2026-11-05 - Homeless Services Gap Analysis Committee

Yeah, we can This is on do not disturb and I'm still getting buzzes. Putting it back in my purse. >> I think this would be helpful Megan, so if you don't mind it. >> Okay, yeah. I just didn't triple

check it, so I'm like Oh, this is citizens advisory. Thank you. Do you have a Well, not on here. For CAC funding? >> Yeah. >> Children's home, Harbor Care. I'm not on here. >> Okay. Well, that's >>

That's why I triple check it. Yes, yeah, yeah. >> Thank you. All right. >> Retract those. Yeah, okay. All right, a meeting of the homeless Excuse me, a meeting of the homeless services gap analysis

committee um is being held today, November 5th at 1:00 p.m. in the aldermanic chamber and duly noticed in two places including the city's website in accordance with the requirements of RSA 9-1-A

{colon} 2 11. I might not have that correct. Do I have that correct? Um let's start um the meeting by taking roll call attendance, please. >> All right. Um let's see uh Alderman Thomas Lopez. I

believe he's just running late. Uh Latanya Musioli. Megan Karen. >> Here. >> Uh Bobby Bagley. Online. Tonya Nicely. >> Here. >> And, um, Alderman at Large Latasha Gray is here and Jane Goodman. Here.

So, we have two. We have five. We have quorum. All right, so we have a quorum. We have, um, Tom on his way and Latanya absent. Um, so I did want to, um, say that this meeting is closed to public

comment, but we will give you an email at the end of the meeting if you have some things that you'd like to add. Um, and the reason being we are closed to public comment is that we are still getting

started and getting our processes in place. So, we welcome your comment online, um, and, um, our clerk here will give you that email at the end of the meeting. Um, so our first order of business for

this group is just a housekeeping, uh, thing. Uh, we noted that our meetings are always Thursday at 1:00 p.m. for consistency and making sure that people know when they are. However, Thursday also

happens to be a holiday, um, that kind of repeats itself three times. So, um, we have a proposal that we move, um, the 11/26 meeting to Tuesday 11/24. The 12/24 even though a lot of people work, a lot

of people will be off to 12/22. And the 12/31, which is New Year's Eve, again, some people do work, but out of respect for many that take that day off, we would move that to Tuesday 12/29. >> And then

I'll make the motion. >> And can we have a motion to accept those dates of change? >> Yes, I'd like to make a motion to accept the schedule. >> What? Oh. I'd like to >> I move the motion to accept. >>

Okay. Oh, I have a thing. I have a script, but thank you. I guess we could do that. She can just So, it's to accept the scheduled meeting dates to be held in the Aldermanic Chamber. Except as stated,

all other meetings will take place every Thursday at 1:00 p.m. in the chamber. And then we vote. Okay. Any discussion? >> Mhm. >> So, all those in favor Do I do that? Okay. All those in favor? >> I.

>> I. >> I. >> And any any opposed? All right. So moved. I learned that last week. Um all right. I I have this but where's the agenda in front of me? Oh, here we are. Sorry. Um this is my first real

um meeting so bear with me. Um >> Jane, you're doing great. >> Thank you. Thank you. Um so, what I wanted to discuss first um all of you have a pile of data in front of you. Um this is all the data

that was sent to us by different committee members. Um and what I would call all of this is the data that we know of around homelessness, um the pit count, those kind of examples. Um and what I want

to do is rather than go through this data because we need to really offline collate this data and make more sense of it uh in a logical way. Um but we also need to complement this data. And when I say

complement this data is, you know, beyond the basic numbers of what who is experiencing homelessness or who is in shelter, we need to really better understand how this issue affects the system around

us. So, there's other data that I would like to um pull or have pulled. Um and I obviously need some help with that. So, I have a list. It's not exhaustive. Um so, um please chime in after we go

through the list if there's something that's missing. Oh. >> Oh, I'm sorry. I just realized the agenda is not the packet. I'm just going to pass it out. Sorry. >> Oh, so it was here. Okay, great. I'm

not crazy. >> No, no, no. You're not crazy. Just me. So, you're talking about this list here. >> Yes. So, I just want to make sure that I have that. >> Great. Um can I just have a ask a clarifying

question real quick? So, when you say on here the missing resources, what data are you actually looking for from each of these places? Like specifically, are um like their the number of homeless

individuals that they they interact with or or unique cases or what are we looking for? >> we're looking for we're Well, I think that's something that we need to specify in this meeting as well

because there are a lot of data points that we don't need. Um but, we can be very specific. So, let's start with 211 referrals, for example. They gave an amazing uh presentation at the COC meeting. Um

and so, I've reached out to them already. So, I I will claim that one. Um for the regional data for Nashua, um the majority of their calls are for homelessness services. So, we'll get that national

level data and where the referrals were made and if they have any follow-up on that. So, I will get that. Um but, before we go on, I think it's really important there's a time lag in data that we see.

Even when we see the PIT count, it's really like we're behind. So, I want us all to be clear about what data we want and for how many years. And do we want to just be in the here and now and get the

last 2 years, if possible? Hold on. Or do we want to go back 3 years? Um I don't want to be um because we have this time lag, it's very hard to say, "Oh, we have data from 2024." Um so, any opinions

on that? >> Just um being a part of the COC, uh the way that the um the PIT count runs, we are actually getting the most updated version even though it seems like it's old because it takes that much

amount of time, I guess, to get the the number, if that makes sense. >> All right. And um Director Bagley, you have a um comment? >> Yes, thank you. So, I would um with the hit the point-in-time data,

because of the time of year that we actually collect the data, it's usually an undercount. So, although it does allow for us to see at that particular point in time where people stayed the night

before, because it's done in January, it's an undercount. So, we typically will do a mid-year count that's not a part of the COC counts. I would say that we also look at including some of that data as

well. If we're going to look at a point in time doing it half year so that we can collect information on individuals that are up warmer weather. >> All right. So, >> be a little bit more accurate. >>

