Transcripts For SFGTV Government Access Programming 20240713

To adjust our services to respond to the needs of these highestrisk, highestneeds people. And i think i should have mentioned the drug sobering center. These are other 24 7 facilities which this Response Team could take people to and get them the help they need. Through the chair, i just think its important to talk about how this team is distinct from the h. O. T. Team and the e. M. S. I know it feels like a lot of teams, but we fought to make sure that the language requires coordination amongst all of these teams. They really do have distinct roles. So the h. O. T. Team is not supposed to be experts on Behavioral Health. Their mandate is to outreach and engage with people who are experiencing homelessness. Lets remember, not all people experiencing homelessness have Mental Health or addiction issues. So they are they have another role entirely. Its about well, thats a role that not all of us feel comfortable with now and were always constantly battling out, but it is distinct and separate from the issue of Behavioral Health. The e. M. S. 6 team, the firefighter has to come when there is a physical risk to safety. So its not just that someone lets say someones passed out, for example, or someones injured because they were in psychosis and they walked down the street and got hit by a car. That couldnt be this team. That has to be firefighters who have the medical training to deal with physical impacts that are related to addiction and Mental Health, overdoses, et cetera, but that arent but that requires some sort of physical medical attention as well. This team is for people that are not in a physical risk to bodily harm, but are having a Mental Health crisis, psychosis, or druginduced psychosis and they need a Behavioral Health professional to come and engage with them and get them into treatment and care, but theyre not theyre not overdosing, theyre not they havent been hit by a car. Theres not an immediate risk to their physical need. That is a distinct thing. Believe it or not, we need all of these expertise. Without all of this specific expertise, we are missing a part of the population that is currently living on the streets. Well, im excited to see how the conversations about this team develop. I do think e. M. S. 6 does a lot more folks who may not have had a physical injury. They may be at risk of a physical injury at some point, but their charge is to work with folks to prevent things from being more expensive thats what i was just going to say, then were not spending our resources well because we dont need that level of intervention. Theyre being assigned based on high 911 callers, but those 911 are not always generated by a physical injury. But at any rate, im looking forward to seeing what the Crisis Response street teams look like. Supervisors haney and ronen are asking for big, bold, structural change, as is this board. So i think what we at least to know what it looks like, not just to expand what we are doing now or make it look or make it work smarter or for efficiently and effectively and raech people and have more places to take people, but actually meet the need and the demand. So that i as a san franciscan have an app and a phone number that i can dial and know that i will get a response that is as timely or almost as the 911 response, but is calibrated to this problem were having in San Francisco right now of a ton of folks who are under psychosis or inebriated and need intervention. If thats more money thats needed, we should describe the program, show it, put it on the policymakers i do think that the good thing about Mental Health s. F. Is that its asking us to think boldly about the system that we want. That will in order not to be i think i think for this to fall flat at some point, we need to be honest about what the scale and costs are going to look like if we do this and actually deliver what people are going to be expecting with Mental Health s. F. If we can do this for 6 million, fantastic. I will be not surprised at all if deliver be that response which san franciscans deserve is a lot more than 6 million. May i say sure. Go for it. I think and with dr. Hammers information and speculation, i think we are being asked to in some ways speculate on things with all humility we dont know yet. I think we all are looking for a transformation and we acknowledge that we need to do that. I also think we need to be very thoughtful to apply scientific methods to transformative change. I would be as a provider myself, when i make assumptions and speculate what a patient needs, i am usually wrong. So i just think that part of this effort and also with all forbearanc forbearance, we will test things and some of those things are not work. To be bold, by definition, you have to be willing to take risks. The things that do not work, we will recommend that we no longer invest in and change, and the things that do work we will scale up. I think in this process, we have done great things in the health department. The Behavioral Health team is an Amazing Group providing grate solutions. I think as we look to solutions, in some cases we have become a little bit lax in San Francisco about the possibilities we think about. With dr. Hammer and dr. Nigusse bland, we look outside to other models to say how would this work in San Francisco, take those programs, make the right investments to pilot them, potentially scale them up. I think there are some things that we know, like the Case Management piece