HSH outlines mayoral directive to expand interim housing, integrate street teams; DPH pairs safer‑use supplies with treatment referrals

The San Francisco Department of Homelessness and Supportive Housing outlined a mayoral executive directive in April 2025 that directs coordinated city action to address homelessness and behavioral health, including a citywide effort to add 1,500 interim housing beds and to reconfigure street outreach into integrated neighborhood teams.

The directive, HSH Executive Director Shereen McSpadden said, sets short-, medium- and long-term steps to "implement a system that helps people achieve lasting stability, provide cleaner and safer sidewalks for all members of the community, and to provide more responsible governance and more accountable services." McSpadden said the city plans immediate changes in the next 100 days to form "street teams" that integrate enforcement, service and treatment to get people into care, and to deploy emergency hotel vouchers as part of interim housing expansion.

Why it matters: The directive signals a shift toward a large interim-housing expansion combined with tighter integration among police, public health and other city departments. HSH staff described the plan as a combined operations and service model…