francisco. >> shop and dine in the 49 is a cool initiative. you can see the banners in the streets around town. it is great. anything that can showcase and legitimize small businesses is a legitimize small businesses is a >> all right. good morning, everyone. the meeting will come to order. welcome to december 12th, 2019 meeting. i am the chair of the committee. to my right is catherine stefani , to my left a supervisor shamann walton. our clerk is john carroll.

i want to think sentences who government tv for staffing the meeting. mr. clerk, do you have any announcements? >> ensure his silence your cell phones and other electronic devices. speaker cards that can be included as part of the file should be submitted to the clerk items acted upon today will appear on the january 7th, 2020 board of supervisors agenda unless otherwise super -- stated >> thank you. >> number one is a hearing to consider the transfer of a type 20 off sale beer and wine liquor license. >> great. let's have our al you come up. >> good morning, members of the board. board. before you we have a piece for the india sue brett. this would allow them to sell off sale beer and wine.

they are on plot 518 which is located in a low crime area. they're in a high saturation area. northern station has no opposition. we recommend approval with the following conditions. number one, sales service, and consumption of alcoholic beverages shall be permitted between 8:00 a.m. and 10:00 p.m. each day of the week. number two, petitioners shall actively monitor the area under their control in an effort to prevent loitering of persons on any property adjacent to the presence -- premise. it should be noted on november 21st, 2019, the applicant agreed to the recommended conditions. >> great. it looks like we don't have any questions for you. thank you. mr. kaplan? mr. paddock? >> we are the landlord of 3060 fillmore.

it is a project we have been working on for over two years. it is a combination of a san francisco first's shake shack restaurant, rumble fitness, and the brand-new custom concept partnership between center cal properties and michael mina restaurant group to bring a small format grocery store to the neighborhood. this concept will feature dairy products, eggs, milk, produce, fruit, greens, prepared and packaged foods, and custom beverages to the community. we appreciate you considering this motion and also referring the motion to the full board as a committee report for consideration for december 17th given our projected opening which is scheduled for the 1st week of january.

>> great. i don't see any questions. you can have a seat. thank you. vice chair stefani, this is your district and you are good with that. >> yes. >> all right. then we can prepare -- we can direct -- good point. do we have any public comment on this item? seeing none, public comment is closed. all right. mr. clerk, we will direct you to prepare a resolution finding that this licensed will meet public convenience and necessity i will make a motion that we forward that to the full board as a committee report with positive recommendation. we will take that without objection. all right. [laughter]

my snarky vice chair. thank you. very helpful. helpful and snarky. please call the next item. >> number two is the hearing on the coordination of data sharing between public safety departments as it relates to crime prevention and investigation. >> thank you. we have joined by our president norman he. this is your hearing. take it away. >> thank you, chair mandelman and supervisors stefani and walton for having this hearing today. in every aspect of the government, we spend a great deal of time talking about the importance of data collection and department coordination. this is especially true as we are trying to solve the complex problems like public safety and criminal justice reform. a few years ago, as my office was trying to really uncover the gaps of addressing the spike in

property crime, we stumbled across a little-known city project called justice. for the departments that are involved, this is very well-known, but none of us knew about it. it stands for justice tracking information system. it was established in 1997 to replace the aging cable system and allow various departments to coordinate upgrading they're outdated case management systems to speak to one another. on october 22nd, 2,000, the work of justice would rise to a desperate necessity. after clara joyce was murdered in front of her children.

the system failed to protect her despite over 18 months of reported incidents and arrests. sfpd, the district attorney's office and adults did not have a coordinated structure or culture in place to share the information needed to prevent this tragedy. i bring this case up because it serves as a reminder that data is meaningless. it is not used and shared effectively to share -- save lives and break the cycle of crime. i called the initial hearing to shed light on the work of justice. the hearing was illuminating -- the hearing that they are illuminating has drawn attention to this aspect of local government that had a lot of potential. very little resources were implemented. we asked a lot of questions here and so do our constituents, like how we are tracking crimes and

how do we identify frequent offenders who are responsible for a good number of quality-of-life issues. how are we doing with reducing crime? these questions can be answered in a holistic way once we have the system working. while the justice project spans 20 years, there was some progress made like notification safeguards and place -- and in place the departments coordinated. there is a lot of work that never seemed to order like fully getting us off the cable and onto the new updated system. at the conclusion of that hearing that i had, the board committee committed to ensuring that justice would no longer be forgotten, be a forgotten project and that this board would do whatever we could to get it unstuck.

weant to bring in new elements that can also provide better transparency and access to the public so today, i look forward to this board officially receiving an update on their plan and to help us identify what remaining gaps there are to ensure that we don't have to wait another 20 years to see this project fully implemented. i want to thank the leadership of the city administrator naomi kelly and rest of the justice justice team for taking this task seriously. they got to work immediately after the last hearing and secure an expert consultant to develop a five-year roadmap that is already in progress.

so with that, i would like to invite cindy administrator kelly to the floor to start us off. >> i am going to make a request. i think we talked about it in your office. we have several hearings today that could potentially become very lengthy in the interest of trying to get a handle on that, we will set time limits for speakers. if you need to go over you can, but we will ask this first presentation from mr. kelly set the time limit for 10 minutes. if that works. and then also, if colleagues can hold off on questions until the end. >> i will start the time. >> all right. i will talk fast. good morning. thank you, supervisor and president of the board for going over the history of justice and how it originally got started.

i will go quickly about two budget cycles ago. i transfer the operations of justice to the admin services department under the city administrator to the department of technology under the city administrator primarily because we were running into technology issues and needed the department of technology to help us focus in bringing justice to the no longer project but to the program. at the same time, the community on information technology funded the department of technology to enter into a contract to help develop a five-year roadmap to turn justice from a project to a program and identify the gaps of what we need to do to make this happen. we also address the governance issue and all of the department heads and elected officials, most of them, there was some great leaders like the sheriff and a few others who were attending justice council, but we were not coming to these meetings. we were sending our deputy or

our i.t. staff to the justice council. that created a problem with governance because we needed to elevate it and needed the decision and policymakers there to make decisions -- make policy decisions on behalf of the city. and really through the leadership of the president of the board, and very stern conversations with all of us, we needed to show up. we have. we have created an executive board were i would say the department heads and the elected officials are coming to the justice council to make very important technology decisions. having said that, all of those who were attending are extremely important to making sure this department -- those who were attending on our behalf, are extremely important to making sure this project gets across the finish line and becomes a program. as a result, in addition to our governance, where the policy decision-makers are there, we established four advisory committees. one on tactical operations and

maintenance, one on strategic technology, architecture, and planning, one on information and data sharing and another on oversight and performance monitoring where we have all the right technical people in the room and all of those who are dealing with the day-to-day operations of justice to make sure that we make it a program. i want to thank the department of technology, the share of's department, the d.a.'s office as they have some great technical folks there who are very helpful in making sure that we are doing the right thing and everyone else who is part of this group. next up i would like to bring up linda. >> i'm the director of technology and i would like to appreciate your time to share the justice roadmap with you. thank you very much to city administrator kelly for supporting and advocating for

this roadmap. this roadmap is a culmination of meetings that the department of technology held with 10 departments doing detailed walk-throughs of each one of the departments. business processes. this led to the roadmap that really addresses and aligns with the city's goals around criminal justice, addresses risk around our legacy technology which must be corrected, and aligns us with the court system which will be moving to a new software system and all of this needs to come together. and also allows us to establish the new data standards and analytics that we will need to really build that next generation of the data science and centre of excellence for data injustice and deliver the kind of transparency that you are looking for, and then also the roadmap served as the funding basis for the funds. so now i am going to invite joe

siegel from gartner who will walk you through the roadmap and the details. >> thank you, linda and good morning. i am joe siegel with gartner. i'm the vice president responsible for integrated justice consulting. it is a nationwide practice focusing on these sorts of issues going around. i wanted to briefly walk you through the process that we went through to create the roadmap and some highlights of that roadmap. there's a lot of information we can talk about in further detail , but recognizing we have limited time, i will keep the remarks at a summary level. we went through a process of interviewing 23 interviews and operational observations around the criminal justice community in san francisco to understand current practices, especially the current uses of data and how data impacts operational and policy level decisions in those various agencies and spoke to 129 participants over the course

of three months of data gathering data-gathering. we then took that information and combined that to create the future state vision. one of the guiding principles that are important for the city and county of san francisco to proceed in criminal justice and how technology can support those , and finally developed a road mac -- roadmap that is representative of those particular issues. over the course of that discovery exercise, we discovered eight or nine specific key drivers to the roadmap in establishing the vision. the first was related to quality-of-life and public safety outcomes. the policy issues that are important to the citizens of san francisco. as naomi mentioned a moment ago, we discovered there was needs for governance to have effective governance that represented all the agencies involved in was able to make quick and prompt decisions going forward. the technology platform as we heard earlier is currently based on some very old technology. the cable systems as they are

referred to. we saw the need for modern technology to be able to be leveraged for effectively administering the criminal justice going forward. that included reporting needs as well. finally, we -- our other subjects included the ability to ensure the criminal justice system and the data sharing in place is not disrupted as a court moves from the current system to the new system. similarly, there are system replacements going on in the various agencies as well. we also recognize there are resource constraints. there will always be resource constraints. we probably never would expect unlimited resources so it is important to have priorities and other elements defined in advance. finally, the last item on the far right of the slide as around community collaboration. it no longer is data sharing for criminal justice. it is actually a mechanism to reach out to the community. whether that be to community-based organizations,

individual citizens or otherwise one observation, we thought this was an important slide to show, is the amount of activity going on today across the city and county of san francisco. all those gold bars at the top of the diagram indicate a large number of system replacements that are going on today were system modernizations. this complicates the challenges of maintaining current levels of data sharing, but also enhancing them with so much change going on. this was another key element. coming out of that, what is the vision for justice going forward you can read the vision statement up there at the top. i will not elaborate on that, but maybe i will highlight the key objectives.

a key objective or part of the vision for the group is to be able to have data-driven decisions, both when dealing with an individual person and an individual that might be impacted by the justice system, but also to make data-driven decisions from a policy perspective as well. having that information available to make decisions and then to reflect on the impacts of those decisions going forward interagency collaboration, that is really important for this effort. transparency and equity, by having appropriate data and having that data be reliable and accurate, current and shared, allows the community to have confidence in the criminal justice system by having view of that data and making sure that data is presented in an appropriate manner. we did our operational efficiencies, there's lots of paper still floating around in the criminal justice system. so the importance of creating efficiencies coming to paperless and removing data entry and so on. as i said earlier, enabling continuance innovation to apply technology, to apply the latest technology. we have so many technology

enabled companies in place, we want to make sure that same kind of technology can be applied to the criminal justice system. and finally, the importance of having a secure, resilient and privacy protected system so the citizens of san francisco can have confidence in that application. the roadmap itself resulted from that vision. it has four major components. there is a schedule there that you see. we have a series of initiatives. there's about 25 initiatives that are in the roadmap today. each of those have a charter described. there's cost estimating for a five-year period five year period, and then we will call an implementation plan. i will spend a moment talking about the schedule there. we wanted to show you the rigour this is the summary slide that shows us 25 initiatives that are planned across justice over the next five years. we consider dependencies. they were kind of all stacked to the left because they felt

really important but we realized we needed to appropriately paste the activities over the course of the five years. that was the exercise and the result we see today. on the next slide, some of the key highlights i thought we would mention from them roadmap itself. the key priority is risk mitigation. that is the decommissioning of the cable system that was referred by president you. that is not only a risk mitigation exercise but it is an important exercise for the city to free it of this older technology and enable you to be able to use modern analytics and other kinds of tools available going forward. importance of having effective and efficient governance was there. but executive board established that the advisory committees are meeting now on a monthly basis and are starting to make real progress at making recommendations going forward. reporting and analytics, one of the things we heard as we talk to each of the agencies. there is an extreme need for better access to information and quick access as well so policy

leaders can make important decisions going forward. the roadmap calls for establishment of an analytics platform and progress has been made on that in terms of the cable decommissioning and establishment of a data centre of excellence which facilitates common methods for interpretation of this data by all the criminal justice agencies. recognizing the needs for continuous support for the superior courts, system modernization, as well as other agencies as shown on the other slide. all of these other -- efforts that i described her building the foundation to implementing innovations that are shown at the bottom of the slide, which include things like modernized integration platform which will even allow improved levels of data sharing going forward and master person management, which is bringing together information about a person across all the agencies. sometimes referred to as whole person care, again, to improve

outcomes and break the cycle of crime. it is such an important priority finally, again, using technology as a portal to the community in order to have increased levels of engagement and sharing of information going forward. it is a really quick summary. there's a lot more information on in the roadmap. i would invite you to read it when you have time. i will now invite rob to come forward and give you an update on where the roadmap implementation status now stands >> how much time does robin need >> just a few minutes. two slides and i will fly through them. >> let's say three minutes. >> okay. good morning. i'm the justice program manager with the office of technology. i'm proud to report all the installed apartment case management systems are currently connected to the data hub. justice serves the county as a central -- central data aggregator for the information sent between systems. we audit every transaction. in addition to the individual

transactions, we move large-scale criminal justice data between agencies. this warehouse of data is available for supporting and analytics. the business intelligence systems are being modernized through the five-year roadmap as discussed, and as part as the cable decommissioning which is right now our top priority for risk mitigation. the same secure infrastructure or data sharing highway is also being used to facilitate cross agency initiatives and multi- department grant solutions such as the domestic violence lethality assessment tool. justice is a program that is in full swing with the formation of the office of justice technology within the department of technology, and moving aggressively to decommission the cables at or before the time that the system is ready to go live. we have been working with departments to have a rolling decommission rather than one big bang event. this won't be possible in all

areas, but as we go through report conversion and replacement web development within the justice team, we are identifying where we can turn off systems in conjunction with the departments and the team that maintains the mainframe. as we perform the conversions for the departments, we're taking full advantage of any opportunity toward modernization and improvements, static reports will become dynamic using web technologies we are able to link the transactions together, reducing repetitive input time from department staff, which will ultimately provide improvements to the day-to-day business process. thank you. >> thank you. so what i would like to do right now is just ask some general questions of the presenters. that will set up the presentation of a few departments that will come up and talk about their role. so miss kelly, it is up to you

who will answer this, but justice has a vision and charter document that documents that is supposed to be updated. has this been done, and what was the process in achieving this? >> thank you. the original justice vision was back from 2003. it is in the process of being revised through the four advisory committees that have been set up to advise executive leadership at the executive board. >> any timeline? >> i would say within the next six months. the executive meetings, the council meetings have already been established for 2020. so the advisory committees have been working with a very aggressive timeline to not only take care of day-to-day operations, m.o.u.s to share data between the departments, but also to advise executive committee on a revised vision and charter.

