Compare 47 addiction treatment centers in and around Rochester, 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 New York for yourself or someone you love.
2316 Surf Ave · New York City, NY 11224New York City, NY 11224
New York City · Detox, Outpatient
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Detox
Outpatient
Surfpoint Recovery provides substance abuse treatment in Brooklyn, New York. They offer a welcoming facility in Coney Island where guests can relax close to the beach and focus on recovery without distractions. Modern Amenities Provided The team wants guests to…
1330 County Road 132 · Ovid, NY 14521Ovid, NY 14521
Ovid · Detox, Inpatient
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Detox
Inpatient
Medicaid
Private insurance
Van Dyke Addiction Treatment Center is a rehab located in Ovid, New York. Van Dyke Addiction Treatment Center specializes in the treatment of addiction.
113 E 60th St · New York City, NY 10022New York City, NY 10022
New York City · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Ascendant Detox is a full service addiction treatment center in New York City, New York. The programs they have include outpatient addiction treatment, detox and residential treatment. For adults with addiction and mental health issues, Ascendant Detox provides 24-hour medical…
334 West State Street · Ithaca, NY 14850Ithaca, NY 14850
Ithaca · Detox, Outpatient
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Detox
Outpatient
Medicaid
Private insurance
Cayuga Addiction Recovery Services (CARS) has three treatment locations in New York, including this outpatient and opioid program in Ithaca. They provide medication assisted treatment (MAT), therapy and case management. CARS accepts walk-ins at the Ithaca location during business hours.…
243 West 18th Street · New York, NY 10011New York City, NY 10011
New York City · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
In Chelsea, Mountainside Treatment Center is an outpatient addiction treatment center in New York. The center admits adults and adolescents and has outpatient support for adolescents. The Young in Recovery track, the Professionals in Recovery track and the LGBTQ+ Resilience…
411 Van Brunt St · Brooklyn, NY 11231Brooklyn, NY 11231
Brooklyn · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Urban Recovery, in Brooklyn, New York, provides medical detox and short term residential addiction treatment for adults. Services include a Seeking Safety program for those impacted by trauma or who have co-occurring PTSD alongside substance use disorder. Urban Recovery accepts…
21 Bloomingdale Road · White Plains, NY 10605White Plains, NY 10605
White Plains · Inpatient, Outpatient
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Inpatient
Outpatient
NewYork Presbyterian Westchester Behavioral Health Center, located in White Plains, New York, provides residential substance use treatment for adults, as well as care for co-occurring mental health disorders. This location includes The Haven, which is a discreet upscale residential treatment…
293 Genesee Street · Utica, NY 13501Utica, NY 13501
Utica · Outpatient
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Outpatient
Private insurance
The Rescue Mission of Utica is located at the center of Utica, New York, and has been helping residents fight mental health and substance abuse disorders since 1890. In their Addiction Stabilization Center, they take private and self-pay options to…
151 West 136th Street · New York, NY 10030New York City, NY 10030
New York City · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Elev8 Centers, an addiction treatment center in New York, New York, admits adult men from 18 to 64. Inpatient medical detox has medical supervision and support staff on duty around the clock, and a stay commonly runs 5 to 6…
360 Forest Avenue · Buffalo, NY 14213Buffalo, NY 14213
Buffalo · Detox, Inpatient
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Detox
Inpatient
Medicaid
Private insurance
The Margaret A Stutzman Addiction Treatment Center is a rehabilitation hospital in Buffalo, New York, that’s part of the New York State Office of Addiction Services and Supports. The hospital offers short term residential treatment for clients with substance use…
226 East 52nd Street · New York City, NY 10022New York City, NY 10022
New York City · Detox, Outpatient
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Detox
Outpatient
Private insurance
New York Center for Living is an addiction recovery program for teens, young adults, and families in New York City. They specialize in “wraparound” care that combines outpatient and telehealth services based on the client’s unique needs. Dedicated programs for…
159-05 Union Turnpike · Fresh Meadows, NY 11366Fresh Meadows, NY 11366
Fresh Meadows · Detox, Inpatient
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Detox
