, 12% in family homelessness and 30% in chronic veteran homelessness. i encourage them to verify this, because there should be independent body, every other big city on the west coast and in the u.s., in the past two years has seen increases in homelessness. and for the first time in ten years, homelessness has gone up nationally, but in san francisco we saw a slight decline. but you will see many of our neighbors around us are seeing 30-40% increase in homelessness where we saw a slight reduction. i'm not going to say 1% reduction is a victory, because it's absolutely not. the only time we should celebrate is zero, but it's an indicator we're moving in the right direction. i want to talk to you all about the budget and our capacity as a system. as you see here on this slide, our budget is approximately this fiscal year, $250 million. it's important to point out that nearly two-thirds of that -- actually two-thirds of the operating funding goes to housing people. so when we talk about 7500 homeless people and spend $250 million on it, that's not correct

homeless -- some homeless people didn't choose to be homeless. they were abandoned by their parents and siblings. we need the money and please, please, please help us. thanks. >> thank you very much. next speaker, please. >> thank you. >> thank you. >> good afternoon, supervisors. phil with the aids legal refer panel. thank you for taking the time this afternoon. it's not often that service providers and people who are experiencing homelessness get to speak before you folks. so we appreciate you taking the time to hear from us. if there's one thing that i hope that you leave this afternoon with is a simple math calculation. there are over 7,000 people experiencing homelessness at any point in time, and we have 1400 shelter beds. that is a very simple math equation even for me and i'm no mathematician. i want to make a couple quick points. first of all, i want to thank supervisor sheehy for his leadership for the civil right to council legislation. the hespa proposal will help us make significant progress in meeting that goal. we're asking for $2

half of all homeless people in san francisco first became homeless as a young person. yet only 3% of the city's budget is spent on homeless services and the money directed toward young people is a mere fraction of this. we have a collective obligation as a community to ensure that every young person who calls themselves a san francisco an can reach their potential. they are our future. we have an additional moral imperative to address this given the disproportional impact against those of color. you've heard from young people today. we need services to engage youth in a variety of housing options to meet their needs. we need to preserve and grow what's already working. between 2015 and 2017. funding was increased by 15%. during that time period, we saw a 13% decrease among the youth counted through the point in time count. this shows the impact that we can have with targeted youth specific investments. by investing in youth, we can prevent the next generation of homeless adults. this act is about preserving the already proven investments, and i urge you to give it your

we were homeless at that time. we were placed at compass family shelter where we stayed for a little more than six months. compass secured an apartment for us in fillmore neighborhood where we have lived for the past 11 years. last year we faced an eviction after i got behind in my rent. compass was able to provide back rent for me which kept us from eviction. we are now in a much better shape and compass continuing to work with me and -- on my budgeting and my finances. i am also getting therapist at compass at this time right now. my son is now 14 years old and is in 7th grade. he's at roosevelt middle school. i have other children. i have four boys and one girl but it was just me and my 14-year-old at that time, but i've got other kids. but any way, this is a new funding -- this funding will help families like myself that are in need of support. i just really want to thank mayor farrell for allowing me to stand here and say my little speech to -- and i just want to thank him and glfe for the lifeline that they'r

there are more than 7,500 individuals homeless, and homelessness includes children. families needing emergency shelter find themselves waiting over a year before getting stable shelter, if ever. the one place they can go in the meantime is often a full church where they have access to showers only once a week, have to sleep on mats on the floor and have to leave early in the morning with all of their belongings. one in five homeless are transition age youth, an under funded population who needs specialized services. so the homeless emergency service provider association is calling for an investment of 13.8 million to keep our people housed. our residents have the right to stay here in this city, and our workers deserve to live near their jobs and have not stressful hours long commutes. thank you for your consideration. let's keep our people in the city we love. thank you. >> eugene lynch. thank you so much for having this hearing. i just think there's a lot of good -- i think all the people are good. there are good people. they make bad decisions, and i'm in 181 sixt

