if the motion fails today, commu input will contribute to a more transparent process that can yield a fully informed and beneficial policy that cludes best practices that would address and incorporate best practices from communities across the country so good jobs are available for all of san

francisco workers. thank you very much. thank you for your olicy you have before er

you incorporates many movements by us in the dcte city administrator and others to try to accommodate what concerns we could identify. isaboutot a payment to the d unions, it is a payment for health care. it is a payment for pensions, it is a payment worke that is what we in the union stand for. that is what we ask you to stand for and we don't think that has to be done at the expense of small business, but we can work together and profit together. thank you. thank you for your comments. next speaker, please?

good afternoon, my time is tony rodriguez. we do work in online bay area counties. i've done this position for 11 years. for 11 years, i've dealt with project labor all over the bay area. they've worked for 11 years and people keepngmi to do hem. when you all stood in front and said how great this was for the workers, we could haverr.nnnnns nezt::::::(vbed we weren't fast tracking. the last thing i'll say is in union, contractors that are signatory to our union. i've been in my union for 35

yea years. 31 of those contractors were formal workersho decid to go into business for themselves. they were making a living, decided to stay union. when i hear about small contractors or small businesses, it all works. it's a protection for the workers is what the pla is about. anybody who is against the pla is really wanting to continue to abuse and take advantagef the workers. i thi everyone here really said they were for protecting the workers when we presented this. thank you. thank you for your comments. nespeaker? good afternoon, supervisors. happy election day. my name is julianna choice summer. i'm not up here to discuss the merits of pla. we shouldn't be doing this today. i don't want to discuss the merits of pla next week either

because we need more time. you've seen all the speakers who have gone ahead of me. we need a bit more time. listen, small businesses, we don't have lawyn staff. we don't have people that can come to city hall on our behalf. we have to take time off work. these guys are busy. that's why you may not have heard from them yet. you will hear from them. we need to slow it down a little bit. there are a lot of folks that want to chime in. let's just allow them to do so. please vote no on item 28. we're having good conversations now, but i don't think we can complete it in a week. let's keep going with it. please vote no on 28. thank you. thank you for your comments. thank you, madam hair. i represent 2500 electrical workers here in town. i'm here to speak in favor of item 28. we've heard a bunch of people say no, but i'll say yes. mike touched most of the issues

that we would normally hit, as did tony. we heard from the people from the avc and we heard other people talk about opportunity for people of color, for women, e etc. our apprenticeship for inside wirement alone has more female apprentices than the abc has in northern california, just in san francisco. where is that opportunity? we go out, we recruit. we weren't a great organization forever, but we've made great strides. and whether it's y cd asking me to come out and speak to a classroom of three people prepping for our test, we go out and do it and we make that outreach.

we do work for the community, we are the community, our workers are. there's another side to this shining city. and on the otherde of this shining city, people are getting robbed every day on public works projects. and the administrator's report that came out vastly underestimated it. we found more on two school projects, just electrical workers, than what they quoted. it's rampant. and without union workers on site, you won't be able to protect those workers. thank you for your time. thank you for your comments. next speaker, please. thank you for the opportunity to speak. i'm with the chinese american democratic club. we are also opposing the motion

to pull the city wide pla from the government audit and oversight committee. you know, we're not against the pla, we're not. we believe that the unions do a lot of great things. but what we do need is we need opportunities for small businesses, which are predominantly -- many of which are minority and women-owned businesses, to be able to grow and thrive and then to become union signatory. it's a symbiotic process if it's done right. when irresponsible pla's are put in place, when small businesses are locked out, many of which are minority and women-owned. it affects the livelihoods of every single one of them that has put in blood and sweat into their businesses. i would urge the board of

supervisors today to deny the motion to call up the issue into the committee as a whole. and i would encourage you to allow the unions and small contractors to continue to negotiate and to get it right. we've got an equity program and other issues. we need an equity program in our pla, thank you. thank your for your comments, next speaker? i'm here to speak on item 28 in support of item 28 for the project l aboragreement. i've heard people say that this thing has been rushed through and they don't want it rushed through. nothing could be further from the truth. we've been working on this for over a year and a half. we've had multiple meetings. some of the people who spoke against item 28 were in those

meetings. and the building trade has made concessions, huge concessions on some parts. so we listened and we decided the best thing to do was to meet with the small businesses and hear what their problems are. we did that and we did that multiple times. we made huge concessions. it's not like this is kust flying up here and no one's like a few of my t it. guys said earlier, we would have pushed this through months ago. but we didn't want to do that. we wanted to make sure everybody was heard. as far as the comments about people of color not getting due process, i agree with that. but i agree that it's the people of color that are the workers that aren't getting due process. the worker that is are being exploited all these jobs.

