increasing growth and adult services, and an increase in oecd particularly around pfa preschool for all coming over into the new agency. also, you will notice the elimination of two slices of how fresh and medi-cal which represents about merger of those two systems into an san francisco benefits net to create significant efficiencies. >> when second mdm. clerk would you call it is a item number seven, please >> mr. jim, item number; resolution approving the expenditure plans for the human services care fund for fiscal year 2015-2016 and 2017-17 >> apologies. thank you. >> so under the housing homeless area i will speak to

the significant enhancements that are included in this year's proposed budget. the first is a general fund to support the navigation center as you probably know the navigation center, which opened in march is funded initially with a private donation, and the idea around the navigation center is to bring in and provide a very low threshold welcoming environment to long-term street campers as a way to mitigate homeless encampment in a way that is more permanent and long-standing than simply coming out and cleaning up and moving entertainment to a different area. the city or different street corner only to see it return subsequently. we have had significant initial service and navigation center. there is about 80 kinds there right now. maybe a little less. we placed over 22, i believe 22-23 in permanent housing already

anticipate moving a significantly higher number of folks into permanent housing related to the next piece of our expansion kit which i will talk about. but again, the 1.5 billion is general fund is a private donation will be exhausted by december. i spoke of this significant increase in support priority for housing expansion kit work the budget proposes 468 new units of supportive housing for single adults in three different sites. these units were primarily not exclusively, primarily targeted to as goods from the navigation center to target what is been a persistent problem in the homeless area for a long time, which is the st., camas. this will provide a significant number of exit in a way the navigation center's design is really predicated on how many exits we have. we are bringing folks and have them just be

there tends to be a very short stay to be able to be prepped for moving into a support housing. also included in this part of housing expansion, is running for services to reduce the ratio across our sites, the ratio of case managers to clients down to one 235. some are billions, we have caseloads of one-270 or 12 100. to really do the work that we need to do in supportive housing to get folks in a place where they are more self-sustaining, possibly creating more exits from housing we need to lower those caseloads to be able to allow more effective casework. in addition, were seen are supportive housing sites on aging population and were seen individuals being placed there significant higher barriers substance abuse, mental health issues in addition to significant primary health care needs. you will see on their services at the bad rental

systems demonstration public housing sites but as you know to rat public housing sites we manage by property property management and services provided by nonprofit agent. the services funding for the services component for nonprofit agencies over the next two years to provide the services in this public housing sites. lastly, her increases in rental subsidies for families as well as transitional age youth. 30 subsidies for families and 15 transitional age youth. these are subsidies that amused anywhere in san francisco were beyond 20 folks move from homelessness were very unstable housing into housing that supported with rental subsidies. the last tribe is etc. homeward bound prohibited rebounds is a program that seeks to reunite homeless individuals with friends, support structures typically families in cities where they have lived prior. we

love this program in february of 2005, and since it launched, we have reunited over 8900 individuals their families or support structures throughout the 48 united states. 48 contiguous united states. the cost of this program is wondered $86 on average per client. it is extremely economically efficient way to help homeless individuals and their homelessness in a way to utilize family support structures. currently however, we only have minimum number of staff that allow the home homeward bound office to be open only from 11 am to 1 pm during the day only able to provide one transport during the day at 1:00 pm. we have had recently a five-game transport but only for individuals were traveling south. the problem that we -- that is been revealed from this is an

individual may come in and they want to go home and have him moment in time where their children are ready. if we cannot sometimes get them middle east order process and in route we lose them. believe and also to come back the next day. this expansion will allow us to be open at 1235 mission site from nine-5 pm as well as provide close to real-time transfers. civil transport during the day for individuals. in addition to my think even more important to come up with able to do more maple model with additional seven physician goodwill able to do homeward bound offerings in homeless shelters some of our sros in working with partnership with others -- may have comments who are ready to move back home. so, i mentioned the significant changes in the way were delivering benefits and particularly affordable care act. we are proposing this budget 57 new positions

ostensibly to continue implementation of the portal care act, but also to recognize and address what would be a commensurate but not a one-to-one increase but an increase in our -- as well. 2 min. numbers are presented in may, medico caseload, since prior to affordable care act to now, part of affordable care act. any 80,000 individuals on medico. we currently have about -- was about 112% in treated interims of days with about 57,000 cases prior to aca power over 110,000, which is a most troubling. at the same time we have not seen that level of increase ineligibility workers. the were proposing was about a 30% growth ineligibility workers. the reason we do not need a doubling or 1% growth is because the efficiencies that

