Vermont, despite its small size and largely rural population, has become a national model for progressive addiction treatment policies, especially in response to the opioid crisis. The state was among the first to embrace a “hub-and-spoke” model of care, integrating primary care with specialized addiction treatment, and has prioritized access to MAT (medication-assisted treatment) statewide.
According to the Vermont Department of Health, opioid overdose deaths have continued to rise in recent years—largely driven by fentanyl—but Vermont’s per capita access to treatment is among the highest in the country. Cities like Burlington and Montpelier offer a relatively dense network of services, including detox centers, outpatient programs, inpatient care, and harm reduction support.
However, more remote areas in the Northeast Kingdom and along the New Hampshire border still face access challenges due to workforce shortages and transportation barriers. Vermont expanded Medicaid early under the Affordable Care Act, which has helped ensure broad insurance coverage for behavioral health services.
The state has also been a leader in harm reduction, offering widespread naloxone access, legal syringe service programs, and fentanyl test strips through community outreach. Mobile response units and peer recovery networks have been especially effective in reaching unhoused individuals and rural residents who might otherwise fall through the cracks.
Vermont’s public health messaging focuses heavily on reducing stigma and emphasizing addiction as a treatable disease. Youth substance use remains a concern, particularly around vaping, cannabis, and alcohol. Schools and community coalitions have implemented evidence-based prevention curricula and mental health supports to intervene early.
Vermont’s population is less racially diverse than many states, but the growing number of immigrants and refugees—especially in Chittenden County—has prompted efforts to improve language access and culturally competent care. Faith-based recovery programs exist throughout the state but are often integrated with secular services, fostering collaboration rather than competition.
The criminal justice system in Vermont has embraced reform, using drug courts, pretrial services, and reentry planning to steer individuals with substance use disorders toward treatment instead of incarceration. Still, gaps remain in long-term recovery housing and workforce reintegration support.
Vermont’s continued success depends on sustaining its innovative treatment infrastructure, addressing rural disparities, and reinforcing harm reduction efforts to adapt to an evolving drug landscape dominated by synthetic opioids and polysubstance use..
 | Addiction Treatment Center, University of Vermont Medical CenterThe University of Vermont Medical Center Day One Program, located in Burlington, Vermont, is an outpatient mental and behavioral healthcare program for adults. It offers intensive outpatient programs (IOP) and standard outpatient programs (OP) for those in addiction recovery, including specialized services for clients with co-occurring mental health issues. Clients receive thorough medical and mental health assessments, personalized care planning, and comprehensive case management. They participate in trauma-informed individual, group, and family counseling using effective modalities like CBT. Those recovering from alcohol and/or opioid use may access medication-assisted treatment (MAT), including Suboxone therapy. The program emphasizes sustained sobriety through recovery-focused life skills training, covering coping strategies, self-care, wellness, emotional regulation, and relapse prevention, along with a variety of evidence-based complementary therapies such as mindfulness training. 1 South Prospect Street St. Joseph, Level 3, Burlington, VT 05401 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare |  | |
 | Adult & Teen Challenge VermontAdult & Teen Challenge Vermont is a compassionate addiction treatment center located in Johnson, Vermont, dedicated to helping individuals of all ages overcome substance use disorders. With a holistic and faith-based approach, we provide a range of services, including residential programs, counseling, and life skills training. Our mission is to empower individuals to break free from addiction and rebuild their lives through support and community. At Adult & Teen Challenge Vermont, we believe in the power of transformation and the importance of fostering hope and resilience. Discover the resources available to you or a loved one on the journey to recovery at our Johnson, Vermont facility. 1296 Collins Hill Rd, Johnson, VT 05656 | Levels of Care:OutpatientIntensive Outpatient (IOP) Medically Assisted DetoxInpatientAftercare SupportSober Living Homes12-Step Payment Options:Private Insurance Self-Pay Options |  | |
 | Averte, A Trivium Life Services CompanyAverte, a Trivium Life Services Company, located at 2122 Lower Plain, Bradford, VT 05033, is dedicated to providing innovative and supportive mental health services to individuals and families. Specializing in a range of therapeutic programs, Averte focuses on empowering clients through personalized care and evidence-based practices. With a commitment to fostering recovery and resilience, the team at Averte works collaboratively with clients to address their unique challenges and promote overall well-being. Discover the transformative services available at Averte and take the first step towards a brighter future. 2122 Lower Plain, Bradford, VT 05033 | Levels of Care:InpatientOutpatient Payment Options:Private Insurance Self-Pay Options |  | |
