00:00:08 WELCOME. IT'S THURSDAY, MARCH 5TH.
00:00:09 THIS IS THE HOMELESS OVERSIGHT COMMISSION MEETING.
00:00:12 I'D LIKE TO START WITH A DRAMATIC L.A. LAND
00:00:17 ACKNOWLEDGMENT. THE SAN FRANCISCO HOMELESSNESS
00:00:20 OVERSIGHT COMMISSION ACKNOWLEDGES THAT WE ARE ON THE
00:00:23 UNCEDED ANCESTRAL HOMELAND OF THE RHEUMATOLOGIC COLONY WHO
00:00:27 ARE THE ORIGINAL INHABITANTS OF THE SAN FRANCISCO PENINSULA.
00:00:31 AS THE INDIGENOUS STEWARDS OF THIS LAND AND IN ACCORDANCE
00:00:35 WITH THEIR TRADITION THE ROMA TO CHALLENGE HAVE NEVER CEDED
00:00:39 LOST NOR FORGOTTEN THEIR RESPONSIBILITIES AS CARETAKERS
00:00:40 OF THIS PLACE AS WELL AS FOR ALL PEOPLE WHO RESIDE IN THEIR
00:00:44 TRADITIONAL TERRITORIES AS GUESTS.
00:00:47 WE RECOGNIZE THAT WE BENEFIT FROM LIVING AND WORKING ON
00:00:51 THEIR TRADITIONAL HOMELAND. WE WISH TO PAY OUR RESPECTS BY
00:00:55 ACKNOWLEDGING THE ANCESTORS RELATIVES OF THE ROMA TO COLONY
00:00:58 COMMUNITY AND BY AFFIRMING THEIR SOVEREIGN RIGHTS AS FIRST
00:01:01 PEOPLE. I WILL NOW TURN THE MEETING
00:01:02 OVER TO OUR COMMISSION SECRETARY TO ADVISE THE PUBLIC
00:01:06 OF OUR PUBLIC COMMENT POLICY. >> CALL ROLL AND READ THE SOUND
00:01:10 PRODUCING DEVICE STATEMENT. THANK YOU CHAIR.
00:01:13 GOOD MORNING AND THANK YOU FOR JOINING US TODAY.
00:01:15 THIS MEETING IS BEING HELD BOTH IN HYBRID FORMAT AND IN-PERSON
00:01:18 IN CITY HALL AND ROOM FOR 16 AND LIVE STREAMED ON S.F. GOV
00:01:21 TV. I'D LIKE TO THANK THE S.F. TV
00:01:24 STAFF FOR THEIR SUPPORT THIS MORNING.
00:01:26 MEMBERS OF THE PUBLIC ATTENDING IN-PERSON AS WELL AS REMOTELY
00:01:29 WILL HAVE AN OPPORTUNITY TO PROVIDE PUBLIC COMMENTS
00:01:32 SPECIFIC TO EACH PRESENTATION AS WELL AS GENERAL PUBLIC
00:01:33 COMMENT. MEMBERS OF THE PUBLIC WHO WISH
00:01:36 TO PROVIDE PUBLIC COMMENT REMOTELY WILL BE HEARD IN THE
00:01:40 ORDER THAT COMMENTERS ADD THEMSELVES TO THE QUEUE.
00:01:41 COMMENTERS WILL HAVE UP TO THREE MINUTES TO COMMENT AFTER
00:01:44 EACH AGENDA ITEM UNLESS OTHERWISE NOTED BY THE CHAIR.
00:01:48 TO COMMENT REMOTELY THE PHONE NUMBER TO USE TODAY IS
00:01:54 (415) 655-0001 ACCESS CODE 26620752018 THAT'S 26620752018.
00:02:03 PRESS LB TWICE TO ENTER THE QUEUE WHEN YOUR ITEM IS CALLED
00:02:06 PRESS STAR THREE TO RAISE YOUR HAND.
00:02:07 PLEASE WAIT UNTIL THE HOST CALLS ON YOU TO SPEAK.
00:02:11 BE CLEARLY AND ENSURE THAT YOU ARE IN A QUIET LOCATION.
00:02:14 BEST PRACTICES ARE TO TURN OFF ANY TVS OR COMPUTERS AROUND
00:02:17 YOU. THANK YOU FOR YOUR COOPERATION
00:02:18 COMMISSIONERS THIS PLACES YOU WANT ITEM TWO ROLL CALL PLEASE
00:02:22 RESPOND WITH A PRESENT WHEN I CALL YOUR NAME.
00:02:23 CHAIR KATIE ALBRIGHT HERE ALBRIGHT PRESENT VICE CHAIR ABI
00:02:27 RAMBO. PRESENT VICE CHAIR RAMBO
00:02:31 PRESENT COMMISSIONER DAN TABLE IS EXCUSED COMMISSIONER BEVAN
00:02:34 DUFTY HEAR DEPUTY PRESENT COMMISSIONER JOAQUIN GUERRERO
00:02:38 PRESENT WILL PRESENT COMMISSIONER SHARKY LAGUARDIA
00:02:41 PRESENT A GOING TO PRESENT COMMISSIONER THOMAS ROCHA IS
00:02:45 NOT PRESENT. PLEASE NOTE THAT SAN FRANCISCO
00:02:49 DEPARTMENT OF HOMELESSNESS IN SUPPORT OF HOUSING IS
00:02:50 EXECUTIVE DIRECTOR SHEREEN MCSPADDEN IS PRESENT TODAY.
00:02:53 COMMISSIONERS WE HAVE A QUORUM. THIS PLACES YOU ON ITEM THREE
00:02:57 ANNOUNCEMENTS OF SOUND PRODUCING DEVICES DURING THE
00:02:58 MEETING. THIS IS CELL PHONES AND SOUND
00:03:01 PRODUCING. ELECTRONIC DEVICES ARE
00:03:05 PROHIBITED IN THIS MEETING. PLEASE BE ADVISED THAT THE
00:03:06 CHAIR MAY ORDER THE REMOVAL FROM THE MEETING ROOM OF ANY
00:03:09 PERSONS RESPONSIBLE FOR THE RINGING OR USE THE CELL PHONE
00:03:12 OR SIMILAR SOUND PRODUCING DEVICES.
00:03:13 THANK YOU FOR YOUR COOPERATION. THIS PLACES YOU ON ITEM FOUR
00:03:16 ANNOUNCEMENT BY THE CHAIR. >> GOOD MORNING.
00:03:19 IT'S WONDERFUL TO BE HERE TODAY WITH YOU.
00:03:22 I WANT TO NOTE THAT MARCH IS WOMEN'S HISTORY MONTH.
00:03:24 THIS IS A MONTH OF OPPORTUNITY TO RECOGNIZE LEADERSHIP
00:03:28 AND CONTRIBUTIONS OF FEMALE LEADERS IN SAN FRANCISCO'S
00:03:31 HOMELESSNESS PREVENTION RESPONSE TEAM AND TODAY'S
00:03:35 AGENDA CERTAINLY ALLOWS US TO DO THAT.
00:03:36 WE'LL HEAR FROM THE DIRECTOR AND HER REPORT ON SYSTEMS
00:03:40 PERFORMANCE AND PREVENTION ENGAGE IN A DEEPER DISCUSSION
00:03:43 OF PERMANENT SUPPORTIVE HOUSING THROUGH THE BREAKING THE CYCLE
00:03:47 CARE MODEL ANALYSIS AND CONSIDER SEVERAL ACTION
00:03:51 ITEMS RELATED TO SUPPORTING HOUSING INFRASTRUCTURE
00:03:55 AND FAMILY HOUSING STABILITY. >> WE WILL ALSO HEAR ABOUT
00:03:58 EFFORTS TO BETTER ALIGN SUPPORTIVE HOUSING SERVICES OF
00:04:00 THE CITY, EXAMINES HOW TO STRENGTHEN OUTCOMES AND SYSTEM
00:04:03 FLOW WITHIN THE PERMANENT SUPPORTIVE HOUSING SYSTEM.
00:04:07 I CERTAINLY LOOK FORWARD TO OUR DISCUSSION.
00:04:10 I'LL TURN NOW. SO THAT ENDS MY MY COMMENTS FOR
00:04:14 TODAY AND WE CAN TURN NOW TO ITEM FIVE.
00:04:17 COMMISSIONERS COMMUNICATIONS AND ANNOUNCEMENTS.
00:04:22 TURN TO MY FELLOW COMMISSIONERS IF THERE ARE ANY COMMENTS OR
00:04:25 ANNOUNCEMENTS I WOULD LIKE TO SAY HAPPY BIRTHDAY TO OUR CHAIR
00:04:30 AND JUST YEAH AND IF I MAY JUST SAY I DON'T KNOW THAT THE
00:04:35 PUBLIC KNOWS THE EXTENT TO WHICH YOU HAVE CONTRIBUTED TO
00:04:38 GROUNDBREAKING RESEARCH IN SAN FRANCISCO THAT SPECIFICALLY CAN
00:04:42 REALLY HELP IMPROVE OUR APPROACH TO HOW WE REDUCE
00:04:46 HOMELESSNESS. AND I'LL I HOPE TO SPEAK FOR US
00:04:49 TO LOOK INTO THAT A LITTLE BIT MORE.
00:04:53 BUT THANK YOU SO MUCH FOR ALL THE WORK AND LEADERSHIP THAT
00:04:54 YOU BROUGHT TO THIS CITY FOR MANY YEARS.
00:04:56 >> THAT'S SO KIND OF YOU. THANK YOU SO MUCH.
00:04:58 COMMISSIONER GUERRERO COMMISSIONER THANK YOU.
00:05:02 >> I KNOW THAT OUR DIRECTOR DIRECTOR MCSPADDEN WILL TALK
00:05:06 ABOUT THIS IN HER REPORT, BUT I JUST WANT TO SAY THAT I HAD THE
00:05:09 OPPORTUNITY TO GO TO THE OPENING OF THE THIRD STREET
00:05:11 YOUTH FACILITY THAT IS SUPPORTED BY S H AND IT WAS A
00:05:14 REALLY WONDERFUL DAY. IT WAS JAM PACKED.
00:05:19 JOY JACKSON MORGAN LED IT THE MAYOR WAS THERE SUPERVISOR
00:05:22 SHERMAN WALTON AND JUST HAVING A 19 APARTMENT ABILITY FOR
00:05:29 YOUNG PEOPLE COMING OUT OF THE JUSTICE SYSTEM OR OTHERWISE
00:05:33 IN DANGER IS IS JUST A GREAT THING.
00:05:37 AND SO I WANT TO I KNOW I KNOW YOU'LL TALK MORE ABOUT IT BUT I
00:05:40 JUST WANTED TO SAY IT WAS A PRIVILEGE TO BE THERE.
00:05:42 >> THANK YOU. >> THANK YOU.
00:05:44 SEEING NO MORE COMMISSIONERS COMMUNICATIONS OR
00:05:49 ANNOUNCEMENTS, WE'LL MOVE ON TO ITEM SIX WHICH IS THE ADOPTION
00:05:53 OF THE FEBRUARY 13 MEETING MINUTES MOVE APPROVAL.
00:05:57 >> SECOND IT ANY COMMENTS OR QUESTIONS IF WE CAN TAKE PUBLIC
00:06:03 COMMENT? >> NO CALLERS IN THE QUEUE
00:06:10 SEEING NO PUBLIC COMMENT IF I COULD ASK THE COMMISSION
00:06:11 SECRETARY TO CALL THE ROLL FOR YOUR FEBRUARY 13TH WE DON'T
00:06:17 HAVE TO DO IT THIS WAY. >> HANG ON A SECOND.
00:06:21 SORRY ABOUT THAT. CAN WE ALL IN FAVOR I I I ANY
00:06:24 OPPOSED? >> NO ABSTENTIONS.
00:06:28 OKAY. THE MEETING MINUTES ARE
00:06:29 APPROVED. THANK YOU.
00:06:29 SO SORRY ABOUT THAT. WE ARE GOING TO TAKE ITEM SEVEN
00:06:32 OUT OF ORDER AND PUT THAT AFTER THE DIRECTOR'S REPORT.
00:06:35 AND SO IF WE COULD TAKE THE DIRECTOR'S REPORT NOW I'LL TURN
00:06:39 IT OVER TO DIRECTOR MCSPADDEN. >> GREAT.
00:06:42 SO I'LL GIVE SHANNON JUST A MINUTE TO PULL THE SLIDES UP.
00:06:46 >> BUT I CAN GET I CAN GET STARTED.
00:06:51 >> SO I JUST WANT TO SAY GOOD MORNING AND WELCOME
00:06:52 COMMISSIONERS. >> HAPPY BIRTHDAY CHERYL BRIGHT
00:06:56 THANKS FOR EVERYONE TO EVERYONE FOR JOINING US TODAY.
00:06:59 SO MY GOAL TODAY IN THIS PRESENTATION IS TO WALK YOU
00:07:03 THROUGH THE LATEST UPDATES IN SAN FRANCISCO'S HOMELESSNESS
00:07:04 RESPONSE SYSTEM, HIGHLIGHT KEY DATA TRENDS AND PROVIDE
00:07:08 IMPORTANT UPDATES IMPACTING THE H, THE DEPARTMENT AND OUR
00:07:11 PROVIDER PARTNERS. BUT FIRST I WANTED TO START BY
00:07:18 THINKING AS PEOPLE MAY NOT KNOW BUT GIGI IS LEAVING US AFTER
00:07:26 NEARLY TEN YEARS WITH THE DEPARTMENT AND SHE'S GOING TO
00:07:29 BE GOING OVER TO DEPARTMENT OF HUMAN RESOURCES WHERE SHE'S
00:07:31 VERY MUCH NEEDED. BUT IT IS A REALLY SAD FOR US
00:07:34 TO SEE HER GO SO JUST AFTER TEN YEARS I MEAN GIGI WAS ONE OF
00:07:41 THE INITIAL FOLKS WHO STARTED THE DEPARTMENT.
00:07:42 >> SHE'S SO RESPONSIBLE ON SO MANY LEVELS FOR ALL OF THE WORK
00:07:46 THAT WE'VE DONE. SHE'S JUST BEEN, YOU KNOW, PART
00:07:52 OF THE BEDROCK OF THE DEPARTMENT.
00:07:53 SHE'S REALLY HELPED EXPAND THE DEPARTMENT.
00:07:57 SHE IS MORE KNOWLEDGEABLE LITERALLY THAN MOST PEOPLE I
00:08:00 KNOW IN THE CITY ON A VARIETY OF TOPICS BUT REALLY HAS HELPED
00:08:04 ESTABLISH WHAT WE HAVE IN THE DEPARTMENT WITH RESPECT TO
00:08:09 FINANCIAL STABILITY, WITH RESPECT TO GOOD BUSINESS
00:08:12 PRACTICES, GOOD REAL ESTATE PRACTICES.
00:08:16 I MEAN HOW MANY PEOPLE DO WE KNOW WHO KNOW REAL ESTATE
00:08:20 AND H.R. AND FACILITIES AND BUDGET
00:08:23 AND FINANCE, YOU KNOW, ALL OF THOSE THINGS.
00:08:28 SO ALL OF THE WORK THAT SHE'S DONE HAS BEEN REALLY CRITICAL
00:08:32 IN YOU KNOW, REALLY GETTING US TO WHERE WE ARE AND WE WERE NOT
00:08:33 A DEPARTMENT AT THE BEGINNING THAT REALLY HAD ALL OF THE
00:08:36 PIECES IN PLACE. SHE'S BEEN INSTRUMENTAL
00:08:39 IN HELPING TO GET US THERE. SHE ALSO PLAYED A REALLY VITAL
00:08:43 LEADERSHIP ROLE DURING COVID 19 SUPPORTING THE LIFESAVING
00:08:46 RESPONSE EFFORTS THAT THE CITY EMBARKED ON TO GET PEOPLE OFF
00:08:50 THE STREET AND OUT OF SHELTER AND INTO HOUSING.
00:08:53 >> AND SHE'S JUST A REALLY STEADY VALUES DRIVEN PARTNER TO
00:08:57 OUR EXACT TEAM. SHE'S ONE OF US AND WE HATE TO
00:09:00 SEE HER GO. SO GIGI JUST DEEP GRATITUDE
00:09:04 AND WE HAVE SOME FLOWERS FOR YOU BECAUSE WE HAVE TO HAVE
00:09:07 SOMETHING TO DO TO BE SEEN. >> OKAY SO THANK YOU, DIRECTOR
00:09:23 MCSPADDEN. THANK YOU, COMMISSIONERS.
00:09:26 IT'S BEEN AN HONOR OF A LIFETIME TO SERVE IN THIS ROLE
00:09:29 . I HAVE A DEEP COMMITMENT TO
00:09:30 PUBLIC SERVICE. I MET ALMOST MY 20TH YEAR WITH
00:09:34 THE CITY AND COUNTY AND JUST WANT TO THANK THE ENTIRE STAFF
00:09:37 FOR THEIR SUPPORT. YOU KNOW, IT'S VERY EASY TO
00:09:41 TURN A BLIND EYE TO THE SUFFERING ON OUR STREETS BUT I
00:09:48 THINK THAT REALLY, YOU KNOW, DEFERS AND DETERS FROM OUR
00:09:57 SHARED HUMANITY AND THAT THIS HAS BEEN MORE THAN A JOB.
00:10:01 IT'S REALLY BEEN A CALLING AND I'M VERY GRATEFUL FOR THE
00:10:04 OPPORTUNITY BUT ALSO THE WORK THAT WE'VE ALL DONE TOGETHER
00:10:08 WITH OUR COMMUNITY PARTNERS AND AND YOU KNOW I'LL BE
00:10:12 STEPPING BACK BUT I WON'T BE GOING FOR I'LL BE GOING OVER TO
00:10:15 THE DEPARTMENT OF HUMAN RESOURCES AND I'LL BE ROOTING
00:10:17 FOR EVERYONE'S SUCCESS FROM AFAR.
00:10:20 SO THANK YOU AGAIN. THANK YOU FOR YOUR SUPPORT OVER
00:10:23 THE YEARS AND HOPE TO SEE YOU SOON.
00:10:27 IN OTHER AREAS OF CITY WORK. >> THANK YOU.
00:10:31 BUT I GUESS FOR I THINK WE MAY HAVE SOME MEMBERS OF THE
00:10:39 COMMISSION IF YOU WOULDN'T MIND IF I INTERRUPTED YOUR REPORT
00:10:45 DIRECTOR ASSUMING THAT'S OKAY, I'LL TURN IT OVER TO
00:10:49 COMMISSIONER LOGAN. >> TO GIGI IF YOU COULD STEP
00:10:51 BACK UP TO THE MICROPHONE PLEASE, DIRECTOR WHITLEY OR
00:10:56 DEPUTY DIRECTOR WHITLEY. >> WHAT'S THE TIME?
00:11:01 GIGI THANK YOU. WITH A GREAT NAME LIKE THAT
00:11:04 IT'S THAT SUPERIOR GIGI I YOU'VE HEARD FROM ME MANY TIMES
00:11:11 MY GRATITUDE FOR HER FOR ALL THE WORK YOU DO.
00:11:14 IT'S SUCH AN ASTOUNDINGLY COMPLICATED JOB WITH SUCH HUGE
00:11:18 RAMIFICATIONS NOT JUST FOR THE DEPARTMENT, NOT JUST FOR THE
00:11:23 PEOPLE EXPERIENCING HOMELESSNESS BUT ALSO FOR THE
00:11:26 ENTIRE CITY AND FROM MY PERSPECTIVE YOU HAVE JUST
00:11:31 ABSOLUTELY CRUSHED IT. YOU'VE HELPED BUILD THIS
00:11:35 DEPARTMENT. YOU HAVE STRADDLED AND WIGGLED
00:11:42 AND SOMETIMES SLOGGED THROUGH SOME VERY DIFFICULT AND PAINFUL
00:11:49 DISCUSSIONS AND DECISIONS AND YOU KNOW THE ONE THING WHEN
00:11:54 I HEARD ABOUT THIS I THOUGHT WHAT SHE'S MY GOD, WHAT A WHAT
00:11:57 A LOSS FOR THE DEPARTMENT. >> THANK YOU.
00:12:01 THANK YOU THAT YOU ARE STAYING WITH THE CITY AND I'M SO HAPPY
00:12:05 FOR D H R THE EXPERTISE AND INTELLIGENCE
00:12:13 AND CAPABILITIES THAT YOU'RE GOING TO BRING TO THAT
00:12:14 DEPARTMENT PLUS PLUS THE THE EXPERIENCE AND WISDOM YOU'VE
00:12:20 ACQUIRED IN THIS DEPARTMENT. I THINK IT'S GOING TO MAKE A
00:12:22 REALLY HUGE DIFFERENCE AND YOU'VE LEFT THIS DEPARTMENT
00:12:25 IN A GREAT PLACE AND I AM JUST SO FOREVER ETERNALLY GRATEFUL
00:12:29 FOR ALL THE WORK YOU'VE DONE. SO THANK YOU VERY MUCH.
00:12:32 >> Q YOU I ALSO WANTED TO SHARE WORDS AND ECHO COMMISSIONER
00:12:36 LAGUARDIA'S COMMENTS IN YOUR PLAIN SPEAK ON VERY COMPLICATED
00:12:44 ISSUES HAS PERSONALLY HELPED ME SO MUCH AND I KNOW THE
00:12:45 COMMUNITY AT LARGE YOUR COMPASSION, YOUR DEDICATION TO
00:12:49 THE COMMUNITY IS DEEPLY FELT AND AND DEEPLY INSPIRED AND SO
00:12:57 I'M THRILLED THAT YOU'RE STAYING WITH THE CITY FAMILY.
00:12:58 >> I'M GRATEFUL FOR YOUR DEEP DEDICATION TO THE WORK
00:13:02 AND FOUNDATION OF THIS DEPARTMENT AND YOU WILL BE
00:13:05 MISSED AND WE LOOK FORWARD TO PARTNERING WITH YOU IN OTHER
00:13:09 CAPACITIES. SO THANK YOU SO VERY, VERY
00:13:10 MUCH. THANK YOU.
00:13:12 >> IF I MAY. YES, THANK YOU.
00:13:16 CONGRATULATIONS FOR MOVING ON TO A NEW CHAPTER AND I WISH YOU
00:13:20 THE BEST WITH THAT AND ALSO THANK YOU FOR ALL THE WORK THAT
00:13:23 YOU PUT INTO ADVANCING AND STABILIZING THIS DEPARTMENT
00:13:25 OVER THE PAST SEVERAL YEARS THAT I'VE GOT TO WITNESS MYSELF
00:13:28 AND I JUST WANT TO RECOGNIZE THAT THIS THIS DEPARTMENT HAS
00:13:31 BEEN LED BY INCREDIBLE WOMEN LEADERS AND AS A TEAM THAT'S
00:13:35 REALLY INCREDIBLE. AND I TRY TO ALWAYS HIGHLIGHT
00:13:39 THAT THE WORK I'VE DONE NATIONALLY THIS IS A FIELD THAT
00:13:40 IS PREDOMINANTLY LED BY WOMEN IN OTHER STATES AS WELL
00:13:46 AND HAPPY WOMEN'S HISTORY MONTH IS HAPPY WOMEN'S HISTORY MONTH
00:13:50 AND THANK YOU SO MUCH FOR BEING A PART OF THAT REPRESENTATION
00:13:54 AND JUST DOING SUCH INCREDIBLE WORK.
00:13:56 THANK YOU. THANK YOU.
00:14:00 TURN IT BACK TO YOU. OKAY.
00:14:01 I'M SORRY. TAKE YOUR TIME.
00:14:33 IT DOESN'T HAVE ENOUGH TIME BUT YOU CAN'T DO IT.
00:14:34 NO, I CAN. THE NOTES AREN'T THERE SO YEAH
00:15:40 ,I HAVE. >> OKAY.
00:15:52 SORRY. SORRY ABOUT THAT.
00:15:55 >> NO WORRIES. UM, SO NEXT SLIDE, SHANNON.
00:15:59 >> SO I JUST WANT TO PIVOT A LITTLE BIT AWAY FROM WHAT I'VE
00:16:03 BEEN DOING OVER THE PAST NUMBER OF MONTHS.
00:16:07 A LOT OF TIMES WE'RE FOCUSING ON, YOU KNOW, THE MONTHLY STATS
00:16:11 AND KIND OF WHAT WE ACCOMPLISHED IN THE LAST MONTH.
00:16:15 >> YOU STILL HAVE THAT IN YOUR SLIDES BUT I WANTED TO TALK A
00:16:18 LITTLE BIT ABOUT BREAKING THE CYCLE INITIATIVE AND GIVE YOU A
00:16:23 BIT OF AN OVERVIEW ABOUT MAYOR LAURIE'S BREAKING THE
00:16:27 CYCLE PLAN. SO THE PLAN PRIORITIES TOGETHER
00:16:30 WITH THE HOME BY THE BAY ROADMAP ARE GUIDING THE WORK OF
00:16:34 OUR DEPARTMENT. THAT CONTINUES TO BE THE CASE
00:16:37 AND I KNOW WE'VE TALKED A LITTLE BIT ABOUT THE
00:16:39 INTERSECTION OF THE OF THE HOME BY THE BAY PLAN AND BREAKING
00:16:41 THE CYCLE BUT I WANTED TO GO INTO A LITTLE BIT MORE DETAIL
00:16:43 TODAY. >> SO MAYOR LAURIE AND HIS
00:16:48 BREAKING THE CYCLE INITIATIVE ARE LARGELY FOCUSED ON THE
00:16:49 INTERSECTION THAT YOU CAN SEE HERE ON THE SLIDE THE CRISIS OF
00:16:54 HOMELESSNESS, SUBSTANCE USE DISORDERS AND UNTREATED
00:16:57 BEHAVIORAL HEALTH NEEDS. THE INTERSECTION IS AT THE IS
00:17:01 AT THE CREST OF THE CRISIS PLAYING OUT ON THE STREET
00:17:05 IN OUR COMMUNITY. THE CRISIS LEAVES PEOPLE
00:17:09 IN NEED WITHOUT THE CARE THEY NEED AND OUR COMMUNITIES
00:17:12 FEELING UNSAFE. AND I MEAN I KNOW WE'VE ALL
00:17:13 SEEN THIS AND SO THIS BREAKING THE CYCLE INITIATIVE IS REALLY
00:17:19 TO GET AT THAT PARTICULAR INTERSECTION OF ISSUES THE
00:17:23 BREAKING THE CYCLE WORK STREAMS ARE ORGANIZED UNDER THE GUIDING
00:17:27 PROBLEM STATEMENT THAT INFLOW INTO HOMELESSNESS IS OUTPACING
00:17:31 ACCESS TO STABLE HOUSING THAT PEOPLE IN THE SYSTEM OF CARE
00:17:34 ARE NOT ACHIEVING THE DESIRED HEALTH AND STABILITY OUTCOMES
00:17:38 AND THAT THE CITY IS SPENDING SIGNIFICANT RESOURCES ON THE
00:17:40 CRISIS WITHOUT ACHIEVING THE DESIRED OUTCOMES FOR PEOPLE
00:17:43 EXPERIENCING HOMELESSNESS OR THE BROADER COMMUNITY.
00:17:50 >> SO THE DRIVING VISION BEHIND BREAKING THE CYCLE IS THAT
00:17:54 BUILDING THE BUILDING A MORE INTEGRATED, RESPONSIVE
00:17:58 AND PROACTIVE HEALTH AND HOMELESSNESS SYSTEM OF CARE
00:18:02 WILL HELP PEOPLE MOVE QUICKLY FROM THE STREETS INTO EFFECTIVE
00:18:05 CARE AND SUSTAINED RECOVERY AND OR HOUSING AT THE HIGHLIGHT
00:18:09 THE HIGHEST FLOW RATE FOR THE LOWEST POSSIBLE COST.
00:18:13 >> SO NEXT SLIDE THIS SLIDE SHOWS THE DIRECTION WE'RE
00:18:24 MOVING AS A CITY TOWARD A MORE INTEGRATED SYSTEM OF CARE THAT
00:18:26 HELPS PEOPLE MOVE STEP BY STEP FROM CRISIS TO STABILITY TO
00:18:30 OFTEN IN THE PAST PEOPLE ENTERED THE SYSTEM THROUGH A
00:18:33 THROUGH THROUGH A MOMENT OR IN A MOMENT OF CRISIS AN
00:18:37 EMERGENCY ROOM, THE STREET OR AN INTERNET INTERACTION WITH
00:18:41 LAW ENFORCEMENT. BUT THERE WASN'T ALWAYS A CLEAR
00:18:43 PATHWAY FORWARD. SO WHAT WE'RE STRIVING TOWARD
00:18:44 NOW IS A CONTINUUM THAT CONNECTS THOSE ENTRY POINTS TO
00:18:48 STABILIZATION TREATMENT AND ULTIMATELY TO HOUSING
00:18:51 AND RECOVERY. AND THAT BEGINS WITH STRONGER
00:18:53 STREET OUTREACH AND CRISIS RESPONSE FOLLOWED BY PLACES
00:18:56 WHERE PEOPLE CAN SAFELY STABILIZE INCLUDING WITHDRAWAL
00:18:59 MANAGEMENT STABILIZATION BEDS AND HIGH ACUITY SHELTER WITH
00:19:04 HEALTH SUPPORTS. FROM THERE PEOPLE CAN MOVE INTO
00:19:08 TREATMENT AND RECOVERY SETTINGS AND ULTIMATELY INTO STEP DOWN
00:19:11 OPTIONS AND PERMANENT HOUSING A CRITICAL PART OF MAKING THIS
00:19:15 WORK IS IS STRONG CASE MANAGEMENT THAT HELPS PEOPLE
00:19:19 NAVIGATE THE SYSTEM AND STAY CONNECTED TO SERVICES.
00:19:20 THE GOAL IS SIMPLE BUT IMPORTANT BREAKING THE CYCLE OF
00:19:24 CRISIS BY CREATING CLEAR PATHWAYS FROM THE STREET TO
00:19:27 TREATMENT RECOVERY AND LONG TERM HOUSING STABILITY.
00:19:30 THIS SLIDE OUTLINES THE MAJOR INITIATIVES THAT SUPPORT OUR
00:19:35 BREAKING THE CYCLE STRATEGY ORGANIZED AROUND FOUR KEY
00:19:39 PILLARS THAT ADDRESS THE SYSTEM FROM PREVENTION THROUGH LONG
00:19:43 LONG TERM STABILITY. FIRST, PREVENTING INFLOW MEANS
00:19:46 STRENGTHENING UPSTREAM SOLUTIONS, EXPANDING PROBLEM
00:19:49 SOLVING AND HOMELESSNESS PREVENTION SERVICES STRENGTH
00:19:53 STRENGTHENING THE JOURNEY HOME PROGRAM AND ENSURING OUR
00:19:54 RESOURCES ARE FOCUSED ON SAN FRANCISCO'S MOST SAN
00:19:58 FRANCISCANS MOST AT RISK OF ENTERING HOMELESSNESS.
00:20:03 SECOND STREET DAY CARE FOCUSES ON IMPROVING HOW PEOPLE MOVE
00:20:05 FROM CRISIS ON THE STREET INTO SERVICES AND TREATMENT.
00:20:08 THIS INCLUDES INITIATIVES LIKE THE LARGE VEHICLE PROGRAM, THE
00:20:12 RESET CENTER EXPANDING STABILIZATION AND TREATMENT BED
00:20:15 TYPES AND IMPROVING COORDINATION ACROSS DEPARTMENTS
00:20:18 THROUGH UNIFIED CLIENT AND BED MANAGEMENT SYSTEMS.
00:20:23 THIRD, CARE TO EXIT FOCUSES ON IMPROVING HOW PEOPLE MOVE
00:20:27 THROUGH THE SYSTEM AND INTO HOUSING THAT INCLUDES BETTER
00:20:30 UTILIZATION OF EXISTING BEDS, STRENGTHENING OUR PERMANENT
00:20:32 SUPPORTIVE HOUSING MODEL AND PILOTING RECOVERING
00:20:34 RECOVERY HOUSING OPTIONS. AND FINALLY WE MUST STRENGTHEN
00:20:39 SYSTEM FINANCES BY REBALANCING THE HSA ASSET PORTFOLIO
00:20:42 AND ALIGNING PROCUREMENT AND SERVICES WITH BREAKING THE
00:20:46 CYCLE OUTCOMES TOGETHER, THESE INITIATIVES ARE DESIGNED TO
00:20:50 CREATE A MORE EFFECTIVE SYSTEM THAT PREVENTS HOMELESSNESS
00:20:53 WHERE POSSIBLE AND HELPS PEOPLE MOVE MORE QUICKLY FROM CRISIS
00:20:56 TO STABILITY. >> AND NOW I'M GOING TO MOVE
00:21:00 MORE INTO THE PROGRAMMATIC UPDATES.
00:21:03 LIKE I SAID, I'M GOING TO LEAVE SOME OUT BECAUSE WE YOU KNOW,
00:21:07 YOU'LL HAVE THEM IN YOUR SLIDES.
00:21:08 BUT I WANTED TO FOCUS ON THOSE AND THEN WE'LL GO TO THE
00:21:12 PRESENTATION. >> SO JUST STARTING WITH SYSTEM
00:21:16 WIDE EXITS FROM HOMELESSNESS, JUST TAKE A LOOK AT THE NUMBER
00:21:20 OF OF CLIENTS EXITING HOMELESSNESS AND HOW IT RELATES
00:21:23 TO OUR FIVE YEAR STRATEGIC PLAN .
00:21:27 IN JANUARY HCA SUPPORTED 343 UNIQUE CLIENTS TO EXIT
00:21:30 HOMELESSNESS. OUR GOAL IS TO HAVE HOMELESS
00:21:33 AND TO END HOMELESSNESS FOR 30,000 PEOPLE IN FIVE YEARS.
00:21:39 IN THE FIRST TWO YEARS WE HAVE SUCCESSFULLY EXITED 12,654
00:21:42 PEOPLE FROM HOMELESSNESS AND ARE NOW ON TRACK TO
00:21:46 ACCOMPLISH OUR FIVE YEAR GOAL. >> THESE FIGURES AND THE MOVING
00:21:52 TO NEXT SLIDE THESE FIGURES INCLUDE DATA FOR A STAGED
00:21:57 STREET OUTREACH PROGRAMS INCLUDING THE SAN FRANCISCO
00:22:01 HOMELESS OUTREACH TEAM AS A HOT AND LARGE VEHICLE CASE
00:22:04 MANAGEMENT SINCE JULY 2025 HHS OUTREACH TO 2882 UNIQUE CLIENTS
00:22:10 IN JANUARY ALONE OUR OUTREACH TEAMS COMPLETED 188 HOUSING
00:22:16 ASSESSMENTS AND MADE 129 SHELTER PLACEMENTS.
00:22:22 AND THEN MOVING ON TO COORDINATED ENTRY BEYOND JUST
00:22:26 STREET OUTREACH WE CAN CONTINUE TO CONDUCT HOUSING ASSESSMENTS
00:22:30 THROUGH OUR TRADITIONAL COORDINATED ENTRY SYSTEM
00:22:34 IN JANUARY OR DEPARTMENT AND ACCESS POINT PARTNERS
00:22:39 ASSESSED 1086 UNIQUE CLIENTS FOR HOUSING PLACEMENT OF ALL
00:22:44 THE HOUSING ASSESSMENTS COMPLETED IN THE FISCAL YEAR TO
00:22:46 DATE, 29% OF PEOPLE HAVE BEEN DETERMINED TO BE HOUSING
00:22:48 REFERRAL STATUS AND THEN WE CAN ALSO LOOK AT HOMELESSNESS
00:22:55 PREVENTION DATA DISAGGREGATED FROM THE WORK WE DO WITH THE
00:22:59 MAYOR'S OFFICE OF HOUSING AND COMMUNITY DEVELOPMENT SINCE
00:23:00 JULY WE HAVE AWARDED HOMELESSNESS PREVENTION
00:23:03 FINANCIAL ASSISTANCE TO 897 UNIQUE HOUSEHOLDS OF THOSE, THE
00:23:09 MOST COMMON TYPES OF ASSISTANCE WERE BACK RENT, FUTURE RENT
00:23:13 AND OTHER MOVING EXPENSES SUCH AS RENTAL DEPOSITS.
00:23:17 THE AVERAGE HOUSEHOLD AWARD IS JUST OVER $5,000 PER HOUSEHOLD
00:23:20 MAKING PREVENTION ONE OF OUR MOST COST EFFECTIVE
00:23:21 INTERVENTIONS AND THEN MOVING ON TO PROBLEM SOLVING THE TEAM
00:23:28 RESOURCE RESOLVES CLIENTS HOUSING CRISES BEFORE THEY GET
00:23:32 TO THE POINT WHERE THEY NEED TO ENTER THE HOMELESSNESS RESPONSE
00:23:36 SYSTEM OR SHORTLY AFTER THEY BECOME HOMELESS.
00:23:37 THESE INTERVENTIONS MOST COMMONLY INCLUDE MOVING
00:23:40 ASSISTANCE SUCH AS DEPOSITS AND FIRST MONTH'S RENT,
00:23:44 FURNITURE AND TRAVEL AND RELOCATION SUPPORT OUTSIDE
00:23:47 OF SAN FRANCISCO IN JANUARY OUR PROBLEM SOLVING TEAM ASSISTED
00:23:51 41 HOUSEHOLDS TO AVOID HOMELESSNESS THROUGH THESE
00:23:52 AND OTHER INTERVENTIONS AT A COST OF APPROXIMATELY $2,100
00:23:58 PER HOUSEHOLD. >> SINCE JULY, HHS SUPPORTED
00:24:01 399 HOUSEHOLDS THROUGH OUR PROBLEM SOLVING SYSTEM PROGRAM
00:24:05 AND THEN MOVING ON TO SHELTER PROGRAMS RIGHT THERE.
00:24:15 IN JANUARY WE SERVED 5007 UNIQUE CLIENTS IN EITHER
00:24:19 EMERGENCY SHELTER OR TRANSITIONAL HOUSING.
00:24:22 OUR OCCUPANCY RATE IS AT 91% FOR OUR YEAR ROUND EMERGENCY
00:24:26 SHELTER AND TRANSITIONAL HOUSING.
00:24:29 HSA H NEXT ONE HSA HOUSING PROGRAMS INCLUDES SITE BASED
00:24:36 PERMANENT SUPPORTIVE HOUSING SCATTERED SITE PERMANENT
00:24:37 SUPPORTIVE HOUSING, RAPID REHOUSING AND HOUSING LADDER
00:24:41 PROGRAMS. IN JANUARY HSA MOVED 164
00:24:44 HOUSEHOLDS INTO PERMANENT SUPPORTIVE HOUSING OR RAPID
00:24:47 REHOUSING. SINCE JULY WE HAVE HOUSED 1228
00:24:50 NEW HOUSEHOLDS 988 OF WHICH ARE ADULTS AND 240 ARE FAMILIES.
