Hearing to consider that the issuance of a type 48 onsale general public premises Liquor License to donegal all blacks, llc, dba harry harringtons pub, located at 456 larkin street district 6 , will serve the public convenience or necessity of the city and county of San Francisco. Hi. Good morning. Good morning supervisors, i need to make one clarification on the report before we get started. On the original report i listed northern station as the approving station. But it is actually tender loin station. I spoke with the captain and she is in approval. Okay, great. I did submit an amended report. Okay great. So you have before you a pcn report for harry harringtons pub to extend the license to include, 456 larkin and if approved this will allow them to sell on sell beer and wine and distilled spirits. There are zero letters of protest and zero letters of report, they are in lot, 553, which is considered high crime area. They are in the county custody track, 124, which is considered high sat ration area. Approved with the following conditions that sell of alcoholic beverages for off sell consumption is strictly prohibited and number two, no noise shall be audible beyond the area of control of the licensee, as defined in abc 257 form. It should be noted that the applicant has agreed with the above listed recommended conditions. Thank you. Colleagues any questions for the sergeant . I dont have questions for the sergeant. But i do just i do have concerns that planning held this up for a year. We are supposed to do these in 90 days. And it did not seem like there was any rational reason to hold up this for so long. So it makes it difficult for our Small Businesses because people hold leases for a year and they dont make any money and it relevant lip isnt a good process. So you know, we are supposed to do these in 90 days and this took 14 months. I hope in the future planning will be more diligent. Because otherwise that is why we have empty storefronts, right . Thank you for that. I completely agree. I wanted to also call up peter friel of harry harringtons pub to speak if you would like to say a few words. Good morning, thank you for your time. I would like to say that harry harringtons location of 460, has been since 1922 and the space next door back then was part of harry harringtons up until the 50s until the decline of the tender loin neighborhood and we just want to bring it back to where it was prior to you know the 50s and given that half of a block is vacant for the last two years, we might want to revitalize the neighborhood and get the front stores and make it more of a meeting room than just a hard bar, you know . We would like to have the long where we can have private parties and you know like we have a few different parties coming in. And if shortly from the neighborhood the tender loin hospitality house is having a party next week. And it is really more of a community and revalue attize the neighborhood and i would like to thank you for your time. Thank you so much. Colleagues, does anyone have a question . No, i think that we are good. Long process. Thank you for sticking with it. Okay. So i want to open it now to general Public Comment, if anyone would like to speak on this item now is your time. Seeing no one, Public Comment is closed. Could i have a motion to send this item forward. I move to send this forward. Without objections . The motion passes to send this item forward with recommendation. Thank you. Thank you. Madam clerk could you call two . Resolution authorizing adoption of the Mental Health services act annual update fy20162017. Thank you very much. I understand that moma. Is here from the department of Public Health to present this item . Thank you. Good morning members of the board let me say with a respect to for the resolution for that adoption of the Mental Health services act annual up date for 16, 17. This is the final up date to the original three year program and expenditure plan for the physical year, 14, 15, and are sa, 16. And 16, 17. Should i scroll . Nsfgotv we have a powerpoint presentation. Powerpoint please . There we go. Here we go. Overhead please . Okay so the second slide shows the organizational chart and also this is also to describe that the Mental Health sources act program is within the bigger Health Services division of the department of public heling. Just to give you a visual. The act also known as the proposition 63 was voted by calhoun voters in passed in november of 2004, and was enacted generally, in 2005. It is a one percent tax on personal income of individuals that make over a Million Dollars. It is designed to help the Mental Health system to address the needs of individuals that are served or under served based on corporate and support innovation. The next slide. The image of the Core Principles include core competency, and client and Family Involvement and integrated Services Delivery as well as wellness and recovery. So programs that are designed in collaboration with the community to get an assessment of the needs and also to develop programs you know using a clabive effort to insure of the needs of the season are met. Slide five the images of brooklyn bound into five component and one is the support services and innovation, and intervention, and wellness and training and capitol and technology. The services and supports of programs designed to provide Case Management and support services for individuals experiencing serious Mental Illness. And the innovation component is designed to test new approaches and new strategies and new models on how we can improve the delivery of Mental Health services. Early intervention known as vi, is known to increase, and reduce stigma and discrimination and increase access to the services and also to address to intervene on the early on set of a Mental Illness. The workforce training component is designed to give us and divide the workforce to make sh you are that it is multilingual. And also to build the skills and Core Competencies of staff. The facilities is brick and mortar and so it is developing structures to where the services can be provided. And Technology Cal needs are around for the systems and for example, from having the bay and the Health Records and on the cal record. And in San Francisco, these components were for the broken down into seven category and so you will see on slide six, those categories are recovered in the Treatment Services and again these are for individuals with serious Mental Illness and also the type of Service Provided and more and in the support services and Case Management. And also, to the peer to Peer Support Services are designed the peer on and the peer to the peer on and to serve the population in need. The services are programmed to help on the consumers of secure employment and the housing is for the clients of the Service Partnership client, and again these are individuals with high needs with serious and persist ant Mental Illness and many for the three Service Categories of pretty much the same as previously described in the previous slide. Slide seven shows just what how well the Mental Health funding, and the Mental Health services act funding is because it is difficult to predict. You only know your actual end of the last part of the fiscal year. So we have to be very prudent in the way we plan services. And slide eight, which was the reason we are here today, every council instead of california is required to develop or program and the expenditure plan for the Mental Health access program. After the three year plan is developed, its counter is required to develop a bid for the three year plan and so again, i am here today for the 6 and 7, which is an up date to the original program and expenditure three year