tv BOS Public Safety Neighborhood Services Committee SFGTV July 9, 2021 1:00pm-4:01pm PDT
>> chairman: good morning. welcome to the thursday, july 8, meeting of the public safety & neighborhood services committee. i'm supervisor gordon mar, and i'm joined by supervisor stefani. matt haney is unable to join us today, so he will be excused. and we have a -- we received a presidential action memo welcoming supervisor safai as a substitute for supervisor haney. >> thank you. >> chairman: i would like to thank john carroll carol and sfgovtv for staffing this meeting. mr. clerk, do you any announcements? >> clerk: the committee
members who have participated in this video conference to the extent as if they are physically present. public access to city services is essential. first, public comment will be available on each item on today's agenda on cable channel 26, 78, or 79. we'll be screening the call-in number across the screen at this time. each public caller will be allowed two minutes to speak. your comments and opportunities to speak are available to you by phone by calling 415-655-0001, i.d. number is 1462835668. following that, press the
pound symbol twice. when you are connected, you will hear the meeting discussions, but you'll be muted and your phone will be in listening mode only. when your item of interest comes up, dial star, followed by three to be added to the speaker line. of best practices are to call from a al-qaeda quiet location, and to speak clearly and slowly, and turn down your streaming device two hear today's broadcast. you may submit public comment by e-mailing them, and my e-mail address is email@example.com. and our office is city hall, 1 carlton "b" goodlet place, san francisco, california, 94102. of course, any documents
that you send to me commenting on any of today's files will be added to the file and will be transmitted to the members of the committee for their consideration. and items acted upon today are expected to appear on the board of supervisors' agenda of july 20th, 2021, unless otherwise stated. >> chairman: thank you, mr. clerk. >> chairman: actually, i wanted to remind all of the attendees here to keep your cameras off until we get to your item. we would appreciate that. please call item 1. >> clerk: agenda item 1 is a hearing to consider that the transfer of a type 21 off-sale general beer, wine, and distilled liquor license (indiscernable) located at 1600 jackson, will serve the public convenience for the necessity of the city and account. members of the public who wish to provide public comment, call
415-655-0001, i.d. 1462835668, and press the pound symbol twice and then *3 to enter the queue to speak. please wait until the system indicates that you're line has been unmuted, and that will provide you your time to begin your comments. mr. chair? >> chairman: thank you, mr. clerk. so, first we're going to hear from the s.f.p.d. liaison units. we have officer salmonson here to present the report. >> good morning. okay. albi co inc has applied for a 21 license, and it would allow them to operate off-sale. we have zero letters of protest. zero letters of support. they are elected in plot 28, considered high crime, and considered high saturation.
the northern station has no opposition, and the license is approved with the following condition: that the petitioner will actively monitor the area under their control in an effort to prevent the loitering on their premises (indiscernable) and as of february 5th, they had agreed to the condition. conditions. >> chairman: thank you, officer salmonson. why don't we go to the applicant. i believe we have a representative from the applicant here who would like to present. hi, mr. cafalin. >> thank you, supervisor mar. can you hear me? >> yes. >> john cafalin here on behalf of molly stones. it is a locally owned and operated grocery, and also
i should mention the majority of its employees are union members. the p.c.n. request is related to molly stone's improvement and ultimate operation of a new full grocery store at 1600 jackson street. the request is for an off-sale liquor license, standard for all grocery stores in the city. the liquor license meets the public accessibility and convenience. it will be the only full grocery store with a liquor license in this track. there are other liquor licenses, but not at a full grocery store. so obviously meeting folks' convenience, for one-stop shopping, for a variety of items, including alcohol. we have a member of molly stone's here, if there are any questions of molly stone's, and thank you for your consideration. >> chairman: thank you, mr. cafalin. colleagues, do you have any questions or comments?
why don't we go to public comment. mr. clerk, are there any callers on the line? >> clerk: thank you, mr. chair. we're working with kaleena who is checking to see if we have any callers in the queue. for those who are watching our meeting on cable channel 26or elsewhere, if you wish to speak on this hearing item, please call in now, by following the instructions displaying on your screen. dial 415-655-0001 and enter meeting i.d. 1462835668, and press the pound symbol twice and *3 to enter the queue to speak. for those already connected to our phone -- sorry, by those already connected, please press *3 if you wish to speak on this item. do we have any callers in the queue for this item? >> there are no callers in
the queue. >> clerk: thank you. >> chairman: kimberly hunt. thank you, ms. mendoza. the public comment is closed. i will just say that it is really good to see this project finally moving forward in an independent, locally-owned and union grocery, moving into the former lombardi sports site on jackson street. and this liquor license transfer seems fairly straightforward. i understand that supervisor peskin is supportive of this license transfer. so given that, i would like to make a motion directing the clerk to prepare a resolution determining that this license will serve the public convenience and necessity, and we send this resolution to the full board with positive recommendation. mr. clerk, can you please call roll. >> clerk: i can. just one quick question, mr. chair, before we take a roll call on this item. with supervisor haney absent from this meeting,
can we get a quick motion to excuse supervisor haney. >> chairman: thank you for that reminder. i move. [roll call taken] >> clerk: mr. chair, supervisor haney is excused. now on your motion that a resolution be prepared and recommended to the board of supervisors who makes a determination that the transfer will serve the public convenience or necessity? [roll call taken] >> clerk: mr. chair, there are three ayes. >> chairman: thank you. and thank you, again, officer salmonson, and mr. cafalin. mr. clerk, can you please
call item 2. >> clerk: item 2is an ordinance amending the health code to first lower the threshold from $250,000 to $100,000 square feet (indiscernable) using specific alternate watering sources. second, exempt certain affordable housing projects and property uses from that requirement. third, require that certain categories of ni buildings use specific sources of non-portable water for specific purposes. fourth, modify certain fees. fifth, prepare the payment of excess use charges and penalties for failing you're to use alternate water systems. [inaudible]
>> clerk: mr. chair, due to a noticing error on my part, this ordinance is not actually eligible for a hearing today. the public safety & neighborhood services committee today may entertain a motion to continue this hearing either to the call of the chair or to a future later date, at which this ordinance item will appear and have been properly noticed so we can properly conduct the discussions. we can't have any substantive discussion about the form of this ordinance at today's meeting. i'm very sorry, mr. chair. members of the public who wish to provide public comment on this will be restricted to only for the proposition to continue this to a later date. if they want to provide that public comment they can do so by dialing 415-655-0001.
they should do that now. mr. chair? >> chairman: thank you, mr. clerk. so, colleagues, due to the -- ak explained, due to the oversight on noticing for this hearing, we're going to have to continue it to a future date, probably the next meeting. why don't we go to public comment on the motion to continue. >> clerk: thank you, mr. chair. ms. mendoza, on the tech side, could you let us know if we have any callers in the queue who want to provide public comment specifically on continuing this ordinance? >> there are no callers in the queue. >> clerk: mr. chair, there are no callers. >> chairman: great. thank you. public comment is closed. so, colleagues, i would like to move that we
continue this item for the call of the chair. >> clerk: hang on. we have a little bit of chatter coming from a line that i'm going to mute. hearing a motion offered by chair mar that this be continued to the call of the chair. [roll call taken] >> clerk: mr. chair, there are three ayes in the continuance. >> chairman: thank you, mr. clerk. can you please call the next item? >> clerk: item 3 is an ordinance amending the health code to designate all certified and accredited paramedics to issue temporary psychiatric holds, subject to state law, procedures, and requirements, adopted by the county be
behavioral department. (indiscernable) and that the paramedics receive all appropriate training. members of the public who wish to provide public comment, call 415-655-0001, i.d. number 146, 283, 15668. press the pound symbol twice to connect to the meeting, and press *3 to raise your hand to speak. >> chairman: thank you, supervisor safai for bringing this important legislation forward. supervisor safai, the floor is yours. >> thank you, chair mar. supervisor stef is stefani, i'm happy to join you on this important topic. as you all know, we as leaders are involved in how we're re-imagining how policing and response for certain calls for service
are being dealt with in our communities. in may of last year, you know, the mayor announced priorities to end police violence in our communities, along with a growing national movement of black lives matter that was really asking for a strong so many different ways to reimagine how we police our communities. and one of the responses in our city was the creation of the street crisis response team in november 2020. this was an outgrowth of our reforming how we're also specifically dealing with mental health crisis. and those in our city that need responses from public health officials -- public health-trained officials on our streets. and many of the calls for service that the police respond to are people with mental health issues, are people that are dealing
with psychiatric issues on our streets. and for us, it makes sense that those -- that the responders would be mental health-trained professionals. by april of 2021, the street crisis response team has responded to more than 700 calls for service, with an average response time of 15 minutes or less. the street crisis response team diverted about almost 20% of all mentally-disturbed persons calls from dispatch, demonstrating that our f.c. r.t. can be a clear alternative to law enforcement. 37% of the calls resulted in clients being transported to the hospital or a social or behavioral provider. our firefighters specifically are e.m.t.s and paramedics within the fire department are usually the first on the scene when dealing with behavioral health issues, and it should be that way.
