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Health Commission outlines CARE Court rollout, rising overdoses and steps to expand treatment
Summary
San Francisco officials told the Health Commission the city joined the first cohort to implement CARE Court, outlined plans to expand residential behavioral‑health capacity and reported a 40% increase in preliminary overdose deaths Jan–Aug 2023; commissioners pressed for measurable outcomes and clearer access pathways.
San Francisco’s Department of Public Health on Tuesday briefed the Health Commission on plans to implement California’s CARE Court, expand residential behavioral‑health capacity and respond to a worsening overdose crisis.
Dr. Hillary Conins, director of behavioral health, said the county began implementing CARE Court (SB 1338) as part of an early cohort and that the civil process is designed to provide court‑ordered care plans of up to 12 months for people with untreated psychotic disorders. “This eligibility is for people with a psychotic disorder due to schizophrenia or other psychotic disorders,” Conins said, describing CARE Court as “a less restrictive alternative” intended to engage people earlier in treatment.
Conins described the city’s broader behavioral‑health expansion under Mental Health SF: an intended 400…
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