West Virginia has long been considered the epicenter of America’s opioid crisis, suffering the highest rate of overdose deaths per capita in the nation.
With its rugged Appalachian terrain and historically under-resourced healthcare system, the state has faced enormous challenges in combating addiction, particularly related to prescription opioids, heroin, fentanyl, and increasingly, methamphetamine. According to the West Virginia Department of Health, synthetic opioids like fentanyl are now involved in more than 85% of overdose fatalities.
While cities like Charleston, Huntington, and Morgantown offer relatively better access to addiction treatment—including detox facilities, inpatient rehab centers, outpatient programs, and MAT (medication-assisted treatment)—rural counties remain critically underserved. Many residents face long travel times to access care, and public transportation is nearly nonexistent in some areas.
West Virginia expanded Medicaid in 2014, improving access to treatment for low-income residents, but the state still struggles with provider shortages and overburdened facilities. Harm reduction efforts have made progress, with naloxone widely distributed and syringe service programs operating in several counties, though political pushback has led to tighter restrictions in recent years.
Telehealth services have grown significantly, offering virtual counseling and MAT maintenance, particularly useful in isolated communities with few in-person options.
Stigma around addiction remains deeply entrenched in many parts of the state, especially in small towns where anonymity is difficult, but public education campaigns and advocacy from those in recovery are helping to shift perceptions.
Youth substance use is a growing concern, with high rates of vaping, alcohol, and prescription pill misuse among teens prompting school-based prevention programs and trauma-informed initiatives.
West Virginia’s population is less diverse than other states, but access to culturally sensitive care for Native American residents and Black communities in areas like the Eastern Panhandle remains important. Faith-based recovery programs are a cornerstone of the state’s response, especially in regions where clinical services are scarce.
West Virginia’s criminal justice system has increasingly turned toward drug courts and diversion programs to offer treatment instead of incarceration for nonviolent offenders. However, reentry support, job placement, and recovery housing remain limited, often jeopardizing long-term recovery.
For West Virginia to turn the tide, sustained investment in rural healthcare infrastructure, harm reduction, peer support, and workforce development is essential. The state’s resilience and community-driven efforts offer hope, but the scale of the crisis demands ongoing, coordinated action at every level..
 | Adult & Teen Challenge Appalachian RegionAdult & Teen Challenge began in 1958 when David Wilkerson, author of The Cross and the Switch Blade, went into New York City to reach teenage gang members with a message of hope, founded on God’s love. Since then Adult & Teen Challenge has grown to be one of the largest and most successful ministries to hurting lives in America. Today, there are over 500 Centers in the United States and internationally.The Appalachian Regional Training Center was founded in 1982. Our male training center in Princeton, WV, female training center in Clarksburg, WV, and our adolescent girls program in Fincastle, VA, provide the best Christian discipleship training programs available for teens and adults experiencing life controlling problems. By following a vigorous, regimented schedule in a well structured Christian environment, students at the training centers learn how to overcome the root problems which have affected their ability to function normally in society. 1651 Unity Road Princeton, WV 24739 | |||
 | Alcohol and Substance Abuse TreatmentIf you’re struggling with alcohol or substance abuse, you’re not alone. Alcohol and Substance Abuse Treatment can help you overcome your addiction and get your life back on track. We offer a variety of services to meet your needs, including dual diagnosis, young adult rehab, adult program, LGBTQ friendly rehab, outpatient rehab, cognitive behavioral therapy, dialectical behavior therapy, family therapy, group therapy, individual therapy, and trauma therapy. We’re here to help you every step of the way, so please don’t hesitate to reach out to us. We’re here to help you heal and recover, and we’ll do everything we can to support you on your journey. 1314 Edwin Miller Boulevard, Martinsburg, WV Suite 103 | Levels of Care:Outpatient | ||
 | Appalachian Community Health CenterAppalachian Community Health Center, located in Belington, WV, offers a wide range of behavioral health services, including mental health counseling, substance use treatment, and community support programs. Our dedicated team is committed to providing compassionate care tailored to the specific needs of individuals and families in our community. We strive to promote wellness and recovery through accessible and effective health services. 1410 Crim Ave, Belington, WV 26250 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Appalachian Community Health CenterAppalachian Community Health Center in Buckhannon, West Virginia, offers a wide range of mental health and wellness services designed to support individuals in achieving optimal health. With a focus on personalized care, the center provides services such as counseling, therapy, substance abuse treatment, and community support programs. The experienced team at Appalachian Community Health Center is committed to fostering a supportive environment that promotes healing and recovery. Whether you are seeking help for mental health issues or substance use disorders, the center is here to assist you on your journey to wellness. 27 S Kanawha St, Buckhannon, WV 26201 | Levels of Care:Outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Appalachian Community Health CenterAppalachian Community Health Center in Parsons, West Virginia, is dedicated to delivering comprehensive health services to individuals and families in the local community. The center offers a broad range of programs, including mental health services, substance use treatment, primary care, and wellness initiatives. Focused on holistic care and community support, Appalachian Community Health Center empowers clients to achieve optimal health and well-being. Whether you are seeking help for mental health challenges or general health needs, the center is committed to creating a welcoming and supportive environment for all. 601 Walnut St, Parsons, WV 26287 | Levels of Care:Outpatient Payment Options:Medicare Medicaid Military insurance Private health insurance Cash or self-payment | ||
