Have a lot of ideas [inaudible] without a book because of the issue with glasses. This has been a terrible disaster for me for 15 years because of not being able to register what im doing and being blind and focusing on [inaudible] thank you very much. Next speaker, please. We do have a socioeconomic system in the cuntsry and you go up [inaudible] it is a great privilege really. The holidays are coming and imagine you are going to Midnight Mass and there a beautiful baby 3 rows up and make eye contact with the baby and at that moment the one year old baby cussess you out. There will be days like that. As i understand it you are trying to go after money. You dont get the moneyi am a paleo lithic hunter gatherer and [inaudible] take a bath and there is mythe bars on the side of the shower and i remember my mars bars. I am here to find out when the day the homeless death vigil will be. I want to work on those issues and hope you remember when it comes to funding and resources i hope you remember the rest the sociosocial safety net as well. Thank you next speaker, please. Remind anyone in 263 out std the board chambers if you want to Public Comment come forward. Thank you for allowing me to speak. Danielle castro a cofounder of [inaudible] for transand queer youth and project director the center of excellence for transgender and today im representing [inaudible]ioligz made up of Many Organizations in San Francisco that serve transpeople and i am submitting a letter to all you to read that is eloquent but want to give a example of the brutality we face as transpeople. You know, im conductingdirecting research praejicts at ucsf and someone came in and a Police Officer came in and we were conducting a Mental Health group and they forced their way in and hand cuffed a participant. Falsely arrested her and took her to jail. She went to jail and was mistreated there and not treated like a human being. I think that it is important we think about these stories that we have as transwomen of color and we take that into consideration when we make large sweeping decision like building a jail for us to continue to be held in. I dont think that is a good solution and am oppose toods the jail, but im grateful for the support we have gotten. We still have a long way to go and more work to do and happy to speak with you individually about alternative solutions. Thank you very much. Any other members of the public in the chambers that would wish to speak on these items, 3743 . Okay. At this point Public Comment is closed. We will now move to our departmental presentations. I know potential speakers have had to go on to other obligations. [inaudible] city administrator is here so want to thank everyone for sticking around and look forward to the discussion. Good afternoon supervisors. Naomi kelly city administrator. I am the chair of the 10 year capital plan and over see the Real Estate Department and department of public works that together had over 10 years and more experience of managing and man taining the haul orof justice and think everyone agrees here today that the hall of justice is in [inaudible] today we are getting requests from octpoint that there is euroen coming down the sealing of the cells and animal infestation. How this got started is it was put on the capital plan in 2006 because the hall of justice is sizmically deficient and dangerous. It poses hazards to the inmates and those in the jails. We know from the United States geo logical survey there is a 72 percent chance of [inaudible] render the hall of justice unusable in the next 30 years. That leaves us vulnerable to structural and non structural damage and outidated unsafe linear housing unit similar to what you would see at alcatraz or adcu. There is Poor Visibility to Linear Design and risk of suicide. There are urgent treatment and urgent need for the hall of justice population and inadequate access to [inaudible] Group Treatment rooms and a shortage of treatment beds for personwise suvire melthal illness. The costf not moving forward on the rehabilitation detention facility and not advancing the project means we lose 80 million of state receive new to help with the Capital Needs and i think i would be remissed to say this is insecond most used City Building in government. There is no savings to fund a new Psychiatric Program that is outside of the jail that would advance [inaudible] from department of Public Health that would melthal health beds for the mentally ill. We may be forced to send out of county placement for inmates would create distance for from support network and prolong structural safety risk to staff, inmates and the public at the hall of justice. Currently the correctional and rehabilitation staff are unable to do their job because of poor Building Design and lack of space and run a ringe of court order of a replacement jail. The presentation today will cover 3 areas and you will hear from many individuals, our city controller ben rosen field, director of Public Health, barbara gur seea, chief freman from the Sheriffs Department and kate howard. The presentation will go