the other part of the caseload i was talking about in our traditional state youth, we have some wonderful staff there. she developed a plan called the success plan. most of our parishioners have a three-year probation sentence. she puts them on an 18-month success track. her goal is for them to be able to achieve all of the goals in the plan, and if they do, she will take them back to court and basically ask the court for reconsideration. it is about giving them the lifeline. that is where the motivational interviewing comes in. officers are engaging the population but also, if the individual ends up in difficulty, they know they can call their probation officer and they will get help. not just get a sanction. >> at 1:00 p.m. there is a schedule of government audit and

oversight committee meeting. we will need to keep moving this along. i know we have other presentations coming up as well, but thank you for the great presentation. >> in addition to that, we have been picked as one of four jurisdictions in the united states to do this two park project, trading for evidence- based practices. all of our stock will be doing that. we're reaching out for what is innovative and progressive out there and we may not even have to pay for. what i can tell you about prcs the coach, the summer, tenderloin, and vague -- bayview. that is where the population of the greatest needs are. the mandatory supervision by residents it code is the same thing. that is where the concentration is. certainly others and others of

coats, but we know that is where we have to established services. now i would like to turn it over to the district attorney's office. >> good morning, supervisors. thank you for having us. i will be very brief. as it relates to the district attorney's office, we have a very small portion of the budget. most of it is going to probation and the sheriff's department. the funding that we receive the last year and will receive again this year we're putting entirely towards ialternative sentencing. we are the only people doing it this way in the country under this rubric. we thought we need to bring in

some expertise aside from legal expertise to help the lawyers navigate the difference sentencing options. we have hired somebody with more of a case manager background from the community, has extensive experience with a different community organizations and programs that exist. on request, can help the attorneys explore alternatives to incarceration. we do this in the realignment cases, so he reviews of the files to see which one may need some additional attention. thus far, over 500 cases. and then goes to where there are particular challenges, either with declined or charges, or public safety issues. he works with the attorney to get a sentence that will minimize or eliminate incarceration sentence and create more of the community- based solution. we are finding great success in this program. we are hopeful to find ways to expand it. with our transitional 80 youth,

18 to 25-year olds, they are seeking out guidance with these cases because they are young people. serious cases but somewhere where we are trying to find an alternative other than state prison. we are seeing a growing need for this type of service. we are very proud of it. we talk about it everywhere we go. i just want to represent at the district attorneys association for california. i got a lot of questions afterwards about the work. it was something that nobody thought about do with their realignment dollars. they used them all to hire snew line staff. we are working to try to understand what we are working with. the other areas where we have made minor adjustments is in the early resolution program. this is a court room where we said cases early in the process to try to reach settlement. there are certain types of cases

that go there. we'll try to funnel the realignment cases to go through there so that we can get them resolved quickly come into treatment, and out of the courthouse. the sentencing commission, with legislation from the district attorneys, sponsored by supervisors weener and cohen, the first of its kind at the county level. the state has tried several times to create a sentencing commission unsuccessfully, so we thought perhaps we could create our own and that may infringe the state to look at its sentencing practices. that will be convening in august for the first time. it involves all criminal justice agencies as well as appointees from the family violence council, reentry council, and others. we expect to tackle some interesting work. it will be an opportunity to say, what have we been doing, is it working, what can we do better? what changes we like to see at the state level that will propel

better outcomes and reform? we look forward to being able to report back on that as it gets underway. we have also spent an extensive amount of time training staff. first, helping them understand the law, what it meant for sentencing, what kinds of sentences they could or could not legally request in a courtroom. and then more nuanced training. we brought on the department of health to do training on addiction. we brought in mental health advocates. we brought in our alternative sentencing planner who have done some training and different housing options. the ticketing them on the breadth of services available, which ones may be appropriate in their particular scenario. we continue to engage in that ongoing training. lastly, we are very excited -- we just parted with delancey street and we have opened up our own housing. 15 beds. we have been discussing the

program. very much a delay-based model, but separate from the larger structure. we have a lot of interest in that, and we are now able to offer some housing to people as they are accepting the county jail, looking to make that transition. those are the highlights. happy to answer any questions. >> any questions? no, thank you. >> i think the next speaker is from the public defender's office. thank you for being here. >> good morning, supervisors. thank you for allowing me the opportunity to address you. the public defender's office provides high-quality representation and due process protections for the individuals that are on prcs and mandatory supervision.

