to be as effective as possible. it is just a portion of their roles so our hope is with this work -- with some of this work being transferred they will be focused on all of this mental health work that comes out of criminal cases. so the paralegal will be serving the mental health unit in its entirety monthly and the district attorney who does this work will be focused on the cases we keep through this process as well as our other mental health work. that inc o includes that variety of things.

>> chair cohn: are you satisfied with that? thank you. one question about the district attorney. will the da keep their staff for the cases related with criminal activity? >> i'm sorry. say that again. >> chair cohn: will the district attorney keep the staff that is related to the criminal activity associated with conservatorship? >> the current staff members? >> chair cohn: yes. the team is not going to be disassembled. >> correct. >> chair cohn: what are they going to be doing? >> in addition to the work that we do right now this is only a part of what that -- what our office does for mental health. so the bulk of our work is actually spent doing the cases in the criminal justice system related to folks who have been found incompetent to stand

trial, not guilty by reason of insanity or mental offenders. that is 300 active cases and hundreds more of inactive cases that that team is monitoring. the way that we do that work in our office is when somebody has been found incompetent or questioned about an individual's competence to stand trial in a criminal matter is raised that case comes to this mental health team. our mental health team manages that case during that time where that incompetency is the issue. the attorneys on that team are not trying the cases, they are not resolving the criminal matter but they are managing and monitoring the time that that person is going through a competency and things like that. so that is an big part of cases, 300 at any given time and hundreds of inactive. that's the bulk of the work that those attorneys do. they are

often out numbered and we have to beg and borrow from other thing -- teams. if we don't do them the attorneys doing them will round out that criminal work. >> chair cohn: thank you. supervisor breed. >> supervisor breed: it's important that we expand the capacity for addressing these particular issues which is why based oh -- on the work that the district attorney's office is doing in terms of the case load there's concern about the capacity to take on these cases, especially those that have no criminal component associated with them. so i think this is one of the reasons why it's so important to move this ordnance forward for the purposes of not only changing how we look at the cases but also making sure that we have dedicated attorneys for the purposes of addressing them so that we can get people

conserved a lot easier because sometimes these cases can drag on. -- drag on for too long. i just want to make sure that the folks here understand the need to not reduce anyone's capacity for the purposes of moving this forward. >> chair cohn: thank you very much. do we have any other staff presentations? i think that's it. let's go to the budget and legislative analyst and hear her thoughts on this item. >> good morning, chair cohn and members of the committee, president breed. i think a lot of testimony has already been given here today that is sort of repeated in our report. in terms of case load in the district attorney's office when we wrote the report miss miller told us there's about 518 cases that were mental health conservatorships being handled by the district attorney's office. of these 518, the

district attorney obtain responsibility for 27 that have criminal charges associated with them. the remain 491 are civil cases transferred to the city attorney's office. the proposed ordnance does not actually commit the board of supervisors to a specific level of funding or position in the city attorney's office. this would still be subject to approval in the fiscal year 2018-2019 budget. the city attorney said they anticipated a need for go additional attorneys and one claims investigator to handle the case load. one of the reasons that they gave us was the incidents of increased homelessness and increased need in the city to handle these cases. but we do consider this to be a matter because of the language in the ordnance that says it does commit to new positions. i'm available for any questions. >> chair cohn: do you have the estimated cost of those three

positions? >> so the cost of the positions for fiscal year 18-19 the positions would begin in january, so halfway through the year. it was $358,000. annual it's $700,000 >> chair cohn: is there a way to shift the money that was allocated from the district attorney's budget -- i guess this is a question to the mayor's budget director. is there a way to allocate money from the district attorney's budget to the city attorney's budget to cover these possibly future costs? >> kelly kirk patrick, acting mayor's budget director. yes, there are a number of ways through the budget in which the funding where it is budgeted, you know, could be worked out. one way a position could be

transferred from one department to another. that's called a transfer of function. then other wise it's a budgetary conversation about where resources are allocated there you the budget. >> can i respond to that? i think part of what i mentioned earlier, part of the challenge we have with addressing these particular cases in general have a lot to do with capacity. and the need to do something different that's going to help us move through the process for the large number of cases that exist. so based on my conversations with both the district attorney's office it's not as if the district attorney is still handling a large case load because of the criminal cases related to people who have mental illness and who need to be conserved. so based on the conversations with the city attorney's office there is clearly a need for increase in capacity. i do think that

