access code: 2496 990 2673 password 1234 then pound. if you have not done so dial star 3 to speak. a prompt indicates you raised your hand. wait until you have been unmuted then begin your comment, you will have 2 minutes. there is no public comment. why thank you. we will take a roll call escrow on emergency shelter hi joan liaison for jennifer friedenbach. >> member cunningham-denning. why yes. vice chair d'antonio. >> yes. >> member friedenbach. >> yes. >> officer leadbetter. >> yes. >> member reggio >> yes. why chair williams. >> yes. why motion passes congratulations. thank you for your service. we will now move to our behavioral health liaison and it

is member cunningham-denning. >> member cunningham-denning. >> yes. >> vice chair d'antonio. >> yes. >> member friedenbach. >> yes. >> officer leadbetter. >> yes >> member reggio. >> yes. >> chair williams. >> yes. >> motion passes, congratulations member cunningham-denning. >> all right. we will now move forward to the next item. >> can you call the item. i don't have it in front of me. >> item 7 is mental health spotlight presentation with discussion and possible action by the committee. >> thank you. so at this time i believe we have director kirkpatrick with

us. >> we have doctor cummins with us. >> director cummins. thank you. why hemo~. good morning, everyone. hello chair williams grit to hear about the elections. and transition in the committee is exciting to see -- going on. i'm i know we are rung late and i'm with apologies i have a hard stop at 11:20 i know you have a full agenda. i will kick us off and i want to introduce the group i think you he doctor residence who is joining me. doctor residence is the head's up ouran litibles and evaluation team for health sf and prop c

initiatives. i will kick us off and doctor rose will step in as i have to step off and i'm sorry. lovely to be here. i'm joined as chair williams said by director kirkpatrick. who you know. we will start off today with a brief table setting. take a moment to highlight our collaboration and growing collaboration with hsh and acknowledge our flon have a future spotlight presentation focused on our collaboratetive work. we will then turin to mental health sf describing the population which we are now have routines for and sharing the metrics and very excited share

really the metric in further development over dose response and prevention and sample metrics we may given time may not be able to get to that and happy to come back. so i think as -- this group will be familiar, the behavioral healing services asked the san francisco department of public health the largest provider and fundser. mental health and subance use prevention and treatment in san

francisco. we have a total budget sick00 million dollars. we contract with more than 80 community based organizations. and left year we provided formal treatment services in what we call special behavioral health for 20,000 people. of need that number does in the include people that we have touched or served. in our prevention. our lower threshold and other services where we don't have duplicated numbers of people because of we don't collect identifying information. we mate we touch an additional 100,000 people in those services. >> the work around importance, people experiencing homelessness irrelevant fit in to our larger system and systems of care.

with both general services and then when we have come to the describe a taylored service to people experiencing homeless knows. our over arching goal for high quality and equitable care can save lives and improve quality of plaintiff, prosecute mote recovery. we are aim to have care that is timely. accessible, coordinated and to use a health care jargon, person centered. former president trump can see within our diagram in the darker blue. the parts at dhp behavioral health is one you see the list of others including the hospital laguna honda, and child health. in the lighter blue circle.

we have a number of programs that are irrelevant taylor period aimed it center people experiencing homelessness. and you can see that list, it is service this is happen in most parts of our delivery system in addition to the entire delivery system. really aim to prioritize the person population. turning now to just sharing and i know this it is i great importance to this committee but, i wanted to acknowledge how important it is and critical it is to improving the health of folks experiencing homelessness. we absolutely need a system's prop to address the many structure roll drivers and

complexity of homelessness. we partner with hsh cross a large number acknowledging some are through the behavioral health it is department wide. we are working together to implement prospect c programs related to the provision of clinical support and shelter and supportive housing settings. cal aim, which you know to be the huge medicaid and medical reform effort in california.

we are working with hsh to increase and expand our over doze prevention efforts focus on current and form and people formerly responsibling homeless knows. this community exits from laguna honda and important low, data integration effort its improve service deliver competence enable shared following and offects to -- assess the out come we are realizing. and you will hear a bit in our presentation about the prior population as an example of how we are doing data integration.

