PROPOSED 03-04 SAN FRANCISCO DPH SERVICE CUTS IN
BASE BUDGET:
$17.5 MILLION REDUCTIONS FROM GENERAL FUND,
$20 MILLION INCREASED COSTS ABSORBED.
(These are the cuts that the Health Department is
immediately proposing.)
IMMEDIATE HIRING FREEZE: $2 million estimated
Money saved in current budget to be
carried forward into 03-04 budget
CLOSE MENTAL HEALTH
REAB FACILITY (MHRF) AS WE KNOW IT: $8.1 million
Care in MHRF to be contracted out to private company. 182 jobs lost.
Change from locked sub-acute psych skilled nursing facility (IMD) to an unlocked Residential Care Facility (RCFCI), taking care of significantly lower-accuity patients; mental patients requiring locked facilities will be sent elsewhere.
With increased pressure to force patients out of SFGH Psych Inpatient and not pay for sending patients elsewhere, higher acuity mental patients will be sent to Laguna Honda, causing more injuries to staff and other patients at the MHRF and Laguna Honda, which is not getting its planned increased staffing. (See below.)
CUT SUBSTANCE ABUSE
OUTPATIENT AND DROP-IN SERVICES: $3.05
million
Clients currently served in
outpatient and drop-in programs will be referred to 12-step programs or
methadone.
Eliminate Westside Youth Awareness Outpatient Program, $341,761
Individual, group youth counseling, never got going, substitute methadone.
Reduce New Leaf Substance Abuse Program, $122,194
Loose outpatint services to 27 clients.
YMCA Urban Services Huckleberry Youth Program, $36,525
Eliminate early intervention, referral for 700 clients, substitute detox, methadone.
Potrero Hill Neighborhood House, $44,987
Never got going, substiute detox, methadone.
Asian American Recovery Services COPASSA, $162,833
Eliminate outreach, referral, and prevention, substitute direct treatment
Haight Ashbury Free Clinics, Inc. OSHUN, $790,744
Eliminate outpatient services to 260, reduce prevention to 1950 clients.
Haight Ashbury Free Clinics, Inc. Mother’s Ahead Program, $332,836
Outpatient treatment, referral to 72 addicted mothers.
Haight Ashbury Free Clinics, Inc. Mother’s Ahead Program Outreach, $70,758
Walden House Continuing Care, $285,877
Eliminate continuing care, case management for 336 who completed treatment.
Walden House Intensive Treatment Services, $329,877
40 clients.
Sheriff’s Substance Abuse Residential, $256,364
Substitute Prop 36 funds for treatment of incarcerated clients?
Sheriff’s Post Education Release Program, $60,000
Eliminate educational services to released clients, substitute direct treatment.
Sheriff’s Roads to Recovery Program, $100,000
Eliminate educational services, substitute direct treatment.
Eliminate Ozanam Med Supported Detox, $563,722
Replace medical detox with social detox , service loss for 243 clients.
Increase Baker Places Med Supported Detox, ADD $450,000
Add 143 slots, partial replacement for Ozanam losses.
Create new methadone maintenance slots and replace lost grants, ADD $272,636
Add 31 slots.
CUT TO HOMELESS REFERRAL/EDUCATION: $1.5 million
Central City Hospitality House drop-in/outreach, $567,618
Drop in services for 8,000 homeless.
Reduce and consolidate homeless outreach (HOPE & MOST Team), $244,833
Mental health services and outreach, 3 jobs lost.
Progress Foundation Outreach Services, $383,701
Program reductions for outreach services to 300 homeless people.
Instituto Familiar de la Raza Outreach Services, $21,437
Program reductions for outreach services to 180 homeless people.
Decrease Tenderloin Outreach SRO Collaboration, $69,560
Education, advocacy services to SRO residents and owners.
Eliminate
Informational outreach, referral services, peer outreach training, advocacy for families in SROs.
Reduction to SFAF AIDS Hotline, $138,172
Reduce services, 24,000 calls/yr
Eliminate inpatient substance abuse treatment referral team at SFGH, $73,125
Referrals to be made by social workers. Dept does not generate revenue.
Eliminate Community Substance Abuse Services Pretrial Referral Unit, $68,601
Screening, assessment, placement services.
CUT MENTAL HEALTH
TREATMENT: $1.3 million
Replace lost mental health services
with case management.
Eliminate Family Service Agency Day Treatment, $386,846
Reduce adult, older adult services to 121 clients, merge with other program
Eliminate
Adult, older adult programs for 27 clients.
Eliminate BVHP Thunderseed Program, $447,478
Loose day treatment for 71 clients, substitute outpatient or case management.
Reduce Baker Places
Loose day treatment for 40 clients, substitute outpatient or case management
Reduce Conard House Transitional Residential Treatment, $13,183
Reduce from 24 to 16 beds
Reduce Private Provider Network Outpatient budget, $200,000
5% reduction in budget, 197 clients loose services.
Reprogram increased intensive case management, ADD $300,000
Substituted for clients loosing other services.
ELIMINATION OF LAGUNA HONDA HOSPITAL LAUNDRY: $1.28 million
Contract out 48 jobs.
CLOSE
2 LVNs, 10 RNs, to other jails, and
rest of DPH
CUT OUTPATIENT PHARMACY BENEFITS: $950,000
Outpatient medications to be
supplied to patients below 300% of
Federal Poverty Level. Requires Bd of Supervisor’s approval.
ELIMINATE ALL ADULT
DENTAL SERVICES: $791,357
Assuming State cuts its dental
services for adults program. 7 jobs lost.
ELIMINATE
HIV/AIDS EMOTIONAL AND PRACTICAL PEER
SUPPORT: $785,000
Services to 900 clients (SF AIDS
Fndn) and 600 clients (Shanti)
DELETE INCREASED
NURSING MODEL AT LHH, $526,000
Delete 6 more nursing staff
promised LHH following continuing staff and patient injuries from
understaffing.
ELIMINATE 50% OF
INTERPRETER SERVICES: $475,000
Reduce number of languages
interpreted by staff, use more phone translation. Rely more heavily on bilingual staff. 7 jobs lost.
Dept is non-revenue generating.
REDUCTION OF SUPPORT
STAFF AT HEALTH CENTERS: $433,000
6 jobs lost, including eligibility workers, medical evaluation assnt, medical social
worker
ELIMINATE PATIENT
REFERRAL SERVICES AT
Eliminate patient services for
clinical services, making appointments, directions on solving problems with
pharmacy, eligibility, and any other outpatient
problems. 5 jobs lost. Dept is
non-revenue generating.
REDUCE
Reduction of transitional housing for LGBTQQ youth from 15 to 9 beds, less services.
REDUCE HOME HEALTH
AIDES, $221,000
Lay off 2 workers, delete 3 open
positions.
HOLD CURRENTLY OPEN
POSITIONS VACANT IN MATERNAL CHILD HEALTH,
$125,000
DECREASE USE OF
CONTRACTED HOSPITALS BY MENTALLY-ILL:
$100,000
Reduce budget 4% for contracted
services by private hospitals, loss for 23 clients.
ELIMINATE ENHANCED
SERVICES AT BAYVIEW ADULT DAY HEALTH CENTER,
$56,000
150 fewer clients in program.
ELIMINATE ACUPUNCTURE
SERVICES AT TOM WADELL CLINIC, $40,000
Eliminate service to 80 clients in
program.
DECREASE SPENDING OF
TAXI VOUCHERS, $25,000
Prioritize vouchers for sickest
patients.