you need to make a real effort to implement this program. get on the street and help those people, and that will bring them home, and you've given us great examples. thank you. >> thank you. >> next speaker. >> hello supervisors, i'm a mental health advocate in san francisco and also a mental health client. i would like to say yes when the police do 5150, they do handcuff you because i have been a victim of the handcuffs and i also would like to say, i have been that person who has gone and been that revolving door going back and forth, been to mental health court to keep myself out of mental health court. from being transferred to -- luckily for me i can speak out for myself. there are a lot of people who can't speak up for themselves who have been shipped out of san francisco, and i just want you to know that i don't think this conservatorship -- because all it is doing is taking away the

rights of people like me and others who don't have a voice here today speak for themselves, and i want you to know that i believe something needs to be done, but i don't think conservatorship -- what is it? s.p. 1045 will cut it. thank you. >> next speaker, please. >> good afternoon, supervisors. and with the policy alliance and i'm happy to be a member of supervisor madeleine's mandelman methamphetamine task force. i know that we shared goals around ensuring that our system of care can meet the needs of everyone here in san francisco. i also want to make a bug for the conference that we are holding on thursday around

coerced care. it will be a three conference at u.c. hastings all day on thursday. we would love to see you there. we are trying to add some of the insights and research. i was going to read the same findings from the systematic review of compulsory treatment, but somebody else, one of the students got to it first. thank you for that. we are hearing a number of anecdotal stories about successes coming from coerced or compulsory treatment. i just front to remind you that there are lots of anecdotal stories on the other side as well of people's whose trauma has been increased, who have had their path to recovery made more difficult because of incarceration, because of institutional violence, administrative violence, and words of the unsafe being spayed , and we need to be cautious about ways in which we are increasing the trauma of

turning and going through these services and finally, i'm a little frustrated that i need to say this, but people who use drugs are human beings, and people who use drugs feel and reason, they may not be responding to the same things that any of us outsiders feel are important, but they are using reason, and they're doing the best they can with the resources that they have available to them, and in some cases, where they are is because they are feeling even deeper then the rest of us. >> hi, and rachel rodriguez, i am a social worker in san francisco over the past 16 years , and i wanted to speak on behalf of dozens of my colleagues who have signed a letter. i will read part of it today. i have submitted the whole letter to the rules committee and the board of supervisors. before i do that, supervisor ronen, you mentioned earlier about agreeing that it needs to change to include more substance -- substance use disorders than

just alcohol the -- alcoholism. and i want to highlight that that is what s.b. 1045 is. that is what it is offering for us now. to put substance use disorders beside serious mental onus and alcoholism under the law. we had that opportunity and san francisco is the right city in the right time to do it. the renter does the letter reads , as mental health professionals who work with individuals of serious mental illness and substance use disorders, we want to implement this bill. it is not a solution to the homelessness crisis. that is proxy, nor will it address the needs of the larger population suffering from untreated mental illness on our streets, but it isn't urgently needed tool that will help providers like us deliver care to a small population of people for which our tools do not work. as mental health professionals, we agree that systemwide reform is needed, that we as a city must provide treatment on demand and shelter to all who needed, however, this is not an excuse to the deny the treatment, service or supportive housing

that will be provided to these individuals whose disabling conditions prevent them from seeking their own care. we should not sacrifice the lives of people in crisis in the name of a perfect system. every day we work with our clients to help them make healthy decisions for themselves engaging them in voluntary services, in some cases, our clients choose treatment, except services, and go on to make positive changes in their lives. we applaud those who do. want the same chance of success for all of our clients, including those for whom their severe mental illness and addictions have eroded their capacity to seek care voluntarily and who may not recognize their own illness, and they still need care urgently. we see the urgent need for the city to expand. >> hello, good afternoon. i am an organizer with senior and disability action. we represent hundreds of san franciscans who are opposed to the implementation of s.b. 1045.

in the disability rights community, we have a slogan that says nothing about us without us and this has been about us, without us from the first day at the state level. scott weiner did not consult with any groups about writing the law and at the local level, the consultation with community group and drafting the mayor's plan was totally insufficient. we hear again and again from people who are in favour of this that it is not compassionate to let people die on the street. our response to that is, of course, it is not compassionate to let people die on the street. it is also not compassionate to cut $40 million in community mental health services since 2008, and to leave people with no choices, or -- arrested eight or more times in the year, then discharging them with no services, then taking their rights away and forcing them into treatment. as others have mentioned here, there's a consensus that forced treatment does not work for drug use, that gives people ptsd and also make some more likely to

overdose and avoid treatment in the future. i would just like to urge you to listen to people with disabilities, listen to drug users, people who are formerly homeless because we already know what works to solve these problems. thank you. >> hello, my name is gerald rutledge, and i had a mental illness crisis in 2010, and things which helped me to live a good life since that time have been having housing, having a network of friends, and having access to mental health services

, now -- not the best for my limited income. they do help. and finally, to be able to make my own choices about my own life i have been going through difficult period in my life and i still deal with that difficulty in my life. i thank you, and i am against the implementation of 1045. thank you.

