Cheryl is very traumatized by this. She is not feeling good. She is in the condition i havent personally seen her in before, and she believes like i did that if we had treatment on demand, this never would have happened. Treatment on demand if it was implemented years ago, the Mental Health of the people in the tenderloin would be better and this never would happen. Cheryl isnt here because of the trauma she is facing. We talked before this so i can tell her story. This is something we can fix if we get some Mental Health services. Please join the community with us and enact this and help us pass treatment on demand. Supervisor mandelman thank you. Next speaker. Thank you, supervisors. I am here to support treatment on demand. I am denny smith. I lived in San Francisco 45 years. Three were on the street. I am so proud to be in San Francisco today because so many people have great ideas and are working so hard to make this a better city. It is not a lack of ideas or lack of initiative. I think maybe we just need a consolidated point of attack. I would love if the city just appointed two or three or five Person Committee to be the czar of fixing homelessness and drug and incarceration problems that seem to be a package in peoples lives. They certainly were in mine. This all came crashing down on me at once. The first solution is housing. Without solving all of these problems, people will end up back on the street. I think that would be a great idea. The best developments in history have been made by leaders who were willing to throw convention away and try something completely new. The emperor in rome was the first to pull back the boundaries of the roman empire and people were shocked. It was the best thing that happened for a few hundred years anyway. Supervisor mandelman thank you. Next speaker. I am ellie. I want to speak today because i have had personal experience being on numerous sides of this complicated issue. I moved here about 10 years ago from an upper middle class professional rn. I owned my home. I went into a crisis after my husband died. I came here because my daughter was here. I was in shock. I was never here before. My daughter lived in the tenderloin and was involved in these things. What i want to say is that i was so fortunate. What happened to me would be the ideal if that could happen to everyone. I dont understand why i was saved. I consider it a miracle. I got hooked up with a case manager at city wide. I was in a two Month Program at womens place, not the shelter but up in the treatment programming. It was very wonderful there. It was small and we went everywhere together. It was a really good program. I was very happy there. One day my case manager says i found you a place. I havent completed the treatment program. Somehow she found me a place. Iif that had not happened to mei dont know what would have happened to me. Going from the background i had to suddenly going from being a homeowner professional to the possibility of being on the street and homeless and not having my profession any more was so terrifying, and a miracle happened. I want to say i appreciate what people said about the low thresholds, the love and stuff like that. What helped me was going to people that offered the servic services. Supervisor mandelman thank you. Next speaker. Good afternoon. I am gail, i have been living in the tenderloin for 10 years. I am here in support of treatment on demand. I had two friends, one recently died which i believe would be with us today if they had treatment on demand. I know other people that i am afraid are going to die because we dont have treatment on demand. I am here very simply to say, please, please make treatment on demand a reality. Thank you. Supervisor mandelman thank you. Next speaker. Good afternoon, i am felicia. I have been a resident of the tenderloin for 40 years now. I have seen a lot. About five years ago i went to a very bad divorce after 22 years of marriage, and i had a breakdown and i wondered the streets suicidal for three years. There is three years of my life that i dont remember. It is gone. I went to San Francisco general because i was afraid i was going to kill myself. They put me in a room by myself. I never saw a doctor. After an hour and 15 minutes. The nurse said you have been discharged and put me back on the street without referrals for help. I told them i thought i was going to kill myself and they put me back out on the street. There is definitely something wrong with the picture. There has got to be something done so that the gentleman that leaps on the sidewalk outside my place doesnt have his pants pulled down around his ankles while he is sleeping. It is awful. It is so sad to see some of these people on the streets that should be in a place that can help take care of them and support them and keep them clean. Please support. Supervisor mandelman thank you. Next speaker. Good afternoon, i am tenderloin peoples congress. Treatment on demand must be put into place. Right now our system is broken and people dont get the help they need and people die on the streets as a result of the broken system. People are put on long, long wait lists and dont get the treatment they need and they often die or overdose because of this. Many Homeless People cant get to their appointments, they dont have phones or they just dont have the means to get where they need to go. We must reach out to them on the streets. Right now we need a communitybased task force. San franciscos Healthcare System is not tracking the wait list and there are not enough coordination