thank you. >> okay, so i left off at homeless prevention funds, 214 family households, were provided with rental subsidies and 120 family households were diverted from shelter. so i am going to move on to our adult emergency shelters which is ages 18 on up. and we have a total of 305 female shelter beds. what i would like to highlight is this coming fiscal year, we are adding an additional 25 shelter beds through a woman's place and we are starting a pilot program, to parallel the interfaith winter shelters for men for women. we have had a numerous conversations about why we don't service men, it is difficult, in the winter

shelter to house the two populations together because they move from church to church. this pilot program has been awarded to the providence foundation, and it is going to be held in the western addition at the bethel ame church. and at one point, it was the family winter shelter and we changed locations about two years ago. so, we are going to pilot this program with 30 mats for women only, it will begin the sunday before thanksgiving and it will end the last calendar day in the month of february. so some of the services that are provided are universal services in our shelters that are provided for women, who access our shelters.

and what i would like to highlight that i highlighted when we talked about shelters is that we do have a public health nurse, who is assigned to both the single adult shelter and the family shelters who can intervene when clients have a higher aquuty that requires more medical attention and that is kate shooten from the department of public health. >> so the central intake and the family shelters as i highlighted in the initial hearing, is located the family shelters are located in five area of the city. and it was the south of market the tender loin, mission, western addition, and bay view and there is a 6, 1, which is on gerero street which is the

saint joseph's shelter. >> families are provided with 90 to 100 days of shelter stay. and we have a lot of children activities that are provided throughout our shelters for the families. one thing that we like to highlight in our services to families is the ability to get child care services. so it is called access. accessible child chair expedited for the family shelter. currently it serves approximately 80 children in the new fiscal year, 14/15 we are expanding to 120 children. and it is a unique child care subsidy program, you must have at least one child under three years of age, families living or formerly living in homeless

or domestic violence shelters. and they are throughout the city but with child care providers. and another part of services for women and children is our transitional housing programs. there are 12 to 24-month stays, and many stay shorter, this is a program that stabilizes a family from either shelter or street, to participant in programs, program goals, and the ability to save money and then the ability after the 24-month stay to move on to a permanent supportive housing and in some cases or just permanent housing outside of our portfolio or supportive housing. and the services vary, you can get case management, educational and vocational

planning, and job search and housing searches, a big part of the transitional housing program. so we have three transitional programs. >> supervisor mar? >> yeah, where do star community home by the catholic charities run, which of the district shelter for women and families, where does that fit into the system and what happens after private sector money runs out for programs like that? >> well, it fits into our system because they use our family wait list to move the families off of the wait list into the private sector funding and it is not under hsa umbrella, it is a direct grant from the sales force to the catholic charities but they work hand in hand with us on helping us to reduce the wait list by moving families from the wait list into the housing.

>> and then besides that stark media home, they are starting to see the church on geary and 8th avenue, what are the programs that are like that and how many families are served by those non-profits? >> i am not familiar with the ones out in the richmond, but i do know that we have family shelter programs outsides of hsa umbrella and i am going to call cindy ward because she is the program manager and she can give you the name of those particular programs. >> good morning. and primarily, rafiel house is the shelter that works with the hsa and they attend our wednesday, meetings where we placed the families off of the wait list into shelters and in the star community home are the primary partners that we have that are not city funded and we also see the families for missionaries of charity which is a very small, shelter,

operated by a group of catholic nuns who also take pregnant woman. >> and thank you are there any indications that it will continue the funding for beyond this coming year? >> i am going to let devon answer that, but what i can say is that there is about 130,000 general fund dollars supporting the star community program. >> thanks and i know that jeff is here from the catholic charities and will testify as well. >> the city provided $135,000 through the human services agency to close the gap and this has been an intention on the part of the sales force foundation to see more funding take place by the catholic charity and we are going to get involved and support that and the mayor's fund for the homeless and the board is approved and transferring to the hsa and the hope office that we hope to support them as well. but sales force feels that this

