City Government

Mayor London Breed Launches New Street Team To Stop Drug Overdoses

Mayor London N. Breed, the San Francisco Department of Public Health (DPH), and the San Francisco Fire Department launched on August 2 a new Street Overdose Response Team (SORT) that, along with other overdose prevention initiatives in the Fiscal Year 2021-2022 budget, aims to lower the record number of drug overdoses in the City.

Published

5 years ago

August 6, 2021

Isabelle Price

Pills on a spoon with a wooden bottom and white background; Photo courtesy Michael Longmire via Unsplash

Like many communities throughout the country, San Francisco has seen a rapid increase in drug overdoses in recent years due to the proliferation of the powerful, synthetic opioid fentanyl, which is 50 times stronger than heroin.

Among those most at risk are people experiencing homelessness, whose rate of overdose deaths has doubled in the past year and account for at least one-quarter of all overdose deaths in the City. Additionally, data shows that over 50% of people who die from a drug overdose had prior contact with Fire Department EMS personnel.

In response, the City is urgently rolling out new interventions. Chief among them is SORT, which will proactively identify, engage, and follow up with individuals who have survived an overdose in order to prevent another, possibly fatal one from occurring.

“We know that overdose deaths are preventable and every person who dies is someone’s son, daughter, friend, or neighbor. It is urgent that we save lives by doing what we know will work best,” said Breed.

“The Street Overdose Response Team is focused on helping people who are most at risk get the help they need to start their recovery. SORT is part of a package of new and expanded investments we are making this year to flatten the curve of the drug overdose epidemic and even lower the numbers of these tragic deaths.”

The City is investing $13.2 million this year in overdose prevention that in addition to SORT include:

Opening the SOMA RISE Center this fall to provide 20 temporary beds for people who are intoxicated to come in safely off the streets and be connected to care and services, including housing.
Expanded access to buprenorphine through telemedicine, increasing the hours at DPH’s Behavioral Health Pharmacy and delivery of buprenorphine to “high risk” housing sites and other locations.
Round-the-clock hours at the Market Street Clinic, an opioid treatment clinic at Civic Center that provides on-demand services for methadone, buprenorphine, and counseling and primary medical care.
Widespread distribution of naloxone to settings such as hospitals, primary care clinics, substance use treatment programs, housing sites, and public settings like food pantries and dining halls – anywhere substance users access services.
Expansion of the evidence-based efforts to incentivize people to continue addiction treatments.

In 2018, DPH’s Street Medicine team was the first in the nation to bring opioid treatment directly to people experiencing homelessness with substance use disorders. The Street Overdose Response Team (SORT) builds on San Francisco’s successful street outreach model of care, which also includes the Street Crisis Response Team.

Specifically, SORT is tasked with connecting with people in the moment they are being resuscitated, and as they come out of hospitals, clinics or other settings from drug overdoses, and offering them services that address substance use disorders.

These include the opioid use disorder medicine buprenorphine, which not only helps wean people off opioids but can also directly prevent overdoses; rescue kits that include the opioid-blocker naloxone; educational materials; and support getting into substance use treatment facilities, housing or shelter as a safe exit from the streets.

The team launched on August 2 with an initial crew consisting of a street medicine specialist from the Department of Public Health and a community paramedic from the Fire Department who will provide immediate care and support within 72 hours of an overdose.

Later this fall, SORT will ramp up to include ongoing and regular care and case management for individuals experiencing homelessness who have survived an overdose with additional capacities such as ongoing medication treatment, primary care and mental health services, and referrals to residential care and other treatment programs.

At full expansion, SORT will consist of specialists with a range of expertise who can meet a patient’s unique needs, including medical specialists such as doctors and nurses; behavioral health specialists including counselors and psychotherapists, and peer counselors with related, lived experience.

“People who survive an overdose are at heightened risk for a subsequent overdose, including a fatal overdose,” said Dr. Grant Colfax, Director of Health. “With the Street Overdose Response Team, we can take a targeted and coordinated approach to reach people who need help the most and provide tailored information and care to save lives.”

SORT will respond citywide to overdose calls, initially 12 hours a day, and by early 2022 when fully deployed, will operate 24/7. Patients are identified by hospitals, the 911 system (such as dispatch, and fire or ambulance crews), through referrals from community partners, and other sources. The teams will make sure no one is lost follow up, and in collaboration with other street outreach teams and a network of providers, can find and maintain contact with patients over time. The team anticipates building its case list to approximately 700 individuals within the first year of operations.