Inpatient
Private insurance
Serving the community of Fresh Meadows, New York, for over 40 years, Cornerstone is an inpatient addiction treatment center for adults. Here, you’ll find an inpatient treatment program and a detox program. While enrolled in treatment, you’ll learn tools for…
A part of Catholic Health, Pathways Rochester provides outpatient medication assisted treatment (MAT) and counseling in Rochester, New York. They have early hours Monday through Friday, with the center closing in the mid-afternoon each day. Pathways accepts Medicaid and self pay. Because the clinic is part of a larger hospital system, you’ll also have access to MyChart to manage your…
Delphi Rise located in Rochester, New York has been providing supportive services for individuals looking to break free from addiction and rebuild their lives. The clinic wants all the residents of Monroe County to be able to access these programs, which is why they accept Medicaid, Medicare, self pay and private insurance plans. Addiction Treatment Programs Delphi Rise has various…
Action for a Better Community's New Directions program in Rochester, New York, is all about helping people rebuild their lives when drugs or alcohol have gotten in the way. It’s part of a larger community agency that’s been around since the 1960s. You’ll find them by Lynchford Park. But New Directions is where they focus on substance use treatment. And…
If you live in Rochester, New York, you’ve probably heard of Baden Street Settlement. It’s right by Baden Park. They’ve been serving the community’s medical and behavioral health needs for over a century, and the heart of their mission hasn’t changed. Addiction and Counseling Support Baden Street Settlement runs a Counseling and Support Center on Joseph Avenue that focuses on…
Catholic Family Center Restart Substance Use Outpatient Clinic is an OASAS licensed outpatient addiction treatment program for adults 18 and older. The clinic specializes in integrated care for substance use disorders and co-occurring mental health conditions, offering treatment along with wraparound support services. As part of Catholic Charities Family and Community Services, Restart is built to help you pursue recovery…
Catholic Charities Family and Community Services offers real support for both addiction and mental health. They don’t just focus on substance use treatment either. They look at the whole person and all of the life challenges they're struggling with to come up alongside them. It’s based in Rochester, New York, by the Genesee River. Addiction and Behavioral Health Services Catholic…
Catholic Charities Family and Community Services (CCFCS) in Rochester, New York, is one of the first facilities to receive the Blue Distinction Center for Substance Use Treatment and Recovery designation. Behavioral health services offer treatment for drug, alcohol, and gambling addictions at their second facility on N. Clinton Avenue. They also treat depression and anxiety. The Restart team specializes in…
The Rochester Outpatient Clinic, part of Conifer Park, in Rochester, New York, offers a flexible spot where you can work on recovery without having to hit pause on the rest of your life. They’ve been around since the early 80s, helping people with substance use and now their outpatient programs in Rochester give you a way to get real support…
East House, located in Rochester, New York has been around since 1966 helping people rebuild their lives while recovering from mental health and substance use challenges. What makes them different is how much they focus on stability in every area of life. They don’t just offer housing, but they connect people with financial support, education, job training and emotional wellness…
If you’re in Rochester, New York and looking for real help with addiction recovery, Huther Doyle is one of those places that gets it. They don’t make you wait weeks to get started. In fact, they’re known for their rapid access to appointments. Sometimes they even offer appointments the very same day. That means you can walk in, sit down…
John Norris Addiction Treatment Center is a state operated drug and alcohol rehab in Rochester, New York providing structured inpatient substance use treatment for adults. The 44 bed program offers detox, inpatient care and co-occurring disorders treatment with specialty tracks for problem gambling and deaf or hard of hearing patients. Operated by New York State OASAS, the center emphasizes stabilization,…
Rochester Regional Health East Ridge Road Behavioral Health is an outpatient behavioral health and substance use treatment program in Rochester, New York, serving adults ages 18 and over and their families. Located at 490 East Ridge Road, the clinic provides outpatient mental health and addiction recovery services, including cooccurring disorder support. As part of the larger Rochester Regional Health network,…
