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CSA: City of New Haven Report

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CSA 2018 REPORT Page 3ANNUAL REPORT 2018 ANNU AL REPOR T Community Services Administration ANNUAL REPORT 2018 ANNU AL REPOR T Community Services Administration

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CSA 2018 REPORT Page 4

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COMMUNITY SERVICE ADMINISTRATION 2018 ANNUAL REPORT MAYOR'S MESSAGE 3 WELCOME from DR. DAKIBU MULÉY, MSW 4 WARREN KIMBRO PROJECT 5 PROJECT FRESH START 7 SOCIAL SERVICES 8 FOOD POLICY 10 ELDERLY SERVICES 12 ARTS, CULTURE & TOURISM 14 OFFICE OF HOUSING & HOMELESSNESS SERVICES 16 HOPWA 18 SPECIAL PROJECTS 20 HEALTH DEPARTMENT 22 STAFF LIST 28 CSA 2018 REPORT Page 5

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Hello again, everyone! I’m so grateful for the work of everyone who contributes under the umbrella of the Community Services Administration. My steadfast vision for New Haven features a safe, supportive, innovative, and encouraging place where all residents are accounted for – where programs and services are meant to be inclusive, with sound opportunities for good health and good fortune for all residents. Many of these programs and services are developed and made available to the city’s most vulnerable residents through the Community Services Administration (CSA), helping those who are elderly, homeless, hungry, and otherwise challenged to navigate the mainstream on their own. I appreciate how demanding this work can be, that all-too-often it seems to require more patience than one person can have. The sometimes-inconsistent needs of clients, the funding that never seems to be enough – or even secure – and demands to do more with less challenge people who work in this field virtually every single day. Nevertheless, work done in social services is vitally necessary, time-honored, and can literally be life-saving. Each of you working in a CSA department earns my gratitude for their daily service to city residents. Beyond that, you’ve earned credit for innovation, collaboration, and making ends meet, all- the-while realizing great strides to address some of the most challenging issues of the day. With that said, it’s my privilege to introduce this annual report of the CSA, with all its important information about how the City of New Haven is working to realize the vision I have for this place we share, the extraordinary City of New Haven. With best wishes, Toni N. Harp Mayor – City of New Haven MESSAGE FROM MAYOR TONI N. HARP On behalf of the City of New Haven's staff and city-wide community I would like to acknowledge Mr. Andrew Wolf (dec.), Andy was the former Director of Arts, Culture and Tourism for New Haven. Sadly, he passed away in July of 2019. Andy was a bright light whose energy, dedication and vast contributions to our city's arts community will be greatly missed. Shine on, Andy; CSA 2018 REPORT Page 6

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WELCOME TO CSA DR. DAKIBU MULÉY, MSW COMMUNITY SERVICES ADMINISTRATOR It has been an honor to serve in the capacity of Community Services Administrator for the City of New Haven this past year. CSA activities have focused on rebuilding and supporting existing collaborations; al l the while c reating newpartnership s with new stakeholder s intereste din improving the lives of New Haven residents . There is a lot to be proud of in Community Services as there has been an intentional focus on trying to foster a “Culture of Execution”, to ensure that effective and timely services get to the most vulnerable and needy of our residents. CSA continues to examine the needs of our citizens and with the help of critical community stakeholders, developed pathways targeted at improving the quality of life and wellbeing of our residents. Over the last year CSA has re-aligned previously implemented programs to achieve identified goals and outcomes. This work has been promising and has resulted in a reinvestment by state, city and local partners. A significant amount has been accomplished across the eight CTP platforms after two years of activity (2016-18 “Phase I”). In the past year, the CTP Steering Committee recommended a more streamlined implementation focus for Phase II (2018-20). Using Mayor Harp’s priorities as a guide, Phase II will focus primarily on three areas: Job Creation & Workforce Development, Community Safety & Well-Being, and Education & Life–Skills. These three areas blend related goals and strategies from the eight original platforms. In the world of Arts, Culture and Tourism, New Haven continues to stand out as a city that appreciates and nurtures all forms of art. The Mayor has committed to ensuring that an investment in neighborhood programming in the arts has been implemented and a cultural landscape that has translated into significant increases in tourism has taken “root”. With a proactive vibe prevailing in our City, Region and State is the “beginning” of what can be achieved when “silos” are replaced by collaborative teams. The City launched the NHLEAD (Law Enforcement Assisted Diversion) initiative in 2016 and after some programmatic challenges, has been re-launched in 2018 with some significant As many of you know, Mayor Toni N. Harp initiated the development of a five-year City Transformation Plan (CTP) in 2014-15. The CTP was launched in January 2016, and she has championed its implementation over the past three years. CSA 2018 REPORT Page 7

