To people who [speaker not understood] homelessness. [speaker not understood] and help connect with it. The next recommendation is around expanding reunification of individuals and trent has tremendous amount to be proud of. Theres been a program home ward bound which has existed for anyone years now. We have close to 8,000 individuals and our city does a good job making sure and confirming people who are returning home are being rejected with family or friends that are going to support them so that were not seeing people dumped, but it has been overwhelming successful, handful of people have come back to San Francisco. Police officers, a lot of all the agencies that work with Homeless Individuals really know to ask people if theyre not being successful in San Francisco, to reunify. The next point is around an oversight committee. I think that is the local homeless board. Theyll want to dialogue about what their role is in term of the next recommendation about Behavior Health and outreach, we do have i think some incredible work going on. Kelly hiramota who works with barbara garcia. She work in director of placement. Weve worked with challenging individuals who have been on the street or been chronically homeless and they have devised very thoughtful plans that also involve the Adult Protective Services and other partners in housing, challenging individuals. The centralized information system, the hmis system, there is a recommendation about staffing problems and it really talk about staff and pier Council Recruitment and selection. And i think thats something trent and i do talk about, about investments. Supervisor kim and the Budget Committee supported new investments in our shelter system to make them better and cleaner and more Case Management and support. And i do think we talk about up lifting the people that work in that environment so make sure they are healthier and more welcoming. The next is treatment garden spots and im going to let barbara speak about that. Next is Case Management for people exiting the jail. Wendy still has done an outstanding job of thoughtfully thinking through how adult probation should occupy this realm of working with Homeless Individuals. They do have case managers. They are funding stabilization units and housing. And again, i think the Justice System coming here and talking about their role one of the things i think we can be proud of is that 10 year ago, 40 of our jail population identified as homeless and thats down to 20 . And i think that that you know, as we brought down the overall jail population, i think that that is an important element. Our recommendation about diverting repeat offenders into treatment. I think that gets involved in our Therapeutic Court system and more residential treatment and care. Im going to defer to barbara to talk about. Crisis intervention resources, and then chronic Mental Illness. And this is around the area of lauras law. I am very supportive of the cipp court that the Health Department and our courts, our public defender and our da have been involved with. I think it is a very important model. There is push for more tools in the tool box which i think are appropriate. I think the tools in lauras law that allow family and friends petition when theyre concerned about the wellbeing of a loved one failing in and out of the Mental Health system is very important. There are other tools around intensive Case Management and also our mobile crisis team. You know, our Health Director is not able to ask for more resources because of the difficult budget environment. Ive got to say for me, the mobile crisis team which obviously struggled during the different year for the city is an area we can staff better. I would estimate from their high point theyre maybe at 50 right now. Theyve got a Grant Application for a couple of vehicles because they only have one vehicle thats got a cage in it where someone who is dangerous to others can be placed in. But, you know, i think that mobile crisis is an important part of this. I think the Police Officers and see whoctionv who is in severe psychiatric crisis. I think at this stage it is not a robust as we would like it. If we are going to focus on a better tool box for responding to this population. Supervisor avalos . Thank you. Just on this issue, i think it would be really good to see how the mobile crisis team has the Staffing Levels have changed over the years and if there is any correlation to what we see [speaker not understood]. I know there was a time when you were on the board, i believe we we actually put in several new stanching positions for the homeless [speaker not understood] team, is that right . Yes, weve expanded that to 24 7. If we look at that expansion again, id like to see whats been done in the past and what we can look at in terms of results with that expansion. You bring up a great point. Sf hot wasnt focused on in the 10 year plan to end chronic homelessness. The sf pot team has gone 24 7. There have been positive things that have resulted from it. There are 15 outreach staff and i think 30 plus case managers that are there. But when you look at this very difficult population thats on our street, people