Tag Archive for: overdose prevention

DA, San Jose Mayor, Senator Blakespear & Treatment Providers Join Forces Calling for State to Fund Prop. 36

San Diego County District Attorney Summer Stephan joined with San Jose Mayor Matt Mahan, leaders and participants in behavioral health treatment, and the small and large business community to update the public on San Diego’s successful implementation efforts of Proposition 36 and to call on the state to fully fund this transformative voter-passed initiative.

California voters made their will clear in passing Prop. 36, but the state has yet to provide sufficient funding for full implementation across all counties, leaving people struggling with severe addiction and mental illness, often driving homelessness to cycle repeatedly through the criminal justice system.

“San Diego County has shown through a year of persistent implementation that Proposition 36 works—saving lives and reducing crime by incentivizing treatment for addiction and mental health,” DA Stephan said. “Even without state funding, we moved forward, balancing compassion with accountability. The results are clear: 96.4% of eligible felony defendants chose a treatment track, while only 3.5% were sentenced to local or state prison. Overdose deaths among people experiencing homelessness dropped 25%, and property crimes decreased 12.7%, giving businesses much-needed relief. It is now the legal and ethical responsibility of the Legislature and Governor to fund this voter-approved law.”

During a news conference, DA Stephan provided an update on Prop. 36-related prosecutions, highlighting the mandated treatment aspect of the law that incentivizes lifesaving treatment for defendants suffering from addiction. The law requires treatment as an alternative to incarceration, addressing the root cause of many crimes.

“I’m deeply grateful to County Behavioral Health Services, the Court, the Sheriff’s Office, and County Probation, whose partnership is essential to making Proposition 36 work.”

DA Stephan also praised California State Senators Catherine S. Blakespear, Susan Rubio and Thomas J. Umberg, who have called for $400 million to be added to the state budget to help counties and local law enforcement agencies pay for licensed drug and alcohol treatment and other services required under Proposition 36. The DA thanked Mayor Mahan who was one of the first big city mayors to support the new law and to push for funding and implementation of this initiative.

Data released last month shows that as of February 28, 3,879 criminal cases have been charged in San Diego County with one of the two key portions of Prop 36: repeat theft offenders charged under Penal Code section 666.1 and repeat hard drug offenders charged under Health and Safety Code section 11395. About 68% of the cases fall under drug charges, with the remainder pertaining to retail theft.

In approximately 71.4% of cases, courts placed defendants on a Proposition 36–mandated treatment track, with another 25% assigned to treatment through probation conditions—bringing the total to 96.4% on a treatment path designed to address the root causes of repeat criminal behavior, primarily addiction, mental illness, or both.

In addition to Mayor Mahan, DA Stephan was joined at the news conference by James Callaghan, the CEO of TURN Behavioral Health Services, a dual track treatment program for individuals with severe mental illness and/or a chronic substance use disorder; Chirs Cate, the CEO of the Regional Chamber of Commerce, business owners and an individual who successfully completed treatment.

Mayor Mahan has been committed to supporting his city and the state to properly fund and implement Prop. 36 and to reduce homelessness.

“The nearly 70% of voters who passed Prop. 36 were clear: we need an era of mass treatment that combines accountability with real access to care and meets people where they are while refusing to abandon them to the streets,” said San Jose Mayor Matt Mahan. “San Diego has worked hard to answer to the will of the people — now, we need the rest of the state to follow suit. I’m looking forward to seeing what’s working in Southern California and talking about how it can scale to every corner of California.” 

In San Diego County, Mayor Todd Gloria and nearly all local mayors support the proposition.

Over the past decade, California’s homelessness crisis has worsened even as other parts of the country saw periods of decline, underscoring the need for more effective tools to address addiction and connect people to treatment.

“Californians made it abundantly clear that funding and implementing Proposition 36 should be a top state priority,” said Senator Catherine S. Blakespear. “Last year’s $100 million initial investment was a good first step but the State needs to fully fund the critical needs of those on the ground doing the diversion, supervision, and treatment work associated with this law.

Officials say licensed drug and alcohol treatment along with supportive services and evidence-based care help people reclaim their lives.

“This is not only a health issue — it’s a community issue,” Callaghan said, the CEO of TURN Behavioral Health Services. “Untreated behavioral health conditions contribute to overdoses, homelessness, repeated emergency response, and strain on law enforcement and hospitals. Integrated, evidence‑based treatment reduces emergency room visits, lowers recidivism, and helps people stabilize long enough to reconnect with housing, employment, and family supports. When people receive the right care at the right time, communities are safer and systems function more effectively.”

San Diego County has been implementing Prop. 36 faster than many California counties, establishing a specialized treatment system within four months of the law’s passage to address both addiction and mental health.

“Through leadership and collaboration, San Diego County is emphasizing a treatment-first approach for drug offenses with equal access to treatment for the rich and the poor, DA Stephan said. “San Diego has pushed forward and proven that Prop. 36 can work. We need leaders to stand up and demand Prop. 36 be funded.”

