>> when i am talking about survivors of violence, i want to explain some of the things that this is in relation to streevios in the family because of an act of violence or an injury to an act of violence, or individuals who witnessed a dramatic violent incident. individuals dealing with multiple instances of violence, individuals exposed to the threat of violence. but when we talk about survivors, people have different definitions. we will try to encounter all of this. this is the challenge for the treatment, and one thing is the

difficulty, identifying posttraumatic stress disorder. there is simple and complex posttraumatic stress disorder, and we experience -- a complex pst, where they have multiple events, and the approaches are different. the difficulty is that the symptoms are not immediately there -- and we also need this for our own system, to increase the focus -- not traditional therapy. the other challenge is there is a stigma of mental health services with the general population. we need to talk about ways to

use other services with mental- health so people are more open to this. we also experience that the committees may ask for a lot of services but a lot of times they don't want their neighbors to see this, so people go across the city to get service, and then -- stephanie mentioned that there are geographic safety barriers that we have with the neighborhoods. people cannot come down because they have to cross a certain territory. this may put them in jeopardy. we look at, what is the intervention of violence? we'll get comprehensive strategies with the city departments, community-based

organizations and the communities themselves. one model that we have been working on, is the street violence intervention model. i will not go into a lot of detail. this model, you have heard about. you hear about the price of timidity response networks. there is the northwest timidity response network, and the southeast community response network. the department of public health, the administrative label and in regard to the comprehensive crisis that they have worked on. this is not a prevention model. this is an intervention model.

this may continue to climb -- but this is not a true model. along with that, we also worked in cooperation and communication. we work with the seven cisco police department. they called a crisis response team -- there are some people who are taken to the hospital and we have a good working relationship with the emergency department, and the social work of san francisco general. we contacted some of these and what someone is critically wounded and may pass away we know ahead of time. we work with the district attorney services, and the victims to get them over there.

we tried to get them linked up. we work with the trauma recovery center. this is part of the center at san francisco general hospital. they're not so much doing this on the response, but we are now examining the screening tools. we have a whole set of protocols with the school district, and also, there is a city-wide planning process, -- and this is not showing up right. we have the protocols, with the san francisco unified school district.

this is keeping the violence happening from summer school. there is a lot of work with the committee-based agencies. we have to continue with this. i don't know why this is not showing the whole thing. >> i am not certain what is going on with this thing? >> i have had problems with computers all week. we have to develop a process, with those children or adults that have been impacted. we have the 60-day follow-ups,

we work on identifying the posttraumatic stress. we look for screening tools, these are not assessment tools but screening tools, that may be administered for the community-based agency. they would refer people to the crisis response services. we have a dialogue with the healing circles so we know that they have been impacted. we look for the children you've tool, and hopefully later with the work group. we are developing the treatment, but they comprehensive job crisis service. where are going to get further

assessments. we have this with the crisis services. also, we want to improve the quality of division of services. we are always dealing with cultural appropriation services, and we have to develop strategies, to examine the hot spots, and these hot spots change. we will take this word of the violence may be occurring. and we train to improve the work force. this is part of the community level. we have changed that we will be offering, and we use the trauma recovery center.

we never have the word were participants program, and realize the committee behavior, with some places that we're offering with the violence prevention network. with the staff of the mental health services. and we are developing strategies that become -- a change the cultural acceptance of violence. we use the community-based organizations, and what other thing that we notice is that there is an acceptance of violence, and there is the function about changing that violence is not acceptable. one thing that we feel, is that

the jail poster is taking over a lot and mainstreaming a lot, and a lot of people did not realize this about the real cultural base. how do we make this a real community again? this is about continuing to develop the rules or procedures, so that we can provide services. are there any questions? >> we may have some afterward, or something. i would like to call the next speaker. ricardo acosta of the community response network. >> good afternoon, supervisors.

i have a couple of notes here and like to leave you a copy, when i am finished. so, i am the regional director of the community response networks. we have the neighborhoods that this encompasses, we have the main priority now reach areas, and we also deal with the inner and outer area and these neighborhoods as well. they are led by the bay view and hunters.

