Memorial building and this building and all around. We want to make that part of the discussion that happens there. We talk about the work we have to do. We want to say thanks to the citizens that we have been able to get the funding to make it all happen. Thank you. Probably the most common question i have been asked over the last six weeks. This happens before the earthquake anniversary how much better prepared are we than we were 30 years ago . The answer is much better prepared. That is in great part to the folks here but also the people of San Francisco who have supported all of this work. However, that doe does not meant we can sit back and think everything is okay. These opportunities are helpful and we want to encourage everyone to stay on their toes here and remember it is important if you can prepare, take some measures that you do so. There are many members of the community that arent able to do that. If we can it makes it more important that we make plans and connect with our neighbors and organize ourselves and think through what an earthquake looks like so the city can be reaching out to those most vulnerable. Thank you. Any Public Comment on this item . Okay. Seeing none we are moving to the Disaster Council round table. This is an opportunity for any member of the Disaster Council to make announcements, comments. Yes. Thank you, mary ellen. I want people to know we are working with the Department Safety officers to issue wildfire smoke guidance for City Employees. If there is wildfire smoke problem we dont want outside workers to be sent home while people at the pc have to work. We want City Employees treated equally for the same conditions. The state of california issued wordy and hard to understand document which we are obligated to give to employees, some of whom may not have a masters in industrial hygiene. We are working on a nice chart to go with it which we will issue so people would be able to read it that will go out on monday. We are working with our Department Safety experts on heat guidance. There are no regulations other than general duty for people to be safe. The state is developing heat guidance. We dont want to wait for that. What we are doing is developing a Standard Approach for the city and then if we have to amend it when the state issues it, we will do that. Basically we are addressing not only outdoor workers, at what level do they need to be inside. At a certain point particularly if there is a power shut off we look at a loss of air can being. At what point would it make sense for people to not to continue to work. We want to make sure someone in the controller is treated just the same in those circumstances. We will issue that heat guidance within the next couple weeks. It may have to be reissued once the state gets its act together. We hope is more easily read for distribution. We dont meet until december. We are heading to the hottest heat and wildfire time right now. Sf72. Org has the air quality tool kit, Great Research is there if you need it. Anyone else. Michael. I want to report on an even. As many of you know over the last year andahalf there are tragic terror attacks on houses of worship. Synagogues and mosques in new zealand. Following each one of these terrorist attacks the San Francisco inner Faith Council would host vigils. At each one the mayor would come and the mon trawas that people should the mantra was that people should feel safe when they worship. What are we doing . What emerged was a collaboration of the federal bureau of investigation, all branches of Law Enforcement working with the department of Emergency Management and Public Health as well as Jewish Community relations council, Human Rights Commission and other advocacy groups. On september 9th we held a high level convening at which 300 were present be on security and houses of worship. The mayor was there and inspired us. I want to thank mary ellen because she was on the panel and i want to thank the chief because he was on a pap el. It is sad we have these but i sleep better at night knowing we have done our Due Diligence we will have a debrief with nose who participated to see if we he can keep these lines of communication open. We have never been at the same table before. We see want to make sure we are doing our part. Thank you. Derek from supervisor browns office. The discussion brought up an issue that is important to supervisor brown. District five for the last 17years has been the host of blue grass which is one of the most loved institutions. What was troubling to her was the announcement that event is going to be fenced for the first sometime. First first time. Can the chief speak to the council about what sort of changes the public can expect to see at the event and outreach to the public. It is a major change for families living in the world we are living in today. I will make an announcement. I want to announce that deputy chief is taking over the special operations borough which until she has oversight over the Tactical Unit including the swat team, traffic company, all of our motorcycle officers and Department Operations center. I will turn this over to the deputy chief. She has been involved in those conversations. Thank you, chief. We met a couple weeks ago with the organizers. We laid out what we thought. I mean we are in a different age. We have had a lot every sent mass casualty events, and we laid out a pretty thorough security plan for them, and they adopted some