Table of Contents
I. Getting Help
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Sacramento, CA

TABLE OF CONTENTS

I. Getting Help

What to Consider When Choosing a Rehab Center

Asking the right questions can make your search for a rehabilitation program faster and more focused. Consider asking the following questions as you research your options:

Factors that will impact your rehab needs include the severity of your addiction, your financial resources, and your lifestyle preferences.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab.

The Highest Rated, Low-Cost Rehabs in Sacramento

The cost of rehab can be high and varies according to location and specific patient needs. In many cases, rehab centers accept government funding or private insurance so patients need not bear the entire cost of care. Regardless of whether you have insurance, you have options for finding help to overcome your addiction. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 39 licensed substance abuse treatment centers within 25 miles of Sacramento. Many of these centers are dedicated to connecting low-income residents to quality care. Of these 39 centers, CommuniCare Health Center: Salud Clinic ranked highest based on our five core metrics.

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We used these five core metrics to evaluate each of the following rehabs. Please feel free to review our filtering process and ranking methodology to learn more about our evaluation methods.

1. CommuniCare Health Centers: Salud Clinic

The Salud Clinic location of CommuniCare Health Centers scored 6.8 points out of 10 possible points in our rankings for its outpatient substance abuse services. This center utilizes several forms of medication-assisted treatment (MAT) to help patients recover from opioid addiction. Along with the possibility of using medication for treatment, all patients can take advantage of a wide range of treatment approaches that include both cognitive and dialectical behavioral therapies, trauma-related counseling,12-step facilitation, brief intervention, motivational interviewing and incentives, relapse prevention, and much more.

Patients from all backgrounds will find this center welcoming, and persons with co-occurring mental health issues, clients referred from the court system, pregnant and postpartum women, adolescents, and anyone who has experienced trauma will all find programs for their unique needs. Hard of hearing and Spanish-speaking patients will also find language services at the Salud Clinic.

This clinic supports the overall well-being of its patients by providing a range of ancillary services, including individual/group/marriage/family counseling sessions, health education and screenings, tobacco cessation therapy, housing and transportation assistance, and much more. Salud Clinic accepts Medicaid, Medicare, other forms of government assistance, and most private health insurance. Patients who need to pay for their own care can take advantage of a sliding fee scale based on income and other factors. Payment assistance is also available.

  • Rehabilitation Services Provided: 9.13
  • Treatment Approaches: 6.93
  • Cost: 7.5
  • Special Programs for Unique Demographics: 8.71
  • Ancillary Services: 8.37

2. Sacramento Native American Health Center

Scoring 6.4 points out of 10 points, Sacramento Native American Health Center ranked highly for its outpatient substance abuse services. This center supports detoxification and recovery through the use of medication-assisted treatment (MAT) for both alcohol and opioid addiction, and it employs a wide range of complementary treatment approaches along with these medications. These available treatment approaches include cognitive behavioral therapy, culturally-sensitive 12-step facilitation, motivational interviewing, relapse prevention, the Native American Red Road Approach, and more.

This center prioritizes the support of groups that may need specialized counseling, such as veterans, LGBTQ individuals, persons with co-occurring mental health issues, domestic abuse and trauma survivors, HIV-positive patients, clients referred from the court system, and more. Furthermore, a multitude of ancillary services, such as health education and screenings, treatment for non-substance abuse addictions, transportation assistance, social skills development, counseling, and more seek to help patients create holistic wellness of both mind and body.

Payment options at this center are somewhat limited, particularly for clients not of Native American ethnicity. Medicare and Medi-Cal are typically acceptable forms of payment, and private insurance may be billed in some cases but usually only for Native American patients. Both Native American and non-Native American patients who are paying out-of-pocket may be eligible for discounts via a sliding fee scale.

  • Rehabilitation Services Provided: 4.15
  • Treatment Approaches: 6.16
  • Cost: 7.50
  • Special Programs for Unique Demographics: 8.71
  • Ancillary Services: 8.37

3. Communicare Health Centers: Hansen Family Health Center

Hansen Family Health Center, another location of CommuniCare Health Centers in the Sacramento area, scored 5.4 out of 10 points in our rankings for its outpatient substance abuse services. This center offers medication-assisted treatment (MAT) for opioid addiction. Additionally, patients benefit from a variety of treatment approaches, including cognitive behavioral therapy, anger management, trauma-related counseling, 12-step facilitation, and more.

This inclusive center offers services for the hard of hearing and Spanish-speaking clients, and it also provides special programs for adolescents, pregnant and postpartum women, patients with co-occurring mental health issues, survivors of trauma, and clients referred from the court system.