as far as i'm concerned, this pla is about san francisco worker unionnd non-union alike to make sure that they're getting what they're supposed to be getting by law. and what's right for them. and isn't this city all about that? i think it is. the small businesses still can prosper under a project labor agreement. it's been done at the school district, it's been done at the puc. i can tell you firsthand. we've been watching on behalfof t laboo

this been going on for a long time. we've been in the meetings that some of my brothers have been and sisters have been talking about recently. and that is to make sure that this is done right. . this has been in committee for over a year. there have been many amendments made. there have been amendments galore. by the way, the labor council is in 100% support of this project. so it's time to move this forward.

this is just looking like delay tactics to us when we find out that there's gonna be yet another hearing and possibly other things moving on. so we're urging you to vote yes on 28 and let's get this process finalized after all these many, many, many months. thank you for your comments. next speaker? supervisors, my name is hanson lee. i have a sister, we go to church together and i wishto use her minutes ifthat's okay. no, that's not allowed in here. you can use up your two minutes and she may use her's. okay. i guess my minutes are suddenly

cut in half. supervisors, i've been here many, ma times when i was president of the asian american contract association. let me remind youis item 28, there's a sponsor. four years ago, i had liver cancer. doing work there is way more

full and wholehearted. but this week, i watched a movie. what we are doing now is people of color exclusive. and we are all race to the bottom. this union brother told me they want to talk to us. i guess the city or the mayor don't want to include us. race to the bottom. is mar, you know i wasn't a big fan of our mayor lee. but compared to this white mayor -- thank your for your comments. thank you for your comments. madam president? sir, i'm sorry. your time is up. i'm sorry. i apologize.

your time is up. we have to give eveone equal time. thank you. thank you. tom gilberti, it doesn't seem like 28 is ready to go. but i'm gonna switch subjects. there was another election 50 years ago. and a gentleman won the election and then lost his life. robert kennedy, what does it mean to be against communism if one's own system denies the value of the individual and gives all the power to the government. just as the communists do. the cold war long provided for the allies to abuse their own populations. but kennedy was declaring those mt end. everywhere the senator went, he

challenged his right host. in the last years of bobby kenne kennedy, he became increasingly estranged from the washington political light. his critique of the american foreign policy became more passionate as the war in southeast asia drew on and drew the doubtful eye of the white house that began spying on kennedy as if he was a hostile foreign agent. and then there was mr. garrison during this time.

excellent book, i just finished it. we have gone a long way in the wrong direction. the labor guys right here with telling it. we need to firm up this country again and our city. it's not very well. thank you. thank you for your comments. next speaker? madam president, madam clerk, i think we can vote on 28 today. it seems like you're gonna make unhappy. i have an item for you that probably won't make anybody unhappy. i sit in the back of the room and i kind of watch what's going well and what's not going well. there waan in memoriam for dwight clark. there was? there should be an in memoriam

for dwight clark. we have 30 years of football omindce in the bay area if you include the high schools, the colleges. that had an economic and financial positive for the area as well. thank your for your comments. next speaker? madam president? any otherbe of the public who'd like to provide public comment at this time? seeing none, public comment is now closed. and just for clarity, i submitted an in memoriam for dwight clark and did not make any comments, thank you. madam clerk, please call the items for adoption without reference to committee. if a member requests an item may be severnd considered separately. thank you very much, i'd like to sever item number 28. >

supervisor fewer? nk >>you, predent breed. colleagues, i am a strong supporter of labor and i am proud to have autho t

largest and strongest project labor agreement that the san francisco unified school district has ever seen. that said, i have some questions coming up about the proposed city wide pla before the board now. and frankly, i don't understand what the urgency is. to pull this legislation from committee after 1 1/2 years of this sitting at the board. many stake holders are coming forward with concerns about this legislation that i think need to be addressed through amendments. and these amendments are likely to be subjective, requiring discussion at more than one committee meeting. i also understand that there are many stake holders who would like to weigh in on this legislation through public comment. ulti, tlye best pro-tess for tho happen is that committee, not at the full board, and i've spoken to colleague supervisor kim who has committed to scheduling this legislation at the government audit and oversight committee on june 20th. the controller's office conducted a risk benefit

analysis of the proposed city wide pla in march of 2016. we acknowledge that this will result in increased costs to the city and county. and i have heard directly from one works rec and park that they expect increased costs. we have not seen a fiscal analysis of this legislation. andce it was md from budget and finance, and i believe that this analysis is important to understand before taking action as a board, as the fiscal impact could be considerable. i also do not understand what the impact of this legislation would be on small contractors, particularly small businesses owned by women and people of color. after hearing serious concerns from dozens of small contractors, this issue deserves further discussion. in particular, i don't believe this pla, as currently written, addresses my concern about

pathways to good jobs for formally incarcerated people in san francisco's construction wodustry as disadvantaged ers. for all these reasons, colleagues, i urge you to vote no on this item today to allow for the discussion, thank you. thank you, supervisor fewer. supervisor peskin? thank you, madam president, colleagues. first of all, let me concur with supervisor few er. what we're discussing here is whether or not we're gonna have a committee meeting in committee or a committee meeting at the board of supervisors as a whole. that's what's before us here today. every once in a while, this a few weeks ago, it requires somebody, in this case, supervisor safai, to move the process forward by challenging us to a committee of the whole. what this has brought about is the fact that there will be, on a date certain, i've heard two different dates. june the 11th and june the

