GOOD MORNING AND WELCOME TO THE
COMMITTEE ON EMERGENCY
MANAGEMENT. OUR HEARING IS ON
CALIFORNIA'S 911 SYSTEM AND
REVIEW OF THE STATE'S
IMPLEMENTATION OF THE 988
SUICIDE PREVENTION HOTLINE AND
NEXT GENERATION 911. THANK YOU
FOR JOINING US. I'M LOOKING
FORWARD TO PRODUCTIVE HEARING.
WE SEEK TO PROTECT THE RIGHTS OF
ALL WHO PARTICIPATE IN THE
LEGISLATIVE PROCESS SO THAT WE
CAN EFFECTIVELY DELIBERATIONS
AND DECISIONS ON THE CRITICAL
ISSUES FACING CALIFORNIA. IN
ORDER TO FACILITATE THESE GOALS
. WE WILL NOT PERMIT CONDUCT
THAT DISRUPTS, DISTURBS OR
OTHERWISE IMPEDES THE ORDERLY
CONDUCT OF THE LEGISLATIVE
PROCESS AT THE END OF THE
HEARING WILL HAVE TIME FOR
LIMITED PUBLIC COMMENT. YOU CAN
SUBMIT WRITTEN TESTIMONY BY
VISITING THE COMMUNITY WEBSITE
AT WWW DOT A M DOT ASSEMBLY DOT
C A DOT GOV. PLEASE NOTE THAT
ANY WRITTEN TESTIMONY SUBMITTED
TO THE COMMITTEE IS CONSIDERED
PUBLIC COMMENT AND MAYBE READ
INTO THE RECORD OR REPRINTED. AS
A CAREER FIRST RESPONDERS. I'VE
SEEN FIRSTHAND THE LIMITATIONS
OF OUR CURRENT 91 SYSTEM AS IT
FAILS TO MEET MODERN TECHNOLOGY
STANDARDS AND THE DEMANDS FOR
STATE EVER GROWING DISASTER
ENVIRONMENT. A PRIME EXAMPLE,
KURT LAST WEEK WHEN THE
MAGNITUDE 5.5 EARTHQUAKE
IMPLEMENTS COUNTY DISRUPTED CHP
S 911 DISPATCHER LINE FOR
ROUGHLY FIVE MINUTES. THIS WAS
NOT A MAJOR EARTHQUAKE AND I'M
CONCERNED ABOUT THE RESILIENCY
OF OUR 911 SYSTEM WHEN A BIG ONE
DOES STRIKE I'M EXCITED ABOUT
THE POTENTIAL OF THE NEXT
GENERATION 91 SYSTEM AND THE 988
SYSTEM HOLD FOR IMPROVING
EMERGENCY COMMUNICATIONS AND
RESPONSE. AS THE NEXT STEP OF
THE EVOLUTION OF EMERGENCY
COMMUNICATIONS. NEXT GEN. 911
WELL, IDEALLY PROVIDE RELIABLE,
FLEXIBLE AND SCALABLE SYSTEM
THAT CAN INTEGRATE WITH MODERN
COMMUNICATION TECHNOLOGY ENABLE
FASTER AND MORE EFFECTIVE.
EMERGENCY RESPONSE, REDUCED
RESPONSE TIMES AND IMPROVED
SITUATIONAL AWARENESS. HOWEVER
AS WITH ANY NEW TECHNOLOGY, THE
IMPLEMENTATION OF THESE SYSTEMS
REQUIRES CAREFUL OVERSIGHT AND
CONTINUOUS PLANNING TO ENSURE
THEIR SUCCESS. I HAVE WITNESSED
THE DOMINO EFFECT OF THE 91
SYSTEM IS FLOODED WITH NON
EMERGENCY CALLS. HOSPITALS
BECOME OVERCROWDED FIRST
RESPONDERS EXPERIENCING LONG
WALL TIMES AND PATIENTS NEEDING
MEDIA CARE DO NOT RECEIVE SUCH
TO PREVENT THIS FROM ENDURING IN
THE FUTURE. WE MUST ENSURE NEXT
GEN. 911 AND THE 988 SYSTEM
CONTINUE TO BE IMPLEMENTED IN A
COLLABORATIVE MANNER. IT ALSO
IMPERATIVE THAT THE NEXT GEN.
911 AND 9 88 SYSTEMS ARE
PROPERLY INTEGRATED AND
INTEROPERABLE AS WELL AS
PREPARED TO ADAPT NEW CHALLENGES
AND EMERGENT TECHNOLOGIES. AND
WE CANNOT FORGET ABOUT THE
DEDICATED FIRST RESPONDERS WHO
OPERATE THESE SYSTEMS EMBRACING
THE POTENTIAL OF NEXT GEN. 911
AND THE 988 SYSTEM. WE HAVE THE
OPPORTUNITY TO REVOLUTIONIZE
EMERGENCY COMMUNICATIONS AND
PROVIDE A FASTER, MORE EFFICIENT
EMERGENCY RESPONSE. LET US WORK
TOGETHER ENSURE THAT THESE
TECHNOLOGIES ARE PROPERLY
IMPLEMENTED AND SUPPORTED SO
THAT WE CAN CONTINUE TO SERVE
AND PROTECT THE PEOPLE OF
CALIFORNIA. WITH THAT I LOOK
FORWARD TO HEARING FROM OUR
PANELISTS ON THE STATUS OF THE
NEXT GEN. 911 AND 988 SYSTEMS.
THE NEEDS OF THE LOCALS TO
ENSURE THESE SYSTEMS ARE
EFFECTIVE AND HOW THE
LEGISLATURE CAN SUPPORT THESE
SYSTEMS IN THE YEARS TO COME. SO
WITH THAT ALSO HAVE JOINING ME.
ASSEMBLYMEMBER'S BOERNER HORVATH
AND ASSEMBLY. OR WRAP. I'M SORRY
AND BURNER AND BARAK KHAN IF
THEY HAVE ANY REMARKS BEFORE WE
PROCEED. UM THANK YOU VERY MUCH.
I WANTED TO THANK OUR CHAIR OF
OUR EMERGENCY MANAGEMENT AND
VICE CHAIR OF THE JOINT
EMERGENCY MANAGEMENT COMMITTEE.
UM I'M VERY GRATEFUL FOR THIS,
UM, HEARING WHEN I FIRST BECAME
CHAIR OF COMMUNICATION
CONVEYANCE, ONE OF THE THINGS
I'VE HEARD ON THAT COMMITTEE
OVER THE LAST FEW YEARS IS HOW
DO WE ENSURE CONNECTIVITY AND
TELECOMMUNICATIONS? WHEN WE HAVE
EMERGENCIES, AND I KNOW YOU'RE A
VETERAN OF THIS, AND I REALLY
APPRECIATE ALL YOUR WORK, AND
I'M VERY GRATEFUL THAT MY
COLLEAGUE BAUER-KAHAN HAS HERE
TODAY WE CALL HER THE 988 QUEEN.
UH UM. AND YOU KNOW, IT'S BEEN A
PASSION OF HERS FOR MANY YEARS,
AND WE HAVE AGREED AND
DISAGREED. ON 988. BUT THERE'S
NOBODY IN AND CALIFORNIA WHO
HASN'T EXPERIENCED AN EMERGENCY.
I NEED TO CALL 911. THERE'S
NOBODY WHO HASN'T HAD A MENTAL
HEALTH CRISIS IN THEIR FAMILIES
WHERE THEY WISH THERE WAS
ANOTHER NUMBER AND HELP THEY
COULD GET OTHER THAN CALLING
911. UM AND SO WHEN WE LOOK AT
THE RESILIENCY OF BOTH THE 911
SYSTEM AS WE PREPARE FOR THE
FUTURE AND FUTURE DEVASTATING
EFFECTS OF NOT ONLY EARTHQUAKES
THAT RECENTLY HAPPENED OF THE
CLIMATE CRISIS, COMBINED WITH
WHAT WE KNOW IS A GROWING MENTAL
HEALTH CRISIS IN OUR STATE. WE
KNOW THAT WE HAVE TO ENSURE THAT
CALIFORNIA IS READY FOR THAT
TASK, AND IT'S A VERY BIG TEST,
SO I LOOK FORWARD TO THE HEARING
THE PANELISTS TODAY AGAIN THANK
OUR VICE CHAIR AND I SEE UM, OUR
CHAIR OF LOCAL GOVERNMENT WHO'S
ALSO HERE WHO HAVE HAD THE
PLEASURE TO WORK WITH IT WITH
THAT. I THINK I'LL PASS IT OVER
A BARKIN. THANK YOU. UM THANK
YOU. I WANT TO START BY THINKING
THE CHAIRS FOR INVITING ME TO BE
HERE TODAY. UM, AS MOST PEOPLE
KNOW 988 IS A PASSION OF MINE
AND ONE BORN OUT OF THE PERSONAL
EXPERIENCE OF EVERYBODY THAT I
HAD THE PRIVILEGE OF TALKING TO
THROUGH THAT WORK, AND I WANT TO
HIGHLIGHT WHERE CALIFORNIA IS
BECAUSE WE ARE AHEAD OF MOST
STATES IN THIS COUNTRY. THE
FEDERAL GOVERNMENT ENABLED EVERY
STATE TO PASS 98, ENABLING
LEGISLATION THAT WENT FURTHER
THAN THE SUICIDE PREVENTION
HOTLINE. AND VERY FEW HAVE DONE
IT. BUT CALIFORNIA HAS AND WE
ARE ONE OF THE FEW THE PAST OF
FEE TO FUND THE 98 SYSTEM IN
PERPETUITY. AND THAT IS SUCH
CRITICAL WORK AND WE DID IT IN A
BIPARTISAN WAY. WE DID IT WITH
INCREDIBLE SUPPORT FROM BOTH THE
LEGISLATURE AND THE
ADMINISTRATION, AND WE DID IT.
BECAUSE LIKE SOMEBODY MEMBER
BOERNER SAID, THERE WASN'T ONE
PERSON THAT HAD THE PRIVILEGE OF
VOTING FOR IT. WHO DIDN'T SAY I
KNOW WHAT THIS IS ABOUT LIVED
THIS. I HAVE A LOVED ONE.
WHETHER IT WAS A STAFF MEMBER OR
A MEMBER OR ONE OF THE ADVOCATES
WORKING ON IT. WE KNEW THE
IMPORTANCE OF THE 98 SYSTEM, AND
THE 98 SYSTEM IS BUILT ON THE
FUNDAMENTAL PRINCIPLE THAT WHEN
SOMEONE IS IN MENTAL HEALTH
CRISIS, THEY HAVE SOMEONE TO
CALL SOMEONE TO HELP AND
SOMEWHERE TO GO AND THAT IS THE
CONTINUUM OF CARE THAT
CALIFORNIA IS WORKING TO BUILD
AND 98 IS THE FIRST STEP IN THAT
CONTINUUM. IT IS THE PHONE LINE
THAT PEOPLE CALL THE ACCESS
POINT INTO THE CARE PEOPLE NEED
WHEN THEY'RE IN MENTAL HEALTH
CRISIS NOW AND PRIOR TO THIS
PEOPLE HAD TO CALL 911 AND THEY
GOT A POLICE RESPONSE AND THIS
IS A HEALTH CARE CRISIS, AND
WHAT WE AS A STATE WANT TO DO IS
PROVIDE HEALTHCARE RESPONSE TO A
HEALTH CARE CRISIS. AND SO THE
VISION OF 98 THAT THIS
LEGISLATURE PUT FORWARD AND
CONTINUES TO FIGHT FOR AN
ADVOCATE FOR IS ONE WHERE EVERY
ONION HAS THAT MENTAL HEALTH
CARE SUPPORT THAT THEY NEED IN
THE MOMENT OF CRISIS? AS I SAID,
IT IS THE FIRST STEP. THE
FUNDING REALLY HELPS WITH
ENSURING THE INTEROPERABILITY OF
911 AND 98, WHICH I KNOW WE'RE
GOING TO HEAR ABOUT TODAY AND IS
SO CRITICAL TO THE SUCCESS OF
THIS SYSTEM. IT'S SUCH A
PLEASURE TO BE WITH THE PEOPLE
THAT I'VE HAD SO MUCH TIME
WORKING WITH BOTH BUDGE AND
DEPUTY SECRETARY WELCH WHO I
KNOW THE PASSION BEHIND THE
SUPPORT THAT THEY WANT TO
PROVIDE AS AN ADMINISTRATION IS
REALLY THERE IN THE WORK THEY DO
EVERY DAY, BUT WE ALSO NEED TO
ENSURE THAT WE PROVIDE THAT FULL
CONTINUUM OF CARE. SO THIS IS
THE FIRST STEP AND ENSURING THE
STABILIZATION SERVICES ARE ALIVE
AND WELL AND EVERY SINGLE ONE OF
OUR COUNTY'S RURAL URBAN
SUBURBAN NORTH SOUTH CENTRAL
VALLEY. EVERYWHERE IN CALIFORNIA
LOOKS DIFFERENT, AND EVERY
CALIFORNIAN DESERVES THE CARE
THAT WE'RE GOING TO TALK ABOUT
TODAY AND THE SUPPORT SYSTEM
THAT THIS WILL PROVIDE, SO I
JUST WANT TO THANK ALL OF MY
COLLEAGUES WHO SUPPORTED THIS
ALONG THE WAY WHO CONTINUE TO
SUPPORT FOR IT. AND UM, THE WORK
IS JUST BEGINNING. BUT I KNOW
TODAY WE'LL HEAR ABOUT THE
INCREDIBLE WORK THAT THEY'VE
DONE. AND WHAT WE HAVE IN THE
FUTURE. THANK YOU. THANK YOU,
SENATOR. SOMEBODY REMEMBER YOU
HAVE ANY QUESTIONS? I'M LOOKING
FORWARD TO THE CONVERSATION AND
THANK YOU FOR PUTTING THIS
TOGETHER. UM ALL OF YOU WORKED
REALLY HARD ON IT AS WELL AS THE
PRESENTERS. BUT UM, IT'S ALL
GOOD WORK AND LET'S MAKE SURE WE
SPREAD THE WORD WHAT WE'RE
DOING. THANK YOU, SENATOR. ANY
QUESTIONS THROUGH TO BE WITH
SUCH DISTINGUISHED MEMBERS OF
THE ASSEMBLY AND I'M HONORED TO
BE HERE WITH YOU. AND OF COURSE,
OUR SPEAKERS TODAY AND WE'VE
HEARD ABOUT THE IMPORTANCE OF
SAVING LIVES AND I BELIEVE THIS
HOTLINE WILL CALL IT AH, IS
THERE TO SAVE LIVES? AH, WHEN
PEOPLE DIAL THAT NUMBER THERE'S
IT'S A LIFE AND DEATH SITUATION
. AND NOW WE HAVE COMMUNICATIONS
. UH YOU KNOW THE SISTER PROGRAM
, 911. WE'RE GONNA ALL
ACKNOWLEDGE WHAT THAT'S DONE
OVER THE YEARS. NOW WE'RE GOING
TO OPEN UP A NEW CHAPTER IN
SAVING LIVES, BUT IT ALSO WILL
KEEP LAW ENFORCEMENT FROM MAYBE
GETTING INVOLVED WHEN IT WASN'T
NECESSARY. WHEN COUNSELING THIS
THERE EMERGENCY MEDICAL
TREATMENT. IS THERE SOME OTHER
WAY TO GO AHEAD AND TREAT THOSE
WITH MENTAL ILLNESS? AND I THINK
THAT'S ONE OF OUR MAJOR PROBLEMS
WHEN WE COME WITH OUR HOMELESS.
TEENAGERS AND IT GOES ON AND ON
AND THANK YOU. OR YOUR
LEADERSHIP IN THIS VENUE AND IN
THIS EVENT, SO THANK YOU ALL FOR
BEING HERE. THANK YOU. AND ALSO
SENATOR ASKED ANY QUESTIONS
WHERE WE START? COMMENTS. THANK
YOU SO MUCH RIGHT ON CUE, RIGHT
? SHE IS OKAY. IT'S ALREADY A
CRAZY MORNING, AND IT'S BARELY
NINE O'CLOCK. FIRST OF ALL, I
JUST WANT TO THANK YOU SO MUCH.
YOU'VE BEEN SUCH A GREAT
PARTNER, ESPECIALLY WITH THE A
FRESHMAN SENATOR ON THE OTHER
HALF OF THE EQUATION, THANKS FOR
SHOWING ME THE ROPES AND
INCLUDING THE SENATE IN THESE
DISCUSSIONS HAVE BEEN PRETTY
VOCAL ABOUT THIS THAT I FEEL
LIKE THE SENATE NEEDS TO CATCH
UP WITH THE ASSEMBLY ON OUR ON
OUR EFFORTS TO REALLY LOOK AT
EMERGENCY MANAGEMENT, SO I'M
VERY GRATEFUL TO THE CHAIRMAN
FOR BRINGING THIS FORWARD TODAY.
AND YOU KNOW WHAT? I HAVE A VERY
LONG STANDING RELATIONSHIP,
GOING BACK TO BEING A COUNCIL
MEMBER AND VICE MAYOR AND ALL
THAT IN THE CITY. WITH THE 911
SYSTEM AND WITH HOW WE RESPOND
TO PEOPLE'S EMERGENCIES. IN OUR
COMMUNITIES, AND SO I'M VERY
INTERESTED AND WHAT FOLKS HAVE
TO SAY. TODAY MY TEAM WILL BE
WATCHING VERY CAREFULLY, AND I
KNOW THE CHAIRMAN AND I ARE BOTH
LOOKING FOR SOME THEMES THAT
MIGHT EMERGE THAT MIGHT ALLOW
THIS COMMITTEE TO TALK ABOUT AND
THE MEMBERS OF THIS COMMITTEE TO
TALK ABOUT VARIOUS LEGISLATIVE
GOALS. I KNOW THAT WE HAVEN'T
AND HE PROBABLY TALKED A LITTLE
BIT ABOUT THIS ALREADY, BUT WE
HAVEN'T REALLY TAKING A HARD
LOOK AT HOW WE PROVIDE EMERGENCY
MANAGEMENT IN A FEW DECADES, AND
IT'S PROBABLY TIME FOR THE STATE
OF CALIFORNIA TO DO THAT.
ESPECIALLY WITH THE 988 SYSTEM
COMING ONLINE AND HOW WE MAKE
SURE WE'RE RESPONSIVE TO FOLKS
AND THAT AND THAT WE'RE SENDING
THE RIGHT RESPONDERS. FOR
SUCCESS. SUCCESSFUL OUTCOMES
ACROSS THE STATE OF CALIFORNIA.
SO THANKS TO EVERYONE WHO'S
GOING TO PARTICIPATE TODAY, AND
I KNOW THERE ARE A LOT OF PEOPLE
THAT ARE WATCHING THIS HEARING.
I'VE ALREADY HEARD FROM SEVERAL
AND YOU KNOW I REALLY TO THE
MEMBERS WHO ARE SITTING UP HERE
TODAY. THERE ARE A TON OF
COMMITTEES. THIS IS A VERY BUSY
TIME FOR THE LEGISLATURE. I'M
SURE THERE ARE SEVEN OTHER
PLACES EACH ONE OF THESE PEOPLE
COULD BE. AND I KNOW YOU CAN'T
STAY THE WHOLE TIME. BUT THANK
YOU FOR CHOOSING TO BE HERE. THE
FACT THAT THEY'RE HERE MEANS
THEIR STAFF ARE ALSO WATCHING,
WHICH MEANS THERE ARE PEOPLE
TAKING NOTES AND TRYING TO
FIGURE OUT HOW WE WORK TOGETHER
TO PROCEED. AND I'M JUST REALLY
GRATEFUL TO ALL OF YOU FOR THAT.
THANKS FOR YOUR LEADERSHIP.
THANK YOU. GREAT. SO DOWN, WE
BEGIN WITH OUR FIRST PANEL AS
REMINDER OF A HOLD QUESTIONS
UNTIL THE END OF THE
PRESENTATIONS. SO FIRST PANEL
WILL HEAR FROM ASSISTANT
DIRECTOR OF PUBLIC SAFETY.
WALTER BUDGE CAREER CALIFORNIA
OFFICE OF EMERGENCY SERVICES. SO
WHEN YOU'RE READY ALL RIGHT.
THANK YOU. AND GOOD MORNING
CHAIRS AND THANK YOU FOR
INVITING US HERE TO PARTICIPATE
IN THIS CONVERSATION. AS A
STATED I'M, THE ASSISTANT
DIRECTOR OF PUBLIC SAFETY
COMMUNICATIONS, SO UNDER MY
RESPONSIBILITY IS STATEWIDE LAND
MOBILE RADIO. THAT'S THE PUSH TO
TALK RADIO SYSTEMS THAT ALL OF
OUR FIRST RESPONDERS AT THE
STATE AGENCIES ARE USING
STATEWIDE MICROWAVE SYSTEM,
911988 AND ALSO EMERGENCY
COMMUNICATIONS. SO WHEN A
DISASTER HAPPENS IN
COMMUNICATION IS NOT GOING THE
WAY IT SHOULD MY GROUP OVERSEAS
THAT AS WELL, SO LOTS OF FOLKS
OBVIOUSLY PARTICIPATING IN THAT
THAT THEY ALLOW ME TO COME SPEAK
AT THESE HEARINGS, AND THEY DO
ALL THE WORK WHILE I'M DOING
THIS. SO I WANT TO START WITH
THE 911 SYSTEM. SO WE'VE WE'VE
STARTED THE TRANSITION FROM OUR
LEGACY SYSTEM, WHICH IS BUILT ON
ANALOG TECHNOLOGY. UM THE
CHAIRMAN TALKED ABOUT SOME OF
THE LIMITATIONS OF THAT
TECHNOLOGY THAT EXISTS TODAY. WE
RECOGNIZE THAT, UM, THE SYSTEM
IS FAILING. THE FAILURE RATES
ARE INCREASING. THERE'S
LIMITATIONS TO INTEGRATE NEW
TECHNOLOGIES. AND WE RECOGNIZE
THAT SO WE CAME TO THE
LEGISLATURE AND WITH YOUR
ASSISTANCE IN 2019 A B 96 SP 96
WAS PASSED THAT PROVIDED THE
FUNDING MECHANISM FOR US TO
BEGIN THE TRANSITION TO NEXT.
GEN. 911. SO WE STARTED ON THAT
ENDEAVOR. WE SIGNED CONTRACTS IN
2019. WE WERE OFF TO A GREAT
START IN 2020. AND THEN YOU
PROBABLY ALL REMEMBER WHAT
HAPPENED SHORTLY THEREAFTER.
PANDEMIC WHICH IMPACTED OUR
ABILITY TO OBVIOUSLY GET INTO
THE CENTERS SUPPLY CHAIN
EQUIPMENT. IT'S A MAJOR PROJECT
THAT WE'VE UNDERTAKEN. THE
LARGEST 911 SYSTEM IN THE WORLD
IS WHAT WE HAVE IN CALIFORNIA.
THE REASON WHY IT'S THE BIGGEST
IS OBVIOUSLY OUR STATE IS LARGE
, AND WE CENTRALLY MANAGED THIS
AT THE STATE LEVEL, WHICH IS
UNLIKE SOME OF THE OTHERS. LARGE
STATES LIKE TEXAS, FLORIDA AND
NEW YORK. THEY ALL PUSHED A LOT
OF THE RESPONSIBILITY DOWN TO
LOCAL LEVEL. SO WE'RE
COORDINATING THIS AT THE STATE
LEVEL. JUST WANT TO GIVE YOU A
SENSE THAT WHERE WE'VE COME
SINCE 2019 AND SOME OF THE HUGE
GAINS THAT WE'VE MADE. GIVE YOU
KIND OF AN OVERVIEW WERE ACTIVE
IN NEXT GEN. 911 THE NEW
TECHNOLOGY THAT REPLACES THAT
ANALOG SYSTEM AND EL DORADO
COUNTY, LOS ANGELES COUNTY,
IMPERIAL COUNTY AND TUOLUMNE
COUNTY. SO WE'VE STARTED THAT
DEPLOYMENT. AS WITH ANY
DEPLOYMENT OF NEW TECHNOLOGY, WE
ARE LITERALLY THE FIRST IN THE
NATION DOING THIS AT THIS SCALE.
UM WE'VE LEARNED SOME THINGS. WE
ROLLED THIS OUT IN FRONT OF ONE
PIECE AT PUBLIC SAFETY ANSWERING
POINT, AND THEY SAY, HEY, THIS
THING IS GOOD TO GO. WE GO TO
THE NEXT ONE. AND THEY'RE LIKE,
WHAT ABOUT THIS? WHAT ABOUT
THIS? WHAT ABOUT THIS? BECAUSE
EVERY CENTER DOES THINGS
SLIGHTLY DIFFERENT. UM WE'VE
ALSO COMPLETED AND TO END
INTEROPERABILITY TESTING FOR
FOUR DIFFERENT NEXT GEN 91
VENDORS. THE WAY WE BUILT OUR
SYSTEM IS TO PROVIDERS ARE
CONNECTED TO EVERY 911 CENTER SO
THAT IF WE HAVE ONE THAT HAS A
PROBLEM COULD BE ANYTHING. THEIR
DATA CENTERS GO OFFLINE. THEY'RE
THEY'RE IMPACTED BY SOME KIND OF
CYBER EVENTS. SOMEBODY MAKES A
MISTAKE AND PROGRAM SOMETHING
WRONG. WE IMMEDIATELY FAIL OVER
TO THE OTHER SYSTEMS. SO WE'VE
BUILT IN REDUNDANCIES ACROSS THE
ENTIRE SYSTEM. SO THAT'S BEEN
COMPLETED. WE'VE GOT INTEGRATED
. WE HAVE OVER 100 CARRIERS THAT
DELIVER 911 CALLS IN OUR SYSTEM
. IT'S REALLY A LOT MORE THAN
THAT. BUT SOME ARE AGGREGATED.
SO IT'S MORE LIKE 1000. BUT THAT
100, YOU KNOW, HELPS TO SERVE
SOME OF THE OTHER SMALLER ONES.
WE'VE COMPLETED THE INSTALLATION
OF THE NEXT 10 91 EQUIPMENT AT
450 P STEPS ACROSS THE STATE.
THAT'S ALL OF THEM WERE ALSO
WORKING VERY CLOSELY WITH D O D
. SOME MAY NOT BE AWARE THAT IF
YOU ARE IN AN ACCIDENT ON I FIVE
GOING THROUGH CAMP PENDLETON,
IT'S ACTUALLY CAMP PENDLETON
THAT WILL RESPOND WITH
PARAMEDICS AND FIRE. SO WE'VE
GOT TO HAVE A REALLY CLOSE
RELATIONSHIP WITH D O D. WE'RE
LEADING THE WAY IN THAT SPACE AS
WELL. YOU CAN IMAGINE HOW
DIFFICULT IT IS TO WORK WITH
THAT FEDERAL PARTNER. WE'VE
TRANSITIONED ALL OF OUR 450 PCS
FROM LEGACY TEXT TO 9112 NEXT
GEN TECH 911 TEXT AND NUMBER ONE
AND WE BUILT OUT OUR NETWORK TO
ALL THESE PEACE APPS SO YOU
SHOULD GIVE YOU A QUICK STAT
WE'RE SEEING RIGHT NOW. ABOUT
100 AND 20,000 MINUTES ABOUT EGE
EVERY MONTH ON OUR LEGACY SYSTEM
. THAT MEANS SOME PEACE. APP
SOMEWHERE IS NOT ABLE TO RECEIVE
911 BECAUSE OF THE FAILINGS WE
HAVE IN THE LEGACY NETWORK
DURING THAT SAME TIME PERIOD,
ZERO SECONDS OF OUTAGE ON OUR
NEXT GEN 911 SYSTEM, SO THE
TECHNOLOGY WORKS. UM WE ARE
CERTAINLY EAGER TO CONTINUE TO
ROLL THIS OUT. AND THEN
OBVIOUSLY WE'VE BUILT IN CYBER
SECURITY AND SOME OF THE SAME
TECHNOLOGIES THAT YOU LEVERAGE
ON YOUR MOBILE DEVICE. WHEN
YOU'RE ACCESSING YOUR BANK
ACCOUNT. WE HAVE THOSE SAME
TECHNOLOGIES BUILT INTO THE
SYSTEM. WE ALSO HAVE THE ABILITY
WITH THIS SYSTEM TO INTEGRATE
NEWER TECHNOLOGIES LIKE 988.