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CSA 2018 REPORT Page 8enhancements. New leadership, a robust research evaluation component, a focus on data integrity and continued community partnerships have driven LEAD to demonstrate the promise it was intended to aid in the fight against the national opioid crisis affecting us here in New Haven. Lastly, there remains a growing need for affordable housing in our great city. Recognizing that critical need, Homeless Services launched the Rental Readiness Pilot Program. This pilot is aimed at assisting individuals who are actively homeless or are at risk of homelessness, to secure decent, affordable rental units. The pilot will provide individuals who are accepted into the program information and training in the areas: of lease basics, tenant rights and remedies, and financial literacy services. At CSA, we will continue to work hard at supporting and investing in the needs of our residents. Looking forward to an even better 2019! Dr. Dakibu Muléy, MSW SHEILA CARMON,MBADEPUTY CSA ADMINISTRATOR As Deputy Community Services Administrator and a native of this great city, I have the distinct privilege of working with and helping to lead a team of committed professionals who work hard every day to make sure that the residents of this City lead happy and healthy lives. The work staff performs contributes significantly to ensuring an inclusive community where everyone feels welcome and afforded the opportunity to reach their full potential. I want to thank each of you for your hard work and dedication over this past year. Looking forward to CSA’s accomplishments in the upcoming year. Sheila Carmon Deputy CSA Administrator

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WARREN KIMBRO PROJECT The Warren Kimbro Reentry Project is a partnership of the University of New Haven, the CT Department of Corrections, the Community Action Agency of New Haven, Easter Seals Goodwill Industries and Project M.O.R.E. These local organizations assist New Havenresidents during their incarceration three to 12 monthsprior to their release from incarceration and after theyreturn home in the City.WKRP was created to help ex-prisoners upon their return to the New Haven community and decrease the recidivism rate in Connecticut. Roughly 100 incarcerated individuals return home to the City of New Haven each month. These individuals may require assistance finding shelter, employment, substance abuse treatment, mental/physical health treatment, and literacy and educational programs. The WKRP team is there to support this population and their families in the community. EARL BLOODWORTH DIRECTOR WARREN KIMBRO PROJECT PROGRAM HIGHLIGHTS: • Participated in the Financial Empowerment Center board• Conducted Re-entry Job Fair at Gateway Community College• Hosted Career Fair Day for job prep/mock interviews/resumereview• Produced 8 community programs during National re-entryweek in partnership with Faith Based Re-entry Network• Participated in CEO/CT General Assembly housingLegislation/Advocacy committee• Volunteered at the Newhallville resource fairCSA 2018 REPORT Page 9

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WARREN KIMBRO PROJECT ACTIVITIES & OUTCOMES as of 11/2018 • Participating on the Financial Empowerment Center boardConducted Reentry Job Fair at Gateway• Community College• Hosted Career Fair Day for job prep/mock interviewsand resume review• Produced 8 community programs duringNational Reentry week in partnership with FaithBased Reentry Network• Participated in CT Building Bridges forumPPrrooggrraamm HHiigghhlliigghhttss:: 323 Offenders had intakes completed and releases signed 312 Participants have been enrolled 2 Offenders were assessed at low risk 4 Offenders transferred out of the facility before an assessment could be done 45 Participants are currently in pre-release status 55 Participants have completed CBT groups Pre-release status 225 Have had a B4S-1 completed 16 Have had a B4S-2 completed 255 Participants have released to New Haven 183 Have had some post-release contact 145 Participants have been discharged; 16 of these have been listed successfully 77 Participants have been re-incarcerated while active post releaseCSA 2018 REPORT Page 10

