On November 12, 2026, Mayor Daniel Lurie broke ground on the Treasure Island Behavioral Health Building, which will provide 300 treatment and transitional housing beds. The facility will include 44 beds for a new residential treatment program, 84 new recovery-housing beds, and 172 existing recovery-housing beds moving from former U.S. Navy housing.
The project is part of Mayor Lurie's Breaking the Cycle plan to address homelessness and behavioral health challenges in San Francisco, according to the Mayor's office.
Press Release: City and County of San Francisco
Published November 12, 2026. Reproduced in full from the City and County of San Francisco.
Mayor Lurie Breaks Ground on 300 Treatment and Transitional Housing Beds to Support People in Recovery
New Treasure Island Behavioral Health Building Will Expand City’s Addiction Treatment and Care Options, Made Possible by State and Local Investment; Delivers on Key Commitment in Mayor Lurie’s Breaking the Cycle Plan to Transform City’s Response to Homelessness and Behavioral Health Challenges
SAN FRANCISCO, Mayor Daniel Lurie today broke ground on the future Treasure Island Behavioral Health Building that will support 300 beds: 44 beds in a new residential treatment program, 84 new recovery-housing beds, and 172 existing recovery-housing beds that will move from former U.S. Navy housing into the new building.
The new facility continues to deliver on key commitments in Mayor Lurie’s Breaking the Cycle plan, which is transforming the city’s response to homelessness and behavioral health challenges. The administration has opened more than 600 new treatment-focused beds while advancing the RESET Center to combat public drug use, launching a 24/7 police-friendly crisis stabilization center at 822 Geary Street, and introducing new policies to end the distribution of smoking supplies without connection to treatment. The mayor has also improved and expanded the city’s Journey Home program to reconnect people struggling on the street with loved ones and launched integrated neighborhood street outreach teams to help people into long-term stability more quickly.
“In San Francisco, we are fundamentally transforming our behavioral health response by building a system that helps people earlier, creates more pathways into treatment and recovery, and delivers results for people and neighborhoods alike,” said Mayor Lurie. “We need to make sure that when someone is ready to accept help, they can get the treatment they need and have a stable place to continue their recovery, and that’s what we’re building here on Treasure Island. We will stay focused every day to help more San Franciscans get the care and support they need to rebuild their lives.”
“Recovery is about more than getting someone into treatment. It’s about providing the stability, support, and opportunities they need to build a healthier life,” said District 6 Supervisor Matt Dorsey. “This facility represents a major investment in meeting people where they are on their recovery journeys and recognizing that recovery is not one-size-fits-all. By expanding access to treatment and supportive housing, we’re helping bridge the critical gap between treatment and independent living and making lasting recovery possible for more San Franciscans.”
The transitional recovery-housing beds will offer up to two years of stable housing to people who complete the residential program and have no residence to return to. Onsite services will include housing referrals, employment coaching, connections to outpatient treatment and primary care, case management, and help reunifying with family.
The new Treasure Island facility will join more than 2,900 behavioral health beds operated by the San Francisco Department of Public Health for people with substance use disorder and mental health needs. More than 300 additional beds are scheduled to open through 2028, including the 128 new beds in this facility as well as another 60-bed recovery housing program, 57 locked subacute treatment beds for people with complex behavioral health needs, 40 assisted-living beds for adults, 16 beds as part of a dual diagnosis program, and 12 psychiatric beds for adolescents. The existing recovery beds that will be moved to the new facility are operated by HealthRight 360.
“We thank San Francisco voters and our state and local partners for this opportunity to strengthen our continuum of substance use services,” said Daniel Tsai, Department of Public Health Director. “The new beds and programs located at the site will improve our ability to meet the demand for same-day treatment and to prevent unhoused people in recovery from cycling back to the streets after residential care.”
“Step-down housing has been such an integral part of my recovery. After residential treatment, having a place where I could continue healing, receive support, and figure out my next steps made all the difference,” said JeNeel Miller, a current HR360 recovery-housing client. “I’ve had access to therapy, medical and dental care, and a community of people who each play a special role in helping someone heal and re-build their confidence. Recovery is made up of so many little triumphs, and the care and connection that I’ve found here have given me so much to celebrate.”
“This is a generational opportunity for San Francisco to create a lasting resource for people seeking treatment and those who are working toward sustained recovery and permanent housing,” said Vitka Eisen, HealthRight 360 President and CEO. “HealthRight 360 has been part of the fabric of Treasure Island since the late 1990s, serving San Franciscans through successive generations of treatment, reentry, and recovery housing programs. We have long believed in the importance of ensuring that people who come to treatment without a place to call home have somewhere to turn as they take the next steps in their recovery. This new building represents a significant step forward in making that possible, with purpose-built spaces that can help people progress and move toward greater independence. We are grateful to the city and all of our partners for helping bring this vision to life.”
The $72 million project is funded by state and local sources, including the 2020 San Francisco Proposition A “Health and Recovery” Bond, Treasure Island Development Authority (TIDA) impact fees, a Bond Behavioral Health Continuum Infrastructure Program Round 2 grant from the California Department of Health Care Services, and a Community Care Expansion grant from the California Department of Social Services.
“The Treasure Island Development Authority is extremely excited for this milestone groundbreaking,” said Sheela Jivan, TIDA Executive Director. “Not only is it representative of TIDA and the City and County of San Francisco keeping our commitments to our island partners to create replacement housing and facilities for these important programs, but this is also the first building to break ground in the stage two development area and marks the beginning of the next phase of development on Treasure Island.”
“The Treasure Island Behavioral Health Building is an example of what can be achieved when state and local partners work together to address some of our communities’ most urgent challenges,” said Jennifer Troia, California Department of Social Services Director. “Through the Community Care Expansion program, we are proud to support San Francisco’s efforts to expand access to recovery housing and strengthen the continuum of care for individuals experiencing homelessness and substance use disorders.”
Mercy Housing is leading development of the six-story, 68,000-square-foot building at Trade Winds Avenue and Macky Road, which is expected to be completed in late 2028.
“At Mercy Housing California, we know that housing and health are deeply connected. Recovery from substance use disorders is often difficult to sustain without stable housing and ongoing support,” said Tiffany Bohee, President of Mercy Housing California. “Having a safe place to live, a supportive community, and access to services can make all the difference. The Treasure Island Behavioral Health Building is designed to help meet that need. Projects like this are only possible through strong collaboration, and we are proud to serve as the development partner alongside the San Francisco Department of Public Health, the Treasure Island Development Authority, HealthRight 360, and many dedicated organizations working together to deliver this critical resource for people on their recovery journey.”