between the hospital and the Healthcare System and the jails. This has to change. We need alternative treatment so people dont go to jail. We need more staffing in hospitals and clinics and treatment facilities. We need a neighborhood based Healthcare System, independent auditor to assess the gap in the system city hall overlooks. Peopleslives are at stake. We desperately need treatment on demand. Thank you. Supervisor mandelman thank you. Next speaker. I am mark anthony with community partnership. Organizer for 18 years. I was homeless in 1999. I have had the opportunity to visually see the change in the neighborhood. I live on sixth and market where the golden gate theater is and what not. I have had the experience to see every day the level increase on the drug uses, feces on the ground, many robberies in the neighborhood, car burglaries. I think hand in hand with treatment on demand just like you guys put the toilets down on sixth street and cleaned up the poop. I appreciate it. You see the tourists come in or access to golden gate theater or in the general area and have to step on or over poop, you know, not only step over that, step over the people using it. I am a visionary now. I can see a an uber app, treatmt on demand app or health bus to pick people up. I am part of a team, first accomplishing positive things in San Francisco. I would like to see treatment on demand take a new step. Thank you. Next speaker. Good afternoon, i want to thank you for sponsoring this hearing. It is so critically important to discuss these issues here today. I am with Community Housing partnership. I am sarah short. We are a member of the treatment on demand coalition. I want to remind people of what proposition t the treatment on demand act was. It was passed in 2008 over 60 of the voters. This is what it said. The department of Public Health shall maintain an adequate level of free and low cost medical Substance Services with the demand for the services. Let that sink in. Then it goes on. It is a simple act. Basically threw components. The department of Public Health is that right report to the board of supervisor each year with assessment for the demand for Substance Abuse treatment and present a plan. Finally this shamming be reflected in the city budget. City and county shall not reduce the snub of treatment slots available. That is the will of the voters. I dont think that changed since 2008 nor do i think we are complying with that. The city needs to try harder. They are out of compliance and it is your job to give them the push they need to ensure that we are fulfilling the legal obligations that we have. Thank you very much. Supervisor mandelman thank you. Next speaker. I am tony. Pi is a big issue and having access to the right medications for it is no way to survive properly without it. Fentanyl changed the city in a positive way. We have people for the first time when only black tar was available and they had to treat that situation would have had all kinds of bizarre how do you say wounds to their arms from black tar. It is not designed to go in your veins. It looks very bad when you inject that. It leads to people having a lot of marks on legs and arms. It is not cool to do that if you cant properly process the thing, and for the first time in 20 years, people can take an opiate in San Francisco that allows their body to heal from pi, that doesnt leave the marking or deteriorate it in that way even if it helps with cancer. Things like fentanyl give you relief but have the ability to have your body in a better state. There is a huge difference when you look at the way people look from black tar versus fentanyl. You cant compare. Pi is the issue and making sure that not having to fall to the possessing issues with black tar is a big change in the last 10 years. I have never seen San Franciscos opiate addicts look this good, and there are a lot of mixed feelings about that. People dont like to acknowledge it but when you see people using february tennal they fentanyl they do not look like a black tar issue. Supervisor mandelman thank you. Next speaker. Good afternoon, supervisors. I am Curtis Bradford cochair of the treatment of demand coalition. I listened to all of this today. I am kind of amazed at some of the things i was hearing. Some people talked during the presentation and made it sound like we are doing a good job, the need is being he. We need fixes here and there, overall things arent bad. I dont know that anybody else in the city believes that because all you have to do is walk outside and see the crisis that we are in. It is a crisis. People are dying on the street. They dont need to be dying. I dont mean these people arent doing a good job. I know they care and i believe they work hard and are trying. There are some broken pieces in the system. There are missing pieces in the system. I dont know that i fully believe that or can count on the institutions that currently exist to look at themselves fully objectively and think about what they might be doing right and wrong. The treatment on demand report we looked at, it is like a piece of fiction. I dont know what city they are talking about it it is not rea realty in San Francisco. I was in a Recovery Program in the tenderloin for nine years. People that i would have to send away because there was no space. I would say stand in line at 7 00 a. M. Coop. They are addicts. You might as well ask them to fly to the moon for treatment. We have a problem. We need an outside Agency Task Force to look at it and bring bold action to meet the crisis. Are there any