San Francisco, CA
San Francisco buys vodka shots for homeless alcoholics in taxpayer-funded program
The City of San Francisco is providing free beer and vodka shots to homeless alcoholics at taxpayer expense under a little-known pilot program.
The “Managed Alcohol Program” operated by San Francisco’s Department of Public Health serves regimented doses of alcohol to voluntary participants with alcohol addiction in an effort to keep the homeless off the streets and relieve the city’s emergency services. Experts say the program can save or extend lives, but critics wonder if the government would be better off funding treatment and sobriety programs instead.
“Established in countries such as Canada and Australia, a managed alcohol program is usually administered by a nurse and trained support staff in a facility such as a homeless shelter or a transitional or permanent home, and is one method to minimize harm for those with alcohol use disorder,” the California Health Care Foundation explains in an 2020 article describing the pilot program.
“By prescribing limited quantities of alcohol, the model aims to prevent potentially life-threatening effects of alcohol withdrawal, such as seizures and injuries.”
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A man pours liquor from a small bottle into a glass in the evening. San Francisco has funded a pilot managed alcohol program to provide free beer and vodka shots to homeless people with severe alcoholism. (Soeren Stache/picture alliance via Getty Images)
The San Francisco managed alcohol program, or MAP, was established during the COVID-19 pandemic to prevent vulnerable homeless people who were placed in isolation in hotel rooms from suffering from alcohol withdrawal. But the program, which started with 10 beds, has since been expanded into a 20-bed program that operates out of a former hotel in Tenderloin with a $5 million annual budget, the San Francisco Chronicle reported.
Alice Moughamian, the Nurse Manger of the Managed Alcohol Program and the San Francisco Sobering Center, explained in an October presentation that nurses provide clients with a motel room, three meals a day, and enough alcohol “to meet their addiction needs, but keeping someone at a safe level of intoxication.”
Initial success in stabilizing alcoholic patients prompted health officials to expand the pilot into a long-term program with 10 beds earmarked for “the Latinx and indigenous population,” while 12 additional beds are supported at the city’s traditional sobering center, Moughamian said.
Bryce Bridge, a social worker involved with the program, said during the presentation that once a client is identified as having alcohol abuse problems and admitted, they are assessed to determine individual needs. Clients are connected to a primary care doctor, provided resources to secure government identification if they lack a social security card or other documents and assisted with psychiatric care, wellness activities on site and other evidence-based treatments.
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A homeless encampment is seen in the Tenderloin District of San Francisco, California, United States on June 6, 2023. (Tayfun Coskun/Anadolu Agency via Getty Images)
“We actually connect them to different community-based organizations that assist us with conducting art groups, and poetry groups and just kind of help them explore ways that they can express themselves,” Bridge said.
Bridge also said marijuana use is “fairly common in our sites” and said there is no policy prohibiting marijuana consumption, though health providers monitor that activity to prevent ill health effects or interpersonal conflicts.
While relatively unknown until now, the program is under fresh scrutiny after Adam Nathan, CEO of an AI company and chair of the Salvation Army San Francisco, made several social media posts criticizing what he witnessed at the location.
“Inside the lobby, they had a kegs [sic] set up to taps where they were basically giving out free beer to the homeless who’ve been identified with AUD (Alcohol Use Disorder),” Nathan wrote on X after visiting the hotel in Tenderloin where homeless alcoholics are served.
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San Francisco’s managed alcohol program is run out of an old hotel on Eddy Street in Tenderloin. (Google Maps)
“It’s set up so people in the program just walk in and grab a beer, and then another one. All day,” he claimed.
“The whole thing is very odd to me and just doesn’t feel right. Providing free drugs to drug addicts doesn’t solve their problems. It just stretches them out. Where’s the recovery in all this?” he asked.
The Salvation Army promotes abstinence for alcoholics and provides free adult rehabilitation programs.
Public health officials called some of Nathan’s claims misleading. In a statement to the San Francisco Chronicle, the health department said alcohol is dispensed by a nurse and homeless people who aren’t participating can’t just walk in to the facility and get a free beer. The program operates in a former Tenderloin tourist hotel that has a bar, but on-site taps are “inoperable and unused,” the statement reportedly said.
Still, the program has also received criticism from none other than San Francisco Mayor London Breed, who said in February that harm reduction was “not reducing harm” but “making things far worse.”
