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Mayor London Breed Launches New Street Team To Stop Drug Overdoses

Mayor London N. Breed, the San Francisco Department of Public Health (DPH), and the San Francisco Fire Department launched on August 2 a new Street Overdose Response Team (SORT) that, along with other overdose prevention initiatives in the Fiscal Year 2021-2022 budget, aims to lower the record number of drug overdoses in the City.

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Pills on a spoon with a wooden bottom and white background; Photo courtesy Michael Longmire via Unsplash

Like many communities throughout the country, San Francisco has seen a rapid increase in drug overdoses in recent years due to the proliferation of the powerful, synthetic opioid fentanyl, which is 50 times stronger than heroin.

Among those most at risk are people experiencing homelessness, whose rate of overdose deaths has doubled in the past year and account for at least one-quarter of all overdose deaths in the City. Additionally, data shows that over 50% of people who die from a drug overdose had prior contact with Fire Department EMS personnel.

In response, the City is urgently rolling out new interventions. Chief among them is SORT, which will proactively identify, engage, and follow up with individuals who have survived an overdose in order to prevent another, possibly fatal one from occurring.

“We know that overdose deaths are preventable and every person who dies is someone’s son, daughter, friend, or neighbor. It is urgent that we save lives by doing what we know will work best,” said Breed.

“The Street Overdose Response Team is focused on helping people who are most at risk get the help they need to start their recovery. SORT is part of a package of new and expanded investments we are making this year to flatten the curve of the drug overdose epidemic and even lower the numbers of these tragic deaths.”

The City is investing $13.2 million this year in overdose prevention that in addition to SORT include:

  • Opening the SOMA RISE Center this fall to provide 20 temporary beds for people who are intoxicated to come in safely off the streets and be connected to care and services, including housing.
  • Expanded access to buprenorphine through telemedicine, increasing the hours at DPH’s Behavioral Health Pharmacy and delivery of buprenorphine to “high risk” housing sites and other locations.
  • Round-the-clock hours at the Market Street Clinic, an opioid treatment clinic at Civic Center that provides on-demand services for methadone, buprenorphine, and counseling and primary medical care.
  • Widespread distribution of naloxone to settings such as hospitals, primary care clinics, substance use treatment programs, housing sites, and public settings like food pantries and dining halls – anywhere substance users access services.
  • Expansion of the evidence-based efforts to incentivize people to continue addiction treatments.

In 2018, DPH’s Street Medicine team was the first in the nation to bring opioid treatment directly to people experiencing homelessness with substance use disorders. The Street Overdose Response Team (SORT) builds on San Francisco’s successful street outreach model of care, which also includes the Street Crisis Response Team.

Specifically, SORT is tasked with connecting with people in the moment they are being resuscitated, and as they come out of hospitals, clinics or other settings from drug overdoses, and offering them services that address substance use disorders.

These include the opioid use disorder medicine buprenorphine, which not only helps wean people off opioids but can also directly prevent overdoses; rescue kits that include the opioid-blocker naloxone; educational materials; and support getting into substance use treatment facilities, housing or shelter as a safe exit from the streets.

The team launched on August 2 with an initial crew consisting of a street medicine specialist from the Department of Public Health and a community paramedic from the Fire Department who will provide immediate care and support within 72 hours of an overdose.

Later this fall, SORT will ramp up to include ongoing and regular care and case management for individuals experiencing homelessness who have survived an overdose with additional capacities such as ongoing medication treatment, primary care and mental health services, and referrals to residential care and other treatment programs.

At full expansion, SORT will consist of specialists with a range of expertise who can meet a patient’s unique needs, including medical specialists such as doctors and nurses; behavioral health specialists including counselors and psychotherapists, and peer counselors with related, lived experience.

“People who survive an overdose are at heightened risk for a subsequent overdose, including a fatal overdose,” said Dr. Grant Colfax, Director of Health. “With the Street Overdose Response Team, we can take a targeted and coordinated approach to reach people who need help the most and provide tailored information and care to save lives.”

SORT will respond citywide to overdose calls, initially 12 hours a day, and by early 2022 when fully deployed, will operate 24/7. Patients are identified by hospitals, the 911 system (such as dispatch, and fire or ambulance crews), through referrals from community partners, and other sources. The teams will make sure no one is lost follow up, and in collaboration with other street outreach teams and a network of providers, can find and maintain contact with patients over time. The team anticipates building its case list to approximately 700 individuals within the first year of operations.

“Every day our paramedics, EMTs, and fire fighters respond to dozens of overdose incidents, some of which end in tragedy despite our best efforts,” said San Francisco Fire Chief Jeanine Nicholson. “Because of this, the Fire Department is uniquely situated to lead the initial identification, engagement and outreach to individuals suffering from opioid use disorder. The Street Overdose Response Team builds on the City’s expanding efforts to actively engage our most vulnerable populations. Our Community Paramedics are impactful, street-level providers who will bring coordinated care directly to those in need.”

