Compare 39 addiction treatment centers in and around Lexington, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Kentucky for yourself or someone you love.
3107 Cincinnati Rd · Georgetown, KY 40324Georgetown, KY 40324
Georgetown · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Located in Georgetown, Kentucky, is the Recovery Works Georgetown recovery facility. This treatment center operates under Pinnacle Treatment Centers, one of the nation's largest providers of addiction support services. Along with medically supervised detox and residential treatment, there is also…
4112 Fern Valley Road · suite a, Louisville, KY 40219Louisville, KY 40219
Louisville · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Located in Louisville, Kentucky is the Landmark Recovery of Louisville. This is a drug treatment facility that provides medically supervised detox, inpatient treatment, and outpatient services to men and women. They are experienced in working with adults living with a…
1090 Industry Rd · Harrodsburg, KY 40330Harrodsburg, KY 40330
Harrodsburg · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Isaiah House Treatment Center in Harrodsburg, Kentucky is more than just a rehab, it’s a place where people find their footing again. Rooted in faith and fueled by a mission to bring hope and healing, Isaiah House offers a full…
3430 Newburg Road · Ste 160, Louisville, KY 40218Louisville, KY 40218
Louisville · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
JourneyPure in Louisville, Kentucky provides substance abuse treatment with proven methods that help you overcome addiction for sustained sobriety. This location offers outpatient treatment, but they can provide referrals to their other locations for clients needing higher-intensity treatment. Flexible Care…
535 W Pike St · Covington, KY 41011Covington, KY 41011
Covington · Inpatient, Outpatient
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Inpatient
Outpatient
Medicaid
Private insurance
Transitions Drug Rehabilitation and Immediate Care is a drug and alcohol rehab that offers outpatient and residential treatment for adults over the age of 18. Their administrative location is based in Covington, Kentucky. Therapy Topics That Set You Up for…
49 Hillview Drive · Scottsville, KY 42164Scottsville, KY 42164
Scottsville · Detox, Inpatient, Men
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Detox
Inpatient
Men
Medicaid
Park Place Recovery Center provides short-term residential addiction and co-occurring mental health treatment for adults 18 and older in Scottsville, Kentucky. They prioritize having a calm, supportive setting for recovery. The residential facility has 35 beds available and is licensed…
2349 Russellville Road · Bowling Green, KY 42101Bowling Green, KY 42101
Bowling Green · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
JourneyPure Bowling Green Clinic in Bowling Green, Kentucky, is a residential rehab facility. They have an exceptional staff-to-patient ratio and are CARF accredited and LegitScript certified. They accept most major insurances which can be verified on the phone or on…
2500 Holt Road · Paducah, KY 42001Paducah, KY 42001
Paducah · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
JourneyPure provides substance use treatment in Paducah, Kentucky. They have outpatient services that offer flexibility so guests can continue with typical obligations. The team strives to include a non-judgmental environment that provides compassionate, constructive care. Long-term Sobriety JourneyPure understands that…
9702 Stonestreet Road · Suite 120, Louisville, KY 40272Louisville, KY 40272
Louisville · Detox, Outpatient
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Detox
Outpatient
Private insurance
Renew Recovery, operating as BrightView Louisville Addiction Treatment Center in Louisville, Kentucky is an outpatient substance use treatment provider serving adults. The center combines medication assisted treatment, therapy and social support services in one convenient outpatient model. Patients appreciate the…
975 Hustonville Road Suite 7 · Danville, KY 40422Danville, KY 40422
Danville · Outpatient
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Outpatient
Medicaid
Private insurance
Isaiah House operates an outpatient clinic called Real Hope Behavioral Health. They’re located in Danville, Kentucky, and offer treatment for both drug and alcohol addiction as well as co-occurring mental health issues. This outpatient clinic has a lot to offer…
3825 Marydell Road · London, KY 40741London, KY 40741
London · Detox, Inpatient, Outpatient, Men
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Detox
Inpatient
Outpatient
Men
Medicaid
Private insurance
Stepworks of London (Stepworks), located in historic London, Kentucky, is a compassionate and structured environment designed specifically for men. Nestled in the heart of a peaceful Appalachian community, this facility can provide you with both comfort and care in your…
2735 Bardstown Rd · Springfield, KY 40061Springfield, KY 40061
Springfield · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Crown Recovery Center is located in Saint Catharine, Kentucky. They feature community services to help fight addiction and mental health disorders. Patients who join the program start with an assessment to help the staff create a personalized treatment plan. The…
