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towards implementing the models so that's what i'm here to do. we have slipped a little bit in the very aggressive time line that was proposed initially. some of that there's a reason why that occurred. some of that is a result of the transmission between getting people in play but i will assure you commissioner chan will not let it slip too far. it tells you we're a little bit behind. i dwupet to talk about the progress but i think that speaks more to what's going on. chief was aappointed april 27. a week later commissioner chan, chief schmidt and a group of stakeholders met with chief sir. as a result of his action and direction, bulletin number 11-11 13 was issued. i believe the commission has already seen that bulletin. what that bulletin was, was simply an interim measure until we got the program up and running. chief was concerned there was nothing in place. there wasn't enough in place so he acted immediately as part of that meeting within his first week of the administration to get that bulletin out. so that is out and being implemented at this time. so we have started -- or scheduled ones with 15 members interested. that took place in memphis. members of the working group found that very interesting and very productive. so we started to schedule those and moving those to the process. so that's been done. sergeant laura knight, sergeant jennifer jackson to the academy has been assigned to work through the committee to get that through and post as quickly as possible. also from the academy, officer phil helmer is working on the pt st aspect of it, how to deal with that aspect. we're moving along there. mistakenia lange, our grant manager, is working closely with the subcommittee, trying to reach out and find grants. that's productive as far as research goes. we have not submitted any yet. part of the process is find out what other city departments are doing. generally grants are only given to one -- one city, one county, so if the health department's already sought that grant, we don't want to cut them out. so we're doing that kind of research but i think that's moving forward. and chief sir just this week sent a letter to the p.o.a. offering them an opportunity to meet so when they're ready to go, there's no delay if the labor respective. things are moving. train is moving out of the station. it's still going slowly but i think we're getting there. with that i think we'll have an update on what they've done. to be quite candid, they may not tout their own horns but i will tout it. they've been doing the lion's share of the work, heavy lifting to develop the curriculum to go up to post. everything hinges on that. once we get that done we can assign instructors and get the program moving. they've been working very hard meeting almost weekly for several hours trying to get this. again, most of these have lives outside of the police department and other jobs and other careers yet because of the importance of this program, they've worked very hard to move this forward. so with that -- >> ok. >> michael gauze from the health association, c.o. connor coming from the dorse clinic. thank you very much. these two have been working very hard along with the curriculum committee. the amount of work they're putting in is very impressive. it's really a service and contribution to the city so thank you for all you have done. >> thank you. >> thank you very much for your leadership. it's been wonderful. thank you chief, sir, for backing us. i will turn it over to make a few remarks and then i will walk you guys through the curriculum just a little bit through of the draft curriculum and talk about the next steps. >> ok. >> my name is cecilia o'connor. i'm director of the freestanding psychiatric emergency 24/7 in southern. so we're familiar with a lot of the officers. i just wanted to sort of give us a little overview of where we're coming from as far as the curriculum committee is concerned with the training. statistically the world health organization at this point estimates one in four people in the population will at some point in their life have some degree of mental illness. at the same time there are statistics saying now one out of every four calls the police respond to have a component of some degree of connection to someone with a mental health issue. so i think that's staggering and i think certainly no one's arguing with the fact that training is absolutely necessary because we know that i'm sure most of the people who go into law enforcement didn't sign up for this. but what's more important is we're all in agreement training is important but what i really want to stress and what all of us on the curriculum committee feel because we come from different backgrounds is training son-in-law one aspect of a much bigger picture. what's retired to make this a success and what we're fully committed to is this has to be a collaboration and partnership between the community, between all of our agencies, between advocacy programs and the public. and the consumers, clients, whatever word we're eating to address folks who are currently struggling with mental illness. so that said, i think the main thing i want to do is that's really what we're looking at. michael will walk you through sort of the curriculum. i think the difference of what we're trying to do is that mental health and behavioral health and all of the agencies and advocacy programs, what we're away of is we have to become much more collaborative. we have to work better together. we have to up our game. this is not just dependent on you. one of our -- this is really much more of a process of working with law enforcement and with police officers to do that. and that's really the focus of what we're trying to achieve. >> i absolutely agree with everything sa seal said. i think a great example, cecilia sat down and tried to do a map of services in san francisco and it ended up being fantastic. brought a lot of us together with the focus to work with sfpd. just briefly, giving you this document, i will walk briefly through a little bit of the background what we're doing and really briefly through the outline. that's subject to change. it will change a little bit. just to go through this quickly on the back side, methodology and values in it, it's opposed