information on behavioral health services, drug and alcohol treatment resources. the referral process to receive treatment and then transitional supportive housing. presentation by craig murdock, director, sf health network, and edwin batongbacal, director, adult and older adult systems of care. public comment is welcome. break, the dowel 0 will take a 15-minute break. item 7, information item. city agencies, deaf advocates and represent testifies from community-based organizations come together to give input on the san francisco police department's department general record. a brief overview of best practices for officers. presentation by captain troy dangerfield, san francisco police department. public comment is welcome. item 8. information item. san francisco disability community cultural center survey. the study of san francisco is building the first municipally funded disability community cultural center and long more institute is working to plan for it. we'll shear about the project and explain opportunities. presentation by catherine kudlick, director and e

it is having health service be involved somewhere on the distribution of the letters. our members were confused by the second letter. do we dump this in the trash as well and not pay attention because it didn't come from health service. we need to understand the impact this has on our members. i want to bring up another issue i am hearing from some of our members. this goes back to the opioid issues. there are a number of seniors who get prescribed a number of opioids to help with quality of life. with the panic with the opioid crisis fewer and fewer physicians are willing to continue those prescriptions and what we don't know is whether or not those opioids are for individuals of a certain age. we find the quality of life is diminishing among the members who can't function any more because this is the medication i had that kept me active or going or doing various things. now, i am in so much pain because i can't get that medication or i am unable to perhaps recover from something as quickly because certain medications were not made available. i am wondering if we with

knows how many victims of weber's abuse areou stilthere, or how many other people in the indian health servicethe story. and learn more from the reporters about investigating the indian health seice. >> we found a bunch of doctors with troubled track records before they joined the ihs or once they got there. >> then, visit our watch page where you can view more than 200 "frontline" documentaries. connect to the "frontline" community on facebook and twitter, and sign up for our newsletter at pbs.org/frontline. >> narrator: it was a landmark ruling--sa thous of new yorkers with severe mental illness had a right to live on their own. >> there was a huge question about whether people that hadtu been insonalized can live successfully in the community. >> narrator: and a right to fail. >> they just brought me there and said, "ta daaa!" >> narrator: "frontline" and propublica investigate. >> didt feel like you were left alone? >> i had no company actually. >> the question is when do you take away somebody's liberty? >> frontline is made possible by contributions to yr pbs station from viewers like yo

no-- no. >> i guess i have to blame the bureaucracy of indian health service. that's still hard for me to... kind of deal with. ♪ >> narrator: after nearly 30 years, no one knows how many victims of weber's abuse are still out there, or how many other people in the indian health service could have done more to stop him. ♪ >> go to pbs.org/frontline and wsj.com for the latest reporting on the story. and learn more from the reporters about investigating thindian health service. >> we found a bunch of doctors before they joined therords once they got there. where you can view more thane 200 "frontline" documentaries" connect to the "frontline" community on facebook and twitter, and sign up for our newsletter at pbs.org/frontline. >> narrator: it was a landmark ruling-- thousands of new yorkers with severe mental illness had a right to live on their own.as >> there huge question about whether people that had been institutionalized can live ccessfully in the community. >> narrator: and a right to fail. >> they just brought me there and said, "ta daaa!" ontline" and

when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care 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 troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i al

approval of the san francisco health services annual report. the report will be presented by the executive director. >> i am going to walk through the highlights of the annual report. i can't take credit for it. they did a marvelous job, and with that being said, i do want to just kind of zip through a couple of pages. page 4 is a fun page. you need your reading glasses with a lot of highlights from the various reports the team puts out as well as finance. the trust fund contributions are over $900 million now. we have reached that mark. that is to be so noted going forward. as you know we are in addition to the board, there are five divisions within hsf. finance, member services, enterprise system, communications and well-being. the report does have the demographic highlights you just heard. i need not repeat those. the board had 11 regular meetings, one special meeting and a number of committee meetings in 2018 and approved the strategic plan and actuarial contract. what we are looking forward to is online and in person education for the boar