before any decisions are made we should do an analysis around that but it was my understanding that this is going to help allow the district attorney to actually move through these cases in a more timely manner and the need to hold onto these positions is necessary. in addition to the increase i think the goal ultimately is to make this process more efficient and part of doing that is to increase the capacity for the case load to move these cases along in a more timely manner. >> chair cohn: thank you for the clarification. thank you miss kirkpatrick. let's go to public comment. any member of the public that would like to comment? i have one card from ken. please come up. you'll have 2 minutes to speak. >> i worked for one month as a security guard on a psychiatric ward back in the day when san

mateo general was still called hope. the chief physician at the time, his death was a great loss. back then there weren't so many patients arriving with psychiatric problems due to drug use. i was wondering if it's at all possible to reduce the cost of implementing this program in the future if you might reduce some of the syringes available to reduce the number of injections or to -- oh, also to reduce a number of people being introduced to that method in the first place basically. >> chair cohn: thank you. are there any other members of the comment that would like to comment on item four? all right. seeing none public comment is closed. president breed, any last minute comments before we take action? >> president breed: thank you and thank you everyone for being

here today. colleagues i realize that passing this will also open up the door to an addition on a financial need which i think is necessary and appropriate in light of what we know is happening here in san francisco on our streets every single day. it's not humane to continue to let people who need support, who need services exist without providing an option to help them in this particular way, appointing a guardian for the purposes of helping someone get on the right path, get healthy and get into a safe environment is extremely important and the increase in terms of the dollars that would be invested in this particular program could lead to the kind of results that i know that we all want to see. so i ask for your support and i'm looking forward to making sure that the requested needs of the city attorney's office are addressed

so that we can make this conservatorship procease -- process here in san francisco a lot better than it has been based on the lack of resources. thank you so much. >> chair cohn: supervisor fewer? no? supervisor stefani. >> supervisor stefani: i just wanted to move this forward and thank supervisor breed. >> chair cohn: without objection. thank you. madame clerk. we are going to go back to the top of the agenda. let's start with item number 1. >> authorizing the sheriff's department to apply for justice and mental health collaboration grant program funds for the period of october 1st, 2017, through september 30th, 2019. >> chair cohn: thank you very much. to the sheriff's department, thank you for being flexible today. this is a resolution. it's retroactive that authorities the department to apply for and receive social

workers for mentally ill people. released before pretrial. very specific demographic. all right. so you're definitely not kristin hollins but welcome. >> no, kristin had to leave. >> chair cohn: not a problem. the floor is yours. >> i'm ali reicher. it's a $300,000 grant awarded to the sheriff's department called a justice and mental health collaboration grant. the purpose of this grant is to bring a master's level social worker and embed them in our pretrial service agencies, san francisco pretrial diversion project. it's a collaboration with the sheriff's department, san francisco pretrial diversion

and ucsf city wide. so the purpose of this is to train the pretrial staff on working with recognizing mental illness, implementing a screening assessment and have the clinician provide linkage and referrals to community health services. the grant also includes money dedicated to housing fund for those client and the clinician is working with to put in the temporary emergency stabilization housing. >> chair cohn: thank you. supervisor fewer has some questions. >> supervisor fewer: would we will able to serve all people with this report? >> yes. before i write grant reports i submit them to a city attorney to look at. that's not something they have asked us about and that's something that

this -- that folks who are being released pretrial are so we are not reporting on status, legal status. >> supervisor fewer: so, we are not. so we wouldn't have to turn over any sort of information to the federal government about whom is being served with this grant? >> they ask for numbers of clients that we are serving and some demographic -- since i haven't -- you know, we haven't done the accept and expand yet so i haven't dug into the reporting requirements. any requirements would go through the city attorney's office. >> supervisor fewer: okay. then about the housing fund, this is only a grant for $300,000. what is the housing fund and how much of this money would go towards the housing fund? >> let me check. for the first year of implementation it was only about $30,000 because we have to do this plan process and implement the tool and bring on the clinician. i think it's

$60,000 for the second year so it's a pretty small amount. san francisco pretrial does have the sheriff's department provide them for a housing fund for clients released on assertive case management which they typically use for sro room. let's say that client is waiting to get into residential treatment where they want to keep them stable, they will put them in a short term sro and they have to come into their office on a daily basis and check in. it's a way to expand that piece of their budget particularly targeted for these clients that are working with the clinician. >> supervisor fewer: thank you. >> chair cohn: any other questions? no. okay. there's no budget legislative analyst report to review. we are going to go to public comment. any member who would like to suppose come up. seeing none public comment is closed. thank you. i'll make a motion to approve and send with a positive recommendation and we will take that without objection. item 2, please.

