Civic life
San Francisco Breaks Ground on 120-Unit, 300-Bed Behavioral Healthcare Campus on Treasure Island
Major six-story capital project will provide specialized residential mental health, dual-diagnosis treatment, and step-down transitional housing by 2028.

San Francisco municipal officials, healthcare leaders, and housing advocates gathered on Tuesday morning to break ground on a transformative six-story behavioral healthcare campus on Treasure Island, launching construction of a 120-unit facility that will provide up to 300 residential treatment beds upon completion in 2028. The $185 million capital project represents the largest expansion of public psychiatric and dual-diagnosis residential capacity in the city's modern history.
Designed by leading healthcare architects, the campus will offer a full continuum of care, including 60 acute crisis stabilization beds, 90 subacute residential rehabilitation beds, and 120 transitional supportive studio apartments for individuals completing long-term substance use recovery. Patients will receive trauma-informed clinical psychiatric therapy, job training, medical stabilization, and permanent housing placement assistance in a calm, scenic waterfront setting overlooking the San Francisco and Oakland skylines.
San Francisco Department of Public Health leadership and members of the Board of Supervisors highlighted that the facility directly relieves acute overcrowding across emergency departments at Zuckerberg San Francisco General Hospital and St. Francis Memorial. Funded through a collaborative combination of state Proposition 1 behavioral health bond revenue, municipal certificates of participation, and private philanthropic grants, the project incorporates sustainable mass-timber construction and rooftop therapeutic gardens.
Community members, healthcare professionals, and civic organizations can review architectural floor plans, construction mitigation timelines, and clinical service models online at sf.gov. Inquiries regarding public health contracting and clinical employment opportunities may be directed to the San Francisco Department of Public Health Monday through Friday at (415) 274-0660. Heavy foundation piling operations on the Treasure Island site will commence early next month.
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