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Committee of the Whole May 3, 2016 (215) 504-4622 STREHLOW

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Committee of the Whole May 3, 2016 (215) 504-4622 STREHLOW Committee Of The Whole May 3, 2016 Page 1 COUNCIL OF THE CITY OF PHILADELPHIA COMMITTEE OF THE WHOLE Room 400, City Hall Philadelphia, Pennsylvania Tuesday, May 3, 2016 10:30 a.m. PRESENT: COUNCIL PRESIDENT DARRELL L. CLARKE COUNCILWOMAN CINDY BASS COUNCILWOMAN JANNIE L. BLACKWELL COUNCILMAN ALLAN DOMB COUNCILMAN DEREK S. GREEN COUNCILMAN WILLIAM K. GREENLEE COUNCILWOMAN HELEN GYM COUNCILMAN BOBBY HENON COUNCILMAN CURTIS JONES, JR. COUNCILMAN DAVID OH COUNCILMAN BRIAN J. O'NEILL COUNCILWOMAN CHERELLE L. PARKER COUNCILWOMAN MARIA D. QUINONES-SANCHEZ COUNCILWOMAN BLONDELL REYNOLDS BROWN COUNCILMAN AL TAUBENBERGER BILLS 160170, 160171, and 160172 RESOLUTION 160180 - - - STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 2 1 2 COUNCIL PRESIDENT CLARKE: Good 3 morning. This is a public hearing of the 4 Committee of the Whole regarding Bills 5 No. 160170, 160171, 160172, and 6 Resolution No. 160180. 7 Mr. Stitt, please read the 8 titles of the bills and resolution. 9 THE CLERK: Bill No. 160170, an 10 ordinance to adopt a Capital Program for 11 the six Fiscal Years 2017 through 2022 12 inclusive. 13 Bill No. 160171, an ordinance 14 to adopt a Fiscal 2017 Capital Budget. 15 Bill No. 160172, an ordinance 16 adopting the Operating Budget for Fiscal 17 Year 2017. 18 Resolution No. 160180, 19 resolution providing for the approval by 20 the Council of the City of Philadelphia 21 of a Revised Five Year Financial Plan for 22 the City of Philadelphia covering Fiscal 23 Years 2017 through 2021, and 24 incorporating proposed changes with 25 respect to Fiscal Year 2016, which is to STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 3 1 5/3/16 - WHOLE - BILL 160170, etc. 2 be submitted by the Mayor to the 3 Pennsylvania Intergovernmental 4 Cooperation Authority (the "Authority") 5 pursuant to the Intergovernmental 6 Cooperation Agreement, authorized by an 7 ordinance of this Council approved by the 8 Mayor on January 3, 1992 (Bill No. 9 1563-A), by and between the City and the 10 Authority. 11 COUNCIL PRESIDENT CLARKE: 12 Thank you, Mr. Stitt. 13 Today we continue the public 14 hearing of the Committee of the Whole to 15 consider the bills read by the Clerk that 16 constitute proposed operating and capital 17 spending measures for Fiscal 2017, a 18 Capital Program, and a forward-looking 19 Capital Plan for Fiscal 2017 through 20 Fiscal 2022. 21 Today we will hear testimony 22 from the following departments: 23 Behavioral Health, Public Health, 24 Department of Human Services, Office of 25 Supportive Housing. STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 4 1 5/3/16 - WHOLE - BILL 160170, etc. 2 And, Mr. Stitt, the first 3 person to testify is? 4 THE CLERK: Dr. Arthur Evans. 5 COUNCIL PRESIDENT CLARKE: 6 Thank you. 7 (Witnesses approached witness 8 table.) 9 COUNCIL PRESIDENT CLARKE: Good 10 morning. 11 DR. EVANS: Good morning, sir. 12 Good morning, President Clarke 13 and members of City Council. I'm 14 Dr. Arthur C. Evans, Commissioner of the 15 Philadelphia Department of Behavioral 16 Health and Intellectual disAbility 17 Services. Joining me today is David 18 Jones, Deputy Commissioner, and I'm 19 pleased to provide testimony on my 20 department's Fiscal Year 2017 Operating 21 Budget. 22 The mission of the Department 23 of Behavioral Health and Intellectual 24 disAbility Services, or DBHIDS, is to 25 support a vision of recovery, resilience, STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 5 1 5/3/16 - WHOLE - BILL 160170, etc. 2 and self-determination for individuals in 3 need of our services. 4 The proposed Fiscal Year 2017 5 Operating Budget totals 1,577 -- I'm 6 sorry; $1,577,373,138, an increase of 7 $358,776,374 over Fiscal Year 2016 8 estimated obligation levels. 9 This increase is primarily in 10 the HealthChoices Behavioral Health Fund 11 and is attributed to a projected increase 12 in the enrollment due to Medicaid 13 expansion under the Affordable Care Act. 14 The FY17 Operating Budget 15 request of 1.6 million includes -- I'm 16 sorry; 1.6 billion includes 13.9 million 17 in the General Fund, 261 million in the 18 Grants Revenue Fund, and 1.3 million -- 19 I'm sorry; 1.3 billion in the 20 HealthChoices Behavioral Health Fund. 21 The DBHIDS FY budget will support 262 22 positions - 16 in the General Fund and 23 246 in the Grants Revenue Fund. Of the 24 1.6 billion, 69.8 million, or 4.4 25 percent, is for intellectual disability STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 6 1 5/3/16 - WHOLE - BILL 160170, etc. 2 and early intervention services and 1.5 3 billion, or 95.6 percent, is for 4 behavioral health services; 24.9 million 5 is in Class 100; 1.5 is in Class 200; 6 195,000 in Class 300; 145,000 in Class 7 400; and 1.7 million is in Class 800. 