* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.
          [00:00:03]
          WE ARE LIVE. 
          HI. 
          GOOD AFTERNOON EVERYBODY. 
          WELCOME TO THE JUNE 11TH SPECIAL MEETING OF THE COMMUNITY HEALTH AND EQUITY COMMITTEE. 
          IT IS OUR LAST MEETING BEFORE WE MOVE INTO OUR, UH, SUMMER COUNCIL BREAK. 
          AND I JUST, UH, I AM SO GRATEFUL THAT MY COLLEAGUES AND THE COMMITTEE MEMBERS ARE HERE WITH US TODAY. 
          UH, I KNOW, UM, I KNOW THINGS ARE TURNING OVER AND I'M JUST REALLY GLAD THAT, THAT YOU ARE WITH US, BECAUSE I THINK THE ITEMS WE'RE GONNA HEAR TODAY ARE REALLY NOT JUST IMPORTANT, BUT ALSO INSPIRING. 
          SO, SO THANK YOU FOR JOINING US AND, UH, WE'LL START WITH A ROLL CALL. 
          COUNCIL MEMBER SHIRLEY GONZALEZ, COUNCIL MEMBER, UH, ANDREW SULLIVAN HERE. 
          UH, COUNCIL MEMBER, UH, GRO COUNCIL MEMBER TREVINO AND CHAIR, UH, SANDOVAL HERE, MADAM, WE HAVE A QUORUM. 
          THANK YOU. 
          THANK YOU SO MUCH, NANCY. 
          UM, I'M HAVING A LITTLE DIFFICULTY HEARING YOU, BUT I THINK THAT'S PROBABLY YOUR ONLY SPEAKING ROLE, RIGHT? SO, WE'LL, WE'LL BE OKAY AFTER THAT. 
          CORRECT. 
          OTHER THAN TO CONFIRM WE DON'T HAVE ANYONE SIGNED UP TO SPEAK. 
          WE DON'T HAVE ANY E-COMMERCE MINUTES. 
          THANK YOU. 
          ALL RIGHT. 
          THANK YOU. 
          [1. 21-4293 Approval of the meeting minutes from the April 22, 2021 Community Health and Equity Committee Meeting.]
UM, TODAY WE WILL BE, UM, LET'S SEE. 
          WE'LL START WITH THE APPROVAL OF THE MEETING MINUTES FROM APRIL 22ND, 2021. 
          IF I COULD HAVE A MOTION. 
          MOTION. 
          SO, I'M SORRY, WAS THERE A SECOND? SECOND. 
          ALL RIGHT. 
          NANCY, DID YOU CATCH THE MOTION IN THE SECOND COUNCIL MEMBER GONZALEZ MOTIONING, UH, COUNCIL MEMBER ANDREW SECOND. 
          THANK. 
          OKAY, GREAT. 
          THANK YOU. 
          ALL THOSE IN FAVOR, PLEASE SAY AYE. 
          AYE. 
          ANY OPPOSED? UNANIMOUS. 
          GREAT, THANK YOU. 
          UM, SO AGAIN, I WANNA THANK EVERYONE FOR, FOR BEING HERE TODAY. 
          UH, I WILL ALSO REPORT THAT WE'RE GOING TO MOVE THE ORDER OF THE ITEMS. UH, WE WILL BEGIN WITH THE MEADOWS 
          [3. 21-4286 Briefing on the Meadows Mental Health Policy Institute (MMHPI) Draft Report on the City of San Antonio first response system. [Dr. Colleen Bridger, MPH, Ph.D, Assistant City Manager]]
MENTAL HEALTH POLICY INSTITUTE REPORT. 
          SO THAT'S ITEM THREE. 
          WE WILL BE TAKING THAT FIRST, AND THEN WE'LL CONTINUE ON, UH, AS, AS SCHEDULED OR AS AGENDAS AND, UH, HAPPY PRIDE MONTH TO EVERYBODY, UH, INCLUDING OF COURSE OUR LGBTQ PLUS COMMUNITY. 
          SO I'LL TURN IT OVER TO, UH, DR. 
          BRIDGER. 
          THANK YOU, COUNCILWOMAN. 
          UM, SO TODAY'S FIRST PRESENTATION IS BY MEADOWS MENTAL HEALTH POLICY INSTITUTE. 
          UH, THE CITY CONTRACTED WITH THEM TO DO AN ASSESSMENT OF ALTERNATIVE RESPONSE OPTIONS FROM MENTAL HEALTH RELATED CALLS TO 9 1 1. 
          UM, THE PROJECT IS ACTUALLY DUE TO BE COMPLETE IN AUGUST, SO THEY ARE PRESENTING A DRAFT OF THEIR RESULTS TO DATE. 
          UH, I, I THINK EVERYBODY RECOGNIZES THAT THE MENTAL HEALTH SYSTEM IN GENERAL WAS INSUFFICIENT PRIOR TO THE PANDEMIC AND POST PANDEMIC. 
          IT IS IN CRISIS. 
          UH, THE FIRST TWO PRESENTATIONS TODAY WILL TOUCH ON ASPECTS OF MENTAL HEALTH REFORM BEING LED BY THE CITY. 
          THE LARGER MENTAL HEALTH REFORM CONVERSATIONS ARE BEING LED BY THE COUNTY THROUGH JUDGE WOLF'S TASK FORCE ON MENTAL HEALTH. 
          THE TASK FORCE WILL PRESENT ITS RECOMMENDATIONS TO COMMISSIONERS COURT IN AUGUST, SO WE WILL HAVE A LOT MORE INFORMATION ABOUT THE DIRECTION OF THAT REFORM THEN. 
          SO I JUST WANTED TO SET THE BIGGER PICTURE STAGE FOR THE NEXT TWO PRESENTATIONS THAT WE'LL TALK A LOT ABOUT MENTAL HEALTH. 
          UM, THE MEADOWS PRESENTATION. 
          SO THE FIRST ITEM IS BEING PRESENT. 
          THE, THE PRESENTATION IS BEING LED BY BJ WAGNER AND A LITTLE BIT ABOUT BJ. 
          SHE POSSESSES A UNIQUE BLEND OF FIRSTHAND LAW ENFORCEMENT EXPERIENCE AND A DEEP KNOWLEDGE OF POLICE POLICY AND OPERATING PROCEDURES, PROGRAM EVALUATION, TECHNICAL ADVISING, AND PROCEDURAL REVIEWS. 
          UM, A LEADER IN LAW ENFORCEMENT POLICY, HER 2019 REVIEW OF THE AUSTIN POLICE DEPARTMENT RESULTED IN SIGNIFICANT DEPARTMENTAL POLICY IMPROVEMENTS REGARDING THE CITY'S AUDIT RESPONSE AND ITS CAPACITY TO CAPABLY DEAL WITH MENTAL HEALTH RELATED SITUATIONS. 
          AND AS THE PRIMARY ARCHITECT OF TEXAS'S FIRST MULTIDISCIPLINARY RESPONSE TEAM, WHICH, UM, IS DALLAS'S RIGHT CARE PROGRAM, AN ENGINEER OF MANY OF TEXAS'S PRISON REENTRY SYSTEMS, HER WORK HAS LED TO THE DEVELOPMENT 
          [00:05:01]
OF NATIONALLY RECOGNIZED AND INTERNATIONALLY AWARDED LAW ENFORCEMENT, CRIMINAL JUSTICE CRISIS INTERVENTION AND RESPONSE SYSTEM. 
          BJ'S, A SENIOR FELLOW OF JUSTICE SYSTEM POLICY FOR MEADOWS MENTAL HEALTH POLICY INSTITUTE, AND THE EXECUTIVE DIRECTOR OF THE CARUTH POLICE INSTITUTE AT THE UNIVERSITY OF NORTH TEXAS DALLAS. 
          SO, WITH THAT, BJ, I'M GONNA TURN IT OVER TO YOU. 
          THANK YOU, AND GOOD AFTERNOON, EVERYBODY. 
          WE REALLY APPRECIATE THE OPPORTUNITY TO BE ABLE TO PRESENT THESE DRAFT FINDINGS AND, UM, PRELIMINARY CONSIDERATIONS REGARDING THE MENTAL HEALTH ALTERNATIVE RESPONSE OR THE EMERGENCY RESPONSE HAPPENING IN SAN ANTONIO. 
          BEFORE I BEGIN THE PRESENTATION, THOUGH, I DO WANNA ASK MY COLLEAGUE, DR. 
          MATTHIAS, IF THERE'S ANYTHING SHE WOULD LIKE TO SAY ABOUT THE ASSESSMENT BEFORE WE JUST GO RIGHT INTO THE PRESENTATION. 
          NOW I AM READY FOR THE PRESENTATION. 
          I THINK YOU'RE ALL GOING TO BE EXCITED, UM, WITH THE FINDINGS. 
          ONE THING I DO WANNA SAY IS MY ABSOLUTE GRATITUDE TO CHIEF FOX AND THE SS A P D. 
          THEY HAVE BEEN THE BEST PARTNERS IN THIS WORK, AND WE'RE JUST EXCITED TO SHARE WITH YOU, UM, WHAT WE FOUND. 
          I AGREE, WE WORK WITH POLICE DEPARTMENTS ALL OVER THE STATE AND COUNTRY, AND I HAVE TO SAY THAT CHIEF FOX AND HER TEAM HAVE BEEN MORE RESPONSIVE THAN ANY DEPARTMENT WE'VE WORKED WITH IN A VERY LONG TIME, AND EXTRAORDINARILY PATIENT AND VERY HELPFUL WITH THE DATA THAT WE HAVE ASKED FOR. 
          WITH THAT, CAN WE ADVANCE TO THE FIRST SLIDE? WHEN WE CONSIDER, UH, LOOKING AT POLICING DATA AND DESIGNING POLICING PROGRAMS, THERE IS OF COURSE A STRONG IMPORTANCE IN MAKING SURE THAT WE GET IT RIGHT. 
          UH, WE WANT TO MAKE SURE THAT ANY PROGRAM OR ANY RECOMMENDATION THAT WE DO DESIGN IS BASED ON DATA SO THAT IT CAN DO THESE FIVE CORE THINGS, INCREASE EFFICACY, INCREASE EFFECTIVENESS. 
          WE WANNA IDENTIFY REAL PROBLEMS NOT ONLY WITH THE CURRENT RESPONSE, BUT PROBLEMS THAT ARE UNMET BY MEMBERS OF YOUR COMMUNITY SO THAT WE CAN REDUCE OR ELIMINATE TRAGIC OUTCOMES. 
          WE WANNA ENSURE THAT PROGRAMS MEANINGFULLY CONNECT TO THE COMMUNITY. 
          AND WE ALSO DO SO IN SUCH A WAY THAT ASSIST DEPARTMENTS AND MUNICIPALITIES AS WELL AS OTHER REGIONAL AREAS, AND GAINING INTERNAL INSIGHTS SO THAT YOU'RE NOT STUCK WITH A MODEL THAT DOESN'T GROW WITH YOUR COMMUNITY, OR YOU'RE NOT SO CONCRETED INTO A MODEL THAT, UM, IS JUST EXPENSIVE AND ARCHAIC AFTER JUST A COUPLE OF YEARS. 
          BECAUSE THIS PARTICULAR ASSESSMENT IS LOOKING AT MENTAL HEALTH EMERGENCY RESPONSES, YOU'LL SEE THAT THIS DATA OVERLAYS IN SUCH A WAY WHERE WE CONSIDER A COUPLE OF THINGS. 
          WE CONSIDER THE OVERALL CALL BURDEN TO THE POLICE DEPARTMENT AS A WHOLE. 
          SO YOU WON'T SEE US LOOKING AT CRISIS INTERVENTION TEAM OR SPECIALTY MODEL DATA BECAUSE THOSE TEAMS ARE ORGANIZED TO BE HIGH PRODUCING IN THIS AREA. 
          THE POLICE DEPARTMENT ITSELF SHOULD NOT BE HIGH PRODUCING IN MENTAL HEALTH EMERGENCY RESPONSE. 
          WE WANNA DIVERT THAT AWAY ANYTIME THERE'S NOT A PUBLIC SAFETY RISK. 
          SO WE'LL BE LOOKING AT DATA THAT IS A WHOLE DATA FROM YOUR POLICE DEPARTMENT. 
          WE WANNA ENSURE THAT IT IS INCREASING GOAL NUMBER ONE, EFFICIENCY. 
          SO WE'LL BE CONSIDERING THIS DATA IN THE REALM OF RESPONSE TO RESISTANCE AND USE OF FORCE AS WELL, SO THAT WE HAVE A BETTER IDEA OF WHEN AND WHERE CALLS CAN BE DIVERTED AWAY FROM A PUBLIC SAFETY RESPONSE. 
          AND THEN WE WANNA MAKE SURE THAT IT'S CONNECTS WITH COMMUNITY. 
          SO WE'LL BE LOOKING AT THE TYPES OF CALLS THAT MOST FREQUENTLY OVERLAY WITH A MENTAL HEALTH EMERGENCY IN SAN ANTONIO. 
          CAN WE HAVE THE NEXT, UH, THE NEXT SLIDE, AND WE'LL PASS BY THAT ONE VERY RAPIDLY TO SLIDE NUMBER FOUR. 
          SO, FREQUENCY DATA, OUR FIRST TASK IS TO DETERMINE WHEN DOES A MENTAL HEALTH CALL HAPPEN MOST OFTEN IN THE CITY OF SAN ANTONIO. 
          AND, AND AS YOU CAN SEE HERE, IT HAPPENS MOST OFTEN BETWEEN 10:00 AM AND 7:00 PM MONDAY THROUGH FRIDAY. 
          OF COURSE, THE SATURATION IS GREATER TUESDAY THROUGH THURSDAY. 
          THIS IS NOT UNCOMMON. 
          WE SEE THIS FREQUENTLY IN PUBLIC SAFETY DATA THAT THESE CALLS ARE NOT A 24 7 ISSUE, AND THEY OFTEN ARE NOT AN ISSUE ON WEEKENDS. 
          WE SEE A LOT OF ORGANIZATIONS OR MUNICIPALITIES WILL DESIGN PROGRAMS THAT ARE RUNNING 24 HOURS A DAY, SEVEN DAYS A WEEK. 
          THEY'LL DOUBLE UP THESE PROGRAMS ON THE WEEKEND BECAUSE OF THE MYTHOLOGY THAT MENTAL HEALTH EMERGENCIES ARE HAPPENING ON THAT CYCLE. 
          BUT WHEN WE VERY CAREFULLY LOOK AT IT, WE CAN SEE THAT IT IS PREDICTABLE. 
          THIS IS, UH, TWO AND A HALF YEARS WORTH OF DATA. 
          SO WE CAN SEE THAT IT IS PREDICTABLE FROM 10:00 AM TO 7:00 PM BUT IT'S ALSO IMPORTANT TO NOTE THAT WHEN YOU LOOK AT GENERAL POLICING DATA, THIS IS ALSO THE TIME WHERE GENERAL CALLS FOR SERVICE TEND TO BE THE HIGHEST. 
          SO WHERE YOUR POLICE DEPARTMENT IS TRYING TO ENGAGE IN ACTIVITIES TO REDUCE CRIME RATES TO ANSWER PRIORITY ONE AND TWO CALLS FOR SERVICE TO ANSWER CALLS FOR SERVICE THAT HAVE HIGH LEVELS OF VICTIMIZATION TO IMPROVE TRAFFIC SAFETY, REDUCE TRAFFIC FATALITIES WHEN THEY'RE REALLY FOCUSING ON THOSE THINGS, IS WHEN THESE CALLS ARE ALSO AT THEIR 
          [00:10:01]
HIGHEST AND MOST FREQUENT. 
          AND I THINK ANY OFFICER WOULD TELL YOU THAT THESE CALLS CAN BE SOME OF THE MOST TIME CONSUMING CALLS THAT AN OFFICER IS FACED WITH. 
          CAN WE ADVANCE TO THE NEXT SLIDE? ONCE WE KNOW WHEN IT'S HAPPENING AS A WHOLE, WE WANNA SPLIT IT UP INTO THE THREE TYPES OF MENTAL HEALTH CALLS THAT SAN ANTONIO PD IDENTIFIES, AND THAT'S MENTAL HEALTH DISTURBANCE, MENTAL HEALTH ROUTINE, AND A MENTAL HEALTH IN PROGRESS. 
          KEEP IN MIND AS WE GO THROUGH THIS PRESENTATION, THAT A MENTAL HEALTH DISTURBANCE WILL HAVE THE HIGHEST LEVEL OF ACUITY, THE HIGHEST LEVELS OF, UM, UNPREDICTABLE VOLATILITY, AND PROBABLY TAKE THAT OFFICER THE LONGEST AMOUNT OF TIME TO RESOLVE BEFORE RETURNING TO PUBLIC SAFETY ISSUES. 
          SO WHEN WE NARROW THIS DOWN, WE CAN SEE THAT TWO TYPES OF CALLS TAKE ON THE HIGHEST CALL SATURATION, AND THAT'S MENTAL HEALTH DISTURBANCE AND MENTAL HEALTH ROUTINE. 
          BUT THERE IS A DIFFERENCE. 
          WHILE MENTAL HEALTH ROUTINE HAS A HIGHER LEVEL OF SATURATION AROUND 11:00 AM TO 1:00 PM IT STARTS TO TO DISSIPATE AFTER THAT. 
          AND YOU CAN SEE IN THE EVENING HOURS, MENTAL HEALTH ROUTINE CALLS ARE REALLY NO LONGER A CALL LOAD BURDEN TO THE POLICE DEPARTMENT. 
          BUT MENTAL HEALTH DISTURBANCE THOSE CALLS WITH A HIGHER RISK OF, UM, USE OF FORCE, HIGHER RISK OF VOLATILITY, AND A LOT LESS PREDICTABILITY CONTINUE ON UNTIL WELL AFTER 9:00 PM. 
          SO MENTAL HEALTH DISTURBANCE CALLS ARE REALLY ONE OF THE MOST CALL LOAD BURDENSOME ACTIVITIES IN THIS SPECTRUM FOR THE POLICE DEPARTMENT, AND IT TAKES PLACE FOR A MUCH LONGER PERIOD OF THE DAY. 
          COULD I, I'M SORRY. 
          COULD I ASK FOR ONE, UH, CLARIFICATION BEFORE WE MOVE ON? COULD YOU PLEASE EXPLAIN MENTAL HEALTH AND PROGRESS VERSUS MENTAL HEALTH ROUTINE MENTAL HEALTH ROUTINE AS IT WAS DESCRIBED TO US IN CHIEF BOXES ON, SO CHIEF, IF I GET THIS WRONG, PLEASE CORRECT ME. 
          MENTAL HEALTH ROUTINE IS A FOLLOW-UP CALL WHERE, UH, THAT THAT ADDRESS IS KNOWN SOMETHING HAS HAPPENED THERE BEFORE. 
          THEY DON'T BELIEVE THAT THERE'S A RISK FOR A VOLATILITY INVOLVED IN THAT. 
          MENTAL HEALTH AND PROGRESS IS A MENTAL HEALTH CALL WHERE THE OFFICER IS ACTIVELY ENGAGED IN PERHAPS COMPLETING AN EMERGENCY DETENTION, UM, ENGAGING SOMEBODY FOR THE FIRST TIME, THAT SORT OF THING. 
          CHIEF FOX DID I DO WELL ON THAT? YOU PASSED. 
          THANK YOU, . 
          SO IF WE COULD ADVANCE TO THE NEXT SLIDE VERY QUICKLY AND THEN ONTO THE NEXT DATA SLIDE. 
          UH, WE'RE GONNA LOOK AT, UH, THE LOCATION OF WHERE THESE CALLS ARE TAKING PLACE NOW. 
          SO WE KNOW THE TIME OF DAY, AND NOW WE WANNA KNOW, UH, AND THE, AND THE TYPE OF CALL THAT IS MOST BURDENSOME. 
          BUT NOW WE WANNA KNOW WHERE IF WE WERE TO JUST TARGET, UH, JUST SPECIFIC LOCATIONS OR JUST SPECIFIC PATROL BATTALIONS IN THE CITY, WHAT WOULD THOSE BE? AND, YOU KNOW, BEING A HEAT MAP, THE DARKER RED COLORS OF COURSE MEAN MORE ACTIVITY. 
          SO IT'S IMMEDIATELY EVIDENT THAT CENTRAL AND CREW ARE THE TWO PATROL BATTALIONS IN YOUR CITY THAT ACCOUNT FOR THE GREATEST NUMBER OF MENTAL HEALTH EMERGENCY CALLS. 
          AND THOSE TIME OUTLINES FOR THOSE CALLS ARE CONSISTENT WITH WHAT WE SAW IN THE AGGREGATES. 
          SO ABOUT 10 O'CLOCK IN THE MORNING UNTIL SEVEN O'CLOCK IN THE EVENING AS A WHOLE WITH DISTURBANCE CALLS CARRYING ON UNTIL NINE O'CLOCK OR A LITTLE LATER. 
          AND YOU CAN SEE FOR THE REST OF THE CITY, WHILE THEY HAVE SOME PINK ACTIVITY, THERE'S NEVER REALLY A HIGH SATURATION, UM, OUTSIDE OF THESE TWO AREAS, CENTRAL AND FRUIT. 
          AND NEXT SLIDE. 
          SO NOW THAT WE KNOW THE TIME OF DAY AND WE CAN NARROW IT DOWN TO THE PATROL BATTALIONS, WE WANNA LOOK EVEN MORE CLOSELY AND SEE WHERE CALLS ARE HAPPENING, UH, BY SPECIFIC GEOGRAPHIC LOCALE. 
          SO BY ZIP CODE. 
          AND WE CAN SEE THAT TWO ZIP CODES IMMEDIATELY EMERGE AS THE FRONT RUNNERS, IF YOU WILL. 
          AND THAT'S 7 8 2 0 7 AND 7 8 2 2 9. 
          KEEP 7 8 2 0 7 IN MIND. 
          AS WE GO THROUGH THE NEXT COUPLE OF SLIDES, YOU'LL SEE THAT IT HAS A REALLY INTERESTING MIX OF NEEDS AND VARIANTS WHILE 7 8 2 2 9. 
          WE CAN EXPLAIN THAT ONE VERY QUICKLY WHEN WE GET TO THE TYPE OF CALLS THAT ARE MAKING UP THE MAJORITY HAPPENING IN THAT AREA. 
          BUT 7 8 2 0 7, AS YOU'LL SEE, IS A PRIMARY AREA OF INTEREST FOR MENTAL HEALTH EMERGENCY CALLS. 
          AND AGAIN, PLEASE REMEMBER, THIS IS FOR THE ENTIRE PATROL OF SAN ANTONIO PD AND NOT YOUR SPECIALIZED PROGRAMS. NEXT SLIDE. 
          SO WE WANNA LOOK AT MENTAL HEALTH ROUTINE CALLS, AND WE CAN SEE THAT MENTAL HEALTH ROUTINE CALLS ARE REALLY ONLY HAPPENING WITH ANY INTEREST IN ONE AREA OF THE CITY. 
          AND THAT'S 7 8 2 2 9. 
          THERE WERE 2,460 OF THESE CALLS IN THE 7 8 2 2 9 ZIP CODE, WHILE THE VERY NEXT AREA OF INTEREST ONLY HAD 1,259. 
          SO DURING THIS DATA COLLECTION PERIOD, ZIP CODE 7 8 2 2 9 HAD 1200 MORE MENTAL HEALTH ROUTINE CALLS THAN THE NEXT HIGHEST ZIP CODE IN THE CITY. 
          SO VERY MANY MORE THAN ANY 
          [00:15:01]
OTHER ZIP CODE IN THE CITY. 
          AND IT ACTUALLY ACCOUNTED FOR THE ONLY STATISTICALLY SIGNIFICANT AREA OF THE CITY THAT HAD MENTAL HEALTH ROUTINE CALLS. 
          UH, WHEN WE PRO UH, REVIEWED THIS DATA WITH CHIEF FOX, SHE POINTED OUT THAT THERE'S A ME THIS IS THE MEDICAL DISTRICT, SO THIS IS WHERE THERE'S A GREAT NUMBER OF HOSPITALS. 
          SO THAT MAKES REALLY GOOD SENSE THAT 7 8 2 2 9 WOULD BE A MENTAL HEALTH ROUTINE AREA OF INTEREST. 
          THERE'LL BE EMERGENCY DETENTIONS THERE, THERE'LL BE OFFICERS ENGAGING WITH SOMEBODY, UM, HELPING THEM GET THROUGH THAT EMERGENCY DETENTION PROCESS. 
          PERHAPS OFFICERS EVEN HAVE TO CHECK OUT AT THAT HOSPITAL FOR HOURS AND HOURS AT A TIME OR RESPOND IF SOMEBODY HAS GONE TO THE EMERGENCY ROOM VOLUNTARILY AND HAS DECOMPENSATED WHILE THEY'RE, AND NOW SECURITY OF THOSE HOSPITALS MAY BE CALLING FOR ASSISTANCE. 
          BUT IT REALLY MAKES SENSE KNOWING THIS IS A MEDICAL DISTRICT, THAT THIS IS A, UM, STATISTICALLY SIGNIFICANT AND HEAVILY SATURATED AREA THAT ACCOUNTS FOR THE MAJORITY OF ALL OF THE CITY'S MENTAL HEALTH ROUTINE CALLS. 
          NEXT SLIDE. 
          AND THEN WE WANNA LOOK AT THE NEXT LEVEL OF ACUITY OR THE NEXT LEVEL OF INTENSITY OF MENTAL HEALTH CALLS, AND THAT'S MENTAL HEALTH IN PROGRESS. 
          AND YOU'LL SEE WE HAVE FIVE AREAS, UH, CIRCLED ON THE MAP HERE. 
          WHILE THEY MAY SEEM MORE GEOGRAPHICALLY DISPERSED ACROSS THE CITY, WE CAN SEE THAT EVEN IN THE AREAS WHERE THERE ARE, UM, AND I'M GOING TO A LARGER VIEW SO THAT I CAN, UH, ZOOM IN A BIT AND READ THESE ZIP CODES WITH A LITTLE BIT MORE CLARITY. 
          THOSE AREAS THAT ARE CIRCLED IN YELLOW 7 8 2 2 7 AND 7 8 2 2 3 ARE VERY LARGE GEOGRAPHIC AREAS. 
          THEY'RE MUCH LARGER THAN THE, THAN THE CONDENSED AREAS OF 7 8 2 0 7 2 2 8 AND 2 2 9. 
          THE REASON THAT'S IMPORTANT IS BECAUSE, FOR INSTANCE, 7 8 2 2 3 HAD 417 CALLS IN ALL OF THAT SPACE, WHEREAS 7 8 2 0 7 HAD 493 IN THAT VERY CONDENSED ZIP CODE 7 8 2 2 8 HAD 414, WHILE ITS NEIGHBOR 7 8 2 2 7 HAD 396. 
          SO YOU CAN SEE THAT DESPITE THOSE AREAS ARE LARGE AT FIRST GLANCE, YOU KNOW, YOU MAY THINK WE'VE GOTTA PUT SOME PREVENTIVE AR SOME PREVENTIVE MECHANISMS IN THESE LARGE ZIP CODES. 
          IT'S GONNA BE A BIG MANPOWER LIFT, BUT THEY'RE ACTUALLY VERY DISPERSED AND NOT AS NEARLY AS INTENSIVE AS THAT CENTRAL AREA OF YOUR CITY WHO HAD THE SAME AMOUNT OF CALLS IN VERY CONDENSED SPOTS. 
          SO IF WE WERE LOOKING PROGRAMMATICALLY AT THIS DATA, WE WOULD SAY WE RECOMMEND THOSE RED CIRCLED ZIP CODES BE YOUR PRIMARY AREA OF INTEREST. 
          THE CALLS ARE MORE FREQUENT, THEY'RE HAPPENING IN A MORE CONDENSED AREA. 
          THEY ARE FAR MORE CONGESTED THAN THEIR NEIGHBORS TO THE SOUTH. 
          NEXT SLIDE. 
          AND HERE'S WHERE WE REALIZED WHERE THE MAJORITY OF MENTAL HEALTH DISTURBANCE CALLS ARE HAPPENING. 