Hansen Family Health Center features a lengthy list of ancillary services intended to improve the overall quality of life of its patients as well. These services range from health education and screenings, individual/group/marital/family counseling, and tobacco cessation support to domestic violence services, transportation assistance, social skills development and more. This center accepts most private insurance, Medicaid, Medicare, other forms of government assistance, and self-payment. Uninsured patients who must pay for their own care are often eligible for a sliding fee scale based on income and financial need.

  • Rehabilitation Services Provided: 5.81
  • Treatment Approaches: 6.93
  • Cost: 2.50
  • Special Programs for Unique Demographics: 4.69
  • Ancillary Services: 6.82
Top-Rated, Low-Cost Treatment Centers in Sacramento
Rank Rehab Total Score Contact Information
#1 CommuniCare Health Centers: Salud Clinic 6.8 500 Jefferson Boulevard, Suites #180 & #195
West Sacramento, CA 95605
Main Tel: 916-403-2907
Intake Tel: 916-403-2970
#2 Sacramento Native American Health Center 6.4 2020 J Street
Sacramento, CA 95811
Main Tel: 916-341-0575
#3 CommuniCare Health Centers: Hansen Family Health Center 5.4 215 W. Beamer Street
Woodland, CA 95695
Main Tel: 530-405-2827
Intake Tel: 530-405-2815
#4 Common Goals, Inc. 5.4 256 Buena Vista St., Suite 100
Grass Valley, CA 95945
Main Tel: 530-274-2000
#5 Aegis Marysville 4.8 201 D St., Suite G
Marysville, CA 95901
Main Tel: 530-742-7747
#6 Sacramento County Department of Health Services: Alcohol and Drug System of Care 4.3 3321 Power Inn Road, Suite 120
Sacramento, CA 95826
Main Tel: 916-874-9754
#7 National Council on Alcohol and Drug Dependency: Sacramento 4.1 1433 Fulton Avenue
Sacramento, CA 95825
Main Tel: 916-692-8565 x 100
#8 Chapa-De Indian Health 4.1 11670 Atwood Road
Auburn, CA 95603
Main Tel: 530-887-2800
#9 Bridges, Inc. Outpatient Treatment Program 3.9 3600 Power Inn Road, Suite C
Sacramento, CA 95826
Main Tel: 916-453-0704
#10 Sierra Vista Hospital 3.4 8001 Bruceville Road
Sacramento, CA 95823
Main Tel: 916-229-8515

Finding a Substance Abuse Treatment Center in Sacramento

Start by determining your coverage

It’s best to begin your search for a rehab facility by determining your healthcare coverage. Reaching out to your private or marketplace insurance provider will help you determine which nearby programs you qualify to use and how much your co-pays might be. You can also reach out to one of the contacts listed on the California Department of Health Care Services website to determine if you are eligible for Medi-Cal services. No matter your coverage, insurance companies are required to cover substance abuse treatment for qualified individuals.

Use our database to find a treatment center near you

The database tool below lists the treatment centers in California recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). By entering your zip code into the search bar and using the correct filters, you can find rehab centers near you.

Schedule an assessment

In order to pursue treatment services covered by insurance, you’ll need an assessment from a qualified therapist or counselor. You can contact a rehabilitation center directly to request an assessment, or you can contact your primary care provider for a referral. Drop-in assessments are available in some cases. You can also reach out to companies in our database for help finding an assessment provider.

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Type Of Care
Treatment Apporaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    The science of addiction treatment is constantly improving and shifting, and a variety of techniques are utilized within treatment programs. However, the core elements of rehabilitation remain very similar across all programs.

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    For more on what to expect in rehab, read our guide on the addiction rehabilitation process.

    II. Finding Aftercare in Sacramento

    While it may be appealing to attempt to return to a “normal” schedule after leaving rehab, incorporating aftercare as part of your “new normal” is critical for lifelong recovery. Without aftercare, studies show that the chances of relapse increase dramatically. Aftercare is available in a variety of formats that offer flexibility to the community, such as follow-up visits to your rehab facility for counseling, 12-step groups, and sober living homes. Participating in some form of aftercare has been shown to significantly improve the success of a substance abuse rehabilitation program.

    One of the most common forms of aftercare is the 12-step process pioneered by Alcoholics Anonymous, an organization for those recovering from alcohol addiction. Other organizations, such as Narcotics Anonymous (NA) for those struggling with drug addiction, use the same 12-step process.