>> okay. and related, as miss kelly already mentioned, the principles -- have there been meetings in terms of that discussion? >> what we have done is we wanted the advisory to get all the technical folks to weigh in on it. at our next meeting will be talking about the charter and the vision and the principles are there. they are coming to the meeting. >> one is that meeting? >> they are reviewing that meeting and they have a subcommittee level and then they will bring it back to the advisory board. we have a meeting in january. >> can you send me a reminder? >> absolutely. >> and then the workload question that i have, you have people basically that have been on this project prior to this

new effort using the cable system and so forth. so those staff members are continuing to do current work without the new system in place, and then who is doing the new system? and do we have enough staffing for that? >> i think of the -- each of the individual departments will come to you in their budget ask during this season, during the budget season. we do know that what we asked wiz -- was prioritizing optic cable three system. we have to do it because there are two people who are way past retirement age and it is something that if they should retire, then we don't have a system. so when this slide said risk management, that is key. we have been working and rob has

been working with the department 's team to make sure they have their existing daily workload but trying to help in the interim to get what they need done and also get off of cable three. i am sure i can't speak for the individual departments. they probably will ask for resources. >> it is really important that you take that into consideration otherwise it just sits there and existing staff will just basically get burnt out or nothing will move. i will request of this effort because sending you on a budget committee, a lot of times when departments come in, they come in with their ask and then this all gets absorbed into their department budget, but then we try to look at it from a project perspective. none of us will sit there and

try and figure it out. this 20 departments and it is hidden somewhere and what i would like to ask of this project is to come up with the consolidated budget so that we can understand the needs. that would be really helpful because personally, i want to make sure that it is funded. so that is my ask for the budget stuff. >> okay. >> right now -- >> i think supervisor walton has questions. >> okay. i have follow-up. >> okay. >> i was just going to ask some of the department folks to come up. thank you. >> right now -- i see a few of the department folks appear. i would like to give them an

opportunity to come up and talk about their piece of this and what they need. so first i would like to bring up our sheriff for a little while more. come on up. >> oh, my. have we communicated any time limits to you all? >> be very short. >> we are asking you to be a little short. >> thank you for calling this. my thanks to linda darrelle and naomi kelly, the city administrator, for the work they have done on this. i do not have a lot to talk about except to say that i fully support justice. i have fully supported it for a long time. i think many of us in the criminal justice world have been frustrated with the inability to get information that we need. this is like a giant reset

button being pushed and we are finally moving forward. so you had some questions and i am here for that. >> why don't we just wait for everybody to say something. >> okay. then i will just -- i have a few comments. i think what gartner has done is given you a five-year roadmap. they have sharp -- talked about their goals. when we did the reenvisioning of the jail situation, we had a very difficult time getting accurate information and we still have to get a lot of our information manually. i look forward for justice. i think i just want to second the fact that we need consistent and robust support for justice. all of us need it. it should not matter who is sitting where you were sitting, who is coming and going, it needs to be continuous and it needs to be consistent. and this will certainly -- as was presented, it will support

important transparency and accountability and informed decision making. something that we try to do the best we can, but we certainly need the resources to do that. in order to do that, we need consistent resources for everybody. including our departments. i kind of -- i like the idea, you know, i had a csa audit of my i.t. division a couple of days ago and they said i needed people. when i went to get the people, i didn't get them the first year. i didn't get anybody. this last year i got a few. we have been having debbie do this work for -- we have had deputy sheriff his doing this for many years. the resources in my mind need to go directly to justice and i would like to see them have independent the -- have the

capacity to work with our departments and be on loan with us. we know what the full amount of money we need and the investment that we should be making. >> thank you. nice to see you again. somebody from the police department. >> good morning. katherine maguire for the executive director of the san francisco -- executive director of the strategic management bureau. i am going to take probably all of two minutes, but i will take the first 30 seconds and acknowledge susan merritt to has been our c.i.o. for nearly a decade now. i get to stand in front of you because of all of the hard work that she has been doing and really get to say good things about how the police department has progressed. so i just want to say,

congratulations. she will be leaving us, retiring at the end of this year. so the things that the san francisco police department has achieved is we have moved off of our cable incident management system on the warehouse management system and the work that we have done to integrate into justice is an incident management system or the incident reporting module of the crime warehouse, is the vast majority of the information that justice is looking for. so being able to move to that system has really advanced as far down the road. very excited for the ideas and the concepts at the end of the justice roadmap of being able to follow someone through the

criminal justice system and understand how we can start -- serve better our community and keep the public safer as well as being able to address the behaviours that we might be able to do through that analysis. i'm happy to be a contributing member and happy to have advanced the data sharing and i'm excited about doing more discussion, more with the justice partners of what the needs are at the police department and seeing how we can better meet the needs and serve the roadmap of the justice program. >> thank you. >> thank you. >> next up i would like to have maria from the district attorney 's office. >> i am the director of research and analytics for the district attorney's office.

thank you to supervisor yee for your leadership on this issue. data and data sharing may not be exciting to some people and i know i am biased, but it is exciting. it is so exciting we are experiencing a data revolution right now in the private sector and the public sector. that is because with data we can accomplish so much good. data is fundamental to good governance. it is fundamental to core criminal justice operations and it is critical. data and data sharing are critical to achieving the policy initiatives in san francisco regarding criminal justice and public safety from mental health s.f. to the busing settlement, to reducing recidivism. every single one of our criminal justice and public safety initiatives relies on data to be successful. the justice program of san francisco criminal justice sharing hub. the small, but mighty team has

facilitated operations for two decades by enabling data sharing between the court, sheriff, and public defender. every single process and the criminal justice system from arrest to booking to charging to adjudicating, to sentencing to supervision relies in part or in full on justice. when they can, the justice team has only helped to realize policy initiatives. they assisted in automating a paper-based deal assessment transforming the assessment into a mobile application and providing a tool for first responders to keep domestic survivors safe. the justice roadmap process has been very productive and we have a really great plan. the district attorney's office is fully committed to supporting this effort. we look forward to more information about the governance going forward and more transparency about the budget. we are now at a critical moment at which we can elevate the work

of justice to fully realize its potential to provide the foundation to the criminal justice policy initiative now and in the future. but what do we need in addition to the roadmap? one thing we need as legal advice about datasharing as we enter a new era era of datasharing, there's a consensus around the commode justice system as well as with our partners in the public health and social service sectors that we need help figuring out how do we share information safely and securely while also maximizing the data we share to improve individual outcomes and system outcomes? to that end we sent a letter to the city attorney requesting that assistance. we also need you. i'm so happy we are having this hearing because we need to the board to continue to be engaged with this effort to make sure that we align justice and that technology with your policy initiative because data is the key to closing county jails to executing the settlement, to

addressing property crime, into reducing racial disparities. in short, it is the key to ensuring a safe and just community. thank you very much for your attention. >> thank you. i would like to invite our new d.a. i would not -- i will not be giving it to him. garner company could do it, but somebody should do it. next, i would like to call michael from the san francisco superior court. come on up. >> good morning, supervisors. i don't really have much to add in addition to what several of the other entities have mentioned and i know you are short on time, so very briefly,

i want to thank the city entities that have been working towards decommissioning the cable system. it is something that is crucial to get our case management system up. we are hoping that will happen in the upcoming calendar year. that will basically allow us to go wide with our system and in our quest to get there, we need to make sure there is validation involved processes so the court can get it up. i do want to thank the city and the board in this effort and we look forward to a successful implantation of our system to dovetail into the overall system >> thank you. >> there is about 11 partners in justice and in the departments. i'm not sure if you would like

to make a brief comment, really brief. any other departments? okay. i believe that supervisor walton had some questions. >> thank you so much. thank you for calling this hearing. and thank you to all of our justice involved and law enforcement public safety departments for coming in today. i do have one question as we talk about whether -- public safety and as we look at that. i'm glad we are modernizing and becoming more efficient. how does data coordination get used to help with informed decisions to close the county jail number four and significantly reduce in our jail population? i'm open to whoever answers it. that is why i'm glad everybody is here. >> please speak into the microphone.

>> good morning. i am with the safety and justice challenge which is an effort to work across departments to safely reduce the jail population and enclose county jail four. most of your familiar with this initiative. we have been one of the strategies we have been implementing through it are ways to increase our collaboration across departments using data to identify places where we can reduce the jail population safely. this maybe through strategies such as increasing access to behavioral health support, improving case processing times and focusing our collective efforts on frequent utilizers of the jail. all of these efforts as you can imagine require good data and good data sharing. through that we have in this ground project identified funds

to facilitate additional training and support to help us share data effectively and make sure that we have the slowing of information that we need to accomplish those goals. >> is there a timeline on whether we will have good information to know how we can reduce the jail population? >> we have a lot of information we have been gathering over the past year in terms of where we think we can make improvements. the project timeline is a two year timeline. in-line very much with the current roles articulated, but we expect to have ideas and proposals about how we can make progress before then and working on those strategies within the next six months to a year. does that answer the question? >> it does. i am not happy about the answer but it does answer the question. two years is too long for us to shut down the county jail. >> please let me clarify, two

years as the project timeline. that is not the timeline for goals and progress and we would be happy to work with our partners and others on the board to talk about reasonable timelines were or close the jail >> thank you. >> i guess this is more -- there is the cable system or whatever we are changing to or the new iteration of a system with justice, one of the issues going to the meetings and listening to the different departments go back and forth, and until we really, really solve this issue, we will probably remain stuck. this whole issue is about sharing data and yet this

reluctance or -- there is not enough common understanding how to share it, and we need to get over that. if we don't get over it, the supervisors 20 years from now will say what happened? because you could set up new things and do new things and you could keep on having the same discussions. i really appreciate maria mcgee 's comments about getting legal advice. this project should -- but to have a neutral person not representing any particular department to say what should be done and what shouldn't be done, otherwise i will have the same arguments. when you look at your budget,

make sure that you build that capacity into it. okay? >> to give you background on that, we're moving forward in that area. so first we have the advisory committee that is 100% on data sharing and the architecture of how we would share data. we also have been supplied with a city attorney from the city attorney's office will help us to feeling -- developing those m.o.u. we're using it as a template between healthcare. so healthcare has big data sharing needs as well. we have taken that template and are modifying that to look at how that would serve the justice community. we are rapidly moving forward in that area. but your point of leaning into that effort is well taken. >> i appreciate that.

again, this is about -- maybe it has been spoken to this issue about governance, but they're reformatting in the last year or so having these committees, has it been working? how many times have the principles met -- being responsible for the governance and policy decisions? >> a frequency as to how often the executive board meets? that is four times a year. that schedule is already sent out and agreed to by the criminal justice and public safety heads for all of 2020. the advisory committees meet on somewhat of a different schedule , so operations and maintenance is every two weeks because they're handling more of the day-to-day tactical issues that come up. architecture and data sharing is monthly, and those are not just

meetings to meet, those are work product meetings where we actually worked through the issues of the work that is being performed in between the actual all of us coming together in one room meeting. and then we have systems and large projects. >> somebody mentioned about the decision and in regards to this system and gearing up and thinking about the budget, has that been taken into consideration yet?

-- there maybe additional issues that surface as we move through. the initial investment for the technology side of the world was under $50,000 to get that data and to a sharing state. but again, as we learn more about the implementation of the decision, there maybe additional needs. >> in regards to -- this was in terms of the stakeholders out there and figuring out how to get information back and forth and more transparency. are there any attempts to reach out to the stakeholders to figure out what would be useful for people out in the community?

>> one of the things that justice will be working on through the roadmap and the business intelligence modernization that is happening as part of the cable decommissioning is to work with data s.f. to provide them regularly pushed data that meets with all of the criminal justice record information requirements. whether that is identified data, but basically to create a realtime transactional data repository that could be published to the public via data s.f. >> thank you. supervisor stefani? >> thank you. just a few questions in terms of the data sharing. are we talking about an integrated platform that works as an independent connector or are you relying on everyone to

share information into a system? [please stand by] we're able to alert the booking

deputies in realtime as they're across the counter from the offender being booked in. that this person is suspected of being on probation, which was exactly pointing to the clear joint strategy. >> okay. so with that system, are we able to tell whether or not certain sent -- departments are withholding information or whether or not inputting it complete information. how do we monitor what's coming to the justice system? >> right. to a degree justice is able to identify parts of that. that's being addressed right now actively within the advisory committees. i think to a larger solution of that, the county needs to get to a point of a common data and to what joe siegel had pointed out, via the roadmap, a larger object model for the criminal justice system within san francisco. >> okay. and then in terms of goals of justice system, i'm looking at all of the different partners

and everybody plays a different role in the criminal justice system, from our police department, the courts, our district attorney's office. what are the monday goals that -- and are there any that the departments agree upon, when getting together? like obviously to keep the public safe should be a priority, to reduce recidivism to keep guns out of the hands of domestic abusers. i mean, do we have a set of goals that we are looking at to determine what information should be input into the system? i'm just -- i feel like there's a lot of back and forth between the criminal justice partners. and i don't know that everyone is on the same page. >> right. >> and that worries me. because 23 we're not -- if we're just putting in information to a system, without guided principles, objectives and goals, what are we doing.

so i don't know if there's -- probably a report that i haven't read somewhere. but are there a stated list of goals that we can all agree on in terms of why we're connecting all of the information, what's the output here? >> right. i think for the goals of the criminal justice system in large, or as far as the city and county is concerned, i'd have to refer to the individual departments. as far as data-sharing goals, i think i can speak more to that. and the number one data-sharing goal that we have right now is to safely decommission the cable three legacy main frame system for the county, in conjunction with our courts partner going live with c-track. we desperately want to avoid -- what i desperately want to avoid within the county is having the courts facing the necessity to go live with the c-track system, that effectively decouples the courts from the city and

county's current data repositories now, which unfortunately have happened in other counties. so city and county of san francisco enjoys a fantastic partnership, unlike other counties, with their courts partner. and i definitely want to lose that. i certainly want to put the data in jeopardy with losing that. staphylococcus-- >> supervisor stefani: if there's a goals page in the report, that even created justice in the first place, i would love to see something that actually describes why we're doing this in the first place. thanks. >> supervisor yee: yeah. that's really a good question, supervisor stefani. i was probably focused on the minutia of getting a more robust system. and it's true. this is where maybe the executive committee could start tackling this very question, if we haven't done that already.

