(clapping.) >> good morning, everyone i'm joe robison from the district 2 and i'm the director of hazel health serves we're pleased you're here with us today to help us launch that much awaited program i'm very honored that 3 and 4 could be here with us he's been incredibly structural and helping san francisco become the fifth county if san francisco, california to implement this program mayor. >> well, good morning, everyone and welcome to one of our important sites in san francisco where a lot of important work is being done this is happens tobacco a large division of our department of public health particularly focused on our psychiatric and services and thank you, david for giving us

the tour and joe for allowing us to see the staff at work seconds this morning that is a lively group of people that are seeking services but what we're now and then today is something that supervisor farrell air force been working on for sometime as soon as we knew we were going to get passage working the in a nut shell in a nut shell how to work with families and victims e individuals that went though the criminal justice system and our emergency medical systems more than once to allow them to play a row w role with the and i and the judges perhaps to offer yet again, a i think a more compassionate prauch to people that are dealing with mentally

ill r mental illness and love people use our newly refreshed 311 app as well as our connections to our public health department facilities to report people in to get health checks and particularly focused on individuals that does not will look like their handing themselves in a situation they can present a dogger to themselves or anonym and certainly what a lot of people may call or so as abnormal behavior or behavior that on a regular person basis niece attention is i'm happy not only to be here on the site but to know that is part of our extended level of services our city is providing an additional $28 million this year in services that are needed we have

over 2 and a half billions a year that are dedicated to social services out of a $9 billion budget within the public health bill we're more than schajd particular by those individuals that happen to be in contact with the emergency services well, more than ones law schools we want to make sure people know what that stand for that is moment after a statewide effort in it came to california everyone jurisdiction and continents passed it's on approval of law schools law schools and state and federal agencies how to remove with the involvement of family members of those that might be experiencing

those health issue the new roles with laura's law medical professionals working with the fathers and mothers can actually focus on their individual relatives and provide input of patterns and practices of the individual such a judge and the health professional can service that particular individual hopefully with a more sustainable approach it does not require medication at all what laura's law did it allows a system rather than depending on the individuals call of what his or her might be are personally experiences but calls into the involvement family members and others that weigh in so at a hearing with a judge where some of this might happen there will be some more assessments that are made with the hope that the

individual involved can get the right and sustainable treatment for that person to be more successful and at the center is not only medical treatment we opened the door to the library on a daily basis people are trying to assess jobs we know that first hand having good jobs can oftentimes allow someone to recovery just as powerfully as family members and people are really is their interest at heart and along with mayor their medication or whatever the health professionals can aspirin that is what laura's law does it get that avenue and we everything that there could be very good successes but not saying this is the answer to everybody i've got to work with

sxhaefrl and the entire board not only having healthy budget towards the health challenges of our individuals but i also have to make sure we have tear housing and sustainable long term housing we are around the corner at the end of this year answering the call on the veterans the chronic homeless conveniences nine hundred additional units for those coming to the navigation center we'll help the individuals and groups of people hopefully ends their homelessness on the streets and signaling to everyone to take advantage of this city's opportunity whierld we have a strong committee get for people off the streets and into proper services and supportive services as well as into long-term housing we intend to are at navigation center backed up you, you h up by 5

hundred additional units by the end of this year and continue to work for more housing to be preserved and vibrations it to be less and more housing rehabbed in the next 5 years. >> so with that, we want to introduce someone i had a chance to work with on the board very effective and was the leaders on the conversation at the board about laura's law not only did he get the support that was needed by i think the conversation was done in such a respect way that we have been in the city asked how can i be participating into laura's law to make sure that works properly and make sure that continues a representative of what has been and continues to be the tradition of san francisco we lead by over compassion and the deeper compassion allows us to do more to pend more of the city dollars and make sure we're

