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Instead, they want officials to clear sidewalks of illegal drug dealers and fentanyl users, violent behavior and tent encampments and to treat the Tenderloin as it would any other neighborhood where crime is not tolerated.\u003c/p>\n\u003cp>They say city officials have allowed such behavior to flourish in the area — and not spill into other neighborhoods — by refusing to keep sidewalks clear for people using walkers or wheelchairs and failing to ban sidewalk vending, among other acts of omission.\u003c/p>\n\u003cp>“They demand an end to the rampant illegal street vending and from the squalor and misery that exists throughout their neighborhood because the city has decided that people in the throes of addiction can live and die on the Tenderloin’s streets,” says Matt Davis, one of the attorneys, in a prepared statement.\u003c/p>\n\u003cp>The Tenderloin has long troubled city leaders, including Mayor London Breed, who \u003ca href=\"https://apnews.com/article/crime-san-francisco-violent-crime-opioids-homelessness-9eddffa63f3e85759b520f76a6656333\">declared an emergency\u003c/a> in the district and \u003ca href=\"https://apnews.com/article/crime-california-san-francisco-opioids-government-and-politics-54b7b35cdca54d4640c1d5dbf28f7b9a\">twice vowed crackdowns\u003c/a> on drugs. She is in a \u003ca href=\"https://apnews.com/article/san-francisco-mayor-election-cb54e5d3bb03bd02df94ce38bbd92c56\">tough reelection contest\u003c/a> in November when she faces three serious challengers who say her administration has failed to address homelessness, encampments or the open-air drug market.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Breed’s office says the recently \u003ca href=\"https://apnews.com/article/san-francisco-crime-drugs-police-election-485b6f3a143f4441266251783d778489\">approved Proposition E\u003c/a>, which she put on the ballot, will bring more officers and resources to the neighborhood, including surveillance cameras.\u003c/p>\n\u003cp>“We have made improvements in the neighborhood, but the mayor understands the frustrations of residents and businesses in the Tenderloin and will continue her efforts to make the neighborhood safer and cleaner,” the statement read.\u003c/p>\n\u003cp>Her office cited a court injunction from a \u003ca href=\"https://apnews.com/article/lawsuits-san-francisco-homelessness-government-and-politics-e68aead31fa74c5224885c0bb9d7afeb#:~:text=Defendants%20include%20the%20city%2C%20several,tents%20and%20vehicles%20as%20shelter.\">2022 lawsuit filed by unhoused people\u003c/a> and their advocates against the city that Breed and other officials say limits their ability to dismantle encampments.\u003c/p>\n\u003cp>[aside postID=\"news_11975156,news_11972898,news_11976518\" label=\"Related Stories\"]The judge, in that case, ordered city officials to \u003ca href=\"https://apnews.com/article/san-francisco-homeless-tent-encampments-9th-circuit-d618db8fdbd8cefcfe4a1ff50c122987\">stop forcing unhoused people\u003c/a> from public camping sites unless they have been offered appropriate shelter indoors. The issue is pending before the U.S. Supreme Court.\u003c/p>\n\u003cp>There are five anonymous plaintiffs in Thursday’s lawsuit, along with entities that operate the Phoenix Hotel and the Best Western Road Coach Inn.\u003c/p>\n\u003cp>They include Jane Roe, a married housekeeper with two young children who doesn’t make enough money to move. Drug dealers block the entrance to her building, and she often sees “users openly injecting or smoking narcotics” and people on the ground “who appear unconscious or dead,” the complaint states. Her children can never be outside without a parent, she alleges.\u003c/p>\n\u003cp>Susan Roe is elderly and uses a walker, but shopping carts and broken-down bicycles block the sidewalk, forcing her to step out into the busy street, according to the complaint. She also has to navigate around “excrement, used syringes, vomit and garbage.”\u003c/p>\n\u003cp>Operators of the Phoenix Hotel say a hotel employee was struck in the head when they asked a trespasser to leave the parking lot, and its restaurant has been unable to recruit a qualified chef because of street conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The same lawyers on Thursday also filed a new motion on behalf of the College of the Law, San Francisco, demanding that city officials reduce the number of tents in the Tenderloin, as they had pledged to do to settle a lawsuit over street conditions filed by the school in May 2020. The city initially showed “significant success,” the motion states, but has since lost ground.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The judge, in that case, ordered city officials to \u003ca href=\"https://apnews.com/article/san-francisco-homeless-tent-encampments-9th-circuit-d618db8fdbd8cefcfe4a1ff50c122987\">stop forcing unhoused people\u003c/a> from public camping sites unless they have been offered appropriate shelter indoors. The issue is pending before the U.S. Supreme Court.\u003c/p>\n\u003cp>There are five anonymous plaintiffs in Thursday’s lawsuit, along with entities that operate the Phoenix Hotel and the Best Western Road Coach Inn.\u003c/p>\n\u003cp>They include Jane Roe, a married housekeeper with two young children who doesn’t make enough money to move. Drug dealers block the entrance to her building, and she often sees “users openly injecting or smoking narcotics” and people on the ground “who appear unconscious or dead,” the complaint states. Her children can never be outside without a parent, she alleges.\u003c/p>\n\u003cp>Susan Roe is elderly and uses a walker, but shopping carts and broken-down bicycles block the sidewalk, forcing her to step out into the busy street, according to the complaint. She also has to navigate around “excrement, used syringes, vomit and garbage.”\u003c/p>\n\u003cp>Operators of the Phoenix Hotel say a hotel employee was struck in the head when they asked a trespasser to leave the parking lot, and its restaurant has been unable to recruit a qualified chef because of street conditions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The same lawyers on Thursday also filed a new motion on behalf of the College of the Law, San Francisco, demanding that city officials reduce the number of tents in the Tenderloin, as they had pledged to do to settle a lawsuit over street conditions filed by the school in May 2020. The city initially showed “significant success,” the motion states, but has since lost ground.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Why These California Families Aren't Receiving Vital Early Development Services",
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"content": "\u003cp>When the world shut down during the pandemic, Reyna Balladares decided to open her apartment in San Francisco’s Tenderloin neighborhood to a foster child.\u003c/p>\n\u003cp>A single mother of two grown daughters, Balladares heard from a social-worker friend about the challenges of finding a home for foster children and wanted to help.\u003c/p>\n\u003cp>Balladares took care of a baby boy for six months, and then in 2021, she got paired up with a newborn girl. As months went by, Balladares noticed she was slow to begin walking and talking.[pullquote size=\"medium\" align=\"right\" citation=\"Reyna Balladares, foster parent and San Francisco resident\"]‘They’re afraid to come to this community.’[/pullquote]A pediatrician recommended that the girl get physical, speech, occupational and feeding therapy to support her development. Balladares was referred to \u003ca href=\"https://www.dds.ca.gov/services/early-start/\">Early Start\u003c/a>, California’s early intervention program for infants and toddlers with developmental delays, which approved the treatments.\u003c/p>\n\u003cp>However, getting connected to certain therapists took months.\u003c/p>\n\u003cp>When Balladares asked a program coordinator about the long wait, she learned few therapists were willing to make house calls to her neighborhood, which has been at the center of the city’s homelessness and \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">drug crisis\u003c/a>.\u003c/p>\n\u003cp>“They’re afraid to come to this community,” she said.\u003c/p>\n\u003cp>And that kept the girl from getting the services she was entitled to receive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California established Early Start in 1986 in response to a federal law guaranteeing early intervention services for children under 3, regardless of their families’ income levels. A network of nonprofit regional centers is responsible for determining a child’s eligibility for developmental support and arranging those services.\u003c/p>\n\u003cp>Getting services early on is crucial, \u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">experts say,\u003c/a> because babies’ brains are more adaptable during the first three years of life, and the intervention can head off the need for special education services later on.\u003c/p>\n\u003cp>The law also requires that children receive the services in their home, daycare or other “natural environments” as much as possible because young children learn best \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">when they’re in familiar surroundings\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11977975\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11977975 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg\" alt=\"A collection of kids' toys sits on a beige and blue table beside a white wall.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A small table and chair with children’s toys in Reyna Balladares’ home in San Francisco on Feb. 26, 2024. \u003ccite>(Kathryn Styer-Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates tell KQED they see a growing divide between who gets quality services and who doesn’t.\u003c/p>\n\u003cp>“There’s vast inequities,” said Jennifer Albon, a pediatrician who treats children with high health care needs at UCSF Medical Center at Mount Zion.\u003c/p>\n\u003cp>She said several patients who live in the Tenderloin and other low-income districts like the Bayview did not receive at-home therapies because the Golden Gate Regional Center, which coordinates early intervention services in San Francisco, San Mateo and Marin counties, couldn’t find providers willing to see children there.[pullquote size=\"medium\" align=\"right\" citation=\"Jennifer Albon, pediatrician, UCSF Medical Center at Mount Zion\"]‘Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.’[/pullquote]“The regional center has flat-out told them and told us that there’s no providers who will go to your neighborhood,” she said. “Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.”\u003c/p>\n\u003cp>Child care centers in the Tenderloin are also impacted.\u003c/p>\n\u003cp>Heidi Lamar, director of Compass Children’s Center, said when she noticed a therapist had stopped showing up to work with a child, she reached out to a case manager at Golden Gate Regional Center or GGRC.\u003c/p>\n\u003cp>The case manager replied in an email message to Lamar: “The provider is not coming anymore because she was shoved onto the sidewalk by someone on the street while walking to Compass. She had previously been yelled at, cursed at, and followed by a man on a bicycle while walking to Compass on another occasion.”\u003c/p>\n\u003cp>The case manager acknowledged increased difficulty finding providers willing to go to the Tenderloin.[aside postID=news_11958841 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230822-HOME-HEALTHCARE-WORKER-LM-KQED-1020x680.jpg']“We can’t compel therapists to provide services in situations where they don’t feel safe,” the case manager wrote. “We just keep our fingers crossed that the providers don’t drop the families entirely.”\u003c/p>\n\u003cp>The Tenderloin has long been plagued by drug dealing, homelessness and mental illness — conditions that residents and business owners say \u003ca href=\"https://www.sfchronicle.com/sf/article/tenderloin-little-saigon-homeless-18601130.php\">have worsened since the pandemic\u003c/a>, despite city efforts to increase safety in the area.\u003c/p>\n\u003cp>It’s also a refuge for thousands of lower-income and immigrant families who come seeking affordable housing and social support from organizations like Compass. Another child care center — Wu Yee Children’s Services — hires a “street usher” to escort kids to playgrounds in the neighborhood.\u003c/p>\n\u003cp>“I’m sure you’ve seen in the news our neighborhood is struggling. There were two daytime shootings outside our school building in the last few months,” Lamar said. “But this is where we work every day; this is where our children and our families live. We have to serve them. We have to find a way.”\u003c/p>\n\u003cp>Frustrated by the delay in services, Lamar hired a speech and language pathologist to work on-site with children who have difficulty communicating.\u003c/p>\n\u003cp>Another parent, Ashley Chac, said she waited nine months to get a GGRC coordinator to respond to her request for occupational and physical therapy for her 1 1/2-year-old daughter.[pullquote size=\"medium\" align=\"right\" citation=\"Heidi Lamar, director, Compass Children’s Center\"]‘ … This is where we work every day, this is where our children and our families live. We have to serve them. We have to find a way.’[/pullquote]Chac said she’s upset about missing early intervention during a stage when it can make the greatest impact on her daughter’s development.\u003c/p>\n\u003cp>“Time is of the essence for her,” Chac said. “I’m mad that we fell through the cracks.”\u003c/p>\n\u003cp>Eric Zigman, executive director of the GGRC, said he’s keenly aware of providers’ reluctance to serve certain neighborhoods and calls it a distressing situation. He said his hands are tied as long as the state pays providers less than the market rate for their services.\u003c/p>\n\u003cp>“Until those rates are changed, we can’t control every action of every provider,” Zigman said.\u003c/p>\n\u003cp>Inadequate funding and a shortage of providers have limited regional centers’ ability to improve access and delivery of Early Start services, according to \u003ca href=\"https://calbudgetcenter.org/resources/california-can-better-support-infants-toddlers-with-disabilities-or-developmental-delays/\">a 2022 analysis of the program by the California Budget & Policy Center\u003c/a>.\u003c/p>\n\u003cp>Early Start’s problems have raised enough of a concern that the federal Office of Special Education Programs deemed California “\u003ca href=\"https://sites.ed.gov/idea/idea-files/2023-spp-apr-and-state-determination-letters-part-c-california/\">needs assistance\u003c/a>” to improve outcomes for children who receive early intervention services.\u003c/p>\n\u003ch2>Pushing back against Zoom therapy\u003c/h2>\n\u003cp>Advocates say that a growing reliance on telehealth is also leading to substandard care.\u003c/p>\n\u003cp>California allowed remote delivery of early intervention services at the beginning of the pandemic to ensure children continued to receive care. But as the threat of COVID-19 subsided, advocates said the practice continued.\u003c/p>\n\u003cp>Intervening early and in the child’s home should be the “gold standard,” said Amy Westling, executive director of the Association of Regional Center Agencies. However, the regional centers have a hard time finding providers and paying them a competitive rate, she said.\u003c/p>\n\u003cp>“If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative,’” Westling said.\u003c/p>\n\u003cp>Left without choices, Balladares tried virtual therapy, but she couldn’t get her foster daughter to focus or respond to the therapist. She said children need to form relationships in person in order to learn.\u003c/p>\n\u003cp>“Nothing replaces a person-to-person relationship, especially for a child,” she said.[pullquote size=\"medium\" align=\"right\" citation=\"Amy Westling, executive director, Association of Regional Center Agencies\"]‘If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative.”[/pullquote]In the end, Balladares had to cut back her work hours to take the girl to multiple appointments at different clinics each week.\u003c/p>\n\u003cp>“Running with [her] from one place to another, sometimes trying to make two different appointments in one day … then rushing home to prepare our meals,” she said. “She was exhausted, and so was I.”\u003c/p>\n\u003cp>After two years of therapies, Balladares said, the toddler hasn’t made as much progress as she hoped. After turning 3 last month, she is no longer eligible to receive services under Early Start and will require more therapies through the San Francisco Unified School District.\u003c/p>\n\u003cp>Critics say some therapists or their agencies are exploiting a loophole in the law that allows telehealth services if the child’s parents or guardians agree to the arrangement.\u003c/p>\n\u003cp>“How people took advantage of that was they said to the parent, ‘We can see your child next week virtually, but if we see them in person, it will take several months,’” said Elaine Westlake, a physical therapist who has been demanding a clearer policy on the use of telehealth for Early Start services. “So, of course, the parent says, ‘Well, I guess virtual.’”\u003c/p>\n\u003cp>Westlake said she saw a growing problem when parents in the Tenderloin wondered why she was the only therapist making home visits while others offered their services remotely. She thinks providers are leaning on telehealth because it saves on travel time. What’s more, Medi-Cal pays the same amount whether services are delivered remotely or in person.[aside postID=news_11961256 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/09/023_KQED_LaBombaPreschool_04202023-1020x680.jpg']“It’s plain economics because you can see one child after the other [via telehealth],” Westlake said.\u003c/p>\n\u003cp>Westlake said she is not compensated for the time she spends driving to a child’s home or daycare for each physical therapy appointment. She’s seen the positive impact of that effort. Two recent patients were born prematurely and spent months in neonatal intensive-care units.\u003c/p>\n\u003cp>“When they came home from the hospital, the parents were afraid to even move them,” Westlake said. Now, she said, both children are walking, running and climbing.\u003c/p>\n\u003cp>“That never would have happened if I had not seen them in person,” Westlake said.\u003c/p>\n\u003cp>New York’s health department recently \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued guidance on using telehealth\u003c/a> after the state’s comptroller \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued an audit\u003c/a> that found many eligible children didn’t receive early intervention services or faced delays. The guidance lays out scenarios where telehealth is allowed and requires that early intervention providers document how they delivered the services.