clerk, president breed, ladies and gentlemen of the board. my name is winship hillier. i am an involuntary psychiatric outpatient here in san francisco and have been now for over a decade. let me just go through the logic with you. if there be no property without -- if there be no injury without property, and there be no property without labor, and you, through your funding of citywide case management have taken away from me the ability to labor, because that is what citywide case management community focus does, it dablz peopisables peo permanently, how is that not theft of the property that i would have earned if i was still able to work? and how is that not injury? and if that can be done -- and i'm still waiting for my day in

court. if that can be done without any accountability, without any citations or any authority, then, how is anybody's property safe in this city? and if nobody's property is safe, why are we paying you to run it? madam. >> clerk: clerk thank you for your comments. next speaker, please. >> ready to go? here we go. ladies and gentlemen, board of supervisors, and distinguished guests that's looking through the views there, my name is ace and apparently you all know i'm on the case. so i don't have much time to speak, so i'm going to speak in general. most important election in our history -- in my near history is coming up in june.

yours truly, ace washington, will be down here before noon. let me just say one thing. i'm getting everything prepared legally so i can insert myself back over there where i belong here in the city by the bay, if that's okay with you all. excuse me if i seem to be a little harsh in my voice. it's -- the weather's kind of bad outside. but i have a special announcement, you all here at city hall, you all, i'm getting ready to start my new tv show, and that's the somehow. and you all are wondering, what's the name of it, ace? back in the day, i was going to call it silly haul, but that's not right because i want it to go viral all over the world.

the name is -- [inaudible] >> -- aceonthecase.net, .org,.com. my views are going to be factual. it's not no alternative news or the facts. it's going to be like i used to be involved with the facts. only the facts. anything that come out of my mouth could be effectuated with the video. >> clerk: thank you for your comments. madam president, no other members of the public in line, so i'll hand it over to you? >> president breed: thank you. are there any members of the public who would like to provide public comment at this time, seeing none, public

comment is closed. madam clerk, we're going to go back to roll call for introduction. supervisor ronen? >> supervisor ronen: thank you so much, colleagues. i have received a lot of requests and would like to make a motion to close today's board meeting in the honor of harvey milk, given that today is his 88th birthday. >> president breed: sure, and we can do that on behalf of the entire board of supervisors without objection. madam clerk, let's go to the items for adoption by committee. [agenda item read] >> president breed: supervisor fewer? >> supervisor fewer: yes, i'd like to sever item number 41. >> president breed: supervisor cohen?

>> supervisor cohen: yes, i'd like to sever item 44. >> president breed: okay. can we take the remaining items without severing? madam clerk, please read item 41. [agenda item read] >> president breed: supervisor fewer? >> supervisor fewer: yes. i would like to make a motion to table that item, please? >> president breed: moved by supervisor fewer, seconded by supervisor peskin. colleagues, can we take that without objection? without objection, that item has been tabled. please call item 44. [agenda item read]

>> president breed: supervisor cohen? >> supervisor cohen: thank you very much, madam clerk and madam president. i'd like to amend the date from june 19, 2018 to june 26. i also would like to amend the proposed meeting time to be 3:00 p.m. >> president breed: supervisor cohen, is this for the full board? >> supervisor cohen: yes, this is for the full board. this is for the committee of the whole. it incorrectly states june 19. i'd like to change the date to june 26, 3:00 p.m. >> president breed: so supervisor cohen has made a motion to amend. is there a second? seconded by supervisor yee. colleagues, can we take the amendment without objection? without objection, the amendment passes. and on the item as amended, can we take that same house, same call? without objection, the motion as amended is approved unanimously. madam clerk, please read the in

memoriams. >> yes. today's meeting will be adjourned on behalf of the following beloved individuals: on behalf of supervisor tang for the late mr. cory calcanye and mr. brook ann hantz and mr. dale robert jankowski. on behalf of supervisor safai for the late sister patricia ann claherty. on behalf of president breed for the late miss eileen o'sullivan, and on behalf of president breed and supervisor ronen for the late miss barbara brown lopez. and at the suggestion of supervisor ronen on behalf of the entire board of supervisors for the late supervisor harvey milk. >> president breed: thank you, madam clerk. is there any further business before us today? >> clerk: that concludes our

business for today. >> president breed: okay. we are adjourned. thank you, everyone.

