Ohio has been at the epicenter of the U.S. opioid crisis for over a decade, consistently ranking among the top states for overdose deaths. In recent years, fentanyl has driven an alarming surge in fatalities, often in combination with other substances like cocaine, methamphetamine, and benzodiazepines.
According to the Ohio Department of Health, over 5,000 residents died from unintentional drug overdoses in a recent year, with the highest rates concentrated in counties surrounding Cleveland, Dayton, and Cincinnati.
While urban areas offer a broad network of addiction services—including MAT (medication-assisted treatment), detox centers, and outpatient and residential rehab programs—rural communities in Appalachian and Northwest Ohio face severe provider shortages and transportation barriers. These disparities create treatment deserts where individuals must travel long distances or go without care entirely.
Ohio expanded Medicaid under the Affordable Care Act, enabling more low-income residents to access addiction treatment. However, the behavioral health workforce remains under strain, particularly in rural and underserved areas. Telehealth has helped bridge some access gaps, especially for counseling and MAT, though not all residents have reliable internet access.
The state has made significant investments in harm reduction, including widespread naloxone distribution, legal syringe exchange programs, and fentanyl test strip access. Public health campaigns, such as the “Start Talking” initiative, aim to reduce stigma and encourage families to discuss addiction and prevention openly.
Ohio’s faith-based recovery networks, including Celebrate Recovery and church-led sober living homes, are especially prevalent in smaller towns and offer supportive environments—though these programs sometimes lack clinical oversight.
Youth addiction prevention is a key focus, with evidence-based curricula and school partnerships targeting early intervention, especially around vaping and prescription drug misuse. Ohio’s diverse population includes growing Somali, Hispanic, and Appalachian communities, each with unique barriers to accessing culturally competent care.
Community organizations and bilingual providers are expanding, but demand still outpaces availability. The state’s criminal justice system has embraced alternative sentencing models, including drug courts and recovery dockets, which divert nonviolent offenders into treatment instead of jail.
Yet post-treatment support, including employment and housing assistance, is still inconsistent across counties. Ohio’s coordinated response to addiction is one of the most extensive in the nation, supported by significant federal and state funding.
However, the crisis continues to evolve, and success will depend on closing rural treatment gaps, expanding harm reduction coverage, and sustaining recovery infrastructure over the long term..
![]() | A Renewed Mind138 North Fulton Street Wauseon OH, 43567 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance Per session: $65 | ||
![]() | A Renewed Mind - TremainsvilleOhioGuidestone, formerly known as A Renewed Mind, offers comprehensive mental health and addiction recovery services for youth, adolescents, and adults at their Tremainsville location, situated at 1776 Tremainsville Road, Toledo, OH 43613. This outpatient counseling center provides intensive outpatient care designed to help individuals overcome challenges related to substance abuse and mental health. With several locations across Ohio, OhioGuidestone is dedicated to empowering clients to live healthier, substance-free lives through personalized treatment and support. Their commitment to fostering recovery and well-being makes them a vital resource in the Toledo community. 1776 Tremainsville Road, Toledo, OH 43613 | Levels of Care:Intensive Outpatient (IOP)outpatientAftercare SupportMedically Assisted Detox Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
![]() | A Renewed Mind – Fresh Start Men’s ResidentialOhioGuidestone is dedicated to providing comprehensive services to meet the challenges faced by individuals in need. As Ohio’s leader in mental and behavioral health, the organization has evolved from a simple orphanage to a multifaceted agency offering a wide range of mental health and substance use disorder services for both children and adults.Mission: Pathways for Growth: OhioGuidestone aims to provide pathways for growth, achievement, and lifelong success for individuals across the state. Key Services: Mental Health Services: Individual and group therapy, crisis intervention, and support for various mental health conditions. Substance Use Disorder Treatment: Comprehensive programs for individuals struggling with addiction, including residential treatment and outpatient services. Family and Foster Care Services: Support for families and children in need of care, including foster care and family counseling. Juvenile Justice Programs: Interventions and support for youth involved in the justice system. Home-Based Counseling: Services designed to meet individuals in their homes for therapy and support. Job Training: Programs aimed at helping individuals gain skills and employment. Community Focus: Inclusivity: OhioGuidestone values the contributions of individuals from diverse backgrounds, faiths, ethnicities, and beliefs, creating a sense of belonging within the organization. Compassionate Care: With a focus on responsive, person-centered care, OhioGuidestone serves approximately 26,000 people each year through various locations and telehealth services across Ohio. Core Values: Faith: Belief in a higher power guiding and supporting individuals through challenges. Integrity: Commitment to doing the right thing and acting honorably. Trust: Building a safe and reliable environment for relationships. Compassion: Recognizing and caring for the challenges faced by individuals. Hope: Inspiring a positive outlook and belief in future possibilities. History: Founded in 1864: Originally established as the German Methodist Orphan Asylum, the organization has evolved significantly over the years, expanding its focus to include a wide range of mental health and community services. Renamed in 2012: The agency adopted the name OhioGuidestone to reflect its commitment to providing positive guidance and support to those in need. Conclusion: A Renewed Mind – Fresh Start Men’s Residential, through OhioGuidestone, is committed to delivering high-quality mental health and substance use treatment. With a rich history and a focus on comprehensive care, OhioGuidestone continues to adapt and grow, serving the diverse needs of the Ohio community. For more information or to inquire about their services, please contact them directly. 109 West Main Street, Alvordton OH, 43501 | Levels of Care:InpatientoutpatientIntensive Outpatient (IOP)Medically Assisted DetoxAftercare Support Payment Options:Military Insurance Private Insurance Self-Pay Options Medicaid Medicare Financial Aid | ||
