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"content": "\u003cp>Dimitri Clark is everywhere in his South of Market apartment building. Greeting residents in the lobby, checking in on floormates and keeping a door open for others to come by the tiny studio he shares with two affectionate terriers, Porcupine and Panda.\u003c/p>\n\u003cp>He’s doing it all to promote safer drug use and reduce overdoses as part of a broader public health program that the city is now expanding within permanent supportive housing buildings. But it comes as San Francisco is \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scaling back other harm reduction programs\u003c/a>, and as high overdose rates in the city persist.\u003c/p>\n\u003cp>Nearly 460 people died of overdose from January to August 2025, according to the most recently available \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">public data\u003c/a>, putting the city on pace to exceed last year’s total.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“There are people who use drugs—that’s just part of human nature—and a lot of people want to isolate themselves, and that’s often when they’ll experience an overdose,” said Clark, who has been in recovery for about a year. “We talk to people about it, take the shame away.”\u003c/p>\n\u003cp>The city’s Public Health Department recently gave the peer responder program Clark is part of a boost: $600,000 over the next five years to expand its work in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_12053915\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12053915 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dimitri Clark, a peer responder for Delivering Innovation in Supportive Housing, hugs his dog in his room at The Margot in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As a peer responder, Clark guides neighbors through safer drug use practices and ways to prevent an overdose. For a couple of hours each week, he posts up in his building lobby to talk about overdose prevention and hands out safety supplies like oxygen masks, sanitizing wipes and information on how to get help for anyone ready—or even just curious—about quitting. He also frequently gives out \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">drug test kits and the opioid overdose-reversal medicine naloxone\u003c/a>.\u003c/p>\n\u003cp>The program started in 2021 with five people, including Clark, at his former South of Market residence, the Minna Lee. Overdoses were soaring during the pandemic, so the building’s service provider, a nonprofit called Delivering Innovation in Supportive Housing (DISH SF), decided to train residents with experience using drugs on life-saving strategies to help their neighbors.\u003c/p>\n\u003cp>Suddenly, overdoses at the Minna Lee began dropping.[aside postID=news_12038907 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/240109-SFCeasefireVote-10-BL_qed-1020x680.jpg']“We had multiple years of zero fatal overdoses at the Minna Lee, specifically due to, I would argue, that intervention,” said Mattie Loyce, senior manager of community development at DISH SF.\u003c/p>\n\u003cp>DISH SF has been training more peer responders ever since. This spring, 25 peer responders graduated from the program that is now operating in seven permanent supportive housing buildings.\u003c/p>\n\u003cp>To help incentivize residents to join, the program offers peer responders a $600 stipend. It’s hardly enough to cover a single month’s rent, but several members said the 14-week training program provided tools to change their own relationship to substances, help others and build confidence in other areas of their lives.\u003c/p>\n\u003cp>During the three-month training program, participants take classes on everything from how to respond to an overdose to where to direct people for treatment, as well as different substances’ potencies and effects on the mind and body.\u003c/p>\n\u003cp>“I actually didn’t know before I started this program how many overdoses were happening in our buildings,” said Nicole Flores, another peer responder in the program, who said she is still navigating her own relationship with drugs. “A lot of these resources I didn’t know were available, not just harm reduction supplies, but also wound care and other programs for our community.”\u003c/p>\n\u003cfigure id=\"attachment_12057624\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12057624\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Flores, a peer responder for Delivering Innovation in Supportive Housing, stands outside her unit at The Auburn in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Peer responders have crafted overdose prevention safety plans with dozens of residents already. Harm reduction, a method backed by \u003ca href=\"https://www.cdc.gov/overdose-prevention/media/pdfs/OD2A-Case-Studies-Harm-Reduction-508.pdf\">scientific research\u003c/a> to reduce overdose risk and other negative consequences of drug use, is just one element of the city’s approach. San Francisco also sends medical professionals into supportive housing buildings to \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">deliver drug treatment\u003c/a> options like buprenorphine, a medication that can reduce opioid cravings and withdrawal.\u003c/p>\n\u003cp>“I would like for people to start looking at this community and seeing an asset, instead of seeing a problem, because there’s a lot of potential,” said Katie O’Bryant, manager of the peer responder program. “There’s lot of transferable skills that people learn in this lifestyle that can be replicated for all kinds of good in other instances.”\u003c/p>\n\u003cp>Mayor Daniel Lurie made reducing overdoses, and particularly the most visible street-level drug use and dealing, a central part of his campaign. As part of the mayor’s “Breaking the Cycle” initiative, the city has opened a stabilization center at \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">822 Geary\u003c/a> St., reorganized street response teams and increased policing of outdoor drug use and dealing.[aside postID=news_12034214 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250218-SFDowntown-07-BL_qed-1020x680.jpg']Last spring, Lurie \u003ca href=\"https://www.kqed.org/news/12034214/san-francisco-ends-health-programs-for-drug-users-not-active-in-treatment\">controversially ended public health programs\u003c/a> that handed out clean smoking supplies to drug users on the street, and the city now requires people to participate in counseling in order to obtain any safer drug use supplies, like clean needles, from city-funded public health providers.\u003c/p>\n\u003cp>Critics of the city’s approach to harm reduction applauded the shift, including Stanford professor Keith Humphreys, \u003ca href=\"https://www.kqed.org/forum/2010101909499/san-francisco-scales-back-harm-reduction-policy\">who told KQED\u003c/a> it previously had not done enough to connect people to treatment.\u003c/p>\n\u003cp>One group of anonymous residents is \u003ca href=\"https://storage.courtlistener.com/recap/gov.uscourts.cand.426452/gov.uscourts.cand.426452.101.0.pdf\">suing the city\u003c/a> over its harm reduction practices, saying they have led to litter and concentration of dangerous drug activity in neighborhoods like the Tenderloin.\u003c/p>\n\u003cp>Other addiction experts like Tyler TerMeer, who leads the San Francisco Aids Foundation, \u003ca href=\"https://www.kqed.org/forum/2010101909499/san-francisco-scales-back-harm-reduction-policy\">raised concern over the change\u003c/a>, however. He warned it could strip medically vulnerable people of connections to health workers and push drug users toward tainted supplies, increasing chances of disease spread, riskier use, like injection, or overdose.\u003c/p>\n\u003cp>Fatal overdoses have slightly decreased in recent months, after several months of increasing, according to \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">city data\u003c/a>. It’s good news, yet addiction treatment providers are raising concerns about other changes they’re noticing after the city cut back on outdoor harm reduction efforts.\u003c/p>\n\u003cfigure id=\"attachment_12053919\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053919\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Opioid emergency kits containing Narcan are placed throughout The Auburn in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Our clients are letting us know that when it’s harder to get smoking supplies, they feel a pressure to inject or share equipment. It’s not large numbers, but we have been hearing that,” said Anna Berg, director of the Harm Reduction Therapy Center. She said the center is also handing out far less naloxone now that they distribute at fewer street-based sites following the policy change.