>> ALL RIGHT, GOOD MORNING ,
EVERYONE. THE TIME IS 9:32, AND
THE AUGUST 14th MEETING OF THE
HOUSING AND HUMAN SERVICES
COMMITTEE WILL COME TO ORDER.
I'M CATHY MOORE, CHAIR OF THE
COMMITTEE. WILL THE CLERK
PLEASE CALL THE ROLE? . COUNCIL
PRESID
>> PRESENT. SPOKE COUNCILMEMBER
SAKA COUNCILMEMBER WOO. VICE
CHAIR MORALES.
>> PRESENT.
>> THREE PRESENT.
>> I WAS HOPING TO HAVE A
QUORUM TO PROCEED. IF THERE IS
NO OBJECTION, TODAY'S PROPOSED
AGENDA IS ADOPTED. THANK YOU
FOR BEING HERE TODAY FOR THE
AUGUST 14th MEETING OF THE
HOUSING AND HUMAN SERVICES
COMMITTEE . ON TODAY'S AGENDA,
WE HAVE TRACI RATZLIF TO WALK
US THROUGH LEGISLATION TO
EXTEND THE SUNSET DATES BY
THREE MONTHS. SECOND ON THE
AGENDA, WE HAVE A PRESENTATION
ON L.E.A.D. AND CO-LEAD FROM
PURPOSE, DIGNITY, ACTION.
THAT'S ON OUR REGIONAL
RESPONSE TO BEHAVIORAL HEALTH
CHALLENGES AND SUBSTANCE ABUSE
DISORDER. WE WILL MOVE INTO
PUBLIC COMMENT. WE WILL OPEN
THE HYBRID PUBLIC COMMENT
PERIOD. PUBLIC COMMENT SHOULD
BE WITHIN THE PURVIEW OF THE
COMMITTEE. HOW MANY SPEAKERS DO
WE HAVE SIGNED UP TODAY?
>> CURRENTLY, WE HAVE SIX IN
PERSON AND SEVEN REMOTE
SPEAKERS.
>> OKAY. LET'S PROCEED WITH
THE IN PERSON SPEAKERS FIRST,
AND THEN WE WILL GO TO THE
REMOTE. WOULD YOU PLEASE --
EACH SPEAKER WILL HAVE TWO
MINUTES. AS I SAID, WE WILL
TALK WITH IN PERSON AND MOVE TO
REMOTE. WILL YOU PLEASE READ
THE PUBLIC COMMENT
INSTRUCTIONS?
>> THE PUBLIC COMMENT PERIOD
WILL BE MODERATED IN THE
FOLLOWING MANNER. IT IS UP TO
20 MINUTES. SPEAKERS WILL BE
CALLED ON IN THE ORDER IN WHICH
THEY REGISTERED. SPEAKERS WILL
HEAR A CHIME WHEN 10 SECONDS
ARE LEFT OF THEIR TIME.
SPEAKERS MICS WILL BE MUTED. IF
THEY DO NOT AND THEIR COMMENTS
WITHIN THAT TIME TO ALLOW TO
CALL ON THE NEXT SPEAKER.
>> OKAY. WE BEGIN WITH OUR
FIRST SPEAKERS.
>> THE FIRST SPEAKER IS CRAIG C
WERNER, FOLLOWED BY LINDSAY
CHRISTOPHERSON.
>> MY NAME IS CRAIG WERNER. I
HAVE WATCHED OVER THE COUNTRY,
THE HOMELESS PROBLEM TURN INTO
A -- AND EPIDEMIC AND BACK IN
JUNE I BECAME INSPIRED ABOUT
HOW TO SOLVE THIS PROBLEM. IT
IS RADICALLY DIFFERENT FROM
WHAT EVERYBODY HAS BEEN DOING
OVER AND OVER AGAIN THAT HAS
BASICALLY CHANGED OUR HOMELESS
CRISIS INTO AN EPIDEMIC. THEY
HAVE SPENT HUNDREDS OF BILLIONS
OF DOLLARS -- MORE THAN $1
TRILLION NATIONWIDE. NOTHING
HAS BEEN SOLVED. MY SOLUTION IS
TOTALLY DIFFERENT, AND I
BELIEVE WITH ABOUT $35 MILLION
BUDGET, THAT I CAN HELP TO
TOTALLY CLEANED OUT AND RE-HOME
100% OF THE HOMELESS. WE ARE
TALKING ABOUT 100 OF THEM BEING
CARD DWELLERS. THE OTHERS BEING
SIDEWALK DWELLERS. TENT
DWELLERS. WHAT I WOULD LIKE TO
DO IS TO HAVE A 30 MINUTE
PRESENTATION WITH THE CITY
COUNCIL AND CITY LEADERS TO BE
ABLE TO DO TO A POWERPOINT
PRESENTATION SO I CAN SHARE MY
IDEAS WITH YOU. THIS IDEA IS
GOING TO BE EXTREMELY
APPLICABLE TO EVERY CITY ACROSS
THE STATES AND THE UNITED
STATES. I WANT TO CITY -- SEE
THE CITY OF SEATTLE TO BE THE
FIRST TO DO IT. I THINK WHOEVER
DOES IT FIRST WILL GET A LOT OF
POLITICAL PUNCH FROM IT AND
NATIONAL NOTORIETY. WITH THAT,
I JUST WANT TO -- SHARE ONE
LAST STORY WITH YOU. BACK IN
1987, I HAD THE OPPORTUNITY TO
BUY AN IPO STOCI
ENDED UP LOSING $10,000. HAD I
PUT THAT MONEY IN THAT STOCK,
IT WOULD BE WORTH $150 MILLION.
I DIDN'T BELIEVE MY FRIEND. IT
WAS MICROSOFT. WITH THAT, I'M
GOING TO LEAVE.
>> THANK YOU. PLEASE FEEL FREE
TO LEAVE ANY WRITTEN COMMENT
HERE, IT ALSO, YOU CAN EMAIL
COUNCIL AT SEATTLE.GOV.
>> THE NEXT PUBLIC COMMENT OR
IS LINDSAY CHRISTOPHERSON,
FOLLOWED BY CHARLES HINES. SPEC
FOR THE RECORD, COUNCILMEMBER
SAKA HAS JOINED US REMOTELY.
THANK YOU.
>> CAN YOU HEAR ME NOW?
>> MY NAME IS LINDSAY. I WORK
FOR LOW INCOME HOUSING
INSTITUTE. I'M A CASE MANAGER.
WE RECENTLY OPENED A NEW
BUILDING CALLED JANE DARCY
PLACE. IT HOUSES 63 TENANTS AND
WE TAKE THE PREVIOUSLY HOMELESS
AND WE GIVE THEM FREE HOUSING
FOR ONE YEAR. THEY ARE UNDER A
LEASE. THIS GIVES THEM THE
OPPORTUNITY TO REBUILD THEIR
LIFE IN A STABLE AND SAFE
HOUSE, AND CO-LEAD IS THE
ENTITY THAT HELPED US FILL OUR
UNITS. THE AVERAGE TEAM WAS
AMAZING. AND WE HAD TO FILL IT
PRETTY QUICKLY. WE FILLED IT IN
ABOUT A MONTH. AND THESE GUYS
WERE JUST REALLY, REALLY
SUPPORTIVE. YOU CAN TELL THE
PEOPLE THAT DO IT BECAUSE THEY
LOVE WHAT THEY DO AND BECAUSE
THEY WANT TO MAKE A DIFFERENCE.
I PERSONALLY AM PRETTY NEW TO
THE WHOLE CASE MANAGEMENT
THING, AND THEY HAVE BEEN 100%
SUPPORTIVE . EVERY TIME I CALL,
THE ANSWER. THE CLIENTS HAVE
HAD NOTHING BUT GOOD THINGS TO
SAY ABOUT THEM. THEY ALSO
SUPPORT US IN THE AFTERCARE
PROGRAM, WHICH IS A LEGAL
SUPPORTIVE FOR OUR CLIENTS, AND
WE HAVE BEEN IN IT FOR FOUR
MONTHS AND IT IS GOING REALLY
WELL. WE COULD NOT HAVE DONE
THIS WITHOUT THEM. I MEAN, THEY
ARE JUST AMAZING. AND IT WAS A
PLEASURE FOR ME TO COME UP AND
SPEAK FOR THEM TODAY. THANK
YOU.
>> THANK YOU VERY MUCH. NEXT
SPEAKER.
>> UP NEXT, WE HAVE CHARLES
HINES, FOLLOWED BY JORGE
ANTONIO LIMIOS.
>> GOOD MORNING. MY NAME IS
CHARLES HINES, AND I AM THE
PROPERTY MANAGER FOR THE JEAN
DARCY PLACE. I WORKED CLOSELY
WITH COLEAD, THAT'S OUR CASE
MANAGER THAT WAS UP HERE. IT IS
SUPPORTIVE HOUSING, WHICH I
DEFINITELY BELIEVE IN,
ESPECIALLY FOR PEOPLE DEALING
WITH MENTAL ISSUES, SUBSTANCE
ABUSE ISSUES, AND HOMELESSNESS.
I THINK IT NEEDS TO START AND
SUPPORT OF HOUSING, AND COLEAD
HAS BEEN SUPPORTIVE IN THAT
VENTURE. IT REALLY TAKES A TEAM
TO MEET PEOPLE WHERE THEY ARE
AT. I HAVE WORKED IN CHILDERS
BEFORE. I HAVE RUN DRUG
REHABILITATION PROGRAMS. I HAVE
THE UNIQUE EXPERIENCE COMING
INTO THIS AND BEING ABLE TO
MEET PEOPLE WHERE THEY ARE AT.
IT IS NOT A MADHOUSE. IT IS A
CONTROLLED ENVIRONMENT. WE ARE
ENGAGED WITH THE PEOPLE THAT WE
HAVE. THE TENANTS WE HAVE. I
THINK HAVING THEM COME INTO --
AS A TENANT LANDLORD
RELATIONSHIP, AND GIVES THEM
RESPONSIBILITY. WE HAVE A LEGAL
AGREEMENT, AND IT HOLDS THEM
ACCOUNTABLE TO THAT. IT IS
TEACHING THEM HOW TO
REINTEGRATE INTO LIFE IN A
SUPPORTIVE WAY. I KNOW THIS
FROM THE EXPERT -- EXPERIENCE
BECAUSE I'M A RECOVERING
ADDICT. I HAVE BEEN THROUGH
WHAT THEY HAVE BEEN THROUGH. I
HAD TO DO A LOT OF THE THINGS
THAT THEY ARE DOING NOW. I
APPRECIATE THE SUPPORT WE GET
BECAUSE WHENEVER WE HAVE
QUESTIONS -- EVERYONE'S PLAN
IS A LITTLE BIT DIFFERENT.
EVERYONE'S SITUATION IS A
LITTLE BIT DIFFERENT. THAT IS
WHAT I MEAN BY MEETING PEOPLE
WHERE THEY ARE AT. IT IS NOT
ONE RECIPE FITS ALL. THAT IS
WHERE COLEAD COMES IN. THEY
GIVE US INFORMATION AND
BACKGROUND ON HOW TO TARGET
CERTAIN ISSUES, AND THEY HELP
US WITH ALL OF THE SUPPORT WE
NEED TO DO THAT, ESPECIALLY
WITH OUR CASE MANAGERS ON SITE,
TOO, SO EVERYONE THAT COMES IN
IS ASSIGNED A CASEWORKER,
ALTHOUGH THEY ARE NOT REQUIRED
TO MEET, THEY ARE HIGHLY
ENCOURAGED TO MEET SO WE CAN
OVERCOME BARRIERS WITHIN THIS
YEAR PERIOD OF TIME. THAT IS
OUR MAIN GOAL AND WE HAVE BEEN
ABLE TO BE SUCCESSFUL AT THAT
SO FAR.
>> THANK YOU.
>> EXCUSE ME. WHAT ORGANIZATION
DID YOU SAY YOU ARE WITH? WHAT
IS YOUR ORGANIZATION?
>> [ INAUDIBLE ]
>> THANKS.
>> THE NEXT SPEAKER IS JORGE
ANTONIO LIMIOS , FOLLOWED BY
DANO ZARGO RIDONEY. SORRY ABOUT
THAT.
>> JORGE ANTONIO LIMIOS. I'M
ONE OF THE TENANTS FOR COLEAD.
I LIVE IN WEST SEATTLE , AND
ASKED ME TO COME AND SPEAK
ABOUT A THINK THAT'S HAPPENING
AT MY EXPERIENCE. OVER THE LAST
YEAR AND A HALF, MY LIFE HAS
CHANGED ENTIRELY. I WAS IN A
TENT UNDER THE BRIDGE. IT WAS
HORRIBLE. AND FROM MEETING
PEOPLE FROM COLEAD, I STARTED
CHANGING MY LIFE . I GOT MY
COURT STUFF DONE. I'M TRYING
TO GET BACK INTO MY KIDS LIVES.
I WOULDN'T BE ABLE TO DO IT
WITHOUT THAT SUPPORT. I MEAN,
IT IS A GREAT PROGRAM. I HAVE
TALKED TO MY NEIGHBORS. THEY
LOVE IT, BUT THEY DON'T LIKE
TALKING, SO THEY DIDN'T WANT
TO COME, BUT I MEAN, I'M
GRATEFUL FOR WHAT THEY HAVE
DONE. AND, YEAH. I DON'T KNOW
WHAT ELSE TO SAY. THANK YOU.
>> THANK YOU. THANK YOU FOR
BEING HERE. IT IS ALWAYS A
LITTLE NERVE-RACKING SPEAKING
IN FRONT OF PEOPLE, SO WE
APPRECIATE YOU.
>> UP NEXT IS DANIEL ZARAGONI ,
FOLLOWED BY SARA SK.
>> HI. MY NAME IS DANIEL. THANK
YOU TO REACH FOR ALLOWING ME TO
GET MY LIFE BACK TOGETHER. MY
EXPERIENCE WITH THE STAFF IS
WONDERFUL. THEY WERE KIND AND
MADE ME FEEL LIKE A HUMAN
BEING. IF I WAS STILL LIVING ON
THE STREET, WHO KNOWS, MAYBE I
WOULD OVERDOSE. THANKS TO THIS
PROGRAM, I WAS ABLE TO GET MY
LIFE BACK TOGETHER AND QUIT
USING FENTANYL AND QUIT
DRINKING ALCOHOL. I WAS ABLE TO
REPLACE THOSE HABITS WITH GOOD
HABITS BY SKATEBOARDING AND
WORKING OUT. I STARTED GOING TO
CHURCH AND GOT INVOLVED WITH
THE COMMUNITY AND BY DOING
OUTREACH ON TUESDAY NIGHT. AS
OF NOW, I'M TRYING TO GET A
JOB SO I CAN STAY BUSY, THAT
WAY I DON'T HAVE TOO MUCH FREE
TIME ON MY HANDS. WITH PAST
EXPENSE, I HAVE LEARNED THAT
WHEN I HAVE TOO MUCH FREE TIME,
I TEND TO FALL BACK INTO MY OLD
HABITS. I'M LOOKING FORWARD TO
THE FUTURE TO SEE WHAT IT HAS
FOR ME.
>> THANK YOU.
>> ARE LAST IN PERSON SPEAKER
IS SARA ESKEW.
>> THANK YOU.
>> GOOD MORNING, EVERYBODY. MY
NAME IS SARA ESKEW. TILL THIS
DAY, I HAVE HAD ONLY GOOD
EXPERIENCES WITH COLEAD. WHICH
I'M VERY GRATEFUL FOR. NOT
ONLY HAVE THEY HELPED ME GROW,
THEY HAVE GIVEN ME GREAT
OPPORTUNITIES TO SUCCEED. I WAS
IN THE FIRST I CHOOSE SOLUTIONS
BOOT CAMP. IT WAS FUN. AFTER I
GRADUATED TOP OF THE CLASS WITH
A LOT OF RESOURCES FOR FINDING
WORK, I HAD A GREAT OPPORTUNITY
. I WAS BLESSED WITH HOUSING.
IT HAS ALL BEEN A GREAT
EXPERIENCE. WITHOUT COLEAD, I
WOULDN'T BE HERE DOING GREAT
THINGS.
>> THANK YOU.
>> OUR FIRST REMOTE SPEAKER IS
KATE RUBIN. KATE, PLEASE PRESS
STAR SIX WHEN YOU HEAR THE
PROMPT. SORRY. WRONG ONE.
>> MY NAME IS KATE RUBIN. I AM
THE TEMPORARY COCHAIR OF THE
SEATTLE HUNTERS COMMISSION. THE
FACT THAT THE COMMISSION IS
OPERATING WITH ONLY FIVE OF THE
MANDATED 15 COMMISSIONERS IS
UNACCEPTABLE. THIS IS THE THIRD
TIME I HAVE TESTIFIED BEFORE
YOU TO CALL FOR ACTION ON THE
OVERDUE APPOINTMENTS IN THE
DEPARTMENT NEIGHBORHOODS HAVE
BEEN REACHING OUT SINCE THE
BEGINNING OF THE YEAR. LET'S
BE CLEAR. THIS DELAY IS NOT
JUST AN OVERSIGHT. IT IS A
DISREGARD FOR THE RENTERS OF
SEATTLE WHO MAKE UP THE
MAJORITY OF THE CITY
SPECULATION. BY REFUSING TO
PRIORITIZE THESE APPOINTMENTS,
YOU'RE ACTIVELY HARMING
COMMUNITIES THAT ARE
MARGINALIZED AND UPRIVER
REPRESENTATIVE. THE ABSENCE OF
BLOOD COMMISSIONERS IS
SHAMEFUL, GIVEN SEATTLE'S
HISTORY OF REDLINING, THE
ONGOING GENTRIFICATION AND
DISPLACEMENT OF HISTORICALLY
BLACK NEIGHBORHOODS, AND THE
DISPROPORTIONATE RATE AT WHICH
BLACK PEOPLE, ESPECIALLY BLACK
MOTHERS ARE EVICTED. YOU HAVE
BEEN MAKING DECISIONS ON ISSUES
THAT DIRECTLY IMPACT RENTERS,
LIKE THE TRANSPORTATION OF THE,
DISCUSSION ABOUT THE CONFERENCE
OF PLAN, AND THE PROPOSED
S.O.D.A. AND S.O.A.P. ZONES. WE
HAVE REPEATEDLY BEEN IGNORED.
THIS IS ABOUT FULFILLING YOUR
RESPONSIBILITY AS PUBLIC
OFFICIALS. WHETHER YOU LIKE IT
OR NOT, THIS IS YOUR JOB. YOU
ARE ELECTED TO SERVE ALL
SEATTLE RESIDENTS. NOT JUST
THOSE WITH ECONOMIC POWER. YOUR
CONTINUED INACTION IS AN
AFFRONT TO THE CITY AND A
FAILURE TO UPHOLD YOUR DUTIES.
PRIORITIZING OPPONENTS NOW AND
ADDRESS ANY FUTURE PAYMENTS
PROMPTLY TO MAKE SURE THE
SITUATION DOES NOT REPEAT.
THANK YOU.
>> THANK YOU. THE NEXT SPEAKER
IS IRENE WALL, FOLLOWED BY GARY
LEE. IRENE. IRENE, PRESS STAR
SIX.
IRENE, ARE YOU THERE? WE WILL
COME BACK TO YOU. UP NEXT IS
GARY LEE. GARY, PRESS STAR SIX.
>> HELLO. I AM GARY LEE,
COCHAIR OF THE COUNCIL. [
INAUDIBLE ] I WANT TO EXPRESS
MY SUPPORT AND CONTINUATION OF
THE L.E.A.D. AND COLEAD
PROGRAMS. I HAVE MADE SEVERAL
REFERRALS THAT HAVE BEEN ACTED
ON. WE GREATLY APPRECIATE THE
WORK THEY ARE DOING TO HELP
MAKE SEATTLE SAFER AND TO HELP
PEOPLE WHO NEED SERIOUS HELP.
THANK YOU.
>> THANK YOU, GARY. UP NEXT IS
NATHANIEL LYON. NATHANIEL.
>> HI. MY NAME IS NATHANIEL
LYON AND I AM IN COMMUNITY
OUTREACH AND I WAS SPEAKING
ABOUT THE IMPORTANCE AND IMPACT
OF THE L.E.A.D. PROGRAM AT
BALLARD. I HAVE WORKED WITH
MANY EXTERNAL ORGANIZATIONS,
OUTREACH WORKERS, AND
GOVERNMENTAL ENTITIES IN AND IT
-- AN EFFORT TO ADDRESS THOSE
WITH THE HIGHEST NEEDS IN
SEATTLE. WE PULL RESOURCES
TOGETHER AND MAKE CHANGE
HAPPEN. IN THE LAST WEEK , WE
WERE ABLE TO ENROLL [ INAUDIBLE
] WHO HAS BEEN ON THE STREETS
FOR 15 YEARS. HE STRUGGLED
WITHOUT RECEIVING CARE. HE WAS
ABLE TO PULL RESOURCES FROM US
AND OTHER SERVICE PROVIDERS TO
GET HER IN THE PROGRAM. WHILE
THERE, THERE IS NO CUT AND DRY
SOLUTION FOR THIS PERSON'S
NEEDS. [ INAUDIBLE ] WE HAVE
SEEN L.E.A.D. WORK WITH CLIENTS
THAT HAVE NO OTHER PLACE TO
TURN. CLIENTS THAT BURNED
BRIDGES AND CAN'T ACCESS
TRADITIONAL SERVICES. CHICK --
[ INAUDIBLE ]
>> L.E.A.D. TRULY SUPPORTS NOT
ONLY CLIENTS , BUT THE LOCAL
COMMUNITY. WE HAVE TRIED FOR
YEARS TO FIND WAYS TO MAKE
EFFECTIVE COMMUNITY REFERRALS
FOR CLIENTS. [ INAUDIBLE ] HIGH
EMPLOYEE TURNOVER AND AN
UNWILLINGNESS TO MEET CLIENTS
WHERE THEY ARE. L.E.A.D. HAS
BEEN THE EXCEPTION TO THIS
ROLE. IN A WAY THAT MANAGES TO
RESPECT EACH INDIVIDUAL AS WELL
AS THE BROADER COMMUNITY. WE
HOPE TO HAVE THE OPPORTUNITY TO
CONTINUE THIS PARTNERSHIP FOR
YEARS TO COME. THANK YOU.
>> IRENE, WE ARE GOING TO TRY
YOU AGAIN. PRESS STAR SIX TO
SPEAK.
OKAY. WE ARE GOING TO MOVE ON.
SARAH JANE SECRETE IS UP NEXT.
SARAH, PRESS STAR SIX TO SPEAK.
>> GOOD MORNING. THIS IS SARAH
JANE SIEGFRIED . PLEASE DO NOT
RENEW THIS PROGRAM AT THIS
TIME. THERE IS NO VALUE IN NOT
LETTING IT SUNSET AT THE END OF
THE YEAR. THE PROGRAM DOESN'T
PROVAFFORDABLE HOUSING
UNDER THE DEFINITION OF
AFFORDABILITY . THAT WOULD BE
PEOPLE WITH INCOMES LESS THAN
60% OF THE MEDIAN INCOME. AND
THE LOWEST IN THIS PROGRAM IS
80%. SO MORE THAN HALF DOSE THE
VAST MAJORITY OF THE NEED IS
BELOW 60% OF A.M.A., AMI , AND
THE PROGRAM DOESN'T PROVIDE
ANY OF THAT. THERE IS NO
AFFORDABILITY. IT IS NOT
MANAGED WELL. THERE IS NO
INVENTORY OF APARTMENTS. MANY
OF THE APARTMENTS SUPPOSEDLY
RENTING UNDER THIS ARE RENTING
FOR THE SAME RENT AS OTHERS IN
THE BUILDING THAT ARE
SUPPOSEDLY MARKET RATE. THE
CITY HAS NOT DONE A GOOD JOB
WITH THIS. YOU MIGHT AS WELL
WAIT FOR THE AUDIT AT THE END
OF THE YEAR TO GET A BETTER
TAKE ON IT. MEANWHILE, THE ONLY
THING THAT WILL HAPPEN IS THAT
THE DEVELOPERS WILL RUSH TO GET
IN UNDER THE WIRE. AND WE
DON'T WANT THAT. LET'S JUST
LET IT EXPIRE. NO COST TO ANY
TAXPAYER, AND THE TAXPAYERS,
INSTEAD, IT WOULD BEAR THE
BURDEN OF ANY OF THESE PROJECTS
THAT TAKE PLACE BECAUSE THEIR
TAX EXEMPTION IS SPREAD OVER
THE REST OF IT. SO I APPRECIATE
YOUR THINKING ABOUT THIS AND I
HAVE MAILED MY COMMENTS TO THE
REST OF THE COUNCIL, AS WELL.
>> THANK YOU.
>> UP NEXT IS DAN GOTTFRIED ,
AND WE WILL TRY IRENE ONE MORE
TIME. DAN, PRESS STAR SIX.
THERE WE GO.
DAN, CAN YOU PRESS STAR SIX
PLEASE? OKAY. WE WILL TRY IRENE
AGAIN. IRENE, CAN YOU PRESS
STAR SIX, PLEASE? OKAY.
>> WE HAVE THOSE REMAINING TWO.
>> THOSE WOULD BE OUR FINAL
COLORS. WE ARE GOING TO TRY ONE
MORE TIME. DAN, CAN YOU PRESS
STAR SIX?
THERE WE GO.
>> CAN YOU HEAR ME?
>> YES. THANK YOU.
>> THANK YOU. I AM DAN GODFREY,
CALLING FROM THE SEATTLE
RENTERS COMMISSION. I'VE BEEN
ON THE COMMISSION FOR THREE
YEARS. I WAS CHAIRMAN FOR 1 1/2
YEARS. AT THE END OF 2023, WE
SENT A LETTER TO CITY COUNCIL
REQUESTING THAT COMMISSIONER
APPROVAL BE DELIVERED UNDER
THREE MONTHS OR IN A TIMELY
MANNER GOING FORWARD. WE
CURRENTLY HAVE FOUR ACTIVE
COMMISSIONERS AND 11 OPEN
SPOTS. THE SRC HAS RECOMMENDED
ENOUGH COMMISSIONERS TO ALMOST
FULLY STAFFED THE COMMISSION
AND THOSE CITIZENS HAVE BEEN IN
LIMBO FOR ALMOST UP TO A YEAR.
THE CITY COUNCIL AND THE
MAYOR'S OFFICE HAVE FAILED TO
APPROVE OR RESPOND TO
COMMISSIONER RECOMMENDATIONS,
AND WE ARE TOTALLY HAND STRONG.
IT IS VERY CONFUSING TO READ
NEWS ARTICLES ABOUT THE CITY
COUNCIL CONSIDERING MAKING
SERIOUS CHANGES TO RENTER
PROTECTIONS, WHILE THIS RENTER
COMMISSION THAT THE COUNCIL
STAFFS IS FUNCTIONALLY DEFUNCT.
THE SRC IS TO ENJOY A HEALTHY
WORKING RELATIONSHIP WITH THE
COUNCIL AND I MYSELF ENJOYED
COLLABORATING WITH
COUNCILMEMBER MORALES'S
OFFICE. WE ASK FOR A QUICK
RESPONSE, OR TO NOTIFY THE SRC
THAT THE COUNCIL WILL NO LONGER
OVERSEE OUR COMMISSION, OR
DOESN'T HAVE THE STAFFING TO
SUPPORT US. I'M AVAILABLE FOR
QUESTIONS, AND I APPRECIATE
YOUR TIME.
>> OKAY. LET'S TRY IRENE WALL
ONE MORE TIME. IRENE, AT THE
PROMPT, PLEASE PRESS STAR SIX.
OKAY.
>> OKAY. IRENE, APOLOGIES FOR
THE TECHNICAL DIFFICULTIES.
