rulers project for free wifi and developing projects and insuring patient state of at san francisco general hospital our it professionals make guilty or innocent available and support the house/senate regional wear-out system your our employees joy excessive salaries but working for the city and county of san francisco give us employees the unities to contribute their ideas and energy and commitment to shape the city's future but for considering a career with the city and county of san francisco testimony. good morning.

we're going to begin our program. and as always, remember that we're in the presence of god. first of all, my name is sister mary kiefer, i'm the vice president for mission integration for st. mary's medical center and the bay area center of dignity health. i'd like to welcome all of you today. in my world i would say this is the day the lord has made, let us rejoice and be glad because it took a lot of work to get to this point. and great blessings to the partnerships with the city and county of san francisco and ucsf. as is our practice, we step back from the busyness of the day and tap into our spiritual side. it's my pleasure to offer this dedication to you. as we bless that ground, we

stand at the sacred intersection meet grace and humanity. as we bless that ground, we set it apart for the special purpose of healing body, mind and spirit. may the architect of our lives bless those whose vision has brought us to this moment. bless those who gave form to the dream, who honed plans and laid a firm foundation. bless this ground that gives of itself to support the center of healing. may this building live lightly on this earth, using resources sparingly and respectfully. bless those who have constructed this space. may they know that they are healers. may the jobs created by this project sustain families who call this city their home. bless future generations who

will come here to work that all might experience meaning and purpose in their labor. cement the past and future with the present that we may be of one accord in our partnership. and bless these rooms, that they may be strong enough to hold a client's pain and pourous enough to allow our own humanity to seep through our sterile processes. may it pulsate with our good deeds and flow with justice and compassion for all who seek healing within its walls. amen. now, it's my pleasure to ask mayor mark farrell to continue on. thank you. [applause] thank you, sister. thank you. it is an honor to be here this

morning to celebrate the opening of our healing center here at st. mary's. mental illness is one of the biggest issues facing the city of san francisco right now. it is evident on the streets and reflected in the homeless population, but it is also happening behind closed doors. today, represents a huge step in the right direction with the what the city is doing to work and solve those issues. mental illness encompasses so many things, conservativeship is not the only solution. we do so much here in the san francisco. those with challenges need our help as a city. we have worked over the years and partnership with mayor lee and his team, first we passed laura's law a number of years ago here in the san francisco with the help of barbara garcia. we have a place where they can go and receive the help they

need. but conservatorship is a huge part of the solution and today's celebration is a huge step forward for the san francisco. we are doing things like opening up new beds and places for people to go when they need to come off the streets. we're partnering with other groups and people in sacramento like senator weiner. also, the integrated agency team where we focus as a city, multiple different departments under the 40 most people on our streets, those are the frequent flyers through our health system, our ambulances and police and fire departments, through our hospitals. and other services. the to make sure they get the care they need, but also that we work together as a city so we can conserve those that need our help. let's not lose focus. this is about getting the people on the streets the help they

need. so they can get on their own two feet and onto better lives. i'm honored to be here today. this is a celebration and it takes so many people to come together and there are so many people to thank here today. first of all, i do want to thank our late mayor ed lee. it was his vision and his pushing last year to put the $5 million into the city budget and it was his really vision to make today happen. and we celebrate today in his honor. i believe that in honoring that commitment, we will continue to fund this in our city budget moving forward for the next few years as well. i do want to thank barbara garcia and the department of public health, there are so many things that under her leadership have done to get today ready and to make it happen. least of all, not least of all, is the fact that within eight months this center is open. and anybody here who is familiar

with government regulations, that this center was opened within eight months is a miracle. [cheering] [applause] so a huge credit to our department of public health under barbara's leadership for making that happen. i want to thank our two partners. lloyd dean from dignity. thank you for your partnership. this is a dignity hospital, we're very proud to be here today to celebrate. mark lair from ucsf, your support. president breed, a leader on the issue as well on the board of supervisors. this has been a collaborative effort. we would not be here today without everybody standing behind me, but we would not be here without the vision of ed lee. i'm honored to be here today. let's make no mistake. this is one step in the right direction in solving mental illness here in san francisco and work canning hard to get