over discussing better treatment outcomes, safety for inmate staff and vezter squz finding the best most Cost Effective option. Redesign of this pod based redesign of this new smaller rehabilitation detention facility is a pod based design which means greater access to successful inhouse and near by support programs. Currently now you only have access to about 20 percent of these services so you can see from this chart currently there are 905 beds at the hall of justice. The new design is reduced to 384 beds. There is 41, 300 square feet of housing area and reduce to 15 thousand feet. The day room is about 22,000 feet which would increase. Classroom and programming would go occupy. Currently there is 680 square foot and would increase the programming to 9 thousand square feet. The exercise yard would go from 5900 square feet to 5100 but thats 52 percent increase per inmate. Medical and Health Services would go from 1200 square foot to 7 thousand square feet. Next we would like to talk about the programmatic needs at the hall of justice and ill call up director of Public HealthBarbara Garcia, good afternoon, Barbara Garcia and will show my presentation today [inaudible] this is a seismic and Public Health issue. I helped cut the ribbon for our new hospital that is seismically unsafe. When you consider a jail that is seismically unsafe and the fact if we do not fix this jail and make it seismically safe, we will put 1200 Community Member at risk along with several00 Staff Members includesing at least 100 of those from department of Public Health. The City Department is proud of the work we have done in the community of reducing those going to jail. We have incorporated lots of services with the sheriffs and kept thousands of people out of jail by insureing they get into treatment, Residential Program and if they do get into jail we work with them trying to come back it the community safely and when we can get them housed. With the states proposition 47 this gives a wonderful tonight to look that way we are doing services and wilg hear about this from joe robinson. I want to emphasize we agree where the Community Members about Community Services and keep people out of jail but we cannot allow our community who are in jail in the seismically unsafe sfu silty to continue to be at risk along with several hundred Staff Members t. Is important for us in the department of Public Health we support this new seismically safe jail and create a jail that keeps people safe while they are there and provides treatment necessary when they are there. I want to make clar clear because of all the services we have done keeping people out of there is 6 percent of the population in the jail that have severe melthsal illness. Many visit the Mental Health facilities in the jail. We provide 30 million in the jail. Ask to think hard about the fact we cannot leave the Community Members and Staff Members in a seismically unsafe facility. Thank you very much and you have robinson will continue. Supervisor mar i want to ask about the dph investment of 1. 48 million on the psychiatric respirat program but had a number of questions about that and where the fundsing for a new facility would come from. This amounts is more for the temporary relocaegz at San Francisco general ward 7 a but have a question we fund a fully supported facility for former inmates with transitional housing and sub[inaudible] if you allow us to finish the presentation we can answer those question squz you have robinson will address that as well. Good afternoon supervisors. When people are incarcerated they have a constitutional right to health care and that includes melthal health care and current lay at the hall of justice county jail 3 and county jail 4, the facilities are in sufficient to provide appropriate health care. There are nurses doing treage in the hall and dont think any of us would want our Health Histories shared with anyone, nor is that a Community Standard of care. There are no interview rooms to conduct private therapy sessions. There is no group space in these rooms or [inaudible] space which allow people to have psychosocial work and help them learn how to be in Treatment Programs. In addition to that, the facilities at 3 and 4 are unsafe. Besides being not earthquake safe, there is also no line of sight, so there is a higher risk of suicide and this type of lineal jail. There is also very poor access to the gym for inmates that are housed there and gym time is one of the activities that people housed in a jail look forward to. Not only does it help their physical health, it also helps their Mental Health. Substance abuse and sighicoses are the type 5 issues we treat in jail. With that, it is important to make sure that we have the resources to treat these types of disease. They are just as important as any primary care illness and the resources that are needed are space to interview the inmates that are private and comfortable. Group homes again, so that inmates can benefit from evidence based practices and groups that really improve the inmates Mental Health and treatment where