>> i think what's so important, and it's kind of like deep in the weeds, but it's fundamental, is the data-sharing builds so much efficiency in their business processes. that's always the first thing that our departments want to do is become more efficient. it saves their manpower, allows them to increase their capacity, et cetera, et cetera. so when joe showed you this little diagram here, where we talk about the ability to do data-driven decisions and that collaboration allows us to build the process efficiencies and reduce data entry, so not everybody is putting in the same data over and over again. that's always been number one. so that's really the very first goal. and now what you're seeing, and what i think you're questioning, is where do we go from here. so, of course, it's these data-driven decisions and you're looking for, well, what are those policy goals. that's really what the advisory committees will do together as a team. and that executive council will

start to say what do we want to accomplish next, now that we have this in place. >> it's a fine balance. i think i have heard a lot of criminal justice advocates talk about it. i think our executive board, and i know -- what i love about our c.i.o. linda, she sees a void and wants to fix it. i think the void is we need, what we had justice started in 1999 with with a case, it was started under the mayor's criminal justice council. that department doesn't exist today. we need a champion to deal with the policy. we need like -- the reason i transferred it to the department of technology, because we have technology problems and solutions and data sharing that we need to focus on. the policy aspect of it is what we're trying to avoid there. that's what we need to focus a bit on. >> supervisor yee: and i

think, supervisor stefani, why i keep on bringing this issue of governance up is about basically the yeses you're asking. what are the policies and, you know, it's something that we should not avoid, otherwise this -- what are we sharing it for. so appreciate your line of questioning. supervisor walton. >> supervisor walton: thank you, presidentie. -- president yee. just a question. is the department of police accountability a part of -- >> clerk: you will need to come up here. >> don't be shy. >> called it exactly, supervisor. i think that's what i'm known for, is my shyness. [laughter] we're just having conversations just this morning, just because everyone was here. i have worked with the justice and the mayor's office previously and with the d.a.'s

office in the past. but we have not been incorporated into the new reiteration of the justice yet. but we just started having those preliminary conversations this morning, when i was just talking to linda in the audience. i will say that before we were even able to have this conversation, as many of you may be aware, d.p.a., when i came over in 2017, was still on the norvel system, which pre-dated lotus notes. [laughter] and we were the only department in the system that was still operating on norvel. we didn't have computers. we didn't have the technology. so now we are all up-to-date with our windows systems. we're all up-to-date with the computers. we just got our new c.m.s. system a few months ago,

coordinating through bridge and now we're relaunching the website. i think part of the reason that we had not been at the table and participating in the past, was because we weren't able to accommodate whatever information could have come out or could have been shared with justice. and we're just now bringing ourselves up to that space. so this is a really exciting time for us technology-wise, specifically as we are launching our broader transparency and more of the reports, which we're going to talk about later on today. and we'll be able to share much more of that information, especially as it dovetails into some of the audit functions, that are expanding with the department of police accountability. so the short answer is not yet. but we're looking forward to sharing that information, analyzing that information and redistributing it amongst all of the justice participants. >> supervisor walton: i hope we see the equity issues that exist with the department of police accountability, first of all, having such anti-waited

systems suppose to play a role in oversight and law enforcement. i mean, disheartening is a euphemism for what i really want to say right now, knowing that i'm learning this information. but, secondly, this should already have been in place, d.p.a. should already be a part of the information-sharing system. and we will have further conversations about this. of course, this is not on you. i hope all of our partners in this room see the inequities that exist, having this information right now and how we should move forward, accelerate it, movement forward in terms of d.p.a. being a part of information-sharing. this right now is unacceptable. >> and later on i'll have more numbers to share with you about how that role has been expanding, specifically as it ties and correlates directly to the public for people coming in to address and receive information from the agency.

>> president yee, i don't have the ability to indicate my desire to ask questions. i have a few of my own. >> supervisor yee: yes. >> i want to thank you for calling for this hearing. also for your diligent and persistent follow-up on this over many, many years. and i think one of the things the city administrator sort of hinted at this. this is a very -- the presentation was quite technical and quite in the weeds about sort of the progress that's being made at the level of coordination across departments and data and things that are happening. but what is a little bit missing and why i think it is so important to have president yee involved over these years, the policy direction about what to do with data as it gets coordinated. and supervisor stefani suggested some possible policy direction of where it could take us.

and i think probably each of us on the board of supervisors has some ideas about what we would like to use data used to do. and i was not around here in 1999. so i don't know what it was like to have a mayor's office of criminal justice. i don't know if that is the right way to have executive leadership around this issue. but i have also heard from some of the advocates around things like, you know, jail closure and other things. that having some kind of office like that, that is trying to drive change from -- in areas related to criminal justice, could be really helpful. and this could be a super powerful tool. but that it's hard to use this tool if there's not clear policy direction and so in the meantime, president yee has kept the fire burning. but i do think it would be -- it may be worth executive thinking some about whether they want to take a more active role in figuring out how to use this tool, that you all are

continuing to work on. so thank you for doing that work. i have some, you know, kind of questions, one is a clarification based on the district attorney's office brief remarks. what is the two-year project happening in the district attorney's office? >> good morning again. josie with the safety and justice project. which is a two-year grant and apologies for speaking in shorthand, from the mcarthur foundation. >> got it. >> that focuses on safely reducing the jail population. >> that's the thing we're -- that solves all of our problems. >> yeah. exactly. have all of the partners convening on a monthly basis regularly. >> got it. we are due for an update at the board of supervisors. we talked about that probably eight months ago. and we meant to do an update on that probably two months ago and still haven't done it. count on us asking for us, several of us asking for one early next year.

>> any time. >> okay. fantastic. >> thank you. >> then i'm also curious about something that mr. siegel i think touched on. master person management. that was intriguing to me. you sort of talked about it, sounds like high users of multiple systems. but what is master person management? >> yes. so the concept of master person management is -- it actually starts in the sales role. sometimes where you have say customer records in multiple systems. you may have a customer that's purchasing a particular product, maybe a different service and other products. how do you bring together all of that information about that person, so that you can be more responsive to them. that's how that technology originated. for criminal justice what that's about, is bringing together records in the district attorney's office, the records that might be in the courts. the records that might be in the police department, perhaps even

external like the department of motor vehicles. and then even extending that beyond criminal justice to things like health care records, social services and bringing that all together, so that you can have a unified picture of a particular person. and the challenge of that is there's usually different identifiers in each of those systems. it's not as easy as it might sound to do that. there's technology that helps aggregate that information together. and the proposal is to do that for criminal justice. >> what extent are we doing that now? or is that something we're trying to build? we're not. we're trying to build the capability to? >> yeah. it's really extending. for an example, you may be familiar with the rap sheet, which is the document that's used for presentation into court of a person's criminal record. that's an example of doing that kind of aggregation. >> how far away from being able to do some of that are we? >> well, again -- five-year plan? >> the plan calls for actually acquiring some technology that helps do that in a more advanced

way. and then using that -- sorry, getting too geeky here, it's a service that's available for each of the departments. so that they can understand if they have a record about joe siegel, how can they relate that to joseph seeing -- siegel. >> are there places -- when you mention public health information, my year and a half of experience here is that information typically can flow to health, but not from health. that's generally how other systems use this. >> generally the case. >> it would be super great if when someone is booked, that information went to the public health department and somebody from the public health department says, oh, wow, okay, this person is in jail and we need to send a caseworker out there. >> that's right. some agencies are able to do -- you're right. the sharing is difficult because of hipaasome they could send an alert to pay attention for from the health department. >> who does that? >> sorry.

other entities? >> yeah. >> l.a. county is doing a little bit of that currently today. >> okay. >> there's pockets of it. always a barrier there. >> but there was a barrier to the criminal justice system letting the public health system know what's going on? >> other than subject to state d.o.j. requirements and that kind of thing. so certain elements like the master person number with the state of california, called the c.i.i. number is protected. so you have to be careful how you share that information. but it can be done. >> okay. okay. i think that's my question for you. i think this is for rob. what's your last name, rob? >> castillo. >> so i understand this again. because the courts are in the system now -- >> correct. >> very low level here. so that allows the rest of the system to know things like blank, blank and plank. >> right.

>> and if they were to fall out of the system, that would mean these departments would lose access to information about -- can you just kind of spell that out more. >> it would mean that the county of san francisco would have a massive data entry problem to solve. so the courts right now being integrated into the cable 3c.m.s. main frame world, that's a county system. provides us the additional charges to a case, dispositions to the charges, sentencing of the case, probation data, sentencing information and so forth. >> so the other departments are interested in that are the jail, the police. >> everyone. >> public defender. so if that information were not available from the courts, because they had had to break away from us, because we were lagging and they needed to move forward, with the integration had not happened, every other department would have to chase after that information and enter it themselves?

>> right. we would have to figure out what is the quickest way or best way to make do with wharf -- with whatever the court has, so we don't have some of the officer safety issues that do exist out in the world as far as who is eligible for a warrantless search, based on their sentencing and probation conditions, that arose out of the court's priority. >> police now know if they encounter somebody on the street -- >> who has the condition of probation that allows them to be warrantless. >> okay. that's important. and so so you all are again operating mostly at level, like let's make what we've got now work and consider things that may make sense, not a huge amount of policy direction on other things we want you to do with this data. but from your perspective, that's the highest priority right now is keeping the courts in the system? >> well, or working with the courts to -- like i said we're

basically on lockstep with the schedules for, you know, one of my team members is fully dedicated to the courts integration, more of my team will be over time, as we get closer to that date. so that we have all of the integration with the courts new system coming into justice, which then preserves that data transfer to the other consuming departments. >> and then i guess the last question. there's clearly the need, and we all experience it in many different hearings in many different ways for more coordination, both within the criminal justice system and criminal justice system to departments like public health and others. there's also i think, and this is a little not really what this hearing is -- what i think this system is, but the public also is interested in this data. and researchers are interested in the data coming out of these departments. and i guess, you know, another reason to sort of figure out justice and get it done is that that can become the basis. i mean, the information can be

released from the departments themselves. but could also -- but sort of coordinated data would presumably be even more useful for the public and policymakers to look at. >> and more efficiently done through a central aggregator. >> yes. we would be the central aggregator for the raw data. what i was proposing in my answer to president yee was basically to create that de-identified repository, that then would be pushed to data s.f. there's no point in us replicating the plumbing that is there in place for data s.f. to securely share county data with the public. so rather than do that, we would take care of the data side, because we understand the criminal justice data and the rules around it. and then once it's in a shareable state, use data assess mechanisms to do that. >> great. all right. thank you. thank you, president yee. >> supervisor yee: okay. i want to thank all of the departments that came and shared

their perspective on this. and i want to thank my colleagues on this committee for allowing me to do this. so the two things i'm focusing right now and i'm asking, i'll reiterate is this consolidated budget that we can hopefully support. and for this governance to take on some of the issues that we sort of raised and for me to ask after two meetings of the governance committee, whether it's effective or not or are people feeling like there's nobody in charge. i think the way we're structuring the executive committee is really dependent on each of the individuals that are part of the executive committee

to be willing -- willing to compromise and to do something that is good for the common good. and be less focused on just their own department. this is a bigger picture than one particular department. and we need leadership from the department heads. so i'll end it at that. and thank you very much. so can i ask that you -- >> clerk: let's see if there's public comment on this item. is there any public comment on this item? i will say words about public comment. speakers will have two minutes. we ask you state your first and last name clearly and speak directly into the microphone. if you've prepared a written statement, you're encouraged to leave a copy with the clerk. for applause or booing is permitted in in the interest of

time, avoid repetition of previous statements. come on up. >> oh, ken richard. did anyone take the initial report of requesting a coroner's inquest into the matter that was cited earlier, regarding the woman who may have been murdered by a known individual. also do any fines attach to noncompliance as far as turnover firearms in the t.r.o. issue. and where is the city in terms of processing cold case material. since a handful of researchers have been incorporating public ancestry websites in their investigations, they have solved dozens of children's murders across the country, for example, and solving cases going back as far as four decades and making positive identification of victims. i believe they've also uncovered at least several serial killers,

some retired into suburbs, others having died of natural causes. and i believe they studied the goal of the researchers today used to solve one cold case a week. as technology advances. and, yeah, fortunately an individual had them thinking outside the box and she had an adequate thought platform to post successfully against the -- [inaudible] and i was wondering if the master of management strategy, someone just mentioned if it was related to the work of ralph hu. he was a civil servant -- well, civil servant of the year 1968. i believe he talked political science. well, police science and wrote a book related to political science. >> thank you. any other members of the public who would like to speak on the

item before i close public comment. seeing none, public comment is now closed. [gavel] president yee. >> supervisor yee: yeah. i think one last thing that i brought up earlier, that i want to make sure that we do a follow-up is that justice is actually an administrative code. and i think we need to update that and to reflect some of the changes. so i will be working with i guess either mr. rao or miss kelly or probably all of you to see how we can get that done. probably the next time i will mention justice will be probably related to the administrative code. and i'd like to ask my colleagues on this committee to go ahead and close -- file this item. >> clerk: i'll make that motion. and we will take it without objection. [gavel] and thank you, president yee. >> supervisor yee: thank you.

>> mr. clerk, can you call our next item. >> clerk: item no. 3, the hearing on department of police cabinet operations on holding the police department accountable. the status of investigations and the fourth quarter final report for 2019, including the number of complaints of police conduct, complaints investigated, complaints closed, number of cases with sustained allegations, police officers involved in complaints, adjudicated complaints by the chief of police, and number of complaints still opened and carried into the new fiscal year. >> great. supervisor walton, this is your hearing. take it away. >> supervisor walton: thank you so much, chair mandelman, and thank you to everyone who turned out for this morning's hearing. law enforcement and police accountability is important to all of us. we have. >>recommendations from the department of justice on how to improve police and community. the department of police accountability is one entity created to.

