Of consumer one who receives Substance Use services, and to permit a consumer who is an employee in the health or public or private agency, and who does not have any influence or authority over any financial or contractual matter. Concern the employee or the employer to be appointed to the commission. Chairwoman thank you. And we have andy mullen here from supervisor stephanies office to present. Good morning. Thank you for holding this hearing today. Im andy mullen. Im here on behalf of supervisor stefani, who holds the board of supervisors seat on the Mental Health board, and she unfortunately couldnt be here today. And many of the members are here for Public Comment. The legislation before you today is fairly simple. It makes three proposed changes. Im going to sort of discuss them just in order of importance. The Mental Health board is a fairly unique body in that it has been around since 1956. And it puts a majority of its seats for consumers of Mental Health services or family members of consumers of Mental Health services. Which means it puts people directly in this system in the drivers seat. Because the Mental Health board has been around for so long, some of the language, i think and we would probably all agree is a little antiquated, its conception of what Mental Health is and the services is. The first thing it does is expand the definition of consumer, which are a majority of the members, either directing or through their family members, to in clues include substances abuse treatment services. It also esplanade expands the eligibility of consumers to hold seats. Previously there was pro bingprohibition of ployment. Employment. The consumers are now waived. They could just have to excuse themselves if they had a financial conflict before them. Thirdly, it proposes renaming the Mental Health board to the Behavioral Health commission. That comes because the word Behavioral Health as you all know is an umbrella term that includes Mental Health and Substance Abuse issues. Our conception of this has changed a lot since 1956, before all of us were born. This is now meant to be more inclusive of the work that they do, which is interface with the department of behavioral Health Services under d. P. H. , and report out and advice those departments and those employees on these matters. With that, these changes come to you directly from the members themselves. And many of them are here to speak about the personal importance of these changes to this organization. And im happy to answer any questions. Chairwoman i had a question about and this is for you or any of the members of the Mental Health board, where the term consumer comes from. It brings up the idea of someone who is buying something. And im just wondering why patient or individual isnt used as opposed to consumer. That is such a good question. I have no idea what the answer is. Chairwoman i was figuring some members of the Mental Health board might be able to answer that. Do you want to answer that . Thank you. Hi, im helena brooks, staff to the Mental Health board. Im trying to remember when consumer came in. It probably has been eight or nine years. It came from clients requesting that. What could say it is consuming Mental Health services and Substance Abuse services, but it was clients not wanting to be referred to as clients or patients, was my memory. Chairwoman i appreciate that. I just always it just never made sense to me, so i was curious about that. Thank you so much. Are there any questions . No. Well open up this item for Public Comment. Any member of the public who would like to speak . And thank you so much to the members of the Mental Health board for being here today and for serving on this body and for all of the advocacy you do on behalf of this community. It is so appreciated. Good morning. Good morning. Thank you. Im john sanders. I cochair the board, and i hold a consumer seat. And just to give, i gues guess i guess to underline one of the reasons were requesting the change is historically there has been a divide between Mental Health and Substance Abuse disorder services, leaving consumers basically leaving consumers no choice but to choose between cooccurring disorders. If they go for treatment for one, theyre often excluded from one or more programs based on having Substance Abuse for one or Mental Health issues for the other. Again, with Behavioral Health being more inclusive in addressing both, Mental Health and Substance Abuse disorders, the name change would align us not only with other california counties that have transitioned in this manner, but it also helps us when were with programs that are seeking funding. Oftentimes there is that same divide between Mental Health and Substance Use. And when we have these integratitintegrative services,t pushes them to gain funding for those sources. [buzzer] chairwoman thank you so much. Good morning, chairwoman ron nan and members of the committees. My name is terry bora, and i have been on theMental Health board for fouryear. The change has been gradual, i would say, over the last three years. There are now 11 commissions that are called Behavioral Health, and there are 32 boards that have used the name Mental HealthSubstance Abuse. I think that this gives the public more reason to contact our board if there are certain situations that they would like us to look into. It also expands the facilities that we can monitor. Which i think is a good thing. The public needs to know that our board, our new commission, is there to serve them. So i think this is a good thing. I know in the scheme of everything that youre looking at, it is not addressing homelessness, it is not addressing tenants. But even shakespeare said, whats in a name . So this is an important change for us. Thank you. Good morning. My name is richelle slota, and i serve on the Mental Health board. Sandra fewer appointed me. I am in favor of this change because it improves clarity and consistency for our message. And thats the heat of it. Heart of it. It is not a huge thing. It is a little thing, but it is an important thing. Thank you very much. Chair ronan, supervisors, my name is greg betor, and im, too, a member of the health board. As ive been on the board, i have noticed a fine line between Mental Health and Mental HealthBehavioral Health and then Substance Abuse. Theyve all been put under the same umbrella, and i feel that as we move on and