I'LL TALK ABOUT THAT IN A
MOMENT. AND OBVIOUSLY A PROJECT
OF THIS SCOPE. LOTS OF MOVING
PARTS. LOTS OF PIECES. INITIALLY
IT WAS THE PANDEMIC THAT WAS
DELAYING US A BIT. AND NOW WE'RE
AT THE POINT WHERE WE HAVE THIS
LEGACY CALL HANDLING EQUIPMENT
THAT ANSWERS THE 911 CALL AT
EACH OF THE CENTERS, WORKING
THROUGH THE FINAL DETAILS TO
INTEGRATE THAT THEY HAD
EQUIPMENT INTO THIS NEWER
TECHNOLOGY. AND WE'RE FORMING
SOME VERY SPECIFIC TEAMS TO GO
AROUND THE STATE AND MAKE SURE
THAT WE'RE READY TO GO. SO WE'RE
MAKING SOME HUGE PROGRESS WITH
NEXT. GEN. 911 WE'RE CERTAINLY
NOT AS FAR ALONG AS I WANTED US
TO BE AT THIS POINT, BUT WE'VE
LEARNED A LOT AND I THINK WE'RE
AT THE POINT WHERE YOU'RE GOING
TO SEE SOME HUGE GAINS IN THE
BIG WHAT'S LEFT OF THIS YEAR AND
THEN THE BEGINNING OF NEXT YEAR.
WE'VE ALSO INTEGRATED AND ALERT
AND WARNING SYSTEM INTO THIS
PLATFORM. IT'S AVAILABLE TO THE
LOCAL AGENCIES. IF THEY WANT TO
USE IT, THEY OBVIOUSLY CAN HAVE
THEIR OWN SOLUTION THAT THAT
THEY WANT TO USE. BUT THE ONE WE
PROVIDE INTEGRATES WITH THIS
SOLUTION AS WELL AND IT DOES
WHAT WE CALL WIRELESS EMERGENCY
ALERTS THOSE THAT THAT ESCALATE
UP TO THAT LEVEL WHERE YOU CAN
SEND IT TO EVERYBODY'S DEVICE,
OR JUST SIMPLE ALERTS AND
WARNINGS LIKE THERE'S A PARADE
OR ROAD CLOSURE IN THIS
PARTICULAR AREA. WE'VE
INTEGRATED THAT INTO THE
SOLUTION AS WELL. SO HAPPY TO
ANSWER ANY QUESTIONS RELATED TO
ALERT AND WARNING AND THE FINAL
PIECE AND I WANT TO KEEP MY
COMMENTS BRIEF SO WE CAN HAVE
TIME FOR QUESTIONS. OBVIOUSLY,
THE 988 SYSTEM IS SOMETHING THAT
WE LOOKED AT. WE CAME TO THE
LEGISLATURE AND FY 22 23 TO ASK
FOR A BUDGET CHANGE PROPOSAL. TO
GIVE US THE INITIAL FUNDING TO
START THAT BASELINE TECHNOLOGY.
WE WERE MOVING DOWN THAT PATH OF
THE LEGISLATURE WAS DOING WORK
ON A B 988, SO WE REALLY FOCUSED
ON MOVING PAST SORT OF WHAT WE
CALL THE BASIC TRANSFER BETWEEN
988 AND 911. THIS IS WHERE THE
19 8 CALL WOULD COME IN AND YOU
TRANSFER IT OVER TO AN
ADMINISTRATIVE LINE IN THE 911
CENTER. IT DOESN'T COME IN WITH
ANY INFORMATION. IT'S JUST AN
AUDIO CONNECTION. YOU HAVE TO
MANUALLY RELAY ALL THIS
INFORMATION. WE WANT TO MOVE
THAT TO THE NEXT LEVEL, WHERE
WHATEVER DATA AND INFORMATION IS
AVAILABLE IN 988 THAT CAN BE
PUSHED INTO 911 BECOMES
AVAILABLE AND VICE VERSA. CALL
THAT STARTS IN 911 AND REALLY
SHOULD BE OVER IN 98. WE CAN
MOVE THAT SAME DATA AND
INFORMATION BETWEEN THE SYSTEMS.
SO WE'VE BEGUN THAT BUILD OUT
WHERE WE ARE WITH THAT. WE'VE
DONE A COMPETITIVE BID PROCESS.
THAT'S THAT'S HOW THIS WORKS. WE
HAVE TO GO THROUGH A REQUEST FOR
PROPOSALS PROCESS WE'VE
COMPLETED THAT WE SELECTED A
VENDOR. WE'VE DONE SITE SURVEYS
AT ALL. THE 12 CENTERS, DETAILED
WORK OF WHAT NEEDS TO BE DONE AT
EACH OF THESE CENTERS IN TERMS
OF BACKUP POWER AND CONNECTIVITY
, AND HOW MANY, UH, PIECES OF
EQUIPMENT NEEDS TO BE INSTALLED.
AND WE'VE ALSO BEGUN THE
WORKFLOW ANALYSIS THAT EACH OF
THOSE CENTERS TO FIGURE OUT WHAT
ARE 98 CALL COMES IN. WHAT
INFORMATION NEEDS TO BE INCLUDED
IN THIS NEW UNIFIED PLATFORM. WE
BEGAN TO TALK TO THE NATIONAL
PROVIDER AND THE WAY THAT THESE
98 CALLS ARE DELIVERED TODAY IS
BY AREA CODE. WE AGREE THAT THAT
IS NOT THE BEST ROUTING
MECHANISM WERE IN CONVERSATIONS
WITH THE FCC TO FIX THAT. BUT
IT'S WHAT WE HAVE. NOW WE'LL GET
THE CALL INTO THE SYSTEM IF WE
CAN DETERMINE A BETTER PLACE TO
DELIVER THAT CALL. OUR SYSTEM
CAN DO THAT. UM AND WE'VE ALSO
WE'RE IN THE PROCESS RIGHT NOW
OF VALIDATING THE INTERACTION
BETWEEN THE NEXT GEN 911 SYSTEM
AND THE 19 8 SYSTEM IN OUR LAB,
AND OUR GOAL IS TO HAVE THE
FIRST CENTER ONLINE BY THE END
OF JUNE. SOME OF THAT IS
DEPENDENT ON THE FEDERAL
PARTNERS BEING WILLING TO
CONNECT INTO OUR SYSTEM, AND
WE'RE IN THOSE CONVERSATIONS
NOW. AND THEN, AS LIKE, I SAID,
AS WE GOT STARTED, A B 98 WAS
PASSED. AND SO WE STARTED. THAT
WAS IN SEPTEMBER OF 2022. SO
WE'VE ESTABLISHED A TECHNICAL
ADVISORY BOARD. WE ESTABLISHED
THREE WORKING GROUPS ON THAT
ADVISORY BOARD ONE LOOKING AT
THE INTERFACE BETWEEN 91 AND
9881, LOOKING AT BEST PRACTICES
IN GENERAL, WHAT ARE FOLKS DOING
OUT THERE IN THIS SPACE? AND HOW
CAN WE MAKE SURE THAT TECHNOLOGY
AND THE POLICIES THAT ARE BEING
PUT IN PLACE. UM MATCH THOSE
BEST PRACTICES MATTER OF FACT,
THIS THURSDAY WILL BE THE THIRD
MEETING OF OUR TECHNICAL
ADVISORY BOARD, AND THAT IS A
LIVE BROADCAST MEETING. PREVIOUS
MEETINGS ARE AVAILABLE. IF YOU
WANT TO VIEW THOSE, AND THEN
WE'RE LOOKING AT, UM YOU KNOW,
MOBILE CRISIS RESPONSE AND SOME
OF THE FOLLOW ON PIECES THAT ARE
IN PART OF A B 98. AND OBVIOUSLY
THE SURCHARGE. AND SO WE'VE GOT
VARIOUS BUDGET PROPOSALS THAT
ARE IN FRONT OF THE LEGISLATURE
THIS YEAR TO MAKE SURE THAT THAT
98 FT THAT'S BEING COLLECTED IS
BEING USED IN ACCORDANCE WITH
WHAT IS ESTABLISHED IN THE
LEGISLATURE, SO REALLY LOOKING
FORWARD TO FINISHING THIS BUDGET
PROCESS SO WE CAN BEGIN TO USE
THOSE FUNDS REALLY THE GOAL? IS
TO MAKE SURE THAT NO MATTER WHAT
CHOICE AND INDIVIDUAL MAKES
WHETHER THEY CALL 911 OR 98 8 OR
WHAT WE CALL A WARM LINE THAT
THEY GET THE SAME ACCESS TO
THOSE SERVICES THAT THEY NEED.
EVEN IF THEY MAY HAVE MADE THE
WRONG CHOICE. THEY SHOULD HAVE
CALLED 98. THEY CALLED 911. THEY
SHOULD HAVE CALLED 98. THEY
CALLED THE WARM LINE OR VICE
VERSA. WANT TO GET THEM THE BEST
SERVICES AVAILABLE. A LOT OF
THAT HINGES ON POLICIES,
PROCEDURES, IMPLEMENTATION PLANS
, AND WE'VE BEEN WORKING IN
CLOSE COLLABORATION WITH HEALTH
AND HUMAN SERVICES. THEY'RE THE
EXPERTS ON HOW TO DELIVER
SERVICE WHERE THE EXPERTS ON
TECHNOLOGY AND SO WE'VE DONE A
LOT OF COLLABORATION, AND I'M
SURE UH, DEPUTY SECRETARY WELSH
IS GOING TO SHARE SOME OF THAT
DURING HER TESTIMONY, SO THANK
YOU. THANK YOU VERY MUCH. NOW
LET'S HEAR FROM DEPUTY SECRETARY
OF BEHAVIORAL HEALTH STEPHANIE
WELCH FROM THE CALIFORNIA HEALTH
AND HUMAN SERVICES AGENCY. THANK
YOU. GO AHEAD AND READY. YES
GOOD MORNING, HONORABLE CHAIR
RODRIGUEZ AND MEMBERS. IT'S
ACTUALLY IT'S INCREDIBLE TO SEE
SO MANY OF YOU HERE AND REALLY
SPEAKS VOLUMES TO HOW IMPORTANT
THIS TOPIC IS, UM, THANK YOU FOR
INVITING THE HEALTH AND HUMAN
SERVICES TO COME TO TODAY'S
HEARING ABOUT THIS IMPORTANT
TOPIC. UM MY NAME IS STEPHANIE
WELSH. I'M THE DEPUTY SECRETARY
OF BEHAVIORAL HEALTH AND OUR
HEALTH AND HUMAN SERVICES AGENCY
. AND IN THAT ROLE, UM I SUPPORT
OUR AGENCY AND OUR DEPARTMENT'S
FULFILL RESPONSIBILITIES RELATED
TO SUPPORTING THE HEALTHY AND
ROBUST CRISIS CARE CONTINUUM,
WHICH TODAY INCLUDES 988, A
SIMPLE, EASY TO REMEMBER THREE
DIGIT NUMBER FOR INDIVIDUALS
EXPERIENCING A BEHAVIORAL HEALTH
CRISIS. THESE CENTERS USED TO BE
REFERRED TO AS OUR NATIONAL
SUICIDE PREVENTION CRISIS
LIFELINE DESIGNATED HOTLINES AND
THEY HAVE BEEN WORKING
DILIGENTLY TO BUILD CAPACITY TO
SUPPORT THE TRANSITION TO 988
TODAY, I WANT TO TALK ABOUT
THREE AREAS OF ISSUES. FIRST
WOULD BE, UM, THE HEALTH AND
HUMAN SERVICES CRISIS CARE
CONTINUUM PLAN. THE NEXT WOULD
BE OUR WORK UNDERWAY TO SUPPORT
988 SUICIDE AND CRISIS LINE
CAPACITY. AND LASTLY, UM, NEXT
STEPS FOR OUR AGENCY TO LAUNCH
POST BUDGET. UM THE DEVELOPMENT
OF A FIVE YEAR IMPLEMENTATION
PLAN TO REALIZE THE VISION OF A
B 988. SO FIRST THE CRISIS CARE
CONTINUUM PLAN, AND FORTUNATELY
I DON'T HAVE TO TELL ANYONE IN
THIS ROOM IS PROBABLY ONE OF THE
REASONS WHY YOU'RE HERE THAT WE
ARE REMINDED DAILY THAT WE HAVE
FAR TOO MANY CALIFORNIANS WHO
ARE EXPERIENCING BEHAVIORAL
HEALTH CRISIS. THIS RANGE FROM
FROM THOUGHTS OF SUICIDE AND
SELF HARM TO PEOPLE WHO ARE AT
HIGH RISK OF OVERDOSE TO PEOPLE
WHO ARE PARALYZED BY GRIEF,
ISOLATION AND ANXIETY. EVERY
CALIFORNIA IN THEIR LIFETIME
WILL BE TOUCHED BY SOME SORT OF
BEHAVIORAL HEALTH CRISIS AND,
UNFORTUNATELY, PROBABLY MULTIPLE
TIMES. UM WHAT? WE ALSO KNOW
THAT THIS EXPERIENCE IS NOT
EXPERIENCED EQUITABLY BLACK,
INDIGENOUS AND COMMUNITIES OF
COLOR. YOUNGER OLDER INDIVIDUALS
, PEOPLE WHO IDENTIFY AS LGBTQ
VETERANS, PEOPLE WHO ARE
INVOLVED IN THE JUSTICE SYSTEM
AND PEOPLE WHO ARE HOMELESS
AMONGST OTHERS CARRY THE HARDEST
BURDEN WHEN IT COMES TO
UNTREATED BEHAVIORAL HEALTH
CONDITIONS. WHEN A B 988 WAS
INTRODUCED OVER TWO YEARS AGO,
WE WERE OBVIOUSLY IN THE PEAK OF
A PANDEMIC. UM AND WE WERE VERY
BUSY RESPONDING TO THAT PANDEMIC
. UM BUT WE ALSO KNEW THAT IT
WAS ONLY A MATTER OF TIME THAT
WE WOULD EXPERIENCE A BEHAVIORAL
HEALTH CRISIS TO THE SCALE THAT
WE HAD NOT SEEN BEFORE. THIS
WOULD BE ADDITIVE. TO AN
UNDERFUNDED, UNDERFUNDED SYSTEM
THAT WE HAVE BEEN PLAYING CATCH
UP TO BUILD VERY FEVERISHLY IN
THE LAST SEVERAL YEARS, IN FACT
, VERY MUCH SO WITH THE
INCREDIBLE SUPPORT OF THE
LEGISLATURE. UM WE DECIDED THAT
WHAT WOULD BE VERY IMPORTANT AT
THAT POINT IN TIME WAS REALLY TO
DEVELOP A STRATEGIC PLAN FOR
WHAT THE IDEAL BEHAVIORAL HEALTH
CRISIS CARE SYSTEM IN CALIFORNIA
COULD LOOK LIKE. PRIOR TO DOING
ANY SPECIFIC PLANNING AROUND THE
GOALS OF A B 988, WHICH WAS
STILL GOING THROUGH THE
LEGISLATIVE PROCESS. UM AND ONE
OF THE REASONS WE WANTED TO DO
THIS WAS BECAUSE WE DIDN'T WANT
TO LOSE SIGHT OF THE VERY
ESSENTIAL NEED TO PREVENT
IMMINENT CRISIS, KNOWING THAT
THERE ARE NOT JUST FINANCIAL
REASONS FOR DOING THAT, BUT
CRISIS IS TRAUMATIC. WE SHOULD
AND CAN ALWAYS DO BETTER TO
AVOID FUTURE TRAUMA. SO UH, HOW
SHOULD OUR FUTURE STATE OF A
STRONG CRISIS CARE CONTINUUM
LOOK LIKE? AND WHAT DOES THAT
MEAN? WE WORKED REALLY HARD TO
DEVELOP A PLAN WITH MULTIPLE
SUBJECT MATTER. EXPERTS
STAKEHOLDER ENGAGEMENT AND
VETTED IT THROUGH OUR AGENCIES
BEHAVIORAL HEALTH TASK FORCE
THAT DOES THE FOLLOWING IT
IDENTIFIES THE STATEWIDE VISION
FOR A FULL SET OF SERVICES THAT
INDIVIDUALS EXPERIENCING CRISIS.
INCLUDING THEIR INTERACTIONS
BETWEEN 988911 MOBILE CRISIS
RESPONSE CRISIS, RECEIVING
FACILITIES AND LONG TERM CRISIS
. RESIDENTIAL SERVICES COULD AND
SHOULD LOOK LIKE WE ARTICULATE A
STATEWIDE SET OF MINIMUM
STANDARDS AND METRICS THAT CAN
BE USED TO MONITOR THE
PERFORMANCE OF THIS CRISIS
SYSTEM. WE LIFT UP MODELS AND
PROTOTYPES OF WHAT US THIS COULD
LOOK LIKE ON A STATEWIDE BASIS.
I REALLY WANT TO UNDERSCORE THAT
PART OF THE MESSAGE. IN THIS
PLAN THAT WE ARE DISSEMINATING
TO YOU THIS WEEK. UM IS THAT
THIS IS REALLY GOING TO LOOK
DIFFERENT ON A COUNTY BY COUNTY
BASIS THAT BE INSTEAD WE CAN
HAVE SOME STANDARDS THAT WE CAN
ALL WORK TOWARDS AS A STATE SO
THAT NO MATTER WHERE YOU LIVE,
WHAT YOUR ZIP CODE IS THAT YOU
CAN HAVE ACCESS TO HIGH QUALITY
CRISIS SERVICES. UM THE PLAN
ALSO PROVIDES A REALLY HIGH
LEVEL OUTLINE OF A GOVERNANCE
STRUCTURE AND IDENTIFIES MAJOR
MILESTONES AND PLANNING THAT WE
NEED TO ACHIEVE OVER THE COURSE
OF THE NEXT SEVERAL YEARS. UM WE
WILL MAKE SURE THAT MEMBERS OF
THE COMMITTEE AND PEOPLE WHO ARE
IN ATTENDANCE TODAY IN THE
LEGISLATURE GET A COPY OF THIS
PLAN. REALLY THINK IT'S AN
IMPORTANT THING TO, UM UH, TAKE
IN, AND, UH, AS WE GET READY TO
LAUNCH INTO THE NEXT PHASE OF
THIS, WHICH WILL BE PLANNING
SPECIFICALLY AROUND 988. UM SO
SECOND, I REALLY WANT TO FOCUS
ON THE CAPACITY THAT HAS BEEN
BUILT AT OUR CURRENT 988 CRISIS
CENTERS, UM, SIMILAR TO KIND OF
WHAT BUDGED OUTLINED. WE REALLY
NEEDED TO TAKE THIS AS A
DEVELOPMENTAL PROCESS AND THE
FIRST AND MOST IMPORTANT THING
WAS TO MAKE SURE THAT THERE WAS
SOMEBODY WHO COULD ANSWER THOSE
CALLS THAT INCREASED CALL VOLUME
THAT CHAT VOLUME, THE TEXT
VOLUME AND TO DO IT IN A WAY
THAT WAS MORE REFLECTIVE OF THE
DIVERSITY OF CALIFORNIA. UM AND
SO IN THIS IN THE LAST SEVERAL
YEARS, UM STARTING IN FISCAL
YEAR, 21 22 WITH THE SUPPORT OF
THE LEGISLATURE. WE DEDICATED 20
MILLION IN GENERAL FUND TO THIS
CAPACITY. WE WERE ABLE TO SECURE
A GRANT FROM SAMSA ARE SUBSTANCE
ABUSE AND MENTAL HEALTH SERVICES
AUTHORITY THE FOLLOWING YEAR FOR
ANOTHER NEARLY 15 MILLION. UM
THIS YEAR WE'RE DEDICATING 19
MILLION AND THE MAY REVISE
INCLUDES AT 12.5 MILLION IN
FISCAL YEAR 25 24 25 ONGOING.
THE REASON I MENTION THIS IS
THAT THERE HAS BEEN AN INCREASE
SIGNIFICANTLY AND, MORE
IMPORTANTLY, UM I KIND OF
GLOSSED OVER IT. BUT MOVING FROM
A SUICIDE PREVENTION LIFELINE TO
A FULL FULL BLOWN BEHAVIORAL
HEALTH CRISIS CALL CENTER IS AN
ADDITIONAL SET OF
RESPONSIBILITIES AND SKILL SETS
. YOU'RE DEALING WITH PEOPLE WHO
MIGHT BE, UM, REALLY STRUGGLING
WITH SUBSTANCE USE DISORDER THEY
MIGHT BE, THERE MIGHT BE AT RISK
OF OVERDOSE. IT'S JUST A MORE
COMPLEX SET OF ISSUES YOU MIGHT
BE DEALING WITH ON THE CALL
LINE, AND THAT'S NOT A BAD
THING. THAT'S A GOOD THING AND
WE CAN BUILD TO GET THERE. BUT
WE DO NEED TO SUPPORT OUR CRISIS
CENTERS TO NOT ONLY HAVE THE
CAPACITY TO LITERALLY ANSWER THE
CALL, BUT TO ANSWER IT WITH HIGH
QUALITY. UM SO OUR DEPARTMENT OF
MANAGED HEALTH CARE SERVICES
MANAGES SEVERAL CONTRACTS THAT
ARE DESIGNED TO DISSEMINATE
THESE DOLLARS AND TO FUND OUR 12
98 SUICIDE AND CRISIS CALL
CENTERS. UM TO DATE, MOST OF THE
RESOURCES HAVE GONE TOWARDS
MAINTENANCE AND EXPANSION OF THE
THEIR SYSTEMS, UM, EXPANSION OF
THEIR WORKFORCE TO RESPOND TO
THIS INCREASED CALL VOLUME. AND
RIGHT NOW, I WANTED TO POINT OUT
THAT CALIFORNIA CURRENTLY HAS
THE HIGHEST 988 CALL VOLUME IN
THE COUNTRY. WE HAVE AN IN STATE
ANSWER RATE OF OVER OF 90% AS OF
APRIL OF THIS YEAR, SO WHAT THAT
MEANS IS WE'RE REALLY PERFORMING
AT A HIGH LEVEL BEING ABLE TO
TAKE CALLS FROM CALIFORNIANS
CLOSE TO HOME. CALIFORNIA IS
ACTUALLY ANSWERING MORE 988
CALLS THAN THE COMBINED CALL
VOLUME OF 26 OTHER STATES. MORE
THAN TWICE, UH, THE INDIVIDUAL
CALL VOLUME OF OTHER STATES
EXCEPT FOR LARGE STATES LIKE NEW
YORK AND TEXAS. SO UM, I HOPE
THAT THAT ATTEST TO THE
IMPORTANCE OF MAKING SURE THAT
WE FOCUSED ON BUILDING THE
CAPACITY OF THOSE CENTERS FIRST
. UM AND WE'VE GOT A LOT MORE TO
DO. WE HAVE TO CREATE MORE
CULTURAL AND LINGUISTIC
COMPETENCIES. WE HAVE TO HAVE
SKILLS THAT REFLECT AGAIN. THE
INCREASED COMPLEXITY OF THE WORK
. UM AND SO WE CONTINUE TO ALSO
OUR DEPARTMENT OF HEALTH CARE
SERVICES, AS WELL AS AGENCY WITH
CALLOWAY IS TO ENSURE THAT OUR
CALIFORNIA 988 CALL CENTERS HAVE
THE HANDLING EQUIPMENT THEY NEED
TO SUPPORT THE NEW, UM FEDERAL
COMMUNICATIONS COMMISSIONS,
MANDATES TO TRANSFER 988 AND 911
CALLS AND VICE VERSA. UM THIS
PARTNERSHIP HAS GONE ON FOR THE
LAST SEVERAL YEARS. UM, AND WE
CONTINUE TO WORK TOGETHER.
CALAVIUS HAS BEGUN EFFORTS TO
PROVIDE FULL INTEROPERABILITY
BETWEEN 98 911 THROUGH THE CALL
HANDLING SYSTEM AND BUDGE
MENTIONED THIS BEFORE. CREATING
A CONSUMER RELATIONSHIP
MANAGEMENT PLATFORM. UM, THIS
ALLOWS US TO CREATE A DETAILED
WORKFLOW ANALYSIS, UM, AND TO
MONITOR THE PERFORMANCE OF THE
SYSTEMS. UM INSTALLATION ON.
THIS IS HAPPENING NOW. I'M NOT
GOING TO GO INTO DETAIL ABOUT
THAT. THAT'S MORE. YOUR AREA OF
EXPERTISE. UM BUT I DO WANT TO
SAY THAT THIS IS, UH AND I KNOW
THAT THE ASSEMBLY MEMBER HAS
PASSED, BUT I WANTED HER TO KNOW
THAT WE ARE MOST CERTAINLY. ALSO
REALLY THINKING ABOUT BUILDING
OUT OUR CRISIS CARE CONTINUUM IN
TERMS OF THE ACTUAL SERVICES
THAT'S DEEPLY IMPORTANT TO OUR
ADMINISTRATION AND TO OUR AGENCY
AND JUST WANTED TO LIFT UP REAL
QUICKLY THAT WE'VE ALREADY
AWARDED OVER $200 MILLION IN
WHAT WE CALL INFRASTRUCTURE
DOLLARS FOR MOBILE CRISIS TEAMS
, UM WE ARE IN THE PROCESS OF
CREATING, UM, A SYSTEM IN WHICH
MEDICAL CAN REIMBURSE FOR MOBILE
CRISIS RESPONSE. UM AND LAST
YEAR, UH, WITH FEDERAL AND STATE
DOLLARS, UH, THIS COULD THIS
COULD ADD UP TO OVER ONE BILLION
CLOSE TO $1.4 BILLION IN
RESOURCES GOING INTO BUILDING UP
THE SYSTEM. AND THEN LASTLY, UM
, WE ARE CONTINUING TO FUND WHAT
WE FEEL IS A REALLY CRITICAL
RESOURCE. OUR CAL HOPE WARM LINE
AND BUDGET LOOTED IT TO EARLIER
. THERE ARE A LOT OF PEOPLE WHO
NEED JUST ONGOING SUPPORT AND
TALKED A LITTLE BIT ABOUT
ISOLATION, LONELINESS, ANXIETY.
WE HAVE CAL HOPE. I HOPE YOU'VE
HEARD OF IT MAY AS MENTAL HEALTH
MONTH WE TALKED ABOUT IT QUITE A
BIT AS A RESOURCE FOR ANYONE IN
CALIFORNIA WHO NEEDS SUPPORT. UM
AS THEY'RE GOING THROUGH
CHALLENGING TIMES, UM LASTLY, IN
REAL QUICKLY. I JUST WANTED TO
TALK ABOUT WHAT THE FUTURE LOOKS
LIKE AHEAD. UM AS PART OF A B
988. THE CALIFORNIA HEALTH AND
HUMAN SERVICES AGENCY IS
REQUIRED TO DEVELOP A
COMPREHENSIVE SET OF
RECOMMENDATIONS FOR A FIVE YEAR
IMPLEMENTATION PLAN. AND I UM, I
WANT TO SHARE WITH YOU A LITTLE
A LIST OF SOME OF THE THINGS
THAT WE WILL BE REQUIRED TO
DEVELOP RECOMMENDATIONS FOR. SO
WHAT ARE THE RESOURCES AND
POLICY CHANGES THAT NEED TO BE
IN PLACE IN ORDER TO CREATE? UH
AND IT CREATED A STATEWIDE
CAPACITY TO ADDRESS NEEDS. WHAT
ARE QUANTIFIABLE GOALS FOR THE
STATE? UM FOR OUR BEHAVIOR
HEALTH CRISIS SYSTEM. WE ARE
REQUIRED TO DO A COMPREHENSIVE
ASSESSMENT OF THE BEHAVIOR
HEALTH CRISIS SYSTEM TO DATE. UM
WE HAVE TO CREATE STATEWIDE AND
REGIONAL PUBLIC COMMUNICATIONS
STRATEGIES. CONVENE QUARTERLY
MEETINGS OF THE STATE 988 POLICY
ADVISORY GROUP, WHICH MUST
INCLUDE A DIVERSE GROUP OF
STAKEHOLDERS AND SUBJECT MATTER
EXPERTS TO ADVISE ON THE PLAN.
WE CURRENTLY HAVE, UM UH, BUDGET
CHANGE PROPOSAL IN THE WORKS
THAT INCLUDES SUPPORT FOR BOTH
AGENCY AS WELL AS OUR TWO
IMPACTED DEPARTMENTS, THE
DEPARTMENT OF MANAGED HEALTH
CARE AND THE DEPARTMENT OF
HEALTH CARE SERVICES. WILL BE
WORKING HARD TO PUBLISH AND
WIDELY DISSEMINATE THE CRISIS
CARE CONTINUUM PLAN AS KIND OF A
GREAT PRIMER AS WE LAUNCH INTO
THIS PLANNING PROCESS, UM WE
COULD CONTINUE TO BE VERY ACTIVE
IN THE TECHNICAL ADVISORY BOARD
AT CALAVIUS AND CHAIR ONE OF
THEIR WORKING GROUPS ON
ACCESSIBILITY AND EQUITY. UM AND
WE'RE REALLY EXCITED I'VE WE'VE
GOT WE'RE READY TO GO WITH AN
WITH AN RFP TO GO OUT TO OUR
COMPETITIVE BED BID PROCESS
AFTER THE BUDGET WRAPS UP SO
THAT WE CAN START LAUNCHING INTO
THIS PLAN. WE HAVE TWO YEARS TO
COMPLETE THE PAN. IT WILL BE A
FAST AND FURIOUS PROCESS OF
DEVELOPING THE PLAN BUT REALLY
LOOK FORWARD TO CONTINUING TO
GET ENGAGED WITH THE LEGISLATURE
ON THIS ISSUE. UM AND I CAN BE
AVAILABLE FOR ANY QUESTIONS.
