Professional Documents
Culture Documents
Resilience Project
The City of Philadelphia’s emergency response
to combat the opioid crisis
Recovering Together
Philadelphia
RESILIENCE
Project
#ResilientPHL | phila.gov/resilientphl 1
Progress Report | June 2019
CONTENTS
5 Executive Summary
8 Timeline
11 In the News
Mission Area 1:
12 Clear major encampments
Mission Area 2:
15 Reduce criminal activity
Mission Area 3:
19 Reduce the number of unsheltered
individuals
Mission Area 4:
22 Reduce trash and litter
Mission Area 5:
26 Reduce overdoses and the spread of
infectious diseases
29 Mission Area 6:
Increase treatment options
33 Mission Area 7:
Mobilize community resources
Photos by City of Philadelphia and courtesy of Melissa Romero
for Curbed Philly 37 Acknowledgments
2
LETTER FROM MAYOR
Fellow Philadelphians,
Mayor Kenney’s executive order establishing the • Business development and mentoring services
Philadelphia Resilience Project called for the creation of • Network creation to support at risk youth
a “Community Advisory Committee” to inform and help
• Employment opportunities for residents
guide the City’s work. We appreciated this because we -
community residents, neighbors, civic leaders, and business
people – are the leaders and main stakeholders, the people We look forward to continuing our work with the
dealing with the situation day in and day out, the experts on extension of the executive order enacted by Mayor
our own neighborhood. As the nation struggled with a rising Kenney, and we thank him and his cabinet for their
epidemic, Kensington, Fairhill, and Harrowgate have been leadership. We will work through 2019 and beyond to
deeply impacted. The neighborhood is our home. ensure our community thrives.
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5
EXECUTIVE SUMMARY
• ●Cleared all large encampments • ●Transition this Mission Area to create and implement
Clear major a community and economic development strategy
encampments • Finalize policy to prevent and address future
encampments
• ●Expanded Police Assisted Diversion program to the East • ●Recruit volunteers and expand Safe Corridors
Division program to more schools
• ●Launched Safe Corridors program in six schools • ●Continue interagency work focused on identifying
• Installed 1000 LED street lights and additional cameras and taking down violent mid- to high-level drug
Reduce • ●Launched a warrant initiative resulting in 180 arrests and trafficking organizations
criminal activity getting $262,000 worth of narcotics and 20 guns off the • ●Coordinate with the implementation of the
street Philadelphia Roadmap for Safer Communities,’ a
citywide violence prevention strategy
• Develop new strategies to disrupt the public sale
and use of narcotics
Reduce the • E
● xpanded emergency and temporary housing to 220 beds • ●Grow the number of low-barrier, permanent
number of • Added 210 long-term housing opportunities for those most supportive housing units in Philadelphia with a target
unsheltered in need goal of 250 per year citywide
individuals • Provided 45,000 bed nights for over 500 people
• ●Launched Treatment Availability Database (TAD) which • E ● xpand our 24/7 capacity
provides real time information about availability of beds • I● ncrease the number of hospitals making “warm
• ●Made policy changes to increase MAT accessibility across handoffs” into treatment
the system • ●Adopt additional provider payment strategies that
Increase • ●Expanded “warm handoffs” at Temple Main and Episcopal incentivize high quality care
campuses • ●Continue to identify and rapidly address barriers
treatment
• ●Contracted with First Step Staffing to connect individuals in to care
options recovery to entry level employment
• ●Created an EMS Alternative Response Unit (AR-2) staffed
by paramedics and case managers to offer “warm
hand-offs” after responding to an overdose
• ●Formed and convened Community Advisory Committee • ●Work with the community on plans to sustain the
Mobilize • ●Recruited hundreds of volunteers Resilience Project beyond 2019
• ●Hosted 25 community and civic meetings • ●Raise public and private funding to leverage local
community
• ●Launched dedicated bilingual “311 pod” to resolve quality of investment and support community organizations
resources life service requests faster
6
EXECUTIVE SUMMARY
Looking Ahead
Kensington’s challenges did not appear overnight and
cannot be solved overnight. When the Resilience Project
began, the City invested nearly $8 million in new funding
throughout Fiscal Year 2019 on behavioral health,
homeless, and community services. Mayor Kenney also
called for $36 million in new funding dedicated to the
Resilience Project in his Five Year Plan (FY20-24). FY20-FY24 Resilience Project budget
$36 million in New Funding
Mayor Kenney extended the Philadelphia Resilience
Project’s executive order through December 31,
2019. Over the next six months, the City will continue
working toward the goals of the seven mission areas, Behavioral Health Services
