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[CALL TO ORDER]

[00:00:03]

I'M CHAIR KATHY TOVO.

I REPRESENT CITY COUNCIL DISTRICT NINE, AND I APOLOGIZE FOR STARTING THIS MEETING LATE.

UM, MOST OF US WERE OUTSIDE AT A PROCLAMATION AND WE ARE GOING TO GO AHEAD AND GET STARTED.

IT IS 9 44.

SO LET'S SEE, I KNOW WE'RE BEING JOINED BY COUNCIL MEMBER HARPER.

MADISON WHO'S WILL BE HERE WITH US SHORTLY AS WELL AS MAYOR PRO TEM ALTER.

SO LET'S GO AHEAD AND SEE IF WE CAN KNOCK OUT SOME OF THE OTHER ISSUES FIRST.

[1. Approve the minutes of the Public Health Committee meeting on November 9, 2021, and February 9, 2022.]

UM, THE FIRST IS TO APPROVE THE MINUTES FROM OUR LAST MEETING OR APOLOGIES FROM THE 11, UH, FROM THE NOVEMBER 9TH, 2021 MEETING AND THE FEBRUARY 9TH, 2022 MEETINGS.

SO IS THERE A MOTION TO APPROVE THOSE ITEMS? COUNCIL MEMBER KITCHEN MOVES APPROVAL.

I WILL SECOND THAT AND IS, UH, LET'S SEE ALL IN FAVOR THAT IS COUNCIL MEMBERS, KITCHEN FUENTES, AND MYSELF, AND WE HAVE A COUNCIL MEMBER, HARPER, MADISON, AND MAYOR ADLER OFF THE DAYAS.

NEXT

[2. Discussion and possible action to amend the Public Health Committee's 2022 meeting calendar.]

IS A DISCUSSION AND POSSIBLE ACTION TO AMEND THE PUBLIC HEALTH COMMITTEES.

2022 MEETING CALENDAR COLLEAGUES.

THERE'S JUST ONE CHANGE ON THIS AND THAT IS TO MOVE THE MEETING THAT HAD BEEN SCHEDULED IN OCTOBER TO THE SIXTH, UM, TO AVOID CONFLICTING WITH YOM KIPPOR.

IS THERE A MOTION TO APPROVE THIS REVISED CALENDAR COUNCIL MEMBER KITCHEN MOVES APPROVAL COUNCIL MEMBER, FRONT SECONDS.

IT ALL IN FAVOR, THE SAME THREE, UM, ARE IN APPROVAL.

AND WE DID TALK LAST TIME AND I DON'T, I THINK I'D RATHER WAIT FOR THE REST OF OUR COLLEAGUES.

WE DID TALK ABOUT ALTERING SOME OF OUR SCHEDULES SO THAT WE'RE NOT MEETING QUITE EVERY MONTH, UNLESS THERE'S A NEED TO, JUST TO, TO MAKE SURE THAT OUR MEETINGS ARE AS EFFECTIVE AS POSSIBLE, BUT WE CAN TAKE THAT UP A LITTLE LATER.

ALL RIGHT.

LET'S SEE.

NUMBER

[3. Discussion and possible action regarding the selection of the City's appointee to the Sobering Center Local Government Corporation Board of Directors.]

THREE IS THE SELECTION OF OUR SOBERING CENTER.

SO LIZ BOSTON, ONE OF OUR WONDERFUL CITY APPOINTEES HAS TAKEN A JOB OUTSIDE OF THE STATE.

AND SO DID SUBMIT HER RESIGNATION TO THE SOBERING CENTER.

SO WE ARE IN THE PROCESS.

I KNOW OUR STAFF HAVE SOLICITED HAVE PUT OUT A SOLICITATION OF INTERESTED APPLICANTS FOR THAT POSITION AND IT IS STILL PENDING.

SO PLEASE LET EVERYBODY, YOU KNOW, WHO MIGHT BE INTERESTED IN, MIGHT HAVE EXPERTISE TO BRING TO THAT BOARD, THAT THERE IS AN OPEN POSITION AT THIS POINT.

WE DON'T YET HAVE A UNIVERSE OF APPLICANTS TO, TO MEET WITH AND TO REVIEW AND THEN TO MEET WITH.

SO WE ARE JUST GOING TO LEAVE THIS.

THERE IS NO POSSIBLE ACTION SCHEDULED HERE TODAY, BUT JUST KEEP YOUR, KEEP YOUR EYES OPEN BECAUSE WE LIKELY WILL HAVE SOME APPLICANTS, UM, HAVE THAT CLOSING SOON AND HAVE SOME APPLICANTS AND WE'LL MEET IN A SPECIAL CALLED SESSION

[4. Briefing and discussion on issues related to homelessness.]

COLLEAGUES.

NUMBER FOUR IS A BRIEFING AND DISCUSSION ON ISSUES RELATED TO HOMELESSNESS AND IN CONVERSATIONS WITH OUR HOMELESS STRATEGY OFFICER.

UM, WE DETERMINED NOT TO HAVE THIS BRIEFING TODAY.

WE USUALLY DO AT, UH, AT EVERY PUBLIC HEALTH MEETING, HAVE A DISCUSSION ABOUT HOMELESSNESS AND A BRIEFING.

THERE WAS NOT ANY, UM, ANY ADDITIONAL, THERE WAS NOT ENOUGH, UH, ENOUGH NEW INFORMATION ABOUT THE HEAL INITIATIVE AND OTHERS, UH, TO SCHEDULE IT, GIVEN THAT THIS IS ALSO THE TIME WHERE OUR HOMELESS STRATEGY OFFICER IS DEEP IN WORKING ON THE RFP.

AND SO IN THE INTERESTS OF, OF MAKING SURE THAT SHE AND HER STAFF HAD THE TIME THEY NEEDED TO DO THAT WORK REALLY WELL.

UM, I DID GO AHEAD AND, AND, UM, CANCEL THIS BRIEFING.

SO I APOLOGIZE.

I KNOW THAT'S ONE OF THE THINGS THAT WE ALWAYS GET INVOLVED IN AND REALLY LIKE TO DISCUSS, BUT WE ALSO WANT THAT RFP TO BE SUCCESSFUL, AND WE WANT OUR HOMELESS STRATEGY OFFICER TO BE ABLE TO DO ALL THE REALLY CRITICAL WORK THAT SHE'S ENGAGED IN COUNCIL MEMBER KITCHEN.

THAT'S FINE.

I WANTED TO SUGGEST THAT FOR OUR NEXT MEETING, UH, EVEN IF IT'S NOT TIMELY FOR OUR, UM, HOMELESS STRATEGY OFFICER TO SPEAK.

UM, ALTHOUGH OF COURSE I'D LIKE TO HEAR FROM HER IF IT IS, IF IT'S NOT, I THINK IT WOULD BE HELPFUL FOR OUR, UH, COMMITTEE TO GET A BRIEFING FROM CENTRAL HEALTH ON THE, THE RECOUP, THE RESPITE AND RECUPERATIVE CARE PROGRAM THEY'VE BEEN WORKING ON.

UH, I REALLY LIKED TO, UM, I THINK IT'D BE GOOD FOR THE WHOLE COMMITTEE TO, TO HEAR ABOUT IT.

I'VE BEEN HAVING SOME CONVERSATIONS WITH THEM AND IT'S JUST, IT'S ALSO A WAY FOR THE PUBLIC TO HEAR, UH, WHAT THEY'VE BEEN WORKING ON.

THEY'VE BEEN EVOLVING THE PROGRAM IT'S IN PROCESS, BUT I THINK IT'D BE USEFUL TO, TO, TO HAVE THEM COME SPEAK.

I MENTIONED TO THEM ALREADY THAT WE MAY BE ASKING FOR THAT.

SO I THINK THAT'S A GREAT SUGGESTION.

OKAY.

UM, WELCOME TO THE DIOCESE MAYOR ADLER MAYOR PRO TEM ALTAR,

[Additional Item]

UH, MAYOR, WE'VE CLEARED ONE THROUGH FOUR AT THIS POINT, BUT I WANTED TO RECOGNIZE YOU, IF YOU WOULD LIKE TO

[00:05:01]

SAY A FEW WORDS ABOUT THE PROCLAMATION THAT YOU ISSUED TODAY, UM, IN CONJUNCTION WITH OUR COUNTY COUNTY JUDGE AND MANY OF US, UM, I APPRECIATE, I APPRECIATE THAT.

AND, UH, IT, I WAS JUST REAL PROUD TO BE ABLE TO STAND UP WITH YOU AND WITH OUR, OUR, OUR COLLEAGUES, UH, THIS MORNING WITH THE DISTRICT ATTORNEY AND WITH THE COUNTY ATTORNEY WITH REPRESENTATIVES OF DIFFERENT ORGANIZATIONS IN OUR CITY, UH, AND WITH CHI, UH, IT IS FRIGHTENING.

AND FRANKLY, HORRIFIC THAT OUR GOVERNOR AND ATTORNEY GENERAL HAVE PUT, UH, TRANSGENDER YOUTH IN, IN THEIR SITES, UH, THREATENING THOSE CHILDREN AND THEIR FAMILIES WITH, UH, UH, PROSECUTION THAT IS NOT CALLED FOR UNDER LAW.

UH, IT WAS, IT WAS A PROUD MOMENT TO BE ABLE TO REAFFIRM THAT AUSTIN IS A SAFE PLACE FOR, FOR THOSE FAMILIES.

UM, I APPRECIATE THE OPPORTUNITY TO, TO, TO WELCOME HOME KAI AND, AND HER FAMILY WHO HAVE MOVED TO, TO AUSTIN.

UM, BUT IT'S JUST REAL IMPORTANT THAT EVERYONE IN OUR COMMUNITY STANDS UP AND MAKES A VERY LOUD AND VISIBLE STATEMENT THAT EVERYBODY IN OUR COMMUNITY IS RESPECTED AND LOVED AND APPRECIATED.

UH, AND THAT INCLUDES, UH, CHILDREN AND FAMILIES, ESPECIALLY THOSE THAT ARE MAKING THE VERY DIFFICULT DECISIONS WITH THEIR FAMILIES, WITH THEIR PHYSICIANS, WITH THEIR CLERGY, WITH, WITH WHOEVER IT IS.

IT'S IMPORTANT TO THEM WITH RESPECT TO TRANS, UH, UH, GENDER AFFIRMING CARE AND THE SUGGESTION THAT THE STATE CAN STEP IN AT THIS POINT AND, AND THREATEN PEOPLE OR SCARE PEOPLE OR, OR DIMINISH THE CARE OPPORTUNITY IS JUST OUTRAGEOUS.

AND WE STOOD UP THIS MORNING AS A GROUP TO SAY THAT, THANK YOU, MAYOR, THANK YOU, MARA.

AND I APPRECIATE THAT IS CERTAINLY A MATTER OF HEALTH AND SAFETY FOR SO MANY IN OUR COMMUNITY.

AND I THINK IS VERY APPROPRIATE, WAS IT WAS A VERY APPROPRIATE AND, UH, AN IMPORTANT REASON FOR US TO, TO BE TOGETHER OUTSIDE.

AND SO, AGAIN, APOLOGIES THAT WE STARTED A BIT LATE, BUT I HOPE THOSE OF YOU WATCHING AND PARTICIPATING IN THIS MEETING UNDERSTAND THE REALLY CRITICAL, CRITICAL REASON WHY WE DID THAT.