CERTAINLY FEEL FREE TO EMAIL US
YOUR COMMENTS FOR TODAY. SO
THAT DOES CONCLUDE OUR LIST OF
SPEAKERS FROM THE GENERAL
PUBLIC. THERE ARE NO ADDITIONAL
REGISTERED SPEAKERS WE WILL
PROCEED TO OUR ITEMS OF
BUSINESS. TO THOSE OF YOU WHO
CAME TO TESTIFY ON BEHALF OF OF
LEHIGH, I WANTED TO SAY THANK
YOU FOR BEING HERE, AND FOR ALL
THE GOOD WORK THAT YOU'RE
DOING. AND CONGRATULATIONS ON
DOING SO WELL AND BEING HERE TO
TELL US ABOUT IT. WE REALLY
APPRECIATE THAT, AND KUDOS TO
YOU. SO, CLERK, IF YOU COULD
READ THE TITLE OF THE FIRST
AGENDA ITEM INTO THE RECORD,
PLEASE. I WOULD LIKE THE RECORD
TO REFLECT THAT COUNCILMEMBER
SAKA HAS JOINED US IN PERSON.
WE HAVE TRACY RATLIFF FROM
COUNCIL CENTRAL STAFF TO WALK
US THROUGH COUNCIL BILL 120817,
EXTENDING THE MULTIFAMILY
HOUSING TAX PROPERTY TAX
EXEMPTION.
>> TRACI RATZLIF. YOU HAVE YOUR
POST IS ABOUT 120817. THIS BILL
WOULD EXTEND THE SUNSET DATE
FOR THE MULTIFAMILY TAX
EXEMPTION PROGRAM FROM DECEMBER
31st 2024 TO MARCH 31st 2025.
THE PROGRAM, AS YOU MIGHT
REMEMBER, WAS AUTHORIZED IN
OCTOBER OF 2019, WITH THE
SUNSET DATE THAT WAS ACTUALLY
IN 2023. BECAUSE OF THE
PANDEMIC, BECAUSE OF A LOT OF
WHAT WAS GOING ON LAST YEAR IN
TERMS OF THE HOUSING LEVY, AND
THEN THE CHALLENGING RENTAL
MARKET, I THINK IT WOULD BE
FAIR TO SAY, COMING OUT OF
COVID, O.H. DEFERRED ONE YEAR
THE EVALUATION OF THIS PROGRAM.
THEY ARE VERY MUCH UNDERWEIGHT
WITH THAT EVALUATION TODAY.
THEY ARE VERY HOPEFUL AND
ANTICIPATE THAT THEY WILL IN
FACT GET US LEGISLATION AT THE
VERY BEGINNING OF 2025, BUT
THEY ARE IN THE PROCESS OF
DOING A PRETTY ROBUST
STAKEHOLDER ENGAGEMENT. THEY
HAVE SOME WORK THEY'RE DOING
WITH THE UNIVERSITY OF
WASHINGTON REGARDING THE
PROGRAM, AS WELL AS LOOKING AT
SOME OF THE DATA THAT THEY ARE
ALSO COLLECTING SEPARATELY FROM
PROVIDERS TO ADD TO THAT
EVALUATION. SO WE DO ANTICIPATE
WE WILL SEE THAT LEGISLATION.
HOPEFULLY, VERY EARLY IN 2025,
AND THAT IS WHY THEY ARE ASKING
FOR AN EXTENSION OF THE PROGRAM
TO MARCH, SO IT ALLOWS THE
PROGRAM TO CONTINUE, AND NOT TO
EXPIRE IN DECEMBER. AND I'M
HAPPY TO ANSWER ANY QUESTIONS
YOU HAVE.
>> COMMITTEE MEMBERS, ANY
QUESTIONS?
>> YES.
>> IF WE LET THIS EXPIRE AND WE
WAIT FOR THE NEW LEGISLATION,
WHAT IS THE IMPACT OF THAT?
>> IT IS THAT SOME DEVELOPERS
MAY NOT BE ABLE TO TAKE
ADVANTAGE OF THE PROGRAM. NOW,
I WOULD SUGGEST TO YOU, THAT IF
THE SIGNAL GETS SENT THAT WE
ARE NOT EXTENDING THE PROGRAM
THAT THOSE THAT ARE MOST
INTERESTED IN PARTICIPATING IN
THE PROGRAM WILL APPLY BEFORE
THE EXPIRATION DATE, BUT I
COULDN'T TELL YOU THAT -- THAT
COULD BE A LOT OF FOLKS THAT
MISS OUT ON THAT BECAUSE THEY
DIDN'T GET A NOTICE ABOUT
ENDING, VERSUS THOSE WHO WOULD.
>> THANK YOU.
>> ANY OTHER QUESTIONS? COUNCIL
PRESIDENT.
>> SO THERE SHOULD BE NO DOUBT
BY NOW THAT I BELIEVE THAT THE
PROGRAM IS A CRUCIAL COMPONENT
OF OUR AFFORDABLE HOUSING
STRATEGY. IT ALLOWS US TO MEET
THE GOALS OF ON-SITE
PERFORMANCE, AND IT ALSO CAN BE
SAID THAT GIVEN WHAT WE HAVE
LEARNED AT ONE OF THESE PAST
MEETINGS, HOW LONG IT TAKES AND
AFFORDABLE HOUSING -- COMPLETE
SUBSIDIZED AFFORDABLE HOUSING
PROJECT TO GET OFF THE GROUND
AND OUT THE DOOR, . THE OFFICE
OF HOUSING IS CARRYING LARGE
BALANCES YEAR-TO-YEAR, AND
THERE'S A LOT OF COMPLEXITY
WITH BRAIDING SOURCES AND
FINDING THE RIGHT LENDING. SO
HERE'S MY POINT. I REALIZE
THAT THERE IS A REVENUE HIT BY
GIVING THE DEVELOPERS OR OWNERS
OF THESE MULTIFAMILY FACILITIES
A PROPERTY TAX BREAK, HOWEVER,
THEY ARE GETTING HOUSING BUILT
FAIRLY QUICKLY, AND I THINK
THAT WE HAVE TO KEEP OUR EYE ON
THE BALL. THAT IS MY PREAMBLE
FOR SAYING, I'M VERY INVESTED
IN MAKING SURE THAT THERE IS
HIGH PARTICIPATION IN THIS
PROGRAM. AND SO, I WAS HOPING
-- I CONSIDERED AN AMENDMENT
BASICALLY TO THIS BILL, SAYING,
PLEASE, IF THERE IS ANYWAY TO
INFORM HOW THE WORK IS GOING SO
FAR, BEFORE THEY COME OUT WITH
A COMPLETE PACKAGE, THAT WOULD
BE ADVISABLE. YOU AND I SPOKE
IN THE HALL ABOUT WHAT IS THIS?
I WAS REALLY LOOKING FORWARD TO
SEEING WITH THE PLAN WAS GOING
TO BE. SO IS THERE ANY
MECHANISM BEYOND PUTTING THIS
LEGISLATION THAT WE CAN BE --
WE CAN GET A PREVIEW OF WHAT
THEY ARE THINKING BECAUSE OF
THE IMPORTANCE OF THIS PROGRAM.
IS IT TAKING THREE EXTRA
MONTHS? WHAT IS GOING ON?
>> RIGHT. THE REASON WHY WE
CHOSE MARCH 31st 2025, JUST TO
BE REALLY CLEAR IS THAT WHEN WE
HEARD FROM O.H. THAT THEY
DIDN'T FEEL LIKE IT WAS
POSSIBLE THAT THEY WOULD GET US
THE LEGISLATION TRANSMITTED
BEFORE THE END, WE SAID WE WANT
TO MAKE SURE THAT, ONE, YOU GET
IT TO US PROMPTLY IN 2025, BUT
WE ALSO WANT TO MAKE SURE THAT
YOU, WE, HAVE TIME TO LOOK AT
WHAT THE MAYOR PROPOSES AND THE
ANALYTICS, ALL THE INFORMATION
THAT THEY ARE GOING TO BE
DOING. THE MODELING THEY ARE
GOING TO BE DOING TO SUPPORT
THEIR PROPOSAL. YOU HAVE TIME.
WE HAVE TIME TO LOOK AT THAT
AND DECIDE, DO WE WANT TO MAKE
ANY CHANGES TO THAT?
>> YES. BUT I CAN TELL YOU IN
THE PAST, WE HAVE. HAVE THEY
BEEN MAJOR CHANGES? NO. BUT
THERE HAVE BEEN SOME CHANGES
AND WE HAVE SOME -- WE HAVE HAD
SOME MEETINGS OF MINDS BETWEEN
THE MAYOR'S OFFICE IN THE
LEGISLATIVE BRANCH ABOUT THAT.
THAT IS WHY WE CHOSE THE MARCH
DATE TO SAY THAT YOU MAY DO
WELL TO GET US WHAT WE NEED BY
JANUARY, BUT WE NEED TIME AS A
COUNCIL TO SEE WHAT YOU HAVE
DONE AND THE DATA YOU'RE
COLLECTING. I WISH I COULD TELL
YOU THAT WE COULD GET SOME
EARLY INDICATION OF THE DATA
OUTCOMES IN THE STAKEHOLDER
ENGAGEMENT. I THINK WHAT WE
MIGHT SEE IS SOME FURTHER
CONVERSATIONS THAT ARE HAD WITH
STAKEHOLDERS THAT WE MIGHT BE
ABLE TO BE PRIVY TO TO SEE WHAT
IT IS THAT THEY ARE HEARING
FROM THE STAKEHOLDERS, WHAT
THEY MIGHT HAVE AS SOME
PRELIMINARY IDEAS ABOUT WHAT
THEY MIGHT BE LOOKING AT IN
TERMS OF CHANGES. I AM IN
CONVERSATION WITH THE OFFICE OF
HOUSING ABOUT WHETHER WE MIGHT
BE ABLE TO HEAR SOME OF THAT
EARLY ON, BUT IT'S NOT GOING
TO BE A FORMAT WHERE YOU CAN
HEAR COMEAU, HERE IS WHAT THEY
ARE PROPOSING EARLY ON IN TERMS
OF THEIR RECOMMENDATIONS. IT
WOULD BE EARLY INDICATIONS OF
SOME EARLY IDEAS . NOTHING
FORMALIZED. IT IS HELPFUL, BUT
WHAT IS GOING TO BE HELPFUL IS
FOR US TO SEE ALL OF THE DATA,
ALL OF THE MODELING THEY HAVE
DONE TO UNDERSTAND BECAUSE
FUNDAMENTALLY, A LOT OF WHERE
THE CONVERSATION IS HAD IS WHAT
IS THE AFFORDABILITY LEVELS
REQUIRED? WHAT ARE THE OTHER
CONDITIONS THAT WE PUT ON
PARTICIPATION IN THE PROGRAM?
THAT MODELING AND THAT OTHER
DATA THAT THEY COLLECT IS
REALLY WHAT HELPS US INFORM
THAT, AND THAT IS WHAT WE WANT
TO SEE, AND THAT IS WHAT I
DON'T THINK WE'RE GOING TO
GET. [ INAUDIBLE ]
>> SO WILL THIS BE THE TYPICAL,
THEY SET SOMETHING DOWN. WE
HAVE TWO OR THREE WEEKS TO
VOTED OUT OF COMMITTEE? I MEAN,
IS THAT HOW FAST THIS IS GOING?
IF THE EXTENSION DOES WHAT I'M
HEARING YOU SAY IS THAT
JANUARY, THEY COULD BE DONE
WITH THEIR WORK, SO MAYBE WE
COULD SEE THE DRAFT PLAN BEFORE
WE HAVE TO [ INAUDIBLE ] WE
WILL HAVE AT LEAST A MONTH OR
TWO.
>> THAT IS WHY I SAID WE WANTED
TO GO WITH THE MARCH DEADLINE.
IF THEY DON'T GET US SOMETHING
FORMALLY UNTIL JANUARY, THEN WE
HAVE THAT TIME TO BE ABLE TO
NOT HAVE TO RUSH THROUGH. WE
WOULD STILL HAVE UNTIL MARCH
31st TO APPROVE THE PROGRAM. SO
THAT IS WHAT WOULD GIVE US THE
TIME. WE CAN ASK, COUNCIL
MEMBERS. WE CAN ALWAYS ASK THE
EXECUTIVE, COULD YOU GIVE US AN
EARLY BRIEFING ABOUT WHAT YOU
ARE FINDING AND WHERE YOU THINK
YOU MIGHT BE HEADING. WE CAN
ALWAYS ASK. WE DON'T ALWAYS
GET -- [ INAUDIBLE ]
>> IT'S NOT LIKE THEY NEEDS
ONLY FOR JANUARY. THEN WE WILL
HAVE SOME TIME.
>> YUP. AND THEY ARE VERY WELL
AWARE OF EVERYBODY'S INTEREST
IN THIS PROGRAM AND WANTING TO
MOVE ON WITH THIS PROGRAM, SO I
THINK THEY ARE DOING THEIR DUE
DILIGENCE TO GET THE WORK DONE.
IT IS JUST THAT IT IS A PROCESS
AND THEY HAVE CONTRACTORS DOING
SOME PART OF THE WORK AND THEN
THEY THEMSELVES ARE GOING OUT
AND DOING IT. I THINK O.H. IS
GOOD AT ENGAGING THEM TO GET
THEIR INPUT ON IT. THIS IS A
BIG DEVOTION. WE HAVE NOT DONE
A ROBUST EVOLUTION OF THIS
PROGRAM FOR MANY YEARS. WE WANT
THEM TO DO IT WELL AND TO GET
US WHAT WE NEED, WHAT YOU ALL
NEED, TO DECIDE AND FEEL
COMFORTABLE ABOUT WHATEVER THEY
APPROVE IN TERMS OF THAT
PROGRAM IN 2025.
>> OKAY.
>> THAT HELP?
>> YEAH. SO LITTLE SUGGESTION
IN THE LEGISLATION. THIS SHOULD
BE TRANSMITTED BY THE END OF
JANUARY SO IT IS EXTENDED
THROUGH MARCH.
>> LET'S TALK LATER. [
INAUDIBLE ]
>> GOOD. HAPPY TO DO THAT.
>> ANY QUESTIONS?
>> I HAVE A QUESTION AND A
COMMENT. SO ANY EXTENSION THAT
WE DO THROUGH THE END OF MARCH
, HOW MANY NEW DEVELOPERS DO WE
ANTICIPATE ARE GOING TO BE
APPLYING BETWEEN NOW AND MARCH
25th? IS IT POSSIBLE TO SAY?
AND ALSO, THOSE PEOPLE WILL BE
GRANDFATHERED INTO THE CURRENT
PROGRAM, RIGHT?
>> THEY WILL BE APPLYING TO
PROGRAM SIX. PROGRAM SIX.
EXCUSE ME.
>> THERE IS NO WAY OF KNOWING
IN THIS CURRENT ENVIRONMENT
THAT WE ARE IN RIGHT NOW IN THE
DEVELOPING WORLD, WHAT PRODUCTS
WE MIGHT BE LOOKING AT COMING
IN. I CAN GET AN UPDATE FROM
O.H. TO SEE WHAT THEY HAVE SEEN
IN TERMS OF ANY NEW
APPLICATIONS AND KIND OF WHAT
THEY HAVE IN TERMS OF THE FLOW,
BUT, YOU KNOW, IT IS A DYNAMIC
TIME IN OUR REAL ESTATE
DEVELOPMENT PIPELINE AND
BECAUSE THIS IS A PRIMARILY
MARKET-DRIVEN PROGRAM, WHAT IS
GOING ON IN THE PRIVATE MARKET
DEVELOPMENT WORLD HAS
IMPLICATIONS FOR THIS PROGRAM.
>> YEAH. AND AS A COROLLARY,
THE PROGRAM IS MHA. DO WE HAVE
ANY UPDATE ON WHEN THAT REPORT
MIGHT BE COMING?
>> I KNEW YOU WERE GOING TO ASK
THAT. MY UNDERSTANDING IS THAT
WE WERE GOING TO HAVE THAT IN
2025. I DON'T STEP THAT ISSUE,
BUT MY REASONING IS THAT WHEN
-- IS WHEN THAT WOULD BE. I
DON'T KNOW ABOUT EARLY 2025. I
WILL CONFIRM THAT FOR YOU.
>> THERE'S BEEN SOME
DISCUSSION ABOUT MAYBE LOOKING
AT HOW WE CAN UTILIZE THEM IN
TANDEM TO ACCELERATE THE VALUE
OR THE BRINGING ONLINE OF
AFFORDABLE HOUSING.
>> AND I BELIEVE -- I BELIEVE
THAT IS BEING LOOKED AT AS PART
OF THE MHA PROGRAM BECAUSE THAT
IS WHERE THE PROHIBITION ON THE
ABILITY TO LAYER MFTE RESIDES.
MFTE IS SILENT ABOUT THE
ABILITY TO LAYER.
>> OKAY. ANY QUESTIONS? NO?
OKAY. SO THIS WAS SET FOR VOTE,
BUT I THINK, GIVEN THAT WE HAVE
HAD SOME DISCUSSION ABOUT
ADDITIONAL INFORMATION, AND
PERHAPS BRINGING AN AMENDMENT
TO THIS EXTENSION BUILT FOR
SOME CLARITY, ABOUT WHEN WE ARE
GOING TO GET INFORMATION
REGARDING THE NEW BILL, I'M
GOING TO HOLD IT OFF FOR VOTE
UNTIL OUR NEXT COMMITTEE
MEETING SOMETIME IN EARLY, MID
SEPTEMBER.
>> OKAY.
>> YEAH. THANK YOU VERY MUCH
FOR YOUR OVERVIEW. APPRECIATE
IT. OKAY. CLERK, IF YOU COULD
READ THE NEXT AGENDA ITEM .
>> LAW ENFORCEMENT ASSISTED
DIVERSION AND LEAD, AND CO-LEAD
2024 OVERVIEW FOR BRIEFING AND
DISCUSSION.
>> I DON'T HAVE IT
.
ALL RIGHT. THANK YOU.
COLLEAGUES, WE HAVE AN UPDATE
ON L.E.A.D. AND COLEAD'S WORK.
L.E.A.D. STANDS FOR LAW
ENFORCEMENT ASSISTED DIVERSION.
WE HAVE A TEAM OF PRESENTERS
WITH US HERE TODAY TO WALK US
THROUGH A PRESENTATION OF THEIR
WORK, AND I WILL TURN IT OVER
TO THE AUGUST TABLE IN FRONT OF
US. IF YOU COULD PLEASE
INTRODUCE YOURSELVES. THANK
YOU.
>> DO YOU WANT TO START?
>> THERE ARE TWO BRANDIES.
>> HELLO. MY NAME IS BRANDIE
FLOOD BUT I'M THE DIRECTOR OF
COMMUNITY DIRECTOR -- SERVICES.
>> GOOD MORNING. I AM TO 12.
>> HELLO.
>> GOOD MORNING, COUNCIL
MEMBERS. DENISE PEREZ VOLLEY.
>> I'M NICOLE ALEXANDER,
DIRECTOR OF OUTREACH FOR COLEAD
POINT
>> I'M CHRIS PORTER. I'M THE
HUMAN RESOURCE MANAGER STEPPING
IN.
>> I AM SAM WOLFF. ON THE
PROGRAM DIRECTOR.
>> GOOD MORNING. BRANDI McNEIL.
I'M ONE OF THE DIRECTORS WITH
PDA.
>> WELCOME.
>> LET'S GET INTO IT. I WILL
START WITH A BRIEF OVERVIEW.
L.E.A.D. IS A PUBLIC SAFETY
PROGRAM. OUR GOAL IS TO WORK
WITH PEOPLE WHOSE UNLAWFUL
BEHAVIOR IS DRIVEN BY POVERTY
AND/OR UNADDRESSED BEHAVIORAL
HEALTH ISSUES. THINGS LIKE
SUBSTANCE USE DISORDER, OR
MENTAL HEALTH. OUR GOAL IS TO
WORK WITH OUR CLIENTS TOWARDS
CHANGE, AND WE DO THIS VIA
LONG-TERM INTENSIVE CASE
MANAGEMENT. LEAD CASE MANAGERS
ACT AS THE GOLDEN THREAD FOR
CLIENTS, BROKERING ACCESS TO
RESOURCES, THINGS LIKE HOUSING,
AS WELL AS HELPING THEM TO
NAVIGATE THE OFTEN COMPLEX
PATHS AHEAD OF THEM. L.E.A.D.
IS DESIGNED TO BE COMPLEMENT
THREE TO THE REST OF THE PUBLIC
SAFETY ECOSYSTEM. WE TAKE
REFERRALS FROM FIRST
RESPONDERS, AND THEN AS WE DO
OUR LONG-TERM CARE, WE ACTIVELY
COORDINATE WITH CRIMINAL LEGAL
SYSTEM PARTNERS TO MAKE SURE
THAT WE ARE ABLE TO SUPPORT OUR
CLIENTS AS THEY WALK THROUGH
THOSE SYSTEMS. FOR CLIENTS,
THERE ARE A FEW WAYS TO GET
INTO L.E.A.D.. WHEN L.E.A.D.
STARTED IN 2011, THE ONLY WAY
IN WAS ARRESTED DIVERSIONS. AT
THAT TIME, THE L.E.A.D. LEADING
GROUP CREATED A LIST OF
OFFENSES . WE ARE RECEIVING A
LOT OF DIVERSIONS RELATED TO
PUBLIC USE, BUT THERE ARE A
NUMBER THAT ARE ELIGIBLE FOR
DIVERSION. THINGS LIKE
MISDEMEANOR THEFT, PROPERTY
DESTRUCTION, PROSTITUTION, AND
MORE. OFFICERS EXERCISE
DISCRETION WHEN MAKING
DIVERSIONS. EVEN IF SOMEONE IS
ELIGIBLE FOR L.E.A.D.
PROTOCOLS, THEY ARE NOT
REQUIRED TO DO SO. SO
FUNDAMENTALLY THAT MEANS THAT
EVERY ARREST DIVERSION THAT WE
RECEIVE STARTS WITH A DECISION
BY THE OFFICER TO MAKE THE
DIVERSION, AND THEN OF COURSE,
THE DECISION BY THE DIVERTED
INDIVIDUAL TO PARTICIPATE IN
THE PROGRAM. A FEW YEARS AFTER
L.E.A.D. STARTED, WE OPENED UP
WHAT IS CALLED SOCIAL CONTACT
REFERRALS. ESSENTIALLY, THIS IS
A REFERRAL THAT A
LAW-ENFORCEMENT OFFICER CAN
MAKE WHEN THERE IS NO IMMEDIATE
NEED FOR ARREST, BUT WHEN THAT
INDIVIDUAL IS NEW IN
LAW-ENFORCEMENT, TO ENGAGE IN
LAW VIOLATIONS. THEN, DURING
THE PANDEMIC, THE POLICY
COORDINATOR GROUP DIRECTED US
TO OPEN UP TO COMMUNITY
REFERRALS WERE ANYBODY CAN MAKE
A REFERRAL. WE OPERATE THIS
REFERRAL SYSTEM WHEN WE HAVE
CAPACITY AFTER LAW-ENFORCEMENT
REFERRALS. WHEN WE HAVE
CAPACITY, ISSUES, THE COMMUNITY
REFERRALS SYSTEM IS THE FIRST
TO SHUT DOWN. WE HAVE DONE THIS
MULTIPLE TIMES OVER THE YEARS.
WHEN IT'S OPERATING, THE
COMMUNITY REFERRAL SYSTEM CAN
BE A REALLY ROBUST WAY TO
REDUCE BURDENS ON THE EMERGENCY
RESPONSE SYSTEM. ESSENTIALLY,
THROUGH COMMUNITY PARTNERSHIPS,
WE ARE ABLE TO WORK WITH
COMMUNITY AND IDENTIFY
INDIVIDUALS THAT ARE LIKELY TO
BE GENERATING 911 CALLS AND
HOPEFULLY BE ABLE TO
PREEMPTIVELY WORK WITH THEM,
AND DO SOMETHING BEFORE THOSE
911 CALLS ARE GENERATED. DUE TO
NOT HAVING CAPACITY TO WORK
WITH ALL POTENTIALLY ELIGIBLE
INDIVIDUALS THROUGHOUT THE CITY
OF SEATTLE, WE ARE CURRENTLY
ONLY ABLE TO TAKE COMMUNITY
REFERRALS FROM FOCUS IMPACT
AREAS, WHICH ARE SPECIFIC
GEOGRAPHIC REGIONS SCATTERED
THROUGHOUT THE CITY, AS DEFINED
IN OUR CITY CONTRACT, WHERE WE
ARE FOCUSING OUR RESOURCES TO
MAKE ENHANCED IMPACTS. AND
ALTHOUGH WE AREN'T ABLE TO
TAKE REFERRALS FROM EVERYWHERE
IN THE CITY FOR THE COMMUNITY
REFERRAL SYSTEM, WE CAN DO SO
FOR LAW-ENFORCEMENT REFERRALS.
WE HAVE OFFICES AND TEAMS
THROUGHOUT THE CITY. REACH WAS
JOINED BY [ INAUDIBLE ] AND
IDEAL OPTION, ARE TWO NEW
SERVICE PROVIDERS. IT IS BASED
IN SOUTH SEATTLE. THEY OPENED A
NEW OFFICE NEAR NORTHGATE THIS
YEAR. THIS COLLECTION OF TEAMS
AND OFFICES THROUGHOUT THE CITY
OFFERS INCREASED ACCESS TO
SUPPORT FOR CLIENTS, AND AS OUR
TEAMS CORDONING TOGETHER TO TRY
TO WRAPAROUND SUPPORT AND
OUTREACH, ALL OF OUR LEAD
CLIENTS, IT OFFERS US THAT MUCH
MORE CAPACITY TO DO SO.
>> L.E.A.D. IS A FRAMEWORK FOR
TACKLING LAW VIOLATIONS THAT
HAVE CONSEQUENCES FOR SELF AND
OTHERS. THAT INCLUDES ECONOMIC
ACTIVITIES INCLUDING SEX WORK
BY THOSE WHO STRUGGLE WITH
SUBSTANCE USE DISORDER.
L.E.A.D. DOES THIS WORK USING
BEST PRACTICES AND RECOVERING
SERVICES. THE MODEL IS ALIGNED
WITH THE SUBSTANCE ABUSE AND
MENTAL HEALTH SERVICES
ADMINISTRATION FRAMEWORK FOR
RECOVERY. L.E.A.D. IS ORGANIZED
AROUND CORE COMPETENCIES AND
COUNSELING AS DEFINED BY
RCW18.25.0.0. THIS KIND OF CASE
MANAGEMENT IS A GOLDEN THREAD
THAT STICKS WITH A PERSON OVER
MONTHS AND OFTEN YEARS. IT
HELPS ACHIEVE ACTUAL PROGRESS
EVEN THROUGH SETBACKS. CASE
MANAGERS HELP PARTICIPANTS
NAVIGATE RESOURCES LIKE
OUTPATIENT TREATMENT,
MEDICATION TREATMENT, INPATIENT
TREATMENT, JOB TRAINING. THE
LIST REALLY DOES GO ON AND ON.
IT INVOLVES MULTISYSTEM
NAVIGATION TO TACKLE
IMPEDIMENTS AND RECOVERY.
HEALTH, HOME, PURPOSE, AND
COMMUNITY. ANOTHER KEY ELEMENT
IS THE FRAMEWORK FOR
INFORMATION SHARING THAT
INCLUDES AND INVOLVES THE
SEATTLE POLICE DEPARTMENT AND
PROSECUTORS AT BOTH THE KING
COUNTY PROSECUTING ATTORNEY'S
OFFICE AND THE SEATTLE
ATTORNEY'S OFFICE. LEGAL
ASSISTANT CORONATION IS
IMPOTENT, WHICH IS DEPENDENT ON
OUR PARTNERSHIPS AND AGREEMENTS
WITH OUR PROSECUTORIAL
PARTNERS. L.E.A.D. INCLUDES
NEIGHBORHOOD-BASED CASE
CONFERENCING, AND FINALLY,
PROJECT MANAGEMENT. WHICH
ENSURES PUBLIC IMPACT IS
MITIGATED AND THE PROGRAM
OPERATES WITH FIDELITY TO THE
EVIDENCE-BASED MODEL. THE LEAD
FRAMEWORK HAS EVOLVED AND
CONTINUES TO EVOLVE IN THE
COMMUNITY. L.E.A.D. STARTED IN
SEATTLE AND HAS BEEN REPLICATED
IN 60 JURISDICTIONS ACROSS THE
COUNTRY AND THE WORLD. IT IS
THE MOST WIDELY REPLICATED
DIVERSION FRAMEWORK IN THE
UNITED STATES. WITHIN
WASHINGTON STATE, L.E.A.D. HAS
BEEN REPLICATED SINCE 2019,
STARTING WITH DEMONSTRATION
PROJECTS IN THURSTON AND MASON
COUNTIES. IT IS BASED DIRECTLY
ON THE L.E.A.D. FRAMEWORK. IN
2020, COLEAD WAS DEVELOPED TO
SUPPORT STABILIZATION AND
HEALTHCARE CONNECTIONS THROUGH
THE USE OF TEMPORARY LODGING,
AND YOU WILL HEAR MORE ABOUT
THE COLEAD PROGRAM LATER IN
THIS PRESENTATION. FINALLY, WE
HAVE THE THIRD AVENUE PROJECT,
OR TAP. THE THIRD AVENUE
PROJECT WAS DEVELOPED IN 2022
AT THE REQUEST OF DOWNTOWN
BUSINESSES THAT WERE SHUTTLING
TO OPERATE IN DANGEROUS AND
DISORDERLY CONDITIONS DOWNTOWN.
