Committee on Mental Health and Substance Use

Wednesday, March 4, 2026, 10 a.m. (New York City time), 250 Broadway - 8th Floor - Hearing Room 2

Committee: Committee on Mental Health and Substance Use

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0:10 Let's go choir please good

0:10 morning and welcome to the New

0:14 York City hybrid hand and the

0:17 communion mint our material

0:19 substance use please sell and

0:21 all electronic devices at this

0:23 time

0:23 . You you have any questions

0:24 please use your hand one of us

0:26 is sergeant at arms repairing

0:28 assist you

0:29 to begin good morning everyone r

0:39 Tiffany aban chair of the New

0:40 York council's committee on

0:42 mental health and substance

0:43 use before we begin I'd like

0:45 to recognize that we are

0:46 joined by the following

0:48 council members council

0:49 members Schulman Lee all

0:51 divall arriola on zum Felder

0:54 and we are also joined by the

0:55 public advocate

0:56 . Today's oversight topic is

0:57 from crisis to care how New

1:00 York City connects New York

1:01 er's to mental health services g

1:05 two bills introduction 722

1:07 sponsored by council shulman

1:08 which would require the

1:09 quarterly reporting and

1:10 publication of mental health

1:13 emergency response data

1:13 relating to be heard and pre

1:16 considered introduction we

1:17 have a number from ok uh

1:21 sponsored by councilmember Lee

1:22 and myself which would would

1:23 establish a task force t

1:24 ostudy the current 908 system

1:26 and create a public education

1:28 campaign on mental health

1:29 awareness.

1:29 I want to begin today's

1:30 hearing by speaking briefly

1:32 about the case of jabez chuck

1:35 uh chuck robb ord e newyorker

1:38 from jamaica queens his story

1:40 reflects the broader systemic

1:42 challenges in how we respond

1:44 to and support individuals

1:45 living with a serious mental

1:47 illness.

1:47 Jabba's is 23 years old and

1:49 lives with schizophrenia and

1:50 receives treatment and

1:52 medication

1:52 . After a mental health crisis

1:53 in his family called 908 and

1:56 requested a mobile crisis team

1:59 and the team didn't arrive at

2:00 his home until two days later

2:02 . He wasn't taken to the

2:03 hospital and his family was

2:05 then advised to request

2:07 involuntary transport after

2:08 which jabez was discharged

2:09 after just three days.

2:10 His family attempted t

2:12 oenroll him in an intensive

2:13 daily treatment program but he

2:15 was placed on a wait list.

2:18 And I just want to point out

2:20 that a lot of what we end up

2:22 seeing and talking about and a

2:25 person life like this that

2:28 culminated in a police officer

2:30 shooting him while he was in a

2:32 mental health crisis.

2:34 People will watch the video

2:37 and say well I don't know this

2:38 is complicated it's justified

2:40 because this young man was

2:41 holding a knife but it does

2:42 not take into context every

2:45 single moment.

2:46 That him and his family was

2:48 failed that he could have had

2:50 access to a sustained

2:52 continuum of care that could

2:55 prevented the crisis and it

2:56 does not change the fact that

2:59 these officers were

3:01 fundamentally the wrong

3:03 responder period and it could

3:04 have had a fatal outcome and I

3:07 I mean we're lucky that he is

3:10 still alive today but also

3:11 that trauma is one that'

3:12 sgoing to last a lifetime for

3:14 him and his family and it is

3:16 an utter failure by our City

3:17 that that is how this

3:20 culminated

3:20 . I think this moment points

3:22 to one of the most persistent

3:23 gaps in our mental health

3:24 system and it's the space

3:26 between stabilization and

3:29 sustained care a hospital stay

3:30 or crisis intervention however

3:32 necessary is not a destination t

3:35 timely connection to programs

3:37 like intensive mobile

3:38 treatment assertive community

3:41 treatment long term community

3:42 based supports individuals

3:43 like jabez are left t

3:45 onavigate and often fragmented

3:46 system on their own and

3:48 families are left holding the

3:49 weight of that failure and on

3:51 the morning of January 26

3:53 jabba's experienced another

3:54 crisis his family once again

3:58 sought emergency assistance

3:59 and what followed was a tragic

4:02 encounter with law enforcement n

4:05 prevented

4:06 . And so this case illustrates

4:07 the profound consequences of

4:09 gaps in coordination and of a

4:10 system that too often treats

4:12 crisis response as the end of

4:14 care rather than the beginning

4:15 of it.

4:15 And when institutions are

4:17 under resourced families

4:18 cannot access timely support

4:19 and when weightless and red

4:21 tape block access to ongoing

4:22 treatment the burden falls

4:24 hardest on those who are the

4:27 most vulnerable.

