we did have a new operator class graduate. we were there to welcome our newest members to this family and i was really wonderful. we are going to continue to do everything we can to increase operator hiring sideswipe process. as well as got very close to meeting our goal on the outer rail system. we will -- now our focus is on sustaining this work. we did not meet our own time performance targets on the circulator routes. the routes that take people from hilltop and bring them down into our core system. the owl routes which are infrequent -- infrequent. we did focus heavily on making sure that service was on those routes, and that we weren't missing service, but we continue to need to look at new ways to enhance on-time performance.

and then finally, as i discussed ,, we reduced our preventable collisions by 5% and we will continue to focus on collision reduction. moving forward, i plan to take the month of december to reflect on our progress and learn. we will also invite more feedback from the folks closest to the work. i often think that they really have the best ideas, and we also have some actions that we didn't complete. they will roll forward with the idea that the next cycle would begin in january and carious through march -- and carry us through march. in that period, we will be doing a two month closure of the tee line. the scale of that construction is smaller than twin peaks, but we are very actively taking the

lessons from twin peaks and making sure we apply them to the project so we really minimize systemwide impacts while still providing really excellent service for our tee line customers. in the next 90 days, i think our biggest challenges are going to, as i discussed at the last meeting, be greater reliability. really reducing subway delays, and focusing on operator hiring. those will be what i put out to staff as i challenge them to identify actions and strategies to continue to improve muni service moving forward. thank you. >> thank you so much for the presentation. directors, questions, comments, concerns,. >> i have a question. is it possible to employ this strategy that you did for this 90 day plan in a more long-term

fashion so we can continue -- continually -- put the spotlight in the way that we did in a finite period of time, i ultimately think it takes that level of scrutiny and teamwork and priority to achieve these things for the long term. >> that is what we recommend. >> absolutely. i think it has been a very effective process and tool. this is really what the mayor has challenged us to do. and i think when we talked about it here, the board seconded that so this continued enhanced focus on service delivery his. absolutely it is something that while we did not hit all of our marks for the first 90 days, we think the process was effective and it is something we will carry forward. >> can we get this report every 90 days or something? it would be helpful for us, even if it is not here, at least every 90 days to get an update on how we are performing in

these areas. i think also, it will help us when there are problems to head them off more quickly. >> sure. it is a good idea. >> yes, director class payment door. >> this is very helpful and very helpful. it feels like the real wildcard is the operator shortage in what we will do long-term to address that. i feel like that is happening in a lot of arenas where staffing is a challenge including with teachers, for example,. is a big issue in our local public schools. i'm wondering if we can talk about more of what we think could be jonah long-term in terms of addressing that issue. i feel like if we got everything out there but nobody to drive the buses, it will be an issue. >> yeah. what i would say since julie is in charge of hiring operators, she is in charge of putting them into service. so we have been thinking a lot about this.

it has been quite a while since we've had a challenging hiring folks to work part time, but now , recently even to find folks who want to work full-time is becoming more challenging, as the unemployment right mac gets down to zero, it is getting more difficult. as julie said, we are partnering with the city of office diversity office of economic and workforce development to explore ways we may be able to work with folks ahead of time to get them more ready to get more people ready to be operators such as licensing requirements or other work readiness skills. we are looking hard at the way we are making people aware of the opportunities going far beyond just posting it up on our website, or even sending it out to c.b.o. who do employment support and looking at many different ways to make sure that people are aware of the opportunities.

so there is a lot of thinking that we are doing and steps we are taking to try and broaden the pool to increase the number of folks who apply to actually follow through in the process. what we have found in the last time, for example, we had a pretty good return in terms of people applying for the job, but when we called them in for the next step, a lot of them were not interested. we are also looking at looking how to speed up the process. you are right. this is our single biggest challenge. it is being felt right now most acutely with regards to transit operators. but we are looking at areas of maintenance, particularly skilled crafts. we are having difficulties. we have had some calls for positions when we have not been able to get anybody. for certain types of technical positions. this is something that i know other city agencies and schools and others are having.