Located right in the heart of Lexington, Kentucky, is the BrightView Lexington Addiction Treatment Center. This is a medication assisted treatment clinic where adults can come in to start or continue medication maintenance to address their alcohol or drug use dependencies. Services are offered in an outpatient setting. They accept private insurance along with Medicaid and Medicare. Multiple Medication Options…
JourneyPure is an outpatient rehab in Lexington, Kentucky. It's a Suboxone clinic for adults of all genders, and it treats mental health along with substance use. Medical detox isn't offered here. Outpatient Care in Lexington JourneyPure's outpatient rehab program is an intensive outpatient program, and you go home after each in-office session. The center offers an intensive outpatient program, and…
Situated in Lexington, Kentucky, Roaring Brook Recovery offers quality addiction treatment for drug or alcohol addictions. Those suffering from mental health or dual diagnosis conditions can also be treated here. They offer many evidence-based programs that integrate 12 Step philosophy with other modern therapeutic modalities that can help you on your addiction recovery journey. I like that they have gender-specific…
Located in the heart of Lexington, Kentucky is The Ball-Quantrell Jones Recovery Center for Women, a place where women can start their road to recovery and healing. Regardless if you're struggling with substance abuse, mental health challenges or both, the staff is equipped to handle all your needs. Part of the Hope Center network, some private insurances are accepted as…
The 2nd Chance Clinics is an addiction treatment center in Lexington, Kentucky. It offers medication assisted treatment for adults with an opioid addiction or alcohol dependence which means medicine is used with counseling. For opioid addiction the clinic uses buprenorphine which is often called Suboxone and a monthly Vivitrol injection which blocks opioid effects. They treat alcohol dependence with naltrexone…
New Vista Mechanic Street is a substance use treatment provider in Lexington, Kentucky, offering Medication Assisted Recovery, outpatient care, and an Intensive Outpatient Program for opioid and alcohol use disorders. As New Vista's dedicated Fayette County MAR location, the team combines FDA-approved medications with therapy, medical care and mental health support. This integrated, whole-person model is part of a broader…
Chrysalis House offers addiction treatment for women in Lexington, Kentucky. It has residential treatment, outpatient services, recovery housing, counseling and wraparound supports that include vocational and housing assistance. They use a model that most other rehabs don't offer where mothers are allowed to keep their babies with them throughout treatment on a campus built around healing families together. Children Reside…
The Department of Veterans Affairs has a clinic in Lexington, Kentucky. The Troy Bowling Campus offers a range of healthcare for qualifying veterans including mental health and substance use disorder care. Treatment options include inpatient and general outpatient treatment. A referral is required to be seen at this clinic. This location is specially trained to treat the complex traumas experienced…
New Life Counseling Services is an outpatient addiction treatment and behavioral health counseling provider in Lexington, Kentucky serving clients who are seeking recovery from substance use disorders and co-occurring mental health conditions. They take a personalized evidence based approach centered on relapse prevention and CBT techniques with comprehensive case management support. Outpatient Addiction Treatment Programs at New Life Counseling Services…
3479 Buckhorn Drive Suite 106, Lexington, KY 40515
Detox
Inpatient
Outpatient
Medicaid
Private insurance
Schwartz Center Residential Substance Use Treatment is a drug and alcohol rehab offering short term residential care for adult men and women seeking recovery from substance use disorders. Operated by New Vista, this program provides a generally 28 day residential stay with personalized treatment planning and daily programs. Its approach centers on recovery focused support, including care for co-occurring mental…
Shepherd's House Maxwelton Court is a nonprofit addiction recovery organization in Lexington, Kentucky. The program offers structured sober living, 12 step immersion, CBT, MI and vocational support. Their mission centers on helping individuals rebuild sober living skills, accountability and independence. Long Term Recovery Housing Shepherd's House offers a 12 to 18 month phased recovery housing model designed to help men…
Spero Health Burt Road is an outpatient addiction treatment center in Lexington, Kentucky, providing evidence informed care for adults across Fayette County and the greater Central Kentucky region. The clinic offers outpatient services, intensive outpatient programming (IOP), medication assisted treatment (MAT) and behavioral health counseling. Spero Health follows a whole-person, community-based model that integrates medical care, counseling and recovery support…
The Ridge Behavioral Health System is a 110-bed behavioral health hospital in Lexington, Kentucky, providing psychiatric and substance use disorder care for children, adolescents and adults. Through the Ridge Recovery Center, adults can access medically supervised detox, inpatient rehabilitation, partial hospitalization and intensive outpatient programs, with a strong focus on co-occurring mental health and addiction concerns. The Ridge aims to…