has been an extremely successful program. and particularly, that the catholic charity has done an amazing work with the blended families where some are documented and some are not, and they have done the incredible work in that area. and we certainly want to work with them and make it sustainable and i think that is what the goal is, it is clear live a great success, thank you. >> okay, so let me highlight the three transitional housing programs. first of all there is compass, which is claire house. and then there is cameo house, which is operated by the center on juvenile and criminal justice and for the women exiting the criminal justice and it is in collaboration with the adult probation department. and then the safe house and it is operated by the san francisco network ministries and it is for women escaping prostitution and sex trafficking women identify as

women, but some identify as transgender. so they are a part of that program. so let's move on to highlight women that are in our permanent supportive housing program. and we have 118 women in our permanent supportive housing, 33 are in what we call the care not cash program. and 89 in the care not cash programs. and two, women are the veron and the mary elizabeth inn, which is also the entity that manages both of those properties. they are called the mayor elizabeth inn. and our services provided in the permanent supportive housing is intake and

assessment, out reach and engagement and food pant triin some of our buildings and definitely medation and housing and conflict resolution. and so i want to end my presentation this morning, and tell you about a very exciting program that hsa was able to win one of five awards across the nation. and it is called families moving forward. and it was a national competitive prokurment through the department of health and human services. we were awarded a $4.3 million grant, and in october of 2012. and in the first year was planning. and so we were fully implemented in october of 2013. and the program is research-driven. so they do randomize control

treatment groups out of the individuals that we identify through the child welfare system. and there are 32 families per year, that are selected to participate in this particular program. and this is part of a national discussion about homeless families in a child welfare system. they meet once a year, the five groups to go over issues that have come up, best practices that they have used to implement the program and to share with other individuals. and so part of this particular program they provide intensive wrap around services to provide stability so that once housed they can complete a child care and a child welfare case plan. they provide insensitive mental

health treatment and ssa advocacy services and as i mentioned earlier, it is for 32 families per year. and the first group of familis that we have identified will be moving in to permanent supportive housing, and a newly rented building by mersy housing, in early july, and august of this year. so, that completes my slides and i will entertain any questions that i possibly can. >> thank you, joyce. >> colleagues any questions for hsa? at this point? >> okay. >> all right, thanks. >> much appreciated, thank you for your presentation today and for all of the information. >> and up next, we are going to have margo back from dph, and thanks again for all of your hard work on this issue as well. >> and good morning. supervisors. and nice to see you again. and i want to give you some dem

graphics and service information about homeless women and families from the department of public health perspective. and a lot of those numbers are going to be about women. and i am also, i will also be giving you numbers for transgender women where i have them. so, the department of public health annual data i am comparing here is the homeless count is the direct access to the housing population and because these numbers are very different as you know, i was comparing percentages just to kind of show what the picture on the street is, and which is in san francisco, as well as nationwide, around 25 percent in san francisco and 27 percent women. and in the direct access to housing population, we are glad to be able to house more women than that. and we do not athis point have

women specific buildings. and what i also want to tell you about women that are in supportive housing and in general, the severity of mental illness among the chronically homeless women are greater than the homeless man and i will get more into that later. two-thirds of the women who have been housed, report to us that they have had children that very few have retained custody of the children and many both and they have lost any contact. and again, this is another indicator of mental illness and substance abuse around women that they don't have a connection and in fact, a lot of times don't know where their families are. terms in gender and these are the department of public health numbers from the coordinated

case management system. the women that we serve is about 23 percent of women and these are homeless women, women at risk and former homeless women, and also, women in supportive housing and they are all included in this data base. and 23 percent of the women, less than 1 percent transgender women, and 72 percent, of the people we serve are men. and the average age in general is 45.4, you can see that it is lower for women and for transgender women it is more around 40 years old. and then, in terms of homelessness, kind of as a generalized statement, transgender women are homeless longer than men or women and men are in general homeless slightly longer than women. so, if you are interested in general, about 55.7 percent of our population has been homeless more than 5 years. and 32 percent of them have been homeless more than ten

