Drug & alcohol rehab centers in San Jose, CA

Medically reviewed by Jillian Foglesong Stabile, MD Written by Olivia Pennelle

66 treatment centers in and around San Jose, 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.

49 outpatient programs
35 inpatient rehabs
25 detox clinics

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Featured centers in California

All 66 centers in San Jose

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Thumbnail	Name	Address	Treatment	Insurance
	New Life Recovery Centers	782 Park Avenue Suite 1, San Jose, CA 95126 New Life Recovery Centers provides substance abuse treatment in San Jose, California. They offer traditional and holistic care to treat addiction and understand that facing recovery can be daunting, so they partner with you at each step of the process. Supervised Detox New Life Recovery offers a safe, structured program for guests to detox. Medication assisted treatment (MAT) is available…	Detox Inpatient Outpatient	Private insurance
	Support Systems Homes Inc.	1202 Meridian Avenue, San Jose, CA 95125 With their addiction treatment center located in San Jose, California, Support Systems Homes’ Willow Glen Center provides a large range of services to help individuals who are trying to overcome substance misuse disorders. Signing Up at Willow Glen They offer residential rehabilitation and outpatient rehabilitation as their levels of care, as well as a more intensive day treatment program that…	Detox Inpatient Outpatient Men	Private insurance
	Support System Homes San Jose Residential Rehab Center	264 North Morrison Avenue, San Jose, CA 95126 Support System Homes San Jose Residential Rehab Center in San Jose, California, is a place where you can begin recovery in a setting that prioritizes safety, structure and compassion. The center provides a full range of addiction treatment services including medically assisted detox, inpatient care and outpatient support. You’ll find programming that adapts to your needs, whether you require day…	Detox Inpatient Outpatient	Private insurance
	Wellness Retreat Recovery Center	10615 Crothers Road, San Jose, CA 95127 The Wellness Retreat Recovery Center is located in San Jose, California, and provides treatment services for mental health and substance abuse disorders. The facility offers a residential program, outpatient care, Refuge Recovery, and aftercare services. They accept most private insurance plans, self-payment, and, in some cases, out of network insurance. Medicare and Medi-Cal are not accepted. Serenity in San Jose…	Detox Inpatient
	Second Chance Sobriety Homes	2874 La Jolla Ave, San Jose, CA 95124 Second Chance Sobriety Homes operates the La Jolla SLE House, a sober living home in San Jose, California offering structured, substance free housing for adults in recovery from alcohol and drug addiction. This co-ed residence supports clients transitioning back into the community through peer accountability and recovery engagement. The program emphasizes safe and structured living for those who are sober…	Detox Inpatient Outpatient	Private insurance
Overwhelmed by the list? That’s normal. Tell a specialist your situation and insurance and get two or three centers that fit, usually in one call. No obligation. Call 800-785-0495
	Silicon Valley Recovery	1189 Curtner Avenue, San Jose, CA 95125 Silicon Valley Recovery is located in a residential corner of suburban San Jose, California, and is a drug and alcohol addiction treatment center that offers many services for individuals trying to recover from addiction. They offer both residential treatment and outpatient care, with their outpatient services spanning from their partial hospitalization program to their intensive outpatient program. They also have…	Detox Inpatient Outpatient	Private insurance
	Amicus House	593 Edelweiss Drive, San Jose, CA 95136 The Amicus House in San Jose, California, is a transitional living, sober living, or work release program for incarcerated individuals. Insurance coverage may be possible for services outside of residency. The monthly fee for living at Amicus House will vary depending on whether you’re there for transitional/sober living or as a part of the work release program. Substance Use Recovery…	Inpatient Outpatient