that we know enough about that we do need to scale up, theres enough evidence there. On the other hand, as we transform our system, theres not a lot of value in case managing people if we dont have places and resources to case manage them to. I think thats one of the key things that ive heard in talking to our workforce and community partners, one of the great frustrations, because youre basically trying to work with somebody and even if that person is ready. I do think we have to thank you. Through the chair. With all due respect, supervisor mandelman, thats what weve been doing for the past year in creating Mental Health s. F. Weve tried to engage you the whole time. Up until now you havent been willing to really engage with us on it, but we have spent an entire year researching all our systems, talking to frontline workers, writing hundreds and hundreds and hundreds of drafts of this law to put that vision out there. Everything that were trying to engage you in is what Mental Health is, its a vision for a system that will finally meet the actual need thats there based on current Scientific Evidence to engage and get people to a point where they can live healthy lives. Of course we dont know every detail. Theres never been a piece of legislation throughout history that has been able to know every single detail with specificity, but what Mental Health does is take a leap and it says what weve been doing absolutely doesnt work. Its something that all of us can see every single day when we walk the streets of San Francisco. We got in a room with the frontline workers and experts in the field and we said, lets imagine and create a system that would work. Lets put money aside for a minute. What do we actual need . This is what we came up with. This is what we need. Its not only been vetted by every Behavioral Health worker and psychiatrist in the field, its been vetted by the department of Public Health and the mayors office. This is a vision moving forward. Its not a mystery about whats going to happen. I worry slightly in this dialog that youre having with dr. Colfax that youre looking for some other vision municipal the vision is Mental Health s. F. The policy that you have cosponsored is that in order to fix the crisis in the streets, we are going to implement Mental Health s. F. We have to find the money for that and were mutually committed to doing that, but this is how were going to fix it. There are devils in that detail that always were going to have to be working out and that is what the Implementation Working Group is. There are things thak the doctor said that we try and dont work, but the vision that if you vote for this legislation that you are voting for is saying that Mental Health s. F. Is a way to fix the crisis on the street every single day, day in and out, and thats how were going to make things better in San Francisco. Dont vote for the legislation unless you believe this is the right vision to get us there. I have two more substantive points i want to make about Mental Health s. F. , and i dont i dont want to get into a back and forth with supervisor ronen about the history of this legislation. I will say and supervisors absolutely have the right to work with whomever they want to on developing their legislation. If the supervisor wants to work with a different supervisor or others and not a third or fourth supervisor, that is completely in the right of the authors. The original version of Mental Health s. F. Was presented to me i think a couple days before it was introduced. I think that was the time it was presented to the department of Public Health. I have been part of the discussions. That has been worked out between the supervisors and the department of Public Health. Im grateful for the work and the consensus they have forged. I do not believe that Mental Health s. F. Is the be all and end all of Behavioral Health reform services. I am happy to vote for and support this. I have two more substantive questions. I really am grateful to see in here the emphasis and the intention to address the Behavioral Health Services Needs of folks in the criminal justice system. When we had our treatment on demand hearing a couple months ago, we saw data that was questionable about whether weve achieved treatment on demand. Were doing better there. It is completely clear to me from my engagements with Behavioral Health court and drug court. We are dismally failing to provide adequate treatment opportunities for people in jail or justice involved. I think that needs to be a priority, and i look forward to you continuing to work on that. My last question is about my new obsession with locked subacute beds. It was a little bit of a fight in last years budget to expand the number of those beds by 14. Some folks thought that money would be better spent in other areas. I insisted that we include those 14 beds. A few weeks bad we had a hearing on conservatorships. That was in part based on some work that the budget and legislative analyst had done. It is, i believe, and i believe that folks at general and in p. E. S. Believe that we are desperately short of locked subacute beds. That means that has implications and all these things are connected, and a shortage in one part of the system affects i know there are shortages everywhere. But this shortage means people stay in jail too long, that the whole system slows down referrals around things like conservatorship. I do believe that is happening and we would be conserving more folks on a short or longterm basis