>> good morning and welcome to the agency on aging.

please call the roll. [roll call] we ask that you please silence all electronics and sound-producing devices. >> thank you. before asking for approval of the agenda, there is a modification, no closed session today. so with that change, a motion to approve the agenda. >> so moved. >> all in favor? items carries. item three, approval of the august 18th meeting minutes. do i have a motion to approve? >> so moved. >> second. >> any comments or questions from the public? hearing none, call the question, all in favor? aye. thank you, the motion carries. the executive director's report. welcome back from vacation, sherrie. >> thank you. good morning, commissioners.

just a few things, since we met three weeks ago we haven't had a huge amount of activity at dawson, it's reportable but i have a couple things i wanted to mention. the first is we have convened our residential care facilities work group to look at the need for residential care facilities in san francisco, kind of working with residential care facilities how the city could help maintain the stock we currently have and how we might even think about expansion. so we are looking at what is the need for the supply, what the demand is, what the supply is and then we are going to look at strategies to make sure we are thinking about residential care in the best way possible for san franciscans and that includes looking at state waivers and looking at other departments maybe to look at incentives the city could do to help keep people in business.

so i'm excited we have launched that. we hope to have recommendations for the city by the end of the calendar year so the work group is off and running. we have a couple committees that are meeting and we will report back the next few months about the progress that work group makes. chair is dan kaplan, cindy coffman, deputy director of dos active as well. we have other staff people, department of public health. it should be exciting. we know, we believe there's a crisis, especially for poor people who need assisted living in san francisco. so being able to correct that would be great. i just want to announce sb 1045, a bill scott wiener was

carrying which is meant to increase powers of conservators office, people who are drug addicted, gratefully disabled due to drug addiction, mental illness and all that stuff, it would help a little bit. i want to commend jill nelson, deputy director of das to help spear head the effort to make this work in san francisco. we are working through what now, what that would look like to roll it out in san francisco we will know more. i think the mayor is hoping there will be an ordinance to move forward with this expanded power of conservatorship so we will have more info about that in the next several months as well. the third thing, and i did

mention this to president serenia, but the mayor announced last night we have a new commissioner, who i assume, brigitte will be reaching out to immediately, that's martha knudson who has been an active in the lgbt senior community for sure. has a long history of prominence in san francisco. i'm assuming will you be excited to welcome her as one of your members. so that's exciting. i just passed out to you the department of aging and adult services response to the mayor's july 2018 policy summit. as many mayors do, when they come into office, mayor breed had a policy summit to really get the best experts of san franciscans in a variety of areas. one was seniors, youth, children and family, another equality and equity, health

care, homelessness, housing, transportation, issue that's affect san franciscans in general and a bunch of recommendations came out of that policy summit and departments were asked to respond to the policy recommendations so this is the response. specifically the response is to the recommendation. it's not going to be all inclusive, but i thought you might like to see it so i made copies so you could read it at your leisure, and i think that's it for now. >> thank you, shereen. any comments or questions? >> i have one. i recently read in the san francisco examiner, i believe we spoke offline about the federal imposition of a requirement that could jeopardize the food security of about 3,000 san franciscans. i wonder how many identified as seniors, people with disabilities or fall under our purview of folks we could

proactively get through that troubling news. >> yes. you are talking about the public charge issue. i will speak as part of the agency at this point because it really affects clients and residents that we serve across the agency. so we are working really hard, we want to figure out what the numbers look like for staff to know how to respond, because we are worried about people fleeing programs because they are concerned about this. we are concerned how it happens for sure, how we will respond to it. and what happens a lot of immigrant families when they are worried about public charge or getting caught up in the system, they already have a fear of government, they will flee programs they very much need. we have a lot of family maintenance programs and things like that.

working closely with the mayor's office and other departments because everyone is really worried about this, it affects a lot of san franciscans, especially given the diversity and number of immigrants we have living here. >> thank you. >> thank you. any other comments or questions? michael? >> i want to express my joy at martha knudson come on board. we both served and chaired lgbt commission for the commission. she will be an asset for this group and i'm thrilled at that announcement. thank you. >> shereen, we have a couple questions. first of all, i think it's great the expanded conservatorship legislation is passed. but isn't it experimental and limit today -- limited to san francisco and a few counties? >> it's a pilot, so it's limited to a few, san francisco and los angeles. >> i think los angeles? >> yes. l.a.