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PROJECT FRESH START CARLOS SOSA LOMBARDO DIRECTOR PROJECT FRESH START i "Fresh Start prides ourselves on providing help and hope." The City of New Haven’s Project Fresh Start Program seeks to fulfill its objectives through the following: Information sharing among organizations and groups implementing reentry initiativesSupport local efforts in advancing public safety Utilization of proven best practices in serving the formally incarcerated Advocate and inform policy making and systemic reform that promotes the successful reintegration of this population Inclusion and engagement of formerly incarcerated individuals to inform the planning, implementation and delivery of transitional services “The Fresh Start team prides itself on providing help and hope.” CSA 2018 REPORT Page 11

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CSA 2018 REPORT Page 12SOCIAL SERVICES RICK KAISER DEPUTY DIRECTOR SOCIAL SERVICES Program Highlights In keeping with CSA’s commitment to investing and transforming the social and human fabrics of our communities, the Social Services division exists to address delivery of services to everyone, especially the most vulnerable residents. We provide assessments, thoughtful action planning, counsel, connection and referral to available resources within the city, at the state or federal level Community Services Administration (CSA), with other city departments, community based organizations and business stakeholders of our city we aspire to improve the overall health and wellbeing of New Haven’s residents. Transportation resources were extended 6340 individuals; 3245 were victims of the Puerto Rico Hurricane response through our partner JUNTA for Progressive Actions; 166 through our collaboration with Project Fresh Start. Three individuals were assisted with gasoline vouchers. Assistance in obtaining Birth Certificates was provided to 7 individuals. CT Drivers’ License provided to 2 individuals; CT non-drivers ID provided to 4 individuals.Clothing vouchers provided to 5 individuals. Performed one marriage. Notarized one document. Fifty-two editions of our weekly “Careers” publication produced with 3,135 copies printed and distributedeach edition also being posted weekly on the City'swebsite.

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\ Puerto Rico Hurricane Response BankOn New Haven Initiative Steering Committee and Coalition Press event where Mayor Harp formally announced the kick-off of BankOn initiative at New Haven Financial Empowerment Commission meeting Additional committee meetings included: • Committee Management Team• Promotion & Marketing Work Group• Prison Reentry Work Group• Networking Work Group at City• City Transformation Plan Steering Committeeand Adult Literacy Work Group• Resource Mapping• New Haven Vita Coalition Steering CommitteeSocial Services welcomed over 2,885 individuals to the New Haven Opportunity Center (NHO)p-c) and offices at City Hall Social Services addressed 1,005 requests for assistance providing advisement and or referral of 467 persons to alternate community resources. Case management services were offered to 120 unduplicated individuals with intake assessments completed for 92 individuals Appointments were extended to 223 seeking financial counseling services with 42 completing sessions with financial counselors. Working within the framework of Community Services Administration (CSA), with other city departments, community-based organizations and business stakeholders of our city, we aspire to improve the overall health and Haven’s residents. CSA 2018 REPORT Page 13

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FOOD SYSTEM POLICY DIVISION “The City of New Haven strives to support a just and equitable food system that meets the needs of all its residents.” In April 2016, Mayor Toni Harp announced the City’s creation of the Food System Policy Director position - the first of its kind in Connecticut, and among only20 similar positions throughout the country at thetime.As the Food System Policy Division, our mission is to support community-led efforts that envision and create environmentally sustainable and socially just alternatives to our current food system. We strive to ensure the right to food - availability, accessibility, affordability, and cultural adequacy. Our division works collaboratively with the New Haven Food Policy Council (NHFPC), other City departments, and key community stakeholders to support grassroots movements and fuel community solutions rooted in social, environmental, racial, LATHA SWAMY DIRECTOR FOOD SYSTEMS POLICY and economic justice. We are working to end hunger and advance the human right to nutritious food through a strong food economy. Over the past decade, a broad-based coalition of community members, organizations, businesses, schools, clinics, and City departments have collaborated through the NHFPC to address food-related issues such as hunger, nutrition, food access, school food, urban agriculture, and food-related economic development. Creating a food system that is just, sustainable, and equitable for everyone takes all of us. Whether you’re a farmer, workers’ rights advocate, health care professional, teacher, community activist, youth leader, elected official, or student, you play an important role in achieving that vision.

