Bay Area
Mayor London Breed Announces Plan to Create Street Wellness Response Team to Expand Services for Those in Need
SCRT launched its fourth team on Monday, May 10. These teams are currently operating in the Tenderloin, the Castro/Mission, the Bayview, and the Northeast/Waterfront/Chinatown area. The program will be fully deployed by the end of the summer after a fifth team comes on board to cover remaining geographic areas while a sixth team provides city-wide 24/7 coverage.
Mayor London N. Breed today announced a plan to create a new Street Wellness Response Team to improve outcomes for people in need on San Francisco’s streets and advance the City’s efforts to implement alternatives to police responses to non-violent calls.
The Street Wellness Response Team will provide an appropriate medical and social service response for people who require immediate assistance but do not have emergent behavioral health care needs.
San Francisco’s Street Crisis Response Teams (SCRT) will continue operating to address the needs of people experiencing behavioral health crises.
“Building on the early success of the Street Crisis Response Team, we are continuing our work to make a significant change to improve how we effectively serve people in need on our streets,” said Breed. “Many calls to 911 or 311 about someone who appears to need help on our streets don’t require an armed police response, and often the services and care people need would be best provided by a paramedic or outreach worker instead of a police officer.
“As we work to recover from COVID-19, part of making our city stronger and healthier requires pushing forward on our efforts to help people experiencing homelessness and who are on our streets in need of assistance and connections to housing. The Street Wellness Response Team will work alongside the Street Crisis Response Teams. Together, these Street Response Teams will meet people where they are and provide the level of care that is needed.”
The Street Wellness Response Team will consist of community paramedics and EMTs from the San Francisco Fire Department (SFFD) and Homeless Outreach Team members from the Department of Homelessness and Supportive Housing (HSH).
They will be dispatched to focus on well-being checks and situations that require immediate attention, but do not meet the threshold of an acute behavioral health crisis. This includes situations such as someone with obvious wounds, people who are lying down or sleeping, or someone inappropriately clothed for the weather.
SFFD community paramedics, which also support the Street Crisis Response Team, will perform medical, behavioral, and social needs assessments, render immediate aid if needed, and along with the homeless outreach worker, will be able to offer meaningful connections to services and housing.
The new team will be deployed on 12-hour shifts in an SFFD vehicle and have the ability to provide transportation services to individuals who might need that as part of the engagement.
As with SCRT, the new Street Wellness Response Team will be able to respond directly to 911 and 311 calls for service. The team will analyze 911 and 311 calls for service to strategically assign teams to be in areas where there is high need and proactively respond to people in distress on the street who are not in an acute behavioral health crisis.
Integrating these teams with 911 and 311 dispatch will also help with tracking data and outcomes to ensure the efficacy of the program.
Existing outreach teams like the Homeless Outreach Team and Harm Reduction Outreach teams will continue to operate, complementing the Community Response Teams by providing ongoing, specialized outreach to people experiencing homelessness who need support to stabilize and move from streets to housing.
The Mayor’s proposed budget for Fiscal Years 2021-22 and 2022-23, which will be submitted by June 1, 2021, will include $9.6 million to fund five teams over two years. If this team is approved in the Budget when it is finalized at the end of July, they would begin the operational planning, developing protocols — including risk assessment and dispatch—and launch at least one team by January 2022 and build up to five teams total by April 2022.
“The San Francisco Fire Department’s Community Paramedic Division stands ready to build another team to deliver the much-needed services to people of the City and County of San Francisco,” said Chief Jeanine Nicholson of the San Francisco Fire Department. “Mayor Breed has recognized the positive impact that community paramedicine has had with the recently implemented Street Crisis Response Team and EMS6. The SFFD looks forward to being a part of the solution to improving people’s lives as well as overall street conditions.”
“The Street Wellness Response Team will provide dignified and compassionate care to people experiencing homelessness on our streets and in our neighborhoods,” said Shireen McSpadden, director of the San Francisco Department of Homelessness and Supportive Housing. “We appreciate this investment in making our communities safer and more humane for all residents of San Francisco.”
During the rollout of SCRT, the City has continued to focus on the next steps needed to provide better services and outcomes for people on the street and end the use of police as first responders when an armed response is not needed. Led by the Mayor’s office, City departments including SFFD, Department of Emergency Management, San Francisco Police Department, the Department of Public Health, HSH, San Francisco Municipal Transportation Agency, City Administrator’s office, and Public Works, have been identifying and analyzing further calls that could be diverted from the police and handled by different non-law enforcement entities in a manner that is safe, sustainable for the long-term, and delivers better service for those in need of assistance.
