XX Department Proposed Budget Overview
Month Date, 2022
Health and Human Services Proposed Budget Overview
Budget Hearing
August 16, 2022
Key Services
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Our Goals
• People engage in healthy behaviors and have access to healthy foods, as well as safe and affordable opportunities for physical activity
• People have the culturally competent health care and social supports they need to be healthy
• During a Public Health Emergency, people are provided shelter, care and vaccination
• Those who are precariously housed or experiencing
homelessness are permanently housed
• Behavioral health services Citywide have the capacity to prevent and reduce mental illness, substance abuse and trauma
• Sexually Transmitted Infections, HIV andcommunicable diseases are prevented in Long Beach
Key Services
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Our Goals (cont.)
• Social and economic conditions are improved for people in Long Beach across their lifespans
• Preventable deaths and injuries are reduced
• Communities are safe from violence
• People live in safe environments and are prepared for emergencies
• Services for older adults are coordinated and accessible • The department workforce is strong, resilient and valued • Policies, programs and investments are centered around equity and trauma-informed practices
Accomplishments
4 Focus on Equity
• Established the Racial and Health Equity team. The six- member team partners with the Office of Equity and our
diverse communities to understand need and design efforts to address the social determinants of health for the City’s most impacted communities
• Established the Long Beach Reentry Advisory Council
• Designed and launched the Equity Investment Framework to:
• Strengthen capacity of community organizations to engage in the City's procurement system
• Fund community organizations in efforts to reduce health inequities and disparities across the City
• Invest $2 million in Promotora/Community Health Worker training and opportunities across the City
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Accomplishments
5 • Received DOJ funding to provide alternatives to suspension for students caught vaping on campus as well as to address the vaping epidemic among youth • Provided 16,564 families with food benefits, nutrition and breastfeeding education
• Distributed 2,300 dental kits to families and children • Supported more than 7,000 individuals in accessing health insurance • Provided case management and service referrals to more than 250 older adults • Expanded Healthy Market Partnership Program and built a school-based edible garden program
• Launched the Responsible Cannabis Vendor Training Program through Greenlight LB
• Conducted more than 6,500 food facility inspections, water tests, vector services and hazardous waste responses
Provided Essential Public Health Services
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Focused on Communicable Diseases - COVID, Monkeypox, STD Accomplishments
6 • Administered 460,818 COVID-19 vaccinations and 1,574,934 tests, and counting • Expanded testing operations during the omicron surge to meet the demand for testing (nearly 10,000 tests conducted in one day), and supported healthcare facilities with testing supplies to mitigate spread of disease for those most at risk • Provided first access to testing and vaccine, onsite services to public safety departments, and contact tracing and testing for Occupational Health for City employees
• One of the first local health jurisdictions to study Post-Acute Sequelae from COVID-19; publish findings in the CDC Morbidity and Mortality Weekly Report • Rapidly responded to monkeypox, providing education, outreach, new website, pre-registration and vaccine once available
• Led the HIV/STD strategic plan, engaging with local, regional and state partners to identify resources and coordinate work
• Opened new sexual health clinic in North Long Beach and expanded testing and treatment in communities through our mobile prevention program
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Implemented Youth Development and Peacekeeping Programs Accomplishments
7 • Through Measure US, distributed more than $600,000 for youth and community projects to support the intersection between youth development and violence prevention
• Hosted the City’s first youth festival at HoughtonPark and the 2022 Celebration of the Young Child with the Long Beach Public Library • Implemented a gun safety campaign
• Developed and implemented a Gun Violence Response Protocol, coordinating efforts for response to incidents of gun violence
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• Implemented a Safe Passages program in Washington
Neighborhood and expanding to four additional sites
• Wrote successful grant applications, bringing in nearly $5.5 million to expand youth development and
peacekeeping efforts over the next 3 years
Accomplishments
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Through the Long Beach Recovery Act
• Launched Nutrition Security Initiatives to increase self- sufficiency to meet nutrition needs
• Expanded older adult case management and outreach services • Expanded peacekeeping and safe passages efforts
• Provide ongoing basic needs referrals
• Hired a mental health coordinator to increase mental
health awareness and provide trauma- and
resiliency-informed training
• Designed Community Crisis Response model
• Launched $3 million Health Equity Fund
Further strengthened services for people experiencing homelessness Accomplishments
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• Serving between 200-250 people per day at the MSC
