Clinica Sierra Vista is a healthcare organization serving the low, moderate and fixed income populations of Fresno and Kern Counties in central California. Founded in 1970 to serve the area’s migrant communities, CSV’s services have grown into a network that includes comprehensive general healthcare, dental care, mobile healthcare and an Intensive Outpatient Program (IOP) for substance abuse at its Delano location. Using evidence-based treatment methods, men and women receive care for alcohol and drug dependency and co-occurring disorders.
Treatment and Staff
CSV’s IOP is a six-month program that allows clients to decrease the intensity of their treatment every two months. After an initial assessment, clients admitted to the IOP begin attending group therapy three times a week (sessions last one-and-a-half hours). After two months clients step down to meeting twice a week, and for their final two months attendance drops to one group per week. Throughout the program, clients are required to attend 8 off-site 12-step meetings per month in order to build a community of fellows in recovery for support after they have completed treatment at CSV.
If a client is diagnosed with a co-occurring disorder, CSV offers additional on-site therapy and/or medication management through the psychiatric and medical departments housed in the same building.
Treatment at CSV is evidence-based and uses the Matrix Model. Topics explored in group sessions include coping skills, relapse prevention and self-regulation of one’s emotions. All groups are co-ed, have an average of 10 to 12 participants and are led by LADCs and LCSWs. Each counselor has thirty-five clients total and sees his or her clients both as their group-therapy leader and in one individual session each month.
In addition to offering an IOP, CSV Delano also makes medical and psychiatric care available in the same facility. While there isn’t a formal aftercare program, many clients periodically touch base with their counselor for extra support and insight after they’ve completed treatment.
Some of CSV’s additional programs include a campus-based school outreach program for adolescents with substance abuse complications referred by the local school district, CHAT—a group which helps children cope with trauma—and community-wide HIV and preventative screenings. CSV offers services in Spanish and has a bilingual website.
Clinica Sierra Vista’s programs and facilities have grown exponentially since their modest beginnings in a storefront warehouse in the early 1970s. It credits this to a staff and board with an unwavering commitment to evolving care as the community grows and changes. By aggressively developing in-school health and substance abuse prevention programs, Clinica Sierra Vista knows that great health flourishes if good habits are given a chance to take hold before destructive ones begin.
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