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[CALL TO ORDER]

[00:00:06]

IT IS 2:06 PM.

WE ARE CONVENING THE MEETING OF THE PUBLIC SAFETY COMMITTEE AND COUNSELING AND FLANAGAN CHAIR.

WE HAVE COMMITTEE MEMBERS, VICE CHAIR, COUNCIL MEMBER, CASAR, AMIR, PRETEND GARZA.

I KNOW OUR OTHER COMMITTEE MEMBER COMES NUMBER HARPER.

MADISON IS ON HER WAY.

UH, AND THEN COUNCIL MEMBERS, KITCHEN AND ELLIS ARE ALSO IN ATTENDANCE.

UH, OUR, OUR AGENDA TODAY REALLY JUST HAS TWO ITEMS ON IT.

WE HAVE A CITY CHARTER REQUIRED REVIEW OF OUR MUNICIPAL COURT JUDGES.

UH, WE WERE GOING TO DO A PERSONNEL REVIEW IN EXECUTIVE SESSION AS IS CUSTOMARY, AND THEN WE WILL HAVE THE REMAINDER OF THE MEETING TO TALK ABOUT OUR MENTAL HEALTH FIRST RESPONSE.

AND I SEE COUNCIL MEMBERS TOWBOAT AND POOL HAVE ALSO JOINED THE MEETING.

GREAT TO SEE YOU, UH,

[3. Discuss personnel issues related to Municipal Court Judges Performance Evaluations. (Persomiel matters - Section 551.074 of the Government Code). Sponsors: Council Member Jimmy Flannigan. and Council Member Gregorio Casar]

WITH THAT, I THINK WE ARE PREPARED TO GO INTO EXECUTIVE SESSION UNLESS THERE'S ANY OBJECTION TO DO SO.

ALL RIGHT.

I WILL READ THE SCRIPT.

THE COMMITTEE WILL NOW GO INTO CLOSED SESSION TO TAKE UP ONE ITEM PURSUANT TO SECTION FIVE, FIVE, ONE DOT OH SEVEN FOUR OF THE TEXAS GOVERNMENT CODE COMMITTEE WILL CONSIDER ITEM THREE, DISCUSS PERSONNEL ISSUES RELATED TO MUNICIPAL COURT.

JUDGE PERFORMANCE EVALUATIONS HEARING.

NO OBJECTION COMMITTEE NOW GOES INTO EXECUTIVE SESSION.

ALRIGHT, STARTED.

WE ARE OUT OF CLOSED SESSION IN CLOSED SESSION.

WE CONSIDERED PERSONNEL MATTERS RELATED TO ITEM THREE.

OKAY.

WE HAVE WITH US COUNCIL MEMBER, KITCHEN, ELLIS POOL, AND THEIR ADLER.

AND I KNOW COUNCIL MEMBER TOBO WAS WITH US EARLIER.

UM, I'LL BE LOOKING FOR YOU IF YOU'RE IN THE BACKSTAGE AREA.

AND OF COURSE OUR COMMITTEE MEMBERS BY ROBERT MADISON, VICE CHAIR COSAR AND THE MAYOR PRO TEM GAZA.

SO WE'RE GOING TO MOVE ON

[2. Discuss mental health first response and health systems in public safety. Sponsors: Council Member Jimmy Flannigan. and Council Member Gregorio Casar]

TO OUR MAIN EVENT TODAY TALKING ABOUT MENTAL HEALTH FIRST RESPONSE.

SO I'M GOING TO BRING IN OUR SPEAKERS.

UH, WE'VE GOT FROM INTEGRAL CARE AND FROM CITY STAFF.

OKAY.

BUT PEOPLE'S VIDEOS TURN ON.

SO AS, AS I LIKE TO START EVERY MEETING, UM, JUST AS A TECHNOLOGY, CHECK-IN I AM THE HOST OF THE MEETING.

I WILL MUTE YOU IF YOU FORGET TO MEET YOURSELF, UH, DON'T TAKE IT PERSONALLY.

WE WILL, UH, HAVE OUR PRESENTERS.

WE'VE GOT, UH, A SLIDE DECK FROM INTEGRAL CARE AND A SLIDE DECK FROM APD.

I THINK BOTH OF THEM WERE PROBABLY GOOD TO GO THROUGH, UM, FOR, FOR THE COUNCIL MEMBERS.

THE INTENTION HERE IS, IS, IS TO ALSO PRESENT INFORMATION THAT THE PUBLIC MAY NOT KNOW.

SO I KNOW MOST OF US WILL KNOW THE STUFF THAT'S IN THESE PRESENTATIONS, BUT I THINK IT'S A GOOD KIND OF RESET ON THE INFORMATION FOR THE PUBLIC TO SEE THIS, UH, FROM, FROM THE BUDGET VOTES WE TOOK LAST WEEK.

UM, SO WE'LL START WITH INTEGRAL CARE AND THEN WE'LL DO OUR APD PRESENTATION AND IT'S PROBABLY WISE TO LET OUR PRESENTERS MAKE IT ALL THE WAY THROUGH AND SAVE YOUR QUESTIONS TO THE END.

AND THEN THERE SHOULD BE PLENTY OF TIME FOR CONVERSATION.

THAT SOUNDS GOOD.

I JUST GOT A MESSAGE FROM DON AND THE FAMILY AND SHE GOT DISCONNECTED.

SHE'S LOGGING.

OKAY.

YEAH.

SHE'S GOT COUNCIL MEMBER ARE FROM MADISON.

THANK YOU, TERRY.

I APPRECIATE YOU RECOGNIZING ME.

THERE WAS SOMETHING THAT I WANTED TO, UH, TO MAKE SURE TO SAY BEFORE THE MEETING ENDED, AND THIS SEEMS LIKE AN APPROPRIATE PLACE.

IF WE'RE HAVING A LITTLE BIT OF A, UH, ISSUE WITH SOMEBODY GETTING BACK IN, I HAD THE OPPORTUNITY TO BETWEEN FRIDAY AND SUNDAY, UM, HAVE MORE THAN A DOZEN CONVERSATIONS WITH PEOPLE IN LAW ENFORCEMENT POSITIONS.

UM, AND THOSE CONVERSATIONS WERE VERY MUCH ABOUT THEM FEELING LIKE THEY'RE IN THE DARK ABOUT WHAT IS TAKING PLACE.

UM, AND, AND ME RECOGNIZING THAT WE'RE TALKING ABOUT PEOPLE'S LIVELIHOODS, UM, IN WHICH CASE THEY SHOULD DEFINITELY NOT FEEL LIKE THEY'RE IN THE DARK AND SHOULD DEFINITELY NOT FEEL LIKE THEY DON'T HAVE THE OPPORTUNITY TO ASK QUESTIONS.

SO WITH THIS OPPORTUNITY AND YOUR RECOGNITION AND MY ABILITY TO SPEAK ON IT, UM, WE, WE NEED, WE 100% NEED FOR LAW ENFORCEMENT PROFESSIONALS TO KNOW THAT OUR ACCESS TO CITY LEGAL IS NOT EXCLUSIVE TO CITY COUNCIL.

YOU HAVE ACCESS TO CITY LEGAL AS WELL.

IF THERE ARE ANY QUESTIONS THAT YOU HAVE ABOUT WHAT YOU

[00:05:01]

CAN AND CAN'T ASK, UM, IN YOUR ROLE BY WAY OF THE CONTRACT THAT WE HAVE, UH, ASK CITY LEGAL.

IF YOU, IF YOU DON'T KNOW WHETHER OR NOT YOU CAN ASK A QUESTION, IF YOU DON'T KNOW WHETHER OR NOT, YOU CAN SAY A THING OR NOT SAY A THING AS CITY LEGAL, YOU HAVE ACCESS TO THEM, JUST LIKE WE DO.

AND MOST IMPORTANTLY, YOU HAVE ACCESS TO THE CITY COUNCIL.

I'VE TALKED TO MULTIPLE LAW ENFORCEMENT PROFESSIONALS WHO DIDN'T REALIZE THAT IT WAS AN OPPORTUNITY THAT THEY HAVE TO EVEN TALK TO US.

THEY DON'T KNOW THEY CAN TALK TO US.

THAT IS SO PROBLEMATIC.

SO I JUST WANTED TO MAKE SURE TO SAY PUBLICLY, YOU GUYS, YOU HAVE ACCESS TO US AND YOU HAVE ACCESS TO CITY LEGAL.

IF YOU HAVE QUESTIONS ABOUT YOUR REALLY DIFFICULT JOB AND THE THINGS THAT WE AS A COUNCIL, AS A BODY ARE DOING THAT AFFECT YOUR JOB, YOUR LIVELIHOOD, YOU ABSOLUTELY CAN ASK US QUESTIONS AND YOU ABSOLUTELY ASK CITY LEGAL QUESTIONS.

AND SO I JUST DON'T EVER WANT TO BE PUT IN A POSITION AGAIN TO WHERE OUR LAW ENFORCEMENT PROFESSIONALS DON'T KNOW THAT THEY CAN ASK US QUESTIONS, THAT THEY CAN BE A PART OF THIS PROCESS.

THEY ABSOLUTELY SHOULD BE A PART OF THIS PROCESS.

AND THE FACT THAT THEY DON'T KNOW THAT, THAT THEIR LEADERSHIP BOTH BY WAY OF APD AND BY WAY OF APA, AREN'T LETTING THEM KNOW THAT THEY HAVE THE OPPORTUNITY TO ASK US QUESTIONS, TO BE A PART OF THIS PROCESS OF BEING, YOU KNOW, WE ARE THE TRENDSETTERS, WE'RE GOING TO BE THE REVOLUTIONARY MUNICIPALITY THAT GETS IT RIGHT.

I WHOLEHEARTEDLY BELIEVE THAT.

AND WE CANNOT DO THAT WITHOUT THEM CONTRIBUTING TO THE PROCESS.

AND IF THEY DON'T KNOW THAT WE WHOLEHEARTEDLY WELCOME THEIR CONTRIBUTION TO THE PROCESS, I THOUGHT, WHY AREN'T WE HEARING FROM Y'ALL? AND I, WHAT I WAS TOLD BY MORE THAN A DOZEN PEOPLE OVER THE COURSE OF THE WEEKEND IS THAT THEY DIDN'T KNOW THEY COULD BE A PART OF THAT PROCESS.

THEY DIDN'T KNOW THEY COULD TALK TO US.

THEY DIDN'T KNOW THEY HAD ACCESS TO CIVIL LEGAL.

THAT IS EXTRAORDINARILY IMPORTANT.

SO JUST WANT TO MAKE CERTAIN TO PUT THAT OUT THERE ON THE RECORD, PUBLIC FACING YOU ALL HAVE ACCESS TO US AND WE ALL, AND NOT JUST ME.

WE ALL WELCOME YOU REACHING OUT TO US.

WE WANT YOU TO REACH OUT TO US.

WE WANT YOU TO BE A PART OF THIS PROCESS.

SO DON'T FOR A MOMENT, LISTEN TO ANYBODY WHO SAYS OTHERWISE, CAUSE IT'S NOT TRUE.

AND THAT WAS ALL.

THANK YOU, CHAIR.

NEVER ATTENDED YOU HAVE YOUR HAND UP.

YEAH, I GUESS CUSTOMER BRANDS EVEN JUST PROVIDE CONTEXT FOR, UM, WHAT THAT MEANS TO THEM.

BECAUSE IF I WAS LISTED, IF I WAS A POLICE OFFICER LISTING, I DON'T KNOW, I DON'T KNOW WHAT YOU HAVE ACCESS TO CITY LEGAL MEANS.

AND I JUST, I MEAN, I COULD UNDERSTAND, YOU KNOW, I KNOW THE FIRE DEPARTMENT, THERE'S A VERY STRICT CHAIN OF COMMAND THAT, THAT, THAT FIREFIGHTERS HAVE TO, ARE SUPPOSED TO FOLLOW AS WELL AS AN, I WOULD ASSUME IT'S THE SAME FOR POLICE OFFICERS.

AND SO, UM, MAYBE THIS, MAYBE THIS NEEDS TO BE SOME KIND OF OFFICIAL MEMO THAT THEY HAVE ACCESS TO.

UM, OBVIOUSLY I HAVE ALWAYS WELCOMED, UM, AND HAD CONVERSATIONS WITH POLICE OFFICERS AND, AND TOLD THEM THAT I, YOU KNOW, I, I, UM, TO THE EXTENT THAT I CAN KEEP THINGS CONFIDENTIAL, YOU KNOW, I THEY'RE THEY'RE THERE, BUT THEN THERE'S ANY EMAILS WE GET SAY, I JUST WANT TO BE CAREFUL OF WHAT WE OPEN UP, BECAUSE THEY HAVE TO KNOW THAT IF ANYTHING, THEY SEND THROUGH CITY EMAIL IS OPEN RECORD ANY KIND OF TEXT MESSAGES, OPEN RECORDS.

UM, I JUST THINK IF, IF WE'RE, I THINK IT'S GOOD TO MAKE A STATEMENT LIKE THAT, JUST TO MAKE SURE, UM, THEY KNOW WHAT THE PARAMETERS OF THAT, OF THAT, UM, OF THAT, YOU KNOW, REQUEST TO THEM OR THAT INVITATION TO THEM IS I THINK YOU MORE OR LESS SAID IT, RIGHT.

I APPRECIATE THAT CONTEXT BECAUSE IN TERMS OF PARAMETERS, RIGHT? YES.

ANYTHING THAT YOU SEND THERE, OR AUSTIN, TEXAS.GOV EMAILS IS OPEN TO PUBLIC INFORMATION REQUESTS.

UM, I THINK SOME OF THE QUESTIONS THOUGH, THAT I WAS BEING ASKED ARE REALLY BASIC QUESTIONS THAT WE SHOULD IN FACT, JUST BE PROVIDING BY WAY OF A PUBLIC FACING MEMO THAT ANSWERS SOME OF THEIR QUESTIONS.

SO PEOPLE ARE ASKING ME QUESTIONS ALONG THE LINES OF WHETHER OR NOT THEIR JOBS ARE IN JEOPARDY, WHETHER OR NOT THEY CAN ASK US A CERTAIN KIND OF A QUESTION.

THEY JUST DON'T KNOW HOW, AND WHEN THEY ARE ABLE TO INTERACT WITH US AS A BODY, HOW, AND WHEN THEY CAN INTERACT WITH US AS A COMMITTEE, HOW, AND WHEN THEY ARE ABLE TO INTERACT WITH CITY LEGAL.

AND SO, YES, OBVIOUSLY, YOU KNOW, B I WOULD SAY, I APPRECIATE YOUR REMINDER ABOUT DISCRETION.

UM, THERE'S NOTHING THAT YOU COULD SAY TO US AT OUR AUSTIN, TEXAS.GOV EMAILS THAT WON'T BE PUBLIC RECORD IF SOMEBODY WANTED TO MAKE IT.

SO, BUT THE BASIC QUESTIONS, LIKE SOME OF THE QUESTIONS THAT I RECEIVED OVER THE COURSE OF THE WEEKEND OR SO, SO VERY BASIC, UM, THAT IT MADE ME FEEL BAD, FRANKLY, THAT THE POLICE DEPARTMENT LEADERSHIP, THE APA LEADERSHIP,

[00:10:01]

THAT FRANKLY, US AS A MUNICIPALITY, WE ARE NOT COMMUNICATING WITH THEM IN A WAY THAT THEY DON'T KNOW ANYTHING.

THEY REALLY FEEL LEFT IN THE DARK RIGHT NOW.

AND AS WE, YOU KNOW, ARE ON THE PRECIPICE OF THIS REVOLUTIONARY TRANSFORMATIVE CHANGE, I REALLY WHOLEHEARTEDLY BELIEVE THAT THERE ARE OTHER CITIES THAT ARE GOING TO LOOK TO US FOR HOW TO GET IT RIGHT.

AND IF WE'RE GOING TO DO THAT, THEN EVERYBODY HAS TO BE A PART OF THE PROCESS.

AND I FEEL LIKE THEY DON'T RECOGNIZE THAT THEY CAN IN FACT, BE A PART OF THE PROCESS, IN WHICH CASE I THINK CONTEXTUALLY, WHAT I'M TRYING TO SAY IS THEY HAVE ACCESS TO US.

THEY, THERE'S NO REASON WHY THEY CAN'T COMMUNICATE WITH US, WHY THEY CAN'T TESTIFY, BUT FOR COUNSEL, WHY THEY CAN'T ASK ANY LEGAL QUESTIONS ABOUT, YOU KNOW, THE PARAMETERS THEY'RE LIKE YOU VERY ELOQUENTLY STATED THERE AREN'T PARAMETERS.

THEY ARE CITY EMPLOYEES, AND THERE ARE RULES BY WAY OF THEIR CONTRACT, BUT THEY DON'T EVEN KNOW THAT THEY CAN COMMUNICATE WITH US.

AND I, I FIND THAT PROBLEMATIC.

AND SO THAT'S, THAT'S WHAT I WAS TRYING TO HIGHLIGHT AND PUT SOME DAYLIGHT ON.

HOPEFULLY THAT HELPS.

I THINK IT WILL BE GOOD TO GET TO OUR AGENDA.

UM, COUNCIL MEMBER, KITCHEN, I THINK ASSISTANT CITY MANAGER, ARIANNA WANTED TO MAKE A COMMENT AS WELL, BUT I WOULD LIKE TO GET US TO OUR AGENDA.

SO BECAUSE OF OUR KITCHEN, IF YOU WANT TO GO QUICK, I'LL BE VERY, VERY QUICK.

I JUST WANT TO THANK COUNCIL MEMBER, HARPER, MADISON, AND ALSO THE MAN FROM TEMPLE.

AND JUST BECAUSE I THINK THAT'S IMPORTANT FOR, FOR OUR POLICE OFFICERS TO HEAR FROM ALL OF US.

I JUST WANT TO ECHO THE SENTIMENT.

I WANT TO, I WANT TO SAY PERSONALLY, THANK YOU TO OUR OFFICERS AND THEIR FAMILIES WHO SERVE THIS CITY AND THEY'RE DEDICATED TO KEEPING PEOPLE SAFE.

AND, UM, AND THEN I WANT TO JUST SAY TO OUR DEPUTY CITY MANAGER, UH, UM, UM, I WANT TO SAY TO HER THAT, UM, AS WE GO THROUGH THIS, RE-IMAGINING, THE VOICES OF OFFICERS ARE NECESSARY VOICES AT THE TABLE.

OKAY.

AND WE HAVE IN FACT, HAD OFFICERS JOIN US IN COMMITTEE MEETINGS IN THE LAST COUPLE OF MONTHS TO, UH, RE UH, THANK YOU CHAIR.

AND I JUST WANTED TO, UM, LEVERAGE OFF THESE COMMENTS AGAIN, COUNCIL MEMBER, HOPPER, MADISON, YOU AND I HAD A BRIEF CONVERSATION ABOUT THIS, AND I'LL GET BACK TO THE DEPARTMENT TO MAKE SURE THEY'RE COMMUNICATING WHAT IS HAPPENING AND WHAT THEY CAN EXPECT OR NOT EXPECT IN TERMS OF POTENTIAL EFFECT TO THEIR, UM, POSITIONS.

UH, ON BEHALF OF CERTAINLY THE DEPUTY CITY MANAGER AND MY, UH, MY COLLEAGUE ASSISTANT CITY MANAGER, CHRIS SCHROEDER, AS WE FORMED THE CORE LEADERSHIP TEAM AND WORK WITH, UH, THE CITY COMMUNITY, UH, WE IMAGINING TEST SCORES.

IT IS OUR INTENT TO INCLUDE THE VOICES OF THOSE THAT ARE ON THE FRONT LINE, POLICE, NOT THE SERIES, UH, IN THIS PROCESS.

AND SO REST ASSURED UH, WE WILL FOLLOW UP ON THAT.

WELL, I THINK LIKE BEETLEJUICE, IT'S ONLY FAIR.

IF YOU SAY SOMEONE'S NAME THREE TIMES, YOU'VE GOT TO BRING THEM INTO THE MEETING.

SO I THINK, UH, OUR DEPUTY CITY MANAGER IS HERE.

I APPRECIATE IT.

AND ONLY WANT TO SAY, I THINK RAY HAS SAID IT, BUT IN FACT, WE HAVE NOT ONLY DO WE ANTICIPATE MEETING, UM, WITH ALL OUR OFFICERS.

AND I KNOW THAT THE CITY MANAGER EARLIER, UH, LAST MONTH EVEN SENT A NOTE TO ALL OF PD SAYING THAT, UH, THEY SHOULD EXPECT HRD AND OURSELVES TO HAVE MEETINGS WITH THEM.

AND SO WE ARE FOLLOWING UP, WE HAVE A MEETING, OR I HAVE SEVERAL OF US HAVE MEETINGS INDEPENDENTLY AND TOGETHER WITH VICTIM SERVICES, INTERNAL AFFAIRS SUPPORT STAFF, NINE ONE, ONE, AND FORENSICS ALREADY IN THE WORKS.

