Division of Substance Abuse and Addiction Medicine

Division Director: D. Andrew Tompkins, MD, MHS
Division Administrator: Lois Edblad, MPA

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

Office-Based Buprenorphine Induction Clinic (OBIC)

Founded in 2003, the Office-Based Buprenorphine Induction Clinic (OBIC) plays a central role in Community Behavioral Health Services' overall care of those with opioid use disorders by initiating buprenorphine treatment for opiate replacement therapy (ORT), 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 1,400 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:
1380 Howard Street, 2nd Floor
San Francisco, CA 94103
(415) 552-6242

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 opiate addicts. OTOP is licensed to provide methadone to 750 clients daily in the combined maintenance and detoxification services.

Methadone Van

The Methadone Van provides methadone dosing and counseling services available at Ward 93 at San Francisco General Hospital (OTOP), at the Walden House site in the Mission, the NIA/ICHO site in Bayview Hunters Point, and in Sunnydale. The van provides services at these sites Mondays through Fridays.

Office-Based Opiate Treatment Program (OBOT)

Patients receive opiate maintenance 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 and Potrero Hill Health Center. The Division of Substance Abuse and Addiction Medicine provides clinical coordination and quality monitoring at all sites, currently the two CHN health centers as well as the Bay Area Addiction Research and Treatment Programs (10 methadone slots) and the Harm Reduction Therapy Center (5 methadone slots). Roughly half of the patients receive methadone and half receive buprenorphine.

Stimulant Treatment Outpatient Program (STOP)

STOP provides outpatient treatment for methamphetamine or cocaine abuse or dependence and any co-occurring substance use or psychiatric disorders. STOP provides these services within other primary care or psychiatric programs, including the Positive Health Program and the Division of Citywide Case Management Programs. STOP staff helps participants clarify their needs and goals using motivational interventions, and guides them in behavior change, i.e. harm reduction, cessation of use, or relapse prevention. Participants receive one or more of the following array of services:

  • Drop-in individual counseling
  • Assessment and development of individualized treatment plan
  • Individual counseling once a week, including couples and family sessions as needed
  • Group counseling
  • Random urine testing as needed
  • HIV/STD risk reduction and medication adherence support
  • Psychiatric medication management
  • Referrals and service coordination

For more information

To find out more, contact the Department of Psychiatry at Zuckerberg San Francisco General at (415) 206-8426.