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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

Marin City Public Housing Residents Demand a Voice in County’s Renovation Plans

Representation has been a continuous struggle for the Residents Council, she said in an interview with the Post News Group.  In 2014, the tenants took the county to federal court over this issue, and prevailed, resulting in an MOU that was in effect from 2014 to 2024, said McLemore. “Now, they are not responding to our rightful requests to participate.  They are not giving us a legal justification for their position.”

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The largest housing complex in Marin County, Golden Gate Village residents are for predominantly Black and low-income. Courtesy image.
The largest housing complex in Marin County, Golden Gate Village residents are for predominantly Black and low-income. Courtesy image.

Tenants say the County of Marin is ignoring federal law requiring resident council participation

By Ken Epstein

Marin City public housing residents say the County is illegally depriving them of their rights to participate in renovation decisions that affect the future of their housing, raising deep concerns over whether the county ultimately will find a way to displace them.

According to regulations established by the U.S. Department of Housing and Urban Development (HUD), Marin City public housing residents have the right to organize, elect resident councils, and hold public housing agencies accountable for involving them in management decisions.

Without resident participation, the Board of Housing Commissioners, made up of the five Marin County Board of Supervisors and two resident comissioners, has approved a $226 million project.  The plan calls for renovation of the 296 units in Golden Gate Village (GGV) and focuses on interior improvements. The project is scheduled to start in July.

Residents’ concerns have a long history, said Royce McLemore, president of the Golden Gate Village Residents Council and a 50-year resident of Marin City,

Representation has been a continuous struggle for the Residents Council, she said in an interview with the Post News Group.  In 2014, the tenants took the county to federal court over this issue, and prevailed, resulting in an MOU that was in effect from 2014 to 2024, said McLemore. “Now, they are not responding to our rightful requests to participate.  They are not giving us a legal justification for their position.”

With no current MOU mandating training and participation of residents, the legal basis for all the redevelopment decisions made by the county since 2024 is questionable, said Terrie Green, executive director of Marin City Climate Resilience. “We are experiencing voicelessness. If residents had a voice, we wouldn’t be where we are today,” she said.

County decisions include a plan, in line with federal regulations, to convert GGV from public housing to a public-private enterprise that allows for private investment. The Marin Housing Authority has created a limited partnership that includes Burbank Housing – which will renovate the units and manage the property – and Wells Fargo Bank, the investor.

This change in federal policy regarding public housing, which includes a shift to a Section-8 voucher system, has resulted in gentrification across the country, particularly affecting African Americans in cities such as San Francisco.

Shifts in criteria of what is considered affordable could also end up pricing residents out of their living units. At present, low income in Marin County is officially considered $156,000. But the median household income in Marin City is significantly lower at $68,846

Damian Morgan, a community advocate with Marin City Climate Resilience, questioned why the county is renovating apartments without fixing toxic infrastructure that is impacting the lives of people in GGV.

Morgan said tenants have filed a class action lawsuit because of unsafe conditions at Golden Gate Village.

Residents are also concerned that the County still does not have an adequate family plan for temporary displacement while their apartments are being renovated.  Although the County has suggested other community apartments as alternatives, nothing concrete has developed except vacant public housing units that have the same toxic conditions, such as mold and mildew.

Green said it doesn’t make sense. “…Why are we moving people around into temporary housing that’s uninhabitable, when you should be dealing first with the infrastructure, the foundational work, replacing old and rusted water pipes and new sewers.”

Morgan questions the County’s motivation for neglecting infrastructure repairs. “They’re remodeling the units but leaving the decayed infrastructure in place. I feel like they’re just setting this up for it to fail.”

“What slowed it down a little is that GGV is a historic preservation district, but I think what they’re striving for is demolition by neglect,” he said. “The neglect has always been on their part.”

Architect Ora Hatheway said her concern is about cutting corners. “You have to deal with the land issues. You have to deal with grading and drainage, and that’s being brushed under the rug.”

In an interview with KGO TV, Marin County Supervisor Stephanie Moulton-Peters responded to some of these concerns.  She said residents are guaranteed the right to return to their homes.

“This is a concern that we take seriously,” she said. “Every resident will move back into their own unit, and we’ve given this to them in writing. Before they leave their unit, we will sign a document together that guarantees their right to return.”

In response to residents who feel left out of the planning process, she said community input has focused on those affected by the first phase of the project. “So other residents may not have heard quite as much or felt like they had as much contact. But if there are residents who have concerns, we’re happy to hear from them. You can contact my office or the housing authority directly,” she said.

While County leaders may be giving some updates to some tenants, they are not sitting at the table with the Residents Council nor giving residents a voice in decision-making, said McLemore.

Without a voice in decisions, tenants are worried that Black people may be forced out of public housing, resulting in gentrification, she said in an interview with ABC 7.  It’s still paternalistic, she said.  “It’s still that ‘We know what’s best for you.’’’

Several years ago, the Residents Council proposed a land trust plan that would give tenants homeownership rights.  Though the plan had broad support throughout the county, it was rejected by the Board of Supervisors

In the final analysis, Green said, for Marin City tenants the fight is not just for decent housing but to maintain their community with dignity under conditions of mutual respect.

“We’re talking about people who came here to work in the shipyards during World War II to bring about peace and safety to this country,” she said. “Look at the discrimination we’ve faced down through the years. Look at the life-span issue of Marin City folks – almost 20 years less than the rest of the County.”

“We want educational equity so our children will have decent schools. We need a land trust, property ownership, so we can have wealth creation. Marin City needs the same quality of life as other communities in Marin County.”

