* 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.
          [00:02:59]
          WHERE THE MEADOWS 
          [2. Briefing and possible action on the Meadows Mental Health Policy Institute (MMHPI) Final Report on the City of San Antonio first response system [Erik Walsh, City Manager; Claude A. Jacob, Director, San Antonio Metropolitan Health District]]
HAS CONCLUDED TODAY, STARTED EARLIER THIS YEAR, AND WE HAD A DRAFT REPORT PRESENTATION TO THE COMMUNITY HEALTH AND EQUITY COMMITTEE BACK IN JUNE 11. 
          TODAY. 
          PRESENTATION, UH, PROVIDES OUR PUBLIC SAFETY COMMITTEE WITH A FINAL RECOMMENDATIONS OF THE MEADOWS, UH, POLICY INSTITUTE. 
          THIS RECOMMENDATIONS, ALONG WITH THE FEEDBACK PROVIDED BY THIS COMMITTEE TODAY WILL INFORM THE RECOMMENDATIONS THAT WILL BE PRESENTED BY THE CITY MANAGER AS FAR AS THE FISCAL YEAR 2022 PROPOSED BUDGET THAT WILL BE PRESENTED TO THE CITY COUNCIL NEXT WEEK, AUGUST THE 12TH. 
          SO THE MEADOWS MENTAL HEALTH POLICY INSTITUTE IS FINALIZING A WRITTEN REPORT THAT REFLECTS THE RECOMMENDATIONS THAT WILL BE PRESENTED TO YOU TODAY, AND THIS REPORT WILL BE PROVIDED TO THE FULL CITY COUNCIL NEXT WEEK. 
          I ALSO WANT TO MENTION THAT WE HAVE HERE WITH US TODAY, UH, DR. 
          COLLEEN BRIDGER. 
          UH, SHE WAS THE LEAD OF THIS PROJECT, AND SHE WILL BE AVAILABLE TO ADDRESS QUESTIONS RELATED TO THE WORK, UH, MEADOWS IS PRESENTING TODAY, AS WELL AS HOW THIS, UH, WORK INTEGRATES WITH THE METRO HEALTH STRATEGIC GROWTH PLAN. 
          ALSO HERE TODAY WE HAVE CHIEF MCMANUS, UH, AND DEPUTY CHIEF, UM, FOX AS WELL. 
          AND, UH, DEPUTY CHIEF FOX, UH, OVERSEES THE MENTAL HEALTH UNIT WITHIN OUR POLICE DEPARTMENT, ALONG WITH MANY OTHER DUTIES. 
          SO SHE'LL BE AVAILABLE TO ADDRESS QUESTIONS OF THE COUNCIL AS WELL. 
          SO FINALLY, I WANNA INTRODUCE, UH, BJ WAGNER. 
          UH, SHE IS A SENIOR FELLOW OF JUSTICE SYSTEM POLICY WITH THE MEADOWS POLICY INSTITUTE, AND SHE HAS BEEN THE PROJECT LEAD FOR THIS STUDY AND WILL BE PRESENTING THE WORK THAT SHE CONCLUDED AS WELL AS THEIR, UH, RECOMMENDATIONS. 
          THANK YOU, CHAIRWOMAN. 
          THANK YOU, MARIA, AND THANK YOU. 
          WELCOME, 
          [00:05:01]
WELCOME BACK, COLLEEN. 
          DR. 
          BRIDGER, YOU HERE? HI, EVERYBODY. 
          THANKS. 
          GOOD TO BE HERE. 
          I'M MUTING AGAIN. 
          OKAY. 
          . 
          GO AHEAD, BJ. 
          GOOD AFTERNOON, AND THANK YOU GUYS FOR HAVING ME BACK. 
          I HOPE THAT YOU CAN HEAR ME AND, UH, SEE THE PRESENTATION. 
          AND IN THE INTEREST OF TIME, I'M JUST GONNA JUMP RIGHT IN. 
          SO IF WE COULD GO AHEAD AND GO TO THE FIRST SLIDE. 
          I'M HAVING TO MAKE SOME ADJUSTMENTS ON MY END. 
          IT SEEMS THAT WEBEX IS WANTING TO PUT A LOT OF INSTRUCTIONS OVER THE TOP OF MY SLIDES TO MAKE SURE THAT I KNOW THAT I'M VIEWING SOMEBODY ELSE'S COMPUTER SCREEN REAL QUICK. 
          SO IT, IT WAS REALLY A PLEASURE TO LOOK AT THIS DATA AND TO REALLY TAKE A CLOSE LOOK AT WHAT'S GOING ON IN SAN ANTONIO. 
          AND THERE WERE A LOT OF PLEASANT FINDINGS. 
          IT WAS NICE TO BE ABLE TO WORK IN A COMMUNITY THAT IS BEING THOUGHTFUL ABOUT THE INTERSECTION OF LAW ENFORCEMENT AND MENTAL HEALTH IN AN INTENTIONAL WAY WITH A DIVERSION MINDED CULTURE, WITH GROUP, YOUR FIRE GROUP AND YOUR EMERGENCY SERVICES GROUP, INCLUDING YOUR HOSPITALS AND YOUR HEALTH SERVICES DEPARTMENT. 
          YOU CAN SEE THAT IN OUR KEY FINDINGS, COLLABORATION WAS, WAS KEY THERE, AND IT WAS TOUGH. 
          UM, EVERYBODY WANTS TO BE ON THE SAME PAGE AND REALLY WANTS GOOD OUTCOMES. 
          AND SO THERE'S NOT A LOT OF BIFURCATION AND RESPONSIBILITY. 
          EVERYBODY WANTS TO BE ON THE SAME PAGE. 
          UH, THERE'S A LOT OF, UH, MOMENTUM TOWARDS INTEGRATED SERVICES AND HAVING A REALLY GOOD TEAM APPROACH WHILE THE, THE FIRST STEP ARE THE, THE KEY CONSIDERATION IS TRANSPORT TO AN EMERGENCY DEPARTMENT FOR EVALUATION. 
          UH, WE ALSO SEE THAT THERE'S GREAT DATA SHARING, UH, MANAGED BY STRIKE, AND THAT DATA IS KEY. 
          I OFTEN TELL COMMUNITIES AND DEPARTMENTS THAT UNTIL YOU REALLY KNOW WHAT YOU DON'T KNOW, THERE'S NO SENSE IN MOVING FORWARD. 
          AND YOU'RE ONE COMMUNITY THAT REALLY IS ON TOP OF YOUR SERVICES DATA, AGAIN, WITH THAT COLLABORATION BEING KEY. 
          NEXT SLIDE. 
          SO THAT LEFT US IN A GREAT PLACE TO BUILD SOME STRONG RECOMMENDATIONS. 
          WE DON'T HAVE TO START FROM THE CENTER OF THE WHEEL HERE. 
          WE, WE CAN REALLY START FROM THE SOLID FOUNDATION THAT YOU ALL HAVE ALREADY BUILT TO MAKE SOME STRONG RECOMMENDATIONS. 
          OF COURSE, WE WANNA HAVE A DATA-DRIVEN PUBLIC SAFETY MODEL, UH, GEARED TOWARDS SYSTEM TRANSFORMATION. 
          WE WANNA LOOK AT PUBLIC SAFETY HOLISTICALLY TO ENSURE THAT EVERYBODY CAN RECEIVE A SAFE MENTAL HEALTH EMERGENCY RESPONSE WITHOUT REGARD TO THEIR ACUITY LEVEL OF SYMPTOMS AT THE TIME OF THEIR CRISIS. 
          OFTEN WE SEE COMMUNITIES ACROSS THE COUNTRY DEVELOPING SYSTEMS THAT WILL EXCLUDE PEOPLE WHO HAVE HIGH ACUITY LEVEL OF SYMPTOMOLOGY, UM, FROM AN ALTERNATIVE RESPONSE. 
          AND SO WE WANNA ENSURE THAT WE'RE LOOKING COMPREHENSIVELY AT PUBLIC SAFETY DATA TO ENSURE THAT ANY KIND OF RECOMMENDATION THAT WE MAKE IS INCLUSIVE OF PEOPLE WHO ARE LIVING WITH MENTAL HEALTH CARE NEEDS WITHOUT EXCLUDING THOSE WHO HAVE HIGHER LEVEL NEEDS THAN OTHERS. 
          WE ALSO WANNA ENSURE THAT WE TAKE A STRONG LOOK AT ALL OF YOUR DATA SYSTEMS TO IDENTIFY ANY GAPS. 
          YOU GUYS HAVE GREAT DATA, BUT WE CAN NEVER BE TOO CAREFUL AND WE CAN NEVER LOOK TOO DEEP INTO THAT DATA TO ENSURE THAT THE CITY OF SAN ANTONIO IS CONSTANTLY BUILDING UPON THE GOOD WORK THAT YOU DO. 
          WE WOULD LOVE TO SEE AN INTEGRATED LICENSED CLINICIAN INTO YOUR NINE ONE ONE CALL CENTER, NOT JUST TO IDENTIFY SOME OF THOSE HIDDEN MENTAL HEALTH CALLS AND TO TRIAGE THOSE MENTAL HEALTH CALLS THAT COME IN ALREADY IDENTIFIED, BUT TO BE ABLE TO PROVIDE CONSULTATIVE RESOURCES TO FIRST RESPONDERS AND ALTERNATIVE RESPONSE TEAMS WHO ARE IN THE FIELD RESPONDING TO THESE MENTAL HEALTH EMERGENCY CALLS TO FURTHER AVOID ANY TRAGIC OUTCOMES OR ANY POOR OUTCOMES. 
          UM, FOR OUR PEOPLE WHO ARE CALLING FOR SERVICES, THAT CONSULTATIVE RESOURCE IN THE NINE ONE ONE CALL CENTER IS SUCH A VALUABLE ADD, UH, TO ANY KIND OF ASSET SERVICES THAT YOU COULD BE BUILDING. 
          AND THEN WE STRONGLY SUGGEST THE MULTIDISCIPLINARY RESPONSE TEAM AS IT DOES ALLOW FOR AN ALTERNATIVE RESPONSE WITHOUT REGARD TO ACUITY LEVEL. 
          SO IT'S A COMPLETE, COMPREHENSIVE RESPONSE, UM, THAT DOESN'T EXCLUDE PEOPLE BASED ON THE, UM, HEIGHTENED LEVEL OF ANY OF THEIR NEEDS. 
          WE WANT TO ALSO MAKE SURE THAT WE ARE OPTIMIZING TWO ROLES THROUGHOUT ALL OF THIS, THE ROLE OF THE PEER AND THE ROLE OF THE LICENSED CLINICIAN. 
          AND WE WILL CONTINUOUSLY HIGHLIGHT LICENSED CLINICIANS SIMPLY BECAUSE OF THE ELEVATED SERVICES AND THE DIAGNOSTIC SERVICES THAT THEY CAN PROVIDE. 
          NEXT SLIDE, 
          [00:10:03]
AND WE'LL JUST SKIP RAPIDLY OVER THESE, THESE GREEN INTRODUCTORY SLIDES. 
          SO A GREAT PLACE TO START IS HIGHLIGHTING SOME OF THE GOOD WORK THAT YOU GUYS ARE ALREADY DOING IN THE CITY OF SAN ANTONIO. 
          SO WE'RE GOING TO DO A BRIEF REVIEW OF THE INVENTORY OF LOCAL PROGRAMS, AND YOU CAN SEE, UM, THANKS TO THE, UM, HELP OF THE ORGANIZATIONAL WORK OF MARIA AND DR. 
          BRIDGER. 
          UH, WE'VE BROKEN THESE UP INTO THESE FOUR CATEGORIES, THE CITY OF SAN ANTONIO AND THE BEXAR COUNTY SHERIFF'S OFFICE, THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL, AND THE CENTER FOR HEALTHCARE SERVICES PROGRAMS. SO LET'S BEGIN WITH THE SAN ANTONIO POLICE DEPARTMENT WITHIN THE CITY OF SAN ANTONIO. 
          THERE ARE, UH, AN ARRAY OF QUALITY SERVICES HERE. 
          FIRST, WE SEE SOME OF THE BEST CRISIS INTERVENTION TEAM TRAINING THEN WE'VE SEEN ACROSS THE STATE. 
          AND I'LL SAY THAT I HAVE A, UM, FORTUNATE OPPORTUNITY TO LOOK AT A LOT OF CIT TRAINING, NOT ONLY ACROSS TEXAS, BUT IN OTHER STATES ACROSS THE UNION. 
          AND QUITE FRANKLY, SOME DEPARTMENTS KIND OF PHONE THIS IN, IT'S REQUIRED, UM, SO EVERY OFFICER HAS TO RECEIVE IT. 
          AND SO IT, IT HAS A TENDENCY TO DEVELOP COMPLACENCY BECAUSE IT IS A REQUIRED TRAINING. 
          BUT SAN ANTONIO POLICE DEPARTMENT IS IN NO WAY COMPLACENT. 
          THEY ARE INTENTIONAL AND FOCUSED ABOUT THEIR CRISIS INTERVENTION TRAINING, AND IT, IT'S HIGH QUALITY AND IMPACTFUL, AND IT'S NICE TO SEE. 
          UM, WE ALSO SEE THE MENTAL HEALTH UNIT AT THE SAN ANTONIO POLICE DEPARTMENT. 
          THEY HAVE A DEDICATED MENTAL HEALTH UNIT THAT'S STAFFED WITH A SUPERVISOR, TWO DETECTIVES, 10 PATROL OFFICERS, AND THREE CLINICIANS. 
          IT IS ROBUST, WHILE IT'S NOT DISPATCHED BY THE NINE ONE ONE CALL CENTER AS A FIRST RESPONSE. 
          IT DOES SUPPORT OFFICERS IN THE FIELD WHEN REQUESTED AND CAN FOLLOW UP AFTER A CRISIS IS RESOLVED TO ENSURE THAT THERE IS CONNECTION TO COMMUNITY TREATMENT AND OTHER SUPPORTS AND RESOURCES. 
          AND THEN THERE'S THE PARTNER PROGRAM COLLABORATION AND SUPPORT, AND THAT'S WHERE THE SAN ANTONIO POLICE DEPARTMENT PROVIDES OFFICERS FROM THE MENTAL HEALTH UNIT TO SUPPORT OTHER COMMUNITY PARTNER CROSS SYSTEMS PROGRAMMING FOR OTHER TARGETED INTERVENTIONS THAT WILL CONTINUE TO DISCUSS THROUGHOUT THIS REPORT. 
          SO THESE ARE DEDICATED LIAISONS OF SORTS, AND WITHIN THE BEXAR COUNTY SHERIFF'S OFFICE, WE SEE THAT THEY HAVE DEDICATED MENTAL HEALTH DEPUTIES THAT ARE ASSIGNED FROM EIGHT TO NOON, AND THAT THEY'RE PREPARING TO INTEGRATE THESE MENTAL HEALTH DEPUTIES INTO THEIR SMART PROGRAM. 
          THE, THE BEXAR COUNTY SHERIFF'S OFFICE ALSO PARTICIPATES IN THE PARTNER PROGRAM TO PROVIDE COLLABORATION AND CROSS SYSTEMS SUPPORT. 
          THEY HAVE A MOBILE INTEGRATED HEALTHCARE PROGRAM. 
          I'M SORRY, WE WERE MOVING ON TO THE FIRE DEPARTMENT NOW, THE SAN ANTONIO FIRE DEPARTMENT THAT YOU'LL SEE UNDER, UH, THE CITY OF SAN ANTONIO. 
          AND IF YOU'RE FOLLOWING ALONG IN YOUR INTERIM REPORT, WE'RE REVIEWING THE TABLE THAT YOU CAN FIND ON PAGE 23 THAT IS MATCHED WITH THIS SLIDE. 
          SO THE SAN ANTONIO FIRE DEPARTMENT HAS THE MOBILE INTEGRATED HEALTHCARE PROGRAM, WHICH EXTENDS THE SAN ANTONIO FIRE DEPARTMENT'S REACH INTO THE COMMUNITY BY ALLOWING EMERGENCY MEDICAL SERVICE RESPONDERS TO PLAY A MORE EXPANDED ROLE IN PROACTIVE AND NON-EMERGENCY CAPACITIES, SUCH AS THE PROGRAM FOR INTENSIVE CARE COORDINATION THAT IS ACTUALLY RAN OUT OF THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL FOR PROGRAMS. THEY ALSO HAVE CRISIS INTERVENTION TEAM TRAINING, WHICH IS FAIRLY RARE IN E M S. 
          WE ALL, WE TELL COMMUNITIES ACROSS THE STATE. 
          WE ALSO TELL OUR STATE PARTNERS THAT WE WORK WITH THAT AS OFTEN AS POLICY MAKERS AND LEGISLATORS AND OTHERS ARE REALLY ADVOCATING FOR MORE TRAINING FOR CIT FOR LAW ENFORCEMENT, WE SHOULD BE ADVOCATING FOR TRAINING FOR CRISIS INTERVENTION AND MENTAL HEALTH PREVENTION TRAINING FOR OUR PARAMEDICINE PARTNERS AS WELL. 
          THEY ARE THE FIRST RESPONDERS FOR MEDICAL CARE NEEDS AND MENTAL HEALTH IS A MEDICAL CARE NEED, AND WE COULD NOT BE MORE THRILLED TO SEE THAT ALL FIRE CADETS RECEIVE THREE DAYS OF , UM, CITY ACROSS THE, ACROSS THE STATE, AND HOPEFULLY EVENTUALLY ACROSS THE COUNTRY. 
          UH, THE SAN ANTONIO FIRE DEPARTMENT ALSO PARTICIPATES IN THE PARTNER PROGRAM COLLABORATION SUPPORT IN THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL. 
          THEY HAVE A PROGRAM FOR INTENSIVE CARE COORDINATION OR THE PI. 
          THIS IS THE PROGRAM THAT WAS DEVELOPED IN PARTNERSHIP WITH THE SAN ANTONIO FIRE DEPARTMENT'S, UM, I H PROGRAM OR THE MENTAL HEALTH, UH, THE MOBILE INTEGRATED HEALTHCARE PROGRAM AND THE SAN ANTONIO POLICE DEPARTMENT'S MENTAL HEALTH UNIT AND THE CENTER FOR HEALTHCARE SERVICES OR YOUR LOCAL MENTAL HEALTH AUTHORITY. 
          THIS TEAM WORKS TO REDUCE EMERGENCY DETENTION 
          [00:15:01]
AND OF COURSE, THE SUBSEQUENT USE OF EMERGENCY AND THEIR PATIENT SERVICES BY PROVIDING ONGOING ENGAGEMENT AND BY MEETING PATIENTS WHERE THEY ARE IN THE COMMUNITY WHERE THEY NEED THOSE SERVICES. 
          THE MOST, THE PICK TEAMS SEE PEOPLE WHO ARE THE HIGHEST UTILIZERS OF EMERGENCY SERVICES THROUGHOUT BEXAR COUNTY, AND THEY CARRY A CASELOAD OF AROUND A HUNDRED. 
          BUT TO BE ELIGIBLE, A PERSON MUST HAVE SIX OR MORE EMERGENCY DETENTIONS IN A 12 MONTH TIMEFRAME. 
          SO IT'S A, UM, PRETTY HIGH LEVEL OF SERVICE UTILIZATION. 
          THE PICK ROSTER IS FLUID. 
          IT'S CONSTANTLY CHANGING, AND IT'S REVIEWED EACH MONTH TO SEE IF A CONSUMER IS ACTIVE OR INACTIVE IN THESE SERVICES. 
          SOMEBODY MAY BECOME INACTIVE IF THEY'VE HAD A REDUCTION IN EMERGENCY DETENTION SERVICE USE OR EMERGENCY USE, OR IF THEY'VE HAD A LONG-TERM INCARCERATION, UM, OR DETENTION. 
          OR IF THEY'VE LEFT BEXAR COUNTY, THOSE WHO ARE INACTIVE MAY BECOME ACTIVE AGAIN. 
          THEY MAY BE RE-ENROLLED IN SERVICES, AND THE PICK TEAM COLLABORATES WITH THE SMART PROGRAM TO HELP DETERMINE HOW THEY CAN BEST SERVE RESIDENTS THROUGHOUT. 
          UM, THE PICK TEAM IS A BENEFICIAL UTILIZATION OF MULTIDISCIPLINARY, UH, PROGRAMS ACROSS THE SYSTEM. 
          AND THEN THERE'S A CHRONIC CRISIS STABILIZATION INITIATIVE, AGAIN WITHIN THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL PROGRAM. 
          AND THE C C S I IS, AGAIN, A PROGRAM THAT USES MULTIPLE DISCIPLINES AND IT HAS TWO LICENSED MASTER'S LEVEL MENTAL HEALTH PROFESSIONALS, ONE CASE MANAGER OF A BACHELOR'S LEVEL, AND A SAN ANTONIO POLICE DEPARTMENT MENTAL HEALTH OFFICER. 
          AND THIS TEAM WORKS TOGETHER TO GET FOLKS LINKED TO SERVICES AND CARE IN A COMMUNITY WITH THE GOAL BEING TO AVOID THE OVERUSE OF THE 9 1 1 SYSTEM TO MEET EVERYDAY MENTAL HEALTH CARE NEEDS. 
          SAN ANTONIO HAS THE MEDCOM LAW ENFORCEMENT NAVIGATION PROGRAM, WHICH ALLOWS FOR LAW ENFORCEMENT OFFICERS TO TRANSPORT BEHAVIORAL HEALTH PATIENTS TO THE MOST APPROPRIATE PLACE, RATHER THAN LOOKING FOR THE FIRST AVAILABLE BED AROUND TOWN. 
          IT'S A NAVIGATION SYSTEM THAT RELIES ON A PROTOCOL ON WHICH RESOURCES SUCH AS E M S FIRE AND WHAT HAVE YOU, UM, CAN, UH, LOOK AT WHAT'S MOST APPROPRIATE FOR THIS PATIENT BEFORE BEING TRANSPORTED. 
          AND IT LOOKS TO SEE IF THE PATIENT HAS ACUTE MEDICAL ISSUES, IS MEDICALLY STABLE, AND THEN WHERE'S THE BEST PLACE TO TAKE, UM, THIS PERSON FOR THE MOST APPROPRIATE LEVEL OF CARE. 
          AND THEN THERE'S THE SMART TEAM, WHICH IS, UH, THE SPECIALIZED MULTIDISCIPLINARY ALTERNATIVE RESPONSE TEAM THAT OPERATES IN THE COUNTY, UM, WHICH CONSISTS OF A PARAMEDIC, A CLINICIAN, A MENTAL HEALTH DEPUTY, UM, AND PROVIDES THE SIMILAR SERVICES TO THE PROGRAMS THAT WE'VE ALREADY DISCUSSED, WHERE THEY GO OUT AND VISIT FOLKS WHO ARE HIGH UTILIZERS OF THE SYSTEM AND CONNECT THEM TO CARE TO TRY TO REDUCE SYSTEM UTILIZATION. 
          FINALLY, WE COME TO YOUR LOCAL MENTAL HEALTH AUTHORITY, THE CENTER FOR HEALTHCARE SERVICES AND PROGRAMS, BUT THEY OFFER AN ARRAY OF SERVICES, OF COURSE, BUT THE TWO THAT ARE, UM, THE THREE HONESTLY, THAT ARE MOST APPLICABLE TO THIS PROGRAM INCLUDE ASSERTIVE COMMUNITY TREATMENT AND FORENSIC ASSERTIVE COMMUNITY TREATMENT, WHICH ARE TEAMS THAT CONSIST OF LICENSED SPECIALISTS AND CARE MANAGERS WHO WORK TOGETHER TO PROVIDE A HOLISTIC CARE APPROACH TO PEOPLE WHO HAVE SERIOUS MENTAL ILLNESS AND HIGH SYSTEM UTILIZATION. 
          THEY MEET PATIENTS IN THE FIELD WHERE THEIR CARE IS MOST NEEDED, WHETHER IT BE HOME, SHELTER, PLACE OF COMMUNITY, FAITH-BASED SHELTER, UH, UH, PLACES OF WORK SUPPORTED HOUSING OR WHAT HAVE YOU, AND ENSURE THAT THEY HAVE WRAPAROUND SERVICES OF MEDICAL, SOCIAL, AND, AND ALL OTHER ARRAYS OF CARE TO KEEP THEM IN THE COMMUNITY AND OUT OF THE HOSPITAL AND OUT OF JAIL SETTINGS. 
          THE MOBILE CRISIS OUTREACH TEAM IS NUMBER THREE THAT I WILL MENTION. 
          AND THAT IS A MOBILE TEAM THAT WHEN, UH, SOMEBODY IS IN CRISIS WILL MEET THAT PERSON IN THE FIELD AT A HOSPITAL, TYPICALLY AT THE REQUEST OF LAW ENFORCEMENT OR A MEDICAL PERSON TO DETERMINE IF THIS PERSON NEEDS INPATIENT SERVICES OR IT CAN BE STABILIZED IN THE FIELD. 
          SO THAT'S, THAT'S QUITE AN ARRAY OF SERVICES. 
          UM, THERE'S A COUPLE OF OTHERS THAT ARE LISTED HERE. 
