>> so good morning and welcome. i'm jack gardner and president of the john stewart company. on behalf of our related partners in california, san francisco housing corporation, and ridgepoint non-profit housing corporation, it's my great pleasure to welcome you to the grand re-opening of hunter's point west and westbrook. give it up. [ applause ]. >> hunters point east-west in westbrook are two of the city's rental assistance demonstration

projects. the overall program consisted of transferring 29 of the housing authority profits to local non-profit and private housing organizations for recapitalization, renovation, and private management. more detailed information is available if you're interested. this mammoth city-wide program which included almost 3500 units of affordable housing throughout san francisco required the collaboration of a host of public agencies, developers, consultants, contractors, funders, and, most importantly, the residents of hunters point east-west and westbrook themselves. the program demonstrates the city's commitment to leaving none of its residents behind and we are very proud to have been part of it. none of this would have been possible without the vision and leadership of our local elected and appointed officials, many of whom are here today and we'll do some shout-outs a little bit

later. thank you for celebrating with us. let's get started. it gives me special pleasure to introduce our first speaker. i'll tease you a little bit here, see if you can think about who that would be. she's a native san franciscan. a former redevelopment agency and fire department commissioner. former executive director of the african-american art and culture complex in the western addition. president of the board of supervisors. you might be getting it. presently our current and future mayor. so a steadfast champion of affordable housing, community empowerment, and the creation of a more just and equitable san francisco for all. great pleasure to bring to the stage our very own mayor london breed. mayor. [ cheering and applause ]. >> mayor breed: thank you. hello, everyone. i am really excited to be here today because this is a long time coming. when we first set out on a path

to just reenvision public housing throughout san francisco, it wasn't easy. i remember when i first became a member of the board of supervisors and i went to our mayor ed lee and talked about our priorities, i made it clear that public housing was my number one priority. he supported those efforts. in fact, i grew up in plaza east in the western edition, where i lived in public housing for over 20 years of my life. those conditions were very challenging. it wasn't just sadly the poverty and the violence that existed in my neighborhood. it was also the actual physical conditions of where i lived. the mold, the bathroom that basically had a number of challenges. we never even had a shower in the public housing unit that i lived in. the roaches, the lack of support that we got from our facilities

crew to actually make the kinds of repairs where we could live in a place that was safe and live in a place that was the way that it should be for any resident of this amazing city. it was important to me that we made a change in san francisco because the same conditions that i lived in are, sadly, some of the same conditions that still exist in public housing today. so we set down this course to try and make changes. no, we didn't have the resources completely to basically start all over from scratch, but we did have an opportunity through the r.a.d. program, the rental assistance demonstration program, to really make investments now so that we can change the conditions of where

people live now. that was so important. there were people who were concerned, including the residents who were skeptical about whether or not what happened in the filmore would happen in the bayview hunters point community. i too was concerned about that. in fact, the public housing development i lived in had 300 units and after it was rebuilt through hope 6 which was a whole other program before hope s.f., there were only 200 units built. so clearly, everyone was not coming back. that's why when i first started as a commissioner on the san francisco redevelopment agency and we set out on our path to try and rebuild double rock and other places, it was important to me that we did it differently than we did in the past, so that residents played a critical role in not only deciding what fixtures and windows and how they wanted their community to be, but they remained a part of

their communities. so that's exactly what we did. it did require a lot of patience and moving around and a number of things. yes, again, i know that people were a little uncertain as to whether or not we would get this project done because promises have been made over the years and promises not kept. but today a promise is kept. 439 units of affordable housing for people, for families, for this amazing community. through the r.a.d. program, we have already been able to rehabilitate more than 3,000 public housing units in san francisco. no longer are we going to treat our residents, who happen to live in public housing, differently than we treat everyone else. that's why this investment is so important. not only in rehabilitating something as simple as making sure that the windows can open,

that the heater is working, that the showers are working, that there isn't opportunity for mold or other things to impact the living conditions, but free wifi. free wifi for all of the residents here so that folks have access to do job searches, housing searches, or anything else that anyone else could do in our great city. so i am really happy and excited to be here because this is a new day in san francisco. part of what my goal is to not only change the physical conditions of our community, but to make sure that we take care of these communities and we take care of each other. because we are one community, we're one san francisco. sadly, we have lost so much over the years due to violence, due to hopelessness and frustration.

