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To others, it\u2019s a sanctuary. \u201cThis is the first time that I\u2019ve seen this kind of animosity.\u201d () by (https://missionlocal.org/author/abigailv/) Abigail V\u00e2n Neely May 21, 2025, 4:00 am May 22, 2025, 12:07 pm Share this: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/?share=x&nb=1) Click to share on X (Opens in new window) X (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/?share=facebook&nb=1) Click to share on Facebook (Opens in new window) Facebook (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/?share=reddit&nb=1) Click to share on Reddit (Opens in new window) Reddit (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/?share=jetpack-whatsapp&nb=1) Click to share on WhatsApp (Opens in new window) WhatsApp (mailto:?subject=%5BShared%20Post%5D%20To%20some%20S.F.%20neighbors%2C%20the%20city-funded%20Gubbio%20Project%20is%20a%20blight.%20To%20others%2C%20it%E2%80%99s%20a%20sanctuary.&body=https%3A%2F%2Fmissionlocal.org%2F2025%2F05%2Fsf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment%2F&share=email&nb=1) Click to email a link to a friend (Opens in new window) Email (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#print?share=print&nb=1) Click to print (Opens in new window) Print (A person and a cat lie together on a cot in a room with wooden floors and stacked folding chairs in the background.) A client sleeps with their dog on a bed inside St. John's provided by the Gubbio Project. Photo on May 12, 2025 by Abigail Van Neely. (Mission Local logo, with blue and orange lines on the shape of the Mission District) Sign up below to get Mission Local\u2019s free newsletter , a daily digest of news you won\u2019t find elsewhere. (1) (593368) (05b141c840) (Email address) () Sign up When someone overdoses outside St. John the Evangelist Episcopal Church, the team inside is prepared. Staff at the Gubbio Project, a Mission District nonprofit housed in St. John\u2019s on Julian Avenue, carry Narcan, an opioid antagonist, at all times. They say they respond to between three and five overdoses every week on the streets surrounding the church. It\u2019s all in a day\u2019s work at the Gubbio Project, which receives $2.3 million a year from (https://media.api.sf.gov/documents/HC_Memo_Gubbio_Final.pdf) San Francisco\u2019s Department of Public Health to assist people struggling with homelessness and substance abuse around (https://missionlocal.org/16th-street-plaza-cleanup/) 16th and Mission streets . (Mission Local logo, with blue and orange lines on the shape of the Mission District) Want the latest on the Mission and San Francisco? Sign up for our free daily newsletter below. (1) (635166) (05b141c840) (Email address) () Sign up But, with (https://missionlocal.org/2025/04/sf-parents-16th-street-mission-street-conditions/) rising tensions around Mission District drug activity (https://missionlocal.org/2025/03/mayor-lurie-promises-mission-neighbors-things-will-change/) erupting into (https://missionlocal.org/2025/05/dueling-events-on-mission-district-drug-use-devolve-into-chaos/) shouting matches and (https://missionlocal.org/2025/05/they-know-who-we-are-now-neighbors-protest-on-julian-avenue/) political protests , the Gubbio Project has become a target for a small, but loud, group of critics who blame it for attracting the area\u2019s problems. \u201cThat\u2019s always complicated to defend,\u201d says Lydia Bransten, the Gubbio Project\u2019s executive director. \u2018Because we don\u2019t do the pretty work.\u201d (Two people sit hunched over on outdoor chairs under blue canopies, surrounded by bags and empty chairs. One wears a colorful hat, the other a hooded jacket.) Men sit beside the Gubbio Project\u2019s coffee table. Photo on May 12, 2025 by Abigail V\u00e2n Neely. \u2018I hope you run out of Narcan\u2019 During the Gubbio Project\u2019s general hours \u2014 7 a.m. to 7 p.m., Monday through Friday \u2014 between 120 and 150 people pass through St. John\u2019s trellised gates and into its sunlit courtyard each day. Some are homeless, some are drug users, and some are elderly locals who come to visit with friends. (https://www.valenciacyclery.com/) (Sale) (Sale) More than a dozen counselors are on hand to offer education on overdose prevention and treatment options. But they also accept guests who just want a place to sit, whether they come in genial, depressed, dazed, or clearly on drugs. Lines form: One for safe-use supplies, such as fentanyl test strips and sterile syringes, and a second line for coffee and donuts. There are clients who welcome conversation; others simply rest on one of the 45 cots set up before the church\u2019s altar. (Several cots with bedding and personal items are arranged in a room with wood-paneled walls; a person is lying on one cot.) Clients rest inside St. John the Evangelist Episcopal Church. Photo on May 12, 2025 by Abigail V\u00e2n Neely. Between January and April, some 2,500 people a month visited the Gubbio Project, the Department of Public Health said. On average, the nonprofit refers 28 people a month to a city-funded substance-use treatment program. (https://paxtongate.com/) (5/19/25) (5/19/25) This, staff say, is a relatively high number. People struggling with addiction often (https://missionlocal.org/2025/05/sf-drug-users-reject-treatment-why/) reject treatment when it\u2019s offered. Gubbio is tasked with meeting everyone where they are, including those who say they\u2019re not ready yet. \u201cIt\u2019s much easier to promote a program that has such a clear directive, like an abstinence-based treatment program,\u201d Bransten said. \u201cSomeone comes in who was formerly using drugs, and they leave the program graduating as a person who\u2019s clean and sober. Our program is more complicated.