feet and we might need the government assistance for the rest of their lives and in looking at how we provide that as a city and what are the costs involved and what types of services are we providing and the out comes that we are getting as a result. and about 50 percent of the budget towards homelessness is on supportive housing here in the city about 81 million dollars out of our budget. and one of the great things that i believe, came out of it and the number one goal out of our ten year plan. was to build 3,000 new supportive unit and believe it or not we actually achieve it or we will achieve it shortly and the final ones are in the pipeline, it is a goal and something that we have been able to meet and i want to be sure that we will continue to have a dialogue whether that is the most effective, strategy going forward and i will stay it as a preview, everyone that i talked to think that is the most effective way to go longer term, we are going to hear from a number of vings, first dufty

from the mayor office, and our director of housing and homeless for the human services agency and margo from the interim director of housing and health for dph and steven shom in sharing a report from the corporation for supportive housing and there is a lot of analysis, really, across the country on these issues and really taking an objective look and i think that their input is really valuable as a city here. and i want to thank especially those providing for the homeless population and i want to thank you for being here and all of your hard work and along with amanda from the office and you do an incredible job for our city and thank you for all that you do and i want to turn it over to you. snefm good morning, supervisors, thank you so much and first off i want to say that would the issue of homeless out reach, that between this committee hearing,

and when it was considered with the board, every member of the board spoke about the subject and it was really noted to me, how often one or two supervisors might speak even about a large issue that comes before the board and it really, resonated that i think that every supervisor is really interested in this moment in time and making sure that we are doing as much as possible, to end, homelessness in san francisco, and to, implement, thoughtful solutions that can work. and when it came before you at the hearing on the ten year plan i made an analogy that we get the letters from the young people from school and that in reading them, sometimes, i used to think that the solutions were naive and i think that at the end of this hearing, that my experience getting letters from fourth graders talking about everyone that is homeless needs a home, it is really not, a naive suggestion, it is really born out by research and our experience as a city and

when the chairman with supervisor farrell and how much we are spending on street cleaning cost and how much we are tying up the courts with minor infractions that prevent the people from accessing housing and really wrap the people into a justice system that is not where they belong and i think that is the thing that we are, at a point where the investments that we make, are sound investments that really are not the investments that are about moving people around and because ultimately that person becomes that much sicker and that much more broken down and the problem is just shifted from one block to another. and some of the things that i want to say out and there is a study and i know that, you will be hearing from the corporation for supportive housing but, there are 2013, study found that for every dollar and local fund spent to house and support patients reduces public and

hospital costs for individuals who are housed by $2 in the first year and $6 in subsequent years. and i also shared a study from los angeles, the brief executive summary is here is where we sleep and it was produced in 2009 and brought together all of the public agencies in la, city and county and when they looked at it in los angeles, you experience a 79 percent cost reduction, when chronically homeless people are housed and even when you add in capitol and operating costs for supportive housing the net savings is 41 percent. >> and you can ask, is this type of straggy going to work in san francisco? and the answer is absolutely yes and joyce and margo from dph are going to provide the specifics and i think that we are be proud of the fact that shs and dph have done a job in taking the leadership and showing that the most difficult populations can be housed and you can look at the success and

the chronic homeless in san francisco with 62 percent of our homeless population, and what we have been able to accomplish with veterans where we have a strong federal partnership and we have been able to be successful and working with them and meeting on a weekly basis and i think that in all of our hours, that our hope is really emphasized is that having face-to-face meetings with our partners on a weekly or a bi weekly basis has been instrumental in terms of our success in homelessness and other areas when we look at long term shelter stay areas and other areas that we can be improving if you look at the areas for san francisco improve, obviously the pipeline is a big issue, if you look at our housing pipeline, we are reaching the end of it and so having the creative strategies and recognizing down the road, we don't have a large number of project and if you focus on housing the homeless and so some of the master leasing and

looking at what we are trying to do, and although the properties and we are trying to get in quickly and generate the housing that can help the people move off of the street and i would say for myself, i feel like i have been successful and advocating and securing the housing and i think that it is just so clear that you can look at what has happened in seattle and how, this housing has enabled people with virtually no barrier, who the people, who are costing our system in san francisco, money is chronic, and i myself am guilty of the fact that not able to secure the housing and we have tried the different strategies and the reality is that just a 75 unit building like they have in seattle can allow them to live with dignity and we continue to have a high number of unsheltered homeless individuals, compare the cities and counties that is my we get the pressure to you and to the mayor about people being on our