THANK YOU. THANK YOU. NOW LET'S
HEAR FROM ASSISTANT CHIEF BRENT
CARTER FROM THE CALIFORNIA
HIGHWAY PATROL. THANK YOU. THERE
WE GO. GOOD MORNING CHAIRS AND
COMMITTEE MEMBERS. IT'S A
PLEASURE TO BE WITH YOU TODAY TO
REPRESENT THE CALIFORNIA HIGHWAY
PATROL AND TO TALK BRIEFLY ABOUT
THE LEGACY SYSTEM WITH THE CHP
PLAYS A SIGNIFICANT ROLE IN
STATEWIDE AND ALSO THE NEXT YEAR
NUMBER ONE SYSTEM AS WELL AS THE
BENEFITS OF THAT TECHNOLOGY ONCE
IT'S FULLY IMPLEMENTED. WE'RE A
CRITICAL PARTNER, CRITICAL
STAKEHOLDER WITH CALAVIUS AND
HIS PROJECT WITH QUALIFIER AND
WITH THE VENDORS THAT ARE
INCLUDED IN THIS PROJECT AS
WELL. AND WE APPRECIATE THE
EFFORTS HAVE BEEN MADE SO FAR.
AND AS THIS MAKES A SIGNIFICANT
IMPACT ON THE OPERATIONS OF THE
CHP. AND MOST IMPORTANTLY, WILL
IMPROVE THE PUBLIC SERVICE THAT
WE PROVIDE TO THE PUBLIC ARE
MOTORING PUBLIC SPECIFICALLY.
QUICK OVERVIEW OF THE CHP S
NUMBER ONE SYSTEM, AND THIS KIND
OF ILLUSTRATES THE IMPACT OF THE
NEXT YEAR. 911 SYSTEM ON THE CHP
AS AGAIN WE'RE STATEWIDE
FOOTPRINT. WE HAVE 24 CALL
CENTERS STATEWIDE. ALL OF THEM
ARE PUBLIC SAFETY, ANSWERING
POINTS WE EMPLOY. EACH CENTER
HAS BETWEEN FIVE DISPATCHERS TO
AS MANY AS 55. WE HAVE
APPROXIMATELY 700, PUBLIC SAFETY
DISPATCHERS AND PUBLIC SAFETY
OPERATORS EMPLOYED STATEWIDE.
FOR CONTEXT. THE CHP ANSWERED
4.894 POINT 8919 1,000,001 CALLS
IN 2022, WHICH IS JUST UNDER 20,
OF ALL CALLS STATEWIDE. AND THEN
I WANT ONE SYSTEM IN 85% OF ALL
CALLS, AND I WANT CALLS OR
WIRELESS CALLS NOWADAYS, SO WE
TAKE MANY OF THOSE CALLS THROUGH
THE CHP. WE'RE ALSO THE DEFAULT
SYSTEM FOR 911 WITH A SYSTEM MR
FAIL SOMEWHERE, THEY ROLL OVER
TO THE CHP, AND THEN WE WORK ON
TRANSFERRING THOSE CALLS TO THE
CORRECT AGENCY. OVER THE LAST 15
YEARS, THE CHP HAS WORKED
COLLABORATIVELY WITH CALLOWAY IS
TO CONTINUE TO IMPROVE THE
LEGACY SYSTEM. THAT'S IN PLACE
AND TO ENSURE THAT WE'RE
DELIVERING THOSE CALLS TO THE
RIGHT AGENCY AS EFFICIENTLY AS
POSSIBLE ON THE FIRST TIME, WITH
IVAN AGAIN HAVING TO TRANSFER
THOSE CALLS. DESPITE THOSE
EFFORTS IS NOT A PERFECT SYSTEM
. IT'S BASED UPON THE CELL TOWER
LOCATION, AS OPPOSED TO THE
ACTUAL CALL THE ACTUAL COLOR,
WHICH THEN LEADS TO CALLS BEING
TRANSFERRED TO THE RIGHT AGENCY
. IF IT'S ON THE JURISDICTIONAL
BORDER, AT TIMES, WHICH AGAIN
CAN DELAY A CALL IN ONE SECOND
SON, I WAS MAD AROUND AN
EMERGENCY SITUATION. THOSE ARE
PRECIOUS SECONDS THAT CAN BE
LOST. THE 911 SYSTEM. THE NEXT
ONE SYSTEM WILL CLOSE THAT GAP.
IT WILL BE BASED UPON THE ACTUAL
LOCATION OF THE CALLER VERSUS
THE CELL TOWER, AND WE LOOK
FORWARD TO THAT IMPROVEMENT.
MOST IMPORTANTLY, WE HOPE THAT
IT WILL LIMIT THOSE CALL
TRANSFERS BETWEEN THE CHP AND
LOCAL ALLIED AGENCIES. OUR
AGENCY IS CURRENTLY FACING A
NEAR 25% VACANCY RATE OF
DISPATCHERS WORKING AGGRESSIVELY
TO RECRUIT INTO TO RETAIN OUR
DISPATCHERS, BUT WE KNOW THAT,
UH, IF WE COULD BE MORE
EFFICIENT, IT WILL IMPROVE OUR
OPERATIONS AND LIGHTEN THE
WORKLOAD OF SOME OF OUR
DISPATCHERS AND AGAIN IMPROVE
THE SERVICE TO THE PUBLIC. AGAIN
THE MOST IMPORTANT BENEFIT OF
THE NEXT NUMBER. ONE SYSTEM IS
THAT THE LOCATIONS BASED UPON
MAPS THAT ARE PROVIDED BY THE
AGENCIES AND WE SHOULD BE ABLE
TO TELL WITHIN SOMETIMES WITHIN
METERS OF WHERE A CALLER IS.
THERE'S TIMES WHEN A CALLER
MAYBE ON THE FREEWAY OR MAYBE ON
AN ADJACENT ROADWAY, AND THAT
CELL TOWER MAY GO TO THE CHP OR
MAY GO TO A LOCAL ALLIED AGENCY
WHEN IT ACTUALLY IN ACTUALITY,
IT MEANT TO BE THE OTHER WAY
AROUND. THE NEW SYSTEM WILL
HOPEFULLY PREVENT THAT. WE'LL
KNOW EXACTLY WHERE THAT PERSON
IS ON THE FREEWAY OR JASON
ROADWAY NEXT TO THAT FREEWAY.
AND THEN ANOTHER CAPABILITY FOR
THE CHP THAT WE'RE OPTIMISTIC
ABOUT HIS ABILITY TO LOAD SHARE.
WILL BE ABLE TO TRANSFER AN
ENTIRE CENTER IN TERMS OF COLD.
I WANT CALLS COMING INTO ANOTHER
CENTER. IF THERE WAS A NATURAL
DISASTERS SUCH AS FIRE, OR WE
WERE DEPLETED IN TERMS OF STAFF
, YOU KNOW, HAVING STAFFING
SHORTAGES WITH AN ACTION I ONE
SYSTEM WE CAN TRANSFER THE
ENTIRE CALL SYSTEM TO ANOTHER.
ANOTHER CALL CENTER WITHIN THE
CHP. AGAIN THAT'S A SIGNIFICANT
BENEFIT TO US AND TO THE TO THE
PUBLIC THAT WE SERVE.
ADDITIONALLY THIS IS KIND OF
DOWN THE ROAD WITH AN ACTION I
ONE SYSTEM, BUT WE'RE EXCITED
ABOUT THIS AS WELL. AND THIS IS
NOT ONLY SERVES LAW ENFORCEMENT
BUT THE PUBLIC AS WELL. IS THAT
THE VEHICLE TELE METRICS. THIS
VEHICLE TECHNOLOGY CONTINUES TO
ADVANCE AND INFORMATION CAN BE
BROADCAST FROM A VEHICLE TO A
NUMBER ONE CENTER, INCLUDING
NUMBER OF OCCUPANTS, TYPE OF
COLLISION. EXACT LOCATION OF
THAT VEHICLE OFF OF THE ROADWAY
IN THE DARK OR DOWN IN THE BAG
MINT, SO ON AND SO FORTH. IN THE
FUTURE THAT TELE METRICS CAN BE
TRANSFERRED THROUGH THAT I WON
SYSTEM TO OUR CALL CENTERS. NOT
ONLY NOT ONLY HELPS US GET TO
THE RIGHT LOCATION, BUT ALSO
DEPLOY THE RIGHT RESOURCES AND
ENSURE THE RIGHT AGENCY, OF
COURSE, IS IN ROUTE AS WELL.
CURRENTLY THEN I WANT SYSTEM
NEXT TO NUMBER ONE SYSTEM. WE'RE
LIVE AND ABOUT FOUR AREAS IN
CALIFORNIA. OUR CHP MERCED
COMMUNICATIONS CENTER. IS BEEN
TAKING CALLS SINCE NOVEMBER OF
2021. OR CHP, CHICO AND
SACRAMENTO COME CENTERS ARE ALSO
TAKING SOME ACTION NUMBER ONE
CALLS AS WELL. AND THEN DOWN,
INHALE CENTRAL AND SOUTHERN
REGION OR ALSO TAKING ACTION. I
WILL ONE CALLS A PROJECT OF THIS
MAGNITUDE, OF COURSE, DOESN'T
COME WITHOUT SOME CHALLENGES AS
BUDGETS ALLUDED TO NOT ONLY
TIMELINES BUT WITH THE MULTIPLE
VENDORS AND TECHNOLOGY
INTERFACES HAVE CERTAINLY
PROVIDED SOME CHALLENGES THAT I
THINK THAT THE CHP IS CONTINUING
TO WORK WITH KLOS AS A STRATEGIC
PARTNER TO OVERCOME THOSE
CHALLENGES AND ENSURE THAT THIS
PROJECT IS A SUCCESS WERE VERY
SUPPORTIVE OF IT. AND WE LOOK
FORWARD TO AGAIN NOT ONLY
IMPROVING CHP OPERATIONS, BUT
MORE IMPORTANTLY, IMPROVING THE
SERVICE OF THE PUBLIC THAT WE
SORT OF EACH AND EVERY DAY.
THANK YOU VERY MUCH. I WANT TO
THANK ALL THREE POUNDERS FOR
YOUR DISCUSSIONS, AND I'M
BRINGING BACK TO MEMBERS FOR ANY
QUESTIONS. SOME REMEMBER
BOERNER. THANK YOU. UM, DID I
UNDERSTAND THAT WAS 120,000
HOURS PER MONTH OF OUTAGES IS
THAT THE CORRECT NUMBER? YES
THAT IS SO THE WAY WE CALCULATE
THAT, AS IF ANY CENTER IS DOWN.
THEN WE COUNT THOSE MINUTES FOR
THAT CENTER CONCURRENT WITH ANY
OTHER CENTER. THAT'S DOWN SO IF
, SAY, A CRITICAL POINT IN THE
NETWORK IS DOWN, THERE IS A
SINGLE POINT OF FAILURE. THAT'S
THE WAY THE LEGACY SYSTEM IS.
YOU COULD HAVE 10 PIECE APPS
OFFLINE AT THE SAME TIME WE
COUNT THE MINUTES FOR ALL OF
THOSE, UM AND WHAT DO YOU THINK
IS WHEN YOU LOOK AT THE DATA?
WHAT'S THE MAJOR REASON FOR
THOSE OUTAGES AGING
INFRASTRUCTURE IN A SINGLE POINT
OF FAILURE? THEY JUST ISN'T
BUILT WITH REDUNDANT SYSTEM WITH
REDUNDANCY IN MIND. SO WE
REALIZED THAT AND THE NEW SYSTEM
WE OVERCAME THOSE CHALLENGES.
AND WHEN YOU THINK ABOUT
BUILDING OUT, UM, A REDUNDANT
SYSTEM. WHAT DO YOU THINK YOUR
MAJOR CHALLENGES ARE ARE MAJOR
CHALLENGES? RS, CALIFORNIA AS WE
GO FORWARD. IT'S A BIG STATE AND
SO IN SOME PARTS OF THE STATE,
IDEALLY WE'D LIKE TO HAVE
MULTIPLE FIBER CONNECTIONS INTO
A 911 CENTER. PLUS WE BRING IN
ITS L T E. SO THE SAME
TECHNOLOGY AFTER YOUR PHONE WE
BRING IN EVERY SINGLE CARRIER
THAT'S IN THAT AREA, SO THAT
WOULD BE FIVE CONNECTIONS. IF
YOU COUNT THE THREE MAJOR LT
PROVIDERS TO FIBER CONNECTIONS.
IN SOME AREAS OF THE STATE. WE
DON'T HAVE THAT FLEXIBILITY SO
WE MAY ONLY HAVE ONE FIBER
PROVIDER AND SAY ONE OR TWO CELL
PROVIDERS, SO WE STILL HAVE
MULTIPLE CONNECTIONS, WHICH IS
BETTER THAN WE HAVE TODAY, BUT
THAT'S PROBABLY ONE OF THE
LIMITING FACTORS IN TERMS OF
PROVIDING THAT RELIABILITY. AND
WE THINK ABOUT OUTAGES. DO YOU
CATEGORIZE THE OUTAGES BETWEEN
ACCIDENTS, ROUTINE MAINTENANCE
OR THE QUALITY OF THE
INFRASTRUCTURE? DO YOU
CATEGORIZE WHEN YOU LOOK AT
THOSE HOURS, AND YOU WERE SAYING
WHAT YOU ATTRIBUTED TO DO YOU
CATEGORIZE IT? WE DO AND WE HAVE
STATS ON ALL OF THAT. BUT THE
BOTTOM LINE IS REGARDLESS OF THE
REASON FOR THE OUTAGE. STILL AN
OUTAGE AND THE RESPONSE REMAINS
THE SAME IN THE CENTER. UM THEY
THEY'RE DOWN, SO WE LUMP ALL
THOSE TOGETHER, BUT WE CERTAINLY
KNOW THOSE THAT ARE, YOU KNOW,
IT'S AMAZING. THE DAMAGE OF
BACKHOE DOES, UM, OR IN THE CASE
OF THE WINTER STORMS THAT
HAPPENED WHEN YOU KNOW YOU HAVE
OVERHEAD LINES AND TREES GO DOWN
AND TAKE THOSE LINES OUT. UM YOU
KNOW, THOSE ARE SOME OF THE
LONGER TERM OUTAGES THAT WE SEE
. YOU HAVE TO GO AND, YOU KNOW,
REBUILD ALL THAT INFRASTRUCTURE
AND THAT TAKES HOURS IF NOT
SOMETIMES DAYS TO REPAIR AND ONE
LAST QUESTION. UM WHEN WE THINK
ABOUT THE REDUNDANCY THAT YOU
WERE TALKING ABOUT BETWEEN LT
AND FIBER, UM WHAT DO YOU THINK
THE STATE CAN DO TO HELP ADDRESS
THE NETWORK RELIABILITY FROM THE
PROVIDERS? IF THAT'S WHAT WE'RE
DEPENDING ON SO THERE'S A COUPLE
OF INITIATIVES THAT ARE ALREADY
UNDERWAY. THE CALIFORNIA PUBLIC
UTILITIES COMMISSION HAS
DEVELOPED THE WIRELESS
RESILIENCY AND THEY'VE ALSO DONE
THE SAME THING FOR VOICE OVER IP
AND WIRE LINE PROVIDERS. WE'VE
SEEN A HUGE UPTICK IN THE
RELIABILITY OF THE NETWORKS, AS
A RESULT OF THOSE EFFORTS WILL
GET OUTAGES REPORTED TO US. IT'S
A PUBLIC PORTAL. AND WE'RE ABLE
TO TRACK THOSE GOING ALL THE WAY
BACK TO 2017. SO WE'RE SEEING AN
IMPROVEMENT THERE, SO THAT'S
REALLY BACKUP POWER. AND
MULTIPLE PATHS INTO THOSE
CENTERS, SITES AS WELL IN TERMS
OF MULTIPLE FIBER AND EVERYTHING
THAT I'VE JUST DESCRIBED. WE'RE
DOING A 911. THAT'S REALLY
WHAT'S MAKING THE DIFFERENCE AND
HAVING ACCESS TO THE DATA. WE
WORKED VERY CLOSELY WITH THE
CARRIERS AND OBVIOUSLY, WITH THE
CPU, SEE TO MAKE SURE THAT WHAT
THEY'RE WHAT THEY'RE BEING WHAT
THEY'RE MANDATING IS ACTUALLY
BEING REFLECTED IN THE DATA. UM
AND IT AND IT TAKES TIME. YOU
KNOW IF YOU IMAGINE A BACKUP
GENERATOR, THERE'S SOMETIMES
LOCAL ORDINANCES AND
RESTRICTIONS SITE RESTRICTIONS
THAT ARE IN PLACE WHERE YOU
REALLY WANT A BACKUP GENERATOR
THERE. BUT THERE'S PROCEDURES
YOU HAVE TO GO THROUGH IN ORDER
TO GET THAT THERE, AND THAT
TAKES TIME. THANK YOU.
ARCHULETA. I HAVE A QUESTION. OH
THANK YOU ONCE AGAIN FOR COMING.
THANK YOU, MR CHAIR. AH I'M
EXCITED TO BE HERE. THE FUTURE
OF 988 AS IT INVOLVES THINK I
HAD I PERCEIVE THE INDIVIDUAL
AND THE OTHER SIDE OF THAT PHONE
AS A COUNSELOR. A PROFESSIONAL,
WHERE THE 911 DISPATCHER IS
SENDING OUT THOSE CALLS FIRE.
YOU KNOW PARAMEDICS, POLICE
OFFICERS, WHATEVER. AND THAT'S
MINUTES THAT THAT ARE SO VITAL.
THE OTHER 1988. IT'S SOMEONE
WHO'S HANGING ON WAS ABOUT TO
EITHER INJECT THEMSELVES OR
SLICE THEMSELVES OR OR WHATEVER
MENTAL ISSUE THEY HAVE. DOES
THAT TIE UP THE LINE. YOU SEE
THAT HAPPENING IN THE FUTURE?
WHERE THAT COUNCILOR HAS TO STAY
ON THE LINE WITH THAT INDIVIDUAL
, UH, FOR A CONSIDERABLE LENGTH
OF TIME AND OR DO THEY TRANSFER
IT TO SOMEONE ELSE THAT IS ON
CALL. HOW WOULD THAT WORK IN THE
FUTURE. I'LL TAKE THE FIRST
ATTEMPTED THIS. UM UH SO. OUR
CURRENT 988 DESIGNATED CENTERS
DO GO UNDERGO A LOT OF TRAINING,
AND I COULD PROBABLY GET THE
SPECIFICS ON THAT. I DON'T KNOW
IT OFF THE TOP OF MY HEAD. UM
BUT I WOULD POINT OUT THAT MANY
OF THEM ARE JUST INCREDIBLY WELL
TRAINED VOLUNTEERS THAT ARE
OVERSEEN OR SUPERVISED BY A
CLINICIAN OR SOMEBODY ELSE WHO
IN IN IN YOUR WORLD SINCE I'M A
SOCIAL WORKER HERE IN FRONT OF
ALL YOU GUYS, IT'S LIKE TRIAGE
RIGHT, SO THEY ARE ABLE TO DO
REALLY QUICK ASSESSMENTS RISK
ASSESSMENTS TO MAKE SURE THAT IF
SOMEBODY IS IN, UM YOU KNOW A
LIFE AND DEATH SITUATION THAT
THEY ARE IMMEDIATELY GETTING
THEM TO AN APPROPRIATE RESPONSE
. UM, AND SO THAT IS SOMETHING.
UM LIKE I MENTIONED IN TERMS OF
THE ADDITIONAL TRAINING WE WANT
TO DO WITH COMPLEXITIES, AND OUR
WHOLE WORLD IS GETTING MORE
COMPLEX, FRANKLY. AND SO I THINK
THAT THIS IS A GOOD THING, BUT I
WOULD AGREE IN THAT THERE ARE
ALL SORTS OF BOTH TRAINING IN
PLACE, AS WELL AS OVERSIGHT WITH
CLINICAL STAFF TO MAKE SOME OF
THOSE REALLY CRITICAL DECISIONS
. I DO WANT TO POINT OUT I
FAILED TO MENTION, BUT I THOUGHT
YOU'D BE INTERESTED IN THESE
STATISTICS BASED ON SOME OF THE
POINTS THAT WERE MADE AT THE TOP
OF THE OPENING REMARKS. UM THE
VAST VAST MAJORITY OF PEOPLE WHO
CALL THESE HOTLINES ARE NOT IN
NEED OF ANY KIND OF, UM, THEY'RE
NOT IN IMMINENT DANGER. THEY'RE
NOT AT RISK OF HARMING
THEMSELVES. THEY REALLY NEED
SOMEONE TO DE ESCALATE THE
CRISIS AND HELP THEM THINK
THROUGH A PLAN OF WHAT WHAT IS
NEXT, AND SO JUST TO ILLUSTRATE
THAT WE HAD OVER 70,000 CALLS
LAST, UH LAST MONTH. INTO OUR
OUR LIFE OR OUR EXCUSE ME. 98
CALL CENTERS. UM ABOUT 1500,
JUST SHY OF 1500 OF THOSE 70
THOUSANDS RESULTED IN AN
EMERGENCY RESCUE. AND ANOTHER
2500 ROUGHLY 2500 RESULTED IN A
MOBILE CRISIS OUTREACH IN
RESPONSE, SO WE'RE DEFINITELY
MAKING SOME PROGRESS WHERE THERE
IS, UM, A CONCERN THAT SOMEBODY
NEEDS A CRISIS COUNSELOR IN
PERSON TO COME AND RESPOND TO
THEIR SITUATION THAT WE'RE
BUILDING THAT CAPACITY TO DO SO.
BUT I DO REALLY WANT TO
UNDERSCORE. THAT ARE CRISIS
COUNSELORS ARE REALLY WELL
TRAINED IN DE ESCALATING CRISIS
AND MANY OF THEM DEPENDING ON
WHERE YOU ARE IN THE STATE
ALREADY HAVE THEIR OWN TRANSFERS
AND PROTOCOLS WITH 911 THAT
THEY'VE HAD IN PLACE FOR A VERY
LONG TIME. THE NEW TECHNOLOGY IS
GOING TO ALLOW US TO EXPEDITE
THAT DO THINGS A LITTLE BIT
BETTER. BUT THE VAST MAJORITY OF
PEOPLE WHO CALL THESE THESE
LIFELINE CENTERS I THINK IT'S
LESS THAN 6% ARE REALLY REFERRED
TO HIGHER LEVELS OF CARE
RESPONSE BECAUSE THEY THE CRISIS
ITSELF WAS ABLE TO BE STABILIZED
AND DEESCALATED. AND I MAKE THEM
FOLLOW UP, CHIEF. YOU HAD
MENTIONED THAT THERE'S ABOUT 25%
VACANCY. ACROSS THE BOARD. HOW
ARE WE ADDRESSING THAT? BECAUSE
OBVIOUSLY FINDING THESE
PROFESSIONALS RETAINING THESE
PROFESSIONALS IS SO VITAL.
THAT'S CORRECT, SIR. AND WE'RE
RECRUITMENT EFFORTS HAVE
INCREASED DRAMATICALLY AROUND
THE STATE. WE HAVE SOME
DEDICATED POSITIONS NOW TO
RECRUITING DISPATCHERS
SPECIFICALLY. AND SO THAT'S MADE
IT A BIT ESTIMATED IMPACT SO FAR
, AND WE'RE LOOKING TO INCREASE
THOSE DISPATCH RELATED, UM
RECRUITERS SPECIFICALLY IN OUR
CALL CENTERS AND MORE OF A
COMMUNITY OUTREACH. SOCIAL
MEDIA, OF COURSE, WERE WERE
THERE WITH A BIG FOOTPRINT THERE
AS WELL. AND SO, SO FAR, WE'VE
SEEN SOME SIGNIFICANT NUMBERS
AND SEES THEM APPROVED IN TERMS
OF RECRUITMENT. WE'RE LOOKING AT
THE OVERALL HIRING PROCESS TO
ENSURE THAT THINGS AREN'T
DELAYED INAPPROPRIATELY. HIRING
PROCESSES, OF COURSE FOR SAFETY
. SENSITIVE POSITIONS CAN TAKE A
LONG TIME AS YOU MIGHT BE AWARE,
AND SO WE'RE LOOKING AT WAYS TO
IMPROVE THOSE TIMELINES AND TO
DECREASE THOSE TIMELINES TO
ENSURE THAT THEY'RE NOT DELAYED
IN TERMS OF BACKGROUNDS OR OTHER
PARTS OF THE SCREENING PROCESS.
AS WE DETERMINE SUITABILITY
RETENTION IS A CONCERN AS WELL.
WE ALWAYS WANT TO MAKE SURE THAT
OUR EMPLOYEES THAT WELLNESS IS A
FACTOR AND THAT WE'RE DEVELOPING
OUR EMPLOYEES THE BEST OF OUR
ABILITY, ENSURING THAT WE'RE
KEEPING THE GOOD QUALITY
EMPLOYEES THAT WE DO HAVE WITH
THE CHP. SO FAR THOSE EFFORTS
HAVE HAVE WE'VE SEEN SOME FRUITS
OF OUR LABOR, SO TO SPEAK. AND
WE CONTINUE TO LOOK AT CREATIVE
WAYS TO RECRUIT DISPATCHERS.
IT'S CERTAINLY CHALLENGING
POSITION. IT'S CERTAINLY
COMPETITIVE POSITION WITH OTHER
AGENCIES AS WELL. AND SO WE'RE
LOOKING AT ALL ASPECTS OF THE
HIRING PROCESS AND RECRUITMENT
PROCESS AND RETENTION EFFORTS TO
ENSURE THAT WE'RE DOING THE BEST
THAT WE CAN TO SERVE THE PUBLIC.
THANK YOU. YES SOMEBODY MEMBER
AGUIAR-CURRY. GOOD MORNING.
THANK YOU FOR YOUR
PRESENTATIONS. UM. WE HAVEN'T
ALWAYS BEEN REALLY THOUGHTFUL ON
THE JOBS YOU DO, AND HERE WE ARE
UP AGAINST THE WALL WHEN WE
SHOULD HAVE IDENTIFIED LEGACY
INFRASTRUCTURE YEARS AGO, RIGHT
AND SPENT THE MONEY AND WE DO
THAT THROUGH MANY OF OUR
AGENCIES TODAY. AND IT CAME
RIGHT IN CAME DIRECTLY TO ME
THIS PAST WEEK WE HAD AN
INCIDENT OVER IN DAVIS. 911
SOMEONE CALLED 911 AND IT WENT
TO A HIGHWAY PATROL CALL CENTER.
AND WE LOST SOME TIME. THE NEXT
CALL WENT DIRECTLY. I BELIEVE TO
WOODLAND SO WE HAD THE LACK OF
TIME. SO WHAT I JUST WANTED TO
SHARE IS THAT THANK YOU VERY
MUCH. I'M GLAD WE'RE MOVING
THINGS FORWARD. I THINK THAT
WE'RE FREE CAN PINPOINT THESE
ISSUES RIGHT ON WOULD BE SO MUCH
. IT'LL BE BETTER FOR THE PUBLIC
OUR CONSTITUENTS, BUT, UM, I'M
FULL SUPPORT WHATEVER YOU NEED
TO DO, BUT YOU KNOW, I WANT IT
TODAY. AND NOT IN FIVE YEARS.
AND MANY OF OUR CONSTITUENTS ARE
ASKING. WHY CAN'T WE GET THIS
DONE SOONER? PARTICULARLY WITHIN
? UH THE 9 80 CALL CENTER. THAT
WOULD BE REALLY GREAT. BUT
NEVERTHELESS, I KNOW YOU HAVE A
BIG, UM JOB AHEAD OF YOU. UM
LET'S HOPE YOU GUYS CAN GET SOME
OF THE WORKFORCE THAT CAN HELP.
UM TO REINFORCE THE THINGS
YOU'RE DOING IT AGAIN. THANK YOU
VERY MUCH FOR ME TODAY IS
SHARING AND TELLING US WHAT'S
GOING TO BE IN THE FUTURE. THANK
YOU. THANK YOU. SENATOR
CARTESIAN HAD A QUESTION. YEAH
THANK YOU. THANK YOU, MR CHAIR.