All right. So, um I do want to uh put around this some brackets of what years we are looking at. So, for example, um McCarran, you brought in some data. If we could have that perhaps for um '24, '25,

and '26, if possible. Um so, is that possible? Um is that reasonable? Cuz then I if when I ask 211, I'm going to ask for that historical data, but not much further back. >> Um definitely doable. I

think because so, the um chart that I had created and then quickly um retracted because we were missing the soup kitchen. Um I basically the it's just a snapshot, but I organized it by I'll say like

live dollars. So, currently in this fiscal year, what have we budgeted or what is still um available. So, for example, um federal home ARP funding that was allocated in 2025, I believe, but it's still

available for um organizations. Um so, we can definitely I mean, now that I think about it, um, I think it it could be good to show, um, just on the city's, um, city side because we have added a lot

of staff in public health, for example. Yeah, so >> Yes, so I think that if we just let's put some parentheses around it, we're looking for a '24, '25, and '26 for these other sources. Just we have a

little bit of trend, but we're also in the here and now. Um, because taking a look back 5 years, it's not really going to help us right now. So, um, even though there is a time lag, we can include

the, um, mid-year um, point-in-time count that public health does and those kind of things. So, um, next um, so 211 is already I I've claimed that. Um, the second one suggested was Department of

Public Works. Um, and um, Alder [clears throat] Alderwoman Greg on my left here has claimed that and that is how many cleanups they have done. What has been the systemic expense? Um, and we will get

that data as well. >> Really quick, I just wanted to acknowledge that, um, member Latanya Mosley arrived at 1:09 and Alderman Thomas Lopez arrived at, uh, 1:10. >> Thank you. >> in attendance. >> Um,

the next set of data we talked about was fire and EMS. We could, um, we always have pretty good access to overdose information. Um, is that something that people feel is relevant, um, to gather? >>

Um, Latanya. >> Um, I see Dr. Bagley's on Zoom. I'm not sure. I know that there was a, um, like fatality review committee and the mayor's opioid task force is already reviewing that data. So, I mean,

it should be easy to get, but I don't know if we need to do a deep dive into it because it would be a little duplicative. >> Yeah, so I would just add it to the contacts. We're just trying to get some

context around um, we have basic unhoused data. We're just trying to add some systems context to that as well with these additional data sources. Um, Alderman Lopez. >> Um, I think it'd be useful

because we would be talking about correlation, not causation, which is important to remember, but we do hear from the public a lot, "Oh, everybody who's homeless must be on drugs." Like like that's

the only reason. Like it's not medical debt or any of the other number of things. So, understanding what our community is going through is important. Um the opioid deaths basically is the top tip of

the pyramid where you kind of see this is where, you know, things have gone. But these are also people known to the the unsheltered community in many cases, and this is a crisis that we've seen in the

past. It's had gross effects on our um our city. So, the data would be helpful just for identifying the context in the same way that if we had a a list of number of people evicted from the city, we'd

want to know that information even though they're not all going to be unsheltered. >> All right. So, um, um, Director Bagley. >> Yes, thank you. Uh, so we do get some of this um EMS or AMR data when

we do the make task force, so that data is collected and it shows the number of individuals that have overdosed and even fatalities listed by different categories, which homelessness is one category.

So, we can actually get that. So, we have a source for that. So, I can take that. >> Okay, thank you. >> Um, I would also >> Go ahead. Sorry. >> I would also, um, you know, add to the fact that with

some of the, um, other calls with the fire response, they will also, uh calls were made to individuals that were unhoused. So, we can look at getting that data from the Division of Public Health and

Community Services from those two entities. >> All right. Well, thank you. Um, and then as far as the National Police Department data, is there relevant Oh, I have I'll take that one. >> Um, and what

are you going to be finding? >> So, I think this is super relevant. I want to know kind of what calls they're I think it'd be important to know what calls they're having, um, out there right now and

because there is the camping ban enacted, I want to kind of see where they are with, um, unhoused individuals in the city right now and kind of the number that they're seeing because it it it's trying

to see like what the connection point is with all that where you know kind of I guess they don't have to say where they're seeing them but it would be helpful to have more information because they're

all over the city. >> Okay, Latanya Musiolli. >> Um I do think with collecting that data it would be helpful to have just some kind of context around the type of calls they're receiving. So for

example um I know that when we were here last year discussing the camping ordinance there was a lot of mention about a domestic violence situation that occurred at one of the encampments. However,

that's something that also occurs frequently throughout the community. So I just want to make sure that we're not just looking at okay they're responding to calls for aggressive incidents and it's

getting escalated to be perceived as like okay people who are unhoused are more dangerous than an average you know somebody else. Uh so I just want to be sure that we collect that context. >> Right.

Yeah. >> not just calls too. It's interactions, right? Because they're talking to people who are yeah. >> cuz there's also interactions that the police have with people who aren't unhoused that are

aggressive. So I just we got to be really careful with this type of data. So I just want to put that up there. >> that and so I think that's like the specific specificity that you have to give to NPD

when you're collecting that information. >> Yep. >> Um because we're not looking for you know like you said we don't want to go too we don't want to make the problem bigger than it is. >> I can see

the headlines now. That makes sense. >> Noted. >> Um Alderman Lopez. >> Um would it be an idea if we're asking the police for data to also and I I understand how sensitive this might be ask them to

give us a general overview of procedures and resources because police are in the first responder tree. So when people call and they're in crisis or they're in emergency the police will respond as

well. So when we're looking at homeless services gaps the police are a service provider. So they're the one somebody asks when they say I have an emergency I don't know where to go. >> Yeah, so >>

sure they have resources. >> So I think um absolutely but that's the second part of this discussion because we will be having them in all of these agencies in to provide context to the data that we've

already looked at. Um, all right, hospital data. Um, we talked um, briefly about um, do we look at um, emergency room admissions? Is there some way to collect some of that? Um, Director Bagley, I know

that you had some concern about being able to obtain that data. Um, what do we think was is within our reach to um, obtain that? Or what points? Go ahead. Director Bagley. >> Yeah, so the again, going

back to context. And so our charge is identifying um, you know, where we have the gaps with regard to homelessness and services. And so with the hospital data, so what specifically are we looking for

when we say hospital data? Are we looking at the number of individuals that are identified as unhoused that come in for services? Um, you know, if so, how does that data impact what we're trying to

do? Are we looking for charge data? So I guess it's looking at the context of what exactly do we want from the hospitals that will meet the need of this gap analysis survey. >> Um, yeah. >> LaTonya.