>>achieve that accountability and make sure that justice is served when issues between law enforcement and community arise. supervisor haney and i invited d.p.a. to present their year-end report. our office is particularly concerned with police oversight and would like to hear how the oversight is happening. director hand is going to walk us through how a police complaint is handled. and we ask when you share your annual report, if you could also share how the new oversight is working with your partnership with the sheriff's department. and i would love to hear a brief update on that. so with that we have director hand here with the department of police accountability. thank you. >> clerk: director, henderson, how much time do you need? >> they've already told me to be

short. i will take five minutes. >> clerk: awesome. >> i will take five minutes. good morning. thank you, guys, for having me. so as supervisor walton explained, i have a number of things that i want to present. i thought also that part of the things that commission wanted to hear about was a lot of our reporting information. also a large part of what my presentation is to make sure that people know where this information can be found on a more regular basis. a lot of these things i'll be talking about are things that didn't exist in the past, but available to the public, so folks watching this will be able to access this and be able to manipulate or find the numbers that they need as well. and then i thought that you wanted an overview of the d.o.j. you mentioned some of that and some of our 1421 distributions anddy -- disseminations as well. i want to make sure that folks

know where to find this information and what actually is going on. a large part of what we have been doing, especially in year, some of our biggest priorities have been in drilling down op the transparency and reporting of information to broader communities. a lot of that, which i alluded to when i was here earlier, has been involving the new operating system, our internal operating system. in the past, that was really challenging and difficult. when i first came to the office, that was just two years ago. i mean, folks were still using typewriters in the office. and so we've come a long way. part of the maneuvering that we did around budget restrictions were bringing our challenges to the civic bridge program and working with them. so now our new operating system is running and we're still integrating a lot of the data migration. but we're excited about having

that information there. and now we're working on the new website. so the front face of the agency will be more accessible to a broader community. part of what we track and find regularly, and i think this is one of the things that i have been talking to supervisor walton's office about is how people can access and get our information. much of our information is disseminated weekly within the police commission. and all of that information is also available online from the police commission websites as well. so weekly the information that i download and give are the number of cases that have income that week, the number of cases closed, up-to-date for the year, the length of time that our investigations has taken, the mediation cases that have come into the office and the number of cases that have been sustained. all of that information can be found at the police commission website as well. monthly i submit regular reports

that include a summary of every complaint that has come in, as well as a number of the complaints. that includes a summary of the d.p.a. recommendations, that counter to that from the department, from the police department is under 96.2a. they are obligated to give us the status of sustained cases. we've been having some challenges getting that information back. but it's outlined in a report and i'll get to that on why it's important and what kind of information you get from that about our work and what the results of that work is, after people come to our agency and the work that we've done as presented. that information also is found on the police commission website, as well as on our website. the quarterly reports, which is we just had a big presentation about it yesterday to the police commission, because we just revamped how we do all of our quarterly reports. there's a lot of information that's in our quarterly reports.

we have always had an obligation to disseminate quarterly reports in past. they were several hundred pages of information. i don't think was particularly helpful of just stats and numbers. the new format of information is now much clearer and much easier to read, with graphs, so a lay person can pick it up and read and see quarterly what's going on with the department of accountability. i just want to mention because we just talked about it earlier, one of the things i think you'll be able to see there is some race data, in terms of who is coming into our office and the kind of information and complaints that are being made. [bell dings] i will say, because i just looked at it right before i walked up here, the highest identified race coming into and making complaints with the office are african-americans, at 21%, which is pretty high ratio. 33% of the folks that come in decline to state. but the highest identified folks

are african-american. would it be helpful as i'm talking about these things to give you the binders ahead of time, if you want to flip to some of this stuff? >> that would work to me. >> i'm sorry. i just realized that. i'll hand them out to you guys. >> thank you. >> i'll keep going >> that's serious. >> i know. a lot of stuff is online. but the reason that you're getting these big heavy paper documents is because i want people to see what was being presented in the past and what it looks like now and how easy it is to read and get all of this information that is all available on the website now. we've really put a lot of work into making sure that our information is transparent and accessible for the public. and i just wanted to show it so you guys could take it back. i know it's a lot of paper to read through. a lot of the stuff that you're getting is summarized in the annual report. so they include like in our

quarterly reports, the quarterly report, which measures the dates that casesium in and are completed, so we can track how long it takes us to do our independent investigations. that's really important. unlike a lot of other departments that do this work, d.p.a. is unique in the fact that our investigations are independent from the other agencies. we don't rely on the police department or the sheriff's department to just give us information. we conduct an independent investigation to come up with a lot of our findings with shared information. and so the keen report tracks when those reports come in, when the investigations begin and how we're completing that work. the sparks report, another quarterly report, our recommendations from our policies. in the past, there have been voluminous and numerous. we have limited it now to quarterly reports focused on the top four to six top issues.

but we've also collected all of that information and made it online, right. so almost any topic that folks are concerned about in the public, they're able to go in and access to see what recommendations the d.p.a. has made in that area, be it body opinion worn cameras, officer-shoveled shootings, researcher pros -- officer-involved shootings. that's all on the website. our e.i.s. reports, interintervention services reports. these are all things that are in the quarterly reports. we present them regularly at the police commission. but what i think is most relevant for purposes of this hearing and most relevant for you guys today is the annual report that you guys were previously given. many of the information -- much of the information in the quarterly reports are summarized

in the annual report. and so people don't have to try and stay on top of that information, all of the information presented in the quarterly reports and in the weekly reports are summarized in the annual report. so that people can watch the trends and measure and see the numbers about the work that we're doing and how it's being done. i would like -- i would say one of the things that i think is really relevant right now, that since taking over the agency and doing all of this work, focusing on outreach and improving the computer systems. we've seen a broad increase in the numbers in terms of people coming to the agency and utilizing the agencies. and while complaints with law enforcement agencies are down in the state and while complaints with law enforcement agencies are down in the nation, they've actually increased here in san francisco. i think that's in large part due to people being aware of the agency, what we do and how we do

it, as well as having the outreach and fixing a lot of our technology problems. so now people can make complaints and do things online and that was a real restriction before. our complaints have gone up in the first year. it went up 28% and then it went up another 19% last year. so we're up 52% in the past two years, just in terms of the number of people that are coming to our office and getting information from us. i have the annual report here. i don't know if it's helpful for you to walk you through some of the key points there. but all of our numbers are in there, as well as our statistics in terms of what we do, how we do it. but you think it's more helpful, i'm happy just to answer the specific questions that you may have. i mean, i can keep talking. if you have specific things. i know one of the things you wanted to talk about is what happens with complaints and how they come in and what that process looks like.

i have got stuff to talk about that as well. whichever direction you guys would like to take. >> supervisor walton: i would love for you to walk through what happens after a complaint. i'm not sure how deep my colleagues want to dive into the report. but i also have questions -- >> i'll bring up my team of experts to join me. and in the meantime i'll hand out an overview that may answer all of those questions. this is what i'm giving them. >> supervisor walton: thank you. >> good morning, supervisors. sarah hawkins, chief of staff for the department of police accountability. thank you for the opportunity for d.p.a. to share the work that we've been doing. i have with me sarah our operations manager currently. and we will be talking about what happens when a complaint comes to our office. so a complaint can be generated online, by phone or in person. we always have an intake investigator, who takes those complaints in, interviews the campaignant and then from there the case can take one of two tracks. certain cases are identified at an early stage as potentially

viable for mediation. so a case can be screened for mediation or it will go to the investigative track. a third option that i should acknowledge, it could be a referral. so a lot of people will complain about criminal conduct or conduct that involves, for example, sheriff's deputy or a muni inspector. and those cases get referred out. assuming that a case goes into the investigative pipeline, it is assigned to an investigator. that investigator works as part of a team. one of the things that director henderson and i did, when we started working at d.p.a., was change the structure so that there's a team approach. so each case is investigated by a team that includes an investigator, a senior investigator and a staff attorney, who analyzes at an early age any potential legal issues, search and seizure or the like. that investigation is completed. the investigation consists of interviewing civilian and officer witnesses, as well as

the named officer, whose allegation has been brought against, collecting documentary evidence, anything that is necessary to see what really happened. at the point of conclusion of the investigation, d.p.a. makes a recommended finding, that could be that we recommend sustaining, meaning that we found an officer to have committed misconduct. we recommend a level of discipline, in the department general orders. we men, if it's under ten days that we're recommending, that case goes to the chief of police, who either agrees or disagrees with us. we potentially have a meet and confer, potentially the case goes to a chief's hearing. if the officer wants to challenge the imposition of discipline, at which point the staff attorney, who assigned to the case, will make a presentation to a deputy chief and the named officer will have representation. and then the chief ultimately

makes a decision. if it's a serious case, where we recommend over ten days of discipline, that also goes to the chief. the chief either agrees or disagrees with us. and then it goes to the police commission. either the chief files the charges or we file the charges with the commission. and then it's litigated in front of the police commission. so that is the short version of the life of a d.p.a. complaint. >> supervisor walton: thank you. and can you share on the 1421. >> of course. we just did a presentation on -- we just did a presentation on this last week. so i have that information available also. and i apologize for not introducing these folks. that was my chief of staff sarah hawkins. >> good morning, supervisors. my name is dianea rosenstein. i'm a staff attorney at the department of police accountability. i have a brief presentation or i can give you an oral overview of how we're dealing with the newly enacted law. whatever you prefer. >> it looks really good.

just a few slides. >> supervisor walton: i would like to see a few slides. >> thank you. >> we just did a presentation last week. >> so in january, a law went into effect that made many of our previously confidential records public. and we have received a number of requests from various agencies, as well as news agencies for pretty much all of our records. unfortunately we have retained all of our records since our inception, which was 1982. and there are several requests. these are the different agencies and news outlets that have

requested our records. and there have been several requests that want all records that are disclosable, under this new law, for all officers retired and currently employed. which means that we've got 30,000 plus files to look through, to determine what information is disclosable. we've come up with specific challenges. as my director previously indicated, our data system collection was -- i don't want to use -- not good. i will not use the word i want to use. we did not save, categorize and keep track of cases in a matter that would make it easy for us to figure out which cases are disclosable. and i don't think many other agencies did either. because we had no way to predict that great bodily injury, for example, would be an issue or that dishonesty, as specifically

defined, would be an issue. so at this point we are tasked with creating a multi-level system to identify the cases that are responsive to these requests. and we have to, by hand, manually review each case to determine whether or not it falls into the rubric of disclosure. so we've dealt with a number of issues that have come up. for example, we have to redact a lot of information. but a lot of information in our files is handwritten. a lot of information in our files is not digitized. for example, interviews are still on cassette tapes. so those have to be digitized and reviewed and redacted. >> supervisor walton: is that still the practice? >> no. no, now we have digital recorders. the other issue that we've had to deal with is prioritizing the various requests. because we do have quite a few requests from the public

defender's office for cases that are currently active. and for people that are facing trial. so we are trying to do our best. but the bottom line is it really is requiring a person to pick up each file, to read each file, determine whether it falls into the appropriate categories, scanning it. and then redacting it and producing it. and most of our files are a minimum 100 pages, some are like officer-involved shootings are 15,000 pages long. so what we have been able to do so far is that we have -- we've identified over 5,000 cases that are potentially disclosable. we've reviewed about almost 2,000 of them. and we had disclosed 18 files so far, mostly officer-involve shooting cases, that were requested by the aclu and the public defender's office. those 18 files are -- were

cumulatively over 15,000 pages. we have 36 files that are various stages of production, meaning that they're in the process of being scanned and redacted. that -- i did a quick mathematical equation, which means that each attorney in our office, there's five of us that are doing this, are reviewing about eight files each working day, to determine whether they're disclosable, what we need to disclose and how we're going to disclose it. one area that we have completed is the sexual assault review. there are no cases to disclose at this time, in that category. and we've also done a separate -- we've done a multi-level review of the cases. and we have identified at least 244 officers that are currently employed, that have no disclosable records, because they've never had a complaint with our office. so that's great news.

going forward we do think that the future is bright for us. now that we have categories that are defined, we can proceed and specifically find evidence necessarily for those categories. we've also had the -- director henderson has created a new case management system, as he alluded to before. this new case management system allows us to identify each case to the very end with a drop-down menu as disclosable under the new law. so in the future, the data collection and the ability to identify these cases as disclosable is going to be extremely quick. i understand we also have had some funding for a web portal. i don't know that much about it. our chief of staff can talk about that. and we've also gotten additional funding for staff, that will be hired shortly.

so the future is bright. and we are working diligently to get as many records out as possible. we are in partnership with the city attorney's office to help us identify and define the cases that are disclosable, because as some of you, great bodily injury is a little bit of a fluid concept. with that, if you have any questions, i'm happy to answer them. >> supervisor walton: so i do have a few questions. in terms of sb-1421, how many outstanding requests are there? and who is waiting for this information? so like public defender's office, citizens, et cetera. >> we've completed in mole 11. there -- whole about 11. there's 16 more outstanding. you have to understand that several are them are for everything that we have.

for every officer that's worked for sfpd. we have a collective of news agencies that we have labeled kqed. we have completed for the most part the requests from aclu. we also have a pending request from abc news. several independent freedom-type web organizations, that are expressing to us that they want to remain anonymous. and the public defender's office. the public defender's office has several -- has over 30 requests that are individual requests, with various named officers. and then they have what we call an omnibus request, which is a request for all information, disclosable under all categories for all officers currently employed. and we are working with them to help us manage and become more efficient in providing them with information.

