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Q&A

CM Cabán on B-Heard program structure and peer involvement

New York City Council · Jun 5, 2026 · starts 5:21:35 · 2 min 58 sec

Cabán asks about B-Heard eligibility and structure. Katz clarifies H&H trains and hires social workers but doesn't run operations—currently FDNY does. He describes the staffing model problem of using two paramedics per call and supports adding peers to B-Heard teams.

Tiffany L. Cabán

Chairs, may I ask just a few questions on Be Heard?

Dr. Mitch Katz

Wait, can we, oh.

Tiffany L. Cabán

Okay.

Tiffany L. Cabán

Just because it hits the mental health portion, and I had to wait for health and hospitals to ask those.

Tiffany L. Cabán

Yeah, thank you.

Tiffany L. Cabán

Okay.

Tiffany L. Cabán

On Be Heard,

Tiffany L. Cabán

Is there a plan, like we saw on the website that there is a drop in eligible calls for FY25.

Tiffany L. Cabán

Do you have a plan to increase eligibility for those calls?

Tiffany L. Cabán

Like as one example, open to removing the limitation of EDPM only.

Tiffany L. Cabán

We're seeing other responders around the city have a much larger like scope of

Tiffany L. Cabán

call classifications that are eligible for their alternate responders.

Dr. Mitch Katz

Right.

Dr. Mitch Katz

So you have to remember that we, Health and Hospitals, doesn't run Be Heard.

Dr. Mitch Katz

I know.

Dr. Mitch Katz

We are proud to hire and train social workers, and we think our social workers do a great job.

Dr. Mitch Katz

But we don't do the operational part of Be Heard.

Dr. Mitch Katz

It's certainly a model that I believe in.

Dr. Mitch Katz

I think that if you want to de-escalate a situation, you want to send a mental health professional, and therefore I would want to send a mental health professional as often as possible.

Dr. Mitch Katz

To these situations and I do think that it could be a much larger group, but that requires operational changes across the city.

Tiffany L. Cabán

So, and according to you, so, and there's been confusion about this.

Tiffany L. Cabán

This is Beard moving to health and hospitals.

Tiffany L. Cabán

Is it going into the department?

Tiffany L. Cabán

So it's not going to be.

Dr. Mitch Katz

So at one time there was the proposal to move it to health and hospitals.

Dr. Mitch Katz

And, you know, that was not a negative on anyone.

Dr. Mitch Katz

That was just recognizing that it was challenging for fire to hire enough EMTs and paramedics.

Dr. Mitch Katz

And in the absence of that, there were not very many calls.

Dr. Mitch Katz

But that plan has changed.

Dr. Mitch Katz

And I think now the administration is looking at a variety of options.

Dr. Mitch Katz

And I think there are a variety of options.

Dr. Mitch Katz

Totally.

Dr. Mitch Katz

I think that really which department is not really the issue.

Dr. Mitch Katz

The issue is how do you efficiently get people who are not law enforcement frightening.

Tiffany L. Cabán

Yes.

Dr. Mitch Katz

But are mental health professionals to situations to de-escalate them as quickly as possible.

Tiffany L. Cabán

Here's my very last question, because it's not even just mental health professionals, but H&H uses peers in a myriad of programs, correct?

Tiffany L. Cabán

And that's because you find that peers provide something that nobody else can.

Dr. Mitch Katz

Correct.

Tiffany L. Cabán

There has been an increase in peers in a lot of different places, H&H, DOHMH.

Tiffany L. Cabán

It really gets celebrated.

Tiffany L. Cabán

What do you think about peers on Be Heard teams?

Tiffany L. Cabán

I mean, but people who live with mental illness and are part of those organizations are saying, we want peers on these teams.

Dr. Mitch Katz

I think it'd be great.

Tiffany L. Cabán

Great.

Tiffany L. Cabán

Thank you.

Tiffany L. Cabán

That's all I've got.

Tiffany L. Cabán

Thank you so much.