>> LaTonya. LaTonya. >> And well, who who's that? Your names are very similar, but different. >> Uh, I I have I have um, been in contact with um, human beings from St. Joe's and from Southern New

Hampshire Services and I've talked with some of the um, emergency room staff and knowing if that person is um, homeless or not is not something that they collect right now. They do know that it does

happen, but they don't have anything right now that it collects that or differentiates a homeless person from any other person coming in and spending the night. >> Unless they they may have that data

if they're inpatient though because they cannot discharge them in theory. >> In theory. >> No, they cannot. Directly Wait, let's go back Latonya, please. >> I was just going to say I think I've seen

discharge paperwork and there's an ICD-10 code for homelessness. So I do think that it is being tracked to some extent through some of the hospitals if they're diagnosing people like using that

diagnostic code. So I wonder if we could just tap the hospitals to ask, you know, how many people are you seeing within the past 3 years that have that ICD-10 code? And then similarly I know sometimes

too we'll see folks getting stuck on like the behavioral health unit. So maybe we can tap the behavioral health units for some of this data as well because I know they have struggled to discharge some

of their patients that don't have a a set location to go to. >> Alderman Lopez. >> This is getting a little more esoteric but it may be possible for hospitals to give us an idea of who they discharge

but have to provide transportation for like a voucher. It also may be helpful to see if there are people who have initiated an emergency room treatment but then didn't complete it. They left before it

was it was done because that won't necessarily be a this is definitely homeless people but it may be people who came in for something but then ultimately didn't stay because it wasn't an ongoing

issue. >> All right, so I want to I'm just going to say esoteric is good and I understand where you're coming from but we have 90 days. So if we have a chance if that's okay with you like we're going

to let's focus on this ICD-9 ICD excuse me 10 used to be nine code because I think that what you're saying Alderman Lopez has a lot of merit. I just think it has a lot of implications a reading into

the data that we can't necessarily assume just like the police reports. We can't always assume that they're violent. So I think if we can adjust and I think it's going to be difficult enough to get

this data from the hospitals without it being um I don't know if they if they code for transportation we can find out. >> We could also ask if if I'm involved. Um we could also ask nonprofits that

might bring them or residential programs that might make a referral that know but also you know know that that person went to the hospital and then didn't come out the other side. >> Sure and we can

do that through the agency data that we collect as well. So that's a good point. Director Bagley I see your hand up or is it just not taken down? >> No, >> [clears throat] >> no it's a new hand up. >>

Oh, okay. >> Um so with hospital yeah, so when folks do go to the ED or into the hospital there is a a spot to ask for an address and so if there is no address then they do put no known address there.

Um there is a way to collect the data again we have to give them a scope and a range of like why what we're looking for with regards to that and then releasing that data. >> Okay and then is there

someone that can work with the hospitals to to obtain that data willing to do that? >> Sure we Yeah, we can. We have a relationship with both the hospitals. Yeah. >> All right, thank you. And then we

have a I'm I'm going to take off the library cuz I don't think they necessarily collect data on who's coming in. >> Yeah, I think they might be good to talk to when we're having conversations but not

necessarily >> Right. They're not tracking this person comes in and they're yes. Um downtown businesses again I think that's more of a conversation a conversation. Um the New Hampshire Drug Court I

thought might I was just you know spitballing but if they may have some information about who they're working with and um if they are housed or unhoused. Um I don't know what people think of that. It

might be too much of a stretch. Latanya >> No, I think you're on track there with that, Jane. Uh I also don't know the relationship between drug court and the community housing program. So, there is

that community housing program that has funding to house folks that are leaving a justice involved situation. So, we should track that or try to tap them. I think it's the It might be the probation

office in Nashua that that works with those folks. Um But, they're able to kind of talk through, "Okay, we're providing this funding for folks that are transitioning back into the community, but they

don't have a permanent place to live." >> Okay. Anyone willing to get that data? Director Bagley, I see your hand up. >> Uh yes, so there that data is collected through the community housing program.

Latanya, they usually get referrals from the New Hampshire drug court. Revive Recovery is also an organization that's directly working with the drug court, especially for the Nashua piece of that. So,

we public health can work with them to get that information. And we just had a presentation from the housing program at the Opioid Abatement Commission, and so they do collect that data as well. >>

Okay. >> So, we can get that. >> Okay. So, the next one is also for you. Oh, I'm sorry. Alderman Lopez. >> I just want to add on. The mental health court program, is that connected to the drug court

cuz they are different? Um and will we be able to get data from them as well? To Director Bagley, I guess. >> I don't have an answer. Latanya? >> So, there's a group that meets >> So >> There's a

group that meets monthly. I don't know if anyone from public health is attending now. I used to attend, but it was a group that would focus on Hillsborough County South and North. And they it was drug

court and mental health court, and they would provide like quarterly updates. Greater Nashua Mental Health was the lead on that. >> All right. So, I can I can contact Greater Nashua Mental Health for

that. I'll take that one. Because I don't want public health to have too many things because you already have a lot even though some of it's at your fingertips because the next one is city welfare. I

would like to encounters and what they're seeing as well. I'm sure that they um track all of their encounters and who who is coming to them for assistance with eviction and those kind of things. So um

