Services currently available in-person and online • Masks required at all of our locations and other safety protocols are in place • Click for details ›

People Who Use Drugs & Alcohol

We know managing drug and alcohol use and reducing the harm that substances can cause is easier with support. Our programs are non-shaming and judgement-free, connecting you with counselors, health educators and volunteers who are experts in harm reduction.

Whether you want to end your substance use or learn ways to better manage it, we can help with substance use counseling, mindfulness and wellness services, one-on-one support and harm reduction supplies.

Our Services

Our Programs

The Stonewall Project

Counseling for gay, bisexual, queer & trans men interested in changing their relationship to drugs & alcohol.


Support for gay, bisexual, queer men, all trans, non-binary individuals wanting to reduce meth or cocaine use.

Harm Reduction Center

The Harm Reduction Center is a place of welcome and a pathway to improved health and healing. Located in the Tenderloin/SoMa neighborhood, the Harm Reduction Center provides health services and supplies that help people who inject drugs manage their health, prevent overdose, and stop HIV and hepatitis C transmission.

Visit Us
Interested in changing your relationship to alcohol? Find your way to safer drinking, managed drinking or quitting with one-on-one counseling. There’s no requirement to change how you drink and all goals are supported.

Narcan, Fentanyl Testing Strips and Overdose Prevention

Fentanyl and its analogs continues to change the drug landscape in San Francisco. Our goal is to provide the latest information and training, in combination with Narcan (naloxone), to reduce preventable deaths due to overdose.

Get Narcan


Through the Street Medicine Team, we offer Suboxone treatment to people who are experiencing homelessness or unstable housing at our Harm Reduction Center.

Get Suboxone