San Francisco County officials are facing mounting pressure to address significant concerns regarding the management of the county's $3.2 billion public health budget. During a recent government meeting, discussions highlighted the urgent need for accountability and effective service delivery to the community.

A key speaker emphasized the importance of deliverables, urging leaders to reassess their strategies if current efforts are falling short. "At the end of the day, what we're asking for is what are the deliverables? And if they do not work, change course," they stated, underscoring the necessity of prioritizing the needs of the people served by these programs.

Public comments revealed a stark divide in perceptions of the budget's effectiveness. One speaker labeled the budget a "scam," claiming it fails to adequately support the community and accusing officials of mismanagement. This sentiment was echoed by others who called for more substantial investments in mental health services, particularly for youth of color facing disproportionate rates of anxiety and depression.

Selena Lucero, executive director of Horizons Unlimited, advocated for stable, multi-year funding for community-based mental health services. She stressed the need for contracts that allow organizations to hire culturally competent providers at competitive wages, highlighting the critical role these organizations play in the community.

As the meeting concluded, the call for accountability and improved service delivery resonated strongly among both officials and community members. The discussions signal a pivotal moment for San Francisco County as it navigates the complexities of public health funding and service provision, with many looking for tangible changes in the near future.