because up to now, we have received a lot of redundant requests that have caused us to be slightly inefficient. but i think we're working towards identifying a manner in which we can become more efficient. >> supervisor walton: what's your best estimate under the new system in terms of how it would probably take to turn over a request? >> so under the new system, moving forward, it's going to be relatively fast. so cases that have been identified, starting in 2019 as potentially disclosable, are going to be take several weeks. the big push is getting up to speed for all the of the cases that were created prior to 2019 and definitely prior to 2017, which is when we had the antiquated system. assuming it's going to take a good year or so before we get up to speed on the cases from the '80s and the '90s. >> supervisor walton: once we're up to speed, a couple of

weeks to satisfy a request? >> yes. >> supervisor walton: a couple of days? >> probably a couple of weeks. >> supervisor walton: and then -- so going through the annual report, if we look at -- i'm looking at appendix a, first page which if it was numbered it would be page 27. >> okay. >> supervisor walton: for those recommendations marked as "unknown," how long does it actually take to get a response? and is there protocol that's followed after that? >> so the reason why some of those say "unknown" is because we've never received information from the san francisco police department regarding the final outcome. i'm not sure if there's a new protocol in place. i'll letmy chief of staff speak on that. if you have more questions about sb-1421. >> i'm happy to answer that question. the way that we received kind of what i call the loop -- the closing the loop letter was not

streamlined previously. so, for example, i mentioned in terms of how a complaint works, that ultimately the chief, after a chief's hearing, makes a decision about what type of discipline to impose. and sometimes we were not notified about what happened next. we have fixed that. so now we should be getting that in a more routine way. it's still not the best fix. we are working with sfpd on a technology memorandum, so that we get this in a more automated, shared way. so there's accounting for human error, that will make this more efficient. >> supervisor walton: now when it's unknown, what happens? how do you get the information? >> we get the letter. we do data entry on our side. >> supervisor walton: and then i know currently the police commission is able to make recommendations. how does this work with the sheriff and what kind of report might we expect and when, with the new m.o.u. and the new --

the new m.o.u. that's in place? >> i'll speak a little bit and hand it over to director henderson. so we are just about completed with the grouping of cases that we were referred by the sheriff's department. so we have been focusing our resources on getting those investigations completed. and also hoping to hire new staff to work on those cases, in addition to what we've already had in place. so we should be able to review the cases that we've done and report out. i would think the first quarter of next year. >> supervisor walton: and how many referrals of cases have you had from the sheriff's department? >> so the number of cases that the sheriff referred to us was roughly in the 20s. but they grouped their cases differently than we do. so we group our cases by complainant. so let me get you the precise number, because i had our attorney, who is working on the cases, pull it for me this morning. the original spreadsheet from

sfsd has 20 cases for assignment. and then for us it turns into 37 cases, one of those cases had 24 complainants. so pretty high number. >> supervisor walton: i saw you step up, director henderson. >> i only stepped up just to correlate it up and we were given a staff of two with the budget process. but that's why it's been such a big interruption and such a big process for us, handling this volume and correlating that transition from the number of cases into actual number of cases, right. the number of cases doesn't correlate to the amount of work associated with, for instance, if i tell you, oh, there was an incident that happened yesterday, you just investigate that incident. well, that incident involves 17 people that each one has individual rights that you have

to follow and track down. that's just the way that we do it, in order to have independent investigations for these things, where we try to get could be rate -- corroborating evidence. the transition has been difficult, given the limitations from the budget for the staffing needs, for this work. >> supervisor walton: what's your pie in the sky f.t.e.? >> well, doesn't need to be pie in the sky. we can correlate it into what the charter mass mandated with the work that we've already done with the police department. if we were doing the exact same thing for the exact types of investigations. i think the budget correlation was 19 or 20. >> so under the city charter, we -- for the san francisco police department work we do, there's suppose to be one investigator per every 150 police officers. and so when we initially scoped out what it would cost, we would want to rebuild the structure

that we have with our s fpd work, which means senior investigators and attorneys. and i believe that -- i don't have the precise number, but around 15 to 20, depending upon how many deputy sheriffs are currently employed with the city. >> supervisor walton: that would be if you started receiving that volume of cases. because right now you don't have the same volume of cases. >> that is correct. right now the cases come -- >> clerk: please address the panel from the microphone. >> that's right. right now the cases come at the discretion of the sheriff. and they're sent to us. >> supervisor walton: i believe it's time for public comment. >> clerk: any members of the public who want to speak on the item -- i'm sorry.

>> did you want to hear the brief overview with the d.o.j. stuff? you told me you wanted to hair a little bit that. >> supervisor walton: yes. definitely. it's relevant right now. >> supervisor walton: yes. >> sorry. wall you're on point. >> thank you. i want to give a little bit of background before i launch into the specifics with the department of police accountability's role with the d.o.j. recommendations. so back in april 2016, after the mario woods officer-involved shooting and the discovery of race -- invited the department of justice to come in and do an investigation of the san francisco police department. when trump became president, he pulled resources from that project and there was no written report or product from the work that the federal department had done. so then mayor lee, at the time,

asked cal d.o.j. get involved and help. and obviously mayor lee unfortunately passed away. then mayor mark ferrell took it up and worked to get an agreement in place and the m.o.u. where cal d.o.j. would essentially be the oversight body, reviewing the progress being made by sfpd on those recommendations. so they are working with a third-party consultant hillard hines, the same consultant that was used by the federal government to ensure the implementation of these 272 written recommendations for reform in san francisco police department. what d.p.a.'s role has been is really being involved. there are five areas that were identified by the department of justice and the cal d.o.j. report. and those were use of force, bias, community policing, accountability, and recruitment and hiring. and d.p.a. has a unique role in being involved in working groups

that were set up for each of those areas. and then doing policy work related to implementing those recommendations. so the use of force work that we've done is extensive. i'm going to try to really hit the highlights. one part of it was bringing together stakeholders, working with the department and the commission to pass the new use of force policy. highlights include a more restrictive use of force standard than the national standard, that the department would use minimal reliance on force. that they would use lethal force as a last resort. it imposed restrictions on shooting at vehicles. it required de-escalation when feasible, created the crisis intervention team, so that officers are trained in crisis intervention when they're dealing with members of the public who are likely to be in crisis. and it prohibited the use of the cart restraints. in the area of bias, the d.p.a.

has been an active participant in the bias working group. and a lot of this work is done by our policy director. she's been working in the bias working group to re-draft the department general order, that deals with bias policing. we've also made recommendations that would require written consent for searches. the report found and national studies have shown that consent searches are -- first of all, people of color are searched more than people who aren't. the people who are white. and a lot of times asking for written consent is a better national practice. so we've made that recommendation in the context of the bias reform -- sorry. the bias reforms. in the area of community policing, we are working to revise the general order there as well. and then our work in accountability has been revising department general order 2.04,

which was passed by the commission recently. and spelled out the department's jurisdiction, the department of police accountability's jurisdiction and investigative authority. it codified the mandate that we investigate all officer-involved shootings. we have the jurisdiction to investigate complaints from government agencies. and that we work with the department to create a quarterly disciplinary review board. so what we're going to do in that disciplinary review board, supervisor walton, you pointed out the appendix, which shows what happens with disciplinary recommendations. so this board will meet on a quarterly basis, so that sfpd's internal affairs decision and d.p.a. talk about trends and identified trends and problems in terms of the disciplinary cases that we're seeing. >> supervisor walton: was it

hillard and hanson, is there work -- hines. is there work would you say helping you in your role? >> it has started to. so what happened initially in the first phase is that d.p.a. wasn't at the table essentially. and the reason it was cited was that we weren't part of the m.o.u. and so director henderson petitioned chief scott and president hirsch of the commission to get us invited to the table. since then we've been participating in biweekly calls. and have been involved much more closely than we were in the first phase. wall -- >> supervisor walton: i find it odd you have to be invited to the table and you're the entity responsible for making sure our officers are held accountable. >> we had that -- >> supervisor walton: a conversation for a different place and time. yeah. it just -- again it goes back to the inequality that exists. and what we're actually trying to accomplish as we try to make

changes in law enforcement. director henderson. >> i agree 100%. i echo those sentiments. it was really a challenge that work was being done without us being at the table, specifically as we were reflective of the direct feedback that was coming to the process from the community. the complaints were ongoing. and without having our input or collaborative information, it was -- that was frustrating. but we are at least part of the conversations now, if not reflected in the actual work that's being diseasemented. that's done disseminated in a new report that's coming out later on this month. i wanted this as a follow-up -- thank you, sarah, for that presentation. one of the things that she talked about earlier was the bias work. i think that stuff is really important. i will point out, as reflected

in the annual report, that you just got, the d.p.a. -- the first bias police sustained case ever in the history of san francisco, which is challengeing that this is where we are, but at least the work is being done right now, in a way that's methodical and thorough. so i hope people do take the time to go through the annual report to see and understand a little bit better about how the work takes place and what's being done. one of the other things i wanted to point in there, that's been done for the first time is the analysis of the recommendations from the d.p.a. and the end results in terms of what discipline -- what discipline is tied to the actual cases that come into the department. >> supervisor walton: two questions. one real quick. from the work that the state took over from the federal

government, i imagine there were resources, of course, that went to addressing the d.o.j. recommendations. did d.p.a. get any of those resources, after you had to fight your way into the conversation? >> no. no. [laughter] i'm just making sure. no. not one penny. but that -- and while that matters and the budget stuff is important, what's more important is just having that voice of credibility at the table, especially with the role that the agency is playing. not just with oversight, but the new audit function that the department is evolving and growing as well. that presentation as well will be presented january -- audit stuff? the first part of the year. >> february. >> supervisor walton: everything should be on record. that's why i want to state that. >> most of the records are in there in the annual report. we have covered a lot of things you've been asking about

already. >> supervisor walton: one thing on the appendix i did note, and at the end of this, i want to continue this hearing to the call of the chair, because there's more information needed. i see there was an agreement with basically 81% of sustained findings. but only 36% discipline. so i don't even want you to answer that question. we'll have a deeper conversation later. but that seems like a major discrepancy to me. >> that's why it's reported. you can't fix what you can't talk about. you can't talk about what you don't know. i mean, the whole point, which why i said that's in the annual report. people can see it and track it. before this information wasn't public and wasn't disseminated. >> supervisor walton: thank you, director henderson and to your entire team. colleagues, if you don't have any questions. >> thank you for having us. >> supervisor walton: thank you.

it is time for public comment. >> clerk: it is. if members of the public who want to speak on the item, we ask you line up over by the cameras. seeing none -- oh, here we go. you have two minutes. we ask you that you state your name. if you have written materials, you can leave them with the clerk. >> david elliott. so for five years, i worked as a trainer with the police department crisis intervention team training. for search i've been part of the mental health advisory working group or c. ism t. i have worked with sam on revising the use of force guidelines for the department general order. so i have some kind of background and sense of what's been going on. i applaud you for doing this hearing. mostly the police department responds to police commission requests. it seems like the police

commission, as by design, is the main sort of body that dictates what information this department will provide to others, what they will do. i think there's a role for the board of supervisors. and this hearing is really useful in that part. i hope this is one of many hearings that continue to ask the department for more, for working with other agencies and for doing the good work they are doing. they've done really good work. when you look at just c.i.t. in general, use of force, they've done much, much better. i know there was a recent officer-involved shooting, but it's been a year and a half since the last one. and two and a half years since the last mental health--- officer-involved shooting. that's remarkable compared to the way it used to be. i think c.i.t. works. and i applaud the work of the professional accountability and standards. they're doing really good work. [bell dings] and thank you for this hearing. i'll cede the rest of my time.

thanks. >> clerk: thank you. next speaker. >> hello. a number of years ago i saw an individual, a middle aged san francisco homeowner, a brain cancer survivor being stopped, questioned, searched and arrested while he had been walking his bike to to gallonnen gate park. the officers claimed that they wanted to search for potential warrants across the bay. his driver's license lists his san francisco address. there was actually no reason to associate him with the east bay. and the arrest was unwarranted, unjustified and unlawful in my opinion. and the officers were actually being -- you know, they were being immature, that's why i said that, they need better training sometimes. >> clerk: thank you. are there any other members of the public who would like to

speak on the item before i close public comment. seeing none public comment is now closed. [gavel] supervisor walton, it is your -- unless you have any concluding remarks? >> supervisor walton: just briefly. >> clerk: yeah. >> supervisor walton: one, i definitely want to thank director henderson and his entire team for the presentation this morning. it really is evident in terms of the inequalities that exist across departments. and at least the feeling of public safety about how important d.p.a.'s role is. it's a very important role and it needs to be recognized accordingly across the city, both in resources and in terms of how we treat the department of police accountability. so we will continue to be having those conversations. and i stated in public comment, there have been some shifts in terms of officer-involved shootings in certain incidents.

we still have a long way to go in terms of use of force. use of force complaints. of course, the disproportionately of people of color who are involved in those complaints and how we address those, as we move forward. so do want to thank you for the information provided, the quarterly reports, the annual reports. but i would like to continue this to the call of the chair, because we will bring d.p.a. back, as well as police department and other public safety providers to have a more full conversation, as we continue to adjust the issues that exist around police accountability. >> clerk: so i hear a motion from supervisor walton to continue with the call of the chair. we can take that without objection. >> mr. clerk, please call our next item. kick a resolution declaring a public health crisis on drug overdoses and drug use and urging the department of public health to present a comprehensive plan on how to address the crisis.

>> supervisor haney has joined us. supervisor haney, this is your hearing. >> supervisor haney: thank you. thank you, chair mandelman, and committee members. i'm going to just provide some introductory remarks to open the hearing and i'll pass it off to our friends from the department of public health. i want to also recognize and thank all of the folks in the room who are here for this hearing. and especially the people who are here from the organizations who are working on this issue every day and who are saving lives. i want to recognize the dope project, san francisco aids foundation, glide, st. anthony's, drug users' union, the drug policy alliance, r.t.i. international and health right 360. i want to thank again them for their partnership and all of the work that they do. i also want to ha thank the many residents and neighbors in

district 6, who have reached out with concern, urging my office and the city to take greater action. i think i've had over 20 meetings across the district where this was the main topic. and i'm glad that we're here today to be able to talk about solutions. you know, i think there's a lot that we are proud of in our city. there's a lot that i see in my district that inspires me and all of us around folks who are taking action for their neighbors who are in need. and relieving suffering. but there's also things that we need are serious challenges, that we need to respond to more urgently and more seriously. there are people in our neighborhoods that are suffering alone on the streets. there are small business people who are struggling to stay open. there are people who need treatment, health care and housing, who are unable to

access it. and there are people that are dying nearly every day in our city from drug overdose. it's critical that when we have something that is of such a concern, especially in a city that is as caring and is as committed, we respond to it with the urgency and seriousness to save lives and make sure we are providing care for people who need it. so with this resolution is recognizing this crisis and taking a stand to be unified, committed to call our drug use and drug overdose crisis what it is, a public health crisis. and demand an emergency response. the overdose deaths in our city have increased this year and last year. and each loss of life is unacceptable and devastating. people in our city are dying from fentanyl, meth and heroin overdoses at the highest rates ever. this drug crisis is impacting all of us in our downtown

neighborhoods in particular. and nearly every day i hear from constituents about how drug dealing, drug use and drug overdose are impacting their lives. i receive hundreds of constituent calls and emails on a weekly basis. and generally the sentiment is similar of concern. some of the things, just quoting from things that i received, how can a wealthy first-class city like san francisco leave people to languish and suffer on the sidewalk. why is it hard for people to get people the health they need. can we ring the alarm to get more state funding. in 2018, drug overdose in san francisco claimed the lives of 259 people. fentanyl overdose deaths increased 150% in 2018. and drug overdose deaths accounted for five times as many deaths as either traffic deaths or homicides. this is despite the heroic work our advocates and outreach workers do every day.

