and quickly supplied all of the hotels with naloxone and all of the s.i.p. hotels and i think that was a nice kind of precursor so your departmental work we've been doing since and already referenced the shared frame work and the principles and i think that is our north star and just sort of but that one piece that wasn't mentioned earlier is the importance of feedback from the people who are drug users and community support providers. you know, we're not going to have a successful strategy if we don't engage the people closest to the crisis. next slide, please. with my colleagues, we also did an assessment of what was happening with h.s.a. in terms of identification and support. so as part of intake for our caps program and our cal works program. we do a comprehensive needs assessment for all of our clients on a path to economic stability. c.b.o. partners for drug reduction harm services and hope they are ready to receive that support. we have trained our staff at the mission street service center and that was initially our primary focus because this is the

and quickly supplied all of the hotels with naloxone and all of the s.i.p. hotels and i think that was a nice kind of precursor so your departmental work we've been doing since and already referenced the shared frame work and the principles and i think that is our north star and just sort of but that one piece that wasn't mentioned earlier is the importance of feedback from the people who are drug users and community support providers. you know, we're not going to have a successful strategy if we don't engage the people closest to the crisis. next slide, please. with my colleagues, we also did an assessment of what was happening with h.s.a. in terms of identification and support. so as part of intake for our caps program and our cal works program. we do a comprehensive needs assessment for all of our clients on a path to economic stability. c.b.o. partners for drug reduction harm services and hope they are ready to receive that support. we have trained our staff at the mission street service center and that was initially our primary focus because this is the

a lot more is getting more naloxone out so that everyone has in their person their first day can't in there, you know, people should on the locks on them all the time. >> well, out of the 46 overdoses reported in january. 28 were fence and all related. thomas is fun to not test strips. also helped to save lives by detecting the dangerous drug. the city has plans this year to launch a tester program. it will be accessible through the syringe access programs. now to new police are looking for man accused of inappropriately touching 2 women on their morning. walk. kron four's. justin campbell has more on what happened. exactly. >> 2 women were enjoying their walk on clark avenue when police say suddenly a man rolled up on his bicycle and allegedly slapped both women. >> fortunately, they were able to call us we did conduct a perimeter search. they were not there. the gentleman was not located at the time. police say he made explicit comments at the women then rode off on his bicycle towards el camino road. this shocks me something like this was going on here. michel bryant has lived in t

a lot more is getting more naloxone out so that everyone has in their person, their first day can andle should on the locks on them all the time. >> community partners and city services and san francisco distributed 28,000 narcan kits from january to september of last year, reversing more than 6800 overdoses. live in the newsroom. i'm rob nesbitt kron. 4 news. thank you, rob. another person has died trying to cross the street in san jose. police say that she was outside of a crosswalk when a car hit her saturday night near mclaughlin avenue and idlewood drive. she was taken to the hospital and died the next day. her name has not been released yet. this marks san jose's 19th fatal crash. an 11th pedestrian death this year. and new information tonight at 5, the northern california woman accused of faking her own kidnapping can be released from police custody. sherri papini appeared in court today where the judge granted a release under specific conditions. the sacramento bee is reporting that put pini can be released after her family $120,000 bond conditions also include having limited

have either mechanical ventilation -- that is, he will have to have cpr -- or you will have to have naloxone to counter the effects. and if you don't have either of those two, very rapidly, that individual is likely to expire. so it is extremely dangerous. we have seen the russians use it in an aerosol form. they had a number of deaths in the theater incident, and part of that was not able to control the concentrations. too many people got too high a concentration and it led to numerous deaths. host: one of our social media followers has a question. this question says, can nuclear deterrence be used to protest their use, or does using biochem -weapons sidestepmutually assured destruction? ---i used to be a huge tomkat -- tom clancy fan. i remember a line that says, the united states considers biological and chemical weapons to be the same as nuclear weapons, so if they were used against the u.s., a nuclear attack could be the result. is that line true, and does bio chem weapons sidestep mutually assured destruction? guest: it is an interesting proposition. we have thought about this. one of

