my
mind,
that's
a
part
of
the
success,
but
how
would
you
gauge
success
of
this
program
and
then
dids
as
a
whole?
Well,.
D
D
That's
a
success
to
me
because
two
of
those
are
mom
and
dad.
So
that's
all
that
I'm
worried
about.
So
to
me.
That's
a
success
about
what
she
does.
Adults
might
want
to
work
for
the
first
time,
there's
a
gentleman
that
serves
on
one
of
our
councils,
who
said
that
his
son
has
been
diagnosed
with
autism.
He
came
home
one
day
and
showed
him
his
first
paycheck
and
said
he
wanted
to
go
to
chick-fil-a
and
go
to
a
movie.
That's
to
me,
that's
success,
so
we
might
have
this
world
view
of
what
success
looks
like.
D
C
Committee,
I
I
want
to
tell
you
a
quick
submission.
Turner
might
not
tell
you
this,
but
if
you
met
his
daughter
she
would
you
would
see
a
beautiful
young
lady
who,
you
obviously
know
has
some
serious
developmental
disabilities
and
you
may
or
may
not
get
to
interact
with
her,
but
when
he
walks
into
the
room,
he's
been
gone
today
and
he
gets
home
that
girl
is
going
to
lighten
up
and-
and
I
talking
to
him
and
and
and
knowing
these
individuals,
because
I've
been
doing
this
for
14
years.
C
Sometimes
we
that
are
completely
whole
if
you
will
think
that
we
are
doing
god's
work
or
we're
helping
them,
but
when
you
see
how
his
daughter
reacts
to
him
or
the
people
that
you
work
with
react
to,
you
you'll
find
out
that
they,
minister
to
you
just
as
much
as
you
feel
like
you're
ministering
to
them
and
to
me
this
is
this:
is
one
of
the
areas
and
your
story
just
know.
How
do
you
measure
success
guys?
C
G
My
question
first
of
all,
commissioner,
I
enjoyed
so
much
serving
with
you
on
the
subcommittee
for
students,
gifted
students
and
students
with
disability.
That
was
a
a
real
learning
experience
for
me,
and
your
leadership
was
duly
noted.
Thank
you
great
job.
Yes,
sir.
Thank
you.
My
question
deals
with
the
tennessee
believers
or
tennessee
believes
a
program.
This
program
provides
grants
to
higher
education
programs
that
serve
students
with
intellectual
and
developmental
disabilities
across
our
state.
G
Last
year
the
program
was
appropriated,
a
recurring
amount
of
five
hundred
thousand
dollars
with
this
year's
proposed
budget
expanded
the
program
to
to
an
additional
recurring.
Five
hundred
thousand
question
is
how
many
institutions
have
been
awarded
the
tennessee
beliefs
grant
so
far,
and
then
this
follow-up
would
what
new
programs
or
enhancements
have
institutions
developed
to
serve
their
students.
E
Sure
we
don't
have
clear
understanding,
yet
we
want
the
tcats
to
give
those
proposals
to
us
to
tell
us
what
they
can
do
so
part
of
the
process
for
the
the
four
grants
that
have
been
issued
so
far
is
those
schools
gave
us
proposals.
We
had
an
evaluation
team.
Look
at
that,
so
we'll
do
the
same
thing
for
t-cats
and
vocational
schools.
E
I'll
tell
you
some
of
the
programs
that
we
received
applications
for
were
very
exciting,
being
able
to
to
have
a
whole
bunch
of
new
students,
come
on
board
recruitment
being
able
to
get
them
employed
after
they
graduate
so
really
excited
to
see
what
the
vocational
schools
and
tcats
have
to
offer
as
well.
Thank
you
very.
E
D
Madam
speaker,
madam
chair,
can
madam
chair
can
I
also
add
something
to
that
really
quick
to
represent
woodson.
I
appreciate
your
service.
You've
been
a
huge
advocate
in
our
population,
our
community.
So
thank
you,
but
one
of
the
things
I
think
that
will
add
some
additional
flavor
to
the
question
that
you
just
asked
was.
We
did
a
statewide
tour
to
meet
with
families
around
some
of
their
needs
and
we
went
to
east
tennessee
and
there
was
a
young
man
there,
eight
years
old
and
I'll,
never
forget
this
story
that
I
asked
him
well.
D
That's
wholly
unacceptable
in
our
state
and
our
country
to
be
able
to
look
at
children
where
they
think
at
eight
years
old.
They
can't
go
to
college
because
they're
in
a
wheelchair
and
our
tennessee
believes
program
has
been
driven
by
that
understanding
that
every
single
child
in
tennessee
has
value
and
has
value
in
their
own
ability
and
can
create
their
own
future
through
education
through
programs.
A
A
He
used
their
bus
system
to
get
classes
and
he
is
now
he
lives
with
some
other
in
a
group
home,
but
it's
in
a
very
independent
situation.
He
works
and
I
think
that
was
really
helped
move
them
along
that
path.
So
I'm
glad
that
we're
doing
more
of
that
in
states,
so
we
don't
have
tennesseans
who
have
to
look
for
out-of-state
options
for
their
children
at
that
level.
I
F
Yes,
sir
good
question
and
thanks
for
it,
so
the
the
short
answer
is
no
we're
the
program
that
we're
seeking
some
hardening
for
will
be
expand
us
into
a
second
location.
I
think
many
members
of
the
committee
are
aware
of
the
harold
jordan
center
and
the
programming
that
goes
on
there,
essentially
serving
this
same
demographic
folks
with
co-occurring
diagnosis,
typically
challenging
behavioral
indications
in
those
co-occurring
diagnosis,
and
so
this
would
actually
work
hand
in
glove
with
another
program.
A
crisis,
stabilization
and
intervention
program.
F
That's
going
into
the
community
a
lot
of
the
providers
we've
discussed
today
will
experience
a
crisis.
These
teams
will
intervene
in
that
crisis
and
then
either
help
with
inpatient
admission,
perhaps
to
the
start
home
that
we're
talking
about
now
or
try
to
avoid
unnecessary
admissions
to
long-term
facilities,
rmhis
and
the
like.
So
this
will
provide
for
our
second
location
of
similar
programming.
F
I
D
Yes,
sir,
so
appreciate
the
question:
that's
exactly
what
we're
working
towards
is
service
delivery
in
all
those
areas.
So
I
think,
as
we
came
before
this
committee
last
week,
we
tried
to
cover
a
lot
of
that
that
not
only
are
we
going
to
be
working
to
meet
the
physical
needs
with
the
seating
and
positioning
clinic,
we're
also
heavily
anticipating
that
we're
going
to
be
able
to
focus
on
meeting
behavioral
and
some
of
the
mental
needs
for
code
diagnosis
and
dual
diagnosis
for
citizens
in
tennessee
with
disabilities.
D
D
These
homes
are
the
start
of
a
mission-driven
approach
that
we've
created
inside
our
department
historically
have
been
done
in
clinically
service
clinical
services,
but
this
is
also
an
extension
of
that
and
the
regional
offices
are
going
to
play
a
huge
part
in
that,
as
far
as
being
launching
points
to
make
sure
that
we
can
get
to
different
regions
of
the
state
quicker.
If
a
person
is
in
crisis.
I
D
Sir,
that's
exactly
what
we're
working
on
right
now,
because
there's
been
significant
challenges.
Deputy
commissioners
kids
said.
The
last
thing
that
we
want
is
an
unfortunate
encounter
with
law
enforcement
or
an
unnecessary
visit
to
a
hospital
or
an
inpatient
site
where
folks
are
not
sure
what
to
do
so.
Their
instinct
is
to
call
9-1-1
or
have
an
individual
go
to
the
hospital.
They
don't
need
to
be
there.
So,
yes,
sir,
that's
at
the
very
forefront
of
conversations
we're
having
related
behavioral
health
and
meeting
those
needs.
D
B
B
F
Excellent
question
and
thank
you
very
much
for
it.
So
the
the
maps
program
I
referenced
a
little
bit
earlier.
In
short,
we've
identified
slots
for
people,
so
that's
a
20,
000
annual
benefit
cap.
The
program
itself
is
designed
to
be
a
three-year
duration,
so
people
young
people,
hopefully
on
transitional
age
youth
from
15
to
22,
are
already
involved
in
programming
in
our
school
system.
F
All
of
this
one
of
the
things
that
I'm
sure
you
guys
have
picked
up
on
already,
but
there's
a
real
synergy
in
this
budget
submission
each
of
the
programs
and
and
really
each
of
the
individual
submission
items
are
intended
to
increase
the
functional
independence
and
the
availability
of
independence
to
people
supported
by
targeting
this
15
to
22
age
range.
Our
hope
is
that
we
can
get
in.
As
commissioner
turner
was
saying
one
and
instill
a
sense
of
optimism
in
these
kids
to
say:
look
you
can
the
sky's
the
limit
for
you.
F
You
tell
us
what
you
want
to
accomplish
and
we've
got
tools
that
can
help
you
accomplish
that
and
then
in
in
theory,
putting
people
on
a
pathway
to
independence,
which
doesn't
mean
that
they
have
to
enroll
in
the
the
ecf
program
or
in
long-term
support
services.
Not
that
that's
bad,
but
we
want
to
reserve
those
slots.
Members
of
this
committee
understand
that
we've
got
a
referral
list
still
to
this
day.
That's
in
the
thousands.
If
we
can
reach
that
group
of
kids.
F
A
month
and
make
sure
things
are
all
right
or
help
me
budget
or
help
me
plan,
for
you
know
my
daily
life
and
and
in
fact
those
aren't
theories,
we're
seeing
that
happen.
There's
I
you
know,
I'm
sure
if
you
haven't
please
go
to
our
website
and
look
at
some
of
the
videos
that
we've
produced,
but
we
have
people
that
spent.
F
You
know
two
decades
with
staff
24
7
that
are
now
living
almost
completely
independently
and,
as
commissioner
noted
earlier,
when
you
hear
that
experientially
from
somebody
that
that
was
told,
you'll
always
be
dependent
on
somebody
and
now
they're
able
to
exercise
their
own
vision
of
independence,
it's
transformative,
and
so
I'm
sorry.
I
went
a
little
long
on
that
one,
but
I
just
want
the
committee
to
understand
that
if
this
program
works
the
way
we
have
it
designed.
F
H
Thank
you,
madam
chair.
Thank
you,
commissioner
turner.
Thank
you
staff
and
thank
you
all
for
what
you
do.
I
I
can't
say
that
enough.
I
thank
you
just
thank
you
for
what
you
do.
I
I
was
thinking,
and
I've
often
heard
you
say
that
you'd
kind
of
like
to
just
work
yourself
out
of
a
job
and-
and
I
agree
with
you
and
maybe
this
is
something
you
want
to
think
about,
but
what
tools
you
think
you
would
need
that
you
don't
have
to
work
yourself
out
of
that
job.
D
D
Tennesseans
with
disabilities
have
the
same
goals
that
anybody
else
does
and
a
number
of
things
that
we
often
think
about
that
we
take
for
granted.
We
don't
realize
the
impact
that
it
has
on
tennesseans
with
disabilities
every
day
the
ability
to
travel
to
get
to
a
job
the
ability
to
hold
a
job.
Sometimes,
what
happens
representative
shaw?
That's
been
really
unfortunate,
is
our
folks
are
the
last
ones
hired
and
the
first
ones
let
go
especially
in
a
pandemic.
It
was
catastrophic
for
our
population
that
was
holding
down
employment
and
the
governor
has
said
it.
D
I've
said
it.
I
know
many
on
this
committee
believe
there's
dignity
in
a
paycheck.
What
we
need
is
companies
that
believe
the
same
thing
is
we're
having
these
conversations
around.
What
does
full
inclusion
look
like
in
the
workforce?
Our
population
tends
to
historically
get
left
behind
what
we're
working
very
closely
on
under
deputy
commissioner
allen's
leadership
is
creating
a
team
that
can
go
out
to
companies
to
say
we
know
that
you've
got
250,
000
jobs
open.
D
What
we
count
on
is
people
actually
delivering
on
what
they're
promising
for
tennesseans
with
disabilities,
and
we
have
a
full
support
structure
in
place
to
allow
folks
to
be
independent,
just
to
wrap
up
kind
of
put
a
book
in
on
that
comment,
a
lot
of
the
folks
here
that
we're
serving
as
deputy
commissioner
allen
referenced
historically
have
never
been
given
that
opportunity.
Imagine
if
you
went
home
and
somebody
sat
there
and
watched
you
sleep,
because
people
felt
like
you
couldn't
sleep
without
something
bad
happening
to
you.
D
That's
the
folks
that
we're
trying
to
support
and
we're
creating
a
narrative
for
them
to
be
able
to
tell
their
own
story,
and
we
want
more
folks
that
advocate
and
are
allies
with
us
in
creating
that
narrative
for
us
to
tell
people
that
independence
is
the
best
way.
Less
dependency
is
the
best
way
for
you
to
live
the
lives,
you've
invented
for
themselves
and
and
we've
created,
I
think,
really
a
strong
program
built
around
honoring
taxpayer
dollars.
D
I
don't
want
to
spend
a
single
more
taxpayer
dollar
than
we
need
to
to
create
independence
for
people
so
anytime.
We
come
to
you,
I'm
confident
in
saying
that
we're
not
doing
this
because
we
think
money's
there
we're
doing
it
because
we
think
we
need
it.
So
we
don't
have
to
ask
for
it
in
the
future,
because
more
people
are
utilizing
the
maps
program,
more
students
are
going
to
college
to
get
their
degree
and
they're
going
to
live
independently.
H
D
Sir,
so
your
timing's
perfect
on
that,
because
that's
exactly
what
we're
working
on
I've
met
several
times
with
commissioner
ralph
at
ecd
met
several
times
with
commissioner
record
and
his
team
at
labor
and
workforce
to
have
those
very
conversations.
In
fact,
we've
had
two
conversations
so
far
with
ford.
Obviously,
everyone
here
knows
about
blue
oval,
because
that's
what
we
want
to
do.
We
know
that
they're
looking
for
skilled
and
talented
workers,
what
we
don't
want
them
to
do
is
just
overlook
us
and
think.
Well,
that's
not
a
population
that
we
need
to
engage.
I
Madam
chair
and
I'm
going
to
follow
up
on
what
everybody
else
has
said.
Thank
you
for
all
you
do
it's
it's
amazing.
In
my
district
alone,
there
are
several
non-profits
that
deal
with
those
along
the
spectrum
of
intellectual
and
physical
disabilities
and
several
of
them
provide
services
to
the
community,
one
of
them
being
a
group
called
on
the
avenue
and
they
do
marketing
in
pr
and
they
they
again
have
people
all
along
the
spectrum.
D
Yeah,
so
it's
a
good
question,
so
I'm
familiar
with
what
you're
referencing
so
really
there's
kind
of
two
answers
to
that
question:
one.
What
we
always
want
to
do
is
partner
with
non-profits
that
are
in
their
community
and
working
in
their
community,
make
sure
that
they
deliver
for
individuals
that
have
disabilities,
but
what
we
don't
want
there
to
create
a
false
narrative
around
the
only
way
to
do
that
is
through
segregated
work,
environments,
segregated
housing,
segregated
opportunities
for
employment.
So
we
always
challenge
ourselves.
D
When
we
engage
private
sector
individual
state,
are
they
meeting
the
needs
of
the
individual
number
one,
but
one
a
behind
that
is?
Are
they
doing
it
in
a
manner
that
we
believe
is
efficient
around
creating
opportunities
for
independence
and
lessening
dependency?
So
what
we've
seen
representative
freeman
is:
we've
been
able
to
share
in
very
great
detail
with
the
number
of
nonprofits
exactly
what
our
vision
is
and
how
we
see
tennessee
being
a
leader
across
the
country
in
independent
living,
independent
work
and
independent
support
for
individuals
with
disabilities.