congratulations. >> this inspired me to be a leader when i became conscious of the facility issues in my community i mentored a young man who was 14-year-old and i took roenltd for it and just come back to the table what can i do different we talked with a lot of the kids and from the they didn't know who i was or where i

came from and to figure that out to go back to the motherland - i never really - this is my first day i was leading to see something different. >> they talk about the trip to the holy mecca we hear so much negative stuff in african-american history i thought high trip to gi i can't think with e would which i know my experiences and wanted to see the linkage between african-american and ghana 2017 promo you know something not right and when i took the trip to african i said we have to

implement that back home. >> it was like a month ago i was reading in any history book but this. >> i was amazed with that library how many books he had and walking in here pictures on the wall and why his kids and meeting different people this awesome he has a history books and living room. >> from 1960. >> me and my friends show you u saw those books we didn't have much time but heard about the empowering and all the titles that was inspiring i winder we

could have stated longer reaching out to him he was a leader. >> a symbol with go back to our roots and we should have - we come if different background and different languages we're still one that's why we wants all of us to see this. >> it is cool to see how important he was to the people. >> you see a statute of him his head is sitting next to us we wonder why evident in a different place holding a statute and wanted to take the significance away. >> that is unfortunate his government was ousted so that - >> he really made something out of nothing in a place where

he was actually he was taken out and put into a prison and he made them an independent country he's making something out of nothing in america at hunters point i can start from the ground up and he inspired me to do that. >> like being negative impact san francisco like a different location. >> where we saw this and where we saw the those those transcriber we got to do frog

climbing on one hand was rock climbing. >> the hike was difficult it felt good to be at the top. >> we in the jungle. >> the highlight of the trip seeing our kids interact with kids and how passionate the kids are about education. >> you know the light switch go on on we have a vantage. >> i met a guy said he wants to be a lawyer like me i know that paul and i live on different continent we're going through a structural he's the same age but in middle school and has to work hard in america

i have to work hard i'm an african-american but i know that me and paul will go through the same struggles. >> in my opinion when we invited the school that was one of the best things in ghana 2017 promo we got to interact with the children they were happy and grateful. >> we should asked someone what we wanted to be one wanted to be an engineer like in the u.s. but in ghana 2017 promo they don't have the opportunity to do it compared to ours they want to so they're trying whatever we can to do it at school. >> the school was great. >> when we went to the vinyl we saw how they made things from

scratchy got to go on machine when they made it they use their feet and hundreds to pull the stipulations that was cool they're making the machines to do that. >> they taught but how to stamp them and the ink was made stamping my cloth shows leadership brings it out of me shows the world when i wear my kid things people realize what that looks like a bunch of circle there is a historical meaning behind that. >> when we dance you can tell

their culture they've been doing that for years and something in their passionate about. >> it made me release we have a don't have that much the little we do i wanted to grasp that culture and get - >> staying in a effort in africa i didn't think i said that in a forest in africa. >> but i bringing food to the members. >> we had to walk on those canopy bridges we have in the u.s. a long bridge like suspected on top nothing trees below you, you walk into the

next spot spot there was 7 of them. >> hit it it really starts with ourselves if he wanted to change something we have to change ourselves. >> when i first met steve richie that was like i've been waiting for this. >> this is me washing away in my change getting in the river of me walsh away the negative things i'm no longer a slave to society now awake and opening my third eye to see thing i've never seen before. >> that was a moment for me because it gave me a change to

re-evaluate myself and life because it is not easy to realize that your enslaving yourselves and recognize how our enslaving yourselves i felt the significance i'm a materialistic person that helped me to realize that in myself i hold back from being a leader in that river i was able to wash away in my changes and give me the motivation. >> the vibe is different that you walk under a ghana 2017 promo you walk into that slave and into the dungeons it is