THE PROJECT UTILIZES THAT WE
DELIVER CARE, OR WDC TEAM,
WHICH INVOLVES IMMEDIATE
TROUBLESHOOTING. IT PROVIDES
CASE MANAGEMENT FOR HIGH
PRIORITY INDIVIDUALS AS
CAPACITY ALLOWS.
>> SO, AS MOST OF US KNOW,
RECOVERY IS NOT LINEAR. WHAT WE
HAVE FOUND IS THAT THIS GIVES
FOLKS A FOUNDATION TO WORK ON
THEIR RECOVERY. THROUGHOUT
EVERY PART OF COLEAD, OUR
PARTICIPANTS ARE ON THEIR OWN
JOURNEYS. LAST WEEK FOR THREE
DAYS, WE WORKED WITH A
PARTICIPANT WHO WAS IN CRISIS.
UPON ENTERING INTO THEIR
PROGRAM, THEY SUFFERED A
TRAUMATIC BRAIN INJURY, AND
MOMENTS BEFORE WALKING THROUGH
OUR DOOR, A HORRIFIC LOSS.
PARTICIPANT CAME IN ON
METHADONE AND WANTED TO
CONTINUE. UNFORTUNATELY, AS IN
MOST PROLONGED CRISES, THIS
PARTICIPANT WENT INTO
WITHDRAWAL. OUR TEAM KNEW THAT
IT WAS DETRIMENTAL TO GIVE THIS
PART IS MEANT TO DOSE ON
METHADONE. DUE TO THE NATURE OF
THE CRISIS THE PARTICIPANT WAS
PARTICIPATING -- EXPENSING, IT
TOOK HOURS. [ INAUDIBLE ]
GETTING THE PARTICIPANT TO
DOSE, AND THEN TRANSPORTING
BACK. IN THE END, THE
PARTICIPANT WAS ABLE TO DOSE
AND CONTINUE TO WORK WITH CASE
MANAGERS TO COME OUT OF CRISIS.
ON MONDAY, AT OUR PERMANENT
HOUSING PROJECT, IT WAS BROUGHT
TO OUR ATTENTION THAT FIVE OF
THE AFTERCARE PARTICIPANTS
THERE WERE READY TO START
METHADONE. UNFORTUNATELY, THERE
WAS NO TRANSPORTATION THEY
COULD FIND TO GET PARTICIPANTS
TO DOSE. WE WERE ABLE TO WORK
QUICKLY AND WORK WITH OUR
PARTNERING TRANSPORTATION
COMPANY TO GET OUR FOLKS TO
DOSING, AND IN FACT, IF IT IS
CLOSE TO 10, THEIR DOSING RIGHT
NOW. YESTERDAY, OUR OUTREACH
TEAM WAS ABLE TO BRING IN A
PREGNANT COUPLE THEY HAD BEEN
WORKING WITH FOR WEEKS.
TOMORROW, WE WORK ON GETTING
THEM [ INAUDIBLE ] .
EVERYONE'S RECOVERY LOOKS
DIFFERENT. COLEAD IS THE
FOUNDATION IN THEIR LIVES BUT
OUR PARTICIPANTS HAVE REUNITED
WITH FAMILY. THEY HAVE GAINED
THEIR CHILDREN BACK. THEY HAVE
GONE TO SCHOOL AND ENTERED INTO
TRADES TRAINING. THEY HAVE
GAINED EMPLOYMENT, HAVE BEEN
HOUSED, AND CONTINUE TO GROW. I
WOULD BE REMISS IF I DIDN'T
SHARE ONE STAGGERING DATA THAT
WE HAVE. WE HAVE HAD ZERO
DEATHS BY OVERDOSE IN ANY OF
OUR LODGING FACILITIES THROUGH
OUR WHOLE TIME OF OPERATING
LODGING. WE CAN AND DO RECOVER.
I'LL PASS IT BACK TO SAM.
>> ALL RIGHT.
>> YOU GUYS DUMPED IT OVER TO
ME. I FEEL LIKE THAT OLYMPIC
BASKETBALL TEAM. THAT WAS A
REALLY GOOD GAME. OKAY. I WORK
WITH REACH. SO REACH EVERGREEN
TREATMENT SERVICES HAS BEEN THE
SERVICE PROVIDER FOR LEAD SINCE
2011. WE PROVIDE LONG-TERM CASE
MANAGEMENT SERVICES TO LEAD
PARTICIPANTS. IT UTILIZES THE
DISPOSE OF MOTIVATIONAL
INTERVIEWING, HARM REDUCTION ,
OUTREACH, AND RADICAL
HOSPITALITY TO DO OUR WORK. WE
EMBRACE A CLIENT CENTERED
APPROACH THAT CREATES AN
ENVIRONMENT OF RELYING, THEIR
TRUST AND ENGAGEMENT, OUR
PARTICIPANTS ARE ABLE TO FOCUS
ON THEIR GOALS, AND REALLY
DEVELOP A SENSE OF AUTONOMY
WITH THAT APPROACH. OUR OVERALL
PURPOSE IN THIS WORK IS TO
BUILD BRIDGES BETWEEN THE
SYSTEMS THAT OUR FOLKS
ENCOUNTER, AND THE
PARTICIPANTS. AND IN A WAY, OUR
CLIENTS HAVE DIGNITY AND A
SHARED HUMANITY THROUGH THE
EXPERIENCE. IT IS OFTEN HARD TO
NAVIGATE THESE SYSTEMS AND THE
FOLKS THAT WE SERVE OUR FOLKS
WHO HAVE BEEN HOMELESS A LONG
TIME. PEOPLE ENGAGED IN THE SEX
TRADE ARE NOT ALWAYS RESPECTED
WHEN THEY WALK INTO THE
SYSTEMS. [ INAUDIBLE ] OUR JOB
IS TO BUILD THAT BRIDGE AND
CREATE AN ENVIRONMENT WHERE
THEY CAN IMPROVE THEIR LIVES. I
ONLY HAVE SO MUCH TIME, BUT,
YOU KNOW, I ALWAYS LOVE TO
SHARE A STORY AND HELP, LIKE,
CONNECT THOSE DOTS BECAUSE
L.E.A.D. IS QUITE MASSIVE IN
THE WORK THAT WE DO. ONE STORY
I WANT TO SHARE IS ABOUT ONE OF
OUR CLIENTS WHO IS PART OF THE
THIRD AVENUE PROJECT. YOUNG,
BLACK, MAN IN HIS EARLY 30s. HE
WAS ENCOUNTERED ON THE STREETS
THROUGH THE WDC, WHO DOES THE
WORK ON [ INAUDIBLE ] . THEY
IDENTIFIED THAT THIS WOULD BE A
GOOD L.E.A.D. PARTICIPANT AND
THEY MADE A REFERRAL TO JOSEPH
JACKSON, OUR SCREENING AND
OUTREACH COORDINATOR. AS SOON
AS HE MET HIM, HE DID THE
REFERRAL. HE DID THE INTAKE
PROCESS. HE CONNECTED HIM TO
OUR L.E.A.D. CASE MANAGER, IVAR
NELSON. WORKING WITH THIS YOUNG
MAN, HE WAS IDENTIFYING HIS
GOALS WITH YVONNE .1 OF THOSE
GOALS WAS TREATMENT. SO WE HAVE
OUR TREATMENT AT EVERGREEN --
WE HAVE THE PROGRAM RIGHT HERE
IN BELLTOWN. IT HAS BEEN THERE
FOR OVER A YEAR, AND WE STARTED
EIGHT METHADONE PROGRAM. THEY
BROUGHT IT ON. THEY WERE ABLE
TO ENROLL THIS GENTLEMAN INTO
THE METHADONE PROGRAM, AND BY
NOW, THROUGH THE THIRD AVENUE
PROJECT ENTER ACCESS TO HOUSING
THROUGH THAT PROJECT, WE ARE
WORKING ON HOUSING WITH HIM. WE
ARE FINISHING THE PAPERWORK UP
NOW, SO HOPEFULLY, BY THE
MIDDLE OF SEPTEMBER, THIS
PERSON WILL BE OFF THE STREET.
IT IS REMARKABLE BECAUSE OUR
TREATMENT EMOTIONS PROGRAM HAS
ENROLLED ABOUT 125 FOLKS THIS
YEAR. TOTAL, AND THE ENTIRE,
SINCE 2023, WE HAVE ENROLLED
2300 FOLKS FROM BELLTOWN, AND
THAT IS BELLTOWN, THIRD AVENUE,
THOSE PLACES WHERE WE ARE
SEEING A LOT OF DRUG USE.
BELIEVE ME WHEN I SAY IT IS A
MIRACLE TO GET SOMEBODY TO STOP
WHAT THEY ARE DOING ON THIRD
AVENUE AND MAKE IT DOWN. [
INAUDIBLE ] R STREET OUTREACH
WORKERS, THEY USE A LOT OF
MOTIVATIONAL INTERVIEWING AND
MEETING THE PERSON WHERE
THEY'RE AT AND GREETING THE
OPPORTUNITY FOR THE PERSON TO
BE THEMSELVES AND ACCESS
TREATMENT IN THE WAY THAT THEY
WANT TO. THANK YOU.
>> THANK YOU. AGAIN, MY NAME IS
CHRIS PORTER. PRONOUNS ARE HE,
HIM. FOR THOSE OF YOU THAT
DON'T KNOW, POCAAN WORKS IN
HIV PREVENTION. PARTICULARLY IN
COMMUNITIES OF COLOR. SINCE
THAT TIME, POCAAN HAS REALLY
EXPANDED ITS PROGRAMS, AND I
CAN'T REMEMBER THEM ALL FROM
MY MEMORY, BUT FOR INSTANCE,
THE HIV CASE MANAGEMENT
PROGRAM. THE TRANS-ECONOMIC
EMPOWERMENT. WE HAVE HIV MOBILE
TESTING UNITS, SO FOLKS CAN
COME TO OFFICE, AS WELL AS, WE
HAVE A MEDICAL MOBILE FAN THAT
CAN GO TO VARIOUS SITES AND
TEST PEOPLE, NOT ONLY FOR HIV,
BUT OTHER STI'S, AS WELL AS
BLOOD PRESSURE CHECKS, GLUCOSE
CHECKS, CHOLESTEROL CHECKS, AS
WELL. BEST STARTS FOR KIDS . [
INAUDIBLE ] ADDRESSING HOMELESS
PREVENTION BECAUSE IT COSTS
LESS TO PREVENT SOMEONE FROM
LOSING THEIR HOUSING THAN WHEN
THEY LOSE, TO TRY TO REGAIN
HOUSING SOMEWHERE AND BE STABLE
WITH THAT. WE HAVE EIGHT SENIOR
MEDICAL MOBILE PROGRAM WHERE WE
HAVE ESSENTIALLY A MOBILE
CLINIC THAT GOES TO SENIOR
CENTERS AND OUT TO THE
COMMUNITY TO PROVIDE HEALTH
SERVICES FOR SENIORS, AS WELL
AS OTHER COMMUNITY MEMBERS, AS
WELL. SO WE HAVE REALLY JUST
BEEN EXPANDING OUR SERVICES,
AND OF COURSE, WE ARE PART OF
THE L.E.A.D. PROGRAM. I'LL
MAKE THIS BRIEF, TOO. ONE OF
OUR SUCCESS STORIES, A
25-YEAR-OLD MALE, GOES BY THE
INITIALS OF AA , WHO IS EAST
AFRICAN, LIVES IN CANADA, AND
CAME TO SEATTLE. HE HAD A
TREMENDOUS AMOUNT OF ANXIETY
AND FEAR FROM PAST TRAUMATIC
EVENTS IN HIS LIFE, AND REALLY
STRUGGLED WITH CROWDS AND
PEOPLE AND JUST BEING AROUND
OTHERS , AND THE NOTION OF
GOING TO A SHELTER WAS NOT AN
OPTION BASED ON HIS SEVERE
ANXIETY. SO HE WAS LIVING IN A
TENT IN C.I.D. AND FOUND A WAY
TO SELF MEDICATE WITH VARIOUS
SUBSTANCES. ANYWAY, HE CAME
INTO OUR PROGRAM, AND I THINK
THE SUCCESS BEHIND THIS IS
HAVING A CASE MANAGER THAT IS
SENSITIVE, NURTURING, AND VERY
PATIENT, IT SHOULD TRY TO GET
HIM FROM WHERE HE WAS, VERY
ISOLATED, AND VERY NOT TRUSTING
OF SYSTEMS, AS WELL, AND
STRUCTURE, TO A POINT WHERE HE
COULD ACCEPT HOUSING, AND THIS
REALLY REQUIRED THE CASE
MANAGER TO JUST TAKE THE TIME
TO MEET HIM WHERE HE WAS, AND
TAKE THESE STEPS THAT HE COULD
TAKE TO AGREE TO A CERTAIN PLAN
AS HE MOVED ALONG, AND FINALLY
ACCEPTED A HOUSING SITUATION
WHICH WAS A VERY SMALL HOUSING
UNIT. THIS HAPPENED TO WORK
EXTREMELY WELL FOR HIS ANXIETY
BECAUSE THE NOTION OF GOING TO
A LARGE FACILITY OR
MULTI-LIVING FACILITY WHERE
THERE ARE LOTS OF PEOPLE JUST
ONLY PERPETUATES AND HEIGHTENS
HIS ANXIETY, SO HE SETTLED IN
WELL AND IS ADJUSTING, AND HAS
FINALLY, WITH THE NURTURING
WITH HIS CASE MANAGER, AGREED
TO CONSIDER TREATMENT FOR HIS
ANXIETY. OBVIOUSLY, BY
ADDRESSING THAT, HE WILL BE FAR
MORE OPEN TO MANY MORE THINGS
IN STABILIZING HIS LIFE. SO
JUST, YOU KNOW, A STORY ABOUT
HOW POWERFUL THIS PROGRAM IS,
AND THE WORK THAT THE CASE
MANAGERS DO TO BRING ABOUT THAT
STABILIZATION FOR THOSE AT
RISK, AND THEIR LIVES, YOU
KNOW, THEY ARE OVERWHELMED BY
SUBSTANCE USE, AND IN THIS
CASE, A MENTAL HEALTH DISORDER,
SEVERE ANXIETY. THANKS.
>> HELLO. I'M LORENZO,
SUPERVISOR FOR THE ELITE
PROGRAM FOR IDEAL OPTIONS. WE
ARE A MEDICAL ASSISTANT
PROVIDER. [ INAUDIBLE ] OUR
CORE VALUE IS MEETING PEOPLE
WHERE THEY ARE TO HELP THEM
MOVE FORWARD POINT WE CAN
PROVIDE IMMEDIATE ACCESS AND
TREATMENT FOR PEOPLE WHO ARE
READY TO ENGAGE THESE SERVICES
. THEY ARE SUPPORTS FOR PEOPLE
STRUGGLING WITH SUBSTANCE USE
DISORDER. AS A NEW L.E.A.D.
PROVIDER, WE TAKE ON NEW
CLIENTS FROM THE THIRD AVENUE
AREA. BUT ALSO THE PROVISION IN
THE NORTH PRECINCT. ONE OF OUR
CLIENTS IS A 27-YEAR-OLD WOMAN
WHO WE RECEIVED A RECENT LAW
ENFORCEMENT REFERRAL FROM AN
SPD OFFICER. SHE WAS LIVING IN
NORTHGATE IN AN ENCAMPMENT THAT
WAS SET FOR REMOVAL. WE LEARNED
THAT SHE HAS BEEN HOMELESS FOR
OVER A DECADE, AND STRUGGLING
WITH MENTAL HEALTH AND S.U.D..
SHE WAS UNSURE HOW TO BEGIN THE
NEXT STEPS. IN HER SITUATION --
IT MADE HER AN IDEAL CANDIDATE
FOR THE COLEAD PLACEMENT. BUT
DUE TO THE COLEAD PAUSE ON
PLACEMENT, WE HAD TO MAKE OTHER
ARRANGEMENTS. SHE WAS
APPREHENSIVE ABOUT LOSING HER
BELONGINGS IN THE ENCAMPMENT
REMOVAL, SO WE HELPED HER STORE
HER ITEMS . BUILDING TRUST, WE
WERE ABLE TO ASSIST HER AND
CONNECT HER TO TREATMENT IN THE
PROGRAM, WHICH OFFERS SUBOXONE
AND METHADONE TREATMENT AND
CONNECTED HER WITH SOUND MENTAL
HEALTH. WE SET TRANSPORTATION
UP WITH HER TO GET TO
APPOINTMENTS, WORK, AND GET HER
IDS AND DOCUMENTS READY FOR HER
TO HAVE HOUSING READY. SHE IS
WORKING ON GETTING THE SUPPORT
SHE NEEDS FOR HOUSING AND
CONTINUES TO ENGAGE WITH OUR
CASE MANAGEMENT. AND SCHEDULED
OPPONENTS. THIS CLIENT HAS MADE
SIGNIFICANT ACCOMPLISHMENTS
SINCE HER TIME WITH THE LEAD
PROGRAM AND CONTINUES TO GROW
IN A POSITIVE WAY IN TEAM
ENGAGEMENT. THIS IS A GREAT
EXAMPLE OF THE L.E.A.D. CASE
MANAGEMENT NOT ONLY WORKING
WITH ACCESSIBLE RESOURCES, BUT
WORKING ALONGSIDE THE DIFFICULT
TRIALS IN THE OFTEN
OVERWHELMING WORK THAT
COMPLETES THE CHANGE OF HEART.
[ INAUDIBLE ]
>> COLEAD IS COMPRISED OF THREE
PHASES. NOT RICH, TEMPORARY
LODGING, AND HOUSING AFTERCARE.
EVERYONE WHO COMES INTO COLEAD
IS VETTED, AND MOST ARE KNOWN
TO HAVE ONGOING LAW VIOLATIONS,
AND ARE PLACED WITH US WITH THE
OBJECTION OF STABILIZATION.
RECOVERY, AND CRIME REDUCTION.
OUR STAFF ARE HIGHLY SKILLED,
WORKING ON SITE 24 HOURS A DAY
, SEVEN DAYS A WEEK, TO PROVIDE
INTENSIVE CASE MANAGEMENT THAT
INCLUDES CONNECTIVITY TO
MEDICAL AND BEHAVIORAL
RESOURCES, GETTING PARTICIPANTS
TO THEIR MEDICAL OPPONENTS, AND
INTO TREATMENT. STAFF PROVIDED
LEGAL AND CRIMINAL SUPPORT THAT
NAVIGATES A VERY COMPLEX LEGAL
SYSTEM AND DAILY NOMINATE
INDIVIDUALS INTO HOUSING
REFERRALS. ONCE PLACED INTO
HOUSING, WE CONTINUE TO WORK
WITH EACH INDIVIDUAL FOR UP TO
12 MONTHS TO ENSURE THEIR
STABILIZATION. I'M SURE YOU
CAN IMAGINE. INDIVIDUALS LIVING
OUTDOORS FOR FIVE, 10,
SOMETIMES 15 YEARS OR MORE,
WHEN THEY COME INTO TEMPORARY
HOUSING, YOU CAN IMAGINE THEIR
MEDICAL CONDITION, THEIR MENTAL
STATE, AND BASICALLY, THEIR
OVERALL NEEDS. WE WORK WITH
EACH INDIVIDUAL, AND YOU CAN
ALSO IMAGINE , IT ISN'T EASY.
AT TIMES, IT IS VERY DIFFICULT,
AND VERY CHALLENGING WORK , YET
EACH OF US ARE COMMITTED TO
EACH OF OUR PARTICIPANTS ,
AIMING TO GET THEM HOUSED. A
SUMMARY OF WHAT WE PROVIDE.
SAFETY AND DE-ESCALATION.
OVERDOSE PREVENTION SERVICES,
HOUSING PLACEMENT . AFTERCARE
FOR THOSE IN PERMANENT HOUSING
TO PREVENT FURTHER RETURN TO
THE STREETS. CONNECTIVITY TO
MEDICAL CARE AND OVERDOSE
PREVENTION . STAFF ARE TRAINED
TO RESPOND 24 SEVEN.
>> SO UNFORTUNATELY WHAT WE
HAVE SEEN OVER THE LAST FEW
YEARS, IN 2021, WE WERE SERVING
240 BEDS. AS OF JULY OF THIS
YEAR, WE ARE DOWN TO 106 BEDS.
UNFORTUNATELY, WITH THE
DECREASE IN THOSE BEDS, WE ARE
SERVING LESS PEOPLE. AT THIS
TIME, WE HAVE MULTIPLE FUNDING
SOURCES, AND SEATTLE DOES
CONTAIN 50 OF THOSE ROOMS. AS
WE WERE SCALING DOWN RECENTLY,
WE WENT FROM THREE BUILDINGS TO
TWO. THIS WAS FOUND ON HER
FINAL WALK-THROUGH, WRITTEN BY
A PARTICIPANT IN OUR PROGRAM.
THIS PLACE WAS A HOME. IT TOOK
CARE OF US, PLAYED AS FIRST
BASE FOR MANY GREAT ADVENTURES,
AND FOR MANY OF US, IT WAS THE
FIRST TIME IN A LONG TIME THAT
WE COULD FEEL THAT WE BELONG
TO. THANK YOU, BELLTOWN. OFF TO
THE NEXT ADVENTURE.
>> ALL RIGHT. WE OFTEN MAKE THE
DISTINCTION THAT L.E.A.D. IS
NOT A PROGRAM, BUT IS A
FRAMEWORK, AND THIS FLOWCHART
IS WHAT WE MEAN. SO PDA,
ALTHOUGH WE PROJECT MANAGE THE
PROGRAM, WE DO NOT SELF
AUTHORIZE OR UNILATERALLY MAKE
DECISIONS. WE TAKE DIRECTIONS
FROM THE LEAD CORE KNITTING
GROUP, OR PCG, A BODY WHOSE
STAKEHOLDER MEMBERS ARE LISTED
AT THE BOTTOM OF THE SITE, MOST
NOTABLY, INCLUDING THE SEATTLE
CITY COUNCIL AS REPRESENTED BY
COUNCILMEMBER KETTLE. PDA TAKES
DIRECTION FROM THE POLICY CORE
KNITTING GROUP IN DOES A
VARIETY OF TASKS INCLUDING
SUBCONTRACTING TO ORGANIZATIONS
LIKE REACH, AND AS OF THIS
YEAR, AS PART OF THE PROCESS
WITH THE PANEL INCLUDING THE
CITY ATTORNEY, THE MAYOR'S
OFFICE, AND SPD, [ INAUDIBLE ]
IT IS A VERY SMALL BUT MIGHTY
TEAM OF ATTORNEYS THAT ASSISTS
CASE MANAGERS WITH CLIENT
SITUATIONS. THE COMMUNITY
OUTREACH AND ADVOCACY TEAM IS A
SPECIALIZED CLINICAL TEAM THAT
ASSISTS WITH LEAD CLIENTS WHO
ARE [ INAUDIBLE ] MEMBERS. LEAD
CLIENTS WHOSE COMPETENCY HAS
BEEN RAISED TO DO TO HAVING
HIGHER-LEVEL MENTAL HEALTH
ISSUES. FINALLY, L.E.A.D.
FUNDING GOES TO SUPPORT
PROSECUTORIAL LIAISONS. WE HAVE
TEAMS AT [ INAUDIBLE ] ABOUT
CASES THAT LEAD CLIENTS HAVE.
>> SO, NOW, WE GET INTO WHAT IS
EITHER THE MOST OR THE LEAST
EXCITING PART OF THIS
PRESENTATION, DEPENDING ON WHO
YOU ARE, WHICH IS FUNDING IN
THE BUDGET. FIRST, WE WILL
START WITH A BREAKDOWN OF
SEATTLE LEADS 2024 FUNDING.
THIS IS INCLUSIVE OF, YOU KNOW,
FUNDING THAT GOES TO OUR
SERVICE PROVIDERS. ETS REACH
AND OUR NEW SERVICE PROVIDERS.
IT IS WORTH NOTING THAT THOSE
NEW SERVICE PROVIDERS WERE
SELECTED BY A COMPETITIVE 13
PROCESS WITH THE CITY ATTORNEY,
SPD, AND THE MAYORS PANEL. IT
GOES TO WHAT SAM WAS SAYING
ABOUT HOW WE DON'T SELF
AUTHORIZE POINT WE TAKE
DIRECTION FROM OUR DERS. WITH R
LEAD FUNDING, WE PROJECT THAT
WE WILL BE SERVING NEARLY 1400
CLIENTS THIS YEAR. TOTAL
FUNDING IS BETWEEN 15.3 AND
$16.5 MILLION. WITH AN
ESTIMATED 1400 CLIENTS, IT
COMES OUT TO A COST OF AROUND
$11,000-$12,000 PER LEAD
CLIENT. NOW, WE ARE SHOWING THE
FULL PROGRAM BUDGET, EVEN
THOUGH NEARLY HALF OF THE
L.E.A.D. FUNDING COMES FROM
NON-CITY SOURCES BECAUSE ALL OF
THESE PEOPLE COME TO US DUE TO
IMPACTS ON PUBLIC ORDER ON THE
CITY OF SEATTLE. STATE FUNDS
ARE BEING SOURCED FOR BOTH THE
L.E.A.D. AND COLEAD PROGRAMS.
THE LEGISLATIVE AGENDA LAST
YEAR PRIORITIZED ADDITIONAL
FUNDING FOR L.E.A.D. FROM THE
STATE BUDGET TO SUPPORT
CONTINUING TO ACCOMMODATE
INCREASED REFERRALS, ESPECIALLY
DURING THE FIRST HALF OF 2025.
OF THAT 15.3 TO $16.5 MILLION,
ONLY 10.5 OF THAT IS ONGOING
FUNDING. THE FUNDS IN THAT
YELLOW TONE SLICES OF THE PIE
CHART ARE ONE-TIME FUNDS. THEY
REPRESENT A FUNDING CLIFF FOR
NEXT YEAR, WHEN IT COMES TO
ENSURING CONTINUITY OF CARE,
AND THE ABILITY TO TAKE
REFERRALS.
THIS IS A BREAKDOWN OF
COLEAD'S TWO DOZEN 24 FUNDING.
THE FUNDING IS APPROXIMATELY
$11.6 MILLION. MOST OF WHICH,
COMES FROM FUNDERS OTHER THAN
THE CITY. BUT AGAIN, WE ARE
SHOWING THE FULL PROGRAM BUDGET
BECAUSE THESE PARTICIPANTS COME
TO US DUE TO IMPACTS THEY'RE
HAVING ON PUBLIC ORDER AND
SAFETY IN THE CITY OF SEATTLE.
AND THOSE OTHER FUNDING SOURCES
ARE SCHEDULED TO END IN EARLY
2025. IT'S IMPORTANT TO NOTE
THAT THIS CHART DOESN'T
INCLUDE FACILITY COSTS. SUCH AS
THE CITY'S $2.85 MILLION LEASE
OF THE CIVIC HOTEL. WE ARE
EXPLORING A PLAN TO REDUCE THE
COST NEXT YEAR WITH THE
BUILDING PURCHASE, AND WE HAVE
RECEIVED A $7 MILLION
CONTRIBUTION. FROM THE
LEGISLATURE FOR THAT PURCHASE.