D
So
I
think
your
question
and
I
want
to
make
sure
I'm
catching
it
correctly
is.
What
are
we
doing
to
number
one
help
those
non-profits,
but
if
they
don't
know
we're
here,
how
are
we
working
to
engage
them
to
make
sure
that
they
understand
we're
here
to
help
that's
another
thing
that
we
we've
started
to
do
so.
Our
communications
team
works
incredibly
effectively
with
local
nonprofits
local
government
entities.
D
A
number
of
the
provider
agencies
all
across
the
state
to
say
here's
things
that
are
happening
in
our
area
can
didd
come
alongside
and
partner
with
us,
or
can
they
actually
in
some
ways?
What
I
want
us
to
do
is
get
government
out
of
the
way
if
it's
a
program,
that's
working
efficiently
and
effectively
to
represent
shaw's
question
earlier.
I
don't
want
us
messing
up
something
just
because
we
feel
that
we
know
a
little
bit
better.
That's
a
false
narrative!
D
That's
been
created
that
I
don't
believe
in
so
we
work
very
closely
with
those
non-profits
and
with
private
providers
to
make
sure
that
we're
listening
to
their
needs,
understanding
where
we
can
meet
their
needs.
But
historically,
what
we've
tried
to
do
is
make
sure
that
we're
not
going
backwards
and
what
I
mean
by
going
backward
is:
are
we
creating
things
that
become
institutions
that
look
like
lipstick
on
a
pig
where
folks
are
segregated
every
day
for
eight
or
ten
hours,
they're,
only
working
the
same
menial
tasks
that
they
don't
want
to
do.
D
Deputy
commissioner
alan
and
I
have
gone
out
on
our
own
to
meet
with
a
number
of
non-profits.
I've
met
with
on
the
avenue
several
times
to
make
sure
that
we're
understanding
what
they're
trying
to
do
and
then
hopefully
bringing
some
of
our
expertise
and
experts
that
we
have
in
the
nonprofit
sector
and
in
the
public
sector
to
work
with
them
to
create
a
job
plan
and
an
execution
plan
that
meets
the
needs
of
the
individual,
where
everybody
wins.
H
Thank
commissioner
thank
you
for
the
great
work
that
you're
doing.
Thank
you.
You
know
being
up
here.
I
guess
12
years
I
see
a
lot
of
lobbyists
running
around.
I
don't
see
a
lot
of
advocates
sometimes
so
I
appreciate
your
advocacy
and
appreciate
your
because
your
heart's
in
the
right
place.
I
mean
we
all
know
it.
We
see
it,
but
I
appreciate
this
this
committee
and
and
the
chairman
for
for
giving
those
folks
the
caregivers
raises.
H
Then
mayor
kitchen,
hired
him
who
was
in
senator,
but
what
was
amazing
about
this
guy
was
he
had
bowled
a
perfect
game
before
I
mean
you
know,
and
I
don't
want
to
use
the
analogy
I
want
to
use,
but
you
wouldn't
think
he'd
have
that
potential,
but
mayor
kitchen
seen
the
potential
and
then
others
seen
the
potential,
but
he
passed
to
covet
a
few.
A
few
weeks
ago,
you
know
my
pastor
of
the
day
was
talking
about
jesus
using
parables
and
I
often
think
about
the
levite
and
the
priests
passing
by.
H
They
were
probably
in
a
hurry,
hurry
up,
get
a
meeting
or
hurry
up
get
home
and
the
samaritan
just
stopped
and
took
the
time
out
to
help
that
person.
You
know
I've
seen
a
lot
of
disconnects,
sometimes
many
times
it's
back
home,
my
own
community.
I
hate
to
say
that
I've
seen
a
woman
get
arrested
for
truancy.
She
had
a
special
needs
child.
I
don't
know.
If
you
remember
that
happened
in
rutherford
county,
she
told
me
she
said
she
got
arrested,
put
in
the
back
police
car.
She
said
I
can't
go.
H
H
I've
often
shared
the
story
of
danny
who
was
deaf
and
blind
working,
two
jobs,
papa
john's,
hired,
deaf
and
blind
working.
Two
jobs
he
could,
he
could
fold
1200
pizza
boxes.
I
think
it
was
three
hours
just
an
awesome
story.
Trcs
in
my
community
tennessee
rehab
center
appreciate
the
good
work
they
do.
Donny
had
went
through
there
years
ago,
so
I
appreciate
you
being
that
good
samaritan
that
takes
the
time
and
your
staff,
rather
than
just
passing
on
by,
like
sometimes
we
often
do
up
here.
Thank
you.
Thank
you,
commissioner.
Thank
you
chairman.
H
D
D
I
think
we've
created
a
narrative
in
our
society
where
we're
trying
to
teach
folks
with
disabilities
how
to
interact
around
folks
that
might
have
normal
abilities
when
we
need
to
be
teaching
ourselves.
How
do
we
meet
their
need
first
and
then
worry
about?
How
do
we
have
those
conversations
later?
We've
got
to
start
meeting
people
where
they're
at
not
where
we
think
they
should
be.
A
Thank
you,
commissioner.
You
can
tell
there's
a
lot
of
passion
on
this
committee
about
what
you
do
and
we
are
very
appreciative
just
one.
I
guess
follow-up
question
we're
talking
about
some
additional
positions
in
a
couple
places
benefits
counselors
and
I
think
there
was
a
another
one
or
two,
but
just
the
whole
issue
of
personnel
in
this
labor
shortage.
A
I
D
Sure
yeah,
thank
you
for
the
question,
so
it
has
been
challenging
obviously
to
fill
the
spots,
but
I
also
want
to
be
very
clear
with
the
committee
that
dsps
are
assault
of
the
earth
in
our
world
and
how
they
deliver
services
for
tennesseans
with
disabilities.
We
cannot
do
our
job
without
them
doing
what
they
do
every
day
and
what's
incredible
about
some
of
these
folks
to
your
point
chair?
D
Is
they
see
some
of
these
jobs
that
might
be
better
paying,
but
they
look
at
their
job
as
a
mission
and
caring
for
individuals
that
they're
responsible
for
and
that's
what
drives
them
and
it's
an
encouragement
to
me.
They
motivate
me
to
be
better
because
what
they're
doing
is
built
at
the
very
foundational
level
of
serving
others,
and
I
can't
do
my
job
without
the
dsp
statewide
delivering
on
what
they
do
every
single
day.
I
think
everyone
in
here
knows
someone
that
probably
works
in
that
service
industry.
D
So
the
least
we
can
do
to
your
point
is
figure
out
ways
to
help
make
them
pay
or
their
pay
more
equitable
than
what
they've
been
historically
given.
Knowing
that
we're
going
to
have
a
hard
time
meeting
the
needs
of
the
private
sector,
I
don't
think
it's
ever
an
excuse
for
our
department
not
to
try
to
to
go
to
bat
for
these
folks.
D
The
other
areas
are
the
same
thing,
sure
we're
going
to
feel
pressures
from
private
industries
and
some
other
industries
that
might
be
able
to
pay
a
little
bit
more.
But
a
lot
of
our
folks
in
our
department
are
mission
driven
the
folks
that
work
in
early
intervention
that
see
a
child
for
the
first
time
able
to
sit
up
on
their
own.
You
can't
put
a
paycheck
on
that.
We
and
we
hear
that
from
folks
all
the
time.
D
So,
while
I'm
very
proud
of
what
we're
doing
serving
people,
we
also
understand
that
there's
economic
pressures
they've
got
to
provide
for
their
families.
So
we've
tried
to
be
very
careful
in
how
we
balance
the
workload
balance,
the
need
of
hiring
new
folks
to
take
away
some
of
that
workload.
I've
always
told
our
department
first
thing
in
your
life
that
comes
number
one
is
your
faith.
D
Family
is
number
two
work
needs
to
be
a
distant
third,
so
we're
trying
to
create
those
balances,
madam
chair,
by
creating
some
of
these
new
positions
that
are
driven
by
the
need
in
the
community,
but
also
understanding
that
every
that
some
of
our
folks,
they
can't
do
everything
for
everybody.
We've
got
an
obligation
to
make
sure
that
we're
meeting
the
needs
and
balancing
some
of
their
case
flows
and
things
that
that
they
need
to
do
to
be
able
to
to
be
good,
moms
and
dads
at
home.
E
Yeah
to
the
caseload
point:
teis
currently
has
an
average
case
load
of
72,
which
is
why
you
see
the
additional
positions
there
to
help
lower
that
caseload,
hopefully
into
the
high
50s
low
60s.
Our
katie
beckett
has
an
average
case
load
of
30
and
then
our
https
we
currently
are,
which
are
very
similar
to
the
dsp.
We
currently
have
85
vacancies,
which
we're
trying
to
fill
with
the
cost
increases
as
well.
Thank
you.
A
Well
again,
I
know
it's
very
challenging
the
labor
market
in
general
and
so
again-
and
I
I
think
it's
as
you've
mentioned
commissioners-
it's
not
just
laborers
that
you
need
it's,
it's
people
with
a
mission
and
a
passion
for
the
work.
That's
being
done
so
again,
we
thank
you
for
for
that
good
work.
Thank.
J
D
A
A
All
of
this
should
be
on
your
dashboard,
but
the
department
for
people
like
me
and
leader
lambert,
who
prefer
the
old-fashioned
way
paper.
They
have
brought
copies
of
their
presentation
which
are
being
passed
out
so
you'll.
You
can
have
it
electronically
or
you
can
have
it
hard
copy
and
thank
you
thank
you
all
for
doing
that
for
providing
those
so
director
piercy.
K
K
K
Thank
you
for
recognizing
her
service
with
a
house
joint
resolution
upon
her
retirement,
we're
honored
to
carry
forward
her
legacy
as
a
new
director.
I
feel
very
fortunate
to
have
the
two
people
sitting
here
with
me
today.
Deputy
director
lynette
porter
is
sitting
here
to
my
left.
Lynette
has
been
with
the
council
for
more
than
20
years,
and
she
is
the
expert
on
our
budget.
K
K
K
K
We
use
strategic
partnerships
to
solve
problems
that
citizens
help
us
identify
and
we
create
lasting
change.
The
photo
on
this
page
shows
visually.
The
membership
of
our
council
in
this
photo
are
our
10
staff
members,
9
representatives
from
state
departments
who
oversee
disability
programs
and
21
governor
appointed
members
from
across
the
state
from
your
communities.
K
At
our
council
meetings
it
is
powerful
to
watch.
Citizens
engage
directly
with
policy
makers.
You
can
imagine
the
parent
of
a
school-aged
child
who
receives
special
education
sitting
next
to
the
representative
from
the
department
of
education,
the
citizens
bring
back
knowledge
to
their
communities
and
the
state
agency
representatives
bring
back
the
citizen
perspective
to
their
agencies.
K
K
The
top
bullet
reflects
a
major
focus
area
of
ours
for
many
years,
and
it
demonstrates
our
role
acting
across
the
entire
system,
and
that
is
revolutionizing
the
way
that
tennesseans
find
disability
services
we
continually
hear.
I
don't
know
how
to
find
the
services
I
need.
I
don't
know
what
exists,
and
I
don't
know
where
to
start.
K
No
one
agency
can
address
this
issue,
it's
a
job
for
the
entire
system
and
that's
where
we
come
in.
We
co-founded
a
program
called
tennessee
disability
pathfinder.
It's
a
one-stop
shop
for
both
public
and
private
resources
organized
by
county
all
across
the
state.
Most
states
do
not
have
anything
like
this.
K
K
The
whole
project
is
an
example
of
government,
at
its
best
coordinating
behind
the
scenes
to
make
life
easier
for
tennesseans
so
now
to
get
to
the
budget
numbers.
If
you
turn
to
the
next
page,
you
will
see
a
high
level
overview
of
our
budget
and
I'm
going
to
ask
deputy
director
lynette
porter
to
walk
us
through
this
page.
B
You'll
see
that
our
fiscal
year,
23
state
budget
request,
is
in
line
with
our
current
fiscal
22
budget,
we're
requesting
1
million
seven
hundred
and
forty
seven
thousand
six
hundred
dollars
in
federal
spending
authority.
Four
hundred
thousand
in
inter-departmental
funds,
which
is
for
the
pathfinder
information
and
referral
collaboration
that
director
piercy
mentioned.
K
K
These
citizens
appointed
by
the
governor
are
carefully
selected
to
also
represent
a
variety
of
different
disabilities,
ages,
races
and
life
experience.
Please
call
on
us
if
you
ever
need
a
disability
representative
from
your
area
to
offer
a
perspective
or
any
other
support
related
to
a
disability
issue.
That's
what
we
are
here
for
so
in
closing,
I
want
to
thank
you
for
your
support
of
our
program.
K
A
B
B
A
I
Being
here
you
and
your
staff,
and
thank
you
for
for
what
you
all
do
my
questions
center
around
the
strategic
plan
that
you
guys
have
been
working
on
since
october
of
2021.
Can
you
talk
a
little
bit
about
that
plan?
When
do
you
guys
plan
on
having
that
completed,
and
how
are
you
gathering
information
to
help
construct
this
plan.
K
K
This
includes
a
major
public
input
process,
strategic
planning
with
our
council
members,
who
I
mentioned,
and
a
literature
review
of
everything
else
going
on
in
the
state
from
our
partners.
What
kind
of
public
input
are
they
gathering?
What
does
the
national
dialogue
tell
us
about?
Disability
needs
and
disability
best
practices.
K
We
also
survey
all
the
state
agencies,
all
the
boards
and
commissions
all
the
cabinet
agencies,
and
do
an
inventory
of
what's
available
in
tennessee,
because
disability
services
exist
across
every
agency.
We
counted
over
150
last
time.
We
did
this,
so
we
take
all
of
that
and
we
put
it
into
our
strategic
plan
and
we
have
launched
that
plan.
We
can
get
that
too.
It's
on
our
website
and
we
thought
it
was
too
much
detail
for
five
minutes
today,
but
it
is
complete.
L
K
Yes,
in
pathfinder,
there
are
six
state
agencies
who
have
contributed
funding
pooled
funding
with
us
to
support
directly
support
that
pathfinder
as
a
program,
so
that
is
didd
department
of
health
department
of
mental
health
department
of
human
services,
department
of
mental
health
and
the
commission
on
aging
and
disability
gave
us
a
one-time
grant
now
the
23
agencies.
I
think
that
you're
referring
to
are
the
number
of
agencies
that
offer
disability
services
according
to
that
comprehensive
review
and
analysis
that
we
mentioned.
L
L
K
We
have
a
very
small
staff.
We
have
10
staff
here
in
nashville,
but
we
have
decided
over
the
last
five
years
to
expand
our
communications
team.
So
we
have
two
really
expert
communications
staff
members
who
do
a
lot
of
promotion
of
getting
materials
out,
coordinating
with
state
agencies
about
how
to
make
things
understandable
and
accessible
to
tennesseans.
K
We
also
have
a
public
policy
director
who
spends
a
lot
of
time,
coordinating
with
state
agencies
and
a
full-time
leadership
director
who
we
actually
have
programs
for
citizens
to
help
nav
help
them,
learn
how
to
navigate
the
disability
system
and
be
ambassadors
in
their
communities
to
help
each
other.
It's
kind
of
a
train,
the
trainer
leadership
type
thing,
so
we
have
over
500
graduates
across
the
state
who
can
help
their
community
members,
navigate
these
services
and
better
find
services.
So
we
do
it
in
several
ways
with
a
small
staff
is
the
short
answer.
A
A
new
website
that
you
know
is
easier
to
navigate
and
easier
to
understand,
probably
has
a
lot
more
information,
but
what
do
we
do
for
the
community?
And
I
appreciate
the
fact
again
you
mentioned
you
have
these
train
the
trainer.
These
folks,
who
are
back
in
the
community,
have
been
through
the
process,
but
in
my
experience
at
least
some
of
the
disabled
community,
their
parents
or
caregivers
or
responsible
parties
would
to
could
be
older,
less
willing
or
able
to
interact.