>> san francisco health services board will now come to order. please stand for the pledge of the flag. i pledge of allegiance, to the t ed states of america and to the republic for which stands, one nation under god, indivisible, with liberty and justice for all. >> roll call please. [roll call] >> president breslin: we have a quorum. item number 4. >> approval with possible modification of the minutes set forth below, regular meeting minutes from january 10, 2019. >> president breslin: any corrections to the minutes? >> i think the references paragraph, item 13. we're talking about the reason the board did do a self-evaluation last year. it states that we didn't do it without an explanation. the explanation was we were engaged in hiring of an executive director. we did not complete the self-evaluation for that year. >> president breslin: i'll add that. i had one item, item number 11 page 7 second paragraph second line. conducive should be convenient. any other corrections? i need a motion. >> i move that the minutes be adopted as edited. >> sec

the main research arm of the united states public health service. in the office of dr.k murray, chief of the division of biologic standards, the manufacturer's protocol is first reviewed. then dr. murray summons two scientists from his staff. each is given a copy of the protocol, which he will study carefully, checking every process, every test for consistency. at the same time, another vital judgment is being made in the laboratories. here, a sample from every batch of vaccine is received. then subjected to a whole battery of complex scientific tests. a sterility test confirming those of the manufacturer is carried out. ♪ a tissue culture test on the vaccine sample. again, substantiating tests already made by the manufacturer. living tissue is inoculated with the poliomyelitis vaccine, incubated, and carefully examined. the monkey test, one of the most important tests. 20 monkeys are involved in the testing of every lot of vaccine and each receives three injections from the manufacturer -- manufacturer's sample. the purpose? once again, to confirm the safety and effect

health care services. physical therapy is an important aspect of any healing process and is often necessary for veterans suffering from sustained pain or discomfort from a service-connected disability. this experience can often commitments and long commutes to achieve results. for my constituents, access -- accessing physical therapy services at v.a. health clinics, receiving regular physical therapy means making a regular commitment to be stuck in traffic on the 405 to drive to the long beach v.a. hospital. my amendment will ensure that veterans in need of physical therapy for a service-connected disability are specifically afforded access to child care services. v.a. benefits are not truly benefits if the cost associated with child care during regular appointments place too large a burden on veteran caretakers. veterans and their families face many obstacles when transitioning back to civilian life, but access to health care should not be one of them. i urge my colleagues to support this amendment, i res

health services. >> thank you, supervisors. my name is juan ibarra, and i'm the vocational programs manager in the department of public health. there are two actions included in this proposed legislation with the state department of rehabilitation, otherwise known as the d.o.r. the first action is to accept and expend the d.o.r. grant funds in the amount of $90,000 annually or $207,290 over the three year agreement to support a civil service position that would assist in coordinating and developing the work for the agreement. the second is to provide d.o.r. with the board of supervisors approval to enter into an agreement with d.o.r. whereby the county provides d.o.r. with a 21.3% catch match for the total program cost. the department of public health has had the same relationship with d.o.r. for the past 27 years. in this relationship, the department of public health has entered into an agreement with d.o.r. to provide matching funds to support the extension expansion of vocational services through this grant. d.o.c. contracts

in the health service, in most of these places, even when we have an independent health authority, weely on the correctional staff for safety and security. as such, because there is not a lot of mandated transparent t te about health outcomes, but the true characteristics of injuries, for instance, at the time we were doing this work, most of the system is designed to keep information on the inside. so anybody who wants to change the original accounts, whether it is a patient or doctor or nurse, faces a real gauntlet of challenges that not only are bureauaucratic and administrati, ththe cook put their own personl safety at risk -- but could put their own personal safety at risk. amy: we're going to go to break the come back to this discussion and bring in jennifer gonnerman who read the review of your book for "the new yorker." calledisters "life and death in rikerss island." ♪ [music break] amy: baltimore's first lady of jazz. she passeded away february 17 at the age of 86. this is democracy now!, democracynow.org, the war and peace report. i'm amy goodman. i want to turn to kalief b

