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WE'RE GOOD

[00:00:01]

TO GO.

WONDERFUL.

ALRIGHT.

HI EVERYONE.

GOOD MORNING.

I CALLED TO ORDER THIS

[CALL TO ORDER]

MEETING OF OUR PUBLIC HEALTH COMMITTEE.

THE TIME IS 10:01 AM ON WEDNESDAY, JUNE 5TH, 2024.

WE ARE HERE IN THE CITY HALL BOARD AND COMMISSIONS ROOM.

UM, WELCOME EVERYONE TO OUR JUNE MEETING AND A SPECIAL WELCOME TO OUR INTERNS FOR OUR DISTRICT TWO OFFICE.

NADIA AND BELLA, THANK YOU SO MUCH FOR JOINING US TODAY.

UM, SO I'M GONNA GO THROUGH THE AGENDA.

WE HAVE A PACKED COMMITTEE MEETING.

UM, JOINING US TODAY, WE HAVE COUNCIL MEMBER CORY VIRTUALLY.

UM, HOPE YOU'RE FEELING BETTER SOON.

COUNCIL MEMBER CADRY, AS WELL AS COUNCIL MEMBER RYAN ALTER, UH, COUNCIL MEMBER VELASQUEZ COULD NOT BE HERE WITH US TODAY.

SO, AS FAR AS THE AGENDA REVIEW, WE'RE GONNA START OUT WITH PUBLIC COMMUNICATIONS.

THEN WE'RE GONNA APPROVE THE MEETING MINUTES FROM THE LAST COMMITTEE MEETING.

FROM THERE, WE WILL RECEIVE A QUICK BRIEFING FROM THE HOMELAND SECURITY EMERGENCY MANAGEMENT DEPARTMENT ON HEAT SAFETY PREPAREDNESS.

WE JUST HAD A PRESS CONFERENCE ON THIS, UH, THIS WEEK.

AND SO THIS, IT IS VERY TIMELY FOR US IN THIS SUMMER HEAT WAVE THAT WE ARE EXPERIENCING.

AND, UH, WE HAVE ABOUT 10 MINUTES FOR THAT BRIEFING.

THEN WE WILL HAVE A BRIEFING ON THE COMMUNITY HEALTH WORKERS HUB.

WE'LL HAVE ABOUT 10 MINUTES FOR THAT BRIEFING AND DISCUSSION.

AFTER THAT, WE'LL HAVE DAVID GRAY JOIN US FOR A BRIEFING ON ISSUES RELATED TO HOMELESSNESS.

UH, FOR THAT BRIEFING, WE HAVE ABOUT 20 MINUTES ALLOTTED.

THEN WE WILL RECEIVE A FOURTH BRIEFING, A FOURTH, THIRD, OUR THIRD BRIEFING, UH, FOR ON THE BLACK MEN'S HEALTH CLINIC.

AND WE HAVE ABOUT 20 MINUTES DEDICATED FOR THAT DISCUSSION.

AND FINALLY, OUR FIFTH BRIEFING, UH, WILL BE ON THE BEST SINGLE SOURCE PLUS COLLABORATIVE WORK TO, UH, RELATED TO THE PROVISION OF HOMELESSNESS PREVENTION AND RAPID REHOUSING EFFORTS.

SO, LIKE I SAID, A PACKED AGENDA FOR US TODAY.

ANY QUESTIONS OR CONCERNS? ALL RIGHT.

SO WE WILL START WITH PUBLIC COMMUNICATIONS.

UH, JUANITA, DO WE HAVE ANYONE REGISTERED? WE HAVE ONE SIGN UP, ANDY BROWER IF YOU ARE HERE.

IF NOT, THAT'S THE ONLY SPEAKER.

ALRIGHT.

OKAY.

UH,

[Approval of Minutes]

FROM THERE, WE'LL NOW MOVE TO THE APPROVAL OF MEETING MINUTES FROM APRIL 3RD.

CAN I GET A MOTION? COUNCIL MEMBER RYAN ALTER, SECONDED BY COUNCIL MARZO CADRE.

UM, UNLESS THERE'S ANY OBJECTIONS, WE WILL CONSIDER THOSE MEETING MINUTES FROM APRIL 3RD ADOPTED.

[6. Briefing on heat safety preparedness and cooling centers.]

ALL RIGHT.

MOVING RIGHT ALONG.

WE WILL NOW WELCOME DIRECTOR OF HE SSIM KEN SNIPES, FOR A VERY BRIEF UPDATE ON THE CITY'S HEAT SAFETY AND PREPAREDNESS EFFORTS, AS WELL AS OUR COOLING CENTERS.

MR. SNIPES, THANK YOU SO MUCH FOR BEING HERE WITH US TODAY, AND TO TALK A LITTLE BIT ABOUT HOW THE CITY OF AUSTIN IS PREPARING FOR THIS VERY HOT SUMMER.

THANK YOU CHAIR.

UH, IT IS A PLEASURE TO BE HERE TODAY.

MY NAME IS KEN SNI, DIRECTOR OF AUSTIN'S HOMELAND SECURITY AND EMERGENCY MANAGEMENT OFFICE.

UM, AND HERE TODAY TO TALK ABOUT THE CURRENT, UH, AND ONGOING, UH, HEAT PREPARATIONS AND WHAT WE NEED TO BE THINKING ABOUT.

UH, AS YOU'VE ALREADY SEEN, IT HAS BEEN PRETTY HOT ALREADY, UH, THIS YEAR.

THE FIRST, UH, DAY OF SUMMER IS, UH, JUNE 20TH, BUT WE'VE BEEN WELL INTO OUR SUMMER, UH, WEATHER FOR, UH, OVER A MONTH NOW.

UH, GOING BACK TO, UH, MAY WE KNOW THAT, UH, ALREADY THIS YEAR WE'VE HAD 123, UH, HEAT RELATED VISITS TO AUSTIN AREA HOSPITALS IN COMPARISON TO, UH, 2023.

WE ONLY HAD 48 OF THOSE VISITS DURING THE SAME TIMEFRAME.

SO, UH, MORE THAN DOUBLE, ALMOST THREE TIMES AS MANY VISITS THIS YEAR.

UH, AND THAT IS A RESULT OF PEOPLE TAKING ADVANTAGE OR BEING, UH, OUT IN THE HEAT, UM, AND NOT, UH, NECESSARILY FOLLOWING SOME OF THE, THE THINGS THAT WE'RE GONNA TALK ABOUT TODAY.

UH, IN TERMS OF MAKING SURE THAT THEY'RE PREPARED, UH, WE WANNA ASK PEOPLE TO CONTINUE TO HYDRATE, UH, MAKE SURE IF YOU ARE OUTSIDE, UH, IN THE WEATHER, THAT YOU TAKE PROPER PRECAUTIONS.

UM, MORE, UH, INFORMATION ON THAT CAN BE FOUND.

UH, ON OUR, ON OUR, UM, REGARDING THE PRESS CONFERENCE YESTERDAY, UM, JUNE 4TH ON AT TXN.

UM, WE ALSO ARE TRACKING TRENDS NOW THAT WE HAVEN'T TRACKED BEFORE.

ONE OF THOSE TRENDS THAT HAS COME OUT, UH, AND AND SEEMS TO BE SOMETHING THAT WE CAN POINT TO PRETTY REGULARLY, IS THAT WHEN TEMPERATURES OR THE HEAT INDEX ARE ABOVE 100 DEGREES FOR MORE THAN THREE DAYS IN A ROW, THERE TENDS TO BE AN INCREASE OR AN UPTICK IN THE NUMBER OF HEAT RELATED ILLNESSES THAT IS AS A RESULT OF THE BODY NOT HAVING, UH, ENOUGH TIME TO REACCLIMATE AND COOL OFF BEFORE WE MOVE FORWARD, UH, WITH THE REST OF OUR ACTIVITIES.

SO AGAIN, WE'RE ASKING PEOPLE IF YOU ARE WORKING OR EVEN IF YOU'RE TAKING ADVANTAGE OF RECREATIONAL ACTIVITIES, WHEN, UH, THESE TYPES OF TEMPERATURES ARE, UM, YOU KNOW, ARE HAPPENING.

PLEASE BE CAREFUL AND BE CAUTIOUS WITH RESPECT TO RELIEF.

UH, CITY FACILITIES WILL CONTINUE TO BE AVAILABLE FOR COOLING CENTERS.

UH, THESE INCLUDE

[00:05:01]

OUR LIBRARIES.

INDOOR PARK FACILITIES ARE ALSO AVAILABLE DURING OUR NORMAL HOURS.

COOLING CENTERS ARE MEANT TO BE TEMPORARY, UH, A A TEMPORARY REPEAT REPRIEVE FOR HEAT FOR ANYONE WHO MAY NEED THEM.

UM, AND THEN ALSO WE WANT PEOPLE TO KNOW THAT WHEN THE NATIONAL WEATHER SERVICE ISSUES AN EXCESSIVE HEAT WARNING, WE WILL ALSO EXTEND THE HOURS OF THOSE FACILITIES, UH, AS WELL.

AND THAT CONCLUDES MY BRIEFING.

THANK YOU.

AND SO I'M GLAD YOU, YOU TOUCHED ON WHEN THE NATIONAL WEATHER SERVICE ISSUES AN EXCESSIVE HEAT WARNING, THAT'LL BE THE TRIGGER IN OUR CITY'S PROTOCOL.

AND EXTENDING THE HOURS AT THE LIBRARIES AND REC CENTERS, UM, WHICH ARE SERVING AS COOLING CENTERS FOR OUR, OUR VULNERABLE COMMUNITY MEMBERS.

UM, ANY, CAN YOU SHARE WITH US THE EXTENSION OF HOURS, WHAT THAT WILL LOOK LIKE? IT VARIES BY FACILITY.

UH, AND THEN, UH, GENERALLY, UH, OR SOMETIMES IT'S A CASE BY CASE BASIS, DEPENDING ON THE NATURE OF THE HEAT, UH, THE NUMBER OF PEOPLE TAKING ADVANTAGE OF THE, UH, FACILITIES AND THEN THE LOCATION.

UH, SOME OF THEM ARE, UH, DRIVEN BY, UM, HOW MANY STAFF WE CAN GET AND WHAT THE PIVOT LOOKS LIKE, UH, WHEN WE'RE ASKING PEOPLE TO COME IN.

WHAT WE'RE TRYING TO DO NOW AND WHAT THE TEAMS HAVE BEEN DOING IS, UH, PAYING MUCH CLOSER ATTENTION TO THE FORECAST SO THAT WE WE'RE ABLE TO, UH, MAKE THOSE FACILITIES AVAILABLE AND GET THE INFORMATION OUT TO THE PUBLIC EARLIER.

UH, AND I THINK LAST YEAR THAT WAS PRETTY SUCCESSFUL, UH, ON THE DAYS THAT WE DID EXTEND THE HOURS.

AND AS FAR AS GETTING THE INFORMATION OUT EARLIER, WHAT DOES THAT LOOK LIKE AS FAR AS OUTREACH TO THE COMMUNITY TO NOTIFY THEM OF THE COOLING CENTERS? I KNOW NOW WE HAVE THE OASIS, WHICH IS A, A NEWER COOLING CENTER THAT'S BEEN STOOD UP.