You
know
electronically,
so
other
than
these
community
people.
A
How
are
we
reaching
out
to
them
again?
I
I
know
some
people
who
have
you
know
they've
always
taken
care
of
their
child
themselves.
Yes,
but
and
they
have
not
wanted
needed
or
accessed
governmental
assistance
or
programs,
but
as
they
get
older
and
they
recognize
you
know,
there's
there
has
to
be
a
transition.
K
A
A
We
just
heard
from
you
know,
commissioner
turner
a
few
minutes
ago
about
those
programs,
but
I
guess
my
question
is
more
on
the
other
end
of
that
spectrum,
where
you
have
people
who
have
not
been
served
that
they're
adults
we're
not
going
to
find
them
through
the
school
system,
maybe
through
the
medical
community
or
through
health,
but
again
that
that
was
the
the
group
that
I'm
trying
to
figure
out
how
we're
actually
actively
recruiting.
If
that's
the
right
word.
E
Thank
you,
madam
chair.
Thank
you
director
for
being
here
and
everything
that
you'll
do.
I
understand
you
all
work
with
a
lot
of
different
agencies
in
the
state
local
realm,
as
well
as
private
organizations,
specifically
with
some
programs,
such
as
options,
ecs
choices
and
the
early
intervention
system.
E
K
You
know
I
really
think
chair
lady
hazelwood
just
hit
on
it.
It's
helping
people
know
that
it
exists
when
we
make
program
changes
it
takes
years
for
that
information,
sometimes
to
get
to
the
people
who
need
it.
I
think
we
can
be
so
proud
that
our
state,
all
of
our
state
agencies,
certainly
didd,
is
leading
the
way
have
really
invested
in
communications
staff
and
using
social
media
and
using
the
tools
that
historically
government
hasn't
always
been
on
the
forefront
of
using,
and
we
certainly
do
that
from
our
organization.
K
E
To-
and
I
understand
that,
thank
you
just
to
shift
to
the
back
end
of
that.
I
guess
once
we
get
communication
out
there
and
people
are
aware
of
what
their
options
are.
Do
you
see
that
there's
enough
healthcare
providers
in
this
field
in
the
state
to
serve
these
individuals
once
they
are
identified
and
working
with
us.
K
We
know
that
as
a
state
government,
and
I
think
we
have
we're
throwing
everything
we
can
at
it.
When
I
go
to
meetings
with
our
sister
state
agencies,
I
can
tell
that
everyone's
aware
of
that
there
are
initiatives
underway,
but
I
do
think
nationally.
It's
something
our
our
whole
nation
is
grappling
with.
E
Last
follow-up,
I
promise
so
taking
that
is
there
best
practices
that
you
can
point
to
to
other
states,
because
you
said
you're
working
with
sister
agencies
in
other
states,
but
then
you're
also
saying
which
I
agree
with
there
is
a
national
problem
with
all
health
care
providers.
What
what?
What?
What
are
you
all
doing?
What
are
you
all
hearing.
K
K
Investing
in
the
pipeline
are
two
things
that
everyone's
aware
of,
I
think
perhaps
what's
undervalued,
but
we
think
is
really
really
important
is
professionalizing
those
fields,
so
the
the
recognition
of
people
from
paraprofessionals
in
schools
to
direct
support
professionals
with
the
adults
to
people
who
work
in
nursing
homes,
it's
just
often
so
undervalued
and
so
the
to
the
extent
that
we
can
recognize
and
value.
Those
positions,
I
think,
would
go
a
long
way.
N
M
M
K
M
How
can
how
can
we
work
within
the
system
to
to
better
the
transportation
challenges
that
we've
got
and
is
there
some
type
of
public
private
partnerships?
Are
there
folks
that
we
can
reach
out
to
and
I'll
suggest,
every
county
across
the
state
that
we
may
be
able
to
create
some
partnerships
to
help
help
our
help
folks
get
to
work?
K
That,
I
think,
is
the
foundation
of
how
we
solve
this
issue,
because
I
think
it's
a
government
coordination
issue.
I
think
that
that
there's
a
lot
of
programs
scattered
throughout
our
government
to
tackle
this
issue
and
having
one
entity
able
to
coordinate
it
both
within
state
government,
but
with
the
hras
with
the
local
partners
that
can
pull
in
community
partners.
K
K
I
think
the
proposal
that
commissioner
turner
talked
about
a
few
minutes
ago
is
really
exciting.
The
maps
program
that
would
target
youth,
including
youth
on
the
waiting
list
with
transition
services,
would
be
huge.
I
think
we
can
do
a
better
job
connecting
people
on
the
waiting
list
to
pathfinder,
which
means
you
can
look
for
services
that
aren't
necessarily
medicaid
services
but
might
meet
your
needs
while
you're
waiting-
and
I
think
the
family
support
program
that
didd
runs,
which
you
can
get
while
you're
on
the
waiting
list
has
been
a
lifeline.
D
K
I
say
we
are
here
with
you:
we
want
you
to
connect
with
us.
We
can
help
you
through
pathfinder
connect
to
things
that
might
help
meet
your
needs,
while
you're
on
the
waiting
list,
and
that
now
is
the
best
time
in
many
years
to
be
on
that
waiting
list
because
of
the
proposal
to
reduce
the
waiting
list
by
so
much.
Thank.
A
Thank
you
director.
Thank
you
all
for
being
here,
there's
a
again
there's
a
lot
of
passion
on
this
committee
for
this
whole
subject
area
and
we're
making
sure
that
we're
doing
our
best
as
a
state
to
take
care
of
the
most
vulnerable
tennesseans
in
a
way
that
you
know,
serves
them
well
and
allows
them
the
dignity
of
work
if
possible,
and
if
not
the
the
dignity
of
staying
in
their
own
home.
A
For
as
long
as
possible,
I
mean
all
of
those
things
are,
I
think,
critically
important
to
people's
mental
health
and
a
number
of
other
things.
So
we
thank
you
for
your
part.
In
doing
that,
I
look
forward
to
I'm
going
to
check
out
your
website
and
I
figure.
If
I
can
navigate
it,
then
I'm
going
to
feel
good
that
that
most
other
people
could
as
well
and
and
find
different
services.
K
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
And
welcome
to
commissioner
williams
and
her
team
from
the
department
of
mental
health
and
substance
abuse
services,
and
I
have
promised
them
that
anybody
who
was
you
know
kind
of
drifting
off
needing
a
little
nap,
that
you
would
do
all
in
your
power
to
wake
us
up,
and
I
know
you
can
do
it.
So,
commissioner,
in
all
sincerity,
everybody
you
know.
Obviously
everything
that
we
do
in
state
government
is
important.
A
Hopefully
it
is,
or
we
wouldn't
be
doing
it,
but
the
things
that
we
are
touching
on
today,
working
with
people
who
have
the
most
severe
problems
and
issues
oftentimes
through
no
fault
of
their
own,
and
any
of
us
could
be
in
those
shoes
at
any
time
or
have
family
members
who
are-
and
I
just
want
to
say
up
front
how
grateful
we
are
for
the
work
that
you
and
your
team
do
and
for
your
leadership.
I
know
you
have
a
passion
for
it
and
you've
been
laboring
in
these
vineyards
for
a
very
long
time.
N
N
Please
know
that
we
are
going
to
present
this
budget
request,
with
open
hearts
and
with
love
and
also
in
a
humble
manner.
So
I
want
to
recognize
at
the
table
with
me,
deputy
commissioner
matt
yancey
to
the
left,
gene
wood
who's,
our
budget
director
on
the
table
to
the
right
ty
thornton,
who
is
our
chief
of
staff
and
then
next
to
him,
is
heather
gunderson.
N
N
N
If
you'll
turn
to
the
next
slide.
I
wanted
to
go
back
to
our
data.
As
you
know,
that's
what
drives
our
decision
making.
What
we
ask
for
funding
for
each
year,
you'll
see
the
prevalence
of
serious
mental
illness
among
adults
and
you'll
see
that
over
the
last
two
years
we
have
had
tremendous
spikes
in
anxiety
and
depression.
N
N
Turning
next
to
the
estimated
prevalence
of
substance
use
disorder,
the
gap
is
much
wider
there
looking
at
that
same
slice
of
uninsured
tennesseans
living
with
substance
use,
disorder,
you'll
see
that
that
number
is
actually
52
000
and
with
all
of
the
resources
that
you
and
governor
lee
have
given
us,
we
still
have
more
than
32
000
individuals
that
are
not
able
to
receive
services
that
are
uninsured
and
that
number
is
growing
if
you'll
turn
to
the
next
slide.
Mental
health
and
substance
use
services
current
day,
statistics.
N
N
in
yesterday's
tennessee,
and
if
you
had
a
chance
to
read
it
the
front
page
said
no
parent
should
ever
have
to
deal
with
this
or
suffer
this.
A
young
woman
who
was
a
high
school
senior
graduating
with
honors,
was
at
a
party.
Someone
gave
her
a
pill.
She
thought
it
was
something
different
than
what
it
was
and
it
was
laced
with
fentanyl
and
she
died.
N
N
Increase
of
the
17.9
million
you'll
know
that
we're
asking
for
that
also
because
our
providers
in
many
instances
have
gone
without
increases
in
their
budget,
some
from
2005
that
actually
offer
the
behavioral
health
safety
net
and
then
others
who
offer
substance
use
services
no
increase
in
their
cost
of
living.
Since
2009.
N
We
very
very
much
hope
that
you
will
endorse
this.
It's
a
request
that
we
not
only
made,
but
our
brothers
and
sisters
at
tenncare
are
making
because
of
the
work
that
deputy
commissioner
yancey
did
this
summer
with
tenncare,
we
were
able
to
put
together
a
workforce
report
that
each
of
you
will
get
once
it's
printed.
You've
got
it
already
electronically,
but
you'll
see
how
high
this
need
is.
N
The
next
piece
that
we'll
turn
to
is
our
second
request
in
this
budget,
which
is
six
million
dollars
recurring
to
expand
our
substance,
abuse
clinical
treatment
services,
as
as,
as
mentioned
in
the
prevalent
slides,
we
have
32
000
individuals
that
we're
not
able
to
serve.
This
will
allow
us
to
serve
an
additional
2460
individuals
each
year.
N
N
N
Mark
liverman
is
our
director
of
this
area
and
he
has
done
such
an
awesome
job
in
working
with
the
department
of
human
services.
You'll
note
that
we're
asking
for
nine
hundred
thousand
dollars,
but
let
me
tell
you
that
we'll
pull
down
a
four
to
one
match
four
dollars
to
r1
and
we'll
be
doing
that
with
our
partners
at
the
department
of
human
services
who
will
draw
down
those
dollars.
N
We
know
that
this
will
allow
us
to
serve
up
to
740
additional
tennesseans
that
are
struggling
with
severe
mental
illness
to
get
into
jobs
that
can
give
them
a
living
wage
and
their
families
a
living
wage.
We
also
know
that
this
will
allow
us
a
75
percent
expansion
of
the
current
people
that
we
serve.
N
N
This
will
allow
them
to
have
that
feeling
and
not
just
want
to
do
it,
but
be
able
to
do
it
in
item
5
we're
proposing
550
000.
This
will
go
to
the
morgan
county
residential
treatment
facility.
That
many
of
you
know
about
some
have
visited,
and
we
are
very
very
hopeful.
As
I
know,
judge
norman
is
that
those
dollars
will
be
included.
N
Item
six
is
very
much
needed,
I.t
support.
We
did
a
research
review
of
rit
staff
compared
to
other
department's
I.t
staff
and
we
are
woefully
underfunded.
I'm
grateful
for
these
funds
to
be
added.
They
will
go
to
the
department
of
f
a
because
that's
who
our
I.t
staff
are
actually
funded
under,
and
this
will
allow
us
to
bring
on
more
people
to
increase
our
ability
to
continue
to
provide
great
web-based
real-time
service
delivery
and
then
the
final
increase
in
this
proposed
budget
is
1
million
225
000.
N
This
amount
represents
the
tax
revenue
that's
collected
from
internet
sports
betting
based
on
the
law
that
you
passed.
This
non-recurring
amount
will
pay
for
grants
to
develop
and
establish
treatment
programs
for
individuals
that
are
struggling
with
sports
gambling.
If
you
go
to
the
next
slide,
you'll
look
at
our
supplemental
funding
request
for
fy
22.
We
have
none.
A
N
If
you
look
at
the
next
slide,
any
anticipated
loss
of
one-time
funding-
thankfully
no,
we
don't
anticipate
any
loss
of
funding
and
then
finally,
the
status
of
our
programs
receiving
federal,
coveted
relief
funding.
I've
asked
deputy
commissioner
yancey
to
go
over
this
is
he
has
toiled
heavy
and
mighty,
with
our
team
assistant
commissioner
cotterman
and
assistant
commissioner
sloss
to
make
sure
that
we're
using
these
dollars
to
their
fullest
ability.
Deputy
commissioner.
O
Thank
you,
commissioner.
You
know
we
we've
been
fortunate
since
march
of
2020
to
receive
additional
federal
funds
to
supplement
the
work
that
we
do
around
prevention,
treatment
and
recovery
support.
We
received
an
initial
grant,
I
believe,
in
april
of
2020.
That's
the
coven
19
behavioral
health
care
response
grant
shortly
that
thereafter
we
received
another
sampson
grant
to
fund
what
we
call
project
rule
recovery,
recognizing
that
certain
communities
you've
got
to
go
where
people
are
underserved
rural
communities.
O
So
we
stood
up
to
mobile
clinics
since
the
pandemic
started
to
reach
those
underserved
communities
providing
integrated
care.
We've
also
received
significant
increases
to
our
mental
health
block
grant
and
our
substance
abuse
prevention
and
treatment
block
grant.
These
are
all
time
limited
funds,
but
they
are
going
a
long
way
in
supporting
our
provider
network
and
reaching
communities
that
we've
we've
had
some
challenges
to
serve
in
the
past,
and
it's
all
really
driven
by
coven
19
and
addressing
what
we
know
have
been
exacerbated
symptoms
of
mental
illness
and
substance
use
since
march
of
2020.
N
N
However,
we
want
you
to
know
that
we're
committed
to
making
the
most
of
every
dime
you
give
us.
We
do
that
day
in
and
day
out
with
our
provider
network
that
is
represented
here
today,
and
we
also
want
you
to
know
that
we
will
take
these
dollars
we'll
draw
down
every
federal
dollar
that
we
can
so
that
we
can
serve
the
citizens
of
our
state
who
are
struggling
day
in
and
day
out
with
mental
health
and
substance
use
issues.
We're
excited
that
our
providers
can
use
these
funds
and
make
a
difference
in
our
communities.
A
O
So,
chairman
hazelwood,
so
we
have
a
certain
amount
of
time
for
each
grant.
So
the
the
block
grant
funds
that
we've
received
the
supplemental
block
grants
under
the
consolidated
appropriations
act
as
it
stands.
Now
we
have
until
march
of
2023
to
expend
all
of
those
dollars.
We
are
getting
feedback
from
samsa
that
is
likely
to
they're
likely
to
approve
a
no-cost
extension
year,
so
we'll
have
another
year
to
use
those
dollars.
A
I
Thank
you,
madam
chair,
you
were
talking
about
the
sports
gaming
and
I
specifically
want
to
hone
in
on
the
addiction
treatment
in
that's
getting
ramped
up.
The
proposed
budget
includes
1.25
million
dollars
from
the
sports
gaming
fund.
For
that
purpose,
can
the
department
provide
details
for
us
specifically
on
how
this
treatment
program
is
going
to
be
instituted,
and
also
is
it
going
to
going
to
be
in
all
95
counties.
