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>> that was a teaser. now is the real one. good morning, everyone,

the meeting will come to order. welcome to the february 28, 2019, regular meeting of the public safety and neighborhood services committee. i'm ra rafael mandelman. to my right is vice chair supervisor -- okay, so there is overflow seating in the main chamber. is that where it is? okay? and so you'll be able to watch everything that is going on and come in and speak during public comment, if you want to. but we do need everybody to be seated. seated somewhere. so if you have a seat here, great. or if you can find one, or else we need folks to go over to the chamber across the hall. i'll just take a moment to let the sheriffs do their work. thank you, deputy sheriff.

can someone let matt in? okay. so we will continue. all right. there he is. all right. good morning, supervisor haney. i was just introducing the people up here. item rafael mandelman, chair of the committee, vice chair stefani is to my right, and supervisor walton. we're joined by the co-sponsor for the first

hearing, supervisor ronen and supervisor haney. i want to thank samuel williams for staffing the meeting. mr. clerk, do you have any announcements? >> yes, thank you, mr. chair. please ensure you have silenced your cell phones and other electronic items. and any documents you have should be submitted to the clerk. >> chairman: thank you. mr. clerk, please call the first item. >> a hearing to discuss city policies to reduce homelessness in residential neighborhoods. >> chairman: great. thank you. so we have a somewhat tricky situation this morning, colleagues, in that we have all of us who want to participate, the members of the committee, a sponsor and co-sponsor of this hearing, and supervisor haney, who all want to participate in this. now, in addition to that, supervisors brown, peskin -- brown and peskin

also would like to at least be able to make statements. i would like to make a preliminary statement, for all of us to make any statements with want to make, and either supervisor brown or peskin can be able to speak, so somebody has to get up and let them come into the room. so i'm hoping that either supervisor haney or ronen will be willing to get up and allow our colleagues to speak when we are done making our opening statements. does that work? wonderful. all right. >> i would like to be here during the presentations, but just for the initial statements. >> chairman: i believe there are some initial statements, and i believe there may be some particular questions that supervisor peskin may want to ask. >> all right. i can come back when the presentations start. i don't have to be here for the introductory

statements. >> chairman: thank you, supervisor haney. okay. i want to begin this hearing with a new preerksz. appreciations. first of all, i want to thank all of the folks who have come out. this is a topic of some interest in san francisco. i also want to thank the hard-working public employees and non-profit workers who work every day to try to meet the needs of homeless and housed alike here in san francisco. we did no invent homelessness here in san francisco, and i believe that the challenges we confront here are as a result of failures at the state and maybe the federal level. we should always be looking at ways to improve our social response, but we should not beat each other up too much because no one in san francisco caused these problems. i want to recognize and call out that the challenge of crafting an effective and compassionate local response to homelessness is complicated by the fact that san franciscons do

not agree. we had a passionate group of people calling on us to stop the sweeps. but last night i was at a neighborhood block meeting in the castro, and this meeting was dominated by talk of homelessness and its impacts on that particular block and the larger neighborhood. for talks like these, talk of stopping the sweeps falls flat. they're seeing all of the results of homelessness, and frankly, they're not seeing the response. i hear from neighborhood merchants that they're distressed they have to move people and their sleeping bags from their front door just to open. and they're have experience with the same people experiencing psychotic instances. and tents and belongings

have taken over that sidewalk. i am profoundly great full for the help that my office and constituents receive. dealing with the commercial districts i represent. but like my constituents, i have questions about where we are going. i called for this hearing in part so my constituents can better understand the scope and scale of the city's response, as it actually is, and the successes that can be claimed, and so were can better understand the city's thinking on how the impacted neighborhoods i and other supervisors get will get from an unaccept unacceptable stat status quo to an acceptable future and on what timeline. i requested reports from the departments involved in the year-old healthy streets operation center. and i understand we'll be hearing from the department of homelessness and supportive housing, public health, public

