2026-10-08 - Public Safety and Neighborhood Services Committee

Summary

Built from the posted agenda and the live-captioned video (about 3 hours 45 minutes) of the rescheduled afternoon meeting. The video covers a separate afternoon session on citywide drug market conditions; the morning joint hearing on sexual assault response, listed above, is not in this video. Captions are machine-generated and uppercase; many names are omitted because the captions spell them inconsistently.

  • Routine items: roll call, communications, agenda changes, and adjournment.
  • Item 1 (File 260893): Joint hearing with the Commission on the Status of Women on staffing needs, policies, and procedures for responding to sexual assault reports; requests the Police Department, Office of Victim and Witness Rights, and Office of Sexual Harassment and Assault Response and Prevention to report. (Not in the captioned video.)

Discussion from the video (afternoon rescheduled meeting)

  • The committee held a hearing to assess citywide drug market conditions, departmental coordination and resource allocation. Police, Public Health, Public Works and Economic and Workforce Development presented, along with BART. The chair expressed frustration that no one from the Mayor's Office testified.
  • Police described a strategy of prevention, disruption, treatment and clear-and-hold, coordinated through the drug market enforcement center with county, state and federal partners. The Tenderloin's share of citywide drug incidents fell from 44% to 36% while shares in the Mission and Southern districts rose, which members read as displacement. Fentanyl prices were cited as rising from about $20 to $40 a gram.
  • Police staffing was described as roughly 658 officers short of the charter methodology; the narcotics unit has 14 officers and no midnight shift, and police said a night team would need about 14 more.
  • The RESET Center, an alternative to jail for public intoxication that opened in April, was described as admitting 2,300 or more people from May through September; about 25-35% of people brought there accept services. Public Health said 41% of requests for withdrawal management or residential treatment cannot be met same or next day, and that RESET cannot store or dispense buprenorphine under state rules.
  • A multi-agency effort at the Mission 16th Street BART plaza reported drug-related 911 calls down 78% since deployment, with a $1 million approval for continued activations and a BART agreement on plaza activation. BART said crime on its system is down 67% since 2024 but that only a handful of officers cover the downtown and Mission stations.
  • Members asked for concrete metrics (overdoses, 911 and 311 calls, encampment counts, treatment outcomes), a way to track displacement and more Mission resources; one noted the Mission's share of ambassador funding is small.
  • Public comment from a Mission elementary school community described unsafe conditions near the school and asked for daily cleaning and enforcement; public defenders, a Lower Polk district representative, peer counselors and advocates urged more emphasis on housing, treatment and harm reduction and questioned the effectiveness of enforcement operations.
  • The committee voted to excuse the vice chair from 5 p.m. and then continued the hearing to the call of the chair. No Board action was taken.

Agenda

Posted agenda: Thursday, October 8, 2026, 10:00 AM, City Hall, Legislative Chamber, Room 250

  • Routine items: roll call, communications, agenda changes, and adjournment.
  • Item 1 (File 260893): Joint hearing with the Commission on the Status of Women on staffing needs, policies, and procedures for responding to sexual assault reports; requests the Police Department, Office of Victim and Witness Rights, and Office of Sexual Harassment and Assault Response and Prevention to report.

Sources

Video

Watch the video

Transcript

Machine transcript from closed captions of the afternoon session; may contain errors.

Transcript

AND GOOD AFTERNOON EVERYONE. THIS MEETING WILL COME TO ORDER. WELCOME TO THE RESCHEDULED MEETING OF THE SAN FRANCISCO BOARD OF SUPERVISORS PUBLIC SAFETY AND NEIGHBORHOOD SERVICES COMMITTEE FOR

THURSDAY OCTOBER EIGHTH, 2026. I'M SUPERVISOR DANNY SAUDER, CHAIR OF THIS COMMITTEE JOINED TODAY BY MY FELLOW COMMITTEE MEMBERS, VICE CHAIR BELAL MAHMOOD SOON TO JOIN US. SUPERVISOR ALAN WONG AND GLAD

TO BE JOINED TODAY BY SEVERAL COLLEAGUES INCLUDING SUPERVISOR MAN WOMAN FIELDER AND DORSEY. AND WE ARE GRATEFUL OF COURSE TO OUR CLERK TODAY AS WE WERE THIS MORNING MISS MONIQUE CREIGHTON FOR STAFFING

US KEEPING US ON TRACK THANKS TO THE ENTIRE TEAM AT S.F. GOV TV AS WELL FOR FACILITATING AND BROADCASTING TODAY'S MEETING ESPECIALLY OUR PRODUCER SUE AS KNOWS. >> MADAM CLERK, DO YOU HAVE ANY

ANNOUNCEMENTS? YES. PLEASE MAKE SURE TO SILENCE ALL CELL PHONES AND ELECTRONIC DEVICES DOCUMENTS TO BE INCLUDED AS PART OF THE FILE SHOULD BE SUBMITTED TO THE CLERK. PUBLIC COMMENT WILL BE TAKEN ON

EACH ITEM ON THIS AGENDA WHEN YOU'RE WHEN YOU'RE ITEMS OF INTEREST COMES UP AND PUBLIC COMMENT IS CALLED. PLEASE LINE UP TO SPEAK ON YOUR RIGHT. ALTERNATIVELY YOU MAY SUBMIT PUBLIC COMMENT IN WRITING

IN EITHER OF THE FOLLOWING WAYS FIRST YOU MAY EMAIL THEM TO MYSELF THE PUBLIC SAFETY AND NEIGHBORHOOD SERVICES COMMITTEE CLERK AT EMAIL IN I Q U E DOT C R A TITLE IN AT S.F. G OF FORGY OR YOU MAY SEND

YOUR WRITTEN COMMENTS VIA US POSTAL SERVICE TO OUR OFFICE OFFICE OF THE CLERK OF THE BOARD IN CITY HALL NUMBER ONE DR. CARLTON BE GOOD PLACE ROOM 244 SAN FRANCISCO CALIFORNIA NINE FOUR 102 IF YOU

SUBMIT PUBLIC COMMENT IN WRITING IT WILL BE FORWARDED TO THE SUPERVISORS AND ALSO INCLUDED AS PART OF THE OFFICIAL FILE AND ONCE YOU'RE COMMENTING. FINALLY ITEMS ACTED UPON TODAY ARE EXPECTED TO

APPEAR ON THE BOARD OF SUPERVISORS AGENDA OF OCTOBER 20TH 2026 UNLESS OTHERWISE STATED. >> THANK YOU MADAM CLERK WILL YOU PLEASE CALL ITEM NUMBER ONE? >> YES. ITEM NUMBER ONE IS A HEARING TO ASSESS

CITYWIDE DRUG MARKET CONDITIONS. ENTER A DEPARTMENTAL COORDINATION AND RESOURCE ALLOCATION INCLUDING PROGRESS MADE TO DATE WHETHER IMPROVEMENT IN SOME AREAS AREAS REFLECTS LASTING CHANGE OR THE

DISPLACEMENT OF DRUG ACTIVITY TO OTHER NEIGHBORHOODS AND WHAT ADDITIONAL RESOURCES OR COORDINATION ARE NEEDED TO STABILIZE CONDITIONS CITYWIDE. >> THANK YOU MADAM CLERK. THIS IS AN ISSUE OF GREAT

CONCERN TO ALL OF US OF COURSE, BUT IT WAS MY COLLEAGUE PRESIDENT MAN WOMAN WHO CALLED FOR THIS HEARING SO I WOULD TURN OVER TO PRESIDENT VENEMAN AS WELL AS SUPERVISOR FIELDER TO LEAD THIS HEARING

TODAY SUPERVISOR PRESIDENT GENTLEMAN THANK YOU, CHAIR SLAUGHTER IT OCCURS TO ME THAT ONE OF THE VERY FIRST HEARINGS THAT I HAD ON THE BOARD OF SUPERVISORS WAS A HEARING ON HOMELESSNESS ON OUR STREETS

AND THE CHALLENGES ENCAMPMENTS WERE PRESENTING FOR NEIGHBORS AT THE TIME AND OVER THE EIGHT YEARS SINCE I JOINED THE BOARD, THE EXACT ELEMENTS OF THE CHALLENGES FACING NEIGHBORHOODS HAVE CHANGED. BUT

THIS HAS BEEN ONE OF THE MOST CONSISTENT, PERSISTENT CHALLENGES FOR THE CITY DURING THAT DURING THAT TIME THINGS CERTAINLY GOT WORSE DURING COVID CLEARING OUT THE SHELTERS AND ALLOWING FOR ENCAMPMENTS

TO PERSIST. FOR THOSE OF US WHO WERE HERE WE REMEMBER LARGE ENCAMPMENTS ACROSS THE CITY INCLUDING IN NEIGHBORHOODS THAT HADN'T HAD THEM BEFORE. A LOT OF THOSE A LOT OF THOSE ENCAMPMENTS WERE ALSO

PLACES WHERE A LOT OF DRUG RELATED ACTIVITY HAPPENED. >> I WOULD SAY THAT AND I HEAR FROM MY CONSTITUENTS AND I HEAR FROM PEOPLE WHO VISIT THE CITY THAT STREET CONDITIONS RELATED TO DRUGS AND

HOMELESSNESS AND ENCAMPMENTS HAVE DRAMATICALLY IMPROVED SINCE 2022 OR 2023 AND THEY ARE AND IT IS HARD TO EXACTLY PINPOINT I THINK WHAT THING OR THINGS MADE THAT CHANGE. >> I THINK THE SUPREME COURT'S

DECISION IN GRANTS PASS HAD SOMETHING TO DO IT TO DO WITH IT. THE STANDING UP OF DIMOCK IN 2023 HAD SOMETHING TO DO WITH IT THE POLICE BEING ALLOWED TO USE NEW TECHNOLOGIES I THINK HAD SOMETHING TO DO

WITH IT. I THINK THE SIGNIFICANT EXPANSION OF TREATMENT OPPORTUNITIES AND RESOURCES HAD SOMETHING TO DO WITH IT. THE ESTABLISHMENT OF A SOBERING CENTER OF 822 GEARY AND NOW OF RESET ALL MAY HAVE

PLAYED A PART AND I DO THINK A NEW APPROACH AROUND PROSECUTION OF DRUG CRIME FROM THE DISTRICT ATTORNEY'S OFFICE ALSO HAD SOMETHING TO DO WITH IT. >> AND SO THERE IS I THINK AN ANECDOTAL FEELING FROM

A LOT OF PEOPLE THAT THINGS ARE BETTER TODAY THAN THEY WERE FIVE YEARS AGO. >> BUT IT IS HARD ACTUALLY FOR ME AND IT CONTINUES TO BE CHALLENGING TO ME EVEN ALTHOUGH WE'VE BEEN WORKING ON THIS HEARING

AND MY AND I APPRECIATE THE FOLKS IN THE MAYOR'S OFFICE AND IN THE VARIOUS DEPARTMENTS WHO HAVE PARTICIPATED IN THIS CONVERSATION. IT IS HARD FOR ME TO THINK ABOUT THE MEASURES THAT WE SHOULD BE USING

TO THINK ABOUT HOW WE'RE DOING OVERALL ON DRUGS CITYWIDE. AND THE REASON THAT BECOMES I THINK ESPECIALLY IMPORTANT IS THAT THERE ARE PARTS OF THE CITY WHERE CONDITIONS ON THE STREET HAVE BECOME WORSE.

I THINK IN THE CASTRO THINGS ARE A LITTLE BIT WORSE OR SOMEDAYS A LOT WORSE THAN THEY WERE A YEAR AND A HALF OR TWO YEARS AGO. I THINK I MEAN THE SUPERVISOR FOR DISTRICT NINE IS HERE AND SHE CAN SPEAK

FOR HERSELF BUT THE EXPERIENCE OF MY CONSTITUENTS GOING DOWN TO THE BART STATIONS AND OF ME WHEN I'M GOING HOME ALONG MISSION STREET IS THAT CONDITIONS AT THE 16TH STREET ART PLAZA CERTAINLY A FEW

MONTHS AGO THE 24TH STREET BAR PLAZA AND THE STRETCH OF MISSION BETWEEN THE TWO PLAZAS HAD DETERIORATED SIGNIFICANTLY. >> AND SO HOW DO WE THINK ABOUT WHAT IS PROGRESS AND HOW WE'RE DOING AND HOW OUR

STRATEGIES CHANGING TO ADDRESS NEW AREAS THAT WERE NOT THE AREAS THAT WE SET UP DMCC TO ADDRESS? THAT'S THE POINT OF THIS HEARING TO THINK ABOUT HOW TO THINK ABOUT THE PROGRESS WE'VE MADE AND TRY TO

THINK AND TRY TO UNDERSTAND HOW THE ADMINISTRATION AND THE DEPARTMENTS THINK ABOUT THAT PROGRESS AND TO ALSO UNDERSTAND AND THE WORK THAT HAS BEEN DONE OVER THE LAST I GUESS NOW IT'S MORE LIKE 120

DAYS PARTICULARLY FOCUSING ON OR MAYBE LONGER PARTICULARLY FOCUSING ON THE MISSION AND AND THEN TO THINK ABOUT WHAT ABOUT ALL OF THE OTHER NEIGHBORHOODS THAT HAVE EXPERIENCED SOME DEGRADATION FOR WHOM

THE STATEMENT THAT SAN FRANCISCO IS DOING BETTER IT RINGS A LITTLE HOLLOW BECAUSE YOU KNOW THE BLOCK I CARE ABOUT HAS GOTTEN WORSE. AND WHAT HOW IS THE CITY RESPONDING TO THAT? >> I DIDN'T EXTEND AN

INVITATION TO THE MAYOR'S OFFICE TO PARTICIPATE IN THIS HEARING AS THEY HAVE BEEN WITH OTHER HEARINGS. THEY DECLINED. >> I THINK THAT GETS HARD FOR SOME OF THESE ISSUES OF CITYWIDE IMPORTANCE WHERE

THERE IS COORDINATION HAPPENING OUT OF THE MAYOR'S OFFICE NOT TO HAVE REPRESENTATION BUT THAT IS A CONVERSATION THAT WE CAN CONTINUE OFFLINE FOR TODAY WE'RE GOING TO BE HEARING FROM COMMANDER BIGGS AT

SFPD FROM DANIEL SY, THE DEPARTMENT OF PUBLIC HEALTH AND AND TOPIA FROM THE OFFICE OF ECONOMIC AND WORKFORCE DEVELOPMENT. I'M GOING TO ASK THERE WILL BE INTRODUCTORY STATEMENTS BUT ONCE WE'VE MADE OUR

INTRODUCTORY STATEMENTS I'M GOING TO ASK THAT WE LET THEM GET THROUGH THEIR SLIDES BEFORE WE POUNCE. I'M SURE WE ALL WILL HAVE OUR OWN UNIQUE ANGLES AND CONCERNS BUT I THINK IT WOULD BE HELPFUL TO LET

THEM GET THROUGH THEIR WHOLE PRESENTATION FIRST. >> THANK YOU. THANKS EVERYBODY. THANK YOU. PRESIDENT MAILMAN AND VICE CHAIR MAHMOOD THANK YOU CHAIR SARDAR AND THANK YOU PRESIDENT MANDELA'S

PRESIDENCY'S ADVISOR FIELDER FOR CALLING THIS HEARING. JUST WANTED TO QUICKLY MENTION AND ECHO ONE OF THE SENTIMENTS THAT THE PRESIDENT MENTIONED WHICH IS REPRESENTING THE TENDERLOIN NEIGHBORHOOD. WE

ACKNOWLEDGE THAT THINGS ARE BETTER THAN THEY WERE TWO YEARS AGO. I SEE PARENTS WALKING THEIR KIDS TO SCHOOL. MERCHANTS NOTICE THAT IT IS IS NIGHT AND DAY LITERALLY. BUT THAT NIGHT IS ACTUALLY AS WE'VE

NOTED IS A LITTLE BIT WORSE AND AS SOME BLOCKS ARE GETTING BETTER, SOME THINGS ARE GETTING PUSHED I KNOW TO UPPER LOWER HILL HAS VALLEY DUE TO SEE DIFFERENT POLICIES AND SO LOOKING FORWARD TO DIVING

IN TODAY TO UNDERSTANDING HOW THESE POLICIES THAT WHAT ARE THE POLICIES WE'RE TRYING DIFFERENT MAYBE UNINTENDED CONSEQUENCES OF THEM HOW DO WE ADAPT AND CONTINUE TO IMPROVE TO GET TO A SITUATION

HOPEFULLY WE CAN EVENTUALLY CONTAINER COMPLETELY ELIMINATE THE DRUG MARKET. >> SO THANK YOU. THANK YOU. VICE CHAIR MAHMOOD AND SUPERVISOR DORSEY THANK YOU CHAIR SAUDER AND THANK YOU PRESIDENT MAILMAN

FOR ACKNOWLEDGING THAT THERE ARE SOME NEIGHBORHOODS WHERE THINGS AREN'T GETTING BETTER AND IN SOME WAYS I WILL SAY I'M HEARING FROM RESIDENTS IN NEIGHBORHOODS THAT HAVE NOT PREVIOUSLY EXPERIENCED

ISSUES WITH STREET CONDITIONS HAVING BEEN AROUND THIS ISSUE, YOU KNOW, FOR A COUPLE OF YEARS IN THE POLICE DEPARTMENT AND THEN HERE ON THE BOARD OF SUPERVISORS SOMETIMES I THINK IT IS ESPECIALLY

INFURIATING WHEN YOU TELL PEOPLE WHO ARE REALLY NOT FEELING SAFE IN THEIR NEIGHBORHOOD THAT WELL, STATISTICALLY YOU'RE SAFER. IT'S IT'S IT IS A FURY THAT THAT THAT COMES IN RESPONSE TO THAT AND I

THINK I APPRECIATE YOU ACKNOWLEDGING THAT IN SOME WAYS WHEN THERE WHILE THERE THE FEELING MAY BE THAT WE'RE ON THE RIGHT TRACK IN SOME REGARDS IT'S JUST NOT IT'S NOT TRUE FOR EVERYONE'S EXPERIENCE I

HAVE EMAILS THAT I'VE GOTTEN TODAY FOR ISSUES THAT ARE GOING ON RIGHT NOW ON THIS VERY TOPIC FROM NEIGHBORHOODS THAT HAVE NOT EXPERIENCED THIS AND I WILL ONLY SAY JUST BECAUSE THIS IS AN ISSUE THAT

I'VE BEEN KIND OF A BROKEN RECORD ON AND I MIGHT AS WELL JUST CONTINUE BEING THAT IS THAT I DO THINK THAT SO MANY OF THESE ISSUES COMES BACK TO POLICE STAFFING AS WE HEARD IN THE LAST THE LAST HEARING

THAT WAS ALSO TOUCHED ON THIS. >> BUT I THINK IT'S ESPECIALLY RELEVANT IN FACT MORE RELEVANT HERE WE HAVE A METHODOLOGY THAT VOTERS ADOPTED BACK IN 2020 THANKS TO THE LEADERSHIP OF FORMER BOARD

PRESIDENT NORMAN YEA TO REPLACE WHAT WAS FOR MANY YEARS A STATIC NUMBER IN OUR CHARTER THAT WE SHOULD HAVE AT THAT TIME 1979 FULL DUTY POLICE OFFICERS. IT NEVER MADE SENSE TO HAVE A STATIC NUMBER IN

OUR CHARTER OF FULL DUTY STAFFING SO NOW WE HAVE A METHODOLOGY THAT WE ALL AGREED UPON AND THAT VOTERS AUTHORIZE. THIS IS HOW WE NOW DO IT. EVERY TWO YEARS WE REASSESS BASED ON CALLS FOR SERVICE AND

AS I UNDERSTAND OTHER FACTORS FOR HOW MANY COPS WE NEED. THE GOOD NEWS IS WE HAVE STARTED HIRING MORE COPS THAN WE'RE LOSING FOR THE FIRST TIME IN SEVERAL YEARS. I DON'T WANT TO SAY THAT'S NOT

PROGRESS BUT WE'RE NOT NETTING NEARLY ENOUGH TO MEET THE NEED AND RIGHT NOW WHEN I WAS WORKING ON CHARTER AMENDMENTS ON THIS TOPIC TWO AND THREE YEARS AGO WE WERE TALKING ABOUT A SHORTFALL OF 500

POLICE OFFICERS. TODAY THE SHORTFALL IF WE'RE JUST GOING BY THE PROBIE NUMBER IS 658 OFFICERS. >> AS A PRACTICAL MATTER, IF WE'RE TALKING ABOUT FULL DUTY, THAT MEANS THAT PEOPLE WHO ARE AVAILABLE FOR

DEPLOYMENT TO THE STREETS RIGHT NOW WE WOULD BE 700 AND 20 POLICE OFFICERS SHORT. WHAT THAT MEANS IS THAT NEARLY ONE THIRD OF THE POLICE DEPARTMENT WE'RE SUPPOSED TO HAVE ISN'T THERE. >> AND I THINK

WHEN WE SEE THAT THE METHODOLOGY WENT UP A COUPLE HUNDRED POLICE OFFICERS, THOSE NUMBERS ARE REAL AND THAT'S REFLECTING CALLS THAT I'M GETTING AND EMAILS THAT I'M GETTING EMAILS AND CALLS THAT I

SUSPECT MY COLLEAGUES ARE GETTING AND WHAT PEOPLE ARE SEEING ON OUR STREETS. >> SO I THINK WE HAVE TO DO A BETTER STRATEGY. BUT I YOU KNOW, IN TERMS OF HOW WE'RE DEPLOYING THE RESOURCES THAT WE HAVE

BUT I ALSO JUST WANT TO SAY WE ALSO WE'VE GOT TO FIGURE OUT A WAY TO SOLVE THIS SHORTFALL THAT FROM MY MEMORY I THINK THE LAST TIME WE HAD SOMETHING LIKE THIS WAS 2011. I THINK WHEN GREG SIR BECAME

CHIEF OF POLICE WE HAD ABOUT A 400 POLICE OFFICER DEFICIT. THIS IS WITHOUT PRECEDENT TO MY KNOWLEDGE IN SAN FRANCISCO HISTORY. >> SO I THINK THIS IS THIS IS A PROBLEM THAT WE ALL HAVE TO SOLVE. >> BUT

BUT I THINK THERE'S OTHER THINGS WE CAN DO THAT WE'LL HEAR ABOUT TODAY. >> SO THANKS YOU SUPERVISOR DORSEY AND SUPERVISOR FIELDER THANK YOU CHAIR SADER I DO COME AT THIS FROM A DIFFERENT PERSPECTIVE

THAN THE CITYWIDE MESSAGE THAT CRIME IS DOWN. >> THINGS ARE GREAT. I'M NOT HEARING THAT THINGS ARE BETTER THAN IT WAS FIVE YEARS AGO IN DISTRICT NINE AND PARTICULARLY IN THE MISSION I'M HEARING THAT

THINGS ARE GETTING WORSE AND I THINK WHEN PEOPLE TALK ABOUT CONDITIONS THEY'RE TALKING ABOUT OPEN DRUG USE. >> THEY'RE NOT TALKING ABOUT ENCAMPMENTS ANYMORE. IT'S ALSO PEOPLE SLEEPING ON THE STREET.

>> AND I THINK I THINK IT'S FRANKLY UNACCEPTABLE THAT NO ONE FROM THE MAYOR'S OFFICE IS HERE WITH ALL DUE RESPECT, THERE ARE THE RIGHT PEOPLE IN THE ROOM HERE TODAY WHO WHO DO THE WORK ON A DAILY

BASIS BUT THE PEOPLE MAKING DECISIONS ABOUT RESOURCES NAMELY THE MAYOR OR DELEGATES AND THE POLICY CHIEFS ARE NOT HERE. >> I WOULD SAY EVERY DEPARTMENT IS UNDERSTAFFED. WE KNOW ACCORDING TO RESEARCH

THAT STUDY OF RELATIONSHIPS WITH HEALTH PRACTITIONERS HELP PEOPLE RECOVER FROM DRUG ADDICTION AND I HAVE QUESTIONS ABOUT RETENTION AT DEPARTMENT OF PUBLIC HEALTH AND YOU KNOW, BUILDING OUT THE

PIPELINE FOR HEALTH PRACTITIONERS THERE. >> WE ALSO RECENTLY REMOVE THE PEER COUNSELORS FROM THE STREET CRISIS RESPONSE TEAMS AND SO WHAT I'M LOOKING FOR TODAY IS A COHERENT VISION WITH HELPFUL

CONCRETE METRICS WITHOUT EXCUSES AROUND DEPARTMENTS BEING UNDERSTAFFED. >> I'VE CALLED FOR A SEPARATE HEARING ON CONDITIONS SPECIFICALLY ON SCHOOLS BUT I AM SURE THAT THERE ARE SOME PEOPLE HERE TODAY

WHO ARE GOING TO TALK ABOUT CONDITIONS AROUND MARSHALL OR OTHER SCHOOLS THAT HAVE BEEN DECLINING BUT I THINK WE'RE ALL IN AGREEMENT. PUBLIC DRUG USE IS UNACCEPTABLE AND CERTAINLY NOT AROUND OUR

SCHOOLS BUT I THINK THAT THE THE THE OVERARCHING MESSAGE AROUND CRIME IS DOWN, THINGS ARE BETTER IS COMING AT AN EXPENSE TO SPECIFIC NEIGHBORHOODS AND I'LL SAY THAT FOR THE MISSION THANK YOU IN

ADVANCE TO THE DEPARTMENTS WHO ARE HERE THANK YOU FOR CALLING THIS HEARING SUPERVISOR PRESIDENT MILLMAN THANK YOU TO THE COMMITTEE FOR HAVING ME. >> THANK YOU SIR. AS A FIELDER AND SUPERVISOR ONE

THANK YOU FOR FOR CALLING THE HEARING PRESIDENT MELMAN AND I THINK COMING FROM THE SUNSET POINT OF VIEW THERE HAS BEEN A NOTICEABLE IMPROVEMENT OVERALL FOR FOR THE CITY BUT THERE CONTINUES TO BE A LOT

OF WORK THAT NEEDS TO TO GET DONE AND WHEN WE HAVE DRUG MARKETS IN IN PARTS OF THE CITY IT HAMPERS BUSINESS COMING INTO THE CITY HAMPERS CONFIDENCE IN OUR CITY. IT HAMPERS TOURISM FOR RESIDENTS IN MY

DISTRICT AS I TALK TO THEM, MANY OF THEM TELL ME THAT THEY AVOID GOING GOING TO THE CITY CENTER BECAUSE OF THE UNSAVORY ELEMENTS OF THE DRUG MARKET CONDITIONS THAT ARE PRESENT AND I AGREE WITH PART OF

WHAT PRESIDENT OF AND HAS SAID ABOUT THE NUMBER OF DIFFERENT THINGS THAT THE CITY HAS WORKED ON TO MAKE A NOTICEABLE DIFFERENCE IN IN THE DRUG SITUATION IN SAN FRANCISCO. AND I THINK WE NEED TO KEEP

ON GOING AS A SUPERVISOR DORSEY MENTIONED THAT I THINK THE STAFFING HAS A LOT TO DO WITH IT. WITH THE SRP WE'RE FINALLY HAVING SEEING IT MORE OF AN INCREASE THAN A DECREASE IN STAFFING FOR FOR ONCE

AND WE NEED TO CONTINUE WORKING ON THAT. WE ALSO NEED TO GET PEOPLE THAT ARE AFFECTED BY DRUGS THE HELP THAT THEY NEED ON ON THE STREETS AS WELL. AND I'M LOOKING FORWARD TO THIS THIS HEARING AND

LEARNING ABOUT HOW WE ALL CAN CONTINUE TO MAKE PROGRESS ON THIS IMPORTANT CITYWIDE PROBLEM THAT AFFECTS ALL OF US. >> THANK YOU. THANK YOU, SUPERVISOR WONG AND I'LL NOW TURN IT BACK OVER TO PRESIDENT

RANDLEMAN TO PROCEED. ALL RIGHT. SO I'M GOING TO INVITE COMMANDER BIGGS TO COME ON UP. OKAY. GOOD AFTERNOON, CHAIR CIDER PRESIDENT RANDLEMAN SUPERVISORS MY NAME IS SCOTT BIGGS. I'M THE DEPUTY CHIEF OF

FIELD OPERATIONS BUREAU FOR THE SAN FRANCISCO POLICE DEPARTMENT. I OVERSEE THE ENTIRE PATROL FORCE AS WELL AS OUR DRUG MARKET AGENCY COORDINATION CENTER TODAY WILL WILL BE CO-PRESENTING WITH THE

DEPARTMENT OF PUBLIC HEALTH AS WELL AS THE OFFICE OF ECONOMIC WORKFORCE DEVELOPMENT. OH, ALL RIGHT. I MESSED THAT UP. I THINK I THINK IT'S IMPORTANT TO START OFF WITH SOME CONTEXT ON HOW THE

CONDITIONS WERE WE'RE CURRENTLY DEALING WITH TODAY DEVELOPED OVER MORE THAN A DECADE AGO IN 2014 PROP 47 RECLASSIFIED MOST DRUG POSSESSION OFFENSES AS MISDEMEANORS. WHAT THAT ACTUALLY MEANT WAS IS

THAT THAT TOOK THE TOOLS AWAY FROM THE POLICE OFFICERS TO ACTUALLY ADDRESS POSSESSION OF SIMPLE POSSESSION OF NARCOTICS AS A FELONY. THE LIMITED TOOLS WE HAD TO HOLD SOMEONE ACCOUNTABLE AND TO MOVE

THEM INTO TREATMENT. SO BASICALLY THEY BECAME MISDEMEANOR CRIMES WHICH ENDED UP BEING CITE AND RELEASE AT THE SCENE AND LEAVING FOLKS OUT ON THE STREET IN THE LATE 2020S FENTANYL DISPLACED HEROIN AS

YOU KNOW OBVIOUSLY FENTANYL IS UP TO 50 TIMES MORE POTENT AND IT'S INEXPENSIVE AND VERY EASY TO CONCEAL ON ONE'S PERSON WHEN WE TAKE A DEALER OFF THE STREET THE SUPPLY REPLACED QUICKLY BETWEEN 2020

AND 2023 OUR FULL DUTY STAFFING DECLINED SIGNIFICANTLY. AT THE SAME TIME DRUG MARKETS WERE GROWING, ADDICTION BECAME HARDER TO INTERRUPT. REPEATED USE ALLOWED DEMAND TO PERSIST EVEN THOUGH SELLERS

LOCATIONS AND USERS WERE DISRUPTED TODAY REPEAT OFFENDING REMAINS DIFFICULT TO INTERRUPT. WE CONTINUE TO SEE REPEAT OFFENDERS WITH DRUG DEALERS AS WELL AS DRUG USERS OUT ON OUR STREETS. I RAISE ALL OF

THIS BECAUSE IT EXPLAINS WHY ENFORCEMENT ALONE WASN'T GOING TO SOLVE SAN FRANCISCO'S ISSUE. >> OUR CURRENT CITYWIDE STRATEGY IS TO MAKE IT HARDER TO SELL DRUGS IN SAN FRANCISCO AND TO MAKE SURE PUBLIC

DRUG USE HAS CONSEQUENCES WHILE MAKING IT FASTER AND EASIER FOR SOMEONE TO GET INTO TREATMENT WHEN THEY'RE READY. IT DOES HAVE FOUR PARTS. THESE FOUR PARTS ARE PREVENTION ,DISRUPTION, TREATMENT AND A

CLEAR AND HOLD STRATEGY. THIS IS THE CITYWIDE STRATEGY AND EACH PART DEPENDS ON ONE ANOTHER. THEY DON'T WORK INDEPENDENTLY. >> I'LL GO INTO A LITTLE BIT FURTHER DETAIL SO THE FOUR PARTS OF THE

PREVENTION PORTION REDUCES EXPOSURE VULNERABILITY AND THE CONDITIONS THAT ALLOW MARKETS TO TAKE HOLD. THE DISRUPTION MAKES IT HARDER TO SELL AND USE DRUGS IN PUBLIC. TREATMENT REDUCES IMMEDIATE HARM

AND MOVES MORE PEOPLE INTO TREATMENT AND RECOVERY. THE CLEARING HOLD STRATEGY RESTORES PUBLIC SPACE TO SUSTAIN LEGITIMATE NEIGHBORHOOD USE. >> I'LL FOCUS ON CLEAR AND HOLD FOR A MINUTE. >> WHAT WE'VE

SEEN IS LARGE GROUPS ARE WHERE THE RISK IS HIGHEST AND WHERE PEOPLE ARE GENERALLY LEAST LIKELY TO ACCEPT SERVICES. WHEN THESE GROUPS ARE SMALLER, OUTREACH HAS A BETTER CHANCE OF MAKING CONNECTIONS. AS

WE I BELIEVE AS PRESIDENT RANDLEMAN HAD MENTIONED OR SOMEONE HAD MENTIONED THAT WE'RE NOT SEEING AS MANY ENCAMPMENTS OUT ON OUR STREETS CURRENTLY AS WE ONCE DID. BUT WE DO KNOW THAT ACTIVITY SHIFTS.

THE TENDERLOIN SHARE OF CITYWIDE DRUG INCIDENTS HAS DROPPED FROM 44% TO 36% WHILE THE MISSION IN SOUTHERN HAVE INCREASED. OUR RESOURCES HAVE TO FOLLOW THAT SHIFT WITHOUT GIVING UP PROGRESS WHERE WE'VE

MADE PUBLIC WORKS AND COMMUNITY AMBASSADORS ARE CRITICAL TO OUR MISSION AND KEEPING AREAS THAT WE GO INTO FROM SLIPPING BACKWARDS. PUBLIC WORKS HELPS MAINTAIN SPACE WITH CLEANING AND AMBASSADORS HELP

US HOLD THAT SPACE. TO BE CLEAR ABOUT THE GOAL WE'RE WORKING TO REDUCE DRUG DEALING AND PUBLIC DRUG USE REDUCE OVERDOSE IS AND CREATE SAFER AND POSITIVE STREET CONDITIONS SO NEIGHBORHOODS CAN

STABILIZE. >> SO TO DIVE A LITTLE BIT DEEPER, THE THINGS THAT WE LOOK AT AS FOUR METRICS ENFORCEMENT AND TREATMENT EACH MATTER IS PART OF THIS WHOLE STRATEGY WE HAVE TO WORK TOGETHER. NEITHER ONE

WORKS ON ITS OWN. FOR PREVENTION WE TRACK REPORTED OVERDOSES AND NALOXONE REVERSALS FOR DISRUPTION. WE TRACK DEALER AND USER ARRESTS, DRUG SEIZURES AND THE PRICE OF FENTANYL. I'D LIKE TO POINT IN

PARTICULAR TO THE PRICE OF FENTANYL. CURRENTLY FENTANYL FENTANYL HAS GONE FROM ROUGHLY $20 TO $40 A GRAM SINCE ITS LOW IN 2022 AND 2023. WHAT THAT MEANS IS THAT WE BELIEVE THAT OUR ENFORCEMENT EFFORTS

ARE WORKING IN THE RIGHT DIRECTION. THE INCREASE IS MAKING IT MORE DIFFICULT FOR USERS TO PURCHASE FOR TREATMENT. IT LOOKS AT HOW MANY PEOPLE ARE RECEIVING TREATMENT, HOW QUICKLY THEY'RE ADMITTED. HOW

MANY START MEDICATION FOR OPIOID USE DISORDER AND HOW MANY STAY IN TREATMENT FOR CLEAR AND HOLD. WE TRACKED DRUG RELATED 911 CALLS ENCAMPMENTS COUNTS 311 CLEANLINESS COMPLAINTS AND THE NUMBER OF

COMMUNITY ACTIVATIONS THAT OCCUR. I JUST WANT TO HIGHLIGHT THAT ARRESTS ON THEIR OWN DON'T TELL US WHETHER CONDITIONS ARE IMPROVING WHICH IS WHY WE LOOK TO ALL THE CATEGORIES AS A WHOLE TO SEE HOW

THINGS ARE GOING. >> I'LL BRING THIS BACK ABOUT FIVE YEARS. FIVE YEARS AGO WE DIDN'T HAVE THE STAFFING OR THE TOOLS TO SUSTAIN OUR EFFORTS. THIS LIMITED OUR ABILITY TO SUSTAIN MARKET DISRUPTION. THIS

WAS NOT JUST A POLICE PROBLEM AND IT WAS NOT GOING TO BE SOLVED BY THE POLICE ALONE. AS A RESULT, SAN FRANCISCO CITY DEPARTMENTS CAME TOGETHER TO FORMULATE A COORDINATED PLAN TO ADDRESS DRUG MARKETS

IN SAN FRANCISCO. THE IMPLEMENTATION OF DIMMOCK THREE YEARS AGO I WAS TRANSFERRED INTO DIMMOCK AS A CAPTAIN. I JUST WANT TO TALK ABOUT A PERSONAL STORY. DAY ONE I PERSONALLY WALKED OUT THE FRONT DOORS

OF DIMOCK IN THE 1100 BLOCK OF MARKET. I'VE NEVER SEEN ANYTHING SOMETHING SO COMPLEX OPEN DRUG DEALING IN FRONT OF THE POLICE ,MULTIPLE DRUG DEALERS ON ANY GIVEN BLOCK THAT YOU WALKED OPEN AIR DRUG

USAGE BROUGHT ON CLEANLY STREETS ENCAMPMENTS WERE ON EVERY BLOCK AND ITEMS OF STOLEN GOODS WERE DISPLAYED ON EVERY SIDEWALK THAT I WALKED . A DEEPLY ROOTED PROBLEM THAT REQUIRED A COORDINATED EFFORT

SO DMARC WAS IMPLEMENTED. D-MAX PROBLEM STATEMENT WAS FOUNDED ON A PERMISSIVE ENVIRONMENT WHICH CREATED POSITIVE CONDITIONS FOR NEGATIVE ACTORS RESULTING IN OPEN AIR DRUG MARKETS TAKING HOLD IN THE

TENDERLOIN AND SOUTH OF MARKET NEIGHBORHOODS. FOUR FACTORS THAT DROVE THAT DEALERS COULD MAKE MONEY WITH VERY LITTLE RISK. FENTANYL AND METHAMPHETAMINE WERE CHEAP AND EXTREMELY READILY AVAILABLE. >>

THERE WAS A LACK OF OVERALL CONSEQUENCE AND RESIDENTS AND BUSINESSES WERE LEFT WITH SOCIETAL FEAR AND UNSAFE STREET CONDITIONS CREATING ECONOMIC LOSS FOR OUR CITY. >> DIMOCK IS OFTEN DESCRIBED AS A

POLICE OPERATION WHILE THE POLICE DEPARTMENT LEADS IT. >> WE WE HEAVILY RELY ON PARTNER AGENCIES. OUR ROLE IS DAILY COORDINATION ACROSS CITY, STATE AND FEDERAL PARTNERS. THE WORK IS ORGANIZED INTO

FOUR BRANCHES. OUR DRUG SALES BRANCH OUR PUBLIC DRUG USE BRANCH. UNPERMITTED VENDING AND FENCING. AND NEIGHBORHOOD RECOVERY. >> >> I LOOK AT DRUG SALES, DRUG USAGE AND ILLEGAL VENDING AS AN ECOSYSTEM.

