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Board hears mayor on SB 43 implementation; officials say conservatorship changes will increase demand for treatment beds

3006448 · April 16, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The San Francisco Board of Supervisors pressed Mayor London Breed on Tuesday about whether the city has the beds and services to implement SB 43, the state law expanding conservatorship criteria to include substance use disorder and inability to care for medical needs, and the mayor said an executive directive is in place but that more and different placements will be required.

The San Francisco Board of Supervisors used part of Tuesdays question period with Mayor London Breed to discuss the implementation of Senate Bill 43, the state law that expands conservatorship eligibility to include substance use disorder and incapacity to care for medical needs.

Supervisor Rafael Mandelmann led the discussion, thanking the mayor for supporting SB 43 and asking whether the Department of Public Health (DPH) can supply the placements that will be necessary if more people are routed into conservatorship and treatment. Mandelmann said the city has long struggled to expand the supply of locked subacute facilities and board-and-care beds appropriate for people with severe mental illness.

The mayor said SB 43…

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