Executive Summary

Harm Reduction Therapy Center is a leading mental health and substance use treatment organization in San Francisco where harm reduction therapy was created by the agency’s founders. Since 2000, we've worked with marginalized youth and adults that are most affected by poverty, chronic homelessness, relationships with drugs, mental health problems, and socioeconomic/structural oppression. Our drop-in center, embedded community programs at partner locations, youth services, and mobile pop-up "clinics without walls" removes barriers to care, engages people in integrated treatment, and radically provides choice and agency around their own self-determined well-being journey. Guided by direct community input and community needs assessments, we routinely adapt our services, resources, and infrastructure to be reflective of clients' voiced needs.

The heart and soul of HRTC services lives in the streets and we are deeply embedded in the community where services are needed most: partner community-based and outreach organizations, youth centers, urgent care clinics, parks, encampments and more. Our approach "meets people where they are" and aims to create a milieu—a more inclusive, community therapy environment. This attracts high demand across our 18 sites, and HRTC clinicians provided on average 11,700+ therapy sessions annually over the past four years.

As a principal developer of integrated treatment, HRTC is one of the most-respected training entities nationally and internationally for dual diagnosis and harm reduction clinical practices. We've trained thousands of mental health, substance misuse and medical professionals; paraprofessional case managers and housing counselors; peer counselors; and support staff across hundreds of different agencies.

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