with an emphasis on: $6,500,000
7
TIMELINE
10/9
OEM activated
the Emergency 12/8 1/19
Operations Center
City completed City completed
(EOC) for daily
second large-scale third large-scale
mission area
cleanup cleanup
coordination
10/24 10/28
Needle dropboxes
installed; New Safe Corridors 1/6
initiative called program began
KIND (Kensington with Lewis Elkin
City convened
Initiative for and Francis 11/14 Resilience Project’s
Needle Disposal) E. Willard
Community
begins regular elementary Lehigh Street Advisory
10/3/2018 needle cleanup schools encampment Committee
humanely cleared
8
3/5
An independent 6/5
evaluation
of the City Of Fire and Health
Philadelphia’s departments
Kensington launched an
Encampment Alternate
Pilot Resolution Response Unit
released (AR-2) to provide
warm hand-offs
2/2-3
after responding
to an overdose
PPD and Streets 4/6
removed more 5/7
than 300 City completed
fifth large-scale Small needle
abandoned
cleanup dropboxes
vehicles
installed
throughout target
area in parks 6/25
Mayor extended
executive
order through
6/15 December 31,
2019
3/9
5/4 City completed
City completed seventh large-
fourth large-scale City completed
2/28 sixth large-scale scale cleanup
cleanup
Streets cleanup
Department
installed three
new illegal 5/13
dumping
surveillance 3/7 Webster
cameras in the Elementary School
project area Mayor proposes designated a
FY20 budget and “Community
Five Year Plan 4/15 School” to bolster
which dedicated resources for
$36 million Street sweeping students and
in funding for pilot program community
Resilience Project began in members
Kensington
9
IMPACT BY THE NUMBERS
35 45,115
City agencies and
shelter bed nights serving 548
departments working
together 100 individuals at fives sites.
Shelter beds added
400+
$36 Million meeting hours of weekly
coordination by the
Funding dedicated in Mayor executive leadership
team 2,000+
Kenney’s Five Year Plan people received free
overdose awareness
large homeless encampments humanely and and reversal training
2 effectively closed since October 2018 (citywide)
1,142 7
Vacant lots cleaned
Large-scale City-led
volunteer cleanups
606
Abandoned vehicles
removed
72
24,443 1,339
Doors and windows
painted on vacant
Graffiti abatements
Community service projects completed properties
completed
120
376 154 “Clean and Seals”
completed of vacant 1
Tons of trash Tickets issued for Alternative
cleaned illegal dumping
properties
24,000+ 370 Response Unit
created
Individuals
3 84 1,467
Needles removed
from streets
immunized
Illegal dumping
Illegal dumps
surveillance cameras Inlets cleaned
installed cleaned
25 183
Community, civic, and Community groups loaned
advisory committee
cleanup supplies
150 meetings held
10
IN THE NEWS
11
MISSION ONE
12
CLEAR MAJOR ENCAMPMENTS MISSION ONE
13
CLEAR MAJOR ENCAMPMENTS MISSION ONE
Next Steps
Because the large encampments are cleared
and a new citywide encampment policy is being
finalized, the goal of Mission Area one is evolving. It
will now be focused on community and economic
development, which will address the opportunities
to convene and coordinate the plans of the
community development corporations including
HACE, New Kensington CDC, and IMPACT Services,
and the plans of the City (currently managed by
the Department of Planning & Development and
the Department of Commerce) while responding to
policing and code enforcement opportunities. An
actionable community and economic development
plan will be produced and implemented over one to
three years.
14
MISSION TWO
15
REDUCE CRIMINAL ACTIVITY MISSION TWO
Accomplishments To Date
Focus on improving public school, thousands of children expanded for the Resilience
safety. The Police Department have passed encampments, Project service area to encourage
assigned small teams of officers drug dealing, drug use, and other increased utilization of the
to work a special service detail to behaviors and problems that are program, and the results have been
focus on crime prevention in and associated with the opioid epidemic. promising. Commerce is providing
around encampments. Their work It was unhealthy and unsafe. We full reimbursement for cameras
helped sharpen the focus of law partnered with the School District of purchased and connected to the
enforcement partners’ trying to Philadelphia to recruit parents and Philadelphia Police Department’s
prevent and solve crimes, while also other community members to be SafeCam program for businesses
targeting drug dealers and violent trained and volunteer for the Safe and schools in the Resilience area.
criminals. The Police and Sheriff’s Corridors program. The volunteers’ More than 100 installation projects
Departments conducted a warrant presence in the neighborhood are in the pipeline or completed
initiative in the Resilience area and near schools helped provide as of the first week of May. So far,
targeting people who were wanted safe passage as well as a feeling 41 projects have been completed.
