Saving lives

The Street Overdose Response Team provides care, resources, and support to people who experience an overdose.

“Street Medicine Team” by Linda Acosta

SFFD paramedic responds to a call

What do we know about overdose deaths?

Overdose deaths are preventable.


San Francisco is experiencing record numbers of drug overdose deaths, in part due to fentanyl


People who survive an overdose are at heightened risk for a future overdose


Homelessness, racism, poverty, and trauma contribute to substance use and overdose risk


About half of the people who die from a drug overdose in San Francisco had prior contact with our emergency services




Paramedics and a public health nurse respond to a call

What is the Street Overdose Response Team?

• The team launched in August 2021 as a collaboration between the San Francisco Department of Public Health and the San Francisco Fire Department


• We respond to people immediately after an overdose, and again within 72-hours, to connect people to care and treatment


Support may include lifesaving naloxone, treatment medicine, supportive counseling, and guidance getting substance use treatment, housing, or shelter


• The team includes a Community Paramedic, a Street Medicine Clinician and other specialists and peer counselors. They operate citywide, 12 hours per day, 7 days per week.

Michael Mercer (SFFD paramedic), Kevin Lagor (DPH clinician) and Dr. Barry Zevin (DPH)

What's next?

• The team will expand in 2022 to include more teams, expanded staffing, and up to 24/7 coverage


We are rapidly growing our case list to support hundreds of San Franciscans at the highest risk of overdose