          UH, YOU SEE ON YOUR SLIDE, THE RESTORATION CENTER IS LAW ENFORCEMENT. 
          LAW. 
          LAW ENFORCEMENT FIRST OPTIONS DIVERT PEOPLE WITH BEHAVIORAL HEALTH CARE NEEDS FROM JAILS AND EMERGENCY ROOMS. IT REALLY SERVES AS MORE OF A ONE-STOP SHOP TO TREAT PEOPLE WHO ARE IN CRISIS. 
          IT INCLUDES CRISIS CARE, MINOR MEDICAL CLINICS, SUBSTANCE USE, AND SOBERING CENTER. 
          IT CAN PROVIDE ASSESSMENTS AND INTERVENTIONS 24 HOURS A DAY AND CAN EVEN PROVIDE 
          [00:20:01]
MEDICAL CLEARANCE FOR FOLKS BROUGHT IN BY SAN ANTONIO PD BEFORE BEING TAKEN TO A MORE RESTRICTIVE SETTING. 
          UM, IT IS AN ALTERNATIVE TO ARREST AND A STRAIGHT LINE DOOR TO TREATMENT. 
          AND THEN OF COURSE, UM, THE C H C S CENTER ALSO PARTICIPATES IN THE PARTNER PROGRAM FOR COLLABORATION AND SUPPORT. 
          OKAY, NEXT SLIDE. 
          SO WITH THAT ARRAY OF SERVICES, WITH THAT, UM, PRETTY DEEP INVENTORY, AGAIN, WE SEE THESE STRENGTHS. 
          WE SEE THAT THERE IS EFFECTIVE COLLABORATION AND LEADERSHIP. 
          THE SOUTH TEXAS ARE THE STRIKE. 
          UM, IT HAS DRIVEN A LOT OF THIS COLLABORATION AROUND FIRST RESPONSE, AND IT DOES PROMOTE A DATA-DRIVEN APPROACH. 
          WE SEE NEW PROGRAMS BEING IMPLEMENTED. 
          IT IS OFTEN HELD AS A NATIONAL BEST PRACTICE, AND THERE'S NOT REALLY ANYTHING SIMILAR TO ANY OTHER MAJOR METROPOLITAN AREA. 
          AND WE SEE A LOT OF THINGS GROWING AROUND YOUR FIRST RESPONSE OPTIONS TO PICK, UM, THE CHRONIC CRISIS STABILIZATION PROGRAMS. YOU HAVE SOME PROGRAMS THAT ARE BUILT SIMILAR TO A MULTIDISCIPLINARY RESPONSE TEAM. 
          UH, THERE ARE SOME THINGS THAT ARE REALLY GROWING AROUND THAT INITIAL CRISIS RESPONSE. 
          AND OF COURSE THERE'S DATA SHARING AND PROGRAM COLLABORATION ACROSS ALL OF THESE. 
          IT WAS REALLY NICE TO COME IN TO SAN ANTONIO AND SEE THAT YOU HAVE THIS WONDERFUL FOUNDATION BUILT AROUND THESE PROGRAM STRENGTHS. 
          NEXT SLIDE. 
          HOWEVER, JUST AS, AS WE SEE IN, IN ALL OTHER CITIES, THERE ARE SOME CHALLENGES AND THAT'S NOT A DEFICIT, UH, TO SAN ANTONIO. 
          THERE'S GOING TO BE CHALLENGES IN ALMOST EVERY SYSTEM. 
          UM, ONE OF THE CHALLENGES IS ONE THING THAT MOST CITIES SEE AS A STRENGTH, AND THAT IS THAT IT CONSIDERS TRANSPORT TO AN EMERGENCY DEPARTMENT FOR EVALUATION AS THE PRIMARY RESPONSE TO A PERSON IN BEHAVIORAL HEALTH CRISIS. 
          THAT CAN BE A CHALLENGE BECAUSE THERE'S NOT OFTEN A LOT OF OPPORTUNITIES FOR TREATMENT IN THE FIELD, BUT THERE SHOULD BE NO WRONG ORDER. 
          TREATMENT SERVICES SHOULD BE COORDINATED, SO THAT APPROPRIATE ASSESSMENTS, UM, AND CONNECTIONS TO SERVICES AND FOLLOW UP AS NEEDED HAPPEN REGARDLESS OF WHICH PROGRAM TEAM OR PROVIDER MAKE FIRST CONTACT. 
          AND REGARDLESS OF WHERE THAT CONTACT IS MADE. 
          NEXT SLIDE. 
          AND SO TO GET TO THE HEART OF THIS AND TO SEE WHAT RECOMMENDATIONS WE COULD MAKE AND WHAT RECOMMENDATIONS WE COULD MAKE THAT WERE REALLY STRONG AROUND PUBLIC SAFETY, WE WANTED TO TAKE A GOOD LOOK AT PUBLIC SAFETY DATA. 
          WHEN WE LOOKED AT THE SAN ANTONIO POLICE DEPARTMENT DATA, UH, WE DISCOVERED THAT THAT THERE'S NOT THE ONE KEY ITEM THAT WE USUALLY LIKE TO GRAB ONTO. 
          AND THAT'S AN OFFICER DISPOSITION OR OUTCOME CODE THAT'S ATTACHED TO ANY CALL, REGARDLESS OF WHAT THE INITIAL, WHAT THE INITIAL NATURE CODE OF THAT CALL IS THAT IDENTIFIES THAT AS A MENTAL HEALTH CALL. 
          UM, WE KNOW THROUGH RESEARCH, FOR INSTANCE, SEVERE INSTITUTE IN 2000, UH, 20, AND AGAIN IN 2021, ISSUED BRIEFINGS HAS SAID THAT THE MOST RELIABLE DATA SOURCE FOR ANY CALL TYPE IDENTIFICATION IS THE OFFICER DISPOSITION OR OUTCOME CODE. 
          WE KNOW THAT POLICE DEPARTMENTS NEED TO RETAIN THE INITIAL NATURE CODE FOR OFFENSE REPORTING ISSUES, WHETHER IT'S U C R  REPORTING, THEY NEED TO RETAIN THAT INITIAL OFFENSE CODE, THAT INITIAL CALL NATURE CODE. 
          SO WE ENCOURAGE THE ADDITION OF A, OF A DISPOSITION OR AN OUTCOME CODE, AND THAT THAT BE A MANDATORY ADDITION THAT IDENTIFIES THAT CALL AS HAVING HAD A MENTAL HEALTH IMPETUS OF SOME SORT. 
          THEN YOUR CITY CAN REALLY IDENTIFY HOW MANY TIMES THE CALL WAS A MENTAL HEALTH CALL, EVEN IF IT HAD AN ADDITIONAL OFFENSE ELEMENT TO IT. 
          BUT THE CITY OF SAN ANTONIO DOES HAVE THESE THREE MENTAL HEALTH CODES THAT ARE VERY HELPFUL FOR LOOKING AT YOUR, UH, MENTAL HEALTH CALL TRAFFIC. 
          YOU HAVE MENTAL HEALTH ROUTINE. 
          YOU CAN SEE ON THE SLIDE WHAT THAT IS, MENTAL HEALTH DISTURBANCE AND MENTAL HEALTH IN PROGRESS. 
          SO WE WERE ABLE TO INITIALLY PULL THESE THREE CODES AND TAKE OUR FIRST LOOK. 
          NEXT SLIDE. 
          SO WE LOOKED FROM JANUARY, 2019 TO APRIL OF 2021, AND WE WANTED TO FIND AT FIRST ALL MENTAL HEALTH CALLS IN THEIR FREQUENCY. 
          WE LIKE TO DO THIS BECAUSE OFTEN WHEN FOLKS ARE LOOKING FOR A SOLUTION FOR MENTAL HEALTH CALLS, MENTAL HEALTH EMERGENCY CALLS, THE FIRST THOUGHT IS WE HAVE TO COVER THE UNIVERSE. 
          THIS HAS TO BE, UH, MONDAY THROUGH SUNDAY, 24 HOURS A DAY. 
          AND THE ANSWERS TYPICALLY, IT REALLY DOESN'T. 
          AND WE SEE THAT HERE IN SAN ANTONIO THAT IT REALLY DOESN'T, EVEN WHEN WE ARE COMBINING ALL THREE MENTAL HEALTH CALL TYPES, WE SEE THAT YOUR FREQUENCY OF CALLS IS MONDAY THROUGH FRIDAY FROM 10 TO SEVEN, AND YOUR GREATEST FREQUENCY IS ACTUALLY TUESDAY THROUGH THURSDAY, AND IT REMAINS FROM 10:00 AM TO 7:00 PM NEXT CALL. 
          UH, NEXT SLIDE. 
          [00:25:02]
BUT WE WANNA SEPARATE THOSE TWO, AND WE FIND THAT THE TWO HIGHEST CALLS ARE MENTAL HEALTH ROUTINE AND MENTAL HEALTH DISTURBANCE. 
          WE WILL DISCUSS MENTAL HEALTH ROUTINE A BIT MORE IN THIS PRESENTATION, BUT WE FIND THAT THOSE ARE OFTEN HAPPENING AT HOSPITALS, WHICH WILL BECOME A SPECIALIZED POINT OF TOPICS HERE IN A BIT. 
          NEXT SLIDE. 
          SO WHEN WE LOOK AT THE HIGH FREQUENCY TIMES FOR THOSE TWO CALL TYPES, MENTAL HEALTH DISTURBANCE AND MENTAL HEALTH ROUTINE, WE SEE THAT MENTAL HEALTH ROUTINE CALLS ARE MONDAY THROUGH SATURDAY, 9:00 AM TO 2:00 PM THEY START EARLIER IN THE DAY AND THEY GO ONE MORE DAY IN THE WEEK GOING THROUGH SATURDAY, BUT BY 2:00 PM THEY REALLY HAVE BASICALLY DROPPED OFF. 
          YOU DON'T SEE A LOT OF MENTAL HEALTH ROUTINE CALLS TAKING PLACE AFTER 2:00 PM THE TYPE OF SATURATION MAPS THAT WE'RE LOOKING AT ARE HEAT MAPS. 
          SO IF YOU SEE SOMETHING THAT'S REALLY DARK RED, IT MEANS IT'S HAPPENING REALLY OFTEN. 
          ANYTHING THAT'S GREEN, WHITE OR LIGHT PAINT MEANS THAT IT'S NOT REALLY HAPPENING THAT OFTEN. 
          SO IF YOU LOOK AT THE BOX FURTHEREST TO YOUR SCREEN, RIGHT, YOU'LL SEE THAT AROUND TWO O'CLOCK. 
          MENTAL HEALTH ROUTINE CALLS BASICALLY STOP, BUT LOOK AT THE FIRST BOX ON THAT. 
          AND YOU CAN SEE THAT MENTAL HEALTH DISTURBANCE CALLS WHILE THEY REALLY PICK UP IN FREQUENCY AROUND NOON, THEY LAST THE MAJORITY OF YOUR DAY GOING TO ALMOST 9:00 PM MONDAY THROUGH FRIDAY. 
          NOW, THAT'S GONNA BE REALLY IMPORTANT TO POLICE EXECUTIVES BECAUSE THEY'LL TELL YOU BETWEEN SAY, 5:00 PM TO 10:00 PM MONDAY THROUGH FRIDAY, THEIR OFFICERS ARE TRYING TO DO A LOT OF CRIME PREVENTION WORK. 
          THERE'S A LOT OF OF CALLS TAKING PLACE DURING THAT TIME PERIOD THAT LEAD TO THINGS SUCH AS TRAFFIC FATALITIES AND FAMILY VIOLENCE. 
          AND SO THAT 12 TO 9:00 PM IS A VERY IMPORTANT TIME, AND WE'LL SEE THAT'S WHERE THE MAJORITY OF YOUR MENTAL HEALTH DISTURBANCE CALLS ARE TAKING PLACE. 
          NEXT SLIDE. 
          SO THEN WE WANNA LOOK BY AREA, AND YOU'LL SEE THAT THERE ARE TWO PATROL AREAS HIGHLIGHTED CENTRAL AND CREW. 
          WHEN WE PULL THESE APART, WE CAN REALLY LOOK AT THE REMAINDER. 
          REMEMBER, THESE ARE HEAT MAPS, SO ANYTHING THAT'S NOT DARK RED, ANYTHING THAT'S NOT ORANGE REALLY IS VERY INFREQUENT. 
          AND SO WE CAN SEE THAT THE REMAINDER OF THE PATROL DISTRICTS ARE NOT REALLY SATURATED WITH, WITH HEATED AREAS. 
          SO THE MAJORITY OF THESE CALLS REALLY ARE TAKING PLACE IN YOUR CENTRAL AND YOUR PRU AREAS. 
          AND IF YOU'RE LIKE ME AND YOU DON'T HAVE YOUR READING GLASSES ON, YOU JUST HAVE TO TRUST ME. 
          THAT IS CENTRAL AND PROOF, UM, WHICH IS WHY WE HIGHLIGHTED IT IN GREEN IN THE NARRATIVE AREA. 
          BUT WHAT'S ALSO INTERESTING IS THOSE TWO PATROL AREAS MAKE UP SOME OF YOUR SMALLEST BY SQUARE MILES. 
          YOUR CENTRAL PATROL AREA IS 26 SQUARE MILES. 
          YOUR PROOF PATROL AREA IS 94 SQUARE MILES. 
          THE REST OF YOUR PATROL AREAS ARE ACTUALLY GREATER, UM, WITH THE, UH, EXCEPTION OF, UH, EAST AND WEST BEING A BIT SMALLER THAN CREW. 
          BUT THESE TWO AREAS BEING RELATIVELY SMALL, MAKE UP THE MAJORITY OF YOUR MENTAL HEALTH CALLS BUS SERVICE AREA. 
          NEXT SLIDE. 
          SO THEN WE WANNA BREAK THIS DOWN IN A BIT MORE DETAIL BY ZIP CODE. 
          LET'S SEE IF I CAN MAKE MY SCREEN A BIT LARGER HERE. 
          SO FOR ALL MENTAL HEALTH CALLS, THERE WERE TWO ZIP CODES THAT EMERGED AS THE MOST FREQUENT 7 8 2 0 7, AND SEVEN EIGHT TWO TWO NINE. 
          I WANNA CALL YOUR ATTENTION TO SEVEN EIGHT TWO TWO NINE. 
          THAT WILL BECOME A POINT OF INTEREST CONTINUOUSLY THROUGHOUT THIS PRESENTATION. 
          UM, BUT WHEN WE, WHEN WE LOOK, AGAIN, IT'S THESE TWO CALLS THAT CONTINUOUSLY MAKE UP THE MAJORITY OF CALLS IN THOSE AREAS, MENTAL HEALTH ROUTINE AND MENTAL HEALTH DISTURBANCE. 
          NEXT SLIDE. 
          SO LET'S LOOK AT MENTAL HEALTH ROUTINE CALLS. 
          THEY HAPPEN WITH THE GREATEST FREQUENCY IN 7 8 2 2 9 ZIP CODE. 
          WE DUG INTO THIS A BIT MORE. 
          THERE'S A LARGE NUMBER OF HOSPITALS IN THE 7 8 2 2 9 ZIP CODE, AND THESE HOSPITALS FREQUENTLY REQUEST THE SAN ANTONIO POLICE DEPARTMENT TO RESPOND TO THEM TO EXECUTE WHAT'S CALLED AN EMERGENCY DETENTION WARRANT IN TEXAS UNDER HEALTH AND SAFETY CODE 5 73, A TEXAS PEACE OFFICER MAY IS THE ONLY PERSON WHO CAN DO AN EMERGENCY DETENTION WARRANT FOR SOMEBODY WHO POSES A RISK OF HARM TO THEMSELVES OR OTHERS. 
          FREQUENTLY, THE HOSPITAL IS IN THIS PARTICULAR AREA OF YOUR, ARE REQUESTING THAT YOUR POLICE DEPARTMENT RESPOND TO THEIR EMERGENCY ROOMS TO DO THESE EMERGENCY DETENTION WARRANTS FOR SOMEBODY WHO IS AT THAT HOSPITAL ALREADY. 
          YOU'LL SEE THAT WE MAKE A RECOMMENDATION LATER IN THIS REPORT TO CONSIDER A PARTNERSHIP FOR EMERGENCY DETENTION PROCESSING, UM, TO ALLEVIATE THIS BURDEN ON YOUR POLICE DEPARTMENT. 
          BUT 
          [00:30:01]
YOU'LL NOTICE, UM, AS WE CONTINUE TO LOOK AT DATA, THE NUMBER OF CALLS IN THIS AREA ARE NOT JUST SIGNIFICANT. 
          THEY ARE ABOVE AND BEYOND WHAT WOULD BE EXPECTED TO BE SIGNIFICANT. 
          2,460, I BELIEVE THE NEXT CLOSEST ONE WAS ABOUT A THOUSAND CALLS AWAY. 
          NEXT SLIDE. 
          SO WHILE MENTAL HEALTH AND PROGRESS CALLS SEEM TO BE MORE DISPERSED, REALLY GEOGRAPHICALLY, WE CAN SEE THAT YOU HAVE A HIGH NUMBER OF CALLS IN REALLY DENSE AREAS, SO IN SMALLER AREAS, BUT, AND, AND THEY'RE HAPPENING AT THE SAME RATE AS THE LARGE GEOGRAPHIC AREAS, WHICH INDICATES A HIGH FREQUENCY. 
          SO FOR INSTANCE, UM, IF YOU LOOK AT THE CENTRAL, WHICH IS 26, UM, SQUARE MILES, AND THEN YOU LOOK AT, UH, THESE AREAS DOWN HERE. 
          SO 7, 8 2 2 3, YOU HAVE 417 CALLS. 
          BUT THEN IF YOU LOOK UP HERE AT 7 8 2 2 8, YOU HAVE 414 R 7 8, 2 0 7, YOU HAVE 493, BUT AGAIN, 7 8 2 2 9. 
          SO WE'VE TALKED ABOUT THE SIGNIFICANCE OF THAT ZIP CODE YOU HAVE 408, SO YOU HAD NINE LESS CALLS IN 7 8, 2, 2 9, WHICH IS A MUCH SMALLER GEOGRAPHIC AREA THAN ANY OF THE AREAS SURROUNDING IT. 
          SO THAT SATURATION IS SIGNIFICANT. 
          NEXT SLIDE. 
          AND NOW, MENTAL HEALTH DISTURBANCE, WHICH IS THE CALL THAT HAS THE GREATEST LEVEL OF INTENSITY AND PUBLIC SAFETY NEEDS. 
          AND THIS IS GONNA BE IMPORTANT AS WE START TO OVERLAP OTHER CALLS WITH THE POLICE DEPARTMENT. 
          SO WHEN WE LOOKED AT MENTAL HEALTH DISTURBANCE, IT OCCURS MOST OFTEN IN THE 7 8 2 0 7 ZIP CODE. 
          THIS TELLS US THAT THERE IS A, A NEED FOR A SPECIALIZED HYBRID PUBLIC SAFETY RESPONSE IN THIS AREA. 
          BUT TO BE SURE OF THAT, WE WANNA CROSS OVER THIS DATA WITH ADDITIONAL PUBLIC SAFETY DATA. 
          NEXT SLIDE. 
          SO WE DO A CALL FOR SERVICE OVERLAY. 
          WE WANNA FIND THE 28 MOST FREQUENT CALL ADDRESSES IN SAN ANTONIO. 
          AND WHILE THEY WERE MOSTLY LOCATED DECENTLY DISPERSED ACROSS THE CITY, THEY ARE CLUSTERED DOWNTOWN. 
          AND THESE DOWNTOWN LOCATIONS THAT ARE MOST COMMON, UM, WAS OF COURSE, YOU KNOW, BY THE ALAMO. 
          THEY WERE FOLLOWED BY TRAVIS PARK. 
          AND YOU CAN SEE THE PICTURE HERE IN THIS MAP, THERE WERE EIGHT LOCATIONS WITHIN 30 BLOCKS THAT ACCOUNTED FOR THE MAJORITY OF THESE CALLS. 
          NEXT SLIDE. 
          NOW, THERE WERE SOME LOCATIONS IN OTHER AREAS THAT ACCOUNTED FOR THE HIGHEST NUMBER OF CALLS. 
          ONE LOCATION HAD 479 CALLS, BUT IT WAS A PRIVATE RESIDENCE. 
          THE NEXT LOCATION, ALSO PRIVATE RESIDENCE, HAD 219 CALLS. 
          WE REMOVED THE MAP FROM THE SLIDE FOR PRIVACY REASONS, BECAUSE THESE WERE, UM, PRIVATE RESIDENCES, BUT THE LOCATIONS WERE CLUSTERED AROUND THIS PARTICULAR AREA MENTIONED HERE ON THIS SLIDE, WHEN WE LOOKED INTO WHAT, YOU KNOW, ONE OF THESE HOUSES, THE ONE THAT HAD THE 479 CALLS, IT'S LOCATED IN AN INTERESTING AREA. 
          SO VERY, IT'S AN INDUSTRIAL AREA. 
          SO THERE'S SOME MORE DETAIL THAT WE WOULD LIKE TO GLEAN FROM THIS PARTICULAR AREA. 
          FOR INSTANCE, WHEN THESE CALLS ARE HAPPENING, IS IT FOR THE HOUSE OR IS IT THE PERSON THAT THE HOUSE IS CALLING BECAUSE THINGS ARE HAPPENING IN HIS BACKYARD, WHICH IS ACTUALLY A PARKING LOT, OR IS IT HAPPENING IN THE CONVENIENCE STORE NEXT DOOR? SO THERE'S SOME ADDITIONAL INFORMATION TO BE GLEANED OUT OF THAT 479 CALLS. 
          AGAIN, ANOTHER REASON FOR THAT, THE MAP WAS REMOVED FROM THIS SLIDE, NEXT SLIDE. 
          SO TO LOOK AND SEE WHAT IS THE BEST TYPE OF PROGRAM WE WANNA OVERLAY WHERE MENTAL HEALTH CALLS AND TOTAL CALLS OVERLAP. 
          AND YOU CAN SEE THEM HERE. 
          WE, IT INDICATES WHERE THE FOUR MOST COMMON LOCATIONS ARE. 
          AND THERE ARE THE SEVEN OAKS APARTMENTS, THE PARK AT BANDERA, AND THE RESERVES AT PECAN VALLEY. 
          UM, THREE OF THESE LOCATIONS, OF COURSE, WERE THOSE. 
          AND THE FOURTH WERE THE GREYHOUND BUS STATION. 
          NEXT SLIDE. 
          AND WHEN WE LOOK AT THESE, I WANNA KNOW THE TYPES OF CALLS THAT ARE THERE, BECAUSE IF I'M RECOMMENDING A PROGRAM DESIGN, I WANNA ENSURE THAT THIS PROGRAM DESIGN IS PUBLIC SAFETY, INFORMED THAT IT IS, UH, A SAFE PROGRAM THAT CAN RESPOND WITH EFFICACY TO THESE LOCATIONS AND ENSURE, AGAIN, LIKE WE SAID EARLIER, THAT IT IS INCLUSIVE OF EVERYBODY WHO HAS A MENTAL HEALTH CARE NEED WITHOUT REGARD TO THEIR, UM, ACUITY LEVELS. 
          AND IT'S, WE'RE NOT EXCLUDING PEOPLE BECAUSE OF THEIR LEVEL OF ILLNESS. 
          YOU CAN SEE ON THIS TABLE HERE THAT THE PLACES WHERE MENTAL HEALTH CALLS AND TOTAL CALLS OVERLAP HAVE SOME CALLS THAT ARE PRETTY CONCERNING FOR PUBLIC SAFETY OFFICIALS. 
          THE NUMBER ONE CALL AT ALL OF THESE LOCATIONS IS DISTURBANCE. 
          ONE OF THE SECOND MOST FREQUENTLY OCCURRING CALLS IS A FAMILY VIOLENCE CALL. 
          AND ONE OF THE THIRD MOST 
          [00:35:01]
FREQUENTLY OCCURRING CALLS IS A 9 1 1 HANGUP. 
          WHEN YOU'RE LOOKING AT PUBLIC SAFETY OR POLICING LITERATURE, THEY'LL TELL YOU IF THESE CALLS ARE SOME OF THE MOST VOLATILE CALLS THAT POLICE AGENCIES RESPOND TO, THEY INCLUDE SOME OF THE MOST FREQUENT, UM, INJURIES TO OFFICERS, SOME OF THE MOST FREQUENT INSTANCES OF RESPONSE TO RESISTANCE BY OFFICERS AND ARE SOME OF THE MOST UNPREDICTABLE. 
          SO AS WE'RE THINKING ABOUT DEVELOPING PROGRAMS, WE HAVE TO TAKE THIS INTO CONSIDERATION TO ENSURE THAT IF SOMEBODY IS LIVING WITH MENTAL ILLNESS, THEN THIS IS THE KIND OF CALL THAT THEY'RE GENERATING. 
          WE STILL WANT THEM TO HAVE AN ALTERNATIVE RESPONSE. 
          WE STILL WANT THEM TO HAVE COMPASSIONATE CARE AND, AND TO BE ABLE TO LINK, TO BE ABLE TO BE LINKED TO CARE, EVEN IF THIS IS THE KIND OF CALL THAT THEY'RE GENERATING, IF THAT CALL IS AN IMPETUS BECAUSE OF THEIR MENTAL HEALTH CARE NEED. 
