The Facts

San Francisco is receiving a $21 million grant from California’s 2024 Proposition 1 bond to open 50 new locked behavioral-health beds at Zuckerberg San Francisco General Hospital—doubling their current capacity.

The money will cover capital costs of the build-out, but not the ongoing staffing and operations which may range from $200k to $400k per bed per year.

The Context

Prop 1 passed in March 2024, and GrowSF was proud to endorse it.

Statewide, Prop 1 will support about 6,800 treatment beds.

Locally, SF’s Controller-facilitated Residential Care and Treatment Workgroup estimated the city needs 75–135 more long-term placements in locked and residential settings.

The GrowSF Take

Bonds are a great way to pay for infrastructure like this, and we're glad to see the money being put to work. Expanding the number of locked treatment facilities for people with severe mental illness and addiction will improve patient outcomes and give more people access to treatment they need.