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tv   TA Vision Zero Committee 91015  SFGTV  September 18, 2015 1:00pm-2:31pm PDT

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>> >> city of san francisco >> mayor's disability council >> >> please stand by... >>
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>> >> >> >> we have closed captioning. >> >> thank you. >> >> all right. we'll convene the mayor's disability council for friday september 18, 2015. i'm cochair chip
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supanich and asking harriet wong to read the introduction. >> good afternoon, welcome to the mayor's disability council, this friday, september 18, 2015. in city hall. city hall is available to provide wheelchairs and access. wheelchair access at the polk street is provided via a wheelchair lift. assistive listening device are available and our meeting is opening captioned and sign language interpreted. our materials are available in large print and braille. please ask the staff for assistance. to prevent electronic interference with this room's sound system and for everybody act to focus on the
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presentations, please silence all mobile phones and pda's. your cooperation is appreciated. we welcome the public's participation during public comment. you may fill out a speaker card at the front of the room or call our line 1415-554-9632. staff will be available to handle those request at appropriate times. our next meeting on october 16, 2015, in san francisco city hall in room 400. please call the mayor's office on disability for further information or to request
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accommodations at 1415-554-6789. voice, 415-554-6799. tty. a reminder to all of our guest today to speak slowly into the microphone to assist our captioner and interpreter. we thank you for joining us. >> thank you. may we have the roll call. city clerk: cochair supanich, >> present, senhaux excused. kostanian excused. harriet wong, roland wong. >> can we have the reading of the
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agenda. >> agenda item no. 1. welcome introduction and roll call. agenda item no. 2. action item. reading and approval of the agenda. agenda item no. 3. public comment. items not on today's agenda but within the jurisdiction of the mdc. each speaker is limited to 3 minutes. agenda item no. 4. information item. report from cochair supanich. agenda item no. 5. information item. food nutrition and other reto sources for adults with disabilities. information about low cost resources available in the city to address food security and other needs for adults with disabilities. presentation by linda lau, nutritionist, department of aging and adult services. office on the aeblging and jason adamek
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intake services manager, department of ageing services. pmp -- public comment is welcome. agenda item no. 6. information item. food security in san francisco. a plan to increase food security in san francisco by the year 2020. presentation by an acquaintance and member of san francisco food security task force chief programs and government affairs officer, meals on wheels of san francisco. public comment is welcome. item no. 7. information item, understanding the links between food insecurity and health. melodically tailored meals to individuals with critical, chronic illnesses are crucial to maintaining health. especially to seniors and adults with disabilities. nutrition is vital to the
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health stabilization across the communities served. presentation by simon pitchford. co-chief executive officer, project open hand. public comment is welcome. break. the council will take a 10-minute break. item no. 8. information item d. a. transition plan capital projects for fiscal year 5-2016 an annual update on requested capital funds to provide design and construction on the remainder of the city's ada transition plan projects. information on other d. a. transition plan projects that are currently in design and construction. presentation by afraraz khambatta. public comment is welcome. agenda item no. 9. information item. report from the director of the
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mayor's office on disability. item 10. information item. cochair election. in correspondence with the mayor's disability council bylaws, article three resume section 1, there shall be two cochairs elected to serve as officers of the council and election will be staggered by at least 3 months. the present election will be elect someone to the position of currently held by co-chairmanship soup. agenda item no. 11, report from the distribute sdatser preparedness committee. agenda item no. 12 ks item not on today's agenda. >> no. 13, correspondence. item
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no. 14, council member comments. agenda item no. 15. adjourn. thank you very much. next is public comment for items not on the agenda. public speaker: good afternoon, council members. my name is caroline allegere. for the non-profit agency that provides legal services for psychiatric and/or disabilities as well as public events to achieve equal opportunity for all aspects of life. our advocacy program provides information for those with social security benefits. we provide representation for clients on a
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sliding fee scale. we do not turn down any clients if the case has merit and we are able to provide and combat information for housing and clients in discrimination cases under the americans with disabilities act. we would like to invite you to an upcoming event for reasonable accommodations event for people with disabilities. it will be held at the auditorium in the main library october 6, which is a tuesday, 1 p.m. to 4 p.m.. this event is free and open to the public. we also plan to live stream the event over the internet for greater access. i have brought some flyers for you about this seminar. for more information about the services
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that pwds provides please see our web siet at site at ww. pwds.org. thank you for your time and attention. >> thank you very much. next i have debra benedict. public speaker: good afternoon, councilors. my name is debra benedict. on the 22nd of august about midnight i was outside with my dog on my very quiet street at that time. a san francisco flofr came whipping around the corner off howard street. my street is a freshly paved street as a cut through street for four one way street that are four lanes each. this is the picture of my dead service animal still warm as it was struck and
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killed by a san francisco police officer who was only racing to about the middle of the block about ten more feet ahead of where my dog was to drop off someone at the adu, an adult diversion unit across the street. i have done all the necessary things to try and arrange for traffic calming. but i understand it's going to take approximately one 1 year for the sf mta to arrange to do studies and what not. meanwhile another dog in my building was blinding when it was struck by another dog on the street. this is a picture of the note that i taped with yellow tape onto the roadway which was removed and i'm going to be just fyi using spray chalk to mark the