00:25:00 ONE OF THE NEW INDICATORS THAT WE WILL BE REPORTING ON IS TIME
00:25:02 TO HOUSING PLACEMENT H. S H MEASURES THE TIME FROM
00:25:05 BEING PLACED ON THE HOUSING QUEUE TO THE DAY TO THE DAY ONE
00:25:09 MOVES INTO S H FUNDED HOUSING. OBVIOUSLY THE SHORTER THIS CAN
00:25:13 BE THE BETTER FOR THE CLIENT AND IN TERMS OF THE AND BETTER
00:25:17 FOR THE COST OF THE OVERALL SYSTEM RIGHT NOW PLACEMENT INTO
00:25:20 SITE BASED PERMANENT SUPPORTIVE HOUSING IS 149 DAYS THIS YEAR
00:25:23 WE HAVE REDUCED THE TIME TO PLACEMENT INTO SCATTERED SITES
00:25:27 SUPPORTIVE HOUSING BY 31%. IT IS CURRENTLY TAKING
00:25:31 APPROXIMATELY 200 DAYS FOR PLACEMENT THIS IS A LONGER
00:25:35 PROCESS BECAUSE THE PROVIDER AND PROGRAM PARTICIPANTS NEED
00:25:38 TO IDENTIFY A PRIVATE MARKET UNIT IN WHICH TO UTILIZE THE
00:25:39 SUBSIDY IT IS CURRENTLY TAKING PROVIDERS ONE HUNDRED AND 191
00:25:45 DAYS TO MOVE HOUSEHOLDS FROM HOMELESSNESS TO RAPID
00:25:48 REHOUSING. AGAIN, THIS INTERVENTION
00:25:49 INVOLVES IDENTIFYING PRIVATE MARKET UNITS AND LANDLORDS TO
00:25:53 WORK WITH AND CAN THEREFORE TAKE TAKE MORE TIME AS OF
00:26:06 FEBRUARY 13TH 2026 H HAS A 9% VACANCY RATE IN OUR SITE BASED
00:26:08 SUPPORTIVE HOUSING PORTFOLIO OF THE 709 VACANCIES 281 HAVE MOVE
00:26:14 INS IN PROCESS 398 ARE OFFLINE AND 111 ARE AVAILABLE FOR
00:26:21 REFERRAL AND THEN MOVING ON TO THE NEXT SLIDE IN THE NEW DATA
00:26:27 DASHBOARDS WE WILL NOW INCLUDE DATA ON JOURNEY HOME, THE
00:26:31 CITY'S RELOCATION ASSISTANCE PROGRAM THAT IS OPERATED
00:26:34 IN PARTNERSHIP WITH GLIDE SINCE MOVING THIS PROGRAM UNDER GLIDE
00:26:38 IN JANUARY WE'VE SEEN A SIGNIFICANT INCREASE IN THE
00:26:39 NUMBER OF HOUSEHOLDS REUNITED WITH THEIR SUPPORT SYSTEM
00:26:43 IN ANOTHER COMMUNITY IN FEBRUARY ALONE WE HAD 44
00:26:46 RELOCATIONS AND THEN ANOTHER CHANGE WE'RE MAKING IN THIS
00:26:54 REPORT IS THE INCLUSION OF INFORMATION FROM OUR LARGE
00:26:58 VEHICLE PROGRAM AS YOU LIKELY REMEMBER OVER THE SUMMER THE
00:27:02 CITY PASSED A CITYWIDE TO OUR PARKING LIMIT FOR OVERSIZE
00:27:06 VEHICLES. THIS ENFORCEMENT IS PAIRED WITH
00:27:10 DEDICATED OUTREACH AND HOUSING RESOURCES.
00:27:11 ADDITIONALLY, WE ARE OFFERING A PERMIT TO HOUSING TO HOUSEHOLDS
00:27:14 LIVING IN THEIR VEHICLES WHO WISH TO ENGAGE WITH CASE
00:27:18 MANAGEMENT AND HOUSING, SEARCH THE CITY HAS ALSO ROLLED OUT A
00:27:21 BUYBACK PROGRAM TO COMPENSATE HOUSEHOLDS FOR THEIR VEHICLES
00:27:24 WHEN THEY MOVE INTO HOUSING. THERE ARE CURRENTLY 295
00:27:28 VEHICLES WITH CITY WITH ACTIVE PERMITS IN THE CITY.
00:27:31 37 HOUSEHOLDS HAVE MOVED OUT OF VEHICLES AND MOVED INTO HOUSING
00:27:35 OR SHELTER AND THERE ARE CURRENTLY 85 HOUSEHOLDS
00:27:38 ENROLLED IN RAPID REHOUSING AND ENGAGED IN THE HOUSING
00:27:39 SEARCH. SO FAR 16 HOUSEHOLDS HAVE SOLD
00:27:42 THEIR VEHICLES TO THE CITY FOR DEMOLITION.
00:27:49 OUR SHELTER WAITLIST TELL US WHERE DEMAND IS HIGHEST
00:27:54 AND WHERE BOTTLENECKS EXIST WITH THE ONE SYSTEM WE NOW HAVE
00:27:58 FAR BETTER TRACKING TRANSPARENCY AND FAIRNESS
00:28:01 IN HOW PEOPLE ACCESS AVAILABLE BEDS.
00:28:04 SO FOR ADULTS AS OF FEBRUARY 23RD THERE WERE 394 PEOPLE ON
00:28:08 THE WAITING LIST FOR SHELTER IN JANUARY 574 ADULTS JOINED
00:28:12 THE WAITLIST. THE AVERAGE TIME ON THE
00:28:15 WAITLIST WAS 15 DAYS FOR PEOPLE WHO ACCEPTED PLACEMENT OFFERS
00:28:19 AND THAT MEANS CONSISTENT MONTH TO MONTH.
00:28:23 IN JANUARY 109 PEOPLE WERE PLACED INTO SHELTER FROM THE
00:28:25 RESERVATION SYSTEM 393 PEOPLE WERE OFFERED SHELTER BUT DID
00:28:28 NOT ACCEPT ON THE FAMILY SIDE AS OF FEBRUARY 23RD THERE WERE
00:28:35 306 FAMILIES WITH 902 PEOPLE TOTAL PEOPLE ON THE WAITLIST
00:28:38 FOR FAMILY SHELTER IN JANUARY 151 FAMILIES WITH 425 PEOPLE
00:28:44 JOINED THE FAMILIES SHELTER WAITLIST.
00:28:48 THE AVERAGE TIME ON THE WAITLIST IS 338 DAYS FOR
00:28:51 FAMILIES WHO ACCEPT PLACEMENT OFFERS AND IN JANUARY 34
00:28:55 FAMILIES WITH 91 PEOPLE WERE MOVED OFF THE WAITLIST AND INTO
00:28:59 SHELTERS. MORE DATA ON OUR SHELTER
00:29:00 WAITLIST IS INCLUDED IN THE IN YOUR APPENDIX SLIDES AND SO
00:29:06 I JUST I WANTED TO SAY LIKE THIS THOSE PAST FEW SLIDES WERE
00:29:10 CHAIR ALLBRIGHT WE'RE TRYING TO GET TO LIKE HERE'S THE HOME BY
00:29:14 THE BAY PLAN, HERE'S HOW WE'RE MEASURING UP AGAINST THE PLAN
00:29:18 AND SO YOU WILL CONTINUE TO SEE THAT IN OUR REPORTS AS WE MOVE
00:29:23 FORWARD INTO THIS YEAR AND THEN JUST OUR REGULAR ADDITIONAL
00:29:31 UPDATES. SO FOR LEGISLATION THIS MONTH
00:29:32 HHS INTRODUCING ONE AGREEMENT AMENDMENT FOR THE BOARD OF
00:29:37 SUPERVISORS APPROVAL AND THAT IS LUTHERAN SOCIAL SERVICES
00:29:40 MONEY MANAGEMENT PROGRAM. AND THEN IN TERMS OF FEDERAL
00:29:44 LEGISLATION WE HAVE THE 2026 T HUD APPROPRIATIONS BILL THAT
00:29:48 WAS SIGNED INTO LAW THIS MONTH AND INCLUDES $4.4 BILLION FOR
00:29:54 HOMELESSNESS ASSISTANCE GRANTS. THIS AGREEMENT ACTUALLY
00:29:57 RESULTED IN A 9% FUNDING INCREASE FROM LAST YEAR.
00:29:58 AMAZINGLY AND THEN THIS MONTH HHS 18 CONTRACT RENEWALS
00:30:09 INCLUDING THREE THAT FUND ACCESS POINTS TO FUNDING
00:30:13 EMERGENCY HOUSING VOUCHER PROGRAMS FOR THAT FUND
00:30:14 SCATTERED SITE HOUSING PROGRAMS FOR FUNDING SUPPORT SERVICES AT
00:30:21 PERMANENT SUPPORTIVE HOUSING SITES THREE THAT FUND SHELTER
00:30:22 AND TRANSITIONAL HOUSING AND TWO THAT FUND HOUSING
00:30:25 NAVIGATION AND PREVENTION SERVICES.
00:30:34 AND THEN FINALLY OUR SHANNON YOU CAN MOVE TO THE UPDATE H.R.
00:30:38 UPDATE. SO FINALLY OUR LAST H.R.
00:30:42 SLIDE WE HAVE OUR TOTAL FEES ARE 247.5.
00:30:49 WE HAVE 14 VACANT POSITIONS AND WE HAVE 14 ACTIVE
00:30:53 RECRUITMENTS AND WE ARE HERE TO ANSWER ANY QUESTIONS YOU MIGHT
00:30:58 HAVE. >> THANK YOU COMMISSIONERS.
00:31:06 THANK YOU. >> JUST ABSORBING SOME OF THE
00:31:10 NUMBERS. LET'S TURN IT TO PUBLIC COMMENT
00:31:14 AND THEN WE'LL TURN IT TO COMMISSIONERS COMMENTS
00:31:16 IN QUESTION. >> MEMBERS OF THE PUBLIC COULD
00:31:24 PLEASE FILL OUT OUR RIGHT AFTER HERE.
00:31:38 >> HI, GOOD MORNING. LOTS TO SAY ABOUT THE DIRECTORS
00:31:42 REPORT BUT I JUST WANTED TO ACTUALLY NOT TALK ABOUT THAT.
00:31:46 >> I WANT TO TALK ABOUT GIGI FOR A MINUTE.
00:31:49 SORRY PUT YOU BACK ON THE SPOTLIGHT.
00:31:52 WE'VE WORKED TOGETHER FOR TEN YEARS.
00:31:56 WE HAVE HAD I'M SORRY. I'M LAUREN HALL.
00:31:59 I'M THE CO-CEO OF DISH AND A CO-CHAIR OF SUPPORTIVE HOUSING
00:32:02 PROVIDER NETWORK. I'M REALLY, REALLY HAPPY THAT
00:32:06 YOU'RE LEAVING FOR YOU. >> AND I'M JUST A LITTLE
00:32:11 TERRIFIED FOR THE REST OF US. >> I'LL SAY OVER TEN YEARS
00:32:16 YOU'VE BEEN A WE'VE BUTTED HEADS.
00:32:20 WE HAVE ONLY BUTTED HEADS BECAUSE THERE WASN'T ENOUGH
00:32:25 MONEY TO DO WHAT WE BOTH KNEW NEEDED TO BE DONE.
00:32:28 YOU HAVE ALWAYS TAKEN MY CALL. YOU'VE ALWAYS STOOD UP FOR OUR
00:32:34 COMMUNITY THAT WE SERVE AND THE STAFF THAT WE EMPLOY.
00:32:36 AND I JUST REALLY WANTED TO SAY THANK YOU.
00:32:39 I, I REALLY WAS HAPPY WHEN I HEARD YOU WERE MOVING ON.
00:32:43 I THINK THESE JOBS ESPECIALLY FOR WOMEN IN LEADERSHIP ARE
00:32:47 UNTENABLE IF PEOPLE ARE NOT SUPPORTED NOT BECAUSE OF ANY
00:32:50 INTENTION BUT IT'S JUST THE SYSTEM IS GRUELING FOR THOSE OF
00:32:54 US THAT ARE STICKING AROUND IN IT FOR A LONG TIME AND IT'S
00:32:56 REALLY, REALLY HARD TO TRY TO SOLVE A PROBLEM WITH KIND OF
00:32:59 LIKE A TEASPOON WHEN YOU REALLY HAVE A WATERFALL OF PROBLEMS
00:33:03 COMING YOUR WAY. AND I FEEL LIKE YOU'VE DONE
00:33:06 THAT WITH SUCH GRACE AND DIGNITY AND EVEN WHEN IT'S
00:33:09 BEEN TOUGH. I REMEMBER SOME EARLY MEETINGS
00:33:12 WITH THE FORMER DIRECTOR WHICH MADE THINGS MUCH HARDER AND YOU
00:33:13 ALWAYS WERE A PORT IN THAT STORM AND I REALLY AM SO
00:33:20 EXCITED FOR YOU TO HAVE A MORE OF A WORK LIFE BALANCE
00:33:24 AND ABILITY TO CONTINUE TO CONTRIBUTE TO THE CITY WITHOUT
00:33:27 AT YOUR OWN EXPENSE. AND I THINK THAT YEAH, YOU'RE
00:33:31 BEEN AN INSPIRATION TO WORK WITH AND I JUST WANT TO SAY
00:33:32 THANK YOU. THANK YOU.
00:33:43 NEXT SPEAKER. >> EVERYBODY.
00:33:47 GOOD TO SEE YOU AGAIN. DR. MEGAN ROWE, OUR POLICY
00:33:51 DIRECTOR AT COMPANIES FAMILY SERVICES WANTED TO GIVE A
00:33:52 LITTLE MORE OF A DEEP DIVE INTO THE FAMILY SHELTER WAIT LIST.
00:33:55 WE LED COUNT CALLING OF PEOPLE ON THE FAMILY WAIT LIST THE
00:34:01 FAMILY SHELTER WAITLIST WE WERE ABLE TO REACH 155 FAMILIES WHO
00:34:06 WERE SURVEYED AND ONLY ONE OF THEM HAD BEEN SURVEYED IN THE
00:34:10 VISUAL ACCOUNT. SO I'M HOPING THAT THIS CALLING
00:34:13 SURVEY CAN CONTINUE IN THE FUTURE.
00:34:17 BUT I JUST WANTED TO MENTION THAT OF THOSE WE CALLED THIS
00:34:22 INCLUDED 321 INDIVIDUALS OR 134 ADULTS AND 187 CHILDREN.
00:34:26 IMPORTANT TO NAME THE NUMBER OF CHILDREN EVERY TIME WE HAVE
00:34:30 THESE NUMBERS. 49 OF THOSE FAMILIES LIVED
00:34:33 IN VEHICLES, ALMOST ALL OF THEM IN SMALL VEHICLES.
00:34:37 AND ONE THING WE LEARNED THAT WOULD BE IMPORTANT FOR YOU ALL
00:34:38 TO KNOW IS THAT THE MAJORITY OF FAMILIES WE FIND LIVING IN THE
00:34:41 IN THE RVS TEND TO BE LATIN AND SPANISH SPEAKING FAMILIES.
00:34:45 THE LARGE MAJORITY OF THE FAMILIES IN SMALLER VEHICLES
00:34:49 TEND TO BE BLACK AND AFRICAN-AMERICAN FAMILIES.
00:34:52 SO IF YOU WANT EQUITY IN RAPID REHOUSING SUPPORT, ASK FOR
00:34:56 RAPID REHOUSING FOR BOTH THOSE WHO ARE LIVING IN LARGER
00:35:00 VEHICLES AND THOSE LIVING IN SMALLER VEHICLES WHO MIGHT
00:35:01 BE A BIT MORE OFF THE RADAR. >> WE ALSO FOUND 13 FAMILIES
00:35:04 THAT WERE LIVING OUTSIDE THAT WAS SIX ON THE STREETS FOR
00:35:08 INTENTS TOO IN PARKS INCLUDING A NEWBORN INFANT SLEEPING IN A
00:35:14 PARK IN SAN FRANCISCO, ONE ON A TRAIN.
00:35:17 >> THERE WERE THREE FAMILIES IN THE HOSPITAL SO OUR NEWEST
00:35:20 INFANT IN SAN FRANCISCO WAS ACTUALLY BORN ON THE NIGHT OF
00:35:22 THE PIT COUNT. AND WE ALSO HAD 13 FAMILIES
00:35:26 IN PLACES NOT MEANT FOR HUMAN HABITATION AND MOSTLY
00:35:29 UNFINISHED GARAGES AND LOBBIES OF BUILDINGS.
00:35:33 WE KNOW THE MAJOR INDICATOR OF WHETHER OR NOT SOMEONE WILL BE
00:35:35 HOMELESS AS AN ADULT IS IF THEY WERE HOMELESS AS A CHILD.
00:35:38 IF YOU DON'T SEE THE WORD FAMILIES OR CHILDREN IN A
00:35:41 BREAKING THE CYCLE PLAN YOU ARE NOT IN FACT BREAKING THE CYCLE.
00:35:45 PLEASE ASK FOR MORE ASK FOR INTERVENTIONS THAT ARE FOR THE
00:35:49 FULL DIVERSITY OF COMMUNITY AND ON THE BEST PRACTICES WE
00:35:53 ALL KNOW HELP TO END CYCLES OF POVERTY.
00:35:54 >> THANK YOU. THANK YOU.
00:35:56 NEXT SPEAKER. >> I'M SO GLAD THE DOCTOR GOT
00:36:01 TO GO FIRST BECAUSE I WANTED TO ECHO A LOT OF WHAT THEY WERE
00:36:07 SAYING. >> THE CHALLENGE WITH THE
00:36:11 BREAKING THE CYCLE IF YOU LOOK AT ALL OF THE DETAIL THAT'S
00:36:15 IN THERE IS IT REALLY IS NOT FAMILY CENTRIC.
00:36:16 IT'S ALSO NOT SENIOR CENTRIC. >> IT'S VERY MUCH FOCUSED ON
00:36:19 VISIBLE HOMELESSNESS. >> AND I DEBRIEF WITH SOME OF
00:36:23 YOU AFTER LAST MEETING AND IT OCCURRED TO ME THAT BECAUSE YOU
00:36:30 DON'T HAVE A LINE ITEM BUDGET YOU DON'T REALIZE WHAT WAS CUT
00:36:34 WITH THE PROPOSED BUDGET THAT WENT TO THE MAYOR'S OFFICE.
00:36:38 NOW YOU MAY NOT CALL THEM CUTS BECAUSE THE FUNDING WAS
00:36:42 EXPIRING BUT THEIR SERVICE REDUCTIONS.
00:36:46 SO WHAT HAPPENED IS WE LOST TWO SHELTERS.
00:36:49 >> WE LOST ONE HUNDRED RAPID REHOUSING SLOTS.
00:36:52 AND THERE'S OTHER THINGS THAT ARE MISSING BUT WE DON'T KNOW
00:36:56 WHAT THEY ARE BECAUSE YOU DON'T HAVE A LINE ITEM OF WHAT THEY
00:37:00 WERE. >> AND SO I THINK IT'S REALLY
00:37:01 CRITICAL THAT WE HAVE A PROGRAM LEVEL DISCUSSION AND MAP THAT
00:37:04 TO THE NEED BECAUSE WE DO HAVE POINT IN TIME COUNT DATA.
00:37:11 WE DO HAVE ONE SYSTEM DATA. WE HAVE SHELTER WAITLIST DATA.
00:37:15 >> AND SO THERE'S A CLEAR PICTURE OF NEED, RIGHT?
00:37:18 >> SO WE CAN EVALUATE MUCH MORE CLEARLY WHAT THE RESOURCES ARE
00:37:23 THAT ARE NEEDED SO WE CAN BE BETTER ADVOCATES BECAUSE RIGHT
00:37:31 NOW WHAT'S BEING PUSHED AT US THROUGH A LOT OF CHANGE
00:37:36 INCLUDING MAKING KUNAL THE HEAD OF LITERACY AND HAVING HIM
00:37:40 BASICALLY MAKE A LOT OF THE STRATEGIC DECISIONS SOMEBODY
00:37:44 THAT HAS NO EXPERTISE AND HAS NOT DONE THE WORK OF THE FRONT
00:37:48 LINE PEOPLE ARE GETTING LOST IN THE SYSTEM.
00:37:51 WE'RE BASICALLY NOT SERVING SOME OF OUR MOST VULNERABLE SAN
00:37:55 FRANCISCANS AS A RESULT OF THESE INITIATIVES MAKING CUTS,
00:37:58 REDUCING SERVICE PROGRAMS AND WE'RE HARMING SAN
00:38:02 FRANCISCANS WITH THESE STRATEGIES.
00:38:06 AND WE SHOULD NOT BE CELEBRATING THEM.
00:38:07 WE SHOULD BE TALKING ABOUT WHAT'S BEING LEFT BEHIND.
00:38:10 THANK YOU. THANK YOU.
00:38:13 >> NEXT SPEAKER. YEAH, I THINK I'M JUST
00:38:28 CONCERNED ABOUT I, I GUESS MY PROBLEM IS IS LIKE NOT
00:38:34 EVERYBODY IS USING NARCOTICS OR WHATEVER SO THEY QUIT.
00:38:38 >> QUIT PAYING RENT. >> AND I THINK WE NEED TO
00:38:42 FIGURE OUT OUR FLESH OUT WHY ARE PEOPLE EXITING HOUSING
00:38:47 AND EXITING SHELTERS AND THEN BECOMING HOMELESS AGAIN.
00:38:53 SO AND I'M ALSO CONCERNED AS TO WHY ARE PEOPLE SHELTER
00:38:58 RESISTANT? WHY ARE PEOPLE REFUSE HOUSING
00:39:01 SHELTERS AND HOUSING TO STAY IN THEIR TENTS AND I JUST I SEE
00:39:09 PART OF THE PROBLEM IS PEOPLE ARE APATHETIC REGARDING THE
00:39:16 SERVICES WHEN THERE'S THERE'S PROBLEMS WITHIN THESE SYSTEMS
00:39:23 SUCH AS THE LACK OF OF BEING TREATED HUMANELY FAIRLY LIKE
00:39:30 SUBSTANDARD ACCOUNTABILITY MEASURES.
00:39:37 SO THAT'S THAT'S WHAT IT IS. SO THANK YOU.
00:39:41 THANK YOU. >> THANK YOU.
00:39:45 ANY OTHER SPEAKER IN THE ROOM SEEING NO SPEAKER WILL GO TO
00:39:49 THE REMOTE. >> NO CALLERS IN THE FUTURE.
00:39:53 THANK YOU SO MUCH. THAT ENDS PUBLIC COMMENT.
00:39:57 I'LL OPEN IT UP TO MY FELLOW COMMISSIONERS FOR ANY COMMENTS
00:40:00 OR QUESTIONS ON THE DIRECTORS REPORT.
00:40:04 >> COMMISSIONER DUFTY THANK YOU .
00:40:07 >> I SAW A REPORT ABOUT THE NEW SOBER SHELTER AND I JUST
00:40:11 WONDERED IF YOU COULD TALK ABOUT THAT A BIT.
00:40:15 WHAT I UNDERSTAND IS THAT IT WAS CLOSE TO CAPACITY AND THAT
00:40:19 IT'S OFF TO A GOOD START BUT I THOUGHT I SHOULD YEAH, THERE.
00:40:25 AND THEN THE OTHER PART WAS JUST YOU KNOW, LAST MEETING I
00:40:29 RAISED SOME ISSUES ABOUT HAMILTON FAMILY AND AND FAMILY
00:40:33 PROVIDERS AND IF WE COULD SPEAK TO THAT A LITTLE MORE.
00:40:37 >> YES. SO YEAH, THE ARTICLE THAT
00:40:41 YOU'RE REFERENCING WAS TALKING ABOUT HOW THE HOPE HOUSE WHICH
00:40:48 IS THE FIRST FOR US FIRST RECOVERY SHELTER IN SAN
00:40:52 FRANCISCO, HOW SUCCESSFUL IT'S BEEN AND HOW IT'S CLOSE TO
00:40:56 CAPACITY AND YOU KNOW THAT'S OUR FIRST FORAY INTO RECOVERY
00:41:03 SHELTER. IT'S VERY POPULAR THERE CLEARLY
00:41:04 QUITE A FEW PEOPLE WHO WANT TO CHOOSE THAT PARTICULAR PATH
00:41:11 AND SO WE'RE WORKING REALLY CLOSELY WITH SALVATION ARMY TO
00:41:14 UNDERSTAND YOU KNOW, THEN LOOK AT OUTCOMES.
00:41:15 WE WANT TO MAKE SURE THAT IT IS SUCCESSFUL AND YEAH, I MEAN
00:41:22 THAT'S YOU KNOW WE WANT TO MAKE SURE THAT WE HAVE CHOICES FOR
00:41:24 EVERYONE SO WE HAVE OUR REGULAR SHELTER SYSTEM WHERE BEGINNING
00:41:30 THAT PART YOU KNOW MORE RECOVERY HOUSING WE HAVE OUR
00:41:34 TRANSITIONAL HOUSING FOR PEOPLE IN RECOVERY AT JAMES BALDWIN
00:41:38 HOUSE OR CIVIC CENTER MOTOR INN ON NINTH.
00:41:42 AND WE'LL BE LOOKING AT THOSE AND SEEING WHAT OTHER
00:41:45 OPPORTUNITIES WE CAN FIND IN THE CITY FOR PEOPLE WHO WANT
00:41:48 TO LIVE IN A SOBER ENVIRONMENT. >> THANK YOU.
00:41:50 AND I GUESS I JUST WANT TO OFFER.
00:41:53 FOR ME PERSONALLY I FEEL LIKE WE NEED A ROBUST TOOLBOX SO I
00:41:56 KNOW THAT THERE ARE PEOPLE ABSOLUTELY LINED UP ON
00:41:58 DIFFERENT SIDES OF HARM REDUCTION VERSUS YOU KNOW,
00:42:04 SOBRIETY HOUSING. >> AND I JUST WANT TO SAY
00:42:05 PEOPLE SUCCEED IN DIFFERENT WAYS AND SO YES, YOU KNOW, I
00:42:12 DON'T I DON'T WANT TO BE NEGATIVE ABOUT IT.
00:42:13 I THINK IT'S GREAT. I'M GLAD IT'S STARTED
00:42:16 AND HOPEFULLY THERE'LL BE YOU KNOW, THERE'LL BE MORE.
00:42:17 >> YEAH, WE'RE EXCITED ABOUT IT AND IT IS GREAT AND IT IS
00:42:21 REALLY IMPORTANT TO HAVE DIFFERENT TOOLS.
00:42:23 AND THEN MOVING ON TO HAMILTON, I THINK YOU'RE SO JUST
00:42:27 IN GENERAL I MEAN WE ARE TRYING TO WORK WITH OUR FAMILY
00:42:30 PROVIDERS, ALL OF OUR PROVIDERS .
00:42:35 IT IS A REALLY TOUGH TIME FINANCIALLY.
00:42:36 WE HAVE A TOUGH BUDGET SEASON AND SO WE'RE REALLY WORKING
00:42:40 INDIVIDUALLY WITH EACH ORGANIZATION TO UNDERSTAND WHAT
00:42:44 THEIR CHALLENGES ARE AND TO TRY TO MEET THEIR NEEDS WHERE WE
00:42:47 CAN. AND I DON'T WANT TO TALK ABOUT
00:42:49 ONE ORGANIZATION SPECIFICALLY, BUT THAT IS DEFINITELY WHAT OUR
00:42:53 TEAMS HAVE BEEN DOING. >> YEAH.
00:42:54 AND I JUST WANT TO REFLECT ON FORMER COMMISSIONER EVANS IS
00:43:00 YOU KNOW ADMONITION THAT FAMILIES NEED TO BE PRIORITIZED
00:43:07 AND I RECOGNIZE WE'RE IN A TOUGH BUDGET SITUATION BUT I DO
00:43:12 FEEL AS THOUGH WHAT KRISTEN SAID ABOUT ALL THE HEAT
00:43:16 AND LIGHT GOES INTO THE DIRECTION OF WHAT PEOPLE SEE ON
00:43:20 THE STREET AND I'VE USED THIS ANALOGY BUT IT'S A VERY
00:43:23 DIFFICULT SITUATION BECAUSE THERE'S NO CITY SERVICE LIKE
00:43:27 HOMELESSNESS IN THE SENSE THAT THE ONLY THING THAT THE MEMBERS
00:43:31 OF THE PUBLIC SEE IS WHAT'S NOT WORKING WHEN THEY SEE THAT
00:43:35 PERSON THAT THEY'VE WALKED BY TIME AFTER TIME AFTER TIME THAT
00:43:39 IS A FUNDAMENTAL FAILURE AND I THINK THEN THAT BLEEDS INTO WHY
00:43:44 ARE WE SPENDING MONEY ON THIS? WE SHOULD JUST KEEP SPENDING
00:43:48 MONEY ON PUBLIC WORKS AND POLICE AND PUNITIVE
00:43:51 MEASURES. >> SO I, I DO THINK THAT A
00:43:55 CHALLENGE FOR THIS MAYOR HAS TO BE THAT IF THERE AREN'T THE
00:43:59 CITY FUNDS TO DO RIGHT BY FAMILIES THEN THERE IS
00:44:06 PHILANTHROPY AND THERE ARE PEOPLE WHO ARE TELLING US THAT,
00:44:10 YOU KNOW, WE SHOULD NOT MAKE FINANCIAL DECISIONS FOR THEM OR
00:44:14 YOU KNOW, I'M I'M NOT JUMPING ON AN ON THIS BUT I DO THINK
00:44:21 THAT IT IS A CRISIS AND I THINK IT'S ONE THAT THIS DEPARTMENT
00:44:26 CAN'T SUCCEED AT UNLESS WE RAMP UP AND HAVE MORE RESOURCES
00:44:32 AND RECOGNIZE THIS THE SPEAKERS AS MAKE AS DR. RAU POINTED OUT,
00:44:37 YOU KNOW, IT IS SO DEBILITATING FOR FAMILIES TO GO THROUGH THE
00:44:45 DIFFICULTY AND YOU KNOW, THE SCHOOL DISTRICT IS FACING, YOU
00:44:50 KNOW PROBLEMS WITH THE NUMBERS OF FAMILIES THAT ARE NOT STABLE
00:44:53 HOUSED OF YOU KNOW, YOUNG PEOPLE IN IN OUR PUBLIC SCHOOL
00:44:57 SYSTEM. AND SO I DO FEEL AS THOUGH, YOU
00:45:00 KNOW, WE AS A COMMISSION NEED TO TO SPEAK OUT AGAIN, I
00:45:08 RECOGNIZE THAT THE CITY HAS A VERY DIFFICULT BUDGET YEAR BUT
00:45:11 YOU KNOW, THIS MAYOR HAS ENGENDERED SUPPORT FOR DOING
00:45:15 THINGS DIFFERENTLY AND I THINK THAT IT'S ABOUT TIME TO DO
00:45:20 THINGS DIFFERENTLY FOR FAMILIES.
00:45:21 >> MM HMM. >> SO THANK YOU.
00:45:24 THANK YOU. I KNOW DIRECTOR MAKES THEN.
00:45:27 >> YES, THANK YOU. I KNOW DIRECTOR MCSPADDEN
00:45:28 WANTED TO SAY A FEW WORDS. YEAH, I WANTED TO SAY THANK
00:45:32 YOU, COMMISSIONER. I ALSO WANTED TO SAY THAT SO
00:45:35 I'M TALKING ABOUT THE BREAKING THE CYCLE INITIATIVE WE ALL
00:45:39 AND PART OF THE REASON I'M TALKING ABOUT THE HOME BY THE
00:45:40 BAY PLAN A SIDE BY SIDE BUT THE INITIATIVE IS WE'RE STILL DOING
00:45:44 THE HOME BY THE BAY PLAN AND A LOT OF THAT WORK INVOLVES
00:45:50 SUPPORTING FAMILIES AND I THINK YOU KNOW SO ONE OF THE THINGS
00:45:54 THAT WE'VE DONE AND WE WANTED TO DO WITH VARIOUS POPULATIONS
00:45:57 THAT WE'RE SERVING IS REALLY DIG DEEP.
00:46:01 THAT'S WHY WE'RE WE'VE DONE THAT FAMILY ADDENDUM.
00:46:05 THAT'S WHY WE'RE WORKING WITH FAMILIES.
00:46:06 THAT'S WHY WE'VE DONE THE YOUTH ADDENDUM AND SO WE'RE NOT
00:46:08 STOPPING THAT WORK. WE'RE CONTINUING IT.
00:46:12 YES. I MEAN YES WE NEED ALL THE
00:46:13 RESOURCES WE CAN GET BUT THOSE THINGS KIND OF LIVE SIDE BY
00:46:16 SIDE AND I YOU KNOW SO I JUST WANTED TO MAKE SURE THAT WE ARE
00:46:20 NOT, YOU KNOW, MOVING AWAY FROM THAT WE ARE CONTINUING THE WORK
00:46:23 AS A DEPARTMENT THAT WE'VE BEEN DOING.
00:46:26 THANK YOU SO MUCH. IF I COULD RECOGNIZE
00:46:30 COMMISSIONER LAGANA THANK YOU CHAIR I'LL BRING THE FIRST I
00:46:36 WANTED TO SECOND AND ECHO SOME OF COMMISSIONER DUFFY'S
00:46:40 REMARKS. DR. WARD THANK YOU FOR YOUR
00:46:43 YOUR EXCELLENT COMMENT AND I AGREE WITH YOU ON ON THE
00:46:50 IMPORTANCE OF FAMILY AS BEING AN IMPORTANT PART OF BREAKING
00:46:52 THE CYCLE AND I'M ALIGNED WITH THAT AS COMMISSIONER EVANS I'M
00:46:55 ALSO ALIGNED WITH THE NEED TO MAP DATA TO NEEDS AND I THINK
00:47:02 THAT'S OF ALSO OF IMPORTANCE. >> A QUESTION FOR YOU GIGI IS
00:47:10 IT CONCEIVABLE IN THE FUTURE RECOGNIZING WE CAN'T CHANGE THE
00:47:14 PAST BUT IN ALSO RECOGNIZING YOU WON'T BE HERE SO YOU'RE
00:47:18 SPEAKING FOR YOUR SUCCESSOR BUT IS IT CONCEIVABLE IN THE FUTURE
00:47:22 THAT WE COULD GET A LINE ITEM BUDGET SO THAT WE COULD SEE YOU
00:47:25 KNOW, WHEN WE WRITE CODE WE CALL IT A CHANGE DIFF BUT JUST
00:47:29 TO SEE YOU KNOW WHAT WHAT ACTUALLY IS CHANGING.
00:47:32 >> YEAH I THINK WHAT'S CHALLENGING IS THAT THE BUDGET
00:47:36 SYSTEM AND THE WAY OUR BUDGET IS STRUCTURALLY ORGANIZED IS
00:47:40 REALLY SO IT CAN TALK TO THE CITY'S ACCOUNTING SYSTEM.
00:47:44 IT'S NOT THAT INTUITIVE AND SO THAT SAID YOU KNOW I THINK
00:47:51 YOU'VE HEARD ME SAY WE FINALLY HAVE A FULLY STAFFED BUDGET
00:47:55 TEAM. WE DO HAVE A KEY MEMBER OUR
00:47:56 BUDGET DIRECTOR GOING OUT ON LEAVE FOR A LITTLE BIT.
00:47:59 BUT I THINK YOU KNOW, SHE'LL BE BACK THIS SUMMER DURING THE
00:48:06 YEAR. >> YEAH, YOU HOPEFULLY YOU HAVE
00:48:07 SOMEONE NEW IN THE ROLE AND I THINK WE HAVE DONE MORE
00:48:11 AND MORE TO STRUCTURE OUR DATA IN A WAY THAT YOU CAN HAVE THAT
00:48:14 SORT OF PROGRAMMATIC DETAIL GOING FORWARD IN THE BUDGET.
00:48:19 YOU KNOW THE OTHER THING TO JUST KEEP IN MIND IS THAT A LOT
00:48:23 OF NEW PROGRAMS WERE OPENED WITH STATE GRANTS OR COVID
00:48:30 RELIEF FUNDS AND YOU KNOW THE AS YOU'VE HEARD ME SAY, THE
00:48:35 ANNUAL PICTURE REALLY INCLUDES OFTENTIMES A MULTIYEAR
00:48:39 EXPENDITURE EXPENDITURE PLAN. BUT I THINK THE SHORT ANSWER IS
00:48:44 YES. I WOULD GIVE THE STAFF A LITTLE
00:48:47 BREATHER GIVEN MY DEPARTURE AND GETTING THROUGH THE BUDGET
00:48:50 PROCESS. BUT I THINK IT'S ABSOLUTELY
00:48:51 REASONABLE AND I THINK IF IN THE MEANTIME THE COMMISSION
00:48:54 NEEDS MORE PROGRAMMATIC LEVEL DATA, PLEASE LET THE COMMISSION
00:48:58 SECRETARY KNOW AND WE'RE HAPPY TO PROVIDE THAT.
00:49:01 >> GREAT. GREAT.
00:49:02 THANK YOU SO MUCH, DIRECTOR MCSPADDEN.
00:49:05 SO FIRST I WANT I WANT TO NOTE THAT THE LARGE VEHICLE PROGRAM
00:49:12 SEEMS TO BE HAVING SOME SUCCESS .
00:49:15 >> WE'VE GONE FROM FOUR PEOPLE HOUSED TO 37.
00:49:16 WE HAVE 85 PEOPLE MORE INVOLVED ENROLLED IN RAPID REHOUSING.
00:49:23 CAN YOU TALK ABOUT WHAT'S CHANGED THERE AND ARE THERE
00:49:27 LESSONS THAT WE CAN APPLY ELSEWHERE?
00:49:30 >> WELL, WHAT'S CHANGED THERE IS WE HAVE A PLAN, YOU KNOW,
00:49:34 AND WE WERE I MEAN AND MULTIPLE DEPARTMENTS HAVE BEEN FOCUSED
00:49:38 ON THIS ISSUE. RIGHT?
00:49:39 SO IT'S NOT IT'S THE MAYOR'S OFFICE IS VERY LEANED INTO IT.
00:49:42 WE'RE WORKING VERY CLOSELY WITH MTA.