they are public health trained officials. however, these same paramedics do not have the authority to initiate a mental health hold or a 5150hold, as a means of supporting individuals who are experiencing mental health crease sees that crisis a harm to themselves or others. this is a tool in our city, that has been solely reserved for our police force. in may, the mayor announced to create a street wellness team to add on to the street crisis response team, to expand services for those in need, and expand the amount of individuals from our paramedics, firefighters, and others, and non-profit-trained individuals that would be responding to wellness calls. the teamworks in
coordination with the street crisis response team, and is fully trained in how to deal with people that need help. these groups will focus on wellness checks and situations that require immediate attention, and currently the firefighter community, paramedics perform medical, behavioral, and social needs assessment, but do not have the ability to initiate 5150s when someone is in real crisis. so we believe that allowing the fire department, paramedics, and e.m.t.s to have this ability helps to introduce an additional tool in the tool kit of the street crisis, the wellness, the paramedics that are out there, and the response team, so that they can provide compassionate and skilled health service to our communities and individuals on the street that are in need. i want to thank the leadership of chief nichols and her team from the san francisco fire
department. i want to thank sean bauford and their team from local firefighters, local 798, along with the department of public health, dr. coones and her team, that supports the operation of each of the departments and that we believe will deliver the best service to our community and those in crisis. i want to thank each and every one of them for their response to our office, their engagement, along with our city attorneys that helped us draft this, and we believe that this is the right legislation and the right direction to go in. today we're joined by individuals from the firefighters' local 798, from the fire department, deputy chief pang and team, and the department of public health. and we would like them to share their experience and expertise as first responders in these situations. so if it is okay with you,
chair, i'm going to first call up adrian sims from local 798, and maybe she can briefly explain some of the experiences of her members outaouais on the out ons in responding to crisis, and why we believe this is an important tool to add to the tool kit for your paramedics. and then we'll call up department chief pang. is ms. sims on the line? >> i do not see adrienne sims on the line, but we have a caller, and i haven't identified who that person is. >> why don't we go to -- i saw chief deputy simon pang.
i'd like to welcome you, along with it looks like chief sandy tong from the fire department. if you can share your experiences and your expertise on how you think this will help to roll this out in our community, and then we'll see if adrienne is on the line after you share. thank you for your partnership and hip on this. >> thank you very much, supervisor safai. good morning, chair mar and vice chair stefani. currently law enforcement is the primary workforce charged with placing individuals on 5150 holds in our city. to reduce or eliminate the need for law enforcement to do that, the fire department would like to train and authorize community paramedics and field rescue captains to assess and place these holds. for a bit of background, according to the august 17th -- >> hello?
>> -- housing conservatorship report, the san francisco police department placed 3,053, 5150s, in the length of one year. although the ability to write an involuntary mental health hold sa tool that the law enforcement should maintain, they should not be able to evaluate them for the following reasons. the presence of law enforcement creates the image that someone with mental illness has broken the law. and people with the history of mental illness can be triggered by the presence of law enforcement and by being detained by law enforcement. so our solution is to
provide community paramedics. the community paramedic programs promote health and social equity among those with unmet mental health and social needs. by january 2022, there will be 26 community paramedics in service every day. rescue captains provide clinical supervision. there are four rescue captains in service at all times in our city. fire department personnel are the appropriate workforce for this because we are licensed health care providers, uniformed public safety personnel. we're accustomed to working in emergency situations. we have the trust of the public. we work 24 hours, seven days a week, weekends and holidays. the street crisis response team has been doing very, very good work and will be still the go-to team for
is someone having a behavioral crisis in open spaces. but the street crisis response team is currently -- we teams in service, and i believe we are getting funding for a seventh unit in this new budget. the street crisis response team just does not have the capacity to assume all the 3,000 plus 5150s that the san francisco police department do annually. by having the community paramedics and rescue captains at the fire department do 5150s, it will provide us an opportunity to standardize the tracking of 5150s and provide continuous quality improvement for all of the 5150s that we place. we plan a continuous quality improvement program that will review 100% of the 5150s placed during the first year.
part of this review will be determined if the hold is appropriate, review the documentation standards, track demographic data of those placed on a hold, and also to track outcomes. so i have a few examples of when and how we would use this, but i also just want to reiterate what we expect to do. this is, first of all, an alternative to law enforcement. this is replacements. we don't anticipate having more 5150s pleased simply because we are doing them. someone either meets the criteria for an involuntary hold or they don't, and we plan on doing this in lieu of law enforcement. in fact, i do expect is that the number of 5150s will likely decrease annually. the reason for this is because the community paramedics have a deep understanding of all other resources the city has available. and it might be that we
can find a setting or a placement or a program that someone can go to in lieu of putting them on the 5150. we also have medical records available in realtime, and we can make a determination if someone, indeed, has a history of mental illness, and an involuntary mental health hold is someone who is a risk to themselves or■ç others or are greatly disabled, but only as a primary result of mental illness. and we can make that determination, rather than putting someone on a hold is simply under the substances. and there are two other jurisdictions that have place holds, one in santa barbara, and one in sant in san matteo, and both have a decrease. this is not only for people experiencing homelessness. an example would be an early morning call, 2:00 a.m., a 911 medical call
for an elderly woman in a house. the first responders, the ambulance, and the fire engine and paramedics, assess the patient and determine if the patient is lonely and depressed and is stating that she wants to kill herself. and she has an actionable plan of overdosing on her prescription medication. currently we would have to call police to that scene, which adds further stigma to this person experiencing a mental health crisis. it would be far better if we would be able to call a rescue captain on e.m.s. 6 to place that hold. and another example is something we're all acquainted with, someone who is experiencing homelessness on market street, and they're not wearing a shirt, and their pants are around their ankles, and we make a determination that this person is gravely disabled. this the opportunity to
put e.m.s. 6 to use. this happened today's ago. a street crisis response team was asked to come by an ambulance, all crews were on assignment, there was no one to come, and the ambulance had to ask for police to respond. this is an example that, although doing great work, they just don't have the capacity to tackle all of the occasions of placing someone on an involuntary mental health hold in our city. that's all i've prepared for you. i'm happy to answer any questions. >> chairman: thank you, chief pang. thank you, again, for your partnership. i'm happy you emphasize that other locals have done that. i was going to say a little bit about that in my closing remarks. initially we believed that this would be unique san francisco, but there are other locales in california. we understand that san
ramone, santa barbara, san matteo, and nationally -- and i'm sure there are other places, is part of a larger movement of shifting response to people with mental health crisis away from solely being a policing function and more of a public health function. so i appreciate you giving us those examples in weighing that out. i think right now we'll go to the next responder -- excuse me -- responder (laughing) -- and we'll come back and ask you some questions if we have them. i appreciate your response. mr. clerk, the caller is adrienne sims, and if you can unmute her and give her an opportunity to say a few words. >> clerk: the line is unmuted. >> chairman: okay. adrienne are you there? >> yes. can you hear me?
>> chairman: yes. >> good morning, and thank you, again, supervisor safai. i am glad that chief pang spoke first. he is very thorough and correct in everything that he just said. and 798 wants to support this 100%. as someone who has grown up in san francisco, in hunter's point and lakeview, having someone in a uniform on site in p.b. can be very triggering for people of color. and mental health issues are stigmatized in our communities. and so to have someone call the police or to have the police on scene can escalate a situation that can oftentimes be handled by our paramedics and e.m.t.s on the ambulances and the rescue captains that are onscene, without escalating within the family structure.
we really feel this is an important movement, and we appreciate supervisor safai taking on this as the lead. it is very essential for our communities. i grew up here in san francisco, and this is very important to me, to not have p.d. response to these calls. we respect our p.d. counterpart when there is a violent scene, but a lot of times these scenes can get escalated when they don't need to be. again, 798 completely supports this, and we appreciate the work being done together with supervisor safai's office and with the department. again, i can't follow chief pang's comment because he is very thorough and accurate, and, again, 798 supports this. >> thank you, adrienne.