years. and in comparison to that, transgender women have been homeless at 64 percent more than five years. and then 41 percent more than ten years and so it is a bit higher and for women, it is 54 percent, so it is pretty much like the average, and 30 percent, and 32 percent more than ten years. ethnicity data, i am showing you here, so you can see them for yourself and i am just read out the ones for women and so african american women in our system and coordinated case management system at 34.8 percent. >> sorry, just aside, i think that we can all read the numbers. just quick question on this, has this evolved over time, are you seeing consistent ethic numbers within our population or is that... >> no not in terms of the data that i looked at and i think

that i can give you more information from our data group that might be able to run the years that we have had the coordinated case management system. and there are, and the coordinated case management system posts data from a lot of different data systems and so some of that has also been over the years and so we don't have for five years ago we don't have the same amount of data. that we have now. in the system. but we could give you an analysis, that would at least look at the percentages. >> it would be helpful to look at that longer. >> sure. >> okay. and in our data in that, and they are pretty compatible, and they do over all have 41 percent african american clients in the direct access to housing and compared to 33 here.

and 35 percent of the clients are white and 12 percent of the residents are latino and then 3 percent are asian pacific island and her so in terms of diagnosis and conditions that we show in that system. >> supervisor mar? >> could i just ask another question. >> yes. >> i can see the disparity with the african americans and latino population, there is a new report on asians and pacific islanders that was released i think this week. >> okay. >> i think that it highlighted the hidden poverty for the pacific islanders and south east asians and i am wondering if you could include the sro population within the broader homeless population and then i think that the latino numbers would go up significantly and chinese and various asian pacific islanders as well and my hope is that you could do the data so that we could see where there is tremendous need,

even within the asian and pacific islander population. >> i think that i will be going to some of the reports that joyce will be looking to and i think that you are right in terms of families and women in general that we have a lot of people in sros that are not being counted otherwise and are not counted around the ethnicity either. you are right. >> so, to look a little bit at diagnosis and conditions because obviously that is what the health department treats and again we are talking about people who are homeless, and formally homeless, and marginally housed and in, supportive housing and what we use for that is the houser

comorbidity. they include many, hypertension, and other examples and so the severity of the mental illness is greater than the chronically men, i have told you that earlier. and you see here, the data that they have around this are very, very involved, and so i really only put out the, and i made a differentiation between the serious medical conditions, needing primary care and serious psychiatric conditions and substance abuse conditions and also at the bottom, the people that have all three of those conditions and we have a lot more detail if you are interested and how many people are doing the diagnosis and so forth. but, as you can see, the percentage around women and certainly around transgender women are quite a bit over the

general population. and i want to highlight some of our service and programs. and again, these for the homeless women, and the homeless families, and the community behavior health services and so that includes our mental health and our substance abuse programs, they fund quite a few programs specifically designed for homeless women and their homeless families and this is about 600 slots and i am giving a few examples here and some that you might have heard of, the woman's place and a homeless prenatal program and they have testified here before. and in your program, is the hs360 that is a former house, and hate ash bury merger and it is a woman's hope residential treatment and of course, the housed one of the programs to have another one for women and families. and then tried our health service and homeless women and families in a variety of settings and a lot of times

they are collaborating with other programs, and offering the services in other settings. so that there is a nutrition program and in fact they are working with hsa around cal works. in primary care programs, obviously, homeless women and homeless families can be served at any one of our neighborhood clinics or any one of our population specific clinics but there are some gender and diagnosis specific programs and they include the urban health clinic transgender klin clinic and a lot of people have heard of the tg tuesday and the women living with hiv/aids and include the primary care for the health department and the urban health center also has a homeless health family teen and mentioned it earlier, and one things is that they have a collecting point and also have

the advice at the shelters around the difficult cases. and the ones that i wanted to highlight is that we actually should the teen be and have a very small civilization unit for the moms and in the last month of pregnancy because that is not something that the program otherwise can currently handle and so it can be there in the last month of pregnancy and if they need to go into another program they can, and once a child is born. and then the housing, you know some of our programs, and we don't currently have any buildings that are women specific, and in general, we don't serve families very much that is usually done on the hsa site. and when that does occur, we look at our larger units to try and accommodate the head of household and the child, or the children or we work with hsa to