          AND SO IT'S IMPORTANT TO KNOW THAT THIS IS THE TYPE OF CALL THAT WE MAY BE LOOKING AT. 
          NEXT SLIDE. 
          SO THEN WE LOOK AT THE TYPE OF RESPONSE TO RESISTANCE, OR HOW OFTEN RESPONSE TO RESISTANCE IS USED NOT ONLY ON MENTAL HEALTH CALLS, BUT WHEN THOSE MENTAL HEALTH CALLS OVERLAY WITH THESE OTHER FREQUENCIES. 
          AND YOU CAN SEE HERE THAT THE LOCATIONS WHERE RESPONSE TO RESISTANCE IS MOST OFTEN. 
          SO IS THE PARK AT BENDERA AND THE GREYHOUND BUS STATION, AND WE INCLUDED THE SOUTH TEXAS ASSISTED LIVING FACILITY, BUT WE DON'T INCLUDE THAT IN THE MAJORITY OF OUR ASSESSMENT BECAUSE IT ONLY SHOWED UP THIS ONE TIME. 
          UM, BUT YOU'LL NE REMEMBER, THE GREYHOUND BUS STATION IN THE PARK AT BANDERA WERE TWO LOCATIONS THAT HAD THE OVERLAY OF THE MOST FREQUENT MENTAL HEALTH CALLS AND THE MOST FREQUENT CALLS FOR THE SAN ANTONIO POLICE DEPARTMENT AS A WHOLE. 
          AGAIN, THIS IS IMPORTANT IN PROGRAM DESIGN BECAUSE WE KNOW IF RESPONSE TO RESISTANCE WAS PRESENT DURING A PUBLIC SAFETY CALL, WE KNOW THAT THAT CALL WAS A BIT MORE VOLATILE THAN MOST CALLS, AND IT'S NOT A KIND OF CALL THAT YOU WOULD SEND A CIVILIAN TO. 
          NEXT SLIDE. 
          SO, KNOWING ALL OF THIS, KNOWING THE TYPES OF MENTAL HEALTH CALLS THAT ARE TAKING PLACE IN YOUR CITY AND WHERE THEY'RE TAKING PLACE, THE KIND OF PUBLIC SAFETY CALLS THAT MAY BE OVERLYING WITH THESE MENTAL HEALTH CALLS AND THE KINDS OF, UM, INTENSITY THAT THESE CALLS MAY BE GENERATING, WE THEN GO BACK TO THE LITERATURE AND DEVELOP ESSENTIAL ELEMENTS FOR WHAT WOULD BE THE BEST RESPONSE TO NOT ONLY RESPOND TO THESE CALLS, BUT TO REDUCE THE NUMBER OF THESE CALLS THAT ARE HAPPENING IN YOUR CITY. 
          ANYTIME THAT WE'RE LOOKING AT DEVELOPING A MENTAL HEALTH PROGRAM, WE'RE NOT LOOKING AT DEVELOPING A CRISIS RESPONSE PROGRAM. 
          WE WANNA DEVELOP A CRISIS PREVENTION PROGRAM. 
          ANYBODY CAN DEVELOP A PROGRAM THAT RESPONDS TO CRISIS CALLS OVER AND OVER AGAIN, AND THAT'S FINE. 
          WE WANNA ENSURE THAT PEOPLE WHO ARE IN CRISIS, WHEN THEY HAVE A RESPONSE, HAVE THEIR NEEDS MET IN SUCH A WAY THEY DON'T CALL 9 1 1 AGAIN, ONE OF THE NUMBER ONE GOALS OF OUR PROGRAMS IS TO REDUCE THE NUMBER OF 9 1 1 CALLS FOR THE PEOPLE THAT THIS PROGRAM IS SERVING. 
          THAT'S DIFFERENT THAN MOST CRISIS RESPONSE PROGRAMS, AND THAT'S WHAT MAKES THESE RECOMMENDATIONS DIFFERENT THAN MANY PROGRAMS THAT ARE ALREADY HAPPENING. 
          IT'S MEANT TO REDUCE THE NUMBER OF CALLS, NOT JUST TO ANSWER THEM. 
          SO WE LOOK AT THE ESSENTIAL CONDITIONS FOR SUCCESS HERE, AND WHAT WE SEE IS THAT SOME OF THE THINGS THAT SAN ANTONIO ARE DOING NEEDS TO STAY IN PLACE. 
          THEY MUST BE MAINTAINED AS THEY ARE, AND THEN THERE SHOULD BE SOME AUGMENTATION. 
          FOR INSTANCE, YOU SHOULD AUGMENT YOUR 9 1 1 SYSTEM TO HAVE AN EMBEDDED CLINICIAN AND DEVELOP PROTOCOLS TO SUPPORT THAT CLINICIAN, NOT JUST TO TRIAGE AND MANAGE CALLS, BUT TO PROVIDE CONSULTATION TO RESPONDERS IN THE FIELD. 
          YOU SHOULD ENSURE THAT YOUR CURRENT CAPACITY IN COMMUNITY CLINICS HAVE SAME DAY WALK-IN AND PRESCRIBER SERVICES. 
          IF AN M D R T OR A RESPONSE PROGRAM MEETS SOMEBODY IN THE FIELD AND THEY JUST NEED THEIR PRESCRIPTIONS FILLED, THERE HAS TO BE THAT SERVICE AVAILABLE. 
          CRISIS INTERVENTION TRAINING FOR OFFICERS, YOU'RE ALREADY DOING THAT FOR PARAMEDICS, BUT IT SHOULD BE DONE FOR CLINICIANS WORKING WITH THESE FOLKS AS WELL. 
          JUST BECAUSE THEY ARE MENTAL HEALTH CLINICIANS DOESN'T MEAN THEY UNDERSTAND CRISIS INTERVENTION. 
          CRISIS INTERVENTION TRAINING ARE WHAT IT LOOKS LIKE TO BE IN THE FIELD WITH POLICE OFFICERS IN THE MIDST OF A CRISIS 24 7 COMMUNITY HOSPITAL BED CAPACITIES, AS IN MOST COMMUNITIES, IS SCARCE WHILE THE STICK IS MANAGING IT. 
          M D R T OVERSIGHT MUST BE INTEGRATED INTO THE, THE SS T C C AS WELL TO ENSURE THAT THAT IS SEAMLESS AND THAT THE M D R T PROGRAM UNDERSTANDS THE UTILIZATION OF THAT HOSPITAL BED CAPACITY AND CRISIS MEDICAL CARE FOR INTOXICATION. 
          WHILE PARAMEDICS CAN PROVIDE THIS, THEY CAN DO A TOX SCREEN, THEY CAN DO AN ALCOHOL SCREEN IN THE FIELD. 
          THE M D R T MUST BE INTEGRATED INTO THE BROADER SUBSTANCE USE, UM, CARE SYSTEM, INCLUDING IN PATIENTS AND THE HOUSING REFERRAL NETWORK. 
          WHILE SAN ANTONIO IS EXPANDING THIS CAPACITY WITH FEDERAL A R P A FUNDS, THE M D R T NEEDS SHOULD BE EXPLICITLY INCORPORATED INTO THAT PLANNING. 
          SO AS 
          [00:40:01]
THEY'RE WORKING WITH PEOPLE WHO NEED HOUSING REFERRALS, THEY'RE ALREADY A NATURAL PART OF THAT SYSTEM. 
          NEXT SLIDE PLEASE. 
          SO SOME OTHER EMERGING BEST PRACTICES THAT WE'RE CURRENTLY WORKING ON, WE GIVE AUSTIN, EL PASO AND HOUSTON AS EXAMPLES. 
          SO IN AUSTIN, WE ARE WORKING TO DEVELOP A MENTAL HEALTH CRISIS CALL IDENTIFICATION AND MANAGEMENT TRAINING FOR NINE ONE ONE CALL TAKERS AND DISPATCHERS WITHIN EIGHT PDS CALL CENTER. 
          IT GETS TO THE VERY HEART OF WHAT WE WERE JUST LOOKING AT AT THAT DATA. 
          MOST MENTAL HEALTH EMERGENCY CALLS ARE NOT IDENTIFIED AT THE POINT OF DISPATCH. 
          AND OFFICERS SHOW UP AT CALLS NOT KNOWING WHAT THEY'RE SHOWING UP TO, AND THEY HAVE TO BE IDENTIFIED LATER AND THEY DON'T RECEIVE CONSULTATION IN ROUTE. 
          RESEARCH TELLS US THAT THE NUMBER ONE INDICATOR OF A BAD OUTCOME FOR MENTAL HEALTH EMERGENCY CALL IS WHAT THE DISPATCHER TELLS THE OFFICER WHILE HE'S EN ROUTE. 
          AND SO IF WE CAN WRITE THAT IN THE CALL CENTER, WE ARE WELL ON OUR WAY TO REDUCING BAD OUTCOMES ON MENTAL HEALTH CALLS LONG BEFORE THE OFFICER EVER GETS THERE. 
          AND WE'RE WORKING ON DEVELOPING THAT AT A T D. 
          NOW, WE'RE ALSO INTEGRATING INTEGRAL CARE, THE LOCAL MENTAL HEALTH AUTHORITIES, CLINICIANS INTO THE AUSTIN POLICE DEPARTMENT'S CALL CENTER, NOT ONLY AGAIN TO TRIAGE THOSE CALLS, BUT TO PROVIDE CONSULTATIVE RESOURCES TO PARAMEDICS AND OFFICERS IN THE FIELD. 
          AND THE EMERGENCE HEALTHCARE NETWORK. 
          THE LOCAL MENTAL HEALTH AUTHORITY IN EL PASO IS CONSIDERING CORE RECOMMENDATIONS TO ADOPT AN INTEGRATED HEALTH APPROACH, INCLUDING PARAMEDICINE AND TELEHEALTH SERVICES IN PARAMEDICINE TO TRIAGE MENTAL HEALTH CALLS FROM THE PARAMEDIC SIDE, WE'VE WORKED WITH THE COLLABORATIVE CRISIS CALL DIVERSION PROGRAM, INCLUDING TELEHEALTH IN HOUSTON PRETTY EXTENSIVELY. 
          NEXT SLIDE. 
          SO THERE ARE TWO STAFFING PRACTICES THAT ARE EMERGING THAT WE BELIEVE ARE VERY IMPORTANT HERE, AND ONE IS THE ROLE OF PEERS. 
          UM, WHILE THERE IS SOME STRONG RESEARCH THAT'S SHOWING THE VALUE OF PEER SUPPORT, A PEER DOES NOT REPLACE A CLINICIAN. 
          DIAGNOSTIC AUTHORITY IS KEY. 
          UM, PEERS ARE OFTEN VERY HELPFUL AFTER THE CRISIS IS RESOLVED. 
          IT'S NOT CLEAR WHETHER IT'S MOST COST EFFECTIVE TO EMBED A PEER IN A MULTIDISCIPLINARY RESPONSE, UH, PROGRAM THAT MUST RESPOND WITHIN MINUTES OR IF THEY REALLY SHOULD BE INTEGRATED INTO A FOLLOW-UP SUPPORTIVE RESPONSE THAT CAN BE MORE EFFICIENTLY STAFFED AND MORE PREDICTABLY STAFFED. 
          BUT WE DO KNOW THAT THEY CERTAINLY CANNOT REPLACE, UM, THAT DIAGNOSTIC CLINICIAN, UM, THAT IS ABSOLUTELY NECESSARY IN THAT IMMEDIATE FIRST RESPONDER MODEL. 
          AND THEN WE KNOW THAT, UM, IN TEXAS, THE PROGRAMS THAT HAVE BEEN MOST SUCCESSFUL DRAW ON COMMUNITY MENTAL HEALTH CLINICIANS, FOR INSTANCE, AT THE AUSTIN POLICE DEPARTMENT. 
          UM, BUT ALSO THESE COMMUNITY HEALTH CLINICIANS ARE EXPERIENCED IN EMERGENCY SITUATIONS SUCH AS THE EMERGENCY ROOM SOCIAL WORKERS IN DALLAS WITH THE RIGHT CARE TEAM. 
          THE KEY TO THIS IS CREDIBILITY IN THE SYSTEM. 
          WHEN YOU'RE WORKING WITH LAW ENFORCEMENT, YOU HAVE TO HAVE CREDIBILITY BECAUSE THEY'RE MAKING INSTANTANEOUS DECISIONS. 
          REGA, REGARDING PUBLIC SAFETY, DECIDING IS THIS PERSON'S SAFETY BE LEFT IN THE COMMUNITY, OR DO THEY NEED AN EMERGENCY DETENTION? IS THIS SOMETHING WHERE SOMEBODY, UM, HAS AN ARRESTABLE OFFENSE OR IS THIS A SAFE TIME TO DIVERT SOMEBODY FROM THE JUSTICE SYSTEM? THEY HAVE TO HAVE A STRONG TRUST AND A CREDIBLE FOUNDATION FOR THE CLINICIANS THAT THEY'RE WORKING WITH. 
          AND THAT HAS TO BE A CRUCIAL CONSIDERATION IN PROGRAM DESIGN. 
          HE IS OPTIMAL CREDIBILITY IN THE SYSTEM. 
          WE CANNOT OVERSTATE THAT ENOUGH. 
          NEXT SLIDE. 
          SO WE LOOK AT THAT WHEN WE LOOK AT THE BEST PRACTICES IN TEXAS, AND THIS IS COMPARING THE TRADITIONAL 9 1 1 RESPONSE TO THE RIGHT CARE MODEL. 
          IF YOU LOOK AT THE TRADITIONAL NINE, OR THE M D R T, EXCUSE ME, IF YOU LOOK AT THE TRADITIONAL MODEL, UH, ALWAYS SAY, YOU KNOW, POLICE OFFICERS HAVE TWO CHOICES, A JAIL OR A HOSPITAL. 
          IF THEY HAVE SOMEBODY WITH AN EMERGENCY DETENTION IN THE BACK OF THEIR PATROL CAR AND THAT PERSON GETS SICK, THEY HAVE TWO CHOICES, DRIVE FASTER OR PULL OVER AND CALL AN AMBULANCE. 
          BUT WHEN YOU USE THE M D R T MODEL, ALL OF THOSE LIGHT BLUE BOXES OPEN UP AND SUDDENLY YOUR POLICE DEPARTMENT HAS A MULTITUDE OF OPTIONS, BUT ALSO THEY HAVE OPTIONS THAT TAKE THEM OUT OF THE CARE DECISION TRIAD. 
          YOU'RE NOT ASKING AN OFFICER TO MAKE A MENTAL HEALTHCARE DECISION, YOU'RE NOT ASKING A POLICE OFFICER TO MAKE A MEDICAL CARE DECISION. 
          YOU HAVE LICENSED AND BONDED HEALTHCARE PROFESSIONALS MAKING THAT DECISION IN THE OFFICER'S PLACE NOW. 
          AND AS A FORMER POLICE OFFICER AND A FORMER LICENSED MENTAL HEALTH PROFESSIONAL, I CAN TELL YOU I WAS MUCH BETTER EQUIPPED AS A LICENSED MENTAL HEALTH PROFESSIONAL TO BE MAKING THAT DECISION. 
          NEXT SLIDE. 
          WE'VE SEEN FANTASTIC OUTCOMES WHEN THIS MODEL IS PUT INTO PLACE, EVEN IN SOME OF THE MOST DIFFICULT AREAS TO POLICE. 
          THESE OUTCOMES ARE FROM THE SOUTH CENTRAL PATROL DISTRICT IN DALLAS THAT I LIKE TO USE THESE BECAUSE THE SOUTH CENTRAL PATROL DISTRICT IS ONE OF THE MOST DIFFICULT AREAS IN THE CITY OF DALLAS. 
          THEY HAVE THE HIGHEST POVERTY LEVELS, THEY HAVE THE LOWEST EDUCATIONAL ATTAINMENT LEVELS, AND THEY HAVE THE 
          [00:45:01]
HIGHEST NUMBER OF SINGLE FAMILY HOMES, AS WELL AS THE LOWEST NUMBER OF EMPLOYEE HOMES IN THE ENTIRE CITY. 
          UM, BUT YOU CAN SEE THE NUMBERS HERE, THEY SPEAK FOR THEMSELVES. 
          THEY HAVE A 2% ARREST RATE AND AN 8%, UM, TRANSPORT TO A HOSPITAL RATE. 
          BUT THEY HAVE, YOU KNOW, 40% THAT WERE CONNECTED TO SERVICES ON SCENE. 
          AND BEFORE THEN, YOU KNOW, THIS WAS ONE OF THE AREAS AND ONE OF THE HIGHEST ARREST RATES IN THE CITY ON THESE VERY SAME TYPES OF CALLS. 
          NEXT SLIDE. 
          SO OUR RECOMMENDATION, UM, FOR THE CITY OF SAN ANTONIO WHEN WE LOOK AT THE DATA AND WE COMPARE IT TO OTHER MODELS IN EMERGING BEST PRACTICES, IS TO IDENTIFY GAPS IN DATA REPORTING FOR THE CITY OF SAN ANTONIO AND MANAGE THE CRISIS FIRST RESPONSE SYSTEM AND THEN ADD A LICENSED CLINICAL SUPPORT TO THE NINE ONE ONE CALL CENTER. 
          WE ALSO RECOMMEND ADOPTING THE MULTIDISCIPLINARY RESPONSE TEAM MODEL, BUT IN A VERY SPECIFIC AND INTENTIONAL WAY. 
          MULTIPLE M D R T TEAMS, TYPICALLY TWO BETWEEN THE HOURS OF 7:00 AM AND 10:00 PM AND A 7 8 2 0 7 ZIP CODE, AND THEN A SINGLE M D R T TEAM BETWEEN HOURS OF 8:00 AM AND 8:00 PM SO THE ZIP CODE IS 7 8 2 0 8 AND THE ZIP CODE OF 7 8 2 2 9 BECAUSE WE BELIEVE THAT THIS HIGH CALL SATURATION IN THIS VERY LOCALIZED AREA IS DUE TO FREQUENT EMERGENCY DETENTION REQUESTS FROM YOUR HOSPITALS. 
          THERE, WE CONSIDER EXPLORING A PARTNERSHIP FOR EMERGENCY DETENTION PROCESSING THAT WOULD ALLEVIATE YOUR POLICE DEPARTMENT FROM THAT BURDEN. 
          AND IT WOULD BE VERY BENEFICIAL IN THAT AREA AT THAT POINT, BUT THEN ALIGN AND ENHANCE ALL OF THESE SIX ESSENTIAL CONDITIONS THAT WE DISCUSSED A FEW SLIDES AGO WITH THIS M D R T ROLLOUT TO ASSESS THE OPTIMAL CLINICAL DEPLOYMENT FOR DIAGNOSIS AND PEER FOLLOW UP. 
          BUT AGAIN, OUR RECOMMENDATIONS ARE VERY SPECIFIC TO THESE THREE ZIP CODES. 
          WE WERE NOT RECOMMENDING ANYTHING NECESSARILY CITYWIDE. 
          NEXT SLIDE. 
          SO YOUR KEY WORK PLAN COMPONENTS WOULD LOOK LIKE THIS. 
          YOU WANNA GAIN CONSENSUS FROM LEADERSHIP AND KEY STAKEHOLDERS, WHICH INCLUDES HOSPITALS, FIRE, POLICE, LOCAL MENTAL HEALTH AUTHORITIES AND OTHERS. 
          YOU WANNA DESIGNATE AN IMPLEMENTATION WORK GROUP AND IDENTIFY AVAILABLE RESOURCES THAT CAN BE LEVERAGED. 
          ANYTHING THAT YOU DON'T HAVE TO RECREATE, REFUND OR REBUILD, START WITH WHAT YOU ALREADY HAVE. 
          AND THEN, THEN DETERMINE ADDITIONAL FUNDING NEEDS TO DEVELOP, PLAN, AND DEVELOP A PLAN TO SECURE YOUR IMPLEMENTATION AND ONGOING FUNDING. 
          YOU WANNA MAXIMIZE ANY OF THESE A A R P A FUNDS THAT YOU CAN USE. 
          REVIEW THE DATA FROM THE CITY OF SAN ANTONIO AND YOUR KEY PARTNERS TO IDENTIFY GAPS IN YOUR DATA AND EXPLORE SHARING TO SUPPORT SERVICE DELIVERY. 
          AND THE LAST TWO, UM, ARE ABSOLUTELY ESSENTIAL. 
          YOU WANNA GAIN CONSENSUS FROM LEADERSHIP FOR AN OUTCOME AND EVALUATION PLAN. 
          YOU WANNA LOOK AT THINGS RELATED TO PUBLIC SAFETY AND ENSURE EVERYBODY'S ON BOARD WITH THE SAME DEFINITION. 
          IF YOU WANT TO LOOK AT REDUCING RESPONSE TO RESISTANCE ON MENTAL HEALTH CALLS, YOU HAVE TO ENSURE EVERYBODY AGREES ON THE DEFINITION OF RESPONSE TO RESISTANCE. 
          NOT ONLY IN YOUR CURRENT DATA, BUT IN YOUR HISTORIC DATA. 
          IF YOU WANNA LOOK AT QUALITY OF LIFE ARREST AND CITATION, YOU HAVE TO AGREE ON THE DEFINITION OF WHAT A QUALITY OF LIFE ARREST OR CITATION IS IN YOUR CURRENT AS WELL AS YOUR HISTORIC DATA. 
          AND THEN ENSURE THAT YOU UNDERSTAND, UM, ANYTHING ELSE THAT MAY BE CONTRIBUTING TO THOSE OUTCOMES GOING FORWARD. 
          AND YOU WANNA MAKE SURE THAT YOU'RE LOOKING AT HOSPITALIZATIONS THE SAME NOW AS YOU WERE THREE YEARS AGO FOR COMPARISON DATA. 
          SO EVERYBODY HAS TO BE ON THE SAME PAGE FOR AN OUTCOME AND AN EVALUATION PLAN AND REALLY MAKE SURE THAT YOU'RE UNDERSTANDING WHAT IT LOOKS LIKE LONG TERM. 
          AND THEN YOU HAVE TO DEVELOP TRAINING TO SUPPORT NEW PROGRAMS AND PROTOCOLS THAT ALLOW THESE THINGS TO GROW AND CHANGE AS YOUR CITY GROWS AND CHANGES. 
          NEXT SLIDE. 
          I THINK THAT'S IT. 
          I APPRECIATE THE TIME THAT Y'ALL HAVE GIVEN ME AND I'M HAPPY TO ANSWER ANY QUESTIONS THAT YOU ALL MAY HAVE. 
          THANK YOU, MA'AM. 
          UM, I HAVE A COUPLE OF QUESTIONS. 
          WELL, ACTUALLY, I WANNA START BY THANKING YOU FOR THE COMPLIMENT FOR OUR CITY THAT WE'RE ALREADY IMPLEMENTING PROGRAMS THAT WORK. 
          UM, UNFORTUNATELY IT ISN'T ENOUGH. 
          WE WANNA CONTINUE TO EXPAND AND GROW AND DO BETTER EFFORTS FOR OUR COMMUNITY. 
          SO I'M GLAD THAT YOU'RE HERE TO TALK ABOUT IT. 
          UM, AND DID YOU, IT, WAS IT WITHIN YOUR SCOPE TO TALK ABOUT, UH, THE COMMUNITY, UH, HOSPITAL BED CAPACITY FOR MENTAL HEALTH? DID YOU SAY? WAS IT IN OUR SCOPE TO LOOK AT HOSPITAL BED CAPACITY? YES, MA'AM. 
          WE DID NOT NECESSARILY LOOK AT HOSPITAL BED CAPACITY IN THIS PARTICULAR ASSESSMENT. 
          THAT IS ONE OF THE RECOMMENDATIONS THAT WE HAD, IS THAT YOU'LL WANNA MAKE SURE THAT YOU LOOK AT YOUR CAPACITY AND THAT IT, THAT IT CAN MEET YOUR SERVICE NEEDS AND DEVELOP A PLAN 
          [00:50:01]
JUST IN CASE IT DOESN'T NECESSARILY MEET YOUR YOUR SERVICE NEEDS. 
          HONESTLY, IDEALLY, WHAT WE TYPICALLY SAY IS YOU PROBABLY DON'T NEED MORE BEDS, YOU NEED MORE PREVENTION SERVICES. 
          THE IDEAL IS TO ENSURE THAT YOU FRONT LOAD THOSE SERVICES IN SUCH A WAY THAT YOU'RE TRYING YOUR, YOU KNOW, YOUR LEVEL BED TO ENSURE THAT PEOPLE NEVER GET TO THE POINT OF NEEDING A HOSPITAL BED AND REDUCE THE BURDEN ON YOUR LOCAL HOSPITAL CAPACITY BY FRONT LOADING THOSE SERVICES AS MUCH AS POSSIBLE. 
          SO IS, UM, IS, DO YOU THINK THAT THERE'S A STRONGER RECOMMENDATION TO EXPAND THE SERVICES THAT WE HAVE OR TO, OR, OR TO IMPLEMENT NEWER SERVICE? OR MAYBE NOT NEWER, BUT UM, MORE UPDATED KINDS OF, OF CARE? I THINK THAT YOU GUYS ARE IN A PLACE TO REALLY LASER FOCUS ANY EXPANSION INTO THOSE ZIP CODES THAT WE IDENTIFIED. 
