245 11th Street, San Francisco, CA 94103


Assertive Community Treatment

The Westside Assertive Community Treatment Program (ACT) provides intensive case management to a minimum of 100 clients referred by the Community Behavioral Health Services who traditionally might be served in acute settings such as psychiatric hospitals or locked facilities.  The program originated as a pilot program designed to meet the needs of severely mentally ill (SMI) individuals in San Francisco requiring a high level of services during a 12 month period.  The goal of the program is to stabilize these individuals and to improve their quality of life using cost-efficient treatment and coaching. 


ACT Case Managers are responsible for the stabilization of many areas of the client’s life.  Westside provides crisis, urgent care, individual or group structured activities, improving client socialization skills through a variety of activities. The importance of employment is often not stressed with the severely and persistently mental ill. The therapeutic value of working or having productive use of time is an integral part of community integration. ACT promotes individual member training programs for real-life work experiences which are necessary to solve problems and survive in a work environment. Learning new responsible coping skills are also encouraged by Case Managers; these include:  housekeeping, personal hygiene, money management, transportation, shopping, social camaraderie, and medication adherence.


The ACT Staff is comprised of a broad set of multicultural and multidisciplinary professionals.  The staff includes:  

  • Psychiatrist
  • Master Prepared Case Managers
  • Vocational Specialist
  • License Vocational Nurse (LVN)

This multidisciplinary team meets three mornings every week to discuss their clients’ symptoms and needs as well as to assign tasks to each Case Manager. Team members participate in regular case conferences to provide the most effective integrated client service. ACT provides evening and weekend services by employing Alameda Crisis Support phone services and having an on-call Case Manager on a rotating basis.


To receive treatment, a client must:

  • Be 18 years or older
  • Designated as a high utilization user of services in the past 12 months
  • Be preauthorized for SPR (single point of response) services and referred by Community Behavioral Health Services (CBHS)


Referrals can be made Monday through Friday between 9:00am and 5:00pm by calling SFDPH Central Access.

Crisis Clinic

The Westside Crisis Clinic provides culturally competent crisis and urgent care services to San Francisco adults (18 years or older).  Crisis Clinic is a voluntary, drop-in service open to any adult in need of emergency psychiatric care.  The Clinic is designed to stabilize low-income residents in a mental health crisis and refer that person to an appropriate source for follow-up treatment.

Outpatient Clinic

The Westside Adult Outpatient Program provides outpatient mental health services with an emphasis on case management.  The program follows a harm reduction approach to treatment, delivering service to clients that are sensitive to individual lifestyle and behavioral choices.  Services offered by Westside Adult Outpatient Services are meant to address a wide spectrum of cultural differences as well as the broad array of mental health concerns presented by clients.  Treatment goals include the prevention of unnecessary crisis visits and hospitalizations, and promoting the highest level of independent living possible relative to the individual’s abilities, desired outcome, and community resources.

Ajani Community Case Management

The Ajani Program serves African American families who live in low-income communities, suffer from mental illness, and/or are impacted by racism. Ajani helps build strong families by providing them with an understanding of how healthy families function.  The Program empowers its clients, encouraging them to develop leadership skills, community and collective responsibility, and to serve as mentors for others.

Nathaniel H. Brooks, Sr. Teen Clinic

The Westside Teen Clinic focuses on the development of mental health habits—including coping, resilience and good judgment— to help adolescents achieve overall well-being and set the stage for positive mental health in adulthood. Although mood swings are common during adolescence, approximately one in five adolescents has a diagnosable mental disorder, such as depression and/or “acting out” conditions that can include extremely defiant behavior.

Less than half of the adolescents who need mental health care receive treatment.  A social stigma continues to surround mental health disorders, and mental health care is frequently difficult to access.  Approximately one out of five adolescents has a diagnosable mental health disorder.  Warning signs aren’t always obvious, but more common symptoms include persistent irritability, anger, or social withdrawal, as well as major changes in appetite or sleep. Mental health disorders can disrupt school performance, harm relationships, and lead to suicide (the third leading cause of death among adolescents).  Unfortunately, an ongoing stigma regarding mental health disorders inhibits some adolescents and their families from seeking help.  Effective treatments for mental health disorders, especially if they begin soon after symptoms appear, can help reduce its impact on an adolescent’s life.

Ajani Program

Focused interventions include using Afrocentric evidence-based treatments.  Afrocentric means utilizing the history, culture, philosophy and collective experience of African people as the frame of reference for providing treatment.  The purpose of the afro-centrist model is to allow for a comprehensive cultural based assessment of African American/Black families to better address the integration of a culturally competent model of care.  This model is a culturally specific strengths-based model based on the principals of adaptive family functioning for the African American family.

Westside Ajani employs a systems model with its approach to treatment.  This model uses a treatment team composed of therapists and community liaisons in the evaluation of the child and family from a multi-disciplinary perspective.  Information is gathered allowing the treatment team to both assess and recommend comprehensive treatment from case management to psychopharmacological to psychotherapeutic interventions.

Westside Ajani is a comprehensive multi-service program that provides outpatient mental health, school-based mental health and consultation case management and outreach.  The focus of the program is to build emotional wellness in children, youth and families by providing treatment, education, consultation/capacity building and support.  Referrals are facilitated through our linkages with mental health providers, child care centers, probation, education, health services, group homes, community centers, recreation centers and the Department of Human Services.  Westside Ajani provides clinic based and community based services.  One of the unique areas of expertise of Westside Ajani services is our outreach and capacity to serve children and youth where they are.  Westside Ajani prides itself on having a multi-disciplinary team comprised of licensed and unlicensed/waivered mental health professionals, educators and early childhood specialists.

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