works, and 9-1-1. 3-1-1. and we are representatives from the police department, e.m.s. 6. i do not agree with the coalition on everything, but i agree with them on a lot, and i'm profoundly grateful for the role they've played in this city for advocating for services and support for the folks on the street and for the work they did around proposition "c," and i believe their voice is essential to any conversation about addressing homelessness in san francisco, especially, as i hope we do in this hearing, as we think about potential alternatives to current approaches. so, i see i have two colleagues who want to speak. it might behoove if supervisor brown or peskin want to come in now. there is a seat available for them, if somebody is -- maybe aaron can text them and let them know.

okay, with that, supervisor ronen. >> thank you so much. you know, i want to start out by saying that we have had countless hearings about homelessness. i mean, i can't even -- i'm looking at jennifer freedom and kelly kutler -- hundreds? i don't know. talking about homelessness, talking about the seriousness and the gravity that we're witnessing on the street. and what i would like to see now is somehow action. it's enough talk; more action. when a u.n. official comes to san francisco and walks the streets and says, these are some of the worst conditions she has ever seen in the entire world, in the richest city in the richest country in the world, when we have declared not one, but two states of emergency on homelessness in our city,

one of my questions is: why did we have money in the budget all year last year to open the new transitional-age youth navigation center and it has yet to open. the problem wasn't money. the problem wasn't money. we had the money in the budget the entire year, and yet we did not open that new center. i dealt with this crisis probably more severely than any of my colleagues in any other neighborhoods. when i started, there were 260 tents, with hundreds of people living in them, in the residential neighborhood of the mission. between the boundaries of sister chavez in division, and patrero and valencia streets. we did not touch or sweep a single tent until i located a site, i negotiated with the land owner, i teamed up with

mohammed nuru and former mayor lee, and we made a plan to open a navigation center in three or four months -- i think it took about four months in the end. i held countless community meetings. i fought with neighbors who were against it. i made them a promise it would be only for a certain amount of time until we found a more permanent space, which we did. we got $10 million from the state and we opened a navigation center. not one tent was moved until there was a safe, dignified place, where people could sleep, take showers, get services, hang out, bring their pets, partners, and belongings in the mission. and we were able to solve the problem. that was the only thing that solved the problem. so i -- we had a method that worked. what we don't have is enough of these beds. it is not rocket science. we have more people who are poor, who are normally

people of color, and who have been victims of poverty and racism and inequality, who are living on the streets than we have places that are dignified for them to live, in the richest city in the richest country in the world. this is not rocket science. we need more capacity. but despite the fact we have money in the budget, despite the fact we declared two states of emergency, we have yet to grow the system at the level that we need to. now, i have taken pro-active steps in my district to open navigation center after navigation center after navigation center. we've had four in my district. former supervisor jane kim did the same thing in district 6. and the vast majority of services and shelters and navigation centers for people in the city are in district 6, 9, and 10. number one, it is time for other districts to step up.

it is time not to just complain about the problem, but to get out of this building, go locate a space, work with city officials, find the money and open a navigation center. that is the way that you can deal with housed residences and businesses who are understandably are complaining about people camping in front of their houses and a dangerous situation in the streets. it is understandable that people are complaining. this should not be our solution to homelessness, people sleeping in front of residences and businesses in the streets. but the only way to solve that problem is to create dignified alternative spaces for people. sweeping them and giving them one night in a shelter, that's not going to do it. where are they going to go when they get out of the shelter? where are they going to go? they don't have a home. so if we don't create that space, then we're not going to solve the problem. we're just going to push people from one neighborhood to the next to the next to the next. so what i challenge us to do today, and what i want to hear from city officials, is, you know,