[laughter]. >> deer rules committee, i just -- my name is jordan davis, and i wear a lot of hats. i just want to say i am really opposed to the local implementation of s.b. 1045 because it sax, but i also want to talk about how this -- what would happen to the community. forty 9% transgender his of san franciscans have been homeless. forty 1% nationwide have considered suicide, and one in four trans women have been victims of police violence. these numbers are higher for trans women of colour. why am i talking about this stuff? because trans people are going to be targeted disproportionately under this bill, and do you know what could happen to the community if this passes? if that -- without housing services, we could be sent to locked facilities or an area in modesto where we are denied hormones, forced to see trans phobic therapist and forced to

leave -- live as our birth gender. incarceration by any other name would smell just as bad. is a formerly homeless transgendered women, we need community, not -- not coercion. and we are seeing white game in like madwoman -- mandelman and weiner liang us. i want to say, i probably swore eight times right now, so that is the number of times that someone would have to be detained under 5150 and be concerned under this legislation just to show how absurd it is. just stop this. it is stupid and it needs to stop. thank you. next speaker, please.

>> those described by this it is meeting 1045 will only effectively be dealt with on locked units from the descriptions i heard today, and from the one psychiatrist who spoke and described the problems with meth as organ changing, brain changing problems coming from that, it sounds like what you are proposing is not a short-term solution, but a long-term lockup for people and in san francisco, if we implement this, our answer to people on the street with the severe problems would be to call

the police, call them again, call them again, call them again , and it puts the police in the position of being the ultimate, in the ultimate role of mental health evaluators. seven 51 fifties, seven times someone has been picked up, and seven times it has been determined -- are we losing a quorum? >> it has returned. [laughter] >> seven times it has been determined that that person did not require conservatorship, and yet number 8 is the door that opens up the magic of conservatorship. i think if you really want to do something helpful, it would be to look at -- i'm sorry, look at the shelter system. people turn down shelters and

they are criticized for that. >> thank you. next speaker, please. >> hello, my name is bettye trainor. i agree with everything karen has said. i want to add one more thing. i want to thank supervisor madwoman -- mandelman for establishing the mental health task force. that is a solution, to have people coming together who are in the system, either as clients or as workers, as nonprofit people with the city. they will come up with a solution. we don't need something like involuntary 1045. thank you. >> next speaker. next speaker. >> hi, my name is cw. i'm with the mental health association of san francisco, and i am formerly homeless and dealing with mental health challenges as well as physical challenges. also, i am with the sda.

here's just a few things i need to say that i have come to you about several of these things, and i just want to give an overview of what i say. we have a housing crisis, and seniors and disabled have become a -- are becoming homeless for longer. we have a lack of beds for people with severe mental health challenges, we have a lack of service for people with severe drug use, we know that when police or the point of entry, escalations with mental health and crisis can go up. how does this bill improve all of these issues? until those questions are answered, we cannot move forward with s.b. 1045. i oppose this because we have not figured it out and i oppose it because at the end of the day , i know it is hard, and i know it is a hard decision, but we cannot approve this.

we need to find a better solution. thank you. >> thank you. next speaker, please. >> hello i'm -- we stand in opposition to any expansion of conservatorship. thank you. >> thank you. next speaker. >> hi, i am with stop crime and in support of conservatorship. i personally working health care , my husband does, my son does, my family and friends all work in the healthcare service. we all agree that the outstanding number of folks on the streets with mental health addictions. we first moved to get the folks off the street, within the two triage them. we need to assess them with the addictions, the drugs, alcohol, and those in need of psychiatric assistance. we need to provide these individuals with resources and the departments they need for their issues. the lack of moving forward is inhumane. let us remind you, you are all

elected officials to provide and protect the public health and safety for all. thank you. >> thank you. is there any other member of the public who wishes to speak on this item? >> hi, i have a son who is autistic and also has bouts of mental illness and i just like to say that even if you are the richest person in the state, you won't find a mental healthcare system, we just don't have a mental health care healthcare system. there needs to be longer-term hospitals that actually provide the services that people need and that's what i want to say. you actually have to have a system first. >> thank you so much. any other member of the public would like to speak? >> i thank you are doing a disservice to the community by

