Behavioral Health

St. Francis House is committed to a non-traditional harm reduction approach for supporting the behavioral health of our guests.

Our Behavioral Health team understands the complex issues our guests are facing and provide a wide variety of tools and services to help them move toward stability in all aspects of life. Starting at our lobby desk, we work with each guest to assess and determine their needs and appropriately connect them to programming and services integrated right at our 39 Boylston St. location. Our multilingual, multicultural case managers and clinicians invest in building stable, trusting relationships and emphasize autonomy and self-determination at each step of a guest’s journey. That foundation empowers guests to make positive changes.

Clinical Case Management

Our team of case managers pro-actively engage with day shelter guests, many of whom are in recovery or managing substance use issues, have mental health needs, complex legal histories, chronic homelessness, and trauma. We invite our guests to work with us to create individualized goals around Housing, Behavioral Health, and Income Maximization.

Master’s level behavioral health clinicians supervise and collaborate with our case managers to enrich our ability to serve those with complex needs. Our clinicians provide individual and group interventions focused on mental health. We also coordinate primary and behavioral health care with Boston Health Care for the Homeless at our co-located clinic.

Harm Reduction

Within the behavioral health department, we have harm reduction specialists who engage in daily street outreach and guest engagement within the building. They offer treatment referrals, crisis intervention and most importantly peer support. We also offer individual and group counseling with substance use disorder clinicians.

Our access clinician is available to triage and support on demand clinical treatment referrals, behavioral health crisis interventions, or case management services for guests who need more flexible support due to their instability. Visit us in the main lobby of St. Francis House and ask to speak with an on-site case manager to get started.


We now offer a day treatment program, Seeds of Change, for our guests navigating substance use disorders and mental health issues. The treatment program runs in 4-week intervals and is managed by our behavioral health clinicians. Between our engaging harm reduction services, individual substance use counseling, and our ongoing clinical support, the treatment program is a structured, dual-diagnosis treatment opportunity for guests, right in the hub of where they access other services. Our approach takes into account the unique complexities of homelessness and co-occurring disorders.


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