Oh, I guess whatever.

All right.

The time is not quite 10 a.m., but I'm gonna say whatever, 9 59 a.m.

Uh now we gotta wait till 10.

I'll pause and I'll hold.

I'm like watching the clock.

Okay, 10 a.m.

On June 25th, 2026.

Um we'll uh convene the community health committee meeting today.

Madam Clerk, please call the roll.

Councilmember Castillo.

Councilmember Alderete Gavito.

Councilmember Mesa Gonzalez.

Councilmember White.

Chair Galan.

Chair, we have corn.

Uh changes to the minutes.

If not, can I get a motion to approve?

All is in favor of approving the minutes.

Aye.

Any opposed?

Any abstentions?

All right.

Do we have any public comment?

All right.

We have one item today, a larger look at the violence of strategic plan of metro health and stand-up SA program, both intertwined together, looking at uh public health strategies to address violence in our community.

Um I'm not sure who's presenting today, but I'll pass it off to Metro Health team to start too early, is my problem.

Okay.

Okay.

Fair enough.

Okay, good morning.

Uh, I see that this actually uh says draft on there, but we did submit the final presentation, so you should have that in your packet as well.

Uh good morning, Dr.

Jacob from uh Metro Health.

I appreciate the opportunity to provide this briefing.

Uh actually I do have our um public health administrator, uh Erica Halloween Stevenson, who's cued up for this, but let least let me tee it up and then we'll take it from there.

Uh next slide.

So our goal in violence prevention is to improve uh safety and well-being while reducing emotional trauma, injury, and death.

Um, here we go.

Let me pause for a moment.

Uh this is an opportunity, at least for this morning, and uh just at least cue up what you're expected to see as part of the presentation.

There are two components to the presentation.

We're gonna talk about the violence prevention strategic plan.

Uh we're also uh going to at least bring up the speed in terms of one of our key initiatives uh sponsored by our department with the uh stand-up essay.

Again, it's a violence interrupter model, it's been the longest-running uh program that we have here in Texas, and so it's an opportunity to at least uh brief you all on what we're offering as a compliment to other partners here in the city.

So let me not steal our thunder, but at least acknowledge on behalf of the department how much we appreciate at least elevating uh the visibility around some of our initiatives.

Uh one other commentary about the um Santa SA program.

Uh we had shared with this body uh some of our most impacted programs uh supported by the Medicaid 1115 waiver um reserves.

And so this is one of the uh initiatives that we brought to your attention since last fall, uh, and the compliment with other initiatives like our diabetes program, our healthy neighborhoods program, and most recently we presented to you all about our oral health portfolio.

So with that, we're gonna zoom out uh to at least talk about violence as a public health issue, bring up the speed about the violence prevention strategic plan, and then we'll feature one of the key programs, the Sand Up SA.

Erica.

Thank you for your patience this morning.

Uh as you can imagine, the violence prevention team deals with crisis sometimes, and we were doing that this morning.

Uh as uh Claude indicated, I'm Erica Haller Stevenson.

I'm the administrator for violence prevention at Metro Health.

I usually try to set the stage first to explain why the health department is talking about violence prevention.

Um for some people that is obvious.

For some people, they're curious.

Uh so ultimately, we look at violent violence prevention as a way to improve safety and well-being while reducing emotional trauma, injury, and death.

And that's good for everybody.

So a few statistics that would be important to recognize is that in 2024 across Texas, homicide was in the top four causes of death for nearly everybody age one to 34.

Um so a really important note there is how it impacts children.

Uh SAPD reported 126 homicides that year.

The same year there were seven calls every hour to 911 in Bear County for family violence.

The homeless services point in time count that is conducted each year as a census to determine how many people might be unsheltered on the day that they conduct the census, found that 16% of people experiencing homelessness in San Antonio were survivors of domestic violence, and there is a connection to fleeing their home and their their unsafe environment and the homelessness.

And we found that child protective services confirmed over 3,000 cases of child abuse and neglect in Bear County.

So as Claude mentioned, today I'm going to talk about two particular initiatives of the violence prevention work at Metro Health, the Regional Violence Prevention Strategic Plan and the Stand USA program.

We also do work in child abuse with a parenting education program called Triple P or Positive Parenting Program.

We have a domestic violence prevention and support program.

We assist the Collaborative Commission on Domestic Violence, which is co-chaired by the deputy city manager, and we have a team of community health workers who focus on violence-related issues.

Across the entire portfolio of violence prevention work at Metro Health.

We have a budget in the current year of 11.5 million dollars.

About three quarters of that is general fund, and around 10% is the Medicaid waiver, which we've been talking a lot about in the recent months, and 14% from a CDC grant.

You'll see that about two-thirds of the funds are allocated toward domestic violence issues.

Stand-up is about 17%, that's the gun violence intervention.

Triple P, the child abuse intervention, is 5%, and then we have a support team of personnel who work on data collection, evaluation, and all of the things that the employees need to be able to do their jobs.

So we're going to jump in to the regional violence prevention strategic plan.

I want to let you know that some of you are familiar with this, but some of you are not, because the last time we talked about it was before the last election.

So some of you have heard about this maybe three or four times.

So I'm going to try to split the split the difference in terms of how I go over this.

We did last present this when the plan launched at a B session in January of 2024.

So the City of San Antonio and Bear County have made substantial investments to prevent violence on a larger scale over the last several years.

In 2019, the city launched the first comprehensive domestic violence plan, and several city departments directly or indirectly work to prevent and reduce violence and crime.

Additionally, organizations and institutions across San Antonio and Bear County are also addressing these issues.

However, our community lacked a cohesive strategy for our region to prevent and manage violence that crosses sectors and jurisdictions.

When I joined Metro Health in 2022, I was curious about what we should be doing in our community based on what we were doing at the time and where things were going.

So over time, I recruited partners from different sectors to join me in an application to participate in a national leadership program focused on solving public health problems.

Our proposal was accepted, and we formed ourselves as a coordinating team to lead a community-driven process to create a regional strategic plan to prevent violence in our community.

The coordinating team members included myself for Metro Health, Deputy Chief Chris Benavides at SAPD, Tracy Tate, a board member with St.

John Baptist Church here in town, and Dr.

Kelly Lynch with UTSA in their criminology and criminal justice department.

Beginning in January of 2023 and continuing over the entire 12 month span of the year, we proceeded through a development process to create this strategic plan.

Solicitation of community input was conducted through town halls and surveys.

We discussed the issues with personnel in the police, fire, and metro health departments.

