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DPH outlines behavioral health system of care; supervisors press for clearer data, beds and staffing plans

San Francisco Board of Supervisors Homelessness and Behavioral Health Select Committee · October 27, 2023
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Summary

The Department of Public Health presented an overview of San Francisco's behavioral health system on Oct. 27, highlighting care coordination (Office of Coordinated Care), neighborhood outreach teams, jail services and workforce shortages; supervisors pressed for more precise bed counts for conservatorship planning and clearer metrics on staffing and outcomes.

The Department of Public Health presented an overview of San Francisco's behavioral health system of care during a committee hearing Oct. 27, describing care pathways from street outreach to residential treatment and identifying workforce and data system gaps that supervisors said hamper policy decisions.

Dr. Hillary Conins, director of behavioral health for DPH, told the Homelessness and Behavioral Health Select Committee the system provides prevention, crisis response, outpatient and residential services and connects more than 100,000 "touchpoints" a year across city clinics, contracted partners and mobile teams. She said roughly 25,000 people receive behavioral health or substance use care through primary care settings, about 15,000 in specialized outpatient programs and the department manages approximately 2,500 residential treatment beds treating an estimated 5,000'7,000 people annually.

Conins described a multi-pronged approach to care coordination: the Behavioral Health Access Center, the Office of Coordinated…

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