they save literally thousands of people on an on an annual basis, reversing overdose. this is a public health and public safety crisis. and we need to respond accordingly. the impact of these deaths and of drug use weighs heavily on my constituents, who want and deserve safe straight -- street. those suffering from addiction are also persecuted by the stigma against the disease. as a community, we need to act boldly and compassionately in dealing with substance-use disorder and drug overdose. what we're going to hear today is what this emergency response will look like, both what we're doing and what more we can do. we can no longer accept business as usual. we need comprehensive actionable solutions that address the core issues and change the status quo. there are a set of things that i've asked for the department of public health to respond to

specifically, in terms of what we are doing and what we can do more of. what we know is that we -- that every day people are abandoned on our streets or cycle in and out of emergency rooms. we lack the intensive case management to ensure people don't fall through the cracks. and we need to support the folks who are doing the outreach on the streets every day, with what they need to respond to this crisis. so the seven things that the department of public health will be addressing today is how to improve the overall response in outreach to people who may be using drugs, in psychosis or potentially overdosing. secondly, efforts that d.p.h. has made access to narcan. one thing that we know is that an opioid overdose can almost universally be reversed by the administration of naloxone.

and naloxone is are you teenlied a -- routinely administered by emergency services personnel, as well as outreach workers and providers, as i said, thousands of overdose reversals every year. third, what efforts are we taking to expand street outreach and use data that we receive on a regular basis to respond more effectively. fourth, provide regular reporting of overdose and overdose deaths and how this data that we're collected is used in the responses that we're taking as a city. fifth, how does d.p.h. plan to increase and support frontline emergency responders and public safety personnel. sixth, what has and what is a d.p.h. doing to identify and establish emergency, detox and drop-in facilities. and, seventh, any potential support from state or federal

resources. i also want to say that we recently passed mental health s.f., which will transform the way that we are coordinating people's care and treatment, as it relates to substance-use disorder. and so we may want to hear some also about how some early steps that we might take will address that. i know folks have asked also about more issues related to street-level drug dealing. this hearing is specifically more on how we are addressing drug use and drug overdose. we created a street-level drug dealing task force. held a six-hour hearing around drug dealing and have a number of things that are happening around that. but this is specifically focused on department of public health's response, which has been meeting this effort and has been a national leader in how we've

responded currently and in the past. and specifically with the work of the dope project. and, you know, i'm excited to learn from what we're doing. but also, you know, wanting to and we've spoken a lot about this to dr. colfax, knowing what we can do as a board of supervisors, as the elected representatives to support the work and to ensure that we're responding with the urgency and the breadth that we require to ensure that in the future we're not -- that things don't continue to go in the direction they are. so with that i'll turn it over to eileen from the department of public health. and again i just really want to thank you for your commitment and your work and your partnership, since i've been in office. it's really been a pleasure working with you and i'm grateful for the work that you do. >> thank you >> before you start, we gave you ten minutes for this. >> i'll be talking really fast.

so, good afternoon. and thank you so much for providing us the opportunity to come and speak about our efforts, that address the resolution. my name is eileen lockran. i work with the department of public health, in a branch called community health equity and promotion. i work directly with community-based programs that work with people who use drugs and/or are experiencing homelessness. so i'm here with my colleagues today, dr. phillip coffin and dr. judi martin. and we will be able to answer your questions at the end. but for the sake of time, we're hoping that we can just go through the presentation, which will address the issues that are outlined in supervisor haney's resolution. so the overview, as i said, will just address the issues that are outlined in the resolution. so we'll just jump in right now

with the data. >> so as supervisor haney nicely summarized, we had essentially a flat number of drug overdose deaths. if you look at the chart, the top of the lines is going to give you the total number of opioid, cocaine, methamphetamine deaths in san francisco each year. essentially flat through 2017 and increases in 2017 and 2018. if you look at the bottom line, that go up through the careen, those are opioid overdose deaths. in the purple, yellow, red is cocaine and methamphetamine deaths. cocaine and methamphetamine deaths essentially have been stable as a combined entity. they've just shifted from cocaine to methamphetamine. these are cardiac or cerebral vascular events. the opioid deaths were also flat, i think in large part to the amazing work by our providers and teams in the community. and people who use drugs on the

street, that have reversed so many overdose events. the increase is entirely attributed to fennels. as you can see on this slide, our prescription overdose deaths have declined, heroin overdose deaths have increased somewhat. the real increase, the jump is in fentanyl deaths over the last two years. there isn't -- you know, it's remarkable that we made it through the opioid crisis without an overdose death. there's no community that i know of, even with far more flexibility in services they can provide, like say vancouver, that survives the introduction of fentanyl unscathed. it is -- it is a challenging new drug on the street to manage. the project provides naloxone to lay people for overdose reversals. the number of reversals have gone up each year in a pretty remarkable fashion. they're on course for further

increase this year. 30s are reversals done mostly by people who use drugs for -- because they're the people most likely to be present in the event of an overdose. we've see an increase in the amount of naloxone administered by emergency medical services. i do want to say about the mortality data, we obtain that from the drug reporting system. this comes from the medical examiner's office. it takes the medical examiner generally three to six months to close a case. the other issue with the data is that we have relatively small number of drug overdose dates, because we're not a large city. the variation in overdose deaths from month to month is tenfold. there's a lot of instability in the numbers, which is why we report on an annual basis at this time. >> so san francisco has a harm-reduction policy. and it's been in effect for over a decade.

and that's the philosophy of really working with the individual to address their needs, to include them in their -- in any sort of service and care. one of the important things to recognize is that harm reduction is a continuum. and abstinence is a part of that continuum. and a lot of times people don't recognize that. some of our very successful harm-reduction programming is the syringe and disposal program, our naloxone distribution, medically assisted treatment, which is getting people started on -- often in the streets and the field in our outreach team and the sobering center. syringe access programs are really a gateway to services, a way to engage people into care. because we need to recognize that one type of service does not work for everyone. there needs to be different strategies to meet the needs of

the individual. next slide. so i'm going to share a slide that -- this slide shows the number of refills. and again this is because of the great work of our partner, the dope project, drug overdose project education program. what refills means is that they are coming back to a distribution site to get a replacement of narcan. it could mean that they did a reversal. it could mean that their narcan was lost or stolen. but you can see how that has steadily increased from 2003. and when i say distribution sites, it's not only our syringes access sites, but it's other programs that the dope project works really closely with to be distribution sites. for example, st. john's church in the mission or mission neighborhood resource center.

there are access points for this. another thing is the jail pre-release, where individuals who are incarcerated are able to get narcan put on their property, prior to release, if they have a history of opiate use. most recently there is project friends. and this is a program with first responders, who are able to be a distribution and training opportunity. this is through ucsf and san francisco general. it's federally funded. next slide, please. so we have many mechanisms that meet the needs of people who use drugs, because as i said, not one strategy works for everyone. and we have to just have multiple opportunities. one such opportunity is mobile health fairs, where we partner with multiple service providers

and bring services to the community and connect people. another opportunity is like supervisor mandelman's district, we have a syringe access site that has low-barrier medical services. we've been really successful at the sites, at that site getting people connected to bu bufenorphine. that's us just having to be flexible. there's also the mobile methadone van, the harm-reduction therapy van. under mental health s.f., we're going to expand and have a crisis team on the streets and it's just really listening to and meeting the needs of the individuals that are out there. for whatever reason, people are not going inside. we have to be flexible and creative. next slide. so one of the items on the

resolution was about how overdose alerts. we do a really good job with alerts. and i have to again give credit to our community providers. the dope project, in partnership with our syringe access programs, are the foot on the ground. they node what's going on. and as soon as there is sort of a spike in overdoses, they work to develop fliers, to developing messages, to engage in conversations with people who use drugs, so that that word, that message can get out there. to coincide with that, the health department works on medical advisories and that is also an alert that gets sent out to treatment programs, navigation centers, shelters, schools, et cetera. and we will expand that to include the board moving forward. so that you're part of the the alert. and then finally, the last

effort is acdc. the alliance for collaborative drug checking. and again that's something that the dope project collects drug samples that resulted in adverse effects. and they get those drug samples tested. and that gets reported back to the community. the flier that is there shows an example of how that messaging gets back to the community. [bell dings] >> so san francisco has obviously a range of different services in terms of treatment, that it provides from sort of prevention, early intervention, all the way to locked facilities. and many different access points for -- that people can access it. and really an effort to try to move people towards the lower threshold options, if they are -- if that's appropriate for them. the important thing is to have a variety of different services, to be able to meet an

individual's need, based on the issues that they're facing. in terms of substance-use treatment options, the residential treatment, i just want to emphasize, is really only one element of the -- of what's provided. and 98% of the residential treatment beds are filled by people who are experiencing homelessness. we also have a lot of -- the exciting things that we provide, not just as a treatment, but also as an overdose prevention tool, because of the nature of it includes contingency management, which is one of the most well-documented, well evidence-based programs for methamphetamine use. we have research straight out of the health department, including a study co-designed with director colfax, before he went to the white house, that demonstrated the effectiveness

of a medication, the medication for reducing methamphetamine use. i realize we're over time. cut me offer if you need to. the substance-use disorder treatment numbers. >> sorry. never. >> we have seen a slight decline in the number of people treated for substance-use disorders through our standard programs in the last four years. the alcohol decline, which is not within our treatment system, it's within primary care generally. the alcohol decline i suspect might be due to an increased use of medications for alcohol use disorder. because that's been a big push throughout the medical community. it's really kind of reintroduce addiction management back into health care, which it used to be very much separated. go ahead. >> sorry.

so we have our action plan broken up into immediate and then long-term. i'm just going to highlight a few of the items in the immediate. so as part of mental health reform, we recently launched findtreatment sf.org. and let us know the available treatment beds, which is awesome because it will also allow us to see trends and to use that data and to give that feedback back to our providers. why is agency x consistently have empty beds, where another agency is full. so that's something that we think will help us better serve the community that is suffering from substance-use disorder. we're also -- after the meth task force, one of the recommendations that was highlighted was the development of a drug sobering center. we're actively working on that. we are also looking to expand

hummingbird, which has been a very successful psychiatric respite. in addition to that, we are adding 62 dual-diagnosis beds. and that will be done in fiscal year 19-20. >> there are a few additional overdose prevention efforts that we've made. to be honest a lot of what we're presenting is a few -- a few of the things that are happening. there's a lot more going on, both within the health department and amongst our partners. we have a new project that just got funded to implement overdose prevention within s.r.o. buildings. this is a site where people oftentimeses are alone when they overdose. and so it's -- there's a new -- a different of set of challenges to make sure we don't lose residents in those buildings to overdose. we have ongoing research, reboot 2.0. we had a successful trial of a behavioral intervention, among

people at risk. and this study is a second follow-up, full trial that's being done here and in boston at the same time. we're really excited about. in addition in 2019, the addiction medicine service was started at san francisco general hospital, which is a really exciting opportunity to find people who have substance-use disorders, make sure they have the tools that are -- that we can provide them with any of the tools and options that we have available. and patient navigation on discharge to try to make sure they connected with whatever level of service is appropriate for them. >> we're also working to lower the barriers to treatment. we've heard from the community, we've heard from providers about the intake process being too long. so we're -- we have been working with our providers to address that. additionally, our biggest provider health right 360 has expanded their hours into the evening. so that's also listening to the community and having an

immediate response. we also are expanding tele buopinion. buprenorphine has been so successful. we're expanding opportunities to have that at points of contact, in addition to other syringe sites.

and then, finally, d.p.h. continues to be involved and support overdose prevention sites. so i know that was very quick. but we're now open for questions and our apologies for just going on. >> i have a number of questions. but do you -- do you have a particular way you'd like -- i know a lot of people, probably want to get a comment. and -- >> yeah. >> we can do questions first. we can do public comment first. we can do it any way you'd like. >> i'm going to do public comment first. a lot of people who are also experts as well. with public comment, they can help to add to the conversation and inform some of the questions that we'll have. and also the last time i did a very long hearing and left public comment hanging, so i'd rather make sure that everyone who is here to speak, has the opportunity to do that. is that all right? >> i'll call some names first.

>> we can sit down. >> you guys can sit down. and we'll hear from the blue card people first. if anybody else who wants to speak, you can come up as well. so after you line up over by the cameras i guess. that's the way we do it, all right. we have speaker cards for david lewis, javier, calder, kristin, laura, wesley, andy stone, ryan dell porto, miss ian, road, francisco and then i'll just reiterate that folks have two minutes. we ask that you say your first and last name clearly and speak directly into the microphone. if you've prepared a written statement, you're encouraged to leave it with our clerk. no applause or booing is permitted and in the interest of time, speakers are encouraged to

avoid repetition of previous statements. mr. lewis. >> thank you, supervisors, for holding this hearing. david elliott lewis. l-e-w-i-single-family. treatment on demand. there's been so many good ideas mentioned. i want you to applaud you for doing this hearing, for passing mental health san francisco. bravo, bravo, bravo. for the methamphetamine task force, supervisor mandelman ran. and this recommendation for more sobering centers. here's an idea, proposed solution that could be part of mental health san francisco, which is to create more peer or consumer employment opportunities to do outreach. , so the s.r.o.s and to the street. i think bringing in people with lived experience with eviction to actually do outreach makes a lot more sense. or maybe those people working in

conjunction with two nurses through street medicine. to bring low threshold buprenorphine to the streets. expand street medicine with more consumer, people with peer, with lived experience, paid to do street outreach, to both shut-in people in s.r.o.s, where a lot of overdoses happen, as well as to the street, where overdoses happen. it's a cost-effective solution to do it. and i think that it could be implemented through mental health san francisco, once the details of mhsf is worked out. so submitted for your consideration. [bell dings] for the future. thank you, supervisors. >> thank you. next speaker. >> good afternoon, supervisors. ply name is javier. i work with community housing pipe and i'm a representative of the treatment on demand coalition. again i want to thank you for holding this hearing today. i think it's important that in the wake of passing, you know, a

really groundbreaking piece of legislation, like mental health s.f., which is going to take long-term implementation, i think it's also important to look at it in -- from this perspective, too and what are some of the immediate steps. i also appreciate how this hearing so far has not been focused on some of the methods that have been used in, you know, generations in years' past, which is just increased policing. i think it's important to look at the alternatives, to police, because we know the data and the daily anecdotes that we hear from people with lived experience are screaming at us, that we don't need more police, we need more creative solutions. so i appreciate that perspective so far in this hearing. also i want to emphasize that that people who do work on the ground, like the aids

foundation, glide, the dope project are doing some incredible work around reducing overdoses. so it's important that we emphasize how well they're doing and to keep them funded and look for ways to support them. and finally, i want to say that -- [bell dings] things we can do now are to implement safe injection sites in the places that need it the most. and san francisco needs safe injection sites now. it's already been happening in philadelphia and it's been happening around the world. we know that that works. we need safe injections now in san francisco. the public wants. the legislators in city hall agree that it works. so we need those right now, too. i appreciate this hearing. and thank you very much. >> clerk: thank you. next speaker. >> good afternoon, supervisors. i'm lauras thomas, the director

of the san francisco aids foundation and a resident of district 10. thank you for holding this hearing and for acknowledging the role that community members play in reversing most of the overdoses that happen in the city. and i appreciate the focus on public health. i also would ask that you broaden this a little bit, while overdose may be a public health crisis, some of the things that we know increase overdose risk are more related to policing in the criminal justice system. we know that being incarcerated in jail substantially increasing overdose risk within the first 72 hours, after release from jail, as it increases the number of other health harms. so every time that we are incarcerating someone in jail, we're increasing their overdose risk. we know that increased policing increases overdose risks. that studies have shown, you put more police on the streets harassing people, moving people along, and people rush their

shots, they use what they have, they take -- they make the decisions the best they can. but it puts them at increased risk. targeted at incarcerating people who are using drugs are all going to increase overdose risks. i think it's appropriate to look at the public health system and what it's doing. we need to broad continue to the police system and the criminal justice system and see what they're doing, that is increasing overdose risks. and finally it wouldn't be me if i didn't say obviously overdose revenge sites -- prevention sites are a key part of the solution that we need here in san francisco. and thank you, supervisors, for your continued support for them. thank you. >> next speaker.

