The future is uncertain for California Proposition 1, which looks like it might pass by a razor-thin margin and would expand the state’s mental health and substance abuse treatment infrastructure. As votes are still being tallied, we bring you this story from news outlet MindSite News about a San Francisco organization that is filling a glaring void in the health care system.
City Hall
Proposition F — Illegal Substance Dependence Screening and Treatment for Recipients of City Public Assistance
Proposition F asks voters whether the city should be allowed to screen single adult welfare recipients for drug dependency and require those identified as suffering from substance use disorder to enter treatment to continue receiving cash assistance through the County Adult Assistance Program.
Overdose Crisis
2023 Is San Francisco’s Deadliest Year on Record for Drug Overdoses
Last Thursday San Francisco’s chief medical examiner released the city’s updated overdose death count — 752 so far — making 2023 the worst year on record for drug-related fatalities. One-third of those people were listed as having no fixed address. Later that day, a crowd gathered at Civic Center Plaza to remember more than 420 who died in the city while experiencing homelessness this year.
Aging
Protecting Chinatown’s Older Adults From Climate Disasters Requires More Funding, Nonprofits Say
Community organizations say the systems in Chinatown to protect older populations during extreme weather are not enough to meet the needs that could arise. Without sufficient financial backing, the health of many older residents in the neighborhood could be threatened during extreme weather disasters. Similar scenarios could transpire in San Francisco’s other climate-vulnerable areas.
Aging
For Chinatown’s Older Residents in SROs, Climate Disasters Pose Greater Risks
Chinatown faces higher threats during periods of extreme weather due to a range of socio-economic factors as well as the built environment. Within the neighborhood, older adults living in single-room occupancy buildings are among the populations at heightened risk. Reasons for this include physiological changes related to aging and financial barriers associated with making climate-resiliency adaptations to older buildings.
Environment
Brightline Defense Takes on San Francisco’s Air Pollution and Environmental Justice Concerns: Q&A With Executive Director Eddie Ahn
As climate change exacerbates droughts, wildfires, floods, storms and other catastrophes, community organizations in the city are racing to put systems in place to both measure its impacts on residents and to provide the tools they need to support themselves during disasters.
“Civic” Podcast
SF Students, SRO Residents Train to Reverse Drug Overdoses
Experts in overdose prevention say many teen and adult lives could be saved if more people know how to identify and respond to overdoses. In San Francisco, an array of programs are providing overdose response training to teenagers, college and medical-school students, and residents in neighborhoods that have a high rate of overdose deaths.
Overdose Crisis
City Officials Lack Urgency to Prevent Overdose Deaths, Say Safe Consumption Proponents
Several weeks after a crucial legal hurdle blocking safe consumption sites in San Francisco was seemingly resolved, proponents said they were dismayed that city leaders and public health officials were still not greenlighting centers that could reduce deaths related to drug use.
Overdose deaths have reached 620 this year — on track to have the highest annual tally since counting began, with fentanyl causing the vast majority of fatalities, according to the chief medical examiner’s latest report.
Overdose Crisis
DA’s Opposition to Drug Diversion Programs Undermines Public Safety, Say Legal Advocates
San Francisco District Attorney Brooke Jenkins has criticized and diminished the use of diversion programs that offer criminal defendants accused of selling drugs rehabilitation, counseling and training rather than jail sentences.
Since taking office 15 months ago, Jenkins has reduced the number of referrals to the San Francisco Pretrial Diversion Project by 70%, according to its CEO David Mauroff.
And as San Francisco’s rate of overdose fatalities reaches more than two deaths a day, Jenkins is pushing for defendants accused of selling drugs to remain in jail. But some legal experts say that’s a bad strategy both for the defendants and for public safety.
“Civic” Podcast
Drug Crackdown Has Sparked Violent Turf Warfare in Central San Francisco, Supervisor Says
A drug crackdown in the Tenderloin and South of Market has resulted in more than 600 arrests, with authorities seizing more than 200 pounds of fentanyl since the initiative launched in May, Mayor London Breed said.
But the coordinated effort, involving city and state law enforcement agents, appears to be leading to violent clashes, said Supervisor Dean Preston, whose district includes the Tenderloin. “They’re poking a hornet’s nest,” he said in an interview.
Health
SF ‘Failing’ on Housing as Overdose Solution, Health Expert Says
Sarah Evans has spent decades advancing drug overdose prevention initiatives around the world. As a division director for Open Society Foundations — a grantmaking network founded and chaired by business magnate George Soros — Evans promotes one surefire way to help abate San Francisco’s homelessness and fatal overdose crisis: housing.
“The way that people get off the street is by getting into housing, where people can get support and stay there even while they are continuing to struggle with substance use disorders of all kinds and mental health issues,” said Evans, who leads the organization’s drug policy programs globally. “It literally is the only way.”
San Francisco isn’t doing enough to meet this housing need, according to health experts.