i will say we appreciate the partnership working with your front line members as we started to dive in on the work that the paramedics are doing, responding to all types of calls. we were able to do that through the budget committee, add some additional resources, along with the creation, with the mayor, for additional resources with regard to wellness and street crisis response. we think this is the right start to have these targeted paramedics both from street crisis response and the wellness team, to have this authority. and we think it is going to, as chief pang said, reduce the number of people that ultimately end up in mental health holds. we appreciate the partnership of your members. >> thank you. i think the next person we will go to is dr. angelica
amieda. she is a clinical; with the department of public health. >> good morning. >> i know covid maybe changed some of the numbers, but over the last two years, if you could talk about those numbers and what happens in that process, and the relationship between your department and the people that are referring them into our system. >> of course, and i'll just say unfortunately we don't have data from the most recent fiscal year. we're working on collecting that. it is complicated data as individuals go to multiple hospitals, but i will
share in fiscal year '19/'20, the data suggested there were 9,000 5150s placed. that's a duplicated number. some individuals, unfortunately have more than one 5150 in that fiscal year. in terms of our collaboration, i'll also note for the street crisis response team, we have a clinician in the vehicle who is able to initiate 5150 holds, and as chief pang noted, the district crisis response team is able to provide a lot of support, but we know there is latent demand and appreciate the conversations on how we can reduce the risk of needing to call in law enforcement when not necessary. and we have been partnering very closely with the fire department to identify the best way to initiate this. of course, our behavioral health director will be overseeing the
implementation of a training program to support the fire department in collaborating, and as chief pang noted, in collaboration with the department of public health, we would be working on quality management projects together to ensure that all 5150s that are initiated are done appropriately, and that this authority is appropriately utilized. >> great. do you think this is an important tool and expansion for our city, to have this ability for public health trained officials to be able to have this authority, versus solely police departments? >> yes. and i'll just note, of course it is not just solely the police department. we have clinicians throughout our system of care who are able to provide 5150s, and who are also not first responders in the same way that the fire department and police are. while we don't oversee the training program or the
program that the police have to initiate 5150s. and the more opportunities we have to divert situations requiring a call to law enforcement, i think the better. so i certainly support this and look forward to partnering further with the fire department on implementation. >> chairman: got it. thank you so much. i appreciate you being here and saying a few words. i think we're going to go back to deputy police chief pang. thank you, doctor. >> of course. so i just wanted to talk a little bit about the rollout of this. i know the legislation gives the authority for all accredited paramedics by the fire department, but i know you're going to have to go through some
initial training. i think the idea to initially focus the training on those paramedics that will be part of the wellness response teams and the street crisis response teams initially to begin to have a core group of people that since they are going to be responding to additional calls for service, that they'll have this additional training and this additional ability to place these mental health hold. i just want to give you an opportunity to talk about that. >> i believe the legislation states all accredited paramedics that the san francisco fire department designates. and i believe that we intend on designating community paramedics and our rescue captains. so our community paramedics currently work on street crisis response teams and e.m.s. 6, and soon they'll be working on
the overdose response team and the street wellness response team. so it will be a total of about 30 individuals, 30 f.t.e.s in service per day. on street crisis response team, as dr. almeda noted, there is a behavioral clinician on that team, and we would defer to the behavioral clinician about whether someone meets criteria or not. i could see one example of when the community paramedics that is on that team might write the hold in lieu of the behavioral commission, when perhaps the behavioral commission has formed a therapeutic alliance with the individual and does not want to be seen as being the person writing the hold and placing someone on an involuntary hold. so perhaps there might be some circumstances where the community paramedic, after close consultation and in unison with the behavioral clinician,
might write the hold themselves, but they would certainly defer to the behavioral clinician. >> is there a behavioral clinician that is part of the overdose response team, the street crisis response team, and the wellness response team -- is there a community clinician in all of those scenarios? >> no. >> chairman: so there will be scenarios where you won't have a community clinician, but you will have a paramedic that is part of those teams that is trained and has the ability to do this mental health hold, if necessary? >> that's correct. and one reason why we feel it is important to have a field rescue captains is because a lot of calls -- you know, what happens is a 911 medical event will occur, and a truck will respond with an ambulance, and will get there and recognize that either the call was miscoded, or the
real underlying problem is a mental health problem, and maybe someone is in their residence, gravely disabled, maybe they're suicidal. and at the moment it's not planned on calling the street crisis response team to that call. what if it is indoors and 2:00 a.m., and there is not one available, so it is better to have our own personnel who are acquainted with the law, able to write that, instead of having to call the police to somebody's house. >> chairman: uh-huh. okay. so thank you for clarifying that. so it sounds like about 30 plus paramedics initially? >> that is correct. uh-huh. >> chairman: so we're really looking forward to this. i know one of the -- just before we have dr. almeda and dr. coones, and we
talked about this, people say it is good that you're going to be able to expand this, but the real question is: are you going to have the beds? are you going to have the place to refer people to and have the recovery? and that's one of the biggest expansions that we're seeing under mental health s.f. that we're seeing in this budget that we just approved, that we are going to expand the community-based care and the community beds and the opportunity for people to be referred into places. so we're not just expanding this ability to expand the authority for mental health holds, but we are investing in this budget, the infrastructure that we can refer people to to help them recover and get better. i don't know if you want to comment on that for a moment, dr. almeda? >> doctor: i appreciate that, supervisor. i completely agree with you that that is certainly part of our goal in mental health s.f., to expand
capacity criteria our system. across our system. i think it also helps us make sure that the people who are in need are getting to the hospital appropriately. >> chairman: right. and i know that, unfortunately, under the older model, a lot of people -- a lot of people end up finally getting some of the mental health treatment that they need when they're incarcerated. and i think, as you said, deputy chief pang and also ms. sims, that this provides an alternative. we're trying to intervene in a non-law enforcement way, in a public health way, to get people the help they need and the analysis they need earlier. i just wanted to
underscore that point. i appreciate all of you answering questions. colleagues, i don't know if you have any questions for the folks here today, but i just would like to say right off the bat thank you to supervisor stefani, my co-sponsor. she has long advocated for increasing responses to mental health in our city. she has been a strong leader and voice on this. i really appreciate her co-sponsorship and leadership on this issue, along with supervisor walton, and ronen and melgar, for their support. so supervisor stefani, i see you there, you have some questions, but thank you, again, for all of your support and leadership on this. >> thank you, supervisor safai, and thank you so much for sponsoring this. this is something that is long overdue. we have such an incredible fire department, to have them on these calls i think is just, like i
said, long overdue. i just have a few quick questions for deputy chief pang. in terms of the experiences that i'm hearing from e.m.t.s, anecdotally, whether they're increasingly coming under unsafe circumstances -- i've heard about a few assaults, and whether or not that is concerning to you in any way. i only say that because i want to make sure we're providing protection for our e.m.t.s, but, obviously, we need to double our efforts on making sure that we are properly responding to those that are experiencing mental health crisis in the field. but i just want to make sure, because, like i said, anecdotally, i've been hearing about an increase of assaults on e.m.t.s, and i don't know whether or not that is actually the case. >> good morning. thank you, supervisor stefani. yes -- this is sandy tong, the deputy chief of e.m.s. we are seeing an
increasing number of our members getting assaulted by patients. anywhere from, you know, verbal assaults to physical assaults. every day i get reports -- injury reports of spokes folkswho have been punched or spat on and verbally abused. we're trying to get clarity on how we can intervene in some of those situations, how we can prevent some of the violence on our folks. we want to get more clarity on how we can help keep them safe and how we can provide them what they need to be reassured if they do have to intervene, if they have to restrain a person, that they're well-protected as well, and they're not under any additional threats to their license in that kind of case. it is a significant concern for us, and something that we're working with the attorney cityattorney's office.
>> thank you for that. i know there is that tension, because obviously we're doing this because we don't want police officers showing up to situations where they don't need to be, and where they could cause more -- not conflict, but where people are intimidated or feel -- you know, where it makes the situation even worse. but at the same time, if it was necessary, if the e.m.t.s felt like they needed to, that there was something -- like an understanding of how that actually occurs, so there is not a feeling of, oh, gosh, we can't call them. i'm speaking about the hearing we just had on cart, and they were saying they were angry with the e.m.t.s for possibly calling the police, and when the e.m.t.s on scene didn't even call. it worries me that the e.m.t.s could be at risk. anyway, that is just --
and that came up for me after that cart hearing, and after deputy chief pang related to us a story in the field. it sounds like you're on that and you're working it out, so i don't need to go into that any further. i want to ask one more question about resources, because if we do this and we do this right, i think that more resources will be necessary in the future. and i am wondering if you foresee that as an issue? >> certainly we can always utilize more members in terms of being able to increase our response, a more timely response to the crisis on the streets. yes, there is definitely a need for ambulance folks as our call volume starts to creep up again. we've certainly seen an increasing number of calls that have, you know -- since covid, we're seeing that level come back to
pre-covid, and it may increase more than what we saw in 2019 and 2020. so, yes, i suspect that is something that we are trying to get more data on, trying to identify more specifically for all of you what it is that we're going to need in order to be able to better respond to all areas of the city because we also want to ensure there is equity across all of the outer parts of the city, where our response times seem to be a little longer because we don't always have all of the resources we need. >> okay. thank you. that's all i have. >> chairman: thank you, supervisor. chair mar, did you have some questions or comments? >> chairman: yes. thanks, again, supervisor safai, for sponsoring this important legislation. and thank you to the fire department and local 789 for all of your work on this. this is an important step
in part of our city, over all, shifting to more appropriate and affective responses to behavioral health incidents. i would love to be added as a co-sponsor as well. i did have a few questions, more around the scope of the problem and the impact that this change in allowing community paramedics to initiate 5150 holds would have. so, chief pang, you mentioned that there were over 3,000 5150 holds in a particular year. and dr. almeda, i think you mentioned 9,000. i'm just trying to -- i want to make sure i understand the discrepancy there. >> i'm happy to clarify. there were roughly 9,000
5150s nationwide, and i think the chief was focusing on the ones initiated by police, which was roughly 3,000. ,000 of the 5150s. >> chairman: for the other ones not initiated by police, how were those initiated? >> so we don't have all of the information on that from private hospitals, but they could be initiated by clinicians, other providers who have authority through the department of public health to initiate 5150s, including our compressive crisis services team. there are other entities, and other law enforcement entities, who may have initiated 5150s. unfortunately, there is limited information around that. >> chairman: got it. but it sounds like presumably most of those were initiated by a health care provider. is that correct? >> correct. >> chairman: okay. and now for this proposal to authorize community
paramedics to initiate 5150 holds, is there any projection about how many -- yeah, how many -- how many incidents of 5150 holds that might result in, given the fairly limited capacity -- chief pang, you mentioned there would be about 30 f.t.e.s with the street response teams, and the e.m.s. 6 would be able to utilize this new tool? >> i -- my plan is to reassess how we are doing as we go. so do plan study act. ultimately, my goal would be to do the majority, if not all of the 5150s that law enforcement places in the city. i presume we're not going
to be -- i presume with the resources we have currently, we're not going to be able to do all of them right away. but once we begin this work and we can understand what the volume actually is, we can anticipate what we need in order to eventually cover all of the 5150s. >> and i'll just add, what we may end up seeing, because these are calls that the fire department are already on, and i know section chief pang referenced this, is that this allows for a more refined assessment of a need of a 5150, which also could lead to a reduction in 5150s, but it means the people who need to go to the hospital and are the most vulnerable are getting there, and that we are otherwise able to support people in less restrictive settings, and reducing emergency room use, which is a priority across our system, and also for the street crisis
response team. >> also, chair mar, i think it is my expectation that by having us do it, we'll be able to keep centralized records that we share with the health department. there are some individuals that cycle in and out of p.e. s. and hospitals and the street, that we've all endured. as dr. almed as has mentioned, it is very difficult get accurate data on the 5150s going on in our city because so many different parties place them, and it is difficult to mind the data. i feel that those individuals that are on our streets and actually are gravely disabled and shouldn't be there, we will be able to very, very closely monitor and manage them. and if -- our community paramedics, i believe, will be able to write a more nuanced hold than
your typical law enforcement officer, and we'll be able to provide the psychiatrist the proper information as to why we actually thought this person needed to be placed on the hold. if they get discharged from p.e.s. without a safe discharge plan, we're the ones that find out about it first, those of us responding to 911. i feel we'll be able to really help those most vulnerable people and hopefully stop the revolving door for those individuals in the way that the current system doesn't allow. >> chairman: thank you for all of that. and so it is really helpful to understand that goal would be for community paramedics to replace police -- s.f.p.d.
