San Francisco Supervisors Address Ongoing Challenges at Psychiatric Emergency Services

San Francisco County officials are taking significant steps to address ongoing challenges at the Psychiatric Emergency Services (PES) facility, as highlighted in a recent government meeting. Supervisor Mandelmann expressed deep concern over the persistent capacity and staffing issues at PES, which serves as the city's only dedicated psychiatric emergency service. The facility has faced ongoing struggles, including being on diversion status, meaning it cannot accept new patients, for extended periods.

During the meeting, it was revealed that PES has been operating under a capped capacity of 19 patients since the onset of the COVID-19 pandemic, which has exacerbated the existing challenges. The facility is crucial for individuals in psychiatric crisis, and the inability to accommodate patients has led to increased pressure on other emergency services across the city.

Dr. Hilary Cunnens and Dr. Mark Leary provided an overview of PES operations, noting that the facility is staffed 24/7 and has implemented various initiatives to improve patient care and discharge processes. They reported a 120% increase in discharge medications provided to patients, as well as enhanced partnerships with community organizations to facilitate smoother transitions to follow-up care.

In response to the ongoing issues, the county is working on establishing a crisis diversion unit, expected to open later this year, which will provide additional support for individuals in need of psychiatric care. This unit aims to alleviate some of the pressure on PES by offering a dedicated space for stabilization and treatment.

The meeting underscored the importance of addressing the systemic issues within the behavioral health response framework in San Francisco. Officials emphasized the need for continued collaboration and innovation to ensure that individuals experiencing mental health crises receive timely and effective care. As the county moves forward, the focus will remain on improving staffing levels, expanding facilities, and enhancing the overall mental health service network to better serve the community.