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Q&A

Chair questions Bellevue outposted therapeutic unit capacity and expansion

New York City Council · Sep 23, 2026 · starts 0:32:28 · 2 min 38 sec

Brooks-Powers asks how many people have transferred to Bellevue's outposted therapeutic health unit since opening. Otonichar says the current census is 81, with 18 in the PACE unit, and discusses plans for Woodhull and North Central Bronx units.

Selvena N. Brooks-Powers

Regarding the outposted therapeutic health units,

Selvena N. Brooks-Powers

How many people have been transferred from Rikers to the Bellevue Outposted Therapeutic Health Unit since it opened?

Joseph Otonichar

So I don't have the total number transferred.

Joseph Otonichar

I can tell you the current census is 81 patients, and 18 of those patients are on the PACE unit, which, as mentioned earlier,

Joseph Otonichar

the PACE unit at the Bellevue Outposted unit is for individuals who have comorbid psychological and medical complexities.

Joseph Otonichar

Most of the beds at Bellevue Outposted are for people who have medical complexities, and there are 63 patients for those.

Selvena N. Brooks-Powers

So all 104 bids are not operational right now.

Joseph Otonichar

They're operational, but they aren't currently filled.

Joseph Otonichar

So in terms of bed capacity, that would differ from ideal clinical capacity.

Joseph Otonichar

We have to take into account things like patients'acuity, need, the therapeutic milieu of the unit.

Joseph Otonichar

So we wouldn't necessarily want every bed to be filled at every moment.

Joseph Otonichar

That said, I believe Bellevue Outposted is holding some beds for patients who are currently hospitalized, knowing that they'll need to be returned to the unit.

Selvena N. Brooks-Powers

So with that in mind, are there any plans to expand the number of beds at Bellevue beyond the current capacity?

Joseph Otonichar

Not at Bellevue.

Joseph Otonichar

That unit has 104 beds, but we are in the process of opening two additional units.

Joseph Otonichar

We are in the procurement phase for the construction of the outposted unit at Woodhull.

Joseph Otonichar

We hope to be in the procurement stage soon for North Central Bronx.

Joseph Otonichar

And those two units, unlike the Bellevue unit, will be focused more on patients with significant mental health needs, particularly Woodhull,

Joseph Otonichar

as they may have some comorbid medical or substance use needs, but it'll primarily be psychological concerns.

Selvena N. Brooks-Powers

And so NADA is in procurement.

Selvena N. Brooks-Powers

Once it goes from the...

Selvena N. Brooks-Powers

I imagine it goes into design.

Joseph Otonichar

We've been working on design, so we're hoping to start construction of the actual outposted units early next year,

Joseph Otonichar

and then working towards 2029 opening dates for both units, although there's interest throughout the administration in expediting that, so we are looking for opportunities to move out that timeline.