We dont have really great data on exactly what were doing at 16th street b. A. R. T. , but i can provide you with some information as youll here. District nine as 271 of the sheltered Homeless Population and 281 of the unsheltered Homeless Population. In january 2017 when we did the point and time count. You also will see that relative to the Homeless Population in the city, district nine has 6. 6 of the unsheltered but 17 of the calls. Part of this is due to the residential nature and the high population density in the Mission District. Theres a lot of people there. And a lot of new residences and businesses. But we are receiving a fair number of complaints and concerns from citizens around this issue relative to the size of the Homeless Population. This next slide will show you the Homeless Outreach team. That star is the 16th street b. A. R. T. Station and you will see that it is in red meaning that it is one of the areas where the hot team has about 6,000 serves 6,000 people a year and this is a heat map of where theyre reaching out to folks and bringing that down a little bit to just district nine. Youll see based on our work in district nine, the hot team spends not most of its time, but a significant amount of time at the 16th street plaza. You see theres a significant number of encampments and this could be one tent or more in the area right around the plaza there. I think weve had some significant impacts, positive impacts on homelessness through the Mission DistrictHomeless Outreach prompt and thanks to supervisor ronens leadership, we have opened up one at van ness. We engage 1,700 people to date who are homeless and there are tents in the Mission District. 70 of them accepted placements to the n. A. V. Center. When we started, 264 tents and structures counted on june 20th of 2017. And at last count there were fewer than 60. Weve had good progress. We can make improvements. So, we have been piloting a project with b. A. R. T. And muni which has been quite successful. Our goal is to serve Homeless Individuals, the 21,000 people experiencing homelessness in our streets in any given year. But we also assist where we can on place based special projects. Whether it be we receive extra funding to work in the library or to work in a specific neighborhood. We are happy to do that if were able to have the resources and we b. A. R. T. And muni essentially is funding the hot team to have two fulltime hot Staff Members there. Theyre focusing on stations they started really focusing from em barring ebargadero and the tunnels between the stations where we are finding people inside the tunnels which is a huge safety concern. The hot team has contacted 258 individuals. We have made 128 referrals to services outside of our system and that weve made 266 different connections to folks. Let me define what all those terms mean. By contact, that means a client has been engaged and educated of Services Available to them. A referral is client was educated on a particular service that they fit the criteria for. And a connection is that they successfully completed the whatever the referral was. They went to a resource center, a drug program. Weve had fairly good successes. I dont have data on how much the things have improved at those stations. I think the eyeball test tells me that theres significantly more work to do. But i think the thing that is important to remember is that in a lot of cases, the folks who were at the stations maybe engaging in drug dealing or other behavior is not conducive to the area, they are not homeless. We are focusing on the folks who are most in need in and around the b. A. R. T. Stations and trying to get them connected to the appropriate services. We dont have enough of anything. With 21,000 people coming through the city every year and despite we have more permanent housing than any other city in the united states, we are only able to help about 2,000 people a year and shelter about 7,000 people a year. Clearly, its a challenge, but i think when we do find individuals who are very sick or long term homeless, we are prioritizing them as we would anybody we encounter on the streets who is a high priority client. A couple of recommendations, improving conditions at the b. A. R. T. Station is not primarily a homelessness issue. Theres challenges related to design, poverty, cleanliness that also need to be addressed. Ty do think that moving forward, we can and will focus on b. A. R. T. Stations as part of the unified command model that were working on with public works and Public Health and the police and fire. And our department all working together to try to address hot spots and to really also try to address people who are the highest users of multiple systems in the city. I think we should also consider expanding the b. A. R. T. muni pilot from b. A. R. T. Police and from the hot team, this has been successful. We cant just add stations, though. If we just add stations, were going to simply just really water down the work of those two Staff Members. We need to have a minimum of two people funded fulltime for this to be successful. It costs approximately a quarter of a Million Dollars to be able to provide that service. But i think it has been successful and worth looking at. Also just as a suggestion, maybe a little bit outside of my lane, is i know in l. A. , usc for example, they have funded they are ambassadors. I think they wear yellow shirts. And many are from homeless or formerly homeless or from the community. I think if we want to edge gauge people who are perhaps involved in behavior thats not really conducive for the neighborhood they are in or appropriate