Latonya, sorry. >> Um in terms of city welfare, I do know they work closely as well with the financial assistance network and our team at Family Promise is directly involved. So I can try to pull data

from the fan because sometimes folks that may not be eligible for assistance can get assistance through the fan and we often see folks that are struggling with housing instability. >> Okay, great. So

we're adding a line here to fan data and that's Latonya and then city welfare. I'm just going to I'm going to look back to public health to to grab that data to just grab it. Um and then our last

thing which is not necessarily going to be quantitative is the lived experience data which um we'll just have a brief discussion about. I think it is better obtained through listening sessions um

versus trying to do surveys and things. A lot of times there's a little bit of distrust in doing those surveys. I know that our own um outreach folks did a small survey and we can pull that data but

it was very difficult to administer. So I think if we can get um a group together and do some listening sessions, I think that would be our best um bet and comments? Tony? >> I was wondering do we

already have a list of specific questions that you want to ask? >> coming. We're coming We're coming to that. >> Okay, cuz >> Yeah. >> Uh Alderman >> Alderman Lopez. >> Um I think listening sessions

would be a good idea. I know we're pressed for time but I also know that this is when people are you know who are unsheltered are need to be heard the most. >> Absolutely. >> When we looked at the

feasibility study that is, you know, underway for the resource center, when they did a a listening session, it was labeled and advertised in a way that wasn't necessarily understood by the community.

So, it had very low turnout of that population. It was cited in the continuum of care that it was well attended, but it wasn't necessarily by the population that we want. So, we should have listening

sessions, but we should also specifically focus them on when people are able to speak. >> Understood. >> Alderman Craig. >> Um thank you. I think that'll that'll be a really important point. I also um

want to make sure that we're um protecting, you know, their privacy if they'd like that, too. If there's a way for them to give input, or maybe that's not recorded. I don't know how people feel about

that. Um if is that important to have those conversations recorded? Do we have to only have people that want to be recorded, or is this part of that that maybe we would not have it on, you know, Zoom

or recorded? Because some people might not feel comfortable They might want to talk, but they don't feel comfortable, you know, being on YouTube or whatever. >> We're not going to record sessions. We

will transcribe them, but we will not record them, and they will be in person. They won't be on Zoom. There's I'm not going to do that to people. That's not fair. So. >> Um I'm just I'm I'm wondering

cuz I have the concern about a um a community conversation also about how it's advertised, and whether we actually have human beings that are homeless that get there. So, I'm wondering if on top of

the a feasibility or community conversation, maybe we could have a few of us or connect with some of the outreach people who are already out in the community to have them asking the same questions >>

Absolutely. >> So, there's two ways to to go about this. There's the um kind of what for lack of better words focus group kind of listening session with um some unhoused um people who are or with

lived experience. So, that's one way to do it, or as you just suggested an in-depth interview with several of them. But yes, consistency in the questions will be paramount, but we're not going to get

to the those questions today. But yes, Director Bagley and then we're going to move on to our work plan cuz I got 32 minutes. >> Yes, I was just going to offer one of the processes or ways that we've

been able to get those kinds of conversations done are through a process that we call intentional social interactions, which is where we bring people to a table around food and ask questions and have

conversations. It's not a focus group because it's not that organized, but it is a way to for people to be able to have conversations and not feel like they're in a fishbowl, but it's gathering around

to have these conversations and they are focused around certain questions so we can be intentional about the questions, but you make the group as less intimidating by making it sort of sort of

general. So we I've had those types of opportunities. We did try to do that for the feasibility study. There was not enough time as far as getting the information out. The communication is really

important to get people to come to those types of events, but we have had some success with those in the past and we can offer that as an opportunity. >> So I also want to point out that we have two

opportunities to connect with folks. I'm willing to have our outreach workers host a group. It doesn't have We're not hosting it, but they can recruit for this. They're they're very good at this. They

have trust within the population. So happy to do that in the dining room of the soup kitchen, the back family room where it's a little bit more private. And also I know that we have the resource

center up and running so that might be another place where we can just without making this we don't need to advertise this is what I'm trying to say. You know, cuz that again creates the discomfort.

So um think we have ways to access that. So, um we will schedule those um after we get through the next piece of this, which is looking at the work plan. So, if any Does anyone have any more data that

they want collected that is not on this list? Alderman Gregg? >> I don't, but I want to know do you want you want this for next the next meeting or when do you want this data for? >> I I think that's

not realistic to say that you can have it in a week. Um I would just say what as we gather it, um we're going to try to make sense of what we have right now, and then we'll as it comes in, we will add

it to our to get our a more complete picture. So, I'm not going to rush cuz it's not realistic that we have it in a week, but for example, um if we can have it within the next month, so that we're

adding it to our picture. So, as we're get continuing to have more of our qualitative sessions and talk to agencies, we're still gathering and filling in that information. But, this is to me seems

like a little bit more of an efficient way to do it. So, we're we're working on it. We're kind of doing a both and. Um all right. So, if we can Oh, Latanya? >> Sorry. Um I'm just kind of flipping

through this packet now. Um I know that we mentioned system performance measures from the COC. Are we looking to collect I know that um our measurement and learning committee and data committee are

already collecting specific organization-level data. I think that's important because I know we have limited transitional housing and shelter, but I think it's important for us to be looking at the

performance of each of those individual organizations. I can say that we provide transitional housing and and move families on, but the data's going to show me how many families are moving on to

permanent safe housing destinations, um and really just look at the quality of the services we're providing. >> So, would you pull that from HMIS or >> Yeah, that can be pulled from HMIS because they

track like exits to permanent housing. It'll track exits back into homelessness. Um so, I think we do need to be looking at that as a community because while I appreciate that we're going to have a

number of organizations come in and present what they do, the data will kind of back up what that is. >> So, also that presentation that was given by Measurement and Learning it should be in this

packet. So, some of that data is that system level COC data should be in the packet. I did send that to Jess. >> Yeah, I'm not seeing like all of the specifics um, cuz I'm happy to share what we have

um, because that'll show me also where we can improve um, when we look at closely at all of that. >> All right. So, is that something we should be working with ICA on or >> Yeah, I can take the lead

on that. >> Can you do that? That would be great. Thank you, LaTonya. >> And Bobby Skinner. >> And Bobby, Director Bagley. >> Uh, yes. And can I just propose that instead of trying to collect all the

