The Underbelly Project

by Contributing Author

A group of San Francisco based public health practitioners and community members began organizing in January in response to the City’s attack on drug users and harm reduction services in San Francisco. The Underbelly Project, which symbolizes the under-represented communities of San Francisco, began collecting interviews from unhoused people who use drugs and access harm reduction services. On March 15, the group projected powerful quotes gathered from the transcripts of those interviews on walls at the 24th Street/Mission BART Station—as a way to engage and educate the public.

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An Alternative Pilot Proposal: Evidence-based, Effective SF Street Response

by Contributing Author

“Their tactics, what they’re trying to do, they’re just using force. I think they can turn it down a notch, not be so forceful. 

They come up and tell us we’re detained right off the bat. 

Then they dig into our pockets and put everything on the ground. Then if they find drugs or anything, they take us to jail. We’ll get out in a couple days. 

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The City Sets Drug Raids in Motion, Raises Concerns of Human Rights Violations and Rise in Overdoses

by Contributing Author

by Lupe Velez

Mayor Daniel Lurie is delivering on his promise to address the overdose crisis through well coordinated criminalization efforts, much to the worry of drug policy reformers and harm reduction advocates. Throughout his campaign last year, he was vocal about the fentanyl crisis, framing overdoses as the most pressing issue his administration would confront. He stated during his inaugural speech, “Widespread drug dealing, public drug use and constantly seeing people in crisis has robbed us of our sense of decency and security.” He has since passed the Fentanyl State of Emergency Ordinance through the Board of Supervisors,

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Re: Community Concerns and Recommendations Regarding the Jessie Street Project

by Contributing Author

by Justice Dumlao

The following is a letter submitted by email to the San Francisco Police Commission.

Dear President Elias and Commission Members, 

On behalf of the Safer Inside and Treatment on Demand Coalitions — two coalitions dedicated to enhancing the health and well-being of San Francisco’s most vulnerable residents — we write to express serious concerns about the San Francisco Police Department’s (SFPD) project at the parking lot on Jessie Street.

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An Open Letter To Daniel Lurie On PSH, Corruption, the Drug Crisis, and Everything in Between

by Contributing Author

by Jordan Davis

Dear Mayor Lurie,

Congratulations on winning the mayor’s race. I certainly did not vote for you or anyone else for mayor, because I believe San Francisco’s strong mayor system needs to be scuttled. However, as you are now in office, there are some things you should know.

I know that you want to focus on shelters as a homelessness response.

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Political Backlash Delays Opening of Overdose Prevention Center in San Francisco Once Again

by Contributing Author
Woman sitting with caption in background: "Hello there. We're Still Here"

by Seth Katz

At the heart of San Francisco’s ongoing struggle with drug-related issues lies a promising yet elusive solution: the establishment of overdose prevention (ODP) centers. While public health experts and advocates champion these centers as vital tools for mitigating the harms of substance use, attempts at opening them have been marred by political backlash and indecision. The result is a troubling gap between ODPs’ potential benefits and the concrete actions taken to bring them to fruition.

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Xylazine

by Contributing Author

By a Michigan Harm Redux Worker

For years, it has seemed that it was working: the flow of money and awareness into the world of harm reduction and safer injection practices was saving lives. Though still marginalized and threatened by the state and bureaucrats at all levels, people who use drugs were finally given a means to protect themselves from death: our chemical friend naloxone, often sold as Narcan.

Countless doses of Narcan have been disseminated to bar staff and office drones alike,

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CART’s Alternative Response to Policing May Turn into Alternative Policing

by Contributing Author

The Compassionate Alternative Response Team (CART) was envisioned by a broad coalition of homeless people, activists, service providers and community members as a safe and dignified way to respond to complaints from the public about street-based folks. The idea was to replace the current—often traumatic—police response with a compassionate response rooted in meeting the needs of those on the street. 

After years of advocacy, CART was finally funded and set to be implemented,

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After Permanent Housing Added, Shelter Legislation Moves Forward

by TJ Johnston

Supervisor Rafael Mandelman’s shelter legislation is going to the full Board of Supervisors after the Public Safety and Neighborhood Services Committee approved it on a 3-0 vote on May 26.

After several amendments through two committee meetings in May, one thing is for sure: Mandelman’s “Place for All Ordinance” is now a different animal from the legislation he introduced two months before with its primary focus on shelter softened as it moves to the full board on June 7.   

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Mayor Breed Holds Back $3 Million From CART

by Kenneth Madrigal

In the 2021 San Francisco budget process, the San Francisco Board of Supervisors unanimously supported the implementation of the Compassionate Alternative Response Team (CART), but Mayor London Breed refused to execute this ordinance, which would activate the peer-led CART teams, because she launched her own version of street outreach called Street Wellness Teams. Yet,  $3 million in funding was secured to begin the implementation of CART,  which currently sits untouched in unallocated reserve for a year.

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