Expert Insights
Orlando’s Flagler County jail is home to the first-ever jailhouse addiction treatment program, and from everything I’ve read so far, it’s doing wonderfully.
The Successful Mental Health Addiction Recovery Treatment program – also known as S.M.A.R.T. – allows inmates with substance abuse and alcohol abuse issues to live together in an area with counselors and teachers who are in recovery. According to Flagler County Jail Chief Daniel Engert, the numbers simply don’t lie.
Since June of 2022, 31 inmates have graduated from the program. Only eight out of the 31 have relapsed and been rearrested, which is around 25%. According to the Sheriff, however, on average the relapse and rearrest rate is over 50%! We need to see more of these programs across the state and the nation!
How We Rank Listings
Addictions.com lists facilities based on verified operational data, including licensure status, accreditation credentials, accepted insurance and payment options, and the range of treatment services offered. We do not rank or endorse specific programs. Facility information is confirmed through state licensing databases, accrediting bodies such as the Joint Commission and CARF, and direct outreach to providers.
Listings marked “Sponsored” indicate paid helpline partnerships that support the operation of this site. Sponsored placement does not influence which facilities appear in the directory or how they are organized. All 47 treatment centers listed on this page have been independently verified for inclusion.
Rehab in Orlando: What to Know
Orlando is the county seat of Orange County, Florida, and the core of a fast-growing metro area that reached nearly 2.96 million residents in 2025.1 The city itself has a population of roughly 348,000, with a median age of about 35 and a poverty rate of 14.66%.2 For people in the Orlando area searching for addiction treatment options, the city’s 47 verified treatment facilities offer a broad range of programs, from medical detox and residential care to outpatient counseling and sober living.
Orange County’s behavioral health infrastructure is anchored by the county’s Mental Health and Homelessness Division, which funds and oversees a network of contracted providers serving residents with substance use and co-occurring mental health conditions.3 Aspire Health Partners, a CARF-accredited nonprofit, is one of the largest behavioral health providers in Central Florida and operates multiple locations across Orange County offering detox, inpatient, outpatient, and medication-assisted treatment services. The county also works with Central Florida Cares Health System, the state-designated managing entity for behavioral health services in the region.
Orlando has been at the center of Central Florida’s response to the fentanyl crisis. The Orange County Office for a Drug-Free Community, led by Dr. Thomas Hall, has coordinated efforts with first responders, hospital systems, and nonprofit partners including Project Opioid to expand naloxone distribution, increase access to medication-assisted treatment, and connect high-risk populations to care. One initiative that has gained attention is the county jail’s MAT clinic, which begins treatment during incarceration and connects people with community-based providers upon release.4 For a broader look at treatment options across the state, explore rehab centers throughout Florida.
Cost of Rehab in Orlando
Treatment costs in Orlando vary by the level of care, the length of your stay, and the facility you choose. Florida is ranked 21st nationally in treatment affordability, with an average residential program cost of $56,640.5 That figure reflects the full spectrum from state-funded programs to private residential facilities. Many programs in Central Florida fall below that average, and insurance can offset a significant portion of rehab costs, particularly since the Affordable Care Act requires coverage for substance use treatment as an essential health benefit.
These are statewide averages based on data from the Addictions.com Florida state directory. Actual costs in Orlando will depend on your specific treatment plan and provider. Central Florida facilities generally charge moderate rates compared to South Florida, where higher real estate and labor costs tend to push prices up.
How to Pay for Rehab in Orlando
Of the 47 treatment facilities in Orlando, most accept multiple forms of payment. The majority of providers accept private insurance and self-pay, and a substantial number work with Medicaid and Medicare. Below is a breakdown of how many Orlando facilities accept each payment type.
Medicare
Medicare covers substance use disorder treatment at every level, including inpatient detox, residential rehabilitation, outpatient counseling, and medication-assisted treatment. In Orlando, 17 facilities accept Medicare. Part A typically covers inpatient hospital stays and some residential treatment, while Part B covers outpatient services, therapy sessions, and partial hospitalization. If you have a Medicare Advantage plan (Part C), your coverage may include additional behavioral health benefits depending on your specific plan. Contact your plan directly to confirm which Orlando providers are in your network.
Medicaid
Florida Medicaid operates through the Statewide Medicaid Managed Care (SMMC) program, and 21 Orlando facilities accept it. Medicaid in Florida covers detox, inpatient treatment, outpatient programs, and medication-assisted treatment. The Comprehensive Behavioral Health Reform Act of 2025 (also known as the Tristin Murphy Act) expanded Florida Medicaid’s behavioral health coverage to include a broader range of services such as residential treatment, peer counseling, and transportation support.6 To check your eligibility or apply, visit the ACCESS Florida website or call 866-762-2237.