not how the sweeps work. we could debate the sweeps and the protocols, and the sweeps are wrong. if we're not giving people a dignified place to be for an indefinite period of time, then it is wrong to take people's belongings, to make poor people's lives, who are barely hanging on, even that much harder. it is wrong. but if we're providing a real alternative, then that is the humane, right thing to do. i want to hear that plan. the mayor has said many times she has a plan to create a thousand more beds. that is a great start. what's the plan? what's the timeline? where is the location? how are you going to treat this like it is the emergency that it is? because we can talk until we're blue in the face. we can hold hearing after hearing after hearing, but if we don't get off our asses, get in the communities and open up the centers with the

emergencies and exits on the back end, then we're going to have the same conversation for the next decade to come, and, frankly, i'm sick of it. >> chairman: thank you, supervisor ronen. supervisor walton. >> take, chair mandelman. i just want to make sure that everyone knows that in this conversation, what our ultimate goal is. our ultimate goal is connection to services. our ultimate goal is to make sure that people who are living on the streets and living in cars actually get fully housed and get the transitional housing that they deserve. this is a major issue that not only exists in the city and county of san francisco, but it is a regional issue. and i'm glad to see my colleagues have this hearing today so that we can talk about humane strategies and humane ways to address homelessness. and as we talk about humane strategies and humane ways to address

homelessness, every single day as i drive past eng engels, as i drive past carroll, as i take a job on saturday morning, past these areas where we can people not only living on their streets, but also living in their vehicles, i'm reminded of something that supervisor ronen said, in terms of how hard we're working in district 10, how hard we're working in district 6, and how hard we're working in district 9 to destroy address te homeless concerns. there are shelters in these districts. we have youth facilities in other districts across this city as well. but this is a city-wide concern and it has to be addressed city-wide. so as we have this conversation b about what we're doing and what we're going to do, the best way to make sure we have humane strategies and issues and kerns we all

have is to make sure we have city-wide strategies to address the homelessness that exists. i will continue to step up as the supervisor in district 10. our community has made estás to step up. that's why we have places to sleep at providence, which does not still have the adequate services we need for individuals who are marginally housed and who are living on the streets. i am committed to working hard with all of my colleagues to come up with strategies that are going to house our homeless population city-wide and across the city. we're going to work very hard of district 10. we're going to continue to step up. but we're also going to make sure we all step up here in san francisco. hold our leaders of the city accountable, and work hard with our colleagues to address the homeless issues we have here in san

francisco. >> chairman: thank you, supervisor walton. vice chair stefani. >> thank you, chair mandelman. the other day, when it was the first week we had of the really bad rains, i was going to my home, and i was putting my key in the door, and all of a sudden i heard someone say, supervisor! and it startled me, and i turned around, and he said to me, and he said, do you know the police are taking away tents from all of the homeless people in the rain, and they don't have anywhere to stay? and i said, you know, i have not heard that. i don't know that to be true or not. i said, it breaks my heart. my daughter, who is nine, and i were just talking about where do people go when it is raining like this? and it actually -- i mean, i know all my colleagues well. i know their hearts. all of us here have empathy. all of us here have compassion. all of us here do not want

people out there suffering. i certainly do not. and i want to be careful on how we frame issues and how we all treat each other. and there is a lot of demonization of people who are trying things that might not be exactly what you want them to try, and how we define sweeps, and what is really happening. i'm really actually glad we're opening the conversation as to what is really happening. i want places for people to go, dignified places. i don't want people's stuff taken away. i don't want people treated poorly. i want people to get the help they need. it is one of the reasons why the next hearing on the calendar is one that i called to understand how we're coordinating 5150 services between departments to help those who are suffering from mental health and substance abuse issues, and how we can really help them, because we talk a lot about a coordinated entry, but i don't think

we talk about a coordinated exit, and what we do when people are coming out of the hospitals, and how we're helping them. i care deeply about this issue. i know there are people coming by, and they're saying, do you support the sweeps? i don't support anything that is going to hurt another person. i do not. i want us to find a way. i want us to find solutions to help those that are suffering. and so i say that knowing that there are a lot of different opinions on how we get there. but i hope we can just hold space for one another in here, and know that we hold that space with love, and none of us come to this space with, like, feeling, you know, any kind of hatred towards one another. i just want to hold the space in here of love, and we come from a place of love and compassion, and we all try to work on this together. because i know every single person in this room really wants the same

