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Sydney is a graduate of the University of California, Berkeley and lives in San Francisco.","avatar":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twitter":"sydneyfjohnson","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Sydney Johnson | KQED","description":"KQED Reporter","ogImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/sjohnson"},"kdebenedetti":{"type":"authors","id":"11913","meta":{"index":"authors_1716337520","id":"11913","found":true},"name":"Katie DeBenedetti","firstName":"Katie","lastName":"DeBenedetti","slug":"kdebenedetti","email":"kdebenedetti@KQED.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Contributor","bio":null,"avatar":"https://secure.gravatar.com/avatar/6e31073cb8f7e4214ab03f42771d0f45?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["author"]},{"site":"science","roles":["author"]}],"headData":{"title":"Katie DeBenedetti | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/6e31073cb8f7e4214ab03f42771d0f45?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/6e31073cb8f7e4214ab03f42771d0f45?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/kdebenedetti"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11989112":{"type":"posts","id":"news_11989112","meta":{"index":"posts_1716263798","site":"news","id":"11989112","score":null,"sort":[1717611726000]},"guestAuthors":[],"slug":"can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","title":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?","publishDate":1717611726,"format":"standard","headTitle":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis? | KQED","labelTerm":{"site":"news"},"content":"\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>[aside postID=science_1993048,news_11987962,news_11982329,news_11972898 label='related coverage']Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n","blocks":[],"excerpt":"Authorities are touting over 3,000 arrests in the first year of a law enforcement campaign against open-air drug markets, but some policy experts have questioned whether that’s the right approach.","status":"publish","parent":0,"modified":1726004366,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":909},"headData":{"title":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis? | KQED","description":"Authorities are touting over 3,000 arrests in the first year of a law enforcement campaign against open-air drug markets, but some policy experts have questioned whether that’s the right approach.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Can San Francisco Arrest Its Way Out of Tenderloin’s Drug Crisis?","datePublished":"2024-06-05T11:22:06-07:00","dateModified":"2024-09-10T14:39:26-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprStoryId":"kqed-11989112","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11989112/can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>One year into San Francisco’s push to dismantle open-air drug markets, authorities are touting thousands of arrests by the law enforcement campaign; last week alone, police announced they had arrested 10 people in a single-day operation in the Tenderloin, as well as the arrests days earlier of two brothers suspected of trafficking drugs in the area and carrying 6 kilograms of fentanyl, among other substances.\u003c/p>\n\u003cp>Still, with people dying of overdoses near a record pace and neighbors’ complaints of a pervasive drug trade, some policy experts have questioned whether San Francisco is taking the right approach to the crisis.\u003c/p>\n\u003cp>Mayor London Breed launched the Drug Market Agency Coordination Center, a centralized hub for local, state and federal law enforcement agencies to disrupt drug dealing and public drug use in the Tenderloin and South of Market neighborhoods, in May 2023. Last week, on its first anniversary, Breed’s office released a \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">public data dashboard\u003c/a> showing that in the first year of the crackdown, law enforcement officials made more than 3,000 arrests and seized nearly 200 kilos of narcotics.\u003c/p>\n\u003cp>Of those arrests, 1,008 people were suspected of dealing drugs, 1,284 were suspected of using drugs, and 858 people had outstanding warrants. The top two drugs seized by weight were fentanyl, at more than 89 kilos, and methamphetamine, at 48 kilos. In a \u003ca href=\"https://www.sf.gov/news/san-francisco-dmacc-marks-one-year-milestone-200-kilos-narcotics-seized-and-3000-arrests\">statement announcing the first-year data\u003c/a>, city officials called those “significant results.”\u003c/p>\n\u003cp>“The partnerships we put in place are getting fentanyl out of our neighborhoods, and with new technology being deployed and more officers joining our ranks, our efforts will only grow stronger over the coming year,” Breed said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some residents and policy experts, however, said the coordination center has had little effect on the neighborhoods’ struggle to curtail drug dealing.\u003c/p>\n\u003cp>Randy Shaw, co-founder of the Tenderloin Housing Clinic, said that while arrests and seizures have been centralized around United Nations Plaza, the area’s drug market is still pervasive.\u003c/p>\n\u003cp>“At a place like 7th and Market, which I’ve written about a lot and which has gotten a lot of attention on social media, there’s still 50 drug dealers and drug users out there every night,” Shaw said. “Why is that still happening?”