SO NEXT

[Additional Item 2]

WE ARE.

UM, AND, AND MAYOR AND MAYOR PRO TEM, JUST AS A NOTE, WE ARE IN THE, IN THE ACTIVE PROCESS OF SOLICITING NEW APPLICANTS FOR THE SOBERING CENTER.

ONE OF OUR FABULOUS BOARD MEMBERS DID STEP OFF.

AND SO PLEASE SPREAD THAT AMONG YOUR NETWORKS, IF YOU WOULD CHAIR, I THINK WE HAVE SOME PEOPLE WAITING TO TESTIFY ONLINE.

DID MY APOLOGIES.

THANK YOU.

DIDN'T DIDN'T KNOW IF YOU SAW THAT.

SO I DID NOT.

THANK YOU, COUNCIL MEMBER.

CAN YOU HELP ME WITH IT OR VICE CHAIR, IF YOU HAVE THOSE NAMES, WOULD YOU MIND HELPING ME WITH THOSE? SURE.

I DON'T HAVE THE NAMES OF WHO'S WAITING.

GOT IT.

UM, YEAH.

WELL, LET ME GO AHEAD AND CALL FOR CITIZENS COMMUNICATIONS FIRST.

I'LL INVITE THOSE WHO ARE GATHERED HERE.

SCOTT, ARE YOU HERE FOR CITIZENS COMMITTEE FOR PUBLIC COMMUNICATIONS? THANK YOU.

WELL WELCOME.

AND YOU WILL HAVE THREE MINUTES.

IS IT, IS IT THREE MINUTES OR TWO? THREE.

OKAY.

ALL RIGHT.

GOOD MORNING.

CHAIR.

TOVO MAYOR AND COUNCIL MEMBERS.

THE CITY OF AUSTIN HAS BEEN DONATION OPPORTUNITIES THAT ARE ON THE UTILITY BILL.

AND IN 2013, THERE WERE TWO CHANGES THAT WERE MADE.

ONE OF THEM WAS THE TREE PLANTING PROGRAM FUND WAS CHANGED TO THE, TO THE PARKS AND LIBRARY FUND.

AND THAT IS, I TOOK THAT EFFORT FROM START TO FINISH AND STILL WORK ON TRYING TO SOLICIT MORE DONATIONS, WORKING WITH STAFF FROM PART AND THE LIBRARY DEPARTMENT.

ANOTHER CHANGE THAT WAS MADE WAS THAT A NEW FUND WAS ADDED.

THAT'S CALLED THE PUBLIC SERVICES EDUCATIONAL ASSISTANCE FUND.

THAT FUND HAS A GENERAL PURPOSE AND IS DISTRIBUTED TO ISD THAT ARE IN THE AUSTIN ENERGY SERVICE AREA.

AND THEY CAN DO WITH IT WHAT THEY WANT.

AIS USES IT FOR ENERGY CONSERVATION WORK.

AS YOU CAN SEE SCROLLING DOWN, I ASKED FOR THIS REPORT ABOUT TWICE PER YEAR, THE PUBLIC SERVICES EDUCATIONAL ASSISTANT FUND IS TRENDING APPROXIMATELY $22,000 PER YEAR IN TOTAL DONATIONS FROM RATE PAYERS FROM THE CITY OF AUSTIN IT'S UNDERPERFORMING.

THE PARKS AND LIBRARIES FUND HAS GONE FROM ABOUT 22 TO 23,000 WHEN IT WAS TREE PLANTING ONLY

[00:10:01]

TO ABOUT 45 TO 50,000.

AND THE OTHER FUND IS DOING WELL, WHICH IS ON THE RIGHT HAND SIDE.

THE PARKS AND LIBRARIES FUND IS ON THE LEFT-HAND SIDE AND THE PUBLIC SERVICES ENERGY ASSISTANCE FUND IS IN THE MIDDLE.

A COUPLE OF YEARS AGO, I HAD AN IDEA.

I STARTED SHARING IT WITH SOME OF THE PROMINENT NONPROFITS THAT WORK ON HOMELESSNESS, SUCH AS ECHO AND LIFEWORKS, THE SAFE ALLIANCE AND CARITAS.

AND IN THOSE DISCUSSIONS THAT I'VE HAD WITH CITY STAFF AS WELL, IT'S COME TO KNOWN THAT THERE IS INTEREST IN THIS IDEA.

PART OF GIVING IS ABOUT APPEALING TO SOMEONE ON SOME LEVEL WHERE YOU GET THEM TO THINK ABOUT HOW THEY CAN HELP, WHAT I PROPOSING TO THE CITY AND NOW TO THE CITY COUNCIL THROUGH THIS COMMITTEE IS THAT THE CITY CONSIDER REPURPOSING AND RENAMING THE PUBLIC SERVICES, EDUCATIONAL ASSISTANCE FUND.

THAT'S DISTRIBUTED BY AUSTIN ENERGY TO SCHOOL DISTRICTS WITHIN THEIR AREA, AND IS UNDERPERFORMING IN MY OPINION TO THE, TO THE HOMELESS STUDENT FUND.

AND THIS FUND WOULD, I BELIEVE INCREASE IN DONATIONS IF IT'S APPROPRIATELY MARKETED, WHICH I'LL TAKE SOME ROLE IN.

AND THIS WOULD ALSO MORE IMPORTANTLY, RAISE AWARENESS FOR THIS ISSUE.

IT'S AN ISSUE THAT I DID NOT KNOW MUCH ABOUT UNTIL A COUPLE OF YEARS AGO, YEAR AND A HALF AGO WHEN I STARTED ASKING AND TALKING TO PEOPLE FROM THE CITY AND FROM NONPROFITS, AISD HAS COLLATED INFORMATION.

AND WHAT YOU SEE ON YOUR SCREEN NOW IS DATA FROM 2019 AND 2020 THAT SCHOOL YEAR, AS YOU CAN SEE THE SECOND PARAGRAPH DUE TO COVID IN 2021, THERE WASN'T ANY USEFUL INFORMATION.

AND DOWN AT THE BOTTOM AFTER THE 2,113 AMOUNT OF PEOPLE THAT ARE OUR HOMELESS STUDENTS, THAT THERE ARE MORE PEOPLE OUT THERE THAT ARE, THAT ARE HOMELESS, WHO ARE STUDENTS QUESTIONS.

OKAY.

THANK YOU VERY MUCH, SCOTT, THANK YOU FOR YOUR PAST WORK AND THANK YOU FOR, FOR BEING HERE TODAY TO TALK, OKAY.

OUR FIRST SPEAKER AND I BELIEVE HE HAS A SPEAKER ONLINE IS FRED LEWIS AND HE WILL, FRED WILL BE FOLLOWED BY PAUL SAUL, TANYA.

AND I BELIEVE THAT IS ALL OUR SPEAKERS, UNLESS THERE'S ANYONE ELSE HERE IN THE CHAMBERS TO SPEAK, OKAY, MR. LEWIS, YOU HAVE THREE MINUTES.

GOOD MORNING CHAIR, TOPO AND MEMBERS.

UH, I'M HERE TO MAKE A REQUEST THAT WE BE ABLE TO MAKE A FULL PRESENTATION IN APRIL BEFORE THE PUBLIC HEALTH COMMITTEE ON CENTRAL HEALTH, SERIOUS FINANCIAL AND OPERATIONAL PROBLEMS. UH, I WOULD LIKE, UH, FOR NELSON LENDER AND SENATOR BODY INTO US AND MYSELF, AS WELL AS OTHERS TO SPEAK THE NAACP LAUNCHED TODAY, I FELT EQUITY FIRST CAMPAIGN TO REFORM PUBLIC HOSPITAL SYSTEMS IN TEXAS, BUT BECAUSE THEY'RE NOT SERVING THE POOR NOR TAXPAYERS WELL IN, UH, TRAVIS COUNTY, WE HAVE 185,000 PEOPLE THAT HAVE NO HEALTH COVERAGE OF ANY KIND THAT IS WHO CENTRAL HEALTH IS SUPPOSED TO BE SERVING.

THERE IS A RACIAL DISPARATE IMPACT OF THOSE WITHOUT HEALTH INSURANCE.

MANY PEOPLE DON'T REALIZE HOW STARK IT IS.

WELL, 7% OF THE ANGLOS IN TRAVIS COUNTY DON'T HAVE HEALTH INSURANCE.

IT'S 15% OF AFRICAN-AMERICANS AND 42% OF THE HISPANIC HAVE NO HEALTH COVERAGE.

SO HOW CENTRAL HEALTH FUNCTIONS OR DOESN'T FUNCTION IS VERY IMPORTANT TO PEOPLE OF COLOR AND POOR PEOPLE.

AND THE CITY OF AUSTIN, AS YOU KNOW, UH, COUNCIL MEMBER TOVO HAS A SPECIAL ROLE TO PLAY WITH CENTRAL HEALTH BECAUSE OF THE WAY, BECAUSE OF THE FACT THAT AUSTIN WAS THE LAST MAJOR TEXAS CITY WITH A MUNICIPAL HOSPITAL BRACKENRIDGE.

AND THEREFORE WE ARE COUNCIL HAS THE RIGHT TO MAKE APPOINTMENTS WITH THE CENTRAL HEALTH BOARD THAT OTHER CITIES DON'T MAKE IN OTHER COUNTIES.

AND I WANT TO TALK ABOUT WHY WE WANT TO MAKE A PROTEASOME STATION AND WHY WE'RE ASKING THE COMMITTEE TO CALL FOR AN AUDIT OF CENTRAL HEALTH.

IT IS NOT WELL KNOWN THAT IN THIS YEAR'S FISCAL BUDGET FOR CENTRAL HEALTH, AND YOU CAN READ IT IN THEIR APPROVED BUDGET.

THEY RAISED THEIR TAXES 6%, BUT THEY DECREASE THEIR HEALTH SERVICES.

34% FROM 155 MILLION TO 101 MILLION IN THE MIDDLE OF A PANDEMIC.

AND THEY INCREASED THEIR CONTINGENCY RESERVE TO AGE 9 MILLION, THE 298 MILLION

[00:15:02]

WITHOUT REALLY ANY PUBLIC EXPLANATION.

AND THOSE FIGURES ARE REALLY RATHER STARTLING AND ASK FOR A LOT OF QUESTIONS.

THERE ARE ALSO PROBLEMS LIKE THE STATE OF TEXAS HAS BEEN FINED $83 MILLION OR IMPERMISSIBLE PROVIDER RELATED.

SO NATIONS RELATED TO CENTRAL HEALTH AND THE COMMUNITY CARE COLLABORATIVE AND A WHOLE HOST OF OTHER PROBLEMS. THE OTHER THING IS THE CENTRAL HEALTH IS NOW PAID THE UNIVERSITY OF TEXAS MEDICAL SCHOOL, $280 MILLION A YEAR, BUT $8 MILLION OVER, UH, EIGHT YEARS.

UH, AND YET THERE IS NO DOCUMENTATION OF ANY KIND THAT POOR PEOPLE RECEIVED ANY HEALTHCARE FOR $280 MILLION.

AND IT'S BEEN 10 YEARS SINCE VOTERS APPROVED THE TAX INCREASE FOR MEDICAL SCHOOLS, SOME CENSUS CONSISTENT WITH CENTRAL HEALTH MISSION, WHICH OF COURSE IS TO CARE FOR THE POOR.