street. and we have a disproportionly high homeless lgbt population, we are having a roundtable, where the department heads are sitting down with some of the agencies and organizations and i know that brian is here to really talk about strategies that we can have to address it. and then access to emergency services, one of the many reasons the motivater behind this committee and the leadership around the out reach is that the shelters are full and they are running 97 to 98 percent full, providence is the only shelter that generally has 20 to 25 beds because of the ability to get there and the people have to leave early in the morning and the people are sleeping on mats, if you look at our emergency services, the 1134 single adult beds, they are overwhelmingly filled and the housing tools that are going to be provided are essential to making out reach successful and to helping

people get on a path to housing. i think that in this role of looking at areas that we can be successful. just yesterday we meet with the chief of adult probation and one of the challenges is that understandable the sheriff does not want to hold people beyond their length of confinement, i think that is absolutely appropriate, but over and over again we see people released in the middle of night and it is not a time that it is possible for them to access shelters and also a time when you put people who have been incar rated on the streets, and if they wind up using it is a very high risk of people oding because they have not had drugs or substances in their system and so there is so much more vulnerable if they go back to using in that situation, and so we are looking at what sort of partnership can we have to provide temporary, demand responsive housing in the middle of the night when the people are released from yale is not seeing people beyond the street.

and the advocacy that supervisor kim and others have had and it is clear and i think that also as they partnered with us on family homelessness, our hospitals need to partner with us on the medical shelter and it is clear that they are people who are not capability to attending to the daily living and the staff are not trained to do that and so it is a bad recipe and it is a recipe for people, getting 911 calls, out of shelters and excess of what they should sxb hopefully this will be the year where we can sort of take this issue on and really develop, medically supported shelter beds that are below the level of respite care and above the level of what people can receive in a traditional setting and i would like to point out that i don't think that many supervisors know of the success that we have had housing pregnant and homeless mothers of newborns and over the past year, department of health and working with the service's agency and home and compass and other providers, and we have developed the path program.

which is pregnantcy assistance and temporary housing and it is very, very modest and we have basically have three rooms that we have in the star community home that we developed on the second floor with the volunteer help and we have five rooms that we are renting at the yale hotel and the three at star are obviously for single women because there are no adult men at that facility and the five are for the mothers with partners but we were having a crisis a year ago because of the high number of individuals and families on the shelter waiting list for families and you know, having mothers deliver and then having no place to go. and so just having a demand responsive tool that really is meeting that need has object solutely changed how we are responding and providing the ability for a mother to be in a private setting with the child and with the partner, and enables that child to have an immune system and enables them to go into a housing placement that was far better than what it was previously, what some of

the things that we can to improve the cost efficiency and get the most out of our money >> first and foremost, to my first point, keep it simple and make is simple. a clear and transparent profit to the support of housing to those who need it. make sure that we priorities the people based on the length of homelessness and as you know we are piloting a coordinated assessment effort and the human services agency and working with amanda in our office and both for veteran and single adults where we are using the best, federal program around length of homeless stay and short term, assistance and rapid rehousing for adults and families who don't need the services associated with supportive housing, but, are homeless. i also just want to say that one of the things that we have really advocated for is shared housing and you can look in los angeles and see that they have created a model where someone can live in their home and generate an income and make a livelihood by having the people placed in rooms in their

housing who, you know, have disabilities and have, special needs and have been chronically homeless and i think that that is a model, that can work here, and we have adapted changes so that the people can have shared housing with respect to section eight and i think in this difficult housing market it is something that we really have to do even more to make available people to be creative in securing their housing. and i think that we have to make sure that our emergency services remain open and fluid and i think that the supplemental really speaks to that but we have got to focus in on the long term stayers and a lot of work and meeting with dph and hsa to identify what are the barriers who have prevented people who have housing offers or should be at a stage where we are moving into housing and continue to fund the permanent housing exits and i think that we absolutely know that by putting more inventory on-line that we can house the people on the street, overwhelmingly, i am not encountering people that

are service resistant, i encounter people with justice barriers or barriers of possession, or having a partner that can't stay with them in the shelter and i think that permanent housing is the solution that can help us. >> thank you, director. >> any questions. >> okay. >> why don't we move on. thank you for being here, and for all of your hard work, and thanks for your presentation, also. >> good morning, and joyce, crum human services agency. and they touched on a lot of topics that i am going to cover this morning and i am going to run through the slide, and first i am going to cover, the single adult shelter and then families, and support services, and permanent supportive housing, and the cost, between sheltering folks and housing folks and then i am going to

