Building a Stronger Safety Net
The measures our city has taken on behalf of its destitute, its addicted, its marginalized, and its most severely disabled have not managed to safeguard nearly enough of them from some of the worst effects of poverty and disenfranchisement.
San Francisco’s Department of Homelessness and Supportive Housing has seen its budget triple from $202 million in 2016 to more than $650 million in 2023. And yet, there are no performance metrics or required outcomes associated with the spending of this money. We have only seen the number of homeless, mentally ill and those struggling with addiction grow. 5,000 more people who experienced homelessness at some point during the year in 2021, as compared to 2018.
San Francisco’s social services system will not reach adequate effectiveness through minor fixes or random patches. What it needs is a complete rebuild from much stronger material, followed by a care and maintenance program so robust that things never get this broken again.
The Way it is Now
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Substance Abuse Growing More Deadly
Fentanyl remains a leading cause of mortality. From January 2021 to February 2022, accidental drug overdoses in San Francisco took the lives of 743 people. Mental illness continues to go untreated. This, combined with San Francisco’s failure to curb unrestricted drug abuse, has led to unstable and sometimes violent individuals on our streets who pose danger to themselves and others. Addressing these issues requires courage and follow through that we have yet to see from our leaders.
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Food Insecurity on the Rise
People need help putting meals on the table, from the youngest among us (21% more residents have participated in the city’s Special Supplemental Program for Women, Infants, and Children) to those in their later years (45% more seniors and adults with disabilities have received meals through the Department of Aging and Disability Services).
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An Exhausted Infrastructure
With thousands of peoples’ physical and mental health deteriorating on the streets and drug use rampant—made even more visible with the absence of commuters and tourists—the city’s emergency services are heavily burdened and on the brink.
The Future We Want to See
Following the Money
Require performance based or incentivized contracts with nonprofits to ensure quality of service and management of services
Introduce metrics and monitoring to ensure that nonprofit and private developers produce the number of specified units under contract—with penalties for noncompletion (or partial completion) by specified due dates.
Reshaping the Funnel
Those struggling with drug addiction and homelessness will find what they need when they need it, be it stable housing, medical, psychiatric, or therapeutic care, or expanded sobering centers.
Thinking Outside the Tent
San Francisco will become a national leader in developing long-term residential solutions for unhoused people needing minimal, moderate, and intensive support.