in addition, make sure that you can get that you're carrying naloxone, the overdose reversal agent even if you're not intending to use fentanyl, and then you know if you have a problem with your drug use, definitely seek treatment. certainly what steps is the city taking to try to offer more of these items? you talk about the fentanyl test kits. we've heard a lot of businesses offering those items to people. is the city doing anything to try to make those more widely available. so they're available through the strange access programs through primary care, and through the pharmacy. um they also are commercially available, so they're they're fairly accessible. the fentanyl test strips and some programs are putting them into clubs and bar venues as well. i know you. you talked about how it's sort of unclear in terms of the fentanyl overdose deaths overdose deaths in san francisco how many of those deaths are people who unintentionally ingested the powerful opioid? but do you? do you have a sense? or does it look as though that number may be on the rise? that's a great question and again. i

uh we have to make sure that the treatment services are available reversal agents like naloxone that's lives in an instant, are very readily available, and we have to think about harm reduction. services including safe injection centers , given the, um the amount of fentanyl that isn't our drug supply here, you know, we really can't take any options off the table. i would say this is something that's become relatively politicized, but the bottom line is too many people are dying. we don't need that to be happening, and we have to do more to reach people where they are. that is, for sure. the numbers are pretty frightening for a problem that will probably take a lot of time and a lot of effort to conquer ucs. ucsf's doctor maria raven, rather thank you so much for your time and all your insight as well. thanks for having me. thank you. okay. well can you believe it, frank? they have finally finally figured it out, and they'll be and its players finally reaching a deal after that very long, three month long lockout, so what it all means for the season. and warehouse full of supplies. i

a lot more is getting more naloxone out so that everyone has in their person, their first day can and they're, you know, people should on the locks on them all the time. >> of the 46 overdoses reported in january. 28 where fish and all related thomas says fentanyl test strips also help to save lives by detecting the dangerous drug. the city has plans this year to launch a test strip program. it will be accessible through the syringe access programs. >> mountain view police are looking for a man accused of inappropriately touching 2 women during their morning. walk. kron four's justin campbell has more on what happened and how you can help track down the person. >> early this morning just before 7 o'clock 2 women were enjoying their walk on clark avenue when police say suddenly a man rolled up on his bicycle and allegedly slapped both women. >> fortunately, they were able to call us we did conduct a perimeter search. they were not there. the gentleman was not located at the time. police say he made explicit comments at the women then rode off on his bicycle towards el camino road. this

in her role, she has helped expand access to naloxone across south carolina. she also understands the importance of addressing social determinants of health, and making sure people have access to care. director goldsby previously came before this committee last year to discuss mental health and substance use disorder challenges related to the covid-19 pandemic. director goldsby, welcome back. i appreciate you joining us to share your expertise once again. our next witness is jennifer lockman. she's the ceo of the research institute at center stone in nashville, tennessee. doctor lockman oversees all research and program evaluation activities at center stone. her work focuses on developing in testing new interventions to further suicide prevention care. she's been elite evaluated from multiple substantive views and mental health services administration grants focused on suicide prevention in youth and adults, as well as zero suicide health programs. doctor lockman, thank you for joining us today. i look forward to hearing from you. i will finally turn it over t

and the teams made naloxone readily available to residents of the shelter and the shelter in place hotels. the director of the network ambulatory care services will now make comments about this team. dr. hammer. >> thank you so much, president bernal. and the shelter in place care and the healthcare team formed quickly to meet the health needs of the thousands really of san franciscans who were offered temporary housing in the hotels. these were people experiencing homelessness who were deemed to be at highest risk of contracting covid or of getting very sick if they got covid while living on the street. this mobile team, these teams of nurses, outreach staff, along with physicians, and nurse practitioners and physical therapists and behavioral therapisted provided care in the hotels to the older population, many who have serious chronic medical illness. this pivoted from an expanding the work of the scope of their usual work in shelters and sros, streets and teamed up with the community partners to provide on-site culturally appropriate clinical care, including effective overdose protect

on and in addition there have been a number of people in the night life who've been distributing naloxone at their performances and so on and then attempt to reduce overdose fatalities in the city, i would love to put that on a future agenda item to talk about the role that night life and our venues can play in and ways to improve uptake of these sorts of life-saving interventions and entertainment venues. >> president: i think this is more necessary than ever. you may have heard about people in the mission who may have accidentally overdosed. those are three regulars in my bar and in fact the one had had a party that week that then got canceled because he was no longer with us. he was not somebody i was close with, but our staff, everybody was close to him. so it really hits close to home. i hope that all entertainment venues and bars can get access to the spray or the strips as soon as humanly possible because this thing is no joke. thank you for bringing that up and i second the idea of bringing it before the hearing to learn more about it. thank you. >> commissioner: thank you. >> pre