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place where my dog was killed almost half the block. the deputy was at least speeding and going at least 50 miles an hour as he rounded the corner. pedestrian safety is a very big issue right now with walk san francisco, district 6 has citizens group that is working on signage to tell people to slowdown, but meanwhile i live on a 1 block street with fresh pavement that every single day that people race up and down that street. having lost my dog, i can tell you it's a huge loss in my life. but in addition to sharing information about that, i do want to bring up two other issues. one is about the handicap access walk area that is crossing the street at ninth and mission street on the mission side of the street,
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next to the doughnut shop. there is a poorly ramp there facing the wrong direction if you are crossing from the howard end of mission street to cross there. it is really difficult to get baggage, wheelchairs and any kind of mobility device up the single ramp that's there that doesn't have any of the bumps and not been improved. i have called three -- 311 multiple times to get that i improved and nothing is happening. we have at least 10 people in our building that are disabled and half of the people are our wheelchairs. and they have to go up that street. every person is letting me know and everyone
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has complained about that particular ramp area. those are the two issues that i have come to. if you have ability to get with sf mta to get traffic calming bumps on either door that would be a huge help. thank you. >> okay. next item on the agenda is the report from the cochair. i would just like to say that my efforts at building a coalition of bay area disability councils has reached a milestone. we actually have a name. it's called the
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bay area disability alliance. we went through about ten names. so i'm still a little bit confused. bada. b ada. we are restricting membership right now to members on the commission of disabilities. but anyone is welcome to come to the meetings on the fourth wednesday of the month at the mayor's office on disability from 3:00 p.m. to 4:30 p.m.. other than that i have nothing from the chair. >> next on the agenda is the food, nutrition, and other resources for adults with disabilities. linda and jason? >> good afternoon, council members. my
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name is linda lau with the department of ageing and adult services. i'm going to share information services that are available to adults with disabilities and my colleague will share other resources as well. the department of aging of adult services we are designated as the area agency on aging. this is just a state term that basically says that we are in charge of and signing, coordinating and providing and advocating for services for seniors and adults with disabilities in the community. in terms of nutrition programs there are five different programs that we currently have available for adults with disabilities. that includes the home delivered meal program, food program, home delivered
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groceries and health promotion programs. i will share a little bit more about each of these programs. i wanted to note that for seniors we receive both federal state and local funding to support these programs. however, for the adults with disabilities, 100% of the funding is local. the home delivered meals service for adults with disability is either one or two meals a day, 5 days a week, depending on the clients need. these meals provide the 1/3 dietary intake and the meals provided must meet the nutrition requirements we set and the food safety requirements. in terms of eligibility for seniors it is age 60 and above. for adults
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with disabilities from age 18-59. they are either homebound whether it's mental or a physical disability. they have no healthy alternative for meals. there is no income requirement, but there is a suggested donation and whatever the client can contribute and donate, it goes to help support the program. no one is denied service because of their contribution level and as long as there is space available and they are eligible after they are assessed, then that's recall all the eligibility requirements. also the participants are reassessed or assessed on an annual basis to see what their needs are and if they still qualify for the program. the congruent nutrition program
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where the meals are served at a senior center or senior housing or another facility. it offers the participants opportunities to socialize with other participants and have access to other community service activities like they might have exercise programs there, we are going to have arts and crafts classes. both the seniors and adults with disabilities are served the same meal. this is how we can afford to keep the cost as affordable as possible. again these meals meet 1/3 of the dietary intake reference to be adults and all the meals must meet our department's requirements as well as the state's requirements. for eligibility for congregate
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programs they regardless of age they can participate. for adults with disabilities is age 15-59 with a disability. there is no income requirement. the suggested donation is $2. whatever the person can afford and donate, that's determined by the participant. this is just some photos of some of the meals that are served at the congregate nutrition sites. we provide different meals according to american style meals, russian, chinese, latino. another program that we offer the serve the adult food disability is the food
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pantry program. we work with the marines service and this was developed in 1981. most of the food pantry provides weekly distribution to their participants and any interested consumers can call 211 for more information, also for intake and to be added. currently there is, this program is maxed out because of limited resources. we are looking to increasing the service. this year our department has had -- added funding for this program. a part of the food bank also we have started a program called sro, stands for single room occupancy food outreach program concentrated in the chinatown north beach area at 5 different
