that population was lgbtq. of the specific youth count, 914 youth were identified. 134 youth, under 18, and 780 youth ages 18 to 24. let me talk a little bit about that youth count it was conducted by youth. in addition, the youth who conducted the count they were paid $11 per hour for their time. for every completed survey, they were paid an additional $5. and our provider who conducted it with our help is applied for the survey research, and they made all of the payments to the youth. so the majority of the homeless

pay youth lived outside or 80 percent were unsheltered and 14 percent were sheltered. this number increases for unaccompanied homeless youth undered age of 18, 93 percent live unsheltered and i think that we should note that the demographics were overwhelmingly male. and white male. in this particular count. 72 percent were male, and 41 percent of that 72 were white, and 20 percent, or 26 percent identified as lgbtq. but, what we found astonishing in this particular count was that 71 reported that they were unemployed. 57 percent received some type

of a jail, government assistance, and 25 percent reported a history of foster care. and as devon mentioned earlier, 25 percent has not completed high school or gotten a ged. and so homelessness crosses all barriers. 18 percent were on probation, or on parole and 16 percent indicate living in san francisco at the time that they became homeless. so i notice that some behavior health issues here but margo from dph will go into a little bit more information about that. but 27 percent experience chronic depression, 23 percent experience a substance abuse disorder and 22 percent experience mental illness. so, last year, lobbied for

additional funds for what we called the lgbtq 2, youth, out reach contract. and it was in collaboration with mary housed homeless youth alliance and it was, it in the hands out reach to reach out to those young adults in public areas and partnering agencies so that they can lessen their services that individual youth providers provide it. and it was a one time only grant. but that is due to end june 30th of this year. and so let's move on to shelters. we have one, what we call self-contained shelter and it is the lark inn and it is funded and it is managed i am sorry, it is managed by the lark inn street youth services and it is 40 beds, youth ages

18 to 24. and there is a strong array of services there. and what is most meaningful about this shelter is it is the major access point for tay housing and the local operating subsidy housing units. and what we mean by self-contained is as you know, shelter reservations are made right now through 311 before it was through the resource centers. and lark inn makes their own reservations at their own particular shelter and so they are not a part of the big shelter piece in terms of shelter reservations. that is helpful to them, because kids come in and out of the shelters, and in and out of their service provider, and they can make shelter reservations immediately. >> and other san francisco

programs, not funded by hsa, but as is a part of the out reaches, the diamond youth shelter and huckle berry house. >> last night, 5.5 percent of our shelter population were youth, 18 to 24 and ten percent of our families shelter populations are youth, 18 to 24. and of course, with the family, it is 18 with a child. supervisor campos spoke about the lgbtq shelter, and in our adult emergency shelter, about three years ago and he had a hearing, and based on complaints and issues, and that the community was feeling about the shelters, and not being welcoming to the lgbtq community. and so, we have been working

with... street and along with supervisor campos to expand our shelter system and we are expanding it to 24 additional beds, that are going to be designated in a system. as is with any project that you undertake, construction are in process. and it has been in process for quite a long time, but, that is the nature of construction in buildings that are not owned by the city. and so, in this particular shelter, you must be 18 years of age. and in order to move into it, so we are hoping, and supervisor campos, we are hoping by the end of this year, we will be able to move forward with expanding the shelter. and the shelter, in this particular shelter is managed

by doloris street. and so let's move into the transitional housing. devon spoke about the youth castro street initiative which he as a supervisor lobbied to get. and so we currently have a total of 57 transitional housing beds. and avenues to independence is a lark inn street program but it is funded by hud. and so those are the list of beds that we have. and housing units i am sorry. and ghouse 20 and the castro street, and initiative 23 years of age. permanent housing. currently these are all dedicated to youth. and there are a total of 68, and dedicated youth, units. and 864, ellis which is our longest permanent supportive

housing program and it has been in existence, ten-plus years, and then, the new one that devon mentioned, 374, 5th street. and it is actually a collaboration with hud and funds the operating cost of this particular building and city general funds supports the support services in the building. >> and 44 units, and i think that we are one shy this week of being totally rented out, but there is something waiting to get the paperwork cleared. and so, a couple of things came up earlier, in the discussion, about the enormous amount of paperwork that is required for moving into housing and it is true that the process and it is indeed long but what we don't want to happen is to be audited and to have this allowed cost because of missing paperwork, or emitting something into the housing that really did not

qualify and so we are looking at ways of stream lining the paperwork, and hopefully, we will be able to speed up the process. and move in. and so fifth street is focused basically on the chronic homeless youth, which is a hud definition. and it is a direct grant to chp, and some of the access points for making referrals into this particular housing unit is hsa's family and children's services and youth and adult probation, and that is cross roads. and the first place for the youth, and homeless youth alliance, and lark inn street youth services and leric. >> so let's move on to permanent housing. and supervisor farrell talked about what was in the pipeline, we are fortunate that we do

