San Bernardino County

About San Bernardino County

San Bernardino County’s Department of Behavioral Health, based in Rialto, California, is the county’s public agency for mental health and substance use disorder care, serving youth, adults, and families across the region. Their Substance Use Disorder and Recovery Services division connects people to outpatient counseling, intensive outpatient care, medication for opioid use disorder, and residential treatment with withdrawal management through county-run and state-licensed contract providers. A free, confidential screening and assessment helps match each person to the right level of care, and counselors build treatment plans around individual schedules and family involvement. Cost is not a barrier, since fees follow a sliding scale based on income and family size, and no one is turned away for inability to pay.

Outpatient programs center on individual and group counseling, personalized treatment planning, and case management aimed at preventing relapse. Their Rialto Behavioral Addiction Treatment Services site is one of the locations offering contingency management, an evidence-based approach for stimulant use disorder that rewards progress toward reduced use or abstinence with incentives like gift cards. Pregnant and parenting women can enter perinatal intensive outpatient programs that include their children, while community recovery centers offer self-help groups and education for ongoing support. The department also distributes free naloxone with training, runs 24/7 mobile crisis teams and walk-in crisis centers, and provides outpatient mental health services for people managing co-occurring conditions.