. >> supervisor mandelman: thank you. next speaker. >> i am john mccormick in the community organizing office. i am here to tell the story of cheryl china co-worker and member of the tenderloin people's congress. on wednesday of this week cheryl was attacked on the corner of golden gate and leavenworth across the street from my office. a whole can of mace was unloaded to her. she ran across the street and was briefly pursued by the gentleman who unloaded the mace on her. he unloaded a whole can of mace. under no circumstance is that okay in any circumstance. cheryl is very traumatized by this. she is not feeling good. she is in the condition i haven't personally seen her in before, and she believes like i did that if we had treatment on demand, this never would have happened. treatment on demand if it was implemented years ago, the mental health of the people in the tenderloin would be better and this never would happen. cheryl isn't here because of the trauma she is facing. we talked before this so i can tell her story.

thank you. >> supervisor mandelman: thank you. colleagues, any questions? i will have you come back for a second. there is a fair amount of talk about -- well, beginning of the conversation about these 4,000 folks who were identified as priorities, folks who are homeless and have serious mental illnesses and 95% have alcohol use and many have substance abuse disorder and something in the high 30% are users of the systems, low 40%, in that range. i think we don't -- do we know how many of those have a case manager? this might be a question for dph? >> i don't think we have that answer? >> supervisor mandelman: if you have 1200 and there are 4,000 we know we are far short of providing case management even for the folks who we would prioritize in an ideal system. >> right. i think you may know about this, but i want to make sure that can you put the screen up? within city-wide we have a range of services, some teams are more mobile, have smaller caseloads, general funded and mhsa funded. their ability to address the high priority is

thank you. >> supervisor mandelman: thank you, supervisor stefani. with that we will hear from judith martin from the department of public health, doctor judith martin. >> thank you supervisor and chairman delman. i am glad to be asked to talk about this treatment on demand. it is a key feature of san francisco's services, as you pointed out in your talk, san francisco is always willing to provide leadership to the whole world and this is one of those examples. my presentation is going to include an overview of substance abuse treatment and trends in san francisco and some things about proposition t, and then talk about part of the system that is very much with this and then the lessons learned. this is a slide that shows a lot of things. on the right is the jail map. red dots are substance abuse treatment locations. the blue shows clients. the darker the color, the more people. the city and county of san francisco substance abuse treatment services in 2018-2019 served 6005 clients, 99% which were adults. 56% were homeless. if you look at residential

supervisor mandelman is requesting that you follow up on the 2014 -- m >> supervisor mandelman: a retrospectiveanalysis of what was done, and whether in hindsight, it was adequate. >> may i say one thing? again, i agree with everything that the board and the b.l.a. is putting forward. i simply may need a little more time than the end of november to do a thorough analysis and dig in what happened. i also need to give time to my colleagues at b.b.r. to look at the systems and do a thorough analysis. i don't want to do this fast and scratch the surface because i do think this is a learning moment and i do understand the goal here. >> chair fewer: okay. so since we -- actually, the board was a recess in december. would the first of the year give you enough time to gather this information and bring it back to the board. >> certainly. and i would make it happen if you would insist on the end of november, but i would request time to do it properly. >> chair fewer: i would amend this to the first meeting back in january. is there any public comment? seeing none, public comment is now closed. [gavel]. >

we are joined by supervisors ronen and mandelman. we are grateful to our colleagues for joining us today. however, this meeting will be conducted in all respects as a regular audit and oversight committee meeting. any substantive decision will constitute a recommendation of the committee rather than action by the whole board. mr. carroll will make a note. >> at the present moment we don't have a quorum. this committee is operating as the normal committee with a few extra guests. >> do you have any announcements. >> plea silence cell phones. speaker cards and documents should be submitted to the clerk. items today will appear on the october 29, 2019 board of supervisors agenda unless otherwise stated. >> thank you. do we have a motion to excuse supervisor peskin? can we take that without objection? >> who was the mover on that. >> roger brown. >> please call items one, two, three, four together. one hearing to discuss the removal of 41 out of 55 long-term beddings from the adult residential facility. >> agenda item two is an ordinance

supervisor mandelman. >> thank you, chair mar. yes, going back to when i first heard people telling me that the city was closing or downsizing the arf, i couldn't believe that was true. my initial reaction was there is no way we would do that right now in this time when there is such a scarcity of beds. i was familiar with the work that the arf does and the importance of it. as i began digging, the picture became more complicated and more troubling as we learned that in many ways i think the proposal that came forward a couple months ago was a well-intentioned effort by dph management to fill empty beds. and learning we had for many years had empty beds, not just at the a rf but in the locked facility on the third floor was in a lot of ways even more troubling to me. i thought it was important to make clear that everyone on this board and also to get the mayor's concurrence believes we need the arf, a publicly operated long-term care facility for people who cannot and will not be effectively serve would by nonprofits or private op