outcome: we want to help those who are suffering on the streets. we might have different ideas on how to get there, but let's hold the space for one another, and try to treat each other with kindness and know we really do want to get to that same space together. i know i do. i welcome different opinions. i welcome you challenging me on how i might think of something. but let's really try to work together. and let's really try not to demonize one another or prejudge one another on how we might approach the issue. that's just my opening remarks, and i'll turn it back over. >> chairman: thank you, vice chair stefani. we have been joined by supervisor vallie brown. >> yes. thank you, chair mandelman. i'm just frustrated because, you know, as we talk about sweeps, i, as in what supervisor mandelman had been talking

about, going to neighborhood meetings, and people being frustrated, frustrated of how the city handles the homeless issue. and i even have a situation where i have neighbors going outline a vigilante group to deal with the homeless. and my fear is someone is going to get hurt. and so how do you respond when we go out and -- believe mu me, i've been shouted down by my neighborhood meetings of how we handle the homeless situation. my issue is there is nowhere for people to go. and that's my biggest issue. when i was an aide five years ago, i see sam dodge out there -- we were out looking for navigation center sites, and we kind of got in trouble because we were looking in golden gate park. but this is my feeling: we keep saying that this is a crisis, but our actions are not like it is a

crisis. if we had an earthquake today and we lost our homes, where would we be camping out? in the parks. we would be in the parks. why in my district, when land is so -- i can't find land to put a navigation center, so we are actually -- and i have to say, jeff and i -- i've sent you different community centers, different buildings to look into. can we either buy the building? can we lease the building for homeless shelters? i feel (a) we need to have neighborhood shelters. everyone needs neighborhood shelters. and these neighborhood shelters should be different places. and i've also been reaching out to churches. why aren't churches opening up their doors and we can put services in there. a lot of the churches, their doors are closed five, six days a week, and

they have a lot of land. why aren't we asking them to open up their doors? i have. i've been asking them, please, open up your doors. and then, also, i feel that we -- in my district, i want to look in the parks for a navigation center. if that's what it's going to take, we need to look at our city land, our city buildings, for a navigation center. i have probably one of the largest transitional homeless population in the city, in hate ashbury, and there is no navigation center in hate ashbury, and that should have been built years ago. we have services there. we have little storefronts. we have all of these things, but when i go out there, giving people dry socks or whatever they

need, that does not help when it is raining. and i have been through that neighborhood in the last month, and i walked by people that looked like they just got out of a swimming pool. they are so wet. there is nowhere to go. i feel like we should be opening up our city buildings, like the city and county fair ground building that we have in golden gate park on ninth avenue to have emergency shelters. i feel like we have to start acting like this is an emergency. and we should start acting like that. it is a crisis. we should also look at bold, new things. i know that i introduced legislation for us to open you a triage navigation center for people living in their cars. we have a lot of people living in their cars. and i have asked every supervisor, can you count, when you're walking through your neighborhood, people living in their cars? we have more than 119, i know we do.

so this is the thin veil. when you first become homeless, a lot of times living in your car is where you go first before you go to the streets. and we really need to be flexible on this. we need to start, you know, acting bold of how we approach and we address our homeless issue. i feel like us being nervous about every little thing that we do, is it going to be successful -- let's just call it a pilot. we always call everything a pilot, and let's see if it works. navigation centers were a pilot, to see if they work. i feel we have to start pushing forward and being bold. and this isn't a police problem a lot. where we're asking the police to do things and that is not what they do. that is not the description of their job. it is up to us to start opening places and having these tough conversations with our neighborhoods.