\u003c/p>\n\u003cp>In the two and a half years since Breed declared a state of emergency in the Tenderloin related to the fentanyl crisis, San Francisco has recorded its highest number of overdose deaths in one year, \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">totaling 810 in 2023\u003c/a>. This year, the city is on track to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-05/2024%2005_OCME%20Overdose%20Report.pdf\">surpass 770 overdose deaths\u003c/a>.\u003c/p>\n\u003cp>Despite the city’s efforts, the crisis on the streets of the Tenderloin remains, Shaw said.\u003c/p>\n\u003cp>“We created an emergency coordination center, and a year later, the activities that exist there remain higher than any other neighborhood would tolerate and would be allowed to continue,” he said.\u003c/p>\n\u003cfigure id=\"attachment_11982333\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982333\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg\" alt=\"Two men sitting on the sidewalk while another man on the left wearing a neon yellow and orange jacket stands near parked cars on the street.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240405-District5BOSRedistricting-006-BL_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">People sit on the sidewalk in the Tenderloin neighborhood, a part of the 5th Supervisorial District, in San Francisco on April 5, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Keith Humphreys, a drug policy expert and professor of psychology at Stanford University, said he believes this is because San Francisco’s efforts are too focused on arresting drug dealers and users, which isn’t necessarily aligned with residents’ goals.\u003c/p>\n\u003cp>“You can arrest individual dealers forever, but your goal, I think, is to suppress the open-air market, and that is not done by individual arrests,” Humphreys told KQED.\u003c/p>\n\u003cp>According to Humphreys, data shows that closing drug markets takes collaboration not only among law enforcement agencies but with social service providers and prosecutors as well.\u003c/p>\n\u003cp>The coordination center works with city agencies, including the Department of Public Health and the Department of Homelessness and Supportive Housing, to connect people with treatment and shelter options, city officials said in a statement. However, in contrast to the arrests dashboard, no data was available on the number of people who used those resources, and the mayor’s office did not respond to a request for the information at the time of publication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"science_1993048,news_11987962,news_11982329,news_11972898","label":"related coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Another point that could work against the city’s efforts is the discrepancy between the numbers of arrests and convictions in the data, Humphreys said.\u003c/p>\n\u003cp>“If you don’t have [convictions], the arrests are counterproductive because if they don’t result in convictions, it teaches people being arrested is no big deal,” he said.\u003c/p>\n\u003cp>As of May 25, the San Francisco District Attorney’s Office said it had been presented with 394 felony narcotics cases this year and filed 344 of them. Officers with the Drug Market Agency Coordination Center have made 1,159 narcotics arrests since January, \u003ca href=\"https://www.sanfranciscopolice.org/drug-market-agency-coordination-center\">according to SFPD data\u003c/a>.\u003c/p>\n\u003cp>As officials tout the number of arrests and the amount of drugs confiscated, Humphreys said the city should track other metrics instead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“What I would like to see on their dashboard is, ‘How many sidewalks can you walk down without seeing a dealer or users?’ You can assess that very easily,” Humphreys said. “I think if they looked at that, my suspicion would be that while the arrests went up, that number stayed the same. When you gather that data, you think, ‘We need to think of a different strategy.’”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11989112/can-san-francisco-arrest-its-way-out-of-tenderloins-drug-crisis","authors":["11913"],"categories":["news_457","news_6188","news_8"],"tags":["news_30249","news_2587","news_27626","news_23051","news_33045","news_18543","news_6931","news_24982","news_33046","news_29747","news_38","news_6544","news_3181"],"featImg":"news_11952545","label":"news"},"news_11975973":{"type":"posts","id":"news_11975973","meta":{"index":"posts_1716263798","site":"news","id":"11975973","score":null,"sort":[1708034400000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1708034400,"format":"standard","title":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond","headTitle":"Biden’s Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond | KQED","content":"\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"fentanyl\"]Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1111,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":27},"modified":1708043602,"excerpt":"Dr. Rahul Gupta spoke to KQED about a recent rule change making it easier to access opioid-addiction treatments and what the administration is doing to help reduce overdose deaths in San Francisco and other areas gripped by the