Together, we selected priorities for the strategic plan based on community data and public input, and we established multidisciplinary work groups comprised of technical experts and community members with lived experience to identify strategies and create the plan.

Sorry, hitting wrong buttons, my apologies.

We had also allowed some opportunities for community feedback on the strategic plan, and then the final launch and dissemination of the plan made folks aware of the plan and the opportunities to align with it.

As I mentioned, we last presented on this in January 2024 for the B session.

So we're gonna take a look at what's inside the plan just for awareness for kind of the newer members of council.

So the violence prevention strategic plan was created for a five-year period covering 2024 to 2028 and designed to serve our entire region.

It's not just for the City of San Antonio as an organization.

It's intended to be used by anybody in our area who does work in violence prevention, crime prevention, or any of the underlying root causes in that.

The priorities are based on public input and community data.

They include violence among youth, which is defined as peer-on-peer violence.

So any violence committed by an adult would be in a different category.

The strategies are centered on creating a safe and supportive networks for youth, and this incorporates bullying and cyberbullying as well.

Gun violence is focused on firearm related violence regardless of the age of the people involved.

It does include mass shootings and school settings among the strategies.

Sexual violence is a broad category that includes adults and minors, and domestic violence is focused on intimate partner violence, meaning there was a romantic connection, and child abuse.

All of the strategies in the plan are evidence-based.

The plan brings a holistic multidisciplinary approach to direct services and policy change.

The plan also serves as a guide for Metro Health, SAPD, the Collaborative Commission on Domestic Violence, and the consolidated funding process administered by the Department of Human Services.

It also shares priorities and strategies for community partners.

So as of the end of this month, we are halfway through the lifespan of this strategic plan.

For this midterm assessment, we assessed the implementation efforts across the City of San Antonio organization.

We found that our organization is collectively implementing three quarters of the strategies in the strategic plan.

And we also reviewed community level data to monitor our progress.

So I'm going to explain the layout of this slide because the next four slides are set up the same way.

We're going to present some highlights on each of the four priority areas.

So you'll see the priority area name in the top left.

On the top right are the long-term outcomes that we're monitoring in the community.

Down the left side are some of the strategies from the strategic plan that are being implemented by the City of San Antonio organization.

The bottom right are the measurement indicators that are related to those strategies, but I'm going to really spend time talking about what's in the highlights box.

So the highlights box is an example of just a couple of things we want to call out for your awareness of the work that the City of San Antonio is doing.

So among the strategies implemented by the City of San Antonio to address violence among youth, there are a range of youth programs conducted by the Department of Human Services, Municipal Court, Parks and Rec, Fire Department, and Police Department.

Some of these programs connect young people to career opportunities, others put them in ambassador and peer support roles, while some are diversionary programs designed to prevent young people from becoming engaged in violence and crime in the future.

For gun violence, the integrated community safety office is improving public safety data identification, management of the data, and utilization of the data community-wide, and SAPD, along with more than a dozen city departments are working collaboratively on the problem-oriented place-based policing strategy in specific areas of the community most affected by violent crime.

A little later in this presentation, I'll talk about Metro Health's gun violence intervention program.

To address sexual violence, several law enforcement strategies and educational efforts are in place.

The Department of Human Services uses the violence prevention strategic plan as a guide for applications for the consolidated funding process, and the approved delegate agencies are serving people all over our community related to the impacts of sexual violence.

And lastly, preventing and intervening in domestic violence continues to be a collaborative endeavor for the City of San Antonio.

I want to draw your attention to two special highlights among these strategies.

The neighborhood and housing services department prioritizes domestic violence-related applications for relocation, and they funded the YWCA to help create a 30-unit housing development for people at risk for homelessness.

And Metro Health led the process to support staff training and certification of our own department, human services, and the police department as trauma-informed organizations.

So now the really good stuff.

What is this doing in the community?

So I'm gonna walk through this.

I know you can read numbers, but I'm gonna explain what is in this slide so that you're aware of the limitations and the parameters here.

Working with SAPD, we obtained and analyzed crime data related to violent crimes.

For those of you on public safety committee, these are different buckets than they usually present.

SAPDA presents buckets around the NIBERS categories, which is what they report up to the FBI.

These are larger buckets.

So we pulled together all forms of assault into one category called assault.

A range of kinds of deadly conduct into a category called shootings.

So that doesn't make sense.

Of course, we'll answer questions about that.

So what you're seeing are five buckets shootings, assaults, sexual violence related to adults being victimized, sexual violence related to minors being victimized, and homicides.

The dark red bars are data from 2022, which is the time period before SAPD instituted their violent crime reduction plan and before this strategic plan was launched.

And then 2025 is the last full year of data available for comparison.

So the light blue bars represent 2025.

And the arrows and green, green is good, so you'll see that we have declines in all of these areas, ranging from 6% for assaults up to 46% for shootings, similar reductions for sexual violence among adults and minors, and then homicides, a 56% reduction.

So these figures are shown as rates, which means we've adjusted for the population differences between 2022 and 25.

So these are not quantities of incidents for your awareness.

And these are based on the offense reports, not calls to 911, that kind of thing.

These are things are filed reports.

There's a quick caveat I want to make for the sake of visitors in the room and people who watch the broadcast later for the homicides.

You will note that 2022 was the year of the very tragic human smuggling incident where 53 migrants died in a trailer.

So the homicide number was fairly high that year.

If we remove those 53 deaths from that single incident, the rate for 2022 is 12.1.

We'll still have a 43% decrease.

So it's still a marked decrease, even if we exclude that event.

So we can't do a direct statistical link between the things we have done in these results.

But this is how public health works.

We monitor changes in the population level data over time.

We do know that SAPD initiated its hotspot policing strategy in January 2024.

They also started the problem-oriented place-based policing strategy that involves various city departments in the summer of 2023.

And then we launched this strategic plan in January 2024.

So these concerted and collaborative efforts are coming together at the same time.

So next steps for the strategic plan.

We had hoped to acquire some grant funding to allow us to really propagate this plan across the community, monitor how partners are implementing it, and do deeper analysis.

That was right before federal funding kind of started to wane.

So we've applied for several opportunities but haven't been successful so far.

Opportunities, though, in using this is it can guide us in our priorities under some budget limitations that we're facing, and it reminds us that collaboration helps us achieve more.

So our next steps are that we want to continue to collaborate across the City of San Antonio organization and across the community to implement even more strategies from the strategic plan.

