that would include hummingbird. >> commissioner, with regard to mr. pickens comment around 55, one of the things that i think is part of the reason we are having this discussion now and i think you are right on the point here. the 32 to 55, we always intended to go back to expand the arf as we were able to build capacity and staffing but correct underlying performance issues with regard to saytations. in -- citations. in the interim have hummingbird have capacity to take care of the people as we solve for the 55. that is where it is confusing to many because we do think the 55 is where we need to be with the arf. we already have challenges with regard to managing 32 as regard to the citations. this is not about any one person or a judgment, it is just the fact the state has given us a number of citations. the plan was rather than leaving the excess capacity we would turn that into hummingbird. i understand there is disagreement about that. that was the plan. we are holding the idea of hummingbirds and fix to go to 55 for the arf. again, to be really c

he was moved from hummingbirds. it does not provide long-term care for people with severe mental illness. keep the beds open at the arf, that service improvements be helped to move them to independence. schizophrenia is a painful condition. i have witnessed my son suffer. not only suffering from his condition. he is suffering from our system of care. please don't reduce the needed resource. thank you. >> good afternoon. roma guy from taxpayers for public safety. we attacks payers for public -- taxpayers for public safety want to and our support. we want to thank you for having this meeting finally and bringing your leadership and listening ears to problem solve not only be this issue but many as many speakers have said to other issues that are in cries cease in this modern era. the arf, from our point of view, is just another mishap in plugging holes in a leaky old barrel. we must change the healthcare systems approach at the leadership level, management level and at the practice level if we want to meet the challen

that is a hummingbird psychiatric respite center. to familiarize ourselves, the merk is locked sub-acute of care to elderly houses individuals 60 years of age and over. again, hummingbird which is a psychiatric respite on the first floor. what you don't see is the arf. i am going to devote the next severals to talk more about its program. the operation of the arf. it is 24 hours each day, nonmedical care but supervised facility for adults 18 to 59 with severe mental illness that are stable but still need care, assistance and supervision. some of the services to the residents are housekeeping of their rooms. some require assistance with personal care and as they administer medications prescribed by their providers. where do patients come from who wind up on the arf? they receive referrals from acute care hospitals, locked sub-acute units like the america and other board and care facilities. it is a licensed residential facility licensed by state community care licensing, which is part of the department of social services. i am going t

people would be moved from that hummingbird to other hummingbird options and we would reopen to the state of 41 beds. really pleased that we were able to come to some agreement. i think the staff input and the collective problem-solving let us move in the right direction. the governor -- just another key piece of news in our rapidly developing behavioural health field, the governor signed sb-40 into law which helps strengthen our conservatorship and will help more people in what i consider life-safing conservatorship. we will be able to help people for up to six months, provided they meet a number of criteria with regard to what these bills regarding we see the multiple offers of care. so we are working on this. a work group has been established. we expect to enroll people starting the 1st of the year. those are my key updates. there are a number of other things in the director's report, but in the interest of time and with the respect of the commissioners, i wanted to stop and take additional questions of what i mentioned and answer any questions that answered you in the report. >> commi

i'm not sure if any of you have visited the hummingbird facility at s.f. general, but it is absolutely amazing. i had an opportunity to not only touch bases with clients, but we also did an announcement last year expanding the number of beds at that location as well. to hear someone say to me that i'm trying, it's hard, but i'm glad to have help, it makes all the difference in the world. this is an incredible facility and i'm so proud of the work that they do. as dr. nagusablan will get into more details, we know that the vast majority of the 4,000 people we have identified unfortunately have alcohol use disorder. the tipping point report includes some innovative suggestions for treating those suffering from alcohol use disorder and we are looking forward to making some changes and implementing some of these in the coming months. there will be more could you tell mes to come and dr. nagusablan will continue to implement our approach to healthcare because that's his job. we will recommend more ways to improve care for our city's most vulnerable residents. w

the photo i took is of the hummingbird hawk moth which is actually a type of moth which hums becauseost indistinguishable from a hummingbird. here it is depicted drinking nectar from a bright pink flower against a green background of grass. how old are you? i am 11 now. how on earth did you manage to take that photo? well, i took a lot of photos and failed in a lot of them, but if you take a lot of photos, by the law of numbers, you are likely to get a good one. yeah, but there is a good photo and then there is an absolutely stunning photo, which is what that is, isn't it? it is really amazing. thank you. well done to thomas for taking the and under category. now it's time for a look at the weather with helen willets. good afternoon. there are still a handful of flood warnings across england despite waking up this morning to the rain this is how it looked in norwich. the rain is clearing quickly her. it drags on the north—east and we could see a pulse of rain in south—eastern parts of england before it clears. withjust a light wind and good spells of sunshine, perhaps they are shower

the hummingbird pe respite provs a soft, quiet space. we talked how people are lost going from p her here to there d this is where hummingbird picks up clients having difficulty navigating the system. because we're connected to them, we have to say because you're ready to for treatment, we'll connect with you. it's taking it upon ourselves to try to figure it what we do. one of the things we've been doing is working with progress foundation, another residential program and we have a weekly meeting called flow meeting and we go over all of the beds we have. we go over all of the referrals, who will be discharging from pes into the adus, from the adus and what treatment beds are available? so we talk and see what's going on here. that meeting is used for a back and forth of progress foundation may have someone who relapsed on drugs and alcohol. they might be men who have sex with men. we can let them though, give us that referral, we'll contact acceptance place and get them over there. it really is an interesting meeting that happens in th

