Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Virginia
Approximately one million residents of the Commonwealth of Virginia – 12.35% of the population – use illegal drugs and another 4.51% of the population abuse alcohol in a given year. Consequently, 6.49% of all deaths in Virginia between 2008 and 2017 were due to drugs and alcohol, a considerable number of deaths yet over six percentage points below the national average for drug- and alcohol-induced deaths. Among the top three most populous cities in Virginia, Norfolk and Chesapeake combined had the highest rate of drug- and alcohol-related deaths during that time period at 6.71%, while Richmond had the lowest rate at 5.67%.
This guide was created to help the many residents of Virginia 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 Virginia.
If you need help finding a rehabilitation center in Virginia, you can use our directory to find 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 Commonwealth.
Table of Contents
I. Getting Help
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Virginia
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 207 substance abuse treatment centers in Virginia. Of those 207 rehabs, Prince William County Community Services Board in Woodbridge received the highest overall score based on our five core metrics.
Prince William County Community Services Board in Woodbridge provides outpatient rehabilitation services for adults, young adults, children, and veterans. The facility earned the highest overall score of 7.6 points out of 10 points with its highest performance category being Treatment Approaches. The facility’s treatment approaches entail cognitive behavioral therapy, relapse prevention, and trauma-related counseling, among many others. It also scored high in the category of Rehabilitation Services Provided, primarily for its medication-assisted treatment (MAT), employing drugs such as buprenorphine and naltrexone. Ancillary services at the center are plentiful include individual/marital/family/group therapies, employment counseling and training, transportation and housing assistance, acupuncture, and many more. The center scored a mid-range six points in the Cost category since it does not participate in a variety of payment assistance programs. However, it does accept Medicaid and has a sliding fee scale for patients based on income and other factors.
The Rappahannock Area Community Services Board Stafford County Clinic, located in Stafford, received an overall score of 7.2 points out of 10 points. The center offers regular and intensive outpatient services to adults, young adults and adolescents, although it scored relatively low in the Rehabilitation Services Provided category as it does not provide extensive services. However, it does utilize medications such as buprenorphine in treatment.Treatment approaches are varied in nature and include cognitive behavioral therapy, relapse prevention, and trauma-related counseling, among many others. The center also offers a healthy list of special programs for unique populations, such as pregnant and postpartum women, veterans, clients referred from the court system, and patients with co-occurring substance abuse and mental health disorders.
Piedmont Community Services Patrick County Clinic, located in Stuart, was the third highest in our rankings with an overall score of 7.1 out of 10 points. The facility offers outpatient services to residents of Henry, Franklin, and Patrick counties, as well as the City of Martinsville. Treatment approaches are extensive and include the 12-step approach, motivational interviewing and incentives, anger management, and more . However, it does not provide a wide range of rehabilitation services, resulting in a low performance score in that area. The facility scored highest in the category of Special Programs for Unique Demographics as it serves a multitude of specific populations, such as veterans, older adults, members of the LGBTQ community, victims of domestic violence, and many more. Additionally, all residents living in areas served by PCS may access care at any one of its three locations. According to the center’s website, no one will be denied treatment due to inability to pay, giving it a high score in the Cost category.
Rehabilitation Services Provided: 4.15
Treatment Approaches: 8.58
Special Programs for Unique Demographics: 9.36
Ancillary Services: 7.37
The Top-Rated, Low-Cost Treatment Centers in Virginia
3300 Gallows Road Falls Church, VA 22042 Main Tel: 703-289-7560
Finding a Substance Abuse Treatment Center in Virginia
Start by contacting your referral center
Virginia’s Community Services Boards (CSBs) are the primary point of entry to obtain treatment for substance abuse and addiction. Each county and city has an assigned CSB. For additional information and to locate the CSB nearest to you, visit the Virginia Department of Behavioral Health and Developmental Services (DBHDS) website.
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 the Virginia DMAS Medicaid and FAMIS information page.
Use our database to find a treatment center near you
The tool below lists all of the treatment centers in Virginia which are 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.
Substance use disorder and PTSD go hand-in-hand for many veterans
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.