staff for most of the 3,000 plus 5150 holds. my question is: do you have any sense of what the staff capacity for community paramedicine would be in order to achieve that goal of close to full replacement of the law enforcement by community paramedics for 5150 hold initiations? >> chair mar, unfortunately i have not made that -- i have not come up with that figure. i don't know. >> chairman: okay. but we're going to be taking some significant steps forward in this direction now and in the coming year with the expanded street response teams, now with this new legislation giving the new
tool to the community paramedics -- again, i really appreciate all of your work on this. this is extremely important. and thanks again, supervisor safai, for bringing this forward. >> thank you, chair and for your co-sponsorship. i want to add on to one point supervisor stefani was saying. we did add additional 10 paramedics' crew, station 49. and we'll be working with the local 798, with the fire department, and doing a full analysis with deputy chief pang for the overall need for paramedics in general. we know 10 was a start. we know their calls for service has gone up over 16% since 2016, and their numbers have stayed flat at 200. so now we've increased
that to 210, and we'll be coming back and working with the budget committee and the mayor to have a final analysis on what that number is, with the chief. but i also know we're joined by chief nicholson, and i wanted to give her an opportunity to say a few words about this new tool in the tool kit for her paramedics. so thank you, chief, for joining us today and thank you for your partnership and great work of your team. >> thank you so much, supervisor safai, chair mar, supervisor stefani. adrienne from local 798, dr. almeda, and, of course, simon and sandy over there at e.m.s. thank you very much forgiving me a moment. and, yes, this is an extremely important part of our puzzle that we are working on here. having been on the
ambulance myself for many years, even back in 2003, '4, '5, i saw the revolving door of people. you take somebody to a hospital, you'd be sitting there writing your paperwork, and they'd be walking out, and you'd pick them up again a few hours later. this ability to 5150 folks that really do need it -- again, what chief pang said is perhaps we should be able to be a little more nuanced about those a 5150 holds. but, you know, we -- having that tool will really help us also keep track of the folks that we see on the street. it is another tool for us to keep track of them. e.m.s. 6 is a wonderful tool. the street crisis response team sa wonderful tool. but this is really another important piece of it.
and i really look forward to seeing what we can do. chair mar, just in terms of how much more in terms of resources we will need, again, we're just starting this up, and we -- you know, we're looking at the data from the street crisis response team. but this is all still very much in process. process from dispatch on down. we will continue to analyze what we need for paramedicine, as well as what supervisor safai said for our need on the frontline ambulances. thank you so much for your support. we want to be part of the solution, and i really believe that we are here. >> thank you, chief nicholson. colleagues, i don't have any additional questions or comments, just to say thank you to all of the
co-sponsors, to chief nicholson, deputy chief pang and dr. almeda for joining us today. thank you to local 798. we engaged with them very early on this issue, with the larger kind of global issue with regard to paramedics and how we're supporting them, how we're funding them, how they're responding, how they're being utilized, and this is an outgrowth of that conversation, shifting the oversight of the local emergency response back to the department of environment. so this is part of the global conversation that we have been leading to really re-evaluate how our paramedics are utilized, supported, and deployed in san francisco. so i just want to thank 798 and adrienne for all of her partnership, along
with deputy chief pang and tong. we think we're taking some good steps, we're headed in the right direction, and this overall conversation about shifting responsibility of calls for service to public health professionals we think is the right one, and we're happy to be leading it in the right way in san francisco. so thank you, everyone, for your great work. we look forward to looking at the data, looking at how it is implemented, and seeing how we can continue to support. >> chairman: thank you, supervisor safai. supervisor stefani, do you have any comments? >> thank you, supervisor safai and chair mar. i just want to say one last thing. good to see you, chief nicholson, and to local 798as well. i just want to make sure we're very clear when we're asking our public safety partners to do more, that we provide them the resources they need and we listen to them. i find too often that is
not always the case, especially with regard to this year and the police department, and listening to chief scott. i hope if we ask our fire department to do this, that we follow up with the resources that chief nicholson tells us she needs. and one last thing about 5150s. we are doing this because we care deeply about those suffering on our streets from mental health crisis. it is not just about 5150. there is also the welfare and institutions code, 5250, which happens when doctors recommend that patients stay in the hospital for an extra two weeks for evaluation. to do that, there has to be a hearing. there are hearings held in s.f. general and at our private hospitals, and often many of these patients are released against medical advice. and i am -- and, dr. almed arks i think i would like to have a better understanding how often that is happening.
because we talk about the revolving door, and what that does to people who have to live on the street, and the presence of people who are experiencing san francisco. so if we are serious about getting the help for people who are suffering, and we continue to take to the hospital on a 5150 hold, what is happening on the 5250 holds? and why are people being released against medical advice. i understand there is due process involved and the public defenders there with the patients, but if our doctors at s.f. general are recommending a two-week hold for special evaluation, so people can either come off the meth they're on, or they can get the help they need to deal with whatever psychiatric crisis they're in, i need to know what is happening there? how many times are people being released against medical advice on a 5250 hold at s.f. general. if you can get me that
information, i would greatly appreciate that because i think it plays into all of this. thank you again, supervisor safai, and thank you so much to our fire department, our firefighters, and e.m.t.s. i think we're having lucky to have such an incredible fire department in san francisco. thanks. >> chairman: great. thank you, vice chair stefani for the additional remarks. adrienne, did you have something you were go to say? >> i just was thanking supervisor stefani and acknowledging that we might need additional f.t.e.s. it is something that is really important -- during the budget, supervisor safai strongly advocated, as did chairman mar, for additionalathathathathatjcu
. and i hope we can pass this out with a positive recommendation. and move that forward and get it implemented as quickly as possible. can you call roll on the motion. >> recommending this to the board of supervisors? is there a mover? for the clarification, on the motion offered by member safai to offer the item to the board of supervisors. >> supervisor stefani: aye. >> supervisor safai: aye. >> supervisor mar: aye.
>> there are three ayes. >> great, thank you. move forward to the full board with positive recommendation. thanks, again, everyone. can you call item 4. >> item 4 is hearing to discuss the city's plans and efforts to prepare for the wildfire season, including plans for indoor wildlife refuges, proactive measures to mitigate the impact of wildfire smoke. members of the public who wish to have public comment on the hearing should call the number, 1-415-655-0001. today's meeting i.d. is 1462835668. press the pound symbol twice to connect to the meeting, press the star followed by 3 to enter the queue to speak. >> thank you, mr. clerk. as requested by supervisor haney, the sponsor of this hearing, would like to motion that we continue this item to the call of the chair.
is there any public comment on this item? i'm sorry, on the motion? >> we are working with public comment callers who are interested in providing the public comment on this item. 146 913 8309 i understand we do have a call on the line flush flush call 1-415-655-0001, 146 283 5668. could you connect us to the public comment caller for this hearing? >> there is no longer a caller in the queue. >> okay, thank you. >> okay. public comment is closed. mr. clerk, can you call roll on the motion to continue the item. >> the motion from chair mar to
continue this hearing to the call of the chair. >> supervisor stefani: aye. >> supervisor safai: aye. >> supervisor mar: aye. >> mr. chair, there are three ayes. >> supervisor mar: thanks. mr. clerk, can you call item number 5. >> agenda item 5 is hearing regarding city processes and services as it relates to starting a small business in the city and to update on the implementation of proposition h. members who wish to provide public comment should call the number, 1-415-655-0001. today's meeting i.d. is 146 283 5668. press the pound symbol twice to connect to the meeting and then press star followed by 3 to ebbett the queue to -- enter the queue to speak. mr. chair? >> chair haney: -- >> i would like to move that we
continue this item to the call of the chair. mr. clerk, why don't we take public comment on this item. >> ms. mendoza, could you let us know if we have callers on the line or in the queue for this agenda item? >> there are no callers in the queue. >> mr. chair? >> thank you. public comment is closed. so, mr. clerk, can you call the -- continue the item to the call of the chair. >> on the motion to continue this hearing to the call of the chair. >> supervisor stefani: aye. >> supervisor safai: aye. >> supervisor mar: aye. >> mr. chair, there are three ayes. >> thank you. this will be continued. is there any further business? >> there is no further business. >> okay, we are adjourned. have a good day everyone..