i will mention and you know hsh is updating the 5 years strategic plan and working closely as well as others at d ph really participate and develop i shared vision. with partnership and collaborate rigz including identifying shared priority population and shared objectives and shared initial strategies to advance the shared objectives. we are working to clarify the implementation approach to to. accomplish our goals. >> may be now is a good time to turn us over to doctor rose. i will see what the next slide is. i will say a word about mental health sf and monica i will turn it to you. you all have seen some version

of this slide if not this exact slide a reminder mental health s sf legislation pass in the 2019 seeks the goal with our increasing access and coordination of treatment and support service for all san francisco residents with mental health or experiencing homelessness. this work the legislation defined 4 domains of work our office of coordinated care. mental health service center. our new bed and if sillities and our street crisis response team. next slide. >> so it is important part of hsf is our ability to set of key metrics and look at did thea

including our population and out come. why don't i turn it overto doctor rose. >> sure. i will stay on for a minute or 2 and for whatever questions that can't be fielded by doctor rose or director kirkpatrick we will get back. good to see everyone. >> hi issue everybody. this is my first time at this meeting. nice to see all of you. want to say in addition to did the person i'm a clinical psychologist in the terms of how i think about the data. stop mow when needed. i than we want to have time for questions. why you know in the legislation, which i'm sure you are familiar with, defines priority population as persons experiencing homelessness as well as series mental health ill

license or subtans use disorders. you know in terms of quantifying that population, you know we did a lot of w to use our various data systems. i will describe this slide. the large gray bubble there importance experiencing homelessness that is a year time combhn had indication of responsiblesing homeless knows over the year are in that 19,000 number there. that small are aqua color is of the then,000 the number 8700 that had either a series mental illness or substance use disorder. when you look to the right it breaks it down by substance use

and serious mental ill knows you seat majority has substance use disorder at 84 sprs and then 51% and this over limited partner in the middle there of 35% have both serious mental illness and substance use disorder. of those diagnose these are what we used as criteria near defining mental illness and substance a buchlts with the [inaudible] i will say that these are not exclubhousive a person could have more than one of these. stimulant are 50% and opioid at

42%. this darker blue the mental health disorders. psychiatrist were most prevalent upon of the disorders. and we get down to other like a big bucket of other substance use, alcohol related. ptsd and bipolar. were the lowest numbers there. next slide. okay. so in terms of the demographic prosecute file in race, ethnicity 36% were white. 30% african-american. that is much higher than san francisco population by sick times and then 20% is well tin x and i will not read all of the

number. proirm language there is 10% had a primary language other then and there english. so 6% spanish and different languages fit in this 4% of the other category. >> in terms of gender -- male 71% there and then the mean age is 44. next slide, please. >> okay. these are the mental health sf requirements. i know we don't have a lot of time i want to say that when i say core metrics i'm not saying these are all of the metric that will monitoring. but they are a key set this we defined to start monitoring. have to start somewhere and prioritize where we will get started. with that said.

you can see on the left there are the various categories. we have housing. routine care. wait times. over doze response and quality of life. so just to quickly go tlouz. under housing. we have to increase the percentage of the mental health sf population. and then we have to increase the percentage of the population for [inaudible] permanent house and routine care we are to increase the percentage of the population receiving routine health care. and then we have to increase percentage of the population receiving routine health care post 5150 discharge. to say 5150 is an involuntary detention for various reasons. 72 hour hold emergency services

and or sike patient. and in terms of wait times the 2 we prioritize thered are to decrease wait times intensive can is management service. and also to decrease the wait times for residential treatment beds. and then in the category of over dose response, we like to increase the amount of distributed in the community. increase the percentage of percentage of opioid use disorders to decrease the number of deaths to over dose. and to decrease the enormous racial despirity. and final low, to in terms of quality of life. to improve the quality of life in functioning for persons in the mental health sf obligation. okay.

feel free to stop me if you have questions. >> thank you. i'm going to pause us and so if there are questions. >> absolutely. are there questions at this time. we have a couple minutes for the presentation. all right i see vice chair d'antonio and member denning. hart the percentage of folks with dual diagnose because that is a big request this we see in our listening session as well as in the community out there we

get a lot of requests from family requests they need more support dual diagnose. that it is my first question. the second is the break down of substance. are you talking about meth? and when you say opioids just pills or heroin like shootingum and like. jury room where does this break down. >> all of them. we have the detailed data. this is like higher level sum row. we have the detail by substanceful you know i will be happy to shirr that. i think like how you would support someone will vary on the substance they are using. sorry. >> yea. no absolutely. so i think on the earlier slide, you know where we had the when you were talking about the dual

