>> all right. good morning, everybody. welcome. i see we've got some niners fans in the house. i am michael lambert. i'm your city librarian -- oh, you can't hear me? how's that? i'm michael lambert. i'm your city librarian, and from the bottom of my heart, it just fills my heart with joy to see all of you beautiful people in this auditorium today. this is the first event we've had in the main library for 17 months, so yeah. thank you so much for being

here. i want to thank president walton, president of the san francisco board of supervisors for honoring us with his presence today and for all his leadership and support this past year. we appreciate you, president walton. all right want to thank thank -- all right. want to thank director davis and her amazing leadership. director davis, thank you so much. we appreciate your partnership. again, it feels so good to use this space after 17 long months, and as your host, i do have a little bit of housekeeping for you. the public rest rooms are located just outside the back door. if you follow the curved wall to the right. we have faucet water just across from the latino room where you're going to do some workshops later, and we also have two exit doors behind you

that staff can lead you out to the street level. with that, please relax, make yourself comfortable and enjoy your morning. for all the folks tuning in from home, i'd like to invite you all to visit your neighborhood libraries again. as of this week, all of our san francisco public libraries are open for in-person services again. and now, it's my pleasure to welcome dr. sheryl davis up to the stage. [applause] >> good morning, everyone. i know it's monday, beginning of the week. i think we can do a little bit more, little more survivors energy. good morning, everyone. yes. thank you so much, everyone, for being here. just really want to acknowledge

mayor breed and president walton, thinking about how we come back together, how we center the advances of community and come back to work. reverend fong has been doing this for a long time, who graced us with his present, and building up his community work and taking us up to the next generation, also thinking about brother damian, and we want to thank you for beginning this conversation with us, and i want to thank commissioner clapton for her work at the human rights commission. [applause] >> thank you so much, dr. davis. we are here because we live in a nation that was founded on violence, and one day, this day

will not end this legacy. but every day that we work towards changing this legacy is a day closer to peace and justice. when the human rights commission recon conveniented -- reconvened for the first time on facebook live, we actually became more accessible to the public. one of the first acts was for me to move the resolution that antiblack racism is a public health and human rights crisis

here in san francisco. and what do we mean by antiblack racism? when we talk about that, many of us, because we have been miseducated, and we have colonized minds, think that we're talking only about black people or people from the african diaspora. we are talking about white supremacy and the whole made up construct of race, and antiblack racism is the reason we have antiasian hatred, antitrans hatred. it is the reason why we have

misogynistic discrimination of women and people of color. the reason i talk about this in the history of our nation, which is based on stolen land and the forced labor of african people is because we are often, as in every day, all day long, inundated with the opposite information. we think that we are exceptional if we excel. we think that we are stereotypes when we fail. we think it's our own

individual problem when we don't succeed. together in the knowledge that we can make a difference together, that is the way forward. the other way forward, as alice walker said, to acknowledge our ancestors means that we are aware that we did not make ourselves; that the line stretches all the way walk, perhaps to got or to gods. we remember them because it is an easy think to forget; that we are not the first to suffer,

rebel, fight, love, and die. the grace with which we approach life despite the pain, the fear, the sorrow, is always a measure of what has gone before. we have young people speaking today and talking about their ideas to move forward. we have the elders speaking today to talk about what has gone before. we have to be together. we have to stand together. we have to invest together with each other.

the other initiative we finally took in 2020 was to reach a land acknowledgement for all of our meetings, and we hope for the board of supervisors and all city functions. to read the land acknowledgement that we were able to achieve under tribal leaders is [inaudible] and she is also on the american indian education parent advisory committee. we welcome our sister, mary

travis allen. [applause] >> good morning. so nice to see people instead of on zoom, where you have to mute and unmute. my name is mary travis allen. i was born and raised here in san francisco. lived in the tenderloin, fillmore, lakeview, mission district, so here's my roots. i'm honored to be here, to present this land acknowledgement on behalf of the original people, the ramaytush ohlone people. before this place was named san francisco, it was called

yelloto. most people speak of the original people of this land in the past tense as if we're no longer here. today, the remaining descendants of the ohlone people in addition to the other intertribal american indian people from many tribes continue to live in this city and the bay area. in this city, we have

established, with the help of the human rights commission and the board of supervisors, the american indian cultural district, which is one of two american indian cultural districts in the united states. [applause] >> thank you. we have received funding to help the housing, education, and medical needs of our community. we are now being recognized and uplifted and engaged in the decisions that affect our people. greg castro, who was the principal cultural consultant for the ramaytush ohlone worked with the human rights commission to develop the land acknowledgement statement. this is now read at the beginning of the meetings of the human rights commission,

board of supervisors, and has been presented to the san francisco unified school district commission meetings. this is the land acknowledgement. we, who are gathered here at this violence prevention summit, acknowledge that we are on unceded ancestral homeland of the ramaytush ohlone, who are the original inhabitants of the san francisco peninsula. as the original stewards of this land and in accordance with their traditions, the ramaytush ohlone have never ceded, lost, nor given up their responsibilities as the care takers of this place. as guests, we recognize that we

benefit from living and working on their tradition homeland. we wish to pay our respects by acknowledging the ancestors, elders, and relative of the ramaytush community and by affirming their sovereign rights as first people. to end violence, you must admit and acknowledge all oppressive action that have been imposed to cause people to feel desperate and homeless. elevate the people, hear their concerns, and help them to help valued and supported. thank you. [applause] . >> president walton: good morning, everybody. happy monday, and happy first

day of school. it is so great to see everyone here today in person. i know it's been a while, and this pandemic, particularly with the new delta variant, has done everything it can to keep us from being together again, but it is wonderful to see all of you. over these past 17 months, we've seen increases in violence and shootings, particularly compared to the last couple of years where violence had gone down, and we had seen decreases for a while, and we've lost too many people to violence, particularly gun violence. so before we begin today's session, i want to take a moment of silence for all people we've lost over the last couple of years to gun violence and murder. last week, we lost a 16-year-old, last week, -- last

year, we lost a six-year-old, so let's take a moment to remember all of those we have lost to gun violence. thank you. i do also want to just take the time to say i know we are tired of marching in the street, tired of having summits, tired of having conversations about what we need to do to stop violence in our community, tired of talking to mothers who have lost young ones and grandparents and family members who have lost loved ones, or just talking to family members who are survivors. i know as we do everything it takes to decrease violence, we still have to do it. we still have to continue to come together, we still have to come together to work on strategies to address the

violence that is in our community, and so we we will continue to do so. in my district, we lost two people in the last two days to gun violence, and this has to stop, and the only way it will stop is if we come together and continue to do the work. [applause] >> president walton: and our office has continued to work to address violence through a comprehensive safety plan, which also includes convenings like this, a violence prevention coordinator, increased resources from the city to address violence, best practices convenings, coordination with the h.r.c. and other city departments, street violence intervention and prevention team, s.f. safe, sfpd. of course, the mayor's office

with job provision and all ideas community has presented, and of course, all of our community based organizations and leaders on the frontline. despite our dedication and commit, we have seen too many increases in violence, particularly the last couple of years. we are nowhere near where we were in the early 2000s, but all violence is too much, and we take this seriously. in the last 1.5 years, we have had more shootings and deaths to gun violence than we can remember. more violence against communities of color, and we are all working together to stop all violence.

our summit today will attempt to bring us all together in the name of ending all violence. together with the mayor's office, the human rights commission, and i want to thank director davis and her entire team for putting this together, of course, the office dream team and all the work that they do, and the people on the frontline -- c.y.c., it's good to see you all here.

i know we have some members of united playas here, but i want everyone to know we appreciate your commitment and your dedication to stopping violence because that work that we do together is vitally important, even in the midst of continued violence. we see you, and we will make sure that we continue to support you. with that said, i do have the privilege of introducing our keynote for this morning's session. mr. david mohamed is not only the director of the institute for criminal justice reform, but he's an expert in working on practices that decrease violence and alternatives for incarceration. we're lucky to have some

mohamed in the bay area as we get to reach out to him for his expertise and input in this work that is important and necessary. i want to personally say welcome to mr. mohamed, let you know we appreciate your work. everyone this morning, mr. david mohamed. [applause] >> good morning. director davis, president walton, thank you all. i want to thank president walton for the introduction, but more importantly, for the extraordinary work that he and his team do every day to make san francisco a better place,

to make the bay area a safer place. i am honored to be before you for an opportunity that is going to be less a keynote address than preventing information. for me, it is awesome because this is where i've began my career in criminal justice. i'm a little old, so 1997, i

began going into y.g.c., juvenile hall. it was this specifically, teaching workshops, and continue to teach them in san francisco for years, and different than expanded in the bay area and throughout the state and indeed throughout the country. i want to say, i want to thank the commissioner for reminding us and reminding me -- i used to emphasize this point -- sometimes, i get so far in the weeds that you forget that this nation was built and founded on violence. and we can blame ourselves and our own community, and while

we've got work to do, we need to remember how we got here, and this is a nation developed and created on the notion of violence. it is not surprising given our founding, given the images that we have this country in our neighborhoods. so i want to thank the extraordinary leadership of president walton, of director davis, of mayor breed. san francisco is fortunate to have these extraordinary leaders in our midst, so thank you, thank you, thank you. [applause] >> and in addition, as president walton said here, the community leaders who do the work, day in and day out, night

in and night out, who was helping out with the work. the city and county of san francisco applied for a grant called calvip, the california violence intervention program. the state awarded that to san francisco. $1.5 million, $500,000 a year for three years. when a government receives that state grant, according to state regulations, you must give half of it to a local nonprofit

organization. the city selected svip to receive half of that award. also in that application were two technical assistance providers, the california partnership for safe abilities and the institution for justice reform. the part of the work which was even beyond the calvip grant was to evaluate gun violence in the city and county of san francisco. now many of us feel like they know of what our opinion of gun violence is, and we may be right, but we don't have an

entire picture of gun violence is in the city and county of san francisco. i'm going to go through this in a lot less time than i thought i had. they showed me a card, and i'll have to go a lot quicker. every individual homicide was investigated between january 2019 and june 2020, to try to get a sense of was something different going on during covid? the 162 homicides involve 329

unique individuals as victims or suspects, and the 82 shootings involved 86 individuals, so again, a detailed analysis of shootings and homicides. this just gives you, i think, as president walton said, we are concerned, certainly, about the level of increase in violence. we are nowhere near what it was in the early 2000s, and something happened with this huge drop that occurred in san francisco, which everybody in this room should be proud of, and a part of this initiative that i'm mentioning is an evaluation to try to determine, can we look back and see, how did we go from 98 to 45 homicides in one year -- i think it's 2008, 2007, and how can we replicate some of that

great work, even though we maintained that in san francisco, and we're seeing a spike now, which is clearly related to the covid pandemic. the full presentation is about 100 slides, and you're going to get about five of them. so a few headlines, surprising, i think, the average age of victims of homicide in san francisco are 37. some people, they are not surprised, but if you ask the average citizen of san francisco about homicides, they're teenagers, and it's related to drug. now we have some problem teenagers, and we've got some

with drug problems, but that's not the answer. now the average age of arrest for victim and suspect is 15, so very well known to the criminal justice system. one, this tells us that we can do better when folks come into the system in rerouting them and supporting them and not just filing them into the criminal justice system. and people involved have some very specific risk factors. i think what some folks in the city think is that everybody in the bayview is violent. they are a very small group

with very specific risk factors. we know them, we can identify the violence, and therefore we can prevent the violence. this is an overgeneralization, but when you take out the stabbings and beatings of the tenderloin, you get a slightly more focused picture of gun violence. there, the average age is 28. 67% of homicide victims and suspects and 85% of shooting suspects and victims are latino and black men while they kpriez less than 10% of the city's population. some slides to talk about the age range in who was involved in gun violence now.