WE ARE EXPLORING WHETHER THE
CITY CAN MATCH THAT , AND THERE
ARE ONGOING DISCUSSIONS WITH
THE MAYOR'S OFFICE ABOUT HOW
THAT MIGHT HAPPEN. IT SHOWS
ONE-TIME FUNDING THAT
REPRESENTS A CLIFF FOR 2025. AN
EVALUATION OF COLEAD CONDUCTED
BY A UNIVERSITY OF WASHINGTON
RESEARCH TEAM FOUND THAT WHEN
COLEAD HAD ACCESS TO HOUSING
RESOURCES, MORE THAN 70% OF
CHRONICALLY HOMELESS
PARTICIPANTS WITH SUBSTANCE USE
DISORDERS AND LEGAL HISTORY
MOVED INTO PERMANENT HOUSING.
PEER REVIEWED EVALUATIONS OF
L.E.A.D. FROM 2017 TO 2019
SHOWED A 58% REDUCTION IN
RECIDIVISM FOR ALL CRIMINAL
ACTIVITY. NOT JUST DIVERTED
CRIMES, COMPARED TO A CONTROL
GROUP. WHAT THIS MEANS IS THAT
COMPARED TO PEOPLE WHO WERE
MATCHED AS A CONTROL GROUP,
SAME HISTORY, SAME RACE, ET
CETERA. THE LEAD GROUPS
PROPENSITY TO ENGAGE IN
CRIMINAL ACTIVITIES LEADING TO
THE ARREST WAS VERY DIFFERENT.
IT'S NOT THAT THE OVERALL
ENVIRONMENT WAS BECOMING MORE
PERMISSIVE. IN FACT, THE
CONTROL GROUP WAS ARRESTED AT A
SLIGHTLY HIGHER RATE
YEAR-OVER-YEAR. RATHER, THE
L.E.A.D. PROGRAM MADE A
DIFFERENCE. THE L.E.A.D. GROUPS
ARRESTS YEAR-OVER-YEAR WENT
DOWN CONSIDERABLY. THE KING
COUNTY AUDITOR FOR 2022 FOUND
THE L.E.A.D. FRAMEWORK L.E.A.D.
-- LEADS LOCAL MODELS IN TERMS
OF USING DATA TO MAKE PROGRAM
ADJUSTMENTS. [ INAUDIBLE ]
SPEAKING OF DATA, I WOULD LIKE
TO HIGHLIGHT SOME OF THE
L.E.A.D. OUTCOMES IN 2023. I
WILL NOTE THAT THESE ARE
DUPLICATED OUTCOMES, MEANING
ONE CLIENT COULD HAVE MULTIPLE
OUTCOMES PER CATEGORY. WITH
THAT SAID, FOR L.E.A.D., WITH
870 ACTIVE PARTICIPANTS IN
2023, THERE WERE 815 MENTAL
HEALTH ENGAGEMENTS. MENTAL
HEALTH ENGAGEMENTS INCLUDE
CONNECTIONS TO MENTAL HEALTH
PROVIDERS, ATTENDING MENTAL
HEALTH COUNSELING, MENTAL
HEALTH MEDICATION, AND
COMPETING A CRISIS PLAN. THERE
WERE 1231 SUBSTANCE USE
DISORDER ENGAGEMENTS. THESE
KINDS OF ENGAGEMENTS INCLUDED
S.U.D. ENGAGEMENTS, DETOX,
ATTENDING A RECOVERY SUPPORT
GROUP AND HARM REDUCTION
EDUCATION. THERE WERE 605
FINANCE AND BENEFITS
ENGAGEMENTS. THESE ENGAGEMENTS
INCLUDED BENEFIT OF PLANETS,
COMPLETING PAPERWORK FOR SSI,
SSDI, JOB TRAINING PROGRAMS,
EMPLOYMENT, AND BUDGETING, AND
THERE WERE 2840 LEGAL OUTCOMES.
THAT INCLUDES RESOLVING A LEGAL
CASE, VERY OFTEN, WITH INPUT
AND DIRECT INVOLVEMENT FROM OUR
PROSECUTORIAL PARTNERS,
RESOLVING WARRANTS , AGAIN,
OFTEN WITH THE ASSISTANCE OF A
PROSECUTORIAL PARTNER,
CORRELATING WITH A PARTICIPANTS
LAWYER, AND THE CASE MANAGER,
PROVIDING INFORMATION TO THE
COURT.
>> DENISE AND NICOLE.
>> EXCUSE ME. 2023 COLEAD DATA.
THESE ARE ALSO DUPLICATED
OUTCOMES FOR 2023. WE HAD 255
PARTICIPANTS. THE 255
PARTICIPANTS, 95 -- WE HAD
MENTAL HEALTH ENGAGEMENTS
CONNECTED TO MENTAL HEALTH
PROVIDERS, AND MENTAL HEALTH
COUNSELING, MENTAL HEALTH
MEDICATION, THE CRISIS PLAN
COMPLETION. 520 SUBSTANCE USE
-- SUBSTANCE USE DISORDER
ENGAGEMENTS. ASSESSMENT
INTENDED THE PERMITS, DETOX,
INPATIENT, OUTPATIENT, INTENDED
RECOVERY SUPPORT GROUPS, HARM
REDUCTION EDUCATION, 174
FINANCE AND BENEFITS
ENGAGEMENTS. ATTENDED
APPOINTMENTS, COMPLETED
PAPERWORK FOR SSI, SSDI, ABD,
UNEMPLOYMENT, JOB TRAINING
PROGRAMS, EMPLOYMENT,
BUDGETING. 717 LEGAL OUTCOMES.
LEGAL CASES RESOLVED, WARRANTS
RESOLVED, LAWYER COORDINATION,
CONNECTION, AND COURT ADVOCACY.
>> AS WE ARE MOVING FOLKS IN, I
THINK THERE IS A VERY LARGE
NUMBER HERE THAT WE LOVE TO
ACTUALLY SHARE. FROM JANUARY TO
JUNE OF THIS YEAR, 88 OUT OF
157 OF OUR PARTICIPANTS MOVED
FROM CO-LEAD INTO PERMANENT
LAUNCHING. -- LODGING. IT WAS A
HUGE SUCCESS AS WE WERE
DOWNSIZING FOLKS THAT WERE NOT
EXITED TO THE STREET. THEY WERE
FOUND TO BE PLACED INTO
PERMANENT HOUSING. CURRENTLY,
RIGHT NOW, THERE ARE FIVE
ADDITIONAL PLACEMENTS. THERE
ARE A COUPLE MORE. WE ADDED
SOME YESTERDAY TO OUR LIST, AND
WE ARE ACTIVELY PURSUING
MATCHES DAILY IN MULTIPLE AREAS
TO FIND LOCATIONS FOR OUR FOLKS
TO MOVE INTO PERMANENT HOUSING.
ONCE OUR FOLKS MOVE INTO
PERMANENT HOUSING, OUR
AFTERCARE TEAM -- IT WORKS
STABILIZATION. AS WE ALL KNOW,
THINGS ARE TRANSITIONAL AND
MOVING IS VERY SCARY. WE WANT
TO MAKE SURE THAT AS WE HAVE
PARTNERSHIPS WITH OUR PROGRAMS
LIKE LEHIGH AND PLYMOUTH AND SO
FORTH, THAT FOLKS DON'T LOSE
THAT HOUSING, OR THAT IT IS AN
APPROPRIATE FIT. 70 PEOPLE AT
HIGH RISK OF LOSING THEIR
PERMANENT HOUSING RECEIVED
STABILIZATION AND HOUSING
RETENTION. AND A FEW OF THOSE
WE HAVE ACTUALLY MOVED INTO A
MORE STABLE ENVIRONMENT AND A
STRONGER SET OF PERMANENT
SUPPORT HOUSING THAT WERE IN
SCATTERED SITES. WE WERE ALSO
AWARDED THE WASHINGTON STATE
FUNDS TO SUPPORT THE
STABILIZATION WORK, AS WELL.
>> ALL RIGHT. THANK YOU. WITH
WHATEVER TIME WE HAVE
REMAINING, WE ARE HAPPY TO
ANSWER ANY QUESTIONS YOU MIGHT
HAVE ABOUT EVERYTHING WE HAVE
PRESENTED ON.
>> THANK YOU VERY MUCH.
QUESTIONS? YES. COUNCILMEMBER
WOO.
>> I HAVE A COMMENT AND A
QUESTION. AND I AM SO SORRY. I
HAVE TO RUN TO A FUNERAL.
DON'T BE ALARMED IF I GET UP
AND LEAVE. I'M A HUGE FAN OF
YOUR PROGRAM. I HAVE SEEN YOUR
EFFECTS. I HAVE SEEN PEOPLE WHO
WERE IN NEED OF SERVICES, AND
ABLE TO GET THOSE SERVICES
THROUGH YOUR ORGANIZATION. IT
HAS BEEN AMAZING. I WOULD LOVE
TO SEE THE EXPANSION OF YOUR
PROGRAMS, ESPECIALLY ONTO 12
AND JACKSON BECAUSE I THINK I
WOULD REALLY HELP WHAT IS
HAPPENING ON TAP. BUT MY
QUESTION IS, WHAT DOES CAPACITY
LOOK LIKE? YOU TALKED ABOUT
DOWNSIZING FROM THREE BUILDINGS
TO TWO, BUT WHAT DOES THAT LOOK
LIKE GOING FORWARD? WHAT DOES
THAT LOOK LIKE FOR L.E.A.D.,
ESPECIALLY?
>> I THINK CAPACITIES, OF
COURSE, ALSO DEPEND ON FUNDING.
SO WE ARE ABLE TO CONTINUE TO
ACCEPT REFERRALS , PRIORITIZING
ARREST REFERRALS FROM OFFICERS
FIRST AND SOME COMMUNITY
REFERRALS THROUGH THE END OF
THIS YEAR, BUT WITH THAT
FUNDING CLIFF IN 2025, WHAT
THAT MEANS IT HAS A POSSIBILITY
THAT WE WILL HAVE TO FIGURE OUT
HOW TO SHRINK , HOW TO, YOU
KNOW, REDUCE ACCEPTING NEW
REFERRALS. SO, IT IS SOMETHING
THAT WE ARE PREPARING FOR, BUT
WE ARE GOING TO CONTINUE TO
OPERATE THROUGH THE END OF THE
YEAR AT OUR CURRENT SORT OF
CLIP, SO TO SPEAK. THAT IS OUR
PLAN AS OF RIGHT NOW.
>> THANK YOU.
>> I WILL ADD, SOME, WITH THE
POTENTIAL, YOU KNOW, FOR A
FUNDING CLIFF IN 2025, WE ARE
TRYING TO BE VERY CONSIDERATE
OF HOW WE ARE RAMPING UP
REFERRALS, SO FOR EXAMPLE, WE
ARE IN CLOSE CORONATION WITH
SPD LEADERSHIP OVER HOW AND
WHEN TO DO THINGS. THAT IS WHAT
WE ARE TRYING TO MAKE SURE WE
AVOID. SETTING UP A RAMP UP OF
A LOT OF MOMENTUM FOR REFERRALS
THAT WE MAY OR MAY NOT BE ABLE
TO SERVE DEPENDING ON THE
FUNDING SITUATION, SO WE ARE
MOVING A LITTLE BIT MORE
CONSIDERATELY THAN WE WOULD
OTHERWISE, GIVEN THE
UNCERTAINTY.
>> AND ONE OTHER THING I WILL
ADD, AS WELL, IS THAT AS WE
HAVE MENTIONED A COUPLE OF
TIMES, WE DO PRIORITIZE
REFERRALS FROM OFFICERS,
WHETHER THAT BE ARREST
REFERRALS, OR SOCIAL CONTACT
REFERRALS. BUT, YOU KNOW,
COMMUNITY REFERRALS DO HOLD A
REALLY VALUABLE ROLE IN THAT
THEY ACTUALLY REDUCE THE BURDEN
ON THE COMMUNITY, THE ABILITY
OF THE PEOPLE IN THE COMMUNITY
, WHETHER THAT BE BUSINESS
OWNERS, WHETHER THAT BE
NEIGHBORS, WHETHER THAT BE, YOU
KNOW, SERVICE PROVIDERS, HOW --
OUT SEEING FOLKS -- THIS IS
SOMEONE WE CAN HELP. THAT
REDUCES THE BURDEN ON OFFICERS
TO RESPOND. WE ARE ABLE TO COME
IN BEFORE SOMEBODY POSSIBLY IS
CAUSING A PUBLIC SAFETY
PROBLEM. PUBLIC REFERRALS,
ALTHOUGH WE PRIORITIZE THEM
LAST, TO MAKE SURE WE CAN
ALWAYS ACCEPT OFFICER REFERRALS
, THEY ARE A VALUABLE ADDITION,
AND THEY ARE PART OF BEING
RESPONSIVE TO PUBLIC SAFETY, SO
I WANT TO MAKE SURE WE
HIGHLIGHT THAT, AND THAT IS A
LOSS IF WE HAVE TO CURTAIL THAT
OR SHUT THAT ON BREAD
>> IF I CAN ADD ONE MORE THING,
THE COMMUNITY REFERRALS, THE
ONES WE WAIT HEAVIEST ARE THE
ONES IN OUR IMPACT AREAS. FOR
ME, I LIVE IN RANIER BEACH, SO
IT IS A PRIORITY, BUT THROUGH
THE RECOVERY NAVIGATOR FUNDING,
IT HAS ALLOWED US TO EXPAND
L.E.A.D. IN THAT AREA WHERE
THERE ARE SERVICES SERVING
THOSE POPULATIONS THAT ARE DRUG
USING AT HOME WAS IN THAT AREA.
WE CAN DO THAT IN THAT AREA.
>> I WILL ADD THAT WDC IS
EXPANDING ITS EXPERIENCE BY
LOOKING FROM HER OFFICE SPACE
IN CENTRAL SEATTLE. FURTHER
SOUTH IN FEDERAL WAY. WORKING
WITH THOSE ABLATIONS THAT HAVE
BEEN PUSHED OUT BECAUSE OF
HOUSING AND AFFORDABILITY AND
ACCESS TO. [ INAUDIBLE ]
>> THANK YOU. YOUR SERVICES ARE
DESPERATELY NEEDED. THANK YOU
FOR ALL THE WORK YOU DO. I'VE
SEEN FIRSTHAND FROM COMMUNITY
REFERRALS HOW THAT BURDEN AND
THAT STRESS IS TAKEN AWAY, AND
HELPS OUR COMMUNITIES, SO THANK
YOU SO MUCH BUT I HAVE NO
FURTHER QUESTIONS.
>> ANY OTHER QUESTIONS?
>> YES. COUNCILMEMBER SAKA .
>> THANK YOU, MADAM CHAIR.
THANK YOU FOR THE WORK YOU DO
EVERY DAY, YOU AND YOUR TEAMS.
IMPORTANT AND IMPACTFUL STUFF.
ONTO SHUT OUT AND APPRECIATE
THAT. EXPRESS MY SINCERE
GRATITUDE. IT IS HARD WORK BUT
IT IS IMPORTANT. ALSO, JUST AS
AN ASIDE, IT IS REALLY GREAT TO
SEE SOME DISTRICT ONE
CONSTITUENTS AND NEIGHBORS AND
RESIDENTS OF DISTRICT 1 HERE.
AND DENISE, AND MR. CHRISTOPHER
PORTER , CHRIS, IN PARTICULAR,
YOU HAVE BEEN A GREAT -- I HAD
THE PLEASURE OF PARTNERING WITH
YOU ON A NUMBER OF STRATEGIC
INITIATIVES AND COMMUNITY
ACTIVITIES AND EFFORTS IN OUR
VARIOUS SHARED COMMUNITIES
OUTSIDE OF THIS CONTEXT. AND
YOU HAVE BEEN A TERRIFIC
THOUGHT PARTNER, AND , YOU
KNOW, LEADER IN ANY NUMBER OF
SPACES, AND SO, REALLY GREAT TO
SEE YOU HERE, AND IT SOUNDS
LIKE YOU ARE WITH THEM IN THAT
CAPACITY. THANK YOU FOR BEING
HERE TODAY. THANK YOU FOR
SHARING THIS IMPORTANT WORK. TO
FOLLOW ON TO COUNCILMEMBER
WOO'S QUESTION, I WOULD BE
INTERESTED TO UNDERSTAND THAT
REFERRAL PROCESS AND ENGAGEMENT
PROCESS WITH RESPECT TO OUR NEW
CARE DEPARTMENT. THE CARE
DEPARTMENT, ARE THEY EMPOWERED
TO MAKE REFERRALS UNDER WHICH
OF THESE BUCKETS WITH THAT COME
IN? [ INAUDIBLE ] IF THEY DO.
HOW MANY REFERRALS DO THEY
TYPICALLY MAKE?
>> SO FAR.
>> AT THE MOMENT, THEY WOULD BE
IN THE REFERRAL BUCKETS. WE ARE
IN CONVERSATION, KNOWING THAT
THEY ARE OFFERING IMMEDIATE
RESPONSE FOR FIRST RESPONDERS.
ESSENTIALLY, AN ONGOING
CONVERSATION ABOUT HOW TO MAKE
THESE FIT TOGETHER, BUT CARES
DOES GREAT WORK AND WE ARE
COMMITTED TO TRYING TO
COMPLEMENT THEIR ADDITION TO
THE SYSTEM.
>> ABSOLUTELY. AND OUR CARE
DEPARTMENT AND OUR ALTERNATIVE
RESPONSE IS A CAPABILITY THAT I
WOULD LIKE TO SEE -- AND I
THINK IT IS A SENTIMENT THAT IS
BROADLY SHARED. I DON'T WANT
TO SPEAK FOR ANY OF MY
COLLEAGUES, BUT I THINK IT IS A
SENTIMENT THAT IS PROBABLY
SHARED. WE NEED TO GROW AND
EXPAND AND SHE DOES SKILLET SO
THEY ARE A 24 SEVEN, 365
CITYWIDE RESPONSE CAPABILITY,
ALTERNATIVE RESPONSE
CAPABILITY, AND SO, IF WE ARE
ABLE TO GET THERE -- WELL, WE
WILL. IT IS JUST A MATTER OF
TIME AND RESOURCES, BUT
REGARDLESS, WE CAN EXPECT THEIR
REFERRALS TO RATCHET UP, SO WE
NEED TO MAKE SURE THAT ALL OF
THE SYSTEMS ARE CONNECTED AND
TALKING TO EACH OTHER AND WE
HAVE CAPACITY WITHIN REASON,
GIVEN THE CONSTRAINTS THAT WE
ARE ALL FACING. HOW MANY -- HOW
MANY COMMUNITY REFERRALS DO WE
TYPICALLY GET ON AN ANNUAL
BASIS -- WHATEVER PERIOD. AND
WHAT PERCENTAGE OF THOSE ARE
ACCEPTED OF THOSE REFERRALS ARE
ACCEPTED?
>> THAT'S A GREAT QUESTION. WE
ARE MORE THAN HAPPY TO FOLLOW
UP WITH EXACT NUMBERS. I WILL
SAY, ONE OF THE MITIGATING
FACTORS ON THE COMMUNITY
REFERRAL IS THAT WE RECEIVE --
BECAUSE WE HAVE HAD TO SHUT OFF
MULTIPLE TIMES, WE HAVE NEVER
FULLY ADVERTISED THE
AVAILABILITY OF THE SYSTEM TO
THE BROADER COMMUNITY BECAUSE
SINCE OPENING UP , THE
COMMUNITY REFERRALS HAVE NEVER
BEEN ABLE TO ACCEPT ALL THE
ELIGIBLE ONCE SUBMITTED TO US.
I WILL SAY, SINCE THE PUBLIC
USE ORDINANCE WAS SIGNED INTO
LAW LAST OCTOBER, LAW
ENFORCEMENT REFERRALS HAVE
COMPRISED THE LARGE MAJORITY OF
THE REFERRALS WE RECEIVE, BUT
WE ARE STILL -- I THINK IN
2024, WE HAVE RECEIVED A STEADY
TRICKLE OF COMMUNITY REFERRALS
, THOUGH, AGAIN,
LAW-ENFORCEMENT REFERRALS AS AN
AGGREGATE ARE THE MAJORITY OF
PROPOSALS WERE SAFE. OFF THE
TOP OF MY HEAD, I THINK IN THE
MONTH OF JULY, BECAUSE WE JUST
FINISHED REPORTING, WE RECEIVED
SOMETHING LIKE 30 SOMETHING
COMMUNITY REFERRALS. FOR
VARIOUS FOCUS IMPACT AREAS
THROUGHOUT THE CITY.
>> SO 30 SOMETHING ORY INITIAL
OF HOW MANY OF THOSE WERE
ACTUALLY ACCEPTED?
>> I DON'T HAVE THAT NUMBER
OFF THE TOP OF MY HEAD, BUT
I'M MORE THAN HAPPY TO FOLLOW
UP WITH EXACT REFERRAL VOLUMES
AND HOW MANY WERE ACCEPTED FOR
EACH SOURCE. YEAH.
>> WELL, THAT SPEAKS TO DEMAND,
AND, YOU KNOW, WE NEED TO MAKE
DECISIONS BASED OFF OF DATA,
INCLUDING THAT, SO, I'D
APPRECIATE LEARNING MORE ABOUT
THAT. ANYWAYS, THANK YOU ALL.
NO FURTHER QUESTIONS OR
COMMENTS, MADAM CHAIR.
>> COUNCIL PRESIDENT NELSON.
>> I WILL START WITH THE EASY
QUESTIONS FIRST. THEN I WILL
FOLLOW UP WITH WHAT YOU ARE
SAYING. CLARIFYING QUESTION ON
CHAPTER -- PAGE 13. 2024
FUNDING. THERE ARE SOURCES ON
THE RIGHT SIDE OF THAT SLIDE.
COULD YOU PUT THAT SLIDE BACK
UP? SO WHEN IT SAYS SEATTLE,
DOES THAT MEAN THE NUMBER OF
PEOPLE BEING SERVED IN SEATTLE
ARE BEING -- HALF -- THAT DOES
NOT MEAN SEATTLE MONEY , DOES
IT?
>> SO --
>> I'LL PUT IT ANOTHER WAY. IS
THE CITY OF SEATTLE PROVIDING
15.312 MILLION DOLLARS , AND
SOME OF IT IS GOING THROUGH
THESE OTHER AGENCIES?
>> SO THE CITY OF SEATTLE IS
NOT PAYING THE FULL AMOUNT
BASICALLY. WE ARE RECEIVING
FUNDS. THE CITY OF SEATTLE DOES
FOR SOME, AND IT IS, I BELIEVE,
A LITTLE BIT LESS. I THINK A
LITTLE BIT LESS THAN HALF.
RIGHT AROUND THERE. BUT, AS I
ALLUDED TO EARLIER, ALL OF THIS
FUNDING GOES TO PEOPLE WHO ARE
HAVING AN IMPACT IN THE CITY OF
SEATTLE.
>> GOT IT. THAT IS GOOD TO
KNOW. THANK YOU VERY MUCH FOR
CLARIFYING THAT. ON THE NEXT
PAGE, I ASSUME THE SAME IS TRUE
FOR THE 11.6 MILLION. I WOULD
BE INTERESTED IN KNOWING THE
FACILITY COST AND THE COLA
ADJUSTMENTS, AS WELL, SO IT
WENT KIND -- AT SOME POINT, IF
YOU CAN PROVIDE THAT. [
INAUDIBLE ] IT'S BEEN ABOUT A
YEAR SINCE WE HAVE ADOPTED THAT
PUBLIC USE LAW, AND I'M GLAD
TO HEAR THAT THE INTENTION WAS
ALWAYS TO VERSION WITH THE GOAL
OF INCENTIVIZING PEOPLE TO GET
INTO TREATMENT -- WAS THE GOAL
OF THAT. SO, WHAT HAPPENS WHEN
SOMEONE IS REFERRED TO YOU. AN
OFFICER IS CALLED UP AND YOU
COME . WHAT HAPPENS TO THOSE
PEOPLE? DO THEY GO TO
TREATMENT? I'VE HEARD
ANECDOTAL ACCOUNTS THAT ONCE
THEY ARE IN YOUR CARE, THEN
SOMETIMES, YOU HAVE TO RELEASE
THEM, OBVIOUSLY, AND IT IS HARD
TO TRACK THEM DOWN TO GET THEM
INTO TREATMENT. CAN YOU PLEASE
EXPLAIN WHAT HAPPENS AFTER YOU
ARE CALLED TO ONE OF THOSE
STOPS.
>> ABSOLUTELY. SO I WILL HAND
IT OFF ACTUALLY, TO BRANDY.
BEFORE I DO, I WILL HIGHLIGHT
SOMETHING THAT COUNCILMEMBER
SAKA HIGHLIGHTED ABOUT THE CARE
TEAM. RIGHT NOW, WE ARE WORKING
24 SEVEN, 365. SO IF SAME --
AND OFFICER CALLS OUR PHONE
WITH AN ARREST DIVERSION,
SOMEONE WILL RESPOND AND GO OUT
THERE. THERE ARE LIMITED
RESOURCES AT 2:00 IN THE
MORNING. WITH THAT, I WILL HAND
IT OFF TO BRANDY.
>> THANK YOU, COUNCIL PRESIDENT
NELSON. WE GET THE REFERRAL IN
THE MIDDLE OF NIGHT OR
WHENEVER. THEY SHOW UP IN
PERSON AND DO A SCREENING AND
INTAKE IN THE MOMENT. LIKE
NICOLE MENTIONED EARLIER,
TREATMENT IS NOT LINEAR. IT IS
A WEEKLY JOURNEY. WE DO A LOT
OF ENGAGEMENT TO SIT DOWN WITH
THAT CLIENT AND IDENTIFY THEIR
GOALS. NOT ALL OF THEM ARE
TREATMENT AT FIRST. SOME OF
THEM MIGHT BE OTHER THINGS.
REDUCING YOUR DIRECT USE MIGHT
HELP YOU GET TO THAT GOAL.
THERE MIGHT BE A PLAN FOR THAT.
WE SIT DOWN WITH THOSE CLIENTS
AND CREATE INDIVIDUAL SERVICE
PLANS AND HELP THEM WITH THEIR
GOALS. FOR A LOT OF THEM, A LOT
OF STREET OUTREACH. WE UTILIZE
ALL OF OUR RESOURCES. WE
UTILIZE OUR OUTREACH TEAM. WE
UTILIZE -- WE DELIVER CARE. YOU
KNOW, WE HAVE HAD A GREAT
RELATIONSHIP SO FAR. WE
COLLABORATE TOGETHER TO FIND
CLIENTS AND THINGS OF THAT
NATURE. SOME CLIENTS ARE HARDER
THAN OTHERS. IT IS MOSTLY OUR
CLIENTS WHO ARE CLASS MEMBERS
-- THEY ARE HARDER TO ENGAGE,
BUT IT IS AN ENTIRE PROCESS
THAT TAKES A MINUTE, WHICH IS
WHY LONG-TERM CASE MANAGEMENT
DEALS WITH THAT PROCESS.
>> IF I MAY, I WANT TO ECHO
EVERYTHING THAT BRANDY HAS
SAID, AND ALSO POINT OUT THAT
THAT CONTACT AND COMING OUT OF
WHETHER THEY ARE BEING HELD OR
RELEASED FROM INCARCERATION,
HOUSING RESOURCES COULDN'T BE
A HIGHER PRIORITY. WITHOUT
THAT, IT JOB THAT
MUCH MORE DIFFICULT. THAT IS
ONE OF THE HIGHEST PRIORITIES.
GETTING THE PERSON INTO CONTACT
WITH ONE OF OUR CASE MANAGERS,
AND AT THE TOP OF THE LIST, YOU
FIND OUT THAT THEY DO NOT HAVE
A HOUSING OPTION. THEY HAD TO
DO THAT. HOUSING RESOURCES
REMAIN ONE OF THE HIGHEST
PRIORITIES OF THE PROGRAM.
