Dual diagnosis treatment addresses addiction and a mental health condition such as depression, anxiety, PTSD, or bipolar disorder at the same time. Treating one while ignoring the other is a common reason recovery does not stick, because each condition feeds the other.
In San Francisco, dual diagnosis programs combine addiction treatment with psychiatric care and therapy, often with one team handling both. Of San Francisco's 23 rehab centers, 17 report programs for people with co-occurring mental health and substance use disorders.
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Residential/24-hour residentialLong-term residentialShort-term residentialFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
OutpatientOutpatient day treatment or partial hospitalizationIntensive outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Residential/24-hour residentialLong-term residentialFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
Residential/24-hour residentialResidential detoxificationLong-term residentialFederal, or any government funding for substance use treatment programsNo payment accepted
1380 Howard Street, 2nd Floor, San Francisco, CA 94103
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsNo payment accepted
Residential/24-hour residentialLong-term residentialShort-term residentialFederal, or any government funding for substance use treatment programsMedicare
1700 Montgomery Street, Suite 435, San Francisco, CA 94111
OutpatientOutpatient day treatment or partial hospitalizationIntensive outpatient treatmentFederal military insurance (e.g., TRICARE)Private health insurance
Hospital inpatient/24-hour hospital inpatientOutpatientHospital inpatient detoxificationFederal, or any government funding for substance use treatment programs
Any combination of a substance use disorder and a mental health condition, such as depression, anxiety, PTSD, bipolar disorder, or ADHD.
Why treat both conditions together?
Because they feed each other. Untreated depression or anxiety commonly drives a return to drinking or using, so integrated care improves the odds for both.
Do dual diagnosis programs prescribe psychiatric medication?
Most do. Psychiatric providers on staff can prescribe and manage medication alongside the addiction treatment.