>> we're going to be drawing a hummingbird.s a symbol to a lot of chicanos that we use that image. it almost represents freedom in a way. for me, because i'm a nerd and i try to study everything, hummingbirds have to work so hard to try to find food that they're always at the brink of fatigue, always at the brink of death. i thought it was like a good representation of the working class people. they're working so hard just to make ends meet, but they do it so gracefully. so this is our second layer. >> i was there for two hours watching ernesto work diligently like a surgeon on this piece. >> now we want to put these in. >> but in the spirit of rachael ray and cooking shows everywhere, let's just fast-forward to the end. >> wow! that is so not what i was expecting. i mean in a good way. like you just were spraying stuff. it looked like you were making it up as you went along. >> it's pretty calculated. >> i can tell now. it's very calculated. art really distills words into these powerful images. >> i think it's an internal thin

here it is depicted drinking nectar from hummingbird.hat that is, isn't it? it is absolutely amazing. thank you. before we go, we have some pictures of the north korean leader, kim jong—un, as you've probably never seen him before — astride a white charger amid the snowy mountains. these pictures, released by the country's official news agency, show chairman kim climbing the slopes of mount paektu, revered as the country's spiritual home. the agency described the visit as "a great event of weighty importance". now it's time for a look at the weather with helen. there is still a handful of flood warnings across england following the deluge that we've had in recent days. we've had more rain for this morning and potentially across the south—east we could have another pulse of rain coming in. in the next few hours, but that close away and then we have a ridge of high pressure. by thursday, friday, saturday, sunday, the same area of the pressure sits across the uk and little pressure range it means that the risk of rain but rain in the form o

windowe looked out the at the hummingbirds, there is a hummingbird in the painting. eyes, shesion in her still needs to injustices. i thought that was a beautiful tribute. >> audience, let's hear from you. we have a microphone. >> i will start -- i will try to stand, but i broke my hip. you talked about the support of women's rights. 1972, at the convention, they had a platform committee to decide public policy. the majority of women on the platform committee wanted to do something about childcare. men, i'mjority of sorry, did not want to. it got five -- fairly tense. all of a sudden, the tension went away and they supported funding for federal childcare. i asked why and people looked at me and said the east wing said it was time. crowd. is a lively over here in the third row. amazing tories are hear. is there another one he would care to share with us about an acquisition, perhaps? >> i think this is nixon was interested in portraits of first ladies. reception atlarge it had been in the family for years since they were painted in the 19th century. she gave a wonderf

maybe in the future hummingbirds can be used that way. it is a place people can be safe during the intake process if they are homeless. >> commissioner walton: thank you for the presentation, doctor martin. i want to make sure i heard you correctly. you say we have 300 plus people we know need treatment that want services, but your thought process the reason they don't seek our treatment is because they don't like it? >> or can't access it because they can't get there. they have stuff. they don't know where to leave it. they can't keep an appointment. >> isn't it our job to provide a service people would like? >> that is why the doctor started doing the street medicine as a restorative justice approach. people are on the street homeless, this is how we take care of them. is that what you are asking me? >> commissioner walton: i am trying to understand why we have 300 plus people and you gave the people of the fact they are not seeking the services because they don't like it. that is a problem for me when it is or job to be sure we serve t

what i see in the garden is hummingbirds, mockingbirds, and flowers.econd girl: my name is jimena lopez. we're trying to illustrate poppies and deer grass. boy: the california poppy is a flower native to california. rumble: it was a beautiful thing to have a burrowing owl be discovered by a fourth-grade student two winters ago. and even more incredible was that this little owl stayed with us, and so, i sometimes think of this as a zoo without cages. ii think of my students who live in those b buildings right acros the street. they wake up in a concrete building. they go down concrete stairs. there's a little patch of concrete maybe to bounce a ball. they walk across a concrete sidewalk, an asphalt street, another concrete sidewalk, and they come onto a campus which is largely asphalt. then they go home and they do it again. they need this connection to nature like every human being. now they have access to nature right here on their campus. heise: i l like to calall it multispepecies justitice, so, 's thinking about what is it right to do by people. ho

in september we announced a partnership with tipping point community to open up another 14 hummingbird psychiatric west -- respite beds. we also announced a plan to expand the hours of the behavioral health access center, to increase the availability of safe indoor spaces and help those who need it get connected to care. we are also making progress on adding another 1,000 beds to our behavioral health treatment system. we have already funded 212 beds in the last year across the continuum of harm reduction treatment and recovery services. the issue of meth use also connects with our efforts on expanding conservatorship in san francisco because the new conservatorship allows us to extend the benefit of care to treatment, to people with mental illness and substance use disorder. we know that among people with at least psychiatric hold halls, nearly nine in the 10 are users of meth. and as we work to implement a successful conservatorship program, it is important we understand the overlap between matthews and eligibility for conservatorship. we are making progress and we know that progress

