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HomeMy WebLinkAbout2022-03-14 SB/Joint SB-SC Packet - Released SELECT BOARD MEETING Monday, March 14, 2022 Conducted by Remote Participation* 6:30 PM AGENDA ITEMS FOR INDIVIDUAL CONSIDERATION ]. 2022 Annual Town Meeting& Special Town Meeting 2022-1 6:30pm . Call for Special Town Meeting 2022-2 . Approve Warrant . Review Draft S elect Board Report • Select Board Article Discussion and Positions 2. Joint Meeting- Select Board and School Committee 7:OOpm • Mental Health Task Force Update . Mental Health Assessment Report • Highlights of Youth Risk Behavior Survey(YRBS) and Connections to Adult Data . William James INTERFACE Referral Services Update and Short-Term Remedies . Task Force Advisory Group Updates . Discussion/Questions ADJOURN 1. Anticipated Adjoun�ment 9:OOpm �AnAct Extending Certain COVID-19 Measures: https://www.mass.gov/service-details/updated- guidanc e-on-ho lding-meetings-pursuant-to-the-act-extending-c ertain-c o vid-l9-ineasures Members of the parblic can view the meeting webinar fNo�n their computer or tablet by clicking on the following link at the time of the rneeting: https://us06web.zoom.us/j/88]SOl 98905?pwd=Qk9IKOp1Wmw3 S EordjBmS OtF KOF Edz09 iPhone one-tap: +13017158592„88150198905# or+13126266799„88150198905# Telephone:+1 301 715 8592 or+1 312 626 6799 or+1 929 436 2866 or+1 253 215 8782 or+1 346 248 7799 or+1 669 900 6833 Webinar ID: 881 5019 8905 Passcode:396234 The next regularly scheduled meeting of the Select Board will be held on Monday, March 21, 2022 at 7:OOpm via remote participation. Nearing Assistance Devices Available on Request �` � � °��� All agenda tirne and the orta'er of�items am apprr�xirnate crrad ,�„/ ��, subjecr eo chan�e. Recorded by LezMedia AGENDA ITEM SUMMARY LEXINGTON SELECT BOARD MEETING AGENDA ITEM TITLE: 2022 Annual Town Meeting & Special Town Meeting 2022-1 ITEM PRESENTER NUMBER: Board Discussion I.1 SUMMARY: The Select Board will ca11 for a Special Town Meeting(STM 2022-2)to begin on Wednesday,Apri16, 2022 at 7:30pm. Special Town Meeting 2022-2 would include a warrant article for the Lexington High School Feasability Study. The Select Board is being asked to review and approve the Town Moderator's letter requesting remote participation for Special Town Meeting 2022-2 to include in the Special Town Meeting 2022-2 Warrant. The Select Board is being asked to review and approve the Special Town Meeting 2022-2 Warrant. The Select Board will review a draft of the Select Board Report to Town Meeting and make the necessary edits as needed. The final report is targeted to be approved at the next Select Board meeting. The Select Board will discuss articles and take positions for Annual Town Meeting and Special Town Meeting. SUGGESTED MOTION: Move to call for Special Town Meeting 2022-2 to begin on Wednesday,Apri16, 2022 at 7:30pm. Move to approve the Town Moderator's letter requesting remote participation for Special Town Meeting 2022- 2 and to include such letter in the Special Town Meeting 2022-2 Warrant. Move to approve and sign the Special Town Meeting 2022-2 Warrant and authorize staff to make non- substantive edits as necessary or recommended by Town CounseL FOLLOW-UP: DATE AND APPROXIMATE TIME ON AGENDA: 3/14/2022 6:30pm ATTACHMENTS: Description Type ❑ Gwlf"MC112..!'�u'�iG:�u°n �:`ar�or'Ih�ia°,rn�a ❑ ;pQZI�,"�u�JSV�Aru�rd�4suti ��<ra,V;�i�}>M[��asui�al L� V9Vs,"����2�?l�Ae�ll„�ct IF�,r,nn�a➢112��aa�rt tar Va�wm 1Vlle��tnru�„n�v �"/1�I/;�:1, �a�lkt.a�s 1°v�upile,n•i�t ❑ �'Q�?�F��"I�-n,`,ICIWV I4�TJ �4ac:,�a:;cd aY�pda��8�q�r4,ubu�rnt�'aru��,unr�;�:�rc:�aur:rc:,u�u ll:��a lk���a Mlaaba�uiu�i ❑ i"�lii I�'II"�a11��auuzauni.d Il��ta�Vc�u�r Cw��unanui4r�t � tOr�la tu�r V�Quba°4➢Ml�:uciu ll➢,�4�J�'u t0N bcr�,��1����V;�rz��4�.,hry�tiausttl�����`��,e�:us:ill V erv�m Q�1�;I�.ur�s 1�N�u�vuirol t`�Va.<°bui��G; L� �/➢�/`1...1.11N�;onuro£��csrrc.➢ �"�auas—..G2a,Gg�ua:�>t1F'rcan°➢Vy�Z�°na��11Nf�n�Pa°.11e ��aa���r Ml�rr�ra� ❑ 2QMTJ...?If�i,-au1�aad�:aAdr.d�/I d/?1: V�4sa;��u�r[V���na ur4u( TOWN OF LEXINGTON WARRANT (DRAFT) SPECIAL TOWN MEETINC 2022-2 Commonwealth of Massachusetts Middlesex, ss. To either of the Constables or Town Clerk of the Town of Lexington, in said County, Greetings: In the name of the Commonwealth of Massachusetts,you are hereby directed to notify the inhabitants of the Town of Lexington qualified to vote in elections and in Town affairs to meet in the Margery Milne Battin Hall in the Cary Memarial Building, 1605 Massachusetts Avenue, in said Town on Wednesday, the sixth day of April 2022 at 7:30 p.m., at which time and place the following articles are to be acted upon and determined exclusively by the Town Meeting Members in accordance with Chapter 215 of the Acts of 1929, as amended, and subject to the referendum provided for by Section eight of said Chapter,as amended. Pursuant to Chapter 92 of the Acts of 2020, as amended by Chapter 20 of the Acts of 2021,the Town Meeting shall be held remotely by the means requested by the Moderator as follows: Town Meeting members will attend and vote by logging into: (1)the Zoom videoconferencing platform,(2)the online V Voter module�rovided b� our electromc votin� vendor, O�tion Technolo�ies OR com�arable online voting tool ���,�,,.���,.���,.���,.���,.���,.���,.���,.���,.� developed by Select Board member Joe Pato, and(3)an online queuing function developed by Select Board meinber Joe Pato to facilitate the process of debate. Other Town residents who wish to follow the proceeding��m�y do so via LexMedia at httpsJ/��ww.youtube.com/user/LexMediaMATV. Other residents who wisk�ta�articipat�iri tl�e Meeting may contact the Town Clerk's Office at clerk(a�lexin t� onma•�ov and l�y cc�mplefin� the online form at v�rww��xr���t�nl�u�,..��rv/I�a1�2Q�2 Q`�'lrt�ti . For more information,please see the Moderator's letter��dated the Select��E�oard attached to this warrant as Appendix A. ARTICLE 1 REI�(}RTS OF TOWN$OARDS,OFFICERS AND COMMITTEES To receiue the xepc�r�s of any$aard or Town Officer or of any Gc��nmittee of the Town;,oz act in any other manner in relation thereta��,� (Inse�^ted by the Select Board) DESCRIPTION: This article remains open throt�ghout Tpwn Meetrng,and reports may be presented at a�y Town Meeting�ession by boards;qfficers„or comtnittees. ARTICLE� APPROPRIATE FOR LEXINGT(�N HIGH SCHOOL FEASIBILITY STUDY To see if the�Town will vot�to apprqpriate,borrow ar tra�sfer from a�ailable funds, an amount of money to be expended under the dir�ctior� �sf the Scho�sl Building;Committee fcsr��the feasibiliry study for the Lexington High,School locate�i at 251 Waltham��t; Lex�ti�ton, MA 02421, for vvhich feasibility study the Town may be eli,�ible f'or a�r�nt frarn the Massachusett� School Building Authority. The MSBA's grant program is a nan-entitlement, discretianary program based on need, as determined by the MSBA, and any costs the Town incurs in connection wit1�the feasibility study in excess of any grant approved by and received from the M�BA sha11 be the sc�l"e responsibility of the Town; or act in any other manner in relation thereto. FLTNDS REQUESTED: $1,825,000 DESCRIPTION: In spring of 2022, the Massachusetts School Building Authority voted to accept the Lexington High School project into the MSBA reimbursement program. This article would fund the first phase of the process, conducting a feasibility study, under MSBA guidance. And you are directed to serve this warrant fourteen days at least before the time of said meeting as provided in the Bylaws of the Town. Hereof fail not, and make due return on this warrant, with your doings thereon, to the Town Clerk, on or before the time of said ineeting. Given under our hands at Lexington this 14T''Day of March, 2022. A true copy,Attest: Constable of Lexington Jill I. Hai, Chau Select Board Joseph N. Pato Suzanne E. Barry of Douglas M. Lucente Mark D. Sandeen Lexington 2 ���°s1773R"�ti� Town of Lexington �_-� �—_-� Q =o �� MODERATOR 3 ` ��' arRa�n^ `Ex�rv��� `' DEBORAH BROWN Appendix A(has not been received yet-sample from previous town meeting) date DELIVERED BY EMAIL Dear Select Board Members, In view of the ongoing COVID-19 pandemic, I request approval to conduct the proposed 2021 Special Town Meeting through remote participation. I propose to use a combination of: (1) the Zoom videoconferencing platform,(2)the online VVoter module provided by our electronic voting vendor, Option Technologies OR comparable online voting tool developed by Select Board member Joe Pato, and(3) an online queuing function developed by Select Board member Joe Pato to facilitate the process of debate. I certify that all components of the system described above have been fully tested and utilized successfully far prior Town Meetings, and I am satisfied that this system enables our meetings to be conducted in substantially the same manner as if they had occurred in person at a physical location. I certify that the system (i) allows the moderator, town meeting members, town officials and any other interested members of the public to identify and hear the moderator and each town meeting member who attends and participates in the remote meeting, as well as any other individuals who participate in the meeting, (ii)provides the ability to determine whether a quorum is present; (iii)allows participants to request recognition by the moderator and makes such requests visible to the meeting participants and the public; (iv) allows the moderator to deter�nine when a town meeting member wishes to be recognized to speak, make a motion, or raise a point of order or personal privilege; (v)enables the moderator to recognize a town meeting member,town official or other individual and enable that person to spealc; (vi) provides the ability to conduct a roll call or electronically recorded vote; (vii) allows any interested members of the public to access the meeting remotely through LexMedia for purposes of witnessing the deliberations and actions taken at the town meeting; (viii) allows members of the public to participate in debate through the submission of statements for or against a motion; and (ix) provides for the town meeting to be recorded and available for future viewing. I further confirm that I have consulted with Lexington's Commission on Disability regarding system accessibility. Sincerely, Deborah Brown Town Moderator Town of Lexington, MA 02420 PRESORTED STANDARD U.S. Postage PAID Boston, MA Permit No. 3011 1625 MASSACHUSETTS AVENUE • LEXINGTON, MASSACHUSETTS 02420 �**�**�'*��'ECRWSSEDDM�**� Residential Customer LEXINGTON , MA Detailed information on Town Meeting WarrantArticles can be found ut http://www lexingtonma.�ov/town-meetin� Town of Lexington Motion 2022 Annual Town Meeting ARTICLE 25 APPROPRIATE FOR WORTHEN ROAD RECREATION AND EDUCATION DISTRICT LAND USE CONCEPT PLAN (Citizen Petition) MOTION: That the Article be indefinitely postponed. (Revised 03/10/2022) 1 SELECT BOARD TOWN OF LEXINGTON ,����;�� '��'��%��,��� �;�� ��,,, ��,� ; � - � , . .. . � � � �''�,, i � � � � � � � � � � � � � � � � � � � ��' :° ,! �,�` ``z ''' � � �w�' � � `�,� a���i��,.�i���' -�i a; � . �% � �,� ��, � � ..�.. w•,.� ,�,���,�M���� a REPORT TO THE 2022 ANNUAL TOWN MEETING Select Board: Jill I. Hai, Chair; Douglas M. Lucente, Vice-Chair, Joseph N. Pato, Suzanne E. Barry, Mark D. Sandeen Kim Katzenback, Executive Clerk Table of Contents Message from the Select Board Page Another Unprecedented Year American Rescue Plan Act (ARPA) and Municipal Finance Initiatives Page New Capitalization Funding Framework Social Racial Equity Initiatives Page Municipal &School Building Projects Page Update on recent Home Rule Petitions Page 2025: The 250t�Anniversary of the Battle of Lexington Page March 2022 Message from the Select Soard The Select Board has prepared this written report to Annual Town Meeting 2022 under Article 2. This report contains an update to Town Meeting on the status of several topics the Board felt would be of interest to Town Meeting Members. These topics include: the Town's allocations from the American Rescue Plan Act(ARPA) and other municipal finance initiatives,continuing efforts to move forward with our Social Racial Equity Initiatives, an update on Municipal Building Projects, an update on the status of recent actions at Town Meeting regarding Home Rule Petitions and the progress on the Semiquincentennial (250th) Celebration of the Battle of Lexington coming in 2025. Should you have any questions or comments regarding this report, the Board encourages you to get in touch with any member of the Board via email(below) or by calling the Select Board Office (781-698-4580) to schedule a phone conversation or meeting.. • Jill Hai,Chair: ihai@lexin to�gov • Doug Lucente,Vice-Chair: dlucente@lexin tonma.gov • Joe Pato:ipato@lexin tonma. ov • Suzie Barry: sbarr�@lexin to� nma•gov • Mark Sandeen: msandeen@lexingtonma.gov Respectfully suUmitted, Lexington Select Board Jill L Hai, Chair Douglas M. Lucente, Vice-Chair Jose�rh N. Pato Suzanne E. Barry Mc�rk D. Sandeen 1 Another Unpredictable Year 2021 began with the distribution of vaccines and hope for a return to a more pre-pandemic status. By the beginning of Fiscal Year '22 in July, municipal staff returned to a staggered in-person work schedule. Lexington had a very high vaccination participation rate and,by September,over 90% of eligible residents had received at least one shot. However, as first Delta and then Omicron surged and the case count in town hit unprecedented levels, the Select Board joined the Board of Health in issuing a mask mandate, municipal committees continued to meet remotely, and the Select Board and Town Moderator agreed to once again hold Special Town Meeting remotely. We were able to grant permits for some outdoor events throughout the fall,including a Veterari s Day Car Parade and Re-Discovery Day. Municipal buildings re-opened to the public } and as we pass the second anniversary of the pandemic,we look forward to the return of many of our treasured community events, including Patriot's Day celebrations, for the first time since 2019. Legislation to extend remote meetings authorization, following the expiration of the COVID-19 State of Emergency, remains in effect through July 15, 2022, allowing a thoughtful transition to hybrid meetings,as we work to retain the best of what we have learned about remote access providing increased access and inclusion. This was another year which posed great challenges, and we are grateful to the entire municipal staff for their adaptability, perseverance and commitment, often on the front lines of COVID-19. We also remember those Lexington residents lost, and all residents who suffered losses, may their memory be a blessing to those they left behind. American Rescue Plan Act (ARPA) and Municipal Finance Initiatives �w clici � �le�l ith C'A I+:S A�t I�u�clin�7 li��w ��tr��nis t�r I+undir��;I�r°g� ���it�l pr�j��°ts2 American Rescue Plan Act (ARPA) Funding The American Rescue Plan Act of 2021 (ARPA) was passed by the federal government to support communities across the country in responding to and recovering from the COVID-19 pandemic. Federal funds from ARPA are intended to address the negative health and economic impacts caused by the pandemic Lexington is receiving $9,903,381 in ARPA funding. The allocation for Lexington, which is distributed through the Massachusetts Department of Revenue, is based on the Town population. ARPA Objectives and Eligible Uses: ARPA funding is available for use until the end of 2024. The federal government has outlined the primary objectives for the use of these funds: • Support urgent COVID-19 response efforts to continue to decrease spread of the virus and bring the pandemic under control • Replace lost revenue for eligible state, local, territorial, and Tribal governments to strengthen support for vital public services and help retain jobs . Support immediate economic stabilization for households and businesses • Address systemic public health and economic challenges that have contributed to the unequal impact of the pandemic. • Provide premium pay for essential workers - offering additional support to those who have and will bear the greatest health risks because of their service in critical infrastructure sectors • Invest in water,sewer,and broadband infrastructure-making necessary investments to improve access to clean drinking water, support vital wastewater and stormwater infrastructure, and to expand access to broadband internet: 2 The federal government specifically noted uses of funds that are NOT eligible such as: Contributions to Pension fund; Contributions or replenishment of reserves or 'rainy day' funds; Direct or indirect application of funds to reduce tax revenues/ tax rate; Payments for legal settlements; Payments for debt service;General infrastructure spending (above amount identified as lost revenue). Select Board Priorities for ARPA Spending For the current year, the Select Board has set the priorities for ARPA spending in areas that address the immediate needs of our residents and businesses.Specifically,the Select Board identified needs of housing, food insecurity,public health and safety and economic stimulus and resiliency for our community Additionally, the Select Board is seeking to set aside a portion of the ARPA funds for an inclusive and public participatory budgeting process. Approved ARPA Spending: To date,the Select Board approved using$1,190,000 in ARPA funds in the following areas: . Public Health including: $100,000 for ongoing support for the Public Health Office; $175,000 for community Covid Testing Events;$25,000 for purchasing of N95 masks and rapid at home tests. • Affordable Housing including: $115,000 for design work on the LexHAB Vine Street project; $315,000 for a down payment on affordable housing units; $20,000 to assist in the development of an Affordable Housing Trust. • Economic Development including: $250,000 in local business grants for businesses that have been impacted by COVID; $50,000 for Arts and Cultural organizations that have been impacted by COVID. • Hurnan Services including: $90,000 for: Mental health clinician services; $50,000 for local food insecurity programs. Next Phase for ARPA Spending The Select Board will continue to prioritize addressing the urgent needs of the community and will be working with the Town Manager to determine how the remainder of the Town's ARPA funds should be allocated. Additionally,we will be further exploring a proposed participatory budgeting component that would provide an opportunity for residents to weigh in on how a portion of the funds may be used. New Capital Stabilization Funding Framework In November 2022 the Select Board approved a new Capital Stabilization Funding Framework as proposed by the Town Manager and in collaboration with both the Appropriation Committee and the Capital Expenditures Committee.In anticipation of the need for a Lexington High School construction project,the largest capital project the Town of Lexington has ever seen,we sought a long-term,financially sustainable funding mechanism to provide dedicated funding for the Capital Stabilization Fund (CSF). This is meant to ensure that larger capital projects and future debt service do not place an unmanageable burden on taxpayers. The framework recognizes the effort by the Town of Lexington to simultaneously identify and attract opportunities for commercial development, and accommodate the substantial need for capital project funding. Rather than having "New Growth," from significant commercial developments be allocated between the Town and School departments via the Revenue Allocation Model,any additional incremental property tax revenue generated from new developments shall be dedicated and annually appropriated to the CSF. Included developments are those which go through the Preliminary Site Development and Use Plan (PSDUP) process and have an approved project Memorandum of Understanding to create a Planned Development District;as well as those developed through the zoning changes approved at the 2020 Special Annual Town Meeting for the Hartwell Avenue area. 3 Social Racial Equity Initiatives The Select Board recognizes that social and racial injustice has deep roots.The Board has made a proactive and ongoing commitment to engage in comprehensive and ongoing community conversations to better understand community needs and to consider diversity, equity, and inclusion in policies and plans, all with the goal of making Lexington a truly equitable community for all. While the Select Board was already focused on diversity, equity, and inclusion, in 2020 a national debate on policing emerged as a result of George Floyd's murder in Minnesota. In response, the Town held several public meetings where residents could voice their recommendations and concerns. The Town also hired All ACES to engage with Town staff, the Select Soard, and the community at large over the course of several months with the goal of raising awareness and developing capabilities to advance racial equity in Lexington. In addition, two members of the Lexington Select Board held meetings with a wide cross-section of cultural, civic, and community organizations from March through June 2021, to better understand local perspectives on policing and replacing the police station. Community members participating in these conversations were generally supportive of the Lexington Police Department. Nonetheless, some community members expressed direct concerns and discussed negative experiences. While none of the participants felt there were broad underlying problems, some clear specific issues were identified for consideration and are explored in more detail in the Select Board re�ort on community feedback on�olicin�in Lexington. The Town also commissioned Lexingtori s Town Counsel(Anderson&Kreiger LLP)to review Lexington's Police Department policies for any unintended bias or discriminatory policies. That review was led by Carmen Ortiz, a former United States Attorney for the District of Massachusetts. The Police Department has completed implementation of[23] of the 32 policy change recommendations outlined in the report and is in the process of irnplernenting the remaining[y] policy change recommendations.The Police Chief has also expressed the department's commitment to implementing the recommendations of the report and to continuous and ongoing improvement in this area. Town Meeting unanimously adopted Warrant Article 8 Systemic Racism Resolution during STM 2020-2. The Select Board has adopted Diversity, Equity & Inclusion as one of its top priority goals, including a commitment to develop and implement a comprehensive racial equity plan, consider racial and other equity impacts in all decisions and planning processes, and incorporate the goals of Town Meeting's systemic racism resolution in each department's goals and objectives. The Select Board recognizes that accomplishing these goals will require an ongoing staffing and budgetary commitment to continuous improvement. The Town of Lexington hired a Chief Equity Officer in July 2021 to lead the Town in achieving these goals while prioritizing community engagement. The Chief Equity Officer is currently actively focused on expanding the applicant pool for Town staff positions,with the goal of hiring and retaining staff of diverse backgrounds and identities. The Chief Equity Officer has also begun a series of community engagement and communication initiatives including: • Forming the Strategic Equity Advisory Team (SEAT) with representatives from as many communities as possible, • Participating on the COVID-19 effects on persons with disabilities working group in consultation with the Human Rights Committee and the Commission on Disability, and • Launching the Coffee with the [Police] Chief program to foster better understanding and communications between the community and the Police Department. 