. >> [inaudible] >> they are both dph staff >> if you can just talk about high level take aways from the last quarterly report and what it says in terms of twends and how sheltererize meeting the requirements that they operate under >> in this report and think the trends are similar to the pest ones. again, the-typically we generate a lot of complaints when we go to shelters and find they are missing something like towels or sheets so a lot of the complaints in this quarterly report in front of you will have less complaints because we were not able to go out and do so many site visits because we didn't have np committee members to do so. that is something we'll see in the future report is more data around what we see when we go out >> there is one vacancy now? >> there is 2. [inaudible] if anyone can help get that filled that would be great and there is one committee member that left-there is 2 vacancies >> maybe there is a way that we can get [inaudible] so in september when you come back we can review the seats at that time >> it is probably a rules seat, yes because the woman who

analysis of city transportation needs we know that they have been several agencies simple the sfmta dph and you thought and others that attempted to do their own studies but nothing comprehensive to understand the needs of the public schools and par california schools everyday 29 schools that travel through san francisco we hope to understand the travel needs and gain an understanding of the shortcomings with the transportation and see whether there are changes to the travel behaviors so with the finding we look forward to using the data to develop strategies to meet the san francisco needs of our ask the and families we have received commitment and today, i'm requesting a $25,000 from the mta to be part of this work i look forward to working with the colleagues and the mta and sfmta and the parent and stakeholders on this issue the rest i submit. >> great, thank you supervisor tang. >> colleagues, any additional introductions seeing none, any public comment on item 12 you don't have to raise your hand. >> also family student i'm with the social duty of having a responsibility by standi

>> commissioner yee, executive director, i wanted to thank you mta staff and ana from dph for presenting. we have do have some upcoming revenue opportunitis with sales tax and it's important for us to find a dedicated source of funding for education. i think that is just a reminder to all of us that we need to find the dedicated source of fund, ideally locally. thank you >> appreciate your comments. any other comments? come on up. >> very briefly i think the educational needs to be revised at the state-level, having recently taken the driver's education exam, it was appallingly easy to pass. the ideal situation in my mind to do -- would be to do what they do in other countries, which is to actually require hours' of driving, supervised driving for new drivers, and particularly drivers under particular age. and also i want to commend the education people for an excellent plan. thank you. >> thank you. any other comments? seeing none, public comment is now closed. [ gavel ] i am again appreciate the efforts that are going on. we still have a little ways to go. one of the things that i agre

we'll then hear from mark -- from the department of public health and we have an additional dph staff and ucsf staff here to answer any detailed questions. good to see you, mr. updike. >> good to see you, chair cohen, john updike, director of real estate. good afternoon. nearly three years ago we began negotiations on a project through an exchange of letters in the fall of 2012. that is a pleasure now to outline the key terms and conditions of in non-binding term sheet that is before you for consideration. first some technical issues i need to mention and that is this document establishes the fundamental terms and economic parameters for lease to be negotiated in good faith over the coming year. with that said, the term sheet does not commit the city to approve a final ground lease, nor does it foreclose the possibility of consideration of alternatives to the proposal offered here including not approving a final ground lease. the board will not take any discretionary action relative to the ground lease unless and until the health commission and the board of supervisors have reviewed a

. >> on the evaluation and data piece, during this period the vision zero epidemiologist at dph worked with ski key staff from sfmta and our agencies are now coordinating and collecting on a monthly basis a final count of traffic fatalities. we have started publishing them. so that the data is transparent and can be known by the public on an on-time -- online fatality map including up from 2014 to the most recently completed month. and finally we have a more detailed update on enforcement, that command mannix will be giving. i will turn the presence over to her now. >> good afternoon, supervisors. this slide you are looking at right now shows our collision numbers. and from 2014 to 2015, 1st quarter same time period you can see there is a 56% drop in fatal collisions. the other collisions categories -- four categories in the statewide forum and these are them. we do not generally take a non-injury collision report. so that is why you see four categories. there are up slightly, but down in the most vulnerable number of ped and bicycle collision that. is a positive out of a negative righ

we have dph to speak here. >> i am sharon and i am representing the department of public health. this is a supplemental grant awarded through a joint program to allow for collaborations between u.s. and brazilian investigators. this budget is funded a project in brazil to learn more about the size of the transgender population in rio deja dareo and prepare for a project in that city is -- now recommended globally by the world's health organization. however, there is no coordinated program to deliver this to transwomen in the area and the risk of hiv is high. the grant will fund a portion of [inaudible] dr. lou and mcgoldrick fallen for one year between the investigators in brazil. dr. mc fallen will be training the team to measure the size of the trans population in rio. the other doctors have extensive experience in developing protocols for prep demonstration projects and providing that expertise to the brazilian team. thank you for considering this request to accept and expend grant. >> thank you very much. colleagues any questions. we will move on to public comment. anyone to