Key elements of San Diego’s implementation include:

  • Faster Implementation: San Diego established a specialized treatment plan for Prop 36 offenders within four months, leading the state.
  • High Treatment Enrollment: About 96% of eligible defendants in San Diego are engaging in the treatment track through deferred judgment or probation.
  • Focus on Drug Rehabilitation: The San Diego DA has been charging over 80% of Prop. 36 cases under the umbrella of drug-related offenses, prioritizing addiction treatment over immediate incarceration.
  • Leveraging Drug Courts: Expanding Drug Court to manage the influx of participants.
  • Proactive Planning: Recognizing potential capacity issues, we began mapping out treatment needs early to address addiction and recidivism effectively.

Prop. 36 has made a difference to local businesses and prosecuting habitual offenders is making stores and the community safe.

“I have noticed a complete 180-degree turn on two things surrounding our businesses: homeless activity is down and shoplifting and theft are down,” said Tony Konja, president of Keg N Bottle and Chairman and CEO of the Neighborhood Market Association. “It’s simply amazing how policy coupled with enforcement equals peace.”

Prop. 36, which passed with 68 percent of the vote in 2024, took effect in December of the same year. The DA’s Office has been committed to successfully implementing the transformational proposition in partnership with the Sheriff, the county’s police chiefs, the court and the community. The measure:

  • Provides stricter consequences for repeat theft offenders, those who are committing smash and grab retail crimes, and organized theft rings, to help stop the cycle of recidivism.
  • Requires convicted dealers of fentanyl and hard drugs to receive a warning that the next time they sell illegal drugs, and someone dies, they will be held responsible for a victim’s death. The law provides additional consequences for illegal drug dealers who cause great bodily injury or death, who carry firearms while dealing narcotics, or are involved in the distribution of unusually large quantities of narcotics.
  • Incentivizes lifesaving treatment for defendants suffering from addiction by creating the new Treatment Mandated Felony that offers treatment as an alternative to incarceration for those who illegally possess hard drugs like fentanyl and methamphetamine, addressing the root cause of many crimes.

More information about the ongoing implementation of Prop. 36, including monthly updated data, can be found on the DA’s website here.

 

 

DA Weekly News Update with DA Summer Stephan 09-04-25: Carfentanil Found in Fake Pills

In this week’s news update, District Attorney Summer Stephan issues a critical public safety warning about the presence of lethal carfentanil in counterfeit pills circulating in our community. Learn how to protect yourself and your loved ones from this deadly substance and what steps law enforcement is taking to combat it. Stay informed—your awareness could save a life.

Schools Embracing Drug Prevention Programs

San Diego County District Attorney Summer Stephan joined law enforcement leaders, school officials and the California National Guard today to announce the release of a new report outlining recommendations for drug prevention education and anti-overdose efforts in schools. Nearly two dozen schools across San Diego County are already adopting and implementing recommendations from the working group that produced the report which includes five drug abuse prevention and three drug overdose prevention programs.

School-based Interventions for Substance Use and Overdose Prevention lays a foundation for programs in a school setting that can deter or delay the onset of substance use, slow or stop the progression of use and development of substance use disorders and minimize the adverse impact of substance use on students, their families and community, and the economy.

“It’s critical that we educate our youth through compelling and effective curriculum, giving them the tools they need to stay healthy and make decisions that can literally save their lives,” said DA Stephan. “I want to thank the San Diego County Board of Supervisors for their commitment to this issue, the working group that was assembled for the careful consideration they gave to creating this report, and school officials for embracing the drug prevention programs that can make a real difference in the lives of families across San Diego County.”

In October 2022, the San Diego County Board of Supervisors unanimously approved a proposal backed by the County Office of Education to support fentanyl education in county schools, as well as the distribution of naloxone to parents and students and training on its use. The DA assembled a working group of experts that included representatives from the San Diego County District Attorney’s Office, San Diego County Office of Education (SDCOE), San Diego and Imperial Valley High Intensity Drug Trafficking Area (HIDTA), and California National Guard Counterdrug Task Force.

The goal of working group was to study and make recommendations regarding the most effective and proven modalities and programs for building long term resilience in students to live healthy lives free of the negative, and at times, fatal impact of drugs including fentanyl.

“While the HIDTA program is charged with removing deadly drugs from our streets in part by dismantling and disrupting drug trafficking and money laundering organizations, we know that if we are going to be effective in saving the lives of the most vulnerable among us, our youth, then our efforts must include effective, proven life skills and drug prevention curriculum within our schools,” said HIDTA Director David King. “The San Diego Imperial Valley HIDTA is proud to have contributed to the efforts of the working group to identify such curricula and it’s partnerships such as these that make San Diego County a model for the rest of the country.”