part of my commitment to communities all over the san francisco that feel neglected, that feel like they're forgotten and not necessarily a part of san francisco is that i'm coming to your neighborhood. i'm coming to make sure that we make the right kinds of investments, that we provide job opportunities or opportunities for you to start your own businesses, that we make sure that we are taking care of kids in this community. in fact, our investments in our public school system has been one that's unprecedented. over $80 million of investments, including additional teachers' stipends so that we can focus on teacher retention in schools that serve this community. making sure when our kids are dealing with trauma, that we have mental health experts in our public schools. my commitment is to make sure that there are wellness centers

in every public school in san francisco. it starts with our kids. it starts with taking care of each other. it starts with developing a new generation of hope for san francisco. so this project is so much more than just rehabilitating units. it's really changing a community and making things better now and for the future. it starts with us and we're in this together. we're going to get there one step at a time. i want to thank the john stewart company, mayor's office of housing, bank of america, and who else was part of this project? related. thank you. it means a lot to have incredible partners. we don't do this work alone. but most importantly, i want to thank the people who live here, who trusted us to make this happen, who work with us every step of the way.

it means a lot to have the support and trust of a community in order to get things done. that's exactly what we were able to accomplish through this amazing project together. so congratulations. this is just the beginning of i know more that's get to come. thank you. [ applause ]. >> that's what i'm talking about. mayor, you're so good at that. you're just flying without notes. i'm hanging on to these things for dear life. we do the work, but that's the leadership that gets it done. thank you also for the $23 million in local financing and rent subsidies that made this effort possible. [ applause ]. >> and your unwavering support for affordable housing and ending homeless in our city. >> [ indiscernible ] -- >> i'm about to do it. okay. that's what i was going to say.

most recently the leadership, in the form of the proposed $600 million housing bond, which we are going to pass in november, okay. [ applause ]. >> thanks also and a shout out to our current supervisor for his ongoing leadership around the housing issues in district 10. thank you. supervisor walton. our next speaker is bill witty, chairman and c.e.o. of related california. one of california's largest developers of affordable and mixed-income housing. since founding this company 30 years ago, bill has overseen the development of 16,000 residences, including over 12,000 affordable housing units and he has more than 5,000 units in development. he is a busy guy. earliest this year also completed the rehab of another r.a.d. cluster, 300 units.

it's my pleasure to my friend and colleague bill witty up to say a few things. bill. >> thank you, jack. it's a pleasure to be involved with a company, john stewart company, who has not only been a stalwart provider of affordable housing for years, but close friends of mine. i'm particularly pleased that john stewart is here because i'm no longer the oldest person in the room. cheap shot. sorry. i have to tell you, i've been involved in affordable housing in the public and private sector for 40 years. i'm pretty familiar with what's going on around the country. there is no mayor in the united states who has spent more energy and effort to ensure that public housing is given new life and upgraded and become part of the community than mayor breed. we should acknowledge that. it doesn't get the attention

that it should. you heard why, but we don't read about that so much. it's really a story that needs to be told. i just want to say that this is great. i appreciate the residents' patience in letting this process unfold. but we expect to be judged not just by how it is today, but how with jack and david sobel, how we are as long-term partners and owners. so the story is, as the mayor said, just beginning. i can assure you that it will remain a good story. this housing, just so everybody is clear, is permanently affordable. it's not just affordable for 10 or 20 years. this will always be high-quality affordable. [ applause ]. >> i want to thank some people

who were operating in the weeds to make this all happen, starting with under the mayor's guidance the mayor's office of housing, dan abrams and his staff who have been involved in all of these around the city. mayor's office of housing technically didn't used to be around public housing. they've taken over the task and done a remarkable job under the guidance of the mayor. the contractors who spent a lot of time and energy to make sure that we got the rehabilitation right. nibby brothers, cahil construction who worked on east-west deserve a lot of credit. mimi sullivan who is the