The Behavioral Health Center Greece in Rochester, New York, is tucked right inside Unity Hospital. What’s nice about this location is that it connects you to outpatient and inpatient services so no matter what level of care you need, there’s something here that fits. What’s nice is that you don’t have to fit into a one-size program here. They start…
UR Medicine Mental Health & Wellness Strong Recovery is a Certified Community Behavioral Health Clinic (CCBHC) in Rochester, New York. They provide comprehensive outpatient care for adults experiencing substance use disorder or dual diagnosis. They accept most major insurance companies, including Medicaid and Medicare. You can also access financial assistance if you're underinsured or uninsured. You may be eligible for…
Conifer Park is located in Rochester, New York, and provides outpatient services for mental health and substance use challenges for adults and families. They take a holistic approach to treatment to address the roots of addiction and value compassionate care for those who need it. Clients have reported feeling heard and understood while undergoing treatment and commend the center for…
The YWCA’s Apartments of Rochester program is designed to help women and children in need. Their primary focuses are ending domestic violence and homelessness, though their broad support includes connections for drug abuse care. Note that they don’t provide direct treatment themselves but assist in addiction recovery through case management and local partnerships. This program maintains a number of affordable,…
Steppingstone Supportive Living Program is a rehab located in Rochester, New York. Steppingstone Supportive Living Program specializes in the treatment of addiction.
The Rochester Regional Health (RRH) Unity Hospital is a medical facility located in western Rochester, New York. As a fully fledged hospital, this facility is equipped to deal with a vast array of medical concerns, including issues pertaining to mental and behavioral health. Help At Any Stage of Your Recovery One can access a full continuum of rehabilitation services at…
Unity Hospital is part of the Rochester Regional Health System Network based in Rochester, New York. They provide chemical dependency treatment on an outpatient basis to residents in the area and support an online chemical dependency therapy program. Rochester is in Western New York along Lake Ontario. It's the state's third largest metropolitan area with over 1 million residents and…
The Unity Hospital Of Rochester on Lake is a rehab located in Rochester, New York. The Unity Hospital Of Rochester on Lake specializes in the treatment of addiction.
2613 West Henrietta Road, Suite A, Rochester, NY 14623
Outpatient
Medicaid
Private insurance
Part of the University of Rochester Medical Center, the Strong Ties Community Support Program provides mental health treatment. Helping adults in Rochester, New York, recover from addiction and mental illness, their goal is to help you improve the quality of your life. Their programs are considered Assertive Community Treatment that use a specialized approach to help people who may have…
Villa of Hope is a nonprofit addiction treatment center in Rochester, New York offering a full continuum of care for adolescents and adults facing substance use and mental health needs. Services on the Dewey Avenue campus include medically supervised withdrawal and residential reintegration as well as outpatient chemical dependency and mental health care. What kinds of addiction treatment are offered?…
2000 Winton Road South Building 2, Rochester, NY 14618
Detox
Outpatient
Medicaid
Private insurance
Brighton Chemical Dependency Clinic is a rehab located in Rochester, New York. Brighton Chemical Dependency Clinic specializes in the treatment of addiction.
Catholic Family Center Alexander Community Residence is a rehab located in Rochester, New York. Catholic Family Center Alexander Community Residence specializes in the treatment of addiction.
No centers match all of these filters.
Rehab centers in cities near Rochester
Treatment centers in nearby cities, closest to Rochester first. Filter by insurance, level of care, and who the program is designed for.
“After all, healthy body, healthy mind, healthy recovery.”
I ran across a very interesting article about a gym in Rochester, New York, that is tackling addiction recovery in a very unique way.
Addiction continues to plague New York, much like the rest of the country. But one Rochester gym is using fitness to aid recovery journeys. They believe that the road to a healthy lifestyle is also a road that leads to lasting recovery. Joseph Berry puts in hours of sweat and pain in the gym as a way to empower himself and his recovery. After having so much success, he began a class called Recovery Fitness. Every Saturday, the gym is a haven for those in recovery.