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2018 HIGHLIGHTS Collaborating with NH’s Board of Education Food Service Task Force and Food Service Director, along with the NHFPC, to review best practices for school food and plan for supper and summer meals program. Convening a Breastfeeding Working Group, in line with Strategy 3 of the 2012 NH Food Action Plan, to identify currently available lactation resources around NH and to explore the possibility of improving lactation support in City Hall. Providing input to the City Transformation Plan (CTP) Community Health and Mental Health Working Group and the Resource Mapping group with a focus on reviewing 2018-20 goals, setting implementation priorities, and developing robust indicators. Facilitated the City’s membership in ICLEI, an international network that builds and serves the movement of local governments pursuing deep reductions in carbon pollution and tangible improvements in sustainability and resilience, including food systems work. Facilitated the City’s membership in RUAF-CITYFOOD, an international network for local and regional governments to develop a strategic approach to their city-region food systems. This network aims to accelerate local and regional government action on sustainable and resilient city-region food systems by combining networking with training, policy guidance, and technical expertise for its participants. Applied for the EPA-USDA-CDC Local Food, Local Places technical assistance grant with the support of Love Fed New Haven, CT- CORE, CARE, and ConnCAT. Participated in the JP Morgan Chase $3 million Advancing Cities grant opportunity, along with a collaborative of 9 organizations. Helped prepare and submit a proposal for a NH food-based business incubator. Introduced key community partners to the process. Delivered a presentation to the NH Development Commission on the NH Food Economy and the Division’s vision for strengthening our local and regional food economy in conjunction with the Economic Development Administration. Delivered presentations on the NH food system as a guest speaker to Yale University graduate courses, including the Yale School of Medicine’s US Health Justice Course and the Yale School of Forestry’s Social Justice in the Global Food System Course. Co-organized the Yale Food Systems Symposium, including a panel on Food Policy and Politics. This year’s theme was focused on New Haven’s food ecosystem, as well as the surrounding New England region. CSA 2018 REPORT Page 15

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CSA 2018 REPORT Page 16Elderly Specialist Patrick Decker Gwendolyn Grady, Eneida Arroyo Michelle Clary-Butler Senior Volunteer of the Year 2018 Commission of Aging: Anthony's Ocean View Pick your own apples at Bishops Farms 2018 MIGDALIA CASTRO DIRECTOR ELDERLY SERVICES The City of New Haven highly values our elderly population and is 100% committed to provide quality-of-life support services for its aging population. Senior Volunteer of the year 2018 Commission of Aging The Department of Elderly Services assists those who are 55 and older maintain independence and remain active. We provide case management and assistance referral services for residents with financial, medical, nutritional, legal and housing needs. DEPARTMENT OF ELDERLY SERVICES

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Black History Month Celebration 2018: Dixwell/Newhallville Senior Center Senior Day celebration at Atwater Senior Center 2019 Holiday Hill 2018 with Senior Specialists: Gwendolyn Grady, Douglas Toth, & Eneida Arroyo •In May, the Senior Volunteer of the Year luncheon is held. Thisevent honors those that volunteer their time to help our seniors.•In August, seniors are invited to the Connecticut Senior Day atHoliday Hill. This outing features many activities and all you can eatand drink throughout the day.•In September, seniors can go to Connecticut Day at the Big E inSpringfield, MA. Luxury coaches are provided for transportation•In October, seniors can travel to Bishop Orchards in Guilford, CT forapple-picking and shopping, followed by lunch at the famous Lennyand Joe's Fish Tale Restaurant.Governor Ned Lamont visits the Dixwell/ Newhallville Senior Center Atwater | Dixwell/Newhallville | East Shore CSA 2018 REPORT

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CSA 2018 REPORT Page 18ANDY WOLF DIRECTOR ARTS, CULTURE, TOURISM DACT supports community events like the annual Holiday Tree Lighting and Winter Festival on New Haven’s historic Green enjoyed by kids (of all ages) from throughout The Greater New Haven Region and provides support to the film industry. In addition, DACT hosts numerous tours for visiting dignitaries and groups and has seen a significant increase in participants and global visitors each year with holiday and seasonal entertainment coordinated with Yale University Properties, Town Green District, our major performing and visual arts centers and our vibrant cultural constellation of 80+ non-profit arts and humanities organizations that position New Haven as a global destination in this 21st Century Creativity Economy. "Mayor Harp has positioned Culture and Civic Engagement as cornerstone aspirations for this historic City celebrating 381 Years of Tradition, Innovation and Idealism as the creative “Hub” of Connecticut." COMMUNITY ENGAGEMENTS

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CSA 2018 REPORT Page 19A world-class artist making New Haven a truly dynamic arts destination.