MOST OF THOSE PLANNED.

AND WE WILL CONTINUE TO GO THROUGHOUT THE DEPARTMENT TO GET INFORMATION FROM STAFF.

WE CANNOT DO THIS WORK WITHOUT HEARING FROM EVERYONE'S VOICES.

AND EVERYONE'S VOICES INCLUDES THE POLICE DEPARTMENT.

OKAY.

LET US GET TO THE MEAT OF OUR MEETING TODAY.

UH, DAWN, I SEE YOU HAVE A VIDEO TURNED ON, BUT I DON'T SEE YOU.

ARE YOU THERE? OKAY.

I AM HERE.

I'M HAVING SOME TROUBLE WITH THE VIDEOS, SO I'M NOT SURE I'M GOING TO BE ABLE TO RESOLVE IT BEFORE MY PRESENTATION.

THAT IS PERFECTLY FINE.

I AM SHARING THE SLIDES.

CAN YOU SEE THEM? I CAN.

GREAT.

SO DON, WHY DON'T YOU INTRODUCE YOURSELF AND TAKE IT AWAY? SURE.

HI, I'M DON HALEY.

I'M THE CHIEF OPERATIONS OFFICER FOR CRITICAL CARE.

AND, UH, I WANNA THANK YOU FOR THE OPPORTUNITY TO SPEAK TODAY.

AND TODAY WE'LL BE COVERING SOME OF OUR MOBILE CRISIS RESPONSE.

NEXT SLIDE.

SO INTEGRAL CARE SUPPORTS ADULTS AND CHILDREN LIVING WITH MENTAL ILLNESS, SUBSTANCE USE DISORDER AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.

AND WE HELP PEOPLE BUILD HEALTH AND WELLBEING.

SO EVERYONE HAS THE FULL FOUNDATION

[00:15:01]

TO REACH THEIR FULL POTENTIAL NEXT SIDE.

SO TODAY WE'RE FOCUSING OUR CONVERSATION ON OUR MOBILE CRISIS RESPONSE.

AND I, I THINK IT'S CRITICAL THAT WE REMEMBER THAT WHEN SOMEONE IN OUR COMMUNITY IS EXPERIENCING A MENTAL HEALTH EMERGENCY THAT WE SEE AND VALUE IT AS A HEALTHCARE EMERGENCY INTEGRAL CARES, MOBILE CRISIS RESPONSE CONSISTS OF TWO TEAMS. WE HAVE AN EXPANDED MOBILE CRISIS OUTREACH TEAM OR IOM COT.

AND WE ALSO HAVE A MOBILE CRISIS TEAM IN COD.

THESE ARE SPECIALTY TEAMS OF OUR MENTAL HEALTH PROFESSIONALS THAT GO ANYWHERE.

SOMEONE NEEDS HELP IN THE COMMUNITY.

THESE TEAMS PROVIDE COMMUNITY-BASED FOLLOWUP SERVICES FOR UP TO 90 DAYS AFTER THE INITIAL CRISIS.

AND THEY ENSURE THAT A PERSON IS SUPPORTED THROUGHOUT THE DURATION OF THE CRISIS AND LINK THEM TO ONGOING SERVICES.

IT'S IMPORTANT TO NOTE THAT THESE MOBILE TEAMS ARE FOLLOWING THE ESSENTIAL PRINCIPLES OUTLINED BY SAMHSA, THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION TO PROVIDE SITE-BASED PSYCHIATRIC CRISIS AND CRISIS ASSESSMENT ACCESS TO A PRESCRIBER AS NEEDED DIVERSION, TO APPROPRIATE COMMUNITY BASED CARE AND RESOURCES AND SHORT TERM FOLLOWUP TO ENSURE THAT INDIVIDUAL'S IMMEDIATE CRISIS IS STABILIZED AND THE INDIVIDUAL IS LINKED WITH ONGOING CARE AND RESOURCES.

SO THE REASON THAT WE FOLLOW PEOPLE FOR 90 DAYS IS BECAUSE THE CRISIS DOESN'T RESOLVE IN ONE INTERACTION.

IT TAKES TIME FOR PEOPLE TO STABILIZE AND RECOVER, AND MANY PEOPLE WHO EXPERIENCE A MENTAL HEALTH CRISIS NEED ONGOING SERVICES.

WELL BEYOND THE 90 DAYS.

SO WITHOUT THESE ONGOING OUTPATIENT CLINIC SERVICES AND THEIR BASIC NEEDS BEING MET, MANY PEOPLE WILL CONTINUE TO HAVE A CRISIS WHICH WILL IMPACT THEIR HEALTH OUTCOMES AND LOCAL PUBLIC SYSTEMS. NEXT SLIDE, AND LOOKING AT OUR TWO TEAMS, BOTH M AND M CO PROVIDE THE SAME TYPE OF CLINICAL SERVE SERVICES AS OUTLINED BY SAMHSA THAT I PREVIOUSLY WENT OVER.

BUT THE MAIN DIFFERENCE IS REALLY HOW THEY'RE DISPATCHED.

SO IOM CA WAS FORMED IN 2013 AND IS NOW FUNDED BY THE CITY OF AUSTIN AND TRAVIS COUNTY.

IT'S OUR LARGEST TEAM.

AND IT WAS DESIGNED TO WORK WITH FIRST RESPONDERS AND JUSTICE SYSTEMS TO DIVERT INDIVIDUALS FROM UNNECESSARY INCARCERATION, EMERGENCY DEPARTMENT USE EMERGENCY CONTENTIONS IN PSYCHIATRIC HOSPITALIZATION.

THIS TEAM IS EXCLUSIVELY DISPATCHED, FIND NINE ONE ONE THREE TO REQUESTS OF LAW ENFORCEMENT AND TRAVIS COUNTY EMS. SO BEGINNING IN THIS FISCAL YEAR AND 20, THIS TEAM WAS ALSO ABLE TO PROVIDE A CLINICIAN ON THE FLOOR OF THE NINE 11 CALL CENTER, THE FIELD INCOMING MENTAL HEALTH EMERGENCY CALLS IN ORDER TO MINIMIZE THE DISPATCH OF A LAW ENFORCEMENT OFFICER IN RESPONSE TO A MENTAL HEALTH CALL, BM CAUGHT ALSO CORRESPONDS WITH FIRST RESPONDERS.

THEY PROVIDE MENTAL HEALTH TRAINING AND THEY PROVIDE TELE-HEALTH SUPPORT.

NOW, EPCOT IS ABOUT HALF THE SIZE OF THE EMPIRE.

IT WAS DEVELOPED IN 2006, IT'S FUNDED BY TRAVIS COUNTY AND THE STATE OF TEXAS.

THIS SEAM IS ONLY DISPATCHED BY INTERCARE HELPLINE OR HOTLINE.

AND IT IS A REQUIREMENT OF THE STATE.

SO EPCOT FIELDS, REFERRALS FROM OUR HELPLINE BASED ON CALLS, AND THEY RECEIVE FROM ANYONE IN THE COMMUNITY, INCLUDING INDIVIDUALS WHO ARE HAVING, HAVING THE MENTAL HEALTH CRISIS FAMILY MEMBERS, OR IT COULD BE AN ORGANIZATION SUCH AS THE SCHOOL THAT GIVES US A CALL.

NEXT TIME, THIS SIDE TIME IS SHOWING YOU THE VISUAL OF THE NINE 11 CENTER PATHWAY.

I'M TRYING TO GIVE A LOOK OF WHERE WE WERE, WHERE WE ARE AND WHERE WE COULD BE IN OUR COLLABORATION WITH OUR FIRST RESPONDERS.

SO SOMEWHERE BETWEEN THE, WHERE WE ARE NOW AND WHERE WE COULD BE REALLY REPRESENTS THE REQUESTED MODEL OR EXPANSION OF BIANCA, BUT IT'S BEEN A LONG STANDING GOAL TO HAVE FOUR OPTIONS WHEN PEOPLE CALL NINE 11.

SO DO YOU NEED POLICE, FIRE EMS OR MENTAL HEALTH PROFESSIONAL WOULD BE THE OPTIMAL BOWL IN ORDER TO SUPPORT THIS ENDEAVOR INTEGRAL CARE REQUESTED FUNDS TO EXPAND PERSONNEL AND HOURS OF AVAILABILITY TO 24 SEVEN AT THE NINE 11 CALL CENTER AND IN THE FIELD.

SO IN ORDER TO PROVIDE DIVERSION OPPORTUNITIES AT THE TIME THAT SOMEONE IS CALLING NINE 11 FOR A MENTAL HEALTH EMERGENCY, M WILL DESIGNATE TWO CLINICIANS TO BE ON THE CALL CENTER FLOOR AT ALL TIMES.

SO THIS WILL CHANGE THIS CHANGE.

WE'LL STRIVE TO DECREASE, WAIT TIMES FOR CALLERS AND IT'LL INCREASE THE NUMBER OF CALLS THAT IOM CAUGHT CAN ASSIST WITH AT LEAST ONE CLINICIAN WILL BE STATIONED AT THE APD SECTION AND WE'RE WORKING TO HAVE AT LEAST ONE CLINICIAN ALSO STATIONED WITH THE EMS SECTION.

SO BOTH OF THESE CLINICIANS WILL BE RESPONSIBLE FOR FACILITATING CALLS THAT ARE TRANSFERRED BY BOTH APD AND EMS. SO BUILDING ON THE EXISTING COLLABORATION BETWEEN EMS AND IAN CUT INTEGRAL CARE, ALSO PROPOSED PERIOD EMS, PAIRING EMS, COMMUNITY HEALTH PARAMEDICS WITH AN EMT CLINICIAN OVERNIGHT TO EXPAND COMMUNITY

[00:20:01]

BASED CAPACITY TO PROVIDE MENTAL HEALTH CRISIS RESPONSE FOR COVERAGE FOR 24 SEVEN, THE TOTAL EXPANSION INVOLVES ADDING ADDITIONAL STAFF.

SO WE'RE GOING TO BE ADDING SIX AND A HALF STAFF TO COVER THE NINE 11 CALL CENTER ASPECT OF THE OPERATION AS WELL AS THREE AND A HALF STAFF TO CORRESPOND WITH EMS. SO, SO FAR THIS YEAR, HE GOT STATIONED AT THE CALL CENTER HAS BEEN ABLE TO DIVERT 85.4% OF THE CALLS FROM LAW ENFORCEMENT.

SO WITH THIS NEW EXPANDED MODEL, IT'LL ALLOW US TO IMPROVE AND BUILD ON THAT SUCCESS.

SO THE CURRENT MODEL, UM, THAT WE HAVE WITH IOM CA IT COSTS $1.8 MILLION.

THAT'S WHAT, WHAT WE'RE DOING TODAY.

AND THIS HAS ONE CLINICIAN STATIONED ON THE FLOOR OF THE NINE 11 CALL CENTER AND THE ATB SECTION.

SO YOU CAN SEE ANY ONE OF THESE BARS.

IT GIVES YOU A SNAPSHOT OF WHAT THE STAFFING PATTERN, UM, WOULD LOOK LIKE AND EACH ONE OF THOSE YEARS.

AND SO THE FYI 2021 PROPOSED MODEL IS A SURPRISE AND I'LL GET THERE SHORTLY.

SO THE REQUESTED MODEL WHERE WE ASKED FOR ADDITIONAL DOLLARS TO EXPAND INPUT FOR FYI 2021 IS PARTIALLY SCALES THE PROJECT.

AND IT DOES ALLOW US TO HAVE 24 SEVEN COVERAGE AS A CALL CENTER.

SO THIS REQUEST WAS AN ADDITIONAL $1.3 MILLION.

SO THAT'LL BRING THE TOTAL BUDGET FOR NEXT YEAR TO 3.15 MILLION.

SO THE PROPOSED MODEL THAT YOU SEE UP THERE WOULD BE THE WISHLIST OR THE SOMETHING TO STRIVE FOR AS WE LOOK TOWARDS THE FUTURE IN THIS PROPOSED MODEL, IT'S AN EXAMPLE OF WHAT IT COULD LOOK LIKE IF THE PROJECT WENT FULLY TO SCALE, AND IT WOULD ENABLE M COT TO COVER 100% OF APD EMS AND NINE ONE, ONE MENTAL HEALTH RELATED CALLS.

SO THIS MODEL IS ESTIMATED AT ABOUT AN ANNUAL PROGRAM OPERATING COST OF $6.2 MILLION IN A FULLY SCALED 100% MODEL.

WE ENVISION ALTERING THE IMPACT RESPONSE A LITTLE BIT WITH FUNDING.

UM, ALL AMSCOT CLINICIANS WHO ARE ASSIGNED TO RESPOND TO THE NINE 11 DISPATCHERS WOULD BE PAIRED WITH COMMUNITY HEALTH PARAMEDICS.

MORE SPECIFICALLY, THIS WOULD REPRESENT THE NINE 11 DISPATCH INVOLVING A COMMUNITY HEALTH PARAMEDIC, AND ONE IMPACT CLINICIAN RIDING OUT TOGETHER.

THIS WOULD ALLOW FOR A TIMELY RESPONSE IN A FIRST RESPONDER VEHICLE WITH ONE MENTAL HEALTH PROFESSIONAL, AND ONE PARAMEDIC WHO SPECIALIZES IN COMMUNITY HEALTH TO PROVIDE US WITH AN INTEGRATED HEALTH RESPONSE.

SO THAT TAKES US TO THE SYSTEM OF CARE.

SO THIS THE IMPACT OF THIS, SOME OF THE CARES A PERSON DOESN'T LIVE IN CRISIS, RIGHT? WE DON'T WANT THEM GETTING THEIR ONGOING HERE IN A CRISIS MODEL.

THEY NEED SPECIALIZED SERVICES AND ONGOING SUPPORT TO REGAIN HEALTH.

THEY NEED TO BE CONNECTED TO A HEALTH HOME THEN, AND THE PUBLIC SYSTEM REALLY LACKS CAPACITY TO RECEIVE A HIGHER VOLUME OF PEOPLE WHO NEED STEP-DOWN SERVICES AND ONGOING SUPPORT.

SO INTEGRAL CARE IS OPEN AND COMMITTED TO GROWING THE IOM MODEL SO THAT WE'RE AVAILABLE AS THE FIRST RESPONSE UNIT TOGETHER WITH EMS FOR A HUNDRED PERCENT OF THE MENTAL HEALTH EMERGENCY CALLS IN AUSTIN AND TRAVIS COUNTY, HOWEVER, TO IMPROVE THE HEALTH OUTCOMES AND REDUCE THE IMPACT ON THE PUBLIC SYSTEM, IT'S ESSENTIAL TO CONSIDER WHAT HAPPENS AFTER A CRISIS.

SO I TOOK A LOOK AT OUR CURRENT DATA AND AT APPROXIMATELY 60% OF THE PEOPLE WHO WERE EXPERIENCING A MENTAL HEALTH CRISIS THAT WE ARE SERVING THROUGH IAN NEEDS, ONGOING SUPPORT IN A PUBLIC SYSTEM, AND THEY HAVE NO SOURCE OF FUNDS OR ANY WAY TO COVER THE COST OF THEIR CARE.

SO INCREASES IN CRISIS DOLLARS NEED TO REALLY BE COUPLED WITH AN INCREASE IN OUTPATIENT, ONGOING SERVICES, INTERVAL CARES, OUTPATIENT SERVICES.

CAN'T CONTINUE TO ACCOMMODATE THE INFLUX OF PEOPLE WHO ENTER THROUGH THE CRISIS SYSTEM AND NEED ONGOING SUPPORT WITHOUT A WAY TO EXPAND OUR OUTPATIENT CAPACITY.

BY WAY OF EXAMPLE, ONGOING SUPPORTS FOR THE OUTPATIENT BEHAVIORAL HEALTH SERVICES PROJECTED TO BE NEEDED FOR NEXT YEAR, JUST TO ACCOMMODATE THE EXPANSION IS ABOUT 1,680 PEOPLE.

AND THAT COST COMES TO ABOUT 8 MILLION PER YEAR, ANY FURTHER CONSIDERATION OF EXPANDING MENTAL HEALTH CRISIS RESPONSE, SUCH AS WHAT'S SHOWN IN THE 100% RESPONSE BEING FULLY SKILLED NEEDS TO BE COUPLED WITH AN EXPANSION OF ONGOING OUTPATIENT TO REDUCE, REPEAT CRISIS, AND TO MAKE SURE THAT WE HAVE ACCESS AVAILABLE FOR THESE FOLKS IN CLOTHING RAPID, YOU KNOW, THERE'S RAPID POPULATION GROWTH IN AUSTIN AND TRAVIS COUNTY.

AND COUPLED WITH THERE, OUR RESPONSE TO A PANDEMIC IT'S REALLY PLACED GREATER DEMAND ON FIRST RESPONDERS IN BEHAVIORAL HEALTH,

[00:25:01]

OUTPATIENT SERVICES, AND RE, AND WHEN SOMEONE IN OUR COMMUNITY IS EXPERIENCING A MENTAL HEALTH EMERGENCY, IT IS A HEALTHCARE EMERGENCY BUILDING ON EXISTING COLLABORATIONS BETWEEN EMS AND POT TO BRING INTEGRATED SPECIALTY CARE TO INDIVIDUALS EXPERIENCING MENTAL HEALTH CRISIS.

IT REALLY IS THE ROLE OF THE MOBILE CRISIS OUTREACH TEAMS TO EXPAND AND BE THAT PURSE LINE RESPONSE FOR ALL OF OUR HEALTH EMERGENCIES.

IN ADDITION, WE NEED TO KEEP AN EYE FORWARD TO THE SUPPORTS THAT ARE NEEDED FOR FAMILIES AND INDIVIDUALS BEYOND THAT CRISIS.

THANK YOU.

THAT CONCLUDES MY REPORT.

THANK YOU, DON.

UM, REALLY FASCINATING INFORMATION.

UH, WE ALSO HAVE A PRESENTATION, UH, ON THE CRISIS CALLED DIVERSION PROGRAM, AND I DON'T KNOW, ASSISTANT CHIEFS WHO YOUR INTENTION IS TO, UM, HANDLE THIS, BUT I HAVE YOUR PRESENTATION READY TO GO, WANTS TO GO.

I BELIEVE APD IS THAT THERE YOU GO.

HEY, THIS IS ASSISTANT CHIEF CHACO ON, UH, THANK YOU, CHAIR AND COMMITTEE MEMBERS.

UM, I JUST WANT TO OPEN UP WITH A BRIEF STATEMENT REGARDING APDS INVOLVEMENT.

UM, APD HAS HAS LONG RECOGNIZED THAT, UM, YOU KNOW, PEOPLE THAT ARE IN MENTAL HEALTH CRISIS THAT IS A, A HEALTH CRISIS, UH, AND NOT A CRIMINAL, UH, TYPE OF ISSUE THAT, THAT, UH, THE POLICE NECESSARILY NEED TO BE INVOLVED IN, AND THAT WE SHOULD BE AND ARE LOOKING FOR WAYS THAT WE CAN DIVERT THOSE CALLS.

UM, UM, SO THAT THERE IS NO LAW ENFORCEMENT RESPONSE.

I THINK THAT, UM, EVERYBODY RECOGNIZES THERE WILL BE THOSE OUTLYING CASES, UM, THAT, UH, VIOLENCE MIGHT BE A FACTOR.

AND FOR THOSE OBVIOUSLY A POLICE RESPONSE MIGHT BE NECESSARY AND, AND WE'LL WORK, UH, IN, YOU KNOW, WITH THE PROGRAM TO, TO MAKE THOSE APPROPRIATE RESPONSES.

UH, BUT WE REALLY BELIEVE THAT THE WAY FORWARD BEGINS, UM, AT FIRST CONTACT, WHICH IS THE NINE 11 CALL.

AND, UM, AND THAT'S WHAT THIS CRISIS CALLED DIVERSION PROGRAM IS REALLY ALL ABOUT.

I'D LIKE TO BRING ON FROM, UH, FROM THE APD SIDE, LIEUTENANT KEN MURPHY, WHO IS OUR, UH, MANAGER AT C TECH AND MANAGES THIS PROGRAM TO GO AHEAD AND RUN THROUGH THE SLIDE DECK.

THANK YOU.

THANK YOU, CHIEF CHAIR AND COUNCIL MEMBERS.

SO THE, OUR CRISIS CALLED DIVERSION PROGRAM STARTED LAST YEAR.

WE STARTED COLLABORATING WITH INTEGRAL CARE AND EMS IN SEPTEMBER OF LAST YEAR, AND WE TRAVELED TO DALLAS.

WE TRAVELED TO HOUSTON TO TAKE A LOOK AT THEIR MENTAL HEALTH PROGRAMS AND THERE THEIR CLINICIANS EMBEDDED ON THEIR OPERATIONS FOR, FOR THE NINE 11 CENTERS.

AND WHAT CAME OUT OF IT WAS TRULY A UNIQUE PROGRAM.

