County of Madera Oakhurst Counseling Center

County of Madera Behavioral Health Services provides outpatient substance abuse treatment in Oakhurst, CA — a program run directly through county government and designed to serve people who need ongoing recovery support without leaving their daily lives. The outpatient format is well-suited to those in longer-term recovery, individuals stepping down from residential treatment, or people beginning their recovery journey while managing real-world responsibilities.

Because the program is county-operated, it carries a public health mission that shapes who gets served. Financial barriers are actively addressed: the center accepts Medicaid, Medicare, self-pay, and offers financial assistance — meaning cost is less likely to be the reason someone doesn't get the help they need. For families navigating recovery together, this kind of access matters.

Many people entering addiction treatment are also managing trauma, PTSD, or co-occurring mental health conditions. County of Madera Behavioral Health Services directly treats both Co-Occurring Disorders/Dual Diagnosis and Trauma/PTSD — meaning the clinical work addresses more than substance use in isolation. This integrated focus is critical for people whose recovery has been complicated by untreated mental health challenges.

Cognitive Behavioral Therapy (CBT) is the confirmed therapeutic method at this center. CBT equips people in recovery with concrete tools for recognizing and changing the thought and behavior patterns connected to substance use, and it has particular relevance for those also working through trauma. Addressing both conditions in the same outpatient program reduces the fragmentation that can derail long-term recovery.

The populations served at County of Madera reflect a program designed for inclusivity across age, circumstance, and background. Adolescents and young adults ages 18–25 are specifically served, as are women and pregnant women — groups whose recovery needs often require tailored attention. The program also serves individuals who are deaf or hard of hearing, a population frequently underserved in addiction treatment settings.

Court-ordered individuals are also welcomed, and the outpatient structure can accommodate the oversight requirements that often accompany legal involvement. Whether someone is entering treatment voluntarily or through the justice system, the program's range of accepted populations signals a center committed to meeting people at different points on their recovery path — not just those who fit a narrow profile.

Sustaining recovery over time requires a treatment partner that removes obstacles rather than adding them. County of Madera Behavioral Health Services accepts Medicaid and Medicare, making the program reachable for many individuals who might otherwise face coverage gaps. Self-pay and financial assistance options further expand access for those without public insurance.

The outpatient program model also means individuals can continue working, caring for family, or attending school while receiving consistent treatment. For those building a life in recovery — not just completing a program — this flexibility is a practical advantage that residential settings can't always offer. To learn more or explore enrollment, contact the center directly at (559) 395-0453 or visit maderacounty.com/government/behavioralhealthservices.