Military Benefits
Orlando is home to the Orlando VA Medical Center at Lake Nona and the Lake Baldwin VA Clinic, both of which provide substance use disorder treatment including individual and group counseling, medication management, and referral to inpatient programs when needed. In total, 17 Orlando facilities accept TRICARE. Veterans who are not enrolled in VA care can still access treatment through TRICARE or community care referrals. For more on what is available, see rehab resources for veterans and military families.
Insurance and Private Pay
Private insurance is the most widely accepted form of payment in Orlando, with 40 of 47 facilities accepting it. Under the Affordable Care Act, all marketplace and employer-sponsored plans must cover substance use disorder treatment as an essential health benefit. The Mental Health Parity and Addiction Equity Act also requires insurers to cover behavioral health services on par with medical and surgical care. Before choosing a facility, call your insurer to verify which programs are in-network and what your copay, deductible, and out-of-pocket maximums will be.
- Florida Blue
- UnitedHealthcare
- Cigna
- Ambetter (Sunshine Health)
- Molina Healthcare
- AvMed
- Oscar Health
- Aetna
Other Low-Cost Options
For people without insurance or with limited income, 15 Orlando facilities offer sliding-scale fees based on ability to pay, and 18 offer some form of financial assistance. Many community health centers in Orange County also provide behavioral health services on a sliding-scale basis, including Community Health Centers of Central Florida, which operates multiple locations in the metro area.
Free Treatment Programs
Free treatment options in Orlando are limited. Only one facility in the city’s directory currently offers fully free treatment for all clients. However, state-funded programs administered through the Florida Department of Children and Families (DCF) provide no-cost treatment to eligible individuals, and rehab scholarship programs may also help cover costs. Aspire Health Partners, the county’s largest nonprofit behavioral health provider, accepts Medicaid and state funding and provides services to people who might otherwise have no access to care.
Levels of Care Available in Orlando
Orlando’s 47 treatment facilities offer several levels of care, giving people multiple pathways into treatment depending on their clinical needs. The city has 19 facilities offering medical detox, 28 providing inpatient or residential treatment, 3 with partial hospitalization programs, 38 offering standard outpatient services, 32 treating co-occurring mental health and substance use disorders, and 6 providing sober living.
Medical Detox: Medical detox is typically the first step for people with a physical dependence on alcohol, opioids, or benzodiazepines. During detox, medical staff monitor withdrawal symptoms around the clock and may administer medications to reduce discomfort and prevent complications. In Orlando, 19 facilities offer this level of care, and most connect patients directly to the next phase of treatment once detox is complete.
Inpatient Rehab: Inpatient rehab provides 24-hour structured care in a residential setting. Programs typically last 28 to 90 days and include individual therapy, group counseling, behavioral education, and relapse prevention planning. Orlando has 28 inpatient programs, ranging from standard clinical settings to facilities with more specialized programming.
Partial Hospitalization (PHP): Partial hospitalization programs provide intensive treatment for 5 to 7 days per week, typically 6 to 8 hours per day, while allowing patients to return home or to a sober living environment in the evening. Orlando has 3 PHP providers. This level of care is often used as a step-down from inpatient treatment or as an alternative for people who need more structure than a standard outpatient program can provide.
Outpatient Treatment: With 38 clinics offering standard outpatient rehab, this is the most widely available level of care in Orlando. Outpatient programs range from a few hours per week of individual or group therapy to more intensive schedules. This level of care works well for people who need to maintain work or family responsibilities while receiving treatment.
Dual Diagnosis: Thirty-two Orlando facilities are equipped to treat co-occurring substance use and mental health conditions such as depression, anxiety, PTSD, and bipolar disorder simultaneously. Treating both conditions together is associated with better long-term outcomes than addressing them separately.
Sober Living: Orlando has 6 sober living homes that offer a structured, substance-free living environment for people in early recovery. Sober living is typically used alongside outpatient treatment and provides peer accountability, house rules, and a stable base as residents transition back to independent living. For more on what comes after a formal treatment program, see rehab aftercare and continuing care.