for various crimes. During the of safety for children. So far, 48 Another 34 projects have been
initiative, 180 people were arrested volunteers have been trained approved and will begin installation
while narcotics valued at $262,000 to cover six of the schools. They soon. There are 39 more installation
and 20 guns were taken off the proudly wear their identifiable Safe projects currently pending approval.
street. Corridors vests as champions of our Restaurants, doctors’ offices, service
children’s safety. providers, food markets, banks,
MA2 is also part of “The Kensington day cares, and more have taken
Initiative” a collaborative partnership Focus on violence prevention. In advantage of the opportunity.
led by the State Attorney General’s partnership with the City’s Office
office in partnership with the of Violence Prevention, nearly The Streets Department and PPD
Federal Bureau of Investigation $60,000 in community investment have installed 50 new street lights
(FBI), Philadelphia Police, Homeland grants were awarded in June 2018 at known drug and opioid use hot
Security and SEPTA Police. The to individuals and organizations spots to deter illegal activity. These
intelligence-led partnership focuses serving the Resilience target area. lights help brighten the commercial
on large scale narcotics investigations These grants will support quality corridors in Kensington.
to take down violent mid- to high- programs that engage youth and
level drug trafficking organizations. promote leadership development Focus on quality of life issues that
and anti-violence. impact crime. Law enforcement
We established a Safe Corridors identifies vacant lots and
program to support children’s The Business Security Camera properties that are being used
safety as they walk to and from Program—operated by the for illicit activity and coordinates
school. The Resilience target Department of Commerce year- with the Department of Licenses
area is home to 15 schools. While round and citywide—normally & Inspections to have them
traveling between home and reimburses up to 50 percent investigated, and when appropriate
of the total eligible costs. The secured.
reimbursement levels were
16
REDUCE CRIMINAL ACTIVITY MISSION TWO
17
REDUCE CRIMINAL ACTIVITY MISSION TWO
18
MISSION THREE
19
REDUCE THE NUMBER OF PEOPLE
WHO ARE UNSHELTERED MISSION THREE
Accomplishments To Date
Lessons Learned
From the start of the Philadelphia of homelessness holistically
Resilience Project to late May and providing critical services Our experience at slowing
2019, five dedicated sites served that can move people out of the the growth in the unsheltered
548 people, representing a total of neighborhood and into treatment population shows that we can
45,115 bed nights. These sites were and recovery. This supports them help people move on, but we
regularly at maximum capacity. in their unique journey while still struggle to provide adequate
recognizing the path isn’t always a housing options for everyone.
But the services provided at these linear process. For instance, the City’s Housing
sites go far beyond a place to sleep. Action Plan, released in October
The street homeless population in One of the most successful
2018, and the Office of Homeless
and around Kensington includes low barrier housing programs is
Services five-year strategic plan,
people who typically have long through Pathways to Housing PA.
histories of behavioral challenges, When people are referred to this Roadmap to Homes, both estimate
including human trafficking, program, including from the five that Philadelphia needs 2500
repeated contact with the criminal dedicated sites, they find supportive additional supportive housing
justice system, and involvement with services along with housing. When units to meet current demand.
the child welfare system. we looked at the numbers for And while the number of people
referrals to this program, it showed who are homeless on the street
So, across the five homeless service remarkable results. Out of 122 in Kensington has, indeed, fallen
sites, providers focus on programs to people housed for more than six over the past year, we still need to
meet basic needs including meals, months: 79, or 65 percent, were work to identify sources of inflow
showers and laundry as a pathway to on medication-assisted treatment and aggressively develop steps to
more intensive therapeutic services (MAT); five were totally abstinent;
reduce it.
starting with community meetings, and, 53 were receiving primary
case management, housing health care services.
assessments and linkages, state Next Steps
ID referrals, medication-assisted It’s important to note that when
treatment induction, legal aid, housing was provided to those living We plan to continue to grow the
wound care, primary care, overdose with substance use disorder, two number of low-barrier, permanent
prevention, arts programming, thirds of them made the decision
supportive housing units in
behavioral health outpatient on their own to seek treatment after
services, HIV care, Hepatitis C being stabilized through housing. Philadelphia with a target goal of 250
care, support groups, financial per year across Philadelphia as set
literacy programs, trauma-informed For many others, family reunification out in the City’s Housing Action Plan.
supports, GED and literacy programs, is the most effective path for them. We’ll continue to work closely with
family reunification services and And for some, residential drug our provider community to develop a
mediation, immunizations, low barrier treatment or behavioral health
diverse array of programming to meet
employment connections, and other treatment is the best path forward.
services. people where they’re at even further.
