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Oklahoma has long grappled with high rates of substance use disorders, and in recent years, the rise of fentanyl and methamphetamine has worsened an already critical public health issue. According to the Oklahoma State Department of Health, drug overdose deaths in the state have surged, with synthetic opioids playing an increasingly dominant role.
Methamphetamine remains the most widely used illicit drug in the state, particularly in rural and tribal communities. While urban areas like Oklahoma City and Tulsa offer more robust addiction treatment options—including detox facilities, residential rehab centers, outpatient clinics, and MAT (medication-assisted treatment)—many rural counties are underserved.
In some parts of the state, residents must travel over an hour to access basic behavioral health services, and the shortage of licensed professionals continues to strain the system. Oklahoma expanded Medicaid through a 2020 ballot initiative, significantly improving insurance coverage for low-income individuals and enabling broader access to treatment.
However, funding and infrastructure have not yet fully caught up to demand, particularly for services like dual diagnosis care, adolescent treatment, and long-term recovery housing. Telehealth has grown in importance, helping to connect patients in remote areas with therapists and MAT providers, though internet connectivity remains a barrier in certain parts of the state.
Tribal communities in Oklahoma—including the Cherokee, Chickasaw, Choctaw, and Muscogee Nations—face elevated rates of addiction linked to intergenerational trauma, economic hardship, and limited access to culturally competent care.
Some tribes have developed their own treatment centers and harm reduction programs, integrating traditional healing with evidence-based methods, but overall capacity remains limited. Harm reduction efforts in the state are developing but face cultural and political resistance.
Naloxone distribution has expanded, particularly through public health departments and community organizations, yet syringe service programs remain controversial and scarce. Faith-based recovery is deeply embedded in Oklahoma’s culture, with church-led programs often filling the void left by absent clinical services in rural areas.
While these programs provide crucial support, they are not always integrated into the broader healthcare system. Youth substance use, especially involving vaping, alcohol, and marijuana, is on the rise, prompting schools and nonprofits to implement prevention initiatives—though funding and reach vary widely.
Oklahoma’s criminal justice system has historically favored punitive responses to addiction, resulting in high incarceration rates for nonviolent drug offenses. Recent reforms have introduced drug courts and diversion programs, but outcomes depend heavily on local resources.
To effectively combat its addiction crisis, Oklahoma must continue expanding access to treatment, strengthen rural infrastructure, and embrace a more inclusive and integrated approach that recognizes addiction as a chronic, treatable disease..
 | A Chance to ChangeA Chance To Change, located at 2113 W Britton Rd, Oklahoma City, OK 73120, specializes in providing comprehensive addiction recovery services for individuals seeking support in overcoming substance use disorders. The program offers a variety of services, including outpatient treatment, counseling, and support groups, all aimed at fostering sustainable recovery and personal growth. With a commitment to individualized care and evidence-based practices, A Chance To Change empowers clients to reclaim their lives and achieve lasting sobriety. Explore the transformative resources available and take the important step toward a healthier, substance-free future. 2113 W Britton Rd, Oklahoma City, OK 73120 | Levels of Care:outpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Able RecoveryAble Recovery, located at 4901 South Pennsylvania Avenue, Oklahoma City, OK 73119, is dedicated to offering comprehensive addiction treatment services for individuals seeking to overcome substance use disorders. The facility provides a range of programs, including detoxification, outpatient therapy, and personalized recovery plans, all designed to support clients on their journey to sobriety. With a focus on compassionate care and evidence-based practices, Able Recovery aims to empower individuals to achieve lasting recovery and enhance their overall quality of life. Discover the supportive resources available at Able Recovery and take the crucial step towards a healthier, substance-free existence. 4901 South Pennsylvania Avenue, Oklahoma City, OK 73119 | Levels of Care:Detoxoutpatient Payment Options:Private Insurance Self-Pay Options Medicare Medicaid | ||
