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Inside San Francisco’s Tenderloin Middle, Which Serves Tons of Each Day

Juliana McNeil greeted reporters in what’s known as the living room, a tranquil space with yellow walls where people use computers, read books and unwind.

She was there as a kind of ambassador for the visitors who come in regularly, and had glowing reviews of her experience at the Tenderloin Center.

McNeil said she had been sleeping on the streets in Oakland before she arrived at the site. She said staff helped her find housing, mental health support and mentors.

“Places like this need to exist in other counties because when you’re homeless, you feel like you have nothing,” she said. “They got me not only a hot meal, they gave me a hygiene kit, clothes. They basically linked me back up to where I’m building myself again, my trust with people.”

Juliana McNeil told members of the media she lived on the streets of Oakland before finding support at the Tenderloin Center. (Holly McDede/KQED)

Donna Hilliard, executive director of Code Tenderloin, took reporters to the courtyard.

“What we tell people is, ‘Welcome to grandmother’s backyard,'” she said.

She pointed toward a mobile shower and laundry station.

“You can come in smelling like pee, but guess what, we have a shower, and we’re going to give it with care,” she said.

Hilliard nodded toward the game area and where guests can get coffee, and gray-and-blue reclining chairs arranged in a circle where people wait for services or nap.

Then reporters were escorted to what staff called “the overdose prevention area.”

The area is pretty basic. Plastic tables and chairs are set up for people to use drugs with relative privacy, while staff are nearby to reverse overdoses.

“There are people we don’t see in treatment, people who leave treatment and have reoccurrence of drug use. And for those people, we believe we have an obligation to care for them so they don’t die of a drug overdose,” said Vitka Eisen, president and CEO of HealthRIGHT 360, a nonprofit health provider that offers harm-reduction services at the Tenderloin Center.

plastic chairs sit empty outside under a large tent awningOn a typical day, in this outdoor lounge area at the Tenderloin Center, guests wait for services. Vitka Eisen with HealthRIGHT 360 said staff have reversed overdoses at this spot and that naloxone is readily available when needed. (Holly McDede/KQED)

Naloxone, the drug used to reverse overdoses, and clean needles are at the ready. No one has fatally overdosed at the Tenderloin Center, and staff have reversed over 90 overdoses since the site opened in January, according to data from the San Francisco Public Health Department.

Eisen disagreed that the site is a safe consumption site, however, and preferred to call it an overdose prevention site.

“The safe consumption sites are typically indoors. They have nursing staff, a medical model, and this is outdoors in a tent,” she said. “It’s rugged.”

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