>> I WILL SAY, COUNCIL
PRESIDENT NELSON , THEY ARE
TIRED. THEY ARE TIRED OF SEEING
THEIR FRIENDS AND FAMILY
MEMBERS OVERDOSE AND DIE. A LOT
OF THEM DO YOU WANT TREATMENT.
SO A LOT OF THE TIME, WE DO OUR
BEST TO ACCESS THAT FOR THEM. I
CAN'T THINK OF THE NUMBER
RIGHT NOW THAT THEY PUT OUT
THERE, BUT THAT IS WHERE OUR
OFFICE IS. WE SEE THAT IMPACT
ALL DAY LONG WITH THOSE CLIENTS
THERE, AND SO, I WOULD SAY,
FROM EXPERIENCES , FROM MY 15
YEARS OF EXPENSE, I SEE MORE
CLIENTS WANTING ACCESS TO
TREATMENT NOW, THAN EVER BEFORE
BECAUSE OF THIS FENTANYL
CRISIS, WHICH IT MAKES IT
EASIER FOR US TO ENGAGE ON THAT
SIDE OF THINGS.
>> AS WE KNOW, A PREVIOUS
VERSION FAILED. TREATMENT DOES
BEING STOPPED BY OFFICERS
BECAUSE THEY ARE OFTEN TIMES
SMOKING FENTANYL IN PUBLIC.
THEREFORE, THEY ARE
EXPERIENCING THE SITUATION. IT
IS WHEN YOU ARE CALLED TO
INTERVENE INSTEAD OF THEM BEING
TAKEN TO THE PRECINCT, I WOULD
HOPE THAT GETTING HELP FOR
PEOPLE SO THAT THEY ARE NOT
BACK ON THE STREET IMMEDIATELY
AND THEN TAKING, PERHAPS, THEIR
LAST HIT WOULD BE THE TOP
PRIORITY. WHERE DO YOU SUGGEST
THEY GO, ET CETERA? I WILL ASK
FOR MORE INFORMATION TO SEE
WHAT THE PATHWAYS ARE TO GET
PEOPLE HELP.
>> I JUST WANTED TO SAY THAT I
AGREE WITH YOU WITH THE
TREATMENT OPTION AND TO SAY
THAT EVEN IF THEY GET THE
TREATMENT OPTION, IF WE CAN'T
SATISFY OR ADDRESS THE HOUSING
NEEDS THEN WHAT YOU HAVE IN
TREATMENT IS THEY DO NOT DO AS
WELL WITHOUT THESE HOUSING
RESOURCES THAT GO FROM
EMERGENCY HOUSES AND -- THOSE
TWO HAVE TO WORK TOGETHER.
>> TOTALLY. IF THEY ARE
ACCESSING TREATMENT, IT WOULD
BE BENEFICIAL IF THEY HAD
SOMEPLACE TO LIVE THAT IS
RECOVERY BASED SO THEY HAVE AN
ENVIRONMENT TO CONTINUE DOWN
THAT JOURNEY.
>> THANK YOU VERY MUCH.
>> JUST A ONE CLICK QUESTION.
>> JUST A FOLLOW-UP ON THAT. WE
CAME FROM A MEETING EARLIER
TODAY WHERE ONE OF THOSE ISSUES
THAT WAS IDENTIFIED WAS THE
FACT THAT PEOPLE ARE BEING
DISCHARGED FROM JAIL OR THE
E.R., HOSPITAL AT 2:00 IN THE
MORNING OR 3:00 IN THE MORNING.
I WOULD LIKE TO HEAR -- IT
SOUNDED LIKE SOMEBODY WOULD BE
AVAILABLE. CAN WE BE MAKING A
BETTER COORDINATION BETWEEN THE
HOSPITAL DISCHARGE SO PEOPLE
ARE NOT FINDING THEMSELVES ON
THE STREET?
>> CERTAINLY. WE HAVE TO DO
BETTER AT THAT SYSTEM, HAVE
BETTER OPPORTUNITIES FOR
DISCHARGE SERVICES. THAT DOES
NOT EVEN EXIST IN TERMS OF
HAVING SOMEWHERE TO TAKE
SOMEBODY AT 3:00 A.M. RIGHT
NOW. THAT IS WHERE I HOPE WE
CONTINUE THE CONVERSATIONS WITH
HOW DO WE MAKE THAT SYSTEM
BETTER? WE ONLY HAVE SO MANY
OPTIONS THAT COULD GET SUCKED
UP QUICKLY. THAT IS A PLACE
WHERE OUR WHOLE ENTIRE CARE
SYSTEM WOULD BE BETTER AT THAT.
THERE IS NOWHERE TO GO IN THE
MIDDLE OF THE NIGHT. THAT IS
WHY THERE IS ONLY SO MUCH WE
CAN DO IN THE MIDDLE OF THE
NIGHT WHEN WE HAVE THOSE
REFERRALS OTHER THAN REFERRAL
AND INTAKE AND ASSURE YOU THAT
WE WILL WORK WITH YOU THROUGH
THAT PROCESS. WE HAVE A LITTLE
BIT OF SOMEBODY TO GO TO IN
THAT MOMENT.
>> THAT IS A BIG GAP.
>> WE HAVE ALL SAT UP HERE AND
TALKED ABOUT YEARS WORKING IN
THE CONVERSATION WITH CITY
COUNCIL AND EVERY PLACE WE CAN
GET. IT IS A FRUSTRATION THAT
WE HAVE THAT YOU GUYS HAVE. A
SINGLE FRUSTRATION IN TRYING TO
FILL THAT GAP.
>> AS A SEASONED E.R. NURSE,
WHEN YOU DISCHARGE SOMEONE AT
2:00 IN THE MORNING, THERE IS
WHAT I WOULD CALL THE HOLDING
PERIOD UNTIL THAT TIME WHERE
SERVICES ARE REALLY AVAILABLE,
EVEN IF YOU COULD GET THE CASE
MANAGER AT 2:30 A.M. SERVICES
ARE NOT AVAILABLE UNTIL THE SUN
COMES UP AND PEOPLE ANSWER THE
PHONES. NO ONE IS WILLING TO DO
A HOLDING IN THAT GAP AND THAT
IS THE THING THAT MAKES THIS A
BIT OF A CHALLENGE.
>> THANK YOU. I WOULD LIKE TO
SHARE ONE SMALL THING. WE ARE
THAT LOCATION. WE DO HAVE THAT
SUCCESS. FOR OUR FOLKS IN
CO-L.E.A.D., WHEN THEY ARE IN
CRISIS AND THE TEAM CALLS, WE
ARE THAT PERSON THAT RESPONDS.
SOMETIMES OUR STAFF ARE THERE
WITH THEM INSIDE BUT WE ARE
THAT OPERATING FACTOR THAT DOES
HAVE THAT SUCCESS. AS WE
SHRINK, THAT BECOMES MORE OF A
CONSTRAINT, RIGHT? WE DO HAVE
THAT PROGRAM AND IT IS
AVAILABLE. IT IS JUST A MATTER
OF BEING ABLE TO APPROACH IT
NEEDED.
>> OKAY. ARE THE PROVIDERS,
LIKE THE E.R. AND THE JAIL, ARE
THEY AWARE THAT HE WOULD EXIST
AND THAT THEY CAN MAKE THAT
SORT OF WARM HAND OFF?
>> THE PARTICIPANTS IN OUR
PROGRAM, WE DO DO CASE
MANAGEMENT WITH THEM. OF
SOMEBODY IS IN CRISIS AND IF IT
IS IN THE DATABASE, WE WILL LET
THEM KNOW THAT THEY HAVE CASE
MANAGERS AND THERE ARE LOTS OF
CRISIS NURSES THAT KNOW OUR
PROGRAM. IF SOMEONE IS ADMITTED
INTO THE E.R. AND THEY SAY THEY
ARE WITH CO-L.E.A.D., THEY HAVE
SOME OF OUR WORK PHONE NUMBERS
AND MAIN LODGING SITE NUMBERS
TO CALL US AND LET US KNOW WHAT
IS GOING ON AND TO CONNECT.
>> THANK YOU. COUNCILMEMBER
MORALES?
>> THANK YOU. THANK YOU FOR
IDENTIFYING THAT PARTICULAR
CHALLENGE FOR US. I WANTED TO
TALK A LITTLE BIT ABOUT THE
SCALE OF THE CHALLENGE, GIVEN
THE FUNDING THAT YOU HAVE. YOU
INDICATED THAT YOU ARE RUNNING
OUT OF BEDS. WE KNOW THERE ARE
A LOT OF FOLKS ON THE STREET
WHO CAN BENEFIT FROM YOUR
SERVICES. YOU ARE ALREADY
LIMITED TO RECEIVING REFERRALS
FROM LAW ENFORCEMENT RATHER
THAN THE COMMUNITY. I AM
INTERESTED TO KNOW A FEW
THINGS. WHAT IS THE PERCENT OF
NEED, IF YOU KNOW THAT, THAT
YOU ARE ABLE TO FILL? WHAT ARE
WE MISSING? IN TERMS OF THE
RESOURCES THAT WOULD BE NEEDED
TO FEEL LIKE YOU COULD HAVE THE
CAPACITY TO ADDRESS THE NEED --
THAT IS ONE QUESTION. I AM
INTERESTED TO KNOW WHAT
OPPORTUNITIES YOU HAVE FROM THE
STATE OR FROM THE FEDS TO TRY
TO BOLSTER THE FUNDING THAT YOU
HAVE OR EVEN PHILANTHROPY,
PRIVATE DOLLARS. WHEN YOU ARE
TALKING ABOUT THE HOUSING
RESOURCES THAT YOU NEED , ARE
YOU THINKING ABOUT PERMANENT
SUPPORTIVE HOUSING OR IS THERE
A RANGE OF OPTIONS? WHAT WE
HEAR A LOT IS THAT FOLKS DON'T
WANT TO GO TO CONGREGATE
SHELTER. I HAVE A LOT OF
QUESTIONS ABOUT -- FOR THOSE
SHELTERS THAT WE DO HAVE THAT
REGULARLY HAVE VACANCIES, WHY
DO THEY REGULARLY HAVE
VACANCIES? MY ASSUMPTION IS
THAT THEY DON'T WANT TO GO
BECAUSE THEY GET THEIR THINGS
STOLEN. WHAT WE HEAR IS THE
PLACES HAVE BEDBUGS. THEY MIGHT
GET ASSAULTED. PEOPLE WANT TO
GO WHERE THEY HAVE THEIR OWN
SPACE. I AM INTERESTED ARE SAYIF
THE IMPORTANT CRITERIA FOR THE
SOLUTION OR SUPPORT IS HOUSING,
WHAT KIND OF HOUSING DOES THAT
MEAN? THEN, THE LAST QUESTION,
WHAT KIND OF TREATMENT OPTIONS
ARE AVAILABLE? IF YOU NEED TO
GO TO TREATMENT, WHERE DO THEY
GO? DO THEY HAVE ENOUGH -- I
DON'T THINK WE HAVE ENOUGH
TREATMENT FOR PLACES TO GO?
THERE IS A WHOLE ECOSYSTEM OF
NEED AND AN ECOSYSTEM THAT HAS
LACKED SUFFICIENT CAPACITY TO
HELP HANDLE THE PROBLEM. I JUST
WANT TO BE CLEAR ABOUT WHAT
SOME OF THOSE GAPS ARE.
>> I WILL START. I WILL SAY, AS
FAR AS THE PERCENTAGE OF YOU
THAT MAY FEEL LIKE WE ARE ABLE
TO ADDRESS OUR CURRENT FUNDING
LEVEL, IT IS VERY DIFFICULT TO
ASSESS, IN PART BECAUSE THE
POPULATION WE SERVE MOVES. THEY
DON'T NECESSARILY STAY IN THE
SAME CITY OR, STAYING IN AND
OUT OF THE CITY. I DON'T KNOW
IF ANYBODY ELSE HAS A BETTER
PERCEPTION ON THAT BUT I CAN
GET INTO A LITTLE BIT OF THE
FUNDING QUESTION. PHILANTHROPY
STARTED L.E.A.D. WITH AN
UNDERSTANDING THAT AS A BASIC
SYSTEM, AND NEEDS TO BE
PUBLICLY FUNDED AND WE CONTINUE
TO PURSUE DIFFERENT FUNDING
SOURCES. WE HAVE CONTINUED TO
RECEIVE FUNDING FROM THE STATE,
WHETHER THAT BE FOR
CO-L.E.A.D., A POSSIBLE
PERMANENT SITE, FUNDING
GENERALLY OR FEDERAL FUNDING .
THERE COULD BE MULTIPLE
WASHINGTON CORRECTION OFFICES
THAT ARE INTERESTED IN HELPING.
WE HAVE RECEIVED FUNDING
PREVIOUSLY THROUGH FEDERAL
FUNDS. WE ARE NOT TURNING ANY
FUNDING DOWN, I CAN ASSURE YOU.
WE ARE ALWAYS PURSUING AS MANY
AVENUES AS WE POSSIBLY CAN WITH
THE TREATMENT OPTIONS, I WILL
TURN TO THE SERVICE PROVIDERS
TO ANSWER THAT QUESTION.
>> FOR CLARITY, CAN I GET THE
HOUSE IN QUESTION AGAIN
SPECIFICALLY? ARE YOU ASKING
WHAT HOUSING QUESTIONS WILL
WORK FOR INDIVIDUALS AND WHAT
RESOURCES WE ARE USING?
>> WHEN CHRIS WAS TALKING, IT
SOUNDED LIKE TREATMENT IS
IMPORTANT AND ALSO, PEOPLE NEED
STABLE HOUSING. MY ASSUMPTION
WOULD BE THAT IF PEOPLE ARE
NEEDING TREATMENT, PERHAPS
PERMANENT SUPPORTING IS THE
OPTION THAT WORKS BEST BUT IF I
AM WRONG ABOUT THAT, IT IS
IMPORTANT TO KNOW.
>> CURRENTLY WE UTILIZE
MULTIPLE LEVELS OF HOUSING . OF
COURSE, THERE IS A SQUARE CITY.
WE ARE TRYING TO FIT A SQUARE
PEG INTO A ROUND HOLE. MOST OF
OUR PARTICIPANTS DO NEED A
LEVEL OF PERMANENT SUPPORTIVE
HOUSING. THERE IS A LIGHT
TOUCH. YOU HAVE A CASE MANAGER
ON SITE. THEN YOU CAN MOVE UP
TO THE LEVELS WHERE YOU ARE
HAVING OTHER MEDICATION
MANAGEMENT AND SO FORTH. THE
KEY FACTOR IS THAT FOLKS NEED
THEIR OWN PLACE. THEY NEED
SAFETY. WE HAVE WORKED WITH
MULTIPLE ENTITIES TO FIND THAT
OUR FOLKS FEEL SUCCESSFUL WHEN
THEY HAVE TRUST AND SAFETY
WHERE THEY ARE AT. EVEN THOUGH
WE HAVE UTILIZED SCATTERED SITE
PLACEMENT, I DO FEEL THAT IT IS
BETTER WHEN OUR FOLKS ARE ALL
WITHIN RECOVERY AND WE ARE
WORKING WITH THEM TO HAVE THAT
SUPPORT SPECIFICALLY IF THEY
ARE A NEW RECOVERY AND
UNDERSTANDING THAT THERE ARE
SOME HURDLES IN RECOVERY.
SOMETIMES YOU DO NEED A LITTLE
BIT OF ACCEPTANCE AS YOU ARE
MOVING THROUGH THAT JOURNEY AND
THE FOLKS ARE THERE TO SUPPORT
YOU. ONE OF WHAT WE DO SEE IN
RECOVERY IS THAT IT CAN TAKE A
LONG TIME. IF YOU LOSE
EVERYTHING THAT FIRST TIME, YOU
LOSE FAITH IN THAT SYSTEM AND
MANY OF US WHO WORK IN THE
ENCAMPMENT FIND THAT FOLKS DO
NOT WANT TO ENGAGE WITH YOU AT
FIRST BECAUSE THEY THINK THERE
WILL BE VERY STRONG PARAMETERS
AROUND WHAT IS BLACK AND WHITE.
WE DO ENCOURAGE THE FOLKS TO
FIND HOUSING IN PLACES THAT
UNDERSTAND PART OF WHAT IS
GOING ON.
>> COUNCILMEMBER MORALES, I
WILL ADD TO THAT. ONE OF THE
BIGGEST GAPS WE OFTEN NEVER
TALK ABOUT IS WE KNOW THAT DRUG
USE AND CHRONIC DRUG USE CAUSES
SIGNIFICANT HEALTH ISSUES AND
ONE OF THE BIGGEST GAPS FOR
PERMANENT SUPPORTING STAFF IS
THAT IT IS HARD TO PUT SOMEBODY
ON INDIVIDUAL HOUSING. ARE
NURSING HOMES, OUR ADULT FAMILY
HOMES, THEY DON'T TAKE PEOPLE
WHO SMOKE. A LOT OF OUR PEOPLE
NEED THAT LEVEL OF SUPPORT.
PEOPLE ARE STILL OUTSIDE,
PROBABLY THE ONES WITH THE
HIGHEST HEALTH ISSUES WHERE
THEY CAN'T LIVE ALONE. THEY
HAVE SOME MAJOR, MAJOR HELP
ISSUES BECAUSE OF THAT DRUG
USE. THAT IS THE HARDEST GAP
FOR L.E.A.D., CO-L.E.A.D. FOR
US TO HOUSE . I WAS A CASE
MANAGER FOR MANY, MANY YEARS
AND I HAD TO DO MY BEST TO KEEP
PEOPLE ALIVE ON THE STREET
UNTIL THEY COULD BE HOUSED.
THEY HAD TOO MANY NEEDS FOR THE
STAFFING. IN TERMS OF
TREATMENT, WE ARE TRYING TO USE
EVERYTHING. THERE ARE TREATMENT
SERVICES, OPTIONS. INPATIENT IF
POSSIBLE, WE DID NOT KNOW THERE
WAS A DIFFERENT IN OUTPATIENT
WHERE THE RESULTS ARE THE SAME.
WE THE CLIENT
WHERE THEY WOULD HAVE THE MOST
SUCCESS. IN THE FENTANYL CRISIS
WHERE PEOPLE GO THROUGH
WITHDRAWALS SO FAST, IT HAS
BEEN A LITTLE BIT HARDER BUT WE
TRY TO CUT THROUGH THAT IN
TERMS OF WHAT THE CLIENT NEEDS
IN TERMS OF TREATMENT BUT WE
WILL ACCESS EVERY OPPORTUNITY.
>> DO YOU WANT TO ADDRESS THE
ROLL OF AFTERCARE?
>> AS WE MOVE FOLKS FROM
CO-L.E.A.D., WHICH IS TEMPORARY
LODGING INTO PERMANENT HOUSING,
SCATTERED SITES, WE PAIR OUR
PARTICIPANTS WITH AN AFTERCARE
SUPPORT SPECIALIST AND THAT
PERSON IS THERE TO HELP WALK
THEM THROUGH THE TRANSITION OF
GOING THROUGH TEMPORARY LODGING
INTO LIVING IN YOUR OWN
APARTMENT WITH YOUR NEIGHBORS
AND A LANDLORD AND A L.E.A.D.
AND BEING ABLE TO CONTINUE TO
WORK ON EVERYTHING THAT HAS
PILED UP OVER THE YEARS . A LOT
OF OUR FOLKS FROM THE INSIDE
WITH A LOT OF LEGAL ISSUES --
WE KNOW THAT TAKES A LONG TIME
TO RESOLVE. THERE IS STILL
ACCESS FOR THE TEAM TO BE ABLE
TO FILE YOUR FIRST FAMILY ORDER
SO THAT YOU CAN VISIT YOUR KIDS
AGAIN, TO BE ABLE TO WORK ON
GUARDIANSHIP, LEGAL FINANCIAL
OBLIGATIONS THAT HAVE PILED UP
AS WELL . SOMETHING ELSE THAT
THE AFTERCARE SPECIALISTS
REALLY WORK ON IS BEING ABLE TO
ACCESS THEIR OWN DAILY NEEDS.
YOU NEED TO BE ABLE TO KNOW
WHERE THE LAUNDROMAT IS, TO BE
ABLE TO WASH YOUR LAUNDRY OR TO
GET TO YOUR MENTAL HEALTH
APPOINTMENTS, LEGAL
APPOINTMENTS. WHO IS YOUR CASE
MANAGER? HOW DO YOU GET A NEW
EBT CARD? WHERE'S THE GROCERY
STORE WHERE YOU CAN MAKE THOSE
EBT PURCHASES LAST ALL MONTH? A
LOT OF OUR RESOURCES ARE
TOGETHER. WE WANT TO MAKE SURE
THAT WE ARE SETTING FOLKS UP
FOR SUCCESS AND FOR THEM TO BE
ABLE TO FEEL LIKE THEY ARE
DOING IT AND BEING SUCCESSFUL
ON THEIR OWN AS WELL. WE WORK
WITH FOLKS FOR ABOUT 12 MONTHS.
SOME OF OUR FOLKS ARE LIKE, I
GOT EMPLOYMENT, I STARTED MY
OWN BUSINESS, I AM DOING
AMAZING. IT WAS GREAT CHATTING
WITH YOU. THREE MONTHS IS GOOD.
SOME OF OUR FOLKS WHO HAVE BEEN
OUTSIDE FOR 10 OR 15 YEARS,
THIS IS A LONG, LONG PROCESS.
WE HAVE TO WORK ON BEING ABLE
TO KEEP OUR APARTMENTS SO THEY
ARE NOT A FIRE HAZARD,
UNDERSTANDING THAT AS WE COME
INSIDE, WE THROW THINGS AWAY.
WE ANSWER THE DOOR TO OUR
LANDLORD EVERY ONCE IN A WHILE
WHEN THEY NEED TO COME IN AND
DO A FIRE CHECK OR THE ANNUAL
REVIEW. THERE IS JUST NOT TRUST
IN THAT SYSTEM OR KNOWLEDGE. AS
WE WORKED THROUGH THAT, LAST
YEAR ALONE, 70 FOLKS WERE ON
THAT CAPACITY FOR US TO BE ABLE
TO KEEP THEM INTO HOUSING AND
SOME OF THEM TRANSFERRED INTO A
LITTLE BIT STRONGER PSA OR
STRUCTURED TO NOT RETURN TO
HOMELESSNESS.
>> I WANTED TO ADD THAT WE DO
COVER EVERYTHING QUITE WELL.
ALSO, YOU TOUCHED ON IT
BRIEFLY, THE MENTAL HEALTH
COMPONENT . IN THE STORY THAT I
GAVE ABOUT THE SUCCESS PROGRAM,
THE CASE MANAGER IS SITTING
WITH THIS INDIVIDUAL UNTIL THEY
CAN RECEIVE OR HAVE CONTACT
WITH A MENTAL HEALTH COUNSELOR.
WE KNOW THAT THE CITY OF
SEATTLE HAS TOLD US TIME AND
TIME AGAIN THAT MENTAL HEALTH
RESOURCES HAVE BEEN LIMITED FOR
QUITE SOME TIME. THAT ENDS UP
BEING A CRISIS THAT WE HAVE TO
NAVIGATE WITH LIMITED
RESOURCES, WITHOUT THAT
COMPONENT, EVEN AFTER THEY HAVE
GONE THROUGH DRUG TREATMENT.
THEY WILL NEED THAT ADDITIONAL
RESOURCE BUT THERE IS SIMPLY
NOT ENOUGH OF THAT.
>> WE ACTUALLY DEVELOPED OUR
AFTERCARE PROGRAM BECAUSE OF
NEED. WE WERE PLACING FOLKS
INTO PERMANENT SUPPORTIVE
HOUSING AND SCATTERED SITES AND
OUR PARTICIPANTS WERE COMING
BACK TO OUR LODGING FACILITIES,
BACK TO OUR CASE MANAGERS,
NEEDING RESOURCES, ASKING
QUESTIONS. AT ONE POINT WE HAD
A PSH WHERE EVERY DOOR HAD 30
DAY NOTICES ON THEM AND PEOPLE
DID NOT EVEN KNOW HOW TO
RESPOND TO THEM. IT WAS OUT OF
THAT WHERE WE LOVE OUR PEOPLE
AND CAN LET THEM GO BUT WE WANT
OUR FOLKS TO BE SUCCESSFUL. WE
DEVELOPED A TEAM THAT COULD
WALK THROUGH THAT SO THERE WAS
NOT THAT GAP IN SERVICES, IT
WAS NOT AN EMERGENCY RESPONSE.
WE SEE THE ISSUE AND WE PLAN
FOR THAT. THAT IS HOW CAN WE
DEVELOP OUR AFTERCARE. I REALLY
WANT TO POINT OUT THAT WE HAVE
HAD TREMENDOUS SUCCESS WITH OUR
RIGHT-OF-WAY PROJECTS WHERE
THEY HAVE STOOD UP THEIR OWN
SUPPORTING HOUSING UNITS. WE
HAVE THE ABILITY TO WORK
TOGETHER AND BE SUCCESSFUL WITH
OUR CLIENTS IN THOSE FACILITIES
AND TO PARTNER SO THAT EVERYONE
HAS THE RESOURCES, EACH
DEPARTMENT HAS -- WE HAVE A
LEGAL TEAM, THEY DO NOT. WE
HAVE TRANSPORTATION. ALL OF
THESE THINGS WE CAN GET
TOGETHER REALLY CREATES THE
CONTINUOUS CARE THAT WE ARE
HOPING IN THE FUTURE COULD BE
THE GOLDEN THREAD.
>> ANY QUESTIONS?
>> I WILL MAKE IT MORE OF A
STATEMENT. WHEN I HEAR 15, 20
YEARS PEOPLE ARE OUT HITTING ON
THE STREETS OR WHEREVER, THAT
IS HEARTBREAKING AND, IN MY
MIND, INEXCUSABLE ON THE PART
OF THE CITY BECAUSE THAT
REPRESENTS A COMPLETE SYSTEM
BREAKDOWN, FAILURE. I
UNDERSTAND THERE IS MISTRUST
ABOUT GETTING PEOPLE IN CERTAIN
KINDS OF HOUSING, ET CETERA. I
THINK THAT THE HEALTH OF PEOPLE
LIVING OUTSIDE IS MORE
IMPORTANT THAN TRYING TO FIND
THE PERFECT LODGING. AS WE
KNOW, PEOPLE LIVING OUTSIDE OUR
VULNERABLE TO VIOLENCE, ET
CETERA AND THEY WILL FALL
DEEPER INTO ADDICTION AND A
CHRONIC SITUATION THAT WILL
MAKE IT HARDER AND HARDER FOR
THEM TO PUT THEIR LIVES BACK
TOGETHER. I REALLY WANT TO HEAR
NEXT YEAR, NOT 15, 10, FIVE
YEARS.
>> A WONDERFUL SUCCESS RATE FOR
BRINGING FOLKS INSIDE. AS THE
TEAM KNOWS, A LOT OF OUR FOLKS
ARE JUST IN AREAS WHERE THERE
IS NOT ENOUGH WORKERS TO GET TO
THESE FOLKS AND TO BUILD THAT
TRUST AND THE REASON WHY WE
HAVE THE SUCCESS RATE HIGH INTO
THE 90s OF ACCEPTANCE INTO THE
PROGRAM IS BECAUSE I WILL SEE
YOU EVERY MORNING. I WILL COME
WITH MUFFINS AND KNOW YOUR NAME
AND BY THE TIME WE HAVE A
DISCUSSION ABOUT COMING INSIDE,
MY HOPE IS THAT I KNOW YOUR
MOM'S DOG'S NAME AND
EVERYTHING IN BETWEEN AND THAT
IS THE KEY WHEN WE ARE LOOKING
AT OUR FOLKS. THIS IS
SOMEBODY'S FATHER, SISTER,
MOTHER, UNCLE. UNFORTUNATELY,
PEOPLE TRY TO BRUSH PROJECTS.
-- RUSH PROJECTS. I AM GOING TO
HELP YOU AND WILL CONTINUE TO
BUILD THAT TRUST.
>> THANK YOU.