00:49:46 >> OUR TEAM DARREN CRICKET AND OTHERS HAVE WORKED REALLY
00:49:50 HARD TO, YOU KNOW, HELP MAKE SURE THAT WE HAVE A SUCCESSFUL
00:49:57 CONTRACT IN PLACE AND THAT WE'RE REALLY ABLE TO PROVIDE
00:49:58 THE RESOURCES THAT FOLKS NEED ON THEIR HOUSING SEARCH.
00:50:01 SO WE EXPECT YOU KNOW, IT TAKES TIME TO GET THESE THINGS UP
00:50:05 AND RUNNING. >> WE ONLY WENT INTO CONTRACT
00:50:09 WITH CATHOLIC CHARITIES I THINK NOVEMBER FIRST.
00:50:12 AND SO, YOU KNOW, THEY HAD TO HIRE STAFF.
00:50:13 IT JUST THAT'S WHY WE DIDN'T SEE IMMEDIATE RESULTS.
00:50:16 AND IF YOU THINK ABOUT HOW LONG IT TAKES, YOU KNOW, TO FIND A
00:50:20 NEW APARTMENT AND MOVE IN AND ALL THAT STUFF WHEN YOU DON'T
00:50:24 HAVE ALL THE CHALLENGES THAT FOLKS IN OUR V'S HAVE IT IT
00:50:27 TAKES IT TAKES A FEW MONTHS. SO WE EXPECT IT TO RAMP UP
00:50:31 AND YOU KNOW, TO SEE MORE PEOPLE MOVING IN BUT IT DOES
00:50:34 TAKE TIME TO TO BUILD THAT. >> OKAY.
00:50:38 THANK YOU. AND I JUST WANT TO EXPRESS MY
00:50:42 MY APPRECIATION FOR THE TEAM AND EVERYBODY THAT'S BEEN
00:50:45 HELPING MAKE THAT PROGRAM MORE SUCCESSFUL.
00:50:49 SO MY SECOND QUESTION IS YOU KNOW, I THINK YOU'VE HEARD ME
00:50:53 OFTEN SPEAK ABOUT THE IMPORTANCE OF PREVENTION
00:50:57 AND HOW IMPORTANT THAT IS TO ME .
00:51:00 SO I'M A LITTLE CONCERNED THAT BOTH PREVENTION AND PROBLEM
00:51:03 SOLVING ARE AT IN TERMS OF NUMBER OF HOUSEHOLDS SERVED ARE
00:51:11 AT FISCAL YEAR LOWS AND THESE ARE MOST COST EFFECTIVE
00:51:16 PROGRAMS. SO DO WE HAVE A SENSE OF WHAT
00:51:20 CAUSED THESE DROPS? ARE THEY SEASONAL OR IS THIS A
00:51:23 STAFFING ISSUE? IS THIS A CAPACITY ISSUE?
00:51:24 WHAT'S WHAT'S GOING ON? >> SO STEPHANIE CORUM KNOWS
00:51:31 MORE ABOUT IT THAN I DO. >> OKAY.
00:51:33 SO HI, I'M STEPHANIE CORUM. I'M THE INTERIM DIRECTOR FOR
00:51:45 COORDINATED ENTRY PREVENTION PROBLEM SOLVING OUR HOUSING
00:51:48 PLACEMENT. SO THIS IS ONE OF THE THINGS
00:51:49 THAT WE HAVE BEEN EXPLORING ESPECIALLY WITH OUR OUR
00:51:52 PREVENTION PROGRAM IN TERMS OF LOOKING AT WHAT BARRIERS OUR
00:51:56 FAMILIES ARE ENCOUNTERING, ENCOUNTERING AND TRYING TO
00:52:00 UTILIZE THOSE. WE'VE BEEN LOOKING AT ISSUES
00:52:04 WITH OUR TO DETERMINE LIKE IF WE HAVE APPROPRIATE THRESHOLD
00:52:08 SCORES, IF WE SHOULD BE PROVIDING MORE ASSISTANCE
00:52:14 IN TERMS OF FUTURE RENT AND HAVE BEEN MEETING WITH
00:52:16 PROVIDERS TO TRY AND COME UP WITH A PLAN TO MOVE MORE
00:52:19 FUNDING OUT THE DOOR. I THINK THAT ALSO ONE OF THE
00:52:23 ISSUES THAT WE'RE LOOKING AT IS JUST HOW DO WE ENSURE THAT
00:52:27 FOLKS KNOW ABOUT OUR PROGRAM AND WHAT IS THE COMMUNICATION
00:52:31 STRATEGY IN ORDER TO MAKE SURE THAT THAT WE'RE INTERVENING
00:52:39 WITH FOLKS EARLY EARLY SO THAT THEY'RE THEY'RE AWARE OF IT.
00:52:42 >> SO THOSE ARE SOME OF THE THOSE ARE SOME OF THE THE
00:52:44 ISSUES THAT WE'RE TRYING TO EXPLORE.
00:52:47 I MEAN I THINK THAT ALSO ONE OF THE ISSUES THAT WE'RE
00:52:51 EXPERIENCING ESPECIALLY LIKE IN OUR IN OUR PROBLEM SOLVING
00:52:55 AND THIS ALSO LEADS INTO YOU KNOW, SHELTER FLOW IS JUST
00:52:58 IN TERMS OF THE AFFORDABLE CITY OF THE HOUSING MARKET AND THAT
00:53:03 A LOT OF OUR INDIVIDUALS AND FAMILIES ARE ARE SORT OF
00:53:10 ARE PRICED OUT OF THE MARKET AND ARE HAVING A DIFFICULT TIME
00:53:14 TRYING TO FIND AN AFFORDABLE HOUSING SOLUTION THAT WOULD
00:53:18 THEN ALLOW THEM TO BE ABLE TO USE THE RESOURCE SO LET'S
00:53:25 LISTEN TO WHAT YOU SAID. IT SOUNDS LIKE WE'RE
00:53:26 TRANSITIONING TO DIFFERENT METHODOLOGIES OR WHAT'S WHAT'S
00:53:30 DRIVING THE THE DECLINE I GUESS SO THAT'S SOMETHING THAT OUR
00:53:37 TEAM IS STILL TRYING TO EXPLORE EXACTLY WHAT OUR YEAH.
00:53:40 WHAT ARE THE BARRIERS AND HOW DO WE AND HOW DO WE SORT OF
00:53:44 INCREASE IT. SOME OF IT IS YOU KNOW CONCERN
00:53:49 AROUND COMMUNICATION LOOKING AT SHOULD WE LOWER THRESHOLD
00:53:52 SCORES SOME OF WHAT WE'RE WE'RE LOOKING AT CHANGE IS AND IN
00:53:59 SPECIFIC REQUIREMENTS SO FOR EXAMPLE REQUIRE LIKE FOLKS NEED
00:54:03 TO HAVE A A FINANCIAL HARDSHIP AND TERMS IN ORDER TO BE
00:54:08 ELIGIBLE. AND WHAT WE'RE SEEING WITH THAT
00:54:11 IS THAT SOME OF OUR RETURNING RETURNING CLIENTS DON'T
00:54:15 NECESSARILY HAVE A NEW FINANCIAL HARDSHIP AND TRYING
00:54:18 TO EVALUATE THAT HOW DO WE SUPPORT THAT?
00:54:23 GOTCHA. YEAH.
00:54:23 AND THEN JUST ONE LAST QUICK FOLLOW UP QUESTION.
00:54:26 I MEAN OFF THE TOP OF YOUR HEAD, HOW DO MOST PEOPLE ENTER
00:54:30 THROUGH THE SYSTEM? IS THAT THROUGH COORDINATED
00:54:34 ENTRY? IS THAT THROUGH PROBLEM
00:54:35 SOLVING? YOU KNOW, ARE THEY CALLING A
00:54:37 HOTLINE NUMBER SO EIGHT SO FOR PER PER SO FOR THE PREVENTION
00:54:41 PREVENTION SERVICES RATE. SO MOST OF THOSE FOLKS ARE
00:54:45 HOUSED AND SO WHAT WE'RE HAVING IS THAT THEY'RE COMING THROUGH
00:54:52 LARGELY BY EITHER BEING REFERRED IT'S AN ONLINE PORTAL
00:54:56 SYSTEM THAT ANYONE CAN APPLY FOR SO YOU KNOW, TRYING TO MAKE
00:55:00 SURE THAT THERE IS GOOD COMMUNICATION AND THAT ALL OF
00:55:04 ANY PARTNER AGENCIES WHO KNOW ABOUT THE PROGRAM CAN REFER
00:55:07 INTO IT. BUT WE HAVE A PRETTY ROBUST
00:55:12 NETWORK OF OF PARTNERS WHO DO A LOT OF DIFFERENT THINGS
00:55:16 IN TERMS OF ADMINISTERING THAT PROGRAM SO THEY'RE ABLE TO ALSO
00:55:20 FUNNEL CLIENTS FROM OTHER OTHER PROGRAMS AND SO THAT'S REALLY
00:55:23 INTERESTING. >> IS THERE A PUBLIC PORTAL?
00:55:24 ONE LAST FOLLOW UP I'LL BE QUICK I PROMISE IS OUR PUBLIC
00:55:27 PORTAL FOR FOR FOR PEOPLE YES IT'S AN ONLINE IT'S AN IT'S A
00:55:31 LOW BARRIER ONLINE PORTAL SO FOLKS GO AND AND THEN ONE OF
00:55:35 THE OTHER THINGS THAT WE'RE LOOKING AT IS JUST ATTRITION
00:55:38 RATE SO THAT BASICALLY WHEN YOU'RE TALKING ABOUT THE NUMBER
00:55:43 OF FOLKS WHO APPLY BUT THEN DON'T COMPLETE THEIR
00:55:46 APPLICATIONS AND GET OVER THE FINISH LINE.
00:55:47 SO WE'RE TRYING TO FIGURE OUT THEN HOW TO HOW TO INTERVENE
00:55:51 AND PUT SOME MORE RESOURCES TO GET FOLKS OVER THE FINISH LINE.
00:55:55 >> PERFECT. THANK YOU.
00:55:56 THANK YOU SO MUCH. >> COMMISSIONER GUERRERO, THANK
00:55:59 YOU SO MUCH AND THANK YOU FOR THE REPORT.
00:56:03 SO YEAH, TRY TO BE CONCISE OF MY WORDS.
00:56:06 I REALLY APPRECIATE COMMENTS FROM THE OTHER COMMISSIONERS
00:56:10 AND THE PUBLIC. THERE'S SO MUCH HERE BUT YOU
00:56:11 KNOW I JUST REALLY WANT TO REMINDED ME THIS MORNING THAT
00:56:15 WE'RE CLOSING OUT ON OUR THIRD YEAR WORKING WITH THE
00:56:18 DEPARTMENT AND I'M JUST REMEMBERING BACK TO THE
00:56:22 BEGINNING OF UNDER THE BREED ADMINISTRATION, YOU KNOW,
00:56:25 SIMILAR FRUSTRATIONS THAT WE'RE DEALING WITH NOW WHICH SAYS TO
00:56:29 ME THAT THIS ADMINISTRATION IS CONTINUING TO MAKE SOME OF THE
00:56:33 SAME MISTAKES THAT THE PREVIOUS ADMINISTRATION DID ALTHOUGH YOU
00:56:37 KNOW, I'M NOT TRYING TO BE NEGATIVE AND THAT WHEN I LOOK
00:56:38 AT, YOU KNOW, THIS MODEL, I THINK THERE'S SOME REALLY GREAT
00:56:42 THINGS IN HERE ON PAPER LIKE THE THE FURTHER ASSISTANCE
00:56:48 SORRY THE FURTHER ASSESSMENT IS SOMETHING THAT I REALLY DID
00:56:49 FEEL WAS MISSING WHEN I WHEN I RAN THE SHELTER.
00:56:52 THE LEVEL OF ACUITY THAT WE WERE EXPECTED TO DEAL WITH
00:56:58 AND SERVE ALL UNDER ONE PLACE WAS JUST NOT SUSTAINABLE
00:56:59 AND WAS PUSHING OTHER PEOPLE FURTHER INTO INTO CRISIS THAT
00:57:05 WERE MORE STABLE. SO YOU KNOW, SOME MEMBER OF THE
00:57:10 PUBLIC WAS TALKING ABOUT WHAT MAKES PEOPLE RESISTANT.
00:57:14 >> WELL, THERE IS YOU KNOW, IT'S NEUROSCIENCE THAT IT'S
00:57:18 ADVERSE EXPERIENCES THAT MAKE PEOPLE RESISTANT TO SERVICES
00:57:22 AND IT'S ACTUALLY IS AS SPECIFIC AS THE ABILITY TO USE
00:57:26 EXECUTIVE FUNCTION WHICH IS WHAT'S REQUIRED TO SHOW UP TO
00:57:30 APPOINTMENTS AND AND YOU KNOW, FOLLOW THROUGH WITH CARE
00:57:33 AND NOT BE IN AN ESCALATED STATE.
00:57:34 SO I THINK THAT THERE'S A LOT OF POTENTIAL IN THIS APPROACH
00:57:38 BUT I DO WANT TO MAKE SURE THAT WE'RE MEASURING WHAT YOU KNOW,
00:57:45 WHAT THINGS ARE NEW AND WHAT THINGS WE HAVE NOT CHANGED FROM
00:57:48 THE PREVIOUS ADMINISTRATION THAT WE'RE NOT WORKING.
00:57:52 BUT I DO WANT TO SAY, YOU KNOW, IT'S BEEN AMAZING TO WORK WITH
00:57:55 ,YOU KNOW, THE DIRECTOR WHO HAS AT EVERY STEP INTEGRATED
00:57:59 OUR FEEDBACK I BELIEVE INTO THE PLANS THAT HAVE BEEN MADE.
00:58:03 AND SO IN SAYING THAT WHATEVER WE DO IT HAS TO BE CENTERED
00:58:08 AND IT HAS TO BE TRAUMA INFORMED AND IT HAS TO BE
00:58:12 CENTERED IN RACIAL RACIAL JUSTICE BECAUSE IT IS
00:58:16 DISPROPORTIONATELY IMPACTING COMMUNITIES OF COLOR.
00:58:19 AND THAT'S WHY I THINK DR. ROY WAS REALLY AMAZING TO HEAR YOU
00:58:23 TALKED ABOUT YOU KNOW, BECAUSE WE TALK ABOUT FAMILIES BUT
00:58:25 WE'RE NOT ARTICULATING LIKE WHAT YOU KNOW, WHAT OTHER
00:58:27 INTERSECTIONAL EXPERIENCES THE PEOPLE THAT THE POPULATIONS ARE
00:58:31 THAT WE'RE TALKING ABOUT AND THAT IS VERY SPECIFIC.
00:58:34 AND SO WHEN WE HAVE PEOPLE MAKING DECISIONS AND POLICIES
00:58:38 THAT HAVE NOT ACTUALLY SEEN WITH THEIR OWN EYES WHO THESE
00:58:40 POPULATIONS ARE, HOW YOUNG THE BABIES ARE, HOW WHAT
00:58:46 ETHNICITIES THEY ARE, WHAT NEIGHBORHOODS THEY'RE IN, WHAT
00:58:47 SIZE VEHICLE IS THEY'RE LIVING AND HOW MANY PEOPLE ARE LIVING
00:58:51 IN THOSE VEHICLES. >> I THINK IT'S REALLY EASY TO
00:58:54 BE DETACHED FROM THE REALITY OF WHAT INTERVENTION IS GOING TO
00:58:57 BE EFFECTIVE. THERE'S TOO MUCH GENERALIZING
00:59:01 AND I WANT TO COME AT IT FROM A EVIDENCE BASED PLACE NOT IN NOT
00:59:05 AN EMOTIONAL AND NOT AN EMOTIONAL PLACE EVEN THOUGH IT
00:59:07 IS EMOTIONAL IF YOU'VE WORKED IN THAT FIELD.
00:59:10 BUT I DO THINK WE NEED TO GET A LITTLE DEEPER INTO MAKING SURE
00:59:13 THAT THIS ADMINISTRATION IS CONSIDERING NEUROSCIENCE BEING
00:59:17 TRAUMA INFORMED AND BEING CENTERED ON RACIAL JUSTICE AT
00:59:21 EVERY STEP THAT THESE NEW APPROACHES ARE TAKEN.
00:59:25 >> I'LL STOP THERE. I THINK YOU THANK YOU SO MUCH.
00:59:29 I REALLY APPRECIATE THIS DISCUSSION AND THE REPORT AND I
00:59:33 APPRECIATE THE PUBLIC COMMENT AND THE FOCUS AROUND FAMILIES.
00:59:36 I DO UNDERSTAND THAT THE HOME BY THE BAY REPORT I UNDERSTAND
00:59:40 THE BUDGET LIMITATIONS AND YET I JUST CAN'T UNDERSTAND WHY THE
00:59:47 CITY AND COUNTY OF SAN FRANCISCO CANNOT PRIORITIZE
00:59:49 FAMILIES AND ENDING FAMILY HOMELESSNESS.
00:59:52 IT IS UNCONSCIONABLE FOR A SOCIETY TO ALLOW CHILDREN
00:59:56 AND FAMILIES TO BE ON THE STREETS IN UNSHELTERED
00:59:59 COMMUNITIES WHEN WE HAVE SO MUCH RESOURCES AND CAPACITY
01:00:07 AND INTELLECT AND DESIRE AND PASSION TO DRIVE.
01:00:08 SO I FIND IT UNCONSCIONABLE IN I WOULD LIKE I APPRECIATE MY
01:00:15 FELLOW COMMISSIONERS IN THEIR DESIRE AND PASSION TO LEARN
01:00:19 MORE AND PRIORITIZE FAMILY HOMELESSNESS.
01:00:20 I THINK THAT I DON'T I DON'T EXPECT ANY COMMENT FROM THE
01:00:26 DIRECTOR AN ANSWER TO THIS BUT I THINK WE HAVE TO IN THE NEXT
01:00:30 SEVERAL MEETINGS PRIORITIZE HIRES WHAT WILL IT TAKE TO END
01:00:35 FAMILY HOMELESSNESS IN SAN FRANCISCO A DETAILED PLAN, A
01:00:38 BUDGET AND THE WILL TO PRIORITIZE THIS.
01:00:44 THANK YOU. I DIDN'T SAY IT FOR FOR
01:00:46 APPLAUSE BUT I APPRECIATE MY FELLOW COMMISSIONERS AND IN
01:00:52 TERMS OF DOING IT I HAVE NO FURTHER COMMENTS.
01:00:56 I DON'T SEE ANY COMMENTS FROM THE COMMISSIONERS BUT I DO WANT
01:00:58 TO MAKE SURE THAT WE HAVE ADDRESSED ALL PUBLIC COMMENT.
01:01:01 I THINK THERE MIGHT HAVE BEEN ONE PERSON ON THE PHONE BUT
01:01:04 THEY LOWERED THEIR HAND HERE. >> OKAY.
01:01:05 THANK YOU SO MUCH. THAT ENDS ITEM THAT ENDS THE
01:01:08 DIRECTOR'S REPORT ITEM EIGHT WE'RE GOING TO GO TO ITEM NINE,
01:01:14 THE PSA DEEP DIVE BREAKING THE CYCLE A FOCUS ON PERMANENT
01:01:18 SUPPORTIVE HOUSING AND THEN WE'LL COME BACK TO ITEM NUMBER
01:01:22 SEVEN ON EMPLOYEE RECOGNITION. >> THANK YOU SO MUCH TO CHIEF
01:01:29 DEPUTY DIRECTOR MARIAN SANDERS AND DIRECTOR OF STRATEGIC
01:01:33 INITIATIVES MR.. SORRY I GOT TO PUT MY GARA
01:01:37 KRISTA THANK YOU SO MUCH. THANK YOU COMMISSIONERS FOR THE
01:01:44 TIME TO PRESENT OUR MAYOR LAURIE'S BREAKING THE
01:01:48 CYCLE INITIATIVE AND THE WORK WITHIN THAT INITIATIVE THAT
01:01:51 FOCUSED SPECIFICALLY ON PERMANENT SUPPORTIVE HOUSING.
01:01:55 NEXT SLIDE MY NAME IS MARIANNE SANDERS.
01:01:56 I'M THE CHIEF DEPUTY DIRECTOR FOR H.
01:01:59 S H AND OUR MULTIPLE HATS ONE OF WHICH IS SERVING AS ONE OF
01:02:06 THE KEY REPRESENTATIVES IN LIAISON'S FOR THE DEPARTMENT
01:02:10 TO THE MAYOR'S OFFICE ON BREAKING THE CYCLE AND OTHER
01:02:11 RELATED MAYORAL INITIATIVES. YOU ALL KNOW ME BUT I WANT TO
01:02:16 INTRODUCE YOU TO MY STRATEGIC INITIATIVE COUNTERPART ABDI H.
01:02:21 AND MY PARTNER IN CRIME IN THIS WORK, CHRISTINE GAITA.
01:02:26 KRISTA IS THE DIRECTOR OF STRATEGIC INITIATIVES FOR THE
01:02:29 DEPARTMENT OF PUBLIC HEALTH AND SHE BRINGS MORE THAN 25
01:02:32 YEARS OF EXPERIENCE TO SOCIAL SERVICES TO THIS WORK.
01:02:36 >> HER CAREER INCLUDES LEADERSHIP IN SUPPORT OF
01:02:41 HOUSING AND SHE PREVIOUSLY SERVED AS THE CITY'S DIRECTOR
01:02:44 OF IN-HOME SUPPORTIVE SERVICES BEFORE JOINING DPA IN 2021.
01:02:48 SHE LEADS INITIATIVES AT THE INTERSECTION OF HOMELESSNESS
01:02:52 AND BEHAVIORAL HEALTH INCLUDING THE AS OVERDOSE RESPONSE
01:02:56 AND STREET CARE REDESIGN. SHE IS ALSO NOW CO-LEADING WITH
01:03:01 SAGE ON THE ONGOING EVALUATION OF PERMANENT SUPPORTIVE HOUSING
01:03:05 CARE MODELS. SO CHRIS AND I WILL BE
01:03:08 CO-PRESENTING TODAY. NEXT SLIDE PLEASE.
01:03:11 SO WHERE WE ARE TODAY CHRIS AND I HAVE BEEN TASKED BY THE
01:03:16 MAYOR'S OFFICE TO INNOVATE ON PERMANENT SUPPORTIVE HOUSING
01:03:20 CARE MODELS. >> THIS WORK STARTS WITH
01:03:23 RECOGNIZING THAT PCH AS A SYSTEM OF CARE IS COMPLEX.
01:03:27 IT RELIES HEAVILY ON SERVICE SERVICES DELIVERED THROUGH TO
01:03:31 MUCH LARGER SYSTEMS OF CARE THE HOMELESSNESS RESPONSE SYSTEM
01:03:35 AND THE PUBLIC HEALTH SYSTEM WHILE ALSO LEVERAGING SUPPORT
01:03:38 FROM OTHER SYSTEMS OF CARE ACROSS THE CITY.
01:03:42 AT THE SAME TIME THE MAYOR'S OFFICE ALONG WITH HCA AND THE
01:03:46 BROADER PROVIDER COMMUNITY HAS RECOGNIZED THAT THE HEALTH
01:03:50 NEEDS OF PCH RESIDENTS ARE GROWING AND BECOMING MORE
01:03:57 COMPLEX. HOWEVER, PCH AS A SYSTEM OF
01:04:01 CARE HAS NOT BEEN FULLY EVALUATED TO DETERMINE WHETHER
01:04:05 IT INCLUDES ALL COMPONENTS NEEDED TO MEET THE NEEDS OF THE
01:04:09 POPULATION IT SERVES. >> SO KRISTA AND OUR TEAMS HAVE
01:04:12 BEEN ACCESS TO ASSESS WHETHER THE SYSTEM OF CARE IS ALIGNED
01:04:20 WITH THE INCREASING COMPLEXITY OF RESIDENT NEEDS AND TO HELP
01:04:25 INFORM FUTURE DECISIONS ABOUT CARE MODELS, RESOURCING
01:04:29 AND PROCUREMENT. NEXT SLIDE.
01:04:32 SO HERE'S WHERE WE WANT TO GO AS WE BEGIN THIS ANALYSIS.
01:04:36 WE IDENTIFY THREE MAIN NORTH STAR GOALS.
01:04:41 THE FIRST IS TO ENSURE THAT PCH PROVIDES A DIVERSE MIX OF
01:04:46 HOUSING OPTIONS AND CARE MODELS THAT CAN SUPPORT COMPLEX
01:04:49 BEHAVIORAL HEALTH AND PHYSICAL HEALTH AND SOCIAL NEEDS FOR
01:04:53 BOTH CURRENT AND FUTURE RESIDENTS.
01:04:57 SECOND IS TO DEVELOP A FLEXIBLE, PERMANENT SUPPORTIVE
01:05:00 HOUSING SYSTEM OF CARE THAT IS TIERED IN A WAY THAT ALLOWS
01:05:02 RESIDENTS WHOSE NEEDS INCREASE TO TRANSITION TO A HIGHER LEVEL
01:05:08 OF SUPPORT WITHIN PERMANENT SUPPORTIVE HOUSING.
01:05:10 >> AND FOR RESIDENTS WHO WHOSE NEEDS DECREASE TO MOVE TO A
01:05:13 LOWER LEVEL OF CARE. >> THIS ALSO REQUIRES ENSURING
01:05:17 THAT BEDS AND CARE MODELS ARE FUNDED AT APPROPRIATE LEVELS.
01:05:23 LATER IN THE PRESENTATION WE'LL TALK MORE ABOUT HOW WE ARE
01:05:27 CATEGORIZING THESE TIERS OF SUPPORT AND WHAT OUR DESIRED
01:05:31 OUTCOMES ARE FOR RESIDENTS AND FOR THE SYSTEM.
01:05:37 >> THIRD TO ESTABLISH AN INTER-DEPARTMENTAL GOVERNANCE
01:05:41 STRUCTURE AND OPERATIONAL FRAMEWORK.
01:05:45 >> THIS GOAL IS PIVOTAL. WE HAVE HEARD THE PROVIDER
01:05:49 COMMUNITY AND THIS COMMISSION TALK ABOUT THE NEED FOR AN HSA
01:05:53 TO BE MORE CLOSELY ALIGNED AND COLLABORATE MORE
01:05:57 EFFECTIVELY TO SERVE OUR SHARED CLIENTS.
01:06:00 THROUGH THIS ASSESSMENT CHRISTIE AND I HAVE REALIZED
01:06:04 THAT WE NEED TO MOVE OUR DEPARTMENTS FROM COLLABORATION
01:06:08 TO TRUE FORMAL PARTNERSHIP. THAT MEANS CREATING A
01:06:12 GOVERNANCE STRUCTURE AND OPERATIONAL FRAMEWORK THAT
01:06:15 CAN SERVE AS A FOUNDATION FOR OUR INTEGRATED CARE MODEL FOR
01:06:17 PERMANENT SUPPORTIVE HOUSING AND POTENTIALLY BEYOND THAT.
01:06:20 LATER IN THE PRESENTATION I WILL WALK YOU THROUGH WHAT WE
01:06:25 MEAN BY GOVERNANCE STRUCTURE AND OPERATIONAL FRAMEWORK.
01:06:28 NEXT SLIDE PLEASE. >> CARE MODEL INNOVATION
01:06:32 ANALYSIS PLAN. IN ORDER TO MOVE TOWARD AN
01:06:36 INTEGRATED CARE MODEL REDESIGN WE ARE FOCUSING ON A FEW CORE
01:06:40 STEPS. FIRST, ALIGNING ON WHAT SUCCESS
01:06:43 ACTUALLY LOOKS LIKE. >> SECOND USING DATA TO BETTER
01:06:47 UNDERSTAND PCH RESIDENTS BASED ON THEIR CURRENT CARE NEEDS.
01:06:54 THIRD, UNDERSTANDING THE CURRENT CATALOG OF SERVICES
01:06:57 THAT ARE OFFERED TO RESIDENTS. AND FINALLY IDENTIFY BUYING
01:07:03 AND RESOLVING GAPS AT THE SYSTEMS LEVEL.
01:07:06 >> OVER THE NEXT SEVERAL SLIDES YOU WILL SEE A DEEPER DIVE INTO
01:07:08 FOR WORKSTREAMS THAT HAVE EMERGED FROM THIS INTEGRATED
01:07:11 CARE MODEL REDESIGN FOR PCH. AND I'LL TURN IT OVER TO KRISTA
01:07:16 FOR A SECOND. ALL RIGHT.
01:07:21 NEXT SLIDE. ALL RIGHT.
01:07:21 GOOD MORNING, COMMISSIONERS. MY NAME IS KRISTA GATOR.
01:07:25 THANK YOU SO MUCH FOR HAVING ME TODAY.
01:07:26 I WANT TO START BY THANKING DIRECTOR MCSPADDEN AND MARIANNE
01:07:29 AND THE WHOLE HHC TEAM. THE LAST COUPLE OF MONTHS HAVE
01:07:33 BEEN LIKE A FULL CIRCLE MOMENT FOR ME.
01:07:37 I STARTED MY CAREER IN PERMANENT SUPPORTIVE
01:07:38 HOUSING. I KNEW COMMISSIONER DUFTY BACK
01:07:40 IN THE DAY. >> WE HAD MANY CONVERSATIONS SO
01:07:41 IT'S REALLY EXCITING TO RETURN TO THE TABLE AND SEE HOW MUCH
01:07:45 HAS CHANGED, HOW MUCH HAS GROWN AND TO REALLY THINK
01:07:46 INNOVATIVELY TOGETHER WITH THE HEALTH DEPARTMENT ABOUT HOW WE
01:07:49 CAN IMPROVE CARE TO FOLKS. YOU KNOW, WHEN WE STARTED THIS
01:07:53 WORK IT BECAME VERY CLEAR TO MARION AND I THAT WE WEREN'T
01:07:57 SURE IF EVERYBODY WAS ON THE SAME PAGE ABOUT WHAT THE GOALS
01:08:01 OF SUPPORTIVE HOUSING WERE. WHY ARE WE DOING IT?
01:08:04 WHO ARE WE SERVING? AND THERE WAS SOME FOUNDATIONAL
01:08:07 WORK THAT WE NEEDED TO DO AS A CITY.
01:08:11 SORT OF ESTABLISHED WHO ARE WE SERVING?
01:08:12 WHY ARE WE SERVING THEM AND WHAT DOES SUCCESS REALLY
01:08:15 LOOK LIKE? I THINK WE ALL SHARE GOALS SORT
01:08:19 OF SIMILAR NORTH STAR GOAL BUT WE ALL COME AT IT FROM VARIOUS
01:08:20 PERSPECT. SO THAT'S WHERE WE STARTED
01:08:24 AND AND I WANT TO ACKNOWLEDGE THAT YOU'LL SEE PRETTY MUCH ON
01:08:27 EVERY ONE OF THESE TITLE SLIDES IN PROGRESS AND YOU KNOW WE'RE
01:08:31 STILL DOING OUR ANALYSIS INTERNALLY BUT I WANT TO REALLY
01:08:34 SAY VERY AFFIRMATIVELY THAT THIS WORK WILL BE STRENGTHENED
01:08:37 WITH FURTHER AND BROADER STAKEHOLDER ENGAGEMENT WITH OUR
01:08:42 PROVIDERS OF SUPPORTIVE HOUSING, WITH OUR RESIDENTS WHO
01:08:43 ARE REALLY DOING THIS WORK EVERY DAY AND REALLY, REALLY
01:08:45 HAVE A LOT OF GREAT IDEAS AND I'M PRIVILEGED TO KNOW MANY
01:08:50 OF THEM. SO SOME OF THIS WORK IS ALREADY
01:08:53 BASED ON INITIAL CONVERSATIONS BUT WE ARE ACTIVELY DISCUSSING
01:08:56 AND PLANNING HOW TO HAVE A MORE SYSTEMATIC FEEDBACK PROCESS SO
01:09:01 THAT WE CAN CO-DEVELOP THIS TOGETHER.
01:09:02 SO NEXT SLIDE. SO ONE I WANT TO BE VERY CLEAR
01:09:05 THESE ARE VERY BROAD BUCKETS I WANT TO ACKNOWLEDGE THE
01:09:08 DIVERSITY OF OUR LARGE SYSTEM FROM FAMILIES TO TAE TO ADULTS
01:09:12 AND OLDER ADULTS BUT ALSO EVEN WITHIN THOSE GROUPS THERE'S A
01:09:15 YOU KNOW, A VARIETY OF CIRCUMSTANCES AND INDIVIDUAL
01:09:17 CARE NEEDS. BUT FOR EES WE STARTED TO JUST
01:09:20 SORT OF GROUP THINGS INTO THESE THREE LARGE BUCKETS AND REALLY
01:09:23 FOCUSED ON CARE NEEDS REALLY THIS IS THIS IS REALLY THIS
01:09:27 PART OF THE PCH WORK IS FOCUSED ON CARE INNOVATION.
01:09:30 I KNOW THERE ARE MANY OTHER PARTS OF THE PCH SYSTEM THAT
01:09:33 ARE BEING LOOKED AT AND SO WE'VE WE'VE IDENTIFIED THREE
01:09:37 THREE GROUPS OF FOLKS AND THEN REALLY THINKING ABOUT WHAT ARE
01:09:41 OUR GOALS FOR INDIVIDUAL CLIENTS BUT ALSO WHAT ARE OUR
01:09:42 SYSTEM GOALS AND KIND OF GETTING ALIGNED ON THOSE
01:09:45 AND THAT WILL REALLY SET THE FOUNDATION FOR HOW WE'RE GOING
01:09:47 TO DESIGN SERVICES AND WHAT WE EXPECT AS REASONABLE OUTCOMES
01:09:52 OF OF PASSAGE. >> SO THE FIRST ONE AND I WON'T
01:09:54 GO I'M NOT GOING TO READ ALL THIS LENGTHY SLIDE YOU GUYS
01:09:57 HAVE ALL OF THIS BUT JUST REALLY HIGH LEVEL.
01:10:00 THE FIRST THE FIRST TIER IS FOLKS WHOSE NEEDS EXCEED
01:10:01 CURRENT OR TYPICAL AGE. SO YOU KNOW THERE HAS BEEN A
01:10:05 LOT OF WORK IN MARION WILL KIND OF GO OVER THE CURRENT
01:10:08 PORTFOLIO AND HOW WE SORT OF TIERED IT THERE'S BEEN A LOT OF
01:10:12 WORK TO REALLY TIER UP SOME OF THE SUPPORT SERVICES.
01:10:15 I DON'T THINK WE'VE NECESSARILY HIT THAT UPPER LIMIT OF WHAT WE
01:10:17 MIGHT BE ABLE TO DO IN PSA. SO I THINK WHAT CAN WE DO ON
01:10:20 PEER STAGE TO KEEP PEOPLE IN THE COMMUNITY REALLY PROTECT
01:10:23 THEIR CHOICE AND DIGNITY BEFORE PEOPLE HAVE TO BE MOVED TO
01:10:25 INSTITUTIONS. >> BUT WE ALSO KNOW THAT THERE
01:10:28 ARE SOME FOLKS WHO ARE NEEDS ARE GROWING AT SUCH A RATE THAT
01:10:29 THEY WILL NEED INSTITUTIONAL CARE.
01:10:31 SO REALLY THINKING ABOUT WHAT ARE THOSE PATHWAYS AND MAKING
01:10:34 SURE THAT WE ARE CATCHING THAT AND MOVING PEOPLE TO THE PROPER
01:10:36 LEVEL OF CARE TO REALLY AVOID EVICTION AND OTHER NEGATIVE
01:10:39 OUTCOMES. >> SO WHAT ARE OUR GOALS?
01:10:43 OBVIOUSLY WE WANT TO BE MAKING SURE THAT OUR SERVICES ARE
01:10:46 PROPERLY EVALUATING FOLKS AND REALLY MAKING SURE THAT AS
01:10:47 THEIR NEEDS GROW THAT WE ARE TRANSITIONING THEM TO THE RIGHT
01:10:51 LEVEL OF CARE WHETHER THAT IS BRINGING AN OUTPATIENT SERVICES
01:10:53 ,MOVING THEM TO A NEW TIER IN PCH OR MOVING THEM TO
01:10:55 INSTITUTIONAL CARE AND THEN MAKING SURE THAT WE ARE
01:10:58 MAINTAINING STABILITY ACROSS THOSE.
01:10:59 YOU KNOW, WE'VE SEEN A LOT OF PLACES WHERE RISK KIND OF GETS
01:11:02 SHIFTED WELL I CAN'T DO IT TO YOU.
01:11:03 DO IT. I DON'T HAVE THE RIGHT LEVEL OF
01:11:05 CARE. WE DON'T WANT THAT ANYMORE.
01:11:06 WE WANT TO REALLY BE SEEING THIS AS WE ARE ONE SYSTEM.
01:11:09 WE'RE ALL RESPONSIBLE. WE ALL HAVE PARTS WE NEED TO
01:11:10 MAKE SURE THAT WE'RE NOT JUST DUMPING IT ON SOMEBODY ELSE,
01:11:13 THAT WE ARE REALLY TRULY THINKING ABOUT THE CARE NEEDS
01:11:16 AND MATCHING THEM APPROPRIATELY.
01:11:17 AND THEN TOO WE KNOW THAT'S LIKE A SMALL GROUP BUT A VERY
01:11:21 HIGHLY COMPLEX FOLKS CAN REALLY DESTABILIZE AS A BUILDING IS
01:11:25 YOU KNOW IT'S VERY DIFFICULT. YOU KNOW I WORKED IN I WORKED
01:11:26 IN SUPPORTIVE HOUSING FOR MANY YEARS AND REALLY THOUGHT ABOUT
01:11:29 THE BUILDING VERSUS THE INDIVIDUAL AND WHAT IT MEANS TO
01:11:32 LIVE BY SOMEBODY WHO MIGHT BE AGGRESSIVE OR VIOLENT OR
01:11:33 YELLING IN THE NIGHT AND WHAT THAT DOES TO THE OTHER
01:11:36 NEIGHBORS AND THE STAFF. SO WE REALLY HAVE A SYSTEM GOAL
01:11:40 OF MAKING SURE THAT WE ARE PROTECTING OUR STAFF WHO ARE
01:11:41 WORKING IN THESE BUILDINGS, OTHER RESIDENTS WHO ARE LIVING
01:11:44 IN THESE BUILDINGS AND MAKING SURE THAT THE STABILITY OF THE
01:11:46 PORTFOLIO, THE MAINTENANCE COSTS, ALL OF THESE THINGS ARE
01:11:48 REALLY PROTECTED AND THAT WE ARE REDUCING EMERGENCY SO ON
01:11:51 THE HILLSIDE REALLY REDUCING THE USE OF EMERGENCY SERVICES.
