, and now but i am curious of some examples. i know there will probably be an increase in these meetings. there are a lot of pieces that require someone to carry it out. let's talk about that. >> there is a clear organization, and the rank above is responsible to make sure the people below are operating in the procedure.

as before, community policing is like, this is an example of community policing, and that is the best practice. there will be an index on how to do this, or here is a good example on what works best. we will have its lawn and every day we will have it on line so they can better engage with the community, but if it is the responsibility of the supervisors to make sure officers are operating with procedure. there shouldn't have to be an implementation strategy for

everything in the police department. >> maybe we can see what has been the changes. i wonder is this an opportunity to provide input, or is this something you would like to see or think about, but not of kuwait -- not a point to provide input. >> we have been meeting on this for four months. there has been protraction on

all of these things. we have been sensitive about everybody wants to contribute. if we want to put it in another section, that would be a different thing. we would have meetings going back again with folks that like it as it is. if we are missing something, we can add things, but if we are going to change something, we will have to go back. there has been a lot of thought along the way. i know he has really driven this project.

>> i just wanted to note there reason it is on for discussion and not action is the charter requires 10 days of notice, so in order to meet the notice requirement, we put it on for discussion for a future meeting, which we assumed was going to be december 28, but it is on for an end now discussion today. >> i think is important to get a commission decided to have the vote at the meeting, because it was the largest meeting were the most discussion happened. you will know early on if it is ok with them. >> this is just a suggestion. i particularly like the use

highlighted every day -- that the youth is highlighted in a positive and pro-active way. i think you have a lead by example with this piece. i think it is great to have more opportunities, and there are probably a ton of examples you can draw from as you put together this manual. my only thing is you mentioned language access. it is not a hard and fast suggestion, but it might be helpful to mention for people who english is not their primary language, but if it is late in

the game -- >> that is something i cannot believe i did not think of. >> i am sure the people would welcome that. >> if you can give us the language that would be appropriate, i see that belongs in there. if you can find the language to put in there, and running it by mour city attorney, i think that is absolutely appropriate. >> it will not be a big, long chains. >> it does not sound like something you have to get permission for. >> there are many that say what about, and you have an epiphany.

>> a lot of this is what should come natural to our officers. they learn about the community. that is why they joined the police department. it is great that new codified it, but is this something that can be used as a performance measure when evaluating officers? you are not going out to the community. you are just responding. is there any way to encourage the officers to make a performance measure? >> absolutely. if some officer has not been clear, and i think most of the officers are, but there is always room for improvement. this is what we are here to do, and a supervisor should call the officer in, and it starts off

with may i remind you, and if you get somebody that is intransigent, you tell them, it is a rule. you need to be able to get there, so i think the community expects their police department to be this way, and it is reasonable. >> is there anything further? is there any public comment regarding the general order 1.08, the draft general order? >> good evening once again. it is not clear to me what this is. are you coming up with a memo they are going to have to recite some of what is going on here?

is this something he is going to love to pull out and recite and that he is going to have to get an okay from the board of supervisors bowman -- the board of supervisors. what are you trying to do? and regarding community policy, what do we not now intends to do? it is not clear to remain the reagan -- it is not clear to me. are you going to force them to carry it around every time something and who takes place?

it does not make a lot of sense to me in terms of where the burden is between the resident and a police officer, so i would like that explained to me so it will be explained to thousands of people watching this tv show. i think the chief of police is doing a great job, but i think also the commission of board of supervisors is attempting to put them in a hoop in terms of what the police department is supposed to do as opposed to what their actual job is, and i would like some clarification and i would like this expanded in terms of bringing out some booklets in terms of what we are supposed to see.

i thank you for your time, and i would like to see some documents on a line. quex hannity should come for all officers. they are supposed to be members of the community. they are not going to walk around with some iran the carbon. >> it is not clear remain that is what has taken place. >> i cannot help if if if is not clear to you. >> it is not clear to a lot of people. he is going to have to carry some extra documents. i am still on my time. that is the clarification of would like to see, and i would

like to see some documents and have them on the table. i thank you. >> any further public comment regarding community policing? >> the department's general orders are on line as public documents, and it is a large binder no one carries around, but is essentially the policies and procedures that govern the police department. he is available on-line. it is about 2 inches thick, and this will become one of them. >> any public comment? hearing none, next item.

>> item four, public comment on item 6 including a public vote on whether to hold item 6 in closed session. >> public comment regarding whether or not we go into closed session regarding personnel measures pursuant. any comments regarding that? hearing none, please call the next item. >> item 5, a vote on whether to hold the next item in closed session. >> we are now going to move into closed session.

when a resident of san francisco is looking for health

care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. .

>> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family

doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown,

meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes

tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important

to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with

the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san

francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effectiti

>> with my artists, eight of them are working in tehran, iran, the capital city, and one is an iranian american based in san francisco. the problem is really a collective exploration in the day and the life in tehran. it is the largest city in the middle east. for the gallery, one of the first pieces you see is one piece which is a laser-cut peace, it taken directly from the map of the city itself -- a laser-cut piece. it represents the geography of the city. it is positioned right next to another work by an artist who took a 77 taxicab runs and let

the potholes and the city turns of tehran dictate how the city would be portrayed. >> [singing] >> one of the other pieces that to experience in the one-day exhibition is from another artist, a recording of state radio from tehran, and is played for four speakers. >> [speaking foreign language] . >> [speaking foreign language] >> [speaking foreign language] >> [speaking foreign language] >> the entire gallery is covered with white vinyl on white walls, really minimalist, and the kind

of the merged -- of emerge as you walk through the room. >> [speaking foreign language] >> [speaking foreign language] >> these are excerpts from the radio broadcast that you are hearing in the space. it is just another visual reference 0.2 hopefully transport you to a different place -- reference to hopefully transport you to a different place about one day in iran.