N
N
We
have
worked
with
our
providers
across
the
state
who
see
people
that
are
struggling
with
sports
gambling,
even
in
our
current
treatment
programs
that
focus
on
substances,
as
I've
said
before,
an
addiction
is
an
addiction
and
if
you
can
help
people
get
into
that
pathway
of
recovery,
you're
doing
a
good
thing.
At
this
moment
our
team
will
be
working
with
tattis
who's
represented
here
today.
The
executive
director
mary
lyndon
as
well
as
the
sports
gambling
commission.
N
A
And
along
those
lines,
when
you're
dealing
with
addictions,
you
know
I've
been
told,
some
people
have
addictive
personalities.
If
you
will
so
you
might
have
multiple
addictions,
and
so,
if
you
can
kind
of
walk
us
through,
if
you
prioritize
those
or
if
the
treatment
is
the
same
or
how
does
that
work.
N
Absolutely
that's
a
great
question,
so
in
this
field
we
have
what's
called
an
asam
criteria.
It's
an
addiction
services
ability
to
consistently
assess
people
that
come
in
based
on
their
presenting
problems.
So
it's
a
question
there.
It's
not
really
long,
but
it
lets
you
see
what's
going
on
in
that
person's
life,
both
historically
around
any
kind
of
substance
or
other
type
of
addiction,
as
well
as
where
they're
at
today,
depending
upon
what
that
criteria
says,
there's
like
a
road
map.
N
It
tells
you
as
a
clinician,
here's
what
you
should
try
first,
so
some
people
might
come
to
you
and
they've
just
started
taking
drugs
and
they're
concerned
that
they,
it
may
turn
into
an
addiction
that
person
you're
going
to
have
a
completely
different
treatment
path
than
somebody
that
comes
in
and
says:
hey
I've
been
doing
drugs.
Since
I
was
13
years
old,
I've
lost
my
children.
N
I've
lost
my
job
and
I
cannot
stop
taking
whatever
this
substance
is
that
person
would
be
offered
12-step
recovery,
detox,
inpatient,
residential,
so
again,
there's
a
continuum
and
that
clinician
uses
a
sam
criteria
to
determine
what
do
I
do
with
this
person,
because
it's
very
much
person
based.
So
I
hope
that
answers
your
question.
P
Thank
you,
madam
chair,
as
you
know,
you've
receiving
6
million
in
reoccurring
funds
for
the
clinical
treatment.
My
question
is:
how
are
you
going
to
use
those
funds
will?
Will
you
take
the
services
that
you're
now
providing
and
offer
them
more
additional
funds,
or
will
you
try
to
maybe
set
up
additional
departments
to
expand
the
services
to
new
locations
across
the
state.
N
Thank
you
so
much
for
asking
that
so
we've
put
in
our
information
that
we
would
serve
an
additional
2460
tennesseans
and
what
we
would
do
is
take
the
current
continuum
of
care
treatment
process
that
we
fund
across
the
state
with
our
providers
that
are
all
across
the
state
and
they
would
get
more
funding.
It
would
be
a
portion
based
upon
what
they
currently
get.
N
N
There
are
several
books
that
have
been
written
about
why
east
tennessee
is
was
the
the
mega
of
the
opioid
epidemic
and
what
you'll
see
is
that
people
say
number
one.
A
lot
of
the
coal
miners
that
are
in
that
area
were
preyed
upon
and
were
sort
of
targeted
to
sell
them
pain
pills
and
to
get
them
on
that
from
their
doctors.
Doctors
had
no
idea
that
what
they
were
doing
was
going
to
lead
to
addiction,
because
no
one
said
hey.
N
This
is
an
addictive
substance,
and
so,
once
you
start
on,
what's
considered
a
prescription
and
then
that
prescription
comes
into
I'm
addicted
and
then
you
can't
get
what
you
need,
because
doctors
started
learning
hey.
This
is
an
addictive
substance
that
that
those
are
the
main
things
that
people
are
saying.
If
you
talk
to
director
roush,
who
I
talked
to
this
weekend,
we're
also
seeing
huge,
huge
push
of
fentanyl
coming
in
from
mexico
all
across
our
state.
P
N
If
you
look
at
the
treatment
programs
that
we
provide,
that
are
considered
the
continuum
of
care
that
differs
and
when
we
look
at
what
is
success,
it's
like
you
got
to
stay
in
the
program,
so
we
can
count
you
as
a
success,
and
at
this
moment
I
would
say
we're
running
around
50
to
60
with
that.
I
think.
That's
what
our
data
would
say.
A
Speaking
of
recovery
courts
in
the
budget,
there's
the
morgan
county
residential
recovery
court-
that's
funded.
Can
you
tell
me
how
many
of
these
we
have
currently
in
the
state?
And
how
many
are
you
know?
I
think
you
have
to
have
a
judge.
You
have
to
have
some
willing
partners
how
many
others
might
be
approaching
readiness
to
be
a
part
of
that.
N
Absolutely
so
the
morgan
county
is
a
residential
recovery
court.
That's
able
to
serve
up
to
80
men
in
at
one
time.
If
you
look
at
our
residential
recovery
courts
you'll
see
that
not
in
addition
to
morgan
county,
we
support
the
d.c
program
here
in
nashville.
We
don't
fund
it
fully,
but
we
support
that
and
then
you'll
note
that
we're
about
to
open
the
women's
residential
recovery
court,
that
judge
norman
and
his
team
is
working
on
that
will
be
here
in
nashville.
N
It
serves
all
women
from
across
the
state
and
then
finally
we're
looking
at
an
east
tennessee
residential
recovery
court.
We
have
not
yet
issued
the
announcement
of
funding.
We
had
it
issued
in
december
and
then
we
took
it
off
and
we're
reissuing
it
in
this
spring
time.
So
we'll
have
a
fourth
residential
recovery
court.
A
H
Thank
you,
madam
chair,
madam
chair.
With
your
permission,
I
I
have
three
questions.
First
question.
Thank
you,
commissioner,
for
being
here
and
really
do.
Thank
you
for
all
the
work
that
you
do.
I
know
you
do
good
work
for
us
down
in
west
tennessee
at
winston
mental
health
and
all
right,
and
we
thank
you
for
that.
How
many
adults
are
receiving
care
through
the
behavioral
safety
net.
N
Absolutely
thank
you
for
asking
about
that.
As
you
guys
know,
this
got
awarded
during
coven
and
so
that
first
year
wasn't
great
because
our
ways
in
which
to
contact
kids
weren't
happening
because
they
weren't
in
schools
where
we
would
go
and
do
what
we
would
do.
But
I'm
excited
to
tell
you
that
in
this
last
year,
we're
looking
or
this
fiscal
year
rather
we're
looking
at
potentially
serving
1
000
kids
that
are
uninsured
through
the
kids
safety
net.
N
H
He
was
approaching
the
gentleman
who
was
getting
some
cash
and
and
of
course
the
gentleman
didn't
know
that
so
the
gentleman
shot
him
killed
him
and
this
young
man
had
been
through
the
process
of
being
picked
up
carrot
for
treatment,
but
because
he
was
18
once
he
thought
he
felt
better.
He
could
choose
on
his
own
to
get
out
et
cetera
the
process
that
we
normally
go
through.
H
Are
there
any
new
ideas
as
to
how
we
can
deal
with
those
people
who
we
know
need
help,
but
we
just
kind
of
go
day
by
day
and
let
them
do
what
they
do
and
then
something
like
that
happen.
I
guess
my
question
is:
if
there
is
a
question,
what
can
we
do
for
those
people,
because
if
they
don't
commit
a
crime,
you
can't
keep
them
locked
up,
they
can
make
their
own
choices
about
treatment
and
so
forth.
Can
you
talk
a
little
bit
about
what
can
be
done
in
a
case
like
that?
N
Well,
yes,
sir,
we
serve
about
40
000
of
those
people
every
year
through
our
provider
network.
So,
as
you
know,
each
person
that's
struggling
with
mental
health
issues,
has
the
right
to
say
they
don't
want
to
take
their
medicine.
That's
what
our
current
law
says.
You
can't
force
them
to
take
medicine.
N
However,
if
you
look
at
the
programs
that
we
are
funding
that
you
guys
have
supported
since
that
20
year
ago,
issue
that
you
brought
up
crisis
stabilization
units
where
a
person
can
walk
in,
and
I
can't
tell
you
how
many
people
that
I've
talked
to
that
I'd
say:
go
to
the
walk-in
center
right
now.
Get
your
friend
get
your
parent
get
your
brother
sister,
mother,
father,
take
them
to
the
walk-in
and
they
get
served
right.
N
N
So
what
I
would
say
there
is
the
more
that
we
educate
people
that
are
friends
and
family
of
individuals
that
are
struggling
with
mental
health
issues
and
they
know
how
to
respond
when
they
see
their
friend
or
family,
not
take
medication
and
help
them,
because
all
you're
going
to
do
is
keep
doing
the
same
cycle
unless
somebody
that
cares
about
you
says
I'll,
go
with
you.
So
what
we
can
do
is
continue
our
education
efforts
around.
N
What
do
you
do
when
you
know
someone
that's
struggling
with
mental
health
and
they
say
I
don't
need
the
treatment
anymore.
You
do
everything
you
can
to
get
them
back
into
treatment,
and-
and
that's
all
I
can
tell
you
under
these
current
laws
that
we
have.
You
can't
force
somebody
unless
they're
a
danger
to
themselves
or
others
and
I'll
ask
deputy
commissioner
yancey.
He.
He
really
is
my
main
person
on
community
behavioral
health.
Anything,
you
would
add.
O
We've
seen
a
lot
of
success
with
that
model,
especially
in
that
it's
a
homegrown
model
there
in
memphis
we're
seeing
more
communities
do
co-response
models.
I
think.
Just
yesterday
I
read
about
a
new
co-response
model
happening
in
murfreesboro,
where
you've
got
a
clinical
social
worker
riding
along
with
local
law
enforcement,
to
intervene
there
on
the
spot.
N
E
Thank
you,
madam
chair
and
commissioner
and
your
team.
I
just
want
to
thank
you
for
your
hard
work
on
mental
health
and
substance
abuse.
I
was
at
a
seminar
at
mtsu
on
friday
and
the
speaker
informed
us
that
the
leading
cause
of
death
for
americans
between
the
ages
of
18
and
45
is
fentanyl
and
fentanyl
overdoses.
E
So
I
guess
that
suggests
if
you
want,
if
you
want
to
extend
your
life,
staying
off,
fentanyl
or
things
that
might
be
laced
with
fentanyl
will
have
a
greater
impact
than
lots
of
other
things
like
eating
foods
that
don't
taste
good
anyone.
I
want
to
ask
you
a
couple
of
questions
about
the
moccasin
bend
project
and
the
renovations
in
this
last
year's
budget.
E
N
B
That
are
just
for
basic
maintenance
and,
of
course,
with
this
funding
it'll
take
several
years
to
rebuild
the
facility
so
with
the
hospital
that
has
to
be
open,
24
7.
Obviously
we
have
to
roll
those
projects
to
do
them
where
we
can
still
serve
patients
all
of
the
time.
So
that's
just
part
of
our
typical
maintenance
and
updates,
and
it
wouldn't
have
any
impact
on
having
a
replacement
project.
But
those
are,
are,
you
know
going
just
as
they
typically
do.
B
E
N
And
I
wish
we
could
have
it
done
by
july
and
I'm
joking
around
with
y'all,
okay,
so
the
timeline,
it
is
our
hope.
You
know
right
now
we're
looking
at
different
ideas
to
actually
build
it.
Many
of
you
have
probably
heard
about
mary
kelly's
idea.
That's
been
presented
to
us
and
different
options.
There
we're
looking
at
that.
Talking
about
that.
N
I
would
love
to
see
it
rebuilt
within
the
next
year
and
a
half
that
that
is
what
I
would
love
to
see
happen.
I
can't
promise
that
because,
as
you
all
know,
right
now
is
a
really
hard
time
to
get
people
to
work
anywhere
and
to
build
things
and
we're
competing
with
other
projects
that
are
being
built,
but
if
we
could
do
it,
I'd
like
to
have
it
done
in
a
year
and
a
half
from
when
we
get
the
funding.
N
A
And
you're
absolutely
right,
commissioner,
if
if
you
and
I
were
in
our
power,
that
would
happen
much
sooner
than
later,
because
to
a
point
made
earlier.
We're
continuing
to
have
to
that
facility
has
to
remain
open.
There's
a
tremendous
need
for
it.
So
we're
continuing
to
pardon
my
analogy:
throw
money
down
a
rat
hole
with
maintenance
and
that
sort
of
thing,
so,
the
sooner
that
we
can
get
into
a
new
facility,
then
the
better
it
is
for
tennessee
taxpayers
and
those
people
who
need
that
facility.
Leader
camper.
Q
N
N
Absolutely
so,
when
you
look
at
mental
illness,
there's
a
book
that
we
use
called
the
dsm,
it's
a
diagnostic
statistician's
manual,
and
it's
about
that
thick,
and
it
has
every
manner
of
mental
illness
that
you
can
think
of
across
individuals
that
are
struggling.
But
when
we
look
at
serious
mental
illness
you're
looking
at
a
few
things
number
one
major
depression,
depression,
that's
so
debilitating
that
a
person
can't
get
up
doesn't
want
to
get
up
and
go
in
and
do
anything
because
they
are
dealing
with
a
horrible
horrible
depression.
N
Second,
one
would
be
anxiety,
major
anxiety,
any
kind
of
form
of
that
again
so
debilitating
that
individuals
are
afraid
and
can't
function
in
their
world.
The
third
one
is
around
cognitive
disorders,
things
like
schizophrenia,
things
like
schizoaffective
disorder.
These
are
areas
in
which
a
person
is
really
having
a
hard
time.
Thinking
and
a
hard
time
hearing.
They
often
have
auditory
hallucinations
telling
them
things.
N
They'll
have
visual
hallucinations,
seeing
things
and
to
them
they're,
very
real
and
then
finally,
you
look
at
mood
disorders
like
bipolar
things
in
which
people
have
a
chemical
imbalance
and
one
day
they're
feeling
like
they
can
take
on
the
world
and
do
things
that
are
not
characteristic
of
that
person
and
then
the
next
day,
so
deep
into
depression
that
they
can
hardly
think.
So,
when
you
look
at
what
we
mean
by
severe
mental
illness,
those
are
the
four
kind
of
severe
mental
illnesses
and
then
the
derivatives
from
those
that
actually
we're
talking
about.
N
N
O
Leader,
I
think
you
know
to
the
question
the
earlier
question
about
serious
mental
illness.
These
are
individuals,
as
the
commissioner
was
saying,
who
have
the
most
debilitating
brain
disorders,
often,
which
require
more
than
just
clinical
treatment.
They
require
housing,
support
employment
support.
O
Q
Q
N
Me
tell
you
how
awesome
our
providers
are?
Our
providers
turned
on
a
dime
and
went
from
offering
mainly
in
in-person
services,
to
telemedicine
when
we
were
dealing
with
the
highest
impacts
of
covid.
If
you
look
at
our
safety
net
services
during
that
highest
amount
of
covid
impact,
80
of
the
services
were
delivered
through
telemedicine,
80
percent.
A
N
N
A
D
A
The
staff
is
there,
and
one
of
the
big
issues
is
because
these
folks
can
make
much
more
in
the
private
sector
and
they're
having
very
difficult
times,
both
attracting
and
retaining.
So
hopefully
that
will
help
those
organizations
like
cadis
to
get
more
personnel
in
and
to
utilize,
fully
the
the
bed
resources
and
the
other
things
that
that
they
do
have,
which
are
still
given
the
population
in
the
really
truly
horrendous
increase.
R
Thank
you,
madam
chairman,
and
commissioner
good,
to
see
you
today.
You
and
your
team
do
a
fantastic
job
and
have
long
appreciated
your
hard
work
and
and
working
with
you
on
mental
health
and
drug
addiction
issues.
Thank
you.
