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Equitable Services for Complex Mental Health Needs: Q&A with Carlos Permell, START Program Director

In this edition of People of JEVS, we highlight Carlos Permell, the Program Director of JEVS’ START program, part of the National Center for START Services (NCSS). START stands for Systemic, Therapeutic, Assessment, Resources, and Treatment. Carlos, whose career has been shaped by a commitment to social justice, community organizing, and systems change, is originally from London and the child of Caribbean immigrants. His experiences have informed a lifelong dedication to equity and building stronger communities. In this conversation, he shares what brought him to JEVS, the purpose behind the START, and what continues to motivate his work every day.

1. Tell us a little about yourself.

I was born and raised in London, England. My parents migrated from the Caribbean to what was called the “mother country” in the mid-1960s seeking opportunity. Growing up, it wasn’t uncommon to see signs that read, “No Irish, No Dogs, No Blacks.” Experiences like that shaped how I see systems, power, and community.

There’s a James Baldwin’s quote that has always stayed with me. “To be a Negro in this country and to be relatively conscious is to be in rage almost all the time.” Baldwin was speaking about the United States, but that level of awareness resonates far beyond one country. Across the Western Hemisphere Black, Indigenous, and People of Color understand that consciousness through lived experience. Because of that, my work has always centered on social justice and equity, what I often call “La Causa.” Regardless of my title, I see myself as an organizer. To me, organizing is about building collective impact through asset-based, community-driven change.

My vision is simple: no one should live in poverty. Everyone deserves access to quality education, affordable housing, healthcare focused on prevention, equal pay for equal work, and healthy food.

Outside of work, I’m an avid Premier League fan and a loyal (and currently patient) Manchester United supporter. My weekends revolve around match schedules. Family keeps me grounded, and my music rotation runs from Hip-Hop and Reggae to Soca, Afrobeats, and R&B.

2. What brought you to JEVS?

JEVS’ vision immediately resonated with me: “Every person achieves personal independence and fulfillment.”

I believe deeply in people’s resilience, especially those from communities that have been systematically marginalized. With the right tools and support, people can thrive.

At this stage in my career, alignment matters. There’s no separation for me between being a professional and being a Black man: my lived experience connects directly to the communities JEVS supports.

After speaking with Clara Thompson and Alycia Keeports, (Senior Vice President and Executive Vice President for Community Living and Home Support, respectively) I felt that alignment. Their openness and understanding made it clear that JEVS was a place where I could do meaningful work.

3. Can you tell us about your role and your work with the START program?

As Program Director, my role is to grow the START program to its fullest potential, structurally, operationally, and programmatically. START works with caregivers and providers supporting individuals with intellectual and developmental disabilities (IDD) and mental health needs. Our goal is simple but powerful: prevent crises whenever possible and respond effectively when they happen.

My days often include triage meetings with our team and partners, supporting staff in the field, supervising our clinical team and coordinating next steps with families and providers.

What START represents to me is dignity. It challenges the idea that disability equals deficit. Instead, it recognizes cognitive diversity and focuses on inclusion, prevention, and respect.

4. What do you enjoy most about your work?

Right now, we’re in a start-up phase of building systems, refining policies, hiring staff, strengthening referrals, and creating team cohesion. It’s dynamic. It’s evolving. It’s a “live theatre” every day. What brings me the most joy is watching the team grow. Seeing each member develop their practice within the START model bringing their own voice and strength to the work is powerful. That growth directly translates into stronger caregiving systems and, ultimately, crisis reduction and prevention.

Our partnerships with the NCSS, ODP, DHIDS, IDS, & CBH* has also been incredibly meaningful. Their collaboration shows what real system-building looks like.

*JEVS’ START programs are in partnership with the National Center for START Services (NCSS), the Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), the Division of Intellectual disAbility Services (IDS), the Office of Development Programs (ODP), and Community Behavioral Health (CBH).

5. Is there a moment that stands out?

Building a program is a marathon, not a sprint. Success comes in small, steady wins.