• Expanded outreach capacities from 4 to 22 team members including the new REACH team, connecting with more than 3,000 people
• Implemented Homeless Court at the MSC in partnership with City Attorney Office
• Partnered with Healthcare in Action (HIA) to conduct
outreach to do street medicine within Long Beach
• Integrated mental health coordination and service at the MSC • Partnered to operate 530 new congregate and non-congregate interim housing beds in the City • Received a $1.5 Million encampment resolution grant from the state to address encampments around MacArthur Park and Mark Twain Library
General Fund
• Additional 3-member REACH Team to expand coverage into evenings and one weekend day
• Two Counselor II positions to expand communications at the call center to support homelessness after normal hours
• Hazardous Materials Specialist I to oversee the Health Department’s response to ensure compliance with the City's comprehensive noise ordinance
• Upgrade a 0.5 FTE Community Program Specialist III to 1.0 FTE Public Health Professional III to lead the Office of Veteran's Affairs
• Moved from one-time to structural the Proactive Homeless Initiative to support City’s interdepartmental work group, including rapid response, clean-ups, and outreach • One time funding for Community Crisis Response (CCR) program FY 23 Focus and Proposed Budget Highlights
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FY 23 Focus and Proposed Budget Highlights
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Measure US
• Continued community-based grants and incentives for youth development -$511,620 • Host Annual Long Beach Youth Festival with Commission of Families and Youth -$25,000 • Upgrade 0.5 FTE Public Health Professional III to 1.0 FTE to lead older adults planning, coordination and services -$76,654
Capital Improvements - $3.6 Million
• Main Health roof and HVAC fix - $1.28 Million: Measure A $0.9 Million: AB-32
• Multi-Service Center roof - $1.33 Million: AB-32
• Main Health Room 250 safety repairs - $0.045 Million:
Measure A
• Multi-Service Center safety repairs - $0.025 Million:
Measure A
Project Total Funding
New 5-Year Infrastructure Plan
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MLK Jr. Park Central Health Facility $500,000
Admiral Kidd Park West Health Facility Improvements $600,000 Main Health Roof/HVAC Improvements $1,280,000
Main Health Critical Facility Improvements $3,000,000
Multi-Service Center Critical Facility Repairs $4,300,000 Total Health & Human Services $ 9,680,000
New Grant Funding for FY 23
Health and Human Services: $10.28M
• CalVIP Safe Communities - $3.92 Million
• Hilton Foundation - $1.50 Million
• First 5LA – Help Me Grow - $0.50 Million
• CDPH Workforce Infrastructure - $2.80 Million
• CalAIM Incentive Payment Program Planning - $0.81 Million • 3 OTS Grants for drug impaired, distracted drivingprevention, ped/bike safety - $0.75 Million
Homelessness: $39.15M
• Homeless Housing Assistance & Prevention (HHAP-3) - $8.5 Million
• Emergency Food and Shelter Program - $0.05 Million
• Project Homekey Round 2 - $30.6 Million
FY 23 Focus and Proposed Budget Highlights
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Challenges
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Funding sustainability
• Identifying funding sources to support Department programs as ongoing funding for most programs is not available and demands continue to increase • COVID, LBRA, CDC, CalVIP and Hilton Foundation are time-limited • General fund dollars are program specific (homelessness, youth and advancing peace) and are not available for the traditional public health programs which are core to our mission • Fund balance depleted in early COVID-19 response; FEMA portion reimbursed is unknown Operational costs not fully covered by grants
• For every Department grant received or new
program managed, overhead costs are incurred that
cannot be covered by the grant and have no
current funding source. Additional funding support will need to be identified to allow for future grant opportunities
Challenges
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Aligning expectations with resources and
capacity
• Expanded funding sources and programs to increase
outreach (e.g., REACH, Outreach, Mental Health,
Community Crisis Response) with insufficient service
capacity to meet current and future need
• Ensuring new policies, programs and requests are
sufficiently resourced
• Hiring and maintaining staff to meet all new
funding requirements
Opportunities
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Recognition and Resources
• Public health has been elevated: The public health approach, science and language is everywhere and continues to show its importance as we continue to address ongoing challenges in our world
• 700+ highly trained and committed Health and Human Services staff for our City • State and federal funding sources to help build public health infrastructureand workforce that has not been previously supported through state andlocal funding
• LBRA and other funding sources allowing for increased services and supports to our community
• Measure A and state funding to address upgrades and repairs across health facilities
• Significantly enhanced State homeless funding for services and housing expansion, including Project Homekey for motel and modular housing
Opportunities
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New Focus Areas
• Mental Health advisory and planning efforts to expand access to mental health services in our future
• Support the design and implementation of climate change adaptation and mitigation strategies and policies to prepare for and manage the health risks of climate change, in a way that promotes equity and environmental justice Partnerships!