getting real. >> you can feel the negative energy even if it is talking about you see how coordinated in his eyes. >> you are surrounded. >> we're just lucky to die for how many days do we think. >> when we stepped into that how days 3 days max. >> i'll not survive for more than two days. >> lack of water it the subject property at me and put a barrier on my soul that is wherewith my aunt went to. >> okay. now what is

important - >> is our mindset that sets us different from anywhere else none can tell you you have to learn that within yourself and helped me get to keep a change n my head. >> there was nothing you could do if you call for help we all suffered and tried to survive what can i do to help him. >> so this was a haven for those - >> this is difficult. >> i just so stuff different i kind of feel like i a colored

contact in my i'd say i see that different in a different light now. >> those are the white portions. >> honestly, i of the not ready to go home he felt like we hadn't been there long enough but excited to share my experiences with other and let them know how amazing that was >> you got to keep it going it actually works. >> when it was time to it was really like heartbreaking. >> i was sad i don't want to leave those people he met these kids that wanted to stay and

talk with us i did not want to come back here. >> the whole time in the bus ride i had my head against the window that looking out. >> one of the ways that ghana 2017 promo changed me finding the meaning the self-love and loving the community and people around you that is something that african-american community does struggle with. >> black on black crime i didn't want to go back you feel so alive there and open you can be another person not the same person you were before that's one thing that he taught us changing. >> i used to want to be a leader but now a leader and create more leader that will create an atmosphere and world full of leaders.

full of leaders. >> i felt home in - working for the city and county of san francisco will immerse you in a vibrant and dynamic city that's on the forefront of economic growth, the arts, and social change. our city has always been on the edge of progress and innovation. after all, we're at the meeting of land and sea. - our city is famous for its iconic scenery, historic designs, and world- class style. it's the birthplace of blue jeans, and where "the rock" holds court over the largest natural harbor on the west coast. - the city's information technology professionals work on revolutionary projects, like providing free wifi to residents and visitors, developing new programs to keep sfo humming, and ensuring patient safety at san francisco general.

our it professionals make government accessible through award-winning mobile apps, and support vital infrastructure projects like the hetch hetchy regional water system. - our employees enjoy competitive salaries, as well as generous benefits programs. but most importantly, working for the city and county of san francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the city's future. - thank you for considering a career with the city and county of san francisco. adjourned. >> shop & dine in the 49 promotes local businesses and challenges residents to do their shop & dine in the 49 with within the 49 square miles of san francisco by supporting local services within the neighborhood we help san francisco remain unique successful and vibrant

so where will you shop & dine in the 49 my name is jim woods i'm the founder of woods beer company and the proprietor of woods copy k open 2 henry adams what makes us unique is that we're reintegrated brooeg the beer and serving that cross the table people are sitting next to the xurpz drinking alongside we're having a lot of ingredient that get there's a lot to do the district of retail shop having that really close connection with the consumer allows us to do exciting things we decided to come to treasure island because we saw it as an amazing opportunity can't be beat the views and real estate that great county starting to develop on treasure island like minded business owners with last week products and want to get on

the ground floor a no-brainer for us when you you, you buying local goods made locally our supporting small business those are not created an, an sprinkle scale with all the machines and one person procreating them people are making them by hand as a result more interesting and can't get that of minor or anywhere else and san francisco a hot bed for local manufacturing in support that is what keeps your city vibrant we'll make a compelling place to live and visit i think that local business is the lifeblood of san francisco and a vibrant

>> i'm rebecca and i'm a violinist and violin teacher. i was born here in san francisco to a family of cellists, professional cellists, so i grew up surrounded by a bunch of musical rehearsals an lessons. all types of activities happened in my house. i began playing piano when i was 4. i really enjoyed musical activities in general. so when i was 10, i began studying violin in san francisco. and from there, i pretty much never stopped and went on to study in college as well. that's the only thing i've ever known is to have music playing all the time, whether it

is someone actually playing next to you or someone listening to a recording. i think that i actually originally wanted to play flute and we didn't have a flute. it's always been a way of life. i didn't know that it could be any other way. >> could you give me an e over here. great. when you teach and you're seeing a student who has a problem, you have to think on your feet to solve that problem. and that same kind of of thinking that you do to fix it applies to your own practice as well. so if i'm teaching a student and they are having a hard time getting a certain note, they can't find the right note. and i have to think of a digestible way to explain it to them. ee, d, d, e. >> yes.

