Division of Substance Abuse and Addiction Medicine

Division Director: D. Andrew Tompkins, MD, MHS
Division Administrator: Constance Revore, MSSW, MBA

The Division of Substance Abuse and Addiction Medicine (DSAAM) consists of a number of programs located at Zuckerberg San Francisco General Hospital and Trauma Center and within the community:

OBIC Clinic

Founded in 2003, OBIC (formerly known as the Office-Based Buprenorphine Induction Clinic) provides treatment for individuals wanting to stop, cut back, or reduce the harms related to drug use. OBIC plays a central role in Community Behavioral Health Services' overall care of those with opioid use disorders by initiating buprenorphine treatment for opioid use disorder, stabilizing patients, and then transitioning them to ongoing buprenorphine care integrated with community-based primary care or mental health care. OBIC is centrally located at 1380 Howard Street with Behavioral Health Access Services and is funded by the San Francisco Department of Public Health (SFDPH).

OBIC prepares patients for long-term treatment that is integrated with other aspects of health care. Patients served are largely indigent and many are homeless or marginally housed. As the first buprenorphine induction clinic in the country, OBIC has initiated treatment for well over 2,000 patients. All patients receive culturally, linguistically, and age-appropriate care based on best-practice principles. Emphasis is placed on eliminating the stigma associated with substance use and other behavioral health problems. For more information, visit dsaam.org/obic.

Opiate Treatment Outpatient Program (OTOP)

The Opiate Treatment Outpatient Program provides methadone detoxification and maintenance to heroin dependent clients in conjunction with medical and psychiatric services. Since the onset of the AIDS epidemic, OTOP has been involved in combating HIV disease among injection drug users through research, prevention, and medical care. Clients receive as needed HIV testing, HIV risk reduction counseling (reducing transmission or progression of HIV), and HIV medication adherence coaching. We have been designated as the county methadone treatment provider for the most medically and psychiatrically compromised people with opiate use disorder. OTOP is licensed to provide methadone to 750 clients daily. For more information, visit dsaam.org/otop.

Methadone Van

The Methadone Van provides methadone dosing and counseling services available at Ward 93 (OTOP) at Zuckerberg San Francisco General and at Bayview Hunters Point. For more information, visit dsaam.org/bayviewvan.

Office-Based Opiate Treatment Program (OBOT)

Patients receive methadone maintenance treatment through OBOT at their primary care or psychiatric or methadone clinic. Counselors provide the counseling at the Community Health Network (CHN) sites, currently Tom Waddell Health Center, Positive Health Clinic, and Potrero Hill Health Center. The Division of Substance Abuse and Addiction Medicine provides clinical coordination and quality monitoring at all sites. For more information, visit dsaam.org/obot.

Stimulant Treatment Outpatient Program (STOP)

STOP provides outpatient substance use disorders treatment to adults who have methamphetamine or cocaine use disorders, and co-occurring psychiatric conditions, chronic illness, or criminal justice involvement. San Francisco residents with Medi-Cal or no insurance may be referred by staff. STOP currently accepts referrals from Citywide Case Management and the Positive Health Program. For more information, visit dsaam.org/stop.