diagnose question. we can go back to the one i think before this. so. over on the right there. in terms of the data we have. remember this you know data has limitations but -- in terms of the did thea available that we have, we found 35% over lap in terms. disorders. >> thank you. >> 00. why thank you. we will go to member denning and also member friedenbach. >> thank you. and thank you for the presentation it is warming. i have a question with data collection. are the methods you gathered, are than i from the information gather friday clines coming and accessing resources at d ph or more of a you know like a wider

range of how you collect this data. why great question. >> and this is part of why this job is difficult in terms of gathering data. so -- in any case. upon the data sources that we have -- essential low require that somebody -- in terms of mental health sf population they touched 3 systems. either behavioral healing services in a fashion. or more on the medical side. the service this are in our bhr epic or primary care hospital services and so forth. and we have this integrated with the hsh did thea in terms ofs you know shelter and other services this would indicate importance experiencing homeless knows. so -- i will not go in details the 3 source intgrited look

there. >> thank you. thank you very much. >> thank you. go to member friedenbach. >> yea. i had a comment, i would love for the distribution for over dose prevention to focus more on getting it out to users. and then training each other or -- training them to use it -- on other folks. that is more effective than getting it out to cbo and there is disparity now. like you know the organizations that do that work are smort and there is cbo's that have it not using it it isit sitting there. being smarter getting in the human beingeds of drug users needs to be the priority. >> thank you.

and i think our goal today i know we are short on time we have many more sliding digging deeply in the w we are doing related to intensive case management a vital treatment compoint to supporting clointss who are housed and unhoused and dig nothing the data we are collect related to over dose response and prevention to which are significant investments by the ocoh committee demonstrating to you all the analytical work we are doing. we know the importance per budget decision making and top have data. the level of work.

we recognize how vital the collaboration are. to ensure that people have the behavioral health support to ends homelessness and successful in housing. and druing the blank ajs was the goal i'm sorry we are short and defer to how you want to proceed with the rest of the meeting i will turn it become to the chair. >> thank you. so much. and -- we are at time. i believe that if we could actually bring this item become for additional conversation i think there is so much to

discuss in this area and so much interest in had is helping with mental health sf i invite director kirk presidentric and monica to condition this. it is a critical issue as part of everything we are doing. i will move to secretary to go to public comment. members had wish to comment on the item call 415-554-0001 then access code: 2496 990 2673 password 1234 and press pound. tile star 3 to speak a prompt will indicate you raised your hand. wait until you have been unmute exclude begin comments. you will have 2 minutes. thank you. i want to provide the director if you have other thank yous before we continue this item.

we will bring this back for a future meeting. i want to thank you both for coming and all the work you do for our community. and it is so important for our city and continue with partnership in this work. at this time i believe we are at item future agenda items. if there are thoughts? >> see being 91 i will now entertain a motion for adjournment. why i public comment. >> members call 415-554-0001 and access code: 2496 990 2673 password 1234 then pound. if you have not done so dial star 3 to speak a prompt will indicate you raised your hand. wait until you have been unmuted

then begin your comments you will have 2 minutes. there are no public commenter for this agenda item. we are taking public comment on adjournment? >> yea. okay a motion to adjourn? >> i motion. >> moved by d'antonio. is there a second? >> i second. >> seconded by member reggio and cunningham-denning. i will call the role. member country hymn-denning. why yes. >> vice chair d'antonio. >> yes >> member friedenbach. >> yes. why officer leadbetter. >> >> member reggio. >> yes. >> and chirp williams. >> yes. i apologize. weure now adjourned it is 11:36.

thank you for your support and we will see you at our next meeting. thank you.

>> i don't want to be involved in the process after it happens. i want to be there at the front end to help people with something in my mind from a very early age. our community is the important way to look at things, even now. george floyd was huge. it opened up wounds and a discussion on something festering for a long time. before rodney king. you can look at all the instances where there are calls for change. i think we are involved in change right now in this moment that is going to be long lasting. it is very challenging. i was the victim of a crime when i was in middle school. some kids at recess came around

at pe class and came to the locker room and tried to steal my watch and physically assaulted me. the officer that helped afterwards went out of his way to check the time to see how i was. that is the kind of work, the kind of perspective i like to have in our sheriff's office regardless of circumstance. that influenced me a lot. some of the storefronts have changed. what is mys is that i still see some things that trigger memories. the barbershop and the shoe store is another one that i remember buying shoestrings and getting my dad's old army boots fixed. we would see movies after the first run. my brother and i would go there. it is nice. if you keep walking down sacramento. the nice think about the city it

takes you to japan town. that is where my grandparents were brought up. that is the traditional foods or movies. they were able to celebrate the culture in that community. my family also had a dry-cleaning business. very hard work. the family grew up with apartments above the business. we have a built-in work force. 19 had 1 as -- 1941 as soon as that happened the entire community was fixed. >> determined to do the job as democracy should with real consideration for the people involved. >> the decision to take every one of japan niece american o japanese from their homes.