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Tenant Education Topics: • Rights and responsibilities of the tenantand the landlord• Understanding your lease• Elements of an apartment inspection• Good housekeeping tips• Benefits of renter’s insurance financialliteracy services (i.e. budgeting, debtmanagementOFFICE OF HOUSING & HOMELESSNESS SERVICES Shelter Services: During fiscal year 2018, the Office of Housing & Homelessness, through the General fund, provided shelter services to 1878 individuals and 96 families. In addition, warming center services were provided to 277 individuals. Through the RFP process, The180 Center, a Christ-centered nonprofit, 18 -month men’s recovery program, was awarded the warming center contract for 2019. They will provide a safe, warm space nightly for 50 individuals. This program will run from January 3rd – April 14, 2019 at the 793 Grand Avenue location. Case Management Services: Through the General Fund, this office financed case management services for 141 adults and 153 youth (age 18 – 24). VELMA GEORGE COORDINAT OR FOR THE HOMELESS Prevention & Diversion Assistance During fiscal year 2018 this office spent $246,000 to prevent homelessness and divert entry into emergency shelters for individuals and families. These funds provided financial assistance for: Security deposits; Rental assistance; Relocation; Utility payments; Motel placements; Moving expenses. There was a total of 227 families & 158 individuals served. Rental Readiness Program is a partnership between the City of NewHaven– Office of Housing and Homelessness, Liberty Community Services Inc. and New Haven Legal Assistance Association Inc. The mission of this program is to reduce family homelessness by connecting families experiencing homelessness with decent affordable apartments. This will be achieved by connecting families with shallow in-home case management for six months, financial literacy services, and tenant education classes. In addition, this program will create and maintain a clearing house of affordable apartments for homeless families through intentional landlord’s engagement.

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INNOVATIVE INITIATIVES Project Respect Project RESPECT, a partnership between Liberty Community Services Inc, Alexion. Pharmaceuticals, Inc., and Office of Housing and Homelessness, is a mobile work program that provides temporary jobs to people who are homeless or who are panhandling. The goal of the program is to offer paid temporary employment to participants and connect them to support services so that they can obtain permanent employment. The work focuses on beautification projects in New Haven. Outcomes Since 2017: 78 individuals were served 1 person is enrolled in school to become a CDL Driver 19 people are employed 63 people are on the payroll with Diversified and eligible for other jobs; 2 people are working with New Haven Works 3 people are working with CT Works Most recently Project RESPECT secured a contract to maintain the Potters Cemetery in New Haven. Homeless Advisory Commission Updates The purpose of this commission is to provide advice to the Mayor and the Board of Alders concerning the issues that homeless individuals and families face, and to make recommendations of proposed solutions. This year’s focus was on the lack of affordable housing. This commission submitted a resolution to the Mayor and Board of Alders to create an Affordable Housing Taskforce. Jesse Hardy’s Homeless Makeover event on the New Haven Green Rental Readiness participants at a Tenants Rights & Responsibilities training with New Haven Legal and Liberty Staff

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CSA 2018 REPORT Page 22HOPWA The HOPWA program, managed by HUD, was established to provide housing assistance and related supportive services for low income persons living with HIV/AIDS and their families. ALLISON CHAMPLAIN MANAGEMENT ANALYST IV During FY 2017-2018, the City was awarded$1,034,296. Approved carryover from FY’16-’17was $58,635.21, making the total funding $1,071,495.21, which was awarded to 6 eligible agencies. The following was expended on the various ESG covered services: $52,686 Homelessness Prevention $121,378.16 Rapid Re-Housing $114,857.68 Emergency Housing The following number of persons were served through HOPWA funds: 22 Persons Prevention 163 Persons Rapid Re-Housing 433 Persons Shelter HOUSING OPPORTUNITIES FOR PERSONS WITH HIV/AIDS ESG FUNDS The City was awarded: $286,018 plus a carryover of $3,573.06, totaling $289,591.06 in ESG programmatic funding City expenditures were $288,921.83 in ESG funds used to support Emergency Shelter, Homelessness Prevention Services, and Rapid Re-housing.