In other words, we help people move
Essentially, we’ve revolutionized on toward self-determination and
the way we think about reducing recovery in the way that works best
the unsheltered population in for them to address the root causes of
part by approaching the causes opioid-driven street homelessness.
20
REDUCE THE NUMBER OF PEOPLE
WHO ARE UNSHELTERED MISSION THREE
21
MISSION FOUR
22
REDUCE TRASH AND LITTER MISSION FOUR
Accomplishments To Date
Reducing Trash and Litter. MA4 has provided supplies for 183 individual groups to complete their own cleanups.
led seven large-scale cleanups by Community groups are able to borrow tools and request special trash
recruiting more than 900 volunteers. pickups through the Community Partnership Program.
Each cleanup brought together City
employees, Kensington residents, Beautifying the Community. One of the biggest ways that CLIP is able to
and members from the larger beautify the blocks of Kensington is through its unique doors and windows
Philadelphia community. MA4 is program that was started during the Resilience Project. This program paints
also assisting in installing 12 needle the facades of vacant properties to give the illusion of being occupied. CLIP
drop boxes within Resilience Project crews stencil the outline of doors and windows on the building after it has been
boundaries, along commercial cleaned and sealed by L&I. Seventy-two properties have been painted to date,
corridors and in recreation centers. and there are plans to expand the program citywide in Fiscal Year 2020.
Seven drop boxes are installed along
Kensington Avenue (Huntingdon to
Tioga), one additional large kiosk is
installed at Frankford Transportation Map: Doors and Windows Painted in the Resilience
Center, and there are four smaller
Project Area
kiosks also installed in parks. These
drop boxes help keep discarded
needles off the street. So far, more
than 5,000 needles have been
collected through these boxes alone.
23
REDUCE TRASH AND LITTER MISSION FOUR
As described in MA2, Safe Corridors is a volunteer As part of a larger citywide pilot, Kensington now has
program to maintain safety around schools. Volunteers weekly mechanical street cleaning within the boundaries
patrol routes around schools at the start and end of of 2nd Street to Aramingo Avenue, from Tioga Street to
the school day or to keep watch from their homes or Lehigh Avenue. Streets Department workers equipped
businesses. Volunteers often work in teams, sharing with backpack blowers and hand brooms clean the day
information and reporting any suspicious or unusual after the area’s trash collection. Mechanical brooms
activities. MA4 supports Safe Corridors by working with follow cleaning crews once debris is blown off sidewalks
schools in the Kensington area to make sure these and curb lines.
corridors are blight-free.
An innovative program spearheaded by MA4 is
To stem the flow of illegal dumping, the Philadelphia Kensington Initiative for Needle Disposal (KIND),
Police Department hired two environmental crimes which officially launched in November 2018. This is
detectives to ramp up illegal dumping investigations and a collaborative effort between IMPACT services and
enforcement. The Environmental Crimes Unit within PPD Prevention Point Philadelphia (with funding from the
monitors cases of repeat dumpers and works with the Philadelphia Health Department) to 1) provide clean-
District Attorney’s Office to bring charges which could up of drug paraphernalia and other litter, overdose
include fines, restitution, vehicle seizure or service hours. response and training, and the distribution of naloxone
In addition, CLIP has issued 154 illegal dumping tickets for and information about local resources, and 2) create a
$150 to residents who improperly dispose of their trash. source of income for community members. KIND has
four field staff dedicated to this effort and has removed
In coordination with the Philadelphia Police Department, 19,375 needles from the streets.
the Streets Department installed 1,000 LED lights along
the Kensington Avenue corridor to improve safety and
deter crime.
24
REDUCE TRASH AND LITTER MISSION FOUR
1,142
Doors and Windows Painted in the Vacant lots cleaned
Resilience Project Area
606
Before Abandoned vehicles
removed
24,443
Graffiti abatements
completed
120
376 154 “Clean and Seals”
completed of vacant
Tons of trash Tickets issued for
properties
cleaned illegal dumping
931 84 1,467
Total volunteers at Illegal dumps
Inlets cleaned
the cleanups cleaned
183
Community groups loaned
cleanup supplies
After
1,339
Community service projects
completed
24,000+
Needles removed
from streets
72 129
Doors and windows painted on Miles cleaned by
vacant properties mechanical brooms
25
MISSION FIVE
26
REDUCE OVERDOSES & THE
SPREAD OF INFECTIOUS DISEASES MISSION FIVE
Accomplishments To Date
Reducing overdose deaths. The Department has found no cases of members since May 2017. More than
most important thing accomplished Hepatitis A in the community. The 2,000 people have undergone free
that MA5 oversaw was a drop in Health Department has also stepped overdose awareness and reversal
overdose deaths citywide. In 2017, up surveillance to ensure that any training. Between January 2018 and
Philadelphia experienced 1,217 cases that are identified will not April 2019, City responders have
overdose deaths, but in 2018, saw spread to others. administered more than 5,200 doses
1,116 overdose deaths—a reduction of naloxone to people experiencing
of eight percent. While research into Addressing HIV transmission. The an overdose. In addition, the
the distribution of these deaths is Health Department has noted an Philadelphia Department of Prisons
ongoing, Kensington has been the increase in new cases of HIV in has provided 6,500 naloxone kits
epicenter of these deaths, so we people who inject drugs, more since October 2017.