01:11:55 OUR SECOND GROUP IS CORE PSA RESIDENTS.
01:11:58 WE KNOW PERMANENT SUPPORTIVE HOUSING HAS A TON OF EVIDENCE
01:12:02 AND THIS IS REALLY EFFECTIVE MODEL.
01:12:03 I REALLY WANT TO MAKE SURE WE'RE REALLY LIFTING THAT WORK
01:12:05 UP OR THAT THAT ALL OF THAT RESEARCH, ALL OF THAT SCIENCE.
01:12:08 SO THERE IS A CORE GROUP OF PEOPLE FOR WHICH THIS IS AN
01:12:11 APPROPRIATE INTERVENTION AND BECAUSE OF THEIR CHRONIC
01:12:14 HEALTH CONDITIONS WITH ONGOING SUPPORT THEY CAN MAINTAIN
01:12:17 STABILITY AND THEY CAN MAINTAIN HEALTH STABILITY AND AND
01:12:21 HOUSING STABILITY. AND SO HOW DO WE MAKE SURE THAT
01:12:25 THIS INTERVENTION STAYS FOR THESE FOLKS THAT WE'RE REALLY
01:12:29 STABILIZING AND THEM IN HOUSING, STABILIZING THEIR
01:12:30 HEALTH AND YOU KNOW, ONE OF THE GREAT CONVERSATIONS THAT MARION
01:12:34 AND I CONTINUE TO HAVE IS LIKE AS AS WE APPROACH THIS WORK,
01:12:37 HOW DO WE THINK ABOUT REHABILITATION?
01:12:38 HOW DO WE BRING PEOPLE IN AND AND YOU KNOW, FOR SOME PEOPLE
01:12:41 THEIR NEEDS WILL GROW. FOR SOME THEY WILL STABILIZE
01:12:44 AND THIS WILL BE FOREVER. AND FOR SOME PEOPLE, YOU KNOW,
01:12:46 IT'S AMAZING WHAT YOU KNOW, WHEN WE DEAL WITH PEOPLE'S LIFE
01:12:49 WE THINK ABOUT THE HIERARCHY OF NEEDS AND WE DEAL WITH THEIR
01:12:51 BASIC NEEDS LIKE HOW MUCH BETTER FOLKS CAN GET AND PRETTY
01:12:53 QUICKLY AND SO HOW DO WE HONOR RECOGNIZE THAT AND TRY TO WORK
01:12:57 WITH THEM TO YOU KNOW, POTENTIALLY GET A SUBSIDY OR
01:13:00 MOVE OUT OR WORK OR WHATEVER WHATEVER IT IS THAT'S RIGHT FOR
01:13:04 THAT THAT INDIVIDUAL. AND THEN LASTLY IS LOWER NEEDS
01:13:08 RESIDENTS. I THINK WITH COORDINATED ENTRY
01:13:11 MOST PEOPLE COMING IN THE DOOR REALLY HAVE HIGH NEEDS AND ARE
01:13:13 REALLY GOING TO NEED TO BE THERE.
01:13:15 THAT SAID, WE HAVE FOLKS WHO ARE THERE BUT FOR AFFORDABLE
01:13:17 HOUSING AND SO HOW ARE WE REALLY THINKING ABOUT THOSE
01:13:20 FOLKS AND SUPPORTING THEM AND REALLY LIVING, YOU KNOW,
01:13:23 WHERE THEY WANT TO WHICH MIGHT BE IN A PRIVATE APARTMENT OR
01:13:27 STUDIO OR AND SO HOW DO WE START TO BUILD OUT THOSE
01:13:30 PATHWAYS FOR THEM TO TAKE ADVANTAGE OF THAT?
01:13:34 OKAY. SO THAT IS SORT OF WHERE WE
01:13:35 STARTED AS A GROUND LEVEL FOUNDATIONAL NEXT SLIDE THE
01:13:37 SECOND PART OF THE ANALYSIS IS TO REALLY ASSESS OUR CURRENT
01:13:41 TENANTS SECURITY AND RISK. I'M GOING TO TELL YOU I NAIVELY
01:13:45 THOUGHT WE COULD JUST HAVE SOME ADMINISTRATIVE DATA ACROSS HSA
01:13:49 28 AND WE WOULD BE ABLE TO KIND OF FIGURE THIS OUT.
01:13:50 I WAS VERY WRONG ABOUT THAT AND GO TO THE NEXT SLIDE.
01:13:54 SO WE HAVE DONE A FEW CUTS AT THIS WITH USING HSA TO DO DATA
01:14:00 . ONE IS HEAT JUST MEASURES.
01:14:01 THESE ARE LIKE 90 STANDARD PERFORMANCE MEASURES THAT WE
01:14:04 USE IN HEALTH CARE TO SORT OF SEE WHAT THE QUALITY OF CARE IS
01:14:05 LIKE. WE'VE PULLED OUT SMI, WE PULLED
01:14:08 OUT AS YOU DO. BUT YOU KNOW WHAT OUR EXPERTS
01:14:11 INTERNALLY OR EXTERNAL EXPERTS WE TALKED TO THE DOCTOR MARGO
01:14:17 CASHEL THERE REALLY JUST ISN'T A SET OF ADMIN DATA THAT REALLY
01:14:20 TELLS YOU HOW PEOPLE ARE DOING. THEY MAY HAVE A DIAGNOSIS OF
01:14:21 SOMETHING BUT THAT DOESN'T TELL YOU HOW THEY'RE MANAGING
01:14:24 AND HOW THEY'RE DOING. >> AND SO WE WERE REALLY
01:14:25 HESITANT KNOWING LIKE HOW BIG THESE DECISIONS ARE TO MAKE ANY
01:14:28 QUICK DECISIONS WITH ADMIN DATA ALONE.
01:14:32 >> SO WE ARE TAKING ANOTHER CUT AT IT TRYING TO PULL IN SOME
01:14:35 OTHER HSA DATA, SOME LIMBS HAD DATA, SOME KNOWN FATAL
01:14:36 OVERDOSES. I JUST HAD TO USE
01:14:39 CONSERVATORSHIP AND VARIOUS THINGS TO SEE IF THERE IS A SET
01:14:41 OF ADMIN DATA THAT WE CAN RELY ON THAT MIGHT HELP US PREDICT
01:14:43 WHO HAS VERY HIGH CARE NEEDS. >> BUT WE'RE ALSO GOING TO BE
01:14:47 REACHING OUT TO PROVIDERS TO SORT OF SAY TO HELP US VALIDATE
01:14:51 THE YOU KNOW THIS IS WHAT OUR DATA SAYS.
01:14:55 IS THIS WHAT YOU'RE ACTUALLY SEEING ACTUALLY GOING
01:14:58 AND SAYING WHO DID WE NOT CAPTURE IN THIS DATA AND THEN
01:14:59 SORT OF LOOKING AT THOSE CLAIMS AND SEE IF THERE'S OTHER
01:15:02 QUALITATIVE INFORMATION THAT WE CAN PULL OUT THAT WOULD HELP US
01:15:04 TO REALLY UNDERSTAND HOW FOLKS ARE DOING AND MAKING SURE WE'RE
01:15:07 DELIVERING THE RIGHT SERVICES AT THE RIGHT TIME.
01:15:10 >> AND THE LAST THING WHAT WE'RE DOING IS EXPLORING A
01:15:13 TENANT STATUS ASSESSMENT SURVEY SO IF WE AT THE END OF THIS IF
01:15:17 WE DON'T HAVE QUITE ENOUGH DATA TO HELP US ON A POPULATION
01:15:21 LEVEL SORT OF DESIGN SERVICE TIERS, WE MAY EXPLORE THE USE
01:15:24 OF A ONE TIME AND GO TO THE BUILDINGS, TELL US WHO'S DOING
01:15:26 WELL, WHO'S NOT, WHAT KIND OF CARE MODEL MIGHT BE BEST OR
01:15:29 APPROPRIATE FOR FOLKS AND THEN THINKING ABOUT MAYBE A MORE
01:15:32 SYSTEMATIC IMPLEMENTATION OF THIS SO THAT WE HAVE GOOD
01:15:34 PROCESS FOR ONGOING UNDERSTANDING.
01:15:37 WE KNOW WE DO COORDINATED ENTRY BUT THEN ONCE PEOPLE ARE IN HOW
01:15:39 DO WE SYSTEMATICALLY ASSESS HOW FOLKS ARE DOING AND MAKING SURE
01:15:41 WE'RE INTERVENING AT THE RIGHT TIME SO IT'S SOMETHING WE WILL
01:15:44 WE WILL EXPLORE AND BUT KNOWING THERE'S A LOT OF INFRASTRUCTURE
01:15:48 AROUND THIS, YOU DON'T WANT TO JUST ASK FOR IT FOR
01:15:49 INFORMATION, FOR INFORMATION SAKE.
01:15:51 >> YOU WANT TO MAKE SURE THAT YOU CAN DO SOMETHING WITH IT.
01:15:52 ALL RIGHT. SO I'M GOING TO HAND IT OVER TO
01:15:55 MARY AND TO TALK ABOUT OUR CURRENT CATALOGING AND THEN
01:15:56 I'LL BE BACK FOR WORKSTREAM FOR THANK YOU CHRISTA SO I AM GOING
01:16:06 TO WALK YOU THROUGH OUR CURRENT CATALOG OF PERMA SUPPORTIVE
01:16:07 HOUSING SERVICES. >> NEXT SLIDE.
01:16:10 SO AGENTS H AND H PLANNING TEAM PLANNING AND DATA TEAM SO SHOUT
01:16:14 OUT TO THEM BECAUSE THEY REALLY DID A PHENOMENAL JOB PUTTING
01:16:17 THIS TOGETHER CAME TOGETHER TO MAP OUT A CLEAR FRAMEWORK FOR
01:16:21 CATALOGING OUR CURRENT SERVICES PORTFOLIO AND OVERLAYING IT
01:16:25 WITH THE THREE RESIDENT ARCHETYPES WE SEE AND SAGE.
01:16:29 SO WHAT CHRIS HEDGES DEMONSTRATED EARLIER SO SHE
01:16:35 WALKED YOU THROUGH THOSE THREE RESIDENT TYPES THAT I'M SORRY
01:16:43 THAT WE OFTEN TALK ABOUT. >> SO THOSE ARE XY CAP OUT THE
01:16:47 CAPACITY OF SAGE, THE CORE RESIDENCE AND IN A LOWER NEEDS
01:16:51 RESIDENCE. THIS FRAMEWORK THAT YOU'RE
01:16:52 SEEING HERE BUILDS ON THAT WEAVING IN THE RESIDENT
01:16:55 ARCHETYPES OR TARGET POPULATIONS THE TYPES OF
01:16:58 SERVICES BEING OFFERED, THE NUMBER OF BEDS THOSE RESIDENTS
01:17:05 OCCUPY AND THE MODALITY OF SAGE THEY LIVE IN.
01:17:06 SO IF IT'S SITE BASED OR IF IT'S SCATTERED SITE SO THAT'S
01:17:11 WHAT YOU'RE SEEING HERE. >> IT IS IMPORTANT TO NOTE THAT
01:17:14 NOT ALL OF THE SAGE PORTFOLIO FITS PERFECTLY WITHIN THESE
01:17:20 LEVELS 134 HOWEVER THE STRUCTURE PROVIDES THE CLEAR
01:17:23 WAY FOR US TO DESCRIBE THE RANGE OF SERVICES CURRENTLY
01:17:27 PROVIDED ACROSS THE SAGE SYSTEM .
01:17:31 SO TO CLARIFY A LEVEL ONE THROUGH FOUR INCREASE BOTH BOTH
01:17:34 IN RESIDENT ACUITY AND ALSO SERVICE LEVEL.
01:17:37 LEVEL ONE REPRESENTS RESIDENTS WITH LOWER NEEDS AND THAT MEANS
01:17:44 THAT THERE'S A LIGHTER LEVEL OF SERVICE AND SO LEVELS TWO
01:17:48 AND THREE REPRESENT WHAT WE CAN'T WHAT WE CURRENTLY CALL
01:17:53 CORE SAGE AND THIS IS WHERE ABOUT 90% OF OUR PCH RESIDENTS
01:17:59 FALL AND THE MAIN DIFFERENCE BETWEEN LEVELS TWO AND THREE IS
01:18:03 BASICALLY THE EMBEDDED HEALTH SERVICES SUCH AS NURSING
01:18:06 AND SPECIALTY MENTAL HEALTH LEVEL FOUR REPRESENTS THE
01:18:10 HIGHEST LEVEL OF SERVICES WE CURRENTLY PROVIDE WITHIN PCH.
01:18:14 THESE SERVICES ARE DESIGNED FOR RESIDENTS WHO ARE AT THE
01:18:19 GREATEST RISK OF INSTITUTIONAL INSTITUTIONALIZED ATION
01:18:23 AND HELP KEEP PEOPLE IN THE LEAST RESTRICTIVE ENVIRONMENT.
01:18:27 POSSIBLE EXAMPLES INCLUDE OUR CARDIA HEALTH MODEL WHICH IS A
01:18:31 SITE BASED MODEL AT KCC AS WELL AS FULL SERVICE PARTNERSHIP
01:18:35 SERVICES FOR INDIVIDUALS WHO COME THROUGH THE BEHAVIORAL
01:18:39 HEALTH SYSTEM AND QUALIFY FOR THAT LEVEL OF CARE PASSING IT
01:18:43 BACK TO LOOKS LIKE YOU ALL RIGHT SO WE COME TO OUR FINAL
01:18:50 WORKSTREAM SO THE GOAL HERE THROUGH THIS ANALYSIS IS BOTH
01:18:58 KIND OF UNDERSTANDING WHAT OUR CURRENT PORTFOLIO LOOKS LIKE
01:19:01 SORT OF ASSESSING THE CARE NEEDS OF OUR CURRENT TENANTS.
01:19:05 YOU KNOW WHAT SHOULD RESULT IN HOW DO WE WANT TO SHIFT THAT
01:19:06 SO YOU CAN SEE WE HAVE A LOT IN THE MIDDLE AND VERY LITTLE
01:19:10 ON THE ENDS WHEN WE SORT OF DO IS THAT RIGHT?
01:19:13 WE NEED TO KIND OF ASSESS IS THAT RIGHT?
01:19:14 SHOULD WE BE SHIFTING IT OTHER WAY BASED ON WHO OUR CURRENT
01:19:17 TENANTS OR WHO WE ARE EXPECTING TO COME IN?
01:19:20 >> SO WE WILL SORT OF START TO MAKE SOME OF THOSE DIRECTIONAL
01:19:21 DECISIONS AND THEN THAT WILL TAKE TIME TO BE ABLE TO REALLY
01:19:24 BUILD UP THOSE THOSE VARIOUS SYSTEMS AND WE ARE EXCITED TO
01:19:27 BE DOING THAT IN PARTNERSHIP WITH THE CITY BUT ALSO AS WE
01:19:31 START TO TALK MORE WITH PROVIDERS AND THEN HEAD INTO
01:19:35 THE PROCUREMENT PROCESS AND IN THE MEANTIME WE'VE HAD SOME
01:19:38 REALLY EXCELLENT CONVERSATIONS WITH VARIOUS GROUPS FROM CARDIA
01:19:42 TO DISH TO UCSF TO OUR FACS TEAM TO SAGE STAFF JUST WHO ARE
01:19:46 DOING THIS WORK. I'VE KNOWN THEM FOR DECADES.
01:19:50 I REALLY HAVE JUST HAD SOME AMAZING IDEAS AND WE'VE BEEN
01:19:52 SORT OF SYNTHESIZING THOSE AND SEEING THAT THERE IS
01:19:55 ACTUALLY SOME REALLY CLEAR GAPS THAT WE MIGHT BE ABLE TO SOLVE
01:19:58 NOW. SO JUST THE NEXT SLIDE I'M JUST
01:19:59 POPPING UP A COUPLE EXAMPLES. THIS IS NOT INCLUSIVE OF
01:20:03 EVERYTHING WE ARE. WE CAN OBVIOUSLY SHARE SOME OF
01:20:07 THAT BUT THE FIRST ONE IS EXCEEDS TYPICAL PCH CAPACITY.
01:20:13 >> WE HAVE IDENTIFIED A VERY SMALL GROUP OF FOLKS WITH
01:20:17 COGNITIVE DECLINE OR DEMENTIA TBI, OTHER OTHER REASONS WHOSE
01:20:25 BEHAVIOR WHO IS SORT OF AGGRESSIVE BEHAVIORS OR
01:20:30 CHALLENGING BEHAVIORS ARE NOT ARE DRIVEN BY THEIR DEMENTIA,
01:20:33 NOT THEIR PRIMARY PSYCHIATRIC DIAGNOSIS.
01:20:36 AND FOR THIS GROUP OF PEOPLE THERE ARE NO REAL OPTIONS.
01:20:40 THEY CAN'T GET INTO SOME OF THE PSYCH FACILITIES BECAUSE THEY
01:20:41 DO NOT HAVE A PRIMARY DIAGNOSIS OF MENTAL HEALTH AND THE LONG
01:20:45 TERM CARE SORT OF STIFFS ARE NOT PREPARED TO DEAL WITH SOME
01:20:49 OF THESE MORE CHALLENGING BEHAVIORS.
01:20:52 AND SO WHAT HAPPENS IS THESE FOLKS ARE KIND OF LEFT CYCLING
01:20:56 AND RICOCHETING THROUGH OUR STREETS OR SHELTERS, OUR PCH,
01:20:59 OUR HOSPITALS AND THEN END UP SOMETIMES SITTING IN OUR
01:21:01 HOSPITALS FOR FOUR YEARS AT A HUGE COST ACTUALLY FOR THE CITY
01:21:06 AND JUST A HUGE COST FOR THAT CLIENT WHO IS NOT GETTING WHAT
01:21:10 THEY NEED. SO ONE OF THE THINGS WE ARE
01:21:14 DOING AND WE'LL HOPEFULLY BE ABLE TO TALK ABOUT IT MORE IS
01:21:15 WITH THE PHILANTHROPIC FUNDING WE ARE CONSIDERING A PILOT
01:21:18 WHERE WE CAN DO SINGLE CASE AGREEMENTS WITH THESE FOLKS TO
01:21:22 BE ABLE TO TRY TO CONVINCE SOME OF THESE FACILITIES WHO ARE
01:21:25 SAYING NO NOW BUT LIKE SOME EXTRA SUPPORTS CAN YOU TRY TO
01:21:29 DO THIS AND SEE IF WE CAN UNLOCK ANYTHING SO MORE TO COME
01:21:30 ON THAT RIGHT NOW. BUT I THINK THIS COULD BE A
01:21:33 VERY PROMISING PILOT THAT WILL BOTH SORT OF DECREASE SOME OF
01:21:37 THE STRESS ON THE PCH BUILDINGS WHERE FOLKS ARE SITTING NOW
01:21:40 AND THERE'S NO THERE SEEMS TO BE NO OPTION BUT EVICTION
01:21:44 AND WE ABSOLUTELY DON'T WANT TO SEE THAT.
01:21:45 AND THEN OBVIOUSLY FOLKS WHO ARE JUST THERE'S NO DISCHARGE
01:21:48 PLAN BUT THEY ARE AT A LOWER LEVEL OF CARE.
01:21:49 THEY DON'T HAVE AN ACUTE MEDICAL ISSUE TO DEAL WITH CORE
01:21:52 PCH JUST REALLY THINKING ABOUT ASTHMA AND OTHER SUBSTANCE USE
01:21:58 DISORDER. >> YOU KNOW, HOW DO WE I THINK
01:22:02 ONE OF THE THINGS THAT'S BEEN REALLY EXCITING TO KNOW
01:22:03 EXCITING SORT OF HAS COME UP AS A THEME IS JUST HOW ARE WE
01:22:06 ASSESSING CLIENTS AT THE VERY BEGINNING AND MAKING SURE WE'RE
01:22:09 SETTING THEM UP FOR EARLY SUCCESS?
01:22:13 YOU KNOW THAT ALL TRANSITIONS ARE LIKE THE MOST VULNERABLE
01:22:17 TIMES WHEN YOU'RE MOVING FROM ONE SETTING TO ANOTHER TO ONE
01:22:18 CASE MANAGER OR ANOTHER AND THERE'S A CRITICAL TIME
01:22:21 INTERVENTION MODEL REALLY LIKE BUILT FOR THOSE TRANSITIONS
01:22:24 AND SO WE ARE GOING TO BE TEST PILOTING A PRE MOVE IN CASE
01:22:28 CONFERENCE FOR HIGHER ACUITY CLIENTS SO THAT WE CAN REALLY
01:22:32 MAKE SURE THE BUILDING STAFF ARE READY AND THEN TO HAVE ALL
01:22:33 THE INFORMATION THAT WE HAVE A CLEAR CARE PLAN SO WE CAN HELP
01:22:36 REALLY STABILIZE SOMEBODY IN THAT BEGINNING PART AND WE
01:22:37 THINK IF WE DO THAT WE HAVE A LOT LARGER CHANCE OF SUCCESS
01:22:41 LONG TERM AND OF COURSE FOR A LOWER NEEDS RESIDENCE.
01:22:47 YOU KNOW WITH I THINK THE DEPARTMENT IS GOING TO BE SPENT
01:22:48 EXPANDING THAT LIKE A MOVING ON 2.0 AND JUST REALLY THINKING
01:22:52 ABOUT HOW WE CAN IDENTIFY PEOPLE AND SYSTEMATICALLY HELP
01:22:56 FOLKS MOVE ON TO LOWER LEVELS OF CARE.
01:22:59 SO NEXT SLIDE I'M GOING TO HAND IT BACK OVER TO MARY AGAIN SO I
01:23:05 AM GOING TO TAKE YOU THROUGH WHAT WE MEAN BY A GOVERNANCE
01:23:12 STRUCTURE AND OPERATIONAL FRAMEWORK.
01:23:13 >> NEXT SLIDE PLEASE. SO WHEN WE BEGAN THIS WORK TO
01:23:16 ASSESS WHETHER PCH AS BOTH AN INTERVENTION AND SYSTEM OF CARE
01:23:21 WAS ALIGNED WITH THE NEEDS OF CURRENT AND FUTURE RESIDENTS,
01:23:24 WE QUICKLY REALIZED THAT THE WAY OUR DEPARTMENTS WERE
01:23:31 WORKING TOGETHER DID NOT FULLY MATCH THE LEVEL OF COORDINATION
01:23:34 NEEDED TO ADDRESS THE COMPLEXITY OF RESIDENT NEEDS.
01:23:39 >> SO WE HAD TO FACE THAT DIRECTLY.
01:23:40 CHRIS AND I RECOGNIZE EARLY ON THAT IF WE WERE GOING TO DO
01:23:46 THIS RIGHT WE NEEDED TO MOVE OUR DEPARTMENTS AWAY FROM
01:23:50 SILOED DECISION MAKING AND TOWARDS TRUE JOINT DECISION
01:23:51 MAKING. THE BEST WAY TO DO THAT IS BY
01:23:55 ESTABLISHING A FORMAL GOVERNANCE STRUCTURE WITH CLEAR
01:23:59 AGREEMENTS THAT INCLUDES DEFINING ROLES
01:24:02 AND RESPONSIBILITIES, ASSIGNING ACCOUNTABILITY, DETERMINING
01:24:06 FUNDING APPROACHES CO-DESIGNING AND AGREEING TO A CITYWIDE
01:24:10 PACKAGE OF SERVICES DETERMINING METRICS, ALIGNING ON POLICY
01:24:14 AND COORDINATING AROUND SAFETY IN ALL FORMS.
01:24:18 WE ALSO RECOGNIZED THAT CREATE A GOVERNANCE STRUCTURE ALONE IS
01:24:22 NOT ENOUGH. >> WE ALSO NEED AN OPERATIONAL
01:24:26 FRAMEWORK THAT EXPLAINS HOW WE WILL BRING THOSE AGREEMENTS TO
01:24:29 LIFE. THAT INCLUDES HOW WE INTAKE
01:24:33 RESIDENTS INTO PCH, HOW WE SUPPORT TRANSITIONS OR EXITS,
01:24:38 HOW WE INTERPRET POLICY TOGETHER, HOW WE CO-CREATE
01:24:41 WORKFLOWS AND HOW WE DETERMINE WHO WITHIN OUR WITH IN OUR
01:24:45 ORGANIZATIONS IS RESPONSIBLE FOR OPERATIONALIZING THIS WORK
01:24:49 TO SUPPORT THIS EFFORT WE'RE WORKING WITH THE COMPTROLLER'S
01:24:53 OFFICE TO HELP DEVELOP BOTH THE GOVERNANCE STRUCTURE AND THE
01:24:58 OPERATIONAL FRAMEWORK IN PARALLEL WE ARE ALSO WORKING
01:25:01 WITH A CONSULTANT TO DEVELOP A FRAMEWORK FOR A CITYWIDE
01:25:05 PACKAGE OF SERVICES. THIS WORK WILL INCLUDE
01:25:09 STAKEHOLDER INPUT DURING THE MULTI-YEAR PSA 3D PHASE OF OUR
01:25:16 PROCUREMENT PROCESS SO THAT DISCOVER DEFINE IN DESIGN PHASE
01:25:22 WHICH TAKES PLACE SIX MONTHS LEADING UP TO THE PUBLICATION
01:25:26 OF THE PROCUREMENT. SO LET'S GO ON TO NEXT STEPS.
01:25:30 NEXT SLIDE. SO CHRIS KIND OF SHE'S ALREADY
01:25:34 WENT THROUGH IT. NEXT SLIDE PLEASE.
01:25:38 >> A LOT OF THESE NEXT STEPS. SO FOR RESIDENTS THAT EXCEED
01:25:45 THE CURRENT CAPACITY WE'RE EXPLORING THE PILOT TO SERVE
01:25:49 HIGH ACUITY CLIENTS WHO ARE PARTICULARLY DIFFICULT TO SERVE
01:25:53 IN PCH. AND SO THE MAYOR'S OFFICE WILL
01:25:56 BE ANNOUNCING A PILOT PRETTY SOON.
01:26:00 TPA IS STILL THERE LEADING AN ANALYSIS OF ADMINISTRATIVE DATA
01:26:05 ACROSS MULTIPLE CITY DEPARTMENTS TO DETERMINE
01:26:07 WHETHER OR NOT WE CAN ESTIMATE THE NUMBER AND PROPORTION OF
01:26:12 CURRENT PCH RESIDENTS WHO MAY REQUIRE A HIGHER LEVEL OF CARE
01:26:15 THAN WHAT IS CURRENTLY AVAILABLE FOR CORE PCH
01:26:19 RESIDENTS. WE'RE LAUNCHING THE GOVERNANCE
01:26:23 AND OPERATIONAL FRAMEWORK SESSIONS IN PARTNERSHIP WITH
01:26:28 THE COMPTROLLER'S OFFICE AND FOR LOWER NEEDS IN ADDITION
01:26:29 TO THE MOVING ON, WE'RE STILL CONTINUING TO ITERATE ON A
01:26:32 PILOT AIMED AT IMPROVING CONNECTIONS TO MAINSTREAM
01:26:35 BENEFITS. AND THIS CONCLUDES OUR
01:26:39 PRESENTATION WE CAN OPEN UP FOR QUESTIONS.
01:26:42 >> THANK YOU. THANK YOU SO MUCH.
01:26:43 I'LL OPEN IT UP TO MEMBERS OF THE PUBLIC COMMENT AND THEN
01:26:47 WE'LL HAVE COMMISSIONERS COMMENTS.
01:26:51 >> DIRECTOR EXPAND. I WAS JUST GOING TO SAY I
01:26:52 WANTED TO THANK MARION AND KRISTA FOR THEIR
01:26:55 PRESENTATION AND SAY THEY WORKED HOURS ON THIS AND IT
01:26:58 REALLY IS IMPORTANT AND IF WE THINK ABOUT SOME OF THE THINGS
01:27:02 THAT ARE HAPPENING IN PCH PARTICULARLY WHEN WE SEE PEOPLE
01:27:03 NOT YOU KNOW, LIKE AND ONE INDIVIDUAL REALLY NOT THRIVING
01:27:09 AND THEREFORE OTHER PEOPLE AROUND THEM AREN'T THRIVING.
01:27:13 BUT THEN YOU KNOW ALSO OFTEN THEY GET EVICTED AND WE DON'T
01:27:17 WANT THAT EITHER. AND SO THIS IS REALLY IMPORTANT
01:27:19 WORK TO KIND OF THINK ABOUT THE NEEDS OF THE DIFFERENT TYPES OF
01:27:21 FOLKS THAT WE ARE SEEING AND THEN YOU KNOW, MEETING THEM
01:27:24 WHERE THEY ARE. >> BUT I ALSO JUST WANTED TO
01:27:28 SAY THAT THIS IS ONE EXAMPLE OF THE WORK THAT WE'RE DOING WITH
01:27:29 THE DEPARTMENT OF PUBLIC HEALTH AND WITH OTHER DEPARTMENTS
01:27:33 AND WE THOUGHT IT WOULD BE A GREAT THING TO START WITH AS WE
01:27:36 TALK ABOUT BREAKING THE CYCLE AND AS WE TALK ABOUT THE
01:27:39 VARIOUS PIECES OF IT AND WE WILL TEE UP SOME OTHER
01:27:40 PRESENTATIONS FOR YOU IN THE FUTURE BUT JUST WANTED TO GIVE
01:27:44 YOU A TASTE OF OF SOME OF THE WORK THAT'S HAPPENING.
01:27:47 THANK YOU SO MUCH. REALLY APPRECIATE IT.
01:27:51 TO ENSURE THAT WE HAVE ADEQUATE TIME FOR OUR PUBLIC COMMENT
01:27:55 AND COMMISSIONERS COMMENT. COULD WE JUST GET A SHOW OF
01:27:56 HANDS OF HOW MANY MEMBERS OF THE PUBLIC ARE INTENDING TO
01:27:59 SPEAK ON THIS? >> OKAY.
01:28:02 AND HOW MANY PEOPLE ONLINE THERE'S ONE CALLER IN THE
01:28:07 QUEUE. >> OKAY.
01:28:07 THANK YOU SO MUCH. PUBLIC COMMENT PLEASE FILL OUT
01:28:10 THE BLUE CARD IF YOU HAVEN'T ALREADY AND WE'LL ALLOW FOR
01:28:13 THREE MINUTES FOR PUBLIC COMMENT.
01:28:14 >> THANK YOU SO MUCH FOR AGAIN LAUREN HALL DISCH ALSO CO-CHAIR
01:28:21 OF SUPPORTIVE HOUSING PROVIDER NETWORK.
01:28:24 I AM REALLY EXCITED ABOUT THE WORK THAT IS HAPPENING AND I
01:28:28 JUST WANT TO ADD ONE PIECE THAT FEELS LIKE IT'S BEEN HARD TO
01:28:31 ACTUALLY YOU KNOW TO PUT INTO ACTION.
01:28:32 I THINK THAT WHEN WE TALK ABOUT A CONVERSATION ABOUT SETTING
01:28:36 THE GOALS OF WHAT SUCCESS LOOKS LIKE AND PCH AND THE PROVIDERS
01:28:39 AND THE RESIDENTS THAT WE SERVE OR IN AN ACTIVELY IN THAT
01:28:43 CONVERSATION AROUND WHAT THE GOAL IS IT SORT OF SETS US OFF
01:28:44 ON A DIFFICULT TRACK AND I REALLY HAVE A LOT OF RESPECT
01:28:47 FOR THE WORK THAT MARION AND KRISTA ARE LEADING.
01:28:51 >> BUT I ALSO FEEL LIKE IT'S FELT A LITTLE BIT LIKE TRYING
01:28:55 TO SCRATCH AT THE DOOR FROM THE PROVIDER AND RESIDENT COMMUNITY
01:28:59 ABOUT A LOT OF THE THINGS THAT ARE HAPPENING IN SUPPORT OF
01:29:00 HOUSING. WHAT WE'RE SEEING I FEEL LIKE
01:29:03 SUPPORTIVE HOUSING WAS REALLY A PROVIDER DRIVEN MODEL BACK BACK
01:29:07 IN THE DAY THERE WAS A LOT OF FOLKS THAT WERE DOING SUPPORTS
01:29:11 SERVICES THAT WEREN'T SEEING THEIR THEIR HOUSING, THEIR
01:29:12 RESIDENTS OF THE HOUSING NEEDS MET.
01:29:14 THERE WERE HOUSING PROVIDERS WHO REALLY FELT LIKE WE NEEDED
01:29:16 TO DO MORE TO BE ABLE TO LET PEOPLE IN.
01:29:18 THERE'S A LOT OF WORK AROUND REFINING THE MODEL THAT FELT
01:29:20 LIKE IT WAS MORE OF A PARTNERSHIP AND I THINK THAT AS
01:29:23 THIS MODEL EVOLVES IT FEELS AT TIMES THAT THE CITY IS TRYING
01:29:27 TO DETERMINE EXACTLY WHAT IT SHOULD LOOK LIKE AND THE
01:29:28 PROVIDERS COME IN FOR FEEDBACK. BUT I REALLY THINK THIS SHOULD
01:29:31 BE A PARTNERSHIP DRIVEN CONVERSATION AND AND SO HOPING
01:29:35 THAT AS WE LOOK AT WHAT THAT GOVERNANCE PIECE THAT WAS THE
01:29:38 FIRST TIME I'D SEEN ANY OF THAT MATERIAL SO I'M SORRY I WASN'T
01:29:40 ABLE TO TOTALLY SEE IT BUT THE GOVERNANCE AND OVERSIGHT PIECE
01:29:43 THAT IT REALLY ISN'T JUST AN AGENCY I THINK YOU NEED TO HAVE
01:29:47 VOICES. WE HAVE US THAT WE HAVE A
01:29:50 RESIDENT ADVISORY BOARD WITH A SUPPORTIVE HOUSING PROVIDER
01:29:52 NETWORK. WE HAVE MANY PROVIDERS WITH
01:29:54 YEARS AND YEARS OF EXPERTISE ON THIS MODEL AND I THINK THAT
01:29:58 UNLESS WE FIGURE OUT A WAY TO DO THIS COLLABORATIVELY IT
01:30:01 MAKES IT MUCH MORE DIFFICULT FOR US TO SUCCEED.
01:30:03 AND SO I HAVE APPRECIATED THE OPTIONS THAT I'VE HAD TO TALK
01:30:06 TO KRISTA TO TALK TO MARIN ABOUT THIS.
01:30:10 >> BUT I THINK THAT AS A SYSTEM WE SEEM TO BE SKIPPING THAT
01:30:13 STEP AND I WOULD REALLY ENCOURAGE US TO THINK ABOUT
01:30:16 BACK BACK 2025 YEARS AGO SHELTER PLUS CARE WHEN THAT WAS
01:30:20 REALLY BLOWING UP THERE WAS AN OVERSIGHT COMMITTEE THAT
01:30:22 INCLUDED PROVIDERS INCLUDE AND GOVERNMENT INCLUDE INCLUDED
01:30:25 RESIDENTS AND I JUST REALLY HOPE THAT WE CAN MOVE TOWARDS
01:30:29 THAT SORT OF CONVERSATION SO THAT WE'RE NOT JUST REACTING AT
01:30:32 A COMMISSION MEETING OR REACTING AT A WEBINAR OR A
01:30:36 MEETING WHERE THERE'S A POWERPOINT AND WE'RE ABLE TO
01:30:38 GIVE A FEW COMMENTS HERE AND THERE I REALLY THINK WE
01:30:40 NEED TO CO-CREATE THIS MODEL TOGETHER.
01:30:41 OUR RESIDENTS DESERVE THAT AND I THINK THE MANY, MANY
01:30:45 FOLKS THAT ARE WORKING IN SUPPORTIVE HOUSING REALLY
01:30:48 DESERVE AN OPPORTUNITY TO SHARE WHAT THEY'RE SEEING ON THE
01:30:49 GROUND TO SHARE WHAT THEY'RE HEARING FROM THEIR RESIDENTS
01:30:52 AND TO REALLY BE ABLE TO MAKE THIS AS ROBUST AND EFFECTIVE AS
01:30:53 WE CAN. JUST PUTTING THAT PLUG IN.
01:30:55 THANK YOU. NEXT SPEAKER THANK YOU FOR
01:31:02 THOSE COMMENTS. SEEING NO SPEAKER IN THE I
01:31:09 THINK WE ACTUALLY HAVE ONE ONE SPEAKER I THINK WE ALSO NEED TO
01:31:18 KEEP IN MIND THAT OUR CASE MANAGERS ARE DROWNING
01:31:24 IN PAPERWORK. THERE'S YOU KNOW LIKE IF THE
01:31:28 POLICE COME TO THE BUILDING IT MIGHT OUT THERE THEY GOT A LOT
01:31:32 OF PAPERWORK TO FILL OUT THE AMBULANCE.
01:31:33 SOMEONE DIES IS MORE PAPERWORK, MORE PAPERWORK.
01:31:39 AND I THINK THE OTHER PROBLEM THAT WE'RE HAVING IS IS LIKE
01:31:43 OKAY, SO WHEN DO YOU SURVEY AND TALK TO THE RESIDENTS
01:31:50 AND THE CLIENTS? IT JUST SEEMS LIKE YOU'RE
01:31:51 TALKING TOGETHER. YOU'RE YOU'RE YOU'RE
01:31:54 CONSIDERING TALKING TO EACH OTHER BUT WHAT DO THE CLIENTS
01:31:58 SAY REGARDING WHAT DO THEY NEED?
01:31:59 WHAT DO THEY WANT? >> HOW DO THEY HANDLE THEIR
01:32:03 CARE? IT SEEMS LIKE IT'S JUST GETTING
01:32:06 MISSING ON THE OTHER SITUATION IS IS THE WAY YOU'RE DESCRIBING
01:32:10 IT IS IS LIKE A VARIANT OF A NURSING HOME AND IT'S AND AS
01:32:17 PEOPLE START TO GET OLDER THEY'RE GOING TO HAVE MORE
01:32:21 NEEDS AND THAT'S TO ME THAT'S WHAT'S BEING IMPLIED AND I
01:32:25 THINK WE STILL GO BACK TO HOW DO WE GET PEOPLE TO VOLUNTEER
01:32:36 OR DO JOBS OR SOMETHING SO THAT YOU KNOW, HOPEFULLY WE CAN GET
01:32:40 PEOPLE GET MORE PEOPLE TO EXIT THESE SYSTEMS OTHER THAN JUST
01:32:47 DYING ARE BEING HOMELESS. YOU KNOW, I MEAN HOPEFULLY WE
01:32:52 COULD GET PEOPLE TO TRANSITION SO THAT THEY COULD NOT BE ON
01:32:55 THESE SYSTEMS. AND I THINK THE OTHER THING IS
01:32:59 IS THEY'VE TALKED A LOT ABOUT YES, BUT WHAT IS THAT ACRONYM?