 | BAART Programs NewportBAART Programs Newport, located at 475 Union St, Newport, VT 05855, is dedicated to offering comprehensive addiction treatment services for individuals facing substance use disorders. With a focus on personalized care, BAART Programs provides a range of evidence-based services, including medication-assisted treatment, counseling, and recovery support. The experienced team is committed to creating a compassionate environment that fosters healing and empowerment, helping clients navigate their journey to recovery. Explore the essential resources available at BAART Programs Newport and take the first step toward a healthier future. 475 Union St, Newport, VT 05855 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Military Insurance |  | |
 | BAART Programs St. AlbansBAART Programs St. Albans, located at 242 S Main St, St. Albans City, VT 05478, is committed to providing comprehensive addiction treatment services designed to support individuals facing substance use disorders. Offering a variety of evidence-based programs, including medication-assisted treatment, counseling, and recovery support, BAART Programs focuses on empowering clients to achieve lasting recovery. The dedicated team of professionals creates a compassionate and supportive environment that encourages personal growth and healing. Discover the resources available at BAART Programs St. Albans and take the first step toward a healthier, more fulfilling life. 242 S Main St, St Albans City, VT 05478 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid | ||
 | BAART Programs St. JohnsburyBAART Programs St. Johnsbury, located at 1097 Hospital Dr, St. Johnsbury, VT 05819, is dedicated to providing comprehensive addiction treatment services tailored to meet the needs of individuals struggling with substance use disorders. Offering a range of evidence-based programs, including medication-assisted treatment, counseling, and supportive services, BAART Programs aims to empower clients on their journey to recovery. The experienced team fosters a compassionate environment focused on healing and personal growth. Explore the vital resources available at BAART Programs St. Johnsbury and take the first step toward a healthier, more fulfilling life. 1097 Hospital Dr, St Johnsbury, VT 05819 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare |  | |
 | Brattleboro Comprehensive Treatment CenterBrattleboro Comprehensive Treatment Center, located at 16 Town Crier Drive, Brattleboro, VT 05301, specializes in providing personalized treatment for individuals struggling with opioid addiction. Offering a range of services including medication-assisted treatment, counseling, and support groups, the center is dedicated to helping clients achieve lasting recovery in a compassionate environment. With a team of experienced professionals, Brattleboro Comprehensive Treatment Center focuses on addressing the unique needs of each individual, fostering a holistic approach to healing and well-being. Discover the supportive resources available at Brattleboro Comprehensive Treatment Center and take the first step towards a healthier future. 16 Town Crier Dr, Brattleboro, VT 05304 | Levels of Care:DetoxOutpatient Payment Options:Private Insurance Self-Pay Options |  | |
 | Brattleboro RetreatBrattleboro Retreat, located at 22 Anna Marsh Ln, Brattleboro, VT 05301, is a leading facility dedicated to mental health and addiction treatment. Offering a comprehensive range of services, including inpatient care, outpatient programs, and specialized therapies, the retreat focuses on providing holistic support for individuals facing mental health challenges and substance use disorders. With a team of experienced professionals, Brattleboro Retreat creates a compassionate and healing environment where clients can explore their paths to recovery and personal growth. Discover the transformative care available at Brattleboro Retreat and take the first step towards a healthier, more fulfilling life. 22 Anna Marsh Ln, Brattleboro, VT 05301 | Levels of Care:DetoxInpatientOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance |  | |
 | Centerpoint Adolescent Treatment Services South BurlingtonCenterpoint Adolescent Treatment Services, located at 1025 Airport Drive, South Burlington, VT 05403, is dedicated to providing specialized mental health and substance use treatment for adolescents. With a focus on individualized care, Centerpoint offers a range of evidence-based programs designed to support the unique challenges faced by teens. The experienced team works collaboratively with families to foster a safe and nurturing environment that promotes healing and personal growth. Discover the essential resources available at Centerpoint Adolescent Treatment Services and help your teen take the first step toward a healthier future. 1025 Airport Drive, South Burlington, VT 05403 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Chrysalis HouseChrysalis House, located at 2 Moody Ct, Waterbury, VT 05676, provides compassionate support and recovery services for individuals facing addiction and mental health challenges. With a focus on holistic healing, Chrysalis House offers a range of programs that include counseling, support groups, and life skills training. The dedicated team at Chrysalis House is committed to creating a nurturing environment that empowers clients on their journey to recovery and personal transformation. Explore the supportive resources available at Chrysalis House and take the first step toward a brighter future. 2 Moody Ct, Waterbury, VT 05676 | Levels of Care:Inpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare | ||
