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Services for people who use drugs

We provide comprehensive, free, low-threshold care for people who use drugs.

Hours & Locations

Our Services

Substance use treatment:

  • Connection to treatment options including in-patient, withdrawal, contingency management, and outpatient programs
  • Medications for opioid use disorder (MOUD) including Suboxone (buprenorphine) and linkage to methadone
  • Incentivized 12-week program & treatment support

Safer use and HIV/hepatitis C prevention:

  • Safer use supplies, including syringes
  • Safe disposal supplies and services

Hepatitis C treatment:

  • Medical treatment & support
  • Medication storage

Overdose prevention & response:

  • Overdose recognition & response training
  • Naloxone (Narcan), including nasal and intramuscular (IM)
  • FTIR-based drug checking

Additional health services:

  • Wound care
  • First aid
  • HIV, hepatitis C, STI testing and treatment
  • HIV prevention with PrEP
  • Hygiene supplies

Pick Up Crew – Report Improperly Discarded Syringes

Funded by the San Francisco Department of Public Health (SFDPH), our Pick Up Crew works 7 days a week in neighborhoods across the city to pick up and safely dispose of improperly discarded syringes.

Call us at 415-818-7769, 7 am to 7 pm, any day of the week, and we will stop by to safely remove any syringes on the street.

You can also report improperly discarded injection equipment to 311. If you see syringes on the street, do not touch or try to move them.

Volunteer with us!

Our volunteers transform the lives of participants and improve the health and wellness of our community. As a volunteer, you will help to reduce the number of new HIV and hepatitis C infections, prevent overdoses, and save lives by helping us staff our network of mobile health access sites and one storefront location in SoMa.

Volunteers are trained to provide non-judgmental, person-centered services including access to life-saving supplies, critical health information, and connections to care

About our program

We are one of the oldest and most comprehensive programs serving people who use drugs in the U.S., providing services since 1992. For decades, we have been the largest distributor of life-saving HIV, hepatitis C, and overdose prevention supplies in San Francisco. All of our programs are non-judgemental, client-centered, culturally responsive, and guided by compassion and connection.