>> mayor breed: thank you for being here. i am london breed, mayor of san francisco. i am excited about this incredible opportunity to open up a 200 bed navigation center in san francisco. we all know what the statistics say. we have a real problem around homelessness, and the fact is last year we helped 2146 people exit homelessness. since we have opened navigation centers in san francisco, they have helped over 5,000 people. despite what we know the challenges are, the fact is i am grateful and proud of so many of the incredible people behind me

today. the people who workday in and day out to help make these navigation centers a reality, but more importantly to help the people that we know are struggling on the streets exit homelessness. we have seven navigation centers in san francisco with a few more on the way. i am really excited what we are going to be doing. at the end of the day, let's be chair clear. it -- clear. it is that we need permanent housing for people who are exiting homelessness. today we are well on our way to meeting the goal that i set of 1,000 shelter beds by 2020. this brings us to 566, and we have an additional 224 beds in the pipeline and the bayview

hunter's point community with ththe safe center. i want to take this opportunity because, you know, it is easy to say we want to do something, but sometimes it is harder to do it. in this case it was challenges, but it did take a village. that consists of partner the state to the local to the community levels. i want to start with senator scott weiner for passing the legislation to streamline the construction of navigation centers across the state so people experiencing homelessness throughout california have reasonable access to shelter. people ask how did you get this built so fast despite a number of obstacles? it had everything to do with the legislation scott weiner helped to pass in sacramento. thank you to assembly man phil

king because time and time again as someone who has been the chair of the budget committee in sacramento he prioritized not only san francisco for a lot of resources but especially focusing on homelessness and navigation center. because of his work, san francisco has seen additional revenue to help support and move these projects forward faster. in fact, with his leadership, the state has invested $500 million to address homelessness in 2018 and $650 million in 2019. to be clear that is said wide. san francisco got a decent chung of that support. thank you to supervisor haney for helping engage the community. i especially want to thank the neighbors of south beach. i know thi this this hasn' hasn.

we are committed to making sure that we fulfill the promises around safety and other challenges that people were so concerned about. we appreciate the work of the advisory group and the folks who have dedicated a lot of personal time to seeing this place succeed. thank you to the port of san francisco and the commissioners, president brandon is joining us today. thank you for your work in allowing the opportunity for the navigation center to be from this location. we are grateful, we are excited. we know that this won't solve all of the challenges we have with homelessness in san francisco, but it will help a significant number of people who we know need support and services. i also want to thank five keys. they will manage the navigation

center. they have a lot of great experiences with helping people who are involved with the criminal justice system reenter society and be successful, and we are grateful for their leadership, work in the programs and opportunities that they will provide to the people that we want to serve. ultimately this is about helping people not only off the streets but helping them into housing, helping them with opportunities to succeed in life. so we are grateful for their work. now, i want to take this opportunity to introduce our state senator scott weiner. [applause] >> thank you, mayor. i want to thank and commend mayor breed and supervisor haney for standing their ground to make sure that this navigation

center could open. as a former local elected official in san francisco, i understand first hand what it is like when you have neighbors who have significant concern and fear about changes that are happening in their neighborhood. that is very intense, her hard. -- it is very hard. i want to thank them for looking at the big picture and the reality this will make the neighborhood safer and more livable in addition to helping many homeless in san francisco transition to a better and healthier future. thank you. when you look at the situation at homelessness in california, it is pretty stark. we have well over 100,000 homeless people in the state. i think it is 130,000.