expect that the drop seen citywide than doubling between 2016 and
was also reflected here. 2018. In response to this, the AIDS Establishing guidelines for opioid
Activities Coordinating Office has prescribing. The opioid crisis began
Reducing nonfatal overdoses. been working with partner agencies as a result of drug manufacturers
Nonfatal overdoses have similarly to increase the number of HIV tests pushing doctors to prescribe opioids.
seen a drop in the most recent in the Kensington area. Nearly 2,500 To combat this crisis long-term, the
quarters. In the fourth quarter of HIV tests have been conducted in Health Department has engaged in
2018, reported nonfatal overdoses Kensington since November 2018. In a strategy to educate the members
were lower than any time since 2016. addition, inmates within Philadelphia of the health care community on
The first three months of 2019 saw Department of Prisons are tested safe opioid prescribing practices.
the number of nonfatal overdoses for sexually transmitted diseases, The City has published guidelines
drop even lower. More research is including HIV, during intake. In for primary care doctors and
needed on the cause of these drops, preparation for release, an inmate surgeons for prescribing opioids,
but it is encouraging to see this who tests positive will receive a as well as tapering guidelines to
reduction. supply of medication, a prescription help people who are already using
and information on how to continue opioids to wean safely. These
Reducing Hepatitis A. Due to the treatment once they return to the guidelines were distributed to more
high risk of an outbreak of Hepatitis community. than 16,000 health care providers
A among those experiencing by mail, and individual, in-person
homelessness, outreach teams have Increasing access to Naloxone. outreach to more than 1,300 provider
been visiting Kensington to provide Naloxone is the life-saving antidote offices. These efforts have been
free Hepatitis A vaccines to those to an opioid-induced overdose. The successful, as the number of opioid
at risk and working with providers Health Department and key partners prescriptions dispensed to Medicaid
to ensure access to the vaccine. have distributed 78,000 doses of the beneficiaries has dropped by more
To date, 370 individuals have been antidote to first responders, partner than half from the 4th quarter of 2016
immunized either through street organizations, and community to the 4th quarter of 2018.
outreach or providers, and the Health
27
REDUCE OVERDOSES & THE
SPREAD OF INFECTIOUS DISEASES MISSION FIVE
Lessons Learned
The goals of MA5 cannot be achieved by the City
alone. The City of Philadelphia can implement
programs and incentives and spend every day
in the field working to reduce overdoses, but
ultimately, we can only do so much. The greatest
lesson learned is that we need to continually
involve our partners. Partnerships with community
groups, advocacy organizations, hospitals,
insurance payers, residents, people with opioid
use disorder, friends, and family members all
have valuable input and can help develop ideas
and ensure that the City’s efforts succeed.
Next Steps
MA5 is making significant progress in reducing
overdoses, but much work remains. The fatal
overdose rate is still more than three times the
homicide rate in Philadelphia and is completely
unacceptable. The City continues to provide
naloxone to first responders and community
organizations. We also continue to train residents
to spot an overdose and reverse it. Enhanced
surveillance and connection to care for Hepatitis A
and HIV will similarly continue.
28
MISSION SIX Increase Treatment Options
The goal of Mission Area Six (MA6) is to increase the In the area of OUD, the most effective treatment is
availability of and access to effective treatment options. Medication Assisted Treatment (MAT). MAT is the use
Staff representing the Department of Behavioral of medications such as methadone, buprenorphine,
Health and Intellectual disAbility Services (DBHIDS), and vivitrol in combination with counseling and
Philadelphia Department of Public Health, Managing behavioral supports. Research has demonstrated a
Director’s Office for Health and Human Services, and 75 percent reduction in mortality in patients treated
the Law Department came together to form MA6. with buprenorphine versus patients treated with
psychosocial interventions alone. Therefore, much of
The work of MA6 touches many lives. National and our work is focused on increasing the availability of and
Philadelphia data indicate that 1 in 5 people experience use of MAT at all levels of care.
some form of mental illness and/or substance use disorder
(SUD). In 2018, over 715,000 Philadelphians were eligible for Given this landscape, MA6 has deployed five key
Medicaid. At the same time 150,000 people participated in strategies:
treatment funded by DBHIDS and Community Behavioral
Health (CBH), and more than 31,400 individuals utilized 1. Launch the treatment availability database
SUD treatment services—more than 16,620 of whom were 2. Expand warm hand-offs to treatment and services
treated for opioid use disorder (OUD).