architect. while you couldn't change the buildings that much, a lot of time and effort was spent on designing the interior of these buildings so, as the mayor said, these would be market-rate quality units, not just for the short term but for the long term. then our own staff at related. our project manager andrew sccofar in the back and our northern california affordable group. as i said, this isn't the last you're going to see or hear from us. i expect to hear from you if you think that there's something that warrants attention. finally another prop a plug. don't just clap. you got to vote. show up and vote for prop a. thank you. [ applause ]. >> show up and vote, bill, because i think your call to me involved a very large check as

well. donate as well. he left that part out, but feel free. bill, i hate to break it to you. when john arrived, you were not only the oldest guy, but not quite the funniest guy either. john, we're going to give credit where it's due. bill, thank you, very well said. next up is another of our co-developers and the lead provider of supportive services for our residents here at hunters point east-west in westbrook. david sobel is the c.e.o. of the housing development corporation. a 31-year-old community-based non-profit located here in bay view, hunters point. over the last six years david has assembled support and staff. under his leadership, the organization has grown from four people to a staff of 30, which provides housing development, preservation, financial empowerment, counselling, supportive services, economic development opportunities to over 5,000 low and moderate

income residents every year. also well-known, at least to me as an accomplished jazz, blues, and rock keyboardist, but you'll have to go to their annual gala to hear that, please help me welcome david sobel. [ applause ]. >> by the way, the board of directors did my performance review last night. it would have been great if you were there. good morning, everyone. we are indeed proud to have partnered with such an auspicious team that others are mentioning in name and i will save time and not repeat everything. it has been extremely gratifying to take part in and witness a transformation of extremely dilapidated housing, turning it into safe, comfortable homes for families that remain affordable in perpetuity. but it is also about more than just the housing here.

the city has the great foresight to ensure that there was workforce development and onsite service connection to make sure residents have at their doorstep access to other resources. we are proud to have partnered with hunters point family. dev mission on the stem program that we have initiated across the sites here, all of whom are doing fantastic work and enhancing what resources are available to residents every day. i want to call out our services team, an amazing group of people, some of whom are here today. even if they're not, they deserve some recognition. [ applause ]. >> this team is fantastic. you show up every day doing challenging work and being a big support to residents.

we cannot talk about services without acknowledging hodc who every day, week, and month are pushing, supporting, and guiding our programs, as they should. thank you for that. finally, these past five years are not about all of us speaking today. it's about the residents who endured decades of deplorable conditions. five years of hard work is great. but the people who live here suffered through much longer hardships. that's what this project is really about. developing community, bringing onsite services, engaging with residents, having a long-term vision with our city partners and everybody up here and all the residents, that has been the most rewarding part. we have really appreciated the positive impact of walking hand in hand with residents every

day. learning from them. they hold us accountable, and we've appreciated that as well. at the very beginning of this project, five years ago or so, when we went to our initial meetings, the residents said this is a ploy to kick us out. they said, you're going to raise our rents. we didn't. they said, you're not really going to renovate these buildings. we did. you're not really going to have services onsite. we did. this was founded to help people stay in san francisco, remain in their homes, communities, schools, businesses, congregations, and that's what this project is about as well. thank you for all of your support all around. the resident leadership especially, we've enjoyed working with you. i know we're going to hear from one of the resident leaders. thank you all. it is our pleasure to be with you here today.