people off the streets, but let me introduce the woman had made it happen, barbara garcia. [applause] good morning, everyone. barbara garcia, but behind me is the incredible staff. behind me are people who did the heavy lifting. this is such an incredible part of over 115 beds that the department has opened up in the last year. so this is a really important program because it does have the highest level of care next to an acute hospital. but it also has the opportunity to provide people with intensive care services to help them heal. that's why this is called the healing center. we do that also from a recovery model and from a peer-based model. today, you will meet a lot of staff here. i got the honor to meet them. they went through 80-hour life training, actually, because they not only have lived experience,

but have family members. anyone in here could probably raise their hand if i asked do you have a family member suffering from mental illness or addiction and many of us would say yes. this center is really a focal point for the department, but we also have other levels of care that are more voluntary. people can walk into this. this is a little different, people are mandated to be here, but they have the right every 30 days to determine whether or not to continue here. but let me tell you, if you walked in here, i think you would be welcome to know you will have an opportunity here to be loved and supported to your recovery of our chronic disease. that's one of the areas we're trying to get people understand. mental illness and addiction is a chronic disease. i hope this reflects the love and support we want to give our community members.

eight months is an incredible force. they say government happens in two times, lightning time and glacier time. i think it's so important we get services off the ground. we could not have done it without the partnership we have. $3 million of renovation in this building. we couldn't have done it ourselves. so dignity had the area that we are in today, so let's give them a round of applause. [applause] sometimes hospitals, we think of hospitals as acute services, but today we can think of hospitals as multiservice levels of care and that's the direction of hospitals as well. then you have the issue of renovation and partnerships and they've been a great partner, 150 years affiliation, and then you have the fact that we want to share and be able -- there is

a great need at the medical center as well, so we have a partnership. uc has allowed us a million dollars for renovation. we're appreciative of that as well. [applause] the department provides many services on its own. but to have a community-based organization with the kind of outstanding experience of crestwood behavioral health services is incredible and we're fortunate to have them. patty, who you'll meet, said we're going to do this and do it in this time period, i followed right behind her. i walked her walk. and i have to tell thaw it's been an incredible process. we had to take on the state department of health. they wanted this to have cement floors here, because they thought this was a prison, so we taught the state as well for those who have mental illness. i don't want to underestimate

the addiction, we see these as separate as well, this is a program not only going to deal with mental illness, but addiction needs as well. so with that, i just want to thank everyone for all of the work that all of us have done. i want to acknowledge a particular person on my staff who i follow very closely, she's about my height. you can guess, that is kelly. i want to give her a hand. [applause] she does incredible work every day, taking people from the hospital, taking people from the streets and putting them into the right level of care. and sometimes, folks, we don't have the right levels of care and we have to create those. this is one of those. i'm sure you're going to enjoy the day today as you walk through this beautiful facility. thank you very much. >> good morning. this is a special day, special day for the city and county in a

very -- and a very special day for all of us at dignity health. i want to thank all of you for joining us for this momentous occasion. just a quick story. i have a granddaughter that is 5. i try to call her in the mornings before she goes off to school, and she always asks me what is it that i'm going to do today? and she says, papa, what are you doing today? it was hard to explain our gathering here, so i said we're going to be dedicating a new place, a new home that will help serve and take care of people with mental illness and mental challenges. and she said, well, are you going to be staying there? [laughter] and i'm thinking even at 5, she knows something that i

don't know. but i would tell you, this is a beautiful, beautiful facility and truly together with all of the partners and certainly barbara and all of the support from the board of supervisors, from the mayor, and so many people that i can't take the time to list. this will change and begin to change san francisco. so i want to thank you for joining us, thank all of you for being here. it has truly been an honor for us to work with barbara, to work with the city, the county, and to continue on our quest here at st. mary's to impact and change health care in this city in a

way that allows us to serve the most needy and the most vulnerable. as has been said, all of you know, mental illness is one of the most vexing, complicated and critical challenges, not just facing us here, but facing our nation. but we, together, here are doing something about it. i will never forget the call, because i got so many of those calls, from the late mayor ed lee. and when he calls, you take his call. and he said, lloyd, and i said yes and he said i need your help. when he says that, it's not just i want to have a consultation with you.