northwest surrounded by the san francisco bay the district is the boosting chinatown oar embarcadero financial district fisherman's wharf exhibit no. north beach telegraph hill and part of union square. >> all of san francisco districts are remarkable i'm honored and delighted to represent really whereas with an the most intact district got chinatown, north beach fisherman's wharf russian hill and knob hill and the northwest waterfront some of the most wealthier and inning e impoverished people in san francisco obgyn siding it is ethically exists a bunch of tight-knit neighborhoods people
know he each other by name a wonderful placed physically and socially to be all of the neighborhoods north beach and chinatown the i try to be out in the community as much as and i think, being a the cafe eating at the neighborhood lunch place people come up and talk to you, you never have time alone but really it is fun hi, i'm one the owners and is ceo of cafe trespassing in north beach many people refer to cafe trees as a the living room of north beach most of the clients are local and living up the hill come and meet with each other just the way the united states been since 1956 opposed by the grandfather a big people person people had people coming since the day we opened. >> it is of is first place on
the west that that exposito 6 years ago but anyone was doing that starbuck's exists and it created a really welcoming pot. it is truly a legacy business but more importantly it really at the take care of their community my father from it was formally italy a fisherman and that town very rich in culture and music was a big part of it guitars and sank and combart in the evening that tradition they brought this to the cafe so many characters around here everything has incredible stories by famous folks last week the cafe that paul carr tennessee take care from the jefferson starship hung out the cafe are the famous poet
lawrence william getty and jack herb man go hung out. >> they work worked at a play with the god fathers and photos he had his typewriter i wish i were here back there it there's a lot of moving parts the meeting spot rich in culture and artists and musicians epic people would talk with you and you'd get you. >> when i first moved here people come to san francisco to be the person you want to be can be anyone you want. >> the community is so rich and diverse that i'm learning every single day
san francisco is an amazing photoy town historically been base on evolution and that applies to every single professional field including philanthropic arts today what i do is photo based art manifests traditional forest and some colonel lodge and other frames of digital forest is a meeting that has been changing like super rapid and the quality is not extended by the medium if you took forest in school or you get a job in a newspaper they'll give give you a list of how to create a philanthropic story my goal to break down that model and from a to b that is unique and allows the ability to incorporate different types of i believey about propels someone through the rise and a fall of their own experiences
one of the main things i'm trying to contribute it unconditional narrative form the narrative art of photograph the in between of photos how does a group of photos come together as how to use the space between photos to alight emotional responses from the audience and bring innovation and create bodies of work that narratively function the way that photos do san francisco as the commission came out and you visited me and one of their prerestricts was to find an art with enough work to fill a large says that a quad down the hallway downstairs and we hung that quad to feel like a train station that constant sensation from all
different directions some of the major characteristic of the landscape festivities the blur of the train their 70 miles per hour and they're not perfect as opposed to to what landscape will look like it creates a dichotomy for people insides the train not just the story of the subject it is not just the visual design the composition juxtapositioning, etc. not just all autobiography boo-hoo it creates pictures with meaning within them and then some of the portraits feel awkward some of them feel welcoming and the person that mime making the picture is
really comfortable and other ones feel awkward and weigh i didn't and tense that sensation is counter to what we feel like makes a successful portrait that sensation makes that work it is hard to be an artist in a city is 100 percent focused an business the cost of living is expensive and to value your success not scribble on financial return creates a conflict between the paramount egos in san francisco today. >> you see a lot of artists leaving for that reason because you need space to make work my ultimate goal to make work
♪♪♪ ♪ call him ♪ ♪ call him ♪ ♪ call him ♪ ♪ right now ♪ ♪ life is too short ♪ ♪ don't hesitate ♪ ♪ call him ♪ ♪ call him ♪ ♪ call him now ♪ ♪ don't you let your fear ♪ ♪ overcome your faith ♪ ♪ call him ♪ ♪ call him ♪ ♪ call him ♪ ♪ life is way too short ♪ ♪ don't you hesitate ♪ ♪ call him ♪ ♪ call him ♪ ♪ call him ♪ ♪ we're gonna call him ♪ ♪ calling him ♪ ♪ falando casstill ♪
♪ george floyd ♪ ♪ we're going to call his name ♪ ♪ don't you let your fear ♪ ♪ overcome your faith no ♪ >> how you all feel about that? san francisco, it's a pleasure to be here and especially as the first performer at the newly remodelled sound system infused stage in san francisco. we want to see a lot more music here for the city by the city, by us. this song is entitled "rise". ♪ what's happening little brother ♪ ♪ are you still ♪ ♪ on the corner every day ♪ ♪ you like to pay ♪ ♪ are you still getting high ♪
♪ don't be surprised ♪ ♪ when we start to win ♪ ♪ whoa ♪ ♪ when we start to win ♪ ♪ it's our time ♪♪ our time ♪ ♪ oh ♪ ♪ when we start to win ♪ can i see some hands clapping in the air right now. come on. ♪ sometimes i want to feel ♪ ♪ like i'm the one in control ♪ ♪ but i know that's another illusion ♪ ♪ and take back every element of me ♪ ♪ oh-oh ♪ ♪ when i heal my mind ♪ ♪ body and soul ♪
san francisco. ♪♪♪ ♪ we're making moves ♪ ♪♪♪ >> clap your hands. come on. ♪ the cadillac lean ♪ ♪ side to side ♪ ♪ just see the ride is a reason to ride ♪ ♪ a hit of little something ♪ ♪ and i'm feeling right ♪ ♪ just might take it again ♪ ♪ open your eyes ♪ ♪ don't be surprised ♪ ♪ when we start to win ♪ ♪ whoa ♪
♪ don't give up the spirit ♪ ♪ of the phoenix ♪ ♪ rise ♪ ♪ don't give up the spirit ♪ ♪ of the phoenix ♪ ♪ rise ♪ ♪ you gotta rise ♪ ♪ you know it's time to rise ♪ ♪ you know it's our time ♪ ♪ to rise ♪ ♪ always our time to rise ♪ ♪ elevate your black mind ♪ ♪ elevate your black mind ♪ ♪ it's our time to rise ♪ (applause) does that feel good out there? this is a fantastic day. juneteenth, san francisco, this
is for real. yes, indeed. i am the first lead vocalist that was ever invited to perform with the sf jazz collective. and now i get a chance to be the first performer here at this newly erected stage. ♪ i was born by the river ♪ ♪ just like this ♪ ♪ i have been running ever since ♪ ♪ it's been a long ♪ ♪ long time coming ♪ ♪ but i know ♪ ♪ i know a change going to come ♪ ♪ it's been too hard living ♪ ♪ but i'm afraid to die ♪ ♪ i don't know what's up there beyond the sky ♪
♪ it's been a long ♪ ♪ long time coming ♪ ♪ but i know ♪ ♪ yes i know ♪ ♪ a change going to come ♪ ♪ oh, yes it will ♪ ♪ i go to the movie ♪ ♪ and i go downtown ♪ and someone's always telling me ♪ ♪ boy, don't you hang around ♪ ♪ it's been a long ♪ ♪ long time coming ♪ ♪ but i know ♪ ♪ yes, i know ♪ ♪ a change gonna come ♪ ♪ it's been a long ♪ ♪ time coming ♪ ♪ but we know ♪ ♪ yes we know ♪ what do we know? what do we know? ♪ that a change gonna come ♪
♪ no one would love you more ♪ ♪ than me ♪ ♪ you can ask the whole world ♪ ♪ surely they won't agree ♪ ♪♪♪ ♪ all i know ♪ ♪ is no one ♪ ♪ gonna love you ♪ ♪ more than me ♪ ♪♪♪ ♪ she was younger ♪ ♪ but now she grown ♪ ♪ my feelings for this girl ♪ ♪ strong ♪ ♪ my heart is torn ♪ ♪♪♪ ♪ all i know ♪ ♪ is no one ♪
♪♪♪ ♪ nobody will love you ♪ ♪ more than me ♪ ♪ you can ask the whole world ♪ ♪ i'm sure they'd all agree ♪ ♪ you don't have to worry ♪ ♪ if you ever have a need ♪ ♪ all you have to do is call me ♪ ♪ all i know is no one ♪ ♪ will love you more than me ♪ ♪ no one will love you ♪ ♪ more than me ♪ ♪ you can ask the whole world ♪ ♪ i'm sure they would agree ♪ ♪ you don't have to worry ♪ ♪ if you ever need ♪
♪ nobody baby ♪ ♪ nobody baby ♪ (applause) >> thank you. this is new music that's coming out this year. i'll be performing throughout the summer and into the fall. how about an oldie but a goody? huh? october 17th i'm going to do a tribute to marvin gay at the sf jazz. do you know the song? just sing along. ♪♪♪ ♪ brother, brother, brother ♪ ♪ there's far too many of us crying ♪ ♪ find a way ♪
(applause) >> what's happening brother. what's going on san francisco? put them hands up. we're going to pick it up today. what's going on. are you loving yourself hard enough? are you putting good nutrition into your body, mind and soul often enough? keep in mind, your diet, all the things we read, see and hear every day. look at yourself and ask what's going on. thank you. i want to share this song from
♪ maybe we'll find our light ♪ ♪ in the warmth of other suns ♪ ♪ the warmth of other suns ♪ ♪ in the warmth of other suns ♪ ♪ maybe we'll reach out ♪ ♪ in the warmth of other suns ♪ ♪ the warmth of other suns ♪ ♪ in the warmth of other suns ♪ ♪ rid the world ♪ ♪♪♪ ♪ i just want to be free ♪ ♪ we suffer from black pain ♪
♪ maybe we'll reach our height ♪ ♪ in the warmth of other suns ♪ ♪ the warmth of other suns ♪ my name is martin luther mccoy and this has been an honor but we have an excellent program. you're going to see the hard work in the back. it's a beautiful day. i'll see you all in the warmth of another sun. ♪♪♪ >> come on, let's give it up for
martin luther mccoy. thank you for coming. you look fabulous. do you feel fabulous? you feeling fabulous? i'm here to demand a ministry of reparations. i want a ministry of reparations now that we have a national holiday. okay? i want to get paid, baby. i want to get paid as a daughter, a granddaughter of a slave who built this country for nothing. for nothing. i want to get paid. but before we get paid, we have to really, really thank the native people, the native people on their homelands. give it up. as stewards we recognize their
duty to honor them and interpretation of ancestry lands. they were all here before we got here. and as uninvited guests, return their lands. this is an amazing day. there's somebody looking down and smiling, somebody who died who is black, blue, pink, yellow people. you all right? i'll get wild. i will show up and show out.
