Morning.

Good morning, everybody.

This October 7th, 2024 Rules Committee meeting will now come to order.

I am your chair, Supervisor Shimon Walton, joined by President Peskin, and soon to be joined by Supervisor Safai as well.

And we do have Supervisor President here with us this morning.

Our clerk this morning is also Victor Young.

And I would like to thank James Kawana from SFGov TV for broadcasting this meeting.

Mr.

Clerk, do you have any announcements?

Yes, public comment will be taken each item on this agenda when the item 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 the following ways.

Email them to myself, the rules committee clerk at VICTOR.yo U N G at SFgov.org.

If you submit public comment via email, it will be forwarded to the supervisors and included as part of the file.

You may also send your written comments via US Meal to our office in City Hall when Dr.

Carlton placed.

Room 244, San Francisco, California 94102.

Please make sure to sign all cell phones and electronic devices.

Items acted upon today are expected to appear on the Board of Supervisors' agenda of October 22nd, unless otherwise stated.

Thank you, Mr.

Clerk.

And before we call item number one, just want everyone to know we have a pet agenda this morning.

So if you are here for an appointment, uh please be mindful of time and keep your comments about qualifications and anything you want to share with us this morning to one minute, and the clerk will have everyone on a timer.

And with that, Mr.

Clerk, please call item number one.

Yes, item number one.

So ordinance meaning the administrative coach require regular reporting of the Board of Supervisors by the Department of Emergency Management, Department of Homelessness and Support of Housing, Department of Public Health and Fire Department concerning the efficiency and effectiveness of the city street teams.

Thank you so much.

Thank you, Chair Walton and uh Vice Chair Peskin.

Um, and uh appreciate you getting this on calendar today.

Uh this ordinance incorporates various suggestions from the recent audit uh which we uh commissioned with the full board approval of our city's uh street teams, uh and we had a hearing on that.

Um and as you all know, the city dramatically scaled up our use of these teams in the wake of the 2020 killing of George Floyd and the nationwide discussion about whether uh police were the appropriate responders to issues around homelessness, uh mental health crises, addiction and overdose.

Um the fact that our city led the way in creating these teams was a huge step in reducing the potential for escalation and violence and ensuring that our first responders for many situations are those with the most relevant training on certain population specific needs, especially those in behavioral health crises.

Um and I know that our street teams uh with the appreciation of uh the entire city are going out every single day doing incredible work to engage with some of our most vulnerable neighbors uh and de-escalating difficult situations and getting people the care, the assistance, and the resources that they need.

Um, as you may recall, the audit of the street teams did find several areas for improvement, um, not the least of which was the need for clear goals, data sharing among teams, and overall metrics for success.

Uh since the release of the audit, uh we have been working with departments to craft this legislation in order to ensure that the board sets out expectations on what data we want to see, while also ensuring that the legislation is broad enough to allow some room for the teams uh to improve on their data collection and metrics as their teams continue to optimize.

Uh, some of the relevant data includes goals and initiatives, metrics, milestones, and accomplishments, information about street team structures and the number of teams in the field, description of the types of shelter offers being made, and an estimate of the number or percentage uh of rejected offers by type, uh, a summary of capacity constraints and information about how teams are data sharing.

Um, and I really want to thank um all of the departments for not only collaborating with our office as we drafted this ordinance, but also for working on the first annual report, which has now uh been released, and colleagues should be in your inbox and I believe up in the the file on this item online, uh the first annual report as really as a sample to be considered alongside this ordinance of uh what the departments are putting together uh to have the maximum transparency.

In particular, and finally want to recognize and thank uh DEM director Mary Ellen Carroll and her team, um, including Lauren Bell and Olivia Scanlan, um, as well as uh DPH HSH and the fire department for their engagement not only with us but with Lauren and Olivia in providing unified feedback on the ordinance.

I have some minor amendments um that are non-substantive that have been uh uh just uh distributed already and can describe after the presentation in the meantime.

Uh want to welcome uh uh through the chair uh director Carroll uh for a presentation.

Thank you.

Director Carroll.

Good morning, supervisors.

Thank you so much for having us for the record.

I am Mary Alan Carroll, the executive director of the Department of Emergency Management.

Um thank you for bringing us together today to review the highlights of the first ever San Francisco Coordinated Street Response Annual Report.

I'm here today with members of my staff as well as some of our core partners who contributed to the development of the report, uh, including San Francisco Fire Department, Community Paramedics, Department of Public Health, and the Department of Homelessness and Supportive Housing.

I want to publicly thank leadership and especially the frontline colleagues for committing to coordinating our improvements in this area.

We've we really have come a long way, and we appreciate every appreciate everyone's efforts.

Um DEM was asked to step into the street response role uh two years ago.

We were able to leverage our own ongoing success uh in managing the Healthy Streets Operations Center, or HSOC, and our success in activating the citywide COVID response not so long ago.

De-Siloing services for a shared goal is complicated, very challenging in the city, and very necessary.

Um in 2022, DEM was the first emergency management uh department, we believe in the country to really take this kind of dedicated role in coordinating response to behavioral health crises and homelessness on the street.

But since then, um this work has become much more of a part of other emergency management departments across the country.

Um I am in very close contact with many of the emergency management directors across the country, especially big cities, and central to every one of our conversations is a hyper focus on scaling solutions to homelessness and behavioral health crises on the street.

Communities across the country are struggling with affordable housing, low minimum wage, and unaddressed behavioral health needs.

Making no excuse for the work that we have to do in San Francisco, we also must continue to frame this as a uh long-term solutions in a state and national context.

A blend of local, state, and federal resources are needed to expand shelter, affordable housing, and residential and psychiatric care for people on the street and in uh in San Francisco and the Bay Area.

For our coordinated spons teams to be successful and for people in severe stress to get the help they need and permanently exit the street, we need expanded resources.