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Supervisors Hear Broad Testimony on Treatment on Demand, Citing Shortfalls in Detox Beds, Staffing and Data
Summary
A multi‑hour hearing exposed gaps in San Francisco’s Treatment on Demand framework: DPH reported about 4,600 people treated in specialty services, 58 withdrawal management beds, a median 5‑day residential wait, and a $91 million specialty SUD budget; providers and first responders called for 24/7 intake, stabilization centers and workforce pay parity.
The Public Safety and Neighborhood Services Committee devoted much of its Nov. 9 meeting to a multi‑panel hearing on the state of Treatment on Demand in San Francisco, drawing public health officials, first responders, criminal‑justice partners, providers and dozens of public commenters.
Supervisor Rafael Mandelmann opened the hearing by urging scrutiny of the gaps between policy goals and service delivery and warned of a worsening overdose crisis: “We are heading towards being the most deadly year for overdoses ever. Easily I think could get to 800 this year,” he said.
Hillary Conins, director of Behavioral Health Services at the Department of Public Health, presented updated utilization and capacity figures for fiscal year 2022–23: roughly 4,600 unique people were treated in the county’s specialty SUD system; about two‑thirds were people experiencing homelessness; approximately 2,100 more were treated in other settings; and the specialty SUD…
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