Expert Insights
The opioid epidemic has drawn a lot of attention to drug overdoses in Detroit. A majority of the overdose deaths that have occurred in the Motor City over the past decade have involved opioids. But as this threat looms, we can’t let other threats get lost in its shadow. The fact is, 41% of Detroit overdose deaths involve cocaine. This drug is the second most abused substance in Wayne County. And it’s second to alcohol, not opioids. As we focus on outreach and treatment from the 130 drug rehab centers available in Detroit, let’s keep these “smaller” threats in mind.
How We Rank Listings
Listings on this page reflect licensed and accredited addiction treatment providers serving Detroit and the surrounding Wayne County area. We surface programs based on a combination of accreditation status (Joint Commission, CARF), state licensure, treatment scope (detox through aftercare), insurance acceptance, and program transparency. Facilities are not paid to appear in this directory, and ranking does not reflect any commercial relationship.
- Accreditation and licensure are verified against current public records.
- Programs are reviewed for clinical scope, payment options, and accessibility.
- Listings are updated when new public data on a facility becomes available.
- Specialty programs (women’s, LGBTQ+ affirming, veterans, young adult) are tagged when documented by the provider.
Inclusion is not a clinical endorsement. Anyone considering treatment should verify program details directly with the facility and a licensed provider before making a decision.
Rehab in Detroit: What to Know
Detroit is the seat of Wayne County and the population center of southeast Michigan, and its treatment landscape reflects the scale of the region. There are 78 licensed addiction treatment facilities serving Detroit, ranging from hospital-based detox programs to community outpatient clinics and recovery housing. Most operate under the public behavioral health system overseen by the Detroit Wayne Integrated Health Network and the statewide Michigan rehab directory, which together coordinate Medicaid-funded care across the county.
The county behavioral health authority, Detroit Wayne Integrated Health Network (DWIHN), contracts with more than 75 providers at over 125 locations across Wayne County and operates a 24-hour access line for screening, crisis stabilization, and referrals into addiction treatment programs. Major hospital systems, including Henry Ford Health, Detroit Medical Center, and Ascension, also operate inpatient and outpatient behavioral health services within the city, alongside the John D. Dingell VA Medical Center, which serves veterans with substance use and co-occurring conditions.
Detroit sits near the center of one of the most fentanyl-affected regions in the Midwest. Wayne County has the highest overdose death rate of any county in Michigan, and roughly four of every five overdose deaths in the county involve fentanyl, the synthetic opioid driving overdose risk nationally. That context shapes how Detroit treatment programs operate: most offer medication-assisted treatment, dual-diagnosis care, and harm-reduction-informed services as standard rather than optional.
The 36th District Court runs a nationally recognized Drug Treatment Court and Veterans Treatment Court, both of which partner with DWIHN to route eligible defendants into community-based treatment instead of jail. Wayne County also has an active naloxone distribution network, syringe service programs licensed through the city, and a county-wide overdose-response infrastructure built out over the past five years.
Cost of Rehab in Detroit
Treatment costs in Detroit generally track Michigan state averages, with some variation by setting, length of stay, and program intensity. Michigan ranks among the more affordable Midwest states for residential treatment, and city-specific prices for Detroit programs are not published as a standardized figure. Most cost differences come from level of care and whether a program operates inside a hospital system, a community nonprofit, or a private residential facility. Verifying rehab benefits with your insurance carrier before admission is the most reliable way to estimate your actual out-of-pocket cost.
These state averages represent total program cost rather than daily rates, and the actual price a Detroit resident pays will depend on factors specific to their situation.
How to Pay for Rehab in Detroit
Of the 78 treatment facilities in Detroit, the majority accept some form of insurance or public funding. Self-payment and private insurance are the most commonly accepted, but Medicaid through the Healthy Michigan Plan and Medicare are also widely supported, reflecting the city’s reliance on public behavioral health coverage.
Most Detroit residents combine more than one payment source to cover the full cost of treatment. The sections below outline how each of the major payment types works in Wayne County.
Medicare
Medicare covers medically necessary substance use treatment for Detroit residents age 65 and older, as well as for younger adults who qualify due to disability. Part A typically applies to inpatient hospital-based detox and rehab, Part B applies to outpatient counseling and medication management, and Part D applies to prescription medications used in recovery, including buprenorphine. Coverage details, prior authorization requirements, and out-of-pocket costs vary by plan.
Medicaid and the Healthy Michigan Plan
Michigan’s Medicaid program and the Healthy Michigan Plan (the state’s Medicaid expansion) both cover the full continuum of substance use disorder treatment, including inpatient and outpatient care, behavioral therapy, peer recovery support, and medication-assisted treatment for opioid and alcohol use disorders. In Wayne County, public behavioral health benefits are administered through DWIHN as the regional pre-paid inpatient health plan, which coordinates access to its provider network.
Military Benefits
Veterans living in Detroit have direct access to the John D. Dingell VA Medical Center, which provides inpatient detox, outpatient treatment, MAT, and dual diagnosis care. Active-duty service members and their families covered by TRICARE can use 11 facilities in the city that accept the program. Treatment resources for veterans and military families often include trauma-informed care, PTSD programming, and connections to VA benefits coordinators.
