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San Francisco outlines behavioral-health overhaul, targets 4,000 unhoused residents for wraparound care
Summary
San Francisco Health Department leaders laid out a population‑health plan to expand behavioral‑health capacity, identify a target group of about 4,000 unhoused residents with co‑occurring disorders, and shift toward outcome metrics as EPIC data is validated and workforce gaps are addressed.
San Francisco public‑health leaders presented a multi‑year plan to expand behavioral‑health services for the city’s most vulnerable residents and to shift measurement from process reporting toward outcome‑focused metrics.
Dr. Nagusa Bland, a board‑certified psychiatrist leading the mental‑health reform effort, told the Health Commission the department’s analysis identifies roughly 18,000 residents experiencing homelessness and a priority subpopulation of about 4,000 people with co‑occurring mental‑health and substance‑use disorders. "We identified a target population for our reform efforts," Bland said, adding that the group is medically vulnerable and heavily represented in urgent and emergent behavioral‑health services.
Bland said 90 percent of that target population do not have an intensive case manager and described stark disparities:…
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