to c.i.t. training which is really great. we're building off of that one. this one will have -- each day will have kind of a theme, schematics. instead of focusing on specific diagnosis or symptoms, we're more focused on bow hamber. for example, one day might be suicidal behavior. one day might be voices and hearing hallucinations which we have heard from officers, there's going to be probably very useful in addressing behavior and deescalating behaviors. that will be the primary teaching modality. we'll have consumer interfaith so people who lived experience of mental illness will talk every day and that includes family and individuals. that will run throughout the training. really the big focus on a lot of the training will be deescalation methods and case studies and scenario-based training and role play that.s0 will be probably heaviest aspect of the 40-hour training. as the mission, some of the main themes will be suicide voices and hallucinations, self-neglect. we will spend a whole day talking about veterans and ptsd and traumaia-based issues and also i think finally agitated behavior as well. we'll have different trainers we're bringing in so once we kind of get through the curriculum, we'll bring in trainers, vetting trainers, going through that process and really encouraging trainers to be not too poe dan tick. really entertaining questions. some of our values. we identified a few that will run throughout the training so one is really importantly the role of stigma as relates to mental health issues, which is really the biggest barrier is treatment. and effect chull tools for police regarding culture tools, tactical answer traties. we're excited to have sergeant knight and jackson working with us to bring expertise in that and causes and impacts of self-medication. these are things that run throughout the training. instead of just two hours on substance abuse or self-medicating, that might come across the spectrum. really diverse engaging method and for trainers and folks in the committee to not bring political agendas into it. really trying to stress, i put it on here and it's on the curriculum, too, it's out there. so just on the flip side, basic schedule. this will change and after hearing from sergeant knight and jackson two days ago, they recommended going to a four-day training ten hours. so five to eight hours which based on officer's schedules probably makes more sense so we will probably collapse the last day from four days instead of five days. so we will really spend a lot of time talking about the aspects of each team, have guest speakers consumers speaking every day, lunches with the officers and really bringing in great guest speakers as well. after we get through this, really thank sergeant knight and jackson again, because they're going to help us with the post certification. so we're going to attach our revised overview with the course outline, get it off to post and after we get trainers identified, wire looking at -- i don't think august is too far away. i think that's a pretty good goal. end of july, mid-august to get rolling. so we can take questions or if you have any -- >> i don't any. i want to thank you for your work in zpwiding this committee and chief for the leadership. you have been with us the week after you started as chief and have been really proactive and supportive of c.i.t. thank you for making this happen. >> before we move on, i want to change commissioner chan. she's at the forefront of this. this thing even though it seems like it slowed up a tad bit, i have never seen anything move this quick. quite frankly, a lot of the kudos go to your team and commissioner chan. so i think it's really important we recognize that and thank you, chief, for his hard work. and i want to thank captain goldberg. he's been in the police department for a while tofment see the enthusiasm he has taking this on is greatly appreciated. again, collaboration which has never happened before between all of these agencies is incredible. i want to thank everybody. it's been a big for this commission and i'm glad to see the progress. i would like to turn it over to commissioner kingsley. >> thank you. i would like to echo our president's thanks to everybody involved in this. progress is impressive. and it's great progress. so thank you for reporting on that. a couple of questions regarding the curriculum. you indicated a general statistic of one out of four arrests generally involve mental illness, mental health issue. in developing this curriculum around these serenbe hambers, are they in any way -- were they formulated around specific statistics around -- do we have specific statistics around suicides, these various genres, ha louis nation -- hallucination behavior, trauma? >> one thing to be clear, they're not necessarily arrests, they're contacts. i need to make that clear. so basically they are encounters. quite frequently law enforcement is the first responder. sometimes it may be the person themselves contacting law enforcement. it might be somebody else being brought to their attention. the person standing screaming on host street, you're going to get four 911 calls. in terms of the statistics we will be addressing is we're trying to look at the behaviors or sort of incidents that require the most time and the most frequent calls from police. we do have -- we are able to get some information about that from both sfpd and i think from all of the mental health providers as well. >> oh, good. we have been able to track these categories and these categories with a -- were they chosen based on statistics, frequency of -- >> the categories were some of the more common, if not diagnosis, some of the more common aspects of behavior as it might come. and you know, some of these behaviors might be related to merous diagnoses and in diagnosis, flozz straight line. illness affects people in a variety of ways. there's no one solution. yeah, i think we're also working with the department of emergency management. so we're getting statistics from them. >> i think the other thing that's important, the reason we want to go after behaviors is we can look at someone who's not responding. if a police officer approaches someone and they don't answer, there are so many different reasons. we're what we're trying to do is give them that awareness or