Insurance and Private Pay
Most major commercial insurance plans cover substance use treatment under federal parity law. Michigan strengthened parity protections in 2024 under Public Act 41, which requires commercial insurers to cover mental health and substance use disorder treatment at the same level as physical health care. Common in-network carriers in southeast Michigan include:
- Aetna
- Blue Cross Blue Shield of Michigan
- Cigna
- Health Alliance Plan (HAP)
- Humana
- McLaren Health Plan
- Meridian Health Plan
- Molina Healthcare
- Priority Health
- UnitedHealthcare
Other Low-Cost Options
Detroit residents without insurance can access sliding-scale fees at 41 facilities and financial assistance at 42 facilities. Many community-based providers contracted with DWIHN provide care at no out-of-pocket cost for eligible Wayne County residents, regardless of insurance status, through state and federal substance use disorder block grants.
Free Treatment Programs
Seven Detroit facilities offer free treatment to qualifying clients, typically funded through state opioid settlement dollars, federal SAMHSA grants, or county behavioral health contracts. Some nonprofit and faith-based programs offer scholarship beds for individuals without insurance or financial means. Rehab scholarships and other no-cost treatment pathways are available through select providers in the area.
Levels of Care Available in Detroit
Detroit has 20 medical detox facilities, 34 inpatient rehab programs, 65 outpatient clinics, and 22 sober living homes. Most facilities offer co-occurring (dual diagnosis) care, reflecting the high overlap between substance use and mental health conditions among Wayne County residents.
Medical detox. Detox is the supervised first stage of treatment for people physically dependent on alcohol, opioids, benzodiazepines, or other substances. Detroit detox programs operate inside hospital systems and freestanding facilities, with medical staff monitoring withdrawal and administering medications when appropriate. Supervised medical detox typically lasts 3 to 10 days depending on the substance and the person’s medical history.
Inpatient rehab. Inpatient or residential treatment provides 24-hour care in a structured setting. Programs range from short-term (28 days) to long-term (90 days or longer) and combine individual therapy, group counseling, medication management, and recovery skills training. Residential treatment is often recommended for people with severe substance use disorders, co-occurring conditions, or unstable home environments.
Standard outpatient. Outpatient care lets people continue work, school, or family responsibilities while attending counseling and medication appointments. Detroit has the largest outpatient network of any city in Michigan, and most clinics offer evening and weekend hours. Outpatient and intensive outpatient programs can be an entry point for people with mild-to-moderate substance use disorders or a step-down option after residential care.
Dual diagnosis care. Co-occurring treatment addresses substance use and mental health conditions in the same program. With 66 facilities offering this model, Detroit residents living with co-occurring depression, anxiety, PTSD, or bipolar disorder have access to integrated care across nearly the entire treatment network.
Sober living and aftercare. Recovery housing supports people transitioning out of residential treatment by providing structured, substance-free housing alongside continued counseling and peer support. Continuing care and rehab aftercare often combine sober living with outpatient therapy, medication management, and 12-step or peer recovery groups.
Many Detroit programs include behavioral therapy and counseling approaches such as cognitive behavioral therapy (CBT), motivational interviewing, and contingency management as part of standard treatment.
Specialty Programs in Detroit
Detroit’s treatment network includes facilities that serve specific populations and address particular substance use patterns. Specialty programming reflects the city’s demographic diversity and the substances most affecting Wayne County residents.
Specialty programming is most often layered on top of standard clinical care rather than offered as a separate track. A women’s program, for example, typically uses the same evidence-based therapies as a general program but in a gender-specific setting that addresses trauma, parenting, and safety in ways that improve engagement and completion.
Free and Low-Cost Rehab Resources in Detroit
Detroit residents can access a range of free or low-cost services beyond the formal treatment network. These include crisis lines, harm reduction supplies, public behavioral health intake, and community-based recovery support. Most are funded through Wayne County, the state of Michigan, the federal SAMHSA block grant, or opioid settlement dollars, and most are available regardless of insurance status. The 988 Suicide and Crisis Lifeline is the recommended first point of contact for anyone experiencing a mental health or substance use crisis (see crisis support and suicide prevention resources).
Crisis lines
- 988 Suicide and Crisis Lifeline — Call or text 988. 24/7 free and confidential support for substance use crisis, suicidal thoughts, and emotional distress.
- DWIHN 24-hour access and crisis line — 1-800-241-4949. The Detroit Wayne Integrated Health Network access line for screening, crisis response, and linkage to providers in Wayne County. Available 24 hours a day, 365 days a year.
- SAMHSA National Helpline — 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral and information service.
