Friendship House Association of American Indians of San Francisco in San Francisco, CA

Call (415) 865-0964 to Contact Friendship House Association of American Indians of San Francisco

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(4.2 of 5)
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56 Julian Street
San Francisco CA 94103

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Review by Contributors


The Friendship House Association of American Indians of San Francisco is one of the oldest treatment organizations dedicated to serving Native Americans struggling with substance abuse. The Friendship House provides a long-term residential program for adults, a specialized residential program for pregnant women and mothers with children, extended care program, as well as an outpatient-based program for youths (ages 8 to 24). The facility does not provide on-site detoxification.

In California, the facility is among the 4.8 percent of facilities to accommodate client children and 29.7 percent of facilities to offer specialIzed programming for pregnant women.


Upon admission, clients may undergo an initial assessment to identify individual client needs. To immerse clients into the program, Friendship House's treatment program begins with a 30-day blackout period. During this time, clients do not have any contact with anyone outside of the program.

Friendship House combines Western evidence-based treatment methods with cultural immersion into Native American practices. The residential program for adults entails a structured schedule of group and individual counseling, as well as traditional talking circles to confront emotional and mental issues that may contribute to addictive behavior. Clients also participate in a Native American-inspired 12-step program.

Along with evidence-based methods, clients also participate in traditional sweat lodges, smudging ceremonies, and powwow dancing ceremonies. In addition to educational classes on chemical dependency and developing coping skills, the Friendship House also provides G.E.D. preparation classes and testing for clients through a local charter school.

Located in Oakland, Calif., the Women's Lodge provides specialized programming for expectant mothers and mothers with young children (up to age five). Offering similar programming as the adult residential program, the Women's Lodge also provides parenting classes, child development sessions, family counseling, and assists with family reunification. Both primary residential treatment programs last up to six months, though women may stay in the Women's Lodge for up to one year.

Once a client completes the primary residential program, clients may choose to enroll in the extended care program. Lasting for up to an additional six months, the extended care program assists clients to locate housing, resume development, job training, and education placement. Clients continue to enjoy access the counseling sessions, case management, and relapse prevention classes.

The outpatient program for youth entails substance abuse education classes, life skills training, powwow dancing and drumming, and violence prevention classes. In addition, the program provides academic tutoring and mentoring.


The Friendship House Association of American Indians of San Francisco employs a team of Native Americans experienced in traditional Native American practices and evidence-based treatment methods.


The residential program for adults can accommodate up to 80 residents, and clients may share a bedroom with up to four roommates. While information concerning the Women's Lodge is limited, the facility does provide on-site childcare for mothers during treatment sessions.


The sole alum polled by at the time of this writing had mixed opinions of the facility. Out of five stars, the alum gave a four-star rating for the staff's level of experience and training and more moderate three-star ratings for the facility's counseling options, the inclusion of holistic treatments, and the level of family participation. "I was able to identify my core issues with the help of my counselor & the classes," alum J.M. wrote.

Secondary sources revealed overwhelming positive reviews. On the facility's official Facebook page, which Friendship House may have the ability to control, 139 reviewers gave the facility an average rating of 4.8 out of five stars [1]. Many reviewers reported sustained recovery. "I am forever grateful to Friendship House!! I now have 4 years and 4 months continuous sobriety!" Robin, a representative reviewer, wrote. On Google reviews were slightly more mixed, with three positive reviews and two negative.[2]


The sole loved one polled by to date supported these positive opinions, offering perfect five-star ratings for the inclusion of holistic treatments, the level of family participation, and the cleanliness of the facility. Loved one L.A. cited spirituality, cleanliness, family participation, and job assistance as facility strengths.


According to the facility's website, each client is evaluated upon admission to determine fees and program costs, which suggest the facility provides a sliding scale payment structure.

[2] GoogleReviews

Published on December 2018

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Spiritual, clean, family oriented, job assistance. Financial planning .Native American mother earth respectful in depth assessment and treatment.


  • Treatment Effectiveness
  • Accommodations & Amenities
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Organized, clean, affordable Clinical director was rude. I learned a lot about my disease. I was able to identify my core issues with the help of my counselor & the classes.

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