it is a challenge given the economic dynamic of our region right now in our city, but we are very focused. i did discuss this with the mayor, and she gave some support and direction for working with the economic development folks here. that partnership will be helpful but this is something that will take a lot of focus in order to bring in the staffing that we will need to provide the service thank you. >> i love the report. i love the idea of breaking down the rapid bus lines being measured by gas, because we know gas is incredibly frustrating for passengers, versus looking at on-time performance for the low-frequency routes, i know all of us were forwarded the article about on-time performance and what that means, and what that measure, how that measure is implemented. i think that is a really good way to look at it, your example

of the nine, if the buses are coming every ten minutes and they're all stuck in the same traffic, you will be only waiting ten minutes for that bus whereas on the low-frequency routes, although a lot of people are using their next muni on their cell phones are on their devices, it is still having that best not show up on time is kind of a bigger issue. to speak to the hiring, i was fortunate enough to go to the training department and they let me try to drive a bus. it was amusing for everybody. they do such a good job out there. i know that -- it struck me that the last couple of classes, the graduations i went to, we do not get a lot of women making it through the classes. i am sure it is a combination of we don't get as many women applying, but i wonder if it is worthwhile looking into doing, i don't know.

a women only class. i do wonder, i know i felt intimidated with the idea of driving a bus. i do wonder if women are not applying to drive the buses because they do feel that it is just an overwhelming idea to drive that big of a bus. i wonder if there is some way we can widen our hiring pool by making that job appear more approachable to people and particularly women. that is not something that i expect an answer from. just an idea. the last flute just a few classes did not have a lot of women graduating. they do say that women are later on the equipment then the men. [laughter] >> maybe that is something to look into. thank you so much. i know that this has been a big focus. i know it's been a lot of work. i know with all the other challenges that are going on, that this took extra time. i think it is really showing results and i love the idea of

since we are going to continue to look at this in 90 day cycles , let's go ahead and have a brief presentation back to the board after the end or close to the end of each 90 day cycles so we can look at what is working and we can acknowledge -- speak knowledgeably to all of these situations. that will be super helpful. we will get a chance to watch the progress until you good good job when you come back. shows good progress like you have done with this one. do i have any other comments before i go to public comment,. >> i have to support the idea about a women cohorts. it could be a really interesting report. >> a lot of people have done that as a way to encourage more women to join and it is something, i don't know how

difficult it is, but if we could do something like that, it could be very good thing that he doesn't have to be a woman only class with some sort of feedback from the drivers to show other women out there that you can do it. i do it. we had a number of women at the award to have been driving in the city for decades. it could be good. doesn't have to be -- and eat we need to show women out there. >> many of our trainers are women. many of the team leaders of the classes are women. even the managers of the training department. i think you're onto something here. we will explore. >> that does remind me of one more thing. after going through that class, i did say to the trainers and i said it to the operator, that from now on, now that i understand how hard it really is to drive a bus, and in particular the idea of pulling into the bus stop to get your front door within 12 inches in your backdoor within 18, you have to take the front corner of that bus over the curb. the curb where everyone is standing with their toes hanging

right on the curb. you can't really do it when your passengers are so anxious to get to the bus. i did pledge that now every time a project comes to us, one of my questions will be, how does this make this easier, and safer for our operators to do their job? that is my pledge. if i don't do it, everybody hold me to it that i will ask that question. >> did you drive a bus class. >> i did. it was terrifying. the trainers were so good. >> not on the road where there were real people. >> just in the parking lot. i believe we do have -- thank you so much. we look forward to continued improvements on this character we have any members of the public while. >> yes. >> yes, mr weiner? >> i realized that this is a formidable task, and i appreciate the 90 day accountability.

i have some suggestions. the one thing, the turnarounds are a nightmare. some transportation managers throughout the country will say this is america and it is apple pie. but it leaves a bitter taste in passengers' amounts. this happens on the one california line of presidio and california street, there are so many turnarounds that have been, and people are really inconvenienced. also, there is a city of vehicles on sampson and market street where you have to weighed a long time for the two to come in. and the three jackson sits there waiting for passengers. also, accuracy in the transportation panel. you can walk away from the bus

stop thinking the bus will come 20 minutes later, and three minutes later, it comes and you have to run back to the bus stop and there is a lack of a travel panel operating. thirty-second and gary street is a major transit point in the city. that panel has been not operating for years. it should be. it is also -- a statement was made that transportation has to be woven into the fabric of the community. that is a very accurate statement. but you will have to walk a quarter of a mile to the bus stop and that is making it difficult for people. especially the seniors on the disabled. i'm wondering if it isn't a violation of the american disability act. in conclusion, i want to say you provide one very important service. some senior citizens cannot drive -- >> thank you." time is up. >> that is at. >> thank you very much. do we have any more public

comment? c. and none, public comment is closed, and i believe that concludes the business before you today. >> remind us, do we have another meeting class. >> there is another meeting december 18th. >> don't forget your jacket. thank you all very much.