\u003c/p>\n\u003cp>Lawmakers there are also considering a 5% increase in payments for in-person services and an extra 4% for serving hard-to-reach or underserved areas.\u003c/p>\n\u003cp>In Northern California, a pilot project funded by the American Rescue Plan aimed at boosting in-person therapies showed promising results, according to Lori Banales, executive director of Alta California Regional Center, which serves Sacramento and nine surrounding counties.\u003c/p>\n\u003cfigure id=\"attachment_11978893\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11978893 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Reyna Balladares and her 3-year-old foster child in San Francisco on March 9, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The project offered $200 incentives for therapies done in underserved areas, in languages other than English or during hours that would accommodate parents’ work schedules, Banales said. Furthermore, $10,000 internship grants also helped early intervention providers to hire more bilingual therapists.\u003c/p>\n\u003cp>“We know that this works. Money does talk,” she said.\u003c/p>\n\u003cp>While California has been gradually raising reimbursement rates for providers, Gov. Gavin Newsom wants to delay fully funding the increases to save $1 billion in the next budget year as he moves to close a $38 billion shortfall. That would hinder ongoing efforts to grow the workforce and could lead to longer waits for services, according to\u003ca href=\"https://lao.ca.gov/reports/2024/4837/DDS-Budget-021324.pdf\"> a report by the state Legislative Analyst’s Office\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Lori Banales, executive director, Alta California Regional Center\"]‘The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians. So I think there’s a lot of work to be done to close some of those gaps at this point.’[/pullquote]Some recent policy changes included hiring more regional center coordinators to lower caseloads and expanding eligibility for Early Start services, which is expected to add 10% more children into a program currently serving 56,000 infants and toddlers.\u003c/p>\n\u003cp>Westling said that’s a lot of change all at once.\u003c/p>\n\u003cp>“The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians,” she said. “So, I think there’s a lot of work to be done to close some of those gaps at this point.”\u003c/p>\n\u003cp>Until reform takes hold, Westlake urges her fellow therapists to uphold their code of ethics and care for kids in their natural environments — just as they did before telehealth came along.\u003c/p>\n\u003cp>“We did it before, and we can certainly do it again,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A pediatrician recommended that the girl get physical, speech, occupational and feeding therapy to support her development. Balladares was referred to \u003ca href=\"https://www.dds.ca.gov/services/early-start/\">Early Start\u003c/a>, California’s early intervention program for infants and toddlers with developmental delays, which approved the treatments.\u003c/p>\n\u003cp>However, getting connected to certain therapists took months.\u003c/p>\n\u003cp>When Balladares asked a program coordinator about the long wait, she learned few therapists were willing to make house calls to her neighborhood, which has been at the center of the city’s homelessness and \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">drug crisis\u003c/a>.\u003c/p>\n\u003cp>“They’re afraid to come to this community,” she said.\u003c/p>\n\u003cp>And that kept the girl from getting the services she was entitled to receive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California established Early Start in 1986 in response to a federal law guaranteeing early intervention services for children under 3, regardless of their families’ income levels. A network of nonprofit regional centers is responsible for determining a child’s eligibility for developmental support and arranging those services.\u003c/p>\n\u003cp>Getting services early on is crucial, \u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">experts say,\u003c/a> because babies’ brains are more adaptable during the first three years of life, and the intervention can head off the need for special education services later on.\u003c/p>\n\u003cp>The law also requires that children receive the services in their home, daycare or other “natural environments” as much as possible because young children learn best \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">when they’re in familiar surroundings\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11977975\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11977975 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg\" alt=\"A collection of kids' toys sits on a beige and blue table beside a white wall.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A small table and chair with children’s toys in Reyna Balladares’ home in San Francisco on Feb. 26, 2024. \u003ccite>(Kathryn Styer-Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates tell KQED they see a growing divide between who gets quality services and who doesn’t.\u003c/p>\n\u003cp>“There’s vast inequities,” said Jennifer Albon, a pediatrician who treats children with high health care needs at UCSF Medical Center at Mount Zion.\u003c/p>\n\u003cp>She said several patients who live in the Tenderloin and other low-income districts like the Bayview did not receive at-home therapies because the Golden Gate Regional Center, which coordinates early intervention services in San Francisco, San Mateo and Marin counties, couldn’t find providers willing to see children there.\u003c/p>\u003c/div>",
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"content": "‘Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The regional center has flat-out told them and told us that there’s no providers who will go to your neighborhood,” she said. “Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.”\u003c/p>\n\u003cp>Child care centers in the Tenderloin are also impacted.\u003c/p>\n\u003cp>Heidi Lamar, director of Compass Children’s Center, said when she noticed a therapist had stopped showing up to work with a child, she reached out to a case manager at Golden Gate Regional Center or GGRC.\u003c/p>\n\u003cp>The case manager replied in an email message to Lamar: “The provider is not coming anymore because she was shoved onto the sidewalk by someone on the street while walking to Compass. She had previously been yelled at, cursed at, and followed by a man on a bicycle while walking to Compass on another occasion.”\u003c/p>\n\u003cp>The case manager acknowledged increased difficulty finding providers willing to go to the Tenderloin.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We can’t compel therapists to provide services in situations where they don’t feel safe,” the case manager wrote. “We just keep our fingers crossed that the providers don’t drop the families entirely.”\u003c/p>\n\u003cp>The Tenderloin has long been plagued by drug dealing, homelessness and mental illness — conditions that residents and business owners say \u003ca href=\"https://www.sfchronicle.com/sf/article/tenderloin-little-saigon-homeless-18601130.php\">have worsened since the pandemic\u003c/a>, despite city efforts to increase safety in the area.\u003c/p>\n\u003cp>It’s also a refuge for thousands of lower-income and immigrant families who come seeking affordable housing and social support from organizations like Compass. Another child care center — Wu Yee Children’s Services — hires a “street usher” to escort kids to playgrounds in the neighborhood.\u003c/p>\n\u003cp>“I’m sure you’ve seen in the news our neighborhood is struggling. There were two daytime shootings outside our school building in the last few months,” Lamar said. “But this is where we work every day; this is where our children and our families live. We have to serve them. We have to find a way.”\u003c/p>\n\u003cp>Frustrated by the delay in services, Lamar hired a speech and language pathologist to work on-site with children who have difficulty communicating.\u003c/p>\n\u003cp>Another parent, Ashley Chac, said she waited nine months to get a GGRC coordinator to respond to her request for occupational and physical therapy for her 1 1/2-year-old daughter.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Chac said she’s upset about missing early intervention during a stage when it can make the greatest impact on her daughter’s development.\u003c/p>\n\u003cp>“Time is of the essence for her,” Chac said. “I’m mad that we fell through the cracks.”\u003c/p>\n\u003cp>Eric Zigman, executive director of the GGRC, said he’s keenly aware of providers’ reluctance to serve certain neighborhoods and calls it a distressing situation. He said his hands are tied as long as the state pays providers less than the market rate for their services.\u003c/p>\n\u003cp>“Until those rates are changed, we can’t control every action of every provider,” Zigman said.\u003c/p>\n\u003cp>Inadequate funding and a shortage of providers have limited regional centers’ ability to improve access and delivery of Early Start services, according to \u003ca href=\"https://calbudgetcenter.org/resources/california-can-better-support-infants-toddlers-with-disabilities-or-developmental-delays/\">a 2022 analysis of the program by the California Budget & Policy Center\u003c/a>.\u003c/p>\n\u003cp>Early Start’s problems have raised enough of a concern that the federal Office of Special Education Programs deemed California “\u003ca href=\"https://sites.ed.gov/idea/idea-files/2023-spp-apr-and-state-determination-letters-part-c-california/\">needs assistance\u003c/a>” to improve outcomes for children who receive early intervention services.\u003c/p>\n\u003ch2>Pushing back against Zoom therapy\u003c/h2>\n\u003cp>Advocates say that a growing reliance on telehealth is also leading to substandard care.\u003c/p>\n\u003cp>California allowed remote delivery of early intervention services at the beginning of the pandemic to ensure children continued to receive care. But as the threat of COVID-19 subsided, advocates said the practice continued.\u003c/p>\n\u003cp>Intervening early and in the child’s home should be the “gold standard,” said Amy Westling, executive director of the Association of Regional Center Agencies. However, the regional centers have a hard time finding providers and paying them a competitive rate, she said.\u003c/p>\n\u003cp>“If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative,’” Westling said.\u003c/p>\n\u003cp>Left without choices, Balladares tried virtual therapy, but she couldn’t get her foster daughter to focus or respond to the therapist. She said children need to form relationships in person in order to learn.\u003c/p>\n\u003cp>“Nothing replaces a person-to-person relationship, especially for a child,” she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In the end, Balladares had to cut back her work hours to take the girl to multiple appointments at different clinics each week.\u003c/p>\n\u003cp>“Running with [her] from one place to another, sometimes trying to make two different appointments in one day … then rushing home to prepare our meals,” she said. “She was exhausted, and so was I.”\u003c/p>\n\u003cp>After two years of therapies, Balladares said, the toddler hasn’t made as much progress as she hoped. After turning 3 last month, she is no longer eligible to receive services under Early Start and will require more therapies through the San Francisco Unified School District.\u003c/p>\n\u003cp>Critics say some therapists or their agencies are exploiting a loophole in the law that allows telehealth services if the child’s parents or guardians agree to the arrangement.\u003c/p>\n\u003cp>“How people took advantage of that was they said to the parent, ‘We can see your child next week virtually, but if we see them in person, it will take several months,’” said Elaine Westlake, a physical therapist who has been demanding a clearer policy on the use of telehealth for Early Start services. “So, of course, the parent says, ‘Well, I guess virtual.’”\u003c/p>\n\u003cp>Westlake said she saw a growing problem when parents in the Tenderloin wondered why she was the only therapist making home visits while others offered their services remotely. She thinks providers are leaning on telehealth because it saves on travel time. What’s more, Medi-Cal pays the same amount whether services are delivered remotely or in person.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s plain economics because you can see one child after the other [via telehealth],” Westlake said.\u003c/p>\n\u003cp>Westlake said she is not compensated for the time she spends driving to a child’s home or daycare for each physical therapy appointment. She’s seen the positive impact of that effort. Two recent patients were born prematurely and spent months in neonatal intensive-care units.\u003c/p>\n\u003cp>“When they came home from the hospital, the parents were afraid to even move them,” Westlake said. Now, she said, both children are walking, running and climbing.\u003c/p>\n\u003cp>“That never would have happened if I had not seen them in person,” Westlake said.\u003c/p>\n\u003cp>New York’s health department recently \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued guidance on using telehealth\u003c/a> after the state’s comptroller \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued an audit\u003c/a> that found many eligible children didn’t receive early intervention services or faced delays. The guidance lays out scenarios where telehealth is allowed and requires that early intervention providers document how they delivered the services.\u003c/p>\n\u003cp>Lawmakers there are also considering a 5% increase in payments for in-person services and an extra 4% for serving hard-to-reach or underserved areas.\u003c/p>\n\u003cp>In Northern California, a pilot project funded by the American Rescue Plan aimed at boosting in-person therapies showed promising results, according to Lori Banales, executive director of Alta California Regional Center, which serves Sacramento and nine surrounding counties.\u003c/p>\n\u003cfigure id=\"attachment_11978893\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11978893 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Reyna Balladares and her 3-year-old foster child in San Francisco on March 9, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The project offered $200 incentives for therapies done in underserved areas, in languages other than English or during hours that would accommodate parents’ work schedules, Banales said. Furthermore, $10,000 internship grants also helped early intervention providers to hire more bilingual therapists.\u003c/p>\n\u003cp>“We know that this works. Money does talk,” she said.\u003c/p>\n\u003cp>While California has been gradually raising reimbursement rates for providers, Gov. Gavin Newsom wants to delay fully funding the increases to save $1 billion in the next budget year as he moves to close a $38 billion shortfall. That would hinder ongoing efforts to grow the workforce and could lead to longer waits for services, according to\u003ca href=\"https://lao.ca.gov/reports/2024/4837/DDS-Budget-021324.pdf\"> a report by the state Legislative Analyst’s Office\u003c/a>.\u003c/p>\u003c/div>",
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"content": "‘The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians. So I think there’s a lot of work to be done to close some of those gaps at this point.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some recent policy changes included hiring more regional center coordinators to lower caseloads and expanding eligibility for Early Start services, which is expected to add 10% more children into a program currently serving 56,000 infants and toddlers.\u003c/p>\n\u003cp>Westling said that’s a lot of change all at once.\u003c/p>\n\u003cp>“The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians,” she said. “So, I think there’s a lot of work to be done to close some of those gaps at this point.”\u003c/p>\n\u003cp>Until reform takes hold, Westlake urges her fellow therapists to uphold their code of ethics and care for kids in their natural environments — just as they did before telehealth came along.\u003c/p>\n\u003cp>“We did it before, and we can certainly do it again,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Alvin Vallejo, a public health nurse in San Francisco, steps inside a dilapidated apartment building in the Tenderloin neighborhood.\u003c/p>\n\u003cp>He climbs a narrow staircase to visit a client on the third floor recovering from a high-risk pregnancy and a difficult birth. Vallejo turns down the hall, passes a communal bathroom, and knocks on a door.\u003c/p>\n\u003cp>Dayanis, a 35-year-old mother cradling a newborn dressed in a turquoise onesie, answers the door. (Only her first name is used to protect her medical privacy.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Last year, she and her husband immigrated from Cuba, determined for a better life. They left two adolescent daughters behind with relatives. Their newest child, Abraham José, was unplanned.\u003c/p>\n\u003cp>Maternal mortality is at its \u003ca href=\"https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm\">highest level\u003c/a> since 1965. But a new state bill, \u003ca href=\"https://legiscan.com/CA/text/AB1057/id/2701737\">AB 1057\u003c/a>, aims to improve conditions by helping more at-risk families like Dayanis’ receive \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CHVP/Pages/default.aspx\">medical care at home in the early postpartum period\u003c/a> to ensure she and the baby thrive.[pullquote size=\"medium\" align=\"right\" citation=\"Michelle Gibbons, executive director, County Health Executives Association of California\"]‘How awesome is it to have a nurse come into your home and just be there to support you? … This offers quality care in an intimate setting and engagement with a nurse.’[/pullquote]Dayanis ushers Vallejo inside the orderly but tiny, tightly packed room. A makeshift kitchen lines one wall with a single burner and a tiny fridge. Dayanis sits on a twin bed before covering her baby’s ears as the wails from a nearby police siren fill the space.\u003c/p>\n\u003cp>Vallejo pulls up a metal chair and opens his clipboard before asking questions about medications, vitamins, unusual symptoms and eating habits. Dayanis says she’s recuperating well.\u003c/p>\n\u003cp>Vallejo routinely measures her blood pressure. Dayanis’s pulse is a touch high, but he assures her it’s nothing to worry about. He then asks about the baby.\u003c/p>\n\u003cp>During Vallejo’s visit, Dayanis rocks her son gently as he closes his eyes. She assures Vallejo that her baby, Abraham, is well, but he doesn’t like drinking from a bottle.