I THINK THE QUESTION IS PROBABLY
THAT'S DIRECTED TO DEPUTY
SECRETARY WELSH. UM HEY. MY I
GUESS MY OBSERVATIONS. UM. YOU
KNOW, JUST IN THE COMMUNITY IN
TERMS OF LIVED EXPERIENCE OVER
THE YEARS IS THAT THERE'S NOT A
CLEAR THERE'S NOT ALWAYS A
CLEARER UM DEFINING SET OF FACTS
YOU KNOW, UPON UPON DISPATCH OR
UPON A CALL IN TO DISPATCH UM.
AS TO AS TO WHAT'S ACTUALLY
GOING ON IN TERMS OF SUICIDAL
IDEATION VERSUS NOT AND THAT'S
AGAIN JUST AN OBSERVATION. IT
SEEMS TO IN SOME CASES LEAD TO
MORE OF A TRADITIONAL
ENFORCEMENT. UM RESPONSE.
IMMINENT DANGER TO OTHERS, UM IN
SOME CASES, WHERE, RATHER THAN
OTHERS JUST NOT TO BE. OVERLY UM
, TO MAKE AN OVERSIMPLIFICATION
, BUT A CALL IN THAT SOMEBODY
STANDING ON AN OVERPASS AND
APPEARS TO BE READY TO JUMP. YOU
KNOW, I THINK IS WOULD STRIKE
MOST FOLKS, LAY FOLKS
DISPATCHERS ENFORCEMENT THAT
SOMEBODY NEEDS TO GET OUT THERE
AND TRY TO DEESCALATE WHAT IS
GOING TO BE IN THE ATTEMPTED
SUICIDE. SOMEBODY CALLS IN AND
SAYS FRANTICALLY AND SAYS, UM,
YOU KNOW, MY ADULT SON, UM AS A
KNIFE AND IS BLEEDING. UM AND I
NEED HELP RIGHT NOW. UM, NOT SO
CLEAR. NOT SO CLEAR AND IN MY
EXPERIENCE HAS BEEN THAT, UM IN
THE LATTER CASE, OFTENTIMES WE
HAVE LAW ENFORCEMENT SHOWING UP
WITH ESSENTIALLY WITH. FIREARMS
UNHOLSTERED YOU KNOW WITH
WITHOUT MOBILE CRISIS
INTERVENTION. UM ABLE TO ABLE TO
TRY TO DEESCALATE AT LEAST IN MY
OWN COUNTY. UM IN AND I GUESS
THE QUESTION IS, I JUST WANT TO
SET THAT UP IS TO WHAT EXTENT
KIDS. ARE WE WORKING AT SORT OF
DISCRIMINATING, ARTICULATING AS
CALLS COME IN TO SOMETHING THAT
IS SET UP AS AS SUICIDE
PREVENTION HOTLINE. UM AND BY
THE SAME TOKEN. CALLS THAT ARE
COMING INTO 911 BECAUSE THAT'S
JUST WHAT SOMEBODY THINKS
THEY'RE SUPPOSED TO DO IN A
SITUATION LIKE I DESCRIBED WITH
THE HOUSEHOLD FACT PATTERN. HOW
ARE WE DISCRIMINATING? WHAT'S
THE BEST PRACTICE FOR THAT? SO
THAT THESE CALLS. DON'T JUST GET
PIGEONHOLED Tð. UM WELL, THAT
WAS A SUICIDE CALLED THE OTHER
ONE WAS, YOU KNOW, SORT OF A
MORE TRADITIONAL EMERGENCY
RESPONSE CALL. I GET IT THAT
DISPATCHERS CAN ASK QUESTIONS
AND SO FORTH. UM BUT IT JUST
SEEMS LIKE THERE'S A LOT OF
IMPROVEMENT. UM, THAT THAT WE
CAN MAKE THEIR YOU KNOW, IN
TERMS OF WHAT I'M TRYING TO SAY
IS, IT'S AS YOU SAID, BECAUSE WE
ALL UNDERSTAND. IT'S ACTUALLY A
CONTINUUM WITH A LOT OF GRAY
AREA IN IT, AND IT'S NOT SO
CLEARLY. SET UP AS THIS IS A
SUICIDE CALL. THIS IS NOT DID
YOU RESPOND TO THAT? AND THE
BEST PRACTICES? QUESTION IS, ARE
THERE PLACES IN OTHER STATES OR
MUNICIPALITIES WHERE THEY'VE
MADE PROGRESS IN THAT AREA?
YEAH, UM. DEFINITELY TO YOUR
LAST POINT, UM, PART OF WHAT WE
DO IN OUR CRISIS CARE CONTINUUM
PLAN IS LIKE LIKE A COMPENDIUM
OF SOME BEST PRACTICES IN
DIFFERENT PLACES. CLEARLY UM, UH
, BEING ABLE TO TRIAGE, THE MORE
DIFFICULT CASES UP TO SOMEBODY
IN A CALL CENTER WHO HAS, YOU
KNOW, JUST SIGNIFICANT AMOUNT OF
EXPERTISE OR EXPERIENCE IS PART
OF THAT APPROACH. UM BUT I WOULD
AGREE WITH YOU THAT AS I
MENTIONED BEFORE, I REALLY DO
THINK WE LIVE IN A VERY COMPLEX
WORLD IN TERMS OF WHAT PEOPLE
ARE CALLING IN WITH. IT COULD BE
A PARENT WHO IS, UM, STRUGGLING
WITH IT WITH A CHILD AND THEIR
AGGRESSIVE BEHAVIOR, AND THAT
MIGHT BE A DIFFERENT QUOTE
UNQUOTE NUMBER TO CALL. SO THE
CHALLENGE THAT WE HAVE IS THE
BEAUTY OF AN EASY TO REMEMBER
THREE DIGIT NUMBER AND THE
COMPLEXITY OF THE PEOPLE'S NEEDS
WHEN THEY CALL THAT NUMBER.
THAT'S NOT A BAD CHALLENGE TO
HAVE. IT IS A IN SOME WAYS, UM,
IS STILL A STEP IN THE RIGHT
DIRECTION. I THINK A COUPLE OF
THINGS TO ANSWER YOUR QUESTION.
UM AS PART OF OUR FIVE YEAR
IMPLEMENTATION PLAN, WE ALSO
WILL BE LIFTING UP PROTOCOLS AND
BEST PRACTICES IN THE TRANSFER
BETWEEN 911 AND 988, AND VICE
VERSA. WE'VE ALREADY STARTED
HAVING MAYBE SOME OF THOSE
KANSEN STATIONS, AT LEAST ON THE
TECHNOLOGY SIDE AS PART OF OUR
98 TECHNICAL ADVISORY BOARD. OUR
POLICY ADVISORY COMMITTEE WILL
BE TASKED WITH DEVELOPING MORE
RECOMMENDATIONS IN THAT SPACE.
THAT'S ONE I THINK ALSO, WE DO
HAVE A PUBLIC EDUCATION
CHALLENGE. UM ONE THING THAT WE
LEARNED IN PUTTING TOGETHER OUR
PLAN IS NOT ONLY DO WE HAVE
LOCALLY RUN AND VERY SUCCESSFUL
WARM LINES. WE HAVE POPULATION
AND ISSUE SPECIFIC WARM LINES.
WE HAVE A FRIENDSHIP LINE FOR
OLDER ADULTS. IT'S VERY, VERY
POPULAR. IT GETS AN ENORMOUS
AMOUNT OF CALLS EVERY MONTH AND
HAS A VERY SPECIFIC UH, PURPOSE
IN MIND AS I MENTION IN BEFORE
WE HAVE CAL HOPES SOON WE'LL
HAVE OUR VIRTUAL PLATFORM FROM
OUR CHILDREN AND YOUTH AS PART
OF OUR, UM CHILDREN AND YOUTH
BEHAVIOR, HEALTH INITIATIVES SO
ONE OF THE OTHER THINGS THAT
WERE TASKED TO DO IN THIS PLAN
IS TO COME UP WITH SOME, UH,
SOME RECOMMENDATIONS AROUND
PUBLIC EDUCATION MARKETING,
HELPING THE PUBLIC TO KNOW. UM
YOU KNOW, IT TOOK US ALL A LONG
TIME TO REALIZE I'M A SOCIAL
WORKER, SO I WAS TRAINED TO USE
BOTH 311 AND 211. BUT MAYBE
PEOPLE DON'T KNOW WHAT THOSE
ARE. WE ALSO HAVE AN INCREDIBLE
UH WEB AND YOU MAY HEAR ABOUT IT
LATER, OF ALL SORTS OF LOCAL
MENTAL HEALTH ACCESS LINES.
THESE ARE PEOPLE WHO NEED HELP
AND NEED SERVICES ARE TRYING TO
CALL IT CALL TO GET AN
APPOINTMENT OR TO BE SEEN. AND
SO WE HAVE A WEB OF WORK TO DO.
I'M NOT GOING TO SUGARCOAT THAT
IN TERMS OF WHAT WE'D LIKE TO
ACCOMPLISH, BUT I THINK WE ALL
HAVE THE SAME GOAL WHERE THE
BEST THING TO DO IS TO HAVE
PEOPLE COME TO THE YOU KNOW, PUT
IF THEY'RE IN A BEHAVIORAL
HEALTH CRISIS. DIAL 988, AND WE
NEED TO DO THE REALLY HARD WORK
TO FIGURE OUT HOW TO BE THE
NAVIGATION SYSTEM FOR THAT
PERSON ONCE THEY CHOOSE TO MAKE
THAT PARTICULAR CALL, AND THAT'S
GOING TO BE A VERY LONG BUILD UP
TO GET THERE. I DON'T WANT TO
SUGARCOAT THAT EITHER. IT IS
GOING TO TAKE US SEVERAL SEVERAL
YEARS TO THE END OF THIS DECADE.
I WOULD ASSUME, UM AND THAT'S
PART OF WHY WE'RE DEVELOPING A
FIVE YEAR IMPLEMENTATION PLAN TO
FIGURE OUT WHAT DO WE NEED TO DO
FIRST? WHAT MAKES THE MOST SENSE
AND MY LAST POINT IN ANSWERING
SOME OF YOUR QUESTIONS. UM IS
YOU KNOW, UH, I SPENT A LOT OF
MY CAREER WORKING IN CRIMINAL
DIVERSION AND CRIMINAL JUSTICE
DIVERSION. AND YOU KNOW, WE HAVE
DECADES OF WORK THAT HAS BEEN
HAPPENING WITH OUR LAW
ENFORCEMENT AND PUBLIC SAFETY
PARTNERS TO EMBED CLINICIANS,
SOCIAL WORKERS PEER SUPPORT
SPECIALIST INTO THEIR TEAMS. UM
I THINK, UH, WE'RE GOING TO HAVE
TO WORK ON USING A VARIETY OF
DIFFERENT DIFFERENT MODELS NOT
ONLY BECAUSE OF CAPACITY ISSUES
, BUT ALSO BECAUSE OF SOME OF
THE ISSUES THAT YOU MENTIONED.
UM AND YOU KNOW AGAIN, THE
COMPLEXITY OF RESPONDING TO
CRISIS WHEN SOMEONE MAYBE, UM,
YOU KNOW, IN A REALLY
COMPROMISED POSITION, OR THERE
ARE SUBSTANCES INVOLVED. THAT
MIGHT BE DANGEROUS. I MEAN, THIS
IS THERE'S NO ONE SINGLE WAY TO
DO THIS. UM AND SO WE HAVE TO BE
OPEN TO A LOT OF DIFFERENT
MODELS. BUT THE MOST IMPORTANT
THING IS TO CONTINUE. I THINK ON
OUR QUEST TO SUPPORT OUR LOCAL,
UH, PARTNERS TO DESIGN THINGS
THAT WORK FOR THEIR COMMUNITIES
IN YOUR COMMUNITY SENATOR HAVE A
988 CENTER THAT'S WORKING REALLY
HARD TO CREATE MOBILE CRISIS
RESPONSE. AND I WANT TO DO IT IN
A WAY THAT IS SENSITIVE TO THE
TO THE CULTURAL DIFFERENCES THAT
YOU HAVE IN IN PARTICULAR, LARGE
CITY OF SAN JOSE. THEY NEED TO
BE EMPOWERED TO DESIGN WHAT
WORKS FOR THEM, AND THAT'S GOING
TO POTENTIALLY LOOK VERY
DIFFERENT THAN PICK SOMEONE ELSE
BUT SOMEBODY IN THE NORTHERN
PART OF THE STATE AND THEY MAY
HAVE TO HAVE DIFFERENT
PARTNERSHIPS TO BE ABLE TO MEET
THE DEMAND. UM AND SO WE JUST
REALLY WANT TO EMPOWER
COMMUNITIES WITHIN SOME BASIC
BROAD PRINCIPLES TO DESIGN WHAT
MIGHT MAKE SENSE FOR THEM AND
HOW AND SUPPORT THEM IN BUILDING
THEIR CAPACITY TO HAVE KIND OF
THAT ROBUST CRISIS CONTINUUM. SO
I HOPE THAT ANSWERS YOUR
QUESTION. YES SIR. THANK YOU.
THANK YOU, MR CHAIR, SER ASHBY.
DO YOU HAVE A QUESTION? YEAH
JUST, YOU KNOW, KIND OF A LITTLE
BIT OF A STATEMENT. I THINK, UM
YOU KNOW, I SORT OF TRY TO THINK
OF ALL OF THIS AND SORT OF THREE
PARTS IN MY OWN MIND, BECAUSE IT
IS REALLY COMPLICATED, AND, UH.
WE DO HAVE A LONG WAY TO GO WERE
ALSO A LOT BETTER OFF THAN MOST
PLACES. SO I'M TRYING TO TRY TO
LEAVE ROOM TO BE ENCOURAGED
ABOUT WHERE CALIFORNIA'S AT AND
ALSO KNOW THAT WE'VE ALL SEEN
WHERE THE SYSTEM HAS FAILED, AND
SOMETIMES WE FOCUS ON THOSE
AREAS BECAUSE THE OPPORTUNITY
FOR IMPROVEMENT BUT HERE THE
THREE SORT OF BUCKETS I LOOK AT
AND SOME OF THESE AREAS. THERE'S
BEEN TREMENDOUS AMOUNT OF WORK
AS OF LATE. OTHER AREAS. I THINK
THERE HASN'T BEEN SO THE FIRST
AREA I THINK WHERE I THINK WE'RE
GOING. A LOT OF WORK IS THE
SYSTEM ITSELF. THIS IS WHERE
NEXT GEN PLAYS IN, AND YOU HAD
THIS SORT OF ANTIQUATED 911
SYSTEM. BUT YOU'VE ADDED 988,
AND THEN YOU KNOW THE COUNTIES
HAVE THEIR 211 OR WHATEVER. BUT
THE AVERAGE PERSON IN THE
COMMUNITY DOESN'T KNOW ALL THOSE
NUMBERS OR KNOW WHERE THEY PLUG
INTO THOSE NUMBERS. BUT THE
SYSTEM ITSELF WHERE YOU TALK
ABOUT TECHNOLOGY AND INTEGRATION
AND FIBER OPTICS AND MOBILE
DEVICES AND CELL TOWERS, THAT
PEOPLE PAYING OFF OF IN THAT
REGARD. I THINK I THINK WE'RE ON
THE FOREFRONT. I REALLY DO. I
THINK WE'RE PUSHING HARD ON THE
ENVELOPE THERE TO MAKE SURE THAT
WE DO HAVE REDUNDANCIES THAT WE
DON'T HAVE AS MANY SYSTEM
FAILURES. I THINK IF YOU GO TO
RURAL AMERICA, YOU WILL COME
BACK. VERY PROUD OF CALIFORNIA.
UM AND BE GRATEFUL THAT THIS IS
WHERE YOU LIVE AND THAT THERE
ARE THESE OPPORTUNITIES AND THAT
THE WORST THING TO HAPPEN TO YOU
IS YOU GOT CHP INSTEAD OF YOUR
LOCAL POLICE DEPARTMENT, BUT
THEY TRANSFERRED YOU PRETTY
QUICKLY. UH THAT'S GOOD COMPARED
TO A LOT OF PLACES. BUT AS
ASSEMBLYWOMAN AGUILAR CURRY
SAID, WE ALSO DON'T WANT TO LOSE
THOSE PRECIOUS MOMENTS ON SOME
OF THOSE CALLS, SO THERE'S ROOM
TO GROW THERE. BUT THE NEXT
PIECE IS ARGUABLY THE PIECE
WHERE I THINK WE'RE FALLING DOWN
THE MOST. AND THIS IS THE
EDUCATION PIECE. WHAT NUMBER
SHOULD PEOPLE CALL AND THE ONE
NUMBER EVERYBODY DOES KNOW IS
911 SO IT'S OVERBURDENED. AND
YOU KNOW THESE THE 911 SYSTEM
HISTORICALLY LED TO POLICE OR
FIRE AND, AS SENATOR CORTEZ HAS
SAID. ESPECIALLY IN BIG CITIES.
WE'VE CHANGED THAT NOW THERE'S
THIS THESE OTHER ALTERNATIVES
FOR WHO MIGHT SHOW UP WHEN YOU
CALL 911, WHICH I THINK IS VERY
APPROPRIATE. BUT IT CALLS FOR US
TO MAKE THE RIGHT DECISION
DURING THAT 911 CALLER ON
PEOPLE'S LIVES ARE AT RISK, BUT
THE RESPONDER AND THE PERSON IN
NEED OF ASSISTANCE. WE GOT IT.
WE HAVE TO DO A GOOD JOB OF
MAKING SURE WE SEND THE RIGHT
FIRST RESPONDER TO THE RIGHT
INCIDENT. AND. THAT REALLY
REQUIRES US HAVING A GOOD
PARTNER ON THE OTHER END OF THE
LINE, AND SO WE IT'S GOING TO BE
INCUMBENT ON THIS LEGISLATURE
AND ON LOCAL GOVERNMENTS ACROSS
THE STATE OF CALIFORNIA. TO
REALLY POUR INTO THE SYSTEM, AND
I THINK, GET OUT IN THE SCHOOLS
AND BEING VERY EARLY TEACHING
YOUNG PEOPLE, WHICH NUMBER TO
CALL BASED ON WHAT'S HAPPENING
IN THEIR LIFE. WE HAVE TO MAKE
THAT JUST APART. ROUTINE PART
LIKE 911 HAS BEEN FOR ALL OF OUR
LIVES. AND FOR ME, THE THIRD
BUCKET IS THE SERVICE BUCKET,
AND THAT'S MAKING SURE THAT
CITIES AND COUNTIES AND AREAS
ALL ACROSS THE STATE HAVE A
LEVEL OF CARE THAT WITHIN AN
AMBULANCE SHOWS UP THAT THAT
THERE'S A MINIMUM STANDARD IN
THE STATE OF CALIFORNIA FOR WHAT
YOU GET WHEN THAT AMBULANCE
SHOWS UP. WHERE HOW WELL TRAINED
YOUR OFFICER IS OR HOW YOUR WHAT
KIND OF BACKGROUND YOUR SOCIAL
WORKER HAS OR YOUR BEHAVIORAL
HEALTH SPECIALISTS THAT SHOWED
UP THAT PEOPLE ARE RECEIVING A
STANDARD OF CARE. AND THIS IS
WHERE I THINK THE LEGISLATURE
PLAYS A ROLE. AND THIS IS WHERE
I THINK WE HAVE AN ANTIQUATED
SYSTEM. I DO NOT THINK THAT WE
HAVE DONE ENOUGH TO LOOK AT OUR
POLICIES AND PROCEDURES TO MAKE
SURE THAT WE'RE, UH, RESPONDING
TO PEOPLE ACROSS THE STATE OF
CALIFORNIA. WITH THE HIGHEST
POSSIBLE STANDARD THAT WE CAN
ACHIEVE IN THIS STATE AND THE
REST OF THE SYSTEM HAS TO WORK
REALLY WELL, BUT THIS IS WHERE
THE PEOPLE AT THIS DIOCESE NEED
TO BE THINKING ABOUT. WHAT ARE
WE DOING TO MAKE SURE THAT THE
LAWS AND THE POLICIES ARE IN
PLACE TO SUPPORT THIS? THE
PROGRESS OF THIS 911988
INTEGRATED NEXT GEN SYSTEM. HOW
ARE WE STANDING UP SOCIAL
WORKERS? HOW ARE WE SUPPORTING
THE DISTINCTION BETWEEN HIGHWAY
PATROL AND LOCAL POLICE AND
LOCAL SHERIFFS? AND WHAT ARE WE
DOING WITH AMBULANCE CARE, WHICH
IS VASTLY DIFFERENT ACROSS THE
STATE OF CALIFORNIA TO MAKE SURE
THAT YOU KNOW WHEN WE GET THERE
THAT THE PERSON ON THE OTHER END
HAS THE GREATEST OPPORTUNITY OR
SUCCESSFULLY ADDRESSING WHATEVER
IT IS THAT MADE THEM PICK UP THE
CALL. PICK UP AND MAKE THAT CALL
THAT DAY. AND YOU KNOW, WE STILL
HAVE A POLICE CHIEF IN
SACRAMENTO, WHO ALWAYS SAID TO
ALL OF US, YOU KNOW WHEN YOU'RE
UP HERE WE HEAR ABOUT LOTS OF
CALLS, AND WE HEAR ABOUT LOTS OF
INCIDENTS IS ALWAYS HAVE TO
REMEMBER THAT FOR THE PERSON WHO
PICKED UP THE PHONE THAT DAY AND
MADE THE CALL IS ONE OF THE
ROUGHEST DAYS OF THEIR LIFE
BECAUSE THEY DECIDED TO CALL FOR
HELP AND, YOU KNOW WE ALWAYS
HAVE TO REMEMBER THAT AND MAKE
SURE THAT WE'RE PUTTING IN PLACE
POLICIES AND PROCEDURES TO
SUPPORT THE PERSON. WHO HIT THE
SPOT WHERE THEY SAID THE
SITUATION IS BIGGER THAN ME. I
NEED SOME HELP THAT WE'RE
SENDING THEM THE RIGHT HELP, AND
THAT'S MY ENCOURAGEMENT TO
EVERYONE ON THIS BORDERS. TAKE
THIS INFORMATION TODAY AND THINK
ABOUT WHAT YOU'RE HEARING FROM
THESE EXPERTS AND WHAT WHAT WE
NEED TO DO. I DON'T HAVE ALL THE
ANSWERS, BUT IT'S CLEAR TO ME
THAT THERE'S A POLICY ROLE TO BE
PLAYED HERE TO SUPPORT THE
PROGRESS THAT WE'RE EXPECTING
FROM THE EXPERTS THAT ARE
SENDING IN FRONT OF US. SO MY
STATEMENT. THANK YOU. AND I
THINK REBECCA AND A QUESTION YES
. THANK YOU, MR CHAIR, AND I
WANT TO JUST ECHO THE COMMENTS
OF MY COLLEAGUES AND SOMETHING
WE HEARD FROM DEPUTY SECRETARY
WELSH, WHICH IS, UM THE
INCREDIBLE DIVERSITY OF THE
STATE AND THE NEEDS OF WHAT THAT
LOOKS LIKE THROUGHOUT THE STATE,
AND I THINK, UM, ONE OF THE
GREAT PARTNERSHIPS AND THINGS
THAT CAME OUT OF A B 98 WAS THE
EMPOWERMENT TO GO FIGURE OUT IN
EVERY COUNTY WITH THAT LOOKS
LIKE BUT I THINK IT IS REALLY
CRITICAL. AND I HEARD YOU SAY
THIS MANY TIMES THAT WE AS
POLICYMAKERS NEED TO SET THE
STANDARDS OF WHAT WHAT EVERY
CALIFORNIAN GETS, AND THAT
DELIVERY SYSTEM MAY LOOK
DIFFERENT IN DIFFERENT COUNTIES,
BUT EVERY SINGLE PERSON IN
CALIFORNIA SHOULD HAVE ACCESS TO
THIS 988 SYSTEM THAT'S
INTERCHANGEABLE 911 TO A MOBILE
CRISIS RESPONSE THAT IS UM NOT
CENTERED AROUND LAW ENFORCEMENT
IF THEY'RE IN A HEALTH CARE
CRISIS, AND I THINK THE BEAUTY
OF LOCAL GOVERNMENT THAT WE'VE
HEARD ABOUT NOW, A COUPLE OF
TIMES IS THAT THEY'VE BEEN OUT
THERE PILOTING THIS RIGHT? I
MEAN, L A COUNTY HAS A GREAT
SYSTEM WHERE THEY DECIDE WHO
RESPONDS AND WHETHER LAW
ENFORCEMENT NEEDS TO COME IN A
CO RESPONSE OR WHETHER
HEALTHCARE RESPONSE ALONE IS
SUFFICIENT. AND SO WE'RE SEEING
THAT ON THE GROUND ALREADY IN
MANY COUNTIES AND ARE ABLE AS
BUT SAID TO LEARN FROM THOSE
BEST PRACTICES AND PUT THEM INTO
PLACE AND I THINK THAT'S REALLY
IMPORTANT LEARNING THAT WILL
HAPPEN THROUGH THE REPORT.
THAT'S COMING THE FIRST ONE THIS
WEEK. BUT I KNOW IT'S ONLY THE
FIRST OF MANY THAT WE'LL SEE
FROM ALL OF YOU AND HOW THIS UM,
ON HOW THIS WILL PLAY OUT IN THE
YEARS TO COME. UM AND I WANTED
TO TOUCH A LITTLE BIT ON THE
FUNDING, AND I THINK ONE THING
THAT WAS HIGHLIGHTED THAT I
THINK IS REALLY IMPORTANT WAS
THE ADMINISTRATION DID COME WITH
THOSE BCPS WELL BEFORE A B 98
WAS EVEN POSSIBLE TO START THIS
ROLL OUT AND TO START KNOWING 90
DAY WAS COMING FROM THE FEDERAL
GOVERNMENT. WANT TO KNOW THAT WE
WOULD WANT INTEROPERABILITY THAT
THAT WAS REALLY CRUCIAL TO THE
SAFETY AND SECURITY OF
CALIFORNIANS. IF YOU CALLED THE
WRONG NUMBER, YOU GET THE RIGHT
RESPONSE, NO MATTER WHETHER
THAT'S CALLING 98 OR 911. UM AND
I THINK THAT WILL MAKE
CALIFORNIANS SAFER AND SO HUGE
KUDOS TO THE ADMINISTRATION. UM
AND YOUR TEAMS WERE COMING TO US
AND PROPOSING THOSE FUNDS AND,
UM, THE LEGISLATURE PARTNERING
WITH YOU TO GET THAT WORK WELL
UNDERWAY BEFORE THOSE FUNDS THAT
ARE NOW ROLLING OFF PEOPLE'S
PHONE BILLS WERE COMING YOUR
WAY, SO I JUST WANTED TO ASK
ABOUT THOSE FUNDS. YOU KNOW, WE
TALKED ABOUT THE USE OF THOSE
FOR TECHNOLOGY. UM, AND THE
BUILD UP OF AH, THOSE CALL
CENTERS ARE THEY ALSO BEING USED
? UM, I KNOW THERE WAS AN
ANTICIPATION OF MORE CALLS.
COMING IN THROUGH THE 98 SYSTEM
IS DEPUTY SECRETARY WALTER
MENTIONED? IT'S A LOT EASIER TO
CALL 98. SO WE EXPECTED THERE TO
BE AN UPTICK IN CALLS. SO ARE WE
ALSO FUNDING INCREASED PERSONNEL
LIKE, HOW ARE THOSE FUNDS THAT
HAVE GONE OUT BEING USED TODAY
TO BUILD UP THE 98 SYSTEM? YEAH
GOOD QUESTION. AND I CAN GET
MAYBE SOME MORE SPECIFICITY FROM
OUR DEPARTMENT OF HEALTH CARE
SERVICES, BUT GENERALLY SPEAKING
, THE FUNDS THAT WE HAVE GIVEN
98 CALL CENTERS HAVE BEEN FOR
THEM TO BUILD THEIR WORKFORCE IN
TERMS OF ACTUAL PEOPLE. UM AS
WELL AS ENHANCED TRAINING FOR
THE PEOPLE WHO ARE WORKING.
WORKING THERE WERE TAKING. UM.