	Kaiser San Jose Addiction Medicine and Recovery Services	275 Hospital Parkway Suite 370, San Jose, CA 95119 Kaiser Permanente Addiction Medicine and Recovery Services at San Jose Medical Center is a hospital-affiliated addiction program for adults and adolescents in San Jose, California. The program supports individuals affected by alcohol and drug addiction with detox, education and outpatient treatment, while actively involving families in the recovery process. Built on the belief that addiction is a family disease Kaiser…	Detox Inpatient Outpatient	Private insurance
	Pathway Society – Mariposa Lodge	9500 Malech Road, San Jose, CA 95138 Mariposa Lodge Women’s Treatment Center provides drug and alcohol rehab in San Jose, California. The lodge focuses on treating the unique issues women face when experiencing addiction. It is run by the Pathway Society, which emphasizes community wellness. Flexibility and Structure The Mariposa Lodge provides a secure, safe space for women to focus on healing and includes flexible options for…	Detox Inpatient Women
	Pathway Society Inc	1530 The Alameda, UNIT 301, San Jose, CA 95126 Pathway Society in San Jose, California, was founded in 1964 as a nonprofit organization. They treat adults and their families who are suffering because of substance abuse. The facility is licensed and certified by the State of California Department of Healthcare Services. They accept several insurance coverages and can provide options for those who are uninsured or underinsured. Medically Supported…	Inpatient
	Santa Clara County Mental Health	1075 East Santa Clara Street, San Jose, CA 95116 Santa Clara County Mental Health in San Jose, California, is a public resource that offers outpatient and residential treatment for mental health and substance use disorders. You can access a wide range of services including individual therapy, group counseling, detox assistance and long-term care in structured environments. Their programs are designed to support your specific needs through a trauma informed…	Outpatient	Medicaid
	Alexian Health Clinic~Medication Assisted Treatment	2101 Alexian Drive, Suite A/B, San Jose, CA 95116 Alexian Health Clinic Medication Assisted Treatment is a County of Santa Clara outpatient substance use clinic in San Jose, offering medication assisted treatment for adults, young adults and seniors. The clinic provides methadone, buprenorphine and naltrexone treatment alongside counseling for substance use disorders. As part of the county's public behavioral health system, Alexian connects clients to accessible, comprehensive care designed…	Detox Outpatient	Medicaid Private insurance
	Starlight Community Services	1885 Lundy Avenue, STE 223, San Jose, CA 95131 The North Center of Starlight Community Services in San Jose, California, offers treatment for ages two to 25 who reside in Santa Clara County. Clients must get approval from the Santa Clara County Department of Mental Health in order to receive treatment. The program offers many services to clients who are referred. The Recovery Youth Substance Use Outpatient Services Program…	Outpatient	Medicaid
	Summit Estate Recovery – San Jose Silicon Valley Outpatient Program	7280 Blue Hill Drive, 7, San Jose, CA 95129 Summit Estate Recovery Center is a facility that offers residential treatment and three different levels of outpatient care for individuals struggling with addiction. They’re located just a few minutes outside the center of San Jose, California. Relaxation in San Jose What really sets the Summit Estate apart from other recovery spots is its environment. Patients can take a walk through…	Detox Inpatient Outpatient	Private insurance
	San Jose VA Clinic	5855 Silver Creek Valley Place, San Jose, CA 95138 San Jose VA Clinic, in San Jose, California, provides outpatient addiction treatment for military personnel, veterans, and families, including medically supervised detox and partial hospitalization (PHP), intensive outpatient (IOP), standard outpatient (OP), and aftercare services. Dedicated programming is available for adolescents, young adults, seniors, LGBTQ+ persons, Spanish-language speakers, persons with hearing impairments, homeless and indigent persons, and persons with co-occurring…	Detox Outpatient	Private insurance
	Support System Homes	264 North Morrison Avenue, San Jose, CA 95126 Support System Homes is a drug and alcohol rehab in San Jose, California offering a comprehensive 12 step focused continuum of care for adults with substance use disorders. With specialized services for young adults and justice involved clients as well as those with co-occurring mental health conditions, Support System Homes combines evidence based and holistic care under one provider. Medical…	Detox Inpatient Outpatient	Private insurance
