winter shelter program. in terms of family homelessness, president obama through the inner agency council established a goal to end it by 2020. we must quickly begin to change the current trajectory of family homelessness. and first, i have to give special thanks to lynn and mark of the sales force foundation and many other private funders in san francisco who have made it a priority and i can also acknowledge the work with compass. and they made many improvements and he is here and he will talk about the incredible effect that has it and the ability to add rooms for homeless mothers with newborns. we have a deep bench of workers, and with continued federal funding and leadership,

meet the goal. >> 216 families on the san francisco centralized wait list for shelter, the last count showed an increase in the number of homeless individuals and families and a decrease in the percentage of those living on the street, 15 percent of homeless families in 2011 were on the street and 5 percent in 2013. families experiencing homelessness are as a whole, similar to other low income family and face a range of obstacles, they face things. in san francisco, it is most frequently cited cause of homelessness, followed by job loss, my colleagues at hsa and the department of public health will describe our service model in more detail but i would like

to share the highlights to the services offered to the families. coordinated entry, and wait list, and compass connectg points and transitional housing families who can qualify, can also access assistance from housing counselors, rental subsidies and benefits access assistance and a separate shelter and housing system for domestic violence and the department on the status of women and often time our regular system enter faces with these systems when the stays have ended and they are having difficulty accessing housing, priority for the pregnant women and the families of newborns and the department of public health is funding five rooms at the london hotel and three rooms at star community and services include visiting nurse, and wrap around public health. you are going to hear a lot of discussion about rapid rehousing and this is a central element in the espra proposal for next year's budget, the

goal is to help persons who are homeless move quickly into permanent housing minimizing the time that they spend being homeless, it provides families with a time limited rental subsidy and case management to assist the family to increase the income so that they can cover their housing costs after the subsidy ends. and rapid rehousing, is for persons with mid range aquuty whereas it is targeted for families with high acuity, it is always delivered through the sites in the rental market. why it is important is because most households who become homeless today have already lived in independent permanent housing and can generally return and remain stablally housed. homelessness itself is associated with a host of negative out comes that can be minimized by limiting the period of time of people experiencing it and by helping, homeless households return to permanent housing as soon as possible, the communities have been able to reduce the length

of time that people remain in homeless shelters and it reduces the public and personal cost of homelessness, less than $18,000 per family and the shelter costs $45,000 per year, for a family. and once a family finds housing the success rate is over 90 percent, because of the excellent work done by agencies that you will talk with today. what are some of the challenges to rapid rehousing? the market in san francisco and in the greater bay area is increasingly expensive and competitive, the families receiving subsidies and having a difficult time finding apartment in their budget and convincing the land lords to accept the subsidy and competing with individuals willing to pay whatever it takes, families who receive the subsidy must have the ability to increase their income and programs are seeing families with high financial barriers such as evictions, large debt and poor credit, programs are not equipped to offer financial

counseling and debt relief service and there is an effort that will be coming up this year to provide these types of services i want to under score, chairman farrell's points of 2200 homeless children in the san francisco unified school district and i met recently with some of the staff from meta and as you know they are embarked on an exciting federal grant and promised schools to really improve the quality of education, in several schools, in and around the mission, and neighboring areas. i have to say that the meetings that they have had with parents, and they have said, that no topic supercedes homelessness, from the families, families sharing that they have been evicted and family sharing that they are couch surfing and so i do want to say that i think that this homelessness and the thought that we are not doing

everything possible to help the families exit homelessness really exact as a toll that is going to come and i think that effect us and because we have seen the data for the familis that have experienced the homelessness and the odds of those children growing up and experiencing homeless again are high, the wait list is 7 months to get into the shelter, three to five years to get into affordable housing and i think that these numbers really show that rapid rehousing and the work that is being done by our homeless family service agencies is really outstanding and necessary, thank you so much. >> thank you, mr. dufty, no questions, we will move on. thank you, we will move on to joyce, from hsa. >> and good morning, supervisors, i'm joyce crum and i will be presenting on the department dem graphics and the services provided to women and families. both supervisor farrell and dufty talked about in our home

s count, 27 percent of the population were females. also, part of that count, 679 people in 132 families were identified in the count. 95 percent of people in families were sheltered either through transitional housing or other programs, but mostly in shelters. 34 people, which he spoke, were the lowest number of people identified as being in cars or on streets after 7:00 p.m. which is when we began the count. so we administer the homeless prevention funds and i want to highlight some funds that have gone directly to families, 214 family house holds were provided with rental subsidies. in some cases up to 5 years.

120 family households provided with shelter deversion assistness, and which means that they came to connecting point to get on the wait list, in hopes of getting a shelter but, the two deversion specialists that work with compass were able to divert them from the shelter and provide them with the rental subsidies to help them either stay where they were, or move on to other housing. and so under our... >> excuse me, supervisor mar? >> could i ask a question about the homeless count? >> yes. >> i know that we have the sro families and sro census over the years and i think that a supervisor directed, but do we know how many families are on sros right now as well? >> i am going to look to megan? megan is our staff person that

conducted the count. >> good morning, supervisors, we are not able to count families in sros during the one night point in time count it is staffed by volunteered and has a limited budget and those folks are not included in the federal definition which is the primary reason that we organized the count there have been studies in families in sro but they are not included in the 13, or 11 count. >> that would be helpful to get the last census for the sro especially for the families, and their geographic concentration so that they are hopefully added to a similar population as homeless families but also the families in sros and i think that in different times, we have defined families who live in sros as also homelessals well from my understanding. >> correct. and dan, kelley, who is head of our planning division has conducted a couple of studies over the last couple of years, so we will provide that

information to you. 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