that are dual and triplely diagnosed, we have people that are oftentimes at a peer level responding to this person thats in real crisis. And i think that there is agreement with trent and barbara and myself that for s. F. Pot that if we wanted to be successful, we need to up lift the clinical component. We probably need more psychiatric social workers leading the peer based teams to be able to deal with these situations and then i think that, you know, i met with mobile crisis last week. I think at the high a few years back they were up to 15. I think theyre down to 9 right now, but i think that, you know, that notion of whats the interface between mobile crisis and hot would be a good area for discussion because thats what people are looking for. Theyre looking to be able to reach out. And the difficulty is just today i ran the numbers on our shelter availability last night. Our shelters were 94 full yesterday. That meant that they were 68 vacancies. Of those 68 29 were at prove against. ~ providence. Providence is a place you have to leave at 6 30, 7 00 in the morning. People are sleeping on matts on the floor. There is an organic outreach and exits for having people to go to. I definitely think the discussion about the clinical component of s. F. Hot and mobile crisis would be an excellent discussion point. I was president clear of the distinction between the two. If you could summarize that. Mobile crisis is people 51 50. Those who are a danger to themselves or others. Theyre in extreme psychiatric distress. S. F. Hot does respond to those individuals. Mobile doesnt operate on a 24hour basis. It doesnt operate on sundays. So, s. F. Hot will respond to that. But i do think that overall, that having jason albert son like the lead clinical social worker for outreach, i think having 4 or 5 people of his skill set leading these teams would probably make it more effective if we also have housing to place people into. So, and the last point is about engaging the public and supporting solutions to chronic homelessness and barbara is going to be able to talk about project homeless connect which i think is amazing. Everyday connect has been another dynamic tool that were using to respond to people. But i think that the most important thing is to be unafraid to talk about homelessness. I think the city has a tremendous amount to be proud of in terms of having compassion, having desire to be a Housing First city, having a desire to recognize that, that even though family homelessness is not as visible as single adults, getting involvement with sales force, for example, has been transformative in how our family homeless system has been responding. And i think that only results in being engaged. I mean, just a story that appeared in the chronicle about a child in Public School and what they are experiencing, not knowing where they went home at night, motivated [speaker not understood] to make an investment which has led to the investment of Star Community. I know supervisors mar and farrell have been involved with, and their own neighborhoods where a convent has been repurposed for 12 homeless families. And this past year we added three mom with newborns not to have them be in shelter environment. Just to briefly touch upon as we continue to look at these issues and hear what Department Colleagues have to say and what our advocates and service community, clients have to say, redesigning street outreach is a very high priority. Im hoping for some members of the board and departments to go and look philadelphia has been cited as a model of having overnight outreach that pulls people into a navigation center, focusing on longterm shelter stay and housing resistant individuals and families, making sure, again, about preventing evictions from Supportive Housing. One housing i think is vitally important and im making a push right now for another building that we need to do, and i think in areas where our city treasurer has distinguished himself which is around financial empower many. Me ~ empowerment. When youre interacting with families exiting homelessness, individuals, helping them untangle credit situation, untangle debts is important for people being successful. The reason people get evicted for nonpayment of rent they go into court and get a stipulated agreement which doesnt change any of their credit situation. But just getting someone who is skilled as a credit counselor, get on the phone with some of their debtors and say theyre not paying this interest. This 200,000 youre dunning them for, youre getting 200 and its going to away. New york city has used that tool and it is an important tool. I have not focused a lot for lgbt homelessness. This is a passion for me. Weve done well having lgbt connect. These numbers are staggering. 