of homeless families in 2011 were on the street and 5 percent in 2013. families experiencing homelessness are as a whole, similar to other low income family and face a range of obstacles, they face things. in san francisco, it is most frequently cited cause of homelessness, followed by job loss, my colleagues at hsa and the department of public health will describe our service model in more detail but i would like to share the highlights to the services offered to the families. coordinated entry, and wait list, and compass connecting points and transitional housing families who can qualify, can also access assistance from housing counselors, rental subsidies and benefits access assistance and a separate shelter and housing system for domestic violence and the department on the status of women and often time our regular system enter faces with these systems when the stays have ended and they are having difficulty accessing housing, priority for the pregnant women and the families of newborns and the department of public health is funding five roo

percenting homelessness. but, it is also alarming to know that women and families represent the fastest growing groups of the homeless population nationally and that among homeless families 90 percent of them have a female head of household, but we also know in particular that women who are experiencing homelessness face additional safety concerns and it is alarming that 15 pepser of females reported domestic partner violence as cause for the homelessness and 12 percent of the women who are experiencing violence, while they are homeless. we need to do better as a city and we will and i look forward to that discussion, in terms of families for me and many of us at home as a father of three it is auful that we have families living on the streets here in san francisco, and it is a positive sign to see as many homeless populations have recently began to decrease, but the number of persons and families experiencing homelessness has increased nationally here in san francisco and we have at least, 679 families who a

and if you look at young people, and young people who are homeless, 40 percent of homeless youth are lgbtq. and i say earlier in the prior press conference that we had before the hearing, you know, how harvey used to talk about the kid and in pennsylvania and how coming out was important because you know he wanted to send a message to young people throughout the country and including that kid from pennsylvania that it is okay to be queer. but what is happening in san francisco, is that kid from pennsylvania and other parts of the country, is moving to san francisco. has come to san francisco. and because san francisco is a safe harbor, it is a place for the people can be who they are and where a queer youth can feel that it is okay to be who they are. and because of that, because san francisco has been a becon for so long, we have so many young people that are coming to san francisco without any family, without any connections to the city, and they are homeless. and i do think that we have a responsibility as members of the lgbtq community and we have a responsibility as a city and a

so the majority of the homeless pay youth lived outside or 80 percent were unsheltered and 14 percent were sheltered. this number increases for unaccompanied homeless youth undered age of 18, 93 percent live unsheltered and i think that we should note that the demographics were overwhelmingly male. and white male. in this particular count. 72 percent were male, and 41 percent of that 72 were white, and 20 percent, or 26 percent identified as lgbtq. but, what we found astonishing in this particular count was that 71 reported that they were unemployed. 57 percent received some type of a jail, government assistance, and 25 percent reported a history of foster care. and as devon mentioned earlier, 25 percent has not completed high school or gotten a ged. and so homelessness crosses all barriers. 18 percent were on probation, or on parole and 16 percent indicate living in san francisco at the time that they became homeless. so i notice that some behavior health issues here but margo from dph will go into a little bit more information about that. but 27 percent experience chronic depression

likely to live on our streets compared to non-veterans veterans report fewer episodes of non-homelessness and 63 percent live on the streets full-time. we see a reduction in the homeless assistance and we need to continue to do better so thank you to the speakers and would like to invite up hope to mr. duffey to kickoff the hearing. thank you, mr. duffey >> thank you so much for having this hearing this is incredibly helpful to have the committee look at the aspects we're grammatical ill with. as the chairman indicating indicated the citizens are a growing population within the homeless population and the board will have more medical supports in terms of making a connection and making an intervention and supervisor kim has worked with barbara gaza garcia through the public health department and also connect we have to be fluid and respond creatively so congress recognizes some citizens are not moving into the veterans housing but be ableing to respond we'll connect more citizens. i'm pleased to share i received an e-mail from our 311 team talking about the using the 311 for the last allocation of homele

black and 39 percent of homeless adults are black and this pairs repeating in a city that is 6 percent black and 39 percent of homeless adults are black. >> not only is the third the most logical but it is what we are seeing at the cross roads and 58 percent of our clients are black and this number has risen dramatically over the past decade. and as the black population in san francisco declined, the black youth have fewer options in the community to turn to when the immediate home is not working. and they are turning to the streets and their needs are not being met by the social service system and they do not fit the typical profile of what the homeless youth look like. and the only people targeting them are law enforcement and they rarely identify as being homeless youth and so they do not seek out services for the homeless youth and they frequently do not meet the definition of being chronickly homeless and so they are ineligible for the homeless and they are less likely to seek help for mental health issues. and