Behavioral Health Group Lexington is an outpatient drug and alcohol rehab in Lexington, Kentucky. The center provides MAT, individual and group counseling and peer recovery support for adults across Central Kentucky. BHG Lexington takes a whole person approach, combining FDA-approved medications with counseling. Opioid Addiction Treatment Care begins with a substance use assessment and medical evaluation to determine the most…
UK Good Samaritan Hospital is a hospital-based behavioral health and substance use treatment resource in Lexington, Kentucky, offering adult acute care inpatient psychiatry within the UK HealthCare academic medical system. Located in downtown Lexington, the hospital connects inpatient psychiatric stabilization with UK Psychiatry's broader continuum, including the Supportive Medication Assisted Recovery (SMART) program. Care is grounded in evidence-based psychiatry, integrated…
2375 Professional Heights Dr #210, Lexington, KY 40503
Detox
Inpatient
Outpatient
Private insurance
You'll find The Lexington Center for Opioid Dependence in Lexington, Kentucky. This is an outpatient substance use disorder treatment clinic that exclusively treats opioid use disorder and serves adults. The program accepts self referrals and aims to start clients quickly on a first come, first serve basis. Their treatment program combines general outpatient treatment with medication assisted treatment to target…
Nolan Inc is a substance use treatment provider offering assessment, counseling, and education for adults and young adults in Lexington, Kentucky. The program uses strategic therapies and a 12-step approach to support clients navigating alcohol and substance use concerns, including those referred through the criminal justice system. Nolan Inc focuses on accessible, structured outpatient care that meets clients where they…
Hope Center is a Lexington, Kentucky, nonprofit providing addiction recovery, mental health support and homelessness services across its Loudon Avenue campus network. The organization offers intensive outpatient treatment, long-term residential recovery for men and women, detention-center recovery programming and emergency shelter services for adult men at the West Loudon Avenue location. Hope Center's mission centers on life-sustaining and life-rebuilding care…
CleanSlate Outpatient Addiction Medicine is a CARF-accredited outpatient clinic in Lexington, Kentucky, providing office-based addiction medicine for adults across Fayette County and Central Kentucky. The team treats opioid use disorder, alcohol use disorder, polysubstance use and co-occurring mental health conditions through medication assisted treatment paired with integrated behavioral health care. CleanSlate's mission is to deliver flexible, evidence based recovery care…
DeNova is a behavioral health and addiction treatment provider serving Lexington, Kentucky, offering outpatient care for substance use disorders and co-occurring mental health conditions. The practice integrates medication assisted treatment, individual and group counseling, psychiatric services and case management to support adults and adolescents in recovery. DeNova's team of medical providers, counselors, social workers and peer support specialists is committed…
245 Fountain Court Pyschiatry Outpatient Clinic Second & Third Floor, Lexington, KY 40509
Detox
Inpatient
Outpatient
Private insurance
UK Psychiatric & Behavioral Health Care SMART Clinic is an addiction treatment program offering integrated care for substance use disorders and co-occurring mental health conditions. The program includes specific treatment for opioid use disorder and psychiatric services under one roof. With a specialized SMART Parenting Track for mothers in recovery the clinic takes a trauma-informed, whole-person approach to treatment. Outpatient…
Cleanse Clinic is an addiction treatment facility in Lexington, Kentucky that specializes in substance use disorders and co-occurring mental health conditions. The clinic offers outpatient programs that combine proven techniques in a private, judgment-free setting to help guests overcome addiction. The programs reflect a commitment to high-quality care for adults in recovery. Outpatient Treatment Options Cleanse Clinic Lexington provides outpatient…
Resurrection Clinic Lexington is an outpatient drug and alcohol rehab in Lexington, Kentucky providing community based recovery services for adults struggling with substance use disorders. The program emphasizes a practical, person-centered approach that pairs evidence-based therapies with medical support to help clients build lasting recovery. Medication Management and Telehealth From there, clients may engage in regular outpatient or intensive outpatient…
Lexington Addiction Center is an outpatient addiction and mental health treatment facility at 351 Burley Ave in Lexington, Kentucky, serving adults across Fayette County and the surrounding central Kentucky region. Founded in 2022, the center offers a structured continuum of outpatient care built around individualized treatment planning. Treatment
The Ridge Behavioral Health System is a rehab located in Lexington, Kentucky. The Ridge Behavioral Health System specializes in the treatment of addiction.
