One of the foundational principles of PRC Baker Places is the creation of a homelike environment in which treatment can occur. All of PRC Baker Place’s programs are sited in houses located in residential neighborhoods, with nothing to distinguish the nature of the services being provided therein.
Many of our clients have lived in large institutional settings or in Single Room Occupancy (SRO) hotels located in neighborhoods where safety is an issue. In contrast, this small milieu setting at PRC Baker Places helps to facilitate a “real world” experience, enabling clients to feel safe and at home. The physical setting alone may be seen as an element, in and of itself, that contributes to the process of rehabilitation and recovery. For some clients this may be the first home they have ever lived in, and their residency often takes on a special meaning.
PRC Baker Place residents are actively involved in highly-structured programs that emphasize the development of group living skills, shared opportunities for cooperative living, and individual responsibilities in maintaining and running a household. Within this environment, residents are able to test social relationships and communication skills.
Residents are also assigned an individual counselor to help them identify the issues that may have placed them at risk in the past. The counselor assists the resident in developing a cohesive, individualized treatment plan. It is always made clear that the plan belongs to the resident; they have ownership and accountability for their goals and their hopes for the future. Vocational rehabilitation, volunteer work, and educational opportunities are all part of this exploration. In addition, future housing plans are highlighted almost from the very beginning of a resident’s stay.
As a continuum of care, the agency is uniquely positioned to move clients from one program to another if problems and issues emerge. For instance, someone may leave the Joe Healy Detox Program and gain admission at Grove Street, which emphasizes concomitant treatment for individuals in early recovery who have underlying mental health issues. These same clients are often rejected from other treatment programs unable to deal with these complexities. At PRC, we welcome them.
Joe Healy Detox Program
The Joe Healy Program was created in response to the large number of homeless deaths as a result of substance abuse. It was believed that many homeless people simply refused to enter a hospital because the setting was profoundly uncomfortable for them. PRC Baker Places collaborated with Tom Waddell Health Center and Barbara Garcia, who was then the Director of Homeless Services, to develop a community-based detox program.
Grove Street House
This program serves individuals in acute distress resulting from a combination of psychiatric and addiction issues. Clients may stay up to 30 days, with the possibility of extending their time for placement or continuing treatment reasons. While the stay is brief, the treatment model is informed by a social rehabilitation approach, emphasizing individualized treatment planning and group participation in a milieu setting.
Residential Treatment Services
These services provide up to 90 days of residential treatment, though the average length of stay is about 60 days. Treatment stays are determined on a case-by-case basis depending upon clinical need and the guidelines set forth by the referring agency. All residential programs are licensed through the Department of Health Care Services.
Mental Health Programs
Jo Ruffin Place
San Jose Place
Residential Services Intake Form
Substance Use Programs
This residential treatment program was the first of its kind to address HIV/AIDS issues in people with co-occurring substance use and mental health issues. Treatment is provided using a social rehabilitation recovery and wellness approach that uses staff, peers, and community support to enhance self-esteem, community participation, self-determination and the support systems necessary to follow a path towards a sober lifestyle. Individual treatment planning and counseling, groups, and structure are provided using a client-centered approach in order to address the diverse needs of participants.
This transitional, residential treatment program includes strategies developed for and focused on working with gay and bisexual men. Services are provided under the social rehabilitation model. A minimum of 20 hours of onsite groups are provided, focusing on substance use rehabilitation, interpersonal and independent living skills, and developing community support systems. Participants engage in a three-tiered, phased system, in which they increase their participation in community-based activities in preparation for reintegration into the community and maintaining sobriety.
Assisted Independent Living Program & Baker Supported Housing Program
Real and sustained treatment success is critically linked to ongoing support following residential treatment services. The Assisted Independent Living Program (AILP) was established to meet this need for clients desiring continued assistance to manage and structure their lives. Clients form relationships with other clients, and PRC Baker Places provides a flat or apartment where they can live together while receiving case management services from the staff.
Today, there are between 80 to 100 individuals residing in apartments across the city. They receive weekly visits from their case managers and meet with other clients in a group. There they address practical problem-solving around food shopping, paying bills, and other challenges of daily life. They also discuss interpersonal issues that often arise when living with others. Each client also meets with their counselor at least once a month to discuss treatment-planning goals, alongside other issues that may emerge.
The AILP program is matched with another case management program for people with substance use and HIV/AIDS, known as the Baker Supported Housing Program (BSLP). Through BSLP, approximately 60 clients live in site housing across the city.
The Odyssey House Program
PRC Baker Places created the Odyssey House Program with HUD funding in 1991. This large, fully-restored Victorian provides permanent housing for African American adults who were formerly institutionalized for extensive periods of time, or who lived on the street for many years. The residents each have their own room or may have one other roommate. The Odyssey House maintains an active program for clients to develop independent living skills.
The Odyssey House is licensed as an Adult Residential Facility and has 24-hour staffing. It is the only such program in the city of San Francisco.