To use the facility and join the workouts, people only need to have 48 hours of sobriety. This is such an inspirational and unique way to help people. I thoroughly support the program and everything it stands for.
Frequently asked questions
What to know about rehab in Rochester
Rehab in Rochester: What to Know
Rochester is Monroe County's largest city and the third most populous in New York State, home to roughly 211,000 residents in the city proper and more than 750,000 across the greater county. The city sits in western New York along the southern shore of Lake Ontario, about 90 minutes east of Buffalo and an hour from the Canadian border. That geography shapes the local treatment scene in practical ways: most facilities are concentrated in the city and inner suburbs, with sparser coverage once you travel into the county's rural eastern and southern townships.
The Monroe County Office of Mental Health oversees the county's addiction services system and funds a network of New York State Office of Addiction Services and Supports (OASAS)-licensed providers. For people who are ready to seek help but unsure where to start, the county operates a 24-hour Open Access walk-in center at 835 West Main Street (run by Delphi Rise, phone: 585-627-1777), where anyone — including adolescents — can walk in without an appointment for a substance use evaluation and level-of-care recommendation. University of Rochester Medical Center and Rochester Regional Health are the two dominant health systems, and both operate chemical dependency programs within their broader psychiatric and behavioral health services. For a full picture of addiction treatment options across New York, the state directory offers a county-by-county breakdown.
Monroe County has faced some of the most acute overdose pressures of any upstate New York county over the past several years. Fentanyl contamination of the local drug supply has been widespread, and cocaine use mixed with opioids drove a sharp spike in fatal overdoses in 2023. County public health officials attribute a meaningful 2024 decline in overdose deaths to expanded naloxone distribution and community education, though the crisis is ongoing. Xylazine, a veterinary sedative increasingly found in the street drug supply, appeared in roughly one in four Monroe County overdose deaths in 2024, complicating treatment and resuscitation efforts. People seeking help for opioid use disorder will find that many Rochester-area facilities now offer medication-assisted treatment as a standard part of their programs.
Across the 47 facilities listed for Rochester on Addictions.com, you will find options spanning medical detox, inpatient residential care, standard outpatient, partial hospitalization, co-occurring disorder treatment and sober living. The range of addiction treatment options in the city means that most people can find a program matched to their clinical needs and financial situation without leaving the metro area. The sections below walk through costs, payment options, levels of care, specialty programs and free or low-cost resources available in Monroe County.
Cost of Rehab in Rochester, NY
Rochester-area rehab costs generally align with New York State averages, though facilities affiliated with major health systems and those with longer residential programs tend to run at the higher end of the range. For people using insurance to cover rehab, out-of-pocket costs are often far lower than the full program rates shown. The numbers below reflect the full cost without any coverage applied.
$118,000
Medical detox is the most expensive level of care, with an average cost of $118,000 in Rochester.
$42,300
Inpatient rehab in Rochester averages $42,300. A typical residential program runs 28 to 90 days depending on clinical need.
$7,000
Outpatient rehab in New York averages $7,000, making it the most accessible option for people who do not need 24-hour supervision.
$6,200
Outpatient methadone treatment averages $6,200 per episode, the most affordable option for people managing opioid use disorder with MAT.
Treatment setting inpatient programs cost significantly more than outpatient due to room, board, and 24-hour staffing
Length of stay a 30-day program is considerably less expensive than a 90-day residential stay
Insurance coverage most private plans, Medicaid and Medicare cover at least a portion of treatment
Facility type nonprofit and OASAS-licensed facilities often charge less than private for-profit centers
Medications required MAT medications like buprenorphine or naltrexone add to the overall cost but are often covered by insurance
Location within the city facilities in higher-cost areas or with specialized amenities typically charge more
How to Pay for Rehab in Rochester, NY
Among the 47 facilities listed for Rochester, 46 accept self-payment or private insurance and more than two-thirds accept New York Medicaid. The breadth of payment options reflects the city's strong nonprofit treatment infrastructure and the OASAS requirement that all licensed facilities maintain sliding fee scales. Whether you have comprehensive employer-sponsored insurance, a Medicaid plan or no coverage at all, there are paths to treatment in Rochester that can work within your budget.