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sro hotels. mainly because when we did a need assessment we found that a number of these hotels don't have elevators. so it is very difficult for someone who is disabled or senior to be able to carry groceries up flights of stairs. we have been able to serve about 180 clients in these buildings, these are both seniors and adults with disabilities. they partner with youth to help volunteer to help with this project. that's how we also leverage some resources. another program and this home delivery groceries. this program we are actually expanding. starting last year and this year we are looking to expanding too because of added funding from the board of supervisors. basically the francisco marine food bank, they help to get a lot of the donated food from different vendors and
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they work with a lot of community based organizations in the different food pantry sites and they basically recruit volunteers to help deliver the food bags to participants who are unable to go to a pantry site because of age or other disability and for someone who is interested to see if they qualify, they can call our intake line which is listed here. 415-355-6700. >> another program just wanted to briefly mention even though dos does not fund it. but it is the cal fresh program, the food stamp program. hsa human services administers this program. this program serves a lot of low income families as well as
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individuals who qualify. it's a great way to get an additional supplemental income to help purchase food and groceries at participating cal fresh vendors and to find out if you are eligible, they can contact the number at 415-558-1001. or they can go to the website. www.benefits sf.org. >> there are other nutrition resources just wanted to mention in case people are not aware of it. there is a free eats chart. this chart is basically a list of all the different types of non-profits including churches that offer free meals whether it's breakfast, lunch, or dinner throughout san francisco. i listed the website where people can download the chart. it is in english as well as in spanish. also leahs pantry provides
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food and nutrition. eat fresh.org. it helps people to learn nutrition, how to eat healthy on a low cost budget and offer services throughout the city as well. just briefly in terms of health promotion programs that we offer. with the health promotion program, our goal is to keep the seniors and adults with disabilities healthy and with different wellness programs. there is a few programs. one of them is called healthcare living. this is a model developed by stanford university. basically, i will get more into details later. there is another program
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called always active. this is a physical fitness program. a third one is the tai chi for arthritis. the self living management program is provided by stanford and it's a 6 weeks program. 2 hours long and they learn different kinds of information, including how to manage pain, stress, fatigue, frustration, we all experience those things, right? when we have chronic health problems and how to communicate better with your doctor and being able to set goals and solve them so you can make those changes. the goal setting we find is one of the most important pieces of information that people can come away with from these workshops. even though we might know it, but if you don't
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practice it, you may do it. also being able to be more fit. how do you exercise even though you have limitations and how to eat healthier on a low budget. the workshop is free, but donations are welcome. the workshop schedule you can go to the website at website at www.ca healthy living.org. we are this workshop in different languages. the physical fitness program. just a little bit about this. this focuses on more of a physical fitness with strength training, cardiovascular activities, flexibility and balance. really the goal is to help reduce the
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risk of falling no matter what age you are. there is always active program. we have a website so you can go look at the current schedule. we have locations currently. we have 15 different locations located in different neighborhoods in the city. tai chi is a modernized version of tai chi so it's very easy to learn. there is six simple forms. the website is sf connected.org./2015-09/10. it
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just long web address. but you can go to that site to learn more about what it is. >> good afternoon. jason adamek with adult services. i'm here to talk about intake services. 355-6700 is our number. we answer a lot of questions, do in takes for home delivered meals and home delivered groceries and we do other in takes that are related to food security issues. the biggest one is in home support services. briefly to receive in home support services, a person is to be on medi-cal. there is a lot of things that you can receive, everything from bathing and
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grooming, para medical care, laundry, cleaning, for meals there is a lot of hours that people receive, a good chung -- chunk, a good area in meals, shopping, cooking and clean up. we do the referrals and what is nice about our department is that we do screening for cal fresh at the same time. so if somebody does qualify for cal fresh, if you are not on ssi and planning for ihs, they will automatically, the eligibility units in ihs will qualify for cal fresh. that's another bonus. the other thing, i didn't have this on my list. it's on my next slide. sorry, i don't know how to. thank you. i did this yesterday and i forgot. we were doing the home deliver grocery referral as well. we just
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started doing those. home delivered meals, we do for seniors age 60 and older. if someone calls us we have a partner agency that does the home delivered meal request. so if people just call us, it's fine. we can always point them in the right direction. we also have meal websites that fund the food pantry sites that linda was talking about earlier. 211 has a listing of the food pantry sites and the other resources that people don't think of automatically when it comes to meals but it's really important to help people stay independent in the community are the adult day healthcare, adult care social program. it's called the pace program for all inclusive care. those programs are really great because not only do they provide meal support during the day but provide
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physical and occupational therapy , socialization, nursing. in the pace program the, unlock programs in the city, it's a whole package which includes medical care as well. so it's someone's in home support services, the adult day healthcare services all rolled into one. that's a medi-cal waiver program. cal fresh, we don't really get into the eligibility criteria too much when it comes to cal fresh, but we can point people in the right direction and especially if they think that they qualify for ihs we will try to convince them to apply to get them set up as well as medi-cal all at once.