we also think he had a secret investment in hummingbird resources.ons. capital group put in £6 million. it wasn't from a fund run by mark denning, but it looks like another co nflict—of— i nterest because of the family connection. there is a clear concern around mr denning potentially failing to declare these conflicts of interest. how serious is this? it's very serious — given the regulator's focus on senior managers declaring this type of conflict of interest, or what appears to be this type of conflict of interest. it is, yeah, very serious. mr denning has repeatedly pointed out that he doesn't own the shares in the three companies. but our documents show they were bought through a secretive offshore fund. so, what links that secret fund to mark denning? well, this village in devon is a big, fat clue because this is morebath, where mr denning has one of his luxury homes, and the secret fund was called morebath. we think mr denning used the morebath fund to hide his investments from his employers at capital group. the documents show mr denning made

and in flight, also it is almost interesting visual from a hummingbird.n background of grass. how old are you? i am 11 now. how on earth did you? i am 11 now. how on earth did you manage to take that photo? well, itook you manage to take that photo? well, i took a lot of photos and failed in a lot of them, but if you take a lot of photos, by rule of numbers, you are likely to get a good one. yeah, but there is a good photo and there is an absolutely stunning photo, which is what that is. thank you. cruz, congratulations to you. let's have a look at your photo, coming any moment now, hopefully. bear with us, it is quite slow, the technology! describe it for us. this is ofa technology! describe it for us. this is of a squid, very colourful, under 25 centimetres in length, it is a black water diving shot, meaning it is at, which is therefore why the background is completely pitch black. are you under the water? yes, iam black. are you under the water? yes, i am underwater. right. and in terms of trying to capture that photo, again, are you a bit like thomas,

one is that he currently works with poder at the hummingbird farm in the excelsior, one place that could benefit from increased urban canopy. and also as someone who is, you know, both queer and a person of color, connected to a community-based organization that works in the black and brown communities with youth. i think that that is an extremely important voice of diversity in that discussion and one that isn't -- doesn't always jump to the forefront of these types of issues that i think are -- are so important. i would also say that mr. flores very much has an environmental justice framework which he conducts his work, and that's a very important perspective. having said that, that means that mr. -- i wouldn't be recommending mr. kerby, who is beyond an exciting candidate for this seat. and so i will also hope, if you don't mind if i forward -- you know, again, if it doesn't work out today, if i forward your name to the mayor's office, with the help of tom temprano and raphael mandelman, because i'd love to see you on this commission. so that's my suggestion, supervisor mar. again, ou

however, i don't think that the hummingbird should have one blasted bed at all. get another property and leave us residents alone. i am very comfortable at the arf. it is my home. don't take it away from me please, as an openly gay man. thanks, good-bye. >> next speaker, please. >> michael lions. as part of this program and this demand that homelessness and mental health and substance abuse treatment be treated by the experts and not the police, the biggest -- one of the biggest steps is to close 850 bryant but not open up some new jail. this can be done. we can see that with -- that the proposal to -- proposal to have some kind every placement jail either santa rita, god forbid, or sanbruno or electronic shackle bracelets, those are all following this mayor's initiative of having the drug wars and having police and having aggressive district attorney. that is part of criminalizing homelessness and mental health, and we won't put up with it. >> thank you. next speaker, please. >> i am daniel. i am a field representative for 10 to one representing the workers. i a

our hours at the behavioural health access center and we're opening additional new beds at our hummingbird west beds thanks to tipping point community. all of these things combined are going to help us achieve what our goal is, and that is to address the crisis. people use that word and throw it around freely, but there is a crisis with mental health in our city. not just what you see on the stre streets, but in general. we need to get rid of the stigma attached to it and we need to make sure we have the tools in place to address it in the most appropriate way. we are committed to making the serious changes necessary and we are so lucky to have a very thoughtful legislator who understands these challenges and who is willing to develop partnerships in order to fight to deliver them so we can make the appropriate changes and investments right here in san francisco to make them work for the residents who need them the most. at this time i would like to introduce our state senator scott wiener and thank him so much for his incredible leadership on this issue. [ applause ]. >> thank you, mayor

so in our acute services and residential programs, you might be aware of the hummingbird space, a 29-bed psychiatric respite. i'll be touching about this more later. as it pertains to this hearing, we have a joe healy detoxification and it's located in hayes valley. we recently kicked off -- they just started the drug medical in march of this year and so we are in the midst of going through the growing pains of instituting a brand new system and a brand new way of doing things at the detox. last but not least on the bottom, there's grove street house. this is a nine-bed crisis stabilization unit. this particular perfor program n the mental health side of the system and a lot of people were addressing the ko co-occurring disorder piece. as a clinical psychologist walking into this, this is one of the first things you notice in the system of care, is the separation between the mental health and the substance use disorder sides. i think this is a part of how prc baker places is addressing, how do we make sure people are getting to the right place? more often than not, i believe ththe sta