WE DEVELOPED JUST FOR AUSTIN AND DALLAS AND HOUSTON.

THERE IS NO TRUE DIVERSION.

UH, THE CRISIS COUNSELORS WILL SPEAK TO FOLKS IN CRISIS ON THE PHONE, HOWEVER, THEY WILL STILL STILL SIN A TEAM OF A POLICE OFFICER, AN EMS, UH, PARAMEDIC, AND A CRISIS COUNSELOR.

WHAT WE DEVELOPED HERE WAS A, A TRUE DIVERSION PROGRAM.

NEXT SLIDE PLEASE.

SO THE CRISIS CALLED DIVERSION PROGRAM IN SHORT CCD FOCUSES ON DIVERTING APPROPRIATE MENTAL HEALTH CALL RELATED MENTAL HEALTH RELATED CALLS RECEIVED BY APS EMERGENCY COMMUNICATIONS DIVISION TO A CALL CENTER CENTER CLINICIAN W WHICH WE NICKNAMED C3, WHO IS EMBEDDED ON THE OPERATIONS FOR THE GOAL IS TO ENGAGE THE CALLER AND ADDRESSING MENTAL HEALTH ISSUES AND THE MENTAL HEALTH TREATMENT SYSTEM, AS OPPOSED TO THE CRIMINAL JUSTICE SYSTEM.

THEY SEE THREE POSITION WILL SERVE AS AN ADD ON SERVICE AND DOES SERVE AS AN ADD ON SERVICE TO A NINE 11 OPERATOR ANSWERING A CALL WITH A SUSPECTED OR CONFIRMED BEHAVIORAL HEALTH CRISIS COMPONENT.

NEXT SLIDE, PLEASE.

THE C3 PROVIDES THE CALLER WITH COMPLETE TRIAGED SCREENINGS ASSIST WITH DEESCALATION OF CRISIS, COMPLETE SAFETY PLANNING, DISPATCHES INTEGRAL INTEGRAL CARE CRISIS TEAMS, IAM CAUGHT AND PROVIDES OTHER COMMUNITY REFERRALS AS NECESSARY.

IF THE C3 DETERMINES THE CALLER IS IN NEED OF IMMEDIATE SERVICES, OR THE COLOR IS STILL REQUESTS LAW ENFORCEMENT RESPONSE, THE C3 WILL CONNECT THE CALLER BACK TO OUR NINE 11 OPERATOR AND THE NINE 11 OPERATOR WILL DISPATCH POLICE OFFICERS.

NEXT SLIDE, CURRENTLY THE CRISIS CENTER COUNSELORS OR C3 IS, ARE AVAILABLE MONDAY THROUGH FRIDAY, 8:00 AM TO 12:00 AM AND SATURDAYS 10:00 AM TO 8:00 PM.

OUR FUTURE EXPANSION, AS DON MENTIONED, INCLUDES HAVING C3 IS AVAILABLE 24 SEVEN.

AND WHEN WE HAVE C3 IS AVAILABLE 24 SEVEN, WE WILL ADD ON THE FOURTH

[00:30:01]

QUESTION TO THE TRIAGE OF GENIE POLICE, FIRE EMS, OR MENTAL HEALTH SERVICES.

THE WORK ON THE, ON THE OPS OPERATIONS FOR AND HEAR COMMUNICATIONS.

AND THEY LOG INTO OUR COMPUTER AIDED DISPATCH AND OUR SOLO NINE 11 SYSTEMS TO RECEIVE DIRECT TRANSFERS FROM THE NINE 11 OPERATORS.

IT SPEEDS UP AND SIMPLIFIES THE TRANSFER AND CALL PROCESS.

NEXT SLIDE, PLEASE CREATE SOME CRITERIA CALLS ARE NOT ELIGIBLE FOR C3 INTERVENTION.

IF AN INDIVIDUAL POSSESSION IS IN POSSESSION OF FIREARMS KNIVES OR ANY OTHER WEAPONS, AND BY POSSESSION, WE MEAN PHYSICAL POSSESSION AT THE TIME, NOT THEY HAVE A KNIFE OR A FIREARM OR A WEAPON IN THEIR HOME, BUT IF THEY'RE ACTUALLY IN PHYSICAL POSSESSION OF THE WEAPON AT THE TIME OF THE CALL, AN INDIVIDUAL UNDER THE INFLUENCE OF ALCOHOL OR DRUGS, TO THE EXTENT REQUIRING MEDICAL INTERVENTION, I AN OVERDOSE OR, OR DETOX SITUATION OR EXHIBITING VIOLENT BEHAVIOR.

AND AS, AS A NOTE, GENERALLY, I'M CAUGHT A PS CAN ASSESS THE PERSON WHO IS INTOXICATED OR ON A MOOD ALTERING SUBSTANCE, IF THEY CAN ONE STAND WITHOUT ASSISTANCE AND TO PARTICIPATE IN THE ASSESSMENT IN A MEANINGFUL WAY ALSO.

AND I WAS WELL FOR TRANSFER, ARE INDIVIDUALS THREATENING OR AT IMMINENT RISK OF HURTING? SO FOR OTHERS OR OF KILLING THEMSELVES OR, OR OTHERS NOW IT'S, IT'S IMMINENT.

MEANING THEY, THEY ARE IN POSSESSION OF A WEAPON AND THEY'RE THREATENING TO HURT THEMSELVES IMMEDIATELY.

UH, NOT JUST CONTEMPLATING SUICIDE OR CONTEMPLATING HURTING THEMSELVES OR SOMEONE ELSE WHEN AN INDIVIDUAL HAS COMMITTED A CRIME.

IN OTHER WORDS, FAMILY VIOLENCE.

IF, IF A CRIME HAS BEEN COMMITTED IN AN OFFICER MUST RESPOND TO A CALL, AND WE'RE NOT JUST TALKING ABOUT THE MINOR CRIMES.

WHEN WE'RE TALKING ABOUT A CRIME, A CRIME INVOLVING VIOLENCE, ALSO INELIGIBLE OUR HOT SHOT CALLS WHERE LIFE AND OR PROPERTY ARE IN IMMINENT DANGER AND PRIORITY ONE CALLS WITH THE EXCEPTION OF CHECK WELFARE URGENCY.

UH, IF THE CALL DOES NOT HAVE OTHER DISQUALIFIERS, NEXT SLIDE, PLEASE, PAUL'S ELLIS FOR C3 INTERVENTION CALL.

I WAS EXPERIENCING A MENTAL HEALTH CRISIS AND NOT ACTIVELY ATTEMPTING SUICIDE OR PHYSICALLY VIOLENT TOWARDS THEMSELVES OR OTHERS COLORS INDICATING THERE IS A VERBAL DISPUTE OR DISTURBANCE ONLY WITH A MENTAL HEALTH COMPONENT, WHICH A C3 CAN POTENTIALLY RESOLVE WITH INTERVENTION.

AND THERE IS NO RISK OF VIOLENCE CALLERS REQUESTING POLICE DUE TO PSYCHOSIS OR AN ALTERED MENTAL STATE AND ARE NOT PHYSICALLY VIOLENT TOWARD THEMSELVES OR OTHERS PARENTS REQUESTING POLICE DUE TO CHILD BEHAVIORAL ISSUES, REGARDLESS OF WHETHER THE CHILD, A KNOWN MENTAL HEALTH DIAGNOSIS AND PARENTS REQUESTING POLICE TO ASSIST WITH CHILD DISCIPLINE OR PARENTING ISSUES.

ALSO, WE RECEIVE MANY REPEAT CALLERS WITH A KNOWN MENTAL HEALTH HISTORY.

SO OUR C3 IS HELP OUT IN THOSE SITUATIONS.

THEY CALL OUR EXPERIENCE IN MENTAL HEALTH CRISIS AND REQUESTING A MENTAL HEALTH OFFICER.

UM, SO IF SOMEONE CALLS UP WHICH THEY DO QUITE FREQUENTLY, AND THEY REQUEST A MENTAL HEALTH OFFICER, WE USED TO SEND A, A CIT OFFICER IN THE FIELD OUT TO, TO SPEAK WITH THEM.

NOW WE TRANSFER THEM DIRECTLY TO THE, TO THE CRISIS COUNSELOR FOR AN INTERVENTION, IT COLOR EXPERIENCING A MENTAL HEALTH CRISIS.

AND THE CALL DOES NOT MEET THE TRANSFER CRITERIA.

IF THE NINE ONE ONE OPERATOR BELIEVES THAT THE C3 COULD ASSIST IN DEESCALATION PRIOR TO THE OFFICER'S ARRIVAL, MEANING IF IT'S A CALL WHERE THERE'S SOME VIOLENCE, AND IT'S A FIRST PERSON COLOR, OUR NINE 11 OPERATOR WILL CONFERENCE IN THE C3 AND, AND THE C3 CAN HELP DEESCALATE, HOPEFULLY THE SITUATION PRIOR TO THE OFFICER'S ARRIVAL, PROVIDING A BETTER OUTCOME FOR NOT ONLY THE PERSON IN CRISIS, BUT ALSO FOR THE OFFICERS.

AND WHEN THIS IS HAPPENING, THE NINE 11 OPERATORS ALSO PLUGGED IN AND THEY'RE LISTENING AND THEY'RE UPDATING THE CALL AND THE DISPATCHER IS RELAYING THE INFORMATION TO THE OFFICERS WHILE THEY'RE IN ROUTE TO A CALL.

AND LASTLY, SECOND PARTY CALLERS CONCERNED ABOUT THE WELFARE OF SOMEONE WHO HAS A KNOWN OR POTENTIAL MENTAL HEALTH HISTORY, OR WHO IS POTENTIALLY SUFFERING A MENTAL HEALTH CRISIS AT THE TIME.

NEXT SLIDE, PLEASE.

AGAIN, THIS IS, THIS IS, UH, AN ABSENCE OF DIVERSION FOR THOSE CALLS WHERE OFFICERS MUST RESPOND.

THE C3 IS, CAN BE A SOURCE OF SUPPORT FOR THE CALLER DURING HIS OR HER IMMEDIATE CRISIS, PROVIDE RESOURCES TO BETTER PREPARE THE CALLER TO HANDLE FUTURE MENTAL HEALTH CRISIS RELATED CRISIS AND PROVIDE INFORMATION ON, ON HOW THEY CALLERS CAN, UM, CAN PREPARE THEMSELVES WHEN OFFICERS ARRIVE TO DEESCALATE THE SITUATION, DEESCALATE THE CRISIS PRIOR TO ABD ARRIVING ON SCENE, WHICH CREATES A SAFE AND SAFER ENVIRONMENT FOR THE CALLER AND THE FIRST RESPONDERS AND PROVIDE ADDITIONAL INFORMATION TO THE NINE 11 OPERATOR, WHICH WOULD OTHERWISE BE UNKNOWN TO FIRST RESPONDERS ARRIVING ON SCENE.

NEXT SLIDE, PLEASE.

NOW THE NINE 11 ONE OPERATOR PROCESS.

THIS IS A LITTLE DIFFERENT THAN

[00:35:01]

AN OUTSIDE OF THE C3 PROCESS.

AND WE BEGAN, WE IMPLEMENTED THIS ON NINE DECEMBER OF 2019 OPERATORS MUST COMPLETE A MANDATORY MENTAL HEALTH FIELD IN OUR CAD OR COMPUTER AIDED DISPATCH SYSTEM FOR EVERY CALL FOR SERVICE.

THERE ARE SOME EXCEPTIONS, UH, WHERE IT JUST DOESN'T MAKE SENSE TO ASK THE QUESTION I A RECKLESS DRIVER, UM, OR DURING AN ACCIDENT.

UH, SO A MENTAL HEALTH QUESTION WILL NOT BE ASKED THEN, OR THE, OR THE FIELD WILL BE FILLED OUT WITH A NO, BUT THERE IS A MANDATORY FIELD WHICH INDICATES WHETHER A SITUATION MAY INCLUDE A MENTAL HEALTH COMPONENT AND DEMAND FOR WE FIELD AS A DROP DOWN FIELD FOR OUR NINE 11 OPERATORS.

AND SO THEY CAN EITHER SELECT NO FOR A NO OR UNKNOWN MENTAL HEALTH COMPONENT YES.

FOR A CRUMB CONFIRMED OR POTENTIAL MENTAL HEALTH COMPONENT OR YES, C3 UA, WHICH MEANS IT WASN'T ELIGIBLE CALL TO TRANSFER THE C3.

HOWEVER, THE C3 WAS EITHER ON ANOTHER CALL OR THEY WERE NOT WORKING AT THE TIME OF THE CALL.

NINE 11 OPERATORS WILL ASK THE MANDATORY MENTAL HEALTH SCREEN QUESTION ON EVERY CALL FOR SERVICE, AGAIN, WITH A FEW CAVEATS.

AND IT'S, IT'S SOMETHING IN, IN THIS ORDER.

ARE YOU AWARE, DOES IT APPEAR THE SUBJECT IS IN MENTAL HEALTH CRISIS? NEXT SLIDE, PLEASE REPORTING THE EMERGENCY COMMUNITY COMMUNICATIONS DIVISION.

WE'LL REFER TO AS DIVISION WE'LL TRACK ALL MENTAL HEALTH CALLS, DATA USING TWO METHODS, ONE THE MENTAL HEALTH FIELD AND CAD OR COMPUTER AIDED DISPATCH, AND TWO, UH, TWO NEW FINAL USING TWO NEW FINAL DISPOSITIONS CODES FOR OFFICERS.

SO WHEN THE OFFICERS CLOSE OUT THE CALL AND THERE'S A MENTAL HEALTH COMPONENT, WHICH WE CAN TRACK IT THROUGH 10, EIGHT, 11, WHICH INDICATES THAT REPORT WAS WRITTEN IN MENTAL HEALTH OR 10, EIGHT, 12, THERE WAS NO REPORT WRITTEN, BUT THERE WAS A MENTAL HEALTH COMPONENT USING A METHOD OF IDENTIFICATION AND TRACKING AT THE ONSET OF THIS CALL FOR SERVICE.

AND AT THE END OF THE CALL FOR SERVICE ALLOWS A COMPREHENSIVE DATA SET FOR OUR MENTAL HEALTH CALLS ANSWERED AND RESPONDED TO BY APD.

NEXT SLIDE, PLEASE.

THE DIVISION WILL INCLUDE DATA ON MENTAL HEALTH CALLS FOR SERVICE IN MONTHLY, IN OUR MONTHLY COMSTAT REPORTS AND PROVIDE QUARTERLY OVERVIEW OF MENTAL HEALTH CALLS TO THE COMMAND AND EXECUTIVE STAFF DURING THE QUARTERLY COMSTAT MEETINGS.

THE DIVISION ALSO TRACKS THE FALLING DATASETS IN A RESPONSE TIME REPORT SUMMARY AND COMPARISON CHARTS, INCIDENT MAPPING, AND IN A DASHBOARD VIEW, INCLUDING A PERCENTAGE BY PRIORITY PERCENTAGE BY AREA COMMAND PERCENTAGE BY COUNCIL, DISTRICT, AND INCIDENT COUNTS BY ADDRESS ALL DISPATCH CALLS FOR SERVICE, WITH A VERIFIED OR SUSPECTED MENTAL HEALTH COMPONENT, ALL C3 TRANSFERRED CALLS, ALL C3 TRANSFER ELIGIBLE CALLS ARE INCLUDED IN THIS, IN THIS DATASET.

NEXT SLIDE PLEASE.

I THINK THAT'S IT.

SO I'M HAPPY TO TAKE ANY QUESTIONS THE COMMITTEE MAY HAVE, RIGHT.

WELL MEMBERS, UM, I HAVE BOTH, THE PRESENTATIONS PULLED UP IF YOU HAVE QUESTIONS AND YOU WANT ME TO PULL A SLIDE, ANY OF THE COMMITTEE MEMBERS, COUNCIL MEMBER HARPER, MADISON, WHICH LIKE TO GO FIRST.

I DO HAVE A QUICK QUESTION.

THE LAST ONE OF THE LAST THINGS THAT WAS SAID, UM, I'M CURIOUS ABOUT WHAT, WHAT GETS DONE WITH THE INFORMATION AROUND THE INFORMATION THAT'S GATHERED BY COUNCIL DISTRICT, WHO DOES THAT INFORMATION BENEFIT? HOW, UM, I'M JUST CURIOUS ABOUT THAT.

SO COUNCIL MEMBER IT'S RIGHT NOW, IT'S JUST IN OUR DASHBOARD.

UM, I HAVE RECEIVED A FEW DATA REQUESTS FOR THE INFORMATION, AND I DON'T REMEMBER WHO FROM NOW.

UM, BUT IT IS AVAILABLE IN CASE THERE ARE REQUESTS.

THAT'S, THAT'S ONE, THAT'S ONE OF THE FIELDS OR WAY WE TRACK ALL OF OUR NINE 11 CALL DATA IS THROUGH BY SECTOR AND BY COUNCIL MEMBER DISTRICT.

SO WE JUST INCLUDED IT IN THE, IN THE, IN THE MENTAL HEALTH, UM, DATA SET AND DASHBOARD AS WELL.

I APPRECIATE THAT VERY MUCH.

ONE OF THE OTHER QUESTIONS THAT I HAVE IS SO, YOU KNOW, MY COLLEAGUES AND I HAVE BEEN HAVING THESE CONSISTENT CONVERSATIONS ABOUT, YOU KNOW, AS WE LOOK THROUGH, YOU KNOW, WHAT IT LOOKS LIKE FOR US TO GO THROUGH THIS TRANSFORMATIVE PROCESS AND THIS RE-IMAGINING PROCESS, ONE OF THE THINGS THAT WE'RE, YOU KNOW, VERY AWARE OF KEENLY AWARE OF IS THAT WE NEED TO HAVE A PLACE FOR PEOPLE TO GO, RIGHT? SO IF WE'RE TALKING ABOUT AN EMERGENCY SITUATION AND SOMEBODY NEEDS TO GO SOMEWHERE WHERE THERE'S A PROFESSIONAL, UM, AND IF IT'S A MEDICATION SITUATION, IF IT'S JUST, YOU KNOW, PROFESSIONAL, MENTAL HEALTH INTERVENTION, PROFESSIONAL, UM, THEN THERE NEEDS TO BE A PLACE.

BUT THE EXTENSION OF THAT SO OFTEN IS IN OUR CONVERSATIONS WITH, UM, PEOPLE WHO WORK IN THE FIELD.

THERE'S SO OFTEN THE NEED FOR A, SORT OF A MORE LONGTERM, MORE, UH, SUBSTANTIVE SOLUTION, INCLUDING, UM, YOU KNOW, SORT OF INTENSIVE OUTPATIENT OR, YOU KNOW, MEDICATION, REGULATION, MANAGEMENT, THAT KIND OF THING.

UM, I WONDER IF THERE ARE DATA POINTS THAT

[00:40:01]

WE COULD USE WHEN WE'RE HAVING THESE CONVERSATIONS, CAUSE THIS IS MOSTLY A STATE LEVEL CONVERSATION, RIGHT? AND BY COUNSEL OR COUNSEL MEMBER, UH, KITCHEN, UH, SHE HAS SO MUCH, YOU KNOW, IN THE WAY OF EXPERIENCE AND KNOWLEDGE HERE, I JUST SORT OF WONDER IF PEOPLE LIKE HER WHO HAVE SO MUCH IN THE WAY OF KNOWLEDGE AND EXPERIENCE SUBJECT MATTER EXPERTISE.

AND THEN PEOPLE LIKE ME ON THE FRONT END, IF THERE'S A WAY FOR US TO DIG THROUGH INFORMATION THAT SHOWS WHAT HAPPENED AS A RESULT OF SOME OF THESE CALLS, UM, WHAT DID PEOPLE RECEIVE? UH, AND THEN, YOU KNOW, SORT OF LIKE FOLLOW UP INFORMATION, I GUESS, IS WHAT I'M ASKING, LIKE WHAT HAPPENED AS A RESULT OF THE CALL? DID THE PERSON GO TO A PLACE THAT WAS, YOU KNOW, AN EMERGENT CARE SPACE OR DID THE PERSON GO TO THE EMERGENT CARE SPACE? AND THEN SUBSEQUENTLY THEY GOT THE INTENSIVE OUTPATIENT REGULATION AROUND THEIR MEDICATION.

LIKE WHAT HAPPENS AFTER THESE CALLS IS WHAT I'M CURIOUS ABOUT.

AND IF THAT'S, IF THAT'S NOT A SYSTEM THAT'S CURRENTLY IN PLACE, I'D LIKE TO KNOW THAT THE WHY AND THE, UM, HOW DO WE GET A BETTER OUTLOOK ON WHAT HAPPENS AS A RESULT OF THE, UH, BIRGIT CALL? SO COUNCIL MEMBER, I THINK THAT WE CAN ANSWER YOUR QUESTION HERE IN TWO PARTS, ONE, I KNOW INTEGRAL CARE.

