Feb 22 - -

Harm Reduction Mobile Therapy Team is Hiring

To HRTC’s dear harm reduction community,

The Center for Harm Reduction Therapy (aka HRTC) is expanding our community services.  We’ve been piloting a mobile youth program for a couple of months. As many of you know, we have a therapy office in a van and we have been site-searching for spots where we can park and set up a canopy, chairs, and kitchen so folks can have a small drop-in center, then engage with folks. We’ve gotten established in the Bayview and are working on other neighborhoods.  We are also working in several supportive and transitional youth housing programs.

SF-DPH is funding us to expand to include adults in our mobile sites so that we don’t have the awkward problem of needing to focus on some people and not others.  That means we get to are hire two more people!  Here is our job description.  Please spread the word!

Harm Reduction Mobile Therapy Team

The Center for Harm Reduction Therapy is seeking two Masters-level or higher (MSW, Psychology, or MFT) psychotherapists to join our mobile therapy team to work with youth and adults who are experiencing homelessness and living on the streets. This is an incredible opportunity to hone skills as a harm reduction therapist and to develop a model program!

The focus of this position is to develop a street-based program that will work with people who have complex interacting issues. The goal is to work with and “treat” whatever folks need right then and there.  The therapist will work with an HRTC team and will partner with staff from several other agencies (including Hospitality House and Citiwide Case Management Services) to figure out how to successfully develop the very lowest threshold mental health (behavioral health) services in San Francisco.  HRTC’s street team also includes a therapist who works in 2 Navigation Centers and on the streets with the Street Medicine and Shelter Health Team.

This is a pilot program funded through July 2020 the State and administered by SFDPH Behavioral Health Services.  It is expected that whatever program takes shape will receive ongoing funding through SFDPH.

The Center for Harm Reduction Therapy

The Center for Harm Reduction Therapy (CHRT) is a non-profit organization dedicated to offering Harm Reduction Therapy to diverse substance users with co-occurring mental health disorders. We are a very low-threshold, flexible, and highly creative group.  We practice radical acceptance, meeting clients where they are and adapting to their styles and needs.

Harm Reduction Therapy incorporates the public health principles of harm reduction and cognitive-behavioral approaches to change in a psychodynamic therapy model.  We work with any and all issues facing each individual, in order of their priorities. We help clients discover their goals and plan realistic steps to achieve them.

In our own offices in San Francisco and Oakland, in our mobile therapy office, and in 8 community-based organizations, CHRT therapists provide individual, family, and group harm reduction therapy, crisis management, and clinical case management to active substance users, more than half of whom are homeless.

In addition to the opportunity to learn and practice harm reduction therapy with diverse clients, CHRT offers therapists 5 hours per week of individual and group supervision and training.  In addition, therapists often have the opportunity to develop new programming when needed.


  • Participate with a team at HRTC and from other agencies to develop a street-based mental health program
  • Outreach, engagement, and “sidewalk therapy”
  • Individual, couple, and group therapy on a drop-in or appointment basis
  • Crisis intervention and 5150 evaluations.
  • Clinical case management, as needed (typically, we work with case managers from other agencies).
  • Advocacy (court reports, benefits advocacy, emotional support animal evaluations, etc.).
  • Assist and consult with partner agency staff regarding complicated client situations.
  • Keep client records in CHRT’s electronic database in accordance with the laws and ethics of the State of California and the professions of Psychology, Social Work, and Marriage and Family Therapy.
  • Maintain client confidentiality in accordance with the laws and ethics of the State of California.
  • Submit reports related to data collection and administration of contract as needed.
  • Report any administrative issues to supervisor or to Clinical or Executive Director.
  • Attend staff meetings, in-service trainings, and case conferences.
  • Attend all Center for Harm Reduction Therapy events and fundraisers.

Required Education, Experience and Skills

  • Masters degree or higher in a mental health discipline (pre-licensed therapists welcome).
  • Minimum five (5) years’ experience providing clinical mental health services to diverse people with co-occurring disorders and complex intersecting problems.
  • At least two (2) years’ experience working with extremely low-income people experiencing homelessness or other forms of marginalization.
  • Trauma-informed practice with a high degree of cultural humility.
  • Knowledge of harm reduction, comfort with drug use and drug users, knowledge and experience with co-occurring disorders, and strong desire to practice harm reduction therapy.
  • Comfortable working in an integrated multi-disciplinary team that includes nonclinical staff and community members.
  • Flexible – comfortable working in a drop-in environment and on the streets; able to provide treatment on demand or on-the-spot counseling.
  • Able to carry out responsibilities independently.
  • Able to coordinate with teammates, and know when to consult with supervisor.
  • Highly organized; able to create and maintain systems for workload management and record-keeping.
  • Able to transport self to multiple sites, if applicable.
  • Fluent in Microsoft Office Suite
  • Bilingual English/Spanish or ASL a plus.

Hours per week and schedule:  40. Some evening and possibly weekend hours will be required.

Salary and Benefits:  $55,000-$70,000 depending on experience and licensure; full health benefits; 4 weeks PTO to start + 10 holidays + 1 personal day. FSA Community and Savings Plan; 401(k) plan.

Please send cover letter & resume to info@harmreductiontherapy.org