HOW, HOW ARE WE DOING THE OUTREACH? TYPICALLY, THE OUTREACH IS HAPPENING THROUGH MANY OF OUR REGULAR CHANNELS.

I, I KNOW AT HOMELAND SECURITY AND EMERGENCY MANAGEMENT, UH, WE HELP SUPPORT SOME OF THAT, UH, INFORMATION ON OUR WEBSITE.

WE ALSO POINT, UH, PEOPLE TO, UH, EITHER THEIR, THEIR NORMAL, UH, NEWS OUTLETS OR AGENCIES AS WELL, UH, OR ANY OF THE CITY AGENCIES THAT ARE SUPPORTING THE EFFORTS.

UH, THEY GENERALLY, UH, HOST THAT INFORMATION.

OKAY.

UM, ARE WE USING THE TEXT MESSAGING SERVICE? I KNOW THAT WE DID THAT, UH, DURING THE SEVERE, UH, WINTER WEATHER, WE SENT A TEXT MESSAGE.

I BELIEVE THAT IS A SERVICE THAT THE HOMELESS SERVICES OFFICE USES TO COMMUNICATE WITH THOSE EXPERIENCING HOMELESSNESS.

MM-HMM.

TO COMMUNICATE THAT TYPE OF INFORMATION.

THEY HAVE USED THAT, UH, AS A REGULAR TOOL.

AND MY ASSUMPTION, I DON'T WANNA SPEAK FOR, UH, DIRECTOR GRAY MM-HMM.

, UH, BUT I'M ASSUMING THAT, UH, THEY WILL CONTINUE TO DO THAT GOING FORWARD.

OKAY.

COLLEAGUES, ANY QUESTIONS? APPRECIATE YOUR WORK.

THANK YOU.

AND, AND REAL QUICK, ONE LAST QUESTION, SORRY, ON MY END.

YES.

UM, FOR CITY WORKERS, WHAT IS OUR PROTOCOL? I KNOW LAST YEAR, YOU KNOW, WE HAD FOR OUR PUBLIC WORKS AND TRANSPORTATION STAFF WHO ARE OUT THERE, YOU KNOW, FIXING OUR ROADS AND, YOU KNOW, OUT THERE IN THE HEAT.

UM, WHAT TYPE OF PRECAUTIONS OR PROTOCOLS DO WE HAVE IN PLACE FOR EMPLOYEES? GREAT QUESTION.

UM, MANY OF THE DEPARTMENTS ARE, UM, PUTTING PLANS TOGETHER TO INCREASE THE NUMBER OF BREAKS.

THEY'RE REMINDING PEOPLE TO HYDRATE.

UH, I KNOW THERE WERE A NUMBER OF DEPARTMENTS LAST YEAR THAT SHIFTED SOME OF THE WORK, UH, THAT WOULD TYPICALLY OCCUR DURING THE HOTTER, UM, TIMEFRAMES OF THE DAY TO EARLIER IN THE MORNING.

UH, AND I KNOW THAT WERE ALSO SOME SHIFT CHANGES, UH, FOR SOME DEPARTMENTS AS WELL THAT MOVE SOME OF THEIR WORK TO OVERNIGHT.

SO, UH, DEPARTMENTS ARE PAYING CLOSE ATTENTION TO THIS AS WELL AND MAKING SURE THAT WE'RE DOING WHAT WE NEED TO DO TO PROTECT OUR, OUR STAFF AS WELL.

THANK YOU.

YOU, THANK YOU DIRECTOR SNIPES FOR JOINING US.

ALRIGHT.

WE ARE GONNA MOVE

[2. Briefing on the Community Health Workers Hub.]

ON TO ITEM NUMBER TWO, WHICH IS A BRIEFING ON THE COMMUNITY HEALTH WORKERS CLUB HUB, EXCUSE ME, CLUB.

IT IS KIND OF LIKE A CLUB COMMUNITY HEALTH WORKERS HUB.

UM, AND OUR LOVELY A PH PROGRAM SUPERVISOR WILL BE JOINING US IS STEFANI OLIVARES.

WELCOME.

THANK YOU FOR BEING HERE.

AND, UH, WE, WE APPRECIATE THE UPDATE.

ALL RIGHT.

GOOD MORNING EVERYONE.

UH, MY NAME IS ESTE VARS AND I AM ONE OF THE PROGRAM SUPERVISORS WITH THE HEALTH EQUITY UNIT AT AUSTIN PUBLIC HEALTH.

AND I WEAR MANY HATS AND UNDER ALL HATS I GET TO SUPPORT COMMUNITY HEALTH WORKERS, WHICH IS AN HONOR AND A PRIVILEGE.

SO, HERE TO TALK ABOUT COMMUNITY HEALTH WORKERS IN GENERAL AND THE GREAT WORK WE'RE DOING WITH THE HUB.

AND, ALRIGHT.

SO CAN I ASK, WHO KNOWS WHAT A COMMUNITY HEALTH WORKER IS? OR MAYBE PRIOR TO THE PANDEMIC, IF YOU KNEW WHAT A COMMUNITY HEALTH WORKER IS ONE.

OKAY.

ALRIGHT.

AND THEN PANDEMIC HIT, AND THEN WE KNOW, WE KNOW.

NO, NO, NOW, RIGHT.

ALL RIGHT.

SO COMMUNITY HEALTH WORKERS HAVE BEEN HERE.

I WON'T GO TOO MUCH INTO IT 'CAUSE IT SOUNDS LIKE I'M TALKING TO THE RIGHT FOLKS HERE.

BUT, UM, THEY DID START, OR RATHER THEY'VE ALWAYS BEEN HERE AS RECOGNIZED AS VOLUNTEERS.

UM, THE CITY OF AUSTIN NOW IS ABLE TO RECOGNIZE IT OFFICIALLY AS A OFFICIAL TITLE.

AS OF RECENTLY, WE HAVE COMMUNITY HEALTH WORKER, UM, AS A TITLE IN A CAREER PROGRESSION LADDER.

SO THEY ARE INSTRUMENTAL,

[00:10:01]

I WILL SAY THAT THEY ARE, AS ONE OF OUR COMMUNITY HEALTH WORKERS PUT IT, UH, MS. CYNTHIA WASHINGTON, IS THAT THEY ARE THE SECRET SAUCE OF PUBLIC HEALTH.

OKAY.

SO THEY ARE THE TRUSTED MESSENGERS, THE GATEKEEPERS, THE INFLUENCERS, UH, THEY'RE THE ONES WHO GOT US THROUGH THE PANDEMIC, RIGHT? SO AUSTIN PUBLIC HEALTH AND WHAT IT LOOKS LIKE.

UM, CHWS IN AUSTIN PUBLIC HEALTH, WE HAVE A LOT OF DIFFERENT PROGRAMS THAT UTILIZES THE COMMUNITY HEALTH WORKER MODEL.

AND, UH, THE NATIONAL ASSOCIATION COMMUNITY HEALTH WORKERS ACTUALLY, UM, ACKNOWLEDGES 190 TITLES THAT FALL UNDER COMMUNITY HEALTH WORKERS.

SO WHILE THESE PROGRAMS HAVE COMMUNITY HEALTH WORKERS IN TITLE, UM, STAFF EMPLOYED, WE HAVE A LOT OF DIFFERENT PROFESSIONS, UH, A LOT OF DIFFERENT ROLES THAT ALSO OPERATE UNDER THE SPIRIT OF A COMMUNITY HEALTH WORKER.

FOR EXAMPLE, PA, PATIENT NAVIGATOR, UM, SO ON AND SO FORTH.

SO HERE I'M JUST HIGHLIGHTING THAT, BUT PLEASE NOTE THAT THE SPIRIT OF CH HW IS SEEN IN, IN MANY DIFFERENT WAYS.

UH, SO STARTING WITH QUALITY OF LIFE, UH, WE HAVE A TEAM OF THREE COMMUNITY HEALTH WORKERS THERE.

THEY'RE PAIRED WITH PUBLIC HEALTH NURSES.

THEY'RE THE ONES CONDUCT, UM, HELPING THOSE NURSE CONDUCT THE SCREENINGS WHILE THE NURSES OVER HERE WAITING FOR SOMEONE TO SHOW UP, THEY'RE OUT THERE SAYING, HEY, DO YOU KNOW YOUR NUMBERS? NO.

COME ON OVER.

LET'S TALK ABOUT IT.

LET'S GO GET SCREENED.

SO THAT'S, UH, AND JUST, UH, COMMUNITY HEALTH WORKERS, THEY, THEY DO A LOT MORE THAN THAT, OF COURSE.

UH, THE MATERNAL INFANT OUTREACH PROGRAM, THAT'S, UH, ONE OF THE PROGRAMS THAT I SUPERVISE PROUDLY.

AND THAT IS A TEAM OF FIVE COMMUNITY HEALTH WORKERS THAT PROVIDE, UH, CASE MANAGEMENT PRE TO PEER SUPPORT TO BLACK MOMS WHO ARE PREGNANT OR HAVE A CHILD UNDER THE AGE OF ONE.

AND THAT, OF COURSE, IS TO ADDRESS THE, UH, HIGH INFANT MATERNAL AND, UH, MORTALITY RATE.

AND, UH, WE HAVE REACH AND REACH OUT.

SO COVID TO 19 HIT, OF COURSE, WE HAVE ARPA MONEY.

UM, AND ONE OF THE GREAT THINGS THAT CAME OUT OF IS THAT WE WERE ABLE TO, UH, STAFF UP AND BE A LITTLE BIT MORE EFFICIENT IN OUR OUTREACH.

SO REACH AND REACH OUT IS A RESULT OF THAT.

SO A TEAM OF FIVE COMMUNITY HEALTH WORKERS, AND THEY CONDUCT STREET OUTREACH, UM, EVERY DAY.

SO THAT PROGRAM IS BY DESIGN ABLE TO HAVE THAT A PH PRESENCE IN THE COMMUNITY.

AND, UH, VERY INSTRUMENTAL AT THE VERY BEGINNING STILL IS, UM, JUST A SHIFT IN FOCUS.

WHEREAS BEFORE THEY HAD REALLY INTENSE CONVERSATIONS ABOUT COVID TO 19 VACCINE.

NOW IT'S TURNED INTO, SO HOW ARE WE ADAPTING TO LIFE AFTER COVID TO 19? COMMUNITY HEALTH WORKER HUB, UM, IS A, UM, THAT'S A DESIGNATION THAT WE HAVE, UH, CREATED AND, AND RECEIVED FROM THE STATE.

WE ARE A CERTIFIED TRAINING SITE BY FORMING, BY BEING A SITE.

WE HAVE FORMED THE COMMUNITY HEALTH WORKER HUB.

AND WITH THAT WE HAVE THE TRAINING COMPONENT TO IT AND THE UNIFYING CENTRAL, UM, COMMUNITY HEALTH WORKERS OF CENTRAL TEXAS, UH, THROUGH A COALITION.