46 accept self-payment or cash
39 accept private health insurance
35 accept New York Medicaid
24 accept Medicare
22 offer sliding-scale fees based on income
21 offer financial assistance programs
10 accept TRICARE for active-duty and veteran patients
6 offer financing or payment plans
Medicare
Medicare Part A covers inpatient detox and residential treatment when medically necessary. Part B covers outpatient services including individual and group therapy, medication management and partial hospitalization programs. People who are dually eligible for Medicare and Medicaid may be able to access behavioral health coverage through an Integrated Benefits Dual (IB-Dual) plan, which combines benefits under one managed care organization. For a full explanation of how Medicare applies to addiction treatment, see our guide to verifying your rehab benefits.
Medicaid
New York Medicaid covers the full range of substance use disorder services at OASAS-certified facilities, including medically supervised withdrawal, residential treatment, outpatient counseling and medication-assisted treatment with methadone, buprenorphine and naltrexone. Monroe County enrollees access these services through Medicaid Managed Care plans, with behavioral health benefits coordinated by health plans including Excellus BlueCross BlueShield and MVP Health Care. Facilities with walk-in or same-day MAT intake, like Catholic Charities Family and Community Services (85 N. Clinton Ave., 585-546-7220), accept Medicaid without requiring prior authorization for most outpatient services.
Military Benefits and TRICARE
Ten Rochester-area facilities accept TRICARE for active-duty service members and their families. Veterans who are enrolled in VA health care can access substance use disorder treatment through the VA Finger Lakes Health Care System, which operates outpatient clinics in Rochester and covers the full continuum of SUD care. For a fuller picture of what the VA covers and how to access it, see our resource page on rehab resources for veterans and military.
Insurance and Private Pay
Major private insurers operating in the Rochester area include Excellus BlueCross BlueShield, UnitedHealthcare, Aetna, Cigna and MVP Health Care. New York State law requires commercial insurers to cover mental health and substance use disorder services at parity with medical and surgical benefits, and recent state enforcement has improved compliance. Most OASAS-licensed outpatient facilities do not require prior authorization for initial outpatient treatment.
Excellus BlueCross BlueShield
UnitedHealthcare
Aetna
Cigna
MVP Health Care
Fidelis Care
Molina Healthcare
Free Treatment Programs
One facility in Rochester offers free treatment regardless of ability to pay. Additional no-cost options exist through county-funded programs and state grants. Rehab scholarships through organizations like the Substance Abuse and Mental Health Services Administration can also cover part or all of treatment costs for qualifying individuals. See our guide to rehab scholarships and free treatment programs for application guidance.
Levels of Care Available in Rochester, NY
Rochester's treatment network covers most of the standard levels of care, from medically supervised detox through sober living. The 47 facilities include 21 offering medical detox, 27 running inpatient programs, 32 providing standard outpatient services, 36 serving people with co-occurring mental health and substance use conditions and 14 operating sober living homes. Partial hospitalization (PHP) is available at 1 location in the area.
21 medical detox facilities
27 inpatient rehab programs
1 partial hospitalization program
32 standard outpatient clinics
36 dual diagnosis programs
14 sober living homes
Medical Detox
Medical detox is the first step for many people with physical dependence on alcohol, opioids, benzodiazepines or other substances. At a medically supervised detox program, clinical staff monitor withdrawal symptoms around the clock and can administer medications to reduce discomfort and prevent dangerous complications like seizures. Detox alone is not treatment; it stabilizes the person so they can move into a therapeutic program.