outdoors, i think having Community Ambassadors to talk to, to work with, to point folks in the right direction and encourage them is Something Else we should be considering in the city. My focus really is how do i help as many unhoused people get off the streets and into shelter. However, i certainly share the same concerns that all you have about quality of life in our neighborhoods and safety for everybody in our neighborhoods. I think theres a lot of didnt things that we could do around safety and security that dont necessarily involve a police presence. We want to be out there and we will continue to be out there as much as we can, offering individuals who are in the b. A. R. T. Station or around the b. A. R. T. Station or anywhere in our city with the shelter and services that we have available to them. Vice chair ronen great. I have three quick questions. When the hot team encounters someone who is homeless because we know not everyone is homeless who is hanging out or spending time in b. A. R. T. Stations, is one of the referrals that they make or connections that they make to theyre congratulations center theyre congratulations Navigation Center beds . Yeah. We have one day shelter beds. We have Resource Centers people can go to, to get into the system so they can be registered for the shelter. And occasionally when we have beds available, we can refer folks there. But those are frankly few and far between. But, yeah, they do have access to those beds. Vice chair ronen so, we will be talking about that more in our next hearing on Navigation Centers but it seems like thats the essential. That the hot teams members are only as successful as theres a solution at the backend theyre able to provide. Im interested in expanding this model of m. T. A. And bar. A. R. T. D other city agencies that can focus on 16th street b. A. R. T. Station. But i know that will only be effective if we have Navigation Center beds on the backend for people to go to. Were working on that in the mission and hopefully achieving it. But i just wanted to make that point and continue to work with you towards that end. I should point out if i could that there are 2,300 shelter beds in the city. And theyre usually all full. So, the other thing that we have to focus on is that just opening up shelters is not going to be enough because people need somewhere to go after they leave those shelters and Navigation Centers and shelters dont create places for them to go. We are wokking on a flexible housing subsidy pool they have down in los angeles, which will allow us to place people into privately owned houses with services that we attach through a roving team. And one of the opportunities that that potentially creates is we try to hold fidelity to our system in terms of the longest term Homeless Individuals who have the highest needs are the ones who get access to the supportive housing. Like in l. A. , the Health Care System is buying beds through the flexible housing subsidy pool. Organizations like b. A. R. T. Or our own Public Health system can buy beds. We have to find exits for folks. We need more temporary places for folks to go. But without the exits, those temporary places become culdesacs and we need to think bigger than that. Vice chair ronen my next question is we Work Together to get alice housed. But how is it possible that a very ill 63yearold woman sleeps for three years in a very public space in front of the b. A. R. T. Station and none of our programs are able to get her to go inside . It feels like a breakdown in the system. I cannot speak publicly about an individual client. Im very aware of this situation and what occurred there. But let me speak more generally about what i have observed in my year or half in this position. I spend a fair year and a half in this position. I spend a fair amount of time out there and see there are individuals on the streets who everybody is wanting to assist and often times, those individuals for whatever reason, due to serious Mental Illness or Substance Abuse issues or bad experiences they had in a shelter or even in housing, we need to find other options for them and other ways to get them to and to meet them where theyre at. Maybe the flexible housing subsidy pool will provide some flexible options for folks around the housing that we have available. But i think the work were doing and all the departments coordinating together around situations in which were working with folks who are very high needs individuals with complex issues in some cases its not that the services and the resources arent there. The desire to work with those individuals is strong. We dont always have the tools to get those folks to accept services. I think supervisor sheehy and i have conspired to help a certain individual in his district. I even went out to try to engage this individual and we havent found the right formula yet. I think the important thing is that we do our outreach with compassion and love and were also just persistent and understand this isnt a linear theres not Linear Solutions for a lot of folks. It takes time and compassion. We absolutely need more in the system. But i think theres also something wrong in the system that were putting people in and out of San FranciscoGeneral Hospital back out on the streets and not finding a way to disrupt that. I think we need to continue to find different tools, but also different laws that will help us serve individuals like that. I hear a lot of people in s. R. O. S will congregate around these stations because they can, number one, purchase stuff there. Theres dealers there. But they can also inject. And if they inject in their s. R. O. , they