GOOD AFTERNOON. WE WILL HAVE
BUDGET SUBCOMMITTEE NUMBER FIVE
HEARING MOVING FORWARD RIGHT NOW
. TODAY'S HEARING INCLUDES A
VOTE ONLY AGENDA AND DISCUSSION
ITEMS FROM POST THE OFFICE OF
EMERGENCY SERVICES AND CDCR. WE
WILL START WITH ROLL CALL TO
ESTABLISH QUORUM. STAFF. PLEASE
CALL ROLL. I WANT TO HERE.
HEART, SAWYER. BLACKIE. THANK
YOU. WE WILL BE MOVING NOW TO
VOTE ONLY CALENDAR. FOR A VOTE
ONLY ISSUES ONE THROUGH FIVE.
THE ACTION IS APPROVED AS
BUDGETED. DO I HEAR A MOTION?
AND THE SECOND SECOND THANK YOU.
STAFF. PLEASE TAKE THE ROLL.
BONTA? AYE. BONTA I PARK PART. I
DON SAWYER. BLACKIE. JACKIE I
GILPATRICK. THANK YOU. CAUTION.
WELL. HOLD. HOLD, HOLD HOLD.
WE'LL PUT THAT ON CALL FOR OTHER
MEMBERS TO BE ABLE TO VOTE.
WE'LL MOVE ON NOW TO OUR
DISCUSSION ITEMS FOR THE DAY.
PANELISTS ARE LISTED IN SPEAKING
ORDER AND WE ASK THAT YOU PLEASE
INTRODUCE YOURSELVES. PRIOR TO
SPEAKING, WE WILL BEGIN WITH
ISSUE ONE, WHICH IS OVERVIEW OF
SB TWO PROPOSED TRAILER BILL
SPRING PROPOSAL.
THANK YOU. PLEASE GO AHEAD.
OKAY? GOOD AFTERNOON CHAIR BONTA
AND MEMBERS OF THE SEVEN
COMMITTEE. MY NAME IS ANNE MARIE
DELMON AO. I'M THE ASSISTANT
EXECUTIVE DIRECTOR FOR THE PEACE
OFFICER STANDARDS AND
ACCOUNTABILITY DIVISION BEFORE I
PROVIDE A VERY BRIEF HISTORY ON
THE SUPPORT FOR THIS PROPOSAL. I
WANT TO EMPHASIZE THAT THE
RECORDS POST IS REFERS TO IN THE
BILL WILL CONTINUE TO BE SUBJECT
TO DISCLOSURE BY THE LAW
ENFORCEMENT AGENCIES THAT SENT
THIS RECORD TO POST PURSUANT. TO
THE PUBLIC RECORDS ACT AND TO
THE PROVISION OF SB 14 21 AS
THEY ARE RELEVANT. SEND A BILL
TO CHAPTER 2021 VESTED POSTS
WITH RESPONSIBILITY OF PEACE
OFFICER ACCOUNTABILITY THROUGH
FORMALIZED LICENSING AND
ENFORCEMENT. AS OF JANUARY, 1ST
2023 POST BEGAN RECEIVING
REPORTS OF SERIOUS MISCONDUCT
FROM LAW ENFORCEMENT AGENCIES
ACROSS THE STATE TO DATE WE HAVE
OVER 6700 REPORTS OF POTENTIAL
SERIOUS MISCONDUCT. INCLUDING
110 PUBLIC COMPLAINTS. THE
WORKLOAD AND RESOURCE COMMITMENT
ASSOCIATED WITH RESPONDING TO AN
ANALYZING SERIOUS MISCONDUCT
REPORTS FROM OVER 650 LAW
ENFORCEMENT AGENCIES EMPLOYING
OVER 90,000 PEACE OFFICERS IS
SIGNIFICANT. POSTED DEVOTED
RESOURCES TO TRIAGING AND
ADDRESSING THESE REPORTS IN AN
EFFORT TO MEET THE DEMAND OF
ENSURING PUBLIC PROTECTION. WE
ANTICIPATE RECEIVING MILLIONS OF
PAGES OF DOCUMENTS FROM LAW
ENFORCEMENT AGENCIES CONTAINING
CONFIDENTIAL INFORMATION, WHICH
IN SOME FASHION MAY BE SUBJECT
TO RELEASE UNDER THE CALIFORNIA
PUBLIC RECORDS ACT. THESE
MATERIALS ROUTINELY CONTAIN
INFORMATION THAT IS NOT SUBJECT
TO RELEASE SUCH AS PERSONAL
IDENTIFYING INFORMATION, THE
IDENTIFY THE IDENTITY OF
CONFIDENTIAL INFORMANTS, VICTIMS
SENSITIVE MEDICAL INFORMATION,
THE IDENTITY AGAIN OF VICTIMS
THAT WOULD LIKE TO REMAIN
CONFIDENTIAL. UM EXCUSE ME CRIME
SCENE AND AUTOPSY PHOTOS, ALL
REQUIRING SIGNIFICANT TIME AND
EFFORT TO REVIEW ANALYZE AND
REDACT BACKGROUND INVESTIGATION
FILES SIMILARLY CONTAINED
CONFIDENTIAL PERSONAL, MEDICAL,
FINANCIAL AND OTHER INFORMATION
REQUIRING PROTECTION FROM PUBLIC
REVIEW. THE LAW ENFORCEMENT
AGENCIES THAT CONDUCT THESE
INVESTIGATIONS AND COMPILE
MATERIAL HAVE AN INDEPENDENT
OBLIGATION UNDER THE EXISTING
LAW TO RESPOND TO THE PUBLIC
RECORDS ACT REQUESTS. THE AGENCY
IS INVESTIGATING THE MATTER ARE
IN THE BEST POSITION TO
UNDERSTAND THE COMPLEXITIES AND
SENSITIVITIES OF THE RECORD AND
DETERMINE WHAT INFORMATION IS
SUBJECT TO RELEASE OF THEIR OWN
RECORDS SHOULD POST BE REQUIRED
TO RESPOND TO THE PRODUCTION OF
DOCUMENTS FROM A LAW ENFORCEMENT
AGENCIES. INVESTIGATION POST
WOULD OTHERWISE CONSULT WITH
THIS AGENCY THAT CREATED THE
RECORD TO DETERMINE WHAT
DOCUMENTS AND INFORMATION MAY BE
RELEASED. ULTIMATELY THIS WILL
RESULT IN SIGNIFICANT DELAYS IN
THE PRODUCTION OF THE RECORD. IF
THEIR PROPOSED TRAILER BILL
LANGUAGE IS NOT ADOPTED TO
ACHIEVE THE NECESSARY
CLARIFICATION AS IT PERTAINS TO
THE PUBLIC RECORDS ACT REQUEST
POST WILL BE REQUIRED TO SHIFT
MUCH NEEDED RESOURCES AWAY FROM
ITS INVESTIGATION IN
DECERTIFICATION DUTIES, WHICH
REPRESENT THE CORE
RESPONSIBILITIES UNDER SP TWO TO
HANDLE THE REVIEW, ANALYSIS AND
REDUCTION OF THIS SUBSTANTIAL
VOLUME OF CONFIDENTIAL MATERIAL.
THIS WOULD ALSO LIKELY BE FORCED
TO REQUEST TO EXCUSE ME TO
REQUEST SIGNIFICANT ADDITIONAL
RESOURCES FOR PERSONNEL TO COVER
THE COSTS ASSOCIATED WITH
REDUCTION OF VIDEO, AUDIO AND
HARD COPY FILES. THANK YOU.
THANKS SO MUCH. WE'LL MOVE ON TO
THE LEGISLATIVE ANALYST'S
OFFICE. JARED SIBYL WITH LÀ. WE
HAVE NO COMMENTS ON THIS
PROPOSAL. THANK YOU. DEAL WITH
SARAH TOMLINSON DEPARTMENT OF
FINANCE. ALSO NO COMMENTS ON
THIS ISSUE, BUT HAPPY TO ANSWER
QUESTIONS. THANK YOU. I'LL JUST
START WITH ONE BASIC QUESTION
AND THEN HAND IT OFF TO MY
COLLEAGUE. UM HAVE YOU RECEIVED
ANY FEEDBACK FROM THE AUTHOR'S
OFFICE? ON THE PROPOSED TRAILER
BILL. RIGHT WE HAVE DISCUSSED
THE TRAILER BILL WITH BRADFORD'S
OFFICE, AND THEY HAVE NO
CONCERNS WITH THIS BEING A
SEPARATE PROVISION, SINCE IT
DOES HAVE A RESOURCE UNDERLYING
COMPONENT TO IT. AND SB 4 49 IS
REALLY A CLEANUP PROVISIONS FOR
SP TWO TO ALLOW US TO BETTER
IMPLEMENT CLOSE THE GAPS ON SOME
OF THE IMPLEMENTATION GUIDANCE.
YEAH. THANK YOU. I DON'T THINK
WE HAVE ANY OTHER QUESTIONS.
FROM THE COMMITTEE. SO THAT WILL
BE ALL. THANK YOU. THANK YOU.
WILL BE MOVING ON TO ISSUE TO
WHICH IS STATE AND LOCAL
CYBERSECURITY GRANT PROGRAM. FOR
THE SPRING PROPOSAL. GOOD
AFTERNOON CHAIR MEMBERS HEATHER
CARLSON AND THE ASSISTANT
DIRECTOR OF ADMINISTRATION AT
THE OFFICE OF EMERGENCY SERVICES
, AND WE'RE HERE TO TALK ABOUT
OUR SPRING FINANCE PROPOSAL FOR
TO IMPLEMENT A NEW FEDERAL,
STATE AND LOCAL CYBERSECURITY
GRANT PROGRAM SPECIFICALLY OR
OUR REQUEST IS FOR $8 MILLION TO
IMPLEMENT THE GRANT. THERE'S NO
GENERAL FUND IMPACT. UM AND IF
THERE'S ANY QUESTIONS REGARDING
THE PROGRAM, I'VE GOT DEPUTY
DIRECTOR THOMAS OSBORNE HERE TO
SPEAK TO. THANK YOU. AND I THINK
L A AND DEPARTMENT OF FINANCE OR
JUST AVAILABLE FOR QUESTIONS AND
ANSWERS. OKAY I DON'T HAVE ANY
QUESTIONS ON THIS ITEM. DO ANY
MEMBERS DO THANK YOU. THANK YOU.
THANK YOU. WILL NOW BE MOVING ON
TO ISSUE THREE WITH THE CDCR.
WHICH IS THE SAN QUENTIN
PROPOSAL.
THANK YOU. I THINK WE'LL BEGIN
WITH MR LEWIS. GOOD AFTERNOON.
MY NAME IS DAVE LEWIS. I'M THE
DIRECTOR OF CITY PLANNING
CONSTRUCTION MANAGEMENT FOR THE
CALIFORNIA DEPARTMENT OF
CORRECTIONS AND REHABILITATION.
UM, AS YOU'RE AWARE THE GOVERNOR
, IN A PRESS CONFERENCE AT SAN
QUENTIN ANNOUNCED INTENTION TO
CHANGE THE NAME OF SAN QUENTIN
STATE PRISON TO CAN SAN QUENTIN
REHABILITATION CENTER AND TO
BUILD A EDUCATION CENTER ON THE
SIDE OF A FORMER PRISON INDUSTRY
AS AUTHORITY WAREHOUSE. AT THIS
TIME. WE DO NOT HAVE A PROPOSAL
TO PRESENT TO THE LEGISLATURE
PENDING THE COMPLETION OF THAT
AND WORKING WITH THE DEPARTMENT,
FINANCE AND THE MINISTRATIONS TO
DEVELOP THE FULL PROPOSAL. MISS
ALISON HEWITT. THANKS. ALLYSON
HEWITT DEPARTMENT OF FINANCE
NOTHING TO ADD LOOKING FORWARD
TO HAVING MORE DISCUSSION WITH
THE LEGISLATURE FOLLOWING THE
RELEASE OF THE MIRROR VISION.
THANK YOU. THANK YOU AND. BEFORE
YOUR BEFORE WE MOVED TO LA. I
JUST WANT TO MAKE A FEW
COMMENTS. AH! UH, I WAS VERY
THANKFUL FOR BEING ABLE TO BE
PRESENT. WHEN THE GOVERNMENT THE
GOVERNOR TALKED ABOUT THIS
INCREDIBLE COMMITMENT TO
FURTHERING OUR EFFORTS TO CENTER
REHABILITATION AND RE IMAGINING
OUR PRISONS IN A MANNER THAT
SUPPORTS SUCCESSFUL REENTRY
CERTAINLY MADE ALL OF OUR HEARTS
SAYING WHEN WE WERE TOGETHER
BEING ABLE TO LIFT UP THAT
VISION THAT THE GOVERNOR HOLDS
AND THE CHALLENGES THAT WE AT
THIS POINT DON'T HAVE ANY
SPECIFICS ON THE PROPOSAL
RELATED TO PROGRAMMING IN
PARTICULAR. WE HAVE PANELISTS
WHO ARE HERE WHO ARE PRIMARILY
ABLE TO SPEAK. TO SOME EXTENT TO
THE FACILITIES COMPONENT, BUT
REALLY DON'T HAVE ENOUGH TO BE
ABLE TO SPEAK TO THE PROGRAMMING
ASPECTS OF THAT. SO THAT'S LEFT
US WITH QUITE A CHALLENGE HERE.
WE KNOW THAT MANY FORMERLY
INCARCERATED PEOPLE HAVE SHARED
THAT ALL OF THE PRISON SAINT
QUENTIN IS JUST ONE OF THE
RICHEST FOR PROGRAMMING.