my family went to the mountains and experienced winter and summer and springs. they tried to make their home a home. the community came together to share. they tried to infuse each home are little things. they created things. i remember my grand mother saying they were very scared. they were worried. they also felt the great sense of pride. >> japanese americans. >> my granduncle joined the 442nd. when the opportunity came when the time that was not right. they were in the campaign in italy. they were there every step of the way.

>> president truman pays tribute. >> that was the most decorated unit in the history of the united states army. commitment and loyal to to the country despite that their families were in the camp at that time. they chose to come back to san francisco even after all of that. my father was a civil servant as well and served the state of california workers' compensation attorney and judge and appellate board. my parents influenced me to look at civil service s.i applied to police, and sheriff's department at the same time. the sheriff's department grabbed me first. it was unique. it was not just me in that moment it was everyone. it wasn't me looking at the crowd. it was all of us being together. i was standing there alone.

i felt everyone standing next to me. the only way to describe it. it is not about me. it is from my father. my father couldn't be there. he was sick. the first person i saw was him. i still sometimes am surprised by the fact i see my name as the sheriff. i am happy to be in the position i am in to honor their memory doing what i am doing now to help the larger comment. when i say that we want to be especially focused on marginalized communities that have been wronged. coming from my background and my family experienced what they did. that didn't happen in a vacuum. it was a decision made by the

government. nobody raised their voice. now, i think we are in a better place as country and community. when we see something wrong we have change agents step up to help the community affected. that is a important thing to continue to do. you talk about change and being a leader in change and not knowing whether you have successes or results. the fact of the matter is by choosing to push for change you have already changed things. through inspiration for others, take up the matter or whether it is through actual functional change as a result of your voice being heard. i think you have already started on a path to change by choosing that path. in doing that in april of itself creates change. i continue in that type of service for my family. something i hope to see in my children. i have a pretty good chance with

five children one will go into some sort of civil service. i hope that happens to continue that legacy. >> i am paul, sheriff of san francisco. [ music ]

>> the bicycle coalition was giving away 33 bicycles so i applied. i was happy to receive one of them. >> the community bike build program is the san francisco coalition's way of spreading the joy of biking and freedom of biking to residents who may not have access to affordable transportation. the city has an ordinance that we worked with them on back in

2014 that requires city agency goes to give organizations like the san francisco bicycle organization a chance to take bicycles abandoned and put them to good use or find new homes for them. the partnerships with organizations generally with organizations that are working with low income individuals or families or people who are transportation dependent. we ask them to identify individuals who would greatly benefit from a bicycle. we make a list of people and their heights to match them to a bicycle that would suit their lifestyle and age and height. >> bicycle i received has impacted my life so greatly. it is not only a form of recreation. it is also a means of getting connected with the community through bike rides and it is also just a feeling of freedom.

i really appreciate it. i am very thankful. >> we teach a class. they have to attend a one hour class. things like how to change lanes, how to make a left turn, right turn, how to ride around cars. after that class, then we would give everyone a test chance -- chance to test ride. >> we are giving them as a way to get around the city. >> just the joy of like seeing people test drive the bicycles in the small area, there is no real word. i guess enjoyable is a word i could use. that doesn't describe the kind of warm feelings you feel in your heart giving someone that sense of freedom and maybe they

haven't ridden a bike in years. these folks are older than the normal crowd of people we give bicycles away to. take my picture on my bike. that was a great experience. there were smiles all around. the recipients, myself, supervisor, everyone was happy to be a part of this joyous occasion. at the end we normally do a group ride to see people ride off with these huge smiles on their faces is a great experience. >> if someone is interested in volunteering, we have a special section on the website sf bike.org/volunteer you can sign up for both events. we have given away 855 bicycles, 376 last year. we are growing each and every year.