but he explained what he wanted to do and he said, i need partners and you have been there before, and i need you to step up now. so this collaboration is a significant health capability that through partnerships we are together about to present to this city. and i just want to recognize and thank the incredible work of the hospital council and the city's emergency department physicians for helping us identify, not just the need, but the specifics of the issues and for pulling us all together to stand here today to do something that i think history will show was one of the significant events in the

journey of this great city. thank you. [applause] >> thank you, i'm mark laird, president and c.e.o. of ucsf health. sister mary, as you were speaking, all i could think of, i believe it was st. augustine who said, spread the gospel and if necessary, use words. >> st. francis? >> ok. i knew i shouldn't be wading into this territory at st. mary's [laughter]. >> one of those things. >> it was one of the saints, thank you. st. francis, medical center, it all comes together. but i think the point of this is this is not just talking about doing something about mental health, this is doing it. and i am so proud of our affiliation at ucsf with the

city, mayor lee, who was a special man, mayor farrell, potentially future mayor breed, all the people in the city who have really helped us move forward and make something important happen. but i do want to spend a moment talking about dignity health, what an amazing organization it is under lloyd's leadership, the team at dignity health is spectacular. always focused on doing what is best for the community. and at ucsf, we believe that's our calling, putting the needs of the community first and trying to address those in every possible way. as barbara garcia said, we've enjoyed a fantastic 150 and we weren't there in the beginning -- >> no, we were not. >> close. 150 year membership that is the

envy of the medical centers across this nation and we want to build on. i want to acknowledge one special person, so many special people, dr. jackson, who is our doctor for behavioral health services. when she came to ucsf she asked a lot of questions. what are we doing in the community? and the answers were not enough. with the partnership with dignity and crestwood and the city, we feel like we're really on the cusp of doing something important. i want to say thank you to everyone who worked on this. we will be there supporting all the way. thank you. [applause] >> thank you. i'm patty blum, i'm not the c.e.o. just saying. i also -- [laughter] -- i have

been with crestwood for 37 years. as a provider of health care services and psychologist i came to this field because my heart drew me here because i'm a family member. and i live each and every day looking to do what we do better and looking to serve more people. and looking to fully engage in every single way that we can to increase hope and love and gratitude. each one of us, each employee we have and each person we serve, each community member we run into. so we have a saying that we stole from the consumer movement, nothing about us without us. so i'm speaking up, i'm going to grab our newest director of education. come on up, deanne. deanne robinson. [applause] we as an organization put the

people who we serve first and foremost every single day as every good health provider does and we could not have found better partners in ucsf. and we've been partnering with san francisco since 1976, providing services for san franciscan s. and we're here today. this is a long hard-fought battle. without a doubt, barbara garcia, our late mayor, this would not have happened and with the tenaciousness of mauja, rita, john alan, this is a partnership that took every person. as recently as saturday morning, 7:30 a.m., conference call with the c.e.o. of st. marys.

i'm going to let deanne talk. >> hi, i'm deanne robinson, i want to say thank you everyone for being here today. this is really important and special to me because i am a person who has received services for substance abuse and mental health. i just want to tell crestwood thank you quickly recognize and

gratitude some of the leadership who have brought this forward for most of you, the eight months, literally, several of us, mauja and i, had not walked on the campus before march 10th of last year. and we moved mountains with an incredible organization, who serves the state of california very well. with rigidity. >> nice to put it that way. [laughter]. >> so we have honored them as well and have plaques that are going to them.

but i've asked our local administrator -- the first one is for mauja and each one of these is for your fearless commitment and compassion to the people of san francisco. [applause] >> support rita. this is for rita. [applause] for barbara garcia. [applause] for our mayor mark farrell. [applause] for kelly. [applause] for john alan who absolutely i think was very, very new and

green. and this would never have happened without his commitment. [applause] to george, the actual c.e.o. and president of crestwood behavior. [applause] this would not happen with his -- and to janet, who is our incredible director of initiatives, education and some people call her a designer, but clearly she is not, she's the brilliance behind the environment and we have been recognizing the environment twice in the past six years by samsa for therapeutic environment that is trauma informed. so to janet. [applause] and this is for the late mayor,

this would never have happened without his commitment, belief and tenacity, to the people of san francisco. [applause] five, four, three, two, one! [cheers and applause] -

>> san francisco is known worldwide for its atmospheric waterfront where spectacular views are by piers and sight and sounds are xhanl changing we come to the here for exercise relax ball games entertainment, recreation

market, exhilaration a wide variety of contributions easily enjoyed look up the bay the waterfront is boosting for activities boosting over 25 visitors every year the port of san francisco manages 7 may have million dollars of waterfront from hyde street and fisherman's wharf to the cargo terminals and name shoreline the architecture like pier 70 and the ferry building is here for the embarcadero and a national treasure the port also supports 10 different maritime industries alongside with the recreational attractions making san francisco one of the most viable working

waterfronts in the world but did you think that our waterfront faces serious challenges if earthquake to damage the seawall and the embarcadero roadway rising seawalls will cause flooding at high tides and major repairs to a safe many of the piers the port is at a critically turnl point time to plan for the future of san francisco's waterfront this year the port is updating it's marts plan the plan working group to invite a wide variety of poichdz from the city and bayview and other advisory teams to share their expertise if intense and maritime operations

the waterfront land use plan has guided the use and development of the lanes for the last 20 years major physical changes take place along the waterfront and now is the time to update the waterfront plan to continue improvements that will keep our waterfront vibrate, public and resilient the biggest challenges facing the waterfront are out the site an aging seawall along the embarcadero roadway and seawalls that will rise by 21 hundred to provide and productivity of tides seawall is built over weak soils and mud the next earthquake will cause it to settle several feet without the urgent repairs that will damage the promenade and other things we've been fortunate over the last hundred years less than one

foot of seawall over the next hundred years scientists say we'll have 6 feet of seawall rise imagine the pier 30/32 will be floated, the embarcadero will be flooded our transportation system is fog to be heavy impacts unfortunately, the port didn't have the financial resources to repair all the deteriorating piers let alone the adaptations for sea level rise. >> it is clear that the port can't pay for the seawall reinforcement or deal with the sea level rise on its own needs to raise money to take care of the properties at take care of the maintenance on the properties no way absent anti funding the issues of sea level rise or the schematic conditions of seawall can be development.

>> as studies talk about the seawall challenges the working group is look at the issues please come share our ideas about recreation, pier activities, shoreline habitat, historic preservation and transportation issues and viral protection. >> we know this planning process will not have one question and one answer we need the diversity of the opinions how people feel about san francisco waterfront and want to hear all the opinions. >> the challenges call for big decisions now is the time to explore now and creative ideas to protect and preserve san francisco waterfront. >> now is the time to get involved to help to shape the future of our waterfront. >> we need the debate please come forward and engage in the process. >> this is your waterfront

and this is your opportunity to get involved be part of solution help san francisco create the waterfront we want for the future. >> this is really to dream big and i think about what our waterfront looked like for all san franciscans today and generations to come. >> get involved with the planning process that will set the fraction for what is coming at the port. >> find for in upgrading dates on the ports website. >> (ship blowing horn in distances)