if we had those beds. People would benefit and not be cycling as much. Whether it is 100 beds more that we would need or more than that, its a significant price tag. Depending on how theyre done, i think 100 beds would be in the 10 to 20 million range. I absolutely think we have to make that commitment. We have unfunded and unused beds on the third floor in the Behavioral Health building. We have potential partnerships with some of the private and other hospitals that might be able to provide beds. I really want to push our whole system, this board, the mayor, g. P. H. To look at further expansions in our locked subacute capacity and to do that in the 2021 budget. Not specifically called out in Mental Health s. F. , but i think its part of the spirit of Mental Health s. F. And that is one of the reasons and that understanding is one of the reasons i will be voting for Mental Health s. F. Okay. Thanks, everyone, for indulging me. Thank you. Now supervisor stefani. I would like to congratulate everyone for coming to a compromise on this very important piece of legislation. I think if you look at the history of it and how everybody came together to come up with this solution, it just reminds me what unites us on this board is much, much more than what divides us and we do have common goals here to address a very serious problem in San Francisco. I have a very pragmatic and practical question. Its along the lines of the hiring challenges. Supervisor ronen spoke to a staffing analysis would be done, but i think it goes beyond how difficult it is to keep people in the positions. Its also i dont know exactly how many case workers were talking about. I dont think i heard a number. I heard some math that i might have been able to do in my head, but i didnt, about how many case workers we are talking about with 22 million or how many it will take. I think we need to be mindful of that going forward, how are we looking at recruiting and moving through the department of Human Resources. How are we looking at possibly creating additional regs. We have to be mindful of that. I dont know if the department has looked at that. I know it is a constant strugis truing struggle. If we dont have the money, were not going to be able to move forward. If anyone has an answer, i would appreciate it. Supervisor stefani, ill try to speak to that a little bit. Any hiring manager in the city or certainly department of Public Health knows its exceedingly difficult to recruit and retain workers, given the economy here and the challenges of this work. As supervisor ronen mentioned, the workforce that we need to build, our Behavioral Health workforce, is challenging and gruelling work. When we talk about the 24 7 street crisis Response Team, i mean, that is very, very hard work as any of us who has ever spoken to or spent time doing this work. So we are working with our department of Human Resources. We are looking to see how we can both look at shortterm and longterm solutions. We know that we need to build a pipeline. We need to really figure out how to support training and internship experiences so that so the people are interested in doing this work and can get exposed to our amazing clinicians. Really, i mean incredible people working on the frontlines right now. How can we create more opportunities for people to see up close the work and have a pipeline in for both psychiatrists and then licensed masters level Behavioral Health clinicians. We also are looking to see looking at lessons that we have of other large shortages. So really thinking outside the box and how we do much more efficient hiring of large classes of workers that we may need. So for the Behavioral Health clinicians, i think well need to do this. We also have Major Concerns about psychiatrist recruitment and retention and so we are working with the department of Human Resources to see how we can remain competitive with our with the other Health Systems in the area in terms of recruiting psychiatrists and incentivizing them to do this work. Also teaching opportunities. So i think there is some good possibilities, and we have some theres some best practices from other Health Systems. Were looking to those for both shortterm and longterm solutions, but its a major challenge. Thanks. Well, i have many comments, but considering the time i am going to actually call Public Comment right now. So i have three cards, mary kate bucalo, c. Fields, and erica frommer. And any other speakers, feel free to line up. You dont have to submit a card. Okay. First speaker, please. I didnt take a card. David elliot louis. I was an early adviser of Mental Health San Francisco. I also do work with the Crisis Intervention Team for the police department. Ive been a trainer for them. Im on the advisory group. My comments are informed by that work as well. First, i fully support Mental Health San Francisco and strongly support it. Its a bold step forward. It really helps to address a lot of our problems. I know theres some concerns expressed, but lets not let them be the enemy of the good. This is good and this is more than good. Im so thankful for all you supervisors supporting it and passing it forward. Here is my next thinking. Imagine you call 911 for a crisis on the street and instead of just hearing do you want police, fire, or medical, you hear from the dispatcher, do you want police, fire, medical, or Crisis Response . There is a city that has that in eugene, oregon, they use a program called cahoots. They dispatch a nurse and a trained crisis responder to incidents on the street that dont involve a crime for Mental Health instances and they can bring them back to the clinic for treatment. Its a great program. Matt haney has been looking into it. This is not quite ready for us, but this could be for the future. Maybe Mental Health San Francisco 2. 