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Drug & alcohol rehab centers in Sacramento, CA

55 treatment centers in and around Sacramento, reviewed against accreditation and licensing standards. Filter by level of care, what you can pay, and who the program is built for. Below the listings: what rehab costs here, how to pay for it, and a note from one of our experts.

  • 42 outpatient programs
  • 26 inpatient rehabs
  • 22 detox clinics

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All 55 centers in Sacramento

Showing 1–25

Thumbnail Name Address Phone Treatment Insurance
Azure Acres Recovery Center Sacramento CA 95825

Azure Acres Recovery Center Sacramento

2641 Cottage Way Suite 8, Sacramento, CA 95825

Azure Acres Recovery Center's Sacramento Outpatient Treatment is a part time addiction recovery site for adults. You’ll find their historic lodge near Cottage Park among other businesses. You’ll get counseling, join a group for therapy and take part in family therapy. If you need more intense treatment, they can refer you to their live in treatment center. They're based in…

  • Outpatient
BAART Programs Norwood Sacramento CA 95838

BAART Programs Norwood Sacramento

310 Harris Avenue Suite A, Sacramento, CA 95838

Based in Sacramento, California, BAART Programs Norwood is an addiction treatment facility that specializes in support for adults struggling with substance abuse. Most private insurance plans, along with Medicare, Medicare Advantage, and Medi-Cal are accepted, along with self-pay. Drug Rehab Services in the Capital of California Here, you can expect a comprehensive range of personalized addiction treatment services and support.…

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance
CORE Medical Clinic CA 95816

CORE Medical Clinic

2100 Capitol Avenue, Sacramento, CA 95816

Located in Sacramento, California, CORE Medical Clinic provides specialized healthcare services for individuals struggling with opioid addiction. They started out back in 2009 and have been helping their patients ever since. This clinic primarily focuses on medication-assisted treatment (MAT) to help patients detox from severe drugs or alcohol. By receiving medication prescribed by health professionals, you'll detox safely and minimize…

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance
Fair Oaks Recovery Center CA 95825

Fair Oaks Recovery Center

2221 Fair Oaks Blvd, Sacramento, CA 95825

Fair Oaks Recovery Center is based out in Sacramento, California. They provide substance abuse and co-occurring mental health treatment for adults. When you step foot on their campus, you find a healing environment to begin recovery and long-term sobriety. Whole-Person Treatment Fair Oaks Recovery uses a person-centered approach to addiction care. They provide a supportive and healing setting that fosters…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Essential Behavioral Health CA 95826

Essential Behavioral Health

8950 Cal Center Dr #165, Sacramento, CA 95826

Essential Behavioral Health is a California based clinic that forms part of the Sprout Health Group’s addiction and behavioral health treatment services. Their location in western Sacramento, California, (located near Folsom Boulevard) is an outpatient clinic that’s set up to help people who need a flexible program to help them balance their recovery with other responsibilities. Thorough Intake Process They…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Diamond House Detox Sacramento CA 95828

Diamond House Detox Sacramento

6808 Fleming Ave, Sacramento, CA 95828

Diamond House Detox provides drug and alcohol treatment for adults. Clients have a safe and home-like setting with privacy to recovery. The program averages one to four weeks. You'll find them based in Sacramento, the capital of California. Holistic and Traditional Support Diamond House Detox provides holistic treatment methods to help your recovery. They emphasize nutrition to fuel your body…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing Bridges Professional Treatment Services

Bridges Professional Treatment Services

3600 Power Inn Rd C, Sacramento, CA 95826

Bridges Professional Treatment Services is a treatment center located in Sacramento, California. They provide a variety of addiction treatment services and programs which focus on rebuilding families and providing court mandated addiction care. Recovery That Sets You Up for a Stable Future Bridges’ programs use individual and group therapy and life skills development. They offer anger management classes as part…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Another Choice Another Chance