	Elevate Addiction Services San Jose	2880 Zanker Rd #216, San Jose, CA 95134 Elevate Addiction Services is an outpatient addiction treatment provider in San Jose, California offering a non-12 step holistic approach to drug and alcohol recovery. The San Jose program centers on an Intensive Outpatient Program with counseling and group support, Smart Recovery meetings, relapse prevention planning, and a 6 month aftercare plan. What kinds of addiction treatment are offered? The San…	Detox Inpatient Outpatient	Private insurance
	California Rehabilitation Help Center and Addiction Treatment Program	1989 Lundy Ave STE #34, San Jose, CA 95131 California Rehabilitation Help Center and Addiction Treatment Program is an addiction treatment provider in San Jose, California offering a full continuum of substance use care for adults. The program combines services like medically supervised detox with inpatient, outpatient and aftercare services, alongside counseling and life-skills support. Medically Supervised Detox The program provides medically supervised detox where guests can focus solely…	Detox Inpatient Outpatient	Private insurance
	San Jose Behavioral Health Hospital	455 Silicon Valley Blvd, San Jose, CA 95138 San Jose Behavioral Health Hospital is a 133 bed acute psychiatric hospital licensed by the State of California. They provide comprehensive inpatient and outpatient care for adults and adolescents facing mental health and behavioral health challenges. The facility treats depression, anxiety and bipolar disorder, schizophrenia and PTSD, OCD and other conditions using evidence based therapies including CBT and DBT, trauma…	Detox Outpatient
	Advent Group Ministries	90 Great Oaks Boulevard Sutie 108, San Jose, CA 95119 Advent Group Ministries is a faith-based, 12 step-focused drug and alcohol rehab for adolescents and adults in San Jose, California. They offer short and long-term residential care for adolescents and outpatient treatment for clients of all ages, including specialized programming for persons with co-occurring addiction and mental illness. Their primary treatment modalities integrate individual, group, and family counseling with age…	Inpatient Outpatient	Private insurance
	CityTeam Mens Program	580 Charles Street, San Jose, CA 95112 CityTeam in metropolitan San Jose, California, is an emergency overnight shelter for men. Homeless men can come to the shelter seven days per week at 4:30 pm for a shower, bed, medical care, and clothes if needed. Hot meals are served seven days per week at 9:15 am and 5:00 pm. Referral for Residential Treatment If you need residential treatment…	Inpatient Outpatient Men
	A Path To Recovery	950 S Bascom Ave Suite 104, San Jose, CA 95128 A Path to Recovery is a behavioral health facility set up by Chris Packham. He specializes in outpatient co-occurring disorder treatment for adults. You'll find it based in a metropolitan corner of San Jose, California. While offering individual, couples and group counseling, his core strength is an integrated approach that simultaneously addresses addiction and mental health. This method provides clients…	Detox Inpatient Outpatient	Private insurance
	Nugent Counseling Center Inc	950 S Bascom Ave Suite 2010, San Jose, CA 95128 Nugent Counseling Center Inc is a rehab located in San Jose, California. Nugent Counseling Center Inc specializes in the treatment of addiction.	Detox Outpatient
	Support Systems Homes Willow Glen Center	1202 Meridian Avenue, San Jose, CA 95125 Support Systems Homes Willow Glen Center is a San Jose addiction treatment facility serving adults and young adults, men and women across Northern California. The program treats alcohol use disorder and opioid addiction, substance abuse and co-occurring mental health conditions through residential, outpatient and detox, sober living and aftercare services. With a focus on long term recovery, Support Systems Homes…	Outpatient
	ADI OP Outpatient Services	1954 Camden Avenue Suite 1, San Jose, CA 95124 ADI OP Outpatient Services, operated by Alert Driving, Inc. is a California state-licensed DUI program based in San Jose. The program serves men and women ordered by the court or California DMV to complete DUI education and related compliance services. With more than 45 years of experience ADI OP focuses on helping clients meet their requirements through flexible, accessible outpatient…	Outpatient	Private insurance