3. Embed withdrawal management into all levels of
care
This publicly funded treatment network includes more
than 175 separate clinical programs to treat people with 4. Enhance the quality of SUD treatment
SUD and/or mental illness. These contracted entities 5. Provide sustained housing, recovery, and vocational
comprise over 2,000 beds, including inpatient hospital supports
programs, residential programs for rehabilitation and
detoxification, and halfway houses. In addition to
These strategies are underway across the city, but
the bed-based services, services of varying levels
the Resilience Project has allowed for rapid cycle
of intensity are also offered within ambulatory or
deployment and learning in Kensington, with the
community-based settings. These services include
experiences there informing citywide work.
outpatient and intensive outpatient programs, partial
hospitalization, and services designed to keep
participants in community settings, such as case
management and peer specialist services.
29
INCREASE TREATMENT OPTIONS MISSION SIX
Accomplishments To Date
Medication Assisted Treatment (MAT) Prevention Point Philadelphia, which As a result of the RFP process,
Policy Changes: In order to increase has been using a mobile outreach Gaudenzia opened a new co-
access and options for patients, CBH team to offer MAT inductions, and occurring program offering MAT on
changed several policies across its Merakey is engaging individuals on May 1, 2019 at 1306 Spring Garden
system of providers: a daily basis and utilizing innovative St. which offers 32 beds and is taking
approaches, such as Uber Health. 24/7 SUD assessments.
1. Ending prior authorization
requirements for short term SUD The DBH-funded NET Access Point Reportedly, three-quarters of the
treatment, is a new 24/7 walk-in site accepting 28,000 people incarcerated in
2. Requiring residential providers members with a full range of Philadelphia each year have a SUD.
and halfway houses to provide SUDs and withdrawal symptoms As a result, in February 2018, the
MAT compatible services, and all for assessment and stabilization Philadelphia Department of Prisons
SUD providers incorporate MAT with MAT. MAT inductions are also (PDP) began a MAT expansion pilot
options into treatment planning now occurring in at least three at Riverside Correctional Facility,
for individuals, Emergency Departments, including and later expanded into the male
Temple Health Episcopal Campus, facilities in September of 2018.
3. Requiring all providers to make Temple University Hospital, Penn In April 2019, PDP shifted from
MAT available by 2020, and Presbyterian, and Einstein. prescribing buprenorphine to the
4. Requiring providers to adopt use of Suboxone, a combination of
additional policies to increase These changes have resulted buprenorphine and naloxone. The
access such as expanding night in an increase in the number of PDP enrolls about 275 patients in the
and weekend hours and a more individuals in treatment. The Suboxone program a month, and
flexible approach to ID. number of individuals participating expects to treat over 3,300 patients
in MAT for OUD increased from over the next twelve months.
Additionally, the Treatment 9,156 distinct members in 2017 to Cognitive Behavioral Therapy is also
Availability Database was launched 10,690 distinct members in 2018—a offered with all three types of MAT
on the DBHIDS website 16 percent increase. provided by the PDP (buprenorphine,
(www.dbhids.org/MAT), which methadone, and naltrexone). At
provides near real-time information In May 2019, CBH also issued three release, patients are given five days
about the availability of beds, for those new Requests for Proposals (RFP): worth of Suboxone pills.
needing residential level of care.
1. Addictions Outpatient for Withdrawal Management:
Increased Venues for MAT: We Underserved Areas RFP Withdrawal management is being
have also increased the number and 2. Mental Health Outpatient RFP phased into the network across
types of sites offering MAT. Mobile all levels of care working towards
3. Addictions Residential RFP
outreach capacity in the Kensington the goal of having all providers
area was expanded through offer this service. Withdrawal
management is currently being
offered in the community through
30
INCREASE TREATMENT OPTIONS MISSION SIX
31
INCREASE TREATMENT OPTIONS MISSION SIX
Next Steps
Additional work ahead includes moving from our
current state of 68 percent of SUD providers in
the CBH network offering MAT to 100 percent
in 2020, expanding our 24/7 capacity, further
expanding the number of hospitals making warm
handoffs into treatment, adopting additional
provider payment strategies that incentivize high
quality care, and continuing to identify and rapidly
address barriers to care.