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>> questions from council members? council member wong? harriet wong? >> so due to the number of people retiring, are they going to be looking for these congregate meals. is there going to be funding for all of this and all the people with disabilities? >> well, the short answer is no. there is never enough. and certainly there is a wait list for home delivered meals. i wouldn't be able to speak to the congregate meals, if there is a way to get to the site, but in home delivered meals there is an uptake whereas 5 years ago we would get 100 referrals and month and now we are
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getting 150 a month. that's just for seniors. it's always increasing and no there is not enough resources. >> i wanted to add to what jason is saying. while we really appreciate the mayor's office and the board of supervisors adding well over $2.4 million this year to our budget to increase services in all of these areas, home delivered meals, congregate, delivery of groceries, it is really not enough based on our needs assess ment and i know the next speaker will speak more about that. there is advocacy for the non-profits and the securities task force keeping track of this and what's going on and the board of supervisors has a resolution that their goal is to end food security issues by 2020. it is a very lofty goal and
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obviously unless we have resources it would be very difficult to achieve. >> i would say one trend that i have noticed for the years is people who are low income but they don't qualify for services like ihss because they don't have or where they are in the area where they have a little bit of money but still need meals. that's kind of a trend where people can't afford the care they need but they also they can't apply for ihss. that's a real problem. i see a growing trend over the years. >> thank you. i had a question about financial as well. you said you had an increase this year? $2.4..
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>> that is pretty significant. for example, off the top, we have a total, we currently fund our department between the congregate and home delivered meal each is a little over $4 million and for the home delivery grocery is about half a million. we look at total $2.4 million. in addition to it, it is significant. but also we know that even last year our service providers that we contract with, they over served the contract with home delivered meals with almost 25%. we don't cover that cost just because we don't have the money, but fortunately a lot of them do fundraising to help cover those needs but that's really not
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sustainable. it gets really difficult for the number of non-profits to be able to fundraiser and have that money to sustain it. we are hopeful in the next 2 years we'll be able to get funding from the city to address these needs. to provide the necessary nutrition, these consumers are able to live in their home at a much lower cost than an assisted living or other skilled nursing facility. >> all right. what's your number for funding. what would you ask the board of supervisors? >> we actually did have, our department is doing a budget initiative and looking at what it takes to do this. you know, just from our department for the nutrition needs for each
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year we probably could use another $7 million. yeah. that's only serving maybe about another 20% of the needs that we see identified out there. >> the thing to add with that with home delivered meals it's not meant to sustain a person. that's not their sole nutritional support. that's one meal a day or two at the most. it's not meant to supplement, we have a wait list of people who meet the very basics there. >> one really quick question. with the health promotion programs are those also 60 plus? >> no. with the funding of the program with locals only, it's available to under 60. >> good, because a lot of those sound good to me. i'm not quite 60, but i'm getting there. thank you. any
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other council member questions? no? staff? >> thank you, to the chair, i think we might have two staff members. thank you very much for your presentation today. it really helps me get such a larger appreciation for all the good work that the office is doing. i know in previous years the mayor's disability council would ask daas to come on a regular bases to give us new information about programs and i'm hoping maybe that the council might consider doing that in the future to have daas come regularly. i was impressed with the sro food outreach program as an example when we look at the challenges that our clientele faces living in buildings without elevators or buildings where the elevators aren't
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working. this seems like a life lining. also with the congregate food program, it's community, connections and having people check in on you to make sure you are doing well and if not providing resources to get better. i want to thank you very much for your presentation. i want to ask our staff also to post some of these resources that you described on our web page so people can find access to the resources available. last of all, i would ask you what can we do for you to help support your efforts to advocate for these funds or promote these programs? >> i'm glad you asked that question because also i have been thinking about are there other kind of federal or state resources available for adults with disabilities that we are not aware of that we can leverage with our infrastructure that we already have in
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place. for the seniors, there is federal legislation that provided funding for these meal programs. that's significant, it's over 40% of our funding between federal and state. so, i'm not that familiar with the disability world and what kind of resources, but definitelily if there are ways to help us to figure out what could be done, i think we can definitely expand our resources. it is while we offer 25 different meal sites that serve adults with disabilities. citywide we have 49 different meal sites and not all of them are serving because of limited resources. we have a program called champs and it's basically partnering with two restaurants in the sunset richmond area. that is only serving seniors because we are able to leverage
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federal dollars for that too. it would be great to be able to also offer that to adults with disabilities because the service hours are much longer. it's basically the hours that the restaurant is open and gives people a lot more flexibility. >> as linda is saying from the intake, i have a lot of staff and we get a lot of calls and referrals. so we are serving seniors and younger adults with disabilities over the hotline and in the work we are doing with ihhs where we are meeting people in the hospital or the home to make sure they don't go back into the hospital. we are not looking at age, but one of our committed funding streams as linda is talking about is the americans act and we get audited for that we are serving
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people over 60. we have ihhs as a funding stream and aps and medi-cal but with the increase in calls that i have seen and reports for people who are younger with disabilities, it would be great to find another funding stream. >> thank you to the chair. thank you very much. very informative presentation if not it's shocking and sad that in one of the richest cities of the west coast with a plethora of restaurants and culinary choices we still do not have enough to meet their dietary needs. my next question is how long of a wait list? >> for adults with disabilities it's really low. today there is only 15 people on the waiting list. for
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the seniors we have about 400. what does it amount to? how much of a wait? >> historically it's been around 40 days on average. it's probably increased. i couldn't give you a number. >> yet investments of feeding people to promote their health and keep them out of the hospital and out of the assisted living facilities. it doesn't make sense financially. my question is have there been any efforts, have you thought about engaging the private sector. the non-profits are trying to do the best they can with a lot of heart and very few resources, but i would think in a city with san francisco where we have these top style restaurants and there is a huge amount of food waste that's happening. and the fact that as the housing cost raises and people
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can only spend seasonally a majority of their income on rent and not eligible for cal fresh, is there some sort of partnership, is there anybody, any thought about engaging the factor? >> i know the number of organizations on the free eats chart actually do bring in food from different restaurants where they have overage and they deliver to the different facilities to eat. these are good food. they use it to feed their participants and from our nutrition contractors, they actually do partner with a lot of for profits in terms of like vendors and different companies. they actually get grants and meals on wheels, they have annual fundraisers that
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taps into the number of these for profits agencies, companies, basically to help support and raise the money to provide the services. so each of the nutrition all of them actually do fundraising to help and that's kind of where the private sector plays in and i know that with the food security task force, we are looking at how we can engage the for profit vendors a little bit more and how they can partner with us. there is certainly some interest to help serve this community a little bit better. but we are just starting that conversation and hopefully we'll be able to have something more firm in sometime this year. >> it sound to me like there is a much more sustainable way of going about it rather than struggling every year. >> yeah. >> thank you.
