Services we have here. This life here is the structures and vehicles. This is based on the police districts. Im not going to go to my in detail, you can see that the bayview seems to be leading in all of the different districts. [please stand by] is. Ease stand by] is are aligned with anyone coming in through the 311 system. So a couple of things that we wanted to highlight today was the way that hsoc translates from a 311 system into our care, into our services. So during the hsoc operation, staff were actually deployed through 311 system. And just for privacy, ill use the pseudo name, angela. She was homeless. She was sleeping on the streets and using multiple substances. She had stopped going to multiple groups that she was attending and wasnt going to prenatal care. We placed her in a Navigation Center and then our outreach through straight medicine went to outreach her and went with her to appointments and gave her Treatment Options. Fortunately, angela is stable and shes moving into permanent housing shortly. And so the coordination thats a demonstration that weve been able to come in, see someone thats dealing with issues living on the street and dealing with a Serious Health issue. So what weve done is looking at the 311 system basically feeding into the department of Public Health. We have four case conferences basically that have been organized, and what weve tried to do is really not only do the daily hsoc triage, weve actually tried to organize a weekly d. P. H. And h. S. H. Weekly confidential meeting to look at anyone coming in through our 311 system, that given the privacy, we only have entities that are protected through the health through obviously the Health Protection laws that participate. But we talk about cases on a weekly basis and really make sure that were very clear what type of Treatment Options need to happen, what type of primary care options does an individual have, and then how do we end up making sure that theyre assessed for coordinated care and then making sure theyre walking into the shelter system for coordination and h. S. H. On a daily basis, weve been able to have a clinician on staff and working with colleagues. Weve been able to work really closely with anyone reported in the 311 system. Obviously, this is in addition to what we do. We obviously do carry out our normal strategies of street outreach to be able to reach this population, but the 311 system adds an additional outreach mechanism for us to be able to discuss these cases. And again, the cases that we review are organized on a weekly basis so that we make sure that were on top of any High Priorities or anyone thats come in through that mechanism. Ill jump into just briefly describing one of our successes or one of our strategies that weve been able to couple with hsoc. What weve been able to do is back in 2016, d. P. H. Organized health fairs, and with the hsoc partnership, we started looking at high priority places, and we started organizing a lot more health fairs, and thats part of the strategy that weve been able to coordinate with the department of Public Health. Weve been working with 311, the department, and weve isolated certain areas that do need treatment. We have providers come into the area and what youll see is just the reflection of being able to host these events. And d. P. H. , we offer through our Population Health division and some of our colleagues, like eileen loughren. The benefits are we can get in a Creative Space in kind of a handson way to reach individuals on the street. What youll see here is individuals from january 2019 to july actually benefited from the health fair. They received h. I. V. Testing, narcan, bupenorphrine, and then we use a straight outreach like a health fair to try to get this collaboration. The next piece we collaborate with at hsoc is hsip. It stands for healthy street intervention program. It tries to target individuals that may be using on the streets. Sfpd officers typically with the Adult Probation Department go into different areas and they encourage adults to come into our services. Weve been able to utilize the cass to have our clinicians onsite, and whenever a case is available, we make sure were available because we need to capture as many cases as possible at any given time. What we wanted to highlight out of the 51 cases that did exist through hsip, d. P. H. Was able to receive 216 individuals. There were about 240 individuals that were brought to the cass, so you can see the ratio there that its really important to highlight. We welcomed all individuals. Some individuals decided to stay and utilize treatment. We never force anyone into treatment. So out of the individuals coming into the hsip, we were able to offer the lead program and additional longterm assessments through lead, and youll see there that that completed about 44 individuals. So ill pass over to my colleague at the Controllers Office to explain a little bit more. Hello. My name is laura marshall, and im with the Controllers Office, and we were brought in to hsoc to help measure the impact of this initiative, and the next few slides are largely pulled from a report that we produced this last spring to largely document the first year of hsoc, 2018, and some of the data and operational changes that occurred from this initiative. You can see one of the biggest impacts from its first year was related to the reduction of largescale encampments throughout the city. Prior to that, we didnt do record keeping, we didnt have any data about what the city was. 2018, we did reduce 25 large camp tents. Another piece of that was the sort of engagement that goes along with the Encampment Resolution Teams work, so a. One of the other big pieces was the streamlining and enhanced coordination across departments. I think commander lozar was commenting on it earlier about how departments working together earlier, but there were also significant changes how calls are