AS FAR AS OUR DIVERSIONS, THEY, THEY KEEP TRACK AND THEY RECORD THE OUTCOMES OF THEIR CALLS FOR THE CALL DIVERSIONS TO ON THE, ON THE, UH, EMERGENT CALLS WHERE OFFICERS ARE SENT REPORTS ARE WRITTEN AND IN THOSE REPORTS, THE OFFICERS INDICATE THE OUTCOME OF THE CALL AND WHETHER THE PERSON IN CRISIS WAS ADMITTED TO A HOSPITAL OR A MENTAL HEALTH FACILITY.

SO, UH, WE HAVE, WE HAVE THE DATA THEY AVAILABLE.

WE'LL TAKE A LITTLE BIT OF DATA MINING.

UM, BUT WE DO, WE DO TRACK OUTCOMES ON BOTH ENDS FOR EMERGENT AND OUR CALLS, UH, SENSE TO OUR AND DIVERTED FROM LAW ENFORCEMENT.

THANK YOU FOR THAT.

I APPRECIATE IT.

I DON'T THINK IT QUITE ANSWERS MY QUESTION, BUT I ALSO THINK THAT MEANS THAT THERE'S NOT LIKE A CONTINUED SYSTEM FOR LIKE, FOLLOWING EXACTLY HOW IT ALL LINES UP, BUT I CAN'T REMEMBER, KITCHEN'S HAND IS UP AND I THINK SHE PROBABLY MIGHT HAVE SOMETHING TO CONTRIBUTE TO THAT, BUT THANK YOU VERY MUCH.

I APPRECIATE THE RESPONSE.

THANK YOU, COUNCILMAN BARBARA MADISON.

I ALSO HAVE THE NINE ONE ONE CHART WE SAW IN THE LAST PUBLIC SAFETY COMMITTEE MEETING.

AND WHEN YOU SCROLL DOWN ON THE COUNT OF CALLS BY DISPOSITION, YOU ALREADY START TO SEE THE MH CODE.

IS THAT THE THING YOU WERE REFERRING TO? YES, SIR.

THAT'S A PART OF IT.

AND THANK YOU.

I APPRECIATE THAT.

BUT I THINK WHAT I'M ASKING IS BOOK ANECDOTALLY BY WAY OF MY EXPERIENCE WITH FAMILY MEMBERS WHO NEEDED MORE, YOU KNOW, LIKE OUTSIDE OF THE EMERGENT NATURE OF THE CALL, UM, I THINK I'M JUST TRYING TO FIGURE OUT HOW WE AS A BODY CAN BE ACTIVE PARTICIPANTS IN THE CONTINUATION OF CARE, LIKE THAT WHOLE CONTINUUM.

AND SO THAT'S ONE OF THE QUESTIONS THAT I'M TRYING TO PUT, AND I SEE YOUR HAND.

I THINK YOU HAVE AN ANSWER.

I'M SORRY.

AND TO ANSWER YOUR QUESTION, I WAS JUST LETTING EVERYBODY KNOW I HAD THAT DATA READY, READY TO DISPLAY AS WELL.

COUNCILMEMBER KITCHEN.

OH, WELL, I THINK YOU'RE ASKING A REALLY GOOD QUESTION.

CAN'T REMEMBER HARPER MEDICINE, IT'S AN EXAMPLE OF SOME WAY WHERE WE CAN HELP CONNECT, CONNECT THE DOTS BECAUSE THIS KIND OF DATA WOULD REALLY BE HELPFUL IN FEEDING INTO THE, UM, UM, INTO THE SYSTEM, UH, IN THE REST OF THE COMMUNITY.

SO THERE'S A PSYCHIATRIC STAKEHOLDERS GROUP THAT I'M LOOKING FORWARD TO GETTING YOU INVOLVED WITH.

AS SOON AS THAT BEATS, AGAIN, IT NEEDS TO MEET AGAIN, BUT THIS KIND OF INFORMATION SHARED WITH THEM, UM, UH, CAN HELP IDENTIFY THE ADDITIONAL RESOURCES THAT ARE NEEDED IN THE COMMUNITY.

AND I KNOW THAT INTEGRAL CARE IS FAMILIAR WITH THOSE, BUT THERE ARE OTHER FOLKS SITTING AT THE TABLE AS PART OF THAT PSYCHIATRIC STAKEHOLDER GROUP, INCLUDING INCLUDING CENTRAL HEALTH, UM, INTEGRAL CARE, UM, AND A NUMBER OF OTHER ENTITIES IN THE COMMUNITY.

AND, UM, REALLY WORKING TOWARDS MAKING SURE THAT WE HAVE THE RESOURCES BECAUSE YOU'RE RIGHT.

I MEAN, THAT'S WHERE IT FALLS OFF.

YOU KNOW, PEOPLE, UH, I THINK, UH, DON JUST MENTIONED THAT YOU NEED AT LEAST A 90 DAY FOLLOWUP AND YOU NEED MUCH MORE THAN THAT, BUT THERE'S NO PLACE FOR PEOPLE TO GO.

AND SO THEY JUST CYCLED BACK IN.

AND SO AS A COMMUNITY, WE CAN DO A LOT TO CONNECT THOSE AND TRY TO WORK WITH THE REST OF THE COMMUNITY, UM, THROUGH THE SECOND METRIC STAKEHOLDER GROUPS.

AND ALSO OTHER MEANS TO SAY, LOOK, OUR DATA SHOWS US THAT YOU NEED X NUMBER, MORE RESOURCES.

WHAT'S THE PLAN FOR GETTING THEM.

SO COUNCIL MEMBER KITCHEN, THIS IS DAWN.

CAN I, CAN I JUST ADD A COMMENT TO THAT? THANK YOU.

UM, IT'S WEIRD CAUSE I KNOW YOU GUYS CAN'T SEE ME.

UM, BUT JUST TO GIVE YOU AN

[00:45:01]

IDEA, WE ACTUALLY DO FOLLOW ALL OF THE INDIVIDUALS THAT WE COME IN CONTACT WITH.

SO WE KNOW WHERE THEY WENT, WHERE THEY WERE DIVERTED TO, IF WE WERE ABLE TO HOOK THEM UP FOR SERVICES, IF THEY DIDN'T WANT SERVICES OR, UM, BECAUSE SOME FOLKS ACTUALLY HAVE THEIR OWN PROVIDER AS WELL.

UM, AND THEN SOME PEOPLE DON'T NEED ONGOING SERVICES BECAUSE THEY'RE ABLE TO WORRY WITH, TO HELP THEM RESOLVE IT AND MAINTAIN A STABILITY IN THE COMMUNITY.

BUT THAT 60% DO NEED TO BE LINKED.

BUT IF ANYBODY THAT WE'VE HAD INTERACTION WITH THROUGH THE MOBILE CRISIS OUTREACH TEAM, WE'RE TRACKING AND WE KNOW WHERE THEY ARE.

AND I THINK WE COULD FIND A WAY TO DO A REPORT.

THAT'S AN AGGREGATE NUMBER.

SO IT'S NOT, YOU KNOW, WE'RE DEALING ANYBODY IN SELF INFORMATION SO THAT WE COULD GET AN IDEA ON WHO WENT INPATIENT, WHO WAS THE, FOR EXAMPLE, WHO DID WE OPEN UP IN OUR RESIDENTIAL SERVICES? WE HAVE A COUPLE OF CRISIS RESIDENTIAL SERVICES AND, UM, WE USE THEM A LOT FOR INPUT AND LAW ENFORCEMENT, AS WELL AS EMS, THE PLACE INDIVIDUALS WHEN, WHEN THEY JUST NEED A PLACE TO GO.

AND THEY'RE NOT QUITE NEEDING AN INPATIENT FACILITY FOR INSTANCE.

SO I THINK I COULD GET THAT DATA TO YOU AND KIND OF PUT IT IN GROUPS OR BUCKETS SO THAT YOU CAN GET AN IDEA OF WHAT THAT SYSTEM LOOKS LIKE.

THANK YOU, DONNA.

THAT WOULD BE VERY HELPFUL.

AND IF I MAY JUST, YOU KNOW, OFFER A LITTLE BIT IN THE WAY OF ANECDOTAL EXPERIENCE AND MY FAMILY MEMBER HAS BEEN VERY OPEN AND, AND IS COMFORTABLE WITH ME SHARING THIS INFORMATION.

BUT LIKE FOR MY PARTICULAR FAMILY MEMBER, THE THING THAT WE FOUND OFTEN TIMES WAS WHAT WE KEPT BUMPING UP AGAINST WAS THERE'S HELP WHEN IT'S AN EMERGENCY, BUT THERE'S NOT THAT CONTINUATION OF SERVICE WHEN IT'S NOT AN ACTIVE EMERGENCY.

IN WHICH CASE, IF THERE'S NOBODY FOLLOWING NOBODY TRACKING, NOBODY MAKING CERTAIN THAT THE MEDICATION IS BEING REGULATED, IF THERE'S NOBODY TRACKING WHETHER OR NOT THERE'S THE FOLLOWUP WITH THE DOCTOR, LIKE THAT CONTINUUM IS WHERE WE FOUND OURSELVES IN A SITUATION WHERE THE EMERGENCY KEPT POPPING UP.

IN WHICH CASE, THEN IT BECAME THIS, YOU KNOW, REPEATED SORT OF EMERGENCY ROOM VISIT, YOU KNOW, AND THEN THIS, UH, UH, LIKE, UH, UH, WHAT'S THE WORD I'M LOOKING FOR THAT WHEN A PERSON CAN'T COVER THE COST OF THEIR HEALTHCARE EXPENSES, YOU KNOW, AND THEN IT, IT JUST KEPT BECOMING THIS LIKE REPEATED CYCLE, THE CYCLICAL THING WHERE IT WAS JUST LIKE CYCLING IN AND OUT OF THE EMERGENCY ROOM.

AND SO THAT THAT'S ULTIMATELY WHAT IT IS.

AND I'M TRYING TO GET TO THE ROOT OF LIKE, HOW DO WE GET TO THE BOTTOM OF THAT? AND I THINK YOU ANSWERED AS MUCH AS YOU'RE ABLE TO.

I THINK YOU ANSWERED MY QUESTION IN WHICH CASE I LOOK FORWARD TO JUST CONTINUING THE CONVERSATION OFFLINE.

THANK YOU.

YEAH.

IT'S AN INTERESTING QUESTION FOR ME ABOUT THE ROLE BETWEEN THE CITY AND THE COUNTY AND WHO, WHO, WHICH JURISDICTION SHOULD BE DOING WHAT, AND WHO'S IN CHARGE AND WHICH TAX BASE IS PAYING FOR WHICH SERVICE.

IT MIGHT BE ANOTHER OPPORTUNITY TO CONSIDER SOME JOINT MEETINGS LIKE WE DID WITH CAP METRO, BUT TO GET US AND THE COMMISSIONER'S COURT AT THE SAME DIOCESE AND, AND TALK THROUGH TOGETHER, WHO'S GONNA HANDLE WHICH PARTS OF THE SYSTEM.

AND I THOUGHT, DON, YOUR POINT ABOUT HOW THE, WE COULD BUILD UP A WHOLE CRISIS RESPONSE.

BUT IF THERE ISN'T KIND OF A LANDING PLACE, IF THERE ISN'T THOSE OTHER TWO STEPS, I THINK YOU CALL IT STABILIZE AND REGAIN IT.

YOU JUST, YOU JUST CYCLE PEOPLE IN AND OUT.

AND SO THAT'S A HUGE AREA OF WORK AND MEMBER HARVARD, MADISON, YOU KNOW, AS CHAIR OF THE COUNCILS, UH, HEALTH AND HUMAN SERVICES COMMITTEE, I THINK IT'S A GOOD, MORE GOOD WORK TO BE DONE, DIGGING INTO THOSE DETAILS.

UM, THANK YOU FOR THAT.

I APPRECIATE IT.

AND I THINK YOU'RE ABSOLUTELY RIGHT.

NOT THE HOURS THAT THEY GET SAY THAT, THAT CONVERSATION AROUND INDIGENT HEALTHCARE COSTS, YOU KNOW, THAT'S HOW WE CAN REALLY SORT OF PUSH IT FORWARD.

YOU KNOW, IF WE RECOGNIZE THAT THERE'S SO MUCH WORK THAT WE HAVE TO DO ON THE FRONT END TO SORT OF ABSOLVE THAT COST ON THE BACK END AND YOU'RE ABSOLUTELY RIGHT.

SO THANK YOU FOR HIGHLIGHTING THAT.

I MEAN, THIS IS JUST ONE OF THOSE THINGS THAT WHEN YOU TALK ABOUT THE AMOUNTS OF MONEY AND DON, I'VE GOT A COUPLE OF QUESTIONS FOR YOU AND, AND OTHER OTHER COLLEAGUES FEEL FREE TO JUMP IN AND I DON'T HAVE TO JUST RAMBLE ALL ON MY OWN, BUT YOU KNOW, WHEN YOU TALKED ABOUT THE, THE SCALE AND THE COST OF SCALE, YOU TALKED ABOUT THE I'M GOING TO BRING THE SLIDE BACK UP.

SO WE'RE ALL LOOKING AT THE SAME ONE, HOLD ON THIS, THE IDEAL RESPONSE SLIDE, WHAT, WHAT, WHAT DO THESE PERCENTAGES REALLY NEED? CAUSE I THINK, YOU KNOW, CAUSE KNOW, REMEMBER THIS IS A PUBLIC MEETING TOO.

AND SO I WANT TO MAKE SURE THE PUBLIC IS UNDERSTANDING.

I'M NOT ENTIRELY SURE.

I UNDERSTAND.

SO IN THAT PROPOSED MODEL, WHEN IT SAYS A HUNDRED PERCENT OF APD CALLS, WE'RE NOT TALKING ABOUT ANYONE WHO CALLS NINE 11 FOR APD COULD BE DIVERTED VENTRICLE CARE, RIGHT? SO WHAT IS THIS REFERRING TO? SO THIS IS IN THE FIELD, RIGHT? SO RIGHT NOW WE'RE JUST, WE CAN DISPATCH FROM NINE 11 OR IN THE FIELD.

THERE MIGHT BE A LAW ENFORCEMENT OFFICER OR EMS IN THE FIELD REQUESTING THAT WE COME OUT AND

[00:50:01]

THIS PROPOSED MAMA WOULD, WOULD MAKE SURE THAT WE HAD ENOUGH STAFFING TO BE AVAILABLE EVERY TIME ANYBODY CALLED FROM IN THE FIELD.

AND WE WOULD BE AVAILABLE TO HANDLE EVERY CALL THAT CAME IN THE NINE 11 CALL CENTER, UM, BY ADDING ADDITIONAL SET STAFF THERE.

BUT WE'RE ACTUALLY GOING TO GET PRETTY CLOSE TO THAT HUNDRED PERCENT IN THE REQUESTED MODEL.

UM, WE PUT 90 THERE BECAUSE, YOU KNOW, IT'S HARD TO GET A HUNDRED PERCENT, BUT I WAS DREAMING ON THE 2021.

SO I PUT A HUNDRED PERCENT.

UM, BUT WE'RE ADDING ENOUGH STAFF FOR US TO BE ABLE TO HANDLE FOR SURE ALL OF THE CALLS THAT ARE GOING TO BE COMING IN THE NINE 11.

AND THAT'S HOW WE'RE GOING TO GET THAT MENTAL HEALTH PROFESSIONAL QUESTION UP FRONT.

UM, THESE OTHER, UH, NUMBERS HERE ABOUT 25% OF APD CALLS AND 40% OF EMS. THESE ARE THE ONES THAT ARE IN THE FIELD.

UM, BECAUSE RIGHT NOW WITH THIS EXPANDED MODEL, WE HAVE STAFFING WHERE WE CAN COVER 24 SEVEN, BUT WE'RE NOT PARTNERED AT A HUNDRED PERCENT WITH LAW ENFORCEMENT OR WITH EMS. SO THERE COULD BE A TIME THAT WE'RE TIED UP ON A CALL AND ANOTHER OFFICER OR EMS PARAMEDIC NEEDS HELP AND WE WOULDN'T BE ABLE TO GET TO THEM.

SO THAT'S JUST KIND OF GIVING, GIVING A LITTLE BIT OF ROOM IN THAT AREA.

BUT THE USE OF TELEHEALTH TOO, IS AN EXPANDER OF A WORKFORCE AND WE CAN INCREASE THAT TO HELP BE MORE AVAILABLE.

SO JUST TO BE CLEAR THAT THE PERCENT OF APD CALLS AND THE PERCENT OF THE EMS CALLS IS THE SITUATION WHERE AN OFFICER OR A PARAMEDIC HAS BEEN DISPATCHED TO A CALL.

AND ONCE THEY GET THERE, THEY REALIZE THEY NEED MENTAL HEALTH SUPPORT AND THEY MAKE THE CALL AND SOMETHING SHOWS UP.

THAT'S WHAT THAT IS CORRECT.

THE CTECH CALLS ARE THOSE CALLS WHERE YOU CAN JUST SEND A MENTAL HEALTH RESPONSE.

OKAY, NO, THIS IS ACTUALLY JUST BEING ABLE TO FILL THEM.

SO IF SOMEBODY CALLS AND THEY SAY THEY WANT A MENTAL HEALTH OFFICER, FOR INSTANCE, OR IF WE'RE ASKING THE QUESTION AND THEY'D SAY, YES, THIS IS A MENTAL HEALTH CALL THAT THEY'LL HAND THOSE CALLS TO US AND THAT WE CAN FEEL THEM AND DISPATCH OUR OWN TEAMS. SO THE DIFFERENCE WOULD BE ON THE FY 2021 REQUESTED MODEL.

WE MAY OR MAY NOT HAVE THE TEAMS TO SEND OUT.

SO THAT'S NOT QUITE AT A HUNDRED PERCENT, BUT THE PROPOSED MODEL WOULD GIVE US THE ABILITY TO TAKE THE CALL AND HAVE, MAKE SURE WE HAD ENOUGH GETS IN THE BENCH TO BE ON THE SCENE.

AND AGAIN, JUST TO BE CLEAR, THOSE CALLS ARE ABLE TO BE RESPONDED TO WITHOUT AN APD PRESENCE.

IS THAT RIGHT? YES.

IF WE'RE ABLE TO TAKE, THOSE ARE CALL CENTER CALLS NINE ONE ONE CALLS, BUT, BUT, BUT YOU DON'T HAVE TO SEND AN OFFICER TO, THESE ARE CALLS WHERE YOU CAN JUST SEND YOUR TEAM.

THAT'S THE HOPE.

YES, SIR.

YEAH.

YEAH.

CAUSE THAT'S OBVIOUSLY PART OF THE DIVERSION QUESTION AS WE THINK ABOUT THE SHARE OF RESOURCES IS WHEN ARE YOU SENDING AN OFFICER WHEN HE WAS NOT SINGING OFFICER, MAYOR ADLER AND THEN COUNCILOR PRETENSION? AND I APOLOGIZE IF YOU'VE ALREADY ASKED THIS QUESTION, THIS IS REALLY HELPFUL.

I UNDERSTAND INCREASING THE CAPACITY MEANS THAT WE HAVE MORE OF THE EMS WHERE WE WANT EMS ON RECALL.

HOW DOES THAT IMPACT, UH, IF IT DOES THE, UH, AMOUNT OF TIME THAT'S REQUIRED FROM APD OR THE NUMBER OF OFFICERS REQUIRED OF APD, DOES THIS DIMINISH THE, THE WORKLOAD FOR APD OR THE NUMBER OF OFFICERS OR IS IT JUST A FUNCTION OF HAVING, UM, MORE PEOPLE THERE WITH, WITH, WITH GREATER RANGE OF EXPERTISE? WELL, IF WE'RE, IF WE'RE FIELDING THE CALLS AND DISPATCHING, THEN THAT MEANS APD IS NOT INVOLVED AT ALL.

AND I THINK THIS YEAR WE WERE ABLE TO SEE THAT 85.4% OF THE TIME, UM, LAW ENFORCEMENT DID NOT HAVE TO GO OF THE CALLS THAT WE WERE ABLE TO FIELD ON OUR OWN.

AND WOULD THOSE HAVE BEEN CAUSED THAT ORDINARILY APD WOULD HAVE FIELDED AND GONE? YES, SIR.

OKAY.

HAVE YOU WRITTEN THAT DOWN, THAT STATISTIC OR THAT ANALYSIS ANYWHERE THAT, THAT I CAN SEE? YES, SIR.

IF YOU COULD SEND THAT TO ME AND TO THE OTHER SIDE, THAT WOULD BE HELPFUL.

SURE.

THANK YOU.

CAUSE WE'RE IN THE KITCHEN.

THANK YOU, DON.

THIS IS VERY HELPFUL TO, AS I UNDERSTAND WHAT WE'RE SAYING IS THAT WITH THE FUNDING THAT WE JUST VOTED ON, WE ARE TO THE POINT WHERE WE THINK WE CAN, UM, ANSWER ALL THE DIVERSION CALLS THROUGH NINE ONE ONE CALL CENTER.