data to present that once that we do it over a phased period because there's some of this data that we do have readily readily readily access to. Um, and so and then give us a a deadline for for like

all of it to be collected like within the in the next 30 to 45 30 to I would say. Um, but there's some data chain that we should have accessibility to that we could present that earlier. So, can I

suggest we have a phased phased approach with the data presentation rather than trying to present all the data at once? >> Yes, so one thing if we go ahead and look at this work plan is that my

feeling is that we spend the first 10 minutes of each meeting go reviewing some of the data that we have in or 15 minutes and we leave the remainder 45 to discuss and have questions with our agencies

that we've asked to attend that day. So, it's getting the we're putting the cart a little bit in front of the horse, but I do agree with that Director Bagley that we would be looking at the data as it

comes in and just if there's anything new we reserve some of that time at each of these meetings because it also helps us fill out our own picture of what's going on. Um, so we'll we'll compile what

we have so far and then as these pieces come in, we'll be able to reserve some time at each meeting and then we will have I would say 45 days is probably realistic that everything should be in by

then, but if it comes in before then, absolutely let's take some time at the beginning of each of these sessions to review that so that we're all on the same page. Does that sound like a plan for

folks? All right, so I'm just going to we have very little time to go through this work plan. Um, I want to just [clears throat] this is our approach. Um, I do want to um have us vote on it at the end

that we agree to it. Uh, it says draft. Um, but the committee takes one service domain per meeting. Um, so the 90 days produce four comparable domain findings plus a picture of what the rest of the

city sees. So, what we're looking at is that we're going to have the same questions within each category so we're collecting data the same way just like having the same questions within each category.

Um, I think I'd like to do this through um prior to having any agencies come in um sending them out a Google form, a survey. This is what we want to hear from you and so that if they are not able to

come in and present to us, at least we have a baseline of some of the major issues they're handling. And so we're going to ask questions not only about the services they provide and what they do, but

what is their biggest challenge and I don't want to hear funding as an answer because we all know that that's a challenge and that's cheating. So, um so I would suggest um that we have those

standardized questions and that they go out a week ahead to whoever we've asked to come in. Um, so first we receive those, we bring folks in from those agencies that have filled out their forms, um,

give them the opportunity to answer questions that we may have having received their information. Um, we're not going to have presentations. We won't have time for um, you know, six PowerPoints. So,

we're just going to um, try to do it this way, like how people um, fill out their answers first and then we'll have some question and answer. Um, Director Bagley, do you have a comment? >> I just have

a question. So, um, it says four domains. So, what are the specifics? Can we list those out in our first search four domains? >> Yeah, so I'm going to go through the chart and then you'll see where

they come. >> I think we should probably get through that first. >> Oh, so can we go through the chart first? So, this may not be in perfect order. So, um, so, um, other things that we talked about is

that so data before testimony as in data from the agency before they're telling us what's going on and lived experiences evidence. We are going to we've just discussed that. So, I'm not going to

belabor that right now. Um, again, the list here is the data to pull first. We've just had that discussion. It's just repeated here on our work plan. Um, any additions that we just made, um, HMIS and

we will be I will add those to update this work plan. So, we are on session two right now. So, um, week two, boy, time flies when you're having fun. Um, what the city already knows and um, we've

talked about um, this. So, we're on week two. So, let's talk about um, the categories that we have here. So, we have emergency shelter. So, is that sending out to agencies that provide emergency

shelter? So, that would be our and if anyone's missing from this list, this is where I really need folks to pay attention. So, the Nashua Soup Kitchen and Shelter, Southern New Hampshire Rescue

Mission, which includes Mercy House and Hope Center, Bridges, um, and then something about the emer- uh, the Elm Street Warming Station. Um, because although that's not shelter per se, overnight

shelter, it is shelter um from the elements. >> Mhm. The second group category, mental health and substance um use. Um I would say mental health and behavioral health. I'm going to actually make that

change. Uh So, greater that would include Greater Nashua mental health, including mobile crisis, Harbor Care and Keystone Hall, Revive Recovery, Saint Joseph Hospital, Southern New Hampshire Medical

Center. This is stuff we've just discussed. Um Wanderlust Therapeutics, 988, Lamprey Healthcare. Um unhoused encounter data, Latanya. >> Um I just wanted to add that the doorways that might be listed

under Southern New Hampshire Medical Center, but that's our our primary uh point to get folks in. Um and then I'm a little concerned that we don't have any sober housing providers listed. I think that

we really need to look at the pipeline for folks entering sober housing in our community and ending up unhoused because they get kicked out of those programs. Um during my time at the city, we saw a

number of folks coming to the warming station that had been exited from sober housing. So, I think that that's a huge piece we need to look at. >> So, I'm wondering if that could fit under housing

pathways. Uh >> You think? >> I think it needs its own week to be honest with you. We have like probably I don't want to throw out a number, but so I looked at the registry of um certified sober

housing units in Nashua. Um there's a lot more that aren't registered. So, I think we need to work with community development to pull some data. Um maybe they have permitting data or other things to

really try to understand how many of these organizations exist in Nashua. Um I found that during my time looking into this, um there's a lot of lower level sober housing that doesn't provide the case

management and really the the supports that they need. Um and we were able to see a lot of folks um unfortunately not being successful in the programs because they didn't have someone helping them

apply for Medicaid benefits, for housing, for jobs, or other things like that. Um so, a lot of those folks are falling through the cracks. >> So, either we have to merge it with something or cuz I

don't know, we might run out of weeks, but I agree with you. It's a it's a huge issue and even the data that was sent, I believe you sent it about the registered sober housing, it's one agency and

it's only eight houses and I know that there's an excess of 20 to 30 sober housing units. >> Correct. I think while I appreciate the work plan, if substance use is a big issue, which it seems to be

being brought up by police and other folks regarding homelessness in Nashua, we might need to look at more than one week of it. I think combining mental health and substance use, we know that again,

there could be co-occurring disorders there, but it doesn't necessarily mean one leads to the other. Um you know, I think we see outreach, but a lot of the outreach providers are also providing

