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Breed outlines mental‑health care coordination program and Midtown Park update, emphasizing wrap‑around services and tenant protections
Summary
Board President London Breed introduced a multi‑department mental‑health care coordination program for high‑risk individuals and updated supervisors on Midtown Park Apartments’ rent‑modification and rehabilitation planning, saying no residents have been evicted and residents will receive lifetime leases and income‑based rents.
Board President London Breed used the meeting to introduce two related items focused on high‑needs residents: a mental‑health care coordination program and an update on Midtown Park Apartments’ rent‑modification and rehabilitation efforts.
The mental‑health care coordination program is presented as a multi‑agency, case‑conferencing effort to serve the city’s highest‑risk individuals who make repeated visits to emergency rooms, have repeated 5150 psychiatric holds and frequent interactions with law enforcement. Breed said the program will convene five departments — the Department of Public Health (DPH), Department of Homelessness and Supportive Housing (DHSH), Department of Aging and Adult Services (DAAS), the San Francisco Police Department (SFPD) and the BART Police — to develop individualized, cross‑agency plans and monitor outcomes with annual reporting requirements.
Breed described the goals as stabilizing, housing and improving long‑term health outcomes for frequent users of city services. “This wrap‑around approach will provide a full completion of services with the goal of getting individuals stabilized, housed, and healthy for the long term,” she told the board.
Breed also gave a status update on Midtown Park Apartments, a six‑building, 139‑unit city‑owned complex in her district. She said the development, built in 1964 and managed by Mercy Housing under lease from the Mayor’s Office of Housing and Community Development (MOHCD), suffers from deferred maintenance. Breed said since 2005 MOHCD has provided emergency capital funding — “over $12,500,000” — and later contributed approximately $2.5 million toward annual operating support. She outlined a rent‑modification program that equalizes rents and provided a six‑year ramp to protect residents from displacement: residents will receive lifetime leases and pay no more than 30 percent of income for rent, she said. Breed also noted new resident advisory structures and that decisions on demolition versus substantial rehabilitation remain pending.
Why it matters: The proposals reflect a push to coordinate public‑safety, health and housing resources around people who repeatedly cycle through emergency and law‑enforcement systems, while reporting annually on program outcomes. The Midtown update highlights ongoing city spending to stabilize publicly owned affordable housing and steps taken to prevent displacement during rehabilitation.
Next steps: Breed said the coordination program will include reporting requirements so the board can evaluate outcomes; any specific implementation details, funding requests and interdepartmental memoranda will be brought back for further review.