\u201d (A person wearing a dark shirt and cap stands at a round stone table with plastic cups, holding a small brown dog on a leash in an outdoor area with blue canopy tents and greenery.) Pets are welcome at the Gubbio Project. Photo on May 12, 2025 by Abigail V\u00e2n Neely. Some neighbors living across the street see Gubbio\u2019s services as life-saving. A few see them as the source of neighborhood ills. Others aren\u2019t sure what to think: They want the city to guide people into recovery, but are weary of being exposed, along with their children, to the often messy work that\u2019s involved. (https://www.famsf.org/events/free-saturdays-legion-of-honor?utm_source=RFA&utm_medium=Newsletter&utm_campaign=FreeSaturdays&utm_id=FreeSaturdays&utm_term=MissionLocal&utm_content=MissionLocalNewsletter) (FAMSF AUDIO) (FAMSF AUDIO) Drugs are not permitted inside the church or courtyard, and Gubbio Project guests are told not to disturb neighbors by using drugs once they exit. When Bransten recognizes one of her clients sitting on a nearby street, even after hours, she speaks with them. Anyone using drugs inside is asked to leave, Bransten added, and cut off from services if they keep using. Still, nearby residents say there are more and more men and women smoking or hunched over, incoherent, in the alleys around the church. When an overdose happens, it is no surprise. (https://www.eventbrite.com/e/2025-san-francisco-affordable-housing-fair-help-center-tickets-1281436443899?aff=oddtdtcreator) (Housing Workshops) (Housing Workshops) In recent weeks, a few neighbors have called out the Gubbio Project, saying the nonprofit is a blight that attracts and enables drug use. The discourse has spilled onto social media and drawn (https://missionlocal.org/2025/05/dueling-events-on-mission-district-drug-use-devolve-into-chaos/) political opponents into the fray. One vocal neighbor, Andrew Wilkens, posted a (https://x.com/andres_wiken/status/1922085676851384495?s=46) selfie with Mayor Daniel Lurie on the block and, in another post, pointed to the Gubbio Project as the (https://x.com/andres_wiken/status/1923041703667081351?s=46) cause of deteriorating street conditions. Other opponents of Gubbio who don\u2019t live in the neighborhood have visited to film and circulate (https://x.com/war24182236/status/1909300234133590357) videos showing people bent over piles of their belongings inside the church. They accuse the nonprofit of allowing drug use. At a (https://missionlocal.org/2025/05/they-know-who-we-are-now-neighbors-protest-on-julian-avenue/) rally in early May for safer streets that was attended by both residents and politicians, protesters held signs that read, \u201cGo away, Gubbio\u201d and \u201cHarm reduction kills neighborhoods.\u201d (A group of people hold protest signs, including one that reads \"Harm Reduction Kills Neighborhoods,\" during a demonstration.) Protestors, including Andrew Wilkens, at a rally for safer streets on Julian Avenue on May 9, 2025. Photo by Gustavo Hernandez. Bransten worries that social media narratives she describes as \u201cviolent, aggressive, and vitriolic\u201d are fueling misconceptions about the Gubbio Project\u2019s work. She said she\u2019s been threatened by online \u201cagitators\u201d who oppose harm reduction services, and that the address of her home, which she shares with her teen daughter, has been doxxed. \u201cI hope you run out of Narcan,\u201d Bransten recalls being told while responding to a recent street overdose. \u201cThis is the first time that I\u2019ve seen this kind of animosity.\u201d \u2018The chicken or the egg?\u2019 Ebbs and flows of drug activity have long been part of the landscape in the Mission, long-time residents and service providers say. For decades, people have sought sanctuary at St. John\u2019s. \u201cThe drugs started before us,\u201d volunteer Steve Ibarra said as he handed out coffee at the Gubbio Project last Monday afternoon. Twenty-five years ago, he said, his brother sought food and shelter at the church before beginning a lengthy recovery journey. In 2004, the Gubbio Project was founded at (https://www.sfgate.com/bayarea/article/Project-Gubbio-at-St-Boniface-sanctuary-of-sleep-3407103.php) St. Boniface Church in the Tenderloin to offer unhoused people a safe daytime place to sleep. In 2015, it established an offshoot at St. John\u2019s. In 2021, when it (https://www.sfchronicle.com/local/heatherknight/article/Beloved-S-F-homeless-nonprofit-was-booted-from-16203214.php) lost its Tenderloin home, it moved all (https://eltecolote.org/content/en/the-gubbio-project-comforts-unhoused-people-while-upcoming-apec-pushes-them-away/) operations to the Mission. (Interior of a church with arched white columns, stained glass windows, and white fabric draped from the ceiling.) After a fire last year, services at St. John\u2019s continue while construction is underway. Photo on May 12, 2025 by Abigail V\u00e2n Neely. Complaints about social services in the neighborhood are \u201cnothing new,\u201d said former Mission District supervisor Hilary Ronen. During the pandemic, when St. John\u2019s could not offer\u00a0safe-sleeping spots indoors, some neighbors blamed the church and the Gubbio Project for the encampments that sprung up around it. In recent months, however, residents\u2019 (https://missionlocal.org/2025/03/sf-drug-carnival-16th-st-residents-afraid-to-leave-home-police-bart/) frustrations about street conditions have boiled over. And workers at the Gubbio Project say the number of people coming to the church has risen dramatically since police crackdowns began in other parts of the city. At a (https://missionlocal.org/2025/03/mayor-lurie-promises-mission-neighbors-things-will-change/) community meeting in March, Mission Station captain Liza Johansen said that (https://missionlocal.org/2025/02/triage-center-fentanyl-sfpd-sixth-street/) police activity in the Tenderloin had led drug users to relocate to the Mission. Displacement, the San Francisco Police Department (https://missionlocal.org/2025/05/sf-drug-crisis-no-metrics-zurich-four-pillars-strategy/) says , is unavoidable when it comes to curbing overt drug use. Pushing people around is \u201ca little bit part of the strategy,\u201d SFPD Commander Derrick Lew acknowledged at a recent city hearing. \u201cWe don\u2019t have the resources to blanket the entire city, so we have to strategically choose problem areas.\u201d (A person in a blue hoodie sweeps the ground near blue chairs and trees, while another person sits with their head down beside a shed and an electric scooter.) An employee cleans St. John\u2019s courtyard. Photo on May 12, 2025 by Abigail V\u00e2n Neely. Still, a few neighbors are convinced that the Gubbio Project is \u201c1,000 percent\u201d to blame for the influx of drug use in the area. \u201cWhat would happen if Gubbio went away?\u201d asked one man, who declined to give his name. The problem \u201cwould go away tomorrow.