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S.F. Mayor Announces Expansion of Treatment Beds for People Suffering from Mental Health, Substance Use Disorders

As part of the Breed’s budget investments, San Francisco will create over 400 new treatment beds, a 20% expansion

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Key Words - Mental Health Photo Courtesy of Marcel Straub via Unsplash

Mayor London N. Breed and the San Francisco Department of Public Health (DPH) announced on July 21 that San Francisco is implementing the expansion of over 400 new treatment beds for people experiencing mental health and substance use issues. This expansion of treatment beds will provide more options for people in need to receive appropriate services that match their situation, while also providing San Francisco’s new Street Response Teams with additional placements for clients they interact with.

The expansion plans represent a 20% increase in the City’s residential treatment capacity. In 2021 alone, San Francisco will see 140 new beds opened, with significant progress made toward filling the gaps in critical needs areas identified in the 2020 Behavioral Health Bed Optimization Report. Since Breed took office, San Francisco has added more than 100 treatment beds across San Francisco’s system of care.

“This is an unprecedented expansion of our system of care and treatment for people with mental health and substance use disorders,” said Breed. “We are responding with the urgency that this crisis deserves, while saving millions of dollars by removing bottlenecks in the system so that people can move into lower, less costly levels of care when they are ready. Each one of these placement facilities takes a tremendous amount of time and effort to make happen, but we should see the benefits for years to come.”

These new treatment beds will allow San Francisco’s new street outreach teams, including the Street Crisis Response Teams and the Street Wellness Response Teams, with additional placements that can serve the clients they interact with.

There are now five Street Crisis Response Teams operating in San Francisco, responding to about 500 calls monthly. Breed included funding in this year’s budget for five Street Wellness Response Teams, which will begin to respond to “wellness check” calls, which total roughly 17,000 annually.

The expansion effort is guided by recommendations from the Behavioral Health Bed Optimization Project report in 2020, as well as the Mental Health SF legislation in 2019, and utilization data that identified the types of treatment in highest need. These new beds and facilities are at various stages of development, with some ready for opening in 2021 and others in stages of planning and design.

“Coming out of COVID, our biggest public health crisis is the thousands of people living on our streets with untreated mental health and substance use disorders. Getting these sick people off the streets and into appropriate treatment beds will save lives and make San Francisco a safer and healthier place for all,” said District 8 Supervisor Rafael Mandelman.

“People who are mentally ill and addicted to drugs need immediate access to treatment and care.  Expanding our city’s treatment beds and Street Crisis Response teams through Mental Health SF will better ensure services are available, accessible and effective,” said District 6 Supervisor Matt Haney. “Fully funding Mental Health SF was a top priority for us during this year’s budget process, and we worked together to expand much needed treatment beds, care coordination, and street intervention. These treatment beds cannot come soon enough.”

“This expansion of available treatment facilities is an essential part of fully implementing Mental Health SF. We must have places for people in crisis to get the care they desperately need and to stop the revolving door that returns people to the streets,” said District 9 Supervisor Hillary Ronen.

“We are not only improving patient flow so that individuals receive timely care and treatment, we are also developing innovative models of care to target the unique needs we see in the community,” said Dr. Naveena Bobba, Deputy Director of Health. “The investments we are making in the expansion in our residential care and treatment system will be critical to help us meet our goal for rapid access to recovery-oriented care and treatment.”

Several innovative types of treatment and care programs designed to meet the diverse needs of people with behavioral health challenges are being developed, including:

  • The 20-bed SOMA RISE Center will open in the fall of 2021 as part of the City’s response to the drug overdose crisis. It will offer a safe indoor space for people who have used methamphetamine or other substances, monitor their health while intoxicated, and connecting them with other health and social services.
  • A 10-bed residential treatment facility specifically designed to treat young adults with serious mental health and/or substance use disorders is under design.
  • Neighborhood-based psychiatric respite facilities for people experiencing homelessness to shelter in a safe, supportive environment where they can also access ongoing care.

Meanwhile, as board-and-care homes shutter due to the escalating costs of housing, DPH is also in active negotiations to acquire facilities to accommodate at least 73 residential care beds to support people with mental health issues who require assistance with activities of daily living. Some of these will support the elderly.

