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San Francisco Advances Recovery-First Drug Policy as Overdose Crisis Deepens

The amended proposal prioritizing abstinence while maintaining harm reduction services heads to a full Board of Supervisors vote next month.

FILE - Supervisor Matt Dorsey is shown during a San Francisco Board of Supervisors meeting in San Francisco, Tuesday, Jan. 9, 2024. (AP Photo/Jeff Chiu, File)
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Overview

  • Supervisor Matt Dorsey’s Recovery First ordinance has been amended to explicitly include harm reduction services and now emphasizes abstinence as the primary goal of drug policy.
  • The ordinance is expected to pass next month with seven of eleven Board of Supervisors members sponsoring or cosponsoring the proposal.
  • San Francisco continues to face a severe overdose crisis, with the Office of the Medical Examiner reporting an average of 64 deaths per month over the past three months.
  • Community rallies in the SoMa neighborhood have highlighted demands for tougher enforcement, expanded treatment capacity, and safer streets.
  • Mayor Daniel Lurie’s earlier restrictions on public distribution of drug paraphernalia remain in effect, requiring treatment offers before access to certain supplies.