          THERE WAS ONLY ONE ZIP CODE THAT EMERGED AS SIGNIFICANT HERE, AND IT'S 7 8 2 0 7. 
          SO AS WE'VE GONE THROUGH LOOKING AT THE ZIP CODE DATA, 7 8 2 0 7 HAS BEEN A CONSISTENT PRESENCE HERE. 
          IT HAS A LOT OF CALLS. 
          IT RE IT ACCOUNTS FOR A LOT OF THE CONGESTION OF THESE CALLS, BUT NOW WE ALSO SEE THAT 7 8 2 0 7 ACCOUNTS FOR THE GREATEST NUMBER OF MENTAL HEALTH DISTURBANCE CALLS. 
          THESE ARE THE CALLS THAT HAVE THE GREATEST LEVEL OF INTENSITY AND THAT POSE THE MOST PUBLIC SAFETY NEEDS. 
          SO THESE ARE THE CALLS THAT WOULD REQUIRE THE MOST ATTENTION, UM, CERTAINLY WOULD REQUIRE THE MOST SPECIALIZED ATTENTION, BUT THEY'RE ALSO TAKING PLACE WHERE A LOT OF THESE OTHER THINGS ARE HAPPENING. 
          ROUTINE CALLS, CALLS IN PROGRESS, AND THAT SORT OF THING. 
          SO 7 8 2 0 7 IS CERTAINLY AN AREA OF INTEREST FOR PROGRAMMATIC DEVELOPMENT WHEN WE CONSIDER PREVENTION INTERVENTION AND IMMEDIATE RESPONSE. 
          NEXT SLIDE. 
          WHEN WE LOOK AT ANY KIND OF PROGRAM DESIGN WITH POLICING, WE ALWAYS CONSIDER RESPONSE TO RESISTANCE, AND WE DO THAT FOR SEVERAL REASONS. 
          BUT THE PRIMARY REASON HERE IS RESPONSE TO RESISTANCE IS AN INDICATOR OF THE TYPE OF INTENSITY OF THAT CALL. 
          WE KNOW THAT THERE ARE A LOT OF INTERESTED PARTIES THAT WANNA CONSIDER A CIVILIAN ONLY TYPE RESPONSE FOR MENTAL HEALTH EMERGENCY CALLS. 
          SO THE OVERLAY OF RESPONSE TO RESISTANCE HERE HELPS US DETERMINE WHEN IS THAT GONNA BE SAFE AND WHERE IS THAT GONNA BE SAFE? NOT ONLY SAFE FOR THE RESPONDERS, BUT SAFE FOR THE CITIZENS. 
          WE DON'T WANNA PUT THEM IN ANY ADDITIONAL RISK OF ESCALATED CHARGES, FURTHER PENETRATION INTO THE CRIMINAL JUSTICE SYSTEM OR ANYTHING LIKE THAT REGARDING ASSAULT CHARGES AND SUCH BECAUSE THE RESPONSE WASN'T CORRECT. 
          SO WE LOOK AT RESPONSE TO RESISTANCE TO DETERMINE THE BEST TYPE OF RESPONSE THAT SHOULD BE HERE, BUT ALSO THEN TAILOR THAT RESPONSE BECAUSE THE NEXT TIME WE LOOK AT THIS DATA, THE GOAL WOULD BE TO SEE A DRASTIC DROP IN THE NUMBER OF 
          [00:20:01]
RESPONSE TO RESISTANCE INCIDENTS ON MENTAL HEALTH EMERGENCIES. 
          WHEN WE DESIGN THESE PROGRAMS CORRECTLY. 
          THIS IS AN ABSOLUTE DATA VARIABLE THAT YOU NEVER WANNA LOSE SIGHT OF. 
          IF THIS VARIABLE'S NOT GOING DOWN, YOU SHOULD CONTINUE TO MERGE AND EVOLVE YOUR PROGRAM UNTIL IT DROPS THIS DATA POINT. 
          SO WE WERE ABLE TO RECOGNIZE TWO IMMEDIATE CORRIDORS, AND I I ALWAYS LOOK AT THEM FROM NOT NORTHWEST EAST OR SOUTH, BUT WHERE IS IT HAPPENING? AND HERE IT'S HAPPENING FROM THE WALGREENS TO THE GREYHOUND BUS STATION AND FROM A PRIVATE RESIDENCE BACK TO THAT GREYHOUND BUS STATION. 
          SO THAT CORRIDOR ACTUALLY WAS VERY PREDICTABLE FOR FREQUENT RESPONSE TO RESISTANCE WITH A MULTITUDE OF FORCE OPTIONS. 
          UM, NEXT SLIDE. 
          AND WE WANTED TO NARROW THIS DOWN A BIT BECAUSE THE CORRIDOR IS, WHILE IT'S IMPORTANT TO KNOW WHERE THAT IS, IT'S NOT NECESSARILY A, A RESOLVABLE ISSUE WHEN YOU HAVE THAT MUCH OF A GEOGRAPHIC REACH. 
          SO WE LOOKED AT THE MOST FREQUENT INSTANCES OF RESPONSE TO RESISTANCE ALONG THAT CORRIDOR AND FOUND THAT THEY'RE CONCENTRATED IN THE GEOGRAPHIC AREA CONSISTENT WITH DOWNTOWN, THE VERY SAME AREA WHERE YOU HAVE THE HIGHEST NUMBER OF MENTAL HEALTH DISTURBANCE CALLS. 
          THAT'S WHY I KEEP SAYING 7 8 2 0 7 IS A CONSIDERABLE AREA OF INTEREST BECAUSE YOU KIND OF HAVE A CONVERGENCE OF A LOT OF THE MENTAL HEALTH EMERGENCY CALLS WITH THIS HIGH UTILIZATION OF RESPONSE TO RESISTANCE AND FORCE OPTIONS FOR THOSE CALLS. 
          AND THAT INFORMS, AS YOU'LL SEE LATER, THE TYPE OF PROGRAM RECOMMENDATIONS WHICH ARE APPROPRIATE TO MEET THIS NEED. 
          NEXT SLIDE. 
          NOW, SAN ANTONIO POLICE DEPARTMENT, WHILE IT COLLECTS MENTAL HEALTH EMERGENCY DISTURBANCE AND ROUTINE, IT DOESN'T NECESSARILY HAVE A CODE THAT IS SPECIFIC TO IDENTIFYING ALL CALLS THAT HAD AN OUTCOME RELATED TO A MENTAL HEALTH EMERGENCY. 
          UM, POLICE DEPARTMENTS HAVE TO REPORT CERTAIN CRIME DATA, SO THEY CAN'T ALWAYS CHANGE THAT INITIATING CALL CODE, FOR INSTANCE, IF IT'S A BURGLARY, BUT THEN THE PERSON INSIDE WAS DISORIENTED, THOUGHT IT WAS HIS HOME BECAUSE OF PARANOIA OR BECAUSE OF HALLUCINATIONS, A POLICE DEPARTMENT CAN'T GO BACK AND SAY, THIS WASN'T REALLY A BURGLARY, THIS WAS A MENTAL HEALTH CALL, BECAUSE OF THE WAY THEY REPORT CRIME DATA. 
          SO WE OFTEN RECOMMEND THAT DEPARTMENTS HAVE A SECONDARY CODE OR AN OUTCOME CODE, A DISPOSITION CODE OF SOME SORT THAT WILL IDENTIFY ALL MENTAL HEALTH CALLS, EVEN WHEN THE CRIME DATA IS IN PLACE. 
          SO HERE, SINCE WE DIDN'T HAVE THAT OPPORTUNITY HERE, WE WANTED TO LOOK AT OVERLAY SO THAT WE COULD GET A BETTER IDEA OF WHEN MENTAL HEALTH CALLS WERE HAPPENING WITH ALL CALLS FOR SERVICE. 
          AND AGAIN, TO DETERMINE THE BEST TYPE OF RESPONSE RELATED TO RESIDENT OFFICER AND RESPONDER SAFETY. 
          SO WE LOOKED AT THE MOST COMMON LOCATION FOR SAN ANTONIO PD CALLS, AND AGAIN, IT WAS DOWNTOWN. 
          AND THIS AREA IS ALSO THE AREA CONSISTENT AGAIN WITH MENTAL HEALTH DISTURBANCE AND THE HIGHEST RATES OF FORCE RESPONSE. 
          UH, THE MOST COMMON LOCATION IS CONSISTENT WITH, UM, A LOT OF THINGS THAT HAVE GOTTEN OUR ATTENTION THROUGH THIS DATA. 
          LOOK, NEXT SLIDE. 
          WE DRILLED DOWN A LITTLE FURTHER INTO THAT TO SEE NOW THAT WE KNOW WE'RE SAN ANTONIO PDS CALLS ARE HAPPENING MOST OFTEN. 
          WHERE ARE THEY OVERLAPPING WITH WHERE MENTAL HEALTH CALLS ARE HAPPENING MOST OFTEN? AND THAT'S IN THESE FOUR PLACES. 
          THAT GREYHOUND BUS STATION, THAT IS THE NEXUS OF THE RESPONSE TO RESISTANCE CORRIDOR. 
          SEVEN OAKS APARTMENTS PARK ON BANDERA APARTMENTS AND THE RESERVES AT PECAN VALLEY APARTMENTS. 
          AND THIS, THIS TELLS US WHEN WE LOOK AT POLICING DATA KIND OF ACROSS THE UNIVERSE OF IT, WE KNOW THAT FOR CERTAIN TYPES OF CALLS, THEY ARE OFTEN HAPPENING IN CONCERT WITH MENTAL HEALTH EMERGENCIES. 
          BUT WE ALSO KNOW THAT WHEN POLICE ARE FREQUENTLY RESPONDING WITH CONSISTENCY TO THE SAME LOCALE OVER AND OVER AGAIN, THERE'S A LOT OF UNMET SOCIETAL NEEDS IN THAT SPECIFIC LOCALE THAT CAN BENEFIT FROM COMMUNITY BEHAVIORAL HEALTH INTERVENTION. 
          SO WHILE YOU MAY NOT BE SPECIFICALLY TARGETING A VIOLENT CRIME ISSUE OR A CRIME ISSUE, BY RECOGNIZING WHERE COMMUNITY NEEDS ARE MOST GREATLY UNMET, YOU CAN HAVE THAT DUAL IMPACT OF REDUCING FREQUENT CALL FOR SERVICE AS A WHOLE, REDUCING MENTAL HEALTH EMERGENCIES AND REDUCING LAW ENFORCEMENT'S RESPONSIBILITY FOR THOSE MENTAL HEALTH EMERGENCIES. 
          SO THESE FOUR AREAS WERE, WERE OF INTEREST FOR THOSE REASONS. 
          NEXT SLIDE. 
          ONCE WE KNEW THOSE FOUR AREAS FOR OUR FINAL PROGRAM DESIGN, WE WANTED TO KNOW WHAT KINDS OF CALLS ARE HAPPENING HERE. 
          SO THE KINDS OF CALLS THAT MOST FREQUENTLY OVERLAP WITH A MENTAL HEALTH CALL INCLUDE DISTURBANCE, DISTURBANCE, FAMILY, AND 9 1 1 HANGUP. 
          THESE ARE CALLS THAT ARE SOME OF THE MOST UNPREDICTABLE ONES FOR OFFICERS TO ANSWER. 
          A DISTURBANCE CALL IS SOMETHING THAT YOU NEVER REALLY KNOW WHAT'S HAPPENING UNTIL YOU GET THERE. 
          THEY CAN BE VOLATILE OR IT 
          [00:25:01]
CAN BE LOUD MUSIC. 
          UM, IT CAN END UP IN SIGNIFICANT FORCE OPTIONS ALL THE WAY TO LETHAL FORCE, UH, BEING UTILIZED. 
          OR IT CAN BE A NO REPORT. 
          THESE REPORTS, THESE KINDS OF CALLS ARE FREQUENTLY UNPREDICTABLE AS ARE DISTURBANCE, FAMILY, FAMILY DISTURBANCES OR CALLS THAT OFFICERS NEVER REALLY WANNA HAVE TO GET AN ANSWER SIMPLY BECAUSE OF THE DIFFICULTY TO PREDICT AND MANAGE THE VOLATILITY WHEN THEY ARRIVE. 
          BUT THAT ALSO LAYS OVER ONTO 9 1 1 HANGUPS. 
          IF YOU LOOK AT 9 1 1 HANGUP DATA ACROSS THE COUNTRY, YOU'LL SEE THAT THERE ARE FREQUENTLY OFFICER INVOLVED FORCE ENGAGEMENTS ON A 9 1 1 HANGUP CALL, OFTEN RELATED TO A FAMILY DISTURBANCE OR TO A BURGLARY. 
          AND SO ALL THREE OF THESE TYPES OF CALLS HAPPENING AT THESE FOUR LOCALES THAT OVERLAP HEAVILY WITH YOUR MENTAL HEALTH CALLS ARE NOT THE TYPE OF SITUATIONS THAT ARE OFTEN SAFE TO SEND FOLKS INTO UNLESS THEY HAVE A PUBLIC SAFETY BACKGROUND AND ROLE. 
          UH, NEXT SLIDE. 
          SO WE TAKE ALL OF THAT INFORMATION THAT IT SEEMS LIKE I JUST WENT THROUGH PRETTY QUICKLY, SO I'M ACTUALLY GONNA PAUSE HERE FOR A SECOND AND SEE IF ANYBODY HAS ANY QUESTIONS ABOUT THE DATA THAT WE'VE REVIEWED SO FAR. 
          CJ WE'LL PROBABLY WAIT UNTIL THE UNTIL THE END BECAUSE WE'RE GONNA HAVE A LOT OF QUESTIONS, I'M SURE. 
          THANK YOU. 
          SO WE TAKE ALL OF THE DATA THAT WE JUST LOOKED AT AND, YOU KNOW, CONSIDERING WHEN CALLS ARE HAPPENING AND HOW THAT IMPACTS POLICING SERVICES AS A WHOLE. 
          IT'S IMPORTANT TO CONSIDER, UH, WHEN MENTAL HEALTH CALL EMERGENCIES ARE MOST HEAVILY SATURATED WHEN IT DOES OVERLAY WITH THE SATURATION OF ALL FALLS, BECAUSE WE KNOW THAT WHEN OFFICERS HAVE A LOT OF CALLS PENDING, WHEN THERE'S THAT NEXT EMERGENCY THAT THEY HAVE TO GET TO, THEY'RE GONNA DISPOSE OF THE CALL ON HAND AS QUICKLY AS POSSIBLE. 
          SO WE KNOW THAT THAT USUALLY MEANS ARREST OR HOSPITALIZATION. 
          DIVERSION TAKES HOURS AND HOURS. 
          AND SO WHEN THESE MENTAL HEALTH CALLS ARE HAPPENING AT THE SAME TIME OF ALL OTHER CALLS, WE KNOW THAT THOSE OUTCOMES ARE NOT FREQUENTLY GONNA END IN DIVERSION. 
          WE LOOK AT THE FORCE OPTIONS, WE LOOK AT THE USE OF FORCE, AND WE LOOK AT HOW THEY OVERLAY WITH SOME OF THE MOST UNPREDICTABLE CALLS IN POLICING TO DEVELOP THESE RECOMMENDATIONS. 
          WE WOULD FIRST RECOMMEND THAT THE POLICE DEPARTMENT ADOPT THE REPORT MANAGEMENT SYSTEMS OR COMPUTED COMPUTER AUTOMATED DISPATCH PROCEDURES AND CODE FOR ALL CALLS THAT HAD A MENTAL HEALTH CARE NEED WITHOUT REGARD TO THE ORIGINATING CALL TYPE WITHOUT CHANGING THE ORIGINATING CALL TYPE. 
          AND I WOULD GO A LITTLE FURTHER THERE TO SAY THAT NOT ONLY SHOULD YOU HAVE THAT OPTION, IT SHOULD BE A MANDATORY ACTION ON BEHALF OF THE OFFICER. 
          OFTEN WHEN YOU TELL, UM, YOU KNOW, ANY, ANY LARGE PROFESSION YOU CAN DO THIS IS VERY DIFFERENT THAN TELLING THEM YOU SHALL DO THIS. 
          SO IF YOU REALLY WANTED TO COLLECT THIS DATA, IT SHOULD BE A SHALL INSTEAD OF SHOULD. 
          SO OFFICERS, YOU KNOW, SHOULD HAVE TO ENTER A MENTAL HEALTH CODE IF THAT CALL HAD A MENTAL HEALTH NEXUS TO IT WITHOUT REGARD TO WHAT THE ENDING CALL WAS, BUT THEN ALSO DEVELOP CLINICAL TRIAGE IN THE CALL CENTER, INCLUDING INCOMING CALL TRIAGE AND DISPATCH CONSULTATION FOR RESPONDING OFFICERS. 
          THERE ARE A LOT OF DEPARTMENTS ACROSS THE COUNTRY WHO ARE DEVELOPING CLINICAL TRIAGE IN THEIR CALL CENTER SO THAT THEY CAN DETERMINE IF THIS IS A MENTAL HEALTH CALL AND WHERE TO SEND THAT MENTAL HEALTH CALL TO. 
          BUT THERE'S NOT A LOT OF DEPARTMENTS IN THE COUNTRY WHO HAVE FULLY REALIZED THAT CONSULTATION ASPECT. 
          WE KNOW, WITHOUT A DOUBT, POLICE OFFICERS ARE ALWAYS GOING TO HAVE TO ANSWER A SECTION OF THESE MENTAL HEALTH CALLS. 
          THEY ARE NOT GOING TO BE SAFE FOR OTHER FOLKS TO ANSWER. 
          AND WE ALSO KNOW THAT POLICE OFFICERS ARE GONNA GET ON SCENE AND REALIZE LATER, THIS WAS A MENTAL HEALTH CALL. 
          THEY STILL NEED CONSULTATION DURING THOSE TIMES TO DECREASE THE RISK OF TRAGIC OUTCOMES AND INCREASE THE LIKELIHOOD OF THE BEST OUTCOME POSSIBLE FOR THE RESIDENT THAT THEY'RE ANSWERING THE CALL FOR. 
          UM, JUST USING A CLINICIAN TO DIVERT THAT CALL AWAY FROM POLICING DOESN'T ANSWER THE QUESTION, WHAT HAPPENS WHEN POLICE HAVE TO GO? THAT'S A QUESTION THAT STILL NEEDS A GOOD QUALITY ANSWER. 
          THEN WE WOULD RECOMMEND THE PLACEMENT OF MULTI, UH, MULTIPLE MULTIDISCIPLINARY RESPONSE TEAMS, WHICH I'LL DESCRIBE IN DETAIL HERE IN JUST A SECOND. 
          BETWEEN THE HOURS OF 8:00 AM AND 8:00 PM IN THAT ZIP CODE OF INTEREST, THAT 7 8 2 0 7 ZIP CODE, IT SHOULD BE AT LEAST TWO TEAMS WORKING IN CONCERT WITH PERHAPS OVERLAPPING HOURS. 
          BUT THAT ALLOWS THEM TO DO PREVENTION, INTERVENTION, OUTREACH AND CALL RESPONSE FUNCTIONS. 
          IF YOU HAVE MORE THAN ONE, YOU HAVE MORE THAN ONE TEAM BECAUSE YOU HAVE A LOT OF THINGS HAPPENING IN THAT ZIP CODE, BUT PERHAPS HAVE A SINGLE TEAMS BETWEEN THOSE SAME HOURS AND THOSE OTHER TWO ZIP CODES OF INTEREST TO DO THE OUTREACH FUNCTION IN 7 8 2 2 9 RE DE REDUCE THE USE OF SAN ANTONIO PD AT THOSE MEDICAL CENTERS OR, OR WHATEVER'S HAPPENING IN 7 8 2 2 9 
          [00:30:02]
AND REDUCE THE CHRONIC CRISIS CYCLE SO FOLKS CAN GET CONNECTED TO A PERMANENT SOURCE OF CARE WITHOUT HAVING TO USE 9 1 1 FOR THAT. 
          AND THEN FOR THOSE AREAS, UH, THAT HAVE THE FOUR OVERLAP LOCATIONS, DEVELOP A SYSTEMIC APPROACH THAT INCLUDES AN M D R T DEPLOYMENT, BUT BRING IN A LOT OF YOUR COMMUNITY PARTNERS TO TRY AND ASSESS WHAT'S GOING ON IN THOSE FOUR LOCATIONS AND APPLY COMMUNITY RESOURCES TO THAT, WHETHER IT'S VETERAN SERVICES, UM, AT THE BUS STOP, IDENTIFYING VETERANS WHO ARE LIVING UN SHELTERED THAT NEED TO BE ENROLLED INTO VA BENEFITS, PERHAPS VETERANS HOUSING, UM, OR, AND IF IT'S AT THOSE APARTMENTS, ARE THERE, UM, ISSUES RELATED TO, UM, INTERGENERATIONAL TRAUMA, INTERGENERATIONAL FAMILIES LIVING TOGETHER WITHOUT CHILDCARE OPTIONS? WHAT, WHATEVER THOSE LIFE STRESSORS ARE THAT ARE LEADING TO THESE FREQUENT CALLS HAPPENING IN THOSE AREAS, YOU KNOW, DEVELOP A SYSTEMIC APPROACH. 
          AND IT'S TOO, UM, KIND OF IN THE WEEDS TO TEASE OUT ON A PRESENTATION AS BRIEF AS THIS, BUT IF IT IS A AREA OF INTEREST, WE CAN CERTAINLY TEASE THAT OUT AT A LATER TIME. 
          THE NEXT FEW SLIDES WE'LL TALK ABOUT WHAT AN M D R T TEAM IS AND WHY WE RECOMMEND PLACING IT THERE. 
          SO A MULTIDISCIPLINARY RESPONSE TEAM OR AN M D R IS A TEAM THAT INCLUDES A PARAMEDIC, A CLINICIAN, AND A POLICE OFFICER FOR THE PURPOSES OF THIS TEAM. 
          A CLINICIAN IS A MASTER'S LEVEL LICENSED HEALTHCARE PROFESSIONAL, A LICENSED PROFESSIONAL COUNSELOR, LICENSED MASTER'S LEVEL SOCIAL WORKER, LICENSED CLINICAL SOCIAL WORKER, UM, BUT A MASTER'S LEVEL LICENSED, UM, PROFESSIONAL OF THE HEALING ARTS. 
          THE PARAMEDICS SHOULD BE TRAINED IN COMMUNITY PARAMEDICINE, WHICH IS A LITTLE DIFFERENT THAN PARAMEDICINE IS. 
          TRADITIONALLY, THEY LOOK AT ALL ASPECTS OF CARE FROM CHRONIC DISEASE TO MEDICATION EDUCATION, TO EVEN CONNECTING TO PEER AND SOCIAL SUPPORTS FOR PEOPLE WHO HAVE UNMANAGED CHRONIC DISEASE. 
          THE POLICE OFFICERS SHOULD, OF COURSE, HAVE C I T TRAINING. 
          MENTAL HEALTH PEACE OFFICER TRAINING IS ONLY IMPORTANT HERE IF WE EXPECT 'EM TO BE DOING A LOT OF EMERGENCY DETENTIONS, BUT THEIR JOB, AS WE'LL SEE IN THE NEXT SLIDE, IS VERY LITTLE ACTUALLY ON THIS TEAM. 
          ONE UNIT INCLUDES A PARAMEDIC, A CLINICIAN, AND A POLICE OFFICER WORKING TOGETHER, ARRIVING, GETTING IN THE VEHICLE, BEING ON PATROL TOGETHER FOR EIGHT HOURS. 
          ONE TEAM. 
          YOU NEED THREE OF THOSE UNITS TO COVER 16 HOUR SHIFTS SEVEN DAYS A WEEK. 
          NEXT SLIDE. 
          IN THIS ROLE, Y'ALL TAKE A LOOK AT THE TITLES ACROSS THE TOP OF THIS TABLE AND NOTICE AS IT GOES FROM LEFT TO RIGHT, THE RESPONSIBILITIES GET SMALLER AND SMALLER. 
          AND SO THE, THE TITLE ON THE FURTHEST RIGHT IS LAW ENFORCEMENT. 
          YOU CAN SEE THEY ONLY HAVE THREE DUTIES HERE AND A MULTIDISCIPLINARY RESPONSE TEAM. 
          THE POLICE OFFICER IS THERE TO SECURE THE SCENE, TO DO AN EMERGENCY DETENTION IF NECESSARY, BUT ALSO TO LOOK FOR VICTIMIZATION. 
          THAT'S SOMETHING THAT IN THE 25 YEARS THAT C I T HAS ROLLED OUT HAS BECOME SUCH A SMALL PIECE OF POLICING WHEN WE'RE LOOKING AT MENTAL HEALTH EMERGENCIES, BECAUSE THEY'RE SO BUSY SOLVING THE CRISIS, THEY'RE SO BUSY LOOKING FOR THE RESOLUTION THAT IS SO FAR OUTSIDE OF POLICING THAT IT TAKES A TREMENDOUS AMOUNT OF TIME THAT OFTEN THEY NEVER HAVE THE OPPORTUNITY TO NOTICE. 
          HAS THIS PERSON PERHAPS SUFFERED THE TRAUMA OF SEX TRAFFICKING WHILE LIVING UNSHELTERED ON THE STREET FOR FIVE YEARS? IS THIS AN ELDERLY PERSON WHO HASN'T HAD ANYTHING TO EAT FOR TWO DAYS BECAUSE THEIR CHECKS ARE BEING STOLEN? UM, OR IS THIS, YOU KNOW, A A PERSON WHO HAS BEEN LIVING IN A HOME, IN AN ABUSIVE RELATIONSHIP AND HAS HAD, HAS NEVER HAD A VOICE? SO HOW DO WE LOOK AT THOSE VICTIMIZATION ISSUES WHEN THE OFFICER IS TRYING TO SOLVE THE MEDICAL ISSUE HAS BEEN AN IMPOSSIBLE PROGRAM ELEMENT TO BUILD IN POLICING UNTIL NOW. 
          WHEN WE RESOLVE THE OFFICER'S DUTIES OF HAVING TO MANAGE MEDICAL ISSUES AND PUT THEM BACK IN PUBLIC SAFETY, THEY CAN PROTECT THAT PERSON LONG-TERM, WHICH IS WHAT POLICING WAS MEANT TO DO BY IDENTIFYING VICTIMIZATION ISSUES. 
          WHEN WE LOOK AT COMMUNITY HEALTH PARAMEDIC, THEIR JOB IS TO TRANSPORT THAT PERSON IF THEY NEED TO GO TO A HOSPITAL, BUT ALSO MEDICAL CLEARANCE TO LOOK AT THAT PERSON'S NEEDS TO SEE, IS THIS REALLY A MENTAL HEALTH ISSUE OR IS THIS A MEDICAL ISSUE JUST THAT IS, UM, DISGUISED AS BEHAVIORAL HEALTH BECAUSE OF ITS PRESENTATION. 
          IS THIS AN ELDERLY PERSON WITH A U T I THAT'S DISORGANIZED? IS IT A 21 YEAR OLD WITH A CONCUSSION BECAUSE OF A SKATEBOARDING ISSUE? YESTERDAY IS THIS HIGH BLOOD PRESSURE THAT LOOKS LIKE MANIA. 
          THERE'S A LOT OF THINGS THAT AND, YOU KNOW, CAN DISGUISE ITSELF AS BEHAVIORAL ISSUES. 
          BUT ALSO WHEN YOU'RE PROVIDING THESE TYPES OF SERVICES TO FOLKS WHO'VE BEEN LIVING UNSHELTERED FOR A LONG PERIOD OF TIME, THERE ARE LEGIT MEDICAL NEEDS THAT CREATE BEHAVIORAL ISSUES IF NOT IDENTIFIED SUCH AS DENTAL CARE. 
          IF SOMEBODY HAS, UM, 
          [00:35:01]
HORRIFIC DENTAL DISEASE, NOT ONLY IS THAT GONNA LEAD TO HEART DISEASE AND DEATH, BUT IT CAN LOOK LIKE A BEHAVIORAL SYMPTOMOLOGY IF NOT ADDRESSED. 
          ONCE YOUR COMMUNITY HEALTH PARAMEDICS ARE TRAINED TO IDENTIFY THOSE THINGS. 