          THAT SEEMS TO BE WHERE YOUR REALLY PROBLEMATIC AREAS ARE NOW. 
          AND TO EXPAND YOUR FOCUS INTO THOSE PARTICULAR ZIP CODES, YOU CAN'T REALLY SEND CIVILIAN TEAMS IN THERE. 
          YOU WOULD NEED TO HAVE THE TYPE OF TEAM THAT WE DESCRIBED THROUGH THE MULTIDISCIPLINARY RESPONSE TEAM WITH AN OFFICER, A CLINICIAN, AND A PARAMEDIC THAT GOES IN LOOKING AT THE HOLISTIC NEED BETWEEN CHRONIC HEALTHCARE NEEDS, COMMUNITY-BASED BEHAVIORAL HEALTH REFERRAL, WHERE THE OFFICER'S ONLY JOB IS REALLY TO ENSURE SCENE SAFETY. 
          MOST OF THE PROGRAMS THAT WE LOOKED AT ARE DOING A REALLY GOOD JOB ON THE PUBLIC SAFETY FRONT. 
          THEY ARE PUBLIC SAFETY FORWARD. 
          IT'S TIME TO BACK OUT OF HAVING THE PUBLIC SAFETY, BE THE FRONT LEADER FOR MENTAL HEALTHCARE SERVICES, AND REALLY PUT THIS IN YOUR PARAMEDIC AND YOUR MENTAL HEALTHCARE POCKETS, IF YOU WILL, WHERE THE POLICE DEPARTMENT AS YOUR PUBLIC SAFETY PARTNER IS JUST ENSURING EVERYBODY'S SAFE. 
          AND THEN ASSESSING FOR VICTIMIZATION THAT ASSESSING FOR VICTIMIZATION IS SO IMPORTANT. 
          'CAUSE WE KNOW PEOPLE WITH PERSISTENT AND SEVERE MENTAL ILLNESS ARE 11 TIMES MORE LIKELY TO BE A CRIME VICTIM THAN PEOPLE WHO ARE NOT LIVING WITH THAT ILLNESS. 
          AND BY CREATING PUBLIC SAFETY C I T TEAMS, WE'RE NOT ALLOWING THEM TO ASSESS FOR THOSE VICTIMIZATIONS. 
          AND SO WE REALLY DO RECOMMEND THE M D R T TEAM RATHER THAN EXPANDING ANYTHING ELSE THAT YOU ALREADY HAVE. 
          OKAY. 
          THANK YOU. 
          UM, I'M GONNA MOVE ON TO, UH, COUNCILWOMAN SANDOVAL. 
          THANK YOU, MA'AM. 
          COUNCILWOMAN SANDOVAL, CAN YOU HEAR MY, CAN YOU HEAR ME BECAUSE, UM, THERE WE GO. 
          OKAY. 
          I'M HAVING PROBLEMS WITH MY COMPUTER. 
          OH, OKAY. 
          WE CAN HEAR YOU NOW. 
          OH, OKAY. 
          GREAT. 
          UM, I APOLOGIZE. 
          MY INTERNET CONNECTION SEEMS TO BE FLOWING IN THE OFFICE, SO IF THERE'S A DELAY IN MY FACIAL EXPRESSION AND , BUT MY PHONE IS CONNECTED, SO CAN YOU STILL HEAR ME? I CAN, YES. 
          YES, MA'AM. 
          OKAY. 
          ALL RIGHT. 
          GREAT. 
          I HAD TO CLICK THAT MUTE BUTTON MANY, MANY TIMES, SO I'M AFRAID IT'S GONNA MUTE ME AGAIN. 
          UM, FIRST OF ALL, DJ, VERY NICE TO SEE YOU AGAIN. 
          UH, THANK YOU AND DR. 
          BRIDGER FOR ALL OF THE WORK THAT YOU'VE DONE, UH, WITH THESE RECOMMENDATIONS AND ASSESSING WHAT WE'RE DOING RIGHT NOW IN THE, IN THE POLICE DEPARTMENT, AND ALSO FOR GIVING US THE GOOD NEWS THAT WE ARE DOING, UH, LOTS OF THINGS, UH, LOTS OF GOOD THINGS LIKE THE, THE CHAIRWOMAN SAID. 
          UM, SO, UH, JUST TO BRING THE COMMITTEE UP TO SPEED, THE COMMUNITY HEALTH AND EQUITY COMMITTEE RECEIVED A PREVIEW OF THESE RECOMMENDATIONS A COUPLE OF MONTHS AGO. 
          SO I'M GLAD TO SEE THE PROGRESS THAT HAS BEEN MADE AND THE REFINEMENTS THAT, THAT HAVE OCCURRED. 
          AND I'M GLAD TO SEE THE, UM, M D R T MODEL BEING, BEING RECOMMENDED. 
          UH, SO A COUPLE OF QUESTIONS. 
          AND ON SLIDE 2027, YOU TALKED ABOUT, UM, ALL THE DIFFERENT SERVICES THAT WE WILL NEED TO REFER PEOPLE TO, AND THAT WE NEED TO KIND OF HAVE THAT READY IN ORDER FOR THE M D R T MODEL TO BE SUCCESSFUL, RIGHT? WHETHER IT IS, UH, UM, HOMELESS SERVICES, MENTAL HEALTH SERVICES, SUBSTANCE ABUSE SERVICES. 
          UM, SO MY QUESTION WOULD BE TO STAFF IS WHAT ARE THE NEXT STEPS, UH, TO ENSURE THAT WE DO HAVE, UH, MATCHING RESOURCES FOR WHAT THE NEED MIGHT BE? SO, SO AGAIN, M D R T WOULD JUST BE FOR THOSE WOULD BE FOR CRISIS RESPONSE, RIGHT? YES. 
          COUNCILWOMAN, AND I'LL, I'LL START WITH A RESPONSE AND I'LL ASK DR. 
          BRIDGER TO, TO CHIME IN FROM A PUBLIC HEALTH, UH, PERSPECTIVE. 
          SO WHILE WE'RE LOOKING AT COUNCILWOMAN AS, AS YOU'VE HEARD, UH, BJ MENTIONED THAT ONE OF THE AREAS THAT MEADOWS THINKS WE COULD BE SUCCESSFUL AT IS A TARGETED APPROACH TO MENTAL HEALTH THAT, UM, WE HAVE DONE WELL IN TERMS OF, UH, OUR RESPONSE 
          [00:55:01]
TO MENTAL HEALTH IN TERMS OF A LAW ENFORCEMENT RESPONSE. 
          UH, THE RECOMMENDATION IS A TARGETED APPROACH TO CERTAIN ZIP CODES WITHIN, WITHIN OUR CITY. 
          SO AS WE ARE LOOKING AT THE PROPOSED BUDGET, AND WE ARE FINALIZING RECOMMENDATIONS FOR THE FULL COUNCIL CONSIDERATION, WE ARE LOOKING, UM, AT A PILOT PROGRAM, UH, TO BE TARGETED TO SORT SOME AREAS OF OUR CITY. 
          UM, SO WE CAN TEST THIS, THIS RECOMMENDATIONS FROM THE MEADOWS, UM, GROUP, AND MOST IMPORTANTLY, AND DR. 
          BRIDGER AND I WILL COVER THAT ON MY PORTION OF THE PRESENTATION. 
          NEXT IS HAVING THIS COORDINATED APPROACH THAT WE CAN LEVERAGE THESE PROFESSIONALS IN THIS, UM, M D T R TEAM, UH, TO ALSO ADDRESS CALLS RELATED TO DOMESTIC VIOLENCE AND, UM, HOMELESSNESS AS WE HAVE SOME OVERLAP ON THOSE FUNCTIONS AS WELL. 
          UM, SO, SO THE SHORT ANSWER TO YOUR QUESTION IS THAT WE'RE LOOKING AT A COORDINATED APPROACH TO BE ABLE TO TACKLE SOME OF THOSE, UM, CALLS RELATED TO DOMESTIC VIOLENCE WITH THIS TEAM OF PROFESSIONALS AND ALSO, UM, HOMELESSNESS. 
          UH, DR. 
          BRIDGER, WOULD YOU LIKE TO ADD TO THAT RESPONSE? SURE. 
          I, I THINK, UM, TO KEEP MY RESPONSE BRIEF, UH, COUNCILWOMAN, I WOULD SAY THAT THOSE SIX, UM, CONDITIONS FOR SUCCESS EXIST TO VARYING DEGREES HERE IN THE CITY OF SAN ANTONIO. 
          UM, AND SO PART OF THE WORK THAT'S BEING DONE BY THE NUMBER OF DIFFERENT GROUPS LOOKING AT MENTAL HEALTH GAPS AND HOW TO FILL THOSE GAPS INCLUDES ADDRESSING, UM, STRENGTHENING THOSE AREAS THAT ARE WEAK RIGHT NOW. 
          SO, UM, THERE'S NOTHING ON THIS LIST THAT ALL THE OTHER GROUPS AREN'T ALREADY LOOKING AT TO TRY TO FIGURE OUT HOW CAN WE DO THIS MORE OR BETTER. 
          AND IF I COULD BRIEFLY ADD, I'LL SAY THAT, UM, EACH OF THOSE SIX ARE, ARE NECESSARY FOR M D R T IMPLEMENTATION. 
          IF YOU JUST HAVE A TEAM ON THE STREET WITHOUT THOSE SIX CONDITIONS, THEN YOU WILL NOT GET THE RETURN ON YOUR INVESTMENT OF YOUR TEAM ON THE STREET. 
          THEY'LL JUST BE A TEAM ON THE STREET WITHOUT THOSE SIX CONDITIONS. 
          SO WE SEE THAT AS CREATING THE ENVIRONMENT FOR YOUR M D R T TO WORK IN. 
          AND WE ALSO, UM, REFER TO, REFER TO THE M D R T AS A PREVENTION AND AN INTERVENTION TEAM RATHER THAN A RESPONSE TEAM. 
          UM, IT MAY SEEM SMALL AND SUBTLE, BUT UH, WE BELIEVE IT'S TIME TO MOVE BEYOND CRISIS RESPONSE AND START PREVENTING THE CRISES. 
          I ABSOLUTELY AGREE. 
          I, I JUST WONDER, I GUESS IT'S HARD FOR ME TO GET MY HEAD AROUND HOW THAT WILL HAPPEN. 
          WHEN I LOOK AT THE NUMBERS THAT YOU SHOWED US FOR FREQUENCY OF CALLS THAT HAVE TO DO WITH MENTAL HEALTH, AND THERE, THERE IS ALWAYS A CALL, RIGHT? THERE ARE ALWAYS DOZENS OF CALLS, UH, IN THE, IN THE, UM, THE HEAT MAP THAT, THAT YOU SHOWED US OVER OVER TIME OF DAY. 
          SO I, IT SOUNDS, I GUESS I DON'T KNOW HOW IT'S NOT GOING TO BE CRISIS RESPONSE AT FIRST. 
          MM-HMM. 
          , I'M HAPPY TO, TO TAKE A QUICK SECOND TO ANSWER THAT IF YOU'D LIKE. 
          YEAH. 
          THE TIMEFRAME THAT WE RECOMMEND DEPLOYING, THIS ACTUALLY TAKES PLACE, UM, TWO HOURS PRIOR TO THE FIRST CALL SHOWING UP ON THE HEAT MAP AND REMAINS AN HOUR AND A HALF AFTER THE LAST. 
          WHAT WE'VE LEARNED IN OTHER MDRT CITIES IS TO TAKE THOSE TWO HOURS PRIOR TO THE FIRST CALL AND DO OUTREACH USING CALL DATA FROM THE DAYS PRIOR TO, UM, PEOPLE TAKING REFERRALS FROM OFFICERS WHO BELIEVE SOMEBODY'S ABOUT TO BE IN CRISIS, DOING OUTREACH FOR SOMEONE WHO'S JUST GOTTEN BACK FROM A HOSPITAL CALL, GOING TO SEE SOMEONE THAT THEY KNOW HAS FREQUENTLY HAD CRISES IN THE PAST, AND SEEING HOW THEY'RE DOING. 
          AND SO THE FIRST PART OF EVERYBODY'S DAY BEFORE THE CRISIS CALLS START SHOULD BE THAT PREVENTION PIECE. 
          WHEN WE HAVE DONE FOCUS GROUPS WITH OUR M D R T TEAMS ACROSS THE STATE, WHAT WE'VE LEARNED IS THAT IS CRITICAL IN ELIMINATING THE CRISIS CALLS. 
          GREAT. 
          THAT IS SO HELPFUL. 
          THANK YOU FOR, FOR EXPLAINING THAT. 
          AND THEN, UM, JUST ONE, ONE LAST QUESTION. 
          UM, PREVIOUSLY I HAD ASKED ABOUT, UH, I THINK THIS ONE IS FOR, FOR MARIA OR OR THE CHIEF ABOUT USE OF FORCE AND HAVING ACCESS TO NON-LETHAL WEAPONS, UM, WILL OR LESS LETHAL, LESS LETHAL WEAPONS, I GUESS, THAN, THAN JUST, UH, A TASER AND, UH, A FIREARM. 
          SO IS THAT GOING TO BE AN OPTION FOR THE OFFICERS ON THE M D R T TEAM TO HAVE SOMETHING ELSE, COUNCIL MEMBER, THAT THAT COULD CERTAINLY BE AN OPTION TO EQUIP THOSE MEMBERS, UH, WITH THOSE TYPES OF DEVICES THAT YOU'RE TALKING ABOUT? UM, AND WHEN YOU SAY COULD, CAN YOU, CAN YOU TELL ME A LITTLE BIT ABOUT THAT DECISION MAKING PROCESS COUNCIL MEMBER? THERE'S BEEN NO DECISION MADE YET. 
          I'M JUST PROJECTING AHEAD. 
          UH, 
          [01:00:01]
I GUESS I'LL JUST SAY IT. 
          THAT'S WHAT I WOULD LIKE TO SEE , IF THAT COUNTS FOR ANYTHING. 
          SO THANK YOU. 
          SURE. 
          YEAH. 
          AND COUNCILMAN, I WOULD SAY THAT AS WE ARE GETTING FEEDBACK FROM THIS MEETING TODAY, UM, WE'LL INCORPORATE THAT FEEDBACK FOR THE PROPOSED BUDGET WHERE WE'LL HAVE THE ACTUAL DETAILED RECOMMENDATION. 
          SO WE'LL ADDRESS YOUR SPECIFIC QUESTION, UH, WHEN THE POLICE DEPARTMENT PRESENTS YOUR BUDGET. 
          THANK YOU, MARIA. 
          THANK YOU. 
          COUNCILWOMAN SANDOVAL. 
          COUNCILWOMAN DERAN. 
          THANK YOU. 
          UM, THANK YOU FOR THE PRESENTATION. 
          I WAS VERY INFORMATIVE AND I REALLY, UM, THOUGHT IT WAS REALLY, UM, HELPFUL AS A FORMER CRISIS, UH, C R T FOR FAMILY VIOLENCE. 
          I KNOW THAT THIS, UM, DOESN'T TAKE A BREAK, SO I HAVE QUESTIONS ON YOUR RECOMMENDATIONS FOR THE MULTIPLE M D R T TEAMS BETWEEN THE HOURS OF SEVEN TO 10:00 PM THAT'S MONDAY THROUGH SUNDAY, CORRECT? I DON'T BELIEVE I MADE THAT RECOMMENDATION FROM MONDAY THROUGH SUNDAY. 
          I WANNA LOOK AT THE SLIDE JUST TO MAKE SURE. 
          SURE. 
          YOU JUST SAID, WELL, I, I, YOU JUST SAID SEVEN TO 10:00 PM YOU DIDN'T GIVE DAYS. 
          OKAY. 
          NO, I, I WOULD NOT MAKE THAT RECOMMENDATION TO BE ON A WEEKEND BECAUSE THE DATA JUST DOESN'T SUPPORT THAT. 
          IF WE LOOK BACK AT THOSE HEAT MAPS, YOU CAN SEE THAT THE CALL FREQUENCY IS SO INFREQUENT ON THE WEEKEND THAT FOR THE PURPOSE OF MENTAL HEALTH EMERGENCIES, I WOULD NOT MAKE THAT RECOMMENDATION FOR THOSE TEAMS TO BE WORKING ON THE WEEKEND. 
          HOWEVER, I BELIEVE THAT THERE IS SOME DESIRE FOR THOSE TEAMS TO DO, UM, FAMILY VIOLENCE FOLLOW UP AND, UM, THAT MAY BE AN OPTIMAL TIME FOR, YOU KNOW, WITH SCHOOL. 
          YEAH. 
          NOT BEING IN SATURDAY AND SUNDAY, THAT SORT OF TIME. 
          YEAH. 
          SAYING IT MIGHT BE OFF. 
          YES. 
          THANK YOU. 
          AND I'M JUST SHUTTING YOU OFF 'CAUSE I WANNA KEEP WITHIN MY FIVE MINUTES. 
          SO, UH, MARIA, SO WHAT I'D LIKE TO SEE IS IF WE'RE GOING TO DO SOMETHING CONNECTED TO DOMESTIC VIOLENCE, THOUGH FAMILY VIOLENCE NEEDS TO BE A MONDAY THROUGH SUNDAY FOLLOW UP. 
          I, I FIRMLY BELIEVE THAT. 
          SO WHEN WE LOOK AT THE BUDGET, WE NEED TO SEE WHAT'S GOING TO GO FOR THIS MONDAY THROUGH FRIDAY RECOMMENDATION, AND THEN A, A DEFINITELY MONDAY THROUGH, UH, SUNDAY THAT THAT FAMILY VIOLENCE NEEDS. 
          UH, SO MY OTHER QUESTION IS, UM, DID, DID YOU, WERE YOU ABLE TO IDENTIFY WHICH HOSPITALS MOST OF THESE CALLS WERE COMING FROM IN THE 7 8 2 2 9 AREA? WE DID NOT MAP SPECIFIC HOSPITALS FOR THIS PARTICULAR ENGAGEMENT THAT WOULD'VE BEEN . 
          UM, BUT THEY WERE FAIRLY WELL DISPERSED WHEN WE DID INDIVIDUAL MAPPING TO SEE WHERE CALLS WERE ENDING. 
          THEY WERE FAIRLY WELL DISPERSED THROUGHOUT THE HOSPITALS. 
          I MEAN, IT'S, THAT SEEMS TO BE A FAIRLY COMMON THING. 
          I THINK CHIEF FOX R MCMANUS COULD PROBABLY ALSO ECHO THAT, BUT I DON'T THINK THAT THERE'S A PARTICULAR HOSPITAL THAT GIVES YOUR OFFICERS A BREAK AT ANY GIVEN TIME. 
          OKAY. 
          AND I'M NOT SURE, UH, CHIEF IF WE CAN GET THAT INFORMATION, BECAUSE IF IT IS, IF EVEN IF UNIVERSITIES ONE MORE CALL THAN THE OTHER HOSPITALS, THE OH, I'D LIKE TO KNOW THAT. 
          UM, THE OTHER THING IS, WHEN, SO WHEN YOU DID THIS STUDY, DID WE, DID YOU BREAK IT DOWN INTO MALE FEMALE AGE GROUPS? NO, NO, NO. 
          THAT'S, AGAIN, THAT WOULD'VE BEEN A, A MUCH MORE LENGTHY ENGAGEMENT TO LOOK AT DEMOGRAPHICS. 
          OKAY. 
          ALRIGHT. 
          AND SO THAT'S THE OTHER ASPECT, UH, MARIA AND TEAM IS THAT, UM, I THINK WHEN WE'RE LOOKING AT THESE, WHEN, WHEN WE MOVE IT, IT, IF WE GO WITH THESE RECOMMENDATIONS AND WE HAVE THIS M D R T TEAM, I THINK WE NEED TO START KEEPING TRACK OF, UM, MALE FEMALE, UH, AGE, AGE RANGES AND IF THEY'RE LIVING WITH SENIORS OR CHILDREN. 
          'CAUSE I THINK, AND, AND WHAT WE'VE SEEN IS SENIORS LIVING WITH, WITH SOME THAT ARE, THAT HAVE, UM, MENTAL HEALTH ISSUES THEN TEND TO, TO, TO GET THE BRUNT OF THE ABUSE IF THEY BECOME ABUSIVE. 
          SO I THINK WE NEED TO LOOK AT THAT ALSO. 
          UM, I THINK OTHER THAN THAT. 
          OH, YES. 
          SLIDE NUMBER NINE. 
          THAT MENTAL HEALTH RESISTANCE, THE, THE DESIGNATIONS THAT'S ALREADY DONE IN YOUR OTHER CITIES. 
          CORRECT. 
          SO PEOPLE CAN'T COME BACK AND BE LIKE, WHY DID YOU GIVE ME THIS MENTAL HEALTH? WHY DID YOU DESIGNATE THIS CALL? MENTAL HEALTH RESISTANCE. 
          [01:05:01]
I JUST SAID MY HUSBAND WAS DRUNK MENTAL HEALTH RESISTANCE. 
          YEAH. 
          ON SLIDE NUMBER NINE, YOU SAID TO DESIGNATE THE POLICE CALLS AS MENTAL HEALTH. 
          WHAT WAS IT? I THINK I, I UNDERSTAND WHERE YOU'RE AT, COUNCIL. 
          THIS, THIS IS DEPUTY CHIEF FOX. 
          THOSE, UH, THREE PROBLEM NATURES ARE SPECIFIC TO SAN ANTONIO CALLS WHEN THEY COME INTO OUR DISPATCH CENTER. 
          THOSE ARE HOW OUR DISPATCHERS CODE THE CALLS, UH, WHETHER IT'S A ROUTINE, WHETHER IT'S A DISTURBANCE OR IT'S, OR IT'S IN PROGRESS. 
          SO WE WOULD ADD THE MENTAL HEALTH TO THIS. 
          WE DON'T HAVE MENTAL HEALTH CURRENTLY IN OUR DESIGNATION. 
          WE, NO, WE DO. 
          IT'S MENTAL HEALTH, ROUTINE, MENTAL HEALTH DISTURBANCE OR MENTAL HEALTH IN PROGRESS. 
          OKAY. 
          I JUST WANTED TO MAKE SURE WE'RE DOING SOMETHING THAT EVERYBODY ELSE IS DOING. 
          ALL RIGHT. 
          THANK YOU. 
          THAT'S IT FOR ME. 
          THANK YOU SO MUCH. 
          THANK YOU. 
          COUNCILWOMAN VIAGRA. 
          COUNCILMAN MCKEE RODRIGUEZ. 
          HELLO. 
          SORRY, I WAS STRUGGLING TO FIND THE BUTTON. 
          UM, I WANTED TO START OFF BY SAYING, UH, THAT I'M SUPER EXCITED ABOUT THE PROSPECT OF IMPLEMENTING DATA-DRIVEN APPROACHES IN THE DEVELOPMENT OF OUR CRISIS RESPONSE ACROSS THE CITY. 
          UM, WE REALLY HAVE AN OPPORTUNITY TO FOLLOW A DATA-DRIVEN PUBLIC SAFETY MODEL, AS IS INTENDED. 
          UM, AND I HOPE THAT THE CON AS CONVERSATIONS PROGRESS, UM, AND AS WE BEGIN TO IMPLEMENT FURTHER POLICY AND PROCESSES THAT WE REALLY LEAN INTO DATA EXPERIENCE AND EXPERTISE, UM, I NOTICED ONE OF THE KEY RECOMMENDATIONS WAS A REVIEW OF THE CURRENT DATA SYSTEMS TO IDENTIFY GAPS IN INFORMATION AND FOLLOW A DATA-DRIVEN PUBLIC SAFETY MODEL. 
          UM, YOU ALSO MENTIONED THAT CREDIBILITY WAS KEY FOR THESE PROGRAMS AND MANY OF, UH, FOR MANY OF THE RECOMMENDATIONS TO BE SUCCESSFUL. 
          UM, ONE OF THE KEY WORK PLAN COMPONENTS WAS ALSO DATA SHARING WITH CSSA AND OTHER KEY PARTNERS. 
          UM, AND I WANTED TO KNOW, CURRENTLY, HOW ARE DATA GAPS BEING ADDRESSED AND WHAT DATA GAPS HAVE BEEN IDENTIFIED SO FAR? UH, COUNCILMAN, I'LL TAKE THAT QUESTION. 
          AND I BELIEVE WHAT, UH, BJ REFERRED TO AS TODAY, WHEN THE CALL COMES IN, UH, WE CODED AS MENTAL HEALTH, UH, ROUTINE MENTAL HEALTH DISTURBANCE, FOR EXAMPLE. 
          HOWEVER, WE DON'T KNOW IF PERHAPS ANOTHER CALL THAT CAME IN, UH, ENDED UP AS A MENTAL HEALTH CALL. 
          SO THAT IS THE GAP THAT SHE'S TALKING ABOUT. 
          SO WHAT WE NEED TO DO, UM, WITHIN SS A P D IS FIGURE OUT A WAY, UH, WE HAVEN'T DONE THAT YET, HOW WE CAN CAPTURE THE OUTCOME OF THE CALL THAT STARTED AS A MENTAL HEALTH THAT, THAT IT ENDED UP AS A MENTAL HEALTH CALL AND VICE VERSA. 
