for years we have been a anchor in the community not only providing wrap around services but also providing much needed hiv health education services and linkages to general care. in the past two years the tenderloin center have gotten 16 clients to healthy conditions. i've contributed 1/3rd of our clients come from the tenderloin with the highest community of environmental load 20 percent are currently living with hiv. i've contributed the - i believe in the philosophy of about creating our system designed to educate we've been able to lesson the hiv - we're serving some of san francisco most vulnerable people with the greatest needs. people have traveled across the state to get those services. our community are investing in the health and we ask that you continue to invest in their health as well >> thank you. next speaker >> my name is dave and i'm a case client. i've been living with hiv since 1984 living with this has been tragic for me. i lost my job because i couldn't get out of my place. but i became homeless. two years ago, i got all the help you neat mental health care, food and t

so for the take aways, it provided us an opportunity for real exchange and interaction. the military has a lot of capability and sometimes we don't always know how best to modify that in an appropriate response and being able to get together and practice the situation allowed us to understand each other better. the lessons learned: throughout the exercise a lot of lessons learned were gains and we're taking those lessons and applying them to real processes where we have interchange and response. 18 months of planning allowed us certain benefits as well. we were able to look at the capabilities that each other brought to the table in these type of environments and we were able to really take those and learn more about each other for future responses. we were able to take and provide a taylored response package to better serve the customer. again, we don't want to go in with a full package that the state or civil environments aren't really asking for, we want to be sure it's taylored appropriately and it's responsive and timely. we also had the humanitarian assistance coor

they provided an incredible benefit to me. i shop once a week to project open hand center to stretch my money. they provided me with staples to help me with food. i volunteer at project open hand and help to among the meals. those people are most important because they don't have a voice. clients like me depend upon the meals. clients who are also suffering from hiv and aids will suffer more because of malnourish. project open hands prevents me from going hungry. i urge you to provide the necessary funding so the clients are not turned away from project open hand >> thank you very much. next speaker >> good afternoon supervisor wiener thank you for having this hearing. i sit on the executive boards of the ceo. please, please restore the cuts because the cuts will help especially an african-american community i know that working with the ceo san francisco program lawful african-american people can come in there and get the stuff they need. in 1990 i got diagnosed with full blown aids. by having the services available to me i am

and i ask you to provide not just adequately for light braer, but to provide all of the books that we need. thank you. >> good morning, my name is john ogrady and i have been a regular user of the law library for more than 25 years. i have or i have given educational workshops on how to prevent financial elder abuse and other state planning topics at the law library. i have often encountered low income people who cannot afford a lawyer trying to do research in the law library, i remember that i had a hell of a time doing research. and i still have a hard time. i don't know how how many does it without legal training, sometimes they ask me questions about how to do their research. and i am really glad to help them on occasion. and these people do not have a voice here today and so we are speaking for them and the road to democracy is the road begins at the law library, without access to justice, without access to the courts, without access to the legal materials, to present their cases, there is no justice, there is no democracy. so, enough is enough. please listen to us, please stop t

about -- service providers. although it has been updated several times since its enactment, many have noted and we agree some of the lines drawn by the statute have failed to keep up with the development of technology and ways in which we use electronic communication. her we agree there is no principle basement -- basis to treat someone less than 180 years old delay then someone more than 180 years old. things is an these important first that. a harder question is how to update the statute in light of new technologies while maintaining protection for privacy and radically -- adequately providing public safety. this is important to all americans. all of us use e-mail and other technologies to share personal and private information and we wanted to be protected properly. some have suggested the best way to enhance privacy would be to require a lot to obtain a warrant based on private cause we believe this approach has considerable merit. civil regulators typically investigate conduct that is not a crime. criminal

we provide legal representations to over 250 survivors of domestic violence each year. our services are provided through volunteers and many of the clients are mono linguals and so therefore we maintain a interpreter panel so that we can serve the mono lingual clients. the funding that you are voting on today will help us sustain the level of services that we are currently providing and if it is annualized we look to increase the staffing for the project. and we also look to use the funding to give more resources to our volunteers who are litigating these cases. and in many of these cases, our clients are up against, opposing parties who have significant amount of money, and they like to use that money to continue to batter our clients. what they will do is they will get expert psychological evaluations involving custody matters and our clients do not have the resources to refute those evaluations. with this funding we hope to be able to fund some of those evaluations so that our clients are better prepared to fight these abusers. thank you. >> thank you very much. >> n