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    Contact the appropriate local organization to find an AA or NA meeting near you

    Please access our directory tool below to find your nearest Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings and discover when meetings are held. Meeting times and locations tend to change periodically, so it is best to call ahead and ensure meeting information is up-to-date before you attend your first NA or AA meeting.

    Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) Database

    Name City Program Telephone Spanish Hotline
    24 Hour Answering Service Chino AA (909) 628-4428 N/A
    24 Hour Answering Service Davis AA (800) 970-9040 N/A
    24 Hour Answering Service Twain Harte AA (209) 533-1134 N/A
    24 Hour Answering Service Yuba City AA (916) 454-1100;(916) 454-1771 N/A
    24-Hour Hotline Thousand Oaks AA (805) 495-1111 N/A
    52nd District Alcoholics Anonymous Central Office Santa Maria AA (805) 925-3782 N/A
    916 North Area NA 916 North Area (Chico) NA (877) 669-1669 N/A
    A.A. Central Office Of Kern County Bakersfield AA (661) 322-4025 N/A
    A.A. San Fernando Valley C.O. Van Nuys AA (818) 988-3001 N/A
    Alcoholics Anonymous 24-Hour Hotline Galt AA (209) 339-1201 N/A
    All South Bay Central Office Torrance AA (310) 618-1180 N/A
    American River Area NA American River Area (Sacramento) NA (800) 600-4673;(866) 565-2135 N/A
    Antelope Valley Intergroup Lancaster AA (661) 945-5757 N/A
    Area de Habla Hispana del Norte California NA Area de Habla Hispana del Norte California NA N/A (855) 667-2262
    Bay Cities Area NA Bay Cities Area (Long Beach, San Pedro, Torrance, Hermosa Beach) NA (310) 372-9666 N/A
    Beach Area NA Beach Area NA N/A N/A
    CAN Area NA CAN Area (Needles) NA (928) 768-6467 N/A
    Central California Area NA Central California Area (Fresno) NA (559) 255-5881 N/A
    Central California Fellowship Sacramento AA (916) 454-1100;(916) 454-1771 N/A
    Central Coast Area NA Central Coast Area (Lompoc, San Luis Obispo, Paso Robles) NA (800) 549-7730 N/A
    Central Coast Central Office Intergroup San Luis Obispo AA (805) 541-3211;(855) 541-3288 N/A
    Central Intergroup Office Of The Desert Cathedral City AA (760) 324-4880 N/A
    Central Service Office Of Fresno Fresno AA (559) 221-6907 N/A
    Central Sierra Area NA Central Sierra Area (Angels Camp) NA (800) 240-4956 N/A
    Central Sierra South Area NA Central Sierra South Area (Sonora) NA (209) 533-2348 N/A
    Central Valley Intergroup Modesto AA (209) 572-2970 N/A
    Central Valley North Area NA Central Valley North Area (Acampo, Lodi, Manteca, Ripon, Stockton, Tracy, Victor) NA (209) 464-9262 N/A
    Contra Costa Area NA Contra Costa Area (Concord) NA (925) 685-4357 N/A
    Contra Costa Service Center Walnut Creek AA (925) 939-4155;(925) 939-5371 N/A
    County Line Area NA County Line Area (Simi Valley, Moorpark, Thousand Oaks) NA (888) 672-9318 N/A
    Del Norte Intergroup Crescent City AA (707) 464-3411 N/A
    Delta Central Office Stockton AA (209) 464-1509 N/A
    Desert Empire Area NA Desert Empire Area (Barstow) NA (800) 863-2962 N/A
    Dist. 20-Grass Valley, Nevada City, Penn Valley and Surrounding Areas Western Nevada County AA (530) 272-6287 N/A
    East Bay Central Area NA East Bay Central Area (Alameda County, Berkeley, Oakland, Fremont, Livermore) NA (510) 444-4673 N/A
    East Bay North Area NA East Bay North Area (Oakland) NA (510) 444-4673 N/A
    East County Intergroup El Cajon AA (877) 993-2422 N/A
    Eastbay Intergroup Central Office Oakland AA (510) 839-8900 (408) 417-1593
    Eastern Counties Area NA Eastern Counties Area (Whittier, Downey) NA (562) 698-4604 N/A
    Eastern Inland Empire Area NA Eastern Inland Empire Area (Riverside, San Bernardino) NA (800) 397-2333;(909) 370-3568 N/A
    Eastern Sierra Area NA Eastern Sierra Area (Ridgecrest) NA (760) 446-4445 N/A
    Foothill Area NA Foothill Area (Porterville) NA (559) 784-4420 N/A
    Gold Coast Area NA Gold Coast Area (Ventura, Oxnard) NA (888) 817-7425 N/A
    Gold Country Area NA Gold Country Area (Jackson, Ione, Sutter Creek and Pioneer) NA (209) 256-0645 N/A
    Greater East Los Angeles Area NA Greater East Los Angeles Area NA (323) 721-5504 N/A