 | Absentee Shawnee Behavioral HealthAbsentee Shawnee Behavioral Health, located at 15951 Little Axe Drive, Norman, OK 73026, provides essential mental health and addiction services to individuals and families in the community. The facility offers a range of programs, including counseling, substance abuse treatment, and behavioral health support, all designed to promote recovery and well-being. With a focus on culturally responsive care and evidence-based practices, Absentee Shawnee Behavioral Health aims to empower clients to achieve their mental health goals and enhance their quality of life. Explore the valuable resources available and take the first step towards improved mental wellness. 15951 Little Axe Dr, Norman, OK 73026 | Levels of Care:outpatient Payment Options:Self-Pay Options Financial Aid Medicaid Medicare Private insurance | ||
 | Absentee Shawnee Tribe Shawnee ClinicAbsentee Shawnee Tribe Shawnee Clinic, located at 2029 S Gordon Cooper Dr, Shawnee, OK 74801, provides a wide range of health services to the community, focusing on both physical and mental well-being. This clinic offers primary care, behavioral health services, substance abuse treatment, and preventive care, all aimed at supporting the health needs of individuals and families. With a commitment to culturally competent care, the Absentee Shawnee Tribe Shawnee Clinic strives to empower clients to lead healthier lives and improve their overall quality of care. Discover the comprehensive services available at the clinic and take the important step toward better health. 2029 S Gordon Cooper Dr, Shawnee, OK 74801 | Levels of Care:outpatient Payment Options:Private Insurance Self-Pay Options | ||
 | Affinity Counseling ServicesAffinity Counseling Services, located at 11032 Quail Creek Road, Suite 265, Oklahoma City, OK 73120, offers professional counseling and mental health services tailored to meet the needs of individuals, couples, and families. The practice specializes in a variety of therapeutic approaches, including individual therapy, couples counseling, and group therapy, all aimed at promoting emotional well-being and personal growth. With a team of compassionate and experienced counselors, Affinity Counseling Services is dedicated to helping clients navigate life’s challenges and achieve their mental health goals. Discover the supportive environment at Affinity Counseling and take the first step toward a healthier, more fulfilling life. 11032 Quail Creek Road, Suite 265, Oklahoma City, OK 73120 | Levels of Care:outpatient Payment Options:Medicaid Self-Pay Options | ||
 | Alcohol Training and EducationAlcohol Training and Education, located at 1200 S. Air Depot, Midwest City, OK 73110, specializes in providing educational programs and resources focused on alcohol awareness and substance abuse prevention. The organization offers a variety of workshops, training sessions, and support resources designed to educate individuals and communities about the effects of alcohol and promote responsible drinking habits. With a commitment to fostering a safer environment, Alcohol Training and Education aims to empower participants with knowledge and skills to make informed choices. Explore the impactful programs available and join the effort to reduce alcohol-related issues in the community. 1200 S. Air Depot, Midwest City, OK 73110 | Levels of Care:outpatient Payment Options:Private Insurance Self-Pay Options | ||
Alcohol Training and EducationAlcohol Training and Education | Payment Options:Self-pay options | |||
Alcohol Training and EducationAlcohol Training and Education | Payment Options:Self-pay options | |||
Alcohol Training and EducationAlcohol Training and Education | ||||
Alcoholic Counseling UCAPAlcoholic Counseling UCAP | ||||
Alpha IIAlpha II | Payment Options:Medicaid | |||
Anderson and Associates CounselingAnderson and Associates Counseling | ||||
Arbuckle Life SolutionsArbuckle Life Solutions | Payment Options:Private insurance | |||
Ardmore Chickasaw Health ClinicArdmore Chickasaw Health Clinic | Payment Options:Medicaid | |||
Area Youth ShelterArea Youth Shelter | Payment Options:Medicaid | |||
Associated Therapeutic ServicesAssociated Therapeutic Services | Payment Options:Medicaid | |||
Aurora Counseling ServicesAurora Counseling Services | Payment Options:Medicaid | |||
Avalon Correctional Services - Carver Transitional CenterAvalon Correctional Services - Carver Transitional Center | Payment Options:Self-pay options | |||
Bartlesville Rightway MedicalBartlesville Rightway Medical | Payment Options:Self-pay options | |||
Bearden StanBearden Stan |
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