Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Alabama
Over 750,000 individuals aged 12 and over in Alabama abuse drugs and alcohol in a given year. This number represents just over 15% of the state population. Prescription opioids rank among the most abused drugs in Alabama. In 2017, 107.2 prescriptions were issued per 100 residents, significantly higher than the national average of 58.7 prescriptions per 100 residents. Additionally, 4.65% of all deaths in Alabama between 2008 and 2017 were caused by drugs and alcohol; however, this percentage is less than half of the national average for drug- and alcohol-induced deaths. Among the top cities in Alabama based on population, Birmingham had the highest rate of drug- and alcohol-related deaths during that time period at 5.54%, while Montgomery had the lowest rate at 3.14%.
This guide was created to help the many residents of Alabama who are struggling with substance abuse addiction to find affordable treatment that will put them on the path to recovery. It is also intended to inform the general public about the dangers of substance abuse in Alabama.
If you need help finding a rehabilitation center in Alabama, you can use our directory to locate low-cost, quality treatment right away. Read on to find instructions for using the directory and to learn which rehabs qualify as the highest-rated, low-cost facilities in the state.
Table of Contents
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Alabama
If the cost of rehab is a barrier for you – as it is for many – and you don’t have insurance, there are still ways for you to receive help. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 120 substance abuse treatment centers in the state of Alabama. Of those 120 rehabs, Health Connect America in Florence received the highest overall score based on our five core metrics.
Located in Florence, Health Connect America provides inpatient and intensive outpatient substance use disorder services for adults and adolescents suffering from co-occurring substance use and mental health issues. It ranked near the top in every category barring Treatment Approaches and Special Programs for Unique Demographics, which earned it the highest overall score of 7.7 points out of 10 possible points in our rankings. The center performed highest in the categories of Rehabilitation Services Provided and Ancillary Services – both received perfect scores partially due to the fact that it uses an individual and evidence-based design approach, as well as medication-assisted treatment (MAT). The center also ranked highly in the Cost category partly due to its acceptance of self-payment methods and private insurance. Health Connect America had a low score in the category of Special Programs for Unique Demographics since it only serves adolescents and patients suffering from co-occurring substance use and mental health disorders.
Marion Health Substance Abuse Services is located in Hamilton, and it received an overall score of 7.1 points out of 10 points. The facility offers outpatient rehabilitation services to adolescents and adults. One of the facility’s unique features is the alcohol/drug education sessions it provides to facilitate general education related to recovery and chemical dependency. It received the highest possible score for Rehabilitation Services Provided, partly because it treats opioid addiction. Ancillary Services also ranked highly due to the inclusion of services such as housing assistance, drug screenings, and early intervention programs. While the center had a lack of special programs, it does offer programs for patients with co-occurring substance use and mental health disorders, as well as specialty programs for adolescents.
With a score of 7 out of 10 points, the Zukoski Center of Alcohol & Drug Abuse Treatment Centers ranked third highest in our rankings. The center offers outpatient rehabilitation services with a focus on total abstinence. A highlight of the center is the highest possible score for the category of Treatment Approaches, which range from a brief intervention approach to a 12-step facilitation approach and much more. The center received a perfect score for Special Programs for Unique Demographics, due to programs designed specifically for seniors, pregnant/postpartum women, and transitional age young adults, to name only a few. The Zukoski Center also provides unique services, such as discharge planning and social skills development, which assisted it in achieving nearly a perfect score for Ancillary Services. The facility’s biggest weakness was in the Cost category since it doesn’t accept private insurance or military insurance (TRICARE). However, it does accept Medicaid.
Rehabilitation Services Provided: 5
Treatment Approaches: 10
Special Programs for Unique Demographics: 10
Ancillary Services: 9.44
The Top-Rated, Low-Cost Treatment Centers in Alabama
1203 West Maple Street Geneva, AL 36340 Main Tel: 800-951-4357
Finding a Substance Abuse Treatment Center in Alabama
Start by contacting your referral center
In Alabama, the first step is to contact the Alabama Department of Mental Health (ADMH). The ADMH is contracted with community-based entities throughout Alabama to offer substance abuse rehabilitation services. To find a provider, access the ADMH website or call 1-800-367-0955.