THEY ALL FEED OFF OF ONE ANOTHER. WE HAVE DRUG DEALERS COMING INTO OUR CITY THAT ARE SELLING DRUGS. WE HAVE DRUG USERS WHO GO TO RETAIL ESTABLISHMENTS. THEY STEAL BELONGINGS FROM THESE ESTABLISHMENTS,

BRING THEM TO THE STREET, SELL THEM ON THE STREET TO PURCHASE THESE DRUGS FROM THESE DEALERS. OUR DRUG SALES BRANCH FOCUSES PRIMARILY ON DRUG TRAFFICKING AND THE SUPPLY COMING INTO THE CITY WITH OUR

LOCAL STATE AND FEDERAL PARTNERS PRIMARILY PRIMARILY A LAW ENFORCEMENT LED BRANCH. DRUG USE ADDRESSES OBVIOUSLY PUBLIC DRUG USE. FROM THE POLICE DEPARTMENT'S PERSPECTIVE. WE HAVE VERY LIMITED

RESOURCES WHEN IT COMES TO DRUG USERS OUT ON OUR STREET. WE HAVE MISDEMEANOR CRIMES AT BEST. THAT'S WHY IT REQUIRED PARTNERSHIP WITH STREET TEAMS TO WORK IN CONJUNCTION WITH ONE ANOTHER. OUR OUR

UNPERMITTED VENDING ADDRESSES OBVIOUSLY THE SALE OF STOLEN GOODS ON OUR SIDEWALKS. LIKE I SAID, THIS IS WHAT THIS IS OFTEN HOW PEOPLE PAY FOR THEIR DRUGS. >> PUBLIC WORKS INSPECTORS FROM DPW LEAD THIS

BRANCH AT ONE TIME UNTIL WATCHING CHARGED. AND NOW WE'RE WORKING IN CONJUNCTION WITH THEM AND DOING A LOT OF WORK IN THE MISSION. THE NEIGHBORHOOD RECOVERY BRANCH COVERS OUR HEALTHY STREET OPERATION

CENTER. IT'S A IT'S A CORE GROUP OF OFFICERS THAT ARE ASSIGNED IN THE POLICE DEPARTMENT THAT WORK WITH DPW TO ADDRESS ENCAMPMENT ISSUES OUT ON THE STREET. WE ALSO HAVE THE NEIGHBORHOOD STREET TEAMS

DPW CLEANING AND BASTERS IN THAT CATEGORY AS WELL. >> THIS IS A SLIDE REGARDING ALL OF THE PARTNERS THAT ARE AT THE TABLE. OUR LAW ENFORCEMENT PARTNERS INCLUDE SHERIFFS DEPARTMENT, DISTRICT ATTORNEY'S

OFFICE, CALIFORNIA HIGHWAY PATROL, BART PD FEDERAL PARTNERS, DEA, FBI, ATF AND THE U.S. ATTORNEY'S OFFICE. THE FEDERAL PARTNERSHIP THAT WE HAVE. ALLOWS US TO ADDRESS THE SUPPLY CHAIN SUPPLY CHAIN

SPECIFICALLY WITH HIGHER LEVEL DEALERS AND STREET LEVEL SALES. AT THE BEGINNING OF DEMAK WE WENT TO OUR FEDERAL PARTNERS AND ASKED THEM TO CHANGE THEIR STRATEGY. HISTORICALLY THEY'RE KNOWN TO DO

HIGHER LEVEL CASES. WE ASKED THEM TO COME TO THE STREET WITH US. I DO WANT TO NOTE THAT MOST OF THE AGENCIES ON THIS SLIDE ARE NOT LAW ENFORCEMENT. EFFORTS REQUIRE PARTNERSHIP WITH ALL AGENCIES

BECAUSE WE REALIZE THAT THERE ARE OTHER AGENCIES THAT WE NEEDED THEIR ASSISTANCE WITH. >> OKAY. SO AS AS WE CONTINUED OUR ENFORCEMENT EFFORTS, WE STARTED TO SEE LARGE CROWDS FORMING ON MULTIPLE

CORNERS. AT ONE POINT IN TIME THERE WERE COULD BE HUNDREDS TO 200 PEOPLE ON ANY GIVEN BLOCK IN TENDERLOIN SOUTH OF MARKET. EVEN AT ONE POINT IN OUR NORTHERN DISTRICT. BUT WHAT WE DID FIND WAS THAT A

LOT OF THESE LARGE CROWDS STARTED CONGREGATING IN FRONT OF OVERNIGHT RETAIL STORES BETWEEN THE BETWEEN MIDNIGHT AND 5 A.M.. CERTAIN OPEN WELL-LIT BUSINESSES HAD BECOME GATHERING POINTS FOR DRUG USE,

VIOLENCE, DRUG DEALING AND SANITATION PROBLEMS. WE HAD TO FIGURE OUT A SOLUTION TO TRY TO BREAK UP THESE CROWDS . OUR LIMIT WE HAVE LIMITED RESOURCES OVERNIGHT AS WELL AS OTHER CITY AGENCIES. >> SO

WORKING WITH THE COMMUNITY WE CREATED A PILOT PROGRAM THE PILOT PROGRAM WAS TO CLOSE ABC LICENSED BUSINESSES FROM 2 A.M. TO 5 A.M. IN THE MORNING AND NON ABC BUSINESSES FROM MIDNIGHT TO 5 A.M.. SINCE

THE PILOT WAS IMPLEMENTED IN THE TENDERLOIN INITIALLY WE SAW REDUCTIONS IN LATE NIGHT VIOLENT CRIME AND NARCOTICS INCIDENTS ALONG WITH FEWER CALLS FOR SERVICE FOR DEBRIS AND UNSANITARY CONDITIONS.

BASED ON THOSE RESULTS IT WAS EXPANDED EARLIER THIS YEAR INTO THE SOUTH OF MARKET NEIGHBORHOOD IN BOTH TENDERLOIN AND SOUTH. THE MARKET. WE'VE SEEN A DECREASE IN LARGE CROWDS ALTHOUGH LARGE CROWDS

STILL DO REMAIN ON THE SIXTH STREET CORRIDOR. AND 16TH IN MISSION BART PLAZA WHERE WE STILL HAVE A LOT OF WORK TO DO. >> ANOTHER TOOL THAT RECENTLY CAME ONLINE WAS THE IMPLEMENTATION OF THE RAPID

ENFORCEMENT SUPPORT EVALUATION AND TRIAGE CENTER WHICH WE KNOW IT AS RESET RESET IS A NEW VOLUNTEER INVOLUNTARY TOOL FOR LAW ENFORCEMENT AND EXPANDED INTERVENTION AND ON PUBLIC DRUG USE IT'S IMPORTANT

TO NOTE THAT THERE WAS A POPULATION OF PEOPLE OUT ON THE STREET WHERE WE HAD NO SOLUTION FOR THEM. >> THE RESET ALLOWS OFFICERS TO ARREST INDIVIDUALS FOR PUBLIC INTOXICATION OR BEING UNDER THE

INFLUENCE OF A CONTROLLED SUBSTANCE IF THE PERSON MEETS ELIGIBLE ALITY REQUIREMENTS 18 YEARS OR OLDER. NO VIOLENT BEHAVIOR AND NO EMERGENCY MEDICAL NEEDS THEN THESE FOLKS MAY BE TRANSPORTED TO THE

RESET CENTER AS AN ALTERNATIVE TO COUNTY JAIL FROM MAY THROUGH SEPTEMBER. WE MADE OVER 2300 ARRESTS FOR PUBLIC DRUG INTOXICATION. MOST OF THOSE ARE CONTACTS THAT PREVIOUSLY WOULD NOT HAVE BEEN

ARRESTED. DROP OFF TAKES ABOUT FIVE MINUTES SO OFFICERS CAN RETURN TO THE FIELD QUICKLY AND BE BACK IN SERVICE. I JUST WANT TO BE CLEAR THE PURPOSE IS NOT INCARCERATION. IT ADDRESSES PUBLIC DRUG USE

AND GIVES PEOPLE AN ALTERNATIVE PATHWAY FOR CARE. WE'LL SPEAK LATER ABOUT SOME OF THOSE OUTCOMES. IN DMX FIRST YEAR WE MADE MORE THAN 3000 ARRESTS AND SEIZED APPROXIMATELY 480 POUNDS OF NARCOTICS IN

THE TENDERLOIN AND SOMA NEIGHBORHOODS. CURRENTLY TODAY WE'VE MADE OVER 16,000 ARRESTS AND HAVE SEIZED OVER 1,300 POUNDS OF NARCOTICS. >> 28% OF THAT 1300 NUMBER IS FENTANYL. >> 15% IS METHAMPHETAMINE.

>> AS YOU CAN SEE FROM THE SLIDE, OVER TIME ENFORCEMENT HAS INCREASED AGAINST BOTH DEALERS AND USERS IN THE DIMOCK AREA. DEALER ARRESTS ROSE FROM 561 IN 2021 TO A PEAK OF 1041 IN 2023 AND CURRENTLY

STANDS TODAY AT 594. OUR EARLY ENFORCEMENT CAPTURED THE MOST VISIBLE STREET LEVEL SALES. THE REMAINING CASES REQUIRE LONG TERM INVESTIGATIVE WORK INCLUDING SURVEILLANCE WARRANTS IN CASES AGAINST

PEOPLE SUPPLYING THEM. WE'VE ALSO WE'VE ALSO SEEN ACTIVITY SHIFT. THERE'S BEEN A REDUCTION IN DAYTIME DEALING AND MORE OF IT HAS MOVED INTO THE NIGHTTIME HOURS BETWEEN 11 P.M. AND 6 A.M.. >> WE HAD TO

SHIFT EXISTING RESOURCES TO COVER THE OVERNIGHT AND EARLY MORNING HOURS. >> IN RESPONSE WE ALSO HAD TO ADJUST OUR STRATEGY TO FOCUS ON QUALITY OF LIFE ENFORCEMENT AND LOWER LEVEL USER ARRESTS. THAT'S

A PART OF WHY USER ARRESTS HAVE INCREASED FROM 187 IN 20 21 TO 2000 743 IN 2025 AND CURRENTLY THIS YEAR WE'RE AT 2637. WITH ALL OF THIS WE HAVE TO GET CREATIVE WITH OUR WITH OUR DEPLOYMENT STRATEGIES.

STAFFING HAS DECLINED AND SFPD ABOUT 17% FROM 2021 TO 2024. >> DURING THE HEIGHT OF THE FENTANYL CRISIS, 2020 FIVE WAS OUR FIRST ANNUAL INCREASE SINCE 2019 AND THAT GROWTH IS CONTINUING THIS YEAR

THANKS TO THE REBUILDING OF THE RANKS INITIATIVE. AS STAFFING HAS INCREASED WE'VE BEEN ABLE TO ADJUST STAFFING DEPLOYMENT SO THE ENFORCEMENT TEAMS CAN FOCUS ON BOTH QUALITY OF LIFE ISSUES AND DRUG

TRAFFICKING CRIMES. >> OVERALL STAFFING REMAINS BELOW 2021 LEVELS AND SUSTAINING THIS WORK DEPENDS ON CONTINUED HIRING. SO WHAT'S COMING NEXT? WE'RE CONTINUING TO REBUILD STAFFING AND DEPLOY. OFFICERS

WERE DEALING AND DRUG USE ARE MOST PERSISTENT. WE'RE EXPANDING NARCOTICS INVESTIGATIONS TO FOCUS ON REPEAT DEALERS AND THE PEOPLE SUPPLYING THEM. WE'RE LOOKING TO PARTNER WITH ACADEMIC RESEARCHERS TO

EVALUATE WHICH STRATEGIES ARE REDUCING DRUG MARKET ACTIVITY NOT JUST INCREASING ARREST NUMBERS. >> WE WILL CONTINUE OUR WORK WITH OUR LOCAL AND FEDERAL PROSECUTORS TO STRENGTHEN ARREST TO CONSEQUENCE

PATHWAYS. WE WILL CONTINUE TO USE THE DATA TO IDENTIFY NEW HOTSPOTS EARLIER. AND FINALLY WE WILL CONTINUE DISRUPTING SUPPLY WHILE USING PUBLIC WHILE USING PUBLIC USE ENFORCEMENT TO PROVIDE PATHWAYS TO

TREATMENT. >> THAT'LL CONCLUDE MY PORTION OF THE PRESENTATION AND I'LL TURN IT OVER TO DAN SAFE FROM. >> THANK YOU. >> THANK YOU COMMANDER BIGGS AND THANK YOU TO THE BOARD FOR CONVENING THIS HEARING.

MY NAME IS DANCE. I'M YOUR HEALTH DIRECTOR HERE IN SAN FRANCISCO AND I WILL BE I'LL OPEN UP WITH SOME THINGS FROM THE OVERALL PERSPECTIVE OF THE HEALTH DEPARTMENT AND THEN ACTUALLY ASK AND WHO I WILL

INTRODUCE SHORTLY TO WALK THROUGH SOME SPECIFIC PIECES. THERE ARE FEW THINGS I JUST WANT TO NOTE AT THE OUTSET. >> I WAS JUST CHATTING WITH SOME OF THE TEACHERS AND STAFF AND SOME STUDENTS FROM

MARSHALL AND WHAT THEY DESCRIBED TO ME WAS SOMETHING THAT I MANY OF US HAVE HEARD MANY TIMES OVER WHICH IS AS YOU ALL NOTED EVEN AS CONDITIONS IN VARIOUS PARTS OF THE CITY HAVE REALLY IMPROVED, THERE

ARE AREAS THAT ARE INCREDIBLY CHALLENGING AND I'M NEW TO SAN FRANCISCO I A YEAR AND A HALF OUT OF THAT NEW ANYMORE. BUT I THINK COMING TO SAN FRANCISCO I DEFINITELY WAS WELL AWARE OF THIS VERY DEEP

SEATED DEBATE THAT OUTSIDE OF SAN FRANCISCO WE WOULD ALL OBSERVE AND PLAYS OUT IN OTHER PLACES WHERE FOR HOW TO BEST TACKLE BEHAVIORAL HEALTH, DRUG USE, HOMELESSNESS, THE INTERSECTION OF THESE THINGS

FOLKS OFTEN DEBATE ONE SIDE WHICH IS DON'T LEAVE DRUG USERS WHERE THEY ARE OFFERED TREATMENT OFFER KINDNESS IF FOLKS ARE NOT READY ,DON'T STIGMATIZE PEOPLE BY TRYING TO MOVE FOLKS ALONG AND OPEN THEIR

DRUG USE IS WHAT IT IS. >> IT'S DON'T STIGMATIZE THAT. AND THEN ON THE OTHER HAND YOU HEAR EVERY SINGLE DRUG USER SHOULD BE THROWN INTO JAIL TOMORROW OR TODAY AND DON'T DESERVE X, Y OR Z AND THE

REALITY AND FROM MY STANDPOINT AND WHERE WE ARE FROM A HEALTH DEPARTMENT STANDPOINT IS IT'S WE HAVE A DIFFERENT APPROACH AND WE ARE CHARTING A DIFFERENT APPROACH FROM A HEALTH STANDPOINT. WE WANT TO

PROVIDE HEALTH CARE. WE CARE FOR FOLKS IF EVERY ONE OF US HAD OUR SELVES FAMILY MEMBERS, FRIENDS IN THE STREETS USING THE ADDICTED TO FENTANYL WITH THE INCREDIBLY POTENT SUBSTANCE THAT IT IS ALL OF US

WOULD WANT DIGNITY, RESPECT NON-JUDGMENTAL CARE BUT ALSO FORWARD MOTION INTO CARE AND TREATMENT ESPECIALLY WITH THE NUMBER OF OVERDOSE DEATHS WE'VE HAD AND I THINK ALL OF US CAN UNDERSTAND WE BOTH AS

A HEALTH DEPARTMENT ARE RESPONSIBLE FOR COMPASSIONATELY CARING FOR FOLKS WHO ARE USING DRUGS AND ARE AT HIGH RISK OF NOT ONLY OVERDOSES BUT A WHOLE RANGE OF MEDICAL AND HEALTH COMPLICATIONS AND ADD TO

THE DISCUSSION HERE KIDS AND THEIR LONG TERM HEALTH AND ECONOMIC OUTCOMES AND BOTH PHYSICAL AND MENTAL HEALTH THE ENVIRONMENT THAT THEY'RE IN MATTERS A LOT AND I THINK AS ALL THE SUPERVISORS HAVE SAID

OPEN THEIR DRUG USE IS NOT A GOOD THING. AND SO THE HEALTH DEPARTMENT WE HAVE PIVOTED TO MAKE SURE WE'RE BOTH THINKING ABOUT BEING MUCH MORE PROACTIVE IN TREATMENT. WE'RE MEETING PEOPLE WHERE THEY ARE

AT BUT WE'RE NOT CONTENT ON JUST KIND OF WALKING AWAY. AND SO THERE ARE SLIDES I BELIEVE, RIGHT? OH, THANK YOU. I'M GOING TO THERE'S THREE THINGS I WILL NOTE AND THEN I'M GOING TO ACTUALLY TURN IT TO

COMMENT ON DETAILS. SO ONE PRONG ABOUT OF THIS IS CLEARLY WHEN PEOPLE ARE IN NEED OF TREATMENT WE NEED TO PROVIDE THEM TREATMENT AND THAT INCLUDES DOING SO MUCH MORE PROACTIVELY AND SYSTEMATICALLY AND

PRESENT MANAGEMENT AS YOU'VE PUSHED US ON THE TREATMENT ON DEMAND REPORTS, IT'S NOT ENOUGH JUST TO HAVE TO SAY WE HAVE TREATMENT AVAILABLE AND WE HAVE EXPANDED TREATMENT. I'LL SHOW YOU SOME SOME

METRICS SHORTLY. WE HAVE TO BE ABLE TO ROLL OUT THE RED CARPET AND REMOVE BARRIERS SO THAT WHEN SOMEONE RAISES THEIR HAND FOR TREATMENT WE CAN GET THEM IN WITHOUT BARRIERS. WE DO THAT WELL MUCH OF THE

TIME WE DO NOT DO THAT AND SOME OTHER POINTS IT'S ACTUALLY CAN YOU GO TO THE NEXT SLIDE AND THEN I'LL COME BACK. WE HAVE SUCCEEDED IN DRAMATICALLY INCREASING THE NUMBER OF PEOPLE ON TREATMENT 30% OVER

THE PAST THREE YEARS. THIS IS AN UNDERCOUNT OF A BUNCH OF WORK WE'VE DONE IN THE STREETS WITH GETTING PEOPLE QUICKLY STARTED ON MEDICATIONS FOR THEIR OPIOID USE BUPRENORPHINE, LONG ACTING INJECTABLES,

METHADONE THIS DOES NOT INCLUDE ALL OF THAT PART OF WHAT HAS DRIVEN THIS IS EXPANDING 200 BEDS OF TREATMENT IN VARIOUS PARTS OF THE CITY OVER THE PAST SHORT PERIOD OF TIME AS WELL AS GETTING WAY MORE

PROACTIVE AND BEING ABLE TO PROVIDE CARE IN THE MIDDLE OF THE NIGHT WHEN FOLKS ARE WILLING AROUND THAT. AND AS WE HAVE NOTED IN OUR RECENT TREATMENT ON DEMAND REPORT 41% OF THE TIME WHEN SOMEONE

RAISES THEIR HAND FOR WITHDRAWAL MANAGEMENT OR DETOX SERVICES, THEY'RE READY TO START RESIDENTIAL TREATMENT THEY CAN'T GET SAME OR NEXT DAY ACCESS THE RANGE OF BARRIERS TO THAT. SOME OF THOSE ARE

STATE LIMITATIONS AS WELL THAT WE'VE UNCOVERED THAT WE ARE POUNDING THE TABLE HARD TO TO RESOLVE AND I'M HAPPY TO TALK MORE ABOUT THOSE BUT TREATMENT AND GETTING PEOPLE QUICKLY INTO TREATMENT IS

REALLY IMPORTANT AND IF YOU WOULDN'T MIND GOING BACK TO THE PREVIOUS PAGE BUT WE ALSO DO KNOW THAT WHEN WE'RE ENGAGING WITH FOLKS ON THE STREET WHEN I'VE GONE OUT WITH OUR TEAMS VERY OFTEN YOU ARM IN

AND OUR TEAMS GENERALLY PROBABLY LESS THAN 1 IN 10 PEOPLE AT THAT INSTANCE WHEN OUR HEALTH WORKER GOES UP ARE INTERESTED IN TREATMENT AND SO THAT IS A THAT IS A THAT IS A REALITY THAT WE FACE. AND SO

WHEN WE THINK ABOUT OUR NEIGHBORHOOD STREET TEAMS AND WE'LL TALK ABOUT SOME MORE DETAILS WE HAVE TWO PRONGS OF THAT AS WE'VE KIND OF BROUGHT THINGS ACROSS THE CITY. ONE PART WHICH YOU'LL SEE WE CALL

RAPID RESPONSE IS HOW TO QUICKLY GET PEOPLE CONNECTED INTO SERVICES SHELTER OR TREATMENT CARE. ALSO SOME FOLKS THAT ARE REALLY, REALLY SICK AND NEED HOSPITAL LEVEL CARE OR OTHER CARE. 5150 IS THAT

TEAM IS DOING A LOT OF THOSE PIECES THE RESPONDING TO 311 CALLS THINGS OF THAT SORT HOTSPOTS SECOND TEAM IS FOCUSED ON WHAT WE CALL CITY TERMINOLOGY SHARED PRIORITY IT'S BASICALLY A VERY COMPLEX SET

OF INDIVIDUALS. WE HAVE A BY NAME LIST FOLKS THAT ENGAGE MANY PARTS OF THE CITY AND WE'RE TRYING TO GET THEM CONNECTED. THEY'RE UNHOUSED. THEY NEED TREATMENT, THEY NEED CARE. THEIR SET OF CLINICAL

FOLKS REALLY WORKING TO TRY TO GET THOSE FOLKS INTO CARE. SO THOSE ARE TWO DIFFERENT PARTS OF THE STREET TEAMS RECOGNIZING THAT OFTENTIMES WE'RE ENGAGING LESS THAN 1 IN 10 PEOPLE AT THIS MOMENT ARE

WILLING TO VOLUNTARILY ACCEPT TREATMENT AND THAT'S JUST MORE OF A STATEMENT OF FACT OF THE SORT OF THINGS OUR TEAMS EXPERIENCE AS THEY DO THIS WORK . AND THE LAST THING I'LL NOTE IS IT IS REALLY,

REALLY IMPORTANT AS MUCH AS WE WANT TREATMENT AND AS MUCH AS WE NEED OUR STREET TEAMS ABLE TO HELP SUPPORT ALONGSIDE OTHER AGENCIES AND LAW ENFORCEMENT, WE NEED TO BE REALLY INVESTING IN PREVENTION

AND SO THAT INCLUDES PREVENTION IN THE CONTEXT OF OVERDOSES WHERE WE HAVE A RANGE OF TARGETED INTERVENTIONS ESPECIALLY FOR VERY HIGH RISK COMMUNITIES BUT IT ALSO INCLUDES A RANGE OF OTHER UPSTREAM

PIECES ACCESS TO MENTAL HEALTH SERVICES, GETTING PEOPLE CONNECTED INTO PRIMARY CARE, KEEPING PEOPLE ON HEALTH INSURANCE INSTEAD OF GOING UNINSURED AND OTHER THINGS THAT WE PARTNER WITH OTHER

DEPARTMENTS ON WITH HOUSING AND OTHER RELATED PIECES. THOSE ARE ALL REALLY IMPORTANT FACTORS IN AND SO THOSE ARE DIFFERENT AREAS WHERE THE DEPARTMENT IS PUSHING MY UNDERLYING PIECES. JUST TO NOTE IT

IS POSSIBLE TO THINK ABOUT THIS WITH DEEP COMPASSION FOR FOLKS THAT WE HAVE ON THE STREET AND AS A HEALTH DEPARTMENT IN THE CITY GIVEN THE MAGNITUDE OF CRISIS WE'VE HAD WE'RE AT 1.2 PEOPLE A DAY DYING

FROM OVERDOSES. SO WE HAVE TAKEN A MUCH MORE PROACTIVE COMPASSIONATE APPROACH OF APPROACH TO HOW WE APPROACH CONNECTING PEOPLE TO TREATMENT. SO I'M INVITING YOU TO SPEND A FEW MINUTES GOING THROUGH

SOME OF THE STREET TEAM PIECES AND THEN WE'LL YIELD TO WHAT'S RIGHT. OH, YOU SHOULD INTRODUCE YOURSELF. SORRY. YES, THANK YOU. >> GOOD AFTERNOON, SUPERVISORS. I'M I'M IN LILLE. I AM THE CHIEF

ADMINISTRATIVE OFFICER FOR THE STREET TEAMS AND I ALSO HAVE THE PLEASURE OF LEADING PRIMARY CARE MATERNAL A CHILD JAIL HEALTH AND SHELTER TEAMS AT SO TO DAN'S POINT AS WE ARE CONTINUING TO TO EVOLVE

IN OUR STRATEGY EVEN ALONG WITH OTHER AGENCIES HAS RECENTLY IN STARTING JULY 1ST HAS TAKEN OVER THE INTEGRATED MODEL OF THE STREET TEAMS OF WHO CAN PLEASE PROJECT THIS SLIDE. >> WE ARE STILL THE

NEIGHBORHOOD STREET TEAMS WITH A DUAL MISSION DUAL MISSION REALLY FOCUSES ON BRINGING PEOPLE IN CRISIS TO TREATMENT AND AT THE SAME TIME WE DO HOLD A RESPONSIBILITY TO WHAT DAN JUST SHARED TO BE

RESPONSIBLE FOR MAKING THE PUBLIC SPACES WELCOMING FOR OUR BROADER COMMUNITY IN OUR CURRENT STRUCTURE. WE WILL AS WE GO TO THE NEXT SLIDE WILL YOU WILL SEE WE HAVE TEAM EACH SUCH AS A HOT TEAM AND

ALSO THE D H TEAM INTEGRATED AND THREE TEAMS ARE WORKING TOGETHER NOW IN UNDER THE ONE UMBRELLA TO BE ABLE TO DELIVER ON SOME OF THE THINGS THAT YOU'RE SEEING ON THE SCREEN SO THE TWO MAIN TEAMS THAT

ARE REALLY DELIVERING SERVICES ON EVERYDAY BASIS STARTING AT SOME TIME 6:30 A.M. TO OR 7 A.M. TILL 5 P.M. ON OUR STREETS IS RAPID RESPONSE TEAM AND SHARE PRIORITY TEAM WHICH REALLY FOCUSES ON OUR

HIGHLY COMPLEX PATIENTS AND CLIENTS RAPID RESPONSE TEAM I I AS I HAVE DONE A LOT OF BRIEFINGS WITH SOME OF YOU YOU KNOW MARK MASA IS LEADING THAT TEAM SO HIS TEAM HAS A MIX OF URBAN ALCHEMY, THE HEART

TEAM MEMBERS AND ALSO THE HOT TEAM AND ALSO CLINICIANS ON HIS TEAM STARTING JULY 1ST AND THEY ARE REALLY RESPONSIVE RESPONDING TO THE 311 AND 911 NON-EMERGENCY RESPONSE AND THOSE ARE THE GOALS AND

METRICS FOR THAT TEAM TO BE ABLE TO QUICKLY RESPOND TO THOSE COMMUNITY CONCERNS THAT WE ARE SEEING IN THE 311 AND 911 NON-EMERGENCY CALLS. >> THEY'RE ALSO FOCUSING ON CONNECTING FOLKS TO CARE. THAT'S

WHY WE ADDED A BEHAVIORAL HEALTH CLINICIAN SO WE ARE NOT LEAVING PEOPLE WHERE THEY ARE. IN THE PAST THEY WERE CONNECTING THOSE FOLKS TO AND THEY WOULD HAVE TO CALL A TEAM MEMBER, WAIT FOR THEM TO GET

THERE AND BY THAT TIME WE MAY HAVE LOST THE CLIENT ANYWAYS IN THIS NEW MODEL THE BEHAVIORAL HEALTH CLINICIAN WILL BE PART OF THAT TEAM AND IS PART OF THAT TEAM AND WE ARE STARTING TO SEE CONNECTION TO

TREATMENT HAPPEN LIVE WHEN WE ARE ENCOUNTERING THE CLIENTS WHO ARE WHO ARE WANTING AND ARE VOLUNTARILY WANTING TREATMENT AND CONNECTION TO TREATMENT. THE OTHER TEAM AND THEY ARE ALSO DOING SHELTER

PLACEMENTS. THE OTHER TEAM WHICH WAS PART OF EACH MODEL PRIOR TO THE INTEGRATION IS THE HIGHLY COMPLEX CARE FOR THE SHARED PRIORITY SIDE AND THAT IS THE GROUP OF INDIVIDUALS THAT WE CONTINUE TO TRACK

AND THESE ARE INDIVIDUALS WHO ARE HIGH UTILIZERS OF OUR SYSTEM AND ARE OFTEN ENCOUNTERED BY ALL OF THE OTHER AGENCIES PLUS TEAM MEMBERS AND WE BASED ON THE CRITERIA FOR UNHOUSED INDIVIDUALS WE ARE

ADDING THEM TO THE LIST AND WE ARE TAKING CARE OF THEM. SOMETIMES THEY ARE ON THAT LIST FOR THREE MONTHS. SOMETIMES THEY'RE ON THE LIST FOR SIX MONTHS BUT WE ARE NOT SENDING THEM BACK TO THE STREETS.

WE ARE ACTUALLY DOING A LOT MORE WORK WITH THAT. THOSE INDIVIDUALS AND SOMETIMES TAKING THEM TO OUR OTHER LOCATIONS LIKE 33 GOLF WHICH I WILL TALK ABOUT IN A LITTLE BIT . >> SO JUST TO GO A LITTLE BIT

MORE DEEPER IN TERMS OF WHAT ARE THESE TWO TEAMS DRIVING FOR RAPID RESPONSE AS I SHARED THE BEHAVIORAL HEALTH AND THE MEDICAL CARE COMPONENT IS A NEW ADDITION. MARK MESA'S TEAM WILL BE CONTINUING TO

SERVE ALL THE 3112911 NON-EMERGENCY RESPONSE IN ADDITION TO THAT THEY WILL BE PROVIDING THE CARE TO THE TO A COMMUNITY ADD THAT MOMENT WHEN THEY'RE ENCOUNTERING AND ENGAGING WITH THE INDIVIDUALS FOR

THE SHARE PRIORITY NOW AS MARC'S TEAM FIND INDIVIDUAL THOSE WHO ARE HIGHLY COMPLEX WE WILL BE DOING A DIRECT REFERRAL INTO THE SYSTEM WHERE WE WILL BE ABLE TO CONNECT FOLKS TO CARE RIGHT AWAY AND ALSO

HAVE HOSPITAL CARE AT TIMES AVAILABLE FOR THOSE INDIVIDUALS AS WE IDENTIFY THEM ON THE STREETS. THIS IS THIS SLIDE KIND OF SHOWS YOU HOW THE INDIVIDUALS ENCOUNTERED BY THE STREET TEAMS OR BY OTHER

AGENCIES WHO CAN REFER INDIVIDUALS TO US THROUGH THE STREET TEAM SYSTEM. THE NEIGHBORHOOD STREET TEAM SYSTEM ENTERS OUR SYSTEM. THEY CAN BE DEFINITELY A311 ON A NON-EMERGENCY CALL SELF-REFER SO ANY

STREET ENCOUNTERS THAT WE HAVE HOSPITAL OR SHELTER A PARTNER WE ARE DOING THE TRIAGE ASSESSMENT OF WHAT THE NEED OF THAT INDIVIDUAL MAY BE AND BASED ON THE NEED THEY ARE HELPED BY THE RAPID RESPONSE

TEAM OR BY THE SHARED PARTY TEAM. THE BIGGER IMPACT FROM THIS INTEGRATION THAT WE WILL HOPEFULLY CONTINUE TO SHARE UPDATES ON WITH ALL OF YOU AND THE COMMUNITY IS THE ECOSYSTEM OF THE D H AND MANY

OTHER AGENCIES THAT WE ALREADY WERE WORKING WITH BEING AVAILABLE TO THESE INDIVIDUALS WHICH AS I TAKE CARE OF A LOT OF OTHER TEAMS I REALIZE THAT ONE OF THE KEY THINGS THAT OUR COMMUNITY OUR CLIENTS

ARE REALLY STRUGGLING WITH HOW TO NAVIGATE OUR SYSTEM AS WELL AND THEN HOW TO WORK ACROSS CROSS AGENCIES. SO THIS WILL GIVE US AN OPPORTUNITY TO BE UNDER ONE UMBRELLA AND BE ABLE TO CONNECT

INDIVIDUALS TO THE RIGHT SERVICES THROUGH OUR TEAMS. I ALSO WANTED TO BRING US BACK WE ARE ALL HERE. WE DO THIS WORK FOR THE CLIENTS WHO ARE IN NEED AS WELL AS FOR THE BROADER COMMUNITY TO BE

WELCOMING FOR OTHER INDIVIDUALS. BUT ONE STORY THAT IS TRUE STORY FROM ONE OF OUR CASTRO AREA IS THIS IS NOT A REAL NAME OF THE PATIENT THE CLIENT WHO WAS ENCOUNTERED BY THE RAPID RESPONSE TEAM

THROUGH A ROUTINE OUTREACH WAS ENCOUNTERED AND WE ACTUALLY HAD TRIAGED THE NEEDS AND MOBILIZED A PLAN FOR THIS INDIVIDUAL. WE WERE ABLE TO GET THEM A SHELTER AND THIS IS A LIVE EXAMPLE OF HOW THE WORK

HAPPENS AND WE WERE ABLE TO DO EFFECTIVE COMMUNICATION AND THEN HAVE THIS INDIVIDUAL BECAUSE OF THEIR HIGH ACUITY HIGHLY COMPLEX CARE NEEDS WE WERE ABLE TO GET THEM CONNECTED TO 33 GOLF LOCATIONS

WHICH IS ALSO MANAGED AND WE HAVE OUR MEDICAL STAFF THERE AND AS THERE ARE 24 HOURS TO BE ABLE TO PROVIDE THE SERVICES TO LISTEN TO THESE INDIVIDUALS SO WE WERE ABLE TO CONNECT THE INDIVIDUAL TO THE

RIGHT CARE AND IN THESE CONNECTIONS INSTEAD OF LOSING THEM BACK TO THE STREET FOR THEIR DISRUPTIVE BEHAVIOR COMPLAINTS I ALSO WANTED TO SHARE SOME METRICS I BEFORE I GO DEEP DIVE IN ON THIS SLIDE I DO

ACKNOWLEDGE THAT THERE IS A LOT OF WORK WE STILL NEED TO DO TO BETTER OUR STREET CONDITIONS SO I ACKNOWLEDGE THAT BUT I ALSO THOUGHT IT WOULD BE HELPFUL FOR YOU ALL TO KNOW THAT WE ARE STARTING TO

TRACK METRICS TO BE ABLE TO SHARE HOW SUCCESSFUL WE ARE AND TO PRESENT MANAGEMENT'S COMMENT EARLIER TO REALLY RECOGNIZE WHICH EFFORT IS ACTUALLY WHICH INTERVENTION IS ACTUALLY LEADING TO THE RESULTS

THAT WE ARE ALL WANTING TO HAVE. SO FOR SOME OF THE METRICS THAT OUR TEAMS HAVE ARE REALLY GOING TO BE DRIVING UNDER THE RAPID RESPONSE IS GOING TO BE HOW QUICKLY ARE WE CLOSING THE TICKETS? >> HOW

HOW MANY TICKETS ARE WE CLOSING ON A GIVEN DAY AND WHAT ARE THE OUTCOMES FOR THESE CLIENTS? AGAIN, OUR GOAL STILL REMAINS TO BE ABLE TO CONNECT INDIVIDUALS TO TREATMENT TO NOT JUST MOVE THEM ALONG. SO

THAT IS OUR GOAL FOR TREATMENT SIDE AND ALSO FOR THE SHELTER SIDE AND FOR OUR SHARED PRIORITY ARE THE TEAM THAT TAKE CARES OF HIGHLY COMPLEX CLIENT CARE. THESE ARE THE METRICS THAT WE'VE BEEN TRACKING

FOR THAT TEAM AND IT'S REMARKABLE TO SEE THAT WE ARE ABLE TO AT LEAST REDUCE THE NUMBER OF TIMES THAT THESE INDIVIDUALS WERE VISITING THE IDS IN THE HOSPITALS AND WE WERE NOT ABLE TO TAKE THAT SPACE

FOR SOMEONE ELSE. SO THERE HAS BEEN 70% FEWER INPATIENT HOSPITALS DAYS FOR THESE INDIVIDUALS THAT ARE ON OUR LIST FOR OUR SHARED PRIORITY FEWER 46% FEWER E.R. VISITS AND THEN 50% MORE HIGH NEED

CLIENTS ARE SERVED SINCE JULY. SO OUR SHARED PRIORITY CLIENT LIST IS ALSO INCREASED WITH THE INTEGRATION OF INDIVIDUALS FROM OTHER DEPARTMENTS. RIGHT. AND I'M GOING TO PASS IT DOWN TO NOW ALL DEPUTY.