San Francisco mayor London Breed has criticized harm prevention programs that provide addictive substances to substance abusers. (KTVU)
“Are we just going to manage people’s addictions with our taxpayer dollars in perpetuity forever? It seems like that’s basically what we’re saying,” said Tom Wolf, who is in recovery for heroin addiction, in a statement to the Chronicle. “I think we should be spending that money on detox and recovery.”
But recovery is not the point, according to Moughamian.
“Our goal at MAP is not to decrease the amount of alcohol that is consumed, or to taper someone towards abstinence, although both of these things have happened with clients in our program,” she said in the October presentation. “The goal is to mitigate the many health, legal and interpersonal harms associated with unsafe alcohol use.”
San Francisco health officials say the program has saved $1.7 million over six months in reduced hospital visits and police calls made by participants who previously heavily relied on emergency services. Officials said that after clients entered the program, visits to the city’s sobering center dropped 92%, emergency room visits declined more than 70%, and EMS calls and hospital visits were both cut in half, the Chronicle reported.
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City officials have previously said that just five residents who struggled with alcohol addiction had cost the city more than $4 million in ambulance transports over a five-year period, with as many as 2,000 ambulance transports during that time, according to the Chronicle.
The San Francisco Fire Department has spoken positively about the program, telling the outlet the managed alcohol program “has proven to be an incredibly impactful intervention” at reducing emergency service use for a “small but highly vulnerable population.”
Other countries, including Canada, Portugal and the U.K. have adopted managed alcohol programs at a much faster pace than the U.S. Canada has more than 40 such programs, according to the University of Victoria’s Canadian Institute for Substance Use Research.
A 2022 study of Canada’s managed alcohol programs found that homeless people suffering from severe alcoholism had a reduced risk of death and fewer hospital stays after participating.
Santa Rosa prepares for next big earthquake
The Great 1906 earthquake devastated the Bay Area, destroying much of San Francisco and killing more than 3,000 people. The city marked the quakes 120th anniversary this weekend, but whats not as widely recognized is the damage to surrounding comunities like Santa Rosa.
SANTA ROSA, Calif. – While the Great 1906 Earthquake was a centerpiece of news around the world when its massive damage and fire destroyed much of San Francisco and took 3,000 lives, another far smaller, far less famous town, suffered massive damage almost forgotten by history.
Nearly forgotten
On this day 120 years ago, stunned people were digging for survivors two nights after the quake. Like a demon in the night, the Great 1906 Earthquake also came to Santa Rosa also bent on mass death and destruction.
Eric Stanley is the history curator and deputy director of the Museum of Sonoma County in Santa Rosa that supplied these pictures. “Santa Rosa, in particular, was devastated by the 1906 earthquake,” he said.
Survivors were shaken awake as whole buildings collapsed around them or on them. “A good portion, a really significant portion, of downtown Santa Rosa was completely destroyed,” said Stanley.
Many never woke up; crushed to death in their sleep. There were over a hundred people killed in the 1906 earthquake in Santa Rosa that only had 7,000 people in it at the time,” said the curator.
Active fault line
Sixty-three years later, in 1969, a time of budding, but far better science-based building codes, a double shaker nonetheless did significant damage and killed one person. “Even understanding all those things, you kind of at the earlier stage of that in the sixties,” said Stanley.
Today, four of Santa Rosa’s School buildings lie near or on the Rodgers Creek Earthquake Fault, capable of up to a 7.3 magnitude rupture. One is already closed with another due to close at the end of the school year for budgetary reasons.
That leaves two elementary schools, Hidden Valley, alongside the fault and Proctor, on the fault. The school board says both are seismically sound and safe to continue operating. “The two that are remaining open are both the ones that have the potential and the ability to grow because the entire site is not impacted by the fault line,” said Nick Caston, Santa Rosa City School Board president.
Staying prepared
In other words, things can and will eventually be moved around.
“What we’re gonna end up having to do is redesign the campus over the next several decades to have our fields and our parking in the front, which are totally acceptable to be over a fault line and actually move our academic builds and our student-serving buildings to the back,” said Caston.
Ultimately, the pictures and relics museums hold from natural disasters are given to those who come, a lesson and a warning. “Real people went through these experiences and we really do have to be aware of that and do our very best to prepare for those kinds of things,” said Stanley.
