[indiscernible] i think people are physically intolerable. As for people who [indiscernible]. Thank you supervisor mandelman for having this hearing. Second one, there are thousands of empty hotel rooms in San Francisco. The issue with beds, we can look at that. Issue with money, we have 431 million in the budget for homeless services. We heard lot about data collection. I am completely against your time has expired. Thank you for your comments. Next speaker. Good morning. Im a Community Leader in district eight. Im really pleased that youre having that hearing today. The data presented shows how tragic the tragi situation is. These are people with severe Mental Illness. We all agree with that. Hotel rooms are not the option. When someone is in violent psychosis. It requires that we implement we put together the steps to take some people who are experiencing psychosis and treat them. Starting with acute beds and with all due respect to those who are here today, im just hearing legal words. Im not hearing any transparency around what is needed, what the estimates are, the beds. Theyre not giving you the right number. Not initially during covid. Our Healthcare Providers got the beds. They got lot of beds. Only after we started seeing how many people were basedden estimates, how many showed up. We can begin to understand. We reserved enough beds to take care of those who will be ill. Thats right thing to do. Other city have done this. Im saying because im so frustrated. I look at this pro problem fy direction. Your time has expired. Thank you very much for your comments. Next speaker please. Hi. I think its completely astonishing to be thinking of implementing sb1045. Theres still not an alternative to policing Mental Health and Substance Abuse the racial bias and poverty bias among police is still very real. We needed an expansion of voluntary services. Resolving door will continue. In my work, i worked with people of Mental Illness. I cant give services. My med got taken by d. P. W. I dont have my meds or doctor number anymore. People want the help. They cant get it. Im done. Thank you for your comments. Next speaker please. My name is lauren. Im invested in the city. Im heart broken by the city that i see in my city with people experiencing homelessness and Mental Health. I dont support implementation of s1b1045. Its clear that the police are not the people to be providing services to Mental Health. As people said before me, i think the issues with 5150, the solution should not be responding to the calls in the first place. Even that as being the pathway to having a conservatorship, is something that concerns me. I really think that if people were able to get housing to be stabilized, that would really help with their Substance Abuse issues. Especially with covid19 now, when people are in close quarters its still risky. Putting people in hospital beds where theyre close to each other, does not seem like a good idea. I woul would advocate for expann of more voluntary services. Next speaker. Im dr. Ron cooper. After retiring, i worked in various venues here around the city. I have seen people who have been concerned. When you talk to them about getting services, they say, im not going to see a social worker. Look what happened to me last time, i lost my job, i lost my house and everything i owned ow. Thats not unusual. Posttraumatic stress disorder and reluctant to seek future psychiatric and social services. Physicians who see them should be making those judgments. Now a policeman, people who knew before, its now become graphic, are not the right people to be making medical decisions. If you get a chest pain or head pain, you dont call your cop. You call a physician. If you dont like your physician, you get another one. One who will address your problem. This bill is foolish. It will create more problems. Thank you. Next speaker. My name is ashley. I appreciate everyone putting this together today. Thank you supervisor mandelman. Im with the callers that are concerned about the safety of the city by not commending conservatorship process. I think its open for debate. It needs to happen. If you look at next door, the chronicle, theres countless posts about assault, sexual assault, other criminal activity, theft and murder. While theres lot of concern for those who need help, there needs to be equal concern through those house resident who are experiencing crime and still frankly, San Francisco shouldnt be proud it has a map associated with it. Needles everywhere. I feel compassionate for the people on the street that needs help. It cost a lot to live here. Its naive for people to think that housing is the only solution. Look to other cities and countries. Housing along with Mental Healthcare and drug addiction services. They have to go together. Senator feinsteins idea of putting people in cal palace, working with other counties other areas in the state is far more realistic than trying to carve out an area of the city thats expensive for those who worked really hard and pay lot of money to live here. I appreciate you taking the time and lets try to prevent more of those situations. Next speaker. Im an organizer. We have been opposed to this expansion of conservatorship from the beginning because its a violation of peoples civil liberty based on Mental Health disability, homelessness, and detention. Weve advocated for easy to Access Services and housing in the community which contrary what the last speaker said, i believe its totally possible for San Francisco to provide. We haves on of empty units and tons of money in our city. Even now we haves on of hotel rooms. At