20th. i would personally prefer june the 11th, which is actually a day earlier than the full board would have heard it on june the 12th. that aside, i wan send a couple of messages. because i want to pass a pla, i would like to pass it soon. it has been sitting around for too long. and it has been sitting around for too long because no one has really, i think, done the tough work of convening the parties and hammering out the last few things that need to be hammered out. and so yes, that is on a mayor and we're having an election andtoyt will be on whoever is the likely mayor in the days ahead. and i beseech the parties to do some really good work between now and six days from now, if that indeed is the date. i also want to say, as a supervisor, when you have the

city administrator, who we all voted unanimously to re appoap and department head coming and expressing my instinct is to say okay, i need to get you in a room and let's iron these things out. that has clearlyot n -- i don't want to say it hasn't happened, it just hasn't been successful yet. i'm not sure exactly why. but i did actually ask if there were some meetings. and yes, there were. they didn't go anywhere, in one person's opinion. i really think it's incumbent that that hard discussion happens. it's incumbent on the parties that that hard discussion happens in the next few days. i want to pass a pla, i want to do it quickly. i think that it is right that it happen in committee. it is very extraordinary that we have a committee of the whole. and i hope that we can get this done next monday or in the nex

couple of meetings as the gao committee. thank you, supervisor peskin. supervisor safai? thank you, madam president. much of what i was going to say supervisor peskin said. just for clarity, the process of pulling something from a committee to the full board still allows for there to be a committee hearing. that's why we call it a committee of the whole. this process, we have been meeting with many folks in the lbe community. we have been meeting with folks in the building trade. my and psident breed have met with city departments and the city administrator. as supervisor peskin said, there has been progress. the amended version that you see in front of you today from the perspective of the building trades, as you heard them say, has made some significant concessions on their side. that does not mean the debate is done. that means that we are going to have a committee hearing. and i met with five members of

the folks from the community as well as president breed's staff just this last week and we received even more comments and we are still continuing the conversation and we're happy to continue that conversation. i don't want to get into any of the merits or any of the policies of the pla. that's not what's before us day. bere us today is scheduling. and supor kersm and i had been in conversations. we had looked at multiple dates over the last three weeks. there wasn't an ability, given all the things that were going on, particularly today being election day, to find the right meeti w g happen, those meetings were cancelled. there was one that was tomorrow. i think everyone would be on the floor exhausted. so that does not make sense either. we had discussed having it on monday, june the 11th. if that's the wil their of that committee, i will support that. and there will be a process. the idea that there would be no democracy in a committee of the whole is absolutely not trued.

that was proposed two weeks ago by supervisor fewer to have a conversation about apartments and operation maintenance agreements. we were trying to have scheduling conversations. we were able to resolve that and we did have that committee hearing and we moved the process forward. i am in support of having it on june the 11th. i am in support of having a pla. i am in support of respecting the great work that's been done in the history of this city to support lbe's and incorporating all that great work into something. but my perspective is the perspective and always will be the perspective of workers first. and that's how i approach this conversation. thank you, supervisor safai. just for clarify, i sit on gao committee and i've made it clear that i will not be here on june 11th. but i am planning to attend the meeting on june 20th. supervisor kim? thank you. as chair of th i just want to clarify that we are working to schedule this

now on monday, june 11th. we are still working to confirm this with the agenda. supervisor peskin and i will be there. so it would be great to have a replacement so that we can walk around. but i do just want to warn members of the public that we do sit on land use committee at 1:00 p.m. as much work as can happen on wednesday, thursday and friday to hammer this out and get to a consensus so that we can pass this out of committee on monday, june 11th, is appreciated. but we will be scheduling it. i think it's much more appropriate to be heard at committee than at the full board of supervisors. and i'm happy to schedule it. thank you, supervisor kim. supervisor safai, would you like to continue to support the committee as a whole? i guess we can table that item. motion to table by

supervisor safai. seconded by supervisor peskin. colleagues, can we take that without objection. without objection, this item is tabled. madam clerk, any other items before us today? please read the in memoriam. today's meeting w be adjourned in mem thery of following beloved individuals on behalf of president breed, dwight clark. on behalf of supervisor ronen forate lenee r yenes. madam clerk, any other items before us today? that concludes our business for today. ladies and gentlemen, today is election day. the polls will be open until 8:00 all over the city, including city hall. please make sure that you go out and vote and have a wonderful day. thank you. we are adjourned.