We're going to continue to seek grant funding and implement additional strategies, assess the community changes and evaluate our efforts, and then we'll consult with city leadership on the next phase of the strategic plan.

We still have two and a half years to go.

So our intent here with the approval of the chair was to jump in to the next next presentation.

Great, thank you.

I'll provide an overview now of Metro Health's gun violence intervention program.

This is called Stand Up SA, so obviously essay for San Antonio.

Our method to address gun violence is called community violence intervention.

This strategy was first developed 25 years ago by the Cure Violence Global Organization, and empirical evaluation evaluation research shows it can reduce shootings and homicides.

Working through our program team members who have lived experience with gun violence, the model approaches the problem as a contagious disease.

So I'd like you to think about the beginning of COVID for a second and the things that we did when we learned somebody had COVID and tried to find out who came in contact with them and how other people were affected.

The very same model is used because research has shown gun violence behaves that way.

They work to change the thinking and behavior of the people at highest risk for involvement in gun violence.

And our program staff also engage with community members to challenge and change the social norms that perpetuate violence.

So specifically for how we implement the model here in San Antonio, on the left side, you'll see some details about our neighborhood intervention.

This explicitly follows the cure violence model.

The program began in 2015 on the east side and then was expanded to the west side in 2022.

Our program uses that framework in neighborhoods on the inner east side and inner west side that experience high rates of historically persistent gun violence.

As I mentioned, our staff have lived experience.

They also have connections to these neighborhoods.

They either grew up in the neighborhoods or they live in them now, so they know the community members and the community members know them.

This allows them to interrupt and mediate conflict while changing belief systems because they're influencers in their communities.

Our team provides long-term mentoring to people who are at risk for being involved in gun violence, and they provide support to community members for very common social needs.

Our staff also organized neighborhood vigils to honor those who have died from gun violence and conduct community engagement events.

We have two additional initiatives of the program that both launched in 2024.

We work with the level one trauma centers at BAMC and University Hospital.

So level one trauma centers are certified as being the most equipped 24-7 to treat the most severe trauma in our community.

That means they get the worst traumas through their emergency departments.

So they notify us when they receive people with gunshot wounds in the emergency department, and our staff respond to assess whether this is intentionally inflicted gunshot wound and provide support to the person in an effort to prevent retaliation from occur.

We also work with juvenile justice and specifically the Bear County Cryer Juvenile Correctional Treatment Center.

So this is an inpatient treatment center for minors who have been engaged in the justice system.

We educate them, mentor them, prepare them for reentry into the community, and follow and mentor them when they return to the community.

For your awareness, these are the neighborhood zones.

So the cure violence model is very specific.

It is not something that can just be applied anywhere.

It needs to be applied to an area that's primarily residential.

So it's ineffective in a commercial area.

It's okay if there are stores and things like that, but it needs to be focused on it being kind of residential.

In 2015, when Cure Violence helped us do an analysis of shooting data, they looked for clusters of gun violence that occurred over several years consistently.

So these are pockets that unfortunately experience persistent repeated years of high levels of gun violence.

So downtown's right in the center of the slide, right side is the east side.

So you'll see two target zones.

This is inner east side inside of 410.

And then we added the west side zones when we had additional resources in 2022, and you'll see three zones on the west side.

The east side zones are entirely in district two.

The west side zones are split between district one and district five.

These are the performance measures, pardon me, performance measures for the program.

These are the full year results for FY25 along with our targets for FY26.

So the measure around community engagement and support encounters incorporates the mentoring encounters that our staff provide for people who are committing violence in the community, for people who are affected by violence in the community, as well as residents in the neighborhoods who are affected by violence.

The hospital patients is probably fairly clear as a performance measure.

We track the number of youth engaged at the Crier Center, and as I mentioned, one of the first tasks of the team is to detect violent situations, interrupt them and mediate the conflict.

So you'll find that in fiscal year 2025, they interrupted nearly 500 violent conflicts in these target zones.

And we would really love to in the future be able to demonstrate more of this in a more formal way to you.

Starting from the left side of the slide, you'll see Bernard, one of our team members, along with a resident named Franchon.

She's from the east side of San Antonio.

She connected with Stand Up after being released from prison in 2015 while she was pregnant and lacking clear direction or support.

Our team provided guidance without judgment, helping her access education, housing, employment, and other resources while staying consistently connected.

During moments of serious risk and conflict, stand-up staff stepped in to mediate situations that could have cost her life.

Today, Franchon is working two jobs, has her own home and vehicle, and actively gives back to the community.

In the center photo, you'll see our team member Kenneth in the Blazer, alongside Rock and Tony, who were both engaged by the stand-up program, while living in high risk environments marked by gang involvement, substance use, and ongoing violence.

Through consistent outreach, trust building, and access to resources, both participants chose to step away from harmful lifestyles and commit to personal change.

Our team connected them to employment, education, coaching, and volunteer opportunities, allowing them to redirect their time and their talents toward mentoring youth.

Today, both serve as coaches and community leaders and have been recognized with awards for their commitment to change and positive impact.

And finally, on the right side is Shawnice.

She's our own team member, and we're sharing her success story.

She first connected as a resident with Stand Up in 2015 after surviving a shooting that killed two of her close friends.

While deeply involved in street life herself at the time, consistent outreach, victim support, and trust building helped her begin moving toward change.

Through continued engagement, the team worked with her to de-escalate conflicts that she encountered and support community healing.

In 2018, she became a city employee.

She joined the stand-up team.

She credits stand-up as instrumental in saving her life and shaping her path forward.

That's our presentation.

Thank you so much, Erica, for the presentation.

Thank you to the entire team for this work.

Not only evaluating these big uh issues in our community, around the outcomes of them as well with our interventions, and then of course the 10-busse program, and it's incredible touch that it has in our community.

I know earlier we didn't have any folks on the public comment.

I did see a message that had the receipt of signing up online.

There's only one individual, and so I don't know if Roger Garza is here to speak for public comment.

Yes, sir.

If you want to come up, we'll have two minutes.

Chairman Galvan and members of the committee, uh, thank you for the opportunity to speak today.

My name is Roger Godessa.

I'm the Texas State Director for Giffords, a national violence intervention, or excuse me, national violence prevention organization founded by former Congresswoman Gabby Giffords.

In addition to that, born and raised San Antonian, grew up in districts one and six, went to high school just up the road, office of St.

Mary's, and graduated from UTSA.

Here today on behalf of Giffords to ask, just with your presentation here to continue to work towards building an office of violence prevention that is centralized, robust, and collaborative, and by investing in evidence-informed community-driven strategies that offer proven and sustained reductions in violence.

