Virginia faces a multifaceted addiction crisis that spans from its densely populated urban centers to its sprawling rural Appalachian regions, with opioids—particularly fentanyl—at the core of rising overdose deaths. According to the Virginia Department of Health, fentanyl was involved in more than 75% of drug-related fatalities in the state in a recent year.
Urban areas like Richmond, Norfolk, and Arlington benefit from a relatively robust network of addiction treatment services, including inpatient and outpatient programs, MAT (medication-assisted treatment), and harm reduction initiatives.
However, in southwestern Virginia and other rural counties, access to care remains limited due to transportation barriers, provider shortages, and deeply rooted stigma surrounding addiction. Virginia expanded Medicaid in 2019, significantly improving insurance access for low-income residents and enabling more people to seek treatment without prohibitive costs.
Still, disparities in provider availability and long wait times—especially for specialty care like dual diagnosis or adolescent treatment—persist in less populated regions. Telehealth has grown in importance across the state, particularly for MAT maintenance and counseling, though gaps in broadband infrastructure hinder full accessibility in some areas.
Harm reduction efforts have expanded, with naloxone distribution programs, syringe service initiatives, and fentanyl test strips made available through health departments and nonprofit organizations. Despite political resistance in some communities, Virginia has seen increasing support for public health-driven responses to substance use.
Youth substance use prevention is a state priority, with school-based programs, social media campaigns, and trauma-informed educational approaches being used to combat rising rates of vaping, marijuana, and alcohol use. Virginia’s diverse population—including large African American, Hispanic, and immigrant communities—faces varying degrees of access to culturally competent care.
In more urbanized regions, bilingual providers and community outreach efforts are more common, but rural areas often lack these resources. Faith-based organizations play a major role in recovery support, particularly in conservative or underserved areas, though clinical integration can vary.
The state’s criminal justice system has expanded drug courts and diversion programs, focusing on treatment alternatives for nonviolent offenders. However, reentry support remains inconsistent, especially around employment and housing for individuals in recovery.
Addressing addiction in Virginia requires a balanced approach that continues expanding access, strengthens rural infrastructure, fosters community partnerships, and breaks down stigma to create a more inclusive and effective behavioral health system statewide..
 | A Better Life Counseling ServicesA Better Life Counseling Services, located in Roanoke, VA 24018, is dedicated to providing compassionate and professional counseling to individuals seeking support for mental health and substance use challenges. The center offers a range of therapeutic services, including individual counseling, group therapy, and family support, all tailored to meet the unique needs of each client. With a focus on fostering personal growth, resilience, and emotional well-being, the experienced team at A Better Life Counseling Services is committed to helping individuals achieve their goals and improve their quality of life. Discover the supportive resources available at A Better Life Counseling Services and take the first step toward a brighter future. 2107 Electric Road Sw, Suite 101, Roanoke, VA 24018 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | A New BeginningA New Beginning is a publicly funded inpatient detox center and residential rehab located at 4213 Walney Road, Chantilly, VA 20151. Operated by the Fairfax-Falls Church Community Services Board as part of the Fairfax County government, the center provides comprehensive treatment services for individuals struggling with substance use disorders. A New Beginning focuses on creating a supportive and therapeutic environment that fosters recovery and personal growth. With a commitment to accessibility and effective care, the center addresses the unique needs of its clients, helping them to embark on a transformative journey toward lasting sobriety. 4213 Walney Rd, Chantilly, VA 20151 | Levels of Care:OutpatientInpatientIntensive Outpatient (IOP)Aftercare Support12-StepSober Living HomesMedically Assisted Detox Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | A Womans PlaceA Womans Place, located in Fredericksburg, VA 22401, is dedicated to providing supportive services tailored specifically for women facing various life challenges. The organization offers a range of programs, including counseling, support groups, and resources aimed at promoting empowerment, healing, and personal growth. With a commitment to creating a safe and nurturing environment, the experienced team at A Womans Place is devoted to helping women navigate their circumstances and build a brighter future. Explore the valuable resources available at A Womans Place and take the first step toward transformation. 2016 Lafeyette Boulevard, Fredericksburg, VA 22401 | Levels of Care:Outpatient Payment Options:Medicaid Self-Pay Options Medicare Military Insurance | ||
 | ADAPTADAPT | |||
 | Addiction Allies LLCAddiction Allies LLC is a dedicated provider of addiction recovery services located in Lynchburg, Virginia, with the goal of helping individuals overcome substance use disorders. The center offers a range of evidence-based treatment programs tailored to meet the unique needs of each client. With a focus on compassionate care and support, Addiction Allies LLC creates an empowering environment for individuals seeking to reclaim their lives from addiction. The experienced team of professionals is committed to guiding clients through their recovery journey, fostering hope and resilience for lasting change. Located in Lynchburg, VA 24501, Addiction Allies LLC aims to be a beacon of support for those in need. 2137 Lakeside Dr STE 103, Lynchburg, VA 24501 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance |  | |
| Addiction Recovery SystemsAddiction Recovery Systems | Payment Options:Self-pay options | ||
 | Addiction Recovery Systems (ARS) on PantropsAddiction Recovery Systems (ARS) on Pantops, located at 103 South Pantops Drive Suite 102, Charlottesville, VA 22911, specializes in providing tailored addiction treatment services to support individuals in their recovery journey. The center offers a comprehensive range of services, including medication-assisted treatment, individualized counseling, and group therapy, all designed to address the unique needs of each client. The compassionate team at ARS is committed to creating a supportive environment that promotes healing and empowers clients to achieve lasting recovery. Discover the effective resources available at Addiction Recovery Systems (ARS) on Pantops and take a significant step toward a healthier, drug-free future. 103 S Pantops Dr Suite 102, Charlottesville, VA 22911 | Levels of Care:DetoxOutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
| Addiction ServicesAddiction Services | Payment Options:Medicaid | ||
| ADHD ClinicADHD Clinic | |||
| Adult Outpatient ServicesAdult Outpatient Services | Payment Options:Medicaid | ||
| Agape Counseling and TherapeuticAgape Counseling and Therapeutic | Payment Options:Medicaid | ||
| Agape Counseling and TherapeuticAgape Counseling and Therapeutic | Payment Options:Medicaid | ||
| Agape Counseling and TherapeuticAgape Counseling and Therapeutic | Payment Options:Medicaid | ||
| Agape Counseling and TherapeuticAgape Counseling and Therapeutic | Payment Options:Medicaid | ||
| Alamo Recovery CenterAlamo Recovery Center | Payment Options:Self-pay options | ||
| Albemarle CounselingAlbemarle Counseling | Payment Options:Self-pay options | ||
| Alcohol Safety Action ProgramAlcohol Safety Action Program | Payment Options:Self-pay options | ||
| Alcohol Safety Action ProgramAlcohol Safety Action Program | Payment Options:Self-pay options | ||
| Alexandria Community and Human Services - North Beauregard StreetAlexandria Community and Human Services - North Beauregard Street | Payment Options:Medicaid | ||
| Alexandria Community and Human Services - North Saint Asaph StreetAlexandria Community and Human Services - North Saint Asaph Street | Payment Options:Medicaid |
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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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