To answer any questions you have about anything else that i dont mention. Rose is going to help me field those questions. So, um, you can see that we have five overarching Strategic Plan goals to maintain a Robust Network of communitybuster communitybd services, provide consumercentred programming, and to ensure best use of resources, and maximize client outcomes, and support and develop and engage professional workforce that is prepared to work with other people and adults with disabilities. So from goal one, i really just wanted to highlight strategy b, which is to explore alternative models to best serve younger adults with disabilities. As you may remember, the 2018 Dignity Fund Needs Assessment highlighted that people with disabilities in San Francisco experienced discrimination, and there is a lack and utilization of available resources. Were trying to work with Community Members to address this. Service organizations, advocates, and other city departments to develop a center that will provide information about an access to disability programs and services, and also create a space for people with disabilities to come together. Which will also help advance social and disabled justice, and celebrate disability culture and pride. Last year you approved a contract that we had with the pau paul kay longmore institute. To inform the scope and structure of this center. We knew we didnt have the expertise to do this on our own, and we really wanted to make sure we got all of the information that we needed to do this right. In the current year, well be using information that we got from them to take next steps towards establishing the center. As far as i know as far as we know, this is the first cityled Disability Cultural Center in the nation. There are Cultural Centers often attached to education and universities and things like that, but there really, as far as we know, is not one that is municipally funded. We want to make sure it is successful and welcoming, and focused on being a disability center. Somebody said, please dont put it in the basement of a church no offense to churches. So we really want to make sure that it is a space that is going to be fully accessible on transportation lines, all of those things. Nicole bond, who is the director at the Mayors Office on disability and i have been shopping this idea around to various city departments, trying to find out who might be able to help us find the right spot. Weve met a lot of people who have been very helpful, and i think well get there, but it is challenging to find a space that has all of the requirements that we need. Normally we wouldnt put the work in at the Department Level or the city level, and we just kind of say, okay, nonprofits, you can figure this out. But because this is so important, and because there may be an opportunity to partner with you know, in a retail space, or something that was initially designed for retail, given that there are vacancies, there may be Something Else available. Were continuing to work on that together. We have a fantastic partnership with the Mayors Office on disability. Im really grateful for nicoles partnership. We will be letting you know about progress on that. And im also hopeful, and i put it out there every day, almost, that somebody will help us find a space. So if you happen to have your thinking cap on and have any contacts, it would be great to hear about those. So goal two is to sorry, goal two, we wanted to highlight strategy a, which is to develop specialized resources to address specific clients needs. And we chose to, in this case, to highlight action 3, establish a communitybased service in a Community Independence program, and new housing conservatorship programs. I think Everybody Knows that conservatorship is a hot topic right now because people are trying to figure out how do we help people on the streets who need services and treatment, and yet arent able to access those programs on their own. Were continuing to work with the department of Public Health, and the Mayors Office and other city departments, the d. A. , the city attorney, etc. , the public defender, to ensure that our services are the best that they can be. So were continuing our efforts to develop robust, innovative models by establishing a specialized unit of staff within the office of public conservator, which manages our communitybased conservatorship programs. And jill has taken a lot of leadership with her team on that. But i think San Francisco is really unique in that most counties dont do communitybased conservatorship programs. It is breaking new ground to think about people being able to get that level of street and still live in the community. We have the Community Participation program, and the postconservatorship program. We adhering to a wellness and recovery model. The programs promote psychiatric stability for individuals with less intensive needs who can readily maintain stability when taking prescribed medication, but who have a demonstrated history of not adhering to their medication regimen. Lifetimlast year we had 52 peope in the programs. Sb1045 is something i know youve heard a lot about. And 230 of our clients are in community placements. For example, board and care, home, singleroom occupancy hotel. Most of the clients who have progressed however, most of these clients have progressed to the lower level of care. Whereas, the other clients in the Community Programs actually skip that higher level of care and are just served in the community. Cipp is a voluntary conservatorship, which ensures that the person is sticking to the medication regimen and treatment. Excuse me, would you like questions after each goal or at the end . I think lets go through the whole thing, and then well answer any questions. So goal three is to provide and support