Examples of the successful community violence interventions, which you all just heard of here includes hospital-based violence intervention programs, eTRIP, street outreach and violence interruption, like Santa PSA does, and case management and transformational mentoring.

Those strategies operate under two principles, right?

You engage at the highest risk of perpetuate uh perpetrating or falling victim to violence with a goal of interrupting its transmission in a public health model and providing social services to those at highest risk to heal unresolved trauma and change the trajectory of their lives.

In 2025, Gifford Center for Violence Intervention conducted a landscape analysis in San Antonio and Bear County.

As you all know, there are two organizations doing the on-ground work.

Stand upSA housed and funded by you all at the City of San Antonio, Big Mama Safe House, and UT Health has also worked to get a limited HFIP program off the ground in the last few months called Project Inspire, targeting San Antonio youth under the age of 18 that have been impacted by gun violence.

We think as Giffords, there's a need for larger, more robust ecosystem of community-based organizations doing this work that are supported by an office of violence prevention, working to coordinate across the many myriad entities in Bear County and San Antonio, right?

The city, the county, the 19 school districts we have, etc.

etc.

What we have seen in other major Texas cities and counties is that a robust office of violence prevention combined with sustained investment in these areas leads to remarkable gains driving down violence.

City of San Antonio, as you've seen in the post-COVID world, has done a remarkable job making San Antonio an even safer city than it already was.

And we think alongside investment and work with law enforcement, this is a both and not an either-or strategy.

So thank you for your time.

Thank you so much.

Thank you for time.

Thank you very much.

All right, we're going to start the council conversations or committee conversations today.

Thank you, Chair.

Thank you for the presentation and for all the uh the hard work that that goes into this program.

I guess to me, it comes down to are we spending our money right?

Right?

And it looks like about 11 million dollars are being spent overall on this program, and you know, pulling up that slide where we can see.

Getting there, sorry.

I guess it's 13, right?

The outcomes.

And I guess my question is is how can we do we really see a link between some of the different programs that are in place and you know the reduction in violence, or or is it a case of especially with respect to the shootings and the homicides?

Is it is it more a result of just increased police presence in some areas of the city?

And I know you brought up the uh uh the the hotspot policing of the um strategy.

What do we or I guess problem-oriented place-based policing?

So can't again, I guess that's sort of a general question is is where do we really find the link between some of these programs and and the reduction in violence?

Okay, um, well, I'll remind everybody that every strategy in the strategic plan is evidence-based.

That means we know if you implement this strategy, research shows it should be successful in your community.

The hotspot policing, the problem-oriented place-based policing, which are in a separate plan, are comparable strategies, right?

They align well.

Um the stand-up intervention, our positive parenting curriculum, our domestic violence work, all are also evidence-based strategies.

You can assess the hot spots in the areas where the hotspot work is done, right?

But they can't tie that to the collective of the community.

So we can only show what happens exactly where it occurs because we can't control for all the rest of the factors in the community.

It's the challenge of research, right?

Is we can't have a control group of an entire community.

Um what we do know is that 488 violent conflicts were interrupted in fiscal year 2025.

Every one of them had the potential to turn into a shooting on this graph, but they didn't.

Yeah, I think on the I noticed that as well on on the breaking up of those conflicts.

I think that's certainly um some good evidence of the program working there.

So I agree with you that there are gaps in connecting from A to Z.

Uh, and that additional research, especially robust um formal research, helps fill those gaps.

And I recognize it's difficult to do so, right?

And and with the with the hotspot policing, it's a lot easier because we know a bunch of crimes happening there.

You put you put the police on the ground, all of a sudden the crime's not there, it's easy to show that link.

And and I guess it's not really a question, but it's much tougher with some of these other programs to show the link to the reduction in crime.

And that and that is the nature of public health is unless you have uh an experimental design uh that aligns with formal research practices, you watch for the entire scale to change over time.

Yeah, um, how much of the work is being performed by city employees versus delegate agencies?

Um, and in total across on in all issues?

Is that what you're asking?

Yeah, okay.

Um I could not give you a figure.

Um we have a good combination though.

Um so the delegate agencies have a significant role in implementing strategies uh around all of these issues.

Um, sexual violence, domestic violence, youth violence, gun violence, all of them.

Um so across the board.

Um but the city of San Antonio uh obviously already has invested in public safety for years, but in 2019 really ramped up its budget to address these issues too.

Okay.

Um I'm not sure how well we could map that out.

It might depend on the specifics of what you're looking for.

Okay.

Maybe we'll follow up with you on that.

Um two more.

Um it looks like sixty-seven percent of the violence prevention funding is allocated towards domestic violence programs.

Correct.

Um that's purposeful, I'm assuming, or how did we get there?

That is by design of city leadership.

Uh we also have grants that support stand-up and triple P.

So those were things we acquired outside of general fund.

If you look at scale, there's there are different arguments you can have for what's the most important.

But so this is just a priority of the city, yeah.

Since uh in 2018, uh San Antonio had an all-time high number of intimate partner homicides.

Yep.

Higher than ever.

Uh it was the impetus for the creation of the C C D V.

It made sweeping changes to funding and practice at SAPD and created a much more robust victim support system through the city.

Okay.

Last question, maybe the toughest.

Um obviously we got tough fiscal times.

Absolutely.

Um the question here as it's written is is which strategies have shown the greatest impact per dollar?

So let me put it another way.

Like if if this 11 million was cut to seven or eight, what would you want to make sure we keep as opposed to the rest?

Okay.

Um that's above my pre pay grade someday.

So I'm gonna ask uh Claud or Marjorie if they would like to comment on that.

Or we'll go higher on the pay grade, just Tina.

Thank you, council.

Thank you, Councilmember, for the question.

So I think based on it's a policy direction, so based on on your council discussion, especially as we move through the budget process, we can adjust our our priorities as as council uh discussion continues.

But but if council came to you and said which strategies have shown the greatest impact per dollar, what would it be?

We do not have a calculation per dollar.

Okay.

Well, well, I I think I think it would be important to know what where where we're getting the biggest bang for our buck here.

Um I don't mean to put you on the spot right now, but but I think as a city government moving forward, we're gonna have to make a lot of tough decisions like this, and really trying to hone in on where we are getting the best return on investment for the taxpayer dollar is going to be important because we're not going to be able to do everything that we're doing right now moving forward.

Sure, and we can look at that and see what what we could um present to to the city council and to you.

Okay, great.