[ applause ]. >> well said. it really does make one think that how -- while certain leaders in washington seem to be doing their best to pull our country apart, here in san francisco we are doing our best to reknit these properties into the fabric of our communities and neighborhoods. we are doing our best to now bring the san francisco housing authority itself more directly into the family of city agencies that work closely with mohcd and the other agencies at the city to provide affordable housing. and the kind of work we do here as david so eloquently articulated, to just bring people together, reintegrate things, and really fight back against the forces that are trying to pull us all apart. thank you, david. well said. while it probably goes without

saying, that's when i say it anyway. none of this can happen without money, lots of it. for that, we in the city turn to bank of america, merril lynch. they have been key to our success. we're talking about over three-quarters of a billion dollars in debt and equity for the program. here at hunters point, they provided over $150 million in construction financing and over $120 million tax credit equity as well as funding for residents during construction. we went to bank of america for funding because that's where the money was. they were ready to put it to good use. to paraphrase elanie, where is the money at, that's where i'm going. okay. i didn't get it quite right.

you can school me later. don't beat box it? okay. i get a little carried away sometimes. anyway, back to the script. it gives me great pride to introduce a proud resident of san francisco herself, liz minik. >> these are always hard acts to follow. thank you so much for having us today. bank of america was founded in this amazing city in 1904. two years after, we had one of our largest earthquakes. at the time bank of italy at the time spent most of their resources getting people back in their homes. housing has always been integral to what we do. that's when the call to action and rehabilitating the 3500 units around our city came, we were so delighted and honoured to provide $2.2 billion.

so $2.2 billion in financing for the san francisco r.a.d. program. as has been said, this is all about the residences. this is ensuring that people can be in the homes that everyone deserves. again, thank you so much for having us today. i will continue with a thanks for our great partners related, john stewart, and san francisco housing development. our wonderful team who has worked tireless over the last six and seven years to get this done. mayor breed, we couldn't have done this without our leadership. thank you. [ applause ]. >> $2 billion doesn't go as far as it used to, but it adds pick up. the engagement and support of our residents was absolutely crucial to our success. i'd therefore like to acknowledge quickly and thank all the officers for our three

tenant associations at the three different sites, many of whom are with us today. susan mcallister, renitia raina, elise minor, ivan sepulona. those are all from the east association. from the west we have joe nyamalaga, ronald anderson. and from the other associations we have many people as well. thank you all. it takes a lot of work.

you're volunteers. you're out there helping the residents organize and bring issues to us. you're keeping us honest, committed, and engaged. we appreciate the partnership that that represents. speaking on behalf of the residents today is renée, as i mentioned earlier, president of the westbrook tenant association. she's a passionate community leader who encourages and assists residents in advocating for their own best interests. born in the bay area, she takes great pride in engaging and helping her community, understands the challenges of the residents, has a strong commitment to educational values, and her skill and compassion make her both a voice and a beacon of hope for the residents. it is my pleasure to have renée mangdangle to the stage. >> hi, everybody.

thank you, mayor breed. i would like to thank related, john stewart company, of course my tenant association. yesterday was my birthday, 9/11. anyways, i'm kind of nervous. i'm not much of a speaker. anyway. this building came a long way. i come from the peninsula, and when i came in here it was like pulling teeth. i did not want to move here, but i did. made the best out of it. i became a community leader. and hunters point west with marlene harris, she hired me to be event planner and personal chef for all three sites. then i met hunters point east and of course westbrook residents at that time.

i just want to thank everybody. thank you. [ applause ]. >> you're following the sage advice of roosevelt, be sincere, brief, and be seated. you're going to go far in politics. anyway, this is short and sweet. we want to spend time listening to some more music, touring apartments, having some food, breaking bread together. i want to thank again all the distinguished speakers. i want to do a special shout-out to our technology program partners for the wifi, the training, et cetera, here at this site. it includes the city's department of technology, monkey brains, dev mission who's been mentioned, the community tech network, microsoft, you've heard of them, adobe.

they all pitched in on the technology side. we appreciate it. there are so many companies and public agencies that have contributed their time, energy, and hard work to making these properties a success. i wish i had time to recognize them all. i can't. time is short. i'm going to name a few, sort of speed recognition. our architects, our general contractors did an amazing job renovating and breathing new life into these communities. thank you. i'm going to repeat a few thanks that came up earlier. from the city and county of san francisco thanks -- [ indiscernible ]. from the john stewart company itself, i want to shout out to our founder and chairman john stewart himself, margaret miller, dan lavine, jenny

collins. and our former project manager adam levine who came from east bay to see the fruits of his labors. i want to say hi to many of those who couldn't be here [ indiscernible ] -- thanks to michael mincus and thanks to all the other people who contributed their time and energy to this impressive effort. so that's it. thanks for coming. please stay for food in the community room, tours of apartments, more music. so if i could just get the speakers all to follow. [♪]