Find rehabs near San Jose

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Olivia Pennelle

Counselor, Expert Author, Podcaster

Full bio Full bio

Expert insight

“I think these doctors’ are onto something special and I hope other EDs take on a similar program.”

As the opioid crisis continues, we are now seeing the likes of deadly drug fentanyl now killing teens and young adults. As someone who has witnessed teen substance use and seen it ravage friends' lives, I was pleasantly surprised to see what researchers have been doing in San Jose. Doctors working at a hospital in San Jose noted the shortage of treatment options for teens coming into the ED with opioid use issues. Feeling helpless, these doctors started a pilot program to start teens on treatment while they’re still in the ED, and their research shows this method of treatment can lead to longer term success. I certainly believe that had my friends had earlier intervention their substance use may not have progressed to the sometimes-deadly stages it did.

Frequently asked questions

What to know about rehab in San Jose

How We Rank Listings

The San Jose rehab listings on this page are drawn from a vetted directory of licensed and accredited addiction treatment providers serving Santa Clara County. We surface facilities that hold current state licensure with the California Department of Health Care Services and, where available, third-party accreditations such as the Joint Commission, CARF, or LegitScript certification.

Listings are organized to help treatment seekers compare programs by level of care, payment options, and specialty programs. Sponsored placements are clearly labeled, and sponsorship does not affect whether a facility appears in our directory or how it is described. Facility profiles draw from public regulatory sources and operator-provided information, and we encourage every reader to verify current services, insurance acceptance, and admission criteria directly with the program before making a treatment decision.

Rehab in San Jose: What to Know

San Jose is the largest city in Santa Clara County and the cultural and economic center of the South Bay region of the San Francisco Bay Area. Treatment seekers in the city can choose from 67 licensed addiction treatment providers within the city limits, with hundreds more addiction treatment options available across the broader nine-county Bay Area.

Most San Jose programs operate within the framework of the California rehab directory, drawing on a regional treatment infrastructure anchored by Santa Clara County Behavioral Health Services, Stanford Health Care, Kaiser Permanente, and Santa Clara Valley Medical Center.

The county's Behavioral Health Services Department operates the central access point for publicly funded substance use treatment. Residents can call the Behavioral Health Call Center at (800) 704-0900 or the Substance Use Services line at (800) 488-9919 to be screened and referred to detox, residential, or outpatient programs in the local provider network. Most San Jose programs accept Medi-Cal through the county's Drug Medi-Cal Organized Delivery System (DMC-ODS), which covers the full continuum of care for eligible residents.

There has been a sharp shift in substance use patterns in San Jose over the past five years. Methamphetamine remains the substance most often cited on overdose death records in Santa Clara County, while fentanyl has driven a rapid increase in opioid fatalities since 2018.

County data show that fentanyl was involved in more than 70% of drug overdose deaths in 2023, and polysubstance use, particularly methamphetamine combined with fentanyl, has been rising sharply. Local treatment providers have expanded medication-assisted treatment for opioid use disorder and integrated stimulant use protocols in response.

The County of Santa Clara launched the public-facing overdose prevention hub at odfreescc.org and the FentFacts youth awareness campaign in partnership with BHSD. Free naloxone is distributed through county vending machines, mail-order, and community partner sites, and fentanyl and xylazine test strips are available at no cost to anyone in the county. These prevention resources sit alongside the formal treatment system and are designed to keep people alive long enough to access care when they are ready.

San Jose treatment seekers also have access to programs throughout the South Bay and Peninsula, including detox and residential beds in nearby Santa Cruz, San Mateo, and Alameda counties when local capacity is tight. Treatment in those areas is typically reachable within a 45- to 75-minute drive and can be a practical option when timing or specialty programming matters more than proximity.

67 licensed addiction treatment providers in San Jose 25 detox, 35 inpatient, 45 outpatient

Santa Clara County Behavioral Health Call Center (800) 704-0900, 24/7

Fentanyl involved in more than 70% of opioid overdose deaths in 2023

Free naloxone, fentanyl test strips, and harm reduction services countywide

Population about 1.9 million in Santa Clara County

Cost of Rehab in San Jose

California ranks 23rd nationwide for addiction treatment affordability, with an average overall cost of $56,654 across all levels of care. San Jose sits in one of the highest-cost regions of the state, so treatment seekers in Santa Clara County should generally expect costs at or above the California averages, particularly for inpatient and residential programs.

Insurance, sliding-scale fees, county-funded care, and scholarships all bring the out-of-pocket figure well below these gross numbers for most people. Verifying your rehab benefits before admission is one of the single best ways to control your final cost.

These figures represent the full cost of treatment without insurance. Most patients pay a fraction of these averages once private insurance, Medi-Cal, or Medicare coverage is applied. Outpatient and intensive outpatient programs are the most common starting points for working adults and parents who cannot leave their home or job for a residential stay.

