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Team Meeting
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The Hyde Street Community Services (HSCS) is a non-profit organization that provides comprehensive psychiatric, medical, substance abuse and case management services since 1975 to the residents of San Francisco and the Tenderloin District. We provide a pycho-social-medical model of integrated care that includes psychiatry services, mental health individual and group treatments, migraine/pain and cognitive rehabilitation as well as neuropsychological and psychological assessment services to over 600 San Francisco residents each year.


Our mission is to achieve and maintain the highest quality and degree of independence possible for each of our clients. We serve multi-culturally diverse adults with medical, psychological and social challenges that include depression, anxiety, and PTSD. Common psychosocial factors include homelessness, severe trauma histories, and indigence. Medical challenges include HIV, substance abuse, TBI, Stroke and Hepatitis C. We have bilingual therapists, a Psychology, Neuropsychology and Social Work training program, and a specialized support program for the Arab/Muslim Community.

The HSCS programs employ a harm reduction philosophy that emphasizes wellness and growth with a core belief that services should be holistic, individualized and strength-based with the knowledge that clients can and do recover. Services are comprehensive and treatment planning is client-driven.

At Hyde Street Community Services, we care for the whole person: The emotional wellbeing, cognitive health and physical functioning. Our goal is to maximize our patients’ independence and help them achieve the best quality of life possible.

Home: Who We Are


Our mission is to provide comprehensive mental health and rehabilitation services to San Francisco’s residents, helping them achieve and maintain maximum quality of life and the highest degree of independence possible. These services are sensitive to the cultural, racial and sexual diversity of the populations served and responsive to community input; we adapt these services to the changing needs of the community and consumers. We pride ourselves on being creative,going above the standards and beyond the obvious.

Home: About Us



This service provides both outpatient psychotherapy and psychiatric treatment with our medical and outpatient therapy teams. We offer both individual and group therapies in an array of services built on a comprehensive care model. Our goal is to meet the evolving needs of people in San Francisco struggling with complex and challenging mental health and medical issues in a holistic manner. We welcome individuals with acute or chronic symptoms and individuals with co-morbid substance abuse problems. 

Our services include:

  • Outpatient individual therapy

  • Group therapy

  • Medication evaluation and monitoring  

Support Group Session


This service provides outpatient evaluation and treatment for individuals recovering from neurological injuries, including concussions, traumatic brain injuries and those resulting from nervous system infection or inflammation such as Multiple Sclerosis, HIV and COVID-19.

Our services include:

  • Neuropsychological evaluations that assess cognitive strengths and limitations to understand and improve a patient’s functioning and quality of life.

  • Cognitive rehabilitation with trained therapists to support attention, memory and executive functioning. Our treatment team addresses chronic pain and physical limitations that impact daily life.

  • HMD therapy for post-traumatic migraines and associated pain syndromes.

We believe each brain injury case is unique and should be treated as such. Our team designs treatment plans to help clients achieve the greatest possible outcome in care and recovery.



California’s Mental Health Services Act (MHSA) provides funding for Full-Service Partnership (FSP) programs across the state. The program demonstrates a commitment to assist in individualized recovery for San Francisco residents needing the highest level of mental health services and support. Our staff provides FSP services in the Clinic, community, client residences and other treatment facilities. 

Our services include: 

  • Referral to housing resources 

  • Intensive case management  

  • Access to specialized care  

Home: What We Do


“I started treatment at Hyde St. Community Services and the Tenderloin Clinic due to alcoholism. I was also suffering from depression and anxiety. The treatment, staff and work at the community center brought my progress to light, like realizing myself in a clearing fog as a person and not just an ‘it.’ The seven or so years of treatment at Hyde Street Community Services have taken me from drunken rages to volunteering at the San Francisco Center. I then became a part-time janitor. Now I am thinking ahead with good intentions, thanks to the services and care provided by this agency.”


Home: Testimonials


Home: Get Involved


Your investment will allow us to continue to expand the effective therapies we provide to those dealing with brain injury, mental illness, homelessness, substance abuse and the aftermath of trauma.  

There are two easy ways you can contribute to our annual fund campaign and support the great work that Hyde Street does: 

  1. Make an individual donation through the secure ‘Donate’ link below. 

  2. Join our Giving Circle and provide a recurring gift of any amount – to do so, choose the ‘Make this a monthly donation’ option after clicking the secure ‘Donate’ link below. 

Hyde Street Community Services is a 501(c)3 non-profit organization. Our services are made possible by generous donations from community members. We greatly appreciate your tax-deductible contribution. 

$25, $50, $75, Other

Online payment for shopping on e-commerce platforms


Enroll in Amazon’s Smile program at no cost to you. Amazon will donate 0.5 percent of the cost of any purchase to Hyde Street Community Services. 


