we have marlo simmons and also dr. anton nigusse-bland who is on the phone with us. not visually but he will speak to a few slides and answer your questions. >> welcome marlo. >> thank you. good evening, everybody. commissioners, secretary and i appreciate your nice comments and thank you for the help with that resolution. my name is marlo simmons and i've been acting director for dhs since february 17th. prior to that i was the dhs deputy director for four years and prior to that i was the director of mental health services act for four years. and i'm pleased to be able to provide this update few and again i'm joined by dr. anton nigusse-bland. so, i wish that i could tell you all of the great work that's happening at dhs but i'm going to focus on these four areas. one i'll provide a real believe system overview as a refresher and commissioner asked for some updates on our children youth and familieses system of care so i will provide some of those updates and let you know a little bit about what we've been doing during covid-19 and as well as our clients and look fo

we have marlo simmons and also dr. anton nigusse-bland who is on the phone with us. not visually but he will speak to a few slides and answer your questions. >> welcome marlo. >> thank you. good evening, everybody. commissioners, secretary and i appreciate your nice comments and thank you for the help with that resolution. my name is marlo simmons and i've been acting director for dhs since february 17th. prior to that i was the dhs deputy director for four years and prior to that i was the director of mental health services act for four years. and i'm pleased to be able to provide this update few and again i'm joined by dr. anton nigusse-bland. so, i wish that i could tell you all of the great work that's happening at dhs but i'm going to focus on these four areas. one i'll provide a real believe system overview as a refresher and commissioner asked for some updates on our children youth and familieses system of care so i will provide some of those updates and let you know a little bit about what we've been doing during covid-19 and as well as our clients and look fo

and rcfo, director of mental health director and actor of behavioral health marlo simmon and as i mentioned those joining the discussion and answer questions after a brief presentation. next slide. >> as the mayor and board acknowledged by unanimouslies paing mental health s.f., our behavioral health system is flawed, has many gaps and we have many opportunities for improvement. mental health s.f. provides the framework for that improvement. calls to reform our system have been growing for years. not only at the local level, but also at the state and federal level. the affordable care act, the 2016 medicaid final rule and the state's proposals of 2019 all seek to reform how our services are delivered, funded and regulated. these efforts are closely aligned not only with mental health san francisco, but also with other calls for reform, including recommendations from the meth task force, the 2018 behavioral health services audit by the budget legislative analyst, and the mental health reform work. with so many invested in improving our system, it's encouraging that these efforts are focused

and rcfo, director of mental health director and actor of behavioral health marlo simmon and as i mentioned those joining the discussion and answer questions after a brief presentation. next slide. >> as the mayor and board acknowledged by unanimouslies paing mental health s.f., our behavioral health system is flawed, has many gaps and we have many opportunities for improvement. mental health s.f. provides the framework for that improvement. calls to reform our system have been growing for years. not only at the local level, but also at the state and federal level. the affordable care act, the 2016 medicaid final rule and the state's proposals of 2019 all seek to reform how our services are delivered, funded and regulated. these efforts are closely aligned not only with mental health san francisco, but also with other calls for reform, including recommendations from the meth task force, the 2018 behavioral health services audit by the budget legislative analyst, and the mental health reform work. with so many invested in improving our system, it's encouraging that these efforts are focused

and rcfo, director of mental health director and actor of behavioral health marlo simmon and as i mentioned those joining the discussion and answer questions after a brief presentation. next slide. >> as the mayor and board acknowledged by unanimouslies paing mental health s.f., our behavioral health system is flawed, has many gaps and we have many opportunities for improvement. mental health s.f. provides the framework for that improvement. calls to reform our system have been growing for years. not only at the local level, but also at the state and federal level. the affordable care act, the 2016 medicaid final rule and the state's proposals of 2019 all seek to reform how our services are delivered, funded and regulated. these efforts are closely aligned not only with mental health san francisco, but also with other calls for reform, including recommendations from the meth task force, the 2018 behavioral health services audit by the budget legislative analyst, and the mental health reform work. with so many invested in improving our system, it's encouraging that these efforts are focused

marlo simmons, acting director of behavioral health within d.p.h. the legislation and how mental health s.f. talks about the needs, i think, is really right on and reflected a lot of the problems that we have in our system. one of the first things that we'd like to do is really build out a linkage function and what that looks like, for example, in the s.i.p. hotels, to supervisor ronen's example that she shares, is that the staff and hotel would have a place to call when they see a concern about a client, and that that call -- there is someone who immediately answers the phone, talks with them about what they're seeing, what's the best response. and in that case, it sounds like someone should have come out and helped that client get access to medication or whatever services are needed. we've started that with the shelter in place hotels. it's very new, and obviously, to get people to use that kind of service, they need to know about it, so that's where you get the marketing campaign that's involved in the office of care coordination. you need to tra

greg wagner and then director of behavioral health, marlo simmons to answer those specifics.ts a little more detailed. i don't know which wants to go first. >> sure. first may i clarify, i think that president yee is referring to on the b.l.a. report, page 15, which states that funding for additional beds, 212 additional beds, funded in fiscal year 2018-2019 and a fiscal year 2019-2020, 47% are open. 37% not yet open. 16% eliminated. i think that is what he's referring to, is that correct, president? >> president yee: that's correct. my question, too. >> supervisors, greg wagner, chief financial officer. i'll defer to director simmons and kelly for details on the program. two of the items were what had kind of previously tangentially come up which were the $2 million for the t.a.y. beds redirected and then the other 23 beds which we touched on earlier in the hearing. those were initially slated to move certain patients out of the adult residential facility at the zuckerberg campus. and to use that space to expand hummingbird. we reversed that plan and allowed the arf to stay

greg wagner and then director of behavioral health, marlo simmons to answer those specifics. it gets a little more detailed. i don't know which wants to go first. >> sure. first may i clarify, i think that president yee is referring to on the b.l.a. report, page 15, which states that funding for additional beds, 212 additional beds, funded in fiscal year 2018-2019 and a fiscal year 2019-2020, 47% are open. 37% not yet open. 16% eliminated. i think that is what he's referring to, is that correct, president? >> president yee: that's correct. my question, too. >> supervisors, greg wagner, chief financial officer. i'll defer to director simmons and kelly for details on the program. two of the items were what had kind of previously tangentially come up which were the $2 million for the t.a.y. beds redirected and then the other 23 beds which we touched on earlier in the hearing. those were initially slated to move certain patients out of the adult residential facility at the zuckerberg campus. and to use that space to expand hummingbird. we reversed that plan and allowed the arf to