Aspire Counseling Services

They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Fresno has 8 other centers within 14 miles.

No. The nearest place that does offer one is in Fresno, 3.3 miles away.

They take mandated treatment. What paperwork the court wants back is between you and whoever ordered it, and Fresno has 8 other centers if the dates do not work.

There are 8 more within a short drive of Fresno, so this does not have to be the only call you make.

They treat mental health alongside the substance use, so both sides are handled in one place. Ask whether the psychiatric side is on site, because in Fresno that is the part that varies.

A program ending is a step down rather than a finish, at least where it is designed well. Outpatient care often continues for months after a residential stay, at a few hours a week. Ask how the medication prescription continues after discharge, and who writes it.

There is often something available sooner at a different level of care than the one you called about. The longest lists sit at the programs that cost the least, which is the genuinely hard part of this. Ask what you should do in the meantime, because a good program will have an answer.

You are rarely obliged to give a diagnosis to an employer, only a medical reason for leave. Intensive outpatient programs are commonly scheduled before work or in the evening precisely so people can stay employed. Ask the program for a date it will confirm in writing, because a leave request needs a date rather than an intention.