0 might have a service like this, where we have really true mobile crisis that works with our department of Emergency Management dispatching so we can dispatch crisis responders out, bring them back into Mental Health San Francisco for treatment, and kind of leave the police out of it when we dont really need the police. And the police are supportive of this thank you very much. Next speaker, please. Good morning. Im here representing the 15,000 workers of the National Union of healthcare workers, thousands of which are Mental Health care providers at nonprofits across the state. On behalf of those caregivers, im here to speak in support of Mental Health s. F. I want to thank the supervisors and the members of the Budget Committee who have come forward to support Mental Health s. F. For far too long, despite numerous expenditures on the part of the city and county to address these issues, the vast majority of us still cant get access to timely care. The simple truth is you cant get care when you need it in San Francisco. By creating a comprehensive system that paves a Clear Pathway for Service Expansion and helps ensure access for patients. I just want to thank you once again for the support you provided thus far and also urge the members of the Budget Committee to continue to support the program moving forward. Thank you very much. Next speaker, please. On behalf of the San Francisco labor council, were thrilled that were at this point in the process. A year ago i never thought wed get here. I want to thank supervisor ronen for her vision, her flexibility, her determination, and seeing that there was a need for change and being bold enough to take on the system. Thank you. Ive been dealing with the Mental Health system in San Francisco for many, many years. I got to say, this is muchneeded change. Every detail is not accounted for in the legislation. It wasnt meant to be. It was meant to be a flexible system that will change with the needs of its clients. This is a user, endminded legislation, aimed at what the users need and not necessarily what anybody else thinks. Not what the supervisors think, not what various doctors may think. Its based upon what users are going to eventually mandate and need and how we can accommodate them. And thus, there is a flexibility in the legislation and that is one of the more brilliant parts of the legislation. I want to thank supervisor haney, though hes not here, thank you for his hard work. I think its really important that we move forward in a way that we remain flexible. You know, we know what is needed and right now money is at a critical point. Just within this last month, were losing additional boarding care beds. One in supervisor ronens district. I think theres one in i dont know what other district, sandys district. We need money for those things now. We need to my name is mary kate bucalo. I want to start by saying that investing partially in a solution that fails is not a solution. We need to think bigger and we need to dream bolder. Were only talking where were talking in were talking mostly still about that population of about 4,000 people thats homeless with Mental Health and Substance Use issues, but i think we need to think bigger of the population were targeting here. Studies show that toddlers have Mental Health issues over their family being homeless. Theres more than 420 families on the community queue for housing and theres 900 families housed by 15 nonprofits over several sites in San Francisco. We need to think about those people too because were raising the next generation of people who are at risk of being in that 4,000. I think on the staff sustainability issue, we need to make sure that these positions are funded in a robust way. I will also add that there is a pipeline of job seekers with lived experience at organizations such as compass. I would urge the supervisors to fund this robustly, think holistically about all the people that are impacted by this crisis, and make sure that staff are funded sustainably. Thank you. Next speaker, please. Good morning, supervisors, my name is steve fields. I had a bland support Mental Health s. F. Statement that fits your time frame. Ive been taking notes. You get engaged in this level of discussion, and i want to jump in. Im going to list some things that i dont think very listed adequately. Not just going into settings where we can keep spinning people through the system, but treatment. We havent used that word enough in this discussion. We have a model in San Francisco and i do an enormous amount of statewide work that is not replicated that would like to have the continuum of care and array of services. In my 50 years of working in this county, we havent coordinated our care and we have wasted the effort of too many services. Too many clients go down a linear line and almost fall off the edge and then theres nothing for them. There is going to need to be a proper continuum of care, that doesnt drop people into s. R. O. Hotel rooms, that doesnt do cycles through temporary housing, but actually provides enough treatment for people. Progress foundation serves 4,000 people a year. They all come in through the Emergency Service system. Those 4,000 are getting