\u003c/p>\n\u003cp>The residential peer responder program happens mostly indoors and is one area where San Francisco is investing more in harm reduction.\u003c/p>\n\u003cp>Berg has clients in treatment who are also participants in the city’s peer responder program, who tell her it works.\u003c/p>\n\u003cp>“They really take it seriously,” Berg said. “These are the kinds of interventions that really work; you need community and to lead with care and support in as many places as possible.”\u003c/p>\n\u003cp>For Flores, who has been in and out of rehabilitation programs, \u003ca href=\"https://www.kqed.org/news/12034006/san-francisco-mans-housing-struggle-relapse-put-him-back-on-streets\">strict abstinence-based requirements made it harder\u003c/a> to work through already difficult relapse periods. Having access to housing allowed her to stabilize, something she said was positively life-changing, but it didn’t wipe away her challenges with drug use.\u003c/p>\n\u003cfigure id=\"attachment_12053920\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053920\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Auburn, a housing project under Delivering Innovation in Supportive Housing, is located in SoMa in San Francisco on Aug. 20, 2025. San Francisco has scaled back harm reduction programs, but in housing units such as The Margot, the city is expanding access to harm reduction efforts. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Abstinence-based programs don’t make it easy for people to reach out,” during a relapse, Flores said. “And I think that this peer responder program does make it feel very safe to reach out in those circumstances, to just come hang out in the same room so that somebody’s there if they overdose.”\u003c/p>\n\u003cp>Rob Hoffman of the city’s Office of Overdose Prevention said the goal of growing the peer responder program is “to leverage the community to connect with other people and break down isolation.”\u003c/p>\n\u003cp>That’s already beginning to happen, and people like Flores and Clark are saving lives.\u003c/p>\n\u003cp>“I know of two of our clients who have successfully reversed overdoses as part of that program,” Berg said.\u003c/p>\n\u003cp>Flores met one of her floormates after stepping into the role. She’s helped treat his wounds and said she’ll sometimes go over to his room while he is using drugs to offer support if something goes awry.\u003c/p>\n\u003cfigure id=\"attachment_12053916\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053916\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Minna Lee, a housing project under Delivering Innovation in Supportive Housing, is located in SoMa in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“He has vision problems and other health problems, and just the knowledge that I’ve gained from helping him has been helpful in other areas of my life, too,” Flores said. “It means a lot to me that people trust me enough to come in. I would consider him one of my best friends now.”\u003c/p>\n\u003cp>Clark has occasionally given out clean needles when someone needs them. But due to legal and political challenges, the peer responder program does not fund the distribution of safe-use supplies like needles and does not describe its work as drug-use supervision. Peers themselves entirely lead those efforts..\u003c/p>\n\u003cp>“This program focuses specifically on overdose prevention, and the supplies we give out are CPR masks, naloxone and linkage to care. But the safer-use supplies, that is, the direct advocacy of peers themselves,” said Loyce, with DISH SF. “We don’t give that out, but you know we also support their inclination toward whatever types of resources they want to carry for themselves.”\u003c/p>\n\u003cp>Lurie’s changes this year aren’t the first time the city has pulled back on harm reduction, an approach pioneered in San Francisco during the AIDS crisis. In 2021, the city pulled the plug on a \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">safe consumption site\u003c/a> following legal concerns and complaints from neighbors and local businesses over long lines outside the facility, which was located in United Nations Plaza.\u003c/p>\n\u003cfigure id=\"attachment_12053923\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053923\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dimitri Clark, a peer responder for Delivering Innovation in Supportive Housing, sets up his distribution station at The Margot in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Thousands of people visited the site for support. More than 300 overdoses were reversed at the facility, and no one died of an overdose on site during the program’s nearly 10-month run.\u003c/p>\n\u003cp>Berg said the disparity between what peer responders are allowed to do with the program and what neighbors come to them needing reveals a gap in the continuum of care.\u003c/p>\n\u003cp>“We have safe consumption sites all over the place, they’re just not necessarily sanctioned. It is things like neighbors looking out for each other. That is not a new concept. And the reason it sticks around is that it works,” Berg said. “What would it be like to allow people to do things that work? How many people are we losing every month in San Francisco? How many of those folks, if they had somebody there, could have a different outcome?”\u003c/p>\n\u003cp>For Clark, a simple tool is being around when someone needs him.\u003c/p>\n\u003cp>“What’s so nice about this is it’s not forceful,” Clark said. “It’s the isolation, you know, and fundamentally we have to overcome that.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dimitri Clark is everywhere in his South of Market apartment building. Greeting residents in the lobby, checking in on floormates and keeping a door open for others to come by the tiny studio he shares with two affectionate terriers, Porcupine and Panda.\u003c/p>\n\u003cp>He’s doing it all to promote safer drug use and reduce overdoses as part of a broader public health program that the city is now expanding within permanent supportive housing buildings. But it comes as San Francisco is \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scaling back other harm reduction programs\u003c/a>, and as high overdose rates in the city persist.\u003c/p>\n\u003cp>Nearly 460 people died of overdose from January to August 2025, according to the most recently available \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">public data\u003c/a>, putting the city on pace to exceed last year’s total.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There are people who use drugs—that’s just part of human nature—and a lot of people want to isolate themselves, and that’s often when they’ll experience an overdose,” said Clark, who has been in recovery for about a year. “We talk to people about it, take the shame away.”\u003c/p>\n\u003cp>The city’s Public Health Department recently gave the peer responder program Clark is part of a boost: $600,000 over the next five years to expand its work in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_12053915\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12053915 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00371_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dimitri Clark, a peer responder for Delivering Innovation in Supportive Housing, hugs his dog in his room at The Margot in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As a peer responder, Clark guides neighbors through safer drug use practices and ways to prevent an overdose. For a couple of hours each week, he posts up in his building lobby to talk about overdose prevention and hands out safety supplies like oxygen masks, sanitizing wipes and information on how to get help for anyone ready—or even just curious—about quitting. He also frequently gives out \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">drug test kits and the opioid overdose-reversal medicine naloxone\u003c/a>.\u003c/p>\n\u003cp>The program started in 2021 with five people, including Clark, at his former South of Market residence, the Minna Lee. Overdoses were soaring during the pandemic, so the building’s service provider, a nonprofit called Delivering Innovation in Supportive Housing (DISH SF), decided to train residents with experience using drugs on life-saving strategies to help their neighbors.