i want to thank mayor london breed for inviting me to do this and all of you for kicking off this juneteenth weekend here in long beach park. but you know it's nice they're giving up the national holiday, you know, don't ask, don't tell. you know what i'm saying? we can't teach our children about the history in this country of what all this means. we're so happy you can join us for the opening of monumental -- consider this afternoon a monumental reckoning and we have dana king who will break it down to us a little later. an extraordinary artist, sharing her extraordinary art installation that honors the history and resilience of black
americans. we ain't going nowhere. we built this country for nothing and still we grin better than anybody. monumental reckonings will reside in the park for at least two years. if somebody you know and love doesn't see it today, make sure they see it before it goes away. it will allow me to commune with an ancestors and the black experience. we built the white house you all for nothing. i want my acres and a mule god damn it. and what better time to open this show this juneteenth, celebration of our culture and acknowledgement of the struggle that continues today and as of just yesterday, a federal
holiday. but before we introduce our poet laurent, give it up again for martin luther mccoy and we're bringing on san francisco's ace poet laurent. where you at tongo? he's so gorgeous. i'm an old woman. i can't take this, okay? this is tongo. hello darling. thank you for being here. >> thank you. i talk facing away from the
dead. they replace me with the change in my pocket. a penny yet to be invented, you have to know how to cut a throat on the way to cutting a throat. after sleeping on a mattress, made from two garbage bags of clothes, i became content with the small gestures of planation fires. i realized how weird the universe was, so many things interrupt me while trying to dream like your correspondence lawyer. i have 20 books next to a bullet like an old man giving advice before a revolution. explored what is there and found no brain washing, i found africa lord. i have a future, it takes place in the south, modern militancy, i'll walk on a missile for food. i'll be tired face to face with
the country. old verse bringing multiculturalism replace me with a chest cavity. stories of travel through other people's stories, my mother remembers africa lord. she killed on behalf of you lord. i wore a machete all winter and nobody asked what it meant. i read 1,000 books in front of the world. watch people play for post working surfaces and recreations of a governor's desk, find the bureaucrat and some white people scare easier, fantasizing through the art of the poor, trendy lashes locked before god. i hand over my friends lord. lord, i think i'm going to die in the war. like a blue song with no
spiritual effect, apartheid white people who give birth to mathematicians, a sunday trip to church, a river mistake for a talking river. violence and drug use made in the image of god of white abolitionists. chemical assurances they were switched from black worker to white worker. in the same way i think about my childhood. fox hole friday nights. committee points out a plan to a priest. cotton king voluntary. thinking about reassuring the masses we can figure out our fathers later priest reads it before breaking his parallel, i have never before a poet before. little brother watches big
brother friends, they leave rifles on walls. it's a simple matter, this revolution thing, to write a poem for god. (applause) >> thank you. thank you so much tongo. we have the baddest ass poets in the land. give it up again for tongo. martha graham, the great choreographer says people from california believe everything is possible. here we is. here we is. and i wanted to also call this day a festival of bad ass women.
we've got some bad ass women up in here. okay? and the next one, my sister, my sister, she is a champion for the black community for san francisco and for the arts. she was raised by her grandmother in the fillmore where the yearly juneteenth festival was a highlight of her childhood. she would go on to be the executive director of the african american art and cultural complex in the western edition before entering a life of public service. okay? and today, this woman, she is the 45th mayor of san francisco and the first as she's the first african american mayor in the city's history. everybody put your hands together for london breed. i am scared of you.
hi miss mayor. it is wonderful to be here. thank you for having me. ladies and gentlemen. and let's give it up for tongo. >> martin luther, thank you so much for opening up today. what a beautiful day. and i just have to take a moment to pause. we're seeing so many beautiful faces without masks. we have been really through a very challenging time, one that we never anticipated. i want to start by thanking park and rec and the director of park and rec phil ginsburg. we were supposed to celebrate
the golden gate park last year. a lot went into making it is what it is right now. sounds and equipment things we may not see. and i want to thank for the work and fundraising done to make this amazing. so martin luther got the first opportunity to perform and it feels good. we're going to see more activities and events here in golden gate park. but today is so special. i get emotional every time i think about how far we have come as african americans. yes, there are challenges. and those challenges will continue to persist as long as we sit to the side and don't work and fight to do what is necessary. to change the lives of what's happening all over the country. not just here in san francisco.
today we celebrate that milestone. now, black people, we always celebrated juneteenth as a holiday. amen? so now, finally, people understand the significance of what this means for us. my grandmother, who wasn't far removed from slavery, worked as a share cropper with her family in texas. migrated to san francisco. and in fact, in 1951, that was when the first juneteenth parade took place. dr. wesley johnson junior, the owner of texas playhouse. in the fill-mo held the first event there, walked down the streets of fillmore on horseback. willy brown was a part of that group. so many of our ancestors decided on that day we're going to step
out proud of who we are and what we represent as black people. juneteenth is so much more than what we see in the celebrations and festivities. it's freedom. it's a new day. it's a welcomed opportunity for us to grow and to thrive and remember of course our history and to learn from that history. to learn now more than ever how we don't want to continue to see the next generation grow up and repeat that history. we have work to do. and today we celebrate. we celebrate juneteenth as a national holiday and in fact, yesterday, i signed declaration making it an official holiday in the city and county of san
francisco. because i gave all city employees the day off, they all left and didn't show up for work today but that's okay. what i appreciate about so many people, they said i want to take this day to learn more about juneteenth. i want to take this day to serve and to honor the ancestors. dana king and this exhibit monumental reckoning is about honoring those ancestors. it's about the 350 original slaves who were brought to this country by force. just imagine that. now, we know dana is going to talk about the exhibit a little
later. i couldn't stop thinking about the experiences of black people brought over in chains on top of one another. we can never forget the pain and the suffering. and today as we celebrate juneteenth, i know, i know without a doubt that i stand on their shoulders. i stand on their shoulders and the only reason why we're able to celebrate such an incredible milestone in history has everything to do with their sacrifice. i will never forget their sacrifice. i will never forget the sacrifice of my grandmother. i will never forget the sacrifice of our ancestors. so when we pour liebations to call their name, we honor them
and make sure we don't forget them but we bring their presence to the surface. this event, this exhibit is so much more to us. it means a rewakening, a renewal of our commitment to reinforce the need to make sure that we honor our history. we honor the struggle. we do the work to make it better for future generations to come. thank you all so much for joining us here today. let's celebrate! >> again for the mayor, come on, we've got some bad ass brainy
black women up in here. okay? before we go any further, let's reiterate and thank our city partners and civic leaders here tonight, thank london breed and rec and park general manager and his staff. they keep the park together. the park commission and president. director of cultural affairs. arts commission and president. and former acting director of cultural affairs. denise, are you here? i love her. i hadn't seen her. okay. everybody having fun? we still have part of this to do. and additionally, thanks go to these participants who aluminate
the monumental reckoning team. is the lieutenant governor here? okay. i just want to thank you for being here. all right. so we're going to move right along now. i'm an artist, i am just so glad to be up here introducing an artist, a black woman, a visual artist. she sounds scary to me, i love her already. we're going to meet dana king. (applause) dana king, who -- let me see now. dana will talk about -- i can
read, i just have to find out which one of these papers this thing is on. all right, dana reveals common threads and shared values and experiences and aspiration and likes to deal with sculpture and knows it helps those alive today compare and contrast their worlds with that of social pioneers. call on them you all, social pioneers whose commitment to excellence helped create modern society. that is where we are right now, is it not? please, i'm going to ask you all to bow down. bow down, please welcome dana king. dana, where are you girl?
