>> do you have any questions? >> thank you. >> why don't we go to public comment. are there any members of the public to speak on this item? if so, please step up. >> i am emily. i am a local resident for the last 33 years. as a public employee you talk about government accountability and pedestrian safety. 2016-2017 i was appointed by former supervisor david campos for the committee. from the committee we know that the website was outdated, people

were not fully participating in the process, which means that we need people who really meant what they want to do to be in that committee. the civil grand jury members are volunteering 500 hours per year. nonpaid. you, the board of supervisors in here are paid. please, take some time to read the recommendation, work with department heads to do the work. started from the effectiveness from the information, website, safety working with the police and the san francisco m.t.a. we talk about recommendation, and we also know that there is no accountability. whether people do it or not the

civic grand jury members the former or current one will not be able to come in after you or the board of supervisors and department heads to implement what we recommend. so we are asking you since you are paid and elected and you wanted to do the best to prevent death and safety for people in san francisco, i urge you to follow the recommendation and findings. thank you. >> next speaker, please. >> hello. thank you very much for having me, supervisors. i am the vice chair of the pedestrian safety advisory committee. i think that this body is wonderful. i am happy you wrote a report.

i am happy you got it out. we just passed the 2018 report last week on the committee, and i hope that you will accept most of the recommendations, just that last one is not really a very good one. i can't speak to reports prior to 2018, but i can say that in 2018 it was a rebuilding year for the committee, adding and replacing memberships with passionate pedestrians embedded in their communities. this year we are trying to streamline the process of apappointments through connections with the board of supervisors. there have been 22 fatalities from collisions this year. let that sink in.

14 were pedestrians according to the last traffic report. this is higher than any number in recent memory. i want to point out we are volunteer. it is completely volunteer. we have one person who is from the m.t.a. i hope that this information -- if you want to speak to committee members contact myself or the manager and you have my contact information. thank you. >> thank you. anyone else to speak on this item? seeing none, public comment is closed. once again, thank you to the civil grand jury members to focus on such an important issue. as stated a number of times, pedestrian safety and stronger regulation of sort of new mobility options that are

emerging here in our city are issues that are of high priority to the board, the m.t.a., the mayor and our entire city government. this is such an important issue and also a very timely that the report came out highlighting this issue, given the surge in tragic fatalities on our streets this year, and that we are all grappling with and the fact that we are -- m.t.a. is preparing to greatly expand the pilot program for e-scooters and it is going to expand to other neighborhoods that it hadn't been present in, including the sun set district. i am in full agreement with your

findings and recommendations and the urgency for us to address these issues. supervisor brown. >> commissioner brown: thank you. i want to thank you on this because it is something we need to focus on. district 5 alone i have had five pedestrian deaths. i don't remember it ever that high. with all of the cars on the road that we have, the ride shares, you know, it just seems that people are agitated when they drive, and we have seen a lot of that when people make left hand turns. they are trying to get through four-lane highways, they are trying to get through the two lanes of traffic coming at them, and a lot of times they are not focusing on the pedestrians walking on the other side of the street. we need to address a lot of these things.

one thing i want to clarify, though, president yee had introduced an ordinance to extend the pedestrian safety committee for a year and a lot of us signed to that. sf walk is committed t to workig with us over the course of the next year to determine the best path forward because i feel it is so important to have that kind of input moving forward, especially with vision zero, what we are doing. we need community input. when we go out to these communities and i see this in my district and we look at taking parking spaces away for daylighting. a lot of times we have push back. we need to educate the community why we are doing this. when you talk about taking a parking space away at an intersection and explain because actually spending $200,000 for a

bulb out is so important, i think they start to understand. i feel like with that community engagement and having the public pedestrian safety committee there to help us with that kind of language and outreach and engagement and how we should be doing it is really important. i want to thank everyone for participating. this is alive and death situation. >> chair mar: thank you, supervisor brown. in terms of action on this, we have a resolution with the board responses. there was just one finding and one recommendation in the civil grand jury report that the board is required to respond to. i shared draft language for the

resolution for the response with supervisor brown, i want to read it for the record. first regarding finding number 7, that the board of supervisors reports to the pr presiding jude that they disagree with finding 7. annual reports were prepared by the pedestrian safety and advisory committee for 2012, 13, 2014 and 2018 as the vice chair reported. regarding recommendation number two, the language is in the draft. that the board of supervisors reports recommendation r2 will not be implemented because the recommendation is unreasonable in light of the pedestrian safety committee progress over the last year in addressing

quorum issues, state of emergency for pedestrian safety advisory committee and they are the seoul advice -- the sole advisory committee on in. they will extend for an additional year during which time the committee is advised to review and remember changes to improve the efficiency going forward. i would like to move that we adopt the amendment. we recommend the resolution to the full board and file this hearing. can we tap that without objection? thank you. thanks again everyone for all of your work on this report and this issue. mr. clerk, please call item number 8 to 22 foreclosed session. >> clerk: agenda items 8 through