1 in 3
veterans seeking treatment for a SUD also has PTSD
1 in 4
veterans with PTSD also has a SUD
According to the U.S. Department of Veterans Affairs’ National Center for PTSD, as of early 2019, nearly one of every three veterans who seeks treatment for a substance use disorder also has a PTSD diagnosis. Similarly, over one in four veterans who have received a diagnosis of PTSD is also struggling with a substance use disorder. Furthermore, for veterans of the wars in Iraq and Afghanistan, one in 10 of those individuals who visits a VA health care facility has a substance use disorder.
However, there is hope for veterans suffering from a substance use disorder, as they have access to additional resources for treatment for a SUD or co-occurring SUD and PTSD, and VA benefits often cover the cost of this treatment. To find help with substance abuse treatment from the VA healthcare system, follow these steps:
Enroll: If you aren’t already enrolled, you can check if you are eligible for VA health benefits and then complete the application. You can also research the Department of Veterans Affairs Alcohol and Drug Dependence Rehabilitation Program. This program is available in VA medical centers and outpatient clinics around the United States and provides a variety of treatment options, such as rehabilitation, detoxification, and psychiatric services, for veterans addicted to drugs and alcohol. Keep in mind that you must already be enrolled in the VA healthcare system to be considered for the program.
Discover: Find out whether your local VA medical center provides substance use disorder (SUD) treatment by calling or visiting the center. If you don’t know where the closest VA medical center is located, call the VA hotline at 800-827-1000 to find out or click here for a comprehensive search of VA locations around the United States.
Find Treatment: Veterans in Virginia 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 Virginia. Additionally, they can locate information regarding substance abuse treatment services at the Virginia Veterans Portal and section of the Virginia Department of Behavioral Health and Developmental Services website specifically for veterans, active duty military members, and their families.
Treatment is available for veterans in Virginia who are suffering from a substance use disorder. As of 2017, 31 substance abuse treatment facilities in Virginia – representing 13.9% of all treatment facilities – catered specifically to veterans.
Adolescents in Virginia use marijuana at a lower rate than the national average, but the rate for alcohol use is slightly higher
of adolescents aged 12-17 used marijuana, 2014-2017
of adolescents aged 12-17 drank alcohol, 2014-2017
Between 2014 and 2017, 4.9% of adolescents aged 12-17 in Virginia reported engaging in marijuana use in the past month, well below the national average of 6.8%. In terms of alcohol use, 10.7% of adolescents aged 12-17 in Virginia had taken part in the behavior in the past month, slightly above the national average of 10.1%. Additionally, 3.7% of individuals admitted to a substance abuse treatment program in Virginia in 2017 were aged 12-17. To deal with the challenges that youth face in overcoming substance addiction, some treatment centers provide adolescent-specific treatment programs.
Additional Resources for Parents and Teachers
The Virginia Department of Behavioral Health and Developmental Services (DBHDS) website provides resources to support, educate and empower youth and their families. You can also seek out the following resources from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Institute on Drug Abuse (NIDA) to gain a better understanding of three of the biggest substance abuse dangers to youth: prescription drug abuse, underage drinking, and marijuana use. Furthermore, check out these NIDA links for teens and parents/teachers about the dangers of substance abuse.
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 Virginia:
Virginia Department of Behavioral Health and Developmental Services: The DBHDS website has an informative section on Virginia’s comprehensive mental health services and a section that is dedicated to services for veterans and military service members.
Licensed Provider Search System: To access a searchable database of providers licensed by DBHDS, click here.
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 Virginia
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.
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 Virginia between 2016 and 2017, in addition to the percentage of the Virginia population and the U.S. population that those estimates represent.
Annual Estimates for Substance Abuse in Virginia, 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 Virginia 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 Virginia between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in Virginia compared to the national average.
Drug and Alcohol-Induced Deaths in Virginia, 2008-2017
The following table explains the number of admissions to treatment programs funded by the Commonwealth of Virginia in 2017, based on the primary substance for which the individual was seeking treatment.
Admissions to Commonwealth-Funded Treatment Programs in Virginia by Primary Substance, 2017
Total Treatment Admissions
% of All Treatment Admissions in Virginia
% of All Treatment Admissions in the U.S.