HE HURT. THEY'RE ONE OF THE
LARGEST IN THE COUNTRY'S, IF NOT
THE LARGEST IN THE COUNTRY, BUT
THEN WE HAVE MUCH SMALLER ONES
WHO MAY NOT HAVE BEEN OPERATING
24 7 OR THEY WEREN'T ABLE TO
OPERATE. UM YOU KNOW THAT THE
EXTENSIVE HOURS AND WHENEVER
THAT HAPPENS SIMILAR TO WHAT YOU
WERE EXPLAINING WITH 911, THERE
IS ANOTHER CALL CENTER THAT IS
ALWAYS AVAILABLE FOR SOMEONE WHO
MIGHT BE CALLING IN SHASTA
COUNTY, UM, NEEDING IT NEEDING
SOMEONE TO TALK TO, UM, BUT
THAT'S WHAT THE MAJORITY OF THE
SERVICES HAVE BEEN FOR TWO AND
WE HAVE BEEN WORKING WITH OUR 12
CRISIS. SENATORS TO KIND OF
MONITOR WHAT THE TRENDS ARE IN
TERMS OF THE UPTICK. UM I DON'T
SPECIFICALLY HAVE A TREND
REPORT. ALTHOUGH I THINK WE
CREATE THEM THAT WE COULD
PROBABLY SEND TO YOU. UM BUT
RIGHT NOW, WE'RE HOLDING PRETTY
STABLE AT THE SAME AMOUNT. BUT I
DO THINK WE HAVE MONTHS LIKE
THIS MONTH WHERE I ONLY HAVE THE
DATA FROM LAST MONTH, BUT THIS
MONTH IS MAY AS MENTAL HEALTH
MONTH. I WOULDN'T BE SURPRISED
IF THINGS GO UP A LITTLE BIT
JUST BECAUSE PEOPLE ARE TALKING
ABOUT 988. I BELIEVE THAT THE
FEDERAL GOVERNMENT MIGHT BE
DOING SOME MORE, UM, OUTREACH TO
EDUCATE PEOPLE THAT 988 IS THERE
AND THAT MIGHT RESULT IN MORE OF
AN UPTICK SO THE PRIMARY GOALS
HAVE REALLY BEEN TO MAKE SURE
THAT THE CENTERS HAVE THE
CAPACITY TO, UH, INPUT INTO THE
IS IT CALLED A CONSUMER RESPONSE
SYSTEM. I'M SORRY THAT CRM IS
THE ACRONYM. SO UM AND REALLY,
THAT'S I THINK A BIG KEY TO THE
TECHNOLOGY RIGHT NOW THAT THE
STATS WE GET ARE FAIRLY LIMITED.
UM IN TERMS OF CALLED
DISPOSITION. TIME TO ANSWER THE
CALL. YOU KNOW WHAT HAPPENED TO
THE CALL? IF IT WASN'T ANSWERED
? WHERE DID IT GO? BECAUSE THE
DATA WE GET FROM THE NATIONAL
SYSTEM IS RATHER LIMITED. SO I
THINK THAT'S GOING TO REALLY
HELP INFORM US PROVIDE THE STATS
TO THE EXPERTS WHO THEN SAY,
OKAY, THIS IS WHAT WE NEED IN
TERMS OF CAPACITY AND TRAINING
AND POLICY AND PROCEDURE AND SO
REALLY GOOD DATA IS GOING TO
HELP US MAKE BETTER DECISIONS AS
WELL, UM SO AND I THINK THAT'S A
BIG PART OF IT. AND THAT'S
REALLY WHAT THIS ONGOING BCP AND
THE 98 FOUND IN THE SURCHARGES
REALLY FOCUSED ON IS HOW DO WE
TAKE THOSE RESOURCES AND BEST
USE THEM IDENTIFY THE PROBLEM
AND PUT THE RESOURCE TO FILL THE
GAP THAT EXISTS AND UM, THAT'S
REALLY WHAT WE'RE GOING TO BE
DOING OVER THE NEXT, YOU KNOW,
YEAR OR TWO AS WE LEARN ABOUT
WHAT'S REALLY HAPPENING IN THE
SYSTEM. AND SO I HAD THE
PRIVILEGE OF TOURING DIDI HIRSCH
, WHICH IS AN INCREDIBLE
FACILITY IN THE FOLKS THEY'RE
TRAINED TO HANDLE. UM PEOPLE IN
CRISIS, I THINK, BRILLIANTLY, UM
BUT THEY AS I SAW WHEN I WENT
BEFORE THE PASSAGE OF 98 IT WAS
GOING TO TAKE AS YOU SAID SOME
CHANGES RIGHT IN THEIR
TECHNOLOGY TO ALLOW FOR THE
INTEROPERABILITY TO ALLOW FOR
THEM TO GIVE US THE DATA WE NEED
TO ALLOW FOR A CO RESPONSIVE
NECESSARY SO AS YOU'VE STARTED
THAT ROLL OUT, I THINK WITH DIDI
HIRSCH, UM HOW IS THAT GOING?
HOW HOW IS ARE WE SEEING
TECHNOLOGICAL PROBLEMS? SO WE
HAVE NOT DEPLOYED THE FIRST
SYSTEM. UM SO WHAT WE'RE DOING
NOW WE'RE CALLING IT A MINIMALLY
VIABLE SOLUTION. SO IN OTHER
WORDS, YOU ASK A CENTER WHAT
THEY WANT AND THEY GIVE YOU YOU
KNOW, FIVE PAGES OF STUFF. WE'D
REALLY LOVE TO HAVE SOME EXIST.
SOME DOESN'T EXIST. SO WE GO
BACK AND SAY OKAY, WHERE'S THE
CRITICAL LINE HERE? WHAT DO YOU
NEED? IN THIS TECHNOLOGY TO DO
YOUR JOB ON DAY ONE. AND THEN
WHAT'S NEXT? IMPORTANT NEXT NEXT
NEXT, AND WE CONTINUE TO BUILD
THE SYSTEM OUT. WE'RE HAVING
THOSE CONVERSATIONS. NOW THOSE
DEMONSTRATIONS ARE HAPPENING
WITH THE CENTERS WERE TECHNOLOGY
PEOPLE. THE LAST THING YOU WANT
IS FOR US TO DESIGN THIS BY
OURSELVES WITHOUT CONSULTING
THOSE WHO ARE ACTUALLY GOING TO
USE THE SYSTEM. THAT'S REALLY
WHERE WE ARE NOW. UM BY THE END
OF JUNE, I'LL HAVE A MUCH BETTER
ANSWER FOR YOU ON SORT OF WHERE
WE ARE WITH THE TECHNOLOGY. UM,
THIS IS TECHNOLOGY. IT DOESN'T
EXIST TODAY. I MEAN, IT'S NOT
LIKE YOU CAN GO. YOU KNOW, BY
THIS OFF THE SHELF FROM THE
PROVIDER, THERE'S DIFFERENT
PIECES AND EXPERTISE AND SORT OF
STOVEPIPE SYSTEMS. BUT PUTTING
IT ALL TOGETHER AND UNIFIED
PLATFORM IS REALLY WHERE WE'RE
AT NOW. SO BY THE END OF JUNE, I
HAVE SOME BETTER ANSWERS FOR
YOU. UM, BUT THAT'S WHERE WE ARE
RIGHT NOW. AWESOME. THANK YOU.
AND I THINK YOU KNOW ONE OF THE
THINGS THAT I THINK GODDESS
BROAD BIPARTISAN SUPPORT ON A 98
FUND. IT'S NOT EASY TO GET A TWO
THIRDS VOTE ON A FUND AND A
GREAT BUDGET YEAR WAS HOW
TIGHTLY WE CREATED THAT FUN TO
MIRROR THE 911 FUND. I THINK
THAT WHAT WE BELIEVED AS THE
LEGISLATURE WAS THAT NO MATTER
WHAT OUR BUDGET CYCLE LOOKS LIKE
PEOPLE ARE IN CRISIS, AND THAT
WE NEEDED TO ENSURE ONGOING
FUNDING FOR THAT, AND, UM IT WAS
TIGHTLY CRAFTED TO ENSURE IT
WOULD FUND THE PHONE SYSTEM, THE
CALL CENTERS AND THOSE CRISIS
RESPONSE TEAMS THAT WOULD BE
NEEDED NO MATTER WHAT, UM, THE
YEAR LOOK LIKE, WHICH WAS GREAT
, BECAUSE HERE WE ARE IN NOT A
GREAT BUDGET YEAR, AND WE KNOW
THAT THAT FUND WILL CONTINUE. SO
UM, YOU KNOW, I THINK IT'S
REALLY CRITICAL THAT WE MAINTAIN
THAT LEVEL OF SERVICE NO MATTER
WHAT. AND, UM ENSURE THAT THAT
FUND HAS THE INTEGRITY THAT WAS
PASSED WITH BROAD BIPARTISAN
SUPPORT. MY LAST QUESTION IS
ABOUT COORDINATION WITH LOCALS.
I MENTIONED THAT MANY COUNTIES
AND WE HEARD IT FROM MY
COLLEAGUES WHO WORKED AT THE
LOCAL LEVEL HAVE STARTED THIS OR
TRYING TO PROVIDE THIS KIND OF
RESPONSE. I KNOW. UM SAN RAMON
VALLEY IN MY DISTRICT IS HAVING
FIRE RESPOND THROUGH ACTUALLY
ARE 911 CENTER RIGHT NOW. SO HOW
IS THAT GOING IN COUNTIES THAT
WERE ALREADY UNDERWAY? RIGHT? I
MEAN, DIFFERENT COUNTIES WERE IN
DIFFERENT PLACES, DIFFERENT
CITIES, ETCETERA. UM BUT I JUST
WANTED TO HEAR A LITTLE BIT
ABOUT HOW WE'RE WORKING WITH
THOSE LOCAL ENTITIES TO SUPPORT
AND TRANSITION, THEIR ONGOING
EFFORTS SO THAT THEY'RE WHAT
THEY'RE ALREADY PROVIDING, WHICH
WAS BETTER THAN WHAT WAS GOING
ON BEFORE CONTINUES AND ENSURES
CONTINUITY OF CARE FOR THEIR
COMMUNITIES. OKAY SO WE HAVE
STARTED MEETING WITH ALL 12
CENTERS TO GET THEIR WORKFLOW.
UM EACH COUNTY DOES IT
DIFFERENTLY. THE LARGE CENTERS
LIKE D HIRSCH AND WELL SPACED
THAT SERVED MULTIPLE COUNTIES
HAVE DIFFERENT NEEDS OBVIOUSLY
THAN, SAY, SOMEONE LIKE SANTA
CLARA COUNTY, WHICH IS FOCUSED
ON THE SINGLE COUNTY, SO THAT'S
WHERE WE ARE NOW JUST TO GO
THROUGH. WHAT DO YOU NEED IN THE
SYSTEM? HOW DO YOU HANDLE IT?
WHEN A CALL COMES IN? WHAT? YOUR
INTERACTION WITH 911? WHAT DO
YOU WHAT? WHAT STATS DO YOU
NEED? WHAT DATA DO YOU NEED?
WHAT WORKFLOWS? DO YOU NEED TO
SUPPORT? THAT'S WHERE WE ARE
RIGHT NOW. WE'VE DONE THAT
ANALYSIS AND IT TAKES A WHILE
RIGHT? BECAUSE YOU'RE USED TO
THIS LOCAL AGENCY OPERATING SORT
OF A TON, UM ASLEEP AND THEN
INCOMES THE STATE TO HELP. AND
SO A LOT OF WHAT WE'VE DONE OVER
THE LAST SIX MONTHS WAS BUILD A
RELATIONSHIP AND A TRUST. WE'RE
NOT TRYING TO COME IN AND TAKE
OVER A MANDATE, OR, YOU KNOW, BE
OVERLY HEAVY HANDED. WE
LITERALLY WANT TO GIVE YOU
BETTER RESOURCES TO EQUIP YOU TO
DO WHAT YOU DO EVERY SINGLE DAY.
THAT'S WHERE WE ARE RIGHT NOW,
AND WE'RE MAKING SOME HUGE
PROGRESS THERE. THE WORK THAT
THE HCS HAD DONE TO HAVE THOSE
CENTERS, ALL TALKING TO ONE
ANOTHER BEFORE. CALA ES STEVEN
CAME ALONG WAS HUGE. AND SO
WE'RE JUST CONTINUING THAT
DIALOGUE. WE FORMED THE
TECHNICAL ADVISORY BOARD AND WE
REALLY FOCUS THAT DOWN ON LOCAL
REPRESENTATION. IT'S NOT A HEAVY
STATE AGENCY BOARD CHAIR, THE
BOARD, BUT I DON'T EVEN GET TO
VOTE. SO IT'S REALLY LOCAL
DRIVEN AND WE DID THAT ON
PURPOSE. SO THAT'S WHERE WE ARE
NOW AND THEN I THINK STEPHANIE
WILL PROBABLY ADDRESS WHERE
WE'RE HEADED NEXT. SO UM, REALLY
IMPORTANT QUESTION. UM I DO
THINK THAT WHEN WE ESTABLISH OUR
988 ADVISORY POLICY GROUP THAT
IT WILL BE OF THE SAME PRINCIPLE
AND I KNOW THAT YOU AND I TALKED
ABOUT THIS WHEN WE WERE GETTING
READY TO PUT TOGETHER THE
TECHNICAL ADVISORY BOARD HOW,
HOW IMPORTANT IT WOULD BE TO
HAVE PEOPLE WHO ARE WORKING IN
THE FIELD COME AND SIT ON ON
THAT PARTICULAR BODY TO GIVE US
LOTS OF EXAMPLES. UM I ACTUALLY
WOULD SAY WE I THINK WE HAVE A
LOT MORE WORK TO DO ON IN OUR IN
OUR SIDE. I MEAN THE
COMPLEXITIES OF WANTING TO
DESIGN THAT THAT ROBUST CRISIS
CARE CONTINUUM AND WHAT IT LOOKS
LIKE. FOR EXAMPLE, IN CONTRA
COSTA VERSUS EVEN SACRAMENTO,
WHICH ARE KIND OF SIMILAR IN
TERMS OF SIZE AND POPULATION. UM
IT'S GONNA LOOK REALLY DIFFERENT
. AND SO I THINK WE'RE REALLY
HOPEFUL THAT PART OF WHAT THE
FIVE YEAR IMPLEMENTATION PLAN
CAN DO IS TO LIFT UP SOME
EXAMPLES OF WHAT A LOCAL
PLANNING PROCESS COULD ALSO LOOK
LIKE WE I WANT TO ACKNOWLEDGE
HOW MUCH CHANGE WE HAVE PUT ON
OUR COUNTIES IN TERMS OF THE
RAPID FIRE OF BEHAVIORAL HEALTH
INITIATIVES, BUT YOU KNOW
THEY'RE ALSO INCREDIBLE
OPPORTUNITIES WITH THOSE
INITIATIVES, ONE OF THE THINGS
THAT WE DO IN THE PLAN THAT I'LL
GET TO YOU GUYS SOON. IS REALLY
LIFT UP THE VARIOUS DIFFERENT,
YOU KNOW. $10 BILLION, PLUS
INVESTMENTS THAT THIS
ADMINISTRATION HAS MADE SO FAR
AND BEHAVIORAL HEALTH TO THINK
ABOUT. OH THIS IS WHERE IF I
WERE DESIGNED THIS SYSTEM IN IN
SEVERAL YEARS, MONEY IS GOING TO
START COMING ONLINE THROUGH
MEDICAL FOR OUR MOBILE CRISIS
TEAMS AND THEN ALSO BEING ABLE
TO SAY, YOU KNOW WHAT? THERE'S A
REAL GAP WHEN IT COMES TO
PREVENTION LIKE WE DON'T
NECESSARILY HAVE A SUSTAINABLE
FUNDING SOURCE. AH THAT'S GOING
TO SUPPORT THIS PARTICULAR
PREVENTION SERVICE, SO THE IDEA
IS TO REALLY LAY A FOUNDATION
FOR LOCAL PLANNING. UM I DO
THINK THAT WE HAVE SOME SOME
DIFFICULT QUESTIONS TO ASK
OURSELVES THAT WE'RE READY TO
TALK ABOUT IN THAT PARTICULAR
WORKING GROUP. UM UH, SENATOR
ASHBY ALLUDED TO IT. YOU KNOW,
UM WELL, AND YOU DID, TOO, OF
COURSE, LIKE WE REALLY WANT TO
HAVE NON LAW ENFORCEMENT
RESPONSES, ESPECIALLY IF SOMEONE
IS IN THE MIDST OF A BEHAVIORAL
HEALTH CRISIS OR A HEALTH CRISIS
AS YOU SAID, BUT WE MAY NOT HAVE
THAT CAPACITY AND IT MAY NOT
JUST BE BODIES. IT MAY BE THAT
WE HAVE MORE TRAINING TO DO.
IT'S MORE PLANNING TO DO MORE
MORE TECHNOLOGY. AND, UM, I
DON'T NECESSARILY THINK WE HAVE
TO BE PATIENT. I THINK WE'VE
MADE INCREDIBLE PROGRESS ALREADY
AND PART OF WHAT WE PLAN TO DO
WITH OUR PLAN. IS TO CREATE AN
OUTLINE OF MAJOR THINGS THAT WE
NEED TO ACCOMPLISH IN TERMS OF
MILESTONES, UH, UP TO THE END OF
THIS PARTICULAR DECADE IN ORDER
TO START BUILDING OUT THAT
SYSTEM, SO, UM, I THINK WE'RE
REALLY EXCITED TO GET STARTED.
UM AS ARE THE COUNTIES WHO ARE
ALREADY IN THE MIDST OF DOING
THIS WORK. I LOVE THAT. AND I
THINK YOU KNOW, I'VE HAD THE
PRIVILEGE OF HEARING YOUR VISION
FOR CALIFORNIA'S CONTINUUM, AND
I THINK IT'S INCREDIBLY ROBUST
AND UM AS SENATOR ASHBY SAID,
PEOPLE WILL CONTINUE TO FEEL
GRATEFUL TO LIVE HERE BECAUSE WE
PROVIDE SUCH INCREDIBLE SERVICES
HERE IN CALIFORNIA. SO I WANT TO
THANK YOU FOR YOUR HARD WORK ON
THAT. AND UM YOU KNOW, AS I SAID
IN THE OPENING, I THINK THAT THE
98 FUND UM IS THE FIRST STEP IS
THE OPENING. IT'S THE PHONE
NUMBER TO CALL, BUT IT DOESN'T
PROVIDE THE FULL CONTINUUM OF
CARE OF THE CALIFORNIANS NEED
AND I THINK IT'S REALLY
IMPORTANT THAT WE PROTECT THE
INTEGRITY OF THAT FUND. AND, UM
AT THE SAME TIME, UM, LISTEN
THROUGH THIS FIVE YEAR PROCESS
AT WHAT MORE COUNTIES NEED TO
PROVIDE THAT FULL CONTINUUM OF
CARE FOR FOLKS TO GET THEM
STABILIZED, HEALTHY, AND, UM
BACK TO WHERE THEY NEED TO BE TO
ENJOY THE CALIFORNIA THAT WE
PROVIDE FOR THEM. SO THANK YOU
GUYS. SOMEBODY MEMBER WARNER HAD
A QUESTION. YEAH I WANT TO GO
BACK AND ASK, UM, IF YOU COULD
WALK US THROUGH THE BUDGET,
CHAMBER CHANGE PROPOSAL AND THE
EXPANSION TO THE HEALTH CRISIS
SERVICES HOW THAT WILL BE
HANDLED BETWEEN THE LOCAL AND
THE STATE. IF YOU COULD JUST
WALK US THROUGH THAT VERY GLAD I
BROUGHT MY NOTES. UM ABSOLUTELY
. AND WITH THAT, JUST FOR THE
CONTEXT, ONE OF THE THINGS I'M
VERY CONCERNED ABOUT IS
TELEPHONE USERS AND HOW WE'RE
WHAT WE'RE WHAT TELEPHONE USERS
THROUGH THE FEE ARE ACTUALLY
PAYING FOR IT BECAUSE WE DON'T
USE TELEPHONE FEES TO PAY FOR
PUBLIC HEALTH OR PUBLIC SAFETY.
THAT'S NOT SOMETHING WE DO. UM
SO IF YOU CAN, JUST WITH THAT
CONTEXT WILL WALK US THROUGH
THAT. THANK YOU. UM SO YOU ARE
CORRECT THAT AS PART OF THE
SIGNING MESSAGE FROM THE
GOVERNOR LAST YEAR THAT HE
DIRECTED OUR AGENCY TO DEVELOP
TRAILER BILL LANGUAGE, UM SO A
COUPLE OF HIGHLIGHTS OF WHAT IS
IN OUR TRAILER BILL LANGUAGE? UM
WE DO REVISE THE DEFINITION OF
988 TO BE CONSISTENT WITH WHAT
IS AT THE FEDERAL AT THE FEDERAL
LEVEL. UM AND THAT MEANS THAT
THE CURRENT AS CURRENTLY WRITTEN
THE ACT SAYS THAT IN ADDITION
I'M SORRY, THE ADDITION OF AND
WITH THE CAPACITY TO CONNECT
COLORS TO BEHAVIORAL CRISIS
SERVICES CURRENTLY GOES BEYOND
THE FEDERAL 988 REQUIREMENT. AND
SO BECAUSE THAT HASN'T HAPPENED
YET AT THE FEDERAL LEVEL, WE
FEEL THAT AT THIS POINT IN TIME
THAT OUR TRAILER THAT ARE THAT
ARE PARTICULAR STATUTE HERE IN
CALIFORNIA SHOULD CONFORM TO THE
FEDERAL DEFINITION. AND JUST,
UH, IDENTIFY 988. UM. IT'S UH
REMOVES THAT THE 988 SURCHARGE
BE USED SOLELY FOR THE OPERATION
OF 988 CENTERS AND MOBILE CRISIS
CENTERS. I'LL COME BACK TO THAT.
UM AND THE TBL ALLOWS. INSTEAD
THE 988 SURCHARGE REVENUE TO BE
USED TO PAY FOR OUR OUR STATE
DEPARTMENT'S ADMINISTRATION OF
THESE PARTICULAR RESOURCES. UM
BEFORE IT IS DISPERSED TO THE
988 SUICIDE AND CRISIS LIFELINES
, UM, THERE IS NO THERE'S NO
PROHIBIT PROHIBITION ON USING
THE 988 SURCHARGE FOR MOBILE
CRISIS TEAMS RESPONDING TO OUR
DISPATCHING DIRECTLY BY THE 988
HOTLINE. UM UH, BUT THAT BEING
SAID THERE IS NO PROHIBITION,
BUT IT'S NOT DIRECTED AS THE
THIRD THE THIRD, UH, KIND OF
PRONGS OF WHAT THE FUND CAN BE
USED FOR, UM AND WE DO EXPECT
THAT THE FEDERAL COMMUNICATIONS
COMMISSION WILL PROMULGATE
REGULATIONS IN THIS SPACE. AND
WHEN THAT IS THE CASE THAT WE
WILL CONFORM TO THOSE FEDERAL,
UH, ROOMMATE TO THAT FEDERAL
RULEMAKING, THE BEHAVIORAL
HEALTH CONTEXT THAT ARE MADE ARE
ROUTED TO 911 WE FELT WAS A
LITTLE BIT TOO BROAD AND WASN'T
CONSISTENT WITH OUR DEFINITION
OF MOBILE CRISIS AS IT RELATES
TO OUR MEDICAL MOBILE CRISIS
PROGRAM. UM AND, UM, AND PART OF
THIS IS BECAUSE WE DIDN'T TALK
ABOUT IT A LOT TODAY, ALTHOUGH I
HIGHLIGHTED THAT LESS THAN 6% OF
ANYONE WHO CALLS A 988 CRISIS
CENTER TODAY NEEDS ANY KIND OF
MOBILE CRISIS RESPONSE OR
EMERGENCY RESPONSE, FRANKLY, TO
BE TO BE CLEAR, UM, AND SO WE
MAY HAVE MOBILE CRISIS PEOPLE
DISPATCHING ALL OVER THE PLACE,
BUT IT'S NOT NECESSARILY LINKED
TO 988. IT DOESN'T MEAN WE DON'T
WANT IT TO BE LINKED TO 988. BUT
WE WANT TO RECOGNIZE THAT HOW
THE SYSTEM WORKS NOW IS THAT IN
MANY CASES, IT'S NOT AND WE
NEED, UM YEAH, WE EXPECT OUR
MOBILE CRISIS UNITS TO BE
WORKING FREELY IN THE COMMUNITY.
UM AND, UH, I THINK. I THINK,
LASTLY, LET ME SEE. UM WE ALSO
DID SOME WORK TO TRY TO ALIGN
COMMERCIAL PLAN COVERAGE WITH
SERVICES THAT ARE COVERED UNDER
MEDICAL PLANS AND TO SHORE UP WE
THOUGHT WERE SOME GAPS IN
ENSURING THAT THERE COULD BE
COMMERCIAL REIMBURSEMENT FOR
SOME OF THESE SERVICES. UM AND
WE ALSO GIVE OURSELVES ONE MORE
YEAR TO DEVELOP THE PLAN. UM AND
I THINK, UM LASTLY, WHAT? I
WOULD JUST SAY VERY SPECIFIC TO
YOU. I THINK BOTH OF YOUR
QUESTIONS. UM IT IS. IT IS
ABSOLUTELY NOT OUR INTENT THAT
WE DON'T WISH TO FUND THE CRISIS
CENTERS, AND I KNOW THAT THERE'S
SOME REAL SPECIFICITIES IN TERMS
OF HOW THE ACTUAL STATUTE IS
WRITTEN IN TERMS OF ORDER, LIKE
PLEASE COME IN. THE FIRST SET OF
FEES HAVE TO GO TO PAY FOR THIS
FEES COME IN. THE NEXT SET OF
FEES HAVE TO PAY FOR THIS AND IT
REALLY IS DONE IN A WAY THAT YOU
MENTIONED THAT IS CONSISTENT
WITH 911 IN IN OUR ATTEMPT. IT'S
NOT TO DETACH MOBILE CRISIS FROM
988, BUT IT'S TO RECOGNIZE THAT
THERE COULD BE SOME
OPPORTUNITIES IN THE FUTURE TO
BE VERY SPECIFIC ABOUT WHAT WE
NEEDED IN TERMS OF BEHAVIORAL
HEALTH CRISIS SERVICES, AND SO
WE UPDATED WITH A BROADER
DEFINITION AND THEN DIVIDE
DEFINED IN STATUTE TO MAKE SURE
THAT THERE WAS SOME
FLEXIBILITIES TO ENSURE THAT WE
COULD BE NIMBLE AND MEET THE
NEEDS OF OUR STATE. BUT AGAIN
WITH THE PROJECTIONS OF YOU KNOW
THE COSTS THAT MAYBE, UH I DON'T
. UM WELL, WE'RE VERY GRATEFUL
TO HAVE A SURCHARGE. I DON'T
KNOW IF IT'S GOING TO BE AN
ENORMOUS AMOUNT OF RESOURCES. I
THINK THAT BY THE TIME WE PAY
FOR THE WORK THAT YOU GUYS NEED
TO DO ON THE TECHNOLOGY SIDE AND
TO SUPPORT OUR CRISIS CENTERS,
UM AT THIS POINT, WE HAVEN'T
REALLY THOUGHT ABOUT WHAT WHAT
THAT OTHER PIECE LOOKS LIKE. BUT
WE'VE TALKED A LOT TODAY ABOUT
HOW DIFFERENT LOCALS ARE. UM
THAT THERE'S DIFFERENT NEEDS
THAT THE STATES NEEDS CHANGE,
AND I JUST WANTED TO MAKE SURE
THAT WE WERE GIVING OURSELVES
SOME FLEXIBILITY. UM TO USE THAT
FUN IN A WAY THAT COULD BEST
MEET THE NEEDS OF THE VISION OF
988. AND DO YOU WANT TO SPEAK TO
THE OTHER PIECE OF NOT SURE.