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Three agencies received funding this year: Liberty Saturday Program SHELTER Liberty PREVENTION NewReach PREVENTION Columbus Overflow SHELTER Columbus House Re-Housing During the fiscal year, $970,356.83 in HOPWA funds were expended. Due to HOPWA and the expectation of a potential loss in funding, many agencies reached out and were approved to carryover larger than normal amounts to ensure they could continue to provide the HOPWA services to their clients A total of 103 individuals/families were provided with tenant-based rental assistance. 1 CLIENT/FAMILY received short-term rent, mortgage and utility assistance, and 6 CLIENTS/FAMILY received permanent housing placement, making the total number served unduplicated: 104 CLIENTS; 24 of the 104 received case management (other leveraged funding covered the remaining clients). 15 CLIENTS received strictly case management as they are at a residential care facility. CSA 2018 REPORT Page 23

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CSA 2018 REPORT Page 24SPECIAL PROJECTS KEITH LAWRENCE DIRECTOR SPECIAL PROJECTS Mayor Toni Harp has called upon the residents of New Haven and New Haven's community partners to work together around a comprehensive 2016-20 City Transformation Plan (CTP). This plan aims to expand economic opportunity for residents, position New Haven's children for lifelong success, and create safe, healthy, and vibrant neighborhoods. The CTP built on the work we did in Fall 2014 to apply for federal Promise Zone designation.

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COMMUNITY DATA DASHBOARD The City has partnered with DataHaven to create an online dashboard that makes tracking progress on key indicators of wellbeing and performance easy and transparent. The dashboard includes initial indicators and performance measures for the original eight CTP platforms, as well as strategy-specific data. Convened City Transformation Plan Steering Committee to update Mayor and members on CTP mid-point accomplishments and challenges, and to reset 2018-2020 implementation priorities and governance structure (Sept. 2018) Prepared draft of a streamlined CTP implementation focus for Phase II (2018-20): Job Creation & Workforce Development, Community Safety & Well-Being, and Education & Life–Skills. These three areas blend related goals and strategies from the eight original CTP platforms. Convened and provided staff support to CTP Adult Literacy, and Community Health and Mental Health Working Groups; with a focus on reviewing 2018-20 goals and setting implementation priorities. Raised awareness of JP Morgan Chase $3 million Advancing Cities grant opportunity, and participated in collaborative of 9 organizations to prepare and submit a proposal for a NH food- based business incubator. Prepared the Mayor’s letter of support, ensured that proposed project included pathway for City residents returning from prison. Convened CSA and Office of Economic Development senior staff to explore developing a working group to oversee implementation of CTP Workforce & Jobs goals and strategies. Collaborated with New Haven Early Childhood Council to develop a 2019 agenda that is consistent with CTP Early Childhood goals related to access, quality and family/ caregiver capacities to support children’s learning, growth and development. Continued to convene City IT Dept. United Way 2-1-1, Yale RAMP project, and other community organizations to streamline online resource maps available to New Haven residents. That effort brought together 67 organizations, community partners, and city agencies to develop goals and strategies in eight critical sectors The City Transformation Plan aligns the efforts of the city agencies, nonprofit organizations, and community partners under three core themes: coordination and integration, equity, and continued learning. The CTP set a five -year course or transforming New Haven into an equitable, inclusive, and safe city CSA 2018 REPORT Page 25

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REPORT FROM THE HEALTH DEPARTMENT The Mission of the Health Department is to ensure and advocate for the health and well-being of all New Haven residents.The VISION of the Health Department is healthy people, healthy communities, and to achieve health equity in a prosperous city.