\u201d He also accused the organization of \u201cserving drug tourists,\u201d \u201chiring goons,\u201d and \u201ccooking the books\u201d for personal profit. The starting salary for Gubbio staff, Bransten said, is around $52,000, less than two-thirds the average San Francisco (https://www.census.gov/quickfacts/fact/table/sanfranciscocitycalifornia/PST045224) income . In addition to its $2.3 million from the city, the nonprofit earned donations and other grants that totaled $342,386 in 2022, per its most recent available (https://projects.propublica.org/nonprofits/organizations/942992645/202242229349301144/full) tax filing . Brasnten\u2019s salary was around $80,000. \u201cThe people who work at Gubbio are angels making poverty wages in order to care for the most downtrodden,\u201d said former Mission supervisor Ronen. \u201cThey are part of the solution.\u201d (A woman in a camouflage jacket sits at a desk, smiling, with informational posters about community volunteer work displayed behind her.) Gubbio Project Assistant Manager Chlorisa Mcclain speaks to a client. Photo on May 12, 2025 by Abigail V\u00e2n Neely. Several Julian Avenue neighbors agree that public health services like the Gubbio Project are the only way to break the cycle of drug use. The \u201cvery select few\u201d who are outspoken Gubbio critics, asserted resident Michael Johnson, are either being manipulated or encouraged into their stance by \u201cbroader powers in the city\u201d who have a political agenda. Other neighbors fall somewhere in the middle of the debate. Another man, who asked to remain anonymous for fear of retaliation, said he trusted the evidence in favor of (https://missionlocal.org/2024/02/sf-london-breed-harm-reduction-public-health-experts/) harm-reduction services, and disliked the bitter tone of recent (https://missionlocal.org/2025/05/dueling-events-on-mission-district-drug-use-devolve-into-chaos/) community meetings . But he worried that by giving out supplies meant to prevent overdoses or disease transmission, places like Gubbio attract drug users, and drug dealers follow. It\u2019s a \u201cchicken and egg problem,\u201d he said. (Two people sit across from each other at an outdoor table, having a conversation. Papers, a plastic display, and gloves are on the table. Others and various items are in the background.) Volunteer Burke Lawlor registers clients for the city\u2019s supportive housing lottery. Photo on May 14, 2025 by Abigail V\u00e2n Neely. Addressing a need Bransten sympathizes with the neighbors\u2019 distress. As southeastern parts of San Francisco that were once abandoned have been developed, she said, the homelessness, poverty, addiction, and mental illness that occurred out of sight \u201cis now on people\u2019s doorsteps.\u201d That, she recognized, can be exhausting. \u201cWhen you have to work three jobs to keep an apartment in the Mission, you don\u2019t want to come home to someone lying in front of your door in crisis.\u201d But, Bransten said, \u201cThe reason that we are here in the Mission is because there was a need here in the Mission, and we are addressing that need.\u201d (A woman wearing blue glasses and a blue hoodie stands outside in front of a house with plants and arched windows in the background.) Lydia Bransten in St. John\u2019s courtyard. Photo on May 12, 2025 by Abigail V\u00e2n Neely. When asked for comment on the Gubbio Project, the mayor\u2019s office directed Mission Local to the Department of Public Health. The agency, which audits the nonprofit, said in a statement that Gubbio \u201coperates in full alignment with the SFDPH Good Neighbor Policy, which requires maintaining clean, safe sidewalks and discouraging any public drug use in the surrounding area.\u201d \u201cIt\u2019s not a free-for-all in here,\u201d said Bransten. It\u2019s \u201ca great team of people who come to this work with compassion and boundaries.\u201d A few hours into her shift at the Gubbio Project last Wednesday morning, substance-use-disorder specialist Amber Sheldon had already connected two clients to medications used to treat opioid addictions. She\u2019d linked another to a homeless shelter, a fourth to the hospital, and a fifth to a shower, an often-overlooked, basic amenity that can be empowering, she noted. (A seated person receives medical attention from a kneeling healthcare worker in a clinic setting, while another person observes. Medical supplies are visible on a table nearby.) Kayla Johnson gets her leg bandaged by UCSF roving nurses Erin Carrera and Ashlyn Oller. Photo on May 14, 2025 by Abigail V\u00e2n Neely. In one corner of St. John\u2019s courtyard, a volunteer registered people for the city\u2019s supportive-housing lottery. On the sidewalk outside, the city\u2019s Homeless Outreach Team called\u00a0 someone a taxi. A Mission-based contingent of (https://missionlocal.org/2025/04/federal-funding-cuts-derail-tenderloin-roving-nurse-program/) roving nurses from the University of California, San Francisco, made their weekly rounds, cleaning wounds and offering vaccines. \u201cIt\u2019s really awesome here,\u201d said Kayla Johnson, after getting her foot bandaged. \u201cNot a lot of people treat you kindly, because you\u2019re an addict.\u201d \u201cCan I get you anything?\u201d Bransten asked a man eating alone in an alcove. \u201cNo,\u201d he said. \u201cI just want some time away from everything. But I appreciate what you do. Really.\u201d (A small black dog pokes its head out of a purple pet carrier held by a person wearing rings and a purple jacket, sitting beside another person.) Maria DePilla holds her dog, Pilla, in St. John\u2019s courtyard. She and her friends have been meeting here to wait for appointments together for five years. Photo on May 12, 2025 by Abigail V\u00e2n Neely. 