One of my favorite moments is participating in daily triage meetings. Hearing team members thoughtfully discuss person-centered and trauma-informed approaches shifting seamlessly between clinical language and practical guidance feels almost like a symphony.

As Dr. Michael Brenner, Founder and CEO of Right Chord Leadership says, it’s about playing the right “CHORDS”: Communication, Harmony, Ownership, Respect, Direction, and Support. When those align, a real impact happens.

6. What motivates you?

I’m motivated by knowing we stand on the shoulders of giants. We have a responsibility to honor the work that came before us while adapting to today’s realities. Each generation must carry the work forward with integrity, courage, and new tools.

7. What would you like people to know about START?

START strengthens support teams so they can better serve individuals with IDD and mental health needs. We focus on wellness, strengths, system gaps, and skill-building across providers.

Prevention is our priority, but when crises occur, we offer 24-hour support and coordinated response through a clear, collaborative plan.

Ultimately, START is about strengthening systems so individuals and families can thrive.

JEVS Launches START Philadelphia: A National Model Supporting Individuals with Complex Needs

“The work that we do should be contagious,” said Julie Lago, Executive Director of the National Center for START Services (NCSS), reflecting on the value and impact of START across the country.

Building on the national model, JEVS Human Services (JEVS), in partnership with the Philadelphia Department of Behavioral Health and Intellectual disAbility (DBHIDS) and Community Behavioral Health (CBH) as well as Pennsylvania Office of Developmental Programs (ODP), launched START Philadelphia on February 5. By focusing on wellness, strengths, and collaboration, the program reinforces the belief that with the right supports, people can thrive in their communities.

The launch event brought together partners and system leaders to recognize a shared commitment to wellness, collaboration, and crisis prevention for individuals with intellectual and developmental disabilities (IDD) and mental health needs.

Meeting Complex Needs with the Right Support

Individuals with co-occurring intellectual disabilities, autism, and mental health challenges often face fragmented systems of care. Without coordinated, proactive support, too many people end up cycling through emergency rooms, encountering the justice system, or struggling to live independently.

START—Systemic, Therapeutic, Assessment, Resources, and Treatment—offers a coordinated approach: one that employs collaborative care to stabilize individuals and prevent crises before they occur. By working across systems and alongside individuals, families, and providers, START helps ensure people receive the right support at the right time.

An Extension of JEVS’ Legacy

At the launch celebration, JEVS President and CEO Cynthia F. Figueroa emphasized how START aligns with the mission and history of service of JEVS Human Services.

“START is an extension of our experience and legacy,” she shared, noting JEVS’ long-standing commitment to inclusive, coordinated, and community-based care.

START Philadelphia builds on this legacy by integrating behavioral health expertise with person-centered planning, ensuring individuals are supported holistically and with dignity.

Strong Partnerships, Shared Vision

The success of START Philadelphia is rooted in collaboration. JEVS is deeply grateful to its partners whose leadership and support made this program possible:

  • Philadelphia Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) and Community Behavioral Health (CBH) for program oversight and referrals;
  • Pennsylvania Office of Developmental Programs (ODP) for critical funding and ongoing support; and
  • The National Center for START Services® for national leadership, technical assistance, and continuous guidance.

These partnerships reflect a shared vision of systems that work together, rather than in silos, to better serve individuals with complex needs.

A Promising New Solution

Speaking at the launch, Jen Smith, Deputy Secretary, Office of Mental Health and Substance Abuse Services (OMHSAS), highlighted the broader impact of START Philadelphia and its role within Pennsylvania’s service systems.

“Today marks the beginning of a promising new solution for individuals with behavioral health needs and intellectual disabilities and autism,” she said.

She emphasized that START supplements existing systems by training, educating, and empowering the professionals and caregivers who support individuals with complex needs every day. Through this approach, START strengthens the capacity of communities to respond effectively and compassionately.

Looking Ahead

START Philadelphia represents an important step forward in preventing crises, promoting stability, and improving quality of life for individuals with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH).

As START Philadelphia begins serving individuals, JEVS and its partners remain committed to learning, growing, and working together to build inclusive and responsive systems of care.

To learn more, visit START Philadelphia.

 

 

 

 

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