end it, with a couple of slides, that are best practices, that are national best practices, that we have used when we implement the new programs, but the corporation for supportive housing will discuss, that, and further detail. so that is a picture of the sanctuary. >> and it is, one of our eight single adult shelters. and it is located in the south of market. and we have 1,134 shelter beds. 73 percent are males. 27 percent females. and according to the 2013 san francisco homeless count, 27 percent of women were homeless. >> the shelters operate, 24 hours. and next door and the

sanctionary. and south also operates a 24-hour drop in. shelter. and i am sorry. drop-in center which is part of the standard of care legend. and let me slow it down, legislation. out of our, or the one shelter out of our eight is what we called the self-contained shelter which is the lark inn and it serves the transitional aged youth from 18 to 24. and we also have a specialized shelter, which only occurs the sunday before thanksgiving, and it ends the last working day of february. which is called the inner faith and it is with our inner faith, community, and they house, and in different locations, anywhere from 60 individual men up to 100 depending on the location of the site.

so some of the services provided in the emergency shelter, i don't want to read them all, but, what i do want to highlight is that we do have some shelters that are 24/7, 7 days a week. and our meals all followed the san francisco shelter and nutrition project menu. and there is a staff person over at dph that works with our providers to make sure that the meals and nutrition is. but what i did want to highlight on this sheet is the new implementation of the 311 shelter reservation system and it is lessoned learned and it has been successful for quite a number of people, and it is a system where instead of standing in line, which we got

a lot of shelter beds. and they called 311 in order to place themselves on the list and then each week, the drawing is randomized and their names come up and they have ten days in which to respond. we have the lines in the drop-in centers for the individuals to call there and they can also receive, their place in line, by a simple text on their cell phone, and if the number is current. some of the support services that we include in our shelters, is housing referral, devon talked about being transparent about housing, and they have support groups, and some case management, and the reason that i say that is dph, in collaboration is what we call the sfstart team which is

a roaming case management team that hits the big three shelters and they provide services. >> if it becomes successful, i think that it is amazing because i don't think that a lot of people realized what it use to be. >> it was a system that is still entered into changes that you would go to, either get a one night shelter bed or a 90 day shelter be. >> what time would people start lining up? >> my staff went out as early as 4:00 in the morning to get a sense as we move forward with 311 what type of impact it

would have. and because bed would usually drop at 5:00 p.m. >> and people would be lining up at 3:00 in the morning. >> yes. >> to get a bed for that evening. >> yes. >> and so, okay, so the division of the 311 system. so, the good thing is that it you don't have to line up to get a 90 day bed, if they were not fortunate as i mentioned early. and we only have 1,134 shelter beds in our system, if they are not fortunate enough to get the 90-day beds, they still have to go, and wait in line to get a 1-night shelter bed, but what we are hearing from individuals, and i am quite sure that people will speak about it today, is that they are able to get, a 90-day bed where they were not before. and what we are also finding, is individuals are entering the

system that are actually new to the shelter system before, and the reason why we can kind of tell that they are new to the system is that everyone has to have a current tb screening, and changes. and when we find that they don't have, we can look to see that they have not, utilized our system before, because anyone that utilized the system knows that every year they have to get a tb test. >> so let me ask you, do you think that the long term impact and i think that, when the people hear this, it is crazy to the thought of having to stand in line at 3 a.m. in the morning to get a bed that night and you talk about the cycle of trying to break out of that, i mean that is self-perpetuating, have you seeing already, shorter lines? or is that something to come? >> well, from what we have heard from our providers, the lines are shorter. they tend to be a little longer in the afternoon, but definitely not in the morning, because they know if they line

up early in the morning, they are not going to get a 90-day shelter bed, because the 90-day shelter beds don't drop until that evening. >> got it. >> thank you. >> one other thing, that i wanted to say, both about the single adult shelter and the family shelters we have a great collaboration with dph and the public health nurses shuten and kate is a god send to the shelter and she was both with family and the single adult shelter to work with the people who are identified in the shelter system that really should not be in there because of health needs and health acuities. so i want to move on to the family shelter, where a 311 is the entry point into the single adult shelters, and we have a central intake point for our family shelter which is called

