♪ oh, i know better you're going to find ♪ ♪ been around the world like you can't find a school place ♪ ♪ nobody wants you all the time ♪ i know you're going to find ♪ supervisor dufty: thank you so much walter. any other members of the public wish to be heard? seeing none, we will close public comments. we will open it up to colleagues who might have questions. commissioner kim. commissioner kim: i had a couple of questions, they were just quick questions. i was wondering what it meant on page numbers but on the system wide client profile, how do these -- how do client needs impact their life and you

mentioned student recreational. i was wondering if you could be more specific about school issues meant and what does recreational mean? >> recreational really means how you use the time outside school. so whether they're using it in er activity, whether they're doing prevocational work or participating in meaningful activity or not, i guess that's -- so these are really kind of interview questions that we ask at the beginning at intake at the initial meeting with the family and with the youth themselves so we get information from them. this is really kind of putting in a rating, like a scale where it is rated in the report. so in terms of schools achievement, it talks about whether there is grade level achievement and then really kind of school performance. school behavior really refers

to how is the student functioning in the school involvement in terms of constant behavior and disruption and it's a different kind of measurement. commissioner kim: you have problems recreationally? >> i think that means that you get in trouble, like if you actually, you know, instead of go home, you may actually spend more time like four hours to get from school back home or you go out and smoke a cigarette rather than -- things like that, yeah. commissioner kim: so i'm looking at just the last slide about percentage change in clients' needs over the six months, are there more longitudinal evaluations? i mean, it's nice to see that the bar goes down a little bit, but it's not that reassuring. >> of course. because we just assigned to do this system wide, it takes several years to retrain

everybody and certificate everybody to use this tool in the way we know they are using it. after all the training -- we train about 700 providers, clinicians to use this tool. it's being used across our system and we're beginning to actually -- and we put it in a database and now we actually, we had the initial database, we're now changing to another database because we are putting a whole electronic health record. we will track it over time. commissioner kim: what is the hoped outcome? how do we measure success? >> how we measure success is that we want to see areas that need help will go down over time. so it's really a composite. so if you come in and you have 10 areas that need help. over time, we really want to see that your areas needing help go down and your areas of strength because you also ask about strengths, what do you have going for you?

do you have opportunity to access prevocational service? do you other kind of things that are going on, maybe religion, other support. so you want to see the problem areas go down and the strengths go up. so over time, what we call the actionable items should get smaller and smaller. that's what we look at. the nice thing is really, we're really emphasizing on using this as a communication, so we actually have trained some of our parents to learn about this, too, and also give feedback to us about how they experience being a user on the other end and then training our clinicians about how to administer it so they actually get the kind of answer that they could get. yeah, it's a process. commissioner kim: i completely understand that it's a process. my question is more how do we know that what we're doing is successful?

what areas are we successful in currently and are we really good at addressing depression or anger control? what do we know that we're doing well and where are we weak? >> if you look at this, it looks as there is a drop, almost biggest drop is in anger control, the second column that looks like a pretty impressive drop. i think we're doing a pretty good job there. if you look at the next entry, the depression, that's a pretty significant drop. when we're not doing very well actually is in impulse activity and hyper activity. there is no change. commissioner kim: how do we know that we're not successful in an area? >> that is a good question. when we see this we know, this is one of the few areas that we have effective treatment, which is really a referral for psychiatric assessment when you have hyperactivity and we actually -- so that's why i talk about the multilevel

importance. once this is feedback to the clinician, the clinician sits down, goes over it with the supervisor, well, how come there is no change? have you referred the child to see a psychiatrist? oh, i haven't thought about it. then you refer to a psychiatrist and then you actually change your practice. so i think this is really an ongoing process of multiple levels from the client to clinician to the supervisor and to the administrators who look at this and say, hey, system -wide this isn't good. maybe i need to do more education to let people know there is more effective treatment for this particular problem. we need to make this much more of a practice and make this a policy when you have this diagnosis, you need to make a psychiatric appointment. so that's the utility of using that data to help us. supervisor dufty: what would you say are you most happy about over the time when you were here last and till now,

what would you say is the best that's happened and given that you have got an audience of school board members as well as supervisors, is there any direction you would like to give us as policymakers as to where you really think we need to do more work in setting policy or trying to encourage more success in terms of serving the students? >> i think it's key, i went to a school board meeting two nights ago and hear about some of the new direction that the special education, the team is recommending and there is a lot of emphasis on using data to guide decision-making. i see one thing that i feel the most proud about is how we are able to actually change our system from the last time that i came in and talked to now we do have a way to actually track multiple levels, clinical outcomes and also communication to talk about the same language. so when we're talking about

this, everybody knows what we're talking about. we can actually get our heads together. we have a lot of resources in the city. we often don't coordinate all, even don't even ask what is happening from one to another, one hand to the other hand. this is really a tool to help us to communicate and then to also measure our change over time, our success over time. it's really critical. so i think that is really -- i'm really proud of this. the second thing that i'm actually really doing a lot of work on is implementing parenting training. we have a parent training institute with the support from the first five commission and agency. we're seeing that almost as an i knocklation, an immunization for parents. it's really a whole set of schools that really we need to really teach and learn and support each other to do. and through this, we introduce

two evidence-based parenting practices. if we do a good job, especially for the under 12 years old, for the younger children from birth to 12 years old, do much more universally training parenting support that would go a long way in helping our youth need and our youth problem. i think those two things would be really successful, would be really helpful, thank you. supervisor dufty: thank you. i want to open it up to any of the presenters. are there any things that you want to bring up at this point having had the presentations chief zuckerman, school board, human services, are there any other things that you want to bring to us? no, ok. great, colleagues, i see no one on the roster, so i would like to thank our presenters. i think that this is extremely helpful for us to have a

benchmark and to see where we are and i'm certainly encouraged of all of the work that is being done and certainly very excited for the school district to have this new initiative. i think we look forward to working with it and following it through this committee and through our respective roles with the city and the school district. so with that, i would like to ask our clerk to continue this item to the call of the chair in case we would need to bring it back and to share that on october 28, our next committee meeting, our agenda is going to be about student school assignment, an informational briefing that we'll have at that time. so that's what our plan is for our next meeting. so with that, colleagues, we are adjourned for today, thank you all so much.