of it. You will see some fencing. You will not see the large seating, not see the large coolers of past. If they show up they will be allowed in but subject to search. It is a new normal, but they took some of our suggestions and kind of made it work for the type o of event they host. You can still bring your alcohol in. You can bring in just about everything you did of the past. No kegs. They were brought in routinely in the past. Large like i said large coolers was a concern for us. You can put weapons in a larger cooler. Smaller coolers, clear backpackings. Nothing will be turned away. It will be subject to search which it wasnt in the past. It is not 100 . If you go to outside lands you are thoroughly searched. One other thing. I was a Police Officer in 1989 directing traffic pat battery and market when this occurred. It was chaos. I worked three days straight. It is interesting. This is fantastic we are sitting here gearing up for the next one. It is going to happen. We did a good job in 1989. We will do a better job if it happens again. Thank you. I think with the fansing there are four points of entry. Four entry points whereas in the past you could walk through the bushes. Now you will be directed to an entry point to look at, not thoroughly searched. It is a new normal and they are adopting the things we advised. Jeff with the San Francisco international airport. Two quick updates to share. August 30th the airport conducted a hotel, active shooter exercise. We employed all of Law Enforcement and the different Emergency Response agencies. Good exercise. We are doing the debrief today. When i hear about the Lessons Learned i will be happy to share them with this group. Other thing i wanted to mention october 2nd annual emergency exercise at the airport. We will have a lot of volunteers that will be participating in that. Anyone that is interested from this group that would like to participate or be an observer you are certainly welcome to do that. Anything else to say about the construction at the airport, jeff . I cant dodge that one. It is a good news story. I will call it it started off with distorted reporting. It was a nine month planning process that led to the construction on september 7th. It was slated to last until the 27th. The reality is there was a lot of precancellations of flights and coordination with faa and airlines and airport to ensure operational disruption was minimized. We were very successful doing that. The end result was this early opening of the runway. The planning was there, execution was there at times what you heard was a little bit off base. I think we managed the message and wound up with a positive outcome. Congratulations on early completion. Thanks. Go ahead, mark. Control learns office. Every year the Controllers Office sends to all department a memo with the project costing codes and time tracking codes. I want to alert everybody for those who attended the training earlier this week they have received the memo that was part of the training. We will send that memo out today. It will go to the cfos. For all of the defendants if they would look out. What this is covering is the project codes updated every year in the Financial System utilized to track the cost for an Emergency Response situation and the activity codes used to track the time for the situation to get the maximum cost reimbursement. The new system allows us to track much more efficiently and report out more efficiently. I want to alert everyone to the memo coming out today. Thanks, mark. Very important project codes. It doesnt feel important now, but in the moment, you want those handy and your folks to have them. Anyone else . Yes. I am phyllis with ss card. I wanted to let everybody know sf card is a new program in california called california for all. It is an Emergency Preparedness campaign aimed at the most vulnerable populations. Some of the comments referenced the need to prepare for everybody in california. San francisco got a grant to work with agencies that serve people with language barriers, social isolation, poverty and other access and functional new challenges, and we are sf card is going to be working with up to 50 local agencies that have the trust of their clients to really make sure that these people are not left out in preparedness events and there are grant funds for those agencies. I have some information about this program if anybody would like to see it. There are a couple ways agencies can participate. I encourage you to grab one of these with the information. Revalue the relationship and the way you link to the members of the community we wouldnt normally be able to connect to. Thank you. Anyone else . Any general Public Comments . Seeing none. We are going to call the meeting to adjourn. Next meeting is december 20th. The power is all restored. Thank you. The demonstration is still happening. Thanks, everyone. Okay. Everyone. We are here to get the job done. Good morning. Is it morning still . Ive been up since 5 00 i think. Im trying to keep ive been to so many places throughout the day. This is probably the fifth or sixth, but whos counting . Thank you all so much for joining us here today. With me i have dr. Grant colfax, who is the director of the department of Public Health, as well as dr. Anton nagusablan who is the director of Mental Health reform. Daniel leary, the c. E. O. And founder of Tipping Point community, and matthew state, the chair of u. C. F. Department of psychiatry here in San Francisco. Im excited because these are incredible leaders in our community who are going to help us with some really challenging problems that we know we face as a city. Last week we launched the Mental HealthReform Initiative to help those at the intersection of homeless, Mental Illness, and Substance Abuse disorder in San Francisco. And through our detailed analyst, dr. Nagusablan and the department of Public Health have identified the people in our city who are most vulnerable and in need of help. Now, to be clear, we see it. But now we have clear and accurate data. Of those 4,000 individuals, 41 frequently use urgent and emergency psychiatric services. 