i hope to top that 376 this year. we frequently do events in bayview. the spaces are for people to come and work on their own bikes or learn skills and give them access to something that they may not have had access to. >> for me this is a fun way to get outside and be active. most of the time the kids will be in the house. this is a fun way to do something. >> you get fresh air and you don't just stay in the house all day. it is a good way to exercise. >> the bicycle coalition has a bicycle program for every community in san francisco. it is connecting the young, older community. it is a wonderful outlet for the community to come together to have some good clean fun. it has opened to many doors to the young people that will

usually might not have a bicycle. i have seen them and they are thankful and i am thankful for this program. >> when i open up the paper every day, i'm just amazed at how many different environmental issues keep popping up. when i think about what planet i want to leave for my children and other generations, i think about what kind of contribution i can make on a personal level to the environment. >> it was really easy to sign up for the program. i just went online to cleanpowersf.org, i signed up and then started getting pieces in the mail letting me know i was going switch over and poof

it happened. now when i want to pay my bill, i go to pg&e and i don't see any difference in paying now. if you're a family on the budget, if you sign up for the regular green program, it's not going to change your bill at all. you can sign up online or call. you'll have the peace of mind knowing you're doing your part in your household to help the environment. [music] so, can you tell us what it was like for you during your first encounter with the san francisco fire department? >> yep. it was super cool! i got to learn about the dry standing pipe correction. it is actually called, dry sand piper just stand pipe. tomato. you know. yea. >> so, what is coming up next

for what is that for? >> oh , firefighter backsterinvited mow to a fire station to see the cool stuff firefighters use to put out fires. you have seen the had doors open like a space ship from out of nowhere. i close my eye its is like i'm there right now! wow! whoa. watch out, man. what is that for? >> what is this? these are fire engines they might look alike they are both red. white top and red lights on top. this is a new 2021 fire engine and this is an older 2014 fire

engine. if you can't tell, this one is shorter and narrower than our older fire engines. they have cool things like recessed lights. roll up doors. 360 degree cam ares and more that is important as the city is moving toward slower and safer streets adding parklets and bulb outs and bike lanes we need to decrease our footprint to keep us and the community safer on emergency scenes. >> what's back there? >> when is not guilty fire engine. great question. i want to see, sure. >> let's go back and look at the equipment and the fire pump on the fire engine. >> this is a fire pump. it is cool all the colors and all that. this fire pump and this engine holds 500 gallons of water that is a lot. >> a lot of water. >> it is push out 1500 gallons a

minute of water. we can lose our 500 gammons quickly. why we use hoses like this to connect to a fire hydrant and that gives us unlimited amount of water to help put a fire out temperature is important we have enough fire engine in san francisco to put fires out. so we can reduce the injuries and minimize loss of life and minimize property damage. [music] >> mr. will. mr. will. will! >> oh. daydreaming. thanks, everybody for watching! bye! [music]

[♪♪♪] >> i just wanted to say a few words. one is to the parents and to all of the kids. thank you for supporting this program and for trusting us to create a soccer program in the bayview. >> soccer is the world's game, and everybody plays, but in the united states, this is a sport that struggles with access for certain communities. >> i coached basketball in a coached football for years, it is the same thing. it is about motivating kids and keeping them together, and giving them new opportunities. >> when the kids came out, they had no idea really what the game was. only one or two of them had played soccer before. we gave the kids very simple lessons every day and made sure that they had fun while they were doing it, and you really could see them evolve into a team over the course of the season. >> i think this is a great opportunity to be part of the

community and be part of programs like this. >> i get to run around with my other teammates and pass the ball. >> this is new to me. i've always played basketball or football. i am adjusting to be a soccer mom. >> the bayview is like my favorite team. even though we lose it is still fine. >> right on. >> i have lots of favorite memories, but i think one of them is just watching the kids enjoy themselves. >> my favorite memory was just having fun and playing. >> bayview united will be in soccer camp all summer long. they are going to be at civic centre for two different weeklong sessions with america scores, then they will will have their own soccer camp later in the summer right here, and then they will be back on the pitch next fall. >> now we know a little bit more about soccer, we are learning more, and the kids are really enjoying the program. >> we want to be united in the

bayview. that is why this was appropriate >> this guy is the limit. the kids are already athletic, you know, they just need to learn the game. we have some potential college-bound kids, definitely. >> today was the last practice of the season, and the sweetest moment was coming out here while , you know, we were setting up the barbecue and folding their uniforms, and looking out onto the field, and seven or eight of the kids were playing. >> this year we have first and second grade. we are going to expand to third, forth, and fifth grade next year bring them out and if you have middle school kids, we are starting a team for middle school. >> you know why? >> why? because we are? >> bayview united. >> that's right. a city like no other, san

