Adult Treatment Program

It Starts by Changing Your Environment

Our clients become residents in our 80-bed residential facility in San Francisco for up to 6 months, with an option for 6 additional months in our extended residential treatment program. During that time, clients are immersed in both American Indian cultural practices and Western approaches for substance abuse recovery and prevention. You will join a community of staff and clients with shared values, experience, and history.

You are not alone.

Find information on how to get started below.

Call Us to Get Started

  • Your healing journey begins with an intake phone call with one of our intake coordinators.

  • You can schedule the intake call by calling 415-865-0964.

  • You are welcome to call and schedule your intake appointment regardless of your current sobriety status. However, it is crucial and required that you are sober during the actual intake appointment phone call.

In the Hands of Your Community

At Friendship House, we lead with our Indigenous values, show up with respect for all people, prioritizing safety and wellness. When you reach out, you will be connected to a community member who understands your experience and is ready to professionally address your needs with cultural sensitivity and care.

I have a daughter. When I was in my addiction, I didn’t pay attention. I wasn’t there for her, and it hurt me. And there were a lot of times I wished I would have just stayed instead of running. But, we met each other again. And it was the greatest thing to see her again—to have her hug me, to call me ‘dad.’
— Malcolm, 5 years sober
At the Friendship House, we’re all one nation over there—‘cause it’s us against that disease.
— Adrian, 12 years sober

What to Expect

  • Education: Clients learn about the environmental factors that contribute to addictions, develop new skills to replace destructive behaviors with constructive and healthy coping skills, receive educational placement, and high school or GED completion classes through Five Keys Charter School.

  • Culture: Individual sessions help clients begin to walk the Red Road to Recovery—a path that is uniquely American Indian—as well as heal through smudging, talking circles, and sweat lodge ceremonies to reclaim balance, focus, and peace.

  • Counseling: Friendship House counselors start by doing an initial assessment and then developing an individualized treatment plan with each client, which will include individual and group counseling sessions support necessary to heal mentally, emotionally, and spiritually.

  • Health testing: HIV/Hep C Rapid Testing and coordination to begin treatment if needed.