5% over 60 in the mission was 12%. and over 70 in embarcadaro. 25% female in the mission. there was some indication that was an area we needed to focus, female outreach. and we know that the city of mayor knew about somewhat surprised [speakeno 30% report health concerns, but we observe 60% and that's one of the things we find when we health status. they many times don't know that they're sicker and have reported their homelessness due to finances and other half reported it due to their health ou know a reasons. again, i talked a lot about the affordable care act.

we want every homeless individual to a primary care home. ave done some work a crisis residential. last year in the budget we did a good job of repurposing our behavioral health center because what we found was that the federal government is now changing what is acute in psych for psych beds. and, so, those who were -- so, we have a large group of people who were not acute in the hospital at the very expensive level of care. so, we wanted to build some layers of care that were more appropriate for them and, so, we are going to be opening up 23 psych respite bed so those who are not acute in january san francisco general in the psych area, they'll be transferred over to the psych respite area so they can continue to get care, not acute. we won't have to spend the dollars on an acute hospital and we can still provide the

kind of stabilization that they need before their next level of consider. we just [speaker not understood] they will open 12 crisis beds in merger with medical respite. we'll have 60 additional direct access to housing units. and in this year we have expanded our hot team to 50 stabilization rooms and additional social worker, three case managers, and one outreach worker. we will be looking at an rfp to increase our social workers and our staffing model and we've been working a lot with our business improvement district through the support of bevan who is out there with these businesses and we're looking at trying to have them support us by helping us hire staff to focus directly on the areas that they're concerned about. we're opening one in union square in 2014. and as i've said, one of the areas that we really wanted to

have the hot team focus on is targeting outreach to our managed care i don'teder nation of high users of multiple systems. the department is going to be very challenged. we're a fee for service. so, any time anybody came into our health area, any time they came in, if they came in five times a week, they would get the same reimbursement. in the future we only get one reimbursement a month so we really have to care manage and ensure people are case managed so we can be more financially feasible in the future. i talked a little bit about shelter connect. and i'm in conversation with the public health nurses to really look at how to -- we can't really set up -- it's not as efficient to set up many clinics in the shelters, but we certainly can have public health newerctiones in our shelter. we're looking at that for 114 now who has done a fantastic

job at many of the shelters. we need to give her support to assure she's providing linkage for those in the shelter needing care. and as i said, we are looking at convening a stakeholder group to review the behavioral health needs for the entire city. >> so, thank you so much for your presentation, for all of your hard work again, and working together. you've been a great person to work with and thank you for all of your efforts. >> thank you. take care. >> colleagues, any questions at this point? okay, all right, thank you very much, ms. garcia. >> thank you. >> last but not least, we have jennifer friedenbach from our coalition on homelessness to speak for a few minutes. and thank you for being here and all the work you do as well. >> thank you for having me. i appreciate it. jennifer friedenbach. so, i'm the director of coalition on homelessness. i've worked at the coalition for 19 years, 19 very long, sometimes acutely painful and

often very inspiring years. sometimes they're in the same year, bolt of them. i was also part of the ten-year implementation planning council and so we really got very specific read backs progress on the plan. what i went through today is i went through the original plan and tried to outline what the successes have been, losses have been, some policies for the future. i wanted to talk a little before that how coalition of homelessness works to put it in context. we do community organizing which means we organize homeless and poor people to create permanent solutions to poverty and homelessness while protecting the civil and human rights for folks who remain on the streets. we do a ton of outreach to folks who are homeless and poor between four and eight outreaches every week.

that is an attempt to keep ourselves accountable. we truly represent people who are impacted by the housing crisis. that a lot of time puts us right in line with what city officials is trying to do with homelessness and puts us in an oppositional place. beforehand i make these comments, i can say we've had the most successes when we worked together and tried to develop consensus and moved away from divisive issues and came up with amazing solutions. we've been able to do that collectively as a city. some of the successes, you know, there are more than 1400 units, new units of permanently affordable housing for homeless men, women and children. it's been hugely helpful. we've had a mass expansion and prevention effort to keep san franciscans in their homes. last year the board and the mayor put a million dollars into expanding prevention.