Treatment setting inpatient, residential, or outpatient

Duration of program 30, 60, 90 days, or longer

Amenities and program style standard versus luxury or executive

Insurance plan and in-network status

Sliding-scale fees and county or grant funding

Medical complexity and dual-diagnosis needs

Location within the Bay Area city center versus suburban

How to Pay for Rehab in San Jose

Across the 67 addiction treatment providers in San Jose, payment options include private insurance, Medi-Cal, Medicare, self-pay, sliding-scale fees, financial assistance, financing, and TRICARE. The grid below summarizes how many local programs accept each payment type. Most programs accept more than one, so the totals overlap.

Medicare

Medicare and Medicare Advantage plans cover medically necessary addiction treatment for eligible adults at the inpatient, residential, partial hospitalization, intensive outpatient, and standard outpatient levels.

Coverage typically includes psychiatric evaluation, medication management, individual and group counseling, and MAT for opioid and alcohol use disorder. Deductibles, copays, and day limits apply, so it is worth confirming exactly what your plan covers and which San Jose providers are in-network before admission.

Medi-Cal

Medi-Cal is California's Medicaid program and covers addiction treatment through the Drug Medi-Cal Organized Delivery System (DMC-ODS). In Santa Clara County, this includes detox, residential treatment, outpatient and intensive outpatient care, MAT, recovery housing, and aftercare services. Access starts with the Santa Clara County Behavioral Health Substance Use Services line at (800) 488-9919, which screens callers and refers them to the county provider network. Medi-Cal also covers medication-assisted treatment with methadone, buprenorphine, and naltrexone for opioid use disorder.

Military Benefits

Veterans living in San Jose can access substance use treatment through the VA Palo Alto Health Care System, which includes the San Jose Community-Based Outpatient Clinic on Silver Creek Valley Place. Outpatient SUD care, MAT, and integrated mental health treatment for co-occurring PTSD are available at the San Jose CBOC, with residential and detox capacity at the larger Palo Alto, Menlo Park, and Livermore campuses. Active-duty service members, retirees, and military family members enrolled in TRICARE can also use civilian providers in San Jose.

Insurance and Private Pay

Most San Jose treatment providers accept at least one major commercial insurance plan. The carriers most commonly accepted in the local market are listed below. Before committing to a program, ask the facility's admissions team to run a verification of benefits, so you know your deductible, coinsurance, and any preauthorization requirements. Out-of-network benefits can still cover treatment, often at a lower percentage and after a higher deductible.

Aetna
Anthem Blue Cross
Blue Shield of California
Cigna
Health Net
Kaiser Permanente
Magellan Health
MHN
Oscar Health
Santa Clara Family Health Plan
UnitedHealthcare
Valley Health Plan

Other Low-Cost Options

Treatment seekers without insurance or with limited coverage have a few additional paths to care in San Jose. Sliding-scale fees, offered by 13 local programs, scale tuition to household income, and 18 programs offer some form of financial assistance through scholarships, grants, or in-house funds. The Federal Family and Medical Leave Act protects job security and employer health coverage during up to 12 weeks of unpaid medical leave, including leave taken to attend addiction treatment, for qualified employees. SAMHSA block grants distributed through California also fund a portion of community treatment capacity in the county.

Free Treatment Programs

Three San Jose facilities offer treatment at no cost to clients who qualify, and many more provide services free of charge to Medi-Cal beneficiaries through the county's contracted provider network.

Faith-based and nonprofit providers in the area, along with peer-support programs like Recovery Café San José, supplement formal treatment with no-cost recovery community resources. Rehab scholarships from national nonprofits and treatment foundations can also help bridge the gap when local free options are full.

Levels of Care Available in San Jose

San Jose providers offer the full continuum of addiction care, from medically supervised detox and 24-hour residential treatment through partial hospitalization, outpatient counseling, dual-diagnosis programming, and sober living. The breakdown below reflects how many programs in the city offer each level.

Medical detox. The first step for people with significant physical dependence on alcohol, opioids, or benzodiazepines is often medical detox. San Jose detox programs provide 24-hour monitoring, withdrawal medications, and a medically managed transition into the next level of care. Detox is typically the most expensive level of treatment, but it is also the shortest, lasting an average of three to ten days depending on the substance and severity.