what the public defender has done is created a realignment team that consists of an experienced attorney who has worked in the collaborative courts and has a lot of experience working with a population in improving legal outcomes. additionally, a clinical social worker. together, they work with individuals that are correct the on prcs, mandatory supervision. what the team has done and will continue to do is design and advocate for alternative sentencing strategies. we have heard that over and over again. really, what we will be doing is making sure and advocating for individuals to not be incarcerated. for individuals to be released from custody and engage in

either collaborative court, community court, or other alternatives, so that we are not simply changing the address from state prisons to the san francisco county jail. the team will provide the courts with information that they need to make better decisions about the outcome. additionally, the realignment team will be advocating for expansion of the eligibility criteria and capacity for the collaborative courts. we have heard that we have the effective collaborative courts, the behavioral health corp., or whether it is the community justice center, or drug court. this is a great opportunity to expand on the capacity so that individuals can avail themselves to these services which have proven to be effective, have completely different recidivism rates, especially the drug

court, where the recidivism rate is less than 20%. the way that we have -- the way the eligibility criteria is now, we can really expand the criteria so that it can include some of these individuals who have the prior conviction to may not be eligible for drug court or behavioral health corp., it we know these and of being more effective in many cases and incarceration. -- than incarceration. you have heard about the collaboration taking place with all the agencies. i have been with the public defender's office for 17 years, and this is the first time there has been this incredible collaboration between district attorneys, probation, public defender, department of public health, and it is all of us coming together to improve the outcomes. we are working together to

identify resources, strategies. there is transparency. and without any of the department's however to compromise on their traditional roles. this coordination and collaboration is really important, so our realignment team will continue to maintain those relationships with the reentry council, be a part of the sentencing commission, work with the sheriff's community programs, work with the district attorney's alternative sentencing center, etc. the public defender's office has a reentry unit where we have six social workers, a clean slate program, and the realignment team will continue to court made so that we can continue to work closely together to lift those barriers that exist for individuals, provide the information that the court, district attorney, probation officer might need about the individual client, and work in

that area. again, there is lots of training required. the law is changing in this area. clients need to be advised of their rights to understand -- lots of clients think they are still under parole. explain to them not only what their rights are under prcs, but as it relates to flash incarcerations. ultimately, due process protections are critical in this process. if it is a corporate to file a motion to terminate mandatory supervision to make sure individuals that are entitled to be terminated from post- community release provision or mandatory supervision, that that actually happens and that there is legal representation for them if it does not happen automatically, as the probation department might be able to do. ultimately, if we are not able to resolve a case and we find ourselves in the court system,

then the attorney, working with a social worker, will investigate the case, prepare and conduct any relocation hearing is necessary. >> thank you. >> thank you for providing us some perspective. knowing that you have been here 17 years -- it seems pretty exciting and unique what is happening now. >> it is. >> i was wondering if that was the case. it seems and there is now one mind operating to really help people in to read back into society, in a real way. >> absolutely. there is a sea change happening right now. >> thank you. the next speaker is from the department of public health. >> good morning, supervisors. i just want to reiterate some of the comments that were set earlier in regards to the

collaborative relationship we have with a provision department and with the other partners in the city. it has been a truly impressive an amazing process, a profession process. the amount of collaboration, interface, sharing of information that has occurred in implementing this effort. within the department of public health, we consider the sex offender population able honorable population. it is a population that we know is in high need, levels of security, and also outside of the norm and requires a specific image -- intervention to assist individuals to go back into community. generally, individuals who are recidivism through the system are also recidivists to our public health system. the individuals returning to jail that are being arrested again are also individuals cycling through other departments at san francisco general or any of our other primary-care clinics that operate.