The purpose of a referral center is to determine what type of help each individual needs, as well as the resources available for each individual. The referral center is also the first point of contact for anyone who may need assistance paying for treatment. To learn if you qualify for low-income Medicaid services, and to determine eligibility, visit Alabama Medicaid.
Use our database to find a treatment center near you
The tool below lists all of the treatment centers in the state of Alabama recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant treatment centers near you.
Many different methods are available for treating addiction, and the science of studying addiction is constantly improving and changing. However, the core pieces of rehabilitation are generally very similar.
Alabama ranks among the bottom 10 states for veterans engaging in binge drinking
Veterans face unique challenges that can place them at higher risk for a substance use disorder (SUD) than the general population. The primary factor leading to this increased risk is post-traumatic stress disorder (PTSD), while other situations, such as unemployment, homelessness, and chronic pain, can also be contributing factors. Furthermore, individuals – including veterans – with a substance use disorder are more likely to develop PTSD, so the problem is cyclical in nature.
According to the CDC, Alabama ranked among the bottom 10 states in 2017 for veterans who engaged in binge drinking, with a reported 10.6% of veterans in the state taking part in the dangerous behavior that is often linked to post-traumatic stress disorder (PTSD). This percentage is among the lowest for all 50 states; Hawaii reports the greatest percentage of veterans engaging in binge drinking at 21.5%, while Utah is at the bottom of the rankings at 9.1%.
Bottom 10 States by Percentage of Veterans Who Binge Drink, 2017
In Alabama, over 414,000 veterans are at risk for a substance use disorder (SUD) – including opioid addiction – and co-occurring mental health disorders. Unfortunately, not all veterans utilize the substance abuse rehabilitation services available through the VA. However, even veterans who receive VA substance abuse rehabilitation services are still two times as likely to die from an accidental drug overdose in comparison to non-veterans. Due to the substantial number of veterans impacted by substance abuse, the Alabama Opioid Overdose and Addiction Council is working to create a group to assist veterans who are suffering from SUDs by identifying and recommending helpful resources.
Veterans in Alabama can reach out to their local VA medical center to search for information on substance abuse treatment, including the possibility of a VA-based substance use disorder (SUD) program, in their state. Additionally, they can locate information regarding substance abuse treatment services at the Alabama Department of Veterans Affairs.
Treatment is available for veterans in Alabama who are suffering from a substance use disorder. As of 2017, 26 substance abuse treatment facilities in Alabama – representing 20.2% of all treatment facilities – catered specifically to veterans.
Adolescents in Alabama use marijuana and alcohol at rates lower than the national average
of adolescents aged 12-17 used marijuana, 2017-2018
of adolescents aged 12-17 drank alcohol, 2017-2018
Between 2017 and 2018, 6.2% of adolescents aged 12-17 in Alabama reported engaging in marijuana use in the past month, slightly below the national average of 6.6%. In terms of alcohol use, 9.3% of adolescents aged 12-17 in Alabama had taken part in the behavior in the past month, roughly the same as the national average of 9.4%. Additionally, 7% of individuals admitted to a substance abuse treatment program in Alabama in 2017 were aged 12-17. To overcome the challenges that youth face in overcoming substance addiction, some treatment centers provide adolescent-specific treatment programs.
Additional Resources for Parents and Teachers
The Alabama Department of Public Health links to three resources for the prevention and treatment of substance abuse among adolescents and adults. Each resource center offers youth service programs aimed at reducing the risk of substance abuse in a unique way. The Alabama Department of Mental Health offers group support to parents who have children suffering from addiction, as well as numerous other helpful groups that parents are welcome to attend with their children. The Council on Substance Abuse (COSA) offers opportunities for families to get involved together and foster healthy drug-free environments. COSA also offers classes for teachers and other professionals in the community who work with at-risk groups. The goal of these classes is to educate and help spread awareness within the community. Aletheia House offers a variety of services, including a summer camp where parents are reassured that their children are being guided away from substance use in a fun and safe learning environment.
Co-Occurring Mental Health & Substance Abuse Treatment
Substance abuse and mental health issues tend to go hand-in-hand – the technical term is “co-occurring substance use and mental health disorders.” The Substance Abuse and Mental Health Services Administration (SAMHSA) reported that, in 2017, 45.6% of adults with a substance use disorder also had a mental health disorder, and 18.3% of adults with a mental health disorder also had a substance use disorder. For adolescents in 2017, 35.9% of those with a substance use disorder also had a major depressive episode, while 10.7% of adolescents with a major depressive episode also had a substance use disorder.
