Wyoming, the least populous state in the nation, faces unique and pressing challenges when it comes to addiction treatment and behavioral health access. Despite its small population, the state has experienced a rise in overdose deaths in recent years, largely driven by fentanyl, methamphetamine, and polysubstance use involving alcohol or prescription medications.
According to the Wyoming Department of Health, rural communities are particularly affected due to geographic isolation, limited provider availability, and long-standing stigma surrounding substance use. Addiction treatment infrastructure in Wyoming is sparse; most services are concentrated in a few urban hubs like Cheyenne, Casper, and Laramie.
Residents in more remote areas may have to travel hundreds of miles for detox or inpatient care, and many counties have no MAT (medication-assisted treatment) providers at all. Wyoming has not expanded Medicaid, leaving many low-income individuals without access to affordable treatment options.
Community mental health centers, small nonprofits, and faith-based organizations fill some of the gaps, but they often operate with limited funding and staff. Telehealth has been a vital lifeline for expanding access to addiction services, particularly during and after the COVID-19 pandemic, but broadband access and digital literacy remain issues in remote mountain and plains regions.
Harm reduction is limited in Wyoming; naloxone is available through public health programs and pharmacies, but syringe exchange programs are minimal or nonexistent due to legal and cultural barriers.
Youth substance use, especially vaping, alcohol, and marijuana, is a growing concern, with school-based prevention efforts being deployed statewide, though smaller districts often lack the resources for consistent implementation.
Wyoming’s Native American population, particularly members of the Eastern Shoshone and Northern Arapaho tribes on the Wind River Reservation, faces higher rates of substance use disorder, compounded by historical trauma and limited healthcare access.
Tribal health programs are working to integrate traditional healing practices with modern addiction treatment, but funding and staffing remain serious challenges. Faith-based recovery programs and peer-led groups provide important community support in areas with few clinical services.
The justice system has begun to pilot drug courts and diversion initiatives in some counties, but incarceration remains a common response to drug-related offenses in others.
To effectively confront addiction, Wyoming must prioritize rural healthcare development, expand Medicaid or alternative funding streams, support culturally grounded tribal care, and adopt broader harm reduction strategies tailored to its rugged and independent communities..
Advantage Rehabilitation1819 Sheridan Ave Cody WY, 82414 | Payment Options:Self-pay options Private insurance | |||
 | Afton VA ClinicLocated at 125 South Washington Street, Afton, WY 83110, the Sheridan VA Medical Center Afton VA Clinic is committed to providing comprehensive healthcare services to veterans. This clinic offers a range of medical services, including primary care, mental health support, and preventive health programs tailored specifically for veterans. With a focus on quality care and accessibility, the Afton VA Clinic plays a vital role in supporting the health and well-being of veterans in the Afton community. 125 South Washington Street Afton, WY 83110 | Levels of Care:Inpatientoutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Barrett Counseling201 1/2 Sanford Avenue Douglas WY, 82633 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare Military insurance | ||
 | Beartooth Mountain AscentBeartooth Mountain Ascent, located in Powell, WY 82435, offers a thrilling experience for outdoor enthusiasts and adventure seekers. Nestled in the stunning Beartooth Mountain range, this destination provides opportunities for hiking, climbing, and exploring the natural beauty of the area. With its picturesque landscapes and diverse wildlife, Beartooth Mountain Ascent is the perfect place for those looking to connect with nature and challenge themselves. Whether you are an experienced climber or a casual hiker, Beartooth Mountain Ascent invites you to discover the wonders of the great outdoors. 391 Rd 1Af, Powell, WY 82435 | Levels of Care:Sober Living Payment Options:Self-Pay Options | ||
 | Big Horn Basin Counseling Services1114 Lane 12 Lovell WY, 82431 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Financing available Sliding scale payment assistance Military insurance | ||