>> san francisco and oakland are challenging each other in a battle for the bay. >> two cities. >> one bay. >> san francisco versus oakland. are you ready to get in on the action? >> i'm london breed. >> and i am oakland mayor libby schaff. >> who will have the cleanest city? >> we will protect our bay by making our neighborhoods shine. >> join us on september 21st as a battle for the bay. >> which city has more volunteer spirit? which city can clean more neighborhoods? the city with the most volunteers wins. sign-up to be a bay protector and a neighborhood cleaner. go to battle fofofofofofofofofo

>> okay. we are here to get the job done. good morning. is it morning still? i've been up since 5:00 i think. i'm trying to keep -- i've been to so many places throughout the day. this is probably the fifth or sixth, but who's counting? thank you all so much for joining us here today. with me i have dr. grant colfax, who is the director of the department of public health, as well as dr. anton nagusablan who

is the director of mental health reform. daniel leary, the c.e.o. and founder of tipping point community, and matthew state, the chair of u.c.f. department of psychiatry here in san francisco. i'm excited because these are incredible leaders in our community who are going to help us with some really challenging problems that we know we face as a city. last week we launched the mental health reform initiative to help those at the intersection of homeless, mental illness, and substance abuse disorder in san francisco. and through our detailed analyst, dr. nagusablan and the department of public health have identified the people in our city who are most vulnerable and in need of help. now, to be clear, we see it. but now we have clear and accurate data. of those 4,000 individuals, 41%

frequently use urgent and emergency psychiatric services. 95% of those folks suffer from alcohol use disorder. 35% are african-americans, despite the fact that we have a less than 6% population of african-americans in san francisco overall. so we have a lot of work to do ahead of us to provide the behavioural healthcare that people need. we need partners to do it. we need to work with our state officials, with our philanthropic organizations and our non-profit communities. that's why today i'm excited to announce that the city has partnered with tipping point community and ucsf who share our goals of addressing the mental health crisis in our city and providing people with the care that they need. we know that addressing the

needs of the most vulnerable requires experts in the field, it requires collaboration and the development of public-private partners. tipping point and ucsf department of psychiatry came together to really understand how to improve the outcomes for san francisco residents experiencing long-term homeless, but who also have challenges with behavioural health. they worked with the city departments and various community-based organizations who helped to put together information to inform this comprehensive report, including the department of public health, the department of homeless and supportive services, the hospital council, p.r.c. thank you, brent andrews for being here and your amazing work. health right 360. thank you for your rigorous work on what we deal with in terms of

treatment for folks who also sadly deal with substance use disorder as well. thanks to the rigorous research conducted by tipping point and ucsf. we have a report that we can use to implement data-driven policy decisions that will effectively work and change our city for the better. this report highlights how philanthropic and public funding can work hand in hand to help san franciscans suffering. they have provided several recommendations to improve our system coordination, because we know that it definitely has a few holes in it and it needs to be better coordinated. enhancing people's access to treatment. meeting people where we are. we can't think they're going to show up at the door of a location for help or for support. we are going to need to go out there in the streets and meet

people where they are. engaging more people in care and services. we are excited to partner with them to implement these recommendations. but also in order to address the mental health crisis in our city. we need to build on what is already working. we're going to do that in part by expanding the number of hummingbird beds in a city, in our city. today i'm really pleased to announce that thanks to the funding from tipping point, we'll be able to add 15 new hummingbird beds which offer psychiatric respite. that is absolutely amazing and it's really expensive. [ applause ]. >> mayor breed: so with these new beds, we'll be able to connect people experiencing homelessness with behavioural health needs, the care that they