me support and provide me the motivation to get up and come to work every single day.his is an opportunity to thank and praise the people that call me stop, that e-mail me, find me on facebook, send me a twitter and pick, found me on next door. i tell you, this is your day. put your hands together. hang in there, we're almost done. but this is the day that we get to celebrate -- (applause) >> i'm calling it the nen-ers. you know what's interesting? i've been around city hall long enough to watch the nen awards grow and mature into what it is today. so, i also want to give a special shout out to daniel homesy who is the originator of this. thank you, daniel. (applause) >> also i want to acknowledge his right hand christina palone, the new director, mon, mayor's office neighborhood services over there in that corner. (applause) >> and for those of you that don't know, i represent district 10, that's the southeast neighborhoods. that's bayview, that's potrero hill, visitacion valley, it's a little hollywood, it's dogpatch. it used to be the portola, half of it. my heart i

not provide health insurance. interestingly enough and maybe i will talk a little bit more, 74% almost had never heard of the small business tax credit. 63% had never talked to their state senator. their assembly person or to the governor, which i think is a little scary and it's something that hopefully you as a commissioner will re[tpo-rpbs/] that we reinforce to our representatives. those who did need capital 2:1 and those who couldn't get capital versus those who can't get capital. so it's clearly a problem for those who need it. when you look at the hiring. almost twice as many people decreased their employment as increased their employment and as far as revenues, more people had decreased revenues in last yeah, versus increased revenues. looking this over, it's a little sobering, because there is a certain amount of frustration and negativity, but i thought those numbers would have improved given the economy. thank you for the opportunity to talk to you. >> scott, i want to say thank you for everything that

and you know, i have a lot of concern about getting too, or providing too much kind of providing too much direction as to search the terms in the light because having done it in litigation it takes on a life of its own and it leads to, or it will not lead to a fast resolution and providing a document that you identified as the whole point here. but, it definitely something that should be on the list and something that we could continue to work on resolving. >> okay. should we take a quick break? before the next two items? >> any objection from the commission? >> okay, let's take ten minutes. >> okay. >> could i also just say as the chair of the education and training of the force i am happy to work with the staff to try to sort through what you just talked about, it is not going to be easy. >> we appreciate twe will be adjourned for ten minutes. [break] >> we are back, in session. the next item is 04-120507. respondent croline celaya complainant cythia, carter >> the respondent is here >> please, have you five minutes. >> i'm the public record manager for the sfmta and we sent a lett

the parking garage is about 200 parking spots smaller there will be $14 million to provide transit. other pedestrian safety and transit i am improvements that we need in the neighborhood. in addition to that i want to thank cpmc to help manage traffic congestion and more policies to use clipper card. this afternoon at the board of supervisors we will be introducing 10-page single space that lays this out. i first want to thank all of you to make sure this becomes a reality. thank you. [ applause ] >> thank you, david. the next speaker that i would like to introduce is warren browner the ceo of cpmc and be at the stable for the last few months. i believe he suffered fatigue and is worried at times but kept himself together and represented c p m c well with a vision and thought process for the common good for the patients of cpmc and tomorrow and would like to thank him for bringing this all to a conclusion. i present to you warren browner. >> thanks, well, as you heard, i'm the c o. i would like to say welcome. let me tell you that what you thought was fatigue was actually walking pn

provided or any responsibility, coordinated care to other providers? i believe that we should work and the congress has given us the charge that every fee-for-service system that cms maintained should be tied to quality, quality of care outcomes and the total cost of care. we are further along with the hospital payment system, and that payment system is increasingly tied to the outcomes and the total cost of care, not just the care that is provided within those four walls of the hospital. over time, cms is authorized to transform all these payment systems to achieve the same goal. we have to make sure that we have the right measures, we had to make sure we don't create perverse incentives. and i agree with you, senator, that we need to work together and cms is committed to this committee to make sure that all of our payment systems begin to adopt the same principles that congress has authorized for the hospitals. >> so, there isn't any defense of medicare fee-for-service anymore. we are working away from it so there's no defense work. thank you very mu

