St. Francis House is committed to a non-traditional and harm reduction approach for helping guests to rebuild their lives.


The Behavioral Health department at St. Francis House understands the issues our guests are facing and provides 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 to programming and services that are integrated right at St. Francis House! 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.

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 create with us individualized goals around Housing, Behavioral Health, and Income Maximization.

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

St. Francis House is committed to a non-traditional and harm reduction approach when helping guests to rebuild their lives. Within the behavioral health department, we have two 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 in on demand clinical treatment referrals, behavioral health crisis interventions, or case management services for guests who need more flexible support due to their instability.