An illustration of a man watching the arrival of a red van, labelled Street Crisis Response Team — a common scene before people are put on involuntary psychiatric detentions AKA “5150 holds.”

The Often Vicious Cycle Through SF’s Strained Mental Health Care and Detention System

Thousands of people last year fell into San Francisco’s complex, reactive, strained system for treating severe mental health and drug-related crises.

To explain how that system works and its effects on the people who enter it, we begin with the story of one man, Jay. As with many others — including those who are unhoused or are detained without their consent following a call from an alarmed observer — Jay had received temporary care, entailing multiple involuntary psychiatric holds, that failed to address his long-term problems. That left him back on the streets to fend for himself or, with the help of passersby, try again to get the aid he needed.

Proveedores de servicios opinan que SF subestima la necesidad que hay a pesar de que cada vez más familias migrantes buscan acceder albergues

Los proveedores de servicios han visto un aumento reciente en el número de familias migrantes sin hogar que buscan refugio en San Francisco, y dicen que el sistema de albergues de la ciudad está saturado, y a menudo falla, para recibirlos. Los defensores locales de las personas sin hogar están pidiendo ala alcaldía que satisfaga esta urgente necesidad.

Homeless migrant families and others sit in City Hall Chambers during a meeting.

SF to Offer Some Homeless Migrant Families Temporary Hotel Stays, as the Rest Languish

Faced with an influx of unhoused migrant families into San Francisco, the Department of Homelessness and Supportive Housing will offer between 100 and 150 households temporary stays in hotels in the next year. That will likely fall short of addressing the full need.

Migrant families have joined service providers and faith-based advocates in a push for a policy response to the mounting crisis, including increasing access to temporary housing and providing greater transparency about where families are on the waitlist for shelter. City officials discussed potential solutions at a Monday hearing of the Board of Supervisors.

Proposition D — Changes to Local Ethics Laws

Proposition D would amend the city’s Campaign and Governmental Conduct Code by expanding the kinds of gifts that city officials are prohibited from accepting. It also expands existing rules to bar people who have tried to influence city officials in the past or who have business with city departments from giving gifts.

Proposition E — Police Department Policies and Procedures

Proposition E is a package of policy changes that would allow the San Francisco Police Department to engage in more high-speed chases, permit drone use in pursuits and grant the department the ability to install new security cameras in public spaces and test new surveillance technology on the public with less oversight from independent bodies.