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DESCRIPTION:SF General Hospital Rally Against Layoffs Of Public Workers & Destruction 
 of Services\nWednesday April 15, 2026 12 noon pm\n\nIn front of Bld 25 in 
 roundabout\nSan Francisco General Hospital\n\nS.F. to close 3 health 
 clinics amid budget cuts, including longtime youth 
 centers\nhttps://missionlocal.org/2026/04/dph-cuts-sf-youth-clinics-huckleberry-larkin/\nWorkers 
 at Haight and Tenderloin youth clinics, and senior mental health clinic, 
 report closures\n\nby ELENI BALAKRISHNAN\nApril 9, 2026, 5:00 am\n\nSan 
 Francisco City Hall is illuminated during sunset on Sept. 11, 2025. Photo 
 by Mariana Garcia.\nSan Francisco will see the closure of three public 
 health clinics in coming months, including two youth clinics in the 
 Tenderloin and Haight-Ashbury amid an ongoing budget crunch, Mission Local 
 has learned. \n\nThe Department of Public Health did not confirm the names 
 of the clinics that are closing. But workers this week were told they were 
 being reassigned from the Cole Street Youth Clinic within Huckleberry Youth 
 Programs, the Michael Baxter Larkin Street Youth Clinic within the 
 Tenderloin’s Larkin Street Youth Services, and the Southeast Mission 
 Geriatric clinic. \n\nThe city has only a handful of clinics for people 
 ages 12 to 25. The clinics offer mostly drop-in care for a vulnerable 
 demographic. \n\nMission Local logo, with blue and orange lines on the 
 shape of the Mission District.jpeg\nWant the latest on the Mission and San 
 Francisco? Sign up for our free daily newsletter below.\nSign up\nIn a 
 statement, a Department of Public Health spokesperson confirmed that the 
 department plans to “consolidate” three “low-volume” clinics amid a 
 citywide deficit and federal and state cuts to Medi-Cal and Medicaid, but 
 did not provide a timeline for doing so. \n\nLisa Cadillo, a medical 
 evaluation assistant at Larkin Street’s clinic, said that the clinic had 
 seen a lower volume in recent years. Still, she said, the announcement on 
 Monday that her workplace of 10 years was closing came as a “total 
 shock.” \n\nOver the past couple years, Cadillo said the clinic was 
 chronically understaffed and saw a revolving door of providers who were 
 overwhelmed and at times, reluctant to work at that location. \n\n“It 
 definitely takes a different type of person to work in the Tenderloin, at 
 the Larkin Street clinic,” Cadillo said. \n\nOn a good day, she said 
 about 10 kids would come in, but the care they received was more involved 
 than at a typical health clinic. She worried about where her clients — 
 some of whom are unhoused, transient, or undocumented — would go instead. 
 By August or sooner, Cadillo was told she will be transferred to San 
 Francisco General Hospital. \n\nAccording to its 2024 impact report, Larkin 
 Street Youth Services served over 2,000 people in its various programs that 
 year. Huckleberry Youth Programs reported in its last annual report that it 
 served 518 youths at its two health clinics, and provided 608 with 
 counseling services.  \n\nHuckleberry is one of San Francisco’s 
 longest-standing youth service providers — it opened the country’s 
 first shelter specifically for runaway and homeless youth in 1967. The 
 organization’s groundbreaking HIV prevention program eventually became 
 its health clinic in 1992. It soon became the city’s largest 
 community-based adolescent health clinic. \n\nToday, things are different. 
 \n\nAnother worker who works at one of the city’s youth clinics, who is 
 familiar with the matter but wanted to remain anonymous for fear of 
 retaliation, said that hours had been reduced at the Cole Street Clinic to 
 two days a week — which meant fewer people were coming in, leading to 
 further cuts.\n\n“If the clinic is closed, they’re not going to come 
 back,” the worker said, emphasizing the need for drop-in service. “Then 
 they tell their friends that it’s closed.”  \n\nThe low volume, in 
 turn, became the reason for the closures announced this week. \n\nMayor 
 Daniel Lurie’s office has called for budget cuts across city departments, 
 with the current two-year deficit around $643 million. \n\nLast month, 
 Lurie called on the Department of Public Health to cut an additional $40 
 million from its budget, with half coming from community-based 
 organizations and the other half from staff reductions. \n\n“This may 
 result in service reductions,” read a memo at the time. This week, the 
 city issued layoff notices for 127 positions across multiple departments, 
 including the public health department, and more are expected.  \n\nThe 
 department told Mission Local that it has also “identified” $226 
 million in savings that won’t impact staff or programming, and that the 
 city’s general fund will help offset the federal cuts. \n\nThe department 
 spokesperson said that services provided by the clinics will continue 
 despite the closures. \n\n“This is a resource realignment — not a 
 reduction in services,” the statement said. “Every patient currently 
 seen at these locations will be offered a seamless transition to another 
 outpatient clinic, with no gap in care.” \n\nCadillo estimated that about 
 half of her youth clients are from the Tenderloin, the neighborhood known 
 for the highest density of children in the city. In the Tenderloin, youth 
 services are practically synonymous with Larkin Street. \n\n“Even though 
 at our clinic we didn’t see that many people, it’s not just an easy, 
 ‘Okay, let me check your ears and your stomach and have a great 
 day,’” Cadillo said. When she sees her clients, she tries to lift them 
 up, because “life has torn them down.” \n\nThe other worker said the 
 small clinics “build relationships” to make the youths feel safe there, 
 as compared to a “very big and intimidating adult clinic.” All that 
 work, they said, is “so that when they’re in crisis, they come to 
 us.” \n\nAnother worker at the Southeast Mission Geriatric clinic said 
 they offer wraparound care for seniors, including mental health care for 
 many immigrants who endured trauma and witnessed atrocities in their home 
 countries. The clinic also offers home visits, transportation to the DMV, 
 and does outreach to low-income or homeless seniors living in the Mission 
 District. \n\nKeana Giles, the director of health services for Huckleberry 
 who is not employed by the public health department, said she also learned 
 abruptly this week about the imminent closure of her clinic, but had 
 received little information. \n\nGiles said the health department never 
 consulted Huckleberry about any strategies to keep the clinics open. She 
 said “the impact to the community, staff and young folks who access our 
 services, will be instant.”\n 
 https://www.indybay.org/newsitems/2026/04/13/18885525.php
SUMMARY:SF Public Workers Rally Against SF Mayor Lurie Layoffs At SF General
LOCATION:In front of Bld 25 at roundabout\nSF General Strike
URL:https://www.indybay.org/newsitems/2026/04/13/18885525.php
DTSTART:20260415T190000Z
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