    Greater Los Angeles Area NA Greater Los Angeles Area NA (323) 933-5395 N/A
    Greater Mojave Area NA Greater Mojave Area (Victorville) NA (888) 322-6817 N/A
    Greater San Jose Area NA Greater San Jose Area NA (408) 998-4200 N/A
    Harbor Area Central Office Long Beach AA (562) 989-7697 (310) 516-8626
    Hollywood Area NA Hollywood Area NA (323) 850-1624 N/A
    Humboldt County Intergroup Eureka AA (844) 442-0711 N/A
    Humboldt/Del Norte Area NA Humboldt/Del Norte Area (Crescent City) NA (866) 315-8645 N/A
    Inland Empire 12th Step Service Board Claremont AA (909) 628-4428 N/A
    Inland Empire Central Office Colton AA (909) 825-4700 N/A
    Inland Empire Foothills Area NA Inland Empire Foothills Area (Redlands, Yucaipa) NA (909) 795-0464 N/A
    Inland Empire West Area NA Inland Empire West Area (Montclair, Ontario) NA (909) 622-4274 N/A
    Intercounty Fellowship Of A.A. San Francisco AA (415) 674-1821 N/A
    Intergroup Answering Service Susanville AA (530) 257-2880 N/A
    Kern County Area NA Kern County Area (Bakersfield) NA (877) 629-6759 N/A
    Kings Tulare Area NA Kings Tulare Area (Hanford, Tulare, Visalia) NA (559) 734-0403 N/A
    Lake County Area NA Lake County Area (Lakeport) NA (707) 262-0132 N/A
    Lake County Intergroup Lower Lake AA (707) 995-3316 N/A
    Los Angeles Central Office Los Angeles AA (323) 963-4343;(800) 923-8722 N/A
    Lower Desert Area NA Lower Desert Area (Palm Desert, Palm Springs, Indio) NA (888) 777-5947 N/A
    Marin County NA Marin County (San Rafael) NA (877) 612-7837 N/A
    Mariposa A.A. Answering Service Mariposa AA (209) 966-3110 N/A
    Mendocino Coast Intergroup Ft. Bragg AA (877) 546-9286 N/A
    Mendocino Country Area NA Mendocino Country Area (Ukiah, Willits) NA (707) 485-9110 N/A
    Mendocino Inland Intergroup Ukiah AA (707) 462-7123 N/A
    Middle Mountain Area NA Middle Mountain Area (Yuba City, Marysville, Olivehurst) NA (877) 669-1669 N/A
    Mission Peak Area NA Mission Peak Area NA (510) 444-4673 N/A
    Monterey Bay Area Intergroup Monterey AA (831) 373-3713 N/A
    Monterey County Area NA Monterey County Area (Monterey) NA (831) 624-2055 N/A
    Monterey County Area NA Monterey County Area (Salinas) NA (831) 758-1630 N/A
    Morongo Basin Area NA Morongo Basin Area (Joshua Tree, Morongo Valley) NA (800) 833-2830 N/A
    Mountain Area NA Mountain Area (Running Springs, Big Bear, Yucca Valley, Lake Arrowhead) NA (909) 584-7115 N/A
    Napa County Intergroup Napa AA (707) 500-7001 N/A
    Napa/Solano Area NA Napa/Solano Area NA (866) 642-3848 N/A
    No. California Intergroup Redding AA (530) 225-8955 N/A
    No. San Diego Co. Central Office Vista AA (760) 758-2514 N/A
    North Coastal Area NA North Coastal Area (Vista, Oceanside, Encinitas) NA (866) 331-1958 N/A
    North Orange County Central Office Fullerton AA (714) 773-4357 N/A
    North Solano Intergroup Vacaville AA (707) 446-2244 N/A
    North Valley Central Office Chico AA (530) 342-5756 N/A
    Oakhurst Fellowship Answering Service Oakhurst AA (559) 683-1662 N/A
    Oficina Central de Riverside Riverside AA N/A (951) 687-7090
    Oficina Central Hispana El Monte AA N/A (626) 453-0226
    Oficina Central Hispana Los Angeles AA N/A (323) 750-2039
    Oficina Central Hispana San Diego AA N/A (619) 280-7224
    Oficina Central Hispana San Francisco AA N/A (415) 824-1834
    Oficina Central Hispana Costa Norte San Jose AA N/A (408) 287-7205
    Oficina Central Hispana Intergrupal Salinas AA N/A (831) 757-8518
    Oficina Central Norte Santa Rosa AA N/A (707) 623-6702
    Oficina Hispana Del Este De La Los Angeles AA N/A (323) 722-4175
    Oficina Intergrupal Chula Vista AA N/A (619) 476-0288
    Oficina Intergrupal Watsonville AA N/A (831) 768-9597
    Oficina Intergrupal Condado Ve Oxnard AA N/A (805) 988-0329
    Oficina Intergrupal De Orange Santa Ana AA N/A (714) 541-7225
    Oficina Intergrupal Del Este De La Bahia Richmond AA N/A (510) 328-8930
    Oficina Intergrupal Hispana Fresno AA N/A (559) 266-6752
    Oficina Intergrupal Hispana De Alcoholicos Anonimos Del Area de Santa Clara San Jose AA N/A (408) 931-2002
    Oficina Intergrupal Hispana del Area de San Mateo Mountainview AA N/A (650) 679-2374