it's experimental. this is an opportunity to look at how it will work and we already know there will be some barriers to success, which means there may need to be amendments to the law in the future. we are really trying to see if this could make a dent in serving, helping to serve the population that needs to be served. people who don't sometimes know that they need help or treatment and need a nudge to get there, right? yeah, we are going to be tracking it closely it's not a huge number of people to begin with. it should make it easy to figure out what's working, what's not working. do there need to be changes to the law to make it more viable. >> and while it is not a huge number of people, many of them are the highly visible people we see on the streets everyday and also people who use up an

enormous amount of resources for their care. because the care is limited. >> i think the challenge is, this conservatorship is a very specific tool for people who are very ill, right? and one of the things that you need to have in order to make sure it's successful, you have to have the resources to be able to provide people with both treatment they need, the correct level of housing they need and the encouragement and all those things that go along with intensive case management. all of that. so it has to come together at once. that level of intensity is really expensive.

it's why very few people, you want to do this with very few people, people are losing their rights to make their own decisions with this, but it could be an effective tool for people who are at that very end point. >> thank you. and one other comment. i think it's terrific we are looking into maintaining, if not expanding residential care facilities in the city. how are we defining them? is it acute care for people, or people who may not need constant care but may need some. >> we are looking for care for assisted living, not necessarily medical care but need more custodial care. that's really what we are looking at. so there's a need. there are people who could probably live at home if they had enough hours of inhome

supportive services but the system doesn't allow for that and it's very expensive. and when you can bring people together, certainly in some of the larger facilities that are 50 or more people, you know, you get more bang for your buck. but also sometimes people prefer that because of the social factors and all of those things. but that's what we are thinking about. >> one final question. how are things working in the department with the change, since barbara's retirement. are things moving along okay,? any idea when her retirement will be announced? >> i don't know, i know the mayor is hoping to have her replacement as soon as possible. obviously it's a very challenging job and takes someone with a lot of experience and all of that. i'm sure it will take some time. craig wagner who is ceo of public health is the acting director right now.

i wanted to just add to your initial question about conservatorship, san diego is also one of the counties participating. >> thank you very much. anybody else? >> i want to follow-up on the conservatorship, the program, how many are we talking about and how much, do we get extra money to do this pilot program? >> the city doesn't get money to do the pilot program, but there's some money for the courts but not for the city, not for the county, sorry. but we are probably talking about very few people.

if there are amendments to the law, it will be higher number of people. >> the committee, you have from different departments, you are going to submit something to the mayor's office? >> correct. >> the program is supposed to start in the new year, july 1st, or what? >> you know, i don't think we are that far along yet. i think we have only had one meeting and we don't have the solutions yet. [please stand by...] [please stand by...]

there's some misinformation in san francisco that we're all the services we need and people refuse it. that's not true. we don't have enough housing or mental health services. once we have those available, then we need to see our people accessing them, but that's not the case now. we hope you will look at this carefully, and we can work together to help people get the services they need without losing their rights. >> thank you. any other comments or questions from the public? thank you. next item on the agenda is employee recognition. the department of aging and adult services commission. [ applause ]

>> it's okay to be embarrassed sometimes. this is a very exciting day. tiffany is part of a very small team we have. the dignity fund team really really integrates the rest. they get to work with a lot of very different and cool people. so one group of those people is the office on the aging and a lot of you guys are here today. i just want to talk a little bit about, you know, really what we call it dos administration. so often we don't get to talk about it. we talk about our different programs. the administrative staff really, really helped make things flow. i think particularly in the office of the aging and dignity fund, what people are really

doing is working in the community. they're doing nutrition work in the community. they're doing endless work in the community. [ beep ] >> cut me off. >> but they work with our office with respect to working with your community partners and residents of san francisco. so tiffany is among a very special team of people at dos. she stands out because she's worked so hard and put so much effort and energy into really working on all the dignity fund contracts that we have. so that's why we're celebrating her today. what i'm going to do is actually read what her colleagues have written about her. tiffany is the program analyst for the dignity fund. she develops rfps, does contract mods and provides technical assistance to community providers. . she does all of this very well and very thoroughly.