PRIMARILY DUE TO THE 3000
VOLUNTEERS AT THIS PRISON ALONE
. AND WHILE I'M SUPPORTIVE, VERY
, VERY SUPPORTIVE OF EFFORTS TO
MAKE ANY PRISON MORE
REHABILITATIVE, I'M CONCERNED
ABOUT WHAT WE WILL BE DOING IN
THE OTHER 30 PRISONS. SO WE'VE
HEARD FROM CDCR OR WILL SAY THAT
THERE HAS BEEN A CITATION AROUND
THE NORWAY PROGRAM. WE'VE HEARD
THAT BEFORE, IN PRIOR
PRESENTATIONS FOR THE LAST 3 TO
4 YEARS, AND WE KNOW THAT THE
NEWS ARTICLES REALLY REFERENCE
THE SCANDINAVIAN MODELS AND THE
SECRETARY THIS YEAR TALKED ABOUT
CALIFORNIA MODEL AND I'M NOT AT
THIS POINT REALLY CLEAR ON WHAT
DIFFERENTIATES, UH, CALIFORNIA
MODEL AND WOULD REALLY
APPRECIATE SOME FURTHER
ELUCIDATION ELUCIDATION TO THAT,
IN ORDER TO BE ABLE TO MAKE SURE
THAT WE CAN BE FISCALLY
SUPPORTIVE AS WELL AS
ENERGETICALLY AND, UH. VALUES
BASED SUPPORTIVE AROUND SUCH AN
ENDEAVOR. SO WITH THAT I WILL
MOVE IT TO THE L. A O FOR ANY
ADDITIONAL COMMENTS. THANK YOU.
THANK YOU, CAITLIN O'NEIL WITH
THE LEGISLATIVE ANALYST'S OFFICE
. WE PLAN TO DO IT IN DEPTH
REVIEW OF THE PROPOSAL ONCE IT'S
PROVIDED TO THE LEGISLATURE AT
THE MAY REVISION, BUT AT THIS
TIME BASED ON THE BROAD OUTLINES
OF THE PROPOSAL THAT WERE
DESCRIBED BY THE GOVERNOR AT THE
PRESS CONFERENCE AT SAN QUENTIN,
WE DO HAVE SOME KEY QUESTIONS
FOR THE LEGISLATURE TO START
THINKING ABOUT AND TO BEGIN
ASKING THEY LET THE
ADMINISTRATION AS DETAILS BEGIN
TO BE PROVIDED. UM AND THOSE ARE
ONE THE DEPARTMENT. AS YOU
NOTED, MADAM CHAIR IS DEVELOPING
THE CALIFORNIA MODEL. THERE'S
SOME PILOT PROGRAMS GOING ON AT
PRISONS RIGHT NOW THAT ARE PART
OF THE CALIFORNIA MODEL. SO IT
SEEMS AND SO UM YET IT'S NOT
ENTIRELY CLEAR WHAT THE
CALIFORNIA MODEL IS, OR WILL OR
WILL BE. WHEN IT'S FULLY
DEVELOPED. IT'S ALSO NOT CLEAR
WHAT THE RESULTS OF THOSE PILOT
PROGRAMS ARE AT THIS TIME, SO
ONE QUESTION THAT THE
LEGISLATURE COULD ASK THE
ADMINISTRATION IS HOW DOES SEND
THE SAN QUENTIN PROPOSAL FIT
INTO THIS CALIFORNIA MODEL? Tð
THERE'S MANY DIFFERENT POSSIBLE
APPROACHES TO APPLYING NORWEGIAN
CORRECTIONAL PRINCIPLES. AND
THOSE APPROACHES CAN BE CAN BE
SELECTED BASED ON THE SPECIFIC
GOALS AND OBJECTIVES THAT ARE
BEING TARGETED. AND SO THE
LEGISLATURE MAY WANT TO ASK.
WHAT ARE THE GOALS AND
OBJECTIVES OF THIS PROPOSAL, AND
FROM THERE DOES THE PARTICULAR
APPROACH THAT THE GOVERNOR, UM
IS OUTLINING MAKES SENSE. UH UM
. THREE HOW ARE STAKEHOLDERS OR
HOW ARE STAKEHOLDERS BEING
CONSULTED? UM BOTH STAKEHOLDERS
WITHIN THE DEPARTMENT IN THE
INCARCERATED POPULATION AND
OTHER UM, STAKEHOLDERS IN THE
COMMUNITY BEING CONSULTED, UM AS
THIS PROPOSAL IS BEING DEVELOPED
, AND IN PARTICULAR IN THE
SELECTION OF SAN QUENTIN. FOR
THE 20 MILLION. THAT'S BEFORE
YOU IS BEING CHARACTERIZED AS
FUNDING FOR PLANNING ACTIVITIES
. SO WHAT IS THE ESTIMATE OF THE
FULL COST OF THE OF THE PROPOSAL
AND HOW FOR THE LEGISLATURE TO
CONSIDER HOW WILL THAT COMPETE
WITH OTHER GENERAL? FINE PART
FUN PRIORITIES, PARTICULARLY
GIVEN THE STATE'S CURRENT
GENERAL FUND CONDITION. UM FIVE
GOING FORWARD. IS THERE A PLAN
TO KEEP THE LEGISLATURE INFORMED
OF DEVELOPMENTS IN THE
INITIATIVE AT SAN QUENTIN IF IT
IS APPROVED? AND SIX. IS THERE A
PLAN FOR HOW THE STATE WILL BE
ABLE TO LEARN FROM WHATEVER UM,
CHANGES ARE ULTIMATELY
IMPLEMENTED AT SAINT QUENTIN,
SUCH AS A PLAN TO EVALUATE THE
PROGRAM. THANK YOU. THANK YOU. I
KNOW THAT WE HAVE AN INCREDIBLE
OPPORTUNITY, ACTUALLY, WITH
GROWING AH, EMPTY PRISON BEDS.
WE HAVE 15,000. WE'VE TALKED
ABOUT THIS IN PRIOR, UH,
COMMUNITY HEARINGS, AND WE KNOW
THAT THAT WILL INCREASE TO
20,000 IN JUST A FEW YEARS AND
WE ARE RIGHT NOW WE ALL KNOW
EXPERIENCING AN INCREDIBLE UH
LACK OF REVENUES AT THE LEVEL
THAT WE THOUGHT THAT WE WOULD BE
RECEIVING, UM AND PROJECTED
EXPENSES MOVING FORWARD. SO I
THINK FOR THIS COMMITTEE, THIS
IS ONE OF THOSE AREAS WHERE WE
HAVE BOTH AN OPPORTUNITY. UH OF
A LOT OF BED CLOSURES. WE HAVE,
UH, CERTAINLY A STRONG, UH, VERY
COMMITTED COMMITTEE AND
LEGISLATURE TO FOCUSING ON
MAKING SURE THAT WE ARE
SUPPORTING REENTRY EFFORTS
WHOLEHEARTEDLY. WE HAVE THE
OPPORTUNITY OF SAVINGS RELATED
TO, UH, THE NUMBER OF EMPTY BEDS
THAT WE HAVE. WE HAVEN'T HEARD
ANY FURTHER ACTION FROM THE
DEPARTMENT AROUND HOW WHETHER OR
NOT WE SHOULD BE CLOSING ANY
ADDITIONAL PRISONS, WHICH IS
CERTAINLY AN OPTION FOR US TO BE
ABLE TO SUPPORT ADDITIONAL
SAVINGS AND WE HAVE. A WONDERFUL
OPPORTUNITY AND A VISION, SO I'M
VERY MUCH HOPING THAT WE CAN
HAVE MORE INFORMATION SO THAT WE
ARE ACTUALLY IN THE POSITION TO
AS A LEGISLATURE MAKE, UH A
CONFIDENT DECISION ABOUT HOW WE
USE OUR RESOURCES AND TAXPAYER
DOLLARS. DO YOU HAVE ANY
RESPONSE TO ANY OF WHAT HAS BEEN
LAID OUT FROM C D C R D U F I
DON'T THINK I WANT TO TALK ABOUT
CLOSURE ANYMORE AFTER THE LAST
TIME, BUT UM, BUT, YES, UM, WE
LOOK FORWARD TO ENGAGING WITH
THE LEGISLATURE ON ALL OF THE
TOPICS THAT YOU DISCUSSED. UM,
CLEARLY THERE. THIS IS A UNIQUE
OPPORTUNITY IN THE DEPARTMENT TO
EXAMINE OUR PROCEDURES AND OUR
PRACTICES MOVING FORWARD. UM,
AND FINDING NEW AND INNOVATIVE
WAYS TO DO MORE BUSINESS. UM AND
YOU KNOW THE SECRETARY, AS HE
STATED MANY TIMES IS REALLY
LOOKING TO ENSURE THAT
PROGRAMMING OPPORTUNITIES STAY
CONSISTENT THROUGHOUT THIS WHOLE
PROCESS. AS WE LOOK AT CLOSING
BEDS AND INSTITUTIONS THAT WE
RETAIN AS OUR PROGRAMMING
CAPACITIES SO WE CAN CONTINUE TO
PROVIDE THAT LEVEL OF
PROGRAMMING TO INMATES AND THE
INCARCERATED POPULATION AS WE
MOVE FORWARD. I THINK TIMING IS
THE ISSUE. WE JUST HAVEN'T
RECEIVED BUDGET CHANGE PROPOSAL.
UH OUR TIME IS VERY LIMITED. WE
HEADING INTO MAY AND UM AND WE
WOULD REALLY LOVE TO BE ABLE TO
HAVE SOMETHING. YOU HAVE A
COMMENT ON ROBBEN HORSE
DEPARTMENT OF FINANCE, AS MY
COLLEAGUE ALISON HEWITT, ALREADY
MENTIONED WILL BE IN A BETTER
POSITION TO TALK ABOUT THE
DETAILS AFTER MAY REVISION. UM
AND I ALSO WANTED TO ADDRESS THE
500,000 THAT WAS POINTED OUT AND
THE AGENDA ITEM THAT NOTHING HAS
BEEN SPENT YET, AND WE ARE
CURRENTLY REVIEWING HOW BEST TO
USE THOSE FUNDS DURING THE
CURRENT YEAR IN LIGHT OF THE
GOVERNOR'S RECENTLY RELEASED
DIVISION. MR LUCKY. DO YOU HAVE
JUST A COUPLE OF CLARIFICATIONS
THAT I WOULD LIKE TO INQUIRE
ABOUT? FIRST OF ALL IS THIS $20
MILLION IS BEING REFERRED TO IS
THAT SUPPOSED TO COME IN THIS
BUDGET CYCLE, OR ARE WE SUPPOSED
TO WAIT UNTIL THE MAYOR REVISED
TO FIND THAT OUT? THE $20
MILLION WAS INCLUDED IN THE
GOVERNOR'S BUDGET, ESSENTIALLY
AS ALMOST A PLACEHOLDER FOR SOME
PLANNING FUNDING FOR THIS
PROGRAM AS WE GO FORWARD THE
DETAILS, UM FOR THAT, AS WAS THE
ENTIRE PROGRAM WILL BE
FORTHCOMING AS PART OF THE MAIN
REVISION BECAUSE I I'M REALLY
CONFUSED BECAUSE I ESPECIALLY
WHEN WE'RE TALKING ABOUT THE
CAPITAL OUTLAY. IT'S GONNA BE AN
INCREDIBLE AMOUNT OF BUDGET
MONEY THAT'S GOING TO BE
COMMITTED HERE BECAUSE I READ
THAT $100 MILLION HAS BEEN
ATTRIBUTED TO JUST THE KITCHEN.
SO THIS IS A HUGE PROJECT. THIS
IS A HUGE UNDERTAKING, AND SO IS
THERE ANY KIND OF ESTIMATION AT
ALL? I MEAN, A BALLPARK FIGURE
OF WHAT WE'RE LOOKING AT HERE.
ARE WE HAVE TO JUST WAIT OR WE
COMPLETELY IN THE DARK OR DO WE
HAVE LIKE SOME AT LEAST SOME
ESTIMATE. WE'RE STILL WORKING
WITH THE YOU KNOW, WITH THE
DEPARTMENT OF FINANCE AND THE
ADMINISTRATION ON FULLY
DEVELOPING THE PROPOSAL. OKAY. I
MEAN, CAN YOU GIVE ME ANY KIND
OF FRAMEWORK AT ALL? OR WHAT IS
MEANT? AS FAR AS SCOPE IN THIS
REIMAGINING THAT'S REALLY A
BROAD DOESN'T GIVE US MUCH TO GO
ON. UM. THERE'S GOT TO BE
SOMETHING WELL. AS FAR AS
REIMAGINING, UM SAN QUENTIN. I
THINK THERE'S MULTIPLE AVENUES
THAT YOU THAT WE NEED TO LOOK
AT. AS FAR AS THE REIMAGINING
SAN QUENTIN. ONE IS THE
PROGRAMMING ASPECTS AS THE CHAIR
POINTED OUT, SAN QUENTIN IS THE
SOURCE OF A LOT OF THERE'S A LOT
OF VOLUNTEERS AT SAN QUENTIN.
THERE'S A LOT OF PEOPLE THAT ARE
WILLING TO PARTICIPATE IN
PROGRAMS. AND BEING IN AN URBAN
LOCATION. IT DOES PROVIDE
OPPORTUNITIES THAT MAYBE SOME OF
OUR OTHER INSTITUTIONS DO NOT
PROVIDE TO ALLOW FOR PROGRAMMING
LEVELS. SO PART OF IT, YOU KNOW
, SAN QUENTIN HAS OBVIOUSLY BEEN
THE HOME OF OUR CONDEMNED INMATE
PROGRAM FOR SINCE THE YOU KNOW
FOR MANY, MANY YEARS, UM AND SO
THIS GIVES US AN OPPORTUNITY TO
CHANGE THE CULTURE OF SAN
QUENTIN ALTOGETHER FROM BEING
ONE WHERE IT WAS VERY MUCH. AND
WHILE THERE'S A LOT OF PROGRAM
AND A LOT OF PROGRAM
OPPORTUNITIES, THERE IS STILL A
SIGNIFICANT POPULATION THERE. UM
THAT HAS NOT HAD ACCESS TO THAT
. UM YOU KNOW, WE OBVIOUSLY HAVE
LANGUAGE NOW THAT ALLOWS US TO
DISPERSE THE POPULATION
THROUGHOUT THE SYSTEM THAT GIVES
US OPPORTUNITIES THAT SAN
QUENTIN TO LEVERAGE. AND THE
OPPORTUNITIES THEY'RE RELATED TO
PROGRAM. UM AND GIVE MORE OF OUR
INCARCERATED POPULATION THOSE
OPPORTUNITIES SO THIS IS REALLY
LOOKING TO CHANGE THE ENTIRE
CULTURE OF SAN QUENTIN FROM ONE
THAT'S REALLY FOCUSED ON THOSE
DUAL MISSIONS OF PROGRAMMING AND
KEEPING THE CONDEMNED POPULATION
SECURE. 21 THAT'S REALLY
COMPLETELY FOCUSED ON
PROGRAMMING AND REENTRY INTO
SOCIETY. AS THE CHAIR SPOKE, YOU
KNOW, UM, THESE INMATES START
COMING BACK TO OUR COMMUNITIES.