dana. (applause) thank you so much for your work. thank you, thank you, thank you. she's an angel, check it out. i'm scared. >> thank you. how are you? you good? i'm seeing my people out here. it's like a family reunion today. doesn't it feel like that? a family reunion. thank you, thank you for being here. you know down stairs in the basement of this building and there is a pile of roots sitting there. i don't know if they were pushing us through the concrete or why they were there. but they were collected in a
corner. it made me think that african descendants had our roots cut. most of us don't know where we come from, we don't know who our people are. being here, we've been forced to build our own families and create our own environment and our own histories. but we have deep history. that has come with us, though we may not know all the stories. monumental reckoning is a gift back to the ancestors to let them know that though we may not
know we love them. we love them, we honor them in everything we do. and we have never forgotten them. never. there were hands that touched monumental reckoning. part of a new family of friends for me. 12 women who helped make the ancestors we're about to see. and i would love for them who are here to please stand up as i call out your names. i don't want to miss anybody. i did write it down on my notepad. (reading names)
built these ancestors, philippine, chinese, italian american, mexican american, did i miss anybody? we are all family. all family. i doubt very seriously that our ancestors would want us to buy in to the division and separation that has been put upon us from oppression. monumental reckoning is about the truth of american history. the truth. and that truth is hard. and that truth is painful. and that truth is ugly.
but unless we acknowledge it, it will continue to kill us. we weren't taught our history. i'm a product of public education, all the way through college. i learned last year that francis scott keys was a horrible human being. not only did he own other human beings, he used his power and his prestige and access to double down on legislation that kept us enslaved for generations. he sponsored his brother-in-law to become a supreme court justice who wrote the dread scott decision and says african americans can never be citizens.
so he was fully invested in the business of slavery. monumental reckoning is the first 350 ancestors who came over here on the first boatload of slavery. the business of slavery. when they arrived in 1619, there were 21 on the boat. we will honor the 350 who were stolen from their people and their land, never to return. when something is a first of that magnitude, it would be the same as if we were sucked up into a space ship and taken to mars. they had no idea what was to
befall them and what befell them was terror. my hope for this installation is that you come and commune with the ancestors and listen to them. they have something to say and they have something to do. they will stand here for two years in the space of justice. and in judgment. i hope that you join them and that you bring your written words and recite your poetry and sing your songs and dance with them. i also hope that you take the time to recognize that the space
that they have created around a man who wanted them all dead is a safe space. it's a safe space to speak to people who don't look like you and share your stories and let them share theirs. if we don't talk to one another, this country will continue to be hateful. it will continue to harm. and there will be no way out. we are the answer. we are the answer. (applause)
we are our ancestors wildest dreams. wildest dreams every day. and it's a responsibility to be that. but it is the least we can give them. the least we can give back to our ancestors is to put forward kindness and love. and stand for justice for our people and all people. systems of oppression have existed in this country since our people were brought here. they exist in healthcare and they exist in banking and food insecurity and corporate
america. and criminal justice. we need a reckoning in the systems of oppression, right? (applause) we also need a reckoning within ourselves. yes, we do. so monumental reckoning stands to do all of that and to support us in our efforts, to become whole. to cast aside our bigotry, our hate, our divisiveness and join.
join together as human beings. our people were not seen as human beings. today we're going to see them in monumental reckoning. i hope that they stand as a reminder of your personal stories and the stories of everyone here. i hope you see yourself in monumental reckoning. i hope to see people in monumental reckoning and i hope you see other people in monumental reckoning. this journey began with the -- from the mayor of the city. mayor london breed. when we brought this to her, she said yes.
phil ginsburg, your yes has been extraordinary. it's a federal holiday and his people were here, apprentices in the program that teaches them horticulture and they have been helping us for four days. (applause) ralph remington, our new director of cultural affairs for the san francisco art division. your yes is the beginning of a reckoning within our system. i'm so grateful you said yes. thank you. (applause) it's pretty exciting today and i
have some other work to do. i put a bowl here. i've got all this hair, i can't really see. monumental reckoning is bigger than all of us. and i'm not speaking of the ancestors here. i'm talking about a reckoning in this country. it's time. the time is now. the place that it begins for us is here. (applause) i'm a different person than i was before i got a call from a man named ben davis who asked me if i would be interested in talking about doing art here in this space.
i never thought that -- i won't say that we didn't really get here. i knew once we got on the path we would get here. but i want to thank you for your vision, your creative vision which has provided so much beauty and awe and joy for the people of san francisco from the bay bridge lights to the pink triangle to grace cathedral being lit up, to the beautiful conservetory of flowers. thank you. thank you for letting me do what i do and giving me the space of your grace to do my work. i'm grateful. i'm grateful. i'm full of love. i'm so full and i'm so grateful
we are going to go see the ancestors. are you ready? i'm going to ring this beautiful instrument four times. every ring of this gong, this beautiful bowl represents 100 years of slavery. and after i ring that, we're going to ask the elders if we can proceed. we have elders waiting down at monumental reckoning. and i'm seeing their support. the elders have given their approval for us to proceed. we will sing as we march down, lift every voice and sing. and if you don't know, look it
up on your phone. there we go. we have -- we have it on paper. i hope you received it. there it is. i'm guessing you all know the song though. it's the black national anthem. and it is a song of liberty and justice and it is an uplifting song of inclusion. and it's much different than the song written by the man with the song of war and killing. a song that asks the enslaved be put to their graves. we intend to bring a new anthem. lift every voice and sing for america. shall we? all right.
moffett, i am an assistant medical examiner for the city and county of san francisco. i perform autopsy, review medical records and write reports. also integrate other sorts of testing data to determine cause and manner of death. i have been here at this facility since i moved here in november, and previous to that at the old facility. i was worried when we moved here that because this building is so much larger that i wouldn't see people every day. i would miss my personal interactions with the other employees, but that hasn't been the case. this building is very nice. we have lovely autopsy tables and i do get to go upstairs and down stairs several times a day to see everyone else i work with. we have a bond like any other group of employees that work for a specific agency in san
francisco. we work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. that brings us closer together also. >> i am an investigator two at the office of the chief until examiner in san francisco. as an investigator here i investigate all manners of death that come through our jurisdiction. i go to the field interview police officers, detectives, family members, physicians, anyone who might be involved with the death. additionally i take any property with the deceased individual and take care and custody of that. i maintain the chain and custody for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone callsness with that particular death. i am dealing with people at the worst possible time in their
lives delivering the worst news they could get. i work with the family to help them through the grieving process. >> i am ricky moore, a clerk at the san francisco medical examiner's office. i assist the pathology and toxicology and investigative team around work close with the families, loved ones and funeral establishment. >> i started at the old facility. the building was old, vintage. we had issues with plumbing and things like that. i had a tiny desk. i feet very happy to be here in the new digs where i actually have room to do my work. >> i am sue pairing, the toxicologist supervisor. we test for alcohol, drugs and
poisons and biological substances. i oversee all of the lab operations. the forensic operation here we perform the toxicology testing for the human performance and the case in the city of san francisco. we collect evidence at the scene. a woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. that was the only investigative link collecting the scene to the suspect. it is nice to get the feedback. we do a lot of work and you don't hear the result. once in a while you heard it had an impact on somebody. you can bring justice to what happened. we are able to take what we due to the next level. many of our counterparts in other states, cities or countries don't have the resources and don't have the
beautiful building and the equipmentness to really advance what we are doing. >> sometimes we go to court. whoever is on call may be called out of the office to go to various portions of the city to investigate suspicious deaths. we do whatever we can to get our job done. >> when we think that a case has a natural cause of death and it turns out to be another natural cause of death. unexpected findings are fun. >> i have a prior background in law enforcement. i was a police officer for 8 years. i handled homicides and suicides. i had been around death investigation type scenes. as a police officer we only handled minimal components then it was turned over to the coroner or the detective
division. i am intrigued with those types of calls. i wondered why someone died. i have an extremely supportive family. older children say, mom, how was your day. i can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. without that it would be really hard to deal with the negative components of this job. >> being i am a native of san francisco and grew up in the community. i come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their deceased. there are a lot of cases where i may feel affected by it. if from is a child involved or things like that. i try to not bring it home and not let it affect me. when i tell people i work at the
medical examiners office. what do you do? the autopsy? i deal with the enough and -- with the administrative and the families. >> most of the time work here is very enjoyable. >> after i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. i thought there was somebody dead? my bed. i rolled over and poked the body. sure enough, it was my husband who grumbled and went back to sleep. this job does have lingering effects. in terms of why did you want to go into this? i loved science growing up but i didn't want to be a doctor and didn't want to be a pharmacist. the more i learned about
forensics how interested i was of the perfect combination between applied science and criminal justice. if you are interested in finding out the facts and truth seeking to find out what happened, anybody interested in that has a place in this field. >> being a woman we just need to go for it and don't let anyone fail you, you can't be. >> with regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. let's face it, we aren't hollywood, we are real world. yes we collect evidence. we want to preserve that. we are not scanning fingerprints in the field like a hollywood television show. >> families say thank you for what you do, for me that is extremely fulfilling. somebody has to do my job.
if i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of san francisco. you're watching san . francisco rising with chris manors. today's special guest is dr. steven zutnick. >> hello. the show is focused on restarting, rebuilding, and reimagining our city. the director of the therapy center of san francisco and he's a professor in counseling psychology at usf. he's here today to talk to us about resocializing, and returning to the office. welcome to the show. >>. >> thanks, chris.