29 of our Homeless Population identifies as lgbt. Weve seen those numbers for the first time tells us that lgbt individuals are experiencing homelessness at double the rate of their population. And that for any major city, you would understand that they have numbers at 29 for 16 to 24 year olds because many young queer people leave their household, theyre thrown out, they leave communities where theyre not safe. Theyve seen the milk movie. Yes, they will come to San Francisco. But if you look at other cities, all adults and seniors, Homeless Population drops to 29 . Its 29 across the board. That says a lot to us. They have a higher rate of being on ssi, not a defined path to homelessness. Many people have lost partners due to aids. Many have lost assets because theyre older. To be an lgbtes are identified of San Francisco, [speaker not understood] which is a major challenge. Im really grateful for this. Im sorry, i know i had a lot to get in. I dont view this as a one stop. I really think that a consistent set of hearings and discussions can help to focus us as a city how to do a better job and im really excite today partner with all of you and the supervisors have been very my best partners and colleagues in addressing this issue on small bases and larger so im excited to work with you on this. Well, thanks, mr. Dufty. Colleagues, i dont know if there are any questions left, about i want to say thanks for all of your hard work ~. Were extremely lucky to have you. Youve been a great partner. This is a first step. Thank you for all of your insight as well. Just quickly, i think you touched on it toward the end before you talked about just the understanding of the lgbt component within the Homeless Population. The families are also something weve really noticed recently. Theres been a lot of press about that especially last year and the cost of the housing in San Francisco skyrocketed and put a lot of families in very tentative situations and a lot of them have become homeless. So, there have been emerging needs that have come out since the plan was adopted or put together, you know, ten years ago and im wondering im sure well talk about it here today, but offhand if you can talk about what were seeing in terms of response and the rise in families with children who are homeless. So, i guess i come back to Public Housing as being a major tool. And just later this week, barbara smith, the director of the housing authority, is convening her staff at our office facilitated a meeting with coalition on homeless and other Family Housing providers. And i can say that all of us that are working in Family Housing are just hungry and hopeful that some of the waiting lists are going to be open. Our section 8 waiting list has been closed since 2001. Our homeless family our family waiting list, excuse me, has been closed since 2008. One of the things we did in our first year at hope is we partnered with the coalition and Family Service providers to establish a homeless preference which didnt exist. So, if we open the list, people are going to be able to rise up on that list that are homeless. And i think if you talk to the family providers, youd see oftentimes families with subsidies are leaving San Francisco because that subsidy will take them further in the east bay or someplace else. And i think that thats very challenging. This credit component is very important. Im also grateful that Maria Benjamin has come to the Mayors Office of housing and, so, she is overseeing the below market rent program. And i can tell you, you know, i have this experience with the ramirez family and its unbelievable to me. These people building rental housing, theyre making a lot of money. I calm them nema, darth bader, this looming dark presence at the corner of 10th and market and they would attempt to use fair housing as a shield to ding a family that won a lottery. How lucky that family was to be one of 38 families, a family of four that lucked out to get a one bedroom apartment. So, i dont want people to think that, you know, its luck from that standpoint. And the fact they had a 5 61 credit score, was going to block them from moving into that. We as a city are responsible for that. We approve the marketing plan and thats why im grateful that maria has come there because we should not allow buildings to ding people for 39 points on a credit score. Ive had a woman that is not being allowed to move into the nema because she was she was found guilty of a felony in ohio where she served a year of time. That felony was because she was addicted to drugs and she didnt pay Child Support and, so, right at this point shes not being allowed to move into a building. We had a veteran that they tried to block us in. This is really disturbing that some of the tools that should be much more usable and relatable to people. You should not be using a felony for failure to pay Child Support to block somebody from moving on with their life and shes cried in my office because all she wants to be able to do is invite her teenage children to come and see shes successful and not that person she was. So, you know, it is in the details and, you know, im much i was much sweeter when i served with you inside there. Im not as nice as i was then. [laughter] supervisor mar. Yeah, i wanted to just add to the homeless families comment that i think its wonderful when the [speaker not understood] can contribute from the private sector to the Star Community on eighth and geary. [speaker not understood]. I know it took a lot of work around christmastime and new years time to make it happen. And i just appreciate all of