>> for homelessness and the shelter and unsheltered rates, yes, homeless. for the subpopulation we're using the more narrow definition because that is only available through the hud data set. >> supervisor fewer: and it is data by race? do you collect any of this data by race, or by any kind of demographics at all? >> i would defer that question to the department of homelessness and supportive housing. we are not tracking that fine of a level yet, it's something we're looking into. >> supervisor fewer: when you look at this measure and say we can go onto performance score cards, on those cards, are we categorizing demographics also? >> there, we are not. there you have to go to the department of homelessness. the report they issue every other year. we're in the process of expanding what we're showing on the score card. >> supervisor fewer: i have a suggestion that we do it by demographics, so we see the population of san francisco effected and the population is being served. >> thank you. >> supervisor cohen: supervisor yee? >> supervisor yee: thank you, ch

do you have an estimate of how much we spent across departments on homelessness -- on homeless related programs? i'm looking for a big number here. across all departments. >> the mayor's budget office. our high level estimate for this year is around $300 million across all departments. and the bulk of that being in the department of homelessness and supportive housing. and then followed by the department of public health. >> what was the second part? >> the vast majority is in h.s.h. and after that the department of public health for medical services that are provided for the population. >> all right. okay, thank you very much, and so i appreciate that. so at this time we have our last presentation -- excuse me. >> sorry, i didn't see you, please. >> i'm grad that yo glad that yt question. so i have a follow-up question. in regards to the budget, in 2016 when we created a budget for the following year we sort of depended on -- we based the budget on -- on what we had hoped to pass with a proposition. and when that got defeated we were scrambling at the budget committee and with the may

and we're looking at peers, so are we using same definition of homeless, what is a homeless individual as our peers? >> yes, hud does have standards what they define as homeless. that is

, and why are there so many homeless people? and often there is a great deal of anger and often a great deal of anger at people experiencing homelessness. so this is what practicing health care for the homeless medicine in the san francisco department of public health since 1991 has taught me: this much homeless people, this much housing. this much homeless people, this was housing. that's why we have this issue. and when we look at what the health consequences of that are, it really is quite a serious problem. so thinking about how users of multiple systems, we have people who are being seen in our medical system, people seen in our mental health system, people seen in our system for treatment of substance abuse disorders. those systems may not be well coordinated, and even when they are well coordinated, a lot of the -- when the -- that coordination falls apart, it falls apart among the most severely affected people who are the most likely to be experiencing homelessness. those people are primarily using services in the emerge

statistics show that upward of 50% of folks who are homeless now first experienced homelessness prior to age 25. so we want to try to stem that. the third aspect is actually building on supervisor yee's comments about early intervention and mental health services for families. so we want to -- we also have an ask to provide those services, full scope clinical health services for up to 450 households in families in shelters and housing placements throughout the city and support for staffing of those programs, to build the capacity and provide the services. the last piece is the restoration of a cut to employment services for homeless people, job readiness services. we feel that at minimum, providing employment services for homeless job seekers leverages the investment the city is making in housing and other services. this is a minor ask of $140,000 times two to reach about 75 homeless job seekers. are we good? >> we're good. let me say, to the hespa team for keeping it tight and thank you. awesome. you definitely get a gold star. some of these department heads need to tighten it up, bu

, which basically is most homeless. and the reason we did this was manyfold. one reason is it really syncs up through the department of homelessness and supportive housing, which is a ladder approach, attempting to increase the number of homeless into housing. one way to do that of course is through employment, and so these funds in some of the proposals and contracts are targeted to homeless individuals who are recently housed in supportive housing and then they would avail themselves of housing funded by this collaborative in hopes they could get a job and earn enough to move out of the publicly -- city supported funding and housing on their own. the other area is focusing on homeless who are in shelter rather than on the street is simply because it's very, very difficult to have success in employment for a homeless individual who is on the street and who doesn't have a stable place to go night after night. the success numbers, the positive outcome numbers for that population were very, very low compared to other inte

homelessness in cities in california. should that funding become available, that would be one of the excellent uses of that fund. so absolutely something we're looking at. unfortunately -- the reality is, our general obligation bond would have been a goodeous of that, but that is fully programmed to update the shelters that the city currently owns, as well as the rehabilitation of 440 turk for our offices and access point. >> supervisor yee: the legislation or bond measure that the governor is putting through, is it $3 billion pore this november? -- for this november? >> i am not aware of that. we've been really focused on -- there are four or five bills specifically about homelessness. there are two competing bills -- i'm sorry, i'm aware. this is no place like home funding. >> supervisor yee: right. >> prop 63 funds, there have been a surplus of prop 63 funds which the state had proposed utilizing to build permanent supportive housing for people suffering from mental health disabilities, and there has been a lawsuit bas