AND SO YOU KNOW, A LOT OF THE
CALIFORNIA MODEL IS FOCUSED ON
CHANGING THE DYNAMIC AND THAT
RESULTS IN HIGHER RECIDIVISM
RATES FOR THE DEPARTMENT. AND
FOCUSING INSTEAD ON PROVIDING
PROGRAMMING AND PROVIDING
OPPORTUNITIES TO IMPROVE ON THAT
DYNAMIC, AND THAT'S WHAT SAN
QUENTIN REIMAGINING IS REALLY
FOCUSED ON IS CHANGING THAT
DYNAMIC AND PROVIDING THOSE
OPPORTUNITIES WHERE WE CAN BEST
LEVERAGE AND THAT THERE'S
PROGRAMMING OPPORTUNITIES AT SAN
QUENTIN. CLEARLY, IT'S A NOBLE
GOAL. I JUST THINK WE NEED TO
BALANCE OUR GOAL WITH
AFFORDABILITY AND JUST A LOT OF
UNCERTAINTY IN THE FUTURE, AND
IT SEEMS LIKE THERE'S A LOT OF
UNCERTAINTY AS TO WHAT DIRECTION
WE'RE GOING WITH US. AND AS FAR
AS THESE QUESTIONS AS FAR
CAPITAL OUTLAY AND SO FORTH,
THERE'S JUST A LOT OF AMBIGUITY.
A LOT. AND SO IT'S VERY HARD TO
REALLY WRAP OUR MINDS AROUND.
THE AFFORDABILITY OF THIS WHOLE
PROJECT. SO ANYWAYS, WE LOOK
FORWARD TO MORE INFORMATION. MR
SAWYER, ACTUALLY, REALLY EXCITED
. UM I'M SOMEONE THAT IS
ACTUALLY GONE TO NORWAY AND I'VE
SEEN THE NORWAY MODEL. LET'S SEE
HOW IT WORKS. I HAVEN'T HAD A
CHANCE TO SEE THE SCANDINAVIAN
MODEL. AND NOW I SEE WE HAVE A
CALIFORNIA MODEL, WHICH I HOPE
IS A IT MARRIES THE TWO OR WE
LOOK AT WHAT THEY DID TAKE THE
BEST PARTS OF ALL OF THAT, AND
THEN MOVE SOMETHING FORWARD. I
THINK IT IS REALLY, REALLY
IMPORTANT THAT WE GET. UM AN
IDEA. OF WHAT? UM VISION, EVEN
IF IT'S JUST A SKETCHY OUTLINE
OF WHAT? WHAT? WHAT YOU WANT TO
DO. AND THE REASON I SAY THAT I
KNOW THERE'S A WITH THE DOLLAR
AMOUNT HERE. UM, BUT WHAT IF YOU
NEED MORE? WHAT IF YOU NEED MORE
THAN THE 20 MILLION TO 500,000?
I DON'T WANT TO CONFINE
OURSELVES. TO TRYING TO HAVE THE
MODEL MEETS THE MONEY. INSTEAD
OF THE OTHER WAY AROUND. LET'S
MAKE SURE THIS IS DONE RIGHT.
IT'S DONE RIGHT THE FIRST TIME.
UM BECAUSE I TRULY BELIEVE THE R
O I OR REHABILITATION. IT'S MUCH
GREATER THAN THE INITIAL EXPENSE
THAT YOU PUT OUT AND IF WE CAN
PUT SOME ACCOUNTABILITY MEASURES
IN THESE TYPES OF PROGRAMS AND
WHATEVER WE'RE GOING TO DO, WE
CAN NOW PROVE TO THE PUBLIC.
THAT NOT ONLY ARE THEY
SUCCESSFUL PEOPLE, NOT
RECIRCULATING AND COMING BACK
AND BEING A MINISTER TO
CALIFORNIA, BUT MOST IMPORTANT,
WE CAN SAVE TAXPAYER MONEY IF WE
DO AND SPEND OUR MONEY MUCH MORE
EFFECTIVELY EFFICIENTLY AND SO
I'M AS YOU PROBABLY CAN TELL.
I'M EXCITED ABOUT WHAT BUT
CALIFORNIA MODEL WILL LOOK LIKE,
UM AND, UH. YOU NEED ANY INPUT
FROM THE LEGISLATURE? THOSE
ESPECIALLY THOSE OF US HAVE GONE
IN. NO WAY I WOULD. THAT'S WHY
YOU YOU WANT TO HAVE INPUT FROM
US. BECAUSE SOME OF US HAVE SEEN
THIS IN ACTION AND, UH, COULD
PROBABLY BE VERY HELPFUL AT
DEVELOPING WHAT MOVING FORWARD.
MR PATTERSON. GREAT THANK YOU SO
MUCH. UM SORRY FOR BEING LATE
AND APPRECIATE THE CHAIR FOR
GIVING ME AN OPPORTUNITY. UM IN
TERMS OF THE KINDS OF
INDIVIDUALS THAT WOULD BE UNDER
THE REIMAGINED SAN CLINTON. IS
THAT GONNA CHANGE FROM WHO'S
THERE NOW, OR IS THERE GOING TO
BE A SPECIAL EMPHASIS OR FOCUS
ON CERTAIN TYPES OF INMATES OR
IS THERE A PLAN ON WHO'S GOING
TO BE THERE? YES THERE'S
CERTAINLY, UH, PLAN THAT WILL
BECOME FORTHCOMING AS PART OF
THE WHOLE PROPOSAL THAT WILL
DISCUSS THE POPULATION THAT
WOULD BE SERVED AT SAINT
QUENTIN. UM OBVIOUSLY WITH WITH
THE MOVE TO REALLY FOCUSING ON
REHABILITATION PROGRAMS AND
REENTRY, IT NEEDS TO HAVE A
POPULATION THAT'S CONDUCIVE TO
THAT PROGRAMMING. UM AND REALLY
LOOKING AT SERVING THE NEEDS OF
THE POPULATION THAT WILL BE
REJOINING THE COMMUNITY SOON AND
ADDRESSING SOME OF THE ISSUES
SURROUNDING THAT, AND SO THAT WE
CAN RETURN THEM IN A SITUATION
WHERE WE CAN ADDRESS THOSE
UNDERLYING ISSUES WITH THAT
CAUSED THE RECIDIVISM THAT HAVE
CAUSED THE CRIMINALITY IN THE
FIRST PLACE. AND ALL THOSE
THINGS NEED TO BE REFLECTED IN
THE POPULATION THAT SERVED AS
WELL. SO CERTAINLY THE
POPULATION THAT'S THERE NOW
BEING LARGELY, UM, THE SAME
QUENTIN AS THE CONDEMNED INMATE
POPULATION THAT WILL BE SPREAD
OVER THE REST OF THE
INSTITUTIONS, AND WE'LL BE
FOCUSING ON ON INDIVIDUALS THAT
WOULD BE APPROPRIATE FOR THE
PROGRAMMING THAT WE ANTICIPATE
AT SAN QUENTIN. BUT RIGHT NOW,
YOU'RE NOT PREPARED TO SAY THE
TYPES OF IS IT A LIKE A LENGTH
OF TIME. AND PEOPLE HAVE LEFT OR
ARE THERE ANY TARGETS LIKE THAT?
THAT YOU KNOW OF? I THINK A LOT
OF THOSE DETAILS WILL LARGELY BE
DETERMINED BY THE ADVISORY
COUNCIL THAT THE GOVERNOR WILL
BE I'M APPOINTING TO PROVIDE US
INPUT ONTO INTO THE PROGRAMS AND
THE TYPE OF PROGRAM THAT WE WILL
BE PROVIDING AT SAN QUENTIN. UM
THERE THE INSTITUTE. THE
ADMINISTRATION IS VERY
INTERESTED IN RECEIVING INPUT
FROM ALL STAKEHOLDERS, BOTH
INTERNAL IN THE DEPARTMENT AND
EXTERNAL, AND THAT WILL PROVIDE
US SOME ANSWERS ON HOW TO BEST
PROVIDE THAT LEVEL OF
PROGRAMMING. THAT WE ANTICIPATE
, UM AT SAN QUENTIN, AND HOW THE
BEST LEVERAGE IT AND HOW TO BEST
ENSURE THAT THE POPULATION
THAT'S INCLUDED IS THE BEST
POPULATION FOR THE PROGRAM THAT
IS ENVISIONED. WHAT WERE THE
POPULATION BE? AS FAR AS THE
NUMBERS. YEAH I WOULD HAVE TO
LOOK, I'M NOT SURE I CAN GET
BACK TO YOU ON THAT. AND THEN,
UM OKAY. I MEAN IN THIS THIS
ISN'T CONSIDERED A PILOT
PROJECT. IS IT OR UM, CERTAINLY
, I THINK YOU KNOW THE THINGS
THAT WERE MOST SUCCESSFUL OUT WE
WOULD BE THE KIND TO EXTEND TO
OTHER INSTITUTIONS. UM BUT NO,
IT'S NOT ANTICIPATED. THIS WOULD
BE A PILOT, AND WE ANTICIPATE
FULLY PROPOSING A FULL
PROGRAMMING PACKAGE FOR SAN
QUENTIN. UM THAT WOULD BE PART
OF THE MAIN REVISION PROPOSAL
AND SORRY TIMELINE ON
DEVELOPMENT OF AH! SORT OF THE
STRATEGY. WELL. UM I'M SURE
YOU'RE AWARE OF THE GOVERNOR
GAVE US A VERY AMBITIOUS TARGET
OF COMPLETING THE BUILDING BY
THE END OF 2025 IN ORDER TO MAKE
THAT HAPPEN. WE NEED TO REALLY
ACCELERATE ALL OF OUR EFFORTS
RELATED TO DESIGNING NOT ONLY
THE BUILDING, BUT THE PROGRAM
AND BEYOND EVEN THE PROGRAM, THE
TALKING ABOUT THE CULTURE OF SAN
QUENTIN. THE ADJUSTMENTS THAT
NEED TO BE MADE. TO MEET THE
OBJECTIVES THAT WERE CLEARLY
LAID OUT BY THE GOVERNOR AS FAR
AS CHANGING REIMAGINING SAN
QUENTIN, SO WE ANTICIPATE THAT
THE TIMELINE WILL BE VERY
AGGRESSIVE ON ALL OF THESE
THINGS TO MEET THOSE GOALS.
GREAT. THANK YOU. I GUESS THE
ONLY COMMENT I HAVE IS,
OBVIOUSLY I THINK YOU KNOW THIS
IS A NO THAT OTHER COUNTRIES.
HAVE. YOU KNOW, IT'S ALWAYS HARD
TO, YOU KNOW, COMPARE APPLES TO
APPLES, BECAUSE EVEN IF YOU KNOW
NORWAY OR SOME OTHER COUNTRY HAS
THE SAME PROGRAM, THEY MIGHT
HAVE OTHER SYSTEMS IN PLACE, YOU
KNOW, THROUGHOUT THE CRIMINAL
JUSTICE SYSTEM THAT LEAD TO THE
RESULTS, UM BUT I THINK IF THE
STATE'S GOING TO GO THIS ROUTE,
UM YOU KNOW WITH THE GOAL OF, I
ASSUME REDUCING RECIDIVISM. YOU
KNOW? I'M GLAD THERE'S AN
AGGRESSIVE TIMELINE, BUT ALSO,
YOU KNOW SOMEWHAT CONCERNING
BECAUSE WE WANT TO GET IT RIGHT.
I MEAN, IF THIS DOESN'T HAPPEN
RIGHT? WHATEVER. QUALITATIVE
STANDARD IS PUT ON THAT OR IN
QUANTITATIVE STANDARDS TO THEN,
YOU KNOW. NO I MEAN, OBVIOUSLY,
THE CONSEQUENCES ARE PRETTY
STEEP THERE. SO, UM ANYWAYS.
THANK YOU VERY MUCH. I WILL JUST
REITERATE MY ENTHUSIASM FOR THE
IDEA OF THIS PROJECT. I WAS
THERE AT THE PRESS CONFERENCE
WAS VERY EXCITED TO TALK WITH
MANY INMATES IN SAN QUENTIN, UM
, GOT UP AND SPOKE VERY
LASCIVIOUSLY ABOUT MY ABSOLUTE
SUPPORT FOR THE IDEA OF MAKING
SURE THAT WE ARE IN A DIFFERENT
PLACE AROUND REENTRY. UH THIS
LEGISLATURE IS NOT A GROUP OF
STAKEHOLDERS. WE ARE CO EQUAL
PARTICIPANTS AND PARTNERS IN THE
DEVELOPING AND DRAFTING THE
BUDGET ASSOCIATED WITH VARIOUS
EFFORTS HAVE A DEEP CONCERN WITH
THE FACT THAT CDCR IN MANY
HEARINGS, AND I'M JUST STARTING
MY ENDEAVOR OF WORKING WITH THE
CDCR AND EXPERIENCING AN
INCREDIBLE AMOUNT OF LACK OF
TRANSPARENCY AROUND EXPENDITURES
, AND I REALLY DON'T WANT TO SET
US UP FOR ANOTHER. REPLICATION
OF THAT KIND OF, UH, PRACTICE
WITH THIS PARTICULAR EFFORT, SO
UH HUH. BY MY ESTIMATION, MAY
SEEMS INCREDIBLY LATE FOR SUCH A
GRAND ENDEAVOR WITH WITH SUCH A
WITH SUCH A BOLD TIMELINE FOR
REBUILDING BY 2025. AND AT THIS
POINT, I DON'T KNOW HOW THE
COMMITTEE IS GOING TO BE ABLE TO
FULLY EVALUATE WHETHER WE CAN
SUPPORT THE FUNDING FOR IT. YOU
KNOW, IN ALL HONESTY, BECAUSE
THAT'S BECAUSE WE HAVEN'T BEEN
GIVEN ANY INFORMATION SO WE
WOULD LOVE INFORMATION. UM WELL,
SO THIS SO, UM SO THANK YOU WITH
THAT. I APPRECIATE YOUR COMING
BEFORE US TO BE ABLE TO GIVE US
SOME INFORMATION. AND JUST AS A
POINT OF REQUEST WHEN WE ARE
MEETING BEFORE THE SUBCOMMITTEE
ANY AGENCY IN SO DOING REALLY
NEEDS TO BE ABLE TO PROVIDE A
BUDGET CHANGE PROPOSAL WITH, UH
, ACTUAL INFORMATION FOR US TO
BE ABLE TO RESPOND TO THANK YOU.