          NOT ONLY ARE WE DIVERTING FROM HOSPITAL AND JAILS FROM POLICE CONTACT, BUT WE'RE IMPROVING QUALITY OF LIFE BY ADDRESSING LONG-TERM CHRONIC CARE NEEDS AND PROVIDING THAT CONNECTION. 
          THE PRIMARY MEMBER IS A MENTAL HEALTH CLINICIAN LICENSED AT THE MASTER'S LEVEL, AND THEY DO ALL OF THIS STUFF. 
          THEY CAN REFER TO FAMILY TREATMENT SERVICES, UM, LINK TO COMMUNITY HEALTH SERVICES, TAKE TO AN OUTPATIENT CLINIC, ENSURE THAT THEIR PRESCRIPTIONS ARE BEING REFILLED. 
          NOTIFY THE ASSERTIVE COMMUNITY TREATMENT TEAM IF THIS IS AN ACT TEAM CLIENT REFER TO HOUSING OR TO SHELTER. 
          CONNECT TO FAMILY DIVERT FROM THE HOSPITAL. 
          ONE OF THE THINGS THAT WE'VE SEEN THESE TEAMS DO AND WHEN THEY'RE IN GOING INTO FAMILIES' HOMES IS THEY MAY BE THERE TO ADDRESS SALLY, BUT NOTICE THAT JANE AND ROY ALSO HAVE UNMET MENTAL HEALTHCARE NEEDS AND IT'S CREATING THIS CHRONIC CYCLE OF, OF CRISIS WITHIN THE NEXT SLIDE. 
          CJ, WE MISSED YOU FOR A SECOND. 
          WE, UH, YOU FROZE ON YOUR LAST STATEMENT. 
          OH, NO, I THINK I WAS SAYING THAT, UH, ONE OF THE THINGS THAT, UH, WE'VE NOTICED FROM THESE TEAMS OPERATIONS IS THAT THEY CAN OFTEN GO INTO A FAMILY HOME TO ADDRESS ONE PERSON'S NEED, BUT THEN REALIZE THERE MAY BE A CHILD THERE WHO'S BEEN TRUANT FROM SCHOOL AND IS SUFFERING WITH BEHAVIORAL HEALTHCARE NEEDS AND IS GONNA GET DETENTION WHEN THEY GET BACK TO SCHOOL OR SOMETHING LIKE THAT, AND CONNECT THAT CHILD TO CARE ALSO SO THEY CAN DO PREVENTION WORK WITHIN THE FAMILY WHILE THEY'RE ADDRESSING THAT ONE PERSON'S NEEDS. 
          AGAIN, THAT'S SOMETHING THAT A C I T TEAM CAN'T REALLY DO WHEN WE'RE ASKING OFFICERS TO NAVIGATE A MEDICAL SYSTEM HERE, WE'RE PUTTING IT BACK IN THE HAND OF THE CLINICIAN. 
          NEXT SLIDE. 
          THESE ARE THE FOUNDATIONAL ELEMENTS THAT ARE HELPFUL TO HAVE IN PLACE. 
          AND AS YOU'LL SEE, SAN ANTONIO REALLY HAS A LOT OF THIS IN PLACE, IF NOT ALL OF IT. 
          YOU HAVE A HOUSING REFERRAL NETWORK. 
          UM, YOU HAD, YOU HAVE C I T OFFICERS. 
          ALMOST ALL THE OFFICERS AT SS A P D ARE TRAINED AS C I T OFFICERS. 
          YOU HAVE CRISIS MEDICAL CARE CAPACITY, YOU HAVE A LOT OF THESE THINGS ALREADY IN PLACE. 
          SO IT'S ABOUT BUILDING ON WHAT YOU HAVE IN PLACE TO CREATE A SYSTEM THAT DIVERTS ALL OF THIS OUT OF THE OFFICER'S HANDS INTO A MULTIDISCIPLINARY RESPONSE IN A TARGETED WAY BY LOOKING AT THAT DATA. 
          UM, THE OUTCOMES WHERE THIS HAS BEEN DONE BEFORE HAVE BEEN TREMENDOUS, NOT ONLY ON REDUCING POLICE RESPONSE TO MENTAL HEALTH EMERGENCIES, BUT ON REDUCING REPEATED RESPONSE TO MENTAL HEALTH EMERGENCIES. 
          SO IT SOLVES THE PROBLEM. 
          INSTEAD OF RESPONDING TO THE CRISIS WHERE THIS HAS BEEN IMPLEMENTED BEFORE, WE'VE SEEN A REDUCTION IN HOSPITAL PRESENTATION, WE'VE SEEN A REDUCTION IN POLICE ENGAGEMENT WITH PEOPLE LIVING WITH MENTAL HEALTH CARE NEEDS, BUT ALSO THE DEPARTMENT OF JUSTICE ASKED US TO LOOK AT CRIME DATA FOR ONE OF THESE PROGRAMS. AND WHAT WE NOTICED IS WHERE THIS M D R T WAS OPERATING IN THE CITY OF DALLAS, FOR INSTANCE, WAS THE ONLY AREA OF THE CITY THAT HAD A REDUCTION IN QUALITY OF LIFE OFFENSES, QUALITY OF LIFE CITATIONS, AND QUALITY OF LIFE ARREST. 
          UM, BUT IT WAS ALSO THE AREA OF THE CITY THAT HAD THE HIGHEST CRIME RATES ACROSS THE ENTIRE CITY. 
          BUT WHERE THIS TEAM OPERATED, IT HAD A REDUCTION IN THOSE THREE THINGS. 
          I THINK THAT IS THE LAST SLIDE. 
          I FEEL LIKE I'VE BEEN TALKING AT THIS AUDIENCE FOR QUITE A BIT, SO I'M JUST GONNA BE QUIET FOR A WHILE AND LET YOU GUYS ASK ME ANY QUESTIONS THAT YOU LIKE. 
          I'M HAPPY TO ANSWER THEM. 
          BJ, THANK YOU VERY, VERY MUCH. 
          UH, AND THANK YOU TO DR. 
          BRIDGER FOR, UM, FOR LEADING, UH, THIS WORK. 
          I, I BELIEVE MARIA GELMAN, OUR DEPUTY CITY MANAGER HAS HAS JOINED US. 
          UM, MARIA, IS THERE ANYTHING YOU WANTED TO ADD BEFORE WE MOVED INTO THE COMMENTS? UH, THANK YOU, UM, CHAIRWOMAN AND MEMBERS OF THE COMMUNITY, UH, COMMUNITY HEALTH AND EQUITY, UH, COMMITTEE. 
          UH, WELL, I THINK THIS, UH, PRELIMINARY REPORT, UH, CHAIRWOMAN IS SOMETHING THAT WE HAD INDICATED WE'LL BRING TO YOUR COMMITTEE AS PART OF OUR REVIEW OF POLICE SERVICES. 
          UH, THIS IS A CHARGE THAT WAS GIVEN, UH, BY THE MAYOR TO THE, UH, COMMUNITY HEALTH AND EQUITY COMMITTEE. 
          SO THE PURPOSE OF TODAY'S PRESENTATION IS TO GIVE YOU THIS PRELIMINARY FINDINGS TO GET YOUR INPUT AS, UH, WE'LL CONTINUE TO WORK WITH MEADOWS, UH, OVER THE NEXT MONTH AND A HALF AND BRING FINAL RECOMMENDATIONS TO PUBLIC SAFETY COMMITTEE IN EARLY AUGUST. 
          SO, UM, SO JUST TO KIND OF FRAME A LITTLE BIT THAT THE REASON FOR THIS WORK AND, UH, AND, AND GET YOUR INPUT BEFORE WE FINALIZE THIS REPORT. 
          THANK YOU, COUNCIL. 
          [00:40:03]
THANK YOU, MARIA. 
          SO JUST TO GO BACK AND, UH, SORRY, GIMME ONE SECOND TO SYNTHESIZE, UH, WHERE WE'VE BEEN AND, AND WHERE WE ARE RIGHT NOW. 
          SO THIS, THIS REPORT COMES TO US IN THE CONTEXT OF RECOMMENDATIONS THAT WILL BE MADE TO PUBLIC SAFETY COMMITTEE, WHICH WILL BE MADE TO THE FULL COUNCIL. 
          AND, UH, DID YOU SAY THOSE RECOMMENDATIONS TO THE PUBLIC SAFETY COMMITTEE WILL, WHEN WILL THEY HEAR THEM IN AUGUST? IS THAT RIGHT? YES. 
          COUNCILMAN THE WORK THE MEADOWS IS, UH, CONTINUING TO FOCUS ON WILL BE COMPLETED AT THE END OF JULY. 
          SO THE FINAL REPORT WILL BE PRESENTED TO PUBLIC SAFETY COMMITTEE IN EARLY AUGUST. 
          OKAY. 
          UM, I SEE, UM, IT'S A LITTLE CONFUSING BECAUSE I KNOW WE WERE CHARGED WITH, UM, THE PUBLIC, THE THE MENTAL HEALTH AREA AND TO MAKE RECOMMENDATIONS TO PUBLIC SAFETY. 
          UM, SO, SO MAYBE WE CAN TALK ABOUT THAT LATER. 
          UM, HOW THAT'LL WORK OUT. 
          UM, WELL, I'LL TELL YOU SOME THINGS THAT ARE, ARE REALLY STRIKING TO ME ON, ON WHAT YOU'VE PRESENTED IS, NUMBER ONE, I THINK, UM, THE, OUR COMMITTEE REVIEWED, UH, SOME OTHER MENTAL HEALTH MODEL, MENTAL HEALTH, UH, EMERGENCY RESPONSE MODELS, UH, OUT THERE, UH, HAD A DIALOGUE, UH, CERTAINLY DID NOT HAVE THE DETAILED, UH, INFORMATION THAT, THAT YOU ANALYZED. 
          AND I BELIEVE WE CAME TO SOME OF THE SAME RECOMMENDATIONS. 
          OBVIOUSLY NOT AS, UH, AS THOROUGHLY VETTED AS, AS THE ONES THAT YOU ARE, UH, PROPOSING AT THIS POINT IN TIME. 
          BUT I REALLY AM GLAD TO SEE THAT SYNERGY WE HAD, UH, CERTAINLY RECOMMENDED AN EXPLORATION OF A NON-RESPONDER MODEL. 
          UM, SO, UH, WE ARE, WE ARE GLAD TO SEE THAT. 
          AND THE, THE TRICKY THING WITH THIS IS YOU CAN'T ONLY FIX ONE THING AT A TIME, RIGHT? IF THERE'S A WEB OF SERVICES CONNECTED, AND IF THOSE ARE NOT THERE, IT DOESN'T MATTER IF YOU HAVE A NON-RESPONDER MODEL. 
          UM, SO I'M, I'M GLAD TO SEE THAT, UH, UH, BROUGHT INTO, BROUGHT INTO THE RECOMMENDATIONS. 
          UM, I HAVE TO SAY IT WAS EXTREMELY SOBERING FOR ME TO SEE, UH, THAT OF THE, OF THE FOUR PLACES YOU IDENTIFIED WITH THE MOST CALLED, UH, FOR, FOR EMERGENCY SERVICES, TWO OF THEM ARE, ARE IN THE AREA THAT I REPRESENT. 
          UM, SO I I DO THE ONE ON DANNY KAY DRIVE AND ON AND ON BANDERA ROAD. 
          SO I, I GUESS I AM SURPRISED. 
          I I WAS NOT AWARE OF THAT, UM, THE, THAT THAT'S NOT A CONVERSATION THAT WE HAD HAD, BUT I'M GLAD TO KNOW THAT NOW. 
          SO I EXPECT TO, TO BE INVOLVED AS WE MOVE FORWARD IN, IF WE DO TAKE THESE RECOMMENDATIONS IN DEPLOYING, UH, THE MULTIDISCIPLINARY RESPONSE TEAMS IN THOSE AREAS. 
          UM, A COMMENT ON THE, THE CORRIDORS THAT YOU IDENTIFIED, UH, I COULD SEE THAT THE NORTH CORRIDOR WHERE YOU END UP USING FORCE AND ALSO WE, THAT'S ANOTHER THING THAT WE DISCUSSED IS, UM, IS IDEALLY YOU WOULDN'T WANT TO HAVE TO USE FORCE, RIGHT? LIKE THAT'S AN INDICATOR THAT YOU'RE DOING BETTER, UH, THAT THINGS ARE IMPROVING, IS IF YOU SEE THAT REDUCTION IN, IN USE OF FORCE. 
          UM, YOU DIDN'T, UH, ADDRESS THIS, BUT I I HAD ASKED THE CHIEF A WHILE BACK, UM, ARE WE GOING TO BE PROVIDING OTHER OFFICERS WITH NON OR LESS LETHAL WEAPONS WHEN THEY RESPOND TO CALLS SO THAT WE'RE NOT, UH, YOU KNOW, RELYING ON A GUN? I I SAW THE USE OF A BATON ON THERE TOO, UH, WHEN THEY'RE RESPONDING TO THESE CALLS. 
          AND MY UNDERSTANDING WAS THAT RIGHT NOW ONLY, UH, I THINK ONLY CERTAIN OFFICERS HAVE ACCESS TO THAT, BUT IF WE MOVE TO THIS MODEL, UM, THAT, HOW WOULD THAT WORK CHIEF HAVE YOU OR MARIA, HAVE YOU THOUGHT ABOUT THAT YET? IT MAY BE TOO EARLY. 
          YEAH, I, I THINK I'D RATHER GET A LITTLE FURTHER INTO THE DISCUSSIONS, UH, AS, UH, THE MEADOWS INSTITUTE FINALIZES THEIR RECOMMENDATIONS. 
          SURE. 
          OKAY. 
          AND THEN THE, REGARDING THE, THAT CORRIDOR, SORRY, BACK TO THE CORRIDOR WHERE YOU, WHERE YOU SEE USE OF FORCE, UM, THAT, WHAT STRUCK ME IS, UH, YOU TALKED ABOUT THE BUS STATION AND, UH, SEVERAL BUS STOPS AND, AND THAT IS OUR HIGHEST FREQUENCY AND HIGHEST SERVICE CORRIDOR WHEN IT COMES TO, TO PUBLIC TRANSPORTATION BECAUSE IT CONNECTS OUR CENTRAL BUSINESS DISTRICT WITH OUR MEDICAL CENTER. 
          AND, UH, AND I THINK, WE'LL, THAT WILL CONTINUE TO BE A PLACE THAT WE NEED TO MONITOR, UM, AS, AS LONG AS, YOU KNOW, WE HAVE A CENTRAL BUSINESS DISTRICT AND AS LONG AS WE HAVE A, A MEDICAL CENTER LOCATED WHERE, WHERE IT IS, UH, WHAT, WHAT I WASN'T CLEAR 
          [00:45:01]
ON WAS THE OTHER CORRIDOR THAT YOU IDENTIFIED IN THE SOUTH. 
          DO YOU HAVE ANY INSIGHT? YOU'LL HAVE TO TELL ME WHICH ONE YOU'RE TALKING ABOUT. 
          UH, WHEN I LOOK AT THE MAPS, UM, BECAUSE I'M NOT TERRIBLY FAMILIAR WITH THE GEOGRAPHY OF SAN ANTONIO, I'LL LOOK AT IT FROM A VERY STERILE VIEW. 
          SO TALKING ABOUT THE, THE CORRIDORS THAT GO FROM WHAT I CALL WALGREENS TO GREYHOUND AND GREYHOUND TO SOMEBODY'S HOUSE. 
          YES. 
          UH, YES. 
          THERE'S ONE ON THE NORTH AND THERE'S ONE IN THE SOUTH, SO I CAN I, I GET A SENSE OF WHAT'S HAPPENING IN THE NORTH. 
          I DON'T UNDERSTAND WHAT'S HAPPENING IN THE SOUTH. 
          YEAH. 
          I CAN TELL YOU ONE SLIDE THAT I TOOK OUT OF THIS PRESENTATION, AND I DON'T HAVE IT AVAILABLE TODAY, BUT WE MAY BE ABLE TO JUST SEND THAT INDIVIDUAL SLIDE TO YOU, WAS A PARTICULAR RESIDENCE IN THAT SOUTHERN CORRIDOR THAT MADE UP FOR A TREMENDOUS NUMBER OF CALLS, UM, FOR MENTAL HEALTH AND, AND, UH, USE OF FORCE. 
          BUT I, WE WERE SO INTERESTED IN THAT PARTICULAR ADDRESS THAT, YOU KNOW, WE ACTUALLY GOT ON GOOGLE SATELLITE AND LOOKED AT WHAT KIND OF HOUSE IT WAS, AND IT WAS A LARGE HOUSE THAT BACKED UP TO AN, UH, A COMMERCIAL AREA. 
          THERE WAS A GAS STATION OR A CONVENIENCE STORE OR SOMETHING BEHIND IT. 
          AND SO WHAT WE DISCUSSED WAS THERE MAY BE, AS THIS GOES FURTHER DOWN THE ROAD AND IT'S IN THAT SOUTHERN AREA, A NECESSITY TO LOOK AT THAT PARTICULAR RESIDENCE AND SEE ARE THE CALLS COMING ABOUT THAT RESIDENCE ARE FROM THAT RESIDENCE IN THE AREA THAT SURROUNDS IT BEING THAT COMMERCIAL AREA WITH GAS STATIONS, LIQUOR STORES, THAT SORT OF STUFF. 
          SO IS SOMEBODY LIVING IN THAT HOUSE CALLING ABOUT THINGS HAPPENING IN THAT AREA THAT WOULD TELL US TWO THINGS ABOUT THE QUESTION THAT YOU'RE ANSWERING IF IT'S HAPPENING IN THAT HOUSE, IS IT A GROUP HOME, A DUPLEX, A QUADPLEX, SOMETHING LIKE THAT? IF AND, AND IF SO, THERE'S GOTTA BE SOME CASE MANAGEMENT ISSUES ADDRESSED FOR THE FOLKS LIVING IN THAT HOME. 
          BUT IF IT'S HAPPENING IN THAT COMMERCIAL AREA AROUND THAT HOUSE, IT'S CERTAINLY AN AREA YOU WOULD WANNA LOOK AT TO SEE WHAT TYPES OF CALLS ARE LEADING TO RESPONSE TO RESISTANCE IN THAT AREA IN GENERAL. 
          AND THEN ADDRESS THOSE THAT ARE MENTAL HEALTH THROUGH A, UM, M D R T TYPE PROGRAM. 
          BUT WE WOULD HAVE TO DIG A LITTLE DEEPER INTO WHAT'S GOING ON AT THAT RESIDENCE TO KNOW THAT FOR SURE. 
          AND WE DIDN'T DO IT WITH THIS INITIAL DATA LOOK. 
          IS THAT HELPFUL? YES, THANK YOU. 
          THANK YOU. 
          UH, I'M GOING TO GO AHEAD AND OPEN IT UP, UH, TO COUNCIL MEMBER, UH, COMMENTS BEFORE, BEFORE WE WRAP UP AND, AND MOVE ON TO THE NEXT TOPIC. 
          I, UM, AND I'LL HAVE SOME, SOME CLOSING REMARKS BEFORE WE DO THAT. 
          SO, UH, COUNCILWOMAN GONZALEZ, DID YOU, DID YOU WANNA START AS THE, AS THE REPRESENTATIVE OF 7 8 2 0 7? I WONDER IF THERE'S  ANYTHING? YEAH, SO, UM, I, I CAN CAN CAN YOU GO BACK TO SOME OF THE DATA POINTS? I STEPPED AWAY, I HAD TO STEP AWAY FOR JUST A MINUTE WHEN YOU WERE TALKING ABOUT THAT AND, AND YOU SAID THERE WAS SOMETHING SPECIAL, UH, SPECIFIC ABOUT IT AND, UM, YOU KNOW, OBVIOUSLY THAT'S WHERE THE JAIL IS. 
          IT'S WHERE HAVEN FOR HOPE IS. 
          IT'S WHERE THE MAJORITY OF THE PUBLIC HOUSING IS. 
          UM, IT'S WHERE WE, UH, ALSO WHEN, UM, I WORKED WITH DR. 
          BRIDGER ON THE DOMESTIC VIOLENCE, WE KNOW THAT MOST OF THE DOMESTIC VIOLENCE AND CHILD ABUSE WERE COMING OUT OF THAT SAME CODE AS WELL. 
          SO, UM, I MEAN, I DON'T KNOW, NOT A LOT OF MYSTERY HERE TO ME, BUT CAN YOU, DID I MISS SOMETHING ABOUT WHAT WAS THE, I MEAN, DID, DID YOU LIST WHAT WAS AN OVERRIDING CONCERN ABOUT IT? WELL, WHAT WE SEE IS THAT THE MAJORITY OF MENTAL HEALTH DISTURBANCE CALLS AND, UH, ARE HAPPENING IN THIS AREA. 
          WE SEE THAT THE MAJORITY OF MENTAL HEALTH, UM, AND PROGRESS CALLS ARE HAPPENING IN THIS AREA. 
          AND IT WAS ALSO AN AREA THAT HAD A REALLY HIGH NUMBER OF RESPONSE TO RESISTANCE CASES CONGREGATED IN THAT SPECIFIC DISTRICT AS WELL. 
          SO WHAT WE KNOW IS SPECIAL ABOUT IT RIGHT NOW IS IT'S STATISTICALLY SIGNIFICANT ACROSS ALL OF THE THINGS THAT WE WOULD USUALLY LOOK AT AS AN ALERT INDICATOR THAT SOMETHING NEEDS TO BE TARGETED AS A RESOLUTION IN THIS AREA. 
          IT HAS A HIGH NUMBER OF DISTURBANCE CALLS, HIGH NUMBER OF IN PROGRESS CALLS, HIGH NUMBER OF RESPONSE TO RESISTANCE. 
          WE KNOW THAT NOW TO KNOW MORE. 
          WE WOULD HAVE TO DIG INTO INDIVIDUAL CALLS AND DETERMINE WHAT'S HAPPENING KIND OF ON A LINE BY LINE BASIS. 
          BUT WE KNOW THAT THERE NEEDS TO BE AN INTERVENTION IN THIS AREA TO ADDRESS MENTAL HEALTH EMERGENCIES AND THOSE THAT BECOME VOLATILE. 
          I MEAN, DID, WERE YOU ABLE TO PINPOINT THEM TO HAVEN FOR HOPE? WE, FOR THIS PARTICULAR ANALYSIS, WE DID NOT LOOK IT HAVEN FOR HOPE DID NOT EMERGE AS ONE OF THE TOP FOUR. 
          IT WAS THOSE OTHER FOUR AREAS THAT EMERGED AS THE TOP FOUR ACROSS THE CITY. 
          OKAY. 
          BECAUSE IT'S IN THE OH SEVEN ZIP CODE. 
          SO YOU'RE SAYING IT WASN'T THAT, I'M SORRY, SAY THAT AGAIN. 
          IT, IT'S IN THE OH SEVEN ZIP CODE, RIGHT WHEN WE LOOKED AND IT, IT IS THE MOST PREVALENT HAPPENING IN THE OH SEVEN 
          [00:50:01]
ZIP CODE. 
          BUT THEN WHEN WE NORM THAT FOR THE CITY AS A WHOLE AND LOOK AT HOW IT OVERLAYS WITH SS A P D CALLS HAVEN FOR HOPE FELL OFF. 
          SO WE KNOW WHAT'S HAPPENING AT HAVEN FOR HOPE IS VERY SPECIFIC TO MENTAL HEALTH ROUTINE AND NOT NECESSARILY SPECIFIC TO MENTAL HEALTH DISTURBANCES. 
          COUNCIL WOMAN, IF I MAY, THIS IS MARIA, I THINK IN THE 7 7 8 2 0 7 ZIP CODE, THE AREA THAT THAT HAD THE MOST CONCENTRATION OF KOHL'S WAS A GREYHOUND BUS STATION. 
          RIGHT. 
          BJ, THAT WAS ONE OF THE FOUR AREAS THAT YOU TALKED ABOUT, RIGHT? SO, SO, RIGHT. 
          UH, YOU KNOW, SO THAT ONE'S ACTUALLY NOT IN DISTRICT FIVE. 
          IT IS IN DISTRICT ONE BECAUSE IT'S DOWNTOWN. 
          UM, THAT'S THE ONE RIGHT ON ST. 
          MARY'S YES. 
          COUNCIL ONE. 
          OKAY. 
          UM, SO I, I'M JUST NOT AS INTIMATELY FAMILIAR WITH THAT SINCE IT'S NOT IN MY DISTRICT. 
          UM, BUT YOU KNOW, I MEAN, AGAIN, LIKE WE, WE'VE, UM, YOU KNOW, WE HAVE A LOT OF INFORMATION ALREADY REGARDING OH SEVEN ZIP CODE. 
          I MEAN, IT, IT, FIRST WE KNOW ABOUT IT. 
          I FEEL LIKE, UM, YOU KNOW, I I I'M, I WOULD LIKE TO JUST SEE MORE ACTION. 
          I, I MEAN, IT IS LIKE REALLY BEEN STUDIED TO DEATH. 
          LIKE, I JUST FEEL LIKE NOTHING I'M HEARING HERE SOUNDS LIKE ANYTHING WE HAVEN'T HEARD BEFORE. 
          UM, I MEAN, IT, IT WAS ALSO IDENTIFIED WITH CHILD ABUSE AND OTHER THINGS AS WELL. 
          SO, UM, OBVIOUSLY, UM, WE HAVE AN, UH, AN INTEREST, UH, YOU KNOW, HIGHEST POVERTY AND I MEAN, WE CAN KIND OF GO ON AND ON. 
          SO, UH, DID YOU HAVE A RECOMMENDATION? I THOUGHT I SAW IT LISTED THERE SOME RECOMMENDATIONS THAT YOU HAVE REGARDING TEENS? WE DO. 
          AND THAT'S, THAT'S THE ACTION ITEM THAT YOU'RE, THAT YOU'RE TALKING ABOUT. 
          WE'VE LOOKED AT ZIP CODES THAT, UM, ARE VERY SIMILAR IN SOCIOECONOMIC DEMOGRAPHICS NEEDS AND, AND OTHER THINGS THAT YOU'VE IDENTIFIED 2 7 0 7 8 2 0 7 AND HAVE RECOMMENDED AND IMPLEMENTED THESE MULTIDISCIPLINARY RESPONSE TEAMS BEFORE AND SEEN THOSE AREAS TURNAROUND LIKE SOUTH CENTRAL DALLAS. 
          AND SO THAT WAS WHY WE RECOMMENDED THE PLACEMENT OF ACTUALLY TWO TEAMS IN THE 7 8 2 0 7 AREA WITH THE SPECIFIC FOCUS AND FUNCTION AS YOU'LL FIND ON SLIDE 23. 
          AND YOU'LL LOOK AT, YOU'LL SEE ON SLIDE 23, THE FUNCTION OF THAT TEAM IS TO TARGET THOSE THINGS THAT CREATE SOCIAL BREAKDOWN AND CRISIS AND ELIMINATE THOSE THINGS FROM VULNERABLE PEOPLE'S LIVES. 
          WONDERFUL. 
          WELL, I WOULD LOOK FORWARD TO, UM, YOU KNOW, SEEING THAT, UM, THAT FUNDING ALLOCATED SPECIFICALLY, UH, FOR THE ZIP CODE. 
          I KNOW WE HAD DONE A COUPLE OF OTHER THINGS, UM, YOU KNOW, DR. 
          BRIDGER THAT I THINK WE, YOU KNOW, THEN COVID HAPPENED AND THEN THAT WAS IT. 
          YOU KNOW, WE NEVER DID GET BACK TO SOME OF THOSE THINGS THAT WE'VE BEEN WORKING ON SPECIFICALLY REGARDING CHILD ABUSE PREVENTION, BUT I IMAGINE THERE'S SOME SIMILAR KIND OF OVERLAPPING WORK THAT COULD BE DONE. 
          SO, UM, YOU KNOW, I JUST LOOK FORWARD TO ACTUALLY IT IMPLEMENTED AND FUNDED SO WE CAN ADDRESS SOME OF THE ISSUES. 
          SO, UM, THANK YOU. 
