Indiana’s substance use crisis is marked by sharp rural-urban divides, economic distress in post-industrial towns, and a public health infrastructure still catching up to the scale of the epidemic. The state has been deeply affected by the opioid crisis, with overdose deaths driven primarily by fentanyl and heroin.
According to the Indiana Department of Health, opioid-involved overdose deaths have more than tripled over the past decade, with fentanyl now involved in more than 70% of all drug-related fatalities.
While Indianapolis and other major cities like Fort Wayne and Evansville offer a relatively wide range of services—including detox centers, residential and outpatient treatment, and MAT (medication-assisted treatment)—many counties, especially in southern and eastern Indiana, lack even basic access to substance use care.
Rural residents often must travel long distances to find a facility that accepts their insurance, or settle for under-resourced programs that can’t offer specialized treatment such as dual diagnosis care.
Indiana expanded Medicaid, which has improved access to treatment for many low-income residents, but reimbursement rates remain low, and provider shortages persist, particularly for addiction psychiatrists and licensed therapists. The state’s robust network of federally qualified health centers helps bridge some of the gap, offering MAT and behavioral health support in underserved areas.
Telehealth has played a growing role, allowing more flexibility for clients in remote areas to receive counseling and medication management, though gaps in internet access continue to pose challenges in rural households. Harm reduction has gained a foothold in Indiana in recent years, following a high-profile HIV outbreak in Scott County in 2015 that was traced back to intravenous drug use.
This crisis prompted the state to approve needle exchange programs, although local support remains mixed and some counties have shut them down due to political or public backlash.
Naloxone is widely available through pharmacies, public health departments, and community groups, which has helped save lives, but stigma remains a powerful barrier to seeking help—especially in conservative communities where addiction is still viewed as a moral failing rather than a medical condition.
Faith-based recovery programs and sober living homes are prevalent in Indiana and provide meaningful support for many, but often lack clinical oversight or are disconnected from broader healthcare systems.
Meanwhile, methamphetamine use is once again on the rise in many parts of the state, especially among individuals with limited access to opioid prescriptions or in regions where fentanyl saturation is lower.
Overall, Indiana’s addiction treatment landscape is evolving, but still marked by major gaps, inconsistent regional resources, and a need for stronger integration between public health, law enforcement, and community stakeholders to effectively respond to the growing demand for care..
 | Achievement RehabilitationAchievement Rehabilitation | |||
| Adams Memorial HospitalAdams Memorial Hospital | Payment Options:Medicaid | ||
| ADAPT Counseling ServicesADAPT Counseling Services | Payment Options:Private insurance | ||
| Addiction and Behavioral Counseling ServicesAddiction and Behavioral Counseling Services | Payment Options:Self-pay options | ||
| Addiction and Family CareAddiction and Family Care | |||
| Addiction Rehab Centers - ARCAddiction Rehab Centers - ARC | Payment Options:Self-pay options | ||
| Addiction Resource Network of IndianaAddiction Resource Network of Indiana | |||
| Addictions Recovery CentersAddictions Recovery Centers provides outpatient services that are related to the misuse of one or more substances. Addictions Recovery Centers offers services for adult populations only, defined as persons being 18 years of age or older. Addictions Recovery Centers is located at South Bend, Indiana. Addictions Recovery Centers | Payment Options:Self-pay options | ||
| Addictions Recovery CentersAddictions Recovery Centers | Payment Options:Self-pay options | ||
| Addictions Recovery CentersAddictions Recovery Centers | Payment Options:Self-pay options | ||
| Addictions Recovery CentersAddictions Recovery Centers | Payment Options:Self-pay options | ||
| Addictions Recovery CentersAddictions Recovery Centers | Payment Options:Self-pay options | ||
| Addictive Behaviors Counseling CenterAddictive Behaviors Counseling Center | |||
 | Adult & Child HealthAdult & Child Health in Franklin, IN, is committed to providing quality healthcare services for individuals and families of all ages. Our comprehensive approach includes primary care, mental health services, and wellness programs tailored to meet the diverse needs of our community. Our dedicated team of healthcare professionals focuses on fostering a supportive environment that promotes overall well-being and empowers patients to take charge of their health. At Adult & Child Health, we believe in accessible and compassionate care for everyone. Contact us today to learn more about our services and how we can support you and your loved ones in achieving optimal health. 1860 Northwood Plz Dr, Franklin, IN 46131 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Medicare Financial Aid | ||
| Adult and Child CenterAdult and Child Center | Payment Options:Medicaid | ||
| Adult and Child CenterAdult and Child Center | Payment Options:Medicaid | ||
| Adult and Child Center - E. Ohio StreetAdult and Child Center - E. Ohio Street | Payment Options:Medicaid | ||
| Adult and Child Center - Madison AvenueAdult and Child Center - Madison Avenue | Payment Options:Medicaid | ||
| Adult and Child Center - Siear TerraceAdult and Child Center - Siear Terrace | Payment Options:Medicaid | ||
| Adult and Child Health - ColumbusAdult and Child Health - Columbus |
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Drug and alcohol rehab is a structured treatment program designed to assist individuals struggling with substance use disorders. These programs focus on helping participants stop using drugs or alcohol, learn about the nature of addiction, and develop coping strategies to maintain long-term sobriety. Rehab may include a combination of medical care, counseling, and therapeutic activities tailored to each individual’s needs.
Rehab programs generally fall into two primary categories:
The duration of rehab can vary significantly based on individual circumstances, the severity of addiction, and the chosen program. Traditional programs may last:
Participants can expect a structured environment that emphasizes healing and recovery. Key components of the rehab experience may include:
Many health insurance plans provide coverage for drug and alcohol rehab, but the extent of coverage can vary. It’s important to:
Detoxification, or detox, is the process of ridding the body of harmful substances while managing withdrawal symptoms. Detox may be necessary for individuals with severe physical dependence on drugs or alcohol, and it can involve:
Rehab centers utilize a variety of therapeutic approaches to address addiction. Common therapies include:
Aftercare is a crucial component of the recovery process, providing ongoing support to individuals after they complete their rehab program. Key aspects of aftercare include:
Yes, many rehab programs encourage family involvement as a critical aspect of healing. Family participation may include:
Selecting the right rehab center involves careful consideration of various factors:
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