Specialty Programs in Orlando
Many Orlando treatment facilities offer programs designed for specific populations. These specialized tracks tailor therapy approaches, group dynamics, and support services to the unique needs of the people they serve. Orlando’s facilities include programs for women, men, LGBTQ+ individuals, veterans, young adults, older adults, and people with alcohol- or opioid-specific treatment needs.
Women’s and Men’s Programs: Gender-specific treatment creates an environment where participants can address topics such as trauma, relationship dynamics, and co-occurring conditions alongside peers with shared experiences. Orlando has 27 women’s programs and 31 men’s programs.
LGBTQ+ Programs: Fifteen Orlando facilities offer LGBTQ+ affirming addiction care, with clinicians trained to address the intersections of identity, discrimination, and substance use. These programs provide safe spaces where participants do not need to minimize or explain their identity while working on recovery.
Young Adult Programs: With 38 programs serving young adults, Orlando has strong availability for people ages 18 to 25. The University of Central Florida, one of the largest universities in the nation, is located in the metro area, and many young adult programs address the social and academic pressures that can contribute to substance use among college students.
Programs for Older Adults: Eighteen facilities serve older adults, addressing age-specific factors such as prescription medication interactions, chronic pain management, grief, isolation, and the physical health complications that can accompany long-term substance use.
Alcohol Rehab: Alcohol is the most commonly treated substance in Orlando, with 39 facilities offering alcohol-specific treatment. Programs include medically supervised detox for alcohol withdrawal, which can be dangerous without proper monitoring, followed by counseling and relapse prevention.
Opioid Rehab: Twenty-eight Orlando facilities offer treatment specifically for opioid use disorder, including programs that incorporate medication-assisted treatment with methadone, buprenorphine, or naltrexone alongside behavioral therapy.
Free and Low-Cost Rehab Resources in Orlando
If you or someone you know needs help with substance use in Orlando but is concerned about cost, several local, state, and national resources can connect you with free or reduced-cost services. The resources listed below have been verified through government databases, direct organizational websites, and publicly available contact information.
Crisis Lines
If you are in immediate danger or experiencing a medical emergency, call 911. For emotional distress, suicidal thoughts, or substance use crises, the following lines are available 24 hours a day, 7 days a week. For more on crisis support resources, visit our dedicated guide.
- 988 Suicide and Crisis Lifeline: Call or text 988. The 988 Florida Lifeline connects callers experiencing suicidal thoughts, substance use crises, or emotional distress to a trained crisis counselor in their area.7
- SAMHSA National Helpline: Call 1-800-662-4357 (HELP). Free, confidential, 24/7 treatment referral and information service available in English and Spanish.
- Heart of Florida United Way 211: Dial 211 or text your zip code to 898-211. Connects callers with local substance use treatment providers, housing assistance, and other social services in Orange County.8
- Aspire Health Partners Mobile Response Team: Call 407-667-1600. Provides 24-hour mobile crisis intervention and assessment for adults experiencing severe behavioral health crises in Orange County.9
County and Government Resources
- Orange County Mental Health and Homelessness Division: Provides funding and oversight for community-based behavioral health services across Orange County. Contact at [email protected].3
- Orange County Office for a Drug-Free Community: Administers opioid settlement funds, coordinates substance use prevention initiatives, and manages naloxone distribution programs throughout the county.4
- Florida Department of Health in Orange County: Offers free naloxone kits at multiple locations in the Orlando area and provides referrals to local behavioral health providers. Visit orange.floridahealth.gov.7
- Florida DCF Substance Abuse and Mental Health Program: Funds treatment through managing entities for people who are uninsured or underinsured. Visit myflfamilies.com for information on state-funded treatment options.10
Community Resources and Nonprofits
- Recovery Connections of Central Florida: A nonprofit providing access to recovery resources and support services. Hotline: 407-732-6837 (407-RECOVER).8
- Project Opioid: An Orlando-based nonprofit combating the overdose crisis through naloxone distribution, overdose reversal training, and advocacy. Distributed over 100,000 doses of naloxone in 2024.11
- Community Health Centers of Central Florida: Federally qualified health centers providing behavioral health services on a sliding-scale basis across Orange and Lake counties. Call 407-905-8827 for appointments.
Harm Reduction Services
- I Save FL: A statewide opioid harm reduction program providing information on where to find free naloxone kits, overdose education, and links to treatment. Visit isavefl.com.10
- Orlando VA Clean Syringe Program: Provides clean syringes, naloxone kits, fentanyl test strips, vaccination, and safer sex supplies to people who inject drugs. Also offers testing for HIV, Hepatitis, and STDs.
