AGENDA

PUBLIC SAFETY COMMITTEE FEBRUARY 15, 2017

MEMBERS John J. Kennedy, District 3 Tyron Hampton, District 1 Steve Madison, District 6

STAFF

Steve Mermell, City Manager Valerie Flores, Recording Secretary

MISSION STATEMENT The City of Pasadena is dedicated to delivering exemplary municipal services,

responsive to our entire community and consistent with our history, culture and unique character.

In compliance with the Americans with Disabilities Act of 1990, Assistive Listening Devices are available from the City Clerk’s Office with a 24-hour advance notice.

Please call (626) 744-4124 to request use of a listening device.

Language translation services are available for this meeting by calling (626) 744-4124 at least 24 hours in advance.

Habrá servicio de interpretación disponible para éstas juntas llamando al (626) 744-4124 por lo menos con 24 horas de anticipación.

Public meeting begins at 6:00 p.m. Items on the agenda may not be called in order listed.

Agendas and supporting documents are available on the Internet at

http://ww5.cityofpasadena.net/commissions/city-council-public-safety-committee/

Materials related to an item on this Agenda submitted to the Public Safety Committee after distribution of the agenda packet are available for public inspection in the City Clerk’s Office at 100 N. Garfield

Avenue, Room S-228, Pasadena, during normal business hours.

COPIES OF THIS AGENDA

ARE AVAILABLE FROM THE

NEIGHBORHOOD

INFORMATION SERVICE AT

THE CENTRAL AND ALL

BRANCH LIBRARIES.

NEW BUSINESS

B. Authorization to Enter into a Contract with the Flintridge Center for Parole Reintegration Services*

INFORMATION ITEMS

A. Suicide Data Update* (Powerpoint Presentation) B. Mental Health Services In Pasadena* (Powerpoint Presentation) C. Mobile Food Vending* (Powerpoint Presentation)

ITEM 4.A

Suicide Data Update

Suicide Data Update Public Safety Committee

February 15, 2017 Michael Johnson

Director Pasadena Public Health Department

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Suicide in the United States

• In 2013, suicide was the 10th leading cause of death in the United States

• There is no single cause. Risk factors for suicide include:

> Previous suicide attempt(s) > History of depression or other mental illness > Alcohol or drug abuse > Family history of suicide or violence > Physical illness > Feeling alone

Source: Centers for Disease Control and Prevention (CDC). 2015. Available online at: https://www.cdc.gov/violenceprevention/pdf/suicide_factsheet-a.pdf

Suicide in Pasadena (2006-2016*)

• 177 deaths due to suicide since 2006 in Pasadena. • 5-year Age-adjusted suicide rate is 8.6 per 100,000, lower than

Healthy People 2020 Goal of 10.2 per 100,000. 3 *Data up to October 31, 2016

Suicide in Pasadena (2006-2016*)

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Suicide Method

*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

• Age: > Average: 46 years old > Range: 18-94 years old

• Gender: > Male: 144 deaths > Female: 33 deaths

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♀

*Data up to 10/31/16

Suicide in Pasadena (2006-2016)*

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*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

• Education Level:

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*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

• Compare and Contrast

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White (Non-Hispanic) > 119 deaths, 67% > Ave. Age= 51 years > 81% Male > Method:

Firearm 28% Trauma/Blunt Injury 21% Asphyxia 19% Hanging 14%

White (Hispanic) > 21 deaths, 22% > Ave. Age= 35 years > 88% Male > Method:

Fall/Blunt Trauma 31% Drug Overdose 23% Firearm 15% Asphyxia 15%

*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

• Compare and Contrast

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18-35 yrs., 35% •82% Male •Methods:

> Fall/Blunt Trauma > Hanging > Firearm/Asphyxia

35-50 yrs., 26% •80% Male •Methods:

> Fall/Blunt Trauma > Hanging > Firearm/Asphyxia

51-65 yrs., 24% •83% male •Methods:

> Firearm > Fall/Blunt Trauma / Asphyxia > Drug Overdose

66+ yrs., 15% •78% male •Methods:

> Firearm > Asphyxia > Drug Overdose

*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

• Compare and Contrast

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Male > 144 deaths, 81% > Ave. Age= 47 years > Method:

Firearm Fall/Blunt Injury Asphyxia

Female > 33 deaths, 19% > Ave. Age= 47 years > Method:

Fall/Blunt Injury Drug Overdose Asphyxia

*Data up to 10/31/16

Suicide in Pasadena (2006-2016*)

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*Data up to 10/31/16

Suicide Trends (2006-2015)

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*Data up to December 31, 2015

Suicides in Pasadena

• Colorado Street Bridge > Earned its reputation as ‘suicide bridge’ during the

Great Depression > Since 1919 more than 150 deaths, mostly in the

1930’s

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Suicide in Pasadena (2006-2016*)

14 *Data up to 10/31/16

Colorado Bridge Suicides by Gender

* Average = 2.5/year

Suicide in Pasadena (2006-2016*)

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• Compare and Contrast Colorado Bridge

> 27 deaths > Ave. Age= 40 years > 70% Male > 51% White (Non-Hisp.), 37%

White (Hispanic) > January/July,

Mar./Apr./Sep./Nov.

All Suicides > 177 Deaths > Ave. Age=46 years > 81% Male > 67% White (Non-Hisp.),

18% White (Hispanic) > May

*Data up to 10/31/16

Bridge deaths: Younger, more females, more Hispanic, and evenly throughout the year

Bridge Signage

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Bridge Signage

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Bridge Signage

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Resources

• National Suicide Hotlines: > 1-800-SUICIDE (1-800-784-2433) > 1-800-273-TALK (1-800-273-8255) > Crisis Line (1-888-724-7240) > 1-800-Don’t-Cut (1-800-399-8288) > Didi Hirsch Suicide Prevention Center (877-727-4747) 24 hour line

• CrisisChat.org • Los Angeles Resources:

> LAC Department of Mental Health: 1-800-854-7771 > LAC Suicide Prevention Center: 1-877-7CRISIS (1-877-727-4747)

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Questions?

ITEM 4.B

Mental Health Services In Pasadena

Mental Health Services in Pasadena

Public Safety Committee February 15, 2017

Michael Johnson Director

Pasadena Public Health Department

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Scope of Public Health

• Communicable Disease Control (CD, STDs, HIV)

• Maternal Child and Adolescent Health > Trauma informed care

• Environmental Health

• Public Health Emergency Preparedness

• Health Promotion and Policy Change

• Social and Mental Health Services

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Social and Mental Health Services Division

• HIV/Ryan White Clinics Transition • STD Community Intervention

> HIV Surveillance and Testing • Substance Abuse Prevention and Treatment • Operation Link

> Persons who are homeless and/or with HIV; mental illness and substance use (HRSA- Special Initiatives)

• Mental Health > Project Wrap Around/Systems of Care (SAMHSA Grant) > Hope Team Clinician (AB 109); Community MH Services

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Important Roles in Other City Departments

• Police Department > Hope Teams (3)

• Fire Department > Paramedic Response; data

• Libraries • Housing Services

> Homeless Programs • Human Services and Recreation • Public Works • Transportation

Affordable Care Act

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• Medi-Caid (Medi-Cal) Expansion; all children included 5/2016

• Behavioral Health Integration

• Mental Health Treatment Services

• Substance Abuse Treatment Services

• Challenges for residual population

• Federal changes looming

Mental Health Coordination

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• Access and provider capacity issues – type of program, cultural sensitivity, best practices

• Multiple providers, however limited coordination due to client’s needs

• Client Navigation Services (being considered as a billable under ACA-managed care plans) still not approved

• Mental Health Consortium of San Gabriel Valley

LACo – Dept of Mental Health Severe Mental Illness (refers out for substance use) Inpatient Mental Health Treatment Services DMH- Directly operated facilities and subcontractors DMH - monthly advisory committee meetings

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Other Providers of Mental Health Services in Pasadena Primary Care/Specialty Care Providers - Pacific Clinics, NAMI, Foothill Family Services, D’Veal, CHAPCare, Pasadena Mental Health Educational Systems- PUSD, Fuller, Pacific Oaks, PCC Other (Community Based Programs that support social services and other special populations) 8

Mental Health First Aide Trainings for City Staff May 14, 2016 - Mental Health Fair at Jackie Robinson Community Center June 3, 2016 - Reducing the Impact of Childhood Trauma Conference at Huntington Hospital August 29-30, 2016 – LGBTQI2S Provider Sensitivity Training at Pasadena Convention Center

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Questions?