Another Choice Another Chance

7000 Franklin Boulevard Suite 625, Sacramento, CA 95823

Another Choice Another Chance, in Sacramento, California, provides mental and behavioral health care for youth and adults. They offer partial hospitalization (PHP), intensive outpatient (IOP), standard outpatient (OP), sober living, and aftercare programming, including specialized services for adolescents, young adults, trauma survivors, minorities, and persons with co-occurring addiction and mental illness. Their primary treatment modalities combine intensive individuals. group, and…

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance
WellSpace Health J Street Community Health Center CA 95811

WellSpace Health J Street Community Health Center

1820 J Street, Sacramento, CA 95811

Right in the heart of Midtown Sacramento, California, just a short walk from Capitol Park, WellSpace Health’s J Street Community Health Center is a safe and supportive spot for anyone looking to reclaim their health. Whether that's physically, mentally or emotionally. They've been doing this work for decades and they’ve got the experience, the team and the heart to back…

  • Outpatient
  • Medicaid
MedMark Treatment Centers Sacramento CA 95823

MedMark Treatment Centers Sacramento

7240 East Southgate Drive Suite G, Sacramento, CA 95823

MedMark Treatment Centers Sacramento is an outpatient opioid treatment center in Sacramento, California specializing in medication assisted treatment for opioid use disorder. The clinic pairs methadone or buprenorphine with comprehensive assessments and case management as well as relapse prevention education to help patients stay in recovery while maintaining daily responsibilities. What kinds of treatment are offered? MedMark Sacramento provides outpatient…

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance
River City Recovery Center CA 95816

River City Recovery Center

500 22nd Street, Sacramento, CA 95816

Since 1964, River City Recovery Center serves as a cornerstone of substance use disorder treatment in Northern California. This location is their residential Starlight Recovery facility and it’s conveniently located in Sacramento, California. Here, clients can focus on continuing their recovery in a comfortable, home-like environment. Healing the Heart of Midtown Located inside a multi-level Victorian home, Starlight Recovery brings…

  • Detox
  • Inpatient
  • Private insurance
Sacramento Native American Health Center CA 95811

Sacramento Native American Health Center

2020 J Street, Sacramento, CA 95811

Sacramento Native American Health Center, in Sacramento, California, offers outpatient, culturally-responsive addiction treatment for youth and adults. Their services include medical and mental health assessments, personalized care planning, comprehensive case management, and intensive individual, group, and family counseling drawing on proven modalities including CBT and DBT. Their integrative treatment model encompasses a variety of methods, including 12 step, SMART, Red…

  • Outpatient
  • Medicaid
  • Private insurance
Sacramento Recovery House CA 95816

Sacramento Recovery House

1914 22nd Street, Sacramento, CA 95816

Sacramento Recovery House in Sacramento, California is a non-profit organization offering residential care to men fighting mental health or addiction. The men are required to attend community meetings which provide additional support as part of the recovery journey. They are taught responsibility and self support while being provided a stable home-like environment. Multiple Plans and Assistance The Sacramento Recovery House…

  • Detox
  • Inpatient
  • Men
  • Private insurance
WellSpace Community Health Center CA 95828

WellSpace Community Health Center

8233 East Stockton Boulevard Suite A, Sacramento, CA 95828

South Valley Community Health Center in Sacramento, California offers adult and pediatric primary care, integrated behavioral health, and dental care. Treatment is offered for co-occurring disorders and substance use disorder. They have specialized programs for veterans and active duty military, seniors, those with HIV/AIDS, and transitional age adults. They are certified to offer services required by the judicial system as…