because i agree, there shouldn't just be a few districts that have navigation centers. there should be a navigation center in every district, and everybody should be looking at it, and we should be having these hard conversations with our constituents, that this is the only way that we're going to solve this issue. so i just want to thank you for having this hearing. i'm going to be, like i said -- jeff, i'm going to still be sending you ideas and numbers and addresses of everything that i see, but i just really want us to be open, and i appreciate everybody that is working on this issue, the coalition of homelessness, thank you for always bringing these things forward. thank you. >> chairman: thank you, supervisor brown. if you could give up that seat, i think supervisor peskin is lurking out in the hallways, waiting to come in. if people could give supervisor peskin a moment. when he has spoken, supervisor haney will come

back and we'll move on with our a-soc presentation. >> chairman: we're going to take a three-minute recess to allow supervisor peskin to get over here.

>> chairman: we are back. i'm calling this meeting back to order. i want to thank our clerk, john carroll, for dealing with challenging times this morning. and so, um, impersonating

supervisor peskin over here, we have supervisor haney. supervisor peskin isn't available right now. we're going to continue on with the a-soc presentation. i'm not sure exactly who is going first. but we have from a-soc -- i don't think we have sam dodge. we have nancy alfaro from 311, oh, there is sam dodge, and nancy, and navina bobbo from public health, and jeff cassinski from homelessness and affordable housing. but someone is making a presentation. >> supervisors, thank you so much for having me today. my name is sam dodge, i

work at san francisco public works, and i participate in the health streets operation center. we might flip into a little bit of government and start calling it a-soc, and things like e.r.t., so if there are any sort of questions about these acronyms, please stop me and my colleagues as we present and we can clarify. i wanted to really start out by acknowledging the fact that homelessness is a crisis in our community and across the country. it is especially strong here in california, where over 20% of the nation's homeless is, and nearly 50% of the nation's unsheltered are. and it is a crisis. and we know we've been working very hard at it for years, but we're not there yet. it is where we want to be as a community, as far as providing shelter, housing, and health care for those most in crisis. you know, we've often talked about this point in

time, seven and a half thousand, but we know there are more. we have a problem that the sources for homelessness are growing faster than our solutions. if people are pushed into homelessness through high housing costs, through crisis in their family or in their personal health, and that san francisco -- over 70% of the people, or around 70% of the people, that experience homelessness in our community were housed in a community. that's very similar to other communities, where people migrate and look for opportunities for change when they're in a crisis. but it is slightly higher than most communities. most communities it is around 80%, 80 plus percent experience homelessness in the communities in which they were housed. we're slightly higher than that. when you look at the bay area, you see that san francisco is punching above its weight as far as

providing housing, health care, shelter, for those who experiencing homelessness based on the size of our homeless population. but, still, it is inadequate for where we want to be. but part of our solutions going forward is really working with the state and our fellow communities to make sure they're understanding our best practices, and that it is always to lead with care and housing. and a unique capacity to do that. so the healthy streets operations center is to take it very seriously, that this is a crisis. it is an activation of our emergency operations center at the department of emergency management at 1011 turk street. there are key departments that are deploying assets on to the streets every day before this. this is a way for us to work together, to make sure these assets aren't out there on the streets by themselves, not understanding what the

rest of the city has to offer or is doing right now. each one provides the infrastructure to coordinate and to deploy resources that we have, so we can give what we have out there on the front lines to workers who are working on our streets. this is a little bit of a geneology of about how we got here. we started with this idea we needed interdepartmental collaborations to clean the streets heavily impacted by en campments. a hot spot crew goes out together with the homeless officers and homeless outreach teams to go to areas that are heavily impacted. the successes from this, we realized we needed a navigation center, and import practices that are prevalent for low-barrier shelters to resolve en campments in philadelphia and new york. and we started coordinating together, and we formed an encampment