\u003c/p>\n\u003cp>Suddenly, overdoses at the Minna Lee began dropping.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We had multiple years of zero fatal overdoses at the Minna Lee, specifically due to, I would argue, that intervention,” said Mattie Loyce, senior manager of community development at DISH SF.\u003c/p>\n\u003cp>DISH SF has been training more peer responders ever since. This spring, 25 peer responders graduated from the program that is now operating in seven permanent supportive housing buildings.\u003c/p>\n\u003cp>To help incentivize residents to join, the program offers peer responders a $600 stipend. It’s hardly enough to cover a single month’s rent, but several members said the 14-week training program provided tools to change their own relationship to substances, help others and build confidence in other areas of their lives.\u003c/p>\n\u003cp>During the three-month training program, participants take classes on everything from how to respond to an overdose to where to direct people for treatment, as well as different substances’ potencies and effects on the mind and body.\u003c/p>\n\u003cp>“I actually didn’t know before I started this program how many overdoses were happening in our buildings,” said Nicole Flores, another peer responder in the program, who said she is still navigating her own relationship with drugs. “A lot of these resources I didn’t know were available, not just harm reduction supplies, but also wound care and other programs for our community.”\u003c/p>\n\u003cfigure id=\"attachment_12057624\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12057624\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250826_sfharmreduction00450_TV_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Flores, a peer responder for Delivering Innovation in Supportive Housing, stands outside her unit at The Auburn in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Peer responders have crafted overdose prevention safety plans with dozens of residents already. Harm reduction, a method backed by \u003ca href=\"https://www.cdc.gov/overdose-prevention/media/pdfs/OD2A-Case-Studies-Harm-Reduction-508.pdf\">scientific research\u003c/a> to reduce overdose risk and other negative consequences of drug use, is just one element of the city’s approach. San Francisco also sends medical professionals into supportive housing buildings to \u003ca href=\"https://www.kqed.org/news/11945418/san-francisco-has-doubled-participants-of-this-opioid-treatment-heres-why\">deliver drug treatment\u003c/a> options like buprenorphine, a medication that can reduce opioid cravings and withdrawal.\u003c/p>\n\u003cp>“I would like for people to start looking at this community and seeing an asset, instead of seeing a problem, because there’s a lot of potential,” said Katie O’Bryant, manager of the peer responder program. “There’s lot of transferable skills that people learn in this lifestyle that can be replicated for all kinds of good in other instances.”\u003c/p>\n\u003cp>Mayor Daniel Lurie made reducing overdoses, and particularly the most visible street-level drug use and dealing, a central part of his campaign. As part of the mayor’s “Breaking the Cycle” initiative, the city has opened a stabilization center at \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">822 Geary\u003c/a> St., reorganized street response teams and increased policing of outdoor drug use and dealing.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Last spring, Lurie \u003ca href=\"https://www.kqed.org/news/12034214/san-francisco-ends-health-programs-for-drug-users-not-active-in-treatment\">controversially ended public health programs\u003c/a> that handed out clean smoking supplies to drug users on the street, and the city now requires people to participate in counseling in order to obtain any safer drug use supplies, like clean needles, from city-funded public health providers.\u003c/p>\n\u003cp>Critics of the city’s approach to harm reduction applauded the shift, including Stanford professor Keith Humphreys, \u003ca href=\"https://www.kqed.org/forum/2010101909499/san-francisco-scales-back-harm-reduction-policy\">who told KQED\u003c/a> it previously had not done enough to connect people to treatment.\u003c/p>\n\u003cp>One group of anonymous residents is \u003ca href=\"https://storage.courtlistener.com/recap/gov.uscourts.cand.426452/gov.uscourts.cand.426452.101.0.pdf\">suing the city\u003c/a> over its harm reduction practices, saying they have led to litter and concentration of dangerous drug activity in neighborhoods like the Tenderloin.\u003c/p>\n\u003cp>Other addiction experts like Tyler TerMeer, who leads the San Francisco Aids Foundation, \u003ca href=\"https://www.kqed.org/forum/2010101909499/san-francisco-scales-back-harm-reduction-policy\">raised concern over the change\u003c/a>, however. He warned it could strip medically vulnerable people of connections to health workers and push drug users toward tainted supplies, increasing chances of disease spread, riskier use, like injection, or overdose.\u003c/p>\n\u003cp>Fatal overdoses have slightly decreased in recent months, after several months of increasing, according to \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">city data\u003c/a>. It’s good news, yet addiction treatment providers are raising concerns about other changes they’re noticing after the city cut back on outdoor harm reduction efforts.\u003c/p>\n\u003cfigure id=\"attachment_12053919\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053919\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00459_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Opioid emergency kits containing Narcan are placed throughout The Auburn in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Our clients are letting us know that when it’s harder to get smoking supplies, they feel a pressure to inject or share equipment. It’s not large numbers, but we have been hearing that,” said Anna Berg, director of the Harm Reduction Therapy Center. She said the center is also handing out far less naloxone now that they distribute at fewer street-based sites following the policy change.\u003c/p>\n\u003cp>The residential peer responder program happens mostly indoors and is one area where San Francisco is investing more in harm reduction.\u003c/p>\n\u003cp>Berg has clients in treatment who are also participants in the city’s peer responder program, who tell her it works.\u003c/p>\n\u003cp>“They really take it seriously,” Berg said. “These are the kinds of interventions that really work; you need community and to lead with care and support in as many places as possible.”\u003c/p>\n\u003cp>For Flores, who has been in and out of rehabilitation programs, \u003ca href=\"https://www.kqed.org/news/12034006/san-francisco-mans-housing-struggle-relapse-put-him-back-on-streets\">strict abstinence-based requirements made it harder\u003c/a> to work through already difficult relapse periods. Having access to housing allowed her to stabilize, something she said was positively life-changing, but it didn’t wipe away her challenges with drug use.\u003c/p>\n\u003cfigure id=\"attachment_12053920\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053920\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00466_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Auburn, a housing project under Delivering Innovation in Supportive Housing, is located in SoMa in San Francisco on Aug. 20, 2025. San Francisco has scaled back harm reduction programs, but in housing units such as The Margot, the city is expanding access to harm reduction efforts. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Abstinence-based programs don’t make it easy for people to reach out,” during a relapse, Flores said. “And I think that this peer responder program does make it feel very safe to reach out in those circumstances, to just come hang out in the same room so that somebody’s there if they overdose.”\u003c/p>\n\u003cp>Rob Hoffman of the city’s Office of Overdose Prevention said the goal of growing the peer responder program is “to leverage the community to connect with other people and break down isolation.”\u003c/p>\n\u003cp>That’s already beginning to happen, and people like Flores and Clark are saving lives.\u003c/p>\n\u003cp>“I know of two of our clients who have successfully reversed overdoses as part of that program,” Berg said.\u003c/p>\n\u003cp>Flores met one of her floormates after stepping into the role. She’s helped treat his wounds and said she’ll sometimes go over to his room while he is using drugs to offer support if something goes awry.