need. i'm not sure if any of you have visited the hummingbird facility at s.f. general, but it is absolutely amazing. i had an opportunity to not only touch bases with clients, but we also did an announcement last year expanding the number of beds at that location as well. to hear someone say to me that i'm trying, it's hard, but i'm glad to have help, it makes all the difference in the world. this is an incredible facility and i'm so proud of the work that they do. as dr. nagusablan will get into more details, we know that the vast majority of the 4,000 people we have identified unfortunately have alcohol use disorder. the tipping point report includes some innovative suggestions for treating those suffering from alcohol use

disorder and we are looking forward to making some changes and implementing some of these in the coming months. there will be more could you tell mes to come and dr. nagusablan will continue to implement our approach to healthcare because that's his job. we will recommend more ways to improve care for our city's most vulnerable residents. we all, as i said, need to work together to address this challenge that we face. with policy, financial investments, and working in a collaborative approach. so we truly appreciate the partnership of ucsf and tipping point. now, i want to turn this over to the c.e.o. of tipping point community. they've done a lot of work to

address homelessness and taking it a step further by digging into the root causes of some of the challenges we face to make the right kinds of investments. this is going to make a world of difference. ladies and gentlemen, daniel leary. [ applause ]]. >> thank you, mayor breed for your leadership. we know that the primary cause of homelessness is a lack of affordable housing, but we also know that behavioural health conditions, like mental illness and substance use disorders contribute to homelessness. without a stable home, these conditions are far harder to treat. in partnership with ucsf's department of psychiatry, tipping point engaged a public health consultancy called john snow inc. to improve

opportunities for san francisco's existing behavioural system. we convened leaders from city departments, from ucsf, from s.f. general hospital, and a variety of community-based service providers. we conducted dozens of stakeholder interviews, including a focus group at the respite center. we engaged closely with the department of public health throughout the process, checking assumptions and findings against the experience of our city partners. now, as the mayor said, the findings are in. we need to know the names and needs of everyone who is homeless with a behavioural healthcare need, provide wrap-around services that promote stabilization and a path to permanent housing, and ensure that systems and services proactively address and reduce disparities, especially among

black and lgbtq individuals experiencing homelessness. tipping point's role going forward will be to fund the priority investments in the department of public health and the service community, while encouraging our philanthropic partners and peers to do the same. we are taking the first steps towards making this vision a reality. today we are announcing that tipping point will invest up to $3 million to create a second hummingbird psychiatric respite center, replicating their -- [ applause ]. >> as the mayor said, this is the type of program you want to replicate. this will expand access to a critical supportive step out of homelessness. we invite all of our other funders and friends throughout the city to explore the report findings out today and invest in

the recommendations and join us. now i'd like to introduce two people that are working every day to improve the health outcomes of our neighbors. please join me in welcoming dr. anton nigusse bland, who is the director of mental health reform and dr. grant colfax, the director of public health. >> thank you, mayor breed, for leading the way. if we're going to reform our system of care for the nearly 4,000 san franciscans who are most in need, everyone will have to work together. that's why it's so important to be standing here with our partners at tipping point and ucsf talking about these common goals that we share and advancing our shared vision. i want that briefly highlight a couple of findings in this report that reinforce our own. first, behavioural health outcomes are health outcomes and they are far worse for people of

color. this report points out that black men die as almost twice the rate of white men of liver cirrohsis even though they have lower rates of alcohol disorder. we also found of the people experiencing homelessness, substance abuse problems have a higher incidence. alcohol remains a persistent and enormous public health issue that impacts the lives and health of many san franciscans. our most recent community health needs assessment revealed that two out of five adults surveyed reported a survey of binge alcohol use.