we have implemented in the department. basically efficiency centers around moving from a case-based model to one that task-based meaning that are workers no longer manage cases of clients. but manage tasks. any of our workers can work on any application or any ongoing eligibility issue in our cases. if we were to be at eight caseload model will be at about 1-400 which is resulting in serious service degradation client stopping over access the worker, not be able to get the benefit service. we can manager 1-300 1-400 level during the task base work and spend a lot of both calpers to formally the food stamp program and medico across a single worker. by crosstraining workers about moving to a more ip-based task oriented call center approach, were able to provide -- we will be able to provide better

customer service to this expansion of positions. project 500 and changes in how works and work for subelements are really around addressing persistent poverty in particularly multigenerational property in san francisco. i did some pretty significant deaths back in may around the numbers of san franciscans are well below the poverty level over one of 15,000 san franciscans are below 1% of federal poverty, which is about 14, $15,000 a year poverty level. so this is extreme poverty. to address this the mayor has proposed -- if we are proposing it today was a project 500. in the first year it is really project 100. it is about serving 100 families but the ideas to target families who have been personally poor

perhaps multigenerational igor, housing challenge, unemployed, and to do it in a way that clearly centered recognizing multisystem involvement in families meaning that there are likely touching several different city agencies from department of health, the probation, our agency and other. the ideas never. côte o to work in a really new way to address poverty is not just to say let us get you a job. it certainly is the only way i poverty, but recognizing that these families have a lot more significant barriers and getting a job maybe the third, fourth, or fifth thing we need to get him to do but really stabilize and family providing all family support the caseload model that is 1-10. also, the caseload model that is clinical social workers at the helm providing the primary caseload piecework support for these families. again, the first were building 100. we anticipate learning a lot in the first

year. learning is that caseload an appropriate level could be higher? to be more efficient? really around what sort of barriers are we seeing in these families and what leveraging do we do from other garments as well. then, were first moment area to increases around the same program which is subsidized employment. first is the interop addict and organize violence prevention program. which is subsidized employment for 30 clients a year and these are clients identified by adult probation as at risk of violent behavior or have a past history of such. they are ready to engage in a different path towards employment provided real income and alternatives to violent criminal activity. this will be housed in terms of wages, in the human services agency. but it is in partnership with adult

probation. then, on our subsidized employment expansion, were proposing to serve 250 additional clients in 16 slots. that would be 500 the course of the year. our drive to a minute this is a subsidized employment program launched in 2009 under the resident obama stimulus act. it is been wildly successful in two ways. one in terms of getting increased income to the pockets and the households of the low income families and single adults. secondarily, one we did not realize in 2009 and 10. implementing this, but the long-term impacts it had. we now do evaluation by using edd, state wage data to look at families and single adults will left jobs now to see what their income and employment status is . i will give you an example

from a cohort we looked at. 60% jobs out graduates in the first quarter after leaving jobs now remained employed. then, second-quarter gross jobs now 54% remain employed. the signal event of his for jobs now among them, only about 20% were employed. so almost getting a chuckling affect. they got an additional risk of the average earnings prior to jobs now these individuals about $2200 per quarter. two quarters. style the average is $5200 a quarter for graduates. the third area, six months postop jobs out 60% of the graduates were no longer on board with the assistance or to not return to public assistance. so, the evidence is there that is a very effective intervention for job training and getting income

into low income folks. one that has arguably better incomes outcomes the standalone job training. 60% placement rate of a standalone job training program is considered high in industry standards so having that resource push-ups out it suggest we continue expand the initiative. which we intend to do. this concludes the dhs part of the agency.. i will say we continue to work a budget analyst. we do not agree yet the analyst recommendations, would provide a significant amount of detail and analysis to them, that they are reviewing and will continue to dialogue with them. >> thank you. in particular, i want to -- i know there is a proposal with a budget, down. i think for your work on it. we talked quite a bit about the