>> supervisor brown . >> okay. good morning and welcome to the government audit and oversight committee on december 5, 2018. this is the final meeting for the committee of the year. i'm joined by aaron peskin and vallie brown. mr. clerk, are there any announcements? >> clerk: yes. [agenda item read] >> supervisor kim: thank you so much, and i also want to recognize the staff at sfgovtv for ensuring that your meetings are available to the public and

on-line. mr. clerk, can we please call the first item? >> clerk: item one is authorizing the budget and legislative analyst -- including the role currently performed by the mayor's office of community and housing development and related oversight. >> if ythank you so much. this item was called by supervisor peskin, and do you have any comments before we go into it? >> supervisor peskin: no. it was heard before the board of supervisors. i know severin campbell is here from the budget and legislative analyst's office to answer any questions, but with your approval, i would like to send this with a positive recommendation to the full board. >> okay.

thank you. we'll open it up to public comment on this item. seeing none, public comment is now closed. [ gavel ]. >> colleagues, can we move this item to the full board? >> supervisor peskin: so moved. >> and we'll do that without objection. [ gavel ]. >> mr. clerk, can you call the next item. [agenda item read]

>> thank y . >> supervisor kim: thank you so much, mr. clerk. we have chris corgis to present before us. i just want to recognize the members of the steering committee for their tenacity and active involvement in working towards reaching the 30% threshold in order to move forward with the special election. in particular, i want to recognize our cheer, james spinell -- chair, james spinello for doing significant outreach. i want to recognize the other members, as well as other parties that were involved. this community benefit district really is based on years of work that our office has done initially first to bring together all the myriad of very small neighborhood organizations that makeup the western south of market

including our different alleyways and trying to convene a larger neighborhood association. over time, it's just really clear that this neighborhood needs additional support, and this benefits district can enhance the services whether it's security or street cleaning, particularly for our neighbors and residents that unfortunately live on our streets, as well. we are surrounded by several c.b.d.s including tenderloin and yerba buena c.b.d., but i want to hand it over to chris corgis. >> today, i'm presenting the resolution of intention sponsored by supervisor kim to establish the property based community benefit district to establish what is known as the soma west community benefit district. we've been conducting out reach

to determine if there was interesting among property owners, residents and business owners to establish a district, what services needed to be provide, how should service methodology be structured, and how should the benefits district be in structure? the proposed fiscal year 2019-20 budget for the district will be $3.9 million, of which 3.8 million will come from community funds. excuse me. i have a frog in my throat this morning. the service areas are clean, safe, and beautiful, which will be approximately 80% of the budget. marketing and advocacy, approximately 7.56 of the budget, and the administration of the basic approximately 9% of the budget.

the petition was mailed to over 2700 different property owners, 589 individuals representing 30.28% voted in favor of moving forward with the c.b.d. which represents $1.1 million of assessments. 274 of the respondents responded no, which represented about 13% of the district. out of the 2700 that were sent out, 863 total petitions were returned. with me today is aaron alunta who was the planning and engineering consultant for this c.b.d. to present a little more about the district. >> thank you, chris. good morning, supervisors. my name is aaron lunta. it's a pleasure to be here today and to have this group and the steering committee here, reaching the point that they have. it's very exciting.

as has been discussed, there was extensive community out reach and education to the public, to the property owners, the residences, business owners. the stakeholder group has been working since 2016 on this outreach process, so there's multiple surveys sent, feasibility studies, several info workshops to the public. they have a robust website t t that's up that has all the information on the site. they have a steering committee that's since led the process that's conducted approximately 35 meetings, as well. they've been at the soma sunday streets event, outreaching to the public. filipino night market in soma. they've also secured several grants that have helped fund this process. in front of you is just a -- an

outreach poster that went up in all the businesses in the neighborhood. it was on their website. it's a really good overview what the c.b.d. is about and what the group of the mission is. this is the boundaries of the district. as chris mentioned, it's rather large, about 2700 parcels. about 80% of the project is going to be on clean, safe, and beautiful. includes foot, bicycle, vehicle patrol, pedestrian bike safety program, a sidewalk clean team with pressure washing, graffiti removal, trash removal, public space activation. $300,000 of the budget, about 70% of that is going to advertising.