4 Municipal & School Suildings The Board continues to address the issues of maintaining and improving our municipal and school building infrastructure. The following is the current status of Lexington's building projects. Westview Cemetery Administration Building Start Date: Construction contract [�r��;/ i��:xp�:ct�d ta b�] awarded in March 2022 Estimated Project Completion Date: Early CY 2023 Project Budget:$4,330,000 Funding:ATM 2017-Article 120/ATM 2020-Article 16k/ STM 2021-1 Article 7 Design funding of $270,000 was approved at ATM 2017. Initial construction funding of $3,290,000 was approved at ATM 2020 under Article 16k. Initial construction bids came in higher than the appropriated amount. As a result, Town Meeting approved additional construction funding of$770,000 at STM 2021-1 under Article 7. The second round of construction bids have come in within the updated project budget. The Department of Public Facilities expects construction to begin in Spring 2022 with project completion in early 2023. Lexington Police Station Status: Construction Documents under development. Estimated Project Completion Date:T�L;�Pending Town Meeting approval Project Budget: Currently$2,117,622 has been appropriated thru Construction Documents Funding:ATM 2018-Article 14/ STM 2021-1 Article 5a / STM 2022-1 Article 2 [rCF3T�] All members of the Select Board believe that the police station building needs to be replaced. The Select Board determined that the new Lexington Police Station will be located at 1575 Massachusetts Avenue in March of 2020. In October 2020 and March 2021, the Select Board paused funding and additional design work on the police station project until the community conversations about the future of policing were completed. Those community conversations on the future of Policing concluded June 2021. The Select Soard reviewed those findings and approved moving forward with the Police Station design based on a revised Police Station design which incorporates additional space to provide the flexibility needed to accommodate anticipated changes in policing. Lexington Police Station Swing Space Construction Project Start Date:Apri12022 Estimated Project Completion Date:September 2022 Project Budget:$615,000 Funding:STM 2021-1 Article 5b Special Town Meeting 2021-1 authorized funds to modify the 173 Bedford Street facility so that facility can act as swing space for the Police Department during the construction of the new Police Station. The contractor was selected and kickoff ineetings took place in March 2022. Hosmer House Appropriation: $50,000 Funding:STM12018-Article 5/ ATM 2020-Article 10m(2) Not approved Article 5 of the 2018 Special Town Meeting appropriated $50,000 for a study regarding relocation or renovation of the Hammond A. Hosmer house, located at 1557 Massachusetts Ave. A committee was formed with representatives of the Select Board,Permanent Building Committee,Historical Commission, Historic Districts Commission (HDC), Public Facilities Department and the Architectural firm LDa. After reviewing the recommendations of that committee,the Board felt strongly that the Hosmer House should 5 be returned to its intended use as a home and were in support of moving the Hosmer House to enable construction of the Police Station project. Article 10m(2) of the 2020 Annual Town Meeting asked for an appropriation of $25,000 for LexHAB to complete a feasibility study to reuse the house as affordable housing at Vine Street. That motion was not approved by Town Meeting. The Town Manager issued a request for proposals (RFP) in July 2020 for the house to be moved and/or acquired, and received one qualifying bid. After extensive review and evaluation, the Select Board determined at their February S,2021 meeting that the bid did not meet the objectives of the RFP.The Select Board authorized the Town Manager in March 2021 to issue another RFP, this time including a list of specific properties where the facility could be moved and encouraging potential public/private partnerships.There were no responses to this RFP.The Select Board voted on January 24,2022 to authorize the Town Manager to begin a Section 5C demolition perrnit request to the HDC.The HDC voted on March 3,2022 to deny the demolition permit request. The Town Manager is continuing to look for other locations to move the Hosmer House prior to commencement of the Police Station construction project. Lexington Fire Department Headquarters Construction Start Date:November 2018 Project Completion Date: October 2020 Project Budget:$19,943,700 Funding:STM 1 2017-Article 2/STM 4 2017-Article 4/ATM 2018-Article 13 The Town issued an RFP to install a solar energy system on the roof of the Fire Station and has entered into a contract with a solar energy company to complete that installation. Old Reservoir Bath House Renovation Appropriation: $620,000 Funding:ATM 2019-Article 14g All bids received by the Town exceeded the appropriation approved by Town Meeting. The Department of Public Facilities and Recreation Department staff have proposed installing a prefab facility to lower overall project costs. DPF staff are evaluating procurement alternatives required to complete the project. Center Bathroom&Maintenance Building Renovation Appropriation: $100,000 Funding:ATM 2020-Article 16b/ ATM 2021-Article 16g/ ATM 2022-Article 10e 2020 Annual Town Meeting approved$100,000 in design and engineering funds for the Center Bathroom building renovation project. At the 2021 Annual Town Meeting,the Select Board recornmended indefinite postponement of warrant article 16g requesting $915,000 in construction funding to a future Town Meeting. 2022 ATM will consider whether to approve warrant article 10e requesting $915,000 in funding for this project. Lexington High School Feasibility Study Funding:ATM 2021-Article 24 IP'd/ [�'I1�I 2022-2 P,rticle 1 (�1,�25�000)] The Superintendent,with support of the School Committee and Board of Selectmen,submitted a Statement of Interest (SOI) to the Massachusetts School Building Authority (MSBA) on March 17, 2019, requesting 6 state support for a high school building project. The MSBA did not invite Lexington to participate in December 2019 and again did not invite Lexington to participate in March 2021. The MSBA did invite Lexingtori s SOI for the Lexington High School to participate into the MSBA's eligibility period in March 2022.The Town's Eligibility Period will commence on June 1,2022 and conclude on February 27,2023.During this time,the Town must complete the preliminary requirements defined by the MSBA. Invitation into the Eligibility Period is not an invitation to Feasibility Study. Moving forward in the MSBA's process requires collaboration with the MSBA, and an invitation to Feasibility Study will require a further vote of the MSBA Board of Directors. The 270-day eligibility period begins the MSSA approval process with a definitive schedule for the completion of preliminary requirements, assisting with the determination of financial and community readiness,and identifying needs for planning and budgeting. Successful completion of all activities in the Eligibility Period will allow the Town to be eligible for an MSBA invitation to Feasibility Study. Update on recent Home Rule Petitions There are four home rule petition requests approved at recent Town Meetings that remain under consideration by the legislature.No final action has been taken by the legislature on any of these petitions. • STM 2020-2:Article 6 -Authorize Special Legislation Development Surcharge for Community Housing (Citizen Petition) Bill H.4314 (malegislature.gov�An Act authorizing a development surcharge for community housing in the town of Lexington Status: Referred to Joint Committee on Municipalities and Regional Government. Reporting date extended to Wednesday March 16,2022. • ATM 2021:Article 26 -Petition General Court to Amend Legislation Regarding Permanent Transportation Funding Bill H.3892 (malegislature.gov�An Act authorizing the town of Lexington to establish transit improvement districts Status:Referred to Joint Committee on Transportation Reporting date extended to Friday March 25,2022,pending concurrence • ATM 2021:Article 29-Clean Heat-Authorize Special Legislation to Regulate Fossil Fuel Infrastructure and Adopt Bylaw Amendment Enabling Legislation Bill H.3893 (male�islature.�ov�An Act authorizing the town of Lexington to adopt and enforce local regulations restricting new fossil fuel infrastructure in certain construction Status:Referred to Joint Committee on Telecommunications,Utilities and Energy Reporting date extended to Monday May 2,2022 • ATM 2021:Article 36 -Authorize Special Legislation-Development Surcharge for Affordable Housing (Citizen Petition) 7 Bill H.3891 (malegislature.gov� An Act to establish a surcharge on specific commercial development activities for the purpose of funding the creation of community housing Status: Referred to the committee on Housing,reported favorably on February 2022. Pending further action. 2025: The 250th Anniversary of the Battle of Lexington In the Spring of 2021,the Select Board appointed the following members to the Semiquincentennial Commission (Lex 250) the official Town entity dedicated to helping the Town of Lexington plan events for the 250th Anniversary of the Battle of Lexington in 2025: Suzanne Barry (Select Board Member), Stephen Cole,Jr. (Comrnunity Representative),Steven Conners (Reenactment Community), Barry Cunha (Local Business Representative),Bebe Fallick (Tourism Committee Representative), Cerise Jalelian (Town Celebrations Comrnittee Representative),Julie O'Leary (Civic Representative),Paul O'Shaughnessy (Historical Organization Representative),Monami Roy (Community Representative),Sara Sadeghi (Lexington Public Schools Representative),Jillian Tung (Music &Arts Representative). The Commission held their first meeting in June of 2021 to review their charge,committee structure, important upcoming dates in the years ahead,local, state and federal efforts to date and begin the planning process. The Commission is currently meeting twice per month and working on a video, a logo, getting working groups set up and a schedule of events. Select Board Member Suzie Barry continues to work with representatives from the Towns of Concord, Lincoln,Bedford,Arlington and representatives from Minuteman National Historical Park and Hanscom Field to share information regarding events that may be planned in the Battle Road Communities in 2025. Ms. Sarry was also appointed by the Select Board as Lexington's representative to the Commonwealth's Special Commission on the 250th Anniversary of the American Revolution. 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'F V] �� M '- m . Gi � G � '.. '�y � .� u �� , O O O �O N O ���. O y � ��5 p � ����. N Q N ���.N a �7 �+��� �7 0.� C 'C7 O 'c3 '6 � 'O y 'O y � GJ C � L" fJ � 0 5 5 '� d Q Q ' d Q Q ,Q O y O y U �,,,,,,,,,,,,, ,,, „,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, t � 1 �G' � v �n �o r oo a o M M ��. M M ��. M M ��. 7 ',, � �,, ��.�' TOWN OF LEXINGTON WARRANT (DRAFT) SPECIAL TOWN MEETING 2022-2 Commonwealth of Massachusetts Middlesex, ss. To either of the Constables or Town Clerk of the Town of Lexington,in said County, Greetings: In the name of the Cotnmonwealth of Massachusetts,you are hereby directed to notify the inhabitants of the Town of Lexington qualified to vote in elections and in Town affairs to meet in the Margery Milne Battin Hall in the Cary Memorial Building, 1605 Massachusetts Avenue, in said Town on Wednesday, the sixth day of April 2022 at 7:30 p.m., at which time and place the following articles are to be acted upon and determined exclusively by the Town Meeting Members in accordance with Chapter 215 of the Acts of 1929, as amended, and subject to the referendum provided for by Section eight of said Chapter, as amended. Pursuant to Chapter 92 of the Acts of 2020, as amended by Chapter 20 of the Acts of 2021, the Town Meeting shall be held remotely by the means requested by the Moderator as follows: Town Meeting members will attend and vote by logging into: (1)the Zoom videoconferencing platform,(2)the online VVoter module provided by our electronic voting vendor, Option Technolo�ies OR comparable online votin� tool developed by Select Board member Joe Pato, and(3)an online queuing function developed by Select Board member Joe Pato to facilitate the process of debate. Other Town residents who wish to follow the proceedings may do so via LexMedia at https://www.youtube.com/user/LexMediaMATV.Other residents who wish to participate in the Meeting may contact the Town Clerk's Office at clerk(a�lexin onma.gov and by completing the online form at www.Lexin onMA.�ov/Fa112021STM . For more information, please see the Moderator's letter March 11, 2022 the Select Board artached to this wai7ant as Appendix A. ARTICLE 1 REPORTS OF TOWN BOARDS,OFFICERS AND COMMITTEES To receive the reports of any Board ar Town Officer or of any Committee of the Town; or act in any other manner in relation thereto. (Inse�^ted by the Select BoaNd) DESCRIPTION: This article remains open throughout Town Meeting and reports may be presented at any Town Meeting session by boards, officers, or committees. ARTICLE 2 APPROPRIATE FOR LEXINGTON HIGH SCHOOL FEASIBILITY STUDY To see if the Town will vote to appropriate, borrow or transfer from available funds, an amount of money to be expended under the direction of the School Building Committee for the feasibility study for the Lexington High School located at 251 Waltham St, Lexington, MA 02421, for which feasibility study the Town may be eligible for a grant from the Massachusetts School Building Authority. The MSBA's grant program is a non-entitlement, discretionary program based on need,as determined by the MSBA,and any costs the Town incurs in connection with the feasibility study in excess of any grant approved by and received from the MSBA shall be the sole responsibility of the Town; or act in any other manner in relation thereto. (Inserted by the Select Board at the request of the School Committee) FUNDS REQUESTED: $1,825,000 DESCRIPTION:In spring of 2022,the Massachusetts School Building Authority voted to accept the Lexington High School project into the MSBA reimbursement program. This article would fund the first phase of the process, conducting a feasibility study,under MSBA guidance. And you are directed to serve this wanant fourteen days at least before the time of said meeting as provided in the Byla.ws of the Town. Hereof fail not, and malce due retuln on this warrant, with your doings thereon, to the Town Clerk, on or before the time of said meeting. Given under our hands at Lexington this 14t''Day of March,2022. A ttue copy,Attest: Constable of Lexington Jill L Hai, Chair Select Board Joseph N. Pato Suzanne E. Barty of Douglas M. Lucente Mark D. Sandeen Lexington 2 `OVS MOqN� p�` 1775 �C � � K P Town of Lexington Q r '� D a�m �`� � MODERATOR ; V L'� DEBORAH BROWN APRit 19" �FX I N Cit�� March 11, 2022 DELIVERED BY EMAIL Dear Select Board Members, In view of the ongoing COVID-19 pandemic, 1 request approval to conduct the 2022-2 Special Town Meeting through reinote participation. 1 propose to use a combination of: (1) the Zoom videoconferencing platform, (2) the online VVoter module provided by our electronic voting vendar, Option Technologies OR comparable online voting tool developed by Select Board member Joe Pato, and(3) an online queuing function developed by Select Board member Joe Pato to facilitate the process of debate. I certify that all components of the system described above have been fully tested and utilized successfully for prior Town Meetings, and I am satisfied that this system enables our meetings to be conducted in substantially the same manner as if they had occurred in person at a physical location. I certify that the system (i) allows the moderator, town meeting members, town officials and any other interested members of the public to identify and hear the moderator and each town meeting member who attends and participates in the remote meeting, as well as any other individuals who participate in the meeting; (ii)provides the ability to determine whether a quorum is present; (iii) allows participants to request recognition by the moderator and makes such requests visible to the meeting participants and the public; (iv) allows the moderator to determine when a town meeting member wishes to be recognized to speak, malce a motion, or raise a point of order or personal privilege; (v) enables the moderator to recognize a town meeting member, town official or other individual and enable that person to speak; (vi)provides the ability to conduct a roll call or electronically recorded vote; (vii) allows any interested members of the public to access the meeting remotely through LexMedia for purposes of witnessing the deliberations and actions taken at the town meeting; (viii) allows members of the public to participate in debate through the submission of statements for or against a motion; and (ix)provides for the town meeting to be recorded and available for future viewing. I further confirm that I have consulted with Lexington's Commission on Disability regarding system accessibility. Sincerely, Deborah Brown Town Moderator 617-512-7901 1625 MASSACHUSETTS AVENUE•LEXINGTON,MASSACHUSETTS 02420 Town of Lexington,MA 02420 PRESORTED STANDARD U.S. Postage PAID Boston,MA Permit No.3011 1625 MASSACHUSETTS AVENUE •LEXINGTON,MASSACHLTSETTS 02420 �*=�=��*���*�C;KW�S�llllM�=��* Residential Customer LEXINGTON ,MA Detailed inforniation on Town Meeting WarrantArticles can be found at http://www.lexin�tonma.�ov/town-meetin� 4 ��������,�� �� , ��� � ��, Town of Lexington �� �� � � : ��,a Town Manager's Office ��v���. :d ����,�� ���������z��^,,r, James J. Malloy, Town Manager TeL• (781) 698-4540 Kelly E. Axtell, Deputy Town Manager Fax: (781) 861-2921 MEMORANDUM TO: Select Board FROM: Jim Malloy, Town Manager DATE: March 11, 2022 RE: Annual and Special Town Meetings CC: Senior Management Team To assist the Board and provide my perspective on all open Town Meeting wai�rant articles (Annual and Specials), the following are my recommendations/reasoning(in the order presented in the Select Board's position worlcsheet): STM#1 —Article 2—Police Station Construction—My recommendation is to move forward with the article as per the current motion which appropriates an additional $32.4 million dollars with the police station being "solar ready" as Mike Cronin and the Permanent Building Committee have discussed and proposed. There has to be a lot of additional review of whether the building could reach net zero given other approvals that are required (HDC) and how Fletcher Field will eventually be reconfigured. The Fire Station is not net zero, we are installing solar using the remainder of the contingency and it will provide 20%� of that building's energy use. I fully understand the concept of going net zero, installing batteries and managing electricity to avoid demand charges, however, the site at 1575 is an urban site that does not provide sufficient area to make the building net zero without either building extensive parking lot canopies or covering Fletcher Field with a canopy. Both of these options require a lot of review and discussion and approvals outside of the scope/authority of the Select Board, PBC or Town Meeting (HDC) and therefore solar should be considered as a separate project. On the Hosmer House, a new RFP has been issued this week(advertised on 3/10/22) similar to the previous RFP. We have a local resident that is worlcing with our Planning and Zoning Officials on a site that the resident owns and hopefully he'll be able to bid on it. Otherwise,we need to plan to put the building on cribbing as part of this project and set it semi-permanently in the back corner of the lot given the HDC's refusal to approve a demolition permit. The cost of taking this action is within the $34.2 million budget for this project. Attached please find an attachment which includes both a 20-year debt service schedule and a 30-year debt sei-vice schedule with total assessed valuation, tax rate implication and impact on single family homes. Please note that this is a conservative approach using a 2.0% increase in total and single- family home value increases each year and using a 4.0%interest rate for the debt service. Based upon this analysis, the first-year impact for 20-year debt analysis on the average value home is $272 per year or $23 per month and for the 30-year debt analysis is $221 per year or$18 per month. 