[aside label='More Stories on Health Care' tag='health-care']So Vallejo offers to order a new one to help. After about an hour and a half, the appointment concludes and Vallejo schedules a time to return the following week.\u003c/p>\n\u003cp>“Wow. How awesome is it to have a nurse come into your home and just be there to support you?” asks Michelle Gibbons, executive director of the County Health Executives Association of California. “Everybody wants to do what’s best for your kid, and yet, not knowing if you’re actually doing what’s best for your kid. This offers quality care in an intimate setting and engagement with a nurse.”\u003c/p>\n\u003cp>She says public health nurses provide education on child development, nutrition, housing, and safety and also offer mental health screenings. \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CHVP/CDPH%20Document%20Library/CHVP-AnnualFederalReportSummary-2020.pdf\">Research (PDF)\u003c/a> suggests that home-visiting programs increase breastfeeding rates and lead to lower cases of child abuse and substance abuse.\u003c/p>\n\u003cp>“It’s just one strategy to be able to address some of the disparities that we see in getting these kids off to a really good start in life,” Gibbons said.[pullquote size=\"medium\" align=\"right\" citation=\"Dayanis, mother\"]‘I have been well taken care of. I am very grateful.’[/pullquote]She added that she would love to see the program address more people, including options for the unhoused and families with more than one child. It’s why, she says, her group is backing AB 1057. The bill would expand the number of evidenced-based, home-visiting models that can be implemented. The legislation was unanimously passed in the state Assembly. Now, the proposal is before the Senate.\u003c/p>\n\u003cp>Back inside Dayanis’ studio, she says home health visits have improved her mental health and connected her to useful services like housing. Soon, her family plans to move into a city-supported unit nearby with two bedrooms and a private bathroom.\u003c/p>\n\u003cp>“I have been well taken care of,” Dayanis said in Spanish. “I am very grateful.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Alvin Vallejo, a public health nurse in San Francisco, steps inside a dilapidated apartment building in the Tenderloin neighborhood.\u003c/p>\n\u003cp>He climbs a narrow staircase to visit a client on the third floor recovering from a high-risk pregnancy and a difficult birth. Vallejo turns down the hall, passes a communal bathroom, and knocks on a door.\u003c/p>\n\u003cp>Dayanis, a 35-year-old mother cradling a newborn dressed in a turquoise onesie, answers the door. (Only her first name is used to protect her medical privacy.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Last year, she and her husband immigrated from Cuba, determined for a better life. They left two adolescent daughters behind with relatives. Their newest child, Abraham José, was unplanned.\u003c/p>\n\u003cp>Maternal mortality is at its \u003ca href=\"https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2021/maternal-mortality-rates-2021.htm\">highest level\u003c/a> since 1965. But a new state bill, \u003ca href=\"https://legiscan.com/CA/text/AB1057/id/2701737\">AB 1057\u003c/a>, aims to improve conditions by helping more at-risk families like Dayanis’ receive \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CHVP/Pages/default.aspx\">medical care at home in the early postpartum period\u003c/a> to ensure she and the baby thrive.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Dayanis ushers Vallejo inside the orderly but tiny, tightly packed room. A makeshift kitchen lines one wall with a single burner and a tiny fridge. Dayanis sits on a twin bed before covering her baby’s ears as the wails from a nearby police siren fill the space.\u003c/p>\n\u003cp>Vallejo pulls up a metal chair and opens his clipboard before asking questions about medications, vitamins, unusual symptoms and eating habits. Dayanis says she’s recuperating well.\u003c/p>\n\u003cp>Vallejo routinely measures her blood pressure. Dayanis’s pulse is a touch high, but he assures her it’s nothing to worry about. He then asks about the baby.\u003c/p>\n\u003cp>During Vallejo’s visit, Dayanis rocks her son gently as he closes his eyes. She assures Vallejo that her baby, Abraham, is well, but he doesn’t like drinking from a bottle.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>So Vallejo offers to order a new one to help. After about an hour and a half, the appointment concludes and Vallejo schedules a time to return the following week.\u003c/p>\n\u003cp>“Wow. How awesome is it to have a nurse come into your home and just be there to support you?” asks Michelle Gibbons, executive director of the County Health Executives Association of California. “Everybody wants to do what’s best for your kid, and yet, not knowing if you’re actually doing what’s best for your kid. This offers quality care in an intimate setting and engagement with a nurse.”\u003c/p>\n\u003cp>She says public health nurses provide education on child development, nutrition, housing, and safety and also offer mental health screenings. \u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/CHVP/CDPH%20Document%20Library/CHVP-AnnualFederalReportSummary-2020.pdf\">Research (PDF)\u003c/a> suggests that home-visiting programs increase breastfeeding rates and lead to lower cases of child abuse and substance abuse.\u003c/p>\n\u003cp>“It’s just one strategy to be able to address some of the disparities that we see in getting these kids off to a really good start in life,” Gibbons said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She added that she would love to see the program address more people, including options for the unhoused and families with more than one child. It’s why, she says, her group is backing AB 1057. The bill would expand the number of evidenced-based, home-visiting models that can be implemented. The legislation was unanimously passed in the state Assembly. Now, the proposal is before the Senate.\u003c/p>\n\u003cp>Back inside Dayanis’ studio, she says home health visits have improved her mental health and connected her to useful services like housing. Soon, her family plans to move into a city-supported unit nearby with two bedrooms and a private bathroom.\u003c/p>\n\u003cp>“I have been well taken care of,” Dayanis said in Spanish. “I am very grateful.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "San Francisco to Deploy 130 Sheriff's Deputies in Downtown Drug Crackdown",
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"content": "\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='overdose,overdoses,fentanyl,fatal-overdoses,fentanyl-overdoses']Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Francisco Sheriff’s Office is tasking its emergency unit with arresting and compelling treatment for people who use drugs or are intoxicated in public, city leaders announced Thursday.\u003c/p>\n\u003cp>The plan comes shortly after \u003ca href=\"https://www.kqed.org/news/11950520/compassion-is-killing-people-london-breed-pushes-for-more-arrests-to-tackle-sfs-drug-crisis\">Mayor London Breed last month told the Board of Supervisors that “force” needs to be part of the city’s response to drug use\u003c/a>. The sheriff’s plan includes deploying 130 additional deputies to the Tenderloin and South of Market neighborhoods, two areas where drug use, sales and overdoses are concentrated in the city.\u003c/p>\n\u003cp>The deputies will work overtime for a six-month deployment beginning this month.\u003c/p>\n\u003cp>“In many cases, individuals suffering from drug addiction only seek help when they hit their lowest point, and the sad truth for many is that the low point is incarceration,” Sheriff Paul Miyamoto said at a press conference Thursday morning outside City Hall.\u003c/p>\n\u003cp>The Emergency Services Unit at the sheriff’s office will work with the Mayor’s Office to increase arrests for drug sellers as well as people using drugs outdoors and in public settings, particularly those who are deemed to pose a threat to themselves or others.\u003c/p>\n\u003cfigure id=\"attachment_11952546\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952546\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A man in an official uniform with a starred badge pinned to it speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66153_031_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sheriff Paul Miyamoto speaks during a news conference outside City Hall Thursday morning. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement including the San Francisco Police Department, \u003ca href=\"https://www.kqed.org/news/11948062/newsom-taps-chp-national-guard-to-fight-san-franciscos-fentanyl-crisis\">the California Highway Patrol and the National Guard\u003c/a> in recent months have renewed focus on the Tenderloin and SoMa, two areas that have become central to ongoing debates over how to respond to challenges around outdoor drug use and sales, homelessness and substance use disorders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Part of the solution is making sure we have enough law enforcement on the ground in the Tenderloin, South of Market and in the Civic Center area to make sure drug dealers understand that their behavior will not be tolerated any longer in this city and that those who are struggling with addiction get the help they so desperately need,” District Attorney Brooke Jenkins told reporters at Thursday’s press conference.\u003c/p>\n\u003cp>But public health experts have historically decried the notion put forward Thursday that jails can rehabilitate substance use disorders for many. And incarceration can make life much worse for some people seeking employment or housing upon release.\u003c/p>\n\u003cp>Some fear the approach mimics tried-and-failed approaches to cracking down on drugs in the past, which led to outsized incarceration for members of Black and brown communities.\u003c/p>\n\u003cp>“Rounding up individuals for being under the influence is another war-on-drugs tactic that we know from decades of experience and research will not be effective in addressing our city’s public health crisis,” said San Francisco Public Defender Mano Raju in a statement following Thursday’s press conference. “Our jails, which already subject people to frequent lockdowns, little contact with family, and no sunlight, are not well-equipped to treat individuals with substance use disorder.”\u003c/p>\n\u003cfigure id=\"attachment_11952547\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11952547\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg\" alt=\"A woman in a purple suit speaks into an array of microphones from an outdoor lectern, flanked by law enforcement officers and others.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/06/RS66158_040_KQED_SheriffPressConference_06082023-KQED-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco District Attorney Brooke Jenkins speaks during Thursday’s press conference. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Numerous studies show that \u003ca href=\"https://www.kqed.org/news/11948421/newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say\">efforts to criminalize drug use can also lead to increased overdoses\u003c/a> once targeted operations subside, and even immediately after individual arrests themselves.\u003c/p>\n\u003cp>In Indianapolis, \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">researchers found that opioid overdose deaths doubled within a 500-meter radius of each drug arrest\u003c/a>. “Elevated fatal and nonfatal opioid overdoses were sustained over one, two and three weeks,” reads \u003ca href=\"https://ajph.aphapublications.org/doi/10.2105/AJPH.2023.307329\">a report published June 7, 2023, in the \u003cem>American Journal of Public Health\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>One reason for the uptick in overdoses, the paper explains, is that disrupting the drug supply can drive drug users to find new suppliers who may have tainted substances, and pushing people to use drugs alone or secretly can lead to more erratic drug use.\u003c/p>\n\u003cp>Earlier this week, Breed applauded arrests made on 25 people for public intoxication with drugs or alcohol in the Tenderloin and SoMa. But, \u003cem>The San Francisco Chronicle \u003c/em>reported, \u003ca href=\"https://www.sfchronicle.com/sf/article/sf-mayor-breed-arrests-drug-dealers-treatment-18135871.php\">none of them accepted drug treatment upon release from jail\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Law enforcement officials on Thursday expressed awareness that arrests alone won’t fix the problematic drug use or crime trends. They suggested that it was part of a broader effort.\u003c/p>\n\u003cp>“While it’s an unpopular stance to take, arresting and putting people in jail, it can be a critical gateway to help and needs to be a part of the multipronged approach,” Miyamoto said. “We’re not advocating for harsher punishments or increased incarceration for those who are struggling with harmful choices. There needs to be a multipronged approach to these problems, not just a single focus on harm reduction and treating this as a health crisis.”\u003c/p>\n\u003cp>Although the six-month-long deployment will be focused on SoMa and the Tenderloin, the sheriff said it could potentially reach into other neighborhoods. The deputies will patrol in marked vehicles and on foot, Miyamoto said. In a press release, officials said that deputies “undergo extensive, specialized training for handling situations that require intervention for destructive or criminal behavior.”\u003c/p>\n\u003cp>The latest push to criminalize drug use in the Tenderloin and SoMa comes amid a staffing shortage in both SFPD and the Sheriff’s Office. Also on Thursday, city leaders held a hearing on those staffing challenges, for which some have called for additional funding to resolve.\u003c/p>\n\u003cp>“We have to be funded properly. We have to be staffed properly, and we definitely are working toward getting in that direction,” Police Chief Bill Scott said Thursday at the press conference. “But that doesn’t happen without our elected officials supporting us.”\u003c/p>\n\u003cp>\u003cem>KQED reporter Billy Cruz contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "The Ethics of Photographing Addiction in the Tenderloin",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">San Francisco’s Tenderloin neighborhood has been at the forefront of the opioid epidemic, amassing a reputation as a place of open air drug dealing, crime, and homelessness. Viral images and videos of open-air drug use have been seen around the world.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some argue publishing pictures and videos of people experiencing addiction is dehumanizing and has long-term effects that follow them for the rest of their lives. Others argue the images raise awareness and showcase the reality of San Francisco’s overdose epidemic. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/19yAIdEPxvSjitr007OHL9K7lu3SnOUS-/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3352754299\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11934668/when-the-tenderloin-goes-viral\">\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on Dec. 9\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">San Francisco’s Tenderloin neighborhood has been at the forefront of the opioid epidemic, amassing a reputation as a place of open air drug dealing, crime, and homelessness. Viral images and videos of open-air drug use have been seen around the world.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some argue publishing pictures and videos of people experiencing addiction is dehumanizing and has long-term effects that follow them for the rest of their lives. Others argue the images raise awareness and showcase the reality of San Francisco’s overdose epidemic. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/19yAIdEPxvSjitr007OHL9K7lu3SnOUS-/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC3352754299\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11934668/when-the-tenderloin-goes-viral\">\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on Dec. 9\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "newsoms-plan-to-crack-down-on-fentanyl-in-san-francisco-could-cause-more-harm-than-good-some-addiction-experts-say",
"title": "Newsom's Plan to Crack Down on Fentanyl in San Francisco Could Cause More Harm Than Good, Some Addiction Experts Say",
