I. Getting Help

What to Consider When Choosing a Rehab Center

There are many different types of rehab programs and treatment options to consider. Here are a few of the decisions you need to make:

The main factors that determine which rehab options will be best for you are the severity of your addiction and your unique personal and financial situation.

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 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.

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For more information about the five core metrics, head to the full breakdown of our filtering process and ranking methodology

1. Prince William County Community Services Board - Woodbridge

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.

  • Rehabilitation Services Provided: 8.3
  • Treatment Approaches: 8.58
  • Cost: 6
  • Special Programs for Unique Demographics: 6.24
  • Ancillary Services: 8.04

2. Rappahannock Area Community Services Board Stafford County Clinic

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.

  • Rehabilitation Services Provided: 4.98
  • Treatment Approaches: 8.58
  • Cost: 8
  • Special Programs for Unique Demographics: 7.02
  • Ancillary Services: 8.71

3. Piedmont Community Services Patrick County Clinic

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
  • Cost: 8
  • Special Programs for Unique Demographics: 9.36
  • Ancillary Services: 7.37
The Top-Rated, Low-Cost Treatment Centers in Virginia
Rank Rehab Total Score Contact Information
#1 Prince William County Community Services Board – Woodbridge 7.6 15941 Donald Curtis Drive, Suite 200 Woodbridge, VA 22191 Main Tel: 703-792-4900
#2 Rappahannock Area Community Services Board Stafford County Clinic 7.2 Charles A. Cooper Building 15 Hope Road Stafford, VA 22554 Main Tel: 540-659-2725
#3 Piedmont Community Services Patrick County Clinic 7.1 22280 Jeb Stuart Highway Stuart, VA 24171 Main Tel: 276-694-4361
#4 Rappahannock Area Community Services Board Substance Use Disorder Services 6.9 Ronald W. Branscome Building 600 Jackson Street Fredericksburg, VA 22401 Main Tel: 540-373-3223
#5 Prince William County Community Services Board – Manassas 6.7 7969 Ashton Avenue Manassas, VA 20109 Main Tel: 703-792-7800
#6 Norfolk Community Services Board Tidewater Drive Center 6.6 7460 Tidewater Drive Norfolk, VA 23505 Main Tel: 757-664-6670
#7 Rappahannock Area Community Services Board King George Clinic 6.5 Marie O. Kunlo Building 8479 Saint Anthonys Road King George, VA 22485 Main Tel: 540-775-9879
#8 New River Valley Community Services Giles Clinic 6.5 705 Wenonah Avenue Pearisburg, VA 24134 Main Tel: 540-921-2238
#9 Mental Wellness Now, LLC  6.5 1363 North Main Street P.O. Box 1705 Harrisonburg, VA 22802 Main Tel: 540-246-8155
#10 Inova Comprehensive Addiction Treatment Services Program  6.4 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.

filter button

Type Of Care
Treatment Approaches
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

    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.

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

    II. Substance Abuse and Rehab for At-Risk Groups

    Substance Abuse Treatment for Veterans

    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.

    For more information, read our guide on Substance Abuse Rehab for Veterans.

    Substance Abuse Treatment for Adolescents

    Adolescents in Virginia use marijuana at a lower rate than the national average

    5.6%

    of adolescents aged 12-17 used marijuana, 2017-2018

    9.1%

    of adolescents aged 12-17 drank alcohol, 2017-2018

    Between 2017 and 2018, 5.6% of adolescents aged 12-17 in Virginia reported engaging in marijuana use in the past month, well below the national average of 6.6%. In terms of alcohol use, 9.1% of adolescents aged 12-17 in Virginia had taken part in the behavior in the past month, slightly above the national average of 9.4%. 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.

    III. Finding Aftercare in Virginia

    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.

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    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.