Mental Health Resources & Treatment
If you or someone you love is suffering from mental health issues, such as depression, PTSD, eating disorders, or severe anxiety, there are many resources from which to receive help.
Below are a few ways to receive immediate assistance, as advised by MentalHealth.gov:
Emergency Services: If your life (or someone else’s life) is in danger, always start by dialing 911 to gain immediate access to emergency services.
Suicide Prevention: The number for the National Suicide Prevention Lifeline is: 800-273-8255. You can also initiate a private live online chat.
Veterans Crisis Line: Dial the National Suicide Prevention Lifeline at 800-273-8255 and press “1” to talk to someone immediately. You can also access help with a private online chat or text 838255.
Here are two ways to find a provider of mental health treatment in Alabama:
Alabama Department of Mental Health: The ADMH website has a page dedicated to assisting individuals in finding a mental health center or group near them. The ADMH also offers a list of resources for families of sufferers.
Alabama National Alliance on Mental Illness: The NAMI website provides resources for each state. Navigate to the page dedicated to Alabama. This page offers a multitude of resources for individuals dealing with mental illness, with a link directly to the Veterans Crisis Line.
Individuals who have both substance use and mental health disorders may benefit from dual-diagnosis rehab facilities. Use the appropriate filter in our tool above to find rehabilitation centers with treatment programs designed to meet the unique challenge posed by co-occurring substance use and mental health disorders.
Substance abuse aftercare treatment is often overlooked, but it’s one of the most crucial steps in the rehabilitation process. The chances of relapsing after rehab dramatically rise for individuals who try to resume their lives without pursuing further treatment in an aftercare setting. Several different types of aftercare are available for recovering addicts, including follow-up visits for continued therapy, group therapy, and sober living homes. Research shows that long-term participation in aftercare activities dramatically improves the outcome of rehabilitation efforts.
12-Step Addiction Meetings in Alabama
Alcoholics Anonymous (AA) designed the 12-step process for individuals recovering from alcohol addiction, and today there are many other 12-step programs for other addictions and issues – Narcotics Anonymous (NA) being just one example.
Contact the appropriate local organization to find an AA or NA meeting near you
The tool below lists the contact information for local organizations that will connect you to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings near you. Since meeting times and locations change periodically, contact the local groups that coordinate the meetings to ensure that the information is up to date.
Area 1 District 9 24 Hour Phone Line
Central Alabama Area NA
Central Alabama Area (Montgomery, Prattville, Tuskegee, Union Springs)
Chattahoochee Flint Rivers Area NA
Chattahoochee Flint Rivers Area (Phenix City)
Eastern Shore AA Hotline
Greater Birmingham Area NA
Greater Birmingham Area
Greater Mobile Area NA
Greater Mobile Area
Montgomery Area Intergroup
Most of Alabama, Greater Birmingham, Mobile & Pensecola, South Jefferson Shelby, Emerald Coast NA
Most of Alabama, Greater Birmingham, Mobile & Pensecola, South Jefferson Shelby, Emerald Coast
North Alabama Area NA
North Alabama Area (Decatur AL, Pulaski TN)
North Central Dist 2 Intergroup
North East Alabama Area NA
North East Alabama Area (Marshall, Dekalb, Calhoun, Tall Counties)
Sober living homes (also referred to as recovery residences) are group homes that help recovering addicts transition from treatment facilities to living independently while maintaining their sobriety. These homes can be especially beneficial for individuals who don’t have a supportive and positive environment in which to live after leaving a rehabilitation facility.
Residents of sober living homes can stay from a few months to several years, as long as they follow house rules and avoid relapse, as these homes typically have a zero-tolerance drug and alcohol policy. Additionally, residents are expected to complete chores, attend mutual support groups, and pay an equal share of the cost of renting the home.
Some sober living homes are listed in our database, and you can find them by using the appropriate filter in our tool above. You can also check out our guide on sober living homes to learn more about them and to find a certified recovery residence near you.