\u003c/p>\n\u003cfigure id=\"attachment_12053916\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053916\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00397_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Minna Lee, a housing project under Delivering Innovation in Supportive Housing, is located in SoMa in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“He has vision problems and other health problems, and just the knowledge that I’ve gained from helping him has been helpful in other areas of my life, too,” Flores said. “It means a lot to me that people trust me enough to come in. I would consider him one of my best friends now.”\u003c/p>\n\u003cp>Clark has occasionally given out clean needles when someone needs them. But due to legal and political challenges, the peer responder program does not fund the distribution of safe-use supplies like needles and does not describe its work as drug-use supervision. Peers themselves entirely lead those efforts..\u003c/p>\n\u003cp>“This program focuses specifically on overdose prevention, and the supplies we give out are CPR masks, naloxone and linkage to care. But the safer-use supplies, that is, the direct advocacy of peers themselves,” said Loyce, with DISH SF. “We don’t give that out, but you know we also support their inclination toward whatever types of resources they want to carry for themselves.”\u003c/p>\n\u003cp>Lurie’s changes this year aren’t the first time the city has pulled back on harm reduction, an approach pioneered in San Francisco during the AIDS crisis. In 2021, the city pulled the plug on a \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">safe consumption site\u003c/a> following legal concerns and complaints from neighbors and local businesses over long lines outside the facility, which was located in United Nations Plaza.\u003c/p>\n\u003cfigure id=\"attachment_12053923\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12053923\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/250826_SFHARMREDUCTION00241_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dimitri Clark, a peer responder for Delivering Innovation in Supportive Housing, sets up his distribution station at The Margot in San Francisco on Aug. 20, 2025. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Thousands of people visited the site for support. More than 300 overdoses were reversed at the facility, and no one died of an overdose on site during the program’s nearly 10-month run.\u003c/p>\n\u003cp>Berg said the disparity between what peer responders are allowed to do with the program and what neighbors come to them needing reveals a gap in the continuum of care.\u003c/p>\n\u003cp>“We have safe consumption sites all over the place, they’re just not necessarily sanctioned. It is things like neighbors looking out for each other. That is not a new concept. And the reason it sticks around is that it works,” Berg said. “What would it be like to allow people to do things that work? How many people are we losing every month in San Francisco? How many of those folks, if they had somebody there, could have a different outcome?”\u003c/p>\n\u003cp>For Clark, a simple tool is being around when someone needs him.\u003c/p>\n\u003cp>“What’s so nice about this is it’s not forceful,” Clark said. “It’s the isolation, you know, and fundamentally we have to overcome that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "San Francisco Has A New Drug Policy Goal: Long-Term Remission",
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"content": "\u003cp>San Francisco is shifting how the city governs — and now describes — its goals around substance use and overdoses.\u003c/p>\n\u003cp>The Board of Supervisors on Tuesday voted unanimously to approve a largely symbolic measure aimed at changing the city’s framing around the drug crisis.\u003c/p>\n\u003cp>The “Recovery First” ordinance, introduced by District 6 Supervisor Matt Dorsey, establishes the city’s overall goal for drug use and addiction programs to prioritize helping people reach “long-term remission.”\u003c/p>\n\u003cp>“This legislation accomplished what I hoped it would, to align our civic aspiration with what any of us would wish for a loved one struggling with drug addiction,” Dorsey said during Tuesday’s meeting.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city defines remission as “overcoming the illness of substance use disorder to the point of living a self-directed and healthy life, free from illicit drug use.”\u003c/p>\n\u003cp>\u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=14119526&GUID=3570BE8E-779A-4A00-8F3A-29A67C371133\">The version passed on Tuesday\u003c/a> is different from Dorsey’s original version, which prioritized an “abstinence-first” approach and named “long-term recovery” as the city’s North Star for addiction-related services.\u003c/p>\n\u003cfigure id=\"attachment_11990724\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990724\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Matt Dorsey (top-center) speaks from a podium at City Hall on June 17. Together, he and Supervisor Rafael Mandelman announced their new legislation to prioritize drug-free recovery housing in front of advocates and the community. \u003ccite>(Katherine Monahan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The change came after doctors pointed to the fact that many people who are trying to curb their drug use may still experience relapse or could be seeking different outcomes than complete abstinence.\u003c/p>\n\u003cp>Health experts, including members of the San Francisco Marin Medical Society, representing more than 3,500 physicians, recommended that the ordinance broaden the definition of recovery to show that harm reduction and recovery are not mutually exclusive concepts.\u003c/p>\n\u003cp>“The data shows that recovery is often a non-linear process of self-actualization where harm reduction efforts, abstinence, and treatment are not in opposition with one another or mutually exclusive,” reads \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=14150937&GUID=D2FA34F8-1232-47E2-9CC7-0C2D2AA182D8\">a letter recommending the amendments\u003c/a> from the medical society.\u003c/p>\n\u003cp>Other advocates for harm reduction, a philosophy that emphasizes meeting drug users where they are at by promoting safer use practices, also called on supervisors to amend the policy. Programs such as safe needle exchanges and Narcan distribution provide life-saving tools that should also remain a priority within the city’s approach, speakers said at a recent committee hearing for the proposal.\u003c/p>\n\u003cp>[aside postID=news_12038376 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1020x680.jpg']\u003c/p>\n\u003cp>Dorsey said both recovery and harm reduction have a role to play. But in the yearslong battle to reduce overdose deaths and outdoor drug use, these two camps have become political lightning rods.\u003c/p>\n\u003cp>“Despite the brevity of its one-sentence operative provision, (the ordinance) became something of a flashpoint in our drug policy debate,” said Dorsey, who identifies as a former drug addict in recovery. “In the end, I think that debate was truly helpful.”\u003c/p>\n\u003cp>Supervisor Jackie Fielder was among those pushing for adjustments in the final version of the ordinance.\u003c/p>\n\u003cp>“I want to thank the social workers, the street outreach workers and medical professionals who advocated for a more expansive and inclusive definition of recovery and a substance use disorder policy that affirms the dignity and potential of every single person struggling with addiction,” Fielder said.\u003c/p>\n\u003cp>Fielder, who represents District 9, will lead a hearing next week on a proposal for San Francisco to \u003ca href=\"https://www.kqed.org/news/12014887/sf-report-offers-zurich-style-overdose-prevention-plan\">incorporate a model used in Zurich, Switzerland\u003c/a>, where outdoor drug use and overdoses were similarly a major problem. The model calls for strong coordination and support for addressing all stages of drug-related issues, including prevention, treatment, harm reduction and law enforcement.\u003c/p>\n\u003cp>Dorsey has also expressed support for the approach, known as the Four Pillars.\u003c/p>\n\u003cp>Meanwhile, Mayor Daniel Lurie has already taken steps to \u003ca href=\"https://www.kqed.org/news/12034214/san-francisco-ends-health-programs-for-drug-users-not-active-in-treatment\">scale back the city’s harm reduction efforts\u003c/a>, as some voters have grown frustrated over a lack of progress on the drug crisis. His recent directive required health providers to only distribute safer use supplies, such as clean needles, to drug users who agree to participate in some form of counseling or treatment.