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>> to the chair, thank you for that. >> okay. we'll move on next. our next item is agenda item no. 6. food security in san francisco. with an acquaintance. >> thank you, commissioners. let me get this presentation up.
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good afternoon. thank you for allowing me to talk about this program and what we heard from linda and jason. in the next slide i want to talk about who is on the task force. today, linda lau and simon pitchford is on the list as well. we did establish in 2005 by the board of supervisors and to recommend citywide strategies for policies and budget proposals and to address hunger and increased food security. really in the last several years we've gotten so much better for tracking vital data by partnering with
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adult and human services agencies to work with us to address food security, demographic information to see the scope of the need in general and to specific vulnerable populations. and really looking at the utilization of the program and where we can maximize those dollars. there is 15 members representing public and community based entities. food insecurity refers to folks that are going hungry and the ability to prepare food is uncertain and not possible. sad to say there is one in four city san franciscans looking at 2% which is the highest risk for food security. there is folks living beyond that that are also at risk for
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food security. we look at the measure of 200 percent of the property line. every district has people that are food insecure. and there is currently over 51,000 cal fresh recipients. over 32,000 students eligible for free and priced reduced lunch and over 96,000 regular food pantry recipients. food security is in ex-strictably linked and necessary for once physical and emotional health. we see relatively less intake of fruits and vegetables. a huge high intake of carbohydrates and foods that people
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suffer from insecurity will end of binge eating, food rationing and preferring foods that are unhealthy. as you can imagine not being able to afford food is extreme anxiety and distress. you are left with other things going on in our lives and of course it healthcare cost, unnecessary health care cost. so without it, we see decrease intellectual and emotional development, we see poor physical health, we see really increased hospitalizations, unnecessary readmission. we see smaller sicker babies. obesity is a huge issue, diabetes and poor diabetes control is very prevalent in san francisco and mental illness. i think of those that are in direct service, we see this often and do our best to try to
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prevent that. we see a decrease capacity to care in terms of aging. as you can imagine hiv related wasting and inability to control virus levels and other medications as well. so people with chronic illnesses especially in aging and adult with -- without nutrition, it can be somewhat ineffective. we did make an effort, i think the san francisco food bank has been asked a lot and as well as the food security task force has been asked what is that demand? when would you need all that need? what is that number? how many missing meals and how many people there are? the san francisco marine food bank did
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commission the stanford study for food inequality. it is the study and this is the scientific knowledge of the need and use it to understand the need for vulnerable residents and the limitations for important resources for food and shows us where to focus our efforts. the research is is is is shown with a simple calculation and where they can obtain food and government and participating programs. once that is collected it's almost with a third less. it looks like 74 million meals are what they are without. that number sounds daunting and anyone in here who is really interested, i can come back and talk off line about how we got to that number. but really the important to look at is just how far we have to go to bring food security to san francisco. when you think
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it's 30 million, 74 million, it's in that range. some of were you there at the board of supervisors meeting where we plan to eliminate food hunger in san francisco by 2020. the resolution was passed. they did identify two findings by the task force and hunger task force. at the end of the presentation there are links so you can see these reports which really does look at things by board district level and looks at demographics and the many food programs by daas, school district and looking at people's income resources. so i wanted to make sure that
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we all kind are somewhat framing food security and breaking down the food security task force and address it and really tackle that need which came out of the 2013 report. we are looking to resting on three pilars borrowed from the organization that looks at food security in this way. so there is food resources, sufficient finance resources to purchase enough food such as your own income, ssi, food access. for affordable and nutrition and culturally appropriate food. we have included from meal pantry and food programs and food retail and food consumption and the knowledge of baking and cooking which would include kitchens and having the education for what you have available.