there was a slight increase during covid, but the increase in serious crime of juveniles and covid is mostly robberies, not shooting. so just understand, when we're talking about gun violence, we're talking about adults primarily. we have the individual incidents of teenagers, and we understand, and they get more news coverage, and they stick in our head more, so we tend to think it is younger, but when we step back, it is young adults, people in their 20s primarily. people in this cluster of, really, 18 to 35, that is involved in gun violence again. again, it's male, black, and latino. a little older, 18 to 35.

serious criminal justice involvement, that is the population that is involved in gun violence now. known to the criminal justice system, and we have supervision, prior parole. 67% had prior incarceration. 62% were prior convicted of a felony, so a population we know, that we can put our hands on, that there should be a level of support. one of the things that san francisco has going on is a good amount of resources dedicated to people involved. but we have a problem all across the country of resource and need. the city of san francisco is

well connected to resources, but we have to do better to connect resources to the needs, and until we do a better job of saying even forces that need the resources the most and ensuring the connection with that, we're going to continue to struggle. all right. so there's some work on prior probation, prior supervision, active probation, prior probation, looking at the vast majority of people who were involved in gun violence are now or were previously under some form of corrective supervision. so we have some dynamics. so somewhere between 53% and 70% of shootings involve groups, right? some people might call it gangs. we don't call it gangs for two

reasons. one, it has a legal definition that we want to be leery of, but when we think of gangs, we think hierarchal groups. that doesn't mean it's gang against gang war. sometimes it is, but sometimes, we're fighting over a young lady, right? and i'm in a gang, rico's in a gang, we're going out with the same girl, and we're fighting over that girl, right? and now, our crews are involved, and exacerbates the beat, right? it turns out a lot of shootings are over there, but it involves crews. it's identifying people that are highest at risk so we can have quality intervention with

these folks. and then, there's a large amount of violence that's -- a lot of it is not shootings, the stabbings and beatings in the tenderloin, which, what i'm going to talk about for the rest is not that, but there is an issue to address there. so 18 to 35 black and latino males who have significant criminal justice involvement who are in crews or groups of gangs, many of them have previous gun violence or victimization or they've been or knows someone who has been shot recently, often in the last 12 months. me and my boy are in part of harbor road. i'm 27 with seven previous arrests, and now, i'm on social media vowing revenge for his

shooting. we joke with some of these young people, you snitching. you the biggest snitch on yourself on social media. so you can address social media and get a sense -- and let me just go with that same example of the here is i'm on social media, saying, they got my boy, i'm gonna get y'all, i am clearly the focus of intervention, to focus intervention on, to dispatch people who have experiences who can build a relationship, trusting relationship, and help them make better decisions. i'll end the assessment and move into the strategy and

close. these are just letters. we -- when we finish this assessment, we met with a group, many of them with svip. this is -- there's actual real group names behind this, mapping the alliances and conflicts that generate a lot of the gun violence, and some of it is individual conflicts that are exacerbated by group dynamics. and so -- then, there's several groups -- these again, we just changed the name because we don't want folks to be competing up there. but these are real groups, and you see there are some that are involved in a lot of shootings both as victims and suspects. and what we saw in the analysis is there's little to no

difference between victim and suspects. again, we remember the incident that involves somebody that's not involved in these dynamics because they get a lot of attention when a child is killed, a small child, or somebody -- i hate the term innocent victim, but that's used, and the -- that gets a lot of attention. that is not usually the case around shootings, right? victim and suspect look very similar, and what we know is, sometimes, you're a victim one day and suspect the next. all right. the map -- this was presented to the police commission, so it's a public document. we can make it available to folks. okay. that was the problem, and now, we want to talk about the solution quickly. now as we do that, before we do

that, i want to say this. i think this is one of the most important pieces of the presentation, and we need to understand what actions or programs or services achieve what outcomes, right? there's a few obvious examples. gun buy backs have no effect on gun violence. now, i'm not telling you not to have a gun buy back. it's great to have those, but it's mostly old folks getting rid of those old ones, and that's fine. there's certain things that achieve certain outcomes. you don't have to call a gun buy back violence reduction. call it getting guns out of the streets or out of homes. that's a great goal, and you should do it, but understand what activity achieves such result. generally, we're talking about

intervention and transformation -- community transformation. there are neighborhoods in san francisco that don't need a gun violence reduction strategy. there are other neighborhoods that do. i want our neighborhoods to not need a gun violence reyuck reyuck -- reduction strategy andee the -- and keep the people there, right? prevention is awesome, but we need to understand prevention and intervention are different and have different timetables.

it can't be either-or. it has to be both. if you are effective about saving those babies in the river, somebody else in the strategy, in the coordination, has to stop the man from putting babies in the river. there has to be both ends, but you see, those are two different activities. those are two different activities. in the long run, they achieve the same goal. one is out in the river, getting babies out immediately. the other, i'm stopping people from putting babies into the river, and one does not achieve the other, right? and so one is not better than the other. they're just different, and we have to do both and.

so with that -- oh, here we go. we often have this mixed up. i call this my rocket science because it's so simple, that desired outcomes should be aligned with our actions and programs. i was in another city, working on gun violence reduction in another city, and they said, we're going to start a mentoring program for students. while a mentoring program is wonderful, it will never achieve gun violence reduction because that's not focusing on the people who are the problem. but it won't achieve gun violence reduction if it's

perfect in the next 12 months, right? so the strategy, and i know i'm over time or getting close to time. four primary pillars. one, data driven identification of people who are at highest risk. so i talked about the analysis that we did. another part of that is a weekly review of shootings, to say which of these shootings have a likelihood for retaliation. if it's a one-off family issue that is a crazy issue that does not have likely retaliation, you move on. if it's a crew versus crew and it's likely to cause some retaliation, you say okay, who is retaliating, who is likely to be retaliated against, and who is going to be retaliated,

and then, you inform them of their risks, similar to covid. people over 65 or people with underlying health conditions, we need to let them know, if you contract the virus, your likelihood of contracting the virus is exponentially more than someone else. same thing here. they need to be informed your likelihood of being shot is higher than other people. you need to be informed, but you also need to know. and then, focus enforcement. you need to reduce the footprint of law enforcement and focus on serious crime and

violence. reduce gun violence and also reform policing, which means stop low level enforcement of drugs and containers. if you stop doing low level enforcement and focus on serious crime and violence, you can effect public safety, so we talked about the risk factors of the people at highest risk. we talked about this already, and this is an example of how we implemented this in oakland, just as an example. used to be a reentry case

manager, but a reentry case manager's job is different than a life coach whose goal is to reduce gun violence. i want to emphasize this as much as possible in terms of goals and how your activities are connected to your clear goals. case manager, reentry, the goal is to not recidivate. that has some overlap but not the same as my pure goal is to get this person to not shoot each other and not get shot. clients are eligible for financial incentives.

we have improved coordination and employment, there's mental health services. there is quite a community of services. now, this exists in san francisco, and we want to focus the coordination. in oakland, we have 35 people to focus on this population, and it's been effective.

the live coaching is around relationship first. this is what is different between service brokering case management. it's about relationship first, and what this means is i'm going to spend time with you, i'm going to get to know you, i'm going to share myself with you, and when you build that relationship, and it allows you to get a mentality shift and then asking for services. you've got to know you are

building a relationship with them. so this is kind of how it works. i'll say this for, like, one minute. relationship, i can't emphasize enough. when you have a [inaudible] but he is my friend, and so i watched it. when you gain a relationship with someone, then you're able to influence them. it's having a relationship and guiding them to make better decisions, and better decisions produce better outcomes. so in oakland, we had six consecutive years of decline, 2020, at the end of march, we had a 38% year-to-date

reduction in homicides. it would have been the lowest homicide rate in the city's history, and then covid hit. so i want to close just by saying so where we are is svip are hiring these training coaches. we have hired two of them so far. so it's not enough, and we want to increase this level of work. we need every agency working together to solve this problem and to reduce this issue of gun

violence that we have. it's going to take all of us working together. we want to support the organizations doing incredible work right now to help them, a, get information to focus on the right people. or we need some support on these are the do's and don'ts in this population. we need to expand it, right,

and we need to coordination it together, and we will achieve extraordinary reductions in gun violence. thank you very much. [applause] . >> well, let's give it up again for david mohamed. [applause] >> this work is extremely important, and we want to really center everything when it comes to violence prevention on everything that happens throughout the day. we want to give it up for all of you for being here, but more importantly, we want to get the conversation started. so our first panel today is centering around this idea of cross cultural community connections, and we have a set of power house speakers for

today's panel. so with that, i'll go ahead and get started. we'll get started with joe jackson morgan, who is the executive director of third street youth clinic. we've got jose yanez [inaudible] de la raza. please welcome cynthia choi, codirector of chinese for affirmative action. an attorney by trade is also the secret of the affirmative action center for northern california. please welcome hillary nakano. [applause] >> please help me welcome patsy

tito, executive director of samoan community center, and please help me welcome nakira jackson, executive director [inaudible]. [applause] >> all right. first of all, how are you doing, and thank you for being here, and let's give them a round of applause. before we hop into it, just a few ground rules, and just expectations throughout the day as we do know some of this could be triggering, especially when we're talking about violence. so for those of you at home, and those of you in space, if that does become something that you're triggered by, we invite you to take space and get in a space where we can process that. we want to make sure this discussion is a healthy one for

all of you watching at home, as well. with that, we will go into this idea of cross cultural efforts. what do you see as similarities and differences in violence prevention and safety and approaches in your community? now before we start, we're running tighter than a holiday budget on time, so if you all just think about one song, think about the time it takes, too, because we're giving you two minutes. we know you get passionate, but we don't want a hard-and-fast time. what do you see as similarities and differences between violence prevention and safe issues/approaches in your communities? we'll start off with hillary. >> good morning. my name is hillary nakano. cochair of a group called

japantown for justice. we are based out of san francisco japantown but were built out of this idea that the japantown community needs to be better supportive of our neighbors in the fillmore and the western addition and needs to build that relationship where we had preworld war ii where our communities were living side by side, and we had black people that took up the japanese american property when they were incarcerated during world war ii, so we're trying to built those relationships between the communities again. i would say in our response to violence, in the japantown community, they are -- or i say we are trying to advocate for more police involvement, and that's not necessarily something that the fillmore or

the western addition community is advocating. i wouldn't call it a tension, but it's a difference in response. and in the japantown community, there's this idea of we should have more security cameras, we should have more foot patrol officers and just make sure that there is a greater response in action, and in the fillmore, the western addition, we're not talking about having a greater police involvement, we're talking about what are the relationships that we can build so that we can make sure that we're addressing mental health issues or black on black violence. it's just how are we going to address this on going issue?