\u003c/p>\n\u003cp>Lurie has also ended all outdoor distribution of safer smoking supplies like pipes and foil, which some studies have shown can help drug users move away from more risky forms of consumption like injecting drugs. He has also ordered \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">increased police crackdowns\u003c/a> on drug users and dealers.\u003c/p>\n\u003cp>[aside postID=news_12034214 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250218-SFDowntown-07-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>Many health providers are still waiting for answers on where funding for the newly required counseling services will come from. Earlier this month, the city has opened up a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">new emergency mental health clinic at 822 Geary\u003c/a> for individuals experiencing panic attacks, suicidal ideation or other psychiatric emergencies.\u003c/p>\n\u003cp>The stabilization center at 822 Geary currently has the capacity for four clients, but officials there said they eventually plan to scale that up to 16, so people can walk in or first responders can drop off people they encounter struggling on the street.\u003c/p>\n\u003cp>Just over 190 people died of overdose in San Francisco from January to March of this year, according to the most recent city data available. Fielder pointed out that at the current pace, the city is on track to reach its \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">second-highest year for overdose deaths\u003c/a>.\u003c/p>\n\u003cp>“Factions of the city want to present a false choice between harm reduction and treatment when both are sorely needed at this moment,” Fielder said. “The moment demands all of us to come together to achieve a steep and lasting decline in overdose deaths and the long-term remission of substance use disorders in San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is shifting how the city governs — and now describes — its goals around substance use and overdoses.\u003c/p>\n\u003cp>The Board of Supervisors on Tuesday voted unanimously to approve a largely symbolic measure aimed at changing the city’s framing around the drug crisis.\u003c/p>\n\u003cp>The “Recovery First” ordinance, introduced by District 6 Supervisor Matt Dorsey, establishes the city’s overall goal for drug use and addiction programs to prioritize helping people reach “long-term remission.”\u003c/p>\n\u003cp>“This legislation accomplished what I hoped it would, to align our civic aspiration with what any of us would wish for a loved one struggling with drug addiction,” Dorsey said during Tuesday’s meeting.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city defines remission as “overcoming the illness of substance use disorder to the point of living a self-directed and healthy life, free from illicit drug use.”\u003c/p>\n\u003cp>\u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=14119526&GUID=3570BE8E-779A-4A00-8F3A-29A67C371133\">The version passed on Tuesday\u003c/a> is different from Dorsey’s original version, which prioritized an “abstinence-first” approach and named “long-term recovery” as the city’s North Star for addiction-related services.\u003c/p>\n\u003cfigure id=\"attachment_11990724\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11990724\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/DrugFreeRecoveryHousing01-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Matt Dorsey (top-center) speaks from a podium at City Hall on June 17. Together, he and Supervisor Rafael Mandelman announced their new legislation to prioritize drug-free recovery housing in front of advocates and the community. \u003ccite>(Katherine Monahan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The change came after doctors pointed to the fact that many people who are trying to curb their drug use may still experience relapse or could be seeking different outcomes than complete abstinence.\u003c/p>\n\u003cp>Health experts, including members of the San Francisco Marin Medical Society, representing more than 3,500 physicians, recommended that the ordinance broaden the definition of recovery to show that harm reduction and recovery are not mutually exclusive concepts.\u003c/p>\n\u003cp>“The data shows that recovery is often a non-linear process of self-actualization where harm reduction efforts, abstinence, and treatment are not in opposition with one another or mutually exclusive,” reads \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=14150937&GUID=D2FA34F8-1232-47E2-9CC7-0C2D2AA182D8\">a letter recommending the amendments\u003c/a> from the medical society.\u003c/p>\n\u003cp>Other advocates for harm reduction, a philosophy that emphasizes meeting drug users where they are at by promoting safer use practices, also called on supervisors to amend the policy. Programs such as safe needle exchanges and Narcan distribution provide life-saving tools that should also remain a priority within the city’s approach, speakers said at a recent committee hearing for the proposal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dorsey said both recovery and harm reduction have a role to play. But in the yearslong battle to reduce overdose deaths and outdoor drug use, these two camps have become political lightning rods.\u003c/p>\n\u003cp>“Despite the brevity of its one-sentence operative provision, (the ordinance) became something of a flashpoint in our drug policy debate,” said Dorsey, who identifies as a former drug addict in recovery. “In the end, I think that debate was truly helpful.”\u003c/p>\n\u003cp>Supervisor Jackie Fielder was among those pushing for adjustments in the final version of the ordinance.\u003c/p>\n\u003cp>“I want to thank the social workers, the street outreach workers and medical professionals who advocated for a more expansive and inclusive definition of recovery and a substance use disorder policy that affirms the dignity and potential of every single person struggling with addiction,” Fielder said.\u003c/p>\n\u003cp>Fielder, who represents District 9, will lead a hearing next week on a proposal for San Francisco to \u003ca href=\"https://www.kqed.org/news/12014887/sf-report-offers-zurich-style-overdose-prevention-plan\">incorporate a model used in Zurich, Switzerland\u003c/a>, where outdoor drug use and overdoses were similarly a major problem. The model calls for strong coordination and support for addressing all stages of drug-related issues, including prevention, treatment, harm reduction and law enforcement.\u003c/p>\n\u003cp>Dorsey has also expressed support for the approach, known as the Four Pillars.\u003c/p>\n\u003cp>Meanwhile, Mayor Daniel Lurie has already taken steps to \u003ca href=\"https://www.kqed.org/news/12034214/san-francisco-ends-health-programs-for-drug-users-not-active-in-treatment\">scale back the city’s harm reduction efforts\u003c/a>, as some voters have grown frustrated over a lack of progress on the drug crisis. His recent directive required health providers to only distribute safer use supplies, such as clean needles, to drug users who agree to participate in some form of counseling or treatment.\u003c/p>\n\u003cp>Lurie has also ended all outdoor distribution of safer smoking supplies like pipes and foil, which some studies have shown can help drug users move away from more risky forms of consumption like injecting drugs. He has also ordered \u003ca href=\"https://www.kqed.org/news/12028996/san-francisco-police-arrest-84-people-in-overnight-drug-market-raid-at-city-park\">increased police crackdowns\u003c/a> on drug users and dealers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many health providers are still waiting for answers on where funding for the newly required counseling services will come from. Earlier this month, the city has opened up a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">new emergency mental health clinic at 822 Geary\u003c/a> for individuals experiencing panic attacks, suicidal ideation or other psychiatric emergencies.\u003c/p>\n\u003cp>The stabilization center at 822 Geary currently has the capacity for four clients, but officials there said they eventually plan to scale that up to 16, so people can walk in or first responders can drop off people they encounter struggling on the street.\u003c/p>\n\u003cp>Just over 190 people died of overdose in San Francisco from January to March of this year, according to the most recent city data available. Fielder pointed out that at the current pace, the city is on track to reach its \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">second-highest year for overdose deaths\u003c/a>.\u003c/p>\n\u003cp>“Factions of the city want to present a false choice between harm reduction and treatment when both are sorely needed at this moment,” Fielder said. “The moment demands all of us to come together to achieve a steep and lasting decline in overdose deaths and the long-term remission of substance use disorders in San Francisco.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "A First Look at SF Mayor Lurie’s Yearlong Plan on Homelessness Response",