S. Michael Johnson Director, Department of Public Health

City of Pasadena, 1845 N. Fair Oaks Avenue, Pasadena, CA 91103 P: (626) 744-6166 • F: (626) 744-6113 • E:

michaeljohnson@cityofpasadena.net

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ITEM 4.C

Mobile Food Vending

Mobile Food Vending

Public Safety Committee February 15, 2017

Michael Johnson

Director Pasadena Public Health Department

What is a Mobile Food Facility?

Mobile Food Facility (MFF) o Any vehicle used in conjunction with a commissary or other

permanent food facility upon which food is sold or distributed at retail prices o Includes food carts and food trucks o Does not include wholesale vehicles or delivery vehicles

Commissary o Stores food containers and supplies o Prepares and/or packages food o Wash serving utensils o Service food vehicles

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What is a Mobile Food Facility?

Food Carts 77 Permitted Carts in 2016

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What is a Mobile Food Facility?

Food Trucks 157 Permitted Food Vehicles in 2016

Food Carts – Pasadena Municipal Code (PMC) 8.16

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Approved Locations o Sidewalks – 5 minutes o Public Parks – 4 hours o May not operate in

commercial areas

Additional Requirement

o All pushcart operators are required to undergo a Police Department background investigations

Food Trucks – PMC 10.40.200

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Approved Locations o Residential or Commercial Street

• 8:00AM-6:00PM • Sixty minutes in a single location • Trucks wishing to park longer than 60

minutes on private property must have approval from Zoning

o Special Events • Approved to sell during the hours of

the event • Event organizer invitation is required

School Restrictions – PMC

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Ice cream vehicle vending adjacent to schools is restricted in the PMC o Vending is allowed only during summer months when school is

not in session o Ice cream vehicles are not permitted to sell within 300 feet of

any school o Pasadena has 1 permitted ice cream vehicle

The PMC does not restrict other MFF’s such as pushcarts or produce trucks from vending adjacent to schools

Consideration – Hours of Operation

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Request for food trucks to have extended hours of operation Original hours of operation were designed to:

o Avoid competition with fixed site food facilities catering into the evening hours (restaurants)

o Avoid nuisances in neighborhoods and commercial districts

o Staff recommendation to retain existing hours

o Allowing a food vehicle to operate longer than 60 minutes in a single location does not negatively impact public health. This may be an issue of economics (competition for brick and mortar restaurants) and safety.

Consideration – Healthy Options

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Request to consider requirements for mobile vending to be restricted to sales of healthier food options when selling on City property i.e. parks and community centers and schools

City history of work with mobile food vendors Promotion as business enterprise Support for establishment of commissary Promotion of healthy options

Concern that vendors working on city property specially parks, community centers and close schools should be selling healthier foods options

Innovative mobile vending regulations can promote healthy eating in communities that need it the most. In underserved neighborhoods unlikely to attract a large grocery store, mobile vending is one way to increase access to healthy foods.

Overweight & Obesity

• Access and availability impact consumption of healthy foods, which may contribute to Pasadena’s low daily fruit and vegetable consumption (15.6%) compared to LA County’s (22.1%).

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Ages 2-4

Overweight

Pasadena 17.2% California 16.1%

PUSD Grade

Overweight or Obese

5th 40% 7th 39.7% 9th 36.5%

5th, 7th, and 9th grade overweight or obesity data from the California Department of Education 2014-2015. Childhood obesity is defined as having a gender-specific body mass index (BMI)-for-age ≥ 95th percentile.

Pasadena & California children ages 2-4 overweight data from the Pediatric Nutrition Surveillance 2010 Report.

Consideration – Healthy Options

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Staff recommendation to implement vendor education program requesting a

voluntary compliance of a combination of the city’s Healthy Procurement Policy and/or a consistent messaging campaign such as the California Department of Public Health’s campaign Be Better.

Staff recommendation to consider creation of an exception and allow push cart vendors of healthy food options to stay in place for up to 30 minutes instead of relocating after 5 minutes when they are located close to schools or parks.

Health Department staff can work with vendors of healthy food and provide technical assistance and support for marketing healthier food options. Similar support is already being provided for grocery stores through the Healthy Retail Program and to restaurants through the Restaurant Engagement Program.