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Friendship House

  • San Francisco, CA
  • Accredited
  • Inpatient

Friendship House Association of American Indians in San Francisco, CA, focuses on substance abuse treatment and recovery for the Native American community. Founded in 1963, this non-profit organization uniquely integrates traditional Native American healing practices with modern, evidence-based treatment approaches to foster holistic recovery.

Friendship House's mission is to heal the Native American community from substance abuse by integrating culturally-sensitive healing practices with evidence-based treatments. Their goal is to promote sobriety, cultural identity, and overall well-being among Native Americans in the San Francisco Bay Area and beyond.

  • Residential Treatment: Provides safe, supportive housing for comprehensive addiction recovery.
  • Outpatient Services: Offers flexible programs for individuals needing less intensive treatment.
  • Cultural Integration: Includes traditional Native American healing practices like sweat lodge ceremonies.
  • Special Programs: Tailored services for women with children, allowing mothers to maintain custody during treatment.

Friendship House treats various substance abuse issues, focusing on the Native American community. They mainly benefit individuals seeking culturally-sensitive rehabilitation services, including those needing residential care, outpatient programs, or transitional housing.

  • 1+ Accreditations
  • 16 Conditions Treated
  • Insurance Accepted
  • 1 Levels of Care
  • 16 Therapies & Programs



The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.

Conditions and Issues Treated

Substance Abuse + Addiction Treatment

Rehab centers exist in San Francisco, CA to help individuals bounce back from substance abuse, which is an umbrella term for drug and alcohol addiction. Drug addiction refers to the use of illegal drugs and improper use of prescription drugs. Centers like Friendship House provide individuals a chance to access individual and group therapy that can be monumental for recovery.

Substance abuse includes all problems that stem out from using various psychoactive substances. It is also a diagnostic term used by Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to define the mental and physical impairment or distress caused by misuse and overuse of certain substances in a period of 12 months.

Opioid + Opiate Addiction Treatment

Opioid addiction involves addiction to legal or illegal opioids. It may happen very quickly with any opioid use. Sometimes within a matter of days. Opioid addiction is a known as a high-risk factor for future heroin addiction.

Opioid withdrawal can be extremely uncomfortable and lead the user to continue to use even if they want to quit. Stopping using an opioid requires careful medical observation. Sometimes the withdrawal can persist for many weeks, which can put the user at a high risk for relapse.

It is recommended to receive inpatient treatment and a medically supervised detox like those offered at Friendship House in San Francisco, CA, CA, to manage the withdrawal process while learning lasting tools to maintain recovery. In some circumstances medications can be used to manage opioid addiction.

Levels of Care

This center offers a variety of custom treatment tailored to individual recovery. Currently available are Inpatient, with additional therapies available as listed below.

Inpatient rehab is intended to treat severe addictions and co-occurring disorders. The length of stay in California varies from four weeks to six months according to the individual needs. Inpatient rehab ensures that the patient stays in a substance-free environment at Friendship House.

Friendship House‘s Therapies & Programs

Individual therapy aims to identify the core issues that would have led the patient to substance abuse and address the root cause effectively. Patients find the therapist as a person who they can trust. It helps them to open up and discuss personal and sensitive issues, which they may not be comfortable discussing in a group.

Family therapy is a set of therapeutic approaches that assumes that the entire family is a system. It utilizes the strengths and resources of the family to help the patient refrain from resorting to substance abuse. It helps to repair relationships and improve communication between family members.

Group therapy happens at Friendship House in a controlled group environment, as opposed to a one-on-one setting. It supports San Francisco, CA patients’ recovery by offering a sense of comfort and letting them know that they are not alone. Through shared conversations, patients also learn to develop faith and understanding and gain insight on their addictions.

People who leave treatment without learning life skills from staff at Friendship House are at a disadvantage when it comes to maintaining sobriety. Although it is difficult to teach life skills, aftercare support helps patients develop these skills over time. Life skills taught in California include things like finding a job and a good place to live, self-care, and managing finances.
Alcoholics Anonymous is responsible for the development of the popular “12 Step Program” Most substance treatment centers in San Francisco, California, like Friendship House, have their own 12 step program designed to help users achieve sobriety. The first three steps depend on the patient, so they are more specific and situational. The succeeding four steps center on practical issues brought on by substance abuse.

Patient Experience

Experiential Therapy at Friendship House

Experiential therapy works on the principle that the perception of individuals determines their behavior. It is different from medication and talk therapy and suits those who have difficulty in expressing themselves and interact. Experiential therapy works by using tools and activities to recreate past experiences and encourages the release of suppressed thoughts that were responsible for the negative feelings and drug addiction.

Role-playing, arts and crafts, music, animal care, rock climbing, etc. are some of the activities used in this therapy. Gradually the individual will experience calmness and love and change their perception positively. Other than drug addiction, Experiential therapy is useful in various behavioral and eating disorders.

Payment Options

For specific insurance or payment methods please contact us.
  • Health Insurance
  • Self-Pay / Cash
  • Medicare
  • Medicaid
  • Military Insurance
  • IHS/Tribunal/Urban
  • State-Financed
  • Sliding Scale
  • Is your insurance accepted?
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    Location & Contact

    Friendship House Location and Directions
    56 Julian Ave
    San Francisco, CA 94103

    Phone Number
    (415) 865-0964

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    Friendship House Location and Directions


    • 56 Julian Ave
      San Francisco, CA 94103
    • (415) 865-0964


    • Gender
      Female, Male
    • Age
      Adults (20+), Children (0-12), Teenagers
    • Modality
      Family, Group, Individuals

    Listed December 11, 2022

    Updated July 8, 2024

    San Francisco, California Addiction and Treatment

    More than 3 million of California's citizens are addicted to illegal drugs. Almost 800,000 people use hard drugs, almost 5 million use marijuana, and another 2.1 million abuse alcohol every year. Other substance abuse issues such as binge drinking and teen drug use are also common. Many illegal drugs such as cocaine, heroin, methamphetamine, and marijuana are smuggled into the state from Mexico.

    San Francisco's scenic vistas, Victorian charm, and famously liberal culture clash with staggering overdose rates and a worsening opioid crisis. Over 2,500 deaths occurred here from overdoses in 2021, with fentanyl present in a shocking 80% of cases. The city's overdose rate has more than doubled the national average since 2014.

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    Report Issue Claim Center The facility name, logo and brand are the property and registered trademarks of Friendship House, and are being used for identification and informational purposes only. Use of these names, logos and brands shall not imply endorsement. is not affiliated with or sponsored by Friendship House.