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Activism

Oakland Post: Week of May 6 – 12, 2026

The printed Weekly Edition of the Oakland Post: Week of may 6 – 12, 2026

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Activism

On the Frontlines of Hate: NAACP Links Victims to Critical Support

The NAACP CA/HI has a long and well-established record of supporting victims of discrimination and hate crimes — providing critical referrals and, when necessary, direct assistance through legal advocacy and other forms of support. Beyond responding to incidents, the organization continues to advocate on broader civil rights issues, including voting rights and legal protections. It has also worked to counter efforts at the state and federal levels that could weaken the voting power of communities of color.

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NAACP members at a recent advocacy day in Sacramento urging lawmakers to protect voting rights. Photo courtesy of California Black Media.
NAACP members at a recent advocacy day in Sacramento urging lawmakers to protect voting rights. Photo courtesy of California Black Media.

By Joe Kocurek
California Black Media

The California/Hawaii State Conference of the NAACP (CA/HI NAACP) has expanded its efforts to respond to rising hate incidents and civil rights complaints across California, supported in part by funding from California’s Stop the Hate Program

Through that grant, NAACP CA/HI has strengthened its ability to connect individuals experiencing hate or discrimination with critical resources. This includes referring those who file complaints to the CA vs Hate hotline, a statewide, non-emergency hate crime and incident reporting hotline and online portal created to help counter a more than 50% increase in reported hate crimes in California between 2020 and 2024. The system helps ensure incidents are documented, and victims are guided toward appropriate support.

LaJuana Bivens says the work of NAACP is as urgent as ever. Photo by Regina Wilson, California Black Media.

LaJuana Bivens says the work of NAACP is as urgent as ever. Photo by Regina Wilson, California Black Media.

LaJuana Bivens, who has served in a number of roles within the NAACP, said California has seen an increase in civil rights violations and hate-related incidents.

“We have 52 branches, and they are constantly receiving complaints,” she said. “So, without the Stop the Hate, we would not be able to refer those cases up to attorneys at the state level. A lot of the people would not have had an opportunity to be heard.”

Carmen-Nicole Cox helps survivors of hate with their legal options. Photo courtesy of Carmen-Nicole Cox.

Carmen-Nicole Cox helps survivors of hate with their legal options. Photo courtesy of Carmen-Nicole Cox.

Carmen-Nicole Cox, an attorney who works with NAACP CA/HI – as a part of California’s Stop the Hate Program – provides legal consultation to victims of hate incidents and discrimination through her legal practice, the Cox Firm for Law and Policy.

She said the complaints she receives span a wide range of issues.

“People are having home builders and landlords refusing to provide repairs, a student was denied promotion in an academic program, and targeted scrutiny at work,” she said. “It’s typically employment; it’s housing; it’s education.

“We’ll meet and they’ll share their experiences,” she said. “And then I make assessments about possible legal claims.”

According to the California Civil Rights Department (CRD), nearly 1,200 reports of hate against minority groups were submitted in 2024 through the CA vs Hate hotline and online portal for non-emergency incidents.

While the California/Hawaii State Conference of the NAACP, which has tens of thousands of members, does not directly investigate hate incidents or crimes, it plays a key role in connecting victims to the state’s reporting systems and support services.

The NAACP CA/HI has a long and well-established record of supporting victims of discrimination and hate crimes — providing critical referrals and, when necessary, direct assistance through legal advocacy and other forms of support.

Beyond responding to incidents, the organization continues to advocate on broader civil rights issues, including voting rights and legal protections. It has also worked to counter efforts at the state and federal levels that could weaken the voting power of communities of color.

Bivens recently traveled to Sacramento to speak with state lawmakers about voting rights during an advocacy day event hosted by the organization.

“It’s just so hard for communities of color to be up to date because of all of the confusing information coming from the federal level,” she said. “I love our great state of California because here it is possible to vote by mail and to vote early.

“And I’m seeing that trying to be eroded. So, I’m here to urge continued support for vote by mail and early voting.”

When Texas moved to redraw congressional districts in ways critics said would dilute minority voting strength, NAACP CA/HI supported the passage of Proposition 50 in California. The organization also intervened in United States v. Shirley Weber, where federal officials sought access to unredacted California voter records, including Social Security numbers, raising concerns about misuse and voter intimidation.

Cultivating the advocacy and leaderships of young people is central to NAACP’s mission to fight racism and dismantle inequality. Photo courtesy of California Black Media.

Cultivating the advocacy and leaderships of young people is central to NAACP’s mission to fight racism and dismantle inequality. Photo courtesy of California Black Media.

A federal district court dismissed that case in January 2026.

The organization’s current work builds on a long history of civil rights advocacy. Today, Bivens says, the organization’s mission remains as urgent as ever.

“We are the oldest, boldest, most feared Civil Rights organization,” Bivens said. “What we do every day is fight for better housing, education, economic development and political inclusion. We take it on because there are just so many people who need that support.

“You would be amazed that our phones ring every single day.”

Get Support After Hate:

California vs Hate is a non-emergency, multilingual hotline and online portal offering confidential support for hate crimes and incidents. Victims and witnesses can get help anonymously by calling 833-8-NO-HATE (833-866-4283), Monday to Friday, 9 a.m.–6 p.m. PT, or online at any time. Anonymous. Confidential. No Police. No ICE.

This story was produced in partnership with CA vs Hate. Join them for the first-ever CA Civil Rights Summit on May 11. More information at www.cavshate.org/summit.

https://youtu.be/_k7UVhI-sN8

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