besides that, there's also money for administration, $350,000, and then, a contingency and reserve line item for those that might not pay the assessment. so it comes out to a total budget of almost $4 million. the assessed methodology is based on two variables, parsing or building land square footage -- parcel or building land square footage thank you. >> are there any questions for urban or community based consulting on this project? >> supervisor kim: i don't see any questions from community members. thank you so much. thank you so much so urban place consulting to working with our broad stakeholders group, and i do want to thank our previous executive director

for the tenderloin community benefit district, city of gibson, if he's -- steve gibson, if he's here, and aaron and katey. so at this time, i'm going to open up for public comment on this item, please come up to the mic. mr. spinello. and we'll give you extra time as the chair. >> so i had a diagram. >> supervisor kim: sfgovtv, if you could -- >> i thank you very much, jane kim, for this process. i've lived in the neighborhood since 2002, and i noticed for a long time that there was needs and changes that continually needs to be addressed. while i was doing this, a neighbor of mine started a neighborhood watch group, and i saw a lot of success with that. and once that success, i actually started a neighborhood

watch group. but as i started doing this, i realized there were a lot of people just like myself who were voice are their concerns and -- voicing their concerns and opinions, but they were small voices. but the more i started doing this, the more i realized that all of these voice dos were yelling and screaming. people didn't know how to address that. they didn't know what to do. but the reality is all of those voices started -- they all had the same goal, including you. we all had the goal of trying to make a clean, safer, more vibrant neighborhood. since i've been in the neighborhood, i've noticed more people moving in, i've noticed more businesses coming in. we've had a lot of new development coming in, and there is projects continually building. we have the great one, we have l7, and we have 855 brannan,

large complexes. while i was working with this and started to understand what really community benefit district was, that kind of understood what we needed to do, and we all started to come together. it was amazing because i saw these groups that were starting to set themselves up. there was better soma, western soma voice. we all had the same ideas, and i noticed that they all started to come together. and under your leadership, it really made a difference. >> supervisor kim: if we could allow the chair to continue. >> what i noticed is we were able to come together, and i was amazed how everyone really had that same goal, and it was a volunteer steering committee that really made a difference that allowed, you know, what i was trying to do actually happen. it wasn't just me, it was a culmination of everyone, and it

was everyone that was involved with not just the steering committee, but the people that we reached out to. we reached out to, you know, businesses and communities, and organizations as well as property owners small and large. so here today, i also have our steering committee that would like to say a few words, and i do have some organizations, as well, and i really appreciate everything that this has been up to this point, and i look forward to moving forward. thank you very much. >> supervisor kim: thank you so much, mr. spinello. miss benedict? >> hi, deborah benedict, 75 door. as you know, steering committee and really just a citizen and participant as you and everyone is in this project. we've been working quite diligently and regularly to bring together an improvement in our neighborhood that we all recognize needed to be happening. and quite frankly, i was part

of the small groups that were being meeting and also with the supervisor -- or not the supervisor, the police chief and also the person in charge of the southern station, captain fong, about the issues and problems. and i was going to different -- bounding from meeting to meeting, as many people were. so in meeting different people, i came across james, and we shared a vision that we could improve as regular people that live there, walk there, shop there, we could improve the neighborhood, and we're very grateful for your help in providing us the opportunity and the direction through chris to create something with the help of the voters and business people in our neighborhood to

be able to increase the quality of life for everyone transiting through as well as for the people who like myself who live there every day. so i want to thank everyone who participated in the steering committee with me and shows up week after week, night after night to work on the details of bringing this project forward, and i can't tell you, i'm so grateful to look at the end of the long slog and the actual progression of this project so that we begin to come to conclusion and begin to have services. thank you. >> supervisor kim: thank you so much. >> thank you, supervisors. my name is alex ludlum. i'm a member of the community and volunteer neighborhood resident. i just wanted to expand on one thing that james said about the public input and the community outreach. i've never been involved in any

organization that was so exhaustive in its efforts. frankly if i had known how exhaustive, i might not have been so keen. but we had three separate surveys that we modified each time to try to increase the response rate both by mail that was delivered to everyone in the district and on-line. we had constant weekly public meetings. all our steering committee meetings were open to the public, and we eagerly invited people, both in person and on our fliers. speaking of fliers, i've never been a part of an organization that updated its merchant posters in the windows every time the dates passed to include the upcoming meetings, so it's really been a long road, and i'm very pleased that

