assets, built no hospitals, fire stations, police stations, water system improvement project. $12 billion in projects have been completed. $8 billion are underway including the sea wall. that is not including the private assets that have been seismically retrofitted not including caltrans and other projects. i don't know if you want to add more, brian. >> no, i don't think there is more to add. it is probably and i think it is safe to say that since the 2006 earthquake we have never invested larger amounts of money in infrastructure in 30 years. the past 10 years alone are impressive. it is showing up all-around the city as you drive through. everything from the veterans war

memorial building and this building and all around. we want to make that part of the discussion that happens there. we talk about the work we have to do. we want to say thanks to the citizens that we have been able to get the funding to make it all happen. >> thank you. probably the most common question i have been asked over the last six weeks. this happens before the earthquake anniversary how much better prepared are we than we were 30 years ago? the answer is much better prepared. that is in great part to the folks here but also the people of san francisco who have supported all of this work. however, that doe does not meant

we can sit back and think everything is okay. these opportunities are helpful and we want to encourage everyone to stay on their toes here and remember it is important if you can prepare, take some measures that you do so. there are many members of the community that aren't able to do that. if we can it makes it more important that we make plans and connect with our neighbors and organize ourselves and think through what an earthquake looks like so the city can be reaching out to those most vulnerable. thank you. any public comment on this item? okay. seeing none we are moving to the disaster council round table. this is an opportunity for any member of the disaster council to make announcements, comments.

yes. >> thank you, mary ellen. i want people to know we are working with the department safety officers to issue wildfire smoke guidance for city employees. if there is wildfire smoke problem we don't want outside workers to be sent home while people at the pc have to work. we want city employees treated equally for the same conditions. the state of california issued wordy and hard to understand document which we are obligated to give to employees, some of whom may not have a masters in industrial hygiene. we are working on a nice chart to go with it which we will issue so people would be able to read it that will go out on monday. we are working with our

department safety experts on heat guidance. there are no regulations other than general duty for people to be safe. the state is developing heat guidance. we don't want to wait for that. what we are doing is developing a standard approach for the city and then if we have to amend it when the state issues it, we will do that. basically we are addressing not only outdoor workers, at what level do they need to be inside. at a certain point particularly if there is a power shut off we look at a loss of air can being. at what point would it make sense for people to not to continue to work. we want to make sure someone in the controller is treated just

the same in those circumstances. we will issue that heat guidance within the next couple weeks. it may have to be reissued once the state gets its act together. we hope is more easily read for distribution. >> we don't meet until december. we are heading to the hottest heat and wildfire time right now. sf72.org has the air quality tool kit, great research is there if you need it. anyone else. michael. >> i want to report on an even. as many of you know over the last year and-a-half there are

tragic terror attacks on houses of worship. synagogues and mosques in new zealand. following each one of these terrorist attacks the san francisco inner faith council would host vigils. at each one the mayor would come and the mon trawas that people should -- the mantra was that people should feel safe when they worship. what are we doing? what emerged was a collaboration of the federal bureau of investigation, all branches of law enforcement working with the department of emergency management and public health as well as jewish community relations council, human rights commission and other advocacy

groups. on september 9th we held a high level convening at which 300 were present be on security and houses of worship. the mayor was there and inspired us. i want to thank mary ellen because she was on the panel and i want to thank the chief because he was on a pap el. it is sad we have these but i sleep better at night knowing we have done our due diligence we will have a debrief with nose who participated to see if we he can keep these lines of communication open. we have never been at the same table before. we see want to make sure we are doing our part. thank you. >> .

>> derek from supervisor brown's office. the discussion brought up an issue that is important to supervisor brown. district five for the last 17-years has been the host of blue grass which is one of the most loved institutions. what was troubling to her was the announcement that event is going to be fenced for the first sometime. first -- first time. can the chief speak to the council about what sort of changes the public can expect to see at the event and outreach to the public. it is a major change for families living in the world we are living in today. >> i will make an announcement. i want to announce that deputy

chief is taking over the special operations borough which until she has oversight over the tactical unit including the swat team, traffic company, all of our motorcycle officers and department operations center. i will turn this over to the deputy chief. she has been involved in those conversations. >> thank you, chief. we met a couple weeks ago with the organizers. we laid out what we thought. i mean we are in a different age. we have had a lot every sent mass casualty events, and we laid out a pretty thorough security plan for them, and they adopted some of it. you will see some fencing. you will not see the large seating, not see the large coolers of past.

