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flag San Francisco ended its $5M annual managed alcohol program, citing cost and ineffectiveness, shifting to abstinence-based recovery.

flag San Francisco has ended its $5 million annual Managed Alcohol Program, launched in April 2020 to reduce withdrawal risks during pandemic lockdowns, serving 55 clients who averaged $454,000 in services each. flag Mayor Daniel Lurie, elected in 2024, terminated the program, calling it unsustainable and inconsistent with his administration’s recovery-first approach. flag He cited the high cost and ineffective outcomes, ending the contract with nonprofit Community Forward and shifting city policy toward abstinence-based recovery through the Recovery First Act. flag The move marks a departure from harm reduction strategies used in other West Coast cities.

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