crisis. ","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Dr. Rahul Gupta spoke to KQED about a recent rule change making it easier to access opioid-addiction treatments and what the administration is doing to help reduce overdose deaths in San Francisco and other areas gripped by the crisis. ","title":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Biden's Drug Czar Shares Vision for Tackling Overdose Crisis in San Francisco and Beyond","datePublished":"2024-02-15T14:00:00-08:00","dateModified":"2024-02-15T16:33:22-08:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"guestAuthors":[],"slug":"bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","status":"publish","excludeFromSiteSearch":"Include","sticky":false,"articleAge":"0","path":"/news/11975973/bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more on the overdose crisis ","tag":"fentanyl"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11975973/bidens-drug-czar-shares-vision-for-tackling-the-opioid-overdose-crisis-in-san-francisco-and-beyond","authors":["11840"],"categories":["news_457","news_8"],"tags":["news_25968","news_25959","news_27626","news_23051","news_18543","news_31709","news_33046"],"featImg":"news_11975995","label":"news"},"news_11958577":{"type":"posts","id":"news_11958577","meta":{"index":"posts_1716263798","site":"news","id":"11958577","score":null,"sort":[1692398807000]},"parent":0,"labelTerm":{"site":"news"},"blocks":[],"publishDate":1692398807,"format":"standard","title":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis","headTitle":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis | KQED","content":"\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.[pullquote align=\"right\" size=\"medium\" citation=\"Asm. Jim Patterson (R-Fresno)\"]‘We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about.’[/pullquote]Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.[aside label=\"Related Stories\" postID=\"news_11950467,news_11954871,news_11944267\"]He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","stats":{"hasVideo":false,"hasChartOrMap":false,"hasAudio":false,"hasPolis":false,"wordCount":1120,"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"iframeSrcs":[],"paragraphCount":24},"modified":1692399233,"excerpt":"Tribal leaders shared testimonies on Friday about how the fentanyl crisis is affecting Native American communities in California.","headData":{"twImgId":"","twTitle":"","ogTitle":"","ogImgId":"","twDescription":"","description":"Tribal leaders shared testimonies on Friday about how the fentanyl crisis is affecting Native American communities in California.","title":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis | KQED","ogDescription":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Looks to Work Alongside Native American Communities on Fentanyl Crisis","datePublished":"2023-08-18T15:46:47-07:00","dateModified":"2023-08-18T15:53:53-07:00","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"True","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"guestAuthors":[],"slug":"california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","status":"publish","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11958577/california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the overdose epidemic roils across California, Native American community leaders are calling on state agencies to do more to slow the effects of the devastating crisis.\u003c/p>\n\u003cp>“This effort seems to be grassroots for us, so to see representatives here, it means we are all trying to work together to come to some sort of solution for this problem,” John Christman, Chairman of the Viejas Band of Kumeyaay Indians, told members of the California State Assembly Select Committee on Fentanyl, Opioid Addiction and Overdose Prevention, at a hearing on Friday.\u003c/p>\n\u003cp>Christman shared how fentanyl-related deaths have devastated communities like his, which has 400 members and is located near the California-Mexico border.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Native American and Alaska Native residents in California had the highest rate of opioid-overdose death compared to any other racial group from 2017 to 2022, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/sapb/Pages/Data.aspx\">data available from the California Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>Community members and health leaders have tried a multitude of strategies, from opening up a vending machine where locals can pick up the opioid overdose-reversal medicine Narcan, to increasing talking circles and new wellness clinics. But it hasn’t been enough for many resource-strapped families navigating the crisis at home.\u003c/p>\n\u003cp>One particular challenge that Christman and others have encountered is stigma around seeking and accepting treatment. How to reduce those barriers so people can enter and have success in treatment is a critical question as the Viejas community looks to open up a new state-of-the-art health and addiction treatment facility called \u003ca href=\"https://rp.health/\">Revive Pathway\u003c/a>.\u003c/p>\n\u003cp>“When you go to the wellness center, everyone knows what you’re doing there. Some of these things are embarrassing. And inpatient treatment does not always work,” Christman told the legislative committee.