Consumer Center programming, as i mentioned. Strategy b, streamline access to resources and advanced access to promote timely access of relevant services. We chose action two, enhance Services Located at the doss benefits and resource hub, and develop a revised outreach strategy. I did mention earlier in my report, we have kate shedowan on as the new director, and were able to move forward with many improvements to streamline the services and enhance our outreach, which is something we really need to do. She brings great experience, and were really looking forward to hearing about her outreach strategy, outreach plan. With her on board, were integrated all of the services at the hub, including bringing the reporting line of the eligibility unit from i. H. S. S. Over to the hub. And weve moved the provider Assistance Center from across the street into the hub as well, so that both providers and clients can get services at the hub. We sphgd i figured it would be a much better use of the space and a much better experience for the clients and providers to be able to go to one place. A lot of our providers are also recipients of services. It makes sense they can go to one place where they can get information for themselves, as well as get information about as well as do the things they need to do to be a provider or to change their information and all of that stuff. And then weve also moved the responsibilities of the Inhome Supportive ServicesCare Transitions program, which was initially over at the hub, over to ihss, to better stream the enrollment process for our clients. There is a lot of stuff there. I think your president , president serinia, about having an updated report on ihss s is a good one. It will make it more clear as to what weve actually done, and it helps streamline our porosi processes to better serve san franciscans. And then goal four, we chose strategy c, facilitate planning processes to promote inclusion of older people and adults with disabilities in the broader city community. Action one is to coordinate age and disabilityfriendly, or a. D. S adsf work group, and the action plan, including recommendations related to accessible transportation and accessible dwelling units. Through the San Francisco initiative, our city has joined nation and worldwide networks, led by the World Health Organization and aarp. As far as i know, we may be the only aging disabilityfriendly plan. San francisco is currently focused on implementing recommendations from the adsf action plan, with a taskforce in 2017 18. Nicole bond and kelly deerman help with that. Over the last year, the work group has help advance policy and programs that support seniors and people with disabilities to engage in fulfilling lives. And ableism training for health care providers, increasing crosswalk timing at key intersections, and for affordable assisted living in San Francisco. In the next year, well be focus on other recommendations, including accessible transportation and accessible dwelling units. Im really excited that weve finally gone to print, or about to go to print, with the age and disabilityfriendly San Francisco assessment report, which looks great. I saw the you know, before it went to printing, i saw what it will look like, and im very excited because weve been waiting a long time to get this out to the public. And so there is a nice address from marilyn breed. She was very supportive of this effort. Youll all be getting copies of that as soon as it is available and well have it posted on the website. So goal five, we chose strategy c, collaborate with education, training, and workforce programs locally and reac regionally. And we chose action three, support evaluation led by the bear Adult Services group, and calswick, and it is modeled after Child Welfare title e, which some of you may know about it at the state level, our a. P. S. Program and deputy director, jill nielsen, have been part of the conversations to incentivize people to enter the programs. Jill has taken leadership in a lot of different ways, and she always does, but this is something they really pushed at the state level, and i appreciate very much her efforts, along with her colleagues. The funding mechanism is there is an a. P. S. S. Innovation program to the department of social services. And the department of social services is sub subcontracted with calswic. And they provided matching funding for the grant. What this means is well be able to have stipends. There is money for eight stipends. For interns. And the doss is funding two additional stipends for a total of 10. This isnt really new for us theyve definitely had this on the Child Welfare side for many, many years, where they provide opportunities for internships, and for education for people who want to become social workers and who really want to continue in the field. One of the issues around this one of the reasons it is important is it really does address some equity issues. So people who arent always able to get in and get their masters degree, but certainly have lived experience, it is often hard to get a government job as a social worker. Simultaneously, we really need to be bringing people into aging services and disability services. It is hard to recruit people. So being able to offer incentives to people to come work for us and to be educated, and to spend their careers here, it is just really important for us. This is a big first step. The stipend people get is 118,500. The first year placements will be aging or disability county nonprofit programs. And secondyear placements must be with a bay area a. P. S. Program. And then calswick identified two universities. U. C. Berkeley and san jose university, they each get five stipends. The universities were selected due to their robust aging curriculum, as well as for the geographic