 | Appalachian Community Health CenterAppalachian Community Health Center in Elkins, West Virginia, is committed to providing a wide array of health services to enhance the well-being of the community. The center offers programs that include mental health services, substance use treatment, primary healthcare, and preventive wellness initiatives. With a focus on holistic care and community engagement, Appalachian Community Health Center empowers clients to achieve and maintain optimal health. Whether you are seeking support for mental health challenges or general health needs, the center is dedicated to fostering a welcoming and supportive environment for all. 725 Yokum St, Elkins, WV 26241 | Levels of Care:InpatientOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Medicare Medicaid Military Insurance | ||
| Appalachian Health ServicesAppalachian Health Services | Payment Options:Monthly: $350Self-pay options | ||
| Appalachian Health ServicesAppalachian Health Services | Payment Options:Self-pay options | ||
| Appalachian Health ServicesAppalachian Health Services | Payment Options:Private insurance | ||
 | Appalachian Regional HealthcareAppalachian Regional Healthcare, located in Beckley, WV, provides a wide range of healthcare services, including addiction treatment and mental health support. Our dedicated team offers evidence-based therapies and comprehensive care tailored to meet the unique needs of individuals facing substance use disorders. Committed to promoting overall wellness, we aim to provide a supportive environment for recovery and healing. 306 Stanaford Rd, Beckley, WV 25801 | Levels of Care:DetoxInpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Ascension Recovery ServicesAscension Recovery Services, located in Morgantown, WV, offers a full spectrum of addiction treatment solutions tailored to meet the needs of individuals struggling with substance use disorders. Our services include outpatient therapy, medication-assisted treatment, and individualized recovery plans. We are committed to providing compassionate care and support, helping individuals achieve lasting recovery and a renewed sense of purpose. 206 Spruce St, Morgantown, WV 26505 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private Insurance Self-Pay Options Sliding Scale Medicare | ||
 | Beckley Comprehensive Treatment CenterBeckley Comprehensive Treatment Center, located in Beaver, WV, provides comprehensive treatment for individuals struggling with opioid use disorder. Our facility offers a range of services, including medication-assisted treatment (MAT), individual counseling, and group therapy. Our dedicated team is committed to supporting patients on their journey to recovery in a safe and compassionate environment. 175 Philpot Ln, Beaver, WV 25813 | Levels of Care:DetoxInpatientOutpatient Payment Options:Private insurance Self-Pay Options Financial Aid Medicare Medicaid Military Insurance | ||
 | Beckley VA Medical CenterBeckley VA Medical Center, located in Beckley, WV, provides comprehensive healthcare services to veterans, including primary care, mental health support, and specialized programs for substance use disorders. Our dedicated staff is committed to improving the health and well-being of our veterans through personalized care and innovative treatment options in a supportive environment. 200 Veterans Ave, Beckley, WV 25801 | Levels of Care:InpatientOutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Military Insurance | ||
| Beckley VA Medical Center - Princeton ClinicBeckley VA Medical Center - Princeton Clinic | Payment Options:Self-pay options | ||
 | Behavioral Health Services-Shenandoah Community HealthShenandoah Community Health in Charles Town, West Virginia, is dedicated to providing comprehensive healthcare services to residents of the community. The center offers a variety of services, including primary care, behavioral health, dental care, and substance use treatment, all designed to meet the diverse needs of individuals and families. With a focus on patient-centered care, Shenandoah Community Health aims to improve the overall health and well-being of its clients by offering accessible and affordable healthcare solutions. Whether you are seeking routine medical care or specialized services, the dedicated team at Shenandoah Community Health is committed to supporting you on your journey to better health. 44 Trifecta Place, Suite 205, Charles Town, WV 25414 | Levels of Care:Outpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Sliding Scale Medicare Medicaid Military Insurance | ||
| Brian's SafehouseBrian's Safehouse | Payment Options:Self-pay options | ||
 | Burlington United MethodistBurlington United Methodist, located in Beckley, West Virginia is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, as well as residential care providing long term support for addiction recovery. Additional levels of care offered include intervention services. 4700 Robert C Byrd Dr, Beckley, WV 25801 | Levels of Care:Inpatient Payment Options:Private Insurance Financial Aid Sliding Scale Medicaid | ||
 | Burlington United Methodist Family ServicesBurlington United Methodist Family Services in Burlington, West Virginia, offers a range of supportive services aimed at enhancing the well-being of families and individuals. With a focus on mental health, substance abuse recovery, and family counseling, the center provides personalized programs designed to meet the unique needs of each client. The dedicated team at Burlington United Methodist Family Services works to create a nurturing environment that promotes healing, growth, and stability. Whether you are seeking assistance for yourself or a loved one, this center is here to help you navigate challenges and build a brighter future. 120 Hope Ln, Burlington, WV 26710 | Levels of Care:Inpatient Payment Options:Medicaid | ||
| Camden Clark Medical CenterCamden Clark Medical Center | Payment Options:Medicaid | ||
 | Charleston Area Medical Center - General HospitalCharleston Area Medical Center – General Hospital, located in Charleston, West Virginia is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer residential care providing long term support for addiction recovery. Specialty rehab programs at Charleston Area Medical Center – General Hospital include age-sensitive addiction treatment considering health and life-stage issues of older adults and accessible addiction treatment using sign language and adapted communication methods. 501 Morris St, Charleston, WV 25301 | Levels of Care:Inpatient 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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