UH, THE ISSUE IS WHERE YOU GET CALLS FROM OTHER SOURCES.

LIKE YOU SAID, IF YOU GET A, I THINK, UH, I THINK, UH, CHAIR FLANAGAN, UH, GAVE A GOOD EXAMPLE OF THAT.

SO IF SOMEONE GOES OUT LIKE APD OR EMS GOES OUT AND THEN REALIZES THEY NEED A MENTAL HEALTH PERSON THAT THAT'S WHERE WE'RE, WE'RE, UH, WHERE WE COULD USE WHERE YOU'RE THINKING THAT YOU COULD POTENTIALLY USE SOME MORE FUNDING FOR, UH, FOR, UH, THE M E M CUT PERSONNEL, I GUESS.

YES.

MA'AM, THAT'S THE UNDERSTANDING, RIGHT? CORRECT.

OKAY.

SO I HAVE A QUESTION NOW ABOUT IF WE'RE WANTING TO MOVE TO ANOTHER SLIDE, I WANTED TO TALK SOME MORE ABOUT

[00:55:01]

THE DISPATCH PROTOCOL, UH, THAT, UH, THAT WE JUST WENT THROUGH.

I'M I'M WONDERING, UM, I'M THINKING THAT, THAT YOU'RE TELLING US THAT THAT IS THE CURRENT DISPATCH PROTOCOL, AND I'M WONDERING TO THE EXTENT THAT THERE'S ROOM FOR, UM, ANY OF THOSE LISTS OF ITEMS THAT ARE NOT DISPATCHED THROUGH A, UM, A COUNSELOR YEAH.

NOT ELIGIBLE FOR C3 INTERVENTION.

SO, UM, I'M WONDERING IS, IS, IS THE THINKING THAT OVER TIME SOME OF THESE MIGHT BE, OR, UM, OR THESE ARE, ARE, HAVE YOU, BECAUSE I KNOW THERE WAS A CHANGE IN THE PROTOCOL A FEW MONTHS AGO, UM, THAT YOU ORIGINALLY STARTED WITH A, UM, A MORE CONSERVATIVE, SMALLER PROTOCOL AND THEN EXPANDED IT.

SOME IS THE THINKING THAT SOME OF THESE MIGHT BE ABLE TO BE EXPANDED AT SOME POINT COUNCIL MEMBER KITCHEN.

UH, UNFORTUNATELY, NO, BECAUSE WE ARE WE'RE AT THE POINT WHERE WE HAVE, WE HAVE, UM, INCLUDED EVERY NON-EMERGENCY NON EMINENT THREAT TO LIFE OR PROPERTY TYPE OF CALL.

WE CAN TO DIVERT TO THE C3.

UM, LAST MONTH WE ADDED THE CHECK WELFARE URGENT WITH A SECOND PARTY COLOR.

NORMALLY OFFICERS WOULD HAVE RESPONDED TO THOSE.

UM, AND SINCE WE ADDED THOSE, WE'VE, WE'VE SEEN A, ALMOST DOUBLE IN CALL VOLUME OF THE TRANSFERS TO THE C3.

SO, UH, IT'S, IT'S WORKING OUT WELL.

UM, YOU KNOW, THERE'S, THERE'S ALWAYS ROOM FOR, FOR IMPROVEMENT.

AND SO I DON'T WANT TO SAY, YOU KNOW, ABSOLUTELY, ABSOLUTELY NOT.

HOWEVER, UM, THE VAST MAJORITY OF, OF CALLS WE ARE EXCLUDING FROM TRANSFER ARE THOSE, THOSE IMMINENT RISKS CALLS WHERE SOMEONE IS HURTING THEMSELVES OR THEY'RE HURTING SOMEONE ELSE.

UM, AND THOSE, THOSE WE CANNOT TRANSFER TO A CRISIS COUNSELOR.

DOES THAT MAKE SENSE? YEAH.

I HAVE A QUESTION ABOUT A FEW ITEMS ON THIS LIST TO HELP ME UNDERSTAND WHAT THEY ENTAIL.

SO I'M, SO I THINK IT'S THE LAST THREE THAT I HAVE, LIKE, UH, WHEN AN INDIVIDUAL HAS COMMITTED A CRIME, I UNDERSTAND THE FAMILY VIOLENCE, BUT I'M WONDERING HOW, HOW THE TERM CRIME IS INTERPRETED AND IF IT INCLUDES PROPERTY CLIENT PROBLEMS, AND THEN I'M NOT CERTAIN WHAT A HOT SHOT CALL IS OR A PRIORITY ONE CALL.

SO IF YOU COULD SPEAK TO THOSE THREE BULLETS AND THAT BETTER, WHAT THOSE ENTAIL.

YES.

MA'AM WELL, THE CRIME IS, IS WHAT WE'RE REFERRING TO THERE IS, IS A CRIME.

YES.

WHERE THERE'S, WHERE THERE'S BEEN PROPERTY DAMAGE.

AND SOMEONE'S CALLING ABOUT SOMEONE WHO HAS BROKEN SOMETHING ON THEIR PROPERTY.

UM, OF COURSE, A FAMILY VIOLENCE AND ASSAULT, UH, ANY, ANY CRIME REALLY WHERE AN OFFICER NEEDS TO RESPOND AND, AND WRITE A REPORT, UM, WHICH IS MANDATED BY OUR, BY OUR CURRENT POLICY.

UM, OUR HOT SHOT CALLS ARE THOSE CALLS WHERE LIFE AND PROPERTY ARE IN IMMINENT DANGER.

UM, EXAMPLES, UM, DISTURBANCE, HOT SHOT, WHERE THERE'S AN ACTIVE CRIME WHERE THERE'S AN ACTIVE FIGHT GOING ON, UM, CRASH, HOT SHOTS WHERE, WHERE WE HAVE, UH, WELL, WE HAVE PEOPLE INJURED, INVOLVED IN A COLLISION PARTY, ONE CALLS, OR THOSE ARE THE CALLS WHERE THEY'RE JUST, THEY'RE JUST SHORT OF BEING A HOT SHOT CALL WHERE A CRIME HAS BEEN COMMITTED OR SOMEONE HAS BEEN INJURED.

UH, BUT THE SUSPECT MAY, MAY OR MAY NOT STILL BE ON SCENE.

THE, THE INCIDENT IS MAY OR MAY NOT BE STILL OCCURRING AND, OR THE SUSPECT JUST LEFT AND THERE'S THE QUICKER OFFICERS CAN GET THERE.

THERE'S A HIGH PROBABILITY.

UH, THE OFFICERS MAY BE ABLE TO FIND THE SUSPECT INVOLVED IN THE INCIDENT, WHATEVER, WHATEVER IT WAS.

ONE LAST QUESTION SHARE, AND THEN I'LL UM, SO, UM, SO WHAT, UM, WHAT I HAVE IN MIND THAT I'M THINKING OF IS I'M WONDERING, SO FOR EXAMPLE, IF THERE'S A BUSINESS, FOR EXAMPLE, WHO HAS SOMEONE ON THEIR PREMISES, WHO'S AN INDIVIDUAL WHO'S HOMELESS, FOR EXAMPLE, UM, UH, AND IS EXHIBITING THAT ARE CAUSING SOME CONCERN FOR THE BUSINESS, ARE THOSE THE KINDS OF CALLS THAT WE CAN CONSIDER, UM, HAVING A MENTAL HEALTH RESPONSE FOR? AND THAT, THAT'S THE KIND OF EXAMPLE I'M TRYING TO THINK ABOUT.

IS THERE A, AS A POTENTIAL THERE FOR, UH, FOR MENTAL HEALTH RESPONSE AS, AS WE ARE RIGHT NOW AND THE PROGRAM, THOSE ARE DIFFICULT, AND THOSE ARE THINGS WE HAVE LOOKED AT BECAUSE OUR COUNSELOR ON SCENE REALLY NEEDS TO TALK WITH SOMEONE WHO'S INVOLVED WITH THE, WITH THE PERSON IN CRISIS, LIKE A FAMILY MEMBER OR THE PERSON IN CRISIS THEMSELVES.

[01:00:01]

IT'S VERY, IT, IT'S VERY DIFFICULT FOR THEM TO SPEAK TO SOMEONE NOT INVOLVED WITH THE PERSON IN CRISIS, JUST A THIRD PARTY.

UM, HOWEVER, WE'RE HOPEFUL IN THE FUTURE WHEN WE MOVE TO OUR PHASE THREE, AND WE HAVE THE, THE, UH, INTEGRATED COUNSELOR WITH THE, UH, COMMUNITY HEALTH PARAMEDIC, THEN YES.

MAYBE WE CAN SEND THE TEAM OF THOSE TWO TO THOSE CALLS INSTEAD OF SENDING AN OFFICER.

DOES THAT MAKE SENSE? YEAH.

SO WITH THE FUNDING THAT WE WERE TALKING ABOUT TO EXPAND THE PROGRAM, THAT MIGHT BE AN AREA THAT YOU COULD LOOK AT.

THE REASON I ASK ABOUT THAT IS, IS MY CONCERN IS THAT, UM, UH, AND I, I UNDERSTAND THAT, THAT IT'S HARD TO KNOW WHEN YOU GET CALLS, BUT, UM, MY CONCERN IS I, I, YOU KNOW, I DO HEAR ABOUT SITUATIONS THAT INVOLVE, UM, LIKE SITUATION I JUST MENTIONED, AND, AND ACTUALLY INVOLVING AN INDIVIDUAL EXPERIENCING HOMELESSNESS, AND IT MAY BE A BEHAVIOR ISSUE, UH, THAT IT JUST SEEMS TO ME THAT HAVING, UM, A MENTAL HEALTH PROFESSIONAL, UM, INVOLVED MIGHT, MIGHT ACTUALLY GET TO A MORE, UM, UH, GET TO, UH, UM, A POTENTIALLY MORE LASTING RESULTS, BECAUSE THOSE ARE THE KINDS OF THINGS THAT THE POLICE OFFICERS HAVE VERY LIMITED, UM, TOOLS TO, TO DEAL WITH.

SO, YES, MA'AM ABSOLUTELY.

AND AGAIN, WE'RE HOPEFUL WITH THE EXPANSION OF THE PROGRAM AND THE FIELD UNITS COMING ONLINE.

UM, WE HAVE, WE LOOKED AT THE EUGENE OREGON PROGRAM THAT INCLUDES PROGRAM AND SOME OF THE CALLS THEY RESPOND TO, AND WE COULD SEE WHERE, UM, IF WE TOOK SOME OF THEIR METHODOLOGY AND, AND BROUGHT IT HERE TO AUSTIN THERE WITH THE TEAMS IN THE FIELD, WE WOULD HAVE THE ABILITY TO EXPAND THOSE CALLS AND DIVERT POLICE AND SEND THOSE TEAMS TO THOSE CALLS INSTEAD.

SO THERE'S, THERE, THERE, THERE ARE A PLETHORA OF CALLS.

YES.

WE COULD HOPEFULLY EXPAND TO WHEN WE GET THE TEAMS ON ONLINE PLETHORA, COUNCILMEMBER TOBO.

YES.

THANK YOU.

UM, I GUESS MY FIRST QUESTION, THANK YOU.

THIS IS REALLY A VERY EXTREMELY INFORMATIVE, UM, PRESENTATIONS FROM APD, AS WELL AS, UM, FROM MEDICAL CARE COULD REPLACE GET THE APD PRESENTATION EMAILED.

I DON'T SEE IT, UH, LINKED ON THE, ON TODAY'S AGENDA.

AND I, I NEEDED TO GO THROUGH SOME OF THESE DETAILS A LITTLE BIT MORE CLOSELY HANDLES THAT FOR YOU.

GREAT, THANKS.

I THINK IT WOULD BE HELPFUL TO PUT IT UP ONLINE SO THAT THE PUBLIC CAN GET IT TOO.

SO IF IT'S POSSIBLE TO LINK IT TO THE AGENDA, THAT'D BE GREAT.

SO WHAT I'M TRYING TO UNDERSTAND, MAYBE ANSWERED IF I HAD A PRINT OUT IN FRONT OF ME OF THE PRESENTATION, BUT I'M TRYING TO GO BACK AND FORTH AND REALLY UNDERSTAND WHAT THE OPPORTUNITIES ARE FOR ADDITIONAL DIVERSION AND COUNCIL MEMBER KITCHEN.

YOUR QUESTION STARTED TO GET TO THAT.

SO I THINK MY FIRST QUESTION IS FOR YOU DAWN, AS I UNDERSTOOD, UH, THE STATISTIC THAT YOU REFERENCED THAT YOU INDICATED YOU'D GET US ADDITIONAL INFORMATION ABOUT 84%, YOU ARE CURRENTLY ABLE TO RESPOND TO 84% OF THE CALLS WHEN YOU'RE SAYING 84%, ARE YOU SAYING 84% OF THE CALLS THAT FIT, THAT FIT THE CRITERIA AS SPECIFIED BY WITH THE EXCEPTIONS AS SPECIFIED BY APD ON THEIR SLIDE AND THE C3 PRESENTATION? SO THE 85.4% NUMBER IS ACTUALLY OF THE CALLS THAT DISPATCH TRANSFERRED TO US, TO OUR CLINICIAN ON THE FLOOR.

AND WE WERE INVOLVED IN THAT CALL.

WE WERE ABLE TO DIVERT LAW ENFORCEMENT AWAY FROM HAVING TO RESPOND THAT 85.4%.

SO EVERY CALL THAT CAME IN, JUST THE ONES THAT WE RECEIVED.

AND ARE YOU RECEIVING ALL OF THE CALLS THAT ARE ELIGIBLE FOR STAGE THREE INTERVENTION DURING THE TIMES THAT WE'RE AVAILABLE RIGHT NOW, WE'RE NOT 24 SEVEN.

SO THE EXPANSION IS GOING TO AFFORD US THAT OPPORTUNITY TO BE 24 SEVEN.

AND AS, UM, YOU HEARD LIEUTENANT MURPHY, UH, PRESENT, UM, WE'RE WORKING ON THE TRAINING OF DISPATCH, UM, WE'RE PROVIDING TRAINING FOR THEM AND, UH, THESE OTHER, UH, PROTOCOLS SO THAT WE CAN EXPAND THAT NUMBER.

SO MORE CALLS CAN BE HANDED TO US.

SO I THINK AS WE, YOU KNOW, THIS IS CLEARLY A CONVERSATION, I MEAN, THAT, THAT BEGAN MULTIPLE BUDGET SESSIONS AGO AND WE'VE EXPANDED ON IT.

AND WE'VE HAD A LOT OF INPUT THROUGH THIS BUDGET CYCLE FROM THE COMMUNITY.

I THINK IT'S, I THINK WE'RE GOING TO NEED SOME HELP SORTING OUT THESE DIFFERENT PIECES OF INFORMATION

[01:05:01]

AND PUTTING THEM IN CONVERSATION WITH ONE ANOTHER.

SO TODAY'S PRESENTATIONS ARE A GOOD START, BUT, YOU KNOW, AS I LOOK AT WHAT ARE THE ADDITIONAL OPPORTUNITIES FOR DIVERSION, IT SOUNDS, BUT I THINK I'M HEARING IS THAT WHEN YOU GO 24 HOURS, YOU WILL, YOU'RE DOING 84% OF THE CALLS THAT YOU GET CURRENTLY.

SO THERE THERE'S THAT 16% THAT CAN BE, THAT COULD BE RESPONDED TO, WITH A MENTAL HEALTH PROFESSIONAL.

THEN WHEN YOU GO 24, SEVEN, THERE'LL BE ADDITIONAL CALLS TO WHICH YOU CAN RESPOND.

UM, BUT THEY'LL STILL BE, THERE WILL ALWAYS BE A UNIVERSE OF CALLS THAT REQUIRE A POLICE RESPONSE.

AND I THINK THAT WE NEED TO UNDERSTAND KIND OF HOW THAT ALL SHAKES OUT, YOU KNOW, THE TOTAL OF THE TOTAL CALLS, HOW MANY, OKAY, SO THERE'S SOME ADDITIONAL OPPORTUNITY.

YES.

IT SOUNDS LIKE YOU BELIEVE THE NEW RESOURCES WILL ALLOW YOU TO MEET THAT OPPORTUNITY.

RIGHT.

I THINK WE'RE GOING TO GET SURE WITH THAT, BUT, YOU KNOW, TEXAS LAW DOES STATE THAT THERE WILL BE TIMES YOU ARE, CAN TALK ABOUT, UM, INDIVIDUALS WHO ARE AT RISK OF HARMING THEMSELVES OR OTHERS, RIGHT? AND SO WE'RE GOING TO NEED OF ASSISTANCE FOR AN INVOLUNTARY ADMISSION FOR AN INPATIENT STAY.

WE WOULD STILL NEED TO HAVE LAW ENFORCEMENT RESPOND BECAUSE WE'LL NEED THEM TO DO THAT BECAUSE THEY'RE THE ONLY ONES THAT ARE CAPABLE OF PROVIDING THAT SERVICE FOR US.

THAT WAS ONE OF MY QUESTIONS.

SO THANK YOU FOR ANSWERING IT.

I KNEW THERE WERE JUST CERTAIN INDIVIDUALS, CERTAIN PROFESSIONS, CERTAIN PROFESSIONALS WHO COULD DO IN VOLUNTARY COMMITMENTS.

AND I KNOW, UM, POLICE OFFICERS ARE ONE OF THOSE PROFESSIONALS AND IT SOUNDS AS IF YOUR STAFF ARE NOT SO THAT I WOULD NEED A NEED TO BE.

OKAY.

THANK YOU.

UM, YEAH, NOT UNLESS WE'RE ABLE TO GET SOME CHANGES THROUGH LEGISLATION, OTHER STATES, UM, UH, ALLOW SOCIAL WORKERS OR A LICENSED PROFESSIONAL STAFF, UH, TO PROVIDE THAT, UM, INTERVENTION, BUT TEXAS DOES NOT.

I MEAN, ONE THING THAT WE COULD LOOK AT DOING TO FURTHER IT, AND WE DO A LOT OF IT ALREADY IS, UM, LOOKING AT POLICY AND WORKING WITH APD ON DOING A CONSULT WITH US SO THAT YOU AT LEAST HAVE THE, UM, YOU HAVE THE MENTAL HEALTH PERSON ON THE LINE KIND OF EVALUATING WITH THEM THE NEED, BECAUSE SOMETIMES WE AUTOMATICALLY GO TO THE HIGHEST LEVEL OF, UM, NEEDING TO TAKE THEM TO INPATIENT WHEN REALLY, IF WE CAN JUST GET ON THE PHONE WITH EACH OTHER AND COME UP WITH OTHER RESOURCES, WE CAN DIVERT THEM TO A LOWER LEVEL OF CARE.

THANK YOU.

UM, AND THEN I HAD A COUPLE OTHER QUESTIONS AND THESE ARE, I THINK FOR BOTH OF YOU, UM, WHERE YOUR PRESENTATION TALKS ABOUT ONE, I JUST WANT TO BE CLEAR THAT THE MENTAL HEALTH OFFICER, WHEN WE'RE TALKING ABOUT MENTAL HEALTH OFFICERS, THOSE ARE THOSE ARE YOUR PROFESSIONALS, IS THAT CORRECT? THE PROFESSIONALS EMPLOYED BY INTEGRAL CARE? NO, THE MENTAL HEALTH OFFICERS ARE ACTUALLY APD.

UM, SOME OF THEM ARE CIT CERTIFIED.

UM, BUT, UH, I THINK THAT'S HOW WE'RE LOOKING AT THAT.

THEY HAVE TO BE EITHER CIT CERTIFICATION OR THE EXTRA TRAINING, UH, RELATED TO MENTAL HEALTH.

THANKS.

I THINK SOME OF IT, AND THERE MAY BE, I THINK IN THE PAST WE'VE GOTTEN VARIOUS MEMOS AND THINGS.

IT, IT WOULD BE SUPER HELPFUL AT SOME POINT TO HAVE A REAL CLEAR, UM, SOME KIND OF REAL CLEAR GUIDE TO ALL THE TERMINOLOGY, IF ONE DOESN'T ALREADY EXIST.

SO THOSE MENTAL HEALTH OFFICERS WHO HAVE THE CIT TRAINING WHO ARE CIT OFFICERS AND HAVE THAT EXPERT TRAINING, CAN YOU TALK A LITTLE BIT ABOUT THE EXTENT TO WHICH AND THIS, I THINK, WELL, WHAT KIND OF TRAINING ARE YOU PROVIDING TO, TO TWO OFFICERS? UM, AND THEN IF WE COULD TURN THE QUESTION BACK TO, UH, TO ASSISTANT CHIEF CHUCK HONE OF, UH, TO ADDRESS THAT QUESTION TO, OR YOUR STAFF MEMBER AS DESIGNATED TO TALK A LITTLE BIT ABOUT THE EXTENT TO WHICH THE FORCE MORE GENERALLY IS TRAINED IN TRAUMA INFORMED CARE, UM, AND RESPONSES.