>> JUST SO YOU KNOW, WE DON'T
TAKE A LOT OF TIME. THERE IS
NOT PERFECT HOUSING BUT THE
REASON WE TRY TO GET THE BEST
FIT BECAUSE THE HOUSING SYSTEM
IS SET UP, IF I PUT SOMEBODY IN
THE WRONG PLACE AND NEGATIVE IT
THREE MONTHS LATER, THEY DON'T
QUALIFY FOR ANYMORE HOUSING FOR
OVER A YEAR. WE DO TAKE THE
TIME TO MAKE SURE WE FIND THE
BEST FIT BUT THERE IS NOT A
PERFECT FIT AND THERE IS JUST
NOT ENOUGH HOUSING. THAT IS THE
ONE THING WE NEED MORE OF.
>> THANK YOU. OKAY. THANK YOU
FOR THAT PRESENTATION. I
LEARNED A LOT , REALLY, REALLY
INFORMATIVE. GREAT WORK YOU ARE
DOING. IT IS HELPFUL TO
IDENTIFY THE GAPS AS WELL AND I
HOPE WE CAN CONTINUE THE
DIALOGUE AROUND HOW WE CAN WORK
TOGETHER TO FILL THOSE GAPS. I
THINK WE ALL AGREE WE NEED MORE
HOUSING. WE NEED MORE
WRAPAROUND SERVICES THAT WILL
TAILOR TO THE SYSTEM OF NEED.
THANK YOU AGAIN FOR THE WORK
YOU ARE DOING. WE REALLY
APPRECIATE IT.
>> OKAY. WE ARE GOING TO MOVE
ON TO OUR LAST AGENDA ITEM.
>> AGENDA ITEM 2, ADDRESSING
SUBSTANCE USE DISORDER, FOR
BRIEFING AND DISCUSSION.
>> REFLECT THAT COUNCILMEMBER
RIVERA HAS REJOINED.
>> SHE IS COMING BACK. SHE IS
STILL HERE.
>> I DON'T THINK -- OKAY. WE
HAVE LOST QUORUM. COUNCIL
PRESIDENT, CAN YOU COME BACK,
PLEASE? WE ARE GOING TO TAKE A
BRIEF RECESS TO HOPEFULLY
REGAIN QUORUM. FIVE MINUTES. WE
WILL COME BACK AT 11:28. THANK
YOU.
>> [ THE EVENT IS ON A RECESS.
THE SESSION WILL RECONVENE AT
11:28 AM. CAPTIONER ON STANDBY.
]
>> IT LOOKS LIKE WE HAVE
QUORUM. THANK YOU. WE HAVE A
PRESENTATION FROM OUR HUMAN
SERVICES DEPARTMENT. WE HAVE
THE KING COUNTY DEPARTMENT OF
COMMUNITY AND HUMAN SERVICES ON
OUR REGIONAL RESPONSE TO THE
BEHAVIORAL HEALTH CHALLENGES
AND SUBSTANCE USE DISORDERS. I
WANT TO CONGRATULATE THEM FOR
THEIR RECENT ANNOUNCEMENT OF
INVESTING $2.6 MILLION TO
EXPAND SUBSTANCE USE DISORDER
DETOX AND TREATMENT BEDS.
CONGRATULATIONS. FANTASTIC.
THAT IS THE FINAL STEP TO
ADDRESSING THIS PERVASIVE
ISSUE. THANK YOU FOR DOING THAT
AND CONGRATULATIONS. I AM
LOOKING FORWARD TO EVEN GREATER
ADJUSTMENTS AS WE GO FORWARD.
WITH AT, I WILL TURN IT OVER TO
OUR PRESENTERS AND YOU CAN
INTRODUCE YOURSELVES. THANK
YOU.
>> STRATEGIC ADVISOR AT THE
HUMAN SERVICES DEPARTMENT.
>> TANYA KIM, DIRECTOR OF THE
HUMAN SERVICES DEPARTMENT.
>> GOOD MORNING. SUSAN
McGLOCKLIN, DIRECTOR OF THE
BEHAVIOR -- GOOD MORNING, BRAD
>> WELCOME.
>> I AM THRILLED TO BE HERE AND
WHAT A GREAT SEGUE FROM THE
PREVIOUS PRESENTATION TO THIS
ONE WHERE WE ARE GOING TO GET
INTO A GREAT DEAL OF
SUBSTANTIVE INFORMATION. YOU
WILL SOON SEE, WE HAVE TALKED
ABOUT THIS ECOSYSTEM, SOME OF
THE GREATEST PLAYERS IN THIS
REGION TO BE AT THE TABLE. WE
HAVE ALL-STARS HERE. WITH THAT,
I'M GOING TO MOVE SWIFTLY
THROUGH MY PRESENTATION BECAUSE
YOU HAVE ACCESS TO ME ON A
REGULAR BASIS BUT, TO BE FAIR
WITH OUR COLLEAGUES FROM THE
COUNTY IS REALLY IMPORTANT. IN
THE PRESENTATION FWITH AN OVERVL
DO A LITTLE BIT OF CONTEXT
SETTING, GIVE YOU AN UPDATE
ALTHOUGH, COUNCIL CHAIR MOORE,
ABSOLUTELY, WE ARE THRILLED TO
BRING ON SOME BEDS SO WE WILL
TALK ABOUT THAT AS WELL. WE
WILL TALK ABOUT OUR ROLL WITH
THE COUNTY, SPECIFICALLY PUBLIC
HEALTH. THAT COMES UP OFTEN.
WHAT IS OUR ROLL IN GENERAL AND
WHAT IS OUR RELATIONSHIP WITH
PUBLIC HEALTH? WE WILL DISCUSS
NEXT STEPS. THEN I WILL HAND
THE BATON, IN THE SPIRIT OF THE
OLYMPICS THAT JUST CLOSED, I
WILL HAND IT OFF TO MY
COLLEAGUES AT THE COUNTY TO
REALLY GET INTO THE BODY OF
WORK SINCE THEY HAVE THE
LEADING ROLES IN THE REGION.
>> FOR THE VIEWING PUBLIC, I
ALWAYS LOVE TO START WITH THE
DEPARTMENT. I AM AT COMMITTEE
OFTEN. I LIKE TO REMIND FOLKS
OF THE BREADTH OF SERVICES THAT
WE DO COVER FOR PEOPLE. THE
HUMAN SERVICES DEPARTMENT
MISSION IS TO CONNECT PEOPLE
WITH RESOURCES AND SOLUTIONS
DURING TIMES OF NEED SO WE CAN
ALL LIVE, LEARN, AND TAKE PART
IN A STRONG AND HEALTHY
COMMUNITIES. WE HAVE SIX
DIFFERENT IMPACT AREAS THAT WE
ADDRESS. YOU WILL SEE THAT OUR
BUDGET IS ALSO ORGANIZED THIS
WAY. IT IS REALLY HELPFUL.
TODAY, WE WILL BE HIGHLIGHTING
SOME OF THE WORK AROUND OUR
PUBLIC HEALTH -- SOME CONTEXT
SETTINGS FIRST BEFORE WE GET
INTO SOME OF THE GOOD NEWS,
SOME OF THE IMMEDIATE WORK WE
HAVE BEEN DOING.
>> I WANT TO FIRST THINK WAS
THE MAYOR . HE WAS VERY CLEAR
WITH HIS DIRECTIVE TO SAY THAT
WE NEED TO ALIGN OUR CITY
INVESTMENTS WITH WORKFORCE
URGENCY TO ADDRESS THE PRIORITY
AND, OF COURSE, BEHAVIORAL
HEALTH AND SUBSTANCE USE
DISORDER, OPIOID, FENTANYL HAS
RISEN TO THE TOP. WE HAVE HEARD
THAT FROM OUR PREVIOUS SPEAKERS
AND WE WILL DISCUSS THAT LITTLE
BIT MORE HERE. WITH THAT, THE
MAYOR GAVE US A DIRECTIVE TO
MOVE SWIFTLY. HIS EXECUTIVE
ORDER IN 2023, THE MAYOR TOOK
IMMEDIATE ACTION AND, TODAY
WILL GO THROUGH THREE UPDATES
AND A TEASER OF WHAT IS TO
COME. WHAT IS TO COME IS
LONG-TERM PARTNERSHIP AND
PLANNING WITH OUR PARTNER
COLLEAGUES AS WELL AS MORE
RESOURCES COMING ONLINE WITH
PARTNERSHIP THAT WILL BE WITH
YOU AS WELL. THANK YOU.
>> THE PROGRESS.
>> THE FOLLOWING SLIDES WILL GO
INTO THIS A LITTLE BIT DEEPER.
WE ARE FAMILIAR WITH WHAT THE
SEATTLE APARTMENT IS DOING. HE
IS VERY MUCH A PART OF THAT
PARTNERSHIP. WE HAVE AWARDED
THROUGH A VERY AGGRESSIVE
REQUEST, CAPITAL DOLLARS. WE
CAN SUPPORT FACILITIES TO
CONTINUE -- IT HAS -- WE HAVE
BEEN ABLE TO ADD MILLIONS OF
DOLLARS TO GET IT ACROSS THE
FINISH LINE TO SAY IT WAS A GAP
IN THIS SYSTEM AS WELL AS
ANOTHER AGENCY WHO HAS
IMPORTANT OUTPATIENT TREATMENT.
I WANT TO GIVE A NOD TO OUR
COUNCIL PRESIDENT. NOW THAT WE
HAVE MORE UNDERSTANDING FOR
CPA, HSD , THAT 300,004
ADDITIONAL TREATMENT
REENLISTMENT. I WANTED YOU TO
KNOW THAT WE ARE WORKING ON IT.
>> ALREADY. HEALTH 99, AND THE
EXPANSION OF HEALTH ONE --
ALSO, THERE ARE ALL OF THESE
MOBILE INTEGRATED HELP. THE
CHIEF AND JOHN ARE LEADS WITH
THIS THROUGH THE EXECUTIVE
ORDER AND THE OPPORTUNITY TO
SEND SOME OPIOID SETTLEMENT
DOLLARS. THE TEAM IS EQUIPPED
SPECIFICALLY TO ADDRESS THE
OPIOID CRISIS. I BELIEVE, BRAD,
YOU ARE GOING TO SHARE SOME
DATA AROUND OVERDOSES. THEY ARE
OUT THERE RESPONDING. CASE
MANAGERS ON THIS TEAM, THEY
CO-RESPOND. WE ARE PROUDLY A
PART OF IT. SINCE JULY 2023, A
LITTLE OVER A YEAR AGO, WE HAVE
RESPONDED TO 441 OVERDOSES IN
THE SEATTLE AREA AND WE HAD 97
OVERDOSE FOLLOW-UPS.
>> WE GET READY FOR SOME MORE
ACRONYMS. WITH THE POST
OVERDOSE RECOVERY THAT WE HAD,
AND WE HAD SOME CAPITAL DOLLARS
THROUGH THE COMMUNITY
DEVELOPMENT BLOCK GRANT, WE
WERE ABLE TO HAVE AN EXPEDITED
FUNDING PROCESS. WITH THAT, WE
ARE ABLE TO AWARD TWO AGENCIES
CAPITAL DOLLARS. WHILE IT IS
AMAZING TO BE ABLE TO ACT ON
THIS, IT COMES WITH GUIDELINES.
I WANTED TO GIVE YOU AN UPDATE
ON ONE OF THE AWARDEES. THEY
ARE DOING WHAT I CALL POST
OVERDOSE FACILITY. IT IS AN
EXTENSIVE PARTNERSHIP. BRAD
WILL GET INTO THAT A LITTLE BIT
MORE. OTHERS HAVE BEEN
PARTNERING AT SOME TIME. HSD
WAS ABLE TO COME IN AND OFFER
2.56 MILLION TO GET THIS
FACILITY OFF THE GROUND. IF THE
TIMING WORKS. WE ARE CURRENTLY
UNDER ENVIRONMENTAL REVIEW. WE
PLAN TO DEVELOP A CONTRACT AND
HAVE THE SERVICES COME ONLINE
IN QUARTER ONE OF 2025. WITH
THAT, I WILL SAY WE HAVE BEEN
WORKING IN PARTNERSHIP. WE ARE
ALREADY GOING TO CONTRACT WITH
THEM THIS YEAR TO GET SOME OF
THE HIRING GOING SO THAT THEY
CAN START THE CRITICAL WORK.
>> THIS IS THE PRESS RELEASE
THAT JUST WENT OUT. WITH THE
CITIES, WE WILL NOTE THAT WE
ARE WORKING WITH VALLEY CITY.
THEY ALSO HAVE A SIGNIFICANT
AGREEMENT WITH THE COUNTY
AROUND THEIR MEDICAID WORK.
THIS EXPANSION, WE ARE ABLE TO
OFFER ABOUT 2.6 MILLION OR
2.55, SPECIFICALLY WHERE WE CAN
HAVE SET ASIDE FUNDS. WE HAVE
TALKED ABOUT WHERE PEOPLE CAN
TAKE FOLKS IF THEY ARE READY
FOR TREATMENT. WE ARE ENTERING
INTO AN AGREEMENT AFTER MUCH
DELIBERATION IN ORDER TO HAVE
THE PLACE WHERE WE CAN TAKE
PEOPLE 24/7 AND THEY WILL HOLD
13 BEDS FOR US. THAT DOES NOT
TAKE AWAY FROM. IT IS ADDING TO
THE WORK THEY ARE DOING. WE
ANTICIPATE IT WILL BE IN
CONTRACT WITHIN THE MONTH. WE
ARE NEGOTIATING THAT RIGHT NOW
AND WE WILL START REFERRALS.
THAT IS JUST RIGHT AROUND THE
CORNER. WE ARE VERY EXCITED
ABOUT THAT.
>> ONE OF THE THINGS THAT WE
TALKED ABOUT -- IT IS
BREATHTAKING. THERE ARE JUST
SOME EXAMPLES OF THE WORK WE
ARE DOING BUT THE HUMAN
SERVICES DEPARTMENT, WHILE WE
HAD THOSE AREAS, A LOT OF THOSE
OTHER COMPONENTS THAT WE ARE
HIGHLIGHTING NOW -- IT IS
BECAUSE WE HAVE BEEN INVOLVED
IN THE DECREASE. THE DEMAND IS
GREAT AND WHAT WE KNOW FOR THE
DATA IS THAT IT IS
DISPROPORTIONATELY IMPACTING
THE CITY OF SEATTLE. WE ALSO
HAVE OPIOID SETTLEMENT DOLLARS,
AN OPPORTUNITY AND THE
LEADERSHIP OF THE MAYOR. WE
HAVE BEEN IN THIS PUBLI
SPEAKING, WE DO HAVE OVER 24.5
MILLION INVESTED IN THIS SPACE.
I THINK ABOUT PUBLIC HEALTH AS
A GENERAL TERM BUT THE CONTRACT
THAT WE SPECIFICALLY HAVE WITH
THE COUNTY, PUBLIC HEALTH,
SEATTLE KING COUNTY HEALTH
DEPARTMENT IS ABOUT 20 MILLION.
THOSE ARE SOME OF THE THINGS I
TALKED ABOUT, INVESTING IN OUR
OWN PERSONNEL. THE CONTRACT
THAT WE HAVE WITH VALLEY CITIES
IS OUR CONTRACT. WE ALSO HAVE A
CONTRACT WITH PUBLIC HEALTH TO
ENHANCE AND EXPAND UPON SOME OF
THE SERVICES THAT THEY ARE
SUBJECT MATTER EXPERTS IN AND
HOW WE CAN ALIGN OUR
PRIORITIES. IN ADDITION TO
THAT, WITH PUBLIC HEALTH
CONTRACT, WE DO HAVE AN
OPPORTUNITY. I UNDERSTAND THAT.
GIVEN THE PRIORITIES AND GIVEN
THE CRISIS WE ARE DEALING WITH,
WE KNOW THAT LIVES ARE
IMPORTANT. WE DO WANT TO ALSO
ADDRESS THE SYSTEM GAPS. THAT
IS SOMETHING WE WILL BE
EMBARKING ON IN THE NEAR
FUTURE.
>> SOME OF THE ELEMENTS OF THE
2024 CONTRACT ARE LISTED HERE.
I AM ACTUALLY NOT GOING TO GET
INTO IT TOO MUCH BECAUSE BRAD,
WE HAVE OUR ADVISOR HERE FROM
THE COUNTY BUT IT IS EVERYTHING
FROM TREATMENT TO HEALTHCARE
AND ALSO SOME SERVICES THAT WE
OFFER THROUGH THE MENTAL HEALTH
COURT. IT IS A RANGE OF
INVESTMENTS THAT WE CURRENTLY
HAVE IN OUR PUBLIC HEALTH
CONTRACT AND WE DO MONITOR THE
CONTRACT WE HAVE, REGULAR
QUARTERLY REPORTS AND WE DO
HAVE THAT REIMBURSEMENT. NEXT
SLIDE, PLEASE.
>> THIS SAYS NEXT STEPS BUT IT
IS A LOOK BACK TO THE NEXT
STEP. HOW DID WE GET HERE AND
WHAT IS AHEAD?
>> SORRY, I THINK WE HAD A
QUESTION.
>> QUICK QUESTION ON THE LAST
PAGE. MUCH OF THE 20 MILLION
THAT WE ARE PAYING IN OUR
CONTRACT TO PUBLIC HEALTH IS
GOING TO THESE PROGRAMS?
>> THE MAJORITY OF THE FUNDING
GOES TOWARD PROGRAMS. THERE IS
A VERY SMALL PERCENTAGE THAT
GOES TO ADMINISTRATIVE COSTS. I
DO HAVE A BREAKDOWN OF THE
DIFFERENT BUDGET PROGRAM AREAS
AND I'M HAPPY TO PROVIDE THAT
TO YOU AS A FOLLOW-UP.
>> I HAVE BEEN INFORMED BY THE
MAYOR'S OFFICE THAT ONLY ABOUT
18% OF THE FUNDS THAT THE CITY
PAYS INTO, KING COUNTY PUBLIC
HEALTH, FOR SUPPLEMENTARY
SERVICES, GOES TOWARD
TREATMENT.
>> TREATMENT AND ANYTHING
ASSOCIATED, MENTAL HEALTH, ET
CETERA, THINGS ON THIS LIST.
THERE IS HIGHEST NEED FOR
MUNICIPALITIES TO BE ADDRESSED.
I AM WONDERING WHERE THE REST
OF THE MONEY GOES.
>> HAPPY TO PROVIDE DETAILED
INFORMATION. I WILL TELL YOU
OFF THE TOP OF MY HEAD, I DO
KNOW THAT A SIGNIFICANT DOLLAR
AMOUNT DOES GO TO COMMUNITY
CLINICS. THERE IS A WHOLE
REASON BEHIND THAT WHERE, IF
PEOPLE CAN HAVE THEIR BASIC
NEEDS MET, THEY COULD ALSO DEAL
WITH SOME OF THE OTHER
SUBSTANCE USE DISORDER NEEDS.
HAPPY TO HAVE THAT BREAKDOWN
FOR YOUR OFFICE.
>> THANK YOU.
>> WE CAN PROVIDE THAT TO
EVERYONE. IT WILL BE HELPFUL.
>> THANK YOU, CHAIR MOORE FOR
LETTING ME ASK QUESTIONS. I
DON'T SIT ON THIS COMMITTEE
BUT EVERYONE IS TIRED OF
HEARING ME SAY ALL OF THESE
ISSUES ARE IMPORTANT TO ME. I
ATTEND AND I APPRECIATE THE
ABILITY TO QUESTION. I KNOW THE
PUBLIC HEALTH SEATTLE KING
COUNTY ALSO WILL RECEIVE
SCHOOL-BASED HEALTH CLINICS.
THAT INVESTMENT IS WITH TAX
LEVY DOLLARS BUT NOT WITH THESE
DOLLARS, CORRECT? USE A
COMMUNITY CLINICS, THEY ARE
SEPARATE .
>> THAT IS RIGHT. I AM ONLY
REPORTING TODAY ON THE HUMAN
SERVICES DEPARTMENT INVESTMENTS
BUT THANK YOU.
>> SO, THE CITY HAS INVESTMENTS
TO GET DEAL FOR THE SCHOOL HELP
BASED CLINICS AND HSD HAS ALL
THE OTHER PUBLIC HEALTH,
SEATTLE KING COUNTY
INVESTMENTS?
>> CORRECT.
>> THANK YOU.
>> EXCELLENT.
>> WE HAVE DONE EXTENSIVE
RESEARCH -- THIS GOES TO WHAT
THE COUNCIL PRESIDENT WAS JUST
ASKING. OF ALL OF THESE PROGRAM
AREAS THAT ARE IN OUR CONTRACT
WITH PUBLIC HEALTH, HOW MUCH
ARE WE INVESTING IN EACH OF THE
PROGRAMS? I WILL ADMIT THAT
THIS IS A CONTRACT THAT WE HAVE
INHERITED OVER THE YEARS THAT I
PICKED UP AS A DIRECTOR. I
DON'T THINK IT WAS BUILT OFF
OF THE COUNCIL THROUGHOUT
HISTORY, DIFFERENT EXECUTIVES
SAYING WE WANT TO INVEST IN
NEXT, WHY, Z, ALL WORTHY THINGS
AT THAT POINT IN TIME BUT IT
WAS IMPORTANT FOR US TO REFRESH
AND TAKE A LOOK AND MAKE SURE
THERE IS ALIGNMENT. I JUST WANT
TO NOTE THAT, WITH THAT, IN
2023, WE WORKED WITH THE
MAYOR'S OFFICE. THEY CONDUCTED
EXTENSIVE LITERATURE. BECAUSE
THIS IS A NEW BOOK OF BUSINESS
FOR US, WE WANTED TO GET THE
BUSINESS OF PASSING THROUGH
DOLLARS TO BE INTENTIONAL. WE
GOT THE SUPPORT FROM I.T.. THEY
DID EXTENSIVE REVIEW, GAVE US
THAT INFORMATION AND THEN HSD
COULD OVERLAY OUR ANALYSIS OF
OUR CURRENT CONTRACT. WE MET
SEVERAL TIMES AND LOOKED AT
WHAT WE WERE INVESTING, WHAT IS
THE PERCENTAGE, WHAT IS THE
OUTCOME? WHAT CLINICS ARE THE
GEOGRAPHIC LOCATIONS? WE DID
THAT AND, I WILL GIVE YOU A
PREVIEW THAT IN 2025, WE ARE
COMING UP ON BUDGET SEASON. AS
SOON AS THE EXECUTIVE BUDGET
DROPS, WE ARE ABLE TO TRANSMIT
THAT. THAT IS WHEN HSD AS A
HOLE IS ABLE TO START CONTRACT
NEGOTIATIONS WITH ALL OF OUR
PROVIDERS AND AWARDEES AND THAT
INCLUDES OUR PARTNERSHIP WITH
PUBLIC HEALTH. AT THAT TIME, WE
WILL ENGAGE IN CONTRACT
NEGOTIATION. THAT IS THE
OPPORTUNITY WHERE WE WILL ALIGN
WITH THE CITY PRIORITIES.
FURTHER, IN 2025, ONCE WE HAVE
THAT CONTRACT, WE ARE GOING TO
RESET SOME EXPECTATIONS WHERE
WE WANT TO BE PARTNERS. I THINK
WE HAVE SOME SHARED GOALS. THEY
ALSO HAVE A NEW STRATEGIC PLAN.
WE WILL BE ABLE TO HAVE SOME
EXPECTATIONS. WE WILL FINALIZE
PERFORMANCE METRICS. WE ARE
EXCITED ABOUT HAVING THE
METRICS VISIBLE AND AVAILABLE
AND WE WILL HAVE SOME CLEAR
REPORTING STRUCTURES SO WE CAN
REPORT BACK OUT WITH THE IMPACT
OF OUR ADDITIONAL DOLLARS. AND,
I KNOW THIS IS A NOD TO YOU
CHAIR MOORE AND OTHERS WHO
SERVE ON THE BOARD OF HEALTH, I
KNEW -- I DO KNOW THERE IS
INTEREST IN STRENGTHENING OUR
LOCAL AGREEMENT. WE WILL LOOK
AT THAT AS WELL.
>> THANK YOU.
>> I WAS GOING TO JUMP IN WITH
TWO QUICK QUESTIONS. FOLLOWING
UP ON THE INTERLOCAL AGREEMENT,
WOULD THAT REQUIRE COUNCIL
SIGNOFF?
>> THAT IS A GREAT QUESTION. I
DON'T KNOW WHAT THE MECHANICS
ARE OF THAT BUT I AM CERTAIN
THERE WOULD BE SOME LEVEL OF
COLLABORATION. I AM HAPPY TO
GET BACK TO YOU ON THAT.
>> I AM JUST CURIOUS. WE TALKED
ABOUT IN 2024, YOU DEVELOPED A
THEORY OF CHANGE. COULD LITTLE T
WHAT THE NEW THEORY OF CHANGE,
IF IT IS NEW, WHATEVER THE
THEORY OF CHANGE IS?
>> WE WERE VERY CAREFUL WITH
OUR WORDS. WE ARE STILL
DEVELOPING IT TO. PART OF IT IS
WE NEED TO SIGN OFF WITH THE
MAYOR. ONCE WE HAVE THAT MIND
UP, IT WILL LEAD US INTO OUR
CONTRACT NEGOTIATIONS AS WE
ENGAGE IN THAT WITH PUBLIC
HEALTH. IT WILL OUTLINE OUR
PRIORITIES AND WHAT WE WOULD
LIKE TO INVEST IN. IT IS NOT
THE SCAFFOLDING CONTRACT THAT
WE CURRENTLY HAVE BUT THAT WE
ARE VERY CLEAR ABOUT THE BUDGET
AND ALIGNMENT TO THE CITY'S
PRIORITY WHICH WILL BE
OUTLINED. THAT IS OUR PUBLIC
HEALTH INVESTMENT AS A WHOLE.
IT IS A GOOD QUESTION, COUNCIL
PRESIDENT, ASKING ABOUT WHAT
PERCENTAGE OF THIS CONTRACT IS
GOING TOWARD SUBSTANCE USE BUT
I ALSO WANT TO TAKE A STEP BACK
AND LOOK AT ALL OF OUR
INVESTMENTS AS A WHOLE, WHAT IS
GOING INTO THE PUBLIC HEALTH
UNIVERSE AND HOW MUCH OF THAT,
INCLUDING OUR FEDERAL DOLLARS,
OPIOID SETTLEMENT DOLLARS ARE
GOING TOWARD WHICH DIFFERENT
PRIORITIES? WE WILL BE ABLE TO
ANSWER THAT AT THE END OF THE
YEAR OR 2025. IT WILL BE
REFRESHED.
>> WHAT ARE YOU RELYING UPON TO
DEVELOP THIS AREA OF CHANGE?
WHAT IS THIS SOURCE OF
INFORMATION? ARE YOU DOING YOUR
THEORY OF CHANGE TO ENSURE
INVESTMENTS ARE MEETING THE
NEEDS? WHO IS IDENTIFYING WHAT
TO THE NEEDS ARE ? WHO IS
IDENTIFYING WHAT THE THEORY OF
CHANGE WOULD BE TO MEET THOSE
NEEDS?
>> WE STARTED WITH A LITERATURE
REVIEW FROM I.T.. THERE IS A
TON OF DATA. WE FOUND PART OF
THE EPIDEMIOLOGIST. IT WILL BE
DATA DRIVEN. BASED ON THAT, IT
WILL BE A CLEAR PAIR OF ISSUES.
ONE OF THE THINGS I HAVE BEEN
LEARNING THROUGHOUT THE LAST
COUPLE OF YEARS IS, WHAT IS
FOUNDATIONAL? WHAT IS MANDATED
FOR PUBLIC HEALTH TO PROVIDE
THE COUNTY? WHAT IS THE ROLL OF
THE KING COUNTY OF COMMUNITY
HUMAN SERVICES AND THE
TREATMENT THAT THEY PROVIDE
THROUGH MEDICAID AND THE SYSTEM
THAT THEY HAVE AND THEN WHAT IS
THE ROLL OR OPPORTUNITY THAT
THE CITY CAN HAPPEN THROUGH THE
ENHANCEMENTS? COLLECTING ALL OF
THAT INFORMATION IS GOING TO BE
ARTICULATED IN THE CHANGE TO
SAY THAT BASED ON THE DATA,
HERE IS WHAT EXISTS, HERE IS
THE GAPS. HERE IS WHAT THE CITY
WILL INVEST IN.