so we have a vested interest in seeing that this population are re-entering the community and receiving services that they need. over the course of the last fiscal year, the probation department referred to dph 293 individuals. based on the risk assessment, they may have needed some sort of level of care, be it substance abuse, mental health, primary services. what i have included in the slide is basic to commission with regards to the numbers on the more high-profile services that we offer. 17 individuals presented with serious mental health illness, and we are talking about very high levels of acuity. individuals on multiple applications -- medications, multiple episodes of suicide attempts. we have 36 individuals placed in a residential treatment.

46 that went to outpatient services. 16 transitioned into our house in. we did receive some resources this past year for this population. we were able to piece together a small spectrum of services, but 72% of all the services provided work through the larger system of care. that involves a range of services. everything from bed bug abatement to tb testing, medication management, the few 5150's that have occurred over the year. a broad range of services that we provide to this population. just ask ousome of the things te in high prevalence, obviously, high blood pressure, coronary conditions, diabetes. this population is very much

susceptible and exposed to hepatitis c. an interesting fact that we came upon a couple of weeks ago is that 21 individuals that we were providing services for were infected by hiv. all those individuals lived in the 92142 code, the bayview. all those individuals were previously known to the department of public health. so they were infected prior to their sentencing. upon their return to custody, we are able to return them to services pretty quickly because we knew who they were. in that instance, we are looking at some very seamless care that is really supporting this population in many different ways. >> could i ask a budget question? you mentioned the 73% of the

individuals you serve were outside realignment and funded capacity. i realize, with the new formula, there is more money that goes into public health. maybe $250,000 more a year? is that going to help? >> it is. we did an announcement of what we thought our knees would be this year. for the first year of operation, there was a lot of crystal balling that occurred. we did not know what population would be affected by these things. it was very challenging to try to ascertain the true level of resources that would be required during the first year. subsequent to that, we had an opportunity to look at the budget, where services are needed, and as well, look at where we can optimally get them, and we think we have a budget, going forward into the new year, that accounts for the true cost.

i mentioned this earlier, this cherry we created within department of public health. there is this modality that we have, residential treatment, outpatient services, primary care and stabilization housing. i should also mention the department of public health is the only public health authority in the state that operates a primary care clinic exclusively for this population. individuals re-entering the community from state prison are eligible to receive primary care services at our transition clinic. this is a clinic that is operated by an md doctor within the department, located within our help center. any of the ab 109 individual that come our way that have primary care issues can be referred to the transition clinic for a relatively

immediate connection to primary- care services in the city. one thing that we did create with the resources we were provided with last year, the realignment case management unit within the part of public health. this is a constituent program about the behavior of health access center located at 10th and howard street. i do not like to use the term one-stop shop, but it is. it is a place where an individual can come and see a clinician, be provided with a range of care and services that will support them in their reentry back to the community. it provides care coordination, case management to the population up to authorization for placement, and to various levels of care within the department of public health. it is a high-profile program. we work closely with the adult probation department. oftentimes, they will bring

probationers to realign the case management unit for services. it is at this venue that we can also and roll participants in helping san francisco and sf pass, if they are not eligible for other entitlements. we also provide toxicology screening. as i mentioned, we look -- work closely through the case management with the individual dpo's, so we can make sure that the provision is our minimum -- probationers are meeting minimum expectations. the year that started just now, we are very excited. there are truly innovative and interesting initiatives that we will be embarking on. we are going to incorporate additional treatment capacity with the resources, additional resources we will receive this