I
want
to
focus
more
on
the
latter
of
that.
Just
for
the
next
couple
of
questions
here.
Your
office
has
provided
to
me
every
single
year
since
I've
been
in
the
legislature,
the
number
of
folks
that
go
to
inpatient
treatment
for
substances,
and
it's
just
one
of
those
things.
R
Ten
thousand
eight
hundred
and
eighty
nine
in
a
five
year
span
more
than
doubled
for
opioid
addiction,
marijuana
passed,
methamphetamines
and
alcohol
as
the
drug
of
choice
for
folks
that
are
seeking
inpatient
treatment.
It
went
from
1604
folks
in
inpatient
treatment
to
2015
to
6767
a
400
increase,
methamphetamines,
basically,
which
were
way
down
the
list
at
878
in
2005
or
2015
jumped
a
third
at
6,
000
and
600
with
alcohol,
just
under
that
at
6530,
almost
a
double
from
five
years
before
so.
R
Commissioner,
here
here's
my
question:
there's
many
things
in
this
state
that
we
are
doing
well
and
and
improving
on
there's
lots
of
things
that
I
can
mention
where
tennessee
is
really
knocking
it
out
of
the
park.
This
is
an
area
that,
over
the
f
the
last
five
years,
we
are
losing
substantial
ground
and
lives
to
both
opioid
overdoses
and
addiction
and
then
the
rest
of
these
drugs
as
well,
which
again
it's
just
important-
to
have
a
full
conversation
about
so
here's
my
question:
why
are
these
numbers
the
way
they
are?
R
How
do
we
come
back,
combat
them
as
kind
of
a
second
part
to
that
and
the
third
thing,
what
economic
cost
are
we
really
looking
at
when
it
comes
from?
I
think
the
number
was
roughly
13
000
people
in
2015
jumps
to
almost
20
000
in
2020,
with
some
very
specific
drugs
and
the
biggest
increases
being
an
opioids
marijuana
addiction.
N
Thank
you
so
much
for
asking
that
if
you
look
at
five
slide
pay,
I
mean
slide
five
and
you
look
at
our
estimated
prevalence
of
substance
use
disorder.
In
my
opinion,
this
is
why
we're
doing
worse
than
we
could
be.
We
have
a
30
2,
000
person
gap
and
that's
prior
is
a
leader
camper
brought
up
that's
prior
to
us
adjusting
our
numbers
once
we
have
nisda
data
and
cdc
data.
N
So
if
we
don't
have
services
to
reach
people
that
are
uninsured,
then
how
does
that
person
know
that
there's
a
better
way
to
live?
How
do
they
get
off
of
a
substance
that
they're
addicted
to
so
that's
the
first
thing.
I'd
say
we
can
do
better
if
we
have
the
dollars
to
cover
it,
and
I
I
would
tell
you
that
our
providers
would
tell
you
that
as
well
also,
we've
got
a
really
horrible
workforce
shortage.
N
So,
along
with
having
that
gap
of
32
000,
which
really
is
going
to
be
higher
once
we
get
the
cdc
and
nisda
data,
we've
got
people
that
we
can't
hire
to
come
in
and
work
with
people,
because
it's
the
people
working
with
the
people.
You
know
we're
in
the
people
working
business
that
actually
make
that
difference,
so
those
two
things
in
my
opinion
have
led
to
what
we're
seeing
finally,
director
roush,
who
has
done
incredible,
work
to
try
to
expand
his
workforce
to
be
able
to
find
where
fentanyl
is
coming.
N
R
Peter
lambert,
thank
you,
commissioner,
and
just
on
that
does
this
increase
of
those
that
are
that
are
actually
receiving
inpatient
treatment.
Based
on
what
you
just
said,
if
there's
a
32
000
person
gap,
I'm
assuming
that's
it's
a
wait
list,
that's
folks
that
are
not
receiving
treatment.
No!
Does
this
somebody
behind
you
shook
their
head?
No.
What
is
that
32
000
number
indicate
and
is
the
increase
in
numbers
here.
Increa
indicate
a
significant
increase
of
those
that
are
addicted,
or
is
it
in
indicate
a
significant
increase
in
those
that
we
are
funding
to
receive
help.
N
N
The
other
thing
I'd
say
to
you
is:
if
you
look
at
the
recent
stats
with
the
increase
in
anxiety
and
depression,
there's
also
stats
that
are
showing
increase
in
drug
use,
but
I
don't
have
anything
reliable
to
show
you
at
this
moment
because
we're
waiting
for
the
cdc
nista
data.
What
we
do
have
is
what
our
providers
are
reporting,
which
is
what
you're
speaking
from
this
is,
what
is
being
reported
I'll,
be
glad
when
we
get
the
other
data,
so
we
can
update
our
prevalent
slides
and
be
able
to
speak
to
that.
R
Well,
commissioner,
thank
you
and
thank
you
for
the
work
that
you
all
do
absolutely.
Obviously
we
need
to
make
sure
that
you
have
the
funding
available,
because
you've
mentioned
director
roush
several
times
they
do
a
fantastic
job,
but
my
hope
would
be
that
folks
are
able
to
seek
addiction
treatment
for
whatever
substance
that
they
are
being
treated
for,
that
they
have
an
addiction
to
long
before
they
would
enter
to
the
criminal
justice
system.
R
So
cutting
down
on
fentanyl
is
something
that
definitely
law
enforcement
has
to
be
involved
in,
but
there's
so
many
of
these
other
substances
that
I
just,
I
hope
folks
are
really
seeking
that
treatment
before
they
wind
up
in
the
criminal
justice
system,
as
many
times
happens.
Thank
you,
commissioner.
Thank
you.
M
M
We
are
struggling
in
tennessee,
but
this
is
certainly
a
national
issue
and
something
that
every
state
the
country
is
dealing
with
and
struggling
with
how
we
get
our
arms
wrapped
around
this.
So
I
appreciate
that
in
our
insurance
full
committee
last
month
we
had
a
discussion
about
mental
health
parity
for
insurance
and
and
trying
to
figure
out
where
we
are
in
terms
of
insurance
being
reimbursed
working
additionally
with
our
mcos
and
tenncare,
to
try
to
ensure
that
recognition
of
mental
health
illness
as
a
disease
is
is
correlated
with
the
funding
that
goes
toward
it.
M
M
M
I
think
that
we
are
in
such
a
crisis
situation,
that
many
of
our
providers
are
are
struggling
and
having
to
go
out
on
a
limb
financially
in
order
to
continue
those
those
services
that
are
being
provided
now
and-
and
I'm
gravely
concerned
that
that
we're
not
gonna
be
able
to
meet
the
needs
of
our
citizens
in
in
terms
of
having
the
workers
there
to
take
care
of
that.
Is
there
any
way
that
that
17,
nine,
almost
18
million
dollars?
M
N
N
I
can
also
tell
you
that,
in
talking
with
deputy
governor
ely,
he
is
very
aware
that
the
original
request
would
really
get
us
where
we
need
to
go,
and
so
I
stand
behind
the
governor's
budget,
and
I
will
tell
you
that
next
year
we
will
ask
for
the
remaining
10
percent
and
it's
my
hope
that
will
be
included.
I
know
that
the
governor
is
extremely
supportive
of
this
issue.
M
Thank
you
and
just
follow
up.
We
support
it
as
well,
and
I
don't
want
to
seem
ungrateful
at
all.
I
just
want
to
sometimes
reality
stands
right
at
that
door
and
stares
us
down,
and
we've
got
to
do
something
more
and
then
this
may
be
an
instance
where
that
has
to
happen
in
in
this
moment.
I
appreciate
the
work
that
we
can
do
this
year,
look
forward
to
the
work
that
we
can
do
in
the
future.
Thank
you.
Thank.
G
One
of
the
things
kind
of
keeps
me
up
and
not
being
a
state
representative
is
our
young
people
and
the
mental
mental
health
crisis
that's
occurring
not
just
in
our
state
but
across
the
united
states.
I
recently
read
that
the
number
of
teenagers
11
to
14
that
do
harm
to
themselves
increased
40
percent
over
the
last
two
years,
whereas
11
to
14
year
olds
was
over
100.
G
Last
year,
the
general
assembly
focused
on
the
jason
foundation,
suicide
prevention
work
matter
of
fact,
the
governor
and
tennessee
general
assembly
said
set
aside
250
million
dollar
trust
fund
to
deal
with
k-12
mental
health
issues.
I
actually
lost
one
of
my
children.
Last
year,
11
years
old
in
the
fall
took
his
own
life.
G
It
is
an
unbelievable
problem
across
our
state,
and
so
the
question
that
I
have
for
you
is
as
we
set
aside:
250
million
dollars
the
constitutionals
and
I
think
the
f
a
commissioner
response
for
distributing
the
funds
from
the
proceeds
of
that
trust
fund
to
your
department
as
well,
in
collaborating
with
k-12.
I
guess
the
question
was,
I
didn't
see
anything
in
the
budget
this
year.
Is
there
not
an
expectation
that
those
resources
will
be
available,
or
was
it
something
that
we
were
going
to
defer
a
couple
years
to
allow
that
investment
to
grow?
N
N
G
Thank
you,
obviously,
the
general
assembly
and
the
governor's
office
feel
like
this
is
really
something
that's
extremely
important.
I
think
our
children
in
schools
and
families
across
the
state
have
been
under
just
an
inordinate
amount
of
stress
over
the
last
couple
years,
and
this
first
investment
is
a
fantastic
one,
and
I
look
forward
to
seeing
us
roll
those
dollars
out
and
make
them
come
to
fruition
in
our
communities.
Thank
you.
A
All
right
chairman
votes
and
you're
going
to
be
the
last
question
on
our
list,
we're
a
little
running
a
bit
over
time,
but
we'll
ask
there
are
a
couple.
Other
people
have
questions.
If
you
would
get
them
to
my
office,
we
will
get
them
to
the
department
and
get
answers
back
to
you.
So
chairman
faces.
Thank.
C
I
was
looking
around
the
room
and
I
realized
that
chairman
williams
and
representative
sparks
myself.
Our
first
year
we
shorted
the
state
budget
on
mental
health,
and
we
saw
an
exponential
growth
at
our
local
jails.
Remember
that
chairman
williams,
it
was
bad
there's
just
a
couple
things
I
want
to
mention
and
encourage
all
on.
First
of
all,
thank
you
for
doing
what
you
do.
C
Unfortunately,
we're
still
at
a
place
in
america
and
tennessee
that
people
struggle
with
mental
health.
It's
very
taboo.
We
look
at
people
with
a
mental
health
issue
and
think
that
there's
inherently
something
as
a
society,
we
think
oh,
my
there's
something
wrong
with
them
or
or
we
don't
know
how
to
react.
But
I
want
to
tell
y'all
in
this
committee
to
me.
This
is
one
of
those
issues
like
somebody's
got.
C
Diabetes,
somebody's
got
other
issues
that
can
be
treated
the
they're,
they're
struggling
and,
and
you
know
we
can
go
to
church
and
raise
your
hand
say
we
need
to
pray
for
so
and
so
they've
got
cancer.
We
need
to
pray
so,
and
so
they
found
that
this,
and
that
seems
to
be
fine,
but
it's
difficult
to
say.
C
I
want
to
ask
prayer
for
this
person
because
they're
struggling
emotionally
we
need
to.
We
need
to
accept
the
fact
that
we've
got
people
who
struggle
mentally
with
their
emotions.
It's
happened
in
my
family.
Y'all,
don't
know
this,
but
nine
years
ago
my
dad
all
of
his
life
all
the
life.
I
knew
my
dad.
He
struggled
with
bipolar
and
my
dad
ended
up
taking
his
life
nine
years
ago.
C
He
never
found
help,
but
I
just
want
to
encourage
us,
as
a
finance
committee,
to
know
that
this
is
very
real
and
the
money
that
we
put
in.
We
will
see
a
benefit
from
it.
When
we
take
money
out,
we
see
negative
consequences
and
our
providers
such
where
I'm
from
we
have
helen
ross,
mcnabb
man
they're
top-notch,
and
they
make
a
positive
impact
on
my
community
and
douglas
cherokee.
They
make
a
positive
impact
on
my
community
and
the
only
way
that's
possible
committee
is
by
a
public
private
partnership.
C
A
Again,
commissioner,
it's
we
always
run
over
time
with
you,
because
there's
so
much
interest
and
so
much
appreciation
for
the
work
that
you
all
do,
and
I
don't
think
there's
a
person
on
this
committee
or
in
the
legislature
that
hasn't
been
touched
by
mental
health
issues,
substance
abuse
issues
directly
or
indirectly,
through
a
family
member
or
a
friend
or
somebody
that
we
care
about
so
and
the
numbers
that
you
shared
on
the
the
growth
over
with
the
pandemic.
The
additional
needs
for
mental
health
assistance,
they're
pretty
staggering
and,
as
chairman
faison
has
alluded
to.
D
A
A
A
And
we
have
a
little
movement
here
on
the
on
the
podium.
So
excuse
us
we'll
we'll
get
settled.
Mr
kennedy,
thank
you
for
being
here
and
we're
just
going
to
ask
you
to
go
straight
into
your
presentation.
As
I
mentioned,
we're
running
a
bit
behind,
so
we
want
belabor
your
introduction
and
welcome,
but
just
know
you
are
very
welcome,
and
we
very
appreciate
very
much
appreciate
you
being
here.
J
Well,
thank
you
so
much
for
the
opportunity.
Madam
chair,
as
you
said,
my
name
is
richard
kennedy
and
I
have
the
great
privilege
to
serve
as
the
executive
director
of
the
tennessee
commission
on
children
and
youth.
I
have
several
folks
that
are
here
with
me
today,
to
my
left
is
craig
hargrove,
who
serves
as
the
deputy
executive
director
of
the
organization
to
the
right
is
sherry
isom,
who
serves
as
the
brains
of
the
organization
as
director
of
finance
and
operations.
J
As
always,
I'm
excited
to
talk
about
the
work
of
the
commission
and
share
information
about
our
budget
with
you
all,
and
so
I
really
have
a
couple
of
goals
today.
First,
I
want
to
remind
you
some
of
the
work
that
we
do.
Second,
I
want
to
remind
you
of
our
funding.
Streams.
Third
is
to
talk
with
you
about
our
efficiency
plan.
Fourth
is
to
let
you
know
about
the
cost
increases
we
have
and,
as
always,
five
is
to
be
able
to
answer
any
questions
that
you
have
to
the
best
of
my
ability.
J
So,
as
you
all
know,
the
commission
on
children
and
youth
is
a
very
small
state
agency.
We
have
30
employees,
30
people
on
our
team
with
an
awfully
big
mission,
in
that
we
lead
systems,
improvement
for
all
children,
youth
and
families
through
data-driven
advocacy,
education
and
collaboration,
and
one
of
the
things
that
I
think
is
most
unique
about
the
commission
on
children
and
youth
is
we
have
the
great
opportunity
to
partner
with
all
of
the
state's
child
serving
departments,
many
non-profit
and
foundation
organizations
across
the
state?
J
So
we
really
work
in
the
space
from
from
birth
of
a
child
all
the
way
through
young
people,
aging
out
of
the
foster
care
system
and
entering
into
higher
education.
So
the
commission,
like
I
said,
is
a
little
bit
unique
in
that
we
are
governed
by
a
board
of
21
members.
Each
of
the
members
are
appointed
by
the
governor
and
I'm
very
excited
to
let
you
all
know
that
governor
lee
has
appointed
a
new
chair
of
the
commission
on
children
and
youth,
and
that
is
judge
rob
philia.
J
So
fortunate
to
be
able
to
work
with
him
and
him
help
lead
and
guide
the
work
that
happens
through
through
the
commission,
so
with
the
programs
that
we
do
at
the
commission
on
children
and
youth,
we
have
nine
regional
councils
on
children
and
youth
one
in
each
of
the
development
districts
in
the
state.