they've shaved off displacement for 1200 households. amazing. we doubled efforts. we'll see. that only met 15% of the need. as we talk about this, we put all this stuff in homelessness. why does homelessness persist. that is what i'm going to try to deconstruct today. it resulted in 300 families exiting homelessness. we opened critical psychiatric services. we moved a bay from line bay systems. we hope in the next couple weeks we'll be having a more accessible shelter system for single adults. there's been a lot of work integrating substance abuse and mental health treatment. we passed a housing trust fund. all of these have been milestone perspectives with regard to homelessness. since 2004 we've lost about a third of our shelter beds.

there's been, you know, now of course talk of expanding in the bayview and lgbt shelter that will open up hopefully soon. we've lost about half of our drop-in capacity since 2004. i did an analysis that i talk about a lot in 2011 around the department of public health cuts. and between 2007, which is when we first started doing some pretty dramatic cuts, to that time we had about $40 million in direct service cuts to behavioral health. the reverse of all three of these things, i can't really put into words. i mean, it's been very dramatically negative. we've seen increased a queue it, deteriorating health, the impact on the combination of those cannot be overstated ~. we've also had huge losses in housing funding. so, when we look at homelessness and we kind of go back to the early homeless crises days, we often talk about the 74% kudo in hud that

happened between '78 and 1983 that created this huge homeless crises. we've had really huge losses over the last 10 years and -- in housing from the feds. we've lost construction for seniors and people with disability housing. section 8 has been seriously cutaway at. we've lost federal funding for public housing. we've seen serious deterioration for public housing as a result. many of us believe was trying to eliminate public housing. we've seen huge losses in cdbg. we've seen funding losses in redevelopment. of course we tried to replace that with housing trust fund. ideally we would have the housing trust fund and redevelopment so we could augment this huge housing crisis we're facing. we've lost, you know, state funding through the affordable housing bond since 2010. so, all of this is really adding very dramatically to the really severe housing crises that we're facing in san francisco. i want to spend a little bit of

time around challenges. we still continue to have a challenge around discharge. discharge from private hospitals and public hospitals. we're still having people ending up in our streets and shelters that are in no position to be there. of course it's very expensive to keep people in the hospitals. so, this is an ongoing challenge. one of our biggest challenges from the perspective of coalition on homelessness is the very deliberate and continuous demonization of homeless people themselves. and this has kind of ranged from this sort of intense mythology around homelessness. you know we talked today a little bit, i think the gentleman from applied research did a good job of showing [speaker not understood] is not real, but that has really entered into i think a lot of our policy. a lot of our policy has been making it as comfortable as possible for people to simply disappear, that people are

choosing to be homeless and that's why they're out on the streets. this sort of -- it's gotten to the point where it's such a creation of what feels like almost a permanent under class in our dialogue. it's almost as if it's a separate population that came from another planet the way we talk about it. i mean, really. you hear it all the time. i was walking my dog in the park, a man in the park said, i didn't know homeless people jogged. a really negative thing. homeless people are no different from impoverished people. the only difference is if you have a housing subsidy or not. i tried to cut this, you know, this idea of people coming from other places in a bunch of different ways. one of the things i looked at, it's a number of bus tickets given out of town versus the number of people based on the raw numbers from the homeless count who came here for services. and san francisco has given --

for every 22 homeless people, a bus ticket out of town, one person has come here for services. so, you know, that's one way to look at it, but there's a lot of different ways. and i think what this sort of mythology has done and certainly the hatred lead to violence against homeless people in the streets. the mythology has made it very difficult to develop the popular support that we need to create solutions to homelessness and has, you know, kind of furthered the acceptable use of homeless people as a scapegoat in various political races. and when we talk about homelessness and we read about it in the media, if you take out the word homeless and you put any other word in there, it wouldn't be acceptable, yet the homeless population is over represented by members of the lgbt community, by african americans, by women who are victims of domestic violence,