THANK YOU, MR. LEWIS, THANK YOU FOR ATTENDING TODAY AND FOR THOSE COMMENTS AND WE WILL CONSIDER YOUR REQUEST.

UM, OUR NEXT, PARDON ME, OUR NEXT AND FINAL SPEAKER FOR PUBLIC COMMUNICATIONS TODAY IS ALSO ONLINE.

AND THAT IS ALSO DANYA.

WELCOME, MR. SALDANIA.

YOU HAVE THREE MINUTES.

HI, GOOD MORNING.

UH, MY NAME IS PAUL .

I'M A LEADER WITH THE AUSTIN LATINO COALITION.

OUR COALITION OF VOLUNTEERS HAS MADE UP OF ABOUT 20 TRUSTED LATINO SERVING ORGANIZATIONS, NONPROFITS, CIVIC, AND COMMUNITY ORGANIZATIONS.

WE HAVE ABOUT 35 LATINO COMMUNITY LEADERS AND A NETWORK OF NEARLY 1000 VOLUNTEERS.

THE ALC IN 2020 AND 2021 SERVE NEARLY 120,000 FAMILIES.

WE PROVIDED ACCESS TO BARRIER FREE PPE SUPPLIES, COVID TESTING, FLU SHOTS, FINANCIAL SUPPORT, FOOD, WATER, VACCINE, BOOSTERS, AND CULTURE RELEVANT, BILINGUAL INFORMATION, UH, RESOURCES AND SUPPORT, AND OUR COALITION LAUNCHED AND IMPLEMENTED A BILINGUAL VACCINE HESITANCY PLAN TO INCREASE VACCINATIONS WITHIN THE LATINO COMMUNITY.

AS WE'RE ENTERING YEAR THREE OF THE PANDEMIC, 1,441 AUSTIN, TRAVIS COUNTY RESIDENTS HAVE DIED OF COVID LATINOS REPRESENT NEARLY 50% OF ALL THOSE DEATHS, THAT 720 LATINOS FROM OUR COMMUNITY IN AUSTIN, TRAVIS COUNTY, ONE AND TWO KIDS, AND ONE IN THREE ADULTS OR LATINO, LATINO COMMUNITIES VARY IN THEIR ACCESS TO CHILDCARE EDUCATION, AFFORDABLE HOUSING, TRANSPORTATION OPTIONS, GREEN SPACE, HEALTHY FOODS, AND HEALTHCARE, ALL OF WHICH ARE NECESSARY TO STAY HEALTHY AND THRIVE.

AND ACCORDING TO SALUTE AMERICA HEALTH EQUITY REPORT LATINOS IN AUSTIN, TRAVIS COUNTY CONTINUE TO FACE MORE SOCIAL ECONOMIC BARRIERS AND POOR HEALTH OUTCOMES THAN NON LATINO WHITES.

THESE DISPARITIES, IN MY OPINION, ARE A DIRECT RESULT OF THE JIM CROW REDLINING POLICIES AND THE IMPLEMENTATION OF THE INFAMOUS 1928 MASTER PLAN BY THE CITY OF AUSTIN.

AND HERE WE ARE, 94 YEARS LATER, AND OUR COMMUNITIES ARE STILL BEING DIRECTLY IMPACTED BY THIS INSTITUTIONAL RACISM, INEQUITIES, CLASSISM, AND SEGREGATION.

UH, THE COVID PANDEMIC OBVIOUSLY HAS DISPROPORTIONATE DISPROPORTIONATE DEVASTATED AND IMPACTED OUR BLACK AND BROWN COMMUNITIES.

UH, AND IT'S CRUCIAL THAT WE NOT ONLY RECOGNIZE THE RACIAL DIFFERENCES IN COVID CASES AND DEATHS, BUT ALSO BEGIN TO UNDERSTAND THE UNDERLYING MECHANISMS THAT GAVE RISE TO THESE DISPARITIES.

SO MY REQUEST TO YOU TODAY IS THAT YOU APPLY THE SAME LEVEL OF RESOLVE AND COMMITMENT TO BETTER UNDERSTANDING WHY AUSTIN RESIDENTS WERE SUBJECTED TO FAILURES IN OUR CITY'S DRINKING WATER SUPPLY, THE, THE 1,441 RESIDENTS OF AUSTIN, TRAVIS COUNTY, AND THE 720 LATINOS WHO DIED FROM OUR COMMUNITY DESERVE BETTER AT MINIMUM, A THIRD PARTY AUDIT OF THE PANDEMIC, EMERGENCY PREPAREDNESS DISTRIBUTION OF RESOURCES AND SUPPORT THIS SYSTEMATIC PROCESS OF STRUCTURE AND ADMINISTRATION OF POWER AND DECISIONS MUST BE OBJECTIVELY EVALUATED.

MOST IMPORTANTLY, THE COMMITTEE LED ORGANIZATIONS WHO CONTINUE TO BE INVOLVED IN SUPPORTING OUR MINORITY AND LOW-INCOME COMMUNITIES THROUGHOUT THIS PANDEMIC MUST HAVE A SEAT AT THE TABLE TO PROVIDE FIRSTHAND ACCOUNTS OF OUR LIVED EXPERIENCES AND THE LIVED EXPERIENCES OF THE COMMUNITIES THAT WE CONTINUE TO SERVE.

THE PANDEMIC SHOWED LARGE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH MATTER.

NOW IT'S TIME FOR POLICY MAKERS LIKE YOURSELVES TO ADD, THANK YOU FOR ALLOWING ME TO PROVIDE SOME TESTIMONY THIS MORNING.

THANK YOU, MR. SALDANIA.

THANK YOU FOR YOUR TREMENDOUS WORK THROUGHOUT THE PANDEMIC.

AND OF COURSE, AS A COMMUNITY LEADER BEFORE THAT AS WELL.

I THINK YOUR SUGGESTION IS AS A VERY IMPORTANT ONE.

I KNOW WHEN YOU AND I SPOKE, YOU ALSO TALKED ABOUT, I THINK WE ALSO TALKED ABOUT THE POTENTIAL OF HAVING A COMMUNITY TASK FORCE.

AND SO ONE POTENTIAL MODEL TO LOOK AT THE CITY'S RESPONSE DURING THE PANDEMIC MIGHT BE TO LOOK BACK TO THE RESOLUTION COLLEAGUES THAT I DID THAT HAD, UM, BOTH AN AUDIT, A VERY BRIEF, BRIEFLY CONSTITUTED COMMUNITY TASK FORCE AS WELL TO TAKE, UH, TO TAKE SOME OF THAT PUBLIC TESTIMONY.

SO WE CAN CERTAINLY DISCUSS THAT.

THANKS AGAIN FOR BEING HERE.

ANYONE ELSE?

[00:20:01]

OKAY.

[6. Briefing regarding Trauma Recovery Centers in Austin.]

SO COLLEAGUES, WE'RE GOING TO, WE HAVE A MAYOR PRO TEM ALTAR HERE TODAY TO JOIN US FOR THE PRESENTATION REGARDING THE TRAUMA RECOVERY CENTER.

AND SO WITH YOUR PERMISSION, I'M GOING TO SWAP THE NEXT TWO SEGMENTS OF OUR AGENDA.

DOES THAT CAUSE A CONCERN FOR ANYONE CHAIR? I JUST WANTED TO CHECK BECAUSE I KNOW WE HAD A, UM, A SPEAKER JOINING US ONLINE THAT DR.

.

SO I JUST WANTED TO MAKE SURE THAT SHE'S ONLINE.

SHE IS OKAY, AND WE'RE GOOD TO GO.

OKAY, GREAT.

ANYONE HAVE A CONCERN ABOUT SWAPPING THOSE TWO PIECES? OKAY.

THEN WE WILL TAKE UP NEXT.

OUR BRIEFING REGARDING TRAUMA RECOVERY CENTERS IN AUSTIN AND COUNCIL MEMBER US HAS, HAS ALSO BROUGHT FORWARD A RESOLUTION WE'RE NOW POSTED FOR POTENTIAL ACTION ON THAT ITEM.

AND THEN WE WILL CONCLUDE WITH OUR BRIEFING ON SUBSTANCE USE DISORDER ON THE SUBSTANCE USE DISORDER, COMMUNITY PLANNING PROCESS THAT SEVERAL OF US HAVE, HAVE BEEN FOLLOWING.

SO WELCOME TO OUR PRESENTER.

UM, THIS IS, LET ME JUST GET BACK TO IT.

WE HAVE, UM, TWO PRESENTERS, I'M SORRY, THREE PRESENTERS TODAY.

WE HAVE TARA TUCKER WHO IS TEXAS STATE DIRECTOR FOR THE ALLIANCE FOR SAFETY AND JUSTICE TRISHA FORBES FROM THE ALLIANCE FOR SAFETY AND JUSTICE AS WELL.

AND THEN ONLINE IS DR.

BUSTLE.

LAURIE, WELCOME.

THANK YOU FOR BEING HERE WITH US TODAY.

GOOD MORNING.

THANK YOU FOR HAVING US.

MY NAME IS TARA TUCKER.

I'M THE TEXAS STATE DIRECTOR FOR ALLIANCE FOR SAFETY AND JUSTICE.

WE'RE A, MULTI-STATE NONPROFIT DEDICATED TO, UM, DOING ADVOCACY AROUND REDUCING OUR OVER-RELIANCE ON INCARCERATION AND REALLOCATING RESOURCES TO COMMUNITY-BASED PROGRAMS AND ORGANIZATIONS THAT WORK TO PROVIDE TRAUMA, RECOVERY SERVICES, PREVENTIONS, DIVERSIONS, UM, AND PROGRAMS THAT ARE GOING TO BREAK OUR CYCLE OF CRIME.

UM, TODAY WITH ME IS TRISHA FORBES, WHO IS THE STATEWIDE MANAGER FOR CRIME SURVIVORS FOR SAFETY AND JUSTICE.

UM, AND ALSO DR.

WHO IS THE, UM, FOUNDER OF THE SAN FRANCISCO TRAUMA RECOVERY CENTER, WHICH IS THE FIRST TRAUMA RECOVERY CENTER IN, UM, STARTED.

THANK YOU.

GOOD MORNING.

I'M MAYOR PRO TEM AND COUNCIL MEMBERS.

I'M TRISHA FORBES, AS TARA SAID, AND I AM PART OF, UM, CRIME SURVIVORS FOR SAFETY AND JUSTICE.

WE'RE A PROJECT OF THE ALLIANCE FOR SAFETY AND JUSTICE.

WE HAVE MORE THAN 9,000 SURVIVORS OF ALL KINDS OF CRIME AND VIOLENCE ACROSS THE STATE OF TEXAS.

MANY OF THEM HERE IN AUSTIN, AND WE DO ORGANIZING TO ELEVATE THE VOICES OF SURVIVORS WHO ARE NOT OFTEN HEARD, UM, ESPECIALLY BLACK AND LATIN X COMMUNITIES.

AND SO THANK YOU FOR HAVING US TODAY.

SO AGAIN, TODAY, WE'RE HERE TO TALK ABOUT, UM, THE PROPOSAL BEFORE THE COUNCIL, WHICH IS TO FUND A TRAUMA RECOVERY CENTER.

TRAUMA RECOVERY CENTERS, UM, ARE AN EXCELLENT WAY TO INCREASE PUBLIC SAFETY AND PUBLIC HEALTH.

UM, AND I KNOW YOU ALL HAVE TAKEN GREAT STRIDES TO STRENGTHEN VIOLENCE PREVENTION, UM, AND SERVICES FOR SURVIVORS.