routed, how theyre responded to, how theyre dispatched, so those changes help create certain improvements. The request for services over the course of 2018 did decline, but along with that was also the response time, so the time it took to respond to 311 and 911 calls for service. Some of this was due to an increase and expansion of bed does available to individuals. So what were working on in 2019 with hsoc is expanding, how do we measure the impact of the work, and a lot of that has to do with how were measuring, how were engaging with people on the street, how were outreaching with them, how were providing them with certain types of care and support. So a lot of this is still being developed. Were working with hsoc to see how were going to do that over time to show the work. Thank you for your patience. I will be quick here, but i did want to point out as we close our presentation that hsocs ability to be successful in linking people with services in shelter is directly related to the services were able to offer people. Weve had an incredible expansion in the services we offer in the last few years. I just want to highlight, 2018 and 2019, weve opened about 400 shelter beds. 2018, 100 new Behavioral Health beds and over 100 permanent housing slots over 200, excuse me, permanent Supportive Housing slots, so people who are in Supportive Housing could move on, making room for the persons exiting the Navigation Centers, so really expanding solutions to what we have to offer to homelessness. And going forward, over the next 2. 5 years or so, well have about 700 new beds as part of the mayors 1,000 new beds program. And then an expansion of our outreach resources, so really wanting to couple as were coordinating better, also ensuring that we have the resources to offer people. And that is our presentation and were all here to respond to questions. Thank you very much. I would also like to recognize San Francisco paramedic captain whos part of the e. M. S. 16 and Fire Department center, an integral part of what we do at the healthy streets operations center. Thank you for being here tonight. President hirsch thank you all. So im wondering there are several commissioners who have questions. I dont know whos going to address them, but i think itll be easier if youre all ready. Im sorry about the air in this room. I guess its august and they shut it off. They turned it back on. Whoever that is, it was nice of them. Vice president taylor . Thank you very much. We all know as a nation, were in the middle of an epidemic crisis, especially in San Francisco. It certainly takes collaboration and coordination to do what we can in a compassionate way. One of the things that we have heard as a commission kind of on and off is that the police should not be involved in dealing with homelessness at all. So what i would like to know, perhaps conveniently, commander lozar is at the podium. What kind of training do you receive in its not a policing job and shouldnt really be a policing job. Give us more background about what it is, how youre trained . Well, my thought process has actually evolved over the years. Our job as Police Officers is to help people, so when we define the policing job, i think about how having a Large Police Department of course were short officers, but a department where were out there in the community, were interacting with everyone, were responding to calls for service. Our goal is we train up our officers. First on a Department Level and were training our officers on all the services that have been presented here this evening, and making sure they know what to do with those individuals in that calling hsoc and getting the referral and information. So i mentioned earlier, we really pride ourselves on getting all the officers in one room every wednesday, giving them the latest updates on how to get people drug treatment, how to connect the nonprofits with us, how to get the officers narcan trained, etc. So were doing that. And the other thing i think thats really important is were in the Public Safety business. When were responding to someone thats in mental crisis, our officers have to be there to protect the safety. We find ourselves involved in that quite often, so there is a Public Safety element that comes with that sometimes, so weve become a part of that. Again, we tried to step back and work and tried to have other agencies lead. This is an Incredible Team of people that do that, but sometimes were shoulder to shoulder with them. And the last thing i want to mention is information i received this week. Sometimes when it comes to encampments on a small level, there is a criminal do this work, theyd much prefer to call hsoc and say, i have a homeless person. Do you have a bed, versus issuing a citation and all that stuff that we do as kind of a last resort thing. But as Police Officers, we do use that from time to time depending on the circumstance elias. So small percentage. And then, my last question is this, pretty much. I was looking at your presentation, and you mentioned hsoc as a metaumbrella houses 12,000 people every night. Thats shelter. Houses houses 12,000 people every night. And then, elsewhere in the presentation, it says 8,011 people experience homelessness every night. Im just trying to marry the math up. It seems like there would be a lot of extra beds. So we have over over 8,000 people in permanent housing every night, and so those folks stay many, many years. Our turnover is a few Percentage Points every year. And then, we have a couple thousand in shelter and some in transitional housing. Those turnover more frequently . But even the shelters have a 90day reservation. Transitional housing is up to two years. Rapid rehousing is typically 18 months to three years, so the number of Slots Available like today, the number of Navigation Center beds we had was under ten, so thats thats why. So just to kind of tease that out, to meet the challenge of 