compass connecting point and it is located on market street. and they have a wait list, also. and what i wanted to do was to highlight all of the beds, the family system in terms of beds, is a little different than the single adult system because a family is at least one individual under or a minor individual under of age of 18. so connecting point which is a centralized intake place for families, they do assessment, they maintain the wait list, and there say weekly meeting with all of the shelter providers where the people that are on the wait list, if a shelter room for families open up, they are placed in there and so we have hampton, family

emergency center, which is one night or up to 60 days, and so they have 14 beds. and 32, of 60-day beds and eight cribs. and compass family shelter they can serve 22 families. and so a nucleus family that could be two parents, it could be one parent, with three to four kids, depending on who is on the wait list. hampton, family residence, 27 families. and saint joseph's family, center ten families. they all have 90 to 180 day shelter stays. shelter stays? the family shelter can be extended if there is a housing placement on the horizon. when we rent up new housing projects, through the plan to end homelessness, families are identified, and the wait list

is two to three months out and they qualify, they can actually get a longer stay in the shelter until they are able to be placed into housing and then we have two low threshold shelters and the friendly ship and it is new and it used to be bethel church and they have best beds, and i should not say beds, because they are mats on the floor and out of the providence shelter they make room for 21-night mats for families. a lot of families in the bay view does not want to track that to the central city area of san francisco. and so we make stays available at the providence. foundation and it is separate from the single adults and the single adults are in the gym and the families are in what the church called the family

life center. >> and if you could tell us real quick, if i am an individual or a family and i find myself needing a place to sleep at night and i mean, where do i go first? right? the family there is a central intake here with compass. >> yes. >> but you know it is a little bit confusing for people to think if that ever happened, or where people go or where to go. so from the family perspective, and we have met with so many of the great organizations that provide, are they all running for the compass? the beginning? >> yes. >> on the two low thresholds most of the community know that they are there and the what we encourage the people to do who go for the friendship or to providence was to put themself on the wait list in order to be eligible for housing when and if it comes up but it is basically through word of mouth. >> okay, thanks.

>> so the next slide is the services that are provided at the family shelter centers. and once, again, they operate, 24/7, 7 days a week, and meals are through the san francisco shelter and nutrition project. and there are a lot of children activities because what we find in our family shelters is that there are a lot of children in the system. they can use the shelter as their mailing address, and they are able to save and they are going to have some sort of income so that when the housing opportunities arise, that they have a little money towards a down payment. kay shooten also works with the family shelters. let's move in to permanent

supportive housing. >> we have a total of 3,7... >> excuse me. >> yes. >> i did want to ask about the family shelters, in visiting the star community home in the richmond district but also other shelters like msc and next door, i see that the concentration definitely is in the south of market and tender loin and you mentioned the bay view providence sight, i am wondering if there is a strategy to make sure that family shelters are spread through the city where the families are and what kind of push back would you anticipate from those efforts to be sure that there is a network that is not just concentrated in a couple of areas of the city but spread out a little bit more? >> and i would answer that

question with the response that i think that we get very little push back when it is a family. because, there are children involved. i know when star community opened it was with the funding from sales force. catholic charities was anxious to work with us, because their shelter of saint joe's which is on geraro street and it is a beautiful house. and to my knowledge, there has not been any... and i would have to refer to my program director cindy ward if there has been but in my eleven years, we have never and i have never heard of any, issues but in terms of opening... >> could i just say that there is a little bit of that behind the scenes but we had to set it up really quickly, but it was definitely a help to have a number of community based groups that could talk to members, and efforts by the police and dufty and others to really get the people on board and i think that you are right,

and as it is promoted as a moms and the homeless children. as opposed to the bay view shelter, that came up about a few months ago as well but i think that it is important to fight different shelters, as broadly as we can, and i am appreciative that we have one of the richmond district. >> yes, thank you. >> and okay. so, we are going to move on to permanent supportive housing programs. what i have listed on the document here, is this is the type of units that we have and so we have 3,261, and 67 of those above are sro master lease, which stands for single room occupantcy, thanks. and 20 percent shelter plus care and that is our hub funded program which is for chronic

homeless individuals. and 13 percent is what we call lost, or the local operating subsidies and those are new programs to hsa and new in terms of the sro master lease. and ten percent of our units are family units and 90 percent are adults. >> this is not... >> this is a portion of what we have in the city. >> exactly. >> just to be clear. >> thank you. >> all right. >> so moving on to the cost for the shelter which is i think why we are here today, to look at the cost benefits and the effectiveness of homeless programs in san francisco as a city. and so the cost per shelter bed, for all of our shelters, the average cost per bed, night is $29,