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San Francisco pilot program pays people with drug addiction in gift cards if they get clean

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San Francisco pilot program pays people with drug addiction in gift cards if they get clean


San Francisco’s drug crisis can seem so overwhelming it’s difficult to know where to start. The city has now launched a pilot program aimed at rewiring the brains of those struggling with addiction to help them get clean. The program pays them to quit. 

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Dana is one of those who’ve struggled with addiction. She says her addiction cost her job and her apartment. 

Homeless for three years, she says discovering she was pregnant in February helped her make her decision to enter recovery. 

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“I didn’t really have a reason to change before, or least in my mind I didn’t think I had a reason to change,” said Dana. “But, he’s definitely given me a whole new perspective on things. A reason to change.”

Dana is one of 22 patients in the pilot program aimed at helping to treat the use of cocaine and methamphetamine. Doctors can treat opiate addiction with the use of medications; that’s not the case for stimulants. “For stimulants like cocaine and methamphetamine we don’t have a drug that helps with that, with the craving withdrawals,” said John Dunham, contingency management supervisor at Zuckerberg San Francisco General Hospital. 

“So, in order to do that, we’re looking at psychological approaches.”

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The recovery incentive program aims to help stimulate those who use drugs by substituting a monetary reward for the drug. Doctors say they’re essentially rewiring the brain’s reward system. 

“The brain itself is very plastic,” said Dr. Jeffrey Hom from San Francisco’s Department of Public Health. “It’s very malleable and so what contingency management is doing is, again, the most effective treatment that we have against stimulant use disorder, is it’s trying to rewire some of those pathways that have been set up by month, years of substance use.”

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Patients are offered up to $599 in gift cards over a 24-week program. Those in recovery start off earning $10 a week, with that amount increasing for each negative drug test. The research shows that despite the relatively small dollar amount, it’s the positive reinforcement that helps to alter the brain and keep patients in recovery. 

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Dana says she has been working hard on her sobriety and that so far the program is working for her. “The whole program in general, you know,” said Dana. “Just, the motivation and help with the gift cards and stuff. It’s definitely going to be a big help for us in the future.”

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San Francisco has enrolled 22 people in the recovery incentive program. Patients who use drugs while in the program aren’t kicked out. Instead, organizers recognize that sometimes recovery can be a two steps forward, one step back process, and those who test positive are invited to return the following week for another drug test and the possibility of earning more gift cards.

Program administrators say the program is showing promise. “Approximately half of participants are testing negative at this time,” said Dunham. “Some of those participants have been using stimulants for greater than 20 years and have changed that behavior.”

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This is a pilot program to help test its effectiveness. There are currently three test programs underway in the city.

California is the first state to receive federal approval to operate contingency management as a benefit in the Medicaid program.

Backers of the pay program say it has 50 years of medical evidence supporting it. 

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San Francisco, CA

SF launches Downtown First Thursdays to attract visitors, boost businesses

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SF launches Downtown First Thursdays to attract visitors, boost businesses


SAN FRANCISCO (KGO) — From the stages to the food trucks, San Francisco took another step towards a comeback Thursday night with its first Downtown First Thursdays.

“Make it feel like there are actually things that are happening in downtown San Francisco and make us think of a future in this city, that gives us hope,” said San Francisco resident, Kenny Green.

Thursday night’s kickoff marked the first of many block parties in the SoMa District, scheduled for the first Thursday of each month. “It’s a fun vibe and it’s nice to see a lot of the stores I see at other events, and the food smells great,” said San Francisco resident, Neeti Ganjur.

MORE: Can you find them? Scavenger hunt underway throughout San Francisco for valuable hidden coins

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“San Franciscans need to remember we are great at throwing a party and celebrating; getting people back to downtown,” said District 6 Supervisor Matt Dorsey. “Hopefully this is the kind of thing that makes people who have the option of working from home or commuting want to come downtown and that’s good for our businesses.”

“Even if people come downtown to work they leave as soon as it’s done, so it’s fun to have something nearby for all the coworkers and friends to join up and enjoy time together downtown,” said San Francisco resident Mary Keenan.

And for business owners like jeweler Meghan Zore, the event is a welcome sight.

“I mean they’re expecting 10,000 people tonight – that’s amazing on a Thursday,” Zore. “San Francisco in my mind is hope. San Francisco is change. We’re going through a transition period, but all that means is an opportunity for new stuff to bloom.”

If you’re on the ABC7 News app, click here to watch live

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Copyright © 2024 KGO-TV. All Rights Reserved.



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San Francisco, CA

Major San Francisco companies partner for cleanup coalition

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Major San Francisco companies partner for cleanup coalition


Volunteers from the Gap, JP Morgan Chase, Levi Strauss, Visa, and Wells Fargo stepped outside their office buildings on Thursday and into the streets and parks of San Francisco, ready to clean up.

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San Francisco, CA

EXCLUSIVE: Black San Francisco man finds doll with noose around neck at his home

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EXCLUSIVE: Black San Francisco man finds doll with noose around neck at his home


SAN FRANCISCO (KGO) — A San Francisco man is livid after finding a doll with a noose around it’s neck among other things on the doorstep of his Alamo Square home.

Terry Williams says he can’t sleep at night after the events of what happened April 26. One what seemed like an ordinary morning, Terry woke up to take his three Rottweilers out for a walk around 6 a.m. That’s when his father found something on the doorstep that shook him to the core.

It was a clear plastic zip bag with words scrawled in black marker.

“It has gangster, thug, and other negative stuff about Black people on there,” Williams said.

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MORE: ‘I hate black people’: SJ officer no longer with dept. after exchanging racists texts, chief says

The contents inside were even worse.

“A picture of me with a noose around the neck and a noose around the dog figurine,” he said.

Also inside, this stuffed doll so graphic and laden with slurs, we couldn’t show any of it on television.

“Calling me monkey, go pick cotton…” rattles off Williams, who recalls such terrible slurs and sayings — he had to consult a family member asking about them.

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MORE: Black California couple lowballed by $500K in home appraisal, believe race was a factor

A sheet of paper inside was also so laden with hateful speech, ABC7 News also had to blur it out.

“It says the 4th of July is for White people not for Black people, among other things,” Williams said.

Terry says, as a dog walker for more than a decade and someone living in Alamo Square since the 70s, he’s no stranger to racism but never vitriol and hate like this.

Terry has no idea who could have left the package but provided police surveillance video from a neighbor showing an individual approach his home around 12:30 a.m. SFPD tell me the incident is being investigated as a hate crime.

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Terry is sharing his story not just to represent his industry. “As a minority dog walker, I’m trying to get more people of color to do it,” he said.

He’s also encouraging others to speak out and help end the hate – in the neighborhood he loves and calls home.

“This has got to stop. My people don’t speak up – they keep everything tucked in. You can’t let this go by. Can’t let this go by. The more stuff you let go by the most they feel entitled to do stuff. This is my way stepping up, no I’m not letting this happen no more. This makes me want to stay and fight harder, I’m not going anywhere.”

Neighbors have rallied behind Terry and started this GoFundMe to help him pay for security cameras at his home.

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If you’re on the ABC7 News app, click here to watch live

Copyright © 2024 KGO-TV. All Rights Reserved.



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