, and why are there so many homeless people? and often there is a great deal of anger and often a great deal of anger at people experiencing homelessness. so this is what practicing health care for the homeless medicine in the san francisco department of public health since

an all around step up for homele homelessness. i spent 18 years in the city of san francisco homeless shelter system. i moved from there to an sro. and then supported housing and now i have my own home. it is a step up. a necessary step up. and we need about 35 of these. so i'm not only speaking for tun but i'm speaking for the next 34 that will come before you in the next few years. some of the existing ones we have now will retire and we'll need to think about placing other sites in. if you have any quell pals around this. come out. one of my -- at 6:00 and 7:00 in the morning. come to one of those. come out to one of those. if you think, if you have any idea that we may not need this or another one, come out to one of those. see the look on these people's fac faces. the look is, where am i going? what am i going do? do you know with we have four people over 90 years old sle sleeping on the streets? this is san francisco, california. we've got to do better and it starts now. you i now you have to approve this. i know i am speaki

, we've seen a reduction in veterans homelessness and family homelessness and while there's a long way to go we are starting to see some pretty significant successes, and events like today test text1 under help test text1 italics memorialize the efforts that we need to take on behalf of people living on our streets. i just want to close out by test t reminding everybody that we are going to close test text1 out test t homelessness not just? san francisco but in this state and in this country, we need to start with young test text1 undpeople. test t if we are ever going to solve the problem, we can't have young people with their families and on their own because the next te chronic homeless population. we need to help them now while they still have the opportunity test text1 under to become their best self-s, and thanks to people like assembly man ting and mayor test text1 underli farrell and test text1 underline test text1 italics cherilyn. we're hoping young people get off the test text1 u streets, get housing and jobs and move on with their lives. thank you all for being here today a

but we do have many services provided to for the homeless individuals. in the psychiatric emergencies, we have our treatment beds. i'll talk about the conservatorship beds. and then we do provide -- we have two contracts for a women's place for drop in centers and shelter. as you heard from the controller's office and the department of homeless, we know that our 6,000 individuals -- and that changes because you have one point that you see, but in 16-17, we served over 11,000 that self-claimed to be homeless. 80% of them had serious medical conditions. larger majority had substance abuse disorders and a third of them had all three conditions. this is one of the reasons we're looking to try to provide some care for them in an involuntary way for a short period of time. this last year, we were really fortunate to be able to increase bed capacity by 122 additional beds. the salvation army opened 35 beds. this was with prop 47, state dollars. we opened 12 hummingbird navigation and there is also 24-hour drop-in center there. you heard about the st. mary's con

and to the homeless department. but i do have a lot of information about the 11,000 that i'm happy to share with you. >> i look forward to that. >> and a very high percentage of african americans in the long-term homeless. >> thank you very much. this is a very clear and well cart claytoned report that you guys have pyou -- articulated report that you guys have put together today. >> commissioner chow: any further questions? seeing none, thank you for your presentation, and we look forward to a report at the -- i guess this is on a yearly basis that you are doing it. >> we can do it however often you want to hear from us. >> commissioner chow: well, i think you noted that as you were putting this together, it'll take about another year for you to come up with meaningful data, and i think that would be very hope that we'll do a full up in a year. >> okay. great. thank you so much for your time. >> commissioner chow: and thank you for your work. thank you. >> next item is item eight, and post acute care update. >> goo

the worst place in history to be homeless downtown. if you're homeless in l.a. city laws to keep streets clear give you two choices. keep moving. to grow. this is the only place that you can sit up a tent without the city forcing belief. but elvis is tiny homes and allowed here. skin roy is. unlike anything else in the united states. i call it the worst manmade disaster in the us. are you. doing ok. andy fails runs a big emergency shelter in the middle of skid row which i'd like to he's seen the numbers of women seeking help in a truck in just a year what you mean can't daedra place to meet you unless you got pretty eyes. and he's on crutches because last year he lost a leg to the flesh eating bacteria that exists here still every day he's out inviting new arrivals to his shelter because he knows just how bad it gets more than two thousand people on the streets forty nine square blocks of skid row it's the worst that we've ever seen aadhaar just a good idea you really need to look down that street there's not one open spot or summat sidewalk. for half a mile dow

no matter how we discuss it, regardless if they're homeless or not homeless, children or adults, the services are needed and we just have not been able to catch up with that. the -- i think the he housing subsidies should be increased. i think we go through that real quickly. i also want to support the tenants rights lawyers -- or eviction # lawyers that will help tenants. and then, i guess the heart -- what is it? the one item that i'd really like to see happen -- it's not the only thing, but if there's one thing that i'd like to see happen in terms of a facility, is i'd like to see a navigation center put up. it's not to say that i'm not going to support anything else put up, but these are my priorities. >> supervisor cohen: all right. i'm glad to here these priorities 'cause colleagues, i will be circling back to your offices tomorrow and also on monday the language for the resolution that we will be introducing hopefully collectively on tuesday of next week, so i want to make sure that i -- supervisor -- provid supervisor yee, those priorities that you laid out, make sure that yo