Critically, DPH is also creating 140 new beds to support people leaving residential substance use treatment – a last step in skill-building before independent housing.

In May, DPH alongside community partners PRC/Baker Places, the Salvation Army, and Tipping Point Community opened Hummingbird Valencia, a psychiatric respite facility for people experiencing homelessness in the Mission and Castro neighborhoods. It is now operating at full capacity with 30 overnight beds and 20 daytime drop-in spaces.

For the latest update on San Francisco’s residential care and treatment expansion, go to: sf.gov/residential-care-and-treatment.

San Francisco has also made available a daily update of available mental health and substance use treatment beds at: FindTreatmentSF.org. 

The San Francisco Mayor’s Office of Communications is the source of this story.

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Activism

16th Annual MLK Day of Service on the Richmond Greenway

The 16th annual MLK Day of Service in Richmond honoring the legacy of Dr. Martin Luther King Jr.  was held Jan. 16 with a day of service to the community and activities for families on the Richmond Greenway.

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“…Everybody can be great because everybody can serve.” – Dr. Martin Luther King, Jr.

The 16th annual MLK Day of Service in Richmond honoring the legacy of Dr. Martin Luther King Jr.  was held Jan. 16 with a day of service to the community and activities for families on the Richmond Greenway.

The event was hosted by Urban Tilth and the City of Richmond. Event partners were Groundwork Richmond, Rich City Rides, Moving Forward, Hope Worldwide, The Watershed Project, Contra Costa Resource Conservation District, Building Blocks for Kids, City of Richmond, Cal Cameron Institute, Friends of the Richmond Greenway; and Pogo Park.

The celebration made possible with the support of the Hellman Family Foundation, City of Richmond, and hundreds of individual donors.

The day’s schedule included volunteer projects along the Richmond Greenway and a Martin Luther King, Jr. memorial and community celebration at Unity Park.

Among the community service projects were opportunities to take part in projects to transform and beautify the Richmond Greenway Trail, like tending to the Greenway Gardens, trash pickup, and planting native plant and trees.

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Bay Area

Report Reveals California Cops Explicit Bias against African Americans

While the data show that most people consent to a search when asked by an officer, research from the report reflects that this “consent” is not necessarily voluntary because of the inherent power inequality between a law enforcement officer and a member of the public. 

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The Board’s analyses reveal significant disparities that warrant further examination of law enforcement practices. 
The Board’s analyses reveal significant disparities that warrant further examination of law enforcement practices. 

By Stacy M. Brown | NNPA Newswire

A new report has revealed that California law enforcement officers searched, detained on the curb or in a patrol car, handcuffed, and removed from vehicles more individuals perceived as Black than individuals perceived as white, even though they stopped more than double the number of individuals perceived as white than individuals perceived as Black.

California’s Racial and Identity Profiling Advisory Board’s report gathered information from 18 law enforcement agencies.

The data revealed that officers stopped 2.9 million individuals in 2020. Most were African Americans and members of the LGBTQ community.

The agency said that the data included what officers “perceived” to be the race, ethnicity, gender, and disability status of people they stopped, even if the perception was different from how the person identified.

According to the data, authorities search African Americans 2.4 times more than whites and disproportionately more than other racial and ethnic groups.

It also found that individuals officers perceived as transgender women were 2.5 times more likely to be searched than women who appeared cisgender.

Data for the report came from the state’s most important law enforcement agencies, like the California Highway Patrol.

However, the highway patrol didn’t include data analyzing stops based on gender identity.

All agencies must report the data in 2023.

“The data in this report will be used by our profession to evaluate our practices as we continue to strive for police services that are aligned with our communities’ expectations of service,” Chief David Swing, co-chair of the Board and past president of the California Police Chiefs Association, said in a statement.

The report further showed that Black and Hispanic individuals were more likely to have force used against them compared to white individuals, while Asian and other individuals were less likely.

Specifically, the odds of having force used during a stop were 1.32 times and 1.16 times as high for Black and Hispanic individuals, respectively.

Asian and other individuals whom officers stopped had lower odds of having force used against them (0.80 and 0.82, respectively) relative to the odds for those perceived as white.

