Residential Care and Treatment

Mental health and substance use treatment beds in San Francisco

Expansion in residential care and treatment

Residential care and treatment dashboard

Click here for viewable and downloadable pdf.

What's new?

  • San Francisco is undergoing an unprecedented expansion of behavioral health services for people with mental health and substance use addictions.
  • San Francisco Public Health aims to offer high quality, timely, easily accessible, coordinated, and recovery-oriented care delivered in the least restrictive setting, and, to the extent possible, within the City and County of San Francisco
  • As part of this overall expansion, we are increasing our overnight residential treatment and care services for both long- and short-term stays. 
  • We are in the process of increasing residential capacity by approximately 400 overnight treatment spaces, or beds, adding to the nearly 2,200 that already exist. This represents a 20% increase in our residential treatment and care capacity.  
  • Read Mayor Breed's press release here.

San Francisco Department of Public Health provides mental health and substance use treatment for underserved San Franciscans

Hummingbird Valencia

A psychiatric respite facility to serve people experiencing homelessness from the Mission and Castro. Press release

Status: Opened May 2021

Open: 28 beds available

front room at Hummingbird Valencia
“Hummingbird Valencia” by Heidi Alletzhauser

Managed Alcohol Program

Medical supervision pilot for people with chronic alcohol dependency 

Status: Opened in 2020. Permanent location and additional funding will expand the program from 10 beds to 20 beds.

Open: 13 beds available

Psychiatric Skilled Nursing Facilities

Out-of-county secure 24-hour medical care for people with chronic mental health conditions 

Status: Open 2022. Accepting placements.

Goal: 13 beds 

Cooperative Living for Mental Health

Communal living for people with chronic mental health and/or substance use 

Additional $11M to stabilize leased properties available through MOHCD 

Status: Open 2022. Accepting placements. 

Goal: 6 beds


24-7 pilot program for people experiencing homelessness with drug intoxication, providing short term stays and linkage to services. Press release 

Status: Opened in 2022. Accepting placements.  

Goal: 20 beds

Dual Diagnosis Transitional Care for People With Justice Involvement (aka Minna)

Transitional care for people in contact with the criminal justice system with a dual diagnosis of mental health and/or substance use issues.
Status: Open 2022
Goal: 75 Beds

Residential Care Facility (Board and Care)

Residential Care facility (aka Board and Care)  

Status: Open 2022
Goal: 99 Beds

Residential Care Facility: Supervised residential program for individuals with mental health issues who require assistance with daily living activities

23 beds currently available

Pilot 12-month Rehabilitative Board and Care: Same as above with more intensive mental health and treatment support, such as for conserved individuals.

12-month Rehabilitative Board and Care: 76 beds currently available

Residential Step-down

Long-term sober living environment for clients coming out of residential care programs 

Status: Open 2023. Accepting placements.

Goal: 70 beds

Enhanced Dual Diagnosis

Transitional medically enhanced care for people with a dual diagnosis of mental health and substance use issues 

Status: Opening 2023. Contracting in process. 

Goal: 30 beds

Transitional Age Youth (TAY) Residential Treatment

Supervised treatment for young adults with serious mental health and/or substance use issues 

Status: Opening 2023. Program design in development

Goal: 10 beds

Crisis Diversion Facility

Short-term, urgent care iIntervention as an alternative to hospital care 

Status: Opening 2024. Contracting and construction in progress.

Goal: 16 beds

Mental Health Rehabilitation Services (LSAT)

Status: Open 2021
Goal: 31 Beds

Out-of-county psychosocial rehabilitation for people who are conserved in a locked setting.

FindTreatmentSF: Existing mental health and substance use treatment beds

San Francisco has a daily update of available mental health and substance use treatment beds at

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