1625 MASSACHUSETTS AVENUE•LEXiNGTON,MASSACHUSETTS 02420 Article 7—Climate Action Plan—This article is to fund the Town's local match of a Planning Assistance Grant through the EXecutive Office of Energy and Environmental Affairs to update the Sustainable Action Plan with a climate action plan(please see attached contract with MAPC to perform this work and the full scope of services). The Town received a grant of$50,000 and this article seeks to fund the local share of$50,570 with $30,000 from unexpended funds from Article 7 of the 2018 Annual Town Meeting (originally a$40,000 appropriation for analysis for getting to net zero) and an additional$20,570 from free cash to provide $100,570. This is a grant application submitted by Stella Carr as the Sustainability Director(now under Maggie Peard as the Sustainability and Resilience Officer), it is not a Sustainable Lexington grant funded project. The notation in the Board's packet was that the Board is waiting for a recommendation from Sustainable Lexington. Again, this is a grant project undertaken by the Town's professional staff and not a Sustainable Lexington project, therefare I am recommending the Board support this Article. Should the Board not support this article, we will need to inform EOEA that we are rejecting the grant award. ATM—Article 8—Comprehensive Plan Implementation—The Planning Board requested$75,000 through this article to fund the im�lementation of the Comprehensive Plan. The current appropriation has been fully expended and the comprehensive plan is not com�leted. The Planning Board is seelcing to extend the consultant's contract. This funding request is now seeking to provide the planning department the ability to com�lete the plan. Since this Article was entitled"Implementation",there was a request this morning to amend it to Article 22, then to Article 21, then to Article 4. This Article should be postponed indefinitely. I will leave it to the Planning Board and Planning Department to make a case to appropriate the $75,000 in either Article 21 (which is to amend current FY budgets) or in Article 4 (FY23 budget) for the Board's consideration. However, my recommendation is that they regroup and bring it back for the Fall Town Meeting. ATM—Article 10(el—Center Recreation Bathrooms—This appropriation was initially for $915,000 however; the current estimate is $680,000. The cost estimate and floor plan is also attached. As the Board is aware,we will be kicking off feasibility studies over the next year(assuming Town Meeting approves the appropriation) and so while no one can say for certain how the high school project will be located, the attached map shows the bathroom will be approximately 16 feet from the abutting property owners. Realistically, there is little or no chance that a multiple story school building will be built at that location. Whether there is a new stadium or not (that would include its own bathrooms)will be part of the design, so that can't be determined either, but again, it's highly unlikely that a stadium would be built in the current bathroom footprint. What is likely is that there would be some redundancy where there may be bathrooms available in a potential stadium and bathrooms at the Center Recreation Area. This may not be necessarily bad since the availability of bathrooms in any potential stadium may not coincide with the hours of the Center Recreation Area. Additionally, given the timeline of the high school project, any facility associated with the high school project won't be available for several years. DPF has been working with the architect and the estimator on the center bathroom estimate. When they received the first draft last week, the construction project came in over $737,558 not including technology or contingency and seemed way too high. DPF spent a couple of days reviewing the assumptions and made suggestions and corrections to the figures. The new construction figure is $610,904 plus approximately $20,000 for technology and would recormnend budgeting $50,000 for contingency. The grand total would be $680,000. The project is a renovation of the existing restroom/storage building. The two existing restrooms are being demolished under the existing roof, to make way for six new gender-neutral Restrooms, 2 of which will be designed as accessible spaces, with one of those slightly larger to accommodate family use. The construction will be all masonry materials at grade and above with some stud framing at walls higher up. The storage area will see improvements to garage doors and a shed style dormer roof that will allow for storage of �ield maintenance equipment. Cuirently, that maintenance equipment is kept in metal storage containers on site. The funding source for this project is CPA funds. I am recommending that the Board support this article at$680,000. ATM—Article 10(f1—P1avLround Improvements—Hard Court Surfaces—This article seeks to renovate the tennis courts and basketball courts at the Center Recreation Area, which includes post tension court surfaces (this is a cable-reinfarced concrete that prevents joints and cracking other court surfaces have), new fencing, athletic equipment, a storage shed, shelter, site amenities, tennis backboard and signage. The total cost is $2,500,000 and the funding source for this project is CPA funds. Similar to the bathrooms, the proximity of these courts to either abutters or in the case of the basketball courts, the lack of proximity combined with the high level of use for these facilities warrants the improvements requested. Therefore, I am recommending the Board suppoi-t this Article for the upgrades to the court surfaces. Article 10(i)—Lincoln Park Master Plan—This article seeks to fund$100,000 for a study to identify all of the needs for upgrades to Lincoln Parlc over the next several years. As the Board is aware, the Recreation Committee undertook a community needs assessment in 2020 that identified a number of projects that the community desired. The park contains three synthetic turf multi-purpose fields, one little league field, one softball field a playground, nature path,picnic area and public restrooms. There are six potential projects over the FY23-27 period and this master plan is designed to incorporate the flndings of the community needs assessment and stakeholder comments in order to provide a more coordinated series of projects that meets the community's needs. The funding source to undertake this master plan is CPA funds. I am recommending the Board support this Article to ensure future projects are undertaken in a coordinated manner that meets the community's needs. Article 10(k)—Lexhab 116 Vine Street Construction—This article seeks $5.3 million to construct the project that Lexhab has presented over the past two years on Vine Street. I recognize Lexhab is meeting on 3/11/22 to discuss and will hold off mal�ing any recommendation until after they meet. The funding source is CPA funds. Article 12(a)—Hartwell District Si�na�e—This article seeks $65,000 to install identification signs for the Hartwell Innovation Park(HIP) and for safety signs identified by VHB in their review. Attached is the more detailed Capital Improvement Request with maps showing the locations of the signs and sample signage that was part of the "placemaking" studies about redevelopment of Hartwell that took place over the past few years. The funding for this Article is proposed to come from the Transportation Management Overlay District(TMOD) Stabilization Fund and I am recommending the Board support this Article for both public safety and economic development purposes. Article 12(c)—South Lexington and Forbes-Marrett Traffic Miti�ation Plan—This article seelcs to fund $175,000 for a traffic mitigation plan that is then used by Planning for developing traffic mitigation for various projects. The South Lexington TMOD encompasses the intersection of Spring Street and Hayden Avenue and most of Hayden Avenue. The Forbes-Marrett TMOD encompasses the Marrett Road and Farbes Street intersection. The Traf�c Mitigation Plans are a critical part of justifying mitigation payments from private development in the area and is required for proper implementation of the TMOD as described in Chapter 135 Section 7.2 of the Lexington Code. In addition, the Plans outline projects and strategies to use the mitigation payments to reduce single occupancy vehicle trips, increase safety and reduce traffic congestion. In 2009, Town Meeting created the Overlay Districts and its associated traffic fund. The funding for this Article is from the Traffic Stabilization Fund. I am recommending the Board support this article since it provides the justification for traffic mitigation measures in the development process. Article 12(n)—Battle Green Streetscape Improvements—This Article seelcs $4,975,000 for the purpose of the Battle Green Streetscape Improvements that have been presented to the Select Board (see attached presentation with zoomed/highlighted areas where easements would be needed). This project was originally presented as 100% debt financed,but due to the Town's excellent financial position, we are able to fund it with $1,360,000 from free cash and $3,615,000 as debt financed, reducing the debt service on this project. As the Board is aware, the goal is to have this project completed before the 2025 celebrations and if it is not approved at this Town Meeting, that will not be practical. This is a well-designed project that has received overwhelming support from the community (through contacts to the Select Board and comments in public meetings) and I believe that by funding a portion through the Town's reserves, that we are able to bring this in with a lower debt service cost making it an even better project and I recommend the Select Board support this Article. Article 12(0)—Parl�n�Lot Improvements—This Article seeks to fund$60,000 for the survey and design of the parking lot that extends from Fletcher Avenue on the easterly side of the Town Office Building Parcel to the westerly side. The project includes design for the reconstruction of the parking areas including the eXisting asphalt areas, around the new Police Station and Hosmer House. The goal is to increase the efficiency of traffic flow and improve safety around these buildings for town staff and visitors as well as balance the need for parking and developing an adequate number of parking spaces. The design and construction of the parl�ing lot will be coordinated with the Police Station reconstruction since that project will significantly impact the existing parl�ing lot. This project is needed whether the Police Station project moves forward or not given the current layout and need to improve this layout. The funding source for this Article is Free Cash. I recommend the Board support this project for the reasons stated above. Article 12(p)—Parking Lot Improvement Program—This Article seeks to iund $100,000 for desi�n work for parking lot improvements in Lexington Center including the Depot Lot, the CVS Lot and Michelson Lot. These lots are in poor condition with inefficient circulation and parking layouts. This redesign work will include surveys and a conceptual plan development design and it is anticipated these will improve efficiency, circulation and aesthetics as well as making them safer. This detail is necessary in order to develop cost estimates for construction purposes. The funding source for this Article is Free Cash. I am recommending the Board support this Article. Article 12(q)—New Sidewalk Installation—This article seeks to fund $75,000 for the survey and design work necessary to move the Cedar Street Sidewalk project forward. The design work and public outreach will inform a future request for construction funding. The funding source for this article is Free Cash. I am recommending the Board support this Article. Article 19—Establish,Amend,Dissolve and Approuriate To and From Specified Stabilization Funds—The one comment was looking for a detailed motion for this Article which is as follows: ARTICLE 19 ESTABLISH, DISSOL VE AND APPROPRIATE TO AND FROMsEP�SPECIFIED STABILIZATION FUNDS MOTION: That$800,000 be appropriated f�one the Capital Stabilization Fund for projects excluded f�om the liYnits of PNoposition 2%; and That$3,142,434 be approp�iated into the Capital Stabilization Fund, and to meet this appropNiation, $57,I38 be appropriated f�om the tax levy and$3,085,296 be appropriated from the Gene�al Fund unreserved fund balance; and That$107,554 be appropriated into the Transportation Management Overlay District Stabilization Fund, and to meet this appropriation, $107,554 be appropriated f�om the T�ansportation Management Overlay District Special Revenue Fund. The $107,554 going into the TMOD Stabilization Fund is from two mitigation payments that were required per our zoning bylaws—$14,304 from 3 Maguire Rd, and$93,250 from 91 Hartwell Ave. Should there be additional questions at the next Select Board meeting, we can review them at that time. I am recommending the Select Board support this Article. Article 20—Appropriate for Prior Years Bills— Similar to the above, the Select Board was seeking the detailed motion which is as follows: ARTICLE 20 APPROPRIATE FOR PRIOR YEARS' UNPAID BILLS MOTION: That the Department of Public Facilities be authorized to pay an invoice for $6,261.75 to Bay State Consultants fo�seNvices rende�ed in fiscal yeaN 2021, and that to meet this appropNiation, $6,261.75 be appNopriated f�oin the Gene�al Fund unrese�ved fund balance. Should there be additional questions at the next Select Board meeting, we can review them at that time. I am recommending the Select Board support this Article. Article 21 —Amend FY22 Operatin�,Enterprise and CPA Budgets— Similar to the previous two Articles, the Board was seeking the detailed motion which is as follows: ARTICLE 21 AMEND FY2022 OPERATING, ENTERPRISE AND CPA BUDGETS MOTION: a) That the following adjust�nent be made to the following line item for the FY2022 budget as approved undeN Article 4 of the 2021 Annual Town Meeting: Line Item P�ogram From To 2510 Reserve Fund $750,000 $750,000 8500 Town Clerk Personal Services $404,181 $422,892 8500 Town Clerk Expenses $ 98,250 $123,987.89 And fuNthe�, that to meet this approp�iation $44,449 be appNop�iated from the Gene�al Fund unrese�ved fund balance, and$xxx be appropNiated froyn Recreation Retained Earnings. b) That the following adjustinents be made to the estimatecl receipts reserved fo�FY2022 as �ecomrnended by the Cofnmunity Preservation Committee, and approved unde�A�ticle 10 of the 2021 Annual Town Meeting: F�om To For the acquisition, creation and prese�vation of open space $743,000 $822,026 For the acquisition,preservation, �ehabilitation and restoration ofhistoric $�43,000 $822,026 resou�ces For the acquisition, creation,preservation and support of co�nmunity ��43,000 $822,026 housing To the Unbudgeted Reserve ,$S,201,000 $S,754,183 Please note the highlighted items under(a) are meant to reflect that the proposed cost of repairs at the golf course will be transferred from the Recreation Enterprise Fund back to the General Fund Reserve Fund. I recommend the Board support this Article. Article 22 —Appropriate for Authorized Capital Improvements—This Article is recommended to postponed indefinitely. Article 25—Appropriate for Worthen Road Recreation and Education District Land Use Concept Plan (Citizens Petition)—This Article is recommended to postponed inde�initely. Article 26—Appropriate for Nexus Studies (Citizens Petition)—This Article seeks to fund $75,000 for funding two studies related to linkage fees for commercia] and residential development, with said fees to be used for funding affordable housing projects. These two separate bills H. 4314 and H.3891 are both still in the House, with H.4314 (residential) making more progress than H3891 (commercial). The last action on H. 3891 was in October 2021. Town staff did not develop the estimate for the studies and cannot verify if this amount is adequate. Additionally, I do not recommend undertaking either study until such time that the bills have been approved by the Legislature and signed by the Governor. Otherwise at some point in time, the Town will need to undertake such studies and update them regularly. The Select Board has asked what additional work these two Town Meeting Articles/Special Legislation will create. These bills both also require the Town Manager(or their designee) to prepare annual reports that identifies surcharge receipts, quantifies the attributes of community housing projects funded by the community housing surcharge and evaluates the impact of said housing projects as well as prepare a study every tive years that determines the suitability, effect and amount of the surcharge and recommends possible changes necessary to address changing demand for community housing. The funding source far this Article is Free Cash. I recommend the Select Board support this article, since Town Meeting has already voted in support of the special legislation, but that no expenditure be made until after the Governor has signed the special legislation. Article 27—Zero Waste Resolution—This article is "just" a resolution, with a very long motion which is as follows: ARTICLE27 ZERO WASTERESOLUTIONMOTION.• WHEREAS, Town Meeting has voted on inultiple policies and�esolutions that recognize and take action on thr�eats posed by clifnate change, including: 2005:Lexington adopted our Sustainable Design Policy, committing to designing and building our inunicipal buildings with an adherence to sustainability through electrification and improved building efficiency. 2010: The Sustainabde Lexington Co�n�nittee was c�eated to examine and guide Lexington's sustainability goals and priorities fo�implementation. 2013:Lexington Town Meeting adopted a Climate Change Resolution to consider cli�nate change in all app�opNiate decisions. 201�.•Lexington Town Meeting appNoved the Community Choice Aggr�egation progNayn to move the Town's electricity to 1 DO%Nenewable energy. 2016.•Lexington Public Schools contNact fo�cofnpost pickup in all nine schools. 2018: The Board of Selectmen adopted the Sustainable Action Plan and Getting to Net Ze�o Emissions Plan. 2019:Boa�d Of Selectinen &School Committee jointly app�oved an IntegNated Building Design & Construction Policy for schools and all othe�town builclings. This policy expanded on and�eplaced the Sustainable Design Policy. 2020:Lexington Town Meeting appNoved a resolution endo�sing the declaratior� of a climate eme�gency and called foN regional collabo�ation to reve�se global warming and to move towards a fnore sustainable econo�ny; and WHEREAS, these resolutions and policies taken together reflect the values of our community with respect to environmental justice and sustainability; and WHEREAS, solid waste contributes directly to climate change through the generation of greenhouse gases during pNoduct manufactu�e and disposal, with locations rnost often near financially disadvantaged communities; and WHEREAS, the Guiding P�inciples of Zero Waste ("Zero Waste) a�e: • prese�ving natural resources by means of responsible production and consumption; • conserving natural resources th�ough waste prevention; • promoting Neusable products and the use of materials (glass, metal, etc.) that are durable, reusable and made f�om non-toxic mate�ials; • reducing the use of single-use, non-recyclable products and Ynaterials; • treating waste as a resource; • Negenerating natural resou�ces through coJnposting and�ecycling; • turning discardec�resources into jobs and new pNoducts instead of trash; and • managing waste without buNning and with no discha�ges to land, water, or air that th�eaten the envi�onment and human health. WHEREAS, Zero Waste minirnizes resou�ce consumption and eliminates waste whenever possible in order to conse�ve energy, mitigate climate change, reduce water usage,prevent the creation of toxins, and stop ecosystem dest�uction; and WHEREAS, Zero Waste redesigns our systems of Nesource use f�om a linear model of take, inake, use and dispose to a ci�cular model of Neuse; and WHEREAS, Zero Waste captu�es our discaNds and uses them, instead of new resouNces, to inake new p�oducts, creating far less pollution; and WHEREAS, the Town of Lexington generates over 9000 tons of trash annually, which is incine�ated at the Wheelabrator IncineratoN in North Andover with �esidual ash disposed of at the Ash Landfill in Shrewsbury, at an approxiTnate cost of$1.7Mfor hauling and disposal combined, or$189 per ton; and WHEREAS, MassDEP projects that in-state landfill capacity fo�solid waste will decline to nea�ly zero by 2028, making source reduction and diversion efforts even 1noNe important; and WHEREAS, organic compostable waste makes up at least 25%, ancl t12us the biggest component, of residential waste; and WHEREAS, Lexington collects oveN 3600 tons of discarded rnaterials and products annually to be so�ted for Necycling, at an app�oximate cost of,$1.6Mfor hauling and disposal combined, o�$322 per ton; and WHEREAS, voluntary recycling of plastic does not achieve high levels of resource recove�y and waste reduction; and WHEREAS, current waste incineration and landfilling of ou�t�ash can cause damage to human health and the environment, waste natu�al resou�ces, generate greenhouse gases, and wrongly transfer health and environfnental harms to envi�onmental justice communities ancl ou�future generations; and WHEREAS, the reuse and recycling of disca�ded products and materials can stirnulate ancl drive local economic development and job creation; and WHEREAS, as AmeYicans we repYesent S%of the population and generate 50%of the woYld's waste; and WHEREAS, the state's 2030 Solid Waste Master Plan has set a goal to �educe the state's total solid waste from a 2018 baseline by 30% by 2030 and 90% by 2050. NO W, THEREFORE, BE IT RESOL VED: The TOWN OF LEXINGTON he�eby adopts and ag�ees to model the Guiding Principles of ZeNo Waste as overarching goals for the co�nmuniry and all municipal and school operations, and commits to the following specific goals: 1. Meet or exceed the state's 2030 Solid Waste Master Plan waste reduction goals by committing to reducing Lexington's waste disposal from a 2018 baseline by 90% by 2050 with an inte�iin milestone of 25% by 2025 and 35%by 2030, including providing town-wide coinpost seNvices to dive�t the biggest component in solid waste; 2. Develop a Zero Waste Plan thNough existing town coinmittees by 2023. This plan would: a. assess the TOWN OF LEXINGTON'S current levels of resou�ce use and waste generation; b. identify objectives fo�waste reduction; c. Necommend short-, mecliurn-, and long-terin actions to Neach these objectives including: infrastructure,policies, local and regional prog�a�ns, and education and coinrnunity engagement. Through a public process, the Ze�o Waste Plan would seek to effectively, efficiently, and quickly add�ess the issues identified. 3. Prioritize solid waste reduction progr�ams that minimize the impact on environmental justice comJnunities. The Select Board's question on this Article was whether it had an impact on Town staff and what that would be. The comment I made at the last Select Board meeting that these resolutions are all resulting in a lot of work and confusion for the senior management team will dictate how much work this actually creates. Is this a "feel good"resolution or a change in course for business operations of the Town? If it's the first, it's not much work as not much will happen with it,however, if the intent is to change the Town's business operations, then staff would need to: 1. Develop a plan that would identify the amount of waste created by the community and develop a mechanism that would reduce that waste by 25% in 2025; 35%by 2030 and by 90%by 2050. This would require the development of bylaws that would require individual residents, businesses and Town operations to curtail their waste generation significantly. This in turn would likely require the development of bylaws with an enforcement mechanism that would provide the authority for the Town to measure the baseline of waste being generated by individual properties and town buildings and then measure the amount that are generated weekly with fines going into effect in 2025; 2030 and 2050 for non-compliance. I am not proposing this to be facetious, but if you don't have a tightly managed system of ensuring compliance with this type of goal, then you will not achieve it because solid waste is too dispersed to have a sunple community-wide goal. This would require significant resources and staffing to manage, which has not been identified. 