    Oficina Intergrupal Hispana Del Conadado Notre de San Diego Vista AA N/A (760) 758-6905
    Oficina Intergrupal Hispana Del Condado De Kern Bakersfield AA N/A (661) 205-0296
    Oficina Intergrupal Hispana Del Valle De Coachella Indio AA N/A (760) 625-9018
    Oficina Intergrupal Hispana Su Long Beach AA N/A (310) 516-8626
    Oficina Intergrupal Sureste De Ventura Santa Paula AA N/A (805) 525-6140
    Oficina Intergrupal Valle Del Antelope Littlerock AA N/A (661) 944-5147
    Oficina Intergrupo De Chino Pomona AA N/A (909) 629-0493
    Orange County Area NA Orange County Area (Anaheim) NA (714) 590-2388 N/A
    Orange County Central Office Santa Ana AA (714) 556-4555 N/A
    Paradise Intergroup Paradise AA (530) 342-5756 N/A
    Peninsula Area NA Peninsula Area (San Mateo) NA (650) 802-5950 N/A
    River Cities Area NA River Cities Area (Anderson, Red Bluff) NA (877) 669-1669 N/A
    Sacramento Fellowship Area NA Sacramento Fellowship Area (Sacramento, Elk Grove, Rancho Cordova, Woodland) NA (877) 623-6363 N/A
    Salinas Valley Area Intergroup Salinas AA (831) 424-9874 N/A
    San Diego Central Office San Diego AA (619) 265-8762 N/A
    San Diego Imperial Counties - Spanish NA San Diego Imperial Counties - Spanish NA N/A (619) 546-0774
    San Diego Imperial Counties Region NA San Diego Imperial Counties Region NA (800) 479-0062;(619) 584-1007 N/A
    San Fernando Valley Area NA San Fernando Valley Area (East San Fernando Valley) NA (818) 997-3822 N/A
    San Francisco Area NA San Francisco Area NA (415) 621-8600 N/A
    San Gabriel Valley Area NA San Gabriel Valley Area (Pasadena) NA (626) 584-6910 N/A
    San Gabriel/Pomona Valley Central Office Glendora AA (626) 914-1861 N/A
    San Mateo CO Fellowship Of A.A. San Mateo AA (650) 577-1310 N/A
    Santa Barbara Area NA Santa Barbara Area NA (805) 569-1288 N/A
    Santa Barbara Central Office Santa Barbara AA (805) 962-3332 N/A
    Santa Clara County Intergroup C.O. San Jose AA (408) 374-8511 N/A
    Santa Clarita Area NA Santa Clarita Area (Newhall, Saugus) NA (800) 338-2155 N/A
    Santa Cruz Area NA Santa Cruz Area NA (831) 429-7436 N/A
    Santa Cruz County Intergroup Inc. Soquel AA (831) 475-5782 N/A
    SCV Central Office Of A.A. Santa Clarita AA (661) 250-9922 N/A
    Shasta/Trinity Area NA Shasta/Trinity Area (Redding) NA (877) 669-1669 N/A
    Sierra Foothills Area NA Sierra Foothills Area (Auburn, Placerville) NA (888) 423-3428;(530) 645-1635 N/A
    Sierra Sage Region NA Sierra Sage Region (Mammoth Lakes, Bishop) NA N/A N/A
    Siskiyou Area NA Siskiyou Area (Mt Shasta, Weed, Yreka) NA (530) 925-6616 N/A
    So. Solano County Central Office Benicia AA (707) 745-8822 N/A
    Sonoma County Area NA Sonoma County Area (Santa Rosa) NA (707) 324-4062 N/A
    Sonoma County Intergroup Santa Rosa AA (707) 544-1300;(707) 546-2066;(800) 224-1300 N/A
    South Coast Area NA South Coast Area (San Juan Capistrano) NA (800) 333-3610 N/A
    South Tahoe Basin Area NA South Tahoe Basin Area (Lake Tahoe South) NA (530) 541-4100 N/A
    Southern Antelope Valley Area NA Southern Antelope Valley Area (Palmdale, Lancaster) NA (661) 266-2200 N/A
    Southwest Area NA Southwest Area (Hemet, Temecula, Banning) NA (951) 652-5326 N/A
    Southwestern Riverside County Central Service Office Inc. Temecula AA (951) 695-1535 N/A
    Spanish Speaking for LA NA Spanish Speaking for LA NA N/A (888) 622-4672
    Stanislaus Valley Area NA Stanislaus Valley Area (Modesto, Merced) NA (888) 942-9922;(209) 526-1817 N/A
    Truckee/North Lake Tahoe Basin Area NA Truckee/North Lake Tahoe Basin Area NA (530) 546-1116 N/A
    Tulare County Central Office Exeter AA (559) 592-6999 N/A
    Valle Oficina Central Modesto AA N/A (209) 222-8313
    Valley Service Center Dublin AA (925) 829-0666;(925) 829-3160;(888) 859-3230 N/A
    Ventura County Central Service Office Camarillo AA (805) 389-1444 N/A
    Victor Valley Intergroup Central Office Inc. Apple Valley AA (760) 242-9292 N/A
    West End Area NA West End Area (West San Fernando Valley) NA (818) 787-9706 N/A
    Western Slope Intergroup Placerville AA (530) 622-3500 N/A
    Westside Area NA Westside Area (West Los Angeles, Santa Monica) NA (310) 390-0279 N/A