Alcohol (Including Alcohol Usage with Secondary Drug)
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 Virginia, along with recent, credible statistics, are examined below.
Over one million Virginians 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 Virginia adults had a serious mental illness
of Virginia adolescents had a major depressive episode
Between 2013 and 2017, 4.2% of Virginia adults were afflicted with a serious mental illness, equal to the national average of 4.2%. Among Virginia adolescents, 13.4% 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 Virginia.
Mental Health Issues in Virginia by Age and Percentage of Population, 2016-2017
Suicide rates in Virginia are lower 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, Virginia witnessed a 17.4% increase in the number of suicides. In 2017, Virginia ranked 40th in the country for the number of suicides per 100,000 residents.
Suicides and Suicide Rates in Virginia and the United States, 2017
Virginia has a lower opioid prescribing rate than the overall U.S. rate
Prescription drug abuse – particularly 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 Virginia 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 Virginia was consistently lower than the U.S. prescribing rate during that period, from 76.6 prescriptions per 100 residents in 2013 to 52.9 prescriptions per 100 residents in 2017, revealing an even greater decrease of 30.94%.
Virginia and U.S. Opioid Prescribing Rates, 2013-2017
The rate of homelessness in Virginia is less than half 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 the cause and 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 Virginia residents were homeless, 2018
of every 10,000 U.S. residents were homeless, 2018
By comparison, Virginia had approximately 5,975 homeless persons in 2018, equating to 7 of every 10,000 Virginia residents and less than half the national average. This number reveals a 14.89% decrease since 2014 when 7,020 homeless persons lived in Virginia.
V. Regional Substance Abuse Statistics & Rehabs
The following sections provide a deeper look at the substance abuse problem in Virginia 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 Virginia Beach and the neighboring city of Hampton are listed in the table below, along with each institution’s performance on our core metrics.
The Highest-Rated, Low-Cost Rehabs in Virginia Beach-Hampton
The percentage of drug- and alcohol-induced deaths in Virginia Beach-Hampton is almost identical to Virginia
of Virginia Beach/Hampton deaths are caused by drugs and alcohol
of Virginia deaths are caused by drugs and alcohol
The number of deaths due to drugs and alcohol for the independent cities of Virginia Beach and Hampton was 2,840 between 2008 and 2017. The death toll represented 6.47% of the total deaths among all ages in the cities during that period and was almost identical to Virginia’s rate of 6.49% in the same timeframe. Virginia Beach-Hampton reported the second-highest death rate of the top three largest cities in the Commonwealth.
Drug- and Alcohol-Induced Deaths in Virginia Beach-Hampton, 2008-2017
The drug- and alcohol-induced death rate in Norfolk-Chesapeake aligns with the average for Virginia
of Norfolk/Chesapeake deaths are caused by drugs and alcohol
of Virginia deaths are caused by drugs and alcohol
The death rate resulting from drugs and alcohol for independent cities Norfolk and Chesapeake combined was 6.71% between 2008 and 2017, a percentage that was closely aligned with Virginia’s drug- and alcohol-induced death rate of 6.49% during the same time period. Furthermore, Norfolk-Chesapeake reported the highest rate of drug- and alcohol-induced deaths of the top three cities in Virginia.
Drug- and Alcohol-Induced Deaths in Norfolk-Chesapeake, 2008-2017
The three highest-rated rehabilitation centers in Richmond and the neighboring cities of Henrico and Chesterfield are listed in the table below, along with each institution’s performance on our core metrics.
The Highest-Rated, Low-Cost Rehabs in the Richmond Area
Deaths due to drugs and alcohol in Richmond are at a lower rate than in Virginia
of Richmond deaths are caused by drugs and alcohol
of Virginia deaths are caused by drugs and alcohol
Richmond, an independent city and the capital of Virginia, reported 1,107 deaths due to drugs and alcohol between 2008 and 2017, representing 5.68% of the total number of deaths in the city during that same time period. This percentage was nearly a full percentage point below Virginia’s death rate of 6.49% for those same years. Among the three top cities in the Commonwealth, Richmond ranked third for deaths due to drugs and alcohol.
Drug- and Alcohol-Induced Deaths in Richmond, 2008-2017
Substance abuse treatment is available in Virginia 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.