other members of the public before i close Public Comment . Seeing none, Public Comment is closed. Supervisor haney. Supervisor haney thank you, chair and supervisor stefani. I want to thank all of the folks who came out especially my neighbors from the tenderloin. I appreciate your leadership. I think curtis said it very well there at the end that there is a remarkable disconnect between what the city says is happening and what people on the ground who are living these realities every day know is happening, whether there are people on the street doing outreach, people working directly or are themselves active drug users. There is a not just disconnect but i would say complete lack of understanding of what is happening. When people are dying, when people are fightings for their lives, people we know if they had access to treatment could be on a pathway to recovery like a number of the people who spoke here, i it is infuriating, it is sad, honestly, and purchase t when it prop t gave us a blueprint how to do this. It was clear on the mandate. Services have to be available to meet demands. If they, arent there has to be a plan and it has to be in the city budget. What seems to be happening now is this fiction that demand is completely met so we dont need a plan for how to do better. We basically define demand in a way that guarantees we say we are meeting it each year. Why arent we defining demand in reality . What is out there in the community that anybody who steps outside knows and can see. I think a huge part of this in my view has to be in honest assessment of what the demand is and new way of determining what that is. It makes it hard when there are no wait lists, there is no accurate definition of capacity. We are given reports that say there is not wait times when we know for a fact there are so we know on the face these are false reports. You know, i think that there is the city is grossly out of compliance with prop t and our treatment on demand initiative. A huge part of this for me is how to better define demand and have a real honest assessment of our capacity and how we will put forward a plan to meet that demand. I personally think that Mental Health sf which will have hearings in the near future will help solve problems, without a massive change in approaching this question, i dont see how we move forward in an honest way. I support a task force but i think we need to have significant systematic policy change in terms how we think when our responsibility to meet the needs of people suffering and dying on the streets. Thank you for calling the hearing and thank you everyone who came out. Supervisor mandelman superv. Supervisor stefani i wanted to thank everybody who came out today and our presenters and those in recovery who shared their story and showed others recovery is possible. What sarah said at the end of the will of the voters was clear in 2008, and i agree with curtis the need is not being met. It is so obvious that we can do better and we have to the treatment on demand task force thank you each and every one of you. We need a task force, treatment on demand coalition. We need a task force to move forward i agree with that. It is something to work out here and figure out how that is going to happen. Lastly around this problem, obviously, we all see it. It is on the streets. We see people suffering. The stigma around addiction and all of th the things we heard if people relapse they cant get back in. It is like people dont understand addiction unless you have that beast within your head. I think that people will probably never know the suffering addicts go through unless they absolutely know what it is like to be that person who tells themselves not to drink that next glass of wine or not to do the drug and everything in them makes them do it. Unless you have that, i think it is really hard to understand it. The stigma is that these people that are suffering lack willpower or these people are just cant they just get it together . It is such a lack of understanding on the part of people what addiction is. It is a disease, it is powerful and it takings people down. These people deserve our help, love, compassionate at every single point of the disease not when they are ready for help. With the stone wall project like michael said. The interim. The getting to recovery, getting to the place of wanting to stop doing the drug that is killing you. We need to be there at all times, and, finally, too, i want to say for those struggling with addiction, there is help out there. There are people that can help you. It may seem impossible and i know that envisions alive without alcohol or the drugs helping you get through the day, envisioning life without that thing you think you need to sustain yourself is terrifying, and there are people that spoke today that are in recovery. They show it is possible. For me, and when we introduced this hearing at roll call, i quoted lady gaga. I will do it again. She said at the Academy Awards when she was talking about the movie a star is born and anyone who star it knows what the main character was going through terrible addiction that took him to his death. She said we got to take care of each other. If you see somebody hurting dont look away. If you are looking even though it might be hard, try to find the way to dive deep to tell somebody. For me on this side if you tell us in the city and county of San Francisco we better be ready to help you. That is on us. The voters told us in 2008 we want treatment on demand. It is something to help those suffering on the