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"content": "\u003cp>Gov. Gavin Newsom and Mayor London Breed are doubling down on law enforcement to get a grip on drug-related challenges in San Francisco’s city core.\u003c/p>\n\u003cp>Addiction experts, however, say that the city and state’s latest effort repeats tough-on-crime tactics and rhetoric that have not succeeded in curbing drug dealing in the long run, and at times have led to spikes in overdose deaths when the intervention ends.\u003c/p>\n\u003cp>“Unfortunately, these crackdowns on the drug supply don’t work as well as we want them to,” said Daniel Ciccarone, professor in addiction medicine at UCSF. “When we say we want to crack down on the supply and get more people into treatment, if you don’t do that carefully, the only thing you do is add to stigma and barriers to treatment. That is what the evidence shows.”\u003c/p>\n\u003cp>Increased police presence could initially deter drug use and dealing. Officials did not state how long the operation would last, however, and that could also lead to other unintended consequences, said Vitka Eisen, CEO of the nonprofit HealthRight 360.\u003c/p>\n\u003cp>“When you increase enforcement on the street and pressure the supply side, what often results is much more chaotic drug use patterns in which people are more desperate to get drugs, prices go up, they use in a less safe way,” Eisen said. “So one of the unintended consequences of increased enforcement is increased overdoses.”[aside postID=news_11948062 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS28905_GettyImages-678967-qut-1020x701.jpg']Starting May 1, Newsom is sending additional California Highway Patrol officers into the Tenderloin and South of Market neighborhoods, where the majority of overdose deaths have occurred in recent years. There are currently 75 CHP officers assigned to the area, and that could go up to 84, according to CHP officials. Fourteen members of the California National Guard will also work to train San Francisco police in identifying and responding to potential trafficking cases.\u003c/p>\n\u003cp>Newsom and Breed stated that their focus in San Francisco is around drug dealers and traffickers, not drug users themselves. But there is often overlap in those populations, according to addiction researchers.\u003c/p>\n\u003cp>“There is a false dichotomy here in terms of people who are drug merchants and people who are using drugs. You know, it can often be the same people. The people who use drugs might actually be selling or trading drugs as well,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “If you’re simply doing an intervention to try to remove people who sell drugs, you’re actually also hurting people who use drugs.”\u003c/p>\n\u003cp>Both experts point to how, earlier this year, overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, a drop-in social services center and safe consumption site that operated for 11 months. Trained \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">staff at the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>The Tenderloin Center opened in January 2022 as part of a wider intervention for the neighborhood that aimed to curb outdoor drug dealing and use, clean city sidewalks, get more people into drug treatment and reduce overdose deaths. The temporary emergency operation lasted 90 days and the center stayed open for 11 months.\u003c/p>\n\u003cp>“Without a replacement (for the Tenderloin Center), and then to instead focus on policing people, it’s no surprise to me that there are more overdoses this year than last year,” Kral said. “There’s no surprise to me that things will get worse with this approach.”\u003c/p>\n\u003ch2>Residents say help is needed\u003c/h2>\n\u003cp>Newsom’s intervention comes alongside serious concerns about safety in the Tenderloin and in SoMa and complaints about street conditions that some feel are out of control. Residents who spoke to KQED said they are desperate for solutions.\u003c/p>\n\u003cp>Jacob Thornton, 32, lives at Trinity Place in SoMa and said he has been held up at knifepoint twice outside his building. He supports the additional law enforcement resources coming into the neighborhood.[pullquote align=\"right\" size=\"medium\" citation=\"Vitka Eisen, CEO, HealthRight 360\"]‘[O]ne of the unintended consequences of increased enforcement is increased overdoses.’[/pullquote]“The police recommendation to me when I got a knife pulled on me was to not walk outside and not be on the sidewalk. I mean, wow,” said Thornton outside his building on May 1, the day the latest operation was set to begin. “I have not seen any National Guard yet, but I’m very excited for them to come if they are coming, because this block in particular is just absolutely wild and no one seems to do anything about it.”\u003c/p>\n\u003cp>Haley Hampton splits her time between her home in the city of Richmond, where her kids and grandmother live, and a room on Jones Street in the Tenderloin to be closer to her son, who was recently released from prison.\u003c/p>\n\u003cp>She too welcomed the additional attention to the neighborhood, but was skeptical that it would lead to lasting change.\u003c/p>\n\u003cp>“I’m out here every night making sure that no one is in the corner overdosing or drowning from their alcohol,” she said. Sending in CHP “can make a difference only if they include the community that it wants to change. People have their vices, but we don’t give them a chance.”\u003c/p>\n\u003cp>Hampton regularly shows friends and neighbors in the area how to administer Narcan, a naloxone nasal spray that can reverse an opioid overdose, and said that the community has learned to look out for itself.\u003c/p>\n\u003cp>“One needs to take only a 20-minute stroll in the Tenderloin to know there’s something amiss. And I understand the political and administrative and even civic call for law and order,” said Ciccarone. “But the drug supply is unbelievably resilient in America. You try to curtail it like a snake and you cut off its head, but it just grows two heads.”\u003c/p>\n\u003ch2>How other places are responding to fentanyl\u003c/h2>\n\u003cp>Places outside California are now trying strategies to reduce the demand for illicit drugs. Canada, which is also grappling with fentanyl, opened ATM-like machines that can dispense safe amounts of opioids in controlled settings, for example.\u003c/p>\n\u003cp>The machines helped reduce overdose deaths and drug dealing by regulating what is in the supply, and by limiting the demand for users to buy drugs illegally. The Canadian government in 2021 \u003ca href=\"https://www.canada.ca/en/health-canada/news/2021/03/government-of-canada-supports-expansion-of-innovative-safer-supply-project-to-operate-in-four-cities-across-canada.html\">expanded the service program to four cities\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than 200 safe consumption sites also operate globally in more than a dozen countries, including France, Denmark, Canada, Australia, Switzerland and others. The facilities offer a space where people can use drugs and trained staff can reverse an overdose if it occurs, while also connecting people with other health and social services.\u003c/p>\n\u003cp>New York City has found early success with reversing overdoses and reducing public drug use by operating two safe consumption sites at a private nonprofit called OnPoint NYC.\u003c/p>\n\u003cp>In 2020, Rhode Island became the first state to legalize supervised drug consumption services, and now has a state-approved plan to open a site in Providence in early 2024. The state has allocated $2.6 million from opioid settlement funds to pay for the first year of operation.\u003c/p>\n\u003cp>In San Francisco, Breed has said she supports opening safe consumption sites and has support from the Board of Supervisors. But last year, Gov. Gavin Newsom vetoed legislation that would have allowed sites to operate on a pilot basis in San Francisco, Los Angeles and Oakland.\u003c/p>\n\u003cp>San Francisco plans to move forward with opening a safe consumption site nonetheless, using a model borrowed from New York City, where a nonprofit pays for and operates the overdose prevention services.[pullquote align=\"right\" size=\"medium\" citation=\"Alex Kral, epidemiologist, RTI International\"]‘Do you want to spend your money on jails … or do you want to spend your money on these sites that can actually help people?’[/pullquote]But those efforts have hit delays because the nonprofits that want to provide safe consumption say they can’t afford to do so without help from the city. San Francisco has a projected $130 million in funding coming in through settlements with pharmacies, drug manufacturers and distributors for their role in the overdose crisis, and the money is earmarked specifically for overdose prevention, such as purchasing and distributing Narcan.\u003c/p>\n\u003cp>City Attorney David Chiu has not yet agreed to use the funds for supervised consumption sites.\u003c/p>\n\u003cp>“Not only is the U.S. not up to international standards on overdose prevention, but San Francisco and California as a whole are not up to national standards,” Ciccarone said, referring to the steps that some states are taking to address fentanyl overdoses and street-level problems related to drugs.\u003c/p>\n\u003cp>In the meantime, \u003ca href=\"https://www.sfexaminer.com/news/can-a-new-san-francisco-drug-testing-program-help-keep-users-safe/article_f289ddaa-4a53-11ed-a8ae-879e236a7de2.html\">San Francisco has been piloting a drug testing program\u003c/a>, but on a small scale. The idea is to offer people a chance to test what is in their supply and open conversations about safer use and even treatment. The city has also ramped up distribution of Narcan.\u003c/p>\n\u003cp>“What we need here is leadership, not complaining and pointing fingers and draconian responses. We need courage, which combines both the heart-centered approach and bold stances that are not same old, same old,” he said. “That doesn’t work in the fentanyl epidemic.”\u003c/p>\n\u003ch2>A rock and a hard place\u003c/h2>\n\u003cp>The California Legislature is currently debating nearly 30 bills introduced this year that aim to combat the fentanyl crisis as overdose deaths statewide have also ticked up. Some of the bills seek to ramp up prison sentences for fentanyl dealers, while others focus on education and prevention.\u003c/p>\n\u003cp>Supervisor Matt Dorsey, who represents the SoMa neighborhood, has repeatedly called for increased police presence to deter drug use and dealing.[aside label=\"Related Stories\" postID=\"news_11947448,science_1982214,news_11945418\"]“San Francisco is on the precipice of a potentially catastrophic police staffing shortage, and there are too many public safety problems we’ll be helpless to solve if we don’t start solving SFPD’s understaffing crisis first,” Dorsey stated earlier this year when \u003ca href=\"https://sfbos.org/sites/default/files/23.01.23_Dorsey%20pushes%20police%20recruitment%20bonus%20matching%20policy%20to%20avoid%20%E2%80%98catastrophic%E2%80%99%20SFPD%20staffing%20shortage.pdf\">advocating for police recruitment bonuses (PDF)\u003c/a>.\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju said he fears that would lead to negative outcomes similar to the crack cocaine and heroin epidemics.\u003c/p>\n\u003cp>“We know from 50 years of the war on drugs that the people who are likely to be targeted by any forthcoming operations will be in low-income and Black and Brown communities, including those who have been trafficked or coerced into the drug trade under threat to themselves and their families,” Raju said in a press release after the new plan was announced.\u003c/p>\n\u003cp>Providing housing and places where people can leave the street for safer settings to use drugs can be closer to the win-win politicians are looking for, Kral said.\u003c/p>\n\u003cp>There’s an economic incentive, too, Kral added. His research on local public health and public safety spending estimates that \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">the city could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public.\u003c/p>\n\u003cp>“Do you want to spend your money on jails,” he said, “or do you want to spend your money on these sites that can actually help people?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "'There is a false dichotomy here in terms of people who are drug merchants and people who are using drugs,' said independent researcher Alex Kral. 'You know, it can often be the same people.'",
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"title": "Newsom's Plan to Crack Down on Fentanyl in San Francisco Could Cause More Harm Than Good, Some Addiction Experts Say | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom and Mayor London Breed are doubling down on law enforcement to get a grip on drug-related challenges in San Francisco’s city core.\u003c/p>\n\u003cp>Addiction experts, however, say that the city and state’s latest effort repeats tough-on-crime tactics and rhetoric that have not succeeded in curbing drug dealing in the long run, and at times have led to spikes in overdose deaths when the intervention ends.\u003c/p>\n\u003cp>“Unfortunately, these crackdowns on the drug supply don’t work as well as we want them to,” said Daniel Ciccarone, professor in addiction medicine at UCSF. “When we say we want to crack down on the supply and get more people into treatment, if you don’t do that carefully, the only thing you do is add to stigma and barriers to treatment. That is what the evidence shows.”\u003c/p>\n\u003cp>Increased police presence could initially deter drug use and dealing. Officials did not state how long the operation would last, however, and that could also lead to other unintended consequences, said Vitka Eisen, CEO of the nonprofit HealthRight 360.\u003c/p>\n\u003cp>“When you increase enforcement on the street and pressure the supply side, what often results is much more chaotic drug use patterns in which people are more desperate to get drugs, prices go up, they use in a less safe way,” Eisen said. “So one of the unintended consequences of increased enforcement is increased overdoses.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Starting May 1, Newsom is sending additional California Highway Patrol officers into the Tenderloin and South of Market neighborhoods, where the majority of overdose deaths have occurred in recent years. There are currently 75 CHP officers assigned to the area, and that could go up to 84, according to CHP officials. Fourteen members of the California National Guard will also work to train San Francisco police in identifying and responding to potential trafficking cases.\u003c/p>\n\u003cp>Newsom and Breed stated that their focus in San Francisco is around drug dealers and traffickers, not drug users themselves. But there is often overlap in those populations, according to addiction researchers.\u003c/p>\n\u003cp>“There is a false dichotomy here in terms of people who are drug merchants and people who are using drugs. You know, it can often be the same people. The people who use drugs might actually be selling or trading drugs as well,” said Alex Kral, an epidemiologist at the independent nonprofit research institute RTI International. “If you’re simply doing an intervention to try to remove people who sell drugs, you’re actually also hurting people who use drugs.”\u003c/p>\n\u003cp>Both experts point to how, earlier this year, overdose rates in San Francisco rapidly increased shortly following the closure of the Tenderloin Center, a drop-in social services center and safe consumption site that operated for 11 months. Trained \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">staff at the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>The Tenderloin Center opened in January 2022 as part of a wider intervention for the neighborhood that aimed to curb outdoor drug dealing and use, clean city sidewalks, get more people into drug treatment and reduce overdose deaths. The temporary emergency operation lasted 90 days and the center stayed open for 11 months.\u003c/p>\n\u003cp>“Without a replacement (for the Tenderloin Center), and then to instead focus on policing people, it’s no surprise to me that there are more overdoses this year than last year,” Kral said. “There’s no surprise to me that things will get worse with this approach.”\u003c/p>\n\u003ch2>Residents say help is needed\u003c/h2>\n\u003cp>Newsom’s intervention comes alongside serious concerns about safety in the Tenderloin and in SoMa and complaints about street conditions that some feel are out of control. Residents who spoke to KQED said they are desperate for solutions.\u003c/p>\n\u003cp>Jacob Thornton, 32, lives at Trinity Place in SoMa and said he has been held up at knifepoint twice outside his building. He supports the additional law enforcement resources coming into the neighborhood.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The police recommendation to me when I got a knife pulled on me was to not walk outside and not be on the sidewalk. I mean, wow,” said Thornton outside his building on May 1, the day the latest operation was set to begin. “I have not seen any National Guard yet, but I’m very excited for them to come if they are coming, because this block in particular is just absolutely wild and no one seems to do anything about it.”\u003c/p>\n\u003cp>Haley Hampton splits her time between her home in the city of Richmond, where her kids and grandmother live, and a room on Jones Street in the Tenderloin to be closer to her son, who was recently released from prison.\u003c/p>\n\u003cp>She too welcomed the additional attention to the neighborhood, but was skeptical that it would lead to lasting change.\u003c/p>\n\u003cp>“I’m out here every night making sure that no one is in the corner overdosing or drowning from their alcohol,” she said. Sending in CHP “can make a difference only if they include the community that it wants to change. People have their vices, but we don’t give them a chance.”\u003c/p>\n\u003cp>Hampton regularly shows friends and neighbors in the area how to administer Narcan, a naloxone nasal spray that can reverse an opioid overdose, and said that the community has learned to look out for itself.\u003c/p>\n\u003cp>“One needs to take only a 20-minute stroll in the Tenderloin to know there’s something amiss. And I understand the political and administrative and even civic call for law and order,” said Ciccarone. “But the drug supply is unbelievably resilient in America. You try to curtail it like a snake and you cut off its head, but it just grows two heads.”\u003c/p>\n\u003ch2>How other places are responding to fentanyl\u003c/h2>\n\u003cp>Places outside California are now trying strategies to reduce the demand for illicit drugs. Canada, which is also grappling with fentanyl, opened ATM-like machines that can dispense safe amounts of opioids in controlled settings, for example.\u003c/p>\n\u003cp>The machines helped reduce overdose deaths and drug dealing by regulating what is in the supply, and by limiting the demand for users to buy drugs illegally. The Canadian government in 2021 \u003ca href=\"https://www.canada.ca/en/health-canada/news/2021/03/government-of-canada-supports-expansion-of-innovative-safer-supply-project-to-operate-in-four-cities-across-canada.html\">expanded the service program to four cities\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 200 safe consumption sites also operate globally in more than a dozen countries, including France, Denmark, Canada, Australia, Switzerland and others. The facilities offer a space where people can use drugs and trained staff can reverse an overdose if it occurs, while also connecting people with other health and social services.\u003c/p>\n\u003cp>New York City has found early success with reversing overdoses and reducing public drug use by operating two safe consumption sites at a private nonprofit called OnPoint NYC.\u003c/p>\n\u003cp>In 2020, Rhode Island became the first state to legalize supervised drug consumption services, and now has a state-approved plan to open a site in Providence in early 2024. The state has allocated $2.6 million from opioid settlement funds to pay for the first year of operation.\u003c/p>\n\u003cp>In San Francisco, Breed has said she supports opening safe consumption sites and has support from the Board of Supervisors. But last year, Gov. Gavin Newsom vetoed legislation that would have allowed sites to operate on a pilot basis in San Francisco, Los Angeles and Oakland.\u003c/p>\n\u003cp>San Francisco plans to move forward with opening a safe consumption site nonetheless, using a model borrowed from New York City, where a nonprofit pays for and operates the overdose prevention services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But those efforts have hit delays because the nonprofits that want to provide safe consumption say they can’t afford to do so without help from the city. San Francisco has a projected $130 million in funding coming in through settlements with pharmacies, drug manufacturers and distributors for their role in the overdose crisis, and the money is earmarked specifically for overdose prevention, such as purchasing and distributing Narcan.