  • Outpatient
  • Medicaid
Transitions Buprenorphine Clinic of Sacramento

Transitions Buprenorphine Clinic of Sacramento

3647 40th St, Sacramento, CA 95817

Transitions Buprenorphine Clinic of Sacramento provides addiction medicine offering outpatient care and medication treatment in Sacramento, California. The clinic specializes in care for opioid dependence while supporting all types of substance use disorders and co-occurring mental health needs in adults. Built on a harm reduction, non-judgmental philosophy Transitions delivers stigma-free care that meets people where they are and makes recovery…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Sacramento Comprehensive Treatment Center CA 95823

Sacramento Comprehensive Treatment Center

7225 E Southgate Dr D, Sacramento, CA 95823

Sacramento Comprehensive Treatment Center is an outpatient opioid addiction treatment center in Sacramento, California providing medication assisted treatment for adults struggling with opioid use disorder. What kinds of opioid treatment are offered? The center provides outpatient detoxification, general outpatient treatment, and medication assisted treatment. Medication treatment uses methadone and buprenorphine as well as Suboxone or naltrexone. Counseling addresses behavioral and…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Kaiser Permanente South Sacramento Medical Center CA 95823

Kaiser Permanente South Sacramento Medical Center

6600 Bruceville Rd, Sacramento, CA 95823

Kaiser Permanente South Sacramento Medical Center is a full service medical campus in Sacramento, California offering comprehensive behavioral health services including psychiatry and addiction medicine. The facility provides adult and child outpatient care, intensive outpatient programs, addiction recovery services and interventional psychiatry options like TMS and ECT. Kaiser Permanente integrates behavioral health within a multidisciplinary medical setting, ensuring coordinated care…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing New Start Recovery Solutions Sacramento

New Start Recovery Solutions Sacramento

10396 Spiva Rd, Sacramento, CA 95829

New Start Recovery Solutions (NSRS) is an addiction treatment center situated on a 5 acre property in the southeastern corner of Sacramento, California. Their facility is designed specifically to provide residential detox and rehabilitation programs that are accredited by the Joint Commission. They offer their individualized care to adult men and women, and have specialized services to care for the…

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Map showing Saint Johns Program for Real Change

Saint Johns Program for Real Change

8395 Jackson Rd, Sacramento, CA 95826

Saint Johns Program for Real Change is a rehab located in Sacramento, California. Saint Johns Program for Real Change specializes in the treatment of addiction.

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance
Male Community Reentry Program CA 95811

Male Community Reentry Program

1515 S Street Suite 415-South, Sacramento, CA 95811

The Male Community Reentry Program (MCRP) is a community based reentry and substance use treatment program in Sacramento, California operated by the California Department of Corrections and Rehabilitation. They use a phased assessment driven model focused on rehabilitation, recovery, and successful reintegration. Reentry and Addiction Treatment Each participant begins with an assessment and moves through a phased program based on…

  • Detox
  • Inpatient
  • Men
  • Private insurance
Better Decisions Counseling Services CA 95827

Better Decisions Counseling Services

10366 Rockingham Drive, Sacramento, CA 95827

Better Decisions Counseling Services is an outpatient addiction treatment center in Sacramento, California providing substance use and mental health care for adults, young adults and families. This private non profit program offers outpatient treatment for drug and alcohol addiction along with support for co-occurring disorders. The practice blends evidence based counseling with specialized services to address the full scope of…

  • Outpatient
  • Private insurance
Crestwood Behavioral Health Sacramento CA 95817

Crestwood Behavioral Health Sacramento

2600 Stockton Boulevard, Sacramento, CA 95817

Crestwood Behavioral Health Sacramento is a behavioral health and co-occurring disorders treatment program in Sacramento, California located at 2600 Stockton Boulevard. The facility serves adolescents and adults who need support for mental health concerns, including ongoing mental health issues related to substance use disorder. Part of a California network with more than 50 years of service, Crestwood emphasizes a recovery…

  • Inpatient
  • Private insurance
Gateway House for Women CA 95817

Gateway House for Women

4049 Miller Way, Sacramento, CA 95817

Gateway House for Women is a transitional living facility for women who are living a sober lifestyle. They provide sober living and outpatient addiction treatment for women. The focus of Gateway House is to provide women with the tools they need to live sober and offer a home-like environment for them to thrive in recovery. Treatment at this facility consists…