Previously, people experiencing homelessness with substance use disorders did not receive a proactive approach and depended on their actively seeking out care from the City’s behavioral health system. SORT is part of the approach directed by the Mental Health SF legislation, which passed in 2019, to guarantee mental health care to all San Franciscans who lack insurance and prioritize people who are experiencing homelessness.

The legislation provides services and coordinated support to people experiencing homelessness who have mental health and substance use disorders.

     The San Francisco Mayor’s Office of Communication is the source of this report.

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Oakland Post: Week of May 21 – 27, 2025

The printed Weekly Edition of the Oakland Post: Week of May 21 – 27, 2025

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IN MEMORIAM: Nate Holden, State Senator and Longtime Los Angeles Councilmember, Dies at 95

Los Angeles County Supervisor Janice Hahn described Holden as “a lion” in the State Senate and a force to be reckoned with on the Los Angeles City Council.” Hahn added that she learned a lot working with Holden when she was a new councilmember.

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Former Los Angeles Councilmember and California State Sen. Nate Holden. File photo.
Former Los Angeles Councilmember and California State Sen. Nate Holden. File photo.

By Bo Tefu, California Black Media

Former Los Angeles City Councilmember Nathaniel “Nate” Holden, a prominent figure in the city’s politics, passed away at the age of 95, his family confirmed on May 7.

Holden, who represented South Los Angeles for 16 years on the City Council and served one term in the California State Senate, was widely regarded as a forceful advocate for his community.

Los Angeles County Supervisor Janice Hahn described Holden as “a lion” in the State Senate and a force to be reckoned with on the Los Angeles City Council.”

Hahn added that she learned a lot working with Holden when she was a new councilmember.

Holden’s journey to political prominence began in the segregated South, where he was born in Macon, Georgia, in 1929. He often recalled the childhood moment when he first heard the governor of Georgia vowing to continue suppressing Black people.

“Doing the best you can for the people. Law and order. Make sure that people’s communities are safe. I did it all,” said Holden, reflecting on his legacy.

Holden is survived by his sons, including former California Assemblymember Chris Holden, who represented a district in Southern California that includes Pasadena and Altadena in Los Angeles County and cities in San Bernardino County.

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Oakland Hosts Town Hall Addressing Lead Hazards in City Housing

According to the city, there are 22,000 households in need of services for lead issues, most in predominantly low-income or Black and Latino neighborhoods, but only 550 to 600 homes are addressed every year. The city is hoping to use part of the multimillion-dollar settlement to increase the number of households served each year.

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iStock.
iStock.

By Magaly Muñoz

The City of Oakland’s Housing and Community Development Department hosted a town hall in the Fruitvale to discuss the efforts being undertaken to remove lead primarily found in housing in East and West Oakland.

In 2021, the city was awarded $14 million out of a $24 million legal settlement from a lawsuit against paint distributors for selling lead-based paint that has affected hundreds of families in Oakland and Alameda County. The funding is intended to be used for lead poisoning reduction and prevention services in paint only, not water or other sources as has been found recently in schools across the city.

The settlement can be used for developing or enhancing programs that abate lead-based paint, providing services to individuals, particularly exposed children, educating the public about hazards caused by lead paint, and covering attorney’s fees incurred in pursuing litigation.

According to the city, there are 22,000 households in need of services for lead issues, most in predominantly low-income or Black and Latino neighborhoods, but only 550 to 600 homes are addressed every year. The city is hoping to use part of the multimillion-dollar settlement to increase the number of households served each year.

Most of the homes affected were built prior to 1978, and 12,000 of these homes are considered to be at high risk for lead poisoning.

City councilmember Noel Gallo, who represents a few of the lead-affected Census tracts, said the majority of the poisoned kids and families are coming directly from neighborhoods like the Fruitvale.

“When you look at the [kids being admitted] at the children’s hospital, they’re coming from this community,” Gallo said at the town hall.

In order to eventually rid the highest impacted homes of lead poisoning, the city intends to create programs and activities such as lead-based paint inspections and assessments, full abatement designed to permanently eliminate lead-based paint, or partial abatement for repairs, painting, and specialized cleaning meant for temporary reduction of hazards.

In feedback for what the city could implement in their programming, residents in attendance of the event said they want more accessibility to resources, like blood testing, and information from officials about lead poisoning symptoms, hotlines for assistance, and updates on the reduction of lead in their communities.

Attendees also asked how they’d know where they are on the prioritization list and what would be done to address lead in the water found at several school sites in Oakland last year.

City staff said there will be a follow-up event to gather more community input for programming in August, with finalizations happening in the fall and a pilot launch in early 2026.

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