AND I BELIEVE THAT TRAUMA RECOVERS RECENTERS ARE THE NEXT LOGICAL STEP TRAUMA RECOVERY CENTERS ARE ONE-STOP CENTERS THAT SUPPORT VICTIMS THROUGH THE CRY OF VIOLENT CRIME THROUGH THE RECOVERY PROCESS.

THERE THEY HAVE PROVIDE WIDE, WIDE RANGING COMPREHENSIVE SUPPORTS.

UM, YOU CAN GO TO THE NEXT SLIDE.

THANKS.

UM, COMPREHENSIVE SUPPORTS, UM, FROM MENTAL HEALTH COUNSELING AND CASE MANAGEMENT TO NAVIGATING THE JUSTICE SYSTEM AND HELPING WITH AND MORE, THEY ARE CONFIDENTIAL LEAST SUPPORT IN THE, UM, THEY'RE IN OUR COMMUNITIES.

UM, AND NEXT SLIDE, UM, THE MODEL OF THE TRAUMA RECOVERY CENTER, UM, USES PROVEN APPROACHES TO TRAUMA INFORMED CARE AND ADDRESS TO ADDRESS THE NEEDS OF SURVIVORS.

THEY UTILIZE ASSERTIVE OUTREACH SO THAT PEOPLE ARE, UM, NOT JUST SERVICED IN THE CENTER, BUT IF THEY ARE UNABLE TO COME TO THE CENTER, THEY CAN, THE, THE PEOPLE IN THE CENTER WILL, UM, GO OUT TO THEM AND HELP THEM GET WHAT THEY NEED.

UM, SO THEY CAN ENGAGE SURVIVORS IN MULTIPLE WAYS.

AND THEN THEY ALSO, UM, TAKE REFERRALS FROM MULTIPLE PARTNERS.

THEY HAVE CLINICAL CASE MANAGEMENT, UM, AND THEIR MISSION IS TO HELP VICTIMS WHO, UM, ARE NOT BEING SERVED BY OUR TRADITIONAL SERVICES.

SO, UM, ONE VERY IMPORTANT ASPECT OF THE TRAUMA RECOVERY CENTERS IS THAT THEY'RE GOING TO SERVICE SURVIVORS WHO MAY NOT HAVE FILED A POLICE REPORTS.

[00:25:01]

UM, SO WHILE WE HAVE GREAT SERVICES THROUGH OUR, OUR CURRENT VICTIM SERVICES, UM, ORGANIZATIONS, THERE ARE MULTIPLE PEOPLE, LIKE I SAID, THAT DON'T HAVE ACCESS TO THOSE SERVICES BECAUSE, UM, THEY ARE NOT, THEY HAVE NOT FILED.

AND SO TRAUMA RECOVERY CENTERS CAN HELP THEM, UM, UM, WHERE OUR OTHER EXISTING SERVICES CAN.

NOT NEXT SLIDE.

UM, RESEARCH HAS SHOWN THE REPORTS THAT WE HAVE.

WE'VE PUT OUT THAT ONE IN 10 SURVIVORS ARE NOT ACCESSING TRADITIONAL VICTIM SERVICES.

UM, AGAIN, UM, THIS IS TRAUMA RECOVERY CENTERS CREATE AN OPPORTUNITY FOR US TO REACH MORE PEOPLE WHO WOULD NOT BE ACCESSING TRADITIONAL SERVICES.

NEXT SLIDE, SHE TALKED ABOUT PREVENTION.

THANK YOU, TARA.

SO I'M GOING TO TALK A LITTLE BIT ABOUT PREVENTION.

UM, THE DATA ALSO SHOWED THAT VICTIMS OF VIOLENT CRIME ARE FOUR TIMES AS LIKELY TO BE REPEAT CRIME VICTIMS. AND THAT MORE THAN ONE THIRD OF VICTIMS OF VIOLENT CRIME HAVE BEEN REPEATEDLY VICTIMIZED.

UM, I AM A SURVIVOR OF SEXUAL ASSAULT AND THIS WAS TRUE FOR ME AFTER I WAS SEXUALLY ASSAULTED AS A TEENAGER.

UM, UNFORTUNATELY I WAS ONE OF THESE STATISTICS AND WENT ON TO BE SEXUALLY ASSAULTED.

TWO MORE TIMES IN MY TEENAGE AND YOUNG ADULT YEARS, THE COMPREHENSIVE SERVICES THAT TRAUMA RECOVERY CENTERS PROVIDE HAVE AN IMPACT, NOT ONLY ON INDIVIDUALS, BUT ALSO ON FAMILIES AND WHOLE COMMUNITIES.

AND THEY DO PREVENT REPEAT VICTIMIZATION AND BREAK THE CYCLE OF CRIME AND VIOLENCE.

NEXT SLIDE PLEASE.

SO WHY TRAUMA RECOVERY CENTERS? UM, THEY WORK HAND IN HAND WITH EXISTING VICTIM SERVICES AND COMMUNITY RESOURCES.

AND I KNOW THAT THIS IS A QUESTION THAT OFTEN COMES UP.

WHAT ABOUT THE RESOURCES THAT WE ALREADY HAVE IN THE COMMUNITY AND TRAUMA RECOVERY CENTERS? THE, I BELIEVE 40 OF THEM AROUND THE COUNTRY NOW HAVE FOUND THAT THEY WORK HAND IN HAND WITH THOSE TO, UM, AUGMENT THE SERVICES THAT ALREADY EXIST IN OUR COMMUNITY OF THAT TRADITIONAL VICTIM SERVICES ARE ONE OF THE BIGGEST SOURCES OF REFERRALS TO TRAUMA RECOVERY CENTERS.

UM, THEY SERVE PEOPLE WHO DON'T GO THROUGH THE CRIMINAL JUSTICE SYSTEM, AGAIN LIKE MYSELF.

UM, AND, UH, REALLY IMPORTANTLY, THEY SERVE PEOPLE OF COLOR AND PEOPLE EXPERIENCING HOMELESSNESS AT MUCH HIGHER RATES.

I WAS ABLE TO LISTEN TO A LITTLE BIT OF THE PRESS CONFERENCE OUTSIDE THIS MORNING, AS WELL AS SOME OF THE EARLIER ITEMS ON YOUR AGENDA TODAY, ABOUT PEOPLE EXPERIENCING HOMELESSNESS, UM, SUCH AS FOSTER YOUTH AND THESE FOLKS, UM, ARE AT HIGHER RISK FOR VICTIMIZATION AND DON'T ALWAYS ACCESS TRADITIONAL SERVICES.

UM, TRAUMA RECOVERY CENTERS HAVE BEEN SHOWN TO PREVENT HOMELESSNESS AND ALSO TO HELP PULL PEOPLE OUT OF HOMELESSNESS.

UM, WHEN THEY HAVE BEEN VICTIMIZED AND ARE ABLE TO ACCESS THESE SERVICES, THEY ALSO ARE SHOWN TO INCREASE ACCESS TO VICTIM COMPENSATION FOR SURVIVORS WHO ARE YOUNG AND LESS EDUCATED.

NEXT SLIDE PLEASE.

SO THEY SERVE, UH, SURVIVORS OF A WIDER VARIETY OF CRIMES, INCLUDING PEOPLE EXPERIENCING COMMUNITY VIOLENCE, SUCH AS STABBING VICTIMS, GUNSHOT VICTIMS, AS WELL AS FAMILY MEMBERS WHO HAVE LOST LOVED ONES TO VIOLENCE.

AND MANY OF OUR MEMBERS IN AUSTIN, UM, WHO HAVE SPOKEN ON THIS BEFORE ARE VICTIMS OF GUNSHOTS HAVE LOST THEIR CHILDREN TO GUN VIOLENCE AND HAVE NOT HAD A PLACE TO GO TO RECEIVE THE KIND OF CULTURALLY RESPONSIVE SERVICES THAT THEY NEED TO HEAL.

UM, THEY ALSO ARE MORE COST-EFFECTIVE AND IMPROVE THE HEALTH AND WELLBEING OF CLIENTS.

AND I BELIEVE AT THIS POINT, WE'RE GOING TO TURN IT OVER TO DR.

, UM, WHO IS THE FOUNDER OF THE TRAUMA RECOVERY CENTER MODEL AND, UH, IS EXTREMELY KNOWLEDGEABLE AND HAS FIRSTHAND EXPERIENCE THE MANY YEARS THAT, THAT SHE'S BEEN BEHIND IMPLEMENTING THESE AROUND THE COUNTRY.

THANK YOU SO MUCH.

AND IT'S SUCH AN HONOR TO, UH, TO BE JOINING YOU VIRTUALLY AND I SO MUCH APPRECIATE, UH, EVERYONE WILLINGNESS TO HEAR ABOUT THE TRAUMA RECOVERY CENTER.

UM,

[00:30:01]

AS IT'S BEEN MENTIONED, IT WAS FIRST STARTED IN SAN FRANCISCO, BUT THERE ARE NOW 39 TRCS IN EIGHT STATES ACROSS THE COUNTRY.

AND ONE OF THE THINGS ABOUT THIS MODEL IS THAT WE ARE VERY DATA-DRIVEN.

WE FEEL VERY ACCOUNTABLE TO THE PEOPLE THAT WE SERVE.

AND SO FROM THE VERY BEGINNING, WE WANTED TO COLLECT DATA, UM, TO SEE WHETHER OR NOT WE WERE EFFECTIVE.

AND WE ACTUALLY DID A RANDOMIZED TREATMENT TRIAL WHERE WE RANDOMIZED, UH, VICTIMS OF VIOLENCE.

TWO THIRDS GOT THE TRC MODEL AND ONE-THIRD, UH, GOT USUAL CARE.

AND I SHOULD SAY, WHAT IS USUAL CARE FOR MANY VICTIMS OF VIOLENT CRIME, FOR MANY VICTIMS OF VIOLENT CRIME THAT GIVEN A REFERRAL, UM, TO, UH, A LOCAL MENTAL HEALTH SYSTEM, WHICH ACTUALLY CAN PROVIDE WONDERFUL SERVICES, BUT MANY OF OUR VICTIMS OF VIOLENT CRIME HAVE MANY, MANY BARRIERS TO ACCESS SERVICES.

AND ONE OF THE SYMPTOMS OF PTSD IS AVOIDANCE.

SO PEOPLE DON'T WANT TO TALK ABOUT THEIR PROBLEMS BECAUSE THEY END UP OFTENTIMES HAVING INTRUSIVE THOUGHTS OR FLASHBACKS.

SO ONE OF THE THINGS THAT ENDS UP HAPPENING IS IT PUSHES PEOPLE INTO, UH, ISOLATION.

AND AGAIN, OFTENTIMES AVOID TALKING ABOUT THEIR PROBLEMS. THE TRC TRIES TO COUNTER THAT BY DOING ASSERTIVE OUTREACH, AS YOU'VE ALREADY HEARD ABOUT, BUT SOME OF THE IMPACTS.

SO, UM, WE ENDED UP LOOKING AT, UH, UH, SEXUAL ASSAULT VICTIMS IN SAN FRANCISCO.