AND THEN WE HAVE, UH, THE TRAINING CAPACITY WITHIN INTERNAL AND ALSO, UH, WITH THE COMMUNITY TO EITHER FOR THOSE WHO ARE NEW OR WANTING TO BECOME COMMUNITY HEALTH WORKERS.

AND THEN FOR THOSE WHO ARE HOPING TO SUSTAIN THEIR CERTIFICATION AND PROVIDING CONTINUING EDUCATION OPPORTUNITIES THERE.

I'LL SPEAK A LITTLE BIT MORE ON THAT ON THE NEXT SLIDE AS WELL.

NOW WE HAVE HEART A TX.

UH, THAT'S ALSO ANOTHER, UM, NOW TRANSITION TO, UH, GRANT FUNDING.

BUT THE, THAT TEAM AND THE HEART WAS STILL THERE BEFORE.

UH, THEY DO A LOT OF GREAT CHANGES THERE.

A LOT OF GREAT WORK THERE FROM SYSTEM CHANGES TO DIRECT, UM, DIRECT CARE, I GUESS YOU COULD SAY, OR DIRECT, UM, OUTREACH.

AND, UH, FOR EXAMPLE, THEY HAVE DIABETES CLASSES AND CHWS, THE MAGIC AND CHWS, WHEN WE TALK ABOUT CARB COUNTY, WE'RE NOT JUST TALKING ABOUT, UM, BREAD OR PASTAS, WE'RE ALSO TALKING ABOUT TORTILLAS, RIGHT? SO THEY MAKE IT RELEVANT.

THEY ALSO SHOW LIKE, UH, TOSTADA AND AN ENCHILADA.

YOU STILL HAVE THE TORTILLAS.

SO EVEN THOUGH IT'S VARIETY, EH, IS IT REALLY? SO THAT'S THE MAGIC IN THERE.

AND THEY HAVE OTHER INITIATIVES THERE WHERE THEY ARE ABLE TO HELP, UM, COMMUNICATE WHAT WE'RE HOPING TO, TO THE COMMUNITY HEALTH DISPARITY REDUCTION PROGRAM.

SO THAT IS THE COVID TO 19 EDUCATION BRANCH, I LIKE TO CALL IT.

SO WHILE RERO RICH CAN REACH OUT, ARE OUT THERE TALKING TO FOLKS EVERY DAY ABOUT COVID TO 19.

AND, UH, SOCIAL DETERMINANTS OF HEALTH AND CONNECTING TO RESOURCES.

IF THERE'S EVER A NEED FOR MORE IN DEPTH INFORMATION OR EDUCATION ON THAT, LIKE AN EMPLOYER MAYBE WANTS TO JUST LEARN ABOUT MORE.

ESPECIALLY WE WERE SEEING THAT A LOT AT THE VERY BEGINNING.

WE CALL ON THIS TEAM, THEY COME AND THEY PRESENT ON COVID-19.

SO THAT'S WHEN, UH, AND IN EFFORTS, AGAIN TO, UH, REDUCE THE DISPARITIES THAT WAS THERE PRIOR.

AND THEN EXACERBATED DURING THE PANDEMIC MOBILE VACCINE PROGRAM.

ALSO, UH, KIND OF THE SAME, UH, STYLE AS QUALITY OF LIFE AS FAR AS COMMUNITY HEALTH WORKERS PAIRED WITH NURSES, WITH PUBLIC HEALTH NURSES.

UM, THEY'RE MOBILE.

THEY GO TO WHERE THE COMMUNITY'S AT.

SO THAT'S THEIR, THEIR JAM THERE HAS BEEN VERY INSTRUMENTAL THROUGH THE PANDEMIC AND STILL IS LIVING TO THAT SPIRIT TODAY AT NEIGHBORHOOD SERVICES.

[00:15:01]

THEY ALSO HAVE COMMUNITY HEALTH WORKERS IN THEIR, UM, CENTERS.

THERE.

THEY ARE.

WE WORK HAND IN HAND WITH THEM.

THEY, A LOT OF PEOPLE COME TO THE SERVICES LIKE, UM, MAYBE DONATIONS OR JUST OTHER NONPROFITS.

AND I FEEL LIKE THEY'RE THE ONES THAT KNOW REAL QUICK AND ARE ABLE TO COMMUNICATE WITH US SO THAT WE CAN, UM, SHARE THE, THE, THE LOVE OR ANY, ANY OF THE RESOURCES THAT COME THROUGH.

AGAIN, ALSO, YOU KNOW, UH, UTILITY ASSISTANCE, FOOD PANTRY, WHAT HAVE YOU.

AND THEN THE REFUGEE CLINIC.

SO THEY DO HAVE A COMMUNITY HEALTH WORKER, UM, THERE AND HAS DIFFERENT CHALLENGES FOR SURE, BUT STILL IN THE SPIRIT OF CONNECTING, UM, PEOPLE TO RESOURCES.

AND THEY DO A LOT OF, UH, PATIENT FOLLOW UP.

SO THEY'RE SEEN THERE AND TO ADHERE TO COME BACK FOR VACCINES.

AND ALSO DEPENDING ON THEIR, THEIR STATUS, TRYING TO CONNECT THEM TO THEIR APPROPRIATE RESOURCES.

AIST .

ALRIGHT, SO CURRENT NUMBERS WE HAVE, WE HAVE NINE FTES.

TWO ARE GENERAL FUNDED AND SEVEN GRANT.

WE HAVE COMMUNITY HEALTH WORKER TWOS.

SO AGAIN, WE HAVE COMMUNITY HEALTH WORKER ONE, TWO, AND THREE.

THAT'S THE CAREER PROGRESSION LADDER.

WE HAVE THREE FTES.

THEY ARE GRANT FUNDED.

AND WE HAVE ONE COMMUNITY HEALTH WORKER THREE, ALSO GRANT FUNDED, UH, TEMPORARIES.

WE HAVE 11, 11 CHWS, 11 CHW ONES.

AND, UH, SO THAT'S FOR A TOTAL OF 24.

AGAIN, THIS IS A TITLE TOTAL OF 24 IN TITLE AT A PHI INCLUDED THE, THE PAY GRADES IN THE, IN THE PAY RATE, BECAUSE I WAS ASKED IN A FORMAL PRESENTATION THERE.

SO JUST SO THAT YOU CAN SEE THE, THE SKILLSET SET AND HOW IT'S COMPENSATED AS YOU'RE, UM, AS YOU MOVE UP AS A CHW THREE, THE BIGGEST, UH, DIFFERENCE IS THAT YOU ARE A INSTRUCTOR.

SO YOU HAVE THAT INSTRUCTOR CAPACITY THAT IS AN ADDITIONAL CERTIFICATION, UH, TO BEING A COMMUNITY HEALTH WORKER, COMMUNITY HEALTH WORKER HUB.

SO, LIKE I SAID, WE, UH, RECEIVED ONE TIME FUNDING.

IT WAS AMAZING.

IT WAS GREAT BECAUSE WE WERE ABLE TO REALLY CATAPULT INTO THAT WORLD OF, OF TRAINING AND BE IN A TRAINING SITE.

AND, UM, WE WERE ABLE TO GRADUATE.

OUR GOAL WAS TO GRADUATE 30 AND WE GRADUATED AT 32.

UM, AND IT WAS, IT WAS OUR FIRST COHORT.

A LOT OF CHALLENGES TO IT AND A LOT OF GREAT SUCCESSES TO IT.

WE WERE ABLE TO PULL THROUGH AS ALWAYS.

UM, AND 30, I'M GONNA SAY 30 OF THEM WERE COMMUNITY MEMBERS, SO ONLY TWO WAS INTERNAL, WHICH IS REALLY NEAT TO SEE.

THAT'S TALK ABOUT BUILDING CAPACITY IN YOUR COMMUNITY.

RIGHT? UM, AND THEN ALSO, UM, WE HAD AN ADDITIONAL COHORT AND THAT WAS INTERNAL.

SO WE DID SOME CHANGES TO THE CURRICULUM AND DID IT A PILOT INTERNAL.

AND WE HAVE SEVEN WHO BECAME CERTIFIED.

SO GOING INTO OUR WORKFORCE DEVELOPMENT AND STRENGTHENING OUR INFRASTRUCTURE THERE, WE CAN ONLY DO THAT OR WE DO THAT MORE EASILY, RATHER BECAUSE WE ARE DESIGNATED AS A CERTIFIED TRAINING SITE WITH THE STATE.

UM, IN ADDITION TO, UH, THE TRAINING ARM OF THE COMMUNITY HEALTH WORKER HUB, WE ALSO HAVE NOW THE COALITION, OR RATHER THE COMMUNITY HEALTH WORKER ALLIANCE OF CENTRAL TEXAS OR CHW ACT.

UM, AND THAT IS WHERE WE CONVENE ALL COMMUNITY HEALTH WORKERS OF CENTRAL TEXAS.

UM, MS. STEPHANIE THEOS IS, LEADS THAT WITH US.

AND, UM, WE MEET EVERY OTHER MONTH.

RIGHT NOW WE HAVE A, A SETUP WHERE WE HAVE A PRESENTER TO COME OUT AND SPEAK EITHER ON THE RESOURCES THEY HAVE OR, UM, OR GETTING, COLLECTING FEEDBACK FROM THE COMMUNITY HEALTH WORKERS.

SO THAT'S BEEN REALLY NEAT TO SEE THAT GROW.

IT IS HYBRID, MEANING WE DO BRING IN PERSON AT BTC AND DOWN SOUTH OR ONLINE THROUGH ZOOM AND, UH, CONTINUING EDUCATION UNIT.

SO THAT'S ANOTHER, UH, GREAT THING THAT WE CAN DO UNDER THE DESIGNATION OF BEING A CERTIFIER CERTIFIED TRAINING SITE.

SO ONCE YOU'RE A COMMUNITY HEALTH WORKER, YOU DO HAVE TO MAINTAIN CEUS, UH, 20 CEUS FOR EVERY TWO YEARS.

AND THERE IS A LOT OF DIFFERENT CEUS AND A LOT THAT ARE LACKING.

FOR EXAMPLE, THERE MIGHT BE CEUS IN MATERNAL HEALTH, BUT NOT SPECIFIC TO BLACK MATERNAL HEALTH, WHICH IS, WOULD BE MORE RELEVANT TO MY TEAM.

UH, SO AS A TRAINING SITE, WE CAN ACTUALLY DEVELOP THOSE CEUS, WHICH IS REALLY GREAT, UH, FOR, TO MEET OUR TRAINING NEEDS AND ALSO TO HELP WITH, UH, PROFESSIONAL DEVELOPMENT WITHIN OUR INSTRUCTORS.

THAT ACTUALLY TIES INTO THE THIRD ONE, WHICH IS A PH STRATEGIC SUPPORT.

A REALLY NEAT THING THAT WE'VE BEEN ABLE TO DO IS, UM, ACROSS THE DEPARTMENT, IF THERE IS A NEED FOR TRAINING, AND WE ARE NOW, WE DEFINITELY UNDERSTAND THAT CHWS ARE THE WAY OR THE VESSEL TO THE COMMUNITY.

WE'RE ABLE TO CREATE THAT TRAINING.