get booted, right . For the most part they get kicked out if they get caught using. So, my question is, is one of the solutions to this problem Safe Injection Sites . Well at least near where theres the congregation . I dont want to speak for the department of Public Health but i do agree with director garcias support for and moving forward on Safe Injection Sites. I think it has proven to be effective in many places around the world. I have been particularly interested in looking at what theyre doing in denmark with mobile Safe Injection Sites that both helps address neighborhood concerns. I dont want this in my neighborhood because it is moving around. But also addresses the fact that people who are suffering from Substance Abuse disorders wont walk 15 or 20 minutes to get to a safe injection site. I want to point out on the s. R. O. S arent necessarily leased or owned by the city. I dont know what theyre policies their policies necessarily are. But people in a funded supported housing if theyre using in their unit and many housed people formerly homeless and all income levels are using injection drugs in their apartments. It is more of behavior that gets people kicked out. Not that they may or may not be injecting drugs. Vice chair ronen thank you. Last and certainly not at least we will hear from angelica. Thank you for being here. Good morning supervisors. My goal is to talk about lead and more specifically about some early data we have from the Mission District. Law enforcement assisted diverse is a program that started in seattle and was a strong recommendation from the work group to reenvision the jail replacement project. It includes many departments, Community Based organizations, Technical Support and community representatives. This program is currently funded through a grant through the board of corrections. Our program launched in october of 2017 and ends in june of 2019. The goal of this program is divert individuals with low level drug offenses or prostitution offenses from jail to Community Services. We were asked to identify specific areas of San Francisco that we wanted to focus on. Given the nature of the eligible charges that were required to include under the grant, we decided to focus on the tenderloin admissions district. We have identified serving a minimum of 250 individuals. 200 would be prebooking referrals and 50 would be social contact referrals which i will talk about. Our specific goals for the grants in San Francisco are to reduce recidivism rates. Strength and collaboration across city departments, and improve health and status, including supporting individuals in enrolling in Public Benefits they are eligible for, health services, et cetera. Our grant is governed by a policy committee which includes representatives from the aforementioned city and Community Based organizations. And we also have whats called an operation work group which meets on a biweekly basis. It is to have representatives from the different departments who have direct contact with lead participants to discuss referrals and cases to support the individuals and includes representatives from the district attorneys office, public defenders office, Law Enforcement, department of Public Health and Community Based organizations. So, looking at the type of referrals under bill 843 that we have to includes as part of the lead grant, the first and priority of the grant and our policy committee in San Francisco is what is called prebooking referrals. This is a situation where an individual officer has probable cause for arrest for a lead eligible charge. And theyre able to offer this program as an alternative to arrest to connect the individual to social services. Alternatively, theres a referral thats called a social contact referral. And this is a similar population in which the individual is at high risk for arrest of one of the eligible charges. And theres a history of involvement with or being arrested for those charges. And again the individual wants to voluntarily participate. Theres 15 charges we are able to accept at this time. Vice chair ronen would it be possible because i know that this is highly restricted grant thats a pilot project. Would it be possible to go back and rewrite the grant so there are 50prebooking referrals and 200 social referrals . Certainly we talked about the goals of the grant and this being recommendation from the reenvisioning of the jail replacement project. We want to work on diverting individuals who would spend very few days in custody from the custody system. We have been working with the board of state and Community Corrections. The next one is talking about the charges we have to include under the senate bill which is pretty limiting. One of the things we have talked about is perhaps expanding the eligible charges we are able to include so we are able to divert more people from custody. We are able to discussion social contact referrals. But we want to make sure we are maintaining the goal of the grant trying to divert people from the criminal justice system. Vice chair ronen i ask that because this talking at some of the police who are at the 16th street b. A. R. T. Station who are participating in lead, their finding is it ends up being more effective, the social contact referral than prebooking referrals. And i know there are some differences of opinion. But it is something i want to continue to explore. I plan on visiting seattle, who created this program that were sort of copying here in San Francisco. And the b. A. R. T. Police were telling me in their discussions with the leaders of the program in seattle, they found that social referrals are