grant colfax, dph director of health with the director's report. >> and a couple of key items we dmv launched an suspicional recovery public education campaign that is the key messages that treatment works and people are living proof it features san franciscans who have benefited from the addiction sharing their stories the treatment works and recovery from addiction it possible and the campaign is one of the larger effort to reduce over today's deaths for fentanyl and supports from substance abuse and it coincides with a full launch of night time program for people that suffer from fentanyl and an oh, fan would be prohibited from 8:00 a.m. to midnight and continue to make substance abuse treatment available across the system of care, he in the last that 4 years added treatment beds to support people in their recovery that so the living proof campaign is on billboards and social media thank the 9 participants from who have brought their recovery forward and yesterday um, we had a press conference by the mayor and one of the members emphasized the important of that campaign in the ove

and (clearing throat) we have partnered with dph to expand the medical expert in our street shelters and dph and we created the corresponded care with the frundz that proposing c some of the speakers shall address their remarks to the commission as a whole and not to individual commissioners or department to rehab the behavorial health buildings and nationwide shortage of behavorial health staffing is continual and the challenge a bright spots transitioned into the health program and that means we have much better data going forward with that past year our data is not as robust before hopeful and optimistic we have utilization now we have the two unified records. in our system. >> with that, i'm going to turn it over to heather to describe the unity care. >> good afternoon (coughing) >> i'm heather if the coordinator care with the unity care for those who can't hear me thank you for having me here today appreciative of the work with the last couple of years with the coordinated care (unintelligible) and um, i'm going to provide an oversight of data. >> um. okay. >> i'm so the overall

we were also able to schedule some healing and wellness one on one meetings for two residents with dphsis services. and then we were able to make sure our residents understand the process for the work order meeting so making sure that we're doing resident out reach just to be able to assist residents, and let the residents know that they will not be in trouble for reporting anything that needs to be done in the unit. and we were able to have 1 over 150 residents connections referrals, provieeding financial coaching and anything around anger management, substance abuse, pg&e support. >> so we were able to assist some families where they're going to have closures in the unified district so. there are some families that are affected so we're helping them to take a look at other options, some families are opting to looking at private school so we're looking into doing the application process and everything■= like that. >> and then just, how are you communicating the latest news that is coming out of the district in terms of the pause on closures that is currently in affect? >> we didn't ge

and i know, i've been interested in having dph come and talk about collaborations with us. i think around issues like mental health and other issues, so i'm hoping that as we look towards the end of the new year, that i would really like to see just the opening of conversation and somebody would be willing to go to dph meeting if that's more prepare for that direction. so we start that. there are family resource around the city and things of that sort. but i think that family resource centers are an important opportunity to anchor young families who are be aware of what they would be. but just having dcyf come before us and talk about their engagement what are they funding, how can we focus in on these families, that we should be working together. so more to come and in the new year, we'll have some rich conversation around that. okay. moving us along to our next agenda item which is new business we we'll move along to item number 10. we're happy to have director services salvador and christopher to come and provide presentation on hs agency so we ask that you comment at th

again, because we know they are bearing the brunt of these regulatory fees primarily through dph feesth fees. we worked closely with the office of small business and with departments to kind of go down the list and say are the right fees, the ones with most impact. we started with data and had to talk to people who knew what these different fees minute meant and what they did and figured out, how much revenue is the city collecting each year. how businesses are paying them and what would that look for departments ongoing. there were a few types of license fees that we decided to add on that didn't-that were not our typical ones on our bill. those include tables and chairs fees. the merchandise display fees and point of sale fees so those fees are included as well. the way this will work is it will not-businesses will not have to do anything to get this benefit. if this legislation passes at the board, these fees will actually be set to zero dollars, so it is not based on your individual business gross receipts and you have to tell us something every year, the city will stop charging t

illegal dumping is a dph code.hat need to be contacted by us, we rely on recology. they have a lot of folks out there. whenever they might service a trash can, they let us know and we make the right contact with the ratepayer and start that dialogue to be sure they either increase their service or perhaps have more frequency of their service. we also have partnerships with larger organizations like the community benefit districts and the green benefit districts. i think in general, the more kind of intel and the more information we can get, the better, whether it's a community group, whether it's just a constituent, ultimately the people that live in these communities are the experts on what's going on with them and we rely on them on what we need to be doing and looking to better serve them. so in years past, we would issue citations and i suppose there is a very blunt way of putting this. we would issue a citation. if someone didn't pay it, we would send a letter saying you need to pay it. after that letter, we w

recommended both by the cdc, center for disease control and prev sf dph, two individuals he project hererep. i do prep through city clinic. you know i get my tests read here regularly and i highly we really encourage people to come in and talk to ors. we help almost everyoaccess prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. two different clinics going on at that time. when is women's health lling them a dropping in or emailing us for that. we also have an hiv ;otcare clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim tclient of city clinic. when i first learned i was positive i do not know what 4hit i felt my life would be just ending there but all the support they gave d all the information i need to know was helpful. o i health >> about a quarter of our patients are women. the rest, 75% are men and out half of the men who come here are gay men or other men who have sex with men. a small percent about nts, identify as transg