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i'm going through some challenges. kind of on these categories and look at solutions on these categories. really we have somewhat picked and chose for the presentation today. some of the challenges really are income insufficiency for resources for san franciscans. people on ssi and ssp are ineligible for cal fresh. there are statewide efforts that we are looking at which i will mention later in our presentation and does it make sense to look at bringing ssi back to people to have access to cal fresh. there are details in that. there are 45,000 of the folks that were mentioned that are living on
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ssi and ssp and it's at the 90% higher than the poverty line. to get cal fresh is 130% of the federal poverty line. just so we can understand. there has been efforts in looking at it. it's simply if you are on ssi and living at the poverty line, it makes sense to get cal fresh. our partners across the country most of this is categorically done. there is stream lining efficient ways if we choose to do so as a state. some of the challenges to food access is the demand exceeds capacity at some of our programs. people are turned away. that is something that task force is really looking at with the number. and there is a wait time to
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wait list for meals and food pantry and really trying to address what it means to get enough resources so people have the access to these programs. child nutrition programs can be low participation and some of these programs it's limited capacity. with these programs there is too few food retail and healthy food and affordable food and cal fresh and wic isn't available everywhere. people think it is. we are making a lot of effort to make that change but it is harder sell than you can sometimes get. there has been a lot of effort with the department of public health really looking at healthy incentive programs and looking at the task force level looking at voucher programs and really trying to make some behavioral change with folks and eating, a 6-month voucher to eating vegetables
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for a small amount and having the retail available at the corner store so the idea of the same points that you are limited to retail vegetables because they are not available in your neighborhood. that is a plan there and should be under solutions. foods and challenges. lack of kitchens. over 90,000 units lack kitchens. we have seen an incredible need for meal programs because of that there is dinner, people want choice, we need flexibility and we are lacking that. there is a lot evidenced. we have seen a substantial study of sro and residents. we found high sierra rate of food insecurity. 89%. the
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majority of respond ents were high nutrition risk and there were very few kitchens if there was such a thing in their sro. here are just some of the solutions we are looking at for the food security task force. we partners with the state level to look at ssi and ssp i don't if that campaign were able to speak to you all but there are efforts of crosses of bandwidth services that are needed. so there has been some legislation and some wins and some loses . we are continuing to really take that campaign to a next level and that is something that the mayor's with disabilities
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councils, that is something that will ultimately take for all of us to move forward. doing a lot more cal fresh outreach. if you can't get it on ssi, ssp, let's not bother doing it. if you are a -- really don't bother. we've seen an increase in that and other voucher programs trying to increase both healthy retail and access at farmers markets. >> i just want to continue along with food access. what we have found at the task
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level is the need for funding for nutrition and adult with aging. the department and aging services is for the task force. linda and i have been working together for who knows how many years really trying to address insecurity. a couple years ago we realized looking at the budget and looking at what the private sector and the non-profit sector is really maximizing those resources and we had to maximize the non-profit sector and we really have to maximize what the department of aging is doing because having programs working together and maximizing that fund together is what ultimately will make most sense in san francisco and we are very lucky in san francisco to have a city and county together. and have the goodwill of departments and the private sectors and non-profits to be able to work together and for consumers to really kind of come with us at the table and tell us what we need
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an continue to access these programs and live in san francisco in the conditions they are, believing we are going to make it better for them. hungry at lunch meals and increasing food services and reaching out to people who are not able to reach out to their pantries anymore and others we are doing what we can to look at groceries as an option for folks. home delivered meals is so critical and when you reach a place where you cannot make your own meal anymore or have someone do it for you on a regular basis. for those you who love cooking. it's a program where you can do that and something where caregivers that are struggling to serve whether you are a spouse or struggling to provide meals to the person you are taking care of. that's what we
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are looking at with all of these programs. something else we have realized. it's a flexibility of changing the program. people aren't homebound every single day. sometimes they have people that might help them get out that day or a couple months or weeks. with our increased technology we are embedded and we will need to change the program and the way they look at the way they are accessed. the other thing with transitional care. the folks that get to go to the food pantry and it could be 30-60 days a year that you are not able to get out regularly as you used to. it's important to have those programs for those folks.