the diverse groups who have participated on the committee, who have give us their opinion, we truly have been adaptive to people's inputs as it comes in both from the surveys, and e-mails. thanks very much. >> supervisor kim: thank you. and by the way, the first bell is just the 30-second reminder, but thank you for being brief. >> my name's tim figueres. unlike the others, i don't live in soma, i no longer work in soma, but i love it so much, but i feel that something like the community benefits district would really benefit the neighborhood. i was really fortunate to be able to work with all of them as well as noticed all that you've done, supervisor kim, to help this c.b.d. come along. so i'm just here to thank you

and thank all of the steering committee with the hope that it definitely will make the soma communitiy and the community neighborhood better. >> supervisor kim: thank you. so many that we were able to name the batting cages after you and your 30 years of service to the south of market community. >> supervisors, my name is harold hugasian. i operate a flower shop for the last 19 years in the south of market. i own a building there, and i'm also the president of somba, south of market business association, which has been associated with this project due to james's regular updating of posters, but i got one of the first ones, and it was easy because i could help people look at the door, there it is. that's when the next meeting is. i'm going to tell you, james has told me, this project is

going to cost me in terms of $4,400 a year. that's on top of the $22,000 taxes that i pay on that building. i'm so happy to be able to do it because i know we're going to get a return on that far beyond the 22 k i pay. no offense, but the further you throw it away, the less of it comes back. i've got a neighbor that she's opposed to it, and i'm working to get her on the committee even if it passes because our friendship was solidified when she saw me painting graffiti off of my building 15 years ago. thank you so much. >> supervisor kim: thank you so much, mr. hugasian, and that's absolutely the way to get people on board who are not on board. >> hi. my wife and i were fortunate

enough to purchase one unit there last year. we own one building, two unit. my wife and i are probably going to have kids in a few years, and i don't have to want to make a decision. we spent frankly way too much on it because we want to stay there. i'm in support of this, so thank you for the consideration, it's obviously a great idea. >> supervisor kim: thank you. >> hello, and thank you, supervisors, kim, peskin and brown. my name is aaron thompson, i serve on airbnb's public community team in san francisco. i'd like to star by thanking

supervisor kim for your ongoing support of c.b.d.'s formation. as the largest employer in the proposed district, we believe the c.b.d. will ensure the vie theity, safety and cleanliness of our community for years to come. we are proud to stand with residents today and business owners small and large to form the business district that will thoughtfully address some of the most pressing issues of our government. we politely ask the government and audit oversight committee to support the soma c.b.d. >> supervisor kim: thank you so much for being here. >> hi. my name is brendon tobin, and i'm on the soma steering committee c.b.d. i live on the border of yerba buena, but just on the other side. i saw how the side of the street in the yerba buena community benefit district was cleaner than my side of the

street. and i initially wondered why that was, and i found out about the yerba buena community benefit district, and i found out about the efforts to form a community benefit district in my neighborhood in the western half of soma. so i've been very involved with helping communication and curating the monthly e-mail and all the other monthly communications going out to members. and being part of the community benefit district has also helped me learn more about the unique character of this neighbor. i'm constantly impressed by meeting people like tim who have such an impact in the neighborhood and a legacy. i'm confident the community benefit district will help introduce people to the benefit of the district and neighborhood, as well. finally, i want to thank the supervisors and everyone else who's put in so much work to make this happen. thank you. >> supervisor kim: thank you so much. >> hi there. hello, supervisors. i'm rye ran jackson. i'm a west soma resident.

i'm also a steering committee member for the soma west c.b.d. i'm enthusiastic here today in support of forming this c.b.d. because it will make our neighborhood clean, safe, and bue beautiful, and i thank you for your vote. >> supervisor kim: thank you so much. >> hi. my name's derek lopez. i've been a resident of soma since 1995. i've seen our neighborhood change in the 20-plus years i've been in this area. i'm a part of the steering committee, and i have the same issues as james that came about the formation. a lot of the issues that we had were very similar in our neighborhood that's on the edge of our area. i do support this. we want to reclaim our neighborhood for all the different aspects of it to make

it cleaner, beautiful, and safer, so please support this endeavor for us to form this community benefit district. thank you. >> supervisor kim: thank you. >> hello. thank you, supervisors. my name is misha olivas. i'm with united playas, and i don't need to go over the challenges and ills of walking through the streets of soma. i'm not on here as a member of united playas but as a resident. i think it's super unique to see a neighborhood in san francisco where new residents, future residents, current residents, everyone is working together to make the neighborhood better. so i cannot state my support strong enough of this process, and we're super excited for the improvements that it will bring. thank you so much. >> supervisor kim: thank you. >> hi.