    Name City Program Telephone Spanish Hotline
    12th Step Intergroup Harrisonburg AA (540) 434-8870 N/A
    Almost Heaven Area NA Almost Heaven Area (Berryville) NA (800) 777-1515 N/A
    Aswering Service Danville AA (434) 799-4111 N/A
    Battlefield Area NA Battlefield Area (Culpeper, Warrenton, Manassas) NA (800) 543-4670 N/A
    Beach Area NA Beach Area (Virginia Beach) NA (866) 972-5055 N/A
    Blackwell Southside Area NA Blackwell Southside Area NA (804) 965-1871 N/A
    Blue Ridge Area Intergroup Winchester AA (540) 667-0322 N/A
    Blue Ridge Area NA Blue Ridge Area NA (800) 777-1515 N/A
    Chesapeake & Potomac Region NA Chesapeake & Potomac Region NA (800) 543-4670 N/A
    District 16 Intergroup Hopewell AA (804) 452-1959 N/A
    District 8 Answering Service Hampton AA (757) 595-1212 N/A
    Dulles Corridor Area NA Dulles Corridor Area NA (800) 543-4670 N/A
    Jefferson District Intergroup Charlottesville AA (434) 293-6565 N/A
    New Dominion Area NA New Dominion Area (Greater Richmond) NA (804) 965-1871 N/A
    New River District 13 24-Hr. Phone Line Radford AA (877) 678-2282 N/A
    New River Valley Area NA New River Valley Area NA (800) 777-1515;(540) 307-0595 N/A
    Newport News Answering Service Newport News AA (757) 595-1212 N/A
    North Piedmont Central Office Lynchburg AA (434) 847-4733 N/A
    Northern Virginia Intergroup Fairfax AA (703) 293-9753;(800) 208-8649 N/A
    Outer Limits Area NA Outer Limits Area NA N/A N/A
    Peninsula Area NA Peninsula Area (Carrollton, Gloucester, Grafton, Hampton,Kilmarnock,N ewport News, Williamsburg) NA (866) 972-5055 N/A
    Piedmont Area NA Piedmont Area NA (800) 777-1515 N/A
    Rappahannock Area NA Rappahannock Area NA (800) 777-1515 N/A
    Richmond Area NA Richmond Area NA (804) 965-1871 N/A
    Richmond Intergroup Inc. Richmond AA (804) 355-1212 N/A
    Roanoke Intergroup Roanoke AA (540) 343-6857 N/A
    Roanoke Valley Area NA Roanoke Valley Area NA (800) 777-1515 N/A
    Shenandoah Valley Area NA Shenandoah Valley Area NA (800) 777-1515 N/A
    Tar Roanoke Area NA Tar Roanoke Area (Emporia) NA N/A N/A
    Tidewater Area NA Tidewater Area (Portsmouth, Chesapeake, Norfolk, Suffolk North East North Carolina) NA (866) 972-5055 N/A
    Tidewater Intergroup Virginia Beach AA (757) 490-3980 N/A
    Tri-Cities Area NA Tri-Cities Area NA (804) 965-1871 N/A
    Valley Intergroup Staunton AA (540) 885-6912 N/A
    Virginia Peninsula Service Center Newport News AA (757) 595-1212 N/A
    Williamsburg Area Intergroup Williamsburg AA (757) 253-1234 N/A

    Sober Living Homes

    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.

    IV. Substance Abuse in Virginia

    Overview

    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
    Ages: 12-17 Ages: 18+ Total Ages % of Virginia Population % of National Population
    Alcohol 12,000 372,000 384,000 4.51% 0.12%
    Cocaine 3,000 132,000 135,000 1.58% 0.04%
    Heroin 0 25,000 25,000 0.29% 0.01%
    Marijuana 65,000 759,000 824,000 9.67% 0.25%
    Methamphetamine 1,000 25,000 26,000 0.31% 0.01%
    Prescription Opioid 3,000 40,000 43,000 0.50% 0.01%

    Source: 2016-2017 National Survey on Drug Use and Health State-Specific Tables, Table 103

    * ‘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.

    6.49%

    of Virginia deaths are caused by drugs and alcohol

    12.71%

    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
    0-17 18+ All Ages
    Drug-Induced Deaths 86 33,178 33,265
    Alcohol-Induced Deaths 11 10,045 10,060
    Total Deaths 9,886 657,797 667,717
    Percentage of Drug & Alcohol-Induced Deaths 0.98% 6.57% 6.49%

    Source: CDC Wonder

    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.
    All Substances 24,367 100% 1.30%
    Alcohol (Including Alcohol Usage with Secondary Drug) 7,054 28.9% 0.38%
    Amphetamines (Including Methamphetamines) 1,288 5.3% 0.07%
    Cocaine (Including smoked and other usage) 2,079 8.5% 0.11%
    Hallucinogens 28 0.1% 0.00%
    Heroin 3,870 15.9% 0.21%
    Inhalants 18 0.1% 0.00%
    Marijuana 4,224 17.3% 0.22%
    Other Opiates (Including Prescription Opioids) 2,569 10.5% 0.14%
    Other Stimulants 82 0.3% 0.00%
    Other/Unknown Substances 2,807 11.5% 0.15%
    PCP 107 0.4% 0.01%
    Sedatives 36 0.1% 0.00%
    Tranquilizers 205 0.8% 0.01%

    Key Indicators of Substance Abuse Issues

    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.