          THANK YOU, CHAIR. 
          THANK YOU COUNCILWOMAN, UM, COUNCILWOMAN, ANDREW SULLIVAN. 
          THANK YOU SO MUCH, MA'AM, CHAIR. 
          UM, AND SO I WANNA THANK YOU SO MUCH FOR THIS PRESENTATION AND THANK YOU, DR. 
          BRIDGER, UM, FOR ALWAYS LISTENING TO, TO OUR CALLS WHEN WE'RE ASKING ABOUT MENTAL HEALTH AND, AND CHIEF AS WELL. 
          THANK YOU SO MUCH. 
          THE QUESTIONS THAT I HAVE HAVE TO DO WITH, UM, THOSE WHO ARE NOT INSURED OR ARE UNINSURED POPULATION AND HOW IT RELATES TO THE AREAS OF GEOGRAPHICS. 
          UM, WHEN WE'RE LOOKING AT THESE HIGH CONCENTRATION COSTS, ARE YOU ASKING IF WE STUDIED THE SOCIO-DEMOGRAPHICS OF THAT? YES, MA'AM. 
          WE DID NOT DIG INTO SPECIFICS ON THE NUMBER OF PEOPLE WHO WERE LIVING IN MULTI, AND THIS IS THE KIND OF STUFF THAT WE WOULD REALLY, YOU KNOW, LOOK AT IN, IN AN ADDITIONAL STUDY. 
          BUT THE NUMBER OF PEOPLE WHO ARE LIVING IN MULTI-GENERATIONAL HOMES, THE NUMBER OF PEOPLE WHO YOU KNOW AND WHAT THEIR, UM, AND THE NUMBER OF PEOPLE WHO ARE UNDER OR UNEMPLOYED THOSE WITH OR WITHOUT INSURANCE. 
          AND THEN THE THINGS THAT THE OTHER COUNCIL LADY WAS COUNCILWOMAN WAS MENTIONING, WHICH IS THE NUMBER OF CHILD ABUSE CALLS IN THAT AREA, AS WELL AS SOME OTHER INDICATORS. 
          HOW MANY LIQUOR STORES, HOW MANY BAIL BONDSMEN, HOW MANY GROCERY STORES, HOW MANY CHILDCARE CARE CENTERS, ALL OF THOSE THINGS THAT TELL US A LOT ABOUT THAT AREA AND THE ACCESS TO SERVICES THAT PEOPLE NEED. 
          AND IF THEY HAVE THE, UM, THE RESOURCES THEY NEED WITHIN THEIR FAMILIES TO ACCESS THOSE SERVICES IF THEY'RE AVAILABLE. 
          THIS WAS A, UH, A LOOK AT PD DATA. 
          THE NEXT STEP WOULD BE TO DIG INTO THOSE MORE TELLING NEIGHBORHOOD LEVEL DATA TO DETERMINE, YOU KNOW, WHAT'S HAPPENING THERE. 
          NOW I CAN TELL YOU, UM, PARENTHETICALLY ONLY WHEN WE HAVE SEEN THIS TYPE OF PD DATA RETURN BEFORE, 
          [00:55:01]
WE KNOW THAT THOSE ARE NEIGHBORHOODS THAT ARE STRUGGLING WITH A LOT OF UNMET SOCIAL NEEDS, UNDEREMPLOYED, UM, YOU KNOW, WITHOUT ACCESS TO CHILDCARE, WITHOUT ACCESS TO, YOU KNOW, HIGH QUALITY GROCERIES AND, AND HEALTHY GROCERY STORES WITH A LOT OF OTHER ELEMENTS THAT INCREASE THE LIKELIHOOD OF CRIMINAL ACTIVITY IN THOSE NEIGHBORHOODS. 
          AND THEN NOT HAVING ACCESS TO CARE AND SERVICES FROM EVERYTHING FROM DENTAL CARE, WHOLE HEALTHCARE, BEHAVIORAL HEALTHCARE AND SUBSTANCE USE AND ABUSE CARE. 
          WE KNOW THAT THAT'S TYPICAL WITH THIS KIND OF OVERLAY, BUT I CAN'T SAY THAT'S SPECIFICALLY HAPPENING HERE 'CAUSE WE DIDN'T STUDY IT IN THIS DATA SET. 
          OKAY. 
          THANK YOU. 
          UM, AND THEN WE HAVE OUR M I H TEAM THROUGH OUR SAN ANTONIO FIRE DEPARTMENT, AND I WANTED TO FIND OUT IF THERE IS AN OVERLAP BETWEEN THE MENTAL HEALTH CALLS RELATED TO MEDICATION OR, UM, THESE KIND OF DISTURBANCES OR CRISIS THAT WE CAN KIND OF CONNECT THESE CALLS AS WELL. 
          I WOULD, I WOULD LOVE TO SEE THAT. 
          I WOULD LOVE TO BE ABLE TO SEE IF PARAMEDICS ARE RUNNING THE SAME CALLS AS THE POLICE DEPARTMENT. 
          THANK COUNCILMAN, TO ADDRESS YOUR QUESTION, WE HAVEN'T OVERLAY THE DATA FROM OUR M I H TEAM IN THE FIRE DEPARTMENT, BUT THAT IS SOMETHING THAT WE CAN DO, BUT WE JUST DIDN'T DO IT AS PART OF THIS FIRST PHASE OF THE, OF THE STUDY. 
          OKAY. 
          UM, I THINK THAT THAT WOULD BE SOMETHING THAT WOULD BE GOOD TO DO IF, IF WE'RE LOOKING TO DO A DEEPER DIVE OR IF THIS IS SOMETHING WE CAN ADD TO, UM, THE STUDY. 
          I THINK THAT IT WOULD ALSO HELP US UNDERSTAND RIGHT NOW WHERE WE'RE CONTINUING TO SEE THOSE CONTINUOUS CALLS BASED ON, UM, A CRISIS BECAUSE A PERSON IS CONTINUOUSLY OUT OF THEIR MEDICINE OR NOT TAKING THEIR MEDICINE. 
          UM, I, I THINK THAT THAT WILL BE A GREAT CONNECTOR AS WELL. 
          UM, AND THEN THE LAST QUESTION THAT I'LL HAVE, UM, IS IN RELATIONS TO WORKING WITH OUR SCHOOL COUNSELORS AND OUR SCHOOL NURSES TO FIND OUT, UM, WITHIN MY COMMUNITIES SPECIFICALLY, WE HAVE GENERATIONAL CRIME, WE HAVE GENERATIONAL, UM, GUN ACTIVITY AND GUN VIOLENCE, AND HOW DOES THAT RELATE TO THOSE KIDS WHO ARE BEING BULLIED OR, UM, ARE, UH, FAMILY ARE CHILDREN OF THOSE WHO HAVE EITHER BEEN KILLED BY GUN VIOLENCE OR HAVE FAMILY MEMBERS INCARCERATED BECAUSE OF GUN VIOLENCE. 
          UM, I LIKE TO SEE IF WE CAN GET AN OVERLAPPING AS WELL OF THAT. 
          UM, BUT THOSE WOULD BE PRETTY MUCH ALL OF MY QUESTIONS, RECOMMENDATIONS ARE REQUESTS. 
          AND JUST WANNA SAY THANK YOU SO MUCH FOR THE WORK THAT'S BEING DONE. 
          THANK YOU COUNCIL. 
          UM, GREAT, GREAT QUESTIONS. 
          UM, AND I HAVE A FEW MORE. 
          FIRST, FIRST OF ALL, UM, SO THIS IS OUR, THE DRAFT, THE, THE HIGH LEVEL RECOMMENDATIONS. 
          WE CAN SEE THE DIRECTION THAT WE'RE GOING IN. 
          IS THERE ANY ANALYSIS THAT IS STILL PENDING, UH, FOR THE REPORT COMPLETE? SO, OR WHAT ARE THE NEXT STEPS BEFORE YOU CAN ACTUALLY SUBMIT THE, THE REPORT? YOU KNOW, ON MY END IT WOULD BE WANTING TO SPEND SOME TIME WITH CHIEF FAULK AND HER CREW, UM, AND PERHAPS, UM, YOU KNOW, SOME OTHER FOLKS OVER AT THE PD TO DIG A LITTLE DEEPER IN THIS, TO ASK THOSE QUESTIONS. 
          FOR INSTANCE, ABOUT THAT HOUSE THAT IS, IS SO INTERESTING THAT, YOU KNOW, ACCOUNTS FOR SOMETIMES AS MANY CALLS AS AN ENTIRE ZIP CODE, FIGURE OUT WHAT'S GOING ON THERE. 
          UM, AND TO REFINE THAT THROUGH THAT LENS BY VISITING WITH THEM A BIT MORE. 
          I'M NOT CERTAIN IF THE REST OF THE TEAM HAS ANY ADDITIONAL DATA THAT THEY'RE DIGGING THROUGH OR DEVELOPING. 
          UM, I WOULD TOSS THAT TO DR. 
          MATTHIAS. 
          SURE, SURE. 
          AND I WOULD SAY THAT FOR MY PART AND RON'S PART AS WELL, WHAT WE'LL BE DOING AND HAVE ALREADY BEEN DOING IS MEETING WITH STAKEHOLDERS, PROGRAMMATIC LEADERSHIP, THAT SORT OF THING. 
          AND SO WE DON'T WANT, YOU KNOW, WE WANT TO THINK ABOUT THE, THE SOLUTION, YOU KNOW, THE M D R UM, TEAM, BUT ALSO THINK ABOUT HOW DOES THIS FIT INTO THE OVERALL SYSTEM AND HOW DOES IT CONNECT BACK TO PROVIDERS AND WHERE ARE THE GAPS THERE AROUND COMMUNICATION AND, YOU KNOW, UM, INDIVIDUAL LEVEL, UM, CASE CONCEPTUALIZATION, THOSE SORT OF THINGS. 
          AND SO YOU WERE ASKING COUNCILWOMAN ABOUT, YOU KNOW, HOW, WHAT'S THE STEPS TO GET TO THE END? AND SO IT'S US SYNTHESIZING THAT INTO A PHYSICAL REPORT. 
          AND THEN WE WILL ALSO BE PRESENTING, UM, AS DR. 
          BRIDGER SAID, TO THE PUBLIC SAFETY COMMITTEE IN THE BEGINNING OF AUGUST. 
          UM, AND SO THAT WOULD BE THE, THE END STEPS TO IT IS JUST BASICALLY FINISHING OUR REPORT AND GETTING THAT OUT FOR REVIEW AND, AND COMMENT TO WHOEVER THE PEOPLE ARE THAT THAT SHOULD GO TO AND, UM, FINALIZING AFTER THAT. 
          OKAY, WONDERFUL. 
          UM, FOLLOWING UP ON THE QUESTION ABOUT THE, UH, DEMOGRAPHICS OF, OF THE COMMUNITY, UH, THAT, THAT THIS IS HAPPENING IN, UH, I WONDER IF, UH, CHIEF, I DON'T KNOW IF ANY OF THOSE CALLS THAT, THAT THEY'RE REVIEWING HAVE INFORMATION DISAGGREGATED BY RACE 
          [01:00:01]
THAT, UH, THAT WE COULD TAKE AS A LAYER TO LOOK AT COUNCIL MEMBER WIL, I CAN'T UHHUH , GO AHEAD. 
          NO, I, I DON'T, I DON'T KNOW THAT THEY DO, BUT GO AHEAD. 
          I'M SORRY, BJ. 
          WELL, I WAS GONNA SAY, I CAN ANTICIPATE THAT COUNCIL MEMBERS, UH, ESPECIALLY ON OUR, YOU KNOW, WE, WE'VE DONE A LOT OF WORK ON RACIAL EQUITY, UM, AT, AT THE CITY. 
          I, I CAN ANTICIPATE THAT THAT WILL BE A, A QUESTION IF, IF WE CAN, CAN DO THAT COUNCIL MEMBER, WE'LL, WE'LL CERTAINLY BREAK THAT DOWN. 
          OKAY, THANK YOU. 
          OR MAYBE, UH, I THINK IN IT, IT WOULD BE HELPFUL, LIKE I, WE COULD EACH GO BACK AND DO THIS ON OUR OWN, RIGHT, IS LOOK AT THE ZIP CODES AND GO LOOK UP THE CENSUS INFORMATION. 
          BUT IT MIGHT BE HELPFUL TO HAVE THAT, UM, UH, IN THE, IN THE REPORT SIDE BY SIDE AS COUNCILMAN ANDREW SULLIVAN WAS, WAS MENTIONING. 
          UM, I APPRECIATE COUNCILMAN, AND JUST TO ADD TO WHAT CHIEF BUCKMAN HAS MENTIONED, UM, AS HE SAID, HE'LL LOOK INTO THE CALLS AND SEE, WE HAVE A SPECIFICS FOR THOSE CALLS, BUT WE CAN DEFINITELY ADD THE DEMOGRAPHICS BASED ON OUR, UH, CENSUS INFORMATION AND SOME OTHER INDICATORS THAT I KNOW THE HEALTH DEPARTMENT HAS BEEN WORKING ON, UM, THAT WE USE FOR THE DOMESTIC VIOLENCE, UM, ANALYSIS THAT WE DID MAYBE A COUPLE OF YEARS AGO. 
          SO WE CAN DEFINITELY ADD THAT TO THE, TO THE RECORD. 
          OKAY. 
          WONDERFUL. 
          THANK YOU. 
          UM, I, I WOULD REQUEST IF TIME ALLOWS, AND IF IT IS PART OF YOUR SCOPE THAT, UM, YOU, UM, ADDRESS TOOLS AVAILABLE FOR, FOR USE OF FORCE IF FORCE IS NEEDED IN, UM, I THINK YOU TALKED ABOUT WHAT, WHAT TYPE OF POLICE OFFICER, YOU KNOW, AND YOU SAID THERE'S NO SPECIAL TRAINING, RIGHT? THAT THEY, WELL, OBVIOUSLY THEY NEED TO BE A POLICE OFFICER, BUT ADDITIONAL, UH, YOU SAID THEY DON'T NEED TO HAVE MENTAL HEALTH TRAINING. 
          IT'S VERY UNLIKELY THAT THEY'RE GOING TO NEED IT. 
          BUT, UM, I WOULD BE INTERESTED IN YOUR PERSPECTIVE ON WHAT TYPE OF TOOLS THEY WOULD NEED, PHYSICAL TOOLS WOULD BE HELPFUL FOR THEM TO HAVE. 
          SURE, SURE. 
          UM, AND CHIEF, YOU CAN CONNECT ME TO SOME OF THE FOLKS IN YOUR DEPARTMENT TO RUN BY WHAT YOU GUYS ALREADY HAVE AND, AND THAT SORT OF THING, RIGHT? SURE WILL. 
          YEAH. 
          I THINK AARON'S, AARON'S AWARE OF THAT. 
          WONDERFUL. 
          THANK YOU. 
          AND, UM, I, I FAILED TO MENTION EARLIER, UM, I DID A RIDE ALONG JUST THIS WEEK, SO IT'S ALL FRESH, UH, WITH THE MENTAL HEALTH TEAM WITH, WITH ONE OF THE, THE PAIRS OF FOLKS. 
          AND, UH, I, I SAID, HEY, I HEARD THEY'RE DOING THIS STUDY. 
          DID YOU GET A CHANCE TO WEIGH IN? AND THEY, OH, THAT'S WAY ABOVE OUR PAY GRADE, BUT I'M SO GLAD TO HEAR THAT YOU'RE GOING TO TALK TO THEM. 
          AND SO MANY OF THE THINGS THAT YOU'RE REFERRING TO ARE HAPPENING ON THE GROUND. 
          UH, I WAS WITH TWO OFFICERS AND A CLINICIAN, AND WE MET UP WITH THE E M T AT THE, AT THE DIFFERENT SITES THAT, THAT WE WENT TO. 
          AND THEY DID THIS, I DON'T THINK IT WAS PART OF THEIR FORMAL PROCESS. 
          THEY DID, THE CLINICIAN WAS, BUT WITH THE, WITH THE MEDIC, THEY DID THAT INFORMALLY. 
          AND I OVERHEARD HIM, UH, SPEAKING WITH THE CLIENT. 
          UH, OF COURSE I WAS OUT OF THE WAY, YOU KNOW, TOO MANY PEOPLE AROUND THE, THE CLIENT AND EXACTLY THE SAME THINGS THAT YOU'RE TALKING ABOUT IS, UH, HOW DO YOU USE THIS MEDICATION? WHAT MEDICATIONS ARE YOU ON? ACTUALLY, I DON'T THINK YOU HAVE, YOU KNOW, ASTHMA, I THINK YOU HAVE, UH, SOMETHING ELSE. 
          AND, UM, SO IT, IT, AND, AND HE ENDED UP REFERRING HER TO A SERVICE THAT WOULD PAY FOR HER DENTAL WORK THAT SHE NEEDED TO HAVE DONE. 
          AND, AND THAT WAS ONE OF THE TAKEAWAYS WAS FOR, FOR ME, WAS, UH, CONNECTING THOSE WHO NEED IT WITH THE RESOURCES. 
          AND IT'S, UH, IT'S SO BASIC, UH, BUT IT IS SO NECESSARY FOR PEOPLE TO MOVE ON WITH THEIR LIVES AND BE ABLE TO, TO FUNCTION. 
          SO I'M, I'M SO GLAD THAT THAT IS REALLY AT THE HEART OF, OF SOME OF WHAT YOU'RE, YOU'RE RECOMMENDING. 
          UM, SO, SO IT SOUNDS TO ME LIKE FOR, IF WE'RE GOING TO TAKE THE RECOMMENDATION OF THE MDTS IMPLEMENT THEM, WE ARE OF COURSE GOING TO NEED A BUDGET, UH, FOR THAT. 
          UH, BUT WE ALSO NEED TO MAKE SURE THAT THEY'RE SUPPORTED BY THE REFERRAL SYSTEMS THAT, THAT YOU'RE TALKING ABOUT. 
          SO, UM, IS THAT, I, I GUESS, COULD DR. 
          BRIDGER OR MARIA, TELL ME A LITTLE BIT ABOUT, UM, ARE YOU THINKING ABOUT HOW WE'RE GOING TO LINK THAT TOGETHER? WE HAVE, OF COURSE, MANY AT THE CITY, MANY REFERRAL SYSTEMS. IN FACT, WE JUST STARTED ONE OR APPROVED ONE YESTERDAY AT, AT COUNCIL, SO COUNCILWOMAN, UM, WE, AS I MENTIONED IN THE BEGINNING, A LOT OF THE DOMINOES, UM, REVOLVE AROUND THE COUNTY'S MENTAL HEALTH REFORM AS WELL. 
          AND SO, UM, THERE ARE SEVERAL CITY STAFFERS WHO ARE ON THAT TASK FORCE, WHO ARE STAYING ON TOP OF ALL OF THE DIFFERENT RECOMMENDATIONS. 
          AND I THINK YOU'LL HEAR SOME INTERESTING THINGS IN THE NEXT PRESENTATION THAT WILL HELP YOU SEE HOW WE'RE GONNA LINK DIFFERENT MENTAL HEALTH SERVICES TOGETHER. 
          OKAY. 
          I'M VERY EXCITED ABOUT THE NEXT PRESENTATION TOO. 
          SO, SO WONDERFUL. 
          THANKS 
          [01:05:01]
SO MUCH FOR YOUR PRESENTATION, ANNA. 
          I'M, I'M JUST GONNA PUT THIS IN THERE AND I'LL SAY IT WHEN WE HAVE OUR BUDGET RETREAT, IS, I WOULD LOVE TO SEE THE MDTS IMPLEMENTED BY THE START OF NEXT YEAR IN, IN SOME FORM OR FASHION, IF, IF NOT SOONER. 
          DO YOU THINK THAT'S POSSIBLE, MARIA? YES. 
          COUNCILMAN, I WANTED TO ADDRESS YOUR QUESTION RELATED TO, TO BUDGET, BUT, BUT I THINK YOU, YOU, UM, YOU JUST SAID WHAT I WAS GONNA SAY. 
          WHEN WE HAVE OUR GOAL SETTING SESSION ON JUNE 25TH, THIS IS ONE OF THE TOPICS THAT WE HAVE ON, ON OUR AGENDA FOR DISCUSSION WITH THE COUNCIL. 
          SO THAT WAY WE CAN GET ALSO, UM, INPUT FROM, FROM OUR FULL COUNCIL AS WE CONTINUE TO DEVELOP RECOMMENDATIONS IN THE MONTH OF JULY. 
          OKAY. 
          WONDERFUL. 
          THANK YOU VERY MUCH. 
          I KNOW WE'VE GONE ON VERY LONG, BUT THIS TOPIC HAS BEEN, UH, WE HAVE BEEN AWAITING THIS AND VERY EXCITED TO, TO HEAR IT. 
          SO THANK YOU SO MUCH, ALL OF YOU WORKING ON THIS. 
          THANK YOU SO MUCH FOR THE OPPORTUNITY. 
          GREAT. 
          UH, WE'LL 
          [2. 21-4289 Briefing on the Metro Health’s proposed Five Year Strategic Growth Plan. [Dr. Colleen Bridger, MPH, PhD, Assistant City Manager]]
MOVE ON TO OUR, OUR NEXT ITEM, WHICH IS, UH, DR. 
          BRIDGER. 
          HI AGAIN. 
          UM, JAYER, IF YOU CAN GO AHEAD AND BRING UP OUR SLIDES, PLEASE. 
          SO, UM, WE ARE NEXT GOING TO BE TALKING ABOUT METRO HEALTH'S, UM, FIVE YEAR STRATEGIC GROWTH PLAN. 
          UM, SO LET'S GO TO THE NEXT SLIDE, PLEASE, JUST FOR SOME BACKGROUND. 
          AND BEFORE WE GET STARTED, UM, JUST A REMINDER, METRO HEALTH VISION IS HEALTHY, PEOPLE'S THRIVING IN A HEALTHY COMMUNITY. 
          UM, AND WE ARE CURRENTLY IN, UH, THE SECOND YEAR OF A FOUR YEAR STRATEGIC PLAN THAT WE DEVELOPED, UM, WITH INPUT FROM OVER 4,000 PEOPLE HERE IN THE CITY OF SAN ANTONIO, UM, THROUGH, YOU KNOW, HOT DOT EXERCISES, THROUGH SURVEYS, UM, THROUGH, UM, ONE-ON-ONE INTERVIEWS AND DISCUSSIONS WITH KEY STAKEHOLDERS. 
          UH, AND THEY HELPED US IDENTIFY FOUR PRIORITIES, UH, FOR OUR STRATEGIC PLAN, WHICH ARE ADVERSE CHILDHOOD EXPERIENCES, VIOLENCE, PREVENTION, NUTRITION, AND ACCESS TO CARE. 
          UM, GIVEN THE PANDEMIC, METRO HEALTH HAS BEEN REVISITING OUR EXISTING STRATEGIC PLAN AND THINKING ABOUT WHAT WE'VE LEARNED FROM THE PANDEMIC AND HOW WE CAN APPLY THOSE LESSONS LEARNED TO OUR CURRENT STRATEGIC PLAN, PERHAPS THROUGH SOME, UM, EXPANDED FOCUS AREAS. 
          AND SO THAT'S WHAT WE ARE GONNA BE TALKING ABOUT NEXT. 
          AND JUST AS A REMINDER, THE, UM, THE GUIDING PRINCIPLES FOR THIS EXPANSION ARE VERY MUCH CENTERED AROUND HEALTH EQUITY AND SOCIAL JUSTICE. 
          SO NEXT SLIDE PLEASE. 
          UM, WE REALIZED ABOUT SIX MONTHS AGO THAT THERE WOULD BE, UM, A LOT OF ADDITIONAL RESOURCES BEING DIRECTED TO LOCAL HEALTH DEPARTMENTS TO ADDRESS NOT JUST THE ONGOING, UM, PANDEMIC RESPONSE, BUT ALSO TO ADDRESS SOME OF THE, UM, THE OUTCOMES ASSOCIATED WITH THE PANDEMIC AND SOME OF THE AREAS AROUND HEALTH DISPARITIES AND SOCIAL JUSTICE THAT REALLY WERE BROUGHT TO LIGHT, UM, AS A RESULT OF THE PANDEMIC. 
          AND SO WHEN WE STARTED THINKING ABOUT THIS, AGAIN, FOUR MONTHS, UH, SIX MONTHS AGO, WE, WE RECOGNIZED, UM, THAT THERE WERE FOUR BASIC CATEGORIES OF ADDITIONAL PROGRAMS, INITIATIVES AND SERVICES, UM, THAT KIND OF ADDED TO OUR EXISTING STRATEGIC PLAN, STRENGTHENED IT, BROADENED IT, AND, UM, ALLOWED US TO REALLY TAKE ADVANTAGE OF THESE LESSONS LEARNED. 
          THOSE FOUR CATEGORIES ARE, AS YOU SEE ON THE SCREEN, MENTAL HEALTH, HEALTH, JUSTICE, ACCESS TO CARE AND TECHNOLOGY AND INFRASTRUCTURE. 
          AND SO DURING THIS PRESENTATION, I'M GOING TO COVER EACH OF THE CATEGORIES WITH A BRIEF DESCRIPTION OF THEIR PROGRAMS AND SERVICES. 
          UM, AND JUST AS A REMINDER, THESE EXPANSION CATEGORIES AND SERVICES WERE IDENTIFIED BY VARIOUS COMMUNITY ADVOCACY GROUPS, UM, INCLUDING THE C R E C, NATIONAL PUBLIC HEALTH EXPERTS, BECAUSE THERE'S BEEN ONGOING NATIONAL CONVERSATION ABOUT WHAT WE CAN DO TO IMPROVE PUBLIC HEALTH'S RESPONSE TO THIS AND FUTURE, UM, PANDEMICS AND, UM, OF COURSE, OUR OWN METRO HEALTH STAFF, AS WELL AS VARIOUS COMMENTS AND REQUESTS THAT WE'VE HEARD FROM CITY COUNCIL MEMBERS. 
          UM, THEY ALSO, I THINK, EPITOMIZED THE GRASSROOTS COMMUNITY DRIVEN WORK THAT METRO HEALTH HAS BEEN ENGAGED IN, UM, FOR AT LEAST THE LAST DECADE. 
          SO, ONE NOTE IS THAT YOU WILL NOTICE THAT THERE WILL BE NO BUDGETS DISCUSSED IN THIS PRESENTATION. 
          UM, AND THAT'S BECAUSE THIS IS A WORK IN PROGRESS, AND WE WANTED TO FIRST CHECK IN WITH YOU ON THESE PRIORITIES BEFORE REALLY GETTING TOO DEEP INTO THE DETAILS. 
          [01:10:01]
UM, VERY SIMILAR TO THE PROCESS WE USED WITH THE RECOVERY AND RESILIENCY PLAN. 
          WE'RE USING A BRAIDED FUNDING APPROACH, UM, TO FUNDING THIS PLAN. 
          SO IT INCLUDES FEDERAL AND STATE GRANTS, IT INCLUDES ARPA FUNDING, INCLUDES, UM, HEALTH IMPLEMENTATION FUNDS AND GENERAL FUNDS. 
          UH, BUT YOU KNOW, IT IS, IT'S A FIVE YEAR PLAN, AND AS YOU SAW IN THE MEMO, THE ESTIMATED TOTAL COST OVER FIVE YEARS IS BETWEEN 80 TO $90 MILLION, WHICH IS BETWEEN 16 TO $18 MILLION A YEAR. 
          UM, ONE OF THE THINGS THAT'S REALLY IMPORTANT IS THIS PLAN IN THIS PLAN IS THE RECOGNITION THAT MOST OF THE GRANTS ARE TWO YEARS, TWO TO THREE AT THE MOST. 
          UM, SO THIS PLAN ALSO CREATES A PATH TO SIGNIFICANTLY INCREASE THE CITY'S GENERAL FUND SUPPORT OF METRO HEALTH BASE BUDGET, SO THAT AT THE END OF THE GRANT FUNDING PERIODS, WE DON'T FALL OFF THAT FUNDING CLIFF AND OUR EFFECTIVE PROGRAMS, UM, HAVE THE RESOURCES NEEDED TO CONTINUE. 