Thanks, Chair.

Thank you.

And I don't know if it's helpful too thinking about you know, but then return investment if it's more so scale of impact, right?

But where are we seeing to your point the most effectiveness of a certain program, how much is reducing, etc.

Um in certain areas, there are target areas potentially.

Center based I think is the special one that has that focus.

I don't know if other ones we can do similar modeling with.

I know that requires more formal research to your point, but I I share the thought there about, you know, if we did all 11 million, not to say we will, right, into one program, what's the scale of impact that we could have then?

That's I think where we can see the return, right?

I don't know if it's fully the dollar for dollar, but I think for our minds it definitely is, right?

Yeah.

Okay.

Any uh Council of Messi Gonzalez?

You would Councilman Castillo?

Okay.

Okay.

Thank you.

Go ahead.

I'm good, thank you.

Sorry, I thought I heard sorry raiser.

No, sorry, okay.

Thank you for the presentation and all the work that uh Metro Health is doing on this.

And I know that obviously we rely on our public safety professionals for so much of this, but that lasting impact really comes on the public health side, right?

And uh the intervention and the support services and the trust that we're building um with residents.

Um so uh thank you again for that work.

Uh on slide 12.

I think there was a I just want to kind of understand more like in um in practice, what does that look like?

Uh the coordination with NHSD and uh Department of Human Services.

I think it's on.

So on the uh relocation assistance.

I'll re-explain what that highlight is about.

Uh I can't provide further details that might need to be a follow-up item potentially.

Um so NHSD has relocation assistance programs available.

They prioritize applications coming from people experiencing domestic violence who need to get out of their home and somewhere else.

Homeless services has a strong connection with neighborhood housing services.

They share across some of the resources that fit their various constituents based on eligibility.

And ultimately, it's not the only solution to the problem, but it's one of the great things that the city is doing.

Okay, maybe you can follow up with more detail on just what that looks like in practice.

I think it would be helpful just on each of these to just almost not have a partner slide, but yeah, like a partner section on the slide that just really shows what delegate agencies are are helping with each of these priorities, right?

So right there in that blank space, right?

Just a list of those delegate agencies that are are part of this and and really boots on the ground.

So if I could add uh Jessica Devolina with the Department of Human Services.

So just for context, and we can certainly add it in a follow-up response.

Um right now, council investment is about 1.2 million in domestic violence delegate agencies that funds six agencies and seven programs that serves roughly 2300 um individuals per year, and of that 1.2 million, roughly 700,000 is designated as essential.

That includes the family violence prevention, actual shelter location, as well as expedited um assistance with court orders and violence protective orders.

For child abuse, that amount is about 1.5 million in investment.

That supports 14 programs for 13 agencies, and that is anticipated to serve roughly 3,700 children and families this year.

Okay, yeah, all great information.

If we can just have that here and after that would be wonderful.

Um, I think there was a slide.

Was there a did someone bring up two million dollars from the state?

That would be no, there isn't.

I thought someone brought that up.

Um I didn't say the word state, but we might be talking about the Medicaid waiver.

Yes.

Okay.

Um so that's uh early in the presentation on the table that talks about our funding sources.

Uh, and I was I was pausing to see if so I'm not playing tug of war with our IT representative.

Um, yes, uh the Medicaid waiver, who this committee has heard a lot about that.

Um, so 1.2 million dollars across that entire pie chart.

Oh wow, okay.

Split up between those two.

It's it's primarily in the stand-up bucket, the majority of it, the yellow one.

Uh there is a little bit in each of the rest of them.

Based on their guidelines or no, um, actually the state did not issue guidelines on that.

This was a much more broad funding opportunity that allowed recipients to indicate what they wanted to use it for.

Uh, we use it across the department for several programs and services.

Okay, I had the same question as my councilman um White.

Maybe I'll say it nicer, but uh just more so on you know, tell me more on the the data you have on cost savings for the um interventions that you mentioned, but I don't think that's available, but I do think that is helpful for different reasons, but I think it's helpful just for us to know there's there's uh a number attached to it.

Obviously, there's people attached to all of this, but um I yeah, making sure we are um investing in programs at work, right?

That's ultimately what we want to do.

So I do think there is opportunity here too on the um the communities that are involved in the family and uh domestic violence.

I want to make sure they include our immigrant population and our our veteran population who um are sometimes the most um I think everyone is nervous when you have to say that you're a victim, but those two populations in particular have extra, I think, stress, and so just want to know how if they are in in involved, I'm sure there is a place for them.

But you know, can you share more about what that looks like?

Yeah, that there's different vulnerabilities in those two populations, right?

Uh and I I would say district eight has the most diverse immigrant population uh and the the strategic plan as a whole focuses on some of those extremely vulnerable populations and talks about opportunities uh saying don't forget the veteran population right and when the Department of Defense cannot provide funding for a program then we need to make sure we are linking uh veterans and service active service members to programs for immigrants a lot of the focus is around making services accessible trauma informed culturally appropriate um in terms of the city services uh there are so many different services I wouldn't be able to comment specifically on how each of those impacts those specific populations okay well in District 8 we have endeavors and they uh run the veteran wellness center um so I just think you know further collaboration with them partnership I don't know if there's any formal partnership that could be established but uh they are a well-funded organization and um quiet too I think they're run pretty quietly on Desavala and I 10 you would never know if you were driving by so um just want to see if there's any uh way that we can expand that partnership um and then I and in real as in as it relates to um ultimately making sure that we have a stronger employment pipeline um with every you know folks that run through this and didn't know if there was a kind of formal referral mechanism from metro health to ready to work oh gosh yes uh all of our programs are well educated in the ready to work process we don't have a a system with a button you know that sends a referral um but we are well educated we do repeat education for our staff it is among the very first things on the list that we plug people into when they're looking for employment we actually have our own staff members who have participated in the ready to work program to advance their trajectory in their lives as well.

Do you have a how do we get a button?

That's a good question and that's a that's probably a question you've talked about a lot too is how do how do we get a more automatic referral between a department and services.

Yeah we can work with I'm ready to work on that to see if that if that's something we can do and we can implement okay yeah I think it just because ultimately that's where we want everyone to land right um and be productive members of our community so if any if there's any way I can help with that button let me know.

Thank you all so much go ahead.

I just wanted to mention that um through the shelter and housing plan that Mark has been working on he has been very engaged with endeavors in terms of shelter and also looking at um you know how they how as we develop that and finalize that shelter and housing plan how they can be engaged.