01:33:16 THANK YOU SO MUCH PUT YEAH PERMANENT SUPPORTIVE HOUSING
01:33:23 THANK YOU SO MUCH PUBLIC COMMENT IN THE ROOM I DON'T SEE
01:33:26 ANYONE ELSE IS THERE ANYONE ONLINE?
01:33:27 >> YES GO AHEAD CALLER WE HEAR YOU.
01:33:30 >> HI, MY NAME'S ETHAN. I'M HERE BECAUSE MY AMAZING
01:33:35 BROTHER WILL TODAY ERIC MCCAIN'S GUIDANCE SUPPORTIVE
01:33:39 HOUSING THEY CALL IT HE SHOULD BE ALIVE TODAY IF WELLNESS
01:33:46 CHECK FOR THEM AND THEY HAD DONE THEIR JOB MY BROTHER WAS
01:33:47 IN A CASE WHILE HE WAS AN AMAZING HUMAN BEING AND I THINK
01:33:53 THAT IT'S REALLY IMPORTANT THAT WE TAKE NOTE OF HOW OFTEN
01:33:57 ACCOUNTABILITY AND ALMOST TAX AND CASE MANAGEMENT IS BEING
01:34:03 OVERSEEN BY THE CITY BECAUSE ONCE A YEAR ACCOUNTABILITY
01:34:10 AUDITS ARE NOT ENOUGH. IT NEEDS TO BE MONTHLY UNTIL
01:34:14 ALL OF THESE PLACES ARE IN COMPLIANCE.
01:34:15 >> I WOULD HIGHLY SUGGEST YOU REVIEW THE PAY THE RENT THAT
01:34:18 SOME OF THE RESIDENTS CASE MANAGEMENT NODES BECAUSE I JUST
01:34:22 HEARD THEY HAVE TOO MUCH PAPERWORK BUT I LOOKED AT I
01:34:26 HAVE ALL OF MY BROTHER'S CASE MANAGEMENT NOTES AND THEY'RE
01:34:27 LITERALLY GAVE HIM MY CALENDAR ONCE A MONTH, GAVE HIM A
01:34:31 CALENDAR. THERE'S NO CASE MANAGEMENT.
01:34:34 THERE WAS ONLY CASE MANAGEMENT WHEN ONE CASE WORKER WAS THERE.
01:34:38 SO I THINK IT'S REALLY IMPORTANT THAT THEY DO DO THE
01:34:41 BANK BOARD AND IF A RESIDENT DIES THEY ABSOLUTELY SHOULD
01:34:43 HAVE TO DO THE PAPERWORK. BUT I ALSO THINK THAT ONCE A
01:34:46 YEAR COMPLIANCE AUDITS ARE NOT ENOUGH.
01:34:49 OVERSIGHT NEEDS TO BE FREQUENT AND MEANINGFUL BECAUSE IT'S NOT
01:34:52 HUMAN RIGHTS BECAUSE THERE'S HUMAN LIVES.
01:34:56 >> MY BROTHER WOULD HAVE BEEN SAFER ON THE STREET THAN IN HIS
01:35:00 APARTMENT. SOMEBODY WOULD HAVE BEEN ABLE
01:35:01 TO HELP HIM AND FEED THEM AND THAT TO ME DOESN'T WORK.
01:35:04 THAT'S A SYSTEM THAT WAS DESIGNED TO HELP BUT IS NOT
01:35:08 HELPING. SO IT HAS TO BE SUPPORTIVE
01:35:11 HOUSING NOT JUST IN NAME BUT IN PRACTICE.
01:35:15 MY BROTHER'S LIFE MATTERS AND IT SHOULDN'T TAKE A
01:35:19 GRIEVING SISTER MAKING SO MUCH NOISE THAT NOW CHANGE IS
01:35:23 HAPPENING BECAUSE MY BROTHER'S NOT THE FIRST DECOMPOSED BODY
01:35:25 DISCOVERED IN HOME RISE BUILDINGS AND I ALSO THINK THAT
01:35:29 WE SHOULD BE AWARE AND SHOULD COORDINATE WITH THE CORONER'S
01:35:33 OFFICE SO THAT YOU KNOW WHEN A DECOMPOSED BODY IS FOUND IN ANY
01:35:38 SUPPORTED HOUSING UNIT THAT REQUIRED WELLNESS CHECKS OF ANY
01:35:41 OF THE PROVIDERS. THANK YOU SO MUCH FOR THE
01:35:44 CHANGES YOU'RE MAKING. THANK YOU SO MUCH FOR THE
01:35:48 INVESTIGATIONS YOU'RE DOING BUT WE CAN DO MORE BECAUSE MY
01:35:52 BROTHER'S LIFE MATTERED. >> THANK YOU.
01:35:55 THANK YOU. NO MORE CALLERS.
01:35:58 >> NO MORE CALLERS. NO MORE INDIVIDUAL SPEAKERS
01:36:00 IN THE ROOM. A PUBLIC COMMENT ON ITEM NINE
01:36:03 IS CLOSED. WE'LL TURN TO COMMISSIONERS
01:36:06 COMMENTS MANY COMMISSIONERS WOULD LIKE TO SHARE THEIR
01:36:10 COMMENTS SO I'LL TURN TO VICE CHAIR RAMBO FIRST THANK YOU ALL
01:36:14 FOR YOUR PRESENTATION IS VERY INSIGHTFUL.
01:36:17 ONE OF THE QUESTIONS I HAVE IS FROM WHAT YOU'RE SEEING WAS THE
01:36:21 LIKELIHOOD OF FOLKS RETURNING YOU KNOW SO YOU HAVE SEVERE
01:36:25 BEHAVIORAL HEALTH NEEDS. >> I KNOW THAT THAT'S PROBABLY
01:36:28 SPY A BIG ISSUE THAT WE'RE FACING IN THE CITY AND I WAS
01:36:32 JUST KIND OF CURIOUS LIKE HOW OFTEN ARE YOU SAYING THAT
01:36:36 RETURNING TO PERMANENT SUPPORTIVE HOUSING I CAN BE
01:36:37 SURE. >> UM, I'M NOT SURE IF WE HAVE
01:36:40 ACCESS TO THAT DATA RIGHT NOW BUT I THINK IT'S SOMETHING THAT
01:36:44 WE CAN GET BACK TO YOU WITH WITH YEAH, WE DON'T HAVE IT
01:36:47 RIGHT NOW BUT THAT'S A QUESTION THAT WE CAN COME BACK AND THEN
01:36:50 THE GAPS YOU WERE STARTING TO MENTION FOLKS WHO HAVE DEMENTIA
01:36:54 YOU KNOW DIFFERENT KINDS OF MENTAL HEALTH ISSUES IS THERE
01:37:02 ARE THERE ADDITIONAL AREAS WHERE YOU KNOW, YOU MAY NEED
01:37:03 MORE FUNDING SO THAT YOU CAN ACTUALLY GET CERTAIN
01:37:07 CASEWORKERS THAT CAN HELP THOSE PARTICULAR GROUPS OF PEOPLE
01:37:10 BECAUSE YOU KNOW, A STRONG FOCUS ON SPECIFIC CARE IS
01:37:14 PROBABLY GOING TO BE SOMETHING THAT CAN BE HELPFUL
01:37:17 IN ADDRESSING LONG TERM ISSUES. >> YEAH, I THINK AND IF YOU
01:37:18 WANT TO TALK ABOUT THE PILOT A LITTLE BIT MORE YEAH, THE PILOT
01:37:22 WILL THAT CHRISTA REFERRED TO WILL FOCUS ON JUST KIND OF LIKE
01:37:26 ALL OF THE VARIOUS NEEDS THAT THAT POPULATION THAT REALLY
01:37:29 EXCEEDS THE CAPACITY OF WHAT YOU KNOW PCH CAN ACTUALLY IS
01:37:33 DESIGNED TO SERVE THAT WILL BE KIND OF LIKE OUR TEST CASE TO
01:37:37 SEE WHAT IT WILL REALLY COST TO SERVE THAT THAT HIGHER NEEDS
01:37:41 POPULATION OUR PROVIDERS HAVE BEEN DOING REALLY STELLAR WITH
01:37:45 WORKING WITH THIS POPULATION THROUGHOUT PERMANENT SUPPORTIVE
01:37:49 HOUSING BUT IT'S TIME FOR US TO STEP UP AND CREATE MORE
01:37:53 SUPPORTS AND PROVIDE ANOTHER PATHWAY FOR THIS PARTICULAR
01:37:57 POPULATION. >> YEAH AND I GUESS I CAN ONE
01:38:03 BE TO THAT OR TO BE TO THAT QUESTION SURE IS HOW MANY MORE
01:38:06 CASEWORKERS DO YOU THINK YOU MAY NEED TO REALLY REALIZE THIS
01:38:10 GOAL? >> THAT'S AN ASSESSMENT.
01:38:14 I THINK THAT THAT HAS TO BE A PART OF OUR ANALYSIS IN THE
01:38:17 FUTURE AND ALSO A PART OF OUR YEAR PROCUREMENT WORK TO REALLY
01:38:22 UNDERSTAND WHAT THE NEEDS AND THE CAPACITY OF OUR CURRENT
01:38:26 SYSTEM IS AND WHERE WE NEED TO GET TO.
01:38:30 >> YEAH RIGHT. WELL I APPRECIATE THAT YOU KNOW
01:38:33 THERE'S I DON'T THINK THERE'S ANYTHING GREAT ABOUT SOMEBODY
01:38:37 BEING ON THE STREET HAVING A MENTAL HEALTH EPISODE AND THEN
01:38:41 NOT HAVING THE SUPPORT TO ACTUALLY BE ABLE TO YOU KNOW,
01:38:43 GET THE HELP THAT THEY NEED. YOU KNOW, I THINK THE CITY IS
01:38:45 VERY WEALTHY AND I THINK WE HAVE A LOT OF PEOPLE WHO CARE
01:38:50 ABOUT THESE ISSUES. SO I'M EXCITED TO SEE HOW THIS
01:38:52 CONTINUES TO GROW. AND YOU KNOW YOU HAVE AN ALLY
01:38:56 IN US HERE ON THIS COMMISSION. >> THANK YOU.
01:38:58 THANK YOU, COMMISSIONER. >> THANK YOU, COMMISSIONER
01:39:00 ROCHA AND THANK YOU FOR YOUR PRESENTATION.
01:39:04 I THINK IT WAS VERY WELL PRESENTED SOME VERY GOOD
01:39:07 POINTS. ONE QUESTION NOT TO TRY AND GET
01:39:12 TOO GRANULAR BUT ALSO I'M GLAD TO SEE THAT OUR TIMING IS
01:39:16 IN THE MARCH APRIL FOR THE MAJORITY EXCUSE ME FOR THE
01:39:20 MAJORITY OF YOUR YOUR YOUR TIMELINES FOR GETTING BACK TO
01:39:24 THE COMMISSION ON THIS. THE ONE THING THAT I'D LIKE IF
01:39:28 WE COULD LOOK AT IS WHAT IS THE GOAL ON THE SEMIS AND THE
01:39:35 SUBSTANCE USE DISORDERS AND ARE THOSE GOING TO BE DEFINED OR
01:39:39 HOW OR HOW ARE WE GOING TO ADDRESS THOSE OR WHAT WHAT TYPE
01:39:43 OF IMPROVEMENTS OR SUCCESSES ARE WE GOING TO LOOK FOR?
01:39:50 >> I THINK THAT WOULD BE ARE YOU SAYING FOR FOLKS WITH
01:39:51 SUBSTANCE USE ISSUES AND WHAT DOES THAT SAY TO YOU AND I YEAH
01:40:01 ,I MEAN TO BE THERE SEEM TO BE YOU KNOW, SOME OF OUR LARGER
01:40:05 ISSUES IN OUR I THINK IT'S A COUPLE OF THINGS IN THE MAYOR'S
01:40:12 REALLY TASKED US TO REALLY UNDER TO REALLY MOVE THE SYSTEM
01:40:15 TO BE ABLE TO PROVIDE A MULTITUDE OF HOUSING OPTIONS
01:40:17 THAT WILL FIT THE MULTIPLE NEEDS AND CHRONIC ISSUES THAT
01:40:21 FOLKS ARE EXPERIENCING PERMANENT SUPPORTIVE HOUSING
01:40:24 ONE OF THE REALITIES IS ON BOARDING SOBER HOUSING SO WE'RE
01:40:28 PERMANENT SUPPORTIVE HOUSING AND SO THAT THAT'S ONE OF THE
01:40:32 THINGS THE INTERVENTIONS IN THE PIPELINE TO SERVE AND I THINK
01:40:36 ALSO WE HAVE AN ARRAY OF DIFFERENT SUPPORTS THAT SERVE
01:40:39 FOLKS THAT ARE EXPERIENCING SMI OBVIOUSLY WE CAN DO MORE.
01:40:44 WE CAN EXPAND OUR CARDIAC HEALTH MODEL, WE CAN PROVIDE
01:40:47 ADDITIONAL SUPPORTS. AND SO I THINK THROUGH THIS
01:40:50 ANALYSIS THAT'S WHAT WE'RE REALLY LOOKING TO UNDERSTAND
01:40:52 WHAT ELSE DO WE NEED, WHAT OTHER CONFIGURATIONS AND CARE
01:40:55 MODELS DO WE NEED TO SUPPORT THE FULL ARRAY OF DIFFERENT
01:41:01 TYPES OF FOLKS AND WHAT THEIR EXPERIENCING IN THEIR
01:41:06 BEHAVIORAL HEALTH AND PRIMARY CARE NEEDS?
01:41:09 >> OKAY. EXCUSE ME.
01:41:10 I'M GLAD TO HEAR THAT WE'RE LOOKING AT SOBER HOUSING
01:41:13 OPTIONS IN THOSE ARE IN THE PIPELINE.
01:41:14 THE OTHER QUESTION I HAD WAS AS WE'RE PUTTING TOGETHER ON YOUR
01:41:20 THE GOVERNMENT STRUCTURE, WHAT AND I'M SURE IT'S IN THE
01:41:22 CONVERSATION BUT WE JUST DIDN'T HAVE A CHANCE TO TO TO DISCUSS
01:41:26 IT TODAY. WHAT ARE WE GOING TO DO ONCE WE
01:41:29 HAVE OUR POLICIES TO TIE THEM TO YOU KNOW, OPERATIONALLY INTO
01:41:32 THE CONTRACTS THAT WE HAVE WITH THE THE SERVICE PROVIDERS
01:41:36 AND SO THAT WE CAN IDENTIFY PEOPLE THAT ARE GOOD
01:41:39 AND ADDRESS THAT AND REWARD THEM WITH WITH MORE OR OR
01:41:43 BETTER GOALS AND ALSO WE CAN LOOK AT LAGGARDS IF WE HAVE
01:41:47 THEM IN THE PROGRAM. >> THANKS FOR THE QUESTION.
01:41:50 SO A PART OF THAT WORK WILL WILL HAPPEN IN THE THREE D
01:41:54 PHASE THAT I TALKED ABOUT THAT IS A SIX MONTH PROCESS WHERE WE
01:41:58 WE INCORPORATE THE PROVIDERS INTO INTO KIND OF DEVELOPING
01:42:02 THE SCOPES OF WORK IN THE PROGRAM DESIGNED FOR ANY OF OUR
01:42:06 PROGRAMS WE'RE ALSO GOING TO BE IN AND THANKS FOR YOUR COMMENTS
01:42:13 EARLIER LAUREN. WE ARE ALSO GOING TO BE
01:42:20 ANNOUNCING A CADENCE A MEETING WITH THE PROVIDERS TO PULL THEM
01:42:25 ALONG IN THE PROCESS TO HELP TO DESIGN WHAT THIS SHOULD
01:42:31 ACTUALLY LOOK LIKE AND TAKE THEM ALONG IN THE PROCESS.
01:42:35 AND SO WE'LL BE TALKING ABOUT THAT WITH THE SUPPORTIVE
01:42:36 HOUSING NETWORK TOMORROW. BUT YOU KNOW, ALL OF THIS HAS
01:42:40 TO BE DONE IN COLLABORATION WITH OUR PROVIDERS FROM THE TOP
01:42:45 TO THE BOTTOM FROM HOW WE DESIGN THE PROGRAMS TO HOW WE
01:42:49 DESIGN POLICIES THAT MAKE SENSE THAT ARE PRACTICAL BECAUSE THE
01:42:52 WORST THING THAT CAN HAPPEN IS A POLICY THAT IS DESIGNED UP
01:42:56 HERE WITHOUT THE INPUT OF THE FOLKS WHO DO THE WORK ON THE
01:43:00 GROUND. >> WE'VE SEEN IT HAPPEN MANY
01:43:01 TIMES. IT DOESN'T WORK AND SO WE WE
01:43:04 NEED TO MAKE SURE THAT OUR POLICIES ARE APPLICABLE WITHIN
01:43:09 THE ENVIRONMENTS THAT THEY ARE DESIGNED TO GOVERN.
01:43:13 AND SO WE CAN'T DO THAT WITHOUT FOLKS WITH LIVED EXPERIENCE
01:43:17 AND ALSO OUR PROVIDER COMMUNITY AND SO WE DO PLAN TO BRING THEM
01:43:20 ALONG IN THIS PROCESS IMMEDIATELY.
01:43:24 IT'S BEEN KIND OF WONKY BUT WE'RE GOING TO GET IT RIGHT.
01:43:25 WE'RE GOING TO PULL THEM ALONG SO THAT WE CAN DESIGN A SYSTEM
01:43:28 OF CARE THAT MAKES SENSE FOR THE PEOPLE WHO NEED IT.
01:43:31 >> THANK YOU. THANK YOU SO MUCH.
01:43:35 >> AND SMI IS SERIOUS MENTAL ILLNESS SO THANK YOU,
01:43:39 COMMISSIONER LAGUARDIA. >> YES, THANK YOU.
01:43:40 TWO QUICK HOUSEKEEPING ITEMS FOR THE COMMISSION.
01:43:43 SO ONE IS I WOULD JUST ENCOURAGE ALL OF US TO REFRAIN
01:43:49 FROM USING ACRONYMS AND JUST SAY OUT THE WHOLE WORD WHETHER
01:43:53 IT'S PERMANENT SUPPORTIVE HOUSING OR SUBSTANCE USE
01:43:54 DISORDER OR SEVERE MENTAL ILLNESS BECAUSE IT IS HARD FOR
01:43:57 PEOPLE THAT ARE NEW TO THIS OR JUST JUMPING IN TO TO
01:44:01 UNDERSTAND. I KNOW IT'S HARD FOR ME WE WERE
01:44:05 ASKING WHAT IS SMI OVER HERE? SO I JUST WANT TO ENCOURAGE US
01:44:09 TO DO THAT. SECOND, I AM A WASHED UP
01:44:11 MUSICIAN AND I HAVE TERRIBLE HEARING FROM STANDING IN FRONT
01:44:16 OF A MARSHALL STACK FOR TEN YEARS AND SO I REALLY NEED HELP
01:44:22 UNDERSTANDING A LOT OF HELP I I'M LAUGHING BECAUSE I FORGOT
01:44:26 MY HEARING. >> I'M JUST LIKE AND I THINK
01:44:30 DONNA SUMMER YES, YES YEAH AND HIS CASE IT WAS DONNA
01:44:34 SUMMER IN MY CASE IT WAS THE GAZEBO LIKE WE ALL HAVE OUR
01:44:38 DISABILITIES COMING INTO THIS COMMISSION HERE.
01:44:41 SO ONE THING THAT I LEARNED AS A PROFESSIONAL MUSICIAN IS IS
01:44:45 MY TECHNIQUE. SO OVER HERE I GO TO MY YEAH,
01:44:46 SO OVER HERE I CAN'T HEAR YOU. RIGHT?
01:44:49 BUT THESE MIKES ARE VERY DIRECTIONAL SO IF YOU JUST TALK
01:44:51 DIRECTLY INTO THE MIC THEN I'LL BE ABLE TO HEAR YOU BETTER
01:44:54 AND THAT'S THAT. I'M LIKE HANGING ON EVERY WORD
01:44:57 BECAUSE I REALLY DO WANT TO HEAR EVERYBODY SPEAK AND I
01:45:03 ALWAYS BLINK TO REPRIMAND SANDERS CHIEF DEPUTY DIRECTOR
01:45:08 CHIEF DEPUTY DIRECTOR YES. THANK YOU.
01:45:11 ALLOW ME TO BE ENTHUSIASTIC AND EMPHATIC FOR A MOMENT BUT
01:45:16 THAT WAS THE MOST EXCITING PRESENTATION I THINK I'VE SEEN
01:45:20 SINCE I'VE BEEN ON THIS COMMISSION AND IT WAS
01:45:26 BRILLIANTLY PREPARED. YOU GUYS CLEARLY USED
01:45:30 TECHNOLOGY TO HELP YOU DRAFT AND PREPARE IT IN IT AND I
01:45:34 THINK IT WAS IT WAS VERY WELL DONE.
01:45:38 THERE'S SO MANY INCREDIBLE IDEAS IN HERE AND SO MUCH
01:45:41 CAREFUL THOUGHT THAT'S GONE INTO IT.
01:45:42 I I'M A LITTLE WORRIED ABOUT COMMENTING ON IT BECAUSE I'M
01:45:47 I'M STILL FOR IT. YEAH I'M STILL DIGESTING AND I
01:45:50 AND I ALMOST WANT TO JUST LIKE YOU KNOW SCHEDULE THIS REVISIT
01:45:54 THIS PERIODICALLY BECAUSE I THINK IT'S IT'S TERRIFICALLY
01:45:58 IMPORTANT. TWO QUICK QUESTIONS THAT THAT
01:46:02 CAME UP FOR ME. ONE WAS WITH RESPECT TO THE
01:46:09 TIER ONE, THE 500 LOWER NEEDS LOWER NEEDS PERMANENT
01:46:12 SUPPORTIVE HOUSING RESIDENTS, YOU'VE IDENTIFIED A GAP.
01:46:16 THERE'S NO SYSTEMIC STEP DOWN PROCESS.
01:46:20 AND BY THE WAY, I PREFER GRADUATE OPTION VERSUS STEP
01:46:24 DOWN LIKE LIKE BECAUSE REALLY WE'RE HELPING THEM GO UP.
01:46:29 YES. YEAH.
01:46:31 AND LIMITED MOVE ON PATHWAYS AND SO I'M JUST WONDERING I
01:46:36 KNOW IT'S EARLY DAYS BUT IS THERE ANY EARLY LEARNINGS OR
01:46:45 IDEAS OR IMPRESSIONS YOU HAVE ABOUT ANY SPECIFIC SUPPORT OR
01:46:50 TRANSFER TRANSITION RESOURCES THAT WE MIGHT DEVELOP FOR THAT
01:46:56 POPULATION AND WHEN DO YOU THINK YOU'LL HAVE A MORE
01:47:01 CRYSTALLIZED VIEW OF ON HOW WE'RE GOING TO ACCOMPLISH OUR
01:47:04 OH COMMISSIONER YES. SO FOR THE FOR THE LOWER NEEDS
01:47:11 FOLKS I MEAN THERE ARE SOME PRETTY OBVIOUS SOLUTIONS
01:47:15 AFFORDABLE HOUSING WE DEFINITELY NEED THERE'S A LACK
01:47:17 OF AFFORDABLE HOUSING IN THE CITY.
01:47:20 THERE'S A LOT OF WORK THAT THE MAYOR'S OFFICE IS DOING IN THE
01:47:24 MAYOR'S KIND OF FAMILY PLANNING EFFORTS.
01:47:28 ALSO I THINK YOU KNOW, WE'RE ALSO TRYING TO BUILD UP THE
01:47:35 MOVING ON 2.0 WE CURRENTLY HAVE HOUSING LADDER SO IT'S REALLY
01:47:39 JUST ABOUT BUILDING THAT OUT TO REALLY BE ABLE TO PROVIDE
01:47:42 PATHWAYS AS TO THE PRIVATE MARKET AND ALSO WORKING WITH
01:47:49 MOSEY ON AFFORDABLE HOUSING OPTIONS.
01:47:53 THOSE THINGS ARE IN THE WORK. WE DO KNOW THAT A GOOD NUMBER
01:47:57 OF THE FOLKS IN THE LOWER NEEDS CATEGORY ARE FAMILIES AND SO TO
01:48:01 EVERYONE'S COMMENTS EARLIER THERE'S THERE NEEDS TO BE A LOT
01:48:05 MORE WORK DONE TO PROVIDE PATHWAYS TO AFFORDABLE HOUSING
01:48:09 FOR THAT PARTICULAR POPULATION .
01:48:13 >> I THINK ANOTHER THING THAT IS CRITICAL THAT WE ARE LIFTING
01:48:16 UP AND TRYING TO FIGURE OUT A A SOLUTION FOR IS HOW WE DOUBLE
01:48:24 DOWN ON WORK SOURCING WORKFORCE SOLUTIONS AND IT CAN'T BE WE
01:48:31 HAVE TO BE ABLE TO PROVIDE JOBS THAT GIVE A LIVING WAGE AND SAN
01:48:39 FRANCISCO IS EXPENSIVE AND WE ALL KNOW THAT SO I WON'T GO
01:48:40 DOWN THAT BUT WE NEED ACTUAL CAREER PATHWAYS FOR THIS
01:48:47 POPULATION AND ANY POPULATION THAT IS ABLE BODIED AND IS ABLE
01:48:51 TO WORK AND SO I THINK THOSE ARE JUST ARE REALLY QUITE CLEAR
01:48:58 KIND OF SOLUTIONS THAT WE'RE TRYING TO TOE TO WORK THROUGH.
01:49:02 LET ME TAKE OUT QUICK BUT SOLUTIONS THAT WE'RE TRYING TO
01:49:05 WORK TOWARDS AND THEN TIMELINE YOU KNOW, I THINK WE'RE WORKING
01:49:10 WITH THE MAYOR'S OFFICE TO REALLY PUT TOGETHER KIND OF
01:49:13 LIKE SOME SOME BENCHMARKS IN TERMS OF WHERE WE'RE TRYING
01:49:16 TO GET TO SO THAT WE CAN AT LEAST MOVE AS QUICKLY AS WE CAN
01:49:25 FOR THE FOR THE FOLKS THAT WE CAN PROVIDE IMMEDIATE SOLUTIONS
01:49:28 FOR AND SO THAT WAS A LONG WAY TO SAY WE DON'T HAVE A TIMELINE
01:49:33 JUST YET. >> BUT EVERYTHING IS IMMINENT
01:49:36 AND I THINK WE'RE WORKING ON IT AND WE'RE DEFINITELY WORKING
01:49:40 HAND IN HAND WITH THE MAYOR'S OFFICE TO COME UP WITH WHAT
01:49:42 THAT TIMELINE ACTUALLY LOOKS LIKE IN THE FACE OF BUDGET
01:49:45 AND ALL OF THOSE OTHER THINGS. >> WELL, I THINK YOUR
01:49:48 PRESENTATION LAYS OUT A COHERENT PLAN TO GET THERE SO I
01:49:51 HAVE A LOT OF FAITH THAT WE ARE GOING TO GET THERE.
01:49:55 BUT OF COURSE I'M JUST CURIOUS. YES.
01:49:56 WHEN I KNOW. SO MY SECOND QUESTION IS
01:50:02 IN ASSESSING ACUITY AND RISK A PSA SHOOT OUT TENANTS THIS
01:50:07 SEEMS LIKE THE THE FOUNDATION FOR FOR EVERYTHING REALLY
01:50:10 AND IT SEEMS REALLY CRITICAL THAT WE GET THAT PART RIGHT HOW
01:50:14 WE ASSESS AND YOU ACKNOWLEDGE IN YOUR PRESENTATION THAT THE
01:50:18 ADMINISTRATIVE DATA ALONE CANNOT SUPPORT A TOP DOWN
01:50:22 REDESIGN OF THE PORTFOLIO OR DEFINE WHAT THE READ WRITE BED
01:50:26 MIX IS AND YOU ALSO SAY YOU WANT TO FILL THE GAPS WITH
01:50:33 QUALITATIVE DATA AND I THINK THAT SPEAKS TO ONE OF OUR
01:50:37 COMMENTERS REMARKS ABOUT WHEN ARE YOU GOING TO INCLUDE US
01:50:44 IN IN THIS THESE ASSESSMENTS THAT'S REALLY IMPORTANT BUT I
01:50:48 WAS HOPING MAYBE YOU COULD TALK A LITTLE BIT MORE ABOUT HOW
01:50:53 YOU'RE GOING TO APPROACH THAT PROCESS AND HOW HOW YOU'RE
01:50:56 GOING TO MARRY THAT DATA TO THE ADMINISTRATIVE DATA AND THEN
01:51:00 MAKE HUMAN LEVEL DECISIONS AND I GUESS THAT'S IT.
01:51:04 YEAH. OH THANKS FOR THE QUESTION.
01:51:07 AND LAUREN, IF YOU'RE STILL HERE WE AGREE WITH YOU AND WE
01:51:11 LOOK FORWARD TO MORE CONVERSATIONS WITH YOU.
01:51:14 OKAY. SO LET ME SEE IF I CAN
01:51:16 ACCURATELY REPRESENT OUR VERY SMART DATA PEOPLE WHO HAVE PUT
01:51:19 TOGETHER QUITE A PLAN TO DO THIS SO CURRENTLY LIKE I SAID,
01:51:23 WE TOOK TWO CUTS AT IT USING LIKE SORT OF STANDARD HEALTH
01:51:27 CARE DATA LIKE EVICTION SORT OF WHATEVER WE COULD DO ON THE HSA
01:51:31 SIDE. NOW WE'RE TRYING TO PULL IN A
01:51:34 COUPLE OTHER DATA POINTS LIKE UTILIZATION OF EMERGENCY
01:51:38 DEPARTMENTS, UTILIZATION YES HSA SERVICES CONSERVATORSHIP,
01:51:46 HOME DELIVERED MEALS LIKE ALL THESE THINGS THAT HELP US TO
01:51:48 UNDERSTAND MAYBE THE CARE NEEDS .
01:51:49 THE SECOND PART OF THIS AND SO THIS WILL BECOMES THE
01:51:51 COLLABORATION PART IS THAT ONCE WE SORT OF IDENTIFY A COHORT
01:51:55 WE'LL KIND OF SEE WHERE THAT WHERE THESE FOLKS LIVE AND WHAT
01:51:58 BUILDINGS WE WILL THEN CONNECT WITH THOSE BUILDING STAFF
01:52:01 THROUGH THEIR EXECUTIVES TO SAY DOES THESE ARE WHO WE'RE
01:52:05 LIFTING UP AS PEOPLE WITH VERY HIGH CARE NEEDS THAT MAY BE
01:52:09 EXCEEDING WHAT WE CAN DO ON PCH.
01:52:10 DOES THIS MATCH YOUR OBSERVATION SSION AND TRYING TO
01:52:13 GET THEM TO HELP US UNDERSTAND ACTUALLY THEY'RE ACTUALLY DOING
01:52:15 QUITE WELL HERE HERE'S AND THEN WE CAN FIND OUT WHAT WE GOT
01:52:18 RIGHT WHAT WE GOT WRONG WHAT? AND THEN THE OTHER PART IS TO
01:52:21 SAY WELL WHO DID WE MISS MAYBE IN YOUR BUILDING THAT'S HAVING
01:52:25 A LOT OF EXPERIENCING A LOT OF CRISIS.
01:52:28 YEAH. AND THEN BY SORT OF SAYING THAT
01:52:29 WE CAN THEN DO QUALITATIVE INTERVIEWS WITH FOLKS TO SAY
01:52:32 WHAT WHAT ARE WE WHAT DOESN'T GET CAUGHT IN OUR SYSTEM
01:52:35 BECAUSE WE ACTUALLY KNOW THERE'S LIKE A VERY VULNERABLE
01:52:36 GROUP OF FOLKS WHO ACTUALLY JUST ARE NOT DOING WELL BUT FOR
01:52:40 SOME WHATEVER REASON. SO THEY'RE NOT MAYBE A
01:52:42 VOLUNTARILY ACCEPTING SERVICE BUT THEY'RE ALSO NOT HITTING
01:52:44 THE CRISIS SYSTEM. THEY'RE A LITTLE MORE QUIET.
01:52:47 THEY'RE NOT GETTING A LOT OF THE ATTENTION AND THOSE ARE THE
01:52:48 FOLKS THAT WE OFTEN MISS BUT THEY'RE NOT DOING WELL AT ALL.
01:52:51 THEY MAY NOT BE THE FOLKS THAT ARE THE CITY'S VERY FOCUSED ON
01:52:54 BECAUSE OF THE BEHAVIORAL ISSUES.
01:52:55 BUT THEY'RE THERE. THEY'RE MAYBE DYING.
01:52:58 THEY'RE VERY, VERY ILL. YES.
01:52:59 SO THOSE ARE SOME OF THE WAYS THAT WE'RE GOING TO BE DOING
01:53:01 THIS AND THEN I'M VERY EXCITED ABOUT THIS TENANT STATUS
01:53:02 ASSESSMENT AS THIS OPPORTUNITY TO SYSTEMATICALLY DEPLOY
01:53:09 SOMETHING THAT WE CAN HAVE BUILDING STAFF TELL US HOW
01:53:10 FOLKS ARE DOING AND I THINK THERE'S WORK TO BE DONE ABOUT
01:53:14 WHAT ARE THE RIGHT QUESTIONS TO ASK THAT WILL HELP US SAY IS
01:53:17 THERE SOMETHING WE NEED TO DO? DO WE NEED TO EXPLORE THIS
01:53:21 FURTHER? ARE WE SEEING SHIFTS IN THE
01:53:22 POPULATION AND THEN REALLY TARGET THE RIGHT LEVEL OF
01:53:25 SERVICES? BECAUSE I THINK AS ALL THIS
01:53:29 WORK IT'S SO COMPLICATED RIGHT? LIKE ONCE SOMEBODY IS IN A
01:53:30 PERMANENT BUILDING WE WANT TO DO OUR BEST TO KEEP THEM THERE
01:53:33 AND CREATE THAT STABILITY. SO HOW DO WE CREATE A FLEXIBLE
01:53:35 LIKE A STANDARD BUT FLEXIBLE SERVICE MODEL SO THAT WE HAVE A
01:53:37 CLEAR COURSE SERVICES AND THEN WE CAN LAYER IN THINGS THROUGH
01:53:43 MAYBE ROVING TEAMS OR OUTPATIENT SERVICES TO SUPPORT
01:53:44 SOMEBODY BEFORE WE THEN DO ANY UNNECESSARY MOVES TO A HIGHER
01:53:48 LEVEL OF CARE INSTITUTIONAL CARE.
01:53:49 SO THAT'S I THINK WE'RE IN THE PROCESS OF REALLY FIGURING THAT
01:53:53 OUT AND I'M EXCITED ABOUT SOME OF THE PEOPLE WE'VE BROUGHT ON
01:53:55 TO HELP US DO THAT AGAIN, THANK YOU.
01:53:59 >> THIS IS SO EXCITING, SO FASCINATING LOOKING FORWARD TO
01:54:02 HEARING MORE. THANK YOU.
01:54:03 THANK YOU BOTH FOR FOR ALL YOUR WORK ON THIS.
01:54:06 >> THANK YOU, COMMISSIONER GUERRERO, THANK YOU SO MUCH.
01:54:13 OH MY GOSH. SO MUCH AND SOME SO LITTLE TIME
01:54:16 . YEAH.
01:54:17 OKAY. FIRST OF ALL I HAD A QUESTION
01:54:20 WHICH WAS THE KELLY CULLEN COMMUNITY SITE THAT WAS
01:54:26 SUPPOSED TO BE A PILOT FOR HIGH ACUITY.
01:54:28 RIGHT. SO IS THERE A REASON THAT WE'RE
01:54:31 DOING ANOTHER ONE? >> SO THAT'S THAT'S DIFFERENT.
01:54:35 >> IT'S A DIFFERENT PILOT YOU WANT?
01:54:36 YEAH, SURE. YEAH.
01:54:38 >> SO THESE WE LARGELY THINK THESE ARE FOLKS THAT NEED A
01:54:42 HIGHER LEVEL OF CARE THAN EVEN WHAT CARDIA OKAY AND SO EVEN
01:54:46 HIGHER IT'S LIKE SO FOR INSTANCE THEY DON'T HAVE LIKE
01:54:51 I'M TRYING TO SO FOR FOLKS WITH DEMENTIA OFTEN SOMETIMES LIKE
01:54:54 WANDERING SO THESE ARE NOT LOCKED FACILITIES THESE THEY
01:54:58 DON'T HAVE DELAYED EGRESS AND SO IT'S VERY LIKE THEY
01:54:59 DON'T HAVE THE LEVELS PART THAT SOMEBODY MIGHT JUST WALK WALK
01:55:03 OUT THE DOOR SO THAT'S ONE EXAMPLE OR JUST REALLY EXTREME
01:55:06 BEHAVIORAL HEALTH ISSUES WHERE SOMEONE MIGHT NEED LIKE A ONE
01:55:10 ON ONE YOU KNOW, BEHAVIORAL. SO THERE'S A FEW THINGS.
01:55:14 SO WE'RE GOING TO BE LOOKING AT THE INDIVIDUAL CASES
01:55:15 AND TESTING A FEW DIFFERENT SCENARIOS BECAUSE WE WANT TO
01:55:18 KIND OF UNDERSTAND LIKE THE UPPER LIMIT OF INSTITUTIONAL
01:55:21 CARE IN THE LOWER LIMIT OF WHAT WE CAN DO AND SEEING FOR EVEN
01:55:22 SOMEBODY WHO MIGHT BE IN CARDIA BUT NEEDS A LITTLE BIT MORE IS
01:55:27 THERE A LITTLE BIT OF SUPPORT WE CAN PUT IN PLACE TO
01:55:28 STABILIZE? >> SO WE WILL BE LOOKING AT
01:55:30 THAT. SO THIS IS I THINK THIS IS A
01:55:31 VERY SMALL COHORT BY THE WAY, AND THAT WE THINK THE CARDIAC
01:55:34 MODEL IS ACTUALLY REALLY GOOD, VERY SUCCESSFUL.