          SO, NEXT SLIDE, PLEASE. 
          UH, THE FIRST CATEGORY THAT I'M GONNA TALK BRIEFLY ABOUT IS MENTAL HEALTH. 
          UM, AND YOU CAN SEE A, A GENERAL DESCRIPTION OF WHAT IT IS WE'RE TALKING ABOUT WHEN WE TALK ABOUT MENTAL HEALTH. 
          IT'S IMPORTANT TO NOTE THAT FOR PUBLIC HEALTH, WHEN WE TALK ABOUT MENTAL HEALTH, WE'RE TALKING ABOUT THE, UM, THE PRE-CRISIS ASPECTS OF MENTAL HEALTH. 
          WE'VE DONE A PRETTY GOOD JOB HERE IN BEXAR COUNTY OF, I THINK, UM, STRENGTHENING AND COORDINATING THE CRISIS SYSTEM. 
          WHAT WE HAVEN'T REALLY TACKLED YET IS THIS PRE-CRISIS PIECE. 
          AND SO THAT'S WHAT WE GET AT WHAT WE START TO ADDRESS IN THIS GROWTH PLAN. 
          UH, NEXT SLIDE, PLEASE. 
          SO, SOME OF THE INITIATIVES THAT, UM, ARE INCLUDED IN THIS PLAN INCLUDE THE CREATION OF A NEW POSITION TO SERVE AS THE CHIEF MENTAL HEALTH OFFICER. 
          UM, WHAT WE RECOGNIZE IS THAT THERE ARE A NUMBER OF DIFFERENT DEPARTMENTS, INCLUDING THE POLICE DEPARTMENT, THE, UM, FIRE DEPARTMENT, THE, THE DEPARTMENT OF HUMAN SERVICES, THE HEALTH DEPARTMENT HOUSING. 
          THEY ALL HAVE A LITTLE BIT OF WORK IN THE AREA OF MENTAL HEALTH. 
          UM, BUT WE NEED ONE PERSON WHO CAN COORDINATE ALL OF THAT WORK THROUGHOUT THE CITY AND CONNECT ALL OF THOSE CITY PIECES TO THE LARGER COUNTY RUN, UM, SYSTEM AND PROGRAM. 
          AND SO THAT'S ONE OF THE THINGS THAT WE'RE RECOMMENDING. 
          UM, THE NEXT TWO ITEMS ARE AROUND TRAUMA-INFORMED CARESS. 
          THE FIRST IS TO ESTABLISH A CENTER OF EXCELLENCE FOR THE CITY OF SAN ANTONIO. 
          UM, THE CITY HAS BEEN A LEADER IN THE, THE, UM, BEXAR COUNTY, SAN ANTONIO TRAUMA-INFORMED CARE CONSORTIUM THAT HELPED OTHER ORGANIZATIONS BECOME TRAUMA-INFORMED. 
          THIS WOULD BE A STAKE IN THE GROUND FOR THE CITY OF SAN ANTONIO, AND A COMMITMENT THAT EVERY SINGLE ONE OF OUR DEPARTMENTS WILL BE CERTIFIED TRAUMA INFORMED BY THE END OF THIS FIVE YEAR PLAN. 
          UM, SPECIFIC TO THAT IS ALSO TRAUMA-INFORMED PRACTICES IN THE JUSTICE SYSTEM, UM, RECOGNIZING THAT, UM, A TREMENDOUS NUMBER OF PEOPLE WHO GO THROUGH THE JUSTICE SYSTEM ARE DEALING WITH TRAUMA. 
          AND SO MAKING SURE THAT THAT SYSTEM CAN BE TRAUMA INFORMED, WILL HELP DIFFUSE AND, UM, AND PROVIDE EARLIER ACCESS TO SOME, UH, TREATMENT AND RECOVERY SERVICES THAT THEY NEED. 
          UM, ONE OF THE OTHER PROGRAMS WE'RE RECOMMENDING IS EXPANDING ACCESS TO COGNITIVE BEHAVIORAL THERAPY, UM, PRIMARILY FOR CHILDREN WHO ARE EXPOSED TO VIOLENCE, UH, GETTING AT THIS CONCEPT THAT VICTIMS OF VIOLENCE ARE MUCH MORE LIKELY TO GO ON AND BECOME PERPETRATORS OF VIOLENCE LATER ON. 
          AND C V T IS AN EVIDENCE-BASED INTERVENTION THAT HAS SHOWN TO DECREASE THE LIKELIHOOD OF THAT HAPPENING. 
          UM, AGAIN, WITH THE, WITH VIOLENCE, VIOLENCE PREVENTION, UM, WE'RE LOOKING AT IMPLEMENTING A CASE MANAGEMENT PROCESS FOR SURVIVORS OF DOMESTIC VIOLENCE. 
          UM, ONE OF THE THINGS, DR. 
          BRIDGER, WE'VE LOST YOUR AUDIO. 
          UH, GO AHEAD AND, AND TAKE YOUR TIME AND, AND CALL IN OR RE-LOG IN, OR DO WHATEVER YOU NEED TO. 
          WHILE WE ALL TAKE A STRETCH BREAK HERE, LET EVERYONE SEE MY T-SHIRT THAT'S IN SUPPORT OF OUR LAST ITEM TODAY. 
          ALL RIGHT. 
          CAN Y'ALL HEAR ME? YEP. 
          ALL RIGHT. 
          SORRY, MY, MY PHONE DISCONNECTED ME, SO I'M GONNA USE MY COMPUTER. 
          UM, 
          [01:15:01]
APOLOGIES FOR THAT. 
          SO, UM, VIOLENCE PREVENTION CASE MANAGEMENT IS ANOTHER AREA THAT WE'LL BE WORKING CLOSELY WITH THE, THE POLICE DEPARTMENT ON. 
          UM, AND THEN EXPANDING OUR TEEN AMBASSADOR PROGRAM. 
          UM, THIS IS SOMETHING THAT THE HEALTH DEPARTMENT HAS USED FOR MANY YEARS, IS, UM, WORKING WITH TEENS IN THE SCHOOLS TO ADDRESS TEEN PREGNANCY PREVENTION. 
          THIS WOULD ALLOW US TO EXPAND IT TO INCLUDE BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES THAT AFFECT, UM, OUR SCHOOL AGED YOUTH AS WELL. 
          SO, NEXT SLIDE, PLEASE. 
          SO, UM, FOR EACH OF THESE, UH, CATEGORIES, PROGRAMS AND SERVICES, I'M GOING TO BRIEFLY COVER SOME OF THE EXPECTED OUTCOMES THAT WE WOULD EXPECT TO SEE AT THE END OF THE FIVE-YEAR PERIOD OF TIME. 
          UM, THE, THE FULL BLOWN PLAN, WE'LL GO INTO A LOT MORE DETAIL, BUT THIS IS, UM, THIS IS WHY WE'RE DOING WHAT WE'RE DOING. 
          UM, SO FOR EXAMPLE, WITH, UH, THE MENTAL HEALTH SERVICES, WE'RE LOOKING AT WORKING MORE CLOSELY WITH SCHOOLS SO THAT 85% OF PUBLIC SCHOOLS, UM, WILL HAVE MENTAL HEALTH SERVICES. 
          UM, I ALREADY MENTIONED THAT ALL CITY OF SAN ANTONIO DEPARTMENTS WILL ACHIEVE LEVEL ONE TRAUMA CERTIFICATION, UM, THROUGH THE TRAUMA-INFORMED CARE CERTIFYING PROCESS AND THROUGH THE INSTITUTE. 
          UM, WE'RE ALSO WORKING WITH AT LEAST FIVE SCHOOL CAMPUSES TO IMPLEMENT RESTORATIVE JUSTICE PROGRAMS, UM, TO REALLY REDUCE EXPULSION, UM, BECAUSE WE ALL KNOW THE SINGLE MOST EFFECTIVE THING YOU CAN DO TO IMPROVE THE HEALTH OF THE COMMUNITY IS TO IMPROVE THE EDUCATIONAL OUTCOMES OF THE COMMUNITY. 
          UM, AND, AND, UH, KICKING KIDS OUT OF SCHOOL IS NOT THE WAY THAT YOU DO THAT. 
          UM, ANOTHER OUTCOME MEASURE IS THAT WE WILL SEE A REDUCTION IN THE NUMBER OF DOMESTIC VIOLENCE HOMICIDES. 
          UM, WE THINK THAT THROUGH CASE MANAGEMENT, CONNECTING PEOPLE TO LONG-TERM SERVICES THAT HELP THEM NAVIGATE THE VERY COMPLICATED WORLD OF DOMESTIC VIOLENCE AND ALL OF THE PRECURSORS, UM, RELATED TO THAT, IS THE KEY TO MAKING A DIFFERENCE IN THAT HOMICIDE RATE DUE TO DOMESTIC VIOLENCE. 
          AND THEN, UM, SPECIFIC TO THE PROJECT WORTH PROGRAM, UM, WE ARE LOOKING TO, UM, EXPAND THAT TO ADDITIONAL 65 TEENS, AND WE WILL HAVE IMPROVED SOCIAL BEHAVIOR AMONG YOUTH IN GRADE SEVEN THROUGH 12 AS MEASURED BY PRE AND POST POST-TEST. 
          SO, NEXT SLIDE, PLEASE. 
          UH, OUR SECOND CATEGORY IS HEALTH JUSTICE. 
          AND, UM, THIS CATEGORY, WE, WE SPENT A LOT OF TIME TALKING ABOUT WHAT THE RIGHT WORD WAS FOR THIS CATEGORY, AND IT'S A COMBINATION OF, UM, HEALTH EQUITY AND SOCIAL JUSTICE. 
          AND SO THAT'S HOW WE CAME UP WITH HEALTH JUSTICE. 
          AND AGAIN, YOU CAN SEE A FOCUS VERY MUCH ON, UM, ADDRESSING SYSTEMIC RACISM. 
          SO, UH, NEXT SLIDE, PLEASE. 
          SOME OF THE PROGRAMS AND SERVICES WE'RE LOOKING AT ARE, UH, EXPANDING OUR VIVA HEALTH AND POOR VITA PROGRAMS USING COMMUNITY HEALTH WORKERS. 
          UM, WE HAVE, WE, WE WERE ALREADY, UM, I THINK USING COMMUNITY HEALTH WORKERS MORE THAN MOST HEALTH DEPARTMENTS. 
          UM, BUT WE JUST WENT FULL ON ADOPTING COMMUNITY HEALTH WORKERS THROUGHOUT THE PANDEMIC, AND WE FOUND THAT TO BE INCREDIBLY, UM, SUCCESSFUL AND, UM, EFFECTIVE WAY OF COMMUNICATING WITH PEOPLE WHO SOMETIMES DON'T ALWAYS TRUST THE GOVERNMENT TO TELL THEM WHAT THEY SHOULD DO. 
          AND SO EXPANDING THAT CONCEPT TO INCLUDE NUTRITION, UM, I THINK IS A REALLY, UM, IT'S AN IMPORTANT WAY TO ADDRESS, UM, SOME OF THE DISCONNECTEDNESS BETWEEN THE COMMUNITIES OF COLOR AND GOVERNMENT AND SOME OF THE WORK THAT WE'VE BEEN DOING PREVIOUSLY. 
          UM, SO AGAIN, MAKING SURE THAT IN THE AREAS THAT HAVE THE, SOME OF THE WORST HEALTH OUTCOMES, WE'RE REALLY FOCUSING ON MAKING SURE THEY HAVE THE BEST ACCESS TO, UM, HEALTHY FOOD AND EDUCATION ON HOW THEY CAN DO A BETTER JOB, UM, OR SO THE, THE SECOND ONE IS IMPLEMENT A NUTRITION EDUCATION CAMPAIGN. 
          THE THING I LIKE ABOUT THIS IS BEFORE WE DECIDE WHAT THE TOPIC OF THAT CAMPAIGN IS, WE'RE GOING TO GO TO THE COMMUNITIES THAT WE WANT TO WORK WITH AND SAY, TELL US WHAT YOU NEED TO KNOW, AND THEN WE WILL DEVELOP THE CAMPAIGN AND HELP, UM, FACILITATE THAT CONVERSATION 
          [01:20:01]
AND THAT, UM, THAT COMMUNITY LEARNING. 
          UM, SOMETHING THAT WE'VE BEEN WANTING TO DO FOR A REALLY LONG TIME IS A LOCAL FOOD SYSTEM COLLABORATIVE, DEALING WITH FOOD INSECURITIES. 
          I KNOW WE SPEND A LOT OF TIME TALKING ABOUT OBESITY AND ITS CONNECTION TO DIABETES, BUT WE ALSO HAVE A TREMENDOUS NUMBER OF, UM, ESPECIALLY OUR CHILDREN WHO ARE SUFFERING FROM FOOD INSECURITIES. 
          AND SO WORKING WITH A FOOD SYSTEM COLLABORATIVE, WE CAN ADDRESS, UM, BOTH OF THOSE AREAS. 
          ALSO LOOKING TO EXPAND OUR PEER-LED DIABETES PREVENTION PROGRAM. 
          SO, UM, SOMEBODY WHO DOESN'T YET HAVE DIABETES, BUT WHO IS AT HIGH RISK FOR DIABETES CAN BE CONNECTED INTO THIS PEER-BASED, UM, DIABETES PREVENTION PROGRAM TO, UM, MAKE SURE THAT THEY UNDERSTAND AND HAVE THE PEER SUPPORT THAT THEY NEED TO CONTINUE TO MAKE THOSE HE HEALTHY CHOICES, UM, TO PREVENT DEVELOPING DIABETES. 
          UH, ALSO IN THE LAST BUDGET, WE WERE ABLE TO GET SOME ONE-TIME FUNDING FOR HEALTHY NEIGHBORHOODS EXPANSION. 
          UM, THIS WOULD SOLIDIFY THAT AND MAKE THAT A PERMANENT EXPANSION, AGAIN, USING OUR COMMUNITY HEALTH WORKERS IN MORE NEIGHBORHOODS THROUGHOUT THE CITY TO HELP, UM, LEAD THAT DIALOGUE AROUND WHAT DO YOU NEED IN ORDER TO, UM, HAVE HEALTHIER COMMUNITIES, UH, AND THEN FINALLY DEVELOP A CROSS SECTOR VIOLENCE PREVENTION INITIATIVE. 
          UM, WHAT WE'VE BEEN SEEING IN THE VIOLENCE PREVENTION WORK THAT WE'VE BEEN DOING, AND, AND AGAIN, THE HEALTH DEPARTMENT IS NOT NEW TO VIOLENCE PREVENTION. 
          WE'VE HAD STANDUP SA FOR FIVE YEARS NOW. 
          UM, WE JUST LAST YEAR THOUGH, UM, EXPANDED OUR ROLE WITH DOMESTIC VIOLENCE WITH THE CRTS AND COLLABORATION WITH THE POLICE DEPARTMENT. 
          UM, WE'VE DONE A LOT OF WORK OVER THE LAST COUPLE OF YEARS AROUND DOMESTIC VIOLENCE. 
          WHAT WE'RE FINDING IS THAT THERE ARE A, A LOT OF DIFFERENT WAYS TO TALK ABOUT VIOLENCE. 
          THERE ARE A LOT OF DIFFERENT DATA SETS RELATED TO VIOLENCE, UM, AND NO ONE GROUP PULLS IT ALL TOGETHER AND TELLS THE STORY ABOUT VIOLENCE. 
          AND THIS WOULD ALLOW US TO DO THAT. 
          NEXT SLIDE, PLEASE. 
          UH, SOME OF THE OUTCOME MEASURES SPECIFICALLY, WE WOULD ADD 48 NEW PUR VIDA AND VIVA HEALTH PARTNERS, UM, THROUGHOUT THE CITY. 
          UM, WE WOULD DEVELOP A, UM, TARGETING NUTRITION EDUCATION PROGRAM, AND THEN DO MONITORING OF SELF-REPORTED, UM, NUTRITION, UM, BEHAVIORS. 
          WE WOULD DEVELOP THE FOOD SYSTEMS COLLABORATIVE AND IMPLEMENT AT LEAST FOUR POLICIES ONE PER YEAR, UM, TO DECREASE FOOD INSECURITY. 
          UH, WE WOULD, THROUGH THE EXPANSION OF THE PEER LED DIABETES PREVENTION PROGRAM, SEE A 58% REDUCTION IN DIABETES AMONG PARTICIPANTS. 
          AND WE KNOW THAT NOW, THAT'S A VERY SPECIFIC NUMBER, BUT THAT'S BASED ON OUR EXPERIENCE, UM, HAVING DONE THIS OVER THE LAST SEVERAL YEARS. 
          AND THEN, AGAIN, EXPAND HEALTHY NEIGHBORHOODS INTO FOUR NEW AREAS, WHICH WE KNOW, UM, RESULTS IN INCREASED ENGAGEMENT IN HEALTHY EATING AND, AND ACTIVE LIVING INITIATIVES. 
          NEXT SLIDE, PLEASE. 
          SO THE NEXT CATEGORY, NUMBER THREE OUT OF FOUR IS ACCESS TO CARE. 
          AND AGAIN, FOCUSING ON MAKING SURE THAT PEOPLE CAN FIND CARE EASILY AND, UM, LOCALLY. 
          UH, SO THAT'S ONE OF THE, THE CHALLENGES THAT WE HAVE WITH ACCESS TO CARE, AND THAT'S ACCESS TO CARE ACROSS THE BOARD. 
          AND SO YOU'RE GONNA HEAR A LITTLE BIT ABOUT SOME MENTAL HEALTH INITIATIVES HERE AS WELL, BECAUSE THAT'S ONE OF THE AREAS WHERE PEOPLE NEED IMPROVED ACCESS TO CARE. 
          UH, NEXT SLIDE PLEASE. 
          SO, SOME OF THE, UM, SPECIFIC THINGS THAT WE'RE GOING TO BE WORKING ON IS, UM, TO ESTABLISH A COMMUNITY HEALTH WORKER HUB AND TECHNICAL ASSISTANCE CENTER. 
          UM, SO THAT'S AGAIN, AN AREA THAT WE'VE HAD A LOT OF REALLY GOOD COLLABORATION WITH OTHER PARTNERS THAT USE COMMUNITY HEALTH WORKERS. 
          SO THIS ISN'T JUST FOR HEALTH DEPARTMENT CHWS, THIS IS FOR ANY COMMUNITY HEALTH WORKER IN BEXAR COUNTY, UM, CAN COME TO THIS HUB AND RECEIVE TRAINING AND TECHNICAL ASSISTANCE AND LEARN ABOUT RESOURCES THAT ARE AVAILABLE, UM, THAT THEY CAN HELP CONNECT THEIR COMMUNITIES TO. 
          UM, SO THAT, THAT'S ONE OF THE ONES. 
          UM, THE CLINICIAN AMBASSADOR INITIATIVE IS AN AREA THAT, UM, WE'VE BEEN WORKING A LITTLE BIT WITH THROUGH OUR S T D CLINIC. 
          UM, BUT THIS KIND OF FORMALIZES IT AND EXPANDS IT TO, UM, BRING ON A PERSON WHOSE JOB IT IS TO DO THIS, AND THEY CAN WORK 
          [01:25:01]
WITH PRIVATE PROVIDERS THROUGHOUT THE COMMUNITY TO BRING THEM IN AND HELP THEM, UM, LEARN HOW PUBLIC HEALTH ADDRESSES SOME OF THE, THE, UM, ISSUES THAT WE CAN FRONT IN OUR CLINIC. 
          WHEN WE'VE DONE THIS BEFORE, WE'VE FOUND THAT THE CL, THE CLINICIANS WHO COME PARTICIPATE WITH US ARE MUCH MORE LIKELY TO PRESCRIBE PREP, FOR EXAMPLE, WHICH IS THE PRE-EXPOSURE H I V PROPHYLAXIS DRUG. 
          UM, AND THEY'RE MORE L G B T Q FRIENDLY IN THE WORK THAT THEY DO IN THEIR CLINICS. 
          UM, ANOTHER ITEM THAT WE WANT TO FOCUS ON IS DEVELOP AND PROVIDE TRAINING ON ANTI-RACIST POLICIES AND PRACTICES FOR OTHER HEALTHCARE SYSTEMS. UM, SO THAT WOULD, WE'VE BEEN DOING A LITTLE BIT OF THIS KIND OF WORK WITH OUR HEALTHY START PROGRAM, WHICH IS OUR INFANT MORTALITY REDUCTION PROGRAM. 
          UM, AND WE WILL WORK WITH, UM, YOU KNOW, SUPPORTING STORYTELLING BY LOCAL PATIENTS ABOUT THE, THEIR EXPERIENCES WITH RACIAL BIAS IN HEALTHCARE, UM, WORK WITH OUR STAKEHOLDERS ON MAKING CHANGES, UM, FOR EXAMPLE, TRACKING HARASSMENT AND DISCRIMINATION EVENTS AT THEIR FACILITIES AS A QUALITY MEASURE. 
          UM, MEASURING EFFECTIVENESS OF INTERVENTIONS SUCH AS TRAININGS ON IMPLICIT BIAS AND INTERRUPTING MICROAGGRESSIONS, UM, GIVING ACCREDITED CONTINUING EDUCATION ON THE HEALTH EFFECTS OF SYSTEMIC RACISM IN HEALTHCARE AND RECRUITING AND RETAINING PEOPLE OF COLOR, ESPECIALLY IN LEADERSHIP ROLES IN OUR HEALTHCARE ORGANIZATIONS. 
          UM, THE NEXT ONE, CONDUCTING TWO ACCESS TO CARE ASSESSMENTS. 
          UM, SO THIS WOULD ALLOW US TO QUANTIFY BETTER WHERE IS IT EXACTLY THAT PEOPLE ARE STRUGGLING TO ACCESS CARE AND WHAT IS CAUSING IT. 
          UM, WE, WE HEAR A LOT ABOUT THE FACT THAT TRANSPORTATION IS AN ISSUE. 
          LET'S REALLY QUANTIFY WHAT THAT MEANS SO THAT WE CAN START TO DEVELOP SOLUTIONS TO THOSE CHALLENGES. 
          UM, AND THEN FINALLY, UH, ESTABLISH MEDICAL LEGAL PARTNERSHIPS. 
          UM, SO A LOT OF TIMES, UM, MEDICAL ONES WHO HEAR ABOUT LEGAL STRUGGLES THAT FAMILIES ARE DEALING WITH. 
          SO, FOR EXAMPLE, A CHILD MAY SHOW UP AT THE EMERGENCY DEPARTMENT A NUMBER OF TIMES BECAUSE THEY'RE HAVING AN ASTHMA FLARE UP. 
          AND WHEN THE DOCTOR TALKS TO THE PARENT, THE MOM SAYS, I KNOW EXACTLY WHAT'S CAUSING IT. 
          IT'S ALL THE MOLD IN OUR APARTMENT BECAUSE THE LANDLORD REFUSES TO FIX THE LEAKY ROOF. 
          WELL, THE ABILITY TO REFER THAT FAMILY TO A LEGAL PARTNERSHIP THAT CAN WORK WITH THE FAMILY AND THE MEDICAL PROVIDER AND THE LANDLORD TO HELP GET THAT LEAKING ROOF FIXED, BECAUSE THAT'S THE LANDLORD'S RESPONSIBILITY, CAN ALSO THEN IMPROVE THAT CHILD'S HEALTH OUTCOMES SPECIFIC TO ASTHMA. 
          SO THAT'S ONE OF THE OTHER AREAS THAT WE'LL BE WORKING ON. 
          NEXT SLIDE, PLEASE. 
          SO THE SPECIFIC OUTCOMES THAT WE'RE LOOKING AT FOR, UM, THOSE AREAS. 
          SO FOR THE, UH, COMMUNITY HEALTH WORKER, UM, HUB, WE'RE LOOKING AT ALL OF THE COMMUNITY HEALTH WORKERS REPORTING, IMPROVED UNDERSTANDING OF AND ACCESS TO SOCIAL DETERMINANTS OF HEALTH RESOURCES. 
          UM, THE NEXT ONE IS CLINICIANS WILL SHOW AN INCREASED KNOWLEDGE RESULTING IN INCREASED REFERRALS FOR SOCIAL DETERMINANTS OF HEALTH RESOURCES. 
          SO IF THEY NEED HELP WITH HOUSING, THEY'LL KNOW HOW TO DO THAT. 
          IF THEY NEED HELP WITH PRESCRIPTION ASSISTANCE, THEY'LL KNOW HOW TO DO THAT. 
          UM, AS WELL AS COMMUNICABLE DISEASE TESTING AND OR PRESCRIBING, AS I MENTIONED, YOU KNOW, PRO PROVIDING ACCESS TO PREP FOR, TO PREP, FOR EXAMPLE. 
          UM, THE NEXT ONE, AT LEAST TWO MAJOR HEALTHCARE SYSTEMS WILL HAVE INFRASTRUCTURE MONITORING AND ACCOUNTABILITY, UM, RESULTING IN MEANINGFUL ANTI-RACISM WORK AT ORGANIZATIONAL AND POLICY LEVELS. 
          AND WHEN WE SAY HEALTHCARE SYSTEM, WE USE THAT WORD INTENTIONALLY. 
          SO IT'S NOT JUST ONE DOCTOR'S OFFICE, FOR EXAMPLE, IT MAY BE AN ENTIRE, UM, HOSPITAL SYSTEM. 
          IT MAY BE AN ENTIRE F Q H C SYSTEM. 
          UM, SO IT'S, IT'S HIGHER THAN JUST ONE INDIVIDUAL PRACTICE. 
          UM, AND THEN FINALLY, AT LEAST ONE, UM, MEDICAL-LEGAL PARTNERSHIP IS EMBEDDED WITHIN A HEALTHCARE SYSTEM, UM, OR OUTREACH PROGRAM. 
          SO THAT, UM, IF SOMEBODY SHOWS UP AT THE EMERGENCY ROOM, THAT EMERGENCY ROOM KNOWS EXACTLY HOW TO REFER THE FAMILY TO THIS, UM, LEGAL ASSISTANCE PROGRAM. 
          NEXT SLIDE, PLEASE. 
          SO, THE FINAL 
          [01:30:01]
CATEGORY, TECHNOLOGY AND INFRASTRUCTURE. 
          UM, YOU KNOW, I, I THINK, AND, AND Y'ALL HAVE PROBABLY ALL HEARD ME SAY THIS, BUT WE WOULD NEVER WAIT UNTIL THERE WAS A FIRE TO ORDER THE FIRE ENGINE AND TRAIN THE FIREFIGHTERS ON HOW TO PUT OUT A FIRE. 
          AND IN A, TO A CERTAIN EXTENT, THAT'S WHAT WE DID WITH THE PANDEMIC. 
          AND SO, UM, THIS CATEGORY ALLOWS US TO BUILD UP OUR INFRASTRUCTURE IN ORDER TO BE ABLE TO BETTER PREVENT THE, THE DISPARITIES THAT WE SAW AS A RESULT OF THE PANDEMIC, UM, BUT ALSO BETTER RESPOND TO THE NEXT PANDEMIC. 
          UM, I THINK EVERYBODY NOW BELIEVES US WHEN WE SAY IT'S NOT A MATTER OF IF, IT'S A MATTER OF WHEN WE'VE BEEN SAYING THAT FOR A LONG TIME, BUT NOW I THINK IT, IT'S REAL FOR PEOPLE. 
          UM, AND SO THE, UH, ITEMS THAT WE WOULD WORK ON THROUGH THIS CATEGORY, UM, WE WOULD ESTABLISH AN OFFICE OF POLICY AND PARTNERSHIPS. 
          AND WE'VE BEEN DOING THIS UNOFFICIALLY, UM, FOR, YOU KNOW, THE LAST FIVE, 10 YEARS, UM, THROUGH THE MAYOR'S FITNESS COUNCIL, THE SOUTH TEXAS TRAUMA-INFORMED CARE CONSORTIUM, THE END STIGMA, AND H I V ALLIANCE. 
          UM, A LOT OF COMMUNITY, UM, COALITIONS ARE BEING LED AND STAFFED BY THE HEALTH DEPARTMENT. 