your efforts. But i know that as you said earlier, its really the commitment of the city putting our money towards effective programs. I liked how you said letting the hot air out of this room so that were not too bold to look at other cities maybe with the exception of seattle. [laughter] but the benefit budget issue and looking at best practice advertisevs from other areas. I also wanted to say i really appreciate that you brought up that you look at the issues as a parent in how you talk to your daughter about that. Because i know that whenever its freezing in the morning my daughter and i talk about how it would be to have to sleep on the concrete or if a certain area of Golden Gate Park is chained off now that used to shelter you from rain, at least we have that conversation so youre approaching things from a position of empathy and compassion as opposed to the other end, treating people as the other. I just really appreciate that about you. The leadership here, jeff [speaker not understood] recently went to family hamilton center. Jeff was the president of housing [speaker not understood] partnership. He ha brought that level of energy and engaging his colleagues. And i think they are developing a proposal to dramatically change the landscape of family homelessness and i think that is something we should very seriously consider, is investments that we could make ~. So, i think that a lot of the providers here really understand even better than i some of the barriers that weve allowed to continue here. And i think thats what this hearing and this effort is about, is about embracing best practices, looking at money that has been spent, looking at what we need to spend to change this. Great, thank you. Thank you, mr. Dufty. applause all right, up next, mr. Rohr who runs the Human Services agency, thank you for being here. Still morning, good morning, supervisors, trent rohr director services agency. I was not going to do a powerpoint, but tried to sort out my words late last night. I thought a powerpoint would be more helpful because theres a lot of meat to the tenyear plan and there is a way to sort of focus it down that i think is more easily digest i believe and to talk about what the plan talked about the city doing over 10 years and what we were able to accomplish ~. And i think that leads into what i hope is a healthy discussion about whats next for us. ~ digestible so, actually what i found was a powerpoint that i did at the u. S. Conference of mayors of 2006 i talked to my colleagues around the country to talk about the 10 year plan was. Put this slide up through the clerk. You can kind of see it. To give you some context, in about 2002, there was a National Movement in cities and counties and states across the country to develop tenyear plans to end chronic homelessness and how did that Movement Come about and i think this is important. For the first time really in decades there was a set of Robust Research and data on the Homeless Population across the country spearheaded by a professor in pennsylvania named dennis kohane. What professor kohane found was 20 of our Homeless Population he was talking about single adults 20 of the Homeless Population was consuming 80 of our resources. Resources meaning not only dollars, but emergency room visits, Mental Health services, treatment, emergency shelter, interactions on the street with police and fire. And that research and data drove thinking around the country that if we really address and focus our resources on this 20 , in San Francisco its probably higher, we could begin to make a dent in not only these peoples lives and help house them, but also be able to focus our resources on those most in need. And hopefully down the road, begin to see some relief in some of those system of care and be able to focus on the larger population. So, that was our plan. The plan that we developed in 03 and 04 was, i dont know, 80, 90 pages with dozens and dozens of recommendations. You can really sort of filter the recommendations down to three broad areas. One was around plan engagement, the second was around Supportive Housing, and the third was around prevention. And when you look through the strategies that we have incorporated and implemented and discussed maybe not implemented over those early years, they really are centered around those three areas. So, what were they. At the end of the presentation ill try to tie this together with our data and accomplishments to date. I thought it would be helpful just so say what was in our plan. What did we as a city want to do. And just for those of you who werent around then, i was mayor newsoms policy director around this time so i was charged with overseeing implementation of a lot of this stuff, some was in hsa, some was in other departments, nonprofit partners. [speaker not understood]. So, this was modeled. Along with the research that professor kohane did, there is a lot of best Practice Research out there. Eversiti was doing one or two thing well. We were doing Supportive Housing really well and seen as a model across the country. Other cities were doing things well. Philadelphia was the model for street outreach. We went out to