>> GOOD AFTERNOON PRESIDENT RANDLEMAN AND ESTEEMED MEMBERS OF THE BOARD. MY NAME IS DAN TOPIA. I'M THE EXECUTIVE DIRECTOR OF THE OFFICE OF ECONOMIC AND WORKFORCE DEVELOPMENT. IN JUNE OF THIS YEAR

MAYOR LAURIE ASKED RUDY TO HELP COORDINATE A MULTI-AGENCY EFFORT THAT BRINGS ENFORCEMENT OUTREACH COMMUNITY ACTIVATION TOGETHER TO IMPROVE CONDITIONS AROUND THE MISSION BART PLAZAS AND RESTORE SAFETY

AND DIGNITY TO THESE PUBLIC SPACES. I WANT TO THANK MY INCREDIBLE COLLEAGUES AT ALREADY DDA DIANA, PONCE DE LEON AND RAFA MARIANO FOR HELPING LEAD THIS WORK. I ALSO WANT TO RECOGNIZE OUR PARTNERS IN

THIS WORK THE POLICE DEPARTMENT ESPECIALLY CAPTAIN PERDOMO AND LIEUTENANT ESPINOSA, THE ADMISSION STATION, THE DEPARTMENT OF PUBLIC HEALTH'S NEIGHBORHOOD STREET TEAM, THE DEPARTMENT OF EMERGENCY

MANAGEMENT'S AMBASSADOR PROGRAM PUBLIC WORKS FOR CARRYING OUT SO MUCH OF THE RESPONSIBILITY FOR STREET INSPECTIONS, CODE ENFORCEMENT CLEANING AND VENDING PERMITS BART THE SHERIFF'S DEPARTMENT

RECREATION AND PARKS, THE CITY ATTORNEY'S OFFICE, THE FIRE DEPARTMENT'S STREET CRISIS RESPONSE TEAM, ADULT PROBATION S.F. MTA AND THE PLANNING DEPARTMENT. THESE TEAMS HAVE BEEN SHOWING UP THREE TIMES

A WEEK TO COORDINATE, PROBLEM SOLVE AND BUILD A SHARED STRATEGY. WE ALIGNED AROUND A CLEAR SET OF GOALS IMPROVING SAFETY, REDUCING UNPERMITTED BRANDING, ADDRESSING OPEN DRUG ACTIVITY, STRENGTHENING

CONNECTIONS FOR TRANSIT RIDERS AND ULTIMATELY RECLAIMING THESE PLAZAS AS WELCOMING COMMUNITY CENTERED SPACES. OUR APPROACH ALSO ALIGNS WITH THE MAC STRATEGY TO DISRUPT HARMFUL ACTIVITY, STABILIZE THE

ENVIRONMENT AND REBUILD THESE SPACES BY IDENTIFYING AND USING RESOURCES WE ALREADY HAVE. >> WE RECOGNIZE THAT WE STILL HAVE PLENTY OF WORK AHEAD BUT TOGETHER WE'VE ALREADY MADE MEANINGFUL PROGRESS IN

THE FIRST SEVERAL WEEKS. OUR FOCUS WAS ON IMPROVING COMMUNICATION AND BUILDING CONSISTENCY. WE REALIZED WE WEREN'T ALWAYS USING THE SAME TERMINOLOGY OR OPERATING FROM THE SAME ASSUMPTIONS OR SO SO

ESTABLISHING COMMON LANGUAGE AND EXPECTATIONS HELPED US MOVE FORWARD AS ONE TEAM. FROM THERE WE HAVE STRENGTHENED COORDINATION, RAMPED UP ENFORCEMENT WHERE APPROPRIATE EXPANDED SUPPORTIVE SERVICES AND

ACTIVATED THE PLAZA FOR RESIDENTS, FAMILIES, WORKERS AND COMMUTERS CAN ONCE AGAIN FEEL SAFE AND PROUD OF THESE SPACES. >> TO GIVE YOU A SENSE OF HOW FAR WE'VE COME BEFORE THIS COORDINATED EFFORT WE

WERE SEEING LIMITED COORDINATION ACROSS DEPARTMENTS. TEAMS WERE WORKING HARD BUT SCHEDULES AND SERVICES DIDN'T ALWAYS LINE UP AND IT WAS TOUGH TO ADJUST AS CONDITIONS CHANGED ON THE GROUND. WE HAD A

MOSTLY REACTIONARY APPROACH. EVERYONE WAS DOING THEIR BEST BUT WE WERE OFTEN RESPONDING TO ISSUES RATHER THAN GETTING AHEAD OF THEM. THE RESPONSE WAS PUBLIC SAFETY HEAVY WITH THE POLICE DEPARTMENT

CARRYING A LOT OF THE BURDEN EVEN WHEN THE CHALLENGES WENT BEYOND WHAT THEY COULD REALISTICALLY ADDRESS WITH LIMITED RESOURCES . THERE WAS MINIMAL PUBLIC COMMUNICATION AND COMMUNITY ENGAGEMENT WHICH

MADE IT HARDER FOR RESIDENTS AND BUSINESSES TO FEEL INFORMED OR INVOLVED. NOW WE HAVE A COORDINATED STRATEGY THAT PULLS IN ALL SERVICES. WE'RE USING A SHARED INTERDEPARTMENTAL SCHEDULING TOOL THAT

GIVES EVERY DEPARTMENT VISIBILITY INTO WHO'S ON THE PLAZAS, WHAT ACTIVITY IS HAPPENING AND WHAT SERVICES ARE NEEDED. SO EVERYONE HAS ALIGNED AND OPERATING FROM THE SAME PLAN. WE HOLD WEEKLY CROSS

DEPARTMENT CHECK INS TO TRACK PROGRESS AND TROUBLESHOOT ISSUES, TROUBLESHOOT ISSUES AND STAY NIMBLE. WE NOW HAVE A STRUCTURE THAT HELPS US SPOT SERVICE GAPS EARLY ADJUST STRATEGIES AND BRING IN

ADDITIONAL RESOURCES WHEN NEEDED. WE HAVE STRONGER COMMUNITY ENGAGEMENT AND ACTIVATION OF PUBLIC SPACE. WE CONVENE STAKEHOLDERS EVERY TWO WEEKS TO SHARE UPDATES, DESIGN NEW INTERVENTIONS AND GATHER

REAL TIME FEEDBACK. ONE THING WE HEARD LOUD AND CLEAR FROM THIS COMMUNITY IS THAT PEOPLE WANTED CLEARER GUIDANCE ON WHEN TO CALL 311 VERSUS 911. SO WE SHARED A TOOLKIT ORIGINALLY DEVELOPED BY DIEM

THAT LAYS OUT WHO TO CALL. COMMUNITY GROUPS HAVE BEEN SHARING IT WITH THEIR STAFF AND YOUTH ART EXCHANGE IS NOW HELPING CREATE A CUSTOMIZED PUBLIC AWARENESS CAMPAIGN FOR THE NEIGHBORHOOD TO GET THE

WORD OUT EVEN MORE. THEY ARE AIMING FOR A WINTER LAUNCH OF THAT THAT TOOL. WE'RE COORDINATING MONTHLY ACTIVATIONS AT BOTH PLAZAS BRINGING DEPARTMENTS TOGETHER TO SUPPORT POSITIVE COMMUNITY USE OF

THESE SPACES. WE'RE BUILDING OUT ADDITIONAL ACTIVITIES AND DEEPER COMMUNITY PARTNERSHIPS TO KEEP MOMENTUM GOING AT IWD. AS APPROVED IN THIS PAST YEAR'S BUDGET WE WILL CONTINUE TO SUPPORT THESE

ACTIVATIONS WITH A $1 MILLION CONTRIBUTION AND INVESTMENT WHICH WE WILL PROCURE BEFORE THE END OF THIS MONTH. WE HAVE STRONGER ALIGNMENT ALIGNMENT WITH BART AND S.F. PD. WE'VE CLARIFIED AREAS OF

CONCURRENT JURISDICTION TO IMPROVE COORDINATION AROUND ENFORCEMENT OF UNPERMITTED VENDING ON BART PROPERTY. WE HAVE FULLY NEGOTIATED AN AGREEMENT WITH BART AND WE ANTICIPATE AN EXECUTED EXECUTED MOU

IN THE COMING DAYS THAT WILL STRENGTHEN ALIGNMENT AND SUPPORT SMOOTH OPERATIONS FOR PLAZA ACTIVATIONS AS BART CONTINUES TO DEPLOY ADDITIONAL BART PD RESOURCES TO ADDRESS CRIME TRENDS AND QUALITY OF

LIFE ISSUES AND COORDINATE WITH SPEEDY IWD AND OTHER CITY AGENCIES. >> BART ALSO PRIORITIZED EARLY INSTALLATION OF NEXT GENERATION FARE GATES AT THE MISSION PLAZA STATION. OPD AND PUBLIC WORKS

CONTINUE SUPPORT FOR PERMITTED VENDING. THE AUTHORIZED VENDOR PROGRAM REMAINS ACTIVE AND HELPS VENDORS NAVIGATE THE PROCESS WITH TECHNICAL SUPPORT. ENFORCEMENT AUTHORITY REMAINS WITH PUBLIC WORKS AND

SFPD TO ENSURE CONSISTENCY. THE STREET TEAM ALSO ADAPTED TO STRENGTHEN SUPPORTIVE SERVICES, ADDED STAFF AND ADOPTED A MORE STRATEGIC APPROACH TO CONNECTING PEOPLE TO DRUG TREATMENT MENTAL HEALTH CARE,

MEDICAL CARE, SHELTER AND HOUSING BY SEQUENCING OUTREACH AND ENGAGEMENT. MORE PEOPLE ARE ACCEPTING SERVICES AND THE TEAM IS PROVIDING TRANSPORTATION AND LINKAGES WHENEVER POSSIBLE. THEIR WORK NOW

BALANCES GENERAL OUTREACH, COMPLEX CARE MANAGEMENT PRIORITY CLIENTS AND RESPONDING TO 311 HOMELESSNESS RELATED REQUESTS WHEN POSSIBLE. WE WERE RECENTLY NOTIFIED THAT THE CITY WAS AWARDED $3 MILLION

GRANT A $3 MILLION GRANT FROM THE STATE TO SUPPORT PUBLIC SAFETY EFFORTS IN THE MISSION. WE'RE STILL WORKING AND WAITING ON MORE DETAILED GUIDANCE ABOUT HOW THE FUNDS CAN BE USED. BUT WE GENERALLY BUT

GENERALLY THIS WILL HELP US STRENGTHEN OUR WORK AROUND PUBLIC SAFETY CLEANING PUBLIC REALM IMPROVEMENTS AND COMMUNITY ACTIVATIONS. WE HEARD FROM COMMUNITY THAT THEY WANTED CLEARER UPDATES AND DATA TO

TRACK PROGRESS SO LAST MONTH WE LAUNCHED A DASHBOARD ON OUR DEPUTIES WEBSITE WHICH WILL BE UPDATED MONTHLY. IT LETS US BE TRANSPARENT ABOUT WHAT'S HAPPENING AND IT ALSO HELPS US TRACK ACTIVITY TOO AND

MAKE BETTER FASTER DECISIONS. >> THROUGH THIS COORDINATION WE QUICKLY IDENTIFIED AREAS WHERE WE COULD ENHANCE SERVICES INCLUDING IMPROVING LIGHTING AND VISIBILITY ALONG MISSION STREET. WE UPGRADED THE

INTERSECTION LIGHTS INTERSECTION LIGHTS AT 15TH, 16TH AND 17TH WITH BRIGHTER BULBS AND PUBLIC WORKS URBAN FORESTRY TEAM TRIM TREES SO MORE LIGHT CAN REACH THE SIDEWALK AND STREET. BART ALSO EXAMINED

ITS LIGHTING AT THE PLAZAS AND UPGRADED ALL FIXTURES TO BRIGHTER LED LIGHTING AT FOUR STATION PLAZAS TO HELP DETER UNWANTED BEHAVIOR . >> WE'VE EXPANDED CLEANING AND MAINTENANCE WORK. 311 REQUESTS

ONLY REFLECT PART OF WHAT'S HAPPENING. PUBLIC WORKS IS OUT EVERY DAY DOING PROACTIVE CLEANING SWEEPING SIDEWALKS, MAINTAINING TRASHCANS, REMOVING GRAFFITI, STEAM CLEANING AND SWEEPING STREETS AND BIKE

LANES. THE 16TH AND 24TH STREET BART PLAZAS ARE CLEANED THREE TIMES A DAY. >> OTHER LOCATIONS LIKE MARSHALL ELEMENTARY AND ALI AUTO MINI PARK RECEIVE ADDITIONAL TARGETED CLEANING. CREWS REGULARLY

STAND UP TARGETED OPERATIONS FOR DEEPER CLEANING, STEAMING AND GRAFFITI REMOVAL. THROUGH OUR PARTNERSHIP WITH BART THEY HAVE ENHANCED STATION AND PLAZA MAINTENANCE INCLUDING NIGHTLY POWER WASHING.

DAMS COMMUNITY AMBASSADORS ARE PROVIDING DAILY SUPPORT. THESE AMBASSADORS PROVIDE A VISIBLE WELCOMING PRESENCE IN BUSY PUBLIC AREAS HELPING RESIDENTS, VISITORS AND BUSINESSES NAVIGATE EVERYDAY

CHALLENGES. CONNECT WITH CITY SERVICES AND FLAG ISSUES THAT NEED ATTENTION. OUR MONTHLY COMMUNITY ACTIVATIONS ARE RECLAIMING THE PLAZAS CEBALLOS GIGANTE IS A RECURRING SERIES IN A PARTNERSHIP WITH

MISSION LOTERIA. THAT TRANSFORMS THE 16TH AND 24TH STREET BART PLAZAS INTO VIBRANT SPACES FOR SMALL BUSINESSES ARTISTS, FAMILIES, RESIDENTS AND VISITORS. IT BRINGS TOGETHER VENDORS, PERFORMERS,

CULTURAL ACTIVITIES ,GAMES, FAMILY PROGRAMING AND COMMUNITY PARTNERS. DURING THE JUNE SABADO GIGANTE WE SHOWCASE A NEW PUBLIC ART SCULPTURE WITH THE AMERICAN INDIAN CULTURAL DISTRICT AND LOCAL BAY

AREA NATIVE ARTISTS. CONSISTENCY IS WHAT MATTERS. THESE EVENTS CREATE A STEADY POSITIVE PRESENCE THAT PEOPLE CAN COUNT ON. THE ACTIVITIES HAVE RECEIVED POSITIVE COMMUNITY FEEDBACK AND THEY HAVE GIVEN

US A CHANCE TO ENGAGE WITH RESIDENTS AND PLAZA USERS. SINCE JUNE THERE HAVE BEEN EIGHT ACTIVATION INS WITH MORE THAN 1600 ATTENDEES. TOGETHER THESE IMPROVEMENTS ARE SHOWING RESULTS. DRUG RELATED 911

CALLS ARE DOWN 78%. HOMELESSNESS RELATED 911 CONCERNS DOWN 42% AND SUSPICIOUS PERSONS CALLS DOWN 23% SINCE DEPLOYMENT. ENCAMPMENT RELATED 311 TICKETS ARE HOLDING FLAT AT 17 A MONTH . WHEN THE MAYOR

REQUESTED WE LAUNCH A 90 DAY OPERATION WE KNEW THAT THE HIGHLY COMPLEX ISSUES WE SEE ON THE STREET WOULD NOT BE FULLY RESOLVED IN THREE MONTHS. HOWEVER, IT WAS NECESSARY TO IMPROVE COORDINATION AND

UNCOUPLE THE ISSUES SO THAT WE COULD APPROPRIATELY IDENTIFY GAPS AND COME UP WITH NEW SOLUTIONS. IT WAS IMPORTANT TO CHANGE OUR APPROACH FROM TACKLING STANDALONE ISSUES TO DEVELOPING A SHARED STRATEGY

ACTIVELY LEARNING AND CHANGING OUR RESPONSE BASED ON THE REALITIES WE SEE ON THE GROUND. TO GIVE YOU SOME EXAMPLES OF HOW WE'VE ADOPTED A NEW SPECIAL TEAM WAS DEPLOYED UNDER CPD TO WORK WITH DPW AND

ADDRESS QUALITY OF LIFE ISSUES ON THE PLAZA AND ON MISSION STREET CORRIDOR. >> UNDER A DEDICATED LT SCHEDULES WERE PREVIOUSLY NOT ALIGNED AND WILL CREATE GAPS IN ENFORCEMENT OF UNPERMITTED VENDING.

NOW AS SFPD AND DPW MEET EVERY MORNING ON THE PLAZA TO DISCUSS THE DAY'S OPERATIONS AND ENSURE THERE IS A COORDINATED APPROACH. WE ALSO LAUNCHED THE SAFE STREETS ACT IMPLEMENTATION OPERATION WHICH

ALLOWS FOR PD TO ENGAGE WITH PEOPLE SELLING STOLEN GOODS AND ESCALATE PENALTIES TO EVENTUAL MISDEMEANORS FROM THOSE EFFORTS. WE HAVE ISSUED NOTICES VIOLATION TO MORE THAN 640 INDIVIDUALS FOR SELLING

WITHOUT A PERMIT. FIVE HAVE ESCALATED TO THE MISDEMEANOR STAGE. SEEING THOSE NUMBERS HELPS US UNDERSTAND THE MAGNITUDE OF THIS PROBLEM AND DEMONSTRATE THE OVERLOAD ON OUR ENFORCEMENT TEAMS THAT KIND

OF SHARED INSIGHT DIDN'T EXIST BEFORE WE STARTED THIS WORK. BECAUSE RESOURCES ARE LIMITED, WE FOCUSED OUR EFFORTS ON CREATING SAFER DAYTIME CONDITIONS FOR COMMUTERS AND FAMILIES. HOWEVER, THAT DAYTIME

EMPHASIS HAS PUSHED SOME OF THE MORE SERIOUS ACTIVITY INTO THE EVENING HOURS. AND WHILE POLICE AND PUBLIC WORKS STAFFING IS STILL TIGHT, WE'RE NOW LAUNCHING TARGETED INVESTIGATIONS AND ARRESTS TO

DISRUPT THE NIGHTTIME CRIMINAL ACTIVITY. WE KNOW THERE'S STILL MORE WORK TO DO TO TRULY RECLAIM THESE PLAZAS AS DEPENDABLE COMMUNITY SPACES, ESPECIALLY AT NIGHT. AND WE ARE CONTINUING TO MEET

REGULARLY REGULARLY TO TACKLE THESE ONGOING CHALLENGES AND WE WILL KEEP DOING THIS FOR THE FORESEEABLE FUTURE. NOW I WANT TO HAND IT BACK OVER TO MY COLLEAGUE AMMANN TO TALK ABOUT THE IMPACT THE

STREET TEAM IS HAVING IN THE MISSION UNDER THIS NEW MODEL. THANK YOU. >> ALL RIGHT. SO AS WE JUMPED INTO THE MISSION PROJECT WE AGAIN REALLY FOCUSED ON BEING ABLE TO TRACK THE SUCCESS BECAUSE WE

ACTUALLY CONCENTRATED OUR EFFORTS AND A LOT OF RESOURCES INTO THIS PROJECT. >> SO EARLY DATA THAT YOU'RE SEEING ON THE SCREEN TALKS TO THE NUMBER OF ENGAGEMENTS THAT WE HAVE HAD WHILE THE OUR TEAMS

WERE OUT THERE ALSO SHOWING YOU THE DATA FOR JULY, AUGUST AND SEPTEMBER SEPTEMBER BEING THE HIGHEST ENGAGEMENT NUMBERS. IN ADDITION, WE WERE ABLE TO DO 160 SHELTER HOUSING CONNECTIONS AND 2456 2456

311 TICKET CLOSURE. WE STILL HAVE WORK TO DO. WE WANT TO ACKNOWLEDGE THAT THIS EFFORT ACTUALLY IS TEACHING US RIGHT NOW A STRATEGY IN WHICH WE ARE REALLY TRYING TO CONCENTRATE OUR EFFORTS WHEN WE KNOW

THERE ARE HOTSPOTS IN THE CITIES WHILE ALSO FOCUSING ON THE MIGRATION AREAS AND DISPLACEMENT AREAS. THE NEXT SLIDE IS JUST SHOWING YOU THE DETAILS OF WHERE WE ACTUALLY MADE THE DIFFERENCE WITH THOSE

TICKET CLOSURES ON THERE IN THE JULY, AUGUST AND SEPTEMBER MONTHS. BUT WE WANTED TO MAKE SURE THAT WE WERE ABLE TO SHOW YOU SOME DATA AS WELL IN RELATION TO WHAT THE NEIGHBORHOOD STREET TEAMS WAS ABLE

TO DO FOR THIS PROJECT. AND WITH THAT I WILL END THE PRESENTATION HERE FOR ALL OF US. THANK YOU. >> THANK YOU. I'LL START AND I CAN SEE THAT MY COLLEAGUES HAVE MANY QUESTIONS I'M IMAGINING. >> I GUESS

I'M GOING TO START WITH CHIEF. >> I APOLOGIZE. DEPUTY CHIEF BIGGS, PLEASE COME UP. HAS DEMAK BEEN SUCCESSFUL WHERE IT HAS BEEN OPERATING? >> WELL, FIRST OF ALL, WHERE DOES DEMAK OPERATE? PRIMARILY IN

THE TENDERLOIN AND SOUTH OF MARKET AREA. OKAY. >> WHAT HOW DID THE LIKE HOW DID HOW DOES THE LINE GET DRAWN OUT? OKAY. SO WE KNOW IF SOMETHING IS INDYMAC PROBLEM OR NOT INDYMAC PROBLEM. >> YEAH. SO

PRIMARILY DMCC OPERATES IN THE TENDERLOIN AND SOUTH OF MARKET NEIGHBORHOODS. HOWEVER WE DO HAVE OTHER TEAMS ASSIGNED TO TEAM TO DEMAK THAT WORK IN OTHER NEIGHBORHOODS AS WELL. SO WE HAVE LIKE OUR

HEALTHY STREET OPERATION CENTER WHICH IS ABOUT YOU KNOW, PROBABLY ABOUT 30 OFFICERS THAT CONNECT IN WITH DPW DAILY TO GO OUT INTO OTHER NEIGHBORHOODS PRIMARILY MISSION TENDERLOIN SOUTHERN REALLY

BAYVIEW ALL OVER THE CITY THAT WE'RE ABLE TO LEVERAGE AND USE THOSE TEAMS TO GO OUT INTO NEIGHBORHOODS WHEN WE DO HEAVILY KIND OF DO ENFORCEMENT IN CERTAIN NEIGHBORHOODS THAT CREATE, YOU KNOW,

ACTIVITY SHIFT THAT I THINK I TALKED ABOUT EARLIER. SO WHAT IS DEMAK DO THAT IS DIFFERENT FROM WHAT A NEIGHBORHOOD PRECINCT STATION WHAT A NEIGHBORHOOD STATION WOULD DO? >> SO UNDER DEMAK WE HAVE OUR

FUGITIVE RECOVERY UNIT WHICH IS A DEDICATED GROUP OF OFFICERS THAT FOCUS ON PEOPLE WITH WARRANTS YOU KNOW, AT THE DISTRICT STATION REALLY AT THE DISTRICT STATION THE THE PATROL FORCE'S PRIMARILY

RESPONSIBLE FOR ANSWERING CALLS FOR SERVICE . THE OFFICERS THAT ARE ASSIGNED TO DEMAK ARE SPECIFIC TO SELF-INSURE GATED ACTIVITY RATHER THAN ANSWERING CALLS FOR SERVICE SO THEY'RE ABLE TO, YOU KNOW,

DEAL WITH DRUG DEALING, DEAL WITH DRUG USAGE, DEAL WITH ILLEGAL VENDING AND ALSO, YOU KNOW, DEAL WITH ENCAMPMENTS THINGS ALONG THOSE LINES. >> OKAY. I WANT TO DRILL DOWN A LITTLE BIT ON HOW WE KNOW

WHAT WE THINK WE KNOW. >> BUT BEFORE WE DO THAT, I HAVE A NOTION ABOUT WHAT'S HAPPENING IN SAN FRANCISCO RIGHT NOW. I WANT TO TRY IT OUT ON YOU. DEMAK WAS SET UP IN 2023 AND IN 2023 AND IF YOU LOOK AT

THAT CHART OF WHAT WAS GOING ON, LOTS OF DRUG ARRESTS IN 2023 DEMAK AND WAS DRIVING MOST OF THAT AND MOST OF THAT WAS HAPPENING IN SOMA AND TENDERLOIN. OKAY. ONE THING I'M CURIOUS ABOUT IS DEALER

ARRESTS ARE BASICALLY BACK TO WHERE THEY WERE IN 2021 FROM DIMOCK. SO MAYBE THERE'S SOMETHING ELSE GOING ON. MAYBE THERE'S A WHOLE LOT OF DRUG ARRESTS HAPPENING SOMEWHERE ELSE. BUT WE SEE CRAZY LEVELS

OF DRUG ACTIVITY IN THE MISSION HIGHER LEVELS OF DRUG ACTIVITY IN OTHER NEIGHBORHOODS. >> IF WE SAW A CHART OF DRUG DEALER ARRESTS CITYWIDE, WOULD THAT BE ANY DIFFERENT? >> WE CAN GO BACK TO THAT

QUESTION BECAUSE THE QUESTION I HAVE IS MY NOTION IS DO YOU MAKE WITH SETUP TO FOCUS ON A PARTICULAR PROBLEM WHICH WAS THE PROBLEM YOU DESCRIBED YOU SAW WHEN YOU WERE A CAPTAIN GOING IN THERE AT

MARKET STREET WAS OUT OF CONTROL OR MISSION STREET IN IN SOMA WAS OUT OF CONTROL. PEOPLE COULDN'T WALK DOWN SIDEWALKS IN THE TENDERLOIN. INSANITY IN LOTS OF NEIGHBORHOODS. INDYMAC TOOK A LAW

ENFORCEMENT APPROACH ARRESTED DEALERS DID A BUNCH OF OTHER THINGS, WORKED WITH THE DEPARTMENTS AND IN A FOCUSED WAY CREATED CHANGE IN THOSE NEIGHBORHOODS NOT TO WHERE SUPERVISOR MAHMOOD NEEDS THE

TENDERLOIN TO BE, NOT WHERE WELL, DOORS MAYBE DORSEY'S HAPPY WITH US WITH SOMA I DON'T I THINK THERE'S PARTS OF SOMA WHERE DORSEY SUPERVISOR DORSEY IS QUITE UNHAPPY BUT BUT THERE WAS THERE WAS REAL

CHANGE FROM THAT PRETTY FOCUSED ACTIVITY AND IT BUT IT SEEMS TO ME THAT THAT JUST DOESN'T HAPPEN ISN'T HAPPENING ISN'T CHASING OUTSIDE OF THE DEMAK AREA SO WE SEE AND I'VE EVEN ASKED LIKE WHAT SHOULD

WE BE SETTING UP MORE D-MAX AND THE ANSWER IS WE DON'T HAVE THE RESOURCES TO SET UP MORE D-MAX IS D-MAX RESPONSIBLE FOR THE WHOLE CITY? >> WELL NO WE CAN'T HAVE D-MAX RESPONSIBLE FOR THE WHOLE CITY.

>> SO THEN THERE'S THIS LIKE 120 DAY PUSH WHICH THERE FRANKLY AREN'T. I MEAN WE THANK YOU DIRECTOR TOPIA FOR GOING THROUGH VERBALLY SOME OF THE METRICS BUT WE DON'T KNOW HOW MUCH OF THAT IS 24TH

STREET IMPROVEMENT VERSUS 16TH STREET IMPROVEMENT. I SUSPECT A LOT OF IT IS 24TH STREET IMPROVEMENT 16TH STREET NOT SO MUCH BUT I DON'T SEE LIKE A DEFT ABILITY TO SPOT A FOUR TO SPOT PROBLEMS

THROUGHOUT THE CITY AND THEN SORT OF SEND RESOURCES THERE. >> AND SO WHEN YOU DESCRIBE THE SORT OF CLEAR AND HOLD STRATEGY, IT FEELS TO ME LIKE THAT'S SOMETHING THAT HAPPENS IN THE DEMAK AREA BUT

DOESN'T HAPPEN IN THE REST OF THE CITY. >> IS THAT AM I HOW OFF AM I? >> YEAH. SO I THINK I WILL START OFF WITH IT WAS IN 2023 IT WAS ALL A CONCERTED CONCERTED EFFORT ON TENDERLOIN AND SOMA WHEN WE

STARTED AND AS WE'VE PROGRESSED WHAT WE HAVE FOUND IS THAT ACTIVITY SHIFTS AND WHEN ACTIVITY SHIFTS WE'RE NOT AS FAST AS THE ACTIVITY THAT'S SHIFTING INTO OTHER AREAS. >> SO WE HAVE TO PICK A LOCATION

AND TRY TO DO WHAT WE CAN POSSIBLY DO AT THAT LOCATION AND PRIOR TO MOVING OUT OF THAT LOCATION AND MOVING ON TO ANOTHER LOCATION, WE HAVE TO KIND OF HOLD GROUND AND CHANGE THE NARRATIVE OF THE

STREETS IN THAT AREA. WE'VE DONE WE DID THAT IN THE TENDERLOIN IN FOUR DIFFERENT LOCATIONS. WE DID FIND A SHIFT BACK DOWN TO MARKET STREET WHERE WE HAD TO REDEPLOY TO. SO YOU KNOW, I ALWAYS SAY THAT

IF WE SPREAD OUR RESOURCES TOO THIN AND WE BECOME AVERAGE ACROSS THE BOARD RATHER THAN BEING REALLY GOOD AT A SPECIFIC LOCATION AND FOCUSING ON THAT LOCATION, YOU KNOW AS FOR CLEAR AND HOLD, THAT'S

PROBABLY ONE OF THE MORE CHALLENGING ISSUES THAT WE HOLD PART THE WHOLE PART THE CLEAR FOR US IS PRETTY EASY BUT THE WHOLE PART IS THE IS IT'S COMMUNITY ACTIVATION IS THE HARDEST PART IN MY OPINION .

WE'VE SEEN THAT OVER AND OVER AGAIN DOWNTOWN IN THE TENDERLOIN IS THAT WE CAN CLEAR, YOU KNOW, PRETTY MUCH ANYWHERE AND CONTINUE OUR WORK IN NEIGHBORHOODS. BUT ACTIVITY MOVES AND WE HAVE TO MOVE WITH

IT SO INSTEAD OF BEING STUCK AND NOT DEALING WITH IT IN OTHER NEIGHBORHOODS . SO YOU KNOW, IT'S IT'S VERY CHALLENGING URGING SPECIFICALLY FOR THE DEPARTMENT BECAUSE OBVIOUSLY AND YOU KNOW, I DON'T

LIKE TO CONTINUOUSLY GO BACK TO STAFFING BUT YOU KNOW, STAFFING IS AN ISSUE FOR US AND IF WE HAD MORE STAFFING THEN WE WOULD WE WOULD BE ABLE TO USE OFFICERS WOULD BE OFFICERS IN CERTAIN NEIGHBORHOODS

THAT WE'VE GONE INTO AND TO HELP SUPPORT ALL OF THE OTHER AGENCIES THAT NEED TO BE IN THOSE NEIGHBORHOODS AS WELL WHICH WOULD THEN ALLEVIATE A LOT OF THE PRESSURE THAT'S PLACED ON THESE OFFICERS THAT

ARE OUT THERE HAVING TO DO THIS SELF-INITIATED ACTIVITY, YOU KNOW, TYPE OF WORK ON A DAILY BASIS. >> SO EXPLAIN THE CHART TO ME THAT SHOWS DEALER ARRESTS 2020 ONE DARK BAD TIMES, EVERYTHING'S TERRIBLE

AND THEY'RE LIKE 500 AND SOMETHING. >> THEN THE SURGE HAPPENS 20 23 AND WE GET UP LIKE CLOSE TO 900 AND WE'RE NOW AT LIKE 500 SOMETHING. SO IS THAT AN ACCURATE REFLECTION OF WHAT'S HAPPENING WITH

DEALERS CITY IS I MEAN IS THERE ARE THERE SIGNIFICANT DEALER ARRESTS? THEY'RE NOT PART OF DEMAK THAT WE'RE NOT SEEING AND THOSE NUMBERS HAVE GONE UP SO WE WOULD SEE OH ACTUALLY THERE'S WE'RE STILL

SURGING. WE'RE JUST SURGING IN DIFFERENT PLACES AND , WE SHOULD HAVE GIVEN THE SUPERVISORS THAT THINK THAT CHART BECAUSE THAT WOULD SHOW THAT WE'RE SUSTAINING ACTIVITY OR LIKE WHAT'S GOING ON THERE.

OKAY BACK TO 2023 WHEN WE STARTED I THINK I MENTIONED IN MY PRESENTATION YOU KNOW IT WOULD NOT BE ON ANY GIVEN DAY YOU WOULD WALK OUT ON THE STREET AND THERE WOULD BE A PACK OF 5 TO 10 DRUG DEALERS ON

MANY, MANY, MANY CORNERS OPEN AIR, VERY BLATANT. AND WHAT HAPPENED WAS IS THAT THAT INITIAL SURGE AND THOSE AND THAT LARGE AMOUNT OF THOSE ARRESTS WE FOCUSED ON DAYTIME HOURS. SO ONCE WE WERE ABLE TO

FOCUS ON DAYTIME HOURS AND I DON'T WANT TO SAY ELIMINATE BUT PRETTY MUCH IT IS VERY DIFFICULT FOR OUR TEAMS TO IDENTIFY AND EVEN LOCATE A DRUG DEALER DURING THE DAY. THEN OBVIOUSLY THE NUMBERS WILL

SHIFT FROM DRUG DEALING STATS BECAUSE THERE AREN'T ANY DRUG DEALERS DURING THE DAY ANYMORE AND THE MAJORITY OF THOSE DRUG DEALERS ARE AT NIGHT SO OUR RESOURCES DEPLETE AT NIGHTTIME TO WHERE WE'RE NOT

ABLE TO SUSTAIN THOSE LEVELS OF ARRESTS OVERNIGHT BASED OFF OF THE HOURS THAT OUR OFFICERS ARE WORKING. >> I DON'T KNOW IF THAT MAKES SENSE. I MEAN IT SOUNDS A LITTLE BIT LIKE WE MIGHT HAVE SIMILAR

LEVELS OF DEALERS BUT WE DON'T HAVE THE WE DON'T HAVE THE OFFICERS AT THE RIGHT TIME TO GET THEM NOW THAT IS CORRECT. >> OKAY. I MEAN THIS ISN'T SO GOOD FOR YES, BUT THAT MEANS WE HAVE A BIG GIANT

MARKET JUST AT A DIFFERENT TIME OF DAY AND THEN THE AFTER THE ILL AFTER EFFECTS OF YOU KNOW, THE FOLKS WAKING UP IN THE MORNING HAVING HAD A PARTY THAT THE DEPARTMENT HAS NOT BEEN ABLE TO DEAL WITH

BECAUSE THE DEPARTMENT DIDN'T HAVE STAFFING AT THE RIGHT TIME TO DEAL WITH THAT IS IN ALL IN LOTS IN ALL THESE NEIGHBORHOODS WE DO HAVE STAFFING ISSUES OVERNIGHT. OKAY. >> HOW I MEAN HOW DOES THE

DEPARTMENT AND THE ADMINISTRATION THINK ABOUT SHIFTING RESOURCES TO I MEAN WHEN THINGS ARE FALLING APART ON ON MISSION IN THE MISSION? I MEAN THAT WENT ON FOR I DON'T WANT TO STEAL SUPERVISOR

FIELDER'S THUNDER AND SHE'S SHE'S IN THE QUEUE BUT LIKE THAT WENT ON FOR A LONG TIME BEFORE THE THE SURGE STARTED SO HOW DOES THE DEPARTMENT AND THE ADMINISTRATION THINK ABOUT REDEPLOYING THINKING

ABOUT NEW RESOURCES, THINKING ABOUT LIKE OH MAN, WE HAVE A PROBLEM THAT IS AS EMBARRASSING AS BAD AS DESTRUCTIVE OF COMMUNITY AS WE HAD ON MARKET STREET OR MISSION IN SOMA. AND WE HAVE TO DEAL WITH IT

LIKE HOW DOES HOW DOES THAT SHIFT HOW DOES THAT HOW DOES HOW DOES YOUR TRACKING LEAD YOU TO THE POINT WHERE YOU SOUND OR YOU KNOW ABOUT ALARM AND A SHIFT AND SOMETHING DIFFERENT HAPPENS? >> YEAH. SO I

WOULD SAY ABOUT FOUR MONTHS AGO OBVIOUSLY WE DID SEE THAT SHIFT. A LOT OF THE ACTIVITY DID SHIFT FROM THE TENDERLOIN INTO THE MISSION ONTO THE 16TH STREET BART PLAZAS ARE DEMAK RESOURCES AND I'LL KIND

OF TALK ABOUT OUR NARCOTICS DIVISION, OUR NARCOTICS DIVISION IS A CITYWIDE UNIT SO THEY DON'T JUST ONLY DEAL WITH NARCOTICS TRAFFICKING IN YOU KNOW, TENDERLOIN AND SOMA THEY DO GO OUT TO THE BABY.

THEY DO OUT TO THE MISSION. THEY THEY HAD GONE AND HAD NUMEROUS THEY HAVE DONE NUMEROUS BUST OPERATIONS IN THE MISSION AND FOCUSED ON DRUG TRAFFICKING IN THE MISSION AS WELL NOT REFLECTED IN THE SLIDE

FROM THE D MAC PRISON FROM THE UP T MAC STATS AND YOU KNOW WE DID SHIFT ABOUT TEN OFFICERS TO THE MISSION TO HELP SUPPORT MISSION STATION TO DEAL WITH THE SHIFT IN ACTIVITY TO THE BART PLAZAS. BUT

AGAIN I GO BACK TO IF WE LEAVE ONE AREA THEN ONE AREA GOES BACKWARDS AND THEN SO IT'S IT'S THIS IT'S LIKE THIS DYNAMIC DEPLOYMENT GAME THAT WE PLAY WITH OUR OFFICERS TO WHERE WE JUST HAVE TO EBB AND

FLOW AND SHIFT WHERE THE WHERE THE WHERE THE CONDITIONS SO IS THIS AS GOOD AS IT GETS WITH THE CURRENT STAFFING RESOURCE AS WE HAVE? I WOULDN'T SAY IT'S AS GOOD AS IT GETS BECAUSE WE'RE ALWAYS ABLE TO

SHIFT WHEN THE NEED IS NEEDED. >> BUT AGAIN YOU KNOW WHAT THE BIG THE BIGGEST ISSUE WE HAVE IS THAT WE CANNOT SHIFT OUR OFFICERS TO NIGHTTIME UNLESS IT'S EVERY SIX MONTHS. SO WE GO THROUGH THE

SENIORITY SIGN UP PROCESS EVERY SIX MONTHS AND THEN WE CAN SHIFT HOURS AND THINGS ALONG THOSE LINES. SO YOU KNOW THE RESOURCES THAT WE CURRENTLY HAVE AND THE STAFFING THAT WE CURRENTLY HAVE YOU KNOW

WE CAN FLUCTUATE HERE AND THERE A LITTLE BIT BUT TO MAKE A GIGANTIC STAFFING CHANGE AND LET'S SAY FOR EXAMPLE PUSH TEN MORE OFFICERS INTO THE MISSION IS PRETTY CHALLENGING FOR US AT THIS POINT. >> HOW

DO WE THINK ABOUT BANG FOR OUR BUCK WITH USER ARRESTS ? BECAUSE IF THERE'S I MEAN I AM NOT MORALLY OPPOSED ESPECIALLY IF WE ARE LEVERAGING AN ARREST INTO TREATMENT AND IF WE HAVE EVIDENCE TO SHOW THAT

MAN WE ARE DOING THESE ARRESTS OF USERS AND WE ARE GETTING THEM CONNECTED TO SERVICES AND THEIR LIVES ARE CHANGING AND INSTEAD OF YOU KNOW, ROTTING ON THE SIDEWALK THEY'RE ACTUALLY LIKE FINDING LIVES

AND WE HAVE A WAY OF MEASURING THAT AND THAT'S A SUCCESS. >> LIKE I FULLY OPEN TO THAT. I MEAN I'M QUITE OPEN TO THAT NARRATIVE AND THE IDEA THAT THAT COULD BE HAPPENING BUT I'M ALSO HEARING THIS IS A

DEPARTMENT THAT IS LACKING STAT THAT IS STRUGGLING AROUND STAFFING AND WE'RE DOING A LOT OF USER ARRESTS. SO CAN YOU TALK A LITTLE BIT ABOUT HOW THE ADMINISTRATION AND THE DEPARTMENT ARE THINKING

ABOUT THE ALLOCATION OF OFFICERS TO USER ARRESTS VERSUS OTHER KINDS OF OTHER KINDS OF ENFORCEMENT RELATED TO DRUGS? >> YEAH. SO I'LL TALK A LITTLE BIT ABOUT I'LL ANSWER YOUR QUESTION ABOUT USER

ARRESTS FIRST I THINK IT FOR A VERY LONG TIME OUR DEPARTMENT DID NOT HAVE THAT INVOLUNTARY TERRY TOOL TO RAPIDLY ADDRESS OPEN AIR DRUG USAGE. WE'VE ALWAYS BEEN ABLE TO MAKE ARRESTS UNDER 647 F AN 11

550 WITH PUBLIC INTOXICATION BUT THE HOLD UP WAS COUNTY JAIL. SO ONCE WE GOT TO COUNTY JAIL THEN IT WAS A LONG WAIT PERIOD AT COUNTY JAIL SO THAT OFFICERS WOULDN'T GET BACK ON THE STREET. SO I DO

THINK IT'S BENEFICIAL AT THIS POINT IN TIME TO CONTINUE OUR EFFORTS ON DRUG USERS. WE DO NEED TO HOLD THEM ACCOUNTABLE. THEY YOU KNOW, THESE FOLKS ARE OUT ON OUR STREET. THEY'RE CREATING UNSANITARY

CONDITIONS IN NEIGHBORHOODS NOT ARGUING JUST WE'RE CHOOSING ABOUT WHERE TO PUT FINITE RESOURCES AND DO WE HAVE EVIDENCE TO SHOW THAT THIS IS THE INTERVENTION, THAT THE USER ARRESTS ARE ACTUALLY

LEADING TO GOOD THINGS? >> I'M SORRY, WHAT WHAT'S WHAT DO WE HAVE THE EVIDENCE TO DEMONSTRATE THAT WE'RE THAT AND I GUESS THIS POINTS TO THE LARGER PROBLEM OF LIKE HOW ARE WE DOING OVERALL WHERE A

CITY WITH A DRUG PROBLEM IS OUR DRUG PROBLEM GETTING BETTER OR WORSE? WE'RE GOING TO TRY VARIOUS STRATEGIES. WE SHOULD TRY VARIOUS STRATEGIES BUT WE HAVE TO HAVE SOME SET OF MEASURES THAT SHOW WELL,

WE STARTED DOING THIS IN FEBRUARY AND IT'S NOW JULY AND WE'VE SEEN THAT NUMBER GO DOWN AND WE'RE NOT SURE IT'S RELATED TO THE THING WE'RE DOING BUT IT MIGHT BE THAT AND DO WE HAVE A SET OF THINGS

RELATED TO DO WE HAVE ANY MEASURE COMING OUT OF OUR USER ARREST THAT LEADS US TO BELIEVE THAT IT IS WORTH USING SCARCE OFFICERS FOR THAT RATHER THAN SOME OF THE OTHER ACTIVITIES WE MIGHT HAVE THEM

DOING. >> I THINK IT'S A LITTLE EARLY ON BECAUSE RESET HAS JUST OPENED SO I THINK IT'S GOING TO TAKE SOME TIME TO SEE IF ACTUALLY ACTIVITY ON THE STREET REDUCES ON THE DRUG USER SIDE OF THE HOUSE. BUT

YOU KNOW WE WE DO USE OUR YOU KNOW SO WE WE DO USE OUR OFFICERS TO DO DRUG DEALING ARRESTS AS WELL AND TO SHIFT INTO THE LATE NIGHTS AND ASK THEM TO DO OVERNIGHT OPERATIONS. SO WHEN I TALK ABOUT EBB

AND FLOW OF OUR RESOURCES AND STAFFING, YOU KNOW, IT'S IT'S JUST IT DEPENDS ON HOW THE STREETS LOOK TO BE HONEST. HOW LONG HAS RESET BEEN OPEN? >> IT JUST OPENED IN APRIL. IT'S NOT IT'S SIX MONTHS.