and large, and i think -- you need to find a better way to do this process, but i don't see it happening. >> thank you. is there any other member of the public would like to speak? seeing none, public comment is closed. before i call other supervisors, i have one quick question from the mayor's office. do we know when the next hearing on s.b. 40 will be held? or the next step with that law? >> it is making its way through the senate, and it has not yet moved out of the senate. it will then move to the assembly side, and so we are anticipating it coming and going through the process and being done in about three months. there is a provision currently in the bill that would allow for it to go into effect immediately if not, we don't know if that

will happen, if that provision will stay in the urgency clause. if not, if it goes through and passes now, it will not go to session until january 1st of next year. >> thank you. supervisor mandelman? >> again, i want to thank you, chair ronen, and supervisor mark for sticking with us, and of course, to the folks who turned out and spoke, you know, i thank you began by saying, you know, noting this is imperfect legislation, and you really wish that what we were dealing with was a different kind of fix, and the challenge for us here in san francisco as local legislators is that we can't write state legislation, so we have to deal with what is given to us, the tools that come down to us. they are often imperfect, but i think even with its imperfections, s.b. 1045, which i trust is as good as senator

weiner could make it for san francisco, is worth moving forward with. i think we do have an urgent crisis and should be seizing every tool. i think s.b. 40 may be an improvement on 1045. there are things i like about it more, and there things that i like about it less. the fundamental question about whether to move forward with a tool like this is the same for s.b. 1045 as it is for s.b. 40. the -- the opposition to 1045 that showed up today will show up with equal payments, fervour, and certainty and implementation of s.b. 40. it says a terrible message to the state presses say that we are not interested in moving forward with 1045. i think it undermines s.b. 40 for us to do that, and i think it sends a terrible message to our constituents who are desperate or us to get a handle on this challenge and the county that spends more per capita on mental health and substance use than any other county that we actually solve this problem, and

move forward. again, neither s.b. 1045 or sv40 will solve the entirety of the problem, but i think it moves us in the right direction, and i think we have to take these opportunities as they are given to us by the state, so i look forward to working with you on expanding resources. i think it would be a terrible mistake not to move forward as quickly as we can with s.b. 1045 >> thank you. supervisor mark? -- supervisor mark? >> i want to thank you for all your leadership and your work for all of these complex issues, and thank all of our department -- department to have been working on this, as well as the mayor. as somebody who has loved ones and close friends that have really struggled with serious mental illness, this issue, you know, is really personal to me, as well, and i think you've made a good case for, you know,

careful and thoughtful expansion of conservatorship here in san francisco. it is really targeted at community members that aren't really being served by the current system adequately. i do want to say that i'm not going to be able to support this moving forward here today because i feel like there's still too many unanswered questions about how this could fit into a more comprehensive strategy to address in -- be addressed more comprehensively and address the needs of our behavioural health system and so many of our community members in need. i know there is other discussions here on the board, and also with the mayor's office about broader efforts and more comprehensive efforts. i would like to see this consideration of s.b. 1045 implementation as part of a more comprehensive strategy, i don't know, would be good for me to

make a motion? >> sure, you can make a motion. >> i would move that we continue this item to the call of the chair. >> okay. just a couple things, i want to thank supervisor madeleine -- madeleine for your work on this issue. it is a pass and that we share and we have been working on this issue substantially and as i said at the beginning, we may disagree on strategy, but we are completely united in wanting to help the sickest people on our streets. there's no question about that. i do have some unanswered questions that continue, but i believe, maybe we could get those answered within the next week. i was just wanting to ask one quick question about whether or

not we know if there has been attempts in the last five to ten years to amend lps conservatorship. there has been none, okay. when is the last time that the conservatorship, there was an attempt to amend it? >> so there have been attempts to move forward, changes to lps, but none of them have made it through the process. >> when was that last attempt tried? >> there were several bills last year that were actually moving forward at the same time that 1045 past. and i believe it was the only bill that made it out. >> to amend the discussion? >> correct. >> and to amend it specifically in amending the way substance use or broadening. >> you know, i would need to figure that out.