Search discovery rate analyses showed that, when officers searched individuals, all races, or ethnic groups of color, except for Asian and Middle Eastern/South Asian individuals, had higher search rates despite having lower rates of discovering contraband than individuals perceived as white.

Furthermore, a search and discovery rate analysis show that officers searched people perceived to have a mental health disability 4.8 times more often and people perceived to have other types of disabilities 2.7 times more often than people perceived to have no disability.

Still, they discovered contraband or evidence at a lower rate during stops and searches of people with disabilities.

Officers used force against individuals perceived to have mental health disabilities at 5.2 times the rate at which they used force against individuals they perceived to have no disabilities.

The data show that Black and Hispanic/Latinx individuals are asked for consent to search at higher rates than white individuals.

Officers searched Black, Hispanic/Latinx, and multiracial individuals at higher rates for consent-only searches than all other racial/ethnic groups.

These consent-only searches resulted in lower rates of discovery of contraband (8.5%, 11.3%, and 13.0%, respectively) than searches of all other racial and ethnic groups.

The reason for the stop was a traffic violation in more than half of the stops where officers conducted a consent-only search (consent being the only reason for the search) of Black, Hispanic/Latinx, and Middle Eastern/South Asian individuals.

On the other hand, less than 30% of the consent-only searches of white people happened during traffic stops.

The people who wrote the report said that searches based on consent alone lead to fewer discoveries than searches based on reasonable suspicion or probable cause.

With consent-only searches, the rate of finding something was 9.2 percentage points lower for Black people than for white people.

“Given the disparities in the data on consent searches, the board questions whether consent searches are truly voluntary,” the authors wrote.

While the data show that most people consent to a search when asked by an officer, research from the report reflects that this “consent” is not necessarily voluntary because of the inherent power inequality between a law enforcement officer and a member of the public.

The research shows that this natural power imbalance is evident in vulnerable groups, such as people with mental health problems or young people, who may be more likely to give in to authority.

“Indeed,” the authors wrote, “RIPA data reflects that for both people with mental health disabilities and youth, a larger proportion of their stops that began as consensual encounters resulted in searches, as compared to people without mental health disabilities or adults.”

Board members said they carefully looked at the data about people who were stopped and searched because of their status as people under supervision.

The Board’s analyses reveal significant disparities that warrant further examination of law enforcement practices.

For example, officers performed supervision-only searches – where supervision status is the only basis for the search – of individuals perceived as Black at 2.8 times the rate at which they performed supervision-only searches of individuals they perceived as white.

Similarly, officers also performed supervision plus searches – where the officer had some other basis to search the person – of Black individuals at 3.3 times the rate they performed supervision plus searches of white individuals.

The rates of discovering contraband for supervision-only searches were lower for all racial/ethnic groups than white individuals; Black individuals had the most considerable difference in their discovery rate (-11.4 percentage points) compared to whites.

Officers also reported a higher proportion of supervision-only searches during stops for traffic violations (46.9%) than during reasonable suspicion stops (24.6%).

“These were just a few of the many disparities discussed in the report,” board members noted.

“Given the large disparities observed, the Board reviewed efforts by various law enforcement agencies to limit inquiries into supervision status as well as stops and searches on the basis of supervision status.

“The RIPA data further indicates that the practice of conducting supervision-only searches shows racial disparities that result in low yield rates of contraband or evidence.”

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Activism

Sheng Thao Sworn in as New Mayor of Oakland, Pledges New Direction for the City

Mayor Thao provided a few minutes on the program to introduce to the community Dr. Kimberly Mayfield, the newly appointed deputy mayor, who has served as vice president of external affairs and dean of the school of education at Holy Names University, a leader of the Black Women Organized for Political Action (BWOPA) and a member of the sorority Alpha Kappa Alpha, Inc.

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Mayor Sheng Thao, sworn in as the 51st Mayor of Oakland, is flanked by her son Ben Ventura and her father “Richard” Nou My Thao at the Paramount Theatre in Oakland, Jan. 9, 2023. Photo courtesy of Alain McLaughlin Photography.
Mayor Sheng Thao, sworn in as the 51st Mayor of Oakland, is flanked by her son Ben Ventura and her father “Richard” Nou My Thao at the Paramount Theatre in Oakland, Jan. 9, 2023. Photo courtesy of Alain McLaughlin Photography.