a large majority of homeless residents in the bay area and los angeles are not sheltered, and this is not normal. what is happening in california and in san francisco and the bay area around homelessness is not normal. this is not how it plays out in the rest of the country where far, far fewer people are homeless to begin with because they have enough housing for people, unlike in california where we have systematically made it impossible through re-zoning and other means made it impossible to build enough housing for the people that need it. our housing has collapsed by 75% as the population has tripled. we made a decision as a state that housing was not important, and what has that led to? many problems with people pushed

out of the state and evictions happening. it has pushed over 100,000 people to homelessness in the state of california. that is because of choices that we made here in california. it is not normal for it to be so difficult to build a navigation center. it should not take years to provide shelter and housing and services for people in dire straits living on the streets. that should be something we can do immediately because we are in a crisis. we have been working at the state level to support san francisco and other local communities to make it faster and more streamlined, to create navigation centers in support of housing. i know we have all been working on that to pass legislation to streamline the process. wwe are working to reform the california approach to housing

because navigation centers are an incredible way to help people transition off the streets. if you don't have housing for people to end up in, they will cycle back to the streets. we are working at the state level to solve these problems, and it is hard and controversial. it violates how we are supposed to do things in california. that way hasn't worked and driven the car into the ditch. we have to fix things. thank you, mayor, and everyone e else who made this happen today. [applause] >> mayor breed: thank you senator wiener. now we have remarks from senator phil clean wh king who helped gs navigation center built. >> thank you, madam mayor.

as the mayor and senator weiner have said. we know the solution to homelessness. we need more affordable housing, more supportive services, but, ultimately, it takes courage at all levels of government to make it happen. we are trying to do our part at the state level. we have colleagues that don't feel completely on the same page with myself and senator wiener with making sure we are building more housing. we have challenges at the state level. mayor breed and supervisor haney have challenges. iit is not easy to stand in frot of 300 people and talk about homelessness and bringing navigation centers to a neighborhood that has not had them. it takes courage and guts and

the city has to support them. if we don't get these centers built, there is no on ramp to housing. this is the third navigation center i have had the honor of standing with mayor breed as we opened them. they are the first step. the next step has to be, as she said, permanent supportive housing. everybody is for housing, but in someone else's neighborhood, in someone else's city. i can't tell you how often i hear let's build a homeless center in stockton. let's make it someone else's problem. let's not solve the san francisco problem here. ship them somewhere else. that is not what the city and state is about, and that is not what leadership is about. leadership is about taking a

problem on and solving it here. we are the fifth richest economy in the world, california is. you wouldn't know it by many of the issues we have. this is not a financial issue. this is not an issue of money or resources. the state is doing their part to help cities and counties. this is about our residents saying we are each going to sacrifice. we are each going to take a piece of this problem and solve it here. we are not going to wait for someone to save us or hope that someone else will take this burden. this is about having the courage to say this is a san francisco problem and san francisco needs to solve it. i am so proud to be here with all of the other city officials who had the guts to get this built, to work with the community and to say this community is safer, not by having people on the streets sleeping, not by having people

in tents sleeping here, wandering around here. this community is safer when they have services, when we can get them the resources they need to go improve their life. as the mayor said we are proud at the state level $4 million from the state helped this get built. $70 million from the state to san francisco's general fund to help with homelessness over the last two years, and this is something we can only dubai workin--only do while we work t. i applaud you for having the guts to get this done. thank you. >> thank you, phil king. now, ladies and gentlemen, the supervisor matt haney for district 6. >> thank you, mayor breed. congratulations for your

leadership, for your staff who we got to work with so closely in making this happen. i especially want be to recognize jeff and emily from the department of homelessness. you all did such a wonderful job listening to the community, working with us. we went to dozens of meetings together. i am looking at emily and hearing the feedback and using that to adapt the proposal and make commitments to the neighborhood. thank you all for that and for listening. i want to thank our elected officials in sacramento, senator wiener and assembly member king. we are lucky to have advocating for us, bringing home resource goes to help us address what is definitely the biggest crisis not just in san francisco but facing our state. one of the things that i think that we can agree on is that it is a really cold day right now. being out here on a cold day, i