No centers match all of these filters.
Rehab centers in cities near Lexington
Treatment centers in nearby cities, closest to Lexington first. Filter by insurance, level of care, and who the program is designed for.
On Newtown Pike near Main Street in Lexington, there is a beautiful tribute project that allows people to honor and remember anyone who found themselves or a loved one shackled by the disease of addiction.
Known simply as the “Locks of Addiction,” this simple gate started out with one woman seeking to remember her son who died from an overdose. Since then, the project exploded in popularity, with more than 200 Lexington locals coming out to add their own locks in remembrance of a loved one - or to remember their own battles with addiction.
People have even taken to adding items that are much more personal than locks - some have added bracelets, hats, pictures, necklaces, and more. I think this is a lovely gesture, and a stark reminder, of how large numbers of people in communities struggle with addiction.
Frequently asked questions
What to know about rehab in Lexington
How We Rank Listings
Every facility listed on this page appears in our national rehab directory and has passed a baseline editorial review before publication. Our team checks each listing for verified contact information, current licensing status, and accurate descriptions of the levels of care offered. Listings are ordered using a combination of accreditation status, completeness of program information, and user engagement signals.
Facilities holding Joint Commission or CARF accreditation receive additional weight because those credentials reflect an independent quality review conducted by a recognized accrediting body. Placement in these results is never purchased, and no facility can pay for a higher rank. If you spot information that appears outdated or incorrect, use the "Suggest an Edit" link on any listing page to let us know.
Rehab in Lexington: What to Know
Lexington is the seat of Fayette County and Kentucky's second-largest city, with a metropolitan population of roughly 325,000. The city operates through the Lexington-Fayette Urban County Government, a merged city-county structure that has invested substantially in behavioral health and substance use programs over the past decade.
In 2024, Fayette County earned certification as a Recovery Ready Community, a state designation recognizing counties that have established peer support services, employment pathways, and treatment access infrastructure for people in recovery. A full listing of programs across the state is available through the Kentucky rehab directory.
The city's public health infrastructure is among the strongest in Kentucky outside Louisville. Major health systems, including UK HealthCare, Baptist Health Lexington, and CHI Saint Joseph Health, all operate programs with relevance to substance use care. The Lexington-Fayette County Health Department runs an active Harm Reduction Program offering free naloxone distribution, syringe services, rapid HIV and hepatitis testing, and warm handoffs to treatment.
Our directory lists 39 facilities across Fayette County covering a broad range of addiction treatment options, from short-term detox to long-term residential care and community-based outpatient services.
Opioids remain the primary driver of overdose deaths in Fayette County, and fentanyl is present in the majority of those cases. Methamphetamine has also become increasingly prevalent in local toxicology reports and frequently appears alongside fentanyl in polysubstance deaths.
The city has responded with expanded first responder naloxone programs, a Substance Use Disorder Intervention Program coordinating outreach and peer support, and a Quick Response Team through the Lexington Fire Department that follows up with individuals within 24 to 72 hours after a non-fatal overdose. For people seeking help with alcohol use disorder, 31 of the 39 listed facilities offer dedicated alcohol rehab programming.
Lexington sits roughly 90 miles east of Louisville and within 30 miles of several smaller treatment communities in Nicholasville, Georgetown, and Winchester. The majority of treatment capacity in central Kentucky is concentrated in Lexington, giving residents access to a relatively full range of options without traveling to the state's largest city.