homeless slightly longer than women. so, if you are interested in general, about 55.7 percent of our population has been homeless more than 5 years. and 32 percent of them have been homeless more than ten years. and in comparison to that, transgender women have been homeless at 64 percent more than five years. and then 41 percent more than ten years and so it is a bit higher and for women, it is 54 percent, so it is pretty much like the average, and 30 percent, and 32 percent more than ten years. ethnicity data, i am showing you here, so you can see them for yourself and i am just read out the ones for women and so african american women in our system and coordinated case management system at 34.8 percent. >> sorry, just aside, i think that we can all read the numbers. just quick question on this, has this evolved over time, are you seeing consistent ethic numbers within our population or is that... >> no not in terms of the data that i looked at and i think that i can give you more information from our data group that might be able to run the years that we have had the coordinated case management system. and there are, a

approximately one hundred and 70 veterans were identified which is a reduction from the 2011 homeless count. 17 percent of the homeless count and survey responded said they were 55 and age-old and 3 percent of approximately one hundred and unnecessary were age 60 plus. let's talk about the seniors in our adult emergency starts the veterans are identified in the in take process into changes so we don't do a monthly or daily cut because shelters are always moving by a person can answer the question whether or not they're a veteran so let's look at 2012 through 2014 and the consistent between individuals 60 to 99 years of age has been consistent. in 2012 it was 15.42 percent and 2013 it was 14 with the 67 percent and january through april of this year we're at the 15.3 percent. so the percentage of the seniors has remained consistent we set aside senior beds we've identified 12 beds that are managed by the mission resource center they identify individuals in emergency of short time services and they can directly enter them into the system and have 90 daybeds for the individuals whom those 3 agencies feel

the population where you can see our population is over 58 percent and from health care program for the seniors with hiv we have the homeless seniors is at 45 percent. in terms of diagnose and conditions i've put a slide together now the slides are about seniors we don't have separate data for veterans. you can see the serious medical conditions are high for our seniors higher than the rest of the population embarrassed with the other population that that used the medical abuse programs and the problems are diabetes and high blood pressure. the majority of homeless in san francisco will be over 55 there's the population it increases by one year per year so that's a statistic population so that's where the increase comes in and 48 percent percent of the population include a number of seniors their low income with 40 percent between 10 percent and there 10 thousand and 20 thousands of annual income. the average call for seniors i want to point out out in the dph is $20,000 more 90 thousand vs. 71 this course and the homelessness for the seniors is higher than the general population over 10 years homeless for seniors is 45 per

difficult populations can be housed and you can look at the success and the chronic homeless in san francisco with 62 percent of our homeless population, and what we have been able to accomplish with veterans where we have a strong federal partnership and we have been able to be successful and working with them and meeting on a weekly basis and i think that in all of our hours, that our hope is really emphasized is that having face-to-face meetings with our partners on a weekly or a bi weekly basis has been instrumental in terms of our success in homelessness and other areas when we look at long term shelter stay areas and other areas that we can be improving if you look at the areas for san francisco improve, obviously the pipeline is a big issue, if you look at our housing pipeline, we are reaching the end of it and so having the creative strategies and recognizing down the road, we don't have a large number of project and if you focus on housing the homeless and so some of the master leasing and looking at what we are trying to do, and although the properties and we are trying to get in quickly and genera

three medical, serious conditions, and substance abuse conditions and that makes up on a 35 percent of the homeless population and also makes up the gay population and the 61 percent of the transgender population and while the tay are low, and i do want to point out that they are much higher when it comes to only, site conditions. and 13.8 percent and up to 6 percent and so that when you talk about the depression and the health problems that our homeless youth face. >> supervisor avalos? >> just a question, looking at, you know, it is often thought that the young people, are more healthy. and elderly people and adults, so what do you describe for the conditions? >> and the conditions that the people come with? >> yes. and so this hiv and there is also, and i didn't have a chance to consult with the medical staff, but there is a really high number of chronic pulmonary diseases and these are serious conditions, as they are and it is they are in the ccms and then, the variety of other commons, because the population is not that large, as really spread out. and this is the people not being able to take

