i think dph circulated a resolution about that. >> what was the last thing? >> the resolution before you approves not to exceed of $40.8 million. i think reducing to $16 million would provide them sufficient funding for the next 12 months. >> we have to amend the total not to exceed dollar amount minus 3 million is that crckt because you are increasing by 13 million instead of 16? >> now it is the resolution says 40.8. my recommendation would be to change that to $16 million. >> for total not to exceed 16.8 instead of 40.8? >> correct. >> because we are only extending for one year? >> one year. >> yeah. okay. we are good? looks like everybody nodded and looks like it makes sense. look, i think that i appreciate it. i think that it is pretty direct recommendation that either you stop funding under utilized programs and i say that is really consistently been and moving forward for the fiscal year that we'll be the ask at least from this budget committee that we will stop funding under utilize program, and overall across, not just this one, but all across for al

and they received a lot of funding from dph and homeless housing department and dph alone this year, felt on received 16 million dollars in this fiscal year alone to provide services. however we're concerned about the conduct as a public serving our most vulnerable communities and the most underpaid workers and using public union. while mismanaging their programs and services. multiple monitoring reports, submitted to dph show that felton they're meeting zero of their contracted target and performance objective, yet they're getting grants from dph year after year. staff and clients have brought up concerns about health and safety where people being expose today gas leaks, and child injury. meanwhile, felton is intimidating workers who are bringing up concerns and trying to organize a union so they can have a voice on the job. despite having a contract and a neutrality, with the agreed, felt on turn around and order workers not to sign contractors with the union and fired workers spoke up. the union has filed charges with the national relations board and they have found merits. in the

first, we reviewed the draft dph annual report for fiscal year 22-23. as you know, the report summarize and highlight dph data and services. we were generally very pleased with the report and the only thing i think primarily we were encouraging them to do was to highlight more of the successes of--and the increase in service providing and through the communities, particularly given what we have been going through and focusing on in the last year around healthcare provision and also substance use disorders and providing people with treatment and the stark difference between the availability of treatments in this past fiscal year versus previously. i think it's-commissioner gerardo brought this up, it is very important for the department to highlight that information so people can see in the annual report and the media can see in the annual report the good work and change that is happening and also the really excellent work and increase in service providing to the community and our public health sites and so, basically just more pleased about what the goo

i think dph circulated a resolution about that. >> what was the last thing? >> the resolution before you approves not to exceed of $40.8 million. i think reducing to $16 million would provide them sufficient funding for the next 12 months. >> we have to amend the total not to exceed dollar amount minus 3 million is that crckt because you are increasing by 13 million instead of 16? >> now it is the resolution says 40.8. my recommendation would be to change that to $16 million. >> for total not to exceed 16.8 instead of 40.8? >> correct. >> because we are only extending for one year? >> one year. >> yeah. okay. we are good? looks like everybody nodded and looks like it makes sense. look, i think that i appreciate it. i think that it is pretty direct recommendation that either you stop funding under utilized programs and i say that is really consistently been and moving forward for the fiscal year that we'll be the ask at least from this budget committee that we will stop funding under utilize program, and overall across, not just this one, but all across for al

dph the department of public health and i think we have updates today.. >> thank you chair chan, vice chair mandelman and supervisor safai. also with me today over in the back row in case there are questions is leader ship from a better way including president and ceo david chaner, chief program officer warner graham and sf mental [indiscernible] i thank them for their time as well. under the pr opposed amendment better way san francisco continue to provide outpatient behavioral helt to children and youth 0-21 and care givers. this is delivered through two contracts. one focus on early childhood and include family treatment and case management for up to 24 youth age 0-5 and out patient contract delivering individual family therapy and case management up to 80 children and youth 6-21 and caregivers. better way particularly focuss on the foster care population and we work closely with the human service agency child welfare division around this collaboration. one important thing to note we are currently working the fiscal year to combine these two contracts

i'm michelle rug lz i'm the director of dph units. the business units of contract d o.c. c and one of the things that b o.c. c does is make sure that we're in compliance with the city's administrative code which is the, the citizens right to know act of 19 98 which we adopted as a dph good neighbor policy. you'll also hear it often referred to as prop i, because that wased or the nans letter. but, chapter 79. but anyway, so our chapter 79 and therefore our policy requires that for certain city funded projects to meet the criteria that citizens and neighbors are given their right to share their concerns about the city project. for dph, the project may be something that comes here or the action may be something that goes to another body to approve, like it's, the building is purchased for dph real estate takes it to the board and that satisfies the action. so one of the common places or times that we bring, to you here, is a relocation of a city contracted vendor. so this can apply to city contracted vendors or dph that, so a project or a relocation if it's changing the use

