After the Crisis: Unique Program Helps Older Adults Grappling With Both Addiction and Mental Illness

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.

Many people gather behind Sen. Susan Rubio, who is speaking at a podium at the state Capitol.

Recent Policy Reforms May Help California Domestic Violence Survivors Stay Housed

Domestic violence survivors in the Golden State are getting some help in the form of recent regulatory reforms. That includes one policy that prohibits some landlords from rejecting housing applicants based on their credit histories, which often suffer in abusive situations.

But more big fixes are needed, a UCSF report notes, like additional domestic violence shelters and better coordination of shelter and social service intake systems. Many women find today’s homeless shelter settings unsafe, so they opt to sleep on the streets after they leave an abusive partner.

A collage depicting someone making a phone call about a homeless person in distress, as well as the emergency responders who may be dispatched to that call.

You Report an Unhoused Person in a Mental Health Crisis. This Is What Happens Next

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.

An illustration of a man watching the arrival of a red van, labelled Street Crisis Response Team — a common scene before people are put on involuntary psychiatric detentions AKA “5150 holds.”

The Often Vicious Cycle Through SF’s Strained Mental Health Care and Detention System

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.

Proveedores de ervicios opinan que SF subestima la necesidad que hay a pesar de que cada vez más familias migrantes buscan acceder albergues

Los proveedores de servicios han visto un aumento reciente en el número de familias migrantes sin hogar que buscan refugio en San Francisco, y dicen que el sistema de albergues de la ciudad está saturado, y a menudo falla, para recibirlos. Los defensores locales de las personas sin hogar están pidiendo ala alcaldía que satisfaga esta urgente necesidad.

Homeless migrant families and others sit in City Hall Chambers during a meeting.

SF to Offer Some Homeless Migrant Families Temporary Hotel Stays, as the Rest Languish

Faced with an influx of unhoused migrant families into San Francisco, the Department of Homelessness and Supportive Housing will offer between 100 and 150 households temporary stays in hotels in the next year. That will likely fall short of addressing the full need.

Migrant families have joined service providers and faith-based advocates in a push for a policy response to the mounting crisis, including increasing access to temporary housing and providing greater transparency about where families are on the waitlist for shelter. City officials discussed potential solutions at a Monday hearing of the Board of Supervisors.

Las Muertes por Sobredosis entre los Mayas en San Francisco Muestran la Necesidad Urgente de un Tratamiento Culturalmente Sensible

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.

Aurelia Ramirez walks by tents and debris along Folsom Street.

Overdose Deaths Swell Among SF’s Maya Residents, Highlighting Urgent Need for Culturally Competent Drug Health Services

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.

A man knocks on the door of a makeshift shelter covered in blue tarps.

Booted From the Army, He Spiraled. Now He Works to Solve the Veteran Homelessness Crisis.

Homeless veterans make up only a small fraction of America’s homeless population, and they have been a priority in efforts to house the homeless. Since 2019, Congress has committed billions of dollars in resources to end veteran homelessness, and the number of unhoused veterans, who make up 8% of the homeless nationwide, has been cut almost in half since then, though last year saw a 7.4% uptick in numbers.

But the proportion of homeless veterans living outdoors has increased. California, in particular, has more homeless veterans lingering on the street than any other state. More than 7,400 veterans live outside. Add in another 3,100 other veterans who live in shelters or temporary housing, and that’s 10,500, or almost one-third of all homeless veterans in the country.

A severe shortage of affordable housing and the tremendous cost of living in California are partly to blame. But it’s estimated that more than half of homeless veterans suffer from a mental illness, and 70% are affected by substance use disorder; often the two groups overlap. For those veterans, if outreach, supportive housing, and a veteran’s readiness for change don’t align, homelessness often remains the default.