>> YOU ANTICIPATE HAVING THAT
DONE BY THE END OF THIS YEAR?
>> YES.
>> THAT WOULD BE GREAT TO BRING
THAT TO COMMITTEE. I THINK THAT
WOULD BE HELPFUL FOR US TO SEE
THAT.
>> DID YOU HAVE A QUESTION?
>> WOULD AND YOUR THEORY OF
CHANGE FOLLOW THE NEEDS
ASSESSMENT THAT SAYS WHAT
HEALTHCARE FACILITIES AROUND
THE REGION ARE SAYING IS
HAPPENING OUT THERE IN THE REAL
WORLD? MY UNDERSTANDING IS THAT
THE MOST RECENT NEEDS HAVE BEEN
IDENTIFIED, GREATEST NEEDS AS
MENTAL HEALTH, SUBSTANCE USE
DISORDER, INJURY IN OVERDOSE.
IT IS REALLY CLEAR WHAT THE
NEED IS . CLOSELY IS THE THEORY
OF CHANGE TRACKING WHAT THE
NEEDS ASSESSMENT SAYS?
>> CLOSELY.
>> GREAT.
>> I DON'T THINK YOU WILL BE
SURPRISED. AND, WE WILL HAVE
ALL THE CITATIONS AND WE WILL
BE HAPPY TO COME BACK AND SHARE
THAT INFORMATION.
>> THANK YOU.
>> IF THERE ARE NO OTHER
QUESTIONS --
>> I THINK THERE ARE.
>> THANK YOU, MADAM CHAIR AND
THANK YOU FOR THIS
PRESENTATION. DIRECTOR KIM,
THANK YOU FOR WALKING THROUGH
THE EXERCISE ON THIS LAST SLIDE
HERE ABOUT HOW YOU APPROACH
ALIGNING CITY INVESTMENTS WITH
CURRENT PRIORITIES OF THE CITY.
THAT IS EXACTLY THE TYPE OF
BORING ROUTINE BUT HIGHLY
IMPACTFUL WORK THAT WE NEED TO
BE DOING MORE OF AS A CITY.
WHAT WE KNOW HAPPENS IS THAT
YOU ALLUDED TO THIS A MOMENT
AGO. EXECUTIVES,
COUNCILMEMBERS, ANY STAFF IN
THE DEPARTMENT, CHAIN ONE WELL
INTENDED IDEA ON TOP OF ANOTHER
WELL INTENDED IDEA ON TOP OF
ANOTHER AND THEN YOU END UP
SEEING THE RESULT IS THIS
FRANKENSTEIN MONSTROUS UNWIELDY
SET OF VALUES AND PRIORITIES
AND PROGRAMS AND PRINCIPLES.
SOME ARE CONSISTENT. SOME ARE
TOTALLY INCONSISTENT.
SIMPLIFYING AND STREAMLINING
AND RELYING TO CURRENT
PRIORITIES OF THE CITY IS VERY,
VERY IMPORTANT. THANK YOU FOR
UNDERTAKING THAT WORK LAST
YEAR. I AM JUST CURIOUS TO
BETTER UNDERSTAND -- IT IS AN
ITERATE PROCESS, OF COURSE.
SINCE THAT WORK WAS UNDERTAKEN,
A NUMBER OF THINGS HAVE
HAPPENED WITH THE CITY
INCLUDING UNPRECEDENTED
TURNOVER IN CITY COUNCIL. THERE
IS 2/3 NET NEW MEMBERS HERE AND
WE HAVE OUR OWN PRIORITIES. WE
HAVE NEWER MEMBERS AND THE ONES
THAT ARE HERE BEFORE -- JUST
CURIOUS TO BETTER UNDERSTAND,
HOW ARE YOU PREPARED TO ENSURE
THAT THE PUBLIC HEALTH
PRIORITIES ARE ALIGNED TO THE
COUNCIL'S PRIORITIES IN
ADDITION TO EXECUTIVES AND ANY
NUMBER OF THINGS? HOW ARE YOU
PREPARED TO DO THAT?
>> I THINK WE ARE A LOT CLOSER
THAN WE ARE FAR APART. I KNOW
THAT SAFETY IS IMPORTANT. I
KNOW THAT ADDRESSING
HOMELESSNESS AND THE NEEDS OF
OUR UNSHELTERED NEIGHBORS ARE
IMPORTANT. I KNOW THAT
SUBSTANCE USE DISORDER AND
OPIOID AND FENTANYL
SPECIFICALLY IN THE
INTERSECTIONALITY OF CRIME AND
HOMELESSNESS AND OTHERS, THAT
IS IMPORTANT. I ALSO KNOW THAT
GOING UPS DREAM -- UPSTREAM AND
HAVING HEALTH AND WELLNESS
ACCESS TO THAT IS IMPORTANT. I
THINK THAT WITH THE LAUNCH OF
THIS CHANGE, WE REALLY LISTEN.
WE DON'T HAVE TO DO MORE.
PEOPLE HAVE TOLD US, GENERALLY
SPEAKING, WHAT THEY NEED. WE
ALSO HAVE A RICH LEVEL OF
RESEARCH THAT HAS BEEN DONE.
EVEN WITH THE OPIOID SETTLEMENT
ON THE ABATEMENT FUNDS, THERE
WAS SOME RESEARCH, COMMUNITY
ENGAGEMENT ON TOP OF THAT THAT
SAID HERE IS HOW WE WILL ASK
THE VARIOUS MUNICIPALITIES TO
IMPLEMENT THEIR FUNDS. THERE IS
GUIDANCE ON THAT. I HAVE HEARD
WHAT YOUR PRIORITIES ARE. I
DON'T THINK WE ARE FAR APART.
THERE ARE MANY WAYS TO GET
THERE. FOR ME, IT IS ABOUT
COMING BACK AND BEING
ACCOUNTABLE TO OUR METRIC AND
REALLY LISTENING, ALSO BEING --
YOU SAID ITERATIVE PROCESS. ARE
WE ACCOMPLISHING WHAT WE SET
OUT TO ACHIEVE? IF NOT, WHAT WE
DO TO CHANGE THAT? THERE ARE
OTHER THINGS THAT ARE IN PLACE.
I HAD MENTIONED COUNCIL
PRESIDENT NELSON'S CPA WHERE
WE HAVE 300,000. IN ORDER TO
STAND UP , THERE IS MORE WORK
THAT HAS BEEN DONE ON THE
BACKGROUND. HOW DO WE DO THESE
REFERRALS? IS IT WORKING FOR
PEOPLE? THERE IS ALL OF THIS
BEHIND THE SCENES
COLLABORATION. I JUST WANTED
YOU TO KNOW THAT THERE ARE
OPPORTUNITIES. CERTAINLY YOU
COMING BACK TO COUNCIL AND
GIVING UPDATES IS ANOTHER WAY
WE CAN HOLD OURSELVES
ACCOUNTABLE AND MAKE SURE WE
HAVE ALIGNMENT. THIS IS
SOMETHING THAT I FEEL IS NOT
CONTROVERSIAL. WE WANT TO SAVE
LIVES AND GIVE PEOPLE THE
OPPORTUNITY TO DO WELL.
>> I WOULD AGREE. DEFINITELY
NOT CONTROVERSIAL, JUST A
MATTER OF WHICH SPECIFIC LINES
TO BUSINESSES AND PROGRAMS MADE
PURSUANT TO THIS BROADER PUBLIC
HEALTH MISSION THAT WE ALL
SHARE -- IN ANY EVENT, THANK
YOU FOR THAT. I HAVE A QUESTION
NOW ABOUT HEALTH 99. YOU
MENTIONED THAT THIS IS
ESSENTIALLY AN EXPANSION OF THE
HEALTH WENDED -- 1 PROGRAM.
MANY OF THE GED ABOUT THEIR RIG
LUNGS WITH HELP 1 AND I WILL
ADMIT I HAVE MY OWN, FROM THAT.
I ALREADY REACHED OUT TO MY
PARTNERS AND COLLEAGUES TO GET
MY OWN RIGHT ALONG. HEALTH 99,
A NEW LINE OF BUSINESS. WHAT IS
ITS SPECIFIC RELATIONSHIP TO
HEALTH 1. IS A DANCY EXPANSION
OR NOT? HOW IS IT RELATED OR
NOT? WHAT ARE THE DIFFERING
CHARACTERISTICS OF EACH?
>> HEALTH 1 IS REALLY GOING OUT
AND DOING RESPONSES WHERE THERE
IS MEDICAL. HEALTH 99 IS LASER
FOCUSED ON SUBSTANCE USE
DISORDER I'M GOING TO GET THIS
WRONG SO I'M GOING TO LOOK AT
MY FRIENDS. THEY ARE EQUIPPED
WITH MEDICATION TO SUPPORT
PEOPLE. IT IS NOT ONLY NALOXONE
I DON'T WANT TO SPEAK FOR FIRE
BUT THEY HAVE BEEN ABLE TO
LAUNCH MEDICATIONS THAT THEY
ARE ABLE TO ADMINISTER FOR SOME
LONGER TERM TREATMENT. IT IS
IMPORTANT TO HELP DECREASE
ADDITIONAL OVERDOSES IN THE
AFTERMATH . WE WANT TO GET
FOLKS INTO A REFERRAL AND
TREATMENT OPTION. THEY ARE VERY
SPECIALIZED, SPECIFICALLY
AROUND SUBSTANCE USE DISORDER
AND OVERDOSES.
>>.IT. 1 IS HIGH LEVEL, MORE
HEALTH FOCUSED, INCLUDING
POTENTIALLY THIS BROADER
BEHAVIORAL HEALTH ISSUES,
WHICH, OF COURSE, SUBSTANCE USE
DISORDERS WOULD FIT WITHIN THE
THAT AND THEN HEALTH 99 IS MORE
LASER FOCUSED AND TARGETED ON
SUBSTANCE USE DISORDER ASPECT?
>> I WOULD SAY THAT IS GENERAL.
IF CHIEF SMITH WAS HERE, SHE
WOULD ABLE TO SAY WHEN THEY GET
THE CALLS AND THEN REFERS THE
CALLS OVER TO THE FIRE SYSTEM
AND THEN THEY DEPLOY. IS THE
ISSUE RELATED TO THE OVERDOSE
OR NOT AND THEN THEY WOULD
DEPLOY MORE APPROPRIATE FOR 1
OR 99.
>> JUST AS A REMINDER, THEY
DON'T JUST ACCEPT THE CALLS,
BUT THEY DO THE FOLLOW-UP,
WHICH IS IMPORTANT. THEY KNOW
THAT THIS IS AROUND A CRISIS
RESPONSE OR IT CAN BE -- THERE
ARE A LOT OF THINGS HAPPENING
WITH A PERSON BUT IT IS MORE
GEARED TOWARD THE SUBSTANCE USE
ISSUE, IT WILL BE HEALTH 99
THAT IS DEPLOYED AND WITH A
FOLLOW-UP RESPONSE.
>> HEALTH 99 INCLUDES THE CASE
MANAGEMENT FOLLOW-UP RESPONSE
ELEMENT? NOT NECESSARILY A
DIRECT CASE.
>> THEY DO. THEY CAN FOLLOW UP.
THE GOAL IS TO BE ABLE TO, FOR
EXAMPLE, WHEN O.R.C.A. IS SET
UP, THE DESC WOULD ENVISION
THAT HEALTH 1, ONCE THEY HAVE
ADMINISTERED NALOXONE , THE
PERSON AT THE MOMENT THEN NEEDS
TO GO TO A PLACE TO STABILIZE
AND BE MONITORED FOR 23 HOURS.
THEY CAN DROP THAT INDIVIDUAL
OFF AT THE O.R.C.A. CENTER .
THERE IS GOING TO BE A SYSTEM
OF RESPONSE FOR OVERDOSES AND
THAT IS HOW THAT WOULD WORK, IN
THAT CASE.
>> THANK YOU.
>> I KNOW YOU HAD QUESTIONS,
COUNCILMEMBER RIVERA BUT IT IS
12:00 AND WE HAVE A LOT OF
MATERIAL TO GET THROUGH. IF YOU
WOULD NOT MIND HOLDING THAT.
THANK YOU.
>> IF IT IS OKAY, I WOULD LIKE
TO HAND THE BATON OVER TO BRAD
AND WE WILL START WITH PUBLIC
HEALTH AND THEN WE WILL GO TO
DR. McCLELLAN FOR THE KING
COUNTY DEPARTMENT OF HUMAN
SERVICES SPECIFIC DIVISION ON
BEHAVIORAL HEALTH AND RECOVERY.
>> GOOD AFTERNOON. I AM WITH
PUBLIC HEALTH SEATTLE KING
COUNTY AND I AM JOINED BY MIKE
COLLEAGUE, THE DIRECTOR OF
BEHAVIORAL HEALTH AND RECOVERY
DIVISION. ANYTHING ELSE YOU
WANT TO SAY? WE CAN KEEP GOING.
RECENTLY, PUBLIC HEALTH
ANNOUNCED AND ROLLED OUT ITS
STRATEGIC PLAN FOR THE NEXT
FIVE YEARS WITH FIVE
PRIORITIES, CLAIMANT AND HELP,
WELL-BEING, INFORMATION,
WORKFORCE INFRASTRUCTURE WITH
THE UNDERLYING PENANCE OF
ANTIRACISM AND EQUITY. WITHIN
THAT EMERGING THREAT TO
COMMUNITY HEALTH AND WELL-BEING
, IT IS A PRIORITY SPECIFICALLY
AROUND OVERDOSE PREVENTION AND
CARE FOR PEOPLE WITH SUBSTANCE
ABUSE. NEXT SLIDE, PLEASE.
>> THAT GOAL IS AROUND MAKING
EVIDENCE-BASED CULTURALLY
APPROPRIATE AND MAKING SERVICES
AVAILABLE FOR PEOPLE ON-DEMAND.
WE PROVIDE ACCESS TO SERVICES.
THERE IS BASICALLY FOUR
OVERARCHING OBJECTIVES. THE
FIRST OBJECTIVE IS AROUND
ONGOING EVALUATION OF OUR
PROGRAMS TO ENSURE THAT THE
PROGRAMS ARE WORKING, TO ENSURE
PEOPLE ARE GETTING ACCESS TO
SERVICES AND TO ENSURE PEOPLE
ARE DOING THE RIGHT WORK. WE DO
A LOT OF COMMUNITY-BASED
TRAINING FOR FOLKS, BOTH IN
RESPONSE TO THE COMMUNITY NEED
AND ASSERTIVELY THROUGH
ORGANIZATIONS, AGENCIES, AND
COMMUNITY SPACES WHERE TRAINING
IS NEEDED ON OVERDOSE
PREVENTION, BEST PRACTICES FOR
PEOPLE WITH SUBSTANCE USE
DISORDERS. OBJECTIVE THREE IS
ABOUT HARM REDUCTION RESOURCES
AND SUPPLIES. WE DO A
TREMENDOUS AMOUNT OF
DISTRIBUTION ON HARM REDUCTION
RESOURCES AND SUPPLIES IN THE
COMMUNITY. IT IS REALLY
IMPORTANT IN ORDER TO GET
PEOPLE INTO TREATMENT, TO KEEP
PEOPLE ALIVE AND TO PROVIDE
ACCESS TO LIFESAVING SUPPORT
SERVICES LIKE NALOXONE,
FENTANYL, TEST STRIPS, WOUND
AND ABSCESS CARE IN ORDER TO
GIVE PEOPLE THE BEST CHANCE OF
GETTING ACCESS TO SERVICES AND
ACHIEVING RECOVERY. OBJECTIVE
4, TO -- THE GOLD STANDARD FOR
TREATMENT FOR PEOPLE WITH
OPIOID USE DISORDER IS ACCESS
TO MEDICATION. WE ARE DOING A
LOT OF WORK WITH THE DEPARTMENT
OF COMMUNITY HUMAN SERVICES
THAT WE WILL TALK ABOUT IN A
SECOND AROUND IMPROVING ACCESS
TO MEDICATION, BOTH PUPA
NORTHING AND METHADONE AND THAT
IS IN PUBLIC HOUSE, IN
CONNECTION WITH THE OTHER
TREATMENT ACCESS, BOTH
OUTPATIENT AND INPATIENT THAT
IS HAPPENING. WE CAN KEEP
GOING.
>> I THINK IT IS REALLY
IMPORTANT TO TAKE A LOOK AT THE
DATA. ESPECIALLY RIGHT NOW, IT
IS SOMETHING WE CAN FEEL GOOD
ABOUT WITCHES SOMETHING, WHEN I
WAS AT SEATTLE COUNCIL LAST
YEAR, THE TRENDS WERE NOT
WORKING IN THE RIGHT DIRECTION.
THIS IS STARTING IN QUARTER
THREE OF 2023. WE PLATEAUED AT
AN EXTREMELY HIGH AMOUNT OF
OVERDOSES. SINCE QUARTER THREE
OF 2023, OUR OVERDOSE RATE IN
KING COUNTY AND THE CITY OF
SEATTLE IS DECREASING. THE
NUMBERS THAT YOU SEE HERE ARE
YEAR TO DATE NUMBERS, BEGINNING
OF THE YEAR IN 2023 TWO AUGUST
6 OF 2023. THE AMOUNT OF
OVERDOSES DECREASED IN 2024
COUNTYWIDE, 15%. IT IS STILL
HIGHER THAN 2022 AND MUCH
HIGHER THAN ZERO OR ONE
OVERDOSE. IT IS OUR HOPE THAT
OVERDOSES ARE STARTING TO TREND
MONTH BY MONTH, QUARTER BY
QUARTER. WE CAN KEEP GOING.
>> THANK YOU, BRAD AND THANK
YOU AGAIN FOR HAVING ME HERE
TODAY. WE WILL TALK
SPECIFICALLY ABOUT SOME OF THE
PROGRAMS AND RESPONSES ACROSS
KING COUNTY WITHIN THE CITY AT
SEATTLE TO HELP SUPPORT PEOPLE
WITH MENTAL HEALTH AND
SUBSTANCE USE NEEDS BUT IT IS
IMPORTANT TO BE REMINDED THAT
THERE IS AN ECOSYSTEM OF
BEHAVIORAL HEALTH SERVICES THAT
EXISTS AND AN INFRASTRUCTURE TO
SUPPORT PEOPLE ALONG THE
CONTINUUM OF RECOVERY FROM BOTH
MENTAL HEALTH AND SUBSTANCE USE
NEEDS. ONE OF THE IMPORTANT
REASONS FOR THE PARTNERSHIP
BETWEEN HSD, PUBLIC HEALTH AND
OUR DEPARTMENT OF COMMUNITY
SERVICES IS SO THAT WE CAN
COMPLIMENT -- WE HAVE DIFFERENT
RESPONSIBILITIES FOR DIFFERENT
PARTS OF THE CONTINUUM AND THE
ECOSYSTEM. FOR EXAMPLE, PUBLIC
HEALTH IS VERY FOCUSED ON
PREVENTION, EARLY INTERVENTION
SERVICES AND HARM REDUCTION. MY
DIVISION IS RESPONSIBLE FOR THE
SYSTEM OF TREATMENT AND
RECOVERY SERVICES, BOTH
OUTPATIENT AND INPATIENT
TREATMENT. FOR PEOPLE ON
MEDICAID AND OTHER LOW INCOME
INDIVIDUALS, THEN, THE
CONTINUUM OF CRISIS SERVICE
RESPONSE FOR ALL INDIVIDUALS IN
KING COUNTY IN THE BEHAVIORAL
HEALTH CRISIS.
>> EARLIER THIS YEAR, EXECUTIVE
CONSTANTINE ROLLED OUT 13
ACTION RESPONSES TO TRY TO
ADDRESS THE OPIOID CRISIS. WE
ARE GOING TO GO THROUGH EACH OF
THESE PRIORITY AREAS AND WHAT
HAS BEEN HAPPENING WITHIN IT
SINCE THIS ANNOUNCEMENT EARLIER
THIS YEAR.
>> I JUST WANT TO REITERATE
WHAT DR. McGLOCKLIN SAID WHICH
IS, IF WE OPERATE IN A FULL
CONTINUUM OF SERVICES AND,
ALTHOUGH HARM REDUCTION
SOMETIMES GETS A LOT OF -- IT
IS THE GOAL, TO GET PEOPLE
ACCESS TO THE SERVICES THEY
WANT AND NEED . WHEN PEOPLE
WANT TREATMENT, THIS GOAL OF
OUR SYSTEM AND THE WORK THAT
SUSAN AND I DO RESPECTABLY IS
TO GET PEOPLE ACCESS TO THE
TREATMENT. IF PEOPLE WANT
ACCESS TO SERVICES AND THEY
CAN'T GET ACCESS TO SERVICES,
THEN WE ARE NOT DOING RIGHT BY
THOSE PEOPLE AND THAT IS OUR
BEST BET. OUR FIRST PRIORITY IS
AROUND PROVIDING ACCESS TO
TREATMENT IN COMMUNITY-BASED
RECOVERY SUPPORT. IN ORDER TO
DO THAT, WE ARE TRYING TO CLOSE
GAPS WHERE PEOPLE MAY WANT
SERVICES AND ARE HAVING TROUBLE
ACCESSING SERVICES. ONE OF THE
TWO MEDICATIONS FOR OPIOID USE
DISORDER THAT IS PROVEN TRIED
AND TRUE, WE HAVE EXPANDED
ACCESS TO OVER 126 SITE
LOCATIONS AROUND THE COUNTY
WHERE PEOPLE CAN GET ACCESS BUT
WE KNOW THAT MIGHT NOT BE
ENOUGH. WITH CHANGE IN THE
FEDERAL RULES WE LAUNCHED IN
JANUARY OF THIS YEAR, A 24/7
HOTLINE SO ANYONE CAN CALL
24/7, GET ACCESS TO A DOCTOR
ON-DEMAND WHEN THEY ARE READY
TO GET MEDICATION TO START THAT
RECOVERY JOURNEY AND HAVE A
PRESCRIPTION CALLED IN FOR
THEM. WE ARE ALSO WORKING TO
MAKE SURE IT IS AVAILABLE AT
EVERY BEHAVIORAL HEALTH
LOCATION, EVERY OUTPATIENT
FACILITY THAT IS RAN THROUGH
THE BEHAVIORAL HEALTH DIVISION
AND DEPARTMENT OF COMMUNITY
SERVICES TO MAKE SURE THAT
MEDICATION IS AVAILABLE. IT IS
NOT SOMETHING THAT PEOPLE HAVE
TO PARTAKE BUT WE KNOW THAT IT
DOES CUT OVERDOSE RATE RISKS BY
50%. WE WANT TO MAKE SURE IT IS
AVAILABLE WHEN PEOPLE WANT IT.
WE CAN TALK MORE ABOUT IT IF WE
HAVE TIME AT THE END,
INCREASING MOBILE CRISIS
RESPONSE AND MAKING THE NUMBER
OF MOBILE CRISIS PROGRAMS
AVAILABLE IN THE 24/7 MANOR.
LASTLY, WITH CDC FUNDING, WE
ARE INVESTING IN HIGH RISK
COMMUNITY ORGANIZATIONS THAT
SERVE PEOPLE TO MAKE SURE THAT
PEOPLE GET ACCESS TO TREATMENT
AND HARM REDUCTION SERVICES,
ENSURING THEY GET THE CARE.
>> THE SECOND PRIORITY AREA IS
PUTTING ONLINE BEHAVIORAL
HEALTH BEDS AND FACILITIES,
PLACES FOR PEOPLE TO GO WHEN
PEOPLE NEED THAT LONGER-TERM
CARE. WE HAVE BEEN PIONEERING
HUMAN SERVICES TO OPEN A 16 BED
RESIDENTIAL TREATMENT PROGRAM
SPECIFICALLY FOR INDIVIDUALS
WITH CO-OCCURRING MENTAL HEALTH
AND SUBSTANCE USE DISORDER
NEEDS. THIS IS SIGNIFICANT.
THIS WILL BE THE ONLY FACILITY
IN KING COUNTY THAT IS DESIGNED
AND SET UP IN A CO-OCCURRING
MANOR. THAT IS SCHEDULED TO
OPEN IN OCTOBER OF THIS YEAR .
THOSE BEDS WILL BE ONLINE. WE
ALSO, IN PARTNERSHIP WITH THE
CITY OF SEATTLE, WE HAVE HAD A
LONG-STANDING PARTNERSHIP OF
THE OPERATION OF A SOBERING
CENTER. THIS OPERATES 24/7 AND
IS A PLACE FOR INDIVIDUALS WHO
ARE ON THE STREETS OR
INTOXICATED TO BE BROUGHT AND
THEY ARE BROUGHT ON BOARD TO
SAFELY WATCH THEM AS THEY
DETOX. IT IS A POINT OF
ENGAGEMENT TO MOVE PEOPLE INTO
TREATMENT. WE HAVE BEEN WORKING
ON FINDING A PERMANENT SITE.
THIS HAS BEEN IN FLEX FOR MANY
YEARS NOW SINCE THE ORIGINAL
BUILDING WAS SOLD. WE ARE
WORKING ON A PERMANENT SITE FOR
THAT. BECAUSE OF THE TEMPORARY
SITE THAT IT IS IN, WHEN WE DO
FINALIZE THE NEW SITE, IT WILL
BE ABLE TO FUNCTION 24/7 AND
WITH GREATER CAPACITY. TONYA
SPOKE EARLIER ABOUT THE OPIOID
RECOVERY AND CARE ACCESS
CENTER, OR O.R.C.A. NTER. IN
ADDITION TO THE CITY IN THE
STATE, KING COUNTY IS ALSO A
CO-FUNDER IN CAPITAL DOLLARS
FOR THE RENOVATION FOR THAT
SPACE AND THEN OUR DIVISION
WOULD BE PAYING FOR OPERATION
FOR THE SERVICES THAT HAPPEN AT
THE O.R.C.A. CENTER.
>> CAN I JUST ASK FOR
CLARIFICATION. WHAT IS THE
DIFFERENCE BETWEEN THE SOBERING
CENTER AND THE OVERDOSE
RECOVERY CENTER?
>> THE SOBERING CENTER
TRADITIONALLY IS LIKE WHAT IT
SOUNDS. WE WILL BE INVOLVING A
MODEL. IT IS REALLY YOUR
TRADITIONAL SAFE PLACE FOR
SOMEBODY TO GO WHICH IS
SEVERELY INEBRIATED . THEY ARE
PICKED UP BY OUR EMERGENCY
SERVICES PATROL, WHICH I CAN
TALK ABOUT LATER. THEY ARE
SLEEPING IT OFF AND THEN THEY
ARE TRANSPORTED BACK HOME OR
WHEREVER IN THE COMMUNITY WHERE
THEY NEED TO GO. THE MODEL, AS
WE ARE GETTING READY TO FIND A
PERMANENT SITE WILL BE
REVOLVING. IT WILL BE SOME
PARALLELS IN TERMS OF WHAT IS
OFFERED AT A SOBERING CENTER
AND THE O.R.C.A. CENTER AS
WELL.
>> SO THOSE WOULD BE AN OVERLAP
OF SERVICES BETWEEN THOSE TWO
CENTERS?
>> POTENTIALLY. THEY WILL
COMPLIMENT EACH OTHER. THE
O.R.C.A. CENTER WILL BE SET UP
FOR A LONGER STAY THAN WHAT
WILL TRADITIONALLY HAPPEN.
>> THANK YOU.
>> OUR THIRD PRIORITY IS, AS WE
MENTIONED EARLIER, REALLY
AROUND KEEPING PEOPLE ALIVE AND
ENSURING HARM IS MINIMIZED TO
PEOPLE SO THAT THEY CAN ACCESS
RECOVERY AND START ON THE
RECOVERY JOURNEY. ME, AS A
SURVIVOR OF A BROTHER WHO DIED
OF A DRUG OVERDOSE, I CAN TELL
YOU IF SOMEBODY DIES, THEY
DON'T HAVE THE OPPORTUNITY TO
ACCESS ALL OF THESE RECOVERY
SERVICES. IT IS EXTREMELY
IMPORTANT TO KEEP PEOPLE ALIVE
BUT ALSO RECOGNIZE THAT KEEPING
PEOPLE ALIVE WOULD NOT BE
ENOUGH AND YOU HAVE TO PROVIDE
ACCESS TO ALL OF THESE SERVICES
AS WE HAVE BEEN TALKING ABOUT.