housing pathways or emergency shelter. Um so, maybe we can merge another group, but I do think that this is a large enough area. I I'm going to push back a little bit. I think we need to look at um

substance use a little bit more. >> So, how about we in subs- we break out mental health and substance use disorder and in substance use disorder, we have a section for sober housing. >> Yeah. >> And

then um >> And respite, yeah. >> And and respite. >> Mhm. >> Okay, so that will be helpful. Um Uh Meg Meg Karen. >> Um >> That's the first hand I saw. >> I think So, looking at this, one question I

have um is there and I think this would probably be something we would pull across the data once we have it, but um where folks are are coming from. So, uh Latonya's comment about um individuals being

kicked out of sober housing and then entering homelessness, um I think that some of the community health workers when they were interacting with folks on the street, are finding that um individuals

are here for a specific reason and you always are you know, you hear these things, oh if we provide these services and they're going to come from here. So, um I don't know if if that would be useful.

Um but I sorry, I'm just kind of like spitballing here. I'm not sure. >> So, to your point um Megan, we do track it like Jane, I know you guys track it too in HMIS. So, when we have people coming into

our programs, um if they're already in the system, we can pull to see where they came from. I think the problem is a lot of people that do end up going into sober housing, sometimes they're not in

HMIS and then they're getting um identified through street outreach or entering a program. Um but usually we ask that question when we enter them into HMIS, so we should be able to pull it. >> It's

actually number seven on the questions that we're going to be giving out to everybody. So, some of this is already covered. So, maybe if we get through >> Okay, so let's um >> It's question number

seven that we're going to be sending out to everybody. >> Okay, so anyone else Can anyone else have their comment held or do you want to speak? Bobby, um Director Bagley. >> Um yeah, I just flowing

with where you guys are all talking cuz you guys some of you guys have seen stuff that we're not seeing, I guess. Um but I was just going to say I agree that the um piece key here with the mental

health and substance use, um you know, if it's combined, it is going to need more time because with the mental health piece, some of the older adults that we're starting to see have issues with uh

becoming unhoused, they may not have substance use disorder, but they may be going through dementia or have some other um issue and mental health becomes a part of that, but then it also leads to

their being out um you know, you know, on Main Street. >> Mhm. >> Just getting them into shelters and then I will also agree sober housing because it's housing, they're not going to be in HMIS cuz

they're not on house until they dealt, right? And so >> [laughter] >> uh you know, where do we pull all of that or put that into um one of these one of these uh or or five that we have here um is

going to be really important cuz that's a big part of the conversation, the sober housing units, some of the things that we're seeing with Laura Del Rosario become unhoused. Um and so I think a lot of

a couple of meetings may be spent on that since the meetings are only an hour long. >> So um I would like to add >> to interrupt. >> Okay. I'm sorry. I thought um I I do want to add to that about the

sober housing because I can have our outreach workers pull from um HMIS cuz we have a specific outreach section. Um cuz I will say that those are a lot of the um clients that we do see at the soup

kitchen um because and they also come when they're settling into sober housing, they come for services, for food and that kind of thing. Um so they know where to find us if they do get exited from

sober housing. So that is another data point that we can pull. So I'll be happy to um get that as well to kind of bolster some of that because I'm not sure that we're going to get someone who runs a

sober housing to actually come here. I just honest honest Abe. >> I can try. >> We might be >> Okay. >> be able to >> Okay, Latonya's on that one. >> Yeah. >> Okay. >> [clears throat] >> We we see a

lot of um requests for assistance, financial assistance through the fan um through our eviction prevention program from sober housing because it people are very unstable living there. >> Okay, that's

great. Thank you. Uh I'm just going to move through this. We might have to let's just keep going if you don't mind. >> have a really like if we wanted to do something about the about I have a story

about a specific individual that was going through with the sober houses and stuff that actually passed away because of not being placed, so. >> Okay. Yeah, so um >> Literally died. >> Oh, I'm sorry

to hear that. Um housing Okay, so I'm just going to go through this and then at the very end we can consolidate something make more time for others because some of them may be a bit redundant but it's

a first crack and you know you got to try. So housing pathways so those are the folks in the agencies that are providing actual housing Harbor Care Front Door Marguerite's Southern New Hampshire

Services Nashua Housing and Redevelopment Authority. New Hampshire Housing Finance Authority that's the same thing. Oh no that's Nifflin excuse me. Gateways Family Promise of Southern New Hampshire.

And someone was mentioned like can we get some landlords or people that actually rent to people with Section 8 housing so we can work on that. I don't know if anyone has any connections to that.

Alderman Lopez. >> I do have some connections but I also think that there are some niche groups particularly in senior housing that don't have vouchers per se. They're in specific population programs

and we might want to reach out to some of them too. I know we've had a woman from Mary Sweeney Home come up pretty regularly and talk about how her process went and that may be a gap where there's no

navigation when someone leaves a program like that. >> Oh thank you. I will add Mary Sweeney to the list. Thank you. They're right next door and yet we overlooked them. So All right so I'm going to

keep going for the sake of time outreach and navigation public health community health workers of course Harbor Care homeless outreach and Veterans First. Harbor Care I don't know how much outreach

they're doing right now so I'm going to take them off the list. I think they would like to have more outreach but I don't think that they have it currently. They do have veterans outreach. >> Just as

a point maybe put them on the landlords part. >> Okay they're under housing pathways so that >> Okay cuz they mean they're probably the biggest voucher placement. >> Yep. All right so we have greater

national mental excuse me. Yes. >> I was just going to say so please don't take them off because they have started another program. It's just a pilot right now where they are actually going in um of

some of their clients to provide some services. So, if we could keep them on until we learn a little bit more about what kind of data they collect, I wouldn't want to miss that opportunity. >> Okay,

thank you. Thank you for that point. Outreach uh we have McKinney-Vento, which is a little different than this, but um we do need their data. Uh Front Door Agency with their youth program. And I added

back on um we have two outreach workers at the Nashua Soup Kitchen, so um we can absolutely include them. And um that may be just a data only because they don't need to come before this committee. I