YES. ROUGHLY. >> OKAY. WHEN HOW LONG DO WE WHEN WHEN WHEN WE START FEELING LIKE IT'S TIME TO DO A LITTLE BIT OF AN ASSESSMENT OF HOW IT'S WORKING. >> SO I THINK CURRENTLY I MEAN THERE'S I THINK IT'S

IN PROGRESS REALLY IT'S IN PROGRESS. I MEAN WE'RE THE FRONT LINE OF RESET. SO I THINK IT'S LIKE AS WE SPOKE I THINK IT'S A COLLECTIVE EFFORT BETWEEN ALL THE DEPARTMENTS THAT ARE INVOLVED IN RESET TO

SEE IF RESETS REALLY WORKING ON THE BACK END. I THINK DEPARTMENT OF PUBLIC HEALTH HAD MENTIONED SOME STATS AND I DON'T KNOW WHAT THE CONVERSION RATE FROM PEOPLE THAT WERE BRINGING TO RESET AND WHETHER

OR NOT THEY'RE INTO TREATMENT OR THINGS ALONG THOSE LINES. SO YOU KNOW YOU KNOW PART OF ME FEELS LIKE WE'RE MOVING IN THE RIGHT DIRECTION. >> WE JUST NEED TO HOLD COURSE AND WE NEED TO JUST BUY SOME

MORE TIME. >> ALL RIGHT. I HAVE I, I FEEL BAD CONTINUE TO ASK YOU THIS QUESTION BECAUSE I REALLY DON'T THINK I'M NOT SURE OR YOU MAY WELL BE THE RIGHT PERSON TO ANSWER THIS QUESTION. >> I FEEL LIKE

MAYBE THE CHIEF I HAVE A FEELING IT MIGHT BE SOMEONE IN THE IN THE MAYOR'S OFFICE. I AM STRUGGLING WITH SORT OF LIKE THE BASIC QUESTION NOT AS COMPARED TO 20 WHEN PRIOR TO DMX STARTED BECAUSE THINGS

ARE BAD. I MEAN THE WORLD YOU'VE JUST LIKE THIS IS THIS IS WORKED BUT IN THE SORT OF YEAR TO YEAR WHEN WHEN I GO BACK TO THE CASTRO AND MY CONSTITUENTS SAY THINGS ARE WORSE SUPERVISOR THEY'RE WORSE

THAN THEY WERE A YEAR AND A HALF AGO AND I HAVE A HARD TIME AND SUPERVISOR FIELDER DEFINITELY HAS A HARD TIME POINTING TO THE THING THAT IS THINGS THAT HAVE HAPPENED TO IT. WHY NOT SPEAKING FOR HIM

BUT POINTING TO THE THINGS THAT HAVE HAPPENED OVER THE LAST TWO YEARS WHERE YOU CAN TRACK PROGRESS IN THE CITY OVERALL AROUND DRUGS? DO WE HAVE A WAY OF THINKING CITYWIDE ABOUT HOW WE'RE DOING ON

STREET DRUG RELATED ACTIVITY AND DO WE HAVE A WAY OF THINKING NEIGHBORHOOD BY NEIGHBORHOOD THINGS ARE GETTING WORSE, THINGS ARE GETTING BETTER OR IS IT ALL GOT SO THE TRACKING BY NEIGHBORHOOD BY

NEIGHBORHOOD YOU KNOW FROM THE POLICE DEPARTMENT WE OBVIOUSLY TRACK WE CAN TRACK 311 COMPLAINTS ON CLEANLINESS. >> OUR OFFICERS DO WORK WITH DPW ON THAT. WE DO TRACK OUR ARRESTS. >> BUT IF WE'RE

WORKING IN ONE NEIGHBORHOOD AND NOT IN ANOTHER NEIGHBORHOOD, IT THAT THOSE THAT DATA JUST MIGHT NOT BE A TRUE DEPICTION OF WHAT'S HAPPENING IN CERTAIN NEIGHBORHOODS IF WE'RE NOT THERE. SO YOU KNOW, A

LOT OF IT IS BASED ON US SCOUTING THE STREETS AND LISTENING TO COMMUNITY AND THAT REALLY KIND OF GUIDES US WHERE WE GO. >> I DO FEEL THAT WITHIN THE LAST YEAR A LOT OF OUR FOCUS WAS DEALING WITH THESE

GIGANTIC CROWDS AND ONCE THESE CROWDS HAD HAVE BEEN BROKEN UP ONLINE I THINK THERE MIGHT BE 2 OR 3 LOCATIONS LEFT THAT WE'RE DEALING WITH. IT'S A NATURAL PROCESS THAT THESE FOLKS JUST I WOULD SAY

SCATTER MOVE AND I THINK THAT'S WHAT WE'RE LOOKING AT OR WHAT'S HAPPENING CURRENTLY CITYWIDE RIGHT NOW IS THAT THERE ARE SMALLER POCKETS IN CERTAIN NEIGHBORHOODS THAT FOLKS HAVE NEVER SEEN BEFORE.

THERE IS A BENEFIT TO THAT IN MY OPINION BECAUSE I THINK IT'S A LOT EASIER FROM A POLICE DEPARTMENT AND FROM NEIGHBORHOODS STREET TEAMS TO DEAL WITH SMALLER YOU KNOW, SMALLER CONGREGATIONS OF FOLKS

RATHER THAN THESE LARGE CROWDS. WE GET REALLY STUCK WHEN WE'RE DEALING WITH LARGE CROWDS. >> OKAY. I MAY HAVE MORE QUESTIONS BUT I THINK MY COLLEAGUES HAVE A LOT SO I'LL GET OUT OF THE WAY FOR NOW. >>

THANK YOU. AND VICE CHAIR MAHMOOD THANK YOU CHAIR SARTOR THANK YOU PRESENT AGAIN FOR HOSTING THIS HEARING FOR A COUPLE OF QUESTIONS ABOUT BOTH THE DEALERS AND THEN SOME METRICS AND THEN WE'RE ON TO

USER METRICS AS WELL. >> THE QUESTION OF ARE DRUG DEALING ARRESTS HAVING GONE DOWN THE LAST COUPLE OF YEARS? MY UNDERSTANDING HAVING LOOKED AT THE DATA BUT CITYWIDE AND IN THE D-MAX OWNERS CITYWIDE

IT'S DOWN AS WELL I THINK ANSWER PRISON MAINTENANCE QUESTION ON THAT COMPONENT AND I THINK I'VE BEEN ON LIKE 3 OR 4 RIDE ALONGS THAT ONE WITH YOU COMMANDER BIGGS AS WELL AND ONE OF THE THINGS I

NOTICED CORRECT ME IF I'M WRONG IS THAT PART OF IT IS AS THE PRESIDENT AND YOU MENTIONED IS THAT THE THE HOURS HAVE SHIFTED LATER AT NIGHT BUT ALSO THE STRATEGIES OF THESE DEALERS HAVE SHIFTED.

THEY'RE NOT IN IN CROWDS. >> THEY'RE DOING DROPS AND THEN THEY LEAVE. >> SO WOULD YOU SAY IT'S SAFE TO SAY THAT THEY THEIR STRATEGIES ADOPTED IT'S HARDER TO ARREST THEM AND THAT'S WHY THE ARRESTS HAVE

GONE DOWN CITYWIDE. YEAH, I MEAN YEAH, OF COURSE. I MEAN IF IF IF DRUG DEALING ISN'T BLATANT ON THE CORNER, YOU KNOW WE ARE SEEING DRUG DEALING GOING INDOORS. WE'RE SEEING IT BEING DROPPED OFF TO BAG

HOLDERS OUT ON THE STREET SO YOU KNOW HOW IT ONCE WAS IS DEFINITELY NOT HOW IT IS RIGHT NOW THE ACTUAL DYNAMICS THEMSELVES. SO YOU KNOW ALL OF THAT ADDS TO MAKING IT MORE DIFFICULT TO LOCATE AND FIND

AND YOU KNOW, MAKE MORE ARRESTS. >> AND THEN I MEAN OTHER EVIDENCE OF THAT AS YOU MENTIONED, THE PRICE OF FENTANYL HAS GONE UP FROM 20 TO $40. THAT'S SUPPLY AND DEMAND MEANS THAT THE SUPPLY IS LESS

THERE AND THAT'S WHAT'S DRIVING UP THE PRICE. IF YOU'RE SAYING THAT THE STRATEGY HAS SHIFT THE TACTICS OF THE DEALERS HAVE SHIFTED. HOW HAS DEMAK STRATEGIES SHIFTED TO CAPTURE THOSE DEALERS WITH THEIR

NEW STRATEGIES? WHAT ARE YOU DOING DIFFERENTLY OR DO YOU STILL NEED TO FIND NEW THINGS TO DO DIFFERENTLY? >> AND THAT'S THE OPEN QUESTION. YEAH. SO WE'RE CONTINUING ON DOING SPECIAL OPERATIONS

OVERNIGHT WORKING INTO THE OVERNIGHT HOURS. WE DO NEED TO FIGURE OUT HOW TO SHIFT MORE OFFICERS TO OUR NIGHTTIME THE DAYTIME HOURS TO DEAL WITH DRUG TRAFFICKING. WE DO NOT CURRENTLY HAVE A NARCOTICS

TO A PART OF THE NARCOTICS UNIT THAT WORKS A MIDNIGHT SHIFT. WHY NOT? IT'S WE HAVE WE HAVE 14 OFFICERS THAT WORK AT NARCOTICS AND THEY ALSO HAVE TO DEAL WITH HIGHER LEVEL INVESTIGATIONS. WE ALSO WORK

WITH THE FEDERAL OUR FEDERAL PARTNERS TO DEAL WITH MORE SERIOUS CONSEQUENCES . ALL OF THE YOU KNOW, THE SEARCH WARRANTS, THE ARREST WARRANTS ALL OF THAT WORK TAKES TIME. SO IF WE WERE TO COMPLETELY

REMOVE OUR NARCOTICS DIVISION TO THE MIDNIGHT HOURS, THEN WE WOULD LOSE A LOT OF THAT EXTRA INVESTIGATIVE WORK THAT THEY'RE DOING. >> AND SO IT A QUESTION OF HIRING MORE OFFICERS TO BE THERE AND DOING

TO AND CIVIL SERVICE COMMISSION RULES ABOUT HOURS THEY'RE ALLOWED TO WORK LIKE WHAT ARE THE CHANGES THAT NEED TO HAPPEN YEAH SO WE CAN VOLUNTARILY ASK THEM TO PUSH THEIR HOURS PAST THREE HOURS IN

EITHER DIRECTION OF THEIR SHIFT AND YOU KNOW IT'S AND IT'S ALSO HIRE THE HIRING WE NEED MORE OFFICERS IF WE HAD MORE OFFICERS THAN WE COULD THEN OBVIOUSLY WE COULD, YOU KNOW, DEPLOY MORE OFFICERS OR

EVEN HAVE A NIGHTTIME TEAM. >> I THINK A NIGHTTIME TEAM WOULD BE GREAT. SO JUST TO CLARIFY, YOU DON'T HAVE A NIGHTTIME NARCOTICS TEAM. >> WE DO NOT CURRENTLY WE HAVE A NIGHTTIME ENFORCEMENT TEAM BUT

THEY ARE NOT YOU KNOW, THEY'RE THEY'RE YOUNGER OFFICERS AND WE YOU KNOW, THEY WE BASICALLY USE THEM AS A MAINTENANCE TEAM TO KIND OF HELP HOLD US OVER AND ADDRESS CROWDS ON CERTAIN CORNERS OVERNIGHT.

>> HOW MANY NIGHTTIME NARCOTICS OFFICERS DO YOU THINK YOU'D NEED TO MAKE A REASONABLE TEN? >> I WOULD SAY PROBABLY ANOTHER 14. >> 14. OKAY. AND I MUST BE CURIOUS ON THE THE THE PRICE OF FENTANYL. YOU

MENTIONED DOUBLED. DO YOU HAVE A HYPOTHESIS ON WHAT THAT PRICE WOULD HAVE TO BE TO FUNDAMENTALLY START TO SHUT DOWN SAY THE USER SIDE WHERE IT GETS TOO EXPENSIVE FOR THEM TO BUY? I DO NOT OKAY NOT IT

I MEAN OBVIOUSLY THE LARGER I MEAN YOU KNOW, THE MORE EXPENSIVE IT IS THAN THE YOU KNOW IT WOULD BE A LOT MORE DIFFICULT FOR FOLKS TO PURCHASE. >> YES. YOU KNOW ABOUT IT. I DON'T HAVE A SPECIFIC

NUMBER I UNDERSTOOD AND ALSO THE DEALER THE REST A LITTLE BIT AND CURIOUS HOW MANY OF THE PEOPLE THAT ARE BEING ARRESTED HAVE BEEN ARRESTED BEFORE REPEAT OFFENDERS THAT YOU'RE FINDING? UM, YOU KNOW, I

THINK I MIGHT HAVE IT WITH ME A SECOND HERE. YOU KNOW I DON'T HAVE IT IT'S A LOT THERE ARE THERE ARE A LOT OF FOLKS BOTH ON THE DEALER SIDE AND ON THE USER SIDE THAT ARE REPEAT OFFENDERS AND ARE YOU

OFTEN CATCHING SOME OF THOSE DEALERS? >> MY UNDERSTANDING IS I THINK ONLY 10% OF DEALERS THAT ARE ARRESTED IN THE BEING PROSECUTOR ACTUALLY HELD. ARE YOU FINDING THAT A LOT OF THE FOLKS THAT YOU

ARREST ARE THE PEOPLE THAT ALREADY HAVE ACTIVE CHARGES THAT WERE NOT THAT ARE PENDING PENDING PROSECUTION OR THEY WERE ALREADY PREVIOUSLY CONVICTED AND LET OUT? YES. WHICH ONE? SORRY. OH, THE FIRST

ONE I'M SORRY. YOU SO THEY'RE JUST AWAITING TRIAL FOR ANOTHER. >> YEAH, I CATCH THEM AGAIN. YEAH, UNDERSTOOD. >> MULTIPLE CASES AND THEN SHIFTING A LITTLE BIT THEN TO THE ON THE USER SIDE FOR FOR

RESET CENTER THE ONCE THE RESET CENTER OPENED WHAT IS THE AVERAGE DAILY OCCUPANCY BEEN COMPARED TO OVERALL CAPACITY ON A TYPICAL DAY HOW MANY BEDS ARE GOING UNUSED SO WE HAVE THE NUMBERS. I DON'T HAVE

THEM WITH ME. I CAN ALWAYS GET THOSE NUMBERS FOR YOU BUT WHAT I CAN SAY IS THAT DURING DAYTIME HOURS IS A LOT EASIER FOR US TO FILL RESET THAN IT IS OVERNIGHT JUST BECAUSE IT'S A RESOURCE THING AND

IT'S A STAFFING THING SO THAT THE MAC ENFORCEMENT TEAM THAT I TALK ABOUT OVERNIGHT ALSO DOES SOME RESET AS WELL. BUT YOU KNOW I THINK THE YOU KNOW OUR PERCENTAGE CAPACITY RATE WAS A LITTLE BIT LOWER A

COUPLE OF MONTHS AGO. WE'VE READJUSTED SOME DEPLOYMENT AND JUST RECENTLY I THINK WE'VE BEEN INCREASING CAPACITY A DPS CONSULTANT AND TAKING THESE QUESTIONS YEAH THEY MIGHT BE SIMULTANEOUS I DON'T KNOW

HOW THEY'RE GOING TO BE DIRECTED TO SO I KNOW I WANT TO GET MORE SPECIFIC LIKE HOW MANY BAD ON AN AVERAGE DAY HOW MANY BEDS ARE ACTUALLY OCCUPIED AND HOW MANY BEDS ARE NOT AND ARE THERE DAYS WHERE

YOU'RE AT FULL CAPACITY THE WHOLE DAY OR EVEN AT SOME POINT DURING THE DAY? OKAY, SURE. THIS IS DAN I DO WANT TO THE SHERIFF'S NOT TEAR THE RESET CENTER IS CONTRACTED AND MANAGED THROUGH THE SHERIFF'S

OFFICE BUT I'M LOOKING WE WE HELP SUPPORT CONNECTIONS TO CARE ON THE BACK END SO THAT THAT IS THE DEPARTMENT'S ROLE AND SO WE CAN FOLLOW UP ON THE EXACT AVERAGES BUT I KNOW I'M LOOKING AT IN SEPTEMBER

I CAN'T SEE EVERY LINE HERE BUT SOME DAILY DAILY ARRIVALS PEOPLE BEING BROUGHT BETWEEN 1520 AND 3036 DAY THAT'S OUT OF 2425 BEDS. PEOPLE STAY FOR A PERIOD OF TIME, SOMETIMES EIGHT, NINE HOURS AND SO

THAT'S WHAT I SEE IN THE DASHBOARD. BUT I DON'T WANT TO SPEAK FOR THE SHERIFF'S OFFICE ON THE EXACT NUMBERS AS A PERCENTAGE BASIS, WHAT WOULD YOU SAY THAT IT'S FULL HALF THE TIME NEVER IT WAS A

STANDARD THAT ACTUALLY QUANTIFIED SOME OF THIS. >> I WANT TO DEFER TO THE SHERIFF'S OFFICE ON THE EXAM. THEY WEREN'T CALLED TO THIS HEARING EXACT NUMBERS WE WE THINK ABOUT THE CONNECTIONS TO CARE THE

MANAGEMENT OF THE SPACE IN THAT CONTRACT IS WITH THE SHERIFF SO I DON'T WANT TO SPEAK ON THEIR BEHALF. >> COULD EITHER OF YOU QUALIFY AND I MEAN SAY THAT IT IS NOT IS IT BEING FULLY OCCUPIED OR IS IT

NOT? >> I THINK THAT'S SOMETHING YOU CAN PROBABLY WHAT I CAN TELL YOU FROM KNOWING FROM THE CLINICAL STUFF ON THE BACK END THERE ARE MOMENTS OF THE DAY WHEN THE WHEN IT'S COMPLETELY FILLED AND THEN

THERE ARE MOMENTS OF THE DAY WHEN IT IS NOT IT DEPENDS ON HOURS OF THE DAY AND SO ON. BUT THAT EXACT DETAIL I REALLY WOULD HAVE TO DEFER TO THE SHERIFF'S OFFICE. >> THANK YOU. UNDERSTOOD. >> ONCE

RESETS WE'VE HEARD A LITTLE BIT ABOUT DISPLACEMENT INTO OTHER NEIGHBORHOODS AND IT SEEMS A LOT OF WE'VE NOTICED DISPLACEMENT INTO HIS VALLEY OR NOT. WE'VE HEARD MISSION. I'M CURIOUS WHETHER IN YOUR

OPINION, COMMANDER, THE ARE USERS ADOPTING TO THE BOUNDARIES OF RESET CENTER WE TALKED A LOT ABOUT DEALER IS ADAPTING TO THE MAX ZONE DO YOU FIND USERS ARE ADAPTING THEIR BEHAVIOR TO THE RESET SO I

HAVE HEARD FROM OFFICERS OUT ON THE STREET THAT ARE DOING THE WORK THAT THEY'VE HAD CONVERSATIONS WITH FOLKS OUTSIDE OF THE RESET AREA THAT THEY DO NOT WANT TO GO TO THAT AREA BECAUSE THEY DO NOT WANT

TO BE ARRESTED AND GO TO RESET. AND WOULD YOU SAY YOU'VE YOU'VE HEARD AN INCREASE IN THAT KIND OF MIGRATION OF USERS SINCE THE RESET CENTER OPENED EFFECTIVELY AND CERTAIN NEIGHBORHOODS? >> YEAH I MEAN

YEAH IT'S LIKE IT'S LIKE EVERYTHING ELSE I MEAN ACTIVITY SHIFTS WHEN YOU FOCUS ON A LOT OF EFFORTS INTO ONE AREA. >> SO BASED ON THAT WOULD YOU CONSIDER IT A PRUDENT DECISION AND GOES FOR MAYBE AS

WELL TO MAYBE HAVE A DEDICATED TEAM GOING CITYWIDE TO BRING PEOPLE TO RESET IN THAT CONTEXT? I MEAN FROM YOU KNOW I THINK FROM THE POLICE DEPARTMENT'S POINT OF VIEW IS THAT WE THINK THAT WE THINK THAT

RESET IS A GREAT TOOL AND ANY TYPE OF EXPANSION TO BRING MORE PEOPLE TO RESET IS WOULD BE BENEFICIAL. >> WHAT WOULD THAT TAKE OPERATIONALLY WE WERE TALKING ABOUT FOR DEALING ARRESTS YOU HAVE STAFFING

AT 14. WHAT WOULD IT TAKE EITHER FROM YOUR TEAM OR FROM HIS TEAM OR THE SHERIFF'S TEAM TO MAKE THAT OPERATIONAL? YEAH, I MEAN WE WOULD JUST WE WOULD WE WOULD USE CURRENT EXISTING STAFFING AND LIKE OUR

TEAMS THAT WE HAVE TO TO HELP SUPPORT IT WOULD ALSO OPEN YOU KNOW I MEAN OBVIOUSLY IF IT WAS YOU KNOW IN A LARGER GEOGRAPHICAL AREA THEN WE COULD LEVERAGE MORE OF OUR PATROL FORCE AS WELL BECAUSE THEY

I'M SURE THESE OFFICERS ARE RUNNING IN TO PEOPLE UNDER THE INFLUENCE IN OTHER DISTRICTS IN THEIR DISTRICT STATIONS THAT THEY REALLY DON'T HAVE A TOOL TO DEAL WITH THESE FOLKS ON WHICH I THINK WOULD GO

TO ACTIVITY SHIFTING AND PEOPLE MOVING AROUND AND THINGS ALONG THOSE LINES JUST TO LAST QUESTION MORE OF THE KIND OF WHEN YOU GO TO FIND SOMEONE WHO NEEDS TO BE TAKING THE RESET CENTER, ONE THING

WE'VE OFTEN HEARD IS THAT SOMETIMES IT'S HARD TO TAKE SOMEONE BECAUSE THEY EITHER HAVE A PET OR OTHER BELONGINGS AND RESOURCES THAT ARE INTERESTING DOESN'T ALLOW PEOPLE TO COME THERE IF THEY HAVE A

PET OR ACTUALLY POTENTIALLY ANY FACILITY. >> I'M NOT SURE IF THAT'S TRUE. WHAT HAVE OFFICERS FOCUSED ON PEOPLE WHO DON'T HAVE DOGS OR THEIR BELONGINGS TO BRING THEM IN IF IF THEY'D HOW WOULD YOU THINK

ABOUT MAYBE ACCOMMODATIONS FOR THOSE WHO DO IN AN ADAPTATION OF THIS POLICY ? YEAH, I MEAN I DON'T WANT TO SPEAK ON BEHALF OF THE SHERIFF'S DEPARTMENT IN THEIR OPERATION HOW IT WORKS BUT I MEAN I DO

KNOW THAT AT ONE POINT IN TIME EARLY ON WE WERE HAVING AN ISSUE OF HOW MANY HOW HOW LARGE OF SOMEONE'S BELONGINGS LIKE SO 25 POUNDS WORTH OF STUFF. AND I THINK WE'VE MADE ADJUSTMENTS TO THAT. SO YOU

KNOW, ANYTHING THAT WOULD MAKE IT EASIER FOR US TO BRING SOMEBODY TO RESET WE WOULD ALWAYS FROM THE POLICE DEPARTMENTS SIDE BUT ALWAYS ARE OPEN TO THOSE CONVERSATIONS. >> OKAY, UNDERSTOOD. NEXT

QUESTIONS ARE FOR FOR THAT ON ON TREATMENT AT THE RESEARCH CENTER SPECIFICALLY IF SOMEONE WANTS BUPRENORPHINE, WHAT HAPPENS NEXT ONCE THEY GET TO THE RESEARCH CENTER? ARE THERE BOTTLENECKS ARE ABLE TO

PROVIDE IT SEEMS LIKE A GOOD DRUG TO HELP KEEP GOOD TREATMENT TO GET PEOPLE OFF OF WITHDRAWAL. >> WHAT WOULD BE THE NEXT STEPS OR WHAT ARE THE RESTRICTIONS TO ENABLING THAT TO BE POSSIBLE? >> SURE. SO

I APPRECIATE THE QUESTION. SO OVERALL, I MEAN ONE OF OUR STRATEGIES AND GOALS HAS BEEN AS MANY PEOPLE AS POSSIBLE IN THE STREETS CLINICS, SHELTERS, PERMITS, SUPPORTIVE HOUSING, GETTING FOLKS

MEDICATION THAT'S OUT THERE BUPRENORPHINE, ESPECIALLY LONG ACTING INJECTABLES WHERE WE'VE HAD A HUGE INCREASE IN THE PAST 6 TO 9 MONTHS AND THEN METHADONE THOSE ARE THE TWO GOLD STANDARD EVIDENCE

BASED MEDICATIONS FOR THAT AT RESET WHEN SOMEONE EVERYONE TWO PEOPLE ARE OFFERED AND ASKED TO ENGAGE, WE WILL GET THEM OVER TO A RANGE OF OUR CLINICS TO PROVIDE BUPRENORPHINE. WE ARE I WOULD NOTE

THERE ARE SOME STATE RESTRICTIONS AT THE MOMENT THAT PREVENT US FROM BEING ABLE TO STORE BUPRENORPHINE WHICH IS A DEA FEDERALLY CONTROLLED SUBSTANCE EITHER AT RESET OR WE'VE ALSO WANTED TO HAVE SUPPLY

AVAILABLE IN SHELTER CLINICS OR IN SETTINGS CLOSER TO WHERE SOME OF THE STREET TEAMS ARE. WE HAVE MADE A NUMBER OF ASKS OF THE STATE FOR WAIVERS AND FLEXIBILITY SO WE CONTINUE TO PURSUE THAT IN THE

MEANWHILE WE'RE GETTING FOLKS OVER TO EITHER 1380 HOWARD OR TO A RANGE OF OTHER SITES. WE HAVE TO DIRECTLY START BUPRENORPHINE AND ALSO METHADONE. >> WHAT ARE SOME OF THOSE STATE RESTRICTIONS? THERE

ARE A RANGE OF THEM BUT BASICALLY WITHOUT GETTING INTO TOO MUCH TECHNICAL DETAIL, UNLESS WE'RE RUNNING A CLINIC PHARMACY AT ONE OF OUR MAJOR CLINICS WITH CERTAIN REQUIREMENTS FOR THOSE WE CANNOT HAVE

A STACK OF MEDICATION AVAILABLE THERE. SO IF YOU WERE TO WALK IN TO EITHER A SHELTER CLINIC OR THE RESET SITE AND YOU WERE TO WANT BUPRENORPHINE, WE CAN'T HAVE SUPPLY THERE. WE WOULD HAVE TO LIKE CALL

THE PHARMACY DISPENSE THE LONG ACTING INJECTABLE FROM THE LICENSED CLINIC PHARMACY, GET IT OVER TO THE SITE WHERE THE INDIVIDUAL IS THERE RANGE OF LIMITATIONS. ONE OF THAT INCLUDES THE AVAILABILITY OF

A SINK AND A MED STORAGE ROOM AND A RANGE OF OTHER THINGS. BUT WE ARE PUSHING HARD WITH THE STATE TO GET SOME MORE FLEXIBILITY BECAUSE IT'S COMMON SENSE TO WANT TO GET MEDS CLOSER TO WHERE PEOPLE ARE

WHEN THEY WANT TO START THAT MEDICATION. SO BECAUSE YOU DON'T HAVE A KITCHEN SINK THE STATE WON'T ALLOW YOU TO PRESCRIBE IT'S THAT IS RIGHT AND IT'S IN THE CALIFORNIA BUILDING CODE. WE'VE ASKED FOR

SPECIFIC WAIVERS OF THAT. WE HAVE HAD THREE DISCUSSIONS WITH THE STATE SO FAR ON THAT EXACT TOPIC ON THE METRICS YOU MENTIONED GETTING PEOPLE TO TREATMENT OF THE PEOPLE WHO COME TO THE RESET CENTER.

HOW MANY ACTUALLY GET TO TREATMENT START MEDICATION? >> DO YOU HAVE THOSE NUMBERS? >> SURE. WE HAVE HIGH LEVEL NUMBERS ROUGHLY BETWEEN DEPENDING ON THE TIME PERIOD AND THERE'S SOME DATA CLEANING GOING

ON BETWEEN 25 TO 35% OF FOLKS THAT ARE BROUGHT TO RESET ARE ACTUALLY NOT JUST GETTING OFFERED SOME SERVICES BUT ARE AGREEING TO SERVICES AND THEN WITHIN THE DEEP AND SOME OF THOSE ARE REFERRED TO

THINGS NOT IN THE SYSTEM AND INCLUDING CERTAIN SHELTER PIECES BUT WITHIN THE SERVICE SYSTEM A FAIR AMOUNT LIKE WE ARE ALSO TRACKING GETTING THOSE PEOPLE DIRECTLY INTO CARE. AND I WOULD SAY TWO THINGS

VERY TRANSPARENTLY AGAIN OUR ROLE AT THE HEALTH DEPARTMENT IS ON THE BACKEND CONNECTING PEOPLE INTO CARE AND MAKING SURE THERE'S A WELCOMING CLINICAL ENVIRONMENT TO HELP PEOPLE MOVE FORWARD. SO THAT'S

THE HEALTH DEPARTMENT'S ROLE IN THIS. WE HAVE A LOT OF FOLKS THAT ARE GETTING INTO A RANGE OF OUR CLINICAL SETTINGS AND TREATMENT SETTINGS. WE ALSO HAVE SEEN WE DO HAVE TRANSPORTATION ISSUES THAT WE

NEED TO RESOLVE AND WHAT MORE APPROACHES TO TO LITERALLY PHYSICALLY BE ABLE TO TAKE SOMEONE WHO'S READY FOR TREATMENT AT THAT MOMENT TO GET THEM TO THE NEXT PHYSICAL LOCATION VERSUS A RANGE OF THINGS

THAT COULD HAPPEN BETWEEN WHEN THIS PERSON SAYS YES, I WANT TREATMENT AND THERE'S NOT ACTUALLY TRANSPORTATION TO TAKE THEM THERE. LAST SET OF QUESTIONS I'LL ASK AND THE CONTEXT OF POLICY BOTH FOR PD

AND FOR WHAT CAN THE BOARD DO? AS I'VE HEARD TODAY THAT WE NEED MORE HELP WITH MORE NARCOTICS OFFICERS AS ONE STRATEGY POTENTIALLY EXPANDING RESET TO CITYWIDE MAYBE SOME CHANGES TO STATE POLICY AND

RESPECT FOR SUPPLIES RESIDENCY I KNOW THERE MIGHT BE HIS DISTRICT AND SO I'M BE IN COLLABORATION WITH THAT. WERE THE RESEARCH CENTERS TODAY BUT WHAT CAN THE BOARD DO ON SOME OF THESE ASSETS? SO I

WOULD JUST WANT TO ACKNOWLEDGE THAT THE BOARD HAS BEEN VERY HELPFUL AND SUPPORTIVE IN THE BUDGET THAT WE WITH THE MAYOR'S OFFICE HAVE BEEN PROPOSING AND USING TO DATE. WE HAVE EXPAND EXPANDED OVER 200

TREATMENT BEDS. WE HAVE INCREASED A HUGE AMOUNT OF INVESTMENT IN BEING ABLE TO GET MEDICATIONS TO FOLKS. THE GOAL IS GET FOLKS TREATMENT AND REDUCE THE BARRIERS TO TREATMENT. SO A LOT OF BUDGET

INVESTMENTS INCLUDING PROP C FUNDING HAVE BEEN USED TO EXPAND ACTUAL TREATMENT AND CLINICAL CAPACITY. SO THAT SLIDE WE PUT UP EARLIER THAT SHOWS THAT STRAIGHT LINE UP THAT IS WHAT WE WANT TO SEE . IF

WE SAW A FLAT LINE OF TREATMENT WE'D SAY WE NEED TO RETHINK SOME OF THE THINGS. I WOULD ALSO SAY AS AREAS OF CONTINUED OPPORTUNITY THE GOAL IS NOT JUST TO GET PEOPLE INTO TREATMENT. WE NEED TO HELP

PEOPLE PROGRESS ON THAT JOURNEY AND SO STICKING ON THE MEDICATIONS IS ONE AND THAT'S ALSO WHY WE'VE OPENED A RANGE OF WHAT WE CALL RESIDENTIAL STEPDOWN FACILITIES INCLUDING ONE IN THE MARINA WHERE

PEOPLE THAT GRADUATE FROM DRUG TREATMENT ACTUALLY HAVE 12, 18, 24 MONTHS OF STABILITY TO CONTINUE TO BE ABLE TO GET BACK ON THEIR FEET INSTEAD OF FOLKS GOING RIGHT BACK TO STRUCTURE AND EQUIPMENT FOR

ASKING THE SAME QUESTION LIKE WHAT IS THE METRICS ON PEOPLE WHO COME OUT OF RESETS AND ARE GETTING TREATMENT PERMANENTLY STAYING CLEAN? I MEAN THAT'S THE ULTIMATE SUCCESS METRIC. DO YOU HAVE METRICS

ON THE SUCCESS AND HOW DO YOU MEASURE THAT OF PEOPLE PERMANENTLY GETTING SO WE'D LOVE TO BE ABLE TO TALK ABOUT I WILL SAY THERE IS NOBODY IN THE COUNTRY AND WE HOPE TO INNOVATE AND LEAD THE WAY HERE

ON THAT THAT HAS ANY IN THE HEALTH CARE SPACE ANY VALIDATED QUALITY MEASURE SET THAT TALKS ABOUT LONGITUDINALLY THAT QUESTION OUR TEAM IS LOOKING AT THAT IN A RANGE OF WAYS BUT NONE OF THE NATIONAL

BODIES HAVE COME UP WITH A GOOD METRIC ON THAT. THAT SAID, WE TRACK THAT BY SEEING PEOPLE MOVE FROM ONE SETTING OF TREATMENT TO ANOTHER AND STAY ENGAGED IN TREATMENT. SO USUALLY THAT IS OVER A 12,

1824 MONTH PERIOD OF TIME THAT USUALLY WHAT IS THAT RETENTION RATE RIGHT NOW DO YOU KNOW AND HAS IT IMPROVED IN THE LAST SIX MONTHS FROM RESET? AGAIN, THE TIME FRAME THAT YOU LOOK AT THAT IS USUALLY

1218 TO 24 MONTHS OUT AND SO I THINK WE'RE EARLY ON THAT PACE. WHAT I CAN TELL YOU IS RECENT EFFORTS WE'VE HAD TO REALLY PIONEER SOME OF THE LONG ACTING INJECTABLE BUPRENORPHINE HAS REALLY INCREASED

PEOPLE'S ABILITY TO STAY ON THE MEDICATION INSTEAD OF HAVING TO TAKE MEDICATION YOU KNOW, TAKE IT EVERY SINGLE DAY. THAT'S AN EXAMPLE OF A VERY SUCCESSFUL INCREASE IN RETENTION THAT WE'VE SEEN AND

THEN PD WHAT CAN WE DO TO HELP FROM THE BOARD? YOU KNOW, I THINK LIKE DIRECTOR SCI HAD ALSO MENTIONED I THINK WE'VE GOTTEN A LOT OF SUPPORT FROM THE BOARD. YOU KNOW OBVIOUSLY OBVIOUSLY REALLY YOU KNOW

BUDGET IS REALLY A BIG DEAL FOR US AS WELL. WE ARE YOU KNOW WE ARE VERY SHORT ON STAFFING. WE DO HAVE OBVIOUSLY OVERTIME TO HELP SUPPORT THAT AS WELL. YOU KNOW YOU KNOW REALLY I THINK THERE ARE