SO DON, IF YOU COULD, IF YOU COULD, IF DON COULD ANSWER THE QUESTION FIRST, THE KIND OF TRAINING THAT WAS REFERENCED IN YOUR SLIDE.

UM, AND THEN, AND THEN IF WE COULD HEAR FROM APG ABOUT, ABOUT, UM, KIND OF THOSE, THOSE WHO ARE NOT CIT OFFICERS, UM, OR MENTAL HEALTH OFFICERS, BUT HAVE RECEIVED TRAINING.

SURE.

SO RIGHT NOW WE PROVIDE TRAINING FOR ALL OF THE NEW CADETS THAT ARE COMING IN.

WE'VE DONE, UM, A MENTAL HEALTH TRAINING FOR ACTUALLY THE ENTIRE, UH, POLICE FORCE, I THINK AT THIS POINT.

UM, AND WHAT WE'VE DONE TODAY IS REALLY AROUND SIGNS AND SYMPTOMS OF HOW TO RECOGNIZE IF SOMEONE IS STRUGGLING AND MIGHT HAVE A MENTAL ILLNESS, BUT THIS HAS BEEN REALLY TAILORED

[01:10:01]

TOWARDS WHAT THEIR STATE MANDATED TRAINING REQUIRES.

WE'VE DONE ADDITIONAL WORK WITH THEM TO DO VIGNETTES AND, UM, TO DO A PRACTICE, RIGHT.

AND THEY HAVE BEEN INVOLVED IN DOING SOME LIKE PRE AND POST TESTING TO MAKE SURE THAT THERE'S COMPETENCIES AND SKILLS THERE, THAT THEY WERE ABLE TO, UM, UH, PRACTICE WHAT THEY LEARNED IN THOSE SESSIONS.

BUT WHAT WE'RE DOING TODAY WITH THE CALL TAKERS TO HELP IMPROVE, UM, THE CALLS THAT WE RECEIVE IS WE'RE ACTUALLY HELPING THE CALL CENTERS BECOME MENTAL HEALTH, FIRST AID, UH, CERTIFIED THEY'LL GET A CERTIFICATE BECAUSE WE'RE DOING THE FULL CURRICULUM OF MENTAL HEALTH FIRST AID, WHICH IS A VERY, VERY GOOD CURRICULUM.

AND IT ACTUALLY, UM, WE CAME TO THIS TRAINING TO BE CHOSEN FOR THEM THROUGH THE WORK WITH THE ADVOCATES.

WE HAD THE JUSTICE COALITION AND GRASSROOTS MEMBERSHIP AT THE MEETING TO HELP US KIND OF LOOK AT WHAT WOULD BE INAPPROPRIATE TRAINING.

THEY TWO WENT THROUGH THE TRAINING AND DECIDED THAT THIS WAS IT'S AN EVIDENCE BASED CURRICULUM.

UM, AND IT REALLY IS IN DEPTH AND IT ALLOWS, UM, A MUCH BROADER REACH THAN WHAT WE'VE TRADITIONALLY DONE WITH THE REST OF THE POLICE FORCE.

GREAT.

UM, AND I'M NOT SURE WHO THE APPROPRIATE PERSON IS TO ASK, BUT I THINK IT WOULD BE GREAT IF WE GOT SOME ADDITIONAL INFORMATION ABOUT WHAT KIND OF TRAINING IS PROVIDED AS PART OF THE CADET ACADEMY AND WHAT KIND OF ONGOING TRAINING IS PROVIDED TO, UH, TO OUR FORCE.

I THINK THAT'S IMPORTANT FOR THE PUBLIC TO KNOW AS WELL, JUST BECAUSE IT AGAIN HAS BEEN A REAL CONVERSATION.

YES.

MA'AM FROM THE MENTAL HEALTH PART, DEFINITELY ON THE SYLLABUS.

AND WE CAN GIVE YOU THE LIST OF THE EXACT TRAINING THAT WE ARE PROVIDING THE NUMBER HOURS RELATED TO MENTAL HEALTH.

THAT'S SUPER, THANK YOU SO MUCH.

UM, AND THEN IF I COULD JUST TURN IT BACK TO APD, I THINK, I THINK THEY HAD STARTED A RESPONSE.

SO WITH REGARD TO, UM, THE TRAINING THAT ALL OF OUR OFFICERS RECEIVE, UM, FOR, UH, MENTAL HEALTH RESPONSE AND WE'LL USE THE TERMS, CRISIS INTERVENTION OFFICER, OR CRISIS INTERVENTION TEAM AND MENTAL HEALTH OFFICER INTERCHANGEABLY.

UM, AT ONE POINT THEY WERE REFERRED TO AS MHS.

AND NOW, NOW IT'S CIT.

HOWEVER, UM, WE DO, UH, PROVIDE, UM, 80 HOURS GOING FORWARD, ESPECIALLY AT THIS POINT 80 HOURS OF CIT TRAINING TO ALL OF OUR OFFICERS, 40 HOURS IS THE BASIC COURSE.

AND THAT'S PROVIDED DURING THE ACADEMY DURING THEIR CADET INSTRUCTION.

AND THEN ONCE CADETS GRADUATE, THEY RECEIVE THE, UM, INTERMEDIATE OR, OR, UH, THAT SECOND PIECE OF THE CIT TRAINING, UH, TOWARDS THE END OF THEIR PROBATIONARY PERIOD.

UM, OUR OFFICERS DON'T BEGIN, UH, DOING EMERGENCY DETENTIONS OR EMERGENCY COMMITMENTS UNTIL THEY'RE ON PROBATION.

AND SO WE, WE SCHEDULE THAT A LITTLE BIT LATER ON IN THEIR CADET, IN THEIR, UH, IN THEIR, UH, TRAINING PROCESS, UH, SO THAT IT'S FRESH IN THEIR MINDS AND THAT THEY UNDERSTAND ALL THE PROTOCOLS.

UM, WE HAVE ABOUT 220 OFFICERS ON OUR DEPARTMENT THAT ARE DESIGNATED TO RECEIVE A CIT, A STIPEND AND ARE DESIGNATED AS CIT OFFICERS.

UH, THOSE ARE THE ONES THAT WE KNOW AS A DEPARTMENT HAVE ALREADY RECEIVED THE FULL 80 HOURS, UH, THE REMAINDER WHO HADN'T HAVE ONLY MAYBE RECEIVED THE FIRST 40 WE'RE CATCHING THEM UP RIGHT NOW.

UH, COVID HAS KIND OF PUT A LITTLE BIT OF A, UH, YOU KNOW, A HALT ON THAT OR PUT A CRIMP IN IT BECAUSE OF NOT BEING ABLE TO GATHER IN CLASSROOMS AND THE, UM, THE, WHAT DON WAS TALKING ABOUT WITH DOING THE ROLE PLAY IN THE SCENARIO BASED TRAINING IS EXTREMELY IMPORTANT FOR THAT KIND OF TRAINING.

AND SO, UM, SO WE ARE, UH, TRYING TO CATCH UP IN THAT WE HAD HOPED TO HAVE EVERYBODY TRAINED UP BY EARLY NEXT YEAR.

IT'S PROBABLY GOING TO BE A LITTLE BIT LONGER THAN THAT NOW, BUT, UH, WE DO HAVE, UH, UM, YOU KNOW, A GOOD NUMBER OF PEOPLE ON PATROL RIGHT NOW HAVE RECEIVED THE FULL 80 HOURS OF TRAINING.

AND CAN'T DO AN EMERGENCY DETENTION IF NECESSARY.

RIGHT? THANK YOU FOR CLEARING OUT.

OH, SORRY, SORRY.

SORRY.

I FORGOT I'M USING TWO DIFFERENT, TWO DIFFERENT WAYS OF TALKING ANYWAY.

THANK YOU VERY MUCH, BUT NOT ADDITIONAL INFORMATION.

THANKS FOR CLEARING UP THE CIT MHO, UM, THAT THEY ARE, THEY ARE ONE IN THE SAME AND NOT THE PREFERRED TERM AT THIS POINT IS CIT.

SO THAT, THAT HELPS CLARIFY SOME OF THIS INFO FOR ME.

I PRETEND THAT I SEE YOUR HAND UP PREMIERE.

YEAH, I'M TRYING TO, I CAN SELL A RESPONSE TO SOMETHING THAT THE MAYOR ASKED WITH SOMETHING THAT COUNCILOR TERRIBLE JUST ASKED.

UM, I THOUGHT THE ANSWER

[01:15:01]

TO THE QUESTION OF, SO THAT, SO THE 85% IS THE PERCENTAGE OF CALLS THAT THE C TECH, UM, GET SENT TO THEM DIRECTLY.

AND I THOUGHT, WAS IT DON, I'M SORRY, BY, UM, FORGOT.

THAT'S CORRECT.

DON, UM, SAID THAT THOSE CALLS DO GET DIVERTED FROM APD, BUT THEN I THOUGHT COUNCILOR TOGO'S QUESTION SAID THAT THOSE PEOPLE IN THOSE CALLS ARE STILL APD, OR IS IT TRYING TO UNDERSTAND THE, THE DIVERSION, UM, THE 85% ARE THOSE POLICE OFFICERS THAT RESPOND JUST WITH HIGHER TRAINING OR THERE'S NOT? NO, THAT'S OUR STAFF THAT'S IOM COST.

SO WE'RE RESPONDING THAT 85 NUMBER REPRESENTS A MENTAL HEALTH PROFESSIONAL GOING OUT IN PLACE OF LAW ENFORCEMENT.

OKAY.

OKAY.

SO THOSE AREN'T POLICE OFFICERS AT ALL RIGHT.

AND SO THE PERSON THAT TAKES THE CALL IS NOT APD AND THE PERSON THAT RESPONDS IT'S NOT ABD, IS THAT RIGHT? CORRECT.

IT COMES IN THROUGH NINE 11.

SO IT GOES THROUGH THE DISPATCH PROCESS.

THEY GO WITH THAT AS A MENTAL HEALTH CALL, THEY TRANSFER TO OUR CLINICIAN I'M ON THE FLOOR WITH THEM AND WE TAKE IT FROM THERE.

OKAY.

AND THEN THIS IS JUST A BIGGER, I GUESS, QUESTION FOR EVERYBODY AS WE ARE BRAINSTORMING.

AND THIS IS, I FEEL LIKE THIS IS WHERE IT COUNTS.

NUMBER TOPO WAS KIND OF COOL IN HER, IN HER QUESTIONING.

UM, BECAUSE I REMEMBER WHEN WE FIRST STARTED TO TALK ABOUT, UM, ALL THIS DIVERSION AND I JUST, FROM MY EXPERIENCE AS A, AS AN AUSTIN FIREFIGHTER, I REMEMBER THAT WE, WE WOULDN'T EVEN GET TO MEDICAL CALLS IN SOME INSTANCES, BECAUSE ALONG THE TRIAGE AND DISPATCH, IT WAS, IT WAS, IT WAS FOUND OUT THAT THERE WAS A WEAPON INVOLVED.

SO EVEN FIRE, THEY WOULD TELL US A STAGE.

SO EVEN FIRE OR EMS COULDN'T ENTER A SCENE, UM, WHILE THE POLICE OFFICERS KIND OF MADE SURE THAT THE SCENE WAS SAFE.

AND SO WHEN I WAS THINKING OF HOW, HOW WE, TO THOSE CALLS, UM, WHERE, YOU KNOW, THESE, THESE ARE, THESE ARE THE EXCEPTIONS TO THE CTECH FOR BEING DIVERTED IS BECAUSE THERE'S A WEAPON OR THERE WAS A CRIME COMMITTED, ALL THOSE THINGS, RIGHT? SO I'M, I'M INTERESTED TO KNOW IF WE'RE DOING ANY WORK AS WE DO THE WORK TO, TO RETHINK OUR RESPONSE, BECAUSE ALMOST SOMETIMES THOSE ARE, WE'RE DOING A REALLY GOOD JOB OF, OF THE LOW HANGING FRUIT.

SO TO SPEAK WHERE WE'RE ON THE, I FEEL LIKE WE'RE ON THE RIGHT TRACK AS COUNCILOR TOBA.

WE'VE BEEN, WE'VE, WE'VE BEEN HAVING THESE DISCUSSIONS.

AND, UM, BUT IT'S, IT'S THE ONES THAT END IN, IN, I GUESS, MORE DISASTROUS KINDS OF WAYS.

UM, THEY'RE THE ONES THAT'S USUALLY ARE TRIAGED WHERE THERE'S A WEAPON INVOLVED OR, OR, OR SOMEONE'S REPORTED THAT THERE'S A WEAPON INVOLVED.

AND SO ARE WE DOING ANY KIND OF WORK AROUND RESEARCHING THOSE KINDS OF INCIDENTS IN THOSE CALLS? BECAUSE MANY TIMES THE, UM, MERE APPEARANCE OF POLICE OFFICERS IS WHAT SCARES PEOPLE AND ESCALATES SITUATIONS, ESPECIALLY WHEN, UM, WHEN SOMEONE IS EXPERIENCING A MENTAL HEALTH CRISIS.

AND SO ANECDOTALLY I HAVE BEEN ON, I HAVE BEEN ON SCENES WHERE JUST THE PRESENCE OF A POLICE OFFICER CHANGES THE INTERACTION.

AND SO, UM, I GUESS MY QUESTION IS, ARE WE DOING SOME KIND OF WORK TO DETERMINE HOW WE CHANGE THAT, THAT PART OF IT? CAUSE TO ME, THAT IS, THAT IS THE BIG PIECE OF THE PUZZLE THAT WE'RE TRYING TO GET AT, WHERE, WHERE WE WANT PEOPLE RESPOND.

WE WANT EVERYONE TO BE SAFE, INCLUDING THE PEOPLE RESPONDING.

AND SO THAT'S WHY WE'RE NOT SENDING JUST MENTAL HEALTH PROFESSIONALS TO CAUSE WHERE A WEAPON IS INVOLVED.

RIGHT? HOW DO WE GET THE PERSON THAT DOES SHOW UP TO BE THE PERSON, SOMEONE THAT IS NOT IMMEDIATELY TRAINED TO THINK I NEED TO PROTECT MYSELF? I NEED TO PRETEND THAT MY TEAM, UM, IS, IS MORE OF A, I DON'T KNOW, NEGOTIATOR, BUT ALSO PREPARED TO DO, UM, WHAT NEEDS TO BE DONE.

SO AS, AS YOU KNOW, OBVIOUSLY AS, AS LITTLE PEOPLE IN THIS SITUATION GET HURT AND I DON'T KNOW WHAT THAT QUESTION'S FOR.

AND MAYBE THAT'S JUST A BROAD THOUGHT PROCESS, BUT IF ANYBODY CAN ANSWER, PLEASE DO CHAIR.

IF I MAY MAYOR FOR TIM, I THINK THAT IS THE STUFF OF THE RE-IMAGINING EFFORT, PARTICULARLY IN THIS, IN THIS ARENA, HOW TO RESPOND BETTER AND BETTER WAYS TO HAVE BETTER OUTCOMES FOR THOSE THAT ARE EXPERIENCING A MENTAL HEALTH CRISIS AND WHERE THERE'S POTENTIALLY ONE OF THOSE DISQUALIFIERS IN PLACE.

SO WE, I, I, I IMAGINED WE HAVE NOT STARTED THAT

[01:20:01]

RESEARCH YET.

UH, BUT CLEARLY THAT'S ON OUR, UM, ON OUR PLATE TO BE ABLE TO DO SEE HOW OTHER AGENCIES ARE HANDLING THAT.

AND HOW CAN WE IMPROVE OUTCOMES HERE IN AUSTIN? I MEAN, I THINK WHEN WE DID THE NINE 11 STUFF, THE INITIAL NINE 11 ANALYSIS, AND TODAY WE'RE TALKING SPECIFICALLY ABOUT MENTAL HEALTH FIRST RESPONSE, AND IT'S NOT ENTIRELY CLEAR WHAT THE RATIO OF CALLS IS, OR THE RATIO OF TIME SPENT BY OFFICERS ON THESE CALLS IS TO KNOW HOW FAR WE'RE GETTING DOWN THAT ROAD.

BUT WE KNOW IT'S AN IMPORTANT COMPONENT AND THERE'S A LOT OF OTHER PIECES TO THIS, YOU KNOW, HOW MIGHT WE REIMAGINE TRAFFIC ENFORCEMENT? HOW MIGHT WE HANDLE THE ALARM FALSE ALARM CALLS BETTER? RIGHT.

SO THERE'S A LOT OF COMPONENTS TO IT.

I MEAN, THIS MIGHT BE THE MOST CHALLENGING BECAUSE IT RELIES SO MUCH ON SYSTEMS. WE DON'T CONTROL CAUSE REMEMBER KITCHEN.

YEAH.

I WANT TO JUST SPEAK TO SOME OF THE RESEARCH THAT WAS DONE AS PART OF THE MEADOWS REPORT.

UM, AND THAT DOESN'T MEAN THAT THERE'S MORE CONVERSATION THAT NEEDS TO HAPPEN MORE IN THE FIELD, UH, TRYING THINGS OUT.

AND I KNOW THAT ONE OF THE THINGS THAT YOU ALL HAVE TALKED ABOUT IS, UM, IS THE CLINICIAN'S ROLE IN COMMUNICATING WITH THE OFFICER, IF THE OFFICERS ON THE SCENE, UH, IN A CIRCUMSTANCE LIKE YOU WERE TALKING ABOUT, BECAUSE I KNOW THERE'S BEEN SOME CONVERSATION ABOUT, UM, THE ABILITY OF THE CLINICIAN TO ACTUALLY BE TALKING WITH AN OFFICER AND IN A CIRCUMSTANCE, UH, THAT MIGHT FALL INTO ONE OF THOSE CATEGORIES WHERE AN OFFICER NEEDS TO BE ON THE SCENE.

SO I DON'T KNOW.

UM, I KNOW THAT MAY BE, UM, UH, AN AREA THAT Y'ALL ARE JUST NOW GETTING INTO, BUT MAYBE DON SPEAK TO THAT OR, OR, UH, ONE OF THE OFFICERS COULD SPEAK TO THAT.

YES, MA'AM.

UM, WE ACTUALLY GOT OUR PILOTING DECK AND WE CAN, THAT MURPHY CAN SPEAK TO IT AS WELL.

UM, AND WHAT THEY'RE DOING IS THEY'RE DISPATCHING US INTO THE CALL SO THAT WE'RE, WE HAVE THE INDIVIDUAL THAT'S ESCALATED ON THE CALL ON DEESCALATE AND OFF TO HEAR THE CONVERSATION.

SO HE'S AWARE OF WHAT THE SCENE WILL LOOK LIKE WHEN HE GETS THERE, BASED ON OUR CONVERSATION IS WE'RE TRYING TO, UM, CALM AND STABILIZE AS MUCH AS WE CAN ON THE PHONE.

DO I GET THAT RIGHT KID? YES.

MA'AM ALMOST, THEY WON'T BE ABLE TO HEAR THE CONVERSATION.

HOWEVER, AS THE INFORMATION, THE NINE 11 OPERATOR IS ON THE PHONE WITH THE CRISIS COUNSELOR, WHILE THE CRISIS COUNSELOR SPEAKING TO THE PERSON IN CRISIS AND THE NINE 11 OPERATORS ENTERING THE DIALOGUE INTO THE CALL TEXT, AND THEN THE DISPATCHER RELAYS THE INFORMATION IN THE CALL TO THE OFFICER AS THE OFFICER'S RESPONDING, OR THE OFFICER CAN READ IT ON THEIR MOBILE DATA COMPUTER AS THEY'RE RESPONDING TO THE CALL.

SO, SO I'M NOT SUGGESTING THAT THAT IS THE PERFECT WAY TO DO IT.

I'M JUST SUGGESTING THAT THAT IS SOME WAYS THAT ARE BEING EXPLORED RIGHT NOW.

UM, AND, UM, BUT JUST ENCOURAGE, AND I KNOW YOU ALL ARE WORKING ON THIS ADDITIONAL EXPLORATION OF THAT, SO THAT, UM, SO THAT YOU CAN HAVE THE BENEFIT OF THE CLINICIANS, UM, EXPERIENCE IN BEING ON THE SCENE AS QUICKLY AS POSSIBLE AND BEING PART OF THE COMMUNICATIONS AS QUICKLY AS POSSIBLE.

SO I, THANKS FOR ASKING THAT QUESTION, THEY ARE PRETEND, CAUSE I THINK THAT THAT DOES GET TO THE HEART OF, OF WHAT WE'RE TRYING TO, TO WORK TOWARDS.

UM, AS PART OF THIS, ONE OF THE QUESTIONS I HAD DAWN, JUST TO REMIND ME OF WHAT YOU SAID IN, AND THEN, AND THEN MAYBE ASSISTANT CHIEF, YOU KIND OF PARKED TO THIS TOO, JUST IN TERMS OF LIKE THE, THE SCALE AND THE COST TO SCALE.