Wayne County and city resources
- Detroit Wayne Integrated Health Network (DWIHN) — 1-800-241-4949. Wayne County’s public behavioral health authority. Coordinates Medicaid-funded substance use treatment, mental health care, and recovery support across more than 75 contracted providers. dwihn.org
- Detroit Health Department Behavioral Health Program — 313-876-4000. City-run program providing naloxone education and distribution, syringe service program licensing, and substance use prevention outreach across Detroit. detroitmi.gov/departments/detroit-health-department
- Michigan 211 (United Way for Southeastern Michigan) — Dial 211 or 1-800-552-1183. Free, 24/7 information and referral service connecting Wayne County residents to behavioral health, housing, food, and financial assistance programs. unitedwaysem.org
Harm reduction and overdose prevention
- Well Wayne Stations — Free naloxone (Narcan), fentanyl test strips, and xylazine test strips distributed at locations across Wayne County. endoverdosewayne.org
- Community Health Awareness Group (CHAG) — 313-963-3434. Located at 1300 W. Fort Street, Detroit. Operates a weekly syringe exchange and provides harm reduction supplies and HIV/HCV testing. chagdetroit.org
- NEXT Distro Michigan — Online and mail-based harm reduction program providing free naloxone, sterile syringes, and safer-use supplies to Michigan residents. nextdistro.org/michigan
- Michigan Naloxone Direct Portal — Free naloxone for community-based organizations through the state health department. michigan.gov/naloxone
Veterans and military
- John D. Dingell VA Medical Center — 4646 John R Street, Detroit, MI 48201. Behavioral Health Outpatient Clinic: 313-576-1000 ext. 63157. Same-day walk-in evaluation for substance use and mental health concerns, plus inpatient detox, MAT, and dual diagnosis care for enrolled veterans. va.gov/detroit-health-care
- Veterans Crisis Line — Dial 988, then press 1, or text 838255. 24/7 confidential crisis support for veterans, service members, and their families.
Government and Medicaid
- Healthy Michigan Plan (Medicaid expansion) — Covers inpatient and outpatient substance use treatment, MAT, and behavioral health services for adults ages 19 to 64 at or below 138 percent of the federal poverty level. Apply at michigan.gov/healthymiplan or by calling 1-855-789-5610.
- SAMHSA Behavioral Health Treatment Locator — Searchable national directory of licensed treatment facilities, including Detroit-area programs. findtreatment.gov
Community and faith-based
- Salvation Army Harbor Light System — 3737 Lawton Street, Detroit, MI 48208. 313-361-6136. Long-term residential rehabilitation, detox referral, and recovery support, with services available regardless of ability to pay. centralusa.salvationarmy.org
- Catholic Charities of Southeast Michigan — 248-559-1147. Counseling, recovery support, and case management for individuals and families in Wayne, Oakland, and Macomb counties. ccsem.org
Drug and Alcohol Use Statistics in Detroit
Wayne County has the highest overdose death rate of any county in Michigan, driven primarily by fentanyl in the illicit drug supply. State and county data over the past three years show both the scale of the crisis and the early signs of progress from expanded naloxone distribution and treatment access.
Michigan’s overdose death rate declined nearly five times faster than the national average between 2021 and 2023. State health officials credit the drop in part to the Michigan Naloxone Direct Portal, which provides free naloxone to community groups, and to expanded distribution of fentanyl and xylazine test strips. The decline has not been evenly distributed: Black residents and American Indian or Alaska Native residents in Michigan remain 2.8 and 2.2 times more likely, respectively, to die of an overdose than White residents (see national substance use statistics for broader context).
Resources
- Michigan Department of Health and Human Services. (2024). Michigan’s overdose death rate declines nearly five times faster than national average. https://www.michigan.gov/mdhhs/inside-mdhhs/newsroom/2024/11/12/overdose-deaths
- USAFacts. (2024). How many drug overdose deaths happen every year in Michigan? https://usafacts.org/answers/how-many-drug-overdose-deaths-happen-every-year-in-the-us/state/michigan/
- Wayne County Health Department, in partnership with Wayne State University Center for Behavioral Health and Justice. (2023). End Overdose Wayne: Harm Reduction and Behavioral Health. https://endoverdosewayne.org/
- Detroit Wayne Integrated Health Network. (2024). Substance Use Help. https://dwihn.org/programs-services/substance-use-help
- U.S. Department of Veterans Affairs. (2024). John D. Dingell VA Medical Center. https://www.va.gov/detroit-health-care/locations/john-d-dingell-department-of-veterans-affairs-medical-center/
- 36th District Court. (2022). Specialty Courts: Drug Treatment Court and Veterans Treatment Court. https://www.36thdistrictcourtmi.gov/divisions-departments/probation/programs
- Michigan Department of Health and Human Services. (2024). Healthy Michigan Plan. https://www.michigan.gov/healthymiplan
- United Way for Southeastern Michigan. (2024). 2-1-1 Helpline. https://unitedwaysem.org/our-impact/2-1-1-impact/
- City of Detroit Health Department. (2024). Behavioral Health Program. https://detroitmi.gov/departments/detroit-health-department/programs-and-services/behavioral-health-program
- Michigan Health and Hospital Association. (2024). Public Act 41 of 2024: Michigan Mental Health Parity Law. https://www.mha.org/newsroom/tag/healthy-michigan-plan/
- Addictions.com. (2024). Alcohol and Drug Rehabs in Michigan: State Cost Averages. https://www.addictions.com/rehabs/michigan/
