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“Having someone tell you that you are worth something is the first step to healing.”

CHRT is one of the primary developers and providers of Harm Reduction Therapy in the country. It’s based on a relationship of trust and a relationship of respect.

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Individually tailored solutions to substance misuse

Harm Reduction Therapy is a program in which client and therapist work together to identify the most pressing issues to reduce the harm that is being done, establishing goals and implementing gradual, realistic steps to achieve them.


Harm Reduction Therapy

Empower Individuals

We respect each individual’s right, power and strength to determine the changes they want to make in their lives, and to prioritize what is most important.

A personal approach

Harm Reduction Therapy is not “one-size-fits all.” We believe there are as many ways to change as there are individuals who use alcohol and other drugs.

Come as you are

You do not have to change anything as a condition of coming to our Center; nor do we ask that you stop drinking or using, unless that is your goal.

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A pragmatic treatment program with a proven track record of positive results

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Help for everyone affected by substance misuse


We help clients to address both their substance misuse and the issues that lie behind it.

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Families and Friends

We work with families to find common ground with their substance using loved ones, and we help them find alternatives to harsh “tough love” tactics.

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Healthcare Professionals & Organizations

The Center’s founders are leaders in creating Harm Reduction Therapy.  They train hundreds of healthcare professionals and agency staff to transform their practices and their…

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Community Services

The Center also offers treatment at no cost to marginalized communities in San Francisco

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May 07

Mental Health Care during COVID-19 is an ESSE...

  In response to the COVID-19 pandemic, HRTC has done what we do best – Adapt and continue to meet the needs of the people…

Apr 09

MAT and COVID-19 Treatment Reform...

Medication-Assisted Treatment and COVID-19 Recommendations  1:  Even though we are in a COVID crisis, we are still in an overdose crisis. Methadone and buprenorphine are evidence-based and life-saving medications for…

Apr 04

Practicing Harm Reduction during COVID...

For guidelines on practicing harm reduction during COVID, check out this information, in multiple languages.


Founded by Dedicated Experts

The Center, founded by leaders in the Harm Reduction Therapy movement, is a certified drug and alcohol treatment program staffed by licensed mental health professionals. We have been practicing harm reduction therapy for over 30 years.

Meet the entire team


We are located in San Francisco, Oakland and Mill Valley.

San Francisco

45 Franklin Street, Suite 320
San Francisco, CA 94102


315 Broadway
Oakland, CA 94607

Mill Valley

18 E. Blithedale Ave., Suite 14
Mill Valley, CA 94941