![]() | A Renewed Mind – Mental Health Outpatient ServicesA Renewed Mind – Mental Health Outpatient Services, located at 885 Commerce Drive, Perrysburg, OH 43551, is a dedicated non-profit organization that provides comprehensive treatment for various substance abuse addictions, including those with co-occurring mental health disorders. The facility offers personalized outpatient services designed to support individuals on their journey to recovery. With a focus on evidence-based practices and compassionate care, A Renewed Mind aims to empower clients to overcome their challenges and achieve lasting wellness. This center is committed to making a positive impact in the community by promoting mental health and sobriety. 885 Commerce Dr, Perrysburg, OH 43551 | Levels of Care:Intensive Outpatient (IOP)outpatientAftercare Support Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
![]() | A Renewed Mind : Findlay, OH1624 Tiffin Avenue Suite D Findlay OH, 45840 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance Per session: $65 | ||
A Renewed Mind: Bryan, OH516 East High Street Bryan OH, 43506 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance Per session: $65 | |||
![]() | A Renewed Mind: Defiance, OH201 East Second Street Defiance OH, 43512 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance Per session: $65 | ||
Abraxas Cincinnati Counseling Center2368 Victory Parkway Suite 501 Cincinnati OH, 45206 | Payment Options:Self-pay options Private insurance Medicaid | |||
Abraxas Cleveland Counseling Center3740 Euclid Ave Cleveland OH, 44115 | Payment Options:Self-pay options Private insurance Medicaid | |||
Abraxas Columbus Counseling Center899 East Broad Street Suite 100 Columbus OH, 43205 | Payment Options:Self-pay options Private insurance Medicaid | |||
Abraxas Mansfield Counseling Center780 Park Ave. W Mansfield OH, 44906 | Payment Options:Medicaid | |||
![]() | Abraxas Ohio2775 State Rt. 39 Shelby OH, 44875 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Financing available Military insurance | ||
![]() | ACCADA (Ashland County Council on Alcoholism & Drug Abuse)ACCADA is a trusted community-oriented outpatient behavioral healthcare agency that has been supporting Ashland County and surrounding areas for over 55 years. Located conveniently near the Ashland County Historical Society Museum, ACCADA focuses on providing compassionate care to individuals facing challenges related to substance use and mental health.Key Services: Outpatient Treatment: Tailored services designed to meet the ongoing and evolving needs of individuals in recovery. Assessments and Customized Recovery Plans: Comprehensive evaluations to create personalized treatment plans that support emotional healing and long-term recovery. Therapeutic Support: Targeted therapeutic interventions aimed at fostering resilience and developing effective relapse prevention strategies. Unique Features: Immediate Support: Same-day appointments are available to ensure timely assistance, helping to maintain momentum in the recovery journey. Peer Support Specialists: Experienced individuals offer encouragement and practical insights based on their own recovery journeys, providing unwavering support. Case Management: Dedicated case managers coordinate services, assist with navigation of challenges, and connect clients to essential community resources, including: Finding primary care providers Insurance applications Court support Recovery meetings and job placement Referral Support: Community Connections: ACCADA can refer clients to other providers for needs beyond their scope, including: Medical detox or inpatient rehab for severe substance use disorders. Medication-Assisted Treatment (MAT) for opioid use challenges. Gender-Specific Recovery Housing: Available for individuals seeking a safe and structured environment to develop skills for lifelong sobriety. Jail-Based Therapeutic Support: Includes MAT referrals and linkage to community resources for seamless reintegration after release. Conclusion: ACCADA is committed to providing inclusive, nonjudgmental care that empowers individuals from all backgrounds to reclaim stability, purpose, and control over their lives. With a focus on personalized treatment and community connections, they aim to support long-term recovery and emotional healing. For more information or to schedule an appointment, please contact them directly. 310 College Ave, Ashland, OH 44805 | Levels of Care:InpatientoutpatientIntervention ServicesIntensive Outpatient (IOP) Payment Options:Military Insurance Private Insurance Self-Pay Options Medicaid Medicare Financial Aid | ![]() | |
Access Counseling Services - Central Avenue2114 Central Avenue Middletown OH, 45044 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare Military insurance Per session: $165 | |||
![]() | Access Counseling Services - South Dixie Highway4464 South Dixie Highway Middletown OH, 45005 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare Military insurance Per session: $165 | ||
Access Ohio East - Mental Health Center of Excellence99 North Brice Road Suite 360 Columbus OH, 43213 | Payment Options:Medicaid | |||
Achieve Care14896 Ohio 13 Thornville OH, 43076 | Payment Options:Self-pay options | |||
![]() | ADAMHS of Montgomery County409 East Monument Avenue Dayton OH, 45402 | Payment Options:Self-pay options | ||
Adams Recovery Center - Men's Program1050 Old Us Highway 52 New Richmond OH, 45147 | ||||
![]() | Adams Recovery Center - Women;s Program1569 State Route 28 Loveland OH, 45140 | Payment Options:Self-pay options Financial aid Private insurance |
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