In 2019, there were approximately 18,000 calls for assistance regarding “well-being checks” that were fielded by both 911 and 311 in which the police were ultimately deployed to respond.
This is one of the highest-volume call categories currently being answered by police after the calls regarding “mentally disturbed adults” that have already been diverted to SCRT. To address these “well-being” requests and provide more proactive outreach, Breed is proposing these new teams to operate in concert with SCRT and the City’s continuum of services.
“There is a lot of stigma against people having a mental health crisis on the streets,” said Miguel Levya, a peer counselor for SCRT. “We find we can de-escalate most situations by treating them the way everyone wants to be treated – with kindness and respect. This offers the best approach for getting them the help they need and resolving any disturbances that have happened.”
Street Crisis Response Team Background
In June 2020, Mayor Breed announced a roadmap to fundamentally change the nature of policing in San Francisco and issued a set of policies to address structural inequities. She proposed four priorities to achieve this vision: ending the use of police in response to non-criminal activity; addressing police bias and strengthening accountability; demilitarizing the police, and promoting economic justice.
The Street Crisis Response Team launched in November 2020 to change the way San Francisco responds to non-violent, mental health crises on our streets. The SCRT pilot program offers a unique model for the nation with a behavioral health and harm reduction approach to people in distress. Each SCRT neighborhood team consists of a paramedic, a behavioral health clinician, and a peer health worker.
SCRT launched its fourth team on Monday, May 10. These teams are currently operating in the Tenderloin, the Castro/Mission, the Bayview, and the Northeast/Waterfront/Chinatown area. The program will be fully deployed by the end of the summer after a fifth team comes on board to cover remaining geographic areas while a sixth team provides city-wide 24/7 coverage.
By April, the teams had responded to more than 700 calls with an average response time of 15 minutes. The vast majority of those calls, or 82%, were dispatched from 911. All in all, the SCRT diverted 19% of “mentally disturbed person” calls from dispatch, demonstrating that the SCRT program can be a clear alternative to law enforcement. In 53% of the cases, the SCRT was able to resolve the crisis on the scene, and in 37% of the cases, the client was transported to the hospital or a social or behavioral provider who could provide more intensive medical support or behavioral health treatment.
The San Francisco Mayor’s Office of Communication is the source of this report.
Activism
An Inside Look into How San Francisco Analyzes Homeless Encampments
Dozens of unhoused people are camped at Sixth and Jesse streets in San Francisco’s South of Market neighborhood. Tents made of tarps and blankets, piles of debris, and people lounging alongside the allies and walls of businesses are seen from all angles. These are some of the city’s hotspots. City crews have cleared encampments there over 30 times in the past year, but unhoused people always return.
By Magaly Muñoz
Dozens of unhoused people are camped at Sixth and Jesse streets in San Francisco’s South of Market neighborhood. Tents made of tarps and blankets, piles of debris, and people lounging alongside the allies and walls of businesses are seen from all angles.
These are some of the city’s hotspots. City crews have cleared encampments there over 30 times in the past year, but unhoused people always return.
But it’s normal to have tents set up again within less than 24 hours after an encampment sweep, David Nakanishi, Healthy Streets Operation Center Manager at the Department of Emergency Management, says. Sometimes there’s less people than before but often there is also no change.
“Most of the people that were in the encampments that want to go inside, we’ve gotten the majority of those [into shelter],” Nakanishi says. “Many of the people we encounter now, are those who have various reasons to not accept shelter, and some are already in shelter/housing”.
Since the ruling of Grants Pass by the US Supreme Court earlier this summer, which allows cities the authority to ban people from camping or sleeping on the streets, San Francisco has been at the head of the conversation to crack down on encampments.
Where neighboring cities in the Bay Area are clearing encampments a few days a week, San Francisco is sweeping 10 times a week, two per weekday.
Considering the controversy that plagues the city around its harsh policies, the Post decided to tag along on a ride with Nakanishi to show us how he decides what encampments make it on the city’s sweep list.
Nakanishi, having over 20 years of experience in homelessness management, drives around the busiest parts of the city almost daily. He’s tasked with arranging a weekly sweeping operation schedule for city teams to engage with unhoused folks to help get them off the streets.
So what exactly is he looking out for when deciding what encampments get swept?
It depends, he says.
Locations like schools, recreational centers, senior centers, or businesses are places he tends to want to address quickly, especially schools. These are the places where the complaints are highest and access to facilities is important for residents.
He says he also takes into account 311 calls and reports made to him by city staff. On the date of publication, over 100 calls and reports were made about encampments around the city, according to San Francisco data.
Nakanishi made a few 311 reports himself on the ride along, pulling over to take photos and describe the encampments into his 311 app. He says it helps him remember where to possibly sweep next or allows smaller teams in the city to engage quicker with individuals on the streets.