• Enhanced community, multi-department, and funder
partnerships and collaboration to address communicable
diseases, respond to emergencies, address homelessness, provide funding to communities and much more
XX Department Proposed Budget Overview
Month Date, 2022
Department of Public Works Proposed Budget Overview
Budget Hearing
August 16, 2022
• Oversee the maintenance and rehabilitation of
the City’s infrastructure including streets,
sidewalks, stormwater, traffic signals, signage,
urban forest, park space, and public facilities.
• Provide services supporting a healthy and
sustainable City environment, including waste
diversion, street sweeping, storm water
management, crossing guard program, and
enhancing livability infrastructure.
• Safely and efficiently design, construct, deliver,
and maintain capital improvement projects.
Core Services
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Department of Public Works
Public Works Organizational Structure
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Maintenance of City Infrastructure
FY 22 Accomplishments
21 • Improved 96 lane miles in arterial and residential street repairs.
• Installed 400 new ADA Compliant Pedestrian Ramps
and repaired $4 million of pedestrian sidewalks.
• Repaired over 40,000 potholes, trimmed 30,000
trees, removed 1,000 tree stumps, and replaced
3,000 traffic signs and street name signs.
• Eliminated 1,270,000 square feet of graffiti.
• Completed construction on 15 significant projects,
which included various parks, playgrounds, facilities,
restrooms, community centers, and waterfront
improvements.
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Clean Team
FY 22 Accomplishments
22 • Responded to over 25,000 reports of illegally dumped items and 38,000 special item pick-up requests.
• Conducted 280 alley clean-ups and 1,280 homeless
encampment cleanups, including 15 cleanups at City
parks.
• Swept 140,000 miles of streets and alleys and collected 9,800 tons of debris.
• Conducted 45 neighborhood clean-ups and collected
over 100 tons of litter.
• Collected over 2,100 tons of litter and illegally dumped items.
• Collected 18,000 mattresses –Approximately 4,100 of
those mattresses were recycled.
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Livability
FY 22 Accomplishments
23 • Increased the size of the City Bikeshare Program
to over 1,400 bikes and 96 hubs.
• Completed installation of 2 miles of bicycle lanes
throughout the City.
• Installed 30 Continental crosswalks, 24
Rectangular Rapid Flashing Beacons, and 16
speed cushions.
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Sustainability
• Collected over 209,000 tons of trash between refuse collection and street sweeping. • Diverted over 32,100 tons of recycling and 1,200 gallons of motor oil from the waste stream.
FY 22 CIP Accomplishments
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FY 22 CIP Accomplishments - Mobility
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Olser Avenue between Hanbury Avenue and Parkcrest Street
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FY 22 CIP Accomplishments - Mobility
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Pacific Avenue between Bixby Rd and Country Club Drive
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FY 22 CIP Accomplishments - Mobility
27 Carson Ave between Clark Ave and City Limits
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FY 22 CIP Accomplishments - Mobility
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SW Gardenia Avenue & 19th Street
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FY 22 CIP Accomplishments - Mobility
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E/W Alley E/O Pine Ave from Pine Ave to Weston Pl
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• Incoming infrastructure funding, both federally and locally, will lead to an increase in the number of projects Public Works administers as well as an increase in the scale of future projects.
Preparation for Increased Infrastructure Funding
FY 23 Focus and Proposed Budget Highlights
30 • Develop a crack seal and slurry seal team to maintain and prolong roadway infrastructure.
Right-of-Way (ROW) Construction Division Creation
Organics Collection
• Enhancement of Environmental Services Bureau to Accommodate AB1826 and SB1383 (Organics) Requirements.
Budget Alignment to Departmental Operations
• Align budget more closely to operations.
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FY 23 – FY 27 Infrastructure Investment Plan
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• Recruiting and retaining a talented and motivated workforce • Availability of industry experts and qualified contractors • New teams require specialized education and training
• Costs of goods and services are rising
• Compliance with the state mandates for organics collection • Unfunded Liabilities
Challenges
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• Five Year Infrastructure Investment
Plan with Measure A Bond
• Crack/Slurry Seal Team
• Revenues returning to pre-COVID levels
• Micro Transit Pilot
• Build on the success of the pilot food
waste program
Opportunities
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Questions
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