WE WILL MOVE BACK TO JUST
COMPLETING THE ROLE. FOR OUR
PREVIOUS MOTION THAT WAS
SECONDED FOR MR PATTERSON AND MR
JOHN SAWYER. WE HAD A MOTION TO
APPROVE. UH VOTES ONLY ISSUES
ONE THROUGH FIVE. THE ACTION IS
THE MOTION WAS TO APPROVE AS
BUDGETED AND WE WILL COMPLETE
THE ROLE NOW. JOHN SAWYER. JOE
PATTERSON. THANK YOU. WE WILL
MOVE ON NOW TO. OH SORRY. UH,
THOSE ITEMS ONE THROUGH FIVE
HAVE BEEN APPROVED AND OR OUT.
THANK YOU. WE'LL MOVE ON NOW TO
ISSUE FOR MENTAL HEALTH
STAFFING, RECRUITMENT AND
RETENTION UPDATE.
THANK YOU. WE HAVE SEVERAL
PANELISTS SPEAKING ON THIS, UH,
YOU I'LL JUST INTRODUCE YOU AS
YOU ARE GIVEN SOME OPPORTUNITY
TO SPEAK. I KNOW THAT WE HAVE A
TIME LIMIT ASSOCIATED WITH YOUR
PRESENTATION. WE WILL BEGIN WITH
DR AMAR META FROM THE DEPUTY
DIRECTOR OF MENTAL HEALTH
SERVICES WITH THE CDCR. THANK
YOU VERY MUCH, MADAM CHAIR AND
THE REST OF THE COMMITTEE FOR
HAVING US HERE TODAY. AS YOU
MENTIONED. MY NAME IS, UM ARE
META I'M THE DEPUTY DIRECTOR OF
STATEWIDE MENTAL HEALTH FOR
CDCR. I'VE BEEN IN THIS POSITION
FOR ABOUT THREE YEARS, AND IT'S
BEEN A VERY BUSY THREE YEARS AND
A LOT OF THINGS HAVE CHANGED
OVER COVID AND EVERYTHING ELSE.
AND SO YOU OBVIOUSLY ALL KNOW
ABOUT THE COLEMAN LAWSUIT, AND
WHAT WE'RE HERE TO TALK ABOUT IS
THE STAFFING ASPECT OF THAT. SO
JUST RECENTLY, THE JUDGE PAST UM
, WROTE AN ORDER ABOUT STAFFING
UP TO 90. AND THIS WASN'T THE
FIRST TIME WE'VE GOTTEN A COUPLE
OF THESE ORDERS. IT'S BEEN A
LONG ROAD, BUT RIGHT NOW OUR
PSYCHIATRY STAFFING IS AT 89.
WHICH IS KIND OF AMAZING FOR US
. IT'S 15 POSITIONS SHORT OF 90.
WE HAVE, UH, WE STILL WANT TO GO
ALL THE WAY UP TO 100% AND WE
WANT TO MAKE SURE IT STAYS
THERE. WHICH IS THE CRITICAL
PART, BUT WE'VE COME A LONG WAY
AND OUT OF THE POSITIONS THAT
ARE FILLED TWO OUT OF EVERY
THREE OUR CIVIL SERVICE
POSITIONS, NOT THE REGISTRY OR
CONTRACTORS THAT HAVE BEEN A
CONCERN AND THE OUT OF THE TWO
OUT OF THREE THAT WE HAVE. ONE
IS TELL A SICK AND ONE IS ON
SITE. SO WE'VE HAD A LOT OF TELE
PSYCHIATRY. DOCTORS JOINED US
RECENTLY. AND UM, HAS JUST BEEN
, UH, A REAL BOON TOWARDS SYSTEM
. I'M GOING TO TALK ABOUT THAT
MORE IN JUST A SECOND, BUT I
JUST WANT TO BE CLEAR THAT CDCR
HAS ABSOLUTELY NO INCENTIVE AND
KEEPING ANY OF THESE POSITIONS
EMPTY. WE STILL HAVE THE SAME
AMOUNT OF WORK THAT NEEDS TO BE
DONE TO TAKE CARE OF OUR
PATIENTS, WHICH IS OUR GOAL.
IT'S BEEN REALLY COMPLICATED AND
THE SPECIAL MASTER IN THIS CASE
, UM COMMISSIONED, UH, 82 PAGE
REPORT IN 2020 BY A TEAM OF
ECONOMISTS THAT TALKED ABOUT THE
DIFFICULTIES THAT EVERYONE HAS
DOING THIS CDCR, OBVIOUSLY, BUT
EVERY STATE IN THE COUNTRY
BASICALLY IS FACING SOMETHING
SIMILAR. IT'S A SHORTAGE OF
MENTAL HEALTH CLINICIANS. A
SHORTAGE OF PHYSICIANS, AND
WE'VE ALL BEEN DOING OUR BEST
AND THAT WAS, YOU KNOW, FRANKLY,
BEFORE COVID AND BURN OUT AND
YOU KNOW, RETIREMENT, THE GREAT
RESIGNATION QUIET, QUITTING ALL
THESE OTHER THINGS. WHICH
INFLATION? YOU KNOW ANY ONE OF
THOSE THINGS COULD BE A WHOLE
ANOTHER HEARING HERE TODAY, SO
WE ABSOLUTELY WANT TO
ACKNOWLEDGE THAT THE DEPARTMENT
OF HEALTH AND HUMAN SERVICES
RELEASED A REPORT THAT BY 2025
WE'RE GOING TO HAVE 10,000 FEWER
MENTAL HEALTH CONDITIONS IN THIS
COUNTRY THAN WE NEED AND CLOSER
TO HOME, THE HEALTH FORCE CENTER
AT UC SAN FRANCISCO PROJECTED
THAT BY 2028, WE WILL HAVE A
SEVERE SHORTAGE OF PSYCHIATRISTS
SPECIFICALLY. WHICH IS WHAT
WE'RE HERE TO TALK ABOUT. THE
COURT HAS NOTED THAT TIGHT LABOR
MARKS DO NOT RELIEVE DEFENDANTS
OF THEIR CONSTITUTIONAL
OBLIGATIONS TO TAKE CARE OF THE
PATIENTS, AND I COULD NOT AGREE
WITH THAT MORE WE HAVE PATIENTS
TO SHARE TO SERVE, NO MATTER
WHAT UM, I MENTIONED TELE
PSYCHIATRY. THAT'S THE NEW WORLD
. WE LIVE IN KAISER, ETCETERA,
AND EVERYBODY ELSE IS OFFERING
THAT AND IF WE CAN'T COMPETE,
WILL WILL JUST LOSE. YOU KNOW
EVERY TIME SO WE'RE DOING OUR
BEST TO KEEP UP WITH THAT, UH,
WE STILL RECRUIT VERY HARD FOR
ON SITE. WE DO OUR BEST TO GET
AS MANY PEOPLE THERE IN PERSON
FACE TO FACE SEEING THE PATIENTS
THAT WE NEED TO CARE FOR. WE'VE
DONE A LOT OF OTHER THINGS. JUST
OVER THE LAST YEAR WE RELEASED
TO PAY DIFFERENTIALS. ONE WAS TO
GIVE ADDITIONAL BONUSES TO
CLINICIANS WHO HAD STAYED ON FOR
A CERTAIN AMOUNT OF TIME OR NEW
CLINICIANS THAT SIGN ON AND THEN
ANOTHER WAS TO GIVE 15% ON BASE
PAY FOR CLINICIANS THAT ARE
WORKING ON SITE IN PERSON, NOT
TELL US AT OUR INPATIENT
INSTITUTIONS WITH THEIR IN
PATIENTS. WHICH IS, YOU KNOW 5%
OF OUR TOTAL POPULATION, BUT
OBVIOUSLY 80% OF THE WORK THAT
WE ALL HAVE TO DO. WE'VE CREATED
A BUNCH OF OTHER OPPORTUNITIES
SUCH AS DUAL APPOINTMENTS, WHICH
MEANS THAT IT IN CDCR, YOU CAN
HAVE A SCHEDULE OF 4 10 HOUR
DAYS INSTEAD OF 58 HOURS. AND IF
YOU DO THAT, YOU CAN ACTUALLY
ADD THAT FIFTH DAY BACK ON AND
DO 25% MORE WORK. UM AND WE'VE
MADE IT EASIER FOR THEM TO DO
THAT AT THEIR INSTITUTIONS. SO
THEY CAN SERVE THE PATIENTS IN
THE SYSTEMS THAT THEY
UNDERSTAND, AND THEY DON'T HAVE
TO TRAVEL AS FAR WE'VE BEEN
WORKING TO MAKE THINGS EASIER
FOR ON CALL, WHICH IS SOMETHING
WE WERE. WE'VE ABSOLUTELY HEARD
FROM THE UNION AND REALLY LISTEN
TO. WE HAVE A NIGHT SHIFT SYSTEM
, WHICH COVERS A LOT OF THAT
SERVED. A LOT OF THAT SYSTEM NOW
TAKES A BIG BURDEN OFF THE
INSTITUTIONS. WE'VE MADE
IMPROVEMENTS TO QUALITY OF CARE
OPPORTUNITIES FOR
SPECIALIZATION. THERE'S SO MANY
THINGS I WANT TO GIVE YOU ALL A
CHANCE TO OBVIOUSLY ASK OUR
QUESTIONS, BUT, UH, I'LL JUST
MENTION THE LAST COUPLE. WE HAD
RELATIONSHIPS WITH TRAINING
PROGRAMS NOW, WHICH HAS BEEN A
HUGE BONUS, BOTH FOR THE
PHYSICIANS WE HAVE WHO CAN NOW
DO MORE TEACHING AND JOURNAL
CLUBS AND CONTINUING MEDICAL
EDUCATION, BUT ALSO FOR
RECRUITMENT. WE'VE HAD A LOT OF
THOSE PEOPLE COME IN AND TWO OF
THE PEOPLE I MYSELF HAVE HIRED
OVER THE LAST YEAR HAVE BEEN
FROM CALIFORNIA PACIFIC MEDICAL
CENTER, WHICH IS ONE OF OUR
PROGRAMS THAT WE WORK WITH. AH
SO THAT'S OUR THAT'S OUR ROUGH
TOP 10. BUT AGAIN, I WANT TO
GIVE EVERYONE A CHANCE TO SPEAK
AND, OF COURSE TO ANSWER
QUESTIONS. THANK YOU. THANK YOU
SO MUCH. WE WILL MOVE. I THINK
WE HAVE OTHERS WHO ARE AVAILABLE
JUST FOR QUESTION AND ANSWER,
RIGHT? YES, OKAY FROM CDCR, SO
WE'LL MOVE ON TO DR STEWART BèC
, THE PRESIDENT OF UNION OF
AMERICAN PHYSICIANS AND DENTISTS
ASKED ME LOCAL 206. OKAY, OKAY.
AND WELL CHAIRWOMAN AND
COMMITTEE MEMBERS, EVERYONE HMM
. TIME LIMITED. OKAY UH,
APOLOGIZE FOR THIS LATE ENTRY
BUT HAS BEEN SICK IN THE
HOSPITAL, AND I HAVE SOME
HANDOUTS THAT I'M GOING TO
REFERENCE IF THAT'S ALL RIGHT.
CUTE, YOU GUYS. OKAY? I CAN
START. GOOD AFTERNOON, MADAM
CHAIRWOMAN AND COMMITTEE
MEMBERS. MY NAME IS DR STEWART
BèC. I'M PRESIDENT OF THE UNION
OF AMERICAN PHYSICIANS AND
DENTISTS. WORKING WITH MY DOCTOR
MEMBERS AT CDCR HAS GIVEN ME THE
GREATER UNDERSTANDING OF THE
PHRASE, THE MORE THINGS CHANGE,
THE MORE THEY STAY THE SAME. IN
1995. YOU KNOW THE LAWSUIT WAS
SETTLED, AND JUDGE WHITE LISTED
THE SIX RECOMMENDATIONS,
INCLUDING ADEQUATE STAFFING
TODAY, I WANT TO DISCUSS THE
CHRONIC FAILURE TO ACHIEVE THAT
GOAL. I WANT TO TALK ABOUT THE
VACANCY RATE THAT DR META
REFERRED TO. I HAVE THE JANUARY
2023 VACANCY RATE IN FRONT OF
YOU. AND MAYBE WE CAN GET INTO
THIS LATER. BUT FROM WHAT I SEE,
THERE ARE 310 POSITIONS IN 185
PEOPLE FROM OUR UNIT, WHICH
MEANS THEY'RE NOT A SMALL
VACANCY RATE, AS DR META ALLUDED
TO, BUT A LARGE 40.18% VACANCY
RATE NOW, I DON'T KNOW IF
CONTRACTORS OR TELL THE PEOPLE
WERE INCLUDED IN THAT, BUT I
WOULD LIKE TO GET INTO THAT. WE
THINK IT'S A CRISIS. UH THERE'S
MURKY METHODOLOGY THAT WE CAN
NEVER BE SURE OF ITS CDCR. AND
WHEN GOVERNOR BROWN PENSION CAP
GOT EVEN WORSE THAT UM, IT WAS
HARD TO RECRUIT PEOPLE. IN YOUR
HANDOUT. I OFFERED 10
RECOMMENDATIONS 10 YEARS AGO TO
THE ASSEMBLY COMMITTEE THAT
COULD REDUCE PSYCHIATRIC
VACANCIES AND THE ADDICTION THAT
THE STATE HAS TO CONTRACTORS,
AND NONE OF THEM HAVE BEEN
IMPLICATED. IF YOU LOOK IN THE
BACK OF THE HAND OUT BESIDES A
DIFFICULT WORKING ENVIRONMENT,
SALARY IS ALWAYS THE TOP REASONS
FOR THE RECRUITMENT PROBLEMS. I
ALSO REMARKED ABOUT THE
CONTRACTORS SALARIES THAT ARE
GIVEN OUT AND THAT'S A LOT OF
MONEY OUT THERE. AND IN 2012 IS
ABOUT 25% HIGHER THAN OUR OUR
CIVIL SERVANTS. AND NOW IT'S
100% HIGHER $325 AN HOUR FOR THE
CONTRACTOR, AND AT LEAST $65 AN
HOUR FOR THE ADMINISTRATOR THAN
THAT. YOU KNOW, IF YOU MULTIPLY
IT TIMES THESE VACANCIES ALMOST
$100 MILLION ANNUALLY ON THESE
TEMPORARY WORKERS, SO SOME OF
THEM MADE 80,000 MONTH AND ONE
PERSON MADE $131,000 IN ONE
MONTH. SO IT'S KIND OF SHOCKING.
