Been supportive of Mental Health sf. So lets just know that they have been supporting us from the getgo on this initiative, because they know what it means when Mental Illness goes un treated. So thank you to them and thank you to huey sf, 2121 and i said that the San Francisco labor council, the consumers and the families, most recently Zach Williams who made a beautiful video and tribute to his father, robin williams, who battled and struggled with Mental Illness in his lifetime and has been a huge supporter of Mental Health sf. Weve had so much incredible imput from all of our communitybased organizations from the getgo, Community Housing partnerships, tenderloin development, coalition on homelessness, senior and disability action, Mental Health association of San Francisco, taxpayers for public safety, st. Anthonys glide, the support of Housing Providers network, Human Services network, Progress Foundation, the National Alliance of Mental Illness, the direct policy alliance and so many more. The reason weve had 100 drafts of this measure is because every time we shared it with the experts, they had new, excellent feedback for us and so we kept making it better and better until we got to the product you see today. So with that, i wanted to thank you all so much for this labor of love, this Community Labor of love that weve all created in Mental Health sf and whether we pass it here at the board of supervisors or at the ballot in march of 2020, were going to make damn sure this law is enacted because its time for change and time for solutions. Supervisor hainey. Thank you. Thank you. This would not have happened the way youve gone to the community and engaged them with respect and humility and its an honour to be a part of this process is a part of your staff in my first nine months of office. For everyone that works in our city, the tenders loin, this is an issue of human rights and people in our city who are in need, who are suffering and sometimes quietly. This is a huge step to make sure that people have care to access and treatment and that we actuallyize Mental Health as a human right and create a model that should be replicated across our country. San francisco has the capacity to do that. Before i go into a couple of things, i do want to make one thing clear that i think is important. This is the peoples house here in city hall and we want you all here. You all this place belongs to you and it is important that you feel safe and that this place is accessible to you. So i think were some things that happened out in the hallway in terms of people were treated that i found unacceptable and folks not in this room with us right now, you have our commitment to have their back because its important that all of you feel safe here and feel that this is your home and can be heard here. And in many ways, thats what this for us is about. Its hearing the people, what theyre experiencing and what their needs are, the patients, families and then making that real policy. So its important that you can find a path to do that, not just with us directly but here at city hal hall. For those fighting to be make substance treatment right, this has been a long journey and i want to recognise all of the people fighting for decades and decades, whether you work in a hospital and trying to fight to make sure theres adequate staffing and youre getting support for a patient on an individual level, whether youre part of the Mental Health association or the treatment ondemand coalition is working and showing up to these hearings for funding, this is not a new issue and Mental Health sf didnt come out of the sky. It was built on all of the fights and the struggles to get us to this point where we have said this is the model we want to see made a reality. And if we will have treatment on demand, how do we actualize that and build a system. Were done with the incrementalism, bureaucrats at the top telling us the need is met. Its not true and real you and you all have been saying that again and again and again and now its time that city hall recognises that and makes changes that reflects that, because we dont want to be here in five years having the same conversation about everything is fine and were taking these little steps. Were long passed that. So the Crisis Response team will respond to how crisis in the street. Far too arc too often i see thee used far too often and that can make things a lot worse. Instead, we need people who are trained to respond in never ways and in ways that we not only stabilize the situation but enter people into a system of care. It just cycles right back. Theres no responsibility for that person and their needs in an ongoing way and thats the commitment we want to make with Mental Health sf. The Office Insurance accountability, this is very important because no one in our city, whatever your insurance situation is should feel alone without someone they can go to fight for them and to make sure they get access to treatment and i want to shout out to the folks from kaisr and uhw fighting for Mental Health within the system at kaiser and many of us have kaiser and weve heard people going months without treatment. They need to get their appropriate care and when they fail, it hurts all of us and ultimately, they will in many cases become the citys responsibility. So we have a direct interest to fight for all residents. And integrating that is a huge fall mental sf will fix. This is separated from