streets. We need to deliver. I plan on it. I will continue do work with the treatment on demand coalition and with my colleagues here and hopefully we will make progress sooner rather than later. Thank you. Supervisor mandelman thank you. I guess i will then conclude this hearing. I wanted to thank everybody who came out to speak. I want to thank all treatment providers who do such amazing work every day. I want to thank the folks in dph who are pioneering new programs and working with treatment providers. When they see the empty beds come up with new ways to get people in those beds more quickly. I think there is a disconnect between the report and the state of access to treatment in San Francisco and the experiences i have seen and conversations i have had with people in the justice involved world but even those folks waiting a few days or not seeing a path to housing or Something Else after treatment. It means we are not there in important ways on treatment on demand. There is a ton of will in this building right now to make significant changes in where the city is around Behavioral Health services and around Substance Abuse treatment. It is the issue of our day. There are proposals from supervisors and the mayor, and i think treatment on demand needs to be a central part of that. We have a Methamphetamine Task force going now and i think through four meetings we have had conversations that are youthful and will lead to recommendations that will be use full. If folks in the treatment on demand coalition believe that is an important step forward in this, that is certainly something that i am looking forward to working with them and with vice chair stefani and anyone else who wants to be part of that. So with that the work will continue. The hearing will close on this. The conversations will go forward and lets finally make treatment on demand reality in San Francisco. With that i will make a motion this hearing be heard and filed and we will take that without objection. Mr. Clerk please call the next item. Clerk item two resolution declaring a state of emergency regards pedestrian and cyclist fatalities in San Francisco. Supervisor mandelman thank you. I believe that well supervisor haney. Supervisor haney we are going to continue this on the call of the chair in light of the long day. Supervisor mandelman there has been a motion to continue this to the call of the chair and we will take that. We will take comments. Thank you. We are going to take Public Comments on the item. Step right up if you would like to speak on this item. I am a School Crossing guard at 19th since 2015. I was on the Bargaining Committee that helped the guards get the raise. I will try to be brief. Before i took the job i didnt understand why we needed guards at intersections with stoplights. Now, i do. There is too much traffic, too much cars going too fast. Every day i see cars run red lights and i see a lot of illegal turns and just it is chaos out there. I have tried to i have gotten a couple signs that say dont block the intersection, stop for the streetcars. They are often ignored. Our union is hoping if you get the state of emergency there might be funding to give the guards extra hours. We cant be there all of the time. Police cant be there all of the time. Giving us extra hours to move in the middle of the day to schools to business districts, areas where there is big concentrations of seniors. I think it is a miracle no one has been killed on 19th. As i said we are trying to supplement the police, not be a cheaper alternative. During contract negotiations the city had a sign that said safe and clean streets are one of the mayors highest priorities. We agree with that and the mayor is proposing great programs that will take years to complete. The guards can be out there in a couple weeks. We hope the extra pay will help the guards. They are low income and this would help them meet the high cost of living in San Francisco. I hope we can do something to help the crossing guards meet the vision zero goals. Community organizer. I have seen how this issue traumatized our neighborhood and the folks working in the neighborhoods. I want to put forward the solutions kneeled to include Economic Opportunity for People Living in limited space often having to use the sidewalks as livings rooms. I think this is important for the safety of our communities. Supervisor mandelman thank you. I work with Community Housing partnership also. We our office is down the street from where in the tenderloin where the worst traffic is happening and people who are disabled and seniors they experience some of the worst trauma as a result. This is an emergency. You see people every day in wheelchairs and they are struggling to get across the street. It is not a thing where people are able to move the same way and avoid the cars that they are encountering. This is an Emergency Declaration and i am glad this is happening. A special shout out to supervisor mandelman, supervisor stephanie and the first treatment on demand. Supervisor haney for sitting in. This is a very serious issue. Thank you. Supervisor mandelman thank you. Next speaker. Hello, again. I am curtis brad ford. I am confused. I thought this was going to get postponed. I sent a lot of folks home that were here to speak about this. I assume when it comes back up there will be an opportunity for Public Comment. A lot of folks had a lot to say about this. I had th the misfit nat i sea 12 yearold boy laying in the street. I watched them trying to resuscitate a man unsuccessfully while his girlfriend who