4:27 And at its core connecting

4:28 New York er's to mental health

4:29 care is not just a public

4:30 safety issue it's a matter of

4:32 dignity people living with

4:33 mental illness are not

4:34 problems to be managed or

4:35 crises to be contained they

4:38 are our neighbors our family

4:39 members our colleagues they

4:42 deserve the same opportunity

4:43 as anyone else to live full

4:45 meaningful lives into the

4:47 active value value members of

4:49 their communities and when we

4:50 fail to provide timely

4:52 sustained and compassionate

4:53 care we are not just failing a

4:54 system metric we are telling a

4:56 person that they do not belong e

4:58 them other and that is a

5:00 message that no New yorker

5:02 should ever receive and we owe

5:03 it to jabez and to every New

5:05 yorker like him to do better

5:07 not only in how we respond t

5:10 ocrises but in how you ensure

5:11 that every person who needs

5:12 sustained mental health

5:14 support can actually access it

5:16 effective care means more than

5:18 stabilization it means

5:19 supporting people and building

5:20 lives that they find

5:22 meaningful maintaining housing d

5:24 participating fully in their

5:26 communities programs like

5:27 intensive mobile treatment and

5:28 a sort of community treatment

5:30 exists precisely to provide

5:31 that kind of holistic person

5:34 centered support and we must

5:35 ensure that they are funded

5:36 that there staffed and

5:38 accessible to all who need

5:39 them

5:39 . And I share this story t

5:41 ocenter the voices and

5:43 experiences of the New York

5:44 er's we serve

5:44 . Through this oversight

5:46 hearing we aim to strengthen

5:47 the very systems that connect

5:48 people to care from the first

5:49 call to 980 to the long term

5:52 treatment and community

5:53 connection that make a full

5:54 life possible.

5:55 That's what this hearing is

5:56 about so in closing I would

5:57 like to thank the

6:00 administration for being here

6:01 as well as the committee staff

6:02 who worked to prepare for this

6:04 hearing and my own staff and

6:06 I'm going to now pass the

6:08 microphone to council shulman

6:09 for a brief statement

6:10 . Thank you very much chair

6:12 and I just before I get into

6:14 my statement I want to echo

6:15 what the council members said

6:17 and also you know the we talk

6:19 about I used to work in the

6:21 health and hospital system

6:22 some years back and even that

6:25 bridge doesn't work because

6:26 folks come in and then they

6:29 because there's no money t

6:30 okeep them they don't keep themt

6:32 on the street so that's not

6:35 that's not a response that's

6:36 not an answer and the case

6:37 she's talking about there's

6:39 thousands of them like that so

6:42 I want to talk about good

6:45 morning everyone a two chair

6:46 cab on thank you for having me

6:48 here and members of the

6:49 committee on mental health and

6:51 substance use and council

6:52 shulman chair of the committee

6:53 on health I I appreciate the

6:56 opportunity to speak today

6:57 about this important

6:58 legislation that I have as

7:00 many of you know we are in the

7:01 midst of a mental health

7:02 crisis both locally and

7:05 nationally it's estimated that

7:06 about 23% of all u s adults

7:08 live with a mental illness

7:09 this is in line with the 25%

7:11 of adult New yorkers

7:12 experiencing a mental health

7:14 disorder in a given year.