>> we can do some research and provide bills that are moving forward right now, as well as bills that move forward last year. >> okay. >> i will say that i think everybody who has looked at the law knows that we need -- it is not just one fix, and i think that what we have -- >> not everybody, though. there's lots, and lots of opposition. >> so last, 1045 was being considered and there was an attempt that was sponsored by elliott -- l.a. county to amended to include the population generally that we are talking about today. >> okay. that is really good to know. so instead of amending this to the call of the chair, because i do, you know, think that there should be a vote on this, if it is okay with you, supervisor mar , i would suggest that we continue this item for one week so that we have some time to get

some more of these unanswered questions that we weren't able to get answered today, so that -- again, i can only speak for myself here, but i believe there are -- i believe we need conservatorship and that there are times when people must be forced into treatment, and i believe that there are problems with conservatorship, and i wish that we were amending those are that that could pass the legislature. i just want to make that crystal-clear, and i'm only speaking for myself in that case , but i think that if we continue this item for a week and have a chance to talk, for me, the biggest issue that i didn't get satisfying answers to today, and that i want to talk to the department in between now and then and next week is practically, how this will be implemented if sv40 doesn't pass

, and practically, how it will be implemented if it does pass, and there were some real gaps today in walking me through that, so hopefully there will be an opportunity to have that conversation between now and then. so i do want to amend, sorry, i guess it is to the may 20th meeting. >> sure. i would amend my motion that we continue this item to the may 20 th rules committee meeting. >> i just need to clarify. is this both the hearing and the ordinance? >> yes. >> without objection, that motion passes. >> these matters will be continued to the may 20th meeting. >> thank you. is there any other my items? >> that completes the agenda for today. >> thank you.

>> you know i've always wanted to do this job that drives my parents crazy we want to help people i wasn't i did not think twice about that. >> i currently work as cadet inform the san francisco sheriff's department i've been surprised 0 work within criminal justice system field i had an opportunity to grow within that career path. >> as i got into the department and through the years of problems and everything else that means a lot i can represent women and in order to make that change how people view us as a very important part of the vice president you have topanga you

have to the first foot chase through the fight are you cable of getting that person whether large or small into captivity that is the test at times. >> as an agent worked undercover and prevent external and internal loss to the company it was basically like detective work but through the company from that experience and the people that i worked around law enforcement that gave me an action when i came to be a cadet i saw i was exploded to more people and the security he was able to build on that. >> unfortunately, we have a lot of women retire to recruiting right now is critical for us we gotten too low faster the percentage of women in the

department and us connecting with the community trying to get people to realize this job is definitely for them our community relations group is out attempt all the time. >> in other words, to grow in the fields he capitalized any education and got my bachelors degree so i can current work at city hall i provide security for the front of the building and people are entering entering but within any security or control within the building and checking personal bags is having a awareness of the surrounded. >> there is so month people the brunet of breaking into this career that was every for easier for me had an on the with an before he cleared the path for laugh us. >> my people he actually

looking at lucid up to poem like he joe and kim and merit made they're on the streets working redondo hard their cable of doing this job and textbook took the time to bring us along. >> women have going after their goals and departments line the san francisco sheriff's department provide a lot of training tools and inspiring you to go into the department. >> they gave me any work ethics she spider me to do whatever he wanted to do and work hard at the intersection. >> if you're going to make change you have to be part of change and becoming law enforcement i wanted to show women could do this job it is hard not easy. >> finds something our compassion about and follow roll

models and the gets the necessary skeletals to get to that goal with education and sprirmz whatever gets you there. >> if this is what you want to do dream big and actually do what you desire to do and you can go vertebrae far it is a fast job i wouldn't do anything else. >> ♪ ♪ ♪ ♪

shop and dine in the 49 promotes local businesses and challenges residents to do their shopping and dining within the 49 square miles of san francisco. by supporting local services within our neighborhoods, we help san francisco remain unique, successful, and vibrant. so where will you shop and dine

in the 49? >> my name is ray behr. i am the owner of chief plus. it's a destination specialty foods store, and it's also a corner grocery store, as well. we call it cheese plus because there's a lot of additions in addition to cheese here. from fresh flowers, to wine, past a, chocolate, our dining area and espresso bar. you can have a casual meeting if you want to. it's a real community gathering place. what makes little polk unique, i think, first of all, it's a great pedestrian street. there's people out and about all day, meeting this neighbor and coming out and supporting the businesses. the businesses here are almost all exclusively independent owned small businesses. it harkens back to supporting

local. polk street doesn't look like anywhere u.s.a. it has its own businesses and personality. we have clothing stores to gallerys, to personal service stores, where you can get your hsus repaired, luggage repaired. there's a music studio across the street. it's raily a diverse and unique offering on this really great street. i think san franciscans should shop local as much as they can because they can discover things that they may not be familiar with. again, the marketplace is changing, and, you know, you look at a screen, and you click a mouse, and you order something, and it shows up, but to have a tangible experience, to be able to come in to taste things, to see things, to smell things, all those things, it's very important that you do so.

>> good afternoon and welcome to the may 14th, 2019 regular meeting of the san francisco board of supervisors. madame clerk, please call the roll. >> thank you, mr. president. [roll call]