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(1) Follow Us (https://twitter.com/MLNow) X (https://www.instagram.com/missionlocal/) Instagram (https://www.youtube.com/@MissionLocal) YouTube (https://www.linkedin.com/company/mission-local-inc-/) LinkedIn (https://mastodon.social/@MLNow@sfba.social) Mastodon Tagged: (https://missionlocal.org/tag/16th-st-plaza-cleanup/) 16th St. Plaza cleanup , (https://missionlocal.org/tag/community/) community , (https://missionlocal.org/tag/drugs/) drugs , (https://missionlocal.org/tag/public-health/) public health (https://missionlocal.org/author/abigailv/) () (https://missionlocal.org/author/abigailv/) Abigail V\u00e2n Neely (mailto:abigail@missionlocal.com) abigail@missionlocal.com Abigail covers criminal justice, accountability, and behavioral health. She's originally from New York City, where she was a youth advocate and watched hundreds of arraignments. Now, she enjoys foggy San Francisco mornings with her cat, Sally Carrera. (Yes, the shelter did in fact name the cat after the Porsche from the animated movie Cars.) (https://missionlocal.org/author/abigailv/) More by Abigail V\u00e2n Neely Join the Conversation 30 Comments () Foggy Goat says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318059) (May 21, 2025, 8:32 am at 8:32 am) May 21, 2025, 8:32 am at 8:32 am \u201cBetween January and April, some 2,500 people a month visited the Gubbio Project, the Department of Public Health said. On average, the nonprofit refers 28 people a month to a city-funded substance-use treatment program.\u201d That\u2019s a little more than 1% of Gubbio clients getting referred to treatment. More importantly how, many of the clients referred were actually successful in their treatment program? I\u2019m not under the illusion that the statistics for abstinence based treatment programs are stellar stellar. And yes, the area around 16th and Mission has been a drug hot spot for decades before Gubbio came along. On the other hand, spending $2.3M in city funding on a program that refers only a little more than 1% of its clients to drug and alcohol abuse treatment is hard to justify. It makes me wonder whether the city could be spending its scarce resources on other programs with more successful outcomes, for clients and neighbors. +9 -5 votes. Sign in to vote Reply () RLE says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318264) (May 21, 2025, 6:07 pm at 6:07 pm) May 21, 2025, 6:07 pm at 6:07 pm This goes to what Fielder was asking: what is the metric for success? There is no universal answer, but Gubbio\u2019s mission statement should be considered: \u2018To be in community with and to provide a sacred space and sanctuary for unhoused people in need of safe, compassionate respite during the day.\u2019 +3 -4 votes. Sign in to vote Reply () Jake T says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318376) (May 22, 2025, 2:18 am at 2:18 am) May 22, 2025, 2:18 am at 2:18 am I think churches should drop the religious gobbledygook. Gubbio Project\u2019s real mission is to monetize fallow real estate held by a tax sheltered holding company. +4 -2 votes. Sign in to vote Reply () Western Sedition says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318484) (May 22, 2025, 10:10 am at 10:10 am) May 22, 2025, 10:10 am at 10:10 am You are mistaken. +2 -1 votes. Sign in to vote Reply () Foggy Goat says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318471) (May 22, 2025, 9:42 am at 9:42 am) May 22, 2025, 9:42 am at 9:42 am The mission statement you quote sounds fine enough for a church that isn\u2019t receiving any public funds. But as a public health program, my original question still stands: are we getting our money\u2019s worth for $2.3M per year if only 1% of clients seeking respite are getting referred for treatment? Note, the key word here is \u201creferred\u201d which doesn\u2019t inherently tell you anything about what kind of follow up there is to ensure successful outcomes after a client receives an initial referral. +3 -1 votes. Sign in to vote Reply () RLE says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318563) (May 22, 2025, 2:02 pm at 2:02 pm) May 22, 2025, 2:02 pm at 2:02 pm Your metric for success is a periphery function of the program. You feel entitled in centering your metric because the program is publicly funded. +1 0 votes. Sign in to vote Reply () Foggy Goat says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318635) (May 22, 2025, 4:50 pm at 4:50 pm) May 22, 2025, 4:50 pm at 4:50 pm You have a strange understanding of the word \u201centitled\u201d. Asking questions about whether public health programs are using our public funds effectively isn\u2019t entitlement. Harm reduction has been sold to San Franciscans by telling us that we\u2019ll get better outcomes by \u201cmeeting people where they\u2019re at\u201d and \u201cleading with compassion\u201d. By DPH\u2019s own reporting , the City is spending $2.3M in taxpayer funds on a program that\u2019s leaving 99%of its clients to struggle with their demons. That\u2019s neither successful nor compassionate. +2 -1 votes. Sign in to vote () marcos says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318465) (May 22, 2025, 9:16 am at 9:16 am) May 22, 2025, 9:16 am at 9:16 am Why are my tax dollars going to fund a sacred space? Don\u2019t we have a first amendment anymore? +1 -2 votes. Sign in to vote Reply () RLE says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318566) (May 22, 2025, 2:07 pm at 2:07 pm) May 22, 2025, 2:07 pm at 2:07 pm Who come over here with their big hairdosIntent on taking our money instead of giving your cashWhere it belongs, to a decent American artist like myself!You\u2019ll dance to anything! 0 0 votes. Sign in to vote Reply () Allegra Mautner says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318323) (May 21, 2025, 9:44 pm at 9:44 pm) May 21, 2025, 9:44 pm at 9:44 pm I think it\u2019s already helpful to see how many ODs they avoid. We didn\u2019t just care about treatment, also avoiding unnecessary death on the road to recovery is important. +3 -5 votes. Sign in to vote Reply () SD says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318413) (May 22, 2025, 5:49 am at 5:49 am) May 22, 2025, 5:49 am at 5:49 am If you build it, they will come. That\u2019s true for baseball diamonds in the middle of a cornfield, as well as homeless and drug use assistance programs. People go where the resources that support their priorities exist. If you provide beds and a safe use site, you will have homeless drug users showing up. Now, if you have a plan to help them, great, but if it\u2019s just to give them a safe place to hang out, then you are poor fishermen. +5 -1 votes. Sign in to vote Reply () Western Sedition says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318487) (May 22, 2025, 10:17 am at 10:17 am) May 22, 2025, 10:17 am at 10:17 am Build it and they\u2019ll come? Have you been to the salesforce transit center??? Gubbio meets a human need. If more Gubbios opened, the Julian St. problems would lessen. Clients could be served more indoors. Gubbio serves many non-addicted San Franciscans. +2 -1 votes. Sign in to vote Reply () Daniel says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318020) (May 21, 2025, 6:49 am at 6:49 am) May 21, 2025, 6:49 am at 6:49 am \u2018The agency, which audits the nonprofit, said in a statement that Gubbio\u201coperates in full alignment with the SFDPH Good Neighbor Policy, which requires maintaining clean, safe sidewalks and discouraging any public drug use in the surrounding area.