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 have the subsidies. and it will open up a program that is able to offer 6 housing slots.

i think that you will hear in the public comment that there is a conversation that especially for the homeless, k, is the 18 to 24 range and really is just the people enough time to stabilize. i am going to go through though rather quickly and so if you ask me you will see a lot of the same players and the street and the services and often involved up to the house, and so the community of the services pay the program and in the ship and a lot of those programs are funded by the mental health services act which is set aside from the four tay youth and mental illness and some of these

programs and in the next slide you will see some of the school based youth centers wellness programs. and this was talking about earlier and so these are, and these are specifically, for the tay and if there are a lot of integrated and the collaborativive services, from the community behavior services. i think that i will make a lot of notes while we have the public comment moe. important

is to improve the data collection on the lgbtq population and ten percent of the dem graphic and age and so force and we want to have it as the city department and particular holders to impose the relevant houses and services including for the aging lgbtq population and for the aging population with hiv aids.

a lot of the services are in the programs and the different kinds of funding and the ems slots. everyone wants to track it. and if you have questions i am happy to tell you about the lgbtq data or anything else that you would like to hear about. and you also have it on the slides. >> thank you. >> colleagues any other questions for dph? >> this was the last hearing

that we held for now and i want to thank you for all of your time, and margo, and joyce in particular, and so at this point, we are going to open it up to public comment and there are a number of speaker cards that i have and if you have not filled out a speaker card, and you want to speak do so up here and i am going to call a few people in but first i want to call wall from uc berkeley has to catch a flight. and everyone is going to have two minutes to speak. >> i am the mother of two proud san francisco proud teen and a faculty member who has been studying in san francisco since 1996 and i am here today, as a physician, to tell you about the results of our research.

and about a condition suffered by thousands of san francisco youth every year and this condition leads to a rate of death eight times more normal for men and 13 times normal for young women and although, more san francisco youth, 15 to 24 suffer from this condition than from hiv hepatitis and cancer together, there is good news, the condition is preventable and curable, that condition is homelessness. letting the youth live on the streets costs our soeft a half a million dollars in social cost and lost productivity. and what can we do? one i am proud to be working on the housing, in the harrison

building and in the short term that you like hillary and jessica who will speak later will have a place to call home and they are already taking incredible steps to turn their lives around and two, we can extend the tracysingal age serves to all poster care youth in california. and we should implement the plan to end, the homelessness published by the youth project and end it by 2020 finally we must stop criminalizing the youth for the poverty and creating more barriers for them to get healthy education and jobs, they are our youth and let's give them an arm to a life and not a ticket. thank you. >> thank you very much. >> next speaker?

>> hi, everybody, brian, the director of the youth housing alliance, and we have heard some about the defining the need about lgbtq homelessness and we know that 2100 percent of the city's homeless are lgbtq and even though we are 15 percent of the population. and 21 percent of the respondents in the aging report hit an unneed for housing assistance and 42 percent of those seniors said that they were uncomfortable using services as an lgbtq person they felt discriminated against and stigma, and other barriers through accessing services from our main stream providers. in 2008, 47 percent of san franciscos with aids were 50 or old and her 13 percent were above 60 age, and that is increasing demographic. and 90 percent of those survey respondents in the hiv and aging policy report says that housing was the number one concern and weiner had

reiterated that we have a growing problem of disabled people with aids, who are losing their employer's responsered disability and transferring on to a smaller ssa grant which is putting their housing at risk. and so, what we want to do is examine what are some of the drivers and barriers that are leading to this disproportionate rate of homelessness in the lgbtq community, and then, also, what are some of the unique impacts of that homelessness, and i think that a big part of it is telling you right here, that i came to this hearing hoping to hear about the department plans for addressing the historic equities and investment in services targeting the lgbtq community, and i have not heard that. i did not hear about what kind of budget line items are included in this year's plan and now that they know, that there are these disparities i have not heard about any out reach plans or in