Mayor Thao appoints HNU’s Dr. Kimberly Mayfield as deputy mayor

By Ken Epstein

Sheng Thao, a daughter of Hmong refugees who overcame homelessness and domestic abuse to attend university and build a life for herself and her family in Oakland, received the official oath of office Monday afternoon as the new mayor of the City of Oakland.

Sworn in at the Paramount Theatre in downtown Oakland by California Attorney General Rob Bonta, she stood on stage surrounded by friends, family, and staff members. She was flanked by her son Ben Ventura, who performed a musical piece on the cello, and her father “Richard” Nou My Thao.

The mayor called on Oaklanders to join with her to create a more humane, inclusive, and just city. She spoke about her commitment as a progressive to significantly improve the quality of life for residents, making the city safer and cleaner, building 30,000 units of truly affordable housing, fostering jobs, promoting economic development, supporting small businesses and providing solutions to homelessness that recognize the dignity of the unsheltered.

“I know what we can do together, Oakland,” she said. “Our city’s’ best days are still to come. The Oakland that we all know is possible and within our reach.”

Newly appointed Deputy Mayor Kimberly Mayfield (left) with Mayor Sheng Thao. Photo courtesy of Alain McLaughlin Photography.

Newly appointed Deputy Mayor Kimberly Mayfield (left) with Mayor Sheng Thao. Photo courtesy of Alain McLaughlin Photography.

Mayor Thao provided a few minutes on the program to introduce to the community Dr. Kimberly Mayfield, the newly appointed deputy mayor, who has served as vice president of external affairs and dean of the school of education at Holy Names University, a leader of the Black Women Organized for Political Action (BWOPA) and a member of the sorority Alpha Kappa Alpha, Inc.

In her remarks, the mayor focused on the city’s long fight to become more inclusive and equitable.

“We believe everyone deserves a seat at the table, not just a few, not just the wealthy, not just the well-connected,” she said.

“Sometimes, we take our shared progressive values for granted, our advances toward justice and equality,” said Mayor Thao.

She reminded people that “a…century ago, our city was dominated by members of the Ku Klux Klan (where) Klan members burned crosses in our hills and marched through our streets. As recently as the1970s, freeways were made possible by tearing down thriving Black, Latino, and Asian communities,” she continued.

“We recognize what we have overcome together to remember what is worth fighting for every day…(and) to take stock of how far we still have to go.”

Promising a “comprehensive” approach to public safety to make all neighborhoods in the city safer, she said she would bolster anti-crime programs like Ceasefire and “we will fill (police) vacancies with home-grown police officers who know our community, who look like us.”

At the same time, she said, the city must increase opportunities for young people, reinvigorating the summer jobs program (for youth) and enhance the school-to-work pipeline so young people can gain experience and job skills.

She said she would beef up the many city departments that are currently operating on skeleton staffing, promising to fill the staffing vacancies that “plague our city.”

Mayor Thao said she herself is a renter, and that she “will fiercely protect Oakland renters. If you are a renter in Oakland, you’ve got a mayor who’s got your back.”

Speaking about the Oakland A’s proposed waterfront real estate development promoted by former Mayor Libby Schaaf, Mayor Thao said the city will continue negotiations to keep the team “rooted in Oakland.”

“Working closely with the A’s, I’m hopeful we can reach a good deal, (based) on our Oakland values,” she said.

The former mayor’s plan for building the proposed waterfront real estate development at the Port of Oakland was dealt a major setback this week when Oakland failed to secure more than $180 million in federal funds to help pay for infrastructure development for the project.

Speaking of the importance of the appointment of Mayfield as deputy mayor, the Mayor’s Office explained her role in the new administration:

“Mayor Thao was thrilled Kimberly Mayfield agreed to join her team because of her tremendous and longstanding leadership in Oakland. In recognition of her vast experience, it was decided that the best role for her would be as deputy mayor where she will be an instrumental part of the leadership of both the Office and Oakland.”

In her introduction at the Paramount Theatre, Mayfield said, “Today is not about political agendas…It’s about the power of the people…it’s a recognition of the rejection of the status quo. This new chapter begins with a mayor that understands how to build a culture that works for everyone. Thank you, Mayor Thao for the opportunity to serve.”

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