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>> we mentioned that service. it was very validating to hear what people want and they want additional funds to be able to purchase healthy food. that is something they enjoy, but really getting people their own funds to really meet their own health needs is ideal. having food services grocery stores and additional food pantry. free and low cost microwaveable meals. the innovative shelter in the mission meals, some partnering with them as well to bring our meals with them and they are able to go into their site and microwave it when they want it and giving people the flexibility and reducing staff cost has shown to be useful and something we are thinking to bring to go sro's and access to kitchens and people who have
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kitchen nets eat healthier. we are in the process of finishing that survey and the recommendations for it. we have actually under taken an effort to look at all the sro's in san francisco to see if they have a kitchen net or not or do they have storage and collecting that information to see to develop the programs in the sro's. thank you for the opportunity. our goal is to reduce hunger by 2020. we are looking at our budget request and that $10 million ultimately that we think we need an another $7 to compliment the few million that we've already gotten. we are working
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on that now, and it would be a pleasure to really come back in the spring to let you know what that is that we are requesting of the mayor and the board of supervisors. the other thing i just wanted to mention on the long-term coordinating council that people who are struggling above ihhs is the financing and policy workgroup and looking to wok with the controllers office and what is that amount and what would it look like to expand services to the next level of modest income. that concludes my presentation. thank you. >> thank you very much. there are any questions from council members? the first one is to say thank you for coming to give this
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presentation. task forces produce recommendations and then the city chooses kind of what it will implement. what's looking good now for you as far as funding or other things you need to combat hunger? >> i think the commitment to the department for adult programs where most cbo's are partnering. i think that's resonating. this number of what that budget number really is is not there yet. i think really aligning in that voice of the increased nutrition service funding for adult and aging services is critical. the other thing is we will have some pilot programs and finding the community support and consumers and building owners and project
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-- property managers. >> please let you know. the council does work on writing resolutions. >> thank you. >> any comment from staff? >> donna? >> through the chair? thanks for coming. i have a question in terms of the task force and how it's put together because recognizing that food is such a huge issue like kids in school. they are not able to learn. employers, mental health folks. are there people outside of those realms that are part of the task food source that talk about that? >> yes, they are on the task force but in addition we have sfusd. we did our
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biggest effort i think years ago that was where we are putting most of our effort was looking into the school program and looking at funding. so it was something that was the biggest effort to try to change policy and funding in order to even bring and do an rfp like revolution food. our first development is to look at job training. so both the non-profits and public sector that is interested in making that happen. we try to engage the private sector to really be at the table with this as well with the resource and ideas. >> thank you. i want to echo and say it was a great presentation and
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informational. i want to focus on food security access to fresh fruits and vegetables. we happen to be blessed to have our office located across the street from the unplaza and farmer's market and that is well utilized by the people in the neighborhood and the prices are so much more affordable than if you go to a supermarket. as san francisco gets increasingly wealthier, it seems like the option for food purchases are the whole foods where you can pay $15 for a salad. i just wondered how much, how many more farmers markets might be possible out there or how many more of those innovations like supervisor kim has worked on in the tenderloin to bring the food to the neighborhoods so people have a good source within walking
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distance? >> i think our city has done a great job at increasing farmers markets and increasing the size and type of markets that would be affordable for all neighborhoods. there are not year long. there are fruits and vegetables that are year long. i think giving access to those is really important. there are certain areas where we can get a large grocery the store. what we are looking at is improving these corner stores that are kind of a fabric in san francisco and really changing how we, the access to those and giving people whether it's vouchers, whether it's stretching their own dollars. getting creative about how to do that. ideally people want to shop. they want to go to traders joe's or safe way. whole foods. but there is things that even
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whole foods has done. there is the 365 grand. it's important for us to continue to work with the entities that are here that they really do want all of our business. so there is reason for them to look at their prices so they can bring the different consumers in. i think making sure to remind people of that is something that we need to do. i think consumers we need to do some community organizing. and really have it come from people's voices as well. but it is kind of that resource and access and consumption issue. so it is important for us to really think about it in those different ways because some of them are easier to address than otherwise but more sustainable and desire from people is is shopping like everybody else does. also what we've seen recently is online opportunities and anything that can be
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delivered and we need to get in there and figure out how to help low income folks have access to some of these programs. they are just not that affordable yet but there is ways to make them affordable or we can copy them and make them affordable. >> since san francisco is so much shorter than what we see in the greater bay area communities. i really appreciate the good work that you do and your organization does to keep current with the need and such. i was having some conversation with some folks who live in the east bay and their wait list is close to 6 months than maybe a month 1/2. we appreciate what you do. thank you very much. >> do i have any public comment on this item? okay. thank you very much. >> okay. next up is
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understanding the links between food and security and health. simon pitchford. welcome. >> thank you for having me. thank you, council members for inviting us to speak and i want to thank my colleagues from the food security task force to break down the challenges we face and the resource rich environment in san francisco that we are still having to dole with many of these issues. so what i'm going to try and do in my presentation is to talk a little bit about the implications of food and security and health and touch on this during some of the presentations. but it's a big focus for many food and nutrition providers whether in san francisco or some of my sister
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agencies nationwide who are really looking at this interaction of food, food and security and health. particularly how it relates to maybe some opportunities for thinking funding differently making it through the affordable care act and maybe through the question that came up through the private funding and the link to some that we all know. so, this first slide reiterates what an just said that food security is the ability to retain and obtain