BESIDES THE FINANCIAL BURDEN OF
A TAXPAYER, POOR CONTINENT WHO
HAVE CARE AND LOWERING MORALE
FOR THE CIVIL SERVANTS, WHICH
ARE GOING TO BE TALKING ABOUT
THESE ARE HUGE PROBLEMS.
RECRUITMENT AND RETENTION IS
ALSO BEEN ADDRESSED BY JUDGE
MUELLER AND THE COURT. THE
SPECIAL MASTERS IS DOCTOR MADAM
MENTIONED THE COURT EMPLOYED
EMPLOYEE STAFF TO FIND OUT WHAT
WILL SOLVE THIS PROBLEM AND
BASED ON THE STUDY SHORT OF 15%
SALARY INCREASE WITH TEMPERS FOR
ALL THOSE INSTITUTIONS THAT HAD
10% VACANCY RATE. AND IF THAT
DIDN'T WORK, ANOTHER 10% WOULD
BE ORDERED. BUT CD SAW IN LAST
FOUR YEARS DONE NOTHING ABOUT
THE RACES. INSTEAD THEY ARGUED
THROUGH THEIR STATISTICS, NON
TRANSPARENT THAT 40 POSITIONS
SHOULD BE CUT I WAS THREE YEARS
AGO. FORTUNATELY THE GOLDEN ONE
REPORT REVEALED THAT THIS WAS
NOT TRUE. UH, THERE'S ANOTHER
GOLDEN TO REPORT THAT'S JUST
COME OUT THAT WERE EAGER TO LOOK
AT ABOUT FINANCIAL AND CLINICAL
PROBLEMS. WELL FOUR YEARS HAVE
PASSED SINCE JUDGE MUELLER'S
MANDATE, AND CDCR HAS NOT RAISED
SIGNIFICANTLY OUR SALARIES AND
IN FACT, DURING THIS FOUR YEAR
PERIOD OF PSYCHIATRY, WAGES WENT
FROM 18% OF THE BUDGETED MENTAL
HEALTH EXPENDITURES TO 8. AND
THEN JUDGE MUELLER RECENTLY
ORDERED JANUARY UP TO IT'S NOT
CLEAR, BUT IT LOOKS LIKE TWICE
THE PENALTY FOR THESE VACANCIES
. TWICE THE SALARY OF THE
PSYCHIATRIST OR EVERY MONTH, AND
THAT SEEMS TO BE 50 46 TO
$50,000 A MONTH. FRUSTRATED BY
OUR 2 TO 3% ANNUAL RAISES THEIR
BARGAINING SESSIONS, WHICH ARE
INCREDIBLY FRUSTRATING. WE
CONVINCED CAL HR TO DO THE
RESEARCH PAPER, WHICH I GAVE IN
FRONT OF YOU. THE JOINT AND
EXECUTIVE SUMMARY OF THEIR
VERSION OF IT IN OUR VERSION OF
IT, AND WE BOTH AGREE THAT THE
SALARY, NON COMPETITIVE SALARIES
THE NUMBER ONE PROBLEM NOW WE
TRIED TO GET IT TO THE
LEGISLATURE IN FEBRUARY OF 21,
BUT DEPARTMENTS SAT ON IT UNTIL
THE SESSION WAS OVER IN
SEPTEMBER. IT'S FRUSTRATING. UM
OKAY, WE'RE HERE TODAY. FINALLY
IN SUMMARY TO EMPLOY YOUR
COMMITTEE MEMBERS TO INCREASE
THE CIVIL SERVANTS SALARIES
BARGAINING HAS NOT DOES NOT WORK
FOR ALL THE YEARS THAT I'VE BEEN
HERE, AND THAT'S 20 YEARS. OKAY
IT DOESN'T WORK WITH A PARTY
THAT'S CLOSED MINDED THAT USES
DECEPTIVE STATISTICS IN FRONT OF
A FEDERAL JUDGE THAT IGNORES HER
ORDERS TO INCREASE CIVIL SERVANT
WAGES WHILE WASTING TENS OF
MILLIONS OF DOLLARS ON TEMPORARY
WORKERS. IT'S NO WAY TO RUN A
BUSINESS GOVERNMENT OR NOT,
TAXPAYERS ARE HURT. CIVIL
SERVICES HURT INMATES ARE HURT
BY LESS COMMITTED CONTRACTORS,
PLEASE EARMARKS. SOME OF THE $14
BILLION THAT CITIES ARE RECEIVES
ANNUALLY. SO THE MISSION OF
COMMON IS HONORED. THANK YOU.
THANK YOU, DOCTOR BèC. WE WILL
MOVE ON NOW TO DR JONATHAN
GREENBERG. HMM. HELLO. CAN YOU
HEAR ME? OK, OKAY. UH I'M
JONATHAN GREENBERG.
PSYCHIATRISTS I'M LINE STAFF
PSYCHIATRISTS WORKING AT
CALIFORNIA MEDICAL FACILITY IN
VACAVILLE. I'VE BEEN HERE FOR
EIGHT YEARS SINCE 2015. I'VE
WORKED IN THE INPATIENT UNIT
WORKED IN THAT EXTENSIVE
OUTPATIENT UNIT. I WORKED IN THE
CRISIS BAD. I'VE BEEN A SENIOR
PSYCHIATRISTS FOR YEAR AND A
HALF. UM, AND CURRENTLY I'M ON
THE IN THE IN PATIENT UNIT. I
DID RECEIVE THAT 15% BONUS, BUT
I'VE SEEN SINCE THEN, STAFFING
HAS ONLY GOTTEN WORSE, ACTUALLY
, HONESTLY, AN INSULT THAT BONUS
. UM WE ARE REQUIRED TO WORK
ANOTHER 52 HOURS A WEEK MONTH.
UH INPATIENT ON CALL WHERE WE
SPEND THE NIGHT YET THAT 15%
DOES NOT COVER THAT. ALSO, IT
WAS, UM UH, NOT FELT THAT, UH.
THAT THE YOU KNOW THE OTHER
STAFF WERE DESERVING OF THE 15%
SO IT DID REDUCE MORALE OVERALL,
AND, UM AND REDUCE MORALE IN HOW
HEADQUARTERS WAS MANAGING
PSYCHIATRY. BUT. TO HEAR THAT
THERE IS THE SHORTAGES AND THE
LINE STAFF IS STILL THE SERVICES
HIGH IS JUST NOT TRUE AT ALL. UM
CURRENTLY AT CMF, WE HAVE, UH,
SIX, UH, LINE STAFF ON THE IN
PATIENT UNIT AND WE HAVE 13
CONTRACTORS. ON THE NON
IMPATIENT SIDE. WE ONLY HAVE ONE
LINE STAFF PSYCHIATRIST I'VE
SEEN IN MY EIGHT YEARS. PEOPLE
LEAVE AND LEAVE AND LEAVE AND NO
RECRUITING AT ALL HAS OCCURRED
FOR LINE STAFF PSYCHIATRIST, SO
THAT'S THE FACTS. THAT'S WHAT
I'VE SEEN. UM, NOW. LINE STAFF
PSYCHIATRISTS ON THE SITE ARE WE
MAKE THE SYSTEM GO? WE ARE THE
MOST IMPORTANT FOR, UM PATIENT
CARE YET I'VE SEEN US GET
SQUEEZED OUT, SQUEEZE OUT BY
CONTRACTORS MAKING TWICE AS MUCH
MONEY SQUEEZE OUT BY TELE
PSYCHIATRIST WHO MAKE THE SAME
MAN MONEY YOU GET TO WORK FROM
HOME, MEANWHILE, NOT TAKING ON
THE RISK OF BEING ASSAULTED OF
BEING ACCUSED OF RETALIATE
AGAINST OF UM, AND ALSO NOT
MANDATED TO BE ON CALL OVERNIGHT
OR BY PHONE, SO I'VE SEEN STRONG
EFFORTS TO CONTINUE TO SQUEEZE
OUT LINE STAFF PSYCHIATRISTS AND
THAT'S WHAT I'VE SEEN. IT'S VERY
DISHEARTENING. UM CONTRACTORS DO
NOT PROVIDE AS GOOD CARE. THEY
DO NOT PROVIDE. THEY'RE GOING TO
HAVE MORE RECIDIVISM WITH
ONGOING CONTRACTORS IN ORDER TO
PROVIDE GOOD PATIENT CARE. YOU
NEED STAFF WHO ARE THERE FOR THE
LONG HAUL WHO ARE INVESTED IN
PATIENT CARE LINE STAFF
PSYCHIATRIST TAKE ON LEADER
PUSSY POSITIONS CHIEF
PSYCHIATRIST SENIOR PSYCHIATRIST
THEY KNOW THE SYSTEM THEY KNOW
HOW TO LOOK UP THE INFORMATION.
YOU SAVE TONS OF MONEY ON
TRAINING ON, UH ON JUST GOOD
PATIENT CARE ALSO, OBVIOUSLY YOU
DON'T HAVE TO PAY. FOR
CONSTANTLY ROTATING REVOLVING
DOOR I TALKED TO, UH,
CONTRACTORS ALL THE TIME. THEY
SAY I'M HERE FOR THE MONEY. AND
THEY SAY I WOULD BE A STAFF
PSYCHIATRIST, BUT IT WOULD NOT
MAKE SENSE FINANCIALLY. UM IT
WAS SO THE, UH. THE, UM. YOU
KNOW THE TO WORK AS A C. D. C R
S LINE STAFF PSYCHIATRIST. IT'S
NOT AN EASY JOB. THERE'S A MIX
OF SERIOUS MENTAL ILLNESS.
THERE'S EXAGGERATE MENTAL HEALTH
, MENTAL ILLNESS FOR SECONDARY
GAIN. THERE'S UM PATIENTS ARE
SEEKING DRUGS. THEY'RE SEVERE
PERSONALITY DISORDERS. AND
THERE'S A MERGER OF MENTAL
HEALTH AND CUSTODY. I SEE CÁC
OFFERS GETTING INJURED ALL THE
TIME BY PATIENTS BEING
MISMANAGED IN ORDER TO PROVIDE
GOOD PATIENT CARE. YOU NEED TO
BE AROUND. YOU NEED TO
INVESTMENT SYSTEM. WE NEED TO
WORK TOGETHER AS A TEAM. WE NEED
TO KNOW HOW TO WORK WITH CUSTODY
WHO NEED TO KNOW HOW TO LOOK UP
RECORDS. WE NEED TO, UM BE ABLE
TO, UM, HAVE LEADERSHIP IN THE
SYSTEM AND UNFORTUNATELY, I JUST
AM NOT SEEING THAT. AND I
HAVEN'T BEEN SEEING I HAVE SEEN
IT DECLINE. IT IS, UH UH, SAD TO
SEE AND THEN TO HEAR. IT'S LIKE
ALMOST LIKE I'M HEARING THAT I'M
SEEING WHAT I'M SEEING IS NOT
WHAT I'M SEEING WHEN I HEAR
HEADQUARTERS. SAY WHAT THEY SAY.
SO THAT'S ALL I HAVE. THANK YOU.
THANK YOU. WE'LL MOVE NOW TO DR
NAV RICHMAN. YES I GOOD
AFTERNOON. MY NAME IS NO
FRIEDMAN. I'M A PSYCHIATRIST
HAVE BEEN WITH CDCR FOR 12 YEARS
IN MY TIME WITH CCR WORKED AT
MANY PRISONS AND QUINTON CSB
SACRAMENTO IN FOLSOM. UM
STOCKTON FACILITY. MILLCREEK AND
I CURRENTLY WORK OUT CDCR
HEADQUARTERS IN EL KRAV. I'VE
ALSO PROVIDED PATIENT CARE AT
MANY DIFFERENT LEVELS. WE'VE
WORKED WITH PATIENTS WHO ARE
HIGH FUNCTIONING AT AN
OUTPATIENT LEVEL AND ALSO WORK
WITH PATIENTS WHO ARE IN CRISIS
REQUIRING IN PATIENT LEVEL OF
CARE WITHIN SYRIA, CI UM, I'M
I'M NOT GOING TO GO INTO THE
DETAILS OF COURT OVERSIGHT, AND
THE RECENT JUDGES ORDERED
BECAUSE DR METHOD ALREADY TALKED
ABOUT IT. SO ANOTHER THING THAT
THE JUDGE SAID WAS WE HAVE TWO
OPTIONS RIGHT NOW. ONE IS EITHER
TO IMPROVE STAFFING FOR CITY CR
, OR THE SECOND THING IS TO
REDUCE THE PATIENT POPULATION.