Inpatient and residential rehab. A 35-program local market for inpatient rehab means San Jose treatment seekers have a wide range of program lengths, philosophies, and price points to compare. Residential programs typically run 30, 60, or 90 days and combine individual therapy, group work, evidence-based modalities like CBT and motivational interviewing, family programming, and discharge planning. Many San Jose residential programs are dual-diagnosis equipped, meaning a person with a co-occurring mental health condition can be treated for both at the same site.

Partial hospitalization programs. San Jose has three partial hospitalization programs (PHP), which sit between residential and intensive outpatient care. PHPs typically run five to seven days a week, four to six hours a day, and are designed for people who need substantial structure but can safely live at home or in supportive housing.

Outpatient and intensive outpatient. With 45 standard outpatient clinics, outpatient rehab and intensive outpatient programs are the most common starting point for working adults in San Jose. Outpatient care lets clients attend treatment around work, school, or caregiving responsibilities, with session frequency ranging from once a week to several times per week.

Dual-diagnosis programs. 44 San Jose programs integrate substance use and mental health treatment for clients with co-occurring conditions. Common co-occurring presentations include co-occurring anxiety disorders, depression, PTSD, and bipolar disorder. Integrated programs tend to produce better outcomes than treating either condition in isolation.

Sober living. 13 sober living homes in San Jose provide structured, alcohol- and drug-free housing for people transitioning out of residential treatment or stabilizing in early recovery. Most sober living homes require ongoing outpatient treatment or 12-step meeting attendance, regular drug testing, and shared household responsibilities. Rehab aftercare planning typically includes a sober living recommendation when home environments are not yet recovery-supportive.

Specialty Programs in San Jose

San Jose treatment providers cover a wide range of specialty populations and substance-specific programming. The cards below summarize how many local programs offer each specialty track. Most programs maintain multiple specialty cohorts within the same facility, so the totals overlap.

Free and Low-Cost Rehab Resources in San Jose

Cost should not be the reason someone in San Jose goes without help. The list below collects publicly funded crisis services, county behavioral health resources, harm reduction supplies, veteran services, and community-based recovery programs that are free or low-cost to residents.

Crisis lines

Call or text 988 to reach the 988 Suicide and Crisis Lifeline 24/7 anywhere in the country, including for substance use crises. Santa Clara County callers using a 408, 650, or 669 area code can also reach local crisis support through 988.

The county's Behavioral Health Call Center at (800) 704-0900 routes crisis, mental health, and substance use callers to live, trained counselors 24 hours a day. The Crisis Text Line is also available by texting RENEW to 741741.

988 Suicide and Crisis Lifeline. Call or text 988, 24/7. 988lifeline.org
Santa Clara County Behavioral Health Call Center. (800) 704-0900, 24/7. Crisis, mental health, and substance use referrals. https://bhsd.santaclaracounty.gov/home
SAMHSA National Helpline. 1-800-662-HELP (4357), 24/7, free and confidential treatment referral in English and Spanish. samhsa.gov
Crisis Text Line. Text RENEW to 741741, 24/7. https://bhsd.santaclaracounty.gov/about-us/news-stories/behavioral-health-services-department-launches-text-based-crisis-counseling

Santa Clara County Behavioral Health Services

BHSD operates the county's publicly funded substance use treatment system. Anyone living in Santa Clara County who needs treatment can call BHSD for screening, referral, and connection to detox, residential, outpatient, or MAT services. Services are available to residents with Medi-Cal, Medicare, or no insurance.

Substance Use Services Line. (800) 488-9919, Monday through Friday, 8am to 5pm. After-hours residential and detox calls are routed through the Residential Provider Network. bhsd.santaclaracounty.gov
Behavioral Health Urgent Care. Walk-in outpatient clinic for residents with no insurance or with Medi-Cal who are in a behavioral health crisis. Screening, assessment, crisis intervention, and short-term treatment. https://bhsd.santaclaracounty.gov/services-group/adult-and-older-adult/behavioral-health-urgent-care-bhuc
FentFacts and odfreescc.org. County-run overdose prevention hub with naloxone resources, treatment locator, and post-overdose support. odfree.santaclaracounty.gov

Harm reduction

The County of Santa Clara Public Health Department's Harm Reduction Program offers free, anonymous, and confidential supplies and services to people who use drugs, no ID required. The program reached 1,770 clients in 2023, a 46% increase from the prior year.