          DO WE HAVE ANY OTHER CALLS THAT STARTED WITH A DIFFERENT CODE BUT IS ACTUALLY A MENTAL HEALTH? SO THAT IS WHAT BJ WAS REFERRING TO, UM, GAPS, UH, IN OUR DATA THAT WE, THAT, THAT SHE RECOMMENDS THAT WE ADDRESS. 
          I GUESS THEN MY, I, I GUESS THEN MY NEXT QUESTION IS CLARIFICATION ON, UH, SOME OF THESE RECOMMENDATIONS. 
          UM, BECAUSE, UH, I'LL GO TO THE PAGE ON OUTLINE OF KEYWORD PLAN COMPONENTS. 
          UM, IT DOES SAY IDENTIFYING GAPS IN DATA. 
          THAT SOUNDS LIKE A GAP THAT HAS ALREADY BEEN IDENTIFIED. 
          UM, AND SO I'M WONDERING HOW ARE WE CURRENTLY WORKING TO IDENTIFY OTHER GAPS? I CAN SPEAK TO HOW, WHEN, WHEN WE BEGIN PROGRAM IMPLEMENTATION, UM, YOU KNOW, YOU START BUILDING SOMETHING BRAND NEW, AND AS YOU DO THAT, YOU WILL IDENTIFY DATA GAPS. 
          FOR INSTANCE, IN ANOTHER CITY WHERE WE BEGAN BUILDING THIS, WE IDENTIFIED THAT WE COULD NOT INTEGRATE THE LOCAL MENTAL HEALTH AUTHOR'S PATIENT INFORMATION INTO THE E M S PATIENT INFORMATION. 
          SO THE, THE PUB, THE MENTAL HEALTH CLINICIAN HAD TO ENTER A NOTE, AND THEN THE PARAMEDIC HAD TO ENTER A NOTES. 
          THEN THEY HAD TO DO A MANUAL MERGE OF THOSE TWO NOTES. 
          SO THERE WAS A HUGE DATA GAP THERE WHERE WE COULDN'T LOOK AND SEE, YOU KNOW, CARE OUTCOMES FOR CHRONIC HEALTHCARE AND CHRONIC BEHAVIORAL HEALTHCARE NEEDS FOR, FOR OUR PATIENTS. 
          SO THERE ARE SOME DATA GAPS THAT YOU REALLY WON'T KNOW UNTIL YOU BEGAN PUTTING YOUR PROGRAM TOGETHER. 
          SO WE ALWAYS PUT IDENTIFY DATA GAPS AS PART OF OUR ONGOING WORK PLAN, BECAUSE YOU CONSTANTLY HAVE TO BE LOOKING AT THAT AS YOU'RE BUILDING YOUR PROGRAM. 
          YOU JUST DON'T WANNA MISS THAT AT THE END AND THEN GO, NOW WE HAVE A $300,000 FIX BEFORE WE KNOW FOR DOING ANY GOOD. 
          THANK YOU. 
          THANK YOU. 
          AND THEN ALSO, IS THERE A, UM, A DATA PROFESSIONAL OR A DATA ANALYSIS, UH, ANALYST WHO WOULD, UM, BE LOOKING AT SYSTEMS TO IDENTIFY GAPS AS WELL? CAN I BE CRAFT AND SAY, IF YOU HIRE US, THERE IS ? YES. 
          WE HAVE DATA SPECIALISTS THAT INTERNATIONALLY , THAT  HELP GUIDE 
          [01:10:01]
US TO ENSURE THAT, UM, WE DON'T MISS ANY PUBLIC STATE CARE AND MEDICINE TO EMERGENCY DEPARTMENTS, OUR LOCAL MENTAL HEALTH AUTHORITY SERVICES. 
          WE HAVE CRIMINOLOGISTS SUCH AS MY  MEDICAID, BUT ABSOLUTELY WONDERFUL, WONDERFUL. 
          I'M A BIG FAN OF CRIMINOLOGISTS. 
          UM, ALSO EARLIER YOU SAID SOMETHING WONDERFUL, UM, AND IT'S THAT YES, WE ABSOLUTELY WANT AN EFFECTIVE RESPONSE, BUT WE ALSO NEED TO SHIFT OUR FOCUS TO PREVENTION. 
          UM, I, I DON'T HAVE ANY MORE QUESTIONS, BUT I DO WANT TO LEAVE WITH, UM, I WANT US TO KEEP ALL OF THESE RECOMMENDATIONS TOP OF MIND AS WE CONTINUE TO DEVELOP PROCESSES AND POLICIES, UH, RELATED TO PUBLIC SAFETY, BECAUSE NUMBERS DO NOT LIE. 
          UM, AND WE NEED SYSTEMS IN PLACE TO ENSURE THAT WE'RE MAKING DATA INFORMED DECISIONS, AND THAT WE MINIMIZE THE POSSIBILITY OF GAPS IN DATA, UM, TO THEREFORE MINIMIZE THE AMOUNT OF DISTURBANCES AND CRIME THAT PLAYS OUT IN OUR COMMUNITY. 
          THANK Y'ALL SO MUCH FOR THE PRESENTATION. 
          THANK YOU. 
          THANK YOU. 
          THANK YOU. 
          COUNCILMAN MCKEY RODRIGUEZ. 
          UH, COUNCILMAN PERRY, AS A REMINDER, JUST REAL QUICK, IF Y'ALL DON'T MIND LOWERING YOUR HAND WHEN YOU'RE, UM, THEN TALKING THERE. 
          UH, GO AHEAD. 
          COUNCILMAN HARRY. 
          HEY, GOOD. 
          THANK YOU VERY MUCH. 
          I APPRECIATE IT. 
          THANK YOU FOR THE REPORT. 
          ALSO VERY INTERESTING. 
          I DO HAVE A FEW QUESTIONS AND COMMENTS ABOUT THIS AS, UM, THOUGH, I, I, AND I GO BACK LOOKING AT OUR CURRENT SYSTEM, ALL OF YOUR UPFRONT COMMENTS AS WE HAVE THE BEST IN THE COUNTRY, THEY'RE LAUDED AND ON THIS AND ALL THAT, UH, THAT WE, WE HAVE A GREAT SYSTEM HERE IN SAN ANTONIO. 
          SO MY QUESTION IS, IS IT BROKEN? I DON'T LIKE TO SAY THAT ANY SPECIFIC SYSTEM, IF IT MEANS THAT IT WOULD'VE HAD TO BEEN PERFECT TO BEGIN WITH, AND IF YOUR SYSTEM WERE PERFECT, THEN PEOPLE LIVING WITH MENTAL HEALTHCARE NEEDS WOULD NOT HAVE CONTACT WITH LAW ENFORCEMENT AS THEIR INITIAL ENTRANCE INTO THE HEALTHCARE SYSTEM. 
          SO WHILE YOUR SYSTEM IS VERY GOOD, THERE'S ROOM FOR GROWTH AND IMPROVEMENT. 
          AND I THINK THAT THAT'S TRUE IN MOST MAJOR CITIES. 
          WE WORK WITH CITIES ALL OVER THE COUNTRY, AND, UM, EVEN WITH SOME, WITH CHECKBOOKS THAT ARE ENDLESS. 
          AND I'VE EVEN SEEN THOSE CITIES THAT ARE NOT WORKING WITHIN A PERFECT SYSTEM. 
          SO WHILE YOU HAVE MANY SYSTEMS THAT CITIES ARE ENVIOUS OF, THERE'S ROOM FOR GROWTH AND ROOM FOR, UM, CONTINUED IMPROVEMENT THAT WOULD REMOVE PUBLIC SAFETY FROM, YOU KNOW, PEOPLE'S FIRST CONTACT WITH A HEALTHCARE SYSTEM. 
          IT WOULD MOVE FROM A RESPONSE TO A PREVENTION ORIENTED SYSTEM. 
          IT WOULD INTEGRATE INTERVENTION INSTEAD OF CRISIS INTERVENTION, AND IT WOULD, UM, MOVE YOUR HOSPITALS TO RELYING MORE ON HEALTHCARE PROFESSIONALS FOR SERVICES INSTEAD OF POLICE DEPARTMENTS FOR WARRANTS. 
          AND I THINK THAT THERE'S ROOM FOR GROWTH AND ASSISTANCE THAT'S ALREADY VERY GOOD. 
          YEAH. 
          AND, AND I KNOW THAT, UM, YOU KNOW, THERE'S ALWAYS ROOM FOR IMPROVEMENT, BUT HERE WE'RE TALKING ABOUT, AND IT'LL BE INTERESTING TO SEE WHAT THE BUDGET IMPACTS ARE FOR THIS, BECAUSE WE'VE ALREADY APPROVED CLINICIANS IN EVERY DISTRICT, UH, TO WORK WITH HOMELESSNESS AND MENTAL HEALTH ISSUES ALONG WITH THE POLICE. 
          UM, I, I'M NOT SURE HOW OTHER DISTRICTS ARE USING THAT INDIVIDUAL AND HOW THEY'RE, HOW THEY'RE BEING, YOU KNOW, HOW THEY'RE, HOW EFFECTIVE THEIR USE IS BEING IN THOSE DISTRICTS. 
          BUT I'M GONNA BE LOOKING AT THAT VERY CLOSELY AND CRITICALLY BECAUSE, UH, UM, THIS DOES HAVE TO DO WITH A BUDGET AND ARE WE GONNA GET THAT BIG OF AN IMPACT AND THAT BIG OF A, UM, YEAH, THAT BIG OF AN IMPACT BY INCREASING THE BUDGET. 
          AND EVERYBODY HAS HEARD HOW MUCH WE SPEND NOW ON HOMELESSNESS. 
          AND IF YOU LOOK AT THOSE ZIP CODES THAT YOU MENTIONED AND THOSE COMPLEXES THAT YOU MENTIONED, THERE ARE A LOT OF HOMELESS THAT ARE IN THOSE SAME AREAS, LIKE THE BUS STOP, TRAVIS PARK, THOSE PLACES, ANYBODY COULD GO OUT AND SEE THAT, YEAH, WE HAVE HOMELESS ISSUES AND THE, THE NUMBER OF SERVICES THAT ARE PROVIDED FOR THOSE THAT ARE NOT BEING TAKEN ADVANTAGE OF, AND YOU HAVE THE SAME, UH, ISSUES, TIME AND TIME AND, UH, REPEAT, UM, UH, NOT ARRESTS, BUT REPEAT PEOPLE BEING TAKEN IN BY, WHETHER IT'S A NONPROFIT, FAITH-BASED, OR EVEN THE CITY, UH, YOU KNOW, IT DOESN'T SEEM TO BE GETTING ANY BETTER. 
          IN FACT, THE MORE SERVICES THAT WE PROVIDE, IT SEEMS LIKE WE'RE ENABLING THESE ISSUES TO GET BIGGER. 
          UH, AND I CAN JUST POINT AT OUR, UH, SISTER RIGHT UP THE ROAD HERE IN AUSTIN OF EXACTLY WHAT HAPPENED IN AUSTIN BY, UH, ENABLING THESE PROGRAMS TO, UH, THESE PROGRAMS TO GET LARGER AND LARGER EVERY YEAR. 
          SO I'M GONNA BE LOOKING AT THAT VERY CLOSELY IN THIS NEXT BUDGET. 
          I DON'T KNOW, MARIA, DO YOU HAVE ANY KIND OF, UH, UM, JUST OFF THE WALL ESTIMATE ON HOW MUCH THIS IS GONNA COST US IN THE CITY TO IMPLEMENT THESE RECOMMENDATIONS? COUNCILMAN, 
          [01:15:01]
WE'RE FINALIZING THE BUDGET DETAILS FOR PRESENTATION TO THE COUNCIL NEXT WEEK. 
          UM, ONE OF THE THINGS THAT WE DID AS PART OF THE GOAL SETTING SESSION AND TRIAL BUDGET, WE HAD TALKED ABOUT ALLOCATING ABOUT $3 MILLION TO STRENGTHEN OUR MENTAL HEALTH RESPONSE. 
          UH, PRIMARILY TO BE ABLE TO ENHANCE SERVICES THAT WE PROVIDE THROUGH OUR, UH, METRO HEALTH, UH, DEPARTMENT, AND THROUGH WHAT WE'RE WORKING TODAY IN TERMS OF PERHAPS RESOURCES FOR THE POLICE DEPARTMENT AND THE FIRE DEPARTMENT. 
          THAT'S WHAT WE'RE WORKING WITHIN IN THAT, UH, $3 MILLION ALLOCATION THAT WE, UH, SHARE WITH THE COUNCIL AT TRIAL BUDGET AND GOAL SETTING SESSION. 
          OKAY. 
          WELL, WE'LL, WE'LL TAKE A LOOK AT THE DETAILS WHEN THEY COME OUT IN THE BUDGET, BUT I'M CERTAINLY GONNA BE LOOKING AT 'EM VERY CLOSELY BECAUSE WE'RE SPENDING TODAY CLOSE TO $70 MILLION A YEAR, UH, SPECIFICALLY TARGETED TOWARDS A HOMELESS POPULATION. 
          AND I WOULD VENTURE TO SAY THAT THE MAJORITY OF THESE CALLS HAVE TO DO WITH HOMELESSNESS, WHICH BY YOUR, UH, DATA AND YOUR PINPOINT OF THOSE AREAS FALLS DIRECTLY IN LINE WITH WHERE WE HAVE THE LARGEST PROBLEMS OF OUR HOMELESSNESS HERE IN SAN ANTONIO. 
          SO, UH, A LOT OF OVERLAP THERE. 
          AND THAT, I'M CERTAINLY GONNA MAKE COMMENTS ABOUT THAT, UH, DURING THE BUDGETING SESSION. 
          UM, ONE OF THE THINGS I, I NOTICED IN, IN THOSE TYPES OF CALLS ARE INCREASING ACROSS THE CITY, IF YOU LOOK AT THE DATA, AGAIN, THEY ARE INCREASING. 
          BUT MARIA, I WOULD REALLY LIKE TO SEE THIS IN RELATION TO HOW MUCH THIS CITY HAS GROWN AS WELL IN NUMBERS, BECAUSE THE MORE PEOPLE COMING INTO SAN ANTONIO, THE MORE ISSUES YOU'RE GONNA HAVE. 
          SO I, I DON'T LOOK AT THIS AS AN INCREASE BECAUSE WE HAVEN'T DONE ANYTHING OR WE'RE NOT DOING ANYTHING. 
          WELL, A LOT OF THESE INCREASES ARE BECAUSE THIS CITY HAS GROWN DRAMATICALLY OVER THE LAST FIVE TO 10 YEARS. 
          AND NATURALLY, YOU'RE GONNA HAVE MORE ISSUES AND MORE INSTANCES OF THIS. 
          AND, AND WHAT I HAVE TALKED ABOUT, UM, DURING THE WORKING GROUP IS THAT WE NEED TO TAKE A LOOK AT OUR POLICE DEPARTMENT AND INCREASE OUR AUTHORIZATIONS AND GETTING MORE POLICE OFFICERS IN THE STREET, AS WAS INDICATED IN THAT POLICE SURVEY. 
          THAT'S WHAT PEOPLE WANNA SEE. 
          THEY WANNA SEE MORE PATROLS OUT THERE. 
          THEY WANT TO FEEL SAFE, UH, IN THEIR COMMUNITY. 
          SO, UH, A LOT OF THIS WILL, UM, BE IMPACTED BY THE BUDGET AND WHAT, WHAT Y'ALL PROPOSE AND WHAT WE'RE GONNA DISCUSS DURING THIS NEXT MONTH, MONTH AND A HALF TO GET THE BUDGET THROUGH THE SYSTEM. 
          BUT, UM, I, I APPRECIATE THE DATA. 
          I'LL BE LOOKING AT IT MORE CLOSELY. 
          UH, YOUR RECOMMENDATIONS. 
          I'M NOT ALL A HUNDRED PERCENT IN LINE WITH, BECAUSE I THINK WE HAVE AN EXCELLENT SYSTEM NOW. 
          AND, UM, I, I, I ASKED THIS QUESTION BEFORE, HOW MANY ISSUES HAVE WE HAD IN THE PAST WITH THIS SERVICE THAT WE'RE PROVIDING TO PARTICULARLY MENTAL HEALTH, UH, PATIENTS OUT THERE? UH, HAVE WE HAD ANY ISSUES? AND LAST TIME I ASKED THAT QUESTION, NOBODY SAID ANYTHING THAT WE'VE HAD ANY ISSUES OUT THERE. 
          UM, I'LL, MA'AM, IF YOU CAN LET THAT BE ANSWERED, THAT WOULD BE GREAT. 
          I, I ASK IT AGAIN. 
          HOW MANY ISSUES HAVE WE HAD WITH OUR SYSTEM THAT WE HAVE TODAY THAT'S TO CHIEF, TO THE CHIEF, OR TO DR. 
          BRIDGER, MARIA, ANYBODY, HOW MANY SPECIFIC CASES THAT WE HAD THAT DID NOT WORK OR DID NOT HAVE A, A GOOD RESULT WITH THE SYSTEM THAT WE HAVE TODAY? COUNCILMAN, I'LL START WITH THE RESPONSE, AND IF SOMEBODY WANTS TO CHIME IN, I THINK THE GOAL OF THIS PROJECT, COUNCILMAN, WAS TO TRY TO IDENTIFY A, UH, DIFFERENT OUTCOME TO THOSE INDIVIDUALS THAT ARE FACING A MENTAL HEALTH CRISIS. 
          NOT BECAUSE OUR SYSTEM IS NOW WORKING IN TERMS OF THE POLICE RESPONSE, BUT RATHER HOW CAN WE HELP THAT INDIVIDUAL TO GET THE ASSISTANCE THEY NEED? SO THEY HAVE, UH, HOPEFULLY DON'T HAVE TO HAVE THAT ENCOUNTER WITH A POLICE OFFICER. 
          UH, TYPICALLY, TYPICALLY, AND NOT ALL THE TIME, BUT SOME OF THESE INDIVIDUALS NEED SOME, UM, TYPE OF MEDICAL CARE. 
          THEY MAY NEED SOME OTHER WRAPAROUND SERVICES. 
          AND, AND INSTEAD OF HAVING THE POLICE OFFICER ATTEND TO THOSE NEEDS, UM, THE PURPOSE OF THIS ALTERNATIVE RESPONSE WAS TO IDENTIFY OTHER WAYS OF STRENGTHENING THAT CALL. 
          UM, AND I'LL STOP RIGHT THERE. 
          AND DR. 
          GER AND BJ, IF YOU WANNA ELABORATE. 
          SO I, I GUESS 
          [01:20:01]
WHAT I WILL, UM, SAY IS THAT LIKE ALL GOOD SYSTEMS, WE ARE LOOKING TO FINE TUNE WHAT WE DO BEFORE IT BREAKS. 
          AND SO WHAT WE'RE SEEING ACROSS THE UNITED STATES IS A LOT OF OTHER PLACES WHERE THE SYSTEM IS BROKEN, WE'RE LEARNING FROM THOSE MISTAKES THAT THEY MADE AND FIXING OUR SYSTEM IN ADVANCE SO THAT THE SAME THING DOESN'T HAPPEN HERE. 
          AND I'LL SAY, AND, UM, JUST BRIEFLY THAT THE WORK THAT I DO IS SPECIFICALLY LOOKING AT, UH, IS IT NECESSARY TO HAVE YOUR POLICE DEPARTMENT ACTING AS YOUR MENTAL HEALTH INTERMEDIARY? AND IS THAT THE BEST USE OF YOUR LAW ENFORCEMENT TO BE ANSWERING MENTAL HEALTH EMERGENCY CALLS AS THEIR PRIMARY ROLE? AND IN THE CITIES THAT WE HAVE WORKED IN BEFORE, FOR EVERY M D R T TEAM, WE HAVE RETURNED FULL VEHICLES AND OF FOUR FTES TO YOUR POLICE DEPARTMENT. 
          TIME SAVED FOR OFFICERS THAT ARE NOT ANSWERING THESE CALLS AS MENTAL HEALTH CLINICIANS THAT ARE ACTUALLY OUT THERE IN THE STREETS, BEING SEEN BY THE CITIZENS HANDLING PUBLIC SAFETY INSTEAD OF SITTING IN AN EMERGENCY DEPARTMENT WITH SOMEBODY WITH A MENTAL HEALTH CRISIS. 
          SO I THINK THAT EVEN IF THE MENTAL HEALTH SYSTEM IS DOING A GOOD SERVICE, IF IT'S YOUR LAW ENFORCEMENT DEPARTMENT THAT IS THE PRIMARY INTERMEDIARY TO THAT MENTAL HEALTH SYSTEM, IT IS BROKEN. 
          THANK YOU, COUNCILMAN TERRY. 
          I, I GOT A LITTLE THANK YOU FOR THE PRESENTATION AGAIN. 
          UH, MA'AM, 
          [1. Approval of minutes from the Public Safety Committee on June 23, 2021.]
UH, I GOT A LITTLE OVEREXCITED AND I SKIPPED OUR FIRST ITEM. 
          SO JUST REAL QUICKLY, I'M GONNA GO BACK TO THE FIRST ITEM, THE APPROVAL OF MINUTES FROM OUR JUNE 23RD MEETING. 
          DO I HAVE A MOTION AND A SECOND TO APPROVE OUR MOTION TO APPROVE? THANK YOU. 
          AND WE SECOND, SECOND, UH, COUNCILMAN PERRY. 
          THANK YOU. 
          UH, ALL THOSE IN FAVOR SAY AYE. 
          AYE. 
          AYE. 
          AYE. 
          ANY OPPOSED? THE MOTION PASSES. 
          WE'LL GO ON TO 
          [3. Briefing and possible action on the Update of the Police Services Review Project [Maria Villagomez, Deputy City Manager]]
THE THIRD ITEM, UH, BRIEFING AND POSSIBLE ACTION ON THE UPDATED POLICE SERVICES REVIEW PROJECT. 
          MARIA, UH, THANK YOU, CHAIRWOMAN. 
          AND THIS ITEM IS TO PROVIDE THE, UM, PUBLIC SAFETY COMMITTEE WITH AN UPDATE ON OUR POLICE SERVICES REVIEW, UH, PROJECT. 
          UH, THIS PRESENTATION BUILDS UPON THE PRESENTATION THAT WE MADE TO THE FULL CITY COUNCIL AS PART OF THE GOAL SITTING SESSION ON JUNE 25TH. 
          AND AT THIS, UM, SESSION WITH THE COUNCIL, WE PROVIDED A SUMMARY OF THE INPUT THAT WAS RECEIVED, UH, FROM THE COMMUNITY THROUGH THIS PROCESS, AS WELL AS A FRAMEWORK FOR RECOMMENDATIONS, UH, FOR POTENTIAL INCLUSION IN THE 2022 PROPOSED BUDGET. 
          SO WHAT, WHAT WE HEARD AT THE GOAL SETTING SESSION IS THAT THERE WAS GENERAL CONSENSUS TO LOOK AT ALTERNATIVE RESPONSES TO STRENGTHEN OUR POLICE RESPONSE IN TERMS OF MENTAL HEALTH, DOMESTIC VIOLENCE AND HOMELESSNESS, UM, CONSENSUS IN TERMS OF GENERAL CONSENSUS IN TERMS OF ENHANCING OUR TRANSPARENCY BY IMPROVING OUR WEBSITE AND, AND DATA THAT WE PROVIDE TO, TO THE COMMUNITY. 
          AND FINALLY, ALSO LOOKING AT CALLS THAT ARE BEING, UH, ADDRESSED BY OUR POLICE DEPARTMENT TODAY THAT POTENTIALLY COULD BE ADDRESSED BY NON-SWORN, UH, PERSONNEL. 
          SO WE WANNA GIVE YOU AN UPDATE ON SOME WORK THAT WE HAVE DONE SINCE THE GOAL SETTING SESSION AS WE ARE PREPARING FOR THE 2022 PROPOSED BUDGET. 
          UH, FOR THIS PRESENTATION. 
          DR. 
          BRIDGER IS GOING TO INTRODUCE A FEW SLIDES AS SHE, UM, HELPED IN THIS PROCESS IN TERMS OF DEVELOPING AND, AND, UH, RECOMMENDING A REC A, UM, APPROACH, A COORDINATED APPROACH TO ADDRESSING DOMESTIC VIOLENCE CALLS AND MENTAL HEALTH CALLS. 
          UM, SO SHE'LL BE ALSO, UH, CO-PRESENTING WITH ME TODAY. 
          SO IN THE NEXT SLIDE, UH, THAT YOU HAVE SEEN THIS PARTICULAR FRAMEWORK OF OUR POLICE SERVICES REVIEW, WHERE WE ARE ADDRESSING FOUNDATIONAL ISSUES, THE EXPECTATIONS OF OUR COMMUNITY, GETTING INPUT FROM, UH, DIFFERENT SOURCES, UH, THE CITY COUNCIL, THE PUBLIC SAFETY COMMITTEE, AND OF COURSE, OUR NEIGHBORHOODS AND STAKEHOLDER GROUPS, AND ALSO DEVELOPING ALTERNATIVE RESPONSES, UH, TO SOME OF OUR POLICE CALLS. 