this means that cpmc will work with primary health care providers and provide care for medi-cal patients when they need hospitalization. the obligation and the term sheet is 5400 beneficiaries for 10 years, at least 1500 of which must come through a provider that serves the tenderloin. expenditures for this are capped at 5 million per year, increasing each year. and i do want to note before moving on to the next subject that this is sort of an arcane health care issue and if anyone has questions on what we mean by the medi-cal [speaker not understood], we have myself and staff from public health here to answer those. so, the next thing is the health karin ovation fund. like in the last agreement, there is a health karin ovation fund to be jointly controlled by the san francisco foundation, cpmc and the city, cpmc will endow this fund with $9 million. two uses for the fund have already been identified as shown on the slide. one is the development of a primary care provider network in the tenderloin which will help provide those medicare -- medi-cal, excuse me, patients for cpmc from the t

we provided the best health care for our ryan white clients. i ask on behalf of our mostville initially please take this into consideration >> i'm the medical director at the mission neighborhood health center. a year ago i spoke before this group. with our help we've been able to get more patients on medication and drastically reimbursing their spreading hiv to others. on monday, i saw my patient laura who was using heroin and over the last year with the help of her case manager is in the process of reunifying with her son. she's achieved 96 likely to pass hiv to her sexual partner. and this is what success looks like and it didn't start or end with me writing a prescription and we know that changes are coming. this is not the time to change course on the hiv services. when in the; isn't that so we saw a surge of epidemics of tuberculous deaths. we can't afford to go backwards. i'm here asking you to keep those programs whole and sustain the services that protect our public health. i'll be here every year if i need to be and remind you what th

. >> barbara hale, assistant general manager for power, we provided some handouts that are available to the public and to the commissioners, i just wanted to give you a quick update on three items, where things are at with the sfpuc and the california public utilities commission, the status of our customer notification and education plan and an update on our legislation related to clean energy and ms. radica fox will provide the legislative update for you, with respect to the first item, the sfpuc activities, we are progressing as planned, we are on time as our time schedule, we have rated options possible at our commission on march 12th, at that time, we'll be presenting our commission with a customer poll results, we'll be presenting the not to exceed rate for adoption and possible adoption, consideration and possible adoption and that will be accompanied with a report from the rate fairness board providing the commission with advice on those not to exceed rates. at the california puc, we are actively engage on that setting on the proceeding that they are conducting on pg and e's p

provided or any responsibility to coordinate care with other providers? >> i believe that we should work and the congress has given us the charge to -- in the fee-for-service system payment should be tied to quality of care outcomes and the total cost of care. we're further long within the hospital payment system and that payment system is increasingly tied to the outcomes and the total cost of care, not just the care that is provided within those four walls to the hospital. over time, cms is authorized and charged to transform all these fee payment systems to achieve the same goals. we have to make sure we have the right measures. we have to make sure we don't create. incentives about -- disincentives and i agree we need to work together, and cms is committed to make sure all our payment systems begin to adopt the same principles that congress has authorized for the hospital payment system. >> so there isn't any defense of medicare fee-for-services anymore. we're working away from it, so there's no defense for it. thank you very much. reference to the ch

force meeting i provided a cd with all the documents. although we e-mailed all those documents we offered a cd to him and to the task force. at the same task force meeting, the task force ruled that our department is required to provide the e-mails in original format and not pdf copies and it was on cd. since i didn't know how to format the e-mails and forwarded to the requester i suggested they have them download to c d and i asked for his mail address and i can mail those cd's to them. as of today, mr. nooi man has not been willing to meet with us. >>> comment on this? >> david popel in this instance i think the d p w have met and gone above and beyond to offer to meet with the complainant. it has the back project that was looking for some financial controls. i was also concerned that this particular complaint was addressed to both mr. new rue and was the department head at the time and might also be bifurcated to chapter 3 hearing and it wasn't calendared. you can deal with mr. lee tonight. i don't know if you need to recalendar that

and we're in constant contact with our providers >> thank you. good afternoon supervisors and chief financial officer. i will go through the presentation in front of you relate quickly i know it's a long afternoon and a lot of people waiting to speak. in the packet i handed you go to the back we have at our front the general budget update but if you turn to page 7 we start the information on this presentation. so as you know and as supervisor wiener state we have a couple of significant funding issues the first is we face the continued reductions both for hiv services and prevention that went into effect those are reductions in federal reductions and we have additional reductions in the coming year so we have both those challenges to deal with and we still have little information about what the impact of the federal sequesterer b mr. mean in the streams. i won't dwell too much but just a current overview of where we are about 15 though 5 hundred people living with aids as of the end of not that i'm aware of. as barb said it had peeked and decline