>> and patsy, onto you. >> i think -- and i've been going into the samoan community. i think the difference is they continue with the stereotype of who we are, you know? they always look at us as these big, bad people. they look at us as we don't speak, we don't like to get into trouble, but when they just look at us, they just kind of stereotype us as that community that will try to invade their space. i wish they would just look at us as people and not our color,

but i think that's where the difference is in the samoan community is they continue to stereotype us as what they say. >> okay. >> hi. can they raise this a little bit because i'm kind of tall? thank you. i'm the c.e.o. founder of the transgender association for gender equality. we've got people from everywhere, people who aren't even naturalized here, and i really feel like a lot of the times with violence, it's more

systemic, and it's displacement and limiting based on color and being a black person from detroit, michigan, the outlook for my life and survival, i wasn't supposed to make it to 35 years old, so just bringing it to that space, i'm going to pass it to cynthia, yeah. >> well, hi, everybody. thank you so much for giving us the opportunity. i am the coexecutive director for chinese for affirmative action, but i am here representing a coalition, which includes the ccdc, c.y.c., and c.p.a., and just to tell a little story about our coalition, we have been working together in crisis when there were incidents of violence and

crime. we work with city agencies, regardless of your immigration status, your age, or what neighborhood you live in, that you get the services you need. one of the things we said to get us out of this, to address systemic racism, was to do this within our community to address this, and to do it across communities. we are not going to get to issues around equity if we continue to see each other as the problem, as the threat.

and so i'm excited to be on this panel. it's wonderful that this is kicking off the discussion of the fact that to make san francisco the place that we are loved, it's going to take time, it's going to take investments, and it's going to take leadership. this is why i'm so proud to be a part of the coalition and really applaud our city in those investments. there is no panacea, and we're also fighting misinformation and disposition at levels that we had not experienced before. so this racial reckoning is about all of us, and again, those investments are going to be critical over the next three to five to ten years, but this can happen in our lifetime with leadership. thank you. >> thank you for the question,

for the space. really graceful and blessed to be here. on above of the mission peace collaborative, we have a large investment or a large concentration of nonprofit organizations that have been working on violence prevention for decades, rights? and if anything, the mission has then created interventions that have been, you know, shared with the rest of the community, adopted by the city, and then, expanded. so i would think the biggest tension for us currently has a lot to do with the -- as has been mentioned has a lot to do with the energy and the displacement, the new physical entities in the mission which don't necessarily align with

the value of the community needs and the direction we would like to take when it comes to taking care of our children, right? dealing with our community, and the biggest tension i think -- >> closer? >> i believe the bigger tension does then become how do we work with the institutions and systems that are supposed to protect our children, supposed to protect our communities, and hold them accountable, and make sure that they respect the process that our community has created because the -- you know, the -- dr. mohamed mentioned that relationship being so important. you know, i remember starting the work in 97 also, and there's this thing called relationship capital, i would say. and when you're able to invest in providers that have long-standing relationships that can carry that

relationship during that middle support group through that first contact with police and really being able to hold them and their family through that experience so that they don't recidivate, so i would think that would become one of our biggest challenges. how do we deal with that new messaging that is impacting our community. and because of our documentation challenges in some cases, you know, that pressure then forces people to hide, and that only complicates the problem, right? because then, that interpersonal violence take place, and then, we obviously have people whose mental health is impacted and have the reactions that we have to have when economic distress impacts us. >> so thank you for this opportunity. i feel blessed to be up here for everyone, and i'm speaking

from the bayview-hunters point perspective. i think the technology that we're not addressing is our neighborhood has the lowest median income in san francisco, and as opportunities prevent themselves, we are dealing with the fact that poverty and idleness is playing out in our streets, right? and so i'm glad that he spoke to the displacement. we're also getting newcomers into our community and dealing with the fact that folks that have been here historically have not been addressed, as well. we're trying to compile resources for our newcomers, for problems that are existing, and that tension is playing

out. this is also a result of poverty, right? we saw this -- of course we saw this. folks started to see a crunch in resources. it started to become you're on your own. what we did see is we wanted to make sure that our community had what they needed, right? so this task force came about. folks were really trying to deal with that. >> and this idea that there's different perspectives to be

shared even within what we wanted to discuss. how do we build solidarity across demographics and tear down cultural barriers? >> well, at third street [inaudible] clinic, we've really been looking at this as as the community changed, how do we get services that will be timeless? we can't do everything, so of course we rely on all of our community organizations that will be coming in.

giving them that space to work it out amongst each other, hopefully will help us create this sort of tolerance and acceptance that we want to see in these communities. so i think it's important, being a daughter of san francisco, we grew up in this melting pot of -- of appreciating each other. and again, we celebrated each other, and i think we need to get back to that and stop sort of, you know, breaking apart, and also being aware that certain communities are hurting in a different way, and looking at that and also bringing in people to help solve these issues together. so i think cynthia was alluding to that earlier, that it's going to take all of us to come together and bring back the san francisco of this melting pot

and appreciating culture. we don't have that culture anymore. >> it sounds like what you're saying is celebrate, not tolerate. >> i completely agree. we need to celebrate our diversity, we need to share, we need to be proactive to celebrate spaces to exchange, to break bread, to drum together. when i first came out here, we had thousands of young people organizing, and we had peace marches. we need to be proactive about countering the message that our children are listening to and seeing 24 hours a day, unfortunately, that says that consumption and consuming these, you know, products, are going to get them to a better place or a happy place. we need to remind them that our culture, our resilience, the fact that we've been through what we've been through -- the invocation this year is 500

years since cortez started that invasion, and we need to recognize the pain that people -- the historical trauma that we continue to experience, and that is manifested in our institutions sometimes. so when we share together, when we break bread, we heal together, and we also are changing healing practices. one of my mentors once said, it takes many medicines -- therapy's not going to work for everybody. psychology is not going to work for everybody. but as long as we're modelling that healthy behavior, it will intervention in that concept moving forward. >> i love how we're all

building on each other's comments. if we don't have people's basic needs being met, we really can't address the tensions, the racial tensions in our city. if we are not building the saved -- safer needs, we need to build that into the system. i do want to lift up the work that ccdc is doing in the public housing units that they

manage because they're doing outreach and i want to make sure that everyone knows what resources and information are available to them. there's a great piece in the l.a. times about the difference between alliship and solidarity. allyship meaning statements of being one and being united, solidarity being a whole different definition, where we feel our destinies, our fate, are inexplicably tied we need to stop these incidents from occurring in the first place.

>> thank you, cynthia. for me, i just want to speak about me. i have to constantly remind myself that this work isn't easy. this isn't easy work, and i have to be willing to constantly modify the strategy because it's always changing, and being willing to continue collaborating. it's, like, so much strength in the world and sometimes you're strongest allies and the people that makes the most change aren't really the people that we pretty much envision, so just being up on it.

>> well, you know, i love to work with people. my folks, my culture, my heritage, we're all about family, and if anyone ever asked me, whether it be my sisters from potrero hill, or my brother down the street, drew, or joy or dr. drew from bayview, we just show up and make sure we're present in that moment in order for us to stand in solidarity. i think one of the things that feel like, you know, our community has to see all of us together as leaders, and when our community doesn't see us together or we're bickering or

we're fighting over some stuff, whatever it may be, then they look at it as if they don't get along, why should we? we need to leave the ego at the door. it will always be about our community, our kids, and not our titles because what we going to do with it? [applause] >> so i just feel like if we -- us samoans, we love to break bread, right? so any time you come visit -- we're up on sunnydale. any time you come visit, we doing barbecue or we doing something, but nonetheless, the substance of it all is making sure that we, you and i feel

like we're sisters, we're brothers, that we can do this together, and no matter what color skin, whether we're brown, black, blue, asian, whatever, that our community sees us, that we can hold hands together and not hold hands and i'm going to punch you in the face after -- i'm kidding, but we're brothers and sisters that god has placed us in that space at the moment. just like how we're sitting up here in solidarity, holding each other up, and you guys sitting there, holding us up 'cause we all need that,

especially that's where i see it as far as culture. i love sharing my samoan culture through music, dance, and language. in everything, there is a proverb we always use at scdc. [speaking native language] >> the path to leadership is to serve, and that's what we're here to do, is to serve our community as one. >> hillary, take us home. >> i love to piggyback off of this idea, this idea that we need to be there every step of the way. it's not about a one-time b.l.m. rally that we throw, and hey look at us rally.

it's not a one-time juneteenth celebration in the community. it's about the support, knowing that someone can call you up, saying hey, we need help. what can you do for us and how can you help us get there? for us, specifically, it's about japantown and the mission, saying how can we get back to where we used to be? in the marketplace, we're doing things such as black-owned businesses who don't have brick and mortars, we're closing streets once a month, and we're having vendors come out so that these small business owners are not so hard impacted by covid and they can continue their businesses.

we're putting district candidate forums. when district 5 district last november, and we're talking about issues that will affect both the japantown community and the western addition community. what are the policies that we want to push for and advocate for that will help our communities together, so it's about this idea that we need to be there every step of the way. it's not about showing up once a month, going to a panel. it's not about talk the talk, it's walk the walk. it's not about us asking folks to come out to the cherry blossom festival in japantown. it's showing up week after week, using our resources to help everyone else, and when we're able to collectively do

that, all our communities benefit together, and it makes the city a better place all-around. >> wow. let's give our panel a round of applause. [applause] >> first of all, let's give it up for them. wow. they just said some major fire. i mean, i lost five pounds up here, it's so hot. but we'd like to thank them all again, and remember as you think of questions throughout the day. with that said, we're going to shift to our next panel. let's give our panelists another round of applause. [applause]

>> before we go on, i'd like to invite a very special guest with us today to share a few words. last week was a tremendously rough and challenging week, but want to invite up jason young, sr., the father of jace young, jr., who lost his life last year on the fourth of july. i'd like to invite him up, and let's just give him a warm, warm welcome. [applause]

>> good morning. i'm going to try not to be too long winded, but i have a few things that's on my mind and my heart that i feel like is very important to the reason why a lot of us are here today. being a parent, a victim in san francisco, it has, in my opinion, started to become normal. we have normalized stuff happening to our loved ones, not standing up, speaking up, addressing the issues because the dynamics are so

intertwined. prime example, my son's case, my son's situation, it's -- a lot of people know or think that they know the story or know some of the story or have heard this tidbit and read that tidbit. but everybody connected, like i said, especially because a lot of the trauma and stuff that hit these neighborhoods and san francisco, everybody be connected tied in, some shape or form or fashion, whether it be from the children all the way up to the adults. and in my opinion, we as san franciscans, people that grew up in the city, love the city, we have to do more to standup for our people, our loved ones, our communities. these other kids that's within

these communities that don't have the proper nourishment. prime example. my son was murdered on the fourth of july, watching fireworks. people were told to go to a rival neighborhood and go shoot. they went halfway to a rival neighborhood and decided to shoot from across the street, and two people got shot. my son was one of them, and there was another individual. he got shot in the foot. in my opinion, the problem is there's not enough accountability at home.