was critically injured as well became conscious and was suddenly aware they were trying to resustake it her partner. Anyway we had a crisis there, too. It is not just drugs and homelessness. Something is going wrong with the pedestrian and traffic system. After years of decline injuries are going up. We are on par this year for the highest year on record and i dont know what is wrong. We know a lot of the things that prevent these injuries and death. We have measures that work. For some reason in my neighborhood we havent done those things. Demands. Pedestrian scrambles, speed bumps throughout the neighborhood, we want appropriate levels of Traffic Enforcement and installation of Traffic Cameras to get tickets, we want funding for staff to provide pedestrian and drier education driver education and increase in walk times. I will be back to talk more about this. Supervisor mandelman remind folks this is continued there will be an opportunity to speak at the next hearing. If folks want to speak, you certainly can speak now. Hello again, supervisors. I want to say as curtis said before i am troy. I represent all of the people in the tenderloin. About the death at taylor and ofarrell street, you know. I heard it out my window. Sometimes i stand at that corner with my camera taking pictures of people who have to get past that green light and it always turns red, and in an hours time i can count 20 to 30 vehicles that could have killed somebody if somebody was in the way on someone is walking across the crosswalk. I am saying, you know, cameras are great. I think we should station people out there with cameras to do that and officers to pull them over and give them the third degree. Thank you very much. Supervisor mandelman next speaker. Hello. I am gail again. I will go into detail next time when we meet over there. I want to say i just believe in everything that the other two speakers just said and i have seen a lot of fatalities and people being hit because i live in the tenderloin, like i said. I appreciate that some work has been done like the scramble and we need more. I will talk to you next time. Thank you. Supervisor mandelman next speaker. I am june bug. You might already know that. I said this several times. I was born and raised here. My parents never had a car. We were on the muni or walked everywhere. I am a podestrian. My mom would have us walk long distances in the city. My parents are survivors of car accidents. I was never raised around car driving culture. I am 43 and have never had a car or drivers license. That fear carried to me. The fear as a podez street is that i can be hit. I live in the fillmore. I have a child who has mobility issues who goes to the after School Program in the tenderloin at salvation army. A child with mobility issues has to be escorted off the bus with the staff. I fear my daughter will get hit. As curtis listed demands. I want to speak to number five increased crossing times to accommodate the high number of seniors and disabled residents. That is children. We have children with mobility issues. I push my daughter in her wheelchair upchurch street or golden gate. This is a severe safety issue. Please enforce this. Thank you for your time today. Peace. Supervisor mandelman next speaker. This is hard for me to talk about. In the last couple years a woman in a wheelchair was killed. A few months after that senior disability action member was hit and killed at geary and franklin. I got to that interaction right after it happened and saw her there. The majority, the vast majority of people hit and killed continually constant leo our streets are seniors and people with disabilities. I live in fear every single day that i cross the street that i am going to be hit. We have got to do more. We have to stop this. We have to make sure that uber and c. Y. F. T drivers are not pull o lyft drivers are not blocking the box. I see people walking through between the cars. I will get hit. So many seniors on walkers will get hit if they do that. We did a campaign that was successful to get nor time for more time for people to cross the street. She didnt have enough time to get across the street safely. They are taking years to implement that. We need to speed that up so people can get across the street before the light turns. There is a lot to do. We are coming up with solutions. Thank you for your role in making sure the city takes this seriously and takes action more and faster. I am john mccormick. I work in the Community Organizing office. I would like to reframe this issue as not being a Traffic Safety issue specifically in the tenderloin. I would like to refrain it around a resource issue. This is not about Traffic Safety. It is about getting the resources in poor minority communities to be the same as every other neighborhood in the city. In richmond in the marina there are speed bumps, crossing patterns that take longer in the neighborhoods. We in the tenderloin i work in the tenderloin, i dont live there. There is a highest density of seniors, and families and children than any other neighborhood in the city. How is that not a neighborhood when we talk about Traffic Safety . Why arent there speed bumps and longer traffic patterns. If there are artery roads we need to rewrite that to better equip the neighborhood with the right resources. I thought this was an item that is again. Curtis mentioned we dont have a lot of people here to speak on this now because we sent them home. I and the entire department i work in witnessed janices traffic incident in our office. This is something