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DPH warns of $20M–$25M Ongoing shortfall while stabilizing crisis services
Summary
Kelly Kirkpatrick of DPH told the Our City Our Home Oversight Committee that behavioral health spending plans total about $115 million annually against roughly $90 million in projected revenue, leaving a structural shortfall of about $20–$25 million after one-time funds are used; DPH plans phased capital acquisitions and a crisis stabilization unit opening this spring.
Kelly Kirkpatrick, director of operations and administration for Mental Health SF at the Department of Public Health, told the Our City Our Home Oversight Committee on March 27 that the department’s proposed mayoral-phase budget largely maintains existing OCO programmatic investments but faces a multi-year structural gap. “The structural shortfall is still at about $20,000,000 to $25,000,000 without utilizing one-time funds,” Kirkpatrick said.
DPH is proposing a status-quo spending plan of roughly $115 million a year while projecting about $90 million in ongoing revenue. Kirkpatrick said the department plans to rely on one-time carry-forward reserves to balance the fund through fiscal years 2026–27 but warned…
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