Pennsylvania has been one of the hardest-hit states in the nation’s ongoing opioid crisis, with fentanyl now accounting for the vast majority of overdose deaths. According to the Pennsylvania Department of Health, more than 5,400 people died from drug overdoses in a recent year, with synthetic opioids involved in over 85% of those fatalities.
While urban centers like Philadelphia and Pittsburgh are epicenters of the epidemic, the crisis is also deeply rooted in smaller cities, suburbs, and rural areas—particularly in central and northeastern Pennsylvania. Methamphetamine, heroin, and prescription drug misuse remain widespread, often combined with fentanyl to create lethal outcomes.
The state expanded Medicaid under the Affordable Care Act, significantly improving access to addiction treatment services such as MAT (medication-assisted treatment), inpatient and outpatient rehab, and counseling. However, treatment deserts still exist, especially in rural counties where access to detox beds, recovery housing, and licensed behavioral health providers is limited.
Telehealth has become a crucial tool in extending care to underserved regions, though broadband access and digital literacy issues persist in some communities. Pennsylvania has also invested heavily in harm reduction, supporting syringe service programs, naloxone distribution, and fentanyl test strip availability through county health departments and nonprofits.
Philadelphia, in particular, has led the charge with robust outreach and proposals for supervised consumption sites, though these efforts have met with legal and political resistance. Faith-based and peer-led recovery programs are prevalent throughout the state, offering crucial support networks, particularly in rural and religious communities.
Youth substance use is a growing concern, especially with the rise of vaping, cannabis, and alcohol misuse among teenagers. The state has implemented school-based prevention programs and trauma-informed education efforts to address early intervention.
Pennsylvania’s immigrant and refugee populations, especially in cities like Allentown, Harrisburg, and Erie, often face language barriers, stigma, and limited access to culturally competent care. Bilingual providers and targeted outreach are expanding but remain insufficient to meet the full demand.
The criminal justice system has adopted more treatment-focused approaches, with drug courts operating in many counties and offering alternatives to incarceration for nonviolent offenders. However, reentry support for individuals leaving jail or prison is inconsistent, particularly when it comes to housing and employment.
To turn the tide on addiction, Pennsylvania must continue expanding its behavioral health workforce, reduce barriers to harm reduction services, and ensure long-term funding for community-based recovery infrastructure that reaches every corner of the state—from inner cities to Appalachian townships..
 | A Better TodayA Better Today has 7 locations in Hazleton, LaPorte, Scranton, Stroudsburg, Towanda, Tunkhannock, and Wilkes-Barre Pennsylvania. A Better Today is an outpatient facility that has served the community for over 30 years with a high success rate. We offer comprehensive care to all clients and we accept most major insurances. A Better Today | Payment Options:Medicaid | ||
| A Better TodayA Better Today Recovery Service’s Portland facility offers the best outpatient care possible. If you are ready to take steps toward giving up drugs and alcohol, our outpatient programs can fortify your confidence in your journey in recovery. Our Portland center also serves a great way to complete court-ordered substance abuse counseling hours. Often, people who receive a DUI or DWI, need to complete a set number of hours for counseling. Our trained staff works with people through group therapy sessions. Group therapy is a great way to connect with other people who are going through similar situations. People who are not in recovery might not understand how hard it is for you to reject using drugs and alcohol, but speaking within a group of people who do understand can help you realize that sobriety is possible and you are not the only one who struggles with an addiction. Call today to speak with a substance abuse treatment specialist who can give you more information about our Portland facility. Outpatient programs can be great follow-up programs to an already completed inpatient program. If you have already graduated from an inpatient rehab facility, call to speak with someone who can give you more information on our Portland center or other outpatient rehab services offered through ABTRS. A Better Today | Payment Options:Medicaid | ||
| A Better TodayA Better Today Recovery Service’s Portland facility offers the best outpatient care possible. If you are ready to take steps toward giving up drugs and alcohol, our outpatient programs can fortify your confidence in your journey in recovery. Our Portland center also serves a great way to complete court-ordered substance abuse counseling hours. Often, people who receive a DUI or DWI, need to complete a set number of hours for counseling. Our trained staff works with people through group therapy sessions. Group therapy is a great way to connect with other people who are going through similar situations. People who are not in recovery might not understand how hard it is for you to reject using drugs and alcohol, but speaking within a group of people who do understand can help you realize that sobriety is possible and you are not the only one who struggles with an addiction. Call today to speak with a substance abuse treatment specialist who can give you more information about our Portland facility. Outpatient programs can be great follow-up programs to an already completed inpatient program. If you have already graduated from an inpatient rehab facility, call to speak with someone who can give you more information on our Portland center or other outpatient rehab services offered through ABTRS. A Better Today | Payment Options:Medicaid | ||
| A Better TodayA Better Today Recovery Service’s Portland facility offers the best outpatient care possible. If you are ready to take steps toward giving up drugs and alcohol, our outpatient programs can fortify your confidence in your journey in recovery. Our Portland center also serves a great way to complete court-ordered substance abuse counseling hours. Often, people who receive a DUI or DWI, need to complete a set number of hours for counseling. Our trained staff works with people through group therapy sessions. Group therapy is a great way to connect with other people who are going through similar situations. People who are not in recovery might not understand how hard it is for you to reject using drugs and alcohol, but speaking within a group of people who do understand can help you realize that sobriety is possible and you are not the only one who struggles with an addiction. Call today to speak with a substance abuse treatment specialist who can give you more information about our Portland facility. Outpatient programs can be great follow-up programs to an already completed inpatient program. If you have already graduated from an inpatient rehab facility, call to speak with someone who can give you more information on our Portland center or other outpatient rehab services offered through ABTRS. A Better Today | Payment Options:Medicaid | ||
| Abraxas AcademyAbraxas Academy | Payment Options:Medicaid | ||
| Abraxas IAbraxas I | Payment Options:Medicaid | ||
| Abraxas Leadership Development ProgramAbraxas Leadership Development Program | Payment Options:Medicaid | ||
| Abraxas Lehigh Valley Community-Based ProgramsAbraxas Lehigh Valley Community-Based Programs | Payment Options:Medicaid | ||
| Abraxas Non Residential Treatment - NTRAbraxas Non Residential Treatment - NTR | |||
| Abraxas Open Residential Firesetting and Sexual Behavior Treatment ProgramAbraxas Open Residential Firesetting and Sexual Behavior Treatment Program | |||
| Abraxas WorkBridgeAbraxas WorkBridge | Payment Options:Self-pay options | ||
| Abraxas Youth CenterAbraxas Youth Center | Payment Options:Medicaid | ||
| Accessible Recovery ServicesAccessible Recovery Services - Church Street provide the very best comprehensive medical care to those struggling with opioid addiction. Accessible Recovery Services - Church Street offer evidence-based treatment plans that include therapy to maximize the chances of a successful recovery. Accessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance | ||
| Accessible Recovery ServicesAccessible Recovery Services | Payment Options:Private insurance |
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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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