chasing down provided for payments. cms has overwhelmed the payment problem, dramatically lowering spending without compromising quality of care. over the next several months we will focus on several new areas. we are working with hundreds of hospitals and health care providers to test the service payments together in new ways to figure out the best way to pay for a total of seven care. we will continue to work to implement the value modifier policy to continue to shift our position payments system to reward top performance positions and providers. we will continue to find it and test ways to best provide and coordinate care, including to vulnerable populations such as we do eligibles. given our work, we cannot provide this data that begins to demonstrate that the strategies put in place of the last several years are working. as center of office, we have more than 250 ceos operating in the traditional fee-for-service medicare programs serving more than 4 million beneficiaries. this tells us that providers and positions

network of providers.hese are a lot of areas that traditional providers have not been estimate with the as a result of that, the department of the work of the health resources and services mr. risch as well as fda mrs. looking for opportunity to ensure that our providers are ready for 2014 and beyond. coupled with that, we looking at our existing network of providers like committee health centers and other providers across the country that are serving underserved communities and what can we do better to train these providers to better meet the needs of people living with hiv, and lgbt community. also agree specifically to meet the needs of the lgbt community. we have existing resources like the appropriate standard services standard, the class standards. we're about it at the department the time to update the standard. these are critical tools that providers can have at the fingertips of the federal government can partner with to ensure that they are better prepared for the future. .. >> it's really about

for those people who are at the front line providing patient care. thank you very much. >> next speaker. >>> my name is jane sandoval. i'm a staff nurse at st. luke's and i've worked there the last 27 years. we are encouraged with the events that transpired with the increased size of st. luke's and decreased size of cathedral hill. this is possible with the collaboration of the california nurses association and community coalitions that worked tirelessly to get where we are today. however, until labor piece and the follow through of cpmc promises come into fruition, our struggle continues. as a member of the negotiating team of nurses, we are still in the process of finalizing a contract. the negotiating team and cpmc met once again yesterday and was hoping to be a final bargaining meeting. unfortunately cpmc's timeline and sense of urgency timeline differs from nurses and we concluded the day without a contract once more. we are close to reaching agreement and have come so far. the nurses are willing to have the necessary discussions to do what it t

. >> but we'll provided that data to you, we certainly have it available. in addition to the ryan white reductions that we've seen over the past two years we've also got reductions from our hiv prevention. in 2010 there was a relifetime that shifted funding away from certain geographical regionals that had success in parts of the country that were increasing and decreasing the effects of the epidemic. the impact is based on the new funding schedule san francisco will have used 40 percent of their grants for prevention between not that i'm aware of and 2016. at not that i'm aware of we're at $8 million but we're going to decline further >> i assume you'll agree with this but the cdc cuts are punishing san francisco for reimbursing infections. >> we're losing funding as a result of our skwek the flip side is there's a great need and that's the driver. >> the solution would be to increase the funding to those parts of the country not to punish san francisco for reimbursing infections. has the cdc borlthd to do an analysis with the increase of infections they w

the labor code provides for the state labor commissioner to enforce. the state labor commissioner is not going to enforce a prevailing wage requirement on a privately funded san francisco project. so, the language could have been better. >> how was that language crafted? how was the process, was olse part half? >> olse was not part of that. ~ so, we requested payroll documents including time cards, check stubs from all the contractors as part of our audit. neither the event authority or hartman would provide olse with a copy of the contract between the event authority and hartman, which was confidential. but both parties agreed that if it contained the prevailing wage requirement. ~ that it contained none of the subcontractors we spoke with at olse informed hartman of the prevailing wage requirements. none of the subcontractors maintained or kept certified payroll records or hired apprentices for the work. the audits were difficult because most of the subcontractors did not keep track of the hours worked specifically on this project. and, so, they had

it is leveraged to recruit providers for hard to fill locations allowingically clinicians to provide care in other areas where it's easier to high clinical professionals. the army's also implementing new programs to provide care to spouses and children in communities where they live and placing behavior providers in the patient centered medical care clinic. the data portal is an i.t. platform tracking patient outcomes, patient satisfaction, and risk factors by way of a web application enabling improved surveillance and assessment of program and treatment ethics. while the army continues to improve health care to the soldiers and families, we recognize we have to pay special attention to soldiers in transition whether they are relocating to another assignment, returning from deployment, transitioning from active duty to reserves, or preparing to leave the service. the army established a system internally to ensure continuity of care from soldiers moving from installation to installation. we support the dod in transition program with ready access to nationwide of experienced and indepe