if they show up they will be allowed in but subject to search. it is a new normal, but they took some of our suggestions and kind of made it work for the type o of event they host. you can still bring your alcohol in. you can bring in just about everything you did of the past. no kegs. they were brought in routinely in the past. large like i said large coolers was a concern for us. you can put weapons in a larger cooler. smaller coolers, clear backpackings. nothing will be turned away. it will be subject to search which it wasn't in the past. it is not 100%. if you go to outside lands you are thoroughly searched. one other thing. i was a police officer in 1989

directing traffic pat battery and market when this occurred. it was chaos. i worked three days straight. it is interesting. this is fantastic we are sitting here gearing up for the next one. it is going to happen. we did a good job in 1989. we will do a better job if it happens again. thank you. >> i think with the fansing there are four points of entry. >> four entry points whereas in the past you could walk through the bushes. now you will be directed to an entry point to look at, not thoroughly searched. it is a new normal and they are adopting the things we advised.

>> jeff with the san francisco international airport. two quick updates to share. august 30th the airport conducted a hotel, active shooter exercise. we employed all of law enforcement and the different emergency response agencies. good exercise. we are doing the de-brief today. when i hear about the lessons learned i will be happy to share them with this group. other thing i wanted to mention october 2nd annual emergency exercise at the airport. we will have a lot of volunteers that will be participating in that. anyone that is interested from this group that would like to participate or be an observer you are certainly welcome to do that. >> anything else to say about the construction at the airport,

jeff? >> i can't dodge that one. it is a good news story. i will call it it started off with distorted reporting. it was a nine month planning process that led to the construction on september 7th. it was slated to last until the 27th. the reality is there was a lot of precancellations of flights and coordination with faa and airlines and airport to ensure operational disruption was minimized. we were very successful doing that. the end result was this early opening of the runway. the planning was there, execution was there at times what you heard was a little bit off base.

i think we managed the message and wound up with a positive outcome. >> congratulations on early completion. >> thanks. >> go ahead, mark. >> control learn's office. every year the controller's office sends to all department a memo with the project costing codes and time tracking codes. i want to alert everybody for those who attended the training earlier this week they have received the memo that was part of the training. we will send that memo out today. it will go to the cfos. for all of the defendants if they would look out. what this is covering is the project codes updated every year

in the financial system utilized to track the cost for an emergency response situation and the activity codes used to track the time for the situation to get the maximum cost reimbursement. the new system allows us to track much more efficiently and report out more efficiently. i want to alert everyone to the memo coming out today. >> thanks, mark. very important project codes. it doesn't feel important now, but in the moment, you want those handy and your folks to have them. anyone else? >> yes. >> i am phyllis with ss card. i wanted to let everybody know sf card is a new program in california called california for all. it is an emergency preparedness campaign aimed at the most

vulnerable populations. some of the comments referenced the need to prepare for everybody in california. san francisco got a grant to work with agencies that serve people with language barriers, social isolation, poverty and other access and functional new challenges, and we are sf card is going to be working with up to 50 local agencies that have the trust of their clients to really make sure that these people are not left out in preparedness events and there are grant funds for those agencies. i have some information about this program if anybody would like to see it. there are a couple ways agencies can participate.

i encourage you to grab one of these with the information. >> revalue the relationship and the way you link to the members of the community we wouldn't normally be able to connect to. thank you. anyone else? any general public comments? seeing none. we are going to call the meeting to adjourn. next meeting is december 20th. the power is all restored. thank you. the demonstration is still happening. thanks, everyone.

>> okay.everyone. 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 ].

[♪] we spoke with people regardless of what they are. that is when you see change. that is a lead vannin advantage. so law enforcement assistance diversion to work with individuals with nonviolent related of offenses to offer an alternative to an arrest and the county jail. >> we are seeing reduction in drug-related crimes in the pilot area. >> they have done the program for quite a while. they are successful in reducing

the going to the county jail. >> this was a state grant that we applied for. the department is the main administrator. it requires we work with multiple agencies. we have a community that includes the da, rapid transit police and san francisco sheriff's department and law enforcement agencies, public defender's office and adult probation to work together to look at the population that ends up in criminal justice and how they will not end up in jail. >> having partners in the nonprofit world and the public defender are critical to the success. we are beginning to succeed because we have that cooperation.