why in the midst of a public health crisis are we criminalizing the next naloxone instead of rushing it to the hands of researchers for study and evaluation? when you put something at schedule one, it's a declaration that doesn't even have any health benefits. this is bad science, and, therefore, bad policy. this bill, as it is now, would not prevent the steady increase of fentanyl-related overdoses that we are seeing nationwide. it wouldn't achieve that because we've had temporary scheduling, and it's still going up. it will not prevent the losses of one loved one that we see happening right now. or the pain that motivates my friend and senior senator from iowa. this is a public health crisis, and our strategies should be informed by the science, as a public health response. it requires a response that's dictated by science and evidence-based interventions. temporary scheduling, again, is not simply that. class-wide scheduling impedes scientists. it impedes researchers' ability to develop solutions needed to overcome the fentanyl crisis and deal with these fentanyl analogues. look,

about the dangers of fentanyl and make sure they have access to fentanyl test strips and naloxone that're going to build on the progress made in the tenderloin during a 90 days state of emergency there. the controversial declaration expired yesterday it allowed the city to bypass bureaucracy and speed up services to help the homeless and also cracked down on open drug years. supporters say a new homeless service center opened within weeks rather than months. and it will stay open even though that declaration is over. since i've gotten here. it has gotten better around here because when i first came two months ago, there was like these streets were lined people, all of it down like doing their drugs on the side of the road and stuff like your own kids and everything like that, but they're not like that anymore. in san francisco police plan to add 20 more officers to patrol the neighborhood. but skeptics worry about possible over policing also said the number of drug overdoses in the tenderloin didn't go down during the 90 day emergency period. our time is 6 57. beginning this fall, ucl

and now, alexa naloxone. it can quickly reverse and opioids opioid overdose. well san francisco city leaders say they're going to build on the progress made in the tenderloin during that 90 days, state of emergency declared their the controversial declaration. ended yesterday. it allowed the city to bypass bureaucracy and speed up providing services to help the homeless and crack down on open drug use that san francisco police plan to add 20 more police officers patrolling the tenderloin, but skeptics worry about over policing. i say the number of drug doses and the tenderloin didn't really drop during that 90 day emergency period. time at 7 59 ec transit workers could be finding out as soon as today that they're getting fired because they didn't get vaccinated. most workers did meet yesterday's vaccination deadline, transit says 80% of them did receive their vaccination shots. there's no option to test for those who did not complied. but there are medical and religious exemptions . the transit board voted back in december to require all employees to prove the

identify intake with opioid issues and train them how to utilize the locks so when they get e to naloxonekids when they leave. they utilize it all the time because when they come back, we will interview them and find out how often is used but we connect people with particularly the opioid issues with providers in the community and the notion that someone who has all these issues is around the jail we know he's going back to the community . the notion that you open the door and let him out and things will work out well is part of the problem so we case manage people when they leave us that notion that that's how you spend this curve and the mental health component is the easier one frankly because we do with the diagnosis, connect them with providers on the outside and with it manage them against expanding their meds. we seem tremendous drops on recidivism coming back into the jailmaking the communities a lot safer so the program you're talking about is the only way to go . >> i invite anybody else on the panel if to respond to those comments. two. please feel free to do so. my time is exp

in the midst of covid, also increasing naloxone distribution across the city. and they successfully implemented wave two of our implementation to bring up the epic pharmacy module called willow. and they have actively participated in mental health san francisco programs related to mental health and substance abuse. next slide. then finally another area of centralized operations was the area of interpreter services and rehab services and occupational health and occupational therapy, physical therapy and speech and language pathology and home health. those are all in one unit of the note work. even though they are centralized services they too were involved in the covid response. home health actually began delivering covid vaccinations to their patients at home while they were still doing their home health visits. and interpreter services, their volume actually went up by 22% over the course of the pandemic because they were being asked to provide more interpretation, particularly out in the community, as we were having more covid services at the zip code and at