          ON THE NEXT SLIDE, THIS IS JUST TO BRIEFLY, UH, GO OVER THE TIMELINE. 
          WE STARTED THIS, UH, PROJECT IN DECEMBER OF 2020 WITH A PRESENTATION TO OUR PUBLIC SAFETY COMMITTEE. 
          UH, WE DID A SUBSEQUENT PRESENTATION IN JANUARY, 2021 TO LAY OUT THE COMMUNITY ENGAGEMENT PLAN. 
          WE DID A SCIENTIFIC SURVEY IN THE MONTHS OF FEBRUARY AND MARCH. 
          UH, WE CAME BACK TO PUBLIC SAFETY COMMITTEE IN APRIL. 
          AND AT THE SAME TIME, WE STARTED THAT COMMUNITY INPUT THAT LASTED FROM APRIL THROUGH JUNE. 
          WE DID A B SESSION UPDATE TO THE FULL COUNCIL ON MAY THE FIFTH. 
          UH, AND THEN ON JUNE 23RD, 
          [01:25:01]
WE CAME BACK TO THE PUBLIC SAFETY COMMITTEE WITH AN UPDATE AND THEN GOAL SETTING SESSION TO THE FULL COUNCIL ON THE 25TH. 
          SO HERE WE ARE, AUGUST THE SECOND, PROVIDING YOU WITH AN UPDATE. 
          UH, THIS, UM, UH, THE RECOMMENDATIONS FROM THE PREVIOUS PRESENTATION WITH WHAT I'M GONNA PRESENT TO YOU TODAY. 
          AND YOUR FEEDBACK IS GOING TO HELP US REFINE THE PROPOSED RECOMMENDATIONS THAT YOU WILL SEE NEXT WEEK AS PART OF THE CITY MANAGER'S PROPOSED BUDGET. 
          SUBSEQUENT TO THAT, WE WILL HAVE BUDGET WORK SESSIONS, AND THEN WE WILL ASK FOR YOUR CONSIDERATION OF APPROVING THE BUDGET ON SEPTEMBER 16TH. 
          DURING THE MONTHS OF AUGUST AND SEPTEMBER, THE COMMUNITY WILL HAVE AN OPPORTUNITY TO WEIGH IN AND PROVIDE US WITH THEIR FEEDBACK ON THE RECOMMENDATIONS THAT WILL BE IN THE PROPOSED BUDGET. 
          SO, MOVING ON TO THE NEXT SLIDE. 
          UM, THIS PRESENTATION, THE FIRST PORTION, PORTION OF THE PRESENTATION WILL FOCUS ON MENTAL HEALTH, DOMESTIC VIOLENCE, AND HOMELESS. 
          AND JUST TO PUT SOME PERSPECTIVE ON THE NUMBER OF CALLS THAT THE POLICE DEPARTMENT ADDRESSES TODAY, ON THE NEXT CHART, YOU'LL SEE THAT OUR MENTAL HEALTH CALLS, WE HAVE A COMPARISON OF 20 19, 20 20, AND THEN FOR 2021, APRIL, JANUARY THROUGH APRIL, THIS OUR CALENDAR YEARS. 
          SO YOU'LL SEE FOR MENTAL HEALTH IN 2019, WE'VE HAD ABOUT 21,000, UH, 498 CALLS IN 2020. 
          UH, WE SAW AN INCREASE OF, OF THIS CALLS. 
          AND, UH, IT SEEMS PERHAPS RELATED TO C OVID 19 20 21. 
          WE ARE, UM, SOMEWHERE ALIGNED MORE WITH THE CALLS THAT WE SAW IN 2019. 
          BUT THIS IS JUST TO GIVE YOU AN IDEA OF THE NUMBER OF CALLS OUR POLICE OFFICERS ARE ADDRESSING TODAY. 
          DOMESTIC VIOLENCE, UM, YOU'LL SEE THAT IN, IN 2019, UH, CLOSE TO 61,500 CALLS IN 2020. 
          AS WE HAVE, UM, SHARED WITH THE COUNCIL THE NUMBER OF DOMESTIC VIOLENCE CALLS INCREASE. 
          UH, WE ATTRIBUTE THAT TO COVID 19, UH, 68,000 CALLS IN TOTAL AND IN CALENDAR YEAR 2021, WE ANTICIPATE TO SEE PROBABLY MORE CALLS IN 2019, BUT NOT AS MANY AS 2020 BASED ON, ON CURRENT DATA. 
          SO THIS IS A UNIVERSE OF CALLS THAT OUR POLICE OFFICERS ARE HANDLING WHEN WE TALK ABOUT MENTAL HEALTH AND DOMESTIC VIOLENCE. 
          ON THE NEXT SLIDE, JUST TO KIND OF SHOW YOU A LITTLE BIT OF THE DISTRIBUTION, WHERE THESE CALLS ARE COMING FROM. 
          SO THIS PARTICULAR SLIDE SHOWS MENTAL HEALTH CALLS BY SUBSTATION. 
          SO YOU'LL SEE THAT CENTRAL IMPROVE, UH, APPEAR TO HAVE THE LARGEST NUMBER OF MENTAL HEALTH CALLS THAT COME TO THOSE SUBSTATIONS. 
          NOW, AS WE DIG INTO WHAT IS MAKING UP THOSE NUMBERS, IF YOU GO TO THE NEXT SLIDE, YOU'LL SEE THE SAME NUMBER OF MENTAL HEALTH CALLS BROKEN DOWN BY CATEGORY DISTURBANCE IN PROGRESS AND ROUTINE. 
          AND YOU'LL SEE THAT FOR THE MOST PART, THE DISTRIBUTION OF CALLS RELATED TO MENTAL HEALTH DISTURBANCE AND MENTAL HEALTH IN PROGRESS IS CONSISTENT ACROSS OUR SUBSTATIONS. 
          HOWEVER, MENTAL HEALTH ROUTINE APPEARS TO BE A HIGHER, UH, CONCENTRATION ON THE CENTRAL SUBSTATION AND APPROVED SUBSTATION. 
          ON THE NEXT SLIDE, WE DID A FURTHER ANALYSIS OF THAT MENTAL HEALTH ROUTINE CALL, AND MOST OF THOSE CALLS INCLUDE WHAT WE CALL EMERGENCY DETENTION. 
          SO WE DID AN ANALYSIS OF EMERGENCY DETENTION CALLS WHEN A POLICE OFFICER, UH, TAKES AN INDIVIDUAL TO THE HOSPITAL TO ASSIST THEM WITH GETTING, UH, THE TREATMENT THAT THEY NEED. 
          AND WE, UM, ELIMINATED THOSE CALLS THAT COME FROM THE HOSPITALS DIRECTLY. 
          SO YOU'LL SEE WHEN WE PULL THOSE OUT, CENTRAL AND IMPROVE DON'T HAVE THE HIGHEST CONCENTRATION ANYMORE, BUT IT'S RATHER CENTRAL AND WEST. 
          SO WE JUST WANTED TO HIGHLIGHT THAT, THAT WE HAVE A NUMBER OF CALLS RELATED TO MENTAL HEALTH DISTURBANCE THAT ARE COMING FROM THE HOSPITALS. 
          I'M GONNA SWITCH NOW TO TALK A LITTLE BIT ABOUT DOMESTIC VIOLENCE CALLS. 
          AGAIN, THIS IS THE NUMBER OF CALLS BY SUBSTATION. 
          SO YOU'LL SEE WE HAVE THE HIGHEST, UH, CONCENTRATION ON SOUTH AND WEST. 
          SO IN THE NEXT SLIDE, UM, I'M GONNA TRANSITION HERE TO DR. 
          BRIDGER TO TALK ABOUT SOME OF THE ANALYSIS THAT WE HAVE DONE IN PREPARATION FOR THE PROPOSED BUDGET. 
          DR. 
          BRIDGER. 
          THANKS, MARIA. 
          UM, SO THIS SLIDE KIND OF SUMMARIZES EVERYTHING THAT BOTH BJ AND SOME OF HER FIRST SLIDES COVERED, AS WELL AS WHAT MARIA'S COVERED AND WHAT WE'RE LOOKING AT FOR THE DATA. 
          UM, SO AS WE'VE BEEN TALKING ABOUT, WE WANT TO PILOT, UM, WHAT THIS TEAM-BASED 
          [01:30:01]
APPROACH LOOKS LIKE BEFORE WE, UM, TAKE IT ACROSS THE ENTIRE CITY. 
          UM, WE ALSO, WHEN WE'RE LOOKING AT THE DATA, SEE A LOT OF OVERLAP, UM, BETWEEN THE CALLS RELATED TO MENTAL HEALTH AND THE CALLS RELATED TO DOMESTIC VIOLENCE. 
          BJ ALSO ALLUDED TO THAT IN HER DATA ANALYSIS. 
          AND SO, AS WE ARE KIND OF DIGGING INTO WHAT DOES THIS DATA SAY, UM, WE'RE ALSO LOOKING AT, UM, RATES RATHER THAN JUST RAW NUMBERS OF CALLS. 
          AND SO, TAKING THOSE KIND OF THREE LEVELS OF DECISION MAKING, UM, WHAT WE'VE IDENTIFIED ARE THE LOCATIONS THAT HAVE THE, THE HIGHEST RATE FOR MENTAL HEALTH CALLS, THE HIGHEST RATE FOR DOMESTIC VIOLENCE CALLS, AND THEN THEY FALL INTO, UM, THOSE TWO CONTIGUOUS ZIP CODES THAT ARE LARGELY SERVED BY THE CENTRAL SUBSTATION. 
          SO, UM, YOU KNOW, THE, THE ACTUAL NUMBERS OF CALLS FOR 7 8 2 0 7, 2 0 5, AND THE HOURS ARE THERE. 
          BUT THE TAKEAWAY FROM THIS MAP IS, UM, THE HIGHEST RATE OR THE HIGHEST DENSITY OF CALLS FOR BOTH MENTAL HEALTH AND DOMESTIC VIOLENCE ARE HAPPENING IN THOSE TWO ZIP CODES THAT ARE SERVED BY THE, UH, CENTRAL SUBSTATION. 
          SO, NEXT SLIDE. 
          WE WANNA MAKE SURE, UM, AGAIN, KIND OF BUILDING ON WHAT BJ TALKED ABOUT, THAT, UM, YOU HAVE A A FAIRLY GOOD UNDERSTANDING OF WHAT WE CURRENTLY DO. 
          SO, AGAIN, WHEN YOU LOOK AT HOW WE HANDLE, UM, 9 1 1 CALLS FOR MENTAL HEALTH ISSUES, UM, YOU CAN SEE WHAT OUR TEAMS LOOK LIKE. 
          SO, UM, WE HAVE A NUMBER OF OFFICERS AND DETECTIVES AT THE POLICE DEPARTMENT THAT ARE EXPLICITLY FOCUSING ON MENTAL HEALTH. 
          UM, COUNCILMAN PERRY, YOU REFERENCED THE, UM, THREE CLINICIANS THAT WE'RE USING WITH SERVICES, UM, TO DO A BETTER JOB UPSTREAM WITH SOME OF OUR HOMELESS CALLS. 
          AND, UM, SOME OF OUR HOMELESS CLIENTS. 
          UH, WE ALSO HAVE THE M I H UNIT THAT FOCUSES ON MENTAL HEALTH. 
          AND RIGHT NOW, THOSE DIFFERENT PROGRAMS THROUGHOUT THE CITY ARE WORKING MONDAY THROUGH FRIDAY, 7:00 AM TO 5:00 PM. 
          UM, WHEN YOU LOOK OVER ON THE DOMESTIC VIOLENCE SIDE, YOU CAN AGAIN SEE THAT WE HAVE, UM, A, A PRETTY ROBUST STAFFING AT THE POLICE DEPARTMENT AND THE HEALTH DEPARTMENT, UM, THAT ARE FOCUSED ON DOMESTIC VIOLENCE CALLS AND VICTIMS AND SUPPORT TO VICTIMS. UM, AND AGAIN, THAT THE HOURS ARE MONDAY THROUGH FRIDAY. 
          UM, SO TO COMPLEMENT VIA GRANT'S POINT, THAT'S ONE OF THE THINGS THAT WE'RE LOOKING AT IS, UM, HOW DO WE MAKE SURE THAT WE CAN PROVIDE THE COVERAGE FOR BOTH OF THESE TYPES OF, UM, CALLS DURING THE MOST APPROPRIATE TIMES OF THE WEEK, MONDAY THROUGH SUNDAY, AS WELL AS WHAT DOES THE, THE, THE, THE TIME OF SERVICE LOOK LIKE AS WELL. 
          UM, NEXT SLIDE PLEASE. 
          SO, PRETTY HIGH LEVEL, WHAT WE'RE LOOKING AT IS, UM, SIMILAR TO WHAT MEADOWS HAS RECOMMENDED USING A TEAM APPROACH TO RESPOND TO BOTH MENTAL HEALTH AND FAMILY VIOLENCE CALLS. 
          UM, DEPENDING ON THE KIND OF CALL THE TEAM MEMBERS WOULD VARY, BUT IT WOULD BE A COMBINATION OF SOME SORT OF MENTAL HEALTH PROFESSIONAL, A, UM, AN ADVOCATE, A PARAMEDIC, AND A POLICE OFFICER. 
          UM, AND THEN THE FOCUS WOULD BE THAT THE ON SCENE ADVOCATE WOULD BE TRAINED TO BE ABLE TO RESPOND TO THE CRISIS THAT LED TO CALLING 9 1 1 IN THE FIRST PLACE. 
          UM, BUT THEN COULD ALSO WORK WITH A TEAM OF OTHER PROVIDERS TO HELP GET TO THE ROOTS OF THE PROBLEM. 
          AND AGAIN, AS BJ MENTIONED, TRY TO GET IN FRONT OF THIS BEFORE IT BECOMES A CRISIS, UM, AND REALLY START TO IMPLEMENT SOME LONG-TERM, UM, EFFECTIVE SOLUTIONS TO WHY THE CALL WAS MADE IN THE FIRST PLACE. 
          THE OTHER THING IS THAT WE WANNA MAKE SURE THAT CASE MANAGEMENT AND PEER SUPPORT IS AN IMPORTANT COMPONENT TO THE FOLLOW UP OF THIS. 
          UM, BJ ALLUDED TO THE FACT THAT A LOT OF US ARE, ARE, UM, WORKING THIS PEER SUPPORT MODEL INTO WHAT WE DO, AND WE'RE TRYING TO FIGURE OUT WHERE THAT FITS BEST. 
          WHAT WE THINK WITH THESE TWO TYPES OF CALLS IS IT FITS BEST IN THAT LONG-TERM SUPPORT THAT WE'LL BE PROVIDING, ALONG WITH THOSE OTHER KIND OF SUCCESS FACTORS THAT MEADOWS HAS IDENTIFIED, UM, TO MAKE SURE THAT WE ARE PROVIDING THAT SUSTAINED SUPPORT TO PREVENT FUTURE CALLS TO 9 1 1 FROM 
          [01:35:01]
THESE INDIVIDUALS. 
          UM, WITH THAT, I'M GONNA TURN IT BACK OVER TO MARIA, AND I'LL STILL BE HERE FOR QUESTIONS. 
          THANK YOU, DR. 
          BRIDGER. 
          SO I'M GONNA SWITCH NOW FROM THOSE THREE CALLS THAT WE, UH, MENTIONED AT THE BEGINNING FROM DOMESTIC VIOLENCE, MENTAL HEALTH, AND HOMELESSNESS, TO OTHER CALLS THAT WE HAVE EVALUATED FOR A POTENTIAL ALTERNATIVE RESPONSE WITH THE GOAL OF MAXIMIZING OUR POLICE OFFICER'S TIME. 
          UH, ONE OF THE THINGS THAT WE HEARD AS FAR OF THIS PROJECT WAS, UM, A RESIDENTS WANTING TO SEE POLICE OFFICERS MORE IN THEIR NEIGHBORHOODS TO BE ABLE TO PARTICIPATE IN, UM, UM, COMMUNITY EVENTS AND GET TO KNOW THEIR OFFICERS BETTER. 
          SO WE ARE HOPING THAT THROUGH THIS EXERCISE, WE CAN FREE UP SOME OF THEIR TIME, UH, AND BE ABLE TO, TO REDIRECT THEM TO, TO SOME OF THOSE COMMUNITY, UH, RELATED PROGRAMS. SO SPECIFICALLY, WE HAVE EXAMINED ANIMAL RELATED CALLS, LOUD MUSIC, FIREWORKS, EMERGENCY DETENTION, UH, TYPE OF CALLS AND PROPERTY FOUND ON THE NEXT SLIDE. 
          JUST TO GIVE YOU SOME CONTEXT IN TERMS OF THE NUMBER OF THE VOLUME OF THE CALLS THAT WE GET. 
          UH, WE ARE PROVIDING TWO YEARS TO COMPLETE CALENDAR YEARS 2019 AND 2020, UH, AND THEN 2021 DATA FROM JANUARY THROUGH MAY. 
          SO YOU'LL SEE, AND THIS IS JUST AN INTERESTING POINT. 
          ANIMAL RELATED CALLS IN 2019 WAS 9,500. 
          IN 2020, THAT NUMBER WENT DOWN. 
          UH, THIS IS NOT A FACT, BUT WE JUST HAVE A HYPOTHESIS THAT PERHAPS 'CAUSE PEOPLE WERE MORE AT HOME BECAUSE OF C OVID 19, THERE WERE LESS, UM, ANIMAL RELATED CALLS. 
          SAME THING WITH, WITH BARKING DOGS. 
          WE SAW A DECREASE IN 2020. 
          UH, IN THE OTHER HAND, WHEN, UH, FOR FIREWORKS AND LOUD MUSIC, WE SAW AN INCREASE IN 2020 COMPARED TO 2019, UH, PROPERTY FOUND, WE SAW A DECREASE IN 2020 AND EMERGENCY DETENTION AT HOSPITALS. 
          WE ALSO SEE A DECREASE FOR 2021. 
          THE NUMBERS ARE TRENDING, UM, CLOSE TO 2019, AND SOME OF THE CALLS ARE HIGHER THAN 2019, BUT NOT AS HIGH AS 2020. 
          NONETHELESS, WE'LL SEE AN OPPORTUNITY HERE TO MAXIMIZE OUR OFFICER'S TIME. 
          UH, WE ALSO INCLUDED THE AVERAGE TIME ON CALL THAT THE OFFICERS ON AVERAGE SPEND ON THIS TYPE OF CALLS. 
          ON THE NEXT SLIDE, WHAT WE ARE, UM, EVALUATING IN, IN OUR, WHAT WE, UH, PROBABLY WILL BE RECOMMENDING NEXT WEEK AS FAR AS THE PROPOSED BUDGET IS TO PARTNER WITH OTHER CITY DEPARTMENTS, UH, TO EVALUATE, UM, PARTNERSHIPS, UH, TO RESPOND TO SOME OF THE GOALS WITH ANIMAL CARE SERVICES, WITH CODE ENFORCEMENT, AND WITH, UH, AND WITH OUR FIRE DEPARTMENT TO MAXIMIZE THE POLICE OFFICER'S AVAILABILITY. 
          AND THAT WOULD GIVE US THE OPPORTUNITY TO ADDRESS COMMUNITY REQUESTS TO INCREASE POLICE VISIBILITY IN THE COMMUNITY. 
          SO, IN THE FOLLOWING SLIDE, UM, OTHER RECOMMENDATIONS THAT WE ARE WORKING ON FOR INCLUSION IN THE PROPOSED BUDGET NEXT WEEK IS ONE OF THE THINGS, UH, ONE OF THE QUESTIONS WE ASK THE, THE COMMUNITY, ESPECIALLY IN THE AREAS WHERE RESIDENTS INDICATED THAT THEY DIDN'T FEEL SAFE AT NIGHT. 
          UM, AND, AND ONE OF THE AREAS THAT CAME UP AS A PRIORITY WAS ADDITIONAL STREETLIGHTS. 
          SO WE ARE EVALUATING THE POSSIBILITY OF, UM, ADDING RESOURCES IN THE BUDGET TO BE ABLE TO ADDRESS THAT REQUEST FROM THE COMMUNITY. 
          WE ALSO HEARD, UM, AGAIN, THAT THE RESIDENTS WANTS TO WANT, WANNA SEE MORE OF OUR POLICE OFFICERS HAVING THOSE TYPE OF, UH, INTERACTIONS THAT ARE MORE COMMUNITY ORIENTED WITH OUR POLICE OFFICERS AS SPECIFICALLY THE PROGRAM THAT WAS NAMED WAS SAFE AS ONE OF THOSE AREAS. 
          AND ACTUALLY, SAFE WAS ALSO ONE OF THE RECOMMENDATIONS FROM THE COMMUNITY HEALTH INEQUITY COMMITTEE WHEN THEY BROUGHT FORWARD THOSE RECOMMENDATIONS TO PUBLIC SAFETY. 
          UM, SO WE'RE LOOKING IN INTO THAT. 
          AND THEN FINALLY, UH, REVAMPING OUR WEBSITE AND DATA TRANSPARENCY. 
          UM, WE, WE HEARD FROM, FROM THE IMPROVE FROM THE RESIDENTS THAT, UH, THE DATA THAT WE CURRENTLY OFFER AND OUR WEBSITE IS AT A VERY HIGH LEVEL, THERE'S A DESIRE TO SEE MORE DESEGREGATED DATA. 
          UM, SO WE ARE IN THE PROCESS OF WORKING, UM, SOME ALTERNATIVES TO BE ABLE TO IMPROVE THAT AS PART OF THE, AS PART OF THE PROPOSED BUDGET. 
          SO THE NEXT STEPS, AND THE FINAL SLIDE ON THIS PRESENTATION IS, AS I'VE MENTIONED EARLIER, WE'RE FINALIZING DETAILED RECOMMENDATIONS TO ADDRESS WHAT WE SHARE WITH YOU. 
          UH, TODAY. 
          UH, THIS RECOMMENDATIONS WILL BE INCLUDED BY, UH, 
          [01:40:01]
THE CITY MANAGER IN, IN THE PROPOSED BUDGET NEXT WEEK. 
          AND, UM, IN THE MONTHS OF AUGUST AND SEPTEMBER, WE'LL HAVE DEPARTMENT BUDGET WORK SESSIONS TO REVIEW THE BUDGET IN DETAIL. 
          UH, THIS ALSO PROVIDES AN OPPORTUNITY FOR OUR COMMUNITY TO PROVIDE INPUT AND THE PROPOSED BUDGET, SPECIFICALLY THIS RECOMMENDATIONS, UH, BEFORE THE CITY COUNCIL CONSIDERS A BUDGET FOR APPROVAL ON SEPTEMBER 16. 
          SO THIS CONCLUDES OUR PREPARE, UH, PRESENTATION. 
          AND, UM, DR. 
          BRIDGER, UH, CHIEF MCMANUS AND MYSELF ARE HERE TO ADDRESS ANY QUESTIONS YOU MAY HAVE. 
          THANK YOU, MARIA. 
          I THANK Y'ALL FOR THE PRESENTATION. 
          I THINK YOU JUST, UH, ASKED MY MAIN QUESTION, WHICH WAS, UM, IF WE HAVE A BUDGET IMPACT ESTIMATES, UM, REGARDING CERTAIN AREAS, UM, IDENTIFIED FOR ENHANCE ENHANCEMENT. 
          BUT THIS IS GONNA CONTINUE TO BE A, A PROCESS IN THE BIGGER PRO, UH, BUDGET PROCESS. 
          IF I HEARD YOU CORRECTLY. 
          YOU ARE CORRECT. 
          CHAIR ONE. 
          OKAY. 
          SO I'M GONNA ASK, UM, CAN, IS, CAN YOU WALK ME THROUGH A SCENARIO WHEREBY, UM, KIND OF AN, AN UPDATED, THIS KIND OF, THIS TEAM WILL BE USED? FOR EXAMPLE, I'M GONNA USE THE TRUE STORY. 
          UH, A NEIGHBOR CALLS 9 1 1 BECAUSE A FELLOW ON HIS STREET HAD BEEN FIRING A GUN INTO THE AIR. 
          UH, OF COURSE, BY THE TIME THE POLICE ARRIVED, THERE'S NO, HE'S NOT FIRING THE GUN. 
          SO IT'S NOT KIND OF AN IMMEDIATE SAFETY ISSUE. 
          IT, IT SEEMS LIKE A, YOU KNOW, A NEIGHBOR WOULD NOT BE, MAY OR MAY NOT UNDERSTAND THAT IT'S A MENTAL HEALTH ISSUE. 
          BUT CAN YOU WALK ME THROUGH THE SCENARIO WHEREBY THAT THAT NEIGHBOR CALLS NINE ONE ON THE FELLOW DOWN THE STREET, SHOOTING THE GUY IN THE AIR? LIKE HOW WOULD THIS WORK? I'LL TAKE THAT, MARIA, IF IT'S OKAY. 
          SO IT, THE CALL COMES IN FOR, UH, UH, GUNSHOTS BEING FIRED IN THE AIR. 