\u003c/p>\n\u003cp>City Attorney David Chiu has not yet agreed to use the funds for supervised consumption sites.\u003c/p>\n\u003cp>“Not only is the U.S. not up to international standards on overdose prevention, but San Francisco and California as a whole are not up to national standards,” Ciccarone said, referring to the steps that some states are taking to address fentanyl overdoses and street-level problems related to drugs.\u003c/p>\n\u003cp>In the meantime, \u003ca href=\"https://www.sfexaminer.com/news/can-a-new-san-francisco-drug-testing-program-help-keep-users-safe/article_f289ddaa-4a53-11ed-a8ae-879e236a7de2.html\">San Francisco has been piloting a drug testing program\u003c/a>, but on a small scale. The idea is to offer people a chance to test what is in their supply and open conversations about safer use and even treatment. The city has also ramped up distribution of Narcan.\u003c/p>\n\u003cp>“What we need here is leadership, not complaining and pointing fingers and draconian responses. We need courage, which combines both the heart-centered approach and bold stances that are not same old, same old,” he said. “That doesn’t work in the fentanyl epidemic.”\u003c/p>\n\u003ch2>A rock and a hard place\u003c/h2>\n\u003cp>The California Legislature is currently debating nearly 30 bills introduced this year that aim to combat the fentanyl crisis as overdose deaths statewide have also ticked up. Some of the bills seek to ramp up prison sentences for fentanyl dealers, while others focus on education and prevention.\u003c/p>\n\u003cp>Supervisor Matt Dorsey, who represents the SoMa neighborhood, has repeatedly called for increased police presence to deter drug use and dealing.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“San Francisco is on the precipice of a potentially catastrophic police staffing shortage, and there are too many public safety problems we’ll be helpless to solve if we don’t start solving SFPD’s understaffing crisis first,” Dorsey stated earlier this year when \u003ca href=\"https://sfbos.org/sites/default/files/23.01.23_Dorsey%20pushes%20police%20recruitment%20bonus%20matching%20policy%20to%20avoid%20%E2%80%98catastrophic%E2%80%99%20SFPD%20staffing%20shortage.pdf\">advocating for police recruitment bonuses (PDF)\u003c/a>.\u003c/p>\n\u003cp>San Francisco Public Defender Mano Raju said he fears that would lead to negative outcomes similar to the crack cocaine and heroin epidemics.\u003c/p>\n\u003cp>“We know from 50 years of the war on drugs that the people who are likely to be targeted by any forthcoming operations will be in low-income and Black and Brown communities, including those who have been trafficked or coerced into the drug trade under threat to themselves and their families,” Raju said in a press release after the new plan was announced.\u003c/p>\n\u003cp>Providing housing and places where people can leave the street for safer settings to use drugs can be closer to the win-win politicians are looking for, Kral said.\u003c/p>\n\u003cp>There’s an economic incentive, too, Kral added. His research on local public health and public safety spending estimates that \u003ca href=\"https://www.rti.org/impact/cost-benefit-analysis-opening-safe-consumption-site-san-francisco\">the city could save a minimum of $2.6 million\u003c/a> if it were to offer places where people could use drugs more safely and out of the public.\u003c/p>\n\u003cp>“Do you want to spend your money on jails,” he said, “or do you want to spend your money on these sites that can actually help people?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'Heartbroken': Visitors, Staff of Shuttered Tenderloin Center Left Reeling Amid SF's Ongoing Overdose Crisis",
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"headTitle": "‘Heartbroken’: Visitors, Staff of Shuttered Tenderloin Center Left Reeling Amid SF’s Ongoing Overdose Crisis | KQED",
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"content": "\u003cp>\u003cb>Update, 2:10 p.m. Monday:\u003c/b> With the recent closing of the Tenderloin Center, local officials have expressed support for opening overdose prevention programs in the city.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“The city attorney has been clear that he would support a nonprofit moving forward with New York’s model of overdose prevention programs, which the U.S. Department of Justice has not taken action on,” said Jen Kwart, spokesperson for San Francisco City Attorney David Chiu. “Under New York’s model, the sites are not operated on city property, with city staff, or with city funding for that use. We continue to await guidance from the U.S. Department of Justice on how local jurisdictions can operate overdose prevention programs consistent with federal law.”\u003c/p>\n\u003cp>According to officials in Mayor London Breed’s office, she is waiting for the Department of Justice to provide legal guidelines on opening an overdose prevention program and defers to the city attorney’s office on legal questions around these sites.\u003c/p>\n\u003cp>“The Tenderloin Emergency Initiative has helped us move forward a lot of positive efforts and outcomes, like deploying Urban Alchemy ambassadors to help stabilize many blocks in the neighborhood, helping hundreds of people into shelter and housing, and preventing overdoses that have saved countless lives,” according to a statement from Breed’s office. “The Tenderloin Center has supported this work, and it has provided a respite from the street for many, helped prevent many overdoses, and connected people to services. We tried something new, knowing there will be successes and lessons learned, and an opportunity to build and grow from there.”\u003c/p>\n\u003cp>Former staffers of the Tenderloin Center shared their concerns about the closure and the impact it could have on people seeking harm-reduction services.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“We refer people to other organizations … that provide similar services. But the main attraction, possibly the most important service, I would say that we provided isn’t happening anywhere, which is safe consumption,” said staffer Bill Buehlman. “We revived people almost every day. I think the most amount of people reversals on one shift that I supervised was six overdose reversals.”\u003c/p>\n\u003cp>Cleo Jenkins, manager of HealthRight 360’s program at the Tenderloin Center, was saddened by the closure.\u003c/p>\n\u003cp>“You don’t feel the impact of the closure until you actually see it come to the end. It’s horrible. It’s despicable,” said Jenkins.\u003c/p>\n\u003cp>\u003cb>Original \u003c/b>\u003cb>story\u003c/b>\u003cb>, 3:09 p.m. Friday: \u003c/b>On Sunday, Dec. 4, the day the Tenderloin Center closed, Vitka Eisen saw people she hadn’t seen in months. Visitors who had come to the site when it first opened in January stopped by to deliver thank-you cards, or give social workers updates on their housing situation.\u003c/p>\n\u003cp>“It was really poignant,” said Eisen, president and CEO of HealthRight 360, one of several nonprofits that provided housing and drug treatment services at the walk-in facility, the city’s only supervised drug-consumption site, located in United Nations Plaza.\u003c/p>\n\u003cp>Eisen noted that many of the regulars she spoke to said they were disappointed but not surprised.[pullquote align=\"right\" size=\"medium\" citation=\"Sarah Shortt, director of public policy and community organizing, HomeRise\"]‘People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die.’[/pullquote]“People talked about their experiences there. There was also sadness and anger, and a sense of resignation because … the experience of life [for unhoused people] is to be so marginalized and not seen as people,” she said, of those who paid tribute this weekend. “So I think it was kind of like, ‘Yeah, this is happening to us again.'”\u003c/p>\n\u003cp>Opened as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to tackle the high rate of \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">overdose deaths\u003c/a>, crime and homelessness in the beleaguered Tenderloin neighborhood, the center has provided showers, meals, housing referrals and — most controversially — drug-consumption services to an average of 400 people every day over the last 11 months, according to Dr. Hillary Kunins, director of behavioral health services at the San Francisco Department of Public Health. Workers at the center have used the medication naloxone to reverse more than 300 opioid overdoses this year, she said.\u003c/p>\n\u003cp>The center, Kunins said, was always intended as a temporary site. But it also proved costly to operate — to the tune of about\u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\"> $22 million\u003c/a> — and faced considerable criticism that likely hastened its closure.\u003c/p>\n\u003cp>Despite a city-funded report showing that \u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\">neighborhood conditions around the site had improved since the center opened\u003c/a>, some nearby businesses complained that it resulted in long lines of people on the street waiting for services and intensified drug use and dealing in the immediate vicinity.\u003c/p>\n\u003cp>The center also became the target of critics of safe consumption sites, who said it had failed to get many visitors into\u003ca href=\"https://www.kqed.org/news/11909484/new-tenderloin-site-highlights-challenge-of-connecting-people-to-drug-treatment-and-housing-services\"> longer-term treatment\u003c/a> and, in some cases, had even encouraged more drug use.\u003c/p>\n\u003cp>In moving to close the center, Mayor London Breed largely agreed with the criticism. Last week, she told \u003cem>The San Francisco Chronicle\u003c/em> that it “was designed as place to try and meet people where they are, but get them into some sort of help, some sort of support, and that wasn’t really happening in the way that it should have been happening, and that was part of the problem.”\u003c/p>\n\u003cp>With the site now shuttered, the city plans to increase police presence in the public plaza and limit open hours in an effort to “address harmful behaviors,” \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/un-plaza-to-close-early-after-tenderloin-center-closes/article_ea291aba-767a-11ed-9602-67d3ba350761.html\">\u003ci>The San Francisco Examiner\u003c/i> reported Friday\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11910653 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But harm-reduction advocates argue that the center provided essential services to a population in desperate need of help, and warn that its closure will have dire consequences. Among the likely impacts, they say, will be a spike in unsupervised drug use on the streets, where the risk of overdose is significantly higher.\u003c/p>\n\u003cp>“People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die,” said Sarah Shortt, director of public policy and community organizing at HomeRise, a supportive housing nonprofit that helped run the center. She said the city has a responsibility to immediately provide replacement services in the neighborhood.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://sf.gov/sites/default/files/2022-08/2021_OCME%20Overdose%20Report_1.pdf\">641 people in San Francisco were known to have died from accidental drug overdoses (PDF)\u003c/a>, a slight decline from the previous year, according to data from the San Francisco Medical Examiner’s Office. Of those deaths, 128 — roughly 20% — occurred in the Tenderloin, more than in any other neighborhood in the city. This year, overdose deaths have largely kept pace, with 501 recorded in the city from January through October, \u003ca href=\"https://sf.gov/sites/default/files/2022-11/2022%2011_OCME%20Overdose%20Report.pdf\">102 of them in the Tenderloin (PDF)\u003c/a>.[aside label=\"Related Stories\" postID=\"news_11909484,news_11915870,news_11904277\"]A transitional team is \u003ca href=\"https://sf.gov/information/tenderloin-center\">scheduled to offer support services outside the closed center through Dec. 11\u003c/a>, according to the city’s closure announcement. In the 48 hours after the center closed, Eisen said the team had already reversed three overdoses in the plaza.\u003c/p>\n\u003cp>Breed has said the city expects to open at least one new center in a different location, but specific details have yet to be announced.\u003c/p>\n\u003cp>“We are seeking sites for future centers,” said Kunins, of SFDPH. “Space can be difficult to identify that is appropriate for such a center. Additionally, we know that we need to work with community members and communities to make sure it is sited in an appropriate way and works to extend and complement already existing services in any given neighborhood. So we are eagerly and aggressively continuing to work on that.”\u003c/p>\n\u003cp>But advocates say that even if the city does open another center in the coming months, the gap in services will be detrimental.\u003c/p>\n\u003cp>“I’m incredibly proud of the work we did at the TLC, and I’m also heartbroken,” said Eisen, adding that until two or three weeks ago, she had maintained hope that the city would open another location before closing this one. She also emphasized that the center was designed as an outdoor pop-up site, which could be easily and quickly replicated at a new location.\u003c/p>\n\u003cp>“I don’t understand why you would close a program that was doing a number of things that were necessary, one of which was preventing overdose deaths, and two, moving people who were using drugs on the street or in public spaces into less public spaces,” Eisen said. “If it was effective, why would you close one without opening another?”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Update, 2:10 p.m. Monday:\u003c/b> With the recent closing of the Tenderloin Center, local officials have expressed support for opening overdose prevention programs in the city.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“The city attorney has been clear that he would support a nonprofit moving forward with New York’s model of overdose prevention programs, which the U.S. Department of Justice has not taken action on,” said Jen Kwart, spokesperson for San Francisco City Attorney David Chiu. “Under New York’s model, the sites are not operated on city property, with city staff, or with city funding for that use. We continue to await guidance from the U.S. Department of Justice on how local jurisdictions can operate overdose prevention programs consistent with federal law.”\u003c/p>\n\u003cp>According to officials in Mayor London Breed’s office, she is waiting for the Department of Justice to provide legal guidelines on opening an overdose prevention program and defers to the city attorney’s office on legal questions around these sites.\u003c/p>\n\u003cp>“The Tenderloin Emergency Initiative has helped us move forward a lot of positive efforts and outcomes, like deploying Urban Alchemy ambassadors to help stabilize many blocks in the neighborhood, helping hundreds of people into shelter and housing, and preventing overdoses that have saved countless lives,” according to a statement from Breed’s office. “The Tenderloin Center has supported this work, and it has provided a respite from the street for many, helped prevent many overdoses, and connected people to services. We tried something new, knowing there will be successes and lessons learned, and an opportunity to build and grow from there.”\u003c/p>\n\u003cp>Former staffers of the Tenderloin Center shared their concerns about the closure and the impact it could have on people seeking harm-reduction services.\u003cb>\u003c/b>\u003c/p>\n\u003cp>“We refer people to other organizations … that provide similar services. But the main attraction, possibly the most important service, I would say that we provided isn’t happening anywhere, which is safe consumption,” said staffer Bill Buehlman. “We revived people almost every day. I think the most amount of people reversals on one shift that I supervised was six overdose reversals.”\u003c/p>\n\u003cp>Cleo Jenkins, manager of HealthRight 360’s program at the Tenderloin Center, was saddened by the closure.\u003c/p>\n\u003cp>“You don’t feel the impact of the closure until you actually see it come to the end. It’s horrible. It’s despicable,” said Jenkins.\u003c/p>\n\u003cp>\u003cb>Original \u003c/b>\u003cb>story\u003c/b>\u003cb>, 3:09 p.m. Friday: \u003c/b>On Sunday, Dec. 4, the day the Tenderloin Center closed, Vitka Eisen saw people she hadn’t seen in months. Visitors who had come to the site when it first opened in January stopped by to deliver thank-you cards, or give social workers updates on their housing situation.\u003c/p>\n\u003cp>“It was really poignant,” said Eisen, president and CEO of HealthRight 360, one of several nonprofits that provided housing and drug treatment services at the walk-in facility, the city’s only supervised drug-consumption site, located in United Nations Plaza.\u003c/p>\n\u003cp>Eisen noted that many of the regulars she spoke to said they were disappointed but not surprised.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“People talked about their experiences there. There was also sadness and anger, and a sense of resignation because … the experience of life [for unhoused people] is to be so marginalized and not seen as people,” she said, of those who paid tribute this weekend. “So I think it was kind of like, ‘Yeah, this is happening to us again.'”\u003c/p>\n\u003cp>Opened as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">emergency declaration\u003c/a> to tackle the high rate of \u003ca href=\"https://www.kqed.org/news/11896375/the-difference-between-life-and-death-how-some-california-emergency-rooms-are-working-to-stem-the-overdose-crisis\">overdose deaths\u003c/a>, crime and homelessness in the beleaguered Tenderloin neighborhood, the center has provided showers, meals, housing referrals and — most controversially — drug-consumption services to an average of 400 people every day over the last 11 months, according to Dr. Hillary Kunins, director of behavioral health services at the San Francisco Department of Public Health. Workers at the center have used the medication naloxone to reverse more than 300 opioid overdoses this year, she said.\u003c/p>\n\u003cp>The center, Kunins said, was always intended as a temporary site. But it also proved costly to operate — to the tune of about\u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\"> $22 million\u003c/a> — and faced considerable criticism that likely hastened its closure.