Abstract
Last week, we were in San Francisco for the 2023 annual meeting of the American Psychiatric Association (APA), and for a visit to the Tenderloin — the part of the city that is home to the homeless drug users, mainly fentanyl users. We spent a sunny Monday morning walking through the streets of the Tenderloin. One of our main goals was to find out whether the users there had been offered, or wanted, treatment. We passed the OTP (opioid treatment program), which is in the midst of it all. But we did get one response that treatment was too much trouble. It's hard to see how it would be more trouble than the lives that these drug users, most of whom are homeless, currently live.
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