>> hello. you're watching the show that explores san francisco's love affair with food. there are at least 18 farmers markets in san francisco alone, providing fresh and affordable to year-round. this is a great resource that does not break the bank. to show just how easy it can be to do just that, we have come up with something called the farmers' market challenge. we find someone who loves to cook, give them $20, and challenge them to create a delicious meal from ingredients found right here in the farmer's

market. who did we find for today's challenge? >> today with regard to made a pot greater thanchapino. >> you only have $20 to spend. >> i know peter it is going to be tough, but i think i can do it. it is a san francisco classic. we are celebrating bay area food. we have nice beautiful plum tomatoes here. we have some beautiful fresh fish here. it will come together beautifully. >> many to cut out all this talk, and let's go shop. yeah. ♪ >> what makes your dish unique? >> i like it spicy and smoky. i will take fresh italian tomatoes and the fresh seafood,

and will bring them to other with some nice spoked paprika and some nice smoked jalapeno peppers. i am going to stew them up and get a nice savory, smoky, fishy, tomatoy, spicy broth. >> bring it on. how are you feeling? >> i feel good. i spent the $20 and have a few pennies less. i am going to go home and cook. i will text message u.n. is done. >> excellent and really looking forward to it. >> today we're going to make the san francisco classic dish invented by italian and portuguese fishermen. it'll be like a nice spaghetti sauce. then we will put in the fish soup. the last thing is the dungeon as crab, let it all blend together. it will be delicious. when i could, i will try to make healthy meals with fresh

ingredients, whatever is in season and local. those juicy, fresh tomatoes will take about an hour to cook down into a nice sauce. this is a good time to make our fish stock. we will take a step that seems like trash and boil it up in water and make a delicious and they speed up my parents were great clerics, and we had wonderful food. family dinners are very important. any chance you can sit down together and have a meal together, it is great communal atmosphere. one of the things i like the most is the opportunity to be creative. hello. anybody with sets their mind to it can cut. always nice to start chopping some vegetables and x and the delicious. all this double in view is this broth with great flavor. but your heart into it. make something that you, family, and friends will really enjoy. >> i am here with a manager at the heart of the city farmer's

market in san francisco. thank you for joining us. tell us a little bit about the organization. >> we're 30 years old now. we started with 14 farmers, and it has grown out to over 80. >> what is the mission of the organization? >> this area has no grocery store spiller it is all mom-and- pop stores. we have this because it is needed. we knew it was needed. and the plaza needed somebody. it was empty. beautiful with city hall in the background. >> thank you for speaking with us. are you on the web? >> yes, hocfarmersmarket.org. >> check them out. thank you. >> welcome. the dish is ready. >> it looks and smells amazing. >> thank you. it was not easy to meet the $20 budget. i checked everybody out and

found some great produce. really lovely seafood. i think that you are going to love it. >> do not be shy. cyou know this can run you $35 to $45 for a bowl, so it is great you did this for $20. >> this will feed four to six people. >> not if you invite me over for dinner. i am ready to dig in. >> i hope you'll love it. >> mmm. >> what do you think? >> i think i am going to need more. perhaps you can have all you want. >> i am produce the that you have crushed this farmer's market challenge by a landslide. the first, we're going to have to tally of your shopping list and see what you actually spend that the farmer's market. >> and go for it. >> incredible. you have shown us how to make

super healthy, refresh chapino from the farmers market on the budget, that for the whole family. that is outstanding. >> thank you peter i am glad that you like it. i think anybody can do it. >> if you like the recipe for this dish, you can e-mail us at sfgtv@sfgov.org or reach out to us on facebook or twitter and we

welcome to the commission on aging and adult services meeting. please call the order, the roll call and call us to order. >> [roll call] commissioner tedi vriheas is excuseded. at this time, we ask that you silence all sound-producing devices for the duration of this meeting. >> thank you. may i have a motion to approve the march 7 -- the agenda. >> so moved. >> second? second, thank you. any discussion?