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 a lot more effective. It is a discussion i would love to keep having. Absolutely. I would say that of course, social contact referral are an active part. We reck these the lead program has limited capacity and we arent going to be able to serve everyone who would benefit from services. We are fortunate to have the group where we discuss cases and Law Enforcement can bring cases to us so if an individual isnt an appropriate fit, we are able to work with our Community Based organizations and other resources we have to support the linkage to services. The other things frustrating for Law Enforcement is how limiting the grant is in terms of the types of charges. I think this current conversation we are having will help open that up so we are able to maintain the goal of the grant and support individuals who would benefit from the services. So, in terms of the eligible charges that are currently eligible under the grant and we are hoping this will be expanded through our conversations with the bort and state of Community Corrections board and state of Community Corrections it is individuals related to assisted living. This includes charges related to possession of a substance, sale of a substance or being under the influence and again prostitution charges. The Law Enforcement agencies were working with through this grant who are able to make referrals to the Program Includes the San Francisco police department, bay area rap Transit Police department. Vice chair ronen what additional charges would they like to include . Thats something that we actually are just in early conversations. Im not sure they will have additional limitations that we would need to look at in terms of the types of charges. What we have looked acetaminophen the policy Committee Level and at, at the policy Committee Level is to includes other charges that are nonviolent arrests that again might be related to behavioral that could be diverted from custody. And people who typically stay in custody but repeatedly cycling in and out of custody. And theres a better alternative we could do to support individuals to staying in the community. In terms of the services that are offered through the lead grant, we are working with two Community Based organizations. The first the foundation working with the tenderloin participants. The grant is currently funding four fulltime case managers across the two programs and the case managers are able to work with participants up to 25 individuals. So 100 active cases at any given time. There are four additional peer outreach workers or drivers. The goal is to provide support to the case managers and work theyre doing and provide outreach and engagement in the community. One of our other votes for the grants and one of the things we have seen, it can take multiple opportunities to offer someone services before their willing to participate. And in situations we are able to intervene before somebody has contacted Law Enforcement. We are able to use these staff to help link them to appropriate services in our system of care. This is also funding an additional managers to work specifically with individuals identified as having Significant Mental Health needs. In looking at the specific referrals from the mission district, weve had a total of 15 referrals thus far. Two of which have been prebooking referrals. 13 have been social contact and 14 have come from the police department. One of the referrals have come from b. A. R. T. Police. But we continue to do outreach to develop rapport. And then my last item of information is about our policy committee. How to contact lead if theres any questions and we post all of our information from our policy committee at this website. Vice chair ronen any questions . No. Thank you so much. And i also just wanted to recognize and thank Sergeant Cole from the Mission Police station who is our point person for s. F. Lead for being here and he is available to answer any questions if anyone has any. Stephanie felder, the director of Crisis Services at d. P. H. And the assistant director of environment health. Thank you all for being here. I think we should open this up for Public Comment. Sure. If people could line up on the left here or your right. Jordan davis, katie sellcraig. Sus susan fiat. Olinda. Susan marsh. Aaron. Guy trigger. Rachel and dario romero. Public hi. Im katie. Im with the Mission CollaborativeCommunity Services in plaza 16. I want to say poor people and Homeless People are being blamed for th