but the exciting aspect of tiffany's work as a program analyst is she's deeply committed to the fund and its intentions. it is obvious in everything she does that she takes very seriously san francisco's voter's interests. she's committed to the folks we serve and underlying every effort is the paramount desire to enrich their lives regarding services that will enhance their lives. tiffany is dogget. she leaves no stone unturned when she's researching something. she wants to make sure she as all the answers to any questions that might be asked. she's not afraid to ask

questions, which everyoned a mires. we love her sense of humor, and we love her laugh. the sffh planning team has had an opportunity to work with her on a number of projects. she always shows up with her own research and is interested in learning more and open to other opinions. she brings an incredible level of passion for numbers, analysis, and data-driven decision-making. it's so fun to work with tiffany. we never quite know what she's going to say, but it's always something good. her commitment to the community goes deep. in her, quote, free time, she runs the meal service for st. ignacious church and is dedicated to many events. tiffany is valuable, and we have people coming from a lot of different backgrounds. we know that tiffany worked at hunter services before coming to us. it's great to have someone whom in who has community service. i've seen that with you. you really think about san francisco residents, and i think it's because you worked with them and you worked with our community partners in the past.

so thank you so much. you're employee of the month for september. [ applause ] >> there is no advisory council report. next is dia lawrence with the committee report. >> good morning commissioners and director. the joint ledge committee has not met in two weeks, but what i wanted to do was follow up on the action items from the last meeting, so that was off the agenda, and we can focus on bills that have been passed and signed. commissioner wallenburg, you asked about the grab bar bill and whether there had been a change. i went back and looked at it. yes, there had. they gutteded all that language, and it now looks at the department of building standards reviewing rules. so i will have that language for you in the report that will go with the minutes. there was mention of ab 11 which

talked about cal fresh eligibility. that was not something we had been tracking, but it's an ominous bill on health services. it impacts ihas and a couple of other programs covered by the agency and, again, i have those all detailed for you. and then, lastly, there was a question about why one of the bills -- i believe it was 1914. i should remember that from work -- was gutted. it's now become a bill. i couldn't find any reason why it was gutted. they took the number, same sponsor. they've made it a bill that went from presence of health care facility folks with those who had been convicted of crimes to new rules on excavations. so it's quite the turn around. so those were the three major questions i took away from the last meeting. it's -- it looks like its in

response to some of the cal fire issues. that's mentioned in the bill. that's obviously outside of our purview. >> thank you, diane. any questions or comments from the commission? comments or questions from the public? thank you very much. the long-term report? >> there's no report. we did not have an august meeting. just a heads-up, we'll not have a september meeting either, so there will not be a long-term care coordinating meeting until october. they're working on a lot of work that came out of the retreat a number of months ago. thank you. >> thank you. case reports. >> good morning.

a brief report as well. i would like to apologize for being unable to present report at the august meeting. i did submit a report so hopefully you had an opportunity to look at that. last month kicked off our annual budget advocacy effort. we had a very robust attendance of our member agencies giving input suggestions as to where they thought funding report should be allocated in next year's budget. this is the first step in our process which will continue through the fall. we have in september and october representatives coming from the dignity fund oversight and advisory committee as well as the service providers work group so that we can hopefully better align all of our focus and

efforts towards funding. we did not have our monthly meeting with director mcspadden. i guess we had to let her go on vacation. look forward to meeting with her again this month to continue our conversation about our interests and desire to have a celebration of aging event this next calendar year. and, finally, i would like to let everyone note that after a long process of conversation and getting feedback from our member agencies, we have moved our meeting site for case meetings to catholic charities at 990 eddie. as always, we welcome -- invite and welcome commissioners to attend. any questions? >> thank you. any comments or questions for greg. any comments or questions from

the public. thank you very much. >> thank you. the next item on the agenda is the presentation of the dos fiscal year 18-19 schedule of request for proposals, contract modifications, and contract renewals. michael, you're on your own, apparently. >> good morning. i'm here today to give the community and the commissioners an overview of what our sort of calendar year looks like or our fiscal calendar year, i guess, looks like with regards to various programs and contracts that will be coming before the commission. before i actually jump into this, i wanted to take a quick moment to reflect on 17-18. if you may recall in may and june of last year, we were quite busy. when i went back and tabulated it all up, we processed 96 contracts through the commission in the may meeting and through

june commissions. i wanted to acknowledge all the work that went into that process and to say it was a heavy lift but one with great impact. when i go back and estimate services, those 96 contracts are going to provide services for over 36,000 adults with disabilities and older adults on an annual basis. so, again, thank you to everyone for all the work that went in on that and particularly bridgette who has to coordinate all that for the commissioners. there's huge packets everywhere and all kinds of things. looking forward to next year, or the year we're currently in, i'm actually forecasting a lighter load. in april, may, and june, forecasting about 50 to 55 contracts. so hopefully that will be a little less challenging than the