POTENTIALLY SOME THINGS LEGISLATIVELY THAT CAN HAPPEN. YOU KNOW THERE ARE THINGS THAT YOU KNOW, THERE ARE THINGS THAT ARE CURRENTLY ALREADY IN PLACE THAT ARE PILOT PROGRAMS THAT WE'RE RUNNING. WE DO

BELIEVE THAT THE EXTENSION OF SOME OF THESE PRIVATE PILOT PROGRAMS COULD BE BENEFICIAL TO CONTINUE ON. YOU KNOW, THE BUSINESS LEGISLATION IS AN EXAMPLE OF ONE YOU KNOW, REALLY IT'S REALLY YOU KNOW,

IT'S REALLY JUST BEING SUPPORTIVE IN YOU KNOW, WE NEED TO HIRE MORE COPS IS REALLY WHAT NEEDS TO HAPPEN AND YOU KNOW IF WE HIRE MORE COPS WE CAN DO MORE THINGS. >> THANK YOU SO MUCH QUESTIONS THANK

YOU BOTH CHAIR AND SUPERVISOR DORSEY GREAT. >> THANK YOU CHAIR SORTER AND THANK YOU SUPERVISOR MACLEOD. >> VICE CHAIR MACLEOD FOR YOUR QUESTIONS. >> I WAS ACTUALLY GOING TO BE ASKING A BIT ABOUT THE

RESEARCH CENTER AS WELL. I TOOK A LOOK AT THE THE DASHBOARD THROUGH REC SO THE MOST THE LATEST NUMBER IS THAT THROUGH MAY 4TH THROUGH OCTOBER 8TH INCLUSIVE THERE ARE 158 CALENDARED DAY IS 2345

ADMISSIONS IT'S ABOUT JUST UNDER 15 ADMISSIONS PER DAY. >> SO IF I'M DOING THE MATH RIGHT, THE RESET CAPACITY SHOULD BE ABOUT FOUR TIMES THAT NUMBER. I THINK THE HIGH END WOULD BE FIVE TIMES. BUT AS A

PRACTICAL MATTER LET'S SAY FOUR TIMES THAT NUMBER, THERE'S CLEARLY BEEN OBSTACLES TO FILLING THAT CAN I ASK YOU AND I'M NOT ASKING YOU TO TALK ABOUT THE RESET CENTER AND ITS OPERATIONS BUT THE PORTION

THAT YOU CAN TALK ABOUT IS WHAT IS THE OBSTACLE TO MAKING MORE CUSTODIAL INTERVENTIONS TO GET MORE PEOPLE WHO ARE ENGAGING IN PUBLIC DRUG USE INTO THE RESET CENTER STAFFING. OKAY. >> OKAY. IT'S

STAFFING REALLY I MEAN CURRENTLY WE YOU KNOW CURRENTLY WHAT WE'RE USING IS YOU KNOW, WE USE A CADRE OF DIFFERENT UNITS TO DO THE RESET WORK SO WE'RE YOU KNOW, WE YOU KNOW, WE USE OUR NARCOTICS AND

FORCE I MEAN OUR NARCOTICS INVESTIGATIVE TEAM WE USE OUR DEMARK ENFORCEMENT UNITS. WE USE OUR H.R. COPS BECAUSE THESE ARE ALL OF THE FOLKS THAT WORK FOR DMCC THAT COME INTO CONTACT WITH THESE FOLKS ON

A DAILY BASIS. SO YOU KNOW, WE'VE TRAINED SOUTHERN STATION YOU KNOW WE'VE TRAINED SOUTHERN STATION OFFICERS TO DO RESET AS WELL WOULD WE'D LIKE TO SEE MORE COME FROM SOUTHERN STATION. YES WE WOULD BUT

YOU KNOW THEY ARE BOUND TO CALLS FOR SERVICE AND THERE ARE A LOT OF CALLS FOR SERVICE IN SOUTHERN SO THEY DO DO WHAT THEY CAN WHEN THEY CAN DO IT. BUT THE LION'S SHARE OF, YOU KNOW, RESORT RESET

CONNECTIONS COME FROM DEMAK. >> IS THERE ANY OTHER CAVALRY TO BE HAD? IS THERE DEPUTY SHERIFFS WHO COULD BE EMPOWERED TO MAKE ARRESTS UNDER 647 F FOR CADETS OR YOU KNOW, I'M JUST JUST THINKING

CREATIVELY WHAT WOULD IT IF WE WERE TO ENDEAVOR TO MAKE MORE ARRESTS SO SHERIFF'S DEPARTMENT KENNELS ALREADY DO DO THAT SO THEY CAN MAKE ARRESTS FOR 647 F AND UNDER THE INFLUENCE WHICH THEY DO THEY DO

HAVE A SMALL TEAM OF DEPUTIES ASSIGNED TO DEMAK THAT GO OUT AND DO DO SOME OF THAT WORK AS WELL. I'M NOT I DON'T THINK CADETS WE COULD DO ANYTHING ON THE CADETS FRONT. I MEAN OBVIOUSLY YOU'D HAVE TO

BE A SWORN PEACE OFFICER IN ORDER TO MAKE A YOU KNOW, MAKE A YOU KNOW, PHYSICAL ARREST OF SOMEBODY. >> OKAY. THIS MIGHT BE A QUESTION FOR DIRECTOR CY GIVEN THAT I MEAN ONE OF THE THINGS THAT I

ACTUALLY ME FRAME THIS THIS WAY I'M A FAN OF THE RESET CENTER AND I HAVE BEEN I THINK I'VE BEEN TALKING ABOUT THIS FOR MY TIME HERE IN MY VIEW IN THE DRUG POLICY REALM WE'RE NOW IN THE SYNTHETIC DRUG

ERA AND I THINK THAT THE INTERVENTIONS THAT MIGHT HAVE MADE A DIFFERENCE BACK IN THE GOOD OLD HEROIN DAYS WHEN WE COULD MAKE SUPPLY SIDE INTERVENTIONS THAT WOULD HAVE CONSEQUENCE WHEN WE'RE TALKING

ABOUT A DOSE THAT'S TWO MILLIGRAMS OR LESS THAT'S A FATAL OVERDOSE. >> IT'S A COMPLETELY NEW WORLD. AND I AND WHAT I HAVE HEARD FROM POLICY EXPERTS THAT I'VE TALKED TO IS WE SHOULD EXPECT DIMINISHING

RETURNS ON AND ON THE ON THE SUPPLY SIDE AND THEREFORE I THINK IT REALLY BEHOOVES US TO BE MORE INTENTIONAL AND CONSEQUENTIAL ON THE DEMAND SIDE DRUG USERS AND I KNOW SOMETIMES IN THE DEBATE ABOUT

WHETHER WE SHOULD BE ARRESTING DRUG DEALERS OR DRUG USERS I USED TO HAVE THIS ARGUMENT WITH KEITH SCOTT WHEN HE WAS THERE. I'D RATHER THAT WE ARE ARRESTING DRUG USERS BECAUSE IF WE DO THIS RIGHT WE

MIGHT SAVE THEIR LIVES. SO THAT'S WHY I'M A BELIEVER IN IT. ONE OTHER THING THAT ENCOURAGES ME ABOUT THIS IS WHEN WE HAD THE TENDERLOIN LINKAGE CENTER I THINK WE HAD 100,000 VISITS. MY RECOLLECTION OF

THE NUMBER OF REFERRALS TO SERVICES AFTER THAT WAS ABOUT 1%. >> WHAT WE'RE SEEING RIGHT NOW WITH THE RESEARCH CENTER IS IT'S CLOSE IT'S CLOSING IN ON 40%. NOW THAT DOESN'T MEAN EVERYBODY'S GOING INTO

DRUG TREATMENT BUT THEY'RE GOING TO SOMETHING AND I THINK SOME A GOOD NUMBER OF THEM FROM WHAT I UNDERSTAND ARE GOING INTO DRUG TREATMENT. SO IT IS A MORE CONSEQUENTIAL AND EFFECTIVE INTERVENTION. I'D

LOVE TO GET THAT NUMBER UP. I THINK WE ALL WORK AND I THINK THAT'S WHAT YOU'RE TALKING ABOUT WITH BUPRENORPHINE AND LONG ACTING INJECTABLES BECAUSE WE'RE IN THE PILOT PHASE. YOU MENTIONED THAT THERE'S

SOME HANG UPS BECAUSE IT'S NOT A CLINIC. THERE'S SOME THINGS HANGING OUT FOR THINGS THAT WE WE CAN'T DISTRIBUTE INJECTABLES THERE WOULD IT MAKES SENSE THAT WE'RE GIVEN THAT WE'RE IN THE PILOT PHASE TO

REIMAGINE THE RESEARCH CENTER AS A KIND OF CUSTODIAL CLINIC? >> CAN YOU SAY MORE ABOUT WHAT YOU MEAN BY THAT? >> YEAH. SO IF IF WE WERE TO MEET THE REQUIREMENTS OF THE STATE THAT WE HAVE A PLACE AND

NOW WE'VE GOT A WE IDENTIFY A PLACE THAT HAS A SINK AND WE MOVE THE CHAIRS THERE YOU KNOW MAYBE MAYBE THIS IS SOMETHING THAT'S CLOSER TO S.F. GENERAL RATHER THAN IT MAY IT MIGHT BE THAT PROXIMITY TO

S.F. GENERAL IS MORE APPROPRIATE. IN FACT I THINK NUMERICALLY THERE ARE MORE FROM WHAT I UNDERSTAND FROM THE RESEARCH CENTER THERE ARE MORE TRIPS FROM THE RESEARCH CENTER TO GENERAL THAN THE RESEARCH

CENTER TO THE JAIL. SO AS WE'RE IN THE EARLY DAYS OF THIS, IT MIGHT IT MIGHT BE ELEVATING THAT MAYBE WE SHOULD BE THINKING ABOUT THE RESEARCH CENTER AS MORE OF A MEDICAL KIND OF APPROACH BUT THAT

STILL HAS THE CUSTODIAL INTERVENTION. >> WE'VE STILL GOT SHERIFFS THERE NOW AT THE YOU KNOW, I'M JUST I'M JUST INVITING YOU TO SORT OF THINK IS THERE A WAY TO SOLVE FOR WHAT THE STATE IS DEMANDING OF

US THAT THEY WANT THEY HAVE CERTAIN REQUIREMENTS FOR A SINK AND THINGS THAT THEY NEED TO HAVE TO BE A CLINIC. >> SO I APPRECIATE I JUST WANT BECAUSE IT'S NOT IT'S NOT SO MUCH ABOUT ARE WE PROVIDING

MEDICAL SERVICES OR NOT AND AGAIN I'LL JUST WE HELP SUPPORT THE TREATMENT AND ON THE BACK END THE IT IS A HIGHLY MEDICALIZED ENVIRONMENT MEANING PEERS NURSES CLINICIANS STAFFING THE HEALTH SIDE ON THE

BACK END YOU KNOW VERSUS THE CONTROL OF THE SPACE WITH THE SHERIFF'S WOULD I WOULD DEFER THAT TO LAW ENFORCEMENT COLLEAGUES SO BUT I DO WANT TO EMPHASIZE THAT PIECE ABOUT GETTING PEOPLE QUICKLY AT A

MOMENT OF RESET CONNECTED TO SERVICES, TREATMENT CARE THAT IS THE FOCUS SO TO TAKE CARE OF IT WE HAVE HAD A NUMBER OF DIVERSIONS TO THE EMERGENCY DEPARTMENT THAT IS ACTUALLY FOR FOLKS AS WE'VE LOOKED

INTO IT WITH OUR FIRE COLLEAGUES IT'S A GOOD THING THEY ACTUALLY NEED AND ARE READY FOR DETOX AND PRESENT MANAGEMENT AS WE TALKED ABOUT IN THE TREATMENT ON DEMAND REPORT WITH THE NEW DATA WE HAVE WE

DO PRETTY WELL AT TREATMENT ON DEMAND IN THE CITY FOR MANY SERVICES WHERE WE DON'T DO WELL IS WITHDRAWAL MANAGEMENT BECAUSE AND THAT 41% OF TIME THAT WE DON'T PROVIDE SAME OR NEXT DAY TREATMENT A BIG

PORTION OF THAT IS FOR FOLKS THAT ARE MEDICALLY COMPLEX AND NEED WITHDRAWAL MANAGEMENT A LOT OF THOSE AND WE DON'T ACTUALLY HAVE THAT LEVEL OF CARE IN THE CITY AND COUNTY OF SAN FRANCISCO. WE'VE BEEN

ASKING THE STATE ALSO FOR SOME HELP AND SUPPORT . MOST OF THOSE TRANSFERS TO THE HOSPITAL ARE BECAUSE SOMEONE ACTUALLY NEEDS DETOX AT A MEDICALLY MANAGED LEVEL. THEY OTHERWISE WOULD HAVE BEEN ON THE

STREET NOT GETTING CARE. THEY TRANSFERRED TO THE GENERAL BECAUSE WE ARE PROVIDING THAT LEVEL OF CARE FOR DETOX AT THE GENERAL SINCE THERE'S ANOTHER NOT ANOTHER PIECE. SO I JUST BUT TO YOUR OVERALL I

WANT TO NOTE WE ARE PROVIDING IT NOT THE FOLKS THERE WITH OUR SUPPORT ARE PROVIDING IT IS A PRIMARILY A MEDICAL PEER AND NURSING ORIENTED MODEL THAT IS NOT THE PIECE THAT IS THE HOLD UP. THERE ARE A

RANGE OF SPECIFIC REGULATORY STATUTORY THINGS THAT WE'RE TRYING TO GET THE STATE TO PROVIDE SOME FLEXIBILITY ON. THE AND ANSWER SHOULD BE THOUGH WHEN PEOPLE WANT TREATMENT WHETHER IT'S IN A MOMENT OF

CHANGE LIKE THIS OR WE'VE ENGAGED THEM ON THE STREET AND THEY'RE READY, IT SHOULDN'T BE SO HARD TO GET PEOPLE IMMEDIATELY PLUGGED IN TO TREATMENT. THAT IS WHAT THE GOAL OF WHAT THE DEPARTMENT HAS BEEN

TRYING TO FIX AND IMPROVE ON SUBSTANTIALLY. >> YEAH ANOTHER CATEGORY OF QUESTIONS ABOUT THREE AND A HALF YEARS AGO I BEGAN ADVOCATING FOR A DRUG MARKET INTERVENTION STRATEGY IDEALLY WITH SOMEONE WHO

WAS A NATIONALLY RECOGNIZED EXPERT LIKE DAVID KENNEDY. >> WE ACTUALLY DID DID GO FORWARD WITH SOME OF THIS UNDER THE BREED ADMINISTRATION. I THINK THAT KIND OF GOT SIDETRACKED BUT I ENDED UP NOT

MAKING PROGRESS ON IT. FOR THOSE OF YOU WHO DON'T KNOW, DAVID KENNEDY IS A NATIONALLY RECOGNIZED CRIMINOLOGIST. HE'S AN EXPERT IN DRUG MARKET INTERVENTIONS. HE PLAYED A LARGE ROLE IN THE OBAMA

ADMINISTRATION AROUND MUCH OF THEIR POLICE REFORM AND COMMUNITY ENGAGEMENT WORK. HE FOUNDED AND CHAIRS THE NATIONAL NETWORK FOR SAFE COMMUNITIES. >> HE'S A PROFESSOR AT JOHN JAY COLLEGE OF CRIMINAL

JUSTICE WHERE I DID NOT SUCCEED MY COLLEAGUE AND FRIEND SUPERVISOR MAHMOOD HAS MADE GOOD PROGRESS AND I THINK IDENTIFY ACTUALLY PHILANTHROPIC SUPPORT FOR THIS. I DON'T KNOW IF ANYBODY KNOWS WITH THE

STATUS OF DAVID KENNEDY IS I THINK THAT MAY BE A QUESTION FOR THE MAYOR AND IF YOU DON'T KNOW, THAT'S FINE. BUT WHAT IF ONE QUESTION I WOULD ASK IS IS THERE ANY REASON THAT WE WOULDN'T WELCOME

SOMEBODY WHO IS SORT OF AN OUTSIDE ACADEMIC? >> DAVID KENNEDY WAS THE ONE WHO DEVELOPED THE HIGH POINT INITIATIVE THAT WAS NATIONALLY RECOGNIZED AS AN EFFECTIVE DRUG MARKET INTERVENTION STRATEGY. FROM

WHAT I UNDERSTAND THERE IS NO ONE SIZE FITS ALL AND I THINK EVEN MY CONVERSATIONS WITH DAVID KENNEDY HE SAYS, YOU KNOW, EVERY CITY IS DIFFERENT AND EVERY IS THERE ANY OBSTACLE THAT IN TERMS OF

OPERATIONALLY IF WE IF WE SOMEDAY GET THIS DEAL SIGNED THAT THIS WILL BE UNNECESSARY OR INEFFECTIVE OR GET IN THE WAY? IS THERE ANY REASON THAT THIS WOULDN'T BE SOMETHING THAT WOULD WORK SUCCESSFULLY

HERE IN SAN FRANCISCO? SO TO ANSWER THE FIRST PART OF THE QUESTION IS WE'RE CLOSE. OKAY. WE ARE MOVING FORWARD IN A POSITIVE DIRECTION. SOME CONTRACTUAL THINGS GOING ON. >> WE ARE IN COMMUNICATION

WITH DAVID KENNEDY. I BELIEVE THE LAST COMMUNICATION WAS THIS MORNING. SO THERE IS CONVERSATION. AS FOR THE ACADEMIC PIECE, I THINK IT'S IMPORTANT THAT WE'VE DONE OTHER ACADEMIC WORK. WHEN I WAS IN

THE GUN VIOLENCE WORLD PRIOR TO DIMOCK WE WERE CONNECTED IN WITH THE ACADEMIC WORLD AND IT WAS A DIFFERENT VIEWPOINT. SO I DO THINK THAT IT'S BENEFICIAL THAT YOU KNOW DAVID KENNEDY YOU KNOW, I'VE READ

A LOT OF HIS WORK LIKE YOU HAD MENTIONED EVERY CITY IS DIFFERENT AND EVERY CITY IS NOT LIKE THE TENDERLOIN. BUT WITH THAT SAID, IT DOESN'T MEAN THAT YOU KNOW YOU KNOW THE IDEAS THAT HE COULD BRING

FORWARD THAT WE SHOULD LOOK AT . YEAH. OKAY. THAT'S IT FOR ME. THANK YOU. SUPERVISOR DORSEY AND SUPERVISOR FIELDER THANK YOU CHAIR SARTOR HAVE 56 QUESTIONS AND I'M OBVIOUSLY NOT GOING TO GET TO ALL OF

THEM TODAY BUT I JUST WANT TO REPEAT I THINK IT'S UNACCEPTABLE FOR THE MAYOR'S OFFICE TO BE ABSENT IN THESE CHAMBERS AS THEY MAKE THE DECISIONS AROUND FUNDING AND RESOURCES FOR OUR NEIGHBORHOODS.

THERE ARE COMMUNITY MEMBERS FROM MARSHALL HERE WAITING HOURS TO MAKE PUBLIC COMMENT WHICH REMINDS ME NOT A SINGLE MAYOR'S REPRESENTATIVE WAS AT A QUARTERLY MEETING WITH MARSHALL LAST WEEK. I SAW THE

MAYOR MET WITH TED DANSON TODAY THOUGH. >> THAT'S COOL. MAYBE IF OUR RESIDENTS WERE CELEBRITIES WE'D GET SOME REAL PROGRESS ON THESE ISSUES ANYWAY, FIRST QUESTION I THINK I KNOW THE ANSWER TO THIS BUT

I JUST WANT IT ON THE RECORD AS OF TODAY WHICH DEPARTMENT HAS BEEN DESIGNATED AS ULTIMATELY RESPONSIBLE FOR MANAGING AND RESPONDING TO MISSION CONDITIONS AND THE CONDITIONS ON SURROUNDING STREETS OF

MISSION STREET WHICH I'M SORRY WHICH DEPARTMENTS OR LIKE. SO OBVIOUSLY S.F. PD DOES ALL OF THE WORK THAT WE'RE DOING IN THE MISSION. >> ARE YOU ASKING LIKE WHAT OTHER DEPARTMENTS ARE ALSO WHICH

DEPARTMENT HAS BEEN DESIGNATED AS RESPONSIBLE FOR MANAGING OVERSEEING, RESPONDING AND COORDINATING THE DIFFERENT DEPARTMENTS THAT RESPOND TO MISSION STREET CONDITIONS? >> OH WOULD THAT BE OH OKAY.

THANK YOU AGAIN. I KNEW THAT IT'S JUST FOR THE RECORD FOR QUESTIONS ABOUT ENFORCEMENT SHOULD I DIRECT MY QUESTIONS TO TWO AS A PD RATHER THAN OH OKAY SO MY OFFICE HAS RECEIVED MANY EMAILS FROM

CONSTITUENTS ALONG MISSION STREET ON SIDE STREETS OF MISSION STREET SINCE THE 90 DAY ENFORCEMENT PUSH BEGAN IN JUNE . WHAT IS DIFFERENT? WHAT WAS DIFFERENT IN THIS PUSH NOW VERSUS BEFORE DEDICATED

OFFICERS TO THE CORRIDOR A DEDICATED LIEUTENANT TO OVERSEE AND COORDINATE ALL OF THE ONE LAW ENFORCEMENT EFFORTS ALSO TO THE DP, THE DPW, A LEGAL VENTING EFFORTS AS WELL. SO WE WE SHIFTED RESOURCES TO

MISSION STATION AND WE PUT HIGHER LEVEL OF COMMAND AS OVERSIGHT. OKAY. THANK YOU. AND AGAIN, I THINK I KNOW THE ANSWER TO THIS BUT I JUST WANT AN ON RECORD IS THE 90 DAY PUSH BEING EXTENDED BEYOND 90

DAYS? >> IT ALREADY HAS BEEN. YES. THANK YOU. IS THE CITY TRACKING WHERE DRUG ACTIVITY IS MOVING? >> IF SO, HOW SO THAT'S A VERY DIFFICULT QUESTION AND THE WAY WE TRACK SHIFTING OF DRUG ACTIVITY WHEN

WE TALK ABOUT DRUG DEALING OR DRUG USERS BUT THEY BOTH GO HAND IN HAND REALLY IS THAT WE HOW WE DO IT DOWN IN THE DEMAK AREA AND I'LL TALK A LITTLE BIT ABOUT THE MISSION AS WELL IS THAT WE CONTACTED

ONLY THREE TIMES A DAY OR DRIVING AROUND OUT ON THE STREETS TO SEE THE ACTUAL SHIFT OURSELVES. OBVIOUSLY COMMUNITY COMPLAINTS 911 COMPLAINTS I'M SORRY NONEMERGENCY COMPLAINTS AS WELL AS YOU KNOW 311

YOU KNOW TICKETS THAT WE THAT WE LOOK AT FOR ENCAMPMENTS SO IT'S A COMBINATION OF EVERYTHING I MEAN I WAS GOING TO SAY THERE IS NO WAY RIGHT NOW TO REPORT PUBLIC DRUG USE THROUGH THE 311 APP. >> THERE

IS A WAY TO REPORT ENCAMPMENTS ARE 911 REPORTS THE ONLY WAY YOU ARE TRACKING DRUG ACTIVITY IN ADDITION TO DRIVING AROUND YEAH SO IT'S IT'S IT'S SO YOU'RE CORRECT 311 DOES NOT HAVE AN OPTION TO REPORT

DRUG USAGE IN THE APP I BELIEVE THEY'RE WORKING ON IT BUT I DON'T I'M NOT 100% SURE AND THEN OF YOU KNOW CRIME DATA AS WELL WITH OUR ARRESTS AND ALSO NON-EMERGENCY CALLS 911 CALLS AS WELL IS THERE

ANYONE IN THE IN THE CHAMBERS WHO CAN ANSWER IF THERE IS AN EXPLORATION OF BEING ABLE TO REPORT PUBLIC DRUG USE IN 311? >> YES, THERE IS. WE'VE BEEN ACTUALLY SINCE WE STARTED THE MISSION WORK WE'VE

BEEN WORKING ON THE WORKFLOWS FOR 311 AND 911 NON-EMERGENCY JUST BATTERING BATTERING THEM AND THIS ONE IS ON THE LIST AND JUST YESTERDAY WE SAW A DEMO WHERE A POP UP WILL HAPPEN WHEN SOMEBODY WANTS TO

DO A311 TICKET FOR A DRUG USAGE THERE WILL BE A POP UP TO CALL A SPECIFIC NUMBER WHERE THIS IS GOING INTO THE BIG PULL PULL OF 311 AND THAT IS ACTUALLY GOING TO BE ACTIVE IN THE NEXT FEW WEEKS FOR

TESTING. >> OKAY. I'M SO GLAD TO HEAR THAT AND I KNOW TRACKING IS GOING TO BE PROBABLY A PAIN POINT FOR ALL OF US BUT I THINK IT'S PRETTY PARAMOUNT TO MEASURING OUR SUCCESS IN DIFFERENT NEIGHBORHOODS.

SO I REALLY APPRECIATE THAT. THANK YOU. >> DEPUTY CHIEF BIGGS, CAN YOU GO CAN WE GO BACK TO THE SLIDE THAT SHOWS THE PREVENT DISRUPT CLEAR AND HOLD AND TREAT SLIDE YEAH CIRCLES THAT ONE. >> THANK YOU.

I THINK IT WAS ONE SLIDE BEFORE THIS. >> YES. WHAT DOES REDUCE EXPOSURE VULNERABILITY AND THE CONDITIONS THAT ALLOW MARKETS TO TAKE HOLD WHAT DOES THAT MEAN REDUCE EXPOSURE VULNERABILITY? >> I MEAN I

THINK I WOULD MAYBE ASK YOU TO TAKE THAT QUESTION IF THERE'S PREVENTION FROM A LAW ENFORCEMENT SIDE AND THEN I TOUCH ON THERE'S PREVENTION FROM A HEALTH CARE SIDE SO I DON'T I'M HAPPY TO TALK ABOUT

THAT HEALTH CARE PIECES OF WHICH ACCESS TO MENTAL HEALTH SERVICES TIMELY IS A BIG PIECE ACCESS TO PRIMARY CARE WE'VE BEEN WORKING WITH HCA AND HCA AND THEN ON AT LEAST FOR THE THINGS THAT WE ARE ABLE

TO INFLUENCE FROM A ACCESS TO HOUSING STANDPOINT. SO SOME OF THOSE FUNDAMENTAL THINGS OF STABILITY AND MAKING SURE WE ARE PREVENTING FOLKS FROM FROM A CLINICAL STANDPOINT GOING DOWN THAT SO THE HEALTH

DEPARTMENT SIDE IS YOU KNOW WE CARE ABOUT UPSTREAM PREVENTION BEFORE SOMEONE IS REALLY SUFFERING FROM DRUG ADDICTION INTO YOURS. SO THAT'S HOW WE WOULD ANSWER FROM A HEALTH STANDPOINT THINGS BEYOND

HEALTH I WOULD DEFER TO OUR PUBLIC SAFETY COLLEAGUES. >> THANK YOU. I THINK I THINK IT SOUNDS LIKE THERE IS THE DOUBLE THE TWO MEANINGS OF PREVENTION AND I JUST WANTED TO ELUCIDATE BOTH. >> SO FOR THE

SECOND PART OF THAT SLIDE IT ALSO SAYS MAKING DRUG MARKETS LESS CONVENIENT AND MORE CONSEQUENTIAL TO OPERATE. >> WHAT IS WHAT DO YOU MEAN BY THAT? >> WHAT IS THE DISRUPTION TO TWO PART FOCUSING ON

DRUG TRAFFICKING AND AND THEN ALSO FOCUSING ON DRUG USAGE AND I MEAN I GUESS IT WOULD BE THREE PART AND THEN ASSISTING DPW OF AN ILLEGAL A DPW INSPECTORS ON THE ILLEGAL VENDING FRONT I THINK I'D

MENTIONED IT'S LIKE AN ECOSYSTEM THAT FEEDS INTO TO EACH ONE. SO TO REALLY COMBAT IT ON ALL FRONTS. >> OKAY. THANK YOU. YOU SHARED A STORY OF STEPPING OUTSIDE A POLICE STATION AND SEEING PEOPLE

VENDING STOLEN GOODS, SELLING DRUGS, USING DRUGS IN FRONT OF POLICE OFFICERS. I WOULD SAY MY CONSTITUENTS TELL ME ALL THE TIME THAT IS STILL HAPPENING. >> AND I HEARD I HEARD A COUPLE OF THINGS YOU

SAID PROP 47 PASSED YEARS AGO WHICH RECLASSIFIED CERTAIN NONVIOLENT LOW LEVEL DRUG AND PROPERTY CRIMES FROM FELONIES TO MISDEMEANORS WHICH HAMPERED LAW ENFORCEMENT TO BE ABLE TO RESPOND TO TO PUBLIC

DRUG USE. >> SO NOT NECESSARILY TO RESPOND BUT PRIOR TO PROP 47 A FELONY ALLOWED US TO MAKE A CUSTODIAL ARREST. PROP 47 MADE IT A MISDEMEANOR SIGHT AND A RELEASE OFFENSE OUT ON THE STREET. >> OKAY.

AND IT IS STILL IT CURRENTLY TODAY IT'S STILL ILLEGAL TO USE OR SELL DRUGS IN PUBLIC. CORRECT? OKAY. IN ANY CASE, ENFORCEMENT IS A SHORT TERM SOLUTION NECESSARY? I WOULD SAY AND SHORT TERM TREATMENT

ON THE OTHER HAND IS ALSO NOT OVERNIGHT. IT'S MONTHS YEARS LONG JOURNEY FOR SOMEONE TO BE IN RECOVERY FROM ADDICTION TO DAY. >> I HAVE AN ACCOUNT FROM MY INBOX FROM A SOCIAL WORKER AT MARSHALL

TIMESTAMPED YESTERDAY AFTERNOON WITH ACCOMPANYING PICTURES THAT PEOPLE WERE USING DRUGS ON THE SIDEWALK UNDER A CLASSROOM WINDOW. THE SOCIAL WORKER WENT TO THE OFFICER IN HIS CAR ACROSS THE STREET AND

THE OFFICER DROVE AWAY WITHOUT ADDRESSING THE SCENE GENUINELY LIKE GENUINELY I WANT TO UNDERSTAND AND WHAT DO YOU THINK WAS GOING THROUGH THE OFFICER'S MIND AND WHAT DO I TELL MY CONSTITUENTS WHEN

THIS HAPPENS BECAUSE IT IS NOT THE FIRST TIME THAT THIS HAS HAPPENED. YEAH. SO I THINK I THINK MY RESPONSE TO THAT WOULD BE ONE I WOULD PROBABLY NEED MORE INFORMATION ON THE ACTUAL SPECIFIC INCIDENT

TO FIGURE OUT EXACTLY WHY THE OFFICER DIDN'T ADDRESS WHAT WAS PRESENTED TO HIM OR HER. BUT I WILL FOLLOW UP SAYING THAT, YOU KNOW, IT IS UNACCEPTABLE FOR OUR OFFICERS NOT TO TAKE ACTION WHEN ASKED

UPON AND YOU KNOW, WE INSTILL THAT IN ALL OF OUR OFFICERS THAT WORK FOR US FROM, YOU KNOW, RECRUIT ENTRY LEVEL INTO THE POLICE DEPARTMENT. YOU KNOW, WE HAVE A DUTY TO SERVE AND EXCUSE ME WE HAVE A

DUTY TO SERVE AND YOU KNOW, AGAIN, I WOULD HAVE TO LOOK LIKE I WOULD HAVE TO GET INTO THE WEEDS A LITTLE BIT OF EXACTLY WHAT HAPPENED DURING THAT INCIDENT. YOU KNOW, WE DO RECEIVE A LOT OF YOU KNOW,

WE DO RECEIVE A LOT OF THESE TYPES OF COMPLAINTS. SO ON THE SURFACE WHAT YOU'RE SAYING IS UNACCEPTABLE WITHOUT HAVING MORE INFORMATION. >> OKAY. >> WHAT HAPPENS WHEN SOMEONE IS ARRESTED FOR DRUG USE?

>> ARE THEY BOOKED TO JAIL? MAYBE THIS IS ALSO A QUESTION FOR DISPATCH HOW MANY OF THOSE BOOKED INTO JAIL AGREE TO MOU D SO SOMEONE THAT IS ARRESTED FOR BEING UNDER THE INFLUENCE OR USING NARCOTICS IN

PUBLIC IS A MISDEMEANOR SIZABLE OFFENSE BUT IF THEY'RE UNABLE TO CARE FOR THEMSELVES THEN IT TURNS INTO A CUSTODIAL ARREST AND AT THIS POINT IN TIME WOULD BE A TRANSPORT TO RESET REGARDING THE THE AND

I HAVE QUESTIONS ABOUT THE RESET CENTER FOR DOWN THE ROAD FOR D P H REGARDING THE HOLD STRATEGY I WOULD SAY WE'RE NOT FEELING THAT IN THE MISSION. >> I GENUINELY WANT TO KNOW IF WE HAVE MORE OFFICERS

DEDICATED TO MISSION STREET OR THE MISSION WHY CAN'T WE HAVE MORE OFFICERS ON FOOT DOING COMMUNITY POLICING? IT BOILS DOWN TO STAFFING. WE JUST DON'T HAVE AN SO AND THE HOLD STRATEGY IN THE TENDERLOIN

SOMA AREA IS LEVERAGED THROUGH AMBASSADORS HOLDING THE SPACE SO PRIMARILY LAW ENFORCEMENT GOES IN AND CLEARS IT. DPW FOLLOWS WITH CLEANING AND THEN WE OVERLAY AMBASSADORS TO KIND OF HOLD SPACE.

