San Francisco Public Press (https://www.sfpublicpress.org/category/health/)
San Francisco officials appear to have abandoned efforts to open facilities where people can consume drugs under supervision — even as more cities adopt the model to prevent deadly overdoses.
Recent studies show that overdose prevention centers save lives, keep people from consuming drugs in public and do not lead to increased crime.
Osbaldo Varilla-Aguilar and his housemates are members of a community that may have been hardest hit by COVID-19 in San Francisco: immigrants, especially those working unprotected essential jobs. While the devastating impacts on Latinx residents in the Mission District and Bayview are increasingly documented, the lingering, and sometimes extreme, symptoms of infection are much less understood.
More than 1 million California adults — and 19.4 million Americans — live with both a serious mental illness and substance use disorder. In fact, roughly half of all people with severe mental illness are thought to also have a co-occurring substance use disorder. Traditionally, treatment programs target one of these populations or the other. Progress Foundation is one of the few across the country serving people who have both — so-called dual diagnosis patients.
In San Francisco, it is not uncommon to cross paths with a person experiencing homelessness in the throes of a mental health crisis. The scene can be tragic, confusing and sometimes might feel dangerous.
Bystanders might wonder how to summon help from the city — and what will happen if they do.
We created a flow chart to answer those questions. We show how cases traverse a tangle of pathways, through handoffs between dispatchers and myriad public workers. The person in crisis might spend days or weeks tumbling through the criminal justice system or health care facilities. Often, they return to where they started: the streets.
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.
Desde el comienzo de la pandemia del COVID-19, los mayas de San Francisco han estado muriendo por sobredosis de drogas a tasas elevadas. Los expertos dicen que se necesitan servicios de salud más capacitados, y los proveedores deben ser culturalmente competentes y capaces de comunicarse de manera efectiva con estos residentes, que no pueden hablar con fluidez inglés o español.
Since the beginning of the COVID-19 pandemic, San Francisco’s Mayans have been dying of drug overdoses at elevated rates. More robust health services are needed, experts say, and providers should be culturally competent and able to communicate effectively with these residents, who may not be fluent in English or Spanish.
It seems that we’ve pushed the COVID-19 pandemic into the collective “memory hole” — a place where those thoughts, feelings and traumas can be dropped, comfortably out of sight. But remembering is vital to processing grief and readying countermeasures for a future outbreak.
The future is uncertain for California Proposition 1, which looks like it might pass by a razor-thin margin and would expand the state’s mental health and substance abuse treatment infrastructure. As votes are still being tallied, we bring you this story from news outlet MindSite News about a San Francisco organization that is filling a glaring void in the health care system.
Mel Baker shares an excerpt of an interview with Dr. Monica Gandhi in which they discuss the early days of the COVID-19 pandemic. Gandhi is a professor of medicine and associate division chief of HIV, infectious diseases, and global medicine at UCSF and Zuckerberg San Francisco General Hospital and author of “Endemic: A Post Pandemic Playbook.”
La falta de programación en español es un problema crecientemente grave ya que el encarcelamiento de latinos ha aumentado desde el lanzamiento el junio pasado de una ofensiva policial contra las drogas en los vecindarios de Tenderloin y sur de Market. • Read in English: https://www.sfpublicpress.org/service-providers-demand-access-to-latinx-jail-inmates
