Participate in the meeting through Video Conference to the same extent as if they are physically present. Public comment will be available on each item on this agenda, sfgov. Org is streaming the number across the board. The opportunity to speak during Public Comment period is available via phone call by calling 4156550001. Meeting id 146 4585942 and press pound twice. When connected you will hear the meeting discussions, but you will be muted. Dial star 3 to be added to the speaker line. The best practice is to call from a quiet location, speak clearly and slowly and turn down your television or radio. Alternatively, you can email myself the budget appropriations clerk at linda. Wong sfgov. Org. To submit Public Comment via email it will be forwarded to the board of supervisors and be included as part of the official file. Items are expected to appear on july 21st, and spanish and chinese interpretation are available for those who need Translation Services during Public Comment period
First its always the hardest and when they look back they really wont see you, but its the path that youre paving forward for the next one behind you that counts. Hi, my name is jajaida durden and im the acting superintendent for the bureau of forestry and i work for public works operations. And im over the landscaping, the shop and also the arborist crew. And some tree inspectors as well. I have been with the city and county of San Francisco for 17 years. And i was a cement mason, that was my first job. When i got here i thought that it was too easy. So i said one day ill be a supervisor. And when i run this place it will be ran different. And i i didnt think that it wod happen as fast as it did, but it did. And i came in 2002 and became a supervisor in 2006. And six months later i became the permanent supervisor over the shop. With all of those responsibilities and the staff youre also dealing with different attitudes and you have to take off one hat and put on another hat and put on
This is a big need is the longterm programs, a step down and where are people going to. At prc baker places, we have three different types of programs. The first is the assisted Living Program and this is Mental Health driven. You have to have a Mental Health diagnosis but doesnt many you dont have Substance Use. Many are doing the same thing, many are cooccurring disorders. We have our baker supported living disorder. This is another set of coop units and 34 clients are living with positive diagnosis and a Substance Abuse diagnosis and Mental Health diagnosis. These are the hoops to jump through. How do we get to where the open beds are . So, for example, what was happening in the Residential Programs, people would relapse and go out and use drugs or alcohol. One of the options at that point is to say, we might have to discharge you. The olden days, in the past, has been, well have to discharge you and here is a list of shelter, the emergency room and if you have trouble, please call
You mentioned the fact that there are times when you cant address the need right away and part of the waiting time is because you cant draw down the reimbursement dollars. Uhhuh. I know i was looking at the slide in what areas of need, but it seems like when you cant help some participants, its due to cost reimbursement and not necessarily due to capacity. So would you say a gap funding or some way to eliminate their wait time to able to help a patient right away is important for addressing the need immediately . Yes. I mean, i think in general, we have come to understand the managed care system that is drug medical, and you think the county has been a learning process. We know that somebody will be eligible. We would like to put them in a bed and we will work out the funding after the fact. And yeah one think that would be helpful. Thank you. I dont want to oversell it. There are times when there are other barriers. Like, if a person has a Health Condition thats not been taken care of
This is a big need is the longterm programs, a step down and where are people going to. At prc baker places, we have three different types of programs. The first is the assisted Living Program and this is Mental Health driven. You have to have a Mental Health diagnosis but doesnt many you dont have Substance Use. Many are doing the same thing, many are cooccurring disorders. We have our baker supported living disorder. This is another set of coop units and 34 clients are living with positive diagnosis and a Substance Abuse diagnosis and Mental Health diagnosis. These are the hoops to jump through. How do we get to where the open beds are . So, for example, what was happening in the Residential Programs, people would relapse and go out and use drugs or alcohol. One of the options at that point is to say, we might have to discharge you. The olden days, in the past, has been, well have to discharge you and here is a list of shelter, the emergency room and if you have trouble, please call