program. to me is one of biggest successes we had. talk about being free about only from the city's perspective from the individual's perspective it onto feet with balloons and incredibly say what that means for the future here in the city of san francisco. so thank you for all the worker on a project. supervisor yee >> face of the presentation. you doing up one of their work over there. the mayor recently committed to and veterans homelessness by the end of 2015. can you provide us a little more information on some strategies you are taking? >> sure. with the american legion is ending and is a distinction that chronic homelessness among veterans. so these are veterans have been homeless for a number of years and have a co-occurring mental issue. we worked with consultants in hud hud oriented fight numerically what is that mean we have identified somewhere around 230 chronically homeless veterans

that we intend to have by the end of the calendar to go to that -- vouchers which works like a section a paternity veterans homeless jewish homeless vet. in addition, the baltimore house which is one of the three new proposed sites supportive housing, is a federal -- care site which is means the chronically hopeless veteran could qualify under that subsidy as well. then, with the openings of the other two projects as well, as unit turnover and physically targeting homeless veterans [inaudible] winters they getting to that number. it is a manageable number when you look at those veterans who were long-term homeless. we were helped significant by -- which was a building we open in the hernia which is one of percent dedicated chronically homeless veterans. >> as you know, in my past life

i work with organizations to try to reduce and homelessness for families. decades later, were still dealing with similar situations. you have any strategies about homelessness for families? >> thank you for the question rated the studies around family homelessness differ vary significantly from the strategies for single adults. research tends to show the homeless family the primary predictor or cause of homelessness for families is income. this simply poor. whereas a single adults have generally a high incidence of addiction, mental illness, tend to be older primary healthcare needs. so that research suggests strategy we should incorporate is what around income. we have -- in this

budget proposed increases in family rental subsidies for 30 more families. we also of the state now -- subsidy program right housed over 100 families now in the current year. that just since december. those expand by the suitable number $59 so hopefully get a portion of that. additionally the existing family rental subsidy programs in partnership with health and family center and catholic charities. again, the strategy being that increase these families incomes, stabilize them and housing and couple that with job training or placement in the job now to get families to a place where they can pay rent on their own overtime. >> in addition for families who may have the higher-level need we do a family support housing site, both in the pipelines there is allspice of housing but also existing supportive housing for forward place families who may have a need for high-level intervention in the sites. >> i guess you mentioned your

increase in the budget to support 30 more families for subsidized housing i guess. is that adequate in terms of the need? >> yes. that saga and family hopelessness. we are working with some providers and advocacy organizations i what would it look like, what, proposal would it take to end family homelessness. if you look at the numbers, and without being definitional, homelessness is often a broad definition that equates knowledge families run shelter or maybe in cars on the shelter waiting for families that might be doubled up families who are sros families were not in an unstable housing situation in on the street. we took a broader definition and use the data reported by the school district the numbers of homeless kids is about 2400. again the broader definition. of that, though, only about 400

to 500 of those phones that narrower definition of the shelter waiting list. trying to massage that figure out well, is it our goal or intentions of all the families who may be indoors" maybe not all of them must not change their housing situated it could be a generational family situation. it could be something that works for them. the need to dig deeper into his the needs of those but the other ones, again, strategies that look at rentals of these that look at the housing pipeline to the members opposite housing member of the housing bunch, set aside with an offer for will housing set-aside particular units for chronically homeless families. work with the housing authority to prioritize homeless families in placement in the public housing. currently they get five points higher of bonus of pipelines in terms their

scoring. so, no, subsidies are not enough but were landing on the number between 20 and 30 million policing could actually and they might homelessness in symptoms is that unlike senior adults. 6 to 7000 single adults the number of surely homeless families is much more manageable and manageable in a way that were able to quantify it.. it is not represent in a proposal here is doing were working on. >> thank you. i look for to seeing what the final proposal looks like. supervisor tang >> thank you for your presentation mr. roark. i

wanted to shout to you about navigation sent. i did have an opportunity to take a tour of it and i learned a lot adding its wonderful new way of trying to tackle some of the challenges that some of the homeless individuals or family space trying to whether to shelter or permanent housing. so, i know you had included 1.5 million general funds to continue operations after december. how long to anticipate that funding would allow it to stay in operation. that funny would be for, i believe it is the only year one of the jaws it. correct? and the potential move. the site of the navigation centers that now, close to 16 commission, will ultimately be developed and housing so we will have to revote the navigation center so that funds represent data operations there and the transition to a site that would be yet be determined. again, the continues to prove prove successful. were still sort of in a pilot phase. it is really showing a lot of promise. were really know what has we open us housing as of this effective way long-term way to get long-term