between 2014 and 2016, over 8,000 emergency room visits resulted from alcohol-related issues. we can help. we know how to care for alcohol use disorders. we've already begun to work on the kind of evidence-based approaches to chronic alcoholism that this report recommends and particularly exploring the development of a managed alcohol program. the research is very strong that managed alcohol programs, medications, and treatment can reduce the harms of excessive alcohol use. we can create safety and stability for people if we innovate on this problem together. we need to make sure that proven solutions are applied in a thoughtful way and extend their reach to people who have not had sufficient access to the help that they most need. we also agree with the report's findings that we should make it easier to get realtime data about our system of care. we are launching the very kind of collaboration across city agencies that this report urges

us to purview. we expect to be able to provide this transparent information about our beds and our system of care to the providers, clients, and members of the public so that all of us have a better understanding and is have an improved ability to access care. we know that research and philanthropy will play important roles in making these recommendations a reality. we are grateful for that support and partnership. [ applause ]. >> good morning, everybody. i'm grant colfax. i'm the director of health. i'd like to thank mayor breed for her leadership, ucsf, and tipping point for the ongoing and strengthened partnership that they have with the department. of course, dr. nigusse bland for

his bold leadership in his vision for us to do better as a community as we address the intersection of the homelessness and behavioural health issues. this is an important day. we are coming together focusing on solving problems and improving health for the population of nearly 4,000 san franciscans who are experiencing homelessness, mental health, and substance use disorders. today we announced a significant commitment of partnership to meet those goals. a population focus means not only a focus on treatment of the issue patients, but we look at the big picture. we change the way the system responds when a public health challenge is this great. we learn. we look at the problem from multiple angles. we draw on clinical expertise and data. we try new approaches. we learn what works.

we stop what doesn't. we measure results and we built a track record of success. we figured this out when we look at h.i.v. look at the numbers being released this week. we've gone from ground zero in the aids epidemic, to pledging to be the first city to get to zero. that didn't happen overnight. it took multiple stakeholders from across san francisco. we need to use that experience to address other deep health challenges in our city. progress does not happen and cannot happen in isolation. as with h.i.v., we know that forging behavioural health solutions for san francisco residents experiencing homelessness and health issues will take researchers and clinicians, community stakeholders, clients,

philanthropists and the support of the public. i and we are grateful for the contributions of tipping point and ucsf. these two robust institutions that we're fortunate to have in san francisco. the health department looks forward to partnering with them and many others with the significant behavioural health challenges facing people experiencing homelessness in san francisco. together we can and we will heal our city. thank you. [ applause ]. >> mayor breed: thank you. now, i don't know if any of you caught this, but john snow inc. did the report. you know nothing, john snow? nobody caught that? okay. next up we have dr. matt state from ucsf. [ applause ]. >> thank you so much, mayor breed.

truly, i'm thrilled to be able to stand here today with a group of leaders who are so dedicated to this city and to the most pressing social problems we face, including chronic homelessness. more than 30 years ago, at the height of the aids crisis, local government in san francisco health providers, academicia, philanthropy, set aside parochial differences and came together to attack what seemed like an insurmountable challenge. this week mayor breed sat with the department of public health and ucsf to review the remarkable progress that has been made in this struggle and to double efforts to work collaboratively to be the first city to get to zero, something that must have seemed impossibly out of reach three decades ago. this is the inspiration for our efforts and it is the model that we are pursuing to address the intersection of mental illness,

homelessness, and substance use disorders. this report is a product of all these organizations coming together to help develop a consensus road map that develops tangible, immediate differences in the lives of individuals and families experiencing psychiatric illness and substance use disorder. the work that went into it from clinicians, other service providers, and many others. i can't thank mayor breed, director colfax, and dr. nigusse bland enough for your leadership and inspiration. and to daniel leary and the tipping point folks, it's been a remarkable partnership. we're tremendously grateful at ucsf. there are several other people i want to mention. first, i really would like to underscore a tremendous contribution from jane hawgood and john pritzger for their help

to launch this collaboration and bring us together. as you've heard today, it will be the partnership of academia and the city and philanthropy that really promises to allow us to move forward on a critically important and admittedly extremely difficult challenge. ucsf and the city have a long partnership beginning 150 years ago, when ucsf doctors began caring for san franciscans in the city's general hospital. today ucsf clinicians continue to care for the city's most vulnerable, including children and adults, at san francisco general hospital and in a range of outstanding community-focused programs for those suffering from mental illness and substance use disorders. from our division of city-wide case management, our division of substance abuse and addiction management, our psychiatric