The following table illustrates the annual estimates of substance abuse among residents of Alabama between 2016 and 2017, in addition to the percentage of the Alabama population and the U.S. population that those estimates represent.
Annual Estimates for Substance Abuse in Alabama, 2016-2017
* ‘Alcohol’ refers to an Alcohol Use Disorder. The numbers reflected in the table above are not the number of individuals who use alcohol, but rather those who have an AUD, defined as meeting the criteria for alcohol dependence.
* ‘Prescription opioid’ refers to a Pain Reliever Use Disorder. The numbers reflected in the table above are not the number of individuals who use or even occasionally misuse a prescription opioid, but rather those who have a PRUD, defined as meeting the criteria for illicit drug dependence.
of Alabama deaths are caused by drugs and alcohol
of U.S. deaths are caused by drugs and alcohol
The following table shows the number of deaths involving drugs and alcohol in Alabama between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in Alabama compared to the national average.
Drug- and Alcohol-Induced Deaths in Alabama, 2008-2017
When trying to understand substance abuse issues in a specific area, researchers and policymakers examine “key indicators.” Combined with usage statistics, key indicators can provide a deep level of insight into which substances present the most serious concerns and which demographics can be most impacted by substance abuse. Key indicators of substance abuse issues within the state of Alabama, along with recent, credible statistics, are examined below.
Around 15% of Alabamians suffer from mental illness every year
As discussed earlier in this guide, there is a strong link between substance use disorders and mental health disorders. When an individual is afflicted with both of these issues at the same time, health professionals refer to it as co-occurring substance use and mental health disorders or a “dual diagnosis.” Consequently, the prevalence of mental health issues in a given state can also help us to understand the level of substance abuse.
of Alabama adults had a serious mental illness
of Alabama adolescents had a major depressive episode
Between 2013 and 2017, 4.4% of Alabama adults were afflicted with a serious mental illness, compared to 4.2% nationally. Among Alabama adolescents, 10.3% of individuals aged 12-17 suffered a major depressive episode in the past year, compared to a national average of 12.1%.
The table below sheds some light on the prevalence of mental health issues in Alabama.
Mental Health Issues in Alabama by Age and Percentage of Population, 2016-2017
Suicide rates in Alabama are higher than the national average
The Centers for Disease Control reports that suicide is the leading cause of death in the United States. The suicide rate has risen in nearly every state from 1999 to 2016, with that rate increasing by more than 30% in half of all 50 states since 1999. Suicide is an act that is often linked to substance abuse. According to the U.S. Department of Health and Human Services, substance abuse is a primary risk factor for both adults and adolescents who attempt and/or complete suicide, and this is particularly true for at-risk populations.
Furthermore, the relationship between substance abuse and suicide is multi-faceted and complex. Persons who have substance abuse issues typically also carry other risk factors for suicide, including depression, impulsive behavior, and other struggles with relationships, finances, illness, or unemployment that make them more likely to engage in self-harm. Between 1999 and 2016, Alabama witnessed a 21.9% increase in the number of suicides. In 2017, Alabama ranked 24th in the country for the number of suicides per 100,000 residents.
Suicides and Suicide Rates in Alabama and the United States, 2017
Alabama has an opioid prescribing rate almost twice as high as the overall U.S. rate
Prescription drug abuse – particularly in the form of opioids – has become an epidemic in the United States. While it is difficult to estimate how many individuals use these drugs as prescribed and how many abuse them, the Centers for Disease Control has researched the variation in opioid prescriptions between states, establishing a direct connection between an increased level of opioid prescriptions with a greater potential for dependence and abuse. Across the United States in 2017, 191 million prescriptions for opioids were written by physicians, ultimately leading one in four patients who begins long-term opioid therapy to an addiction.
opioid prescriptions per 100 Alabama residents, 2017
opioid prescriptions per 100 U.S. residents, 2017
After peaking in 2012, the U.S. opioid prescribing rate has been on a steady decline for the last several years due to the explosion of the opioid epidemic and the recognition of the role that excessive opioid prescriptions have played in this epidemic. Between 2013 and 2017, the opioid prescribing rate in the United States dropped from 78.1 prescriptions per 100 residents to 58.7 prescriptions per 100 residents, a decrease of 24.84%. The opioid prescribing rate in Alabama was consistently nearly twice as high as the U.S. prescribing rate during that time period, from 142.4 prescriptions per 100 residents in 2013 to 107.2 prescriptions per 100 residents in 2017 but revealing a similar decrease of 25%.