and the teams made naloxone readily available to residents of the shelter and the shelter in place hotelsthe network ambulatory care services will now make comments about this team. dr. hammer. >> thank you so much, president bernal. and the shelter in place care and the healthcare team formed quickly to meet the health needs of the thousands really of san franciscans who were offered temporary housing in the hotels. these were people experiencing homelessness who were deemed to be at highest risk of contracting covid or of getting very sick if they got covid while living on the street. this mobile team, these teams of nurses, outreach staff, along with physicians, and nurse practitioners and physical therapists and behavioral therapisted provided care in the hotels to the older population, many who have serious chronic medical illness. this pivoted from an expanding the work of the scope of their usual work in shelters and sros, streets and teamed up with the community partners to provide on-site culturally appropriate clinical care, including effective overdose protection. and i want to

we've got naloxone and the federal support we have fentanyl test strips to those individuals who may not know what substances they're ingesting as the illicit fentanyl is in the meth and cocaine supply and the evidence suggests that people are better able to prevent an unintended overdose death if they use these fentanyl test strips, using less of the drug and every interaction to get the supplies to people on the streets where they are is an opportunity to engage them in treatment services and get them on the path to recovery. that's where our efforts are focusing heavily now and i will say we're not feeling defeated but it's been a major setback in the last couple of years how dramatically things have shifted. >> thank you. i think without directly saying so by deduction you can relate what's happening on the southern border to what you're grappling with. senator markey and i have two pieces of legislation about increasing provider and patient education. one is the label opioid act and safe prescribing act. through your work in addressing the opioid epidemic can you speak to the im

as you know, we are offering harm reduction services, including hygienic supplies, naloxone distribution. we are offering direct access to substance use disorder treatment, including outpatient treatment, residential treatment, and access to transitional and more long-term sober living spaces. in response to community feedback and feedback from this board, we're also aiming to offer an additional new service in the coming weeks, which we are calling a sort of living room for people seeking space and support away from substances. our overarching goal, however, remains the same. we are aiming to decrease deaths and substance use in the tenderloin, and we hope to help people to stay alive and enter into care that can help protect and promote their health. next slide. in terms of next step, in terms of operations, we are undertaking joint departmental budgeting process, including our longer term hiring projects. we are also aiming to finalize a long-term strategy for the linkage center, including a model and location for after december 31 and including working through our collective budgets.

have either mechanical ventilation -- that is, he will have to have cpr -- or you will have to have naloxoneo counter the effects. and if you don't have either of those two, very rapidly, that individual is likely to expire. so it is extremely dangerous. we have seen the russians use it in an aerosol form. they had a number of deaths in the theater incident, and part of that was not able to control the concentrations. too many people got too high a concentration and it led to numerous deaths. host: one of our social media followers has a question. this question says, can nuclear deterrence be used to protest their use, or does using biochem -weapons sidestepmutually assured destruction? ---i used to be a huge tomkat -- tom clancy fan. i remember a line that says, the united states considers biological and chemical weapons to be the same as nuclear weapons, so if they were used against the u.s., a nuclear attack could be the result. is that line true, and does bio chem weapons sidestep mutually assured destruction? guest: it is an interesting proposition. we have thought about this. one of th

medicare benefits -- in terms of the caller about opioid overdoses, you can get naloxone however it isossible when you only have the $18 shots. three, this country was built on history, our founding fathers knew that. civil war because of religious sites -- doctors, nurses, teachers. thank you very much. host: west virginia, republican, good morning. caller: good morning, you know, i've been watching this show religiously since its conception . well, i hate to use this call to make this point, but yesterday morning i call this program and the man that answered the call insisted that i tell him what i was going to say. and i said i will make my comment to the lady that you have on there, and he took me off. like i say, if this policy now? host: if i can explain that to you, we are not trying to edit your comments, but we have found that in doing that when somebody calls in, we say what line are you: in on, what city are you calling from and what is your question. when we ask, it is more to make sure that callers have a formed question that they have thought about before they get on air

as you know, we are offering harm reduction services, including hygienic supplies, naloxone distribution. we are offering direct access to substance use disorder treatment, including outpatient treatment, residential treatment, and access to transitional and more long-term sober living spaces. in response to community feedback and feedback from this board, we're also aiming to offer an additional new service in the coming weeks, which we are calling a sort of living room for people seeking space and support away from substances. our overarching goal, however, remains the same. we are aiming to decrease deaths and substance use in the tenderloin, and we hope to help people to stay alive and enter into care that can help protect and promote their health. next slide. in terms of next step, in terms of operations, we are undertaking joint departmental budgeting process, including our longer term hiring projects. we are also aiming to finalize a long-term strategy for the linkage center, including a model and location for after december 31 and including working through our collective budgets.