>> [inaudible]. >> finally, just hear is a bit of the feedback. what i want to stress to the board is each cycle we'll get better. the last cycle was developing the system, figuring out the phases, making sure we could account for every dollar. this cycle was how to make this usable for the public, how can they understand what they're going to get from this organization in the next five years so we added a detailed funding guide meaning we have those weird codes, but nobody knows what it can be used for. there's a document there that explains every funding source we have. we added the project scope of every single project listed so if somebody really wants to know what that improvement is and where it is, it will find 50 words that will tell them what it is. there's that example, there's a planned schedule for every single project so people can get a sense of when and where we'll do certain things and of course i noted the city map. we tried to do our very best to

give all our users something they wanted, something they needed so they'd get a sense of what we're doing. again, last thing i want to stress is that this is frozen in time. our capital improvement program changes every month. things happen, budgets change, this is the frozen period, but it sets a baseline for us when it comes to project delivery and funding. it gives us a sense of how to improve ourselves. with that, we are here to ask for your approval. >> thank you very much. members of the public. >> one person has indicated an interest. herbert winer. >> herbert winer. some major concerns. i notice that the capital improvement project has the addition of vehicles to the fleet.

these are basically replacements, but what you really need is a net increase in the amount oaf vehicles in the fleet. the city is growing in population. ridersship is growing in demand. i mean, continue to have the same amount of vehicles present, you're not really responding to public need, which is the responsibility of this agency. you need to make that the top priority. i don't get a sense of this in this capital improvement project. public transportation is really in desperate need. it is bad. the public doesn't like it. riders are angry. i don't care about the survey. it was probably taken with people who are friendly to mta. you've got to increase the net amount of vehicles in a fleet. the other thing is the build outs. they cost $300,000 to put in. that could certainly be used for vehicles. and another thing for the widening of the sidewalks.

i took a look at it on castro, it's an absolute monstrosity. you're going to widen the sidewalk, get a bottleneck in traffic, cause bunch up in traffic. i realize there are people in public who hate cars. there's an anti car culture in the city, but the thing is people still drive them. you have to stop this problem of congestion and this plan doesn't make way for that. in fact, it's [inaudible]. so the money is there, you have to re-examine your priorities, especially with the increase of coaches for public transportation. that should be the first aim of this agency. thank you. >> thank you. mr. e, question? >> i didn't see anything. is there anything in here funding for cal trains [inaudible].

>> there is not specifically because it doesn't flow through our capital program, but there are planned funds for that specific project, both through the transit and district plan so we don't place it in here because it's not a project we're specifically delivering. there's funding there and then funding as part of transportation 2030, part of that overall plan. there would be -- some of those funds could be used for that project. >> the balance for the funds for our $60 million commitment that each county made towards electrify case is one of the uses addressed. >> thank you. [inaudible] and it really shows and i look forward to [inaudible]. >> thank you, thank you. fantastic report. i think it's been so helpful for this board and i assume

helpful for members of the community to see how this has all been building on itself and coming together. i feel we've had a lot of presentation so i feel like it's -- it's just an amazing amount of information. i'm pleased to note that i saw my own picture on the bottom of page 139 so i made it through that far. i assume there's a picture of everybody else in there. i have no specific questions, but i want to thank you for all the work done on this and i know there was a tremendous round of community outreach on this and it really reflects very well on the agency. to your point, there are not a lot of people here to ask questions or make requests for further consideration so i'm going to be happy to motion to approve. >> is there a second. >> second. >> any further discussion. director ram rachl >> i want to point out, i compliment the staff for such a great job. i'm proud and privileged to be a part of. in some of the language in the

report itself it talks about how these projects will result in improvement to efficiency, which i think is critical. people are left to their own assumptions and i think it's an angle that we've missed and have caused some concern in some of the community with respect to how this appeals to people who are trying to advantage equity goals. i think that this plan does do that. i would love some points that -- some pieces of the plan i could point to demonstrate that

as look, this isn't just my idea or imagination, this is actually real. apart from that i think it's fantastic and applaud staff and happy to move this forward. >> we have a motion and second i think, right? any further discussion. all in favor, i. opposed. [inaudible]. can we have a motion to go to closed session. >> let's do that. >> second? >> second. >> all in favor, say i. >> okay. short break before we >> back to open session. the with the city attorney the board decided to settle both cases. we took no action. there was no discussion of anticipated litigation.

to disclose or not disclose -- >> motion to not disclose. >> all in favor, say i. motion [inaudible]. we are adjourned. thank you all. test. >> thank you, everyone for being in attendance today at sf general we have millions of americans that slip there the crack in the health care system the americans make up a significant portion of our homeless population and cause the amazes of paring for members of the families for years.

