San Francisco Department of Public Health shifts to community-based safety services model

San Francisco County is set to enhance its public health services by transitioning to community-based safety models in its clinics. During a recent government meeting, the Board of Supervisors approved a resolution allowing the Department of Public Health (DPH) to contract out security services, which are expected to be more cost-effective than traditional law enforcement presence.

The resolution, supported by the controller's office, highlights that various department services can be performed by private contractors at a lower cost while maintaining similar quality. This shift is part of a broader strategy to improve safety and patient experience in healthcare settings.

Greg Wagner, Chief Operating Officer of DPH, explained that the new model will replace full-time sheriff's deputies at four primary care and behavioral health clinics with trained community-based partners. These partners will focus on de-escalation and patient support, creating a welcoming environment for individuals seeking care. This approach aims to reduce confrontational situations and enhance the overall clinic experience.

Dr. Hallie Hammer, Director of Ambulatory Care for DPH, emphasized that these community safety services are distinct from traditional security roles. They are designed to integrate into the healthcare team, fostering trust and improving interactions with patients. The model has already shown success in other health network sites, indicating a promising future for this initiative.

The Board's decision reflects a commitment to innovative solutions that prioritize patient care while ensuring fiscal responsibility. As the DPH moves forward with this plan, the community can expect a more supportive and responsive healthcare environment.