How to support: 


  1. Go to and log in with your Amazon account.  

  2. On the next page, where it asks you to choose a charity to support, search for ‘Hyde Street Community Services’ and select it from the resulting list.  

  3. After you have enrolled, remember to bookmark to shop instead of using the regular (with all the same selection). 


As always, please also consider contributing directly to HSCS, sharing our news with your friends and family, subscribing to our newsletter and following our Facebook and LinkedIn pages to stay in touch with us. 




Are you a motivated, talented professional looking to make a difference in your community? Connect with Hyde Street Community Services to discuss how we can work together to serve San Francisco’s residents. 


To find out more about current openings, please, contact us at:


Hyde Street Community Services is not in need of volunteers at this time. We will update this page with opportunities as they become available. Please check back soon!

Home: Get Involved


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Executive Director

Dr. Azulay is a fellowship-trained Neuropsychologist and research scientist.  Previously, she served as the Director of Neuropsychology Program Development for the United States Air Force at Travis AFB in California and acted as the Director for the Bay Area Addiction Research and Treatment in San Francisco, California. Dr. Azulay continues to serve as an Advisory Council Member to Governor Michelle Lujan Grisham of New Mexico. She is an Associate Professor of Neuroscience and Rehabilitation Medicine at Seton Hall University and a member of the Medical Advisory Board for BINA in New York. Dr. Azulay earned her Doctorate in Psychology from Seton Hall University and a Master’s in Social Work from Rutgers University.

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Medical Director

Dr. Brown joined the Tenderloin Clinic of Hyde Street Community Services in 2008 after relocating from South Carolina, where he was a CBOC service line chief at the Department of Veterans Affairs Medical Center. He received his Doctor of Medicine at the Medical College of Georgia in 2002 and completed his residency as chief resident at the Medical University of South Carolina in 2006. In July 2009, he was promoted to Medical Director of HSCS. He is an active member of the Medication Utilization and Improvement Committee for San Francisco County Behavioral Health Services.

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Training Director

Hana Tylova-Stein became the Director of Training at Hyde Street Community Services in August 2020, after working at the clinic for eight years as a therapist, case manager, and later supervising clinician. Prior to earning her MSW at the University of California Berkeley in 2012, she worked as a project manager at the UCSF Health Psychology department investigating the relationship between mental and physical health.    


Hana Tylova-Stein grew up in the former Czechoslovakia, and then studied in France prior to moving to the United States in 1999. She strives to incorporate her cross-cultural background with trauma-informed and strength-based approaches, and utilizes Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Mindfulness, Motivational Interviewing and Harm Reduction to address each client’s individual needs. She also plays a major role in the implementation and oversight of an integrated training program and has incorporated these various treatment modalities in the supervision and training of students and staff.   

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Erika Maruyama, LMFT

Clinical Director

Erika Maruyama is a Licensed Marriage and Family Therapist who joined the team at Hyde Street Community Services in 2020. She has previous experience working with individuals in inpatient residential treatment and in private practice, conducting harm reduction-based care in a substance use program, and providing intensive case management services. Erika is passionate about supporting marginalized populations in community mental health to ensure equitable access to treatment.

Erika received her Master of Counseling Psychology at the University of San Francisco. Her work is client-centered and tailored to suit individual needs and can include: CBT, DBT, EMDR, EFT, mindfulness, trauma-informed care, psychodynamic, and relational theories. Erika is continually striving to expand her clinical skill set through ongoing training and certification.

Aside from spending time with her family, friends, and pets, Erika enjoys making stained glass, spending time at the ocean, cooking, and running.


Clinical Neuropsychologist/Supervisor

Dr. Karyadi is a neuropsychologist for the Concussion and Migraine Clinic. He graduated from Indiana University-Purdue University in Indianapolis with a doctorate in clinical psychology. He completed his neuropsychology internship and residency at Patton State Hospital. He previously worked as a neuropsychologist through Kaiser Permanente and Loma Linda University. He conducts psychological and neuropsychological evaluations with pediatric, adult, and geriatric clients.

Home: Team Members


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Beth joined the HSCS Board in 2023. She is in-house counsel at DoorDash. Beth holds a J.D. from Loyola Law School, Los Angeles and a B.A. in political science from the University of California, Santa Barbara.

Home: Team Members


We are easily accessible via public transportation: 


  • Stops for the 2, 3, 17, 27, 38, 47 and 49 Muni bus lines and the California Street cable car lines are within three blocks of the organization. 

  • We are a 15-minute walk from the Civic Center BART stop. 

  • Street parking is available in the neighborhood, as are several paid parking garages. 

815 Hyde St 1st Floor, San Francisco, CA 94109, USA

(415) 673-5700

Open Monday through Friday 10:00 am - 3:00 pm

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