96. requests for proposals, these are all typically programs that are new or contract where is the contract have expired, and we have to procure new contracts for them. in the beginning of the year, we have quite a few of the dignity fund programs, including intergenerational programs. that rfp is actually out right now. i've annotated where there are dignity funds involved, also an asterisk where the programs are set to start in this current fiscal year. some of the rfps later will be set to start july 1st of 2019. just a continuation with the rfps, we're going to plan to release a few rfps in january

this year. this will be for contracts that start july 1st of 2019. as we go through them, you will see them start to appear in april, may, and june commission meetings. this is actually a continuation of the lgbt-friendly literacy services which were born out of the lgbt aging task force recommendations that were launched. that program has been in existence for two years before we start the new one. in january, we're also seeing our elder abuse prevention programs and suicide prescription and emotional support services. new contracts or modifications,

so typically in the first half of the year, we're going to see coming before the commission a couple of new contracts and a lot of modifications. this is where we have seen new funding infused through budgetary adbacks and other expansions of current programs. so you will see some of them have already come before the commission in august. you have a handful today and then the rest throughout october -- at the october commission. in particular, at least a lot of increase in community service in district 9 and district 11. we're seeing district 1 and district 8, district 5 and district 7 all receiving additional support for community services and related programs. we have a large amount of funding coming for nutrition services. this is a mix of add-back and

dignity funds that are going to support home-delivered meals for adults with disabilities. they're going to support the congregate meal programs and support the home grocery delivery programs. we're working on our lgbt bill of rights handbook program. that's going to be development and publication of a handbook as well as trainings for long-term care providers. throughout the year, we also have renewals. these typically happen in the second half of the year. this is for -- these are contracts that we have rfps and already awarded in initial term. usually when we award a contract, we award an initial term and have the option for one to two years. these are some of those contracts that are going to be

coming before the commission. the second half of the fiscal year, the larger ones being the connected program, which is about seven contracts. our adult day care and alzheimer day care resources contracts, which are about seven contracts as well. the others are smaller, one or two project areas. that's all i have for you today. any questions or comments? >> thank you very much, michael. any comments or questions of the commission? nice to have a preview of coming attractions. any comments or questions from the public hear hearing none. the supplementary nutritious program, sb 1819-06 associated

budget and all subsequent amendments and notification for the self-help for the elderly grant agreement -- excuse me, to include snap add funds. welcome, linda. >> good morning commissioners and director mcfadden. presented in front of you is the entire packet for the contract we're proposing to accept. it's the supplemental nutrition assistance program education and the goal of this program is to increase access to physical activity opportunities and healthy dietary choices for snap add population. these are under 185%. through the prior year approval by the counseling department of

aging, dos utilizes these funds for the development of these following programs. one, the tie thai chi. just a little bit of information about the tai chi for fall prevention. this will be the fourth year implementing this program. it is trained to trainer type of model where we offer these training to any of the community partners who's willing to send staff or a volunteer to this two-day training, intensive traini training. once certify, they can bring it back and start this in their own facility or agency.

training at least 24 certified tai chi trainers and offer additional classes and increase the opportunity for older adults to be able to take tai chi classes in the community for free. the second program we'll implement is walk with ease. this is also an evidence-based program. this will be a new program that we'll be adding. it is basically a walking program held three times a week. there's guide books to how to do it safely, and it's targeted for people with arthritis.

this improves strength and ability. the other program we'll be including is, of course, a community event which self-help for the elderly is our lead agency who will organize and implement two community-wide events to outreach and publicize all of these programs to eligible participants. we're talking to sites interested in this program. the canon kipski center and omi center, they have a garden started. this will -- this small amount of funding will help augment by providing a gardening consultant that will participate in their garden development. not only will it give an increased opportunity for physical activity but also seniors will be able to grow edible plants and food to

supplement their diet. it will be a fun project for them. the last project is the nutrition education materials and supplies for the nutrition providers. this is, again, allocating money to our providers who are willing to participate in various of these nutrition education campaigns to help get the word out and inform and educate and help people to improve not only their shopping skills but also ways to eat healthier and it's an opportunity to find out where to get more healthy resources as well. the total funding amount is 142,578 for fiscal year 1819. our proposal is to allocate

money internally for dos operating expenses and training and the remaining 139,000, 240 is for other activities. 139,240 and any comments or questions from the committee? comments or questions from the public? the motion carries. thank you. item b, requesting authorization to modify an existing grant agreement with the stride center doing business as reliatech