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REPORT FROM THE HEALTH DEPARTMENT Infectious Disease Control: The Epidemiology Division conducted 61 general enteric disease interviews and, in collaboration with the Bureau of Environmental Health, administered and supported contact investigations in potential foodborne outbreaks. Working with the CT Department of Public Health (DPH), the Health Department is one of three local health departments/districts involved in the Data for Communities United for Resolving the Epidemics (Data4CURE) initiative dedicated to improving surveillance data quality and to researching new ways to address the hepatitis C epidemic, which has been influenced by the opioid crisis and homelessness. The Data4CURE group designed and presented a poster at the 2018 CT Public Health Association Annual Conference and was successful in updating/improving the reporting requirements for hepatitis C in the CT DPH’s 2019 “Annual List of Reportable Diseases, Emergency Illnesses and Health Conditions, and Reportable Laboratory Findings.” This is an incredibly important effort to incorporate the best reporting practices consistent with the CDC and to collect comprehensive and relevant data imperative in understanding and combating the hepatitis C epidemic in New Haven and Connecticut. The Health Department was one of a few pilot sites for the DPH’s release of the EpiCenter syndromic surveillance system and continues this work together to enhance the system’s capabilities. These efforts provide vital information and improved opportunities to detect and to control infection, overdose, and other health-related events. DR. BYRON KENNEDY HEALTH DEPARTMENT DIRECTOR CSA 2018 REPORT

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CSA 2018 REPORT Page 28Community Education and Testing Programs The Clinic and Epidemiology divisions, in collaborate with the Yale Community Health Care Van, coordinated and hosted community testing and educational events for World Hepatitis Day and World AIDS Day 2018. The Health Department also participated in International Overdose Awareness Day 2018 on the New Haven Green with other city partners and stakeholders. In collaboration with the State of Connecticut Emergency Preparedness Department, the Health Department’s Clinic, Emergency Preparedness, and Epidemiology divisions worked to educate and to inoculate residents at the following food pantries, community resource centers, and shelter locations against the hepatitis A virus: 180 Center, Downtown Evening Soup Kitchen (DESK), Fellowship Place,Life Haven, Marrakesh, Martha’s Place, the Sunrise Café, and the Youth Continuum. Ninety-two of the 200 doses of Hep A vaccines provided by the State were distributed, including 17 given to the Community Health Care Van. The Health Department will continue its work on the Connecticut DPH hepatitis A (HAV) initiative to promote vaccination and education to vulnerable populations like injection drug users and the homeless throughout 2019. The Epidemiology division organized a Fall 2018 educational event with the support of Gilead Sciences’ community outreach to further the collaboration and education of local public health partners/organizations and medical providers involved in combating the Hepatitis C epidemic and its link to addiction medicine. The Epidemiology and Health Programs divisions hosted six Yale School of Public Health students for their Community Health Research course. The students further developed their work into two public health educational awareness posters for the 2018 CT Public Health Association Annual Conference.

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Hats for the Homeless Health Department staff contributed hats, gloves or mittens and scarves to the “Hats for the Homeless” effort coordinated by the Janice Torres, medical biller/medical assistant. During the collection process, Renee Marguilies a resident of East Haven, Connecticut, contacted the Health Department to offer beautiful handmade hats and scarves as a donation to the “Hats for the Homeless” effort; each item was personally knitted by Ms. Marguilies. At the holiday event, Dr. Byron Kennedy, Ms. Marguilies, and Ms. Torres presented the donated items to Velma George, Coordinator of the Office of Housing & Homelessness Services to distribute to those in need.Walgreens’ National HIV Testing Day Community Partnership The New Haven Health Department Clinic staff were one of 33 public health departments, which made up a group of 222 community partners, who provided nearly 8,200 free HIV tests in 306 Walgreens stores in 180 cities and 31 states throughout the country. Walgreens teamed up with health departments, AIDS service organizations, and community-based organizations in high-risk areas for a day of HIV testing and information services. Testers wore T-shirts and buttons with the message: “Knowledge is Power, Test, PrEP, Treat.” Those who were tested for HIV got an “I Got Tested” sticker. On average, about 27 tests were given per store. Forty-five (45) positive HIV results were identified at 38 of the test locations. Individuals who tested positive for HIV were linked to local community and health resources for care. The event was widely publicized on Facebook, radio and television stations, and Twitter. Food Service Inspections Senior Sanitarians from the Bureau of Environmental Health conducted 1,533 food-service inspections and re- inspections within fiscal year 2017/2018. HUD Lead Poisoning Prevention Grant Since receiving its first HUD grant in 1995, the Health Department's Bureau of Environmental Health has removed lead from 1,484 housing units by providing $9,299,074 in federal funds to New Haven homeowners. With its current program, which shall close on May 1, 2019, the Health Department seeks to abate an additional 200 housing units and still retains $478,988.88 for distribution to qualified homeowners. The program offers up to $9,000 per unit as a 0% deferred interest forgivable loans $478,988.88 for distribution to qualified homeowners. Decline in Childhood Lead Poisoning Cases New Haven has experienced a dramatic decline in the number of reported cases of childhood lead poisoning: from 474 children at or above 10 micrograms per deciliter reported in 2002 to 90 children reported in 2017. New Haven, however, continues to have the most reported cases of childhood lead poisoning of all cities in Connecticut. CSA 2018 REPORT Page 29