>> good afternoon, supervisors. thank you for your attention to this matter, particularly supervisors haney and walton for highlighting this crisis. my name is wesley and i am the policy manager at glide center for social justice. i am here to speak on behalf of our evidence-based harm reduction efforts in san francisco. and to avoid redundancy. i'll jump right to a few. so it's called for by today's resolution glide insists that any increase in street-level crisis response to address people who are using drugs, in psychosis or overdosing. we should prioritize the harm reduction approach. we need to -- these are just a few. it's not exhaustive. but expand the syringe access services and provide safe smoking and safe snorting supplies and decriminalize such equipment. people who use drugs may do so in a hygienic environment in the presence of trained clinical

staff. provide culturally informed mobile outreach, due to sweeps of homeless encampment. and we need to expedite the treatment of individuals who require access to hepatitis therapy, just as people diagnosed with h.i.v. are prioritized. thank you. >> thank you. next speaker.

>> it feels new because of the situation we're dealing with with fentanyl. but mostly just anted to say that what we need from city government is support around undoing the pretty abysmal policy that's on the books, including criminal size people who use drugs and people experiencing homelessness. and that's what we really need from y'all. we are out here addressing this issue. we have been, dope project has been around for about 17 years. a lot of programs behind me have been around for decades, addressing this issue. but we can't address what we can't control. so what we need from y'all is the support to undo that policy, so hold police and the department of public works and department of homelessness and supportive housing accountable as well. [bell dings] most of the people who pass away

from overdose in san francisco do so inside h.s.h.-funded sites. and so it's important to name that and i'm hoping that they can be in the room at some point as well. >> thank you. next speaker. >> hello. my name is ryan dell porto. i'm the overdose prevention coordinator at the san francisco aids foundation. thanks for having this hearing. i feel like there's a lot of good things in this resolution. and i'd just like to acknowledge that us doing overdose prevention work in san francisco has been doing amazing job. and with a lot of support from the department of public health. but, you know, with fentanyl the game has kind of changed out there. so we need to adjust. so i'm just here to say i support this resolution.

just some things i'd like to add that i feel like should kind of go alongside this is, you know, more training for law enforcement, paramedics, department of public works. a lot of those kinds of agencies can be barriers as far as like overdose response. you know, people get narcan thrown away by the department of public works, which, you know, puts them at greater risk. you know, police aren't very -- aren't very welcoming when they respond to an overdose. [bell dings] and paramedics as well. i just feel like some kind of sensitivity training can help and so it's more apparent that

they're public servants and they're to help save people's lives. [ >> thank you. >> thank you. >> next speaker. >> good afternoon, supervisors. my name is andy stone. i'm community mcconnell gages manager with -- mobilization manager. the reason why our -- one of the key reasons why our overdoses numbers are as low as we are, because we are working directly with people who are using drugs. they're out in the streets and have the resources that they need, including narcan, to

reverse overdoses and prevent -- preventable overdose deaths. this is really crucial. bringing these sites here to get the numbers even lower and prevent even more preventable deaths from overdose. thank you. >> thank you. next speaker.

and we just need to be doing more at this time. with fentanyl it's such a game changer and we're seeing an alarming rate of overdoses and people that use drugs deserve access to drugs they need to stay alive. thank you. >> thank you. next speaker. >> good afternoon, supervisors. i'm with st. anthony foundation. just want to acknowledge and

thank supervisor haney for calling this hearing. especially the dope project for training and ed calling our staff. and everyone who is experiencing hodgkin's lymphoma, that they're saving lives every single day. just want to get personal for a second and take you back to jun. when i noticed a man who was laying on the ground, holding his dog's leash at the bus stop. by the time i made it to the street, five, six people had walked right by. i asked the security guard at the hotel how long he'd been there. he said about an hour. immediately called 911. was able to relay, because i wear a radio sometimes up st. anthony. able to get narcan brought down and thankfully 911 first responders showed up. they were able to administer more narcan. that didn't work and they had to use paddles. luckily he was able to be brought back. but what i would say is for

someone to be lying on the ground in the city for an hour, i'm not really sure what else constitutes a crisis in this city on market street. i have lived in vancouver, i have lived in montreal. the anticipates to solutions are there if we don't need to reinvent anything. we need to listen to the experts and look at models used in portugal, in canada, across europe. supervised injection sites are the answer. and i hope all of you will support that. thank you so much. >> thank you. next speaker. >> hello. my name is miss ran. i work at the san francisco rug users' union. i'm going to echo a little bit the person who spoke first. being that during these issues, a lot of what we hear about is treatment and i'm a big advocate of treatment. but a lot of what we see on the ground level is that most of the people who come in have been to

treatment and successfully completed it numbers of times. so post-treatment there's not a lot of options for people, especially if they have like a rap sheet, because they've been jail to a bunch of times for petty crimes. so it would be helpful i think for my community and you guys to work more together in the future by how to like clear rap sheets or how to get more training for job skills, which is a thing that we do at the union. very low-barrier employment opportunities. because post-treatment, post-jail and i guess post a lot of programs not a lot of opportunities for this specific community, which i think you guys have seen. it's a revolving door, right. so, yeah. just a thing to think about. thank you. >> thank you. next speaker. >> my name is francisco decosta. i'm the director of environmental justice advocacy. we have a very, very serious

problem with the issue that's being discussed today. and you supervisors should think outside the box. we need a documentary where in all of the places there are first responders, they should be educated really on what happens when somebody is about to die. this is not a joke. now today i came, i was in the muni. we had two people fall down in the muni because of a drug overdose, opioids. then you walk by the bill graham, you see that. and children when they see that, it's not good. this is the city of st. francis of assisi. empathy and compassion. and all you supervisors have to

have your heart in the right place. it's not about money, this is about human dignity. this san francisco was where the united nations was formed. san francisco can lead, so like when somebody says, oh, we cannot do this in the '80s when we had the aids pandemic. we did it. we had like dr. silverman. i may have gotten his name wrong. i remember him. he was my friend. guys like that just did it. who is going to do it. people are dying on the streets. thank you very much. >> thank you.

>> good afternoon, supervisors and public safety. well, did you see what i see? ♪ did you hear what i hear about drug use everywhere. let ♪ let us bring, time to be aware ♪ ♪ time to care ♪ let public safety unfold let it mold. ♪ let it work ♪ you've been told thank you. >> thank you. next speaker. [applause] >> good afternoon, i were -- supervisors. i'm with the san francisco aids foundation. i'm here begging for a safe conjunction -- consumption site.

i have worked at multiple organizations dealing with this community. the safe injection sites work. we have documentation proving that. and the sooner we have that, the less people down the streets, we need safe injection sites. one-stop shops where we can have medical providers to get the help they need. thank you for having us here today. >> thank you. next speaker. [ please stand by ]

>> thank you. next speaker, please. >> brian edwards. i am a community organizer and advocate for the coalition on homelessness. if we really want to talk about what is responsible for part of

the rise in overdoses and making it difficult for people to get into treatment, we really need to have sfpd and d.p.w. here because this sweep destroyed communities, they destroy safe injection sites, i have been to three encampment his meat -- sweeps since november 25th. all of them were in your district, matt, and some of those communities existed for years and people to look after each other, i still, to this day , don't know where all those people went. there were people from, on house situations overcoming to those communities. they knew if they odd there would be someone there with narcan. there were five overdoses that were successfully reversed by other drug users in an hour and a half. some of those people that were displaced over the next month they will isolate. they will die. the city is destroying community work wherever it arises on the streets. and not offering services or any housing.

sweeps kill. stop sweeps they managed to place two people in a navigation centre and four people in seven-day shelter beds. is that a success? but for every hearing that involves vulnerable people at the city and homeless people, we need to have sfpd and d.p.w. here because they are the ones who are doing the majority of the interventions with our un- housed citizens and they need to answer for the damage they do. thank you. >> thank you. next speaker, please. >> thank you. i'm the director of the harm reduction therapy centre. we are an integrated dual diagnosis mental health organization. for 20 years, we have been offering integrated treatment in the lowest threshold drop in

centers in san francisco in most neighborhoods, not quite all. since january, thanks to some funding, pilot funding from the department of public health, we have been able to join our very effective and esteemed colleagues from d.b.h. who do public health work on the streets, and we have created treatment on demand centers, pop up mental health and drug treatment centers in six neighborhoods in san francisco. because we have established and become a hub for some of our own sites in addition to joining our colleagues with syringe access mobile sites, we have been subject to the same moving along of people that the folks who live on the streets have. we have been able to experience what it is like to be moved along and what it is like to be with the people who are being moved along.

i understand that there are efforts underway to perhaps develop a somewhat safer and maybe more stable location for multidisciplinary services. i would urge you to support all of those efforts and i want to just remind you that the biggest issue of problem substance use is trauma. and the prohibition and the coercion that goes with it is antithetical to motivation, but care and support are the things that actually drive motivation for people to change their behaviour. please keep those things in mind in regards to the people we are talking about. thank you so much. >> thank you. next speaker, please. >> good afternoon. my name is eliza. i ran the project for eight of his 18 years in existence. i want to echo what all of my harm reduction worker colleagues

have said so far today. i also just want to make a comment about the history of harm reduction. it is a social justice movement that is centred around the health and dignity of people who use drugs. it is not a public health intervention. and if you look at our sisters of the social justice movement, for example,, the climate justice movement were today, indigenous people and people most impacted, were ushered out of the decision-making rooms by police. i would encourage you to not make similar decisions and have the people most impacted by overdose and the harm reduction workers who are at the center of saving every single life of -- in the city at the table. it is actually our table. please invite the people who know best how to craft the solutions to make those solutions. thank you. >> thank you. next speaker, please. >> good afternoon. i am with the coalition on homelessness and i will not

pretend like i can speak to this point better than everyone who was before me, but i do want to echo the department of public health claims that most reversals are being done by drug users because they are on the spot and they are informed. contrary to the very large portions of this community. and to dissolve those possibilities of having a community that is present and informed while overdoses happen, i talk about the sweeps. it is killing people and it is absolutely making no sense to put law enforcement and public works in the place of other members that know what they are doing, that know the signs and know what to do when there is an overdose happening. i think, as the board of supervisors, you have the capability of supporting narratives that humanize these people that are on the street, regardless of how they ended up there and regardless of what

choices they are making with the options that they have. you need to rebuild the narrative around these people that is built around compassion rather than condemnation. thank you. >> thank you. next speaker, please. >> my name is lydia. i work with saint anthony's. i have worked there for the past 14 years. in my time there, through my education, most of which i received through our guests, not through training, has been it is time and attention. it is like taking the time and paying attention that garners the biggest ability to support people. with safe injection sites, with the ability to spend that time and attention with people, you can make real changes to help people to make choices for their lives. when you are approaching someone who is on the street and who is

in crisis, it is difficult to have a conversation with that person that isn't directive. we want to move away from that model and move into a model where you can take the time to listen to people and be able to understand. which is they need to understand the help in their lives. we lost two people this year at st. anthony's from our staff from overdose. we had someone overdose in our staff bathroom and we were able to reverse them. we do overdoses -- overdose reversals every week, two, three , four, five, 10. our staff, our onboarding, they are onboarding enormous amounts of trauma around these issues. mostly because they don't know how to help other than to keep forcing overdoses. thank you. >> thank you. next speaker, please. >> hello. my name is giant -- jane and i have spoken to you many times.

first of all, i want to echo every single thing that has been said before me because everyone is saying the right thing, but what i am here to say is to let you know what it is like to live at seventh and mission and let you know that this is beyond a crisis. if this was an earthquake, we would have an immediate response every single city department would pull out everything they have. this is as bad as an earthquake and we are not doing that. so i have talked -- all of my good friends of that department of public health of all the right ideas and we are all working on it. i read it will take two years to open the 24/7 a clinic clinic that we need. i watch reversals every single day out of my window. my brother died from a drug overdose. i know what this is all about. i know how hard it is and how long it takes to treat. but just reversing a drug overdose without offering follow-up treatment is sending that person right back down that

hole. so we need to absolutely escalate everything you have heard here. we need to put every single city resource behind it. we can't wait two years. i watch it every single night. i watched people revived, i watch people die right outside my window. it is not safe for us who are housed and live in the neighborhood. one of my friends testified yesterday. he is disabled and walks with a walker. he can't walk out our door and he can't pass down the sidewalk. all i am saying is this is urgent and this is a crisis. please act as quickly as you can thank you for bringing this forward. >> thank you. next speaker, please. >> i want to thank the supervisors were getting this hearing on today and thank matt haney for calling it what it is, it is an emergency and a crisis. i work at late harm reduction programs. the harm reduction -- there's a harm reduction t-shirt that says support, not punished.