disabled people, all people who experience severe oppression in our society are over represented in the homeless population, yet we continue to feel like it's okay to talk about human beings in such a hateful and dehumanizing way. i wanted to talk about that because i feel like that is a major challenge we're facing as we move forward that needs to be addressed. continued criminalization of homeless people, of course homeless people get between 11,000 and 18,000 citations a year for being too poor to afford a place to live. this massive competition for affordable housing, disparity between income and rent continues to get broader and broader. so, moving on to the policy ideas. i talked a little bit about prevention, but we really need to close off the entry into homelessness and i think we can do it. we've been doing it in really smart ways. when, you know, mission neighborhood resource center did it one time, just look at

their clients. not so long ago, 40% of their clients were homeless for the very first time. so, we have a large number of newly homeless people also. i know this is about chronic homelessness, you know, but we kind of prefer to look at it as a holistic issue. so, one of the things we want to do and we made some leeway, we need to go farther. we need to halt all preventable [speaker not understood] in san francisco. legislation and budget action. there is a lot of stuff that's being discussed here. we'll be coming forward with budget proposals around this, but we shouldn't have anybody else lose their rent control apartment in san francisco unnecessarily. we need to develop eviction standard in nonprofit housing and public housing. we talk a lot about eviction in the private market. we need to really kind of set the standard in our nonprofit and public housing and have a mediation before it goes to eviction. since 2009 the eviction

collaborative said there's been [speaker not understood] human agency funding alone. since those folks are coming out of homelessness, presumably we can say a good proportion of those rushed to homelessness after eviction. it is so much harder to get back in housing. that is something legislatively we can do, get creative and avoid it. we also need to look at our shallow rent subsidy program. you know, we've had a lot of success with it with like i said, about 300 families. how about using that in a creative way to keep low-income household in the rent control apartments for folks that are paying more than 07% of their income on rent that are at risk of losing that housing and having the subsidy ~ so that the housing is unaffordable for them becomes affordable. ~ 70% we can also look at having a deeper shallow subsidy program and supervisor avalos alluded to this in talking about section 8, that many -- the

shallow subsidy program in san francisco is having an increasingly difficult time placing families inside san francisco. so, what we're doing is paying for a subsidy and we're placing san francisco families outside of san francisco. so, we need to look at that a little differently, have a deeper subsidy and be able to keep our folks in san francisco which is i think what all of us, you know, you know, we have a lot of agreement on that. this also can be, you know, part of a budget proposal this year that we can do. we need to create more exits out of homelessness. i talked about creating a deep permanent subsidy. we can also fully fund the san francisco housing authority to meet their infrastructure needs without using the housing trust fund. so, we got the housing trust fund. that was amazing. san francisco housing authority was hit where we have these infrastructure needs. so, the housing trust money, you know, is being diverted over to keeping our public housing which is incredibly

important, but we need to do both. so, let's get the money into public housing from general fund and let's have the housing trust fund create new units of affordable housing for folks to create those exits out of homelessness. bevan dufty had talked about this as well and i couldn't agree more. opening up the housing authority wait list, prioritizing homeless san franciscans and fill the vacancy as quickly as possible. we've gotten better at the housing authority, but you can drive up to potrero hill and count for yourself, how many boarded units there are. makes you want to pull your hair out. why is that unit sitting there? so, keep moving on that stuff. we have some stock there as the housing authority moves are happening. eliminate unnecessary barriers to housing. you know, this was talked about a bit. you know, we talk about credit ratings as a barrier. we also have the criminalization piece.

people get tickets, they can't pay them, they go to warrant, they get kicked off the housing wait list, they can't get into our other housing. when they have active warrants they can't differentiate what it is. when you get a ticket and they won't give you housing because you couldn't pay the ticket and so you're duck on the streets. and, so, really trying to get rid of those barriers. we have tried the criminalization, it hasn't led to people getting off the streets. it actually as praythtion it. ~ exasperates it. we need to look at the master lease. 28 units were master lease units. it's often talked about as supportive housing. supportive housing from the federal definition means it's affordable, that it's permanent and that it's supportive. most of our master lease housing is not affordable. people are paying more than 80% of their income for rent. it's obviously not permanent. it's a lease that has a time limit on the end.