For
the
majority
of
you,
I
would
imagine
this
is
where
you
touch
the
work
that
we
do.
We
have
almost
4
000
council
members
from
across
the
state.
J
They
come
together
to
network,
to
create
opportunities
for
you
all
and
others
to
share
information
with
those
folks
who
are
passionate
about
children's
issues
and
improving
outcomes
for
children,
youth
and
families.
In
that
particular
part
of
the
state.
We
are
fortunate
to
partner
with
the
annie
casey
foundation
to
serve
as
the
kids
count
partner
in
tennessee.
So
I
am
certain
you
all
have
seen
the
kids
count
books
with
the
data
about
how
our
children,
youth
and
families
are
doing.
We
also
have
a
resource
mapping
project
where
we
look
at
every
state
and
federal
dollar.
J
That's
expended
on
a
child
in
tennessee
where
those
dollars
are
being
expended
and
the
source
of
those
dollars
as
well.
We
have
a
program
that
is
kid
central
tn.
That
is
a
website
that
is
a
one-stop
shop
for
children,
youth
families
and
other
folks,
working
with
with
children
and
youth
to
get
information
about
services
provided
about
opportunities
in
those
regions,
as
well
as
just
basic
information.
Developmental
milestones
work
like
that.
J
We
serve
as
the
state
advisory
group
for
the
federal
office
of
juvenile
justice
and
delinquency
prevention,
and
we
administer
the
federal
juvenile
justice
dollars
in
tennessee
and
ensure
compliance
with
the
requirements
to
receive
those
dollars.
We
have
a
great
partnership
with
our
friends
at
the
department
of
mental
health
and
substance
abuse
services
to
coordinate
a
council
on
children's
mental
health.
We
have
a
second
look
commission
that
looks
at
children
who
have
two
or
more
indicated
incidences
of
severe
physical
and
sexual
abuse.
We
have
a
youth
transitions,
advisory
council,
a
home,
visiting
leadership
alliance.
J
We
have
an
ombudsman
program
for
children
who
are
involved
in
the
foster
care
system
or
relative
caregiver
placements.
We
have
a
young
child
wellness
council
and
we're
really
involved
with
a
tennessee
strategy
that
is
building
strong
brains,
tennessee.
That
is
really
meant
to
improve
resilience
and
address
trauma
in
communities
across
the
state
of
tennessee.
J
As
I
mentioned,
the
nine
regional
coordinators.
This
is
the
breakdown
of
the
map
where
those
folks
are
located
so
we'd
be
happy
to
connect
you
with
your
regional
coordinators,
if
you
haven't
already
done
so
so
at
the
commission
on
children
and
youth.
When
I
talk
about
our
budget,
we
really
do
have
three
primary
funding
streams.
So,
as
you
will
see
in
the
blue
color,
the
largest
percentage
of
our
budget
are
direct
state
appropriations
in
the
yellowy
green
color.
J
Those
are
the
federal
dollars
we
receive
for
administering
the
federal
juvenile
justice
dollars
and
then
in
the
orange
category.
That
other
is
that
we
receive
money
from
the
annie
ekc
foundation
and
increasingly
we
have
a
variety
of
interdepartmental
contracts
with
other
state
agencies
to
help
support
the
funding
of
things,
whether
it
is
the
young
child,
wellness,
council,
the
home,
visiting
leadership
alliance
and
etc.
J
Obviously
I
would
be
remiss
if
I
didn't
say
any
reduction
from
a
budget
as
small
as
ours
is
painful,
but
that's
how
we
we
could
do
it
if
asked
so
this
year
we
had
four
increases
that
we
asked
for
so
the
first
one
is
an
ask
that
I've
had
for
you
guys
for
the
last
couple
of
years
and
that
is
to
establish
a
children
and
youth
contract
manager
position.
So
with
our
agency,
we
have
a
lot
of
dollars
that
flow
through
us
and
we
have
numerous
contracts.
J
Another
request
that
we
had
is
one
that
you
guys
have
heard
me
ask
every
time
I
sit
in
front
of
you
is
for
the
maroon
book.
That's
the
compilation
on
selected
laws
on
children,
youth
and
families.
It's
a
book
that
judges
attorneys
folks
who
are
working
directly
with
children
and
families
in
that
legal
setting
have
access
to.
I
can't
tell
you
the
number
of
times
I've
heard
judges
say
this
is
so
important.
Please
do
everything
you
can
to
keep
this.
J
I
am
so
excited
to
let
you
know
that
the
governor
did
include
that
in
the
budget
this
year.
So
if,
if
you
guys
choose
to
pass,
you
will
not
have
to
listen
to
me.
Beg
for
that
going
forward.
The
fourth
request
that
we
had
is,
as
I
was
talking
about,
the
building
strong
brains,
tennessee
work,
that
that
is
the
strategy
to
prevent
and
mitigate
adverse
childhood
experiences,
but
increasingly
focus
on
building
resilience
in
communities,
children
and
families.
J
Now
one
of
the
things
that
I
do
want
to
share
with
you
all
that
was
a
very,
very
pleasant
surprise
for
us
is
that
in
the
governor's
budget
he
did
include
an
additional
5
and
fifty
seven
thousand
three
hundred
dollars
to
the
commission's
budget
and
the
purpose
of
those
dollars
are
to
expand.
The
court
appointed
special
advocates,
the
casa
programs
all
across
the
state.
So,
as
many
of
you
know,
casa
programs
are
local,
non-profit
organizations
that
really
provide
a
voice
for
children
as
they
are
going
through
the
court
process.
J
J
They
each
of
the
organizations,
follow
national
casa
standards
and
we're
very
fortunate
in
tennessee
to
have
a
really
qualified,
incredible
tennessee
casa
association
that
helps
with
the
quality
assurance
and
expansion
of
that
work.
So
there
are
still
some
details
to
be
worked
out
with
what
exactly
those
dollars
or
how
exactly
those
dollars
will
be
used,
but
with
the
goal
that
it
will
be
used
to
expand
casa
programs
all
across
the
state
of
tennessee,
which
is
an
incredible
opportunity
for
us.
J
A
G
G
I
Thank
you,
chair,
lady
and
director
kennedy.
Thank
you
for
being
here,
along
with
your
staff.
What
you
ended
with
is
what
I
want
to
begin
with.
So
when
we
talk
about
expansion,
of
course,
obviously
with
the
looking
at
your
budget,
it's
almost
doubled.
So
obviously
that
raises
some
questions
and
why
I
think
you
do
great
work,
certainly
in
hawkins
county
there
and
district
9,
but
I
do
have
some
questions
regarding
that
expansion
that
I
hope
we
can
dive
in
just
a
little
bit
deeper.
Yes,
sir.
J
So
I
just
asked
this
question
a
couple
of
minutes
ago.
So,
okay,
so
right
now
there
are
57
total
casa
programs
across
the
state
of
those
57
55
of
the
counties
are
currently
receiving
22
000
apiece
that
flow
through
the
commission.
Obviously,
the
22
000
is
not
enough
to
run
the
program,
but
it
really
is
that
needed
seed
money
to
help
them
raise
other
other
dollars.
So
the
two
other
counties
to
get
to
57
one
is
memphis.
Shelby
county
is
a
self-sufficient
program.
J
They
don't
accept
the
22
000
from
us
and
then
this
the
next
county
is
a
little
bit
messy
and
that
is
grainger
county.
So
last
year
there
was
a
budget
amendment
that
was
added
to
add
funding
for
grainger
county.
The
way
that
was
written
is
that
money
went
to
the
tennessee
casa
association,
who
is
contracting
with
grainger
county,
so
we're
hoping
to
clean
that
up
this
year.
But
to
answer
your
question,
there
are
57
counties
being
served
by
casa
programs
currently.
I
I
saw
representative
sexton's
ears
perk
up
right
then,
so
he
may
have
some
questions
regarding
that
in
just
a
second,
so
continuing
on
staying
with
this,
this
particular
subject.
So
what
are
some
of
the
issues
as
you
begin
to
expand
that
you
see
out
in
the
counties?
What
what
are
some
of
the
barriers
that
you
may
come
across?
Yeah.
J
Sure
so
so,
yes,
sir,
to
be
really
clear,
so
the
tennessee
costs
association
really
does
the
work
to
expand
into
the
program.
So
we
have
a
good
partnership
with
them.
The
dollars
flow
flow
through
the
commission,
but
what
I
understand
so
one
of
the
most
critical
aspects
to
a
casa
program
being
established
or
being
successful
is
there
has
to
be
buy-in
from
the
juvenile
court
judge
in
that
county.
So
first
is
the
county.
Has
the
juvenile
court
judge
has
to
want
a
casa
program?
J
The
second
thing
that
has
to
happen
is
obviously
just
the
dollars
needed
to
run
a
profit,
especially
in
some
of
our
smaller
poor
counties.
It's
difficult
for
them
to
raise
the
money
to
be
able
to
pay
a
staff
person
to
help
with
that
work.
Also
with
casa
programs,
the
volunteers
are
really
the
critical
part
of
the
work,
and
so
so
what
we
have
to
keep
in
mind
as
well,
is
that
with
the
national
casa
standards
that
there
has
to
be
one
supervisor
for
a
certain
number
of
volunteers.
J
So
even
if
we
have
you
know,
100
people
on
a
waiting
list
to
be
a
casa
volunteer.
The
program
has
to
have
the
resources
to
be
able
to
fund
the
supervisor
to
manage
those
volunteers
as
well.
So
I
think
that
those
are
probably
the
three
big
concerns.
Juvenile
court
judge,
buying
funding,
fundraising
abilities
for
the
programs
and
then
three
the
staff
to
be
able
to
supervise
the
volunteers
that
work
with
the
children.
I
J
Right
so
so,
with
that
question
we
are
not
the
agency,
that's
actually
providing
the
training.
The
tennessee
casa
association
would
provide
that.
I
would
I'm
going
to
speak
on
their
behalf.
I
think
and
say
that
right
now,
they
probably
don't
have
the
capacity
or
the
staff
to
be
able
to
do
everything
they
need
to
do
with
the
training
so
of
this
proposed
money.
That
money
would
really
help
them,
build
that
bench
strength
to
be
able
to
do
that.
J
Additional
training
now
to
go
a
step
further
with
your
question,
how
it
would
directly
impact
us
at
the
commission
on
children
and
youth
is
probably
for
the
first
year.
We
would
be
okay,
because
it
would
really
be
the
the
same
number
of
contracts
that
we
have
just
an
increased
dollar
amount,
but
as
programs
start
coming
on
board
and
we're
having
more
contracts
with
more
different
or
with
different
and
additional
organizations.
I
A
A
You
know
you
have
to
get
the
court
buy-in,
as
you
mentioned,
there's
also
an
accreditation
process
through
national
casa
that
takes
some
time
and
we're
talking
about
recruiting
a
large
number
of
volunteers
and
then
training
them
so
again,
making
sure
that
the
dollars
that
are
we
want
to
have
enough
money
to
do
it
and
do
it
well.
But
at
the
same
time
we
want
to
make
sure
that
we're
not
just
throwing
money
at
a
problem,
and
you
know
not
really
using
it.
A
Q
J
Yes
ma'am,
so
that's
a
great
question
and-
and
thank
you
so
much
for
letting
us
talk
about
kid
central,
so
just
a
little
bit
of
history
with
kid
central,
so
considerable
was
one
of
the
priorities
of
the
previous
governor
haslam's
administration,
and
so
at
the
time
that
kid
central
was
created,
the
commissioners
of
the
child
serving
departments
came
together
and
they
said
we
have
so
many
incredible
resources
for
children,
youth
and
families
in
our
departments.
There's
so
there's
so
much
information
that
we
would
like
to
be
able
to
share
with
citizens
across
the
state.
J
So,
at
the
time
that
kid
central
was
created,
it
really
lived
in
the
the
governor,
haslam's
children's
cabinet.
So,
at
the
end
of
the
administration,
a
decision
was
made
to
move
that
work
to
us
at
the
commission.
So
the
way
that
it
has
been
funded
since
the
inception
is
that
the
six
child
serving
departments
each
contribute
a
small
amount
to
fund
that.
So
we
continue
to
look
at
like
state
enterprise
systems
to
make
sure
that
kid
central
is
still
relevant,
that
it's
not
duplicating
services
and
we
believe
that
it
is
relevant
and
not
duplicating
services.
R
The
commission
is
working
with
fna
to
join
other
departments
in
a
shared
contract
for
a
third
party
grants
management
system.
As
I
know,
you
guys
are
aware
of
how
much
of
the
shared
contracts
costs
are
provided
by
the
commission
and
is
the
cost
currently
accounted
for
in
your
budget
request.
So
I'm
going
to
have
to.
R
I'm
sure
may
go
back
and
forth
on
a
few,
so
that's
money,
that's
already
allocated
in
the
current
budget,
then,
are
there
any
additional
costs
that
you're
to
bear
on
this
in
this
proposed
budget
for
23.?
No,
sir,
all
right
what
benefits
of
the
new
system
do?
You
anticipate
will
provide
to
the
commission?
Yes,
sir,
so.
J
Again,
that's
a
great
question
so
so
on
one
hand,
I'm
kind
of
ashamed
to
tell
you
guys
this,
but
so
with
the
with
the
way
that
we
admit
have
historically
administered
grants
through
the
commission.
It
was
very
paper
heavy.
So
when
we
would
issue
a
request
for
proposals
for
those
dollars
and
we
would
receive
grant
proposals
from
courts
or
organizations
across
the
state,
they
would
seriously
make
like
25
copies
mail
them
to
us.
J
So
with
with
all
of
the
technology
that's
available,
I
truly
believe
we
can
make
applying
for
dollars
more
efficient
for
the
organizations
across
the
state
that
that
are
eligible
and
would
benefit
from
those
dollars.
I
think
I
would
be
able
to
sit
before
you
and
tell
you
with
a
lot
more
certainty:
the
impact
of
the
investment
of
those
dollars
instead
of
pulling
paper
files
and
counting.
R
J
So
so
I'm
gonna
have
to
get.
I'm
gonna
know
enough
to
be
dangerous
with
this,
so
I'm
gonna
have
to
come
back
to
you
with
the
real
concrete
facts.
So
it's
my
understanding
that
we
started
to
join
this.
This
group
that
what
they
thought
was
going
to
work
initially
ended
up,
not
working
very
well
so
they've
kind
of
gone
back
to
another
plan.
I
know
there
is
a
timeline
for
us
to
join
that,
but
I
don't
know
that
right
off
the
top
of
my
head.
Well,
thank.
R
P
P
J
Yes,
sir,
so
I'm
going
to
rely
on
sherry
with
this
as
well.
So,
typically,
when
we
come
to
you
guys
with
our
improvement
request,
we
ask
for
additional
funding
for
a
certain
number
of
programs
that
may
come
online
during
the
course
of
a
fiscal
year.
So,
let's
say,
for
example,
with
grainger
county.
If
we
were
confident
or
optimistic
that
at
some
point
they
were
going
to
be
online,
we
wanted
to
have
the
resources
to
be
able
to
start
giving
them
at
least
part
of
that
22,
000
or
all
of
that
22
000.
J
J
So
we
tried
our
best
to
figure
out
if
there
was
a
way
to
kind
of
work
around
that
and
there-
and
I
probably
should
never
tell
you
guys
that
we
want
to
work
around
something
but
a
way
to
be
able
to
do
that,
and
so
it
was
really
decided
that
for
this
year,
what
needed
to
happen
was
that
those
dollars
go
to
the
tennessee
casa
association.
Tennessee
casa
then,
has
the
contract
with
grainger
county
for
this
first
year
and
then
that
we
can
clean
it
up
this
year,
where
it
will
then
come
back
to
us.
J
P
I
didn't
know
about
it,
my
daughter-in-law
who
lives
in
hamilton
county,
but
is
you
know
they
joined
borders
to
granger
county
she's,
the
one
that
brought
it
to
my
attention
along
with
another
representative,
but
it
is.