FOR EXAMPLE, UH, THERE WE PARTNER WITH FEP, THE PREPAREDNESS TEAM AND, UM, OUR SAFETY PERSON, ALBERT ORTIZ, TO BE ABLE TO CREATE A TRAINING FOR BASIC SAFETY AND DOING, CONDUCTING,

[00:20:01]

UM, OUTREACH DOOR TO DOOR.

SO THERE ARE SOME PRECAUTIONARY THINGS THAT YOU SHOULD THINK OF.

UH, SO WE CREATED A TRAINING FOR THAT.

THAT'S HOW WE FORMED OUR COMMUNITY HEALTH WORKER STRIKE TEAM, WHICH IS REALLY, UH, A REALLY GREAT MODEL THAT WE'RE, WE'RE TRYING THIS YEAR.

UM, WE'RE ACTUALLY IN THE MIDDLE OF, OF PLANNING AND DEPLOYING THIS WEEKEND.

UH, SO TO DO SOME MOSQUITO ABATEMENT.

SO THIS IS REALLY NEAT IN THAT WE CAN HAVE COMMUNITY HEALTH WORKERS, UH, ON STANDBY OR RATHER HAVE THAT SKILL SET AND READY TO DEPLOY IN ANY, ANY EMERGENCY RESPONSE OR PRESSING RESPONSE.

SO THAT'S A WONDERFUL, THAT'S AN EXAMPLE OF THAT.

YEAH, IT'S REALLY, IT'S REALLY NEAT.

AND, UM, IN ADDITION, FOR EXAMPLE, WE HAVE, UM, FAST TRACK STUDIES, HIV, AND THEY APPROACHED US AND WOULD LIKE TO CREATE A CO-CREATE A COMMUNITY, UH, A CEU FOR CHWS ON HIV, BASIC AWARENESS 1 0 1.

AND THAT'S SOME TALENT THAT WE HAVE AND KNOWLEDGE THAT WE HAVE IN HOUSE.

UH, WE DO HAVE SOME WORK IN CHIV AWARENESS.

AND SO WE ARE CREATING THAT RIGHT NOW AS WE SPEAK AND HOPE TO HAVE THAT READY TO GO AND, UM, AND INVITE THE COMMUNITY TO ALSO BE PART OF THAT TRAINING.

SO JUST TO GIVE YOU SOME IDEAS, THERE'S SOME OTHER PARTNERS THAT HAVE ALSO REACHED OUT TO US TO COLLABORATE, UM, ON THIS EFFORT.

UH, CENTRAL HEALTH FROM CENTRAL HEALTH TO NASHVILLE KIDNEY FOUNDATION TO, UM, AUSTIN FIRE DEPARTMENT.

AUSTIN FIRE DEPARTMENT HAS RECENTLY REACHED OUT TO US ASKING, UM, YOU KNOW, CONSULTING ABOUT OUTREACH, WHICH I'M SO HAPPY TO THAT, TO, TO BE THAT POINT OF PERSON.

UM, AND TO BE ACKNOWLEDGED THAT OUTREACH IS NOT ONLY CRITICAL, BUT THERE'S ALSO A WAY TO CONDUCT OUTREACH AND, UM, DOING YOUR DUE DILIGENCE IN, IN REACHING OUT TO FOLKS WHO BEEN IN THE GAME IS ALWAYS THE BEST WAY TO GO ABOUT IT.

SO OIF FIRE ARE ACTUALLY COMING TO OUR NEXT COALITION MEETING TO PRESENT ON THEIR PROGRAM, AND ALSO COLLECTING FEEDBACK, WHICH IS ALWAYS A GOOD THING TO HAVE COMMUNITY FEEDBACK FOR ANY COMMUNITY PROGRAM.

AND CERTIFICATION COURSES IS WHAT I SPOKE ON AT, AT THE VERY BEGINNING, WHICH IS THE 160 HOUR.

THOSE ARE FOR PEOPLE WHO ARE NOT COMMUNITY HEALTH WORKERS AND HOPE TO BE COMMUNITY HEALTH WORKERS.

SO THROUGH THE TRAINING PROGRAM, THEY CAN CERTIFY.

WE ALSO HAVE HELPED, UM, CHWS.

SO RIGHT NOW WE DON'T HAVE A CLASS, BUT WE'VE BEEN HELPING A LOT OF FOLKS WITH CERTIFYING BASED ON EXPERIENCE, WHICH IS GREAT.

A LOT OF PEOPLE ALREADY HAVE THE EXPERIENCE.

SO TO BE ABLE TO PROVIDE TECHNICAL ASSISTANCE IN, IN BECOMING CERTIFIED IN THAT WAY HAS ALSO BEEN ANOTHER GREAT BENEFIT FROM BEING A A A C.

AND HOW MANY TRAINING, SORRY, MANY.

HOW MANY CERTIFICATIONS HAVE Y'ALL DONE BASED ON EXPERIENCE? SEVEN.

WOW.

UM, THAT'S GREAT.

AND HOW AND HOW DO WE MARKET THAT OR PROMOTE THAT TO THE COMMUNITY? RIGHT NOW, IT'S, UM, ON OUR WEBSITE COALITION IS REALLY HAS TAKEN ON THE, THAT PRESENCE IN THE COMMUNITY.

SO I GET CALLS OR EMAILS ALMOST DAILY ON CERTIFICATION, ON HAVING THE COURSE.

AND, UH, SO THROUGH THAT I'M ALSO ABLE TO SAY, WELL, WE HAVE THIS.

AND, UM, IF WE KNOW OF A PARTNER THAT'S PROVIDING TRAINING, WE DEFINITELY REFER TO THEM.

UM, FOR EXAMPLE, LIKE , IF THEY HAVE A SPACE, THEN WE DEFINITELY REFER AND VICE VERSA.

SO IT'S THROUGH THE ORGANIC OUTREACH ALREADY AND FOR TRAINING AND THEN ALSO THROUGH THE COALITION.

VERY GOOD.

THANK YOU MS. OLIVAS.

I APPRECIATE THE UPDATE.

AS YOU KNOW, COMMUNITY HEALTH WORKERS ARE NEAR AND DEAR TO MY HEART.

YES, MA'AM.

AND ONE OF MY FAVORITE SAYING IS THAT OUR COMMUNITY HEALTH WORKERS HAVE A PHD IN COMMUNITY, WHICH IS WHY I'M SUCH A STRONG CHAMPION OF THIS PROGRAM.

AND I'M PLEASED TO SEE, UM, A ROBUST SUPPORT SYSTEM HERE AT THE CITY.

OF COURSE, UM, ONLY TWO OF OUR COMMUNITY HEALTH WORKERS ARE FUNDED BY THE CITY.

THE REST ARE EITHER TEMPORARY OR GRANT FUNDED.

SO I WOULD LIKE TO SEE THAT NUMBER, UH, INCREASE.

AND CERTAINLY EVEN LOOKING AT THE, AND I'M SO GLAD YOU PROVIDED THE PAY SCALE.

I MEAN, JUST KNOWING THE LEVEL OF WORK THAT OUR COMMUNITY HEALTH WORKERS ARE DOING, I DON'T THINK THE PAY SCALE THAT IS PROVIDED IS, UM, IS ON PAR TO THE LEVEL OF EXPERTISE AND DEDICATION.

A FEW QUESTIONS ON MY END.

UM, HOW OFTEN IS THE CITY PROVIDING THE, UM, THE CERTIFICATION COURSES? UH, WE HAD A CADENCE OF ONCE A YEAR.

UH, SO THE FIRST GRADUATING AND THEN THE NEXT PROVIDED, UH, THE SECOND YEAR.

THIS IS OUR THIRD YEAR.

MM-HMM.

.

UM, WE ARE PLANNING FOR A FALL ONE.

IT SEEMS THAT WE HAVE, WE DO BETTER IN, WELL HAVE ANY EVALUATING PERIOD FOR ANY KIND OF PROGRAM.

RIGHT.

SO RIGHT NOW WE'RE IN THAT, WE'RE ALSO IN THE MIDDLE OF HIRING A PROGRAM COORDINATOR.

SO RIGHT NOW IT'S A TEAM OF ONE ME.

UM, AND I'M NOT AN INSTRUCTOR, NOR AM I-A-C-H-W.

I'M A PROUD CHW ALLY.

UH, BUT RIGHT NOW, BUT WE DO HAVE INSTRUCTORS WITHIN OUR, IN OUR, UM, DEPARTMENT, AND THEY WERE REALLY THE ONES WHO GOT THIS RUNNING AND WE COULD CALL ON THEM AS WELL, BUT TO STRETCH THEM THIN AGAIN, , AND ALSO TO REMOVE THEM FROM THE IMPORTANT WORK THAT

[00:25:01]

THEY'RE DOING.

MM-HMM.

IS, IS A CONCERN.

SO WE ARE HIRING FOR A PROGRAM COORDINATOR, AND RIGHT NOW IT'S SET UP AS A ONE MAN SHOW, MEANING THERE'S, THERE'S GONNA BE SOME INNOVATION THAT'S GONNA HAPPEN THERE.

WE ARE LOOKING AT OTHER CURRICULUMS TO SEE SOMETHING AND REALLY ERRING ON THE SIDE OF CREATING OUR OWN SOMETHING FOR AUSTIN.

SOMETHING WITH AN EQUITY LENS, UH, TO HAVE THAT.

SO THERE'S SOME, SOME BANDWIDTH THAT'S NEEDED IN THERE.

WELL, I'M GLAD TO HEAR ABOUT THE CREATING SOMETHING CUSTOMIZED TO AUSTIN.

'CAUSE MY NEXT QUESTION IS MM-HMM.

HOW, WHAT'S THE INTERSECTION BETWEEN OUR COMMUNITY HEALTH WORKERS AND HOMELESSNESS AND OUTREACH SERVICES, PARTICULARLY TO OUR OWN HOUSED POPULATION? YEAH.

SO, UM, COMMUNITY HEALTH WORKERS WORK IN MANY DIFFERENT AREAS, RIGHT? UM, I CAN JUST SAY FOR AN EXAMPLE, UM, MY DREAM WOULD BE THAT EVERY EFFORT, EVERY PROJECT, EVERY DIVISION UNIT PROGRAM HAD CHW ASSOCIATED TO THEM.

FROM WITHIN A PH TO A PD AND SO ON AND SO FORTH.

AUSTIN ENERGY.

MM-HMM.

, ANYTIME YOU SERVE THE PUBLIC, YOU SHOULD HAVE A CHW, QUITE FRANKLY.

UM, BUT, UH, WE, THEY DEFINITELY, CERTAINLY HAVE THE LENS JUST BECAUSE WE HAVE AN EQUITY LENS.

AND ONE WAY THAT WE'VE HAVE ADAPTED, LIKE THE REACH IN, REACH OUT RERO MM-HMM.

, THAT TEAM OF COMMUNITY HEALTH WORKERS HAVE ADAPTED THEIR SWAG ITEMS TO, UH, THE HOUSELESS COMMUNITY.

SO THEY PLANNED THEIR OUTREACH IN THAT COMMUNITY AND ORDERED RAINCOATS AND SOCKS AND PADS AND I CAN'T REMEMBER WHAT ELSE, BUT THEY DID ADAPT.