i want to thank the mayor, supervisor mandelman, dr. grant colfax. i am looking forward to partnering you. i want to acknowledge the many nonprofits who are in the room and across the community. it is across -- it is reason why we are able to apply this system of care. thank you. >> thank you. last but not least, i would like to say this is not a new challenge for our city. when we think about even going back as far as 1960s, the heroin epidemic, into the 70s and the 80s with a crack at get -- epidemic all of the drugs sadly that have really destroyed lives and destroyed communities and destroyed families, we know that we can't just turn a blind eye. we have to think about ways in which we can make sure that providing help, providing support integrated into what we do in our medical system. it has to be something that is accessible to all people and not just those who couldn't afford treatment. i have been out in the community on a regular basis. when i talked about safe injection sites, it is interesting that whether it is a wealthy neighborhood, an

i also know i got a text from tom temprano, who's supervisor mandelman's legislative aide. and he committed to me he would be meeting personally with each of you, supervisor ronen, supervisor mar, and i see that supervisor walton is not available today, but they will also give their full support to me, knowing that i have the experience, dedication, and in closing, quite frankly, i would be honored to serve on the urban forestry council. i think i have a lot to offer, and for that reason, i would like to submit -- and i would also like you to read your packets about me. there's a lot of information in there, and i'd really love you to read that material and as a result accept my qualifications as a nominee. thank you. >> chair ronen: thank you so much. >> good morning. i'm morgan vaisset-fauvel. i am currently the manager of the grounds for ucsf. i'm currently providing all the management plans that we have for the urban forest management that we put together a year ago. it was part of a community based plan we put altogether. it took about five years to put together. so wh

[applause] >> president yee: supervisor mandelman. >> supervisor mandelman: thank you, president yee. st. francis lutheran folks, you want to come up. today, i want to honor st. francis lutheran church on church street for the sunday morning hospitality hour. for nearly 25 years, members of st. francis and their neighbors and friends have provided a weekly breakfast for all of those hungry. each saturday, volunteers meet in the afternoon to sort food donated by trader joe's and whole foods and deliver to the church by the amazing folks at food runners. then bright and early on sunday morning, like really bright and early, like 5:00 a.m., volunteers meet to prepare a delicious warm breakfast. each week more than 100 meals are served. last year, st. francis was able to serve more than 6,000 meals over the course of the year. they provide an hour of respite for folks facing chaos on the streets, a warm room to set aside belongings, read, chat with with friends or just rest. people ask me what they can do about homelessness in san francisco? i encourage them to volunteer to st. francis or

ladies and gentlemen, supervisor raphael mandelman. [applause] >> thank you, madame mayor. thank you for your commitment and persistence in making the changes in the city that everyone agrees need to be made, and for your fortitude and making those changes that are necessary, but not everyone agrees need to be made. san francisco has a meth problem i think we all know it. we all see it on our streets, in our hospital emergency rooms, in our jails and too often in the growing list of san franciscans dying from overdoses. among homeless san franciscans who have died on our streets, methamphetamine was the most commonly present substance showing up in 47% of deaths. now this is not the first time san francisco has engaged on the issue of meth and its impacts in our communities. it was nearly 15 years ago that then then mayor newsom and supervisor dusty convened the city's first meth task force focused on its impacts in the queer community. i know there are some veterans of that effort here in the room, some of them were part of the task force. the task force, that task force d

made by supervisor safai seconds by sure mandelman. and without objection, supervisors haney and walton are excused. colleagues, today we are approving the minutes from the september 3rd, 2000 board meeting. are there any changes to these meeting minutes. can i have a motion to approve the minutes by supervisor mandelman and seconded by supervisor mar. and without objection, those minutes will be approved after public comment. madam clerk, let's go to our 2:00 p.m. special order. >> clerk: first order of business today is to welcome the honorable mayor, london n. breed to present a five-minute address to the board of supervisors. they're being no questions submitted from the h eligible districts. >> supervisor yee: welcome madam mayor. since there are no topics submitted we welcome you to share your remarks. >> the hon. london breed: thank you. i'm here to talk about mental health. because i know that we are all frustrated and that we want real solutions and we all share a goal to help people who clearly are in crisis on our streets. t

mayor breed, senator wiener, supervisor mandelman, thank you for listening and for acting. sb-1045 and sb-40 provide a tool to help those who can't care for themselves get on a pathway to health and a pathway to housing. thank you. [ applause ]. >> thank you. as you can see, here we are and this is an incredible step forward. we have a lot of work to do in san francisco, and it just brings me back to really why i felt like i wanted to do this more in the first place when i served as a member of the board of supervisors. there is an individual who was one of my constituents in the community, a senior who was s z sitz -- schizophrenic, who has drug challenges and who those in the community have tried to serve, in and out of navigation centers and treatment centers, has gotten violent with police officers who know him and have tried to help him instead of arrest him. just a number of challenges. when he's in a good place, he's the greatest person and such a swe swe swe sweetheart. he needs help when he gets social security, he would get robbed. this one person and what he has