“The San Diego County Office of Education has long been a proponent of substance abuse prevention education that incorporates life skills, healthy behaviors, and overall wellness because it’s the right thing for kids,” said Dr. Gloria E. Ciriza, County Superintendent of Schools. “We are fortunate to have strong partnerships with county leaders, law enforcement agencies, and community-based organizations that bring research-validated programs to support our region’s children in staying healthy and safe.”

Fatal overdoses involving fentanyl have surged in recent years in the United States and research shows that deaths among children have increased significantly, mirroring trends among adults. Fentanyl, which is 100 times stronger than morphine, is now present in nearly all illegal substances used by teens. Older adolescent fentanyl poisonings are primarily the result of counterfeit pills containing a lethal dose of fentanyl.

The report found that preventing youth substance use is multifaceted and requires a comprehensive community prevention strategy comprised of synthesized programs, practices, and policies grounded in the best available evidence for greatest impact within individuals, families, schools, and communities. When individuals initiate alcohol and drug use during adolescence, they are much more likely to develop a substance use disorder as a young adult and beyond. Evidence has shown that youth who begin drinking before age 15, for example, experience four to six times the rate of lifetime alcohol dependence than those who remain abstinent from alcohol use until age 21.

Decades of research has shown that much can be achieved through primary prevention interventions delivered during childhood and adolescence to reduce an individual’s later risk for drug use disorders. The report notes that prevention efforts must be initiated in early adolescence and should be targeted towards preventing the use of common substances that are legal for adults but remain illegal for adolescents such as alcohol, nicotine, and marijuana. These substances are often referred to as gateway drugs and may lead to the use of methamphetamine, cocaine, heroin, or opioids that may also contain fentanyl.

Based on the data and research reviewed by the working group, two specific goals were identified:

  • Prevent initiation or escalation of substance use in youth 18 and under through evidence-based substance use prevention curricula in schools.
  • Prevent overdoses in youth 18 and under using the best available evidence.

It was important for the working group to consider a variety of curriculum options due to the differences in school schedules, structures, and cultures. After careful review of the evidence listed in a variety of registry databases of available programs, and consultation with experts in curriculum analysis and prevention science, five effective drug abuse prevention programs were identified for elementary, middle, and high school populations: Positive Action, Project Towards No Drug Abuse, LifeSkills Training, DARE’s Keepin’ It Real, and Project Alert.

Students at Vista del Mar Middle School participate in one of the programs identified in the report: Rugged Outdoor Physical Experience System (R.O.P.E.S.) is a drug prevention program that focuses on communication and team building to help young people determine when to ask for help and how to receive it.

Students at Vista del Mar Middle School participate in one of the programs identified in the report: Rugged Outdoor Physical Experience System (R.O.P.E.S.) is a drug prevention program that focuses on communication and team building to help young people determine when to ask for help and how to receive it.

Many of the curricula outlined in the report are being taught in participating schools by members of the California National Guard Counterdrug Task Force. The National Guard is also committed to assisting schools that opt to have prevention curricula taught by their own teachers by providing training, free of charge, on the implementation and teaching of the identified curricula.  SDCOE, with funding from the County of San Diego’s Opioid Settlement Funds, is also working with middle schools in the county to implement Project Alert, one of the research-validated programs highlighted in the report.

After careful review, the working group also identified three programs that show real promise in addressing the goal of overdose prevention:

  • Operation Prevention San Diego. This Drug Enforcement Administration program is a free educational program available to schools upon request or at Operationprevention.com.
  • “I Choose My Future” is a drug education program offered to schools by the San Diego County Office of Education.
  • The working group is also recommending that all schools serving grades 6 through 12 obtain an adequate supply of naloxone.

Schools and organizations that have embraced educational programs recommended by the report include Mar Vista High School, Mar Vista Academy, Sweetwater High School, Barbara Worth Jr. High School, Vista Del Mar Middle School, San Ysidro Middle School, La Mirada Elementary School, Olympian High School, Saburo Murakoa Elementary School, All Tribes Charter School, Southwest High School, Maie Ellis Elementary School, La Paloma Elementary School, Mission Meadows Elementary School, Oceanside High School, Valle Lindo Elementary School, San Pasqual Academy, Smythe Elementary School, The Rock Academy,  Ocean View Hills Elementary School, Vista Boys & Girls Club, and Imperial Beach Boys & Girls Club.

The release of the report comes as Red Ribbon Week is about to be observed next week. The DA pointed to the important awareness that Red Ribbon Week brings to drug prevention, which was started to honor murdered DEA Agent Enrique ‘Kiki” Camarena here in San Diego and grew into a national movement. In addition, officials acknowledged the efforts of the County Office of Education under the leadership of former School Superintendent Paul Gothold, as well as the work done in the drug abuse prevention space by retired DEA Agent Rocky Herron.

The full report, School-based Interventions for Substance Use and Overdose Prevention, can be found here.