until june 2018. the total amount does not exceed $229,115. welcome. >> good morning, commissioners, executive director mcfadden. i first want to make a couple of corrections in the agenda. the modification amount is 10,000. >> right. >> it's for the fiscal year 18-19. >> thank you for clarifying that. >> the purpose is to include a line item and budget for small costs, purchases, for the sf connected program. the program is our digital literacy program for seniors and adults with disabilities here in san francisco. through the years, we've come across unexpected technical issues and a lot of them were resolved by purchasing these small items. examples would be internet network switch or a wi-fi

extender. we've never had a line item, and without this line item, we would see a kind of a break in service because we have to go through the city permit process. examples would be also cable management for these labs. a lot of the cables were set up when this program was initially funded back in 2011 to 2013. so a lot of the cable work needs to be updated. also, we health facilitate if ever the agency decides to move the lab within their agency, we help unplug, replug, and make sure the cables are up to correct length for tripping horiz hazards. open to any questions you have. >> just for clarification purposes, i've been told the reason we're voting on this item that's not on the consent agenda is the total contract amount

exceeds $25,000 and, therefore, even a modification in this amount cannot be on the consent agenda. any comments or questions? >> commissioners, do we have to vote to amend the agenda? >> yes. sorry. vote to amend the agenda? the amount increase is $10,000, not 208,286 there are. with that amendment, any comments or questions? >> i just wanted to note that the program is a phenomenal program with over 50 locations in the city. i want to thank you for your work on that. also, i want to ask in general with the program, has there been a lot of private sector support being a city that's so rich, for lack of a better term, in such robust technology, companies, employees, that could provide training and volunteer support in kind? >> yeah. initially, when we transitioned from federal funded to local funding, we did get a lot of

tech companies providing support through their employees providing training. we did have initially a program at the mid market area for their employees. san desk was the other one. a lot of these support and go directly toward our community partner partners. they handle facilitation for the program, and we have tech council that's part of this program. they help bridge the private-public sector to move forward this aging and technology initiative. >> i know we work with the community technology network as well. it's great working with technology trainers. does it seem we're keeping pace with the needs of volunteer support for training at these sites? is there additional effort or push required at this point? >> ctn, community technology

networks, has about 60 to 70 volunteers in a given year. there's ebb and flow. they try to do an int intergenerational programming with this training. they also recruit usf students. so depending on the school year, it goes up and down. we also have a grand tees. they have different project models or business models. we also work with clc, which provides a stipend for all of their computer trainers and self-help. we're able to kind of reallocate a lot of trainers, if needed. if we do identify a tech lab that's, you know, needing more trainers, we kind of do an ad hoc meeting to find out how we can fill that gap. >> comments or questions?

comments or questions from the public? all in favor? any opposed? thank you, the motion carries. thank you, palo. item c, requesting to enter into a new agreement during the period of july 1st, 2018, through june 30th, 2020. our employee of the month will present this. >> thank you, and good morning, commissioners and executive director mcfadden. i'm presenting a new grant agreement with mission neighborhood center for a community service program pilot aimed at engaging older adults and adults with disability living in district 9. mission neighborhood center is located in district 9. they have a long and successful

history of providing community services as well as serving older adults and adults with disability in district 9 neighborhoods. the community needs assessment that was completed in march of this year, identified gaps and service engagement for adults with disabilities in a few districts. district nine was one of those districts. the community forums that were held as part of the needs assessment process highlighted that multi-cultural and creative activities are valued and desired in district 9. mission neighborhood centers will be focused on par pis patory art and cultural activities. this will include weekly art, guitar, and salsa classes. a unique aspect of the salsa class is individuals will have the opportunity to participate in a study that will be conducted by ucsf memory and

aging care center whereby they will measure the impact of the salsa class on participants' physical function, their level of reported loneliness and sense of belonging. the program pilot will serve over 230 consumers each year. this grant will allow mission neighborhood center to expand their services to include programming on saturdays and to conduct outreach that is tailored to addressing challenges that may be unique to communities in district 9. we are very op my mistake that the new -- optimistic programming will engage consumers that are not participating in services. we're looking forward to the impact of these art and cultural activities on the target population. i'm happy to answer any questions you may have. >> thank you. any comments or questions from the commission. commissioner lou? >> -- commissioner lu?