Cost of Rehab in Lexington, Kentucky
Treatment costs in Lexington generally track Kentucky state averages. Medical detox is the most expensive single level of care, while outpatient programs remain the most accessible entry point for people who do not need around-the-clock supervision. Understanding the cost difference between intensive residential care and community-based inpatient rehab versus outpatient options is a useful first step when budgeting for treatment.
The figures below reflect Kentucky-wide averages and provide a reasonable planning baseline. Actual costs will vary depending on program length, the specific facility, amenities, and the share that insurance covers. Verifying your rehab benefits before selecting a program can significantly reduce out-of-pocket costs.
$140,607
Medical detox is the most expensive level of care, with an average cost of $140,607 in Kentucky — Addictions.com Kentucky Rehab Directory.
$50,328
Long-term inpatient drug rehab in Kentucky costs an average of $50,328 — Addictions.com Kentucky Rehab Directory.
$8,363
Outpatient addiction treatment in Kentucky costs an average of $8,363 — Addictions.com Kentucky Rehab Directory.
$7,430
Outpatient methadone treatment is the most affordable option, with an average cost of $7,430 in Kentucky — Addictions.com Kentucky Rehab Directory.
Treatment setting residential and inpatient programs cost significantly more than outpatient care
Length of stay 30-day, 60-day, and 90-day programs carry different price points
Amenities and facility type standard programs are less expensive than private or specialty facilities
Insurance coverage private insurance, Medicaid, and Medicare each cover different portions of care
Co-occurring conditions dual diagnosis programs addressing both addiction and mental health may carry higher costs
Location urban facilities near major medical centers may price differently than community-based programs
How to Pay for Rehab in Lexington
Among Lexington's 39 listed facilities, 36 accept self-payment or cash and 30 work with private health insurance. For those with lower incomes or no private coverage, 19 facilities accept Kentucky Medicaid and 13 accept Medicare, providing meaningful coverage across a range of treatment settings. Sliding-scale fees, financial assistance, and payment plan options are available at a significant share of local facilities. The sections below outline the most common paths to funding treatment in Lexington.
36 accept self-payment or cash
30 accept private health insurance
19 accept Kentucky Medicaid
13 accept Medicare
11 offer sliding-scale fees
12 offer financial assistance
13 accept TRICARE
11 offer financing options
Medicare
Thirteen facilities in Lexington accept Medicare, which covers a range of substance use services for adults 65 and older and for people under 65 with qualifying disabilities. Medicare Part A can cover medically necessary detox and short-term inpatient treatment at a hospital-based program. Part B covers outpatient counseling, group therapy, and medication-assisted treatment including buprenorphine prescriptions.
Cost-sharing terms depend on whether the facility participates in Medicare's network and whether you carry supplemental coverage. Contacting each facility's billing department before admission is the most reliable way to confirm what Medicare will pay for in a specific program.
Medicaid
Kentucky Medicaid is administered through six managed care organizations: Wellcare, Passport by Molina, Aetna Better Health of Kentucky, Anthem, Humana, and UnitedHealthcare Community Plan. Each organization maintains its own network of approved treatment providers, so it is worth confirming that a specific Lexington facility accepts your plan before scheduling an intake appointment.
Kentucky Medicaid covers medical detox, outpatient treatment, residential inpatient care with prior authorization, group therapy, and medications for opioid use disorder including buprenorphine and methadone. With 19 facilities in the directory accepting Medicaid, coverage options for lower-income residents are substantial.
Military Benefits and TRICARE
Thirteen facilities in Lexington accept TRICARE, the federal health coverage program for active-duty service members, reservists, retirees, and their dependents. TRICARE generally covers detox, inpatient rehab, outpatient care, and medication-assisted treatment, though residential stays typically require prior authorization.
Veterans using VA benefits rather than TRICARE can access dedicated substance use treatment through the Lexington VA Health Care System. Additional guidance on navigating coverage is available through rehab resources for veterans and military.
Sliding Scale, Financial Assistance, and Financing
Eleven facilities in Lexington offer sliding-scale fees, adjusting the cost of treatment based on income and ability to pay. Twelve more offer some form of direct financial assistance, and 11 offer payment plans or financing to spread costs over time. For individuals who cannot afford private treatment costs even with these options, rehab scholarships through national programs can connect qualifying individuals to funded treatment slots. Kentucky's Treatment Access Program also provides a state-funded pathway to residential care for uninsured individuals.
