The Mission Neighborhood Resource Center has served women in San Francisco's Mission District for over 20 years. Its Ladies Night program runs every Thursday evening, offering female-identifying individuals a safe, welcoming space built around health, safety, and community. Services include showers and laundry, hygiene and harm reduction supplies, meals, case management, and access to a primary care clinic.

CTI has been part of Ladies Night for over ten years. Each week, a CTI massage therapist offers two hours of seated massage, providing 4 to 8 sessions per evening to women living with chronic pain, stress, and trauma. Sessions run 15 to 30 minutes and are tailored to each person's needs.

The impact goes beyond physical relief. Many participants describe the sessions as emotionally healing, and over time, consistent weekly presence has built genuine relationships between therapist and clients. For women navigating significant hardship, being listened to and cared for with dignity is itself a form of support.

The Harm Reduction Therapy Center serves some of San Francisco's most vulnerable residents across multiple neighborhoods, including SoMa, the Mission, and Bayview. Through therapy, harm reduction supplies and education, and meals, HRTC reaches people who are unhoused or living in single-room occupancy hotels, immigrants and non-English speakers, formerly incarcerated individuals, and people navigating substance use, isolation, and severe mental health challenges.

CTI has partnered with HRTC for over 20 years, providing weekly trauma-informed massage across all three sites alongside HRTC social workers. Sessions take place outdoors, next to HRTC's harm reduction vans and tents, where CTI sets up a chair on the sidewalk and meets clients where they already receive trusted care.

Over two decades, CTI's presence across these sites has become a reliable and deeply valued part of HRTC's programming. Clients return regularly to manage chronic pain, stress, and recovery-related tension. Consistent weekly visits have allowed genuine relationships to form, building the kind of trust that makes care possible for people who are often guarded around new services.

The HRTC sites also serve as some of CTI's primary training locations for new volunteers. The outdoor, street-based settings reflect the real conditions of community care, and new therapists are supported by experienced CTI practitioners and HRTC social workers as they build skills, adaptability, and confidence in the field.

Martin de Porres House of Hospitality has long served people experiencing poverty and housing instability in San Francisco, offering hot meals, showers, and supportive services to those with nowhere else to turn. Guests include people who are unhoused, living in single-room occupancy hotels, or marginally housed and struggling to meet basic needs.

CTI has partnered with Martins since 1999, offering a weekly two-hour massage shift during lunch service. Sessions take place indoors near the entrance to the dining room, with occasional outdoor work in good weather. Massage is understood here as a form of nourishment alongside the meal, supporting guests who carry chronic pain, stress, trauma, and profound loneliness.

CTI's presence contributes more than individual relief. The steady, grounded work of the massage therapist brings a calming presence to the dining space, creating an atmosphere of safety and care that extends beyond those receiving sessions. Over more than two decades, CTI has built deep, trusting relationships with Martins staff and guests, with many individuals returning week after week and year after year.

Martins also serves as an important training site for new CTI volunteers. Guests represent the full range of populations CTI serves across the city, including elders, formerly incarcerated individuals, people living with mental health or substance use challenges, sex workers, and people from diverse linguistic and cultural backgrounds. New therapists develop clinical skills and confidence within a calm, welcoming environment rooted in CTI's trauma-informed model.

Tom Waddell Urban Health Center is a San Francisco Department of Public Health clinic serving low-income communities in the Tenderloin District. Many patients are unhoused or formerly unhoused, with high rates of trauma, addiction, and complex mental health needs.

CTI has partnered with Tom Waddell since 1997, currently providing one weekly three-hour shift and one bi-monthly four-hour shift, each serving approximately four patients. All recipients are established clinic patients, most often referred for chronic pain or mental health concerns. CTI is embedded within Tom Waddell's Integrative Pain Management Program, where massage is recognized as an essential non-pharmacological tool and referrals continue to grow as clinicians see its impact firsthand.

Beyond hands-on care, CTI participates in a weekly online support group for people living with chronic pain and teaches self-massage and body awareness skills, helping patients engage actively in their own healing. Because Tom Waddell operates within the public health system, CTI practitioners follow clinical documentation protocols and work with more complete health information than is typically available in community settings, strengthening both safety and care quality.

CTI's relationship with Tom Waddell spans nearly three decades and has grown significantly over time, from early street outreach into specialty clinics serving women, transgender patients, and people living with HIV/AIDS. In 2012, CTI was a founding member of the team that launched the Integrative Pain Management Program. Today, CTI practitioners are fully integrated members of the care team, reflecting CTI's long-standing commitment to embedding trauma-informed touch within public health systems.

Central City Hospitality House is a long-standing community provider operating two Self-Help Centers in San Francisco's Tenderloin and SoMa neighborhoods. Working within a harm reduction framework, Hospitality House supports people navigating substance use, mental health challenges, and chronic instability, with a particular focus on those who are unhoused or precariously housed.

CTI has partnered with Hospitality House since the late 1990s, providing weekly two-hour massage shifts at both the Tenderloin Self-Help Center and Sixth Street Self-Help Center. Sessions are offered indoors in spaces that allow for privacy and safety. CTI has maintained a consistent presence at Tenderloin Self-Help for over 25 years and at Sixth Street Self-Help since it opened in 2010, building deep, trusted relationships with staff and participants over time.

Massage at these sites offers relief from chronic pain, stress, and trauma while contributing a sense of calm and care within demanding environments. The partnership extends beyond client services as well. CTI provides massage for Hospitality House staff wellness and participates in shared training and education, reflecting a reciprocal relationship rooted in shared values around trauma-informed and harm reduction-based care.

The Gubbio Project offers unhoused and marginally housed individuals a quiet, sacred space to rest during the day at St. John the Evangelist Church in San Francisco's Mission District. Free from the noise and danger of the street, guests can sleep, feel safe, and access compassionate support within a welcoming community setting.

CTI has partnered with The Gubbio Project since the early 2000s, providing weekly seated massage inside the church sanctuary and, when weather allows, in the outdoor courtyard. Sessions offer physical relief, emotional grounding, and moments of dignity for people carrying chronic exhaustion, stress, and trauma.

Over more than two decades, CTI's consistent presence has made massage an integral part of The Gubbio Project's care environment. The site also serves as a training location for new CTI volunteers, offering a calm yet real-world setting to develop trauma-informed skills while working with diverse and highly impacted communities.