one is the development of a primary care provider network in the tenderloin which will help provide those medicare -- medi-cal, excuse me, patients for cpmc from the tenderloin. another is community-based mental health services and again, we have our public health staff here to answer any questions on those. next is the health serve system. so, the term sheet specifies that cpmc will help protect the health service system from premium increases by capping rates for 10 years. this limits premium increases to ensure for hss. and i want to note a typo on the slide. what this should say and what it says in the term sheet is years 1 through 2 at 5% annually. and years 4 through 10 no more than the medical rate of inflation plus 1.5%. so, that should be noted as a 6. moving off of health care to the other set of community benefits that are contained in the term sheet, we start with affordable housing. the term sheet includes two different affordable housing payments. the first is 4.1 million to compensate for 25 units that will be displaced by the construction of the cathedral hill medical offi

the information we are providing, one of the third parties who picked this up could use the information to design an application that could be accessed from a laptop or from anything else not limited to smart phones. >> that is correct. >> thank you. there has been discussion about whether we have one app, or an open architecture system. my understanding to make sure we are on the same page is that the idea is by having a petition among the apps eventually one or maybe two mac will emerge as the winner as we have seen in a lot of internet applications. rather than us picking before hand who should win, it is to have information go out and let the best app or two win, and at that point we will have a relatively uniform or widespread app. he said the thinking behind this with the open architecture? >> we are creating a platform and letting the people whose core competency and profession is to develop apps with whatever features they want, whatever user interface they want. whether or not it would get down to one or two winners is a question. the model is the open 311 platform, like us the

the embedded behavioral health program provides behavioral health teams to provide community behavioralhealth to soldiers in close proximity to their units and in coordination with their unit leaders. utilization of this model has demonstrated reductions in inpatient health admissions, high risk behaviors and the number of nondeployable soldiers for behavioral health reasons. leaders have a trusted point of contact and subject matter expert for questions regarding the behavioral health of their soldiers. embedded team members know the unit and are known by the unit knocking down stigma commonly associatedded with behavioral health care in the military setting. our telebehavioral health program increases access to specialty care in geographically-isolated areas to include more than 60 sites in afghanistan. it enables greater continuity of care and provides surge capacity for enhanced behavioral evaluation programs. furthermore, telehealth is being leveraged to recruit health providers for hard-to-fill positions where it is easier to hire clinical professionals. the army is also implement

we can still provide top level trauma care and still provide as the recovery unfolds the kind of primary care and other care that will need to happen when our infrastructure has been seriously impacted. so it really has shifted how we're thinking literally from a tactical, just immediately taking care of what's in front of us, to a strategic kind of plan that we can now look at and really do the best for the city. >> so the captain and the colonel, through the discussions that took place yesterday, what are some of the things you learned about relating to civilian issues that will exist and how will you be able to help? ?oo ?a northern california has rich and diverse medical response capabilities. it's impressive the types of capabilities, the number of assets, the number of people trained to do these things are. the california national guard has air and land assets that are substantial and can be rapidly deployed to assist the civil responders in their mission to move people, to get things set up, to establish common security. it's a partnership that really needs to happen and is natura

they were not helping the average american by providing more jobs or providing lower prices at the pump. four of the five companies shed a total of 15,000 jobs over the previous five years. there's no doubt about it that big oil has been making big profit while gouging consumers with the gas prices and pocketing the tax breaks, yet they get a big tax under this republican budget. you can call it the path to prosperity, but it is really the path to prosperity for big oil and the road to perdition for the rest of us. there are better ways to spend tax dollars. subsidizing big oil fix our country in the wrong direction on energy policy. increase not dependence on fossil fuel that is expensive. there's nothing is fully responsible about climate change denial or pursuing tax and energy policies that maximize profits for big oil while pushing the costs off on children and future generations. i don't the balance of my time. -- yield the balance of my time. >> thank you. we should talk about ways we can do a better job. i yield 10 minutes. >> i yield myself to and a half minutes. the highest pr

insurance or they don't provide insurance. so it's out there, and when you look at the subsidies, especially if you are under $50,000 in income, the subsidies are really, really significant for the employee and their dependents. so that is something that have i not heard a definitive answer on that and all the people that i have talked to say it's not out there definitely. the other thing talking about deductibles and maximum deductibles for an individual is $2,000 and $4,000. now i have heard, i have read that a lot of the individual plans have higher deductibles. so i don't know whether that is going to be an issue. but those are the maximums under the affordable care act. what really at the end of the day is important here is all the things that we're talking about right here are significant, but at the end of the day, if the affordable care act is going to succeed, it's got to lower the cost. that is absolute. because we have a system that is just crazy. it's $2.67 trillion, i think is what it was in 2011. it's higher than