Insurance and Private Pay
Most Lexington facilities work with major private health plans. Common carriers accepted at programs in the area include the following.
Anthem Blue Cross Blue Shield of Kentucky
Aetna
Cigna
Humana
UnitedHealthcare
Wellcare
Passport by Molina
Levels of Care Available in Lexington
Lexington's treatment network covers the full continuum of care, from supervised detox through long-term outpatient support and recovery housing. The directory includes 20 medical detox facilities, 23 inpatient rehab programs, 31 outpatient clinics, and 21 dual diagnosis programs treating co-occurring mental health and substance use conditions. Programs addressing co-occurring disorders are particularly well-represented, reflecting state and federal investment in integrated behavioral health care across the Bluegrass region.
20 medical detox facilities
23 inpatient rehab programs
2 partial hospitalization programs
31 standard outpatient clinics
21 dual diagnosis programs
5 sober living homes
Medical Detox
Twenty facilities in Lexington offer supervised detoxification, providing medical monitoring during withdrawal from alcohol, opioids, benzodiazepines, and other substances. Medical detox is typically the first step for anyone with a physical dependence, and completing withdrawal under clinical supervision reduces the risk of serious complications. Detox alone is not a complete treatment program; it is almost always followed by an inpatient, partial hospitalization, or outpatient level of care.
Inpatient Rehab
Twenty-three programs in Lexington offer residential or inpatient care, where clients live at the facility for 30, 60, or 90 days while receiving structured therapy, group counseling, and medical support. Inpatient rehab is appropriate for people with more severe substance use disorders, those who have not sustained recovery through outpatient programs, or those who benefit from distance from environments that make early recovery difficult. These programs provide 24-hour staffing and the highest level of residential structure available outside a hospital setting.
Partial Hospitalization Programs
Two facilities in Lexington offer partial hospitalization programs, which provide intensive daily treatment without an overnight stay. A typical PHP schedule runs five to six hours per day, five days per week, and is designed for people who need significant clinical support but have stable housing and no need for around-the-clock supervision. PHP often follows inpatient treatment as a step-down level of care.
Outpatient Treatment
With 31 outpatient clinics in the directory, Lexington has strong coverage for people seeking outpatient treatment. Standard outpatient programs typically meet one to three times per week, allowing clients to continue working, attending school, or meeting family obligations while in treatment. This level of care is appropriate for people with mild to moderate substance use disorders or for those transitioning from a more intensive program. Many outpatient programs in Lexington also offer medication-assisted treatment for opioid and alcohol use disorders.
Dual Diagnosis Programs
Twenty-one programs in Lexington offer integrated care for co-occurring conditions, addressing both a substance use disorder and a mental health condition such as depression, anxiety, PTSD, or trauma within a single coordinated treatment plan. Research consistently shows better outcomes when both conditions are treated together rather than sequentially.
The range of behavioral therapy approaches at Lexington dual diagnosis programs typically includes cognitive behavioral therapy, motivational interviewing, and trauma-informed care. Anyone with a known mental health diagnosis should ask specifically about integrated treatment during the admissions process.
Sober Living Homes
Five sober living homes in Lexington provide structured, substance-free housing for people who have completed an active treatment program and are building stability before returning to independent living. Sober living offers peer accountability and a community of support without the clinical schedule of a residential program.
The city's Recovery Supportive Living Assistance Program provides financial support for Fayette County residents who need help affording recovery housing. For more on what comes after completing a program, the rehab aftercare guide covers the months following discharge.
Specialty Programs in Lexington
Lexington's 39 facilities serve a wide range of populations. The directory includes strong representation across gender-specific, age-specific, and substance-specific programming, with particular depth in women's programming, young adult services, and programs targeting alcohol and opioid use disorder.
24 women's programs. Gender-responsive treatment in a women-only environment, designed around the specific recovery needs and experiences of women.
26 men's programs. Structured programming tailored to the treatment approaches and peer dynamics that tend to work well for men in recovery.
2 LGBTQ+ friendly programs. Provides LGBTQ+ affirming addiction care in a welcoming, stigma-free setting for lesbian, gay, bisexual, transgender, and queer individuals.
2 veterans and military programs. Specialized treatment for current and former service members, with clinical staff trained in military culture and combat-related trauma.