95 of those folks suffer from alcohol use disorder. 35 are africanamericans, despite the fact that we have a less than 6 population of africanamericans in San Francisco overall. So we have a lot of work to do ahead of us to provide the Behavioural Healthcare that people need. We need partners to do it. We need to work with our state officials, with our philanthropic organizations and our nonprofit communities. Thats why today im excited to announce that the city has partnered with Tipping Point community and ucsf who share our goals of addressing the Mental Health crisis in our city and providing people with the care that they need. We know that addressing the needs of the most vulnerable requires experts in the field, it requires collaboration and the development of publicprivate partners. Tipping point and ucsf department of psychiatry came together to really understand how to improve the outcomes for San Francisco residents experiencing longterm homeless, but who also have challenges with Behavioural Health. They worked with the city departments and various communitybased organizations who helped to put together information to inform this comprehensive report, including the department of Public Health, the department of homeless and supportive services, the hospital council, p. R. C. Thank you, Brent Andrews for being here and your amazing work. Health right 360. Thank you for your rigorous work on what we deal with in terms of treatment for folks who also sadly deal with Substance Use disorder as well. Thanks to the Rigorous Research conducted by Tipping Point and ucsf. We have a report that we can use to implement datadriven policy decisions that will effectively work and change our city for the better. This report highlights how philanthropic and public funding can work hand in hand to help san franciscans suffering. They have provided several recommendations to improve our system coordination, because we know that it definitely has a few holes in it and it needs to be better coordinated. Enhancing peoples access to treatment. Meeting people where we are. We cant think theyre going to show up at the door of a location for help or for support. We are going to need to go out there in the streets and meet people where they are. Engaging more people in care and services. We are excited to partner with them to implement these recommendations. But also in order to address the Mental Health crisis in our city. We need to build on what is already working. Were going to do that in part by expanding the number of hummingbird beds in a city, in our city. Today im really pleased to announce that thanks to the funding from Tipping Point, well be able to add 15 new hummingbird beds which offer psychiatric respite. That is absolutely amazing and its really expensive. [ applause ]. Mayor breed so with these new beds, well be able to connect people experiencing homelessness with Behavioural Health needs, the care that they need. Im not sure if any of you have visited the hummingbird facility at s. F. General, but it is absolutely amazing. I had an opportunity to not only touch bases with clients, but we also did an announcement last year expanding the number of beds at that location as well. To hear someone say to me that im trying, its hard, but im glad to have help, it makes all the difference in the world. This is an incredible facility and im so proud of the work that they do. As dr. Nagusablan will get into more details, we know that the vast majority of the 4,000 people we have identified unfortunately have alcohol use disorder. The Tipping Point report includes some innovative suggestions for treating those suffering from alcohol use disorder and we are looking forward to making some changes and implementing some of these in the coming months. There will be more could you tell mes to come and dr. Nagusablan will continue to implement our approach to healthcare because thats his job. We will recommend more ways to improve care for our citys most vulnerable residents. We all, as i said, need to Work Together to address this challenge that we face. With policy, financial investments, and working in a collaborative approach. So we truly appreciate the partnership of ucsf and Tipping Point. Now, i want to turn this over to the c. E. O. Of Tipping Point community. Theyve done a lot of work to address homelessness and taking it a step further by digging into the root causes of some of the challenges we face to make the right kinds of investments. This is going to make a world of difference. Ladies and gentlemen, daniel leary. [ applause ]]. Thank you, mayor breed for your leadership. We know that the primary cause of homelessness is a lack of affordable housing, but we also know that Behavioural Health conditions, like Mental Illness and Subst