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

Substance Use Treatment No-judgement counseling and treatment for people interested in changing their relationship to drugs & alcohol   Counseling & Case Management Individualized support for substance use, accessing PrEP, medical needs and HCV/HIV care    Alcohol Use Support Groups and support for people thinking about making a change to their relationship with alcohol.   Syringe Access & Disposal Safer injection & disposal supplies, overdose prevention, and other harm reduction tools    Hepatitis C Free hepatitis C testing & treatment for people who formerly or currently inject, with social & group support   Support Groups Advice, info & friendship in groups for people living with HIV, people addressing substance use & more   HIV Support & Health Navigation Testing and treatment for STIs, HIV medication starts and linkage to HIV care, health navigation & HIV testing   PrEP & PEP Highly effective HIV prevention medication with benefits navigation and insurance support    Meth Use Support Free services and support for people looking to change their relationship to meth, speed, etc.   Opiate Use Support Overdose prevention, safer injection and other harm reduction resources   Cocaine & Crack Use Support Harm reduction resources and safer use supplies for people who use stimulants.  

Our Programs

The Stonewall Project

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

PROP

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.

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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.
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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

Suboxone

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

Substance Use & Harm Reduction Resources

needle exchange history photo

The Long View on Harm Reduction in San Francisco

Two of our leaders at SFAF share their memories working in harm reduction in San Francisco since the early '90s--distributing naloxone underground, fighting City Hall to establish needle exchanges, and more.

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