A man in fatigues speaks into a microphone at a news conference. He is surrounded by other people in police and law enforcement uniforms. They stand in front of flags and a burgundy curtain.

Military-Style Drug War in Tenderloin Sparks Fears That More Drug Users Could Overdose

Last week’s deployment of the National Guard and California Highway Patrol onto San Francisco’s streets to crack down on drugs comes amid intense public pressure to address open air drug use and sales.

But the emphasis on law enforcement for addressing the city’s drug crisis has distressed public defense attorneys and harm reduction advocates who fear the move may worsen the rate of fatal overdoses.

A fence enclosing the Tenderloin Linkage Center at United Nations Plaza in San Francisco is covered in black tarp and signs promoting the center and its services. Pedestrians walk along a red brick-paved sidewalk outside of the enclosed area.

With Overdose Deaths Surging, Critics Chide City, State for Curbing Safe Consumption Centers

San Francisco’s chief medical examiner delivered grim statistics last week about a recent increase in deaths related to drug use. In the first three months of the year, 200 people died of accidental overdose. That’s up significantly from the first quarter last year, with 142 deaths.

These tragedies were disproportionately suffered by marginalized groups. The biggest increase in deaths occurred among those who lacked housing. People listed as having “no fixed address” accounted for 61 overdose deaths in the first quarter, up from 26 during the same period in 2022. Black residents accounted for 33% of fatal overdoses in the first quarter this year, despite representing only 5% of the city’s population.

Addiction experts say the recent increase in overdose deaths could be linked to the closure of the Tenderloin Linkage Center, a temporary facility that operated in United Nations Plaza from January to December 2022 to help drug users and people without housing access supportive services.

A young woman with shoulder-length brown hair and wearing a pale blue sweater faces forward and appears to be speaking in a screen-grab image from a TikTok video.

Family Courts Rely on Dubious Theory to Dismiss Child Abuse Claims

Disbelieving a child’s allegation of abuse based on the notion that the other parent brainwashed them into lying is a hotly debated legal tactic called parental alienation.

A growing chorus of international media coverage, medical groups and judicial bodies are expressing doubts over the validity of this legal defense tactic and of its practitioners.

A black-and-white profile photo of a man facing left in front of leafy trees.

Research on Climate Change and Health Reveals Risks for Older Adults: A Q&A With Dr. Andrew Chang

The number of Californians over 60 is expected to climb by 166% between 2010 and 2060, according to data from the California Department of Aging. In that time period, department data projects that San Francisco’s over-60 population is expected to grow by 159% and Alameda County’s by 195%. Against this backdrop and with extreme weather events on the rise, physician-researchers like Dr. Andrew Chang, an attending physician specializing in cardiology at the Veterans Affairs Palo Alto Health Care System and postdoctoral research fellow at the Stanford Cardiovascular Institute, are investigating how the biological mechanisms of aging and a warming world will affect the health of older adults.

State Sen. Susan Rubio, who introduced a senate bill to expand the California Family Code to include coercive control in family court hearings and criminal trials, speaks about the need to keep children of domestic violence survivors safe in front of Los Angeles City Hall on June 27, 2022.

Coercive Control Victims Face Skeptical Judges, Court Transcripts Show

On average in the U.S., more than 1 in 3 women, and 1 in 4 men, will experience physical violence, rape or stalking by an intimate partner, according to the National Domestic Violence Hotline. Nevertheless, when victims turn to family court for protection from their abusers, they often face skeptical judges. And that’s especially true when the abuse doesn’t leave a mark.

A person walks across the frame in front of a short set of stairs leading to the entrance of Laguna Honda Hospital. The hospital — a 780-bed facility on 62 acres in San Francisco’s Twin Peaks neighborhood — is facing challenges in fulfilling a Centers for Medicare and Medicaid Services mandate to move out all patients by Sept. 13, 2022, before it can apply to the centers for recertification.

Laguna Honda Hospital Has to Self-Destruct to Survive

Administrators are overhauling policies and procedures to regain federal funding that is set to expire following the issuance of multiple damning inspection reports at Laguna Honda Hospital. They have until Sept. 13 to implement changes, which include a requirement to transfer or discharge all patients, before they can apply for recertification from the Center for Medicare and Medicaid Services — which has the authority to restore funding for patient services. But administrators say they’re struggling to fulfill the center’s mandate to move out all patients by the looming deadline.

A view from a lower point on the hillside looking across lush green gardens and up toward Laguna Honda Hospital's Spanish Revival-style buildings.

Laguna Honda Doctors Warned SF of Looming Crisis

Nearly 700 live-in patients at Laguna Honda Hospital were thrown into chaos this spring after a series of damning inspections led the Center for Medicare and Medicaid Services to pull funding and mandate a closure plan for the facility.

It’s a dire situation for residents of the skilled nursing facility who have specialized needs that make them hard to place elsewhere. Hospital administrators are scrambling to attain the recertification needed to continue to receive federal funding.

Two former Laguna Honda physicians say they have continued to warn city officials about this looming crisis after first flagging it 18 years ago. That’s when a Department of Public Health policy began admitting to Laguna Honda patients whose needs fell outside the scope of a typical nursing home for the elderly.