So we've been working with them on the homeless side okay thank you thank you all so much again for your work thank you.

Thank you counselor de Gabito you forget my name.

Thank you uh for this presentation really quick I did want to give a shout out to my appointee on the commission of strengthening family wellbeing John Pyle he had reached out to to my team to provide an update on this plan also so that that I just want to we love we love committee and board members like that.

We know that uh public safety is a top priority for residents and while you know I have been pushing for more police uh officers we know that police are just a part of this puzzle you know and so um we need we know that and I know that addressing the root cause of the crime is also extremely important to reduce violence um in the long term so thank you so much for all y'all's work in doing just that it I really appreciate it.

On slide 10 my office would love to partner with you all on a gun safe distribution.

So we'd love to connect with you all after this that that's something that's pretty important to us.

On slide 11, we know uh you and you all mentioned education is crucial to breaking the the cycles of violence, particularly with um preventing sexual abuse uh so what what progress has been made on increasing school and youth organizations on on how to to um use healthy relationship education.

I'll tee that up and then I will ask um DHS if they'd like to expand on that.

Um so the CCDB has tried to approach this uh and we've run into some legal challenges with that.

The governor's office has legislated that no curriculum may be added to any school in Texas without the governor's office express approval, therefore education on domestic violence, sexual violence, healthy relationships is incredibly unlikely to be approved.

So being government employees, we think about the workarounds, right?

Um so we are coming up with ways to educate the people who work in schools so that they're more knowledgeable of that.

Um but um if appropriate DHS might have an interesting uh kind of pilot to share related to some after school services.

Let me pull that information real quick.

Um so Mel and DHS has been working with SAISC to as part of the project worth to get the um, and I forgot the name of it, um, but to get that curriculum actually implemented at SAISD.

So let me pull that and I'll I'll circle back real quick.

Yeah.

Yeah, and and that's um interesting about how kind of the state might be making it more difficult for us, you know.

There's a uh restaurant we frequent often.

I think it's technically in district one, it should just be in district seven already, anyways.

Um it's it's called the hut.

And the you know, there it's I am not sure if you're aware, but their um daughter uh was a victim of uh sexual uh abuse and and they would have a 5k for her, it's a run for errand right around Woodlawn Lake.

I'm not sure if they're still doing it, but I'm just kind of brainstorming here.

Like if we're gonna get a problem from the state, I wonder how we can partner with community partners to still kind of help fill in the gap.

Yeah, so that's definitely when we have to put our thinking caps on and approach from different angles and use partnerships.

And and you know, in this restaurant's instance, you know, they they make sure to tell the story of their daughter, uh, Aaron, um constantly so that people can know and and you know, also realize unfortunately how prevalent it is, you know, in in our in our city.

Um so if we need to take that offline and talk about other ways, we're happy to help there too.

Um, really quick on slide 13.

How do we compare to other cities in our violent crime numbers?

This is a little challenging.

Um, we would have to go back to NIBERS categories for one, uh, because these are public health buckets.

Nobody does them like this, right?

This was how we thought would be the simplest way to express the major issues.

So one, we'd have to translate back to the NIVERS categories.

Uh, then there are challenges in other communities depending on how they code their offenses into the NIVERS categories.

So that is a challenge that law enforcement faces.

Um some things we can do is look at the research they do and present and try to see if things are categorized similarly, but without having the raw data and coding it the same way, it's hard to make a direct comparison.

Okay.

So that's why we focus on comparing to ourselves in the past.

No, that I and that makes sense in it, and I do think that obviously it's good to see the reductions over the three-year period.

It does show that something is working.

Um, you know, I hear what my colleagues are saying like, you know, it'd be good for us to have that hard data.

I I also understand that sometimes those metrics are a little bit squishy to track, you know, because um, you know, it's just the nature of the beast.

But um, but anyways, you know, all of that to say um thank you so much for all of y'all's work.

I I mean I think seeing reductions like that is is basically what is what we have to go off of.

Right.

And you know, I mean, I I do agree we're coming up on budget hard times, so we're gonna have to see when we're seeing trends like this, we're gonna have to make those decisions of it, you know, do we keep going or not?

And and obviously, you'll have a good story to share.

And I think this data helps tell the story of the value of a shared strategy across the city and across our community.

When we all work on things in different ways, we have less impact.

When we join forces and have the same goal, we have a much bigger impact.

I agree.

Yes, thank you.

Thanks.

Thank you, Chair.

You can councilman, and I would also argue uh for my own visits to the hut that maybe we can somehow stretch out district six third.

But nonetheless.

That's right.

Yeah.

That's all right, that's in my car.

But nonetheless, Chair and thank you, Erica, for the presentation.

Just uh want to commend the Metro Health team, and then of course the shared collaboration on this uh plan uh as already highlighted, right?

It takes coordination and collaboration to work towards the same goal.

Um, but what's really important, I I believe to this work is the peer-led support, particularly through stand-up essay, having individuals with lived experience and community rapport to build those relationships and to just disrupt violence in our community.

So I see a couple of folks here, like Christopher Sepolila, um, just really grateful for the work that you do all throughout the city of San Antonio, and then of course, as a creative, um, so just thank you because that work is invaluable.

Uh, and I know there's other folks here that do that work in community as well.

Uh, yesterday, my team with uh the Bear County Re-entry Center hosted a round table.

Uh, I'm grateful that Councilman Adarete Gavito's team uh was present, and there were a couple of trends, uh, and I won't get into like everything because it was it was a lot, um, but I think part of the intersection and the value of stand-up SA is the workforce opportunity and to getting to the root of violent crime.

Uh, one of the trends that folks shared was you know, there are individuals that had master's degrees, had certifications, but they face barriers to employment, uh, and it's been 10 plus years since their offense.

Uh, and I think this is a pathway to one provide folks with an opportunity to to make a living uh with the city of San Antonio and of course to to get to the root of violent crime uh in our communities.

And uh I I appreciate the comments um from my colleagues, but I ask that you consider as a district that has two of the focused areas that this work is invaluable uh at reducing violent crime in our communities, and I understand that we have different um metrics in terms of when it comes to violent crimes throughout the city and our districts in particular, but as a district that uh really relies and values the work of standup SA, I ask that you consider how is this impacting our most vulnerable and the communities that see violent crime the most.

And if the council members that uh you know reside over those areas see the value in this work, I ask that you take that into consideration as we're having uh budget conversations.

Uh, I did want to add, in terms of the work uh that you all do with the juvenile um uh uh uh justice academy.