. >> the san francisco carbon fund was started in 2009. it's basically legislation that sedway the board of supes and the mayor's office for the city of san francisco. they passed legislation that said okay, 13% of the cost of the city air travel is going to go into a fund and we're going to use the money in that fund to do local projects that are

going to mitigate and sequester greenhouse gas emission. the grants that wre giving, they're anywhere from 15,000 to, say, $80,000 for a two year grant. i'm shawn rosenmoss. i'm the development of community partnerships and carbon fund for the san francisco department of environment. we have an advisory committee that meets once or twice a year to talk about, okay, what are we going to fund? because we want to look at things like equity and innovative projects. >> i heard about the carbon fund because i used to work for the department of environment. i'm a school education team. my name is marcus major. i'm a fou member of

climate action now. we started in 2011. our main goal it to remove carbon in the public right-of-way on sidewalks to build educational gardens that teach people with climate change. >> if it's a greening grant, 75% of the grant has to go for greening. it has to go for planting trees, it has to go greening he t pavement, because again, this is about permanent carbon savings. >> the dinosaur vegetable gardens was chosen because the garden was covered i afault since 1932. it was the seed funding for this whole project. the whole garden,ible was about 84,000 square feet, and our project, we removed 3,126 square feet of nt. >> we usually issue greening rft every other year, and

that's for projects that are going to dig up pavement, plant trees, community garden, school garden. >> we were awarded $43,000 for this project. the produce that's grown here issumed r large by the school community. in thisdenre growing all kinds of organic vegetables from , and artichokes. we'll be plantingpples and loquats, all kds of great fruit and veggies. >> the first project was the dipatch biodiesel producing facility. the reason for that is a lot of people in san francisco have diesel cars that they were operating on biodiesel, and berkeley.e having to go over to we kind of the dog batch

preferentials in the difference between diesel and biodiesel. one of the gardens i love is thepomeroy c center. >> pomeroy has its roots back 1952. my name is id,nd i'm the chamber and ceof pomeroy rehabilitation and recreation center. we were a center for people development cal disabilities in san francisco san francisco. we also have a program for individuals that have acquired brain injury or traumatic brain injury, and we also have one of the larger after school programs for children with special needs that serves the public school system. the sf carbon fund for us has been the launching pad for an entire program here at the

eromeroy we received about $15,000. the money was really designed to help us improve our garden by buying plants and material and also some infrastructure like a drip system for plants. we have wine barrels that we repurposed to collect rain water. we actually removed over 1,000 square feet of concrete so that we could expand the garden. this is where our participants, they come to learn about gain they learn about our work in the greenhouse. we have plants that we actually harvest, and eggs from our chickens that we take up use in cooking classes so that our participants learn as much as anybody else where food comes from. we have two kitchens here at the pomeroy center. one is more of a commercial

kitchen and one is more setup like a home kitchen would be, and in the home kitchen, we do a lot of cooking classes, how to make lasagna, how to comsome eggs, so this grant that we received has tremendous value, not only for center, for our participants, but the entire community. >> the thing about climate, climate overlaps with everything, and so when we start looking at how we're going to solve climate rae sve a lot of other problems, too. this is a radical project, and to be a part of it has been a real honor and a privilege to work with those administrators with the sf carbon fund at the department of environment. >> san francisco carbon grant to -- for us, opened the door to a new -- a new world that we didn't really have before; that the result is this beautiful garden. >> when you look at the

community gardens we planted in schools and in neighborhoods, how many thousands of people now have a fabulous place to walk around and feel safe going outside and are growing their own food. that's a huge impact, and we're st to keeolling that out and keep rolling that >> 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 na cevigatier t 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 citiesround 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 oy t h 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 com 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 seedealo ith 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 re i francisco. brin 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 ain 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. sa fraisco is aeader in so many areas and once again, we are stepping up with professionals that know how to get job run right.leers willingd ddprss 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 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. st help that they are on our 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 sea for those suffering from opioid addction. 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, aear ana 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 ins 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 s 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. whe 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 hav 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 abou their hea 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 thesve 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 sue use is. andre 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 y're my favorit 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 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 intohose nex 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, tment a ring fe 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 amplifyingt.ec 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 oth person doesn't en 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 posi, 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 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 t usenymore. 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 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 ri o here. thre 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 lif has changed. i have everything back i lost. i owe my love to dr. sven 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 complexprob m andteq 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 farll for his leadership in expanding thistan program. so thank you again for being here today and we'll take questions over at the side. thank you. applause][music]

>> san francisco city clinic provides a broad range of sexual health services 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 heth befis anrage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of