then, when i go on to do my own practice for a performance, those words are echoing back in my head. okay. why am i missing this? i just told somebody that they needed to do this. maybe i should try the same thing. i feel a lot of pressure when i'm teaching young kids. you might think that there is less pressure if they are going on to study music or in college that it is more relaxing. i actually find that the opposite is true. if i know i'm sending a high school student to some great music program, they're going to get so much more instruction. what i have told them is only the beginning. if i am teaching a student who i know is going to completely change gears when they go to college and they never will pick up a violin again there is so much that i need to tell them. in plain violin, it is so difficult. there is so much more information to give. every day i think, oh, my gosh.

i haven't gotten to this technique or we haven't studies they meese and they have so much more to do. we only have 45 minutes a week. i have taught a few students in some capacity who has gone on to study music. that feels anaysing. >> it is incredible to watch how they grow. somebody can make amazing project from you know, age 15 to 17 if they put their mind to it. >> i think i have 18 students now. these more than i've had in the past. i'm hoping to build up more of a studio. there will be a pee ono, lots of bookshelves and lots of great music. the students will come to my house and take their lessons there. my schedule changes a lot on a day-to-day basis and that kind of keeps it exciting.

think that music is just my favorite thing that there is, whether it's listening to it or playing it or teaching it. all that really matters to me is that i'm surrounded by the sounds, so i'm going top keep doing what i'm doing to keep my life in that direction.

>> i want to welcome you here to the civic center hotel. my name is gale dill man, the c.e.o. of community housing partnership. in 2015, this was the second navigation center to open its doors and welcome over 92 individuals living inen ca encampments in the street. this announcement will ensure that before individuals have the opportunity to enter shelter and navigation centers, they can receive vital services and treatments that they so much need and deserve. and on an on going basis. on behalf of all of community housing partnerships, and the 91 navigation center individuals here at this site, we are so excited and honored to introduce our mayor mark farrell. [applause] >> thank you, gale. good morning, everyone. i want to thank you all for joining us here today. as we all know, san francisco

and the rest of our country, and cities around our country, are dealing with an opioid crisis hitting our streets. it's unfolding in our neighborhoods and in our sidewalks in front of our very eyes. fighting this fight means that we not only have to use existing programs but if we're really going to solve the issue and make a dent, we have to be creative. we have to come forward with new policies and new programs that will make a difference on our streets. and that is why we're here today. to announce a significant investment in a new, addiction treatment program with our street medicine team. the street medicine team has long been a part of how san francisco seeks to deal with the health of individuals on our sidewalks and in the streets of san francisco. the street medicine team is on the front lines every single day here in san francisco. bringing service and treatment to those who need it here in san

francisco. the small but vital team works every single day to care for those were in a traditional clinic or hospital, it's simply not the answer and it's not working. their work is rooted in compassion and acceptance and meeting people where they are. including streets, our shelters and our navigation centers here in san francisco. with this new investment of over $3 million a year, we are adding 10 new staff and increasing resources to focus on the drug addiction on our streets of san francisco. and to address the opioid epidemic, right here on the streets of san francisco, the team will be expanding the work that they started with the pilot that started last year and expanding this program across the entire city.

i am proud that san francisco is going to be the first city in the nation to take this approach. san francisco is a leader in so many areas and once again, we are stepping up with professionals that know how to get job run right. leaders willing to take bold approaches to address the issues confronting san francisco residents and those that need our help on our streets. by providing this medicine out of a traditional clinic setting, we're expanding our outreach capacity and taking every opportunity to help those individuals that are on our streets suffering from drug addiction. the program, which sometimes i have trouble saying, is an important part of our larger strategy here in san francisco and with our department of public-health, to address those struckelling with addiction. which includes detox to

residential treatment services. this investment, let me be very clear about this. this investment will ultimately help save lives. and it will improve the conditions on the streets of san francisco. i want to thank a number of people who have brought this program to light today. first of all, director barbara garcia from our department of public-health. [applause] >> dr. sven for his leadership and ingenuity. we knew he would get the loudest applause and he deserves it. our department of homelessness and their partnership in leadership as well. and all the other providers and healthcare leaders that are behind me here today that are working so hard every single day in san francisco. to get those that are on our streets with the help that they need.