think, it is a reminder, a sharp reminder of the fact there are thousands of people on the streets who don't have a home to go to, don't have a warm bed or a place when it is pouring rain or below 40° that they can go inside to be warm and safe. one of the things you will notice when you go inside here is the difference between how it feels out here and how it feels in there. even just having a place where you can be warm, where you can be safe, where you can be away from the madness and the dangers that people face who live on our streets is such a huge and critical and essential thing. when people get to be inside and not have to worry where they are going to sleep tonight or tomorrow night and be able to access services and have case management and have one work with them to figure out how to get off the street permanently is a huge and wonderful thing

for us to celebrate today. one of th the things about navigation centers. they make a commitment to the neighborhood. navigation centers make the neighborhood safer, they improve conditions on the streets here. as we make this commitment to people to live inside this navigation center we make a commitment to the people living in the surrounding community on the water front and south beach this will reduce the number of people living on the streets. we have a lot of work to do for the people who come in here, the people in the neighborhood and more work to solve homelessness in the city. housing is the answer. we know we need a lot more navigation center and shelter beds in the city. this is the third navigation center in district six. we are excited and happy to do

our part. as a city we need every neighborhood to take responsibility for addressing and solving homelessness. i thank five keys, the port and everyone who is a part of getting us this far. we have a long way to go in the city. i am committed to working with you, mayor breed, to make that happen and to everyone in the neighborhood to make sure this navigation center is a success. thank you. [applause] >> mayor breed: i appreciate your remarks. i would like to make it clear that as mayor i am responsible for the entire city. the fact is getting opportunities like this, finding land in san francisco to do say navigation center, to do housing is a huge challenge. wherever we have an opportunity to get a property like this whether it is here or anyplace

else in san francisco, we will take full advantage of -- excuse me. we will take advantage of the opportunity to do so. with that, i would like to ask for community member matt -- amy. excuse me. we will listen to you when we are finished with the press conference, if you don't mind. thank you. matt carson, who is a member of this community will provide a few remarks. thank you. >> thank you for giving me this opportunity to speak. i don't think i have done anything special to deserve to be here. i just own my home a couple blocks away and work in the neighborhood as well. i walk by this spot with my 2 year-old every day. i am incredibly fortunate to

have those things. when i walk unand down the embarcadero i see those less fortunate. it is appalling in the city, region and country with so much that we refuse to guarantee the most basic standard of living. those sleeping here are living here and they are our neighbors. when the mayor proposed the navigation center to help them, i raised my hand to says i support her. i want to raise my kid in a city that helps its people. my neighbors have legitimate concerns. i have seen shattered glass and half stolen bikes. i don't want it to get worse. the mayor and the supervisor and the city promised they will make it better in the neighborhood, not worse. i trust them.

if crime does go up they won't build any more navigation centers. she does need to build more. this is what a housing crisis looks like. this is 200 beds, but there are thousands of people on the streets in san francisco. we need more shelters and related services. we need more protection for renters. we need a million homes throughout the region. our region also needs a single seamless competitive transit system to have a chance of addressing the housing crisis and climate change. i thank the mayor and everyone involved forgetting this navigation center built so quickly. i want to say to all representatives it is time to be way more ambitious. thank you.

[applause] >> mayor breed: i want to take this opportunity to thank muhammad for his leadership in getting this built so quickly. thank you to deputy chief from the san francisco police department. we know public safety is important to the community. we know that the department has added additional resources to help ensure safety in this particular neighborhood. you know, it really did take a village to get this done. so many folks standing behind me and folks from the community. i want to express my sincere appreciation to everyone that has had a hand in helping to get this done. the love and care that you put into even as i just saw the landscaping and the flowers and just making it look like a home and welcoming people in with dignity. that is what our goal is, and to

get clearly people to help in the support that they need. this along with other navigation centers in the future and eventually more housing faster is going to get us to a better place not just in san francisco but in this entire state. thank you all for being here. now jeff and steve will lead a tour of the navigation center for those interested. thank you. [applause] [♪]plause] ♪ 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. [♪][music]