Santa Clara County Harm Reduction Program. Free sterile syringes, sharps containers, naloxone, fentanyl and xylazine test strips, STI/HIV/hep C testing, and overdose response training. Locations and hours vary. Check the public health site for the current schedule. publichealth.santaclaracounty.gov/harm-reduction-program
Naloxone Distribution Program (mail-order). Free mail-order naloxone, fentanyl test strips, and xylazine test strips to Santa Clara County residents. Order through the BHSD FentFacts site. bhsd.santaclaracounty.gov/fentfacts

Veterans and military

Veterans in San Jose receive substance use care through the VA Palo Alto Health Care System. The San Jose Community-Based Outpatient Clinic provides MAT, outpatient SUD treatment, and integrated PTSD care, with residential and detox capacity at the main Palo Alto, Menlo Park, and Livermore campuses.

VA Palo Alto Health Care System: San Jose CBOC. 5855 Silver Creek Valley Place, San Jose. Outpatient SUD treatment, MAT, mental health care. va.gov
VA Palo Alto Medical Center. 3801 Miranda Avenue, Palo Alto. Inpatient and residential SUD programs, PTSD/dual-diagnosis care. Main phone: (650) 493-5000. va.gov
Veterans Crisis Line. Dial 988 and press 1, or text 838255. https://www.veteranscrisisline.net/

Community and peer support

Recovery Café San José. Free, sober community space in downtown San Jose offering peer recovery circles, hot meals, life-skills classes, and connections to housing, employment, and treatment resources. Membership is free and clients must be drug- and alcohol-free for 24 hours before entering. 80 S. 5th Street, San José, CA 95112. (408) 294-2963. recoverycafesj.org
211 Santa Clara County. Free, confidential, 24/7 referral line for housing, food, mental health, substance use, and other community resources. Dial 2-1-1 or text your ZIP code to 898211. 211bayarea.org/counties/santa-clara
NAMI Santa Clara County. Free family education, support groups, and peer-led mental health programming, including for families navigating co-occurring mental health and substance use. (408) 453-0400. namisantaclara.org
Cultural Communities Wellness Program (CCWP). Culturally and linguistically responsive behavioral health support. 1075 E. Santa Clara Street, San José. (408) 792-3912. https://www.indigenouspact.com/tribal-care/cultural-wellness-services/

Government and Medi-Cal navigation

Medi-Cal (Drug Medi-Cal ODS). Free SUD treatment, including detox, residential, outpatient, MAT, and recovery housing, for eligible Santa Clara County residents. Access through the BHSD Substance Use Services line at (800) 488-9919. https://www.dhcs.ca.gov/medi-cal/
Santa Clara Family Health Plan. Local Medi-Cal managed care plan with behavioral health benefits, including substance use treatment. scfhp.com

Drug and Alcohol Use Statistics in San Jose

Santa Clara County recorded its first year-over-year decline in drug overdose deaths since 2014 in 2023, after a decade of climbing fatalities. Overdose deaths fell from 353 in 2022 to 317 in 2023, even as fentanyl continued to drive the majority of opioid fatalities. Methamphetamine, often combined with fentanyl, remains the substance most frequently cited on county overdose death records.

Methamphetamine deaths in Santa Clara County climbed to 115 in 2024, a 121% increase over 2015 levels, while non-fentanyl opioid deaths declined steadily over the same period. The shift toward stimulant-opioid polysubstance use is mirrored in non-fatal hospital data.

For example, from 2023 through October 2025, emergency department visits for fentanyl and other opioids decreased, while visits involving stimulant use rose. For broader context on national substance use statistics, the SAMHSA National Survey on Drug Use and Health remains the most current benchmark for state-level comparisons.

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…

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Author

Olivia Pennelle

Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…

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Opioids & Painkillers

Depressants

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Behavioral Addictions