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 MindA Renewed Mind | Payment Options:Medicaid | ||
| A Renewed MindA Renewed Mind | Payment Options:Medicaid | ||
| A Renewed MindA Renewed Mind | Payment Options:Medicaid | ||
| A Renewed MindA Renewed Mind | Payment Options:Medicaid | ||
 | 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 ResidentialA Renewed Mind - Fresh Start Men's Residential109 West Main Street Alvordton OH, 43501 www.arenewedmindservices.org(419) 924-2029 | |||
 | 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 |  | |
| Abraxas Cincinnati Counseling CenterAbraxas Cincinnati Counseling Center | Payment Options:Self-pay options | ||
| Abraxas Cleveland Counseling CenterAbraxas Cleveland Counseling Center | Payment Options:Self-pay options | ||
| Abraxas Columbus Counseling CenterAbraxas Columbus Counseling Center | Payment Options:Self-pay options | ||
| Abraxas Mansfield Counseling CenterAbraxas Mansfield Counseling Center | Payment Options:Medicaid | ||
| Abraxas OhioAbraxas Ohio | Payment Options:Medicaid | ||
| ACCADA - Ashland County Council on Alcoholism and Drug AbuseACCADA - Ashland County Council on Alcoholism and Drug Abuse | Payment Options:Medicaid | ||
| Access Counseling Services - Central AvenueAccess Counseling Services - Central Avenue | Payment Options:Medicaid | ||
| Access Counseling Services - South Dixie HighwayAccess Counseling Services - South Dixie Highway | Payment Options:Medicaid | ||
| Access Ohio East - Mental Health Center of ExcellenceAccess Ohio East - Mental Health Center of Excellence | Payment Options:Medicaid | ||
| Achieve CareAchieve Care | Payment Options:Self-pay options | ||
| ADAMHS of Montgomery CountyADAMHS of Montgomery County | Payment Options:Self-pay options | ||
| Adams Recovery Center - Men's ProgramAdams Recovery Center - Men's Program | |||
| Adams Recovery Center - Women's ProgramAdams Recovery Center - Women's Program | Payment Options:Self-pay options |
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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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