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Asm. Jim Patterson (R-Fresno)","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Lawmakers from across the state who had come to hear their testimonies echoed the tribal leaders’ concerns and shared many of their frustrations with the status quo.\u003c/p>\n\u003cp>“We are learning the depth and the scope of this tragedy and it is hitting so many of us and those we care about,” said Assemblymember Jim Patterson (R-Fresno). “This is an area that is dear to me because Fresno, California, by its centralized location and being triangulated by the most traveled interstate freeways in California, is a place for fentanyl distribution.”\u003c/p>\n\u003cp>San Diego County Sheriff Kelly Martinez spoke about efforts by law enforcement to respond to overdose deaths in the same way that they would approach homicides. For example, she said, by seizing the cell phone of someone who died and looking for who their dealer was.\u003c/p>\n\u003cp>Many speakers underscored that getting buy-in and cooperation from law enforcement around effective solutions would be critical to making progress on slowing overdose deaths and drug dealing.\u003c/p>\n\u003cp>Christman, however, said that’s been a challenge for his community working with law enforcement agencies in the past.\u003c/p>\n\u003cp>“We have been in discussions at length since I got back into office in 2019 with the sheriff’s department. That open dialogue didn’t exist in the beginning of my council tenure. And it has not [borne] any fruit yet, I have to be honest about that,” the chairman said. “But I’m hoping we can have this dialogue. I don’t know that we can eradicate this, but we need some sort of solution to make these numbers go down.”\u003c/p>\n\u003cp>Chair of the committee Assemblymember Matt Haney (D-San Francisco) brought up expanding access to medication-assisted treatment, and other health or housing services to help stabilize individuals struggling with addiction.\u003c/p>\n\u003cp>“We are forging a path together towards healing and recovery,” said Haney. “This is affecting every corner of our state.”\u003c/p>\n\u003cp>Some speakers at the hearing questioned the effectiveness of supply-side interventions and asked tribal council leaders for ways that communities could reduce demand.\u003c/p>\n\u003cp>Christman shared that deep-seeded traumas from violence against his community remain and often fuel the disparate impact that Native American communities face when it comes to the current overdose epidemic.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11950467,news_11954871,news_11944267"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>He recalled painful memories of watching and protesting \u003ca href=\"https://voiceofsandiego.org/2020/08/17/border-report-kumeyaay-band-sues-to-stop-border-wall-construction/\">threats to the tribe’s historic burial grounds\u003c/a>. “What would that do to you? What would that do to anyone? It’s a vicious cycle. Poverty is part of that, and we lived it,” Christman said. “We were able to find a way to provide more for our people, but those scars from trauma still exist in our community.”\u003c/p>\n\u003cp>Greg Greenberg, chief medical officer at \u003ca href=\"https://www.ots.health/\">OneTogether Solutions\u003c/a>, which provides overdose prevention and addiction treatment for rural tribal communities, said that the biggest issue he encounters among patients is a lack of available treatment and prevention services that people can easily access.\u003c/p>\n\u003cp>“The biggest issue I see is barriers to treatment,” Greenberg said. “Our current paradigm, we have people with substance abuse making their own appointments, and it’s hard to make and keep an appointment when you have a fentanyl or methamphetamine addiction. And it’s hard to engage in treatment when you have untreated psychiatric services as well.”\u003c/p>\n\u003cp>Geography and proximity to fully staffed and resourced health clinics is a major challenge for members of the Tule River Tribe, according to Shine Nieto, vice chairman. The community is based about 16 miles away from the nearest hospital. And while Tule River has its own wellness center with counselors and psychologists, the need is greater than what the clinic currently has resources for.\u003c/p>\n\u003cp>In the meantime, he and others have started up small groups and talking circles to try to bring healing around addiction, its causes, and the impacts that overdoses leave behind.\u003c/p>\n\u003cp>The talking circles are an important part of shifting narratives and understandings about each other and addiction. But tragedy still followed. Four of the group’s nearly 40 members died of opioid-related overdoses, Nieto said.\u003c/p>\n\u003cp>“I don’t like politics, but when it comes to this we are all in the same boat,” said Nieto. “This drug is killing people and destroying our state. We’re all in this state together. If this wipes out any town, it will just keep moving and moving. This is why I’m here, I want to help fight this and slow it down.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11958577/california-looks-to-work-alongside-native-american-communities-on-fentanyl-crisis","authors":["11840"],"categories":["news_8"],"tags":["news_31791","news_23051","news_33045","news_1262","news_22492","news_25617","news_31709","news_33046"],"featImg":"news_11958586","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. 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