i'm chris foley, and i want to be misha because she's awesome. i've been involved in soma about 30 years now. i've helped them at various times, but i believe the western soma community benefits district is really important. i'm i'm a member of another community benefits district, and we're really instrumental at hiring homeless people which gives them a job and gets them off the street. >> supervisor kim: thank you mr. foley. >> i do know there were a lot of people who came here who didn't want to speak, so if everyone could stand who at least supports the soma c.b.d.,

that would be awesome. >> supervisor kim: thank you, mr. spinello, so seeing no further public comment, public comment is closed. i wanted to thank everyone who was here today. this is really a project that i feel has taken about six years, really, to come to full fruition. i have to say one thing i'm really proud of is how diverse this committee is. everyone works together to make the neighborhood safer and cleaner and healthier for all of us, and i'm really excited about what this community

benefit district will do. i'm right on the edge, so one side of my alleyway is one part of central market, and one part will be part of the hopefully new west soma c.b.d. so hopefully i'll be able to join as a community member, and serve with matt haney. it's really been amazing to see what the east cut and yerba buena community benefit district has done. i know that west soma has felt like an ignored part of soma. it's a residential neighborhood with a lot of diversity and a lot of need, and so i think that the c.b.d.'s really going to support our neighborhood, and i think it's great that it's being directed by the residents and small business owners that live there. so colleagues, seeing no further comments or questions at this time, i'm hoping that

we can make a motion to move these items with recommendation to the full board, and we can do that without objection. [ gavel ]. >> supervisor kim: thank you to everyone who came here today on behalf of this item. mr. clerk, did we call items two and three together? >> clerk: we didn't. i'm sorry. >> supervisor kim: i'm sorry. i meant to do that. can you please call item number three. [agenda item read] >> supervisor kim: mr. corgis? >> thank you, supervisors. today i'm here authorizing the mayor to cast a ballot in the affirmative. as the owner of 18 parcels of real property which the board of supervisors has jurisdiction

over that would be subject to an assessment in the proposed property and business improvement district to be named the soma west community benefit district. on december 21, 2018, the department of elections will mail out ballots to all property owners in the proposed district with 18 ballots being sent to the city and county of san francisco. a list of the parcels is part of the resolution. there are 18 parcels with a total assessment of approximately $176,000 which represents 4.64% of the total weighted vote. i'm here to answer any questions if you have any. >> supervisor kim: thank you so much, mr. corgis. my apologies for not calling this at the same time as item 2. we'll take public comment on item three. seeing none, public comment is closed.

[ gavel ]. >> supervisor kim: can we take a motion on item number three? >> supervisor peskin: so moved. >> supervisor kim: and we'll do that without gavel. [ gavel ]. >> supervisor kim: so our next item is on behavioral and health services. i do believe when i spoke with supervisor safai yesterday, that you wouhe would be here - he's here? great. >> clerk: would you like me to call the item? >> supervisor kim: yes. [agenda item read]

>> supervisor kim: thank you so much, mr. clerk, and we do have the sponsor of the budget here today, supervisor safai. >> supervisor safai: thank you, chair kim, colleagues. want to thank, also, the budget and legislative analyst's office -- oh, i see severin. there you are. want to thank the department of public health. actually, this was the first thing i did when i came into office the very first day at the board meeting, i asked for an audit of mental health services in the city and county of san francisco. i want to thank former director barbara garcia for immediately engaging her staff and asking them to dig deep on this.