\u201d\u2019Let me guess: All the other service providers and SROs in the area get similar approvals. Then there\u2019s SFPD throwing up their arms claiming how they can\u2019t do much because of this reason or that. And so forth, netting a bottom line that has residents getting to live in some kind of death camp reenactment. It\u2019s unfortunate that they lean on Gubbio project to draw attention to the problems in the neighborhood. But the reality is the place is in considerable risk of sliding into Tenderloin/Mid Market squalor long term. +6 -3 votes. Sign in to vote Reply () Alex says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318183) (May 21, 2025, 3:21 pm at 3:21 pm) May 21, 2025, 3:21 pm at 3:21 pm I encourage you to visit one of the several former death camps that have been turned into museums. I take issue with that particular descriptor you\u2019ve used, but I agree with most of the rest of the sentiment. +2 -4 votes. Sign in to vote Reply () Sam says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318135) (May 21, 2025, 12:27 pm at 12:27 pm) May 21, 2025, 12:27 pm at 12:27 pm If she want anyone in the city to take her seriously, she should move here. Otherwise, she shouldn\u2019t get a voice in the conversation about how to deal with our issues. +6 -3 votes. Sign in to vote Reply () fpastine says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318196) (May 21, 2025, 3:45 pm at 3:45 pm) May 21, 2025, 3:45 pm at 3:45 pm I would suggest that the small but vocal group consists of Gubbio and its supporters. Residents in this vulnerable community have endured years of hardship\u2014not only from the city\u2019s inadequate responses to the fentanyl crisis but also from its unconscionable enablement of drug dealers and users, which has made daily life intolerable for those who live here.It\u2019s rich to hear Supervisor Ronen express concern for Gubbio\u2019s staff and the individuals the site attracts, especially considering her past actions. She allowed Dolores Street Community Services\u2019 Safe Sleeping site at 1515 South Van Ness to routinely expel disruptive individuals directly into our neighborhood\u2014onto our sidewalks and in front of our homes\u2014leaving residents to manage the fallout. The Supervisor\u2019s consistent deference to individuals brought into our communities, along with her tolerance of the nonprofit mismanagement that continues to degrade our neighborhoods, speaks volumes. These decision-makers do not care about the well-being of our communities. Articles that express shock when residents finally demand accountability and change seem willfully blind to years of lived experience. Why is anyone still surprised when our communities speak up for safe, clean neighborhoods\u2014and for our children not to have to witness the daily spectacle of people slumped in a fentanyl daze, or worse? It\u2019s astonishing. +6 -4 votes. Sign in to vote Reply () scottf says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318361) (May 22, 2025, 1:07 am at 1:07 am) May 22, 2025, 1:07 am at 1:07 am Trevor Chandler, who was one of the few actual neighborhood residents at the rally against harm reduction, lost his election by 19 points districtwide, and by 26 points in the precinct where Gubbio Project is located. So that should tell you who\u2019s a smaller group. I\u2019m proud to live in a neighborhood where a strong majority of us still reject copaganda and support evidence-based policies that work to help, not punish, our neighbors who need help. +3 -5 votes. Sign in to vote Reply () Western Sedition says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318486) (May 22, 2025, 10:12 am at 10:12 am) May 22, 2025, 10:12 am at 10:12 am Preach! +2 -1 votes. Sign in to vote Reply () marcos says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318470) (May 22, 2025, 9:33 am at 9:33 am) May 22, 2025, 9:33 am at 9:33 am Our precincts are progressive, but progressive politics is not limited to the realm of the poverty martyrs as the nonprofiteers would have it. Progressive means changing the rules of the game to benefit working people over the rich and corporations. In this case, working people are told to suck it while the nonprofit corporations use our neighborhood as their opportunity site. There are no efforts to make life better for addicts as working people. Brighter prospects would be the best incentive to quit using. The nonprofits are not compensated with public dollars to brighten prospects, just to maintain misery. Decades of this poverty charity centered progressive politics has attenuated progressive political power in San Francisco to a weak point where our city has succumbed to San Francisco\u2019s own version of Trump. Our neighbors living in affordable housing who are asking to be moved because they can\u2019t raise a family under these conditions are much more important to me than whatever any commuter nonprofiteer says. They did not vote for Chandler. And Fielder won because IFPTE Local 21 dropped, what, $470K, the neighborhood is generally progressive and there aint\u2019 no way that an AIPAC HRC YIMBY could win in D9. Remember, Fielder was plan C after the previous contenders had whacked themselves out of the game with improprieties. +2 -2 votes. Sign in to vote Reply () Hector says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318014) (May 21, 2025, 5:54 am at 5:54 am) May 21, 2025, 5:54 am at 5:54 am This group helps junkies stay addicted. They are not heroes. +7 -7 votes. Sign in to vote Reply () The Kid says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318023) (May 21, 2025, 7:10 am at 7:10 am) May 21, 2025, 7:10 am at 7:10 am Nice piece, Abigail. Very informative, thorough and thought provoking. +6 -6 votes. Sign in to vote Reply () marcos says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318095) (May 21, 2025, 9:55 am at 9:55 am) May 21, 2025, 9:55 am at 9:55 am The problem is not any one social