SO DON, YOU SAID THAT TO SCALE THE OR IS IT JUST THE IOM CAUGHT? CAUSE I STILL AM HAVING A HARD TIME KEEPING THOSE TWO THINGS SEPARATE TO SCALE TO THE PROPOSED MODEL.

IT WAS A COUPLE OF MILLION DOLLARS.

WAS THAT RIGHT? RIGHT.

SO IT'S AM CAUGHT.

SO OUR CURRENT EXPANSION THAT YOU APPROVED WAS 3.15 MILLION, BUT THE PROPOSED, IF WE WERE WANTING TO MAKE SURE THAT WE HAD STAFF AVAILABLE TO CONNECT FOR EVERY CALL FROM ANYONE IN THE FIELD, UM, IT'S 6.2 MILLION, BUT THE THREE POINT, WHATEVER IT IS THAT WE JUST DID THAT, THAT WE THINK AS AN COUNCIL MEMBER KITCHEN SAID IT TO THAT IS GETTING US VERY CLOSE TO THE THEORETICAL MAXIMUM OF DIVERSION AWAY FROM LAW ENFORCEMENT.

YES, SIR.

SO, I MEAN, THAT'S A VERY EXCITING THING, BUT TO THE OTHER PART OF THE SYSTEM WE WE'VE, SO WE'VE MADE THAT INVESTMENT.

WE'VE DECIDED TO MAKE THAT INVESTMENT AND YOU KNOW, THE, THE, THE PUBLIC THINKS YOU TAKE A VOTE AND

[01:25:01]

THE THINGS HAPPEN.

WELL, THE BUDGET DOESN'T EVEN START TILL OCTOBER ONE.

SO NOTHING YOU'RE SEEING HAPPENING TODAY AS A RESULT OF THE BUDGET, WHAT WE MADE, CAUSE THE BUDGET DOESN'T HAPPEN FOR ANOTHER TWO MONTHS, BUT THE, BY GOING TO THIS EXPANDED MODEL, EXPANDED, EXPANDED, CAUGHT, AND CAUGHT, IT WILL CREATE MORE, MORE FOLKS GOING INTO THESE OTHER SYSTEMS, RIGHT? YES, SIR.

AND THOSE SYSTEMS HAVE NOT EXPANDED YET.

THAT'S CORRECT.

AND YOU, IF I REMEMBER WHAT YOU SAID CORRECTLY TO EXPAND THOSE SYSTEMS IS $8 MILLION.

CORRECT.

AND THAT WAS JUST LOOKING AT OUTPATIENT SERVICES SO THAT THE LEGISLATIVE BOARD, THE LVD HAS DONE ANALYSIS ON WHAT THE COST IS IN PURE, YOU'RE LOOKING AT LMH.

AND SO WE WERE ABLE TO TAKE THAT AMOUNT AND DO, AND APPLY IT TO THE NUMBER OF INDIVIDUALS THAT WE'RE, SIR, THAT WE'RE REACHING THROUGH THE CRISIS SERVICES, JUST USING THE EXPANSION MODEL.

SO NEXT YEAR WE'RE LOOKING AT TAKING ON AN ADDITIONAL 1600 PEOPLE INTO OUR SYSTEM THAT WOULD COST US $8 MILLION TO BE ABLE TO SERVE THEM THROUGH ANY OF, OF OUR, WHATEVER SERVICE PACKAGE LEVEL THEY WOULD FALL IN.

CAUSE YOU KNOW, IT VARIES JUST NEEDING TO SEE A DOCTOR TO NEEDING THE FULL WRAP AROUND SUPPORTS AND DOES INTEGRAL CARE HAVE, HAVE BACKGROUND INFORMATION THAT CAN SPEAK TO, UH, THE, THE CRISIS CYCLE THAT THOSE FOLKS WILL AVOID? LIKE, CAUSE I MEAN, WHAT I'M TRYING TO DRILL DOWN TO IS WE GET X NUMBER OF CALLS NOW BECAUSE THE EXPANDED SYSTEMS DON'T EXIST.

IF YOU BUILD THOSE EXPANDED SYSTEMS, THAT NUMBER THAT CALL VOLUME SHOULD DECREASE.

RIGHT? THAT'S CORRECT.

WE ACTUALLY DID SOME ANALYSIS WITH THE EXPANDED MOBILE CRISIS OUTREACH TEAM, KIND OF A RETURN ON INVESTMENT THAT WE HAVE SOME DATA THERE THAT SHOWS WHERE SOME OF THAT COST SAVINGS IS BY NOT HAVING PEOPLE HIT THOSE HIGHER LEVELS OF LIKE INPATIENT OR THE EDS OR LAW ENFORCEMENT OR JAIL FOR THAT MATTER IF WE'RE AVOIDING INCARCERATION.

AND SO YOU'RE ABLE TO SEE IT COSTS MUCH LESS TO HAVE AN INDIVIDUAL CONNECTED TO A COMMUNITY BASED SERVICE THAN IT DOES, UM, IN A, IN A MORE RESTRICTIVE SERVICE OR IN JAIL, WHICH IS ULTIMATELY RESTRICTIVE, RIGHT? AND, AND ALL THE MORE REASON TO HAVE THE COUNTY AT THE TABLE CENTRAL HELD AT THE TABLE AND MAYBE EVEN SOME OF THE PRIVATE HEALTHCARE PROVIDERS IN OUR COMMUNITY, MAJOR HEALTH CARE PROVIDERS THAT ARE, YOU KNOW, ULTIMATELY THOSE COSTS GET PASSED ON TO EVERYONE ELSE'S INSURANCE.

SO THE, YOU KNOW, ALL THE MORE REASON FOR US TO BE THINKING ABOUT THAT WHEN WE TALK ABOUT HAVING JUST ADOPTED A ONE POINT SOMETHING BILLION DOLLAR GENERAL FUND BUDGET, $8 MILLION DOES NOT SEEM A GINORMOUS AMOUNT IN CONTEXT FOR US TO HAVE EFFECTIVELY, FULLY BUILT OUT A SYSTEM FOR A CITY OF A MILLION PEOPLE.

IS THERE, IS THERE SOMETHING MISSING? IS THERE MORE TO IT THAN THAT? AND THEN WHAT YOU'VE LAID OUT? WELL, YEAH.

SO 8 MILLION IS JUST FOR NEXT YEAR'S NUMBER.

SO IF YOU WANT TO TALK ABOUT EVERY MENTAL HEALTH CALL THAT COMES THROUGH THE SYSTEM, RYAN, EVERY CALL THAT WE'RE NOT GETTING ALL THE CALLS, IF YOU CAN GET THE WHOLE CITY AND EVERY CALL THERE IS, UM, YEAH, THE NUMBER I THINK WOULD BE LARGER.

I JUST TOOK THE EXPANDED MODEL BECAUSE THAT WAS THE NUMBER I KNEW WHAT WE WERE EXPECTING TO SERVE NEXT YEAR.

AND SO I USED THAT AS AN EXAMPLE.

UM, SO JUST BY EXPANDING AN ADDITIONAL, YOU KNOW, JUST UNDER 2000 PEOPLE, IT COST EIGHT, $8,000, $8 MILLION.

BUT IF WE ARE ABLE TO SERVE EVEN MORE PEOPLE, BECAUSE WE'VE GOT MORE FOLKS IN THE FIELD, MORE OF THE CALLS ARE COMING TO US AND WE'RE ABLE TO INTERVENE.

THEN, THEN YOU LOOK AT THAT TOTAL NUMBER AND ABOUT, YOU KNOW, THAT 60 TO 80% OF THOSE FOLKS ARE THE PEOPLE THAT WILL NEED SOME SERVICE AND THEY GO, THEY ARE UNFUNDED.

SO THAT NUMBER COULD GROW FOR SURE.

AND I THINK HE MAY BE TALKING ABOUT THE SERVICES PART AND NOT THE HOUSING PART OF IT BECAUSE FOR SOME NUMBER OF MEMBER, THAT'S NOT EVERYBODY, OF COURSE, BUT SOME PERCENTAGE OF THOSE INDIVIDUALS ARE, OR PEOPLE WHO NEED MORE STABLE HOUSING, A 40, 40% ARE.

YEAH.

SO THE 8 MILLION IS NOT GOING TO COVER ALL THE HOUSING NEEDS IT'S GOING TO COVER THE SERVICE NEEDS.

CORRECT.

YEAH.

SO THE OTHER THING TOO, TO UNDERSTAND IS THAT, UM, AND THAT NUMBER CAN BE QUITE A BIT MORE, AS WE KNOW, WE'RE EXPERIENCING FROM THE WORK THAT WE'RE DOING AROUND HOUSING FOR INDIVIDUALS WHO ARE HOMELESS.

THE OTHER THING, UM, CHAIR FLANAGAN, THAT WOULD BE VERY INTERESTING IS THE TABLE THAT IS SET AT THE MOMENT TO HAVE THESE CONVERSATIONS IS THE PSYCHIATRIC STAKEHOLDERS COMMITTEE.

UM, AND IT MIGHT BE INTERESTING TO CHARGE THAT COMMITTEE OR ASK THAT COMMITTEE TO TAKE ON THESE, THIS KIND OF CONVERSATION.

UM, NOT THAT IT HAS TO BE THAT COMMITTEE, BUT THAT IS A GROUP THAT IS, UM, THAT HAS BEEN FORMED.

THAT INCLUDES ALL OF THOSE FOLKS THAT WE'RE REFERRING TO WILL COUNTY.

UM, YOU KNOW, W I HAVE

[01:30:01]

TO GO BACK, BUT THEY HAVE ALL THOSE PLAYERS AT THE TABLE, UM, AND HAVE BEEN INSTRUMENTAL IN, IN OTHER, IN BRINGING OTHER RESOURCES TO THE COMMUNITY.

LIKE THE GUY HERMAN CENTER WAS SOMETHING THAT WAS WORKED ON THROUGH, THROUGH THAT ENTITY.

SO IT'D BE, IT'D BE, I THINK IT'D BE HELPFUL TO, UM, TO TALK WITH THAT GROUP AND THE, THE LEADS, THERE ARE CENTRAL HEALTH AND INTEGRAL CARE ABOUT, UH, PARTNERING WITH US, UM, TO, TO ADDRESS THESE KINDS OF CONCERNS THAT WE'RE TALKING ABOUT.

I THINK THAT'S A REALLY GOOD IDEA.

AND I THINK IT'S A GREAT SEGUE TO TALK TO OUR DEPUTY CITY MANAGER.

UM, YOU KNOW, I, I, I THINK THERE'S A LOT OF VALUE IN THE KIND OF PUBLIC CONVERSATION THAT WE DO THROUGH THE COMMITTEE.

ARE YOU DOING A COUNCIL MEETING? AND SO THERE'S PROBABLY VALUE IN HAVING THOSE KINDS OF JOINT JURISDICTIONAL MEETINGS IN A FORUM THAT'S BROADCAST TO THE PUBLIC AND ARCHIVE OF VIDEO, BUT THEN THERE'S ALSO LIKE THE REST OF THE WORK YOU GOT TO DO.

CAUSE YOU'RE NOT ACTUALLY GOING TO DO THIS THREE HOURS EVERY OTHER WEEK.

AND, AND IT SOUNDS LIKE THAT PSYCHIATRIC, WHAT WAS IT CALLED PSYCHIATRIC THIS, THE PSYCHIATRIC STAKEHOLDERS, VERY COLD.

THERE'S SO MANY, AND IT'S CHAIRED BY, UM, DAVID EVANS FROM INTEGRAL HEALTH AND I'M THE EXECUTIVE DIRECTOR OF CENTRAL HEALTH.

YEAH.

AND SO THAT, THAT SOUNDS LIKE A REALLY GREAT PARALLEL PROCESS WHERE YOU GET THE KIND OF THE POLICY MAKERS WHO HAVE TO SIT ANNUAL BUDGETS WHERE MOST OF THIS FUNDING AND MOST OF THE EXPENSES LIE, YOU KNOW, IF YOU'RE NOT APPROPRIATELY FUNDING THE MENTAL HEALTH SYSTEM, THEN YOU'RE DEFINITELY FUNDING A LOT OF CRISIS RESPONSE THAT, THAT CONVERSATION IN THE TABLE SET WITH THE ELECTED TO SET THE BUDGETS.

IN ADDITION TO THE KIND OF PRIVATE WORKING GROUPS, A DEPUTY CITY MANAGER RIVERA WE UNDERMINE, WOULD YOU PLEASE KIND OF GIVE US AN UPDATE ON THE TASKFORCE WORKING GROUP STUFF THAT THE MANAGER'S OFFICE IS DOING? SURE, THANK YOU.

UH, UH, COUNCIL MEMBER FLANAGAN.

UH, I APPRECIATE THE OPPORTUNITY AND I, I, UH, I THINK, UH, ASSISTANT CITY MANAGER ARIANNA WAS RIGHT IN TERMS OF, THIS IS AN EFFORT THAT WE CERTAINLY HAVE ENVISIONED IN THAT RE-IMAGINING BUCKET, BUT THESE MEETINGS ARE TREMENDOUSLY USEFUL AS WE MOVE FORWARD TO REALLY, UH, SET SORT OF THE STAGE OF SOME OF THE QUESTIONS WE'RE ALREADY ASKING OURSELVES.

IT IS KIND OF A, FOR US, AT LEAST A PRECURSOR OF, UM, OF A DEEP DIVE WE'RE GOING TO HAVE WITH SOME OF THE STAKEHOLDERS, INCLUDING INTEGRAL CARE.

I'M EXCITED TO SAY THAT WE'RE HAVING OUR FIRST, UH, CITY COMMUNITY TASK FORCE MEETING THIS EVENING.

UH, AND SO, UH, WE ARE MOVING AHEAD, FAST.

I HAD MENTIONED TO YOU ALL THAT OUR HOPE WAS TO HAVE THREE THIS MONTH AND WE HAVE IN FACT, SCHEDULED THREE THIS MONTH, THESE INITIAL ONES REALLY ARE ABOUT SORT OF ONBOARDING AND, UH, LEVEL SETTING AND GETTING SOME PRELIMINARY INFORMATION OUT THERE.

WE'RE HOPING BY THE END OF THE THREE WEEKS TO COME OUT WITH A CALENDARISATION OF PRIORITIES FOR THE TASK FORCE AND TO START TO SET THE PLAY FOR SOME OF THESE WORK GROUPS, I ENVISION, THIS IS PRECISELY THE KIND OF DEEP DIVE THAT WE HAVE EITHER WITH OUR COMMUNITY MEMBERS OR ADDITIONAL ORGANIZATIONS AS WE MOVE FORWARD.

I'VE MENTIONED TOO, THAT WE'RE ALSO GOING TO BE TALKING TO, UM, PD.

AND I APPRECIATE THAT THIS COMMITTEE HAS CERTAINLY BEEN TAKING INFORMATION FROM, UH, POLICE STAFF.

WE NEED TO DO THE SAME ON OUR END AND HAVE SET OUT SOME INITIAL MEETINGS WITH FORENSICS NINE ONE, ONE, UH, AN EMERGENCY DISPATCH VICTIM SERVICES, INTERNAL AFFAIR, SUPPORT STAFF.

AND THROUGH THAT, I THINK WE'RE GOING TO START TO, IF YOU WILL UNPEEL THE ONION, BECAUSE IF YOU'VE SEEN AS THIS MENTAL HEALTH CONVERSATION, IT IS NOT ABOUT SOLVING ONE END OF THE EQUATION, BUT THEN IT HAS OTHER REPERCUSSIONS THAT GO THROUGHOUT COMMUNITY.

AND WE WANT TO MAKE SURE THAT WE'VE LOOKED AT BOTH OF THOSE.

SO I EXPECT THAT TODAY WILL BE THE BEGINNING OF SOME GREAT WORK AND THAT WE WILL COME BACK TO COUNCIL.

AND THIS COMMITTEE, UM, PERIODICALLY WE PLAN ON RN TO AT LEAST PROVIDE MONTHLY UPDATES TO ALL OF COUNCIL, BUT CERTAINLY ARE ALREADY TALKING TO, UM, YOUR STAFF CHAIR FLANAGAN AND TO THE VICE CHAIR STAFF.

UM, WE ARE TRYING TO FOLD THEM INTO SOME OF OUR PROCESS SO THAT WE CAN PRECISELY ALIGN WHAT WE'RE DOING AND WHAT THIS COMMITTEE IS DOING, BECAUSE WE JUST SEE SUCH GREAT SYNERGY AND THE ABILITY TO LEVERAGE OUR COLLECTIVE WORK.

THANK YOU, COUNCIL MEMBER TOGO.

DID, DID YOU HAVE YOUR HAND UP EARLIER? I DID.

SORRY ABOUT THAT.

UM, YES, I DID.

THANK YOU.

I JUST HAD A QUICK COMMENT AND THE STAKEHOLDERS COMMITTEE IS A GREAT IDEA AT THE PSYCHIATRIC STAKEHOLDERS COMMITTEE, AND I KNOW THAT THEY WERE KIND OF RECONFIGURING THAT, SO, SO THAT THEY ARE REALLY IN A POSITION TO BE ABLE TO

[01:35:01]

MAKE SOME DECISIONS.

I WANT TO SAY, THOUGH, JUST BACK TO BACK TO THE POINT THAT JOHN RAISED ABOUT THE NEED FOR MORE, AS I HEARD IT, I HOPE I'M SUMMARIZING IT CORRECTLY, THE NEED FOR MORE INPATIENT SERVICES AND MORE ASSISTANCE, LONGER TERM ASSISTANCE.

SO THAT INDIVIDUALS HAVE AN OPPORTUNITY TO GET THOSE KINDS OF SERVICES, NOT JUST IN A CRISIS RESPONSE SYSTEM.

YOU KNOW, I JUST WANT TO MAKE, MAKE IT CLEAR TO ANYBODY WATCHING THIS.

YOU KNOW, THAT IS NOT, THAT IS NOT SOMETHING THAT THE CITY IS GOING TO BE ABLE TO ACHIEVE.

NOW, THIS IS, THIS IS SOMETHING, THESE ARE RESOURCES THAT WE NEED TO COME FROM OUR HEALTHCARE COMMUNITY.

THESE ARE RESOURCES THAT OUR OTHER PARTNERS HERE IN AUSTIN, UM, ARE GONNA NEED TO ASSIST WITH.

AND, AND I, I JUST THINK THAT'S A REALLY IMPORTANT POINT TO BE MADE.

AND I THINK OTHERS, OTHERS OF MY COLLEAGUES HAVE SORT OF REFERENCED THAT AS WELL, BUT WE ABSOLUTELY NEED OUR PRIVATE HEALTH CARE COMMUNITY TO PARTICIPATE IN, IN FUNDING THAT SOLUTION, FRANKLY, THANK YOU, COUNCIL MEMBER TOVA COMPLETELY AGREE AS NEVER KITCHEN, UH, WITH REGARD TO, COULD YOU SPEAK TO, UM, THE TASK FORCE MEETING AND HOW PEOPLE CAN, UM, OBSERVE IT? I MEAN, IS IT A PUBLIC MEETING? IS IT BEING BROADCAST, SPEAK TO THAT FOR PEOPLE, UH, COUNCIL MEMBER, I WILL SAY THAT IT IS NOT A PUBLIC MEETING AND IT IS NOT BEING BROADCAST IN PART BECAUSE WE WANT TO MOVE THROUGH OUR WORK FOR OTHER QUICKLY.

UM, AND BECAUSE WE WANT TO CREATE A TABLE OF A LOT OF CANDOR, WE HAVE HOWEVER, TALKED WITH OUR FACILITATORS AND I'VE MENTIONED THIS TO OUR TASK FORCE MEMBERS, AS WE HAD ONE ON ONE CONVERSATIONS.

AND WE'LL GO INTO THAT TONIGHT ABOUT HOW DO WE TRY TO BE AGAIN, TRANSPARENT? HOW DO WE PROVIDE LISTENING SESSIONS OR SUMMARIES OF OUR MEETINGS? WE WANT TO BE, WE WANT TO TRY TO BE AS PUBLIC AS WE CAN, BUT ALSO PROVIDE ENOUGH SPACE FOR US TO BE CANDID WITH EACH OTHER AS WE DO SOME OF THIS WORK MOVING FORWARD.

AND WE'RE TRYING TO BALANCE THAT.

SO, UM, YOU KNOW, I APPRECIATE THE FACT THAT THERE'S A LOT OF INTEREST.

UM, AND SO WE WILL, WE WILL TRY TO MOVE FORWARD AS FAST AS WE CAN AND TRY TO PUBLISH THOSE SUMMARIES AS FAST AS WE CAN.

SO EVERYONE CAN SHARE ALONG.