in probation in san francisco, juvenile, adult, i'm somebody -- you know, i grew up in the system. me and damian posey, we was in group homes together, juvenile hall, everywhere; and in my opinion, these kids, they don't really see the big picture. there's a lot of big guys around incarcerated or don't care, but it's why us, we need to wrap our arms around these kids or families in any shape or form or fashion that we can to help them. whether it be making sure they get a ride to nate, to go play

rebels. you know what i'm saying? when i was growing up, we used to go someplace every week. great america, santa cruz. i'm not saying that that is the difference that's going to stap a lot of kids doing things that they're doing as well as these adults that prey on these kids. like i said, back to my son's case, these kids were sent. these are all juveniles with the exception of one. they were pressured by older people in their community to go somewhere and do a shooting and catch a body per se. i'm from west point. approximately seven years ago, my daughter right here graduated from junior high school. one of her classmates that

graduated with her from junior high school was the main suspect in the shooting of jaquan rice. he lost his life in the shooting of west point. est -- he was 13 years old when he lost his life. for my son's shooters, they were 16, 17, and 18 in his case. like i said, i'm all for accountability. when we have a kid, a niece, a god son, a kid that we just know, and we all they ain't on the right path, we have to do whatever it is necessary to get that message across. you know, when i grew up, if i did something wrong, miss susie might have been on the bus, and she grabbed me by my ear or whatever she had to do, take me to my grandfather's house, and

i got chastised for that. again, i think, for me, like i said, it's all about accountability. we have to standup and be accountable in all facets. again, like my thing, like, the district attorney's office. at some point, there's just some things that you can't do. killing kids, mothers, sisters, nobody is on the table. let me just say that, to make that clear, but there was just some unwritten rules on the street where it wasn't a go. kids, elderly, women, off the table, you know what i'm

saying? i hit here today, a year later, still advocating for my son to get the justice that i properly deserve, you know? trying to pick up the pieces for my family and get our new normal because when i say new normal, when it happened, it was right around the time with george floyd, back lives matter, there was a lot going on in the city, a lot going on all over united states. but for me, it's not just about my son. it was live other kids who lost they life on the fourth of july to gun violence all under the age of 15 years old. the youngest, i believe, was four. i never would have thought in a million years that i would be up here, talking about my son

and trying to advocate for my son, so like i said, in san francisco, we have to do better to speak up and standup to whatever that may be. whether or not they are, again, a friend, a relative, a whoever, because it's all intertwined. for me, like, hunters point, it's fucked up. excuse my language, but it's fucked up. i grew up in the city. i can go all over the city. i can still go all over the city. a lot of these kids can't. they scared, they afraid. they don't even want to go to school, and if they do go to school, a lot of them run around with firearms and a whole bunch of other stuff, so, you know, i'm adamant in saying we have to do whatever we can

to wrap our hands around the community, the people that are helping the community. like, everybody can't give many and time, but it's a lot of things that we can do to help and try to nourish our people in our communities in a better life than what we are. [applause] >> accountability. you driving down the street, you see something that don't look right? hold them accountable. that could be your niece, that could be your son, that could be your brother, that could be

your daughter. like i said, as san franciscans, we have to be more involved in that because we have situations like that. jaquan rice, his son was 13. he's now 20. his shooter is the person that these kids in these neighborhoods now listen to that's they big homie, you know? when someone like a dame or a raim, you know, little bruh, oh, you can't call me little bruh. i ain't your big bruh.

they're -- if you're already not holding them accountable at home, and you're not holding them accountable when you go to court, and saying, you know what? your honor, they need help. i need help. my son ain't going to school, they ain't doing this, that's part of what we need to do. we have made too many loopholes and leniency for things. so like i said, just please, man, if you know somebody, see somebody, hold them accountable and make them stand on they actions and they behaviors. thank you. [applause]

. >> hi, everyone. hello. i'm trying to feel everyone in here. i know this lighting is tricky for attention span, so i'm go >> no, it's okay. i know it's monday. i know it's monday at noon. i know stomachs are growling and e-mails are coming in, but director davis and mayor breed

have asked that we all prioritize healing in this conversation before we break, and so if folks can power through, i'm going to actually ask if folks can put their phones down. i promise you won't miss anything in the next 15, 20 minutes. we have some guests who have been waiting on the line who are here to chat, so everybody repeat after me. let's do a little calling-in response. everybody say healing. a little louder, healing. we're going to talk about healing justice, healing centered practices. a dear friend of mine always tells me that trauma that is not transformed then becomes transferred. all right? have we heard that before? trauma that is not transformed becomes transferred, so i'm going to ask the panelists in a moment to pivot and really

direct the conversations to those of us that are in this space. i know we're going to talk about macrolevel healing, but i know a lot of us experience vicarious trauma if not trauma ourselves. i know this is a violence prevention summit, but many of us have also been on the receiving end or have witnessed violence in our own minds as well as our community. so i'm hoping as when our expert panelists chat with us about healing that we actually take some and save some for ourselves, if that makes sense, so we can then give to our people and our community and our constituents. so i am aria said, and i am the president and cofounder of the transgender district, all the

way from the tenderloin, just around the corner. i'm so proud to represent both the transgender district and the tenderloin in this conversation, and we have some incredible experts that i will just name for now. we have lynn westry. we have reverend norman fong, former executive director of chinatown community organization, [inaudible], and then, we have two lovely guests who are going to start speaking on the zoom in just a second. and so we have dr. joyce, who's the cofounder and director of ucsf healthy environments and response to trauma in schools, and dr. michelle, associate

provesor, department of psychiatry and behavioral sciences at the ucsf [inaudible] for behavioral sciences. so i'm going to start off with the guiding question, and thank you, sarah and dr. harrison for sending them to me. okay. so what does healing mean to you, and where do you see a need for healing in, let's say for ourselves? and dr. joyce and dr. michelle, take it away on the zoom. >> hi, everybody. can you hear me? okay. just wondering if i should -- all right. great. i'm not sure if you can see me,

but i am joyce durado. i am a clinical professor at ucsf department of clinical psychiatry and behavioral sciences. thank you for the opportunity to speak with you all. i know that everybody in this room is all about healing justice, and as our moderator has said, the fact is that, you know, most, if not all of us are going to experience trauma at some point in our lives, and with the pandemic, that just adds to that and experiencing the trauma-inducing nature of things like structural racism and xenophobia is so impactful to all of us, so, so important to pay attention to healing, both the healing of ourselves

as well as the other. fundamentally, healing involves helping people feel safe, heard, cared for, respected, and valued. and of course, therapists can provide this type of healing, but also can friends, loved ones, teachers, clergy, and other caring others. and our keynote speaker emphasized how central relationships are. also, a include in healing from trauma is, at the heart, preventing violence.

it's that looming and all too often immediate threat that one person's safety or life is not as important as another person's, due to the lottery of our skin, our birth, and research tells us this kind of what we call socio cultural trauma has the same impact on our brain and on our bodies as other kinds of trauma. so just as another sort of framing thing that i think about healing, the rising youth center, they say that trauma is historical, generational, political, interpersonal, and embodied, so then must be our

healing. so we here have the honor to see healing in communities and in schools, and in our young people who are standing up to injustice. i think i'm going to say a little bit here. we were asked, since we're on the zoom, to say most of what we want to say, and then turn it over to our esteemed panelists. i can talk a little bit more about our program. we aim to promote healing in school and resilient success by collaborating with school systems to create more trauma informed safe, supportive, and equitable environments that create safe, supportive spaces for students and staff alike. we've been doing it since 2008 here in the bay area and across

the country to help educators understand how trauma can affect any of us as human beings, and that anybody, regardless of their role, whether they're a teacher or lunch lady or community partner can implement. we promote healing and resilience not only for the young people but for the adults who serve and care for them, and this is a really important point because caring for our staff in our systems is crucial to this because overworked and over stressed individuals can actually become trauma reactive organizations that cause harm,

right? and that's because despite our best efforts, hurt people hurt people. so we're looking to promote this in our workforce, as well, and that being said, in the work we do with schools and other systems, we encourage our schools to deeply listen to the communities we serve and engage their active participation and partnership so that we can really better understand what they're up against, what's working for them in terms overcoming adversity. just a quick word with our corvetting -- about our core vetting principles. we have these six principles that are grounded in core healing and resilience. our first is understanding trauma and stress. it's really -- it's helpful to

understand how trauma and chronic stress can affect us, and when we understand a little bit about what's happening for folks when they get triggered into sort of a fear and survival response, a fight, flight, or freeze, this helps us understand that behavior better, and when we understand that behavior and where it's coming from, it then helps us to have a response that instead of being punitive and harmful, it's helpful and healing. so really using our principles in this sort of lens to understand is what i'm doing or about to implement a practice or a policy trauma inducing or trauma reducing. i know i'm running out of time here, but i want to mention our second principle, and just as everyone has been saying all morning, we believe that attending to racial justice and

equity has to be central to any sort of trauma informed or healing center approach. what we're trying to do, we really want to make sure that we understand that, for example, things like structural racism is not something that we're post. it's not a posttraumatic stress disorder, it's something that people are up against right here and right now, and the stuff that people are so striving to over come the adversities that have been thrown against them, we need to amplify this and tap into. i think i'll end with that. i think the last thing i want to say that relationships, that

those sort of compassionate interdependable relationships, being able to facilitate their empowerment and their voice is all really key factors to really trying to provide healing in our communities and ourselves, so thanks so much for the opportunity. i'll stay in and stand by. [applause] >> hello. i'm michelle porsche, and i'm the director of psychology and behavioral sciences at ucsf. and again, i'll go through the same questions and try and add a little bit to what dr. dorado has presented. when i think about healing from a psychological perspective, you know, i think about not that the hurt and loss and trauma are not forgotten or

gone away, but we're better able to live our lives and find meaning in our experiences. we really need to think about systems when we're thinking about healing. healing requires that our schools, our health centers, our government institutions are caring for individuals who have been hurt and require healing. my particular research has been focused on aces, adverse

childhood experiences that include community violence, community violence abuse, separation, and loss, so when i see a need for healing in the community and myself, i think about how those experiences impact mental health and how they impact educational outcomes for our children. in my arch, i found people with these high levels of adverse childhood experiences are at higher risk for behavioral problems. they act out in anger or they use substances for numbing, and those things are more likely to have educational consequences. children having to repeat a grade or -- or dropping out of school, so i see a real need for education, how trauma and violence affect children, helping educators and help

children, especially as this pandemic rages on. a few months ago, an estimation was 40% of children will have lost a caregiver to covid. i'm sure that's greater now. [please stand by]

. . . . to the self and others and a them versus us mentality to focus on justice and to break the cycle of violence. thank you, i'll stop there. >> thank you, dr. joy. thank you, dr. shall. so we have about six minutes left. and we're going to -- you know

what? there have been amazing speeches and moments that have happened in five or 10 minutes. so anyway, i do have a guiding question for those of us in this space right here. a quick show of hands, how many people feel like they are stressed on the daily? just raise your hand. okay. and how many people feel like they're anxious today? i see a lot of people picked back up those phones. i'm going to try to be as entertaining as i can because director davis gave me strict orders that y'all get a nugget, a message of healing for yourselves before you go over to the asian art museum. is that where it is? okay. and so i have a guiding question for us. thank you, all, so much. so how do we as advocates develop a healing practice of our own? and i'll give some context.

i have been working in this work for over 15 years. i started as a teenager and i hear the words healing justice and restorative justice and trauma informed care. and i have no idea what those mean today. i just nod my head because in movement spaces we always do mmm, mmm-hmm, and we pretend like we know what's being said but we really don't know o kay? so how do we develop a healing practice of our own? let's focus on the front line as folks on the front line navigating violence prevention in our own community? reverend? >> a first, i want to say in all fairness to the two panelists that were on the video because i was on that email. so they were given five to serve

minutes and that is full. so that is the lens so that for all of us to hold systems accountable because i don't have a long time. this is to hold systems accountable in the communities and continue to do on a daily basis to hold the department heads that are making rules and decisions that are in their offices that touch us on the ground. and with the community awareness

which is a nonprofit that my husband started this and the other person faded into the background, but my husband donald greene has been in the trenches doing this work day in and day out. and when you give funding and take it away without warning, that is systems causing harm to our community. we are that or the ground are given bits and crumbs to do this work. and funding organizations and yet we continue to do this work on an everyday basis because we care. i live in petreo hill and i always acknowledged that i live in public house. why do you say that?