    Sober Living Homes

    Recovery residences, also known as sober living homes, are designed to help people recovering from substance abuse break free of their addiction and learn to live a healthy, productive life. Research shows that a supportive environment that teaches life skills, such as emotional awareness and job preparedness, are extremely beneficial to the long-term success of recovery efforts.

    Life in a sober living home comes with expectations. Residents are required to maintain a clean environment, pay rent fees, and attend support groups or individual counseling. Residents may stay for a short period of only a few weeks, or as long as many years, as long as they remain sober and follow house rules. These homes have strict zero-tolerance policies towards drug and alcohol use that protect all present.

    Check our database for halfway houses or sober living homes in Sacramento, or use our tool above by selecting the appropriate filter. Feel free to read our guide on sober living homes to learn more about them as well as to search for a certified recovery residence in your area.

    III. Substance Abuse in Sacramento

    Benzodiazepine cause more ER visits than cocaine and amphetamines combined

    Benzodiazepines, a class of tranquilizers, are prescribed to treat both seizures and anxiety. Since benzodiazepines positively alter moods, they have significant potential for abuse among certain populations, namely those with mood disorders and those who have a previous history of substance abuse. Taking benzodiazepines such as Xanax with alcohol or opioids, taking benzodiazepines that were prescribed to someone else or produced illicitly, or taking a higher dosage of benzodiazepines than prescribed all constitute substance abuse. Studies show that persons who use benzodiazepines for more than three or four weeks are likely to experience withdrawal symptoms, but estimates of how many people abuse this class of drugs at any given time vary anywhere from 2.3% to 18% of the U.S. adult population.

    3.97

    ED visits for cocaine and amphetamine overdose per 100,000 residents, 2018

    11.66

    ED visits for benzodiazepine overdose per 100,000 residents, 2018

    Sacramento residents may be surprised to know that benzodiazepine overdoses account for more nonfatal overdose emergency department (ED) visits than cocaine and amphetamines combined. In 2018, 0.85 per 100,000 Sacramento County residents visited an emergency department for a cocaine overdose, and 3.12 per 100,000 residents visited for an amphetamine (all forms of methamphetamine as well as ADHD medications) overdose. In contrast to these rates, ED visits due to a benzodiazepine overdose occurred at the rate of 11.66 per 100,000 Sacramento County residents.