treatment and theyre not a different d. N. A. Than the people on the street, theyres just n enough services for them. The need for more beds that are locked and the need for more Case Management is all thank you very much. Next speaker, please. I want to first say that we wholeheartedly support Mental Health s. F and appreciate this bold we look forward to the ideas and solutions that the Implementation Committee comes up with. I work at the coalition on homelessness. On behalf of the coalition on homelessness, we want to thank the supervisors for all of your work putting forward this legislation. Were excited and hopeful about what its going to be bringing. Again, want to emphasize what steve feels that the most important part of this piece of legislation is really expanding the services. Its something that we see on a daily basis. The other thing i just want to talk about is we know its going to take time and its not going to happen until its actually funded. Once its funded, it will take more years to build up the system and the capacity. Thats really just the reality of it. I hear so often people calling me and saying there is someone who is unhoused and has a Mental Health condition and in crisis and they dont want to call the police on them because they know that will be harmful to whatever theyre experiencing. We at the coalition on homelessness dont have a good answer for them. I ask that in the interim that all of these systems are being built and were thinking thoughtfully about these things, that we consider the real traumatic experiences that unhoused people are facing. We do not criminalize people simply for being poor and simply for being homeless. I was at an encampment that was swept yesterday at 6 00 a. M. A lot of these folks had a dual diagnosis. Cops were there, h. O. T. Team wasnt there. In the interim, please lets not criminalize people and just let them survive and exist. Thank you. Next speaker, please. Are you proposing to create an auxiliary system to treat Mental Illness . How do you intend to structure and monitor it . What kinds of controls will exist to safeguard patients, to monitor prescriptions, program costs, potential abuse, potential fraud, as well as individual Health Outcomes and progress . Also, do you propose or intend to provide clients with illicit substances, marijuana or anything else. Will some form of Mental Health counselling be mandatory. Will there be a cutoff date on treatment, or will clients be able to obtain the substitute substances such as methadone for years on end. Can you redirect a portion of the existing funds as opposed to seeking additional funds. Im actually seeing a lot more Homeless People on the streets all the time. Mayor breeds program where she has this large i mean every country has Homeless People. Norway has about 7,000 Homeless People. They have a population the size of the San Francisco bay area, about 6 million people, and theyve got huge amounts of money and resources. Its a difficult problem. Thank you very much. Next speaker, please. Hello, my name is c. W. Johnson. I want to say congratulations to you working together and making Mental Health s. F. A reality. I want to say what is obvious, you probably know this, but we have a lot of people at m. H. A. , they are students, very intelligent, highly skilled workers that are going to school to be therapists and psychiatrists. What im saying is we have a lot of professionals in flight. What i would like to see throughout this whole system is for this to be given to case workers and therapists with previous experience. Without the people that are affected by Mental Health, then its going to be challenging or to even have a view of how it should work without peers. Peers need to be in every aspect, especially peer professionals. Thank you very much. Any other public speakers . Seeing none, Public Comment is closed. Just a short comment to close. This thought was sparked by sam liu. I want to make clear that while Mental Health s. F. The major components of it wont be implemented until we identify and collect the 100 Million Annual Revenue that we need to implement it at least, the planning of Mental Health s. F will begin immediately upon the creation of the Implementation Working Group. So the idea we had always planned that we passed the vision and the policy first because theres so much planning and studying that needs to happen and work to put systems in place. Just putting the Behavioral Health Access Center into the Mental Health center is a project on its own that requires real estate and moving people and admin offices and finding people a new home. Theres a ton of work thats already started. Its happening right now. Its related to dr. Bland and dr. Hammers work. So i want to make sure that people know that this is truly exciting. Its not like were passing this and nothing happens until we find the money. These are simultaneous endeavors. They both need to be successful in order to implement this full vision, but the work starts has already started and will start in earnest once the Implementation Group is in panel. I want to make that clear and thank all of my colleagues for the robust hearing and time. Thank you very much. We heard from the b. L. A. We had Public Comment. I just want to say thank you to everyone for participating today. I think we did have a robust conversation, but i want us to be mindful that while this call takes time that theres human suffering happening on our streets every single day still. Lets not lose sight of