  • Inpatient
  • Women
  • Private insurance
Heritage Oaks Hospital CA 95841

Heritage Oaks Hospital

4250 Auburn Boulevard, Sacramento, CA 95841

Heritage Oaks Hospital in Sacramento, California provides inpatient and outpatient behavioral health and addiction treatment. The facility serves teens, adults and seniors managing co-occurring disorders, chemical dependency, anxiety, depression, bipolar disorder, PTSD and crisis-related needs. With individualized, trauma-informed care Heritage Oaks helps people stabilize, heal and regain quality of life across every stage of recovery. Dual-Diagnosis Focus Heritage Oaks specializes…

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance
New Dawn Treatment Centers CA 95827

New Dawn Treatment Centers

9960 Business Park Drive Suite 160, Sacramento, CA 95827

New Dawn Treatment Centers, in Sacramento, California, is a luxury drug and alcohol rehab for adults. They offer dual diagnosis care, medically supervised detox, medication assisted treatment (MAT) for clients in opioid recovery, and inpatient, partial hospitalization (PHP), intensive outpatient (IOP), standard outpatient (OP), and alumni programming. Their integrative treatment model combines 12 step-focused programming, Conscious Recovery models, and trauma-informed…

  • Outpatient
  • Private insurance

Find rehabs near Sacramento

View more listings near Sacramento or search by the letter of cities in California.

Natalie Baker, JD Law, MBA

National Account Representative for MRC

Full bio Full bio

Expert insight

“I think this will lead to better outcomes.”

I loved hearing in the news that there is a new treatment center in Sacramento that’s run by people who have overcome addiction themselves. As a person who has recovered, I can see how hard it is to engage with providers who don’t truly understand substance use disorders. As one of the most stigmatized mental health conditions, many providers still believe drug use and addiction are an issue of morality, even though they know it is a valid behavioral health condition. With providers who have lived experience, much like peer programs, I believe treatment will be more successful because they can empathize with patients, share their own experiences and gain more trust with clients.

Frequently asked questions

What to know about rehab in Sacramento

How We Rank Listings

Every facility on Addictions.com is included on verifiable, objective information, not paid placement. We prioritize licensing and accreditation status, the range of treatment levels a center actually provides, the payment types and insurance plans it accepts and the specialty populations it is equipped to serve. Listings are compiled from state licensing records, national accreditation databases and facility-reported program details, then organized so people searching for care in Sacramento can compare options side by side.

When you view a Sacramento listing, you can see at a glance which programs offer medical detox, residential care or outpatient services, and which accept Medi-Cal, Medicare, private insurance or self-payment. Our goal is to make the first step toward treatment clearer, so you can focus on finding the right fit rather than sorting through marketing claims.

Rehab in Sacramento: What to Know

Sacramento is the seat of Sacramento County and the hub of the four-county capital region, and it sits at the center of one of California's most active public behavioral health systems. 57 rehab facilities in and around the city offer a full continuum of care, from supervised withdrawal management through long-term outpatient support. If you are comparing programs across the wider region, the California rehab directory lists options statewide alongside the Sacramento centers below.

Treatment in Sacramento is coordinated in large part through the Sacramento County Division of Behavioral Health Services, which contracts with a network of community-based providers to deliver outpatient services, medication-assisted treatment, withdrawal management, residential treatment, perinatal services and sober living. Residents can reach the county's Behavioral Health Services Screening and Coordination (BHS-SAC) call center 24 hours a day at (916) 875-1055 for a brief screening and a referral to an appropriate provider. Established local providers such as WellSpace Health and the Sacramento Native American Health Center anchor much of the region's outpatient and MAT capacity.