SO WE'RE GONNA TALK ABOUT
IMPROVING STAFFING. UM CDCR
CLAIMS THAT THEY'RE MAKING
ROBUST EFFORT AT TRYING TO HIRE
CIVIL SERVICE PSYCHIATRISTS AND
THE NATIONWIDE LABOR SHORTAGES.
THE REASON FOR THE INABILITY TO
DO SO. BUT IN REALITY, THERE
SEEMS TO BE LITTLE TO NO EFFORT
AND RECRUITING OR RETAINING
EXISTING STAFF. THE EFFORT
FOCUSES ON GETTING CONTRACTORS
TO FILL IN THE GAPS. UM SO WHY
IS IT EASIER TO HIRE CONTRACTORS
WHEN IT REALLY IS THE SAME LABOR
POOL? IT'S THE SAME PEOPLE WE
CAN HIRE FROM AND WHAT IS THE
FIRST APPROACH THAT IS USED BY
CDCR. IT'S A HIGH ARE REALLY PAY
RENT. UM MY FIRST FEW MONTHS IN
CDCR, WHEREAS A CONTRACTOR THE
SALARY AND BENEFITS MADE THE
SWITCH TO CIVIL SERVICE SO MUCH
EASIER FOR ME BACK THEN. 12
YEARS LATER. IF I WERE IN THE
SAME POSITION TODAY, IT WOULD
MAKE ABSOLUTELY NORTH SENSE
FINANCIALLY FOR ME TO MOVE OVER
FROM BEING A CONTRACTOR TO CIVIL
SERVICE. UM. UM SO WHAT IS THE
PROBLEM WITH CONTRACTORS?
CONTRACTORS ARE NOT THE SOLUTION
. CONTRACTORS MAKE UP A
TRANSIENT WORKFORCE, WHICH IS
MADE WORSE BY THE WAITING HOURLY
RATES FOR DIFFERENT INSTITUTIONS
. SO WHEN ONE INSTITUTION PAYS A
LITTLE BIT HIGHER, ALL THE
CONTRACTORS WILL MOVE TO THAT
INSTITUTION, LEAVING BEHIND, UM
A LOT OF PATIENTS WHO WERE NOW
RELYING ON HAVING THAT ONE
PSYCHIATRIST. UM THIS SHORT
SIGHTED APPROACH HAS NOT WORKED
FOR OVER 20 YEARS. OVER THE PAST
FEW DECADES, THE WORKLOAD
INPATIENT POPULATION HAS
INCREASED WITHOUT A CONSISTENT
WORKFORCE DEDICATED TO THE CARE
OF INMATE PATIENTS.
CONSTITUTIONALLY ADEQUATE
PATIENT CARE IS ALMOST
IMPOSSIBLE TO ACHIEVE. NOW LET'S
TALK ABOUT REDUCING THE PATIENT
POPULATION. WHERE WILL THESE
PATIENTS GO? WILL THEY STAY IN
OUR PRISONS AND NOT GET MENTAL
HEALTH CARE? OR WILL THEY BE
RELEASED TO THE SEAT STREETS AND
THEN WITHOUT MENTAL HEALTH CARE
? WILL THEY BE WORSENING OUR
PROBLEMS OF HOMELESSNESS AND
CRIME? THE BOTTOM LINE IS THAT
THE STATE WILL HAVE TO PAY A PAY
FOR THE CARE OF THESE PATIENTS,
EITHER IN A CONTROLLED SETTING
WITHIN CDCR. ARE OUT IN THE
STREETS, AND THAT WOULD BE IN
ADDITION TO CONTINUING LAWSUITS
AND COURT FINES AND ALL OF THAT.
UM IT IS MY UNDERSTANDING. THIS
IS BASED ON DISCUSSIONS THAT
WE'VE HAD DURING CONTRACT
NEGOTIATIONS WITH THE STATE THAT
CONTRACTOR PAY COURT FEES AND
FINES SET BY THE COURT WILL NOT
BE COMING OUT OF CDCR BUDGET,
WHICH DRIVES CITY CRS LESS THAN
IDEAL EFFORTS TO HIRE CIVIL
SERVANTS. IF. AMOUNT OF FINES
AND CONTRACT THE PACE WITHOUT
KNOWING THAT THAT MONEY IS STILL
BEING USED ON STATE PRISONS, ALL
IN AN EFFORT TO MAKE THE CITY'S
HERE BUDGET LOOKS SMALLER, WHILE
THE ACTUAL AMOUNT SPENT KEEPS
INCREASING SALARIES FOR CIVIL
SERVICE SERVICE, PSYCHIATRISTS
MUST GO UP AT A MINIMUM. THESE
NEED TO BE COMPETITIVE WITH THE
PAY RATES FOR CONTRACTS,
PSYCHIATRISTS AND OTHER
HEALTHCARE ORGANIZATIONS. IT
FEELS LIKE THE GAME OF PASSING
THE BACK SERIES HERE. MANAGEMENT
NO SET SALARIES MUST INCREASE
THE FIX STAFFING, BUT CLAIMED TO
HAVE NO AUTHORITY TO MAKE ANY
CHANGE. AS MEMBERS OF THE BUDGET
COMMITTEE. YOU ARE IN A UNIQUE
POSITION TO SEE THE BIGGER
PICTURE AND UNDERSTAND THAT
MONEY IS BEING WASTED BY THE
STATE IN ORDER TO CONTROL CDCR,
BUT THE CDCR S BUDGET MADAM
CHAIRPERSON AND COMMITTEE
MEMBERS. I HOPE YOU HAVE THE
ABILITY TO MAKE THE CHANGE.
TODAY THESE PATIENTS WILL NOT
RECEIVE ADEQUATE CARE WITHOUT
PSYCHIATRISTS. WE NEED A
DEDICATED AND COMMITTED
WORKFORCE TO HELP THESE PEOPLE
TO HELP US GET OUT OF LAWSUITS
AND TO BREAK THE CYCLE OF
LAWSUIT AFTER LAWSUIT DUE TO
INADEQUATE CARE, AND I WANT TO
END WITH SOME COMMENTS THAT WERE
MADE BY THE FEDERAL JUDGE IN
2019. SHE SAID THAT CDCS
RESPONSE TO THIS LAWSUIT HAS
BEEN DEFENSE. SHE NOTED THAT
CDCR HAS LOST COMPLETE SIGHT OF
THE REASONS THAT REMEDIATION WAS
REQUIRED IN THE FIRST PLACE. SHE
REMINDED US THAT LEGAL CASES ARE
NOT JUST WORDS ON A PIECE OF
PAPER. LEGAL CASES HAVE HEARTS
AND SOULS. SHE REMINDED US TO
KEEP OUR EYES ON THE SOLES OF
THE MENTALLY ILL HOUSE BEHIND
BARS IN THIS STATE. WHO HAVE THE
UNDENIABLE RIGHT TO
CONSTITUTIONALLY ADEQUATE CARE.
THANK YOU. THANK YOU. I
APPRECIATE THAT. AND, UM,
CERTAINLY APPRECIATE THE REAL
LIFE EXPERIENCE AND BEING ABLE
TO SHARE WHAT THIS LOOKS LIKE.
ON THE GROUND AND THAT THERE IS
QUITE CLEARLY AN APPARENT
DISCONNECT, SO LET'S TALK A
LITTLE BIT ABOUT THAT, AND I'LL
JUST ASK SOME QUESTIONS AND THEN
TURN IT OVER TO MY COLLEAGUE. SO
PRIMARILY QUESTIONS FOR CDCR. ON
AVERAGE. DO YOU HAVE A SENSE OF
ON THE RECRUITMENT SIDE OF
THINGS WHEN YOU LIST A POSTING
FOR PSYCHIATRIC AS LIKE
PSYCHIATRIST POSITION ABOUT HOW
MANY APPLICATIONS YOU RECEIVED
TO TRY TO GET AT THE SHORTAGE
ISSUE WITH APPARENTLY 40 POINT
18% VACANCY RATE RIGHT NOW. GOOD
AFTERNOON, MADAM CHAIR AND
COMMITTEE MEMBERS. JUST SEND
MOHAMMED, DEPUTY DIRECTOR OF
HUMAN RESOURCES FOR CDCR,
CALIFORNIA CORRECTIONAL, HEALTH
CARE SERVICES, SO I TAKE CARE OF
THE HR ON THE HEALTHCARE SIDE OF
CDCR. I DON'T HAVE THOSE FIGURES
WITH ME TODAY, BUT I'M HAPPY TO
GET THOSE FROM MY RECRUITMENT
TEAM AND SHARE SOME INFORMATION
WITH YOU AS A FOLLOW UP. IF I
MAY. DO YOU HAVE ANY.
ESTIMATIONS FOR US TO BE ABLE TO
JUST GET SOME CONTEXT ABOUT WHAT
IS HAPPENING. AND MAYBE DR
MINUTE I CAN JUST SAY THAT IT IT
IS VERY DIFFERENT FOR EACH
INSTITUTION. IT REALLY DOES
DEPEND ON WHAT POPULATION IS
GOING BY HOW MUCH POPULATION IS
NEARBY. WHAT WHAT MAJOR CITIES
AND THAT SORT OF THING. IT ALSO
DEPENDS ON WHETHER YOU'RE
TALKING ABOUT TELE PSYCHIATRY OR
ON SITE PSYCHIATRY. WE HAVE HUBS
AT CERTAIN LOCATIONS FOR TELE
PSYCHIATRY WHERE THEY GO INTO AN
OFFICE AND THEY WORK THERE AND I
FULLY RESPECT WHAT WHAT THE ALL
OF THE MESSAGES THAT THE UNION
HAD. TODAY I WILL SAY TELE
PSYCHIATRY OUR CIVIL SERVICE.
THEY ARE ALL POTENTIALLY UNION
MEMBERS. AND EVERY SINGLE ONE OF
THEM IS CIVIL SERVICE. WE DON'T
HAVE A SINGLE REGISTRY AND TELE
PSYCHIATRY, SO WE DO PREFER TO
HIRE INTO THE CIVIL SERVICE
CLASSIFICATION. WE WANT PEOPLE
PAYING INTO THE SYSTEM INVESTED
IN THE SYSTEM. UM AND OUR ENTIRE
TELE PSYCHIATRY DEPARTMENT AS
PART OF THAT. DO YOU HAVE ANY
INSIGHT INTO ACTUAL NUMBERS FOR
US. HOW? HOW LONG IS THIS? HOW
LONG HOW LONG DID IT TAKE FOR
FROM A POSTING THAT IS LISTED
FOR THERE TO BE ANY HIGHER ON
AVERAGE. SO THERE'S TWO TYPES I
WANT TO TALK ABOUT ON A REGULAR
POSTING. ON AVERAGE, IT COULD
TAKE 3 TO 4 MONTHS, BUT WHAT WE
IMPLEMENTED IN 2022 WAS AN END
TO END HIRING MODEL AND THAT
TOOK ON SITE EVENTS OUTSIDE, BUT
IN GEOGRAPHICAL RELATIONSHIP TO
OUR INSTITUTIONS, AND WE BROKE
DOWN ALL OF THE HIRING PROCESS
SO A CANDIDATE COULD COME IN AND
GET ELBOW TO ELBOW SUPPORT ON
HOW TO TAKE A STATE EXAM. AND
FROM THAT POINT, THEY MOVE RIGHT
INTO AN INTERVIEW PROCESS IF
THEY COMPLETE THE SUCCESSFULLY
COMPLETE THE INTERVIEW, THEY
MOVED RIGHT INTO A TENTATIVE
JOB, OFFER PRE EMPLOYMENT AND
BACKGROUND BEFORE THEY LEFT FOR
THE DAY, SO SOMETHING THAT WOULD
TAKE UPWARDS OF 3 TO 4 MONTHS OR
MORE. WE CONSOLIDATED THOSE
EFFORTS DOWN INTO A SINGLE DAY
ONE TO HELP CANDIDATES WITH
TIME. AND TO REALLY TRY TO PUT
SOME FOCUS ON AN EXPEDITED
HIRING PROCESS TO GET
INDIVIDUALS IN THE DOOR QUICKER.
IS YOUR SENSE THAT THERE. FROM
THIS REPORT HERE THAT WE'VE BEEN
PROVIDED THAT THERE IS A 40
POINT. 18% VACANCY RATE. I DON'T
KNOW ABOUT THAT RATE IN
PARTICULAR. I THINK IT ALSO
DEPENDS ON THE CLASSIFICATION SO
PSYCHIATRIST IS CURRENTLY ONE OF
THE HIGHER VACANCIES THAT WE
HAVE STAFF PSYCHIATRIST
CLASSIFICATIONS. I DON'T HAVE
THAT OFF HAND RIGHT NOW. YOU ALL
KNEW THAT YOU WERE COMING TO
THIS COMMITTEE TO SPEAK TO
ISSUES RELATED TO VACANCY RATES,
RIGHT? YES, YES. CHAIR. I CAN I
CAN SPEAK A LITTLE MORE TO THAT
. IF YOU LIKE. PLEASE GO AHEAD.
AND SO, UM, I THINK ONE OF THE
DIFFERENCES IN COUNTING IS
WHETHER WE COUNT REGISTRY
PSYCHIATRIST AS FILL RATE OR NOT
, ESSENTIALLY. SO IF WE HAVE
REGISTRY PSYCHIATRIST SEEING
PATIENTS, WE COUNT THAT AS IT AS
FULL. WE PREFER CIVIL SERVICE.
AS I MENTIONED, WE CONTINUE TO
RECRUIT FOR THAT. BUT THE DOCTOR
SEEING A PATIENT AS A DOCTOR,
SEEING A PATIENT AND SO IN IN
THAT RESPECT, WE ARE 89% FILLED
AND I'M SPEAKING DIRECTLY FROM
THE COURT FILING COUNTED THE WAY
THE COURT WANTS TO QUOTE, COUNT
IT NOTHING LIKE WE DON'T DECIDE
THAT'S THAT'S DONE WITH THE
COURT AND THEY WANT IT AS DIRECT
AS POSSIBLE. AND THAT'S HOW THEY
COUNT IT. YOU'RE ON YOUR MADAM
CHAIR. SORRY USED TO BEING IN
COURT, AS YOU CAN TELL. PUSH.