Inpatient Rehab
Inpatient programs provide structured, 24-hour care in a residential setting, typically for 28 to 90 days. This level is appropriate for people with severe addiction, unstable home environments or prior treatment episodes that did not hold in a lower-intensity setting. Rochester's 27 inpatient programs include both short-term and long-term residential options.
Partial Hospitalization (PHP)
A partial hospitalization program offers hospital-level structured care for five to six hours per day, five days per week, without overnight stay. PHP is a strong option for people who have completed detox or inpatient treatment and need intensive clinical support while living at home or in sober housing during the transition back to daily life.
Standard Outpatient
Outpatient treatment allows people to attend therapy sessions one to three times per week while maintaining work, school or family responsibilities. With 32 outpatient providers in Rochester, this is the most accessible level of care in the city. Outpatient programs range from basic individual counseling to more structured group therapy models and are often the appropriate step-down after a higher level of care.
Dual Diagnosis
Thirty-six Rochester facilities offer integrated treatment for co-occurring substance use and mental health conditions. Treating both conditions at the same time produces better outcomes than addressing them separately. Common co-occurring disorders in Rochester's treatment population include depression, anxiety, PTSD and bipolar disorder.
Sober Living
Sober living homes provide structured, substance-free housing for people who have completed a primary treatment program but are not yet ready to return to independent living. Residents typically follow house rules, participate in peer accountability and maintain outside employment or outpatient treatment. For guidance on rehab aftercare and continuing care options in Rochester, our aftercare resource covers what to look for in a sober living environment.
Specialty Programs in Rochester, NY
Rochester's treatment facilities collectively serve a broad range of populations, from young adults and older adults to people with opioid use disorder and veterans. The cards below show which specialty programs are represented across the 47 listed facilities.
28 women's programs Programs specifically designed for women in treatment, often incorporating trauma-informed care and services for pregnant or parenting individuals.
32 men's programs Programs structured for men, which may address gender-specific factors in addiction, including trauma, social norms around help-seeking and co-occurring mental health conditions.
5 LGBTQ+ friendly programs Facilities that offer affirming, culturally competent care for LGBTQ+ individuals. For more on LGBTQ+ affirming addiction care, our resource page covers what to look for in a provider.
3 veterans and military programs Programs with specialized track records serving active-duty service members and veterans. See our full guide to addiction treatment and rehab resources for veterans and military.
41 young adult programs. With 41 facilities offering young adult programming, Rochester has strong coverage for people in their teens and twenties. Many programs address the intersection of young adult and college student substance use alongside academic and social pressures.
13 programs for older adults. Programs with services adapted for people 55 and older, addressing age-specific medical considerations, medication interactions, and social isolation as factors in late-life substance use.
36 alcohol rehab programs Programs with dedicated services for alcohol use disorder, from medically supervised alcohol detox through long-term outpatient counseling.
29 opioid rehab programs Facilities offering structured treatment for opioid use disorder, the majority of which include medication-assisted treatment options alongside behavioral therapy.
Free and Low-Cost Rehab Resources in Rochester, NY
Monroe County has a well-developed network of publicly funded and nonprofit addiction resources, most of which are free or available on a sliding scale. The listings below cover crisis lines, county services, harm reduction and support for veterans. For people in acute mental health crisis, 988 is available 24 hours a day by call or text.
Crisis Lines
988 Suicide and Crisis Lifeline — Call or text 988 at any time. The line covers both mental health and substance use crises and can connect callers with local treatment referrals.
Web: 988lifeline.org
SAMHSA National Helpline — Free, confidential, 24/7 treatment referral and information for individuals and families facing substance use or mental health challenges. English and Spanish.
Phone: 1-800-662-4357 | Web: samhsa.gov/find-help/national-helpline
Monroe County Addiction Services
Monroe County Addiction Services Hotline — The county's addiction services division offers a direct hotline for treatment information, referrals and crisis support. Free naloxone kits, fentanyl test strips and monthly Narcan training are also available through this office.
