Substance Use Disorder Prevention

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Fresno County Access Line -

Contracts Division - Substance Use Disorder Services Overview

Fresno County Contracts Division - Substance Use Disorder (SUD) Services has the primary responsibility for administering the County’s alcohol and drug programs. Our mission is to support appropriate education, prevention and treatment services to reduce or eliminate alcohol and other drug related barriers to ongoing health, well-being, and economic independence of individuals, families and communities. (To Continue Reading Click Here)

The Goal of Substance Use Disorder Services - Prevention

Our goal in SUD Services - Prevention is to develop and maintain a comprehensive prevention system to avert and reduce alcohol and other drug-related issues, and in the process to help individuals, families and communities in Fresno County enjoy increased health, well-being and economic independence by:

  • Modifying social norms and conditions to counter adverse consequences resulting from alcohol and other drug availability, manufacturing, distribution, promotion, sale, and use; and
  • Effectively addressing at-risk and underserved populations and their environments.

For questions and comments regarding prevention, please contact us at (559) 600-6087.

Functions of Substance Use Disorder Services - Prevention

  • Development of a Strategic Prevention Framework to guide prevention efforts over the long-term (Click Here for the Current Strategic Prevention Plan);
  • Plan, implement and coordinate prevention programs that serve diverse communities throughout urban and rural Fresno County;
  • Administer contracts with agencies to provide prevention services;
  • Encourage the strengthening of collaborative partnerships between a wide range of organizations and agencies to facilitate an integrated, county-wide network of complimentary services to maximize resources and reduce duplication;
  • Evaluate outcomes to determine the effectiveness of programs;
  • Collaborate with community organizations to sponsor health fairs and alcohol/drug-free events; and
  • Provide information and referral to substance use disorder services.

For contact and program information for Prevention Providers Click Here.

Provider Highlights

California Health Collaborative - PATH Project

Reality Tour® – Dramatic Journey from Arrest to Overdose and Funeral – Taking Place in Fresno County!

Reality Tour is a nationally recognized, evidence-based, drug prevention program designed to increase parent-child communication and knowledge regarding substance use. Originally developed in Butler, Pennsylvania, the California Health Collaborative’s Performing Above the High (PATH) Project adopted the program for use in Fresno County and established it as the first location in California hosting such a program. Success for this program has sky-rocketed, with the PATH Project hosting four tours filled to capacity in the communities of Northeast Fresno, Southwest Fresno, Reedley and Parlier. Hundreds of positive evaluations were collected from participants at the end of the experience, expressing an increase in knowledge and level of comfort with discussing substance use as a family.

During the Reality Tour, participants follow the fate of a fictitious teen addicted to drugs, and witness his life from initial experiences of peer pressure, subsequent arrest, and prison, followed by an emergency room overdose and funeral. Participants see firsthand the impact these events have on the family, friends, and community. A narrative by the lead actor precedes each scene and includes the constant reminder to the audience that, “I’m just like you” and “This can happen to anyone”.

Recognizing the need to host additional tours throughout Fresno County, PATH staff collaborated with the City of Fresno Police Department (FPD) Chief Jerry Dyer, and subsequently subcontracted with the FPD to host additional tours. With support from Bringing Broken Neighborhoods Back to Life, PATH and the FPD are gearing up to provide two additional tours to neighborhoods in the Fresno area very soon.

For more information on the Reality Tour program and the Performing Above the High (PATH) Project, please contact Daisy Lopez, Program Manager at (559) 244-4526, or visit:

Youth Leadership Institute

Storefront Signage Affects Health and Safety – A Plan to Limit Storefront Signage in Selma

In 2013, the Fresno County Department of Public Health conducted a survey at 394 tobacco retail stores. The survey showed that: 1) Store windows in Selma were covered with a greater number of signs compared to other cities in Fresno County; and 2) Most of the products advertised at Selma stores were for alcohol, tobacco, and sugary drinks.

Research demonstrates that young people are more sensitive to ads than adults and that store ads influence young people to try tobacco and/or alcohol products. Additionally, too many storefront ads pose a safety risk and prevent officers from fully seeing inside a store during a robbery, as well as hinder an employee’s ability to see if suspicious activity is taking place outside. Both of these situations are alarming and can be dangerous.

The Fresno County Department of Public Health created a plan to limit storefront signage in Selma. They organized a workgroup to strategize and develop a plan to present to the Selma City Council. The group included: the Fresno County Department of Behavioral Health, Substance Use Prevention providers Performing Above the High Project, Lock It Up Program, and the Youth Leadership Institute. Workgroup members and local youth were present at the Council meeting; the youth took this opportunity to educate and share the impact of storefront signage and asked the Council to support an ordinance limiting storefront signage on windows to 15%. The City Council were very supportive and even asked the City Attorney to look into the lowest possible percentage the City could move forward with in order to protect Selma youth and create a safer environment for retailers and customers of these retail establishments as well as their community.

To align with the Healthy Stores for a Healthy Community statewide campaign, the County Departments of Behavioral and Public Health will work to improve the health of Californians through changes in the community, including educating people on how product marketing influences consumption of unhealthy products. Concentrated efforts will focus on reducing signage on visible facilities that market and promote unhealthy choices, including alcohol, tobacco, and unhealthy food products.

For more information on storefront signage and its impact on health and safety, please contact Leila Gholamrezaei-Eha at (559) 600-6449 or Yammilette G. Rodriguez at (559) 255-3300, or visit the Youth Leadership Institute webpage at:

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