YEAH I DON'T KNOW IF THE
QUESTION HAD APART ON HOW THE
FEE WAS, YOU KNOW, CHARGED TO
THE PROVIDERS AND HOW THE FEARS
REMITTED, BUT I CAN PROVIDE ANY
DETAIL ON THAT IF ANYBODY HAS
ANY QUESTIONS ON THAT, LIKE THE
MECHANICS OF THE FEE. I THINK
WE'RE RUNNING. YOU HAD A
QUESTION. I JUST WANTED TO, UM,
MAKE ONE COMMENT ON WHAT DEPUTY
SECRETARY WELL SAID, WHICH IS,
UM I AGREE. IT'S NOT AN ENORMOUS
AMOUNT OF RESOURCES, RIGHT? AND
THAT IS WHY WE WERE SO CAREFUL
AND WHAT IT IS GOING TO PAY FOR,
BECAUSE IF IT BECOMES NIMBLE AND
FLEXIBLE AS TO BE CLEAR, MANY
MENTAL HEALTH FUNDS IN THE STATE
HAVE THEY ARE NOT BEING USED FOR
WHAT WE AS A LEGISLATURE WANT
THEM TO USE FOR THE CARRYING OF
MENTAL HEALTH ISSUES, AND SO IT
IS REALLY, REALLY IMPORTANT THAT
THEY HAD FUN, NOT BE FLEXIBLE
AND NIMBLE THAT THAT FUND VERY
CLEARLY STRUCTURED TO FUND THE
98 SYSTEM THAT THIS LEGISLATURE
INTENDED FOR IT TO FUND. AND
THAT WAS THE PHONE LINES. THE
CALL CENTERS AND THE MOBILE
CRISIS RESPONSE TEAMS AND I
COULDN'T AGREE MORE THAN IN
THOSE FIVE OR SIX YEARS. UM WE
MAY FIND THAT OUR VISION OF WHAT
THIS WOULD LOOK LIKE IS
DIFFERENT THAT THE THAT THE
STRUCTURES THAT WE PUT AROUND
THAT FEED DON'T COVER EVERYTHING
THAT IS NEEDED IN EVERY PART OF
CALIFORNIA. AND I WANT TO SAY
THAT MY COMMITMENT HAS BEEN AND
CONTINUES TO BE THAT IN FOUR
YEARS OF THAT GROUP COMES TO US
AND SAYS, OH, MY GOSH AND SHASTA
COUNTY. YOU CAN'T HAVE A MOBILE
CRISIS TEAM. YOU NEED TO HAVE
THIS THAT WE WILL BE OPEN TO
THAT CONVERSATION. BUT AT THIS
POINT IN TIME WITHOUT KNOWING
WHAT THOSE THINGS ARE OPENING UP
THAT FEE TO BE NIMBLE AND
FLEXIBLE, I BELIEVE MEANS THAT
FEE WILL BECOME MEANINGLESS IN
CALIFORNIA. SO IT IS CRITICAL
THAT WE KEEP THE STRUCTURE AND
PROTECTIONS THAT WERE PUT INTO
PLACE LAST YEAR, AND THAT IS
OBVIOUSLY A CONVERSATION FOR
BUDGET COMMITTEE. BUT I COULDN'T
GO WITHOUT SAYING IT. THANK YOU
HAVE ONE MORE QUESTION, ACTUALLY
. YES. THANK YOU AND CHIEF. THIS
WOULD GO TO YOU. YOU HAD
MENTIONED THAT WE HAD 4.8
MILLION CALLS 91 OF CALLS IN
CALIFORNIA IN 2022. WOULD YOU
WALK US THROUGH A TYPICAL CALL
THAT WOULD GO TO THE CHP, WHICH
IN TURN IS DISPATCHED TO THE
LOCAL POLICE, WHICH IN TURN IS
DISPATCHED. TO A UNIT, WHETHER
IT BE AN AMBULANCE, FIRE
DEPARTMENT OR A PATROL UNIT.
WALK US THROUGH THAT BECAUSE MY
COLLEAGUE HERE MENTIONED ABOUT
TIME WALK US THROUGH THAT, AND,
UH SO WE CAN GET A GOOD IDEA OF
HOW THE SEQUENCE GOES. SURE.
GOOD QUESTION. SO. AGAIN MOST OF
OUR WE WORKED REALLY HARD TO
ENSURE THAT WHEN A CALL COMES IN
THAT IS DISPATCHED TO THE RIGHT
ORGANIZATION RIGHT AGENCY RIGHT
JURISDICTION BASED UPON THE CELL
TOWER LOCATIONS AND YOU WORK TO
FINE TUNE THAT WITH CALAVIUS
OVER THE YEARS, AND WE'RE PRETTY
GOOD AT IT. BUT AGAIN, YOU'VE
GOT JURISDICTIONAL BOUNDARIES OR
FREEWAYS, OF COURSE THAT RUN
THROUGH ALL JURISDICTIONS. FOR
THE MOST PART, YOU'RE ALWAYS
GOING TO HAVE SOME SOME AREAS
WHERE THE CELL TOWER MAY ALERT
TO SAY, SACRAMENTO POLICE
DEPARTMENT BUT IN REALITY, IT'S
ALONG THE 50 CORRIDOR SOMEWHERE
BUSINESS 80 AND IT SHOULD BE
PATROLS. THERE'S A CHANCE THAT I
ONE CALL COMES IN FROM A FROM
SOMEONE THAT'S THAT'S INVOLVED
IN A COLLISION. FOR EXAMPLE, A
CRASH ON THE FREEWAY THAT ENDS
UP GOING TO SAC PD. THAT THAT
DEPEND UPON THEIR CALL INTAKE AT
THE TIME. IT MAY BE DELAYED
BEFORE DISPATCHER ANSWERS.
EVENTUALLY THEY NOTIFIED
DISPATCH THAT THEY'RE LOOKING
FOR CHP FOR A CRASH. WHETHER
THEY'RE INVOLVED IN A CRASH AND
DEPUTY KNOWS, OF COURSE, THE
TRANSFER TO CHP IT'S BEEN
TRANSFERRED TO THE TO THE CHP
DISPATCH CENTER. WHO THEN
ENSURES THAT THE THAT THE
THERE'S NO INJURIES OR IF THERE
IS THEN THEY CAN ACTUALLY HOLD
THAT CALL AND TRANSFER IT TO THE
FIRE DEPARTMENT AS WELL AT THE
SAME TIME SO THEY CAN HOLD A
CALL, AND THEY GOT A MULTIPLE
CALLS GOING AT THE SAME TIME. AT
THE SAME TIME, THE DISPATCHING
IT TO A UNIT AS WELL. HOLD THAT
CALL AGAIN WITH THE CULT WITH
THE CALL CALLER ON THE CALL. AND
WE'LL THEN PUT OUT OVER THE
RADIO TO DISPATCH THE UNIT TO
THAT CRASH AT THE SAME TIME, SO
OUR GOAL IS TO GET PMS ROLLING.
FIRST AND FOREMOST, THAT'S THE
PRIORITY, OF COURSE, AND THEN
FOLLOWED BY OUR UNITS WHO FOLLOW
RIGHT BEHIND THAT. THANK YOU.
ALL RIGHT, AND BEFORE GOING TO
THE NEXT POINT, I JUST HAVE ONE
QUICK QUESTION WITH THE EVOLVING
TECHNOLOGY AND THE NEXT GEN. 911
AND EVERYTHING WE'RE WANTING TO
DOING WHAT MEASURES ARE STEPS OF
BEING PUT IN PLACE TO PROTECT
THAT SYSTEM FROM ANY CYBER
THREATS THAT WE SEE OUT THERE.
YES SO WE, UM, OBVIOUSLY, WE
BUILT THE SYSTEM. IF THERE'S A
TECHNOLOGY CALLED PRIVATE KEY
INFRASTRUCTURE, IT'S THE SAME
THING YOU USE ON YOUR MOBILE
DEVICE WHEN YOU'RE USING YOUR
BANKING APP. SAME EXACT
TECHNOLOGY. NO PACKET GOES
THROUGH THE NETWORK UNLESS IT
HAS APPROPRIATE CREDENTIAL. IT'S
CALLED THE ZERO TRUST
ENVIRONMENT, SO WE DON'T TRUST
YOU AT ALL. YOU HAVE TO VALIDATE
WHO YOU ARE. AND THEN YOUR DATA
CAN FLOW THROUGH THE NETWORK.
THAT'S THE WAY IT WORKS. SO AND
THEN WE TOOK ANOTHER STEP
BECAUSE WE REALIZED THAT YOU
KNOW, WHENEVER YOU ASK SOMEBODY
TO SELF CERTIFY, THEY SAY, I'M
GOOD TO GO. SO WE HIRED A THIRD
PARTY TO COME IN AND ACTUALLY DO
AN ASSESSMENT OF THE NETWORK. UM
AND THEY CAME IN AND LOOKED AT
EACH AND EVERY VENDOR THAT IS
PROVIDING SERVICES IN THIS NEXT
AND I WANT ENVIRONMENT. THE GOOD
NEWS IS THEY WERE ALL FOLLOWING
THE RULES. THE ONLY THING WE
FOUND WAS WHEN YOU DO AN INITIAL
DISAPPOINTMENT, AND YOU'RE
TRYING TO GET THE SYSTEM JUST TO
WORK FROM A TESTING PERSPECTIVE.
AND YOU PUT THAT DEVICE IN PLACE
. YOU DIDN'T GO BACK AND RE
IMAGE IT WITH THE PRODUCTION
LEVEL VERSION OF WHAT SHOULD BE
THERE. IT WAS THOSE KINDS OF
THINGS THAT WE FOUND OR LIKE A
DATA CENTER HAD AN EXTRA PIECE
OF EQUIPMENT IN THERE THAT WAS
CONNECTED AND NOT REALLY BEING
USED. SO WHY IS IT EVEN
CONNECTED? GET RID OF IT THOSE
KINDS OF THINGS WE THEN HAD A
TABLETOP EXERCISE WHERE WE TALK
THROUGH. IF SOME KIND OF CYBER
EVENT HAPPENED WHO DO YOU CALL
WHOSE DECISION MAKERS? HOW DO
YOU HOW DO YOU WORK THROUGH THIS
PROCESS TO MAKE SURE THAT IF AN
EVENT OCCURS, HOW DO YOU
MITIGATE THE EVENT? WHO'S THE
DECISION MAKER? HOW DO YOU GET A
HOLD OF THEM? HOW MUCH TIME DOES
IT TAKE TO RESPOND TO EITHER
DENIAL SERVICE TYPE ATTACK OR
MAYBE A RANSOMWARE ATTACK AND
THEN WE CONTINUE TO COLLABORATE
BECAUSE WE KNOW THAT THIS IS AN
EVER CHANGING ENVIRONMENT. SO
CALLOWAY YES, HAS THE STATE
THREAT ASSESSMENT CENTER? WHICH
FOCUSES ON CYBERSECURITY. I
WORKED DIRECTLY WITH CISA AT THE
FEDERAL LEVEL TO MAKE SURE THAT
WHAT WE'RE DOING DOWN HERE AND
YOU KNOW AT THE AT THE STATE
LEVEL ALIGNS WITH ALL THE BEST
PRACTICES AND WHAT WE KNOW IS
GOING ON AT THE FEDERAL LEVEL,
AND IT IT'S A REALITY THAT THERE
ARE NATION. STATE ACTORS OUT
THERE WHO ARE WANT TO COME IN
AND DISRUPT THIS NETWORK. AND SO
WE'RE CONTINUALLY ANALYZING THAT
, UM, AND IF ANYBODY ELSE HAS
ANY GREAT IDEAS OF OTHER THINGS
WE COULD DO. WE'RE ALL FOR IT
BECAUSE WE WANT TO MAKE SURE
THIS NETWORK IS SECURE. ZERO
TRUST. THAT'S THE KEY. ALL
RIGHT. WELL, THANK YOU VERY
MUCH. I WANT TO THANK THE FIRST
PANEL FOR COMING AND SHARING A
LOT OF THE WORK BEING DONE. SO
NOW WE CAN MOVE ON TO OUR SECOND
PANEL. SO THE SECOND PANEL IS
GOING TO BE OUR LOCAL
PERSPECTIVES ON ENHANCING THE
EFFECTIVENESS OF CALIFORNIA'S
911 SYSTEM.
SO WITH THAT FIRST LET'S HEAR
FROM MARK CHASE GNP,
REPRESENTING THE CALIFORNIA
CHAPTER OF THE NATIONAL
EMERGENCY NUMBER ASSOCIATION.
WHEN YOU'RE READY, MARK. GOOD
MORNING. THANK YOU FOR HAVING
US. MY NAME IS MARK CHASE HIM A
BUSINESS ANALYST FOR THE CITY OF
PALO ALTO. I WORKED TO MAINTAIN
911 AND COMMUNICATIONS
INFRASTRUCTURE AS WELL AS I'VE
BEEN A 911 DISPATCHER FOR 18
YEARS. I ALSO WORK AT FOUR BAY
AREA 911 CENTER, SO I'M AN
ACTIVE 911 DISPATCHER. AH!
PIGGYBACKING ON CHIEF CARTER'S
EARLIER COMMENTS. 91 CENTERS ARE
CRITICALLY UNDERSTAFFED, AND
THAT'S REALLY THE CHALLENGE
WE'RE FACING RIGHT NOW. UM HE
STEPS ARE STRUGGLING TO RECRUIT
EMIRATES MAINTAIN STAFFING. THE
COVID PANDEMIC TRULY AFFECTED 91
CENTERS IN A PROFOUND WAY. WHEN
EVERYONE SHUT DOWN, WAS ABLE TO
START WORKING REMOTELY FROM HOME
FOR MANY PROFESSIONS. 91 CENTERS
WERE UNABLE TO DO THAT, UH,
DISPATCHER STILL NEEDED TO
REPORT INTO WORK. AND DUE TO THE
CLOSE QUARTERS WE WORK IN SO WE
CAN COORDINATE POLICE FIRE
MEDICAL RESPONSES. COVID CAME
THROUGH MANY OF OUR CENTERS AND
CAUSED MANY OF OUR DISPATCHERS
TO, UM BECOME COVID POSITIVE.
COMPETING EMPLOYERS OFFER BETTER
SALARIES AND BENEFITS. THERE'S
MORE FLEXIBILITY IN AREAS SUCH
AS WORKING REMOTELY. THE JOBS
ARE NOT AS SEDENTARY 91 SHIFTS
TYPICALLY LAST 10 12 EVEN UP TO
24 HOURS IN CERTAIN FIRE CENTERS
. UM AND DISPATCHERS DON'T HAVE
THEIR OWN OFFICE, RIGHT. WE ALL
WORK AT TERMINALS AND NEED TO
POTENTIALLY SIT AND STAND. BUT
THAT'S REALLY THE EXTENT OF HOW
FAR WE CAN MOVE. THEN I WANT
CALLS ALWAYS NEED TO BE
ANSWERED. IS ONE EXAMPLE ONE BAY
AREA CENTERS REQUIRING A MINIMUM
OF 70 ADDITIONAL HOURS OF
OVERTIME OF ALL OF THEIR
EMPLOYEES. WHEN THINGS ABOUT THE
BURDENS THIS WOULD PLACE ON
ONE'S FAMILY, IN ADDITION TO
WORKING 160 HOURS OF OVERTIME,
I'M SORRY, WORKING YOUR NORMAL
SCHEDULE 160 HOURS A MONTH AND
THEN REQUIRING A MINIMUM OF 70
HOURS OF ADDITIONAL OVERTIME.
YOU CAN UNDERSTAND THE STRESSES
THAT WOULD PUT ON ONE'S FAMILY.
AND CAN CAUSE CANDIDATES AND
DISPATCHERS TO CONSIDER A
DIFFERENT, LESS DEMANDING
PROFESSION. UM ANOTHER CONCERN
IS THE CLASSIFICATION OF
DISPATCHERS WERE CURRENTLY
CLASSIFIED AT THE FEDERAL LEVEL
AS EITHER ADMIN OR CLERICAL
STAFF. EVEN THOUGH WE HAVE
RECOGNITION IS, UH FIRST
RESPONDERS HERE IN CALIFORNIA
THAT'S ENTITLED ONLY THE RESULT
OF THAT IS MOST OF OUR
DISPATCHERS ARE TWO POINT OH, AT
62 FOR THE RETIREMENT FORMULA
FOR PURSE, THE MENTAL ACUITY AND
THE PHYSICAL DEMANDS THAT ARE
REQUIRED, UM, AS WELL AS THE
SEDENTARY WORKING THE OVERNIGHT
SHIFT THAT DISPATCHERS HAVE TO
WORK. UM IT REALLY CAUSES A LOT
OF CONCERN FOR SOME OF OUR OLDER
MEMBERS. IF THEY'RE AT THE TWO
POINT OH AT 62 FORMULA, AND THEY
WISH TO WORK THEIR WAY UP TO
2.5. THEY'RE GOING TO BE THERE
UNTIL THEY'RE 67. AND IN A
SIMILAR WAY TO AN AIRLINE PILOT
WERE A POLICE OFFICER OR
ANYTHING LIKE THAT. A
FIREFIGHTER YOU TRULY NEED TO
HAVE MENTAL AND PHYSICAL ACUITY
AND BE ABLE TO QUICKLY ADJUST TO
THE DIFFERENT CALLS THAT ARE
COMING IN. SO THAT'S A GREAT
POINT OF OUR CENTERS, ALSO, THE
FENTANYL CRISIS AND HOMELESSNESS
. SECOND EPIDEMIC TRULY AFFECTS
OUR WORK EVERY DAY. WE GET
MULTIPLE 911 CALLS FROM PEOPLE.
NEEDING ASSISTANCE. GERMAN
RODRIGUEZ TO YOUR POINT, UM AS
FAR AS WALL TIMES AND MEDICS,
THE COVID PANDEMIC IS SEVERELY
AFFECTED. THE ABILITY, UM OF, OR
THE AVAILABILITY OF PARAMEDICS.
UM I WORKED A SHIFT ON SATURDAY
IN A SANTA CLARA COUNTY AGENCY.
WHEN WE FIRST CALLED FOR AN
AMBULANCE. WE WERE TOLD THERE
WAS NO ETA FOR AN AMBULANCE. AND
THEN WHEN WE CALLED BACK ABOUT 5
TO 10 MINUTES LATER, IT WAS A 30
MINUTE E T A FOR AN AMBULANCE.
SO THESE ARE SERIOUS CONCERNS
DURING THE PANDEMIC, BOTH
PARAMEDIC AND E M T ACADEMIES
WERE NOT HELD, AND THAT REALLY
HAS PUT HIS STRONG STRAIN ON THE
AMS SYSTEM. UM ALSO, WE HAD AN
OVERDOSE ON SATURDAY, MULTIPLE
DOSES OF NARCAN WERE REQUIRED TO
STABILIZE THE PATIENT AS, UH,
WE'VE SEEN THE DEATHS RISE, SO
IT'S REALLY CREATING A HUGE
IMPACT ON ALL OF OUR WORK. UM IN
RECENT YEARS, WE'VE OBTAINED
LOCATION TECHNOLOGY. UH SYSTEMS
SUCH AS RAPID S OR WEST AND
RAPID DEPLOY, HAVE TRULY HELPED
TO REVOLUTIONIZE OUR ABILITY TO
LOCATE A COLLAR. WE NOW HAVE THE
SAME TECHNOLOGY THAT UBER AND
SOME OF THESE OTHER SOFTWARES
HAVE, SO THAT'S MADE AN
INCREDIBLE AMOUNT OF DIFFERENCE
IN MY CAREER. I REMEMBER WHEN WE
FIRST WERE CALLING IT WOULD
SOMETIMES IT WOULD TAKE US 10 20
MINUTES JUST TO LOCATE A COLLAR.
I MEAN AND EVEN LONGER, AT
TIMES, DEPENDING ON THE CELL
TECHNOLOGY AND WHERE THEY WERE
IF THEY WERE IN A RURAL OR A
METROPOLITAN AREA, SO THOSE
TECHNOLOGIES HAVE BEEN
INSTRUMENTAL IN INCREASING OUR
RESPONSE TIMES AND LOCATING
CALLERS WHO ARE IN CRISIS. UM AS
FAR AS 9 88. THE ADVISORY BOARD
HAS BEGUN TO MEET THE 98
ADVISORY BOARD AND THE POLICY
ADVISORY COMMITTEE HAS BEEN
FORMED. UM, MANY AGENCIES ARE
WAITING FOR THE RECOMMENDATIONS
OF THE POLICY ADVISORY
COMMITTEE. TO SEE EXACTLY AS FAR
AS LIABILITY AND OTHER THINGS
WHAT CALLS THEY ARE GOING TO
TAKE OR TRANSFER. I DID SPEAK
WITH ONE SHERIFF'S OFFICE IN
SOUTHERN CALIFORNIA, WHO HAS
BEGUN TRANSFERRING CALLS BASED
ON A SPECIFIC AMOUNT OF CRITERIA
FROM 9112988, SO THOSE EFFORTS
ARE ONGOING. BUT IT IS EARLY AND
THAT'S ONE OF THE FIRST AGENCIES
THAT I'VE HEARD THAT'S ACTUALLY
DOING THOSE TRANSFERS. UM TO, UH
, BUDGETS POINT EARLIER. 98 DOES
ROUTE TO AN AREA CODE. WE ALL
KNOW THAT IF ONE TENDS TO MOVE,
ESPECIALLY IN CALIFORNIA,
BECAUSE THERE ARE SO MANY AREA
CODES, YOU MAY BE GETTING A
CENTER THAT'S EITHER SOMEWHERE
ELSE IN THE STATE. OR IF YOU
MOVED FROM ANOTHER STATE, YOU
MAY BE GETTING CRISIS CENTER
BACK IN YOUR HOME STATE OR
WHEREVER YOU MOVED FROM, SO THAT
IS A CLEAR POINT FOR US. UM AND
THEN SENATOR ASHBY TO YOUR POINT
. CATALINA'S SPONSORING A BILL A
B 2 96 WITH ASSEMBLYMAN
RODRIGUEZ. UM IT'S A 91 PUBLIC
EDUCATION CAMPAIGN, AND OUR HOPE
IS THAT WE DO CAN BETTER EDUCATE
THE PUBLIC ON WHAT NUMBERS TO
CALL UM, WHEN IT'S APPROPRIATE
TO CALL 911 VERSUS ONE, IT'S NOT
, AND WE TRULY WANT TO ENSURE
THAT WE ARE GETTING PEOPLE HELP
AS QUICKLY AS POSSIBLE. SO THANK
YOU VERY MUCH FOR HAVING US AND
I'M HAPPY TO TAKE ANY QUESTIONS
FOR YOU CHOSE. I WISH I KNEW HIM
TO THANK YOU VERY MUCH NEXT.
WE'LL HEAR FROM PHOEBE BELL, THE
BEHAVIORAL HEALTH DIRECTOR FOR
NEVADA COUNTY, WHEN YOU'RE READY
GOOD MORNING CHAIRS AND MEMBERS
. THANK YOU FOR HAVING ME TODAY
AGAIN. MY NAME IS PHOEBE BELL
AND THE BEHAVIOR HEALTH DIRECTOR
FOR NEVADA COUNTY AND PAST
PRESIDENT OF BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION. SAMSON
BEST PRACTICES. TOOLKIT FOR
BEHAVIORAL HEALTH CRISIS CARE.
FEDERAL GOVERNMENT LAID OUT A
VISION FOR 988 SOMEONE TO TALK
TO SOMEONE TO RESPONDED
SOMEWHERE TO GO AS
ASSEMBLYMEMBER'S BAUER-KAHAN
MENTIONED EARLIER. CAN HE
BEHAVIORAL HEALTH AGENCIES PLAY
A CRUCIAL ROLE IN ALL THREE OF
THESE RESPONSES. TWO OF OUR
STATES. 12 988 CALL CENTERS ARE
COUNTY RUN AND SANTA CLARA AND
MOSTAR COUNTY BEHAVIOR HEALTH
FUNDED LARGELY WITH A FUNDING.
IN ADDITION, EVERY COUNTY RUNS A
LOCAL CRISIS LINE THAT IS ALSO
AN EXCESS LINE TO THE PUBLIC
BEHAVIOR HEALTH SYSTEM. SECONDLY
ALL COUNTIES ARE ON THE MARCH TO
LIFT UP THE NEW MOBILE CRISIS
BENEFIT UNDER MEDICAL BY NEXT
YEAR IN COUNTIES OPERATING
FINANCE THE BEHAVIORAL HEALTH
SAFETY NET THROUGHOUT THE STATE,
WHICH OFTEN INCLUDES CRISIS,
STABILIZATION AND OTHER
RECEIVING SERVICES OUTSIDE OF
HOSPITAL EMERGENCY DEPARTMENTS.
I THINK IT'S IMPORTANT
UNDERSTAND WHERE WE'RE STARTING
FROM AND BUILDING TOWARD THIS
FEDERAL VISION, NOT JUST IN
CALIFORNIA BUT ALSO NATIONALLY
AND AS A MATTER OF POLICY AND
PRACTICE ON THE GROUND LEVEL.
BECAUSE BEHAVIOR HEALTH MOBILE
CRISIS HAS TRADITIONALLY NOT
BEEN WELL SUPPORTED AS A
STANDALONE INSURANCE BENEFIT
UNDER COMMERCIAL OR PUBLIC
INSURANCE, INCLUDING MEDICAL
WHETHER MOBILE CRISIS AVAILABLE
AND HOW MUCH OF IT IS AVAILABLE.
IT DEPENDS ON WHERE ONE STATE IS
LITERALLY AS OF TODAY. 41 OUT OF
58 COUNTIES HAVE SOME MOBILE
CRISIS SERVICES. BUT OFTEN IF
THESE TEAMS EXIST, THEIR
COVERAGE IS NOT 24 7. AND IN
FACT, ONLY 14 CALIFORNIA
COUNTIES TODAY WOULD BE READY
WITH SOME 24 7 MOBILE CRISIS
SERVICES HERE AND NOW. AND EVEN
WHEN WE'RE AT FULL
IMPLEMENTATION AND INVESTMENT,
WE'RE VERY GRATEFUL FOR THE NEW
BENEFIT WILL ONLY BE COVERED FOR
ONE OUT OF EVERY THREE
CALIFORNIANS. CANDIES WILL STILL
LACK COVERAGE FOR THE 70% OF
CALIFORNIANS WITH PRIVATE
INSURANCE. THIS IS IMPORTANT TO
FLAG BECAUSE WHEN THE PUBLIC
CALLS 911 OR 988, FOR THAT
MATTER, THEIR EXPECTATION
RIGHTFULLY IS THAT THIS IS A
PUBLIC SERVICE OPEN AND
AVAILABLE TO ALL BECAUSE
EMERGENCIES IMPACT ALL OF US. A
SECOND BIG ISSUE IS THAT 98 8
CALL CENTERS ARE NOT SET UP
TODAY FOR THE MOST PART TO SERVE
AS MOBILE CRISIS DISPATCH
CENTERS. THE NATIONAL SUICIDE
PREVENTION LIFELINE STARTED IN
THE EARLY TWO THOUSANDS AND
COUNTIES HAVE BEEN BIG FUNDERS,
HELPING NOT ONLY TO BUILD THAT
AND SUPPORT THE NETWORK IN
CALIFORNIA, BUT MY PREDECESSORS
ALSO ENSURED THAT WE INVESTED IN
BUILDING OUT A STRONG CAPACITY
TO TAKE CALLS IN SPANISH.
CALIFORNIA'S 988 CALL CENTERS
NOW SERVE AS A HUB FOR SPANISH
LANGUAGE 988 NATIONALLY,
ACTUALLY HISTORICALLY HOVER.
THIS NETWORK HAS NOT BEEN HIGHLY
PROFESSIONAL. IN THEIR STAFFING
. THE MAJORITY OF 988 CALL
CENTERS RELY ON VOLUNTEERS TO
STOP THE LINES. THESE VOLUNTEERS
ARE TRAINED IN PROVIDING
EMOTIONAL SUPPORT AND SCREENING
FOR SUICIDE RISK, AND THEY DO A
PHENOMENAL JOB. BUT MOST OFTEN
THEY'RE NOT CLINICIANS, AND
THEY'RE NOT GENERALLY TRAINED TO
TAKE ON RESPONSIBILITIES
ASSOCIATED WITH TRIAGE
ASSESSMENT AND DISPATCH FROM
MOBILE CRISIS SERVICES. TODAY A
MAJORITY OF OUR MOBILE CRISIS
SERVICES ARE DISPATCHED AT A
COUNTY LEVEL IN COORDINATION
WITH 911 IN LAW ENFORCEMENT, AND
SOME COMMUNITIES KIND OF HAVE
EMBEDDED CLINICIANS AND I'M ON
MONDAY DISPATCH CENTERS TO
INCREASE THAT COORDINATION AND
COMMUNICATION. BUILDING TOWARD
THE FUTURE WILL REQUIRE MORE
THAN TECHNOLOGY REQUIRES
CLINICAL EXPERTISE TO STABILIZE
THE CRISIS IN REAL TIME, TRIAGE
AND ASSESS MOREOVER, THE
INTERFACE BETWEEN NINE AND 1988
IS COMPLEX, CLINICALLY AS WELL
AS TECHNICALLY, FOR EXAMPLE, THE
FEDERAL GOVERNMENT HAS NOT YET
DECIDED WHETHER TO ADD
GEOLOCATION FUNCTIONALITY TO 988
, BECAUSE WHEN A PERSON CALLS
911 THEIR EXPECTATIONS, THEY
WANT SOMEONE TO COME AND PROVIDE
ASSISTANCE. WHEN SOMEONE CALLS
THE NATIONAL SUICIDE PREVENTION
LIFELINE. THEY MAY NOT WANT TO
HAVE ANYONE KNOW WHO THEY ARE OR
WHERE THEY ARE. ANONYMITY CAN BE
IMPORTANT TO ESTABLISHING THE
NETWORK IS A SAFE, TRUSTED PLACE
TO CALL FOR PEOPLE EXPERIENCING
CRISIS. HOW AND WHETHER TO
CHANGE. THIS HAS BEEN THE
SUBJECT OF STUDY AND DEBATE AT
THE FCC. AND THIS IS JUST ONE
EXAMPLE OF THE TECHNICAL AND
DETAILED ISSUES THAT STILL NEED
TO BE WORKED OUT. FOR OUR PART
IN NEVADA COUNTY HAS BEEN
ACTIVELY WORKING OVER THE LAST
SEVERAL YEARS TO BUILD OUT OF
CRISIS CARE CONTINUUM TO BOTH
PREVENT AND RESPOND TO CRISIS
AND RISK OF DEATH BY SUICIDE.