          IT, IT WOULD BE A, A, UH, A REGULAR PATROL OFFICER, UH, BY HIM OR HERSELF. 
          UH, THEY WOULD INTERVIEW THE COMPLAINANT IF THE COMPLAINANT WANTED TO BE INTERVIEWED. 
          UH, IF NOT, THE OFFICER WOULD, UM, WOULD RIDE THROUGH THE NEIGHBORHOOD LOOKING FOR A, FOR A PERSON. 
          UH, IF A DESCRIPTION WAS GIVEN, UM, IF NOTHING WAS FOUND, THE CALL WOULD BE ENCODED. 
          UH, IF SOMEONE WAS FOUND, UH, THEY WOULD BE INTERVIEWED AND UNLESS, UH, SOME, ANY PROBABLE CAUSE EXISTED, UH, AN ARREST WOULD BE MADE. 
          IF NOT, UM, AGAIN, IT WOULD BE ENCODED. 
          WELL, I, I GUESS MY, I APPRECIATE THAT. 
          THANK YOU. 
          CHIEF, IF IT WAS, UH, IF IT WAS CODED, WHEN, AT WHAT POINT WOULD IT BE CODED AS A MENTAL HEALTH ISSUE? POTENTIAL MENTAL HEALTH ISSUE? AND THEN WHEN WOULD THE, THE, THE TEAM OF, OF MENTAL HEALTH CARE PROVIDERS OR EXPERTS BE DEPLOYED IT? COUNCIL MEMBER? IT WOULD BE, IT WOULD BE CODED, UM, A MENTAL HEALTH CALL, IF THAT'S THE INFORMATION THAT WAS GIVEN TO THE CALL TAKER. 
          IF IT WAS SIMPLY A CALL, A, UH, CALLER WHO SAYS SOMEONE'S SHOOTING A GUN IN THE AIR, THAT'S, THAT'S ALL. 
          IT WOULD BE SOMEONE SHOOTING A GUN IN THE AIR. 
          IF THEY SAID THAT, UH, THERE'S SOMEONE WHO'S SAYING HE'S GONNA KILL EVERYBODY OR HE'S GONNA DO WHATEVER, UH, THEN IT, YOU KNOW, IT COULD BECOME A MENTAL HEALTH CALL. 
          SO I, I I, I DON'T THINK IT'S, UH, WISE FOR US TO RELY ON, ON THE, THE CALLER TO UNDERSTAND. 
          I MEAN, MAYBE THIS IS A LITTLE MORE, THIS IS MAYBE A FUZZY, UH, UM, EXAMPLE. 
          BUT THE EXAMPLE I, THE REASON I SAY IT IS BECAUSE THIS FELLOW DOWN THE STREET IN, IN, IN MY DISTRICT, UH, DOES THIS REPEATEDLY. 
          UM, HE'S KIND OF KNOWN IN THE NEIGHBORHOOD TO HAVE A MENTAL HEALTH CONDITION AND, AND IS NOT UNDER TREATMENT. 
          BUT, BUT EVEN IF IT WASN'T KNOWN, I THINK IS THERE A WAY THAT WE'RE TRIAGING, OR AT LEAST TEACHING OUR DISPATCHERS TO UNDERSTAND THAT THIS MAY BE A MENTAL HEALTH ISSUE, NOT JUST SOMEBODY WHO IS, YOU KNOW, SHOOTING A GUN UP IN THE AIR OR TRYING TO THREATEN OTHER PEOPLE. 
          UM, I, I JUST WORRY ABOUT RELYING ON OUR, OUR, OUR COMMUNITY TO IDENTIFY THAT IT MIGHT BE A MENTAL HEALTH ISSUE. 
          COUNCIL MEMBER. 
          THERE, THERE ARE A SERIES OF QUESTIONS THAT DISPATCHERS WILL ASK, AND BASED ON THE ANSWERS TO THOSE QUESTIONS, IT VERY WELL COULD BECOME A, A MENTAL HEALTH CALL. 
          BUT, UH, THERE, THERE ARE CERTAIN INDICATORS, IF THEY'RE NOT THERE, THEN IT'S JUST GONNA BE A REGULAR CALL. 
          OKAY. 
          SO IF IT IS A MENTAL HEALTH CALL, IT HAS BEEN DETERMINED TO BE A MENTAL HEALTH CALL, THEN WHAT HAPPENS? WHAT WILL HAPPEN WITH THE NEW, THE NEW TEAM, OR HAVEN'T GOTTEN THAT FAR? IT IT, WELL, IF SOMEONE WERE, IF SOMEONE CALLED IN ABOUT SOMEONE FIRING A, A, A WEAPON IN THE AIR AND, UH, IT, IT WAS DETERMINED 
          [01:45:01]
BY THE DIS OR BY THE CALL TAKER THAT THIS IS A MENTAL HEALTH CALL, GIVEN THE FACT THAT THERE'S A WEAPON INVOLVED, IT WOULD, IT WOULD, UM, IT WOULD REQUIRE AN ESCALATED MENTAL HEALTH RESPONSE, WHICH MEANS THAT WE WOULD NOT WANT TO MAKE IMMEDIATE DIRECT CONTACT WITH THE PERSON BEING CALLED ON. 
          THERE ARE A NUMBER OF STEPS THAT WOULD HAPPEN BEFORE ANY KIND OF CONTACT WAS MADE TO AVOID, UH, ANY KIND OF CONFRONTATION THAT MIGHT RESULT IN, UH, USE OF FORCE OR DEADLY FORCE. 
          COUNSEL, WOMAN, IF I, IF I MAY, I GUESS TO, TO ADDRESS YOUR QUESTION, IN TERMS OF WHAT WE MAY BE PROPOSING WITH THE MULTI MULTIDISCIPLINARY TEAM TO THE CHIEF POINT, IF THERE'S A WEAPON INVOLVED, THE POLICE OFFICER WILL RESPOND. 
          ONCE THE SCENE IS SECURE, THEN THIS TEAM WILL COME IN AND MAKE CONTACT WITH THE INDIVIDUAL TO HELP 'EM WITH OTHER SERVICES THAT HE OR SHE MAY NEED, UH, WITH THE GOAL OF PROVIDING, UM, THE SERVICES THAT ARE NEEDED TO AVOID THE, THE SITUATION ESCALATING FURTHER AT, AT A, AT A LATER DATE. 
          BUT, UM, THE GOAL IS THAT THE, THE SCENE HAS TO BE SECURED BY A POLICE OFFICER BEFORE THIS TEAM COMES IN AND PROVIDE THE ADDITIONAL SERVICES. 
          ABSOLUTELY. 
          THAT'S UNDERSTANDABLE. 
          IF THERE IS NOT A WEAPON INVOLVED, UH, IT'S IDENTIFIED AS A MENTAL HEALTH CALL, WOULD THE TEAM GO OUT IMMEDIATELY WITH THE OFFICER, OR WOULD THEY GO OUT INSTEAD OF THE OFFICER, OR HOW WOULD THAT WORK? I, UH, I, I DON'T THINK THAT THAT'S BEEN FULLY DEVELOPED YET, COUNCIL MEMBER. 
          OKAY. 
          BUT I THINK THE PLAN WOULD BE THAT THE TEAM FROM, FROM MY UNDERSTANDING, UH, ALL I'VE HEARD AND READ AND READ FROM, UH, BJ'S REPORT, UM, I THINK THAT THE FULL TEAM WOULD GO AND, AND POSSIBLY IF, UH, TO INCLUDE A POLICE OFFICER. 
          AND IF, UH, ONCE ON THE SCENE IT WAS DETERMINED THAT, YOU KNOW, THE POLICE OFFICER WASN'T NEEDED, THEN THAT OFFICER WOULD GO BACK INTO SERVICE. 
          OKAY. 
          MY CONCERN HERE, WELL, NOT SO MUCH. 
          MY CONCERN IS, MY, MY DESIRE IS THAT, UM, EVEN IF THERE IS, THERE DOES HAPPEN TO BE A WEAPON INVOLVED, OF COURSE, WE WANT A, A TRAINED POLICE OFFICER, UH, THERE TO PROTECT THE COMMUNITY. 
          HOWEVER, I WOULD LIKE TO SEE THE TEAM GO OUT BECAUSE THEY'RE TRAINED, IDEALLY THEY'RE TRAINED IN DEESCALATING A SITUATION. 
          UM, AND SO I JUST, I WOULD LIKE TO SEE AS, AS WE, AS WE MOVE FORWARD WITH THIS TEAM, I'D LIKE TO SEE MORE OF THAT. 
          I'D ALSO LIKE TO, I'LL TAKE IT OFFLINE WITH YOU CHIEF, BUT I'D LIKE TO, TO SEE THE SERIES OF QUESTIONS THAT GETS, UH, QUESTIONS THAT GET ASKED. 
          UM, I'M JUST CURIOUS ABOUT WHAT, WHAT WOULD IDENTIFY, WHAT ARE THE TRIGGERS OF THE FLAGS THAT WOULD SHOW THAT THIS PERSON MIGHT BE HAVING A MENTAL HEALTH ISSUE. 
          THANK YOU. 
          AND I'M GONNA START WITH COUNCILMAN PERRY, BUT I HAVE TO GIVE YOU TWO EXTRA MINUTES, COUNCILMAN PERRY, BECAUSE I DIDN'T REALIZE YOU HAD QUESTIONS, UM, ON THE LAST ITEM YOU WERE TIMING BACK IN. 
          SO I APOLOGIZE. 
          UH, IF IT'S OKAY, UM, TO GET HIM TWO MORE MINUTES ON THE TIMER, PLEASE. 
          YEAH, NO PROBLEM. 
          I, I JUST WANTED TO ADDRESS, UH, A COMMENT, DR. 
          BRIDGER, A WHILE AGO WHEN YOU WERE ENDING UP YOUR, YOUR COMMENTS, YOU SAID, WE HAVE TO IMPLEMENT THIS, UH, BEFORE OUR CURRENT SYSTEM FAILS. 
          AND I, I CHIEF, I, I'D LIKE TO ASK YOU IF WE KEPT EVERYTHING THE SAME, DO YOU EVER ENVISION OUR SYSTEM FAILING, UH, THAT WE CURRENTLY HAVE WITHOUT CHANGING IT? COUNCIL MEMBER? I, I, I, YOU KNOW, MY UNDERSTANDING OF, OF THIS, I, I, I THINK THAT WE HAVE A, A VERY GOOD SYSTEM, BUT I THINK, UH, YOU KNOW, I THINK THAT WE COULD GO ABOVE AND BEYOND WHAT WE DO AND WE RESPOND TO A MENTAL HEALTH CALL. 
          UH, ONE OF TWO THINGS IS GONNA HAPPEN. 
          UM, THE PERSON IS GOING TO BE EMERGENCY DETAINED OR, UH, OR NOT. 
          SO THAT, THAT'S ALL WE HAVE GOING RIGHT NOW. 
          BUT THE, THE MULTIDISCIPLINARY TEAM THAT WE'RE PUTTING, THAT WE'VE PUT TOGETHER WOULD PROVIDE, UH, YOU KNOW, A MULTITUDE OF, UM, A MULTITUDE OF OUTCOMES, UH, FOR THAT INDIVIDUAL AS OPPOSED TO BEING EITHER EMERGENCY DETAINED OR NOT. 
          YEAH, I, THAT JUST BOTHERED ME A LITTLE BIT. 
          I I DIDN'T THINK THAT OUR CURRENT SYSTEM WOULD EVER FAIL. 
          IT'S JUST, UH, THE OPTION OF, UH, OR HAVING THOSE OTHER OPTIONS AVAILABLE AT THE SCENE TO TAKE CARE OF INDIVIDUALS OUT THERE. 
          SO I JUST WANTED TO CLARIFY, UH, WITH YOU CHIEF THAT YEAH, THIS, OUR CURRENT SYSTEM WOULDN'T FAIL. 
          IT'S JUST OFFERING OTHER OPTIONS OUT THERE. 
          UM, AND THEN FOLLOWING ON WITH THAT, UM, MARIA, YOU, YOU'VE GOT THAT LIST OF, UH, UH, ALTERNATIVES, THE, UM, OTHER RESPONSE ALTERNATIVES. 
          I MEAN, THAT LOOKS GREAT, BUT HOW MANY FTES ARE WE REALLY TALKING ABOUT? IF WE MOVE ALL OF THAT STUFF OUT OF THE, WILL YOU HAVE THAT DURING THE BUDGET SESSION, OR DO YOU HAVE THAT AVAILABLE NOW? HOW MANY FTES 
          [01:50:01]
WOULD SAVE BY DOING THAT? UH, WE ARE FINALIZING THAT COUNCILMAN, SO WE'LL HAVE THAT NEXT WEEK. 
          OKAY. 
          THAT'S, THAT'S VERY IMPORTANT. 
          I MEAN, I, I WOULD PUT, UH, NOT A TOTAL F T E COUNT, BUT A TOTAL, A TOTAL PER CATEGORY SO THAT WE CAN SEE WHERE WE GET THE BIGGEST BANG PER INDIVIDUAL AND FOR OUR, FOR OUR BUCKS ON THAT. 
          SO, UH, THAT WOULD BE GREAT. 
          UM, AND I, I GUESS I WOULD HAVE TO SAY, AND I HEARD, UH, MS. WAGNER SAY A WHILE AGO THAT, YOU KNOW, WE DON'T WANT OUR FIRST INTERACTION WITH INDIVIDUALS IN A MENTAL HEALTH STATE OR, OR, UM, UH, YOU KNOW, ANY OF THAT CATEGORY TO BE WITH A POLICE OFFICER. 
          BUT LOOKING AT THIS, EVEN THIS MULTI-DISCIPLINE, UH, APPROACH, YOU'RE GONNA HAVE A POLICE OFFICER IN THERE. 
          SO WE'RE, AT LEAST, I HOPE THAT WE'LL ALWAYS HAVE A POLICE OFFICER THERE, BECAUSE I DON'T WANNA PUT ANYONE, WHETHER IT'S A CLINICIAN OR ANY OTHER RESPONDER OUT THERE WITHOUT HAVING THAT PROTECTION THERE AT THE SITE, BECAUSE YOU NEVER KNOW HOW FAST SOMETHING CAN ESCALATE. 
          AND CHIEF, YOU MIGHT WANNA GO INTO THAT A LITTLE BIT MORE. 
          HAVE YOU EVER SEEN A SITUATION THAT STARTED OFF WITH JUST AN ARGUMENT THAT ESCALATED INTO SOMETHING MORE WITH, UH, WITH, UH, GUNS OR OTHER WEAPONS? DO YOU EVER RUN INTO THOSE? OKAY, COUNCIL MEMBER THESE, UH, YES. 
          THESE, UH, I MEAN, THESE CALLS WERE VOLATILE AND I, I, I DON'T KNOW HOW YOU WOULD A HUNDRED, A HUNDRED PERCENT DETERMINE THAT THERE'S ABSOLUTELY NO DANGER, UH, BEFORE YOU GOT THERE. 
          SO, UM, MY CONCERN WOULD BE, UM, IF THERE WAS NO POLICE RESPONSE, THAT THERE'S A LIABILITY OR A POSSIBILITY THAT SOMEONE COULD GET HURT AT THE SCENE. 
          AND THAT'S THE LAST THING WE WANT TO HAPPEN, OBVIOUSLY. 
          YEAH. 
          AND THAT'S, THAT'S MY WHOLE ISSUE WITH THIS BECAUSE SPEED IS OF THE ESSENCE IN EVERY ONE OF THESE CALLS TO GET SOMEONE OUT THERE AS QUICKLY AS POSSIBLE. 
          AND THE FASTEST RESPONSE TO TODAY IS WITH OUR POLICE DEPARTMENT WHO ARE TRAINED, WHAT, WHAT DO WE GET 40, 40 HOURS A YEAR ON MENTAL HEALTH RESPONSE? IS THAT RIGHT, CHIEF? YES, SIR. 
          YEAH. 
          SO WE HAVE VERY QUALIFIED PROFESSIONALS OUT THERE THAT ARE TRAINED TODAY. 
          AND I DON'T WANNA, I, I DON'T WANNA EVER IMPEDE OR SLOW DOWN A RESPONSE TO ANY SITUATION HERE BECAUSE WE'RE WAITING ON A CLINICIAN OR WE'RE WAITING ON A MENTAL HEALTH PROFESSIONAL. 
          THAT SHOULD NOT BE PART OF THE REQUIREMENT AT ALL. 
          YOU WANNA GET THERE AS QUICKLY AS POSSIBLE AND WITH SOMEBODY THAT HAS THAT PROTECTIVE AUTHORITY FOR THAT INDIVIDUAL OR INDIVIDUALS OR THAT COMMUNITY TO BE THERE, JOHNNY, ON THE SPOT, AND PROTECT THAT NEIGHBORHOOD OR THE INDIVIDUALS, AND NOT WAIT FOR A TEAM TO ASSEMBLE, TO RESPOND TO SOMETHING LIKE THIS. 
          SO, I I, I REALLY GET CONCERNED WHEN I HEAR PEOPLE SAY, WELL, WE DON'T WANT THE POLICE TO BE THE FIRST INTERACTION WITH THESE FOLKS OUT THERE. 
          IT HAS TO BE BECAUSE YOU DON'T KNOW. 
          AND THINGS CAN ESCALATE VERY QUICKLY IN EACH ONE OF THESE SITUATIONS. 
          AND IF THAT IS THE INTENT, I'M GONNA VOTE AGAINST THAT EVERY TIME. 
          'CAUSE I DON'T WANNA PUT ANYONE IN DANGER ON RESPONDING TO ANY OF THESE CALLS OUT THERE. 
          CHIEF, DO YOU HAVE ANY OTHER COMMENTS ABOUT THAT? JUST, JUST A POINT OF CLARIFICATION. 
          COUNCIL MEMBER, IT'S NOT 40 HOURS A YEAR. 
          WE GET 40 HOURS TRAINING AND THEN THERE IN THE, YOU KNOW, INITIALLY, AND THEN THERE'S A REVIEW, UH, AT, AT IN-SERVICE TRAINING. 
          BUT IT'S NOT 40 HOURS A YEAR. 
          OKAY. 
          GREAT. 
          I APPRECIATE THAT CLARIFICATION. 
          BUT 40, 40 HOURS UP FRONT AND THEN WHAT REFRESHER TRAINING EVERY YEAR? YEAH. 
          YES, SIR. 
          OKAY. 
          ALL RIGHT. 
          GREAT. 
          MA'AM, THAT'S MY COMMENTS. 
          AND THAT'S WHERE I'M GONNA BE COMING FROM ON, ON THESE TYPES OF INITIATIVES HERE. 
          NOBODY SHOULD BE PUT IN HARM'S WAY, AND THE ONLY WAY TO PROTECT THEM OUT THERE IS WITH A POLICE OFFICER COVERAGE ON, ON ANY OF THESE, BECAUSE YOU DON'T KNOW WHAT'S GONNA HAPPEN IN THE FIELD AT THAT TIME. 
          THAT'S ALL I HAVE, MA'AM. 
          THANKS. 
          THANK YOU. 
          COUNCILMAN. 
          I, I AGREE. 
          I I HAVE A QUESTION JUST REAL QUICK. 
          I, IS THAT THE INTENT THAT THE, THE POLICE OFFICERS WOULD WAIT FOR THE CLINICIANS TO ARRIVE? UM, THAT, THAT WAS NOT MY UNDERSTANDING, BUT I MEAN, IF THERE'S AN IMMEDIATE THREAT, THEN THE POLICE OFFICER'S GOING TO PERFORM THEIR DUTIES. 
          IS THAT CORRECT? CORRECT. 
          YES. 
          YES. 
          COUNCIL, I, YES. 
          SO IF IT'S WHEN THE CALL COMES 
          [01:55:01]
IN AND THE POLICE OFFICER RESPONDS ONCE THE SCENE IS SECURE, THAT THAT'S WHEN THE CIVILIANS COME IN, ONCE IT'S SEEN IS, BUT NOT, NOT BEFORE. 
          GOT IT. 
          OKAY. 
          ALRIGHTY. 
          THANK YOU. 
          THANK YOU FOR, UH, CLARIFYING THAT. 
          UH, COUNCIL, UH, COUNCILMAN VIE. 
          THANK YOU. 
          UM, SO ON SLIDE NUMBER FIVE, WITH THE 9 1 1 CALLS AND MENTAL HEALTH AND DOMESTIC VIOLENCE, WHERE, AND, UH, WHERE IS THE, IS STALKING AND HARASSMENT UNDER FAMILY DISTURBANCE OR FAMILY VIOLENCE, THOSE CODED CALLS, ARE THOSE UNDER OTHER AND PHONE HARASSMENT? WHERE ARE THOSE, ARE THEY UNDER FAMILY DISTURBANCE, THOSE OFFENSE CODES? MARIA, DO YOU MIND IF I ANSWER? NO, GO AHEAD. 
          OKAY. 
          SO, SO THEY DON'T HAVE THEIR OWN SPECIFIC CAD PROBLEM, NATURE. 
          YEAH. 
          SO IF SOMEONE CALLED FOR A FAMILY DISTURBANCE OR THAT, THAT WOULD PROBABLY, THAT WOULD FALL UNDERNEATH THAT CATEGORY. 
          UH, AND THEN IT HAS ITS OWN OFFENSE CODE IN THE PENAL CODE, AND THEN IT WOULD BE DIRECTED TO THE FOLLOW-UP UNIT. 
          SO IT DOESN'T HAVE ITS OWN SPECIFIC CAD PROBLEM NATURE, BUT, BUT WE ARE UNDER FAMILY DISTURBANCE. 
          WE ARE, WE ARE CONSIDERING THAT STALKING AND HARASSMENT. 
          CORRECT. 
          IT WOULD PROBABLY FALL UNDER FAMILY VIOLENCE. 
          OKAY. 
          THAT'S PART, OKAY. 
          THAT'S PROB THAT'S UNDER THE NUMBERS. 
          OKAY. 
          CORRECT, CORRECT. 
          UH, BECAUSE ONE THING I SEE, AND, AND I'M GLAD, I'M SO GLAD WE DID THE, UM, THE STUDY WITH MEADOWS. 
          I BELIEVE THAT THE MULTIDISCIPLINARY TEAM CAN WORK, BUT IF WE LOOK AT THE CALLS, AND BECAUSE I DID THIS FOR SEVEN YEARS, UM, OFFICERS SECURING THE SCENE AND HAVING A TEAM GO, UH, THAT INCLUDE PEERS OR CLINICIANS GO OUT TO THE CALL, THE NIGHT IT HAPPENS WOULD BE VERY BENEFICIAL. 
          SO IF WE'RE TAKE, AND AS WE LOOK AT THE DOMESTIC VIOLENCE CALLS, THERE ARE MORE DOMESTIC VIOLENCE CALLS THAN THERE ARE MENTAL HEALTH CALLS. 
          SO I THINK WHEN WE LOOK AT STARTING THIS PILOT, MAYBE WE DON'T START AT CENTRAL, BUT WE, WE LOOK AT THE, UM, WE LOOK AT THE OTHER SUBSTATIONS LIKE, UM, SOUTH OR EAST, TO BE PART OF THAT PILOT PROGRAM BECAUSE FROM THE ZIP CODES WE SAW, IT WOULD BE CENTRAL EAST OF NORTHWEST, WHICH WOULD ADDRESS DEFINITELY THE MENTAL HEALTH DISCIPLINE. 
          BUT WHERE WOULD IT ADDRESS OUR, OUR MOST NEED FOR THE FAMILY VIOLENCE? AND I MEAN, DOMESTIC VIOLENCE, CARLS ARE JUST, I MEAN, WEST IS BAD. 
          EAST IS BAD SOUTH, OF COURSE. 
          I MEAN, THAT, THAT'S MY ONLY THING IS WHEN WE LOOK AT WHERE WE'RE GONNA PILOT IT FROM, MAKE SURE WE MAKE OUR MOST IMPACT WITH THE DOMESTIC VIOLENCE. 
          UM, BUT I DO LIKE, UM, WORKING THAT MULTIDISCIPLINARY TEAM, BECAUSE ONCE YOU HAVE A CIVILIAN THERE IN THE MIDST OF THE CRISIS, WORKING WITH A FAMILY AND WORKING WITH THE VICTIM, UM, THEY'RE, THEY'RE IN, THEY'RE MORE WILLING TO CHANGE AND MAKE CHANGE BECAUSE THEY HAVE SOMEONE OUTSIDE OF THE FAMILY, OUTSIDE OF LAW ENFORCEMENT TALKING TO THEM ABOUT HOW THINGS CAN GET BETTER. 
          SO I LIKE THE, THE MORE I LIKE THE, THE MULTIDISCIPLINARY TEAM. 
          I DO BELIEVE THAT WE NEED TO LOOK AT THE HOURS TO, TO, UM, FOR DOMESTIC VIOLENCE. 
          AND IT HAS TO, THEY HAVE TO WORK A WEEKEND. 
          THEY HAVE TO, I MEAN, MAYBE NOT 24 7, BUT THEY HAVE TO WORK WEEKENDS. 
          THAT'S, I MEAN, I, I THINK IF WE DO ANYTHING LESS, IT'S JUST NOT GONNA MAKE THE IMPACT THAT WE NEED. 