8 DBHIDS will continue to focus 9 on fundamentally transforming the local 10 network of care in 2017, in FY 2017. New 11 initiatives planned for this fiscal 12 year -- or next fiscal year include the 13 following: 14 Addiction services expansion: 15 This initiative will expand resources for 16 persons with co-occurring addictions and 17 mental health issues, including the 18 following components: Jail diversion and 19 trauma recovery interventions will be in 20 support of the City's increased efforts 21 to increase pro-social behaviors and 22 provide alternatives to incarceration. 23 This project significantly expands access 24 to addiction treatment and case 25 management services; STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 7 1 5/3/16 - WHOLE - BILL 160170, etc. 2 Pre-engagement activities are 3 designed to encourage positive growth and 4 change and will include screening, peer 5 support, family engagement, and outreach 6 services; 7 Early intervention assessments 8 and psychoeducation services will benefit 9 individuals at risk of developing 10 substance use-related problems, including 11 adolescents and their families; 12 Medication Assisted Treatment 13 will relink incarcerated individuals with 14 community methadone clinics. Medication 15 Assistant Treatment will also be extended 16 to opiate-addicted pregnant women. 17 The second initiative is 18 Children's Services Transformation. New 19 services will be established to continue 20 the transformation of the behavioral 21 health service system for children and 22 families in Philadelphia. Services will 23 include Children's Mobile Crisis 24 Stabilization Teams that will respond to 25 children and youth as well as their STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 8 1 5/3/16 - WHOLE - BILL 160170, etc. 2 families and foster families who are 3 experiencing emotional and behavioral 4 health emergencies. These teams will 5 offer in-home as well as school-based 6 supports, including short-term therapy, 7 recovery planning, and service linkages. 8 The third initiative is our 9 public health approach to trauma. An 10 array of community-based, trauma-informed 11 services will be established to mitigate 12 the impact of trauma on underserved 13 individuals, families, and neighborhoods 14 across the City. Program components will 15 include efforts to increase trauma 16 awareness and promote coping skills via 17 community education and workshops. They 18 will also include Trauma Reduction 19 Outreach Response Teams that will work to 20 reduce the spread of community violence 21 via conflict mediation, facilitating 22 service linkages, and conducting 23 community trauma awareness events. And 24 specialized evidence-based trauma 25 training and consultation will be STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 9 1 5/3/16 - WHOLE - BILL 160170, etc. 2 provided to our behavioral health 3 providers, community organizations, 4 peers, family members, courts, 5 parole/probation officers, prisons, and 6 other system partners. 7 There are four DBHIDS system 8 accomplishments that I would like to 9 briefly highlight. The first is our 10 decade of transformation. Over the past 11 decade, the Department has fundamentally 12 transformed the local network of care in 13 partnership with a number of 14 stakeholders. This transformation really 15 has promoted a move to recovery from 16 behavioral health challenges to 17 strengthen the resiliency of children for 18 children experiencing social-emotional 19 problems and to offer individuals with 20 intellectual disabilities opportunities 21 to exercise choice and 22 self-determination. 23 In terms of our intellectual 24 disability services initiatives, the 25 Department serves approximately 7,600 STREHLOW & ASSOCIATES, INC. (215) 504-4622 Committee Of The Whole May 3, 2016 Page 10 1 5/3/16 - WHOLE - BILL 160170, etc. 2 children and adults with intellectual 3 disabilities annually. Also the 4 Department serves, through our Infant 5 Toddler Early Intervention Program, 6,400 6 infants and toddlers each year, and in 7 FY15, we served 200 more than we had 8 accommodated in previous years. 9 The third initiative has to do 10 with our trauma initiative, and it is a 11 multi-faceted, multi-year effort to use a 12 public health framework around addressing 13 trauma within our community. Some of the 14 components have included Healing Hurt 15 People program, which is operated by 16 Drexel University; Mental Health First 17 Aid, which attempts to provide and 18 improve mental health literacy across the 19 population; our Preventing Suicide and 20 Self-Harm through dialectical behavioral 21 therapy; Trauma-Focused CBT, which is an 22 evidence-based treatment approach for 23 addressing trauma within children; 24 Prolonged Exposure, which is an 25 evidence-based treatment for the STREHLOW & ASSOCIATES, INC.
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