2. In regard to where the Town's solid waste goes and whether it's an environmental justice community or not(and whether the characterization that where it currently goes are environmental justice communities is accurate or not)would not necessarily be more worlc for Town staff, but if implemented, could cost residents and businesses substantially more if trucking isn't in the 20-30 mile range but in the 100's or 1000's of iniles range in order to find locations that are not environmental justice communities. No alternatives were presented by the petitioners when they made their presentation to the Select Board. Currently staff prepares RFP's far this service and businesses would need to find non-environmental justice communities for the solid waste, nor if any businesses were interested or in the market of providing such a service. My recommendation is that the Board not support this Article as it is not well thought out, will generate a lot of additional work for it to be useful and does not provide realistic alternatives nor does it take into consideration human tendencies. Article 30—Amend Special Act—Planning Board and Town Meeting—This Article seeks to add the Chair of the Planning Board as an ex-officio member of Town Meeting which is purely a policy decision by the Select Board. I have no recommendation. Article 31 —Amend General Bylaws—Reporting, Disclosin� and Assessin� the Ener�y and Water Use of Large Buildin�s—This Article seeks to monitor and regulate the energy use of commercial buildings and multi-family residential buildings and refers to it as a Building Energy Use and Disclosure Ordinance (BEUDO) in the motion which appears to be part resolution/part motion which is very confusing (all six pages of it and it should be noted Towns do not adopt ordinances, only Cities do). The Select Board asked for input on whether this would have an impact on Town staffing and operations. While I cannot give an exact estimate of what that impact would be, the following at a minimum would be required: • Tracking building performance and reporting on an annual basis to achieve greenhouse gas emission reduction goals. • Undertake benchmarking energy use and designate a benchmarking tool(this would need to be done through the issuance of an RFP). • Determine buildings that are required to comply, contact owners and work with the individual property owners on their reporting and benchmarking. � Confirm each year(on May 15)that all property owners required to comply are using the benchmarking tool and reporting the results (accurately, see enforcement bullet below). • Process waivers and undertake follow up monitaring. • Post the information on the Town's website every October 1 to include information on the business, address, type of business, size of the business,reporting unit's total energy use in kBTU and energy use intensity in kBTU per square foot. • Breakdown the business unit's energy use and energy use intensity by electricity, gas, renewable energy and other sources. • Monitor water usage. • Report on the business unit's total greenhouse gas emissions intensity in lcg CO2e per square foot. • Maintain a quality assurance process to improve the accuracy and completeness of available information. • Prepare an annual comprehensive report on the energy performance of business units utilizing the information identified above. This report must include (at a minimum): o Analysis of energy performance o Greenhouse gas emissions o Energy source by building size, occupancy and use o Energy performance and greenhouse gas emissions over time o Posted on the Town's website • Enforcement, follow-up and fines for non-compliance. • Providing notice to businesses of their need to comply(as new businesses are built or businesses are sold). In the resolution part of the motion, the petitioners cite Boston (pop. 684,379), Cambridge (pop. 116,632), New York City (pop. 8,419,000), Seattle (pop. 724,305), San Francisco (pop. 874,961), Minneapolis (pop. 420,324),Philadelphia(pop. 1,579,000), Austin (pop. 950,807) and Washington DC (692,683) as cities that have implemented such monitoring. For comparative cities, the petitioners cite South Portland, ME (pop. 25,548)which I reached out to their City Manager and they have a 5-person Sustainability Office (3 FTE and 2 Interns) with 1 person that oversees their building energy use regulations. As the Board is aware, we have a 1-person office and not the same resources dedicated to regulating energy use in commercial buildings. My best estimate is that this would require 1 additional staffperson (estimate $100,000 per year with benefits included) to manage these new regulations and this is not in the FY23 budget. Staff were not consulted on this proposal nor was there any impact statement included by the petitioners. I am recommending that the Select Board not support this Article for the reason that I do not believe it has fully considered the staff impact and organizational capacity. Staff would be happy to work on this over the next year and present a realistic program with real costs associated with implementation. Article 34—Allow Select Board to Call Remote Town Meetin�—This Article would authorize Lexington to petition the Legislature for special legislation that would allow for an ongoing remote or hybrid Towli Meeting. The Board indicated an interest in reviewing a motion Town Counsel drafted for the Board's consideration which reads as follows: MOTION 1: That the Select Board be authorized to petition the Massachusetts Gene�al Court to enact legislation in substantially tlre fo�m below, and furthe�that the Select Board be autho�ized to approve anzendments to said legislation befoNe its enactment by the GeneNal Court that are within the scope of the gene�al objectives of this motion: AN ACT A UTHORIZING THE TOWN OF LEXINGTON TO ALLOW REMOTE PARTICIPATION AT TOWNMEETINGS Be it enacted as follows: SECTION 1. Notwithstanding any gene�al or special law to the cont�ary, the moderato�of the town of Lexington may�equest that the select board of the town call for any�epresentative town meeting to be held through refnote participation oY a hybrid of in person and reinote participation, including, but not li�nited to, by means of a video or telephone conferencing platform. SECTION 2. Such a request by the moderator to the select board shall be in writing and shall include: (i) the Ynoderator's determination and request to hold a town Yneeting through remote participation or a hybrid of in person and remote participation in accordance with this section; (ii) the video or telephone confe�encing platform the mode�ator has determined to use to hold the town meeting; (iii) confi�Ynation that the mode�ator has consulted with the local disability commission o�coordinator for fede�al Ame�icans with Disabilities Act compliance; and(iv) a certification by the moderator that: (A) the�noderatoN has tested the video or telephone confe�encing platform; and(B) the platfo�m satisfactoNily enables the Nemote po�tion of the town meeting to be conducted in substantially the same fnanne�as if the meeting occuN�ed in person at a physical location and in accordance with the operational and functional requireinents set forth in this section. SECTION 3. A video or telephone conference platfor�n used by a town meeting for remote participation unde�this section shall, at minimum,provide foN the ability for: (i) the moderator, town meeting inembers, town officials and any otheN interested ine�nbers of the public to identify and heaN the moderato�and each town meeting member who attends and pa�ticipates in the town meeting, eithe��emotely oN in person, as well as any other individuals who participate in the reYnotely-held town �neeting, either remotely or in person; (ii) the ability to determine whether a quo�um is pNesent; (iii) a town meeting member, town official o�other individual to request recognition by the moderator withoutpNioN authorization;p�ovided, however, that to the extent technologically feasible, the request is visible or audible to othe�town meeting members and the public in Neal time and upon review of the Neco�ding of the town meeting p�oceedings,preserved acco�ding to subsection (lr); (iv) the�noderator to determine when a remote town meeting member wishes to be Necognized to speak, make a �notion, raise a point of order or object to a request for unani�nous consent; (v) the moderator to �ecognize a re�note town meeting member; town official or other individual to speak and to enable that pe�son to speak,• (vi) the ability to conduct a�oll call vote; (vii) any inte�ested members of the public to access the meeting remotely for purposes of witnessing the delibe�ations and actions taken at the town jneeting; and(viii) the town meeting to be recorded. Registe�ed voters residing in the town wishing to participate remotely in a town Yneeting conducted pursuant to this section shall submit a �equest to participate to the town cle�k not less than 48 hours in advance of the town meeting. Upon �eceipt of the Nequest and ve�ification of the requester's voter registration status, the clerk shall pNovide to the NequesteN instNuctions forpaNticipating refnotely ir� the town meeting,provided that nothing he�ein shall be co�strued to requiNe gNeateN pa�ticipation by non-town meeting membe�s than requi�ed by any applicable general or special law or municipal charteN. SECTION 4. Within 30 days of�eceipt of a written request by the inoderator for ren�ote pa�ticipation at a town ineeting pu�suant to subsection (a), the select boa�d shall vote to determine if the town meeting shall be held completely oN partially remotely by means of the video or telephone conferencing platform �equested by the moderator. SECTION 5. If the select boa�d votes to appNove the request of the modeNator for complete or hybNid remote participation at a town meeting and the select board has alr�eady issued a waNNant pursuant to section 10 of chapter 39 of the general laws calling said town meeting, the select boaNd shall, at the sa�ne meeting of the board, approve and issue, in consultation with the moderator, a notice that expressly states: (i) that the town meeting shall be held re�notely by fneans of the video or telephone conferencing platform requested by the moderator; (ii) the date and time of the meeting; and(iii) any information necessary for the moderator town ineeting nzembe�s, town officials and inteNested me�nbe�s of the public to access and witness the deliberations and actions taken at the town meeting re�notely, or, if the meeting will be held as hybrid of in pe�son and remote participation, in person. The notice issued by the select board shall be: (i) accornpanied by t12e written request of the moderator submitted to the select board under subsection (a); (ii)filed and posted in accordance with the requirements of subsection (b) of section IOA of chapter 39 of the general laws; (iii) distributed to each town�neeting membeN; and(iv)publicly posted at least 10 days before the scheduled date of the Nemote town rneeting. The notice inay include a date, tiYne and place foN the town ineeting to be Nesumed if the town ineeting does not vote to continue the town Yneeting completely o�partially remotely pursuant to subsection (h). SECTION 6. If the select board votes to app�ove the request of the moderator for complete or hybrid reinote participation at a town meeting and the select board has not yet issued a warrant fo�a town meeting, the select board shall app�ove and issue a warrant pursuant to section 10 of said chapter 39 for the town meeting that expressly states: (i) that the town meeting shall be held rernotely by means of the video or telephone conferencing platform requested by the mode�ator; (ii) the date and time of the fneeting; and(iii) any information necessa�y for the mode�ato�; town meeting me�nbe�s, town officials and inte�ested members of the public to access and witness the deliberations and actions taken at the town ineeting Nemotely. The wa�Nant issued by the select boa�d shall be: (i) accompanied by the w�itten request of the mode�ator submitted to the select board undeN subsection (a); and(ii)filed in accordance with said section 10 of said chapter 39, all other applicable laws and any�elevant provisions of the town charter or by-laws. The warrant jnay include a date, tirne and place for the town rneeting to be resumed if the town rneeting does not vote to continue the town meeting completely or partially Nemotely pursuant to subsection (�. SECTION 7. Within S business days after a vote of the select board to appNove the request of the rr�odeNator to hold a town meeting coinpletely or partially remotely pursuant to subsection (e) or (�, the town cleNk shall submit certified copies of the vote of the select board and the written �equest of the fnode�ator to the attorney geneNal. SECTION 8. Prior to taking up any business at a repNesentative town meeting held th�ough cornplete o�hybNid remote participation under this section, the�eetir�g shall vote on whetheN o�not to commence business at the town �neeting completely o�paf tially reinotely, by means of the chosen video or telephone conferencing platforin. If the town meeting votes to continue conducting the town meeting completely o�partially re�notely, then the town meeting shall proceed by complete or hyb�id�e�note participation to address the articles included in the warrant. If the town meeting does not vote to continue conducting the town �neeting completely or partially�emotely, then the town meeting shall be adjouNned to the date, tinze and place specified in the notice or warrant under subsection (e) or (fi. If no date, tirne and place has been specified in the notice or warrant, the town meeting shall immediately be dissolved without taking any votes on any other matters and the select boaNd may call the town meeting pursuant to a new warrant that provides for the town meeting to be held in person at a physical location in acco�dance with said section 10 of said chapteN 39, all othe�applicable laws and pf�ovisions of the town charter and by-laws. 5ECTION 9. Any Yoll call vote taken at a representative town meeting held through co�nplete or hybrid�e�note participation pursuant to this section shall be taken by any�neans that the inoderator determines accu�ately and securely records the votes of those entitled to vote at the meeting, including, but not lirnited to, Noll call vote, electronic voting, voting by ballot, voting by phone oN any combination thereof. The vote of each town meeting rnembe�on a roll call vote shall be recorded and kept with the minutes of the town�neeting. SECTION 10. A representative town meeting held cornpletely o�partially remotely pursuant to this section shall be recoNded and the reco�ding shall be preserved and made publicly available on the town's website fo�at least 90 days after the conclusion of the�emote town meeting. SECTION 11. All actions taken duNing a complete or hybNid remote town meeting held puNsuant to this section shall have the saine effect as if the town meeting had been conducted in person. This is a policy decision for the Select Board. I did weigh in at the last Select Board meeting with the number of senior managers that preferred in person vs. remote Town Meetings as well as what several area Towns are doing for Town Meeting. Articles 35—40—Zonin�Articles—These Articles recently had presentations to the Select Board and are under consideration. If additional information is requested planning staff will be asked to attend a Select Board meeting. The information above has been provided to assist the Board in your decision making and to ensure that you have a clear, written recommendation from the Town Manager on the remaining items. Should you have any questions or comments, please don't hesitate to let me lcnow. 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Witnesseth that zhe parties have AGREED as fc�llows: Article I Description and Scope of the Work 1. MAPC will provide professianal services to undertake and perform all apprapriate tasks to proc3uce Phase I of the Town of Lexington's Climate Lexingtan Plan anci related work products as described in MAPC's proposal dated June 4, 2021 [the"Prapasal"], attached as Exhibit A an�l incorporatec�herein. Article II Time of Perfarmance 2. MAPC shall cammence work immediately upon execution of this Agreement and shall complete performance no later than January 31, 2022. Time shall be of the essence in relation to MAPC's performance under this Agreement. Reasonable extensions shall be granted at the written request of MAPC, provi�ied the justifying circumstances are beyond the reasonable cantrol of MAPC and without fault of MAPC. In the event of such an extension, all other terms and conditions of this Agreement, exce��t the dates of commencement and completion af performance, shall remain in full force anc�effect between the parties unless modified in writing. Article III Revisions in the Wark ta be Performed 3. If c�uring the term of this Agreement, if the Town of I.exington requires revisions or other changes to be made in the scope or character of the work to be perfarmed, the Town of Lexington will pramptly notify MAPC. For any changes to the scope of wark,MAPC shall notify the Town of Lexington of associated casts in writing. MAPC shall make the necessary changes only upan receipt of a written acceptance of the costs and a written request from the Tawn of Lehington. 4. The Town of Lexin�;ton will neither unreasc�tlably reyuest revisions nor tmreasanably withh�l�l final acceptance af work by MAPC. Any revisions ar changes requested by the Town of Lexington will not unreasanably depart from the current understanding of the nature and scope of the work to be performed. Article IV Pavment for Services 5. The Town of Lexington's total payment to MAPC under this Agreement shall not exceed$25,000.00 unless otherwise authorize�l in writing pursuant ta paragraph three (3).This amount shall include any DocuSign Envelope ID:276FFA43-D82D-4544-881 E-54631 F3405E4 CONTRACT FOR PROFESSIONAL SERVICES BY AND BEfWEEN MAPC AND THE TOWN OF LEXINGTON and all expenses anc�costs incurred by MAPC in perfarming the wark. 6. The Town of Lexington shall make payment ta MAPC quarterly basec�on the milestones and deliverables set forth in the Proposal. Article V Ownership and Confidentialitv of Material,Work Products 7. MAPC shall affard the Town of Lexington unlimited access to any work product, including but not limited ta all wark papers,data, reports, questionnaires and other material prepared, produce��or collected by MAPC under this Agreement. $. MAPC reserves a royalry-free, nonexclusive, anci irrevocable right to reproduce, publish, and otherwise use, and authorize others to use,the copyright in any work developed under this agreement,and any rights of copyri;ht acquired with f�mds provided under this Agreement. 9. The Town of Lexington and MAPC shall have both unlimited rights ta any data first produced or delivered unaer this Agreement. 10. Upon campletion of this project or termination for ar without cause, MAPC shall return any documents, mociels,tools, plans or items whatsoever belanbing to or supplied by the To�vn of I,exingtan. Article VI Indemnification 11. The parties agree t�irldivic�ually assume responsil�iliry for any ar�d a�ll claiYns, losses,or lial�ility arising from any act,ocnission,or failure of itself, its subrecipients,subcantractors, afficers, agents, arni emplayees relating to this agreement.The parties further agree to hold cach ather harmless fram such claims to the extent permitte�i by law. Article VII Assi�nment 12. The parties shall not assign nor transfer t}7eir respective interests in this Agreement, in part or in whole,withc�ut the pric�r wrieeen cc�nsene of the c�ther. Article VIII Severabilitv 13. In the event any provisian of this Agreement is found by a court of appropriate jurisdictic>n to be unlawful or invalid,the remainder of the Agreement shall remain and continue in full farce and effect. Article IX Terrnination of Apreement 14. The Town of Lexington or MAPC may terminate this A;reement upon imme�,{iate written notice should the other party fail to perform substantially in accoraance with the terms of the Agreement with na fault attributable ta the ot}�er. 15. In the event of a failure to materially perform by MAPC, the notice of such breach shall be accompanied by the nature of the failure, and shall set a date at least 60 days later by which MAPC shall cure the failure. If MAPC fails to cure within the time as may be required by the notice, the Town of Lexington may at its option,terminate the Agreement. 16. Notwithstanding any language to the contrary within this Agreement, the Town of Lexington or 2of4 DocuSign Envelope ID:276FFA43-D82D-4544-881E-54631F3405E4 CONTRACT FOR PROFESSIONAL SERVICES BY AND BETWEEN MAPC AND THE TOWN OF�EXIPIGTON MAPC may terminate this agreement withaut cause at any time,effective sixry days beyand a termination date stated in a written natice of termination. In the event of termination, MAPC shall be campensated far work praduct and services performed prior to the date of termination. In no event shall MAPC k�e entitled paymene f�r any services performed aft�r the effective clate of termination, and under no circumstances shal�the tatal price paid unc�er the contract exceec{the amaunt referenced in parabraph five(S). Article X Cornpliance with Conflict of Interest Laws 17. MAPC warrants and represents to the Town of Lexington that, to the best of its knawledge, no officer or employee of MAPC wha has participated in the preparation or negotiation of this Abreement, or who will participate in the execution of this A;reement, nar such employee's spouse, parents,chil�ren,brothers or sisters, partner, any business organization in which he ar she is serving as officer, director,trustee, partner or employee, nar any persan with whom he or she is negotiating or has any arrangement concerning prospective employment, has a financial interest in this Agreement, except as permitte��uncier Massachusetts General Laws, Chapter Two Nune3red Sixty-Eight A, Section Six. MAPC further warrants ancl represents to the Town of Lexingtan that, to the best�f its knowlecige, na employee of MAPC has a financial interest, either c�irectly or indirectly, in the Agreement except as permitted un�er Massachusetts General Laws, Chapter Two Hundred Sixry-Eight A, Section Seven. Article XI Governing Law and Turisdiction 1$. This Agreement shall be governed by,canstrued, anci enfarced in accor�iance with the laws of the Cammonwealth of Massachusetts. Both parties agree to submit their respective jurisdiction and venue to the state and federal courts in the Cammanwealth of Massachusetts to resolve any disputes or disagreements that may arise under any provision of this Agreement. Article XII Cornolete A�reement 19. This Agreement, an�l the Exhibits attached hereto an�i incorporatecl herein constitute a tatal agreement of the parties and supersede all prior agreements and understandinbs between the parties, and rnay not be changed unless agreeci upon in w�riting by both parties. 3of4 DocuSign Envelope ID:276FFA43-D82D-4544-881 E-54631 F3405E4 CONTRACT FOR PROFESSIONAL SERVICES BY AND BETWEEN MAPC AND THE TOWN OF LEXINGTON IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly autharized officers on the date written below. For the METROPOLITANAREA PLANNING COUNCIL DocuSigned by: X �� ���5� Date• 6/11/2021 Name: Marc Draisen Title: Executive Director For the TOWN OF LEXINGTON DocuSigned by: X ���5 `�' ��� Date: 6/16/2021 Name: Tames T.Mallov Title: Tawn Mana�er * * * * * * 4of4 DocuSign Envelope ID:276FFA43-D82D-4544-881E-54631F3405E4 � � .. _.,a � li . „ �� :��':f� , M@;TAC1Rk".