>> good morning, consuls

generals and your constituency. the elected officials who may be here and other distiguished guets. sts. may i welcome you here to celebreate the national days of our wonderful countrymen, people from and people who are citizens of the consuls' generals, citizens of el salvador, nicaragua, and mexico. these flags will be outside your abode. this is a colorful and historical day. we are proud of our ethnic diversity. we're very proud of the history that we have with your country that goes back so many years and we are very happy that these

will be in front of the city hall. this is the seat of government. my introduced the custodian of this building. you shone the dome well today. [laughter] and of the government. a mayor who is making history, gavin newsom. [applause] mayor newsom: thank you. thank each and every one of you for being here. it is an honor to have you here, and you have been here many times with the flag raising ceremonies. this is, in particular, very important and appropriate that we ask all of you to be here. we share so much in terms of the respective histories. i am reminded every time i go down the hallway, of this history.

the mayors who are here before the city of san francisco. the city was founded over 200 years ago. that connection in mexico and the relationship with spain, all the challenges that are good and bad. this is more positive with an engaging future. this is something that is indelible in the minds of the people of san francisco. particularly those who served as custodians of this great city. she is right to say that what makes san francisco special and what makes the bay area special, and the state of california so remarkable is the ability to attract people from every conceivable walk of life, regardless of race or ethnicity or sexual orientation. this is a region and a state that prides itself on its diversity. i say this often because this deserves to be repeated often.

we did not tolerate our diversity, we truly celebrate this. it is right to celebrate all of these differences. at the end of the day, those fundamental aspects of our lives are what we all show. what we are doing today is sharing the values of the region and the state. we pride ourselves in being the most diverse state in the most perverse democracy. we have seen this over every conceivable difference. the more that i go out, not just across the state but across the country and around the world, we have the privilege of visiting people for every conceivable walk of life. and i truly believe that people look to us to see that it is possible to live together through all of these differences. they know that there is something special and magical

about this city and this region. and that is why we are here. that is why i am here. and i am grateful that you are here. i am grateful for the extraordinary contribution of the people from mexico and central america. i think that this is interesting and appropriate to notice that san francisco county has the distinction as it relates to the latino community that is unique among the 58 counties. we have more latino representatives. -- >> this is not the case with the other counties. we have these in el salvador and nicaragua, as well as mexico. not everybody understands this

and we are celebrating this remarkable collection. the city of san francisco took the lead as the city of refuge after the civil wars in the 1980's. we established, firmly, the foundation that marks so much of what makes this city a special place. it is mocked by those who do not understand and who did not want to understand, and this is trivialized by political campaigns and this should not be diminished by sound bites and in political campaigns. we stand up to that. and we did not play into this. we do not believe in dividing people. we do not believe in diminishing others in the broader scope of the world. we are also celebrating that today. i am honored that you are here and i am grateful.

i am happy that you took the time to celebrate with us. we have, in this spirit, a formal proclamation. you do not have enough wall space for the proclamations that you have received. but this is my honor to recognize, you have to share this today. garcia understands this because there are only 365 days a year. he must have given out 10 days every day. and i am trying to separate this. in the spirit of brown, let me give out heritage day, guatemalan heritage day, and mexican heritage day. and the crop one -- the crop

was -- nicaraguan day. this is the day we celebrate our histories in this remarkable bicentennial. thank you very much. [applause] >> thank you all for coming. we have more to celebreate this historical and colorful day. we thank you for all you do. have a wonderful celebration. >> did you have to hurry? [laughter] >> gentlemen. we are talking about el salvador. >> thank you very much. iwould like to thank gavin newsom and the mayor's office

for inviting us here. the consul general would like to continue our very good relationship working together in the bay area. i'll have a couple of words for the community. [speaking spanish]

[applause] >> i already -- i don't need to translate it. >> guatemala? [applause] >> first of all, i want to mention that i am not the ambassador, because he has been detained for the work that we do for the temporary protection status with the people of guatemala. i want to thank the city for this wonderful work that they have done for the immigrants,

and we celebrate this 15th of september with our sister countries, and also with mexico. and again, we would like to thank the city of san francisco. thank you. [speaking spanish] >> mexico. >> thank you very much. we're very proud to be here

today, on the celebration of the bicentennial. and the continuation of the mexican revolution. these are very important days for mexico and mexicans. and in northern california, this is a special meaning. we have contributed to build this great state. and i think that one more important element is an extremely complex relationship that makes it so happy, is the by cultural family that we support. for that reason, this is a special occasion for me to be here. and to celebrate with all the friends of mexico. we will continue working with the elected officials with a different representative because we believe that we are part of

this the first community. and we can continue contributing with hard work, for the future and the next generation. and i held that the next 100 years -- we will be celebrating the same. thank you very much. [applause] >> we should have won with each consul general. we should have an individual picture. >> and where is the camera?

>> you got here for the picture. [speaking spanish] >> thank you very much.

>> ok. let's have everybody together. >> so quiet. [laughter] ♪ >> vivas. [applause]

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