progress, the term behavior would probably encompass, one, similar things that were working with, and i think my colleague just said, we dont do much housing or the things you guys are dealing with, but i feel that the change in name would give us a little more flexibility in the things that we do. Thank you for your consideration. Chairwoman thank you so much. The next speaker. Thank you, and good afternoon. My name is iddelle wilson, and im a native of San Francisco. I love our resourceful city, it is the most city in this world. We have the best services you can possibly get. You cannot get anywhere else. Renaming our board from a board to a can commission is very important because somehow when it is a commission, it seems a little more important. Im not saying that boards arent important. Please, dont nobody go back and say i said boards arent important. But when youre a commission, people are oh, youre a commissioner, oh, how are you . No, im just kidding. It would be very important. Im in support of everything my colleagues had to say. Im not going to repeat it. Im in support and behind all of them. Thank you so much. Chairwoman is there any other member of the public that would like to speak . Would you like to speak again, soon to be commissioner . Alana . Do you want to say anything else. That didnt take up your time, sorry. Im not a commissioner. Im just staff to the board. Chairwoman oh, okay. I want to make clarity on two of the items, the one about consumers who are employed by the department being on the board. That is actually a state regulation that was not in the original administrative code because it came bou about about two years ago. And the third item about our role with the Mental Health services act was also added by the state. So, any other questions . Chairwoman thats all. Thank you so much. Is there any other member of the public that would like to speak . I was just wondering if any of the consumer groups might qualify, kind of, as lobbyists if theyre selling any kind of material, like needles or what have you to any of the programs, and then theyre sitting on the i dont know, in effect, who is on the commission, but i mean speaking in generalities. Using one example that i can or one item that comes to mind. I was just wondering, lobbyists sitting on the board as consumers. Chairwoman thank you. Seeing no other members of the public who would like to speak, Public Comments is closed. I just wanted to really give a shoutout and a thank you to the members of the Mental Health board, soon to be the Behavioral Health commission, it would appear. As many of you know, ive been working very closely on these issues and on a proposal with supervisor matt haney. We were going to come and speak to you about it at your last meeting, which was unexpectantly cancelled, so ill really looking forward to the opportunity to speak with you all. I will say that Mental Health assess also recognizes the integration of a Substance Abuse illness and Mental Health illnesses as being very similar and oftentimes people have two dual diagnosis. Most providers say it is a rare day when they see someone with just a Substance Abuse illness or just a mental illness, and not a coincurring diagnosis. So this makes a lot of sense to be changing that name. I also have to say that im very excited that you will now have an official role in oversight of our Substance Use programs in San Francisco. You know, most of those are run through health 360, which i think is an incredible organization, but i do believe they need some oversight in terms of both the switch to drug, medical, in terms of Funding Sources for their services, and the number of vacant beds there are in the facility every night. We know there certainly is not a lack of need for those beds in our city. But somehow, whether it is procedures within the organization to get into those beds, or the type of programs that are being offered, there is a mismatch in terms of what is going on there. Because the fact that there has been as many as 70 beds vacant in a night is up to the level of an outrage given what we all see, the suffering we see in the streets every day in San Francisco. So the fact that this board will be soon to be commissioned, and will be overseeing and forgetting out what is going wrong there, and how can the city intervene to make sure that is not the case is a relief to me. I wanted to thank you all for your extraordinary work. I cant wait to meet with you all and talk about Mental Health assess, and how were really going to be hopefully very shortly a model for the nation on how to achieve genuine Mental Health parity in the city. Perhaps we can finally do that in San Francisco and then sprayed it to the state and the rest of the country. There is a lot of work and advancement happening in this field. I certainly hope that San Francisco will be on the forefront of moving that forward and i very much look forward to working with all of you. Thank you for bringing this forward, supervisors stefani and mandelman, and thank you to the commissioners for doing all of your extraordinary work. I look forward to getting to know you much better shortly. With that, is there a motion . Supervisor mar . I just wanted to echo your deep thanks and appreciation for the Board Members and soon to be commissioners on such an important body here in the city. And thank you for all of your work and leadership on these critically important issues that connect to so many other important and challenging sessions that we are dealing with as a city. I would like to make a motion that we move this forward to the board. Chairwoman without objection, i move it. Mr. Clerk, are there any other items . That concludes the meeting today. Chairwoman thank you so much. The meeting is adjourned. [meeting adjourned at 1 11 in this San Francisco office, there are about 1400 employees. And theyre working in roughly 400,000 square feet. We were especially pleased that cleanpowersf offers the super green 100 clean energy, not only for commercial entities like ours, but also for residents of the city of San Francisco. We were pleased with the package of services they offered and were now encouraging our employees who have residence in San Francisco to sign on as well. We didnt have any interruption of service or any problems with the switch over to cleanpowersf. 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