8,011 people every night, give me a sense of where you are on that. Given those figures, it seems like a huge 8,000 are homeless, and that was based on one night in january. And on that night, you know, a few thousand were in shelter or other facilities, and the rest were unsheltered. Our facilities, theyre almost full every night. Even when even when, you know, maybe our missed reservations, we do fill those the same day. And so our hot team notifies every morning how many rooms they have or how many beds they have to fill, and its typically not very many. President hirsch commissioner elias . Thank you. I remember, commander lozar, when you came here and gave the presentation, and i think its your outreach and coordination thats made the program what it is. Thank you very much, but its a team effort, team. Yes. I remember going to the first hsoc meeting and having all those people in the room was extremely exciting. And i think it was the first time that everyone was in the room, and you had talked about how we were going to breakdown silos and have conversations and people in the room because Police Officers are trained to be Police Officers, not necessarily social workers or clinicians, so its a great thing to have those trained professionals working side by side with you to give those individuals the sort of care that they need. So and im glad to hear that there are actually now resources that we can send those people. I remember at the first meeting, that was a huge issue because there was all these services because they couldnt sort of place people or put them in shelters, which was a huge issue and a complication for the program. The i have a question about the bookings. I wanted to make sure i understood that correctly. On the bookings, those were those were actual bookings, meaning its not just those individuals that have arrest warrants. Those were actual people booked, am i understanding that correctly . Yeah. So the overwhelming majority has to do with arrests. If officers come in contact over and over again with an individual, so the officer may decide to arrest and book that person in lieu of a citation for the fact that its articulated as a continuing offense. Those are very, very rare circumstances, so overwhelming majority, its because of an arrest warrant. And my second question is with respect to page 15, the numbers on the tents structures and vehicles, and im seeing the disproportionate number in the bayview, why is that number so high compared to any other district . Well, the bayview right now, the bayview has the highest number of structures in tents. I think a lot of folks have gone from different parts of the city and made their way out to the bayview. I know that many areas are industrial in nature, so just talking with individuals, if im parked out here on a particular street, no one is going to call, whereas if they park on other streets, theyll be called on. Every week, were trying to wrap our heads around what our strategys going to be to address that issue. I know the citys been proactive about having a vehicle triage site, and thatll happen in district 11, and were thinking about the individuals that are in the bayview, so its a work in progress but therell be quite a few. Will there be more resources given to bayview, given these extremely high numbers chaired to some other areas of the city . Well, i do think some of our plans occur in the bayview. For example, in addition to just cleaning up the site, were having these two week encampment meetings out there, the encampments are so large, we need to place people in shelter or navigation prior to cleaning it up. We subscribe to that model, especially to the bayview, the amount of people that are there. Because if we just clean it up, they just go to the next block and start this over. Most of our work has to do with the bayview, and again, its a work in progress. Thank you for that. The bayview, were really excited to announce last week that were going to be opening a new Navigation Center in the neighborhood. President hirsch thank you. Commissioner hamasaki. Commissioner hamasaki thank you. So first off, commander lozar and all of the hsoc Member Organization service providers, you know you know, ive lived in the city for 25 years now. You know, homelessness has always been a crisis here. I when commander lozar presented about this about seven or eight months ago, i was really excited. And im really glad to hear from everybody. I think a lot of good work is being done out there, and i think all of their organizations working together is key to making a difference in moving the needle. But the question that i have tonight and the kerconcern tha repeatedly brought up with me theres a lot of concerns of the people in the city, the community, tourists, businesses, working people that take a look around us and say, you know, why do we have, in one of the wealthiest cities in the country, have this inequality and why are people being forced to live on the streets . And then, the other concern thats been put to me is this is a work in progress, and it sounds like everybody is working together now to make change, and some of these statistics i think are heartening. But on a daytoday basis, the concern that i have, it keeps being reported to me that peoples shelter is being taken away without any other option. And you know, its its like, all of us, you see somebody living on the street in a tent, and its, you know, there but by the grace of god. Those are our brothers and sisters, and no matter what state theyre in, its tragic, its who a its horrifying to see people live under those circumstances. But when that last bit of shelter and those last pieces of clothing and belongings are taken away from them, i i find that cruel and inhumane and it shocks the conscience. And commander lozar, you and i have spoken about the hsoc program. We went out with some of the officers, and i thought that the tw