“Every day our paramedics, EMTs, and fire fighters respond to dozens of overdose incidents, some of which end in tragedy despite our best efforts,” said San Francisco Fire Chief Jeanine Nicholson. “Because of this, the Fire Department is uniquely situated to lead the initial identification, engagement and outreach to individuals suffering from opioid use disorder. The Street Overdose Response Team builds on the City’s expanding efforts to actively engage our most vulnerable populations. Our Community Paramedics are impactful, street-level providers who will bring coordinated care directly to those in need.”

Previously, people experiencing homelessness with substance use disorders did not receive a proactive approach and depended on their actively seeking out care from the City’s behavioral health system. SORT is part of the approach directed by the Mental Health SF legislation, which passed in 2019, to guarantee mental health care to all San Franciscans who lack insurance and prioritize people who are experiencing homelessness.

The legislation provides services and coordinated support to people experiencing homelessness who have mental health and substance use disorders.

The San Francisco Mayor’s Office of Communication is the source of this report.

Isabelle Price

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Bay Area

Oakland Mayor Pushes Charter Overhaul to Clarify Roles in City Government, Increase Accountability and Improve Service Delivery

Under the proposal, the mayor would serve as Oakland’s chief executive, overseeing city departments, implementing policy, proposing the annual budget, and managing day-to-day operations. The measure would also give the mayor veto power over legislation and the budget, though the City Council could override a veto with a two-thirds vote.

Published

1 week ago

May 17, 2026

Oakland Post

Oakland Mayor Barbara Lee. File photo.

By Oakland Post Staff

Oakland Mayor Barbara Lee is backing a sweeping proposal to restructure Oakland’s government, arguing the changes would make City Hall more accountable and improve the delivery of basic services like public safety, homelessness response, and infrastructure repairs.

The charter reform measure, introduced April 7 and co-sponsored by Oakland City Council President Kevin Jenkins, would ask voters in November to approve a “strong mayor, strong council” system designed to create clearer lines of authority inside city government.

The City Council, meanwhile, would maintain legislative authority by adopting ordinances, approving budgets, conducting oversight hearings, and confirming key mayoral appointments. The proposal would also create an Independent Budget and Legislative Analyst Office to provide nonpartisan fiscal and policy analysis for councilmembers.

“I’ve spent months listening to Oaklanders across every neighborhood about what they expect from their city government,” Lee said. “The Charter Reform Working Group’s engagement made clear that residents want a system where there are no questions about who is responsible for delivering results on public safety, homelessness, infrastructure, and basic services.”

Jenkins said the proposal would strengthen both executive leadership and council oversight.

“I’ve long believed Oakland works best when residents have clear lines of accountability and a government structure that aligns responsibility with results,” Jenkins said.

The proposal follows recommendations from the Mayor’s Charter Reform Working Group, co-facilitated by the League of Women Voters of Oakland and SPUR.

Over five months, the group conducted more than 60 interviews, held 14 public meetings across Oakland, and engaged more than 750 residents while reviewing governance models used in other cities.

“The process of engaging residents across Oakland surfaced the governance clarity Oakland needs,” said Sujata Srivastava of SPUR. “The Charter Reform Working Group has produced a thoughtful set of recommendations that if adopted could strengthen accountability and improve service delivery across city government.”

Polling cited by the mayor’s office suggests voters may be open to the changes. A February 2026 poll by the East Bay Polling Institute found 64% of voters support adopting a strong-mayor system. Separate polling conducted by the Oakland Chamber of Commerce and David Binder Research found support ranging from 61% to 63% among likely voters.

The measure is scheduled to be heard by the City Council Rules Committee on May 21. If approved by the council, it would appear on the November 2026 ballot, where Oakland voters would have the final say.

Oakland Post

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Activism

More and More, Black Californians Are Worried About Rising Costs of Housing, Energy, Food and Gas

According to an April 2024 report by the Greenlining Institute, low-income Black Californians are struggling with affordability due to a combination of historical systemic barriers and modern economic pressures. The Greenlining Institute is a California-based policy, research, and advocacy nonprofit founded in 1993 to fight systemic racism and economic injustice.