that. We can have a vision and work towards that vision, but concretely every single day and at this moment there is human suffering on our streets of thousands of people. I also wanted to say that in speaking to Police Officers also, their level of frustration is they also dont have, according to which the speaker said, is that they dont actually have solutions either. So theyre called out to homeless encampments or unhoused folks and people having behavioral mental breakdowns, but yet they dont have the tools, theyre frustrated. This is not actually something that they actually signed up for in this profession to protect and serve. And i also wanted to say mr. Fields comment about recovery, we would add in a component of employment. Every time i hear about recovery and housing, i never hear about employment. So i think that we should stop talking in silos about this. If were talking about a continuum of recovery, of stability, then we also fold people back into the communities in a productive way. So we must, must think not only just about housing because so often we fall short. We say if we can house somebody, we feel it is done. It is not about that. It is about embracing them back into the community and what are we doing about employment. Today i heard nothing about that. So i just want to make sure that thats on our radar, that were not falling short and not delivering a full delivery of care, continual care and success. I dont think we can do it without also the employment piece. So having said that, i would like to make a recommendation to move this to the board with a positive recommendation as the committee oh. Thank you very much. And then move this Committee Report to the full board as amended. Thank you very much, colleagues. [ applause ]. Ms. Clerk, do we have any other business before us today . Confirmed this matter has been amended and it will be referred with recommendation as a Committee Report. Absolutely. Any more business . Clerk that completes the agenda for today. We are adjourned. Thank you very much. Good afternoon, everyone. I am so excited to be here today with hamilton families, with google, and youtube to really announce something amazing. A significant contribution that will help us address what we know is one of the most challenging issues we face in the city and in the bay area. That is homelessness, the more specifically, homelessness as it relates to so many families. I am so excited that in San Francisco last year, we helped 2,146 people exit homelessness and of that number, 325 families , that was absolutely amazing and we couldnt do that work alone. Is a public and private partnership. It is Real Investments in creativity. Took the leadership of families. It took some amazing people to get us to where we are because i know, with about 1800 kids that we have in our Public School system that are homeless, that this is a solvable problem. We can do better because we have amazing, amazing people who care about putting forth the kinds of resources that are going to help us get to that place. Today, i will let susan make the announcements. Her husband brian is here with her they are gifting a significant contribution to help address this issue to hamilton families. This, again, is how we are going to move faster in addressing this issue because we know that with those families to, unfortunately are homeless, and need a safe, stable, affordable place to come home, they cant wait another month, another day, another year. We have to get to them now and provide the resources necessary to get them there. It will be significant. So susan and her work with her husband and what they have done to invest in making the kinds of changes necessary to help with this issue is absolutely remarkable. More importantly, it is what others need to continue to do if we are going to get to a better place in the city and in this state as it relates to homelessness. With that, i want to invite up susan and thank you, and thank youtube and thank google and for the work you have done in San Francisco and we will continue to do it to end homelessness for our families in the city in the very, very near future. Thank you so much. Susan . Thank you. Thank you, mayor breed. I am so glad to be here with you im so inspired by your words and all of your leadership and fighting homelessness. I also want to say thank you to all of the people here at the hamilton families for the incredible work that you are doing and the impact that you have had on our community and in the lives of so many different families. Sometimes the scale of an issue like homelessness can make us feel like it is impossible to solve. And even though we know how important it is, sometimes we wind up doing nothing because it feels overwhelming for us. Now the work at Hamilton Family shows us how we can make a difference in a tangible way, one family at a time. Over the years i have recognized how serious the problem of homelessness is in the bay area and i have contributed, along with my husband to many different organizations that support people in need, but im here today because of an idea that first started with a school project. Earlier this year, my daughter was working on a project about homelessness and as i listened to her questions and her reactions, i realized i didnt have a lot of answers for something that was so important and affecting so many families in the bay area. We spent time together researching different solutions, including coming here and that is how we wound up connecting and meeting all of these fantastic people here at hamilton families. We were impressed with all the services that they offer and the way they gave families a fresh start. That is why we are gathered here today to announce the new grants to further support all of the incredible efforts being done by hamilton families to find permanent homes and meet the needs along the way providing shelter, meals, and more. I want to say we appreciate everything you do, everything from Offering Counseling and job resources to giving children the chance to succeed at school. So today, google. Org is contributing 850,000. [cheers and applause] and together with my husband, we are contributing 500,000 for a total of 1. 