�LiT�M1,IV MR�A�u 6L/ANNCRti(: "�:,Pi43NC:kk �`cc►p� of �e ic�s ta �u�Oport the T�r�rn of Lexir�g�o�r's �lirr�a�e �4ctic�r� P°lar��ir�g: Phas� I June 4, 2029 ��r���� In 2017, the Tawn af Lexingtan was the first municipality in Massachusetts to join the US Compact of Mayors. In 2018, the Town engaged a core graup of stakeholders and a cansultant ta develop a "Getting to Net Zero Emissions Roadmap & Recammendations" that focused on strategies ta reduce emissions fram Lexingtan's buildings and meet its goal of achieving 10b percent renewabie energy. In the fall af 2020, Lexington formaliy declared a climate emergency. As the Town maves forward on its path to net zero, a next important step is ta develop a halistic biueprint for action informed by diverse and representative community-wide perspectives. This holistic blueprint will consider the co-benefits of climate mitigation and work toward a more resilient and equitable future for ail of Lexington's residents. In particular, the Town seeks ta engage those historically on the sidelines of municipal planning pracesses such as non-native English-speaking residents and immigrant communities and youth and elderfy populatians. This document is the Scope of Work for the Metropalitan Area Pianning Council (MAPC)to suppart the Town af Lexington's climate action planning process. This document describes work MAPC will cornplete in close partnership with the Town of Lexington as part of Phase 1 and Phase 2 af the Town's Climate Action Planning process. Phases - Phase 1: Stakeholder Mapping, internal Capacity Building, and Baseline Data Ca{lectic�n - Phase 2: Engagement Launch and Execution and Pian Development The timeline for Phase 1 is ta begin work in August 2021 and provide support through December 2021 to allaw ample time for comprehensive and thaughtful for stakeholder feedback on the plan for community engagement. The timeline far Phase 2 is proposed as January 2022 through December 2022. MAPC prioritizes cailaborative, impactful, and equitable climate action planning, We tailor aur appraach ka match the needs and goals of each community that we wark with. Our team looks forward to working with the Town an this pracess and developing a climate blueprint that best meats the Town of Lexingtan's needs and goais. Ali aspects of the planning process, the ultimate CAP, and its enactment, will consider environmental and sacial equity/justice. Matropolitan Area Piannin�Council!60 Templs F'!ace�Bostor7,NlassachuseYts 02111;617--ta33-0?00�617-482-7185 fax(mape.org DocuSign EnvelopelD:276FFA43-D82D-4544-$81E-54631F3405E4 ����.���;��@ `�� ���a;����.�m�������m� �"����.�����������, ���7.��r�u�.�� �.�������°���,��� Gro�M�;����1�����e ����.� �;�,�����e���W�t.� ����a��°� �����rm°�����w�� MAPC understands that the Town: - Prioritizes robust and inclusive cammunity engagement as a cornerstone of its ciimate actian pianning pracess. - Is working ta push forward Lexington's Glimate Emergency Declaratian, which "commits to a tawn-wide ciimate emergency mobilization effort ta combat global warming, which, with appropriate financiai and regulatary assistance frnm State and Federal authorities, would further the goal of ending town-wide greenhouse gas emissions as quickly as passibie and no later than 2035." - And values and promotes broad mitigatian strategies that alsa enhance comrrrunity resilience and racial justice. Phase 1 includes comprehensive suppart to the Town's Sustainability Directar and other staff throughout the stakeholder mapping and engagement design pracess, centering the Town as the lead throughout the process with MAPC praviding our staff capacity and expertise in a supparting role. Through this phase of the wark, MAPC wili help positian #he Tawn to cammence a cammunity-wide Ciimate Actian Planning pracess at the beginning of 2022. In addition ta developing a community-informed plan for engagement, this phase will include necessary baseline data collection to inform the mitigation and resiliency measures selected and develop outward facing launch material. ��� ..,.�Id�r�Rt�������;��fi�xraa!�a�aa��i►���ait�a���o�as�:,. ��1��� :.,. ���ti���e��c��;; �"r����,�+�'��rt�+�lir�+�;;: 7-$ in-depth interviews with key organizations to wndersYand stakeholders in tt7e town and their primary August to areas af priaritzation, interest, suppc�rt, arrc! concern. September 2021 Synthesis of ir�terview notes. 5-b interviews with key municipal staff and elected officials August to ta understand their primary areas of priaritzation, inYerest, SepYernber 2021 support, and cancern. Synthesis of interview nates. Stakeholder� Mapping Develap and distribute survey of cammunity organizations with focused equity questions (how and where can we reach August ta their audiences, what messages and angles resonate with September 2q21 them) Prepare a stal<eholder assessment matrix that IDs vulnerable populations and primary mediums for October 2021 camm�nication and outreach Qevelap a community engagement plan based on the Engagement Plan stakehalder mqpping that priaritizes vulnerable October to November 2021 populations. 2 DocuSign Envelope ID:276FFA43-D82D-4544-881 E-54631 F3405E4 Prepare core messcrges for climate action in Lexington November to based on preliminary stakeholder input from the mapping pecember 2021 process. Design and conclvct a focus graup with the Sustainab�Y to Novernber 2021 inforrn the youth engagement segment af the plan. Design and facilitate a climate equity training far key 5eptember 2021 municipal staff and tawn afficiais ta build internal literacy and capacity for equity-driven ciimate wark. Staff workshops Design and facilitote a stakeholder mapping workshap wiYh Octaber 2021 key municipal staff to inform the stakehalder assessment matrix. Review af existing data from the Town's prior planning August 2021 Baseline Data processes Callection Develap supplemental GIS maps and gather baseline September to information an Lexingtan's ciimate op�artunities and risks C7ctober 2021 Prepare and design simpie one-pc�ge hando�t for the Tawn November ta to use at outreach events to help make the public mpre December 2021 Launch Material p`^'pre of the CAP pracess. Translate ane-page handaut and care messages from December 2021 engagement pian into Chinese(simplified), Karean,and Spanish. Set up working group and hold bi-monthly CAP Working Praject Graup Meetings, bi-weekly calls with Town and in7ernal 7hroughout praject Management coordination, invoicing, praiect set-up and scape finalizatian. T�t�w ��,�c eua��t: ���,oaa Estimated PVIAPC Staff Hours: 263 hours 3 L O � � N N � � N � M � � N � V I� �M � O CO O CO � �v� LL M O I� CO � CO M � CO � � � O � � N � N O O N fn O N � � aO � � �Ci W N �Ci � M � I� M m CO �9 V lf) lC) 00 I� l[) CO O � O Qf � y� � N (h N � � N � f� N M M � V ER V H) V EFT a � Ef3 Ef3 Ef3 Ef-J Ef} Ef3 Ef3 Ef? Ef? Ef? Ef? EfJ � Ef3 ER � � EA � M LL � � � C� O � 0� O O O� O N (`') N � O � � O � O O � O � � � CO C� C� O CO o� M O I� O a0 f� � f� 00 O N � � �S) �S) Ef} O Efl O t7 N CO N � 00 � � O � � Ch 00 � � � � O (fl N Ch � M 6) C1 � H M � O Gfl lf7 � N � r M f� N � O) � N � M I� I� � CO O O c (n CO N � G7 Efl N N fA M N f!? � ('7 ('7 � I� d� N 00 Ef} O� � r '6 0 f!? E!? Efl E!} Ef? Ef-} 4!} ER E!? E!? 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MAP FOR REFERENCE ONLY NOT A LEGAL DOCUMENT Town of Lexington,MA makes no claims and no warranties, expressed or implied,concerning the validity or accuracy of the GIS data presented on this map. Geometry updated on a daily basis Data updated on a daily basis �� ��._���4, ; �,� q l ��x,���-%' Town of Lexington - FY2023-2� Capital Improvement Project Project Name: Hartwell District Signage Date: 9/IS/2021 Project ID: LU-23-1 Department: Land Use,Health&Development Department Revised: Submitted by: Sandhya Iyer Phone: '781-402-4062 Email: siyer@lexingtonma.gov Description of Project: This is a request for adding new signage on Hartwell Avenue and the jughandle on Bedford street for both safety issues as well as to support economic vitality by drawing attention to the commercial corridor-Hartwell Innovatio� Park. On the map you can see the 4 locations for two larger signs at locations 1 and 4 marking the main entry as well as the end point. Locations 2 and 3 would be branding,but a smaller sign or secondary marker that would help give a sense of place and also show the entry at location 2. This signage would require(2)3mm factory finish black ACM panels with direct print graphics,(2)2" square horizontal wood 2x4s and(2)4" square wood posts.Direct burial,no concrete, 3'below grade.Additionally,these signs would be illuminated with solar lights. The solar panel and battery configuration are based an winter conditions, so there is a consistent illumination throughout the year. The design consultant will also work on providing a plan for permanent signage that could be updated with Bedford Street-Hartwell Avenue-Wood Street Transportation complete streets improvernent plan. $65,000 is requested in FY2023 to design and install signs on Hartwell-Bedford corridor from the TMOD Stabilization Fund. Justification/Ben efit: At the Road Safety Audit for Hartwell Avenue at Bedford Street and Westview Street meeting with MassDOT, VHB identified and presented several safety concerns with potential solutions. One of the safety issue noted by the audit team was the lack of advanced signage for the jughandle that helps provides drivers direction and advanced / � notice through signage.A visible signage on jughandle will help identify the right-lane for the left-turns onto Hartwell Avenue or U-turns. Similarly adding a smaller signage on the median on Hartwell Avenue and Hartwell/ Maguire intersection wili help cannectivity and unified signage for the business corridor. Aestheticaily pleasing surroundings enhance the experience of using a street, making it a place where people want to be, and show the Town's cornmitment to invest in itself which attracts private investment.The Hartwell Innovation Park design guidelines proposed by Ted Brovitz proposes several design aesthetic signage for creating a cohesive and vibrant business district.Adding signage to create a strong relationship with the"public realm will result in places where people can work, eat,play,and learn".The guidelines also identifies Hartwell Innovation Park(HIP)Gateway Sign and HIP Wayfinding/directional signs that will help reflect the HIP character as a contemporary business park. Impact if Not Completed: This will impact the future develapment on HartwellBedford corridor as well as well as traffic safety issues that have been identified by Road Safety Audit. Timeframe: The plan is to have the signage installed in summer 2022. Replacement Frequency: The signs should be replaced in next 10 to 15 years. Basis for Cost Projections: The praject cost are estimated based on a quote received by a vendor and a design consultant. Stakeholders: Pianning Board,DPW,Engineering,Residents on HarwellBedford Corridor,Property owners on Hartwell Innovation Park(HIP),and companies located in the HIP area. Land Use-Page 9 Printed November 24, 2021 Operating Budget Impact: This will not impact operating budget. Funding Source: TMOD Stabilization Fund Prior Authorizations: None. Funding Request: FY2023 FY2024 FY2025 FY2026 FY2027 Site Acquisition DesignJEngineer $ 5,000 Project Management $ 5,000 Construction $ 10,000 Equipment $ 45,000 Contingency Totals � 65,000 $ — � — � — $ — CPA Amount $ — $ — $ — $ — $ — � Land Use-Page 10 Printed November 24, 2021 ������������� �I�IIIIIIIII � ,. �': mml IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII � ���� � I�������I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII "" �" IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I�W" � ������� ���������������������� ���iuu�u� � m��mw � ���������������������� ��I���IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ����� ������������������������� imm�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII � p m �UI�IIIIIIII ����������������������������������� I�������IIII���������������������������������������� ooii m wu� Iml �����������������������������������������I oio m u00000000 ��o I������������������������������������������������������������������������� ooi 000io I����iiu mo m00000000000 ��m emi�mnoi�� oiwiwiu�i�l� m ��������������������������� ���������������������������� u �m00000uwip I�����������������������������������������������������������I�III� I� �iiii� �� IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� � II�IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II IIIIIIIIIIIIIIIIIIIIIIIII I�IIIIIIIIIIIIIIIIIII �����������������������������IIIIIII I�������� IIIIIIII������������������������������I IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �,uniiii4lpiiil` l� V � \'8'�� p � �� i�' .N �� ����� Y�� . nn � SS'�` �" P� ^�'�', �,d 4.� d'dT, M� Wi �r� �y"*t� �M' �^` '��6�,q'. .�`'S"b� � �+NI�. -r°'�r 3��. , a�o� �.�" �"'�. �� '�p� �µ �`'� *s �'s �` ��.�` < Illlliw�' �,,y:. •. , ( . �� ������5}� �����'�" '������������ unn��mW O� ����������� l� `9",.�.�b,� �i�iiini� ��ii� � 7' �b������pt� ��� � �un�������� I��������������������������� ' .,'„ ������������p, r �R Illllllllllllllllllllllllllln �u� �'�� � �„ a� � �� �,,,,,, Ih i � � 0 1 � ' �, � ����� � � �� ��� � � ,�� o ���r� � � ;,. � � IIIIIIIIIIIIIIIIIIIIIII �,� � ,,,,� � r � , ' ', ' �', ' ; ,,,,,,,�� ��� r, �� 'u�� (;;_�� r � � , ��������� �. �� v,,,,,,,,,,,,,, ��,,,,,,, ��� ������ ���,,, .i�,,,,,� ��a� ,,,,,�'�, ���������, � � „�ii�;;;;;;� �y���� �� ����� �� ���������� �� ,,,,�°°;;,;�,,,,,, ������ �°���,����, ������ , ,,,,,,,,,� �,,,�� ���,,,;� �����'�������, �';'� � � �� ������"������° �°,�"I',',�',"" ������ ,,,,,,,,,,,,,,,,�� ;;° ��' '^� � ���������������� "u��� � �iiiii �n Ilio- iiiiiiiiiiiiiiiiiflV � �+Illiiiii i� �IIWnn iiiii�u" � wl�lnnn iiiiiii iiiiiii i iiiiiiinmiiiii� luni' iiiiii� pn n� �u �� nium � � ������� �� ��� ��,,,,,,,, � �,,,������ �Ib,,,,,�� ������� ���������� �"",�� �IIb������ ��������� �m����� �'� ���������� ��� � �� �� ������� �� ,,,,,��,,,,,,,,, �,,,,��d� ,,,,,,J��,,,,,,,,, �uv���� �u����� � v u�,,,,,,,,,,,, � .�� ,,,,, ,,,,,� "�����III'����� �u�,,,,,,,��� ,,,, ,�� �,,,,�� �;;;; ,,,,,�� ���, � ,,,,,,,,,,,,,,�� �� �,,,° �� �� � ���� ,,,,,� � �,,,,,,,,, „������ �� �� �� ��� �,,,,,,, '�" �����u�� ���� � ,,,,,,�, ������ ��������������� ������,� �ii,,,,����� ��� ��������� �;;;;;;;; �,,,�,,,,, ������ �� ���� ������„ , �°,�° v°��� �'�����������, �'� «f����������� �� ����",,,,,,, � �'�������� ������"� ,�� � � � ��^�r„���� � � e �s ,,f � �ii r v� ?' � u00000000000ioo� ��f� , m0000 i �„� p �k � r � i r�� �i � � 000 � � % � u��'�y.�r m u000000000 /"` � �l, „ I '�j// V II'd m0000i lu000000000 ��/�� ,. ��� �� °°� Ifr� ��i�,, �. ;; �, ����� �f`f/i �� � ��� ����������������� )� % �,� �, J'�i�; � �, ;� ,, ,n , � ,����i, ������������������ro „ , � ���������������������� �� � 1,,, / � , u�II'�u �/��ij�/���i!l % �i IIIIIIII I �� ��� � � %% I�� ����������� �00000m� .,%�� � �iji ..� /� / ...: � .,...:� � .. ; �, � � ,. 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' ,, ,, ��, � / � � ii l�1 ���� ���i � '.iiJ����; " � ��jil�� � /���/////ltii �, ,. �f/ ���/�%%iai �i��� � � �////; % fj/// ��i� �i� ����"' „� „ �,iiii� Ii/ Dii/�/� % f%%/% �/�! :�i��%,, ���i� /,,,,� 1 i/// t, ��//, ��������� , � '°„��"` �������'h'+�p�, ,a � ui � ,,,, � , i� � ��;.�'V ,�9rm� d ��: uuuu...lilll'. ," � �� � � � �� �� �m0000iolllll�� i B :r� I�I' ...... ....I ,..,��ii iip ' �pppppppppppppllllppqqq�������������������������lll IIIIIIIIIIIIIIIIIIIII�..'.'" i IIIII III��Y ���������������IIII��I hi :.IIO� �� lo:� + il ���'� . 'lliiiiiiiiiiiiiiiiiiiiiiiiiilll ', � o Illiii�� ��� �� Joe Pato To: Kim Katzenback;Jill Hai Cc: James Malloy; Kelly Axtell; Mina S. Makarious; Christina S. Marshall Subject: FW: Request for addition to STM warrant (or the addition of an STM2022-3 warrant) Kim and Jill, I'm asking that this message be added to the packet for the Select Board meeting tonight under item 1 when we discuss Town Meeting and calling a special Town Meeting. In addition, I'll note that Town Counsel has replied to this message and indicate he had no edits to the proposed article below. -Joe Pato, Select Board Member please use ��p�t��ll�:�in�;�c�o�rin��.�av for town correspondence (When writing or responding please understand that the Secretary of State has determined that emails are a public record and,therefore, may not be kept confidential.) From:Joe Pato Sent: Sunday, March 13, 2022 12:02 PM To: 'campbrown@gmail.com' <campbrown@gmail.com>; 'Mina S. Makarious'<mina@andersonkreiger.com>; 'James Malloy'<jmalloy@lexingtonma.gov>; Kelly Axtell <kaxtell@lexingtonma.gov> Cc: 'Doug Lucente' <dlucente@lexingtonma.gov> Subject: Request for addition to STM warrant(or the addition of an STM2022-3 warrant) All— As you know, at the 3/9 Select Board meeting the Board indicated that it would IP the warrant article for a home rule petition granting authority for remote and hybrid town meetings. In response, a number of Town Meeting members raised the prospect with me that they would gather signatures for an STM warrant article (or to petition for another STM)for a bylaw amendment to allow hybrid town meetings. Doug and I met on 3/12 to discuss the implications of a bylaw or home-rule petition that would allow hybrid meetings rather than fully remote meetings. We both agreed that adding such an amendment to STM2022-2 or creating an STM2022-3 to be included in the mailing to residents would be far preferable than to receiving a petition that would require us to call yet another STM and incur additional mailing costs. In addition,we believe that a motion tailored toward enabling hybrid meetings could be acceptable to both of our interests and would address the preference for hybrid meetings expressed by a significant number of Town Meeting Members. Deborah, Mina, and I met by phone this morning to discuss the warrant article—whether a bylaw amendment would be sufficient or if the home rule petition is needed. We concluded that it would be best to proceed with both for now since the existing ATM article did not provide scope for a bylaw amendment. As a result, I ask that we either add this article to STM 2022-2 or if there are concerns about when that STM would be debated and when it needs to be concluded,that we add an STM 2022-3 with this new article. Below and attached is draft language for the new STM article that would allow us to provide the bylaw amendment for hybrid meetings.This language has not yet been reviewed by Mina in writing(only in concept). 1 ARTICLE XX Amend General Bylaw to Allow Remote Participation at Hybrid Town Meetings To see if the Town will vote to amend Chapter 118 Section 18 (Quorum) of the Code of the Town of Lexington to include remote participants as part of the quorum count required for a meeting; and to add a new section on remote participation at Town Meeting; or to act in any other manner in relation thereto. DESCRIPTION: In June 2020,the Legislature temporarily provided express authorization for representative Town Meetings to be held by remote means due to the COVID-19 pandemic.That authorization was extended and will expire on July 15, 2022. This amendment to the general bylaws explicitly recognizes hybrid meetings of Town Meeting where remote Town Meeting Member participants are allowed to participate fully and count to meeting quorum requirements. In addition, this amendment includes a new section similar to Section 17.0 that specifies that remote participation will be governed by a set of operating rules adopted from time to time by Town Meeting. -Joe Pato, Select Board Member please use,u.��tca.�_V�xir��.�a�n_Urro_a....���for town correspondence (When writing or responding please understand that the Secretary of State has determined that emails are a public record and,therefore, may not be kept confidential.) 2 TOWN OF LEXINGTON WARRANT (DRAFT) SPECIAL TOWN MEETING 2022-2 Commonwealth of Massachusetts Middlesex, ss. To either of the Constables or Town Clerk of the Town of Lexington,in said County, Greetings: ln the name of the Commonwealth of Massachusetts,you are hereby directed to notify the inhabitants of the Town of Lexington qualified to vote in elections and in Town affairs to meet in the Margery Milne Battin Hall in the Cary Memorial Building, 1605 Massachusetts Avenue, in said Town on Wednesday, the eleventh day of April 2022 at 730 p.m., at which time and place the following articles are to be acted upon and determined exclusively by the Town Meeting Members in accordance with Chapter 215 of the Acts of 1929, as amended, and subject to the referendum provided for by Section eight of said Chapter, as amended. Pursuant to Chapter 92 of the Acts of 2020, as amended by Chapter 20 of the Acts of 2021, the Town Meeting shall be held remotely by the means requested by the Moderator as follows: Town Meeting members will attend and vote by logging into: (1)the Zoom videoconferencing platform, (2)the online VVoter module�rovided by our electronic voting vendor. O�tion Technologies OR com�arable online votin� tool developed by Select Board member Joe Pato, and (3) an online queuing function developed by Select Board meinber Joe Pato to facilitate the process of debate. Other Town residents who wish to follow the proceedings may do so via LexMedia at https://ww�v.voutube.com/user/LexMediaMATV. Other residents who wish to participate in the Meeting may contact the Town Clerk's Office at clerk(a�lexin t� onma•�ov and by completing the online form at www.Lexin,gtonMA.