max, director of self-care representing behavioral health service at dph. regarding latino commission, i am here to give a quick briefing on the background and programming. through this proposed contract lutina commission provide 4 key services. the first is casa [indiscernible] paranatal residential program with 6 beds serving 18 clients followed by [indiscernible] adult male residential program with 8 beds serving 24 clients per year. they have a residential step down program called casa [indiscernible] serving male residents 12 beds 25 clients per year. and very small outpatient program we contract with 4 clients per year called [indiscernible] this program falls within substance use disorder service and covers adult service in outpatient residential program. primarily clients are adult 18-65 spanish speaking referrals come from hospitals and jail. they do step to lowing level care like residential step down and out patient. 6 percent of all residential treatment beds including 15 percent paranatal beds for our system and 4 percent of residential step do

dph the department of public health and i think we have updates today.. >> thank you chair chan, vice chair mandelman and supervisor safai. also with me today over in the back row in case there are questions is leader ship from a better way including president and ceo david chaner, chief program officer warner graham and sf mental [indiscernible] i thank them for their time as well. under the pr opposed amendment better way san francisco continue to provide outpatient behavioral helt to children and youth 0-21 and care givers. this is delivered through two contracts. one focus on early childhood and include family treatment and case management for up to 24 youth age 0-5 and out patient contract delivering individual family therapy and case management up to 80 children and youth 6-21 and caregivers. better way particularly focuss on the foster care population and we work closely with the human service agency child welfare division around this collaboration. one important thing to note we are currently working the fiscal year to combine these two contracts

for the treatment beds, i think that was a-i was involved in those early discussions when dph forward a proposal to this body about what should be funded in that initial round of funding. beds were a big thing we wanted to be able to expand with. prop c funding we are really proud of the fact that over 350 beds have been opened. there is both expansion of existing programming that a bed gap analysis had said we need more of, but also new innovative programs. we have a new alcohol program which is funomally successful in terms of improving outcomes for the people admitted into that program. we have expanded our psychiatric respite, hummingbird program, so those are-great for you all to hear about, and for our body, for the iwg, our goal is really to get understanding of what behavioral health service and meant health sf is working on, like the new facility for the mental health service center. member friedenbach you had a lot of input what that should look like as do members of our working group, so we are giving input, so that it meets that vision of a low barrier way to access care t

this is for the dph. department of public health, sorry. >> thank you. through the chair, jenny, financial officer for department of public health. here to present on our adjustment to our overtime supplemental. we are requesting budget neutral adjustment. insure compliance with over time ordinance. i note this change does not increase our overall expenditure authority and department is expected to stay within approved operating budget for this fiscal year. if approved our total over time bujtt increase $71.6 million. this represents approximately 6.2 percent of our total salary budget. as you see the breakdrown of overtime hours in the next slide, zuckerberg san francisco general and laguna honda are the primary drivers of the overtime utilization. if we were to use the straight line projection we actually see approximately 690 hours compared to current year actuals, but we note our request is calculated using a straight line projection and 12 percent to adjust for additional cola increases and salaries slated for january as well as seasonal fluctuation

from february 1, 2024, for a total term of february 1, 2020, through june 30, 2028; and to authorize dph to enter into modifications of the agreement that do not materially increase the city's obligations or liabilities and are necessary to effectuate the purposes of the agreement or this resolution. (public health between mckesson plasma and biologics llc and the department of public health (dph), under administrative code, chapter 21a.2, to increase 21a.2, to increase the agreement amount by $1,170,803,034 for a not to exceed amount of $1,466,737,824;extend the term by four years and five months from february 1, 2024, for a total term of february 1, 2020, through june 30, 2028; and authorize dph to enter into modifications of the agreement that do not materially increase the city's obligations or liabilities and are necessary to effectuate the purposes of the agreement or this resolution. (public health department) you seeing no names on the roster. >> same house, same call. the resolutions are adopted. >> 17 through health (dph), for mental health outpatient treatment services and opt