01:55:37 I THINK ONE OF THE BARRIERS THERE AND CORRECT ME IF I'M
01:55:40 WRONG IS THAT THERE ARE THERE'S A CAP ON HIPPA WAIVERS.
01:55:47 I DID IT I AM VERY SORRY, COMMISSIONER LIKE WHEN I USE
01:55:49 THE HOME AND COMMUNITY BASED A WAIVER WHICH ALLOWS FOR US TO
01:55:52 PAY FOR SOME OF THESE UNITS. SO THIS IS A IT'S NOT NEED
01:55:58 BASED UNFORTUNATELY RIGHT NOW IT'S A CAP AND SO THERE ARE NO
01:56:00 MORE AVAILABLE WAIVERS THAT WILL ALLOW US TO PAY FOR MORE
01:56:04 OF THESE UNITS. SO THAT IS LIKE AN OPPORTUNITY
01:56:06 FOR US AS A CITY OR AS A COMMUNITY TO DO SOME STATE
01:56:11 LEVEL ADVOCACY TO SEE IF WE CAN UP THAT CAP OR ACTUALLY MAKE IT
01:56:15 MORE NEED BASE SO WE CAN SUPPORT MORE PEOPLE IN THESE
01:56:16 TYPES OF HIGH COST UNITS BEFORE MOVING THEM TO INSTITUTIONAL
01:56:19 CARE. SURE.
01:56:22 AND I JUST I THINK IT MAY BE IF I CAN GIVE SOME FEEDBACK JUST
01:56:26 IMPORTANT TO ARTICULATE THE DIFFERENCE.
01:56:29 >> OH YEAH, YEAH. JUST JUST IMPORTANT TO
01:56:33 ARTICULATE THAT IN LIKE HOW WE PRESENT IT SO THAT IT DOESN'T
01:56:35 SEEM LIKE WE'RE REINVENTING THE WHEEL AND AND ON THE SAME NOTE
01:56:43 IF I COULD JUST ADD TO THAT I MEAN WE'RE NOT I MEAN THE
01:56:47 ENGARDIO MODEL IS NOT A PILOT ANYMORE.
01:56:48 >> WE'RE ACTUALLY IT'S ACTUALLY A REALLY HELPFUL TOOL IN OUR
01:56:51 TOOL KIT JUST LIKE SOME OF THE OTHER THINGS WE TALKED ABOUT
01:56:54 THAT DOESN'T WE DON'T HAVE THE ABILITY TO SERVE EVERYONE
01:56:58 THERE. AND SO IT'S NOT THAT WE'RE YOU
01:57:02 KNOW, THIS IS NOT A PIVOT FROM THAT AS MUCH AS IT IS LIKE WE
01:57:04 STILL HAVE PEOPLE IN OUR SYSTEM WHO WE KNOW NEED A HIGHER LEVEL
01:57:06 OF CARE BEYOND THAT AND WE WANT TO MAKE SURE THAT WE HAVE THE
01:57:10 RIGHT MIX OF SERVICES FOR THEM. AND SO, YOU KNOW, AGAIN, WE
01:57:14 DON'T WANT THEM WE DON'T WANT TO BE EVICTING PEOPLE BECAUSE
01:57:17 THEY'RE NOT FITTING INTO OUR SYSTEM.
01:57:21 >> WE REALLY NEED TO BE CREATING A SYSTEM THAT WORKS
01:57:22 FOR THEM. THANK YOU.
01:57:23 YEAH, NO, ABSOLUTELY. AND AND THEN I WAS HAPPY TO
01:57:25 HEAR YOU MENTION THE THE MOVING ON INITIATIVE WHICH I KNOW
01:57:29 THERE'S A LOT OF RESEARCH ON AND I HOPE THAT THAT RESEARCH
01:57:33 WILL BE PRESERVED AND I DON'T NEED TO SPEND TOO MUCH TIME
01:57:37 THERE. BUT I DO WANT TO COME BACK
01:57:38 AND SAY THAT, YOU KNOW, NOT NOT IN THIS YOU KNOW, NOT NOT
01:57:44 TRYING TO BE LIKE WASTING TIME WITH THIS BUT THIS IS REALLY
01:57:48 INCREDIBLE. LIKE IF I WAS TO DO SOMETHING
01:57:52 WITH MY EXPERIENCE HAVING WORKED IN FRONT LINE AT A
01:57:53 SHELTER IN THE BAYVIEW, OPENED A SHELTER WITH THE DEPARTMENT
01:57:56 FROM THE GROUND UP, RAN A TRANSITIONAL HOUSING PROGRAM
01:57:59 AND A SUBSIDY PROGRAM THROUGH MEDICAID.
01:58:00 THIS IS WHAT'S MISSING. >> SO I HOPE THAT THE
01:58:04 ADMINISTRATION WILL REALLY LISTEN TO YOU ESPECIALLY
01:58:08 BECAUSE YOU'VE BOTH WORKED IN THE PROVIDER COMMUNITY.
01:58:11 SO YOU KNOW THAT WE'RE NOT JUST OVER HERE BEING CRAZY
01:58:13 AND MAKING IT UP BECAUSE I DON'T WORK IN THE PROVIDER
01:58:16 COMMUNITY MORE BUT I KNOW WHAT I'VE SEEN WITH MY OWN EYES
01:58:19 AND WHAT THE RESEARCH ALSO BACKS UP.
01:58:20 SO I REALLY HOPE THAT THE ADMINISTRATION WILL LISTEN TO
01:58:23 YOU IN THAT AND I REALLY APPRECIATE YOU SAYING THAT YOU
01:58:26 WILL WORK WITH THE COMMUNITY AND PEOPLE HAVE LIVED
01:58:27 EXPERIENCE FROM THE GROUND UP. IT'S JUST YOU KNOW, I DO HAVING
01:58:34 I HAVE WORRIES WITH SOME OF THE LEGISLATION LEGISLATIVE MOVES
01:58:38 THAT ARE HAPPENING THAT WILL REMOVE COMMISSIONS LIKE THIS
01:58:41 ONE. MY ABILITY TO CONTRIBUTE DO
01:58:45 DIVEST FROM PEOPLE ENGAGING PEOPLE WITH LIVED EXPERIENCE
01:58:48 AND I CAN TELL YOU LIKE IF IT WASN'T FOR THE FACT THAT I WAS
01:58:53 IN THOSE SITUATIONS I WOULDN'T KNOW TO HAVE DONE THE RESEARCH
01:58:54 ABOUT THE NEUROSCIENCE OF HOMELESSNESS AND HOW WE CAN USE
01:58:57 THAT AND APPLY THAT TO YOU KNOW, BEING IMPACTFUL AT
01:59:01 SOLVING THIS PROBLEM BECAUSE THAT'S REALLY WHAT WE ALL WANT
01:59:04 TO DO AND WE HAVE THAT IN COMMON.
01:59:05 BUT IN SAYING THAT, YOU KNOW, I THINK THIS IS GREAT I HAVE A
01:59:09 QUESTION ABOUT HOW THIS WILL BE HOW THIS COULD INTEGRATE SORT
01:59:13 OF CULTURALLY SPECIFIC PROGRAMING BECAUSE MY APPROACH
01:59:17 HAS ALWAYS BEEN THAT THE SOLUTION IS TO SORT OF BE
01:59:21 REALLY SPECIFIC WHICH IS WHAT YOU'RE DOING WITH THIS.
01:59:22 IT'S WHY I THINK YOU'RE GOING TO MAKE HUGE CHANGES TO THE
01:59:25 FUTURE OF HOMELESSNESS AND I THINK THAT'S THIS IS WHAT WHERE
01:59:28 THE SOLUTION IS AND THEN ALSO LIKE BEING EVEN MORE SPECIFIC
01:59:31 LIKE THERE WAS THAT ARTICLE ABOUT THE PIZZA AND I WAS LIKE
01:59:35 YOU NEED A TAILORED DIET WHATEVER.
01:59:36 LIKE I THINK THE POINT WAS WE NEED MORE WOMEN'S SHELTERS, WE
01:59:39 NEED MORE LGBT SHELTERS, WE NEED MORE SHELTERS FOR PEOPLE
01:59:43 OF A CERTAIN LANGUAGE, PEOPLE OF A CERTAIN AGE AND JUST
01:59:44 CONTINUING TO BE REALLY TAILORED AND THOSE COMMUNITIES
01:59:47 ARE GOING TO WANT TO WORK WITH THE RELATIONSHIPS THEY HAVE OF
01:59:51 THEIR COMMUNITY LEADERS AND THE ADMINISTRATION CAN TRY TO TAKE
01:59:55 THAT AWAY. THE PEOPLE ARE NOT GOING TO GO
01:59:56 SO I MEAN TALKING ABOUT THIS NEUROSCIENCE RESEARCH THAT I'VE
02:00:00 BEEN REFERENCING, THE ONE SOLUTION TO REVERSING YOU KNOW
02:00:06 ,THE MEDICAL IMPLICATIONS OF TRAUMA AND ADVERSE EXPERIENCES
02:00:10 IS STABLE AND HEALTHY RELATIONSHIPS AND YOU CAN ONLY
02:00:14 HAVE THOSE WITH PEOPLE THAT YOU CAN RELATE TO.
02:00:18 SO I THINK THAT'S WHERE THE PROVIDER RELATIONSHIP IS SO
02:00:21 IMPORTANT AND I HOPE THAT THE ADMINISTRATION WILL NOT
02:00:23 OVERLOOK THAT. I HOPE THAT WITH YOUR
02:00:26 LEADERSHIP YOU WILL CONTINUE TO STAND ON THAT AND I KNOW THAT
02:00:29 YOU WILL BECAUSE I KNOW HOW MUCH HOW MUCH YOU CAN PROBABLY
02:00:30 PERSONALLY UNDERSTAND THAT AS WELL.
02:00:32 SO I JUST REALLY WANT TO HIGHLIGHT ALL OF THAT AND SO
02:00:36 THE QUESTION IS HOW WOULD HOW WOULD THE CULTURALLY SPECIFIC
02:00:38 SERVICES BE ABLE TO BE SORT OF PRESERVED WITHIN THIS APPROACH
02:00:43 I THINK AND SO I APPRECIATE THE REFERENCE TO THE NEUROBIOLOGY
02:00:48 OF TRAUMA AS A SOCIAL WORKER TOTALLY GET IT.
02:00:49 UNDERSTAND IT AND AS A RELATES TO THAT, THE CULTURAL KIND OF
02:00:59 COMPETENCY AND THOSE PIECES AND AS WE CONTINUE TO DO THE
02:01:04 WORK AND CREATE THE INTERVENTIONS AND GET THE
02:01:08 PROVIDER FEEDBACK THAT WILL JUST CONTINUE TO GROW IS MY
02:01:11 HOPE. I DON'T I DON'T THINK WE LOSE
02:01:13 IT IN YOU KNOW, KIND OF STRUCTURING THE WAY WE APPROACH
02:01:19 PERMANENT SUPPORTIVE HOUSING. >> UM COLLABORATIVELY AND IN
02:01:22 PARTNERSHIP. I THINK AS WE BRING THE
02:01:28 PROVIDER COMMUNITY ALONG WE BRING THE COMMUNITY RESIDENTS
02:01:31 ALONG SURVEYS ETC. AND WE TAKE ALL OF THAT INFORMATION AND DO
02:01:35 OUR BEST TO INTEGRATE THAT INTO THE SERVICE PACKAGES THAT WE
02:01:39 PRODUCE AND WE ALL KNOW THAT WE CAN'T DO IT WELL WITHOUT IT
02:01:46 BEING CULTURALLY COMPETENT AND SO AS MUCH AS POSSIBLE
02:01:50 WE'RE GOING TO MAKE SURE THAT WE PRESERVE WE NOT ONLY
02:01:54 PRESERVE BUT WE EXPAND ON THE MODELS THAT WORK AND THAT ARE
02:01:58 CULTURALLY CONGRUENT TO THE POPULATIONS THAT WE SERVE.
02:02:02 >> OKAY. SO SO ACTUALLY NOW I THINK I'M
02:02:05 UNDERSTANDING A LITTLE BIT BETTER.
02:02:06 SO THIS WOULD BE LIKE YOU KNOW THE NEW SORT OF RELATIONSHIP TO
02:02:09 THE CITY SIDE OF GOING TO THE PROVIDERS SAYING WE ARE
02:02:14 OFFERING THAT YOU ASSESS YOUR PARTICIPANTS FOR EACH
02:02:17 PARTICULAR PACKAGE OF THE LEVEL OF CARE THAT THEY NEED.
02:02:21 THAT'S CORRECT. >> THAT'S KIND OF MORE OF THE
02:02:25 MINDSET OF IT OR NOT NOT OKAY. >> RIGHT.
02:02:28 WE CAN CHAT ABOUT IT MORE LATER.
02:02:29 YEAH. YEAH.
02:02:29 I DON'T WANT TO SPEND TOO MUCH TIME ON THIS BUT I THINK THE
02:02:32 LAST THING I WOULD SAY IS HAVING RUN THE SUBSIDY PROGRAM
02:02:35 AND THE TRANSITION WITH MY CD, I WOULD LOVE TO SEE A TRIAL
02:02:39 BECAUSE I THINK THAT THERE'S A THEY HAVE A LOT MORE
02:02:43 FLEXIBILITY AND ABILITY TO SORT OF BE THE LEG THAT DEALS WITH
02:02:47 THE MORE PEOPLE THAT ARE READY TO REALLY SORT OF BE ON A LET'S
02:02:51 CALL IT SHALLOW SUBSIDIES OR FLEXIBLE SUBSIDIES THAT FOR
02:02:55 FOLKS THAT REALLY ARE MAYBE THAT POPULATION YOU'RE TALKING
02:02:59 ABOUT THAT JUST AREN'T MAKING ENOUGH BECAUSE OF THE COST OF
02:03:02 LIVING AND RENT. SO YEAH, I'D LOVE TO SEE A
02:03:06 TRIAL YOU THANK YOU SO MUCH COMMISSIONER DUFTY THANK YOU.
02:03:13 >> THANK YOU. EARLIER IN TODAY'S MEETING
02:03:17 COMMISSIONER GUERRERO TALKED ABOUT A MILESTONE IN TERMS OF
02:03:19 THIS COMMISSION REACHING THREE YEARS.
02:03:21 AND I JUST WANT TO SAY THAT YOUR PRESENTATION IS A
02:03:25 MILESTONE. >> WE'VE BEEN ASKING TO HAVE
02:03:28 MORE CONNECTIVITY BETWEEN HSA AGE AND AGE AND SO YOU'RE
02:03:33 PRESENTING ATION AND MUCH MORE THAN THAT THE FACT THAT YOU ARE
02:03:37 COLLABORATING AND PARTNERING TO FIGURE OUT SOME OF THESE
02:03:41 DIFFICULT ISSUES WHICH I THINK ARE AT THE CORE OF SOME OF THE
02:03:45 PROBLEMS THAT WE'RE HAVING IS IF IF THESE BUILDINGS AREN'T
02:03:48 WORKING FOR PEOPLE WE'RE REALLY JUST CHASING OUR TAILS.
02:03:49 SO I WANT TO CONGRATULATE YOU. I WANT TO THANK THE DIRECTOR
02:03:53 WHO'S BEEN GRACIOUS WHEN WE'VE ASKED AND I THINK THIS WAS THE
02:03:57 RIGHT MOMENT IN TIME TO PUT THIS ON THE TABLE FOR US TO
02:04:00 BETTER UNDERSTAND IT. >> I JUST WANT TO ASK SO THESE
02:04:04 THE BUILDINGS REFERRED TO THEY'RE ALL THEY'RE NOT JUST
02:04:07 SINGLE ADULTS. THEY'RE FAMILY AND BUILDINGS.
02:04:10 OKAY, THAT'S GREAT THEN. AND WOULD RENE CAZENEUVE
02:04:14 AND THE RICHARDSON WOULD THOSE BE LEVEL FOUR BUILDINGS IS THAT
02:04:20 YES YES RESOUNDING YES. SO THOSE BUILDINGS TOOK A LONG
02:04:26 TIME TO COME TOGETHER AND I'M JUST WONDERING ARE THERE ANY
02:04:29 ARE THERE ARE THOSE BUILDINGS SUCCEEDING AT THAT LEVEL AND IS
02:04:34 THERE HOPE THAT WE COULD, YOU KNOW, AGREE THAT THAT MORE
02:04:38 FACILITIES LIKE THAT WOULD ARE PART OF THE SOLUTION?
02:04:45 >> ARE YOU ALL I CAN START AND THEN IT JUST CAN COME
02:04:51 IN THE ANALYSIS SO FAR HASN'T LOOKED AT INDIVIDUALS
02:04:53 INDIVIDUALLY BUILDING SUCCESS TODAY I THINK THAT'S A NATURAL
02:04:57 NEXT STEP IS TO REALLY START TO LOOK AT THOSE CARE MODELS
02:05:01 AND HOW WELL PEOPLE ARE DOING TALK TO THOSE INDIVIDUAL
02:05:04 BUILDINGS AND KIND OF SEE WHERE THE GAPS ARE, WHERE THE
02:05:07 STRENGTHS ARE. >> AGAIN, I WANT TO MAKE SURE
02:05:11 WE ALIGN THIS WITH THE ANALYSIS BUT IT IS MY ASSUMPTION THAT WE
02:05:15 WILL COME OUT THE OTHER END WITH NEEDING MORE OF THESE
02:05:19 HIGHER LEVEL BUILDINGS. YOU CAN SEE RIGHT NOW WHERE THE
02:05:24 BALANCE IS. IT'S REALLY IN THAT SORT OF
02:05:25 SORT OF BASIC CORE I DO AGAIN WE'LL WAIT TO MAKE SURE THAT
02:05:30 WE'RE BASING THIS ON BOTH OUR ADMINISTRATIVE AND INPUT FROM
02:05:31 THE PROVIDERS. >> BUT I DO EXPECT THAT WE'LL
02:05:35 SEE A SHIFT. SO I WOULD ENCOURAGE THAT THE
02:05:36 NEW COMMISSIONERS IF YOU HAVE AN OPPORTUNITY TO GO AND VISIT
02:05:39 THE RICHARDSON WHICH IS IN THE CIVIC CENTER AREA OR RENEE
02:05:43 COSAN AVE WHICH IS SOUTH OF MARKET I GUESS I WOULD DESCRIBE
02:05:46 IT I THINK THAT WOULD BE I THINK IT'S JUST IT GIVES YOU
02:05:50 HOPE AS TO HOW THINGS CAN CAN OPERATE.
02:05:54 I DO WANT TO JUST I'M GOING TO BRING IN AN ISSUE ABOUT PROBLEM
02:05:58 SOLVING AND JUST SAY THAT I THINK IT WOULD BE GOOD IF WE
02:06:05 MAYBE TRIED TO TO SEND A LETTER TO EVERY PRINCIPAL LETTING THEM
02:06:09 KNOW ABOUT THIS PROBLEM SOLVING PROGRAM.
02:06:13 AND I WOULD I WOULD WELCOME WORKING WITH YOU DEPUTY
02:06:17 DIRECTOR AND JUST PUTTING THAT INFORMATION BECAUSE I THINK YOU
02:06:21 KNOW, THE TEACHERS IN OUR PUBLIC SCHOOLS AND PAROCHIAL
02:06:24 SCHOOLS, THEY ARE REALLY ON THE FRONT LINE AND SEEING FAMILIES
02:06:28 THAT ARE GETTING CAUGHT BETWEEN SYSTEMS AND I WOULD ALSO ASK IF
02:06:32 IF OUR COMMISSION SECRETARY COULD MAYBE SEND US THE LINK TO
02:06:36 LOOK AT THE APPLICATION BECAUSE YOU INDICATED THAT IT WAS
02:06:40 PRETTY STRAIGHTFORWARD AND CUSTOMER FRIENDLY.
02:06:41 SO SO THAT'S JUST BASICALLY IT. >> THANK YOU.
02:06:44 THANKS FOR THE SUGGESTION AND COMMISSIONER THANK YOU SO
02:06:48 MUCH. >> I REALLY APPRECIATE IT.
02:06:49 I JUST HAVE A SORT OF SOME TECHNICAL QUESTIONS SO I'M SURE
02:06:55 YOU HAVE YOUR FAVORITE SLIDE. MY FAVORITE SLIDE IS THIS ONE
02:06:58 THAT'S REALLY APPRECIATE IT. IT'S A LEVEL ONE, TWO, THREE
02:07:01 AND FOUR AND LAYING IT OUT. >> I JUST HAD A QUESTION ABOUT
02:07:05 IT. >> IT SAYS APPROXIMATELY 503%
02:07:08 1,380% WHAT ARE THE PERCENTAGES OF THE ENTIRE PORTFOLIO?
02:07:12 >> GOT IT. AND THESE ARE CURRENT CURRENTLY
02:07:20 SERVED ESTIMATES. IT'S NOT A NEEDS BASED NOT
02:07:21 NEEDS BASED. IT'S IT'S THE SERVICES ATTACHED
02:07:24 TO THOSE UNITS IS NOT NECESSARILY TELLING US WHAT THE
02:07:28 NEEDS ARE OF THE PEOPLE WHO ARE CURRENTLY IN THEIR IT'S WHAT
02:07:31 THE SERVICES AND SERVICE LEVEL THAT'S VERY HELPFUL.
02:07:37 ONE AS YOU CONTINUE THE EVALUATION AND ASSESSMENT, ONE
02:07:42 THING THAT I THINK WOULD BE VERY, VERY HELPFUL IS TO
02:07:45 IDENTIFY WHAT THE NEEDS ARE FOR EACH OF THE LEVELS.
02:07:50 I KNOW THAT'S GOING TO TAKE A GREAT DEAL OF WORK TO GET
02:07:53 THERE. THE OTHER IS AND THIS IS REALLY
02:07:54 EDUCATE US AS COMMISSIONS AND THE COMMUNITY AT LARGE IS
02:07:58 TO HELP IDENTIFY WHAT ARE THE DIFFERENT FUNDING STREAMS FOR
02:08:02 EACH ONE OF THESE LEVELS. I'M SEEING YOU SMILE THAT MIGHT
02:08:06 BE SOMETHING ON YOUR ON YOUR TO DO LIST.
02:08:09 >> YES. OUR GOAL IS TO SORT OF MARRY
02:08:12 OUR BUDGETS A BIT SO THAT WE CAN START TO LOOK AT THEM
02:08:14 ACROSS THE TIERS. WHERE ARE WE GETTING
02:08:16 REIMBURSEMENT, WHERE THERE ARE GAPS?
02:08:17 WHAT ARE THE DIFFERENT FUNDING SOURCES AND WHAT DO THE BECAUSE
02:08:20 THERE ARE SOMETIMES RULES ASSOCIATED WITH THOSE ABOUT HOW
02:08:24 WE CAN USE THEM. SO YES, ALL OF THAT AS PART OF
02:08:25 UPCOMING AND IT SOUNDS LIKE A BLEND OF BOTH THE DEPARTMENT OF
02:08:30 FUNDING JUST BY WAY OF QUESTION LEVEL ONE IS ANY OF THAT IS
02:08:35 COVERED BY MEDI-CAL? >> I DO NOT BELIEVE SO BUT SHE
02:08:39 DID YOU WE KNOW THAT FROM MEDICAL EXIT INCOMPETENT YEAH
02:08:45 SO NO NO OKAY INTERESTING WELL THAT THAT FINANCIAL OVERLAY
02:08:49 WOULD WILL BE SUPER EDUCATING THE NEXT ITERATION YEAH.
02:08:53 TO EVERYONE AND THEN ECHOING THE REQUESTS FROM OTHERS AROUND
02:08:57 ACRONYMS. >> THIS REPORT IS TERRIFIC.
02:09:01 I WONDER IF THERE COULD BE A PAGE THAT JUST SPELLED OUT WHAT
02:09:05 THE THE ABBREVIATIONS ARE FOR FOR ALL OF THE DIFFERENT ITEMS.
02:09:12 BUT THANK YOU SO MUCH AND I KNOW SPEAKING ON BEHALF OF THE
02:09:16 OTHER COMMISSIONERS WE LOOK FORWARD TO FUTURE COLLABORATION
02:09:19 AND WHAT THAT WHAT MAY COME FOR OUR COMMUNITY AT LARGE.
02:09:21 THANK YOU THANK YOU COMMISSIONERS THIS THANK YOU SO
02:09:30 MUCH FOR YOUR COMMENTS AND DISCUSSION.
02:09:31 VERY MUCH APPRECIATE THAT THIS DEEP DIVE DIRECTOR MOUSEPAD
02:09:34 AND THANK YOU FOR PUTTING THIS ON THE AGENDA.
02:09:37 >> I THINK WE ALL APPRECIATED IT.
02:09:38 WE'RE NOW GOING TO GO TO BACK TO EMPLOYEE RECOGNITION ITEM
02:09:45 NUMBER SEVEN AND I'LL TURN IT OVER TO THE DIRECTOR TO LEAD US
02:09:50 IN THAT HONOR. SO OKAY, THIS IS ALWAYS OUR
02:10:07 FAVORITE PART OF THE MEETING. >> COME ON, CHRIS.
02:10:11 GOT TO GET IN THE MIDDLE. OKAY.
02:10:13 SO TODAY I'M JUST REALLY EXCITED TO ANNOUNCE CRYSTAL
02:10:17 SAVIO AS OUR HONOREE OF THE MONTH FOR THE LIMELIGHT AWARD
02:10:22 PRESS IS OUR SAFETY AND COMPLIANCE MANAGER AND WAS
02:10:26 NOMINATED BY MARIANNE SANDERS AND ANTHONY BUSH.
02:10:27 SO CHRIS, I'M JUST GOING TO READ WHAT THEY WROTE ABOUT YOU.
02:10:31 I MEAN THERE ARE SO MANY THINGS TO SAY ABOUT YOU AND YOUR YOUR
02:10:34 COMMITMENT AND YOUR YOUR FRIENDLINESS AND YOUR WARMTH.
02:10:37 YOUR ENTHUSIASM IS REALLY INCREDIBLE BUT THEY GO INTO A
02:10:42 LOT OF DETAIL HERE SO I'M GOING TO READ IT SO CHRIS, LIZ
02:10:45 SAVIO'S CHARACTER GREETS YOU LONG BEFORE HIS WORK DOES
02:10:49 AND HIS WORK IS ALREADY A GIFT TO THIS DEPARTMENT BEFORE EVEN
02:10:53 DIVING INTO THE SCOPE OF WHAT HE HAS DONE AND CONTINUES TO DO
02:10:54 TO MAKE HCA WORTHY OF THIS HONOR, IT IS WORTH PAUSING TO
02:11:00 ACKNOWLEDGE WHO CHRIS IS. CHRIS IS ONE OF THE KINDEST
02:11:03 HUMAN BEINGS AROUND. HE OPERATES WITH A GRACIOUSNESS
02:11:07 ,PATIENCE AND COMPASSION THAT IS RARE AND STEADY.
02:11:08 YOU FEEL IT IMMEDIATELY AND IT SHAPES EVERYTHING THAT FOLLOWS.
02:11:13 IT'S LIKE YOU MEET CLARK KENT THOUGHTFUL, UNASSUMING AND THEN
02:11:16 WHEN THE MOMENT CALLS FOR IT HE TURNS INTO SUPERMAN.
02:11:19 >> RECENTLY CHRIS EXPANDED HIS ROLE FROM DISASTER PLANNING
02:11:24 MANAGER TO SAFETY AND COMPLIANCE MANAGER TAKING
02:11:27 ON THE NEWLY FORMED COMPLIANCE UNIT AT H.
02:11:31 IN THIS CAPACITY HE OVERSEES CRITICAL FUNCTIONS INCLUDING
02:11:34 SERVING AS THE DUTY OFFICER FOR ANY LARGE SCALE DISASTER
02:11:39 IMPACTING CLIENTS NHS FUNDED FACILITIES AND BELIEVE ME THAT
02:11:43 IS A 24 SEVEN THING AND WE HEAR FROM CHRIS NIGHT AND DAY
02:11:47 AND THAT MEANS HE'S ON IT AND REALLY REALLY GRATEFUL TO
02:11:51 YOU FOR THAT CHRIS. >> CHRIS CLOSELY MONITORS
02:11:54 INCLEMENT WEATHER CONDITIONS AND ENSURES THAT THAT COLD
02:11:58 AND HOT WEATHER ACTIVATION POLICIES MOVE BEYOND PAPER
02:12:02 AND INTO REAL TIME SERVICES AND SUPPORT FOR PEOPLE
02:12:05 EXPERIENCING LITERAL HOMELESSNESS.
02:12:06 >> THIS OFTEN REQUIRES HIM TO GIVE UP NIGHTS AND WEEKENDS TO
02:12:10 COORDINATE SEAMLESSLY WITH THE DEPARTMENT OF EMERGENCY
02:12:13 MANAGEMENT WHILE ENSURING THAT CLIENTS HAVE THE IMMEDIATE
02:12:15 SUPPORT THEY NEED. DURING THE RECENT CITYWIDE
02:12:18 POWER OUTAGE WHEN COMMUNICATION WITH CERTAIN CERTAIN SHELTER
02:12:22 PROVIDERS WAS DISRUPTED, CHRIS WAS DRIVING FROM SITE TO SITE
02:12:25 ACROSS THE CITY PERSONAL CHECKING ON RESIDENTS AND STAFF
02:12:29 TO ENSURE THEIR SAFETY. >> AT THE SAME TIME, CHRIS IS
02:12:33 THE COLLEAGUE WHO QUIETLY BUILDS OTHERS UP HIS PATIENT
02:12:36 GUIDANCE IN HELPING WHOEVER WROTE THIS.
02:12:40 ANTHONY AND MARION I THINK ANTHONY WROTE IT RIGHT WELL
02:12:44 COMBINATION OKAY HIS PATIENT GUIDANCE AND HELPING ANTHONY
02:12:51 BUILD FLUENCY IN COMPLIANCE AND DISASTER RESPONSE
02:12:52 OPERATIONS HAS BEEN INVALUABLE. HE DOES NOT GET KEEP KNOWLEDGE
02:12:56 HE SHARES IT GENEROUSLY MAKING SURE OTHERS FEEL CONFIDENT
02:13:00 AND EQUIPPED. HIS STEADY LEADERSHIP OF THE
02:13:03 EMERGENCY COMMAND CENTER REFLECTS HIS POISE, COMPETENCE
02:13:07 AND DEEP COMMITMENT TO SAFEGUARDING OUR MOST
02:13:08 VULNERABLE RESIDENTS IN HIGH PRESSURE MOMENTS HE LEADS WITH
02:13:12 CLARITY AND HUMILITY. HE MANAGES UP WITH
02:13:15 PROFESSIONALISM AND GRACE AND HE CENTERS THE DIGNITY OF
02:13:18 THE COMMUNITIES WE SERVE IN EVERY IN EVERY DECISION.
02:13:22 WHAT MAKES CHRIS EVEN MORE EXCEPTIONAL IS THAT HE STEPS UP
02:13:24 WHEREVER THE WORK TAKES HIM WITHOUT FANFARE AND WITHOUT
02:13:27 HESITATION. AND SOMEHOW IN THE MIDST OF
02:13:30 COMPLEX OPERATIONS AND CRISIS RESPONSE, HIS PROUD ITALIAN
02:13:34 ROOTS STILL SHINE THROUGH. DURING OUR BI WEEKLY MEETINGS
02:13:38 WHERE HE ENSURES THE TEAM IS WELL-FED AND CARED FOR TURNING
02:13:42 OPERATIONAL CHECK INS INTO MOMENTS OF CONNECTION
02:13:45 AND HUMANITY, CHRIS ELEVATES THE DEPARTMENT IN BOTH WAYS
02:13:48 VISIBLE AND QUIET WHERE WE ARE STRONGER, STEADIER AND MORE
02:13:53 CAPABLE. BECAUSE OF CHRIS CHRIS ON
02:13:57 BEHALF OF THE DEPARTMENT, THANK YOU SO MUCH FOR YOUR WORK YOUR
02:14:00 LIMELIGHT AWARDEE FOR THE MONTH OF MARCH.
02:14:04 HERE'S THE THE PAPER PIECE AND THEN YOU'LL GET YOUR COOLER
02:14:07 THING LATER. SO THANK YOU VERY MUCH.
02:14:14 >> I SAY OKAY. >> OKAY.
02:14:18 THANKS, CHRIS. >> CONGRATULATIONS AGAIN.
02:14:34 >> WE'RE NOW ON ITEM NUMBER TEN NEW BUSINESS TEN A THROUGH TEN.
02:14:41 SEE OUR ACTION ITEMS THAT REQUIRE A SEPARATE VOTE BY THE
02:14:45 COMMISSION. >> IF I COULD TURN THIS OVER TO
02:14:47 DIRECTOR MCSPADDEN AND YOUR TEAM FOR WALKING US THROUGH THE
02:14:51 ITEMS. THANKS, ELIZABETH.
02:15:09 >> GOOD MORNING, CHAIR ALBRIGHT COMMISSIONERS DIRECTOR
02:15:13 MCSPADDEN MY NAME IS ELIZABETH HEWSON.
02:15:14 I'M THE MANAGER OF THE SITE BASED SUPPORTIVE HOUSING
02:15:17 PROGRAMS TEAM AT EACH EACH I AM GOING TO BE PRESENTING ON BOTH
02:15:23 ITEMS TEN A AND TEN B I CAN EITHER PRESENT ON THEM TOGETHER
02:15:28 OR PRESENT ON THEM SEPARATELY JUST REFERENCING WHAT I PRESENT
02:15:31 ON THE FIRST ITEM DEPENDING ON THE CHAIR'S PREFERENCE SHOULD I
02:15:38 THINK YOU SHOULD PRESENT EACH ITEM AND WILL VOTE AFTER EACH
02:15:43 ITEM IS WHAT THE COMMISSION SECRETARY HAS WRITTEN FOR ME.
02:15:44 >> THANK YOU. SO I AM EXCUSE ME I AM
02:15:48 REQUESTING THE COMMISSION'S APPROVAL TO ENTER INTO A NEW
02:15:51 GRANT AGREEMENT WITH CONARD HOUSE INC. FOR THE MCALISTER
02:15:55 HOTEL ELEVATOR MODERNIZATION PROGRAM IN THE AMOUNT OF
02:16:04 $122,000 885 AND FOR THE PERIOD OF APRIL 1ST 2026 THROUGH
02:16:10 DECEMBER 31ST 2026. THE PURPOSE OF THIS AGREEMENT
02:16:11 IS TO ADDRESS ESSENTIAL REPAIRS AND MODERNIZATION OF PARTS OF
02:16:15 THE PASSENGER ELEVATOR IN CITY FUNDED SUPPORTIVE HOUSING SRO
02:16:21 BUILDINGS SRO STANDS FOR SINGLE ROOM OCCUPANCY THAT MAY
02:16:25 OTHERWISE AFFECT TENANTS RESIDING IN EACH.
02:16:29 AND IN ORDER TO IMPROVE RELIABILITY AND ACCESSIBILITY
02:16:32 OF THE ELEVATORS IN THESE RESIDENTIAL BUILDINGS.
02:16:36 THIS AGREEMENT IS FUNDED THROUGH A CERTIFICATE OF
02:16:37 PREFERENCE BONDS THAT WERE APPROVED BY THE BOARD OF
02:16:41 SUPERVISORS IN THE A TOTAL OF 10 MILLION FOR THIS PURPOSE.
02:16:47 >> AND TO DATE AGENCY HAS ALLOCATED ELEVATOR FUNDING TO
02:16:52 27 DIFFERENT SUPPORTIVE HOUSING SINGLE ROOM OCCUPANCY BUILDINGS
02:16:56 FOR A TOTAL OF A LITTLE OVER 9.2 MILLION INCLUDING THE TWO
02:17:00 AGREEMENTS THAT WE ARE SEEKING APPROVAL FOR TODAY.
02:17:03 >> THESE AGREEMENT THIS AGREEMENT IS PART OF A THIRD
02:17:07 PHASE OF FUNDING FOR ELEVATOR MODERNIZATION PROJECTS THAT WE
02:17:11 RELEASE DUE TO THE MAYOR'S OFFICE OF HOUSING IDENTIFYING
02:17:14 AN ALTERNATE FUNDING SOURCE FOR SOME OF THE PROJECTS THAT HAD
02:17:15 BEEN PREVIOUSLY FUNDED UNDER THE SECOND PHASE OF THE
02:17:19 ELEVATOR MODERNIZATION EFFORTS .
02:17:22 >> THESE BUILDING THIS BUILDING IS AN EXISTING AGENCY FUNDED
02:17:26 SUPPORTIVE HOUSING SITE WHICH IS A SINGLE ROOM OCCUPANCY
02:17:28 BUILDING AND THE GRANTEE WILL MANAGE WELL PROJECT MANAGE THE
02:17:36 COMPLETION OF THE REPAIR WORK OF THEIR EXISTING ELEVATOR.
02:17:40 AND RELEVANT ADDITIONAL WORK TO SUPPORT THE REPAIR
02:17:44 AND MODERNIZATION OF IT WHICH MAY INCLUDE ELECTRICAL FIRE
02:17:48 AND OTHER SAFETY UPGRADES TO COMPLY WITH ALL APPLICABLE
02:17:51 LEGAL REQUIREMENTS AND BUILDING CODES.
02:17:54 I AM AVAILABLE FOR ANY QUESTIONS IF NEEDED.
02:17:59 >> THANK YOU SO MUCH. THERE ANY PUBLIC COMMENT ON
02:18:01 THIS MATTER? I THINK I'M JUST WONDERING HOW
02:18:14 MANY FLOORS IS THIS BUILDING AND WILL THE ELEVATOR HAVE
02:18:17 CAMERAS IN IT? >> THANK YOU VERY MUCH.
02:18:24 ANY OTHER MEMBER OF THE PUBLIC ?
02:18:27 >> NO CALLERS IN THE QUEUE. THANK YOU SO MUCH.
02:18:30 ANY COMMISSIONERS COMMENTS ON THIS MATTER?
02:18:34 >> YES. THANK YOU SO MUCH.
02:18:35 I'M SO GLAD THIS IS HAPPENING. AS YOU KNOW, THIS IS ONE OF MY
02:18:39 TOP PRIORITIES WHEN I STARTED ON THE COMMISSION.
02:18:42 AND I DO THINK IT'S IMPORTANT THAT THE OTHER COMMISSIONERS
02:18:45 GET TO HEAR THAT THIS IS A PRETTY REALLY I'M REALLY
02:18:47 GRATEFUL THAT THE CITY IS STEPPING UP TO DO THIS BECAUSE
02:18:51 I ACTUALLY DID LANDLORD TENANT MEDIATION AND CONARD BUILDING
02:18:57 AND ELDERS WERE GETTING STUCK ON THE TOP FLOORS.