WE HAVE ASKED, UH, STAFF FROM THE CHAIR AND THE VICE CHAIR OF THIS COMMITTEE, BECAUSE WE WANT TO BE VERY ALIGNED TO BE OBSERVERS IN THAT, UM, UH, MEETING.

AND SO WE ARE HOPEFUL THAT THAT WILL ACTUALLY HELP US MAKE SURE THAT OUR TWO MEETINGS, UM, ARE SINKED.

IT DOESN'T MEAN THAT WE WILL ALWAYS HAVE THE SAME THING HAPPENING, RIGHT.

THERE ARE OTHER TOPICS OF CONVERSATIONS THAT THIS BODY MAY WANT TO HAVE AS WE MOVE OUR WORK, BUT, UH, WE ARE GOING TO TRY TO MOVE IT FORWARD AND TO KEEP THAT ALIGNMENT THAT WAY.

UM, SO WE'RE HOPEFUL IN THIS APPROACH AND, UM, I'M SURE THAT, UH, THAT WE WILL FIND OUT IF, UH, IF THERE ARE OTHER OPINIONS, ARE THERE OTHER THOUGHTS ABOUT THAT, BUT WE ARE TRYING TO BE AS TRANSPARENT AS WE CAN WHILE ALSO PROVIDING A SAFE SPACE FOR PEOPLE TO CONVERSE.

CAUSE WE ALSO HEARD THAT VERY CLEARLY, UM, BOTH FROM STAFF AND OUR COMMUNITY MEMBERS.

YES.

AND I DIDN'T MEAN TO IMPLY THAT IT TO BE PUBLIC, BUT I, BUT I, BUT I THINK WHAT PERHAPS PEOPLE DON'T UNDERSTAND, OR MAYBE I JUST HAVEN'T SEEN IT, IS THAT WHAT IS THE PROCESS FOR PEOPLE TO EXPRESS THEIR THINKING OR THEIR CONCERNS OR THEIR OPINION? I'M I WE'VE TALKED ABOUT THAT SOME, BUT I HAVEN'T SEEN ANYWHERE AND I COULD EASILY BE MISSING IT, BUT I HAVEN'T SEEN ANYTHING DEFINITIVE THAT I CAN TELL FOLKS THAT CONTACT ME, HERE'S HOW YOU EXPRESS YOUR INTEREST OR YOUR CONCERNS OR WHATEVER.

SO WE REALLY NEED TO UNDERSTAND SO THAT WE CAN TELL THEM SO THE PUBLIC CAN FEEL LIKE THEY HAVE AN AVENUE TO, UM, TO PARTICIPATE OR AT LEAST PARTICIPATE THROUGH, THROUGH SHARING THEIR, YOU KNOW, THEIR QUESTIONS OR THEIR CONCERNS OR WHATEVER.

AND SO, UH, I KNOW THAT THAT WAS SOMETHING THAT YOU ALL WERE GOING TO, BUT CAN YOU SPEAK TO THAT? DO WE, WHAT CAN WE TELL PEOPLE? SO, UH, I WOULD SAY THAT SOON, AND I CAN'T TELL YOU, UH, WHAT PRECISE DAY, BUT SOON, AND I HOPE IT'S THIS MONTH, WE WILL HAVE, UM, BUILT OUT SOMETHING IN SPEAK UP AUSTIN.

WE WILL HAVE AN EMAIL THAT FOLKS CAN SEND THINGS TO.

WE'RE TRYING TO CREATE A VARIETY OF DIFFERENT MECHANISMS FOR PEOPLE TO SHARE THEIR THOUGHTS.

UH, WE HAVE ALSO HAD THAT FIRST LISTENING SESSION AND ARE TAKING FEEDBACK FROM THAT FIRST LISTENING SESSIONS WITH THE COMMISSION AND TWEAKING THAT SO THAT WE CAN MOVE FORWARD SOME INFORMATION AND START TO HAVE EVEN BROADER LISTENING SESSIONS AND FOCUS GROUPS.

UM, AND WE WILL HAVE, WHEN WE HAVE THOSE SET UP, WE WILL ACTUALLY LOOK THOSE, UH, DATES AND PUT THAT INFORMATION ON THIS WEBSITE LANDING PAGE THAT WE'RE CREATING.

SO THERE WILL BE AVENUES.

AND WE, YOU KNOW, ALL I CAN ASK IS JUST FOR A LITTLE PATIENCE AS WE BUILD THAT OUT,

[01:40:01]

BUT IT WILL NOT BE TOO MUCH LONGER BECAUSE WE ARE TRYING TO FIND A MULTITUDE OF DIFFERENT WAYS THAT WE CAN DO THAT.

I'LL ALSO SAY THAT THE EQUITY TEAM HAS BEEN WORKING ON THEIR MINI GRANT PROCESS SO THAT THEY CAN ALSO EMPOWER OTHER COMMUNITY ORGANIZATIONS TO HOST THOSE, UH, FACILITATED LISTENING SESSIONS AS WELL, AND GET US THAT INFORMATION, UM, CREATING THOSE SURVEYS AND MULTIPLE LANGUAGE.

SO THAT LANGUAGE IS NOT A BARRIER TO HAVING THIS CONVERSATION WITH CITY STAFF.

UH, SO WE HAVE A MULTITUDE OF DIFFERENT AVENUES BY WHICH WE ARE TRYING TO GET INFORMATION, AND WE WILL CONTINUE TO SHARE THAT WITH YOU, UH, GET THAT FROM OUR TASK FORCE, IF THERE ARE ADDITIONAL OPPORTUNITIES AND WAYS IN WHICH TO DO THAT.

UM, BUT WE ARE COMMITTED TO HAVING THIS DIALOGUE WITH THE CITY OF AUSTIN IN ITS BROADEST OF THE WORD.

ANY OTHER QUESTIONS? WELL, I WILL JUST ADD, YOU KNOW, THERE'S, THERE'S A LOT, THERE'S A LOT OF DETAIL TO DIG IN HERE.

AND AT SOME POINT, UH, IT IS NURIA YOU AND, AND SPENCER AND RAY, AND IT IS THE STAFF'S JOB TO IMPLEMENT.

AND I THINK THE COUNCIL AND THE COMMUNITY HAVE BEEN VERY CLEAR WHAT WE'RE TRYING TO ACCOMPLISH.

WE HAVE ASKED OUR OFFICERS TO DO TOO MANY JOBS.

WE HAVE ASKED THEM TO DO THINGS THAT IS BURDENED THE DEPARTMENT IN A WAY THAT IS UNSUSTAINABLE, AND WE'RE NOT GOING TO DO THAT ANYMORE.

AND SO WE NEED TO, TO BETTER DESIGN THESE SYSTEMS TO MEET THE NEEDS OF THE PUBLIC AND COUNCILOR HARPER.

MADISON WILL THANK YOU FOR WHAT YOU SAID AT THE BEGINNING OF A MEETING.

UM, YOU KNOW, WHEN WE TALK ABOUT THE COMMUNITY, WE ARE INCLUSIVE OF EVERY PERSON THAT LIVES IN THIS COMMUNITY.

AND, YOU KNOW, I, I FIND MYSELF SOMETIMES LAUGHING WHERE PEOPLE THINK COUNCIL MEMBERS ARE LIKE CONGRESSMEN, WHERE WE GO OFF AND YOU'RE IN ANOTHER CITY, YOU KNOW, A THOUSAND MILES AWAY.

I MEAN, WE'RE, WE'RE GOING TO RUN INTO YOU AT THE GROCERY STORE.

LIKE WE LIVE IN THIS COMMUNITY EVERY DAY TOO, AND WE'RE NOT THAT FAR AWAY.

IN FACT, THAT'S THE BEAUTY OF THE TEN ONE SYSTEM IS THAT AS COUNCIL MEMBERS, WE ARE FAR MORE ACCESSIBLE TO OUR DISTRICTS THAN JUST ABOUT ANY OTHER ELECTED OFFICIAL.

SO I ENCOURAGE, AS I ALWAYS DO ENCOURAGE FOLKS TO REACH OUT AND EMAIL YOUR COUNCIL MEMBER WHEN YOU DO THAT, DEFINITELY SAY WHICH DISTRICT YOU LIVE IN, BECAUSE IT HELPS US FOCUS OUR ATTENTION ON THE FOLKS WHO, WHO, UH, WANT TO HEAR FROM THEIR ELECTED REPRESENTATIVE.

UM, AND, AND TO THE OFFICERS.

AND JUST TO, TO ALL OF THIS WORK THAT WE'RE DOING, IT IS BY, BY, BY NECESSITY AS A PRAGMATIC MATTER, GOING TO TAKE TIME, WE ARE NOT LAYING ANYBODY OFF.

NO ONE IS LOSING THEIR JOBS.

THERE WILL BE AS A RESULT OF THAT, THERE WILL BE TIME TO, TO DESIGN THESE SYSTEMS, TO ROLL THEM OUT.

AND I THOUGHT ONE OF THE THINGS THAT EXCITED ME ABOUT THE PRESENTATION TODAY WAS HOW, HOW THESE SOLUTIONS SCALE INCREMENTALLY.

IT IS NOT ALL ON OR ALL OFF.

IT'S NOT LIKE BUILDING A HOSPITAL THAT YOU DON'T GET TO USE IT UNTIL IT'S COMPLETELY BUILT OUT.

YOU CAN ADD ONE MORE STAFF, YOU CAN DIVERT ANOTHER 10% OF THE CALLS.

YOU CAN ACTUALLY SCALE THESE SOLUTIONS UP.

AND I THINK THAT TO MY MIND, THAT IS THE, THE WORK THAT WE ARE GOING TO CONTINUE TO DO.

IT WILL HAPPEN ON MENTAL HEALTH.

FIRST RESPONSE.

IT WILL HAPPEN AS WE GET THROUGH OUR NINE ONE ONE CALL ANALYSIS, AND WE START LEARNING OTHER WAYS TO UNBURDEN OFFICERS FROM ALL OF THE OTHER WORK THAT DON'T NEED TO BE OFFICERS AND LET THEM FOCUS ON THE WORK THAT DOES NEED TO BE OFFICERS, IF NOT, BECAUSE IT IS A REQUIREMENT OF STATE LAW, BUT, BUT BECAUSE THE TRAINING CAN BE SPECIFICALLY DESIGNED FOR OFFICERS TO BE SPECIFICALLY EXPERTS AT THOSE JOBS.

AND, AND, YOU KNOW, I JUST HOPE THAT FOLKS ARE LISTENING.

AND I KNOW A LOT OF THE MEDIA FOLKS ARE LISTENING AND THERE'S BEEN FRANKLY, A LOT OF GREAT REPORTING AND THEN A LITTLE BIT OF LESS THAN GREAT REPORTING.

ACTUALLY THE CONTENT OF THE ARTICLES ARE GREAT.

IT'S THE HEADLINES THAT, THAT STINK HEADLINES ARE TERRIBLE.

THE CONTENT THE ARTICLES TEND TO BE PRETTY GOOD, BUT I JUST WANT, YOU KNOW, EVERYONE'S JUST GOT TO KEEP READING AND KEEP LEARNING AND, AND JOIN THE COUNCIL ON THIS JOURNEY.

UH, AS COUNCIL MEMBER, ROBERT MADISON SAID, YOU KNOW, WE'RE GOING TO LEAD THE COUNTRY ON THIS AND WE'RE GOING TO LEAD IT.

NOT THAT WE DID IT FAST AND NOT THAT WE DID IT THE MOST, BUT THAT WE DID IT THE BEST.

THAT'S WHY AUSTIN'S GOT A GOOD NUMBER TO START.

WELL, THANK YOU.

SHARING THAT'S THAT'S SPOT ON.

UM, AND, AND AS WE COME UP WITH MORE MEETINGS, UM, I DO THINK THAT FINDING WAYS TO MAKE SURE EVERYTHING WE PASS GETS IMPLEMENTED IS REALLY IMPORTANT BECAUSE THE ONLY WAY FOR THE THEORY TO HOLD TRUE, THAT THERE'S GOING TO BE FEWER NINE 11 CALLS AND LESS HARM IS IF THE THINGS WE REINVESTED MONEY INTO ARE IMPLEMENTED CORRECTLY, THOROUGHLY AND ON SCHEDULE.

UH, WE ACTUALLY HAVE

[01:45:01]

TO GET THE, UM, HOMELESSNESS SOLUTIONS ONLINE AT A FASTER CLIP THAN WE'VE BEEN ABLE TO BEFORE WE HAVE TO GET THIS MENTAL HEALTH RESPONSE GOING, UH, AT SCALE AND, UH, AND RAMPED UP THE WAY DESCRIBED.

WE HAVE TO ACTUALLY GET THE FAMILY VIOLENCE SHELTER OPEN AND STAFFED AND GET THAT RFP.

YOU KNOW, WE HAVE TO DO, WE HAVE TO DO THOSE THINGS BECAUSE OTHERWISE, UH, THE STRUCTURE OF WHAT THE COUNCIL PUT TOGETHER ONLY WORKS.

IF WE ACTUALLY ARE, ARE PREVENTING THE VIOLENCE AND HARM, YOU ARE PROACTIVE INTERVENTIONS, WHICH WAS PART OF THE PROMISE.

UM, AND SO US CONTINUING TO HAVE THESE MEETINGS, UH, UH, I THINK IS A HELPFUL WAY SO THAT WE ALL CAN CHECK IN ON PROGRESS, HOLD OURSELVES ACCOUNTABLE AND GET IT DONE.

SO, SO AGAIN, I'M SO GRATEFUL, UM, FOR, FOR HAVING SORT OF REVIVE THIS COMMITTEE, UH, IN THIS WAY.

AND SO THANKS TO EVERYBODY FOR PARTICIPATING FOREVER.

CAUSE REMEMBER HARPER, MADISON, ALL, UH, THANK YOU CHAIR.

I COULDN'T BE MORE GRATEFUL TO BE SURROUNDED BY PEOPLE WHO ARE SO MUCH MORE ELOQUENTLY SPOKEN THAN I AM.

SOMEBODY SAID THE OTHER NIGHT, YOU DON'T WANT TO FOLLOW COUNCIL MEMBER, HARTFORD, MADISON, BUT I JUST, I JUST SAY WHAT I'M THINKING AND I SAY WHAT I'M FEELING, AND THAT IS NOT ALWAYS A GOOD THING.

SO I WILL SAY THAT I APPRECIATE THAT.

I HAVE COLLEAGUES WHO SAY THINGS THAT ARE JUST SO MUCH MORE ELOQUENTLY SPOKEN.

UM, YOU AND COUNCIL MEMBER, CASARA BOTH MADE REFERENCE TO THINGS THAT ARE, I THINK PEOPLE REALLY, REALLY NEED TO KNOW.

UM, AND AT THE END OF THE DAY, IF WE HAD TO MAKE A SHORT STORY LONG, WHAT WE'RE TELLING FOLKS IS WE HEAR YOU.

WE SEE YOU, YOU ARE IMPORTANT, YOU'RE VALUED.

AND YOUR CONTRIBUTION TO THE CONVERSATION IS NOT LOST US.

AND I'M NOT JUST TALKING ABOUT THE PEOPLE.

I'M NOT JUST TALKING ABOUT THE GAPS.

AND THE TRUTH OF THE MATTER IS THERE'S NO DIFFERENT THERE'S, THERE'S NO SPACE WHERE THE COPS AND THE PEOPLE ARE SEPARATE FOLKS.

THEY'RE THE SAME PEOPLE.

THERE'S THE PEOPLE THAT LIVE IN YOUR NEIGHBORHOODS.

THEY'RE THE PEOPLE WHO SERVE PROUDLY SERVE THEIR COMMUNITIES.

THERE'S NO DIFFERENCE.

SO WHEN PEOPLE SAY THIS CRAZY THING ABOUT LIKE EITHER SIDE OR ONE SIDE OR THE OTHER, WHAT ARE YOU TALKING ABOUT? WE'RE ALL THE SAME PERSON.

IT'S ALL THE SAME PEOPLE.

THERE'S NO OPPOSING SIDES BY WAY OF US TALKING ABOUT THE RELEVANCE OF THE PEOPLE WHO SERVE OUR COMMUNITY AND THE PEOPLE WHO LIVE IN OUR COMMUNITIES, IT'S ALL THE SAME PEOPLE.

SO I REALLY APPRECIATE THAT.

Y'ALL ARE SO SMART AND SO COMPETENT AND SO CAPABLE AND SAY THINGS IN A WAY THAT I DON'T ALWAYS HAVE THE ABILITY TO SAY.

UM, THANK YOU TO ALL THE FOLKS WHO SHOW UP.

I'M TALKING ABOUT MY COLLEAGUES THAT I SEE NINE, EIGHT, AND, AND A KID.

I SEE YOU CAN'T DON'T RUN AWAY.

UM, AND A KID THANK Y'ALL FOR SHOWING UP ALL THE TIME TO DO THIS REALLY HARD JOB.

AND I WOULD EXTEND THAT TO SAY, THANK YOU TO LAW ENFORCEMENT OFFICERS AND PEOPLE IN THAT PUBLIC SAFETY PROFESSIONAL PERSPECTIVE.

THANK YOU ALL FOR SHOWING UP TO DO A REALLY HARD JOB.

IF ANYBODY HAS TOLD YOU THAT THE COUNCIL, WE AS A BODY, WE DON'T LIKE YOU.

WE HATE YOU.

WE, WHATEVER THE NASTY THING IS THAT THEY TOLD YOU, PLEASE WALK THAT BACK.

DON'T LISTEN TO THESE PEOPLE THAT ARE TELLING YOU THINGS THAT AREN'T TRUE.

WE ALL DO A REALLY HARD JOB.

AND WE INCLUDE YOU IN THAT PERSPECTIVE, IN TERMS OF CONSIDERATION, WE KNOW THAT YOU DO A REALLY HARD JOB, TOO.

WE'RE ALL DOING REALLY HARD JOBS AND WE ALL DO IT.

MOST OF US DO IT BECAUSE WE BELIEVE IN THE WORK WE BELIEVE IN THE PEOPLE THAT WE REPRESENT AND SHOW UP FOR.

SO KEEP SHOWING UP, KEEP REPRESENTING, AND LET'S KEEP TALKING TO ONE ANOTHER BECAUSE IF WE DON'T, THEN PEOPLE SAY THINGS THAT AREN'T TRUE.

AND THEN, AND THEN THE LITTLE DOG, AND THEN YOU MAY OR MAY NOT BELIEVE IT DON'T BELIEVE THINGS THAT AREN'T TRUE.

WE APPRECIATE YOU.

WE APPRECIATE ALL OF US DOING THESE HARD PUBLIC SERVICE JOBS.

YOU THINK WE MAKE ENOUGH MONEY TO DO THESE JOBS FOR EGO.

GET OUT OF HERE WITH THAT.

WE DON'T EVEN MAKE ENOUGH MONEY TO DO THESE JOBS FOR EGO.

WE DO IT BECAUSE WE BELIEVE IT'S THE RIGHT THING TO DO.

SO THANK EVERYBODY WHO KEEPS SHOWING UP TO DO THE HARD JOBS FOR NOT ENOUGH MONEY.

AND WITH THAT, THANK YOU, JANE.

I APPRECIATE YOU RECOGNIZING ME.

THANK YOU, COUNCIL MEMBER.

ANY OTHER FINAL COMMENTS OR QUESTIONS? THAT'S A PERFECT, PERFECT PLACE TO END ASSISTANT CHIEF

[01:50:01]

CHECON AND HOFFMEYER HOFFMEISTER AND, UH, UH, SERGEANT KING AND LIEUTENANT MURPHY AND DAWN.

UH, THANK YOU ALL FOR JOINING US IN OUR MEETING TODAY.

I THINK THIS WAS REALLY PRODUCTIVE.

LOT OF GREAT WORK, INTEGRAL CARE IS DOING GREAT STUFF.

I'M GLAD THAT WE WERE ABLE TO MOVE THE NEEDLE ON THESE INVESTMENTS LAST WEEK.

AND IT SOUNDS LIKE THERE'S A LOT MORE WORK YET TO BE DONE.

OF COURSE, WE ALREADY ALL KNEW THAT.

SO WITHOUT OBJECTION, IT IS 4:24 PM.

WE ARE ADJOURNING THIS MEETING, THE PUBLIC SAFETY COMMITTEE.

THANKS EVERYBODY.

ROSIE.

I'M HUNGRY.

I GOT A HAND GRIP.

HOW ABOUT SOME TEXMEX? SO HE MANAGED TO BEAT THAT OR TO STEP IN AT THE BROKEN SMOKE.

YOU KNOW, HE PLAYS AT A THURSDAY NIGHT.

LET'S NOT BURN OURSELVES OUT.

WE BETTER PACE OURSELF.

IT'S NOT IN THE WEEKEND YET.

I KNOW WHEN JOEY LEE'S AT THE CACTUS, LET'S GO SIT IN ROSIE.

OH, I CAN FEEL THE SPIRIT OF DOUG'S SONG.

WHAT A GREAT PLACE TO LIVE.