francisco has been a beacon of hope, and an ally towards lgbtq equal rights. [♪♪] >> known as the gay capital of america, san francisco has been at the forefront fighting gay civil rights for decades becoming a bedrock for the historical firsts. the first city with the first openly gay bar. the first pride parade. the first city to legalize gay marriage. the first place of the iconic gay pride flag. established to help cancel policy, programses, and

initiatives to support trans and lgbtq communities in san francisco. >> we've created an opportunity to have a seat at the table. where trans can be part of city government and create more civic engagement through our trans advisory committee which advises our office and the mayor's office. we've also worked to really address where there's gaps across services to see where we can address things like housing and homelessness, low income, access to small businesses and employment and education. so we really worked across the board as well as meeting overall policies. >> among the priorities, the office of transgender initiatives also works locally

to track lgbtq across the country. >> especially our young trans kids and students. so we do a lot of work to make sure we're addressing and naming those anti-trans policies and doing what we can to combat them. >> trans communities often have not been included at the policy levels at really any level whether that's local government, state government. we've always had to fend for ourselves and figure out how to care for our own communities. so an office like this can really show and become a model for the country on how to really help make sure that our entire community is served by the city and that we all get opportunities to participate because, in the end, our entire community is stronger. >> the pandemic underscored many of the inequities they experienced on a daily basis.

nonetheless, this health crisis also highlighted the strength in the lgbtq and trans community. >> several of our team members were deployed as part of the work at the covid command center and they did incredit able work there both in terms of navigation and shelter-in-place hotels to other team members who led equity and lgbtq inclusion work to make sure we had pop-up testing and information sites across the city as well as making sure that data collection was happening. we had statewide legislation that required that we collected information on sexual orientation and our team worked so closely with d.p.h. to make sure those questions were included at testing site but also throughout the whole network of care. part of the work i've had a privilege to be apart of was to work with o.t.i. and a

community organization to work together to create a coalition that met monthly to make sure we worked together and coordinated as much as we could to lgbtq communities in the city. >> partnering with community organizations is key to the success of this office ensuring lgbtq and gender nonconforming people have access to a wide range of services and places to go where they will be respected. o.t.i.'s trans advisory committee is committed to being that voice. >> the transgender advisory counsel is a group of amazing community leaders here in san francisco. i think we all come from all walks of life, very diverse, different backgrounds, different expertises, and i think it's just an amazing group of people that have a vision to make san francisco a true liberated city for transgender folks. >> being apart of the grou

allows us to provide more information on the ground. we're allowed to get. and prior to the pandemic, there's always been an issue around language barriers and education access and workforce development. now, of course, the city has been more invested in to make sure our community is thriving and making sure we are mobilizing. >> all of the supervisors along with mayor london breed know that there's still a lot to be done and like i said before, i'm just so happy to live in a city where they see trans folks and recognize us of human beings and know that we deserve to live with dignity and respect just like everybody

else. >> being part of the trans initiative has been just a great privilege for me and i feel so lucky to have been able to serve for it for so far over three years. it's the only office of its kind and i think it's a big opportunity for us to show the country or the world about things we can do when we really put a focus on transgender issues and transgender communities. and when you put transgender people in leadership positions. >> thank you, claire. and i just want to say to claire farly who is the leader of the office of transgender initiatives, she has really taken that role to a whole other level and is currently a grand marshal for this year's s.f. prize. so congratulations, claire. >> my dream is to really look at where we want san francisco to be in the future. how can we have a place where we have transliberation, quality, and inclusion, and

equity across san francisco? and so when i look five years from now, ten years from now, i want us to make sure that we're continuing to lead the country in being the best that we can be. not only are we working to make sure we have jobs and equal opportunity and pathways to education, employment, and advancement, but we're making sure we're taking care of our most impacted communities, our trans communities of color, trans women of color, and black trans women. and we're making sure we're addressing the barriers of the access to health care and mental health services and we're supporting our seniors who've done the work and really be able to age in place and have access to the services and resources they deserve. so there's so much more work to do, but we're really proud of the work that we've done so far. [♪♪]

>> alright. hello. welcome. thank you. thank you for making time out of our your day and thank city hall and (inaudible) let's give them all a big hand. [applause] also to make sure if all families here, make sure to give them love and hug after this, because great thing we couldn't be here without significant others friends, family. they like us to coach an dre and i to hand out the certificates for winning the state championhi