personal to me because it affects the people that i work with and personally feel closest to. This is an issue that needs addressed right away. Please listen to our demands. Thank you. Supervisor mandelman next speaker. Laura, people it was congress. People in the tender loin are dying because it is used as a drive through zone where drivers speed through the neighborhood at dangerous speeds causing accidents where people are killed or seriously injured. Our children are getting killed or seriously injured near school zones. Speed bumps should be put into place. Lower speed limits should be put into place and enforced. Some streets should be closed to traffic. Most people who live in the tenderloin have to walk wherever they go. It should be pedestrian friendly, not a kill zone. Many children and seniors and people with disabilities need more time to walk across the street and i am a senior with a disability, i am one of those. Implement these procedures and proposals and make the tenderloin safe for pedestrians. Their lives depends on it. Thank you. Next speaker. Good afternoon, this is hilllar reef brown again. I have been a resident for the past 50 years in the tenderloin. I am part of the s. F. M. T. A. Advisory committee on disabilities. There should be resources with bumps and a traffic light. The times they are red and green and change. It is consistent in other neighborhoods such as sunset and richmond areas. I am aware of that because i have been living there for 50 years there should be resources to prevent the accidents happening again. I am speaking as an activist. Supervisor mandelman any other members of the public to speak before Public Comment is closed . Public comment is closed. Supervisor haney you made a motion to continue at the call of the chair. We will take that without objection. Mr. Clerk do we have any other items today . Clerk no further business. Supervisor mandelman we are adjourned. We spoke with people regardless of what they are. That is when you see change. That is a lead vannin advantage. So Law Enforcement assistance diversion to work with individuals with nonviolent related of offenses to offer an alternative to an arrest and the county jail. We are seeing reduction in drugrelated crimes in the pilot area. They have done the program for quite a while. They are successful in reducing the going to the county jail. This was a state grant that we applied for. The department is the main administrator. It requires we work with multiple agencies. We have a community that includes the da, Rapid Transit police and San FranciscoSheriffs Department and Law Enforcement agencies, Public Defenders Office and adult probation to Work Together to look at the population that ends up in criminal justice and how they will not end up in jail. Having partners in the nonprofit world and the public defender are critical to the success. We are beginning to succeed because we have that cooperation. Agencies with very little connection are brought together at the same table. Collaboration is good for the department. It gets us all working in the same direction. These are complex issues we are dealing with. When you have systems as complicated as police and health and proation and jails and nonprofits it requires people to come to Work Together so everybody has to put their egos at the door. We have done it very, very well. The model of care where police, district attorney, public defenders are communitybased organizations are all involved to worked towards the common goal. Nobody wants to see drug users in jail. They want them to get the correct treatment they need. We are piloting lead in San Francisco. Close to civic center along market street, union plaza, powell street and in the mission, 16th and mission. Our goal in San Francisco and in seattle is to work with individuals who are cycling in and out of criminal justice and are falling through the cracks and using this as intervention to address that population and the Racial Disparity we see. We want to focus on the mission in tender loan district. It goes to the partners that hired case managers to deal directly with the clients. Case managers with referrals from the police or city agencies connect with the person to determine what their needs are and how we can best meet those needs. I have nobody, no friends, no resources, i am flatout on my own. I witnessed women getting beat, men getting beat. Transgenders getting beat up. I saw people shot, stabbed. These are people that have had many visits to the county jail in San Francisco or other institutions. We are trying to connect them with the resources they need in the community to break out of that cycle. All of the referrals are coming from the Law Enforcement agency. Officers observe an offense. Say you are using. It is found out you are in possession of drugs, that constituted a lead eligible defense. The officer would talk to the individual about participating in the program instead of being booked into the county jail. Are you ever heard of the leads program. Yes. Are you part of the leads program . Do you have a case worker . Yes, i have a case manager. When they have a contact with a possible lead referral, they give us a call. Ideally we can meet them at the scene where the ticket is being issued. Primarily what you are talking to are people under the influence of drugs but they will all be nonviolent. If they were violent they wouldnt qualify for lead. You think i am going to get arrested or maybe i will go to jail for something i just did because of the Substance Abuse issues i am dealing