    Like other prescription drugs, a portion of benzodiazepine overdoses occurs due to simple mistakes even when the patient is not intentionally abusing the drug. The exact numbers of intentional abuse versus unintentional overuse for this class of drugs are not published in Sacramento County. The above-mentioned rate of ED visits for benzodiazepine overdose in Sacramento County has encouragingly dropped 39.99% since 2014, but it still remains higher than the state average rate of 10.46 per 100,000 residents. Considering the habit-forming nature of benzodiazepines, patients who are prescribed anything from this class of drugs should proactively discuss the potential for abuse with their doctors and pharmacists, and parents should be aware that benzodiazepines are used recreationally by some young people.

    Prescription rates and overdose deaths for opioids are decreasing in Sacramento County

    806.05

    Opioid prescriptions per 100,000 Sacramento County residents, 2014

    671.09

    Opioid prescriptions per 100,000 Sacramento County residents, 2017

    Across the United States, law-makers and physicians have come together to recognize that the trend of overprescribing opioids within the medical community is, in part, fueling our nation’s opioid epidemic. As policies and attitudes have changed, many areas around the country are beginning to see decreases in the rate of opioid prescriptions. Between 2014 and 2017, the rate of opioid prescriptions per 100,000 residents of Sacramento County dropped from 806.05 to 671.09, a decrease of 16.74%. By comparison, in San Francisco County, the rate fell an even more dramatic 20.88%, and, in Los Angeles County, it decreased by 8.53%. In California as a whole, the opioid prescription rate fell 12.68% between 2014 and 2016. The data reveals that, in partnership, Sacramento County physicians and regulators have made a better-than-average effort to reduce opioid abuse by reducing the number of prescriptions.

    Although prescription rates fell dramatically between 2014 and 2017, opioid overdose deaths decreased by a more modest 2.59% in Sacramento County during the same time period. However, Sacramento County’s small decrease is still a meaningful victory, considering that in other major population centers in the state during the same time period, opioid overdose deaths actually increased. San Francisco County’s opioid overdose death rate climbed 12.25% and Los Angeles’ rate skyrocketed 50.56%. The lack of clear correlation between decreases in opioid prescriptions and decreases in opioid overdose deaths in all counties highlights the fact that shifts in the opioid epidemic depend on a plethora of factors, from the availability of illicitly-produced heroin and fentanyl to the prevalence of polydrug use and the impurity of street drugs to the availability of effective substance abuse treatment programs.

    Interestingly, visits to emergency departments for opioid overdoses rose 2.98% in Sacramento County between 2014 and 2017. The distribution of 1,450 naloxone kits in the county in 2017, rather than an actual decrease in opioid abuse, may be largely responsible for the decrease in overdose deaths that occurred from 2014 to 2017.

    Overdose deaths in Sacramento County are lower than the national average

    Between 2008 and 2017, 8,512 deaths were attributed to drugs or alcohol in Sacramento County, representing 7.41% of the total number of deaths during that same time period. This death rate is 5.3% lower than the overall rate of 12.71% in the United States. In Sacramento County during those years, 31.1 people suffered fatal drug overdoses and 27.2 people died from an overdose of alcohol per 100,000 people.

    7.41%

    of Sacramento County deaths due to drugs and alcohol, 2008-2017

    12.71%

    of U.S. deaths due to drugs and alcohol, 2008-2017

    One characteristic of overdose rates in Sacramento County worth pointing out is that drug overdoses comprise 53.41% of the fatal overdoses during that time period. Though alcohol contributes significantly to fatal overdoses in the area, drugs play a slightly larger role. The same does not hold true in all areas of California. For example, in Los Angeles County, 55.68% of overdoses are attributed to alcohol, and, in San Diego County, alcohol and drugs almost equally split the responsibility for overdose deaths, with alcohol accounting for 50.18%.

    Drug and Alcohol-Induced Deaths in Sacramento County Between 2008 and 2017
    0-17 18+ All Ages
    Drug-Induced Deaths in Sacramento County 10 4,536 4,546
    Alcohol-Induced Deaths in Sacramento County 0 3,966 3,966
    Total Deaths in Sacramento County 1,595 113,261 114.871
    Percentage of Drug & Alcohol-Induced Deaths in Sacramento County
    0.63% 7.51% 7.41%

    Source: CDC Wonder

    Key Indicators of Substance Abuse

    Collecting data on exactly how substance use disorders affect communities can be complex. Being honest about their addiction is difficult for many people, and not everyone who has a substance abuse problem seeks treatment or is included in statistics. Nevertheless, we can consider several data points to understand the larger impact of substance abuse in Sacramento. We located statistics from sectors such as the availability of space in residential treatment centers, homelessness rates, and suicide rates across the area that give a broader view of the substance abuse issues that impact Sacramento.