OBVIOUSLY WE WORK WITH OUR AMBASSADOR GROUPS OUT ON OUT IN THE CITY AS WELL. SO IF THEY HAVE ISSUES OR PROBLEMS OR THEY FEEL LIKE YOU KNOW ACTIVITIES RETURNING TO AN AREA THEN WE'RE ABLE TO QUICKLY

ADJUST AND PIVOT AND RESPOND AND DEAL WITH SITUATIONS. >> OKAY. THANK YOU. REGARDING MARKET MIGRATION QUOTE THAT WAS IT WAS IN THE SLIDES WHAT IS REAL TIME INTELLIGENCE AND THIS WAS IN THE CONTEXT OF

LAW ENFORCEMENT TRYING TO PREVENT MARKET MIGRATION I THINK I THINK WHAT WAS MEANT BY THAT IS JUST REAL TIME INFORMATION FROM EITHER OFFICERS ON THE STREET OR COMMUNITY MEMBERS ON THE STREET LIKE REAL

TIME INFORMATION ON ACTIVITY SHIFTING INTO DIFFERENT NEIGHBORHOODS. >> OKAY. BUT YOU'RE NOT ABLE TO REALLY FOLLOW THAT UNTIL YOU HAVE PROPER STAFFING, NOT ABLE TO BE ABLE TO FOLLOW THE MARKETS. YOU'RE

NOT KEEPING UP. YOU SAID THAT WE'RE NOT AS FAST AS THE MARKETS THAT ARE MOVING. >> YEAH I MEAN SO YES SO EXAMPLE WOULD BE WE COULD USE MISSION BART PLAZAS FOR AN EXAMPLE FOR THE AFTER THE LAST 90 DAY

PUSH OBVIOUSLY I BELIEVE THAT YOU KNOW WE'VE ALL BEEN RECEIVING COMPLAINTS REGARDING SMALLER POCKETS OF INDIVIDUALS IN DIFFERENT NEIGHBORHOODS THAT PEOPLE HAVE NEVER SEEN BEFORE. WHEN IT BREAKS UP

LIKE THAT IT'S BENEFICIAL FOR THE STREET TEAMS AND ALSO FOR THE R H SOC OFFICERS TO GO OUT AND DEAL WITH SMALLER GROUPS ONE POINT BUT WHEN IT BREAKS UP IN SO MANY AREAS WE CAN'T BE EVERYWHERE ALL THE

TIME SO WE HAVE TO PICK A CERTAIN AREA AND DO WORK IN THAT AREA OVER TIME. >> OKAY. THANK YOU SO MUCH. THOSE ARE ALL MY QUESTIONS RELATED TO ENFORCEMENT FOR NOW MY NEXT QUESTIONS ARE FOR DIRECTOR CY

REGARDING TREATMENT . >> I DID READ THE TREATMENT ON DEMAND REPORT BUT I WE HAVE ANOTHER HEARING FOR THAT. CORRECT. OKAY. I'LL SAVE A LOT OF THE QUESTIONS FOR THAT BUT SOME OF THIS IS RELEVANT TO THE

HEARING TODAY. I WANTED TO KNOW AND I THINK YOU TOUCHED ON THIS BEFORE YOU CAN'T STORE BUPRENORPHINE FREE AND OR METHADONE AT THE RESEARCH CENTER CORRECT? >> CORRECT. OKAY. YOU MENTIONED PEOPLE BEING

LINKED TO TREATMENT. WHAT PERCENTAGE OF PEOPLE ARE LINKED TO TREATMENT AND WHAT DOES LINKED TO TREATMENT MEAN SO ROUGH BETWEEN AGAIN THE SHERIFF'S OFFICE AND THE PROVIDER OF LOOKING THROUGH A FEW OF

THE DATA POINTS BUT I WOULD SAY SOMEWHERE BETWEEN 25 TO 35% OF PEOPLE THAT ARE AT RISK THAT ARE NOT ONLY PRESENTED WITH A RANGE OF TREATMENT AND SERVICE OPTIONS BUT ACTUALLY AGREE TO ACCEPT THOSE THEN

THERE BECOMES THE PIECE ABOUT TRANSPORTATION FOR US IN THE H ABOUT I DON'T WANT TO QUOTE AN EXACT NUMBER BECAUSE WE'RE STILL LOOKING THROUGH THE DATA BUT A GOOD PORTION BUT NOT EVERYONE MAKE IT TO THE

FINAL SITE BECAUSE WE DO HAVE TRANSPORTATION ISSUES THAT WE WOULD LIKE TO WORK TOGETHER TO SOLVE TO TO GET FOLKS QUICKLY INTO SERVICES. THE MOST COMMON AREAS WHERE FOLKS ARE DIRECTLY GETTING CONNECTED

TO TREATMENT ARE FOR A RANGE OF ACTUALLY MEDICATION BUPRENORPHINE AND OTHERS AT A RANGE OF CLINICS THROUGHOUT THE CITY FOR THAT INCLUDES SOME OF THE UCSF CLINICS H CLINICS WHERE PEOPLE CAN START

BUPRENORPHINE LONG ACTING OR NON LONG ACTING. THERE'S A FAIR NUMBER OF FOLKS THAT ACTUALLY GO TO THE ALCOHOL OR SCOPE THE SOBERING CENTER WE RUN WHERE THEY CAN ALSO START BUPRENORPHINE THERE AND GET

PLUGGED INTO TREATMENT. >> THERE ARE A SET OF FOLKS THAT ARE GOING INTO WITHDRAWAL MANAGEMENT AND RESIDENTIAL TREATMENT ALTHOUGH AS I NOTED, ONE OF THE GAPS THAT WE HAVE IN THE TREATMENT ON DEMAND

PIECE WE DO HAVE BEDS STILL AVAILABLE. ANY GIVEN DAY ON FOR DETOX WITHDRAWAL MANAGEMENT STATE LICENSURE DOES NOT ALLOW ANY OF OUR CURRENT PROVIDERS IN SAN FRANCISCO TO CARE FOR FOLKS THAT ARE REQUIRE

A BUNCH OF MEDICAL COMPLEXITY AT THE SAME TIME WE THINK THAT DOES NOT MAKE SENSE BECAUSE OTHERWISE THESE FOLKS ARE NOT GETTING ANY CARE AT ALL. BUT THAT IS A GAP AND SO RIGHT NOW THOSE FOLKS ARE BEING

TAKEN FROM RESET VIA AMBULANCE TO SAN FRANCISCO GENERAL AND GETTING SOME OF THE CARE THAT THEY NEED THERE FOR WITHDRAWAL MANAGEMENT AND DETOX. MANY OF THE FOLKS COMING IN HAVE QUITE A BIT OF CLINICAL

CONDITIONS AND THEY'RE ABLE TO RECEIVE CARE EITHER AT RESET OR AT THE GENERAL LIKE I MENTIONED AT THE IN WHEN THERE ARE DIVERSIONS THE GENERAL IS THAT THE POPULATION THAT HAS A DIFFERENT OR GREATER

CLINICAL NEED WHEN REFERRING TO RESIDENTIAL ADDRESS MANAGEMENT MEANT NO THAT SO THOSE ARE TWO DIFFERENT TOPICS I'M SORRY TO WELL RESET ASIDE WHEN YOU LOOK AT THE TREATMENT ON DEMAND REPORT AND SEE

THAT 41% OF PEOPLE WHO RAISE THEIR HAND FOR WITHDRAWAL MANAGEMENT AND DETOX WERE NOT OFFERED SAME OR NEXT DAY TREATMENT A BIG PORTION OF THAT IS FOR THAT YES THE CLIENT ACUITY MEDICAL NEED TO HIGH IT

EXCEEDS WHAT THOSE PROVIDERS ARE ALLOWED BY STATE LICENSURE TO BE ALLOWED TO DO. WE DON'T HAVE ANY SITES IN SAN FRANCISCO LICENSED TO BE ABLE TO PROVIDE THAT HIGHER LEVEL OF CARE UNLESS THEY GET TAKEN

TO THE HOSPITAL MAINLY THE GENERAL. AND SO WE THINK THAT IS A MAJOR GAP. IT IS A ONE OF THE BIGGEST ASKS WE HAVE OF THE STATE AT THIS MOMENT. >> THE OTHER IS WHEN YOU HAVE FOLKS WITH DUAL DIAGNOSIS

SUBSTANCE USE DISORDER AND SERIOUS MENTAL ILLNESS AND THERE ARE FOLKS WHO ARE NOT THERE NOT ENOUGH PSYCHIATRIC SERVICES AT THE EXISTING RESIDENTIAL TREATMENT SITES AND SO WE ARE STANDING ONE OF THOSE

UP THIS COMING YEAR WITH SOME STATE FUNDING SUPPORT THAT CAN BOTH SUPPORT SUBSTANCE USE AND PSYCHIATRIC CARE CONCURRENTLY AND RESIDENTIAL TREATMENT. >> OKAY. I DEFINITELY WILL PROBABLY FOLLOW UP AFTER

THIS HEARING TO GET MORE COLOR ON THE 25 TO 35% THAT ARE ACCEPTING TREATMENT AT THE RECENT CENTER, WHAT PERCENTAGE OF PEOPLE ARE STARTING DRUG TREATMENT AT THE SOBERING CENTER AT THE AT THE SOBERING

CENTER PEOPLE ARE COMING IN FOR A RANGE OF REASONS AROUND THAT SO IT HISTORICALLY WAS THE ALCOHOL SOBERING CENTER AND AS OF RECENT WE HAVE ALSO ADDED OPIOID USE IN POST OVERDOSE CARE AND 24 SEVEN

FOLKS CAN START LONG ACTING BUPRENORPHINE THERE. BUT I THINK THAT THE LESS RELEVANT NUMBER IS THE PERCENT BECAUSE THERE ARE STILL A FAIR NUMBER OF FOLKS GOING THERE FOR ALCOHOL. SOBERING WHICH IS A

DIFFERENT CLINICAL PATHWAY. >> OKAY. >> AND THEN WHAT PERCENTAGE OF PEOPLE ARRESTED AND TAKEN TO JAIL FOR DRUG USE ARE STARTING TREATMENT IN JAIL? WE CAN GET THAT EXACT NUMBER. WHAT I CAN TELL YOU IS

THE FLIP WHICH IS 40% OF OUR NEW STARTS BUPRENORPHINE STARTS IN THE CITY IN JULY OF THIS YEAR WERE STARTED IN THE JAIL. SO OUR JAIL HEALTH TEAM PROVIDES AMAZING CARE IN THE JAIL THAT WOULD RATHER

PROVIDE CARE IN THE COMMUNITY AND THEY ARE THERE IN THE JAIL WHEN FOLKS ARE BROUGHT THERE EVERY SINGLE PERSON IS OFFERED NOT ONLY BUTTE BUT THE TEAM THERE HAS PIONEERED ACTUALLY BEING ABLE TO START

PEOPLE ON LONG ACTING INJECTABLE BUPRENORPHINE AS WELL WHICH HAS SOME BENEFITS. SO ABOUT 40% OF OUR NEW BOOK STARTS ACROSS THE ENTIRE CITY IN JULY OF THIS YEAR WERE IN THE JAIL. >> OKAY. THANK YOU.

AND THEN YES, MORE PEOPLE ARE STARTING TREATMENT BUT THE SIX MONTH RETENTION FOR INDIVIDUALS NEWLY STARTING MEDICATION FOR OPIOID USE DISORDER IS LARGELY THE CURVE. IT'S A DOWNWARD CURVE. YES. THAT IS

LARGELY OVERLAPPING FOR THE YEAR 2324 WHICH IS ONE LINE AND THEN ANOTHER IS 2425 AND THAT DEPICTS THE FALL OF THAT WE'RE HAVING WITH PEOPLE IN TREATMENT AND WE KNOW THAT RELAPSE AS A PART OF RECOVERY

IS LONGER LASTING INJECTABLE BUPRENORPHINE THE STRATEGY THE CITY IS RELYING ON TO MITIGATE THAT FOLLOW FOR SIX MONTH RETENTION OR IS THERE SOMETHING ELSE NOT THE ONLY IT'S ONE PIECE BUT AS IN MOST

THINGS IN HEALTH CARE YOU NEED YOU NEED TO YOU NEED TO BRING OUT EVERY TOOL THAT YOU HAVE. SO WHAT WE'VE SEEN FOR A LONG ACTING INJECTABLE BUPRENORPHINE IS AT THE 30 DAY MARK. THE RETENTION RATE IS

ROUGHLY DOUBLE BECAUSE AND WE'VE HAD SOME OF OUR ACTUAL PATIENTS AND CLIENTS WHO ARE SUCCESSFULLY IN RECOVERY HAVE ACTUALLY STARTED LONG ACTING AT THE SOBERING CENTER AND OTHER PLACES. DESCRIBE WHY

THE LONG ACTING WAS SO MUCH EASIER AND BETTER FOR THEM BOTH IN THE WAY IT FELT AS YOU START IN THE DOSING PROTOCOL WE HAVE ALSO JUST HAVING ONE INJECTION PER MONTH ON THAT INSTEAD OF A DAILY FOR THOSE

PIECES. BUT PRELIMINARY DATA WE HAVE HAS TWICE THE RETENTION RATE AT THE 30 DAY MARK THAN NON LONG ACTING INJECTABLE BUPRENORPHINE AND THEN I KNOW CONTINGENCY MANAGEMENT IS PROVEN FOR STIMULANT USE

DISORDER. >> HAS THERE BEEN ANY RESEARCH ON FOR OPIOID USE DISORDER AND COMBINING THAT WITH YES SO I WOULD CLARIFY CONTINGENCY MANAGEMENT AS A TOOL. SO FOR RIGHT PROGRAMS WHERE YOU'RE PROVIDING CLEAR

REWARDS AND INCENTIVES FOR CERTAIN POSITIVE BEHAVIORS THAT IS AN EVIDENCE BASED PRACTICE NOT LIMITED JUST TO STIMULANT USE. THE FEDERAL GOVERNMENT DID APPROVE ALL OF CONTINGENCY MANAGEMENT FOR THE

STATE. STATE MEDICAL HAS CHOSEN TO ONLY COVER THAT FOR STIMULANT USE. WE ALSO RUN AND SO WE ARE RUNNING A RANGE OF CONTINGENCY MANAGEMENT PROGRAMS BEYOND JUST STIMULANT USE AND KIND OF EXPLORING MORE

OF THOSE. BUT WE THINK THE EVIDENCE IS THERE FOR THAT AS A REINFORCING SUPPORT IT ON A RANGE OF DIFFERENT THINGS. WE THINK THAT'S A REALLY IMPORTANT COMPLEMENT TO HELP PEOPLE LIKE THE GOAL IS GET

PEOPLE INTO TREATMENT, HELP PEOPLE STAY ON THAT IN THEIR PATH TO RECOVERY THAT'S MAKING IT EASIER TO GET INTO TREATMENT AND IT'S USING TOOLS LIKE CONTINGENCY MANAGEMENT TO HELP PEOPLE STICK IN

TREATMENT. TODAY IN AN ARTICLE ON A NEW DRUG PSYCHOLOGY IN THE DEPARTMENT OF PUBLIC HEALTH SAID QUOTE WE WANT PEOPLE TO KNOW THE SAFEST CHOICES TO ABSTAIN FROM DRUG USE. >> I WAS HONESTLY DISAPPOINTED

TO SEE THAT AND I WANTED TO ASK IS THAT SERIOUSLY THE DEPARTMENT'S UNDERSTANDING OR GOAL FOR DRUG ADDICTION IS TO HAVE NO DRUG USE IN THE CITY? NO, I BELIEVE THEY PULLED THAT FROM A HEALTH ADVISORY WE

WROTE SPECIFICALLY ABOUT PSYCHOLOGY. WE WERE NOT ASKED TO COMMENT ON THAT ARTICLE. I CAN PROVIDE THE HEALTH ADVISORY WE WENT THROUGH. WE SAID CHLORINE IS SO POTENT SO TEN TIMES MORE POTENT THAN

FENTANYL FOUND IT IN COUNTERFEIT PILLS, HAD A LOT OF QUESTIONS CAN YOU TELL FROM INCLUDING FROM YOUTH HOW DO I KNOW IF THIS DRUG IS LACED WITH CHLORINE OR NOT? AND OUR MAIN MESSAGE IS THAT WE SAID IN

THE HEALTH ADVISORY FROM OUR HEALTH OFFICER WERE ONE PILL CAN KILL. YOU DON'T KNOW IF ANY YOU DON'T KNOW IF A COUNTER YOU DON'T KNOW IF A PILL IS COUNTERFEIT ONLY TAKE A PILL IF IT'S BEEN PRESCRIBED

TO YOU BY A BUYER, BY A CLINICIAN AND YOU PICKED UP FROM A PHARMACY AROUND THAT AND THE SAFEST WAY TO AVOID THIS WAS AROUND THE SITE CHLORINE HEALTH ADVISORY IS TO NOT TAKE A COUNTERFEIT PILL. >> SO

WE WERE NOT ASKED TO COMMENT ON THAT ARTICLE. I BELIEVE THOSE THINGS WERE PULLED STRAIGHT OUT OF A HEALTH ADVISORY WE HAD THERE WAS SPECIFICALLY AROUND SITE CHLORINE AND I WOULD ALSO SAY WE DO ALL OF

US EVERY CLINICIAN I HAVE WOULD SAY THE GOAL IS TO HELP PEOPLE ON THEIR PATH OF TREATMENT AND RECOVERY AND OF COURSE TO BE ABLE TO HELP PEOPLE NOT USE AND SO THAT IS A THAT IS A GOAL OF THE HEALTH

DEPARTMENT THAT SPECIFIC SENTENCE JUST TO ADDRESS THAT WAS PULLED STRAIGHT FROM A HEALTH ADVISORY ON SITE COUGHING OKAY. THANK YOU FOR THE CLARIFICATION . I LET'S SEE SO IN THE CHRONICLE TODAY IT SAID

THAT OFFICIALS ESTIMATE THERE ARE ABOUT 37,000 CITY RESIDENTS STRUGGLING WITH DRUG ADDICTION AND IN THE MAJORITY OF THEM ARE HOUSED. >> AND IT ALSO SAID EXPERTS SAY LOW LEVEL DRUG ARRESTS ARE

GENERALLY NOT EFFECTIVE TO GET MOST USERS OFF THE STREETS AND LOCKING UP DEALERS DOESN'T DO MUCH AS THEY REPLACE PRETTY QUICKLY. AND THE STORY OF RORY AND THE PRESENTATION THOUGH I APPRECIATE IT

DOESN'T APPLY TO MOST PEOPLE WHO ARE STRUGGLING WITH DRUG ADDICTION IN THE CITY BECAUSE THE MAJORITY OF THEM ARE HOUSED IN THE VISION IS THE VISION THAT PEOPLE USING DRUGS IN PUBLIC EITHER CYCLE

THROUGH THE SOBERING CENTER THE 20 THE SEVERAL DOZEN BEDS AT THE RESET CENTER OR JAILS AND BE CONNECTED TO TREATMENT THAT WAY. HOW IS THE CITY REACHING 37 THOUSAND RESIDENTS OR WHAT'S KIND OF THE GOAL

THERE? >> SO WITHIN THE SYSTEM OF THE THE KIND OF PUBLICLY COVERED AND ALSO FOLKS THAT WE MUST THE NUMBER IS LOWER THAN THAT THAT IS THERE'S A THERE'S A PAPER ON THAT THAT'S GETTING REALLY SOON ALSO I

WANT TO BE REALLY CLEAR THE GOAL OF THE HEALTH DEPARTMENT HAS BEEN VERY CLEAR WE WANT TO GET PEOPLE SUCCESSFULLY INTO TREATMENT, SUSTAINED TREATMENT AND RECOVERY AND I THINK AT ONE ACTION MAYBE THE

TREATMENT ON DEMAND HEARING LAST YEAR WE WENT THROUGH A WHOLE BUNCH OF DIFFERENT PILLARS OF THAT MORE TREATMENT CAPACITY REMOVE THE BARRIERS TO GET INTO CARE, HELP PEOPLE SUSTAIN AND TREATMENT AND

MOVE FROM ONE SETTING TO ANOTHER MORE EFFECTIVELY. WE DO THAT WELL IN SOME PLACES NOT AS WELL IN OTHERS AND REALLY IMPORTANTLY THOSE APPROACHES THAT I'M MENTIONING SPAN WHETHER YOU ARE HOUSED OR NOT

HOUSED AS WELL. SO WE DO RECOGNIZE THAT MANY OF THE FOLKS WE WORK WITH SOME ARE HOUSED, SOME ARE UNHOUSED AND SOME OF THAT ARE HOUSED ARE IN PERMANENT SUPPORTIVE HOUSING. >> SOME ARE NOT. >> THANK

YOU. REGARDING THE STATE RESTRICTIONS ON STORING METHADONE AND BUPRENORPHINE, ONE OF THOSE CONVERSATIONS WITH STATE LEGISLATORS BEEN LIKE ARE THEY ARE THEY WITH OUR OWN STATE DELEGATION? >> THEY ARE

DIRECTLY WITH THE STATE CAL HHS AND THE OTHER RELEVANT STATE DEPARTMENTS THAT OVERSEE THE REGULATIONS FOR THOSE AND BUPRENORPHINE AND METHADONE ARE TWO DIFFERENT ISSUES. THEY'RE ALL DEA CONTROLLED

SUBSTANCES. METHADONE HAS VERY SPECIFIC REGULATIONS FOR WHERE AND HOW YOU CAN DISPENSE THEM. THEY CAN ONLY BE IN CERTAIN WHAT WE CALL THEM OTTPS OPIATE TREATMENT PROGRAMS THE GENERAL HAS ONE, WE HAVE

A FEW OTHERS. BUPRENORPHINE IS GOVERNED BY A RANGE OF SOME OF THESE STATE INTERSECTING REQUIREMENTS THAT WE HAVE ASKED FOR SOME FLEXIBILITY BECAUSE WE DON'T THINK THEY APPLY AND THEY ARE BARRIERS TO

GETTING PEOPLE CARE QUICKLY. >> OKAY. THANK YOU. UM I GUESS THIS QUESTION IS FOR ANY OF THE DEPARTMENTS PERHAPS OR D WHAT SHOULD A PARENT BUSINESS OWNER OR RESIDENT DO WHEN THEY ENCOUNTER ACTIVE DRUG

USE ON THE STREET? I MEAN I SO I THINK YOU KNOW, WE ARE TRYING TO SUPPORT EDUCATION IN THE COMMUNITY ABOUT WHAT ARE THE TOOLS AVAILABLE TO BUSINESSES PARENTS, SCHOOLS WE ARE AS I MENTIONED IMPROVING

THE 311 SYSTEM SO THAT IT IS EASY ACCESS TO TO REPORT DRUG USE THROUGH 311. >> OKAY. >> THANK YOU. >> WE HAVE HAD SITUATIONS WHERE CHILDREN HAVE ENCOUNTERED DISCARDED NEEDLES. WHAT IS THE CITY'S

PROTOCOL FOR RESPONDING TO THESE HAZARDS AND HOW QUICKLY SHOULD CONSTITUENTS EXPECT A RESPONSE ? OH WE IT'S A MULTI DEPARTMENT RESPONSE AROUND THAT WE HAVE A SET OF CITY DEPARTMENTS INCLUDING DPW AND

OTHERS THAT HAVE BEEN A HUGE SUPPORT. WE ALSO CONTRACT WITH THE SAN FRANCISCO AIDS FOUNDATION FOR SYRINGE PICKUP AND I WAS JUST TALKING TO ONE OF THE FOLKS FROM MARSHALL AROUND SYRINGES THAT HAVE BEEN

SEEN RIGHT AROUND THERE AND SO ONE OF THE FOLLOW UPS AND COMMENTS WE HAVE IS TO WORK COLLABORATIVELY WITH OUR PROVIDERS TO SEE IF THERE ARE WAYS WE CAN EXPAND RESOURCES TO HAVE SOME OF THAT

PARTICULARLY NOT JUST AROUND SCHOOLS AND GENERAL PARKS IN GENERAL BUT ALSO WHAT YOU ARE SEEING IF SOME OF THE SYRINGES HAVEN'T BEEN PICKED UP THAT THAT THAT DRUG USERS ARE LEAVING. >> THANK YOU. THANK

YOU. AND JUST TO ADD ON TO THAT, OUR PUBLIC WORKS DOES REGULARLY WHEN THEY DO THEIR CLEANUPS AND FROM THE SCHOOLS OR ON THE CORNER THEY ARE PICKING UP THOSE NEEDLES AS WELL IN THE MISSION WE HAVE THE

AMBASSADOR PROGRAM SO AS THEY ROVING THROUGH THEIR DIFFERENT CORRIDORS AS PART OF THEIR ASSIGNMENT THEY WILL PICK UP THOSE NEEDLES AND DISPOSE OF THEM CORRECTLY TOO. >> SO THERE'S MULTIPLE WAYS AND

THEN ALSO JUST REPORT IT THROUGH. ANDRE'S THE BEST PLACE TO REPORT AS WELL. SO THAT IT COULD BE PRIORITIZED BY PUBLIC WORKS TO GO PICK IT UP. >> THANK YOU. ULTIMATELY, YOU KNOW OUR CONSTITUENTS

DESERVE MORE THAN ANECDOTAL EVIDENCE OR VIBES BASED ON CONDITIONS ON THE STREETS AND SIDEWALKS. WHAT MEASURABLE OUTCOMES SHOULD WE EXPECT TO SEE IN SIX MONTHS ONE YEAR FROM NOW IF THE CITY'S CURRENT

STRATEGY AROUND DRUG MARKETS OPEN AIR DRUG USE IS SUCCESSFUL THEN YES I MEAN I THINK ONE OF THE KEY GOALS IS REALLY RECLAIMING THOSE SPACES ,HOLDING THOSE SPACES I THINK FOR WHAT ARE WE WD IS REALLY

TRYING TO DO IS FIND WAYS TO ACTIVATE THE SPACES FOR THE COMMUNITY, KEEP THEM SAFE AND I THINK FOR BASICALLY HAVING DAILY ACTIVATIONS, CHANGING THE CONDITIONS ON THE PLAZAS THEMSELVES SO THAT WE ARE

WE HAVE RECLAIM THAT SPACE FOR THE COMMUNITY. THANK YOU FOR THE EVER TOUCHING ON ACTIVATIONS. I APPRECIATE THE CLAUSES ARE BEING ACTIVATED BUT THERE ARE 720 HOURS IN A MONTH IF ACTIVATION ENDS EARLY

TAKING PLACE ONCE A MONTH THAT'S LESS THAN 1% OF THE TIME RIGHT THAT THEY'RE NOT BEING ACTIVATED. I REMEMBER A WHILE AGO WE WERE TALKING ABOUT PERMITTED VENDORS ,PERMANENT RETAIL VENDORS, PERMANENT

FOOD VENDORS POTENTIALLY IN THE FUTURE BEING ABLE TO BE ON THE PLAZAS WHICH WOULD HOPEFULLY REPLACE AND DETER SOME UNWANTED BEHAVIORS THERE I BELIEVE THERE NEEDED TO BE SOME SORT OF MOU BETWEEN BART

AND THE CITY FOR THAT TO HAPPEN. WHAT IS THE PROGRESS ON THAT IDEA AND OR THAT MOU? >> SO WE HAVE NEGOTIATED AN AGREEMENT WITH BART AND MOU WITH BART SO THAT WE CAN BE RESPONSIBLE FOR ACTIVATING THOSE

PLAZAS ON A MUCH MORE REGULAR BASIS. WE WOULD LIKE TO ACTIVATE ACTIVATE THOSE PLAZAS AT LEAST FIVE DAYS A WEEK FOR MANY HOURS DURING THE DAY. IT DOESN'T MEAN SPECIFICALLY THAT THERE WILL BE EVENTS ON

THE ON THE PLAZAS BUT ACTIVATIONS LIKE PROVIDING DANCE CLASSES FOR SENIORS, BEING ABLE TO GET SENIORS OUT OF THEIR THE NEARBY HOUSING THAT THEY LIVE IN TO TAKE WALKS THROUGH THE PLAZA TO HAVE TO ENJOY

COFFEE ON THE PLAZA. SO THOSE ARE THE KINDS OF ACTIVATIONS THAT WE WANT TO DO ALL DAY EVERY DAY AS WE MOVE FORWARD. AND WE DO HAVE AN AGREEMENT WITH BART SO THAT WE THAT OPW CAN TAKE RESPONSIVE

BILITY. WE ARE IN THE PROCESS OF PROCURING WITH WITH THE RESOURCES THAT WE HAVE FROM LAST YEAR'S BUDGET SO THAT WE CAN HAVE A COMMUNITY SPONSOR TO TO REALLY SORT OF COORDINATE THOSE ACTIVATIONS. THANK

YOU. >> AND THEN FOR ALL WE DO WE'RE ALSO HEARING DIRECTLY FROM SMALL BUSINESSES ABOUT PEOPLE USING DRUGS IN FRONT OF THEIR STORES WHO HAVE NEVER OR WHO HAVE RARELY EXPERIENCED THAT BEFORE. >> HOW IS

THE CITY ENGAGING WITH BUSINESSES THAT ARE EXPERIENCING THESE IMPACTS? >> SO WE ARE WE ARE MEETING EVERY OTHER WEEK WITH WITH MANY MEMBERS OF THE COMMUNITY INCLUDING THE SMALL BUSINESSES AND I'M

REALLY GETTING FEEDBACK FROM THEM. I REALLY APPRECIATE YOUR OFFICE PARTICIPATING IN THOSE BI WEEKLY MEETINGS AND WE'RE YOU KNOW, WE WANT TO HEAR THEIR FEEDBACK AND WE ARE TAKING IN THAT FEEDBACK AND

REALLY IDENTIFYING WAYS THAT WE CAN BRING THAT FEEDBACK BACK TO THIS COORDINATED EFFORT AND AGAIN REPORTING IT, LETTING US KNOW ABOUT IT, IDENTIFYING WHAT'S WORKING AND WHAT'S NOT WORKING IS REALLY

PART OF THAT COMMUNITY ENGAGEMENT. >> THANK YOU. AND THEN LASTLY ON THE SUBJECT OF COMMUNITY AMBASSADORS, ACCORDING TO OUR BUDGET AND LEGISLATIVE ANALYSTS ABOUT 55% OF ANNUAL FUNDING FOR AGREEMENTS

FOR AMBASSADORS ARE IN SOMA OR THE TENDERLOIN OR PORTIONS OF THOSE NEIGHBORHOODS WHICH IS ACTUALLY AN UNDERESTIMATE BECAUSE AN ADDITIONAL 20% OF ANNUAL FUNDING IS FOR CITY WIDE AGREEMENTS THAT HAVE

DEPLOYED AMBASSADORS TO SOMA OR THEIR TENDERLOIN. BUT THESE DEPLOYMENTS COULD BE CHANGED BASED ON DIRECTION FROM HSA OR DIEM AND COMPARISON. ABOUT 8% OF ANNUAL FUNDING IS FOR THE AMBASSADORS DEPLOYED

IN THE MISSION WHICH IS UNDER THE ASKING SOLUTIONS AGREEMENT CAN IN THE MISSION GET MORE RESOURCES FOR NEW AMBASSADORS NOT NECESSARILY TAKEN AWAY FROM THE OTHER NEIGHBORHOODS BUT IS THERE ANY WAY WE

CAN GET PARITY ESPECIALLY SEEING THAT AT LEAST FOR CRIMES THIS YEAR THE MISSION STATION SAW THE MOST ROBBERIES AND THAT'S NOT TO SAY THAT OTHER STATIONS ARE NOT SEEING HIGH LEVELS OF, YOU KNOW,

BURGLARY, ASSAULTS, LARCENY, ETC. BUT IS THERE ANY TALK ABOUT DEDICATING MORE RESOURCES AND COMMITTEE AMBASSADORS TO THE MISSIONS SUPERVISOR THAT WOULD NOT BE IN MY BUDGET THAT WOULD BE IN THE

DEPARTMENT OF EMERGENCY MANAGEMENT BUDGET. YOU KNOW, I THINK AS YOU'VE HEARD TODAY, I THINK EVERYONE SUPPORTS THE WORK THAT THE AMBASSADORS DO. IT'S PARTICULARLY HEARTENING FOR ME TO HEAR THE POLICE

DEPARTMENT REALLY ACKNOWLEDGE THE WORK THAT THEIR AMBASSADORS DO AND HELP THEM TO SUPPORT THOSE SPACES. >> BUT IT'S NOT PART OF MY BUDGET SO I CAN'T ANSWER THAT QUESTION. THANK YOU. ANOTHER REASON I

REALLY WANTED SOMEONE FROM THE MAYOR'S OFFICE TO BE HERE THOSE ARE ALL MY QUESTIONS. THANK YOU ALL SO MUCH FOR BEING WITH ME. THANK YOU CHAIR SAUDER THANK YOU. >> SUPERVISOR FIELDER AND NOW SUPERVISOR

HUANG KAY THANK YOU EVERYBODY FOR BEARING WITH OUR QUESTIONS. >> I THINK I'M NOT SURE WHICH DEPARTMENT I THINK THIS SHOULD BE PROBABLY S.F. PD. >> THIS IS ABOUT THE DISPLACEMENTS. >> HOW ARE WE

MEASURING WHETHER WE'RE ACTUALLY REDUCING DRUG MARKET ACTIVITY RATHER THAN SIMPLY REDISTRIBUTING IT? I'M SORRY ONE MORE TIME HOW ARE WE MEASURING WHETHER WE'RE ACTUALLY REDUCING DRUG MARKET ACTIVITY

RATHER THAN REDISTRIBUTING IT AND PLACING IT? >> YEAH, SO I MEAN I THINK I THINK THAT THE FIRST PART OF THE QUESTION IS IS HOW ARE WE REDUCING DRUG MARKET ACTIVITY I THINK IS TWOFOLD. ONE IT COMES

ALONG WITH THE REDUCTION OF DRUG DEALERS THAT WE SEE WOULD BE THE FIRST THING. SO WHICH WE HAVE SEEN OVER THE LAST THREE YEARS WAS A DRAMATIC DECREASE IN DAYTIME DEALING COMPARED TO NIGHTTIME DEALING.

>> AS FOR THE DISPLACEMENT QUESTION, WE DON'T THE POLICE DEPARTMENT DOESN'T HAVE A MECHANISM TO TRACK DISPLACEMENT OUTSIDE OF OUR OFFICERS PHYSICALLY DRIVING AROUND ON THE STREET TO VISUALLY SEE WHERE

IT'S MOVING OUTSIDE OF YOU KNOW, ON TOP OF THAT COMMUNITY COMPLAINTS AND YOU KNOW, COMMUNITY COMPLAINTS OR BUSINESS SMALL BUSINESS COMPLAINTS. I MEAN THAT'S REALLY KIND OF THE MECHANISM YOU KNOW 311

ENCAMPMENT COMPLAINTS OR YOU KNOW, STRUCTURES OUT ON THE STREET. SO THAT'S KIND OF THOSE ARE THE MECHANISMS THAT WE USE TO TRY TO TRACK, YOU KNOW, DISPLACEMENT. OKAY. GOT IT. AND ARE WE USING ANY

OBJECTIVE INDICATORS TO IDENTIFY EMERGING DRUG MARKETS AND INTERVENE EARLY OR RESOURCE DECISIONS ON WHERE TO ALLOCATE OFFICERS PRIMARILY DRIVEN BY COMPLAINTS OR THE SEVERITY OF CONDITIONS ONCE IT

GROWS? OKAY, I'LL TRY. I THINK I UNDERSTAND I'LL TRY TO ANSWER THE QUESTION. SO WAS THE QUESTION HOW WE ALLOCATE OUR OFFICERS TO HOW DO YOU IF THERE'S AN EMERGING DRUG MARKET HOW DO YOU IDENTIFY THAT

AND ALLOCATE OFFICERS THERE? >> IS IT BASED ON COMPLAINTS OR OR AFTER THINGS HAVE ALREADY DETERIORATED? I THINK IT'S A COMBINATION OF BOTH, YOU KNOW, SO AGAIN, YOU KNOW, DRUG MARKETS AS A WHOLE AS YOU

KNOW LIKE OUR NARCOTICS DIVISION KNOW WHERE THE DEALERS ARE BECAUSE THEY DO IT EVERY SINGLE DAY AND THEY'RE OUT ON THE STREET EVERY SINGLE DAY. SO WHEN DEALERS SHIFT, THEY KNOW WHERE THESE SHIFTS

HAPPEN. YOU KNOW, DRUG USE SHIFTS. >> YOU KNOW, WE DO KNOW WHERE THE NEIGHBORHOODS THAT THESE DRUG USERS PRIMARILY CONGREGATE AND TILL WE GO INTO THESE NEIGHBORHOODS AND ONCE WE GO INTO THESE

NEIGHBORHOODS WITH A CONCERTED, YOU KNOW, ALL GOVERNMENT APPROACH EFFORT I GUESS THEN ONCE THAT STARTS TO SHIFT AROUND THAT'S WHEN IT BECOMES MORE REACTIVE I GUESS THAN PROACTIVE JUST BECAUSE ONCE THE

SHIFT OR ONCE THE DISPERSION HAPPENS, YOU KNOW, IT'S REALLY HARD FOR US TO GO EVERYWHERE ALL THE TIME. >> OKAY. AND THEN WHEN WE CONDUCT AN ENFORCEMENT OPERATION THAT DOES DISRUPT DRUG ACTIVITY IN A

PARTICULAR AREA OR LOCATION, HOW LONG DOES THAT DISRUPTION LAST AND HOW HOW CONSISTENTLY OR HOW PERSISTENTLY DOES THE ENFORCEMENT ACTION NEED TO STAY THERE TO PREVENT THEM FROM REESTABLISHING ITSELF?

>> EVERY AREA IS DIFFERENT. AS AN EXAMPLE, IN THE BEGINNING IN U.N. PLAZA IT TOOK US ABOUT NINE MONTHS TO REALLY CHANGE THE CULTURE OF U.N. PLAZA AND IT WASN'T JUST A LAW ENFORCEMENT CHANGE. IT REALLY

REQUIRED A LOT OF OTHER FOLKS TO COME TO THE TABLE WITH DPW CLEANING PARK AND REC I THINK WAS INVOLVED IN THAT PROCESS AS WELL. I MEAN THAT THERE'S A REAL THERE'S A HUGE LONG LAUNDRY LIST OF OTHER

AGENCIES THAT GET INVOLVED SO THAT THAT THAT'S U.N. PLAZA SIXTH STREET ON THE OTHER HAND IS VERY IT'S A VERY DIFFERENT CULTURE JUST AS 16TH AND MISSION IS A VERY DIFFERENT CULTURE. SO EACH LOCATION

THAT WE GO INTO TAKES DIFFERENT TIME. >> THANK YOU. AND YEAH I'VE SEEN THE LESS VISIBLE DRASTIC CHANGE IN IN TERMS OF THE U.N. PLAZA GOING FROM WHAT IT WAS TO WHAT IT IS NOW. SO THAT'S ONE OF THOSE

THINGS THAT'S WHEN PEOPLE FROM THE SUNSET GO TO THE CIVIC CENTER OR THE REST OF THE CITY. >> THAT'S SOMETHING THAT THEY THEY DO NOTICE. SO FOR FOR THAT EFFORT DID YOU HAVE TO PLACE OFFICERS THERE

PERMANENTLY STATIONED THERE OR DID THEY CAN ROTATE IN OR PATROL BACK AND FORTH TO TO MAKE THE MAKE THEIR PRESENCE KNOWN TO PREVENT THAT ACTIVITY ALL OF THE ABOVE D-MAX I MEAN D-MAX FRONT DOORSTEP WAS

ACROSS THE STREET WHICH WAS VERY BENEFICIAL AND WE LEVERAGED OUR DISTRICT STATION OUR DISTRICT STATION TENDERLOIN CONSTANTLY DOING PASSING CALLS, CONSTANTLY HAVE AN OFFICERS PRESENT. I THINK AT ONE

POINT WE HAD A COMMAND VAN ON THE CORNER OF SEVENTH AND MARKET. I MEAN IT WAS JUST YOU KNOW, IT WAS REALLY, YOU KNOW, KIND OF THE EPICENTER OF, YOU KNOW, THE DRUG MARKET. >> SO I WOULD SAY ALL OF THE

ALL OF THE ABOVE AND YOU KNOW, FOR FOR POLICE DEPARTMENT DEPLOYMENT. THANK YOU. YES. WHEN I TALK TO MY CONSTITUENTS THEY'VE NOTICED VISIBLE CHANGES AND IMPROVEMENT IS WHEN THEY COME TO COME TO

DOWNTOWN. SO I I THINK THAT'S A THAT'S A WIN BUT STILL A LOT OF WORK TO DO. THERE IS A LOT OF WORK TO DO AND IT TAKES TIME AND YOU KNOW WE'VE WE'VE WORKED YOU KNOW YOU KNOW I HAVE TO GIVE YOU KNOW

KUDOS TO EVERY AGENCY THAT'S AT THE TABLE INCLUDING THE OFFICERS THAT ARE DOING THIS WORK. >> ONE, IT'S NOT EASY AND TO YOU KNOW WHAT WE HAVE LEARNED OVER THE COURSE OF THE LAST THREE PLUS YEARS IS

THAT THINGS DON'T IT JUST TAKES TIME TO SEE IMPROVEMENT AND WE HAVE SEEN A LOT OF GOOD IMPROVEMENT. >> BUT LIKE YOU SAID, WE THERE IS A LOT OF WORK TO DO AND THEN WHAT EVIDENCE DO WE HAVE THAT WE ARE

REDUCING THE VOLUME OF THE DRUGS BEING SOLD AND MAKING THOSE MARKETS LESS PROFITABLE AS OPPOSED TO DRIVING UP THE PRICES? SO I WOULD SAY THAT ANOTHER YOU KNOW WE TALKED ABOUT PRICE ALREADY. I'LL TALK

A LITTLE BIT MORE ABOUT SUPPLY. SO AT ONE POINT IN TIME THE DRUG DEALERS WHEN THEY WERE COMING IN IT WOULD NOT BE IT WOULD NOT BE OUT OF THE ORDINARY WHEN THESE NARCOTICS OFFICERS WERE DOING THEIR

WORK OUT THERE DOING THEIR BUST OPERATION AND SPOTTING OPERATIONS WHERE WHEN THEY WOULD ACTUALLY MAKE A SEIZURE FROM AN INDIVIDUAL SELLING AT SOME SOMETIMES THESE THESE FOLKS WOULD HAVE A POUND TO 2

POUNDS OF NARCOTICS ON THEIR PERSON AT ONE TIME. NOW THEIR DEALING IN MUCH SMALLER AMOUNTS AN OUNCE OR TWO AT A TIME. >> THAT DOESN'T NECESSARILY MEAN THAT THE VOLUME OF NARCOTICS IS NOT STILL OUT

THERE. BUT WHAT THEY'RE BRINGING ON THEIR PERSONS IS A LOT SMALLER AMOUNTS. >> OKAY. THANK YOU. AND I JUST WANT TO MAKE IT ABUNDANTLY CLEAR THE CONDITIONS THAT ARE OUR STREETS THAT WE HAD SEVERAL

YEARS AGO WERE UNACCEPTABLE AND THAT'S NOT NORMAL FOR ANY CIVILIZED CITY AND THE CONDITIONS THAT WE STILL HAVE THEY'VE IMPROVED. THEY'RE STILL NOT ACCEPTABLE AND WE STILL HAVE A LOT OF WORK TO DO. BUT

I'M PROUD OF THE WORK THAT THE CITY HAS DONE TO ADDRESS IT AND MAKE IMPROVEMENTS FOR THE WORK THAT OLD IS DOING AND THAT PRO-SOCIAL WORK TO MAKE ACTIVATE THE COMMUNITY. >> I SUPPORT THAT FOR

SUPPORTING TREATMENT AND RECOVERY SUPPORT THE WORK THAT YOU DO AND GETTING PEOPLE TO HELP THAT THEY NEED AND SERVE. PD ARRESTING THE DRUG DEALERS I SUPPORT THE WORK THAT YOU DO. I JUST WANT TO MAKE

THAT ABUNDANTLY CLEAR. >> THANK YOU. THANK YOU. WE APPRECIATE THAT. AND YOU SUPERVISOR WONG AND PRESIDENT BENJAMIN THANK YOU CHAIR SARTOR THANK YOU THE COMMITTEE FOR YOUR TOLERANCE OF A VERY LONG DAY.