we're mutting money into private landlords, there's equity in it. we get people off the streets quickly, we are able to improve the conditions, we're able to stop the practice of moving people from room to room every 25 days so they don't get tenant rights. there are a lot of positives, but there are some serious draw backs. we're doing the crises, 10 years into it, okay, 14 million a year, we're not getting equity. maybe we can take a look at that and try to figure out, addressing the affordability issue, for example. the mental health treatment system, i talked a little bit about this. you know, if you talked about kind of the old coolers like the joe ruffin who worked in department of public health 30 years, mental health, some other folks who had been around a long time. they talk about san francisco, the flourishing mental health system we had in the 1970s, and

then the loss of our board and care, and all this stuff happened. but we continued to seriously deconstruct our mental health treatment system. we lost a lot of really solid program. we had amazing peer run programs that were incredibly effective that we lost. we can do creative things. we can have assertive outreach. we can do a whole bunch of stuff where it addressed the very severely mentally ill people that were not going today. we have a whole lot of untreated mental illness out there. i think we all can acknowledge that. we need to make sure we address it and we should be making sure that people have medical treatment in the same way they do and, you know, they get in a car accident or any other medical issue. it's really not the case right now in san francisco. people do not have access to mental health treatment in the way that they should. and lastly, we'd really like to

see a concerted effort to end family homelessness and get really aggressive about it. even though many of our families are chronically homeless, you know, many of our families go from shelter to hotel to shelter, friend's house to shelter. experience homelessness a long time. we've been astounded at the numbers there and we have less than 10% of our housing in the pipeline for homeless people targeting homeless families. we've got 2400 children experiencing homelessness in our public schools. all of this impacts the city and it's the most devastating for the kids and the families. but it's not insurmountable. i feel like a city like san francisco could really get aggressive about it, put some serious resources into it and end it, halt it, stop it. thank you again for having me. if you have any questions. >> thank you very much. colleagues, any questions?

and i want to thank you for working together. we had a great conversation the other night and met a few times. thanks, look forward to working together on these issues. >> thank you. >> any questions, colleagues? okay. at this time, no more speakers left, we'll open up to public comment if there is anybody in the public who wishes to comment on this item on in hearing, please step forward. everyone has 2 minutes each. if you want to comment please line up on the side wall and we'll start taking people one at a time. thank you for being here. mr. wright. i want to comment on the treatment and demonstrations where black people, particularly african americans not getting shelter assistance and how it's centered directly in the bayview district. about 10 years ago i came before you and i pointed out violations of civil rights and differential treatment pertaining to females when you have drop-in centers for males

and there was controversy where you were shutting down female drop -in female centers. females are on the receiving end of domestic violence and they're having trouble and down in their luck. i have to come in and speak where you have a situation enjoyed by males and not enjoyed by the females, and as a result shortly thereafter there was a drop-in center created at the mission district area by that freeway on otis street. now, i'm coming to you again under the same pretense of constitutional law. you seem to be violating constitutional law, due process, equal protection under the law pertaining to blacks in the bayview district where you don't have any shelter systems out there. it's not fair to them to have a drop-in center there and be up all night without the shelter

system to get themselves together. so, i wanted to point that out to you. and also would like to speak on one more reason why there is such a cycle of homelessness pertaining to people have drug addiction problem. i recently found out that there's a proposal by an individual who happens to be a black man who wants to pass out crack pipes. subject to that on the ground that's keeping people in the recycle loop when the truth of the matter is you need educational system to let them know that smoking cocaine deteriorates your brain and your cerebellum, the main part of your brain that causes you to remember instead of encouraging them to come get crack pipes -- >> thank you, sir. i appreciate it. thank you. next speaker, please. hello, supervisors. brian basinger, director of the aids housing alliance. thank you for taking the time