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"content": "\u003cp>\u003cem>Updated 3:37 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>As Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a>’s plan to reshape San Francisco’s homelessness and mental health response begins to take form, he is set to sign an executive order on Monday aimed at restructuring the street outreach teams, consolidating bureaucracy in city services and potentially scaling back some harm reduction programs.\u003c/p>\n\u003cp>The yearlong plan announced Monday comes on top of Lurie’s earlier promises to build at least 1,500 shelter beds within his first six months in office, as well as the first major legislative effort of his term — a law \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">passed in February\u003c/a> giving him expanded authority to cut through bureaucracy and more quickly hire and contract out both homelessness and drug treatment services.\u003c/p>\n\u003cp>Lurie had made reducing San Francisco’s homeless population, estimated at more than 8,000 people, a key priority on the campaign trail.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“At the heart of my administration’s strategy for improving conditions on the streets are our efforts to help people move into the treatment and care that they need,” Lurie said at a recent Board of Supervisors meeting where board members questioned his long-term plan for addressing street conditions, after \u003ca href=\"https://www.kqed.org/news/12030060/after-2-raids-sf-police-say-theyll-follow-drug-markets-from-block-to-block\">two overnight law enforcement raids\u003c/a> at public spaces known for open drug use and sales. “We must strengthen and expand our behavioral health and homeless systems.”\u003c/p>\n\u003cp>Dubbed “Breaking the Cycle,” the mayor’s new blueprint will first aim to consolidate the city’s 10 street outreach teams within the next 100 days. The teams provide critical services, including emergency medicine professionals responding to overdoses and outreach workers helping people into shelters.\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re going to overhaul how the city organizes our street outreach efforts, replacing a fragmented structure with neighborhood-based teams that have the tools to connect people to treatment while keeping our public spaces clean,” Lurie said at a press conference on Monday.\u003c/p>\n\u003cp>A \u003ca href=\"https://sfbos.org/sites/default/files/110723%20Performance%20Audit%20of%20San%20Francisco%20Street%20Teams.pdf\">city audit published in 2023\u003c/a> found that the rapid expansion of the teams during the pandemic lacked coordination and consistent messaging. The audit also found that in the vast majority of cases, first responders are unable to connect people to services, the reason is a lack of shelter and housing.\u003c/p>\n\u003cp>“Resource referral, connection, and transportation are distinguishing and essential functions of the city’s street teams, but the ability of street teams to fulfill this function is inherently limited by the underlying system of services to which street team members can refer clients,” the report reads.\u003c/p>\n\u003cp>According to the blueprint announced Monday, Lurie is still aiming to reach his 1,500-shelter bed goal within six months. However, the effort has already hit a few snags — the 116-resident Cova Hotel that opened during the pandemic for homeless residents recently shuttered, and other plans to expand shelter beds in two Tenderloin hotels have met backlash from neighbors.\u003c/p>\n\u003cp>[aside postID=news_12030060 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240830-SFSideshowLegislation-21-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>Over the next year, the city aims to use state and federal funding to increase shelter and other homeless services, according to Lurie’s announcement, as well as to overhaul data systems used to track clients and measure outcomes for the city’s homelessness response.\u003c/p>\n\u003cp>Lurie is also looking to review the city’s harm reduction services, an approach to health care \u003ca href=\"https://www.kqed.org/news/11911092/from-the-underground-to-public-health-policy-a-history-of-harm-reduction-in-san-francisco\">the city adopted after the HIV/AIDS crisis\u003c/a> that involves preventive efforts such as handing out cleaner supplies to reduce infection.\u003c/p>\n\u003cp>While harm reduction is supported by public health officials and advocates as a life-saving method for reducing overdose risk and connecting drug users to service providers, it has become a polarizing fixture in the city’s debate over drug treatment and law enforcement.\u003c/p>\n\u003cp>“There are two people a day dying of overdose in our city. By any standard that is unacceptable, and what we’re doing is not working,” Lurie said Monday. He did not say which programs could downsize in particular. “Everything is going to be looked at, and things will change.”\u003c/p>\n\u003cp>Kunal Modi, chief of health, homelessness and family services for the mayor’s office, recently posted on social media platform X that the city is also looking to invest in more sober living options.\u003c/p>\n\u003cp>Some recovery advocates have celebrated the push for more sobriety housing, saying it gives residents space to distance themselves from drug use, while others have pointed to state laws requiring permanent supportive housing to accept residents regardless of their drug use status. The idea is based on research showing people are more successful in their recovery if they have access to housing first rather than as a reward.\u003c/p>\n\u003cp>https://twitter.com/kunalmodi/status/1878458417033228372\u003c/p>\n\u003cp>After the Board of Supervisors passed Lurie’s Fentanyl State of Emergency Ordinance last month to expand his powers, the city \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">set up a walk-in triage center\u003c/a> in the South of Market neighborhood to connect people to government programs and provide a police command station. The results, however, have been stunted by the city’s inability to provide longer-term treatment or shelter, city officials said.\u003c/p>\n\u003cp>Its successes, Modi posted, were “improved street conditions, cross-department collaboration, service placements and arrests.” But he said what didn’t work was that the city ran out of shelter and treatment beds daily, and outdoor drug markets were not eradicated but only displaced to other neighborhoods.\u003c/p>\n\u003cp>Lurie is now planning to open up a second center at 822 Geary Street where first responders can drop off people in need of medical care, slated to open this spring.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 3:37 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>As Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a>’s plan to reshape San Francisco’s homelessness and mental health response begins to take form, he is set to sign an executive order on Monday aimed at restructuring the street outreach teams, consolidating bureaucracy in city services and potentially scaling back some harm reduction programs.\u003c/p>\n\u003cp>The yearlong plan announced Monday comes on top of Lurie’s earlier promises to build at least 1,500 shelter beds within his first six months in office, as well as the first major legislative effort of his term — a law \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">passed in February\u003c/a> giving him expanded authority to cut through bureaucracy and more quickly hire and contract out both homelessness and drug treatment services.\u003c/p>\n\u003cp>Lurie had made reducing San Francisco’s homeless population, estimated at more than 8,000 people, a key priority on the campaign trail.