Fentanyl has driven the sharpest recent changes in Sacramento's substance use picture. Fentanyl contributed to roughly 280 deaths in Sacramento County in 2024, down about 31 percent from the prior year, after a record spike in 2023. County officials credit a combination of expanded treatment, naloxone distribution and outreach teams for the decline, though overdose remains a daily emergency for first responders. Understanding the current landscape of addiction treatment options can help you or a loved one act on that momentum rather than wait.

Because opioids, and fentanyl in particular, account for so much of the local crisis, many Sacramento programs pair medication-assisted treatment with counseling and behavioral health support. Alcohol remains the most commonly treated substance across the city's facilities, so most centers are equipped to handle a range of needs rather than a single drug.

Located in Sacramento County, the capital region hub 57 facilities in and around the city
County screening and referral line open 24/7 BHS-SAC (916) 875-1055
30 facilities offer opioid-focused treatment MAT widely available
44 facilities treat alcohol use disorder the most commonly treated substance locally
Cost of Rehab in Sacramento

There is no single price for rehab in Sacramento, because cost depends on the level of care, the length of the program and whether you use insurance or public funding. As a regional anchor, residential treatment in California averages about $56,654 for a stay of 30 days or more, according to the National Center for Drug Abuse Statistics. Outpatient care generally costs a fraction of that. Because published, verified figures specific to Sacramento are limited, treat the statewide numbers below as a planning baseline; actual costs in the capital region tend to sit at or near the California average.

Cost should not be the reason anyone delays care. Verifying your benefits often reveals that the real out-of-pocket cost is far lower than the sticker price, and Sacramento County's public system covers most services at no charge for eligible Medi-Cal members. The factors below have the biggest effect on what you will actually pay.

Level of care detox and residential cost more than outpatient
Length of program 30, 60, or 90 days
Whether the facility is in-network with your plan verify before admission
Public and grant funding Drug Medi-Cal, sliding-scale, scholarships
Amenities and setting standard versus private or specialized programs

If you have coverage, start by verifying your rehab benefits, so you know what your plan will approve. If you do not, rehab scholarships and county-funded programs can close much of the gap.

How to Pay for Rehab in Sacramento

Across Sacramento's 57 facilities, the payment picture is broad: 50 accept self-payment, 38 accept private insurance, 20 accept Medi-Cal and 10 accept Medicare, with additional options for sliding-scale fees, financial assistance and military benefits. That range means most people have more than one route to covering treatment, especially once benefits are verified.

The right payment path usually comes down to what coverage you already have and how quickly you need to enter care. The sections below break down the most common options for Sacramento residents.

Medicare

Medicare covers substance use treatment for eligible older adults and people with qualifying disabilities. Part A helps pay for inpatient hospital-based care, while Part B covers many outpatient services, including certain intensive outpatient programs and, for opioid use disorder, medications such as methadone and buprenorphine in approved settings. Ten Sacramento facilities accept Medicare, though coverage is never automatic, so it helps to confirm which services and settings your plan approves before you enroll in a program.

Medicaid (Drug Medi-Cal)

In California, Medicaid is called Medi-Cal, and substance use treatment is delivered through Drug Medi-Cal and the Drug Medi-Cal Organized Delivery System (DMC-ODS). Sacramento County participates in DMC-ODS, which means eligible residents can access outpatient services, withdrawal management, residential treatment and medication-assisted treatment, often at no cost. Twenty Sacramento facilities accept Medi-Cal. To start, call the county's BHS-SAC line at (916) 875-1055 for eligibility screening and authorization. Because Medi-Cal covers medication-assisted treatment for opioid and alcohol use disorders, it is often the most direct route to MAT for uninsured and low-income residents.

Military Benefits

Six Sacramento facilities accept TRICARE, the health program for active-duty service members, retirees and their families. Veterans in the region can also access care through the VA, and the broader network of rehab resources for veterans and military families can help connect eligible individuals to covered treatment.