Um next, City Systems and Community Impact. So, this is where we have our agencies we've uh briefly discussed gathering their data, having someone from Nashua Police, Fire, Parking Enforcement, Public

Works. Um we have Parking Enforcement because we know that there are a lot of people sleeping in cars. So, um if we can get any kind of data from that as well. Um Nashua Public Library, the Humane

Society for Greater Nashua and Animal Control, a downtown business representative, Hillsborough County Corrections Reentry, and the New Hampshire Drug Court. So, those are the data points that we've

suggested. We can go out and survey them, ask them what their challenges are, help us fill out the data picture, and give them an opportunity to come in and speak to us. >> Um when you put downtown

business representative, would it be an idea to just bring the chair of the Downtown Improvement Committee cuz she can represent all the businesses that >> That's Alyssa. >> Um maybe I thought it was

Mary Lou. >> Well, Mary >> it's Alyssa. They might They might have changed their name. >> Oh, I thought downtown was Mary Lou. >> Mary Lou Mary Lou Blazedale on Main Street. >> But whoever it is, they

meet regularly as a group, so she'd be able to represent them. >> All right, thank you. I'm going to keep moving, guys. Um Like what's focused? Oh, oh >> that's her. I'm sorry. I'm losing my mind

here. Okay. Week eight, woohoo, moving on. Lived experience listening session. Again, I think that we have to do this lived experience listening session offline, so this will make room for our second

um our second um breaking out um behavioral health and mental health. So, I'm going to take that off because I don't think that we can do within an hour have a listening session, which is certainly

not going to be public. Um and then we get to week nine um uh weeks 10 and 11 we're really going to start reviewing the data together. Um some of this again, we will probably have to have some extra

Zoom meetings, some in between um crash meetings, and then we will assemble a report. Wow, it sounds so easy on paper. >> No, that doesn't answer my >> Um questions. >> So, yeah. So, um hold on 1

second, Latonya. >> Um yeah, I just have a question. Um why would we not have the lived experience listening section? Cuz isn't that the most important one to tell speak to the people? >> are going to

have it, but we're not going to have it around the aldermanic in the aldermanic chambers. Okay. >> So, where they want to be? >> Like you said, we need to do it at a certain time, a certain place

where folks are comfortable, and so we'll be doing that um I'm saying offline. It doesn't need to take a week of our session because we would never do that in front of everyone. That would be um so um

Director Bagley, I one more comment, and then I want to go through the questions so that we have um because those questions will have to get out to those uh folks for next week. >> Yeah, just um as

far as process and drafting of the report, so that would be ongoing throughout the time that we are working together, so we we would be putting components of the draft report ongoing. So, we wouldn't

be waiting until the last um you know, a couple weeks, but that would be an ongoing build-out that we would be doing in it wouldn't be presented until week nine, but we would be working on that at all

throughout the time. >> Absolutely, and that goes with like looking at compiling the data and putting that together. So, we're not waiting to do that at the last minute. We already have a a big stack

here in front of us to make some sense of. And then we're going to be adding that in just as we're adding that in. So, that will help build our report and our findings as we go. Uh Latanya? >> Uh just

quickly um in reviewing the um not ordinance, but I guess the resolution. Um it says that we're drawing on evidence-based best practices from peer municipalities, but I don't see anywhere where we're

collecting that data or reviewing it as a group. >> So, that might be in one of those last as we're probably as we're doing the draft findings review. I think that that would be looking at that,

reviewing our own data as opposed to what they're finding in other places. >> And was there peer municipality data collected by public health? Did you guys do some um prior to >> Yeah, that's what's

done. >> Um >> Yes. >> Jane. >> Yes, uh Alderman Lopez. >> So, I could actually collect some because I went to a bunch of homeless outreach programs in Vancouver and made some contacts. So, I might be

able to get some of that. Maybe that's something we get and submit in minutes for the board to look at or the committee to look at instead of like having a meeting on it. >> Okay, would that help? >>

Yeah, I just want to make sure it doesn't get missed cuz it is listed in the resolution. >> Yeah. And I think also if there's anyone else that has that experience, if they could submit that or we can

ask people if they've looked at peer municipalities. And you know, we also have to be really careful with that when we look at different municipalities because size matters and we are relatively small

um town and so um town, city. So, we don't want to be like comparing ourselves to San Francisco. Although, sometimes I say, "Look at those great programs in San Francisco." All right. So, I have these

groups listed. Let's turn our attention to um page it's not numbered. I'm sorry to standard questions. I want to um just go through these. These are the questions that we'll put into um an Outlook

form or a Google form and we'll be sending out to the agencies um prior to the week they're coming. So, clearly, these need to go out really soon if people are going to come next week. Um and I just

want to preface this. I want to know what's missing from this. We're never going to be perfect, and uh to quote my husband, and maybe that's not appropriate, but the enemy of good is perfect. So,

we're going to try to get to as much as we can within the limitations of our time frame. Um so, let's just start with the questions, and if we could go down those um and make sure that there's nothing

missing um that we need to ask. So, first, of course, what services do you provide in Nashua, and who is eligible? So, that would probably be two questions. Um what is your capacity? Beds, unit slots,

caseload, and how um how full were you over the last 12 months? So, that's capacity, do you have a waiting list, those kind of questions. Um what is your estimated turnover rate for your program? Now,

of course, this is not going to Nashua PD, so this is going to our housing authorities. So, some of these are appropriate for housing, some will be for substance mis- uh behavioral health and mental

health. Alderman Greg. >> Could we just ask them all these questions, and if it's not applicable to them, they can just put not applicable? That >> Yeah, we can do that. We're changing the form each

time we go. Like, we're sending out one form, and then they just say what's not applicable. >> Okay. How many people do you turn away or waitlist? There we go. Um who do you struggle to serve? Um I

would like to have like more of a drop-down menu on this. Um I don't um I'm going to rewrite some of these questions so that they are um public health endorsed, so to speak, survey analysis endorsed.

