About SFGH.OTOP
The OTOP program of the Zuckerberg San Francisco General Hospital (SFGH) is a drug rehab in San Francisco, California. The center provides ambulatory medical detox, medication-assisted treatment (MAT), outpatient programs (OP), and aftercare for young adults and adults who reside in San Francisco. Specialized services are available for pregnant and postpartum women and veterans. A mobile van service is available.
At the OTOP facility, clients have a structured environment to manage their withdrawal pains and reduce cravings. Clinicians evaluate clients and administer FDA-approved prescriptions, including methadone and buprenorphine, to prevent relapse. Limited psychotherapy is available, but while in the facility, clients are monitored and periodically drug-screened to strengthen their recovery.
After detox, clients can transition into a long-term outpatient program. OTOP may make referrals to other SFGH departments for counseling and dual diagnosis care, or to outside treatment centers for specialized substance abuse programs.
Zuckerberg San Francisco General Hospital is accredited by The Joint Commission.
OTOP offers self-pay and financing options. Clients must be eligible for Medi-Cal and public health insurance payors, such as Health San Francisco and Healthy Workers. Private commercial insurance providers, such as Aetna, BlueCross/BlueShield, and Optum, are not accepted. Please check your insurance provider for potential limited coverage and out-of-network benefits.
| Levels of Care | Detox Service Setting | Programs | Payment Options | Medications Offered |
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In outpatient therapy, you’ll attend therapy sessions several times each week while living at home. This is ideal if you have a strong support system and a lower risk of relapse. Outpatient treatment offers flexibility to maintain work, school or family obligations. |
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Outpatient detox gives you access to medically supervised withdrawal services while still allowing you to live at home. You’ll attend a clinic for treatment and monitoring. This flexible option is suitable for those with mild to moderate withdrawal symptoms who have strong support systems. |
Medication assisted treatment combines medication and counseling to manage withdrawal and reduce cravings for opioid and alcohol addiction. Medications may include methadone, buprenorphine or naltrexone. MAT is tailored to your needs so you can actively participate in your treatment journey. |
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Adult programs address the substance use and life challenges specific to adults. Therapists can deliver sessions in individual, group and family settings. Services often include job support and life skills training in a structured environment. |
Men's programs address substance use while also considering the social pressures, family roles and mental health concerns that are specific to men. You’ll learn healthy coping mechanisms as you build emotional resilience and develop communication skills. |
Women's programs offer a safe and supportive space to focus on gender specific issues such as trauma, family roles and mental health conditions. Therapists tailor the sessions to address women's needs and foster empowerment in a healing and nurturing environment. |
Young adult programs are designed for individuals who are transitioning into adulthood. Topics of discussion typically include identity, independence and peer relationships. Providers may also offer life skills training and career support. |
Opioid detox uses medications to ease severe withdrawal symptoms. It also includes medical supervision to help you manage potential complications. These services allow you to stabilize and begin a recovery plan. |
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Medicaid
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Payment Assistance
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Methadone
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Buprenorphine
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Naltrexone (Vivitrol)
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Levels of Care
In outpatient therapy, you’ll attend therapy sessions several times each week while living at home. This is ideal if you have a strong support system and a lower risk of relapse. Outpatient treatment offers flexibility to maintain work, school or family obligations.
Detox Service Setting
Outpatient detox gives you access to medically supervised withdrawal services while still allowing you to live at home. You’ll attend a clinic for treatment and monitoring. This flexible option is suitable for those with mild to moderate withdrawal symptoms who have strong support systems.
Medication assisted treatment combines medication and counseling to manage withdrawal and reduce cravings for opioid and alcohol addiction. Medications may include methadone, buprenorphine or naltrexone. MAT is tailored to your needs so you can actively participate in your treatment journey.
Programs
Adult programs address the substance use and life challenges specific to adults. Therapists can deliver sessions in individual, group and family settings. Services often include job support and life skills training in a structured environment.
Men's programs address substance use while also considering the social pressures, family roles and mental health concerns that are specific to men. You’ll learn healthy coping mechanisms as you build emotional resilience and develop communication skills.
Women's programs offer a safe and supportive space to focus on gender specific issues such as trauma, family roles and mental health conditions. Therapists tailor the sessions to address women's needs and foster empowerment in a healing and nurturing environment.
Young adult programs are designed for individuals who are transitioning into adulthood. Topics of discussion typically include identity, independence and peer relationships. Providers may also offer life skills training and career support.
Opioid detox uses medications to ease severe withdrawal symptoms. It also includes medical supervision to help you manage potential complications. These services allow you to stabilize and begin a recovery plan.
Medications Offered
Amenities
Accreditations
Contact
- Monday 6:45AM - 2PM
- Tuesday 6:45AM - 2PM
- Wednesday 6:45AM - 2PM
- Thursday 6:45AM - 2PM
- Friday 6:45AM - 2PM
- Saturday 7:45AM - 2PM
- Sunday 7:45AM - 2PM

Having struggled with her mental health, Gemma has spent much of her writing career focused on topics surrounding behavioral health and stigmatized health issues, such as eating disorders, depression, obesity, and sexually transmitted diseases. It was a natural step to write about addiction, with her background in Biology and Research Science playing a key role in understanding chemical dependency as a disease. By writing about drug rehabilitation in an accessible and compassionate way, she hopes more people will feel encouraged to seek help.
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FAQs
What opioid treatment medications does SFGH.OTOP provide in San Francisco?
SFGH.OTOP provides medication-assisted treatment (MAT) for opioid use disorder using methadone and buprenorphine. Both medications are dispensed on-site at the Zuckerberg San Francisco General Hospital campus, paired with counseling and case management to support sustained recovery.
Does SFGH.OTOP offer same-day intake for opioid treatment?
Yes, SFGH.OTOP emphasizes low-barrier access and provides same-day intake for people seeking opioid use disorder treatment. This rapid entry process helps reduce wait time and allows eligible individuals to begin medication and counseling services quickly.
What integrated medical services are available at SFGH.OTOP?
The facility provides integrated medical and psychiatric care alongside opioid treatment, including primary care, prenatal care, HIV and hepatitis C care, and pain management. This coordinated approach addresses the broader health needs of patients receiving methadone or buprenorphine treatment.
Does SFGH.OTOP have a specialized program for women?
Yes, SFGH.OTOP operates the Women’s Treatment Program (WTP), a specialized methadone treatment track designed for women. The program is part of the larger opioid treatment operation at Zuckerberg San Francisco General Hospital.
What counseling and support services does SFGH.OTOP offer?
The facility provides group and individual counseling services, case management, and overdose prevention education with naloxone distribution. These services support long-term recovery alongside medication treatment for opioid use disorder.
How large is the patient population served by SFGH.OTOP?
SFGH.OTOP serves over 1,000 patients and is one of the largest opioid treatment programs in Northern California. The program operates an Office-Based Opioid Treatment (OBOT) track for buprenorphine patients and a separate Women’s Treatment Program.