who are seniors and in their older years now, staying in san francisco. they may be the ones that have their house is paid off, and they will continue to stay in the city. i have not done the kinds of projections. this compares our seniors to other counties in california, to the state and united states. we are ready out more seniors than other counties. when i talk about seniors, i am talking about people aged 60 and above. so we already have 19 percent signed. any increase in older persons is cord to be very significant for san francisco, because we already have a greater number than other counties. -- so we already have 19%.

ethnic trends among the seniors in san francisco. growing number of pacific islanders. if we come back and 10 years to do this again, no doubt the age of pacific islander trend would be higher than the white population. they are now about even. this is consistent with long- term trends in the city. if you notice, the number of latinos has gone up slightly. they tend to be a younger population in the city, as do african-americans. this has tremendous implications for services in the city. the show's english fluency. persons who are older, almost a third have limited english proficiency. much different from the rest of the state where 70% are white.

here, they're much more likely to be immigrants and limited english proficiency. i want to speak specifically about poverty. this shows the party rate amongst seniors. the largest proportion our asian-pacific islanders and whites. as a proportion of seniors, the african american community has a higher rate of poverty. >> the african american population you are referring to, where do most of them live? >> mostly in the bayview. >> is that where they are presiding mostly in public housing or their own homes? to go right now it is a mix. we're doing an analysis on

public housing right now. one of the things we're finding is even in public developments, there are quite a number of older people in the developments, so public housing are often the only place they can afford to live in san francisco. those are definitely big assets. in the western addition, a large number of senior public housing. in san francisco, the safety net in terms of income is much more ssi than temporary aid to needy families. this shows our rate to the 10 largest counties. you see that we are almost a quarter or a third higher than the next highest in terms of ssi

recipients. in large part, this is due to the number of immigrants to come in the later years and not able to recruit -- recur enough to get social security. on the right, there are two types of ssi. blind and disabled persons and for seniors. this is the statewide distribution on the right. it shows the majority of recipients are under the blind and disabled program. on the left, as applied chart for san francisco were the majority of recipients are, for seniors. this is a map were older persons receiving ssi live. chinatown, north beach. chinatown in the upper right.

this has tremendous significance for public services, because poverty interact with each quite a bit. this is california health information survey that is done periodically. it is a phone survey and asks san franciscans of them about their health services. those that are lower income are much more likely to have health issues than older persons. i will speak briefly about adults with disabilities. there are 54,000 seniors with disabilities, and 34,000 young for adults with disabilities. i want to point out the wrote showing african americans are much more disproportionate in

terms of having disabilities. either as younger adults or seniors. almost half of older african- americans have some form of disability. this is where ssi recipients of the blind and disabled category lived in san francisco. tenderloin is the highest concentration. that is where there is affordable housing for persons living on ssi and accessible transportation. the needs assessment discuss a number of different populations, including veterans, homeless seniors, seniors and public housing is described at length. i do not have time today to go through all of them. i wanted to pick just one and

emphasize the impact of the recession on seniors. nationwide seniors lost 18% of their wealth during the recession. a number of seniors working today exceeds that of young adults for the first time in history. i also want to point out that a quarter of persons between the ages of 65-74 in san francisco are working, and they are reducing the city's one-stop employment centers. that concludes my comments. i have a list of for the full needs assessment can be found. if you go to the san francisco human services agency, you will find it in the reports link. >>supervisor olague: i want to

thank you for your research. i know you did a lot of research that inspired the seniors to form and continue their research there. one fact that was very important, i think, and this morning was the fact that so many seniors are having to seek employment, because they lost a lot of their potential income during the recession. also, the facts are around the african-american population and the disproportionate number are very telling. >> going back to the employment, the first beaker talk about how this is multiple systems, not just the department of agency. they do not just affect families and children, they affect all

people in san francisco. >> that is what i think was important, that it covered the fact that there was broad across the economic range that surviving and staying, which has always been a goal of adult services that is constantly being challenged. >> can you send me an electronic version of that presentation? to kosher. . thank you. >> [inaudible] i am going to keep my comments brief, because i am here mostly to listen today, and i see that we have a very full house, and a lot of stories to hear. i want to thank the coalition of

agencies serving the elderly for framing the agency that illustrates our needs. the right to live independently in the community but access to supportive services is a civil rights that is affirmed by the olmsted decision issued by the supreme court. it also makes good sense when seniors and people with disabilities have a chance to live independently or in their department that they not only have a higher quality of life and community activities, but the cost of living in support of services are significantly lower than housing someone in an institution like a nursing care facility. m in cities like san francisco, they have the potential to be an incredibly efficient place to live if we can harness the political will and direct city resources. our new buildings have