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nutritious food. really, the focus of my talk is going to be these next bullet points which an touched on as well which is that link between food security and health and boil down some of the discrete population that we understand in a lot more detail. it's always shocking to see these one in three individuals to enter the hospital because they are malnourished. that is something we should be able to do something about and they are much more likely to miss their physician visits and we heard more about issues of depression where people don't want to be out in the community. also those individuals are much more likely to have longer stays in hospitals. that obviously has
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economic implications directly. and also the hospital stays are much longer in duration. the startling fact is that if we can stay one night in hospitalization we can feed up to 6 months. the economics has to make sense. it should be a simple case to make. we are very fortunate that in san francisco we have some of the key medical doctors and researchers that look at this intersection of food and security of health. we are very fortunate on the food security task force for dr. sullivan who purchased a lot of this force on this topic especially related to diabetes and dr. sherrie wiser who does a lot of work in the hiv field. this slide talks to some of her work. but in looking, she recently published a study looking at hiv infected and people with aids in san
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francisco who are marginally or partially had who have much lower levels of viral is suppression and people are more depressed and much more likely to engage in much more risky behaviors where they are trading sex for food and the only way to access food and lower rate to antiviral therapy. so just a little bit about this just to set the stage because we are a little unique in that. you heard a lot about the work that goes on at daas and the great meals on wheels and we are one of the programs that linda
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referred to. we serve about 4300 seniors everyday through our public sites funded through daas and the adult day healthcare center on a daily basis. we've been doing this for a long time. the project is known for most of the work in the area of hiv that is now expanded beyond that to feeding individual with critical chronic illness in many other diseased areas. we have about 3800 individuals we serve with large percent are people with hiv and now people with diabetes, cardiovascular diseases and cancers of various kinds and these are unspoken diseases in the city that are creating a big issue in and around food
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insecurity. we generally serve about 1 million meals a year and our request for services are growing 20%. we have not seen the types of request for services since the early days of hiv. just to speak to the challenges that exist within san francisco. around senior program, and this really builds on what linda talked about. we've added three new sites over the last 12 months because most of the programs through daas are provided further the requirement, we recognized that it's not enough. we need to provide more. meals on wheels does more than provide one meal, we plan to do more by adding breakfast or a third meal site. it's a big area. i know linda left the room and this is a good thing because this next bullet
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point would probably be a little scary. we are finding that non-senior adults with disabilities program is within the 3 months of this year is already speaking we are serving more than two 1/2 times the contract that we have. that speaks to earlier that mostly the none profits working in this arena that we receive funding from daas and other agencies we are supplemented through private funds and generally we are reimbursed very little to the dollar. that is supplementing collectively all the work that we do. our hiv signs are growing dramatically and we are getting asking can we serve moran -- and more people through that program. there is this dramatic growth in demand for services. over the last
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four 4 years you can see the demand for services. this is basically people outside of the hiv and breast cancer world which has been the traditional areas that project help has served. you can see this explosion of growth and this is people with diabetes, cardiovascular disease and cancers of various kinds. we probably serve people with 20 different diagnosis. not just single diagnosis but people with multiple disabilities and also mental health challenges. these are people who are entering our program similarly to the early days of hiv. these are incredibly sick people coming through our program. they are often very food insecure and living alone and
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have some access to health care but that is clearly insufficient. that leaves us to the nexus of what we are talking about is to draw the kind of programs that provide this noogs nutrition and the idea of being food and medicine. we can delay many of these health challenges if we can feed people the right nutrition food. it relates to the triple aids of health reform. it can certainly lower the cost of care and people are a lot happier. so we are working diligently both with project open hand and across the state and nationally trying to address this issue of food insecurity and link to health. we very fortunate that we have folks that recognize this
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opportunity. the next slide comes from harvard center on health and both we are involved with home delivered meals which is clearly one of the higher cost of meals. that is not the only way in which you can do this. on this slide is a very pictorial representation where you think the severity of healthcare going to that peak point of people who are most critically ill and most able to leave their homes, that's where we have an opportunity to provide medically tailored meals and that is the greatest opportunity for cost aid because that's where the health care dollars go. if you can capture people before they get to that point, so much the bear and there are many programs that exist. you heard many of them stay, the
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home delivered grocery program, the food pantry program and the at some point for us to intervene before people get to that point which they are unable to leave their home. so, there is a great opportunity here for a continuum of care that we can hope for through these kinds of programs. to talk a little bit. these are some of the project open hand that are not inconsistent with any of our partners nationwide. it's about really tailoring the food for people with medical conditions. where people with hiv it was about wasting syndrome and getting food into people and tailoring food and providing food to people with a mediterranean diet and low sodium diet. beyond that there are
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opportunities that are around diabetes and people with many problems, people with cancers and are not able to take a standard meal type and more recently we developed a diet with end stage reasonable disease on dilation where -- dialysis and make normal eating very challenging and we found a growing number of individuals on this particular dooibt -- diet that have active levels because they are getting healthy food. we recognized we have some of the great opportunities to serve. we piloted a program where we took a small group of our hiv and diabetic
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individuals and we typically our services have been a third or two third of their daily requirements but in this pilot program we said what happened if we feed 100% of their nutrition needs, a breakfast, lunch and dinner. we designed this program. it lasted about 5 months, 25 people with hiv, 25 people with diabetes and conducted a full extremely diligent study of health outcomes from a qualitative to quantitative fashion. the results are coming in. we are not releasing those numbers yet but to give you an indication on these slides there was a huge increase in food insecurity and the education piece was so

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