7:15 Intro 7 22 is about

7:18 transparency and data which we

7:18 don't have interestingly

7:20 enough it would require the

7:22 office of community mental

7:22 health to report quarterly on

7:25 every 9 11 call identified as

7:27 involving a mental health

7:29 emergency including how those

7:30 assistance response division

7:35 be heard team responded and

7:37 submit that report to the

7:38 Mayor and City Council speaker s

7:42 legislation would require the

7:44 nypd and fdny to include the

7:46 unique identifiers generated

7:48 by their respective computer

7:50 aided dispatch systems and to

7:51 indicate whether be heard was

7:53 dispatched and able to respond e

7:56 we cannot improve what we do

7:57 not measure

7:58 . If we are serious about

7:59 building a public health

8:01 centered crisis response

8:03 system we need clear

8:05 accessible information about

8:06 where be heard is working

8:06 where it is not and why

8:07 . This data will also help

8:10 emergency responders better

8:11 prepare for emergency calls I

8:12 want to thank the committee on

8:13 mental health and substance

8:15 use staff for their work on

8:16 this legislation and I urge my

8:18 colleagues to support intro 7

8:19 22 thank you chair

8:21 . Thank you and now we hear

8:23 from public advocate jimani

8:25 Williams

8:25 . Thank you I always mention

8:26 my name is jemaine Williams

8:27 proper garrett for the City of

8:28 New York I'd like to thank

8:30 check oban and members of the

8:31 committee on mental health and

8:33 substitutes for holding this

8:34 very important hearing almost

8:35 one in four adult New York

8:36 er's experiencing mental

8:37 health disorder in a given

8:38 year mental illness affects

8:39 people across all communities

8:41 demographics wealthy and poor

8:42 young old black and white but

8:43 not everyone is able to access

8:44 treatment and not everyone who

8:46 accesses treatment gets the

8:47 kind of care they need there

8:49 are many reasons why New York

8:50 was who need mental health

8:51 care either do not or unable

8:52 to access it including cost

8:55 stigma language barriers and

8:56 logistics a report published

8:57 last year by do hm h found

8:59 that in 20 23 about 14% of New

9:02 York is almost a million

9:03 people reported that there was

9:04 a time in the past where they

9:06 did not get the mental health

9:07 treatment they needed as is

9:08 the case of course health care

9:10 broadly more broadly black

9:12 brown indigenous worse when it

9:13 comes to receiving effective

9:15 mental health treatment there

9:16 are few instances when the

9:18 police should respond to a

9:19 person in mental health crises.

9:21 More often the presence

9:22 presence of particularly

9:24 uniform only actually escalate

9:25 in already tense and

9:26 precarious situation most

9:27 recently we have seen this

9:28 play out in the shooting of

9:30 jeb shek party a young man

9:32 diagnosed with schizophrenia

9:33 experiencing a mental health

9:34 crisis

9:34 . According to his family who

9:36 called emergency services

9:38 requested ms not police miss

9:40 shock party was not a threat

9:42 until police arrived in the

9:44 presence escalated the

9:45 situation I am thankful that

9:46 tripod is alive and recovering

9:47 from being shot four times a

9:48 and I'm still decision t

9:51 ocriminally charge him at best

9:52 I've heard is to help him get

9:53 care but I'm not sure if that.

9:54 Was the best way I want t

9:57 oassociate myself with the

9:59 . Words of the chair about

10:00 very often we see the last

10:03 second that gets played out

10:04 without everything that

10:04 happened before what is

10:06 especially tragic about the

10:07 case of mr potty is the fact

10:08 that his family repeatedly

10:09 tried to connect him to crisis

10:10 care in the month leading up

10:12 to the shooting in of last

10:14 year mobile mobile crisis team

10:15 visited him and left without

10:17 transporting him to hospital

10:18 . Later that month police

10:20 transported truck party to a

10:21 hospital but he was discharged

10:23 after three days due t

10:24 ounderstaffing cycling through

10:26 hospitals without effective

10:27 connection to care is

10:29 Unfortunately common martial d

10:32 charlison go oh I'm sorry who

10:34 pushed melissa elissa gold in

10:35 front of a train in training

10:36 and 22 had the hospital at

10:38 least 20 times according to

10:39 his lawyer they either cycling

10:41 in our hospital and not of

10:43 rikers island mental health

10:44 care must go hand in hand with

10:45 housing a stable connection to

10:47 care is nearly impossible when

10:48 a person does not have a place

10:49 to live and the stress of

10:51 homelessness and effective

10:52 treatment.

10:52 As a part of of why 20 26

10:54 New York state budget going t

10:56 okathy hopeless insisted on

10:57 expanding the criteria t

10:59 oinvoluntary commit someone for

11:00 psychiatric treatment now the

11:01 interpretation that a person's

11:02 is unable to care for their

11:04 basic needs not just that they

11:05 present a danger to themselves

11:07 or others is enough t

11:08 oinvoluntarily ticket a person

11:10 for mental health evaluation

11:11 . A tool which while is

11:12 important should be a last

11:14 resort with this New law with

11:15 this law now place we need

11:16 forceful oversight to prevent

11:18 abuses to determine whether

11:19 people in the field can

11:20 accurately fairly equitably

11:22 assess individuals under the

11:23 New criteria and provide help

11:24 rather than perpetuate harm it

11:26 is also critical to ensure

11:28 that when someone is

11:29 hospitalized they are placed

11:29 on a continuum of care t

11:30 oensure that people are not

11:32 cycling through the hospitals

11:35 or homelessness as though it

11:36 can be a life saving tool is

11:39 important to also named the

11:40 limitations and potential

11:41 harms effective of immediate

11:45 insistence on involuntary

11:46 treatment hospitalization is

11:48 destabilizing and can cause a

11:49 portion to lose their job or

11:50 housing the goal of

11:51 hospitalization is not long

11:52 term care but short term

11:54 stabilization.

11:54 And a person who is

11:55 struggling with homelessness

11:56 or serious mental illness

11:58 prior to hospitalization is

11:59 less equipped to comply with

12:00 the longer term treatment plan t

12:04 additional community based

12:04 support.

12:05 Research shows that

12:06 involuntary commitment can

12:07 negatively affect a person's

12:09 earnings

12:09 . Which leads support outcomes.

12:12 Distrust with health care

12:13 which is problematic when a

12:14 person needs voluntary

12:15 continual care outside the

12:17 hospital

12:17 . Every person with a mental

12:18 health condition is different