plan for 14, 15, 16, 17, which was previously adopted by this board. Thank you so much. I cant tell you how important your work is always but right now in both of raging homeless crisis in San Francisco where the issue of Mental Health is so enter twined with homelessness and certainly something that i am struggling with in my district where many people who dont have housing often because of Mental Illness are living in encampments on the streets. And we had a hearing yesterday at the board of supervisors to talk about Police Reform and that is another area where the Mental Health services in dph are desperately needed so that we can present shootings and violence against people in the Mental Health crisis, but are interacting with the police department. But i was wondering if you could just tell us a little bit about your work on both of those issues, homelessness as well as working with the police to deescalate a crisis involving people in Mental Health crisis. Okay, so in regard to homelessness, the inception of the Mental Health services act, excuse me. We have been able to develop Supportive Housing and we have our three units in the city and county and for the transitional housing for say which was transitional issues, we have about 56 units across the city and county, and also sros which is a single for the emergency stabilization, and we have around eleven units and there is a new bill, 1618, which the bill that is a housing bond of 2 Million Dollars and what that does is to develop programs for individuals of homeless, and chronically homeless and at the risk of chronic homelessness. And so far it is still being developed, but a projection that we have is that in San Francisco, we are projecting to have around 400 and 600 units build and it is not just for those individuals of homeless but how the criteria is for the individuals also experiencing serious Mental Illness. And what is the time period for those units to be built in San Francisco . So again, this is being developed and particular lead on this project, near the department of homelessness and Supportive Housing but again, it has been developed on how they can apply as well as the implementation strategies however that is just for developing the units but we still have to come up with the forms to address and the Supportive Services component of the program. So these funds that come through, the Mental Health services act dont fund the Supportive Housing. Potentially it could, but again, to have and work with the work that is put in place in the collaboration with the department of homelessness and Supportive Housing or just to create a Strategy Plan of the Supportive Services components of the program. Okay. I will say that i have seen sort of a projection of added Supportive Housing units that will come on line in San Francisco and those 400 units are talking about over a several year period and i cannot tell you how much that we need those units today or yesterday. Yes. So that something that concerns me quite a bit. And i look forward to working with you to speed up that time line and to add units to the mix as something that i have been talking to jessica about. And 400 units over several years added to our Supportive Housing system is just not sufficient and it is not addressing the crisis that we are experiencing. So that is something that does not necessarily relate to approving this resolution, but it is something that is so related to your work and an issue that i am going to be working with you on. And wanting to give you a heads up with that. Thank you. Sure. In regard to the Law Enforcement who have the comprehensive crisis program, which involves the mobile crisis, so in collaboration with the crisis, and cold, and it does this one example of the various programs that we have. Great and my understanding is that unit has not been fully staffed up. I think that if anything, we will be going, and continuously expand. So it is like i have to say, just in addressing the current needs and also looking at our current vresources, how can we leverage those to better meet the needs . So when an officer is interacting with an individual and Mental Health crisis, and calls you know calls the dispatch. But they need some crisis intervention, but does that dispatch caller then contact this unit within the department of Public Health to send someone out from dph to the scene . Again. The Mental Health intervention or the Bigger Health and response and there is an and that call is referred to the department of Public Health. And again, those are 24 7, for the mobile crisis units. Okay. So the mobile crisis unit is different from the unit that is made up of five professionals that are going to respond to calls that the police are interactions the police are involved in dealing with people in Mental Health. That is different, that is a different hun it than the mobile crisis unit. I dont want to say specifically that it is different, because there is a possibility that again, speaking of leveraging resources and there is a possibility that it is the same. Interesting, colleagues do you have any other questions . I do want to kind of drill down on what supervisor ronen was talking about because it kind of relate to one of my issues which is you know i hear a lot from folks about people with obvious behavior issues that the people find very frightening. And you know, i see it when i go around town, and the response of the folks who is not really oh, my god we need to get the cops here and throw that person in jail for the most part and where is someone to do a Health Intervention and get the folks the care . Even though the people are in the state of near terror . With the use of force or near deadly force like we heard about yesterday, there is another group that comes out when folks are really very threatening mostly to themselves. I mean someone could get hurt. So is that what you are talking about . So we have a lot of programs kaud the assistant Outpatient Treatment Program. This program was developed from lauras law, which is designed to provide Court Ordered assisted outpatient treatment to services however, the program, which is the Outpatient Treatment Program is more the Community Based services and so the family members and the friends and neighbors can call if this is someone might have a high need and a loved one could have a need and these group of individuals of professionals will have and go out to engage in this individual and work over a period of time to get them into services. And part of the criteria is individuals who have had the ongoing of the and however, what if it will go out and does an assessment and sees that it is a different need than they can know refer and link that individual to that corporate level of care. No i mean, i get that, that sounds great. That is important thing to know. But less say there is someone. We know that ten to 14 percent of the people sometimes the numbers are higher, and just the guy here that is ten to 14 percent of the people in jail are really there for serious Mental Health reasons and should be treated for the Mental Health instead of issues and are there behave or Health Issues instead of being traumatized by being in jail. And i guess that when that point of contact is made, is there a Mental Health professional there to make sure that this individual is directed to the right source of facility. So that they can get the care that they need . So your question is does the Law Enforcement official have access to mental professionals outside . Based on the scenario described which would need a Mental Health, which would warrant a Mental Health intervention, and who also has access to call. And but there are no Mental Health or behavior