THE DOCTOR WILL SEE YOU IN A
RESPONSE TO THAT. YEAH I
APPRECIATE WHAT DR MEDICINE SAYS
. AND THAT'S WHAT THIS. WE GOT
THIS FROM CDCR TWO MONTHS AGO.
THIS IS DIRECTLY FROM CD STR AND
I WOULD ACCEPT THE FACT THAT YOU
USE CONTRACTORS TO FILL IT. BUT
JUST DO THE MATH HERE. IF ANYONE
HAS A CALCULATOR, WE HAD 100 AND
85. DOCTORS IN THAT
CLASSIFICATION, INCLUDING TELE
PSYCHIATRIST WHICH DR GREENBERG
GONNA TALK ABOUT IN A MINUTE.
THERE'S A REAL DIFFERENCE. UM
AND SO IF YOU ADD THE GOING UP
TO 89% I CAN'T DO THE MATH THAT
QUICK, BUT IT'S GONNA BE
WHATEVER 70 80 PEOPLE IF YOU'RE
AT 90% OF 310, THAT'S BUT TO 70
, SO THAT'S AN EXTRA 90. PEOPLE
MULTIPLY THAT TIMES $800,000 A
YEAR WITH THESE CONTRACTORS MAKE
AT $72 MILLION RIGHT THERE. AH
THAT'S WHY WE'RE HERE. THE STATE
IS NOT USING ITS MONEY
EFFICIENTLY BY PAYING THESE GUYS
A LITTLE EXTRA MONEY HERE.
INSTEAD. THE CONTINUITY OF CARE
IS BAD FOR THE CONTRACTORS. AND
IT IN IN THE INCARCERATED
INMATES. DON'T TRUST THEM. I'M
GONNA ASK DOCTOR. GREENBERG
YOU'RE TALKING ABOUT. I'M SORRY.
ACTUALLY JUST WANT TO MAKE SURE
THAT MY COLLEAGUE HAS AN
OPPORTUNITY TO ASK A QUESTION
AND THEN WE'LL MOVE FORWARD.
APPRECIATE THAT. ACTUALLY I JUST
WANTED TO MAKE A COMMENT. SORT
OF GOING OFF WHERE YOU SAID A
LITTLE EARLIER. AND UM, YOU
KNOW, I SAY THIS RESPECTFULLY,
BUT, UM YOU KNOW, I. I GOT. I
GOT A LOT OF PLACES I COULD BE
RIGHT NOW, AND I TAKE THIS JOB
VERY SERIOUSLY. UM YOU KNOW
OTHERWISE, I MEAN, ACTUALLY, THE
BUDGET COMMITTEE IS KIND OF READ
ON HOW TO PILOT WITH THE CHAIR.
AND UM, BUT, YOU KNOW, I'M HERE
TO LEARN ON THE THINGS THAT WE
HAVE TO BE VOTING ON, AND I
THINK THE LEGISLATURE AND THE
CHAIR SAID IT GREAT EARLIER THAT
WE YOU KNOW, THE LEGISLATURE HAS
TO PRESENT A BUDGET BUT THE ONLY
PLACE WE RECEIVE NUMBERS ON THIS
ENTIRE ITEM IS ON MENTAL HEALTH
, STAFFING, RECRUITMENT AND
RETENTION. IN THE ONLY PLACE WE
HAVE RECEIVED INFORMATION ON
WHAT THE STAFFING LOOKS LIKE.
IT'S FROM THE UNION. AND YOU
KNOW, WE'RE ASKING THESE
QUESTIONS ABOUT YOU KNOW SOME
SPECIFICS AND THINGS LIKE THAT,
SO WE CAN FORMULATE THE BUDGET
AND THERE AREN'T ANY ANSWERS TO
IT. SO IT'S KIND OF YOU KNOW,
IT'S A LITTLE FRUSTRATING, UM
YOU KNOW, BECAUSE WE WANT TO BE
ABLE TO PROVIDE INPUT AND MAKE
THE BUDGET AND THINGS LIKE THAT.
AND I CAN'T MAKE AN EDUCATED
DECISION. UM YOU KNOW, BASED ON
THEIR COMMENTS BECAUSE I DON'T
HAVE ANYTHING TO GO BY OTHER
THAN THE INFORMATION THEY
PROVIDED. YOU KNOW, SO I JUST
WANTED TO GIVE MY LITTLE TIRADE
RIGHT THERE. BUT THANK YOU FOR
LISTENING TO THAT. OKAY I JUST
HAVE A COUPLE MORE QUESTIONS
THAN THANK YOU. I WANT TO MOVE A
LITTLE BIT ONTO THE OPPORTUNITY
COSTS OR THE MAGNITUDE OF THE
COSTS RELATED TO COLEMAN AND
KIND OF THE COURT ORDERS. AND,
YEAH, LET'S TALK ABOUT THE $72
MILLION FOR CONTRACTORS THAT WE
ARE SPENDING. DOES CDCR HAVE ANY
STRATEGIES OR UNDERSTAND OR CAN
THEY PROVIDE ANY INFORMATION?
CAN YOU PROVIDE ANY INFORMATION
ABOUT APPROXIMATELY WHAT
PERCENTAGE OF OUR PRISONS ARE
OUT OF COMPLIANCE WITH THE COURT
ORDER. YES, I SO. IT DEPENDS ON
THE CLASSIFICATION, SO WE HAVE A
MUCH GREATER SHORTAGE AND
PSYCHOLOGISTS AND SOCIAL WORKERS
THAN WE DO IN PSYCHIATRISTS.
SALARIES ARE DIFFERENT, SO THE
AMOUNT THAT WE PAY FOR EACH ONE
GETS, YOU KNOW HAS TO BE ADDED
UP THAT WAY. BUT IF WE'RE
TALKING ABOUT PSYCHIATRISTS HERE
TODAY, UM WE ARE. I WISH WE HAD
GIVEN THIS TO YOU. AND I'M SO
SORRY ABOUT THAT. WE WILL
PROVIDE THIS INFORMATION
AFTERWARDS. AS I MENTIONED, IT'S
FROM OUR PUBLIC FILING. WE
REALLY WANT THAT TO BE AS
TRANSPARENT AND OPEN AS POSSIBLE
. SO MY APOLOGIES ON THAT ON
THAT FRONT, BUT IT IS LAID OUT
BY INSTITUTION IN AND ACTUALLY
ALSO INCLUDES SUPERVISORS. SO WE
JUST STARTED COUNTING
SUPERVISORS AT THE COURT'S ORDER
THE OVER THE LAST SIX MONTHS OR
SO, FIVE MONTHS. AND WE'RE AGAIN
89% SYSTEM WIDE. SO, 90% WHICH
IS THE COURT CUT OFF. WE WOULD
LIKE 100% BUT THE COURT CUT OFF
IS 90% IS THE MAJORITY OF OUR
INSTITUTIONS AT THIS POINT
THAT'S COUNTING. TELL US THE
CATERING CONTRACTORS. DR
GREENBERG. DID YOU JUST WANT TO
ADD ONE THING TO CLARIFY THAT,
UM TELL US PSYCHIATRISTS CAN
ONLY WORK IN THE, UM UH WHAT'S
CALLED THE LOWEST LEVELS OF
CARE? UM TRIPLE C OR E O P. UM.
THEY DO NOT WORK CRISIS, BUT
THEY DO NOT WORK. IN PICKED IN I
C F. THEY DO NOT WORK IN THE
PIP. THEY'RE NOT ALLOWED TO.
THEY'RE NOT CAPABLE OF DOING IT.
UM, THOSE ARE THE SICKEST AND
MOST OF YOUR MENTALLY ILL
PATIENTS, AND THAT'S WHERE YOU
HAVE ALMOST ALL CONTRACTORS TO
BECAUSE THERE'S NO RECRUITING
GOING ON. FOR LINE STAFF
PSYCHIATRISTS. LET'S MOVE A
LITTLE BIT TO THEIR RECRUITMENT
BECAUSE THAT WAS RAISED BEFORE I
THINK BOTH DR GREENBERG AND, UH
, DOCUMENTED OFFER SOME. I THINK
SOME OPPORTUNITIES FOR BEING
ABLE TO MOVE FORWARD AND THIS
REPORT. I THINK DEFINITELY LIST
SOME OPPORTUNITIES FOR
RECRUITMENT AND RETENTION. UM ON
THE RECRUITMENT SIDE, HAVE YOU
ALL CAN YOU SHARE SOME OF THE
STRATEGIES THAT YOU ARE USING?
YOU MENTIONED SOME AT THE OUTSET
, BUT HAVE YOU ENGAGED AT ALL
WITH A P D ON ON ADDITIONAL
RECRUITMENT MEASURES. SO I'LL
TALK ABOUT THE GENERAL
RECRUITING FIRST, AND THEN DR
META MAY WENT AWAY IN ON THE
COLLABORATION WITH THE LABOR
ORGANIZATION. SO IN ADDITION TO
POSTING ON THE STATE, HOW
CAREERS ACCOUNT OR SYSTEM WE
ALSO HAVE A CALIFORNIA
CORRECTIONAL, HEALTH CARE
SERVICES CAREER CCH CS CAREER
SITE. AND SO THAT SITE
HIGHLIGHTS ALL OF THE MENTAL
HEALTH CLASSIFICATIONS AS WELL
AS OTHER CLASSIFICATIONS THAT
WE'RE RECRUITING FOR, AND FINALS
. THOSE INDIVIDUALS INTO CANADA
ENGAGEMENT WITH OUR CENTRALIZED
HIRING IN UNIT AND FROM THERE,
THEY ARE CONNECTED WITH A
RECRUITER. THEY ALSO HAVE THE
ABILITY TO CONNECT WITH A MENTAL
HEALTH PROFESSIONAL. WE CAN TALK
HR SALARY BENEFITS AND ALL OF
THOSE THINGS RELATED TO CIVIL
SERVICE, BUT WE WANT THEM TO
HAVE A PARTNERSHIP AND A
CONNECTION TO THE MENTAL HEALTH
CLINICIAN THAT CAN TALK TO THEM
ABOUT THE EXPERIENCE AND WORKING
WITH CIVIL SERVICE. SO WE DO A
BALANCE OF THAT RECRUITMENT
EFFORT. UM ADDITIONALLY, IN OUR
HIRING EVENTS, WE USE A
COMBINATION OF MEDIA OUTRAGE. WE
USE? UH MEDIA? THAT'S UH, RADIO
ADVERTISEMENTS. WE DO. BILLBOARD
MARKETING. WE UH, SEND
ADVERTISEMENTS OUT TO THE
GEOGRAPHIC LOCATION WITHIN THE
SURROUNDING OUR INSTITUTIONS TO
CONNECT WITH DOING INTERNAL
CANVAS BECAUSE WE'RE STILL
REALIZE THAT SOME OF OUR BEST
RECRUITERS ARE OUR STATE. CIVIL
SERVICE EMPLOYEES THAT WORK FOR
US NOW AND SO WE DO A
HIGHLIGHTED VACANCY BLAST TO SAY
WHERE WE'RE GOING TO BE, UM, WE
MAKE AN INDIAN PROCESS THAT DAY
. IT'S USUALLY A MULTI DAY EVENT
. WE ALSO DO SOME CANDIDATE
OUTREACH WITH THE COLLEGES, SO
WE HAVE BETWEEN AND ELECTRONIC
PLATFORM AS WELL AS GOING ON
SITE TO COLLEGES WHERE WE ARE
DOING A KIND OF MEET THE EXPERT
LIFT THE VEIL OF CORRECTIONS AND
MENTAL HEALTH PROFESSIONS AND
CAREER OPPORTUNITIES. AND SO WE
USE A NUMBER OF STRATEGIES
BETWEEN SOCIAL MEDIA, UH,
HEALTHCARE, NETWORK MARKETING
AND OTHER FACTORS TO TRY AND
ATTRACT THESE CANDIDATES INTO
THE SYSTEM. ARE THERE ANY
RECRUITING EFFORTS THAT THE
FOLKS FROM YOU ÁP DE JUANA?
OFFER A WEEK. WE AS AS LISTED IN
THE RECOMMENDATIONS IN FRONT OF
YOU. WE SPENT SIX MONTHS AFTER A
FAILED BARGAINING SESSION. I
THINK IT'S 2020 WITH CAL HR
BRAINSTORMING IDEAS. NOW YOU SEE
THE FIRST, UH, EXECUTIVE SUMMARY
IS THE STATE'S IDEA OF WHAT WHAT
RECRUITING IS, AND EVEN THEY
ADMIT THAT CONSIDER ADJUSTMENTS
TO THE RANGES. OF COURSE, JUDGE
MUELLER EMPLOYED, UH A FIRM TO
DO THAT SPECIAL MASTER AGREED TO
THE 15% RACE. UM IT SAYS EXPAND
PRACTICE GROUPS, MODIFICATIONS
TO AN CALL. THESE GUYS GET $11
AN HOUR TO BE ON CALL A WEEK $11
AN HOUR. THE CONTRACTORS. AT
LEAST 15 MAYBE MORE DOLLARS AN
HOUR, SO WE WANTED TO MODIFY
THAT AND GIVE A RECRUITMENT
BONUS LIKE KAISER DOES. IN OUR
EXECUTIVE SUMMARY, WHICH IS IN
THE 3RD AND 4TH PAGES. WE WERE A
LITTLE MORE SPECIFIC REFERRAL
AND RETENTION BONUSES. 5% BUMP
FOR THE ON SITES A GOLDEN
HANDCUFFS AS KAISER DOES $75,000
UP FRONT AND A LITTLE MORE
BUSINESS ORIENTED AND
IMAGINATIVE TYPES OF ATTRACTIONS
TO PEOPLE BECAUSE THEY'RE NOT
COMING. THEY'RE JUST NOT COMING
HERE. SO. LET'S GET A LITTLE
CREATIVE HERE, AND THAT'S WHAT
THE SIX MONTHS OR FOUR AND AS I
MENTIONED BEFORE WE WANTED TO
GIVE THIS TO THE LEGISLATURE IN
FEBRUARY, 21 THEY DID NOT LET IT
OUT UNTIL US SENATE PROTHOM
ATKINS CALLED THE DEPARTMENT AT
THE END OF THE SESSION AND IN
SEPTEMBER, SO THIS IS LIVE
AMMUNITION. THIS IS THESE ARE
GOOD IDEAS. UM OBVIOUSLY, YOU
KNOW, WE GOT THE MAY REVISE,
COMING IN. UM THIS SPEAKER. WE
HAVE A LETTER TO GOVERNOR NEWSOM
FROM I CAN SHOW IT TO YOU FROM
UH, LAST TIME I WANT TO SEE IT,
BUT IT JUST IS A JOINT LETTER
ASKING HIM TO INTERVENE WITH THE
LEGISLATURE TO ADDRESS THIS
ISSUE. THERE WAS A $20 MILLION
ASKED LAST YEAR FOR RECRUITMENT
AND RETENTION BONUS. UM AND
ACTUALLY, THAT'S TO START THE
BALL. WE REALIZED BARGAINING IS
THE WAY TO GO. BUT I'VE BEEN
HERE SINCE 19 2099 AND
NEGOTIATING WITH CDCR S, LIKE
TALKING TO A WALL. I HATE TO SAY
THAT, BUT THEY'RE THE TOUGHEST
PEOPLE EVER BEEN TO GOT WE WENT.