locations of the institutions. Thats a really exciting kind of development, as we think about the challenge of recruiting and maintaining our workforce. And i think those are the five that we wanted to highlight. And were both happy to answer any questions you have about those or about anything else within this action plan. Thank you, sharene. I have a couple of questions. One is on goal two, the conservatorship issue. There has been quite a bit in the press about this city closing down certain beds that were designed to house people who have severe mental problems there arent enough staff to service them. So how does that work with our goal to increase conservatorship and protection for people who really need it if there is no place to house them . Right. Thats a very good question. I know that the department of Public Health has a plan to ensure that people continue to be housed, but there is also a lot of conversations still about the beds that were slated to be shut down, and whether there is going to be a plan to figure out the challenges related to that so that it can stay open. But i know very well, having spoken to grants and to the deputy director, that there is a plan in place, and that overall, what the city doesnt want to do is lose beds, even though they may have had to close a specific facility. Thank you. And there is another sort of related issue, i believe there are some supervisors that are planning to introduce either legislation or a ballot measure that will limit conservatorship until all Necessary Services are in place, which sounds ideal but it is not very practical. We wont have every kind of service for every individual who needs it, but that doesnt mean we dont take action. I understand there are civil rights issues that are of concern to people, but it seems rather counterproductive for that. Im curious as to how were planning in the event that that legislation passes or that Ballot Initiative passes, what do we do . I believe what woe we would do as a department is we would be working very closely with the Mayors Office and the department of Public Health to figure out exactly what that means, and how you check those boxes and ensure that were making the process as streamlined as possible. And, youre right, there are some people who ultimately cant do it without conservatorship in place. There are a lot of people who can respond to treatment if it is available when they need it. And but, youre right, ultimately there are going to be a small handful of people who arent going to be able to make it within the system. We can already serve them now. I mean, those people are eligible for conservatorship, and we will continue to serve them with that program. Thank you. And finally on goal five, i think it is terrific to get stipends and many every effort to recruit professionals, but can we do something along similar lines to recruit power professionals, care workers . There is an acute shortage of them. So we can design the best programs in the world, but if there arent people around who can implement them at the individual level, it will be very frustrating and disappointing for us and for our clients. Thats very true. Yes. This is one part of a larger strategy that we need to be involved in to think about how we recruit and retain workers at all levels. One of the reasons we have a partnership with hombridge is because theyre focused on that. And were working on that with them. And it is challenging and were learning a lot, and we havent figured out exactly what the answer is, but were continuing to work with them to try to figure that out with them. I think one of the other things were doing is figuring out how we support other programs. So say the Health WorkerCertificate Program at city college, for example, those workers are really valuable editions t additions te system. Theyre often used at the department of Public Health clinics and things like that, but were working with ou provider our providers, because they have often been incarcerated, often have been down on their luck or were victims of abuse and neglect themselves, and they want to bring through lived experience and their training to this field, either aging and disability services, to healths, alhealth, all of that. So i agree that this is a much bigger challenge. There are also some things that need to happen at the state level with respect to, you know, wages for domestic and home care workers. All of those things have to be in play at ones. We have to keep plugging away at that. Perhaps as part of our participation in the governors master plan for aging we can highlight quick remedies that our 21 billion surplus may quickly take care of. Yeah. I think one of the things that is really important is to look at the overall cost of care. You know, people get very upset about the cost of ihss, for instance, and yet at the same time, nobody said hey, thats probably a lot cheaper then, you know, longterm care in a facility. I think, part of again, as i said earlier, part of the master plan really should be, how do we gather data and continually collect data so we can learn from it. I think a lot of people in the field think it will be cheaper to give them 200 or whatever hours of ihss care. Hopefully this state plan will really help get us to where we need to go. Thank you, sharene. I didnt mean to harass you i didnt feel harassed. Thats fine. Any other comments or questions. I have a question. This goes back to goal number one, and your desire to find a space for the disability Cultural Community center. Can you just elaborate a little more on i know it needs to be accessible to all, but do you have a preferred location in the city or size of the space that youre looking for . So our preferred location would be right on Public Transit specifically. It would be great