�ov/Fa112021STM. For more information,please see the Moderator's letter March 11,2022 the Select Board attached to this warrant as Appendix A. ARTICLE 1 REPORTS OF TOWN BOARDS,OFFICERS AND COMMITTEES To receive the reports of any Board ar Town Off"icer or of any Committee of the Town; or act in any other manner in relation thereto. (Inserted by the Select Boaf•d) DESCRIPTION: This article remains open throughout Town Meeting and reports may be presented at any Town Meeting session by boards, officers, or cormnittees. ARTICLE 2 APPROPRIATE FOR LEXINGTON HIGH SCHOOL FEASIBILITY STUDY To see if the Town will vote to appropriate, boi7�ow or tt�ansfer from available funds, an amount of money to be expended under the direction of the School Building Committee for the feasibility study for the Lexington High School located at 251 Waltham St,Lexington,MA 02421, for which feasibility study the Town may be eligible for a grant from the Massachusetts School Building Authority. The MSBA's grant program is a non-entitlement, discretionary program based on need, as determined by the MSBA, and any costs the Town incurs in connection with the feasibility study in excess of any grant approved by and received from the MSBA shall be the sole responsibility of the Town; or act in any other manner in relation thereto. (Inserted by the Select Board at tlie request of�the School Committee) FUNDS REQUESTED: $1,825,000 DESCRIPTION: In spring of 2022,the Massachusetts Schoo] Building Authority voted to accept the Lexington High School project into the MSBA reimbursement program. This article would fund the tirst phase of the process, conducting a feasibility study,under MSBA guidance. ARTICLE 3 AMEND GENERAL BYLAW TO ALLOW REMOTE PARTICIPATION AT HYBRID TOWN MEETINGS To see if the Town will vote to amend Chapter ll 8 Section 18 (Quorum) of the Code of the Town of Lexington to include remote participants as part of the quorum count required for a meeting; and to add a new section on remote participation at Town Meeting; or to act in any other manner in relation thereto. (Inserted by the Select Board) DESCRIPTION: In June 2020,the Legislature temporarily provided express authorization far representative Town Meetings to be held by remote means due to the COVID-19 pandemic. That authorization was extended and will expire on July 15,2022. This amendment to the general bylaws explicitly recognizes hybrid meetings of Town Meeting where remote Town Meeting Member participants are allowed to participate fully and count to meeting quorum requirements. In addition, this amendment includes a new section similar to Section 17.0 that specifies that remote participation will be governed by a set of operating rules adopted from time to time by Town Meeting. And you are directed to serve this warrant fourteen days at least before the time of said meeting as provided in the Bylaws of the Town. Hereof fail not,and make due return on this warrant,with your doings thereon,to the Town Clerk, on or before the time of said meeting. Given under our hands at Lexington this 21s` Day of March, 2022. A true copy,Attest: Constable of Lexington Jill 1. Hai, Chair Select Board Joseph N. Pato Suzanne E.Barry of Douglas M. Lucente Mark D. Sandeen Lexington 11`+ � pN� ¢'r' �775 "kC .,._..._ ,� " � � � °� Town of Lexington �Q' .�W �:.� p ��� E` � MODERATOR �` °°� ��� �'� DEBORAH BROWN AWI�7k NP�"• 4�'�kl N Ci'���7� March 11,2022 DELIVERED BY EMAIL Dear Select Board Members, In view of the ongoing COVID-19 pandemic,I request approval to conduct the 2022-2 Special Town Meeting through remote participation. 1 propose to use a combination of: (1)the Zoom videoconferencing platform, (2)the online VVoter module provided by our electronic voting vendor, Option Technologies OR comparable online voting tool developed by Select Board member Joe Pato, and(3) an online queuing function developed by Select Board member Joe Pato to facilitate the process of debate. I certify that all components of the system described above have been fully tested and utilized successfully for prior Town Meetings, and I am satis�'ied that this system enables our meetings to be conducted in substantially the same manner as if they had occurred in person at a physical location. I certify that the system(i)allows the rnoderator,town meeting members,town officials and any other interested meinbers of the public to identify and hear the moderator and each town meeting meinber who attends and participates in the remote meeting, as well as any other individuals who participate in the meeting; (ii)provides the ability to determine whether a quorum is present (iii) allows participants to request recognition by the inoderator and makes such requests visible to the meeting participants and the public; (iv)allows the moderator to determine when a town meeting member wishes to be recognized to speak,make a motion, or raise a point of order or personal privilege; (v) enables the moderator to recognize a town meeting member,town official or other individual and enable that person to speak; (vi) provides the ability to conduct a roll call or electronically recorded vote; (vii) allows any interested members of the public to access the meeting remotely through LexMedia for purposes of witnessing the deliberations and actions taken at the town meeting; (viii)allows members of the public to participate in debate through the submission of statements for or against a motion;and (ix)provides for the town meeting to be recorded and available for future viewing. I further confirm that I have consulted with Lexington's Commission on Disability regarding system accessibility. Sincerely, Deborah Brown Town Moderator 617-512-7901 1625 MASSACHUSETTS AVENUE•LEXINGTON,MASSACHUSETTS 02420 Town of Lexington,MA 02420 PRESORTED STANDARD U.S. Postage PAID Boston, MA Permit No. 3011 1625 MASSACHUSETTS AVENUE • LEXiNGTON, MASSACHUSETTS 02420 *��*�****�ECRWSSEDDM***� Residential Customer LEXINGTON , MA Detailed infovrnation on Town Meeting Warrant Ar�ticles can be found at htt�://www.lexingtonma.gov/town-meeting AGENDA ITEM SUMMARY LEXINGTON SELECT BOARD MEETING AGENDA ITEM TITLE: Joint Meeting- Select Board and School Committee PRESENTER: ITEM Melissa Tnteress, Dr. Marian Cohen; NUMSER: Dr. Ruth Remington; Dr. Maureen Kavanaugh; Val Viscosi I'� S UMMARY: The Select Board and School Committee are participating in a Menta]Health Summit to receive updates on Mental Health Initiatives: Mental Health Task Force Update- Melissa Interess, Director of Human Services & Val Viscosi, K-12 Director of Counseling LPS Mental Health Assessment Report- Dr. Marian Cohen& Dr. Ruth Remington, Framingham State University Highlights of Youth Risk Behavior Survey(YRBS) and Connections to Adult Data- Dr. Maureen Kavanaugh, Director of Data& Strategy LPS William James INTERFACE Referral Services Update and Short-Term Remedies -Melissa Interess, Director of Human Seivices Task Force Advisory Group Updates - Task Force Steering Cominittee Discussion/Questions SUGGESTED MOTION: FOLLOW UP: DATE AND APPROXIMATE TIME ON AGENDA: 3/14/2022 7:OOpm ATTACHMENTS: Description Type L� 1R�vu�uaaut��1[��aVLVuI���,,��a,r7u�°mb�..�]�'u�l��ic^la�rU9: 1F'rcw�cuufldrdti�,�n L� Mla,on��1�I�r➢t➢fllk4s�er�yre�em4�..��'u�aarraron,bg��7ro�rruu°��iat�4.Jmti�✓�u��;nty 6�'ra:�€^rrun:^��o�r� L� �'iro�ui��IE',��,�0<V��O��t�r�iia,�-�;u�-a�y�`��axr�n�rcy..�QD)Q 4dug;�l�1a������ts V�Tr•4,,�u�h�a.hti�y��u L� 1`�14;ad�u�t IH��aVtVti IC�4alla�.V�a�d�a�1U�r�tid�'�� 1P��4�4;u�9��ua�rb 4 �''��i��»��r10!l�DJJJJJJIlllllf//,�II��/ ��f�/ /,� ���. c,� �rvv ��u �� ���� �.. ���. �� n m�a� c:�n ���.. �:��� �� 6`�`� �w�, � ��� �., ���� �:��.� � ���� �...� � �o ^�*k �� �= �, �� �� o-- „�r�,�E�,p„�A,an�b�,��upr µ,a,dyr��,��ua�^<r�r� ,����a�,xra„�«<��A�ruruK�� ��%� Framingham � State Universrty Mental Health Assessment Town of Lexington 2021 Research conducted and report issued by: Dr. Marian A.O. Cohen Dr. Ruth Remington Directors, Center for Social Research Framingham State University August 2021 Table of Contents ExecutiveSummary.............................................................................................................................2 Findings:...............................................................................................................................................3 Recommendations for next steps:.............................................................................................4 Introduction............................................................................................................................................6 Section I. Demographic Questions..............................................................................................10 SectionII. Overall Health................................................................................................................13 Physicalhealth...............................................................................................................................13 MentalHealth...................................................................................................................................16 Summary of findings regarding overall health:.............................................................21 Section III. Health Behaviors and Health Conditions........................................................22 Findingsof Note..................................................................................................................................30 Recommendations for Next Steps...............................................................................................34 Recommendations for Target Outcome Assessment..........................................................37 AppendixI............................................................................................................................................................38 AppendixII..........................................................................................................................................................42 1 Executive Summary In 2018, the Lexington Mental Health Task Force was created as a collaborative, coordinated partnership between municipal and school staff to understand and respond to the mental health needs of the community across the lifespan. The Task Force determined that there is a need in Lexington for: • A focus on mental health for all residents at every stage of the lifespan. • A sustainable structure for better coordination of inental health programs and efforts across municipal and school departments. • Well-defined, mutually agreed upon protocols for collaboration with regard to critical incident response. • Identifying and/or developing data sources for the systematic, periodic review of the dynamic mental health needs of our residents across the lifespan. • Structures for storing information about mental health programs and services being offered in Town. • A consistent mode for communication to all residents such that they can access information about available programs and services on-demand. While data about the needs of youth in Lexington already existed (see, for example, the Youth Risk Behavior Survey, LPS Self-Injury Suicidal Ideation Response Protoco�, data about the adult population were lacking. The Task Force deemed it a priority to collect data about adults in Lexington. In particular, information identified as a priority included barriers to accessing mental health services, populations that are not being served, and gaps in programs and services. In 2020, the Town of Lexington's Mental Health Task Force began a partnership with Drs. Marian A.O. Cohen and Ruth Remington, Directors of the Center for Social Research at Framingham State University to develop and 2 administer a mental health needs assessment for the Lexington community. Using both electronic and hard-copy formats, the questionnaire was accessible to all adult Lexington residents. Assistance completing the questionnaire was available to those who needed it, and copies of the questionnaire in Chinese for those for whom English is not a first language were available upon request. Findings: Responses were received from 1016 adults in Lexington.l Those who responded to the questionnaire represented a cross-section of the Lexington population in terms of key demographic variables (sex/gender, sexual orientation, race/ethnicity, education, income, languages spoken, and living arrangements.) Almost all respondents said they have health insurance. Self-assessments by respondents of their physical and mental health were, generally, good and there was a strong correlation between physical and mental health assessments. Those who said their physical health was good also said their mental health was good. The most common physical health problems identified by respondents (for themselves and/or family members) were cancer, endocrine disorders, heart disease and digestive issues. The most common mental health problems identified by respondents (for themselves and/or family members) were depression, anxiety and ADHD. A sizeable number of respondents said they take prescription drugs. Few said they experience negative side effects, and those are primarily related to the specific type of inedication being taken. Drug/substance use in general is low, with alcohol being used most often and recreational drugs being used least often. 1 According to 2019 American Community Survey (ACS) findings, the population of those aged 18 and older was 24,302. 3 When health care was needed, respondents did identify impediments to help- seeking. The barriers cited most often included: long waits for a provider, affordability of care, issues with their insurance, and accessibility of care. When respondents were asked about stress in their lives, they said the greatest sources were current social or political events, concerns about the future and the effect of the pandemic on various aspects of their lives. Factors causing the least stress were identified as having health insurance, feeding their family and cultural differences/language barriers. Respondents said they deal with stress by talking with others, exercising or engaging in physical activities, employing stress management techniques, or participating in personal or individualized activities. A number said they `ignore it'. Recommendations for next steps: It is the intention of the Mental Health Task Force to use data collected in this study to identify programs and services needed to address the community's health needs and barriers to seeking help in order to better serve all residents of Lexington. Given that the sample of respondents was skewed toward older residents, it is acknowledged that more information may be needed from younger and middle- aged adults. There were also fewer Asian and South Asian residents represented in the sample than exist, by proportion, in the Lexington population. Since cultural differences/language barriers were cited by a number of respondents with regard to help-seeking for health problems, more information about specific issues in this regard should be sought in order to fully understand the concerns and to direct attention to providing assistance. 4 Stigma or fear or embarrassment were cited by respondents when discussing mental health. Stigma reduction education and programs to combat stigma and help people deal with stigma would be beneficial to assist help-seeking. Programs and services to develop include: identifying specific cultural differences/language barriers that hinder help-seeking and assisting residents to overcome these; assistance with understanding insurance plans or programs or coverage; assistance with access to providers; development of cessation and prevention programs with respect to harmful behaviors; stigma reduction/coping education; and stress reduction education and programs. A number of things would be important to publicize: transportation options; programs and services already available in Lexington to assist residents; and the Mental Health Task Force website. Overall, the population in Lexington is relatively healthy and interested in measures that will maintain or improve their mental and physical health. The Town is fortunate to have an active Mental Health Task Force committed to the well-being of the residents of Lexington. 5 Introduction In 2017, the Town of Lexington experienced the deaths by suicide of two Lexington High School students - one in January 2017 and the other in April 2017. Debriefing after these deaths led municipal and school staff to conclude that there is a need to create sustainable structures and protocols to guide our coordinated response to critical incidents impacting our community. As part of the development of the Town's response, the Director of Human Services and several members of the Lexington Public Schools (including the Director of Counseling; Assistant Coordinator of Physical Education, Health and Wellness; Director of Health Services; and Director of Planning and Assessment) participated in the Massachusetts Department of Public Health Community Health Network Area (CHNA) Learning Community Symposium on Preventing Suicide from October 2017 to January 2018. The symposium provided our team with the opportunity to better understand mental health and suicide among our residents, and examine how our municipal and school mental health prevention and response efforts coordinate with one another. It was an important first opportunity for representative staff across municipal and school departments to examine these issues outside of responding to a specific incident. In 2018, the Lexington Mental Health Task Force was created as a collaborative, coordinated partnership between municipal and school staff to understand and respond to the mental health needs of the community across the lifespan. Based on what was learned from the symposium and discussions during initial goal-setting regarding work of the Mental Health Task Force, the team concluded that, while there are many programs and resources provided by the Town, there was a clear need for: 6 • A focus on mental health for all residents at every stage of the lifespan. While there were two deaths by suicide among school-age individuals, there were significantly more deaths by suicide in the adult population from 2015-2017 in Lexington2. Responding to and addressing mental health challenges are key to suicide prevention. • A sustainable structure for better coordination of inental health programs and efforts across municipal and school departments. This is important to reduce redundancy, increase ef�ciencies, and free up resources to refocus on unmet needs. • Well-de�ned, mutually agreed upon protocols for collaboration with regard to critical incident response, with appropriate training and support to ensure implementation with fidelity and consistency. The school, police, and fire departments each have their own critical incident protocols. There is a need, however, for a mutually agreed upon overarching protocol to define shared expectations for how municipal and school staff efforts intersect and coordinate. • Identifying and/or developing data sources for the systematic, periodic review of the dynamic mental health needs of our residents across the lifespan. We have substantial information about youth needs (e.g. Youth Risk Behavior Survey, LPS Self-Injury Suicidal Ideation Response Protocol data, etc.), but little data pertaining to our adult populations, other than incident data from the police and fire departments. In the absence of adequate adult data, youth data are extrapolated, assuming similar needs within the adult population, without basis for doing so. In fact, rates of inental illness among youth z According to the Lexington Police Department, there were 11 adult suicides during this period. 7 and adults have been noted to be different3 and types of self-injurious behaviors among youth and adults may be different from one another. • Structures for storing information about mental health programs and services being offered in Town, as well as a consistent mode for communication to all residents such that they can access this information on-demand. In order to address the identified needs, the Mental Health Task Force secured a 3-year implementation grant from CHNA-154. Collecting data about adult populations, with regard to barriers to accessing mental health services, populations that are not being served, and gaps in programs and services was a priority. Discussions were held with the Director of Planning for the Lexington Public Schools, Health Director for the Town, and Health Services Director for the Schools. It was determined that a consultant was needed to implement a Mental Health Needs Assessment that would facilitate data collection and identify needs of adult populations. In 2020, the Town of Lexington's Mental Health Task Force began a partnership with the Center for Social Research at Framingham State University to develop and administer a mental health needs assessment for the Lexington community. The mental health questionnaire, in both electronic and hard-copy formats, was open for 6 weeks and accessible to all adult Lexington residents. A postcard was mailed to every household promoting the questionnaire. Additionally, the study was promoted on social media, in print, and on email distribution lists. The Mental Health Task Force, with leadership 3 1 in 5 U.S. adults experience mental illness each year. 1 in 6 U.S. youth aged 6-17 experience a mental health disorder each year. 50% of all lifetime mental illness begins by age 14, and 75% by age 24. Source: ;�t��s.:.���r�nr�r.�ua.�n�.car� mh;�t�ts 4 CHNA-15 refers to the Community Health Network Area and the 27 areas served across the Commonwealth;�i�t���//Gr��,v�,�Ta�;Ti�n�.l�acar� 8 from Municipal and School staff, will use data collected in this study to identify programs and services to address the needs and barriers to help-seeking in order to better serve all residents of Lexington. The following pages present the findings from the Town-wide assessment study. 9 Section I. Demographic Questions Charts with the distribution of responses in the sample to demographic questions are in Appendix I. Comparison charts for sample responses and the population of Lexington as recorded in the U.S. Census are in Appendix II. The majority of respondents (97.2%) are Lexington residents. Those who were assigned the sex of female at birth represent 68.4% of the sample, with 67.9% of the sample identifying as female. The majority of the sample (92.0%) described their sexual orientation as straight/heterosexual. (Other sexual orientations, i.e., gay, lesbian, bisexual, questioning/not sure, queer, asexual and `other'were selected by 3% or less of the sample.) The age of respondents ranged from younger than 20 to older than 89, with the mean age of 58.6. The majority of respondents were between the ages of 40 and 79, with the distribution of ages conforming to a normal curve. The majority of respondents (70.8%) identified their race/ethnicity as White/Caucasian; 8.6% identified as Asian; 5.2% as South Asian; 2.6% as Hispanic or Latino/a/x; 1.4% as Black or African American; 0.4% as Middle Eastern or Arab American. A small percentage of respondents (2.2%) identified themselves as being of multi-race/ethnicity.5 As compared with data from the American Community Survey, the sample has a greater percentage of White/Caucasian respondents and fewer Asian and multi-racial/ethnic respondents. Percentages of Black/African American and Hispanic/Latino/a/x respondents are comparable to the American Community Survey data. 5 According to the 2019 American Community Survey, 63.8% of the population in Lexington is White alone; 30.1% is Asian (including Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, and `other' alone; 2.1% is Hispanic; 1.3% is Black or African American; those identifying two or more races is 3.7%. 