roundtable study and i mentioned it earlier revealed a minority of homeless people, acquired disproportionate county costs and that study, ten percent of the homeless gr recipients, studied incur the costs of over 6,000 to 8,000 dollars per month. and 2 thirds of those costs ran the healthcare system. and we will know from the trends in the healthcare spending that some homeless people are going to be more expensive after the implementation of the affordable care act, than others. and even though many of these people are now eligible for medical, and medical will not reimburse for an inpatient stay that is longer than medically necessary and so we know people who are frequent user of emergency rooms, are often homeless, and more than half are homeless. and they are often, they are also associated with high end patient frequency. and the people who are chronically homeless, samely stay housed longer than those who are housed and with the same conditions and the same severity. so, because an inpatient stay under medical cannot be reimbursed if it is longer than medically necessary, this means potentially losing a patient who is in-pat

percent females. and according to the 2013 san francisco homeless count, 27 percent of women were homeless. >> the shelters operate, 24 hours. and next door and the sanctionary. and south also operates a 24-hour drop in. shelter. and i am sorry. drop-in center which is part of the standard of care legend. and let me slow it down, legislation. out of our, or the one shelter out of our eight is what we called the self-contained shelter which is the lark inn and it serves the transitional aged youth from 18 to 24. and we also have a specialized shelter, which only occurs the sunday before thanksgiving, and it ends the last working day of february. which is called the inner faith and it is with our inner faith, community, and they house, and in different locations, anywhere from 60 individual men up to 100 depending on the location of the site. so some of the services provided in the emergency shelter, i don't want to read them all, but, what i do want to highlight is that we do have some shelters that are 24/7, 7 days a week. and our meals all followed the san francisco shelter and nutrition project menu. and

homeless people. and over the past ten years, 16 percent of the formerly homeless folks who left the housing, moved into other permanent supportive housing. and 16 percent moved into temporary housing, and 16 percent died. and 16 percent moved into unsubsidized permanent housing. we have no information about where 28 percent of these folks went. after leaving our housing, and about 8 percent went into shelters and the streets, and jail, or in to hospitals. the 16 percent who moved into the unsubsidized permit housing is perhaps the most interesting to this group. however, the category is so broad that we really don't know if this was, in fact a step up and we don't know, the longer term housing retention out comes for the people who moved into unsubsidized housing. but, understanding where formally homeless people go after supportive housing is in particularly ref la torrey given the extremely limited affordable housing options available to this is folks and we believe that it is critical that any housing ladder plan not simply shift in the aoe equality is the lack of affordable housing in san francisco

of interest this year is 7 percent of the homeless we've seen on third and harrison were females and females are the faster it growing homeless if this country. 8 percent were o i f vets and vets between the angle of 55 and 65 were 43 percent and this year 20 percent so far have been over the age of 64. so i'm going to quickly i was told i have 5 minutes go over the services we have here in san francisco. you need to understand that when we offer some of our programs you have to apply it's a nova so a competition we work closely with our nonprofits and with the city and county of san francisco to insure we can apply and hopefully awarded those services. our first program is our h contract we talked about that and joyce talked about how we have thirty beds with the city of san francisco so we in san francisco get money into a pot in which we develop local contracts for emergency housing. i call those assessment and stabilization beds beds we can put a veteran into and figure out where they go from here. we have 6 contract and 74 beds and spend $140,000 veterans can stay in those beds

psych hospitals there's been a 27 percent decline in incarceration for prison and a 33 percent decline in homeless days and there's been a '64 percent decline in emergency interventions. overall for every tdr spent on treatment under you assisted outpatient that's been documented one dollar and $0.84 avoided costs it clearly saves lives and money that's the com patient thing to do as mayor ed lee said. image if san francisco implements laura's law it will have the same experience as nevada county >> thank you again to supervisor farrell and mayor ed lee we really appreciate our support this has been a long struggle but i said all the time you have two major county in one week that have come to this point and we hope it will lead to more thank you very much. >> (clapping) >> thank you to the wilcox family for coming down from nevada county and sharing your story. i want to introduce the director of our public health department barbara garcia (clapping.) good morning. i wanted to acknowledge the wilcox family thank you for your work. the department of public health has an incredible health system we

and economic factors, including lack of a job, and one of the leading causes for female homelessness. and 15 percent, of women reported domestic violence as the primary cause of homelessness, and for family heads that number jumps to 27 percent, in other words, dow domestic violence is the number one reason that the families are without permanent housing and the domestic violence does not end once the women or the family leaves the home, in january, the city experienced the first domestic violence and homicide in 44 months, and with the murder of a 48-year-old homeless woman as you heard from our city's hard working community organization and advocate organizations and advocates today, i encourage you to ask questions that impact the problems leading to and associated with homelessness, for women and families in different ways. why are so many senior women living on the street? and how have experiences with the foster care, trafficking, violence, contributed to youth experiencing homelessness, homeless women are less likely to speak about their needs to a male provider or advocate and this is true f