WITHIN THAT THIRD PRIORITY,
LEAVE BEHIND NALOXONE AND THE
BUPRENORPHINE INITIATION IN THE
FIELD IS SOMETHING WE ARE
PRIORITIZING RIGHT NOW BECAUSE
WHEN PEOPLE ARE IN THE MOMENT ,
THAT MOMENT OF DECISIONAL
BALANCE WHERE THEY HAVE HAD
CONTACT WITH FIRST RESPONDERS,
MAYBE THEY HAVE HAD AN OVERDOSE
RIVERS, IT IS IMPORTANT TO
PROVIDE THEM WITH THE SERVICES
TO BE ABLE TO STAY ALIVE AND TO
BE ABLE TO HELP THEMSELVES. WE
STARTED AN OVERVIEW OFFICE SO
THAT WE COULD TAKE A DEEPER
LOOK AT WHAT IS HAPPENING AND
WAYS TO PREVENT THAT. WE ARE
ALSO DOING COMMUNITY DRUG
TRACKING, MAKING SURE THAT IN
CONJUNCTION WITH OUR MEDICAL
EXAMINER'S OFFICE, TESTING
DRUG SAMPLE SO WE CAN BE AWARE
WHEN THERE ARE NEW UNIQUE
CONTAMINANTS IN OUR DRUG
SUPPLIES SO THAT WE CAN HELP
KEEP PEOPLE ALIVE AND BE ON THE
FRONT LINES INSTEAD OF BEING
YEARS BEHIND OUR REACTION.
UNFORTUNATELY, OUR SYSTEM HAS
BEEN. SO, WE ARE CONTINUING TO
DISTRIBUTE THE LOCKS OWN KITS
AND FENTANYL TEST STRIPS SO
PEOPLE CAN KNOW IF FENTANYL IS
IN THEIR DRUG SUPPLY AND WE
KNOW PEOPLE WHO ARE USING
OPIATES ARE THE CLOSEST TO
REVERSING AN OVERDOSE. MAKING
SURE THAT NALOXONE GETS IN THE
HANDS OF PEOPLE WHO USE IT.
JUST AN EXAMPLE OF THE EFFICACY
OF THE TEST STRIPS, WE KNOW
THAT IT IS CHANGING
DRASTICALLY. WE ARE NOW SEEING
FENTANYL COME IN THE FORM OF
WHITE POWDER AND ROCK, NOT
COCAINE BUT IT LOOKS LIKE
COCAINE. PEOPLE WHO MAY BE
INTENDING TO HAVE NO TOLERANCE
TO OPIOIDS MAYBE TAKING IT
UNBEKNOWNST TO THEM AND THEY
ARE AT GREATER RISK. LETTING
PEOPLE KNOW THAT, WE JUST HAD A
COMMUNICATIONS CAMPAIGN TO LET
PEOPLE KNOW ABOUT WHAT IS IN
THEIR DRUG SUPPLY AND IT IS
IMPORTANT TO BE ABLE TO BE ABLE
TO TEST THE DRUGS.
>> PRIORITY NUMBER FOUR IS
ABOUT BEHAVIORAL HEALTH
WORKFORCES. IT IS THE GREATEST
CHALLENGE THAT FACES OUR
BEHAVIORAL HEALTH SYSTEM TODAY
WHICH IS THE LACK OF SKILLED
AND TRAINED BEHAVIORAL HEALTH
WORKFORCE TO MEET THE CAPACITY
DEMAND THAT WE HAVE. WE HAVE
PROGRAMS THAT ARE FUNDED BUT WE
CAN'T FIND THE WORKFORCE TO
OPERATE THE PROGRAM. THE
STRATEGY IS MAKING INVESTMENTS
TO BOTH RETAIN AND STABILIZE
THE CURRENT WORKFORCE WHILE AT
THE SAME TIME, DRAWING MORE
PEOPLE INTO THE FIELD. ONE OF
THEM WERE SIGNIFICANT
INVESTMENTS THAT ARE BEING MADE
IS IN A BEHAVIORAL HEALTH
APPRENTICESHIP PROGRAM, IN
PARTNERSHIP WITH THE 1199
TRAINING FUND AND HAS THREE
TRACKS OF BEHAVIORAL HEALTH,
SUBSTANCE USE DISORDER
PROFESSIONAL AND A PEER
COUNSELOR. THESE INDIVIDUALS
CAN CHOOSE ONE OF THOSE TRACKS
AND GO THROUGH TRAINING. IT IS
A TRUE PROGRAM WHERE IT IS
ON-THE-JOB TRAINING WITH SOME
PAID COURSE TIME AS WELL TO GET
THE CERTIFICATIONS THAT ARE
NEEDED TO FULLY OPERATE IN
THOSE POSITIONS AT THE END OF
THE APPRENTICESHIP PROGRAM.
>> LASTLY, IN OUR PRIORITY, IT
IS WORKING WITH ENTITIES LIKE
THE CITY AROUND THE USE OF OUR
OPIOID SETTLEMENT FUND WHICH
DIRECTOR KIM TALKED ABOUT
EARLIER. THE CITY AND THE
COUNTY HAVE SEPARATE FUNDS FOR
OPIOID SETTLEMENT AND WE ARE
WORKING CLOSELY TO ENSURE THAT
THE FUNDS GO TOWARD
DISPROPORTIONATELY IMPACTED
COMMUNITIES BUT DON'T OVERLAP
EACH OTHER YET COMPLIMENT EACH
OTHER'S USE.
>> I WANTED TO THROW SOME
INFORMATION OUT FOR YOU ALL
BECAUSE AS COUNCILMEMBER SAKA
SAID EARLIER, THE DATA IS
IMPORTANT IN UNDERSTANDING YOUR
INVESTMENTS. THESE ARE THREE
PIECES OF THE PUBLIC HEALTH
CONTRACT THAT YOU INVEST IN
WITH PUBLIC HEALTH IN COMMUNITY
AND I WANTED TO INFORM
EVERYBODY ABOUT WHAT SOME OF
THE OUTCOMES FROM THAT FUNDING
IS. THE FIRST IS AROUND THE
NEEDLE EXCHANGE TREATMENT
ENGAGEMENT FROM THAT INVESTMENT
THAT YOU WILL HAVE MADE. YOU
EQUATED THAT THE 925 MONTHS OF
TREATMENT AND ALSO FOLKS
GETTING ENROLLED IN MEDICAID SO
THEY CAN THEN PICK UP THE TASK
BECAUSE WE STARTED A LOW
BARRIER BEAUFORT ORPHAN --
BUPRENORPHINE PROGRAM. THE
FUNDING OF THE CITY MAKES IT
POSSIBLE TO HAVE THIS PROGRAM.
YOU CAN SEE THE VAST NUMBER OF
CLIENTS THAT WE SERVE THAT ARE
HIGH RISK IN ORDER TO STABILIZE
WITH BUPRENORPHINE. IF YOU
PROVIDE THE SERVICES IN A WAY
THAT PEOPLE ARE WILLING TO
RECEIVE IT, THEY WILL COME IN
FOR THE SERVICES. THEN,
COMMUNITY-BASED SUPPORTS, YOU
CAN SEE THE AMOUNT OF HELP THAT
HAS BEEN ABLE TO BE MADE
INCLUDING 100 REFERRALS OR WARM
HANDOUTS TO MEDICATION USE
DISORDER.
>> I WILL REPEAT THE QUESTION
THAT I ASKED LAST YEAR IN WHICH
YOU REFERENCED . FIRST OF ALL,
IS THE DISTRIBUTION OF HARM
REDUCTION SUPPLY, IS THAT TITLE
ENCOMPASSED UNDER THE NEEDLE
EXCHANGE TREATMENT ENGAGEMENT
AND DOES THAT INCLUDE THE
DISTRIBUTION OF PIPES TO INGEST
OTHER INHALABLE DRUGS? DOES
PUBLIC HEALTH DISTRIBUTE THOSE
SUPPLIES?
>> I DO NOT KNOW WHAT THE CITY
-- IF THOSE FUNDS GO TOWARD THE
DISTRIBUTION. I CAN GET BACK TO
YOU ON THAT BUT I DON'T KNOW
THE ANSWER TO THAT.
>> OKAY. MY IMPRESSION IS THAT
THE ANSWER IS YES AND IF THAT
IS THE CASE, MY QUESTION LAST
YEAR AND AGAIN IS, WHAT IS THE
HARM THAT IS BEING REDUCED BY
THE DISTRIBUTION OF THOSE
ITEMS. I UNDERSTAND NEEDLE
EXCHANGE REDUCES THE
POSSIBILITY OR THE LIKELIHOOD
OF THE TRANSMISSION OF HIV BUT
WHAT IS THE HARM THAT IS BEING
REDUCED BY HELPING PEOPLE,
MAKING IT MORE CONVENIENT TO
SMOKE FENTANYL, CRYSTAL, ET
CETERA? HOW DOES ONE MEASURE
THE PERFORMANCE OF THAT
INVESTMENT? YOU SAID PREVIOUS
THAT THE IDEA IS TO ENGAGE
PEOPLE AND GET THEM TO WANT TO
GO TO TREATMENT. THAT DOES LIKE,
ESPECIALLY WHEN I SEE A NUMBER
LIKE 41 PEOPLE INVOLVED IN A
TREATMENT PROGRAM. I AM HOPING
THAT THE NUMBERS THAT WE ARE
GETTING THOSE SUPPLIES TO IS
MUCH HIGHER THAN THAT. I ASKED
LAST YEAR FOR THOSE NUMBERS AND
I DID NOT RECEIVE THEM.
>> WE WILL GET BACK TO YOU ON
THAT. MY APOLOGIES ABOUT NOT
CIRCLING BACK ON THAT EXACT
QUESTION LAST YEAR. WHAT I CAN
SAY IS THAT WHEN FENTANYL FIRST
CAME INTO OUR COMMUNITY, WHICH
WAS AROUND THE TIME OF COVID ,
WE SOUGHT A DRASTIC DECLINE IN
PEOPLE COMING IN FOR SYRINGE
SERVICES BECAUSE AS YOU
MENTIONED, PEOPLE ARE SMOKING
FENTANYL PRIMARILY. WE HAD TO
PIVOT REALLY QUICKLY AND TRY TO
FIGURE OUT HOW TO ENGAGE PEOPLE
BECAUSE IF PEOPLE DON'T COME
IN FOR SERVICES, THEY DON'T GET
ACCESS TO NALOXONE. THEY DON'T
GET ACCESS TO HIV OR HEP C
TREATMENT. BY PROVIDING ACCESS
TO SERVICES THAT PEOPLE WILL
COME IN FOR, WE HAVE SEEN A
HUGE INCREASE IN COUNTER ACCESS
TO NALOXONE. FROM A LOGICAL
PERSPECTIVE, THAT IS HOW WE
HAVE APPROACHED IT AND WE HAVE
SEEN THAT IN PEOPLE COMING BACK
IN FOR SERVICES. I ABSOLUTELY
WILL GET BACK TO YOU ON THE
STATE YOU ARE LOOKING FOR.
>> ALL RIGHT.
>> I WILL JUST SAY I BELIEVE IT
IS IRRESPONSIBLE AND IMMORAL TO
BE RELYING ON AN ENGAGEMENT
SUCH AS THAT WHEN THERE ARE SO
MANY OTHER WAYS OF ENGAGING
PEOPLE. THEM UP AND THAT THE
WOMAN MENTIONED EARLIER TODAY,
SOCKS, ET CETERA. THERE ARE
WAYS OF ENGAGING PEOPLE ON THE
STREET BESIDES PROVIDING THE
TOOLS THAT COULD AID THEIR
DEATH.
>> THANK YOU.
>> JUST VERY QUICKLY, TAKING
OFF FROM WHAT THE COUNCIL
PRESIDENT IS SAYING, WHAT DOES
PUBLIC HEALTH DO IN THESE
NEEDLE EXCHANGE SITES. I KNOW
WE HAVE ONE IN DISTRICT 4 AND
THE CONCERN IS, FOLKS ARE
EMPATHETIC AND IT IS NOT SO
MUCH THEY DON'T WANT -- THERE
ARE NEEDLES LEFT BEHIND AND
THEN FOLKS ARE THERE. IT IS
CREATING ANOTHER UNINTENDED
PUBLIC HEALTH CONSEQUENCE. WHAT
DO YOU DO TO MITIGATE FOR THAT.
SURROUNDING NEIGHBORS AND SMALL
BUSINESSES NEED HELP AND DOES
PUBLIC HEALTH HAVE PERSONNEL
THERE THAT ARE TRYING TO GET
PEOPLE INTO SERVICES? IT DOES
NOT SOUND LIKE THAT IS
HAPPENING. THEN IT CREATES THIS
OTHER PUBLIC HEALTH ISSUE. HAD
WE MANAGE FOR THAT? WHAT ARE WE
DOING TO MANAGE FOR THAT?
>> WHAT WOULD BE BEST IS IF WE
HAVE FOLKS WHO OPERATE THE
NEEDLE EXCHANGE COME INTO TALK
ABOUT THE FULL DAY OF SERVICES
AT A FUTURE PRESENTATION. ALL
OF OUR NEEDLE EXCHANGE OFFICES
DO -- THEY RECEIVE NEEDLES ON
BEHALF OF THE LARGER COMMUNITY.
OFTEN, GROUPS LIKE L.E.A.D. OR
CO-L.E.A.D. WILL BRING NEEDLES
INTO THE PEOPLE WHO COME IN FOR
SERVICES AND OTHER
COMMUNITY-BASED ORGANIZATIONS.
WE HAVE A NEEDLE DROP BOX OUT
IN FRONT. WE ALSO MANAGE THE
AREA AND THE BLOCKS AROUND IT.
>> IT IS NOT HAPPENING. DO WE
NEED TO DO BETTER IN THAT
SPACE? IT IS JUST CREATING THIS
SECONDARY PUBLIC HEALTH ISSUE.
>> WE ALSO WORK WITH THE CITY
-- I KNOW THE CITY TRACKS THE
NEEDLE UTILIZATION. ALL I CAN
SAY IS NEEDLE USE IS CONTINUING
TO DECLINE. SO, WE HAVE SEEN A
DECREASE IN THE AMOUNT OF
NEEDLES THAT ARE IN THE SPHERE.
WE ARE CONTINUING TO WORK ON
IT. WE WORKED WITH THE CITY AND
WE DID A -- SORT OF AN
ASSESSMENT OF NEEDLE TAKE BACK
A COUPLE OF YEARS AGO. IT IS
SOMETHING WE CAN REVISIT BUT WE
CONTINUE TO MONITOR THE
SITUATION AND HELP MANAGE THE
SITUATION.
>> CAN WE FOLLOW-UP WITH YOUR
OFFICE TO GET THE SPECIFIC
LOCATION AND THEN WE CAN WORK
TOGETHER TO SEE WHAT WE CAN DO
TO MITIGATE SOME OF THE
IMMEDIATE CONCERNS AND WORK ON
SOME STRATEGIES?
>> THANK YOU.
>> GO AHEAD.
>> SIMILARLY, I AM GOING TO
SHARE SOME OF THE WAYS THAT THE
CITY IS PARTNERING WITH THE
BEHAVIORAL RECOVERY SYSTEM ON
PART OF OUR INTERVENTIONS. I
MENTION THE SOBERING CENTER AND
SOBERING CENTER SERVICES. WE
ALSO HAVE THE EMERGENCY
SERVICES PATROL. THE SOBERING
CENTER ITSELF HAS BEEN AND
CONTINUES TO BE IN THE DOWNTOWN
SEATTLE AREA AND PRIMARILY
SERVICES FOR INDIVIDUALS IN
DOWNTOWN SEATTLE. THE EMERGENCY
SERVICES PATROL AS WELL, A TEAM
OF FOLKS THAT ARE IN THE HANDS
BOTH PATROLLING AND OUTREACHING
TO PEOPLE WHO LOOK LIKE THEY
MIGHT NEED ASSISTANCE OUT ON
THE STREETS BUT ALSO TO PARTNER
WITH SEATTLE POLICE AND SEATTLE
FIRE. THEY WILL RESPOND TO
CALLS FROM THE POLICE
DEPARTMENT OR FIRE AND IF THE
FIRST RESPONDERS ARE ENGAGING
SOMEBODY IN THE THE EMERGENCY
SERVICES PATROL TO COME AND
PICK THEM UP, THEY WILL MEET
THEM, ENGAGE THE PERSON AND IF
NECESSARY, DELIVER THEM TO THE
SOBERING CENTER OR ANOTHER SAFE
PLACE DEPENDING ON THE
SITUATION. I DID NOT HAVE SOME
DATA WHEN WE HAVE THESE SLIDES
DONE BUT I WANTED TO SHARE WITH
YOU THE SCALE OF BEHAVIOR
THERE. JUSTIN THE FIRST HALF OF
2024 FROM JANUARY THROUGH JULY,
THE EMERGENCY SERVICES PATROL
RESPONDED TO ALMOST 15,000
REQUESTS FOR ASSISTANCE. THEY
TRANSPORTED OVER 4000 PEOPLE.
THIS MAY BE A TRANSPORT TO THE
SOBERING CENTER, TO A SHELTER
OR ANOTHER SAFE PLACE AND THEY
INITIATED JUST ABOUT 11,500
CONTACTS JUST BEING OUT THERE
AND PATROLLING WITH INDIVIDUALS
AND ENGAGING THEM. THE
EMERGENCY SERVICES PATROL ALSO
ADMINISTERS LIFESAVING OVERDOSE
REVERSAL MEDICATIONS AND HAVE
HAD TO DO THAT AND AGAIN,
PARTNER WITH THE CARE TEAM, THE
MOBILE INTEGRATED HEALTH TEAM
AS WELL AS OUR MOBILE CRISIS
RESPONSE TEAM ON THE STREETS.
THE CITY OF SEATTLE ALSO
INVESTS IN SOME YOUTH
PREVENTION AND INTERVENTION
STRATEGIES THAT WE ARE
IMPLEMENTING. FAMILY
INTERVENTION AND RESTORATIVE
SERVICES IS ONE OF THEM. THIS
IS PARTICULARLY FOR FAMILIES
WHERE THERE IS ESCALATING
VIOLENCE IN THE HOME. IT IS A
PLACE WHERE THEY USED TO GO AND
SEPARATE FROM THE PARENTS FOR A
BIT AND THEN GET SOME MEDIATION
AND FAMILY ENGAGEMENT SO THE
YOUTH CAN RETURN SAFELY TO
THEIR HOME. SO FAR THIS YEAR,
THEY HAVE SERVED 33 YOUTH AND
THEN MULTISYSTEMIC THERAPY IS
AN EVIDENCE BASED INTENSIVE
TREATMENT PROGRAM AGAIN FOR
YOUTH WHO ARE STRUGGLING WITH
MENTAL HEALTH AND SUBSTANCE USE
ISSUES. ALSO, MAYBE AS A
RESULT, ENGAGING IN ILLEGAL
ACTIVITIES AND -- I'M SORRY. I
BACKWARDS TO THAT. 81 YOUTH
HAVE BEEN SERVED IN THE FIRST
PROGRAM AND 33 YOUTH AND THE
MULTISYSTEM THERAPY PROGRAM TO
DATE. NEXT SLIDE, PLEASE.
>> I WANTED TO TALK A LITTLE
BIT MORE ABOUT THE COUNTY'S
BEHAVIORAL HEALTH AND RECOVERY
DIVISION. JUST SO YOU CAN SEE
AT THE LEVEL OF SCALE, THE
SYSTEM THAT EXIST, THAT CAN BE
LEVERAGED VERSUS DUPLICATING
ACTIVITIES OR SETTING UP
PARALLEL SYSTEMS. ONE OF THE
THINGS THAT WE WERE ABLE TO DO
WITHIN MY DIVISION IS BRAYED
TOGETHER FEDERAL, STATE, AND
LOCAL DOLLARS TO HELP INVEST
AND BUILD OUT THAT CONTINUUM OF
CARE. WE HAVE AN ANNUAL BUDGET
OF OVER $455 MILLION WITH
FEDERAL, STATE, AND LOCAL
DOLLARS THAT COME IN
SPECIFICALLY FOR MENTAL HEALTH
AND SUBSTANCE USE DISORDER
TREATMENT SERVICES. WE HAVE
JUST OVER 200 PEOPLE ON STAFF.
ANNUALLY, WE SERVE ABOUT 60,000
PEOPLE ACROSS OUR CONTINUUM OF
CARE. WE ARE THE LEAD DIVISION
FOR THE NEW CRISIS CARE CENTERS
LEVY, WHICH I WILL TALK MORE
ABOUT. WE OVERSEE 1/10 OF 1%
BEHAVIORAL HEALTH SALES TAX,
LOCAL RESOURCES WE CAN BRAYED
INTO THE SYSTEM AND THEN WE
HAVE THE NET WORTH OF OVER 50
COMMUNITY BEHAVIORAL HEALTH
PROVIDERS WITHIN THE REGION TO
SUPPORT CARE TO PEOPLE IN NEED.
>> THANK YOU. WE ARE RUNNING
REALLY SHORT OF TIME. I'M GOING
TO ASK IF YOU CAN SKIP TO THE
MOBILE RAPID RESPONSE CRISIS
TEAM.
>> SURE.
>> WE WILL DO THOSE AND THOSE
WILL BE OUR LAST TWO SLIDES.
THANK YOU.
>> HAPPY TO DO THAT. WE HAVE
OPERATED FOR MANY YEARS NOW,
MOBILE CRISIS TEAM , WITH THE
CRISIS CARE CENTER B. ONE OF
THE EARLY INVESTMENTS WHILE WE
ARE AWAITING THE CRISIS CARE
CENTER COMING ON BOARD IS AN
EXPANSION A MOBILE CRISIS
TEAM'S, KIND OF IN PARALLEL.
ESTATE IS SHIFTING MOBILE
CRISIS TO A NEW BEST PRACTICE
MODEL . THAT IS WHAT THIS SLIDE
IS ABOUT. IT GIVES YOU A LITTLE
BIT OF INFORMATION ABOUT WHAT
THOSE TEAMS LOOK LIKE AND DO.
IT IS USUALLY A MULTIDISCIPLINA
RY TEAM THAT INCLUDES CERTIFIED
PEER COUNSELORS, MENTAL HEALTH
PROVIDERS, OTHER MENTAL HEALTH
PROFESSIONALS THAT ARE
INVOLVED. THEY ARE MOBILE AND
OUT REACHED TWO INDIVIDUALS,
KIDS AND ADULTS TO WHEREVER
THEY ARE IN THE COMMUNITY AND
PROVIDE A FACE-TO-FACE CRISIS
DE-ESCALATION. THEY WILL SPEND
TIME WITH INTERVENTION.
SOMETIMES IT IS CRISIS
PLANNING. SOMETIMES IT IS
STABILIZING AND IDENTIFYING
WHAT OTHER SUPPORTS OR
RESOURCES THE INDIVIDUAL NEEDS
IF THEY ARE NOT LINKED UP TO
THE SERVICES. NEXT SLIDE,
PLEASE. THIS IS THE MOST RECENT
UPDATE ON THIS TRANSITION AND
EXPANSION OF THE TEAMS. WE ARE
ADDING TEAMS AND LOCATING THEM
REGIONALLY. THERE WILL BE A
CENTRAL WEST TEAM -- THE
PRIMARY SERVICE AREA, CITY OF
SEATTLE AND NORTHEAST OF THE
REGION IN THE SOUTH KING
COUNTY. THE GOAL HERE IS TO
LOCATE TEAMS OUT IN THE
COMMUNITY SO THAT THEY CAN GET
TO PEOPLE QUICKER AND FASTER.
WE JUST FINISHED OUR REQUEST
FOR PROPOSAL PROCESS AND WE NOW
HAVE TWO PROVIDERS THAT WE ARE
IN CONTRACT NEGOTIATIONS WITH,
DSC WHICH WILL SERVICE THE
CENTRAL AREA AND THEN SOUND,
WHICH WILL SERVICE THE NORTH,
EAST, AND SOUTH AREAS FOR KING
COUNTY. THESE MOBILE RESPONSE
TEAMS WILL BE DISPATCHED
THROUGH OUR REGIONAL CRISIS
LINE THAT IS OPERATED BY CRISIS
CONNECTION AND WE ALSO HAVE THE
YMCA SEATTLE FOR OUR
CHILDREN'S CRISIS OUTREACH
RESPONSE SYSTEM AND WE ARE
LOOKING TO EXPAND OUR CONTACT
TO ADD MORE FOR YOUTH AND
FAMILIES AS WELL. THE CONTRACT
WILL TAKE -- WILL BE EXECUTED
ON SEPTEMBER 1 OF THIS YEAR AND
THERE WILL BE A 90 DAY
TRANSITION AND RAMP-UP PERIOD
TO ALLOW SOUND TO STAFF THAT IS
NEEDED TO ACCESS THE ADDITIONAL
TEAM AND WILL BEGIN TO
TRANSITION ON DECEMBER 1 OF
THIS YEAR AND THROUGH EARLY
2025 WHERE THE TEAMS WILL START
TO TAKE HAVE A
QUESTION. THIS WILL BE RUN
THROUGH THE DISPATCH OF CRISIS
CONNECTIONS WHICH IS THE
REGIONAL CENTER. IS THAT THE
988 CENTER?
>> WE ARE LUCKY IN KING COUNTY
BECAUSE CRISIS CONNECTIONS
OPERATES THE 98 DATELINE AND
THE REGIONAL CRISIS LINE. NO
MATTER WHICH LINE YOU CALL,
THEY WILL BE ABLE TO WORK AND
DISPATCH MOBILE CRISIS AS
NECESSARY.
>> IS THAT SOMETHING -- IF YOU
ARE DRIVING OR WALKING ALONG
THE STREET AND YOU SEE SOMEBODY
WHO IS IN CRISIS CLEARLY AND
THE FENTANYL CRISIS, YOU CAN
CALL 988 AND MAKE THEM AWARE OF
THAT AND THEY WOULD DISPATCH?
>> YES. THEY WOULD TALK THROUGH
THE CIRCUMSTANCES AND IF A
MOBILE CRISIS TEAM DISPATCHES,
THEY WOULD GO TO THE COMMUNITY
OUTREACH.
>> VERY GOOD. THANK YOU. IS
THERE ANY QUESTIONS? ALL RIGHT.
I'M GOING TO HAVE US END
THERE. THANK YOU SO MUCH FOR
THE PRESENTATION. WE JUST
LEARNED A TREMENDOUS AMOUNT OF
INFORMATION. I WOULD HOPE THAT
WE CAN GET YOU BACK AGAIN NEXT
YEAR, NOT SO LATE IN THE YEAR .
THIS WORK AND THIS INFORMATION
IS ABSOLUTELY CRITICAL TO ALL
OF THE ISSUES WE ARE DOING
WITHIN OUR CITY IN BEING AWARE
OF THE WORK THAT IS HAPPENING.
IT IS REALLY IMPORTANT FOR US
TO BE STRATEGIC IN THE
INVESTMENTS SO WE ARE NOT
DUPLICATING. ANYWAY, THANK YOU
FOR YOUR PATIENCE FOR BEING
HERE TODAY AND THE
PRESENTATION. IT IS VERY, VERY
HELPFUL AND THANK YOU AGAIN FOR
YOUR INFORMATION, PRESENTATION
AND BEING ALWAYS AVAILABLE TO
ANSWER OUR QUESTIONS. WE REALLY
APPRECIATE THAT.
>> THANK YOU AGAIN.
>> THANK YOU.
>> THAT CONCLUDES THE AUGUST 14
MEETING OF THE HOUSING AND
HUMAN SERVICES COMMITTEE. THE
TIME IS 12:36. THE NEXT MEETING
IS SCHEDULED FOR SEPTEMBER 11.
WE ARE ADJOURNED.