 | Clara Martin CenterThe Clara Martin Center, located at 11 Main Street, Randolph, VT 05060, is dedicated to providing comprehensive mental health services to individuals and families in the community. Offering a wide range of programs including therapy, counseling, and crisis intervention, the center focuses on promoting mental well-being and resilience. With a compassionate team of professionals, the Clara Martin Center is committed to creating a supportive environment that fosters healing and personal growth. Discover the valuable resources available at the Clara Martin Center and take the first step toward a healthier, more balanced life. 11 Main Street, Randolph, VT 05060 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Clara Martin CenterThe Clara Martin Center is a vital mental health service located in Bradford, Vermont, committed to providing comprehensive support and care for individuals facing mental health challenges. Our mission is to empower clients by offering personalized treatment plans that cater to their unique needs. At Clara Martin Center, we prioritize creating a safe and nurturing environment where individuals can begin their journey toward healing and wellness. Our experienced team of professionals is dedicated to fostering resilience and promoting positive mental health outcomes. Whether you are seeking counseling, therapy, or support services, Clara Martin Center is here to guide you on your path to a healthier future. Explore our range of services today and take the first step toward improved mental well-being. 1483 Lower Plain, Bradford, VT 05033 | Levels of Care:OutpatientAftercare Support Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance |  | |
 | Clara Martin Center - Quitting TimeClara Martin Center - Quitting Time | Payment Options:Medicaid | ||
| Clara Martin Center - South Main StreetClara Martin Center - South Main Street | Payment Options:Medicaid | ||
 | Community Care NetworkCommunity Care Network, located at 78 S Main St, Rutland, VT 05701, is dedicated to providing comprehensive health services to individuals and families in the community. Offering a wide range of programs, including mental health support, addiction recovery services, and primary care, the network aims to address the diverse needs of the community with compassion and expertise. With a strong focus on holistic wellness, Community Care Network fosters an inclusive environment where individuals can find the support and resources they need to achieve optimal health. Discover the vital services available at Community Care Network and take the first step towards a healthier life. 78 S Main St, Rutland, VT 05701 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options |  | |
 | Community Health Centers - South EndCommunity Health Centers - South End in Burlington, Vermont, is committed to delivering comprehensive and accessible healthcare services to the local community. Our mission is to provide high-quality medical care, preventive services, and wellness programs to individuals and families, regardless of their socioeconomic status. We prioritize creating a welcoming environment where patients can receive personalized care that addresses their unique health needs. Our dedicated team of healthcare professionals works collaboratively to ensure that every individual has the resources and support necessary to achieve optimal health. Explore the services available at Community Health Centers - South End and take a proactive step towards a healthier future. 789 Pine St, Burlington, VT 05401 | Levels of Care:Inpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare |  | |
| Counseling ServicesCounseling Services | Payment Options:Medicaid | ||
| Counseling ServicesCounseling Services | Payment Options:Medicaid | ||
| Counseling Services - Youth and Family ServicesCounseling Services - Youth and Family Services | Payment Options:Medicaid | ||
 | Covered BridgeWe proudly consider ourselves a family for good reason! Living alongside others in a sober environment offers the comfort of shared experiences and a collective desire for change. Life at Covered Bridge fosters routine, a crucial element for many in their healing journey. Our welcoming atmosphere, combined with a Christ-centered curriculum, initiates the renewal process from an old life filled with pain and discomfort. Residents are guided to cultivate a new network of healthy relationships while actively addressing their hurts, habits, and hang-ups. 184 Pearl St, St Johnsbury, VT 05819 | Levels of Care:Sober Living Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare |  |
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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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