Thanks Melanie - its good to be back.

So glad you are back Claire :)

Thanks for being here Adam!!

Hi everyone, Cristina from PC staff just joining.

@Cristina - please put into in chat w fav color

ocean blue

Welcome Janet - please put your intro and fav color in the chat

Does “Cross-Part” mean across Ryan White Parts?

Hi Everyone! I'm Janet Goldberg, she/her, with Mount Sinai Health System Institute for Advanced Medicine. purple -- definitely my fav color!

Some sites screened for additional conditions like anxiety disorder, PTSD, among others…

So important to get that trauma screen done.

What is PHQ9?

Agree, Donald. NJ funded a separate initiative on trauma-informed care which is why BHIP put less emphasis on trauma.

Got it. Thanks Karen.

@Billy https://www.mdcalc.com/phq-9-patient-health-questionnaire-9

Billy, PHQ-9 is a tool that’s been tested widely to screen for depression. It has cut-offs so you know what scores mean. On the low end you want to do watchful waiting. On the high end you want to get someone linked to specialized care.

Did these interventions interact/overlap @Karen?

Melanie—Not 100%. Adam can say more.

curious about why it always drops off in October

Would’ve been prudent to have a cross reference of the challenges identified and opportunities for T/A to get agencies up to speed.

The medicalization of services in the pursuit of volume.

Of profit!

Crating trauma-informed spaces which is something the committee will be discussing soon!

And it’s reactive and not preventative

https://motivationalinterviewing.org/ Great resource

Can you speak about the challenges of having separate systems for substance use, HIV care and treatment and Mental Health service, particularly around credentialing and training efforts?

BRB

thank you everyone!

Can you explain the connection between 311 and 911? Many people are looking for crisis support teams who are not police

And we must acknowledge that indicators like zip code and ethnicity play into who gets MH intervention and who gets NYPD

Yes that’s a critical point Donald

Donald, that is so true

SPOA (and AOT) was used in the match against the NYC HIV Registry -

I think there needs to be clarity at the community level of — if a person calls X service for assistance, is there a possibility the cops will show up

Because if there’s a possibility of the issue getting escalated to the police force, many people won’t call for assistance

We can ask Jamie how community input is engaged to inform such processes

if a client is in a housing unit and is having a psychotic episode and 911 is called at what point is it acceptable to contact the emergency contact of file or is that for death only?

To add to these points above, the city has the mental health crisis team pilot in Harlem to divert people in mental health crisis away from police, by sending instead teams of EMT and social workers. It’s called BHEARD. Problem remains though that most of the mental health calls to 911 are still resulting in the deployment of police rather than the mental health crisis teams.

These seem to be acute interventions. Could you elaborate more on how Care Coordination keeps someone within Mental Health services?

@Cristina how can a person request/demand BHEARD?

Agree, Joel—even if someone comes through the door with acute needs there are ongoing service needs in many/most cases.

@Emma You can’t which is a problem advocates are pointing out. One calls 911 for a mental health crisis situation and they either triage it to NYPD or to mental health crisis teams. NYPD can also request these crisis teams to come to a scene. But I don’t believe the public can directly request them. I’ll find the FAQ links for the program.

Gotcha that’s good to know and seems like a broken stair, but great to know this program even exists!

From B-HEARD FAQ:”No. Callers cannot specifically request a B-HEARD Team. Based on a description of the circumstances and need, 911 operators and EMS are trained to triage and assign calls to B-HEARD Teams based on the call location, dispatch criteria and availability of B-HEARD Teams.” https://www1.nyc.gov/assets/nypd/downloads/pdf/public_information/b-heard-public-faqs-5-27-2021.pdf

Has BHEARD been expanded and funded for the whole city at 24 hours?

I’m not sure. De Blasio put an expansion into the city budget last year, but as to whether it’s happening is not on the B-HEARD website

As an aside, it would be incredible to pilot B-HEARD with nightlife-heavy locations such as the after hours zone in Bushwick

OnTrack is here with me in an OMH facility—is it 100% funded by OMH?

I think the elephant in the room is timely access for clients in need at POS --these programs look wonderful but our staff often report real problems in actually getting clients in to care

what is the date of the roll out of 988

Perhaps B-HEARD is expanding to the Bronx https://gothamist.com/news/nyc-tried-to-remove-nypd-from-911-mental-health-emergenciesbut-its-had-little-success

Are there any pilot programs that have a high success rate in retaining homeless MH patients?

When is it acceptable to contact the emergency contact??? Why do we bother to collect this info then?

Given the bottleneck for Medicaid funded services we should think about funding transitional mental health care while a person is waiting to be eligible for Medicaid funded services.

For those who are interested, I just posted the program and registration info for a free conference on March 4 related to housing instability, food insecurity, and behavioral health needs in NY.

Our very own Council member Micheal Rifkin is featured at the conference Karen posted!

Michael is awesome

It should be treated like the home medical alert system

I am so sorry Bryan that we have gone off the agenda - please let us know if you can stay over by 10-15 minutes

I am available, yes

Thank you!

Cullen will be presenting the first few slides as well

IOC can you stay for 10 extra minutes?

thank you all! happy to answer follow-up questions. be well!

What does AOD mean?

Alcohol or other drug

Alcohol or other drugs (AOD)

Thanks, Graham and Guadalupe

what is meant by “project for services”?

Thank you, to Cullen and Bryan for an informative presentation on behavioral health services to the PC. Great work, team! 🙂

Excellent presentations today! Thank you Cullen and Bryan, great overview of existing services :)

Thank you Guadalupe and Graham :)

Thank you both! :D

very informative, thanks

This was great!!!

It’s excellent company to be in!

take care

Found all of th9is very infomrative