it is a simple message but it is one that has not been inherent in the manner it needs to be. people who have substance use disorders should never be punished or having a disorder. they should be supported and programs should be saving people with dignity and respect and any time that the choice is, should i support or punish and you are choosing punished, then there is a problem with the paragraph that you are using and it will be ineffective. everything -- everywhere where we have had successful interventions have always had a nonjudgmental and a compassionate way of engaging those folks. normally people who use drugs are heavily abusing drugs in our front and center of those organizations. so we have to rethink how we are doing this and we have to expand on program models that are successful. the expertise in this room, in this community, we know how to do this. the department of public health knows how to keep overdose numbers down. those projects have done incredible work with minimum

resources and that's when -- one of the reasons why we have such low numbers here and we have benefited from not been contaminated in the drug supply. it is only going to get worse until we take more action and we have more resources. please direct your resources at the agencies that know what they are doing, that can engage the population and we can take this number down dramatically and any time you think a war on drug solution, law enforcement will never work when it comes to preventing overdose deaths. thank you. >> thank you. next speaker, please. >> hello. thanks for having me today. my name is william on the outreach coordinator for hep

pepsi prevention services. thank you for pulling -- bringing this up. at the end of the day, it has been said in so many different ways where it is needed, but i will say a little bit from my perspective as someone who is out there in the trenches on a daily basis. and who has been doing this work for almost 20 years in the city. i care deeply about the people that we serve. and as someone who, by necessity subscribes to the philosophy of harm reduction, because i do -- i believe in evidence-based and public behavioral health interventions, and that is what we do in harm reduction. we don't do opinion based treatment. unfortunately substance use treatment was for so long in this country. things are changing. [please stand by]

water and bathrooms. many people experience homeless use drugs to survive on the street. and when they lack access of basic needs, they can use unsafe ways that increase the risk and preventable overdose. we must ensure we respect the community of san francisco by guaranteeing access to basic

human needs and universal mental health access to everyone. safe injection sites are a great way to reduce disease like hepatitis c and hiv. we need to act right now. we need overdose prevention sites now. let's end the epidemic now. thank you so much. >> thank you. are there -- next speaker. >> a lot of the drug people are alluding to are highly toxic substances, these individuals are making bad choices and their vices are killing them, half of all iv users in the city have acquired hepatitis, it would probably require another quarter of a billion dollars a year to credit them with medication. drug use is sensation-seeking behavior. people may look like terrible wrecks laying on the street or

staring at a crack on the sidewalk but rest assuring they are enjoying their high if they are not having a psychotic reaction in public. i drove across mexico years ago, a drug gang dumped 35 bodies on to the highway. a couple months before i arrived and the drug gang disappeared, 40 university students a couple months after i left. we have been reading about communities in mexico being turned into war zones as gangs fight to feet american demand. i would like to know if there is an estimation of the amount of money being spent on elicit substances, how that money is obtained and if local police are working close with the f.b.i. over the remainder of the bureaus enhanced efforts. >> thank you. are there any other members of the public who would like to speak on this item before i close public comment? seeing none, public comment is now closed.

supervisor haney. >> well, first of all, thank you to everybody who came out and spoke. i'm glad we did public comment first because i think you all really added so much to the conversation and so many of the folks doing this work every day and have really been a part of where most of the ideas that are in this legislation have come from. and also i want to thank the dope project and the union, we did a lot of trainings in the community and here at city hall, and i think that was a powerful statement of the collective responsibility that we all have in the course of this epidemic. i have a few things. but i figure maybe you all might want to go first. i see supervisor stefani. >> supervisor stefani. >> thank you. thank you, supervisor haney for calling this very important hearing. and thank you for everybody who

came out out to come and for the presentation. and a few things i picked up in public comment that i wanted to just touch on. i liked what someone said about compassion rather than condemnation for those that are, of course, suffering from the disease of addiction on our streets. also what david said, i think it was our first speaker in terms of having people out on the streets with our peace officers and sometimes public works employees that have experience with addiction and who are homeless outreach team are people that are -- if we are making contact with people, we have to have people on the frontlines to know exactly what addiction is all about. and i think that that's something we need to get better at in terms of coordinating with responses to what we see on our streets. and i wanted to say something too that i'm very, very, very

familiar with addiction and have a lot of experience personally in my family and have been through the ringer on several aspects of this problem. i'm sure you look at me and you probably don't think that. and i -- when you said something about compassion rather than condemnation, i thought, of course, that applies not just to those who are using drugs but those, i think that are affected by people who use drugs, daughters, sons, mothers, fathers, public. and there are so many people that are affected by those using drugs. and i think we often judge those people as well. and i think we need to suspend judgment for all aspects of this

problem. and drug use is not always peaceful. and when we have to respond to it, it's not always pretty, right? and i think a lot of times we don't want to criminalize addiction, of course, but behavior that results in people being harmed because someone's addiction which i've seen in my own family that is very difficult. and the consequence of people's drug use, at times. and that has to be taken care of in a way that i think causes a lot of conflict. and i think we need to understand that aspect of it. i have so much compassion for people who are suffering from addiction. i think more than you will ever know. and i want to thank you, again,

supervisor haney for calling for this. i also just want to make sure that we are all on the same page in terms of understanding that not only is the crisis for those that are experiencing addiction, and we have to find a way to help them, whether or not it's increaseed use of narcan, making sure we have people going out with our police officers who do go out to get called to events that could harm the individual using drugs or somebody on the other side of that. and we need, i think, to have compassion for all those involved. and i want to continue to participate in the conversation and want to make sure that we suspend judgment and try to hold space for not just those that are suffering from addiction but

also those that are affected by somebody else's addiction. and like i said, those, the passer by, that's someone's daughter, that's someone's son. it's someone -- it's the police officer sometimes who doesn't probably even want to respond to that call. and i know that the sweeps are an issue, definitely. and you want everyone responding to someone that is suffering on the streets with compassion and not with aggressive force or anything like that, of course. but i just want us to try to hold space for the entire -- the entire problem of one's addiction. and like in 12-step programs, all the jum too, it's a harm reduction -- people judge harm reduction, people just

abstinence. it's whatever works for people trying to recover. it's one of the reasons in the program, people make a list of those they harm and become willing to make amend to those they have harmed. so i want to hold space for all of it and have compassion for every person that is touched by the problem of addiction. so thank you, again, supervisor haney for calling this very important hearing. >> supervisor walton. >> thank you. i just want to reiterate the understanding that, one, we know we have a crisis that exists in our city right now, and it is a health crisis. and it needs to be addressed as such. one of the reasons why i'm very positive and excited about mental health sf is because we will be sending out mobile crisis teams with medical and mental health professionals versus law enforcement. and that is an important piece of the work, because we cannot

continue to send folks out to work with our population that has addiction and substance abuse issues and try to address it with law enforcement and punitive means and strategies. and so we are committed as members of the board of supervisors to address this health crisis with strategies that are -- and responses that are under the lens of addressing this as such, as a health crisis. and we are going to be focused on doing that together, whether it is safe injection sites, sending out folks to work with our population that have the expertise, experience and working in our communities and with our communities that suffer from addiction. i did want to just a quick question as we talk about the street-based engagement strategies that you are

utilizing on our team. are you also working with the vehicle triage center? is that your team that's going to be out? >> we are not currently working with the vehicle triage center. but we are constantly looking at other partners that we collaborate with but at this point, no. >> thank you. >> i will echo the thanks of my colleagues to you, supervisor haney, for authoring this resolution and for your commitment on this issue, which is heart breaking and tragic. and i am struck, whenever we have a hearing that touches on these issues how -- we talk about the siloization of city services but how siloed our conversations about these issues are and the conversations of folks who are impacted by encampments are just completely -- the head space of folks who are experiencing an

encampment is in such a different place. and if there was some way to have these different conversations somehow like kind of engaging with each other as someone who is participating in both sets of conversations. i don't see a universe in which encampments are going to be allowed to remain in terms of the health of the people who are living in the encampments, i fully accept the healthiest thing might be to allow the encampments to remain where they are and i can't imagine in a democratically-governed cities that we are going to move to a place where the sweeps end entirely. i think the burden on the city is to find better, healthier ways of creating other spaces for people to be. and i think over the next year we need to take a hard look at whether our shelter policies are expanding the places for people to sleep in a way that gives

folks an alternative. are we giving people places to put their stuff so that their stuff does not become an impact to the community? are we giving people the places where they can use drugs safely? are we managing the ongoing addictions of people who have been to treatment over and over and over again? you can increase your funding for residential treatment beds and it's not going to work for everybody, and those people aren't terrible people, they just need a way to live. so i want to thank you, supervisor haney, and i'm eager to work with you on this. >> thank you. and thank you for your work and your leadership on the meth task force and the many hearings you've been in with this, and particularly looking at meth and how we can respond more effectively there. i'm going to -- because i

promised this wouldn't be a super long hearing, i'm going to sort of say a few things and that i would love to have follow-up on, and i know we are an ongoing conversation as well as with the partners in the room. so rather than having you come up and answer each of these things, i'll sort of put a number of things out there, and i hope we can find a time to have follow-up on these things. the first is i'm very excited about the street-based engagement. and one of the things that i would like to understand is how we have the level of street-based engagement that's necessary to meet the need and how we understand that and how we measure that. many of these things, whether it's the mobile outreach medical teams, encampment health fairs, harm reduction therapies, how often they are out there, how many people they are reaching, goals around reaching more people. and obviously in partnership and coordination, because often

we'll see there will be very large numbers of folks who are out there and having an understanding of how we are reaching them. and then under the harm reduction approach, the levels of engagement that we are bringing them into and how we understand sort of that set of goals that we have of folks who are out there. and i know that there are different areas and i obviously represent a district where there's a lot of this, but it's not only in district 6. this needs to be more of a citywide response. i live on haight and eddy and i walk to tenderloin every day and have some sense of what it looks like there. but i'm sure mission and haight street and other places as well and getting a sense of really what that looks like and how we can be more supportive. a lot of this, i recognize it's a shared responsibility, what more do we need to do under that? i went on a ride long with ems6 and thinking about the approach

they are taking and how this fits into this and that sort of model, you know, i think often in terms of the silos, people mention that h.s.h. and police and d.t.w. need to be a part of these conversations. i agree. there's also the fire department. i think it plays a role in this and sort of how they are being integrated in a way that's helpful and effective. the detox and drop in and sobering center conversation i think i still need a bit more there. it came up when i was meeting with folks who do street outreach saying this is a need we hear about again and again and there's not a lot of places for people to go. and i see there's some sort of longer-term plans around that. but how are we really moving with urgency in light of the emergency that we are facing to establish those locations and i know it was part of the

recommendation for the meth task force as well, but really moving much quicker on that. the data and reporting is something i would like to continue that the dialogue around, the fact that i'm still referencing 2018 data and we are in 2019. i would like to understand why we can't do better on that. i introduced an ordinance that maybe it's not do better, it's how are we -- what data do we have and how are we using that effectively to respond with our community partners to get the information out there to save lives and also as city hall more broadly, without knowing -- i have no sense of the sort of the trends or the locations, like as someone who represents the communities that are -- have a large part of the impact, i have no knowledge when there's huge amounts of -- whether it's

overdose or deaths on the streets that i represent, i have no knowledge. and it's not about me but it's about our city government and our partners and everybody knowing the data that they require to be able to respond. i love some of the comments about both peer outreach and how we do that effectively and post-treatment opportunities in terms of of the stepdown and what is the level of need in terms of folks who are coming out of treatment to make sure that they have housing available. i know this has been an issue in a lot of other hearings we've had as well. it seems like a lot of people said that -- and i agree that we have been a leader, and we've been doing a lot of things that are effective, but one of the things that changed in a big way is the introduction of phentynol. and i didn't hear how that has changed what we are doing and the response that we have. because things are different.

and we expect that in some ways it could get worse. and so how is this issue of phentynol changing the things we are doing as a community and what people are seeing and what the needs are? i absolutely -- we spoke a little bit about the connection between making sure treatment is available for people who want it, when they want it. when i was out meeting with folks and doing street outreach, there was some sense that some folks might be open but if it's come back the next day or the other day, and it's a lot of barriers to access. and there's not housing guaranteed on the other side. they might not want to participate in that. or it may be much more difficult for them to participate. and kind of as a general thing, one more thing and a general thing. the overdose prevention sites and safe consumption sites, i've been of the view we need to move on this immediately and quick

liz live as possible. i think that's been the view of the community as well. we are all in dialogue, many of the folks in the room along with laura thomas who is here and the mayor's office around how best to do that because of the legal questions. but we are going to push as hard as we can on that to make it happen as soon as possible. and a general thing and part of the reason why i introduced this resolution with others is because i think that our residents and supervisor mandelman and the community is demanding of us to understand the severity of the crisis that they are seeing and experiencing. and they want to see a response from the city that meets that crisis. and i sort of had a number of things that i thought would be the categories and there's a lot of stuff here.

i'm not sure i see something that is as big or as urgent in terms of addressing what's happening right now. and i want to understand what that would be, because we need to make sure the funding is there. we need to make sure the input is there and that there's the commitment from us as a city, because i think for a lot of folks, and i'm sure all of us are out there every day, what we are seeing, what we are hearing, who we are talking to, some of that may not be based on opinion, not on evidence, but we do see evidence of increasing overdose deaths. there's no doubt about that. and what we can do to stop that from happening and what we can do to address the broader crisis. i think it's our responsibility. and i hope that we can have bigger, more urgent solutions that meet the level of the crisis that we have. and i just want to end this by saying i appreciate your work, i appreciate the work of everyone

in this room. none of this is an attack on the work that's being done. it's a shared commitment for what we need to do together and what you need from us to be able to fulfill our responsibility to you and your work. and our responsibility to the residents and small businesses and everyone else who are screaming and yelling for more assistance. and so with that, lots of things to follow up on, and i want to appreciate you for allowing me to have another hearing here on this topic. and i know that we will continue the conversation, and certainly all of us will continue our work together to respond. thank you. >> thank you supervisor haney. i don't think we can have too many hearings on this topic. i do share your desire and interest to see us make things move faster and get them bigger. so thank you. i'll move we forward this to the

full board with positive recommendation. we can take that without objection. thanks everybody for coming out. mr. clerk, do we have any other items before us? >> that concludes our business for today. >> well, then we are adjourned. ... >> the office of controllers

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>> her administration has been so welcoming, so open can so accessible and on the ball and i am proud to call you my mayor. everybody, london breed. [applause]. >> thank you. first of all, thank you also much for being here. let's give brian and the q. foundation another hand. [applause] rhys isabel brought brian and other service providers who serve people living with h.i.v. in san francisco and wanted to make sure that i knew what people needed because i d