this point in history, its adopted by the board. Problem with conservatorship are much more clear than they were a year ago. In california, 50 of covid19 death have be in longterm care facilities. That includes Nursing Homes and psych hospitals. These institutions have never been safe. Now they are deadly across the board. Have anyone been conserved under that program . Would they be still be alive today. Think being this pandemic and putting people in hospitals for other institutions is just a horrible approach. At the same time, the mass uprising against Police Violence against black people across the country, highlights why this is the wrong approach. Black people are 5 of San Franciscos population and that leaves 30 of people with with more 5150. This is out of proportion and it shows the racism of the system and it shows how increasing Police Contact with people and Mental Health crises will lead to more killing. We continue to oppose this expansion. Were glad no one has been conserved under it yet. Thank you, next speaker. My name is gracecy. Im a San Francisco resident. We need to reduce all Police Interaction with people who are mentally ill. We need to develop resources that dont involve police and provide housing and develop solutions or punish them for having a Mental Illness. If you are housed in you should be advocating for providing house and safe resources. They are working hard to survive. The city is falling us. Thank you. Thank you. Next speaker. This is rachael rodriguez. Im calling to share my thought about sb1045 how the conservatorship now in an intermentation phase. I work everyday i work with these folks very closely and have over the past year since weve had conservatorship in process. I have sent these multiple times to try to engage in intensive Case Management services, to do residential treatment program, to Crises Program and to housing opportunities. These have not worked. These individuals have been unable to make these opportunities work because their illness is too acute. These individuals who deserve a chance at housing and voluntary services. However the current condition of their symptoms do not allow them to participate in it. We have tried and weve seen it fail. Thank you so much. Next speaker. [indiscernible] before the speaker continue, can you hear me . We seem to be having a lot of chatter on this line. Its very hard to understand whats being said. Can you speak more clearly in your microphone . Your time begins now. Is there a caller connected to the line presently . Next caller please. For any callers who may have eattempted to connect to this Public Comment period by dialing star and 3. It is your opportunity to speak when the system prompt you by telling you that your line has been unmuted. Are there any callers connected to the line presently . Im a resident of San Francisco, 30year resident of San Francisco. I want to agree with the caller who said that there is a population that simply cannot access the voluntary services because their need is too acute. Thats what this conservatorship is designed for. I really appreciate hearing that from a professional who works with them day in and day out. Im calling to say that it seems to me as if from listening to this hearing, the department of Public Health is doing everything they can to drag their feet and prevent this from working. Even if theyve been doing a banged up job, its sure depressing. Supervisor mandelman said, supervisors have noted, we clearly have this disconnect between these people who conservatorship is what they need. They cannot manage to stay in the voluntary services. Yet, we cant seem to connect them with that. I find it really as a person who finds it frightening to go out on the street because theres so many crazy Homeless People. We have empty hotel rooms for them. I attended a meeting where housing Homeless Team members described the three populations. One of them is the travelers. Thats the one that permanently on the sidewalk in my neighborhood. I fully support what the supervisor is attempting to do. Focus of this meeting is really very acute patients in the city Walking Around like zombies. I dont understand why you cant do for someone who cant do for themselves. The year that we have spent where were talking about someone who had eight incidents a year and we cant put someone into some situation which will certainly enhance their lifestyle and i dont understand the emphasis on the police and the racial implications. Also, work on making sure that theres common understandings of definitions and how to operate the policy. It is new, it is complex, lots of interconnecting parts, but weve seen many times where even the definition of 5150 isnt clear, and theres lots of inputs into this, right . Youve got outreach teams, youve got doctors in emergency rooms, youve got Police Officers. Everybody has to understand how the program works, not just s. F. General. Two, like to see some data improvements. Not just in the collection of data and the emerging of data, which i know is a massive undertaking, but the consistency of whos reporting. I read in an initial report because clerk your time has expired. Clerk thank you for your comments. Before we go to the next speaker, to the remaining speakers in the line, you will know when your line is unmuted when you hear the announcement come on the line. Could we get the next speaker, please. Hello. This is david mora. Basic programs like Behavioral Health treatment arent available to address and triage issues before they get more severe. You know, this is definitely feels like a groundhog day moment. Id just