More people seeking drug treatment in San Francisco, officials say
Sep 24, 2026
SAN FRANCISCO (KRON) -- The City by the Bay has seen an increase of people taking part in drug treatment, leading to a drop in fatal overdoses, according to a new city report. The San Francisco Department of Public Health said the number of people in drug treatment has risen by 30% over the last thr
ee years. Officials have added new beds, increased capacity, and developed new methods to get people access to medication.
The report goes on to say that 78% of clients with the Department of Public Health were offered same- or next-day access to addiction services. However, about 42% of the time, clients were not able to get the help they needed on the same day.
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Readily available access to addiction services, in particular withdrawal symptoms management, is often the first step to an individual becoming clean.
“For the first time, we can quantify our ability to provide treatment on demand in San Francisco,” said San Francisco's Department of Public Health Director Dan Tsai. “The data show we are succeeding in significantly increasing the number of people getting treatment. But the data in the new report also show where there are barriers to people quickly accessing care."
“Treatment on demand is still far from what voters were promised, but this is the most honest DPH has been about where the system falls short," said Board of Supervisors President Rafael Mandelman. "For the first time, we have the data to work toward closing the gaps and to track outcomes."
Supervisor Mandelman has called for a hearing for city leaders to discuss this report. It's schedule for Thursday, December 10 at City Hall.
When it comes to barriers to treatment, the report says, the top reasons are a need for more medically intensive or psychiatric support, or because the individual had mobility needs that could not be addressed in available rooms. An estimated 30% of cases where individuals did not receive same or next day access to withdrawal management were due to a different or greater clinical need than could be served at existing sites.
You can read the city's full report here.
How did we get here?
Fentanyl first widely emerged in San Francisco's street drug market around 2018. It triggered a massive surge in deadly drug overdoses across the city. During the height of the fentanyl crisis, the city recorded more than 800 accidental drug overdose deaths.
Last year, that number fell to a little over 600 people after Mayor Daniel Lurie signed the Fentanyl State of Emergency Ordinance into law. It received a 10-1 approval by the then Board of Supervisors.
Earlier this year, the city opened its Rapid Enforcement, Support, Evaluation and Triage (RESET) Center to get drug users off the streets. The centers are part of Mayor Lurie’s Breaking The Cycle initiative. When officers arrest someone for public drug use or intoxication, they take them to the center instead of a hospital or jail.
San Francisco Supervisors approved a $14.5 million, 26-month contract to hire Connections Health Solutions to provide care at the RESET Center. Learn more about Reset Center sand their services here.
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