02:18:58 IT WAS ACTUALLY VERY QUITE SERIOUS AND NOT ABLE TO GET UP
02:19:01 AND DOWN TO YOU KNOW, GET THEIR NEEDS MET.
02:19:05 SO THIS IS I'M JUST REALLY HAPPY YOU KNOW, IT'S BEEN A
02:19:08 GOOD MEETING, A LOT OF GOOD THINGS TODAY.
02:19:09 >> SO THANK YOU ALL. >> THANK YOU SO MUCH.
02:19:12 THERE'S NO ADDITIONAL PUBLIC COMMENT IS THERE A MOTION TO
02:19:16 APPROVE CONTRACT. THANK YOU MR..
02:19:17 THANK YOU. >> COULD THE COMMISSION
02:19:19 SECRETARY COULD YOU CALL THE ROLL ON ITEM TEN A.
02:19:22 >> COMMISSIONERS PLEASE RESPOND WITH IRONI CHAIR KATIE ALBRIGHT
02:19:27 I I SHARE RAMBO. ALL RIGHT COMMISSIONER DUFTY
02:19:34 COMMISSIONER GUERRERO HIGH COMMISSIONER LAGUARDIA HIGH
02:19:38 COMMISSIONER ROCHA I. CONTRACTS WERE APPROVED.
02:19:42 >> THANK YOU. THANK YOU SO MUCH.
02:19:43 IF WE COULD TURN TO ITEM TEN B GOOD MORNING.
02:19:48 >> THANK YOU COMMISSIONERS DIRECTOR MCSPADDEN AGAIN MY
02:19:52 NAME IS ELIZABETH HEWSON, THE MANAGER OF THE SUPPORTIVE
02:19:55 HOUSING PROGRAMS TEAM AT HCR. I AM HERE TO REQUEST THE
02:19:59 COMMISSION'S APPROVAL TO ENTER INTO A NEW GRANT AGREEMENT WITH
02:20:00 MISSION HOUSING DEVELOPMENT CORPORATION FOR THE SOUTH PARK
02:20:04 HOTEL MADRID ELEVATOR MODERNIZATION PROGRAM IN THE
02:20:10 AMOUNT OF $147,544. >> AND THIS WILL BE FOR THE
02:20:14 PERIOD OF APRIL 1ST THROUGH DECEMBER 31ST, 2026.
02:20:17 THIS IS PART OF THE SAME PROGRAM THAT I JUST REFERENCED
02:20:21 IN PRESENTING ITEM TEN SO I WILL NOT REPEAT ALL OF THAT.
02:20:28 BUT I WILL SAY THAT THIS THIS BUILDING THE HOTEL MADRID,
02:20:32 WHICH IS PART OF A CLUSTER OF SITES IN THE SOUTH PARK
02:20:35 NEIGHBORHOOD IS ONE OF THE CITY'S EARLIEST SUPPORTIVE
02:20:36 HOUSING PROGRAMS AND BUILDINGS TO COME INTO OPERATION.
02:20:39 IT BEGAN OPERATING IN THE MID TO LATE 1990S AND HAS PROVIDED
02:20:46 MUCH NEEDED BOTH AFFORDABLE HOUSING FOR EXTREMELY LOW
02:20:48 INCOME INDIVIDUALS AS WELL AS SUPPORTIVE HOUSING FOR
02:20:51 INDIVIDUALS EXPERIENCING HOMELESSNESS FOR PROBABLY 30
02:20:55 YEARS OR MORE AND I'M AVAILABLE FOR ANY COMMENTS.
02:20:59 >> THANK YOU SO MUCH. IS THERE ANY PUBLIC COMMENT ON
02:21:03 THIS ITEM AND NO KNOWING? >> Q TERRIFIC.
02:21:10 COMMISSIONER ROCHA, DO YOU HAVE A QUESTION?
02:21:11 YEAH, I DO HAVE A QUESTION Y ON THIS ONE IS THE CONTINGENCY 10%
02:21:16 VERSUS 20% ON THE OTHER ONE AND HAVING A LITTLE BIT OF
02:21:20 EXPERIENCE IN THIS AREA I THINK WE'RE UNDER CLUBE ON THE
02:21:27 CONTINGENCY I MAY HAVE TO REFER I MAY HAVE TO GET BACK TO YOU
02:21:36 ON THAT QUESTION. I DON'T KNOW OFF THE TOP OF MY
02:21:39 HEAD WHAT THE DECISION WAS AND MIGHT HAVE HAD TO DO WITH
02:21:42 THE SCOPE OF THE AGREEMENT AND HOW MUCH WAS FOR HARD COST
02:21:46 VERSUS WHAT'S CALLED SOFT COSTS.
02:21:49 >> SO I IMAGINE THAT THAT'S THE REASON BUT I DO NOT HAVE THE
02:21:54 INFORMATION IN FRONT OF ME SO WE CAN GET BACK TO YOU THROUGH
02:21:56 THE COMMISSION SECRETARY IF YOU'D LIKE IF.
02:22:00 AND I GUESS A QUESTION AND GETTING BACK IF WE
02:22:04 DETERMINE THAT IT NEEDS EQUAL CONTINGENCY TO THE OTHER POLICY
02:22:08 TO THE OTHER PROPERTY, HOW WOULD WE DEAL WITH THAT?
02:22:12 YEAH I GREATLY CHIEF OF ADMIN AND FINANCE YOU KNOW SOME OF
02:22:25 THESE AGREEMENTS WE ARE DOING A STANDALONE AGREEMENTS AND SOME
02:22:30 OF THEM WE'RE ADDING INTO OTHER ESTABLISHED AGREEMENTS SO I
02:22:33 JUST NEED TO CHECK WITH OUR CONTRACT STAFF WHY WE LANDED ON
02:22:36 10%. WE DO HAVE THE ABILITY TO GO
02:22:38 BACK AND AMEND IF COSTS COME IN HIGHER.
02:22:42 WE WE HAVEN'T HAD THAT EXPERIENCE WITH THIS PROGRAM
02:22:46 YET. WE'VE BEEN PRETTY ACCURATE
02:22:49 BECAUSE WE'RE GETTING BIDS AHEAD OF THE PROVIDERS GETTING
02:22:53 BIDS AHEAD OF FINALIZING. BUT AS YOU SAY IN ANY CAPITAL
02:22:57 PROJECT A 10% CONTINGENCY IS PRETTY MODEST.
02:23:00 SO I SHOULD HAVE AN ANSWER FOR YOU HOPEFULLY BY THE END OF
02:23:05 COMMISSION. >> THANKS.
02:23:08 THANK YOU. THANK YOU SO MUCH FOR THE
02:23:09 QUESTION AND THE DISCUSSION. ANY OTHER COMMISSIONERS
02:23:12 COMMENTS SEEING NONE. >> IF I COULD ASK THE
02:23:16 COMMISSION SECRETARY TO CALL THE WHERE WE NEED A MOTION
02:23:19 AND A SECOND SECONDED THANK YOU.
02:23:22 IF I COULD ASK THE COMMISSION SECRETARY TO CALL THE RANCH ON
02:23:29 ITEM TEN B CHAIR ALBRIGHT HOW DO YOU VOTE?
02:23:30 VICE CHAIR RAMBO HIGH COMMISSIONER DEPUTY
02:23:33 COMMISSIONER GUERRERO HIGH COMMISSIONER LACKAWANNA HIGH
02:23:37 COMMISSIONER ROCHA I MRS. PAPPAS, THANK YOU SO MUCH.
02:23:44 THE NEXT ITEM IS ITEM TEN. >> SEE THANKS SO MUCH FOR THE
02:23:50 PRESENTATION. GOOD MORNING COMMISSIONERS
02:23:53 DIRECTOR MCSPADDEN AND HAPPY BIRTHDAY CHAIR ALBRIGHT YOU SO
02:23:58 MUCH. THANK YOU FOR BEING HERE WITH
02:23:59 US ON YOUR BIRTHDAY. MY NAME IS CRICKET MILLER.
02:24:02 I AM THE MANAGER OF THE SCATTERED SITE HOUSING PROGRAMS
02:24:04 AT H. S H OR THE DEPARTMENT OF
02:24:07 HOMELESSNESS AND SUPPORTIVE HOUSING.
02:24:08 I AM HERE REQUESTING THE REVIEW AND APPROVAL OF A NEW CONTRACT
02:24:11 AGREEMENT WITH MISSION NEIGHBORHOOD CENTERS FOR THE
02:24:15 SHALLOW SUBSIDY HOUSING PROGRAM FOR FAMILIES.
02:24:18 THE TERM AGREEMENT TERM IS APRIL 1ST 2026 TO JUNE 30TH
02:24:24 2031 IN THE AMOUNT OF $7.1 MILLION WHICH DOES INCLUDE A
02:24:29 20% CONTINGENCY AND TO PROVIDE A LITTLE BIT OF INFORMATION
02:24:33 ABOUT THE SHALLOW SUBSIDY PROGRAM.
02:24:37 AND THIS SPECIFIC AGREEMENT IS FOR 70 FAMILIES THROUGH A TIME
02:24:40 LIMITED SUBSIDY WHICH IS UP TO TWO YEARS BUT CAN BE EXTENDED
02:24:44 TO UP TO FIVE YEARS. AND THROUGH THIS PROGRAM
02:24:50 FAMILIES ARE HOUSED IN UNITS IN THE PRIVATE RENTAL MARKET
02:24:51 AND THEY'RE OFFERED A WE REFER TO IT AS A SHALLOW SUBSIDY
02:24:54 WHICH IS ABOUT $1,200 IN COMPARISON TO THE RAPID
02:25:01 REHOUSING PROGRAM WHICH CAN BE UPWARDS OF 2400 THROUGHOUT THE
02:25:05 PROGRAM OF RAPID REHOUSING. TO JUST GIVE YOU A LITTLE BIT
02:25:06 OF A COMPARISON. >> THE OTHER DIFFERENCE IS THIS
02:25:09 PROGRAM OFFERS LIGHT TOUCH CASE MANAGEMENT SERVICES SO NOT
02:25:13 QUITE AS INTENSIVE AS THE RAPID REHOUSING PROGRAM.
02:25:17 AND THROUGH THIS THESE TWO DIFFERENCES THERE IS QUITE A
02:25:20 COST DIFFERENCE, RIGHT? THIS SHALLOW SUBSIDY PROGRAM IS
02:25:24 SLIGHT IS CHEAPER ABOUT HALF THE COST OF A RAPID REHOUSING
02:25:28 SUBSIDY. SO JUST TO KIND OF LAY THAT
02:25:32 GROUNDWORK FOR YOU, WE ALSO OFFER FINANCIAL COUNSELING
02:25:36 AND WORKFORCE DEVELOPMENT SERVICES THROUGH THIS PROGRAM
02:25:37 AND SPECIFICALLY TO COMMISSIONER GUERRERO WHAT YOU
02:25:40 WERE SAYING. THIS PROGRAM IS DESIGNED TO
02:25:44 SUPPORT THOSE FAMILIES THAT YOU KNOW THEY NEED A LITTLE BIT OF
02:25:48 FINANCIAL SUPPORT, RIGHT? THEY DON'T NEED THE INTENSIVE
02:25:49 CASE MANAGEMENT SERVICES THAT WERE PRESENTED ON EARLIER.
02:25:52 THEY JUST CAN'T MAKE RENT MEET .
02:25:56 SO THEN THIS WILL HELP THEM THROUGH THAT PROCESS.
02:26:00 >> BUT IT IS FOR 70 SLOTS AND I'M HERE TO ANSWER ANY
02:26:04 QUESTIONS IF YOU HAVE ANY. >> THANK YOU SO MUCH.
02:26:05 WE'LL TAKE PUBLIC COMMENT SEEING NO PUBLIC COMMENT IN THE
02:26:12 ROOM, IS THERE ANY ON THE PHONE?
02:26:13 NO CALLERS IN THE QUEUE. THANK YOU COMMISSIONERS.
02:26:16 ANY COMMENTS? YEAH I DO.
02:26:17 I SEE ONE AND PUT MY HAND ON HERE.
02:26:21 >> HERE. THANK YOU SO MUCH AND THANK YOU
02:26:24 FOR THE DETAIL ON THAT. >> JUST CURIOUS HOW MANY SLOTS
02:26:25 DID YOU SAY IT WAS? >> 70 FAMILIES.
02:26:30 70 FAMILIES? OKAY.
02:26:31 AMAZING. AND HAS THAT ALREADY FILLED UP?
02:26:36 NOT FROM FROM WAITLIST NEW AGREEMENT.
02:26:38 >> SO I WILL I'LL I THINK YOU'RE REFERRING TO THE
02:26:41 EXISTING AGREEMENT THERE ARE 60 EXISTING SHALLOW SUBSIDIES FOR
02:26:45 FAMILIES IN THAT PROGRAM AS WELL.
02:26:46 >> SO THERE'LL BE AN ADDITIONAL ADDITIONAL 70.
02:26:49 THIS IS AN ADDITIONAL 70. THESE ARE ONE TIME FUND.
02:26:52 >> OKAY. THAT'S GOOD TO KNOW THE 60 THAT
02:26:53 ARE CURRENTLY BEING ADMINISTERED AND IN SERVICE
02:26:56 PROVIDING SERVICES. >> THOSE ARE ONGOING.
02:27:00 OKAY. ONCE SOMEBODY EXITS SOMEBODY
02:27:03 WILL COME BACK. >> THESE ARE ONE TIME SO THEY
02:27:04 IT'S ONE TIME RENT RELIEF. IT'S NOT AN ONGOING NO.
02:27:09 ONE TIME SLOT. SO ONCE A FAMILY IS ENROLLED
02:27:10 HOUSE THROUGH THIS PROGRAM MOVES THROUGH THE SUBSIDY.
02:27:13 >> IT'S NOT REFILLED WHEN THAT FAMILY OKAY.
02:27:17 >> I UNDERSTAND WHERE THE 60 JUST KEEPS BEING 60.
02:27:20 >> SO IT'S SPENT DOWN UNTIL THE END OF THE CONTRACT.
02:27:23 UNDERSTOOD. THAT'S WHY YOU'LL SEE IN THE
02:27:24 BUDGET OVER THE YEARS THAT IT STARTS OUT LOWER THOSE MAXES
02:27:30 OUT AND THEN STARTS TO SUNSET AND THAT IS EXACTLY WHY AWESOME
02:27:34 . YES.
02:27:34 AND THEN AT THE END THERE'S USUALLY SOME AMOUNT THAT CAN BE
02:27:36 USED FOR ONE TIME RENT RELIEF. AWESOME.
02:27:38 SO I MEAN THAT'S YOU KNOW WE'RE TALKING ABOUT WANTING TO
02:27:41 PRIORITIZE FAMILY AND SO THAT'S THAT'S REALLY GREAT NEWS FOR
02:27:43 US. THANK YOU SO MUCH.
02:27:44 >> THANK YOU. THANK YOU FOR THE COMMENTS.
02:27:46 I HEARD A MOTION SECONDED. IT'S SECONDED.
02:27:50 THANK YOU SO MUCH. IF I COULD ASK THE COMMISSION
02:27:52 SECRETARY TO CALL THE ROLL ON ITEM TEN.
02:27:54 SEE? ALL RIGHT.
02:27:54 HOW DO YOU VOTE? I.
02:27:57 VICE CHAIR RAMBO COMMISSIONER DEPUTY COMMISSIONER GUERRERO
02:28:01 HIGH COMMISSIONER LAGUNA. ALL RIGHT, COMMISSIONER ROCHA,
02:28:02 I CAN SEE IT APPROVED. >> THANK YOU SO MUCH.
02:28:08 THAT CLOSES ITEM TEN ON THE CONTRACTS AND IT PLACES US ON
02:28:12 ITEM 11 GENERAL PUBLIC COMMENT. AT THIS TIME MEMBERS OF THE
02:28:16 PUBLIC MAY ADDRESS THE COMMISSION ON ITEMS OF INTEREST
02:28:17 TO THE PUBLIC THAT ARE WITHIN THE SUBJECT MATTER JURISDICTION
02:28:20 OF THE COMMISSION THAT ARE NOT ON THE MEETING AGENDA WITH
02:28:24 RESPECT TO AGENDA ITEMS, YOUR OPPORTUNITY TO ADDRESS THE
02:28:28 COMMISSION WILL BE AFFORDED WITH THE ITEM IS REACHED IN THE
02:28:32 MEETING. EACH MEMBER OF THE PUBLIC MAY
02:28:33 ADDRESS THE COMMISSION FOR UP TO THREE MINUTES.
02:28:36 THE BROWN ACT FORBIDS THE COMMISSION FROM TAKING ANY
02:28:38 ACTION OR DISCUSSING ANY ITEM NOT APPEARING ON THE POSTED
02:28:40 AGENDA INCLUDING THOSE ITEMS RAISED AT PUBLIC COMMENT.
02:28:46 THANK YOU SO MUCH. IF YOU HAVE ANY QUESTIONS ABOUT
02:28:47 THE DETAILS OF PUBLIC COMMENT PLEASE SEE PAGE TWO AND THREE
02:28:50 OF THE AGENDA GOING FORWARD. >> ARE THERE ANY MEMBERS OF THE
02:28:55 PUBLIC THAT WOULD LIKE TO SPEAK ?
02:28:57 TERRIFIC. IF YOU COULD PLEASE FILL OUT
02:28:59 THE BLUE CARD AND STATE YOUR NAME WHEN YOU COME UP TO THE
02:29:05 AGENDA, ANYONE ELSE AND ANY MEMBERS.
02:29:09 YOU CAN JUST GO UP. ANY MEMBERS ON?
02:29:13 >> THANK YOU. THANK YOU.
02:29:13 WELCOME. HI THERE.
02:29:16 MY NAME IS EVE LANGSTON BARTO. I AM THE CHIEF POLICY
02:29:18 AND ADVOCACY OFFICER FOR SAMPSON SAFE HOUSE, ALSO THE
02:29:22 CO-CHAIR OF THE WOMEN'S HOUSING COALITION.
02:29:24 I JUST CAME HERE TO ADVOCATE FOR CREATING MORE SAFER SPACES
02:29:29 FOR WOMEN AS A GENERAL POPULATION.
02:29:29 I APPRECIATE MEMBER GREER OVER HERE BRINGING THAT UP EARLIER.
02:29:36 RIGHT NOW OVER 3000 WOMEN ARE ON THE STREETS AND HOUSING
02:29:40 REPRESENTS NEARLY 35% OF THE HOMELESS POPULATION.
02:29:44 YET WE ONLY HAVE 77 DV DV BEDS LESS THAN 5% OF THE HOUSING
02:29:50 THAT WE CURRENTLY DO HAVE IS GENDER SPECIFIC.
02:29:57 AND WE KNOW THAT THE LEADING CAUSE OF HOMELESSNESS AMONG
02:30:02 WOMEN IS IS IS DOMESTIC VIOLENCE.
02:30:05 THE WOMEN'S HOUSING COALITION RIGHT NOW WE ARE SPONSORING A
02:30:09 STATE BILL AB 1573 THAT IS BEING AUTHORED BY
02:30:14 ASSEMBLYMEMBER BRIAN COAUTHORED BY ASSEMBLYMEMBER STEPHANIE
02:30:16 THAT WILL REQUIRE COUNTIES TO HAVE A PLAN TO HAVE TO HOUSE
02:30:24 THIS SPECIFIC POPULATION RIGHT NOW.
02:30:25 THIS IS NOT CURRENTLY A TARGET POPULATION FOR COUNTIES.
02:30:30 THIS BILL WILL CREATE WILL MAKE DV TRAFFICKING SURVIVORS AND AS
02:30:34 WELL AS SEXUAL ASSAULT SURVIVORS A TARGET POPULATION.
02:30:40 >> WE WOULD LIKE TO SEE THE SAN FRANCISCO SEIZE SAN FRANCISCO
02:30:44 GET AHEAD OF THIS BY CREATING MORE BY LOOKING AT DIFFERENT
02:30:48 AVENUES IN ORDER TO CREATE MORE SAFE SPACES.
02:30:51 SO WHETHER IT BE THROUGH HAP AND ROUND AID EVENTUALLY WILL
02:30:55 COME OUT OR THROUGH HOMEKEY OR THROUGH MULTI HOUSING FAMILY TO
02:30:59 ACTUALLY START PUTTING UP THESE START COMING UP WITH WITH A
02:31:03 REAL PLAN THAT IS MORE PROPORTIONATE TO WHAT WE'RE
02:31:07 SEEING ON THE STREETS RIGHT NOW .
02:31:10 >> LASTLY I WILL SAY A WOMAN'S HOUSING COALITION JUST
02:31:14 COMPLETED ITS OWN SURVEY OF 408 WOMEN 20 DIFFERENT QUESTIONS
02:31:17 ABOUT WHAT THEY ARE EXPERIENCING AND THEIR
02:31:20 AND THEIR NEEDS. ONE OF THE EARLY JUST TAKING A
02:31:24 LOOK AT THE RESULTS WHEN THERE EARLY THINGS THAT REALLY STOOD
02:31:26 OUT WAS THAT FOR OVER 70% OF THE WOMEN HOUSING SAY STABLE
02:31:29 HOUSING WAS THE MAIN BARRIER TO GETTING THEIR CHILDREN BACK.
02:31:33 SO WE WERE TALKING ABOUT FAMILIES AND NEEDING AND HAVING
02:31:40 THAT NEED FOR THAT SPACE NOT DRUGS, NOT ANY NOT
02:31:44 INCARCERATION, HOUSING IS THE NUMBER ONE CAUSE FOR THEM TO
02:31:48 NOT GETTING THEIR CHILDREN BACK.
02:31:49 SO I WANT TO SEE THIS COMMISSION HELP COME UP WITH A
02:31:52 PLAN FORWARD FOR MAKING SURE THAT WE HAVE SOMETHING.
02:31:55 >> THANK YOU. THANK YOU.
02:31:59 DV IS DOMESTIC VIOLENCE? >> ANY ADDITIONAL PUBLIC
02:32:03 COMMENT? >> I GUESS I'M WONDERING WHO DO
02:32:14 I GO TO TO GET SOME POLICIES CHANGED?
02:32:17 >> SO THERE WAS A PROBLEM WITH MY RENT AND WHAT HAPPENED IS IS
02:32:25 THEY SENT ME A 30 DAY NOTICE BEFORE THEY CALLED ANYBODY.
02:32:29 THEY DIDN'T CALL THE POLICE SERVICE.
02:32:32 THEY DIDN'T THEY DIDN'T SEND ME A LETTER.
02:32:33 THEY DIDN'T TALK TO ME. THEY JUST SENT ME A 30 DAY
02:32:37 NOTICE. SO AND IT'S LIKE I THINK I MEAN
02:32:42 BEFORE I EVEN HAD THIS PROBLEM I TRIED TO TALK TO MY PAY
02:32:46 SERVICE TO HANDLE THE PAYMENTS AND THE STUFF WAS FALLING
02:32:50 THROUGH THE CRACKS AND EVEN WHEN I TALKED TO THE CASE
02:32:58 MANAGERS AND STUFF IT JUST STILL FELL THROUGH THE CRACKS
02:33:01 AND I'M JUST LIKE HOW DO I HOW DO I MAKE THIS SYSTEM FUNCTION
02:33:09 IN THE WAYS THAT IT SHOULD? YOU KNOW, IT DIDN'T IT'S YEAH.
02:33:16 >> SO BASICALLY, YOU KNOW, THE MONEY WAS IN THE ACCOUNT BUT IT
02:33:21 WAS LIKE THEY KNOW LIKE HOW COME THEY COULDN'T EVEN SEND ME
02:33:28 A LETTER, YOU KNOW? AND I THINK ONE OF THE ISSUES
02:33:31 IS LIKE I THINK WE JUST NEED A MECHANICAL AUDIT OF WHAT'S
02:33:35 HAPPENING IN THESE SYSTEMS BECAUSE IT'S LIKE HOW MANY
02:33:39 PEOPLE ARE FALLING THROUGH THE CRACKS BECAUSE OF AERIAL
02:33:47 SEQUENCES WITHIN THIS SYSTEM AND LIKE THE WHOLE THING ABOUT
02:33:54 THE OTHER THING IS ABOUT LIVING WAGE JOBS.
02:33:55 IT'S LIKE MY STORY IS MORE OF ME BEING AN ECONOMIC REFUGEE
02:34:02 THAN THAN SOMEONE WHO JUST WHATEVER YOU KNOW, IT'S LIKE
02:34:09 YOU KNOW LIKE THE MEANING OF LIFE.
02:34:10 I MEAN I JUST MY MEANING OF LIFE IS NOT TO DIE WORKING AT
02:34:14 MCDONALD'S, YOU KNOW, I MEAN MY MY PURPOSE IN LIFE IS NOT TO BE
02:34:22 A WAGE SLAVE AND DIE AND THAT'S THAT'S WHY I CHOSE TO COME TO
02:34:26 CALIFORNIA. YOU KNOW YOU KNOW THE THING
02:34:30 ABOUT THE LOYALTY THAT I HAVE TO CALIFORNIA EIGHT YEARS OF
02:34:34 BEING HOMELESS IN THIS STREET AND I STILL DIDN'T GO BACK TO
02:34:38 WHERE I CAME FROM, YOU KNOW YOU KNOW PEOPLE PEOPLE GET TATTOOS
02:34:42 BUT SLEEPING ON THE STREET EIGHT YEARS THAT'S THAT'S
02:34:46 LOYALTY AND I GUESS YOU KNOW ALL THE ALL THE JOB
02:34:52 OPPORTUNITIES THAT I'VE SEEN, YOU KNOW, THROUGH THESE
02:34:56 PROGRAMS MOST OF THEM IT'S REALLY MUCH GO GET TRAINED
02:35:00 AND BE AND GO BE AWAY SLAVE AGAIN YOU KNOW AND IT'S IT'S
02:35:07 JUST OFFENSIVE TO THANK YOU SO MUCH DIRECTOR MCSPADDEN.
02:35:14 >> I JUST WANTED TO SAY WE DO HAVE AN UPDATE ON COMMISSIONER
02:35:18 ROCHA'S QUESTION AND WE DO HAVE AN ANSWER AND THAT'S THAT THE
02:35:22 PROPOSER ON THE SECOND ONE FOR THE MADRID ONLY ASKS FOR 10%
02:35:32 BECAUSE OF THE SIZE OF THE AND SCOPE OF THE WORK THEY
02:35:36 THINK THEY NEEDED MORE WE ALLOW UP TO 20% AND THAT'S THAT IS
02:35:40 NOT WHAT THEY NEEDED IN THIS CASE.
02:35:43 OKAY. THANK YOU.
02:35:44 AND TO THE LAST MEMBER OF THE PUBLIC WHO PROVIDED COMMENTS I
02:35:48 KNOW YOU'VE BEEN PARTNERING WITH THE WITH THE STAFF.
02:35:55 PLEASE FEEL FREE TO CONTINUE REACHING OUT AND COMMISSIONER
02:35:59 DUFTY HAS SUGGESTED ANOTHER PROGRAM CALLED TOOL WORKS THAT
02:36:03 MIGHT BE ABLE TO BE HELPFUL IN THIS MATTER.
02:36:06 >> ANY OTHER MEMBER OF THE PUBLIC ANYONE ONLINE?
02:36:10 YES. YES.
02:36:13 GO AHEAD, CARLA. WE HEAR YOU.
02:36:17 >> HI. HI.
02:36:17 I'M SORRY. AND WHO'S GENERAL PUBLIC
02:36:20 COMMENT OR IS THIS RELATED TO THE ITEM AND THIS IS GENERAL
02:36:22 PUBLIC COMMENT. OKAY.
02:36:26 I'VE SPENT A LOT OF TIME TALKING ABOUT SUPPORTIVE
02:36:29 HOUSING AND HOME RIGHTS. I WANT TO TALK ABOUT MY BROTHER
02:36:33 AND I WANT YOU TO UNDERSTAND WHAT KIND OF PERSON HE WAS
02:36:36 BECAUSE THAT'S REALLY IMPORTANT THAT WE HUMANIZE WHAT'S GOING
02:36:41 ON. AND THE LAST TOPIC MY BROTHER
02:36:44 USED TO TALK TO ME I REMINDED HIM THAT IN YELLOWSTONE WHEN HE
02:36:50 SAID THAT TO ME I DIDN'T FULLY UNDERSTAND IT BUT I GET IT NOW
02:36:54 BECAUSE SHE DOESN'T BACK DOWN THAT SHE PROTECTS THE PEOPLE
02:36:55 SHE LOVES AND THAT'S WHAT I'M GOING TO DO ABOUT MY BROTHER
02:36:58 THAT FIERCENESS DOESN'T COME FROM NOWHERE.
02:37:02 >> IT COMES FROM LOVING SOMEONE LIKE ERIC.
02:37:05 ERIC ONCE WROTE ME A TEXT THAT SAID LIFE SHAPED US DIFFERENTLY
02:37:09 . ONE OF US BECAME US AND WE
02:37:10 IMPERVIOUS AND THE OTHER BECAME ACUTELY SENSITIVE TO LIFE
02:37:14 AND ALL OF US FORECASTS OF DIES.
02:37:17 HE WAS TALKING ABOUT HIMSELF. WE CAME FROM THINGS STORMS THAT
02:37:21 STAIN INSTABILITY THE SAME HARDSHIP.
02:37:25 BUT WHEN THE WORLD TRIED TO HURT HIM HE STAYED OPEN.
02:37:26 MY BROTHER LOVED THE STARS. HE WOULD STAND THE NIGHT SKY
02:37:30 AND TALK ABOUT CONSTELLATION AND LIKE THEY WERE ART.
02:37:33 HE SAW BEAUTY IN DARKNESS. HE SAW POSSIBILITIES WHEN THEY
02:37:37 SAW EMPTINESS HE READ DEEPLY REFLECTED DEEPLY.
02:37:41 >> HE WANTED TO WRITE A NOVEL ABOUT OUR LIVES HE BELIEVED
02:37:45 EVEN BE THERE EVEN PAIN COULD HOLD MEANING HE WOULD CRY
02:37:49 WATCHING THE NEWS WHEN HE SAW WOMEN AND CHILDREN SUFFERING
02:37:52 AWARDS INCLUDING DETACHED HE COULDN'T HELP.
02:37:53 HE FELT THE SUFFERING OF STRANGERS LIKE YOU BELONG TO
02:37:57 HIM. >> THAT WAS HIS STRENGTH.
02:38:00 WHEN I DON'T ALREADY GET THROUGH OPEN AND EXPOSED.
02:38:03 WHEN I LEARNED TO BRACE MYSELF HE CHOSE TO REMAIN TENDER THE
02:38:08 WORLD HIM A ME LIKE THAT BUT IT DESPERATELY MEANS THAT IF YOU
02:38:12 SEE THAT DOESN'T ENERGY GIVE ME YOU SEE SO I'M GOING TO STOP
02:38:16 PUSHING IT'S BECAUSE I LOVE THE MAN WHOSE HEART WAS THAT PURE.
02:38:19 HE WAS MY OPPOSITE IN SO MANY WAYS SOFTER, QUIETER, MORE
02:38:24 REFLECTIVE. HE WAS MY SUPER HERO, MY OLDER
02:38:27 BROTHER AND I WASN'T BECAUSE HE WAS LOUD THAT MADE HIM A
02:38:31 SUPERHERO. IT WAS BECAUSE HE FELT DEEPLY
02:38:32 IN THE WORLD THAT PEOPLE NOT TO CARE FOR THE WORLD DIDN'T JUST
02:38:38 LOSE MY BROTHER IN LAW TO GIVE BACK TO THE MAN WHO CRIED FOR A
02:38:42 STRANGER. IT WAS ALL WANDERING THE SKIES
02:38:45 A LOVE STORY THAT WILL NEVER BE FINISHED.
02:38:49 >> MY BROTHER WAS GENTLE. HE WAS KIND WONDERFUL.
02:38:52 HE WAS A GENTLE GIANT BUT HE WILL TELL YOU THAT NO MATTER
02:38:57 WHAT YOU WILL GO. HE KEPT A SMILE ON HIS FACE.
02:39:01 MY BROTHER KEPT IT MORAL COMPASS EVEN WHEN HE WAS
02:39:04 SUFFERING THE MOST ON THE STREETS.
02:39:05 MY BROTHER WAS A GOOD PERSON. HE DID NOT DESERVE TO GO OUT
02:39:08 THE WAY YOU DID. HE DESERVED TO BE CARED FOR.
02:39:12 THERE'S HIS FAMILY. THERE'S JUST A LOVE FOR ME IT'S
02:39:17 A LOVE FOR MY BROTHERS. GEORGE WAS IN HIGH SCHOOL CLASS
02:39:23 OF 1989 CLASS I LOVE FOR HIM. MY BROTHER WAS A GOOD HUMAN
02:39:27 BEING AND THAT'S ALL I WANT TO SAY.
02:39:30 >> THANK YOU. THANK YOU SO MUCH.
02:39:33 WE'RE SORRY FOR YOUR LOSS. THANK YOU.
02:39:34 ANY OTHER MEMBER OF THE PUBLIC ?
02:39:40 >> THERE ARE NO OTHER CALLERS IN THE QUEUE THAT ENDS GENERAL
02:39:43 PUBLIC COMMENT AND WE'RE NOW ON ITEM NUMBER 12 NOMINATING
02:39:47 COMMITTEE REPORT. WE'RE WORKING TO SCHEDULE THE
02:39:50 NEXT NOMINATING COMMITTEE AND AFTER THAT TIME WE'LL HAVE
02:39:52 A REPORT AT OUR NEXT MEETING THAT NOW PLACES US ON ITEM
02:39:59 NUMBER 13 DATA OFFICER REPORT. >> I'LL TURN IT OVER TO OUR
02:40:03 DATA OFFICER, COMMISSIONER GUERRERO TO PRESENT.
02:40:06 >> THANK YOU SO MUCH. I JUST HAVE ONE SLIDE.
02:40:16 I'LL JUST I'M GOING TO START ANYWAY AND JUST IT'S JUST ONE
02:40:20 SLIDE SO IT'S JUST SO YOU CAN FOLLOW ALONG WITH THE SUBJECTS
02:40:24 THAT WILL BE COVERING BUT SO JUST TO START YOU HAVE A COPY
02:40:28 OF MY NOTES IN FRONT OF YOU BUT UNDER THE SAN FRANCISCO CITY
02:40:33 CHARTER THE 4.133 THE DATA OFFICER ROLE SUPPORTS THE
02:40:34 COMMISSION BY IDENTIFYING WHAT SHOULD BE MEASURED, WHY IT
02:40:38 MATTERS AND HOW DATA CAN INFORM STRATEGIC OVERSIGHT.
02:40:42 SO MY GOAL IS TO ENSURE THAT MAJOR POLICY DIRECTIONS PRODUCE
02:40:45 MEASURABLE AND LASTING PROGRESS IN REDUCING HOMELESSNESS.
02:40:49 TODAY I'LL INTRODUCE SEVERAL POTENTIAL TOPICS OF DISCUSSION
02:40:53 TO GATHER INPUT FROM THE COMMISSIONERS ON WHICH AREAS WE
02:40:57 MIGHT PRIORITIZE FOR DEEPER REVIEW.
02:41:00 SO I'VE BROKEN IT DOWN TO FOUR SORT OF SECTIONS AND I JUST
02:41:04 WANT TO KIND OF TALK THROUGH EACH ONE WITH THE COMMISSIONERS
02:41:07 AND SEE YOU KNOW, GET SOME INPUT AT THE END OF LIKE WHAT
02:41:14 PEOPLE ARE FEELING IS IS A GOOD PRIORITY TO START LOOKING INTO
02:41:15 A LITTLE BIT DEEPER. AND IF THERE'S ANYTHING THAT IS
02:41:18 NOT ON HERE, I ALSO WELCOME THOSE REMARKS AT THE END.
02:41:22 SO NUMBER ONE WOULD BE MEASURING BREAKING THE CYCLE IS
02:41:26 ABILITY TO REDUCE HOMELESSNESS .
02:41:29 SO YOU KNOW, I THINK AS AS A COMMISSION AS THIS NEW, YOU
02:41:32 KNOW, THEORY OF CHANGE APPROACHES ARE HAPPENING, I
02:41:36 THINK IT'S REALLY IMPORTANT THAT WE AS A COMMISSION ARE
02:41:40 TRACKING AS WELL MAKING SURE THAT WE'RE TRACKING THE RIGHT
02:41:41 THINGS SO THE FIRST SO THE FIRST FOCUS EVALUATING THE
02:41:44 CITY'S CURRENT THEORY OF CHANGE UNDER BREAKING THE CYCLE TO
02:41:48 DETERMINE WHETHER IT IS EFFECTIVELY REDUCING
02:41:51 HOMELESSNESS OVER TIME. THIS INCLUDES TRACKING HOW
02:41:52 INDIVIDUALS MOVE THROUGH THE HOMELESSNESS SYSTEM FROM
02:41:55 OUTREACH DIVERSION OR INCARCERATION RELATED CONTACT
02:41:59 INTO SERVICES SHELTERS, TREATMENT AND PERMANENT HOUSING
02:42:03 AND WHETHER SYSTEM CAPACITY INCLUDING HOUSING SLOTS
02:42:04 AND CASE MANAGEMENT SCALES TO MEET INCREASED DEMAND.
02:42:08 DISTINGUISHING ABOUT BETWEEN PREEXISTING AND NEWLY
02:42:12 INTRODUCED PROGRAMS WILL ALLOW THE COMMISSION TO ASSESS THE
02:42:15 EFFECTIVENESS OF THE CURRENT STRATEGY AND ITS ALIGNMENT WITH
02:42:17 HOME BY THE BAY MEASURING OUTCOMES OVER ONE AND TWO YEAR
02:42:22 INTERVALS ENSURES WE CAPTURE BOTH IMMEDIATE PLACEMENTS
02:42:26 AND SUSTAIN HOUSING STABILITY SUPPORTING OVERSIGHT GROUNDED
02:42:29 IN EVIDENCE RATHER THAN NARRATIVE.
02:42:31 AND SO YOU KNOW AT THE BEGINNING OF OUR COMMISSION WE
02:42:35 TALKED A LOT ABOUT REALLY WANTING TO FOCUS ON MONITORING
02:42:38 AND ASSESSING THE PROGRESS OF THE HOME BY THE BAY STRATEGIC
02:42:42 PLAN. AND NOW WE HAVE ANOTHER SORT OF
02:42:46 PLAN WHICH IS THE BREAKING THE CYCLE.