organization, and there is bayview and hunters point, with all of these neighborhoods. both of these agencies were comprehensively together, and what we provide, we have two components of the work. and the convention opponent, with the community based organizations. to navigate and access services throughout the city. we're often call in with the school district to prevent the fights from getting out of hand. the second component that we have this the committee intervention teams that both of us have, and this runs into the

projects, and we were collaborative with the unit officers and the district stations to make certain that we are on the same scene, for those services. we are not the traditional model. we have the crisis component, and with the crisis response component, one of these is to organize the city's response systems to make certain there is a comprehensive approach, with individuals searching at 25 years old to prove that retaliation, for safety in the escalating retaliation. when we deal with the issues of violence, we deal with

perpetrators that were victims -- and they are the ones we're trying to run interference with to prevent any future violence. they're out of our control sometimes. and we work closely to be able to communicate with our boundaries, and this work and where this may end and where they need to be stepping in as well. they just got moved out. we have a new relationship with him, and other captains that are very formidable. there are times we need to do some intervention and try to use our connection to prevent the violence before they have to get involved.

we have the model and how we operate, with the trauma center and the you see us project -- ucs project. with the critical injury that happens in the community, we have the system set up, as he alluded to, to deal with the crs program. 80% of the time, we get a call fro mthm the community. we need to verify the situation from public health. we want to cut the many rumors that may be going through the community to make certain that there is clear information for the families and victims when there is a shooting in the community. that is right off the top within 24 hours. we

>> we get information from the hospital. because of our close connections. we can do it in a wholistic way and caring way that folks allow us to relay some of that information when needed. the last part is that we have family support and expedited services with the immediate systems of care. we help families advocate and navigate the victim of crime unit, navigate the system with sfpd when property, clothes, things of that nature are confiscated, we work with families to kind of work those systems and help them with the immediate aftermath of violence. the c.r.n.'s role following a homicide or violent incident is to support both hospital and crime scenes by working with the community, san francisco general hospital, sfpd and to provide answers and information to the family and community. we provide crowd control at the hospital. we help the families connect

with the mortuaryy and burial service. the first responders are the ones doing the family and funeral arrangements. we have a close connection with the actual family and that request our services, we also assist in those type of services. often we are taking the families to pick out the caskets and the suit and make sure they're paid for as well. we have family support and we expedite services through the victim service unit. we coordinate healing activities such as candlelight vigils, hearing circles and organized peace rallies. we help with fundraisers and long-term effects that a family might feel. as was mentioned before, one of the biggest challenges young men that have experienced violence that have lost brothers, sisters, friends, community violence to get them into mental services and

address their own ptsd so they're not a peter traitor in the months to come -- perpetrator in the months to come following the incident. we have grass roots organizations throughout the city of san francisco. we use this relationship to coordinate services with youth and families impacted by street violence and to ensure a wraparound approach to the services. this is the biggest key. when violence and hole sides hit a certain community, we can't do this alone. we work with d.p.h. and work with community-based partners to provide as much of a comprehensive wraparound approach to men and women that are impacted by violence. recreational activities, those folks already have a deep connection with these families. we really try to make sure that we tap into the folks that are best connected with the families to make sure we can expedite services and make as much impact with the services as possible. when we're dealing with

families that have experienced violence or the victims of violence, we operate and try to identify the short term and long term goals based off of four impact domains. those domains are making an emotional connection, developing a report with the individual, establishing our own boundaries and making a safe space for the family and youth. the important part is a teachable moment. what we have learned is when the folks are either in the middle of either losing an individual, burying somebody that they love or if they're a survivor themselves from the actual act of violence and they're in the hospital having been admitted, we find between the first 24 to 48 hours there is a teachable moment. we can make an impact and change behavior. we can change how individual's see themselves in society and their own neighborhood and impact the decisions that mayor making within the next 72

hours. those are the keys to preventing retaliation and keep a tight lines on the individuals at risk or have the most potential in being engaged in retaliatory behavior. what we do is we gather information about the youth and their families through questioning, active listening, observations and other types of best practices in terms of communication, right, to really are figure out what is it that got this individual in this situation and how can we best impact and have that long-term. we don't somebody to say we're not going to shoot somebody in the first 72 hours, but how can we do impact and follow-up so they're in a good place a month later, six months down the line to a year. so we use this information that we have gathered to develop a description of the youth status including their strengths, their needs, their resources and their challenges. we use this information to really develop a comprehensive aftercare plan. supervisor olague: thank you. we may have questions four. some people have limited time.