 | Big Horn Co Counseling ServicesBig Horn County Counseling Services provides essential mental health and substance abuse counseling to residents of Big Horn County. With a focus on accessible and compassionate care, the organization offers a wide range of services including individual therapy, family counseling, substance abuse treatment, and crisis intervention. Their client-centered approach ensures that each treatment plan is tailored to meet the unique needs of individuals and families. Committed to community outreach and education, Big Horn County Counseling Services aims to raise awareness about mental health issues and reduce stigma, making support available to all who need it. 116 S 3rd St, Basin, WY 82410 | Levels of Care:outpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
Big Horn Mountain Recovery Center248 West Brundage Street Sheridan, WY 82801 | Payment Options:Self-pay options | |||
 | Campbell County Health Behavioral Health Services501 South Burma Avenue Gillette WY, 82718 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare | ||
 | Carbon County Counseling Center721 West Maple Street Rawlins WY, 82301 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Financing available Sliding scale payment assistance Medicare Military insurance | ||
 | Cedar Mountain CenterCedar Mountain Center, located in Cody, WY 82414, is dedicated to providing comprehensive behavioral health services designed to support individuals facing mental health challenges. The center offers a range of programs, including individual therapy, group counseling, and crisis intervention, all aimed at promoting emotional well-being and personal growth. With a focus on creating a compassionate and nurturing environment, the experienced team at Cedar Mountain Center is committed to helping clients navigate their mental health journeys and achieve a healthier, more fulfilling life. Discover the supportive resources available at Cedar Mountain Center and take the first step toward recovery. 707 Sheridan Ave Third Floor, Cody, WY 82414 | Levels of Care:DetoxInpatientoutpatient Payment Options:Medicaid Private insurance Self-Pay Options Financial Aid Medicare Military Insurance | ||
 | Central Wyoming Counseling CenterCentral Wyoming Counseling, located in Casper, WY 82601, is committed to providing comprehensive mental health and addiction counseling services. The center offers a variety of programs designed to support individuals dealing with substance use disorders, mental health challenges, and emotional difficulties. With a team of experienced professionals, Central Wyoming Counseling utilizes evidence-based practices to create personalized treatment plans that empower clients on their journey to recovery and wellness. Whether you are seeking help for yourself or a loved one, Central Wyoming Counseling is here to provide the guidance and support you need. 1430 Wilkins Cir, Casper, WY 82601 | Levels of Care:InpatientMedically Assisted Detoxoutpatient Payment Options:Private Insurance Self-Pay Options Financial Aid Sliding Scale Medicare Medicaid | ||
Cheyenne Community Drug Abuse Treatment Council Pathfinder1920 Thomes Avenue Suite 320 Cheyenne WY, 82001 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance | |||
 | Cheyenne Regional Medical Center Behavioral Health2600 East 18Th Street Cheyenne WY, 82001 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare Military insurance Financing available | ||
Cheyenne VAMC - Laramie MTC2901 Armory Road Laramie WY, 82702 | Payment Options:Self-pay options Financial aid Military insurance Private insurance | |||
 | Cheyenne VAMC - Rawlins PCTOC1809 East Daley Street Rawlins WY, 82301 | Payment Options:Self-pay options Financial aid Military insurance Private insurance | ||
Cheyenne VAMC - Torrington MTCCheyenne VAMC - Torrington MTC 908 West 25Th Ave. Torrington WY, 82240 | Payment Options:Self-pay options Financial aid Military insurance Private insurance | |||
Cheyenne VAMC - Wheatland MTC759 East Cole Street Wheatland WY, 82201 | Payment Options:Self-pay options Financial aid Military insurance Private insurance | |||
 | Cheyenne Veterans Affairs Medical CenterThe Cheyenne Veterans Affairs Medical Center provides comprehensive health care services for veterans in Cheyenne, WY. Offering a range of medical, mental health, and specialized services, the center is dedicated to ensuring that veterans receive the highest quality of care and support they deserve. 2360 E Pershing Blvd, Cheyenne, WY 82001 | Levels of Care:Inpatientoutpatient Payment Options:Self-Pay Options Private insurance Financial Aid Military Insurance Medicaid Medicare | ||
 | Chrysalis House805 Pine Street Pine Bluffs WY, 82082 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Sliding scale payment assistance Medicare Military insurance | ||
Clinic for Mental Health and Wellness502 South 4Th Street Laramie WY, 82070 | Payment Options:Medicaid Private insurance Self-pay options Financial aid Medicare Military insurance |
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