WE HAD DATA OF RAPE VICTIMS. HOW MANY OF THEM HAD, UH, UM, ACCESS MENTAL HEALTH SERVICES BEFORE TRC AND HOW MANY AFTER? AND WE WERE ABLE TO ACTUALLY DEMONSTRATE THAT RAPE VICTIMS, UH, BY BEING OFFERED THE TRC MODEL, WE INCREASED ACCESS FROM 6% OF RAPE VICTIMS TO 71%, UH, ACTUALLY GETTING INTO MENTAL HEALTH SERVICES.

WE ALSO WERE ABLE FOR GENERAL, UH, VICTIMS OF VIOLENT CRIME ENDED UP, UM, INCREASING ACCESS TO MENTAL HEALTH SERVICES, 72%, UM, ASSIGNED TO TRC, UH, ACCEPTED AND RECEIVED MENTAL HEALTH SERVICES AS COMPARED TO 38% OF USUAL CARE VICTIMS OF VIOLENT CRIME.

AND THIS IS REALLY INTERESTING.

WE DID NOT SET OUT TO INCREASE COOPERATION WITH POLICE.

IT JUST WASN'T ONE OF THE THINGS WE WERE AIMING TO DO, BUT WE LOOKED AT IT AND WE ENDED UP FINDING THAT WE HAD AN INCREASE BY 69% IN VICTIMS BEING WILLING TO FILE POLICE REPORTS.

UH, WE, UH, ENCOURAGE PEOPLE TO DO IT AND IF THEY WANT TO, WE HELP THEM WITH IT.

AND OF COURSE, BY FILING POLICE REPORTS, UM, WE CAN END UP, UM, HOPEFULLY IMPROVING COMMUNITY SAFETY AS WELL.

WE ENDED UP DECREASING THE RATE, UH, OF HOMELESSNESS BY 41%.

AND IF I COULD HAVE THE NEXT SLIDE, UM, WE ALSO LOOKED AT, UH, AFTER RECEIVING SERVICES AND WE WERE ABLE TO SHOW THAT WE HAD AN IMPROVEMENT OF 74% SHOWED AN IMPROVEMENT IN MENTAL HEALTH, 51% PHYSICAL HEALTH, 52% A DECREASE IN ALCOHOL ABUSE.

AND OF COURSE WE KNOW THAT PTSD, UH, BRINGS WITH IT AN INCREASE IN ALCOHOL AND SUBSTANCE USE.

AND WE WERE ABLE TO SHOW A DECREASE IN THAT.

UM, AFTER ONLY 16, UH, SESSIONS OF TRC SERVICES, WE WERE ABLE TO DECREASE PTSD BY 46% DEPRESSION DECREASED BY 47%.

AND, UM, UH, THIS DATA, UH, IS NOT ONLY TRUE FOR SAN FRANCISCO, BUT AS TRCS ARE BEING DEVELOPED ACROSS THE COUNTRY, WE'VE HAD SIMILAR RESULTS ELSEWHERE.

I COULD HAVE THE, UH, NEXT SLIDE.

UM, AND SO WE ENDED UP ALSO LOOKING AT, UM, UH, THE, UH, WE DID A COST ANALYSIS AND WE ENDED UP FINDING THAT TRC IS MUCH MORE COST EFFECTIVE THAN USUAL CARE BY ABOUT 34%.

UM, AND THE MINIMUM COST OF A TRC IS ABOUT $1 MILLION ANNUALLY.

AND I WILL TURN THIS, UH, BACK TO, UH, UH, TRISHA AND TARA, UM, UH, TO TALK ABOUT THE REST OF THIS SLIDE.

UM, YEAH, I WANT TO ALSO MENTION THAT, UM, WHILE THERE'S A COST SAVINGS AND PROVIDING CARE TO SURVIVORS THIS WAY, THERE IS NO COST TO SURVIVORS TO ACCESS THESE SERVICES.

UM, THEY ARE, THEY SERVICE SURVIVORS AT NO COST TO THEM, REGARDLESS OF THE FILING OF A POLICE REPORT AND ALSO REGARDLESS OF THEIR IMMIGRATION STATUS.

SO, UM, IT'S, IT'S TRULY A CENTER THAT IS OPEN TO EVERYBODY.

UM, THE PROPOSAL THAT WE HAVE IN FRONT OF YOU TODAY, UM, WOULD, UH, THE, THE RESOLUTION, UM, WOULD STATE THAT WE, UM, ASK THAT WE LOOK AT PARTNERING WITH

[00:35:01]

THE COUNTY TO, TO PROVIDE THE FUNDING FOR THE CENTER.

SO, UM, THE ASK WOULD BE $500,000 EACH, UM, WITH A MINIMUM REQUEST OF TWO YEARS OF FUNDING.

UM, AND FOR THAT, WE CAN SERVE HUNDREDS OF SURVIVORS A YEAR, UM, TRICIA, UH, THANK YOU, TARA.

AND THANK YOU, DR.

B, ONE THING THAT WE FORGOT TO MENTION EARLIER THAT I THINK IS REALLY IMPORTANT FOR THE COMMITTEE TO KNOW, IS THAT AS A REPRESENTATIVE OF CRIME SURVIVORS FOR SAFETY AND JUSTICE, I SERVED ON THE, UH, THE VICTIM SUPPORT AND SERVICES WORKING GROUP OF THE TASK FORCE.

UM, AND THAT WAS A GROUP OF COMMUNITY PROVIDERS, INCLUDING OUR ALLIES AT, UM, APD VICTIM SERVICES.

AND SO JUST WANTED TO MAKE SURE FOR THE RECORD THAT EVERYONE KNOWS THAT, UH, FUNDING A TRAUMA RECOVERY CENTER IN AUSTIN WAS ONE OF THOSE KEY RECOMMENDATIONS.

UM, AND IF ANYONE HAS ANY QUESTIONS, WE WOULD BE HAPPY TO ANSWER THEM WHO WOULD LIKE TO BEGIN COUNCIL MEMBER FRONTEST.

THANK YOU.

AND JUST WANT TO GIVE MY, MY GRATITUDE AND APPRECIATION TO TARA AND TRISHA AND DR.

BOSS, LAURIE FOR JOINING US TODAY TO TALK ABOUT BRINGING A TRAUMA RECOVERY CENTER TO AUSTIN.

THIS IS, UM, AS YOU SHARED DURING YOUR PRESENTATION, THIS IS MUCH NEEDED.

IT'S A PROVEN EFFECTIVE MODEL.

I MEAN, JUST SEEING THE RATES OF HOW BY HAVING A TRAUMA RECOVERY CENTER THAT WE'VE BEEN ABLE TO INCREASE MENTAL HEALTH SERVICES, INCREASED REPORTING OF CRIME, UH, DECREASE PTSD.

I MEAN, THOSE ARE ALL IMPORTANT METRICS FOR US TO BE SHARING WITH THE COMMUNITY AND WHICH IS WHY I'M EXCITED TO BE HERE TODAY.

AND, UM, I DON'T HAVE QUESTIONS AT THIS TIME, BUT WHEN IT'S APPROPRIATE, I I'D LIKE TO LAY OUT MY RECOMMENDATION.

THANK YOU, COUNCIL MEMBER KITCHEN.

UH, THANK YOU.

MA'AM THANK YOU, COUNCIL MEMBER AND, UH, LOOK FORWARD TO YOU LAYING OUT THE RESOLUTION.

I REALLY, UH, THINK THAT, UM, TRAUMA RECOVERY CENTERS IT'S REALLY TIME FOR THIS IN AUSTIN.

UM, AND, UM, YOU KNOW, IT, I VIEW THEM AS A PIECE AND A COMPONENT OF OUR WHOLE HEALTHCARE DELIVERY SYSTEM, UH, WHICH AS WE'VE BEEN TALKING ABOUT, YOU KNOW, PUBLIC SAFETY IS MUCH BROADER THAN WHAT WE TRADITIONALLY THINK ABOUT PUBLIC SAFETY, PUBLIC SAFETY EXTENDS TO, UM, OUR HEALTHCARE SYSTEM AND, UM, THE, THE HEALTH, UH, NATIONWIDE THE HEALTHCARE SYSTEM IS RECOGNIZING THE IMPORTANCE OF COMMUNITY BASED, UM, CARE AND PARTNERSHIPS WITH COMMUNITY BASED ORGANIZATIONS IN ORDER TO ACTUALLY REALLY ACTUALLY HAVE A CHANCE AT REACHING PEOPLE.

SO, UM, AND I THINK AS YOU MENTIONED THAT, UM, ONE OF THE BENEFITS THAT TRAUMA RECOVERY CENTERS SERVE IS THEY REALLY COMPLIMENT THE EXISTING HEALTHCARE SYSTEM, BUT THEY'RE ALSO ACCESSIBLE FOR PEOPLE WHO, FOR, FOR THERE'S SO MANY DIFFERENT REASONS THAT SOMEONE MAY NOT ACCESS A MENTAL HEALTH CENTER.

UH, YOU KNOW, UM, YOU KNOW, I, I, YOU KNOW, YOU KNOW, MUCH BETTER THAN I COULD GO INTO A LONG LIST OF REASONS.

UM, AND THERE'S BARRIERS, THERE'S HEALTH, EQUITY BARRIERS, THERE'S DISPARITIES IN, UM, IN, UM, CULTURAL UNDERSTANDING.

THERE'S, UM, YOU KNOW, THERE'S JUST A WHOLE RANGE OF ISSUES WHY PEOPLE DON'T GET DON'T HAVE ACCESS.

SO I GUESS I'M, I'M TELLING, I'M SAYING THINGS THAT I KNOW THAT YOU ALREADY KNOW AND HAVE EXPERIENCED.

UM, I JUST WANT TO, TO SAY THAT, UM, I RECOGNIZE THIS AS A VERY INNOVATIVE MODEL AND I APPRECIATE YOU BRINGING IT TO US.

AND I SEE IT AS AN IMPORTANT COMPONENT, NOT, NOT AS A, UM, NOT AS SOMETHING WE DON'T NEED AND NOT AS SOMETHING THAT WE'RE ALREADY DOING.

SO, UM, WE MEANING THE HEALTHCARE SYSTEM AS A WHOLE, SO THANK YOU ALL.

AND, AND I ALSO REALLY, REALLY APPRECIATE THE DATA EVIDENCE-BASED, UH, APPROACH TO THIS AND YOUR DATA ANALYSIS, BECAUSE THAT, UM, YOU KNOW, YOU, WE ALWAYS WANT TO MAKE SURE THAT WHAT WE'RE PROPOSING MAY SOUND LIKE A GOOD IDEA, BUT UNLESS WE MEASURE, UH, RESULTS, WE DON'T KNOW IF WHAT WE'RE DOING IS ACTUALLY GOING TO ACHIEVE WHAT WE THINK IN NEED.

SO JUST WANT TO THANK YOU FOR BRINGING THAT DATA TO US.

THANK YOU.

THANK YOU,

[00:40:02]

MAYOR PRO TEMP.

THANK YOU.

GOOD MORNING.

THANK YOU FOR BEING WITH US.

UM, I BELIEVE STRONGLY THAT WE NEED TO HAVE A PUBLIC HEALTH APPROACH TO VIOLENCE PREVENTION, AND I SEE A LOT OF PROMISE IN THIS MODEL.

I'M STILL LEARNING SOME OF THE INS AND OUTS AND WHAT WORKS.

AND I THINK, UM, AS A COMMUNITY, UM, YOU KNOW, WE'RE GOING TO NEED TO, TO FIGURE OUT WHAT WILL WORK HERE IN AUSTIN WITH THE CONFIGURATION OF PLAYERS THAT WE HAVE.