Insurance and Private Pay

Private insurance is the most widely accepted payment type in Sacramento, taken by 38 facilities, and under the Affordable Care Act most plans must cover mental health and substance use treatment. Fifty facilities also accept self-payment for those who prefer to pay directly or whose plan is out of network. Even with private coverage, your final cost depends on your deductible, network status and the length of care approved, so confirm the details with your plan before admission.

Other Low-Cost Options

For underinsured residents, 11 Sacramento facilities offer sliding-scale fees based on income and 20 offer some form of financial assistance. County behavioral health programs, community health centers and nonprofit providers add further capacity for people who cannot pay standard rates.

Free Treatment Programs

At least one Sacramento facility offers fully free treatment, and the county's publicly funded system delivers no-cost services to most eligible Medi-Cal members through contracted providers. If cost is the main barrier, rehab scholarships and county-funded slots can make treatment reachable even without insurance.

Major insurance carriers accepted across Sacramento-area facilities include:

  • Aetna
  • Anthem Blue Cross
  • Blue Shield of California
  • Cigna
  • Health Net
  • Kaiser Permanente
  • Medi-Cal
  • Medicare
  • TRICARE
  • UnitedHealthcare
Levels of Care Available in Sacramento

Sacramento offers the full continuum of addiction care, with 24 facilities providing medical detox, 28 offering inpatient rehab, 42 delivering standard outpatient services and 31 equipped to treat co-occurring mental health conditions. The right entry point depends on the severity of the substance use, whether withdrawal needs medical supervision and how much daily structure a person requires.

Medical detox is usually the first step for anyone with physical dependence, providing 24-hour monitoring to manage withdrawal safely. Because withdrawal from alcohol, benzodiazepines and opioids can be dangerous, supervised medical detox is strongly recommended over quitting alone.

Inpatient and residential rehab follows detox for many people, offering a structured, live-in environment with therapy, group work and clinical support. This level suits more severe cases or people whose home environment makes recovery difficult; learn more about residential treatment and what to expect.

Outpatient and intensive outpatient programs let people live at home while attending scheduled treatment. With 42 outpatient providers, Sacramento has deep capacity at this level, which works well for milder cases or as a step down from residential care. Explore how outpatient rehab and intensive outpatient programs are structured.

Partial hospitalization programs sit between residential and outpatient care, offering day treatment with a return home each evening. Sacramento has a smaller number of these programs, so availability can be limited; read about partial hospitalization to see whether it fits.

Dual diagnosis programs treat substance use alongside conditions such as co-occurring depression or anxiety, which is common. With 31 facilities offering integrated care, most Sacramento residents with a mental health condition can find a program equipped to treat both at once.

Recovery does not end when a program does. Eight sober living homes and a range of rehab aftercare options in Sacramento help people maintain progress and rebuild stability after treatment.

Specialty Programs in Sacramento

Sacramento's facilities include a wide range of programs tailored to specific populations, so people can find care that reflects their circumstances and identity. Gender-specific tracks, young adult programs and substance-specific treatment are all well represented across the city.

With 44 programs treating alcohol use disorder, alcohol is the most commonly addressed substance in Sacramento, while 30 programs focus on opioid use disorder, reflecting the local fentanyl crisis. Nine facilities provide LGBTQ+ affirming addiction care and four offer dedicated services for veterans and active-duty military. Young adults have 39 programs to choose from, an important option given how early substance use often begins.

Free and Low-Cost Rehab Resources in Sacramento

Sacramento County maintains one of the more developed public and community-based safety nets in the state, so cost and insurance status do not have to stand between a resident and help. The resources below are free or low-cost and, in many cases, available regardless of ability to pay. If you or someone you know is in immediate danger, call 911.

Crisis and Screening Lines

These lines are the fastest way to reach a person who can help, whether the need is a mental health crisis or a first step toward treatment. The 988 line offers free crisis support and suicide prevention around the clock.