we need to expand services for serving people who are homeless as far as more shelters. as far as branching out and our mental health system. creating more services for people with substance abuse problems. because the huge issues because we have a lot of people dying out there right now. last year over 200 people died. i attended the vigil last year. died on the street because someone didn't have a place to go. i'm asking to you remember those who are sick out there. thank you. >> thank you, supervisors and thank you to everyone who spoke. i am ben and i also work at the glide foundation. i'm here in solidarity with all the people who come here to speak about the pressing issues and i'm here to talk about urgency. the urgency that our friend was just mentioning. which is that people without housing die. the time we have until a proxy funding comes through is crucial. the difference between $45 million and the $171 million is the difference between dozens of people being able to stay with us. i know that some of us came to the memorial that tony was talking about. these are the banners that we had. they're over 200

the health service in this country is in a state of collapse.f the showers. sometimes there's no running water, so relatives have to bring in bottles. marea shows us where his nephew louise cooks his food — in the bathroom. luis is gravely ill with a brain tumour. his family have already spent all their savings trying to keep him alive, but it's not enough. "i still have to rent the surgical equipment they need for my operation," he says, "and buy all the supplies, even the gauze." every day that passes, he loses a little more of his sight. the hospital can't give the sick much more than a bed. under president nicolas maduro, this is the picture of health. well, take a look atjust how bad things are. there is mould growing all the way down the wall. we are in the internal medicine department. this is the isolation area. this patient here has lymphoma, the patient here has tb, and we've been told he is receiving absolutely no treatment. so david can only rest and hope. he's 20 years old. his mother is grateful he's been admitted, he was turned aw

and we ask you today, to prioritize housing, homelessness, health services. thank you. >> good afternoon, supervisors, my name is kevin bogus. i work at col man advocates for children youth as a political directorment i'm here to talk about the needs in education right now. our schools are in crisis. in these funds can help to alleviate some of that. so i hope that you are going to do the right thing and make sure that money gets to the school district so they are able to make sure children in our city are educated. i want to call on you to find ways to bring more revenue into the city to make the pot bigger. our schools are in crisis and the amount of money beer talking about potentially giving to the school district is a drop in the bucket of what is really needed to make sure all children and families have faith that their schools and their neighborhoods and communities that you represent are really preparing them to be the next generation of leaders and businessmen and civil servants in the city of san francisco. so i'm here to ask you to do the right thi

s national health service especially if the u.k. leaves the e.u. without a deal findings published in the medical journal the lancet suggests there could be shortages of medicines vaccines and stuff need barca has more. breaks it in all its possible forms is bad for britain's health services putting lives at risk. that's the conclusion of months of research looking at different break six scenarios from leaving the e.u. without a deal to a slower managed departure one of the biggest worries is about recruiting and retaining staff under no deal breaks it the government proposes a minimum salary threshold of forty thousand dollars which could limit immigration of vital health workers to the u.k. including nurses and new to qualified doctors there's already a critical shortage of medical staff the report's authors say gregg's it will deepen the problem there is an argument that you could say that the people who are no longer coming from the e.u. can come from the rest of the world and that's fine but then you lose all the safeguards that the u.s. has b

topassed senate bill 5 increase access to mental health services and substance use disorder treatment[applause] to address new11

that will be item 9. >> approval of san francisco health service system fiscal year 2019-2020 and fiscal year 2020-2021 proposed general fund administration budget presented by the finance and budget committee chair rafael mandelman. mandelman i.d. financ -- >> supervisor mandelman: just to highlight, based on the recommended proposal, there's a reduction of $67,058,000 for the budget and $134,115 for 20-21 budget. also there's contingency proposal from the mayor's office 1% can is $33,529 reduction. on the procedure, there's no change in the number of procedures. impact o of the reduction was enough to be big impact on the contracts. with that, that's the only line item that we got with the 12% budget. impact of that will be $101,196. additionally, we had services requesting additional funding. there's -- funding will be $354,000. the budget and finance committee approved the budget this morning and presented to the board for full approval. do i hear a motion to approve the 2019-2020 and 2021 budget? >> president breslin: i move to approve the budget. >> second. >> supervisor mandelman:

. >> i move to accept approval of the 2018 san francisco health services board education report and 2019-2021 education plan. >> is there a second. >> properly moved and seconded to accept the recommendation an approof the plan for 2018 and the report for 2018 and the plan for 2019 and beyond. is there any public comment or further board comment? any public comment? we are now ready to vote. those in favor signify by aye. those opposed. it carries unanimously. now the next item. >> item 23. approval of the evaluation report for the fiscal year 2017-2018 health service board annual selfie valuation. presented by randy scott and keith howard managing director of the department of human resources. >> kay, please come to the microphone. i want to on behalf of this board thank you for your diligence and leadership as we have undertaken both of these required activities evaluwaiting, assessing our performance and providing the evaluation for the executive director. it is very easy to work with you, and i found it to be a lot less painful than i thought it was from the last time. thank you for

and, victims of venezuela's collapsing health service.e meet the patients hardest hit by the economic and political crisis. for the first time, global warming may be about to hit a tipping point, a level of temperature rise that could bring rapid and far—reaching changes for our planet, creating conditions we have never experienced before. nasa scientists have already confirmed that the warmest years on record are the past 5 years. now analysts from the uk's met office say there's a risk global temperatures could, temporarily, exceed 1.5 degrees celsius above pre—industrial levels. even if it happens briefly, it's likely to mean unprecedented extremes of weather, sea level rise, flooding, storms, drought, heatwaves, wildfires. our science correspondent rebecca morelle reports. from the devastating flooding that's inundating australia, forcing thousands from their homes, to the deadly forest fires that raged across the united states last year, and the record—breaking temperatures seen here and across europe over the summer, it's been a yea

the health service in this country is in a state of collapse.this is one of the showers. sometimes there's no running water, so relatives have to bring in bottles. marea shows us where her nephew luis cooks his food — in the bathroom. luis is gravely ill with a brain tumour. his family have already spent all their savings trying to keep him alive, but it's not enough. "i still have to rent the surgical equipment they need for my operation," he says. "and buy all the supplies, even the gauze." every day that passes, he loses a little more of his sight. the hospital can't give the sick much more than a bed. under president nicolas maduro, this is the picture of health. well, take a look at just how bad things are. there is mould growing all the way down the wall. we are in the internal medicine department. this is the isolation area. this patient here has lymphoma, the patient here has tb, and we've been told he is receiving absolutely no treatment. so david can only rest and hope. he's 20 years old. his mother is grateful he's been admitted — he

then you have mental health services, there has been a lot of rhetoric from government about what theys on the front line as a doctor. we need to cut it off at the source, we need to make sure social media companies are held responsible. do you accept there is a link between the adolescent mental health crisis that experts say we are experiencing at the moment, and cuts to mental health services since 2010 under the conservative and lib dems correlation? nhs spending including mental health has gone up in that period, demand has increased as well. the life negative mental health services. nhs spending has gone up, but demand is growing even faster, which is why more money is going on. be honest, there have been cuts. the why is nobody looking up the rich cause? daniel was stressed out with his gcses. he was so stressed, it was unbelievable. the pressure and kids doing gcses. he felt there was no worried. why don't you put money into the rich cause? you have young children search i know, because we run a facebook group, there are kids on there who are ten years old who are stressed out

between worksite community mental health center and the department of public health for behavioral health services to include -- --dash increasing agreement amount by 17.9 million for an amount not to exclude 29.9 million. for a total agreement term of july first to december 31st. >> thank you very much. i believe we have the director of d.p.h. >> correct. thank you. i am representing the department of public health back before i get started to, we realized too late there is a clerical error and the short title. so i am just bringing that to your attention. we have already provided an amendment by the clerical error says the word fiscal intermediary, the long title and the body of the resolution and the report done by the budget and legislative analyst is all correct. i just wanted to point that out. you do have a corrected version that removes that word. today, as was stated, this is a request to amend this contract to continue it after its one-year term period beginning june 30th, 2019 for three years and six months, the current contract has four programs, included in it, and this is a long-term