22 are authorizing settlements of lawsuits against the city of san francisco, lawsuits and claims, excuse me. >> chair mar: for the closed session are there any members of the public who wish to testify on items 8 to 22? seeing none, public comment is closed. do we have a motion to convene in closed session? thank you. we are now in >> we are now back in open session for government audit and oversight. the committee acted to recommend agenda items 8 through 22 to the board of supervisors with consideration with provision 9 and 10 will be committee reports

on september 24th. >> do i have a motion not to disclose proceedings from the closed session? >> so moved. >> any further business? >> from is no further business. >> we are adjourned. >> my name is kamal lane, and i've lived in san francisco for

30 -- let's say 31 years. i lived there a year february 29, 2017, my grandma's birthday. the thing that's cured my home is the mayor's office. when my number was called, i was excited because my number was number three. to rent a home in san francisco means that i'm able to be with my family to support me, me to support them. then, the opportunity for my daughter to get a good paying job. my favorite thing of my new home in hunters view is the view of the bay bridge, oakland, and a piece of the golden gate. it's peaceful and quiet, and

they have a lot of activities for families. they have art class, where you can paint, they have trips, where they take the children. we went to a black art museum, we went to a jazz festival, we went ice skating. there's a lot -- they have a lot of activities up here, and that's one thing that i really love about it, i love my bedroom. it's peaceful, it's quiet, where i can think, play, and just have my quiet time. i love my bedroom. this is my home because this is where i live. me and my children, we love in here, we -- just being with my grand kids and loving somewhere and having somewhere is home. we love being together, and your heart -- wherever your heart is, that makes it home

for you. >> well, well, we have one of the most exciting projects in district 11 in over a decade. supervisor safai, for the past 10 years, no one has been able to get a housing project of this significance built in this community, and guess what? you made it happen. [applause.] >> 116 new units, 50% affordable units for family of four making up to $123,000 a year. how incredible is that?

this will provide housing for low income families and for foster care youth. i mean, this is how you get housing done in san francisco, working together, working in partnership with sammy and people who love. the fact is people who love this community and didn't have to go above and beyond in providing higher affordability on this project but wanted to do something to support the city and county of san francisco and what we are dealing with as it relates to our housing crisis. we are grateful for you and the community is here, and i also know your family is here. i am so excited. this will make a difference.

on top of that, that is not even all. 40% of the units that are built of the affordability housing will go to the people who live in this neighborhood first, neighborhood preference. the legislation that i worked on back in the day when i was on the board of supervisors. it is going to be used on this project so that we can make sure that the community who lives here, where they might be struggling to hold on to their unit and whatever capacity, they will have a real shot of being a part of this incredible new community. i am excited about this project. i am grateful to supervisor safai for his leadership. i can't wait to be here when we open the doors for people to walk in their new places, and it is absolutely amazing. the person who led this effort

to make this happen, who also did more than just help get this project through the process but also makes some zoning changes to make it possible to have as many units as we can on his site no other than supervisor safai. [applause.] >> supervisor safai: thank you, mayor breed. i feel like i am at a family reunion, but i did joke with sia and sammy i think we could put a runway strip here. this is the largest development in the history of this neighborhood in this community. there has never been any family affordable housing built in this community. i remember sitting with them a decade ago when they laid out

the vision of wanting to do something to give back to the city that they feel made their family anal -- and lifted them back up after going through a revolution in their country they. they came here with very little and they have worked 50 years to build what we are seeing happen today. this is truly a gift to the city and county of san francisco. this is not something that is required. this is completely private land, privately financed by a family that wanted to give back to the city. i want to say thank you to the family for everything and you will their children and siblings and relatives for everything they did to make this happen. it is truly a gift. this even out paces the giant's

