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San Francisco Shuts Down Managed Alcohol Program After City Terminates Contracts

The move underscores a recovery-first pivot that leaves questions about limited detox capacity.

Overview

  • Mayor Daniel Lurie said all city contracts for the Managed Alcohol Program have ended and the program will close this year.
  • Launched in April 2020 during COVID, the program aimed to prevent dangerous withdrawal by providing metered alcohol doses to homeless clients housed in hotels.
  • The initiative cost about $5 million annually and served 55 people over its run, averaging roughly $454,000 per client.
  • Community Forward, the nonprofit operator since 2023, confirmed the city ended the program and has faced scrutiny over its recent revenues and compensation.
  • Lurie framed the decision as part of a recovery-first strategy that has halted distribution of fentanyl smoking supplies, even as the city reportedly has about 68 detox beds for thousands who cycle through homelessness.