          UM, SO, AND OTHER THAN THAT, THE, UM, THE 9 1 1 CALLS FOR A C S, IF I, I AM ALL FOR, UM, SHARING THESE SERVICES WITH OUR ANIMAL CARE SERVICES, UH, OFFICERS. 
          BUT WHAT IS OUR TURNOVER FOR ANIMAL CARE SERVICES OFFICERS? AND, UM, AND HOW, HOW LONG ARE THEY THERE IN THE DEPARTMENT? DO THEY, IS ARE THEY EASILY BURNT OUT? UM, BECAUSE THAT'S MY ONE THING ABOUT SHARING THE, THE DUTIES WITH ANIMAL CARE SERVICE OFFICERS. 
          IF WE'RE, IF WE'RE TRAINING A NEW BATCH OF, UM, A C S OFFICERS EVERY YEAR TO HELP WITH THESE BARKING DOGS AND ANIMAL RELATED CALLS, I THINK IT'S IMPORTANT THAT WE MAYBE DO A TYPE OF TRAINING CLASS, UM, KIND OF MOTIVATE THEM SO 
          [02:00:01]
THAT THEY STAY, THAT THERE'S LONGEVITY THERE. 
          SO THAT'S MY RECOMMENDATION FOR PARTNERSHIPS WITH OTHER DEPARTMENTS. 
          Y'ALL HAVE ANY DATA ON HOW, UH, OR CAN Y'ALL, CAN Y'ALL GET ME THE DATA ON THE ANIMAL CARE SERVICES? WE WILL COUNCILWOMAN. 
          WE'LL GET TO THAT. 
          OKAY. 
          AND THEN THE LAST ONE IS THE REVAMPING THE WEBSITE AND DATA TRANSPARENCY. 
          THE ONE THING I JUST WANT Y'ALL TO DO WHEN YOU CONSIDER THIS, IS MAKING IT, UM, UNDERSTANDING THAT THERE IS STILL GONNA BE THAT DIGITAL DIVIDE, AND THAT WE HAVE SENIORS, ESPECIALLY IN DISTRICT THREE, THAT WANNA SEE THE OFFICERS OUT IN THE STREET, BUT THEIR MAIN MODE IS, YOU KNOW, CALLING. 
          THEY HAVE NOT YET, UM, MASTERED THE INTERNET OR THEIR SMARTPHONE OR TEXTING, BUT WE ARE WORKING ON THAT IN THE DISTRICT TO TRY AND, AND, UH, AND MAKE OUR, OUR, UM, OUR RESIDENTS MORE DIGITALLY LITERATE, ESPECIALLY OUR SENIORS, SO THAT THEY CAN INTERACT WITH, UH, THE WEBSITE. 
          SO JUST WHEN YOU'RE, WHEN YOU'RE REVAMPING, MAKE SURE YOU CONSIDER, UM, KIND OF THAT ACCESS FOR SENIORS AND, AND THOSE LIVING WITH, UH, DISABILITIES, ESPECIALLY IF THEY'RE HARD OF HEARING OR, UH, SEEING. 
          SO THAT'S THE ONLY OTHER THING I WANTED TO SAY. 
          AND THAT IS IT FOR ME. 
          UH, THANK YOU FOR THE, I LOOK FORWARD TO SEEING WHAT THIS, WHAT THIS, HOW THIS WILL IMPACT THE BUDGET AND, UM, AND SEEING, UH, DEFINITE IMPROVEMENT. 
          I, I WORKED, I KNOW THE POLICE DEPARTMENT DOES A GREAT JOB, KEEP UP THE GOOD WORK, BUT WE, WE, LIKE EVERYONE ELSE CAN MAKE IMPROVEMENTS. 
          THANK YOU. 
          THANK YOU. 
          COUNCIL. 
          HELLO? HELLO. 
          UM, SO I WANT TO START OFF BY SAYING THAT, UM, THERE WERE SOME COMMENTS EARLIER ABOUT THE RISING LEVEL OF CALLS CORRELATING WITH, UM, OUR RISING POPULATION. 
          I WANTED TO BE CLEAR THAT WHEN WE HAVE A RISING IN POPULATION, WHEN WE HAVE A RISE IN POLICE CALLS, WE'RE GOING TO BE ALLOCATING MORE RESOURCES TO, UH, DOMESTIC VIOLENCE PREVENTION. 
          WE'RE GOING TO NEED ADDITIONAL RESOURCES FOR MENTAL HEALTH. 
          UM, WE'RE GOING TO NEED TO ALLOCATE RESOURCES TO ADDRESS HOMELESSNESS. 
          UM, WE CANNOT FUND A PROBLEM IN 2021 WITH A BUDGET FROM 2001. 
          THAT'S JUST WHAT IT BOILS DOWN TO. 
          UM, BUT WE DO NEED TO ALLOCATE RESOURCES, UM, IN A WAY THAT IS SMART AND EFFECTIVE AND EFFICIENT SO THAT WE CAN ADDRESS THE ROOT OF THESE PROBLEMS. UM, AND IT HAS TO BE STATED THAT WE CANNOT SIMPLY POLICE OUR PROBLEMS AWAY. 
          SO I APPRECIATE THE EMPHASIS THAT WE'RE TAKING ON PREVENTION AND ON ADDRESSING THESE ROOT CAUSES. 
          UM, NOW I APPRECIATE THAT LIKE DALLAS, SAN ANTONIO HAS A PLAN TO ADDRESS MENTAL AND BEHAVIORAL, UH, CRISES ACROSS THE CITY. 
          UM, AND I BELIEVE WE HAVE AN OPPORTUNITY TO, UH, AND ABSOLUTELY SHOULD MODEL OTHER, UM, SUCCESSFUL PROGRAMS RELATING TO POLICING. 
          UH, WE RECOGNIZED A NEED AND CAME TOGETHER TO ADDRESS IT, BUT NOT ALL PUBLIC SAFETY NEEDS HAVE YET BEEN ADDRESSED. 
          I'M WONDERING, IS THERE A DATA-DRIVEN PROGRAM TO MAKE, UH, RECOMMENDATIONS ON HOW TO ADDRESS RISING VIOLENT CRIME AND GOVERNMENT? COUNCILMAN, I, I'LL TAKE THAT QUESTION. 
          UM, WE, THAT, THAT IS FEEDBACK THAT YOU PROVIDED TO US AS PART OF THE GOAL SETTING SESSION. 
          SO WE ARE PUTTING OUR HEADS TOGETHER TO ADDRESS THAT. 
          AND, UM, I, I BELIEVE THAT THE WAY THAT YOU, YOU, YOU POSED THE QUESTION, UM, FOR INSTANCE, WHAT ARE THE, THE OUTCOMES OR THE BENEFITS OF MANY PROGRAMS THAT WE HAVE ACROSS THE CITY FROM WORKFORCE DEVELOPMENT TO AFFORDABLE HOUSING AND HOW THOSE PERHAPS, UM, HELP US TO PREVENT CRIME AND, UH, FROM HAPPENING TO BEGIN WITH. 
          SO WE BELIEVE THAT WE HAVE MANY RESOURCES WITHIN OUR CITY ORGANIZATION. 
          DEFINITELY OUR METRO HEALTH DEPARTMENT HAS BEEN KEY IN TRYING TO, TO, UM, UH, ADDRESS MANY OF OUR ROOT CAUSES OF CRIME THROUGH A PUBLIC HEALTH APPROACH. 
          SO I DON'T HAVE AN ANSWER YET, BUT WE'RE WORKING ON IT, AND THAT'LL BE MORE DISCUSSION AS FAR OF OUR PROPOSED BUDGET. 
          THANK YOU. 
          AND I WAS HOPING TO HEAR ABOUT, UH, THE VIOLENCE PREVENTION OFFICE. 
          I THINK THAT EXISTS WITHIN SS A P D. 
          THAT'S WHERE I WAS KIND OF GOING. 
          SURE. 
          IT'S ACTUALLY WITHIN METRO HEALTH. 
          THANK YOU. 
          THANK YOU. 
          SO, AND I CAN SPEAK TO THAT, JUST REAL BRIEFLY, COUNCILMAN. 
          SO THERE, THE LAST YEAR, THE CITY CREATED, UM, A VIOLENCE PREVENTION SECTION AT METRO HEALTH. 
          THAT'S WHERE WE HOUSE, UM, ONE OF MY FAVORITE PROGRAMS, THE STANDUP ESSAY PROGRAM. 
          UM, AND IT'S ALSO WHERE WE NOW HOUSE THE, UM, THE CIVILIAN RESPONSE TO DOMESTIC VIOLENCE CALLS, UM, AS WELL AS OUR ADVERSE CHILDHOOD EXPERIENCES AND TRAUMA-INFORMED APPROACHES THAT WE'RE DISSEMINATING ACROSS THE ENTIRE CITY. 
          UM, SO IT'S BEEN GREAT TO HAVE ALL OF THEM CONSOLIDATED IN ONE 
          [02:05:01]
PLACE. 
          AND AS MARIA ALLUDED TO, THE INFORMATICS UNIT AT THE HEALTH DEPARTMENT IS ABLE TO LOOK AT THOSE, UM, VARIOUS LAYERS AND LEVELS OF DATA AND PUT IT TOGETHER IN A WAY THAT HELPS ANSWER SOME OF THOSE BIGGER PICTURE QUESTIONS LIKE YOU HAVE, WHICH IS, OKAY, YOU SAY, LET'S GET UPSTREAM. 
          HOW DO WE KNOW THAT WHEN WE GET UPSTREAM, WE'RE ACTUALLY PREVENTING, UM, SOME OF THESE THINGS LIKE CRIMES AND HOSPITALIZATIONS? THANK YOU FOR THAT. 
          UM, SO SORT OF WHERE I WAS GOING WITH THAT IS THAT I NOTICED THAT CITIES LIKE DALLAS, CHICAGO, UM, PHILADELPHIA AND OTHERS HAVE, UM, OFFICES THAT ARE SOMEWHAT SIMILAR. 
          SOME ARE EMBEDDED WITHIN THEIR POLICE DEPARTMENTS, UM, AND SOME ARE SEPARATE ENTITIES, SOME ARE IN OTHER CITY DEPARTMENTS. 
          UM, BUT ONE THING THEY HAVE IN COMMON IS THAT THEY'VE DEVELOPED A STRATEGIC PLAN TO ADDRESS, UM, AND PREVENT CRIME. 
          AND I KNOW AUSTIN'S WORKING ON ONE RIGHT NOW. 
          DO WE HAVE A STRATEGIC PLAN, UH, THAT MAY BE VIEWABLE? WE DON'T  I GUESS THE SHORT ANSWER, COUNCILMAN, UH, WHAT YOU'RE DESCRIBING, UM, A CRIME PREVENTION PLAN, WE DO NOT A STRATEGIC PLAN. 
          UM, THE POLICE DEPARTMENT HAS DIFFERENT STRATEGIES TO ADDRESS CRIME, BUT A FORMAL STRATEGIC PLAN, LIKE YOU DESCRIBED, UH, WE DO NOT. 
          CHIEF, DO YOU WANNA ELABORATE ON, ON WHAT YOU HAVE WITHIN S A P D? YEAH, I WAS GONNA SAY, COUNCIL MEMBER, WE, WE, UH, WE LOOK AT THE CRIME NUMBERS EVERY DAY. 
          UH, WE HAVE OUR DIFFERENT, UH, UNITS, UH, BEYOND PATROL THAT WORK WITH OUR FEDERAL PARTNERS TO COME UP WITH, UH, WITH THESE DIFFERENT TYPES OF, OF, UH, STRATEGIES AND OPERATIONS TO, TO PREVENT CRIME. 
          AND A LOT OF THOSE, OR SOME OF THOSE, UH, PROGRAMS HAVE TO DO WITH TAKING A LOT OF THESE BAD ACTORS OFF THE STREET. 
          UH, WE HAVE, UM, WE HAVE ONE OF THEM GOING RIGHT NOW, AS A MATTER OF FACT. 
          UM, I WON'T MENTION WHAT PART OF THE CITY IT'S IN, BUT, BUT WE DON'T HAVE ONE, AS MARIA SAID, WE DON'T HAVE ONE SPECIFIC OVERALL STRATEGY TO REDUCE CRIME. 
          AND I, AND I DON'T, I DON'T KNOW THAT I'M NECESSARILY A PROPONENT FOR A, A ONE STRATEGY PLAN BECAUSE THINGS ARE SO FLUID, UM, THAT, THAT, YOU KNOW, SOMETHING THAT COMES UP IN A, IN A, UH, IN A, UH, CRIME PLAN OR A CRIME STRATEGIC PLAN, UH, MAY OFTEN BECOME OUTDATED, UH, BEFORE IT EVEN, UH, IS IMPLEMENTED. 
          SO I'M NOT A, A, A HUGE PROPONENT OF A, UH, PUTTING TOGETHER A STRATEGIC PLAN, BECAUSE A LOT OF TIMES THOSE STRATEGIC PLANS SIT ON A SHELF AND, AND COLLECT DUST, UH, BEFORE ANYTHING IS DONE WITH THEM. 
          UM, I GUESS, I GUESS WHAT I'LL SAY TO THAT IS THAT I, I THINK ANY PLAN COULD SIT ON A SHELF IF IT'S NOT IMPLEMENTED. 
          WHAT WOULD NEED TO FOLLOW WOULD BE A STRONG IMPLEMENTATION, UM, OF THE STRATEGIC PLAN. 
          AND SINCE I NOTICED MY TIME IS RUNNING OUT, I JUST WANNA END WITH THAT. 
          UM, I'D PERSONALLY LIKE TO SEE AN EMPHASIS ON CRIME PREVENTION, UM, DATA ANALYSIS, AND ESPECIALLY THE EXPERTISE OF CRIMINOLOGISTS, WHICH I SAID I LOVE SO MUCH. 
          UM, SPECIFICALLY ONE OF MY BUDGET ASKS WAS AN OFFICE OF CRIME AND RECIDIVISM PREVENTION THAT WOULD MAKE POLICY AND BUDGETING RECOMMENDATIONS GUIDED BY DATA AS IT RELATES TO HOUSING, TRANSPORTATION, AND INFRASTRUCTURE. 
          UM, AND WORK ALONGSIDE AND WITHIN ALL CITY DEPARTMENTS. 
          UM, AND SO THINKING ABOUT IT THE SAME WAY THAT THE OFFICE OF EQUITY HELPS OUR 39 DEPARTMENTS OPERATE UNDER A LENS OF EQUITY, I BELIEVE WE DID AN OFFICE SUCH AS THE ONE THAT I'M PROPOSING THAT WILL ALLOW OUR CITY TO PROVIDE A HOLISTIC APPROACH TO CRIME PREVENTION THROUGH THE USE OF DATA. 
          THANK YOU. 
          UH, THANK YOU COUNCILMAN AND  RODRIGUEZ. 
          UH, I, I WOULD LIKE TO SEE, I'D LIKE TO DELVE INTO THAT IDEA A LITTLE, A LITTLE DEEPER. 
          I, I WONDER IF WE COULD MAYBE BRING A PRESENTATION TO PUBLIC SAFETY ABOUT IT, UH, AND WHAT THE OTHER CITIES ARE DOING. 
          UM, I, I, UM, I, UM, I, I CAN'T SAY I AGREE OR, OR DISAGREE WITH CHIEF RIGHT NOW. 
          OF COURSE, I, I KNOW YOU'RE THE, UM, YOU'RE OUR EXPERT, UH, ON THOSE THINGS, CHIEF, BUT I WOULD LIKE TO KNOW A LITTLE MORE ABOUT THAT IDEA AND HOW IT'S WORKING FOR OTHER CITY. 
          UM, AND WITH THAT, I THINK COUNCIL. 
          OKAY. 
          AWESOME. 
          THAT'S TWO OF US. 
          THEN, UH, I'M ACTUALLY, I'M SORRY. 
          I THINK DID, UH, COUNCILMAN PERRY, DID YOU, UH, RAISE YOUR HAND AGAIN? OKAY, GO AHEAD, SIR. 
          YES, I DID. 
          THANK YOU VERY MUCH. 
          AND, UM, MARIA, ON YOUR RECOMMENDATION SLIDE, YOU KNOW, WE TALKED A BIT ABOUT THIS AT THE POLICY, UM, WORKING GROUP, AND THERE WERE A LOT OF SHAKING HEADS ABOUT THAT, BUT, UM, I DIDN'T SEE ANYTHING ON THERE ABOUT MORE POLICE AUTHORIZATIONS ON THAT SLIDE. 
          IS 
          [02:10:01]
THAT ANYWHERE IN YOUR RECOMMENDATIONS OR WHAT YOU'RE GONNA BE BRINGING TO THE BUDGET MEETING? UH, THAT'LL BE SOME, WELL, TO ANSWER YOUR QUESTION, WE'RE STILL WORKING ON THE OVERALL CITY BUDGET. 
          COUNCILMAN. 
          SO, BUT WE'LL HAVE AN ANSWER FOR YOU AUGUST THE 12TH WHEN WE PRESENT OUR PROPOSED BUDGET. 
          SO, UH, YEAH, AND I UNDERSTAND THAT, BUT ON YOUR RECOMMENDATIONS ON THIS PRESENTATION THAT WASN'T MENTIONED ANYWHERE, IS, IS THIS YOUR, ARE, IS THIS A LIMIT OF YOUR RECOMMENDATIONS ON THAT SLIDE OR ARE THERE ADDITIONAL RECOMMENDATIONS OUT THERE AS WELL? SO THIS IS, UM, I WOULD CALL THIS COUNCILMAN THE RECOMMENDATIONS WE'RE WORKING ON. 
          WHAT WE ARE NOT GIVING YOU TODAY IS EXACTLY WHAT WE'RE ADDING, FOR INSTANCE, TO ADDRESS STREETLIGHTS. 
          WHAT ARE WE GONNA DO? WHAT ARE WE GONNA DO TO ENHANCE RELATIONSHIPS WITH THE COMMUNITY? SO THOSE SPECIFICS WILL BE PROVIDED, UM, UM, ON, ON NEXT WEEK AS PART OF THE PROPOSED BUDGET. 
          SO WE'RE STILL KIND OF BALANCING EVERYTHING ACROSS OUR CITY DEPARTMENTS AS WE BALANCE OVERALL CD BUDGET. 
          WELL, THERE'S ONLY ONE SPECIFIC I'M LOOKING FOR, AND THAT IS INCREASING OUR AUTHORIZATIONS. 
          CHIEF, ARE YOU ASKING FOR ADDITIONAL AUTHORIZATIONS IN THIS BUDGET COUNCIL MEMBER? WE, WE'VE DISCUSSED IT AND WE CONTINUE TO DISCUSS IT. 
          UH, BUT THERE'S BEEN NO, UH, FINALIZATION OF THAT DISCUSSION. 
          YEAH, AND I UNDERSTAND THAT, BUT IT JUST BOTHERS ME A LITTLE BIT THAT THAT'S NOT MENTIONED ANYWHERE IN THIS PRESENTATION. 
          UM, AND I, I'VE BEEN PUSHING THAT AS WELL. 
          AGAIN, I POINT BACK TO THE SURVEY THAT WAS, UM, SUBMITTED TO THE CITY, A SCIENTIFIC SURVEY THAT THAT'S WHAT PEOPLE WANNA SEE, AND IT BOTHERS ME A LITTLE BIT THAT THAT'S NOT MENTIONED ANYWHERE IN THIS PRESENTATION. 
          SO I'LL WAIT, I GUESS TILL NEXT WEEK TO SEE WHAT Y'ALL COME UP WITH, BUT THAT'S MY EXPECTATION. 
          AND DISTRICT TENS, THANK YOU. 
          THANK YOU, MA'AM. 
          THANK YOU. 
          COUNCILMAN PERRY. 
          COUNCIL , HAVE YOUR HAND BACK UP. 
          YES, I DO. 
          OKAY, GO AHEAD. 
          SO, UH, IN THE, ANY TALK OF CREATING A STRATEGIC PLAN, UH, ONE, I THINK WE NEED TO INCLUDE THE STUDY WE DID TWO YEARS AGO ON THE STATUS OF WOMEN. 
          UH, THAT NEEDS TO BE CRITICAL IN ANYTHING WE DO. 
          THE OTHER THING IS, I BELIEVE THAT EACH SUBSTATION HAD, UM, A CRIME ANALYST AT THE SUBSTATION, AND THEN THEY WERE ALL MOVED TO THE HEADQUARTERS. 
          UH, 'CAUSE I, I WAS THERE IN THE SUBSTATION. 
          WE DID. 
          AND, AND WHAT I LIKED ABOUT THAT IS THAT WE COULD MAKE A PLAN STRATEGICALLY FOR EACH SUBSTATION AREA, BECAUSE ANY ONE SIZE FITS ALL WITHIN THIS, THE CITY I'M, I'M VERY WARY OF. 
          SO IF WE COULD GET, AND THAT'S ALMOST SEVEN, EIGHT YEARS AGO THAT WE HAD A CRIME ANALYST AT EACH SUBSTATION. 
          IF WE COULD KIND OF SEE, MAYBE MOVE BACK TO THAT, UM, BECAUSE I THINK DISTRICT SPECIFIC PLANS AND HOW WE COULD AID OUR DETECTIVES IN TERMS OF, OF WHAT CRIME RATES ARE RISING THERE. 
          I WOULD LIKE TO SEE, UM, IF, IF WE'RE TALK, AND MAYBE IT'S NOT TALKING STRATEGIC PLAN, BUT EQUIPPING, UM, EQUIPPING US WITH RESOURCES TO DO IT BETTER. 
          SO, UH, THAT, THOSE ARE JUST THE COMMENTS I HAVE. 
          IF, IF ANYONE WOULD LIKE TO CHIME IN, UH, AND TALK ABOUT THE CRIME ANALYST, I'D APPRECIATE IT. 
          REMEMBER, THEY, THOSE, UH, THAT INFORMATION THAT YOU'RE TALKING ABOUT THAT WAS PROVIDED BY THOSE SPECIFIC, UH, DISTRICTS, UH, SUBSTATION SPECIFIC ANALYSTS CAN STILL BE PROVIDED. 
          THEY WERE BROUGHT DOWNTOWN WHEN THE, UH, FUSION CENTER, UH, BECAME A REALITY. 
          I DON'T REMEMBER HOW MANY, HOW MANY YEARS AGO IT WAS. 
          BUT, UM, THAT INFORMATION IS STILL READILY AVAILABLE TO THEM, UH, EVEN AT A, AT PROBABLY A MORE HIGHER LEVEL RIGHT NOW THAN IT WAS BEFORE BASED ON THE, UH, WHAT WE CAN DO DOWN HERE. 
          SO, UM, I, I DON'T THINK THAT WE ARE MISSING, UH, A BEAT BY NOT HAVING THEM WITHIN THE SUBSTATIONS. 
          COUNCILMAN ? OH, NO, THANK YOU. 
          THANK OBJECTION. 
          SO I, I THINK, UH, I THINK WHAT WE NEED TO DO WHEN WE TALK, UH, AND, AND SPECIFICALLY FOR ME WITH THE, WITH THE SOUTH AND THE EAST SUB STATION, BECAUSE TO REMIND EVERYONE, WE DON'T HAVE A SUBSTATION IN DISTRICT THREE YET, UH, IS MAYBE LOOKING SPECIFICALLY TO, UH, THE NEEDS THAT WE HAVE. 
          UH, RIGHT NOW. 
          MY SAFE OFFICERS ARE REALLY GOOD AT DOING THAT. 
          BUT I THINK THAT WHEN WE, WHEN WE TALK ABOUT THAT AND WE TALK 
          [02:15:01]
ABOUT DOMESTIC VIOLENCE, AGAIN, I WOULD LIKE TO STRESS THAT WE PUT THESE TEAMS BASED IN HIGH DOMESTIC VIOLENCE AREAS. 
          THE MENTAL HEALTH CALLS WILL BE THERE WHEREVER YOU PUT THEM, IN THE CITY OF SAN ANTONIO. 
          BUT ADDRESSING, IF WE'RE GONNA DO THIS IN A TEAM EFFORT, THEN WE PUT THE DOMESTIC VIOLENCE CALLS THERE. 
          THANK YOU. 
          THANK YOU. 
          AND WITH THAT, WE HAVE COMPLETED OUR, UM, OUR PUBLIC SAFETY, OUR FIRST PUBLIC SAFETY, UH, COMMITTEE MEETING WITH THE NEW TERM. 
          AGAIN, I WANNA WELCOME, UH, COUNCIL  AND COUNCIL RODRIGUEZ, AND THANK YOU, UM, COUNCILWOMAN, UH, SANDOVAL AND COUNCILMAN PERRY FOR REJOINING ME ON THIS VERY IMPORTANT COMMITTEE. 
          UH, THERE'S NO ACTION, I THINK TO BE TAKEN ON THIS LAST ITEM. 
          THANK YOU ALL FOR YOUR TIME TODAY. 
          OUR NEXT MEETING IS SCHEDULED FOR SEPTEMBER 21ST. 
          I LOOK AT, UH, FORWARD TO CONTINUING THIS WORK WITH YOU GUYS. 
          THANKS. 
          MEETING YOU ADJOURNED. 
          HAVE A GREAT DAY.
* 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.