doing it smarter and eventually get to more people on the street do the right thing but not interested moving people from one corner to another wearing to take every opportunities whether conferences or the super bowl or our need just the focus for health rebates and the safety of neighborhoods i want to introduce, of course, over supervisor of 2 mark farrell. >> thank you, mayor ed lee and everybody today marks a day after ether a year of preparation a dye to celebrate of the beginning of the sawdust outpatient in san francisco but the hard work is yet to come i want to thank mayor ed lee and the colleagues on the board of supervisors and the talented

individuals and families organizations both nationally and locally that are instrumental in passing laura's law in the legislative process now will be structural as wesz roll out aot versus the outpatient entertainment in san francisco we have a mental health crisis we see that on the streets everyday from my prospective not enough to do for those individuals and families and our city to get those individuals the help they need and put them on their own two feet and a path to a better life that or started about two years ago when i was approach by approached by a number of families in san francisco that had loved ones sandra fewer from millions and loved ones unfortunately after years and years couldn't help no tools or resources to help them arrest

talking for a while and talking with the wilcox family where this law oriented we introduced laura's law they board of supervisors with the support of mayor ed lee we were able to put it through and it is so important for those here in san francisco and when we think about families to make sure they have the opportunity resources that they need and they feel their supportive by their communities and doing everything we can for those families to make sure we help them ultimately it is giving a choice and maneuvering that we get get those individuals the help they need and the reality they're off medication and don't realize they have been mental health issues it is a changing situation for everybody around this the poushth treatment. >> is one tool in the tool shed to get the people the help they did medications and others

treatment and wrap around services they'll receive in this year facility to put them on their own two feet i want to thank so much people that were involved joe and barbara garcia from dpw and so many people a number of national and salvation and nominee and nominee sf and a leader on this issue and the countless families that step forward to tell their stories to open up to the community to not only help them but the next generations that deserve this help not a panacea from mental health in san francisco or anywhere it is but a tool in the toolbox at the city of san francisco but i'll suggest a very important one someone that everyone in the city deserves and looking forward to it being

rolled out to thank you. i want to introduce the woman that will be leading the aot program in san francisco for the next few years thank you very much >> i'm aging gel the director the outpatient treatment as supervisor farrell noted a new tool in the tool in the tool belt to hope people san francisco implementation of this lay is unique and includes a goal of maximize missing the perhaps of individuals as well as the adoption of an outpatient team the care team is the director myself a specialist or someone that is a consumer of mental health or a liaison the two positions that the

specialists and family liaison are unique to the project programming and feel are for the first one we feel that will help us in engaging the individuals in the community and therefore reaching the goals of maximizing treatments fallout we feel those positions and bodies recovery in the program and all the services that behavior services over based on recovery and wellness we believe that people can get better and a tool to help the unique strengths and needs of individuals of they are pact to recovery in other words, to quality for an assistant outpatient treatment an individual needs to meet the criteria they're an adult with a known mental illness not fwaemd with medical care and must have a lack of complaints deemed by the every or statements eir their mental

illness is psych hospitalization or crackers they receive mental health treatment or one or more acts of violence to themselves or others in the last 4 years and who can make a revel is outlined on adult that lives with the individual a family member a parent, difficulty child the director of a mental health treatment facility the director of a hospital where the person is hospitalized a licensed mental health provider that provides treatment and finally a probation officer or parole officer the referrals will be accepted monday night november 2nd to be may be vernl or in writing

844-255-4097 and individuals can also receive our www. dot sf dpw for additional information about the history of the assistant posh as alternative reservoirs that are available in the treatment of care and the form that can be faxed or e-mailed our goal to maximize the participation we anticipate there will be a need in some cases to request a court order but the goal of the court order is to utilize the solid weight of the court to leverage someone into care bye or by the nature of having someone in the treatment is the black roan effect it is important to note that while a court order maybe