services site in the North Mission, rather that the North Mission is viewed as a city funded nonprofit opportunity site, an infinite sink for nonprofit business opportunities that don\u2019t make a dent in the problem as well as a containment zone for the rest of the City\u2019s undesirable social problems. There is a pattern of middle aged upper middle class white ladies, Bransten and Funk of DignityMoves, who are seeking some form of later in life validation and do so through washing the feet of the lepers, who live nowhere near the neighborhoods they operate in, but who bring a stern disciplinarian attitude to residents near their projects. It seems that holding residents in prejudicial contempt is the price of entry to the city funded nonprofit ecosystem. Watching Bransten try to shush me when I was heckling Hillary Ronen in a public community meeting for lying to her constituents about the process for Mission Cabins, it was like she was treating me as one of her clients over whom she is accustomed to exerting unilateral power. The Will To Power can take on all manner of morbid forms. Gubbio at St. Johns was merely annoying in years past. When they wanted to put a safe consumption site there, across from Centro Latino, near Friendship House of American Indians, and Marshall Elementary and adjacent to residential, the only thing that stopped it was a City Attorney opinion. Residents \u201cdeserved\u201d the facility, to their minds. There was also a fire on Caledonia behind Gubbio in March of 2024. I draw the line at fire and feces. As fentanyl had been contained around 16th and Mission by Breed and Ronen, that amped up the impacts of Gubbio on the adjacent neighborhood as more addicts in the neighborhood means more addicts around Gubbio. The confirmation here is that many addicts are not homeless and do not want treatment. We need to work our way through reconciling those people with the law instead of thrashing tens of millions of dollars through a nonprofit treatment operation that is bound to fail. It is closing time for treatment resistent and/or housed addicts on the North Mission\u2019s sidewalks: you don\u2019t have to go home but you can\u2019t stay here. +4 -4 votes. Sign in to vote Reply () al says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318160) (May 21, 2025, 1:56 pm at 1:56 pm) May 21, 2025, 1:56 pm at 1:56 pm \u201cThe reason that we are here in the Mission is because there was a need here in the Mission, and we are addressing that need.\u201d The need to fill their own coffers apparently\u2026They can toot their own horn all they want about the \u201cgood\u201d they are doing for the neighborhood, but unless they are able to demonstrate their effectiveness with REAL data they need to have their funding pulled- +8 -5 votes. Sign in to vote Reply () marcos says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318260) (May 21, 2025, 5:53 pm at 5:53 pm) May 21, 2025, 5:53 pm at 5:53 pm They could start without showing barely concealed patronizing contempt for residents. We were here before Gubbio.We are here during Gubbio.And we will be here after Gubbio. +1 -2 votes. Sign in to vote Reply () Als says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318136) (May 21, 2025, 12:36 pm at 12:36 pm) May 21, 2025, 12:36 pm at 12:36 pm If the program is doing such great work I\u2019d like to know why they can\u2019t raise funds from private donors? I\u2019d like my tax dollars to be spend on things like beds for mental health \u2013 not coffee and donuts and drug paraphernalia. +5 -7 votes. Sign in to vote Reply (http://SFBulldogblog.com) () (http://SFBulldogblog.com) h. brown says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318335) (May 21, 2025, 10:54 pm at 10:54 pm) May 21, 2025, 10:54 pm at 10:54 pm Y\u2019all are the best rag in town, Now, you\u2019re getting more volume which is all you were missing. Abigail and the rest of your staff continually make me realize how little I know and I know alot. That make sense ? I\u2019ve been cleaning both sides of Julian behind the Armory damned near daily for 2 years now down to the cigarette butt and didn\u2019t even realize that the program at St. John\u2019s is the same one from the Tenderloin where I spent 12 years in the deepest muck from my secure SRO run by Don Falk\u2019s tndc. I must have spent 70 of my 81 years in hoods where the children were mostly born to certain failure and worked my way to Post grad Fellowship work with a perpetual canvassing project of Upstate South Carolina a quarter century ago and taught and designed programs and picked up trash since then and have come to these two conclusions \u2026 First, copy the Stockton program that gave the destitute a grand a month for a couple of years and crunched the numbers and their crime rate fell 50%. Second, make SFPD booking process include an offer of ten grand tax free and a thousand a month tax free to get sterilized. You\u2019ll notice it first in DPH prenatal stats. And, move Gubbio to the Western Nine Holes of Lincoln Golf Course adjoining the Fort Miley Vets Medical Complex as part of the 1,000 site SF RV and Tent Campground. Also, decriminalize drugs to take the dealers and cops out of the equation. Hey, radical solutions to radical problems. go Niners !! h. +2 -4 votes. Sign in to vote Reply () Audrey Fisher says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318060) (May 21, 2025, 8:32 am at 8:32 am) May 21, 2025, 8:32 am at 8:32 am Incredible article and work done by the amazing staff at this project. So glad to have research supported initiatives in this city that are kind to those suffering the most. +6 -10 votes. Sign in to vote Reply () Jake T says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318377) (May 22, 2025, 2:20 am at 2:20 am) May 22, 2025, 2:20 am at 2:20 am Suffering isn\u2019t a contest. +3 -2 votes. Sign in to vote Reply () marcos says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318489) (May 22, 2025, 10:17 am at 10:17 am) May 22, 2025, 10:17 am at 10:17 am Everything else that government does must be put on hold until we can identify the most oppressed person in San Francisco and direct resources to help them. After that, we move onto the next most oppressed person and so on. This is how we launder money. +2 -2 votes. Sign in to vote Reply () Allegra Mautner says: (https://missionlocal.org/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#comment-1318024) (May 21, 2025, 7:12 am at 7:12 am) May 21, 2025, 7:12 am at 7:12 am An amazing program doing necessary and phenomenal work. An inspiration to us all <3 +4 -10 votes. Sign in to vote Reply Expand comments Leave a comment Please keep your comments short and civil. Do not leave multiple comments under multiple names on one article. We will zap comments that fail to adhere to these short and easy-to-follow rules. (/2025/05/sf-neighbors-debate-gubbio-project-blight-unhoused-sanctuary-drug-treatment/#respond) Cancel reply Your email address will not be published. 