issues and homeless problems in the city. i noticed on the report here that one client had 231 responses from the fire department since january 1st of last year. 231 for one person. it is good he or she is in acute diversion care. but that goes to show you how many times we as a fire department respond to the same individual over and over again and how much of our budget is spent on these frequent flyers and problems on the street. so, good work, chief. it is certainly a difficult job every day that you and your paramedics and emt's having in responding to the city's homeless crisis. i noticed on page 17 that we actually inspect cryogenic fluids? so we have some fluid being held in our city. so, it gets around. i thought that was pretty interesting. you want to add to that? >> were you holding that for yourself? [laughter] >> president cleaveland: i had a question for our fire marshal. the percentage of notice of violations, how many notice of violations actually get corrected or -- and what percentage have to be referred

he hit the streets and recorded a homeless man's message. the miracle came after posting the video to facebook. >> within the first 20 minutes of that post, his sister was tagged. he got on the phone next day. she said that jeffrey had been a missing person for 12 years. >> reporter: now three years later, kevin and his team of digital detective volunteers roam the streets record the homeless and their messages and post the videos. so far nearly 120 homeless people have been reunited with their families. in fact, miracle messages was instrumental in this case recently profiled on kpix 5. mick myers a 67-year-old former truck driver who was homeless on the streets of the east bay was reunited with his birth mother who had put him up for adoption when he was 2. >> to have you back puts a piece of my heart back and means the world to me. >> for the mother who is 85 to say, i would love nothing more than to get to know my son, that was very moving. >> reporter: jessica donig also left the tech industry to work alongside kevin. >> it's made me re

we have many homeless on the corridor. one morning in november at about 3:00, we heard someone crying and screaming in the parking lot of my neighbor next deer. the crying and screaming got worse and worse. i called the police 553-0123. 45 minutes later they weren't there. called again. 45 minutes later they came. the thing is by the time they came, the person in question was so agitated that he started getting food from the bins in the restaurant next door to that house and started throwing the food against walls. okay. the next day being concerned for a person who has a mental illness and needs help, i called homeless outreach team. they said they don't deal with those situations to call the police, but the next time something like that happened, if it happened before 11:00 at night, call the mobile assistance unit. i called the unit and asked them what to do. i am taking the phone numbers down. they said call the police 911. i called 553-0123. we have called 553-0123. they told us to call homeless outreach. what i am tr

it places legal duties on english council so that everyone who is homeless or at risk of homelessness meaningful help. councils are now obliged to start assessing someone who is at risk of being made homeless 56 days in advance will stop it was 28 days. today is a massive step forward. it won't solve rough sleeping and the causes of homelessness overall. what it means is that those who are affected by it, that homelessness can be prevented and, crucially, no longer will some people be entitled to help. all people will be entitled to help. all people will be entitled to help from their local council in england. similar measures came into force in wales three years ago. it reduced the numbers of people needing to be re— homed radically. scotla nd needing to be re— homed radically. scotland has been doing the same thing since 2003. the government is giving english councils £77 million to fund the measures. critics say welfare cuts and a lack of affordable homes are the real problem. coming up at six on breakfast, naga and charlie will have all the day's news, business and sport. they'll

right now, a lot of homeless people, they're lost. they're lost. nobody wants to be homeless. everybody wants to be respected, wants to live a life with dignity. right now, the homeless people, 60% of the population, they are on drugs, drug abuse. that is why you see feces and needles on the streets, a lot of streets in san francisco. we have a lot of encampments. that is not acceptable. it's a health hazard for people. i will be the only mayor that no homeless will be allowed in san francisco. >> do you have a plan to fix the opioid epidemic, needles, anything to clean up the streets? >> once the homelessness are off the street, that will be gone because the issues are with the homeless. if they want to do drugs, i believe in san francisco currently, they have services that will be able to help them to slowly reduce and eliminate it. it takes time. >> switching topics, immigration, it's a big topic especially in california and san francisco, a sanctuary city. do you want to repeal that status? >> yes, absolutely. >> why? >> i do not want a sanctuary city that is misused and m