ballpark development omission rock, which is 40% affordable on public land. 50% will below market rate. home-sf set the income. he said he wanted lower than what we laid out in the city. we tried to do the remaining 50% as rent control. sometimes the city gets in its way. i know they will continue to keep these rents affordable for this community. they are doing so much to give back to the city and county. we talked about this over a decade ago. we sat down with mayor lee before i became supervisor. he said he would prioritize this. the reason i bring that up is because this mayor has made not anything more of a priority than building housing. that was when we sat down with

mayor lee, that was in the middle of 2016. we are going to the end of 2019. even with everything that -- and i would get monday my phone would ring. every monday i would get the call from him and family members. we are still over three years into getting this project done. this was supposed to be one of the highest priority projects in the city and county of san francisco. i know this mayor is dedicated to finding a way to cut through the layers. when a family wants to give a gift to the city, we have to wait almost three and a half years to get this done. besides all of that, i want to shout out to crazio. she guided this every step of the way on behalf of the mayor's

office. my team was guiding this every step of the way. the planning department, the mayor's office of housing, city attorneys, all of the people working on behalf of the mayor. there is more to come, there are two more projects that are 100% affordable. she dedicated an additional $53 million in the budget. we break ground in october next year on two more projects. out of all of those together, almost 600 units, 65% will be affordable below market rate units in this community and affordable to the people living here. that is a big accomplishment. i am so lucky to have a partner in the mayor's office who prioritizes this community like no mayor has done in over 20

plus years. [applause.] i could go on and on. i will hand it over to the patriarch of the family, the mind that doesn't let any little thing get away from him, but he has to be that way. three and a half years, he has to be that way. someone was bragging about him the other day. he knows how to get projects built in san francisco. he really does. i am honored to have him as a friend and invest in this community. [applause.] >> thanks everyone. mayor, my good friend, supervisor and my family and everybody who is here. this wouldn't have happened without participation of everyone for this to happen.

he is right i call every monday morning. if i wouldn't have done it, it would have taken seven years. this happened in three and-a-half years. i want to tell a story about my life, how i am here. i came with my wonderful life about 40 years as an immigrant from iran. i have been here 1973 i came here to san francisco. i was a student and i fell in love with the city. i still love this city. i always said we have got to do something. whatever i have, i got it through hard work. being in this wonderful diversified city. we talked a lot about it. this came about in 2007 when there was a melt down and i was able to purchase these. that is when me and sammy, she

is an advocat of foster and homeless kids. this came about. i said maybe we can do something about it. finally here we are. thernext step is the foundationd get the super structure. i want to thank the wonderful mayor. i am so proud of you. you are a wonderful mayor. you are a great person. i want to tell my brother-in-law who designed this property, my kids and this is all my family. i love them all. it is great to be here. too many persons. (laughter).

it is a great thing. i am so blessed. i asked my wife to be by my side. if i make a mistake she will say stage right. i think i have done go, right? she gave me a list and said memorize this. i said i will do this. that is not me, i have to talk how i feel. that is how i do it, you know. [applause.] >> i want to thank the mayor's

office of housing. wonderful job. i forgot about my wonderful friend tom. he is a big support. thanks a lot. [♪] ♪ homelessness in san francisco is considered the number 1 issue by most people who live here, and it doesn't just affect neighbors without a home, it affects all of us. is real way to combat that is to work together. it will take city departments and nonprofit providers and

volunteers and companies and community members all coming together. [♪] >> the product homeless connect community day of service began about 15 years ago, and we have had 73 of them. what we do is we host and expo-style event, and we were the very force organization to do this but it worked so well that 250 other cities across the globe host their own. there's over 120 service providers at the event today, and they range anywhere from hygiene kits provided by the basics, 5% -- to prescription glasses and reading glasses, hearing tests, pet sitting, showers, medical services, flu shots, dental care, groceries, so many phenomenal service providers, and what makes it so unique is we ask that they provide that service today here