\u003c/p>\n\u003cp>Despite a city-funded report showing that \u003ca href=\"https://sfstandard.com/public-health/city-funded-survey-says-the-tenderloin-center-improved-the-neighborhood-others-arent-convinced/\">neighborhood conditions around the site had improved since the center opened\u003c/a>, some nearby businesses complained that it resulted in long lines of people on the street waiting for services and intensified drug use and dealing in the immediate vicinity.\u003c/p>\n\u003cp>The center also became the target of critics of safe consumption sites, who said it had failed to get many visitors into\u003ca href=\"https://www.kqed.org/news/11909484/new-tenderloin-site-highlights-challenge-of-connecting-people-to-drug-treatment-and-housing-services\"> longer-term treatment\u003c/a> and, in some cases, had even encouraged more drug use.\u003c/p>\n\u003cp>In moving to close the center, Mayor London Breed largely agreed with the criticism. Last week, she told \u003cem>The San Francisco Chronicle\u003c/em> that it “was designed as place to try and meet people where they are, but get them into some sort of help, some sort of support, and that wasn’t really happening in the way that it should have been happening, and that was part of the problem.”\u003c/p>\n\u003cp>With the site now shuttered, the city plans to increase police presence in the public plaza and limit open hours in an effort to “address harmful behaviors,” \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/un-plaza-to-close-early-after-tenderloin-center-closes/article_ea291aba-767a-11ed-9602-67d3ba350761.html\">\u003ci>The San Francisco Examiner\u003c/i> reported Friday\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11910653 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get into the Tenderloin Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But harm-reduction advocates argue that the center provided essential services to a population in desperate need of help, and warn that its closure will have dire consequences. Among the likely impacts, they say, will be a spike in unsupervised drug use on the streets, where the risk of overdose is significantly higher.\u003c/p>\n\u003cp>“People have come to depend on the kind of care that they have been receiving, and without it … they will become unhealthy [and] they will literally die,” said Sarah Shortt, director of public policy and community organizing at HomeRise, a supportive housing nonprofit that helped run the center. She said the city has a responsibility to immediately provide replacement services in the neighborhood.\u003c/p>\n\u003cp>In 2021, \u003ca href=\"https://sf.gov/sites/default/files/2022-08/2021_OCME%20Overdose%20Report_1.pdf\">641 people in San Francisco were known to have died from accidental drug overdoses (PDF)\u003c/a>, a slight decline from the previous year, according to data from the San Francisco Medical Examiner’s Office. Of those deaths, 128 — roughly 20% — occurred in the Tenderloin, more than in any other neighborhood in the city. This year, overdose deaths have largely kept pace, with 501 recorded in the city from January through October, \u003ca href=\"https://sf.gov/sites/default/files/2022-11/2022%2011_OCME%20Overdose%20Report.pdf\">102 of them in the Tenderloin (PDF)\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A transitional team is \u003ca href=\"https://sf.gov/information/tenderloin-center\">scheduled to offer support services outside the closed center through Dec. 11\u003c/a>, according to the city’s closure announcement. In the 48 hours after the center closed, Eisen said the team had already reversed three overdoses in the plaza.\u003c/p>\n\u003cp>Breed has said the city expects to open at least one new center in a different location, but specific details have yet to be announced.\u003c/p>\n\u003cp>“We are seeking sites for future centers,” said Kunins, of SFDPH. “Space can be difficult to identify that is appropriate for such a center. Additionally, we know that we need to work with community members and communities to make sure it is sited in an appropriate way and works to extend and complement already existing services in any given neighborhood. So we are eagerly and aggressively continuing to work on that.”\u003c/p>\n\u003cp>But advocates say that even if the city does open another center in the coming months, the gap in services will be detrimental.\u003c/p>\n\u003cp>“I’m incredibly proud of the work we did at the TLC, and I’m also heartbroken,” said Eisen, adding that until two or three weeks ago, she had maintained hope that the city would open another location before closing this one. She also emphasized that the center was designed as an outdoor pop-up site, which could be easily and quickly replicated at a new location.\u003c/p>\n\u003cp>“I don’t understand why you would close a program that was doing a number of things that were necessary, one of which was preventing overdose deaths, and two, moving people who were using drugs on the street or in public spaces into less public spaces,” Eisen said. “If it was effective, why would you close one without opening another?”\u003cbr>\n\u003c/p>\u003c/div>",
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"title": "When the Tenderloin's Addiction Crisis Goes Viral",
"headTitle": "When the Tenderloin’s Addiction Crisis Goes Viral | KQED",
"content": "\u003cp>San Francisco’s Tenderloin neighborhood has a reputation for drug addiction, poverty, and homelessness — all big problems that have not been solved by city and state leaders. But the neighborhood’s image is also shaped by disturbing pictures and videos of people taking drugs outside that go viral on social media.\u003c/p>\n\u003cp>These images, which circulate around the world, can evoke anger, fear, and frustration. They also shape opinion about what should be done and galvanize support for harsher, tougher crackdowns on drug dealing and drug use.\u003c/p>\n\u003cp>Some believe that sharing these photos on social media is necessary to document this ongoing problem. Others say they only show one side of drug addiction, and leave those photographed without agency in how their stories are used.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: \u003ca href=\"https://twitter.com/HollyMcDede\" target=\"_blank\" rel=\"noopener noreferrer\">Holly J. McDede\u003c/a>, KQED reporter/producer\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC1709992853&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/drive/folders/1Rh877knbawecxlCugjWIHSq3eTGDee1z\" target=\"_blank\" rel=\"noopener\">\u003cem>Read the transcript\u003c/em>\u003c/a>\u003c/p>\n\u003c/div>\n\u003cp dir=\"ltr\">\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\n\u003cp dir=\"ltr\" role=\"presentation\">\u003ca href=\"https://www.kqed.org/news/11910500/advocacy-or-exploitation-the-ethical-concerns-around-posting-images-of-poverty-and-addiction-in-the-tenderloin\">Advocacy or Exploitation? The Ethical Concerns Around Posting Images of Poverty and Addiction in the Tenderloin\u003c/a>\u003c/p>\n\u003c/li>\n\u003cli>\u003ca href=\"https://kqed.org/thebaysurvey\">\u003cstrong>Survey: \u003c/strong>\u003cb>Help Make The Bay Even Better\u003c/b>!\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"description": "San Francisco's Tenderloin neighborhood has a reputation for drug addiction, poverty, and homelessness — all big problems that have not been solved by city and state leaders. But the neighborhood’s image is also shaped by disturbing pictures and videos of people taking drugs outside that go viral on social media. These images, which circulate around",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s Tenderloin neighborhood has a reputation for drug addiction, poverty, and homelessness — all big problems that have not been solved by city and state leaders. But the neighborhood’s image is also shaped by disturbing pictures and videos of people taking drugs outside that go viral on social media.\u003c/p>\n\u003cp>These images, which circulate around the world, can evoke anger, fear, and frustration. They also shape opinion about what should be done and galvanize support for harsher, tougher crackdowns on drug dealing and drug use.\u003c/p>\n\u003cp>Some believe that sharing these photos on social media is necessary to document this ongoing problem. Others say they only show one side of drug addiction, and leave those photographed without agency in how their stories are used.\u003c/p>\n\u003cp>\u003cstrong>Guest\u003c/strong>: \u003ca href=\"https://twitter.com/HollyMcDede\" target=\"_blank\" rel=\"noopener noreferrer\">Holly J. McDede\u003c/a>, KQED reporter/producer\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC1709992853&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/drive/folders/1Rh877knbawecxlCugjWIHSq3eTGDee1z\" target=\"_blank\" rel=\"noopener\">\u003cem>Read the transcript\u003c/em>\u003c/a>\u003c/p>\n\u003c/div>\n\u003cp dir=\"ltr\">\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\n\u003cp dir=\"ltr\" role=\"presentation\">\u003ca href=\"https://www.kqed.org/news/11910500/advocacy-or-exploitation-the-ethical-concerns-around-posting-images-of-poverty-and-addiction-in-the-tenderloin\">Advocacy or Exploitation? The Ethical Concerns Around Posting Images of Poverty and Addiction in the Tenderloin\u003c/a>\u003c/p>\n\u003c/li>\n\u003cli>\u003ca href=\"https://kqed.org/thebaysurvey\">\u003cstrong>Survey: \u003c/strong>\u003cb>Help Make The Bay Even Better\u003c/b>!\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Most mornings, around 8 a.m., dozens of people line up in San Francisco’s Civic Center Plaza outside the city’s new one-stop social service site — called the \u003ca href=\"https://sf.gov/location/tenderloin-linkage-center\">Tenderloin Linkage Center\u003c/a> — where food and showers are offered, along with referrals for housing, jobs, drug treatment and a range of other services.\u003c/p>\n\u003cp>On one recent morning, Christopher, who is unhoused and lives on the streets, was among those waiting outside the site, clinging to his bicycle. He said he comes here to use fentanyl in a safe environment where people don’t harass him.[pullquote align=\"right\" size=\"medium\" citation=\"Vitka Eisen, CEO, HealthRIGHT 360\"]‘It really takes a fair amount of time for people to build a relationship, and take positive steps towards their health. … It doesn’t happen because all of a sudden there’s a nice person here who says, ‘Hey, I can get you into treatment today if you want that.’ That’s not how that works.’[/pullquote]\u003c/p>\n\u003cp>KQED is using only Christopher’s first name because of safety concerns he has.\u003c/p>\n\u003cp>A long-time fentanyl user, Christopher comes here as often as he can, and is hoping this morning to finally get an appointment for a housing placement.\u003c/p>\n\u003cp>“I’ve been waiting a long time, a very long time,” he said. “I have faith that they will make it happen. It’s just that I need to make it happen.”\u003c/p>\n\u003cp>Christopher said he previously had a housing appointment set up by staff at the site, but overslept because he normally stays awake all night, and is ready to try again.\u003c/p>\n\u003cp>“This is not a life for me,” he said. “This [drug] has torn me down mentally and physically and in ways I can’t describe.”\u003c/p>\n\u003cp>San Francisco launched the linkage center in January as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">state of emergency declaration\u003c/a> for the beleaguered Tenderloin neighborhood — “an effort to more quickly and directly connect people to services,” she said in a statement at the time. “We’ve made a commitment to this neighborhood and its residents and businesses, and we will follow through.”\u003c/p>\n\u003cp>The new site opened amid mounting pressure on city leaders to reduce open-air drug use and skyrocketing overdose deaths in the neighborhood.\u003c/p>\n\u003cp>But how well the site is working is still unclear. The latest data from the city shows that only a tiny percentage of visits have thus far actually resulted in drug treatment.\u003c/p>\n\u003cfigure id=\"attachment_11910684\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11910684\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg\" alt=\"A man in a large overcoat stands on a street next to a bicycle.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Christopher waits in line to get in to the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Between Jan. 31 and March 27, the center had more than 20,100 visits from people seeking everything from drug treatment and housing placement to job and mental health counseling. Fewer than 15 of those visits resulted in “completed linkages” for drug treatment services, in which placements were confirmed.\u003c/p>\n\u003cp>Meanwhile, the number of referrals for drug treatment — in which a person is told where they can access services and shows a willingness to do so — was higher, at nearly 110, but still made up a very small percentage of total visits.\u003c/p>\n\u003cp>Note that while many of those who visit the center experience substance use disorder, the exact percentage of visitors in this category is unclear.\u003c/p>\n\u003cp>KQED tabulated these figures using data from \u003ca href=\"https://sf.gov/information/learn-about-tenderloin-emergency-initiative\">weekly operations reports\u003c/a> published by the city’s Public Health Department, and its \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin\">dashboard on overdose deaths and reversals\u003c/a>. Drug treatment placements include those for outpatient, detox and residential services, as well as medication-assisted treatment.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11904277,news_11900195,news_11899726\"]Despite the low rate of completed linkages for treatment or referrals, some harm reduction advocates and city officials say the center holds promise because people who would otherwise be hard to reach are now showing up.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said measuring success is more complicated than just reviewing the number of linkages.\u003c/p>\n\u003cp>“Achieving a basic level of safety and security is a necessary first step toward potentially being open to treatment, and making progress takes time,” the department said in an email. “By providing a safe space, we build relationships and work with guests to find ways to improve their health, including treatment for substance-use disorders, mental health, and other medical care.”\u003c/p>\n\u003cp>Vitka Eisen, CEO of HealthRIGHT 360, a nonprofit health provider that offers harm-reduction services at the linkage center, said it’s unrealistic to assume people who use drugs will suddenly walk in seeking treatment.\u003c/p>\n\u003cp>“It really takes a fair amount of time for people to build a relationship, and take positive steps towards their health,” she said. “That takes a minute. It doesn’t happen because all of a sudden there’s a nice person here who says, ‘Hey, I can get you into treatment today if you want that.’ That’s not how that works.”\u003c/p>\n\u003cp>And even if it did, Eisen said, people would still likely have to wait for those services because the county and the state are in the midst of a staffing crisis.\u003c/p>\n\u003cp>“We’re one of the largest providers of substance-use treatment in San Francisco, and we do not have enough staff to be able to complete the assessment to put people into treatment rapidly,” she said. “And once they get into treatment, we don’t have enough staff to prepare the treatment plan. A bed is just a bed if you can’t staff it.”\u003c/p>\n\u003cp>City officials also emphasize that one of the site’s goals is to prevent overdose deaths, and say staff there already have overseen more than 50 overdose reversals using the medication naloxone.\u003c/p>\n\u003cp>Dr. Daniel Ciccarone, an addiction and drug researcher at UCSF, said those reversal numbers are good news.\u003c/p>\n\u003cp>“The one shining star, check mark that I see is there’s no deaths on site, despite the fact that they’re engaging with active fentanyl users,” said Ciccarone, referring to data posted through the end of February.\u003c/p>\n\u003cp>Despite that achievement, he said, too few people who visit the linkage center have been connected to permanent, supportive housing. He worries that the root causes of addiction, like poverty and homelessness, are still not being adequately addressed.\u003c/p>\n\u003cp>Evidence shows that housing — particularly housing that includes case management and other wraparound services — often leads to positive health outcomes for people who use drugs, Ciccarone noted.\u003c/p>\n\u003cp>“We have done things like this before. We’ve put fences around the park, we’ve tried to cajole people into treatment, and the ER has their case management for frequent fliers [repeat visitors to the ER] and all that stuff, but yet generation by generation the problem gets worse,” he said. “We live in a wealthy city with a huge income disparity, and we simply don’t have enough resources for our poorest and most marginalized citizens.”\u003c/p>\n\u003cp>Last year, 645 people in the city died from drug overdoses, nearly a quarter of whom were unhoused or did not have a fixed address, according to the medical examiner’s office.\u003c/p>\n\u003cp>And in just the first two months of this year, 98 people in San Francisco already have died from drug overdoses — nearly a quarter of them in the Tenderloin.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11910653\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get in to the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yet, as of February, even as some 1,600 unhoused people in the city had been approved for supportive housing and were awaiting their turn to move in, nearly 900 units sat vacant, due largely to bureaucratic delays, according to a \u003ca href=\"https://www.kqed.org/news/11906631/in-san-francisco-hundreds-of-homes-for-the-homeless-sit-vacant\">recent San Francisco Public Press/ProPublica investigation\u003c/a>. Filling those empty rooms would cut the waiting list by more than half, and house roughly one in every eight unhoused people in the city.\u003c/p>\n\u003cp>Jacqui Berlinn, co-founder of the group Mothers Against Drug Deaths, said her son Corey, who is addicted to fentanyl, recently came to the linkage center looking for housing.\u003c/p>\n\u003cp>“He was told the first time there was nothing available and he had to come back, and he went back a second time and he was told the same thing,” she said. “It’s incredibly frustrating. It makes me really angry because I feel like that would be a start to him getting well.”\u003c/p>\n\u003cp>Berlinn and several other mothers \u003ca href=\"https://www.kqed.org/news/11904277/whats-the-end-goal-a-group-of-mothers-protest-drug-use-at-the-tenderloin-linkage-center\">held a demonstration outside\u003c/a> the center in February, protesting its policy of allowing people to use illicit drugs in a fenced-off outdoor area attached to the building — an approach, they argue, that deters treatment.