months. all have been nothing but a waste of time. play out the farce in whatever way you want. i'm certain i will find the outcome both useful and musing. my future -- comment is from the novel. i will not help to you pretend i have a chance. i will not help you to preserve you have appearance of a righteousness. i will not help you to pretend that you are administering justice. >> next speaker. >> i want to echo the joe garrettey promotion. i heard

about it a week 1/2 ago. they said have you heard the word and she wrote and article in the chronicle. it was 87 comments for that article and i had tears in my eyes for people to say they loved him. no you on the negative side. i follow the department. i get my ipad program. if something comes up i see it. i get it. so i follow articles and i read comments and when i see police officers posting comments that is just stupid for an officer to say and admit they are a police officer especially one and i counter post them. i told them. you are a disgrace to the uniform you wear because you are releasing inside information that may or may not be true. but it was a huge problem in new york with that same thing. an officer getting on facebook pages posting bigot

remarks. so commissioner should lay the law down. he said it ain't happening and it could end up costing you your job. so if you get the chance, follow it. i gave one name and i gave the commission the other name. it's just wrong. thank you. >> is there any additional public comment? seeing none, public comment is closed. >> chiefs report. >> discussion of activities and presentation regarding mental health issues and presentation regarding sexual assault dna testing. >> good evening commissioners, public. my comments will be brief because we have the three presentations. very quickly part one crimes are up a bit about four percent, property crimes up about 10 percent largely due to the persistent

problem in burglary from vehicles. we urge the public to please keep everything in the visible part of your vehicle in the trunk or out of view including any sort of charging cords for electronic devices which has been much in the media over the last several years. mobile devices continue to be the no. 1 item of choice of thefts and robberies, not only in san francisco but around the country. we have graduated 45 recruits in the academy. it's a good looking group and they are out and about right now in their first phase. i want to thank and recognize chief beale who organized a middle school basketball tournament and we spoke to young people about staying out of trouble and the like and i lost the 3 point

shooting contest to i 12-year-old girl. [ laughter ] >> no shame in that, however. >> this demonstrates that women are every bit as capable as men and sometime more so. anyway, cinco de mayo went off well. in delores park we had 10,000 visitors. no arrest were needed to be made and officers were deployed and pretty much just public safety detentions for public drunkenness was about all we had to do. that's going to conclude my part of the report. if anybody has any questions about other going on, we can get to that in the question period . i will ask that those making the mental health presentation please come forward. >> i have a comment. i want to thank chief beale for the organization of the basketball tournament. i think these

indoor action between youth and the police department is very important. it not only important for setting up role models but it's important that youth at all age come to understand the role of the police officers and not be fearful of the police department and the interaction goes on. i have seen you do this before and i don't know that you get the credit for this. the basketball tournament in particular, i want to say, thank you very much for that. i appreciate it. >> thank you commissioners. it was a great time and we had a lot of great police officers there, the chief was there, everybody got lunch and everybody went home with a trophy and t-shirt. we had 69 kids participate. >> having been a middle school

for 15 years, i thank you for working with middle school kids. i know what that's like. >> thank you, we start to move to our mental health presentation. i just want a little preamble. we heard from people in the community that there seems to be more folks with mental health crisis that we've seen out on the street. you walk down market street and in the morning you see people in crisis. i want to ask what do you think, what's causing this and i reached out to the police department. what's the police department doing about this. the mental health professionals do their job but at the end of the day, the police department has to clean up the mess ordeal with these folks. you hear about crisis intervention training. so our officers have more tools. they are trained more in psychology.

they get some basic training in the academy and more importantly with many years of experience on the street officers learn how to deal with people that are in crisis. it's been a hallmark with the condition especially what commissioner chan has done. you can walk outside the block and see this. it's dangerous. we have elderly and children walking around and one of these person have a serious ramification. this has become an issue for the commission. i have been told the numbers haven't changed much. we heard that some of this could be caused by realignment with the state prisons releasing inmates with mental health issues and we are turning to whether or

not las vegas sending people here. why are we getting more people here. what it is mental health community doing because at the end of the day our officers can't spend all the time and energy they do when they approach somebody who is in crisis on the street. they have to do 5150 and bring them back to the hospital and this is not safe for the community. i have asked from this commission we've taken all our parts. we ask our mental health team that works this and in my opinion they are grossly under staffed but they are heroes and do great work. lieutenant? >> good evening commissioner. i'm lieutenant michelle from the special unit and dr. melissa, director of psychiatric services from sf

general. >> dr. na has a very busy schedule. i would like for her to be able to speak. >> thank you dr. for coming i know you are busy. >> of course. thank you for inviting me. so lieutenant and sergeant asked me to talk about what we've seen. basically as a way to start to orientate everybody. we see everybody in a lot of different ways. if police officers place someone on a 5150. we are the only 5150 receiver of the county. we are the only dedicated psych emergency room in san francisco which means we have certain resources that other er's would not have. we have seen 18 --