The 1933 Field Act requires earthquake-safe construction of schools, with evolving seismic codes as we learn more.
A California sea lion pup found last week on a San Francisco street corner is malnourished but “active and quite feisty,” The Marine Mammal Center said Monday.
The sea lion, believed to be about 10 months old, had apparently wandered into city’s Outer Sunset neighborhood and was discovered early Thursday morning, authorities said.
The pup was spotted near 48th and Irving Streets, one block from Ocean Beach and Sunset Dunes park. A trained responder from the Marine Mammal Center was joined by San Francisco park rangers and police officers to safely corral the pup, now named ‘Irving’, into a carrier crate.
Dubbed ‘Irving’ by his rescuers, Irving weighed in at 40 pounds and is considered malnourished, the Marine Mammal Center said.
“The sea lion is active and quite feisty which is a positive initial sign in terms of general behavior,” the center said in a news release on Monday.
During an exam by veterinarians, a series of blood samples were also taken to determine whether there’s any underlying ailment.
Irving is being tube fed a fish smoothie blend two times per day to boost hydration and weight; offers of whole herring will also begin shortly.
The quick actions by police, recreation and parks staff and Ocean Avenue Animal Hospital gave the young sea lion a second chance at life, said Lauren Campbell, animal husbandry manager at The Marine Mammal Center.
“As a roughly 10-month-old pup in his first year of learning how to forage on his own, this animal has a long road to recovery due to his severe malnutrition,” Campbell said. “We are hopeful that in the coming weeks with continued specialized care that this pup starts to make positive strides toward recovery and release.”
Irving will be held in the Center’s Intensive Quarantine Unit until clearing medical protocols, before likely being transferred this week to a traditional rehabilitation pool pen. A long-term prognosis and potential release timeline are not currently known.
After Sunday’s 3-0 loss to the Washington Nationals, the San Francisco Giants headed back to the West Coast. They’re going back to the Bay Area, too.
The Giants have a date with the Los Angeles Dodgers for a three-game series at Oracle Park starting Tuesday night.
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So, San Francisco probably wanted to get out of Washington, D.C., with a win. That didn’t happen at Nationals Park on Sunday afternoon.
Nationals reliever Andrew Alvarez, the third pitcher used by the team on Sunday, picked up the victory with 4 1/3 innings of work. Giants starter Robbie Ray absorbed the loss, falling to 2-3 this season.
Ray worked six innings, giving up seven hits, three runs (all earned), walking one, and striking out seven Nationals. If the Giants’ offense had found a way to tack on some runs, then Ray’s outing wouldn’t have looked so bad.
The Giants’ bats, though, had eight hits. The big number for Giants manager Tony Vitello to look at in the box score after this one was, well, pretty big. San Francisco left 10 runners on base on Sunday, going 0-for-11 with runners in scoring position. This indicates that San Francisco had plenty of opportunities to score some runs.
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They just didn’t get the job done.
Let’s go to the bottom of the fifth with the Giants and Nationals in a scoreless tie. With nobody out, the Nationals’ Keibert Ruiz connected for his third double this season. Nasim Nuñez scored to put Washington up 1-0.
With one out, Curtis Mead sent a Ray pitch over the left-field wall, a two-run blast that gave the Nationals a 3-0 lead.
San Francisco had a scoring threat in the top of the eighth inning. With runners at first and second base and nobody out, Casey Schmitt grounded into a double play. Matt Chapman, who was on second base, went to third. But the Giants were unable to bring him home.
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Rafael Devers and Drew Gilbert went 2-for-4 at the plate for the Giants, producing half of the Giants’ hits.
The Giants fall to 9-13 this season, sitting in fourth place in the National League West Division. The Nationals’ record goes to 10-12, good enough for third place in the National League East Division.
All eyes now turn toward Oracle on Tuesday night. It’ll be a chance for two longtime rivals to renew their rivalry.
Baseball fans know that the Giants-Dodgers matchups usually are must-see TV.
That’s probably going to be the case once again as Giants fans watch their team battle the Dodgers. Those lucky to have tickets to the three-game series at Oracle Park will show up in Giants colors, hoping to see Los Angeles head back to Southern California with either a series loss or a Giants’ sweep.
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Buckle up, Giants fans. It’s about to get rowdy at Oracle Park.
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