philadelphia, spent a few days there. Youll see on the slide what our strategy should be. And that is that Homeless Outreach, first and foremost and bevan im glad touched on this. I think barbara might, too. One of the problems of one of the failures i think in homeless intervention was in the 90s and maybe even earlier was that we had and we did have outreach. But what we did is we had outreach and keep in mind the folks on the street are generally the folks who have the most barriers to getting houses. Were talking about chronically homeless, Mental Illness, longterm homelessness, [speaker not understood], subsidy issues, alcoholism, primary health care needs. We are tasking again, in the old sort of model of outreach, tasking peers or formerly homeless folks or low paid, low trained entry level folks to do the most difficult sort of social intervention there is, which is try to get someone who is chronically homeless into some sort of services. [speaker not understood]. We should have our folks who are psychiatrists, psychologist, masters in social work, clinicians who are equipped with the tools to help assist this population. We start off that way and the other is what we try to accomplish as well. Neighborhood beats, a model similar to community policing. I dont like to equate policing, but the model, you engage the community as an outreach worker, develop [speaker not understood]. This second piece was important. Dedicated slots for detox shelter [speaker not understood]. Again, failure in the 90s and earlier, we would go out on the street, and we may encounter someone who was engaged. Heres a free heat chart unction you can get food over there. You can enter the lottery for a shelter bed. Again, the immediacy of the service was be there. When we developed a hot team in 2004, we had dedicated slots. If someone wanted to ge, we could say okay, but were going to drive you to [speaker not understood] and get that hook right away. Thats something philadelphia did in other cities we were effective in doing. Multiple plan engagements. You may not get engaged the first time, the same individual, e were engaging the individual, we made headway. Senior departments on the street, police, fire, health Human Services, we had a Homeless Outreach team with the policeept tht sgot are the ems service, it isnt our progress in 2000 years. Its a prodowries in 2006, [speaker not understood], that was a year and a half of implementation. I think that that vision around Homeless Outreach has really eroded over tir a myriad reasons. Funding, prioritization of Case Management, inhousing rather than on the street. There are a lot of reasons. We need to refocus and bevan said this. On getting back that model that was very successful fo a number of years mr. Rohr, so, we talabt thing we havent followed that bath the last number of years. Mr. Dufty talked abouthe you were talkinabt e e. Training and education of the pedv l going to do the outreach. He talked people the coordination, the immediacf hasomthing to offer someone make yont to be able to get [speaker not understood]. Is there something we could focus on more . The hot team is still under dper. Our hot folks are engaging [speaker not understood], theyre doing some good Case Management. I dont know to the extent we have set aside resources now. I think we have very few shelter beds set aside, housing slots. Again, i kind of raise this for dialogue because there are multiple departments with this issue. Its not impugning any nonprofit. Its kind of over time we kind of evolved from what i think is a really good vision and a sound Program Intervention when we launched the plan. And i appreciate that. Again, to be clear, i know everyone here is all on the same page in terms of wanting to tackle this issue. We need to be able to be raring with each other about what we think is working and not working. From my perspective, certainly no hard feelings. So, the next slide, and this is something thats been a monumental success due to leadership of certainly barbara and before her dr. Katz and [speaker not understood], other. Project homeless connect. Volunteer based, street [speaker not understood] single point in time, single location, whole range of services that helps folks get house or stay housed. Two goals, one of the luxuries of San Francisco, you know, we are richly funded. We have a lot of services, but they can be difficult to navigate. Especially for someone who is homeless and struggling with Mental Illness or other issues. So, sort of simplify that Service Access for folks and begins that initial sorry, the next hit of the Robust Services we can offer someone. Project homeless was a way to do that. I think its a comfortable way [speaker not understood]. And it was a warm inviting environment with them. It didnt build homeless, but it helped under [speaker not understood], it was a huge volunteer effort. At the time we were getting a lot of significant negative feedback from folks who felt the city didnt know what we were doing with homeless [speaker not understood]. We knew. We had a lot of effective intervention. Bringing volunteers in, to see wow, these guys are doing a lot. It was important in terms of