Program Summary

Community Integrated Outpatient Services

We offer outpatient psychotherapy, case management, and psychiatric services in East and West Contra Costa County.

Richmond Clinic Manager:
Margaret Schiltz, PsyD

Pittsburg Clinic Manager:
Reynold Fujikawa, PsyD
To Contact These Programs:
CIOS West: 510.778.2816
CIOS East: 925.432.4118

This Service is Offered:
In the communities of West and East Contra Costa County and our Richmond and Pittsburg Clinics.
Services are available in English and Spanish
Download our Brochure:
Eligibility Criteria:
Our CIOS programs serve those with Medi-Cal and uninsured Contra Costa residents. 
Services are Provided by:
Treatment teams that include clinicians, a nurse practitioner, case managers, and doctoral and masters level interns.

Community Integrated Outpatient Services

CIOS is a step-down program from our Community Support Programs

Our Community Integrated Outpatient Services (CIOS) programs, which are also known as Richmond Outpatient and Pittsburg Outpatient, provide a comprehensive range of psychotherapy and case management services to adults with serious, chronic mental disabilities. These programs are funded by Medi-Cal through Contra Costa Health Services (CCHS), Behavioral Health Division.  

These programs functions as a step-down in the level of intensive community outreach services received by clients through the Hume Center’s Community Support Programs in East and West County.

Services occur in appropriate county locations including the home, the community, and in our clinics.  The Hume Center employs a client-centered approach to individualized services to help those with chronic mental health disabilities increase their sense of wellbeing and gain greater independence within their communities.

The vision of CIOS is to provide and embed stabilization and wellness tools that will assist the diverse adult population of chronic severe mental health disability clients live meaningful, community integrated, balanced lives.

In Pittsburg, CIOS also serves clients that utilize Medicare-only Insurance. For these clients or those with Medi/Medi insurance that do not qualify for Medi-Cal behavioral health services due to their level of impairment, psychotherapy and psychiatry are only offered in the clinic and no case management services may be offered due to the regulations of this insurance type. Other restrictions may apply.

Assessment:  A clinician will assess current mental health issues and work to collaboratively design a treatment plan that will address these issues.

Individual Psychotherapy:  Ongoing psychotherapy services with an assigned clinician to support treatment goals and maintain improvements in mental health.

Case Management Services:  Ongoing case management with an assigned case manager to assist with accessing county and community services such as psychiatric appointments and housing support, as well as the practice of learned coping skills in daily environment.

Utilization of Family and Couples Therapy as needed.

Group Psychotherapy:  Ongoing and time-limited groups are often offered in CIOS.