THOSE ARE THE THREE THAT I DO REMEMBER.

THEY ADAPTED THEIR SWAG.

SO INSTEAD OF CHAPSTICK THEY THOUGHT ACO MIGHT BE MORE HELPFUL.

YEAH.

SO THAT LENS IS WHAT IS NEEDED TO BE APPLIED TO ANY PROGRAM.

MM-HMM.

.

AND THAT'S WHAT WE WOULD LIKE TO FOCUS ON IN THE CH HW TRAINING.

AND WE'RE JUST NOT FINDING THAT IN THE CUR IN THE CURRENT EXISTING CURRICULUM.

MM-HMM.

, THERE'S JUST SO MUCH MORE.

AND, AND IT MAKES SENSE TO HAVE IN-HOUSE TRAINING CREATED BY, IN-HOUSE FOLKS FROM THE COMMUNITY IS REALLY THE BEST WAY TO GO ABOUT IT.

SO TO BE ABLE TO, UM, UH, TRAIN CHWS TO CRITICALLY THINK ABOUT WITHIN THE INFRASTRUCTURE, WHAT CAN WE DO? YEAH.

AND I WOULD, I WOULD PARTICULARLY LOOK AT, YOU KNOW, WHAT MORE LIKE HOW CAN WE BUILD SOMETHING OUT REGARDING OUR UNHOUSED POPULATION AND SERVICES AND OUTREACH PARTICULARLY FOR OUR UNHOUSED POPULATION.

I THINK THAT'S AN AREA OF NEED.

THE OTHER AREA OF NEED IS AROUND MENTAL HEALTH.

UM, WHAT ARE OUR COMMUNITY HEALTH WORKERS DOING AROUND MENTAL HEALTH? YEAH, RIGHT NOW IT'S CONTINUING EDUCATION.

SO WE DO HAVE CONTINUING EDUCATION, UM, COURSES.

UH, WE HAVE ACCESS TO UT SCHOOL OF PUBLIC HEALTH HOUSTON, AND THEY'VE GRANTED ACCESS TO THEIR MENU OF COMMUNITY OF, UH, CONTINUING EDUCATION COURSES.

SO RIGHT NOW IT'S IN THOSE SPURTS OF EITHER IT'S A CEU, SO AN HOUR OR TWO HOUR COURSE THAT WE DELIVER DURING THE YEAR, OR, UH, THERE IS A COMPONENT TO IT IN OUR EXISTING CURRICULUM.

UH, BUT SPEAKING TO HAVING THAT COMPONENT OF MENTAL HEALTH AND IN, IN THE HOUSES, UM, COMMUNITY, YOU KNOW, MY IDEA IS TO, ONCE WE HAVE BANDWIDTH TO BE ABLE TO, AND EXPERTISE SOMEONE WITH INSTRUCTIONAL DESIGN AND SOMEONE WHO'S, UH, UNDERSTANDS POPULAR EDUCATION MODEL, FOR EXAMPLE.

ONCE WE HAVE THAT, UH, WE'RE ABLE TO BRING IN THESE CONSULTANTS, UM, SO THESE SUBJECT MATTER EXPERTS FROM EACH DIVISION AND CONSULT WITH THEM AS FAR AS WHAT IS IMPORTANT FOR THE COMMUNITY TO KNOW, WHAT ARE THE DIFFERENT RESOURCES, SO ON AND SO FORTH.

SO THAT IS TRULY A COLLABORATIVE EFFORT.

AND, UH, THIS CURRICULUM IS NOT JUST AN A PH EFFORT, WHICH SHOULD NEVER BE.

WE, WE, UM, IF ANYTHING, THE PANDEMIC HAS SHOWN US HOW STRONGER WE ARE TOGETHER.

SO THAT'S THE, THAT'S THE IDEA.

THAT'S THE PLAN.

THAT'S THE GOAL.

MA, THANK YOU.

YES, MA, COLLEAGUES, QUESTIONS, .

ALRIGHT.

THANK YOU SO MUCH.

ALRIGHT, THANK YOU.

OKAY.

[Public Communication: General]

I'VE BEEN INFORMED THAT OUR, UM, OUR SPEAKER HAS ARRIVED.

SO IF WE CAN HAVE ANDY BROWER JOIN US TO PROVIDE PUBLIC COMMENT, WELCOME.

HI, AND THANK YOU VERY MUCH.

I'M, THANK YOU, UM, FOR ALLOWING ME TO SPEAK.

SORRY FOR BEING LATE.

UM, I'M ANDY BROWER.

I'M THE NEIGHBORS PROGRAM MANAGER AT CENTRAL PRESBYTERIAN CHURCH DOWNTOWN, EXCUSE ME.

AND I'VE WORKED IN HOMELESS SERVICES SINCE ABOUT 2018.

SO I'M, I RUN THE DAY-TO-DAY OUTREACH PROGRAM THAT WE HAVE.

AND I ALSO CO-LEAD THE HOMELESS ADVOCACY PROJECT MEETINGS, WHICH USED TO BE THE DOWNTOWN CLUSTER MEETINGS.

SO, UM, WE BRING PARTNERS TOGETHER AND, UM, TRY TO IDENTIFY GAPS AND NEEDS IN THE COMMUNITY.

SO I'M HERE TODAY TO TALK ABOUT HOMELESSNESS, OBVIOUSLY, AND TO ALSO, UM, ASK FOR YOUR CONSIDERATION, UM, DURING THE UPCOMING BUDGET PROCESS, UM, TO KEEP A FEW THINGS IN MIND.

AND, UM, ONE OF THEM IS I, I GUESS THREE THINGS.

ONE, UM, FINDING A PLACE TO REPLACE THE MARSHALING YARD AND MAINTAIN A 300 BED SHELTER SPACE, EXPAND OR OPEN A NEW FAMILY, EXPAND CURRENT FAMILY SHELTER, OPEN

[00:30:01]

A NEW FAMILY SHELTER, AND TO CREATE A SAFE OUTDOOR SPACES PROGRAM.

AND I'VE, UM, GIVEN THESE POLICY PROPOSALS TO YOUR OFFICES BEFORE, UM, THE REASON WHY I COME UP WITH THESE, UM, PROPOSALS IS, UM, REALLY THINKING ABOUT SOCIAL DETERMINANTS OF HEALTH.

AND IF PEOPLE DO NOT HAVE A SAFE PLACE TO GO AND FOOD TO EAT, THEY CANNOT MOVE FORWARD WITH THEIR HEALTH AND HEALING.

UM, I WENT OVER TODAY, I LOOKED AT THE PYRAMID, UH, MASLOW'S HIERARCHY OF NEEDS AND THE PYRAMID AND THE BOTTOM IS PHYSIOLOGICAL NEEDS, HEALTH, BREATHING, FOOD, WATER, SHELTER, CLOTHING, SLEEP.

SO, UM, I KNOW THAT NOT EVERYBODY, UH, LOVES THE IDEA OF SHELTER OR CONGREGATE SHELTER, BUT I THINK IT MEETS A GREAT NEED IN THE COMMUNITY.

AND I HOPE THAT WE WILL CON CONTINUE FUNDING IT.

UM, IT'S AN IMMEDIATE WAY TO MEET THOSE NEEDS.

AND ALSO JUST THINKING ABOUT WHAT IS THE MINIMUM THAT WE THINK THE CITY SHOULD DO FOR OUR HOMELESS CITIZENS? UM, I KNOW WE ALWAYS STRIVE TO DO MORE THAN THE MINIMUM, BUT MAYBE THAT'S THE WAY WE NEED TO LOOK AT IT.

WHAT IS OUR ROLE? WHAT IS THE MINIMUM? BECAUSE RIGHT NOW, PEOPLE CAN'T EVEN ACCESS, MANY PEOPLE CANNOT ACCESS A SHELTER OR DO NOT GET CRISIS INTERVENTION.

I DON'T WORK WITH FAMILIES, BUT I'M A MOM OF THREE.

AND I UNDERSTAND WHEN I READ THESE STORIES EVERY WEEK ABOUT FAMILIES NOT HAVING SHELTER, IT BREAKS MY HEART.

JUST A FEW MAY 13TH, WE ARE WORKING WITH A FAMILY WHO HAS FOUR CHILDREN ARE CURRENTLY LIVING IN THEIR CAR.

THEY'RE ALREADY ON A WAIT LIST FOR SALVATION ARMY.

MAY 15TH, AFTER THE FAMILY BECAME DISPLACED, THE MOTHER MISSED DAYS OF WORK IN HER EMPLOYER TO TERMINATED HER.

THE SON IS NOW LIVING WITH HER IN THE CAR.

MAY 17TH, 61-YEAR-OLD CLIENT WHO'S BEEN SLEEPING OUTSIDE IN HER CAR, ALL SHELTERS ARE FULL, MAY 21ST.

SHE'S EXTREMELY V VULNERABLE.

SHE CANNOT WALK ON HER OWN AND USE AS A KNEE SCOOTER TO GET AROUND LOOKING FOR SHELTER.

I THINK THIS SHOULD BE UNACCEPTABLE TO US FOR FAMILIES, FOR EVERYONE, BUT FOR FAMILIES.

LET'S MAKE THAT OUR TOP PRIORITY.

LET'S NOT, LET'S NOT TURN THEM AWAY.

SO THE, THE PROPOSALS I I GAVE YOU, I CAN CERTAINLY PROVIDE ANOTHER ONE.

ONE IS, IS ABOUT SHELTER.

UM, AND IT GOES BACK, IT CITES REPORTS FROM 2000 BACK DATING BACK TO 2018 WITH THESE RECOMMENDATIONS TO IMPROVE OUR SHELTER SYSTEM, EXPAND IT TO MEET THE NEEDS, AND TO COORDINATE BETTER.

UM, YOU KNOW, AT, AT A MINIMUM, LET'S MAKE SURE OUR HIGHEST RISK INDIVIDUALS GET SHELTER.

UM, THE, THE, THESE ARE ONES THAT THE NAEH WEIGHED IN ON.

UM, AGAIN, WE CAN'T GET PE EXPECT PEOPLE TO APPLY FOR A JOB UNTIL THEY HAVE SOME SLEEP AND SOME STABILITY.

UM, THE OTHER PROPOSAL THAT I SENT IN WAS ON CREATING A SAFE, SAFE OUTDOOR SPACES PROGRAM LIKE DENVER HAS.

THEY HAVE EIGHT CAMPSITES AROUND THE CITY, UM, TO MEET PEOPLE'S NEEDS.

IT'S NOT IDEAL AGAIN, BUT IT'S REALITY.

PEOPLE ARE CAMPING THROUGHOUT THEIR CITY.

THEY'RE GONNA CONTINUE CAMPING DESPITE THE CAMPING BAND.

UM, I DON'T THINK IT'S RIGHT OR FAIR TO TELL PEOPLE TO MOVE, THROW AWAY THEIR BELONGINGS SOMETIMES, AND THEN LITERALLY HAVE NOWHERE FOR THEM TO GO.

THAT THAT'S NOT RIGHT.

UM, YEAH.