emergency services to name just a few. as chair of the department of psychiatry at ucsf, i could not be more proud of our people and our long-standing partnership with the city that has allowed us to work every day to make a difference in the lives of our patients and their families. as a representative of ucsf here today, i can't stress enough our commitment to collaborate in taking on these big challenges, our department of psychiatry, the new homelessness and housing initiative, our students, our faculty and trainees are all determined to work together to find ways to tackle the most pressing health and health equity challenges we face, including the nexus of mental illness, substance abuse, and homelessness. thank you again, mayor, director colfax, dr. nigusse bland, and daniel, for your tremendous partnership and efforts. [ applause ]. >> mayor breed: so there you have it. let me just say that we all know

that the challenges that we face as a city weren't created overnight. there won't be any easy fixes. it will take time. it will take, as every speaker here as said, collaboration, working together, seeking out the professionals who have the expertise in the medical arena and the non-profit sector, our policy-makers to provide the right kinds of solutions. this is so critical because when we look at homelessness and the challenges that, sadly, around 4,000 residents of our homeless community face, we know that it's not just homeless people who are dealing with a number of these issues in terms of behavioural health. it is time that we take just a different approach towards addressing behavioural health challenges in our city and in our country. that we begin to get rid of the

stigma attached to seeking health for people who sometimes are dealing with depression and other issues that continue to plague our society. one of the things that i am really committed to is making sure that we have wellness centers in all of our high schools in san francisco, all of our schools in general, so that when kids are dealing with trauma or any other kind of situation, that they have the help and the support that they need in the place where they study and learn every single day. looking at creative and innovative solutions is how we are going to create a city that is healthy and is thriving. i want to thank all of you for the work that you have done and will continue to do to get us to a better place with all of these leaders, all of these amazing people, all of these incredible minds. i know it's only a matter of time before we get to that better place that we deserve to be. thank you all so much for being here today. [ applause ].

[♪] shop and dine on the 49 promotes local businesses and challenges residents to do shopping and dining within the 49 square miles of san francisco by supporting local services within neighborhood. we help san francisco remain unique, successful and vibrant. where will you shop and dine in the 49? san francisco owes the charm to the unique character of the neighborhood comer hall district. each corridor has its own personality. our neighborhoods are the engine

of the city. >> you are putting money and support back to the community you live in and you are helping small businesses grow. >> it is more environmentally friendly. >> shopping local is very important. i have had relationships with my local growers for 30 years. by shopping here and supporting us locally, you are also supporting the growers of the flowers, they are fresh and they have a price point that is not imported. it is really good for everybody. >> shopping locally is crucial. without that support, small business can't survive, and if we lose small business, that diversity goes away, and, you

know, it would be a shame to see that become a thing of the past. >> it is important to dine and shop locally. it allows us to maintain traditions. it makes the neighborhood. >> i think san francisco should shop local as much as they can. the retail marketplace is changes. we are trying to have people on the floor who can talk to you and help you with products you are interested in buying, and help you with exploration to try things you have never had before. >> the fish business, you think it is a piece of fish and fisherman. there are a lot of people working in the fish business, between wholesalers and fishermen and bait and tackle.

at the retail end, we about a lot of people and it is good for everybody. >> shopping and dining locally is so important to the community because it brings a tighter fabric to the community and allows the business owners to thrive in the community. we see more small businesses going away. we need to shop locally to keep the small business alive in san francisco. >> shop and dine in the 49 is a cool initiative. you can see the banners in the streets around town. it is great. anything that can showcase and legitimize small businesses is a wonderful thing. slate, and as s

it comes back on, we canand as s start. okay. good morning, everyone. we're going to start our september 23rd rules committee meeting. i am supervisor walton, and this is supervisor gordon mar. chair ronan will be here in a little while. so i'm going to go ahead and start the meeting. our clerk today is victor young, and i would like to thank jesse larsen and matthew from sfgov tv for staffing this meeting. >> completed speaker cards and copies of any documents tob included as part of the file should be submitted to the clerk. items acted on today will