I would like to um again uh meet with my team to walk a little bit more through what that looks like and put uh potentially uh join uh standup SA to go see what that relationship building looks like, that communication um uh within um the the juvenile uh yesterday it was mentioned from an individual who faced 25 years, he says oftentimes we focus on the back end, right?

But let's start at the the front end before folks go down uh a path, and I think that's the value of Big Mama Safe House as well.

Uh Benny Price has shared, hey, we do uh need to invest in opportunity youth, right?

16 to 24, but we're missing those 13 to 15 year olds where oftentimes um they are getting uh introduced to violence and are um sometimes walking around with weapons, right?

So, how do we uh meet our youth where they are uh and go beyond uh 16 to 24 uh to ensure that we're really getting uh deep into to the youth.

So I appreciate um the the education.

I know during the public safety committee there's also uh conversations there uh in terms of how are we getting into the schools and educating our youth in terms of what are healthy relationships and what is uh domestic violence uh to ensure folks know what steps to take and how to set expectations and relationships.

Um I don't know, Erica, if you have anything uh to add.

Um I participate as a staff member on that subcommittee uh and have been excited to see some of the opportunities that we're seizing.

Um I, as a public health practitioner of 25 years, um, you're you're singing my love song.

Um, prevention is key.

The greatest goal is to stop it before it happens.

Sometimes we have to work on preventing it from recurring.

Um, but we have an opportunity to do both in our programs.

I appreciate that.

And um part of the takeaway from yesterday's reentry conversation as well, right?

That they they uh propose how can because there's uh also partners from so many nonprofits, faith-based, harm reduction, and just uh it's a great group of folks, and uh they're individuals that have gone through the system and have a passion to go back and provide support, right?

So they have great ideas about uh in their perfect world, we would have one centralized hub where you have uh harm reduction, courses, faith-based uh care, uh all under one roof.

Uh, and I think that's the value of uh you got a centralized model, right?

Uh, and it serves as a model for community that wants to continue to get back.

Uh, and I appreciate the diversion component as well.

Uh, yesterday we had our ad hoc committee for geo diversion, uh, councilman Ivanis uh uh Mesa Gonzalez was there as well.

Uh and um uh Dr.

P from Center for Healthcare Services said this could serve as a model for juveniles as well, right?

And that's the question we're getting at town halls.

It's like, okay, you're talking about adults, but what about the kids?

Um, it's like we gotta start somewhere.

Um, but uh just wanted to commend you and your team and just uh reiterate to my colleagues that this is really important work.

Uh, and it just there's so much I could get into and how it connects uh with getting to the root of crime.

So just uh want to commend you and your team.

I'm hopeful that uh as public safety continues to be a priority for this city and city council uh that will take into account every component that gets to the root of uh violent crime in our communities.

Thank you.

Thank you so much, Councilman White.

Just briefly.

Justine, did you have something really quick?

Yep.

If I may, thank you.

I wanted to follow up on uh Councilman Aldorete's Gavito's question.

So we are working with SASD to get the seven mindsets curriculum into the entire school district for the fall, and it really focuses on student, um, student engagement, but also social and emotional uh and relationship skills.

The other thing we do fund child safe that provides child brief child abuse prevention training to teachers.

So just if we could put the bar graph uh up again.

I just want to make sure.

Um, yeah, that because I hear Councilwoman Castillo's point and I absolutely um respect what the council members in in some of these districts where these programs have have an even greater impact um are suggesting.

Uh but but just to be clear on on what I'm saying, like you know, you look at the assaults there, right?

So they're down um what about 90, if my math is okay per 100,000.

Right.

Uh oh over the last over the last three years, right?

So what I'm saying is, I mean, we're not gonna say clearly that these programs are responsible for every one of those um decreased assaults.

So which portion of these decreased assaults can we actually attribute to this program, and then which particular programs same with the shootings, right?

Down about a hundred and thirty um over the three years.

We're not gonna take credit for decreasing all of those through this program, surely, uh, but what percentage can we attribute to these programs, and then which programs in particular are causing the decrease.

Um I know that's gonna be difficult to really drill down on, but to the extent we can, um, we will know how to better use our dollars here.

Thanks, Chair.

Thank you, councilman.

Uh just a couple of quick things.

Well, again, thank you for the conversation.

Anybody else have any other thoughts or questions?

All right.

Um, thank you again for the presentation.

Thank you for the conversation today.

I think, you know, it's the same conversation that we talk about when we think about public safety overall, right?

There is one part of it that is stop deleting, another part preventing the bleeding from happening at all.

And this is where this part comes in.

And it reminds me a lot of the conversation we've been having about some of the data we're looking at, so the programs we have about some of the conversations we have in the education opportunities committee.

Different focus, similar programs, right?

Where we talk about um how some of these social service programs can better align, work together, and strive for a larger goal of academic achievement in that realm.

While this one, similar programs, not always super overlapping, but sometimes are, focusing on violence prevention.

I think it's a key intersection there in some component as we're looking at many of the strategies within the plan itself, right?

Looking at how can we connect with educational uh institutions and even doing our own education through our parks programs, mental health programming, et cetera, such as project worth and everything of the sort that can help provide that gap when we can't do it at the schools that the still programs are available for the larger community to enroll in and targeting them to folks who we know need, right?

Who are experiencing all the different kinds of um uh barriers in their lives, risks in their lives that we talked about at other community health meetings as well.

Um, and so I just want to say again, I appreciate all the kind of the analysis on this and the conversation here, and I'm wondering how we can.

It's always a larger, I think, question too, even with education, right?

How can we see how our programming aligns on all those pieces and are doing that kind of double, triple, quadruple efforts?

Uh, how are the like agencies to the points of my many colleagues are also connecting there, whether we fund them or not, also, right?

If they just kind of coordinate with them frequently, are they then helping responsible or be responsible for these issues that we're looking at here or addressing these focus areas we're looking at here?

Um I don't know if we can do that the same way or similar way that we do with the the 24 7 uh progress reports that we have, where it kind of showcases right different programs that we have, a specific indicator of maybe a rate of something, whether it's this bar graph or something else, um, that then shows right this level of investment is then potentially impacting this uh this focus area in some way.

That's outs down statistics for me.

I'm not statistician, so do not take that to me from me to heart fully, but just trying to see how we can get there.

Um, because I think it I think it's relevant, and I think if we're also seeing right those things doubling up on not just violence prevention but also educational outcomes, which we know are usually pretty much linked, along with also right poverty, all these things can kind of come together and kind of showcase that these investments we're making are not only right in this one area that they're impacting all these areas that are largely helping our community health, which is why we're in this committee.