an increase number coming in for 5150. from total in takes we had 59237 and then to 62383. but that's still an increased number. the volume is increasing. the percentage of people is about the same. and when i say sfpd, that's not just sf p.d. but it's arranged about 42 percent. one thing i have worked with sergeant krueger on doing the cit training, why if we bring someone in on 5150 and

sometimes hours later. we are under bylaw only to keep someone involuntary for a hold, if they are brought in for good reason, they metabolize and clear, we can't keep them in the emergency room any longer. if people aren't mandated bylaw for treatment, we can't hold them and california as somewhat patient centered approach which we all i think appreciate and know about, but that means that a very high bar to force someone to get involuntary treatment. often times we have patients who have either committed a crime but also have a mental health issue but we try to work together on what's best for that issue and what's at hand at the moment whether

their breaking the law or having a mental health crisis. a couple other things about 25 percent of our population of people get admitted to the hospital for on going psychiatric treatment. we send about 5-10 to diversion programs and the rest of them we send to home, hotel or shelter. we can't force people to get treatment in most cases. it 25 percent that go upstairs, i say upstairs because the inpatient psych unit is on the 7th floor, of the 25 percent that go upstairs. i would say there is certain limitations for who gets involuntary medication and i think about 80 percent of our patients end up getting medicated once they aren house. again once they

leave, once they are stable for discharged in most cases we can't get them to on going medication treatment. the patients mount unit seems to increase. most of it is pressure on the system to continue to move patients in the system. if you are seeing people moving earlier, you are right. that is happening. why don't i pause there and see if there is specific questions you might want to know about it. >> i have one quick question. you said pressure on the system. where is the road where a patient maybe a danger to himself and the others. i saw a chief on a sunday on their way to work out and we were outside of a hospital and i drove by with my wife and there was a blanket in the middle lane of

traffic. i drove around the block and found the chief taking back that person who still had the hospital band on and just released from the psych ward. the chief went in there in his sweats and he said this patient has to go back in. i don't like hearing that there is pressure on the system. i heard there has been some budget cuts. how many beds have you lost and what can we do encounter this. at the end of the day officers have to deal with this when they get back out on the street. >> i can't speak for everybody obviously, we have the same exact concerns. i don't have an answer for you about what we can do about it, i in terms of speaking the cuts that we have received, the hospital has 51

beds. we had 57 until a couple months ago. they were due to nursing. it's a long story but nursing shortages and then a hiring freeze etc. so those beds may or may not be reinstated in the future, i'm not sure. i think a major issue is outpatient resources and where people can go to get care. there is often a wait list for clinics and not as much available as we would like. i think in terms of pressure on the system, i think it's a huge problem. it's a greater problem in terms of reimbursement and hospital functioning. i think the doctors and nurses struggle with not wanting to discharge. someone who is unsafe for

discharge. they keep people without being able to get paid for care. i think it's a constant battle that no one feels comfortable with. everybody works hard to lead with their ethics and end of job. i think that hospitals in the budget crisis. >> i understand. are you seeing a trend where the increase in patients where they are coming from. i don't want you to violate hippa but do you see them coming from other states, are you seeing a trend at all? >> i have not noticed a specific trend from one particular state. we do get patients from out of county, out of state all the time and it not always clear to us how they got to san francisco, whether they were put on a bus oh are voluntarily were on their own accord. san francisco

is a travel destination. people come to commit suicide off the golden gate bridge. i have not seen any specific trends. as far as the criminal justice goes we have seen people with criminal charges pending or interactions with the legal system and that's where sergeant krueger and i have collaborated very closely. there is not too many days that go by that we are not in contact. >> thank you, doctor. >> thank you for coming tonight, doctor. you said that california has a very patient centric approach. have you worked in other jurisdictions? >> i did my medical training in new york but i did my residency in manhattan and out here. my understanding is that in different states. i'm not an

expert on here but different states have different laws in material of voluntary treatment and california is liberal in terms of what the bar is in getting somebody treated involuntarily and that has major pros and major conscious. -- cons. >> when you say liberal, it's re in the hands of that individual. >> exactly. it's more liberal here than say south carolina. >> commissioners, i just dropped off on your seats a chart and i also gave a copy to our commission secretary for our public record. the chart is mental health service redeductions that is supposed to take place in the next two years. this is related to outpatient mental health

services and the list will probably get longer. these are for marginalized communities. this is for a 6.million reduction. i called mental health providers to get their feedback on what was happening with the system. they had said that if the commission wanted to take action and support and try to deal with this problem so there is less pressure on our police department that strong advocacy is not fighting for a reduction where they can ask for money back. as you can imagine there is not a lot of money towards mental health services so reducing it by $13 million is a problem. i appreciate the doctor here to provide us with the hospital. >> i also want to mention there