    Residential treatment beds are scarce in Sacramento compared to California

    4.8

    Residential treatment beds per 10,000 Sacramento County residents, 2018

    6.2

    Residential treatment beds per 10,000 California residents, 2018

    The availability of space in residential treatment facilities indicates the overall readiness of an area to care for persons with substance use disorders. Unfortunately, the Sacramento area has less available space than state average among its residential – also referred to as inpatient – substance abuse treatment facilities. According to 2018 data, residential substance abuse treatment facilities in Sacramento maintained an average of 4.8 beds per 10,000 adults in the county. This number includes both beds for patients in the process of detoxing and beds for patients who have already detoxed. In contrast, California as a whole offers 6.2 beds per 10,000 adults. Thus, in its residential treatment facilities, Sacramento can treat 1.4 fewer patients than is the average for the state.

    Having a shortage of available beds in residential treatment facilities can place undue pressure on these programs, ultimately decreasing the quality of care or increasing wait times for patients to enter a facility. However, the news regarding the availability of treatment options in Sacramento County is not all negative. Although residential beds are limited, the number of outpatient methadone treatment programs for those persons struggling with opioid addiction is higher in this area than the state average. In California, 12.8 treatment slots are available per 10,000 residents; however, the rate in Sacramento is 15.0 treatment slots per 10,000 residents.

    Chronic homelessness is growing in Sacramento County

    The 2017 Point-In-Time (PIT) survey found that 3,665 homeless persons lived in Sacramento County. This number represents a 29.87% increase in the homeless population in Sacramento County since 2015. Researchers from California State University Sacramento, who compiled the 2017 report on homelessness in the county, point to rising housing costs, especially rental costs, as the driving force behind the increase.

    0.23%

    of Sacramento County residents are homeless, 2017

    1.39%

    of California residents are homeless, 2017

    Although homelessness in the county has risen in recent years, it affects a smaller percentage of Sacramento County residents than it does the rest of the state’s residents. In 2017, 0.23% of the population of Sacramento County was homeless, compared to 1.39% of the population of California being homeless persons.

    30.72%

    of Sacramento homeless population deemed chronically homeless, 2017

    17.52%

    of Sacramento homeless population deemed chronically homeless, 2015

    In 2018, 30.72% of the Sacramento County homeless population was termed chronically homeless according to HUD guidelines, which specify that a person has experienced prolonged periods of homelessness coupled with a physical disability. However, in 2015, the percentage of homeless persons deemed as chronically homeless was only 17.52%. This drastic leap in chronic homelessness is especially alarming because the 2017 PIT survey revealed that 56% of Sacramento County’s chronically homeless population is suffering from a substance abuse problem. Reducing the growth of this high-risk group, while statistically small in size, is still a very critical aspect of combating substance abuse in the county. Connecting chronically homeless persons to resources that address both their practical and psychiatric needs is an important goal for homeless outreach in the area.

    Suicides occur at a heightened rate in Sacramento County compared to California

    The relationship between suicide, depression, and substance abuse is complicated. In individual cases, it can be difficult to determine if a substance is causing suicidal ideation or if a person is using a particular substance in an effort to medicate a pre-existing troubled mental state. Research shows that a quarter of people with mood disorders choose to self-medicate, and men are twice as likely as women to do so. Thus, while the connection between suicide, mental health, and substance abuse can be unclear, a high suicide rate in an area can indicate widespread substance abuse issues.

    Unfortunately, suicides rates per 100,000 residents of Sacramento County remain consistently higher than those in California as a whole. As of 2017, the suicide rate in Sacramento County is 14.0 suicides per 100,000 residents, compared to 10.9 suicides per 100,000 residents in the state. The county’s rate dipped to 12.7 per 100,000 in 2016, but even then it was 1.8 higher than the state’s suicide rate in that same year. While the California Department of Public Health does not report details about the relationship between drug abuse and suicide on the county and state level, the increased suicide rate in Sacramento County points to a high rate of untreated mental distress, which can include untreated substance abuse.

    IV. Take Action

    Sacramento and its surrounding communities have many resources for those persons seeking to break free from substance dependency. You can use our tool to find a local rehabilitation center that can help to determine your rehabilitation needs and insurance coverage. If you fear you won’t be able to afford rehab, many low-cost treatment centers are available for those who need financial assistance.