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They say they respond to between three and five overdoses every week on the streets surrounding the church.\u00a0It\u2019s all in a day\u2019s work at the Gubbio Project, which receives $2.3 million a year from San Francisco\u2019s Department of Public Health to assist people struggling with homelessness and substance abuse around 16th and Mission streets.But, with rising tensions around Mission District drug activity erupting into shouting matches and political protests, the Gubbio Project has become a target for a small, but loud, group of critics who blame it for attracting the area\u2019s problems.\u00a0\u201cThat\u2019s always complicated to defend,\u201d says Lydia Bransten, the Gubbio Project\u2019s executive director. \u2018Because we don\u2019t do the pretty work.\u201dMen sit beside the Gubbio Project\u2019s coffee table. Photo on May 12, 2025 by Abigail V\u00e2n Neely.\u2018I hope you run out of Narcan\u2019During the Gubbio Project\u2019s general hours \u2014 7 a.m. to 7 p.m., Monday through Friday \u2014 between 120 and 150 people pass through St. John\u2019s trellised gates and into its sunlit courtyard each day. Some are homeless, some are drug users, and some are elderly locals who come to visit with friends.More than a dozen counselors are on hand to offer education on overdose prevention and treatment options. But they also accept guests who just want a place to sit, whether they come in genial, depressed, dazed, or clearly on drugs.\u00a0Lines form: One for safe-use supplies, such as fentanyl test strips and sterile syringes, and a second line for coffee and donuts. There are clients who welcome conversation; others simply rest on one of the 45 cots set up before the church\u2019s altar.\u00a0Clients rest inside St. John the Evangelist Episcopal Church. Photo on May 12, 2025 by Abigail V\u00e2n Neely.Between January and April, some 2,500 people a month visited the Gubbio Project, the Department of Public Health said. On average, the nonprofit refers 28 people a month to a city-funded substance-use treatment program.This, staff say, is a relatively high number. People struggling with addiction often reject treatment when it\u2019s offered. Gubbio is tasked with meeting everyone where they are, including those who say they\u2019re not ready yet.\u00a0\u201cIt\u2019s much easier to promote a program that has such a clear directive, like an abstinence-based treatment program,\u201d Bransten said. \u201cSomeone comes in who was formerly using drugs, and they leave the program graduating as a person who\u2019s clean and sober. Our program is more complicated.\u201dPets are welcome at the Gubbio Project. Photo on May 12, 2025 by Abigail V\u00e2n Neely.Some neighbors living across the street see Gubbio\u2019s services as life-saving. A few see them as the source of neighborhood ills. Others aren\u2019t sure what to think: They want the city to guide people into recovery, but are weary of being exposed, along with their children, to the often messy work that\u2019s involved.\u00a0Drugs are not permitted inside the church or courtyard, and Gubbio Project guests are told not to disturb neighbors by using drugs once they exit.\u00a0\u00a0When Bransten recognizes one of her clients sitting on a nearby street, even after hours, she speaks with them. Anyone using drugs inside is asked to leave, Bransten added, and cut off from services if they keep using.Still, nearby residents say there are more and more men and women smoking or hunched over, incoherent, in the alleys around the church. When an overdose happens, it is no surprise.\u00a0In recent weeks, a few neighbors have called out the Gubbio Project, saying the nonprofit is a blight that attracts and enables drug use.\u00a0The discourse has spilled onto social media and drawn political opponents into the fray.\u00a0One vocal neighbor, Andrew Wilkens, posted a selfie with Mayor Daniel Lurie on the block and, in another post, pointed to the Gubbio Project as the cause of deteriorating street conditions.\u00a0Other opponents of Gubbio who don\u2019t live in the neighborhood have visited to film and circulate videos showing people bent over piles of their belongings inside the church. They accuse the nonprofit of allowing drug use.\u00a0\u00a0At a rally in early May for safer streets that was attended by both residents and politicians, protesters held signs that read, \u201cGo away, Gubbio\u201d and \u201cHarm reduction kills neighborhoods.\u201dProtestors, including Andrew Wilkens, at a rally for safer streets on Julian Avenue on May 9, 2025. Photo by Gustavo Hernandez.Bransten worries that social media narratives she describes as \u201cviolent, aggressive, and vitriolic\u201d are fueling misconceptions about the Gubbio Project\u2019s work.She said she\u2019s been threatened by online \u201cagitators\u201d who oppose harm reduction services, and that the address of her home, which she shares with her teen daughter, has been doxxed.\u00a0\u201cI hope you run out of Narcan,\u201d Bransten recalls being told while responding to a recent street overdose. \u201cThis is the first time that I\u2019ve seen this kind of animosity.\u201d\u00a0\u2018The chicken or the egg?\u2019Ebbs and flows of drug activity have long been part of the landscape in the Mission, long-time residents and service providers say. For decades, people have sought sanctuary at St. John\u2019s.\u00a0\u201cThe drugs started before us,\u201d volunteer Steve Ibarra said as he handed out coffee at the Gubbio Project last Monday afternoon. Twenty-five years ago, he said, his brother sought food and shelter at the church before beginning a lengthy recovery journey.