Episcopal Community Services leads all SF housing providers in overdose deaths: 162 since 2020. The nonprofit is now running a pilot program to help residents use drugs in their apartments. Recovery advocate Gina McDonald — whose brother died of substance use in 2022 — confronted ECS leadership directly: people are dying alone in ‘supportive’ housing at higher rates than other providers. Pamela D, Jamilah B, Lee G, Andrew C. Names on a memorial. This is what $425 million buys.
February 16, 2026 · 3 min read