Phone: 585-753-5300 | Address: 111 Westfall Rd., Rochester, NY 14620 | Web: monroecounty.gov/addiction
Open Access Walk-In Center (Delphi Rise) — A 24-hour, 7-day walk-in center at 835 West Main Street where adults and adolescents can receive a same-day substance use evaluation and immediate connection to appropriate care. No appointment needed.
Phone: 585-627-1777 | Address: 835 West Main Street, Rochester, NY 14611
Community and Nonprofit Providers
Catholic Charities Family and Community Services — Offers walk-in outpatient intake, same-day medication-assisted treatment services and sliding-scale fees. Accepts Medicaid and most major insurers.
Phone: 585-546-7220 | Address: 87 N. Clinton Ave., Rochester, NY 14608 | Web: fcscharities.org
Liberty Resources / Recovery Support Navigator — Provides peer and family support specialists who connect individuals and families affected by overdose to local treatment and recovery services. Partners with Monroe County Department of Public Health.
Phone: 585-442-2322 | Web: liberty-resources.org
Harm Reduction
Recovery All Ways (RAW) — A community harm reduction organization offering naloxone training, safer use supplies, peer connection and referrals to treatment. Hosts regular Sunday outreach at 1248 N. Clinton Avenue, Rochester.
Phone: 585-310-0729 | Web: recoveryallways.org
NY OASAS Harm Reduction Resources — Free naloxone kits and fentanyl and xylazine test strips can be ordered by mail through the New York State Office of Addiction Services and Supports. The site also links to local syringe services programs in Monroe County.
Web: oasas.ny.gov/harm-reduction-campaign
Veterans and Military
Rochester Vet Center — Offers confidential individual and group counseling, substance use services and referrals to VA residential programs for veterans, service members and their families at no cost. Located at 2000 South Winton Road, Building 5, Suite 201.
Web: va.gov/rochester-vet-center
Government and Medicaid Navigation
NY HOPEline (NYS OASAS) — New York State's official addiction helpline, staffed by specialists who can connect callers to OASAS-certified providers, Medicaid navigation and treatment options across the state. https://oasas.ny.gov/hopeline
Phone: 877-846-7369 | Text: "HELP" to 467369 | Available 24/7
211 New York — Call or text 211 to be connected to Monroe County social services, including substance use treatment referrals, housing and benefits assistance.
Phone: 211 | Text: ZIP code to 898211 | Web: 211lifeline.org
Drug and Alcohol Use Statistics in Rochester, NY
Monroe County has been among the hardest-hit upstate New York counties for drug overdose deaths over the past several years, driven largely by fentanyl contamination of the local drug supply and an emerging combination of opioids and cocaine. A significant public health push in 2024 led to a 43% reduction in overdose deaths compared to the prior year, though county officials have been clear that 292 deaths still represents a serious ongoing crisis. The data below reflects Monroe County Medical Examiner reports and is the most granular publicly available data for the Rochester area.
292
Drug overdose deaths in Monroe County in 2024, a 43% drop from the prior year and the lowest total since 2020 — Monroe County Office of Medical Examiner, 2025.
512
Drug overdose deaths in Monroe County in 2023, which represented a 26% increase over 2022 and the highest recorded total — Monroe County Medical Examiner, 2024.
216
Monroe County deaths involving opioids (heroin, fentanyl, and fentanyl analogs) in 2024, down 50% from 433 in 2023 — Monroe County Office of Medical Examiner, 2025.
Cocaine present
83%
Of fatal overdoses in Monroe County in 2024 involved cocaine, surpassing opioids for the first time as the most commonly detected substance — Monroe County Medical Examiner, 2025.
Fentanyl present
73%
Of fatal overdoses in Monroe County in 2024 involved fentanyl or fentanyl analogs, underscoring the persistent contamination of the local drug supply — Monroe County Medical Examiner, 2025.
Xylazine detected
26%
Of Monroe County overdose deaths in 2024 involved xylazine, a veterinary sedative increasingly found in street drugs that does not respond to naloxone — Monroe County Medical Examiner, 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…
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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