ANYWAY, UM, THANK YOU VERY MUCH AND I'M HAPPY TO ANSWER ANY QUESTIONS ABOUT THIS OR AFTER I APPRECIATE YOU SHARING THE MATERIALS.

I JUST ASKED MY TEAM AND THEY EMAILED IT TO, OR THEY SENT IT TO ME AS WELL.

SO I, I WILL REVIEW THE PROPOSALS.

THANK YOU.

OKAY.

THANK YOU VERY MUCH.

ALL RIGHT, COLLEAGUES,

[3. Briefing on Issues Related to Homelessness.]

WE WILL MOVE ON TO OUR NEXT BRIEFING ON ISSUES RELATED TO HOMELESSNESS.

WILL DAVID GRAY WILL BE LEADING THIS BRIEFING AND UPDATE, AND THIS IS FOCUSED ON A, THE MARSHALLING YARD EMERGENCY SHELTER UPDATE.

WELCOME MORNING, MADAM CHAIR AND COUNCIL MEMBERS.

UM, DAVID GRAY.

I'M THE HOMELESS STRATEGY OFFICER FOR THE CITY OF AUSTIN.

ALSO, JOINING ME TODAY IS GARY P*****K.

HE LEADS OUR POLICY AND PLANNING UNIT.

UM, AND ON DAYS THAT I'M OUT, GARY TYPICALLY SERVES AS ACTING HSO, SO I ASKED HIM TO BE HERE WITH ME TODAY, UH, TO HELP ME THROUGH THIS PRESENTATION.

THANKS, GARY BEING HERE.

THANKS.

HONORED TO BE HERE.

YEAH.

SO TODAY WE WANT TO GIVE A QUICK UPDATE ON THE MARSHALING YARD.

AS MANY OF YOU KNOW, MARSHALING YARD IS A TEMPORARY SHELTER THAT WAS ESTABLISHED IN AUGUST OF LAST YEAR.

UM, AS OF, UH, MAY 1ST, WE SERVED 755 CLIENTS AT THE MARSHAL YARD.

AND, UH, JUST AS A REMINDER, OUR CLIENTS WHO ARE HERE GET ACCESS TO A SUITE OF SERVICES, UH, INCLUDING THREE MEALS A DAY, DAILY TRANSPORTATION TO AND FROM, UH, APPOINTMENTS OR, UH, FREQUENT LOCATIONS THROUGHOUT THE CITY.

WE HAVE AN ONSITE ANIMAL SHELTER, ONSITE SHOWERING FACILITIES, UH, ET CETERA.

UM, YOU CAN SEE ON THIS SLIDE THAT OUR WEEKLY CENSUS REMAINS PRETTY HIGH, UH, ON ANY GIVEN NIGHT THE SHELTER IS FULL OR NEARLY FULL.

UH, ANY BEDS THAT ARE ARE VACANT ARE TYPICALLY BEDS THAT WE'RE EITHER HOLDING FOR PEOPLE THAT OUR STREET OUTREACH TEAM IS GONNA BRING IN THE NEXT DAY.

UH, MAY BE A RESPITE BED THAT WE'RE HOLDING FOR CLIENTS WHO NEED THAT SERVICE OR AN A DA BED.

UH, BUT BY AND LARGE, THE SHELTER REMAINS FULL ON ANY GIVEN NIGHT.

UH, THIS IS JUST A RECAP OF OUR OUTCOMES.

UM, WE ARE WORKING

[00:35:01]

TO GET UPDATED DATA SINCE WE LAST MET, BUT WHEN WE LAST MET A COUPLE OF WEEKS AGO AND TALKED ABOUT MARSHING YARD, UH, WE HAD ABOUT A 20% POSITIVE EXIT RATE.

UH, I BELIEVE THIS HAS GONE UP A LITTLE BIT.

UM, BUT NEXT TIME WE MEET TO TALK ABOUT MARSHING YARD, WE'LL MAKE SURE THAT WE HAVE THE UPDATED DATA AND INFORMATION AVAILABLE FOR YOU.

THE BIG UPDATE THAT WE WANTED TO PRESENT TO YOU TODAY FOCUSES ON OUR PLANS FOR WINDING DOWN THE OPERATIONS AT THE MARSH YARD.

UH, SO COUNCIL MEMBERS AND MADAM CHAIR, AS YOU MIGHT RECALL, COUNCIL AUTHORIZED AN EXTENSION OF THE MARSHAL YARD THROUGH THE END OF MARCH, 2025.

UM, COUNCIL ALSO DIRECTED US TO RETURN AND PROVIDE A ROADMAP, UH, FOR HOW WE ARE PLANNING TO WIND DOWN THE SHELTER, INCLUDING WAYS TO ENSURE THAT WE'RE PROVIDING OUR SHELTER CLIENTS WITH HOUSING RESOURCES.

UH, WE, SO THE PLAN THAT YOU'RE GONNA SEE, AND THAT WE'RE GONNA TALK THROUGH IN A MOMENT, WE'LL TALK ABOUT WHEN WE WILL CEASE INTAKES, UH, HOW WE ARE TRYING TO SET UP OUR CLIENTS FOR SUCCESS.

THE ULTIMATE GOAL HERE IS TO ENSURE NOBODY GETS RETURNED TO THE STREETS.

UH, WHEN POSSIBLE, WE'RE GONNA MOVE PEOPLE INTO PERMANENT HOUSING OR HOUSING OPPORTUNITY.

WE MIGHT MOVE PEOPLE INTO SHELTER, UH, BUT WE ARE NOT GOING TO RETURN ANYBODY TO THE STREETS, UH, UNLESS THAT CLIENT DECIDES TO REJECT EVERY OPPORTUNITY THAT WE GIVE THEM.

AND THEN THEY, THEY SELF-SELECT TO RETURN TO UNSHELTERED, UM, HOMELESSNESS.

SO, IN TERMS OF THE TIMELINE, AND I'LL, I'LL JUST TOUCH ON THIS QUICKLY.

SO CURRENTLY WE'RE STILL IN NORMAL INTAKE OPERATIONS.

UH, WE HAVE NOT SHIFTED OUR INTAKE PROCEDURES, HOWEVER, WE ARE MODIFYING HOW WE DO OUR CASE MANAGEMENT DELIVERY.

UH, PART OF THE COUNCIL DIRECTION WAS FOR US TO WORK WITH ENDEAVORS AND A LOCAL PROVIDER TO INCREASE LOCAL CASE MANAGEMENT AT THE SHELTER.

UH, AND SO WE'VE BEEN IN CONVERSATIONS WITH THE SUNRISE NAVIGATION CENTER AND THE ENDEAVOR STAFF TO INCREASE THE NUMBER OF SUNRISE CASE MANAGERS.

UH, WE'VE EVEN CONTEMPLATED HAVING SUNRISE DO ALL THE CASE MANAGEMENT AT THE MARSHAL YARD, AND JUST HAVING ENDEAVORS FOCUS ON ACTUALLY MAINTAINING THE, THE PHYSICAL BUILDING.

UH, AND SO THOSE CONVERSATIONS ARE PROGRESSING.

UM, LOOKING FORWARD TO HAVING SOME REAL TANGIBLE RESULTS FROM THOSE CONVERSATIONS IN THE DAYS AHEAD.

BEGINNING IN SEPTEMBER IS WHEN WE'RE GONNA SHIFT OUR OPERATING POSTURE AT THE MARSHALLING YARD.

UH, ONCE WE GET TO SEPTEMBER 1ST, WE WILL LIMIT NEW INTAKES.

UH, THE REFERRALS WILL FOCUS ON CLIENTS WHO HAVE A, UH, VERIFIED HOUSING RESOURCE.

HOUSING RESOURCE, IN MOST CASES, MEANS THAT THE CLIENT HAS A HOUSING VOUCHER.

UH, THERE'S A UNIT THAT'S MORE OR LESS BEEN IDENTIFIED FOR THAT CLIENT, AND WE'RE JUST WAITING FOR THAT UNIT TO BECOME AVAILABLE.

UH, OFTENTIMES OUR OUTREACH TEAMS WILL COME ACROSS CLIENTS WHO ARE UNSHELTERED, WHO ARE ABLE TO RETURN TO FAMILY HERE IN AUSTIN OR IN OTHER PARTS OF THE COUNTRY.

UH, THEY JUST NEED HELP GETTING BACK TO THEIR FAMILY.

UH, SO IN THOSE CASES, WHEN WE VERIFY THAT PEOPLE HAVE A STABLE LIVING PLACE TO RETURN TO, UH, WE WANNA BRING THEM INTO THE SHELTER AS WELL.

PROVIDE THEM WITH THE DIVERSION SUPPORT OR RAPID EXIT SUPPORT THAT THEY NEED, AND THEN MOVE THOSE FOLKS INTO HOUSING.

UH, TO, WHAT WE ARE NOT GONNA DO AFTER SEPTEMBER IS PROVIDE GENERAL ACCESS TO THE SHELTER, TO ANYBODY.

UH, WE'RE DOING THIS TO MAKE SURE THAT WE GIVE OURSELVES THE BENEFIT OF GETTING THROUGH THE SUMMER MONTHS, UH, WITHOUT SHIFTING OUR OPERATIONS AND SHUTTING DOWN REFERRALS, BUT ALSO MAKING SURE THAT WE HAVE ENOUGH TIME ON THE BACK END TO GET PEOPLE PLACED AND, AND GET PEOPLE HOUSED.

BEGINNING DECEMBER 1ST, UH, IS WHEN WE PLAN TO STOP ALL INTAKES INTO THE MARSHAL YARD AND REALLY FOCUS ON THE CLIENTS WHO ARE IN SHELTER AT THAT TIME.

UH, I SHOULD HAVE MENTIONED THAT IN SEPTEMBER, WE ARE CONSIDERING, UH, BEGINNING TO RAMP DOWN OVERALL CAPACITY AT THE MARSHAL YARD.

WE HAVEN'T MADE THAT DETERMINATION JUST YET.

WE KIND OF WANNA SEE WHAT OUR CLIENTELE LOOKS LIKE ONCE WE GET TO THAT POINT.

UH, BUT IN DECEMBER, WE COULD STILL HAVE 300 BEDS ONLINE.

WE COULD ALSO HAVE 200 BEDS ONLINE.

UH, TIME.

WE, WE JUST NEED THE BENEFIT OF SOME MORE TIME JUST TO SEE WHAT THE NEEDS OF OUR CLIENTS ARE ONCE WE GET THERE.

BUT ANYWAY, ONCE WE GET TO DECEMBER, UH, THAT'S WHEN WE SEE SALT INTAKES.

AND THEN WE WORK IN EXCLUSIVELY ON IDENTIFYING HOUSING OR ALTERNATIVE SHELTER OPERATIONS FOR OUR PROGRAM PARTICIPANTS.

THOSE ALTERNATIVE SHELTER OPERATIONS COULD MEAN THAT WE'RE PLACING CLIENTS IN BRIDGE SHELTERS, UH, OR THE ARCH OR H STREET, WHICH ARE CITY, UH, OWNED FACILITIES.

