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Q&A

Chair Lee on school-based mental health clinics

New York City Council · Jun 8, 2026 · starts 3:12:26 · 3 min 19 sec

Lee asks about school-based mental health clinic services. Puello-Perdomo reports 250 clinics serving approximately 400 schools and 180,000 students, with 16 Article 31 clinics embedded through the continuum.

UNKNOWN

And then actually that's a perfect segue to the school-based mental health clinic question I had, which is you said 400 schools was for the continuing?

Flavia Puello-Perdomo

For the overall.

Flavia Puello-Perdomo

For the continuing, we support 50 schools.

UNKNOWN

50, right.

Flavia Puello-Perdomo

Primarily in the South Bronx, Brownsville, and those 50.

Flavia Puello-Perdomo

Schools are supported in two ways for clinical support.

Flavia Puello-Perdomo

They're supported by the five expansion of clinicians in some of the hospitals, which are Lincoln Hospital, Morisania, Kings County, Woodhull, and East New York.

Flavia Puello-Perdomo

So the students who didn't get access to the clinical support there, we then embedded 16 schools, mental health clinics, into the schools.

Flavia Puello-Perdomo

That's separate and apart from the other.

Flavia Puello-Perdomo

Plthora of clinics that already exist within the school system.

UNKNOWN

Awesome.

UNKNOWN

And then for the school-based mental health clinics, how many students have been served so far in FY26?

Flavia Puello-Perdomo

In terms of the continuum, if that's what you're speaking to, the mental health overall clinics are under my colleague here, but the continuum itself,

Flavia Puello-Perdomo

We have a total of 2,330 clinical services that have been provided this year, and that includes a range.

UNKNOWN

Perfect.

UNKNOWN

And then for the school-based mental health clinics, how many have been provided?

Flavia Puello-Perdomo

I don't know.

Flavia Puello-Perdomo

We can look into that, how that's tracked.

Flavia Puello-Perdomo

What I can say is that out of the 250 clinics that we have in the DOE, they service approximately 400 schools and around 180,000 students.

Flavia Puello-Perdomo

That's in addition.

Flavia Puello-Perdomo

To our social worker and our school counselors that are also part of our ecosystem of mental health and wellness support, because I do want to echo

Flavia Puello-Perdomo

that those services are there in a tier.

Flavia Puello-Perdomo

Not every student will necessarily need a clinical intervention, but when needed, we have, I think, a very robust

Flavia Puello-Perdomo

footprint, and we need to continue to do more so that our parents know all of the supports that exist within the system, and children are getting those direct services from our schools.

UNKNOWN

Great.

UNKNOWN

And then which services, because I know the, at least for the school-based mental health clinics, they're mostly Medicaid reimbursement.

UNKNOWN

And so what are the services that are not covered by that program?

UNKNOWN

I mean, sorry, well, I mean, that are not covered under the Medicaid funding.

Flavia Puello-Perdomo

What are the clinical services that are not covered under the Medicaid funding?

UNKNOWN

Sorry, let me re-ask.

UNKNOWN

So the school-based mental health clinic services are excluded.

UNKNOWN

And how many, wait, excluded from the Medicaid reimbursement, but that's with the Article 31s, right?

Flavia Puello-Perdomo

Correct.

UNKNOWN

Okay, so the Article 31s get the reimbursement.

UNKNOWN

And what's the gap, if any, for services?

UNKNOWN

In the school-based mental health clinics that maybe are not covered by the reimbursement.

Flavia Puello-Perdomo

See, we can get back to you on the specific questions about the reimbursement.

Flavia Puello-Perdomo

What I do want to emphasize that because we also have an ecosystem of social workers across our school system that are working in-house, that that's another layer of support that can get done.

Flavia Puello-Perdomo

And if you want more specific nuances about the reimbursement, we can definitely get back to you on that.