>> i think it's important to provide some context to some

an opportunity to provide more affordable housing. not in a way that would not work and essentially make projects not pencil out that. is why the trade-off was given. the model for that is something that is already happening at eastern neighborhoods which is the umu district. all of the parts are that zoned umu have a residential impact fee tier of one, which is the lowest, regardless of how much zoning the property received. instead the paying the city a standard rate for affordable housing or providing it, they are required to provide affordable housing on a higher tier based on the upzoning. so it basically works out to be same trade-off. >> and by the way, i completely agree with you, and with supervisor kim's comments in the beginning about how critical affordable housing is. and for that reason, not only did i vote to put prop c on the ballot, i was a cosponsor and actively campaigned for it, which will generate close to $1.5 billion for affordable housing. if you talk to affordable housing developers, they will talk about how i

do we provide military advisers and training? do we provide direct military assistance?if so, what kind? can assad be pushed to accept any negotiated conflict? the use of chemical weapons -- makes this more pressing. the use of chemical weapons by this regime would be horrific. 70,000 slaughtered syrians is terrific. horrific. the discussions we have in this committee are interesting. the fact that this is hard cannot stop us from acting. you and your colleagues know better than anyone there are no easy answers. inaction is not an option. i look forward to your testimony and i yield back. thank you. >> thank you. three minutes to the chairman of the middle east subcommittee. >> thank you so much for holding this timely hearing as the a to debt -- two-year anniversary just passed. as the years of violence and internal struggles, the fighting continues and direction -- and the refugee crisis spreads the stability of the region. with over 1 million refugees, the numbers continue to rise and there is no clear end in sight. syrians took to the streets and protested, and this

care and became providers. i haven't seen anything that formalized. i can't say anecdotally from people i worked with. we would joke and seriously talk about how we all knew, here are the herbs you can use and i remember there is talk about getting in portion best together into a state to state to provide abortions, which would legally be a nightmare. but i think activists on a more individual level are thinking about that. as far as anything formal, nothing i've heard us. >> i haven't had about the subject to whole lot. i have three children and five grandchildren. having any of my three children are poor today sent thing in retrospect i would be impossible to live without being. how do you deal with the morality? you make it sound as if you're going to have a tooth extracted or sent in. i googled this before i came. how many abortions since roe versus wade? >> 50 million. >> 55 million. and you're worried is not accessed. the life of the mother are two issues obviously, but i mean, don't you support any couns

providers then they learned how to provide the care and became the providers. i cannot say anecdotally lee was seriously talk about here are the herbs and the skills they need if roe is overturned to get us together to go to state to state which would be a nightmare but activists are definitely thinking about that but nothing i have heard of formally. >> although i do have three children and five grandchildren the thought of having any three aborted in retrospect would be impossible to live with. have you deal with the morality? like you'll have a tooth extracted. you know, how many since enacted. >> 50 million a believe. >> 55 million and you're not worried there's not enough access? the life of the mother and rape are two issues but don't use support counseling of the women there are people who want to adopt. you seem to not except what this is like. >> the population of 55 million is the country i came from. it seems you are just detached. >> a do support counseling and the fact clinics make sure that women are confident and comfortable. i support social pro

funding for this program was provided by... woman: can the art on this child's face tell you what is going on in his life? i'm a cat, and you're a dog. creativity is more than crayons, paint, and paste. how does a fish sound? creativity is the freest form of self-expression, and the creative process is more important than the finished product. and the father said, "it's dinnertime!" there is nothing more satisfying and fulfilling for children than to be able to express themselves openly, fully, freely. come inside the house! come inside the house! girl: ok, papa. hello. i'm joanne hendrick, author of the whole child and your guide to this video series. over the years, we've learned that the experiences children have during their first years of life can do so much to advance the development of their creativity. we'll observe children in a number of different centers-- head start, family day-care homes, university schools, and private child-care centers. the question is, what can we do as caregivers to help foster and reinforce y