in place should someone nobody held in dmment or sent to the hospital unless they meet the hospitalization criteria, however, the care team will be working diligently to engage the individuals and offer them services and monitor them to see if they need hospitalization further individual which are court ordered into treatment will be receiving the treatment here this is well known for the respected services within the community while the services are occupied in the law it is important to note it san francisco has a hifthd of hefty of a robust mlk system and the services that are for the outpatient clients are also available on a voluntary basis to get ahead of crisis and in

line we don't have to have people get worse this is a new tool tool in the tool belt for hospitalization or incarceration and off them alternatives before that level of care it is a great privilege to work with the team without further ado, our team charles will be speaking about the roles of the team (clapping.) >> i'd like to thank everyone for being here i'm cedric and my roll in the care team to be the specialist i have a message to share withdrawing it is very, very important for everyone to understand that living with a mental illness is a constant struggle in the life of the customer it is very important to understand that stigma is one of

the many obstacles to overcome when seeking care what is it we're 2r50ig to do the goal to reduce the limitations of mbt at the same time 2 had been instrumental in engaging the consumer and on the road to recovery bans their strength and uniqueness also at the same time it is important to upstairs that trauma is very real and common in the face of mental health one of the ways the fact that in terms of trauma and it is very, very does the to seek care to really gadget into recovery so what is it we're trying to see with the team we're industrial in tackling issues of stigma and

establishment in support of consumer and get them to the road of recovery by sharing the resiliency and late last the message we want to share the fact that recovery is not a designation but a journey it is important to know that recovery happens and it creates changes in people's lives what we want to do what is to understand it is recovery it will be instrumental in supporting and saufrt individuals and engaging to their road to recovery to repeat benefit of care i'd like to ends this note by saying we do recover thank you. >> (clapping). >> hello, everybody my name is

charles houston i'm the liaison for families the whole family because when you see that people that take care of their loved ones they have other people in the family last week children and infants and they're part of whole team of recovery so what i'm going to be doing as part of aot team to sought after the family there's hope and we're going to work with their strengths and being a consumer may we approach having family members that i say my parents take care of and as a child and had to step into the role as a teenager and into the roll as an adult so what we're here to do is assist the family let them know they're not alone their wants and desires to help their

level in the house and hopefully that we can help them on that road of recovery together and that will be my role with the aot team to support the families and their loved ones thank you. >> (clapping). >> hello, i'm dave division director of citywide case manager at the constricting department in san francisco general i want to introduce the deputy chief dr. mark will talk about the impact of accentuated 30ush9 with the paushl crisis emergency services. >> thank you dave today is a great chance to recognize the range and depth of the services for the mlk in the

citizens of san francisco i work at san francisco general hospital where we have many services for people with a arraigning of mental illness including two of the important, important one the pe s and locked in patient unites at the 7th in charge those are illness services we're proud but your goal as as mlk system to make those services less and less needed we're here to celebrate the opening the outpatient treatment in san francisco and over mlk under joe robison that created this program with individuals with a serious mental illness to engage in treatment to receive care open their own terms in their own community and it is on this when every intervention is sdhauftd that

the court steps in to mandate the treatment we want the topaz probation officer get the treatment long before they find themselves in the hospital san francisco's aot program is a great program it is caring but principles but not heavy handled i'm proud of the way the city has created the program and built it i think that will make pe s in the hospital unnecessary for some individuals we'll always be there when you need us thank you. >> (clapping). >> so i want to thank you all for coming to help us launch this very important program i'm sure from the quality of our care team you can see we're going to have an amazing aot

program over partnerships are sf and their citywide division going to make this one of the most 101 programs in this state we'll have our first elevation in may and we will be happy to make that document a public document once it is approved by over mare and your board of supervisors we'll be taking questions but off-line angelica and myself will hang around for questions a big thank you to mayor ed lee and to supervisor farrell for making that possible in this making that possible in this

>> good morning everyone. welcome to our tuesday o ctober 20, 2015 of the san francisco county transportation authority. i'm joined by commissioner mark felled. julie christensen and commissioner yee. why don't we go to roll call.