whether it's homelessness or drug addiction or the other issues plaguing those on our streets, our goal in san francisco is to be compassionate and get people off the streets, on to their own two feet and on to better lives. thank you for being here today and with that i love to turn it over to director garcia for remarks. [applause] >> good morning. thank you mayor for your commitment to the effort of treatment access for those suffering from opioid addiction. i'm barbra garcia. i want to acknowledge all of the d.p.h. staff here that work every day to heal and support san franciscans who are in need of healthcare. i'd like to give them another round of applause. [applause] we know science has proven, for a long time, with many personal stories and the medication

assisted treatment works. addiction is a challenge of a lifetime treatment and recovery happen and people do get better. mayor lee, a year and a half ago, asked me is there something else that we can do? we need to reach people on the streets who are clearly suffering and in the grips of addiction. what else can we do? we know that some of our traditional approaches of addiction treatment, that is, waiting for people to be ready to come to us to seek help. it doesn't always work for those suffering from addiction and especially if they are homeless. all of our services are voluntary and we have to develop care relations to engage people into care and it does take time. but i really want to thank dr. barrie sven who took this challenge for mayor lee and myself and add this service to his existing street medicine team. medication assisted treatment. to the streets where he goes

daily providing care to the homeless people in need. that is how this program was born. in the fall of 2016. we have served over 95 people since then bringing medications to fight opioid addictions directly to them on the streets. by expanding the program today, we are first taking a big step towards our ability to combat the opioid addiction in this city. the new funding will allow us to directly serve 250 new individuals but we also know that we can serve more once we get those engagements and those relationships because in all of our clinics, we can access the service and medication. so this program is a big step forward to saving lives, lost to heroine, fentanyl and methamphetamine addictions and overdoses. homeless people who use drugs are especially vulnerable and our health system is adapting going directly to them with

compassionate outreach and expertise. we're able to help a group that gets missed in the traditional structure of visits and appointments. our low barrier medication program is just one piece of a city-wide effort to increase treatment. we are also providing emergency rooms at sucker burg general hospital and implementing a new addiction consultant service within our hospital to ensure all physicians at the hospital have access to treatment experts for their patients. the doctors from this service are also here today. so again, i want to thank mayor farrell for supporting all of our efforts to address those with substance abuse disorders and continuing our efforts to save lives. with that i'd like to introduce dr. barrie sven. [applause] >> well, thank you very much, mayor farrell and director garcia and the city of san

francisco for the opportunity to do this. i have been working with people experiencing homelessness in san francisco since 1991. my philosophy in this work is do what works, do what is needed. i didn't come into this work with a preconceived notion of what it is that is going to work. when we see what the problems are, then we develop what are the possible solutions? it doesn't feel like it's a great innovation to say if people are not able to come into a clinic let's go out and see them where they are. i think what feels like an ininnovation about that is many people have the pre conception or the stereo type that a person experiencing homelessness doesn't care about their health. a person with a substance use disorder isn't very concerned about their health.

what we see, day after day, one person after another, is that people are deeply concerned about their health. they may have more compelling concerns. where are they going to eat? where are they going to lay their head down and if they pend on drugs, where will they get drugs to prevent themselves from having severe and awful withdrawals. if we're out there with our team and this is absolutely about a team, not about me as a single physician, doing something, if we're out there as a team we're able to meet people where they are. we see and talk to people about the harms related to their substance use. we also see what the damage to the community related to that substance use is. and we're talking to people about treatment. you've heard the term bupinorfine. that is our medication that we

are primarily using. we're also often recommending and referring and assisting people when it's appropriate, to get to methadone treatments and we're using another medication to treat opioid use disorder. having these medications have changed my attitude towards seeing heroine users. earlier in my career, not that i didn't like heroine users, but i never felt like i had something to offer. now they're my favorite patient. i have something that can immediately change your recollection with the drugs you use and change what your circumstances are. many people who we see have