>> san francisco city clinic provides a broad range of sexual health services from stephanie tran medical director at san francisco city clinic. we are here to provide easy access to conference of low-cost culturally sensitive sexual health services and to

everyone who walks through our door. so we providestd checkups, diagnosis and treatment. we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the

first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic since all the way back to 1911. at that time, the clinic was founded to provide std diagnosis treatment for sex workers. there's been a big increase in std rates after the earthquake and the fire a lot of people were homeless and there were more sex work and were homeless sex workers. there were some public health experts who are pretty progressive for their time thought that by providing std diagnosis and treatmentsex workers that we might be able to get a handle on std rates in san francisco. >> when you're at the clinic you're going to wait with whoever else is able to register at the front desk first. after you register your seat in the waiting room and wait to be seen. after you are called you come to the back and meet with a healthcare provider

can we determine what kind of testing to do, what samples to collect what medication somebody might need. plus prophylactics is an hiv prevention method highly effective it involves folks taking a daily pill to prevent hiv. recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access

prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i

[inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. accessibility to the clinic was very easy. you can just walk in and talk to a registration staff. i feel i'm taken care of and i'm been supportive. >> all the information were collecting here is kept confidential. so this means we can't release your information without your explicit permission get a lot of folks are concerned especially come to a sexual health clinic unless you have signed a document that told us exactly

who can receive your information, we can give it to anybody outside of our clinic. >> trance men and women face really significant levels of discrimination and stigma in their daily lives. and in healthcare. hiv and std rates in san francisco are particularly and strikingly high were trans women. so we really try to make city clinic a place that strands-friendly trance competent and trans-welcoming >> everyone from the front desk to behind our amazement there are completely knowledgeable. they are friendly good for me being a sex worker, i've gone through a lot of difficult different different medical practice and sometimes they weren't competent and were not friendly good they kind of made me feel like they slapped me on the hands but living the sex life that i do. i have been coming here for seven years. when i come here i know they my services are going to be met. to be confidential but i don't have to worry about anyone

looking at me or making me feel less >> a visit with a clinician come take anywhere from 10 minutes if you have a straightforward concern, to over an hour if something goes on that needs a little bit more help. we have some testing with you on site. so all of our samples we collect here. including blood draws. we sent to the lab from here so people will need to go elsewhere to get their specimens collect. then we have a few test we do run on site. so those would be pregnancy test, hiv rapid test, and hepatitis b rapid test. people get those results the same day of their visit. >> i think it's important for transgender, gender neutral people to understand this is the most confidence, the most comfortable and the most knowledgeable place that you can come to. >> on-site we have condoms as well as depo-provera which is also known as [inaudible] shot. we can prescribe other forms of

contraception. pills, a patch and rain. we provide pap smears to women who are uninsured in san francisco residents or, to women who are enrolled in a state-funded program called family pack. pap smears are the recommendation-recommended screening test for monitoring for early signs of cervical cancer. we do have a fair amount of our own stuff the day of his we can try to get answers for folks while they are here. whenever we have that as an option we like to do that obviously to get some diagnosed and treated on the same day as we can. >> in terms of how many people were able to see in a day, we say roughly 100 people.if people are very brief and straightforward visits, we can sternly see 100, maybe a little more. we might be understaffed that they would have a little complicated visits we might not see as many folks. so if we reach our target number of 100 patients early in the day we may close our doors early for droppings. to my best advice to be senior is get here early.we

do have a website but it's sf city clinic.working there's a wealth of information on the website but our hours and our location. as well as a kind of kind of information about stds, hiv,there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for there's a lot of information for providers on our list as well. >> patients are always welcome to call the clinic for 15, 40 75500. the phones answered during hours for clients to questions. >> >>

everyone. thank you all for coming to our quarterly disaster council meeting, a few days before the holiday week. we appreciate everyone being here. i will -- i like to call the meeting to order and remind folks if you are speaking, if you have questions, if you're presenting, please use the microphone as we are filming this and we want to m