We're not going to ask two questions at once, so we'll break those out. Um so, if you'll um put some trust into the process, I do have experience writing surveys and survey analysis, so I'll just try

to get these questions so we're asking one question at a time, and not trying to ask three questions in one question, cuz then you can't answer it. Um um talk you know, again, are there staffing gaps?

What are your biggest challenges? Um do you receive any of the following? And that's federal, state, municipal support. Um it is kind of interesting to understand where people are spending a lot of um

a lot of our private agencies are spending a lot of time fundraising. Um but let's get the proof out in the open. Um what portion of your operating budget is raised through individual contribution? So

that's that question. What data do you track? And can you share it in aggregate for the last three for 24 to 25 20 24 to inclusive of 2026, cuz we can go up to like yesterday if we need to. Um where

does coordination with the city and other partners break down? Um some of these I think are a little bit too general. I'm going to I'm going to massage that one a little. If you could change one thing

in Nashua system, what would it be? Besides funding, what is your most difficult issue? So I think this is a really important question. It's qualitative um because funding is an easy answer, but yes,

we all need more funding. We know that. The city needs more funding, etc. etc. But um just to quote Latanya, um severe and persistent mental health is um often um a client that we can't help. So those

kind of things. For us, we can't help people with um too many disabilities. So they have to be able to take care of themselves in shelter. So I think somewhat So those are kind of questions we want to

get after for each of the agencies. Um so who do you have to turn away that you wish you could serve? I think that's an important um question. Um and what other agencies do you partner with on a

regular basis? And I think that was going to be a check all that apply, and I'm going to put them all down. And any questions that are missing? Um Alderman Lopez? >> Um I I know you did this on

purpose, and I understand your reasoning, but I would point out that the gap analysis is intended for the Board of Aldermen. Our two main roles are legislation and funding. So, I wouldn't just say

other than funding, I would leave them somewhere to say, "Where have you lost funding?" Maybe, or "Where would funding be helpful?" Because we do need to know. Even if the city can't do it directly,

the city might be able to help them apply. But, funding's going to be an issue that it's going to be part of what we look at and it's one of the things the aldermen might be able to help with. >> Good

catch. All right. Um, Director Bagley. >> Yeah, so I would, um, add a question to um, staffing gaps, but I would ask a question that is that's asked, "What is your current staffing?" If we're going to

ask about, um, gap. >> I'm following your rate. So, we do need to know what the capacity looks like. >> Um, and then also, once we do get the the questions agreed upon, our epidemiologist can format

this in a way that you have all of your um, drop-down questions in one space and then you have your qualitative questions in one space and then some drop-downs and so they can actually do that once we

all agree on what these questions need to look like. >> Yes, so >> can have them actually put that together. >> Yep. So, we'll do we'll do that and I can work with Jess, um, offline to, um, get that

formatted, um, and to clean up the questions a little bit. Any other questions that you feel um, need to be here about agencies? >> I think this is a pretty, um, complete picture as far as what we're

looking for as to where the gaps are. So, I think this is I like this. I'm ready to go with this as far as you cleaning it up, too. Okay. >> Um, I don't know if this is, um, technically a question we

could ask or should ask, but, um, I'm thinking a lot about like the missing middle or folks who are on the precipice of homelessness and how we would collect that data. Um, I know welfare obviously

sees a a of folks who are are on that border and in need of assistance, but I'm wondering if there are other ways that we could take a closer look at that and and incorporate that because I think that

is part of that's piece of the puzzle. >> Right. I Latanya >> Um so at Family Promise because we have an eviction prevention program, we do collect data for the folks that are we're helping and folks

that are recurring. So um I can provide that. Um also additionally the fire department um during my time at public health they would send over reports for individuals, typically older adults, that

were having frequent falls and unsafe to continue living in their units um and they also worked with the environmental health department to identify units that might need to be condemned um which will

lead to homelessness, so they should have that data as well. >> And who's collecting the fire department? Who's there anyone that offered >> Oh. >> Oh you public health is cuz they're going to get

EMS, so could you add >> that to your list? >> Yeah. >> Thank you. Um we are we are at >> Sorry. >> Okay, I'm sorry, but we are at 2:02, so this meeting um needs to wrap up because that is our charge.

Um I can take one last comment from Alderman Lopez and then I would like to have a motion to accept the work plan as amended as suggested to add a category to break those categories out and it looks

like we have space in there um given going through the end of the agenda. So Alderman Lopez >> Um I can see if the the treasurer and tax collector can give me data on people who are being foreclosed

on or have been foreclosed on that also qualify for things like elderly exemption tax credits because it might show who's at risk and how that's changed over the years. >> Okay, great. So let's add

that to our list and thank you for that. Um >> Can we make a motion? >> Yes, please. >> Um I'd like to make a motion to accept the work plan. >> So moved. >> Okay. So we have to vote. >> You made the

motion, so >> So all those in favor of accepting the work plan that will be slightly amended from what is presented on this paper. >> I. >> I. >> I. >> I. >> All right, so moved. >> Well, you want to

check and see if there's anyone opposed, but it looks like there is. >> Does anyone oppose? Okay. >> Phew. >> Um let me give the email really quick. So, if you would like to um give input to this uh

committee, you can actually email Donna Graham, who is in the office. It's Graham, g r a h a m k uh d as in Donna @nashuanh.gov. You can also find that on the Board of Aldermen page. So, anybody who

And then she will forward it to the uh committee. So, anybody that would like to give input that way. >> All right, thank you. And that'll be recorded in the minutes, too, that will be posted, I

believe. They just transcribed and posted, so you'll also have access to that email. Um so, I want to thank everyone for being here, but I would need a motion to adjourn. >> Motion to adjourn. >>

Motion to adjourn. >> Second? >> It's not debatable. >> Oh, it's not debatable. All right. Anyone oppose? Okay, so moved. >> All right. >> Thank you all. >> Great work. That was a >> If someone's

adjourned,