i am not ashamed to live in public housing. you can come from no matter where you come fru, but it is what you do with your life. and we as adults have to show and continue showing your young people that there is another outlet. and there used to be rules to the game. there were street rules an as a lot of us have been saying and somebody didn't teach the young people the street rules. the street rules went out the door because you weren't supposed to do things with imwith, children, seniors and disabled. those were rules. you walked up to the person you shot them, and i am not advocating for this, but there were rules to the game, and the rules have been lost. and our young people feel there is no ending and no light at the end of the tunnel for them.

i ran for supervisor district 10. i didn't run to win. i ran to show your young people no matter where you come from and no matter what you have -- i'm an ex-dope and have been in recovery. ex--prostitute. used to live on the streets and everything else. you have to give your past and tell the young people and show people the future. healing to me? hold systems accountable and it's us grown ass adults that forget what we were doing that age. we just didn't get caught or we had somebody to lift back and miss hattie would say, girl, i'm telling your mamma. so i can go on and on. and it's just that we have to back the ones that are doing the jobs. director davis and my hats off to you.

all the other black women and men and samoan brothers and sisters, asian brothers and sister, pacific islander, all the people of color in the trenches, we have to start recognizing and you really have to start giving money to the ones that are doing the work and quit playing. >> reverend, healing -- okay. god sees and god knows all things. reverend, how do we as advocates develop a healing practice of our own? >> i'm going to start off needing understanding. when i got beat up as a kid, i didn't understand it. i think it impacted my life and i got into violence. i started my own gang just to

fight back. in the 50s and 60s, china town and the ieal yans of north beach did not get along. and a lot of people don't know the history and we were short and fought that law. growing up with racism as a normal thing, the d.a.c.s tied me to a fence as a little kid, one of the cutest kids of china town, but bags of water balloons they threw at me. it really hurt me and taught me to fight back. we don't want to fight back like we did back then, but it worked. and we are not supposed to

promote violence and i am a minister not making up for my past, but their are some creatives. chinatown was traumatized back then we were nobodies. and i got to go to the work for the community center and we took over public housing in chinatown and we are the beloved community as best we can. reverend jesse jackson -- i got to go quick. he helped us when there was ain't anti-asian hate in the 80s. but he just came in june and i love vincent chen. talk about solidarity. we did a vincent chen and george floyd unity event for the city. it pent a lot to chinatown and feeling like nobody loves again and why pick on the seniors? we need the moments of solidarity. we need to build housing and this country is getting rid of public housing.

and we have to protect it because it's affordable. and the thing that i'm going to end with because time is tight, when i got beat up and knifed a little and i don't know what to do. i didn't tell my friend until recently. it's been in the closet. i was too ashamed back then to tell people i got beat up. my mom -- i love my mom. my mom tried to calm me down because i said i wanted to kill and i was so angry. she said, do you know our landlord was italian and he only charge us 90 bucks rent for, you know, for a long time for years. and then after that a few years later, we got evicted. a chinese dude bought the building. and life was about contradictions but also, no, no, this is really important. life is about balance and like

we need to spend money in building those relationships. we will have a noodle fest next year so that chinese and italians can fight it out through food. okay. we used to get money and i am just sharing ideas. we used to get money from -- i won't name the foundation, but they funded us to have community kitchens. so i could bring different racial groups together in our housing to have to share a story. and time is up. i know. and you get the idea. there is creativity and turn your pain like your grandma. got beaten to death. and she is going to rename that park after her grandma. i support that. so we got to get creative out there. i'll shut up. time is tight. i know. >> lynn, i will have to make it up to you. i am so sorry. we are at time.

you all have 15 minutes to go to the next building. >> wait, wait, no, we don't. we should have at least two minutes for lynn to speak. lynn says she can make in it one minute. she a female. go ahead. >> go for it. >> sorry, i am getting competing signals from the back and up here. sorry, lynn. >> okay. healing, what healing looks like for me. is transparency. to be honest, to be real, to be wholistic. and until we can start being transparent, until we can start speaking in honesty, until we start really addressing the real issue of violence, we're going to keep repeating the same cycle. and none of us is healing, but i'll tell you today i must heal. i must be healed in order to survive. in order to continue to do the work that i do. as a mother that child was

killed at 18, i have to be able to heal. i have to be able to love. i have to be able to continue. but i must say i'm sick of and i'm tired of and i know quite often i probably sometimes seem like the mad, angry black woman, but on many occasion let me tell you i am. because i understand what it feels like not to have that healing. not to have that space to really heal. not to have that transparency. so again, until we can speak in honesty and speak our truth, we're going to continue to have these type of summits. [applause] >> thank you. >> thank you, miss lynn. if everyone can give a round of

applause for all of you are panelists. thank you, all, so much, for taking the time out today. you could have been anywhere, but you're here planting seeds of thought for everyone in the room. just really grateful. thank you, dr. michelle, and dr. joy, reverend fong, and miss lynn. thank you all so much. so i am sending everyone to the library to -- >> a first off, give it up. do you want to give a tip before we leave for healing? do you have a healing tip? >> okay. pay off your credit card bill. it promotes healing. it is more than bubble baths and pasta. healing is actually deep, critical work that we have to prioritize. okay, bye.

>> give it up for the panel. thank you, all, so much. you're watching san francisco rising with chris manors. today's special guest is dr. steven zutnick. >> hello. the show is focused on restarting, rebuilding, and reimagining our city. the director of the therapy center of san francisco and he's a professor in counseling

psychology at usf. he's here today to talk to us about resocializing, and returning to the office. welcome to the show. >>. >> thanks, chris. good to be back. >> as we re-open, people are having different reactions. some are embracing the recent shifts while others are having a hard time readjusting. >> yes. i think it's an excellent question. my basic bias on this i think to give you a general overview is we ought to be following cdc suggestions and requirements, what they say, because that's where a lot of the things come. should i wear a mask. should i not wear a mask. my answer is, yes, absolutely. i think we should wear a mask. i think we should social distance. it not only makes an impact on

covid, it makes an impact on other diseases as well. as you and i were chatting, the deaths from flu usually average 30,000 a year. we've had 2,500 deaths from the flu so far this year, but at the very least, you need to be vaccinated. >> going back to the office is also an issue. there are some people are thrilled returning to work, others are nervous about it and there's a group of people who've been working onsite all along. let's start with those who are worried about returning to the office. what can be done to relieve their concerns? >> i think identifying a cohort of colleagues, fellow workers who you can just talk to and share experiences with. you know, when you look at the advantages of groups, the major one is when we sit and talk to other people, we suddenly discover, oh, this isn't just

me, i'm not some strange guy here. so everybody else i'm talking to is worried about the same thing. i think that will raise awareness among people. to say, oh, i don't know, what are we going to do? do we have fresh air in here? can we open some windows? does the boss care if i wear a mask? >> how about those who've been going to work all along. possibly the most traumatized. how would you talk to them about managing the possible stress and resentment they may have been feeling. >> the most at-risk population is the essential worker who because they are also one of the lowest paid populations, have taken the biggest hits and the most risks. they're still at high risk. so they're dealing with a lot.

they're dealing with depression, anxiety, insomnia quite a bit. and you've got a lot of ptsd by the way one last point on the health care workers. that's the tip of the iceberg. these are also the people who often have the least access to therapy. so we've got all these people out of there who've been in the trenches the entire time, never had a break, suffering a lot of trauma, and there are no services available for them. >> lastly, let's talk about management. with varying attitudes towards the lifting of restrictions, there may be some struggles in the work place. how would you advise management to ease the transition? >> management can encourage vaccination or require it. they can keep masks, physical distance, hand washing, all of these things. and hopefully management will be responsive. i think, you know, given the

title that the series, this is all new. we're all just moving in to a whole new phase. we haven't begun to see the research that's going to come out of what we've just been through. we've been through a terrible pandemic. there's been a huge toll and i don't think we've seen the tip of the iceberg on the impact. >> do you have any final thoughts to share? >> yeah. i think this pandemic has highlighted a lot of things. for me, certainly, is mental health professional and a behavioral scientist. it's clear to me, we need to educate people about science. this is not unknowable to people. the basic of science is constant questioning. when you ask a question in research, you get one answer and about five new questions. things evolve continuously. so, yeah, when the cdc first

came out a year and a half ago, they said, no, we don't need masks and then they said oh, we do and then everybody went crazy. oh, look how bad the sciencetists are. that's exactly what science does. we thought we didn't need it. then we discovered it was air born. i think we're seeing we have huge holes in the health care system and conversely, i think we're finding with the vaccination, what it means for everyone to have access to health care without worrying about how am i going to pay for it. so i think this is really forcing us to look at everything. it's been a very difficult time. it's going to continue to be a difficult time for people, but i think that's also getting us to look at some really critical issues in health care. >> well, thank you so much for coming on the show

dr. zlotnick. well, thanks again. we'll be back with another episode of san francisco rising shortly. for sfgov tv i'm chris manors. thanks for watching. >> health commission meeting. we'll start by calling to order and i also have the opportunity to be the first to read the land acknowledgement. i think we first to the role call and go onto the acknowledgement. >> yes. (roll call).

>> they have never seeded, lost, or forgotten their responsibilities as care takers for this place. as guests, we recognize that we benefit from living and working on their traditional home land. we wish to pay our respects by acknowledging the relatives of

the community and affirming their rights as sovereign people. >> there's no public comment. >> i guess we should take a role call vote to approve the minutes. >> just checking to make sure there were no revisions to the amendments to the minutes. >> i'm sorry, i just have a question to the adjournments. is it correct to adjourn in honor or memory.

i want to do it the correct way. i want to do that we're in memory honoring her. i don't know what is the correct phrase. >> i can go back and look at the tape and change it if it was memory. i'm happy to do that if you want, i'll go back and look at the video. i'll correct it. >> i would be fine with that. >> thank you. shall we do a roll call vote? great. (roll call). thank you. the minutes are approved. >> the next items is the

director's report. >> thank you. good afternoon commissioners. director of health. you have a director's report in front of you. just to highlight a few key issues beyond covid 19 because i'll give you the covid 19 update in the slide presentation that will come shortly after this. i just wanted to highlight that on july 30th, mayor breed announced the street overdose response team. along with multiple other overdose initiatives aims to lower the very serious number of drug overdoses largely due to the influx of sentinel. just to emphasize, we'll respond city wide to overdose calls. when fully deployed, we expect

it to operate 24/seven. this is focusing on people who have overdosed and who we then reach to offer overdose prevention, harm reduction supplies, treatment and social services and howsessing. housing. this is for people we know are at high risk and it's helping us prioritize our intervention on this very serious problem. again, more detail in the reports. i wanted to highlight that nor the commissioners. i'm also excited to welcome a new environmental health director. patrick, he may be familiar to some of the commissioners. he joined the department in 1991 and was most recently the

assistant director of the environmental health branch. they do an amazing job, very - they are very busy in terms of protecting the community in a environmental lens. very delighted that patrick will join us in this new role. just to also mention that china town public health center graduated in terms of the healthy eating and living program. that's a program that promotes he will think eating and living. we had an internship program with 1500 interns. having them really be peer and community champions for healthy

eating and active living. a great program that continues. supervisor peskin joined us at the health center to celebrate that event. a nice piece of work from the care team and want to thank nemm for all their support. there's a lot of press release announcements in the director's report as well. certainlily happy to take any questions on what i just remarked on with regard to the non covid related activities. >> it looks like dr. -- [indiscernible]. >> i really appreciate the

report. what i'm thinking of if it would be helpful to the commissioners, we have so many different programs now to help work with the street and homeless situations. we heard some of that last time. wondering if we could do a presentation that would focus on exactly which program somebody would go into if they were found on the street or what their circumstances were. i think that could help put together, all the different programs that we're starting, all of which hit a particular need within that. all of them help divert off of the police actions but instead get them really into the type of care that they need. i think it would be a helpful display for both us and the public if we heard about all

these programs together and come to go as, i guess a combined effort, right? to face the needs that we're facing. just wanted to let dr. colfax know that was a good idea. >> certainly, we'll work towards that. just to emphasize there are a number of programs out meeting people where they are. there are some possibilities in terms of overlap. we'll be happy to return on what the specific focus on these programs are and how they are synergistic rather than complicting.