\u003c/p>\n\u003cp>DPH said in a statement that officials are working to eliminate barriers to care by having on-site staff trained to facilitate connections, and are working with behavioral-health providers to quickly accept referrals. The agency also defended the sanctioned drug use at the facility, noting that “the site design, staffing, and setup allow guests to be observed for safety at all times while respecting guest privacy.”\u003c/p>\n\u003cp>There also are plans, it said, to open a drug-free “sober living room” at the linkage center for those who want it.\u003c/p>\n\u003cp>Berlinn, though, said she has given up on waiting for the linkage center to help her son with housing or connections to long-term services. She said there are still too many systematic barriers when people seek assistance.\u003c/p>\n\u003cp>“They need treatment on demand,” said Berlinn, who is now researching treatment options outside of San Francisco. “It’s this whole ‘come back tomorrow’ that people are faced with, that makes them feel hopeless. It needs to be, ‘Let’s go, let’s do this, here’s your support, here’s what we’re going to do.”\u003c/p>\n\u003cp>\u003cem>This article was produced as a project for the USC Annenberg Center for Health Journalism’s 2021 Data Fellowship. KQED’s Kate Wolffe contributed reporting for this story. \u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most mornings, around 8 a.m., dozens of people line up in San Francisco’s Civic Center Plaza outside the city’s new one-stop social service site — called the \u003ca href=\"https://sf.gov/location/tenderloin-linkage-center\">Tenderloin Linkage Center\u003c/a> — where food and showers are offered, along with referrals for housing, jobs, drug treatment and a range of other services.\u003c/p>\n\u003cp>On one recent morning, Christopher, who is unhoused and lives on the streets, was among those waiting outside the site, clinging to his bicycle. He said he comes here to use fentanyl in a safe environment where people don’t harass him.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>KQED is using only Christopher’s first name because of safety concerns he has.\u003c/p>\n\u003cp>A long-time fentanyl user, Christopher comes here as often as he can, and is hoping this morning to finally get an appointment for a housing placement.\u003c/p>\n\u003cp>“I’ve been waiting a long time, a very long time,” he said. “I have faith that they will make it happen. It’s just that I need to make it happen.”\u003c/p>\n\u003cp>Christopher said he previously had a housing appointment set up by staff at the site, but overslept because he normally stays awake all night, and is ready to try again.\u003c/p>\n\u003cp>“This is not a life for me,” he said. “This [drug] has torn me down mentally and physically and in ways I can’t describe.”\u003c/p>\n\u003cp>San Francisco launched the linkage center in January as part of Mayor London Breed’s \u003ca href=\"https://www.kqed.org/news/11899726/sf-mayor-breed-declares-state-of-emergency-in-tenderloin\">state of emergency declaration\u003c/a> for the beleaguered Tenderloin neighborhood — “an effort to more quickly and directly connect people to services,” she said in a statement at the time. “We’ve made a commitment to this neighborhood and its residents and businesses, and we will follow through.”\u003c/p>\n\u003cp>The new site opened amid mounting pressure on city leaders to reduce open-air drug use and skyrocketing overdose deaths in the neighborhood.\u003c/p>\n\u003cp>But how well the site is working is still unclear. The latest data from the city shows that only a tiny percentage of visits have thus far actually resulted in drug treatment.\u003c/p>\n\u003cfigure id=\"attachment_11910684\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11910684\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg\" alt=\"A man in a large overcoat stands on a street next to a bicycle.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/003_SanFranciscoTenderloinLinkageCenter_02082022-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Christopher waits in line to get in to the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Between Jan. 31 and March 27, the center had more than 20,100 visits from people seeking everything from drug treatment and housing placement to job and mental health counseling. Fewer than 15 of those visits resulted in “completed linkages” for drug treatment services, in which placements were confirmed.\u003c/p>\n\u003cp>Meanwhile, the number of referrals for drug treatment — in which a person is told where they can access services and shows a willingness to do so — was higher, at nearly 110, but still made up a very small percentage of total visits.\u003c/p>\n\u003cp>Note that while many of those who visit the center experience substance use disorder, the exact percentage of visitors in this category is unclear.\u003c/p>\n\u003cp>KQED tabulated these figures using data from \u003ca href=\"https://sf.gov/information/learn-about-tenderloin-emergency-initiative\">weekly operations reports\u003c/a> published by the city’s Public Health Department, and its \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin\">dashboard on overdose deaths and reversals\u003c/a>. Drug treatment placements include those for outpatient, detox and residential services, as well as medication-assisted treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Despite the low rate of completed linkages for treatment or referrals, some harm reduction advocates and city officials say the center holds promise because people who would otherwise be hard to reach are now showing up.\u003c/p>\n\u003cp>The San Francisco Department of Public Health said measuring success is more complicated than just reviewing the number of linkages.\u003c/p>\n\u003cp>“Achieving a basic level of safety and security is a necessary first step toward potentially being open to treatment, and making progress takes time,” the department said in an email. “By providing a safe space, we build relationships and work with guests to find ways to improve their health, including treatment for substance-use disorders, mental health, and other medical care.”\u003c/p>\n\u003cp>Vitka Eisen, CEO of HealthRIGHT 360, a nonprofit health provider that offers harm-reduction services at the linkage center, said it’s unrealistic to assume people who use drugs will suddenly walk in seeking treatment.\u003c/p>\n\u003cp>“It really takes a fair amount of time for people to build a relationship, and take positive steps towards their health,” she said. “That takes a minute. It doesn’t happen because all of a sudden there’s a nice person here who says, ‘Hey, I can get you into treatment today if you want that.’ That’s not how that works.”\u003c/p>\n\u003cp>And even if it did, Eisen said, people would still likely have to wait for those services because the county and the state are in the midst of a staffing crisis.\u003c/p>\n\u003cp>“We’re one of the largest providers of substance-use treatment in San Francisco, and we do not have enough staff to be able to complete the assessment to put people into treatment rapidly,” she said. “And once they get into treatment, we don’t have enough staff to prepare the treatment plan. A bed is just a bed if you can’t staff it.”\u003c/p>\n\u003cp>City officials also emphasize that one of the site’s goals is to prevent overdose deaths, and say staff there already have overseen more than 50 overdose reversals using the medication naloxone.\u003c/p>\n\u003cp>Dr. Daniel Ciccarone, an addiction and drug researcher at UCSF, said those reversal numbers are good news.\u003c/p>\n\u003cp>“The one shining star, check mark that I see is there’s no deaths on site, despite the fact that they’re engaging with active fentanyl users,” said Ciccarone, referring to data posted through the end of February.\u003c/p>\n\u003cp>Despite that achievement, he said, too few people who visit the linkage center have been connected to permanent, supportive housing. He worries that the root causes of addiction, like poverty and homelessness, are still not being adequately addressed.\u003c/p>\n\u003cp>Evidence shows that housing — particularly housing that includes case management and other wraparound services — often leads to positive health outcomes for people who use drugs, Ciccarone noted.\u003c/p>\n\u003cp>“We have done things like this before. We’ve put fences around the park, we’ve tried to cajole people into treatment, and the ER has their case management for frequent fliers [repeat visitors to the ER] and all that stuff, but yet generation by generation the problem gets worse,” he said. “We live in a wealthy city with a huge income disparity, and we simply don’t have enough resources for our poorest and most marginalized citizens.”\u003c/p>\n\u003cp>Last year, 645 people in the city died from drug overdoses, nearly a quarter of whom were unhoused or did not have a fixed address, according to the medical examiner’s office.\u003c/p>\n\u003cp>And in just the first two months of this year, 98 people in San Francisco already have died from drug overdoses — nearly a quarter of them in the Tenderloin.\u003c/p>\n\u003cfigure id=\"attachment_11910653\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11910653\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt=\"A sandwich board sign on the street that says 'Tenderloin Linkage Center Entrance'\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People wait in line to get in to the Tenderloin Linkage Center in San Francisco on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yet, as of February, even as some 1,600 unhoused people in the city had been approved for supportive housing and were awaiting their turn to move in, nearly 900 units sat vacant, due largely to bureaucratic delays, according to a \u003ca href=\"https://www.kqed.org/news/11906631/in-san-francisco-hundreds-of-homes-for-the-homeless-sit-vacant\">recent San Francisco Public Press/ProPublica investigation\u003c/a>. Filling those empty rooms would cut the waiting list by more than half, and house roughly one in every eight unhoused people in the city.\u003c/p>\n\u003cp>Jacqui Berlinn, co-founder of the group Mothers Against Drug Deaths, said her son Corey, who is addicted to fentanyl, recently came to the linkage center looking for housing.\u003c/p>\n\u003cp>“He was told the first time there was nothing available and he had to come back, and he went back a second time and he was told the same thing,” she said. “It’s incredibly frustrating. It makes me really angry because I feel like that would be a start to him getting well.”\u003c/p>\n\u003cp>Berlinn and several other mothers \u003ca href=\"https://www.kqed.org/news/11904277/whats-the-end-goal-a-group-of-mothers-protest-drug-use-at-the-tenderloin-linkage-center\">held a demonstration outside\u003c/a> the center in February, protesting its policy of allowing people to use illicit drugs in a fenced-off outdoor area attached to the building — an approach, they argue, that deters treatment.\u003c/p>\n\u003cp>DPH said in a statement that officials are working to eliminate barriers to care by having on-site staff trained to facilitate connections, and are working with behavioral-health providers to quickly accept referrals. The agency also defended the sanctioned drug use at the facility, noting that “the site design, staffing, and setup allow guests to be observed for safety at all times while respecting guest privacy.”\u003c/p>\n\u003cp>There also are plans, it said, to open a drug-free “sober living room” at the linkage center for those who want it.\u003c/p>\n\u003cp>Berlinn, though, said she has given up on waiting for the linkage center to help her son with housing or connections to long-term services. She said there are still too many systematic barriers when people seek assistance.\u003c/p>\n\u003cp>“They need treatment on demand,” said Berlinn, who is now researching treatment options outside of San Francisco. “It’s this whole ‘come back tomorrow’ that people are faced with, that makes them feel hopeless. It needs to be, ‘Let’s go, let’s do this, here’s your support, here’s what we’re going to do.”\u003c/p>\n\u003cp>\u003cem>This article was produced as a project for the USC Annenberg Center for Health Journalism’s 2021 Data Fellowship. KQED’s Kate Wolffe contributed reporting for this story. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A coalition of San Francisco LGBTQ organizations rallied Wednesday to protest the city’s current redistricting plans, which they say will sever neighborhood ties between longstanding transgender and queer communities and dilute those communities’ political power.\u003c/p>\n\u003cp>Recently, the city’s nine-member Redistricting Task Force approved moving forward with a \u003ca href=\"https://sfgov.maps.arcgis.com/apps/webappviewer/index.html?id=57159538a9a3422a9d22ef75d66565b6\">draft map\u003c/a> that would move the Tenderloin from District 6 to a newly redrawn District 5, separating the Tenderloin from the South of Market area and enjoining it with the Western Addition neighborhood. The task force is set to approve the new district map in mid-April.\u003c/p>\n\u003cp>Opponents of the proposed map say the move could displace some of the city’s most marginalized residents, split the political power of LGBTQ residents in those areas, and disconnect the Transgender District — the world’s first and only transgender cultural district — from the Leather and LGBTQ Cultural District in nearby SoMa.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jupiter Peraza, director of social justice and empowerment initiatives, Transgender District\"]‘Without proper representation, we run the risk of being overlooked in the decision-making process that molds the future of our communities.’[/pullquote]The coalition — including leaders from the Transgender District, the Leather and LGBTQ Cultural District, the Harvey Milk LGBTQ Democratic Club, the Alice B. Toklas LGBTQ Democratic Club and the Tenderloin People’s Congress — called for the Tenderloin neighborhood and SOMA to be kept together in the same district.\u003c/p>\n\u003cp>“The redistricting task force continues to ignore overwhelming testimony from community members to keep the Tenderloin and SOMA together in District 6,” said Jupiter Peraza, director of social justice and empowerment initiatives at the Transgender District, at Wednesday’s press conference.\u003c/p>\n\u003cp>“We need comprehensive district boundaries to ensure vulnerable communities are represented adequately. Without proper representation, we run the risk of being overlooked in the decision-making process that molds the future of our communities.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Edward Wright, president of the Harvey Milk LGBTQ Democratic Club, said the task force must listen to queer and trans residents.\u003c/p>\n\u003cp>“We are here today because we have not been heard, and it’s critical that the task force knows as they move forward in this process that they cannot divide the LGBTQ community,” Wright said at Wednesday’s event.\u003c/p>\n\u003cp>“That potential separation would furthermore divide the Transgender District, which is again the first recognized transgender cultural district anywhere in the world, from the Leather and LGBTQ Cultural District, which is also the first of it’s kind recognized anywhere in the world.”\u003c/p>\n\u003cfigure id=\"attachment_11909996\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909996\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut.jpg\" alt=\"Black and brown people stand listening with stern faces as a pride flag is held in the background\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Staff members of the Transgender District listen to speakers outside the site of the Compton’s Cafeteria riot, San Francisco, March 30, 2022, during a press conference calling for the Transgender and Leather and LGBTQ districts in the Tenderloin and Western SOMA to remain in District 6. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The press event took place at the site of the \u003ca href=\"https://www.kqed.org/arts/11838357/in-66-on-one-hot-august-night-trans-women-fought-for-their-rights\">Compton’s Cafeteria riot\u003c/a>, a historic area for queer history and the LGBTQ civil rights movement.\u003c/p>\n\u003cp>Compton’s Cafeteria served as a meeting place for drag queens, trans women, sex workers and other marginalized individuals in the 1960s. In August 1966, a riot occurred in response to police harassment against the trans community. After the riot, local LGBTQ advocacy gained a stronger foothold, and more support services for the community were established.\u003c/p>\n\u003cp>[aside postID=arts_11838357 hero='https://ww2.kqed.org/app/uploads/sites/2/2016/07/Drag-demonstrationCOVER-1180x664.jpg']“The Tenderloin represents one of the last vestiges of housing affordability, socioeconomic and racial diversity, trans and queer cultural heritage, and a dense concentration of legacy businesses that have been long-lasting community centers for all of San Francisco,” said Peraza in a statement.\u003c/p>\n\u003cp>“Keeping the Tenderloin and SoMa together in District 6 is an urgent and imperative matter — one that if not defended, could displace vulnerable communities that are already fleeing San Francisco at alarming rates.”\u003c/p>\n\u003cp>[aside postID=\"news_11899971,news_11898480,news_11898329\" label=\"Related Posts\"]“The redistricting task force was knowingly drawing an imaginary line through the middle of our community, dividing us in half,” said Curtis Bradford, co-chair of the Tenderloin People’s Congress during Wednesday’s press conference. “It seeks to diminish us, it seeks to do harm to our community, it seeks to silence our voices. We can’t let the city break up our community, diminish our voice at a time like now when we need it so much.”\u003c/p>\n\u003cp>Organizers invited their supporters to attend the next task force meeting this Saturday morning. The final plan is due April 15.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Juan Carlos Lara and Spencer Whitney, and from Bay City News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A coalition of San Francisco LGBTQ organizations rallied Wednesday to protest the city’s current redistricting plans, which they say will sever neighborhood ties between longstanding transgender and queer communities and dilute those communities’ political power.\u003c/p>\n\u003cp>Recently, the city’s nine-member Redistricting Task Force approved moving forward with a \u003ca href=\"https://sfgov.maps.arcgis.com/apps/webappviewer/index.html?id=57159538a9a3422a9d22ef75d66565b6\">draft map\u003c/a> that would move the Tenderloin from District 6 to a newly redrawn District 5, separating the Tenderloin from the South of Market area and enjoining it with the Western Addition neighborhood. The task force is set to approve the new district map in mid-April.\u003c/p>\n\u003cp>Opponents of the proposed map say the move could displace some of the city’s most marginalized residents, split the political power of LGBTQ residents in those areas, and disconnect the Transgender District — the world’s first and only transgender cultural district — from the Leather and LGBTQ Cultural District in nearby SoMa.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The coalition — including leaders from the Transgender District, the Leather and LGBTQ Cultural District, the Harvey Milk LGBTQ Democratic Club, the Alice B. Toklas LGBTQ Democratic Club and the Tenderloin People’s Congress — called for the Tenderloin neighborhood and SOMA to be kept together in the same district.\u003c/p>\n\u003cp>“The redistricting task force continues to ignore overwhelming testimony from community members to keep the Tenderloin and SOMA together in District 6,” said Jupiter Peraza, director of social justice and empowerment initiatives at the Transgender District, at Wednesday’s press conference.\u003c/p>\n\u003cp>“We need comprehensive district boundaries to ensure vulnerable communities are represented adequately. Without proper representation, we run the risk of being overlooked in the decision-making process that molds the future of our communities.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Edward Wright, president of the Harvey Milk LGBTQ Democratic Club, said the task force must listen to queer and trans residents.\u003c/p>\n\u003cp>“We are here today because we have not been heard, and it’s critical that the task force knows as they move forward in this process that they cannot divide the LGBTQ community,” Wright said at Wednesday’s event.\u003c/p>\n\u003cp>“That potential separation would furthermore divide the Transgender District, which is again the first recognized transgender cultural district anywhere in the world, from the Leather and LGBTQ Cultural District, which is also the first of it’s kind recognized anywhere in the world.”\u003c/p>\n\u003cfigure id=\"attachment_11909996\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11909996\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut.jpg\" alt=\"Black and brown people stand listening with stern faces as a pride flag is held in the background\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/RS54871_006_KQED_TenderloinRedistricting_03302022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Staff members of the Transgender District listen to speakers outside the site of the Compton’s Cafeteria riot, San Francisco, March 30, 2022, during a press conference calling for the Transgender and Leather and LGBTQ districts in the Tenderloin and Western SOMA to remain in District 6. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The press event took place at the site of the \u003ca href=\"https://www.kqed.org/arts/11838357/in-66-on-one-hot-august-night-trans-women-fought-for-their-rights\">Compton’s Cafeteria riot\u003c/a>, a historic area for queer history and the LGBTQ civil rights movement.\u003c/p>\n\u003cp>Compton’s Cafeteria served as a meeting place for drag queens, trans women, sex workers and other marginalized individuals in the 1960s. In August 1966, a riot occurred in response to police harassment against the trans community. After the riot, local LGBTQ advocacy gained a stronger foothold, and more support services for the community were established.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The Tenderloin represents one of the last vestiges of housing affordability, socioeconomic and racial diversity, trans and queer cultural heritage, and a dense concentration of legacy businesses that have been long-lasting community centers for all of San Francisco,” said Peraza in a statement.\u003c/p>\n\u003cp>“Keeping the Tenderloin and SoMa together in District 6 is an urgent and imperative matter — one that if not defended, could displace vulnerable communities that are already fleeing San Francisco at alarming rates.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The redistricting task force was knowingly drawing an imaginary line through the middle of our community, dividing us in half,” said Curtis Bradford, co-chair of the Tenderloin People’s Congress during Wednesday’s press conference. “It seeks to diminish us, it seeks to do harm to our community, it seeks to silence our voices. We can’t let the city break up our community, diminish our voice at a time like now when we need it so much.”\u003c/p>\n\u003cp>Organizers invited their supporters to attend the next task force meeting this Saturday morning. The final plan is due April 15.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Juan Carlos Lara and Spencer Whitney, and from Bay City News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A group of five mothers staged a protest on Saturday outside the Tenderloin Linkage Center to call for an end to drug use at the site. The center was set up as part of San Francisco Mayor London Breed’s emergency declaration to address a rise in drug overdoses. The site is meant to help connect people to drug treatment, housing and other services.[pullquote size=\"medium\" align=\"right\" citation=\"Gina McDonald, mother\"]‘If you want to open a safe consumption site, don’t do it here. You don’t offer services and allow open-air drug dealing in the same place. What’s the end goal?’[/pullquote]\u003c/p>\n\u003cp>The mothers who organized the protest have all been affected by the drug epidemic, and say they support the center but believe allowing drug use will make it more difficult for people to get help. People have been using drugs on the center property in a fenced-off area outside the building and have not been asked to leave.\u003c/p>\n\u003cp>“I think linking people to services is great and it’s way past time,” said Gina McDonald, a former heroin user whose daughter is in treatment for addiction. “If you want to open a safe consumption site, don’t do it here. You don’t offer services and allow open-air drug dealing in the same place. What’s the end goal?”\u003c/p>\n\u003cp>About a dozen people also arrived as part of a counterprotest in an effort to show support for the center, which they said has been effective at offering people the services they need.\u003c/p>\n\u003cp>On Tuesday, the San Francisco Board of Supervisors is holding a hearing over the emergency declaration that fast-tracked this site and sparked a debate over how best to address drug dealing and addiction.\u003c/p>\n\u003cp>Jacqui Berlinn is one of the organizers of the protest and founders of the group Mothers Against Drug Deaths. Her son, Corey, lives on the streets of San Francisco and is addicted to fentanyl. She says that when she heard about the linkage center, she was excited that her son might have a safe space to go and get some help.\u003c/p>\n\u003cp>But then when she learned people were using drugs at the site, she said, her heart dropped.\u003c/p>\n\u003cp>“I know that my son will say it’s just more of the same,” she said. “It’s just what the city’s been doing, enabling and encouraging. They’re not serious about helping them get well.”\u003c/p>\n\u003cp>Berlinn said that Corey did drop by the site, but left when he saw people in the fenced-off area outside the building using drugs.\u003c/p>\n\u003cp>“My hope was that it was going to be a safe space for him just to have 30 minutes, 60 minutes, two hours free of drugs in his face,” she said.\u003c/p>\n\u003cp>Laura Thomas, the director of harm reduction policy at the San Francisco AIDS Foundation, came to the linkage center because she said it’s important to support evidence-based practices like harm reduction. The idea of low barriers to service and “meeting people where they’re at” is a core harm reduction practice.\u003c/p>\n\u003cp>“Treating people with dignity and respect is more of a value issue than an evidence issue, but the evidence backs that up,” she said. When you meet people where they are, they are able to make positive steps, she added. “The linkage center is being effective at connecting people to services, whether that’s showers or laundry or housing or substance use treatment.”\u003c/p>\n\u003cp>Thomas worried that because of the protest and the increased police presence, less people were showing up for services. Few people entered the site during the protest.[aside tag=\"tenderloin\" label=\"More Related Stories\"]But before the linkage center opened and the protest started, about six people waited in line to get in. Willie Penilton had come to the linkage center to sleep and get some breakfast. He uses crystal meth, and says he’s seen too many people overdose. At the center, he said, people are safe. He said he couldn’t understand why people were protesting the site.\u003c/p>\n\u003cp>“We’re using drugs anywhere on the street anyway. Now people don’t get to walk out and see it. You’ve got a safe environment,” he said.\u003c/p>\n\u003cp>In a statement, Kristin Hogan Schildwachter, a spokesperson with the Department of Emergency Management, said the linkage center offers low-barrier access for those ready to receive support and care.\u003c/p>\n\u003cp>Former San Francisco Supervisor David Campos, who is running for State Assembly, came to the site and was approached by Berlinn while she was holding a poster that showed photos of her son. She described how she supports harm reduction, but her son was discouraged by the people using drugs at the center.\u003c/p>\n\u003cp>Campos said he first proposed a safe consumption site in 2016 while a San Francisco supervisor, and thousands of lives could have been saved if that had happened.\u003c/p>\n\u003cp>“My issue that I’m addressing right now is the fact that this should be a safe space for [people] to go,” Berlinn replied.\u003c/p>\n\u003cp>Campos said the Board of Supervisors have the same goal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The mothers who organized the protest have all been affected by the drug epidemic, and say they support the center but believe allowing drug use will make it more difficult for people to get help. People have been using drugs on the center property in a fenced-off area outside the building and have not been asked to leave.\u003c/p>\n\u003cp>“I think linking people to services is great and it’s way past time,” said Gina McDonald, a former heroin user whose daughter is in treatment for addiction. “If you want to open a safe consumption site, don’t do it here. You don’t offer services and allow open-air drug dealing in the same place. What’s the end goal?”\u003c/p>\n\u003cp>About a dozen people also arrived as part of a counterprotest in an effort to show support for the center, which they said has been effective at offering people the services they need.\u003c/p>\n\u003cp>On Tuesday, the San Francisco Board of Supervisors is holding a hearing over the emergency declaration that fast-tracked this site and sparked a debate over how best to address drug dealing and addiction.\u003c/p>\n\u003cp>Jacqui Berlinn is one of the organizers of the protest and founders of the group Mothers Against Drug Deaths. Her son, Corey, lives on the streets of San Francisco and is addicted to fentanyl. She says that when she heard about the linkage center, she was excited that her son might have a safe space to go and get some help.\u003c/p>\n\u003cp>But then when she learned people were using drugs at the site, she said, her heart dropped.\u003c/p>\n\u003cp>“I know that my son will say it’s just more of the same,” she said. “It’s just what the city’s been doing, enabling and encouraging. They’re not serious about helping them get well.”\u003c/p>\n\u003cp>Berlinn said that Corey did drop by the site, but left when he saw people in the fenced-off area outside the building using drugs.\u003c/p>\n\u003cp>“My hope was that it was going to be a safe space for him just to have 30 minutes, 60 minutes, two hours free of drugs in his face,” she said.\u003c/p>\n\u003cp>Laura Thomas, the director of harm reduction policy at the San Francisco AIDS Foundation, came to the linkage center because she said it’s important to support evidence-based practices like harm reduction. The idea of low barriers to service and “meeting people where they’re at” is a core harm reduction practice.\u003c/p>\n\u003cp>“Treating people with dignity and respect is more of a value issue than an evidence issue, but the evidence backs that up,” she said. When you meet people where they are, they are able to make positive steps, she added. “The linkage center is being effective at connecting people to services, whether that’s showers or laundry or housing or substance use treatment.”\u003c/p>\n\u003cp>Thomas worried that because of the protest and the increased police presence, less people were showing up for services. Few people entered the site during the protest.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But before the linkage center opened and the protest started, about six people waited in line to get in. Willie Penilton had come to the linkage center to sleep and get some breakfast. He uses crystal meth, and says he’s seen too many people overdose. At the center, he said, people are safe. He said he couldn’t understand why people were protesting the site.\u003c/p>\n\u003cp>“We’re using drugs anywhere on the street anyway. Now people don’t get to walk out and see it. You’ve got a safe environment,” he said.\u003c/p>\n\u003cp>In a statement, Kristin Hogan Schildwachter, a spokesperson with the Department of Emergency Management, said the linkage center offers low-barrier access for those ready to receive support and care.\u003c/p>\n\u003cp>Former San Francisco Supervisor David Campos, who is running for State Assembly, came to the site and was approached by Berlinn while she was holding a poster that showed photos of her son. She described how she supports harm reduction, but her son was discouraged by the people using drugs at the center.\u003c/p>\n\u003cp>Campos said he first proposed a safe consumption site in 2016 while a San Francisco supervisor, and thousands of lives could have been saved if that had happened.\u003c/p>\n\u003cp>“My issue that I’m addressing right now is the fact that this should be a safe space for [people] to go,” Berlinn replied.\u003c/p>\n\u003cp>Campos said the Board of Supervisors have the same goal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>COVID-19 Update\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">It’s been a week of pandemic record highs across the nation and in California. State health officials say 23% of professionally administered COVID-19 tests are positive, while the daily count of new cases has been topping 100,000 for the past several days. Some school districts have closed their doors and returned temporarily to online learning, while Sonoma County has taken the step of banning large indoor and outdoor gatherings for the next month.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guest:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Sundari R. Mase, Sonoma County Health Officer\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>SF Mayor London Breed\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Last month, Mayor London Breed declared a state of emergency in the Tenderloin neighborhood, vowing a police crackdown on the regular — and open — crime there. Criticism of her call for increased police intervention came swiftly from the city’s district attorney, Chesa Boudin, and other city leaders. The situation in the Tenderloin, and the debate over how to handle it, reveal tensions in a city known for its progressive politics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guest:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">San Francisco Mayor London Breed\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>This Week in California Politics\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, Gov. Gavin Newsom unveiled a $286 billion budget that includes a surplus of $45 billion. Newsom’s proposal aims to address five key areas: COVID-19, climate change, homelessness, the cost of living, and public safety. Our panel of reporters looks at what these spending priorities mean for where California is heading.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Scott Shafer, KQED senior politics and government editor\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Tal Kopan, San Francisco Chronicle Washington, D.C., correspondent\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Something Beautiful: Baughman’s Western Outfitters\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">We don’t usually feature a store in this segment, but Baughman’s Western Outfitters has a strong local history: It’s been family-owned for 140 years. If you want to visit a piece of California’s Wild West past, check out their selection of jeans, cowboy hats and boots. \u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>COVID-19 Update\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">It’s been a week of pandemic record highs across the nation and in California. State health officials say 23% of professionally administered COVID-19 tests are positive, while the daily count of new cases has been topping 100,000 for the past several days. Some school districts have closed their doors and returned temporarily to online learning, while Sonoma County has taken the step of banning large indoor and outdoor gatherings for the next month.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guest:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Sundari R. Mase, Sonoma County Health Officer\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>SF Mayor London Breed\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Last month, Mayor London Breed declared a state of emergency in the Tenderloin neighborhood, vowing a police crackdown on the regular — and open — crime there. Criticism of her call for increased police intervention came swiftly from the city’s district attorney, Chesa Boudin, and other city leaders. The situation in the Tenderloin, and the debate over how to handle it, reveal tensions in a city known for its progressive politics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guest:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">San Francisco Mayor London Breed\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>This Week in California Politics\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, Gov. Gavin Newsom unveiled a $286 billion budget that includes a surplus of $45 billion. Newsom’s proposal aims to address five key areas: COVID-19, climate change, homelessness, the cost of living, and public safety. Our panel of reporters looks at what these spending priorities mean for where California is heading.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"soldout": {
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