we need more efficient tools to help the families laura's law is one of the actions it's been enacted in 44 out of this 50 states that's why today along with 3 colleagues on the board of supervisors i'm introducing legislation to fully implement laura's law in san francisco. in addition because we know the prior attempts at city hall have failed i'm with my co-sponsors placing laura's law on the 2014 ballot if we can't pass laura's law i believe this is an important enough issue that the divorces voters even if san francisco should decide the outcome. i want to share about a mother i've come to know in san

francisco. a mother who cared for her acknowledge son who was diagnosed what moinltz that was stable in school in san francisco and did well but ones this individual turned 18 he decided not to take his medication any long longer and this individual started to lock hitch in his room and exhibit violence toward others family members and towards himself and now move forward out of the house and the parents have no idea where he is. this heartache and this situation it has many stories across the city and cross our country can be avoid san

francisco, california and should do better. families and friends should feel supported by the laws they're in place to help those individuals. if laura's law were in place the situation i intrikd wouldn't have happened. it's a compassion at the law for families and individuals to make sure they have a right to treatment here in 0 country and locally. we all know with very a mental health crisis here locally. the recent report featured in a national publication had more than 33 million americans suffering from mental illness and others such as schizophrenia and bipolar disorder and major depression and over 3 and a half million not getting the care.

laura's law provides the outpatient treatment for people as a result of the minldz can't access the community benefits. those will hope help those who need it the most not only those but we need to be clear not everyone will qualify there are restrictions to qualify you have to determine not to survive dinl on your own and have a history of hospitals and be diagnosed with mental health protons problems. having been offered this opportunity for treatment but be substantially deteriorating in our community. i'll argue our headlong health

system is one of the finest in the country the reeflt we have individuals slipping through the crosswalks and laura's law will hope those individuals. laura's law focuses an individual and 44 other jurisdictions and states across our country they have proven incredible results and new york state a law called the tender law was enacted 74 percent fewer experienced homeless additional others psych hospitalized and 80 percent fewer were embarrassed and 87 percent fewer were arrested and laura's law will help to reduce the burdens on our san and our emergency

officers and personnel and a positive resource for our officers. today, we'll hear from a number of individuals that that will speak in favor the laura's i wanted to recognize a number of people frail the if i that are not here my colleagues and co-sponsors of this legislation supervisor london breed. is supervisor tang and supervisor wiener. i want to thank mayor ed lee for his support i want to thank the wilcox family the parents of laura that this law was named off after and our district attorney mr. george and our excessively enclosing our fire chief chief joanne haynes-white and countless others that are standing behind me barbara

garcia and other colleagues that have provide shelters for the homeless. people from our labor and business organizations from across town this is a piece of legislation that should unite us i look forward to it moving forward i want to introduce one the laura's supporters our great mayor of san francisco mayor ed lee >> (clapping) >> thank you supervisor farrell and thank you for your leadership on this as well. you, you know, san francisco is is a very came pact city. we spent $2.7 billion a year a great bulk here in the general hospital and the public health department aid thanks to the classification of our fire and scheef and district attorney we

pick up a lot of people own the streets and we know when the environment they go back perhaps a day of respite and they're back. while we, provide pride in moving some 18 thousand homeless people into shelters we see on the streets we have to do more and this is exactly the issue that supervisor farrell is addressing. i really want to signal my appreciation for his not only looking at this but diving into it and having spent considerable amount of time studying it and finding out what else we can do. while i say our past policies have been successful we have to

do more. in particular when you talk with the da and our public health department and the fire department there are individuals that repeat repeatedly get picked up and sometimes too late. sometimes, it's in death. but for the majority of time we try to safe them in their psych emergencies or they've over medicating themselves we are two came patient of a city not to be smarter. even with all the work we've done and most recently, i joined our director of health to initiate the cares initiative and move it from a pilot program of five or six individuals that

got 24/7 care to a full program where we have 9 additional individuals targeting families who are gotten individuals from their care that are suffering from mental health to transitional skewer to experts that will focus in general house to create a mental shelter, if you will, for those individuals we've initiated the cares initiative to give more care and insure is better and successful respond but even what that we need additional help. this is where supervisor farrell's research and contracts have been valuable. it's time to consider what we'll do apart from waiting for