this was something that had never been done to my knowledge at this period of time. this was an analysis of those that might be incarcerated, those that might be in the community receiving medical care, doing out patient services. and it was very important to me because as we talk about the issue of homelessness and those receiving emergency care and the way in which we're reacting to this issue at the ground level, i wanted to understand the breadth and depth and the available and the functionality and the efficiency of those services that we're providing. so understanding how the two issues intersect, both homelessness and mental health services, and understanding that there's a significant overlap between that as well as drug addiction, so we were definitely shocked to learn in many ways that patients with

mental health and mental illness and substance abuse were very often homeless, but more often than not was cycling in and out of emergency care, and often its costs associated with that. we have worked over the last 1.5 years, and i want to thank the budget and legislative analyst's office, because this was a pretty significant undertaking to dive into the significance how deep an audit and how deep a look that they were going to take. we had about eight findings and 15 recommendations, but before i get into talking about the specific of that, maybe i have the opportunity for severin to come up and say a few words about the report. and then, there was an additional report that was done and released more recently, so i'll give severin the opportunity to say a few words.

maybe we can then get into questions, and there's individuals in the community that would like to speak, we can do that, as well. so through the chair, can we bring her up? >> supervisor kim: absolutely. severin? >> thank you, supervisor kim, supervisor safai, severin campbell from the budget and legislative analyst's office. we have a brief presentation on the report we released yesterday on the behavioral health in the jails. >> supervisor safai: great. and i also wanted to thank latoya on this. before you speak, i also wanted to thank the new director -- i think right when this custodity came up, we had a new behavioral health director come in for the city and county of

san francisco. thank you. please proceed. >> good morning, thank you, supervisor safai, and chair kim, and the committee. i thought i might start by defining what is behavioral health, so when we talk about behavioral health, we're referring to mental health and substance abuse services, including residential treatment, residential detox services, opioid treatment as well as the other services listed on the slide. so far the past five fiscal years from fiscal year 2010-11 is to fiscal year 2016-17, b.h.s. served from 20,000 to a

little over 25,000 clients each year, and providing those services cost the city about $300 million each year. on the substance use side, we served over 7,000 clients each year during those fiscal years, and again, mostly adults age 18 to 59. so because we saw this huge proportion of clients being in the adult group, we decided to focus our audit on adults. so substance use actual use were between 60,000,070 million each year, the main difference is that substance use has been primarily funded by county fund dollars. so in terms of key findings, our first finding was that civil service clinics fall

short of performance goals. every behavioral health service provider scores it as a performance scale, from one, which is unacceptable, to 4, which is commendable. performance objectives, like making sure each client has a treatment plan, and satisfaction. we looked at a sample of 20 community-based programs, and all by two received a score of more than three, so at least satisfactory and towards commendable or exceeds expectations. on the civil service side, we had four sample service clinics, which is all of the adult clinics, and only three -- excuse me. so all obtained a score of three or less. so at most, their score was satisfactory. so we thought that indicated that there might be a performance problem on the civil service side. a part of the reason for that

could be that there isn't an adequate corrective action plan, so if a civil service plan is underperforming, there's no procedures to say these are the steps you need to take to rectify that problem. on the community-based organization side, there is far more strict rules, so if you don't deliver the far more contracted levels of service, if you don't meet that standard, you might not get paid, so there is a very strong incentive to form on the c.b.o. side. so our recommendations were on the behavioral health side, that's b.h.s., to ensure that c.b.o.'s meet their goals and why. so the second key finding is the need for additional case managers. it enables them to swiftly act on the needs of their most

vulnerable clients, so they speak with them and supply support on all aspects of their life. make sure if they have housing, if they need help with finding a job, it's really just looking at the whole person. what we found for every adult discharged from intensive indicate management, more than two adults were referred to services. so you're looking at a 232 percent different sit being referred to case management that aren't being referred to the program. there were around 48% of the case management load, which are around 1,000 people each year were in the program for five or more years. that's pointing to a question, did everybody need to be in the program that long? did some people need to be discharged a bit sooner, so one of our recommendations is getting a client on a readiness tool. the other is that staffing has

been flat during this time. in terms of our recommendations to rectify that, we suggested that b.h.s. improve protocols to better transition long-term case management clients to better improve the wait times and care. and then increase the number of intensive case management staff accordingly. the third finding was that there are poor transitions to lower level of care. so we just kind of talked about the levels available to intensive case management. a lot of people aren't being discharged, but for those who are, we found that 38% don't access outpatient services at all. so what that means is after moving from having someone checking on you every time, now you should go to seeing your therapist or psychiatrist once a week, and that's not happening. these are the most vulnerable clients who might be cycling through p.e.s., and they're not

continuing to engage. there's only 16% of clients who engage in services after fou