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Take what you need.
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Our Programs

The Harm Reduction Therapy Center provides integrated mental health care and substance use treatment to people who, because their relationship with drugs is so intertwined with other emotional and social aspects of their lives, need more than simple “just say no” solutions and mainstream programs.

Mobile
Services

Since 2018, HRTC has set up weekly pop up “clinics without walls” on the street in 4 different neighborhoods in SF. By first paying a great deal of attention to people’s basic needs and wants, HRTC has created a therapeutic milieu that attracts 100’s of people to seek therapy and other services.

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Community Services

Most of HRTC’s clients are houseless, and many do not fit easily into mainstream services. All of HRTC’s treatment services are located in very low-threshold environments. Our own center is a beautiful converted warehouse in the SOMA neighborhood of San Francisco. To maximize our accessibility to the widest possible range of clients, we also offer harm reduction therapy in more than a dozen other community locations.

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Youth
Services

In 2018 HRTC was asked to pilot new ways to reach homeless youth - youth who have escaped very traumatic lives and who live in the parks and on the streets in community with each other and far from the institutions that have robbed them of the unconditional love and acceptance they need to grow into adults confident in themselves and in their abilities.

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HRTC’s Training Model

We Are Leaders in the Care of People with Co-occurring Substance Use and Mental Health Disorders. As a principal developer of integrated treatment for multi-diagnosed clients, we are also one of the best-known training entities in the U.S. for dual diagnosis and harm reduction.

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News and Articles

02.25.2025

February 2025 Newsletter: HRTC Is a Client Fi...

Anna Berg, LCSW Clinical Program Director It was raining steadily as I turned the corner off Harrison Street and onto Merlin, the small alley where…

12.09.2024

We’re Hiring!...

We are looking for a drug-user loving radical street-based therapist to join our team of social-justice minded clinicians working to make sure everyone who can…

11.22.2024

November 2024 Newsletter: HRT in Latin Americ...

FORMAL LAUNCH OF HARM REDUCTION THERAPY IN LATIN AMERICA Patt Denning, PhD, & Jeannie Little, LCSW, Founders and Directors Emeritae of HRTC In August we (Patt…