someone laura's you law can help us identify individuals that end up in death or in their highest psych go health it's the tool this sometimes our law enforcement and care shflts must have to get to someone early it could prevent many more deaths on the street so i'm thankful particularly to amanda and rick on behalf of laura to remember what occurred in that case but also the cases that mark has security guard u suggested have happened and to many others there are many, many other stories about people on the streets we know their habit they will get some respite we'll pull

them off the streets and get the hot teams with so many and at the same time hundreds of individuals will repeat and going back to their self-medication and experiencing the psych challenges they have we've got to have better answers so we seek laura's law as a tool to help us to become even more of a convention city that's not about the money no more or the housing it really is paying attention to something we've not paid attention too again, i want to thank all the people standing behind me we hope seriously that the supervisors and board will find 6 total that will support t this but we're prepared to go to the ballot i'll support it 0 we

can assure ourselves we're going everything possible for the elements for the individuals that exist on our streets that augment to have better care thank you for being here (clapping.) thank you mayor ed lee. at this point, i want to invite up nick and amanda laura's parents that have been incredible leaders on this issue ever since that tragic day (clapping.) >> thank you. good morning can i hear me. many families live with mental illness everyday. my family was not one of them. i never thought about mental health treatment and care until

13 years ago i wish i had in january 2004 my daughter laura was murdered she was going into the nevada health you county and someone opened up and shot her four times she was shot twice in the heart and died constantly. when the ramp package at the client 3 people laid dead and 3 injured and a you community was shaken and the world was diminished by the loss of an incredible young woman. laura was bright and beautiful at the age 19, in fact, i have a picture of her i'll show later she had kind neutrons and spirit

an outstanding student in the midst of ore campaign for the student campaign where she was in college. she had a tremendous future and wanted to make a positive difference in the world she was on her way to doing that. my life was turned pound upside down i was initially in shock. my grief was pronounced i thought my daughter would outlive me i miss her everyday. nick and i needed to somehow understand and get our mind around how we lost our daughter who did this we learned more about laura's murder his name is scott in his late 30s and had

severe mental illness and rapidly doing downhill he was a guy client but missing appoint his family couldn't intervene they only hoped that nothing would happen. scott thorp was apprehend the same day that laura was killed and he initially was incompetent to stand trial and plead guilty and found not guilty by reason of insanity. under a pencil commitment at the hospital one receives medical treatment. in some ways scott received the worse punishment improvement in his mental condition to the

point that he new fully understands and rthsz what he did he has to live with that. his mental improvement and stability and insight, of course, too late for him he'll be forever incarcerated my too late for laura. to nick and i that is totally background we wait until someone does a crime and then they get treatment we thought there was a better approach he nick will talk about the legislation that ultimately ended up with laura's law but we knew and what we wanted to work for was getting treatment green before someone deteriorates and before their imcan't before that he do harm

to them or on the we thought it made sense to get it before going to jail or prison doing is not only better for individuals for all enacted by severe mental illness we worked to pass laura's law in nevada couldn't and i'm very proud of our county that's leading the way the outcomes are fabulous they're far better than we ever envisioned and i think we can feel that due to this tragedy we indeed making a positive differences for the laura. i wish we had her back i'm glad we, do that i'll i'm going to

turn it over to my husband nick and (clapping.) >> i have a lump in my troet after that. when laura died there were 2 things we needed to find out early on the facts about what happened. we eventually find out the facts took a long time but we also needed to know why it happened and we actually came to that understanding relatively quickly that laura in a sense was a victim of a failing mental health system. my sister actually, my stepsister karen had some

experience in this area her bilingual father was a brienlt traffic engineer in yale he had schizophrenia he threatened to kill any sister and stepmother back in those days they got her eir him into treatment at valley state hospital. but she had understanding of mental health issue it's not trusting true our widower family had inform experience she understood and politically was connected heaving involved with the administration and knew lobbyists in sacramento and was able to get us in touch with assemblywoman hell con thomas and hell one was a psych nurse

and sponsoring legislation at that time, called a bit 1421 the precursor of laura's law. and so in the early days we didn't know what else to do except strike back at the system so we become involved with laura's law there were others here heavily involved randell and i give him and others huge amaze of credit. so we watched the protective active process and i'll say it is savage making, you know, it's somewhat ugly you don't want to know what's in it laura's law was like sausage making.

you know what came out was whatnot what we hoped for but a step going in the right direction as we got involved we learned more about mental illness and learned mental illness is a boom condition a chemical condition of the brain and learned that many people with severe mental illness have a condition lack of insight. those are people with severe mental illness won't seek treatment and laura's law is aimed at this population. mayor ed lee and supervisor farrell said a little bit about the law but basically laura's law allows parents and others