dr. john rouse and i'm speaking on behalf of those who work in psychiatry at san francisco general hospitaland the emergency service, where i have worked for 30 years. p.e.s. is the only 51/50 receiving unit for people deemed dangerous to themselves or others and brought in by the police and our job is to stabilize them and transfer them to appropriate facilities for follow-up. as i'm sure you all know, those facilities have been evaporating for many years, none more than the 52-bed unit closed by st. luke's in 2006. as a result, the patients back up in psych emergency and the patients winds up with 25 to 26 and patients stay there for days looking for an appropriate place to go. now, in the proposal that you have heard from cpmc you saw a lovely list of services all doubtless, important, useful by ms. withey. you heard from director garcia a list of the city's acts as far as mental health services, including an attempt to get cpmc to improve its somewhat disappointing record in charity care. what you have not heard so far is a single word addressing the needs of the seriously and chronical