Published

1 week ago

May 17, 2026

Oakland Post

iStock.

By Antonio‌ ‌Ray‌ ‌Harvey‌, California‌ ‌Black‌ ‌Media‌

Housing, energy, food and gas are four essential household expenses, and their rising costs are forcing residents—especially lower-income households—to make difficult trade-offs, Assemblymember Rhodesia Ransom (D-Stockton) said at a conference on affordability last week in Sacramento.

Ransom, a member of the California Legislative Black Caucus (CLBC), noted a shift in consumer behavior, stating, “Before people used to choose between things that they wanted and things that they needed.”

“Now, what we’re hearing from constituents is they are prioritizing their needs differently,” she said. “Because of the affordability crisis, it’s no longer about choosing between other needs. Our constituents are now saying ‘what needs to be prioritized?’ Gas and food are at the top of the list.”

Ransom made the comments about affordability at Capitol Weekly’s informational conference titled “Affordability: The Cost of Living in California,” which was held on April 30 at the University of California’s Student and Policy Center.

Co-hosted with the University of California Student and Policy Center, the political conversations focused on identifying policy solutions to the state’s extremely high prices for energy, food, and essentials.

The keynote speakers at the conference were former Assemblymember Lorena Gonzalez, president of the California Federation of Labor Unions, and Mike Madrid, a political strategist, author, and senior fellow at UC Irvine.

Conversations about affordability are taking on greater urgency as the election season kicks in, speakers said.

According to an April 2024 report by the Greenlining Institute, low-income Black Californians are struggling with affordability due to a combination of historical systemic barriers and modern economic pressures. The Greenlining Institute is a California-based policy, research, and advocacy nonprofit founded in 1993 to fight systemic racism and economic injustice.

Black households in California experience the highest levels of rent burden; approximately 65% of Black renters, according to the Greenlining report. Historical “redlining” and ongoing discrimination have restricted homeownership. Black families also pay 43% more for energy than White households, partly because they are more likely to live in older, less energy-efficient rentals.

In addition, roughly 1 in 3 Black adults (36.5%) reported household food insecurity in late 2025, more than double the rate for White adults. This is often exacerbated by “food deserts” in predominantly Black neighborhoods.

In March, Assembly Minority Leader Heath Flora (R-Ripon) expressed concerns about affordability in California, describing it as a crisis where families are being “pushed to the edge.”

“Californians should not have to choose between putting food on the table or filling up their car,” Flora stated. “We need to cut costs now. Not tomorrow, not next week, not next month. Now.”

Cuts to the federal Supplemental Nutrition Assistance Program (SNAP) funding are being driven by the Trump Administration’s One Big Beautiful Bill Act (H.R. 1), which is reducing federal spending by approximately $187 billion through 2034.

Those reductions are putting more pressure on the state to help, Ransom said. According to the AAA Gas Prices website, as of May 8, California’s gasoline prices averaged over $6 per gallon in some areas, with various locations experiencing spikes of $7 to $8 per gallon. In California, fuel prices are driven by refinery maintenance and market volatility, while high food prices are linked to rising transportation costs, experts say.

Oakland Post

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Alameda County

The Marin City Flea Market Is Back

The Marin City Flea Market returns on May 23, offering arts, crafts, vintage items, and collectibles. The market aims to uplift local vendors and celebrate cultural diversity.

Published

1 week ago

May 15, 2026

Oakland Post

Customers shopping in Marin City Flea Market. Photo courtesy of marincityflea.org.

By Godfrey Lee

After a long absence, Marin City will once again hold its flea market. The market will have its grand opening on Saturday, May 23, from 8 a.m. to 2 p.m. at the St. Andrew Presbyterian Church parking lot on 101 Donahue St. It will be held every fourth Saturday of the month

The market will be free to the public

There will be arts, crafts, vintage, collectibles, and other items on sale at the market. Interested vendors can contact info@marincityflea.org or text (415) 484-2984 for more information.

“The Marin City Flea Market’s mission is to uplift local vendors, celebrate cultural diversity, and provide an accessible community space where creativity, entrepreneurship, and connection can thrive,” says their website, marincityflea.org.

The flea market is sponsored and run by the Rotary Club of Marin City.

For more information, contact info@marincityflea.org. Or text to (415) 484-2984