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Alcohol & Other Drugs Services

Behavioral Health Division

Is your life or the life of someone you love affected by the use of alcohol or other drugs?

Behavioral Health Access Line

  • 800-846-1652 (Call Toll Free)


Provider Directory (English/Spanish)
Beneficiary Handbook (English)
Beneficiary Handbook (Spanish)

Take the CAGE Questions
or go to Alcohol Screening test.

Treatment outside of Contra Costa County?

How to Access Our Services?

Contra Costa Residents can access Alcohol and Other Drugs Services by calling:


Opioid Crisis Story Map
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NEED TREATMENT?

Drug Medi-Cal Organized Delivery System (DMC-ODS) Plan

Substance Use Disorders (SUD) Provider Directory of Services

Outpatient Services
Intensive Outpatient Treatment
Residential Treatment
Withdrawal Management - Detoxification
Medication Assisted Treatment

  • Outpatient Services

    ASAM Level 1.0

    Counseling services consist of up to nine (9) hours a week for adults and less than six (6) hours a week for adolescents when determined to be medically necessary.

    Outpatient Services include intake and assessment, treatment planning, individual and group counseling, family therapy, collateral services, member education, medication services, crisis intervention services, and discharge planning and coordination.



  • Intensive Outpatient Treatment

    ASAM Level 2.1

    Intensive Outpatient Treatment involves structured programming as medically necessary for a minimum of nine (9) hours with a maximum of nineteen (19) hours per week for adults perinatal and non-perinatal beneficiaries. Adolescents are provided a minimum of six (6) and a maximum of 19 hours per week.

    Outpatient Services include intake and assessment, treatment planning, individual and group counseling, family therapy, collateral services, member education, medication services, crisis intervention services, and discharge planning and coordination.

    Intensive Outpatient Treatment Services include the same components as Outpatient Services, the main difference is the increased number of hours of treatment.



  • Residential Treatment

    ASAM Level 3.1 and 3.5

    Residential Treatment is a non-institutional, 24-hour non-medical social model, short-term residential program that provides rehabilitation services to beneficiaries with an SUD diagnosis when determined as medically necessary.

    The length on of residential services range from 1 to 90 days with a 90-day maximum for adults and 30-day maximum for adolescents per 365-day period; unless medical necessity authorizes a one-time extension of up to 30 days per 365 day period. Residential services require prior authorization by the county plan.

    Each member shall live on the premises and shall be supported in their efforts to restore, maintain and apply interpersonal and independent living skills and access community support systems. Providers and residents work collaboratively to define barriers, set priorities, establish goals, create treatment plans, and solve SUD related problems. Goals include sustaining abstinence, preparing for relapse triggers, improving personal health and social functioning, and engaging in continuing care.

    Residential Services includes intake and assessment, treatment planning, individual counseling, group counseling, family therapy, collateral services, member education, medication services, safeguarding medications (facilities will store all resident medication and facility staff members may assist with resident’s self-administration of medication), crisis intervention services, transportation (provision of or arrangement for transportation to and from medically necessary treatment) and discharge planning.



  • Withdrawal Management - Detoxification

    ASAM Level 3.2

    Withdrawal Management services are provided when determined as medically necessary. The beneficiary shall be monitored during the detoxification process in a non-medical environment. Medically necessary habilitative and rehabilitative services are provided in accordance with an individualized client plan prescribed by a license physician, or licensed prescriber and approved and authorized according to the State of California requirements.

    Withdrawal Management Services include intake and assessment, observation (to evaluate health status and response to any prescribed medication), medication services, and discharged planning.



  • Medication Assisted Treatment

    MAT services include the ordering, prescribing, administering, and monitoring of all medications for SUD. Opioid and alcohol dependence, in particular, have well established medication options. Physicians and other prescribers may offer medications to members covered under the DMC-ODS formulary including buprenorphine, naloxone, disulfiram, Vivitrol, Acamprosate, or any FDA approved medication for the treatment of SUD including Methadone.

    Opioid (Narcotic) Treatment Program (OTP/NTP)

    Opioid (Narcotic) Treatment Program (OTP/NTP) services through Methadone are provided in NTP licensed facilities. Medically necessary services are provided in accordance with an individualized client plan determined by a licensed physician or licensed prescriber, and approved and authorized according to the State of California requirements.

    A beneficiary must receive at minimum fifty (50) minutes of counseling sessions with a therapist or counselor for up to two hundred (200) minutes per calendar month, although additional services may be provided based on medical necessity.

    Opioid Treatment Services include the same components as Outpatient Treatment Services, with the inclusion of medical psychotherapy consisting of a face-to-face discussion conducted by a physician on a one-on-one basis with the member.

    Medication Assisted Treatment (varies by county)

    Medication Assisted Treatment (MAT) Services are available outside of the OTP clinic. MAT is the use of prescription medications, in combination with counseling and behavioral therapies, to provide a whole-person approach to the treatment of SUD. Suboxone and Buprenorphine treatment services are provided by the Choosing Change Treatment Team Brochure.



Other Behavioral Health Division Resources

  • Mental Health Access: 1-888-678-7277
  • Suicide Crisis Hotline: 1-800-233-2900
  • Get Help

Learn more about treatment, prevention and other resources by exploring the options on the left sidebar.