Accessible Treatment

To maximize our accessibility to the widest possible range of clients, the Center offers treatment in 8+ community locations outside of our own offices. More than half of the 800 or so people we work with each year are homeless, and 25% are youth and young adults between the ages of 16 and 25.

San Francisco Hospitality House

Our largest community-based program is at San Francisco Hospitality House.

All are extremely low income and plagued by all the problems – emotional, medical, and wellbeing – that go along with such hard lives.

We meet people in non-traditional settings: on the streets, in parks, and in community drop-in centers and medical clinics. We offer the lowest threshold mental health and substance use treatment in the Bay Area.  We work side by side with harm reduction outreach workers, syringe exchange staff, case managers, nurses, and doctors.  Our job is to provide the emotional support to help people stabilize their drug use and mental health symptoms and the practical support to help them obtain housing and financial benefits or employment.  Our goal is to help people attain and maintain stable mental health, a non-problematic relationship with drugs, housing, income, and the sense of well-being that goes along with these things.

The Center’s community work epitomizes our COME AS YOU ARE philosophy.  Truly, you don’t have to do, or commit to, anything as a condition of getting help from our highly skilled and very kind therapists.

Our Community Sites & Therapists Schedules


Hospitality House Drop-in Centers, Shelter, Art Program, and Employment Programs in the Tenderloin and on Sixth Street.

Tenderloin Self-Help Center: 146 Leavenworth Street | San Francisco, CA 94102
Monday, Wednesday-Friday: 9am – 5pm; Tuesday 2pm- 5pm

The Sixth Street Self-Help Center: 169 Sixth Street | San Francisco, CA 94103
Monday, Wednesday-Friday: 9am – 5pm; Tuesday 2pm- 5pm

Sixth Street Harm Reduction Center, operated by the San Francisco AIDS Foundation
117 6th Street @ Mission | San Francisco, CA 94103
Monday & Thursday afternoons

OBOT (Office-Based Opiate Treatment)
SF Homeless Outreach Team Addiction Medicine Clinic
50 Ivy St., | San Francisco, CA 94102
Monday & Thursday mornings

Central Waterfront Navigation Center, operated by Episcopal Community Services
600 25th St., | San Francisco, CA 94107
Wednesday 9am – 5pm

San Mateo County Outpatient HIV Clinic
222 West 39th Avenue, First Floor | San Mateo, CA 94403
Monday, Wednesday – Friday 9am – 5pm


Homeless Youth Alliance in Golden Gate Park and at the Huckleberry Youth Clinic, which lends us office space.
Monday, Wednesday – Friday

Upcoming SF Dept. of Public Health Mobile Treatment Team for Transition Age Youth.  This program will take us to any shelter, drop-in center, or housing program that works with transition age youth.

YEAH! Shelter (Covenant House) 
University Avenue in Berkeley
Tuesday and Thursday evenings

Covenant House Wellness Center
200 Harrison Street, Oakland
Friday 9am – 3pm

To support our community services, please consider making a donation.


In addition to our work with clients, we provide staff training and clinical support to these and approximately 25 other organizations that offer extremely low-threshold services, thus reaching 1000’s more people with multiple problems.