Our substance use disorder services staff and counselors work closely with the medical providers in our clinics to support patients in developing and completing personalized plans to reduce the negative physical and psychological impacts of drugs and alcohol. For those in need of additional support, we offer a structured outpatient substance use disorder program. Our services are flexible to meet each client’s unique needs and type of care after discharge.

Download the brochure here.

For more information, call (619) 906-4686, email SUDReferrals@fhcsd.org or schedule a telehealth appointment.

Substance Use Disorder Services

Available Services:

Learn More About:

How to Access Services


To find out if you qualify, call our Substance Use Disorder Referral Specialist at (619) 906-4686 or email SUDReferrals@fhcsd.org.

Individuals with Medi-Cal, new and current patients are welcome.

Services are available at Fifth Avenue Behavioral Health Center and South Bay Behavioral Health Center.

Behavioral Health Integration


Treatment that promotes well-being and recovery through prevention, treatment and intervention for clients experiencing both mental illness and substance us issues. Counselors work alongside mental health therapists and primary care providers to provide integrated therapies.

HIV and Hepatitis Testing & Treatment


As the largest provider of HIV and hepatitis treatment and prevention services in the region, we believe in a client-centered approach that takes the whole individual into consideration when discussing prevention or treatment. We provide a variety of HIV and hepatitis testing, support-and-education activities and services, and we pride ourselves on working with community partners for referrals and resources.

For more information about our HIV and Hepatitis Services, click here.

Medication Assisted Treatment


Our Medication Assisted Treatment (MAT) Program can help with reducing withdrawal symptoms, cravings and urges so you can feel healthy and function at your best in everyday life.

If you are interested in getting help with opioid use disorder, please call (619) 906-4686 or email SUDReferrals@fhcsd.org.

For more information about the MAT Program, click here.

Mental Health Services


Our warm and caring mental health services staff provides support to the health of the whole body, including physical, emotional and mental well-being. Whether you need someone to talk to or are seeking care for emotional and psychological disorders, our trained clinicians employ behavioral therapies and evidence-based practices to get you the help you need.

For more information about Mental Health Services, click here.

Syringe Services Program (SSP)


FHCSD’s Syringe Services Program (SSP) is San Diego’s only syringe exchange program and offers comprehensive services to help people who inject drugs reduce their risk of HIV and hepatitis transmission. The mobile SSP unit provides individuals with harm reduction education, case management, referrals to drug treatment and detoxification and one-for-one syringe exchange.

For more information about SSP, click here.

Solutions for Recovery


An outpatient treatment program that provides individual and group counseling sessions, as well as mental health therapy, for a period of three to six months. This program welcomes LGBTQ individuals and serves as the County of San Diego’s Regional Recovery Center.

S.M.A.R.T. Program


The San Diego Misdemeanants At-Risk Track (S.M.A.R.T.) Program offers the opportunity to dismiss certain cases, providing many with a fresh start upon successful completion. S.M.A.R.T. provides drug treatment, case management and a residence without shelter beds.

You may be eligible if you:*

  • Had one or more misdemeanor drug offenses since November of 2014.
  • Were arrested at least twice in the past twelve months for a quality of life offense.
  • Have no convictions for murder, arson, sex offenses or related crimes.
  • Have no convictions for drug sales in the last three years.
*The City of San Diego prosecutor must approve your participation.

For more information, call:

This program is supported by the County of San Diego, the City of San Diego and the City of San Diego Homeless Outreach Team.

Opioid Information


Opioids are a kind of drug used to reduce pain. There are many different kinds of opioids, and they can be bought both legally and illegally. Opioids include both prescription pain killers and heroin, and both share the same chemical composition as the opium poppy plant.

Click here to learn more.