The San Francisco County government meeting held on July 4, 2025, focused on critical issues surrounding addiction treatment and care continuity for individuals undergoing detoxification. The discussions highlighted the existing gaps in care for those reliant on private or commercial insurance, such as Kaiser, which often remain invisible in the broader health system.

A significant concern raised was the transition from detox care to residential treatment programs. Participants emphasized the necessity of ensuring that individuals leaving detox facilities are effectively connected to ongoing care. The conversation underscored the importance of continuity of care, particularly during the vulnerable moments when individuals may fall through the cracks in the system.

The Office of Coordinated Care was identified as a key player in addressing these challenges. They are actively working to improve the handoff processes between detox centers and residential treatment programs. For instance, at HR 360 and the Salvation Army, discharge planning occurs on-site, facilitating smoother transitions for patients. In cases where capacity is limited, the Department of Public Health (DPH) offers support through its Behavioral Health Access Center, connecting individuals to available programs, including newly contracted out-of-county options.

Additionally, the Office of Coordinated Care collaborates closely with Zuckerberg San Francisco General Hospital's addiction care team to ensure that patients hospitalized with substance use disorders receive appropriate follow-up care upon discharge. This partnership aims to create a seamless transfer of care, thereby enhancing the overall effectiveness of addiction treatment services in the county.

In conclusion, the meeting underscored the ongoing efforts to bridge gaps in addiction care and improve the continuity of services for individuals navigating the complexities of detox and treatment. The next steps involve further collaboration among various health services to ensure that all individuals receive the necessary support as they transition through different stages of care.