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CSA 2018 REPORTMedical Compliance Collaboration with the New Haven Public Schools The Bureau of Nursing continues to collaborate with the Board of Education to ensure compliance with all mandates on physical examinations, screenings, and immunizations. The Department has partnered with community organizations to research and test the most current screening tools available for mandated screenings. The Department provided children’s clinics and vaccine clinics to help achieve compliance with all vaccination mandates. Ongoing collaboration with the Board of Education will continue to strengthen the compliance program in the New Haven Schools. School public health nurses from the Bureau of Nursing continue to staff academic and recreational programs throughout the city to provide on-site nursing care to student participants during the summer. In 2018, the Health Department collaborated with the New Haven Public Schools to increase the coverage of summer activities by five additional nurses. Child Safety Shower The Nurturing Families Network program hosted a child safety shower in September 2018 in which 13 families and their children attended. Staff from the Clinic, Health Programs, and Pediatric Immunizations were among those who presented information to parents on how to keep their child safe at home. Each attendee received a bag of home safety items; four car seats were raffled. Car Seat Fitting Program The Health Programs Divisions, in conjunction with Safe Kids Connecticut, continued to grow its Car Seat Fitting Station program. Twenty-five families were served during the first year. The Fitting Station continues to operate one evening per month from March until October. Flu Clinics In 2018, the Health Department administered about 1,500 influenza vaccinations mid-way through the flu season. Access to flu clinics was available at numerous community locations, including senior centers, homeless shelters, New Haven Public Schools, and the Housing Authority of New Haven. Flu vaccines were also made available to City of New Haven employees, including staff at the Department of Public Works, Fire Department, and Police Department. During the last quarter of 2018, due to Health Department efforts, 128 pre-kindergarten children achieved compliance with State mandates for flu vaccinations.

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Pediatric Immunizations Update The Pediatric Immunizations program reported that 85% of children enrolled in the Immunization Registry in the 2014 birth cohort were current on their immunizations. Also, Immunization staff completed nine site visits to review New Haven medical providers’ compliance with immunization standards. Site visits are determined by CDC and DPH assignment. Elm City ID Program Our ID program was recognized by the Council of Europe at their Urban Citizens Conference in November 2018 as the first Residential ID program in the United States issued to residents without verification of immigration status. As one of the key note speakers, we were able to share our experience as well as hear the issues that plague local governments across the globe. CSA 2018 REPORT Page 31

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Page 32CSA 2018 REPORTCOMMUNITY SERVICES ADMINISTRATION STAFF Dr. Dakibu Muley Sheila Carmon Earl Bloodworth Migdalia Castro Velma George Carlos Sosa-Lambardo Christine Ritchie Rick Kaiser Keith Lawrence Latha Swamy Andrew Wolf Dan Tammaro Cynthia Brown-McLaurin Latoya Menchan CSA Administrator Deputy CSA Administrator Warren Kimbro Project Manager Elderly Services Director Homelessness Services Coordinator Fresh Start Program Manager Executive Administrative Assistant Deputy Director CSA Social Services Director of Special Projects Food Systems Policy Director Director Arts, Culture & Tourism CDBG Monitor/Grant Analyst Data Control Clerk II Data Control Clerk/ Receptionist dmuley@newhavenct.gov scarmon@newhavenct.gov ebloodworth@newhavenct.gov mcastro@newhavenct.gov vgeorge@newhavenct.gov csosalombardo@newhavenct.gov critchie@newhavenct.gov rkaiser@newhavenct.gov klawrence@newhavenct.gov lswamy@newhavenct.gov awolf@newhavenct.gov dtammaro@newhavenct.gov cbrownmclaurin@newhavenct.gov LMenchan@newhavenct.gov 165 Church Street, New Haven, CT 06511 203.946.8592 www.newhavenct.gov '

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