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“At the heart of my administration’s strategy for improving conditions on the streets are our efforts to help people move into the treatment and care that they need,” Lurie said at a recent Board of Supervisors meeting where board members questioned his long-term plan for addressing street conditions, after \u003ca href=\"https://www.kqed.org/news/12030060/after-2-raids-sf-police-say-theyll-follow-drug-markets-from-block-to-block\">two overnight law enforcement raids\u003c/a> at public spaces known for open drug use and sales. “We must strengthen and expand our behavioral health and homeless systems.”\u003c/p>\n\u003cp>Dubbed “Breaking the Cycle,” the mayor’s new blueprint will first aim to consolidate the city’s 10 street outreach teams within the next 100 days. The teams provide critical services, including emergency medicine professionals responding to overdoses and outreach workers helping people into shelters.\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re going to overhaul how the city organizes our street outreach efforts, replacing a fragmented structure with neighborhood-based teams that have the tools to connect people to treatment while keeping our public spaces clean,” Lurie said at a press conference on Monday.\u003c/p>\n\u003cp>A \u003ca href=\"https://sfbos.org/sites/default/files/110723%20Performance%20Audit%20of%20San%20Francisco%20Street%20Teams.pdf\">city audit published in 2023\u003c/a> found that the rapid expansion of the teams during the pandemic lacked coordination and consistent messaging. The audit also found that in the vast majority of cases, first responders are unable to connect people to services, the reason is a lack of shelter and housing.\u003c/p>\n\u003cp>“Resource referral, connection, and transportation are distinguishing and essential functions of the city’s street teams, but the ability of street teams to fulfill this function is inherently limited by the underlying system of services to which street team members can refer clients,” the report reads.\u003c/p>\n\u003cp>According to the blueprint announced Monday, Lurie is still aiming to reach his 1,500-shelter bed goal within six months. However, the effort has already hit a few snags — the 116-resident Cova Hotel that opened during the pandemic for homeless residents recently shuttered, and other plans to expand shelter beds in two Tenderloin hotels have met backlash from neighbors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Over the next year, the city aims to use state and federal funding to increase shelter and other homeless services, according to Lurie’s announcement, as well as to overhaul data systems used to track clients and measure outcomes for the city’s homelessness response.\u003c/p>\n\u003cp>Lurie is also looking to review the city’s harm reduction services, an approach to health care \u003ca href=\"https://www.kqed.org/news/11911092/from-the-underground-to-public-health-policy-a-history-of-harm-reduction-in-san-francisco\">the city adopted after the HIV/AIDS crisis\u003c/a> that involves preventive efforts such as handing out cleaner supplies to reduce infection.\u003c/p>\n\u003cp>While harm reduction is supported by public health officials and advocates as a life-saving method for reducing overdose risk and connecting drug users to service providers, it has become a polarizing fixture in the city’s debate over drug treatment and law enforcement.\u003c/p>\n\u003cp>“There are two people a day dying of overdose in our city. By any standard that is unacceptable, and what we’re doing is not working,” Lurie said Monday. He did not say which programs could downsize in particular. “Everything is going to be looked at, and things will change.”\u003c/p>\n\u003cp>Kunal Modi, chief of health, homelessness and family services for the mayor’s office, recently posted on social media platform X that the city is also looking to invest in more sober living options.\u003c/p>\n\u003cp>Some recovery advocates have celebrated the push for more sobriety housing, saying it gives residents space to distance themselves from drug use, while others have pointed to state laws requiring permanent supportive housing to accept residents regardless of their drug use status. The idea is based on research showing people are more successful in their recovery if they have access to housing first rather than as a reward.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>After the Board of Supervisors passed Lurie’s Fentanyl State of Emergency Ordinance last month to expand his powers, the city \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">set up a walk-in triage center\u003c/a> in the South of Market neighborhood to connect people to government programs and provide a police command station. The results, however, have been stunted by the city’s inability to provide longer-term treatment or shelter, city officials said.\u003c/p>\n\u003cp>Its successes, Modi posted, were “improved street conditions, cross-department collaboration, service placements and arrests.” But he said what didn’t work was that the city ran out of shelter and treatment beds daily, and outdoor drug markets were not eradicated but only displaced to other neighborhoods.\u003c/p>\n\u003cp>Lurie is now planning to open up a second center at 822 Geary Street where first responders can drop off people in need of medical care, slated to open this spring.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, August 14, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>Several cities or counties in California are \u003ca href=\"https://www.kqed.org/science/1993870/dignity-where-there-was-little-to-be-found-inside-the-fight-for-california-needle-exchange-programs\">fighting to stop syringe exchange programs from operating in their communities over concerns about discarded syringes. \u003c/a>That includes in Santa Ana, where city leaders do not want the state to authorize a syringe exchange program, which would provide clean needles to reduce the risks of infectious diseases for people who use drugs. If Santa Ana officials succeed, Orange County could remain one of the largest counties in the country without a needle exchange.\u003c/li>\n\u003cli>26 pro-Palestinian protesters who stopped traffic on the Golden Gate Bridge for \u003ca href=\"https://www.kqed.org/news/11999854/golden-gate-bridge-protesters-surrender-to-face-controversial-false-imprisonment-charges\">more than four hours earlier this year\u003c/a> were arraigned on Tuesday. In a statement announcing the charges, District Attorney Brooke Jenkins said the demonstration created an extreme safety risk.\u003c/li>\n\u003cli> President Joe Biden’s decision to bow out of his reelection campaign has transformed the \u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\">2024 election for California voters\u003c/a>, according to a new poll from UC Berkeley’s Institute of Governmental Studies (IGS).\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1993870/dignity-where-there-was-little-to-be-found-inside-the-fight-for-california-needle-exchange-programs\">Needle Exchange Programs Now Operate in Most California Counties. But the Pushback Continues\u003c/a>\u003c/h2>\n\u003cp>Harm reduction advocates in parts of California with starkly different political histories, Santa Ana and Santa Cruz, are hoping the state approves their respective applications to run syringe exchange programs. The Harm Reduction Coalition of Santa Cruz had distributed clean needles before a lawsuit from residents concerned about litter \u003ca href=\"https://lookout.co/sacramento-court-california-department-of-public-health-harm-reduction-coalition-syringe-distribution-program-authorization/\">forced the group to stop last year.\u003c/a> Toni Rodriguez, an artist and activist in Santa Cruz, said losing syringe exchange programs only makes drug use more dangerous.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Now the Harm Reduction Coalition is hoping once again to get authorization from the state to operate. The group’s application is being considered amid the \u003ca href=\"https://www.latimes.com/california/story/2024-03-19/california-syringe-program-bans-public-health-lawsuit\">latest stage of opposition to syringe exchange programs\u003c/a> in California. Over in Orange County, Santa Ana city leaders passed\u003ca href=\"https://www.santa-ana.org/city-council-opposes-needle-distribution/\"> a resolution earlier this year\u003c/a> against a proposal by another nonprofit to distribute syringes, arguing the program would put the health and safety of residents at risk. \u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\">Harris/Walz Ticket Rises with California Voters, Berkeley IGS Poll Reveals\u003c/a>\u003c/h2>\n\u003cp>Vice President Kamala Harris and her running mate, Minnesota Gov. Tim Walz,\u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\"> are making dramatic inroads with California voters\u003c/a> who were lukewarm about Biden, according to a new UC Berkeley IGS poll. The survey of likely voters released today shows the Harris/Walz ticket leading former President Donald Trump and Ohio Sen. J.D. Vance by 25 points — up from an 18 point advantage in the February IGS poll when Biden topped the ticket.