it is an actual, tangible service people can leave with it. >> i am with the hearing and speech center of northern california, and we provide a variety of services including audiology, counselling, outreach, education, today we actually just do screening to see if someone has hearing loss. to follow updates when they come into the speech center and we do a full diagnostic hearing test, and we start the process of taking an impression of their year, deciding on which hearing aid will work best for them. if they have a smart phone, we make sure we get a smart phone that can connect to it, so they can stream phone calls, or use it for any other services that they need. >> san francisco has phenomenal social services to support people at risk of becoming homeless, are already experience and homelessness, but it is confusing, and there is a lot of waste. bringing everyone into the same space not only saves an average of 20 hours a week in navigating the system and waiting in line for different areas, it helps them talk, so if you need to sign up for medi-cal, what you

need identification, you don't have to go to sacramento or wait in line at a d.m.v., you go across the hall to the d.m.v. to get your i.d. ♪ today we will probably see around 30 people, and averaging about 20 of this people coming to cs for follow-up service. >> for a participant to qualify for services, all they need to do is come to the event. we have a lot of people who are at risk of homelessness but not yet experiencing it, that today's event can ensure they stay house. many people coming to the event are here to receive one specific need such as signing up for medi-cal or learning about d.m.v. services, and then of course, most of the people who are tender people experiencing homelessness today. >> i am the representative for the volunteer central. we are the group that checks and all the volunteers that comment participate each day. on a typical day of service, we have anywhere between 40500 volunteers that we, back in, they get t-shirts, nametags, maps, and all the information

they need to have a successful event. our participant escorts are a core part of our group, and they are the ones who help participants flow from the different service areas and help them find the different services that they needs. >> one of the ways we work closely with the department of homelessness and supportive housing is by working with homeless outreach teams. they come here, and these are the people that help you get into navigation centers, help you get into short-term shelter, and talk about housing-1st policies. we also work very closely with the department of public health to provide a lot of our services. >> we have all types of things that volunteers deal do on a day of service. we have folks that help give out lunches in the café, we have folks who help with the check in, getting people when they arrive, making sure that they find the services that they need to, we have folks who help in the check out process, to make sure they get their food bag, bag of groceries, together hygiene kit, and whatever they

need to. volunteers, i think of them as the secret sauce that just makes the whole process works smoothly. >> participants are encouraged and welcomed to come with their pets. we do have a pet daycare, so if they want to have their pets stay in the daycare area while they navigate the event, they are welcome to do that, will we also understand some people are more comfortable having their pets with them. they can bring them into the event as well. we also typically offer veterinary services, and it can be a real detriment to coming into an event like this. we also have a bag check. you don't have to worry about your belongings getting lost, especially when that is all that you have with you. >> we get connected with people who knew they had hearing loss, but they didn't know they could get services to help them with their hearing loss picks and we are getting connected with each other to make sure they are getting supported. >> our next event will be in march, we don't yet have a date set. we typically sap set it six weeks out. the way to volunteer is to follow our newsletter, follow us

on social media, or just visit our website. we always announce it right away, and you can register very easily online. >> a lot of people see folks experience a homelessness in the city, and they don't know how they can help, and defence like this gives a whole bunch of people a lot of good opportunities to give back and be supported. [♪] >> 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 in the 49 promotes local businesses and challenges residents to do their business in the 49 square files of san francisco.

we help san francisco remain unique, successful and right vi. so where will you shop and dine in the 49? >> i'm one of three owners here in san francisco and we provide mostly live music entertainment and we have food, the type of food that we have a mexican food and it's not a big menu, but we did it with love. like ribeye tacos and quesadillas and fries. for latinos, it brings families together and if we can bring that family to your business, you're gold. tonight we have russelling for e community. >> we have a ten-person limb elimination match. we have a full-size ring with

barside food and drink. we ended up getting wrestling here with puoillo del mar. we're hope og get families to join us. we've done a drag queen bingo and we're trying to be a diverse kind of club, trying different things. this is a great part of town and there's a bunch of shops, a variety of stores and ethnic restaurants. there's a popular little shop that all of the kids like to hanhang out at. we have a great breakfast spot call brick fast at tiffanies. some of the older businesses are refurbished and newer businesses are coming in and it's exciting. >> we even have our own brewery for fdr, ferment, drink repeat. it's in the san francisco garden

district and four beautiful muellermixer ura alsomurals. >> it's important to shop local because it's kind of like a circle of life, if you will. we hire local people. local people spend their money at our businesses and those local mean that wor people willr money as well. i hope people shop locally. [ ♪ ] >> i am calling the meeting to order at 5:36 p.m. hello and welcome to the tuesday, september 17, 2019 commission. if you are a member of the public there are speer