conflicting. >> thank you very much. that sounds great. >> any other questions before we move onto the covid update. seeing mon. none.i should say we're going to delay item eight, development training plan because president bernal couldn't be at the meeting today. if anyone is on the meeting because of that agenda item, i just wanted to let you know at the outset. >> great. thank you. commissioner's again, i'll provide a covid 19 update, this has a little more detail. i think it it's due given the

amount of work the department is doing, given a response that we're still in our core surge. with regard to where we stand right now, there are over 44,000 diagnosed cases of covid 19 in the city. 7500 deaths. you can see cases per resident over time here. our case rate most recently was 32 point six. dropping to 29, we're waiting to see if this welcome downward trend continues. as can see we saw surges go up to 33 point eight. watching this current surge very carefully and responding as best

we can. next slide. so with this drop in cases, the estimate in reproductive rate has also dropped. it jumped up in one point seven five in july. it's just gone below one as of a few days ago. that's good news. these calculations were done just a few days ago. the reproductive rate is done and reflective of people in the hospital. marketed rapid drop until the rate than we have seen before. the contact rate across the population seems to have gone down to a certain degree.

the indoor masking mandate. i thought i would update the commissioners on the characteristics of the 44,000 cases. just to note the distribution bim race ethnicity has changed somewhat. latinos represent 37 percent of cases now. that's the percentage of representation has dropped somewhat, that is still a glaring health inequity. among black and african american population. age distribution remains relatively consistent with people in the 25 to 40 year old

range representing the largest number of cases. throughout the pandemic majority number of cases for males compared to females. due to our high vaccine rate hospitalization have not reached the capacity they did during our winter surge. you can see that fully vaccinated count, their rate is almost about eight and a half fold, sorry, just less than eight fold lower than among

people not fully vaccinated. these vaccines are remarkable in terms of their ability to prevent illness and hospitalization. because of this and we know the vaccines are away out. a health order requiring patrons who are congregating inside at the institutions that serve food and or drink, and at gyms and indoor events are equal to or greater than one thousand people that going forward people need to show proof of vaccination status that will be effective august 20th. by fall, employees of those in south mission also need to be fully vaccinated. this is really commensurate with

the amazing efficacy of these vaccines preventing illness and death. this is our modeling we've been using to help guide ourests. just to emphasize these models do not necessarily predict the future but can help us prepare for the future. they have not necessarily the crystal ball but can help us understand the plausible scenarios going forward. based on the assumptions on the left side of the slide, they are very plausible assumptions based on what we know about the data. the grean line shows that the modeled cases peaking in --

i'm sorry, the scale is hard for me to read. peaking in august and hospitalizations shown on the blue line here, peaking shortly after that. those are what the models are predicting. the yellow shows the actual case rate and the red dots show the actual numbers of hospitalizations. our cases are following along the green line pretty well. thankfully the hospitalization numbers are will her than the lean here. this model seems to be holding up fairly well. we're going to see if these numbers continue to decrease.

by the model and currently happening as best as we can tell in term ses of cases. the decrease in hospitalizations would physical the decrease in keases by about two weeks because it takes that long for koptions to gooding down. i say that with a very important caveat. delta basically taking over and a steep decline. you start to see a plateau and even an increase in cases again. we're watching this very carefully to see if we'll have a similar situation here. in terms of vaccine

administration. we're administering five hundred seventy new doses a day. that's gone up just a little bit. by win hundred new injections a day over the last couple weeks. that's good. we stel have a way to go in terms of giving everybody who is eligible a vaccine, serious of vaccine. we're making slow put steadsy progress mplet. receive eight percent of people steadyprogress.

vaccinations by race and ethnicity. inequities that we've seen continue but we're making improvements. black african americans are at 64 percent. that number was just over 50 percent a number of weeks ago. new covid cases, covid continues to be concentrated in the city where it's been in the last few surges as well. the higher rate of covid cases and again, we are focusing on our efforts in working with communities that are most impacted in these neighborhoods

by covid 19. yesterday was the first day of sfusd reopening. that's great. we continue to support that. we understand and want to support in person learning for children that have huge societal behavioral health impact. we are continuing to support the schools and with other partner nz terms of providing information and guidance. we have staff report case response as needed. a very exciting day yesterday for san francisco. in summary our case rate has decreased which is consistent with decreased active. our focus will toin be on high risk populations and shelter and

dmawnities most impacted including cysts in school reopening. systems in school.thank you, co. i'm happy to take questions now or after you hear jonathan's presentation. >> after public comment. any commission comments or questions on the covid 19 update?

i don't see any hands. am i missing anyone? >> you also were on mute a little bit at the beginning of the statement. do you mind repeating. >> we'll entertain any questions on the covid 19 presentation. we'll do the vaccine presentation followed by public comment. i don't see any hands on the part of commissioners here. >> i don't either commissioner. would you lake to move onto the vaccine update. >> onto the vaccine update then. >> i just gave you permission to share your screen.

>> we certainly have a story to tell with our vaccination program. in today's presentation we'll talk a little about where we've -- our initial strategy and roll oit. out.our current state and wheree are and where we are with future state planning. looking at our vaccine strategy.

equity, speed, partnership. we developed a three prong vaccination strategy. you can see at the top visual here, with the principles of speed and partnership in mind, we partnered with health systems within the city to develop and launch high volume vaccination sites. all thee of those sites administered almost 480,000 doses. city college was a partner with uc sf. in addition to those high volume sites. the san francisco health network has also been a high volume

partner. had launched the san francisco partner and launched two additional hubs. those were some of the core high volume vaccine sites within the city with total doses administered. for those.first prong of our vaccine strategy with the goal of spreed and partnership. our goal with our dph resources look to develop community access strategy that looked to focus on equity and ensuring vaccine access to neighborhoods hardest hit by covid. and communities that face historical health disparities

and barriers. focusing our efforts on those neighborhoods. a community access strategy which was clinics. a strong partnership with the clinic consortium. based in bay view, mission, tender loin and so forth n. these neighborhoods that have faced a disproportionate impact during the pandemic. they administered just over 46,000 doses to date. still partnering with community based organizations. in addition to the first prong

and the second prong, we also deployed call center and a strong community referral system. through our neighborhood partners such as cbo eases and task force trur k we were able to facilitate volumes. one another component of the community access strategy. the third prong is honed in on partnering with pharmacies across the city to have vaccine access at their facilities and support through vaccine pop up

s.that last one was ensuring tht access would not be a barrier. acknowledging that our high volume sites for clinic setting or pharmacy setting or even maybe hood sites establish in partnerships with community based organizations. that structure was not definnively meet the needs of san francisco residents. we developed mobile vaccine program in connection with networks and help at home programs. the goal and purpose of our normal vaccine program was to

support access and at that very low barrier access by bringing vaccine directly to commune pit members. elderly and senior living residents, home bound individuals and adults, people with disabilities, people served by behavioral health programs, people living in sros or incarcerated. many other highly vulnerable settings or pp laitions or face disproportionate.we've done weln thousand vaccinations.

it's hard to keep track at that point, over and close to 350 mobile events in the past eight months and still climbing. it has been a very strong partnership with rares to working with community based organizations to think through how to establish these events and develop straty together and equity. this is just a brief listing of the many cbo's faith based

coalitions in addition to city developmental partners who have haveguided on the collaboration throughout the city. i noted the curve has gone up and started to slow. an intentional effort to engage people and meet them where they're at. have a hyper local and

engagement process to support people in their vaccine decision. some of the additional strategies out side of creating a network of sites that empowers bem access or using access to get an appointment. low we supporting people with their disetion and thinking through how you we can iterate on our monthle to breng vk seen to additional members. in working with our community partners and folks in general to ensure vaccine access for all residents. many different insentives either

promoted by the state or owise otherwise but really meeting people where they are at. information they can empower in their vaccine decision. we launched an ask the expert site. we'll have a health provider available to answer questions and support their decision around vaccine. a team of amazing student ambassador it work with our community partners who engaged folks around vaccine and linked them to appointments or vaccine sites as folks need to be.

some of the collective mile stones. i know this is a heavy slide. it's encompassing of the work that has bb done. having eighty fav percent of the current eligible population have b received they are fers dose. we've real will he honed in on thousand create a ljistic system to provide support for other provider systems with a very burdensome vaccine at times in terms of the storage and handling. we've growned our principles in equity, speed, and partnership.

the ability to work with our community partners and let our strategy be community informed and community led. the collective strategy development with regards to the current view. some of the vaccine accomplishments and highlighting the big bar in purple that there is much more to do. this is ongoing work. we've recently hit the mile stone of 85% of residents being vaccinated with at least one dose. sixty five and older 90% are

vaccinated. we have a sixty four percent vaccination rate with native american indians in san francisco which is above the state wide rates. looking at our current state, dr. colfax gave a great overview, our currently eligible population of 12 and older we're

at 88 percent. our sixty five and older we continue to see an increase albeit slow. eighty seven percent completing the sear yises. series.in terms of our focus and looking at the history of the pandemic and disproportionate neighborhoods across the city. par of our work was to prioritize vaccine access for specific neighborhoods in san francisco. we looked at the cumulative case rates. we looked at indexes with

marginalized communities. vaccine access leak pop up events. one of the things to note is we're at or above 80% which is a massive accomplishment. there is ongoing work within these neighborhood it support ongoing access and engagement and supporting folks in a vaccine decision. really the four major components of our strategy at this point in

time working on continued commune i engagement and being community informed and led. looking to teak those opportunities with community par ners. link them toap other events occurring in the city. a very community forward vaccine atmosphere at times. letting our data guide our work. taking the opportunity to share the data with the community and core strategy development. the operations encompasses our vaccine sites, our vaccine means of actually dea ploying mobile teams, pop up ses.

juf the really crux of this is local planning. how we did he continue decreasing. just acknowledging del awe variant. delta variant. we're in the midst of surge. as we engage community members around vaccine and meet people where they are at currently an continue to support them being safe within their community.

just looking ahead, we're looking into some of these youth led initiatives, and how we continue some of our access strategies. one of the portions of our partnership with the health systems is the development of the health system vaccine collaborative. kaiser, dignity and thinking through how we do collective planning for pediatric expansion for under 12 year olds and boosters which have been snrech the media recent will he. planning were sfusd around sates this upcoming fall.

considering how this p current surge to have ape linkage it .one of our priorities is now that we received the recommendation is to launch that program. partnering with provider as cross the city. pediatric health clinics so they can support primary care access for vaccines and a hospital

clinic setting moving forward. next slide, please. thank you for taking the -- allowing me the tame to present. you have a lot of cool swag here. these are our buttons an stickers. there's some links. i want to thank everyone for their time. i'm happy to take any questions. >> i want to thank you and the dph team for this incredible work.

it's a remarkable testament to the outcomes you have here which is unlike any in the county. you can make us feel very confident that this pandemic will eventually end and we'll be able to go back to life the way we all wish we had it and knew it. thank you for you and the entire team for your leadership. the analysis you've done. thank you. we'll ask for public comment. >> no one on the line. no public comment. >> we'll entertain questions or comments from commissioners.