          UM, THIS WOULD OFFICIALLY SOLIDIFY THE HEALTH DEPARTMENT'S ROLE IN CREATING MORE OF THESE, BECAUSE WE KNOW THAT THAT'S THE PATH TO IMPROVED COMMUNITY HEALTH OUTCOMES. 
          UM, WE WOULD ALSO EXPAND OUR OFFICE OF HEALTH EQUITY AND EXPLICITLY ADDRESS RACISM AS A PUBLIC HEALTH CRISIS. 
          UM, SO THIS WOULD GIVE A, A, A MUCH IMPROVED BANDWIDTH AND A HOME TO THE RACISM AS A PUBLIC HEALTH CRISIS RESOLUTION, UM, AND WOULD ALLOW US TO CREATE THAT PLAN AND IMPLEMENT THAT PLAN. 
          UM, MOVING FORWARD. 
          WE'VE ALSO LEARNED AS PART OF THE PANDEMIC, THE IMPORTANCE OF INFORMATICS. 
          AND, UM, WE WOULD EXPAND THROUGH THIS PLAN, OUR INFORMATICS TEAM, UM, SO THAT WE HAVE A LARGER FOOTPRINT OF PEOPLE WHO HAVE THE CAPACITY TO NOT JUST ANALYZE THE DATA, BUT TALK ABOUT WHAT THAT DATA ANALYSIS MEANS TO THE GENERAL PUBLIC. 
          THAT THAT'S THE DIFFERENCE BETWEEN JUST HIRING A BUNCH OF DATA ANALYSTS AND EXPANDING THE INFORMATICS UNIT. 
          UM, THE NEXT ONE IS TO ENHANCE THE, THE, THE TECH INFRASTRUCTURE. 
          UM, THAT'S WHAT I CALL THE, THE FAX MACHINE SOLUTION. 
          UM, SO, YOU KNOW, THERE WERE TIMES WHEN WE WERE GETTING, UM, TENS OF THOUSANDS OF FAXES A WEEK AT THE HEALTH DEPARTMENT THROUGH THE PANDEMIC, AND, AND WE, WE, WE BROKE THE FAX MACHINE SYSTEM, RIGHT? UM, IT WAS DESIGNED TO GET MAYBE 10, MAYBE 20, MAYBE 30 REPORTS A DAY, NOT TENS OF THOUSANDS. 
          AND SO WE NEED TO, TO REALLY INVEST IN THE TECHNOLOGY, UM, SO THAT PEOPLE NO LONGER HAVE TO FAX RESULTS INTO US. 
          AND THERE'S, THERE'S MORE, UM, INTELLIGENCE BEHIND THE SCENES IN HELPING TO SORT THROUGH WHAT THIS DATA MEANS, PUTTING UP RED FLAGS, ALLOWING US TO REACT MORE QUICKLY, UM, ALSO AROUND THE, UM, THE TECHNOLOGY PIECE IS TO HAVE A UNIFIED APPROACH TO VIOLENCE, DATA ANALYSIS AND PRESENTATION. 
          UM, SO IT, THIS WOULD ALLOW US TO CREATE A 10 YEAR PLAN THAT SAYS, HERE'S HOW WE'RE GOING TO WORK WITH ALL OF OUR COMMUNITY PARTNERS AT THE CITY, AT THE COUNTY, EVERYWHERE, UM, AND ADDRESS, UH, VIOLENCE, UH, PREVENTION. 
          AND THEN FINALLY, UM, A LOT OF US HAVE GOTTEN MUCH MORE, UM, I THINK EDUCATED ABOUT, UH, THE FACT THAT VIRUSES CAN MUTATE AND THOSE VARIANTS ARE IMPORTANT, UM, ESPECIALLY WHEN YOU'RE DEVELOPING A VACCINE. 
          AND SO THE ABILITY TO TRACK THOSE DIFFERENT VARIANTS MORE QUICKLY THAN WE DID IN THE PANDEMIC WILL ALLOW US TO RESPOND MORE QUICKLY TO THOSE EMERGING VARIANTS AS THEY, UM, UNFOLD. 
          SO THIS WOULD ALLOW US TO DO THAT GENOTYPING AND IDENTIFY ANY CHANGES, UM, MOVING FORWARD. 
          NEXT SLIDE, PLEASE. 
          UH, SO OUTCOME MEASURES, AGAIN, THE, THE EMERGING TECHNOLOGIES ARE EFFECTIVELY INTEGRATED AND ALLOWS US TO 
          [01:35:01]
DO A, A, A BETTER JOB, UM, THAN WE DID, AT LEAST AT THE BEGINNING OF THE PANDEMIC. 
          AND THAT THAT'S NO CRITICISM OF PUBLIC HEALTH. 
          THAT'S, THEY DID INCREDIBLE WORK WITH THE SYSTEM. 
          THEY HAD. 
          WE NEED A BETTER SYSTEM. 
          UM, ALSO LOOKING AT, PULLING IN TOGETHER ALL OF THE DIFFERENT FATALITY REVIEWS FOR PREVENTABLE DEATH. 
          A LOT OF PEOPLE RECOGNIZE THAT WE DO THIS FOR CHILD FATALITY. 
          UM, WE WANNA DO THIS FOR ALL FATALITIES THAT ARE VIOLENCE RELATED AS WELL, SO THAT WE CAN MAKE SYSTEM RECOMMENDATIONS FOR IMPROVEMENTS THAT CAN PREVENT THOSE. 
          UM, NEXT WE'RE LOOKING AT, UM, AT LEAST FIVE POLICIES THAT WILL BE IMPLEMENTED BY OTHER AGENCIES, UM, THAT ADDRESS THE PHYSICAL, ENVIRONMENTAL, SOCIAL, AND ECONOMIC CONDITIONS AFFECTING HEALTH AND ACCESS TO CARE AS A RESULT OF THE ASSESSMENT. 
          UM, AND THEN OUR MET, OUR METRO HEALTH EQUITY PLAN WILL BE FULLY IMPLEMENTED, WHICH MEANS THAT WE WILL HAVE A RACISM AS A PUBLIC HEALTH CRISIS PLAN FULLY DEVELOPED AND OPERATIONALIZED. 
          UM, AND THEN WE WILL BE EXPLICITLY FOCUSED ON INCREASING WORKFORCE DIVERSITY, UM, INCLUDING MARGINALIZED COMMUNITIES IN OUR DECISION MAKING PROCESS, AND MAKING SURE THAT, UM, THE CITY CONSISTENTLY USES RACE, ETHNICITY, AND INCOME DATA TO INFORM DECISIONS AND INITIATIVES. 
          UM, AND THEN FINALLY, THROUGH PARTNERSHIP WITH UT HEALTH, UM, WE'LL BE ABLE TO DO THAT, UH, GENOMIC SEQUENCING ON INFECTIOUS DISEASES. 
          UH, NEXT SLIDE PLEASE. 
          SO THIS IS JUST A, UM, A PARTIAL LIST OF OUR PARTNERS THAT WE HAVE WORKED WITH IN THE PAST, AND THAT WE WILL CONTINUE TO WORK WITH MOVING FORWARD ON THIS, UM, FIVE YEAR PLAN. 
          UH, NEXT SLIDE, PLEASE. 
          WITH THAT, I AM HAPPY TO TAKE ANY QUESTIONS THAT YOU MAY HAVE. 
          RIGHT. 
          THANK YOU SO MUCH FOR THAT PRESENTATION, DR. 
          BRIDGER AND TO YOUR WHOLE TEAM, WHO HAS, WHO HAS WORKED ON THAT? I, I SEE THERE ARE SOME OTHER NAMES HERE FROM METRO HEALTH ON THE WEBEX. 
          SO I'M, I'M SURE THEY'VE ALL PLAYED A VERY IMPORTANT ROLE. 
          I THINK THERE'S PROBABLY, UM, A SENTIMENT THAT ALL OF THESE THINGS WERE THINGS WE WANTED TO ADDRESS SOMEHOW, BUT HAD NOT, UM, COMMITTED, UH, TO, TO OUR ROLE AND THE RESOURCES, UH, THAT WE NEEDED IN ORDER TO DO THAT. 
          AND I'M SO GLAD THAT, UH, THAT THE CITY STAFF HAS TAKEN THE LEADERSHIP ON THAT. 
          AND AS A, AS A POLICY MAKER, I, I SUPPORT THAT DIRECTION ENTIRELY. 
          I'VE ALWAYS FELT THAT IF WE ONLY RELIED ON GRANTS TO, TO EXECUTE OUR, OUR PREVENTATIVE HEALTH WORK, UH, WE'RE, WE'RE AT A DISADVANTAGE AND WE CAN'T CONTROL, UH, THE GOOD WORK WE CAN DO. 
          AND, AND TO DO THAT, WE REALLY NEED OUR OWN LOCAL MONEY, UM, AND, AND TIE OUR OWN STRINGS TO THAT INSTEAD OF OTHER STRINGS. 
          SO, UM, SO THANK YOU FOR THAT. 
          I'M, I'M VERY EXCITED TO SEE THIS MOVE FORWARD. 
          UM, THERE'S NOT A SINGLE IDEA IN HERE THAT I DON'T LIKE. 
          IN FACT, I WANT ALL OF THEM PILOTED IN DISTRICT SEVEN. 
          UM, NO, ACTUALLY THE ONE ABOUT THE, UM, RESTORATIVE JUSTICE AT THE SCHOOLS. 
          I, I WOULD, UH, TRULY APPRECIATE THE OPPORTUNITY TO PARTNER WITH A PARTICULAR MIDDLE SCHOOL IN, IN MY AREA. 
          UM, I DO HAVE A, A QUESTION FOR YOU THOUGH. 
          UM, HOW DO YOU ENVISION, AND, AND I KNOW YOU WON'T BE HERE FOR THE FULL EXECUTION OF IT, BUT AT THIS TIME, DOES YOUR, DOES YOUR TEAM HAVE AN IDEA OF THE SEQUENCE OF EXECUTING DIFFERENT PIECES IN THIS PLAN? IN THIS PROPOSAL? YES. 
          RIGHT NOW, THE THOUGHT IS, UM, SO PRESENTATION TO CHECK, JUST TO KIND OF DO A TEMP CHECK AND SEE WHAT Y'ALL THINK. 
          UM, UM, A LONGER DIALOGUE WITH THE FULL COUNCIL AT THE GOAL SETTING SESSION ON THE 25TH. 
          UM, AND THEN CLAUDE GETS HERE. 
          CLAUDE JACOB, WHO'S THE NEW HEALTH DIRECTOR, GETS HERE ON JULY 6TH, UM, AT WHICH TIME I WILL HAND THE BATON TO HIM AND HE WILL WORK WITH THE CITY MANAGER AND, UM, HIS TEAM ON GETTING THE, THE FUNDING ACROSS THE FINISH LINE IN SEPTEMBER. 
          SO, UM, I'LL WORK BETWEEN NOW AND THE SIXTH ON WHAT THAT BRAIDED FUNDING LOOKS LIKE, AND THEN THEY'LL PUT THE FINISHING TOUCHES ON IT AS PART OF THE BUDGET PROCESS FOR FINAL APPROVAL IN SEPTEMBER. 
          UH, THANK YOU. 
          AND, AND I, I WOULD ALSO LIKE TO KNOW, WHEN WE TALK, WHEN WE LOOK AT THE DIFFERENT INITIATIVES THAT ARE IN HERE, DO SOME, UH, SORT OF FLOAT TO THE TOP AS THINGS THAT YOU WOULD DO FIRST THAT WE WOULD DO FIRST BEFORE OTHERS? LIKE, WOULD THAT, 
          [01:40:01]
THAT'S WHAT I WAS ASKING, LIKE, WOULD IT BE THE MENTAL HEALTH FOCUS OR, YOU KNOW, SOMETHING ELSE? WELL, THE NICE THING ABOUT THIS PLAN, UNLIKE OTHER PLANS THAT WE'VE DONE, IS THAT, UM, BECAUSE THERE ARE SIGNIFICANT RESOURCES, AGAIN, THAT 16 TO $18 MILLION PER YEAR, UM, WE WILL HAVE ENOUGH BANDWIDTH, UM, AND PERSON POWER TO WORK ON ALL OF THESE INITIATIVES, UM, RIGHT OUT OF THE GATE. 
          SO AGAIN, IT'LL TAKE US PROBABLY TILL JANUARY TO BE ABLE TO HAVE THE, THE POSITIONS FILLED IN ORDER TO START THAT WORK. 
          BUT ONCE WE GET THOSE POSITIONS FILLED, UM, WE'RE, AND SOME OF THE GRANT FUNDED ONES, UM, WE'RE ALREADY STARTING TO DO THAT WORK NOW. 
          SO, UM, THERE'S NOTHING ON THIS LIST THAT WE'RE NOT GONNA WORK ON UNTIL YEAR THREE, FOR EXAMPLE. 
          OKAY. 
          I LOVE HEARING THAT. 
          UM, THERE IS ONE, UH, THERE IS ONE AREA THAT I, I DIDN'T SEE IN, IN THE PLAN, AND I, I KNOW I GOT A UNIQUE PREVIEW OF IT, AND IT, IT DIDN'T REALLY, UH, OCCUR TO ME UNTIL, UH, AFTER A WHILE LATER IS, UM, ENVIRONMENTAL EXPOSURES. 
          NOW WE DON'T, UH, WE, WE DO SOME WORK, UH, WITH RESPECT TO THAT, RIGHT? THERE IS THE, UM, THE LEAD PIPES PROGRAM PARTNERSHIPS THAT WE HAVE, UM, THAT ASTHMA AND, UH, THE OZONE STUFF. 
          SO, SO THE WORK IS, IS THERE, I I DON'T THINK WE HAVE IT UNIFIED, OR I HAVEN'T SEEN IT, UH, UNIFIED. 
          UM, AT LEAST, AT LEAST HERE. 
          AND, AND THE OTHER REASON I BRING IT UP, AND, AND WE DON'T TALK ABOUT THIS MUCH, BUT WHEN IT COMES TO THINGS LIKE CANCER, WHICH IS ONE OF OUR, OUR LEADING, UH, REASONS FOR, REASONS FOR, UM, FOR DEATH IN, IN THE COUNTY, IF WE, IF WE WERE TO LOOK AT A TOP 10, OF COURSE, IT'S ALL DIFFERENT KINDS OF CANCERS, UH, CAUSED BY ALL KINDS OF DIFFERENT KINDS OF EXPOSURES. 
          UH, BUT THERE, THERE IS NO DOUBT THAT, UM, THE EXPOSURES IN OUR ENVIRONMENT CONTRIBUTES TO THAT TO SOME EXTENT. 
          UM, SO WHETHER IT IS THE HAIR PRODUCTS WE USE OR, OR THE FOOD WE EAT, UM, SO I, I WONDER IF THERE IS ROOM TO, BECAUSE THIS IS ALREADY VERY, VERY AMBITIOUS, IF THERE IS ROOM TO CONSIDER, UH, SOMETHING, UH, SOMETHING LIKE THAT. 
          UM, SO I'LL, YOU DON'T HAVE TO ANSWER NOW, UM, BUT I, I'D JUST LIKE TO PUT THAT OUT THERE. 
          SO I'LL TURN IT OVER TO COUNCIL GONZALEZ. 
          THANK YOU. 
          UM, THANK YOU, UH, DR. 
          BRIDGER. 
          UM, I GUESS I JUST, I, I WAS LOOKING AT THE STRATEGIC PLAN, AND SO CAN YOU JUST HIGHLIGHT LIKE WHAT'S, WHAT'S DIFFERENT, UM, ABOUT THE PLAN, UM, PRE, UH, POST COVID? I FEEL LIKE I SEE SOME THINGS IN HERE, ESPECIALLY THE FIRST COUP, THE FIRST TWO OR THREE PAGES THAT WERE PRETTY SIMILAR TO WHAT, WHAT YOU WERE ALREADY DOING. 
          YOU JUST DIDN'T HAVE AS MUCH MONEY, RIGHT? YOU JUST SAID IT, YOU JUST ANSWERED YOUR OWN QUESTION. 
          , WE, WE ARE, I MEAN, THIS IS VERY MUCH ALIGNED WITH OUR EXISTING STRATEGIC PLAN. 
          UM, IT DOES. 
          SO FOR EXAMPLE, ONE OF THE THINGS THAT WE LEARNED IN THE PANDEMIC IS HOW INCREDIBLY EFFECTIVE COMMUNITY HEALTH WORKERS ARE. 
          AND SO THERE'S A LOT MORE FOCUS ON COMMUNITY HEALTH WORKERS, I KNOW THAT WOULD MAKE YOU HAPPY TIMES OVER AND PAY THEM APPROPRIATELY. 
          THAT I LOVED IN THE PRESENTATION LAST WEEK, UM, THAT SOMETHING ABOUT PAY, PREMIUM PAY. 
          MM-HMM. 
          , UM, I HEARD COMMUNITY HEALTH WORKERS, UM, WAS THAT RIGHT? COMMUNITY HEALTH WORKERS, OR WAS THAT, UM, HEALTH WORKERS? WELL, IT WAS FOR HEALTH WORKERS. 
          UM, BUT A LOT OF OUR HEALTH WORKERS IN THE PANDEMIC WERE COMMUNITY HEALTH WORKERS. 
          BUT YEAH, SO, SO YOU'RE EXACTLY RIGHT, COUNCILWOMAN, THE FOCUS IS, IS NOT SIGNIFICANTLY DIFFERENT FROM OUR EXISTING STRATEGIC PLAN. 
          IT JUST IS BETTER INFORMED FROM THE PANDEMIC AND BETTER FUNDED. 
          UH, AND SO I, I GUESS IT'S, UM, YOU KNOW, I I, I KNOW THAT YOU, IN YOUR OPENING, YOU KNOW, COMMENTS, YOU ALSO SAID THERE WAS NOT A BUDGET ASSOCIATED WITH IT. 
          UM, AND THAT WILL BE DETERMINED, RIGHT? AS, AS YOU KNOW, THE NEXT COUNCIL GOES THROUGH SETTING PRIORITIES. 
          UM, BUT, UH, I, I, I GUESS, I MEAN, UM, WHEN YOU, WHEN THE DEPARTMENT SETS ITS BUDGET, UH, IS IT, WILL THAT ALSO INCLUDE, UM, I GUESS THAT INCLUDES STAFF? YES. 
          RIGHT. 
          OKAY. 
          UM, AND, AND, AND BECAUSE, YOU KNOW, IT SEEMS LIKE THERE'S LIKE SOME PROGRAMMATIC THINGS AND THEN THERE'S SOME STAFFING. 
          UM, UH, BUT, UM, 
          [01:45:01]
YOU KNOW, I, I JUST, I, I LOVE, YOU KNOW, I, OF COURSE, I, I, I GUESS I WAS TRYING TO GET THROUGH AND SEE, WELL, LIKE, WHAT'S DIFFERENT, WHAT'S DIFFERENT? I THINK, UM, YOU KNOW, YOU TOUCHED ON SOME THINGS ABOUT THE, YOU KNOW, RESEARCHING AND RESEARCHING VIRUSES, WHICH IS OBVIOUSLY, UM, WAS, I SUSPECT WAS NOT IN THERE BEFORE. 
          UM, NO, IT WAS NOT THAT. 
          UH, BUT I, I JUST, I, I LOVE THE, YOU KNOW, OF COURSE I LOVE THE COMMUNITY HEALTH WORKER MODEL, AND THE REASON THAT I, I, I LOVED IT, UM, WAS BECAUSE WHEN I TALKED TO PEOPLE WHO DID THE WORK, WHEN I TALKED TO PEOPLE WHO WERE DOING DOMESTIC VIOLENCE PREVENTION, TALKING TO PEOPLE THAT WERE DOING, UM, UH, YOU KNOW, LIKE ALMOST EVERY, AND NOT JUST PREVENTION, BUT HEALTH OUTCOMES, WHEN WE WERE TALKING ABOUT BREASTFEEDING, FOR EXAMPLE, OR WE WERE TALKING ABOUT, YOU KNOW, UM, UH, HEALTHY EATING AND, AND THAT SORT OF REALLY THE BEST WAY TO INFORM PEOPLE WAS THROUGH THEIR PEERS. 
          UH, AND, AND IT, SO IT WASN'T THAT, UM, I MEAN, I, I LEARNED IT, UM, BECAUSE EVERYBODY SAID THAT'S WHAT WORKS. 
          I MEAN, IT'S PEER PRESSURE. 
          THAT'S HOW WE CHANGE THE CULTURE. 
          AND THE COMMUNITY HEALTH WORKERS ARE, I THINK, UNIQUELY QUALIFIED, UM, TO DO THAT. 
          AND WE ALSO KNOW THAT MOST OF THE COMMUNITY HEALTH WORKERS WERE WOMEN. 
          UM, I THINK ALMOST ALL OF 'EM WERE WOMEN EXCEPT MAYBE ONE OR TWO, UM, THAT I RECALL. 
          UM, AND, UM, INCLUDING, UH, JUAN, WHO WAS OUR COMMUNITY HEALTH WORKER IN COMMS GARDEN AREA. 
          UH, SO, UM, ANYWAY, I, I, I, I'M, I'M REALLY SUPPORTIVE OF THE PLAN THAT YOU HAVE. 
          UM, YOU KNOW, ONE OF THE ONLY CONCERNS IS THAT IT'S KIND OF LONG, UM, AND MY, MY MY, UM, MY SENSE IS THAT WHEN THERE'S LIKE TOO MANY AREAS OF FOCUS THAT YOU TEND JUST NOT TO GET AS MUCH ACCOMPLISHED. 
          SO, UM, I THINK IF YOU CAN HIGHLIGHT THREE THINGS, UM, THAT WOULD BE BEST. 
          I THINK SOMETIMES YOU GET BEYOND THAT, IT'S JUST TOO HARD TO MEASURE. 
          BUT THAT WILL BE FOR THE FUTURE COUNCIL TO DETERMINE WHAT THEIR PRIORITIES ARE. 
          UM, BUT, UH, I THOUGHT IT WAS GREAT. 
          GREAT. 
          UM, GREAT, UH, BRIEFING, SO THANK YOU. 
          THANK YOU, CHAIR. 
          THANK YOU, ANN. 
          ACTUALLY, I'M SORRY, ACTUALLY, LEMME JUST TAKE IT BACK. 
          THREE THINGS IS PROBABLY NOT ENOUGH, BUT LANGUAGE , MAYBE FIVE TO 10. 
          UM, BUT NOW THAT I THINK ABOUT IT, I WAS LIKE, NO, YOU HAD LIKE, I DON'T KNOW, MAYBE 50 THINGS ON THERE. 
          SO MAYBE FIVE TO 10. 
          GREAT. 
          UH, COUNCILWOMAN ANDREW SULLIVAN. 
          THANK YOU, MADAM CHAIR, AND THANK YOU SO MUCH, DR. 
          BRIDGER. 
          I WAS SITTING HERE, UM, AND WHEN I SAY TRYING TO, TO CONTAIN THE EMOTIONS THAT GO BEHIND THE WORK THAT YOU GUYS HAVE DONE, LOOKING AT ALL OF THE THINGS THAT YOU HAVE BROUGHT TO THE TABLE, TRULY SPEAK TO HOW WE'RE OVERCOMING, UM, SITUATIONS AND ADDRESS THE INADEQUATE FEES OF A LOT OF THE, THE DISPARITY THAT WE SAW DURING THE COVID PANDEMIC. 
          AND SO THANK YOU SO MUCH FOR YOUR WORK. 
          THANK YOU FOR AMPLIFYING THE VOICE THAT WE HAVE OVER HERE IN DISTRICT TWO WHEN IT COMES TO LOOKING AT THE DISPARITIES OF HEALTHCARE ACCESS. 
          WE REALLY APPRECIATE THAT. 
          THANK YOU. 
          UM, SOME OF THE THINGS THAT I WANTED TO ASK, UM, IN RELATION TO MENTAL HEALTH, UM, WILL THIS ALSO DETERMINE WHERE WE CAN SEE THOSE SAME DAY MENTAL HEALTH CLINICS? THAT'S THE COUNTY'S WORK. 
          UM, BUT YOU'LL BE PLEASED TO KNOW THAT CAME UP AGAIN YESTERDAY IN ONE OF THE TASK FORCE MEETINGS, AND IT WILL DEFINITELY BE ON THE LIST THAT, UM, OF RECOMMENDATIONS THAT GOES TO COMMISSIONERS. 
          OKAY. 
          AWESOME. 
          AWESOME. 
          THAT, THAT MAKES A DIFFERENCE. 
          AND SO THANK YOU SO MUCH. 
          UM, AS IT RELATES TO, UM, LOOKING AT THE TECHNOLOGY AND INFRASTRUCTURE, AND I KNOW YOU WERE TALKING ABOUT USING PAPER FAX MACHINES, WHAT IS THE COST EFFECTIVENESS OF USING THE ONLINE FAX SERVICES THAT COME DIRECTLY INTO AN EMAIL? WELL, IT IS WAY MORE COST EFFECTIVE. 
          UM, JUST TO TELL YOU A QUICK STORY, WE, UM, YOU KNOW, WE RECEIVED A FAX FOR EVERY, UM, POSITIVE REPORT AND OFTEN MANY NEGATIVE REPORTS. 
          UM, AND WE HAD, I WOULD SAY, HUNDREDS OF BOXES OF FAXES THAT A HUMAN BEING HAD TO ENTER MANUALLY INTO THE SYSTEM. 
          AND SO THAT ELIMINATES THE NEED TO DO THAT. 
          SO THAT'S MUCH MORE COST 
          [01:50:01]
EFFECTIVE, BUT IT'S ALSO MUCH MORE EFFECTIVE BECAUSE WE HAVE THAT INFORMATION IMMEDIATELY IN A SEARCHABLE DATABASE THAT WE CAN, UM, THEN MANIPULATE AND MAKE DECISIONS BASED ON. 
          OKAY. 
          AND SO I KNOW YOU SAID THAT THERE WASN'T A BUDGET JUST YET, UM, IMPLEMENTED WITH THIS PARTICULAR, BUT I'D LOVE TO SEE HOW THAT MIGHT BE A PART OF THE BUDGET CONVERSATION, UM, AS WE'RE GOING FORWARD TO TECHNOLOGY AND INFRASTRUCTURE, UH, THROUGH THIS STRATEGIC PLAN. 
          UM, THEN ALSO I WANTED TO FIND OUT UNDER THE COLLABORATION WITH THE C D C, I KNOW THAT THEY HAVE DECLARED RACISM AS A PUBLIC HEALTH CRISIS AS WELL. 
          HAVE THEY STARTED TO IMPLEMENT ANY GRANT FUNDING AS IT RELATES TO THAT PARTICULAR, UH, DECLARATION INDIRECTLY? YES. 
          UM, THE ITEM THAT GOES TO COUNCIL ON THURSDAY, UM, IS A $26 MILLION C D C GRANT THAT, UM, IS TOWARDS ADDRESSING HEALTH DISPARITIES. 
          UM, AND SO A LOT OF THIS WORK WILL INITIALLY BE FUNDED THROUGH THAT GRANT. 
          UM, AND THEY'VE HAD SOME SMALLER GRANTS, UM, AS WELL. 
          BUT THAT, I MEAN, THAT'S $26 MILLION. 
          THAT'S A BIG, THAT'S A BIG DEAL GRANT. 
          UM, AND IT DOES EXPLICITLY ADDRESS HEALTH DISPARITIES. 
          OKAY. 
          THAT IS AWESOME TO HEAR. 
          AND THEN UNDER THE, UM, SOCIO HEALTH AWARENESS CAMPAIGNS, UM, AND SOME OF THEM WILL FALL UNDER, I GUESS IT'S HEALTH JUSTICE AS WELL, WHEN YOU'RE LOOKING AT, UH, SUCH AS, UH, WHAT COUNCILWOMAN SANDOVAL WAS SAYING, CANCER, WE KNOW RIGHT HERE IN OUR COMMUNITY, WE HAVE A HIGH VOLUME OF CHILDHOOD CANCER. 
          AND SO, UM, BEFORE I LEAVE, I WANNA MAKE SURE THAT I GET WITH COUNCILWOMAN SANDOVAL BECAUSE WE HAVE A MOTHER THAT WANTS TO BRING MORE AWARENESS TO CHILDHOOD CANCER, AND AS IT RELATES TO ALSO THE ADV, UH, ADVERSE REACTIONS AND HAS ON CHILDHOOD, UM, DISPARITY AS WELL. 