i think a dph are facing as well nationally and multiple problem. i know there is a staffing and waging analysis underway by the comptroller's office that will provide additional fight and other things like loan repayment and salaries and able to move from a training of being a trainee to a staff member sometimes we're giving some of the criminally opportunity letting so i think that is really multiple prong and want to say such an expansion of behavorial health services nationally as well as in our geographyic area. >> we have a pipeline of people that are coming out of recovery and if we invested in their workforce development and involved what necessary know best how to share recovery and what they've gone through a pipeline a huge pipeline of people i know we can invest in and i know that being on the board of homelessness programs those are programs needing initiatives we need to invest in people coming out of programs. >> thank you, supervisor. for that point i want to make i all aware of the work it is happening work done. we have really terr

max, director of self-care representing behavioral health service at dph. regarding latino commission, i am here to give a quick briefing on the background and programming. through this proposed contract lutina commission provide 4 key services. the first is casa [indiscernible] paranatal residential program with 6 beds serving 18 clients followed by [indiscernible] adult male residential program with 8 beds serving 24 clients per year. they have a residential step down program called casa [indiscernible] serving male residents 12 beds 25 clients per year. and very small outpatient program we contract with 4 clients per year called [indiscernible] this program falls within substance use disorder service and covers adult service in outpatient residential program. primarily clients are adult 18-65 spanish speaking referrals come from hospitals and jail. they do step to lowing level care like residential step down and out patient. 6 percent of all residential treatment beds including 15 percent paranatal beds for our system and 4 percent of residential step do

for the treatment beds, i think that was a-i was involved in those early discussions when dph forward a proposal to this body about what should be funded in that initial round of funding. beds were a big thing we wanted to be able to expand with. prop c funding we are really proud of the fact that over 350 beds have been opened. there is both expansion of existing programming that a bed gap analysis had said we need more of, but also new innovative programs. we have a new alcohol program which is funomally successful in terms of improving outcomes for the people admitted into that program. we have expanded our psychiatric respite, hummingbird program, so those are-great for you all to hear about, and for our body, for the iwg, our goal is really to get understanding of what behavioral health service and meant health sf is working on, like the new facility for the mental health service center. member friedenbach you had a lot of input what that should look like as do members of our working group, so we are giving input, so that it meets that vision of a low barrier way to access care t

grant, at dph and his team. [applause] that's right. sheriff yamimoto and his team. dr.er sharaoen and her team. fire chief and her team. chief crystal and bro basing team, they're out here. we have deputy chief scott, my cousin, no we're not cousins, bart police and his team. who am i missing? we have the park rangers and where is chief murphy and his team? [applause] dem, and mayor alan carol and her team. but most importantly, the community members. the community members who hold us accountable who push us and a lot of you are out here. we spend so much time meeting and talking and trying to plan and really, sometimes deservedly so, taking a lot of heat about what we're going to do to make this space better and make this community better. and this is a first step, but let's not let it be the last step because we have more work to do. and i just want to say also to dean and the u.s., uc a team and many of you are out here. and those biweekly meet that'sing we have, i think we've been having them for couple of years, this is what we meet for. we meet to make progres

from february 1, 2024, for a total term of february 1, 2020, through june 30, 2028; and to authorize dph to enter into modifications of the agreement that do not materially increase the city's obligations or liabilities and are necessary to effectuate the purposes of the agreement or this resolution. (public health between mckesson plasma and biologics llc and the department of public health (dph), under administrative code, chapter 21a.2, to increase 21a.2, to increase the agreement amount by $1,170,803,034 for a not to exceed amount of $1,466,737,824;extend the term by four years and five months from february 1, 2024, for a total term of february 1, 2020, through june 30, 2028; and authorize dph to enter into modifications of the agreement that do not materially increase the city's obligations or liabilities and are necessary to effectuate the purposes of the agreement or this resolution. (public health department) you seeing no names on the roster. >> same house, same call. the resolutions are adopted. >> 17 through health (dph), for mental health outpatient treatment services and opt

. >> good morning supervisor safai government affairs manager at dph and are working with folks to bring in alignment with the state law because of the requirements for 50 percent of membership to be either consumers or family members. we add one more seat we'll have to add another seat for advocates. >> no, no, i want to say if we had would it be difficult to leave that language in in that you could leave that language in and still have. >> we could but have to balance that with the state requirement. and that's why the legislation is as it is in front of you today. so that is - would be um, thinking behind that we discussed will be continued because those amendments are substantive by that's the reasoning behind that as we stated early we have a current commissioner. you don't know i don't believe it is hard to recruit. to this but wanted to state the reasoning behind that. >> why not through the chair or the city attorney a way to put language in that honored the state welfare code and not add an additional seat maybe you thought about that. >> i do think ultimately this is a policy c