I WANTED TO ASK MS. BACILLARY AND I'M SORRY IF IT'S DR.

BOSSLER, I'M NOT SURE.

UM, IF YOU COULD SPEAK A LITTLE BIT TO THE NUMBERS OF STAFF THAT YOU SEE IN THE TYPE OF STAFF THAT WORK IN THESE CENTERS AND THE KIND OF LOCATION, I MEAN, RIGHT NOW, WE'RE KIND OF HEARING THIS VAGUE, WELL, IT'S IN ALL THESE PLACES AND THEY DO X, Y, AND Z.

UM, BUT I'D LIKE A LITTLE BIT MORE OF THE, OF THE NUTS AND BOLTS OF HOW IT'S RUN AND THE, AND SOME OF THE, IF YOU COULD ALSO SPEAK TO SOME OF THE VARIATION OF THE MODELS IN TERMS OF WHO'S RUNNING IT, UH, THANK YOU FOR THAT QUESTION.

SO THE TRC MODEL HAS A NUMBER OF CORE ELEMENTS, AND THAT'S WHAT DEFINES THE FIDELITY TO THE MODEL.

BUT ONE OF THE NICE THINGS ABOUT THIS MODEL IS THAT WHILE THERE IS A STRUCTURE TO IT, IT ALLOWS FOR ENOUGH FLEXIBILITY.

SO EACH COMMUNITY CAN ADAPT IT TO, UH, LOCAL, UH, THEIR LOCAL COMMUNITY.

SO THAT'S NUMBER ONE, NUMBER TWO, IT'S MADE OF A, OF A MULTIDISCIPLINARY TEAM OF SOCIAL WORKERS, PSYCHOLOGISTS, AND A PSYCHIATRIST.

AND THEY ALL WORK TOGETHER AS A TEAM, UM, TO COORDINATE CARE.

AND I THINK THIS IS A VERY IMPORTANT PIECE.

IT'S NOT THE TRC DOES NOT SEE ITSELF AS BEING DEFINED TO FOUR WALLS OF A PARTICULAR LOCATION, BUT EACH CLIENT IS ASSIGNED A, UM, A COORDINATOR OF CARE THAT COORDINATE SERVICES, NOT ONLY WITHIN THE TRC, BUT ACROSS THE ENTIRE SYSTEM OF CARE.

SO WE END UP, UH, HOPEFULLY LEDGE LEVERAGING, LEVERAGING EXISTING COMMUNITY SERVICES, AND THE TRC CLINICIAN HELPS TO COORDINATE IT.

SO INSTEAD OF THE CLIENT HAVING TO RUN FROM ALL OVER AUSTIN, FOR EXAMPLE, TO GET SERVICES, THE COORDINATOR WILL HELP COORDINATE AND MAKE SURE THAT EVERYONE WORKING WITH THE CLIENT, UH, IS ALL WORKING TOWARDS THE SAME AIM, UH, AS HEALING, UM, EACH, UH, YOU KNOW, I CAN SPEAK IN TERMS OF, UM, USUALLY, UH, THE BUDGET FOR TRC IS ABOUT A MILLION DOLLARS.

AND OF COURSE IT DEPENDS ON, UH, THE COST OF, UH, SALARIES IN A PARTICULAR LOCATION.

BUT FOR, I CAN GIVE YOU AN EXAMPLE IN SAN FRANCISCO, UM, YOU KNOW, WE HAVE, UM, A LITTLE BIT MORE THAN A MILLION DOLLARS.

SAN FRANCISCO IS VERY, VERY EXPENSIVE, BUT FOR THAT, WE HAVE, UH, ABOUT THREE TO FOUR, SOCIAL WORK IS A PSYCHOLOGIST PART-TIME PSYCHIATRIST.

UH, WE ALSO DO INCLUDE IN THAT, AND WE SUGGEST THAT THERE'D BE SOME CAPACITY, UH, TO HAVE LIKE A DATA MANAGER THAT WILL HELP, UM, TO HELP KEEP THE TRC ON TRACK IN TERMS OF BEING ACCOUNTABLE.

YOU KNOW, I ALSO JUST WANT TO POINT OUT THAT, UM, I THINK THE TOC, UH, FOR ME, IT'S NEVER REALLY BEEN ABOUT THIS PARTICULAR MODEL AND I REALLY WANT TO STRESS THAT IT REALLY HAS BEEN ABOUT TRYING TO, UM, CHANGE THE SYSTEM OF CARE THAT OFTEN HAS ALREADY BEEN POINTED OUT, REALLY LEAVES A LOT OF VICTIMS BEHIND.

SO THIS IS A VERY INCLUSIVE MODEL.

UH, YOU KNOW, WE HIRE STAFF THAT ARE MULTILINGUAL AND ALSO REFLECT THE COMMUNITIES WE SERVE, WHICH BY AND LARGE, UH, HAVE BEEN, UH, LATINO AND, UH, BLACK COMMUNITIES.

I HOPE THAT ANSWERS YOUR QUESTION.

IT DOES.

AND I THINK IT'S REALLY IMPORTANT AS WE GO INTO THIS TO UNDERSTAND THAT THERE'S A LOT OF OPPORTUNITY AND, AND, UM, YOU KNOW, I APPRECIATE, UM, TRISHA AND TARA COMING, YOU KNOW, WITH A PARTICULAR APPROACH.

UM, BUT I THINK WE DO HAVE A LOT OF FOLKS IN OUR COMMUNITY.

WHO'VE WORKED ON SIMILAR COLLABORATIONS, UM, AND THEIR WAYS OF WORKING IN OUR COMMUNITY THAT I'VE WORKED SOME THAT HAVEN'T WORKED, UM, AND, YOU KNOW, OPPORTUNITIES TO PARTNER TO MAKE THE FUNDING MORE SUSTAINABLE, THAT WE NEED TO BUILD THAT INTO THE PROCESS AS WE GO.

UM, SO I DON'T WANT TO GET AHEAD OF THE RESOLUTION, BUT I THINK THAT, YOU KNOW, FOR ME, IT'S, IT'S, IT IS REALLY IMPORTANT THAT PROCESS THAT WE GO THROUGH, IF WE DECIDE AS A COUNCIL THAT WE THINK THIS IS SOMETHING THAT BELONGS IN OUR COMMUNITY, HOW IT GETS CONSTRUCTED, AND THAT PROCESS WILL AFFECT ITS SUCCESS AND THE BUY-IN THAT WE HAVE

[00:45:01]

FROM THE VARIOUS PARTNERS AND THE PEOPLE WHO, WHO CAN, UM, PARTICIPATE.

UM, I HAD AN OPPORTUNITY TO SPEAK WITH TRICIA AND TARA.

UM, I THINK IT WAS ON MONDAY.

UM, AND ONE OF THE THINGS THAT I WOULD STILL LIKE A LITTLE BIT MORE CLARITY ON IS, UM, THE MODEL THAT YOU'RE THINKING OF, WHICH MAY NOT BE THE MODEL WHERE WE END UP, UM, ON, AFTER WE GO THROUGH THE PROCESS, UM, AS I UNDERSTOOD IT INVOLVED CERTAIN OF SAY, YOU KNOW, PUBLIC HEALTH, HAVING AN RFP, AND THEN HAVING AN ORGANIZATION DO THAT, CAN YOU SPEAK EITHER MS OR THE TWO OF YOU TO THE TYPE OF ORGANIZATION THAT WOULD DO THIS, AND WHETHER THAT KIND OF ORGANIZATION IS ALREADY EXISTING, AND IF IT'S NOT IN OUR CITY, WHAT HAPPENED IN OTHER PLACES, IN TERMS OF, UM, TAKING OVER THE LEADERSHIP OF THIS KIND OF ENTERPRISE, I CAN TELL YOU WHAT'S HAPPENING IN THE REST OF THE COUNTRY.

FIRST OF ALL, OUT OF THE 39 CURRENT TRCS ABOUT A THIRD OF THEM ARE AFFILIATED WITH A LEVEL ONE TRAUMA HOSPITAL.

UH, AND IN THOSE CASES, UH, CLIENTS ARE EASILY IDENTIFIED ON THE TRAUMA SURGICAL UNITS, AS THEY'RE RECOVERING FROM THE PHYSICAL INJURIES, MANY OTHER TRCS ARE COMMUNITY-BASED AND HAVE MANY DIFFERENT ENTRY POINTS INTO A RC.

THE WAY A LOT OF COMMUNITIES HAVE ADOPTED THIS IS TO CRAFT A, UH, UH, AN RFP THAT IS THEN SENT OUT INTO THE COMMUNITY.

THE, UH, THE GRANT APPLICATION, YOU KNOW, DESCRIBES THE CORE ELEMENTS OF THE TRC AND ASKS THE APPLICANT TO ADDRESS HOW THEY MIGHT GO ABOUT SETTING UP A TRC IF THEY WERE W WERE GIVEN THAT AWARD.

AND THEN THERE IS A GRANT REVIEW PROCESS THAT GOES ON.

AND, UM, HOPEFULLY, UH, YOU KNOW, THE BEST APPLICANT IS, IS, UH, BECOMES THE TRC.

I THINK WHAT THIS DOES IS, AS I MENTIONED IT, THEN ALLOW, WOULD ALLOW AUSTIN TO REALLY THINK ABOUT THIS MODEL AND TO FIGURE OUT WHO DO YOU THINK IN YOUR COMMUNITY? UH, WHAT ARE THE QUALIFICATIONS SECURITY RISKS OF AGENCIES IN YOUR COMMUNITY THAT YOU THINK WOULD BEST SERVE THE AUSTIN COMMUNITY? SO AGAIN, I WANT TO BE VERY CLEAR THAT WHILE THIS IS A MODEL THAT HAS A LOT OF STRUCTURE TO IT, YOU ALL CAN, UM, UH, IT CAN BETTER DEFINE IT.

UH, I DON'T, I DON'T MEAN TO IMPOSE MYSELF IN, ON THIS PROCESS, BUT IF THERE IS ANY WAY THAT I CAN SUPPORT YOU TYPICALLY, UH, YOU KNOW, UH, SOME OF THE STATES THAT I'VE WORKED WITH, UH, I HAVE HELPED THEM WITH THE NOFA, YOU KNOW, DESIGN THE, UH, THE, UH, APPLICATION PROCESS.

UH, AND IF INDICATED I CAN HELP BE A GRANT REVIEW OR JUST AN ADVISOR TO THE PROCESS, ONCE THE TRC GETS ESTABLISHED, UH, MY TEAM, WHICH IS A TINY LITTLE TEAM, WE CAN PROVIDE TECHNICAL ASSISTANCE.

WE HAVE A TECHNICAL ASSISTANCE MANUAL.

WE HAVE AN IMPLEMENTATION GUIDE.

WE HAVE, UH, PROCEDURES THAT WE ARE HAPPY TO SHARE WITH PEOPLE AND HAPPY TO SHARE WITH WHATEVER AGENCY ENDS UP GETTING THE, UH, THE FUNDING FOR THIS.

WE DO THIS JUST BECAUSE WE REALLY BELIEVE IN THIS MODEL, AND WE REALLY BELIEVE THAT THE TIME HAS COME, UM, THAT UNDERSERVED COMMUNITIES HAVE ACCESS TO EVIDENCE-BASED CARE.

DID YOU WANT TO SPEAK IF THERE WERE PARTICULAR ORGANIZATIONS YOU HAD IN MIND? OH, UM, SO WE HAVE, UM, HAD ONE-ON-ONES WITH A FEW DIFFERENT ORGANIZATIONS.