WE HAD OUT OF DESPERATION TO GO
TO THE LEGISLATURE AND YOU KNOW
YOU HAVE WE HAVE THE OPPORTUNITY
REALLY? APPRECIATE THAT TO TALK
TO YOU FROM THE HEART. ABOUT
THIS THING. THIS PROBLEM IS NOT
GOING AWAY. AND SO IT'S NOT ONLY
THE PATIENT SAFETY AND IN THE
MORALE BUSTING OF WORKING NEXT
TO A GUY THAT MAKES HALF OF WHAT
I MEANT WHAT A CONTRACTOR MAKES.
BUT IT'S THE TAXPAYERS. I SAID
72 IS PROBABLY 100 MILLION. IT'S
HARD TO KNOW WHAT CDCR BECAUSE
WE DON'T HAVE ANY INFORMATION.
IF YOU'D LIKE TO SEE THE LETTER.
I CAN GIVE IT TO YOU, BUT IT
BASICALLY SAYS TO GIVE THESE
GUYS UP FRONT OF BONUS AND IT
WILL HELP JUMP START, HOPEFULLY
THE NEGOTIATIONS BUT WE NEED
SOME INFUSION OF GOODWILL FROM
THE DEPARTMENT TO MAKE THIS
PROBLEM GO AWAY. THANK YOU
APPRECIATE THAT, AND JUST MY
FINAL QUESTION. UH IS AROUND THE
ACCUMULATED PENALTIES THAT
DOCTOR MAN? REFERENCED UH A BIT
AND THE. CATEGORIZATION OF THOSE
PENALTIES. UM IN OUR OVERALL
BUDGET. FOR THE CDCR. SO DO YOU
ALL HAVE A SENSE? OF THE COST
THE ACCUMULATED COSTS OF THE
PENALTIES. FROM THE COURTS
RELATED TO THE COLEMAN REMEDIAL
MEASURES. THE RECENT SORRY THE
REASON COURT ORDERS OR A
DIFFERENT PERSPECTIVE. LET'S
START WITH THE RECENT COURT
ORDERS. OKAY GOTCHA. SO IT IS
VERY EARLY DAYS WITH THOSE RIGHT
NOW. THE COURT THEMSELVES HAVE
NOT DECIDED HOW THEY'RE GOING TO
MEASURE CERTAIN THINGS, SUCH AS
COMPLIANCE WITH SOME OF THE
SUICIDE PREVENTION MECHANISMS.
SOME OF THEM ARE MEASURED ONCE A
MONTH, AND THE COURT IS SAYING
YOU'LL BE FINDING A CERTAIN
AMOUNT EVERY DAY, BUT WE DON'T
CHECK EVERY DAY, SO WE HAVEN'T
ACTUALLY WE'VE GOT NO
INFORMATION YET ON HOW MANY OF
THOSE THINGS WILL BE MEASURED,
BUT THE SUICIDE PREVENTION IS
ONE OF THE ORDERS AT THE SECOND
IS OBVIOUSLY THE 90% STAFFING
RATE, AND THE THIRD ONE IS THE
TRANSFER TIMELINES. PATIENTS
GETTING INTO INPATIENT BEDS,
WHICH WE'RE WORKING ON AS WELL.
DSHS ARE CO DEFENDANT IN THE
CASE, AND WE'RE TRYING TO GET
MORE PATIENTS INTO THE OUT TO
THE COMMUNITY AND INTO PLACES
WHERE THEY DON'T EVEN HAVE TO BE
IN PRISON, WHICH WHICH, BY MY
PERSPECTIVE IS GREAT AS WELL. I
SHOULD SAY. LESS THAN FOUR YEARS
AGO, I WAS SEEING PATIENTS I SAW
PATIENTS FOR SIX YEARS WAS A
PROUD UNION MEMBER. I ENCOURAGE
ALL OF OUR DOCTORS TODAY TO JOIN
THE UNION AND ADVOCATE
ABSOLUTELY AGREE WITH THEIR
PRINCIPLES WERE WORKING FOR THE
SAME GOAL AND THE RECENT COURT
ORDERS WERE REALLY KIND OF A. I
BIT OF A SLAP IN THE FACE. WE
THOUGHT WE HAD BEEN WORKING WELL
WITH THE COURT ALL THIS TIME AND
COME TO REALIZE THAT THAT WE
HAVE VERY DIFFERENT VIEWS THERE
, SO WE HAVEN'T YET BEEN ABLE TO
DETERMINE EXACTLY HOW MUCH THE
RECENT COURT ORDERS ARE GOING TO
OUR CANAL. FALL ON US. THANK
YOU, DOCTOR. META. I DEFINITELY
APPRECIATE YOUR, UH YOUR
INTEREST IN BEING AS TRANSPARENT
AS POSSIBLE AND PROVIDING US
WITH SOME SENSE OF WHAT IS
HAPPENING HERE? UM OVER TIME. I
SAW YOU NODDING YOUR HEAD A LOT
DURING THE COMMENTS THAT WERE
MADE BY THE OTHER PANELISTS, AND
I DEFINITELY THINK THAT YOU YOUR
INTENTION IS, AS YOU SAID, TO
KIND OF WE SHARE THE COMMON GOAL
OF MAKING SURE THAT ARE FOLKS
WHO ARE INCARCERATED HAVE THE
KIND OF QUALITY MENTAL HEALTH
SERVICES THAT THEY NEED. WE ALSO
RECOGNIZE THAT WE HAVE A HUGE
DEFICIT IN THE NUMBER OF STAFF.
ASSOCIATED WITH BEING ABLE TO DO
THAT. AND UH AND IT SOUNDS LIKE
WE ARE VERY CHALLENGED IN TERMS
OF OUR RETENTION, WHERE OUR
RECRUITMENT EFFORTS AND
CERTAINLY THERE SEEMED TO BE
SOME VERY GOOD OFFERINGS AROUND
HOW TO BE ABLE TO RETAIN RETAIN
THE STUFF THAT WE NEED TO BE
ABLE TO DO THAT IN OUR MENTAL
HEALTH PROVIDERS. DO YOU WANT TO
OFFER ANY PROMISING
OPPORTUNITIES FOR US TO BE ABLE
TO ACTUALLY CONSIDER THE
RECOMMENDATIONS THAT HAVE COME
THROUGH WITH THIS? YOU A P D
REPORT OR ANYTHING ELSE THAT
MIGHT GIVE US, UH RAY OF HOPE
AROUND HAVING SOMETHING BETTER
HAPPEN. YEAH I DO THINK AS THE
MARKET IS KIND OF THE JOB MARKET
IS KIND OF RESETTLING AFTER THE
SHOCK OF COVID AND PEOPLE MOVING
AND WORKING FROM HOME AND THINGS
LIKE THAT. I THINK IT'S MOVING
IN A POSITIVE DIRECTION WHERE WE
WILL BE ABLE TO PROVIDE MORE
SERVICES TO THE REALLY HARD TO
REACH INSTITUTIONS THAT ARE FAR
AWAY, POSSIBLY BY KEEPING ALL OF
THOSE PATIENTS AT A LOWER LEVEL
OF CARE AND PROVIDING FOR THEM
THROUGH TELE PSYCHIATRY, BUT A
LOT OF THE THINGS THAT WE'RE
DOING THE PAY DIFFERENTIAL THAT
$5000 BONUSES ARE REALLY
DIRECTED TOWARDS THOSE ON SITE
PEOPLE. THE 15% ONLY APPLIES TO
CIVIL SERVICE ON SITE
PSYCHIATRISTS NOT TELL A SICK,
NOT REGISTRY, AND SO WE'RE
DIRECTING OUR ATTENTION. I THINK
IN THE RIGHT WAY, AND WE WOULD
ALWAYS LIKE TO DO MORE. I AM
CONCERNED, UH, THAT YOU KNOW, I
THINK BOTH DOCTOR MAN RAISED THE
ISSUE AS WELL AS DR GREENBERG
THAT IT SEEMS LIKE THE PEOPLE
WHO NEED THE ARE THE HIGHEST
LEVEL OF CARE ARE NOT GOING TO
BE ABLE TO BE PROVIDED CARE
THROUGH TELEHEALTH AND TELE
PSYCHIATRISTS, SO I DON'T KNOW
IF DR MAN YOU HAVE A COMMENT
THAT YOU WANT TO MAKE ABOUT
THAT, OR ANYTHING ELSE? UM I
JUST WANTED TO ANSWER YOUR
PREVIOUS QUESTION ABOUT IF WE
HAD ANY IDEAS. THE BOTTOM LINE
IS SALARY BONUSES. YOU KNOW,
$5000 BONUSES IS NOT GOING TO
MAKE PEOPLE STAY. PEOPLE ARE
GOING TO COME IN AND OUT OF
CIVIL SERVICE OR COME IN AND OUT
AS CONTRACTORS, BUT THEY'RE NOT
GOING TO STAY UNLESS OUR
SALARIES ARE COMPETITIVE. WE ARE
, UM, NOT COMPETITIVE WITH THE
COMMUNITY, LET ALONE COMPETITIVE
WITH CONTRACTORS. UM DURING BAR
CONTRACT NEGOTIATIONS. EUROPEAN
HAS TRIED TO WORK WITH THE
STATE. BUT NOBODY SEEMS TO KNOW
HOW THE SALARIES CAN BE ADJUSTED
TO MARKET VALUE. NOBODY SEEMS TO
KNOW AND I CAN. YOU KNOW, I CAN
ASK YOU THESE HER MANAGEMENT
RIGHT NOW. NOBODY KNOWS WHO CAN
MAKE THAT CHANGE. SO THAT'S A
QUESTION. I KEEP ASKING WHOEVER
I CAN ASK. THANK YOU. THANK YOU.
AND JUST AS A POINT OF
CLARIFICATION FROM CDCR, ARE YOU
ALL IN AGREEMENT THAT WE ARE
ABLE TO PROVIDE THE HIGHEST
QUALITY OF CARE FOR PEOPLE WHO
ARE INCARCERATED. WHO HAVE
SERIOUS MENTAL HEALTH ISSUES
FROM PEOPLE WHO ARE NOT
CONTRACTORS WHO ARE ABLE TO DO
THINGS LIKE TAKE ON THE HUGE
RISKS ASSOCIATED WITH PROVIDING
CARE BE ON CALL BE IN PERSON. IS
THAT THE STANDARD OF CARE THAT
YOU ARE HOPING THAT CDCR IS ABLE
TO PROVIDE YES, WE WOULD LIKE TO
PROVIDE THE BEST POSSIBLE CARE
TO OUR PATIENTS. YES. THANK YOU.
RIGHT APPRECIATE ALL THE
PANELISTS FOR COMING FORWARD. I
DON'T HAVE ANY OTHER QUESTIONS,
AND I DON'T THINK MY FELLOW
COMMITTEE MEMBERS DO EITHER. SO
THANK YOU FOR BRINGING THIS
FORWARD. THANK YOU. THANK YOU.
THANK YOU. YEP. THANK YOU. SO
MUCH. WHY DON'T YOU JUST GO
AHEAD AND EMAIL IT TO US OR
SOMETHING? THANK YOU. I WANT TO
THANK THE PANELISTS FOR THE
ROBUST CONVERSATION WE'VE BEEN
ABLE TO HAVE, AND FOR US BEING
ABLE TO OUR COMMITTEE MEMBERS
FOR BEING ABLE TO TAKE OUR FIRST
VOTES OF THE YEAR ON THE BUDGET
, AND WITH THAT WE WILL BE NOW
MOVING ONTO PUBLIC COMMENTS
STARTING WITH ANYBODY IN THE
HEARING ROOM, EACH PERSON WILL
HAVE ONE PIN ONE MINUTE FOR
PUBLIC COMMENT. NEXT WE WILL
TURN TO THE PHONE LINES. THE
PHONE NUMBER IS TO CONNECT IS ON
THE COMMITTEE WEBSITE AND ON THE
SCREEN. IF YOU ARE STREAMING
THIS HEARING, THAT NUMBER IS
877692895. WITH THE PUBLIC
ACCESS CODE BEING 131543. I
DON'T SEE ANYBODY IN THE ROOM.
SO WE WILL MOVE TO THE FRONT
LINES. LADIES AND GENTLEMEN, THE
PHONES FOR COMMENT. PLEASE PRESS
ONE THAN ZERO AT THIS TIME WILL
BE PROVIDED WITH A LINE NUMBER.
WHEN YOU HEAR YOUR LINE NUMBER
CALLED. IT'LL BE YOUR
OPPORTUNITY TO COMMENT ONCE
AGAIN. PRESS 10 FOR COMMENT.
MADE. I'M SURE WE HAVE NO
COMMENTS QUEUING UP FOR THIS
ITEM. WITH THAT. WITH THAT WE
WILL ADJOURN THIS MEETING.