10 The majority of respondents live with a spouse (62.0%) or with a partner (2.6%). A sizeable percentage of respondents live with a child or children under the age of 18 (29.1%) or with a child or children over the age of 18 (17.2%). Some respondents (5.2%) live with parents or (0.3%) with grandparents. Still other respondents (7.6%) live with another adult (including a roommate, a `long term guest', au pair or nanny, sibling, cousin, or adult child and a spouse/partner and grandchild). English was reported as the primary language spoken by more than three- fourths of the respondents. Asian and South Asian languages spoken were reported by 3.2% of respondents. In addition, French, Greek, Hebrew, Portuguese, Spanish, Russian, Turkish, and Serbian were cited. English plus another language was noted by a small number of respondents. No information on primary language spoken was provided by 18.8% of respondents. Respondents were well educated, with 66.6% having earned a Master's degree or higher (and 19.3% having earned a doctoral degree and 7.9% having earned a professional degree). Those with a college degree represented 20.3% of the sample. The percentage of respondents with higher degrees (Master's degrees, Ph.Ds., or professional degrees) is greater than what is reported in the American Community Survey.6 The majority of respondents said their household income (from all sources) in 2020 was between $100,000 and $299,999, with 9.1% saying household income was �500,000 or more. Mean income for the sample was �257,740.� The mean income is comparable to the mean income reported in the American Community Survey. 6 According to the 2019 American Community Survey, 57.2% of residents over the age of 25 earned a graduate or professional degree. Those with a Bachelor's degree made up 27.5% of the population in Lexington. �According to the 2019 American Community Survey, 55% of Lexington residents earned $200,000 or more, with a mean income of$268,155. 11 Respondents reported that they did not experience homelessness (96.3%), had not experienced being evicted from their place of residence (97.4%) and were not concerned about their ability to feed themselves or their families (90.6%). Almost all (99.5%) respondents had health insurance. Almost half (49.7%) had insurance through themselves, their spouse, or their parents' employer or union; 10.9% had insurance purchased directly from an insurance company or health insurance marketplace; 29.0% had Medicare; 4.1% had Medicaid or MassHealth; 1.1% had a form of military insurance.8 8 According to the 2019 American Community Survey, 99.1% of the civilian noninstitutionalized population in Lexington had health insurance, with 68.0% with employer- based insurance, 6.1% with direct purchase insurance, and 0.5% of the population with a form of military related insurance. 17.8% had Medicare and 6.8% had Medicaid or a means-tested form of public insurance. 12 Section II. Overall Health Questions in this section were divided into physical health and mental health. Physical health When asked to characterize their physical health status, 65.9% said their health was `excellent' or `very good'. Only 1.0% said their health was `poor'. While the majority of respondents (58.1°/o) said their health had `remained the same' over the last five years, a sizeable percentage (33.7%) said their health had `gotten worse'. Sex, age and race/ethnicity were not statistically significantly related to assessment of physical health status. However, those with household incomes of$400,000 or more were more likely to say their physical health was `excellent' or `very good' (G=-.232; p=.000), as were those with professional or doctoral degrees (G=-.187; p=.000)g. Some respondents said their physical health interfered with their ability to engage in activities (reported in percentages): En a e in hobbies recreational activities 12.8 Perform household chores 7.5 En a e in normal social activities 5.4 Engage in employment and/or volunteer 4.7 work Run errands or o sho in 3.7 Take care of themselves 3.6 Take care of family or fulfill expected 3.2 famil role obli ations 9 In this report, Gamma (G), for variables measured at the ordinal level, and Cramer's V (V), for variables measured at the nominal level, are the measures of association used to examine the relationship between two variables. The value of the measure of association explains how much of the variance in the dependent variable is accounted for by the particular independent variable. For example, a value of.232 means that 23.2% of the variance in self-assessment of physical health is explained by household income. 13 While physical health limited activities for some respondents, 59.8% said they are not limited by their physical health. The primary source for physical health care or advice was identified as (reported in percentages*): Prima care provider 75.5 Specialist 20.6 Famil member 10.0 Ur ent care center 9.8 Online resource or social media 9.8 Friend 4.8 Com lementa alternative ractitioner 3.9 Emer enc room at a hos ital 3.8 `Other' (included prayer, life coach, 1.8 massage Clinic 1.3 Faith leader 0.2 *Percentages do not add to 100 due to multiple selections by respondents. A small number (1.0%) of respondents said they don't seek physical health care. When asked about challenges respondents might encounter in seeking professional help with physical health issues, 51.1% said there were no challenges. Other respondents, however, identi�ed the following (reported in percentages). Lon waits for a provider 12.2 Affordabilit 7.2 Insurance issues 6.6 Accessibilit 4.9 `Other' (including COVID-19 concerns, 4.1 discomfort/shame/embarrassment, chan es in covera e lans Trans ortation 4.0 Inability to find providers with experience 3.8 re ardin articular needs Findin time too bus schedules 2.2 Cultural differences lan a e barrier 1.2 14 • Females were far more likely than were males to cite challenges to seeking professional help for physical health issues. • Challenges were seen most often among those aged 40-49, with the exception of transportation, which was a challenge for those aged 70 and older. • Those with at least a Master's degree identified more challenges than did those with less education, except for the challenge of cultural differences/language barrier, seen more often among those with a college degree. • Those with household incomes less than $100,000 identified affordability, transportation, and inability to find providers with appropriate experience as most challenging. • Among White respondents, the three greatest challenges were o transportation, o long waits for a provider, and o insurance issues. • Among Asian respondents, the three greatest challenges were o cultural differences/language barriers, o inability to find providers with appropriate experience, and o affordability. • Among South Asian respondents, the three greatest challenges were o cultural differences/language barriers, o insurance issues, and o long waits for a provider. • Among Black respondents, the three greatest challenges were o cultural differences/language barriers, o transportation, and o accessibility. 15 • Among Hispanic respondents, the three greatest challenges were o cultural differences/language barriers, o accessibility, and o inability to find providers with appropriate experience. • Among Middle Eastern respondents, the three greatest challenges were o insurance issues, o inability to find providers with appropriate experience, and o long waits for a provider. • Among those identifying with multiple races/ethnicities, the three greatest challenges were o accessibility, o affordability, and o inability to find providers with appropriate experience. Mentai Heaith When asked to characterize their mental health status, 58.7°/o said their health was `excellent' or `very good'. Only 2.9% said their health was `poor'. While the majority of respondents (64.1%) said their mental health had `remained the same' over the last five years, a sizeable percentage (27.3%) said their mental health had `gotten worse'. Those most likely to characterize their mental health status as `excellent' or `very good' were males (V=.156; p=.001); respondents aged 50 and older (G=- .355; p=.000); those with household incomes of$300,000 or more (G=-.097; p=.010); those with professional or doctoral degrees (G=-.220; p=.000); and Whites, Asians and South Asians (V=.124; p=.002). 16 Some respondents said their mental health interfered with their ability to engage in activities (reported in percentages): En a e in normal social activities 12.1 En a e in hobbies recreational activities 10.5 Take care of themselves 8.6 Engage in employment and/or volunteer 7.8 work Perform hausehold chores 7.5 Take care of family or fulfill expected 6.2 famil role obli ations Run errands or o sho in 4.4 While mental health limited activities for some respondents, 55.4% said they are not limited by their mental health. The primary source for mental health care or advice was identified as (reported in percentages*): Therapist/counselor/p sychologist/social 2 6.9 worker Friend 21.2 Famil member 19.7 Prima care rovider 19.0 Ps chiatrist 9.2 `Other' (included prayer, AA, meditation, 4.4 self-hel Online or phone-based 3.4 resource/support Faith leader 3.3 Complementa /alternative practitioner 2.2 Have no need 0.8 Crisis team 0.6 Emer enc room at a hospital 0.5 Da ro ram 0.5 Ur ent care center 0.2 Clinic 0.2 *Percentages do not add to 100 due to multiple selections by respondents. 17 A sizeable number (20.7%) of respondents said they do not seek mental health care. When asked about challenges respondents might encounter in seeking professional help with mental health issues, 3.0% said there were no challenges. Other respondents, however, identified the following (reported in percentages). Lon waits for a thera ist 13.9 Affordabilit 11.6 `Other' (including, balancing cost and need, concern that counseling 11.4 would identify problems best kept hidden, COVID-19 concerns, discomfort shame embarrassment Insurance issues 11.0 Lack of knowled e about how to seek hel 10.9 Fear/stigma 10.0 Inabilit to find roviders with ex erience re ardin articular needs 8.1 Lack of availabilit of providers with specialt trainin needed 6.1 Accessibility 5.2 Cultural differences/lan a e barrier 2.4 Transportation 2.3 Findin time/too bus schedules 2.2 Lack of time 1.5 Concern about findin someone who is a ` ood �t' 0.6 • As with physical health, females were more likely than were males to cite challenges to seeking professional help. • Those aged 40-49 identified the greatest number of challenges to seeking professional help for mental health issues (including accessibility, long waits for therapists, cultural differences/language barrier, lack of knowledge of how to seek help, and fear/stigma). Those aged 50-69 cited insurance issues, affordability, transportation, lack of ability of providers with specialty training needed, and inability to find providers with experience regarding their particular needs. • Those with higher educational achievement identified the most challenges in seeking help. It would generally be expected that those with 18 more education would experience fewer challenges in seeking help due to greater knowledge of resources. In this group those with greater educational achievement were also those who identified as Middle Eastern, Asian, South Asian and multi-racial/ethnic (V=.142; p=.000). It was, therefore, the cultural differences among those with higher education that accounted for more challenges. • Respondents with o household incomes between $25,000 and $74,999 identified ■ transportation and ■ cultural differences/language barrier as the greatest challenges; o household incomes between �100,000 and �149,999 identified ■ lack of knowledge about how to seek help and ■ fear/stigma as the greatest challenges; o household incomes between �150,000 and $199,999 identified ■ insurance issues, lack of therapists with specialty training, and ■ inability to find providers with appropriate experience as the greatest challenges; o household incomes between �200,000 and �299,999 identified ■ insurance issues, ■ affordability, ■ accessibility, ■ long waits for therapists, and ■ cultural differences/language barriers as the greatest challenges. • With regard to race and ethnicity, o Primary challenges cited by White respondents were ■ insurance issues, ■ affordability, and 19 ■ transportation. o Asian respondents cited the three greatest challenges as ■ cultural differences/language barrier, ■ inability to find providers with appropriate experience, and ■ lack of knowledge about how to seek help. o Among South Asian respondents, the three greatest challenges were ■ cultural differences/language barrier, ■ lack of knowledge about how to seek help, and ■ fear/stigma. o Among Black respondents, the three greatest challenges were ■ transportation, ■ cultural difference/language barrier, and ■ insurance issues. o Among Hispanic respondents, the three greatest challenges were ■ cultural differences/language barrier, ■ lack of knowledge about how to seek help, and ■ inability to find providers with specialty training. o Among Middle Eastern respondents, the three greatest challenges were ■ inability to find providers with specialty training, ■ fear/stigma, and ■ lack of knowledge about how to seek help. o Among those who identified as multiracial/ethnic, the three greatest challenges were ■ accessibility, ■ cultural differences/language barrier, and ■ inability to find providers with appropriate experience. 20 Summary of findings regarding overall health: Respondents feel their physical health is better, overall, than is their mental health, but mental health has been more stable than has been physical health. There is a strong correlation between physical and mental health, meaning that those who report good physical health also report good mental health (and vice versa) (G=.557; p=.000) Poor health, physical or mental, is seen as interfering with regular activities, but while poor physical health has a greater effect on activities such as social and recreational activities and participation in hobbies, poor mental health has a greater effect on activities such as taking care of oneself and daily role obligations. Sources of help for physical health care or advice are, largely, health care professionals (primary care providers and specialists). Sources of help for mental health care or advice are more likely to be more private in nature (family, friend)10 A number of challenges were noted relative to both physical and mental health help-seeking. These included long waits for a provider, affordability, and insurance issues. Challenges for those seeking professional help with physical issues also included transportation problems, finding time to seek help, and locating a provider able to address particular needs. Challenges for those seeking professional help with mental health issues are similar but also include embarrassment, fear/stigma, and lack of knowledge about how to seek help. lo This finding is consistent with the stigma associated with disclosure of inental health issues in the public sphere and with the difficulties experienced in seeking mental health care. 21 Section III. Health Behaviors and Health Conditions To assess the nature and degree of health conditions among Lexington residents, respondents were asked to indicate whether they and/or a family member had been diagnosed with specific conditions. Have you and/or a family member been diagnosed with... (in percent) Condition Respondent Famil member Heart disease 8.5 20.7 Neuromuscular disorder 2.3 8.7 Endocrine disorder 9.5 14.7 Cancer 9.6 22.4 Disease of the lun s 7.5 10.4 Senso issues 6.5 8.3 Di estive issues 9.2 7.4 Fertilit issues 6.9 3.4 Ps chosomatic disorder 3.1 3.4 ADHD 3.9 12.5 Anxiet 18.5 20.7 Panic disorder 4.2 6.9 Social anxiety 6.5 7.9 De ression 20.5 20.1 OCD 2.1 5.5 Eatin disorder 2.4 3.4 Bod d smor hic disorder 1.3 1.7 PTSD 4.7 3.7 Bi olar disorder 1.2 3.8 Schizo hrenia 0.7 1.7 Substance use disorder 1.5 4.8 Dementia 0.5 9.3 Develo mental disabilit 11 0.8 2.9 Learnin disabilit 12 1.9 5.8 Other13 2.8 3.5 Mental health hospitalization 5.8 12.7 11 Developmental disabilities were identified by respondents to include: chromosomal abnormalities, Asperger's, autism, cerebral palsy, Down's syndrome, developmental delay 1Z Learning disabilities were identified by respondents to include: ADHD, Asperger's, autism, executive functioning and processing challenges, dyslexia, non-verbal learning disorder, reading disorder 13 Other was identified to include: Alzheimer's, food allergies, fibromyalgia, Landau Kleffner disorder, migraines, myasthenia gravis, Raynaud's syndrome, osteoarthritis, quadriplegia, sarcoidosis, sleep apnea, traumatic brain injury 22 Prescription medications are being used by 67.4% of respondents. Negative side effects from those medications were reported by 15.8%. Negative side effects include: bone loss, joint/muscle/nerve pain, cognition/emotional problems, constipation, diarrhea, drooling, fatigue/sleepiness, insomnia, dry mouth/cough, erectile dysfunction/loss of libido/inability to reach orgasm, increased appetite/weight gain, decreased appetite, gastrointestinal problems, headaches, mood changes/swings, memory loss, light sensitivity, blood pressure changes, loss of muscle mass, muscle cramps. Respondents said their sleep is generally �ery good' to `good' (62.9%). There were no statistically significant differences in evaluations of sleep by sex or racial/ethnic identification. However, younger respondents (G=-.096; p=.015), those with lower household incomes (G=-.111; p=.005), and those with lower educational achievement (G=-.089; p=.031) were more likely to say their sleep was "poor".14 There is little drug/substance use among respondents. In the past 30 days, 37.3% said they used alcohol; 8.0% said they used marijuana; 1.1% said they used recreational drugs; and 3.3% said they used cigarettes/pipes/e-cigs. There were statistically significant differences when examining drug/substance use by sociodemographic variables. • Males (V=.140; p=.005), younger respondents (G=.074; p=.047), those with less education (G=.113; p=.005), those with household incomes of $200,00 or more (G=.137; p=.000), and those who identified as Hispanic and Middle Eastern (V=.115; p=.024) acknowledged using alcohol on more days. • While sex of respondent and household income were not correlated with mar�uana use, there were differences observed with respect to age, 14 According to the Centers for Disease Control, "Adults need 7 or more hours of sleep per night for the best health and wellbeing. Short sleep duration is defined as less than 7 hours of sleep per 24-hour period." 23 education and race/ethnicity of respondents. Specifically, younger respondents (G=-.423; p=.000), those with less than a college education (G=-.390; p=.001), and those who identified as Black, Hispanic and multi-racial/ethnic (V=.155; p=.000) used marijuana more frequently. • There were no statistically significant differences in recreational drug use by sex, age, education or household income. However, recreational drug use was higher among those who identified as Black, Hispanic and multi-racial/ethnic (V=.184; p=.000). • Cigarette/pipe/e-cig use was not related to age or household income, but it was related to sex, educational achievement and race/ethnicity. Males were more likely to use tobacco products (V=.148; p=.004), as were those respondents with less than a college degree (G=-.412; p=.021), and Black and Middle Eastern respondents and those who identified as multi- racial/ethnic (V=.139; p=.000). Further, respondents were asked if they used prescription medications not prescribed for them or taken not according to a health care provider's instruction in the last 30 days. In this manner, 6.0% said they used prescription anxiety or sleep medication; 1.9% said they used prescribed stimulant medication; 3.7% said they used prescription pain medication. Other prescribed medications were used by 5.3% of respondents. This included: anti-depressants, blood pressure medications, cholesterol medications, medication for ADHD, Amoxicillin, Lorazepam for sleep, arthritis medications. There were some differences in these behaviors when examining them relative to sociodemographic variables. • While differences by sex and age were not statistically signi�cant, it was found that Black, Middle Eastern and multi-racial/ethnic respondents (V=.139; p=.000), those with household incomes of$74,999 or less (G=- .207; p=.055), and that those with less education (G=-.326; p=.007) were 24 more likely to report improper use of prescription anxiety or sleep medications than were other respondents. • There were no statistically significant differences by sex, age, household income or education with respect to use of prescribed stimulant medication, but there were differences by race/ethnicity. Specifically, Black and Hispanic respondents were more likely to report improper use of these medications than were respondents in other groups (V=.128; p=.010). • There were no statistically significant differences with respect to use of prescription pain medication. Few respondents engaged in self-injurious behaviors including, intentionally hurting themselves (2.1%), considered taking their own lives (5.6%), or attempting to take their own lives (0.6°/o). Respondents were asked a series of questions about stress in their lives. The first questions focused on the amount of stress they experience with respect to a number of conditions. The choices ranged from 1 to 5, where 1 = no stress and 5 = extreme stress. Mean scores for each of the conditions is presented below: On a scale from 1 to 5, where 1= no stress and 5 = extreme stress, how much stress do you currently feel with regard to... (mean score) Current political/social events 2.92 COVID-19* 2.63 Concerns/worries about the future 2.48 Concerns about physical health 2.29 Experiences with social/racial in'ustice 2.10 Concerns about mental health 2.09 Difficult ettin enou h slee 2.01 Bein too bus havin too bus a schedule 1.99 Problems with famil members 1.99 Loneliness 1.93 Care ivin issues 1.90 Not havin friends famil nearb 1.82 Financial concerns 1.76 25 Havin a 'ob 1.50 Bein able to et access to health care 1.40 Havin stable housin 1.29 Personal safet 1.27 Substance abuse 1.27 Havin transportation options 1.25 Social pressures from friend/peers/etc. 1.25 Havin health insurance 1.23 Bein able to feed m famil 1.19 Language barriers/communication problems 1.16 Given that this questionnaire was administered during the COVID-19 pandemic, further investigation into specific issues that could create stress associated with COVID-19 were explored. *Responses to specific items regarding Percent of respondents COVID-19 selecting the response Reduced m social interactions 65.7 Restricted my movements 55.1 Fearful of contractin COVID-19 50.3 Fearful of transmittin COVID-19 31.6 Increased m time spent online 46.3 Made me feel isolated 36.9 Made me feel anxious and/or 29.2 de ressed Made it dif�cult to access physical 17.1 health care Made me anxious about vaccine related 11.6 issues Caused me to lose a family 9.2 member/close friend Made it difficult to access mental 8.2 health care Altered m financial situation 6.4 Complicated m health status 5.6 Made me sick I contracted COVID-19 2.9 Forced me into a different care setting 1.7 Made it hard to get physical care 1.2 needed at home Other 7.5 26 Respondents were then asked how they deal with experienced stress. Responses were as follows: How do you typically deal with stress? (in percent*) Talk with a trusted friend/family 45.9 member En a e in h sical activit exercise 44.1 Read 37.3 Watch TV 35.1 Listen to music 31.0 Slee 27.5 Practice stress management 22.4 techni ues Socialize with friends in erson 21.3 I nore it 17.7 Utilize a counselor/therapist 17.0 Socialize with friends online 15.6 Surf social media the Internet 13.7 Drink alcohol use dru s 11.7 `Other' 7.8 Utilize a support group 3.2 Talk with a faith leader 2.8 `Other'included: prayer/attendance at religious services, engaging in outdoor activities (e.g., gardening, walking, hiking), playing with a pet, cooking, engaging in a project or hobby (e.g., cleaning an area in the house, painting, knitting), eating, helping others/volunteering. *Percentages do not add to 100 due to multiple selections by respondents. Summary of findings regarding health behaviors and conditions: Both physical and mental conditions were identified among respondents. The most common physical health conditions for respondents were cancer (9.6%)ls, endocrine disorders (9.5%)16 and digestive issues (9.2%)17. For family ls According to the National Cancer Institute, "In 2020, an estimated 1,806,590 new cases of cancer will be diagnosed in the United States". The National Center for Health Statistics notes that 9.5% of adults have ever been diagnosed with cancer. 