IT COULD ALSO MEAN THAT WE'RE WORKING WITH OUR PARTNERS AT TWO OR AT SALVATION RV OR SOMEWHERE ELSE TO SEE IF THEY HAVE AVAILABILITIES AND IF OUR CLIENTS WOULD BE A GOOD SUIT FOR THOSE COMMUNITIES.

UM, AND SO WE'RE GONNA GIVE OURSELVES THE BENEFIT OF ABOUT THREE, FOUR MONTHS TO DO THAT WORK.

AND THEN AT THE END OF MARCH IS WHEN WE WILL OFFICIALLY CLOSE THE MARSH CLEAN YARD PER COUNCIL DIRECTION, AND THEN RETURN THE FACILITY BACK TO THE CONVENTION CENTER.

UH, AGAIN, I JUST FULLY WANNA UNDERSCORE THE POINT HERE THAT OUR ULTIMATE GOAL IS THAT NO ONE IS RETURNED TO UNSHELTERED, UH, AND UNHOUSED HOMELESSNESS.

UH, THAT, THAT IS NOT WHY WE ARE

[00:40:01]

HERE.

OUR, OUR GOAL IS TO PULL PEOPLE OUT OF AN UNSHELTERED ENVIRONMENT.

ONCE YOU'RE IN OUR CARE, OUR SOLE PURPOSE IS TO MAKE SURE THAT YOU GET HOUSED.

UH, SO THERE WILL NOT BE A MASS EXIT OF PEOPLE BACK INTO ENCAMPMENTS ON THE STREETS OR IN OUR PARKS, OR IN CREEKS OR IN WATERWAYS, .

AND SO WE WOULD, WE DO WELCOME FEEDBACK FROM THIS COMMITTEE ON TODAY'S PRESENTATION.

UH, AND THEN, YOU KNOW, TO THE EXTENT THAT, THAT WE'RE ABLE TO, WE WILL INCORPORATE THAT FEEDBACK INTO OUR RAMP DOWN PLANS.

UH, THIS IS THE, YOU KNOW, GARY CAN ATTEST THAT WE SPENT MANY HOURS AND IN MANY, MANY MEETINGS THINKING THROUGH THE BEST WAY TO DO THIS IN SERVICE OF OUR CLIENTS.

UH, WE THINK THAT THIS TIMELINE OPTIMIZES, UH, OUR UTILIZATION OF THE MARSHING YARD FOR THE PERIOD THAT WE HAVE.

BUT OF COURSE, UH, WE WELCOME FEEDBACK.

THANK YOU.

AND WITH THAT MADAM CHAIR YES, I'M HAPPY TO YIELD BACK TO YOU FOR ANY QUESTIONS.

YES, I'LL, I'LL KICK US OFF WITH A COUPLE OF QUESTIONS AND THEN WE'LL YIELD TO MY COLLEAGUES.

UM, AND THANK YOU FOR MENTIONING THAT THE MARSHING YARD IS SLATED TO CLOSE IN MARCH.

UM, WHAT, HOW MUCH HEADWAY HAVE WE MADE IDENTIFYING AN ALTERNATIVE SITE? IT'S BEEN VERY CHALLENGING FINDING AN ALTERNATIVE LOCATION.

WE'VE BEEN WORKING WITH THE CITY'S REAL ESTATE DEPARTMENT LOOKING AT EVERY, UH, PIECE OF CITY OWNED PROPERTY.

UH, UNFORTUNATELY WE HAVE NOT BEEN ABLE TO FIND A, A VIABLE LOCATION THAT WE THINK WORKS REALLY WELL.

UH, ANY CITY FACILITY THAT WE BELIEVE COULD BE CONVERTED INTO SHELTER CURRENTLY HAS ANOTHER USE, UH, VACANT LAND THAT IS AVAILABLE IS EITHER IN A FLOOD AREA OR IT'S ON THE PERIPHERY OF THE CITY AND NOT REALLY CLOSE TO CITY SERVICES.

WE ARE CONTINUING OUR QUEST TO LOOK FOR ALTERNATIVE LOCATIONS.

WE'RE NOW KIND OF SHIFTING OUR FOCUS AND LOOKING INTO THE PRIVATE REAL ESTATE MARKET, BUT TO DATE, WE HAVE NOT BEEN ABLE TO FIND A, A, A, AN AL A SOLID ALTERNATIVE FOR THE MARSHAL YARD.

SO HOW CONFIDENT ARE IS HSO THAT WE WILL FIND A REPLACEMENT FOR THE MARSHALING YARD BY THE END OF MARCH? WE'RE, WE'RE COMMITTED TO DOING OUR BEST TO TRY TO FIND A REPLACEMENT.

WE'RE, WE'RE COMMITTED TO LEAVING THOSE STONE UNTURNED.

UH, AT THIS POINT THOUGH, WE HAVE BEEN UNSUCCESSFUL IN THAT PURSUIT.

OKAY.

COLLEAGUES, I WANNA PICK UP A LITTLE BIT WHERE THE CHAIR LEFT OFF.

AND I'M CURIOUS, AS WE THINK ABOUT A REPLACEMENT OR, YOU KNOW, JUST FINDING ADDITIONAL SHELTER CAPACITY, THERE AREN'T MANY 70,000 SQUARE FOOT FACILITIES, UH, SET UP LIKE THE MARSHALING YARD, BUT ONE COULD ARGUE MAYBE THE MARSHALING YARD IS NOT THE IDEAL SETUP TO BEGIN WITH, RIGHT? SO WE HAVE THE OPPORTUNITY HERE TO, TO FIGURE OUT WHAT IS RIGHT.

I'M CURIOUS, AS WE THINK ABOUT, UM, OFFICE SPACE, WHICH TYPICALLY WOULDN'T BE THOUGHT OF AS ANY KIND OF, UM, YOU KNOW, RESIDENTIAL SPACE, BUT YOU KNOW, THE MARSHALING YARD ITSELF IS JUST ONE BIG OPEN SPACE, RIGHT? AND AN UNINHABITED OFFICE MAYBE IS THAT SAME JUST STACKED, RIGHT? INSTEAD OF ONE HUGE PLATE, YOU HAVE MULTIPLE PLATES, BUT THAT COULD ACTUALLY HELP SERVE TO, TO SEPARATE POPULATIONS.

SO I'M CURIOUS, AS WE LOOK AT NOW IN THE PRIVATE MARKET, IS THAT ONE OPTION OF, OF JUST BASICALLY COMPLETE OPEN OFFICE SPACE THAT OPERATES KIND OF LIKE SEGMENTS OF THE MARSHALING YARD? IT, IT COULD BE, RIGHT? UM, IT, OF COURSE IT ALWAYS COMES DOWN TO THE DETAILS OF THE ACTUAL SPACE.

BUT AS PART OF OUR PRIVATE MARKET ANALYSIS, YES, WE HAVE LOOKED AT VACANT OFFICE SPACE, VACANT MEDICAL OFFICES, VACANT WAREHOUSES, VACANT GYMS. I MEAN, WE'RE, WE'RE THINKING ABOUT ALL THE DIFFERENT TYPES OF SPACES THAT COULD POTENTIALLY BE RETROFITTED INTO EMERGENCY SHELTER.

OKAY.

WELL, I, YOU KNOW, IN THE SEARCH FOR FEEDBACK HERE, THE ONE THING I WOULD REALLY LIKE US TO TRY TO DO IS IF WE ARE GOING TO MAKE A, AN INVESTMENT, MAKE IT IN SOMETHING THAT WE ACQUIRE RATHER THAN LEASE.

'CAUSE YOU KNOW, IF WE LEASE, WE END UP SPENDING A LOT OF MONEY AT THE END OF THE DAY, NOT HAVING AN ASSET WE CAN REUSE.

AND SO THAT WOULD BE THE, THE NUMBER ONE THING I WOULD HOPE THAT WE ACHIEVE OUT OF THIS IN OUR NEW SPACE, WHATEVER THAT NEW SPACE IS.

UM, YOU AND I HAVE TALKED A LITTLE BIT ABOUT WHETHER IT IS, YOU KNOW, CONGREGATE, SPRING SHELTER OR NON CONGREGATE, KIND OF LIKE WHAT THEY'RE DOING AT ESPERANZA COMMUNITY WITH THESE MICRO SHELTERS, YOU KNOW, HOW LONG WOULD IT TAKE TO STAND UP A SITE LIKE THIS IF WE DID HAVE LAND AVAILABLE? IT, AGAIN, IT DEPENDS ON THE STYLE OF SHELTER.

UM, SOME OF THE SPRING SHELTERS HAVE GONE UP VERY QUICKLY.

THOSE TEND TO BE CONGREGATE OR, UH, SEMI CONGREGATE SHELTERS.

UH, BUT ALSO WHAT WE'VE SEEN IS EVEN IN THE NON CONGREGATE SHELTER SETTING, IF, IF THE LAND IS RIGHT AND THINGS ARE IN THE RIGHT CONDITIONS, THOSE CAN COME UP IN SEVEN TO 10 MONTHS.

UH, YOU MIGHT RECALL JUST LAST WEEK, COUNCIL GAVE US THE GREEN

[00:45:01]

LIGHT TO, UH, ADD A MILLION DOLLARS TO THE OTHER ONE'S FOUNDATION'S CONTRACT TO BRING ON A HUNDRED MORE SHELTER BEDS AT CAMP ESPERANZA.

UH, AND IN THAT CONVERSATION, YOU KNOW, WE FEEL LIKE WE CAN GET THOSE A HUNDRED BEDS ONLINE WITHIN THE NEXT EIGHT MONTHS.

AND SO PART OF IT DEPENDS ON THE ZONING FOR THE LAND AND, AND JUST KIND OF WHAT THAT LOOKS LIKE.

THERE'S OBVIOUSLY SOME COMMUNITY ENGAGEMENT THAT WE'D HAVE TO DO, BUT THEN TO ACTUALLY POP UP THE SHELTER IS GONNA DEPEND ON IF THERE'S UTILITIES ON SITE OR ARE WE BRINGING IN SHOWERS AND RESTROOMS, UH, LIKE WE DID TO AUGMENT SOME OF THE OPERATIONS OVER AT THE MARSHALLING YARD.

UH, BUT THOSE ARE ALL THINGS THAT WE'RE LOOKING AT, YOU KNOW, AS WE TRY TO IDENTIFY A, A GOOD LOCATION THAT CAN EITHER LEND ITSELF FOR US TO POP SOMETHING UP OR RETROFIT SOMETHING.

AND GARY, DID YOU WANNA ADD ANYTHING TO, TO THAT? UM, I MEAN, WE'VE BEEN LOOKING AT OTHER CITIES AS WELL TO SEE WHAT, WHAT THEY'VE BEEN DOING IN THESE SCENARIOS, WHETHER IT'S LIKE PARKING LOTS AND FIGURING OUT HOW TO UTILIZE CHURCH PARKING LOTS, PUBLIC PARKING LOTS, ET CETERA.

UM, AND, AND THERE ARE SOME OPTIONS, BUT I THINK THERE'S A COST TO WEIGH BOTH WITH TEMPORARY INFRASTRUCTURE VERSUS LIKE, AS YOU SAID, PERMANENT INFRASTRUCTURE.