I THINK ONE IN PARTICULAR, UM, THAT IS DOING PARTS OF THE MODEL WOULD BE LIKE THE AUSTIN LITERACY PROJECT.

THERE'S A COUPLE OF OTHERS, BUT REALLY, YOU KNOW, WE WOULD WANT TO, TO TALK TO MORE PEOPLE AND SEE IF THERE ARE OTHER PEOPLE THAT ARE INTERESTED IN APPLYING FOR THAT.

AND WE KNOW THAT MANY OF YOU, UM, YOU HAVE EXTENSIVE KNOWLEDGE OF THE ORGANIZATIONS THAT ALREADY EXISTS.

AND AS TARA SAID, WHEN WE STARTED THIS PROCESS, WE DID TALK TO DIFFERENT ORGANIZATIONS, SUCH AS THE LITERACY COALITION AT THE TIME, WHICH WAS SURPRISING TO ME GIVEN THEIR NAME, BUT THEY DO HELP PEOPLE FILL OUT VICTIM SERVICES, APPLICATIONS, AND THEY DO HAVE, YOU KNOW, THE CASE MANAGEMENT AND COUNSELING PIECE, THE SAME WITH THE Y WCA.

UM, THERE ARE ORGANIZATIONS IN OUR COMMUNITY THAT COULD, UH, HAVE FIDELITY TO THE MODEL AND SCALE UP SOME OF THE THINGS THEY'RE ALREADY DOING.

AND, UM, INSTEAD OF RECOMMENDING A SPECIFIC ORGANIZATION AT THIS POINT, JUST GOING BACK TO WHAT, WHAT DR.

SAID IN TERMS OF UTILIZING HER

[00:50:01]

EXPERTISE IN GETTING THESE UP AND RUNNING IN 39 DIFFERENT COMMUNITIES AROUND THE COUNTRY.

I THINK THAT HER ORGANIZATION, AS A RESOURCE HELPING CITY COUNCIL, POTENTIALLY THE COUNTY, THE STAKEHOLDERS FIGURE OUT WHAT DOES LOOK BEST IN AUSTIN, BASED ON WHO WE HAVE HERE THAT COULD POTENTIALLY SCALE UP.

UM, SO WE'RE VERY, OF ALL OF THE TIME THAT SHE'S PUT INTO THIS AND HER WILLINGNESS TO HELP US AND HELP YOU ALL THROUGH THAT PROCESS OF FINDING THE RIGHT ORGANIZATION OR PARTNERSHIP OF ORGANIZATIONS THAT CAN SCALE UP AND CAN HAVE FIDELITY TO THE MODEL, BECAUSE THE CORE ELEMENTS OF THE TRAUMA RECOVERY CENTER, I THINK ARE VERY IMPORTANT TO KEEP IN MIND.

UM, ALSO WANTED TO POINT OUT OR REITERATE WHAT DR.

SAID ABOUT THEM HAVING A, KIND OF A TEMPLATE FOR THE RFP THAT DOES OUTLINE ALL OF THOSE THINGS THAT MAY BE, UM, USEFUL FOR COUNCIL TO REVIEW AS WELL.

I HAVE A COUPLE OF QUESTIONS, OR AT LEAST ONE MAIN ONE FOR DR.

BUSS SALARY AND LOOKING AT, AND LOOKING AT WHAT I THINK IS, IS A WEBSITE, IS YOUR, IS YOUR ORGANIZATION'S WEBSITE, IT'S THE TRAUMA RECOVERY CENTER MODEL.ORG.

IS THAT YOUR ORGANIZATION, YOUR TRAUMA CENTERS IS I'M SORRY, THAT ORGANIZATION IS SPECIFIC TO SAN FRANCISCO.

WE ALSO HAVE A NEW WEBSITE FOR THE NATIONAL ALLIANCE OF TRAUMA RECOVERY CENTERS.

AND, UH, THE NATIONAL ALLIANCE OF TRAUMA RECOVERY CENTERS IS A COALITION MADE UP OF ALL OF THE TRCS ACROSS THE COUNTRY.

YOU CAN LOOK AT BOTH WEBSITES, BUT THE ONE THAT REALLY REVIEWS WHAT'S GOING ON AROUND THE COUNTRY IS CALLED WW, UH, THAT NATIONAL, UH, ALLIANCE OF TRAUMA RECOVERY CENTERS.

THANK YOU.

I'LL HAVE TO FIGURE OUT WHAT THE RELATIONSHIP IS WITH THAT.

AND THE ONE THAT I'M LOOKING, LOOKING AT THE ALLIANCE FOR SAFETY AND JUSTICE TRAUMA RECOVERY CENTERS, WEBSITE, UM, BECAUSE IT DOES, IT DOES LOOK AT OTHERS AROUND THE COUNTRY.

AND, YOU KNOW, THIS IS A VERY, IT'S A VERY INTERESTING MODEL, AND I'M REALLY EXCITED TO BE EXPLORING IT, WHAT I'M SEEING, WHAT I'M SEEING ON THIS PAGE, AT LEAST, UH, IN LOOKING AT, AT TRAUMA CENTERS IN ILLINOIS, CALIFORNIA, OHIO, NEW JERSEY, IOWA, AND GEORGIA SEEMS TO BE LARGELY, UH, LOTS OF PARTICIPATION FROM THE MEDICAL COMMUNITY, FROM THAT THESE ARE CENTERED IN HOSPITALS OR HAVE STRONG PARTICIPATION FROM THEIR MEDICAL COMMUNITY.

IS THAT, DOES THAT, UM, CAN YOU SPEAK TO THAT, I GUESS DR.

BOSSLER, I KNOW YOU SAID THAT ONE THIRD OF THEM ARE AFFILIATED WITH THOSE HOSPITALS, BUT THE ONES I'M SEEING HERE SEEM TO PRIMARILY BE, HAVE, HAVE STRONG PARTICIPATION, AT LEAST FROM THE MEDICAL COMMUNITY.

UH, YOU KNOW, AGAIN, ONE THIRD OF THE TRCS ARE AFFILIATED WITH LEVEL ONE HOSPITALS.

THE OTHER TRCS ARE COMMUNITY-BASED, UH, AND THE ONES THAT ARE COMMUNITY-BASED, UH, STILL DO HAVE RELATIONSHIPS WITH LOCAL HOSPITALS BECAUSE THE LOCAL HOSPITALS ARE THE ONES THAT ARE OFTEN ON THE FRONT LINES DOING THE, UH, INITIAL, UH, MEDICAL INTERVENTIONS FOR VICTIMS OF VIOLENT CRIME.

BUT THERE ARE MANY, UM, TRCS THAT AGAIN, OUR COMMUNITY BASE OR SOME TRCS THAT ACTUALLY STARTED OUT, UH, PRIMARILY BEING CHILD ADVOCACY CENTERS AND THEN SPREAD OUT TO, UM, TO BECOME A TRC.

YOU KNOW, I THINK THAT'S THE OTHER POINT THAT THE TRC, UM, MANY VICTIM SERVICES TEND TO SILO VICTIMS. SO DOMESTIC VIOLENCE SHELTERS, WE HAVE CRISIS CENTERS, CHILD ADVOCACY CENTERS, WHICH ARE ALL REALLY VERY IMPORTANT.

WE ALSO SEE ADDITIONAL VICTIMS, WHICH ARE VICTIMS OF COMMUNITY VIOLENCE AND FAMILY MEMBERS OF HOMICIDE.

I WILL TELL YOU EVERY COMMUNITY WE HAVE GONE INTO, THERE HAS BEEN A LEGITIMATE CONCERN THAT EXISTING VICTIM SERVICES, UM, FEEL THAT THE TRC IS GOING TO COME AND TAKE OVER.

AND THAT'S NOT THE CASE AT ALL.

UH, YOU KNOW, WE WORK ACTIVELY WITH DOMESTIC VIOLENCE SHELTERS AND RAPE CRISIS CENTERS.

WE BASICALLY BELIEVE IT TAKES AN ENTIRE COMMUNITY TO HEAL PEOPLE FROM VIOLENCE.

AND WE WORK VERY ACTIVELY WITH EXISTING PARTNERS, AND THERE'S NOT BEEN ONE EXAMPLE ACROSS THE COUNTRY WHERE A TRC HAS COME ALONG, THAT HAS ENDED UP DEFUNDING ANOTHER VICTIM SERVICE.

SO IT'S A WAY OF REALLY BRINGING VICTIM SERVICES TOGETHER AND AGAIN, LEVERAGING EXISTING SERVICES.

YEAH.

THANK YOU.

AND THEN I GUESS I WOULD LIKE TO INVITE OUR, UH, EITHER TARA OR TRISHA TO SPEAK TO, UM, THE SAME QUESTION, BECAUSE I GUESS THAT IS REALLY THE, THE SITE THAT'S MOST CLOSELY ORGANIZED OR CONNECTED WITH YOUR WORK.

UM, AND I ALSO AM INTERESTED IN SOME OF THE OTHER PARTNERS

[00:55:01]

THAT YOU MAY HAVE SOME OF THE OTHER, UM, ORGANIZATIONS, AND I HAVE A COUPLE THAT I WANTED TO ASK IF THEY'D BEEN INVOLVED, BUT LET ME JUST OPEN IT UP FIRST TO ANSWERING THE SAME QUESTION ABOUT, ABOUT THE MEDICAL, THE RELATIONSHIP THAT YOU SEE WITH MEDICAL COMMUNITY.

YEAH, I SAY, AND AGAIN, IN THE CONVERSATIONS THAT WE'VE HAD AROUND THIS, WE'VE DONE A COUPLE OF VIRTUAL SITE VISITS.

WE HAVE INCLUDED, UM, PEOPLE FROM SETON TO, TO ENTER THAT CONVERSATION SO THAT WE HAVE DISCUSSED THE MODEL, UM, AND HAD VERY PRELIMINARY CONVERSATIONS WITH THEM.

THEY SHOWED SOME INTEREST, BUT, YOU KNOW, IT'S BEEN A KIND OF CHAOTIC TIME.

SO I DO SEE MOVING FORWARD HAVING THAT RELATIONSHIP WITH THE HOSPITAL, UM, AND, AND NOT JUST THEM BEING, UM, AN ENTRY POINT FOR PEOPLE TO THE TRAUMA RECOVERY CENTER, BUT BEING A PARTNER AS WELL.

AND THAT'S ANOTHER WAY THAT, YOU KNOW, WE CAN BE CREATIVE ABOUT WHAT THIS LOOKS LIKE IN AUSTIN.

UM, AND AS DR.

BOSSLER, I SAID, IN SOME PLACES THEY ARE, ARE HOSPITAL-BASED, BUT STILL PHYSICALLY LOCATED IN THE COMMUNITY.

UM, AND I THINK IT'S IMPORTANT TO POINT OUT THAT A LOT OF VICTIMS, ESPECIALLY IF THEY'VE BEEN IN THE HOSPITAL, THEY DON'T WANT TO GO BACK INTO THE HOSPITAL, RIGHT.

THEY MAY BE MORE COMFORTABLE GOING SOMEWHERE IN THE COMMUNITY.

AND SO IN OTHER PLACES, WE HAVE, UM, INTEREST FROM THE LEVEL ONE TRAUMA HOSPITALS IN KIND OF BEING THE DRIVER OF THIS.

