p.e.s. and at san francisco, we are looking to expand that and laguna honda and working with the criminal justice system, as well. with you agree there's no need to having people go to criminal access points. >> so your department has to assign a priority level to each person. >> correct. >> and d.p.h. is sort of working on people with their mental health and physical health needs. what's the -- like, how do you -- so yesterday, i went -- there's a great new program at san francisco general. it's related to getting to zero, and h.i.v. and h.p.c. treatment. people get their treatment and they get social workers who try to get them into coordinated entry. they were saying it's a little bit of a mystery to them how the prioritization happens because it's of course from their perspective, 80 to 90% of these folks are not only hiv positive but have mental health or substance abuse issues. so how does prioritization happen? >> so i want to point out that d.p.h. and h.s.h. work closely together to

there's definitely gap there is so that when people are leaving p.e.s., whether or not there's housing available for them, if they still need care, -- sorry -- if they still need care and we don't either have permanent supportive housing or they still have medical issues that make it difficult for them to get into p.h.s., we really need more of those beds. but also as we're adding more community-based care we have to understand that those folks need to go somewhere. so, you know, for every transitional program that we set up we need to be planning for where those exits are going to be and whether they are to permanent supportive housing or whether -- which i think that we have a fair amount in the pipeline, or whether they're going to small co-op programs that i think that are more suitable for folks. we need more of those, but i will say that there has been a fairly robust development of permanent supportive housing over the past -- you know, 15 years in this city. but there's not been the same level of growth. in fact, i believe that there's actually been a shrinking of the community

the options are to go to p.e.s., hummingbird or they go where? >> they could also go to urgent care, and after urgent care, they can decide if that person needs acute diversion, and they can go to housing for two weeks or plus, depending on their needs and what their needs are assess. and then, while they're there, they're continuously assessing what the next steps would be. >> supervisor ronen: okay. so let's say they go the urgent care route, which is probably the best route, 'cause there's a 12-day stablization crisis. but there's still no bed in the residential. where do they go? >> they're done with the a.d.u., and the question is where do they go next? >> supervisor ronen: yes. >> i think there will be a conversation about where do they go next? we may be looking at stablization rooms, various options. residential treatment is one option. and again, we have to look at the condition of the person. not every person is presenting in a situation that are in a crisis. there are people who are also presenting in a crisis -- >> supervisor ronen: b

what we are finding is we are, sometimes, when folks will come into p.e.s., try to get them hooked into hummingbird, they won't make it there. so trying to attach services to make the linkage actually happen. in terms of the actual beds, michelle -- no actual beds increase in this particular grant. it is really about making sure they link into services. and helping them stay in services. >> that may get them into a bed at hummingbird. >> and maybe help them stay in a bed. >> that's fine, ok. thank you. >> yeah, sorry. >> thank you very much. any other questions? no comments, there was no b.l.a. report on this. open this up for public comment. any members of the public that would like to comment on item number 7? seeing none, public comment is closed. i would like to make a recommendation to move to the board with a positive recommendation. thank you very much. we can take that without objection. madam clerk, please read item number 8. >> accept, expend a grant in amount of 402,000 from the california department of public health. >> thank you very much. i believe we have joshua nositer,

report this morning with 15% growth, so the consumer is there to help push this market forward we see p.e.s at 16.6%, 16.7% right now. we will have pullback. you have to be opportunistic in the market we will see it going higher. the denominator, that is earnings season is nearly upon us if the numbers come in big, then that will reduce that p.e. valuation, but if they don't, it will elevate that here how are you expecting earnings to come in for the first quarter, victoria? >> if you look at earnings expectations, they're actually down about 2.5% right now for the first quarter. i think people are underestimating what we're going to see we actually think we'll have some positive surprise, and you'll see that city surprise index move hire. it's been negative for quite a while. we can see that move higher. that's going to give some tail winds to the economy and let the markets continue to move up. we think that will push yields higher on the treasury yields as well it will give us a little momentum going forward guidance is going to be key for earnings as it always is, but when we kick off w

how do we help the person that's leaving p.e.s.? how many more type of beds do we need? how many beds? that's what this hearing is about, because if we don't look at that -- at those investments, we're just going to keep doing this over and over again, which is the definition of insanity if we don't make any changes. so that's why i called this hearing. we need to understand what the departments are doing better. we are doing good work. i want to thank you four coming. there is a lot of work going on at s.f. general, a lot of good work going on. i know all of my colleagues here want to do better. we are in charge of the budget. we want to know how to spend your dollars to get at this problem to help the people who are suffering on our streets. that's what i want to do and that's why i called this hearing. i want to thank those who presented, i want to thank my colleagues for their thoughtful questions because we're going to keep at this. this is not the end of this discussion for me. i'm going to keep at it, i'm going to keep asking questions, demanding answers, and i'm