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Supervisors Hear Progress and Persistent Gaps in San FranciscoTreatment on Demand Report
Summary
City departments reported improved wait‑time metrics and expanded low‑threshold services, but supervisors, providers and the Treatment on Demand Coalition said data gaps, limited Spanish‑language and dual‑diagnosis beds, and post‑residential step‑down capacity still block full implementation of Prop T.
Supervisors and city agencies gathered Oct. 27 for a hybrid hearing on San Francisco's annual Proposition T "Treatment on Demand" report, taking stock of treatment capacity, wait times and unmet demand for substance use services. The meeting, sponsored by Supervisor Rafael Mandelmann, juxtaposed Department of Public Health data showing measurable improvements with community and criminal‑justice testimony about continuing gaps and delays.
Supervisor Rafael Mandelmann, who called the hearing, framed the issue as both lifesaving and unresolved. "Treatment on demand is more than a quarter century old in San Francisco," he said, adding that the city must measure "how many people we're losing as a result of our inability to provide treatment on demand." He noted sharp increases in overdose deaths in recent years and urged clearer reporting so the board and mayor can pair the reports with budget decisions.
Dr. Hillary Conins, director of Behavioral Health Services at the Department of Public Health, presented DPH's view of the continuum of care and the department's timeliness metrics. DPH reported that, within…
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