          SO WANNA START BRINGING MORE ATTENTION AND MORE LIGHT TO THAT. 
          ALSO PARTICIPATING IN LUPUS AWARENESS. 
          UM, WHETHER IT'S CREATING A CAMPAIGN AROUND WHAT DOES IT LOOK LIKE AS WE'RE GOING THROUGH THE DISPARITIES OF OUR COMMUNITY, UM, LEUKEMIA AWARENESS, AND THEN TO CLOSE IT OUT, MULTIPLE SCLEROSIS AND HOW IT RELATES TO SOCIO HEALTH AWARENESS CAMPAIGNS THROUGH OUR HEALTH JUSTICE. 
          BUT THOSE ARE JUST THE OTHER THINGS THAT I REALLY WOULD LIKE TO SEE AS WE'RE GOING FORWARD. 
          BUT AGAIN, THANK YOU SO MUCH DR. 
          BRIDGER, AND THANK YOU, MADAM CHAIR. 
          THANK YOU SO MUCH, UH, FOR BRINGING THIS TO US, AND, UM, WE LOOK FORWARD TO, TO SEEING IT MOVE FORWARD. 
          IS THERE ANYTHING YOU NEED FROM US AT THIS TIME, DR. 
          BRIDGER? NO, THIS WAS GOOD. 
          THANK YOU. 
          I APPRECIATE IT. 
          I DO WANNA GIVE A SHOUT OUT. 
          YOU DID MENTION THERE ARE A NUMBER OF METRO HEALTH, UM, FOLKS WHO ARE ON THIS CALL, SO I WANNA GIVE A SHOUT OUT JUST IN THE ORDER THAT THEY'RE APPEARING ON MY SCREEN. 
          SO WE'VE GOT DR. 
          CURIAN, WHO Y'ALL ARE VERY FAMILIAR WITH, JENNIFER HARRIET, YOU ALL KNOW DR. 
          WU, Y'ALL KNOW, UM, LOOKS LIKE WE ALSO HAVE CARLOS RODRIGUEZ, WHO'S THE HEAD OF OUR HEALTH EQUITY. 
          UM, WE'VE GOT DENISE AND, UM, KATHY, UM, AND JENNY, WHO WORK WITH JENNIFER, UM, IN THE COMMUNITY HEALTH ARENA. 
          AND THEN WE HAVE SEAN GREEN WHO WORKS WITH JUNEDA ON SOME OF THE HEALTH POLICY, UM, ITEMS. AND HANG ON, I, I CAN ONLY SEE PART OF MY SLIDE IF I'VE FORGOTTEN ANYBODY. 
          I'VE, I APOLOGIZE, BUT I THINK THAT THAT'S EVERYBODY I SEE. 
          I THINK, DID YOU SAY KATHY SHIELDS? I, I, YES. 
          OH, SO, UM, JUST A SHOUT OUT TO THEM. 
          IT'S PRETTY IMPRESSIVE TO BE ABLE TO SIMULTANEOUSLY RESPOND TO A PANDEMIC AND PUT TOGETHER A, YOU KNOW, $85 MILLION STRATEGIC GROWTH PLAN, UM, THAT CAPTURES MANY OF THE LESSONS LEARNED AS A RESULT OF THE PANDEMIC. 
          SO, UM, IT'S AN INCREDIBLE TEAM, AND THEY DO AMAZING WORK. 
          GREAT WORK, EVERYONE. 
          OKAY. 
          WELL, THANK YOU, UH, VERY MUCH. 
          WE WILL BE WRAPPING UP THIS ITEM AND MOVING ON TO, TO THE NEXT ONE AND LET THE RECORD REFLECT. 
          WE HAVE BEEN JOINED BY COUNCILMAN IGNIO, UH, FOR OUR NEXT ITEM. 
          AND DR. 
          GOULD, THANK YOU SO MUCH FOR YOUR PATIENCE. 
          THIS IS THE LONGEST MEETING OF THE YEAR, UH, THAT WE'VE HAD, BUT EVERY ITEM IS SO IMPORTANT. 
          SO I'LL TURN IT OVER TO RO AND NESSIE FOR 
          [4. 21-3630 Briefing on the Community Rating System Program for Public Information. [Roderick Sanchez, Assistant City Manager; Razi Hosseini, Director, Public Works]]
ITEM THREE. 
          THANK YOU. 
          OR ITEM FOUR, MADAM CHAIR, UM, THE COMMITTEE. 
          THANK YOU SO MUCH FOR THIS OPPORTUNITY. 
          MY NAME IS NEPHI GARZA. 
          I'M ASSISTANT DIRECTOR OF PUBLIC WORKS. 
          UM, AND TODAY I WANT TO TALK TO YOU, WELL, FIRST OF ALL, THANK YOU FOR THE TIME, AND, UH, TODAY WE'RE GONNA PRESENT, UH, I'D LIKE TO PRESENT TO YOU A COMMUNICATIONS PLAN, 
          [01:55:01]
UH, THAT IS ASSOCIATED WITH A PROGRAM OR A PROJECT THAT WE'RE, WE'RE FOLLOWING, KNOWN AS A COMMUNITY RATING SYSTEM OR C R S. 
          UM, SO TODAY'S PRESENTATION IS GONNA FOCUS ON A COMMUNICATION PLAN AND AN OUTREACH, AND I'LL GET INTO A LITTLE BIT MORE DETAILS. 
          UH, NEXT SLIDE JAR, PLEASE. 
          NEXT SLIDE. 
          THERE, THERE YOU GO. 
          UH, SO, C R SS, OR COMMUNITY RATING SYSTEM IS A, UM, IT'S A VOLUNTARY PROGRAM THAT REALLY ENCOURAGES COMMUNITIES TO LOOK AT WHAT KIND OF OUTREACH WE ARE DOING TO THOSE THAT MAY BE, UH, THAT MAY BE IN THE FLOODPLAIN. 
          AND IT REALLY ENCOURAGES COMMUNITIES TO EXCEED THE MINIMUM STANDARDS THAT FEMA OR THE NATIONAL FLOOD INSURANCE POLICY, UH, PROGRAM HAVE ESTABLISHED. 
          THIS IS, UH, A PROGRAM, AGAIN, IT'S VOLUNTARY, BUT THE BENEFIT OF THE PROGRAM IS AS PEOPLE, AS COMMUNITIES ENTER, UH, C R S, INDIVIDUALS WHO HAVE FLOOD INSURANCE CAN POTENTIALLY HAVE A REDUCTION IN, UH, IN FLOOD POLICY. 
          A COUPLE OF THE GOALS OR THE GOALS OF ESTABLISHED BY C R SS INCLUDE TO REDUCE AND AVOID FLOOD DAMAGES TO INSURED PROPERTIES, TO STRENGTHEN AND SUPPORT THE INSURANCE ASPECT OF THE N F I P AND ULTIMATELY TO JUST REALLY FOSTER A COMPREHENSIVE FLOODPLAIN MANAGEMENT. 
          THOSE ARE THE GOALS STATED FROM THE COMMUNITY RATING SYSTEM. 
          AND AS YOU KNOW, COUNCIL, UH, COUNCILMAN MADAM CHAIR, WE ARE AS A COMMUNITY. 
          UH, SAN ANTONIO IS THE ONLY LARGE TEXAS CITY THAT IS NOT IN C R S. 
          UH, WE ARE NOT IN THAT PROGRAM YET, AND IT'S, UM, IT'S BEEN A LONG TIME COMING AND, UH, I'M HAPPY TO SAY THAT WE WILL BE, UH, WE WILL BE, UH, ENTERING HERE. 
          UH, WE WILL BE SUBMITTING IN JULY, AND I'LL TALK A LITTLE BIT MORE ABOUT THAT. 
          NEXT SLIDE, PLEASE. 
          ONE OF THE REQUIREMENTS TO ENTER INTO C R S REQUIRES THE COMMUNITY REQUIRES US, THE CITY TO HAVE A COMMUNICATIONS PLAN OR, OR A PROGRAM FOR PUBLIC INFORMATION. 
          UH, WE, WE CALL THAT A P P I PLAN. 
          THIS PLAN REALLY IS TO HELP, UH, COME UP WITH STRATEGIES ON HOW WE ARE GONNA DO OUTREACH TO THE COMMUNITY. 
          AND THOSE ARE THE THREE BULLETS THAT ARE IDENTIFIED THERE TO SERVE AS. 
          THIS WILL SERVE AS A PLANNING TOOL TO BE DEVELOPED AND REFINED, UH, BY AN OUTREACH EFFORT THAT, UH, WILL PROMOTE, UH, AND, UH, AND EDUCATE RESIDENTS ON FLOOD HAZARD, FLOOD SAFETY, FLOOD INSURANCE, FLOOD MITIGATIONS, AND WAYS TO PROTECT PROPERTIES AND LIVES THAT MAY BE AFFECTED BY, UH, BY THE FLOODPLAIN. 
          IT ALSO CONSISTS OF OUTREACH INITIATIVES TOGETHER WITH OUR PARTNERS AND VARIOUS STAKEHOLDERS, INCLUDING THE SAN ANTONIO RIVER AUTHORITY, BEXAR COUNTY, AND VARIOUS OTHER, UH, STAKEHOLDERS AS WE MOVE FORWARD. 
          AND THIRD, IT'S A PLANNING INITIATIVE, UH, THAT HELPS US IDENTIFY PROJECTS. 
          THIS PLAN WILL BE MONITORED, EVALUATED, AND ULTIMATELY REFINED, UH, BASED ON ITS EFFECTIVENESS. 
          SO IT'S GONNA BE A LIVING, LIVING DOCUMENT, IF YOU WILL. 
          UH, MOVING FORWARD WITH THAT. 
          NEXT SLIDE, PLEASE. 
          BECAUSE WE'RE ENTERING INTO THE C R S, WE HAD TO VERY QUICKLY PUT TOGETHER A PLAN, UH, AND CREATE BASICALLY A BASELINE. 
          AND, UH, AND AGAIN, THIS IS MOVING FORWARD. 
          SO WE HAD TO FORM AND, AND PART OF THE CREATION OF THIS, UH, P P I OR PROGRAM FOR PUBLIC INFORMATION PLAN, WE HAD TO DEVELOP A COMMITTEE. 
          AND GIVEN THE LIMITED TIME, WE HAD ONLY A FEW MONTHS BECAUSE, UH, WE HAD A DEADLINE, WE HAVE A DEADLINE TO SUBMIT OUR APPLICATION. 
          WE CAME, WE BROUGHT TOGETHER 14 MEMBERS OF, OF STAKEHOLDERS, COMMUNITY MEMBERS TO COME TOGETHER AND TO CREATE THIS COMMITTEE. 
          AND INCLUDED FOUR PEOPLE FROM PUBLIC WORKS, INCLUDING OUR, OUR PROJECT MANAGER, UH, FOR THIS PROJECT, UH, WHO'S ACTUALLY ON THE CALL TODAY. 
          MARGARITA HERNANDEZ, UH, WILL BE HELPING ME WITH ANY KIND OF QUESTIONS AS WELL AS A COUPLE OF MEMBERS FROM THE OFFICE OF EMERGENCY MANAGEMENT, FOUR MEMBERS FROM THE SAN ANTONIO RIVER AUTHORITY OF OUR CONSULTANT, UH, TWO MEMBERS FROM, UH, PRIVATE INDUSTRY, AND A, UH, A PRIVATE CITIZEN, UH, THAT, THAT JOINED THE COMMITTEE. 
          AND THIS COMMITTEE DISCUSSED, UH, A BRAINSTORM, EVALUATED, ARGUED, UH, BUT FINALLY WE CAME UP WITH THESE, THE, THE BULLETED ITEMS. YOU SEE THAT THIS IS GONNA BE FOR OUR FIRST YEAR ENTERING C R S. 
          THIS IS A TARGET AUDIENCE WE'RE GONNA FOCUS ON. 
          WE'RE GONNA FOCUS ON THE FOLLOWING 
          [02:00:02]
RESIDENTIAL, UH, RESIDENTS LIVING IN THE FLOODPLAIN IN, IN A SPECIAL FLOOD HAZARD ZONES. 
          WE'RE GONNA DO SPECIAL OUTREACH TO THEM COMMUNICATING SOME OF THIS INFORMATION. 
          WE'RE GONNA DO A, A SPECIAL OUTREACH TO THE BEXAR COUNTY APPRAISAL DISTRICT. 
          UH, WE FEEL THEY NEED TO BE WELL EDUCATED ON RULES, UH, AND, UM, SOME OF THE REQUIREMENTS THAT WE HAVE. 
          SO WE'RE GONNA BE REACHING OUT TO THAT STAFF, TO THEIR STAFF. 
          WITHIN THE CITY OF SAN ANTONIO, WE HAVE AREAS THAT ARE KNOWN AS REPETITIVE LOSS AREAS. 
          THESE ARE PEOPLE THAT HAVE EXPERIENCED MULTIPLE FLOOD EVENTS. 
          WE'RE GONNA BE OUT DOING SPECIAL OUTREACH TO THEM INDIVIDUALLY, UH, TO, TO COMMUNICATE WITH THEM SOME OF THE OPTIONS, OFFER SERVICES, AND LOOK TO THAT. 
          WE'RE CERTAINLY ANOTHER AREA OF FOCUS WILL BE COMMUNICATING THIS IN SPANISH. 
          UH, WE HAVE A LOT OF GOOD INFORMATION, BUT WE DON'T HAVE A LOT OF IT IN COM, UH, TRANSLATED TO SPANISH. 
          SO WE'RE GONNA MAKE A SPECIAL EFFORT TO COMMUNICATE THAT IN SPANISH, TO HAVE ALL OUR LITERATURE AVAILABLE IN SPANISH. 
          WE WILL ALSO CONDUCT A PUBLIC MEETINGS, UH, PRIMARILY IN SPANISH AS WELL AS ENGLISH. 
          WE'RE GONNA REACH OUT TO NEIGHBORHOOD LEADERSHIP GROUPS SUCH AS THE NEIGHBORHOOD LEADERSHIP ACADEMY, UH, WHERE WE WILL BE ABLE TO, UH, VISIT AND INTERACT WITH COMMUNITY LEADERS, UH, EDUCATING THEM ON FLOODPLAIN ISSUES, UH, AND RISKS ASSOCIATED THAT. 
          AND FINALLY, WE'RE GONNA ALSO, AND WE'RE GONNA CONTINUE WORKING WITH DEVELOPERS, ENGINEERS, AND BUILDERS, SO THAT THEY UNDERSTAND THE VALUE OF OUR CODE AND OUR REQUIREMENTS, SO THEY ARE BUILDING IN A MORE RESPONSIBLE WAY, UH, USING TECHNIQUES LIKE GREEN INFRASTRUCTURE AND THINGS LIKE THAT, THAT WORK WELL WITH OUR ENVIRONMENT. 
          THOSE ARE THE TARGET AUDIENCES. 
          OUR COMMITTEE HAS IDENTIFIED THAT WE'RE GONNA BE DOING OUTREACH THROUGH, UH, COMMUNICATION WITH LITERATURE AND SO FORTH. 
          AND I'LL GET INTO A LITTLE BIT OF, OF SOME OF THE THINGS WE PLAN TO DO. 
          UM, MOVING ON, CAN WE GO ONTO THE NEXT SLIDE, PLEASE? THIS, UM, P P I PLAN, OBVIOUSLY IS, IS COMPOSED OF MEMBERS OR COMMITTEE MEMBERS. 
          AND OUR HOPE IS THAT WE ARE ABLE TO, UM, USE THESE MEMBERS, USE THEIR EXPERTISE, THEIR KNOWLEDGE OF THE COMMUNITY TO BE ABLE TO PROVIDE US THE KIND OF MESSAGE THAT WE NEED TO BE, UM, GOING AFTER, UH, AND DOING THAT IN A WAY THAT REALLY ENCOURAGES THOSE THAT ARE, THAT LIVE NEAR AROUND THE FLOODPLAIN TO CONSIDER GETTING FLOOD INSURANCE, AND THEN KNOW WHAT KIND OF OPTIONS THEY HAVE. 
          THIS PLAN WILL BE REVIEWED ON A YEAR BY YEAR BASIS. 
          WE'RE GONNA MONITOR IT. 
          WE'RE GONNA IDENTIFY WHAT ARE, HOW CAN WE GET BETTER. 
          AND, UH, AND LIKE I MENTIONED TO YOU, THE PLAN IS A LIVING DOCUMENT. 
          IT WILL, IT WILL, UH, CHANGE. 
          UH, AND MY HOPE IS THAT I COULD RETURN BACK TO THIS COMMITTEE AS THE PLAN CHANGES SO THAT I CAN COMMUNICATE TO YOU WHAT ARE SOME OF THE CHANGES THAT ARE GONNA BE HAPPENING AND SOME, SOME OF THE TARGET AUDIENCES WHEN IT, WHEN, AS, AS IT REGARDS TO, UH, THE, UM, COMMUNITY RATING SYSTEM. 
          RIGHT NOW, THE PLAN IS TO SUBMIT IN, UM, IN JULY. 
          AND OUR HOPE IS THAT WE COME IN AT A RATING OF A CLASS SEVEN OR, UM, OR A CLASS SIX. 
          OUR HOPE IS THAT WE CAN BE ABLE TO DO SO, UH, IN ORDER TO PROVIDE A 20% DISCOUNT TO, UH, OUR COMMUNITY. 
          UH, THE, THE CLASSES, UH, RANGE FROM A CLASS 10 TO A CLASS ONE, A CLASS ONE BEING THE HIGHEST RATING. 
          AS I MENTIONED. 
          AS I MENTIONED TO YOU, SAN ANTONIO'S THE ONLY LARGE CITY THAT IS NOT A, A PART OF THAT. 
          FOR COMPARISON'S SAKE, THE CITY OF HOUSTON, CITY OF DALLAS AND AUSTIN, WHO'VE BEEN IN THE PROGRAM FOR A LONG TIME, THEY'RE CURRENTLY A CLASS FIVE. 
          SO FOR SAN ANTONIO TO COME IN AT A CLASS SEVEN OR A CLASS SIX, OR EVEN A SEVEN, IT, UH, IT PUTS US VERY CLOSE TO THEM, AND WE CAN WORK, WORK OUR WAY UP AS WE MOVE FORWARD. 
          UH, FOR COMPARISON'S SAKE, CITY OF EL PASO IS A CLASS NINE. 
          FORT WORTH IS A CLASS EIGHT, UH, SAN MARCOS, LUBBOCK IS A CLASS SEVEN, UH, AND NEW BRAUNFELS IS A CLASS EIGHT. 
          SO WE'RE VERY EXCITED TO BE ABLE TO MOVE FORWARD IN, UH, IN GETTING, GETTING A GOOD RATING IN THIS PROGRAM. 
          NEXT SLIDE, PLEASE. 
          UH, THIS, UM, THIS NEXT SLIDE IDENTIFIES SOME OF THE, UM, KEY PERFORMANCE INDICATORS OR, OR SOME OF THE THINGS WE PLAN TO ACCOMPLISH IN OUR FIRST YEAR. 
          ONE, AS WE RECOGNIZED DUE TO THE PANDEMIC AND SOME OF THE, UH, ISSUES THAT WE HAD, UH, WE WERE LIMITED TO THE AMOUNT OF COMMITTEE MEMBERS WE WERE ABLE TO, TO ATTRACT. 
          SO MOVING FORWARD IN THIS NEXT YEAR, ONCE WE SUBMIT, UH, WE HAVE 
          [02:05:01]
A HOPE TO BE ABLE TO RECRUIT ADDITIONAL COMMITTEE MEMBERS. 
          MY HOPE WOULD BE THAT I COULD WORK WITH, UH, THAT WE CAN WORK WITH, UM, COUNCIL DISTRICTS TO IDENTIFY INDIVIDUALS WITHIN YOUR COMMUNITY TO SERVE IN OUR, IN THIS COMMITTEE. 
          UH, WE WILL THEN DEVELOP A SUBCOMMITTEES TO REALLY HOPE, UH, FOCUS OUR COMMUNICATIONS PLAN. 
          ALSO, WE, UH, WE PLAN TO MEET AS A COMMITTEE QUARTERLY THROUGHOUT THE YEAR TO UNDERSTAND HOW ARE WE DOING WITH, WITH THE RESULTS AND REALLY ESTABLISHING A PLAN OF ACTION MOVING FORWARD. 
          AND WE'RE GONNA FOCUS ON THESE SIX ITEMS LISTED BELOW, AS ARE GONNA BE THE INITIAL COMMUNICATION WITH THO THAT TARGETED AUDIENCE. 
          IT'S GONNA INCLUDE INFORMATION ABOUT FLOOD HAZARD UH, INSURANCE, UM, IUR YOUR PROPERTY, PROTECTING PEOPLE, PROTECTING PROPERTY, BUILDING RESPONSIBLE, AND, UH, NATURAL, UH, FLOODPLAIN FUNCTIONS REALLY WORKS WELL WITH, UH, WITH TALKING ABOUT GREEN INFRASTRUCTURE AND THE VALUE OF GREEN INFRASTRUCTURE WORKING WITH ENVIRONMENT IN OUR COMMUNITY. 
          ADDITIONALLY, WE WILL BE FOCUSING ON, UH, HAVING CONDUCTING DRAINAGE 1 0 1 MEETINGS THROUGHOUT THE, THROUGHOUT THE CITY. 
          WE HOPE TO ACCOMPLISH TWO, TWO PER COUNCIL DISTRICTS SO THAT WE CAN BE ABLE TO, UM, PROVIDE THEM THE BASICS OF DRAINAGE. 
          EVERYTHING FROM HISTORICALLY HOW FEMA MAPS ARE DEVELOPED, WHEN THEY WERE DEVELOPED, AND WHAT WE CAN DO MOVING FORWARD. 
          UH, WE HOPE TO BE ABLE TO DO THAT. 
          AND OUR, AND OUR INITIAL GOAL IS GONNA BE TO HOST TWO PER COUNCIL DISTRICT FOR A TOTAL OF 20 THROUGHOUT THE FIRST YEAR. 
          UM, NEXT SLIDE. 
          SO, WITH REGARD TO THE ACTUAL APPLICATION, AS I MENTIONED TO YOU, THIS P P I PLAN OR THIS, UM, UH, THIS, THIS PROGRAM FOR PUBLIC INFORMATION PLAN NEEDS TO BE, UH, BASICALLY ENDORSED BY THIS COMMITTEE TO MOVE FORWARD SO THAT WE CAN BEGIN IMPLEMENTING ONCE WE ENTER, UH, THE COMMUNITY RATING SYSTEM. 
          UH, FROM JULY UNTIL, UNTIL NOW, WE HAVE BASICALLY BEEN PREPARING THE APPLICATION, PREPARING THE INFORMATION, UH, THAT HAD BEEN PROVIDED. 
          MOVING IN JULY, WE WILL BE SUBMITTING THE C R S APPLICATION, UH, TO FEMA. 
          AND BETWEEN JULY AND DECEMBER, UH, WE WILL BE GOING BACK AND FORTH IF THERE'S ANY COMMENTS THAT FEMA MIGHT HAVE. 
          IF THERE'S ANY ISSUES, WE WILL BE RESOLVING ANY OF THOSE ISSUES. 
          WE WILL BE AWARDED THE RATING, UH, IN THE SPRING OF 2022. 
          SO YOU ASK, WELL, WHEN WILL THE CITIZENS ACTUALLY RECEIVE THAT FLOOD, THAT REDUCTION IN, UH, IN FLOOD INSURANCE? UM, THE WAY FEMA WORKS, WE WILL BE AWARDED IN EARLY SPRING OF 2022. 
          IT'LL TAKE ABOUT SIX MONTHS BEFORE IT'S ACTUALLY REFLECTED IN THEIR INSURANCE PLAN. 
          SO, UH, THEY WON'T SEE ANY BENEFIT UNTIL THE FALL OF 2022. 
          SO AS PEOPLE GO IN TO, UH, RENEW THEIR, UH, FLOODPLAIN, UH, INSURANCE, IT WILL BE REFLECTED. 
          THEY INDIVI, UH, INDIVIDUALS WON'T HAVE TO BE, WON'T HAVE TO CALL. 
          IT WILL BE SOMETHING THAT AUTOMATICALLY WOULD GET KICKED IN, AND THEY WOULD RECEIVE THAT, THAT, THAT, UM, THAT REDUCTION. 
          THIS PLAN, AS I MENTIONED TO YOU, IS A COMMUNICATIONS PLAN. 
          EVERYTHING THAT'S INCLUDED IN THERE, UH, WILL BE COMPLETELY, UM, WILL, IT WILL BE A PART OF OUR STORMWATER FEE THAT WE HAVE, OUR STORMWATER BUDGET, AND WE DON'T ANTICIPATE HAVING, HAVING ANY ADDITIONAL COSTS NEEDED. 
          UH, IT'S CURRENTLY FUNDED. 
          WE HAVE A CONSULTANT ON BOARD THAT WILL BE HELPING WITH US. 
          SO, UH, WHEN IT COMES TO THE COST, WE, WE, WE WILL BE ABLE TO HANDLE IT COMPLETELY WITHIN OUR CURRENT BUDGET. 
          UM, NEXT SLIDE, PLEASE. 
          AND THAT CONCLUDES, UH, MY PRESENTATION ON C R S, AND I WOULD OPEN IT UP FOR ANY QUESTIONS THAT YOU MAY HAVE. 
          I JUST REALIZED THAT WAS NOT MUTED THAT WHOLE TIME. 
          UH, THANK YOU SO MUCH, NEFI, FOR THE, FOR THE PRESENTATION. 
          I AM LOOKING FORWARD TO THAT DAY IN 2022 WHEN ALL OF OUR FLOOD INSURANCE PREMIUMS WILL DROP BY 20% IF EVERYTHING GOES RIGHT. 
          SO, UM, UH, NEPHEW, WE SPOKE EARLIER AND, AND YOU KNOW, THAT ONE OF MY BIGGEST PRIORITIES FOR THIS PLAN, UH, BEFORE WE ADOPT IT, IS THAT IT HAS, UH, METRICS AND GOALS SO THAT WE CAN MEASURE OUR PROGRESS. 
          UM, SO, UM, AND, AND YOU'VE AGREED TO GO AHEAD AND INTEGRATE THAT. 
          SO, UH, AT THIS POINT, WHAT WE NEED IS A MOTION TO ENDORSE THE PLAN AS, UH, PRESENTED. 
          MOTION TO APPROVE. 
          DO WE HAVE A SECOND? SECOND. 
          [02:10:02]
THANK YOU. 
          UH, IS THERE ANY COUNCIL DISCUSS? SORRY, COMMITTEE DISCUSSION. 
          OKAY. 
          ALL THOSE IN FAVOR, PLEASE SAY AYE. 
          AYE. 
          AYE. 
          ANY OPPOSED? NOPE, IT'S APPROVED. 
          THANK YOU NPI VERY MUCH FOR YOUR PRESENTATION, AND GOOD LUCK MOVING FORWARD WITH THIS. 
          THANK YOU, COUNCIL. 
          OKAY, GREAT. 
          AND, UH, 
          [5. 21-4291 Briefing on the Mexican American Civil Rights Institute. [Dr. Sarah Zenaida Gould, PhD, Interim Executive Director of Mexican American Civil Rights Institute]]
OUR FINAL PRESENTATION FOR TODAY, AND ONE THAT WE'VE REALLY BEEN LOOKING FORWARD TO IS, UH, THE ONE FOR . 
          SO I'LL TURN IT OVER TO MR. MCCAREY, OR, UH, TO DR. 
          GOULD. 
          GO AHEAD. 
          Y YES, WE'LL TURN IT ON OVER TO DR. 
          GOULDS. 
          THANK YOU. 
          OKAY, GREAT. 
          THANK YOU. 
          HI, UH, THANK YOU SO MUCH FOR HAVING ME. 
          UM, I DO BELIEVE YOU HAVE SOME SLIDES FOR ME. 
          THANK YOU. 
          UM, THANK YOU TO THE COMMITTEE MEMBERS. 