>> about 2,000 acres have been set aside in perpetuity and need to be managed accord to go the terms that allowed us to build and reconstruction of water system. contracting will cover monitoring and oversight of the week being done and supplement our staff efforts and support other work as well under permit conditions and including water quality. as was mentioned the initial ward was proven in 2013. four contracts, $5 million each over 14 years and it was the term that brought it to the board at that time.

we were notified a contractor would discontinue their environmental services so at the time our commission, redistributed the authority to the three other contractors. at the moment, we're seeking both retroactive approval of the previous action our commission took and a slight increase in authority. we need to build the bridge to make sure we have the resources to accomplish the work that needs to be done and particularly at these sites. and this is a quick slide of restating the action that our commission took. >> thank you, i appreciate that. glitz to the budget legislative annal cyst and hear her thoughts. >> yes. according in response to what mr. ramirez said they were approved in 2013 for the four contracts they totaled

$20 million. there were revisioned made to the contract because of the changes with one of the contractors in 2016. the department is now being asked for retroactive approval by this board for those changes to those amendments. in addition they're asking for two of the three remaining contracts to increase the contract amounts by a total of $2.5 million. if you sort of look at the revisions and the total changes to the contracts, the net increase to the program is 995,000 from the original amount of 20 million to almost $21 million. according to our information, at end of 2018, they will be running out of contracting authority. they want these arts through the end of the year to do the environment almon terring report and then they're going to go out for new contractors for the remainder of the program. there are funds within the water system program budget to pay for these contract changes and we

recommend approval. >> thank you, i appreciate that recommendation. let's take public comment. public comment on item 2. >> i was wondering what exactly has changed because it all seems a little vague and ambiguous and when the gentleman spoke of building bridges i see one exercise exiting and one company entering. i don't see anna den da or contract stipulation that say in the future event that such and such and anything like that. nothing solid. >> anyone that would like to see. public comment is closed. ok. i will accept the budget legislative analyst's recommendations and like to make a motion to approve with a positive recommendation and seeing no objects. thank you. >> madam clerk, item 3.

>> resolution designating those agencies qualified to participate in the 2018 annual joint fundraising drive for officers and employees of the city and county of san francisco. >> all right. the resolution determines the eligibility non-profit charities for the cities joint fundraising drive. i'm going to read into the record what those organizations are. we have america's best local charities, asian pacific fund, black bay area united fund, earth share california, global impact, united way of the bay area, community health charities of california. and today we have ms. joan from the city administrator office to make the presentation. >> good morning, thank you. every year our office receives the applications from the federations interested in participating. we review their adherence to the

requirements of the administrative code and all seven federations applying this year did meet the criteria. >> that's simple and clean. ok. question. does this list represent all eligible applicants? >> it represents all those who applied and they were all deemed eligible. we did add one organization about three or four years ago that met the criteria so they were added to the campaign. >> can you tell us, for the record, what is the criteria and selection process you undergo when putting together this list? >> the criteria is listed in the administrative code and it's in our report. the first one is they be a federated agency representing 10 or more charitable organizations, of which 50% representing in the counties of san francisco, san matteo, santa clara and so on. the other requirements that they

be i.r.s. eligible as a non-profit and they be an existence with 10 or more qualified charities for one year prior and that they submit a copy of their most recent certified audit at the time of application and finally, that they present all this information to the board and then is forwarded to us for review. >> can you talk about how is it advertised? i kind of feel like if i didn't work with the city and i didn't hear this report i wouldn't know that there was an opportunity to apply and be a part of this program. talk to me about how the program is advertised and how outreach is conducted? >> i have not heard of advertising or outreach being conducted. >> how do these organizations know of this opportunity? >> each of the federations have many member organizations. one is united way is an example.

and another is earth share or >> very large organizations. >> yes. the way they operate is you can donate to them and they donate to the smaller organizations. there hasn't been advertising outreach of which i'm aware. >> ok. is there any of you all have questions? all right. and i see we do not have a v. l.a. report. let's take public comment. anyone would like to comment on item 3, please come up. all right. public comment is closed. all right. i make a motion we approve this and we send it out with a positive recommendation and i think we should send it as a committee report. can we take that out objection. and is there any other business before this body? >> there's no further business. we're adjourned, thank you. .