CONSISTENT WITH NATIONAL
STATISTICS. RURAL COUNTIES,
PARTICULARLY THOSE IN NORTHERN
CALIFORNIA, LIKE MINE HAVE THE
HIGHEST SUICIDE RATES IN THE
STATE. AS THOSE WHO ARE MOST AT
RISK FOR SUICIDE OR OLDER, WHITE
MEN WITH READY ACCESS TO
FIREARMS. WE'RE LUCKY AS A
SMALLER COUNTY TO HAVE HAD SOME
MOBILE CRISIS SERVICES IN PLACE
PRIMARILY BEEN THROUGH
CORRESPONDING MOBILE CRISIS
TEAMS WERE HOPEFUL ABOUT THE
OPPORTUNITY TO BUILD OUT OF
MOBILE CRISIS SERVICE UNDER THE
MEDICAL BENEFIT TO BEGIN TO
BUILD OUT OUR CAPACITY TO ALSO
RESPOND WITHOUT LAW ENFORCEMENT.
DESPITE MY COMMUNITY NEED FOR
MORE SUICIDE PREVENTION SERVICES
, RURAL AND SMALL COMMUNITIES
LIKE MINE OFTEN FEEL QUITE
DISCONNECTED FROM 988. AND IN
OUR CASE, WE WERE QUITE
LITERALLY DISCONNECTED. A FEW
MONTHS AGO, OUR COUNTY LEARNED
THAT THE 9 88 CALL CENTER THAT
HAD BEEN SERVING OUR COMMUNITY
ABRUPTLY CLOSED ITS DOORS WITH
NO NOTICE PRIOR TO ITS CLOSURE.
WE DID NOT HAVE MUCH OF A
RELATIONSHIP WITH THIS CALL
CENTER, WHICH WAS LOCATED FAIRLY
FAR AWAY BEYOND PROVIDING
FINANCIAL SUPPORT FOR THEIR
OPERATIONS. IT'S HARD TO IMAGINE
HOW 9 88 CAN BE A TRUE HUBBARD
CRISIS CARE CONTINUUM GOING TO
SINGLE CALL CENTER IS EXPECTED
TO SERVE MORE THAN A DOZEN RURAL
COUNTIES COVERING ALMOST HALF
THE STATE GEOGRAPHICALLY. I WANT
TO FLAG HOW INCREDIBLY
INCREDIBLY CRITICAL
CONNECTEDNESS TO PLACE IS
PARTICULARLY FOR OUR RURAL
COMMUNITIES. IN NEVADA COUNTY.
WE TYPICALLY KNOW EACH OTHER BY
NAME, WHETHER CLIENT OR STAFF WE
RUN INTO EACH OTHER AT THE
GROCERY STORE, SHARE STORIES
ABOUT THE WEATHER, THE BIG STORM
THAT JUST HIT THE FIRE IN THE
DISTANCE. DISTRUST OF OUTSIDERS
AND BIG URBAN CENTERS RUNS HIGH.
SO KNOWLEDGE AND UNDERSTANDING
OF OUR COMMUNITY IS KEY TO
SERVING THEIR NEEDS EFFECTIVELY
. IN PART, I IMAGINE THAT IS WHY
WE HAVE OVER 450 PIECE APPS IF
98 IS INTENDED TO BE THE ENTRY
POINT INTO OUR BEHAVIORAL HEALTH
CRISIS SYSTEM, WE WILL NEED TO
ENSURE A BETTER PATHWAY FORWARD
FOR CLOSER CONNECTIONS BETWEEN
THE 12 CRISIS LINES THAT SERVE
CALIFORNIA TODAY, MORE THAN 400
PIECE APPS AND ITS DIVERSE NEEDS
OF OUR COMMUNITY CRISIS
CONTINUUM OF CARE. IT WILL TAKE
TIME FOR US TO DEVELOP THE
INFRASTRUCTURE, BOTH PHYSICAL
AND PHYSICAL AND FISCAL TO BUILD
OUT A FULLY PARALLEL RESPONSE
SYSTEM THROUGHOUT THE STATE. AND
WE ARE IN INCREDIBLY GRATEFUL
FOR THE INVESTMENTS MADE TODAY
TO START US ON OUR WAY. I'M
HAPPY TO ANSWER ANY QUESTIONS.
THANK YOU. FINALLY LET'S HEAR
FROM FRANK CREST BOY FIREFIGHTER
, PARAMEDIC AND LICENSED
PHYSICIAN ASSISTANT FROM THE
HAYWARD FIRE DEPARTMENT WHEN
YOU'RE READY. GOOD MORNING CHAIR
SENATORS AND ASSEMBLYMEMBER'S.
MY NAME IS FRANK CRISPO. I HAVE
SPENT MY LIFE GROWING UP IN THE
CITY OF HAYWARD, WHERE I
CURRENTLY SERVE AS A
FIREFIGHTER, PARAMEDIC AND
LICENSED PHYSICIAN ASSISTANT
ASSIGNED TO HAYWARD FIRE
DEPARTMENTS MOBILE INTEGRATED
HEALTH UNIT. UM UNDER THE
HAYWARD EVALUATION IN RESPONSE
TEAM, OR HEART, THE MOBILE
INTEGRATED HEALTH UNIT. UM IS
HAYWARD FIRE DEPARTMENTS
COMMUNITY PARAMEDIC RESPONSE TO
911 CALLS INVOLVING
HOMELESSNESS, SUBSTANCE ABUSE
AND MENTAL ILLNESS. AND IT
AUGMENTS THIS COMMUNITY
PARAMEDIC RESPONSE WITH CASE
MANAGEMENT AND SOCIAL SERVICES.
IN ADDITION, WE HAVE THE MOBILE
INTEGRATE MOBILE EVALUATION TEAM
, WHICH BEARS A MENTAL HEALTH
CLINICIAN WITH HAYWARD POLICE
OFFICER IN RESPONSE TO ACUTE
MENTAL CRISIS AS WELL AS UM,
PLACEMENT OF PSYCHIATRIC HOLDS.
TOGETHER THESE TWO TEAMS UNDER
THE HEART PROGRAM. ARE TWO OF 11
MOBILE CRISIS TEAMS THAT ARE
CURRENTLY ACTIVE IN RESPONDING
WITHIN ALAMEDA COUNTY'S 988
SYSTEM. IN MAY OF 2021 HAYWARD
CITY COUNCIL RECEIVED THE FINAL
REPORT FROM THE PUBLIC SAFETY
POLICY INNOVATION WORKSHOP. AND
INSTRUCTED CITY STAFF TO
IMPLEMENT NINE HIGH PRIORITY
PROJECTS INTENDED TO ADDRESS
CONCERNS RAISED IN UM FALL 20
TWENTIES COMMUNITY CONVERSATIONS
WITH PUBLIC SAFETY. IN RESPONSE
TO THE INVOLVING NEEDS OF OUR
COMMUNITY, THE HAYWARD FIRE
DEPARTMENT AND LOCAL 19 OH,
NINE, ACCEPTED THE CITY'S
REQUEST. TO IMPLEMENT ONE OF THE
NINE HIGH PRIORITY PROJECTS
DESIGNATED THE MOBILE INTEGRATED
HEALTH UNIT. OUR IMMEDIATE AIM
IS TO INCREASE ACCESS TO MENTAL
HEALTH, MEDICAL AND OTHER
SUPPORTIVE SERVICES TO THOSE
MEMBERS IN OUR COMMUNITY
EXPERIENCING HOMELESSNESS,
SUBSTANCE ABUSE AND MENTAL
ILLNESS. THESE THREE PATIENT
POPULATIONS ARE THAT ARE AT THE
HEART OF EVOLVING OUR FUTURE
FIRE AND POLICE RESPONSE MODELS.
WHILE WE OPERATE FROM A POSITION
THAT UNDERSTANDS THAT WE ARE NOT
ABLE TO SOLVE SUCH DEEPLY
ROOTED, COMPLEX SYSTEMIC ISSUES.
WE REMAIN FOCUSED ON HOW DO WE
BEST RESPOND TO THEM? SO WHILE
WE MET, WHILE WE MAY NOT BE ABLE
TO SOLVE THESE TYPES OF PROBLEMS
, HOW BEST AS A CITY AND AS A
DEPARTMENT DO WE CONTINUE TO
RESPOND TO THESE TYPES OF
EMERGENCIES? THE LONG TERM
OBJECTIVE IS TO GET TO THE RIGHT
TEAM TO THE RIGHT CALL FOR
SERVICE BY CREATING AN
INTEGRATED CONTINUUM OF CARE AND
ULTIMATELY REDUCING THE NEED FOR
POLITICS BEFORE POLICE OFFICERS
TO INTERVENE. GETTING THE RIGHT
TEAM AND THE RIGHT RESOURCE TO
THE RIGHT CALL FOR SERVICE
STARTS AT THE MOMENT OF CULT
TAKING. ALAMEDA COUNTY IS 988
SYSTEM PROVIDES THREE DIRECT
SERVICES, SOMEONE TO TALK TO
SOMEONE TO RESPOND IN SOMEWHERE
SAFE TO GO TO RECEIVE HELP. WHAT
I WOULD LIKE TO FOCUS ON TODAY
AND STRESSED THE IMPORTANCE OF
IS THAT 911 REMAINS THE NUMBER
THAT ARE RESIDENTS CALL WHEN
THEY NEED SOMEONE TO RESPOND.
WELL, 988 IS WELL POSITIONED TO
AUGMENT THE 911 SYSTEM IT CANNOT
AND SHOULD NOT ATTEMPT TO
COMPETE WITH THE 911 SYSTEM'S
ABILITY TO ASSESS FORESEEN
SAFETY AND MEDICAL NEED. EVEN
WITH THE BEST CALL TAKERS,
DISPATCHERS AND PROTOCOLS IN
PLACE IS SEEN SAFETY AND MEDICAL
NEED ARE CONTINUALLY ASSESSED
OUR FIRST RESPONDERS AS A SCENE
IN AN INCIDENT CONTINUED TO
PROGRESS. TO ASSIST
UNDERSTANDING HOW HOMELESSNESS,
SUBSTANCE ABUSE AND MENTAL
ILLNESS IMPACT OUR 911 SYSTEM.
IT'S HELPFUL TO VISUALIZE EACH
OF THESE ON SPECTRUM. FOR
EXAMPLE, HOMELESSNESS CAN
PRESENT TO THE 911 SYSTEM IN A
VARIETY OF WAYS. HOMELESSNESS
MAY PRESENT AS SIMPLY AS A MAN
DOWN IN HOUSE. INDIVIDUAL
INDIVIDUAL IS SLEEPING ON THE
SIDEWALK OR UP IN THE PUBLIC
LEAGUES EXPOSED PLACE. HOWEVER
THERE ARE INSTANCES WHERE THIS
INDIVIDUAL, UM WHERE THIS TYPE
OF CALL MAY QUICKLY TURN INTO A
FULL CODE OR THAT INDIVIDUAL IS
NOT SLEEPING. THEY'RE NOT
BREATHING THERE UNRESPONSIVE AND
THEY HAVE NO PULSE AND WE NEED
IT IMMEDIATELY DIDN'T NEED TO
TAKE LIFE SAVING MEASURES. SO
KIND OF JUST DRAWING THIS
SPECTRUM OF HOW HOMELESSNESS MAY
PRESENT OR SUBSTANCE ABUSE.
SUBSTANCE ABUSE MAY PRESENT AS
INTOXICATION AND THEY MAY BE
ALTERED, ALTERED LEVEL OF
CONSCIOUSNESS. UM THEY MAY
DISPLAY VIOLENT BEHAVIOR, THEY
MAY ULTIMATELY NEED TO BE
RESTRAINED, UM, SUICIDE ATTEMPT
CAN PRESENT VERY SIMPLY IS
SUPERFICIAL CUTS TO THE WRIST OR
OVER TAKING OVER THE COUNTER
PILLS. OR IT MAY PRESENT WITH
AMMO. WEAPONS. UM. CLEAR PLAN TO
OR INTENTION TO HURT OTHERS AS
WELL AS SELF AND I DRAW THESE
SITUATIONS OUT. TO HIGHLIGHT THE
NEED FOR FIRST RESPONDERS TO
STILL BE ABLE TO RESPOND TO
THESE TYPES OF CALLS AND ENSURE
SCENE SAFETY AND MEDICAL NEEDS
ARE ADDRESSED PRIOR TO DELVING
INTO THESE UNDERLINING ISSUES.
UM AND I'LL BE HERE TO ANSWER
ANY QUESTIONS. I APPRECIATE YOUR
TIME. THANK YOU. THANK YOU VERY
MUCH. QUESTIONS COMMENTS,
SENATOR YEAH. THANK YOU, MR
CHAIR. I'VE GOT TO LEAVE. BUT I
WANT TO THANK YOU ALL FOR BEING
HERE AND THANK YOU FOR YOUR
TOTAL KNOWLEDGE OF THE 911
SITUATION, AND I SAY SITUATION
BECAUSE, AS WE HEARD ABOUT THE
EARLIER CALLS, MENTAL HEALTH AND
PEOPLE, PERHAPS THINKING OF
TAKING THEIR LIFE, WHATEVER, BUT
THEN WE REALIZED THAT SOMEONE
ELSE, UH, MIGHT HAVE A GUN IN
THEIR HAND AND ABOUT TO TAKE OUT
SOME OTHER PEOPLE. IT CALLS FOR
DIFFERENT THINGS, BUT I STILL
SEE A PARTNERSHIP A BROTHER
SISTER RELATIONSHIP THAT WE
CAN'T OVERLOOK. UH AND IS IT
DEVELOPS ON ONE? IT ENHANCES THE
OTHER AND I THINK IT'S UP TO US
TO GO AHEAD AND MAKE SURE THE
FUNDING IS THERE FOR BOTH OF
YOU. AND TO ENCOURAGE THOSE TO
GET INTO THE FIELD OF LAW
ENFORCEMENT INTO THE FIELD OF
PARAMEDICS AND FIREFIGHTING AND
ALSO SOCIAL WORK AND SO ON.
BECAUSE WE DEFINITELY NEED NEED
YOUR BOAT. AH MY CONCERN IS THAT
, UH, THE GENERAL PUBLIC DOESN'T
KNOW ENOUGH ABOUT YOUR SITUATION
AND YOUR CALL, BUT THEY ALL KNOW
THE 911 AND I THINK THAT AS WE
EDUCATE, I THINK WE WILL GET
BETTER BANK FOR OUR BUCK. AS
THEY SAY ON ONE, BUT IT'LL HENCE
THE OTHER. AND IF THERE'S QUICK
REACTION, YOU CAN ASCERTAIN
WHAT'S GOING ON. SWITCH IT OVER
OR GO BACK THE OTHER WAY, BUT I
WOULD JUST LIKE TO SAY THAT ALL
OF US HERE ARE HERE TO SUPPORT
YOU IN ANY WAY WE CAN. AND YOUR
TESTIMONY TODAY HAS BEEN
FANTASTIC. AND I THANK YOU FOR
YOUR SERVICE. ALL THREE OF YOU,
THANK YOU. NO, SHE SENATOR
ACTUALLY HAD A QUESTION. SO
FIRST OF ALL, JUST, YOU KNOW,
THANK YOU VERY MUCH FOR COMING
IN CONTRIBUTING. YOUR COMMENTS
ARE VERY WELL THOUGHT OUT AND
WELL RECEIVED AND WHAT I LOVE
ABOUT ALL THREE OF YOU ON THIS
PANEL IS THAT YOU'RE DOING THIS
IN YOUR EVERYDAY LIFE, SO IT
SORT OF TAKES THE LID OFF FOR
US, AS SENATORS AND
ASSEMBLYMEMBER'S TO BE ABLE TO
KIND OF HEAR WHAT YOU'RE DEALING
WITH ON A LARGER SCALE, BUT ALSO
LIKE YESTERDAY, RIGHT? AND UH,
BECAUSE I COME FROM THE CITY I
RELATE VERY MUCH TO THE 911.
DISPATCH AND I VERY MUCH
UNDERSTAND THE CALL FOR THE GUY
LAYING ON THE SIDEWALK, WHICH
CAN BE CHALLENGING IN MULTIPLE
DIRECTIONS BECAUSE YOU'VE GOT TO
GO OUT EVERY TIME AND YOU JUST
DON'T KNOW WHAT YOU'RE GOING TO
FIND RIGHT? AND IT'S A REALLY
LARGE DEMAND ON RESOURCES ACROSS
THE REGION TO. SO JUST A COUPLE
OF THINGS ONE. I WOULD YOU KNOW,
UM SAY THAT 9988 IS NOT PERFECT
, THAT'S FOR SURE. BUT IT IS, I
THINK A USEFUL TOOL. AND. IT
DOES FUNCTION DIFFERENTLY IN
DIFFERENT AREAS. IN IN
SACRAMENTO, FOR EXAMPLE, THERE'S
A REALLY GOOD MENTAL HEALTH
PROVIDER WHO HAS THE CONTRACT
WHO'S ABLE TO TAKE ON THAT CALL
VOLUME I WELL KNOWN ENTITY THAT
DOES CLINICS IN OUR REGION THAT
SUPPORTS A LOT OF MENTAL HEALTH
SERVICES. IT'S ACTUALLY A
PROVIDER WHERE MANY FOLKS WOULD
END UP ANYWAY. IF THEY HAD
CALLED 911 AND GONE THROUGH A
LONGER SYSTEM, THEY WOULD HAVE
LANDED AT THE SAME PLACE WITH
THE SAME SUPPORT. BUT RIGHT NOW
IT IS FUNCTIONING SORT OF LIKE
OUR PREVIOUS TEEN SUICIDE
RUNAWAY HOTLINE WHERE YOU CALL
AND IT'S SOMEBODY TO TALK TO ITS
REALLY THAT FIRST TIER OF WHAT
YOU DISCUSSED. IT'S HARD TO GET
FROM THERE TO SOMEBODY
RESPONDING WITHOUT TRANSFERRING
TO 911 AND EVEN HARDER TO GET
FROM THERE TO A SAFE SPACE
BECAUSE IT'S REALLY A SAFE
PERSON TO TALK TO. AND I THINK
I'M GOING TO TAKE AWAY FROM THIS
HEARING TODAY. SOME OF YOUR
COMMENTS AROUND NEVADA AND
THINKING OF THE WORD CONNECTED
INTO TERMS BECAUSE WE DO NEED
THOSE 988 PROVIDERS TO BE
CONNECTED TO 911 AND LARGE
SERVICE PROVIDERS AND, YOU KNOW,
BE ABLE TO DIAL IN WITH WHO THE
PROVIDERS ARE ACROSS THE WHOLE
STATE. WE ALSO NEED THEM TO BE
ROOTED CONNECTED IN THEIR
COMMUNITIES, BECAUSE IF YOU CALL
FROM. YOU KNOW, RED BLUFF AND
YOU GET A REALLY GREAT
THERAPIST, BUT THEY'RE IN L. A
IT MIGHT NOT UNDERSTAND. THE
SOCIAL DYNAMIC OF WHAT YOU'RE
DEALING WITH IN IN RED BLUFF
THAT DAY. AND SO I HEAR YOU ON
THAT, AND I THINK THAT'S GONNA
BE A BIG CHALLENGE FOR US IN
THIS GREAT BIG STATE, AND BUT
IT'S ALWAYS A CHALLENGE TO MOVE
THE RESOURCES AROUND
APPROPRIATELY RIGHT? AND I WOULD
ENCOURAGE ALL THREE OF YOU TO
JUST REALLY STAY ENGAGED IN THE
DIALOGUE. YOU HAVE A LOT TO
OFFER. AND I HOPE YOU KNOW THAT.
I HOPE YOU OVER THE LAST FEW
DAYS AS YOU WERE ASKED TO COME
TO THIS. I HOPE YOU YOU NOW
TODAY CAN FEEL THAT YOUR VOICES
ARE REALLY IMPORTANT IN MOVING
US FORWARD. I DO HAVE ONE
QUESTION FOR YOU ON THE
HAYWARD'S MOBILE INTEGRATED
HEALTH UNIT. IS THERE AN EFFORT
FOR HOW LONG HAS IT BEEN UP AND
RUNNING? IT STARTED IN LAST YEAR
BEGINNING OF LAST YEAR, A YEAR
UNDER A YEAR ENDER. ANY EARLY
DATA ON REDUCTIONS TO EMERGENCY
ROOM INUNDATION. I WOULD SAY
IT'S STILL VERY EARLY TO SHOW
ACTUAL REDUCTION IN 911 CALL
VOLUME A LOT OF MUCH 911 CALL
VOLUME BUT EMERGENCY ROOM UH SO
IT YOU KNOW, ONE OF THE REASONS
WHY MOBILE INTEGRATED HEALTH HAS
HAS BEEN ABLE TO RISE TO THE TOP
OF BEING SOMETHING FOLKS WANT TO
FUND IS THAT IT CAN HELP REDUCE
THE NUMBER OF PEOPLE IN THE
EMERGENCY ROOMS SO THAT WE'RE
REALLY JUST DEALING WITH SICK
PEOPLE IN THE EMERGENCY ROOMS.
AND THAT PEOPLE WHO ARE IN A
DIFFERENT KIND OF CRISIS CAN
RECEIVE CARE FROM A MOBILE UNIT
WITHOUT HAVING TO BE TRANSPORTED
. ANY IDEA HOW IT'S DONE WITH
TRANSPORTS. YES I CAN CUT AND
TALK A LOT AROUND A LITTLE BIT
OF THAT IN GIVING EXAMPLE UM ONE
ASPECT OF HOW HOMELESSNESS
PRESENTS ITSELF IN THE EMERGENT
IN IN THE 911 SETTING IS PEOPLE
HYGIENE, JUST SIMPLE HYGIENE.
CHANGE OF FREE, UM CHANGE OF
CLEAN CLOTHES, USUALLY AN
EMERGENCY SHOWER SOMETIMES, UM E
. C S URINE CLOSER, SOILED.
NORMALLY THAT ROUTES THROUGH THE
911 SYSTEM THROUGH FIRE THROUGH
THE AMBULANCE. SOMETIMES POLICE
IS INVOLVED. IT TAKES AN
AMBULANCE TRANSPORT TO AN
EMERGENCY ROOM. EMERGENCY ROOM
HAS A PROTOCOL WHERE THEY GIVE
CLEAN CLOTHES. UH, FRESH MEAL
AND A BUS TICKET BACK TO
WHEREVER THAT RESIDENT WANTS TO
GO, WHICH IS BACK TO THE STREET.
THERE'S KIND OF A PARADE OF
UNITS AND RESOURCES THAT ARE
STRUNG ALONG WITH IN THAT KIND
OF CONTINUUM. SURE WHAT WE'VE
DONE WITH THE UNIT IS WE CAN
RECREATE WHAT'S BEING DONE IN
THE EMERGENCY ROOM IN THE BACK
OF AN AMBULANCE. WE CAN PROVIDE
SOME ONE OF A FRESH SET OF
CLOTHES. WE CAN DO AN EMERGENCY
SHOWER IN THE BACK. WE CAN ALSO
HAVE FACILITIES THAT WE'VE TAKEN
CLIENTS TO GET THEM SHOWERED.
CLEAN CLOTHES AND BASICALLY
RESET THEM BACK TO HOMEOSTASIS.
RIGHT THERE ON THE ON SCENE,
WHAT PERCENTAGE OF YOUR CALLS OR
PROVIDING THAT KIND OF SERVICE
WITHOUT A TRANSPORT? ROUGHLY 25%
ROUGHLY ABOUT A QUARTER OF 911
CALLS THAT WERE ENCOUNTERING.
WE'RE ABLE TO DO SOMETHING
DIFFERENT AND HOW MANY HOW MANY
CALLS HAS THE MOBILE INTEGRATED
HEALTH UNIT DONE IN ABOUT A
YEAR? SO IN OTHER WORDS, 25% OF
WHAT. THESE ARE ROUGH. ROUGH
NUMBERS. UM BUT I THINK WE'RE
AROUND 200 CALLS FOR SERVICE
WITHIN THIS LAST IN THE YEAR
WITHIN THE YEAR. UM BUT WE'VE
BEEN OPERATING. AT HALF CAPACITY
SPECIFIC HOURS. WE'VE HAD ONLY
HAVE ONE UNIT, RIGHT? WE HAVE
ONE UNIT WITH FOUR COMMUNITY
PARAMEDICS ASSIGNED TO IT. AND
IS IT EVERY, IS IT? HOW OFTEN
DOES THAT RUN? 10 TO 12 HOURS A
DAY, MONDAY TO FRIDAY, OKAY? HOW
WHAT'S THE POPULATION OF HAYWARD
ABOUT 160,000? OKAY? THANK YOU.
IF I MAY JUST ADD A COUPLE OF
THINGS TO THAT, UM, LIKE WHAT WE
KNOW FROM OUR CRISIS ASSESSMENT
SYSTEM CURRENTLY IS ABOUT IT IS
80% OF THE PEOPLE THAT COME INTO
OUR EMERGENCY DEPARTMENTS FOR A
BEHAVIORAL HEALTH CRISIS. PRETTY
BROAD CATEGORIES, AND I REALLY
APPRECIATE YOU SHINING A LIGHT
ON THE BREADTH OF TYPES OF
SITUATIONS THAT LEAD SOMEONE TO
A CRISIS ABOUT 80% OF FOLKS
DON'T END UP NEEDING A HIGHER
LEVEL OF CARE. MEANING TO YOUR
POINT. A LOT OF THEM IDEALLY
COULD HAVE BEEN DIVERTED TO
COMMUNITY RESOURCES LIKE WHAT
YOU'RE DESCRIBING, OR OUTPATIENT
CARE OF SOME KIND THAT CAN
HAPPEN ELSEWHERE, AND THAT AGAIN
. I THINK IT'S THAT THAT CRACKS
PIECE. I APPRECIATE HOW YOU
PHRASED IT THAT ROOTEDNESS AND
COMMUNITY AS WELL AS
CONNECTEDNESS THAT'S GOING TO
ALLOW THIS TO BE SUCCESSFUL AS
SORT OF CREATING A PARALLEL
SYSTEM, WHICH I THINK HAS TO BE
DEEPLY CONNECTED EVERY LEVEL
SOMETHING THAT THE CHAIRMAN AND
I TALK A LOT ABOUT IS HOW TO
TAKE SOME OF THE ISSUES THAT ARE
INSIDE OF EMERGENCY MANAGEMENT.
AND SOLVE FOR THEM WHILE
REDUCING OTHER PROBLEMS THAT ARE
INSIDE OF EMERGENCY MANAGEMENT.
SO YOU KNOW ALLEVIATING
TRANSFERS INTO THE EMERGENCY
ROOM. HELPS US AS A SOCIETY, BUT
IT DOESN'T REDUCE A CITY BUDGET.
AND HOW DO YOU WHILE YOU'RE
BENEFITING A HOSPITAL BUDGET?
HOW DO YOU ALSO BENEFIT A CITY
BUDGET? AND SO THIS IS SOMETHING
WE SPEND QUITE A BIT OF TIME
TALKING ABOUT. SO JUST EVEN
EARLY DATA LIKE 25% OF CALLS.
EVEN HAYWARD'S A PRETTY SMALL
CITY. BUT IF YOU WERE TO PLAY
THAT OUT ACROSS THE LARGER CITY
AND BEAR OUT THAT MAYBE 25% OF
THOSE CALLS COULD BE DIVERTED.
THAT'S A SUBSTANTIAL SAVINGS NOT
ONLY TO OUR HOSPITAL SYSTEM AND
THEREFORE FREEING UP THOSE
SERVICES, BUT IT WOULD ALSO BE
VERY HELPFUL TO OUR 911 SYSTEM
AND TO OUR FIREFIGHTERS INTO THE
OVER INUNDATION WE HAVE ON THAT
SYSTEM SO BUT AGAIN. IT'S ROOTED
IN KNOWING THE COMMUNITY AND
GETTING TO KNOW THOSE PEOPLE.
THE MOST IMPORTANT TWO WORDS I
THINK HE ACTUALLY UTTERED IN
WHAT THEY DO IS CASE MANAGEMENT.
FOR THOSE OF US. YOU KNOW WHAT
THAT MEANS OR TRACKING WHO THE
PEOPLE ARE FREQUENT FLYERS. SO
IF SOMEBODY NEEDS A SANDWICH
THAT THEY'RE NOT IN THE E, OR
THEY NEED A PRESCRIPTION REFILL
THAT THEY'RE NOT IN THE ER OR
THEY, YOU KNOW, NEED NEED NEW
SOCKS AND SHOES THAT THEY'RE NOT
IN THE ER THAT WE DON'T BECOME
OVER RELIANT ON THE E. R S TO
THE POINT THAT WE HAVE TO SHUT
THEM DOWN AT THE SAME TIME. THAT
OUR CHAIRMAN IS CARRYING REALLY
IMPORTANT BILLS ABOUT INFORMING
PEOPLE. THE DIFFERENCE BETWEEN
9891 IS ALSO CARRYING BILLS THAT
HAVE TO DO WITH TRYING TO CLEAR
UP THE ER SO THAT SICK PEOPLE
CAN GET IN. SO TRYING TO TAKE
TWO PROBLEMS AND SOLVE FOR THEM.