Nakanishi also looks at the state of the encampments. Are there a lot of bulky items, such as furniture, or makeshift structures built out of tarps and plywood, blocking areas of traffic? Is trash beginning to pile up and spill into the streets or sidewalks? Sites that meet this criteria tend to be contenders for encampment sweeps, Nakanishi says.
Street by street, he points out individuals he’s interacted with, describing their conditions, habits, and reasons for denying assistance from the city.
One man on 2nd St and Mission, who rolls around a blue recycling bin and often yells at passing pedestrians, has refused shelter several times, Nakanishi says.
People deny shelter for all kinds of reasons, he says. There’s too many rules to follow, people feel unsafe in congregate or shared shelters, or their behavioral and mental health problems make it hard to get them into proper services.
Nakanishi references another man on South Van Ness under the freeway, who city outreach have attempted to get into shelter, but his screaming outbursts make it difficult to place him without disturbing other people in the same space. Nakanishi says it might be an issue of the man needing resources like medication to alleviate his distress that causes the screaming, but the city behavioral team is in the process of outreaching him to figure that out.
In October, city outreach teams engaged with 495 unhoused people. 377 of those engaged refused shelter and only 118 accepted placements, according to city data. That number of monthly referrals is consistent throughout the entirety of 2024 so far.
Nakanishi has long advocated for the well-being of unhoused people, he explains. In 2004, he was working with the Department of Public Health and told then-Mayor Gavin Newsom that there needed to be more housing for families. Nakinishi was told it was easier to deal with individuals first and the city “will get there eventually.” 20 years later, family housing is still not as extensive as it could be, and the waiting list to get placements for families is a mile long with over 500 names.
In 2020, he was a Senior Behavioral Health Clinician at a hotel in the city during the pandemic. He says in 2021 he collaborated with DPH to provide vaccines to those staying in the makeshift hotel shelters once those became available.
Despite the constant media attention that city outreach is inhumanely treating homeless people, so much so that it has led to lawsuits against San Francisco from advocates, Nakanishi says not a lot of people are seeing the true conditions of some encampments.
He describes soiled clothing and tents, drenched in urine, and oftentimes rodents or bug infestations in places where people are sleeping. He’s asked homeless advocates- often those who are the most critical about the city’s work- who have shown up to observe the sweeps if those are conditions the city should allow people to be subjected to, but not many have answers for him, Nakanishi says.
The city’s “bag and tag” policy allows city workers to throw away items that are “soiled by infectious materials” such as bodily fluids and waste.
Sweep operations are conducted at 8am and 1pm Monday through Friday. People at the encampments are given 72 hour notice to vacate, but some don’t leave the area until the day of the sweep.
City outreach workers come out the day before and day of to offer resources and shelter to those interested. The Department of Public Works discards any trash that is left over from the sweep and washes down the area.
Nakanishi told the Post that the only time the city takes tents or personal possessions from residents is when folks become physically violent towards workers and police take the items as evidence. Other items taken are bagged and tagged in accordance with city policy.
Stories from local newspapers such as the San Francisco Standard and the Chronicle show instances of SFPD handcuffing residents while their items are thrown in the trash or disposing of personal possessions without reason.
Advocates have long been pushing for a more competent and compassionate process if the city is going to choose to continue sweeping unhouse people.
No matter the lawsuits and constant criticisms from allies, the encampment sweeps are not slowing down, even with the cold weather quickly approaching the coastal city.
Nakanishi says there aren’t a lot of large encampments left in San Francisco so now they do runs of streets in order to stretch out the sweeps as much as possible.
It’s calculated strategies and years of first hand knowledge that make this job work, “It takes dedication to the work, caring for the people and the community, and persistence, patience and sometimes good luck to make the positive changes for the people on the street,” Nakanishi says.
Activism
Oakland Post: Week of November 13 – 19, 2024
The printed Weekly Edition of the Oakland Post: Week of November 13 – 19, 2024
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Activism
LIVE! — TOWN HALL ON RACISM AND ITS IMPACT — THURS. 11.14.24 5PM PST
Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024, 5 p.m. – 6:30 p.m. PST
Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024
5 p.m. – 6:30 p.m. PST
Discussion Topics:
• Since the pandemic, what battles have the NAACP fought nationally, and how have they impacted us locally?
• What trends are you seeing concerning Racism? Is it more covert or overt?
• What are the top 5 issues resulting from racism in our communities?
• How do racial and other types of discrimination impact local communities?
• What are the most effective ways our community can combat racism and hate?
Your questions and comments will be shared LIVE with the moderators and viewers during the broadcast.
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