Behavioral Health Equity


Racism is a Public Health Crisis

On March 16, 2021, a consortium of county leaders, including the County Behavioral Health Directors of California, issued a statement supporting that racism is a public health crisis.  Please review the attached document for the commitment our department is making with this statement.

Please note that the issuance of this statement is not a box that we check off, and then, sit back.  This statement is part of holding ourselves accountable to do the work that the statement commits to.  Our department is already on this path and I am hopeful that our continued work will move us steadily toward these aims.  I am committed.  

- DBH Leadership Team

Behavioral Health Equity

Behavioral Health Equity is the right to access quality health care for all populations regardless of the individual’s race, ethnicity, gender, socioeconomic status, sexual orientation, or geographical location. This includes access to prevention, treatment, and recovery services for mental and substance use disorders.

Advancing health equity involves ensuring that everyone has a fair and just opportunity to be as healthy as possible. This also applies to behavioral health. In conjunction with quality services, this involves addressing social determinants, such as employment and housing stability, insurance status, proximity to services, culturally responsive care – all of which have an impact on behavioral health outcomes.

What We are Doing to Advance Health Equity

Reducing Health Disparities and improving health equity is important to the Department of Behavioral Health. It is not a check box for us, nor do we want it to be for any who provide services in our system of care. While there are areas for improvement in our system of care, we also feel we are making advances in improving health equity. In the past few years, we have started self-examination of areas for improvement. We’ve invested in new trainings and changing processes which have contributed to disparities. We have sought to get greater community input and create programs that better meet the needs of our diverse community. Health Equity is not a singular goal for our Department and system of care, but rather an ongoing continuous process to best meet the on-going needs of our diverse and changing community. 


Community Needs Assessments


2024 Cultural Humility Survey

The Department of Behavioral Health will be administering the 2024 Client Cultural Humility Survey and Family/Caregiver Cultural Humility Survey starting Monday 3/4/2024 through Friday 3/15/2024. The purpose of these surveys is to measure individual perception of services and obtain feedback on the delivery of culturally responsive behavioral health services in Fresno County.


•             ENGLISH - Client/Person-Served Cultural Humility Survey 2024:

•             ENGLISH - Family/Caregiver Cultural Humility Survey 2024:

•             SPANISH - Client/Person-Served Cultural Humility Survey 2024:

•             SPANISH – Family/Caregiver Cultural Humility Survey 2024:

•             HMONG - Client/Person-Served Cultural Humility Survey 2024:

•             HMONG – Family/Caregiver Cultural Humility Survey 2024:

**Please note that the appropriate survey link is also included in the footer of each survey.  


Cultural Humility Survey Results

Annual Cultural Competency Plan Requirement

Click HERE to view Annual Cultural Competency Plan Requirement


Health Equity Multi-Cultural Diversity Training (HEMCDT)

Providers with access to the Department's Learning Management System, Relias can access additional foundational trainings.


Mental Health Terms — Resources


Land Acknowledgement

The Fresno County Department of Behavioral Health acknowledges that we are on the traditional territory of several nations including the Yokuts, Western Mono/Monache, Eastern Mono/Monache, Numu (Northern Paiute), Ohlone (Amah Mutsun), and Salinan.                                                            

What is a land acknowledgement and why do we do it?

A land acknowledgement involves making a statement recognizing the traditional territory of the Indigenous people(s) who called the land home before the arrival of settlers, and in many cases still do call it home. Providing a land acknowledgement at the beginning of an event or meeting gives time for reflection and demonstrates recognition and appreciation of Indigenous lands, treaties and peoples. It involves thinking about what happened in the past and what changes can be made going forward in order to further the reconciliation process and work towards reducing disparities and improve health outcomes.


Treaties: Cession 275, 276, 277, 278, 279, 423 

Languages: Yokuts, Ohlone, Salinan, Southern Sierra Miwok


DBH Language Guides

The Department of Behavioral Health has developed documents to assist service providers when caring for persons-served whose preferred language is Spanish or Hmong.

These guide is constantly being reviewed and improved upon.

Access the Spanish guide HERE(DOCX, 146KB)

(rev. 10/6/2022)

Access the Hmong guide HERE(DOCX, 79KB)

(rev. 3/31/2023)


Suggestions and/or Ideas: 


If you have a Behavioral Health emergency
please call 9-1-1

For Access to Services or the Crisis Line,
1 800 654-3937

 CalHOPE Warm Line
1 833 317-HOPE(4673)

Central Valley Suicide Prevention Lifeline
1 800 273-8255