the system of housing and so we end up in this sort of round about where you say, well, why didnt the treatment work . Because they were released to the street. Or somebody goes into a Navigation Center or shelter and can you get this person access to care and thats not us, thats dph, thats not what we do. So the result is, of course, that peoples care is not treated with the urgency and the impressive approach thacomprehet desires. This will require us to Work Together to hold the system accountable to make this a reality. I do want to thank our staff one more time, your staff, carlina and carolyn for their extraordinary work. We have been spending, i think. Im thankful for the work of everyone on our committee, supervisor marr and so many others and i think were close to getting this done. Theres a few more steps to take, but ultimately, once it passes, well also have the responsibility to make it a reality because this is one more big step on the road to making sure Mental Health sf is not just a right in name but practise and i know thats what you have fought for in your lives and continue to do. So thank you again. Thank you supervisor ronan for your leadership and im excited to move this forward but im more excited when we start to see the impact it will have in our neighborhoods and residents and communities. Thank you. Supervisor marr . Thank you, chair ronan. I wanted to add my brief thank yous and thoughts before we hear Public Comment and so i just wanted to start by thanking supervisor ronan and hainey and staff for all of your incredible leadership in creating this proposal for universal access to Mental Health services and treatment addiction for everyone that needs it here in the city. Mental health sf is exactly the kind of bold, comprehensive solution needed to address the Behavioral Health cry vi crisisg our city, cutting across all districts, in the Mission District in the tenderloin to the sunset district. Thank you so much. I want to acknowledge all of the community organizations, the frontline nurses and clinicians and social workers and the patients and their families that have pushed us and pushed the city to really address this crisis in a more comprehensive and bolder way. I look forward to having this move forward on the ballot this march or legislatively, whatever is the best approach, and im happy to cosponsor it and support your efforts. Thank you so much and i just wanted to thank the City Attorneys Office and ann pearson who worked on the hundreds of drafts that i talked about with us. They gave us important feedback to give to us. With that, lets hear from you all. Were about to open this up for Public Comment. Please come forward feel free to line up and every speaker will have two minutes. Feel free to get us started. Im a me member of a volunter organization of psychiatrists, therapists, attorneys, family members and others on behalf the severely mentally ill. Demanding treatment before tragedy and i find it encouraging that attention is finally focused on improvement but both bills right now failed to tang int take into accounts y aspects of why our system is dysfunctional. Theres less visible severely mentally ill who live with family members and attempt to ward off disaster for their loved ones and bear the brunts of death threats, visible and physical abuse and disruption of their entire lives attempting to protect their family members. Yet, we have advised by representatives of the department of health to let our loved ones to be destitute to they qualify for services, that is evident. In the 1990s, there were over 100 beds in sanfrancisco and now there are 22. There were four psychiatrists, five primary care doctors and 30 nurses that had a 90 success rate at being able to place people in long. Term stable housing. The entire staff was laid off in the facility and repumped in 200repumped in2004 and these bi, have no mention of numbers or a timeline for how to restore acute, sub acute and pes beds and those who get hundreds of millions in tax breaks. Thank you so much, next speaker, please come forward. Im concerned about the weakest in the system, similar to the woman on the street. This woman on the street, waiting for somebody. As a resident board member, ive also been a consumer Mental Health service this is San Francisco. So, several months back, even before Mental Health sf was announced, i was working with the treatment on demand council and a small group of us met with hilary to tell her about treatment on demand, why it was so important and why she should support it. And she said, oh, you like treatment on demand . Have i got good news for you. Dont tell anyone yet. We have this idea for a universal Mental Healthcare program in San Francisco. We were thrilled to hear about it and weve been on board since. I was part of a group that hilary and others and matt consulted with for in put. Ive been a strong voice asking for more mobile outreach. I was listened to and thats been part of the program and the navigation component is a crucial park. I want to see this passed. Because i want to see this passed, id like to make the following recommendation. Im really afraid that you are going to be coming headtohead with urgent care sf and the Mayors Office. Because i want to see this passed, i hope you will consider possibly bringing it to a vote with the board of supervisors. Thank you so much for doing this, supervisors. Thank you. Thank you, next speaker. Good afternoon, i am a member of the senior disability action and i was the first promoter peace and creation. Where should i start. Maybe ill start with me. I went to the previous for confession and i said should you go to someone for counseling so i went to kaiser to try to get an appointment and i got the application and i got there. You are not psychotic. Were not going to see you. Im still waiting. Im here to support you because everyone knows its a San Francisco and hugged and kiss a leper too and we should too. I said thats everyone. So i am supporting you guys and also, not always with senior disability so there are 4,000 people on that email plan so i can tell them. I would go back and i had a social welfare background but if i would go back and be a case worker too. I know my housemate has an 18yearold son and im encouraging her to get him into the healthcare field. It branches where theres a will theres a way. Outside you have the nurses and the sheriff help that poor lady who fell down. We have a way. We have to have the will so include everyone exclude no one. Include everyone, exclude no one. Healthcare now Mental Health. San francisco. Hi, my name is veronica forbes. Ive been a social worker for nine years. I am a community Behavioral Health specialist homelessness expert and the original Program Manager of the Navigation Center. In San Francisco, my clients waited one to throw months in jail or decompensating in the streets or shelter from Mental Health and drug abuse services. When someone seeks help and is put on a wait list, theres a very narrow window of time to make a difference and when missed, it takes months to years until the theyre ready or able to seek help again. All the while, theyre spiraling downward in their ability to function yet San Francisco makes cuts to the Mental Health rehab center, Residential Care facility and acute diversion units and im here to tell you all to support Mental Health sf because living people with Mental Illness and drug addictions in the streets or criminal enforcement system is ineffective and its dangerous and its wrong. Hi, my name is wind could haveman and im Vice President of aft2121 at the city college of San Francisco. And we are grateful you have crafted this legislation and we support it and i want to talk as a mother of a child that has severe meth illness. She is doing well today. Shes 37yearsold and shes had four episodes such that she was 5150ed. She has chemical dependency issues and schizophrenia diagnosis. Today shes leading a healthy, full life with friends and a meaningful job and shes a social justice advocate for climate change. The reason is because she had the resources that she needed. She had the when she was in crisis she had them after she was in crisis and before she was in crisis. She was lucky because she had a tiger balm and the mom that had resources. When i pass young people on the streets or even not so young and in their 30s or late 30s, and i see my daughter could have been that if it werent for the resource thats she had available. Thank you for this legislation. Dont compromise. Hi, my name is victoria and i represent a compassionate day. We are activists working on animals and environmental issues. Although Mental Health is not our area of expertise, we all have members touched. It is in compassionate and dignity for all and a snub of membera number ofmembers wantedr support. Thank you so much for your work. My name is liz, ive been working with homelessness and Mental Healthcare for the past nine years. For the past five years here in San Francisco including at places like tenderloin housing clinic, Progress Foundation and saint anthonys. When i was contacted by caro lena from ronens office and she asked me to i had a experience with my friend who was in San Francisco very depressed, not bad enough to need to go to the hospital but struggling and he was staying wit staying with med shuffling around to get access to services. He worked in an acute diversion units that provide residential treatment of and connect them in care so we knew the system and i knew the system and we made every effort to get him connected to care he needed to get back on his anti depresents. Like said, he wasnt bad enough to go to the hospital but most days he was too afraid to leave the house. He was dead by my second meeting. This is the system were in. Most people do not have those resources. They do not know the system as well and they do not have people who will fight as hard. If someone like that cant get access to care under the system we have, we need oversight and we need over tight outside of the d. P. H. System in order to ensure things like this dont happen. Thank you very much for doing this. Hi, everyone, my name is Jennifer Steen and im here today to say some things that initially i said i wasnt going to say. I wasnt going to say that we need Mental Health not handcuffs. During the rally someone fell on the steps and it was nurses who rushed to her aid. When the deputies came they said dont move her, how was she supposed to get help sitting in that place. Nurses make an assessment because were trained clinicians and we were able to decide it was medically safe for her to move. We had noise outside these doors of this chamber and the deputies went too far. In the psychiatric emergency room, i have seen police and sheriffs and Highway Patrol men and bart police and any other Law Enforcement who might touch someone in the city of