Alabama and U.S. Opioid Prescribing Rates, 2013-2017
The rate of homelessness in Alabama is significantly less than the national average
A high rate of homelessness in an area indicates a greater potential for substance abuse issues. Homelessness has been shown to be linked to substance abuse as both a cause and a result; some individuals become homeless due to a substance use disorder, while other individuals who are already homeless frequently turn to substance use to dull the pain and desperation of their situation.
The 2018 Department of Housing and Urban Development’s (HUD) Point-in-Time Count reported approximately 552,830 homeless individuals in the United States, the equivalent of 17 of every 10,000 U.S. residents. This number represents a decrease of 4.1% since 2014 when the number of homeless persons in the U.S. was around 576,450. Furthermore, homelessness across the United States has decreased by 15% since 2007, the year that HUD began collecting data on the homeless population.
of every 10,000 Alabama residents were homeless, 2018
of every 10,000 U.S. residents were homeless, 2018
By comparison, Alabama had approximately 3,434 homeless persons in 2018, equating to 7 of every 10,000 Alabama residents and less than half the national average. This number reveals a 24.71% decrease since 2014 when 4,561 homeless persons lived in Alabama.
V. Regional Substance Abuse Statistics & Rehabs
The following sections provide a deeper look at the substance abuse problem in Alabama by examining the drug- and alcohol-related death rates in the three most populous cities. Additionally, the three highest-rated rehabilitation centers in each city are listed.
The three highest-rated rehabilitation centers in Birmingham are listed in the table below, along with each institution’s performance based on our core metrics.
Drug- and alcohol-induced deaths are slightly higher in Birmingham than across Alabama
of Birmingham deaths are caused by drugs and alcohol
of Alabama deaths are caused by drugs and alcohol
Between 2008 and 2017, there were 4,085 deaths induced by drugs and/or alcohol in Jefferson County, in which Birmingham is located. This number represented 5.54% of the total number of deaths among all ages during the same time period in the county and was just slightly higher than the state average of 4.65%. Of the top three Alabama cities, Birmingham’s death rate was the highest.
Drug- and Alcohol-Induced Deaths in Jefferson County, 2008-2017
The three highest-rated rehabilitation centers in Montgomery and the neighboring cities of Brent and Opelika are listed in the table below, along with each institution’s performance based on our core metrics.
The Highest-Rated, Low-Cost Rehabs in the Montgomery Area
Montgomery’s rate of drug- and alcohol-induced deaths is lower than the state average
of Montgomery deaths are caused by drugs and alcohol
of Alabama deaths are caused by drugs and alcohol
Montgomery is located in Montgomery County, which had a drug- and alcohol-induced death rate of 3.14% between 2008 and 2017. This percentage was lower than the state average of 4.65% during the same time period. Among the top cities in Alabama, Montgomery had the lowest death rate.
Drug- and Alcohol-Induced Deaths in Montgomery County, 2008-2017
The three highest-rated rehabilitation centers in Huntsville and the neighboring cities of Decatur and Athens are listed in the table below, along with each institution’s performance based on our core metrics.
The Highest-Rated, Low-Cost Rehabs in the Huntsville Area
Deaths due to drugs and alcohol in Huntsville are slightly lower than the average rate across Alabama
of Huntsville deaths are caused by drugs and alcohol
of Alabama deaths are caused by drugs and alcohol
Between 2008 and 2017, there were 1,246 deaths induced by drugs and/or alcohol in Madison County, in which Huntsville is located. This number represented 4.24% of the total number of deaths among all ages during the same time period in the county and was just slightly lower than the state average of 4.65%. Among the top cities in Alabama, Huntsville’s death rate fell in the middle.
Drug- and Alcohol-Induced Deaths in Madison County, 2008-2017
Substance abuse treatment is available in Alabama for anyone who needs help beating an addiction – you don’t have to struggle alone. To receive assistance, start by determining your insurance coverage and by contacting your referral center. You can also use our tool earlier in this guide to locate a treatment center near you. Remember, many low-cost rehabilitation centers can help if you don’t have insurance coverage or feel like you are unable to afford treatment.