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Drug & alcohol rehab centers in Rochester, NY

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.

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47 addiction treatment centers in Rochester, NY

Showing 1–25 How results are ordered

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Exterior front entrance of brick building showing black door with blue Pathways signage and parking area markings

Pathways

435 East Henrietta Road, Rochester, NY 14620

  • Outpatient
  • Medicaid

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…

Map showing Delphi Rise

Delphi Rise

72 Hinchey Road, Rochester, NY 14624

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

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 New Directions NY 14611

Action for a Better Community New Directions

400 West Avenue, Rochester, NY 14611

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

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…

Baden Street Settlement NY 14605

Baden Street Settlement

152 Baden Street 1st Floor, Rochester, NY 14605

  • Outpatient
  • Medicaid

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 NY 14604

Catholic Family Center Restart Substance Use Outpatient Clinic

79 North Clinton Avenue, Rochester, NY 14604

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

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 NY 14604

Catholic Charities Family and Community Services

87 North Clinton Avenue, Rochester, NY 14604

  • Detox
  • Inpatient
  • Outpatient
  • Men
  • Medicaid
  • Private insurance

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 Family Center NY 14604

Catholic Family Center Alexander Community Residence

87 North Clinton Avenue, Rochester, NY 14604

  • Outpatient
  • Medicaid
  • Private insurance

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…

Rochester Outpatient Clinic NY 14620

Rochester Outpatient Clinic

556 Clinton Avenue South, Rochester, NY 14620

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

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 Community Residences NY 14621

East House Community Residences

259 Monroe Avenue, Suite 200, Rochester, NY 14607

  • Inpatient
  • Outpatient
  • Women
  • Medicaid
  • Private insurance

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…

Huther Doyle NY 14604

Huther Doyle

360 East Avenue, Rochester, NY 14604

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

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 NY 14620

John Norris Addiction Treatment Center

1732 South Avenue, Rochester, NY 14620

  • Detox
  • Inpatient
  • Medicaid
  • Private insurance

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 NY 14621

Rochester Regional Health East Ridge Road Behavioral Health

490 East Ridge Road, Rochester, NY 14621

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

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,…

Rochester Regional Health Chemical Dependency Clinic Greece NY 14626

Behavioral Health Center - Greece at Unity Hospital

1565 Long Pond Road, Rochester, NY 14626

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

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

UR Medicine Mental Health & Wellness – Strong Recovery

2613 W Henrietta Rd, Rochester, NY 14623

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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 Rochester NY 14620

Conifer Park Rochester

556 S Clinton Ave, Rochester, NY 14620

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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…

YWCA Apartments of Rochester NY 14604

YWCA Apartments of Rochester

175 N Clinton Ave, Rochester, NY 14604

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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 NY 14604

Steppingstone Supportive Living Program

175 North Clinton Avenue, Rochester, NY 14604

  • Inpatient
  • Women
  • Medicaid
  • Private insurance

Steppingstone Supportive Living Program is a rehab located in Rochester, New York. Steppingstone Supportive Living Program specializes in the treatment of addiction.

Unity Hospital NY 14626

Unity Hospital

1555 Long Pond Rd, Rochester, NY 14626

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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…

Map showing Rochester Regional—Behavioral Health Center - Greece

Rochester Regional—Behavioral Health Center - Greece

1565 Long Pond Rd, Rochester, NY 14626

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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…

Map showing The Unity Hospital Of Rochester on Lake

The Unity Hospital Of Rochester on Lake

81 Lake Ave, Rochester, NY 14608

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

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.

Exterior view of modern medical facility building with parking lot, glass windows, and UR Medicine branding visible

UR Medicine Mental Health & Wellness – Strong Ties

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 NY 14616

Villa of Hope

3300 Dewey Avenue, Rochester, NY 14616

  • Inpatient
  • Medicaid
  • Private insurance

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?…

Brighton Chemical Dependency Clinic NY 14618

Brighton Chemical Dependency Clinic

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.

Rochester Westfall VA Clinic NY 14620

Rochester Westfall VA Clinic

465 Westfall Road, Rochester, NY 14620

  • Detox
  • Outpatient
  • Private insurance

Rochester Westfall VA Clinic is a rehab located in Rochester, New York. Rochester Westfall VA Clinic specializes in the treatment of addiction.

Catholic Family Center Alexander Community Residence NY 14607

Catholic Family Center Alexander Community Residence

184 Alexander Street, Rochester, NY 14607

  • Inpatient
  • Men
  • Medicaid
  • Private insurance

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.

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.

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Olivia Pennelle

Counselor, Expert Author, Podcaster

Full bio

Expert insight

“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.

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.

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.

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.

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.

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.

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…

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Physician Assistant & Medical Writer. Read bio

Author

Olivia Pennelle

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

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Counselor, Expert Author, Podcaster. Read bio

Sources Sources (13)
  1. Monroe County Office of Medical Examiner. (2025). 2024 Overdose Deaths Report. Monroe County, NY.
  2. Monroe County Medical Examiner. (2024). 2023 Overdose Deaths Report: Fentanyl and Cocaine Involved in Majority of Cases. Monroe County, NY.
  3. Monroe County Department of Public Health, Addiction Services. (2025). Addiction Services Hotline and Resources.
  4. Monroe County Office of Mental Health. (2025). Addiction Services and OASAS-Certified Treatment Providers.
  5. Monroe County, NY. (2025). Opioid Information and Resources — Open Access Center.
  6. New York State Office of Addiction Services and Supports. (2024). Harm Reduction Campaign.
  7. New York State Office of Mental Health. (2025). Behavioral Health Managed Care.
  8. Governor Kathy Hochul. (2025). Governor Hochul Announces Improved Medicaid Access for Behavioral Health Care Services in New York.
  9. U.S. Department of Veterans Affairs, VA Finger Lakes Health Care. (2025). Rochester Calkins VA Clinic.
  10. U.S. Department of Veterans Affairs. (2025). Rochester Vet Center.
  11. Recovery All Ways (RAW). (2025). Community Harm Reduction Outreach.
  12. WXXI News. (2025, September 22). Fatal drug overdoses decreased in Monroe County last year.
  13. Addictions.com. (2025). Alcohol and Drug Rehabs in New York — Cost Data.

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