s health services. and in sports roger federer begins his quest for a one hundred title in dubai has details coming up next. and i was trying to be drawing in china now as it should have been a winter and hasn't been but there is cloud stay here crossed from the west front. the high ground of western china so you got rain there from bangladesh snow up in towards sichuan and the hard part so you're not above the wise we're looking at fine weather in hong kong's enjoying twenty three shanghai as well not just thirteen in sunshine but that all men as cloud does develop along the yangtze from one eastwards the chances are it will rain again with snow on the high ground and a bit further north this isn't consistent with average weather even for february south of all this is rather a lack of care rather lack of showers for the pins enjoying wonderful weather just the very edge of your screen the typhoon is out in open water now and the only showers you see that any relevance really are in western java has bee

health and addiction crisis. -- it's unrealistic to expect someone to maintain treatment gains or stay connected to ongoing services when discharged back to the streets. spending the eraf dollars under the plan will allow us to stop churning people through the system as their mental health conditions worsen. intensive care can be offered wherever anyone needs it, be it drop in facilities, tent encampments, or medical facilities. our system must offer predictable access to health care including addiction and behavioral health systems to improve the efficacy of care, otherwise, our work is done in vain. thank you. >> good afternoon, supervisors. my name is malia chavez, and i'm the deputy director at the homeless prenatal program, and i'm also the cochair of hespa, which is the homeless providers emergency association. i really wanted to just talk about advocating more for homelessness families and children. families with dealing with housing insecurity issues and needing more support. as someone who experienced housing insecurity as a child here in san francisco, i'm disheartened to see that families are still exper

we are setting up a dedicated mental health service which will offer confidential advice and support 24 hours a day staffed by qualified professionals who have had training in situations unique to the national health service and ensure mental health referrals for nhs employees are fast tracked. it is right that the mental and physical well-being is the forefront of our health service and the we have taken this action to support our staff. >> the local government association has identified 1.6 billion pound deficit special needs education. the governor responded with a paltry 350 million pounds and as a result i have teachers in my constituency having sleepless nights. reading programs to children, crucial support staff are being stopped. instead of repeating the usual line on school funding will she agreed to meet with teachers so she can hear direct from them about the real pain being caused? >> i'm sure the honorable lady will look forward to working with the largest group. she raises this issue about education funding, referring to the budget in the past as we have been putting fu

s national health service especially if the u.k. leaves the e.u. without a deal findings published in the medical journal the lancet suggest they could be shortages of medicines vaccines and stuff may bucket has more. breaks it in all its possible forms is bad for britain's health services putting lives at risk. that's the conclusion of months of research looking at different break six in areas from leaving the e.u. without a deal to a slow to manage departure one of the biggest worries is about recruiting and retaining staff under no deal breaks it the government proposes a minimum salary threshold of forty thousand dollars which could limit immigration of vital health workers to the u.k. including nurses and new to qualified doctors there's already a critical shortage of medical staff the report's authors say breaks it will deepen the problem there is an argument that you could say that the people who are no longer coming from the e.u. can come from the rest of the world and that's fine but then you lose all the safeguards that the u.s. has built

the city and county of san francisco, in terms of delivering service to those that need mental health services, do we need to be meeting that 139 instead of just 80, and how do we get to that 139, and what can we do to help westside get their? >> we have been consistently working with westside, with this was also their request. it is a consistent problem. we still had the money, and there were other vendors that applied that already provide intensive case management, so we moved the client accordingly. nobody stopped being served, so that is our number 1 goal in any solicitation or any transition, in any type of funding, or programming, is to ensure continuity of care of the clients that are already enrolled in the program his. so i feel like we work very closely with westside, and this was an agreement that we reached with westside. >> i guess we can follow up with the budget and legislative analyst in terms of their statement about westside has not consistently met their budgeted level of deliverables, so i wait --dash i will wait to hear more from the b.l.a. on that. >> before we hear from