          I, I JUST WANNA SAY THAT ALL OF YOU HAVE PLAYED AN IMPORTANT ROLE IN HELPING MACHI, UH, TO GET ESTABLISHED. 
          AND SO SOME OF YOU ALREADY, UM, SOME OF THE INFORMATION IN THIS PRESENTATION WILL ALREADY BE WELL KNOWN TO YOU. 
          UH, WE CAN GO TO THE NEXT SLIDE. 
          SO, UM, AS I HOPE MANY OF YOU KNOW, SAN ANTONIO HAS A HISTORY OF BEING A LEADER IN ADDRESSING QUALITY OF LIFE ISSUES FOR MEXICAN AMERICANS, AS THE BIRTHPLACE AND INCUBATOR OF A NUMBER OF ORGANIZATIONS FOUNDED AROUND ISSUES OF EQUITY IN SOCIAL SERVICES AND PUBLIC ACCOMMODATIONS, EDUCATION, LEGAL AND VOTING RIGHTS, HOUSING AND THE ARTS. 
          THIS HAS BEEN A CITY LEADING THE WAY. 
          WE CAN GO TO THE NEXT SLIDE. 
          MAY WE HAVE THE NEXT SLIDE? THANK YOU. 
          UM, MAERY WAS FOUNDED IN 2019 TO DOCUMENT AND DISSEMINATE NOT ONLY SAN ANTONIO'S IMPORTANT HISTORY OF MEXICAN AMERICAN CIVIL RIGHTS, BUT ALSO TO TIE THAT HISTORY TO A NATIONAL STORY. 
          OUR CITY'S HISTORY IS PART OF AN ONGOING NATIONAL ENDEAVOR TO CREATE A MORE PERFECT UNION. 
          IF WE COULD GO TO THE NEXT SLIDE WITH YOUR SUPPORT, WE HAVE BEEN LAYING THE FOUNDATION FOR AN ORGANIZATION ROOTED IN SAN ANTONIO THAT TELLS A STORY THAT IS IMPORTANT, WE BELIEVE FOR ALL AMERICANS. 
          IT'S A STORY THAT PROMOTES DEMOCRATIC IDEALS, AND THAT, UM, IS PART OF AN ONGOING DYNAMIC AND EXCEEDINGLY RELEVANT HISTORY. 
          IF WE COULD GO TO THE NEXT SLIDE. 
          SINCE RECEIVING A TWO-YEAR PLANNING GRANT FROM THE CITY IN 2019, WE HAVE GROWN OUR BOARD FROM SEVEN TO 11 MEMBERS, AND WE HAVE, UH, TWO STAFF MEMBERS, UM, MYSELF AND BARBARA AGUIRE. 
          IF WE COULD GO TO THE NEXT SLIDE. 
          OKAY. 
          NOW I'M GONNA GET INTO, UM, MORE INFORMATION FOR YOU. 
          SO SINCE THAT TIME, WE'VE CREATED SIX PROGRAM AREAS. 
          THESE ARE MACRI TALKS, WHICH ARE VIRTUAL TALKS, FEATURING NATIONALLY RECOGNIZED SCHOLARS AND LEADERS IN MEXICAN AMERICAN CIVIL RIGHTS TEACHER TRAINING WORKSHOPS. 
          THESE ARE OFFERED THROUGH REGION 20, AND THEY PROVIDE GUIDANCE TO SOCIAL STUDIES TEACHERS ON HOW TO INCORPORATE MEXICAN AMERICAN CIVIL RIGHTS HISTORY INTO TEAKS ALIGNED LESSON PLANS. 
          UM, AN ANNUAL SYMPOSIUM, WHICH WE WILL HAVE OUR FIRST ONE THIS AUGUST, AND I'LL TELL YOU MORE ABOUT THAT AT THE END OF THE PRESENTATION. 
          A BIANNUAL PUBLICATION OF WHAT WE'RE CALLING BROWN PAPERS. 
          THESE ARE COMMISSIONED ESSAYS ON MEXICAN AMERICAN CIVIL RIGHTS, HISTORY, AND CONTEMPORARY ISSUES. 
          OUR FIRST ISSUE WAS JUST RELEASED LAST MONTH. 
          UM, EXHIBITIONS IS NUMBER FIVE. 
          WE ARE LAUNCHING A VIRTUAL EXHIBITION ON THE HISTORY OF MEXICAN AMERICAN CIVIL RIGHTS IN SAN ANTONIO THIS AUGUST. 
          AND THEN WE PLAN TO HAVE A PHYSICAL TRAVELING VERSION OF THAT EXHIBIT READY BY THE FALL. 
          AND THEN FINALLY, OUR DIGITAL ARCHIVE, WHICH INCLUDES A NEW, HIS, A NEW COLLECTION THAT WE'RE CREATING OF ORAL HISTORIES, AS WELL AS A PORTAL THAT WILL CONNECT EXISTING MEXICAN AMERICAN CIVIL RIGHTS HOLDINGS FROM ACROSS THE COUNTRY THROUGH ONE CURATED PORTAL THAT JUST FOCUSES ON MEXICAN AMERICAN CIVIL RIGHTS HISTORY. 
          IF WE COULD GO TO THE NEXT SLIDE. 
          THANK YOU. 
          DESPITE THE IMPACT OF THE PANDEMIC ON OUR PLANS, WE'VE BEEN PLEASED WITH 
          [02:15:01]
THE PUBLIC RESPONSE TO OUR VIRTUAL PROGRAMS, AND WE BELIEVE THAT WE ARE ADDRESSING AN AREA THAT PEOPLE WANT TO KNOW MORE ABOUT. 
          AND I, I THINK THAT IS REFLECTING, UH, THAT'S REFLECTED IN THE NUMBERS THAT WE'VE HAD FOR OUR PROGRAMS TO DATE. 
          IF, IF WE COULD GO TO THE NEXT SLIDE, THOSE NUMBERS ARE IMPORTANT BECAUSE BOTH LOCALLY AND NATIONALLY, WHAT WE SEE IS THAT LATINOS AND MEXICAN AMERICANS NEED MORE ACCESS TO PUBLIC HISTORY. 
          I KNOW YOU KNOW ABOUT THE LOCAL DEMOGRAPHICS, BUT JUST CONSIDER THAT ALMOST 37 MILLION AMERICA, UH, MEXICAN AMERICANS LIVE IN THE UNITED STATES, AND THAT THERE ARE NO MUSEUMS OR HISTORIC SITES IN THE US DEDICATED TO MEXICAN AMERICAN CIVIL RIGHTS HISTORY. 
          SO IF YOU JUST THINK ABOUT THIS, THERE ARE MORE MUSEUMS IN THE UNITED STATES THAN MCDONALD'S AND STARBUCKS COMBINED, BUT NOT ONE OF THEM IS FOCUSED ON MEXICAN AMERICAN CIVIL RIGHTS HISTORY. 
          AND SO WE ARE GOING TO CHANGE THAT. 
          WE HAVE AN OPPORTUNITY TO MAKE SAN ANTONIO A DESTINATION FOR LEARNING ABOUT MEXICAN-AMERICAN CIVIL RIGHTS HISTORY IN SAN ANTONIO AND THE UNITED STATES. 
          SO JUST IMAGINE WHAT ATLANTA IS TO AFRICAN-AMERICAN CIVIL RIGHTS HISTORY, AND ALL OF THE HERITAGE TOURISM DOLLARS THAT GO TO ATLANTA FOR AMERICAN CIVIL RIGHTS HISTORY. 
          WE CAN MAKE SAN ANTONIO A CENTER FOR LEARNING ABOUT MEXICAN AMERICAN CIVIL RIGHTS HISTORY, TOO. 
          AND IF WE CAN GO TO THE NEXT SLIDE, FIVE YEARS FROM NOW IN 2026, WE WILL CELEBRATE THE UNITED STATES 250TH ANNIVERSARY. 
          IN THINKING ABOUT HOW SAN ANTONIO, WHICH IS, OF COURSE, I KNOW YOU ALL KNOW, IS AN OLDER CITY THAN THE US. 
          UM, AND THINKING ABOUT HOW SAN ANTONIO FITS INTO THAT STORY OF INDEPENDENCE, OF FREEDOM, AND OF EQUALITY, I HOPE THAT WE WILL BE THINKING ABOUT THE WAYS THAT MEXICAN AMERICANS IN SAN ANTONIO HAVE WORKED TO IMPROVE THE QUALITY OF LIFE FOR ALL AMERICANS, AND THAT WE CONTINUE TO DO SO TODAY. 
          AND IF WE CAN GO TO THE NEXT SLIDE, UH, THESE ARE SOME TESTIMONIALS ABOUT THE WORK WE'VE BEEN DOING. 
          UM, AND I WON'T READ THEM TO YOU, BUT I JUST WANTED TO SHARE THAT WITH YOU. 
          AND LASTLY, I JUST WANT TO INVITE YOU TO SOME OF OUR UPCOMING EVENTS. 
          IF WE CAN GO TO THE NEXT SLIDE. 
          NEXT WEEK, WE HAVE DR. 
          MARTA MENCHACA FROM THE UNIVERSITY OF TEXAS AT AUSTIN, GIVING A PRESENTATION OR SORT OF A, A PREVIEW OF A FORTHCOMING BOOK THAT SHE HAS ON THE MEXICAN AMERICAN EXPERIENCE. 
          UM, SHE'S TITLED HER TALK STRUGGLES FOR SOCIAL AND ECONOMIC EQUALITY IN TEXAS. 
          AND IF WE CAN GO TO THE NEXT SLIDE, NEXT MONTH, WE'RE VERY EXCITED TO HAVE A VIRTUAL SUMMER BOOK CLUB. 
          THIS IS IN PARTNERSHIP WITH THE SAN ANTONIO PUBLIC LIBRARY AND BONHAM ACADEMY. 
          WE'LL BE READING A BOOK CALLED ALL THE STARS DENIED WITH THIS, WHICH IS A, A YOUNG ADULT NOVEL. 
          IT'S, UM, IT, IT TARGETS MIDDLE SCHOOLERS AND ANYBODY CAN READ IT, THOUGH. 
          IT'S SET IN THE GREAT DEPRESSION. 
          AND IT TALKS ABOUT A, UM, A FAMILY'S EXPERIENCE OF THE REPATRIATIONS THAT IMPACTED A LOT OF MEXICAN AMERICANS, INCLUDING THOUSANDS OF CITIZENS WHO WERE FORCIBLY REPATRIATED TO MEXICO DURING THE DEPRESSION. 
          SO WE'LL HAVE GUADALUPE GARCIA MCCALL, THE AUTHOR OF THE BOOK WITH US, AS WELL AS FRANCISCO BALDERRAMA, WHO'S A HISTORIAN WHO HAS WRITTEN ABOUT THIS, UH, MOMENT IN US HISTORY IN OUR PARTNERSHIP WITH, UH, BONHAM ACADEMY. 
          WE'VE BEEN ABLE TO PROVIDE 37TH GRADERS WITH A COPY OF THIS BOOK. 
          SO THAT WILL, THEY WILL BE READING IT THIS SUMMER, AND THEN THEY'LL BE JOINING US FOR THE VIRTUAL BOOK CLUB. 
          IF YOU'RE INTERESTED IN PARTICIPATING, THE LIBRARY DOES HAVE COPIES OF THIS BOOK, BOTH HARD COPIES, AND THEY HAVE THE EBOOK. 
          AND THEN VERY LAST SLIDE. 
          I WOULD VERY MUCH LIKE TO INVITE YOU TO OUR VIRTUAL SYMPOSIUM, WHICH WILL BE AUGUST 13TH AND 14TH. 
          IT'LL BE ONLINE, IT WILL BE RUNNING FROM 11:00 AM TO 3:00 PM UH, FOR THOSE TWO DAYS. 
          AND WE'LL HAVE MORE INFORMATION SOON. 
          BUT I CAN TELL YOU THAT ON FRIDAY, THE KEYNOTE SPEAKER WILL BE EDUARDO VIEZ, WHO IS THE, UH, CURRENT ACTING DIRECTOR OF THE SMITHSONIAN'S NATIONAL MUSEUM OF THE AMERICAN LATINO. 
          AND I, I WANNA THANK YOU AGAIN FOR ALLOWING ME THIS TIME TO PRESENT TO YOU. 
          I REALLY DO THINK THAT, UH,  PLAYS A ROLE IN, IN, IN SOME OF THE THINGS THAT HAVE COME UP TODAY, PARTICULARLY THINKING ABOUT HOW DO WE ADDRESS, UH, RACISM AS A, UM, AS A, A HEALTH ISSUE, AND, AND HOW DO WE, UH, ADDRESS EQUITY, UM, ACROSS THE, ACROSS THE SPECTRUM. 
          THIS YEAR, AS YOU MAY KNOW, IS THE HUNDREDTH ANNIVERSARY OF THE BIG 1921 FLOODS. 
          SO IN THAT LAST PRESENTATION, THAT'S WHAT THAT HAD ME THINKING ABOUT THE 1921 
          [02:20:01]
FLOOD, UM, OVERWHELMINGLY IMPACTED MEXICAN AMERICANS WITH NEARLY 50 MEXICAN AMERICANS KILLED IN THAT FLOOD. 
          SO THANK YOU SO MUCH. 
          IT, DR. 
          GOULD, THANK YOU VERY MUCH FOR, FOR JOINING US TODAY. 
          AND FOR, UH, IF, IF YOU DIDN'T NOTICE, UM,  DOES HAVE A SPOT ON THEIR WEBSITE WHEN YOU, WHERE YOU CAN BUY SOME GEAR. 
          UM, AND ANYWAY, UM, IT IS REALLY INCREDIBLE THAT JUST, UH, A COUPLE OF YEARS AGO, THERE WERE SOME FOLKS, UH, GATHERED IN, UH, IN OUR FIELD OFFICE CONFERENCE ROOM, UH, TALKING ABOUT THIS. 
          AND I KNOW DR. 
          RE HAD BEEN CHAMPIONING IT FOR A WHILE. 
          AND, UH, HE FINALLY GOT THE RIGHT PEOPLE TO TOGETHER INCLUDING, UH, COUNCILMAN  AND COUNCILWOMAN GONZALEZ, WHO WERE INSTRUMENTAL IN, IN SECURING THE SEED FUNDING FOR THIS. 
          SO, I, I CAN'T TELL YOU HOW PROUD I AM TO, TO HAVE THIS AT HOME HERE IN SAN ANTONIO. 
          AND I DO WANNA POINT OUT THAT SOME OF THE, UH, COMMENTS THAT YOU, THAT YOU SHARED WITH US ARE FROM PEOPLE WHO DO NOT LIVE IN SAN ANTONIO. 
          AND SO THIS IS A NATIONAL, UH, AN INSTITUTE OF NATIONAL IMPORTANCE, UH, FOR MEXICAN AMERICAN CIVIL RIGHTS HISTORY. 
          SO, UM, JUST, JUST WANTED TO POINT THAT OUT. 
          UM, I DO WANNA TURN IT OVER TO, UH, MY COLLEAGUES IF THEY HAVE ANY COMMENTS THEY'D LIKE TO SHARE. 
          COUNCILWOMAN, UM, THANK YOU MADAM CHAIR, AND THANK YOU DR. 
          GOLD. 
          THIS IS SO IMPORTANT. 
          UM, I'LL ALWAYS SAY THAT THE MOST INCLUSIVE STORY IS THE BEST STORY TO TELL, AND THIS IS ONE OF THOSE AREAS. 
          UM, AND SO THANK YOU SO MUCH FOR CONTINUING THE WORK THAT YOU DO. 
          UM, SITTING ON THIS COUNCIL, BEING ABLE TO PASS THE FUNDING WITHIN OUR BUDGET WAS ONE OF THE BEST THINGS THAT WE COULD DO AS A COMMUNITY. 
          AND SO I'M, I'M EXCITED TO SEE THAT THIS IS COMING FORWARD. 
          UM, I'M EXCITED TO SEE WHERE IT'S GONNA GO. 
          I'M REALLY LOOKING FORWARD TO TOURING, UM, ONCE EVERYTHING IS SET IN PLACE. 
          SO THANK YOU SO MUCH. 
          UM, ONE OF THE QUESTIONS THAT I HAVE IS UNDER THE AMERICAN RESCUE, UM, ACT, THERE IS, UH, FUNDING ABOUT $15 MILLION THAT IS AVAILABLE FOR THE AMERICAN LATINO MUSEUMS. AND I DIDN'T KNOW IF YOU HAD, UM, ALREADY STARTED LOOKING INTO APPLYING FOR THAT FUNDING OR, UM, COUNCIL . 
          THIS IS A WAY THAT WE CAN LOOK, UM, AS A CITY THROUGH OUR ARTS AND CULTURE DEPARTMENT TO SEE HOW WE CAN HELP FOR ANY OF THIS FUNDING THAT IS AVAILABLE. 
          WE ARE ABSOLUTELY CURRENTLY LOOKING INTO, UH, EVERYTHING THAT WE MIGHT QUALIFY FOR. 
          UH, WE ARE SO GRATEFUL TO, TO ALL OF, UH, OF YOU AND, AND, AND INCLUDING YOU, YOU WERE SUPPORTIVE OF OUR FUNDING. 
          THANK YOU SO MUCH. 
          UM, AND OUR PLANNING GRANT IS GOING TO BE ENDING AT THE END OF THIS FISCAL YEAR. 
          SO YOU'RE ABSOLUTELY RIGHT THAT WE'RE LOOKING, UM, UNDER EVERY, UNDER EVERY CORNER, EVERY, UM, UM, EVERY OPPORTUNITY THAT MIGHT WORK. 
          AND SO THAT AM AMERICAN, UM, RESCUE PLAN IS SOMETHING THAT WE'RE LOOKING AT. 
          ABSOLUTELY. 
          THANK YOU. 
          NO PROBLEM. 
          THANK YOU. 
          AND THEN, ARE WE FORMING THE COLLABORATION BETWEEN, I KNOW THAT THE WITTY MUSEUM, UM, NORMALLY WORKS WITH A LOT OF OUR MUSEUMS TO HELP THEM WITH THEIR, UH, CAPITAL, UH, CAMPAIGNS, THEIR, THEIR CAPITAL FUNDING CAMPAIGNS, AND I WANTED TO KNOW IF THEY'RE ASSISTING YOU WITH PUTTING A CAMPAIGN TOGETHER TO HELP YOU RAISE ANY OF THE ADDITIONAL MONEY THAT YOU MAY NEED? NO, YOU KNOW, WE ARE CURRENTLY NOT IN A CONVERSATION WITH THEM, BUT THAT IS, UM, I, I'M HAPPY TO REACH OUT TO THEM. 
          THAT WAS A GREAT TIP. 
          OKAY. 
          YES. 
          I THINK THAT THAT WILL BE VERY BENEFICIAL TO SPEAK TO HOW WE CONTINUE YOUR MISSION AND IT TRULY SPEAK TO THE CITY OF SAN ANTONIO'S, UH, COLLABORATION AND SPIRIT OF PARTNERSHIP. 
          SO I THINK THAT THAT'S A GOOD RESOURCE FOR YOU AS WELL. 
          AND THEN TO JUST CLOSE IT OUT WITH, I KNOW A LOT OF OUR COMMUNITY IS SPANISH SPEAKING, UM, AND A LOT OF OUR COMMUNITY IS ALSO UNDOCUMENTED, AND LOOKING FOR A PLACE OF REFUGE FOR RESOURCES CAN SOMETIMES BE A CHALLENGE. 
          AND I'M WONDERING, AS WE CONTINUE TO BUILD OUT, IF YOU'RE GONNA BE ADDING A RESOURCE DIRECTORY THAT COULD SPEAK TO, UM, LEGAL SERVICES OR THE, THE NEED FOR RENTAL ASSISTANCE OR HOW TO FIND UTILITY ASSISTANCE WITHIN, UM, YOUR AREA OF MAYBE THE GIFT SHOP OR, OR JUST INFORMATIONAL KNOWLEDGE. 
          YOU KNOW, WE ACTUALLY ARE WORKING RIGHT NOW ON WHAT WE'RE CALLING WEBSITE 2.0. 
          WE, WE HAVE A WEBSITE UP RIGHT NOW, BUT IT, UH, WE'RE WORKING ON A MUCH MORE IN-DEPTH ONE WITH MORE RESOURCES. 
          AND SO THAT IS NOT ONE OF THE RESOURCES THAT WE HAVE THOUGHT WE WANTED TO ADD, BUT THAT IS A GREAT IDEA. 
          UM, WE, WE HAVE REALLY BEEN FOCUSING ON RESOURCES FOR TEACHERS, BUT, BUT YOU'RE ABSOLUTELY RIGHT. 
          [02:25:01]
THE WHOLE COMMUNITY NEEDS RESOURCES, SO WE'LL WORK ON THAT. 
          AWESOME. 
          AWESOME. 
          WELL, THOSE ARE SOME, JUST ALL MY RECOMMENDATIONS, BUT AGAIN, CONGRATULATIONS. 
          I'M SO LOOKING FORWARD TO THIS BECAUSE IF WE'RE NOT TELLING THE WHOLE STORY, WE'RE NOT TELLING THE STORY AT ALL. 
          AND SO I'M LOOKING FORWARD TO ALL OF THE WORK THAT WILL BE DONE, AND LOOKING FORWARD TO YOUR GRAND OPENING AND TRULY CHANGING THE AREA OF THE CITY OF SAN ANTONIO TO HAVE EVEN MORE REASONS WHY YOU NEED TO VISIT SA. 
          SO THANK YOU SO MUCH, AND THANK YOU, MADAM CHAIR. 
          THANK YOU SO MUCH, COUNCILWOMAN. 
          UM, COUNCILMAN TREVINO, IS THERE ANYTHING YOU WANTED TO SHARE? NO, JUST, UH, UH, WELL, A COUPLE THINGS REALLY. 
          I, I, I ABSOLUTELY APPRECIATE THE ROLE OF ERY IN, IN OUR CITY. 
          UM, YOU KNOW, AND AS SOMEBODY THAT, THAT IS BORN AND RAISED IN SOUTH TEXAS, WE'VE ALWAYS SEEN SAN ANTONIO AS, YOU KNOW, THE, THE, ESSENTIALLY THE CAPITAL OF, OF SO MUCH OF, OF WHAT WE FEEL HAS BEEN, UH, MISCONSTRUED, MISLABELED, UM, HAS DIRECTED HISTORY IN A WAY THAT, THAT, UH, HURTS, HURTS OUR, OUR COMMUNITIES, HURTS OUR CULTURE. 
          AND IN A WAY, UM, MAYBE EVEN, UH, ENDORSES THAT BEHAVIOR. 
          AND, UM, MY HOPE IS THAT, UM, SOMETHING LIKE, LIKE, LIKE THAT, UM, YOU CONSIDER INVITING THE AUTHORS, UH, WHICH I KNOW, UH, I, I, I'VE SPOKEN TO, UH, THE BOOK CALLED FORGET THE ALAMO AND INVITE THEM TO COME SPEAK TO YOU, ASK THEM, AND I'M GONNA ASK YOU TO PRINT THE LAST LETTER THAT WILLIAM TRAVIS WROTE. 
          IT'S NOT THE ONE THAT EVERYBODY POINTS OUT. 
          IT'S NOT THE VICTORY OR DEATH SPEECH. 
          IT'S ONE THAT TALKS ABOUT TAKING AWAY ALL THE LAND THAT WAS HERE, THAT WAS OMS. I THINK IT SETS THE STAGE FOR A LOT OF WHAT YOU'VE DISCUSSED, AND IT IS TIME THAT WE FACE HISTORY WITH FACTS, NOT WITH MYTHS, NOT WITH STORIES. 
          UM, I'M PASSIONATE ABOUT THIS AND, UH, HOPE THAT YOU CAN SEE THAT THERE'S SO MUCH THAT IS, HAS BEEN PURPOSELY LEFT OUT BECAUSE IT, IT CREATED A CASCADING EFFECT OF THE RED LINING OF OUR CITY. 
          IT CREATED A CASCADING EFFECT OF THE DIVISIONS THAT WE STILL FEEL TODAY. 
          AND I, YOU KNOW, I DO BELIEVE THAT IT, IT RELATES VERY, VERY CLOSELY TO CIVIL RIGHTS, BECAUSE IT'S OUR CIVIL RIGHTS, IT'S OUR HUMAN RIGHTS. 
          AND, UM, I, I MENTIONED TO YOU THAT I, UH, THAT I BELIEVE THAT THE, THE HOPE I HAVE FOR MATI IS THAT IT, IT, IT HELPS TO WELCOME HISTORY THAT WAS NEVER WELCOME BEFORE. 
          BRING IN THE SCHOLARS FROM MEXICO, BRING IN THE DIRECTOR OF THE MEXICO, BRING HER, HAVE HER SPEAK. 
          IT WOULD BE EYE-OPENING FOR THE CITY. 
          HAVE PEOPLE WHO CAN SPEAK TO HISTORY. 
          THAT'S, THAT, THAT, FOR, FOR ONE REASON OR ANOTHER, IS, IS NOT TOLD THAT LEADS TO THESE ISSUES. 
          AND I, I, I, I'M, I BELIEVE THAT CIVIL RIGHTS IS, IS SIMPLY HUMAN RIGHTS. 
          UM, AND, UH, THIS, THIS CITY NOT IN THE NEAR FUTURE, AND I DON'T THINK EVER WILL NOT BE A MAJORITY HISPANIC TOWN. 
          AND, AND SO I'M PROUD OF WHAT YOU'RE DOING. 
          UH, I'M, I'M PROUD OF WHAT EE IS DOING. 
          I, I HOPE TO CONTINUE TO SUPPORT YOU IN, IN WHATEVER CAPACITY I CAN IN THE FUTURE. 
          UH, BUT THOSE ARE MY SMALL SUGGESTIONS. 
          UH, I'M HAPPY TO HELP OUT HOWEVER I CAN. 
          BUT THOSE ARE SOME 
          [02:30:01]
INCREDIBLE RESOURCES. 
          UH, I ASK EVERYBODY THAT'S ON THIS CALL, LOOK UP THE LAST LETTER THAT WILLIAM TRAVIS WROTE AND ASK YOURSELF, IS THAT SOMETHING THAT DID NOT IMPACT THIS CITY IN AN, IN, IN A BAD WAY? THANK YOU, CHAIR. 
          THANK YOU, ROBERTO. 
          I KNOW HOW PASSIONATE YOU ARE ABOUT THIS CITY, AND, AND I JUST, WE REALLY APPRECIATE YOU. 
          THANK YOU AGAIN, UH, FOR THE PRESENTATION. 
          AND THERE NO DOUBT IN MY MIND THAT THIS IS ONE OF THE MANY, MANY, MANY, MANY, MANY LEGACIES THAT THE COUNCILMAN IS LEAVING US WITH, UH, FROM HIS, FROM HIS TENURE, UH, WITH US. 
          UM, IN FACT, I WAS, UH, I MET WITH HIM RECENTLY AND MADE A LONG LIST OF ALL THE THINGS HE HAD, UH, ACCOMPLISHED AND HOW HE HAS, UH, CHANGED, UH, PEOPLE'S LIVES SO MUCH FOR THE BETTER. 
          AND, UH, JUST SAVED SO MANY PEOPLE DURING THIS, UH, THIS PANDEMIC, INCLUDING, OF COURSE, MANY MEXICAN AMERICANS. 
          SO THANK YOU COUNCILMAN, FOR, FOR ALL OF YOUR WORK. 
          AND, UH, DR. 
          GOULD, I THINK YOU FOUND YOURSELF A NEW BOARD MEMBER FOR, UH, FOR, UH, A POTENTIAL BOARD MEMBER FOR, UM, AND, UH, SO, SO THANK YOU. 
          I, I, I CAN'T STRESS ENOUGH HOW IMPORTANT THIS INSTITUTE IS BECAUSE BY ILLUMINATING THE STRUGGLES OF THE PAST, WE HAVE AN OPPORTUNITY TO IMPROVE OUR FUTURE FOR, FOR OUR COMMUNITY. 
          SO THANK YOU, UH, WITH THAT, UM, WE WILL, UH, CONCLUDE OUR MEETING.
* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.