  • 988 Suicide and Crisis Lifeline — Call or text 988. Free, confidential crisis support, 24/7.
  • SAMHSA National Helpline — 1-800-662-HELP (4357). Free, confidential treatment referral and information service, 24/7.
  • Sacramento County BHS-SAC Screening and Coordination — (916) 875-1055 or toll-free (888) 881-4881. Brief screening and referral to substance use and mental health services, 24 hours a day.
  • Sacramento County Adult System of Care Assessment Line — (916) 874-9754 for a substance use assessment and treatment matching.

County Behavioral Health

  • Sacramento County Division of Behavioral Health Services — 3321 Power Inn Road, Suite 120, Sacramento, CA 95826. Coordinates county-funded outpatient, residential, withdrawal management and MAT services. dhs.saccounty.gov
  • Mental Health Urgent Care Clinic (MHUCC) — 2130 Stockton Blvd, Bldg 300, Sacramento, CA 95817; (916) 520-2460. Walk-in mental health and co-occurring substance use support, no appointment necessary. https://www.tpcp.org/program/urgent-care/

Harm Reduction

  • Harm Reduction Services (HRS) — (916) 247-2335. Free syringe services, naloxone, HIV and hepatitis C testing and treatment referrals; also operates a mobile program across the county. hrssac.org
  • Safer Alternatives thru Networking and Education (SANE) — 2211 Del Paso Blvd, Sacramento, CA 95815. Syringe services and a medication-access program; partners with NEXT Distro for naloxone by mail. staysafer.org
  • Free naloxone (Narcan) — Available at no cost in Sacramento County. Call (916) 875-2050 or visit SaferSacramento.com.

Community and Faith-Based Providers

Government and Enrollment Help

Drug and Alcohol Use Statistics in Sacramento

Sacramento County's overdose picture shifted sharply between 2023 and 2024. After a record spike, fentanyl-related deaths fell by roughly 31 percent, a decline county officials attribute to expanded treatment, widespread naloxone distribution and mobile outreach teams. The figures below show both the scale of the crisis and the recent progress, drawn from the Sacramento County Coroner's Office and state and federal public health sources.

The local decline in opioid-related deaths mirrors a broader statewide downturn in overdose mortality reported by the California Department of Public Health. Even so, the treatment gap remains the central challenge: statewide, only about 1 in 10 Californians with a substance use disorder received specialty treatment, meaning roughly 90 percent went untreated.

The scale of unmet need is why the county's screening line and public treatment system matter so much locally. For national context on how substance use and treatment access compare across the country, see the latest national substance use statistics.

Medical reviewer

Jillian Foglesong Stabile, MD

Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…

Read bio

Author

Natalie Baker, JD Law, MBA

Natalie Baker is a freelance writer and a former practicing attorney who enjoys helping other women reach their potential. She also serves as a Co-Editor for the DRI Young Lawyers’ Raising the Bar publication and was the 2019 Marketing Chair…

Read bio
Sources Sources (8)
  1. Sacramento County Coroner's Office. (2025). Fentanyl Deaths, Sacramento County (Case Statistics Dashboard).
  2. Sacramento County Department of Health Services, Division of Behavioral Health Services. (2025). Substance Use Prevention and Treatment (SUPT) Entry Point.
  3. California Department of Health Care Services. (2025). Substance Use Disorder County Access Lines.
  4. National Center for Drug Abuse Statistics. (2024). Average Cost of Drug Rehab by Type and State.
  5. Substance Abuse and Mental Health Services Administration. (2022). National Survey on Drug Use and Health: California State Tables.
  6. California Department of Public Health. (2025). California Overdose Surveillance Dashboard.
  7. Harm Reduction Services. (2025). Syringe Service Program.
  8. Cal Voices. (2025). SacMap Substance Use Disorder Treatment and Prevention Services.

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