Um Councilmate, go ahead.

Yeah, and to your point and to the councilwoman's point, um, the districts that are really benefiting from these programs, maybe y'all are in the best position to identify which ones are having the greatest impact.

Um, and then again, to your point, if we can if it if it makes sense to move more dollars to one specific program than another because it is having an outsized impact, and that's then that's something that I think we would all consider.

Yeah, for sure.

And I think you know, when we look at two, is this something I was gonna ask?

I know Claude and I have spoken of this before, looking at other cities too, and right, what's the maybe even the the bottom line baseline investment that other cities are making, pure cities that we have that are similar in budget overall, right?

If they're a similar three billion, 3.9 billion dollar budget, um, how much are they investing at the baseline of the health department?

Um, what's that percentage of the overall department in terms of um advanced revenue programs in particular in terms of grants versus uh the general fund allocation fully?

Um, and then what are we seeing in the how much they can staff these things and what's the larger effect there?

I think that may help us and be informed about what can look like here because it's one thing to also say, you know, we're we're struggling at these financial times, so of course, understanding what our reality is, but looking to what's the large strategic goal here is that if we ever get to if we need eight million dollars in this particular program, we can expect to see this many staff and therefore this many communities are served, this many people are served, and understanding too, right, that while we're looking at these specific areas that have this need, are there other areas that also have a need that aren't being served or are uh that could be served a bit better, right?

Even if it's a lower rate of homicide or gun violence or whatever it is, um, if there's still significant portion, what that significant portion is is helpful to then figure out can we then what do we need to target that area?

What do we need to get to that point?

Whether or not we can make it all happen tomorrow, different issue, right?

But having the information before us, I think is helpful to figure out how can we be strategic on making these investments here in all those realms.

Um I think those are most of my general comments.

Um I'll breeze through quickly some quick uh questions.

I think uh of course we know public health grants are a bit more uh difficult to get this point.

Um, what's the current landscape for grant opportunities for uh violence prevention programs like these?

Uh, under the current federal administration, the Office of Injury and Violence Prevention at CDC was dismantled.

Uh that means pretty much all federal funding is coming out of the Department of Justice.

There are very few funds available for non-law enforcement, non-court uh criminal justice types of activities.

Got it.

Thank you.

And then at the state levels it's similar as well.

Yes.

Okay, great.

Um, well, thank you for the the answer to the question.

Dismantled was a strong word.

Right.

Anyway, I won't get into it.

Um let's get to know.

How does that uh also impact the level of staffing we have for uh for grant writers or grant seekers, uh folks who do that work in our in our city budget or our city or department?

Uh I might ask one of our leadership members as well because that's a bigger question.

Yeah, sure.

So as part of uh a couple years ago, we added funding and government affairs for uh grant writing contracts so they can help us um write grants if when we find them.

They're also also always looking for grant opportunities.

Got it.

Thank you.

Oh, let me see if I have anything else here.

Do we have um I know we're two years into the value prevention plan?

Um, almost two and a half, right?

Uh, do we have any um any status indicators on any of these of whether I know we talked a lot about um data sharing conversations and data review and analysis here, and even I think one particular portion about finding way to centralize location of data sharing uh across many of these agencies that we're working with?

Um do we have any of those kind of through lines of where we're at on some of those?

What support is needed there?

In specifically in regard to data, uh not only specifically that one.

Let's just do the full vouch revenue plan, but that's one that I think was relevant to the conversation.

Um so that's one one of the unfortunate challenges of the kind of dried up grant funding is our hope was to have a person fully dedicated in our office to consistently monitoring this, proactively reaching out to organizations, finding out the work they're doing, tying it all together, demonstrating network maps, demonstrating impacts, pulling all the data together into one place.

We have not had the opportunity to do that with it without that additional resource, got it, and that's specifically on seeing the progress of the vice revenue plan in total, right?

Right.

So we I basically today I showed A and Z.

Right.

With a lot of question marks in between.

Right, right.

Okay.

And how what's that work like with the integrated community safety office like on this?

Um so they are a partner in the plan, and as you all know, they established the public safety dashboard, which pulls together calls for service from SAPD and 311, and my understanding is they're working on they're always working on enhancements.

Um those are maneuvers that have happened since this plan was implemented.

Um Metro Health also engages regularly with the integrated community safety office, and they help us understand what's going on in the community and target our work.

Got it, okay.

And so uh, that's my more question for them.

Are they able to do that similar kind of tracking of this that you're looking for within that, or is it out of their capacity to control?

Right, okay.

Then I'll leave that question hanging there for now, and we can follow with it.

But I'm interested to see how we can do those things.

I think it's helpful for us when we have some major plans like this, and of course, it's always based on real staffing that we have.

What partners we have in our community that we can work with, and that can maybe help with that a little bit.

Um, I know we're also putting these on y'all's plate overall in education, so I'm just gonna recognize that for myself, my other capacity, um, and that we're asking for a lot of data there too.

And so I think it's just it's because of that same point where we're trying to figure out how do we understand these investments and what their full impact can be and is currently um, yeah, just to see where we're going there.

But heard you on the point about we gotta have someone focused on this stuff.

Right.

Otherwise, it's difficult to do.

Um, I don't think there's any other major questions that we make sure.

Um, one last thing I guess on not specific data to this, but overall on uh some of the major buckets on slide 13.

How do uh how does Metro Health Review um this data citywide and looking at uh these programs year to year?

Do we see changes yes in the rate itself, but do we see changes in certain areas of our city, or is it just focused primarily on the full citywide area?

So this was the first time I pulled this together like this, specifically for today.

Um so I have not looked at it by area of the city yet, okay.

Um, because uh that yeah, timeline allowed us just to have it ready for today.

Absolutely.

So, you know, of course, over the course of it all, happy to bring this conversation back to community health later on, whether it's later this year or next year, uh, to continue going through that, but I think that'd be helpful too.

And let us know also.

Feel free to let my team and I know what uh the timeline needs to be as well, so we don't say coming tomorrow.

Um but uh I think that'd be helpful too to figure out right uh to that same point earlier.

Are there places that are seeing not a spike but a growing issue here that can then be targeted by this program?

I wouldn't at all be surprised by variations.

Right.

Thank you.

I think those are all my things.

Any last questions or comments from the committee?

All right.

Well, thank you all so much again for the conversation today.

And at 11 12 a.m.

we will adjourn the community health committee meeting.