is dr. david pine, he's a medical director and he can speak directly towards the cuts of the department of mental health. he was estimating 69 million over all for public health. if we have questions we can ask him about it. i don't know if the doctor wanted to talk more about it but as far as the code 5150, each county can enforce their own standards and set up which hospitals can. again california already being liberal then we have a county that the extremely liberal. that's a double whammy, so someone as far as imminent danger to their mental illness if they are saying they are going to do this and this and their intention is to go layout in the sidewalk, but we have to hear what they are saying, it has to be respected. we can't

punish them for something that is potentially going to happen in the future. even though we have the concern of what's potentially going to happen. i just wanted to put that there. >> i just wanted to comment on the patient. if while they are able to articulate in the hospital even if they are still psychic, if they can articulate that plan and if everyone agrees it's a reasonable plan. we can't hold them. >> even though they are psychotic and with further questioning it fell apart what their plan was. >> i agree with you. i know it should be more than that and i

think our standards are definitely higher than that, but if someone can clearly make a reasonable. you can still be psychotic and delusional and you can still have a conversation about how you are going to care for yourself. >> thank you very much. >> what's the relationship we've been asking the question between homelessness and the mentally challenged. i want to use that word illness. >> i would say intricate. >> okay. so there are many cases that are bound and homeless. >> 40 percent of patients are homeless. straight off the block. 40 percent of our population is homeless. that's huge. i have no idea what number. i haven't done the reverse study of what percentage of our study has homeless. i would expect it's

quite high, at least 50 percent. probably in the 70-80 percent range. >> this wouldn't be for you. it's for the department. does the department track the no. of 5150 referrals? >> when we finish, amanda is going to have him go through it all. and i will be here to stand and answer questions. >> anymore questions from the doctor? >> thank you for what you do. >> counselor can you tell people about what your roll is in the san francisco police

department. >> first of all thank you for letting me be here. i'm at a special units. on a smaller scale i will get calls from a patrol officer because they keep going to the address and doing the exact same thing 20 times and they see there is a potential mental health issue and often i will call mobile crisis besides, he's also a mobile crisis center. they can evaluate the individual. my main part of my job is collaborating with adult protective services, mobile crisis. from here i came from the hotel because the gentleman wants to have his shotgun back.

he's going to let the va keep it. it's stuff like that, helping with weapons that people have firearms restrictions and if someone has a mental illness. you probably already know this. in case you know, the largest treating facility is jail for psychiatric treatment all over the country and here in san francisco. the jails, our population has declined and as that has happened over the last few years, it increased the number of people getting psychiatric treatment in custody and they needed more time having treatment. i also help with behavioral help court when they have folks that are trying to be in treatment and doing the best they can do and maybe something happens and they need to go back into custody and they call me and they can go back and rethink the plan. that's just some of

the stuff an then the crisis training. >> thank you, sergeant. >> basically biggest role that the police department plays in this unit is we try to track the habitual offenders, we try to track the, i don't want to call them the frequent flyers but they are on our radar. we get calls from the district captains and say this person is on the radar and we try to step in to try to deescalate the situation so the people on patrol are not responding to the same address. we create files on these people and track them to make sure they get the help they need. we work with san francisco general hospital and the director there and she's the integral part of the communication between all the working and moving parts with the psych liaison unit. >> any other questions from the

police department. >> i'm going to ask the question, how do you feel about your staffing? now the chief is going to give me a dirty look? >> almost everyone in the police department everyone needs staffing. we've prepared for it. yes. but yes, we can always use more staffing but we are prepared to lose ramsey in about 20 days and someone ready to fill his role. >> there is now mayor's office approved 45 sarjsergeant's position that we expect to depart in june. >> thank you for your work. >> mr. richard. i have tailored my comment and i have a lot of things to say. i'm going to

narrow and leave it open to questions. the chief asked me in december of 2012 to get involved as a coordinator of the cit program and i think we have a good and close working relationship with the cit working group. i'm here i think in a representative capacity tonight and i want to acknowledge the work of lieutenant's teen and yen and kristin who has done a lot of the statistical work for us in reporting. let me say in the first four months in the year we've worked a lot on the curriculum and we have worked on golden gate park which is nice for officers. a nice venue to be in and the police department is working quite well. we have documents to

pretty high rubrics standards and you have a one page chart up there that shows that we increase in our training this year from 118 members to 150 trained police officers. that's 28 percent increase over last year and from this first paemg you will see where they are distributed around the city and the rank of the various folks involved. we have two more trainings scheduled this year which will bring us up to over 200. right now we are at 12 percent of the patrol force. if you notice, one or two of these numbers don't seem to add up correctly, they are correct. some of the folks aren't a regular watch group. they are assigned to specialized units.

that's the result of our training. we worked a lot in getting what dem communications data of what's going on out there and someone attached can explain that. the up shot is that in the first four months in the year we've handled 5021 calls which would follow 800 call for service, 801 where a person attempting suicide or 5150. i know there is data that we are not catching but there is other solid data. there are other places making 5150 attempt. there are a number of dats and folks that we are dealing with in these categories. if we go back