have 73 units that will be rented out probably within the next two years. and there, and diverse neighborhoods and at with the second is in supervisor farrell's district. and we worked very closely with him and the neighborhood association to make this building and this housing project come to fruition. and there is 1100 ocean street which i believe is supervisor avalos's district, am a correct about that? >> okay and booker t. washington is also supervisor farrell's. booker t. washington is kind of close to my heart and i remember, moving to san francisco, and i will not date myself but many years ago. and partying at the booker t. gym and so, i think that it is, and it is fitting that this

particular building is now going to be housing for tay youth. so we have something called transitional housing plus or a thp, plus as we know it. and it is a 24-month program for former foster youth, once again, ages 21 to 24. and this program was previously operated by family and children's services in our department, but, in early 2014, of this year, it was actually transferred to the housing, division, along with me being able to get a dedicated staff position for all of the homeless programs and the youth programs allie as we know her is our youth coordinator and she brings a wealth of

experience there are four. lark inn street services, first place fun for youth, edge wood, and the salvation army. another program is the extended foster care. but i will not read the slides, to be eligible, you must meet one of the following criteria. completing high school, ged, and enrolled in college, and community college, or a vocational education program. and employed at least 80 hours a month, par participating in a program or an activity designed

to those barriers to employment, and number five, unable to do one of the above requirements because of a medical condition. it is a licensed supervisored placement available to the youth, ages 18 to 21. so there is the difference, 18 to 21. and it is modeled after the existing thp plus, program for non-dependent and provides the youth with the high, and the support services and an age appropriate setting. so last i want to talk about a future, and at work, and so we are looking at evaluating ways to access the most appropriate housing for oping for our tay youth. and the good thing about this is that there are different options. and they are not a lot of

options, but, it is not just one model that fits all. staff will be participating in the tay san francisco housing committee. and working with the tay commission and the advisory board, and we will be first and foremost on the 2015, youth, homeless. and so that concludes the presentation, and i am here if you have questions for me. >> thank you very much. >> supervisor weiner? >> thank you, for the presentation and i have a very specific question for the clarification and so last year, in the budget process, and it is an ad back, we put into the budget two things for addressing tay homeless and the housing issues in the upper market and one was to expand the numbers of rooms at the hotel and that has happened. which is great. but we also did was put funding in for additional out reach

capacity to try to help get youth off of the street. >> correct. >> and i think that this is some confusion and that was, i have heard and i think that you may have referred to it and that was somehow one year funding. >> yes. >> and that was not what that was intended it was intebded to be two years, it is an issue that as you know is ongoing. and so, i hope that hsa, will address that and in its budget and i would really don't want to see that come back to the board at some sort of a one time, one year thing because that is not what it was supposed to be. >> i will definitely take that back and so we were told one year. >> i appreciate that. >> no problem. >> it seems to be effective and so i would like to see it. >> okay. >> colleagues, any further questions? >> okay. all right. >> thank you so much for being here. >> as always. >> thank you. >> and we are going to have mark from the department of public health to come and speak with us as well.

>> thank you for being here margo. >> thank you for the opportunity of this hearing. i have with me an expert on the youth programs and for us to allow the information about the lgbtq youth. i am going to go through the presentation rather quickly and aware of the time and the amount of people that would like to speak. is that..., yeah, okay. and so in front of you you see this, and we will comment on that later and that is one of our tay housing sites. it was 40 units and so i put together some tay and lgbtq data. i do want to acknowledge that it is very difficult to track the lgbtq community, for us. and most data bases do not ask sexual preference or the data incomplete or in correct.

and according to the case management data base, which was specifically on the data around the homeless adult and youth, does not ask about the sexual preference and neither does the life long clinical records. and so, transgender if, and it is track and some data bases if not all of them. and so, if you are ready, now with the information and to join us about the homeless count and so, there are over 25 percent, were found to be transitional aged youth and as the lgbtq data that they have, was 26 percent, plus, we and 29 percent, together. and in areas which as the hiv, services and the youth in san francisco. and we share, 1.7 percent, case, and we share a total of 74 percent of the lgbtq clients.

in the data base we have 6.2 percent, that are homeless, and the don't track the lgbtq sexual preference and we do track transgender, but again it might be under reported. >> but we do see in it, and i think that is to be expected is that the tay population tends to not be as highly or five or ten or more years homeless and that is to be expected given the age. and however, there is still 8.3 percent that are over five years homeless. and over a while, most days, it is 2.1 and 5 years homeless. transgender and i mentioned that in the women and in the presentation, and we have 64 percent of the more than 5 years homeless. and next slide? >> yeah, great.