It
is
very
important
in
our
area
there's
a
lot
of
attorneys
that
work
on
that
and
try
to
you
know,
help
out
these
children,
and
so
it's
it's
a
big
deal.
I
appreciate
the
work
that
they
do
and
also.
I
was
interesting
to
know
that
why
that
shelby
county
does
not
accept
the
money.
P
Well,
that's
that's
a
great
thing,
that's
a
great
thing
that
they're
doing
that
they
don't
take
money
that
they
don't
need,
but
it
is.
It
is
a
a
program,
that's
needed
and
we
see
a
lot
of
good
things
coming.
I
personally
do
with
you
know
my
son
and
daughter-in-law
that
that
works
in
that.
So
it's
a
good
program.
I
appreciate
the
work
that
they
do
so.
A
I
don't
have
any
further
questions
on
my
list,
so
director
kennedy.
Thank
you
again
for
being
here.
Thank
you
for
your
success
presentation,
which
gave
us
time
for
all
the
questions
that
we
went
through,
and
we
do
appreciate
that
very
much.
Not
everybody
can
tell
time
we're
so
glad
that
you
can.
You
know
five
minutes
well,.
J
A
Next
up
we
have
the
department
of
children
services.
We
have
a
theme
going
today.
If
you
all
hadn't
noticed
so
we'll
ask
commissioner.
If
you
want
to
come
on
up
and
committee.
Just
so
you'll
know
the
process
we
have.
We
will
have
their
regular
departmental
budget
presentation,
then
that
will
be
immediately
followed
with
a
hearing
on
their
expansion
request.
So
we
have
some
federal
expansion
dollars
to
that
they're
going
to
tell
us
about
so,
commissioner
nichols
I
lost
you
there
for
a
minute.
A
S
Thank
you
chairley.
It
is
good
to
be
before
you.
Let
me
introduce
the
people
to
my
left
and
to
my
right
to
my
left
is
sheri,
and
I
am
jennifer
nichols
commissioner
of
department
of
children's
services
to
my
left
is
sherry
strain.
Who
is
our
budget
director
to
my
right?
Is
dr
mohammed.
Al
casey,
who
is
our
assistant
commissioner,
over
finance
to
his
right,
is
sandra
wilson,
deputy
commissioner
over
child
programs
and
to
her
right
is
jennifer
donalds,
who
is
chief
of
staff
for
our
department
and
because
I
can
tell
time.
S
Talking
about
our
department,
but
I
can't
begin
without
reminding
you
all
what
our
mission
is
and
that's
important,
because
I
can
assure
you
that
every
single
request
that
we
made
with
respect
to
this
budget
is
under
the
umbrella
of
trying
to
provide
high
quality
prevention
and
support
services
to
children
and
families
that
promote
safety,
permanency
and
well-being.
And
I
think,
if
you,
if
we
all,
can
look
at
these
requests,
despite
the
fact
that
they
are
numerous.
S
I
think
that
you
will
agree
that
each
of
them
do
tend
to
to
do
those
things
which
is
to
provide
high
quality
prevention
and
support
services
to
our
families,
and
we
have
a
number
of
requests
and
I'm
going
to
hit
as
many
as
I
can
within
the
allotted
minutes.
The
first
one
is
a
5.4
million
recurring
request
for
extension
of
foster
care.
S
Our
extension
of
foster
care
program
serves
adults
that
are
18
to
21,
who
emancipate
directly
from
the
apart
of
the
department
dcs
custody
into
young
adulthood
at
or
about
18
years
of
age.
We
currently
serve
youth
who
are
beyond
the
age
of
18.
youth,
who
are
completing
a
secondary
education
or
program
that
leads
to
equivalent
credentials
and
those
that
are
enrolled
in
institution
which
provides
post-secondary
or
vocational
educational
programs.
S
These
funds
would
ex
expand
that
eligibility
to
include
those
young
people
who
are
employed
and
working
80
hours
per
month,
or
those
and
or
those
that
are
participating
in
a
program
designed
to
promote
or
remove
barriers
to
employment,
such
as
vocational
programs
that
take
less
than
a
year
and
or
those
that
result
in
a
certificate.
So
we're
very
excited
about
that
one,
as
as
we
believe
it
will
set
these
young
people
up
for
successful
adulthood.
S
S
The
most
common
relative,
caregiver,
not
surprising,
are
grandparents,
and
when
children
live
with
these
supportive,
grandparents
and
other
relative
caregivers,
it
reduces
trauma
to
them.
The
current
program
funds
services,
such
as
case
management
and
counseling,
but
this
32
million
dollars,
would,
for
the
first
time,
provide
a
stipend
to
these
regular
caregivers,
which
is
the
equivalent
of
about
50
of
the
board
rate
that
our
other
certified
foster
parents
receive
and
we
are
so
excited.
S
I
I
dare
say
that
every
single
one
of
you
come
from
regions
where
you
have
heard
of
these
grandparents
and
aunts
and
uncles
that
are
struggling,
though
they
want
to
take
care
of
these
children
that
are
in
their
family.
They
are
struggling,
and
this
stipend
will,
for
the
first
time,
allow
them
to
receive
both
money
and
services
and
in
2021
2426
children
were
served
through
the
relative
caregiver
program
without
the
stipends,
but
this
is
expected
to
increase
that
number
to
approximately
3
400
children
to
be
served
every
year,
if
approved.
S
S
The
fourth
budget
increase
is
983.
000
requests
for
expedited
placement
rate
increase
when
a
ch
when
a
child
comes
into
dcs
custody,
and
we
we
sometimes
look
for
placements,
as
you
know,
with
with
oh
as
fast
as
we
can.
I
guess,
and
currently
we
pay
kinship
placements
so
kinship
being
a
relative,
and
this
is
different
than
the
first
program.
We
currently
pay
kinship
placements
seven
dollars
a
day,
seven
dollars
a
day
until
they
get
their
certified
foster
parent
certificate.
S
So
this
will
you
know-
and
that
includes
going
through
the
training
and
requirements
to
to
become
an
approved,
foster
home.
This
proposal
would
increase
that
rate
to
14
dollars
still
not
up
to
what
our
certified
foster
homes
receive,
but
the
hope
is
that
this
will
help
take
the
edge
off
for
them,
but
also
encourage
them
to
finish
becoming
certified
foster
homes.
S
The
funding
will
be
used
to
impl,
implement
two
tcap
programs,
computer
technology
and
building
construction,
and
it
will
also
be
used
to
start
a
business
administration
associates
degree
program
through
a
tbr
community
college
405
000
is
non-recurring,
will
be
used
to
purchase
physical
equipment,
such
as
for
the
computer
technology,
and
building
construction.
Training
and
250
is
non-recurring
which
will
be
used
for
physical
improvements
to
the
actual
facility.
S
S
The
department's
provider
rate
is
comprised
excuse
me
of
federal
funding
of
title
4e
and
medicaid.
An
increase
in
state
dollars
is
needed
to
draw
any
additional
federal
funding.
This
request
equates
to
a
10
percent
increase
across
the
board.
However,
we
are
going
to
if
approved,
evaluate
and
assess
the
the
most
urgent
levels
of
need
in
the
department.
We
did
receive
an
increase
last
year,
those
have
been
implemented
and
our
providers
have,
I'm
sure,
expressed
their
appreciation
to
you
and
they
certainly
have
to
our
department,
and
you
know,
to
exit
brown
a
lawsuit.
S
We
were
are
required
to
expand
our
levels
of
service
and
we
have
many
many
more
levels
of
service
than
a
lot
of
states
have
and
but
with
higher
levels
of
treatment
and
longer
stays
required.
We
are
re.
Our
network
providers
are
required
to
do
more
under
family
first
prevention
services
act.
They
are
now
required.
S
Resident
providers
are
required
to
meet
a
higher
level
of
criteria
such
as
24
7,
access
to
nursing
and
clinical
staff
to
have
a
trauma-informed
treatment
model,
and
also
to
provide
six
months
of
after-care
services.
None
of
that
came
with
extra
money,
we're
requiring
that
they
do
it,
because
if
they
don't
do
it,
then
we
lose
federal
funding.
All
of
it.
You
have
to
be
what's
called
a
qrtp
qualified
residential
treatment
program.
In
order
for
us
to
draw
down
those
federal
funds,
the
seventh
ask-
and
I
will
skip
that-
one-
that's
a
smaller
one.
S
S
In
the
federal
fiscal
year
of
20,
there
were
1607
adoptions
and
special
or
excuse
me,
subsidized
permanent
guardianships
finalized.
That's
six
over
1600
children
who
found
permanency
that
were
not
or
who
were
not
reunited
with
their
families
and
that's
a
three
percent
growth
in
adoptions
and
actually
a
14
increase
in
the
number
of
permanent
guardianships
and
that's
a
direct
result
of
the
department,
placing
a
special
emphasis
on
that
form
of
permanency.
S
S
S
All
right-
and
our
next
ask
is
3.4
million
dollars
of
recurring
funds
for
a
particular
treatment
program,
an
evidence-based,
that's
called
parent-child
interaction
therapy.
It
is
for
children
ages,
two
to
seven
who
have
experienced
emotional
and
behavioral
problems
that
are
frequent
and
that
are
intense
under
the
family's
first
prevention
services
act.
We
have
to
select
a
number
of
well-supported
programs
that
are
in
the
clearinghouse,
and
this
is
one
of
the
programs
that
we
have
elected
to
bring
to
tennessee.
S
S
As
you
know,
they
are
expanding
the
age
for
children
served
by
the
ties
program
from
zero
to
three
to
zero
to
four,
and
our
department
also
makes
referrals
to
that
program,
and
these
funds,
as
I
said
earlier,
would
be
passed
through
from
10
care
to
dead
and
I'm
happy
to
answer
questions,
but
I
I
don't
want
to,
I
guess:
pass
the
mic
so
to
speak
without
going
to
the
next
slide,
just
to
remind
you
that
we
currently
have
8
937
children
in
state
custody.
Those
are
divided
between
dependent,
neglected
children,
8
364.
S
S
You
see
a
high
in
foster
care
of
shelby
county,
which
is
over
a
thousand,
I
don't
believe,
there's
one
county
that
doesn't
have
at
least
one
child
in
foster
care
and
then
in
the
juvenile
justice
again,
the
high
number
from
shelby
county
is
over
a
hundred,
and
there
are
several
counties
that
have
no
juvenile
justice
involved.
Youth
and
finally,
I've
already
told
you
that
in
2021
1
634
children
received
their
forever
homes
through
adoption
and
permanent
guardianship.
S
E
I
E
The
state
of
tennessee,
we
do
have
a
list
of
questions,
and
so
we
might
as
well
get
started
because
we
have
an
expansion
request
after
this
presentation
after
the
this
question
and
answer
session.
First
question
is
from
chairman
zachary
thank
you,
mr
chairman
and
commissioner
good
afternoon,
good
morning
and
good
afternoon,
and
thank
you
to
you
and
your
team.
E
E
D
E
S
So
the
first
question
was
was
about
family
first
and
that's
the
waiver
that
you
referred
to
and
for
us
it
was
not
a
matter
of
getting
back
into
client
into
compliance.
It
was
a
matter
of
us,
like
all
other
49
states
having
to
pull
the
trigger
and
go
forward
with
with
that
family
first,
so
we
we
hit
our
targeted
deadline
for
going
forward
with
family
first,
and
that
was
july,
the
1st
of
2021
and
several
months
early,
we
have
had
many
compliments.
S
T
T
We
cannot
prove
we
cannot
draw
federal
funds
for
non-custodial
children,
but
now
we
are
allowed
to
draw
with
federal
funds
and
at
50
was
a
state
match
of
50,
so
that
was
we're
taking
advantage
of
that
and
we
currently
actually
are
started
in
several
programs
already
in
place.
One
of
them
is
intercept
program
and
mst.
That's
our
two
program
running
currently
by
use
villages,
and
we
are
actually
started
billing.
The
federal
government
50
of
these
programs.
S
And
just
to
piggyback
on
that,
if
we
had
made
the
decision
not
to
go
through
the
rigorous
process
of
family
first,
we
would
still
have
the
responsibility
of
taking
care
of
youth
and
children,
but
we
just
wouldn't
be
able
to
draw
the
federal
funds
so
and
then
your
next
question
was
about
long-term
foster.
Parents
are
you
talking
about
like
rates
earth.
S
S
We
continually
need
more
foster
families,
as
children
are
coming
in
and
staying
longer
and
have
a
higher
level
of
needs.
Our
need
for
foster
parents
and
homes
has
increased,
not
decreased.
It's
interesting
that
you
ask
right
now
we
have
our
biggest
need,
of
course,
is
for
for
children
that
are
in
sibling
groups
or
and
or
teenagers,
and
we
have
let's
see
if
I
can
get
my
numbers
896
groups
of
three
or
more
siblings
in
custody.
S
S
Yeah
five
percent
increase
it's
based
on
the
average
that
that
it
cost
to
raise
a
child
in
the
southeast,
and
we
were
doing
things
like
trying
to
increase
services.
And
I
think
governor
lee
said
his
desire
was
to
make
our
state
the
most
foster
friendly
and
adoptive
friendly
state
in
the
country.
And
we
share
that.
Q
Q
S
Well,
as
you
know,
tennessee
foster's
hope
is
an
initiative
which
is
a
collaboration
between
business
houses
of
worth
worship
and
the
state.
Dcs
provides
a
lot
of
data
to
the
to
the
collaboration
and,
as
you
pointed
out,
you
know
three
of
the
requests
for
increases
sort
of
go
directly
to
the
to
the
foster,
an
adoption
mission,
and
I
will
have
to
get
you
data,
because
I'm
not
the
data
keeper
for
for
tennessee
foster's
hope.
But
I
know
that
we
have
our.
S
S
Q
B
S
Okay,
the
extension
of
foster
care-
I
don't
see
where
that
one
would
interact
with
family
first
prevention
service
act
because,
as
I
said,
that's
that's
for
children,
ages,
18
through
21
and
family.
First,
you
know
is
an
initiative
to
keep
children
from
coming
into
custody
and
these
children
have
already
exited,
but
we
all
know
well,
most
of
us
weren't
capable
of
doing
things
on
our
own
we're
18..
Q
S
T
Well,
the
one
that
actually
interacts
is
two
programs
that
we
currently
have
is
the
inner
the
intercept
program
which
we
had
about
15
million
dollars
and
already
in
the
budget
for
that
program,
that's
paid
50
by
the
feds
50
state
match,
and
the
second
program
is
mst
multi-systematic
therapy,
and
that
is
about
six
million
dollars.
Also
in
that
program,
50
is
funded
by
the
state
and
those
are
directly
related
to
families.
First,
in
addition
to
the
program
that
we
introduced
today
as
well,
that
has
about
three
million
dollars
on
that
program.
Q
S
S
I
Thank
you,
madam
chair,
and
in
the
interest
of
time,
do
you
mind
if
I
go
back
and
forth
with
three
or
four
questions?
Thank
you.
You
mentioned
shortage
on
staff.
I
know
it.
A
recent
audit
showed
at
wilder
youth
development
center
there's
about
a
50
percent
turnover
rate
and
there's
also
been
an
increase
in
youth
disturbances
and
escape
attempts
at
the
facility,
including
a
breakout
by
five
youths
almost
a
year
ago.
S
I
attribute
the
turnover
to
to
the
nature
of
the
work
it's
hard
it's
hard
and
when
you
are
trying
to
house
educate,
provide
health
care
care
services,
provide
therapy
family,
counseling,
individual
counseling
to
youth
that
have
been
declared
delinquent
by
a
court.
The
very
nature
of
that
job
makes
it
difficult
and
remember
because
they
are
youth,
not
adults,
the
same
resources
that
the
department
of
corrections
uses
by
law
to
contain
restrain
deal
with
their
population.