we wanted to hear from the circle still and from the s.f. crisis care. we may call you back up. i have questions, i was writing some down as i was listening. we worked with you before on a couple of incidents in the western addition. i definitely have questions for you. >> definitely. supervisor olague: thank you. at this time we'll hear from san francisco crisis care and, well, i guess the healing circle -- you can speak for five minutes, ma'am. you have been here since 9:00. and then we'll hear from s.f. crisis care, have comment and circle back with questions that we'll have for c.r.n. and others. >> good morning.

excuse me, i'm a little dizzy. don't feel too good, but i wanted to speak on behalf of the healing circle. we will let you know that all i have heard has been really good. i myself am a survivor of four murdered children. and a lot of the resources that i have heard about today i have used and are still using. i only wish that some of the men and young women that are working with these various committees could come to me and help me a little bit more. out of 13 kids that i would

have had, i have two left. four were murdered. it's not easy being the woman trying to raise more children. we need men support. we are the healing circle. we are trying to heal, but our hearts are still broken. this month i would have had two children having a birthday on the 26th and the 29th and also a baby girl came up dead in the month of june which i buried june 23, so you know it's not easy to stand before you. i also was left with a wrecked family that needed support. i had some, but i still need

some more because the road is rough. george, paulette, betty, alvin, i can't call her name right now, but there are many that are trying our best to make this go forward. we even have young people trying to keep ourselves together. there are so many young people that have been lost by the way of violence and it takes a long time to heal. i just seem to break down from time to time. it's so hard and then to see my other two kids are falling apart, even though my oldest son is 45 years old, he is all

around me and i really wish i could do something. i teach my children to pray and leave to the hands of the good lord because they can do more and we can't. and some of those people that have been perpetrators are walking our halls for opportunity to retaliate some more. we're not bothering me. we fight this struggle every day to live day by day. i'm sure you all know about how i feel. it's hard. i have been clammed up into a little two-bedroom house because i couldn't walk. i am just getting to a little larger place. and my boys were living, i wouldn't have to worry about your organization begging for some money to pay last month's

rent and to help pay the rent. i got a little help, but i need more help right now. my landlords are asking for a little over $10,000. i don't have it. i'm hoping and prays that these organization will help me. i need more mental help in my family which is more than i can bear to try to wrestle with grown-ups. yes, i pray and i tell them about the organization that helped me. i'm used to crisis center. they come into my home. i don't mean to be too long, but they come into my home and take me to my hospital when my medication is all mixed up, when my children need help. they're young men, they're young women. they have outgrown the children

department. they need adult supervision. so please if you can help me with their problems, feel free to call, 2595, saturday, we meet on thursday night. we would glad for you to come out and be in our meetings sometimes and let us all know about the various resources. we pray for you. supervisor olague: thank you. thank you for testifying and also it's encouraging to know that you actually utilize some of the services and it really helped to know that. thank you. mr. christoph from san francisco crisis care. >> can i speak from here? can he?

yes. >> wonderful. let me introduce myself. i am christoph sandoval. i am the chaplain's for san francisco crisis care and a volunteer. how appropriate, how appropriate is it today that maggie stepped up here and really demonstrated human suffering to us because that is the critical question for us is how has a community, we come together to address the continuum of suffering in this city. i said earlier at the press conference, we are truly a city that is built on the premise of offering compassion and support to people in need and yet it is a tale of two cities. it's a beautiful city, and yet another part of the city has tremendous suffering. today, there two of us presenting today. i'm also the president of west side community services and the board of directors there. i'm a member of the clergy at the cathedral of st. mary of

the assumption. in an interfaith group, i see maggie and i see parents and i see brothers and i see sisters and i see children coming to me for spiritual care support at st. mary's in the face of tragic loss. the darkest moment in a person's life is a loss of a loved one. and to hold that is difficult. today i would like to present you to you a special needs assessment. if you can put it on the screen, that would be great. they don't need to see me. you see my bald head in the back, good. so one of the things that we say our mission is to preserve hope in the face of tremendous loss. and the basic piece is this. we have 25 fatalities in the city and county of san francisco not related to life thening illness or terminal illness. in another carnation i was a