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BLA update and DPH testimony: San Francisco faces ongoing shortage of locked subacute and psychiatric beds; housing conservatorship pilot produced small numbers
Summary
Budget and Legislative Analyst updated the 2019 LPS conservatorship review, citing decreased bed capacity and increased wait times; DPH and the Public Conservator outlined bed‑acquisition plans, challenges with contracting out‑of‑county beds, and limited early results from the housing conservatorship pilot (few petitions filed and several voluntary engagements).
The committee heard an update from the Budget and Legislative Analyst (BLA) and presentations from the Department of Public Health and the Office of the Public Conservator on March 24 about LPS conservatorships, bed capacity, and the housing conservatorship pilot.
Severn Campbell of the Budget Analyst's Office presented data showing a long‑term decline in in‑county subacute and psychiatric bed capacity (from higher counts in 2012–13 to about 280 beds in 2020–21), a modest rise in conservatorship caseload since fiscal year 2018–19 but remaining below earlier levels, and significant increases in wait times for locked subacute placements. The BLA identified 408 new beds the city is planning to acquire or contract for and noted that roughly 137 of…
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