35 million to boost the work of hamilton families. [cheers and applause] over the next year, this grant will make an impact in our community and it will help hamilton serve 700 families and find housing for another 200. It will also find an outreach effort, a series of videos and podcasts that will tell the stories of individuals who are facing homelessness. Our goal is to help the community understand the problems that can lead to homelessness and also inspire others to get involved in whichever way they can. Sometimes the greatest gift that we can offer is our time. In that strain, we will organize an event for youtube employees that come to the shelter to volunteer. We are very excited about that. Homelessness is an incredibly complicated challenge for our society, but if we all come together and we look out for one another, our combined contributions can make a big difference. And so now i would like to introduce my husband who will say a few words and thanks to all of the incredible people here at hamilton families. [applause] thank you, and thank you mayor breed. Today we are very excited to be here and very honored to be here today. I want to echo susans comments and say a big thank you to everyone on the hamilton families team. We really mean it. Thank you for your hard work every day to help families feel safe and taken care of. You are making an incredible, incredible impact. We are giving families a second chance. We are so grateful for everything you do and we look forward to hearing about all the lives that you will change over the next year. Thank you again. Now i want to introduce tamika moss and Brian Stanley from the hamilton families group. Thank you. [applause] thank you all so much. Thank you susan and dennis, thank you, mayor. Thank you hamilton families. I had the privilege of leading this organization and working with susan and her daughters when they came to our shelter, but i just get a represents the incredible work that the staff does on behalf of the families that we serve here at hamilton families. This problem is solvable. Family homelessness is solvable and were doing it together. It takes Partnership Like this. It takes investments like this and it takes all of us doing our part in order to tackle the challenge of having no Family Experience homelessness in our community and they deserve that. And every single day, each one of the staff here at hamilton families works on behalf of those families to end their housing crisis, restore dignity and provide an opportunity for those families to thrive. Im so grateful to be along for the ride. Congratulations and thank you so much susan and dennis. [applause] thank you again so much and the entire day area team at google. We are humbled by your support for hamilton families and the communities we serve. When i first heard, i think it was last spring that you had visited the shelter, i was surprised. I think what most struck me was the sincerity of your commitment and passion for this issue and your willingness to lean in with us. Sometimes these things happen. Thank you, guys. Thank you, all. We know it takes partnerships like this one to help us redefine what is possible and help families stabilize and thrive. I thank you very much for the partnership of google, for your partnership, as well as your husbands partnership, and at the end of the day, opportunities like this give us hope. Reminds us that this is not just a moment for the movement, but we are involved in transforming outcomes for san franciscans. On behalf of staff, participant families, thank you to google, thank you to susan and dennis, and thank you to our media partners. The bay area Media Coalition and the arts and technology group. [cheers and applause] we are excited to go forward. Thank you to your support. Thank you. [applause] hi, everyone. I am an incoming board vice chair at hamilton families. Thank you, mayor breed for being here today. We know you have many requests for your time and we are grateful you could join us here. Speaking of gratitude, as a board member, we are so grateful that the city and mayor breed share our commitment and family homelessness. And now we are joined in this work by susan and dennis and google, it just makes us so very proud. As brian mentioned, hopeful. On behalf of our board and all of us at hamilton families, thank you for your commitment and for this extremely generous and significant gift. Thank you. [applause] thank you. Now lets get to work. [applause] hello, good afternoon. I would like to call the meeting of the San Francisco Public Utilities commission to order. May we please have the roll call madam secretary. [roll call] thank you. The next item is the approval for the minutes from november 26th. Is there a motion and second . Any comments on the minutes . Hearing none, all those in