     

    4.1%

    of Virginia adults had a serious mental illness

    6.3%

    of Virginia adults had a major depressive episode

    From 2017-2018, 4.1% of Virginia adults aged 18 and over were afflicted with a serious mental illness, equal to the national average of 4.1%. Among Virginia residents, 6.3% of adults suffered a major depressive episode in the past year, which is lower than the national rate of 7.1%.

    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
    Ages: 12-17 % of Virginia Population Ages: 18+ % of Virginia Population
    Major Depressive Episode 83,000 0.97% 431,000 5.06%
    Any Mental Illness No Data No Data 1,195,000 14.03%
    Serious Mental Illness No Data No Data 255,000 2.99%
    Serious Thoughts of Suicide No Data No Data 268,000 3.15%

    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
    Suicides in Virginia Suicide Rate Per 100,00 Suicides in the U.S. Suicide Rate Per 100,000
    Ages 10-14 No Data No Data 517 2.5
    Ages 15-24 163 14.5 6,252 14.5
    Ages 25-44 387 17.0 15,283 17.8
    Ages 45-64 416 18.5 16,543 19.6
    Ages 65-74 110 14.5 4,620 15.6
    Ages 75+ 96 18.8 3,948 18.6
    All Ages 1,179 13.9 47,163 14.5

    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.

    52.9

    opioid prescriptions per 100 Virginia residents, 2017

    58.7

    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.

    7

    of every 10,000 Virginia residents were homeless, 2018

    17

    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.

    Virginia Beach-Hampton

    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
    City of Virginia Beach Pembroke 6 Adult Outpatient Services Hampton Newport News Community Services Board Partners in Recovery City of Virginia Beach Child & Youth Behavioral Health Services
    Rehabilitation Services Provided 4.98 4.98 0.83
    Treatment Approaches 5.72 1.43 2.86
    Cost 8 8 8
    Special Programs for Unique Demographics 4.68 2.34 1.56
    Ancillary Services 3.35 3.35 7.37
    Total Score 5.6 4.1 3.5

    The percentage of drug- and alcohol-induced deaths in Virginia Beach-Hampton is almost identical to Virginia

    6.47%

    of Virginia Beach/Hampton deaths are caused by drugs and alcohol

    6.49%

    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
    0-17 18+ All Ages
    Drug-Induced Deaths 7 1,996 2,003
    Alcohol-Induced Deaths 2 835 837
    Total Deaths 759 43,137 43,900
    Percentage of Drug & Alcohol-Induced Deaths 1.19% 6.56% 6.47%

    Norfolk-Chesapeake

    The three highest-rated rehabilitation centers in the neighboring cities of Norfolk and Chesapeake are listed in the table below, along with each institution’s performance on our core metrics.

    The Highest-Rated, Low-Cost Rehabs in Norfolk-Chesapeake
    Norfolk Community Services Board Tidewater Drive Center City of Chesapeake Integrated Behavioral Healthcare  Agape Counseling & Therapeutic Services, Inc. Norfolk Office
    Rehabilitation Services Provided 9.13 2.49 0
    Treatment Approaches 5.72 5.72 4.29
    Cost 2 8 4
    Special Programs for Unique Demographics 7.02 3.9 1.56
    Ancillary Services 10 6.7 4.02
    Total Score 6.6 5.0 2.5

    The drug- and alcohol-induced death rate in Norfolk-Chesapeake aligns with the average for Virginia

    6.71%

    of Norfolk/Chesapeake deaths are caused by drugs and alcohol

    6.49%

    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
    0-17 18+ All Ages
    Drug-Induced Deaths 3 1,831 1,834
    Alcohol-Induced Deaths 3 731 734
    Total Deaths 824 37,430 38,256
    Percentage of Drug & Alcohol-Induced Deaths 0.73% 6.84% 6.71%

    Source: CDC Wonder

    Richmond

    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
    Chesterfield County Department of Mental Health Support Services Henrico Area Mental Health and Developmental Services Richmond Behavioral Health Authority 
    Rehabilitation Services Provided 4.98 2.49 2.49
    Treatment Approaches 4.29 4.29 1.43
    Cost 6 6 4
    Special Programs for Unique Demographics 7.8 4.68 2.34
    Ancillary Services 8.71 4.69 9.38
    Total Score 5.8 4.2 3.2

    Deaths due to drugs and alcohol in Richmond are at a lower rate than in Virginia

    5.67%

    of Richmond deaths are caused by drugs and alcohol

    6.49%

    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
    0-17 18+ All Ages
    Drug-Induced Deaths 2 794 796
    Alcohol-Induced Deaths 0 311 311
    Total Deaths 428 19,086 19,518
    Percentage of Drug & Alcohol-Induced Deaths 0.47% 5.79% 5.67%

    Source: CDC Wonder

    VI. Find Rehab in Virginia

    VII. Take Action

    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.