\u00a0In 2004, the Gubbio Project was founded at St. Boniface Church in the Tenderloin to offer unhoused people a safe daytime place to sleep. In 2015, it established an offshoot at St. John\u2019s. In 2021, when it lost its Tenderloin home, it moved all operations to the Mission.\u00a0After a fire last year, services at St. John\u2019s continue while construction is underway. Photo on May 12, 2025 by Abigail V\u00e2n Neely.Complaints about social services in the neighborhood are \u201cnothing new,\u201d said former Mission District supervisor Hilary Ronen. During the pandemic, when St. John\u2019s could not offer\u00a0safe-sleeping spots indoors, some neighbors blamed the church and the Gubbio Project for the encampments that sprung up around it.\u00a0In recent months, however, residents\u2019 frustrations about street conditions have boiled over. And workers at the Gubbio Project say the number of people coming to the church has risen dramatically since police crackdowns began in other parts of the city.At a community meeting in March, Mission Station captain Liza Johansen said that police activity in the Tenderloin had led drug users to relocate to the Mission. Displacement, the San Francisco Police Department says, is unavoidable when it comes to curbing overt drug use.Pushing people around is \u201ca little bit part of the strategy,\u201d SFPD Commander Derrick Lew acknowledged at a recent city hearing. \u201cWe don\u2019t have the resources to blanket the entire city, so we have to strategically choose problem areas.\u201d\u00a0An employee cleans St. John\u2019s courtyard. Photo on May 12, 2025 by Abigail V\u00e2n Neely.Still, a few neighbors are convinced that the Gubbio Project is \u201c1,000 percent\u201d to blame for the influx of drug use in the area.\u00a0\u201cWhat would happen if Gubbio went away?\u201d asked one man, who declined to give his name. The problem \u201cwould go away tomorrow.\u201d\u00a0He also accused the organization of \u201cserving drug tourists,\u201d \u201chiring goons,\u201d and \u201ccooking the books\u201d for personal profit.\u00a0The starting salary for Gubbio staff, Bransten said, is around $52,000, less than two-thirds the average San Francisco income. In addition to its $2.3 million from the city, the nonprofit earned donations and other grants that totaled $342,386 in 2022, per its most recent available tax filing. Brasnten\u2019s salary was around $80,000.\u201cThe people who work at Gubbio are angels making poverty wages in order to care for the most downtrodden,\u201d said former Mission supervisor Ronen. \u201cThey are part of the solution.\u201d\u00a0Gubbio Project Assistant Manager Chlorisa Mcclain speaks to a client. Photo on May 12, 2025 by Abigail V\u00e2n Neely.Several Julian Avenue neighbors agree that public health services like the Gubbio Project are the only way to break the cycle of drug use.\u00a0The \u201cvery select few\u201d who are outspoken Gubbio critics, asserted resident Michael Johnson, are either being manipulated or encouraged into their stance by \u201cbroader powers in the city\u201d who have a political agenda.\u00a0Other neighbors fall somewhere in the middle of the debate.\u00a0Another man, who asked to remain anonymous for fear of retaliation, said he trusted the evidence in favor of harm-reduction services, and disliked the bitter tone of recent community meetings.\u00a0But he worried that by giving out supplies meant to prevent overdoses or disease transmission, places like Gubbio attract drug users, and drug dealers follow.\u00a0It\u2019s a \u201cchicken and egg problem,\u201d he said.Volunteer Burke Lawlor registers clients for the city\u2019s supportive housing lottery. Photo on May 14, 2025 by Abigail V\u00e2n Neely.Addressing a needBransten sympathizes with the neighbors\u2019 distress.\u00a0As southeastern parts of San Francisco that were once abandoned have been developed, she said, the homelessness, poverty, addiction, and mental illness that occurred out of sight \u201cis now on people\u2019s doorsteps.\u201dThat, she recognized, can be exhausting. \u201cWhen you have to work three jobs to keep an apartment in the Mission, you don\u2019t want to come home to someone lying in front of your door in crisis.\u201dBut, Bransten said, \u201cThe reason that we are here in the Mission is because there was a need here in the Mission, and we are addressing that need.\u201dLydia Bransten in St. John\u2019s courtyard. Photo on May 12, 2025 by Abigail V\u00e2n Neely.When asked for comment on the Gubbio Project, the mayor\u2019s office directed Mission Local to the Department of Public Health. The agency, which audits the nonprofit, said in a statement that Gubbio \u201coperates in full alignment with the SFDPH Good Neighbor Policy, which requires maintaining clean, safe sidewalks and discouraging any public drug use in the surrounding area.\u201d\u00a0\u201cIt\u2019s not a free-for-all in here,\u201d said Bransten. It\u2019s \u201ca great team of people who come to this work with compassion and boundaries.\u201dA few hours into her shift at the Gubbio Project last Wednesday morning, substance-use-disorder specialist Amber Sheldon had already connected two clients to medications used to treat opioid addictions. She\u2019d linked another to a homeless shelter, a fourth to the hospital, and a fifth to a shower, an often-overlooked, basic amenity that can be empowering, she noted.\u00a0Kayla Johnson gets her leg bandaged by UCSF roving nurses Erin Carrera and Ashlyn Oller. Photo on May 14, 2025 by Abigail V\u00e2n Neely.In one corner of St. John\u2019s courtyard, a volunteer registered people for the city\u2019s supportive-housing lottery. On the sidewalk outside, the city\u2019s Homeless Outreach Team called\u00a0 someone a taxi. A Mission-based contingent of roving nurses from the University of California, San Francisco, made their weekly rounds, cleaning wounds and offering vaccines.\u00a0\u201cIt\u2019s really awesome here,\u201d said Kayla Johnson, after getting her foot bandaged. \u201cNot a lot of people treat you kindly, because you\u2019re an addict.\u201d\u00a0\u201cCan I get you anything?\u201d Bransten asked a man eating alone in an alcove.\u00a0\u201cNo,\u201d he said. \u201cI just want some time away from everything. But I appreciate what you do. Really.\u201d\u00a0Maria DePilla holds her dog, Pilla, in St. John\u2019s courtyard. She and her friends have been meeting here to wait for appointments together for five years. 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