San Francisco to force treatment on mentally ill drug users

In this March 1, 2016, file photo, San Francisco police officers wait while homeless people collect their belongings in San Francisco. San Francisco supervisors consider legislation Tuesday, June 4, 2019, allowing the city to force mentally ill drug addicts into housing and treatment for up to a year. Mayor London Breed says it's inhumane to let addicts languish on the streets, but homeless advocates say the measure is extreme and a violation of civil rights. (AP Photo/Ben Margot, File)

AN FRANCISCO (AP) — San Francisco officials decided Tuesday to force some people with serious mental illness and drug addiction into treatment, even if it goes against the spirit of a city known for its fierce protection of civil rights.

Several members of the Board of Supervisors voiced deep concerns Tuesday about the possibility of taking away a person’s civil liberties, but the proposal for a pilot program passed 10-1.

Mayor London Breed and other supporters say the move — known as conservatorship — is necessary to help people who are often homeless, addicted to drugs and have a mental illness, making them a danger to themselves.

“Allowing people to continue to suffer on our streets is not acceptable or humane, and I am glad the Board of Supervisors supported our approach to finally make a change,” Breed said in a statement after the vote.

The measure would apply to a handful of people, the city’s department of public health estimated, although the number would grow under legislation pending at the state level.

Supervisor Shamann Walton was the sole no vote, saying the city didn’t have plans in place to reduce the impact on African American people and other minorities who tend to have negative run-ins with police.

Several supervisors decided to give the pilot program a try after changes were made that require providers to give the person multiple opportunities to accept voluntary help. They also were encouraged by Breed including more money for additional treatment beds in a proposed budget.

“By all accounts, the number of people affected will be small, but no matter how small the number, we all need to be watching closely to make sure the impacts are positive,” said Supervisor Vallie Brown, a co-sponsor of the proposal.

Critics call the measure politically driven and a violation of civil rights that runs against the principles of the liberal city. They say it would lead to locking up people in facilities and that San Francisco lacks the resources to successfully expand the number of people in such a program.

“We are concerned about ensuring that persons receive mental health treatment and services in their communities, in supportive housing, in supportive environments — and not in facilities,” said Curt Child, legislative director of Disability Rights California.

“This is a major civil rights issue in the sense of confining people against their will,” he said.

San Francisco struggles with income inequality and a growing number of homeless people — some with disturbing behavior tied to drugs, schizophrenia or bipolar disorder. They shuffle from the streets to jail and psychiatric care, unaware they need steady treatment, sometimes dashing into traffic or screaming at strangers.