good to be back. >> as we re-open, people are having different reactions. some are embracing the recent shifts while others are having a hard time readjusting. >> yes. i think it's an excellent question. my basic bias on this i think to give you a general overview is we ought to be following cdc suggestions and requirements, what they say, because that's where a lot of the things come. should i wear a mask. should i not wear a mask. my answer is, yes, absolutely. i think we should wear a mask. i think we should social distance. it not only makes an impact on covid, it makes an impact on other diseases as well. as you and i were chatting, the deaths from flu usually average 30,000 a year.
we've had 2,500 deaths from the flu so far this year, but at the very least, you need to be vaccinated. >> going back to the office is also an issue. there are some people are thrilled returning to work, others are nervous about it and there's a group of people who've been working onsite all along. let's start with those who are worried about returning to the office. what can be done to relieve their concerns? >> i think identifying a cohort of colleagues, fellow workers who you can just talk to and share experiences with. you know, when you look at the advantages of groups, the major one is when we sit and talk to other people, we suddenly discover, oh, this isn't just me, i'm not some strange guy here. so everybody else i'm talking to is worried about the same thing. i think that will raise awareness among people. to say, oh, i don't know, what
are we going to do? do we have fresh air in here? can we open some windows? does the boss care if i wear a mask? >> how about those who've been going to work all along. possibly the most traumatized. how would you talk to them about managing the possible stress and resentment they may have been feeling. >> the most at-risk population is the essential worker who because they are also one of the lowest paid populations, have taken the biggest hits and the most risks. they're still at high risk. so they're dealing with a lot. they're dealing with depression, anxiety, insomnia quite a bit. and you've got a lot of ptsd by the way one last point on the health care workers.
that's the tip of the iceberg. these are also the people who often have the least access to therapy. so we've got all these people out of there who've been in the trenches the entire time, never had a break, suffering a lot of trauma, and there are no services available for them. >> lastly, let's talk about management. with varying attitudes towards the lifting of restrictions, there may be some struggles in the work place. how would you advise management to ease the transition? >> management can encourage vaccination or require it. they can keep masks, physical distance, hand washing, all of these things. and hopefully management will be responsive. i think, you know, given the title that the series, this is all new. we're all just moving in to a whole new phase. we haven't begun to see the research that's going to come out of what we've just been
through. we've been through a terrible pandemic. there's been a huge toll and i don't think we've seen the tip of the iceberg on the impact. >> do you have any final thoughts to share? >> yeah. i think this pandemic has highlighted a lot of things. for me, certainly, is mental health professional and a behavioral scientist. it's clear to me, we need to educate people about science. this is not unknowable to people. the basic of science is constant questioning. when you ask a question in research, you get one answer and about five new questions. things evolve continuously. so, yeah, when the cdc first came out a year and a half ago, they said, no, we don't need masks and then they said oh, we do and then everybody went
crazy. oh, look how bad the sciencetists are. that's exactly what science does. we thought we didn't need it. then we discovered it was air born. i think we're seeing we have huge holes in the health care system and conversely, i think we're finding with the vaccination, what it means for everyone to have access to health care without worrying about how am i going to pay for it. so i think this is really forcing us to look at everything. it's been a very difficult time. it's going to continue to be a difficult time for people, but i think that's also getting us to look at some really critical issues in health care. >> well, thank you so much for coming on the show dr. zlotnick. well, thanks again. we'll be back with another episode of san francisco rising shortly. for sfgov tv i'm chris manors.
thanks for watching. >> restaurants will be open for take out only, but nonessential stores, like bars and gyms, will close effective midnight tonight. [♪♪♪] >> my name is sharky laguana. i am a small business owner. i own a company called vandigo van rentals. it rents vans to the music industry. i am also a member of the small
business commission as appointed by mayor breed in 2019. i am a musician and have worked as a professional musician and recording artist in the 90s. [♪♪♪] >> we came up in san francisco, so i've played at most of the live venues as a performer, and, of course, i've seen hundreds of shows over the years, and i care very, very deeply about live entertainment. in fact, when i joined the commission, i said that i was going to make a particular effort to pay attention to the arts and entertainment and make sure that those small businesses receive the level of attention that i think they deserve. >> this is a constantly and rapidly changing situation, and we are working hard to be aggressive to flatten the curve to disrupt the spread of
covid-19. >> when the pandemic hit, it was crystal clear to me that this was devastating to the music industry because live venues had to completely shutdown. there was no way for them to open for even a single day or in limited capacity. that hit me emotionally as an artist and hit me professionally, as well as a small business that caters to artists, so i was very deeply concerned about what the city could do to help the entertainment committee. we knew we needed somebody to introduce some kind of legislation to get the ball rolling, and so we just started texting supervisor haney, just harassing him, saying we need to do something, we need to do something. he said i know we need to do something, but what do we do? we eventually settled on this idea that there would be an
independent venue recovery fund. >> clerk: there are 11 ayes. >> president walton: thank you. without objection, this resolution is passed unanimously. >> and we were concerned for these small mom-and-pop businesses that contribute so much to our arts community. >> we are an extremely small venue that has the capacity to do extremely small shows. most of our staff has been working for us for over ten years. there's very little turnover in the staff, so it felt like family. sharky with the small business commission was crucial in pestering supervisor haney and others to really keep our industry top of mind.
we closed down on march 13 of 2020 when we heard that there was an order to do so by the mayor, and we had to call that show in the middle of the night. they were in the middle of their sound check, and i had to call the venue and say, we need to cancel the show tonight. >> the fund is for our live music and entertainment venues, and in its first round, it will offer grants of at least $10,000 to qualifying venues. these are venues that offer a signature amount of live entertainment programming before the pandemic and are committed to reopening and offering live entertainment spaces after the pandemic. >> it's going to, you know,
just stave off the bleeding for a moment. it's the city contributing to helping make sure these venues are around, to continue to be part of the economic recovery for our city. >> when you think about the venues for events in the city, we're talking about all of them. some have been able to come back adaptively over the last year and have been able to be shape shifters in this pandemic, and that's exciting to see, but i'm really looking forward to the day when events and venues can reopen and help drive the recovery here in san francisco. >> they have done a study that says for every dollar of ticket sales done in this city, $12 goes to neighboring businesses. from all of our vendors to the restaurants that are next to our ven sues and just so many other things that you can think
of, all of which have been so negatively affected by covid. for this industry to fail is unthinkable on so many levels. it's unheard of, like, san francisco without its music scene would be a terribly dismal place. >> i don't know that this needs to be arrest -- that there needs to be art welfare for artists. we just need to live and pay for our food, and things will take care of themselves. i think that that's not the given situation. what san francisco could do that they don't seem to do very much is really do something to support these clubs and venues that have all of these different artists performing in them. actually, i think precovid, it was, you know, don't have a warehouse party and don't do a gig. don't go outside, and don't do
this. there was a lot of don't, don't, don't, and after the pandemic, they realized we're a big industry, and we bring a lot of money into this city, so they need to encourage and hope these venues. and then, you know, as far as people like me, it would be nice if you didn't only get encouraged for only singing opera or playing violin. [♪♪♪] >> entertainment is a huge part of what is going to make this city bounce back, and we're going to need to have live music coming back, and comedy, and drag shows and everything under the sun that is fun and creative in order to get smiles back on our faces and in order to get the city moving again. [♪♪♪] >> venues serve a really vital
function in society. there aren't many places where people from any walk of life, race, religion, sexuality can come together in the same room and experience joy, right? experience love, experience anything that what makes us human, community, our connective tissues between different souls. if we were to lose this, lose this situation, you're going to lose this very vital piece of society, and just coming out of the pandemic, you know, it's going to help us recover socially? well, yeah, because we need to be in the same room with a bunch of people, and then help people across the country recover financially. >> san francisco art recovery fund, amazing. it opened yesterday on april 21. applications are open through may 5. we're encouraging everyone in the coalition to apply.
there's very clear information on what's eligible, but that's basically been what our coalition has been advocating for from the beginning. you know, everyone's been supportive, and they've all been hugely integral to this program getting off the ground. you know, we found our champion with supervisor matt haney from district six who introduced this legislation and pushed this into law. mayor breed dedicated $1.5 million this fund, and then supervisor haney matched that, so there's $3 million in this fund. this is a huge moment for our coalition. it's what we've been fighting for all along. >> one of the challenges of our business is staying on top of all the opportunities as they come back. at the office of oewd, office of economic and workforce
development, if you need to speak to somebody, you can find people who can help you navigate any of the available programs and resources. >> a lot of blind optimism has kept us afloat, you know, and there's been a lot of reason for despair, but this is what keeps me in the business, and this is what keeps me fighting, you know, and continuing to advocate, is that we need this and this is part of our life's blood as much as oxygen and food is. don't lose heart. look at there for all the various grants that are available to you. some of them might be very slow to unrao, and it might seem like too -- unroll, and it might seem like it's too late, but people are going to fight to keep their beloved venues open, and as a band, you're going to be okay. [♪♪♪]
>> the board of appeals. president honda is joined by vice president rick swig, commissioner an lazarus and tina chang. soon-to-be present is brad russy. and alex and i'm julie rosenburg. the board's executive director. we'll be joined by reps from the city departments that will be presenting before the board this evening. scott sanchez with the planning department, jeff duffy, acting deputy dirr,