Friendship House Association of American Indians

Friendship House provides comprehensive residential treatment for substance use disorders and alcohol use disorder within a culturally-specific setting designed for Native American and Alaska Native communities. The program operates seven days a week with extended hours from 7 AM to 9:30 PM, allowing flexibility for participants to engage with recovery services while maintaining community connections throughout San Francisco.

The residential program addresses co-occurring mental health conditions including trauma and PTSD, recognizing the complex needs of indigenous populations seeking addiction treatment. Specialized services for HIV-affected individuals demonstrate the center's commitment to serving multiple intersecting health challenges within the recovery community.

Cognitive Behavioral Therapy (CBT) serves as the primary therapeutic method at Friendship House, helping residents develop practical skills for managing triggers and maintaining sobriety within their cultural context. The integration of CBT with traditional Native American healing practices creates a unique treatment environment that honors both ancestral wisdom and modern addiction science.

The Mission District location provides access to San Francisco's broader recovery community while maintaining the cultural specificity that makes this treatment approach effective for indigenous populations. Telehealth services extend therapeutic support beyond the residential setting, enabling continued engagement with recovery resources throughout the Bay Area.

The center serves a diverse population including American Indian and Alaska Native individuals, veterans, young adults, and court-ordered participants. This broad scope reflects the facility's capacity to address varied pathways into addiction treatment while maintaining cultural relevance for indigenous communities seeking recovery support.

Specialized tracks for individuals with co-occurring disorders and trauma histories ensure that complex mental health needs receive appropriate attention within the residential setting. The program's ability to serve both men and women creates opportunities for gender-specific programming while building a comprehensive recovery community in the Mission District.

Friendship House accepts Medicaid, Medicare, private insurance, and self-pay options, removing financial barriers that often prevent access to culturally-appropriate addiction treatment. This comprehensive payment approach ensures that Native American and Alaska Native individuals can access residential treatment regardless of their insurance status or economic circumstances.

The facility's CARF accreditation provides assurance of quality care standards while the Mission District location offers convenient access to public transportation and community resources throughout San Francisco. Extended daily operating hours accommodate working individuals and those with family responsibilities who need flexible scheduling for their recovery program participation.