>> and this and these, numbers and definitions came from the ccms and i want to talk a little bit about that and the conditions, and in the first column you see the percentage for all homeless consumers in san francisco, and so it is one way or another, they have received the services and through the health department. and the other departments. and then, the serious medical conditions and there are a number of 31 occurring conditions that track in this data base and in the serious medical conditions you can see that in the population is lower than the over all homeless population for transgender and for this year's populations and again you can see the data which is a little bit lower, and not much, transgender is higher and the subject abuse and conditions are dropped and alcohol. and tay are at 43.3 percent and 81 percent and then, to put

more in it and the people are diagnosed with all three medical, serious conditions, and substance abuse conditions and that makes up on a 35 percent of the homeless population and also makes up the gay population and the 61 percent of the transgender population and while the tay are low, and i do want to point out that they are much higher when it comes to only, site conditions. and 13.8 percent and up to 6 percent and so that when you talk about the depression and the health problems that our homeless youth face. >> supervisor avalos? >> just a question, looking at, you know, it is often thought that the young people, are more healthy. and elderly people and adults, so what do you describe for the conditions? >> and the conditions that the people come with?

>> yes. and so this hiv and there is also, and i didn't have a chance to consult with the medical staff, but there is a really high number of chronic pulmonary diseases and these are serious conditions, as they are and it is they are in the ccms and then, the variety of other commons, because the population is not that large, as really spread out. and this is the people not being able to take care of the physical health the way that we think about it, and the people that grew up in the familis that might be in college that have medical services available to them. and so, >> and being hiv positive does that count as a serious medical condition. >> yes, absolutely. >> okay. >> and actually, for hiv, aids, and transgender, we have 32.4 percent, i wanted to point out, there is a much larger

percentage than the over all 8 percent. so, i turn it over to michael and he is going to tell you about the primary care programs and i will come back and talk about the mental health programs. >> good morning, supervisor and pleasure to be here to present to you. what i wanted to focus on just very quickly was what we do in primary care. and perhaps, to offer a little bit of hope as i talk about the very specific issues that we deal with, though. and so what i wanted to point out quickly, sliding? >> that it is states statistics show that we provided the services to 8500 young people between the ages of 13 and 24, which is below it so imented to throw it in so you could see that.

in a drop in time and anyone between the ages of 16 and 24, can just drop in, and don't need an appointment. and we do it on a thursday drop in for the younger aged kids

there and larkinn street is probably the definitely biggest site that we see the homeless youth and we are on the campus of the services right next door to the drop in center, and hip hop, and are two, very small clinics and they operate, part time. but they were neighborhoods again, where there are particular needs that we tried to reach those. we also have two school sites and it is important to keep the kids from being homeless and

keep them in school and giving them support services so they don't end up on the street. the green is the tay population and we have seen a significant change over the last five years in who we are serving at these sites and we are seeing the less younger folks and we are seeing a huge increase in the tay youth that are accessing these services. it has been, an amazing experience, where about 70 percent of the clients are transgender, and with aca and with all of the changes that

have come down, we are able to offer, a feel like a tremendous array of services there and including working with the number of young people who are moving on towards surgery. and so, it is just an amazing experience to see there. >> michael? >> yeah. >> hi, thank you. >> just a question, and i am looking back at a couple of slides, here. and it talks about school sites? >> yes. >> and there are two, but we have wellness centers in all of the high schools. >> we do have wellness centers in all of the high schools. what these represent is that there is an add balboa is the only comprehensive care clinic and maybe what i should say is that what is important to me with working with. and what they offer, is pretty much, mental health issues, and other services and there are no other primary care reproductive services, it started in 1986

and burton three years ago, and we added services there two days a week and so that we are trying to get more and more health services out. >> and we used to have the health, and a comprehensive health service, clinic in the mission high school,; is that correct?? >> that is correct. we used to. >> and is there any plans of doing anything new to get more health clinic services in the high schools? >> i would say, at this present time, the director of the public health is very interested in the school based healthcare and i have been working with her to look to expand the services in high schools. >> because the initial high school one was quite examplery. >> yes it was sad to see it go and there is hope that it could come back. >> and i want to mention, someone brought up earlier looking at the issues that tay youth face and, yes n deed, medical issues we are seeing increases, in that, but i think that this is also, really

important to look at this and the figure of the system health services needed and the substance abuse services needed and all of the sites that we work on is the comprehensive healthcare. and because, these are probably in my mind, as important or more important than the services for primary care. and but, we often face primary care is when the young people come in is they have a significant substance abuse issue we don't have anywhere to send them and once you get beyond prevention, or early intervention, we are lacking in the city and we need to see more residential service and more services for these folks in the mental health and substance abuse and i am getting way over nigh time. >> thank you for your presentation >> and thank you, for the

public comment here and, there is a policy here on the chambers not to be clapping. so if you would like to show your enthusiasm, you can wave your hands like this. thank you and we are hear to answer the questions if you have them and i have him here who is the program manager.

>> (inaudible). and one of our programs that are specific to the case and living in the hiv and we