>> thank you. thank you so much, i want to add my cob congratulations for the very very clear presentation and the comprehensiveness as well as the representation, all of the work that's been tru dn through you the city and all of our par ners. i don't think it can be overstated how san francisco posed such a different attitude to those who worked so hard to get us where we are. we can share that with our colleagues throughout the

country looking to achieve the same. hopefully to serve as some sort of beacon for what's possible if folks work together. thank you s so much for that. because i know there's so much more work as you say. tree baiblgs of dot poans of cheer leading from this side.whn provide for the work ahead,

particularly as this gets more politicizedded and confused going forward across all of the different channels of news and information that gelt shared get shared withus. it's going to be even more important as we talk about boosters and peed attic vaccines. thank you so much. i really juf wanted to suppress thanks and our privilege being sea part of this. >> i want to add my voice. you probably have some sense of how grateful the people in the

city are, those of us who live here and are benefiting from your extraordinarily difficult hard work well over 'yer now. we still deal withing very. please know that we are all deeply grateful and behind you and grateful to you and willing to do all the thing that's are in the next steps going forward.

please share our thank with all of your colleagues. >> thank you so much. so beautifully said. commissioner chung. >> okay. i'm dping to sound like echo chamber here and real will he compress p tear team. he necessity this is in an ease yes time. i can't imagine how -- i can't imagine that being easy at all. and so in addition i also

curious that because of all these kn fusing information, including leak recommendations about those are are em meun oh compromised should get the fers hp but interest no definition. >> thank you for the question. we've been looking for that written recommendation and guidance from cdc april the cd ph. they do have established

eligibility cry ear ya beased off absurd legation. some of that is not implea ming a way that would be ben firnl beneficialfor folks. that is a feign line to balance with regards to this implementation. >> lastly, i wanted to let you know that i'm so em pressed for these comawnity par ner hp ses. impressed.san francisco is leady

again. >> it's certainly hard to follow everybody. the challenge is now of course as pointed out in which many went back to the departments and we're we are still trying to cope with the fourth surge. all of our dph staff continue to feel that we and this city is very very grateful for it. as we're also looking at out side data and out side programs. either juf reading the nawz and

publications. we have been so many other things. they are recommending or suggesting, that experience, i'm glad it looks like some of it is getting documented. our expensive out reach for the vaccine. if not already is well worth publication. the number of success certainly shows that the programs do wrk. b russy many of you are kreels are real estating for new science. what new answer can we gef in term ses of p what we can give.

if in fact there's 'baffer or their third sphrerms shall -- do we have atimeframe upon e able to let the public and providers know. certainly those questions are already coming out by the minds of your partners. thanksagain, i realize that we can't be definitive. we're not going to hold you to that. if there's some idea of when we maight have more information

might have an answer. >> thank you commission. i'll answer with 'very undefennive eansz. our goal in planning, we with love to gef you are time life topt. that westbound jazz i think

you're wrying rk we already have a necessity wrk in that search sphresms sphr sphel sitting with lodgestics. a week or two. >> our goal is the implementation of the initial dose for immune compromised individuals. no official recommendations from

cdc at this time t. may be lacking towards the early to late fall. looking like less weeks more months at this time. as you noted our goal is to maintain preparedness for knocker work and par sheriff step as we d. health seventy eight. >> thank you, again. it's not only a midnight job but a 24 hour one. we really appreciate the dedication that you and so many people within our stity have

given for public health here. thank you.

>> so that will give us an opportunity to modify our purchase scale when things are needed and hopefully address the incoming eligible population in a timely way. and i wanted to also acknowledge and thank jonathan for his greatpresentation and jonathan is one of the people that's mobilized for this response almost from the beginning . maybe even from the beginning, jonathan . i don'tremember when you started at this point what remarkable . just has done anincredible job along with the team and we do so much of the work andjust to say in terms of the vaccine work ,jonathan is not only really done a remarkable job ,

with coordination , bureaucracy and unlocking things in the city to make things work but he's also on theground observing and getting a sense of what not working on the ground , seeing the hesitancy of the vaccine and talking to teams that aredoing the work which , i just want to thank him . >> thank you doctor colfax. >> thank you. i guess we will nowmove on to the next item on the agenda which is general public comment . >> commissioners, no one on the line so there's no general public. >> the next is an action item, the laguna honda hospital and rehabilitation is the year 2122 hundred and billy will present at michael phillips the ceo is also here with us. and can alsohelp answer any questions you may have .

>> hello commissioners. i thought my camerawould work when i turned it on . there we go. it's my settings so apologies for that. you all can hear me okay? that afternoon, my name is millie conover, she financial officer of laguna honda presenting the 2022 budget. i'll start by giving you a bit of background about the program. the laguna honda fund is funded through public donations received either directly through our website or directly from donors or through our organization city bridge. the donations are spent exclusively on laguna honda

residents on programming that supports general benefit and quality initiatives. the fund is managed by our laguna honda fund committee and the day-to-day administration of the funds are managed by our program coordinator. we manage them all under the guidelines from the city's office of the comptroller . that's just a bit of background. so on to the budget. you should have received in your packet the one pager that has the year end report from fiscal 21 and also the budget for fiscal 22 allowed just kind of walk you through that document and i'll start with the fiscal 22 budget. a high level our request for approval is 449,000 for the year. the gift fund committee with the development of the budget and we came to thisamount by

reviewing our programs , prior years andlooking at each of our potential initiatives . it includes a lot of the similar features from those who have reviewed the budget in the past, finding things like therapy programming and special events, on fact services like art and music and we had a couple annual programs, our holiday gift program and also our annual wish list program so those are outlined in the document. we also have included some placeholders andcontingency in the budget . just so that we don't have to confuse throughoutthe year for additional funding if we go over . so i'd also like totouch on that document , the budget for last year, the fiscal 2021 report and ask you probably

would have guessed or expected came in way underbudget last year . and due in large part to covid the reduction program that we had to do the lockdown. as we started to open it up, we have begun to increase our spend and we saw that in the latter half ofthe fiscal year . our contractors darted coming back on site. the arts studio open back up, things like thatwhich are great to see but we still overall came in under for the year . so try to takethis into consideration when we were developing the budget . and unfortunately we develop it before the current search which i think may encumber it a bit more but we're still optimistic and hopeful that we can continue to ramp up that programming and find creative ways for this year so that's

where welanded at the 449,000 . just high leveloverview of the budget and i welcome any questions you might have . >> any public comment? >> there's no one online. >> any questions? i don't see anyone. raising your hand, right? then i guess we will entertain a motion to approve the fiscal year 2122 gift fundbudget . >> so moved. >> second. >> we will call a vote then. [roll call vote]

>> thank you, the item passes. >> hopefully you will be up to utilize your entire budget and covidwon't destroy it . all right. so the next item on the agenda is our resolution honoring the importance of health commission hearings from diverse communit voices and codifying it to an annual meeting in the community . we have a resolution and i want to thank secretary morewitz for doing such a great job of putting this all together and commissioners fortheir comments and i don't know if you want to read the resolution and then you can further discuss . >> thankscommissioners. there are a couple of comments. the resolution , the draft was written in response to the we plan action item 71.5 which

says expandability for commission numbersin diverse voices .and also commissioner green made a amendment which i'm going to include as i read and we will start it out. whereas the san francisco health commission is the governing body of the san francisco department of public health and where is all commission rules and regulations state all commission meetings shall be open and public and all persons shall be permitted to attend any meetings of the commission, numbers of the public are encouraged to attend the meeting and address the commission on items of consideration and whereas many individuals and community groups participate in health commission meetings providing public comment and whereas the san francisco department of

public health regularly supports reports to the health commission and its partnerships with many diverse communities from san francisco to conduct risk assessments, planning efforts and activities and programs designed to address health disparities and whereas the contracts are $400 million annually with many organizations in a range of public health related substances such as medical care, behavioral services and treatment services as part of the contract approval process each organization serving many diverse amenities are invited to the health commission meetings to present their programs and answer questions from commissioners and whereas the health commission has historically held as one meeting per year in a specific neighborhood to focus the meeting agenda on topics related to public health issues , and services for those commissions . and whereas the dbas provide in-depth analysis of public

health data and programs for the neighborhood in which the missionshold its annual commute committee meetings, partners with local community organizations and groups to develop a presentation of community level activities which is presented as part of the health commission annual committee meeting .dph conducts outreach to invite local residents to participate in the health commission committee meeting .i will read this result to include commissioner greens description. therefore be it was all the health commission self quantify extradition to hold at least one person or virtual meeting each year focusing on public health needs of thediverse communitiesliving in one neighborhood and further resolved that the health commission will rotate neighborhoods and locations annually and in an effort to ensure inclusion of all neighborhoods .if i may make one more comment , when the racial equity action plan template was presented citywide , we were happy that the health commission already conducts these annual meetings so it's

not just that we were trying to respond to the itemitself. because we already have a very inclusive processwhere committees are involved in our meeting presentations people come to our meetings . i want to just note it wasn't something that we were trying to show . >> thank you so much secretary and we think about the meetings with on2, they had so informational and i think it's good to do things that otherwise might not have that kind of personal contact with us and they had valuable in doing it in the face of restrictions. i think it's very important are there anycommissioners , i guess are there any public comment ? >> no publiccomments because there's no one online . >> what about the commissioners questions? commissioner chow. >> i just want to be supportive of your addition to allow us to see a video or visual. that would allow for

circumstances to try to at least input so thank youvery much . >> any other comments or questions? i don't see any so perhaps we can have amotion to approve this resolution . >> commissioner, this isn't introduced and we have two weeks. but the agent may want to comment on your proposed amendment and i know resources are scarce right now so i want to be thoughtful about that too there's still two weeks toget the public anddph folks to get comment . >> thanks for that correction . all right, i guess any comments orquestions , we can skip item 8 as we announced earlier and go to board discussion. and communityhealth updates .