32
MISSION SEVEN
Mobilizing Community
Response
Recognizing that the City cannot do this work on
its own, the goal of Mission Area Seven (MA7) is to
mobilize the community in response to the opioid
epidemic. MA7 focuses on engagement with
community members within the Kensington and
Fairhill neighborhoods.
33
MOBILIZE COMMUNITY RESPONSE MISSION SEVEN
Accomplishments To Date
Hosting Community Meetings These meetings provide attendees and Lehigh Avenues. He also hosted
and Increasing Community with vital information that promote an artist workshop with senior
Engagement. By hosting two health, wellness, and safety on residents from HACE’s Somerset Villas.
types of community meetings in topics related to trauma and mental
Kensington, we’ve been able to health care, fire safety protocol, Additionally, MA7 is working
share Resilience Project resources adult education, and more. with Mural Arts and artist Henry
and updates with the community Bermudez to create a new mural
while also staying attuned to Collaboration with Community located on the underpass at
community needs and challenges. Organizations, Local Artists, Kensington and Lehigh Avenues.
Past meetings have included and Mural Arts Philadelphia. In Henry is a world-renowned artist
presentations by the State Attorney collaboration with HACE, Impact from Venezuela who moved to the
General Josh Shapiro; President Services, and MA7, artist Calo United States in 2003 and lives in
and CEO of Hispanic Community Rosa and Mural Arts facilitated the Kensington area. Throughout the
Counseling Services (HCCS), Hector the painting of the B Street years, he has been commissioned
Ayala; City agencies, including Bridge between Gurney and by Mural Arts on several major
Mural Arts, Office of Emergency Tusculum Streets—also known projects. Mural Arts and Henry
Management (OEM), and as Transformation Bridge—in hosted a community session to
Community Life Improve Kensington. Residents joined an receive feedback from community
Program (CLIP); and other El Barrio es Nuestro meeting to members will continue to update
community leaders. participate in a workshop and residents on the progress of the
provided feedback on the bridge mural and will share the final design
El Barrio Es Nuestro (The designs. For aesthetic cohesion in in June.
Community is Ours) Meetings. This the neighborhood, Calo designed
monthly meeting provides residents three additional murals on the A Community Advisory Committee. In
with updates on the progress of Street, Mascher Street, and Front order to ensure that the Resilience
the Philadelphia Resilience Project. Street bridges. Currently, two have Project achieves each of its goals,
The meeting also acts as a space been completed and two are in MA7 established the Community
where community members can progress. All four murals will be Advisory Committee, which includes
share their concerns and develop finished in time for an annual block community members, organizations,
solutions in partnership with the party in Kensington hosted by MA7 and elected officials who advise
City, community organizations, and in conjunction with HACE. The each Mission Area and provide
leaders. Topics have included crime Mural Arts Guild Program, which guidance to promote the success of
reduction, mural design workshops, provides job training for young the project.
and more. people coming home from prison, is
providing support to complete each
Community Engagement Academy. of the projects.
The Community Engagement
Academy is hosted weekly at In addition to leading the mural
Willard Elementary in Kensington. projects, Calo hosted a paint day at
the Visitation School on Kensington
34
MOBILIZE COMMUNITY RESPONSE MISSION SEVEN
Lessons Learned
Philly 311’s Pod for the Resilience Project. A 311 “pod” During the activation of MA7, we learned how to
was established to address specific concerns within the build stronger and more effective relationships
Kensington and Fairhill neighborhoods. Residents are able between the City, community organizations, and
residents.
to reach the dedicated Resilience Project team at Philly311
by calling 3-1-1 and pressing option 4 when prompted.
It can be challenging to earn buy-in and trust
from community members, however, MA7 found
Areas of concern include vacant lots and buildings, litter
that demonstrating a unified effort between the
and illegal dumping, abandoned cars, and discarded
Resilience Project and local organizations that
syringes on streets. The pod, managed by a team of four
were already effecting change in the community
bilingual staff members, has proven to be successful
made residents more likely to engage. Working
as residents are getting quality of life service requests with organizations to provide localized, needs-
resolved faster. The average business days to close based services improved community engagement
these requests has reduced by: and developed closer relationships between
residents and the City.
● Abandoned Cars: 46 days
In light of the diversity of the neighborhood, MA7
● Street Cave-in Repair: 34 days
also implemented a multi-pronged outreach
● Street Ditch Repair: 12 days strategy, utilizing digital media, community
● Illegal Dumping: 2 days meetings, flyers, and canvassing to engage
residents, volunteers, and community partners.
● Rubbish Collection: 2 days
● Sanitation Violations: 1 day To ensure that the community was aware of the
progress being made, MA7 provided frequent
● Street Light Outage: 3 days
updates on the status of work being done across
● Vacant House Clean & Seal: 30 days Mission Areas to improve the quality of life in
● Vacant Lot Clean-up: 15 days the Kensington and Fairhill neighborhoods.