have successful transition. and the more appropriate setting. and the medical respite has a woman's floor and the serving floor has a specific ring of cores and we also offer the permanent housing for women living with hiv aids and one member of the family lives with hiv aids and we have it and then the programs that i did not list as obviously our hiv subsidies can be used by anybody, and that we have the women in subsidy and we have families in subsidies and we also are part of the safe house program that joyce commented on the funds that partially. >> these are our services, you know, i added that we have a lot of gender specific groups that are something, that our clients in supportive housing ask for and that we tried to offer from the beginning on. and the obviously also we work

with the women of the men or the transgender clients, on reunification issues if that is something that they want to work on that they are talking about. and again, we will be working with hsa if there was actually, lead to a child or somebody under 18. and reuniting with a parent. i have a couple of stories with me i don't know that those are something that you want to hear about and they are one of them is a success story of a woman that went from homelessness into housing. women as i mentioned earlier the amount of the severity of mental illness among chronically homeless women and the women in the supportive housing programs is greater than among the homeless men and it is the same is true for substance use and co-morbitity and takes a while for the women

to work on the trauma inflicted among homelessness and we know a lot about that now with all of the populations and we address that in our programs and it was in a transitional treatment programs or our supportive housing. >> good, you know i think that we are going to hear the stories in public comment. >> that is fine. >> okay. >> colleagues any questions? >> okay, much appreciated. lastly i wanted to call up carroll from the department on the status of women and i want to offer her a minute to talk about their services. >> good morning, supervisors, thank you. and i am carroll, and i am the associate director of the department on the status of women and thank you for allowing any to speak this morning on homeless women as you are aware the department on the staff who over sees the city's investment of just over four million dollars in

services for women survivors specifically of violence and support a range of services from emergency, shelter, and crisis line services and transitional housing services and legal services and case management and prevention education. women comprise, 27 percent of the homeless population in san francisco. and that means that there are approximately 200 women living on our streets, in our shelters and in non-traditional housing, and the housing for a couple of months and others for years and of the 2,000 or so women, some are heads of families but many are single. as with most individuals, experiencing homelessness, homeless women have arrived at this situation because of complex factors and it is critical that the city figure how they contribute to the homelessness for women and strategies that take such unique experiences into account.

many causes for homelessness, drugs and mental elness are a result of childhood trauma and violence and such concerns and other factors disproportionately impact women and in general, female homeless are more than twice of likely as males to have suffered child abuse, simply, the domestic violence in conjunction with the lack of housing and economic factors, including lack of a job, and one of the leading causes for female homelessness. and 15 percent, of women reported domestic violence as the primary cause of homelessness, and for family heads that number jumps to 27 percent, in other words, dow domestic violence is the number one reason that the families are without permanent housing and the domestic violence does not end once the women or the family leaves the home, in january, the city experienced the first domestic violence and

homicide in 44 months, and with the murder of a 48-year-old homeless woman as you heard from our city's hard working community organization and advocate organizations and advocates today, i encourage you to ask questions that impact the problems leading to and associated with homelessness, for women and families in different ways. why are so many senior women living on the street? and how have experiences with the foster care, trafficking, violence, contributed to youth experiencing homelessness, homeless women are less likely to speak about their needs to a male provider or advocate and this is true for cases where the woman has experienced trauma. and the women have also been shown to be less likely to vocalize a specific need of services addressing this need are not already offered. i urge you to ask how women experience homelessness differently, what are the unique risks, faced by homeless women and how can our city's

policies better protect these women in temporary situations while continuing to look for long term solutions. thank you for organizing the hearing today and thank you to all of the agencies and individuals who do so much every day for homeless women and our families. >> thank you very much. >> colleagues any questions for staff? >> okay. so thank you all for your work on this. we are going to start into public comment. i am going to call public comment cards once you hear your name called, feel free to come on up and if your name is called, line up against the wall here and we will take them one at a time. jeff kasensky and erica kish, jeff bealic, amanda hire. dan bore socks, and todd robert and jennifer freeback. >> thanks for being here. >> good morning supervisors and thank you for holding this