02:42:47 AND SO MAKING SURE THAT WE'RE TRACKING BOTH AND SORT OF
02:42:50 COMPARING WHAT THINGS ARE NEW, WHAT THINGS ARE PREVIOUSLY
02:42:53 EXISTING AND MAKING SURE THAT THEY'RE NOT IN ANY WAY
02:42:56 IN CONFLICT. >> AND SO THE SECOND OPTION
02:42:59 WOULD BE PIVOTING TOWARDS MORE OF A CONVERSATION AROUND THE
02:43:04 DOWNSTREAM FISCAL IMPACT AND EVIDENCE BASED INVESTMENT.
02:43:08 SO ACTUALLY COMMISSIONER ROCHA HAD SOME QUESTIONS BEFORE A
02:43:12 COUPLE OF MEETINGS AGO ON THIS SUBJECT AND SO I WANTED TO
02:43:16 INCLUDE IT AS A SUBJECT THAT WE COULD POTENTIALLY LOOK INTO
02:43:20 SINCE IT'S ONE THAT I'M ALSO VERY INTERESTED IN.
02:43:22 SO THE SECOND AREA FOR CONSIDERATION IS REVIEWING
02:43:26 RESEARCH ON THE DOWNSTREAM FISCAL IMPACT OF HOMELESSNESS
02:43:29 INTERVENTIONS. A 2017 STUDY BY THE RAND
02:43:32 CORPORATION FOUND THAT INDIVIDUALS PLACED IN PERMANENT
02:43:35 SUPPORTIVE HOUSING IN LOS ANGELES COUNTY EXPERIENCED
02:43:36 SIGNIFICANT REDUCTION IN JAILS STAYS EMERGENCY DEPARTMENT
02:43:40 VISITS AND INPATIENT HOSPITALIZATION.
02:43:43 APPLYING SIMILAR METHODOLOGIES LOCALLY WOULD HELP THE
02:43:45 COMMISSION ASSESS WHETHER SAN FRANCISCO'S INVESTMENTS
02:43:48 IN SHELTER, HOUSING DIVERSION AND TREATMENT PROGRAMS ARE
02:43:52 PRODUCING MEASURABLE ACROSS SYSTEM IMPACT.
02:43:53 THIS IS DIRECTLY RELEVANT TO THE COMMISSION'S CHARTER
02:43:56 OVERSIGHT RESPONSIBILITIES AS IT ENABLES EVALUATION OF
02:43:59 PROGRAM EFFECTIVENESS AND THE RESPONSIBLE USE OF PUBLIC FUNDS
02:44:04 SO YOU KNOW, I THINK IT'S IMPORTANT WHEN WE HAVE THERE'S
02:44:07 BEEN A LOT OF CONVERSATIONS I'M GLAD WE'RE KIND OF MOVING AWAY
02:44:11 FROM THIS NOW. BUT IN THE LAST YEAR THERE WAS
02:44:13 A LOT OF CONVERSATIONS ABOUT SHELTER VERSUS PCH AND PSA JUST
02:44:17 TOO EXPENSIVE. I THINK IT'S REALLY IMPORTANT
02:44:18 AS A COMMISSION THAT WE RECOGNIZE THAT PERMANENT
02:44:21 SUPPORTIVE HOUSING IS THE CITY'S MAIN RESPONSE TO
02:44:23 HOMELESSNESS. SO YOU KNOW, IT'S NOT SOMETHING
02:44:26 WE CAN JUST LOOSELY TALK ABOUT LIKE GETTING RID OF.
02:44:30 >> IT'S SO I MEAN I'M ALL IN SUPPORT OF IMPROVING THAT AS
02:44:34 WE HEARD IN PUBLIC COMMENT THAT'S DEFINITELY CRITICALLY
02:44:37 NEEDED. BUT I THINK IF THERE'S EVIDENCE
02:44:41 AND PREVIOUS RESEARCH THAT PCH IS COST SAVING DOWNSTREAM, I
02:44:44 THINK WE SHOULD LOOK INTO THAT AND AND SEE IF IT APPLIES TO US
02:44:48 LOCALLY AS WELL JUST TO SORT OF DEBUNK ANY ANY OF THAT
02:44:52 NARRATIVE BECAUSE YOU KNOW, TO ME IT'S LIKE WE DON'T WANT TO
02:44:54 WASTE OUR TIME TALKING ABOUT THE WRONG THINGS.
02:44:56 AND IN THAT NOTE I APPRECIATED DIRECTOR GAITA MENTIONING THAT
02:45:00 OUR HIGH ACUITY YOU KNOW, RESIDENTS ARE VERY EXPENSIVE
02:45:04 IN THE MEDICAL SYSTEM SO IF OUR HOMELESSNESS RESPONSE
02:45:08 INTERVENTIONS ARE COST SAVING ACROSS THE CITY WE NEED TO
02:45:12 SHIFT THE DIALOG AROUND WHY PSA IS SO EXPENSIVE IF IT'S
02:45:16 ACTUALLY COST SAVING TO MAKE A BIGGER PICTURE.
02:45:17 SO THAT'S ANOTHER ANOTHER SUBJECT WE COULD DIVE INTO.
02:45:19 BUT MOVING ALONG THE NEXT SUBJECT IS THE NONPROFIT
02:45:23 SUSTAINABILITY IN CONTRACT STRUCTURE.
02:45:26 WE'VE TALKED A LOT ABOUT HOW THE CITY LOOKS AT CONTRACT
02:45:30 MAKING AND WHAT KIND OF PARTNER THAT WE ARE TO PROVIDERS
02:45:34 AND IT'S BEEN DISCUSSED THAT IT'S VERY IMPORTANT TO HAVE THE
02:45:36 PROVIDERS ALONG ON THE DESIGN OF THESE NEW SORT OF
02:45:39 INITIATIVES WHICH I COMPLETELY AGREE WITH.
02:45:42 SO ON THAT NOTE, A THIRD AREA IS THE FISCAL SUSTAINABILITY OF
02:45:46 NONPROFIT PARTNERS DELIVERING HOMELESSNESS SERVICES.
02:45:50 SO THE NONPROFIT FINANCE FUND HAS DOCUMENTED THE NONPROFIT
02:45:54 STARVATION CYCLE IN WHICH UNDERFUNDED ADMINISTRATIVE
02:45:57 COSTS WEAKEN CAPACITY. THE COMMISSION SHOULD EXPLORE
02:46:01 WHETHER APPLYING A FULL COST RECOVERY MODEL ALONG WITH
02:46:04 ATTENTION TO INDIRECT COST RATES AND WORKFORCE SUPPORT
02:46:07 WOULD ENABLE NONPROFITS TO DELIVER MEASURABLE OUTCOMES
02:46:08 AND MAINTAIN OPERATIONAL STABILITY.
02:46:11 OVERSIGHT HERE ENSURES PUBLIC DOLLARS ARE STRUCTURED TO
02:46:15 SUPPORT EFFECTIVE SUSTAINABLE SERVICE DELIVERY WITHOUT
02:46:18 OVERSTEPPING OPERATIONAL MANAGEMENT.
02:46:22 AND I THINK THIS IS AN IMPORTANT CONVERSATION AND IT'S
02:46:23 IMPORTANT ABOUT HOW WE HAVE IT ESPECIALLY AS THE CITY IS SORT
02:46:27 OF EXPLORING WHAT RESULTS BASED CONTRACTING LOOKS LIKE.
02:46:30 YOU KNOW, WITHOUT YOU KNOW I THINK WE WANT TO BE REALLY
02:46:34 NEUTRAL IN HOW WE LOOK AT THE RESEARCH AROUND THAT ESPECIALLY
02:46:37 BECAUSE IF IT CONTRADICTS WITH EVIDENCE AROUND TRAUMA INFORMED
02:46:41 RESPONSE AND THE NEUROSCIENCE OF THAT AS I MENTIONED BEFORE,
02:46:45 YOU KNOW, I THINK REALLY LOOKING AT OUR SIDE OF THE
02:46:49 TABLE OF LIKE HOW HOW ARE WE SHOWING UP AS A PARTNER TO THE
02:46:51 PROVIDERS? ARE WE SETTING THEM UP TO FAIL?
02:46:54 ARE WE SETTING THEM UP FOR SUCCESS?
02:46:55 I THINK THAT YOU KNOW, THE COMMISSION CAN LOOK AT THAT
02:46:57 FROM A REALLY NEUTRAL PERSPECTIVE.
02:47:01 THAT'S ANOTHER REALLY IMPORTANT TOPIC TO CONSIDER.
02:47:04 AND THEN LASTLY THIS IS NOT SEEM LIKE SUPER IMPORTANT TO ME
02:47:06 BUT I'VE BEEN TALKING ABOUT IT SINCE I'VE YOU KNOW BEEN ON THE
02:47:09 COMMISSION THAT IF THE COMMISSIONERS WOULD LIKE TO
02:47:12 EXPLORE ELEMENTS OF THE VIENNA SOCIAL HOUSING MODEL KNOWN FOR
02:47:15 PROMOTING LONG TERM HOUSING STABILITY WHILE WHILE
02:47:19 REPLICATING IT IS NOT FEASIBLE ASPECTS SUCH AS INCOME
02:47:20 FLEXIBILITY, LONG TERM AFFORDABILITY AND INTEGRATED
02:47:24 SERVICES COULD INFORM LOCAL POLICY AND IDENTIFY STRUCTURAL
02:47:27 BARRIERS TO LONG TERM HOUSING STABILITY IN SAN FRANCISCO
02:47:30 AND THIS ALIGNS WITH THE COMMISSION'S ROLE IN PROMOTING
02:47:34 EFFECTIVE EVIDENCE, INFORMED STRATEGIES AND CONTINUOUS
02:47:35 IMPROVEMENTS AND I THINK YOU KNOW WHEN WHEN SUPERVISOR A
02:47:42 SAFAI STARTED THIS COMMISSION HE WAS VERY FOCUSED ON LOOKING
02:47:46 OUTWARD TO OTHER MODELS THAT HAVE WORKED AND BECAUSE I DID
02:47:50 VISIT THE VENICE MODEL AND THEY'RE SORT OF THE GOLD
02:47:53 STANDARD OF YOU KNOW, HOUSING AND HOMELESSNESS RESPONSE
02:47:57 SYSTEMS. AMY IT'S 100 YEARS OLD SO YOU
02:48:01 KNOW BUT I THINK THAT THERE ARE TAKEAWAYS FROM THERE THAT WE
02:48:05 COULD COMPARE AND CONTRAST TO HOW WE APPROACH HOMELESSNESS
02:48:07 AND SEE IF THERE'S ANY THAT WE COULD APPLY.
02:48:09 SO JUST IF PEOPLE ARE INTERESTED IN THAT AND THEN
02:48:12 IN CLOSING EACH OF THESE PROPOSED SUBJECT CENTERS ON THE
02:48:16 GUIDING QUESTION ARE THE CITY'S HOMELESSNESS STRATEGIES
02:48:17 REDUCING HOMELESSNESS IN A MEASURABLE, SUSTAINABLE
02:48:21 AND FISCALLY RESPONSIBLE WAY BY APPROACHING THESE TOPICS AT A
02:48:24 HIGH LEVEL AND GROUNDING THE DISCUSSION AND DATA
02:48:27 AND ESTABLISHED RESEARCH, THE COMMISSION CAN FULFILL ITS
02:48:28 CHARTER RESPONSIBILITIES WITH CLARITY.
02:48:31 THE INTENTION IS TO SUPPORT LEARNING AND TRANSPARENCY,
02:48:33 ENSURING THAT AS THE CITY REFINES ITS APPROACH WE ARE
02:48:36 MEASURING PROGRESS THOUGHTFULLY AND RESPONSIBLY.
02:48:39 SO I WELCOME THE COMMISSION'S GUIDANCE ON WHICH OF THESE
02:48:42 AREAS WOULD BE MOST USEFUL TO PRIORITIZE FOR INITIAL REVIEW
02:48:46 AND IF ALSO WELCOME THE DIRECTOR TO COMMENT ON IT AS
02:48:49 WELL. THANK YOU SO MUCH.
02:48:56 >> I SEE COMMISSIONER LAGUARDIA RIGHT.
02:49:00 COMMISSIONER GUERRERO, THANK YOU FOR ALL YOUR WORK ON THIS.
02:49:04 I REVIEWED IT IN DETAIL ACTUALLY I WAS HOPING TO TALK
02:49:08 TO YOU ABOUT IT BEFORE THE MEETING BUT WE GOT CUT OFF OR I
02:49:09 ACTUALLY GOT CUT OFF. APPRECIATE YOU SPENDING SOME
02:49:12 TIME TALKING WITH ME ABOUT IT. >> SO FIRST OF ALL, LIKE THE
02:49:16 HIGH LEVEL, THEY'RE ALL GREAT. THEY'RE ALL GREAT.
02:49:19 THEY'RE ALL IMPORTANT THINGS. I THINK IT'S IMPORTANT TO
02:49:21 ESTABLISH METRICS. I THINK IT'S IMPORTANT TO LOOK
02:49:23 AT WHAT OTHER CITIES ARE DOING. COULD COULD S.F. COP TO PUT THE
02:49:31 SLIDE BACK UP AGAIN AND JUST MAKE IT EASIER BECAUSE I LOST
02:49:33 THE THANK YOU SO MUCH. THANK YOU.
02:49:41 I TOTALLY AGREE WITH FISCAL IMPACT AND OBVIOUSLY WE NEED TO
02:49:45 HAVE A SUSTAINABLE CITY MODELS THAT THAT MAKE OUR OUR NON
02:49:53 PROFIT PROVIDERS SUSTAINABLE OVER THE LONG RUN AND ALSO
02:49:57 HOPEFULLY GET TO A PLACE WHERE THE PEOPLE THAT ARE WORKING FOR
02:50:01 HIM DON'T QUALIFY FOR THE SERVICES THAT THEY ARE
02:50:02 PROVIDING. YOU KNOW I THINK THAT THAT'S AN
02:50:05 IMPORTANT GOAL TO SHOOT FOR WITH RESPECT TO THE DETAILS,
02:50:12 I'LL JUST SAY THEY'RE SAID WITH LOVE AND APPRECIATION WHEN
02:50:16 THERE IS A LITTLE BIT OF LEADING THE WITNESS IN THERE
02:50:20 LIKE IT FELT LIKE THERE WAS A YOU KNOW YOU TALKED ABOUT THE
02:50:25 RAND STUDY AND SORT OF HIGHLIGHTED THAT YOU TALKED
02:50:28 ABOUT THE VIENNA MODEL AND HIGHLIGHTED THAT
02:50:32 AND ENCOURAGED TO LIKE MAYBE TAKE A STEP BACK FROM ASSUMING
02:50:36 THAT WE KNOW WHAT WORKS OR DOESN'T WORK AND TAKE A BROADER
02:50:40 MORE HOLISTIC VIEW BECAUSE LIKE THE SPECTRUM OF RESEARCH WORK
02:50:47 THAT HAS BEEN DONE IS INCREDIBLY BROAD AND ROBUST
02:50:51 AND I THINK WE WANT TO LEAVE ROOM TO BE OPEN TO ALL OF THE
02:50:55 POSSIBILITIES INCLUDING SOME THAT MAY CHALLENGE OUR OUR
02:50:59 ASSUMPTIONS OR PRECONCEPTIONS ON ALL SIDES.
02:51:03 AND SO WHEN YOU FRAME IT FROM LIKE A PARTICULAR LENS SORT OF
02:51:07 INDICATES THAT MAYBE YOUR YOU'RE LIKE NO WE'RE WE'RE
02:51:11 CLOSING THE DOORS ON ON CERTAIN THINGS.
02:51:14 SO LIKE I KNOW THAT WASN'T YOUR INTENTION BUT I'M JUST SAYING
02:51:16 YOU KNOW, MOVING FORWARD WHEN WHEN YOU'RE PRESENTING A STUDY
02:51:19 PLAN YOU WANT TO BE CAREFUL IN HOW YOU DESIGN THE STUDY TO
02:51:25 NOT GIVE THE IMPRESSION THAT YOU'RE PUTTING YOUR FINGER ON
02:51:30 THE SCALES A LITTLE BIT IN TERMS OF WHAT YOU'RE
02:51:31 EXPECTING TO SEE IN TERMS OF THE OUTPUTS.
02:51:34 AND I WILL JUST SAY BROADLY SPEAKING SO FIRST OF ALL AGAIN
02:51:38 I'M ALIGNED WITH ALL OF THIS. I THINK IT'S GREAT AND I
02:51:41 APPRECIATE ALL OF THE THOUGHT THAT YOU PUT INTO IT AND I'M
02:51:45 REALLY LOVING WHERE THE COMMISSION IS GOING.
02:51:49 I'M LOVING WHERE THE DEPARTMENT IS GOING AND VERY, VERY EXCITED
02:51:53 ABOUT ALL OF THE OPPORTUNITIES THAT ARE OPENING UP FOR US TO
02:51:57 GET REAL PROGRESS. >> SO IT'S I THINK FOR ME IT'S
02:52:01 JUST ABOUT KEEPING OUR HEAD ON A SWIVEL, MAINTAINING AS WIDE A
02:52:08 FIELD OF VISION AS POSSIBLE SO THAT WE'RE REALLY STAYING OPEN
02:52:16 TO A AS MANY DIFFERENT SOLUTIONS AS POSSIBLE THAT WE
02:52:20 CHERRY PICK THE ONES THAT ARE RIGHT FOR SAN FRANCISCO BECAUSE
02:52:21 THE CONDITIONS HERE ARE UNIQUE AND NOT NECESSARILY APPLICABLE
02:52:27 TO OTHER CITIES AND THEN THE KEEP YOUR HEAD ON A SWIVEL.
02:52:35 AND THEN THE SECOND THOUGHT I HAD OH SHOOT, I'M JUST GOING TO
02:52:39 HAVE TWO REQUESTS TO SPEAK LATER.
02:52:40 I LIKE AND GATHER MY THOUGHTS. TOM YOU GO GO AHEAD.
02:52:46 >> EXCUSE ME. THANK YOU, COMMISSIONER
02:52:47 GUERRERO AND THANK YOU FOR THE WORK ON THIS.
02:52:49 I, I DO APPRECIATE THE TIME THAT IT TAKES TO DO THAT.
02:52:55 I THINK ON ITEM TWO AND ITEM THREE I'M NOT FAMILIAR WITH THE
02:53:01 VERNET OF THE VIENNA MODEL SO I CAN'T REALLY SPEAK TO THAT
02:53:04 UNLESS YOU'RE SUGGESTING WE TAKE A TRIP TO VIENNA.
02:53:08 >> BUT ON THE FISCAL IMPACTS OF INTERVENTION YOU'RE EXACTLY
02:53:12 RIGHT. THAT'S WHERE MY QUESTION WAS
02:53:16 LEADING LAST MONTH OR THE MONTH BEFORE AND ALSO THE NONPROFITS
02:53:22 SUSTAINABILITY. I THINK THOSE TWO THINGS ARE
02:53:26 AREAS THAT EITHER OFFLINE OR AT THE COMMISSION HERE I'D BE
02:53:29 WILLING TO DISCUSS WITH YOU AND WORK WITH YOU ON IT.
02:53:33 THANK YOU AND THANK YOU VERY MUCH, COMMISSIONER LAGUARDIA
02:53:38 YES. SO I REMEMBER WHAT I WAS GOING
02:53:42 TO SAY. I GOT LOST IN THINKING ABOUT
02:53:45 HEAD ON A SWIVEL. >> YEAH.
02:53:46 AND IT WAS THE SAME THING THAT WE'RE AS WE'RE THINKING ABOUT
02:53:52 THIS THAT WE REALLY FOCUS ON THE HOLISTIC THE FULL HOLISTIC
02:53:56 PICTURE, YOU KNOW, NOT JUST SUSTAINABILITY OF THE
02:54:00 NONPROFITS PER SE BUT THE SUSTAINABILITY OF THE SYSTEM AS
02:54:05 A WHOLE AND AND THE FINANCIAL SUSTAINABILITY AND A
02:54:12 RECOGNITION OF EXHAUSTION OF FACTORS LIKE YOU KNOW, WE'RE
02:54:17 WRESTLING WITH BUDGETS THAT MAYBE AREN'T AS LARGE AS THEY
02:54:21 USED TO BE OR IT MAY NOT BE PRACTICAL TO AND ASSUME THAT
02:54:27 THEY'RE GOING TO GO UP IN THE FUTURE.
02:54:30 SO LIKE WHAT'S A DESIGN OR SERIES OF METRICS THAT CAN FLEX
02:54:35 WITH EITHER UP OR DOWN DEPENDING ON ON HOW THINGS LAND
02:54:39 BECAUSE I MEAN THEY COULD ALSO GO IN THE POSITIVE DIRECTION OF
02:54:43 LIKE AIR TAKES OFF AND WE'RE SUDDENLY LOADED WITH MONEY
02:54:46 AND THEN LAST I THINK WE ALSO WANT TO TAKE INTO CONSIDERATION
02:54:52 THE BROADER COMMUNITY AND THEIR DEGREE OF TRUST IN GOVERNMENT
02:54:57 AND IN THE PROCESS AND IN HOW IT MOVES FORWARD
02:55:01 AND INCORPORATE ALL OF THAT. SO JUST IN I KNOW WHEN YOU'RE
02:55:08 WHEN YOU'RE PREPARING LIKE YOU CAN'T SAY EVERYTHING AND YOU
02:55:11 MIGHT BE THINKING A LOT OF THINGS AND OF COURSE THEY'RE
02:55:13 NOT ALL GOING TO APPEAR IN THE DOCUMENT BUT I JUST WANTED TO
02:55:16 ARTICULATE WHAT I THOUGHT AS I WAS REVIEWING THEM AND IF ANY
02:55:20 OF THAT THAT'S HELPFUL. GREAT.
02:55:24 AND AND OF COURSE YOU'RE YOU'RE WELCOME TO REJECT ANY OF IT TOO
02:55:25 AS WELL. I WON'T BE OFFENDED AND SO YOU
02:55:30 KNOW, I PUT THESE UP AS OPTIONS BECAUSE I DEFINITELY WELCOME
02:55:34 FEEDBACK AND I JUST WANT TO SHARE THAT YOU KNOW I I BECAUSE
02:55:37 I'M NEWER TO POLITICS I AM WORKING WITH A COACH WHO IS
02:55:41 HELPING ME WHO HAS EXTENSIVE KNOWLEDGE AND I'M JUST BEING
02:55:45 TRANSPARENT ABOUT THAT BECAUSE MY POINT IS TO SAY THAT IT IS
02:55:48 IMPORTANT TO ME THAT THE DATA IS NEUTRAL.
02:55:50 SO I JUST WANT TO RESPECT THAT AND THAT WHAT I WAS TAUGHT
02:55:53 RECENTLY IS LIKE THE IMPORTANCE OF USING DATA TO IMPROVE NOT TO
02:55:57 PROVE OR DISPROVE POLICY. SO IT JUST IN RESPONSE TO WHAT
02:56:01 YOU'RE SAYING THAT IS MY GOAL AND I AM NEW TO DOING THIS SO
02:56:08 IF MY IF THERE IS AN ANY KIND OF BIAS SHOWING AND THE WAY
02:56:12 THAT I AM PRESENTING INFORMATION I ALWAYS WELCOME
02:56:13 THAT FEEDBACK AND I'M HAPPY TO PIVOT WITH, YOU KNOW, THE
02:56:16 COLLABORATION OF THE COMMISSION SO I WANT THE DATA REPORTING
02:56:20 SECTION TO BE AN AREA OF DISCUSSION FOR US THAT WE CAN
02:56:24 THEN SORT OF MAKE SURE THAT I THINK IT'S A POWERFUL THING TO
02:56:28 BE ABLE TO, YOU KNOW, DO SOMETHING AS A WHOLE COMMISSION
02:56:32 WITH INPUT FROM EVERYBODY. SO I ABSOLUTELY WELCOME THAT
02:56:35 AND SO YEAH, I WANT I WANTED TO COME OFF LIKE WE'RE USING DATA
02:56:39 TO IMPROVE AND IN SAYING THAT THE ONE JUST AND JUST TO GIVE A
02:56:45 LITTLE MORE CONTEXT BECAUSE IT IS I WROTE IT YOU KNOW JUST
02:56:46 PRETTY QUICKLY SO WE COULD GET STARTED ON THE CONVERSATION
02:56:50 IT'S NOT VERY DETAILED I'LL JUST SAY THAT THE NONPROFIT SO
02:56:53 I BASED THEM AROUND RESEARCH THAT EXISTS RIGHT?
02:56:57 >> SO I'M NOT SAYING THAT THAT IS A CORRECT RESEARCH.
02:57:01 I'M SAYING WE WOULD SORT OF USE THAT AS A STARTING POINT TO
02:57:04 THEN CREATE OUR OWN METRICS FOR SAN FRANCISCO SPECIFICALLY FOR
02:57:05 EXAMPLE, YOU KNOW THE THE RAND REPORT THAT I REFERENCED WAS
02:57:12 YOU KNOW THE QUESTION FROM COMMISSIONER ROCHA TO THE
02:57:16 DIRECTOR WAS RESPONDED BY THAT YOU KNOW, CERTAIN THINGS WE
02:57:19 DON'T COLLECT LOCAL DATA ON BUT THE DEPARTMENT LIKE MANY OTHER
02:57:23 AREAS RELY ON NATIONAL RESEARCH.
02:57:24 RIGHT. SO WHEN I THINK ABOUT THAT I'M
02:57:27 LIKE WELL LET'S LOOK INTO THIS NATIONAL RESEARCH AND SAY LIKE
02:57:28 DOES THIS COMMISSION WANT TO DISCUSS FURTHER HOW WE SHOULD
02:57:32 BE APPLYING THAT SO THAT I ONLY WANTED TO USE THOSE LIKE JUMP
02:57:36 OFF POINTS. I'M NOT NECESSARILY SAYING THAT
02:57:37 THAT MEANS THAT WE NEED TO FOLLOW.
02:57:40 YEAH, YEAH. SO I JUST WANT TO MAKE SURE
02:57:41 THAT THAT COMES OUT. YEAH.
02:57:42 COOL. AND THEN AND THEN YEAH SO
02:57:43 AND THEN WITH THE PART AROUND THE THE NONPROFIT
02:57:47 SUSTAINABILITY SPECIFICALLY JUST TALKING ABOUT HOW WE MAKE
02:57:51 CONTRACTS I DIDN'T THINK ABOUT IT LIKE DEEPER BUT I APPRECIATE
02:57:55 YOUR FEEDBACK THAT I ABSOLUTELY THINK WE SHOULD CONSIDER ALL OF
02:57:58 THOSE THOSE ISSUES IT'S MORE JUST LIKE DO WE WANT TO LOOK
02:57:59 INTO HOW WE MAKE CONTRACTS AS A CITY YOU KNOW, AS A PARTNER BUT
02:58:06 I THANK YOU FOR YOUR YOUR FEEDBACK AND AND AGAIN, YOU
02:58:10 KNOW, IT IS POSSIBLE THAT THE WAY I WRITE THINGS COMES OFF A
02:58:13 LITTLE BIAS AND IF IT DOES I'M ABSOLUTELY HAPPY TO RECEIVE
02:58:15 THAT SO LET ME JUST SAY ONE LAST QUICK THING AND FOLLOW UP
02:58:18 TO THAT. FIRST OF ALL, YOU'RE THE
02:58:21 ELECTED DATA OFFICER AND YOU CAN PROCEED AS YOU SEE FIT
02:58:28 AND AND I ENCOURAGE THAT, RIGHT?
02:58:29 LIKE YOU DON'T YOU DON'T NEED TO ASK FOR PERMISSION.
02:58:33 YOU KNOW, LIKE YOU'RE WELCOME TO TAKE MY FEEDBACK OR YOU CAN
02:58:37 REJECT IT. SAME GOES FOR ANY OF THE OTHER
02:58:40 COMMISSION LIKE I REALLY WANT TO EMPOWER YOU TO DO WHAT YOU
02:58:44 THINK IS RIGHT AND WHAT IS BEST BECAUSE THAT'S THAT'S WHEN
02:58:48 YOU'RE GOING TO GET SOMETHING THAT YOUR YOUR YOU FEEL
02:58:51 REPRESENTS THE WORK THE PRODUCT OF THE WORK THAT YOU'RE DOING
02:58:58 AND SECOND OF ALL I KNOW YOUR INTENTIONS ARE GOLDEN SO I'M
02:59:02 OFFERING THAT FEEDBACK. I'M JUST TELLING YOU HOW IT
02:59:06 LANDS BECAUSE I KNOW YOU'LL HEAR IT AND ACCEPT IT.
02:59:10 BUT I ALSO I WANT YOU TO KNOW THAT I KNOW WHERE YOU ARE
02:59:13 COMING FROM AND AGAIN I APPRECIATE THE WORK YOU'RE
02:59:17 PUTTING INTO IT. THANK YOU.
02:59:20 THANK YOU SO MUCH FOR THE REPORT AND YOUR WORK IN REALLY
02:59:24 DEVELOPING OUT THE SCOPE OF THE DATA OFFICERS WORK THIS YEAR I
02:59:32 ENCOURAGE YOU TO CONTINUE AND I KNOW YOU HAVE A PARTNERSHIP
02:59:35 WITH THE DIRECTOR AND THE TEAM .
02:59:39 ANY ONE OF THESE TOPICS IS A SIGNIFI CANT AMOUNT OF WORK TO
02:59:44 DO IT AT ALL TO DO IT WELL EVEN MORE AND SO JUST REALLY
02:59:48 UNDERSTANDING PRIORITIZATION AND AND CAPACITY NEEDS AS YOU
02:59:52 DO IT AND I KNOW YOU WILL IN TERMS OF YOUR PARTNERSHIP
02:59:56 WITH THE DIRECTOR IN TERMS OF IDENTIFYING THOSE COMPONENTS.
02:59:59 SO THANK YOU VERY MUCH AND LOOKING FORWARD TO FUTURE
03:00:03 REPORTS IN YOUR WORK. APPRECIATE YOUR SERVICE ON
03:00:06 BEHALF OF THE CITY AND COUNTY. THANK YOU.
03:00:07 THANK YOU. >> THIS NOW PLACES US ON OH I'M
03:00:14 SO SORRY. >> YES.
03:00:14 WHY DON'T WE TAKE PUBLIC COMMENT ON THAT?
03:00:17 >> THERE'S NO ACTION ITEM BUT WE WILL TAKE PUBLIC COMMENT.
03:00:23 I THINK MY ISSUE IS IS LIKE THE WAY IT'S FRAMED.
03:00:28 I THINK THAT WE JUST NEED MORE INFORMATION FROM THESE THESE
03:00:35 HOUSING UNITS AND SO ROLES LIKE HOW MANY TIMES ARE THE POLICE
03:00:40 COMING ON HOW LIKE HOW ARE PEOPLE MOVING THROUGH THESE
03:00:44 SYSTEMS ARE ARE YOU KNOW ARE PEOPLE DYING IN THE SYSTEMS ARE
03:00:47 ARE LIKE WHAT'S THE VACANCY COUNTS?
03:00:48 YOU YOU KNOW ARE PEOPLE JUST MOVING OUT IN UP JUST KIND OF
03:00:55 LIKE WHAT'S WHAT'S HAPPENING LIKE AND AGAIN LIKE HOW MANY
03:00:59 TIMES AT A POLICE COME IN HOW MANY TIMES ARE THE AMBULANCE
03:01:00 COMING LIKE YOU KNOW LIKE BY ARE THERE FIGHTS IN THESE
03:01:07 PLACES ARE JUST WHAT'S WHAT'S HAPPENING AND THEN MAYBE IT CAN
03:01:11 BE ON WE COULD PROBABLY LOOK AT BY BY THE UNITS I MEAN THAT
03:01:17 LIKE BY THE BUILDINGS I MEAN I'M SURE IS QUITE MASSIVE
03:01:21 BECAUSE HOW MANY HOW MANY PROGRAMS ARE WE FINDING BUT
03:01:28 THAT'S THAT'S WHAT I WOULD LIKE TO SEE IN THE I THINK ONE OF
03:01:32 THE OTHER PARTS OF IT IS IS THE SRO TASK FORCE WAS DISSOLVED SO
03:01:39 I THINK WE NEED SOME GROUP TO TALK ABOUT THAT AND THE ISSUES
03:01:43 THAT THEY'RE HAVING. >> THANK YOU SO MUCH.
03:01:50 ANY OTHER MEMBER OF THE PUBLIC BEING NONE ANYONE ONLINE?
03:01:54 >> NO CALLERS IN THE FUTURE. >> OKAY.
03:01:58 THANK YOU. I'LL TURN IT OVER TO
03:01:59 COMMISSIONER GUERRA FOR A FINAL WORD.
03:02:00 YEAH. YEAH.
03:02:01 SO THANK YOU SO MUCH FOR THE INPUT.
03:02:02 COMMISSIONER ROCHA I'M DEFINITELY GOING TO YOU KNOW,
03:02:05 CONSIDER THAT AS A PRIORITY THAT YOU'RE INTERESTED IF OTHER
03:02:08 FOLKS DON'T HAVE ANYTHING THAT OBVIOUSLY JUMPS OUT ON THEM.
03:02:10 I WOULD LOVE TO HEAR FROM THE DIRECTOR.
03:02:12 YOU KNOW IF YOU KNOW AND AGAIN I WANTED TO REALLY, REALLY
03:02:15 MINDFUL OF THE DIRECTOR'S CAPACITY AS WELL.
03:02:16 SO I'M NOT SAYING WITH ANY OF THESE TOPICS THAT WE SHOULD
03:02:20 LIKE GO IN AND REDO EVERYTHING OR LIKE YOU KNOW, ASK FOR A
03:02:24 WHOLE BUNCH OF NEW METRICS. I'M MORE INVITING SORT OF
03:02:27 CONVERSATION EVEN IF THAT'S JUST LOOKING AT NATIONAL
03:02:29 RESEARCH, YOU KNOW, AND NOT YOU KNOW, ASKING FOR A BUNCH OF
03:02:36 CHANGES TO HOW WE DO THINGS. IT'S MORE JUST LIKE A
03:02:37 DISCUSSION AROUND WHAT RESEARCH EXISTS AND HOW IT HOW IT
03:02:43 APPLIES HERE. BUT YEAH, I DON'T KNOW IF YOU
03:02:47 WANT TO COMMENT ON IT AT ALL OR NOT.
03:02:50 NO, I LIKE THE WAY YOU'VE BROKEN IT OUT, COMMISSIONER.
03:02:52 I DON'T WE DON'T HAVE ANY CAPACITY TO TO DO RESEARCH THAT
03:02:55 WE'RE NOT ALREADY WORKING ON SO WE'RE HAPPY TO SHARE WITH YOU
03:02:58 WHAT WE HAVE. BUT YOU KNOW THAT'S JUST NOT
03:03:02 GOING TO BE POSSIBLE IN THIS YEAR FOR US TO DO ANYTHING
03:03:06 BEYOND THAT. THAT SAID, WE HAVE A LOT OF
03:03:10 STUFF SO RIGHT. I THINK WE CAN FIGURE OUT HOW
03:03:12 TO WORK TOGETHER. >> ABSOLUTELY.
03:03:13 IN THAT CASE I'LL DEFINITELY FOLLOW UP WITH THE DIRECTOR ON
03:03:17 WHICH SEEMS LIKE SOMETHING THAT'S LIKE AND AGAIN I'M
03:03:20 TOTALLY HAPPY TO JUST SAY THIS IS WHAT WE HAVE.
03:03:24 THIS IS WHAT NATIONAL RESEARCH RESEARCH SAYS AND SORT OF PUT
03:03:27 SOMETHING TOGETHER FOR THE COMMISSION AND THE PUBLIC TO
03:03:28 SORT OF LOOK AT I DON'T THINK WE NEED TO REINVENT THE WHEEL
03:03:32 AT ALL. SO YEAH, THANK YOU.
03:03:34 >> THANK YOU SO MUCH. LOOKING FORWARD AGAIN TO FUTURE
03:03:36 WORK IN THIS IN THIS AREA THAT NOW PLACES US ON ITEM NUMBER 15
03:03:42 COMMISSIONER MATTERS ARE THERE ANY COMMISSIONER MATTERS
03:03:46 COMMISSIONERS WHO WISH TO BRING UP AN ITEM NOW AND THEN WE'LL
03:03:50 DO PUBLIC COMMENT. >> COMMISSIONER DUFTY THANK
03:03:51 YOU. HONESTLY I JUST WANT TO THANK
03:03:54 THE DIRECTOR AND JUST LET YOU DO YOU WANT TO SAY THAT WELL
03:03:58 YEAH. >> SO SINCE SO MANY ISSUES CAME
03:04:01 UP ABOUT FAMILIES WE WILL FOCUS ON FAMILIES.
03:04:05 WE'LL DO A PRESENTATION ON FAMILIES IN IT.
03:04:06 I HEARD YOU ASK ME TO ALSO INCLUDE SOME INFORMATION ABOUT
03:04:09 THE WORK WE'RE DOING WITH TRANSITIONAL AND YOUTH SO WE
03:04:12 WILL DO THAT NEXT MEETING. >> THANK YOU SO MUCH.
03:04:16 THANK YOU SO MUCH. OTHER COMMISSIONERS ANY
03:04:20 COMMENTS? >> REALLY APPRECIATE THE
03:04:24 DIRECTOR AND THE ENTIRE TEAM. IT WAS A REALLY FULSOME
03:04:28 AND EXCITING MEETING LOTS TO LEARN AND LOTS OF EXCITING WORK
03:04:32 THAT'S GOING ON SO REALLY APPRECIATE YOUR LEADERSHIP THAT
03:04:36 NOW PLACE ANY PUBLIC COMMENT ON THIS ITEM SEEING NONE IN THE
03:04:43 ROOM NO CALLERS ON THE LINE THAT CLOSES COMMISSION ITEM
03:04:49 NUMBER 15 WE ARE NOW AT ADJOURNMENT IF I COULD SEE IF
03:04:53 THERE'S ANY WE DON'T NEED A FORMAL EMOTION.
03:04:56 ANY CONCERN ABOUT ADJOURNING? NO.
03:04:57 WE ARE NOW ADJOURNED. >> THANK YOU SO MUCH.
03:05:01 LOOK FORWARD TO SEEING YOU AT OUR NEXT MEETING.
03:05:04 TELEVISION SRF GOV TV SAN FRANCISCO GOVERNMENT TELEVISION