homelessness into permanent housing and promote exercise from homelessness. that was sort of a long lines for second question i mean it is no sir early and i really like trying how you are trying to eliminate all those barriers for services and kind of put in a cohesive area of the different access points are normally someone would have to go to maybe for different poems over the several months all in one place. i hope that the goddess of whether the navigation center continues to weaken the lessons learned from that and apply it to judgment your existing structure in some way. >> that is a thought, supervisor. to look at it is this emergency shelter system which has over 1000 beds and adopt navigation center approach in a system. it is proven again effective. getting 22 dojo that space number

getting 22 of these folks housed, moving from an kimmitt dr. mcammond to housing the span of a couple months suggested this pretty effective intervention. >> great, thanks. >> supervisor mar >> i am guessing the part of aging seemed and office of education. a minute? >> will present next >> unappreciative value of the human safety net needs into the mayors of budget your own innovations, our city is really trying to ensure that to ease suffering, and to struggles of many many people that are not being advanced by the economic boom in our city, but it is really enlightening how, from the very young with office of care and education, to the booming compilation of seniors

with the department of aging and adult services, how you balance these huge needs. it after the different offices have mentioned how though the budget is really a good one for this year, they are still significant gaps to food insecurity, with the building population of seniors and their needs children and families in our city. about us that after they are done. >> thank you. collects any further questions? a turnover to -- >> good morning supervisor. enhancing department of aging alkyl. as you know, were made up of four divisions. in unsupported services which is ask a part of half of our department, the office of long-term care, protective services, and then we have the office of the veteran services and office on aging and information refer and consultations is our fourth edition. if you turn to go start

has it up, page 7 of the report before you, you will see there are three things we want to highlight today. those are really either populations of people that cut across all four divisions were areas of work that card across the four divisions. first is the quality assurance and clinical consultation unit. this is something that we came out of the community living fund work and that a version and committee immigration work a number of years ago. we have seen the successes that that program. wash that across the department to answer all four divisions. it is also part of alder street is a planning work we have done. two of its long-term immigration, dementia and alzheimer's, living with dignity, was involved in key portions of those reports. a country veterans office,, i am not sure if you had known but in the past we have had to be close on fridays because we needed a day for the small staff

to catch up with all the paperwork that is needed because it is all about interviewing people making sure that what people they get. so, we are looking to do some expansion this year so that we can open on fridays and have the outstations that we have had in the past and been unable to have in place for us. we found not only have a main office but having outstations is enormously helpful in reaching out to veterans who not always know that their access to services and support. and benefits. the last is something we are really excited about. his work on right now the --. this is where were going to physically have our information referral assistance and consultation unit. you also have all the benefits. i discussed medi-cal, in one spot and as part of the work i was

put up the long-term care integration strategic plan, will be moving in creating a case management intake focus and managing the waitlist. right now, we have case managers in all parts of the city. i think 25, 30 of them working with younger adults with disabilities and older adults. but in conversations in our community dividers, this idea of having one place where people can call in and we could manage on how people access that particular service will be i think really helpful to the community, but also hopeful to --. press to determine what unmet need might be out there as well. turning to page 8 you will see the highlights of the mayoral enhancements. at the top the list is the community living fund, which to date, has been a fun about $3 million that has funded and supported

people who are either in institutional care, and are willing and able to come out and back into the community, or it is supported people who are headed to institutional care and qualified for institutional care, who was deemed with the appropriate sports could stay at home. so, this would augment that fund by $1 million. the next poet highlights our home delivered meals program. last year the board and mayor together put about $2 million into food security related to younger adults and older adults. so this would be another enhancement to that work. he would bring our meal program to about 1 million meals. the next item is our community services activity centers and i think some of our district we refer to those at senior centers barroso mitered our centers or roxio can do younger adults as well. this augmentation is a two-year

part. it would help us to support the centers in the new work that they have undertaken. even though we have had a downturn for many years, and unable to expand in many ways, we have had growth in the arena of volunteers, technology, we certainly are in heaven demanding more data from the folks that we contract with. so this would help with those items. the fourth bullet is dollars though be targeted towards a technology council those form just this past year. the council is comprised of people who work in the world of technology, businesses who are serving older adults may be use technology. committee providers,