group. we started to notice more and more different departments were touching this problem. like muni and p.u.c., and enforcement departments, like c.h.p., and the sheriffs and s.f.p.d., and they're all interacting with the homeless, and we had an answer to go at these problems, to work with people slowly, with intention, and bring them into a low-barrier setting, to work with them towards their permanent housing. we then worked together, and i should have put this in here, to form the encampment resolution team, to sort of bring it to another level, and then weigwe started some pilot project, like the mission district, where we worked to get the temporary navigation center opened at 1515 south van ness, and in the civic center, we had a safe and clean initiative, which is focused on people who are out there in substance abuse crisis, and also can be out there experiencing

homelessness, and the dealing and using is all kind of wrapped up and happening at once, and trying to desegregate that and help people where we can and clean up where we can. so we launched this. we started to notice we had all these pilots, and it was the same people in different meetings, and we're running to different meetings to meet with the same people. we said, you know what, we need to be together all day long and go to meetings with other stuff that we're doing, but in the meantime that we're meeting together all day, and really focusing our resources to all of these different places that need it. we came up with some core values, to believe in change, and we'd seen change happen through naf navigation centers. people 30 years homeless, people who said they would never go into housing, came into housing and it changed their lives dramatically. we need to empathize with the entire community. there is -- i think it was

supervisor brown who mentioned, it is a real risk that neighbors get so frustrated they go vigil ante, and they do destructive and violent things. that cannot be in the playbook here in san francisco. we do not need vigilante justice. we need compassionate response, complete response. we do need to maintain a community that is safe and clean. it is for the health of us all. we've seen, in our own state, massive outbreaks in hepatitis. it is not a sustainable solution to have people in 2019 living on the streets of our city, you know, 24/7 for months at a time. for multiple reasons. these are part of the growing number of partners, city agencies, that have come to the table and helped dedicate resources, thoughts, and

time to help solve this problem and become partners in a-soc. we want to not have a process that is static. we want to work together to evolve and change policies within each of our departments to have more harmony, to be aligned with the best practices that we can deliver, and to make sure that we are treating everyone with justice and respect. we do need to also work to meet the housing, shelter, and service needs for people on the street, not just people who show up to the programs that we have. we can't just wait for people to come to us. we need to come to them. so this is my final thought, and i'll pass on to my partners we work together every day at the healthy streets center at

1011 turk street. we coordinate calls that come in from the police non-emergency, 911, 3-1-1, and they come from concerned community members, and also within our own structures of staff that are out there in the streets. we dispatch, we plan responses, we work together to bring as much as we can to the street. we share data, which you would be surprised common definitions, common maps, common understanding had been lacking in our community before this, and we respond to behavior on the street. and so i think with that, i'm going to pass it over to my colleague. thank you. >> good morning, everyone, good morning, chair, supervisor mandelman, good morning supervisors haney and walton and stefani. i'm from the san francisco police department, and i'm going to cover the next three slides with you. this next slide speaks

about training, and just along the same lines of what sam dodge talked about. it is really making sure that all of the city agencies that are affiliated a-soc receive training. especially our police officers, who not only wanwant to help people with respect, but also to receive narcan training. we saved up upwards of 60 to 70 people using narcan, and learning how to deescalate situations, and how to get people into various non-profit clinics and things like that. we do training every wednesday at noon. we bring every homeless outreach officer throughout the city into a-soc, and provide that 30 minutes of training. it has been very beneficial and very useful. and the homeless outreach officers have served as resources for all of the other police officers, learning these specialized

topics. >> except i have no technology training. [laughter] >> the next thing i would like to mention is the 3-1-1 semi. 3-1-1 system. what's the best number to call and how does it work? prior to the development of a-soc, the way it worked is if you called in an encampment, or homeless, more time than not it would go to the public works department. and then someone would call into the police department, and they would have calls for service waiting for several days waiting for encampment, and the police department would have calls for service that were waiting for a few hours. so public works would go out and try to address the situation. they would clean up around the encampment, and the people would remain. and hours later, the