plan and the valencia and 20th neighborhood was identified as a storage of primary care decreases the dph addressed like the which one disease management as well as abduct management and mammograph and a convenient location for moms with ease care we're open nights and weekends that are longer than the regular merchants are open we'll be openly earlier and staying open through the evening we continue to with work all community health care partnered p a participates from the neighborhood we've referenced the meetings in our packet this slide shows the area that we will occupy with the star at valencia site currently this is really important to understand there are 73 thousand people would live in third year this area and not enough decreases to serve this neighborhood 36 primary care decreases is needed and only 28 decreases in the entire area 8 of them are over the age of 65 older decreases cut back on their shortage and worsening shortage in the future this didn't take into account the 5 percent growth in the area we've made phone numbers and 4 of the practices are completely closed to n

this possible ultimately from the mayor's office of housing i see joyce crumb from human services and dph preponderance of the evidence e helped and mary go thank you to make sure that is a capacity today and i look forward to seeing the units and the residents who is going lives will be transformed on golden state (clapping). >> so it's true there are an unbelievable number of people from the city side marge go and wolfgang are partners not only here by on many projects are huk huge humane partners from the mayor's office of housing i've got a long list ann and olsen lee and georgia martin and others from the urban housing and i'm sure there are many others thank you for everything you did to make that possible (clapping) so we're officially 10 percent through the program in case you keep a chart at home the 09 great partner for us is the hud as long as hud for many, many years they've been the key partner for producing housing particularly for seniors in some ways a sad waterfront momentum this is the last hud 202 projects in california for whatever reason they've chopped did funding th

we heard from dph, 80 percent have severe substance abuse issues so what can we do to address the issues coming to the system. jofe adauchy came out with a [inaudible] and pretrial diversion and bail reform is a issue. something that was highlighted by cliff boughter who committed suicide after being kept in jail for years stealing a back back when he was 16 or 17. we know in san francisco black adults are more likely than white adults to meet the criteria than pretrial release. yet, they are far less likely to be released at arraignment than other white adults with a prior felony. so many opportunities, there are so many different steps we need to look at to how to reduce the population and folks that are there because they committed a crime, but the issue is outside crimial intentx mental health and substance abuse. before we come to a determination of what the board will approve t is our obligation to look at every alternative before us. the last point i'll make about applying for state funding, i won't support funding for the state grant- >> can i remind the public vocal spegz isn't

i can only speak for myself and say that i feel that within dph, there is for the most part i think we are still struggling with this siloed system. the reorganization and some of it, there was a plan to have more of a transitions program where we had one individual managing or helping care management for somebody who had multiple issues and i don't know where it is or why it got stalled. i can only speculate. what i would say is i'm not sure what the answer is, but i do know that's why i love the cit because nobody ran it. it wasn't run by hsa, by the police department, it wasn't run by anybody. we were all in it together. there was no entity like that in the city. that's the beauty of cit. i wish there was more. what we need is a container a framework where people like myself, like jenny, the mental health association, like michael who is gone now, if we can all get together and say before the city makes anymore policy decisions about where this money is going to go, let's look at this and have this input. because sometimes we don't share too well together. we don't work too well tog

>> so can i finish my point when people and things around dph funded programs is that the programs are run by the health department

>> so can i finish my point when people and things around dph funded programs is that the programs are run by the health department we could build other health insurance programs for providing therapeutic mental-health services and licensed facilities which is something we can't do for people with mental health image appeared in the jill, taxpayers are paying the full cost of their health care services in residential treatment clinically, run programs we can be getting the kind of reimbursement that will offset those cockpit judges agreed up for recommendations will let you run through three and four children only three. >> only three. the last one is on the san francisco police department. it's asking to expand the crisis intervention team to enter de-escalate mental-health crises on the street before people end up getting arrested and put in jail. we can do a better job of diffusing the crises. ask san francisco to implement a model currently in seattle which gives police officers tools and the ability to refer people directly into services instead of being booked into jail. it would

we heard from dph, 80 percent have severe substance abuse issues so what can we do to address the issues coming