with. They would contact with the outreach worker. Then glide shows up, you are not going to jail. We can take you. Lets meet you where you are without telling you exactly what that is going to look like, let us help you and help you help yourself. Bring them to the Community Assessment and Services Center run by adult probation to have assessment with the department of Public Health staff to assess the treatment needs. It provides meals, groups, there are things happening that make it an open space they can access. They go through detailed assessment about their needs and how we can meet those needs. Someone who would have entered the jail system or would have been arrested and book order the charge is diverted to social services. Then from there instead of them going through that system, which hasnt shown itself to be an effective way to deal with people suffering from suable stance abuse issues they can be connected with case management. They can offer Services Based on their needs as individuals. One of the key things is our approach is client centered. Hall reduction is based around helping the client and meeting them where they are at in terms of what steps are you ready to take . We are not asking individuals to do anything specific at any point in time. It is a Program Based on whatever it takes and wherever it takes. We are going to them and working with them where they feel most comfortable in the community. It opens doors and they get access they wouldnt have had otherwise. Supports them on their goals. We are not assigning goals working to come up with a plan what success looks like to them. Because i have been in the field a lot i can offer different choices and let them decide which one they want to go down and help them on that path. It is all on you. We are here to guide you. We are not trying to force you to do what you want to do or change your mind. It is you telling us how you want us to help you. It means a lot to the clients to know there is someone creative in the way we can assist them. They pick up the phone. It was a blessing to have them when i was on the streets. No matter what situation, what pay phone, cell phone, somebody elses phone by calling them they always answered. In officebased setting somebody at the reception desk and the clinician will not work for this population of drug users on the street. This has been helpful to see the outcome. We will pick you up, take you to the appointment, get you food on the way and make sure your needs are taken care of so you are not out in the cold. First to push me so i will not be afraid to ask for help with the lead team. Can we get you to use less and less so you can function and have a normal life, job, place to stay, be a functioning part of the community. It is all part of the home reduction model. You are using less and you are allowed to be a viable member of the society. This is an important question where lead will go from here. Looking at the data so far and seeing the successes and we can build on that and as the department based on that where the investments need to go. If it is for five months. Hopefully as final we will come up with a model that may help with all of the communities in the california. I want to go back to school to start my ged and go to community clean. It can be somebody scaled out. That is the hope anyway. Is a huge need in the city. Depending on the need and the data we are getting we can definitely see an expansion. We all hope, obviously, the program is successful and we can implement it city wide. I think it will save the county millions of dollars in emergency services, police services, prosecuting services. More importantly, it will save lives. 7 and a half million renovation is part of the clean and safe Neighbors Park Fund which was on the ballot four years ago and look at how that Public Investment has transformed our neighborhood. The playground is unique in that it serves a number of age groups, unlike many of the other properties, it serves small children with the childrens play grounds and clubhouses that has basketball courts, it has an outdoor soccer field and so there were a lot of people that came to the table that had their wish list and we did our best to make sure that we kind of divided up spaces and made sure that we kept the old features of the playground but we were able to enhance all of those features. The playground and the soccer field and the tennis fields and it is such a key part of this neighborhood. We want kids to be here. We want families to be here and we want people to have athletic opportunities. We are given a real responsibility to insure that the publics money is used appropriately and that something really special comes of these projects. We generally have about an opportunity every 50 years to redo these spaces. And it is really, really rewarding to see children and families benefit, you know, from the change of culture, at each one of these properties and as a result of, what you see behind us, more kids are playing on our soccer fields than ever before. We have more girls playing sports than we have ever had before. [ applause ] fp and we are sending a strong message that San Francisco families are welcome and we want you to stay. This park is open. Meeting called to order. Noroll call. Believpledge of allegiance. I pledge allegiance to the flag of the United States of america and to the republic for which it stand, one nation under god, indivisible with liberty and justice for all. There please be advised the ringing and utilization of cell phone, pagers are