kind help them promote that awareness. they already do t most of the officers do. in fact sergeant jackson was saying she dealt recently with someone who was deaf. if someone doesn't answer you, that may be because they can't hear you or maybe they don't speak the language or maybe they're autistic and don't make eye contact and don't respond normally. i think we're looking at the situation and all that sort of taking a breath before the next action to kind of go, wait a second, before i act in this reactive mode based on what i think this is, am i really sure -- let's find a little bit more about what i'm actually dealing with. >> thank you. the collaborative focus is fabulous. who are the collaborators in just the curriculum development portion of the c.i.t.? >> there's a lot. mental health association -- >> is this the curriculum? >> yes. >> and also national mental health wellness -- >> drn eric from san francisco general psych emergency. david fine from mobile crisis. >> terrific. i was focusing in just on the curriculum development. everybody on the c.i.t. is really -- >> these people have all been engaged -- >> in the coalition of homelessness as well. core group of the curriculum, too. people with disabilities foundation, too. >> terrific. august targeted date, when you're saying august, you mean that would be the first time, the first batch -- >> i think we're shooting for that, yes. or aiming for that, yes. soy think there might be a little wiggle room or back and forth. we want to give plenty of time for once we get certified and give the information to the captain of the stations and give volunteers and screening. august might be feasible. it might be a little later. >> just two more questions if i may. i won't monopolize all of the commission's time on this. but how many officers do we anticipate being able to go through? and how are they going to be selected? do we know that? perhaps this is a question for captain goldberg. >> commissioner, one of the core aspects of the program is their volunteers. people want to work because they're assuming additional duties. commissioner chan, as part of her outreach, was on her sales goal. folk to three of the district captains, ones we asked the pilot, commissioner chan encouraged them to identify people who would be volunteers and encourage the captain to go out and talk up the program. so that's the way it's going to go. the goal is -- and the commission resolution is 20% to 25% of the entire patrol force be trained so the initial goal, training sessions are set at approximately 25 officers and the reason for the small number is that they have a lot of time to work through interactions scenarios, practice escalation techniques, improve their skills so when they go out on the field, they have additional confidence and training in that ability. so the classes would be -- scheduled to be 25 persons per class approximately. we would wait a month after the first class, see what works, what we can do better, incorporate that into the second class and move from there and kind of rule the program out as it goes. >> with the second class being when? >> approximately the goal would be a month later. >> a month later. >> it would also have an opportunity for cops tend to sit back and watch and want to see how it works. they want to say if it's a good gig or bad gig. so we're hoping the program rolls out and we're making every effort at training and support be there for the first group of 25 so when they go out, it's a very positive experience for the officers, for not only officers doing it but other officers in the stations who see that interaction, see the support their getting. so for seeing that, others would be encouraged to join so that's the goal. >> thank you. followup on that, my last question is are their plans to videotape this so other officers can look at the curriculum and see the videotape and kind of get a feel that way and benefit even if they can't be there in person? >> i don't know that we've developed that plan so far. concern, you know, we would have to sthreat with the academy to determine whether or not that would be a productive thing. the goal of the program is really to have officers who are trained, have that personal experience sitting through the training. have that experience of going through the deescalation techniques. having that interaction. being part of the program and getting that support. so the goal is to identify stellar performers that want to be that. as the first responders will be directed to the calls and asked to assume those calls, we certainly look for others to join. i don't want to know if we necessarily want video training -- >> excuse me. i wasn't suggesting a video be the training in the future but rather it sounds like there's going to be some marvelous information and learning opportunities whether or not somebody is a c.i.t.-trained person or that's a little reduck dant. or not. they can learn a lot, even if they're not a designated person so if there were a tape, d.v.d., something they can listen to, some of the more heavier contact aspect of it -- >> it might be very positive. i would say perhaps training session 3-4, after we initially worked out the bugs and we have our show on the road, the other thing is we may decide we want to hold back to some degree and say come join. you want to be part of the club. join the crowd. we will see how it rolls out. >> thank you very much. good luck. >> it's very short. just more comments. this is marvelous, marvelous collaboration of such kind and generous community members with so much knowledge in the mental health industry. i want to say thank you. i looked at the training and i want to go. it's amazing. you hit a lot of really important topics and i think under the leadership of the chief sir and captain goldberg and command staff and our officers are really going to benefit as first responders dealing with the mental health issues in san francisco. we see it all the time. i'm looking forward to seeing the final -- the final course curriculum and to get this thing going, i think it will be great. >> thank you. thank you for all of your hard work. >> commissioner turman? >> just a few questions. it's a marvelous curriculum. and looking at it -- i was reading it earlier today and i heard it expressed during your