\u003c/p>\n\u003cp>Black voters, who supported the Biden/Harris ticket by 58% to 23%, now favor Harris/Walz by 74% to 15%, an uptick of 16 percentage points toward the Democratic nominee. Latino voters also favor Harris by 10 percentage points more than they did Biden. She leads Trump 58% to 34%, compared with Biden’s 48% to 35% edge in the February IGS poll.\u003c/p>\n\u003ch2>\u003ca href=\"https://abc7news.com/post/26-golden-gate-bridge-pro-palestinian-protesters-turn-themselves-after-san-francisco-da-files-charges/15178762/\">\u003cstrong>Prosecutors Charge 26 Pro-Palestinian Protesters who Blocked Golden Gate Bridge \u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Arraignments began on Tuesday for the 26 pro-Palestinian protesters who stopped traffic on the Golden Gate Bridge for more than four hours earlier in April. Protestors demanded a cease-fire in Gaza, where the death toll has reached nearly 40,000 people since October 7th, according to Gaza’s Health Ministry.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>According to court documents, people caught in the middle of the protest on the Golden Gate Bridge missed work and important medical appointments. The protestors will plead not guilty, according to Jeff Wozniak, one of the lawyers representing the protesters who stopped traffic. He noted that the charge, which include felony conspiracy, are much more serious than those filed against protesters \u003ca href=\"https://www.kqed.org/news/11967536/protesters-calling-for-gaza-ceasefire-block-bay-bridges-westbound-lanes\">who blocked the Bay Bridge last year.\u003c/a> The San Francisco District Attorney’s Office in March dropped criminal charges against 78 protestors in that case.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, August 14, 2024…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>Several cities or counties in California are \u003ca href=\"https://www.kqed.org/science/1993870/dignity-where-there-was-little-to-be-found-inside-the-fight-for-california-needle-exchange-programs\">fighting to stop syringe exchange programs from operating in their communities over concerns about discarded syringes. \u003c/a>That includes in Santa Ana, where city leaders do not want the state to authorize a syringe exchange program, which would provide clean needles to reduce the risks of infectious diseases for people who use drugs. If Santa Ana officials succeed, Orange County could remain one of the largest counties in the country without a needle exchange.\u003c/li>\n\u003cli>26 pro-Palestinian protesters who stopped traffic on the Golden Gate Bridge for \u003ca href=\"https://www.kqed.org/news/11999854/golden-gate-bridge-protesters-surrender-to-face-controversial-false-imprisonment-charges\">more than four hours earlier this year\u003c/a> were arraigned on Tuesday. In a statement announcing the charges, District Attorney Brooke Jenkins said the demonstration created an extreme safety risk.\u003c/li>\n\u003cli> President Joe Biden’s decision to bow out of his reelection campaign has transformed the \u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\">2024 election for California voters\u003c/a>, according to a new poll from UC Berkeley’s Institute of Governmental Studies (IGS).\u003c/li>\n\u003c/ul>\n\u003ch2>\u003ca href=\"https://www.kqed.org/science/1993870/dignity-where-there-was-little-to-be-found-inside-the-fight-for-california-needle-exchange-programs\">Needle Exchange Programs Now Operate in Most California Counties. But the Pushback Continues\u003c/a>\u003c/h2>\n\u003cp>Harm reduction advocates in parts of California with starkly different political histories, Santa Ana and Santa Cruz, are hoping the state approves their respective applications to run syringe exchange programs. The Harm Reduction Coalition of Santa Cruz had distributed clean needles before a lawsuit from residents concerned about litter \u003ca href=\"https://lookout.co/sacramento-court-california-department-of-public-health-harm-reduction-coalition-syringe-distribution-program-authorization/\">forced the group to stop last year.\u003c/a> Toni Rodriguez, an artist and activist in Santa Cruz, said losing syringe exchange programs only makes drug use more dangerous.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Now the Harm Reduction Coalition is hoping once again to get authorization from the state to operate. The group’s application is being considered amid the \u003ca href=\"https://www.latimes.com/california/story/2024-03-19/california-syringe-program-bans-public-health-lawsuit\">latest stage of opposition to syringe exchange programs\u003c/a> in California. Over in Orange County, Santa Ana city leaders passed\u003ca href=\"https://www.santa-ana.org/city-council-opposes-needle-distribution/\"> a resolution earlier this year\u003c/a> against a proposal by another nonprofit to distribute syringes, arguing the program would put the health and safety of residents at risk. \u003c/span>\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\">Harris/Walz Ticket Rises with California Voters, Berkeley IGS Poll Reveals\u003c/a>\u003c/h2>\n\u003cp>Vice President Kamala Harris and her running mate, Minnesota Gov. Tim Walz,\u003ca href=\"https://www.kqed.org/news/12000078/berkeley-igs-poll\"> are making dramatic inroads with California voters\u003c/a> who were lukewarm about Biden, according to a new UC Berkeley IGS poll. The survey of likely voters released today shows the Harris/Walz ticket leading former President Donald Trump and Ohio Sen. J.D. Vance by 25 points — up from an 18 point advantage in the February IGS poll when Biden topped the ticket.\u003c/p>\n\u003cp>Black voters, who supported the Biden/Harris ticket by 58% to 23%, now favor Harris/Walz by 74% to 15%, an uptick of 16 percentage points toward the Democratic nominee. Latino voters also favor Harris by 10 percentage points more than they did Biden. She leads Trump 58% to 34%, compared with Biden’s 48% to 35% edge in the February IGS poll.\u003c/p>\n\u003ch2>\u003ca href=\"https://abc7news.com/post/26-golden-gate-bridge-pro-palestinian-protesters-turn-themselves-after-san-francisco-da-files-charges/15178762/\">\u003cstrong>Prosecutors Charge 26 Pro-Palestinian Protesters who Blocked Golden Gate Bridge \u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Arraignments began on Tuesday for the 26 pro-Palestinian protesters who stopped traffic on the Golden Gate Bridge for more than four hours earlier in April. Protestors demanded a cease-fire in Gaza, where the death toll has reached nearly 40,000 people since October 7th, according to Gaza’s Health Ministry.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
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"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
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},
"closealltabs": {
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"tagline": "The conversation starts here",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"meta": {
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},
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"meta": {
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"order": 18
},
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
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"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
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"rss": "http://feeds.wnyc.org/onthemedia"
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},
"pbs-newshour": {
"id": "pbs-newshour",
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"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
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},
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
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"officialWebsiteLink": "/perspectives/",
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"order": 14
},
"link": "/perspectives",
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