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Q&A

Morano asks how missed appointments distinguish refusals from DOC failures

New York City Council · Sep 23, 2026 · starts 1:19:34 · 1 min 6 sec

Morano asks whether the dashboard distinguishes patient refusals from DOC failure to produce. Boyd says refusals are recorded on body-worn camera and about 61% of all missed appointments were related to patient refusals, while Caputo says refusals are codified separately from court or other service absences.

Frank Morano

Do we know, for instance, what percentage of missed mental health appointments this year were attributable to refusals versus the department?

James Boyd

I don't think I have that broken out by refusals for mental health appointments, but for the universe of appointments, about 61%

James Boyd

were related to PIC refusals, right?

Frank Morano

And if an appointment's recorded as a refusal, does anyone ever go back and verify that that individual actually refused and wasn't simply unavailable because DOC couldn't move them?

Joseph Caputo

So the way we codify the missed appointments, that category of refusal is one.

Joseph Caputo

If an individual was out to court or if he was at another service, those are all different categories that we codify that under.

Joseph Caputo

So it's not under the blanket of refusal if the individual was at a different service or out to court.

Joseph Caputo

We don't codify it that way.

Joseph Caputo

That's not a refusal.

Frank Morano

Thank you, Chair.

Frank Morano

Thank you very much.