UNIQUELY IS PART OF. I THINK THE
GOAL OF THIS JOINT COMMITTEE AND
WHAT WE'RE DOING TODAY. YEAH
THANK YOU VERY MUCH, SENATOR FOR
THOSE WORDS, AND JUST SO WE'RE
REAL QUICK BACK TO A FRANK WITH
HAYWARD AND YOU MAY BE OVER,
SAID A LITTLE BIT ABOUT ALREADY
WITH THOSE 200 PATIENTS THAT YOU
SEE A LOT OF THOSE PATIENTS KIND
OF LIKE WHAT WE TALKED TO, AS
FREQUENT FLYERS CALLS FOR THE
SERVICE OF THE SAME PEOPLE ARE
OR HOW WAS THAT TRYING TO
TRANSITION OUT OF THOSE FOLKS
FROM CONTINUOUSLY CALLING YOU
GUYS FOR THE SAME SERVICE? SO
ABOUT 75% OF THE TIME THEY
EITHER DON'T WANT HELP, AND IT'S
UNFORTUNATE TO SAY A LOT OF
PEOPLE DON'T WANT HELP. THEY'RE
SET IN THEIR WAYS. THEY HAVE A
CERTAIN WAY OF LIFE, AND THEY
ARE UM CONTENT. OR WITHIN THAT,
75% THEY ACTUALLY NEED TO GO TO
THE HOSPITAL. HOMELESSNESS,
SUBSTANCE ABUSE, MENTAL ILLNESS
. WHATEVER THE ISSUE,
UNDERLINING THERE IS THEY STILL
NEED TO GET MEDICALLY CLEARED
THROUGH THE EMERGENCY ROOM. SO
75% OF THE TIME. IT'S BUSINESS
AS USUAL, BUT THAT 25% OF THE
TIME THAT ROUGHLY QUARTER WE'RE
ABLE TO DO SOMETHING DIFFERENT.
WHETHER THAT IS JUST GIVING
SOMEONE EMERGENCY SHOWERED,
GETTING SOMEONE OFF THE STREET
AND OVER TO A WELLNESS CENTER
SUCH AS HEADACHE, Ó. UM. WE'VE
GIVEN PEOPLE RIDES JUST BACK TO
ACROSS TOWN BACK TO THE
RESIDENTS. THEY'RE INTERACTING
WITH THE 911 SYSTEM. AND THEN
WITH THE CASE MANAGEMENT, SOCIAL
SERVICES PIECE WE HAVE, UM, A
CASE MANAGER, LICENSED
CLINICIAN. THAT WE CAN REFER AND
DIRECTED THOSE CLIENTS TO FOR
FOLLOW UP AND FOLLOW THROUGH TO
TRY TO GET TO THE ROOT OF WHAT'S
GENERATING A LOT OF THIS HIGH
FREQUENCY 911 USE. AND SO ONE
MORE ONE LAST QUESTION TO ON
THAT. SO I GUESS MAYBE TO ONE OF
THE TWO THE DISPATCHERS OR HOW
THAT WORKS IN HAYWARD. SO WHAT
ARE THE KEY WORDS WHEN SOMEBODY
DOES CALL 911? THAT AS YOUR
SCREENING THAT CALL THE CALL
TAKER IS OKAY. WHO DO DO WE.
COULD BE THE KEY PHRASES OR OR
COMPONENTS THAT WILL TELL YOU
OKAY, THIS IS WHO WE'RE GOING TO
RESPOND TO. OR WHO WOULD BE THE
APPROPRIATE RESPONSE, RIGHT? I
DON'T KNOW HOW THAT WOULD BE A
NOT VERY UNIQUE SYSTEM. YOU GUYS
HAVE THERE. SO JUST KIND OF
CURIOUS HOW THAT WOULD WORK AS A
CALL COMES IN. I CAN SPEAK TO
ALAMEDA COUNTY WORKING AN AGENCY
IN ALAMEDA COUNTY. UM, THERE IS
A VERY SPECIFIC LIST OF
PROTOCOLS THAT, UM, INSTEAD OF
CRITERIA THAT THE COLUMNIST MAKE
THE PERSON CAN BE ARGUMENTATIVE,
THE PERSON CAN'T BE UNDER THE
INFLUENCE OF ANYTHING LIKE THAT
. AND AS LONG AS THEY MEET ALL
OF THE CRITERIA, THEN AT THAT
POINT, WE WOULD CONTACT ALAMEDA
COUNTY FIRE AND WE WOULD
DISPATCH OUT THE MENTAL UH,
PRICES TEAM. WHICH CONSISTS OF A
PARAMEDIC, A SOCIAL WORKER AND
SOME OTHER PERSONNEL AGAIN. IT'S
REALLY A QUESTION OF STAFFING
THESE UNITS. I KNOW THE ELEVATED
COUNTY HAS STRUGGLED TO GET, UM,
A TEAM OUT THERE SEVEN DAYS A
WEEK. OFTENTIMES IT'S THREE OR
FOUR DAYS A WEEK AND JUST EITHER
DURING DAY SHIFT, UM SO YOUR
PEAK HOURS WHEN YOU MIGHT HAVE
PEOPLE IN CRISIS, SAY, FRIDAY
NIGHT, SATURDAY NIGHT, SOMETHING
LIKE THAT. OFTENTIMES YOU HAVE
TO DISPATCH EITHER A FIRE OR
POLICE RESPONSE BECAUSE THE
TEAMS ARE UNAVAILABLE. OKAY.
THANK YOU. AND ANY QUESTIONS,
COMMENTS, COMMENT BELOW. HI
THANK YOU SO MUCH FOR BEING HERE
TODAY AND SHARING WHAT YOU'RE
SEEING AND EXPERIENCING, UM. I
KNOW THIS IS A NEW SYSTEM AND
STILL KIND OF BEING WORKED OUT.
I GUESS I COME OUT OF WORKING ON
HOMELESSNESS. PSYCHO FOUNDED AN
ORGANIZATION IN THE WEST SAN
FERNANDO VALLEY THAT HAS THE
LARGEST HOMELESS OUTREACH
PROGRAM THERE AND HAVE DONE A
LOT OF THAT OUTREACH MYSELF TO
ENCAMPMENTS. UM AND WHAT I HAVE
FOUND IS THAT PEOPLE DO WANT TO
COME INSIDE WHEN THEY FEEL SAFE.
AND SO DURING THE PANDEMIC, FOR
EXAMPLE, UM, WE DID OUTREACH I'D
PERSONALLY DID OUTREACH TO THE
AREA THAT I WOULD GO TO EVERY
WEEK AND YOU KNOW I HAVE
RELATIONSHIPS WITH FOLKS, AND I
THINK THAT'S AN IMPORTANT PIECE
OF IT. UM BUT WHEN PROJECT ROOM
KEY CAME ONLINE, AND PEOPLE
COULD GET INTO A ROOM AND LOCK
THE DOOR AND HAVE A SAFE PLACE
TO BE, UM, NOT IN CONGREGATE
SHELTER THAN EVERY PERSON I
WANTED. I TALKED TO WANTED TO
GET INSIDE, WITH THE EXCEPTION
OF ONE PERSON WHO WAS NOT SURE
IF THEIR PARTNER COULD COME ONE
PERSON WAS NOT SURE IF THEIR DOG
COULD COME, AND ONE PERSON WAS
NOT SURE IF THEY COULD BRING ALL
OF THEIR TOOLS BECAUSE THEY YOU
KNOW THEY NEEDED THAT TO SURVIVE
AND MAKE MONEY RIGHT SO
COMPLETELY REASONABLE REASONS
THAT PEOPLE WOULD MAYBE NOT HAVE
THAT SITUATION. WORK FOR THEM,
UM SO. YOU KNOW, I KNOW THAT A
LOT OF TIMES PEOPLE ARE CALLING
911 FOR HOMELESSNESS FOR PEOPLE
EXPERIENCING HOMELESSNESS
BECAUSE THEY BASICALLY WANT
PEOPLE OFF THE STREETS. EVERYONE
WANTS FOLKS TO GET OFF THE
STREETS. UM AND I AM CONCERNED
THAT WHILE IT'S IMPORTANT TO
GIVE A CHANGE OF CLOTHES AND A
MEAL AND A SHOWER, AND YOU KNOW,
KIND OF TRIAGE THAT SITUATION,
PEOPLE ARE STILL HOMELESS. AT
THE END OF THAT SITUATION, RIGHT
AND PART OF THE IDEA BEHIND
HAVING THESE DIFFERENT TYPES OF
UNITS RESPONDING IS TO CONNECT
PEOPLE TO THE SUPPORTS AND
SERVICES THAT THEY NEED TO GET
OUT OF THE YOU KNOW,
EXPERIENCING HOMELESSNESS. UM
AND SO. YOU KNOW, I WONDER
WHAT'S HAPPENING LIKE HOW IS
THAT CONNECTION HAPPENING?
RIGHT? AND I THINK PART OF IT IS
THE RELATIONSHIP BUILDING AND
HAVING THAT TRUST RIGHT BECAUSE
FOCUS ON THE STREETS HAVE BEEN
PROMISED ALL KINDS OF THINGS AND
THEY GET SCAMMED AND THINGS
STOLEN. AND, YOU KNOW,
EXPERIENCE ALL KINDS OF TRAUMA
WHEN YOU WHEN YOU WERE
EXPERIENCING HOMELESSNESS, UM
AND YOU KNOW, SO IT'S HARD TO
TRUST THAT WE'RE GONNA HOOK YOU
UP WITH HOUSING WHEN THEY HAVE
HEARD THAT A MILLION TIMES
BEFORE, AND IT NEVER CAME
THROUGH. UM IT'S ALSO HARD TO
TRUST WHEN WE DON'T HAVE ENOUGH
HOUSING TO PUT PEOPLE INTO. AND
SO, UM, AND PEOPLE DON'T WANT TO
GO INTO SHELTERS. 80% OF PEOPLE
EXPERIENCING HOMELESSNESS DON'T
WANT TO BE IN A SHELTER. SO, UM
SO WHAT ARE YOU KNOW? WHAT ARE
YOU SEEING? WHAT ARE EXAMPLES OF
WHERE THESE CONNECTIONS ARE
BEING MADE BECAUSE I FEEL LIKE
THAT'S SUCH A CRITICAL PART OF
WHY WE WANTED TO GO IN THIS
DIRECTION IN THE FIRST PLACE TO
MAKE SURE THAT THERE IS, UM,
THAT CONNECTION TO SERVICES TO
SOLUTIONS, RIGHT? WE WANT TO
CONNECT TO SOLUTIONS. UM AND I
WOULD LOVE TO HEAR KIND OF WHERE
THEIR MODELS OF THAT EXAMPLES OF
THAT AND HOW THAT'S WORKING OR
NOT WORKING, AND THINGS NEED TO
BE ADJUSTED. SUPER GREAT POINTS
REALLY APPRECIATE. UM, THE CLEAR
EXPERTISE YOU BRING TO THAT, UM
, UNDERSTANDING OF THE SITUATION
, AND I THINK THE COURT
CHALLENGES THE LONG TERM
SOLUTIONS, AND I THINK WE'RE ALL
DEEPLY AWARE OF THE WAYS THAT WE
DON'T HAVE ADEQUATE PERMANENT
HOUSING FOR PEOPLE, AND THERE'S
A LOT OF GREAT INVESTMENTS
HAPPENING IN THAT AREA. AND
SPEAKING FOR COUNTY BEHAVIOR,
HEALTH DEPARTMENTS, WE ARE
WORKING LIKE CRAZY TO DO MORE OF
THAT, YOU KNOW. IN NEVADA COUNTY
. WE ADDED 72 BEDS OF PERMANENT
HOUSING AS A BEHAVIOR HEALTH
DEPARTMENT IN THE COURSE OF A
YEAR, WHICH IS WILD AND A SMALL
COUNTY, AND IN THAT SAME YEAR,
200 PEOPLE BECAME HOMELESS FOR
THE FIRST TIME. AND SO IT'S A
LITTLE BIT LIKE FINGER IN THE
DIKE EDITION THAT WAY. HAVING
SAID THAT WE WORK REALLY HARD,
AND I THINK AGAIN. THIS IS THE
KIND OF LOCAL RELATIONSHIPS
PIECE THAT YOU'RE SPEAKING TO,
UM ARE RACIST TEAM IS DEEPLY
CONNECTED TO OUR HOMELESS
SERVICES TEAM. AND SO WE HAVE A
COLUMN AND HANSE CARE MANAGEMENT
FUNDED TEAM RIGHT NOW THAT THEIR
JOB IS WORKING, BUILDING LONG
TERM, TRUSTING RELATIONSHIPS
WITH PEOPLE EXPERIENCING
HOMELESSNESS, AND SO THERE CAN
BE A WARM HANDOFF FROM THE
MOBILE CRISIS TEAM TO THAT TEAM
, WHO CAN THEN CAN START TO WORK
ON A LONGER TERM GAME PLAN THAT
YOU KNOW IDEALLY LEADS TO
PERMANENT HOUSING. IF WE CAN
FIND SOME, BUT AT THE VERY LEAST
, LEADS TO SOME STABILIZING
FORCES BEING IN PLACE AND
HELPING WORK WITH THAT PERSON TO
IDENTIFY LIKE STEPS TOWARDS THAT
HOUSING SOLUTION. I DS AND BIRTH
CERTIFICATES AND ALL THE THINGS
THAT PEOPLE NEED TO START
WORKING DOWN THAT PATH. I WOULD
JUST VOLUNTEER. I WORK IN PALO
ALTO, WHICH IS SANTA CLARA
COUNTY. AND WE, UH PILOTED A
PROGRAM OF AN OFFICER AND A
SOCIAL WORKER RESPONDING AS
SANTA CLARA COUNTY SOCIAL WORKER
AS WELL AS AN OFFICER. UM THE
VEHICLE WAS UNMARKED. THE
OFFICER WAS IN JUST A BLACK
VEST, NO VISIBLE POLICE
MARKINGS. UM, AND THE PROGRAM
WAS INCREDIBLY SUCCESSFUL. UM
ANY KIND OF THEY WEREN'T
DISPATCHED TO SPECIFIC CALLS.
BUT IF THEY HEARD SOMETHING ON
THE RADIO OF SOMEONE WHO SEEMED
LIKE THEY WERE IN CRISIS OR
SOMETHING, THEY WOULD
AUTOMATICALLY SELF DISPATCHED TO
THE CALL. AND THEY WERE ABLE TO
HELP A LOT OF PEOPLE THEY REDUCE
TRANSPORTS IN THE AREA. THE ONLY
ISSUE WAS UNFORTUNATELY THE HIGH
COST OF LIVING IN THE BAY AREA
OR SOCIAL WORKER RESIGNED. AND
SO WE'VE BEEN WORKING WITH SANTA
CLARA COUNTY TO OBTAIN ANOTHER
SOCIAL WORKER. UM, BUT SO FAR WE
HAVEN'T BEEN ABLE TO FILL THE
POSITION. BUT IT ALL OF THESE
TYPES OF EFFORTS REALLY DO MAKE
A DIFFERENCE AND BY RESPONDING
IN AN UNMARKED VEHICLE, HAVING
THE SOCIAL WORKER THERE, IT
REALLY CREATES BRIDGES TO TRYING
TO HELP PEOPLE FIND A BETTER
SOLUTION. AND JUST TO KIND OF
ADD AND SPEAK TO AROUND YOUR
QUESTION. UM ONE THING I QUICKLY
REALIZED IN THE BEGINNING OF THE
PROGRAM WAS AS PARAMEDICS HOW
WE'RE DOCUMENTING. THESE TYPES
OF CALLS ARE ELECTRONIC HEALTH
RECORDS REALLY GOOD AT, UM
DOCUMENTING INTERVENTIONS, VITAL
SIGNS, MEDICATIONS TREATMENTS.
BUT IT'S NOT GREAT AT DOING OR
DIDN'T HAVE THE, UM
FUNCTIONALITY FOR IT IS ACTUALLY
DOCUMENTING. LIKE WHAT'S
GENERATING. WHAT ARE THE
UNDERLYING REASONS THAT ARE
ADDING UP TO THESE 911 CALLS UM,
IF PEOPLE DON'T HAVE HOUSING
FOOD INSECURITY. THEY DON'T HAVE
A PRIMARY CARE PROVIDER. THEY
DON'T HAVE HOW THEY DON'T HAVE
MEDICAL INSURANCE. THEY DON'T
HAVE TRANSPORTATION. THEY CAN'T
FILL PRESCRIPTIONS AS LONG AS
THESE UNMET NEEDS CONTINUE TO GO
UNMET, THEY GENERATE CRISIS OR
IT GENERATES 911 RESPONSE. SO
THE FIRST STEP WAS JUST
DOCUMENTING LIKE AS WE RUN THESE
TYPES OF CALLS HOMELESSNESS,
SUBSTANCE ABUSE MENTAL ILLNESS.
IT WAS MAKING REFERRALS OVER TO
OUR COMMUNITY MEDICINE TEAM AND
SOCIAL WORK CASE MANAGER THOSE
REFERRALS STARTED TO ADD UP AND
DOCUMENT WHAT THESE UNMET NEEDS
OF OUR 911 SYSTEM ACTUALLY LOOK
LIKE AND IT'S KIND OF GIVEN UP A
REFERENCE POINT ON WHERE TO
DIRECT OUR FOCUS OUR TIME OR
ENERGY. UM. SO THERE THERE'S ONE
PART OF THE PROGRAM IS THE
ACTUAL 911 RESPONSE. THE OTHER
PART OF IT IS THE CASE MANAGER.
THE FOLLOW UP, FOLLOW THROUGH
AND TRYING TO, UM CAN MEET THOSE
UNMET NEEDS OR ATTEMPT TO BE
ABLE TO REFER PATIENTS AND
CLIENTS TO THESE DIFFERENT
ORGANIZATIONS. WHICH REALLY
MIMIC LIKE SOCIAL DETERMINANTS
OF HEALTH OR MASLOW'S HIERARCHY
OF NEEDS, IF YOU DON'T HAVE
THESE BASIC HUMAN SAFETY AND
PHYSIOLOGICAL NEEDS MET
GENERATES CRISIS. SO THAT WAS A
BIG THING IN THE BEGINNING FOR
US WAS DOCUMENTING WHAT THESE
UNMET NEEDS WITHIN THE 9911
SYSTEM LOOK LIKE AND THEN
BUILDING A TEAM THAT'S CAPABLE
OF FOLLOWING UP FOLLOWING
THROUGH AND STARTING TO MATCH
CLIENTS WITH THESE TYPES OF
RESOURCES. THANK YOU. AND I
THINK YOU'RE MAKING AN EXCELLENT
CASE FOR WHITE HOUSING. FIRST IS
AN IMPORTANT POLICY BECAUSE YOU
HAVE TWO PEOPLE HAVE TO HAVE
THEIR BASIC NEEDS MET BEFORE YOU
CAN ADDRESS OTHER ISSUES THAT
MAY NEED TO BE ADDRESSED AROUND
MENTAL HEALTH. OR UM, YOU KNOW,
HEALTH CARE, GETTING A JOB OR
ANYTHING THAT PEOPLE NEED TO GET
ON THEIR FEET. SO, UM, SO YOU
KNOW, HOUSING, HOUSING, HOUSING
PERMANENT HOUSING. AND HOPEFULLY
IT WILL HELP WITH REAL SOLUTIONS
TO CAUSE THAT YOU GET OVER AND
OVER AND OVER UNTIL WE GET
THERE. THANK YOU. THANK YOU. I'M
MORALLY HAVE HAVE A COMMENT
BEFORE WE GO INTO PUBLIC
COMMENT. REALLY? I JUST WANT TO
THANK EVERYBODY FOR
PARTICIPATING TODAY. IT'S BEEN A
VERY USEFUL DISCUSSION FROM BOTH
PANELS. I'VE LEARNED A LOT. AS
WHAT WE'RE DEALING WITH NOW, UH
, MOVING AHEAD TO THE FUTURE.
I'LL GO BACK TO MY TIME WORKING
IN AN AMBULANCE BACK IN 19. 84
WHEN I STARTED WORKING IN THE
FIELD, THERE'S 911 CALLS WERE
REALLY 911 CALLS RIGHT FOR THE
LIFE AND DEATH EMERGENCIES. I
WAS REALLY TRANSFORMED NOW TO
FROM THEN TO NOW, IT'S VERY
OBVIOUSLY WE ALL KNOW THE
SYSTEMS MISUSED RIGHT AND WE CAN
ALL AGREE THAT PEARLY IN EVERY
HOSPITAL RIGHT NOW IN CALIFORNIA
OR ACROSS THE NATION. HALF OF
THOSE PATIENTS ARE MORE DON'T
NEED TO BE IN THE ER RIGHT FROM
WITH MENTAL HEALTH, HOMELESSNESS
, DRUG ADDICTION. WHATEVER THE
CASE MAY BE, IT'S REALLY
INUNDATED OUR HEALTHCARE SYSTEM
AND AS WE LOOK FORWARD TO HOW DO
WE PREPARE TO DELIVER A
DIFFERENT TYPE OF EMERGENCY
SERVICES OUT THERE? IT'S
CHALLENGING. IT'S UNIQUE WITH
THE NEXT GEN COMING IN 988 AND
ONE THING, HOW DO WE HOPEFULLY?
UM EDUCATE OUR COMMUNITIES ON
WHY YOU REALLY SHOULD BE CALLING
911 ON TOP OF EVERYTHING ELSE
THAT GOES ON. SO REALLY, MY
HAT'S OFF TO EVERYBODY OUT THERE
DEALING WITH THESE CALLS FROM
THE START OF THE CALL TAKERS TO
THE FOLKS PROVIDING THE SERVICE
AT THE END OF THE DAY. WHERE YOU
PLEASE FIRE E. M S, UM I KNOW
SOMEBODY I THINK IN THE FIRST
PANEL TALKED ABOUT THE MENTAL
HEALTH COMPONENT AND TALKING
BACK FROM MY, UM MY EDUCATION IN
MY REAL LIFE EXPERIENCES. MY SON
IS A DEPUTY SHERIFF IN L A. AND
HE CAN TELL ME ALMOST WEEKLY, IF
NOT MORE, HOW MANY CALLS HE GOES
OUT TO FIT THEIR DEALING WITH
MENTAL HEALTH ISSUES RIGHT AND
HOW THEY HAVE TO GO AND
DEESCALATE THOSE FOLKS RIGHT
THAT ARE CONTEMPLATING DOING
SUICIDE OR JUMPING OFF THAT
BRIDGE, AND SOMETIMES THOSE
POLICE OFFICERS ARE THE FIRST
ONES. THEY'RE NOT TO MENTION OUR
FIREFIGHTERS WHEN YOU GET THAT
PERSON DOWN, RIGHT? UH,
SOMETIMES THAT ENGINE COMPANIES
GOING TO BE FOR THE FIRST ONE
THERE AND IT IS IT REALLY A
PERSON DOWNERS SUMMARY SUFFERING
FROM A MENTAL HEALTH CRISIS,
RIGHT? THERE'S JUST REALLY
EVOLVED ON TOP OF THE FENTANYL
ISSUES, RIGHT? THAT'S I THINK
ANOTHER ISSUE THAT'S AFFECTING
OUR FIRST RESPONDERS. TO BE
CAREFUL WITH SOME OF THESE FOLKS
DO HAVE THAT WITH THEM AND ARE
OVERDOSING BY THEM. AND SOME OF
THESE FIRST RESPONDERS BECOMING,
UH, OVERDOSING AS WELL BECAUSE
OF WHAT'S DEALING WITH THEM. AND
SO IT'S REALLY COME A LONG WAY.
HOPEFULLY WITH EVERYTHING WE
TALKED ABOUT TODAY, MOVING
FORWARD, WE CAN GET THERE. TO
THAT POINT. IT'S GOING TO TAKE
SOME TIME. IT'S CHANGED RIGHT,
BUT WE ALL DO IT FOR THE RIGHT
REASONS AND ULTIMATELY PROVIDE
THE BEST SERVICES TO THE PEOPLE
HERE IN CALIFORNIA. SO THAT
THANK YOU ALL FOR BEING HERE AND
NOW WE'LL MOVE ONTO PUBLIC
COMMENT. DUE TO TIME A LITTLE
BIT OVER THAN I THOUGHT WE WOULD
BE. BUT PLEASE LET ME YOUR
COMMENTS TO ONE NO MORE THAN ONE
MINUTE, SO IF THERE'S ANYBODY IN
THE AUDIENCE FOR PUBLIC COMMENT,
HE'S COME FORWARD. THANK YOU.
GOOD MORNING CHAIR AND MEMBERS
TARGET B¢O EASTMAN WITH THE
STEINBERG INSTITUTE HERE ON
BEHALF OF BOTH THE STEINBERG
INSTITUTE AND THE KENNEDY FORUM
, THE LEAD CO SPONSORS OF A B 98
REALLY WANT TO THANK YOU FOR THE
RICH DISCUSSION TODAY AND THANK
THE ADMINISTRATION FOR THE
TREMENDOUS WORK OVER THE LAST
COUPLE OF YEARS. AS WAS
MENTIONED THERE IS TRAILER BILL
LANGUAGE MOVING FORWARD THAT
WOULD AMEND A B 988. WE DO HAVE
SOME CONCERNS WITH IT AS
CURRENTLY DRAFTED WHILE WE THINK
WE SHARE THE SAME GOALS THAT THE
ADMINISTRATION WE ARE WORRIED
THAT IT COULD UNDERMINE THE
ORIGINAL INTENT OF A B 988 AND
JUST CONTINUE TO LOOK FORWARD TO
WORKING WITH YOU. AND WITH THE
LEGISLATURE AS WELL, THANK YOU
SO MUCH. ALL RIGHT. GOOD MORNING
. MY NAME IS ANDREW GALLEY. I'M
A CAPTAIN WITH THE HERO. FIRE
DEPARTMENT. ALSO THE UNION
PRESIDENT FOR HAYWARD
FIREFIGHTERS, LOCAL 99. I'M NOT
GONNA TOUCH TOO MUCH ON WHAT
FIREFIGHTER CRISPO SAID HE DID
AGREEMENT AMAZING JOB
REPRESENTING THE DEPARTMENT. BUT
I WOULD URGE YOU GUYS ALL IF YOU
HAVE ANY TIME IN YOUR BUSY
SCHEDULE TO COME OUT AND SEE
WHAT WE'RE DOING WITH THE MOBILE
INTEGRATED HEALTH UNION ALSO
VISIT OUR FIREHOUSE CLINIC. WE
OPENED ONE OF THE FIRST ONES AND
THE NATIONS. THEY'RE ALMOST
INTEGRATED TOGETHER WHERE WE'RE
TAKING THE CALLS THAT
FIREFIGHTER CROSSBOWS RESPONDING
TO MAKING APPOINTMENTS TO THEM.
INSTEAD OF LOADING UP THE
EMERGENCY ROOM. WE ALL KNOW
THERE'S A HIGH CALL VOLUME
THERE. UM ALSO TO TOUCH BASE IN
THE FIRST YEAR OF OUR MOBILE
INTEGRATED HEALTH UNIT. WE ONLY
HAD IT BUDGETED FOR 20 HOURS A
WEEK. UH FOR 20 HOURS A WEEK
MONDAY THROUGH FRIDAY WASN'T
MUCH. WE JUST GOT IT AS A
FEBRUARY TO BE 40 HOURS A WEEK
BY PULLING OUR LINE PERSONNEL
MAKING THEM COMMUNITY.
PARAMEDICS, UM BUT IT'S BEEN
SUCCESSFUL. IT'S BEEN A
REDUCTION IN CALL VOLUME TO THE
FIREFIGHTERS ARE ENGINE
COMPANIES ARE TRUCK COMPANIES
AND OUR HOSPITALS. IT'S BEEN
DOING AN AMAZING JOB. THE
COMMUNITY APPRECIATES IT. UM AND
WE ONLY TOUCHED ON A FRACTION OF
WHAT THEY'RE ACTUALLY DOING
THERE THERE DAY IN AND DAY OUT
SERVING OUR COMMUNITY. UM SO I
HEARD YOU GUYS COME VISIT US. I
HAVE SPENT TIME WITH US SPEND
TIME WITH THEM AND SEE WHAT
WE'RE ACTUALLY DOING. APPRECIATE
IT. THANK YOU. ANYONE ELSE FOR
PUBLIC COMMENT. WITH THAT. I
WANT TO THANK EVERYBODY FOR
ATTENDING AND THIS MEETING IS
ADJOURNED. THANK YOU.