elevators in public transportation system and the dedicated network of non-profit service providers and city agencies. our need is great if we're going to meet the potential, and we need continuing support for the in-home supportive services, and these services are a risk due to budgetary decisions that are proposed at the state level. we need, most importantly perhaps, more accessible and affordable housing. the loss of redevelopment funds means we do not have as many resources to construct affordable housing, and the cost of living in san francisco continues to skyrocket in the for-profit sector, driving people that are marginally house, into the street. want to lose housing and become homeless -- homeless. , your mental health needs become much more complex. now is not the time to cut funding, now is the opportunity

to invest in san francisco's future and create jobs by supporting community-based services and construction. now is the time to freeze -- from the housing needs as is the right. supervisor all lolague: thank you. ann hinton. >> good morning. thank you for the opportunity to have a hearing and discussed the issues that are important to all of us and give the community as staff -- a chance to speak to their individual and community concerns. i want to thank them for his great coverage of the issues in terms of demographics and poverty levels and who lives and our community, because it really sets the stage for the comments

i am going to make. i handed out to you supervisors, a brief description of the department, but for the audience purposes, i would like to talk a little bit about that. department of aging and adult services is what i refer to as an integrated department. many years ago the comptroller's office did a report and found things might be better in san francisco if we were to poll the various programs together and departments together that serve younker adults with disabilities and older adults, so we became an integrated department. we're made essentially of four divisions. we have ihhs, the largest single program areas serving over 22,000 older adults and young adults with disabilities by providing home care in people's

homes. local government shares in the cost of the program, and this is one of the ones the governor has targeted for reductions in the coming year's budget. there is also 18,000 workers and that program. some of those are the folks that dan talked-about better over 65- years-old. the next division is protective services. this is where we have an adult protective services, which is there to focus. these programs are there to serve people, regardless of their income. our protective services programs are available to anyone, regardless of income. our public guardian, public administrator's office, public conservatives office, and re

pae. they help people manage the income so they can actually remain living in the community. doing investigations on reports of neglect and abuse, and that is an ever-rising problem in our community. the third division of the department is long-term care operations where we have seen some of the most innovative and creative program development, largely due to the mayor and the board of supervisors. this is where the community living fund resigns, a fund that helps people leave nursing homes to come back to the community, or to help them stay in the community and not enter institutional care in the first place. this is where the diversion and community integration sits in

the first place, which is helping people leave institutional care, or if they are at general hospital, to move them back into the community. the fourth division and our department is community services and intake. i am going to be read preferring a lot to my -- i am going to be referring a lot in my comments to this today. this is the area agency. this is where the county veterans' offices reside and have developed it over the past seven years, an integrated intake unit. i want to focus a little bit on that section by starting to say that all of the service, whether they are means-tested it or not, are targeted for the entire community. we have a lot of folks in the community that are modeling many

different languages. our staff are specifically hired for the languages and the understandings of the community, because we are here to serve everyone, not just specific people. we know of discrimination, biased, and poverty make things more difficult to people. although we have a specific concern about the middle-class person that is on the lower end of the economic scale finds themself in a situation where they cannot purchase services and do not qualify, that is the difficulty we see on an ongoing basis and is a problem in our office. although some of the programs can target people, regardless of their income, a lot of the services that are key to staying at home are there specifically for the low-income per cent.

discrimination, biased, and poverty make things much more difficult for anyone, regardless of age or circumstance in the community. partnerships have proven to be a critical component to our department over the many years. partnerships with community- based organizations, as well as partnerships with all of the various assets of city and county government. we have had a good working relationship with the disability council. the health department as well. we know it would help the partnerships. we could not embark on the new initiatives, nor could the programs like the protective services functioned well in the community. >> san francisco has a long history of strong non-profit community. it also has a long history of the board of supervisors --

board of supervisors and mayor's being committed to making sure it can remain at home and be successful in the environment. this is really seen in the fact that unlike many communities across the state and across the country, we've received general funding better > the match requirement for most of the federal funds. you did not see that before the downturn in other communities, and you do not see that now. the downturn has hit communities very hard. it is not that we have been untouched, but we started at a place that was a lot better than a lot of communities are. that is really the advocacy that has been done by the cb'o's, but also because the officials have been committed to funding as best they could at that time.