police would go to the same call, not knowing public works was there, and they would attempt to deal with the encampment, but public works wasn't available to clean up the encampment. that would be the situation more often than not. now with a-soc and 3-1-1, starting last summer, we are able to now combine all of the calls into one lane. they all arrive at a-soc. i'll talk a little about the numbers, but essentially it has hovered around 240 calls for service each day. but through our coordination, we're all seeing what is happening in realtime, and making decisions about who should respond, how can we respond together, and how can we make sure that h.o.t. gets out prior to our arrival. that 3-1-1 system is working better than it ever has in the recent past. i need to go back now.

emily? we're going to have technology training on wednesday at noon, by the way. that's my last slide. really quick about the 3-1-1, so the calls for service keep coming in, but because we have dedicated more resources to this, we have been more responsive, and we're responding to the 3-1-1 calls much quicker than we have in the past. last week, on our board, we averaged about 280 calls, city-wide pending, and for the last three years, we've never just had 280 calls pending. it has normally been around 600 -- 400 to 600 calls waiting in san francisco at any given time to be addressed by 3-1-1, and we've greatly improved efficiency, our response, and we continue to see those numbers decrease. if you look over the last year, month to month, the numbers get lower and lower and lower in all of the districts. all right. now i'll ask the next

presenter to come up. i pressed the enter button for you, so there you go. >> thank you, commander lazar. >> good morning, supervisor, dr. nina babba from the department of public health. d.p.h. provides a number of services to meet the needs of and address the needs of our homeless population from a health perspective. we know there are spectrum of services that we can offer which are very wide ranging, from preventive to emergency services. but we know that traditional models of care don't necessarily work for people experiencing homelessness. we have a long history of trying to innovate around models of care. we continue to do that, and then taking our services and being able to plug into the healthy street operation center so we can coordinate around a broad spectrum of agents seeagenciesto get the care they. the first one is our care coordination team.

previously there had been various meetings, and lists of priority individuals. these priority individuals could come from our public safety agencies, from constituent complaints, from supervisors, but they were all kind of siloed in various ways, and bringing those together about complex challenges of people experiencing homelessness or people on the streets. we changed this model so we're meeting weekly with our law enforcement officers, as well as other departments. and having twice a week conferences with h.s.h. and us to really come up with a care coordination plan for these individuals, and so far through or a-soc efforts, at this point in time, we have 33 individuals that we're working on, ensuring that they're in care, as well as they have some %xit strategy once they have stabilized. another way that we've approached trying to

provide care to our homeless -- our homeless population, is through health fairs. our health fairs actually preceded a-soc. they started in november 2016. they started after there were four h.i.v.-positive tests that came out in the homeless population. we knew we had to provide care in a different way to meet the population. at that time we started to provide services at large encampments, and you can see there are multiple services we provide. from low-barrier medication starts through routine medical care, including preventive care, like vaccinations, through testing, h.i.v., hepatitis "c" testing and treatment, and harm reduction services, including narcan, both training as well as linking people to the ability to get narcan. and the next slide reviews some of the successes we've had at our health fairs. we've had 11 health fairs so far. there are been over 280

engagements, with 353 h.i.v. tests, 10 newly diagnosed. we've had 359 hepatitis "c" tests, 67 reactive, and they've been linked to care. over 160 narcan treatings. [please stand by]

>> and so our healthy streets intervention program, since 2015, there have been 15 of these programs conducted, and they have of about 7300 contacts, and about 80 people have engaged in services at the casc. so i will turn it over to the final presenter. >> good morning, supervisors. jeff kosinski with the department of homelessness and public housing. and also later to answer any questions that you have about our work outside of hsoc.

so one of the things that we're doing at hsoc is managing the encampment team, which is managing the large encampments and then work with d.p.w. and the police. we offer everybody assistance, and today, we're wrapping up around gerald and rankin, hetch everybody out there move into shelter and navigation centers and get assistance.