UM, AND, YOU KNOW, I THINK NOTHING'S OFF THE TABLE.

SO WE'RE, WE'RE STILL KIND OF LOOKING AND, AND THINKING AND, AND KIND OF TRYING TO LEARN ABOUT WHAT ALL THE OTHER FOLKS ARE DOING SO THAT WE CAN USE THOSE BEST PRACTICES.

YEAH.

AND, AND YOU KNOW, WE HAD PUBLIC TESTIMONY HERE ABOUT, YOU KNOW, DENVER'S SAFE OUTDOOR SPACES PROGRAM, WHICH IS, YOU KNOW, ESSENTIALLY A FORM OF SANCTIONED CAMPING.

I'M CURIOUS, HAS THAT ENTERED THE CONVERSATION IN THIS ANALYSIS? AND IF YOU COULD HELP KIND OF HIGHLIGHT, YOU KNOW, WHEN I FIRST CAME HERE, IT, I THOUGHT INTUITIVELY SEEMED LIKE THAT'S SO CHEAP.

YOU BUY A PIECE OF LAND, YOU SAY GO CAMP HERE, AND WHAT'S THE COST? UH, I'VE COME TO LEARN DIFFERENTLY.

AND SO I WAS HOPING YOU MIGHT JUST TALK A LITTLE BIT ABOUT THAT STYLE OF PROVIDING SPACE FOR INDIVIDUALS, WHAT COSTS WE HAVE AND NOT, AND, AND WHETHER OR NOT THAT'S EVEN IN CONSIDERATION.

SURE.

GARY, YOU WANNA TAKE THAT ONE ALSO? SURE.

UM, I MEAN, WE'VE NOT LOOKED THOROUGHLY AT IT TO, TO REVIEW COSTS.

I KNOW THAT, UM, THE MODEL IN DENVER, UM, AND THEN IN IN SEATTLE AS WELL, THERE'VE BEEN MORE SAFE SPACES THAT HAVE POPPED UP.

UM, AND THEY'RE KIND OF SHORT TERM.

THEY MOVE FROM DIFFERENT, DIFFERENT PARKING LOTS AROUND THE CITY OVER TIME.

UM, I THINK THAT THE CAPITAL TO, TO BUILD THE STRUCTURES IS SIMILAR TO PROBABLY WHAT WE'RE SEEING AT ESPERANZA.

UM, BUT UM, THERE IS DEFINITELY FLEXIBILITY IN BRINGING PROVIDERS ON SITE AND MAKING SURE THAT THERE'S KIND OF 24 7 SECURITY WITH PORTABLES AND, AND, AND OTHER ASSETS.

SO I THINK, UM, THAT'S SOMETHING THAT WE'VE NOT GONE DOWN THE ROAD FOR JUST YET.

BUT REALLY JUST LOOKING AT LIKE, WHAT ARE OTHER FOLKS DOING? YOU KNOW, AND LOOKING AT THINGS LIKE SAFE PARKING, RIGHT? UH, PARKING LOTS IN, IN, ESPECIALLY IN CALIFORNIA, THERE'S A LOT OF PROGRAMS AROUND SAFE PARKING.

IF FOLKS HAVE OPERABLE CARS, THEY CAN SPEND THE NIGHT, HAVE ACCESS TO SHOWERS, UM, THAT'S FAIRLY CHEAP.

UM, BUT AGAIN, THEY HAVE TO HAVE OPERABLE CARS AND, AND AND WHATNOT.

BUT, AND THEN I'LL JUST QUICKLY PIGGYBACK OFF OF THAT TO SAY THAT HERE IN TEXAS, IF WE DID WANT TO DESIGNATE AN AREA AS A SAFE AND CAMPING AREA, UH, THAT'S OBVIOUSLY A DECISION THAT WE WOULD COME TO YOU AS COUNCIL TO VOTE AND GIVE US SOME APPROVAL ON.

AND WE WOULD ALSO HAVE TO GO TO THE STATE OF TEXAS TO GET APPROVAL AS WELL.

AND SO, SO FAR OUR FOCUS HAS BEEN ON LOOKING AT WHAT'S COMPLETELY IN OUR REALM OF CONTROL.

UH, THAT'S AN OPTION THAT'S NOT FULLY WITHIN OUR REALM OF CONTROL.

OKAY.

WELL THANK YOU VERY MUCH.

JUST SO I'M CLEAR, GETTING STATE APPROVAL, IF WE DID WANNA HAVE A SANCTION CAMPSITE, WE HAVE TO GET STATE APPROVAL.

THEY MEET ONLY EVERY OTHER YEAR.

SO WE WOULD HAVE TO HAVE THAT APPROVAL DURING THE NEXT LEGISLATIVE SESSION.

I DON'T KNOW IF, IF IT'S THE LEGISLATURE THAT GRANTS THE APPROVAL, I'D HAVE TO LOOK INTO IT.

IT MIGHT BE THE AGENCY YEAH, THE STATE AGENCY.

RIGHT.

BUT, BUT ESSENTIALLY WE WOULD HAVE TO DO IS IDENTIFY THE LOCATION IN THE CITY THAT WE WOULD WANT TO USE.

UH, WE WOULD OBVIOUSLY DO EXTENSIVE STAKEHOLDER ENGAGEMENT AROUND THAT TO LET THE COMMUNITY KNOW ABOUT OUR INTENTIONS, COME TO COUNCIL AND GET YOUR APPROVAL.

AND THEN WHATEVER THE PROCESS IS THAT THE STATE HAS DESIGNATED, UH, WE WOULD HAVE TO THEN SHIFT AND FOLLOW THAT PROCEDURE BEFORE WE'RE ABLE TO DESIGNATE A, A LOCATION AS SAFE AND CAMPING.

I WILL SAY WE ARE ANTICIPATING THE SUPREME COURT'S DECISION SOON ON, UH, ENCAMPMENTS.

IT, IT COULD HAVE COME OUT TODAY, IT COULD COME OUT ANYTIME, UH, IN THE COMING WEEKS.

UM, AND AS WE, AS WE THINK ABOUT THAT AND KIND OF THE IMPLICATIONS OF WHATEVER THAT, UH, COULD HAVE FOR AUSTIN, UH, THAT'S REALLY KIND OF RECHARGED US AND LOOKING AT THE SAFE AND CAMPING OPTION, KNOWING THAT WE DON'T HAVE ENOUGH SHELTER BEDS CURRENTLY AVAILABLE FOR EVERYBODY WHO'S SEEKING SHELTER.

THANK YOU.

A COUPLE MORE QUESTIONS ON MY END.

UM, HOW SOON WILL WE HAVE THE DATA ON THE SUCCESS OF THE SUNRISE CASE MANAGEMENT? UM, ONCE WE GET SUNRISE MORE UNDER CONTRACT, UH,

[00:50:01]

THROUGH OUR CONTRACT WITH ENDEAVORS, UH, THEY UTILIZE THE SAME HMIS, UH, SYSTEM AS EVERYBODY ELSE IN OUR SYSTEM USES.

AND SO, UH, AS SOON AS THEY'RE ABLE TO START ENTERING THAT DATA, UH, I THEN GO TO GARY AND AND HIS TEAM TO PULL IT.

UH, SO IT, IT'S NOT THAT LONG OF A DELAY, UH, BUT I DO WANNA BE CLEAR THAT WE'RE STILL HAVING THAT CONVERSATION WITH SUNRISE AND ENDEAVORS TO FIGURE OUT THE BEST CASE MANAGEMENT RESOURCE MIX.

SO WE'RE, WE'RE NOT THERE JUST YET.

OKAY.

AND WHAT ARE THE EXPECTED OUTCOMES FOR CLIENTS OF THE MARSHALING YARD WHEN IT CLOSES? IF THERE IS NOT A REPLACEMENT THAT IS FOUND? UH, AGAIN, EVERY CLIENT WILL BE OFFERED AN OPPORTUNITY FOR EITHER HOUSING OR SHELTER.

UH, AND SO IF CLIENTS HAVE A HOUSING VOUCHER OR A HOUSING DESTINATION THAT WE CAN SAFELY PLACE THEM INTO, UH, THEN WE WILL HELP THEM TRANSITION INTO THAT HOUSING.

SOMETIMES THAT CAN BE, UH, A PSH UNIT.

UH, I KNOW THAT WE HAVE CLIENTS, FOR EXAMPLE, WHO ARE ON TRACK TO, TO LEASE A UNIT AT PECAN GARDENS.

WHEN THAT OPENS, UH, WE HAVE CLIENTS WHO RETURN WITH LOVED ONES AND WE VERIFY THAT THOSE LOVED ONES EXIST AND THAT THEY'RE WILLING TO TAKE THE CLIENT IN BEFORE WE DIVERT THERE.

ANY CLIENT THAT WE CANNOT PLACE INTO HOUSING WILL BE OFFERED AN OPPORTUNITY IN ANOTHER CITY SHELTER.

NOW, THAT COULD HAVE EFFECTS ON SOME OF OUR OTHER PROGRAMS LIKE THE HEAL INITIATIVE.

UH, BUT WE ARE NOT GONNA KNOW THAT UNTIL WE GET A LITTLE BIT FURTHER INTO THE YEAR AND WE CAN KIND OF TAKE A KIND OF RECHECK AROUND WHICH OF OUR CLIENTS HAVE HOUSING RESOURCES AND WHICH ONES ARE MORE LIKELY GONNA HAVE TO TRANSITION TO ANOTHER SHELTER.

YEAH.

'CAUSE YOU MENTIONED IN SEPTEMBER IS WHEN YOU'LL START CHANGING THE INTAKE PROCEDURES ONLY, EXCEPT THOSE WHO HAVE SOME SORT OF, UM, VERIFIED HOUSING RESOURCE.

UM, THIS WILL HAVE AN IMPACT ON THE HEEL INITIATIVE AND THE ENCAMPMENT CLEANUPS TO SOME EXTENT, BUT WE WON'T KNOW TO WHAT EXTENT THAT IMPACT WILL BE FOR A WHILE.

EXACTLY.

YEAH.

WE'RE NOT REALLY GONNA KNOW UNTIL ONCE WE GET OUT OF SUMMER WHAT THAT CAPACITY WILL LOOK LIKE.

AND I WOULD LIKE TO CLARIFY, YOU KNOW, AS PART OF OUR NORMAL MARSHING YARD OPERATIONS, WE ARE HELPING PEOPLE GET HOUSED.

SO WE'RE, WE'RE DOING THE WORK, WE'RE JUST GONNA FOCUS MORE EXCLUSIVELY ON THAT WORK AND ON THAT CLIENTELE ONCE WE GET TO SEPTEMBER.

OKAY.

ANY OTHER QUESTIONS? ALRIGHT, THANK YOU.

THANK YOU SO MUCH.

THANK YOU SO MUCH, MADAM CHAIR.

YEAH, THANK YOU.

THANK YOU.

OKAY, SO NOW WE'RE

[4. Briefing on the Black Men's Health Clinic.]

GONNA MOVE ON TO ITEM NUMBER FOUR, WHICH IS A BRIEFING ON THE