people can walk around, be there with clinical staff and work on getting better. In the year 14 15, 36 percent of the population in the county jails had contact with jail behavioral Health Services. This doesnt mean they had serious Mental Illness. Many suvss in the jail provided by Mental Health staff are preventative. Things like, speaking to a inmate after they heard bad news whether it is in the court or at home. Jail staff will meet with them. Also people with preebious contact with Behavioral Health staff while in the jail. The nursing staff and deputy staff want to make sure they are okay so they are also referred them to the psychiatric staff. Anybody that exhibited questionable behavior whether it is another inmate that refers them to Mental Health, the deputy or nursing staff, the staff will pull them, talk to them and do an assessment and make thur they get the treatment that they need. Overall there are 6. 2 percent of the jail population with a serious Mental Illness and this is for 14 15. The National Average is 11 to 17 percent so the services that San Francisco provide to help people reenter or divert from jail do contribute to this lower than National Average percent of people in jails. Of these 80 percent have a coacurns Substance Use disorder. I would also venture to say in my many years working in the jail with behaibhavioral helt mostf the inmates have a tromy history and need to work on the trauma and jail behavioral Health Services provides services. The average individual with Mental Illness had 62 contacts per year with Behavioral Health staff and the average number of days a person with serious Mental Illness is housed in a jail is 6 5 days. It is longer than those without serious Mental Illness. At county jail 5, which is the newest facilities out in san bruno, we see and find that not only do inmates do better and thrive, so does stach. Staffs morale is better, there is more chance of programming the space to do the appropriate treatment the individuals not only have a constitutional right, but also a human right to receive. If the senate bill 863 is accepted, it will allow the city to have the psychiatric respite that will be placed in the current behavioral helt center on the campus of San Francisco general hospital. It will be 47 beds and the stay that we think individuals will have is between 9 to 12 months. It will be individualized, but the individuals that will be housed there are people coming out of jail that have Substance Use and Mental Health disorders. As you know, San Francisco has many collaborative courts and when a judge orders someone into treatment we want to make sure they get to a Treatment Program quickly as possible. A few months ago when i looked to see how many individuals were awaiting placement in a jail it was 32. That is reduced since then because we are working very very hard with our Transitions Department to get people on [inaudible] or misdemeanor incomp tent to stand trial but think these beds will make a big difference. When a judge writes aordser to release to Jail Behavioral Health when there is a open bed. We project that the services will be available in fiscal year 17 18. Mr. Chairman can i ask mrs. Robinson the questions that i asked mrs. Garcia . All most half the inmate population you said has a behavioral helths Service System contact. 1 in 2 address getting support for Behavioral Health it was 36 percent so about 36 percent. So for the year 14 15, there were 4900 unduplicated individuals that were touched in some way by jail behavioral Health Services, i know critical resistance has done the data crunching and said there is about 14 percent the prison inmate population has significant Mental Illness but you say it is 6. 2 percent and yet it is quite a bit lower than the National Average. That is correct. And i know that critical resistance and others sited 75 to 80 percent of the population having Substance Abuse issues, but you sited a higher number of 80 percent of Substance Abuse disorders and connected something you called truma history. How is that connected . The 80 percent is of the 6. 2 percent, so folks that have serious Mental Illness, 808 percent of that population have a Substance Abuse issue. Mental illness and Substance Abuse are connected . Correct, [inaudible] that have that intersection of both of those issue. Yeah. And as many speakers today sl said, these are individuals that come from lower Socio Economic and come from violence and see violence and those are the individuals that end up in jail. That is also true of the general population that we see in the mental helths clinics, most have a trauma history too. What im not understanding about sb 863 and our decision whether to accept the 80 Million Dollars i thought when we could munty go to Mental Health i was told now. It seems to be a temporary fix and what i was asking is what is the future 887 potrero building. It is a exist facility it isnt people that are 234 carcerated. I visited cj 5 in san bruno and it is superior the pod system and better facilities than the hall of justice but not clear how