i want to say thank you to supervisor mandelman and ronen and haney. the need for these beds are incredible. it is real. there are so many people on the street we cannot narrow our scope to serving those only in crisis. we have to understand that suffering with a severe and persistent mental illness is a lifelong need and to take people from crisis to quality of life that is lasting means you can't just focus on crisis and homelessness as one piece. temporary solutions taking them off the street for one day is not enough. i want you to consider as the vote comes soon, as decisions are made here in city hall room 250 and 200 to decide the next step with our mental health system. what are the next steps? collaboration is paramount as we figure out what to do. will we be focused on policing and putting people in inappropriate settings or will we recognize that prevention and care are most important? when we are talking about regular people like ourselves, we must recognize that they have to be treated with the most concern, care and human treatment possib

made by commissioner fewer, seconded by commissioner mandelman. we have same house, same call, and the item is adopted on first reading. next item, please. [agenda item read]. >> clerk: this is an action item. >> chair peskin: miss crabb. >> so the regional transportation information program or rtip, as the congestion management agency for sprisk, the transportation authority approves san francisco's priorities for the grant program. before senate bill 1 was approved, this fund source was notoriously unreliable. some cycles, you'd have tens of millions available, some cycles, you'd have nothing. in light of that, about a decade ago, the transportation board adopted priorities to use for these funds in light of these projects can more readily respond to the unreliability. this is a list of the existing rtpi priorities? the top priority is currently the central subway project? however, that project no longer has any contracts that can receive the rtip funds? so in light of that commitment we are working with sfmta every cycle to identify eligible pr

i am joined by supervisor mandelman. i would like to thank sfgovtv. do you have any announcements? >> please silence cell phones and electronic devices and complete speaker cards as part of the file submit to the court. items today will appear on the october 22nd board of supervisors agenda. >> please read item one. >> resolution authorizing resolution and acceptance to a lease for the real property located at 350 rhode island street north for a rent credit at $2.6 million in consideration for a waiver of certain real estate expense passed through protections for the city under the lease. >> today we have the department of real estate. >> good morning, chair fewer. director of real estate. today we are seeking your positive recommendation for a resolution to authorize a first a mend to the lease with lexington lion san francisco for the property at 350 road a island. -- rhode island. the board of supervisors approved this with the city as tenant to relocate the district of attorney from the hall of justice and 732 brannon. in most commercial leases the landlord is entitle to pass t

supervisor mandelman. >> thank you chair fewer. this is a little outside the scope of the contract, but i'm curious if the sheriff's department has thoughts on what accounts for this pretty significant increase in the estimated job population without alternatives to incarceration. you don't have to answer that. it's not related to the contract. >> i think actually if i were the one answering -- asking the question, it would be why is the justice involved population going up so much. i think the fact that alternatives to incarceration have gone up speaks to the city's commitment to alternatives to incarceration. but the increase in the total justice involved population? i'd speak to any number of issues but i would be -- my expertise is finance. i'm not sure i would want to venture into that area. >> i didn't totally expect you to answer that. but it is a marked increase. thank you. >> certainly. >> i think that there are many questions that i have about this and just about the program in general and why are there some people who ca

. >> supervisor mandelman: we have that hearing. we will have a lot of conversations about the jail. >> it does send assessors to the jail. it is difficult even though they are in jail it doesn't mean be they are easy to find or sit down with. a lot of things get in the way of the assessment. >> supervisor mandelman: superv. >> supervisor haney: i wanted to understand this. based on the july report on the availability of substance abuse treatment, is the assertion here that there is no unmet demand? >> no unmet demand. which report are you talking about? the treatment on demand report? >> supervisor haney: yes. >> it is getting better, but i'm sure we are not perfect. >> supervisor haney: the treatment system is large enough there are treatment openings every day, it has priority placement, no wait list for residential treatment, residential step down. how do you then assess what the demand is and help us to understand how to plan to meet that demand? isn't that part of what we should be doing under prop t. it doesn't say anything a

to my right -- i am raphael mandelman. the chair of the committee. i want to thank san francisco government tv for staffing the meeting. mr. clerk, are there any announcements? >> thank you. please ensure you have silence your cell phones and electronic devices. completed speaker cards and documents should be submitted to the clerk. items acted upon today will appear on the november 5th, 2019 board of supervisors agenda unless otherwise stated. >> thank you. can you please call the first item? >> number one is a resolution declaring a state of emergency regarding pedestrian and cyclist fatalities. >> supervisor haney? welcome. >> yes. thank you, chair mandelman and thank you for having me back, committee members. i feel like i am an honorary member of this committee at this point. thank you for hearing these very important items. i authored this resolution with president yee declaring a traffic safety state of emergency on pedestrian cyclists -- pedestrian and cyclist fatalities with walk s.f. immediately after the tragic death of benjamin dean and t