>> I HAVE A COUPLE QUICK POINTS AND THEN PROBABLY WE SHOULD GET TO PUBLIC COMMENT. >> CHIEF BIGGS, YOUR COLLOQUY WITH OR DIALOG WITH SUPERVISOR FIELDER REMINDED ME OF SOME THINGS AND I JUST WANT TO

ACTUALLY REALLY EXPLORE. >> SO UNACCEPTABLE FOR A POLICE OFFICER TO DRIVE AWAY WHEN THERE'S PUBLIC DRUG USE HAPPENING AND AND PEOPLE ARE ASKING THAT OFFICER FOR HELP BUT IF THAT OFFICER HAD GONE FROM

WHEREVER HE WAS GOT OUT OF HIS CAR OR WALKED OVER ACROSS THE STREET, WHAT WOULD HE HAVE BEEN ABLE TO DO TO PEOPLE WHO WERE PUBLICLY USING IF THE OFFICER SAW THE INDIVIDUAL USING NARCOTICS HIMSELF, SAW

HERSELF, SAW MISDEMEANOR SITE AND RELEASE ON SCENE AND RELEASE AND WHAT DOES SIGHT AND RELEASE MEAN? >> CITATION SO MISDEMEANOR CITATION SO ARREST YEAH BUT NOT A CUSTODIAL ARREST. RIGHT SO TICKET

TICKET AND YOU KNOW COME BACK TO COURT SOMETIME. GIVE A DATE SEE YOU IN 30 DAYS. >> YEAH AND AT SOME POINT THE OFFICER LEAVES AND THEN THE OFFICER WILL RIGHT? >> YEAH. YEAH. I MEAN THE OFFICER WOULD

PROBABLY OBVIOUSLY HAVE THE INDIVIDUAL MOVE FROM THAT LOCATION AND THEN THE OFFICER THE ABILITY TO DO THAT HAS THE ABILITY TO DO BUT THE PERSON CAN COME BACK AFTER THE OFFICERS LEFT. >> THAT IS

CORRECT. OKAY. ALL RIGHT. AND THEN SO AND I THINK THIS MAYBE GOES A LITTLE BIT TO LIKE THE POTENTIAL CHALLENGES AROUND THE RESET CENTER WHO CAN GO TO RESET IF I AM SIMPLY IF I HAVE USED AND I'M

SHOWING SOME SYMPTOMS OF LIKE MY USE CAN I BE TAKEN TO THE RESET CENTER 18 OR OVER I'M 18 OR OVER NO MEDICAL ISSUES. NO MEDICAL ISSUES. I'M JUST I'M HIGH. YEAH, YOU'RE HIGH. YEAH. IF THE DETERMINED

ATION IS MADE THAT YOU'RE UNABLE TO CARE FOR YOURSELF I HAVE TO BE UNABLE TO CARE FOR MYSELF. >> THAT'S PRETTY HIGH STANDARD. THAT IS A HIGHER STANDARD. OKAY, SO MOST OF THE PEOPLE ON THE PLAZA OR

AROUND DO THEY MEET THAT STANDARD. I WOULD SAY IF YOU ARE SMOKING FENTANYL AND YOU KNOW YOU COULD IT COULD VERY WELL POTENTIALLY BE AT THAT STANDARD. YES, BECAUSE WE KNOW THAT FENTANYL KILLS PEOPLE.

>> WELL, THE REASON I ASK THAT BECAUSE I DID HAVE THE EXPERIENCE YESTERDAY I HAD A GREAT VISIT TO THE RESEARCH CENTER. I THINK OTHER PEOPLE HAVE IN THE RESET CENTER AND THEY DID TALK ABOUT THERE ARE

TIMES EVERY WEEK WHEN THEY ARE FULL THERE WERE THREE PEOPLE IN THERE ON A YOU KNOW, WEDNESDAY AFTERNOON WHICH WAS INTERESTING TO ME AND I THINK HIGHLIGHTS I THINK WHAT'S GOING ON THERE IS THE

DIFFICULTY OF GETTING THE SET OF FOLKS WHO ARE UNABLE TO CARE FOR THEMSELVES THERE FOR MEETING THE CRITERIA FOR DETENTION IN THAT WAY AND THEN TAKEN THERE AND I THINK IT'S IT MAY BE HARD TO LIKE BUT I

THINK THE PUBLIC WOULD LIKE IS CLEAR THE AREA THERE ARE BUNCH OF PEOPLE THERE USING THEIR HIGH ARREST THEM AND TAKE AND FIND DON'T TAKE THEM TO JAIL TAKE THEM TO THE RESEARCH CENTER. >> THAT'S GREAT.

I THINK WHAT YOUR OFFICERS AND THE RESEARCH CENTER MAY BE EXPERIENCING IS OKAY, HOLD ON NOW WE HAVE A BUNCH OF PEOPLE WHO HAVE USED DRUGS BUT NOT ALL OF THEM ARE UNABLE TO CARE FOR THEMSELVES AND MEET

THE STANDARD OF THAT WOULD BE NEEDED TO GET THEM AT THE RESET CENTER. >> YEAH SO I'LL ELABORATE A LITTLE BIT BECAUSE WE CAN ALSO USE THE 11 550 CODE FOR SOMEONE USING DRUGS IN PUBLIC AND THAT'S ALSO A

CODE THAT WE CAN USE TO BRING SOMEONE TO THE RESET CENTER AND TRANSPORT THEM IF THEY'RE USING SO OFFICER PHYSICALLY HAS TO SEE SOMEONE LIKE WITH THE PIPE. >> SO WE'RE WE'RE GOING THROUGH THESE VERY

NARROW KEYHOLES. >> YES. TO GET PEOPLE OFF OF THE STREETS. OKAY. I THINK THERE IS A DISCONNECT BETWEEN THE CONVERSATION THAT POLITICIANS HERE WANT TO HAVE WITH YOU OR MAYBE THE DEPARTMENT OR MAYBE THE

ADMINISTRATION BECAUSE WE NEED TO KNOW OVERALL THINGS BETTER, WORSE AND THEN IN THIS AREA ARE THINGS BETTER OR WORSE? YOU CAN'T ANSWER THAT QUESTION AND YOU MIGHT NOT BE THE BRIGHT PERSON TO TRY TO

FIGURE OUT HOW THE CITY THINKS ABOUT I THINK YOU AREN'T I THINK THIS IS A MAYOR'S OFFICE KIND OF A QUESTION BUT WE NEED A WAY TO THINK ABOUT OVERALL ARE WE BETTER ON MISSION STREET? ARE WE BETTER IN

THE CASTRO? ARE WE BETTER? AND IT STILL FEELS TO ME AFTER THIS HEARING LIKE IT'S ALL GOT AND THAT MEANS THAT WHEN SUPERVISOR MAHMOOD WANTS TO GET SOME RESOURCES AVAILABLE AND GET SOME OF GET SOME

FOLKS OUT OF THAT OUT OF HIS VALLEY OR THE TENDERLOIN AND TAKEN TO THE RESET CENTER, YOU CAN'T SAY TO THE PEOPLE WHO ARE WHO ARE AROUND THE RESET CENTER YOUR AREA HAS GOTTEN BETTER. SO ACTUALLY DON'T

WORRY WHERE YOU'RE GOING TO BRING IN SOME MORE PEOPLE. WE'RE GOING TO PROVIDE SOME RELIEF TO ANOTHER NEIGHBORHOOD AND THIS ISN'T GOING TO MAKE YOUR NEIGHBORHOOD WORSE. AND I HAVE TO IMAGINE THAT THE

PEOPLE IN THAT NEIGHBORHOOD RIGHT NOW ARE LIKE THINGS HAVEN'T BEEN BUT THINGS HAVEN'T GOTTEN BETTER. THIS HAS ONLY MADE THINGS WORSE AND WE HAVE NO WAY OF SHOWING THEM EITHER YOU'RE RIGHT OR YOU'RE

WRONG. >> WE CAN'T LIKE HAVE AN ACTUAL NUMBERS BASED CONVERSATION AT LEAST THAT I HAVE SEEN IN ANY OF THE PRESENTATIONS AND I THINK THAT'S A PROBLEM. >> YEAH. I MEAN I DON'T AGAIN I DON'T REALLY WANT

TO BE PUTTING YOU ON THE SPOT BECAUSE BUT IF YOU WANT TO TRY TO RESPOND TO ANY OF THAT I THINK I THINK I WILL. >> WHAT I WILL SAY ABOUT THAT IS I'M JUST DOING THE WORK AT DIMMOCK FOR YOU KNOW, TWO AND

A HALF PLUS YEARS. IS THAT ONE OF THE HARDEST THINGS THAT WE REALLY NEVER COULD PUT OUR FINGER ON WAS HOW COMMUNITY FELT ABOUT CONDITIONS ON ANY CERTAIN BLOCK WITHOUT COMMUNICATING WITH THOSE FOLKS IN

PERSON. SO THERE WAS NO REAL YOU KNOW, IT WAS SOMETHING THAT WAS ALWAYS A CHALLENGE FOR US AND I THINK THAT GOES TO WHAT YOU'RE SAYING. YOU KNOW, OVERALL, YOU KNOW, I'LL DEFER TO POTENTIALLY SOMEBODY

ELSE FOR THE OVERALL ANSWER. BUT INDYMAC IT WAS ALWAYS LIKE WE COULD NEVER PHYSICALLY MEASURE WHAT AND HOW COMMUNITY FELT WITHOUT HAVING CONVERSATIONS WITH INDIVIDUAL PEOPLE YOU HAD OVER YOU DID IT

DEMAK AND YOU HAVE MEASURED MAYBE YOU'RE JUST DOING IT BY EYEBALL BUT YEAH, GAZILLION DRUG DRUG DEALERS DOWN TO NO DRUG DEALERS THAT WE CAN SEE. >> YEAH BUT WE ARE YES. >> DURING THESE PARTICULAR

HOURS CORRECT. SO THAT'S LIKE A THING THAT YOU CAN POINT OUT AND AND I THINK THAT'S HARD TO DO CITYWIDE BUT IT WORKED FOR THE DEMOCRAT. YEAH. >> FOR A SMALL GEOGRAPHICAL AREA. ALL RIGHT MAYBE WE

SHOULD GET A PUBLIC COMMENT UNLESS OUR CHAIR HAS HIS OWN QUESTIONS. >> I DO. IF YOU'RE INDULGE ME. >> I KNOW WE'RE GETTING LATE. >> I HAVE A FEW QUESTIONS. AND FIRST JUST ON ON SLIDE 15 FROM S.F. PD

THE WHAT'S COMING NEXT? I WOULD HAVE I'D LIKE TO SEE THIS BUILT OUT MORE I'D LIKE TO SEE MORE SPECIFICS, MORE TIMELINES. WE'RE OBVIOUSLY TALKING A LOT ABOUT WHAT'S BEEN DONE, HOW IT'S BEEN GOING, THE

CHALLENGES BUT I THINK WE ALL WANT TO COME AWAY FROM A HEARING LIKE THIS ON MORE MORE SPECIFICS. WHAT IS THERE TO LOOK FORWARD TO? WHAT IS THERE TO BE HOPEFUL ABOUT AND DIFFERENT CONTEXT. BUT THIS

MORNING ANOTHER UNIT FROM SFP WE HAD VERY SPECIFIC NEXT STEPS WE HAD TIMELINES SO I'LL JUST PUSH YOU TO GO FURTHER ON THIS. I THINK PERHAPS AFTER THIS CONVERSATION THIS CAN BE SHARPENED UP THE WANT GO

BACK TO THE THE CONVERSATION ABOUT ARRESTS OF DRUG DEALERS VERSUS DRUG USERS CAN YOU JUST TELL ME MORE ABOUT HOW THAT COMES TO BE LIKE IS THERE DO YOU HAVE A PARTICULAR AT THIS MOMENT OR HOW HAS IT

CHANGED THROUGH THE PAST? LIKE WHAT IS YOUR PRIORITY AND YOU ARE YOU ARRESTING MORE DRUG USERS BECAUSE IT'S EASIER MORE VISIBLE OR IS THAT ACTUALLY WHAT YOU'RE PRIORITIZING? AND OF COURSE ALL OF THIS

IN THE CONTEXT THAT AT LEAST WITHIN THE MAX ZONE THE DEALER ARRESTS ARE GOING DOWN WHICH WALK US THROUGH THAT SO OUR NUMBER ONE PRIORITY IS ALWAYS DRUG TRAFFICKING. THAT IS THAT HAS ALWAYS BEEN OUR

NUMBER ONE PRIORITY AT DEMARK IS THAT WE HAVE TO ATTACK SUPPLY COMING INTO OUR CITY WHEN WE'VE REDUCED THE AMOUNT OF DEALERS IN OUR CITY THEN AND WHEN WE REDUCE THE AMOUNT OF DEALERS IN THE CITY AND

PUSH IT INTO THE LATER NIGHT HOURS THERE YOU KNOW IT'S NOT I DON'T I DON'T WANT TO SEE IT'S THERE ARE MORE DRUG USERS DURING DAYTIME HOURS ON OUR STREETS THAT WE'RE CAUSING ISSUES FOR A LOT OF THE

NEIGHBORS OR THE NEIGHBORHOODS. SO WE INTENTIONALLY CHOSE TO SHIFT TO ADDRESSED I'M SORRY ADDRESS QUALITY OF LIFE TYPE CRIMES. AND SO IF THERE ARE FEW DEALERS AND THERE ARE YOU KNOW, LET'S SAY THERE'S

TEN DEALERS AND THERE'S 200 USERS, IT'S OBVIOUSLY A LOT EASIER MISDEMEANOR CRIMES, OPEN AIR DRUG USAGE YOU KNOW FOLKS UNDER THE INFLUENCE YOU KNOW THERE'S MORE FOR OUR OFFICERS TO DO RATHER THAN IF

THERE'S A LIMITED NUMBER OF DRUG DEALERS OUT ON THE STREET. >> I THINK THAT ANSWERS THE QUESTION. SO ARE YOU THE THE THE SMALLER NUMBER OF DRUG DEALER ARRESTS IS THAT BECAUSE THEY'RE HARDER TO GO

AFTER THERE'S FEWER OF THEM? WE'RE MAKING PROGRESS THERE. >> I THINK IT'S ALL OF THE ABOVE. YOU KNOW, THERE ARE FEWER OF THEM PUSHED INTO THE LATER EVENING HOURS INTO THE NIGHT. YOU KNOW, IT DOES TAKE

TIME TO DO INVESTIGATIONS. WE DO FEEL LIKE WE NEED TO APPLY PRESSURE NOT JUST TO STREET LEVEL SALES. WE ALSO NEED TO APPLY PRESSURE TO, YOU KNOW, WRITING SEARCH WARRANTS GOING UP THE LADDER. FEDERAL

PARTNERSHIP AND REALLY TRYING TO GO UP THE LADDER HIGHER TO WHERE WE GET LARGER SEIZURES AND YOU KNOW, PULL NARCOTICS, YOU KNOW, OUT OF, YOU KNOW, THE EAST BAY AND PRESUMABLY IF YOU HAD THIS NIGHTTIME

NARCOTICS UNIT I MEAN THAT NUMBER WOULD SHOOT BACK UP . >> YOU THINK? YEAH. I MEAN IF WE WERE TO DO IT YOU KNOW, IF WE WERE TO DO IT FIVE DAYS A WEEK AT NIGHT. >> YEAH SURE. NATURALLY. >> CAN YOU TELL

ME A LITTLE BIT ABOUT MAYBE JUST TAKING A STEP BACK WHO ARE THE DRUG DEALERS IN SAN FRANCISCO OR IS IT THE SAME FOLKS? IS IT INDIVIDUAL ACTORS? ARE THEY HIGHLY ORGANIZED? WHAT IS IT LOOK LIKE TODAY

AND HOW HAS IT EVOLVED OR NOT EVOLVED OVER THESE LAST FEW YEARS? SO PRIMARILY IT'S THE SAME FOLKS WHO ARE DEALING ON THE DRUGS ON A SMALLER SCALE IN OUR CITY. SO SAME SAME FOLKS THAT WE'RE DOING IT IN

2023 AT THE INCEPTION OF DIMOCK YOU KNOW, WE DO SEE IN DIFFERENT NEIGHBORHOODS DIFFERENT METHODS OF SELLING SO NOT NECESSARILY INDOORS. WE DO SEE I'M SORRY NOT NECESSARILY OUTDOORS BUT WE DO SEE

INDOORS AND WE DO DO INVESTIGATIONS INTO THOSE TYPES OF INVESTIGATIVE ARE INTO THOSE TYPES OF DRUG DEALING INVESTIGATIONS. SO IT'S A LITTLE DIFFERENT EVERYWHERE IN ARE THESE INDIVIDUALS WHO LIVE IN

SAN FRANCISCO OR ARE THESE INDIVIDUALS WHO LIVE AN HOUR AWAY, THREE HOURS AWAY? >> I MEAN WHERE ARE THEY COMING FROM? SO THE MAJORITY OF THE NIGHTTIME DEALING THAT IS HAPPENING THE INDIVIDUALS ARE

COMING FROM THE EAST BAY. THANK YOU. I HAVE I THINK I HAVE ONE QUESTION FOR ACTUALLY I THINK DO WE HAVE REPRESENTATIVES FROM BART HERE? IF YOU WOULDN'T MIND JUST A QUESTION FOR YOU AND MAYBE A WOULD

LOVE IN GENERAL TO GET YOUR PERSPECTIVE ON ANYTHING TODAY AND THEN ALSO SPECIFICALLY ASK YOU A LITTLE BIT ABOUT JUST TO REMIND ME THE JURISDICTION OF YOUR AGENCY AS IT RELATES OBVIOUSLY TO STATIONS,

ELEVATORS, ESCALATORS UP TO THE PLAZAS THAT WE'VE BEEN TALKING ABOUT. >> IF YOU COULD JUST HELP LAY THAT GROUNDWORK, MR. CHAIR, THANK YOU VERY MUCH FOR CALLING BART UP. MY NAME IS ROD LEE. I'M THE

ASSISTANT GENERAL MANAGER AT BART RESPONSIBLE FOR EXTERNAL AFFAIRS AND I'M WITH OUR COMMANDER FROM OUR BART POLICE DEPARTMENT, ERIC WHITE. I WANT TO FIRST START OFF BY SAYING OVER THE LAST FEW YEARS

BART HAS BEEN LASER FOCUSED IN REGARDS TO IMPROVING THE RIDER EXPERIENCE AND INCREASING OUR RIDERSHIP AND WE'VE FOCUSED KEENLY ON SAFETY, CLEANLINESS AND RELIABILITY AND MOST RECENTLY OUR CUSTOMERS

HAVE REPORTED TO US THAT 91% OF THEM ARE SATISFIED WITH THE SERVICE THAT WE'RE PROVIDING SINCE 2024 OUR CRIME RATE NOW HAS GONE DOWN 67%. >> SO WE ARE DOING ALL WE CAN TO MAKE CERTAIN THAT OUR POLICE

DEPARTMENT IS PRESENT IN THE SYSTEM ON OUR TRAINS AND IN OUR STATIONS IN OUR PLAZA AREAS THAT WE HAVE THROUGHOUT OUR SYSTEM AND OUR RIDERS ARE SEEING THE DIFFERENCE. JUST THIS WEEK WE HAD TWO OF OUR

HIGHEST RIDERSHIP DAYS SINCE THE PANDEMIC SO THOSE CHANGES ARE BEING SEEN EARLIER AND MENTIONED ABOUT THE FARE GATES WE EXPEDITE IT GETTING THOSE FARE GATES INTO THE MISSION STREET STATIONS IN ORDER

TO FORTIFY THE SECURITY AT THOSE STATIONS. WE'VE INCREASED THE LIGHTING IN THOSE PLAZAS. TO DO THAT THE COMMANDER WILL TALK ABOUT HIS DEPLOYMENT AND THE INCREASED PRESENCE THAT WE HAVE IN THOSE THOSE

PLAZAS, THOSE PLAZAS OUT OF 26 CITIES THAT WE OPERATE IN IN FIVE COUNTIES ARE OUR MOST CHALLENGING AREA RIGHT NOW. SO IT IS BEEN VERY HELPFUL THAT THE MAYOR'S OFFICE, DPW YOU OPW E W D AS WELL AS SAN

FRANCISCO POLICE DEPARTMENT HAVE BEEN PARTNERING WITH US OVER THE LAST SEVERAL MONTHS TO REALLY ADDRESS THIS CRISIS THAT WE HAVE IN THOSE PLAZAS. IT TAKES A COLLECTIVE EFFORT FOR US TO TO ADDRESS

THOSE. WE UNDERSTAND THE MAGNITUDE OF IT. IT'S CHALLENGING FOR OUR RIDERS GETTING INTO AND OUT OF THOSE STATIONS BECAUSE OF THE CONDITIONS IN THAT THOSE THOSE PLAZAS WE'VE GOT YOUTH HERE TODAY I'M OUT

OF THOSE PLAZAS QUITE FREQUENTLY WITH OUR GENERAL MANAGER AND WE SEE CHILDREN AND THEIR FAMILIES WALKING PAST THOSE CONDITIONS. SO WE TAKE THIS VERY SERIOUSLY BUT IT'S GOING TO CONTINUE TO TAKE A

COLLECTIVE EFFORT WITH THE CITY OF SAN FRANCISCO IN ORDER FOR US TO EFFECTIVELY ADDRESS THESE AFTERNOON. ERIC WHITE ZONE FOUR ZONE FIVE COMMANDER FROM BART POLICE THAT COVERS EVERYTHING FROM

EMBARCADERO TO MILLBRAE INCLUDING THE AIRPORT. OUT OF ALL OF THAT I WOULD SAY FULLY 75% OR MORE OF MY TIME RIGHT NOW IS FOCUSED ON TRYING TO ADDRESS THE PROBLEMS IN THE MISSION. WE UNDERSTAND THE

PROBLEMS THAT ARE GOING ON AT THOSE PLAZAS AND JUST GIVE AN EXAMPLE OF THE COMMITMENT WE'RE TRYING TO MAKE TO IT. I KNOW THE SIBLINGS HAVE BEEN TALKING A LOT ABOUT STAFFING. I HATE TO BE A BROKEN

RECORD BUT WE'RE EXPERIENCING A LOT OF THE SAME ISSUES AND WE ALSO HAVE THE WELL-PUBLICIZED IMPENDING FISCAL CLIFF COMING UP. ONE OF THE PLACES WHERE WE ARE STILL INVESTING OUR LIMITED RESOURCES IS IN

OVERTIME FOR OUR OFFICERS TO COME OUT TO THE MISSION SO WE CAN HAVE DEDICATED OFFICERS TO THOSE TWO STATIONS. MY NORMAL DEPLOYMENT RIGHT NOW YOU KNOW I HEAR DC BIGS UP HERE TALKING ABOUT HAVING 14

OFFICERS JUST FOR NARCOTICS UNIT AND FEEL THE JEALOUSY I HAVE FOUR COPS AND A SERGEANT FOR THE ENTIRE DOWNTOWN AND MISSION AREA FOR SIX STATIONS WITH THE ADDITION OF THE TWO OVERTIME OFFICERS I HAVE

ONE OFFICER PER STATION THERE ARE DEPLOYED IN TEAMS OF TWO SO THAT'S NOT QUITE THE HOW IT WORKS OUT BUT OUR RESOURCES ARE EXTREMELY LIMITED AND WE'RE TRYING TO MAKE THE BEST USE OF THEM AS WE CAN. >>

IN ADDITION TO THOSE FOUR REGULAR OFFICERS AND EXTRA TWO OVERTIME OFFICERS, WE ALSO HAVE CRISIS INTERVENTION SPECIALISTS WHO HAVE A BROADER AREA OF RESPONSIBILITY BUT THEY ARE FOCUSING ON THE MISSION

CLAUSES AS WELL. WE ALSO HAVE A CRITICAL ASSET PROTECTION TEAM THAT'S A SERGEANT AND I BELIEVE EIGHT OFFICERS RIGHT NOW THEIR FOCUS IS SPREAD ACROSS THE DISTRICT BUT SHOWING AN EXTRA PRESENCE OUT HERE

IN THE CITY AND PARTICULARLY IN THE MISSION IS ONE OF THEIR PRIORITIES. WE ACTUALLY HAD THEM FIXED POST IN THE MISSION, PARTICULARLY 16TH STREET ABOUT A YEAR AGO AND IT WAS HIGHLY EFFECTIVE IN KEEPING

THE PLAZAS CLEAR BUT IT WAS UNSUSTAINABLE. THAT'S A TEAM THAT HAS RESPONSIBILITIES LIKE I SAID IN ALL OVER THE DISTRICT AND WE CAN ONLY DEVOTE THEM TO ONE STATION FOR A LIMITED AMOUNT OF TIME. WE DO

HAVE A DETECTIVE WITH ME TO COUNTER NARCOTICS TASK FORCE AND WE ARE AWARE OF THE LINK BETWEEN THE EAST BAY SUPPLY COMING OUT HERE INTO THE CITY. SO OUR DETECTIVES HAVE BROUGHT HCF OUT TO THE MISSION

TO TO RUN OPS TRYING TO STEM THAT TIDE BUT YET IT COMES BACK TO IF WE HAD MORE COPS WE COULD DO MORE. BUT THAT'S WHAT THE PICTURE LOOKS LIKE FOR US RIGHT NOW. THANK YOU FOR THE OVER I MEAN I'VE I'VE

FELT AND I'VE SEEN THE NUMBERS THAT BEAR THAT SAFETY ON BART IS IMPROVING I'VE SEEN MORE OF YOUR PRESENCE THERE PARTICULARLY IN THE STATIONS ON THE TRAINS. I THINK THERE'S PROGRESS THERE. OBVIOUSLY

STILL A LOT OF WORK TO DO IN THE PLAZA THEMSELVES. >> ARE YOU I THINK WHAT YOU'RE HEARING FROM US IS THE WORK OF OUR IWD IS FANTASTIC BUT HOW DO WE MAKE THAT MORE PERMANENT, MORE ENDURING? ARE YOU

ABLE TO BE A PARTNER IN THAT AND SPECIFICALLY A FINANCIAL PARTNER IN MAKING THOSE INVESTMENTS IN THE PLAZAS AND VERY DIFFERENT SITUATION WITH THE CONDITIONS? BUT YOU KNOW I THINK OF SOME OF THE

IMPROVEMENTS MADE AT THE BERKELEY PLAZA AND HOW YOU'VE GOT A COFFEE CART THERE, YOU KNOW, PRETTY MUCH AROUND THE CLOCK CAN WHAT WOULD IT TAKE TO GET THAT IN SAN FRANCISCO, PARTICULARLY IN THE MISSION?

>> YEAH, MR. CHAIR, UNEQUIVOCALLY WE ARE COMMITTED PARTNER TO THE CITY AND COUNTY OF SAN FRANCISCO AND ALL OF OUR SERVICES THAT WE HAVE THROUGHOUT THIS GREAT CITY BUT ESPECIALLY ON THOSE THOSE PLAZAS.

>> SO EVERYTHING IS ON THE TABLE. WE'VE GOT GREAT DISCUSSIONS THAT ARE HAPPENING WITH THE VARIOUS DEPARTMENTS UP TO THE MAYOR'S OFFICE SO FUNDING IF THERE'S A DESIRE IN REGARDS TO MAKING SOME

PERMANENT CHANGES THE PLAZA OF COURSE WE'VE GOT TO WE'VE GOT A BART DIRECTOR WHO IS RESPONSIBLE FOR THAT AREA SO HE'S GOT TO BE ON BOARD WITH ANYTHING THAT YOU KNOW WE BRING FORWARD. BUT CERTAINLY

EVERYTHING IS ON THE TABLE FOR DISCUSSION IN REGARDS TO MAKING IMPROVEMENTS AT THOSE PLAZAS. >> YEAH. THANK YOU FOR BEING HERE TODAY. AND WITH THAT, MADAM CLERK, CAN WE GO TO PUBLIC COMMENT? >> YES.

MEMBERS OF THE PUBLIC WHO WISH TO SPEAK ON THIS ITEM SHALL LINE UP NOW ALONG THE SIDE BY THE WINDOWS. >> ALL SPEAKERS WILL HAVE TWO MINUTES. HOLA MIAMI KELLY IS DOING WORK TOGETHER. YOU HEAR MARSHALL

BROWN SQUAD? YES. VERO KNOW MY GOALS ARE FOR ME NOT THAT THEY'RE NOT MY YOUNG NOT THEIR IS TRYING SO I'M GOING TO TRANSLATE HELLO MY NAME IS MICHAEL I'M IN FOURTH GRADE AND I GO TO MARTIAL ARTS

SCHOOL. I LIVE JOSEPH A FEW BLOCKS AWAY BUT I DON'T LIKE MY MORNING WALK TO SCHOOL FOR THE FOLLOWING REASONS I HAVE A CONDITION THAT I'M WORKING ON. I TEND TO PICK UP TRASH WHEREVER I GO EVEN THOUGH

MY PARENTS TELL ME OVER AND OVER AGAIN NOT TO DO IT. I CAN'T CONTROL THE URGE. >> SORRY THIS IS VERY TOUCHY. SEE DIRTY DANGEROUS THING ON THE STREETS CONSTANTLY PUTS AT RISK. I ALSO HAVE A LITTLE

BROTHER WHO JUST STARTED KINDERGARTEN. I WOULD LIKE OUR SCHOOL SURROUNDED AREAS TO BE SAFE BECAUSE HE STILL HAS MANY YEARS AHEAD OF HIM IN MARCH AND I WANT IT TO BE A SAFE PLACE FOR HIM AND HIS NEW

FRIENDS. PLEASE HELP US IMPROVE THE NEIGHBORHOOD AND KEEP THE STREETS FREE OF BUSINESS. I CAN'T WE CAN'T ALL WALK TO SCHOOL FEELING SAFE AND AT EASE. >> THANK YOU. THANK YOU FOR YOUR COMMENTS. NEXT

SPEAKER NINE YEARS OLD. I'M IN FOURTH GRADE OF MARSHALL ELEMENTARY SCHOOL. I REALLY LOVE MY SCHOOL. I LOVE PLAYING WITH MY FRIENDS. MY TEACHER IS REALLY NICE. I GET TO DO LOTS OF FUN THINGS IN ART

CLASS. MY SCHOOL IS AMAZING BUT THE TRUTH IS SOMETIMES I FEEL A LITTLE SCARED WHEN I WALK TO SCHOOL IN THE MORNING AND WHEN WE LEAVE IN THE AFTERNOON THINGS HAPPEN AROUND MY SCHOOL THAT I DON'T LIKE.

I'VE SEEN DANGEROUS THINGS LYING ON THE SIDEWALK THAT MY MOM TELLS ME I SHOULD NEVER TOUCH. I ALSO DON'T LIKE IT WHEN WE WALK DOWN THE STREET AND SEE PEOPLE LIVING ON SIDEWALKS BECAUSE SOMETIMES THEIR

PRIVATE PARTS ARE EXPOSED. THEY YELL REALLY LOUDLY, SOMETIMES EVEN THROW THINGS AT PEOPLE OR CARS THEY ALSO DO STRANGE THINGS THAT REALLY SCARED ME. SOMETIMES I HAVE TO WALK FASTER AND HOLD MY MOM'S

HAND REALLY TIGHT BECAUSE I GET THIS NERVOUS FEELING LIKE A LITTLE PIT IN MY STOMACH. I WOULD REALLY LOVE IT IF MORE POLICE OFFICERS COULD COME AND HELP US AND HELP KIDS KEEP US SAFE JUST LIKE OFFICER

GAMBLE DOES ESPECIALLY IN AREAS WHERE THEY ARE NEEDED MOST SO THAT ALL KIDS CAN WALK SAFELY TO SCHOOL, TO SCHOOL AND ARRIVE FEELING CALM AND WITHOUT FEAR INSTEAD OF SEEING PEOPLE SUFFERING AND YELLING

IN THE STREETS. I WOULD LOVE TO SEE MORE HAPPY PEOPLE FAMILIES WALKING PEACEFULLY, FLOWER BEDS FULL OF COLORFUL FLOWERS, TREES AND BEAUTIFUL THINGS ALL AROUND MY SCHOOL. WE KIDS DESERVE A BEAUTIFUL

PLACE WHERE WE CAN ALWAYS FEEL SAFE. >> THANK YOU. THANK YOU. >> NEXT SPEAKER HELLO. GOOD AFTERNOON. MY NAME IS SARA DOMINGUEZ AND I AM IN THIRD GRADE AT MARSHALL ELEMENTARY SCHOOL AND I MENTION

IRENE. I REALLY LIKE MY SCHOOL BUT I AM VERY AFRAID WHEN I WALK ALONG 15TH IN 16TH STREET BECAUSE THERE ARE MANY IN HOUSE PEOPLE THERE THERE WHO ARE OFTEN USING DRUGS FIGHTING, SLEEPING IN THE AREAS

WHERE I HAVE TO WALK AND USING THE STREET AS A RESTROOM. THEY ALSO LEAVE DANGEROUS SYRINGES AND TRASH LYING AROUND THINGS THAT A CHILD SHOULD NOT NOT HAVE TO SEE. THESE PEOPLE STAY VERY CLOSE TO OUR

SCHOOL AND THAT IS WHY TODAY I'M ASKING THE AUTHORITIES HERE TO KEEP US SAFE BY KEEPING OUR SCHOOL AND SURROUNDINGS IN THE SURROUNDING AREAS CLEAR OF THESE UNHOUSED PEOPLE. I AM ALSO ASKING THAT THE

CITY AMBASSADORS WHO USED TO WATCH OVER OUR SCHOOL RETURN I HOPE THAT THESE UNHOUSED PEOPLE CAN BE TAKEN TO PLACES WHERE THEY CAN RECEIVE HELP WITH THEIR PROBLEMS. SOMETIMES I FEEL THAT IT SHOWS THAT

CHILDREN ARE NOT A PRIORITY FOR YOU BECAUSE WE ARE NOT PROTECTED WHEN IT COMES TO OUR SAFETY AND WE WE ARE EXPOSED TO SO MUCH DANGER. I HOPE MY VOICE IS HEARD AND THAT MY VOICE REPRESENTS THE CHILDREN

OF MARSHALL SCHOOL . WE CHILDREN ARE THE FUTURE OF THIS CITY AND COUNTRY. THANK YOU. THANK YOU SO MUCH. >> NEXT WEEK PLEASE. HI MY NAME IS MARIANNA AND I'M THE COMMUNITY SCHOOLS COORDINATOR OF

MARSHALL ELEMENTARY. OUR CHILDREN ARE CLEARLY NOT SAFE. RECENTLY, AS YOU ALL KNOW, A FIRST GRADER FOUND A BLOODY NEEDLE IN HER SCHOOLYARD, STARTED PLAYING WITH IT AND PASSED IT TO FOUR OTHER FIRST

GRADERS NOT KNOWING WHAT IT WAS. DAYS LATER A GLASS BOTTLE WAS THROWN FROM A NEIGHBORING SRO ONTO OUR SOCCER FIELD NARROWLY MISSING A STUDENT. THESE CHILDREN SHOULD BE LEARNING TO READ, NOT DODGING

FLYING BOTTLES OR FACING NEEDLES. >> OUR STUDENTS ENCOUNTER DRUG USE, TRAFFICKING FECES AND SYRINGES DAILY DRUG SMOKE ENTERS OUR CLASSROOMS NEIGHBORING ASSAULTS LACK EFFECTIVE OVERSIGHT. WE'VE

REPORTED THESE ISSUES FOR YEARS. THINGS HAVE ONLY GOTTEN WORSE. AND BY THE WAY, I WAS THE ONE THAT EMAILED JACKIE FIELDER SO I CAN LET YOU KNOW ABOUT THE ENCOUNTER WITH THE OFFICER. SO WHAT WILL IT

TAKE FOR THE CITY TO ACT? EACH CHILD CONTRACTED A LIFELONG DISEASE FROM A NEEDLE A STUDENT SUFFERING PERMANENT BRAIN DAMAGE FROM A BOTTLE. WE DEMAND THREE ACTIONS DAILY SIDEWALK CLEANING BEFORE SCHOOL

INCLUDING ROUTES FROM MISSION STREET BUS STOPS 15TH STREET AND 16TH STREET BART STATION. BECAUSE THOSE STREETS ARE FILTHY EVERY DAY. SECOND STOP DRUG USE AND TRAFFICKING. THE AIR MARSHAL AND ENFORCE

SAFETY REGULATIONS OF NEIGHBORING SRO. THIRD A SAFETY PLAN WITHIN 30 DAYS WE THAT IS DESIGNATED CITY OFFICIAL ACCOUNTABLE FOR RESULTS. >> WHAT DOES IT SAY ABOUT US AS A CITY IF WE CANNOT PROTECT OUR

CHILDREN? ACCESS TO EDUCATION IS A RIGHT . BEING ABLE TO ACCESS IT SAFELY IS PART OF THAT RIGHT. OUR CHILDREN DESERVE BETTER. THEY DESERVE TO BE SAFE AND THEY DESERVE IT NOW. THANK YOU. >> THANK YOU.

NEXT SPEAKER PLEASE. >> GOOD AFTERNOON, EVERYONE. MY NAME IS MICHELLE AND I'M A THIRD GRADE TEACHER AT MARSHALL ELEMENTARY SCHOOL. >> TODAY I'M NOT JUST HERE TO TALK ABOUT SAFETY. I'M HERE TO TALK

ABOUT WHAT WE ARE TEACHING OUR CHILDREN AS A SOCIETY. AS MARIANA SAID, A FIRST GRADER PICK UP A USE SYRINGE NEAR OUR SCHOOL A BEER BOTTLE WAS THROWN FROM A NEARBY BUILDING ALMOST HITTING OUR STUDENTS.

WE REGULARLY SEE PEOPLE USING DRUGS AND DEFECATING JUST A FEW FEET AWAY FROM OUR SCHOOL. WHAT HAPPENS TO OUR CHILD LINES WHEN THESE SITUATIONS BECOME PART OF EVERYDAY LIFE? REPEATED EXPOSURE TO AN

UNSAFE ENVIRONMENT CAN CREATE ANXIETY, EMOTIONAL DISTRESS AND DIFFICULTIES CONCENTRATION ,CONCENTRATING AND LEARNING. BUT SOMETHING WORRIES ME EVEN MORE. WE ARE TEACHING THESE CHILDREN THAT THIS IS

NORMAL, THAT THEY DON'T DESERVE TO WORK FREELY, PLAY OUTSIDE OR FEEL SAFE IN THEIR OWN COMMUNITY. AND I REFUSE TO ACCEPT THAT IN THE 21ST CENTURY. >> IN SAN FRANCISCO SHOULD A CHILD REALLY HAVE TO

LIVE IN FEAR JUST TO GO TO SCHOOL? >> SERIOUSLY? >> OR IF STUDENTS ARE READY FOR A CHALLENGE THAT MANY OF US CANNOT EVEN IMAGINE. AND WE NEED REAL SOLUTIONS. PEOPLE ARE STRUGGLING WITH SEVERE

ADDICTION ADDICTION OR SERIOUS MENTAL HEALTH CONDITIONS AND NEED TO SPECIALIZED FACILITIES WHERE THEY CAN RECEIVE CONTINUOUS MEDICAL CARE, PSYCHOLOGICAL TREATMENT AND SUPERVISED ORIENTATION WITH

APPROPRIATE ILLEGAL SUPPORTS. SO MY QUESTION IS SIMPLE. ARE WE GOING TO KEEP NORMALIZING THIS OR ARE WE FINALLY GOING TO DO SOMETHING ABOUT IT? AND PLEASE REMEMBER SOMETHING WE ARE TALKING ABOUT KIDS.