16 As cited in Golden SH, Robinson KA, Saldanha I, Anton B, Ladenson PW. Prevalence and incidence of endocrine and metabolic disorders in the United States: a comprehensive review. The Journal of Clinical Endocrinology 8s Metabolism. 2009 Jun 1;94(6):1853-78, endocrine disorders affect at least 5% of the population in the U.S. 17 According to the National Institute of Diabetes and Digestive and Kidney Diseases, "60 to 70 million people [are] affected by all digestive diseases". 27 members, the most common physical conditions were cancer (22.4%), heart disease (20.7°/o)18 and endocrine disorders (14.7%). The most common mental health conditions for respondents were depression (20.5%)19 and anxiety (18.5%)20. For family members, the most common mental health conditions were anxiety (20.7%), depression (20.1%) and ADHD (12.5%)21. More than twice as many family members were hospitalized for a mental health condition than were respondents. While a sizeable percentage of respondents said they take prescription drugs, relatively few experience negative side effects. Side effects that are experienced are wide-ranging and tend to be dependent upon the type of inedication being taken. There is relatively little drug/substance use reported among respondents, with alcohol being the substance used most often of those listed and recreational drugs being the drug used least often. Tobacco use is also rather low. There were, however, notable differences in the use of various drugs by age, education and race/ethnicity. There was very little use of inedications not prescribed for the respondent or use of inedications not in accordance with a health care provider's instruction. Sleep was generally seen as good, and very few respondents had engaged in self-injurious behaviors. When asked about stress in their lives, respondents said that the greatest sources of stress are current social or political events, concern about the 1�The Centers for Disease Control states that "Heart disease is the leading cause of death for men, women, and people of most racial and ethnic groups in the United States", and that 4.6% of adults have ever been diagnosed with coronary heart disease. 19 According to The National Center for Health Statistics, 4.7% percent of adults aged 18 and over are diagnosed with regular feelings of depression. 20 The National Institute of Mental Health says "an estimated 19.1% of U.S. adults had any anxiety disorder in the past year" and that "an estimated 31.1% of U.S. adults experience any anxiety disorder at some time in their lives". 21 According to the National Institute of Mental Health, "The prevalence of children ever diagnosed with ADHD increased by 42% between 2003 (7.8%) and 2011 (11.0%)". 28 future, and effects of COVID-19 on various aspects of their lives. Factors that cause the least stress include having health insurance (not surprising given that almost 100% of respondents said they have health insurance), being able to feed their family, and cultural differences/language barriers. Finally, respondents were asked how they deal with stress. Responses ranged from talking with others (e.g., friends, family members, counselors/therapists) to exercise/physical activity to employing stress management techniques to engaging in personal/individualized activities (e.g., reading, listening to music). Some (17.7°/o) said they `ignore it". 29 Findings of Note • The average age of respondents was 58.6 years. This suggests that the survey may not have been able to adequately measure physical and mental health issues faced by younger adults. • There were fewer Asian/South Asian (5.2% of all participants) respondents than would be expected based on their proportion in the population. Given the stigma associated with mental health and the cultural resistance to seeking help for mental health issues among Asian populations generally, this is important. It is commonly accepted, and as several sources22 note, cultural factors influence conceptions of and attitudes toward mental health among Asians, particularly immigrants. Traditional values place emphasis on the family, not outside sources, for support. Social stigma and the need to save face prevent Asians from seeking mental health care, and Asian patients are more likely to present with physical complaints than to admit to mental health complaints. The low rate of response from Asian and South Asian residents means mental health concerns/problems, in particular, may not have been adequately assessed in this study. • While cultural differences/language barriers were not specifically identified as causes for stress, this was identified as a challenge for help- seeking (albeit not a dominant factor). Cultural differences/language 22 For example, see: Kramer, E., K. Kwong, E. Lee, and H. Chung. 2002. "Cultural factors influencing the mental health of Asian Americans". Western Journal of Medicine 176(4): 227- 231.; Ng, C. 1997. "The stigma of inental illness in Asian cultures". Australian and New Zealand Joumal of Psychology 31: 382-390; Augberger, A, A. Yeung, M. Dougher, and H. Hahm. 2015. "Factors influencing the underutilization of inental health services among Asian American women with a history of depression and suicide". BMC Health Services Research 15: 542; Han, M., H. Pong. 2015. "Mental health help-seeking behaviors among Asian American community college students: the effect of stigma, cultural barriers, and acculturation". Journal of College StudentDevelopment 56(1): 1-14; McLean Hospital 2021 h�t��: �r arrn�1��.�he«� •it�l.ca�r�.��s�riU.i�1.w�h ..�.si�.u�..�.rr��ri��ns..���t..�e�k..h�1 ..�ffr���t�1.. ............... .................................................................................... ..........__.... c11.:m��ss ............................... 30 barriers were, however, noted as one of the primary challenges faced by members of several racial/ethnic groups, and is, therefore, worthy of further examination. • There were more responses from more highly educated members of the population than there were from those with less education. As this could affect help-seeking, this is relevant23. Less educated people tend to have fewer resources, or be aware of available resources. • More highly educated respondents said they face more challenges in seeking help for physical and mental health conditions. This could be an artifact of the fact that more highly educated respondents tended to be members of minority groups and that it was members of minority groups (specifically, Asians, South Asians, Blacks, Hispanics, and those who identified as multi-racial/ethnic) who said cultural differences/language barriers made help-seeking for physical health conditions a challenge (V=.255; p=.000) and help-seeking for mental health conditions a challenge (V=.295; p=.000). Black respondents were most likely to identify cultural differences as a challenge when seeking help for physical health conditions and Blacks and Hispanics were more likely to identify cultural differences/language barriers as a challenge when seeking help for mental health conditions. • Since 99.5% of the respondents have some form of health insurance, assistance regarding insurance should be aimed at navigating the system rather than at procuring coverage. This is clearly an area in which many respondents could use help (6.6% of respondents identified insurance issues as a challenge when seeking help for physical health conditions 23 See, for example, Magaard, J., T. Seeraian, H. Schulz, and A. Brutt. 2017. "Factors associated with help-seeking behavior among individuals with major depression: a systematic review". Plos One 12(5):1-17; Unal, S., B. Kaya, H. Yalvac. 2007. "Patients' explanation models for their illness and help-seeking behavior". Turkish Journal of Psychology 18(1): 38-47. 31 and 11.0% identified these issues as a challenge when seeking help for mental health conditions). • Physical health status and mental health status were highly correlated in this study, suggesting that any programs/services that are developed should take both types of health into account. Previous research has confirmed that poor mental health and poor physical health are linked and that poor mental health can lead to harmful behaviors (e.g., smoking, alcohol use, risky behaviors, gambling)24. • The primary effects of poor physical health were on social and recreational activities while the primary effects of poor mental health were on taking care of oneself and performing daily role obligations. • While help-seeking patterns for physical and mental health conditions have much in common, there are important differences to note with respect to the order of the support sought. Specifically, when seeking help for physical health issues, respondents were more likely to turn to their primary health provider, specialist, or family member. When seeking help for mental health issues, respondents were more likely to turn to their therapist, a friend, or family member. • Challenges to help-seeking for physical and mental health care were, largely, similar, however, challenges to mental health help-seeking also included fear/stigma and lack of knowledge about how to seek help. • Transportation was mentioned as a challenge to both physical and mental help-seeking for respondents. • Rates of illness (for the respondent and family members) cited in the study argue that there is a greater prevalence of some conditions among the respondents than might be expected in the general population. 24 Ohrnberger J. Fichera E. Sutton M. 2017. "The relationship between physical and mental health: A mediation analysis". Social Science &Medicine 195:42-49. 32 Specifically, higher rates of cancer and heart disease were cited among family members; endocrine disorders among respondents; depression among both respondents and family members; and anxiety among family members. • Substance abuse, sleep, and self-injurious behaviors, as reported, do not appear to be significant problems among respondents. • Stress is, however, an issue in the lives of many (or most) of the respondents. The greatest sources of stress were found to be current social and political events, concerns about the future, and effects of COVID-19. • Ways of coping with stress reported include: talking with others, exercising or engaging in physical activity, employing stress management techniques, and participating in individualized activities of personal interest. Some respondents said they just `ignore it'. 33 Recommendations for Next Steps • Given that the average age of respondents was 58.6 years, efforts should be made to gather more information about younger and middle aged adults. • Since there were proportionately fewer Asian and South Asian respondents than corresponding members of the population in Lexington, as a consequence, health issues, especially mental health issues, might not have been adequately assessed in the study. Efforts should therefore be made to gather more information about members of these groups. • A substantial number of respondents identified cultural differences/language barriers as impediments to help-seeking. More information should be gathered about specific aspects of cultural differences/language barriers that affect help-seeking in order to appropriately address the need for improved communication and communication skills. • While most respondents said they have at least a college education, there were a notable number of respondents with less education. Since there is a correlation between more education and more resources available to address problems, more outreach efforts should be made to those with less education. One way to do this would be to increase publicity about programs and services available through the Town. • To address the issues identi�ed in the preceding two bullets, o there should be greater availability of translators or translation services and 34 o educational programs should be offered that focus on how to seek help, interpret medical information, and engage in follow-up care and adherence to medical recommendations. • Most respondents said they have health insurance. However, many said they had trouble working with insurance companies or navigating the system. Assistance, through one-on-one counseling and/or through educational programs, should be provided to help residents understand their insurance plans or programs or coverage. • Given that respondents identified difficulty accessing appropriate providers and long waits for providers as challenges to both mental and physical help-seeking, assistance with identifying providers and with navigating a wait list for a provider should be provided. • Since physical and mental health are related and affect one another, any programs developed should acknowledge the association and address the two types of health. • Target programs for physical health that address social and recreational needs. Target programs for mental health that address self-care and managing daily routines. Develop programs that address cessation and prevention of harmful behaviors. • Since it is already known that stigma is a signi�cant impediment to mental health help-seeking, and the findings in this study confirm that, develop a stigma reducing educational curriculum and programs to combat stigma and help people deal with stigma. • Transportation was cited by respondents as presenting a challenge when seeking help for health care. Lexington already has several options available (e.g., Lexpress, RIDE, MBTA, FISH). Greater public awareness of these services is needed. 35 • Stress was noted to be a factor in the lives of many respondents. Many of the sources of stress were cited as residing in social and political issues. Provide stress-reduction programs and opportunities for residents to formally and informally meet and discuss their concerns. • Stress could also be addressed through other means. Provide and publicize information about stress-reduction techniques. These could include exercise and physical activity opportunities (e.g., at the Lexington Community Center, bike/walking trails). • Review the findings with an eye toward what can practically be addressed by the various departments in Town (including the Department of Human Services) and the Mental Health Task Force. • Confer with the Department of Health to identify areas of overlap in information and ability to provide services/programs. • Collaborate with other Town departments (e.g., Recreation, Education, Human Services, etc.) to publicize programs/services related to physical and mental health. • Promote the Mental Health Task Force website on the Town website. The MHTF website contains a large amount of good and helpful information. • Create greater awareness of the connection between physical and mental health. 36 Recommendations for Target Outcome Assessment • Repeat this study once programs and services (such as those identified in the section, Recommendations for Next Steps) have been implemented and given some time to produce effects. • When repeating the study, specifically measure: o Respondents' subjective (selfl assessments of physical and mental health; o Respondents' subjective (selfl assessments of whether physical and mental health have improved/deteriorated; o Respondents' evaluation of the ease with which they were able to access services or providers of care; o Respondents' evaluation of the helpfulness and quality of programs/services offered; o Respondents' evaluation of what works, doesn't work, and could be improved; o Respondents' suggestions for improvement of programs and services. 37 Appendix I Responses from Lexington Sample Key Demographic Variables Sex ��a�, � ��a� V � Eb.4% d 2f].0'�,,,,,',.. 31`% .0'�,',, ______________________________________________________________ . Male Fem�le Intersex What sex were yau assigned at birth? �Intersex—0.1% Gender ldentity �a�� r � ao o�. V � ,',,E7.J% � 2(Y.0"�,,,,,',.. �1 A%a .0`Ya,',,. I�lale Female P,lon-binaiy Uther(�lease s�ecify} Which of the following describes your gender identity?-Selected Choice *Non-binary=0.6%;Other=0.5% 38 Sexual Orientation 100 0%.... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... 8d0%..... ......... ......... ......... .......... ......... ......... ......... ......... ......... ......... GE00%�;... ......... ......... ......... .......... ......... ......... ......... ......... ......... ......... a� U � ..'.J2.d% [I. 40.0%,.......,,.. 2(7.0%,.......��.... � .�%,,,,,,,,,,, r� �l'C�a wwww "'�j"�"�"'1"'�""'��� fil lT5 ����������� 4�.............�............��...........� ��������������rn ���� ��................ Vl SJ5� G � ^' �� C � CS7 r� �� L'� � 3 (p ¢+ � �r � � � �v �' u cn � � m uy cn � C fr flJ Qy ,¢ Which of the followin�describes your sexuality or sexual orierrtation?-Selected Choice �Other=0.3% Age ��o� 2b0%;.... ......... ......... ......... ......... .... ......... ......... .......... 1�.U%',,,,.. C V N d 10(7%,,,, �'0 4°�' 1 J.J°6 202% 1�3'No .4(7% ..... ..... ..... .. ,... ,... ..... ...... T.7% ,',. �ll�Y���2.3% �������,,�?% ,,, 5 Sfo �', ,. 1.f% ,,,.. 0% _ _ _ Yf7un�el' ���C1-�79 SCl-3�� 4C1-4� 5Cl-�J�� FJC1-��� dCl-d� 5Q-�5�� (.��rJel' th�an ia than 89 How old are you? 39 Race/Ethnicity �a a�� �a�� C 95 V �, ao.o� aa.a� a za.a� �� � 5���uuuuuuuuuuuu�s�w�wuwou�n�V��B�'V �.4� s 4� o�. �'' s�..w.w.w.w.J0�0�0�0�0�0������ Wfiite Asian uc�uth Asi�n E;lack His�anic Ivli��le Multi- Eastern ethnicity Ethnicity/race Education 4dd% .... ..... ..... ..... ..... ..... ..... .... ..... ..... ...... 3d.d% ....... ......... ......... ......... ......... ......... ......... ........ ......... ......... ......... C V ay2dA'6 .... ......... ......... ......... ......... ..... ........ 394% ......... ......... � 'I d.dfo 2b 3% 1:�.3% � � 1.440.... IVI�I�VIVIi,'4.6% �, �.�.� . ss� a�� d%�.�.�.�.�.�.�.�.�.�.�.�.�.��������������%������������.�.� .��-,„JIVIVIVIVI�II'�� � �} �.�.� � � n � �.�.�.�.�.�.�.�.�.�.�.�.�. tT5 _�Ti� CG � (U (p rn tTYr � 3 ��T�� n m cQ � g) vr � If] N�,�ry � !C} gy Q � � �.�l7 @ g} Cl � � � T n' v�� N � � � � — � � �.N L9 N (U (U � ['r t,^Y �ry�d f[Y LII � � � G C �N s (U G1 —@ G CD — G —, C` ^'G @^' fY� ���� n Q N What is the highest level oP education that you have achieved? 40 Income 2b0`Yo..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... 1 S.O Yo,,,,',,, � C V yI d 0%....... ......... ......... ......... ......... .. ......... ......... ......... ......... � 1S7'N� 17.G� 14b� ��,�..... ............. �.5� ......... $.3°,� ,,,..d.:AS'o J.1% f.7% ,,, � ',, , '�:5.f7% ''�.. ',, P..FI% ; b".y,,,,, ,,' �. r N3 Ha fS�i f{3 tfi E�i fS�i 6v H3 ATY �...1 U1 --J F..1 GJ L^ i_h cr, �n r �t ��ca ut cr �,_� �,_� �,_� cr, -o ��r� i�r '=� �r cr ��r ��r ��� T Cl I� 4=.Y 4=.1 Gl �f� 4=.Y 4=.Y 4=.1 G5 CJ O 4�7 4�1 CJ CY 4�7 4�7 4�1 � ��1 CJ Cr ��7 ��7 ��1 c c a `r'.,' *�a e� e» ��� c� c�� ��� c,� � s� � -rwLL cc> �r-a s,s e� e� � � ..� - .L u7 �"' tt) tl� '� � _� _� tCY � CO C�4 CC7 �S7 � (i1 S1J �D �LY CO C4 CLl �b '��-y C4 CC1 CLl �17 �y i4 iL'1 CLl �17 �y i4 iL'1 What was your household income(from all sources)in 202d? 41 Appendix II Comparison of Sample Responses and Lexington Population Data25 Key Demographic Variables Sex ,��� u������cilsus r.��t� uuuuf I...cxin�„tc�n d�t� 8C) 68.4 7U Gd 52.5 ��� 47.5 G�:a !.�c� �r, s....... � ��� 31.5 � .�� �.,.., rr... 2() "ld Q I`Jlalc:� f�i�rt�l� 25 Source: American Community Survey 2019 42 Age � � IIIIIII G`:rl'15u�5 C9�'C� IIIIIIIIII LCtcll'Y�k�zlm F��'R:� ?a 20.4 19.9 Zd,Z }�} 17.8 18.3 �.�.., �, ' 15.5 �;t 7.!:� � 11.9 � �.,.., 9.3 � ��} 8.2 °- 4.7 6.5 7•1 6.3 r.a 2.3 � 3.2 � � ����������������I ����� La:�ss CI7an �.5� ?.� 3C)3"� 4f)-4� !:at.l...!:�9 CC�C-�9 �C) 7� �G��n� 7.d� c�ldr::.=.i' Race/Ethnicity I�����/IC�II�ir�6���� (�rwnsi.,s�c�ata IIIIIIIIII I...r:°uii7�Ycai��:��t:a ��3 77.9 �0 !G� 63.8 �.,...� �C� u �r.: ,..�ry �....... 'b4d �i� y I.C.S �CA �" 30.1 �.,..:� n... 3ft ZC) 14.3 �� 1.3 1.5 2.1 2.4 3.7 3.4 �� ����������������������������������� �uuuuuuuuuuuuuuuuu �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIP. �11/I�rit�^ �,,i�anf;.�si�art I�I�arl< 19i��a�i7i.r, i�ryi.alR:i a�tlrnia:;ity€ 43 Education ���������� �cri�us c�at�a IIIIIIIIII I...exin�tcari r..a�taa k�Cl 72.4 f C7 �� 57.2 �.,...� G!:7, ir wY: 1 C� �....... �•� �C� ca 27.5 W ~�� � 20.3 2Q �a 1.6 0.5 � 1.4 7�6 4.6 � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII less tl��n I I."a 19.��„r�r.�a�atr^ Scrnr�cc:rllr�p;cw Q'c�llr��„�d:„rac�uat� C:ara<�u�aCe cai° f�i�crfc�ssic�i7al cic�i��^c Household Income II II��.��I����II� Ilir���ir�� ��s�sGas dat� IIIIIIIIII I._nxin�;trxs�d�aP.� °.�� 45.9 �,� 42.2 �� �.,.., 3`:r �-r 3Cl i....... �� ��' 19.9 ';� 18.7 ,::";; �� 15 14 n... l� 12.6 12.2 ,�, 7.9 '1C� 6.36,2 8.3 6.3 h IIIIIIIIIIIII�IIZIf.g � I � � 1 C� Ic��:;�tl�t�art �.:�IC�4'=�.316 ::;(71C f�6.'�I< A::;IC�Ai.�l< ].V:)f}IC 1�4'}.�O<1r:i�dlG ].r1�.'�I<7.�Xl�Kc�i�i�rrrai��^ �.a,Cbl1�7 44 T � � � �. �. � � � � tI3 .�..� u� � � � � N � �. � � p � ��. � � Q � rC� � � � ' '� � 43 Z� O � � .�.� � �" � � � � � +� � � � � �' � N � � � � � � � � � � � � .� � � � � � � � o �; r� o � � _ " � � � � � � s=- � �. -#--� � � !"^ � �a � � � � � CU _ � ct� c� .� � �, � �. � � � � � � � u� ° � � � .— � � � � � � � � � � � � � �. � � c� � � �� � � � ,�; � .� � �� � � � .�..�"', c�3 � � � t�A � � �- � � � �S �. � � � � r— � C!`) �'"� q� fp � � � — � �,, `� � � � � � (� �—' � q� t�p q Q� �+- � � � � �- CU z� `— � � ;� � � � �' . � � a� � � � -� r� � � cu � � � � �� � �� � � � � � .� -I--� � ��3. .�' � � c�u � � � �_ � �,. f�3 � � -'"� �, � u .� ' _ _ �� �� c� � � � �. � ,�,., � Q.� � ._ � �.. � �, W. _ � � '- � cU � � C� �'3 � � � � � _ s� � -� � U � � � u.. � c� � q� � � .� � � � � .— � -1--a .�.� � C� � � +a � cC� '�„' ., t;,� � � � �- � � � � *� �'' � �' ° ° C� � � �� o c�u � � u a� ��' � a� J �, � '� .= ��- `�' _ � C� (i� � � � �n j � � C.� [�C C� w CU �C �C3 U .r.� . .� . . � �: � � .I--� � � .� I � �; �. ��, � � �� J. s � y�.. � � � � � � -1-.� •� � �. �u � � � � , ��� ��� �' � � �. � �. 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