26 young adult programs. Age-appropriate programming supporting young adult and college student substance use recovery, including services for individuals in the 18-to-25 age range.
8 programs for older adults. Treatment that accounts for the distinct health considerations, medication interactions, and social circumstances common among adults over 55.
31 alcohol rehab programs. Specialized treatment tracks for alcohol use disorder, including medically supervised detox and evidence-based behavioral therapy.
23 opioid rehab programs. Treatment for opioid use disorder, with access to medication-assisted treatment using buprenorphine or methadone at many participating facilities.
Free and Low-Cost Rehab Resources in Lexington
Several organizations in Lexington provide crisis support, harm reduction, peer services, and no-cost or low-cost treatment access for people who are uninsured or unable to afford private care. If you or someone you know is in immediate danger, calling or texting 988 connects you to the Suicide and Crisis Lifeline, where counselors are available 24 hours a day and can assist with substance use crises as well. Information on additional crisis resources is available through crisis support services.
Crisis Lines and State Helplines
988 Suicide and Crisis Lifeline: Call or text 988, available 24 hours a day, seven days a week. Veterans can press 1 after dialing to reach a dedicated Veterans Crisis Line counselor. Text-based support is also available. https://988lifeline.org/
SAMHSA National Helpline: 1-800-662-HELP (4357). Free and confidential, available 24 hours a day in English and Spanish. Provides referrals to local treatment facilities, support groups, and community-based organizations. samhsa.gov
FindHelpNowKy.org: A Kentucky state tool that uses your zip code to surface nearby treatment programs, recovery housing locations, and naloxone distribution sites. findhelpnowky.org
County Health and Harm Reduction
Lexington-Fayette County Health Department Harm Reduction Program: 650 Newtown Pike, Lexington, KY 40508 | (859) 899-4230 | Offers free naloxone kits and training, a syringe service program, rapid HIV and hepatitis testing, and warm referrals to treatment. Walk-in naloxone distribution is available on Mondays, Wednesdays, and Thursdays at the Newtown Pike location. Community classes for groups of up to 100 people can be arranged by calling ahead. lfchd.org
Community and Peer Support
Voices of Hope: 644 N Broadway, Lexington, KY 40508 | (859) 303-7671 | A peer-led nonprofit offering recovery coaching, SMART Recovery meetings, telephone recovery support, and a mobile outreach unit. Recovery coaches are embedded at nearly 80 partner sites across the region, including hospitals, jails, and recovery centers. Open Monday through Saturday.
Lexington VA Health Care System (Franklin R. Sousley Campus): 2250 Leestown Road, Lexington, KY 40511 | 800-827-1000 | Offers inpatient and outpatient substance use treatment programs for eligible veterans, including a Substance Abuse Residential Rehabilitation Program and outpatient behavioral health services. The Sousley Campus specifically houses inpatient PTSD and substance use programs for veterans who need residential-level care. va.gov/lexington-health-care
Drug and Alcohol Use Statistics in Lexington
Fayette County has seen measurable reductions in overdose fatalities over the past two years, driven by expanded naloxone access, community paramedicine follow-up, and peer outreach. Fentanyl remains the leading substance in overdose deaths both locally and across Kentucky, and methamphetamine is present in roughly half of all overdose fatalities statewide. The statistics below reflect the most recently published data available at the time of writing.
120
Fatal overdose deaths in Fayette County in 2024, down from 177 in 2023 — City of Lexington press release, March 2025.
1,410
Kentuckians who died from a drug overdose in 2024, a 30.2% decrease from the prior year — Kentucky Office of Drug Control Policy, 2025.
356
Overdoses successfully reversed by Lexington firefighters in 2024 through the city's Quick Response Team — City of Lexington, 2025.
Involve fentanyl
62%
Of drug overdose deaths in Kentucky in 2024 involved fentanyl — Kentucky Office of Drug Control Policy, 2025.
Involve methamphetamine
51%
Of drug overdose deaths in Kentucky in 2024 involved methamphetamine — Kentucky Office of Drug Control Policy, 2025.
Medical reviewer
Libby Pelligrini, MMS, PA-C
Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…
A recently retired psychotherapist and freelance writer/author, Rita Milios has published forty-four books and hundreds of articles on topics of recovery, mental health, and spiritual growth. She treated mental health and addiction recovery clients in her private practice and was…
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