>> my name is naomi kelly the single-story for the 775 i started with the city and county in 1996 working for the newly elected mayor willie brown, jr. not only the chief of staff a woman but many policy advisors

that were advising him everyday their supportive and nourished and sponsored united states and excited about the future. >> my name is is jack listen and the executive director of a phil randolph institution our goal to have two pathways to sustaining a family here in san francisco and your union jobs are stroen to do that i have this huge way to work with the community members and i think i found my calling i started in 1996 working for willie brown, jr. i worked in he's mayor's office of housing in the western edition and left 3 years went to law school of san francisco state university and mayor brown asked me to be

the director of the taxicab commission and through the process i very much card by the contracting process and asked me townhouse the city purchaser and worked with me and i became the deputy administrator and . >> having trouble struggling to make ends meet folks will not understand what importance of voting is so we decided to develop our workforce development services after a couple of years offering pathways to sustainable jobs. >> (clapping.) >> we've gotten to a place to have the folks come back and have the discussion even if participation and makes sense we do public services but we also really build strong communities when i started this job my sons were 2 and 5 now 9 and 6 i think so the need to be able to take a

call from the principal of school i think that brings a whole new appreciation to being understanding of the work life balance. >> (clapping.) >> i have a very good team around me we're leader in the country when it comes to paid and retail and furiously the affordable-care act passed by 3079 we were did leaders for the healthcare and we're in support of of the women and support. >> in my industry i feel that is male dominated a huge struggle to get my foot in the door and i feel as though that definitely needs to change this year needs to be more opportunities for i don't know women to do what tell me dream i feel that is important for us to create a in fact, network of

support to young people young women can further their dreams and most interested in making sure they have the full and whatever they need to make that achieveable. >> education is important i releases it at my time of san mateo high ii come back to the university of san francisco law school and the fact i passed the bar will open up many more doors because i feel a curve ball or an where you can in the way can't get down why is this in my way we have to figure out a solution how to move forward we can't let adversity throw in th]

>> san francisco city clinic provides a broad range of

sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was

entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time

thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you

know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be

just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration

staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a

lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for

transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and

straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions. >>

>>today. >> (clapping.) >> i've been working in restaurants forever as a blood alcohol small business you have a lot of requests for donations if someone calls you and say we want to documents for our school or nonprofit i've been in a position with my previous employment i had to say no all the time. >> my name is art the owner and chief at straw combinations of street food and festival food and carnival food i realize that people try to

find this you don't want to wait 365 day if you make that brick-and-mortar it is really about making you feel special and feel like a kid again everything we've done to celebrate that. >> so nonprofit monday is a program that straw runs to make sure that no matter is going on with our business giving back is treated just the is that you as paying any other bill in addition to the money we impose their cause to the greater bayview it is a great way for straw to sort of build communicated and

to introduce people who might not normally get to be exposed to one nonprofit or another and i know that they do a different nonprofit every most of the year. >> people are mroent surprised the restaurant it giving back i see some people from the nonprofit why been part of nonprofit monday sort of give back to the program as well answer. >> inform people that be regular aprons at straw they get imposed to 10 or 12 nonprofits. >> i love nonprofits great for a local restaurant to give back to community that's so wonderful i wish more restrictive places did that that is really cool. >> it is a 6 of nonprofit that is supporting adults with autism

and down syndrome we i do not involved one the wonderful members reached out to straw and saw a headline about, about their nonprofit mondays and she applied for a grant back in january of 2016 and we were notified late in the spring we would be the recipient of straw if you have any questions, we'll be happy to answer thems in the month of genuine we were able to organize with straw for the monday and at the end of the month we were the recipient of 10 percent of precedes on mondays the contribution from nonprofit monday from stray went into our post group if you have any questions, we'll be happy to answer theming fund with our arts coaching for chinese and classes and we have a really great vibrate arts program. >> we we say thank you to the

customers like always but say 0 one more thing just so you know you've made a donation to x nonprofit which does why i think that is a very special thing. >> it is good to know the owner takes responsibility to know your money is going to good cause also. >> it is really nice to have a restaurant that is very community focused they do it all month long for nonprofits not just one day all four mondays. >> we have a wall of thank you letters in the office it seems like you know we were able to gas up the 10 passenger minivan we were innovate expected to do.

>> when those people working at the nonprofits their predictive and thank what straw is giving that in and of itself it making an impact with the nonprofit through the consumers that are coming here is just as important it is important for the grill cheese kitchen the more restrictive i learn about what is going on in the community more restrictive people are doing this stuff with 4 thousand restaurant in san francisco we're doing an average of $6,000 a year in donations and multiply that by one thousand that's a lot to

[gavel] >> all right, welcome to our land use committee of, i'm katy tang, to my right is jane kim and to my left, asha safai. we would like to thank