WE KNOW THAT WE HAVE OTHER, UM, AMAZING RESOURCES SUCH AS CENTRAL HEALTH, UM, THAT, THAT COULD BE BROUGHT INTO THIS CONVERSATION.

UM, ESPECIALLY WHEN WE TALK ABOUT OPPORTUNITIES FOR SUSTAINABLE FUNDING.

RIGHT.

AND I THINK THAT TARA WAS GOING TO TALK A LITTLE BIT ABOUT THAT AS WELL, IF THAT'S OKAY FOR US TO DO THAT NOW.

UM, SURE.

THAT'S ACTUALLY ONE OF THE QUESTIONS.

AND SOME OF THE FEEDBACK I HAD ABOUT THE RESOLUTION THAT WE'RE CONSIDERING TODAY IS, IS REALLY SETTING UP THE PROCESS OF EXPLORATION IN A WAY THAT LEADS TO THAT SUSTAINABLE FUNDING.

UM, SO I AM REALLY INTERESTED IN, I'M REALLY INTERESTED IN MAKING SURE THE DIALOGUE AT THIS POINT IS STRUCTURED WITH THOSE OTHER VOICES, UM, HERE, LIKE INTEGRAL CARE, SAFE ALLIANCE, POTENTIALLY THE TRAUMA INFORMED CONSORTIUM OF CENTRAL TEXAS, SOME OF THE OTHER, THE OTHER, UH, THE HOSPITALS, YOU KNOW, THE OTHERS, UM, CENTRAL HEALTH.

YOU MENTIONED THE OTHER ORGANIZATIONS THAT I THINK ARE GOING TO BE WHERE THIS REALLY FITS VERY SQUARELY WITHIN THEIR MISSION.

AND THEY HAVE EXPERTISE THAT WILL HELP, I THINK DRIVE, UH, DRIVE THE MODEL THAT THAT IS GOING TO BEST WORK HERE IN, IN AUSTIN, TARA DJ, CAN WE SPEAK, ARE YOU ENGAGED IN CONVERSATIONS WITH ANY OF THE ENTITIES? I MENTIONED LIKE THE TRAUMA INFORMED CONSORTIUM OF CENTRAL TEXAS OR SAFE ALLIANCE.

YES.

WE ACTUALLY HAD A PRELIMINARY, WE DID A PRESENTATION AT THE CONSORTIUM EARLY ON BECAUSE WE HAVE BEEN HAVING THESE CONVERSATIONS AND ENGAGING PEOPLE FOR ABOUT TWO YEARS NOW.

AND AS TARA SAID, IT'S BEEN A CHAOTIC TIME WITH COVID, BUT WE HAVE TALKED WITH THEM AND THE SAFE ALLIANCE WAS ACTUALLY ON THE VICTIM SERVICES AND SUPPORT COMMITTEE OF THE TASK FORCE FOR PUBLIC SAFETY.

UM, AND SO IT WAS, UH, SAFE.

IT WAS, UM, APD VICTIM SERVICES.

IT WAS, THERE WAS A REPRESENTATIVE FROM CARITAS.

AND SO WE HAD THE OPPORTUNITY BY SERVING ON THAT COMMITTEE TO REALLY EDUCATE THOSE STAKEHOLDERS ABOUT THE TRAUMA RECOVERY CENTER MODEL.

AND SO IT REALLY, IT WAS THE KEY RECOMMENDATION THAT CAME OUT OF THAT.

SO THESE COMMUNITY PARTNERS KNOW ABOUT THE TRC MODEL.

THEY ARE SUPPORTIVE OF THE TRC MODEL.

AND I THINK YOU'RE RIGHT, THAT JUST HAVING THOSE CONVERSATIONS ON A DEEPER LEVEL, ONCE THERE IS A COMMITMENT, YOU KNOW, THAT, THAT THE CITY AND THE COUNTY ARE COMMITTED TO FUNDING THIS, TO MAKING IT HAPPEN, THEN FIGURING OUT, UM, WHERE IT GOES AND WHERE THE RFP LANDS AND THE NUTS AND BOLTS OF IT, WHICH AGAIN, IS SOMETHING THAT DR.

HAS HELPED SO MANY COMMUNITIES DO THROUGH THE IMPLEMENTATION PROCESS.

THANK YOU, I THINK, AND THE WAY, AND AGAIN, THIS COMMENT MAY BE BEST FOR THE, FOR THE RESOLUTION AS WE TALK ABOUT THE RESOLUTION, BUT IT, I THINK IT'S REALLY, IT, IT FALLS SO SQUARELY IN, IN THE MISSIONS OF PLACES LIKE INTEGRAL CARE IN CENTRAL HEALTH AND SOME OF OUR MEDICAL PARTNERS THAT I WOULD REALLY LIKE TO SEE US STRUCTURE THE CONVERSATION IN A WAY THAT INVOLVES THEM SO THAT THEY CAN HELP SUSTAIN THAT MODEL OVER TIME.

I THINK YOU MENTIONED SUSTAINABLE FUNDING, AND TO ME THAT'S REALLY CRITICAL.

[01:00:01]

AND SO I THINK SETTING IT UP AND MAKING SURE THAT THERE'S INVESTMENT IN ENERGY IN HELPING CRAFT THAT AT THE OUTSET WILL HELP THAT BE SUSTAINABLE BECAUSE I'M NOT SURE THAT THAT IT'S SOMETHING IT'S CERTAINLY NOT SOMETHING THAT THE CITY OF AUSTIN I THINK COULD FUND OVER THE LONG RUN ON ITS OWN.

RIGHT.

RIGHT.

AND, AND ALSO THE IMPORTANCE, THE BIG PLAYERS ARE VERY IMPORTANT.

UM, SO OUR SMALLER COMMUNITY GROUPS, I THINK, AND MAKING SURE THAT IN, IN KEEPING IT COMMUNITY-BASED THAT THEY ARE PART OF THE CONVERSATION AS WELL, ESPECIALLY STAKEHOLDERS FROM THE COMMUNITIES THAT ARE THE MOST HARMED RIGHT NOW, AND THE LEAST HELP WITH SERVICES AND THAT DON'T ACCESS USUAL CARE.

SO I THINK THAT WE STRONGLY SUPPORT THAT APPROACH WITH BRINGING IN THE BIGGER PLAYERS AND ALSO MAKING SURE IT'S GROUNDED IN THE COMMUNITY AND THAT ALL OF THE STAKEHOLDERS ARE INVOLVED SO THAT THERE CAN BE FIDELITY TO THE CORE PRINCIPLES OF THE MODEL.

AND, UM, WE HAVE THOUGHT ABOUT THE SUSTAINABILITY OF IT, BECAUSE AS YOU SAID, UM, THE CITY AND THE COUNTY, YOU KNOW, MAY NOT BE THE LONGTERM PRIMARY, UH, FUNDERS OF IT.

AND YOU MENTIONED ALL OF THE OTHER STAKEHOLDERS, UM, INCLUDING CENTRAL HEALTH AND INCLUDING DELL SETON, BECAUSE THAT RELATIONSHIP IS VERY, VERY IMPORTANT.

UM, AND I BELIEVE TARA AND DR.

RUSSELL ARE BOTH HAVE EXPERTISE ON VOCA FUNDING AND OTHER FUNDING THAT THAT WILL KICK IN AND SO TERATOGENIC.

AND IF YOU WOULD, I, I SEE ONE OF OUR, UM, ONE OF MY COLLEAGUES HAS A QUESTION COUNCIL MEMBER, KITCHEN, UM, JUST QUICKLY, I'D LIKE TO, UM, UH, FOLLOW UP ON THIS, UH, ON THIS, UM, PART OF THE CONVERSATION, WHICH I THINK IS GOOD, BUT I WANT TO BACKUP FOR A MINUTE.

UH, CAN YOU, CAN YOU DESCRIBE THE TYPES OF SERVICES THAT ARE PROVIDED THROUGH TRAUMA RECOVERY AND WHAT I MEAN BY THAT IS, UM, AND DELINEATE OR DISTINGUISH BETWEEN MEDICAL CARE AND PEER SUPPORT AND, UM, AND ASSISTANCE WITH SOCIAL DETERMINANTS OF HEALTH, IF YOU COULD JUST DISTINGUISH ACROSS THOSE, BECAUSE TO MY MIND, THE MEDICAL MODEL IS, IS IT CAN BE A PART OF THIS, BUT ONE OF THE THINGS THAT HAVING A COMMUNITY-BASED CAN GIVE YOU THAT YOU'RE NOT GOING TO GET FROM A TRADITIONAL MEDICAL MODEL, THAT'S A HOSPITAL SYSTEM, OR THAT'S, UM, YOU KNOW, A CLINIC THAT'S HARDER TO GET IS THAT PEER SUPPORT AND THE, UM, AND ALSO THE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.

AND SO, UM, I KNOW THAT, UH, THAT THESE, THESE MODELS RANGE IN THAT AND THAT KIND OF, THOSE KIND OF TYPES OF SERVICES, UM, BECAUSE IT'S DEPENDING ON THE COMMUNITY AND THE COMMUNITY NEEDS, BUT, UM, I'M CURIOUS ABOUT WHAT YOU ALL HAVE SEEN, UM, IN THE, IN THE, GIVE US A FLAVOR FOR THE TYPES OF SERVICES AND THE TYPES OF PROFESSIONALS, UM, AND, AND, UM, PROFESSIONALS AND PARAPROFESSIONALS WHO, UH, PROVIDE THIS KIND OF WORK.

I THINK THAT'S A GREAT QUESTION.

I'M SORRY.

NO, YES.

RIGHT.

I THINK THAT'S A GREAT QUESTION.

AND ONE OF THE THINGS WE LEARNED EARLY ON THAT A LOT OF, UM, VICTIMS OF VIOLENT CRIME NEED PRACTICAL ASSISTANCE.

THEY NEED HELP WITH SAFE HOUSING.

THEY NEED, UH, HELP, UM, IF THEY ARE HOME BOUND GETTING OUT OF THE HOUSE.

SO WE HAD, IT'S A CASE MANAGEMENT AND A MENTAL HEALTH MODEL.

WE DO EVERYTHING FROM OUTREACH.

UH, IF CLIENTS CAN'T COME TO US, WE GO TO THEM.

UH, WE DO THE HOME VISITS.

WE, UH, PROVIDE LOTS OF PRACTICAL CARE AND OFTENTIMES, UH, VICTIMS MAY BE RELUCTANT TO GO INTO MENTAL HEALTH TREATMENT BECAUSE OF THE STIGMA RELATED TO IT.

BUT BY, UH, PROVIDING THEM WITH A TRUSTING, UH, CASE MANAGER AND ALL OF THE PRACTICAL CARE, IT BECOMES AN ENTRY INTO MENTAL HEALTH SERVICES.

AND WHEN THOSE MENTAL HEALTH SERVICES ARE PROVIDED, THEY ALSO CAN BE PROVIDED IN THE PERSON'S HOME IN THE COMMUNITY.

NOW WITH COVID, UH, YOU KNOW, VIA ZOOM, MENTAL HEALTH MEETINGS, UH, THE MENTAL HEALTH SERVICES THAT WE PROVIDE ALL USING EVIDENCE-BASED MENTAL HEALTH TREATMENT, THINGS LIKE EMDR, COGNITIVE PROCESSING, THOSE TYPES OF, UH, EVIDENCE-BASED TREATMENT.

WE PROVIDE A