i really want dph to play a central role in helping us really rethink what our jail system could look like and i cited some of this yesterday at the national alliance of mental illness stated, at some point, 25-40% of individuals across the country will at some point be incarcerated. that is a very stock number and knowing that 45% of inmates thursday prisons today are treated for mental health illnesses, that at close to 50% of inmates in our state prison system are treated for mental health issue. so, clearly, is more we can do in this arena and appreciate some of the solutions you presented in terms of what we can do to better address that issue. thank you. >> thank you. >> deputy chief freeman thank you for being here and i just want to say, this charset on for decades has been a model department throughout the country. really innovating and piloting some of our incredible programs around rsvp, restorative justice, and many other programs that have helped prevent recidivism. so i want to acknowledge the sheriff's apartment really innovative work on that. >> supervisors, good morni

we have dph to speak here. >> i am sharon and i am representing the department of public health. this is a supplemental grant awarded through a joint program to allow for collaborations between u.s. and brazilian investigators. this budget is funded a project in brazil to learn more about the size of the transgender population in rio deja dareo and prepare for a project in that city is -- now recommended globally by the world's health organization. however, there is no coordinated program to deliver this to transwomen in the area and the risk of hiv is high. the grant will fund a portion of [inaudible] dr. lou and mcgoldrick fallen for one year between the investigators in brazil. dr. mc fallen will be training the team to measure the size of the trans population in rio. the other doctors have extensive experience in developing protocols for prep demonstration projects and providing that expertise to the brazilian team. thank you for considering this request to accept and expend grant. >> thank you very much. colleagues any questions. we will move on to public comment. anyone to

i really want dph to play a central role in helping us really rethink what our jail system could looklike and i cited some of this yesterday at the national alliance of mental illness stated, at some point, 25-40% of individuals across the country will at some point be incarcerated. that is a very stock number and knowing that 45% of inmates thursday prisons today are treated for mental health illnesses, that at close to 50% of inmates in our state prison system are treated for mental health issue. so, clearly, is more we can do in this arena and appreciate some of the solutions you presented in terms of what we can do to better address that issue. thank you. >> thank you. >> deputy chief freeman thank you for being here and i just want to say, this charset on for decades has been a model department throughout the country. really innovating and piloting some of our incredible programs around rsvp, restorative justice, and many other programs that have helped prevent recidivism. so i want to acknowledge the sheriff's apartment really innovative work on that. >> supervisors, good mornin

we have dph to speak here. >> i am sharon and i am representing the department of public health. this is a supplemental grant awarded through a joint program to allow for collaborations between u.s. and brazilian investigators. this budget is funded a project in brazil to learn more about the size of the transgender population in rio deja dareo and prepare for a project in that city is -- now recommended globally by the world's health organization. however, there is no coordinated program to deliver this to transwomen in the area and the risk of hiv is high. the grant will fund a portion of [inaudible] dr. lou and mcgoldrick fallen for one year between the investigators in brazil. dr. mc fallen will be training the team to measure the size of the trans population in rio. the other doctors have extensive experience in developing protocols for prep demonstration projects and providing that expertise to the brazilian team. thank you for considering this request to accept and expend grant. >> thank you very much. colleagues any questions. we will move on to public comment. anyone to

we have dph to speak here. >> i am sharon and i am representing the department of public health. this is a supplemental grant awarded through a joint program to allow for collaborations between u.s. and brazilian investigators. this budget is funded a project in brazil to learn more about the size of the transgender population in rio deja dareo and prepare for a project in that city is -- now recommended globally by the world's health organization. however, there is no coordinated program to deliver this to transwomen in the area and the risk of hiv is high. the grant will fund a portion of [inaudible] dr. lou and mcgoldrick fallen for one year between the investigators in brazil. dr. mc fallen will be training the team to measure the size of the trans population in rio. the other doctors have extensive experience in developing protocols for prep demonstration projects and providing that expertise to the brazilian team. thank you for considering this request to accept and expend grant. >> thank you very much. colleagues any questions. we will move on to public comment. anyone to

we heard from dph, 80 percent have severe substance abuse issues so what can we do to address the issues coming to the system. jofe adauchy came out with a [inaudible] and pretrial diversion and bail reform is a issue. something that was highlighted by cliff boughter who committed suicide after being kept in jail for years stealing a back back when he was 16 or 17. we know in san francisco black adults are more likely than white adults to meet the criteria than pretrial release. yet, they are far less likely to be released at arraignment than other white adults with a prior felony. so many opportunities, there are so many different steps we need to look at to how to reduce the population and folks that are there because they committed a crime, but the issue is outside crimial intentx mental health and substance abuse. before we come to a determination of what the board will approve t is our obligation to look at every alternative before us. the last point i'll make about applying for state funding, i won't support funding for the state grant- >> can i remind the public vocal spegz isn't