>> i'm looking at exhibit b page three. >> okay. >> my question is: the printing and reproduction is 1,800 for the current year, and next year it would be zero. also, the insurance, 600. i'm wondering whether the agency is flipping in the expenses. surely you would have some printing. surely you need insurance. >> yes, that is all true. with this particular grant agreement, the funding that was available was $121,000 ongoing. their original proposal was for $144, but there just isn't -- the department doesn't have the extra money at this time.

the neighborhood center believes they will be able to cover it next year. >> it would be nice if they put a note down so that we know they are doing it, and i'm pretty sure a lot of agencies are subsidizing the program because there's just not enough money. it will be nice to know. some don't do anything. they don't do printing. >> okay. thank you. >> thank you. any other comments or questions from the commission? any comments or questions from the public? hearing none, calling the question. all in favor? opposed? thank you. the motion carries. requesting permission to modify

for the extension of range of services for caregivers with low literacy or mono lingual. for an additional amount. there's a 10% contingency for a new amount not to exceed $1,985,000. again, tiffany. thank you. >> i'm now presenting a modification to a grant agreement with family caregiver alliance for respite care. the dignity fund needs assessment that was completed in march, also underscores the need to support caregivers and especially those who are monolingual or have limited english efficiency.

it will enhance fca's ability to serve individuals with limited english per sis ten psi. it will allow them to increase their capacity by hiring one bilingual spanish and one bilingual cantonease consultant. these services were not included in the original grant agreement. lastly, in an effort to reduce language barrier and further increase access for limited english speaking caregivers, the modification will enable fca to create audio recordings in english, spanish, and canton niese -- cantonese.

the alliance provided over 12,000 hours of respite care to nearly 100 caregivers, exceeding the target number of respite care hours and consumers by 2% and 25% respectively. the original grant also had a focus on reaching monolingual-speaking caregivers, and fca was successful in reaching that population. at least 40% of the consumers who received respite care identified as chinese. within that 40%. almost half indicated they need need need needed translation. i'm happy to answer any questions the commissioners may have at this time. >> thank you. any comments or questions from the commission? >> and one quick thing.

there was an error in the budget. there was a totalling error on page four. thank you, katie, for pointing that out. the total four january 1, 2018, through 6/30/2020, the very last box there should also be '405,000. . >> commissioner lu. >> i just want to know. you have two subcontractors. one is self-help for the elderly, and the other is catholic societies. i'm just wondering how many units of service the 71,000 represent and the 10,000

represent. just count of curiosity. >> the respite care hours are not changed with the modification. so self-help is still going to do the respite care hours, which was roughly about one-third of the hours. catholic charity was roughly about 235 days of adult day care. so the amounts -- the amounts that are allocated did not change in the budget. >> thank you. >> thank you. item e, requesting permission for modification for the provision of community

services for seniors and adults with disabilities during the period of july 1st, 2018, through june 30th, 2020, for an amount of $1,000 for a grant amount of 1 mill $53,196 plus a so% -- 10% contingency. >> good morning. my name is monte i'm a program analyst. today i'm here to present contract modification for service sites. before i get into my description, i wanted to make note it was brought to my attention that the fringe rate is inaccurate in the budget. it's listed at about 13.9%, but we believe the actual calculation to be around 20%. we'll get that fixed. finally, on the appendix site

chart, there was an error in the number of meals served annually. i will be working to get that fixed as well. sorry for any incareens those caused. both sites have a history of serving a diverse group of seniors and adults with disabilities. the cortland location in district 9 will fire a .75 bilingual services coordinator. bilingual services coordinator.

how much can be recovered after lengthy periods of illness and inactive tee. it was very encouraging to read because having good muscle strength is essential for fall prevention, mobility and many other things. that was encouraging. the second article was more controversial. it dealt with what appears to be a change regarding the concept of suicide among baby boomers versus older adults. suicide is still linked with depression, physical frailty, many of the things that we're aware of here through our work and through our involve. in the community. younger adults, in some cases, see it more as an issue of controlling when they die and because they have experienced

what they have gone from dialing from dementia they seem to be more determined to not go through that and not impose that on anyone else. the article said that people change their minds frequently about this topic as they get older. it's important to remember that there may be in deed a generational shift beginning and we should keep ourselves aware of that. it's been a taboo subject for many, many centuries. it's more important to discuss it. the taboo doesn't help. both articles would be worth reading. it's in yesterday's "new york times." that is it for me. any other announcements or comments? well, meeting is adjourned.