encourage us as a city to find out how we can implement the services that weve talked about so long in so many different meetings and also take into account that we have shelter in place and social distancing issues that, for example [inaudible] could we get the next speaker, please. My name is jennifer. Im a resident of district 2. I would like to thank everyone fo for organizing this. Its been very helpful for me to learn about how agencies do a housing and conservatorship. In district 2, we experienced a homeless encampment, and through that, we saw many of the unhoused populations suffer Mental Illness. I understand the issue of giving them proper care and access to volunteer services, but, you know, many of them are seriously mentally ill, and i remember hearing people yell on the streets, im going to kill you. As a resident, i feel very unsafe. I know its not right to call the police, but i dont know who to call to get help. For people of any color to live with a state of Mental Illness on the street, this is not compassionate, so i strongly support housing conservatorship. Thank you very much. Thank you. Next speaker. Hi. This is jessica with senior and disability action. Im also a member of the housing conservatorship working group. I am really shocked to hear conservatorship being used as a tool for Mental Health. People ask whats happening in other countries. In other countries, people have voluntary services. Theres a couple of things that weve seen on the work group. One is that theres still no evidence that housing and voluntary services are provided. Theres been discussion on the working group about the lack of services, the long waiting lists for housing, the look of coordination. The preliminary data doesnt show whether people with multiple 5150 holds have been offered supportive housing, much less engaging in services. We see nearly onethird of people with four or more 5150s or African Americans with no clear explanation of why or how to address that. Also, the City Ordinance requires information about detentions by police and or someone from a mobile crisis team or analyzed and shared, and that needs to happen. This makes me wonder how much money has been spent on research and implementation, how much it spends on 5150 detentions by Police Officers rather than social workers, and how many could the funding thats your time. Thank you. Thank you for your comment. Mr. Chair, that completes the queue. Supervisor mandelman thank you, and i will close Public Comment, and i want to thank all of the all the folks who took time out of this morning to attend this hearing and call in and share their thoughts. I guess i have one final question, just in terms of next steps. It sounds like it notices that folks that have had five or more 5150s have started to go out. What do we anticipate is the next steps on this, and whats the timeline . Thank you, supervisor mandelman. So as you indicated, we started to give notices to the individuals who have hit their fifth 5150, so its really a matter of supporting those individuals, again, trying to identify less restrictive options to serve them. Then once they get to their eighth 5150, well be working with the hospital where theyre at and the department of adult and aging services, and then, itll be the responsibility of the triage to submit the paperwork and then submit that to the court. Supervisor mandelman whats the timeline for that . It could be next week, it could be next month. It just depends on when individuals hit their eighth 5150. Supervisor mandelman then im going to move that we check back in on this in one month, so im going to continue this to our meeting on july 23. Mr. Clerk, please call the roll. Clerk on the motion to continue this to the Public Safety and Neighborhood Services committee [roll call] clerk mr. Chair, there are three ayes. Supervisor mandelman all right. Then, the motion passes, so we will continue this conversation on the 23rd, and i hope have some good news on progress. Id like to thank all the good folks that are working to make this happen, and with that, i want to ask our clerk to please call the next item. Clerk agenda item number 2 is a hearing on the impacts of covid19 on the citys response to the Behavioral Health needs of unhoused san franciscans. Members of the public who wish to provide Public Comment on this hearing should call 4156550001, enter the meeting i. D. Of 14578532772. Press the pound symbol twice to connect to the meeting, and then press starthree to enter the queue to speak. Mr. Chair . Supervisor mandelman and i would note that although she has stepped temporarily away from her desk, weve been joined by supervisor ronen who is the principal author of Mental Health s. F. Supervisor ronen thank you. Supervisor mandelman colleagues, i requested this hearing to give the department of Public Health to give the opportunity the board to update the public on how the covid19 has impacted the Behavioral Health system to respond to the health needs of people a. Covid19 brought life in San Francisco to a screeching halt in all sorts of ways, and in many ways, that has led to the significant success we have had in flattening the curve, those early and aggressive steps to shelter in place have saved lives and allowed us to claim the lowest mortality rates in the country. So i in no way want to did etr from the enormous success we have for the department of Public Health, but in this shelter in place, its become clear that this new Public Health crisis that were dealing with has only exacerbated the existing Public Health crisis of Mental Health that were dealing with on our