i was going to talk a little bit about the budget over the past few years. i have been ahead of the department for about seven years. my first year in the budget was doing well and the economy was doing well. there was a $160 million budget. that includes all the programs i was talking about. we received $6 billion over a new general -- over the course of two years due to a lot of advocacy, and due to the fact that there was this commitment to try and work to keep people at home, and also these institutio deinstitutionalize aa honda hospital.

we were also then able to provide greater support to things like legal services and immigration services and naturalization and other kinds of programs. as the downturn came, we were hit just like other departments were. on the whole, we have survived well, although we have lost about 30 positions in our department, and we know contractors have faced reductions, just because costs have gone up. there is no way to get away from that. if you stay flat, something is still hurting you. in terms of dollars that we have lost in the past few years, if you think theabout the 6 million that came four years ago, and then you look back at our history, you will see that we probably lost about 2 million. we are still ahead in the key

area of community services. that is good news for us. and we have lost money in key areas. we have tried things we thought would work with resource centers. we got new federal money in, so we used that. we got a new design. we also did rate reductions in nutrition and other things. as of the population moves and grows, and the needs of the population growth, we will see over time what happens is the key programs. those were things that we decided to do at the time. that lost us a couple of million. the deputy of the department has been incredible at looking for new resources, either to go after match money on things we might have been doing using

general funds seven or eight years ago. we may be did not think at that time was worth all the work we would have to do to get it, but now we match every dollar that we can possibly match. providers have been doing the same thing with us. they have become partners in that area as well. we have had some new initiatives that are important to us. the conversation about planning and what are we doing for the future, dan referred to the area plan. you can find at some of this online, but it is a pretty big document. i brought one along so that everyone can see it as a star road document. it is required in order for us to get the administration on aging money. but is also a practical document, because it helps us determine what it is we're going

to fund. it is always changing and always doing updates. in addition to that, we're part of the long-term care council. the council has developed a second one, so we are in the midst of implementing the recommendations at this time. a couple of years ago, because we recognized -- you might go back to the fast-growing population is at 85 +. we decided a couple of years ago that we would take on the issue, and this document, wises -- which is a 10-year plan, and we will be doing an update to the plan in the fall so we can make sure any new things that have happened since we first did it will be in the plan.

and anything new we have undertaken is in one of these plans. the plans reference each other and have many crossroads between them. whether or not it would be it would be the grant of about 7 million to the city and county of 3 million to us, we have been working on transition from hospital to home for a very long time we are now in discussions about the centers for medicare and medicaid to talk about contract with them, so that we can have federal support for the work being done in the community. we have sought designation and funding for adults with the

stability resource centers. we have really focus our money on evidence-based health the aging, because we have seen that evidence on those program shows it regardless of income and ethnicity and all those things we talked about earlier, people do better when they're able to get involved in one of those programs, and we are using to programs, one from stanford and one from usf, and now we are managing around drug and alcohol in the future. we of undertaken of long-term care integration investigation. we know the state, many states are moving to managed care, so we sought outside funding to bring in a consultant to form an expert panel that can delve into the issues, and so that sanford says go can pull together a plan that really speaks to the issues

that people have in our community, so when the state moves into managed care, we are ready for that. the lgbt task force, we're providing support to the work that is going on there. we were probably one of the first area plans to have that as an issue or addressed the population's issue in that document. one of the new things the long- term coordinating council has taken on our local communities. how do you create communities where people can stay? i think when it comes to challenges in our community, i think there are two. one is the middle-class, low- income population and how you get these services to them? or how you help them access that when money is pretty tight?

that is one issue. the other one is neighborhood planning. how you create livable communities? how what do you do that in older cities with a lot of hills when there is a lot established? we know we have some specific districts and our city where there is not as much service as we need. part of that is around the planning. i think part of that we will take up and livable community work, but it is still something that bothers some -- that is bothersome in terms of where our stores located? where is transportation? where are services and how does that all work? i will end there. supervisor olague: thank you for

that. when we did the study, we found that access to food, healthy food and things like that, was something that some neighborhoods were lacking. eventually it may be that -- there was a transportation and effectiveness planning to look at some of these issues, but there were some senior disabled voices at the table, but it seems to me we still have to fight our way to be heard, sometimes in the discussion around planning issues in general. maybe as we move forward in this, maybe in the next year or so we can look at establishing some sort of a planning effort with the city planning department to look at where people are aging and what the department of public health has done with community health impact asses