S
S
So
in
talking
to
people
who
have
transitioned
away,
that's
what
you
hear.
Sometimes
they
say
pay
most
of
the
time
they
say
the
work,
and
you
know
that
it
just
grows.
You
know
if
one
walks
away,
it
makes
it
harder
on
the
remaining
another
one
walks
away.
So
we
are
in
terms
of
what
we
are
doing
and
you're
correct.
There
was
an
escape.
The
last
escape
was
in
june
of
2021.
S
S
We
have
hired
a
security
company
that
provides
perimeter
every
single
night,
five
cars
from
dusk,
till
dawn,
and
in
addition
to
that,
we
pay
troopers
highway
patrol
officers
over
time,
and
they
are
now
at
the
wilder
campus.
All
three
shifts
multiple
troopers
a
day,
I
believe
for
the
last
month
it
was
over
500
hours
overtime.
Is
that
what
it
was
that
we
paid
for
troopers,
and
it
makes
a
huge
difference.
In
addition
to
that,
I
have
met
with
many
many
stakeholders
of
the
community
community.
I
I
S
So
if
you
don't
mind,
I'm
going
to
take
the
last
question
first,
as
I
said
earlier,
we
are,
we
are
taking
major
steps
with
respect
to
the
population
in
the
dorms
that
we'll
be
using
to
house
the
youth
there
for
the
foreseeable
future.
Those
include
a
number
of
security
enhancements
that
we
are
working
on
with
everyone
from
stream
and
general
services
and
jl
contractors
to
harden
up
the
dorms
that
we'll
be
using
harden
them
up
in
a
way
that
will.
S
You
know
the
at
least
70
percent.
I
think
the
last
time
I
checked,
70
percent
of
the
youth
that
were
or
more
could
be,
80.
at
wilder
are
actually
from
shelby
county,
and
so
there
is
an
interest
in
in
having
a
presence
there,
because
part
of
their
therapy
and
and
setting
them
up
for
successful
re-entry
into
the
into
the
world
is
their
their
family
connections,
their
mentors
job
connections.
That
kind
of
thing
so
we're
evaluating
a
number
of
different
options
to
to
try
and
figure
out
long-term.
S
What
is
the
best
thing
that
we
can
do?
In
the
meantime,
we
have
another
network
provider
in
east
tennessee
from
wayne
halfway
who
runs
the
mountain
view
facility,
which
is
a
hardware
secure
facility.
He
is
increasing
the
number
of
beds
that
he
has
for
for
hardware
secure
and
that's
in
jefferson
county
and
we're
working
with
him
daily
on
that
project.
I
Well,
thank
you
very
much
for
being
here
and,
and
I
really
appreciate
the
level
of
care
and
concern
that
you
and
and
all
the
folks
that
work
under
you
have
for
these
children
and
and
appreciate
all
your
efforts.
It
makes
us
feel
much
better
to
know.
We've
got
good
people
in
place
to
to
do
these
tough
jobs.
Thank
you.
Thank
you,
madam
chair.
G
Thank
you.
Thank
you,
commissioner,
for
coming.
It's
always
great
appreciate
you
and
your
employees
and
all
you're
doing
for
kids
in
our
communities.
Obviously,
in
my
area
and
in
a
recent
audit
who
said
that
a
lot
of
your
dcs
case
workers
over
1800
of
them,
most
of
which
carry
over
20
cases
and
so
there's
a
statutory
requirement
for
him
to
meet
with
those
individuals
at
least
once
a
month
very
difficult
to
do
that.
G
S
S
You
know
it's
one
thing,
but
then
we
have
other
counties
that
have
like
I
mean
we
have
other
regions
that
have
like
14
counties.
So
how
that
really
pans
out
is.
You
could
have
a
county
that
has
a
very
low
number
of
of
cases
per
case
manager
and
then
in
the
same
region,
have
a
more
involved
county
where,
where
they
have
high
and
it's
the
average
and
what
we're
doing,
because
truthfully
we
want
them
all
to
have
a
low
case
load.
S
You
know
what
advantage
is
it
to
any
of
us
that
they
have
high
case
lows,
the
fewer
they
have
you
know
in
on
their
list,
the
better
services
they're
able
to
to
give
to
the
children
and,
frankly,
the
better
lives
they're
able
to
live.
You
know
the
less
overtime
they're
asked
to
to
work.
We
have
the
most
robust
recruitment
plan
that
we've
ever
had.
We
are
literally
going
into
the
classrooms,
the
college
classrooms
and
and
talking
up
the
department
talking
up
social
work
talking
about
up
the
children
that
need
this.
S
S
In
addition
to
that,
we
are
asking
for
volunteers.
You
know
from
other
depart
from
other
counties
that
have
fewer
cases.
Do
you
want
to
come
into
a
particular
area
and
help?
Would
you
like
to
come
here
and
earn
some
overtime,
so
we
literally
are
go
thinking
outside
the
box,
we've
hired
a
recruitment
director
and
are
reclassified,
another
job
so
that
we
have
two
whose
full-time
job
is
going
to
be
and-
and
I
think
we're
actually
aimed
towards
getting
three
of
them.
Full-Time
job
is
to
recruit.
G
So
I
appreciate
that
I
think
one
of
the
one
of
the
things
also
that's
a
big
challenge
that
I
understand
from
your
department
is
turnover.
I
guess
the
question
is:
is
that
turnover?
Is
it
related?
Obviously,
it's
one
of
the
most
difficult
jobs
our
our
folks
are
doing,
and
so
we
appreciate
what
they're
doing,
because
it
it
does
take.
Geography
is
a
huge
challenge
too,
when
you
carry
20
or
more
cases,
but
I
guess
the
question
is
is
is
as
it
relates
to
turnover
is
what
other
states
surrounding
states
paying?
G
S
I
don't
know
what
the
impact
of
just
covet.
I
know
that
the
department
has
historically
had
a
difficult
time
staying
fully
staffed.
It
just
has
and
again
the
nature
of
the
work
you
think
about
you
think
about
what
we're
asking
them
to
do.
You
have
to
have
a
love
for
children,
a
love
for
families
that
goes
beyond
beyond
the
regular
level
of
a
love
for
children
and
love
for
families.
S
I
mean
we
are
serving
babies
that
are
hours
old
and
that
are
drug
exposed
and
we
are
serving
youth
up
to
the
age
of
19,
who
have
been
declared
delinquent
and
given
a
determinate
sentence
for
murder
and
everything
in
between
everything
in
between
the
nature
of
the
work
is
tough
and
the
people
that
do
it.
Our
front
line
staff
are
heroes,
but
people
don't
call
them
that
people
don't
want
to
see
them
come
come
in
there,
knocking
on
their
door
or
walking
across
their
yard,
but
they
are
heroes
they're.
S
Just
they
just
don't
wear
a
wonder.
Woman
cape,
you
know
or
superman
cape.
So,
in
terms
of
what
I'm
doing
is
I
never
ever
ever
miss
a
chance
to
advocate
for
them.
You
know
people
say:
do
you
need
more
and
you
know
more
numbers.
I
need
to
fill
the
ones
I
have
we
need.
We
need
to
I'm
just
so
excited
about
the
agency.
G
So
the
to
sum
up
what
you
said,
the
the
answer
to
the
question
of
our
is:
is
turnover
being
impacted
by
other
states,
for
instance,
if
you're
a
dcs
worker
in
bristol
tennessee
you're
competing
against
bristol
virginia
employees.
So
your
study
is
going
to
tell
us
whether
or
not
our
our
pay.
Our
pay
scale
is
competitive
with
surrounding
states.
Or
will
it
not
tell
us
that.
S
I
believe
I
I
don't
know
I
don't
know
even
know
how
wide
it
is.
I
can
get
some
some
comments,
but
let
me
answer
one
question,
though,
about
the
other
states,
so
I
I
I
read
nationwide
you
just
and
I
talked
about
it
last
week,
even
in
oregon,
you
hear
that
the
person
over
their
hr
saying
he's
never
seen.
You
know
never
seen.
S
You
know
the
need
for
foster
parents
and
for
for
case
managers
like
it
is
now
I
mean
it
is
nationwide,
it's
every
state,
you
it's
not
just
us
and
that's
why
I
question
whether
it's
whether
we're
really
competing
with
our
neighboring
states.
I
will
say
this
as
part
of
our
recruitment
efforts.
There's
been
discussions
about
us
going
to
our
neighboring
states
into
those
colleges
and
trying
to
recruit
from
there,
because
we
know
we
have
students
that
go
to
those
colleges,
but
but
I
don't
know
that
we
really
are
competing
with
them.
A
B
G
R
I
S
We
don't
oversee
that
facility.
Okay,
do
we
license
it?
We
license
it
as
we
do,
and
so
I
could.
I
could
certainly
give
you
not
today.
If
you
give
me
a
minute,
I
can
give
you
all
the
records
regarding
licensing
of
that
facility,
because
we
license
a
number
of
them
across
the
state,
but
we
don't
we
don't
oversee
it.
We
don't
run
it,
we
don't
we
we're
not
the
people
who
put
children
in
that
detention
center.
S
If
there
is
a
referral
made
and
we
get
referrals
from
all
kinds
of
places,
we
get
referrals-
I
mean
not
just
from
individual
homes,
but
we
get
referrals
from
from
schools
and
other
facilities.
So
if
there
was
a
referral
made
that
a
child
had
been
mistreated,
then
then
we
would
go
in
and
we
could
investigate
that
like
it.
So
if
a
call
or
a
web
referral
was
made
to
our
hotline.
A
S
S
Stewards
of
children,
which
is
a
child
abuse
prevention,
nurture
the
next
there's
a
number
of
programs
and
the
grants
are
allocated
to
organizations
that
provide
child
abuse
prevention
plans
and
services
to
children
in
tennessee
and
generally,
the
services
are
not
for
children
who
have
open
dcs
cases.
I
mean
that's
a
critical
point
because
we
want
to
keep
kids
out
of
custody
right.
S
Great
great
great
question:
cacs
do
give
training
in
cacs,
and
I
know
that
because
I
actually
was
assigned
to
one
and
worked
in
one,
but
they
also
go
out
and
give
training
they
sort
of
want
to
and
the
cacs
the
different
ones.
Do
it
different
ways,
but
they
definitely
go
out
to
groups
and
go
out
to
schools
if
they
have
room
and
space
to
bring
them
in.
I
know
they
do
that
as
well.
S
Any
any
organization
that
provides
child
abuse
prevention
services
can
apply,
and
then
the
cec's
is
one
just
one
and
I'll
give
you
an
example
cacs
how
I
became
sort
of
familiar
with
stewards
of
children,
which
is
darkness
to
light
an
incredible
prevention
service
cacs
were
bringing
that
group
into
the
cacs
to
give
that
training
and
cacs
were
hosting
that
group
to
give
training
to
different
communities.
So
it
really
is
a
collaborative
effort.
S
H
A
T
I
just
probably
want
to
add
that
this
funds,
even
though
it's
an
additional
funds
we
receive
we-
this
is
a
permanent
grant
that
we
always
have.
We
have
about
800
thousand.
We
receive
every
year
of
the
child
prevention
plan,
so
this
is
already.
We
already
have
even
the
vendors
that
already
currently
using
it.
So
we're
going
to
make
it
available
to
all
the
providers
that
currently
have
this
program
or
if
a
new
providers
would
apply
for
this
grant.
A
A
A
M
Matt
a
madam
chair
and
members
of
the
of
the
committee
a
pleasure
to
be
here
with
you
this
afternoon,
and
this
will
be
very
brief.
This
is
about
an
expansion
request
of
1.68
million
for
our
adult
protective
services
and
it
will.
It
will
fund
an
existing
initiative,
our
crest
program-
and
this
is
100
100
federal
money.
M
There
is
an
expiration
date
for
the
the
the
spending
which
would
be
september
30th
the
end
of
the
federal
fiscal
year,
but
we
will
petition
the
federal
government
to
extend
that
as
we
get
towards
the
end
of
the
federal
fiscal
year.
But
and
if
you,
if
you
need,
I
can
go
into
some
detail
on
what
the
program
is,
but
that
without
that
I'll
just
turn
it
back
to
you.
It's
a
pretty
simple
request.
A
Q
Good
afternoon
chair
lady
sherelle
campbell
street
deputy
commissioner-
and
this
is
separate
from
our
ssbg
program-
we
are
looking
at
some
many
different
ways
in
which
we
can
increase
the
number
of
people
or
providers
that
we
have
currently
working
in
our
adult
homemaker
program.
But
these
this
particular
may
be
able
to
hit
certain
areas
of
adult
protective
services
as
it
pertains
to
homemaker,
but
not
entirely.
A
A
A
I
Okay,
madam
chair,
the
tennessee
department
of
health
requests
the
recognition
of
additional
federal
funds
to
support
the
department's
efforts
at
reducing
maternal
mortality
statewide.
The
particular
grant
in
front
of
you
is
from
the
department
of
health
and
human
services
and
will
allow
the
department
to
focus
on
reducing
maternal
deaths
as
a
result
of
violence.
I
The
plan
is
for
the
department
to
utilize
these
funds
to
do
a
data
review
and
also
implement
evidence-based
strategies
that
will
reduce
the
instances
of
violent
deaths
for
pregnant
women
or
mothers
within
a
year
of
giving
birth.
This
is
a
five
year
grant.
The
first
year
is
about
225
000,
with
300
000
in
the
subsequent
years,
and
I'm
happy
to
answer
any
questions
you
might
have.
A
I
noticed
it
mentions
homicide
or
suicide.
Yes,
ma'am
prevention,
and
I
know
that
post
I've
had
friends
who've
gone
through
postpartum
depression.
There.
There
are
lots
of
things
that
come
to
play
there.
Can
you
kind
of
tell
us
when
you're
looking
at
these
numbers,
how
they're
divided
between
the
suicide
and
homicide?
Yes,.
I
A
Well,
I
can
certainly
understand
how
working
with
the
pregnant
mother
or
the
woman
who's
recently
become
a
mother
to
help
prevent
suicide,
but
the
homicide
seems
a
little
bit
more
difficult
for,
inter
you
know,
intervening
with
the
individual
and
having
that
transfer
to
reducing
homicide.
Can
you
speak
to
that
a
little
bit.
I
There's
some
training:
that's
that's
evidence-based!
That
helps
providers,
maybe
identify
some
signs
that
someone's
in
a
bad
domestic
situation
and
and
so
yeah.
You
bring
up
a
great
point
that
you
can't.
You
can't
pinpoint
that
directly
all
the
time,
but
there
are
some
things
that
maybe
points
that
we
might
be
able
to
I'll
say
tip
off
a
provider
into
expanding
the
services
offered
to
a
particular
mother.
I
Q
I
Curb
some
of
the
mental
and
emotional
stressors
that
lead
to
postpartum
depression,
which
leads
to
suicide.
That's
a
good
question
from
what
I
understand
of
the
grant.
That
is
not
part
of
the
discussion.
However,
I'd
be
happy
to
go
back
and
check
with
our
program
folks,
and
we
can
follow
up
with
you
on
that.
Thank
you.
A
I
I
They
work
well
with
the
department
of
mental
health.
Already
we
work
real
well
with
a
lot
of
the
community
providers,
and
so
that
network
exists-
and
I
think,
we've
done
a
good
job
of
at
least
coordinating
our
efforts
and
breaking
down
those
silos,
and
this
will
just
expand
on
what
we've
done
in
the
past.
A
I
A
We
do
have
based
on
popular
demand.
We
have
a
revised
budget
hearing
schedule.
We
will
have
budget
hearings
this
thursday
afternoon,
like
we
did
last
week
but
beginning
next
week.
We
are
going
to
pull
those
back
into
various
slots
that
have
been
approved
by
our
clerk
and
speaker
and
everybody
to
try
to
get
everybody
out
of
here
on
thursdays.