heard about it and they haven't had the opportunity to talk to medical providers who have expertise and get prescriptions. the basic idea is bring it to people where they are, get people stabilized, and then they're able to move into those next steps because when you are strung out on heroine, when you need to use or else have awful withdrawals, every four to six hours, it's really hard to do anything. what we need to do is provide something that is at least as compelling to people as what is happening to them on the streets. medication is absolutely necessary. human contact, treatment and caring for people is the other thing necessary. with those things in place, and this program expansion, is allowing us to do that, we have the opportunity not only to reach the 250 additional new

patients but that really has an amplifying effect. when one person is on the street felfeeling hopeless and sees thr buddy getting help, that is a tremendous boost to that person being able to take maybe that one more step to say, maybe things aren't absolutely hopeless, maybe there's something i can do. maybe that other person doesn't even have an opioid use disorder. maybe they don't use heroine. maybe they have a problem with alcohol? maybe they have a problem with mental health disorder. seeing that hope where someone is hopeful. the most positive, most effective thing i've seen in this program is one person telling another, hey, i got this medicine from the street medicine team. i saw dr. evan, i saw one of their nurses. that person saying well, i can't

believe it. you were the least likely to succeed guy. you were the worst-off person. you are the person with the worst addiction i know and now you are telling me you are not using? that's tremendous in building hope and that's what we need to do as we address the problems that we see. so i'm going to introduce chris, one of our initial low barrier buprenorp hine patients. someone who will tell you about his experience. so thank you. [applause] >> good morning. my name is christopher rafino and to piggy back on what dr. svens said, one rainy morning, as i got out of jail, and i contacted dr. sven, via the mail and telephone and to other people, i did not want to

use anymore. i had tried many, many attempts unsuccessfully of shaking my addiction to heroine of 28 years. nothing worked. i tried everything. residential programs, everything. well, dr. sven met me out in the rain with my bicycle in hand and the clothes on my back and spoke to me for 25, maybe 30 minutes. he said look, i'm going to do this for you. dodo not let me down. i don't believe i have. three and a half years ago, that occurred right over here. three blocks away from here. my life has changed dramatically. i am a substance abuse councilor myself. i work in a facility across the bay. my life has changed. i have everything back i lost. i owe my love to dr. sven and

buprenorphine. out that i was loosing hope you but i got it. i'd like to introduce someone from the homeless outreach program or the homeless program, jeff >> thank you, chris. [applause] >> my name is jeff with the department of homelessness and supportive housing. i want to thank you all for being here today. i want to thank the department of public-health. homelessness is a complex problem and it requires the partnership amongst many city departments and individuals and people experiencing homelessness to resolve this issue and this is just one of many steps that we need to take. we're very excited about expanding this pilot that we started with d.p.h. many, many months ago. i believe it was in late 2016. i want to thank mayor farrell for his leadership in expanding this important program. so thank you again for being here today and we'll take

questions over at the side. thank you. [applaus adjourned. >> shop & dine in the 49 promotes local businesses and challenges residents to do their shop & dine in the 49 with within the 49 square miles of san francisco by supporting local services within the neighborhood we help san francisco remain unique successful and vibrant so where will you shop & dine in the 49 my name is jim woods i'm the founder of woods beer company and the proprietor of woods copy k open 2 henry adams what makes us unique is that we're reintegrated brooeg the beer and serving that cross the table people are sitting next to the

xurpz drinking alongside we're having a lot of ingredient that get there's a lot to do the district of retail shop having that really close connection with the consumer allows us to do exciting things we decided to come to treasure island because we saw it as an amazing opportunity can't be beat the views and real estate that great county starting to develop on treasure island like minded business owners with last week products and want to get on the ground floor a no-brainer for us when you you, you buying local goods made locally our supporting small business those are not created an, an sprinkle scale with all the machines and one person procreating them people are making them by hand as a result more interesting and

can't get that of minor or anywhere else and san francisco a hot bed for local manufacturing in support that is what keeps your city vibrant we'll make a compelling place to live and visit i think that local business is the lifeblood of san francisco and a vibrant community