>> thank you commissioner gree . i will quickly ... what we had today is our committee requested a return to give us an update on particularly workforce development and graduate programs. that was our meeting this afternoon. just to kind of refresh all of our memories and the updates, may 2017 was the strategic plan for behavioral elements and currently this is year 4. was highlighted today was workforce development and particularly recruitment. and we're focusing on grad school partnerships, pure partnerships programs as well as the support and power of

current staff. these are the current schools that are also in process and in progress. we also had a review of the correct program which is the graduate programs. vocational and pathway developmentgrants . again, an update in revisiting what those programs are as they move forward. there has been a new hire which is wonderful who will also focus on graduate programs which again, this is all part of the workforce development within dhs. so the one thing that i think is important and is going to be

a great move forward is the staff is working on centralizing behavioral health internships because to have it in, it was one of our recommendations of the park committee previously to have a centralized intern place where people can apply for all of the dhs internships. so that is in progress for updating the dph, it will be on the dph website and the timeline which justin was sharing with us is 6 to 8 months, of course we'd like it tomorrow but in light of the surge and how people are

extremely overworked and busy at this presenttime , this is a goal but it's a definitive goal that our committee has asked for. so those were the highlights of the meeting previously today. i do know if commissioner chong or christian have any comments if they are with me as well? thank you. >> sounds promising. is there a public comment on this item? >> no publiccomment . >> anyquestions from commissioners ? i don't see any so then we will move on to other business. is there any other business? >> there is no publiccomment on this item . >> then we will do the joint conference committee and we

will nowhave the hospital, commissioner guillermo . >> thank you vice chair green and i also, thank you for providing for the committee meeting last week for the vast majority of it. please add any of your own comments after i complete the notes here. as usual, the committee received the executive team report that mister phillips provides for the committee and we also enclosed session discussed the regulatory affairs report. in this case i think because schedules and logistics we had

no report to review and it's double theamount of information on it .in the meantime, the committee listened to a presentation on the replacement pillar, that's an important part of the hvac system. when you think about the numbers of people that occupied the buildings that make up laguna honda and what happens when there is a weather event or even a regular day when things aren't working properly, it becomes a very big deal and apparently the hvac system put into place when hospitals remodel unfortunately was not sufficient for the demands and needs and has unfortunately not

performed to its specification . so we have had a number of macgyver like fixes over the year. they had to come a lot earlier than expected just because of the moisture and otherthings weatherwise in that area . so it's supposed to happen every 10 years. also, exciting presentation on theequity program . at laguna honda hospital and i'd encourage the hospital for thatpresentation to be provided to all the commissioners . it's a slide presentation if it hasn't been yet. it's a robustprogram . there's so much work from everybody it seems that excited about the establishment of this program and a lot of enthusiasm

even in the midst of responding tothe pandemic . folks wanting to be partof this program . the full rollout has not occurred again because ofthe pandemic , but lots of things have been planned and as soon as the full staffing returns to laguna honda from their deployment of other duties, we are really looking forward to seeing student equity get distributed. i think it's every month. so that's laguna honda and committee members get a copy to share with the full commission. so are in fact, i think commissioner chow has additional notes about the

supplement and thatis my report . >> that was a very thorough report and we are so enthusiastic with all the great work we continue to get from laguna honda including their covid-19 statistics although there have been cases compared to what might be possible it's remarkable how well they're doing and that happened this month as well.i think it was the occupational medicine team perhaps, but the team succeeds in reverse proportion to the hvac failing. it was quite remarkable out every time we get good news from them. so any comments, commissioner chow?

>> i think just perhaps to put into context not just hvac but the whole system. in fact the city did find the contractor asphalt and there was money put back in. so this is not just general fund money. it was put back in general fund but those funds, part of it as been allocated back to protecting what were our problems and contracting. this is one of those issues that laguna did have a number of challenges but it is building out of the new buildings , i think in general all of us who remember the old buildings think this as well that worked it and i think it was probably due diligence on the part of the city to pursue the contractors and the evil basically to get enough of the money back so that we will be funding the corrections itself

and staff has really been working hard on it . they then from what we cantell been doing a great job . thank you. >> we appreciated not only your historical knowledge also as a staff member of 28 years duration so it was helpful to understand the history of this all evolved and the fact that there has been at least some money returned to the hospital so we can make that emergency need. is there anypublic comment ? then the next item i believe is a motion to go into closed session. >> so moved. >> second. >> we will do a roll call vote. [roll call vote]

>> thank you all, those are not going to be joining the closed session and give me a few seconds. public, we will come back after the closed session. >>. [roll call vote] great. >> our next item isa move to adjourn. and commissioner chong will make that motion . >> yes, i would like us to adjourn this meeting in memory of ambassador jim hornell who just passed away a few days ago and he was a big superstar and

a champion for lgbt queue rights and he was the first gay ambassador to luxembourg germany. and he is also the cofounder of one of the largest lgbt queue organizations in the country, the human rights campaign and of course you know like many of you already know he also is, he stayed on philanthropy and he's been supporting so many organizations, especially those who were small and who just started on the grassroots level. so his legacy will continue. but we lost this giant and so i just like us to have a moment of silence in memory of him as we adjourn.

>> i'd like tosecond the motion .>>. [roll call vote] >> that ends the meeting. >> thank you all for your incredible input and really wonderful meeting .wishing you a goodevening . >> thank you.

good morning phil. good morning san francisco. i am san francisco mayor london breed and i am so excited to be here with each and every one of you because san francisco although we're dealing with some challenges with this delta virus, we're still coming alive again, we're still re-opening, we're still wearing our masks. and what's most important, what's most important we are enjoying our city and we are making these cable cars available to the public, to san

franciscans, for the month of august at no charge. so what does that mean? well, you know what happens when someone gives you something free. that means you have to be patient because during the month of august, typically what will be happening is these operators that are with me today would normally be testing the equipment, making sure things are running smoothly, making sure that they are safe and making sure that the public is safe, so, please, listen to your operators, be patient, be understanding. this is a process. there is not going to be a complete time schedule, right. yes. but there will be fun and it is worth the wait. you know, san francisco, i can't think of this city without cable cars. and i can't think of this city without all of the great things that we know, love, and treasure. when people come to visit our city, they come downtown here in union square. they go to pier 39 and the fary

building. they visit the crooked road on lumbard street. no trip to san francisco is complete without a ride on our cable car. so today, we are officially and i see people are already lined up and waiting to go. we are officially making them available and, as i said to you all before, please be patient. please be understanding. we have just been through a very challenging 16 months with this pandemic and what that means is things won't just go back to the way that they used to be automatically. it requires all of us to be patient, all of us to be understanding and all of us to do everything we can to just really appreciate the fact that there were lives lost during this pandemic and we are still here, we're still standing and we're still able to enjoy the

beauty of san francisco. so, with that, i'll just say have a good time and know and before i introduce jeff actuallin, you have to wear your mask on the cable cars and on muni at this time and please make sure you get vaccinated. it's like this delta variant is like covid on steroids and it's important that people get vaccinated and most of the people coming through our hospital doors are not vaccinated. we want to get back to normal life. we don't want to shut this country down any longer than we have to so thank you all for being here today and without further adieu, i want to introduce the director jeff

tumlin. >> thank you mayor breed. my name is jeffery tumlin and i'm proud to say that on this day, 148 years ago, andrew holiday tested what was then called holiday's falling. adapting obscure gold rush mining technology in order to try to make a form of transportation that can bring san franciscans up and down our crazy hills. no one thought it would work. and cable cars became one of the most popular forms of public transportation in the city and allow the city to develop beyond the tiny clusters of buildings. we're so pleased that not only did the symbol of san francisco's enginuity survived, but the symbol of our resilience has survived as

well. we're many efforts to try to shut them down so i'm so happy to be bringing these services back and i have so many people i have to thank. i need to thank all of the cable car operates and administrators most of whom worked keeping the vaccination clinics running and doing a thousand other jobs as disaster service workers throughout the pandemic. and, they are here. we are so grateful to them. there are so many people who during the pandemic work to maintain our fleets and rebuild historic ancient cars but i particularly want to thank all of the crews, arnie hanson who delayed his retirement to make sure all of these services made it through the pandemic

stronger than they were before so we can continue sustaining this great symbol of san francisco's resiliency. so, without any further adieu, i want to make a couple reminders. first of all, things are going to be a little rough. all three things are operating. they'll be operating from around 7:00 a.m. to around 10:00 p.m. yes, you do need to wear your masks and without any further adieu, i want to invite all of you to join me and the mayor riding the cable cars half way to the stars and beyond. thank you so much. [cheers and applause]

>> we worked very hard with the san francisco venue coalition, the independent venue alliance to advocate for venues. put this issue on the radar of the supervisors and obviously

mayor breed. the entertainment commission and the office of small business and we went to meetings and showed up and did public comment and it was a concerted effort between 50 venues in the city and they are kind of traditional like live performance venues and we all made a concerted effort to get out there and sound the alarm and to her credit, maybe breed really stepped up, worked with matt haney, who is a supervisor haney was a huge champion for us and they got this done and they got $3 million into the sf venue recovery fund. >> we have represented about 40 independent venues in san francisco. basically, all the venues closed

on march 13th, 2020. we were the first to close and we will be the last to reopen and we've had all the of the overhead costs are rent, mortgage, payroll, utilities and insurance with zero revenue. so many of these venues have been burning $1,000 a day just to stay closed. >> we have a huge music history here in san francisco and the part of our cultural fab lick but it's also an economic driver. we produce $7 billion annual' here in san francisco and it's formidable. >> we've been very fortunate here. we've had the department of emergency management and ems division and using part of our building since last april and aside from being proud to i

can't tell you how important to have some cost recovery coming in and income to keep the doors open. >> typically we'll have, three to 400 people working behind the teens to support the show and that is everything from the teamsters and security staff and usualers, ticket takers, the folks that do our medical and the bar tenders and the people in the kitchen preparing food for backstage and concession and the people that sell key shirts and it's a pretty staggering amount of people that are out of work as a result of this one verne you going tarkanian. it doesn't work to open at reduced capacity. when we get past june 15th, out of the into the blue print

for our economy we can open it it 100% and look at the festival in full capacity in october and we're just so grateful for the leadership of the mavor and dr. coal fax to make us the safest ♪ america and this is been hard for everybody in san francisco and the world but our leadership has kept us safe and i trust them that they will let us know when it's safe to do that. >> a lot of people know about america is military stuff, bullying stuff, corporate stuff. when people like me and my friends go to these foreign country and play music, we're giving them an american cultural experience. it's important. the same way they can bring that

here. it sounds comfy buyia, you know, we're a punk band and we're nasty and we were never much for peace and love and everything but that's the fertilizer that grows the big stuff that some day goes to bill graham's place and takes everybody's money but you have to start with us and so my hope is that allel groups and people make music and get together because without out, hanging together we'll hang separately, you know. >> other venues like this, all over the place, not just in the san francisco bay area need to exist in order for communities to thrive and i'm not just talking about the arts communities, even if you are here to see a chuckle bucket comedy show and you are still experiencing humanity and in specific ways being able to gather with people and experience something together. and especially coming out of the pandemic, the loss of that in-person human connection

recovering that in good ways is going to be vital for our entire society. >> it's a family club. most our staff has been working with us for 10 years so we feel like a family. >> what people think of when they think of bottom of the hill and i get a lot of this is first of all, the first place i met my husband or where we had our first date and i love that and we love doing weddings and i expect there to be a wedding season post 2021 of all the make up we haddings and i hope that many people do that because we have had so many rock ep role weddings. >> i told my girlfriend, make sure you stand at the front of the stage and i can give you a

kiss at midnight. at this got down on one knee at the stroke of midnight. it wasn't a public thing, i got down on one knee and said will you marry me and is he she had are you [beep] kidding me and i said no, i'm dead serious and she said yes. we were any time homicideel of the show. we just paused for new year's eve and that was where i proposed to my wife. this is more than just a professional relationship it's more than just a relationship from a love of arts, it's where my family started. we'll always have a special place in my heart. >> venues, you know, represent so much. they are cultural beckons of a city. neighbors can learn and celebrate and mourn and dance

together. venues and arts and culture are characterized as second responders to crisis and they provide a mental health outlet and a community center for people to come together at and it's the shared history of our city and these spaces is where we all come together and can celebrate. >> art often music opens up people to understanding the fellow man and i mean, taz always necessary and if anything, it's going to be even more necessary as we come out of this to reach out and connect with people. >> we can sustain with food, water and shelter is accurate and does anybody have a good time over the last year? no. >> san francisco is a great down. i've been here many years and i love it here and it's a beautiful, beautiful, place to

be music and art is key to that. drama, acting, movies, everything, everything that makes life worth living and that's what we've got to mow proteasome no san francisco and that's what is important now. [♪♪♪] >> the meeting of the san francisco board of appeals. president honda is presides joined by vice president swig, commissioner lazarus, commissioner chang and lopez. also present is deputy city attorney to provide legal advice this evening. at the controls is the legal assistants and i am julie the executive director. we will be joined from the city departments presenting before the board in