we have made that effort even more stronger by saying to p.e.s. if someone is willing and ready, let us know. we'll make that happen. we'll make that immediate activated. we've done that number of times. it's a voluntary service. no one can be forced into residential substance treatment or detox. if they are saying they are willing, we are immediately engaging with treatment access program or substance abuse provider say, we have someone we need to come to detox. we are doing all of that but again the person cannot be forced into that. if not, then we have to work back and forth. it's a pross. it's a relationship. it's a trust. it's something that we have to constantly be relentless and motivated to keep engage. >> supervisor safai: i wanted to just have you speak about conservatorship piece. i want to allow supervisor mandelman to jump in. >> supervisor mandelman: two questions. your list of high users, are you able to access data from the other hospitals in the city? if someone is taken to st. francis, does that feed into your detention whether

if you look at the table to the right, 56.2% of p.e.s. visits were on a 5150, involuntary hold, so that means a person was brought in against their will. we're just highlighting a point that it's a policy decision for the board to consider how can we help those who might be voluntarily seek the services that they need? the d.p.s. whole person care team pilot program is tailored for the high user group, and they're working towards better meeting the needs for this group, but we do think there's a discussion about the need for the behavioral piece, so we think that b.h.s. should appoint a liaison to the d.p.s. whole person care team. and of course that the director of d.p.h. should continue to work with h.s.h. to increase the availability of medically intensive supportive housing since we know that most of these clients are homeless. so the report that we released yesterday addressed the behavioral piece in the jails? and what we've found was that most jail booking events involve people with a history of substance use. i think there's -- we

communicate with them to make sure that when i am 5150 someone or when one of the high users is going to p.e.s. they are actually leaving the emergency room with a referral and not just like being dropped off or sleeping something off and then three hours later, no one gives me a phone call. i have no idea where they are discharged to. instead of me calling from 3:00 p.m. to 6:00 a.m. the next morning talking with the er and the nurse and the social worker and the attending psychiatrist that will be really great if at least one or two people are able to collaborate so that the person who's on the ground and is in providing i.c.m. to these people aren't spending 20 hours of their day doing this. >> thank you ma'am. you can finish this sentence. , we can follow up with you. >> audit mentioned that 1% of inmates were identified to have severe mental illness. i wanted to challenge that because they were saying that 85% inmates had substance abuse issues, maybe not disorders. the correlation between those two, there's something that doesn't quite add up. >> supervisor safai: thank you. >> good afte