The Resilience Project team also sought
feedback from the community to inform further
Reducing Barriers and Increasing Access to Services. development of services and initiatives that would
The Resilience Project has been intentional about help revitalize their neighborhoods.
reducing language barriers that prevent people from
accessing resources, programs, and services. MA7 To provide a safe and welcoming place for
translates emails and flyers into Spanish to reach and residents to share their thoughts and ideas,
encourage full participation in the Kensington and Fairhill MA7 held weekly and monthly meetings. Those
communities, which are majority Spanish-speaking. meetings were also used to develop realistic
solutions that would produce measurable results
Individuals leading this Mission Area are also bilingual
that could be seen and easily implemented by the
and are able to communicate with residents to build
community after the executive order activation.
trust and address their specific concerns.
35
MOBILIZE COMMUNITY RESPONSE MISSION SEVEN
Next Steps
Our goal is to ensure that our work in the community
is sustained. To do that, we are recruiting block
ambassadors in partnership with Mission Area Four.
These ambassadors will work alongside City partners and
organizations to facilitate meetings with the support of
the Resilience Project. Ambassadors will also be given a
stipend from MA4 to support their work in the community.
36
ACKNOWLEDGMENTS
The City thanks the following departments, external organizations, and Members of the Community
individuals who participate in the Philadelphia Resilience Project. Advisory Committee
Hector Ayala, Hispanic Community
Counseling Services
City of Philadelphia
Jose Benitez, Philadelphia Prevention
Community Behavioral Health (CBH) Office of Homeless Services (OHS) Point
Community Life Improvement Program Office of Innovation & Technology
(CLIP) Danny Cortez, Nueva Esperanza
Office of Performance Measurement
Delaware Valley Intelligence Center Parks & Recreation (PPR) Rep. Angel Cruz, PA House of
(PPD-DVIC) Representatives 180th District
Philadelphia City Planning Commission
Department of Behavioral Health &
Philadelphia Department of Public Ramon Cruz, Department Behavioral
Intellectual disAbility Services (DBHIDS)
Health (PDPH) Health Intellectual disAbility Services
Department of Commerce
Philadelphia Fire Department –
Department of Public Property Emergency Medical Services (PFD-EMS) Carolina DiGirorgio, Congreso
District Attorney Office (DAO) Philadelphia Housing Development Shannon Farrell, Harrowgate Civic
Division of Housing and Community Corporation Association
Development (DHCD) Philadelphia Land Bank
Free Library of Philadelphia Philadelphia More Beautiful Committee Maria Gonzales, HACE
Law Department (PMBC)
Pastor Richard Harris, Somerset
Licenses & Inspections (L&I) Philadelphia Police Department (PPD) Neighbors for Better Living
Managing Director’s Office (MDO) Philadelphia Prison System (Prisons)
Rep. Joseph C. Hohenstein, PA House of
Managing Director’s Office-Criminal Philadelphia Redevelopment Authority
Representatives, 177th District
Justice Public Safety (PRA)
Managing Director’s Office-Health & Philadelphia Water Department (PWD) Jeff Kuhn, Shift Capital
Human Services Philly 311
Managing Director’s Office-Community Katherine Levins, Temple University
Department of Planning & Development Health System
Services
School District of Philadelphia (SDP)
Mayor’s Office of Communications Casey O’Donnell, Impact Services
SEPTA
Mural Arts Philadelphia
Streets Department Susan Post, Esperanza Health Center
Office of Emergency Management
Town Watch Integrated Services (TWIS)
(OEM) Councilmember Maria Quiñones-
Sánchez, Philadelphia City Council,
District 7
State and Federal Partners Civic Associations, Community Councilmember Mark Squilla,
Drug Enforcement Agency (DEA)
Organizations, Congregations: Philadelphia City Council, District 1
East Kensington Neighbors Association
Federal Bureau of Investigation (FBI) Senator Christina Tartaglione, State
New Kensington CDC
U.S. Attorney’s Office - Eastern District of Senate, 2nd District
Pennsylvania Kensington Neighborhood Association
Pennsylvania Attorney General Harrowgate Civic Association Felix Torres-Colon, New Kensington
CDC
HACE
Impact Services Kimberly Washington, Frankford
Somerset Neighbors for Better Living Community Development Corporation
Huntingdon Emerald Neighbors
South Port Richmond Civic Association
Visitation B.V.M.
West Kensington Ministry
Kensington Independent Civic
Association
37
Philadelphia
RESILIENCE
Project
38 #ResilientPHL | phila.gov/resilientphl