in five years i will be homeless. it is because of what you are doing in this chamber that i am here and that i am disabled and unable to provide for myself and denied welfare. this city provides people with, thought to have mental illness with two choices. treatment or the sidewalk. so don't give me all this crap about preventing homelessness with treatment. you are causing homelessness. this is treatment. homelessness is treatment for refusing treatment. and this is your policy and you know it's true. madam clerk. >> thank you for your comments. next speaker, please. and mr. duffy, before you begin, if there are any other members of the public who would like to address the board during general public comments, please step up. thank you. please proceed. >> yeah. i also know rita from our neighborhood, and yeah, she's -- she's some, you know, obviously the world ignores her or allows that to go on. something missing. i don't know if s.b.1045 is the answer, we have to work that out locally. not just her, but we have ja

you are causing homelessness. this is treatment. homelessness is treatment for refusing treatment. and this is your policy and you know it's true. madam clerk. >> thank you for your comments. next speaker, please. and mr. duffy, before you begin, if there are any other members of the public who would like to address the board during general public comments, please step up. thank you. please proceed. >> yeah. i also know rita from our neighborhood, and yeah, she's -- she's some, you know, obviously the world ignores her or allows that to go on. something missing. i don't know if s.b.1045 is the answer, we have to work that out locally. not just her, but we have janet jackson, regularly has the wardrobe malfunctions, pavaroti, the guy, and the tip of the iceberg. so, obviously compassion is the item of the day. you know, i would think somewhere in this city there would be a place we could, some corner where we could grow some hemp, for example, you know. what i was thinking was, madam president, you know, sooner or later this board is going to have to pick a new president, less than

according to our last homeless count and survey, 31% of our homeless population is chronically homeless. this top lation is struggling -- population is struggling with severe health conditions. 65% of chronically homeless individuals property struggling with alcohol or drug addiction. 63% reported suffering from a psychiatric or emotional condition. and 45% reported suffering from posttraumatic stress disorder. the most at risk subset of this population, approximately 338 individuals, are accessing the most emergency services. this is the group sb1045 is designed to help. you can't walk anywhere within a half-mile radius of even city hall without seeing someone who is clearly in distress or suffering from serious addiction challenges. if i were on the streets without shelter and then a mental state that inhibited me from taking care of myself, i would want someone to intervene. i would want medical attention, housing, and stability. but just because these individuals are difficult to serve doesn't mean we simply give up. it is not humane to allow those who are chronically homeless and s

we can't build ourselves out of homelessness. we have 7500 supportive housing units in san francisco, the most per capita of any major city in america. yet, we haven't seen a decrease in our homeless population. if we want to reduce our homelessness count by one, we have to build 4 housing units to make that happen. because of the new number of individuals who become homeless every year in our city. we have to tackle the issue from the onset before the problem becomes overwhelming. we need to invest in prevention and diversion programs, initiatives we are calling problem solving services. we can make a huge difference in the lives of at risk residents. it's a missing how effective it can be when we help pay for rent, repay old loans or help with car payments. those small but really critical investments can literally be the difference between people staying in their home or living out on the street. and we know that when people become homeless and start living on our streets, it's a whole separate set of issues that we have to dea

homeless, mental health issues, and substance use issues. are we doing anyone a favor by living, letting them be on, you know, leaving them on the street to slowly die? that's compassion? it -- i just don't understand why we don't make choices and make decisions that, to really try to address this. i've heard from folks with, who have been in leadership to not build a new jail who are supportive of this because where do these individuals end up? they end up in jail. they end up in jail. it's not like people with severe mental illness who are homeless, substance using, are just having a normal life on the street. and the other thing is, once we get people into treatment, it does not mean we are incarcerating them, we are starting them on a path of careless and less restrictive. but i think we tend to look at the best case scenario and say well, it's going to be that individual. that individual and i know individuals, you know, a kid i talk to at least once a week. this is not going to apply to that kid who is service resistant, as they call i

health and homelessness? i know in my hometown of tuscaloosa the homeless are deeply challenged to make absolutely that is a huge problem throughout the country. we made a mistake about 30 years ago with our rulings to kick them out of or they could be taken care of now i think we have an obligation to take care of those people. >> what are some of the other challenges you are trying to get your arms around? >> we have the superfund problem going on in various places around the country with dilapidated housing and many places. >> expand on dilapidated housing unit everywhere in birmingham and in chicago and everywhere. >> for instance in cairo there was horrible oversight by the housing authority and these places are totally uninhabitable we have to commit to find a way to house those people in a relatively quick manner. there are other places like niger there are issues all over the country we are trying to address them why did these things happen in the first place? we had to get rid of dozens of inspectors