>> agencies with very little connection are brought together at the same table. >> collaboration is good for the department. it gets us all working in the same direction. these are complex issues we are dealing with. >> when you have systems as complicated as police and health and proation and jails and nonprofits it requires people to come to work together so everybody has to put their egos at the door. we have done it very, very well. >> the model of care where police, district attorney, public defenders are community-based organizations are all involved to worked towards the common goal. nobody wants to see drug users in jail. they want them to get the correct treatment they need. >> we are piloting lead in san

francisco. close to civic center along market street, union plaza, powell street and in the mission, 16th and mission. >> our goal in san francisco and in seattle is to work with individuals who are cycling in and out of criminal justice and are falling through the cracks and using this as intervention to address that population and the racial disparity we see. we want to focus on the mission in tender loan district. >> it goes to the partners that hired case managers to deal directly with the clients. case managers with referrals from the police or city agencies connect with the person to determine what their needs are and how we can best meet those

needs. >> i have nobody, no friends, no resources, i am flat-out on my own. i witnessed women getting beat, men getting beat. transgenders getting beat up. i saw people shot, stabbed. >> these are people that have had many visits to the county jail in san francisco or other institutions. we are trying to connect them with the resources they need in the community to break out of that cycle. >> all of the referrals are coming from the law enforcement agency. >> officers observe an offense. say you are using. it is found out you are in possession of drugs, that constituted a lead eligible defense. >> the officer would talk to the individual about participating in the program instead of being booked into the county jail.

>> are you ever heard of the leads program. >> yes. >> are you part of the leads program? do you have a case worker? >> yes, i have a case manager. >> when they have a contact with a possible lead referral, they give us a call. ideally we can meet them at the scene where the ticket is being issued. >> primarily what you are talking to are people under the influence of drugs but they will all be nonviolent. if they were violent they wouldn't qualify for lead. >> you think i am going to get arrested or maybe i will go to jail for something i just did because of the substance abuse issues i am dealing with. >> they would contact with the outreach worker. >> then glide shows up, you are not going to jail. we can take you. let's meet you where you are without telling you exactly what

that is going to look like, let us help you and help you help yourself. >> bring them to the community assessment and services center run by adult probation to have assessment with the department of public health staff to assess the treatment needs. it provides meals, groups, there are things happening that make it an open space they can access. they go through detailed assessment about their needs and how we can meet those needs. >> someone who would have entered the jail system or would have been arrested and book order the charge is diverted to social services. then from there instead of them going through that system, which hasn't shown itself to be an effective way to deal with people suffering from suable stance abuse issues they can be

connected with case management. they can offer services based on their needs as individuals. >> one of the key things is our approach is client centered. hall reduction is based around helping the client and meeting them where they are at in terms of what steps are you ready to take? >> we are not asking individuals to do anything specific at any point in time. it is a program based on whatever it takes and wherever it takes. we are going to them and working with them where they feel most comfortable in the community. >> it opens doors and they get access they wouldn't have had otherwise. >> supports them on their goals. we are not assigning goals working to come up with a plan what success looks like to them. >> because i have been in the field a lot i can offer different choices and let them decide which one they want to go down and help them on that path.

>> it is all on you. we are here to guide you. we are not trying to force you to do what you want to do or change your mind. it is you telling us how you want us to help you. >> it means a lot to the clients to know there is someone creative in the way we can assist them. >> they pick up the phone. it was a blessing to have them when i was on the streets. no matter what situation, what pay phone, cell phone, somebody else's phone by calling them they always answered. >> in office-based setting somebody at the reception desk and the clinician will not work for this population of drug users on the street. this has been helpful to see the outcome. >> we will pick you up, take you to the appointment, get you food on the way and make sure your

needs are taken care of so you are not out in the cold. >> first to push me so i will not be afraid to ask for help with the lead team. >> can we get you to use less and less so you can function and have a normal life, job, place to stay, be a functioning part of the community. it is all part of the home reduction model. you are using less and you are allowed to be a viable member of the society. this is an important question where lead will go from here. looking at the data so far and seeing the successes and we can build on that and as the department based on that where the investments need to go. >> if it is for five months. >> hopefully as final we will come up with a model that may help with all of the communities

in the california. >> i want to go back to school to start my ged and go to community clean. >> it can be somebody scaled out. that is the hope anyway. >> is a huge need in the city. depending on the need and the data we are getting we can definitely see an expansion. >> we all hope, obviously, the program is successful and we can implement it city wide. i think it will save the county millions of dollars in emergency services, police services, prosecuting services. more importantly, it will save lives.

>> all right. [gavel] >> good morning everyone, the meeting will come to order. this is september 20, 2019. regular meeting of the local agency formation commission. i like to thank sfgov for broadcasting this meeting. madam claerk, do you have any announcements. >> yes, please silent all cell phones and electronic devices. >> madame clerk, can you please call item number 1. >>be