>> KIDS ARE THE MOST PRECIOUS THING WE HAVE AS A SOCIETY. THEY DESERVE ACTION. THEY DESERVE SAFETY AND ABOVE ALL THEY DESERVE A CHILDHOOD. >> THANK YOU SO MUCH. THANK YOU FOR YOUR COMMENTS. NEXT

SPEAKER. >> HELLO. MY NAME IS YEAR MY DAUGHTER AND I VICTORIA JUST SPOKE TO YOU A FEW MINUTES AGO. >> I WANT TO SHARE WITH YOU THREE THINGS. FIRST THE SITUATION THAT WE LEAVE ON A DAILY BASIS ON THE

STREETS NEAR TO MARSHALL ELEMENTARY SCHOOL. >> SECOND EARLIER REGARDING SOME QUESTIONS FOR YOU ABOUT THE STRATEGY AND ACTIONS THAT YOU ARE TAKING AS A CITYWIDE STRATEGY. AND THE THIRD POINT IS WHEN

ASKED FOR YOU IN THREE IDEAS THAT COULD BE SIMPLE MAYBE SILLY BUT HOPEFULLY THAT MAKES YOU TO REFLECT AND SEE IF THEY CAN BE APPLICABLE. FIRST OFF THIS SITUATION ON THE STREET WE ALL KNOW WE HAVE SEEN

SHOOTINGS BETWEEN 15 AND 16 STREET OVER THE MISSION ON A DAILY TIME. >> WE HAVE SEEN PEOPLE RIGHT OUT OF MARSHALL SCHOOL WITH KNIFE FIGHTING. >> WE HAVE SEEN MANY THINGS. >> WE DON'T WANT THAT FOR US

NEITHER FOR OUR KIDS. THE SECOND POINT TALKING ABOUT THE STRATEGY PROGRESS SOME COUPLE THAT MANY OF THE DEPARTMENTS AND PEOPLE WORKING ON THIS HAVE SHARED WITH US. THEY ARE GREAT AND THEIR WORKING ON

DIFFERENCE PERSPECTIVE BUT WE HAVEN'T SEEN OR WE HAVEN'T HEARD ANYTHING FOR THE KIDS, ANYTHING FOR THE CHILDREN. WE WORRY ABOUT PEOPLE IN HOMELESS SITUATION. WE WORRY ABOUT HOW WE CAN HELP THEM BUT

WHAT ABOUT OUR KIDS? SO MY AS FOR YOU IS PRETTY SIMPLE INCLUDES SOMETHING TANGIBLE THAT ADDRESS OUR KIDS. HOW CAN WE MAKE THIS ACTUALLY SAFE FOR THEM PHYSICALLY AND EMOTIONALLY? THREE SIMPLE IDEAS WHY

DON'T WE JUST PUT PLANTERS AROUND ON THE MISSION SO WE MAKE THE CITY EVEN MORE BEAUTY AND WE ACTUALLY MAKE A PHYSICAL BARRIER FOR PEOPLE TO STAND THERE. >> WHY DO WE NEED TO HAVE PEOPLE USING AND

SELLING THE STREETS ON THE PARKWAY WHEN WE CAN JUST PUT LIKE BEAUTIFUL PLANTERS AS SIMPLE AS THAT? >> OUR SIMPLE IDEA COULD BE JUST PHYSICALLY MOVING THOSE HOMELESS PEOPLE TO A SPECIFIC AREA SO WE CAN

A PLACE EVERYTHING ALL THESE IDEAS THERE. >> THANK YOU FOR YOUR COMMENTS. THANK YOU. >> NEXT SPEAKER PLEASE. >> HI. GOOD AFTERNOON SUPERVISORS. MY NAME IS CAROLYN GOOSEN AND I'M HERE ON BEHALF OF THE

SAN FRANCISCO PUBLIC DEFENDER'S OFFICE TO URGE OUR CITY LEADERS TO FOCUS INVESTMENT ON REAL EVIDENCE BASED SOLUTIONS TO HELP PEOPLE WITH SUBSTANCE USE DISORDERS. RATHER THAN INCREASINGLY SPEND MORE

AND MORE MONEY ON INEFFECTIVE AND HARMFUL POLICE LED INITIATIVES SUCH AS DMARC WHILE D-MAX SWEEPS TEMPORARY LEE MAY REMOVE THE VISIBILITY OF ADDICTION AND POVERTY ON A PARTICULAR BLOCK OR A FEW BLOCKS

CYCLING VULNERABLE COMMUNITY MEMBERS IN AND OUT OF JAIL FOR LOW LEVEL MISDEMEANORS DOES NOTHING TO ADDRESS ROOT CAUSES OF ADDICTION IS NOT A LONG TERM SOLUTION AND INSTEAD INFLICTS ACUTE HARM. IT CAN

TRIGGER HORRIFIC MEDICAL WITHDRAWALS DRASTICALLY INCREASING PEOPLE'S RISK OF A FATAL OVERDOSE UPON RELEASE AND CAN ALSO LEAD TO PEOPLE LOSE THEIR JOB OR THEIR HOUSING. THESE DEMAK OPERATIONS ARE ALSO

EXTRAORDINARILY COSTLY TO THE CITY. >> CONSIDER THE LATE NIGHT DEMAK OPERATION AT JEFFERSON PARK LESS. >> LAST YEAR 86 PEOPLE WERE ROUNDED UP. >> THERE WAS DOZENS OF POLICE OFFICERS DRONES. THIS WAS A

LATE NIGHT OPERATION. OUT OF THOSE 86 ARRESTS ONLY ONE PERSON WAS CHARGED WITH A FELONY POSSESSION WITH INTENT TO KILL. HE WAS A CLIENT OF OUR OFFICE. >> AND ONCE THEY WENT TO TRIAL AND THE JURY HEARD

ALL THE EVIDENCE, HE WAS ACQUITTED OF ALL CHARGES. >> AND SO NOT ONLY THAT, BUT HE HAD TO SPEND EIGHT MONTHS IN JAIL BECAUSE THE D.A. REFUSED TO ALLOW HIM PRETRIAL RELEASE. SO WE HAVE THE COSTS OF

THAT INCARCERATION, THE COSTS OF ALL OF THOSE POLICE, THE COSTS OF THE FAMILIES OF THOSE WHO ARE ARRESTED AND NO ONE WAS FOUND GUILTY OF DRUG DEALING IN THAT SITUATION. >> POLICE BODY WORN CAMERA

FOOTAGE FROM THAT EXACT RAID ALSO EXPOSES THE GRIM REALITY THAT SEDANS AND SHARP CONTRAST TO THE DEPARTMENT'S SANITIZED VIDEOS FROM THAT NIGHT. IT SHOWS OFFICERS AGGRESSIVELY PUSHING PEOPLE, CURSING

AT THEM, FORCING THEM INTO CURBS. THANK YOU FOR YOUR COVER THEIR HANDS ZIP TIED BEHIND THEIR BACKS. >> SO WE URGE YOU TO REDIRECT RESOURCES TO PUBLIC SAFETY SOLUTIONS THAT WORK HOUSING TREATMENT,

HEALTH CARE. THANK YOU. >> THANK YOU. NEXT SPEAKER, PLEASE. >> I TOO HAVE BEEN A BROKEN RECORD AS A MID-MARKET HOMEOWNER WITH A MASTER'S IN SOME REGULAR BIOLOGY. >> NOT A COMPLETE IDIOT. I'M JUST

GOING TO REPEAT A PUBLIC COMMENT ON THIS TOPIC FROM APRIL 2025. MY DISTRICT SUPERVISOR HAD MADE A CHERRY PICKED EX POST QUOTE MEET THE LUNATIC FRINGE. >> I'M GOING TO TAKE FRINGE OF AMERICAN DRUG

POLICY AN ORGANIZATION THAT WANTS DRUG DEALERS INVOLVED AT QUOTE EVERY STEP OF THE POLICYMAKING PROCESS UNQUOTE. >> THEY'RE PUSHING FOR SAN FRANCISCO TO ENSHRINE A DRUG DEALER FRIENDLY DEFINITION OF

RECOVERY THAT INCLUDES ILLICIT DRUG USE. >> HE WAS REFERRING TO THE DRUG POLICY ALLIANCE THAT RESEARCHES AND RECOMMENDS DRUG POLICY GROUNDED IN EVIDENCE HEALTH EQUITY AND HUMAN RIGHTS. HERE IS THE

PARAGRAPH HE CHERRY PICKED THE SENTENCE FROM QUOTE RESEARCHERS SHOULD FURTHER EXPLORE THE ROLE THAT ECONOMIC AND SOCIAL CONDITIONS PLAY IN CONTRIBUTING TO PEOPLE'S DECISIONS TO PARTICIPATE IN DRUG

MARKETS AND THE KINDS OF SOCIAL POLICY THAT CAN IMPACT THESE DECISIONS. FURTHER STUDY IS ALSO NEEDED ON THESE TYPES OF POLICIES AND INCENTIVES THAT ACTUALLY WORK TO GET PEOPLE OUT OF DRUG SELLING OR

DISTRIBUTION IN A SUSTAINABLE WAY. FINALLY, RESEARCHERS AND POLICY MAKERS SHOULD INCLUDE PEOPLE WHO HAVE OR WHO ARE OR HAVE BEEN INVOLVED IN DRUG SELLING AND DISTRIBUTION RELATED ACTIVITY IN EVERY

STEP OF THEIR RESEARCH AND POLICY MAKING PROCESS. >> PEOPLE OF SELLING AND DISTRIBUTION DISTRIBUTION RELATED EXPERIENCE ARE EXPERTS IN HOW DRUG MARKETS FUNCTION AND THE INCENTIVES AND PRESSURES THAT

DRIVE THEIR CHOICES AND THEIR INVOLVEMENT WILL BE CRUCIAL IN CRAFTING EFFECTIVE POLICY SOLUTIONS TO DRUG MARKET HARMS WHILE MINIMIZING UNINTENDED CONSEQUENCE CONSEQUENCES. PAGE 54 FROM RETHINKING THE

DRUG DEALER 2019 WHAT DANGER IS AND HARM DOES THIS POSE US? >> IS IT BECAUSE THIS ONE DRUG DEALER THAT WAS USED IN AN EXAMPLE IS A BLACK JEWISH MAN WHO HAS BEEN SUBJECTED TO RACIAL AND ANTI-SEMITIC

ABUSE BY OUR SOCIETY AND THAT STEERED HIM AND HIS PAIN TOWARD DRUG USE AND SELLING. >> WE WOULD HAVE TO ADDRESS LARGER SOCIETAL ISSUES THAT FUEL DRUG ADDICTION IN THIS COUNTRY IF WE REALLY LISTEN TO

THE PEOPLE, IF PEOPLE LISTEN TO PEOPLE LIKE THIS, WE WOULD HAVE TO PUT ADDICTION INTO A LARGER CONTEXT AND TO ACTUALLY EFFECTIVELY ADDRESS IT. I DON'T BELIEVE I HEARD THE WORD RACISM ONCE AND HEAR

DOMESTIC ABUSE VIOLENCE ETC. A LOT OF ISSUES THAT ACTUALLY DRIVE THIS. >> THANK YOU. NEXT SPEAKER, PLEASE. >> GOOD. WHATEVER IT IS. SUPERVISORS CHRIS SHULMAN LOWER POLK COMMUNITY BENEFIT DISTRICT

EXECUTIVE DIRECTOR THANK YOU FOR CALLING THIS HEARING. PRESIDENT RANDLEMAN THANK YOU TO ALL THE SUPERVISORS HERE. SUPERVISOR SARTOR THANK YOU FOR WORKING WITH US AND AS PART OF OUR DISTRICT AND I'D

LIKE TO ACKNOWLEDGE SUPERVISOR MAHMUD AND HIS COMMENTS ABOUT THIS PLACE THE LOWER HILL WITH MY COLLEAGUES UP THERE IT'S FACT AS FAR AS WE'RE CONCERNED. YOU KNOW, I WANT TO I WANT TO PICK ON A COUPLE

OF THINGS AS IT AFFECTS LOWER PORK AND MY CONSTITUENTS IN OUR COMMUNITY BENEFIT DISTRICT. YOU KNOW, WHILE WE WELL, WE'RE VERY SUPPORTIVE OF DMX A PERIOD DMX EFFORTS AND EFFORTS IN THE TENDERLOIN, WE

DO SEE DISPLACEMENT IN LOWER POLK IT'S IT'S A REALITY WE FACE. WE'RE NOT PITTING NEIGHBORHOOD AGAINST NEIGHBORHOOD. WE WANT WE WANT ALL OF OUR ADJOINING AND OTHER COMMUNITIES TO SEE POSITIVITY AND

ACTIVATION RESULTS AND IMPROVEMENTS. BUT WE DO SEE DISPLACEMENT. >> IT'S REALITY AND WHAT WORKS WELL WITH THE CITY IS IS DISRUPTING THINGS COMING IN. IT'S PARK POLICE ACTIVITY DEPARTMENT OF PUBLIC

HEALTH ACTIVITY BUT WE DON'T HOLD THINGS DOWN AND LOWER POLK A BACK IN JANUARY 1ST LOST COMMUNITY AMBASSADOR FUNDING AND COMMUNITY AMBASSADORS. NORTH OF POST STREET AND WE'VE SEEN. WE'VE SEEN A

DETERIORATION OF THE NEIGHBORHOOD SINCE THAT TIME OVERALL THINGS ARE BETTER SINCE THE PANDEMIC BUT IN THE LAST YEAR WE'VE SEEN A DEGRADATION OF THE NEIGHBORHOOD. BUSINESSES HAVE REPORTED CHALLENGES

AND SO I JUST WANT TO SAY THAT WE WILL BENEFIT FROM THE COMMUNITY. AMBASSADORS NON-POLICE INTERVENTION. WHILE WELCOMING CONTINUED EFFORTS FROM THE DEPARTMENTS BEHIND US AND DEPARTMENTS THAT ARE NOT

REPRESENTED. SO THANK YOU FOR CALLING THIS HEARING AND THANK YOU TO ALL YOU AND THANK YOU TO THE DEPARTMENTS HERE. >> THANK YOU FOR YOUR COMMENTS . >> YOUR NEXT SPEAKER PLEASE. HI, I'M A RESIDENT OF

THE MID-MARKET AREA I LIVE ON JUST OFF OF SIXTH BETWEEN THE RESEARCH CENTER AND THE OPEN DRUG MARKET ON SIXTH STREET AND I THOUGHT IT WAS IMPORTANT TO RAISE A COUPLE OF THINGS. ONE WHICH IS HYPER

CONCENTRATION WHICH HASN'T BEEN DISCUSSED HERE. SO YOU HAVE THROUGH YOUR POLICIES CREATED A HYPER CONCENTRATION WHERE IF YOU LOOK AT SIXTH STREET WE HAVE IT IS LINED WITH ESSAY ROLES MANY OF WHOM ARE

DRUG ADDICTS WHO ARE JUST TEN FEET AWAY FROM GETTING THEIR NEXT FIX. YOU HAVE FUNDED SERVICES SUPPORTIVE SERVICES WHICH ARE HANDING OUT CONSUMABLES WHICH FURTHER ENTRENCHES THESE GUYS INTO ADDICTION

AND ULTIMATELY A PREMATURE DEATH. AND THEN WE ALSO HAVE THE CONVENIENCE STORES WHICH ARE ALSO FEEDING INTO THIS WHOLE CYCLE. SO YOU'VE CREATED A BIT OF A DRUG MECCA ON SIXTH STREET AND IN ORDER TO

ADDRESS THE DRUG MARKET YOU HAVE TO ADDRESS THIS HYPER CONCENTRATION. THE SECOND THING I WANT TO TALK ABOUT IS RESEARCH. WE HAD MANY MEETINGS WITH THE MAYOR'S OFFICE AND DORSEY'S OFFICE REGARDING

RESET ALL OF OUR CONCERN THAT THIS WOULD ACTUALLY BE A REVOLVING DOOR BACK ONTO SIXTH STREET BECAUSE OF ITS CLOSE PROXIMITY AND ACTUALLY INCREASED THE AMOUNT OF DRUG ACTIVITY BECAUSE THEY'RE BEING

RELEASED WHEN THEY ACTUALLY ARE CLEAN AND CRAVING DRUGS. >> I DO TRACK DRUG ACTIVITY. SO BENJAMIN, YOU HAD ASKED IF WE'RE TRACKING IT. WE DO TRACK DRUG ACTIVITY WE CAN TO THE POLICE CALLS AND IT IS

ACTUALLY GOING UP. >> SO I'M IN A NEIGHBORHOOD WHERE THE RESEARCH CENTER IS SUPPOSED TO SERVE US AND YET WE'RE NOT SEEING IT ACTUALLY HAVE ANY BENEFIT. I PERSONALLY SEE THROUGH THE POLICE DATA THAT IT

HAS GONE UP . SO I WOULD CAUTION EVERYONE ABOUT EXPANDING RESET UNTIL WE SEE IT PROVE A VALUE IN THE NEIGHBORHOOD IT IS SUPPOSED TO SERVE. >> THANK YOU. THANK YOU FOR YOUR COMMENTS. >> NEXT SPEAKER

HI, GOOD AFTERNOON. >> MY NAME IS DAPHNE ADAM I AM THE PARENT OF A SECOND GRADER AT MARSHALL ELEMENTARY AND I AM A RESIDENT OF THE MISSION DISTRICT. THE FIRST THING I WANT YOU GUYS TO KNOW IS THAT

MARSHALL IS A GEM IN THE SCHOOL DISTRICT. THE STAFF AND THE ADMINISTRATORS ARE AMONGST THE MOST INVESTED PASSIONATE PEOPLE I'VE ENCOUNTERED IN PUBLIC OR PRIVATE EDUCATION. THAT'S WHAT I WANT TO BE

HERE TALKING TO YOU ABOUT MARSHALL IS AN EXCELLENT SCHOOL. >> IT'S A SCHOOL THAT THE CITY SHOULD BE PROUD OF. INSTEAD WE'RE ON YOUR AGENDA TODAY BECAUSE A FIRST GRADER GRABBED A BLOODY NEEDLE THROUGH

THE RECESS FENCE AND BECAUSE THERE HAVE BEEN MANY, MANY OTHER INCIDENTS THAT ENDANGER THE SAFETY AND THE WELL-BEING OF OUR KIDS OF MY KID PRESIDENT RANDLEMAN, I APPRECIATE YOUR OPENING STATEMENTS. I

APPRECIATE THAT THIS IS A COMPLEX PROBLEM. I APPRECIATE THERE HAVE BEEN SUCCESSES CELEBRATING OUR SUCCESSES DOES RING HOLLOW THOUGH WHEN YOU ARE STEPPING OVER NEEDLES ON YOUR WAY TO YOUR KID'S SCHOOL

MANY MANY DAYS A WEEK I CAN'T HELP BUT THINK THAT OUR KIDS IN THE STAFF AT THE SCHOOL AND THE PEOPLE IN OUR NEIGHBORHOOD NOW WHO ARE STRUGGLING WITH SUBSTANCE ABUSE AND THE PEOPLE STRUGGLING WITH

HOUSING INSTABILITY THAT WE ARE ALL COLLECTIVELY COLLATERAL DAMAGE OF A PUBLIC RELATIONS CAMPAIGN ABOUT THE CONDITIONS OF SAN FRANCISCO STREETS IMPROVING I DON'T SEE IT. IT'S AN EMERGENCY AND I'M

FRANKLY ALARMED BY HOW MEASURED THE TONE OF THIS CONVERSATION WAS TODAY OUR KIDS DO NOT HAVE SAFE PASSAGE TO THEIR SCHOOL AND IN THE LAST FEW WEEKS IT'S BECOME APPARENT THAT THEY AREN'T EVEN SAFE ONCE

THEY'RE ON CAMPUS. >> FOR THOSE WHO ARE HERE FROM THE MAYOR'S OFFICE, PLEASE PASS A NOTE TO MAYOR LURIE FOR ME I FOLLOW HIM ON TIK-TOK I SAW THAT HE DID A RIDE ALONG WITH A PD THIS WEEK. >> VERY GOOD.

I LOVE THAT. KEEP DOING THAT. I INVITE HIM TO COME VISIT MARSHALL. I INVITE HIM TO WALK THE BLOCKS AROUND THE SCHOOL IN THE EARLY MORNING AND EVENING WHEN WE DROP OFF AND PICK UP OUR KIDS HE CAN DO A

LITTLE TIK-TOK VIDEO ON IT. THOSE ARE SO CUTE THEN HE CAN HELP US FIX IT. >> THANK YOU. NEXT SPEAKER HELLO MY NAME IS EMILY GASSNER AND MY CHILDREN ATTENDED MARSHALL FOR EIGHT YEARS FROM KINDERGARTEN

THROUGH FIFTH GRADE AND IN THE LAST TWO YEARS I SAW THE STREET CONDITIONS DESCEND INTO SOMETHING I WOULD DESCRIBE AS A DAILY NIGHTMARE ON THE FIRST DAY OF SCHOOL ONE YEAR AGO AT 3:00 IN THE AFTERNOON

AS WE WERE WAITING FOR THE BUS ON 16TH AND MISSION SHOTS RANG OUT TEN SHOTS FROM A GUN. IT WAS JUST WITHIN A HALF A BLOCK AND IT WAS MAYHEM. ELDERLY PEOPLE, CHILDREN, EVERYBODY THAT WAS IN HARM'S WAY.

THIS IS TRAUMA THAT WE ARE TALKING ABOUT THAT WE'VE HEARD FROM OUR CHILDREN THAT'S GOING TO LAST A LIFETIME AND WE ARE STILL MY KIDS ARE NOW IN MIDDLE SCHOOL AND WE ARE TRYING TO TAP INTO THERAPY FROM

THE CONSTANT NIGHTMARES WE HAVE OF MY SON THINKING SOMEONE IS GOING TO KILL ME ON THE WAY TO SCHOOL WITHIN A BLOCK OF THE SCHOOL HE WOULD HOLD HIS WATER BOTTLE OUT AND SAY MOMMY, I'M GOING TO PROTECT

YOU BECAUSE PEOPLE WOULD SAY I'M GOING TO KILL YOU. WE NEVER KNEW IF SOMEONE WAS GOING TO TRY TO STAB US. STUFF WOULD GET THROWN AT US. WE WOULD SEE PEOPLE WITH THEIR PANTS DOWN THERE, GENITALS OUT IN

FRONT OF THE SCHOOL PEEING ON THE SIDEWALK IN FRONT OF THE SCHOOL. I HAD TO PUSH MY CHILD OUT OF THE WAY WHEN SOMEONE WAS USING SMOKING EITHER A FENTANYL OR METH AND A BIG CLOUD WAS COMING OUT OF

THEIR MOUTH AS WE WERE WALKING INTO THE SCHOOL BUT THE FAMILY IN FRONT OF US IT HAD IT HAD GOTTEN TO THEM BEFORE IT HAD GOTTEN TO US THIS IS TRAUMA. >> THIS IS LIKE A DIRTY SECRET IN SAN FRANCISCO

THERE'S A TALE OF TWO CITIES HERE. IF THIS WAS A WHITE SCHOOL ON THE WEST SIDE THIS WOULD HAVE BEEN TENDED TO A COUPLE OF YEARS AGO BECAUSE IT IS A LATINO POPULATION LOW INCOME, 30% UNHOUSED. IT'S

LIKE TREATED LIKE THE KIDS DON'T MATTER AND IT'S NOT OKAY . SOMETHING REALLY TERRIBLE I FEEL IS GOING TO HAPPEN TO ONE OF THE KIDS OR ONE OF THE FAMILIES AT MARSHALL AND I JUST FEEL LIKE NOTHING IS

GOING TO HAPPEN UNTIL THAT DOES. SO WE BEG. >> WE ARE BEGGING FOR HELP. PLEASE HELP. >> THANK YOU. NEXT SPEAKER PLEASE. >> HELLO, MY NAME IS AMELIA HARMON. I'M SPEAKING FROM DISTRICT NINE IN MY

INDIVIDUAL CAPACITY I THINK WE CAN ALL AGREE THAT PREVENTION IS SYSTEMICALLY MORE EFFECTIVE THAN TREATMENT. IN MY FIVE YEARS AS A PEER COUNSELOR ON THE STREET CRISIS RESPONSE TEAM I PERSONALLY

RESPONDED TO INNUMERABLE CALLS WHERE I SAT DOWN IN A LIVING ROOM WITH MOTHERS AT THEIR WIT'S END SUPPORTING THEIR ADULT DEPENDENT CHILDREN STRUGGLING WITH ADDICTION WITH SEVERE MENTAL ILLNESS, VIOLENT

BEHAVIORS WONDERING IS THIS THE DAY THAT I MAKE THEM HOMELESS? IS TODAY THE DAY THAT I LOCK THE DOOR AND MAKE THE CITY NOW CARE THAT THEY CAN ACCESS HOMELESSNESS SERVICES? WILL I LOSE THEM TO THE

STREETS ON THOSE CALLS PEER TRAINING LIVED EXPERIENCE OF TREATMENT STORIES OF RECOVERY MADE THE DIFFERENCE PIERS INCREASE ENGAGEMENT IN CARE OUR CITY HAS LOST ALL BEHAVIORAL HEALTH SPECIALISTS ON OUR

911 DISPATCH BEHAVIORAL HEALTH CRISIS RESPONSE TEAM ACCORDING TO A STATEMENT MADE LAST WEEK BY THE ASSISTANT DEPUTY CHIEF OF EMS, THE STREET CRISIS RESPONSE TEAM IS A QUOTE STAND ALONE FUNCTION

LOOKING AT THE IMMEASURABLE EFFORTS OF THE COLLABORATION IN THIS ROOM, I FIND THAT HARD TO BELIEVE THE LOST EFFICACY OF OUR SRT IS AN INSIDIOUS PUBLIC SAFETY ISSUE THAT UNDERMINES THE WORK OF EVERYONE

HERE. SFD PLACES THE ONUS ON EACH. I ASKED THIS COMMITTEE TO CALL ANOTHER HEARING AND INVITE SFD TO REPORT ON THEIR DATA ACCOUNTABILITY PRACTICES THEIR RESPONSIBILITY TO ALL PARTNERING AGENCIES HERE

AND TO EVERY SINGLE PERSON THAT CALLS FOR HELP AT A MOMENT OF CRISIS HOMELESS OR NOT QUITE YET. >> THANK YOU. THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER HELLO AGAIN SUPERVISORS MY NAME IS JUSTICE DOOM

LEARNED TODAY I AM HERE AS REPRESENTATIVE FREEMAN ON DEMAND COALITION AND THE SAN FRANCISCO AIDS FOUNDATION HIV ADVOCACY NETWORK. THANK YOU FOR BRINGING THIS HEARING TO THE TABLE. I WANT TO ECHO MY

DISAPPOINTMENT THE MAYOR'S OFFICE IS NOT PRESENT ESPECIALLY CONSIDERING HIS BREAKING THE CYCLE INITIATIVE WHICH AFTER THIS HEARING SOUNDS A LOT LIKE MOVING THE CYCLE RATHER THAN BREAKING IT. IT SOUNDS

TO ME LIKE PEOPLE BELIEVE THAT THE HAS BEEN EFFECTIVE. I DON'T THINK YOU CAN CALL IT EFFECTIVE WHEN THE ISSUE JUST GETS PUSHED. IT'S LIKE TRYING TO CLEAN UP A PUDDLE WITH A BROOMSTICK. >> YOU'RE JUST

PUSHING THE PROBLEM AROUND. >> WE'VE HEARD A LOT OF ISSUES ABOUT THE SYRINGE SYRINGES IN THE MISSION DISTRICT AS YOU ALL ALL KNOW THE SYRINGE PICK UP PROGRAM WITH SPF WAS REDUCED IN FUNDING THIS YEAR

WHICH I THINK WAS A HUGE MISTAKE. I'VE ALSO HEARD A LOT OF TALK ABOUT THE TENDERLOIN LINKAGE CENTER AND THAT I WAS QUOTE UNQUOTE UNSUCCESSFUL BECAUSE OF ITS LOW CONNECTIONS TO TREATMENT. AND EVEN

THOUGH DORSEY YOU MENTIONED THAT THE RESET GETS THE PRIVILEGE OF ALSO USING CONNECTIONS TO SUMMARIZE AND OTHER HOUSING BENEFITS AND THINGS OF THAT NATURE THE TENDERLOIN LINKAGE CENTER DOES NOT GET THE

BENEFIT OF ALL THOSE RESOURCES THAT ARE OFFERED AND CONNECTED TO FOLKS AS WELL. MEANWHILE DEMAK HAVING OPERATED FOR MULTIPLE YEARS GETS A LOT OF THAT SUCCESS AND TENDERLOIN LINKAGE CENTER AS ONLY 11

MONTHS OF OPERATION GETS A LOT OF UNSUCCESSFUL. I THINK THAT IS A RIDICULOUS FAILURE OF US TRYING TO TRY OTHER OPPORTUNITIES LIKE PREVENTION AND HARM REDUCTION IN THE CITY PAIRED WITH ENFORCEMENT AND

THINGS OF THAT NATURE. WHEN WE JUST FOCUS ON ENFORCEMENT WE SEE AGAIN THIS REVOLVING DOOR HAPPENING AND WE NEED TO HAVE A BETTER FUNCTION OF USING A FOUR PILLAR APPROACH THAT EQUALLY FUNDS AND PUTS

EMPHASIS ON EACH AND EVERY SINGLE ONE OF THOSE PILLARS TO TRULY TREAT THE DEMAND ISSUE IN THIS CITY ADDICTION IS A MEDICAL INTERVENTION AND IT NEEDS THAT TYPE OF ISSUE TO BE BROUGHT TO IT. >> THANK

YOU. >> THANK YOU FOR YOUR COMMENTS. NEXT SPEAKER HELLO AGAIN. ONE FINAL THOUGHT OR IDEA I DIDN'T HEAR ANYTHING ABOUT CORPORATE CORPORATE RELATIONSHIPS. SAN FRANCISCO IN THE BAY AREA IS THE SECOND

WEALTHIEST METRO AREA IN THE UNITED STATES. >> SO I WOULD LOVE TO SEE IN THIS CITY WHAT IS STRATEGY CORPORATE PARTNERSHIPS SO WE CAN LEVERAGE ON TECHNOLOGY BRAINPOWER, BALANCE ON A THANK YOU SO MUCH.

>> THANK YOU. >> WE ALLOW OUR PUBLIC SPEAKERS TO SPEAK ONCE. NEXT SPEAKER PLEASE DOUBLE W YOUR DUFFY I'M GLAD THAT THERE ARE PEOPLE HERE THAT DO PUBLIC COMMENT BETTER THAN ME AND SOME OF THEM ARE

SUPERVISORS. >> THERE HAS BEEN SOME IMPROVEMENT IN THE TENDERLOIN AND YEAH IT DOES GET PUSHED AROUND AND INTO OTHER NEIGHBORHOODS. I DON'T THINK I IT'S A CONJECTURE ON MY PART BUT YOU KNOW THERE IS A

GREAT EMPHASIS PUT ON CLEANING UP MARKET STREET AND I'M WONDERING IF THAT WAS A RESPONSE TO THE THE FEDERAL ADMINISTRATION MAKING A LOT OF COMMENTS ABOUT ATTACKING THE CITY AND SO FORTH AND

SPECIFICALLY THE TENDERLOIN . AND SO MAYBE THAT'S WHY IT'S AT MOVED DOWN TO 16TH STREET WHICH IS A LITTLE BIT FURTHER AWAY AND A LITTLE BIT OFF. IT HASN'T BEEN TARGETED YET BY THAT KIND OF TALK. I

HATE TALK IF IF WE WOULD HELP ANY HOUR TO EVEN BE I, I REALLY SUPPORT THE I'M OUR NEIGHBOR FROM THE MISSION AND IF IT WOULD HELP ANY OUT TO EVEN BE WILLING TO TAKE SOME OF THAT TROUBLE BACK INTO THE

TENDERLOIN. >> THANK YOU. DO WE HAVE ANY ADDITIONAL PUBLIC SPEAKERS FOR THIS HEARING? MR. CHAIR, THAT CONCLUDES PUBLIC COMMENT. >> PUBLIC COMMENT IS NOW CLOSED. I WANT TO THANK ALL THOSE WHO MADE

PUBLIC COMMENT TODAY PARTICULARLY THE STUDENTS OF MARSHALL. >> THANK YOU FOR BEING HERE. >> I KNOW WE WISH YOU DIDN'T HAVE TO BE BUT THANK YOU FOR BEING HERE, SHARING YOUR EXPERIENCES AND LETTING US

KNOW THE EFFECT OF THESE CONDITIONS ON YOUR DAILY LIFE AND YOUR YOUR DAILY WALK TO SCHOOL. >> IT SHOULD NOT BE THAT WAY. SUPERVISOR PRESIDENT MADAM CHAIR SARTOR SUPERVISOR PLANK SUPER VISORS FIELDER

AND DORSEY THANK YOU FOR YOUR CO-SPONSORSHIP. I WANT TO START BY THANKING WELL OF COURSE THE FOLKS WHO TURNED OUT TO SPEAK. >> I WANT TO THANK THE FOLK THE PEOPLE WHO WORK FOR THE CITY WHO EACH DAY,

DAY IN AND DAY OUT ARE DEALING WITH REALLY CHALLENGING PROBLEMS AND TRYING TO SOLVE THEM. >> I HAVE TO SAY THIS IS NOT A EXACTLY THE HEARING THAT I WAS HOPING FOR. I WAS HOPING THAT WE WOULD BE IN A

POSITION TO EITHER HAVE A CLEARER SENSE OF TRAJECTORY BOTH CITYWIDE AND AT A NEIGHBORHOOD LEVEL OR HAVE SOME NOTION A CLEAR NOTION OF HOW WE WERE GOING TO GET THERE AND SUPERVISOR SARTOR DREW

ATTENTION TO THE I FORGET WHAT WHERE WE'RE GOING OR I FORGET WHAT THAT SLIDE WAS, WHAT'S NEXT THE WHAT'S NEXT SLIDE IS AS AS CHAIR SLAUGHTER POINTED OUT A SERIES OF LAUDABLE GOALS DIRECTIONALLY

CORRECT WITH NO NOTION OF HOW YOU WOULD GET TO ANY OF THEM AND WHETHER ANY AND WHAT WHAT WOULD BE NEEDED TO GET THERE. AND I THINK THAT COMBINED WITH THE DECISION OF THE MAYOR'S OFFICE NOT TO SEND AT

LEAST A DEPUTY CHIEF TO THIS HEARING MAKES IT HARD FOR THE BOARD OF SUPERVISORS TO FEEL LIKE WE ARE BEING ENGAGED IN A CONVERSATION ABOUT THE IMPACT OF DRUGS IN THE NEIGHBORHOODS THAT WE REPRESENT. I

CAN'T SPEAK FOR MY COLLEAGUES BUT IT IS FRUSTRATING. I UNDERSTAND THE PERSPECTIVE OF THE MAYOR'S OFFICE THAT THEY DO NOT WANT THEIR STAFF BEING HAULED OVER INTO THIS CHAMBER FOR MULTIPLE HEARINGS

EVERY WEEK AS WE GRILL THEM. >> BUT THE REASON THAT I SUPPORT THE EXISTENCE OF THE CHIEFS IS THAT SAN FRANCISCO HAS SOME BIG THORNY PROBLEMS THAT EXTEND ACROSS DEPARTMENTS AND IT IS WISE TO HAVE

PEOPLE NEAR THE MAYOR TRYING TO LOOK AT COORDINATING RESOURCES ACROSS DEPARTMENTS AND HELPING TO SET CITYWIDE POLICY IN RESPONSE. BUT IF THOSE PEOPLE ARE NEVER GOING TO COME TO TALK TO THIS BODY, I

JUST DON'T SEE HOW THAT WORKS AND MAYBE WE CAN COME UP WITH SOME RULES OF ENGAGEMENT SO THAT THEY DON'T FEEL LIKE THAT IS BEING ABUSED. BUT I THINK THAT THE NOTION THAT THEY'RE NEVER GOING TO WALK

DOWN THE HALLWAY AND AND PRESENT TO US ON ISSUES OF CITYWIDE CONCERN THAT HAVE CROSS-DEPARTMENTAL IMPLICATIONS IS JUST IS IS TROUBLING. >> SO I DON'T FEEL DONE WITH THIS. I DON'T KNOW IF YOU KNOW I'M

GOING TO HAVE TIME TO TO HAVE ANOTHER ONE OF THESE HEARINGS BEFORE THE END OF THE YEAR. BUT I DO THINK THIS IS IF NOT THE MOST IMPORTANT ONE OF THE MOST IMPORTANT ISSUES FACING THE CITY AND I HOPE

THAT EITHER BEFORE DECEMBER OR AFTER I LEAVE THIS BODY CAN GET A BETTER RESPONSE THAT IS A LITTLE MORE CLEAR AND HOPEFUL ABOUT WHAT THE PATH TO A BETTER SITUATION FOR THE CITY AND FOR OUR

NEIGHBORHOODS WOULD BE. SO MY REQUEST TO THE COMMITTEE WOULD BE TO CONTINUE THIS HEARING TO THE CALL OF THE CHAIR. >> VERY GOOD. THANK YOU, PRESIDENT GENTLEMEN, FOR YOUR SPONSORSHIP OF THIS BROADER

FIELD OR FOR YOUR WORK AND COMMITTEE MEMBERS AS A FIELD OR FOR BEING HERE ALL DAY, MADAM CLERK FOR BEING HERE ALL DAY OF COURSE. BEFORE WE DO MAKE THAT MOTION, I DO SEE THAT WE HAVE A REQUEST FOR A

REFUSAL AS OF 5 P.M. FROM SUPERVISOR SO I'D LIKE TO ASK THAT WE MAKE A MOTION TO EXCUSE SUPERVISOR SIR MAHMUD YES MA'AM. >> A MOTION TO EXCUSE VICE CHAIR MAHMUD AS OF 5:00 PM. MEMBER WANG REMEMBER

WONG I CHAIR SLAUGHTER CHAIR SLAUGHTER I HAVE TWO EYES. >> WHAT VICE CHAIR MAHMUD EXCUSED. A MOTION PASSES AND I NOW LIKE TO MAKE A MOTION TO HAVE THIS ITEM HEARD AND CONTINUED TO THE CALL. >> THE

CHAIR YES I'M ON THE MOTION TO CONTINUE THIS ITEM TO THE CALL OF THE CHAIR MEMBER WANG REMEMBER WONG I CHAIR SLAUGHTER SURE. >> SLAUGHTER I HAVE TWO EYES WERE VICE CHAIR MAHMUD EXCUSED AND THAT MOTION

PASSES. >> MADAM CLERK ARE THERE ANY MORE ITEMS BEFORE US TODAY THAT COMPLETES OUR MEETING AGENDA. >> OKAY. THE MEETING IS NOW ADJOURNED