to hold this hearing. i'd like to encourage you to also think about reframing the angle about how we look at services in san francisco. we can look at services also as a job creator. i know that people with hiv and aids bring down more federal and state money in san francisco than we consume in resources. and, so, economics, it's all about bringing in money from the outside and keeping it and recycling it. and also in our service category there is actually not a lot of leakages, leakages. so, those funds are recycled within the local economy. you know, people with aids, other disabled folks, homeless people, we're job creators. and i think it would be interesting if somebody commissioned a survey to look at just how many jobs people with hiv and aids and the populations that we talk about are creating here. also they were touching on it earlier, we would really appreciate giving great era tension to the needs of

homeless lgbt people where 15% of the population, about 29% of the homeless population, similarly people with hiv are 2% of san francisco's general population, but we're 10% of the homeless. and, so, there's a lot of disparities and homelessness and also there is disparate impacts about homelessness. recently i was speaking with the epidemiology department at the department of public health and 20.4% of people with hiv have been displaced from san francisco in five years. and what happens when we get displaced is we lose that package of civil rights and legal protections that we have invested decades and creating in san francisco. we lose rights, we lose access to marriage equality, we lose access to job protections, we lose access to protections against discrimination and housing sexual orientation and gender identity. there is an entire package of civil rights we lose when we leave san francisco that you people don't have that problem with.

so, i really want us to focus on that, thank you. >> thank you very much. next speaker, please. good afternoon, supervisors. dan bauer sock with the homeless prenatal program. i have two points i wanted to make. first of all, i wanted to call your attention to the city of los angeles's plan to end chronic homelessness and [speaker not understood] by 2015. i don't want to hold them up as a para gone, but it's a plan, call to action, diverse group of stakeholders. it's not just about government action, but also the private sector, faith-based groups, individuals. they call people to action to donate to the cause to help out in whatever way they can. and it's written in an accessible way. there's not a lot of policy discussion. it's more about the concrete steps that the community is taken to tackle this issue. it affects everyone, not just

the government, not the specific group. there are milestones and they're checking in, measuring their goals. there is accountability, there is a regional mind-set where it's not just focused on one city or county. we know it's a regional issue so let's tackle it with regional solutions. and second of all, i wanted to speak to supervisor avalos's point about section 8. there are some weaknesses right now with that model. fair market rates set by hud have not kept pace with [speaker not understood]. what we end up having is landlords that don't want to accept the vouchers because they can get more in the private market. we now have more people with vouchers searching for housing than landlords willing to take them. i think it's important we get creative, maybe stacking subsidies on top of each other. we can't just throw money into a program like that, we need to

get creative about the rules of the program and how we can compensate for of this smoke imbalances. thanks. >> thank you. and thank you for what you do in your organization. next speaker, please. good afternoon, i'm bill hirsch with the aids legal panel. we provide legal services for people living with hiv and aids. i want to speak to the homelessness prevention piece of the plan. i am here to say that the recent investment that the city has done in eviction prevention strategies has made a real dramatic impact on our ability to provide services. we hired a new housing attorney and it makes all the difference in both the number of folks that we can serve and the extent of the service that we can offer an idea very quickly where we can work with city and publicly funded housing to try

and prevent evictions through mediation. we're going to come forward with a proposal on that. it would be great if we could see the city invest that support. thank you. >> thank you very much. next speaker, please. good morning, supervisors. i'm gail grumman, the executive director of the community housing partnership, the largest builder and operator of permanent supportive housing here in san francisco. so, i want to thank you for having this hearing today and we really wanted to sort of hit on an aspect that both bevan dufty the director of hope and trent rohr the director of human services agency touched on, something that we see sort of a lack in our continuum, which is a pathway and the housing ladder for individuals. we know at the community housing partnership, now having close to a thousand units of permanent supportive housing and close to 1800 people living in that housing, that we know there are individuals who couldn't transition to either affordable housing, public