VA and Military
- Orlando VA Medical Center (Lake Nona): Full-service VA facility providing substance use disorder treatment including outpatient counseling, medication management, and referrals to inpatient care. Call 407-631-1000. Located at 13800 Veterans Way, Orlando, FL 32827.12
- Lake Baldwin VA Clinic: Offers outpatient substance use treatment including MAT with methadone and buprenorphine, individual and group counseling, and telehealth services for veterans in the Orlando area.12
Drug and Alcohol Use Statistics in Orlando
Orange County has seen significant progress in reducing overdose deaths, but substance use remains a serious public health challenge. In 2024, an estimated 341 people in Orange County died of accidental drug overdose, a 30% decrease from the 490 deaths recorded in 2023 and well below the county’s peak of 538 overdose deaths in 2021.4 Fentanyl continues to drive the majority of fatal overdoses in the region.
| Metric | Figure | Source and Year |
|---|---|---|
| Total accidental overdose deaths, Orange County | 341 (2024) | Ninth Judicial Circuit Medical Examiner’s Office, 20254 |
| Year-over-year change in overdose deaths | 30% decrease from 2023 | Ninth Judicial Circuit Medical Examiner’s Office, 20254 |
| Opioid-specific overdose deaths | 229 (2024), down from 364 in 2023 | Ninth Judicial Circuit Medical Examiner’s Office, 202513 |
| Opioid overdose death decline | 37.1% decrease from 2023 to 2024 | Ninth Judicial Circuit Medical Examiner’s Office, 202513 |
| Fentanyl presence in fatal overdoses | Over 70% of drug fatalities (2022) | Orange County Medical Examiner’s Office, 202314 |
| Peak overdose deaths, Orange County | 538 (2021) | Orlando Weekly / Medical Examiner’s Office, 20254 |
Public health officials attribute the decline to expanded naloxone distribution, increased access to medication-assisted treatment (including the Orange County Jail MAT clinic), and coordinated community efforts led by the Orange County Office for a Drug-Free Community and Project Opioid.4 Project Opioid reported distributing over 100,000 doses of naloxone and conducting more than 100 overdose reversal trainings across Central Florida in 2024 alone.11 For context on how these local figures compare to broader patterns, see national substance use statistics.
Resources
- Orlando Economic Partnership. (2026). Orlando Population Growth Again Among Highest in Nation. https://news.orlando.org/blog/orlando-population-growth-again-among-highest-in-nation/
- World Population Review. (2026). Orlando, Florida Population. https://worldpopulationreview.com/us-cities/florida/orlando
- Orange County Government. (2022). Mental and Behavioral Health System of Care Community Analysis. https://www.ocfl.net/FamiliesHealthSocialSvcs/MentalandBehavioralHealthSystem.aspx
- Orlando Weekly. (2025). Overdose deaths in Orange County dropped 30 percent in 2024, new data shows. https://www.orlandoweekly.com/news/overdose-deaths-in-orange-county-dropped-30-percent-in-2024-new-data-shows-39158461/
- Addictions.com. (2024). Alcohol and Drug Rehabs in Florida. https://www.addictions.com/rehabs/florida/
- Florida Legislature. (2025). Comprehensive Behavioral Health Reform Act of 2025 (Tristin Murphy Act).
- Florida Department of Health in Orange County. (2025). Mental Health Resources. https://orange.floridahealth.gov/programs-and-services/wellness-programs/mental-health/
- Orange County Sheriff’s Office. Community Resources. https://www.ocso.com/en-us/Resources
- NAMI Central Florida. Crisis Lines and Local Resources. https://namicf.org/resources/local-resources/crisis-lines/
- Florida Department of Children and Families. State Opioid Response Project Resources. https://www.myflfamilies.com/services/samh/samh-treatment-services-and-facilities/fsorp/resources
- Orlando Weekly. (2025). Overdose deaths in Central Florida declined in 2023. https://www.orlandoweekly.com/news/overdose-deaths-in-central-florida-declined-in-2023-will-the-trend-continue-38632764
- U.S. Department of Veterans Affairs. Orlando VA Healthcare System. https://www.va.gov/orlando-health-care/
- Spectrum News 13. (2025). New data shows a decrease in opioid-related deaths in Orange County. https://mynews13.com/fl/orlando/news/2025/03/26/new-data-shows-a-decrease-in-opioid-related-deaths-in-orange-county
- Orlando Sentinel. (2023). Fentanyl deaths dip in Orange County, but worry remains.