comments here but i don't particularly -- i don't necessarily see it here but is there time devoted to the actual identification and recognition of a situation where there is a mental health issue involved? it sort of -- this isn't criticism at all because again, great curriculum but it sort of reads as if this is the situation, this what we're going to do once there is a situation. but what what i'm concerned about is that both the individual, the subject as well as the officers are in a situation and we want to make sure that everyone has the tools to recognize this is a problem. which, you know, appears not necessarily threatening in anything situation and then suddenly it becomes a problem. that was my first question. >> yeah, definitely this is still a little bare bones. some of this stuff, especially the afternoon around the escalation, a little place holders for specific scenarios. so i can tell you on the first day we have a very specific scenario where perhaps model spanish speaker distributing signs of very agitated behavior and there might be an underlying condition surrounding that, it goes to the first scenario no weapon involved. how to deescalate and show empathy. and a weapon becomes involved in the second scenario. tied in with the behavior. maybe a culture aspect to it and then you go from simple to complex. there will be more -- as we delve a little deeper, there will be very specific scenarios and cases and examples. >> very interactive. the plan is to involve officers -- it's basically role play as well. there's going to be elements of this, not just this is how you respond. we're going to be working through some of these scenarios and sergeants knight and jackson have been great because they've been helping us kind of be -- they're very clear and funny actually. what works with police officers when you're doing training and what to not do, they've been great about that. >> chief, if i can jump in, the department bulletin, captain spoke of sets the stage so the officers know, so if they're dispatched to a call where 911 knows there's a person having mental issues, then this stand down establish a perimeter, call for a sergeant, once sits in place it would be the sergeant would arrange for a trained officer to come and handle the scene. part two of that same bulletin is if you're dispatched to a call where you don't know if there's a person with mental issues involved and you become aware, then you are to then kick in the bulletin where you then stand down and set up so there's already a mechanism in place where if officers go knowing or if they go and realize, they stand down, set up a perimeter, call for a supervisor and once the curriculum's in place, that supervisor will call for c.i.t. to handle it. >> thank you for that clarification. and thank you. also, i would like -- first day, so i would like to take a look at the bulletin. if we have a moment, let me take a peek. and here it is. wow. >> that's how we roll, commissioner. >> this might be a question for captain goldberg. you mentioned the volunteer aspect in the first 25. but how do we envision, it seems that there are sort of five sections of the training. how do we envision it playing out? are we planning on doing it in a week-long series so we sort of retain that knowledge from day to day during the training period? i know it's a month between the next class or so. >> commissioner, as we spoke about it, we recognize changes -- especially the department this large with as many problems and issues, you can't do it all at once. we simply don't have the resources. we couldn't afford to take everyone off the street and train them all at once. the idea is to be and chief wanted to be rolled out. we identified three pilot stations, tenderloin, southern and mission. those are the ones with statistically highest call volume for mental health related crisis calls. chief asked we roll it out at tenderloin first. that is our direction. the goal is roll it out at the tenderloin or first 25. disbursement over the watches, over various days off so we can get a real good sense. dr. mcneill from ucsf langley porter has volunteered to do some of the sta statistical work on this so we're looking at how c.i. tirks impacts so hopefully we'll have good data and be able to see what's working and what's not working and make improvements. and roll it out to the other two pilot stations and eventually citywide. yes, it will take some time and will take a process to recognize we can't do it all at once but the chief has already started this process without interim bulletin and we're going to roll it out as quickly as we can in a very deliberate and meaningful way. >> thank you. >> thank you. >> any further questions? i will now turn it over to public comment, please. any public comment regarding line item number three? hearing none, public comment is now closed. please call line item number two. before we go, i want to thank everybody again. this was another excellent presentation. one of the great things basketballing part of this commission. it's always a learning experience and we learned so much through this process, i have to admit all of the commissioners have. again, with my greatest concern as i said earlier, you walk down any city street and you see the mental health issues. i'm glad we're starting to address it. thank you, chief. >> i really do have to give all of the credit to commissioner chan and the team. i mean, we've exchanged many late-night e-mails just -- she will know it's coming but then confirm it's coming and she always asks that second question. ok, so when, so who? so let's -- this thing has been scootched along completely and all of the credit goes to commissioner chan. >> it sure does. thank you. >> thank you. it's the group. i don't have the expertise in this area so thank you very much. >> call lien up 2-a, please. >> item two reports and announcements. 2-a is the chief report, which is a review on crime statistics and review of recent activities. >> good evening, chief sir. how are you? >> i'm well. >> so we had a busy week to date. as far as the crime statistics, they remain relatively unchanged from the last couple weeks, reports were about 8%. we remain 8% down in violent crime, which is a good thing. we're up 4

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