year. we will be expanding the provision of residential treatment, dual diagnosis' treatment, and we will be substantially expanding the another transitional housing we provide to this population. we will also be hiring three clinicians to work with this population. two individuals will be working at the adp community resource center. they will be coded with probation department to better coordinate care and to improve the communication between the department of public health and adp. just with regard to the cultural competency, the connection to institutes of higher learning, all of the staff that we hire for the realignment case management unit have to be certified by one of the three certification entities at city college of san francisco. so you have to have received or are in the process of receiving a community health workers

certificate, mental health certificate, or a drug and alcohol substance-abuse cert. at his uniform across all factors. we also have two intern working with this population, which has proven to be highly effective. within the realignment case management unit, and within the behavioral health access center, we have the capability on-site, we have seven languages spoken. we are very proud of the fact that we are able to communicate with such a broad range of individuals on a face-to-face basis without having to use the language line. also, the realignment case management unit is a pilot process for interpretation. so we now have a system in place, where we have a language that is outside of the threshold, we can contact the vendor and do translation by monitor.

>> i have to ask this question. i am trying to limit it because we have to race through the agenda. i just requested an informational session on housing for this population. hopefully, it will come up in august. september may be. i know you mentioned how you are focusing more resources into the transitional housing peace -- piece. hopefully, you will be participating in this discussion when we have this hearing at their reentry council, but one of the issues that you are able to address, i hope, and if not, maybe we need to invite the planning department -- in my past experience, observation, there has been resistance in neighborhoods to reintegrate these populations into their

area. i think we also need to address the issue of the stigma of reintegration. >> there is that stigma, but another big barrier is just the cost and availability. trying to find affordable housing for these individuals who are on extremely limited incomes is very, very challenging. especially if you're trying to get them out a of themix, so to speak, the central tenderloin areas that they already know. it is challenging. that has been one of the biggest challenges we have. the department has had a concerted effort over the last couple of years to try to source housing which is outside of the traditional areas of the sro's.

it is a big issue, a broader issue, and it does warrant a considerable amount of discussion. i would be happy to participate in any discussion pursuant to that. >> to emphasize some of these related issues, like the one you just mentioned, for the individual, to bring them back into areas where they were previously carried how does where we placed certain folks impact their ability to recover and rehabilitate themselves? it would be interesting to get it from that person's perspective. ask them, if you were placed here, how would that impact your ability to move on in your life? if you are placed in an area where you do not have that same kind of influence. >> you are always hoping for a

positive trajectory, that the individual will be able to meet certain expectations to reintegrate back into the community and to what extent does their situation make it all the more challenging. i do agree, supervisor, that it is a large issue that warrants a much broader discretion. thank you very much. >> thank you. the next speaker is vicki hennessey. thank you for being here. >> thank you for inviting me. good morning, supervisors. it is very exciting to be here. i was just reflecting -- 1977, i was a deputy assigned to the women's furlough program which was inside the old city prison on the sixth floor of the hall of justice. we have come a great distance over the years and i have to commend the former share for all the work that he did.

i also want to echo the collaboration in this effort. currently, since i have been in his recent position, has been great. i also want to a knowledge of leadership of chief still and all the work that has been done. we are talking about impacts to the sheriff's department for ab 109. we are very fortunate because the population has seen a steady decline in the in the population. it has been hovering around 1500 to 1550 for the last few months. prior to that, 1700, 1900 the year before that. it has been going down. that has allowed us to use the resources that we have always been using for community programs and to use them now for this population that is coming out of state prison or directly to us, instead of to state prison.

i have a slide here talking about the parole violation we have seen. those are really jumped. yes, they have jumped quite a bit. a total that we have had is about 1439 parole violations in the past 30 months, which is a dramatic increase. we still have maybe 20 a month at the most. this is kind of on heard of. however, if you look at that, some of them were sent to county jail for parole violations, some released without any further effort on our part. we have a number of violations, some with parolees. once again, violations, not people. some of these people have violate more than once, some more than twice. >> what are the reasons for that huge increase in parole violation? >> i wish i knewe