Integrated Substance Use Program (ISUP)


Ever wondered about your drinking or drug use? When is it time to make a change?

Ask yourself...

  • Is using no longer fun?
  • Are friends and family worried about me?
  • Am I having a hard time at work or school?
  • Do I feel bad after drinking or using?
  • Do I feel hopeless or out of control?

The ISUP Team may be able to help!

We offer:

  • Medication-Assisted Treatment (MAT) - Suboxone and Naltrexone
  • Counseling
  • Group therapy
  • Case management and support

Call us to find out more at (530) 646-3993.

Helping Hands

The ISUP Mission

To provide accessible, quality, and individualized substance use treatment support services to the patients of Shasta Community Health Center. We do this with the utmost respect, compassion, and understanding for every individual. We believe that every patient is the expert of their lives and deserves to be a partner in designing their own treatment plan. Our counselors and staff provide each patient with options. We encourage personal choice and partner with patients in identifying their priorities and putting plans into action.

Why we chose to integrate substance use treatment with primary care:

Medical problems do not exist separate from the effects of substance use and vice versa. Drawing on SCHC’s value of teamwork, excellence, and quality, we have built a bridge between the two in order to address both issues under one roof. At our center, we have warm-handoffs where a patient can see their drug and alcohol counselor the same day as their clinician. This teamwork allows for faster access to treatment, better patient results, and helps to reduce the stigma associated with substance use. It works!


What is NARCAN® Nasal Spray?

NARCAN® Nasal Spray is a prescription medicine used for the treatment of a known or suspected opioid overdose emergency with signs of breathing problems and severe sleepiness or not being able to respond. NARCAN® Nasal Spray is to be given right away and does not take the place of emergency medical care. Get emergency medical help right away after giving the first dose of NARCAN® Nasal Spray, even if the person wakes up. NARCAN® Nasal Spray is safe and effective in children for known or suspected opioid overdose.


Narcan Nasal Spray
What is the most important information I should know about NARCAN® Nasal Spray?

NARCAN® Nasal Spray is used to temporarily reverse the effects of opioid medicines. The medicine in NARCAN® Nasal Spray has no effect in people who are not taking opioid medicines. Always carry NARCAN® Nasal Spray with you in case of an opioid overdose.

How To Use Narcan Video
NARCAN® Quick Start Guide


Fentanyl and Overdose Symptoms

Fentanyl is a synthetic opioid 50 to 100 times more powerful than morphine. It is cheap to make and easy to mix in other street drugs. Dealers use it to improve their bottom line. It is being pressed into pills that resemble OxyContin, Xanax, Adderall, and other popular drugs, as well as being cut into heroin and other street drugs. 

Fentanyl and other synthetic opioids are the most common drugs involved in overdose deaths. Over 150 people die every day from overdoses related to synthetic opioids like Fentanyl. 

Counterfeit Oxycodone Pills
Symptoms of a Fentanyl Overdose

A person that is overdosing on Fentanyl may show the following signs and symptoms:

  • Gurgling sounds with breathing
  • Foaming at the mouth
  • Cold and clammy skin
  • Blue colored lips and fingernails
  • Drowsiness
  • Dizziness
  • Confusion or strange behavior
  • Decreased heart rate
  • Nausea and vomiting
  • Reduced or loss of consciousness
  • Changes in pupil size
  • Coma
The Most Important Thing to Know About Fentanyl 

When fentanyl is mixed with heroin, cocaine, or other drugs, it is never mixed evenly. Powder from one side of a baggie may contain no fentanyl at all, yet powder from the other side may contain a fatal dose. It is therefore important to test every bit of the drug you intend to use before you use it.  

Test strips are cheap and give results within 5 minutes, which can be the difference between life or death. Even if the test is negative, be careful as test strips might not detect fentanyl-like drugs, like-carefentanil. Ask your clinician for more information on fentanyl testing strips and about NARCAN® Nasal Spray.

For more information: