Top 15 Alcohol & Drug Rehab Centers in Troy, NY & Free Treatment Resources

 Troy New York Drug Alcohol Rehab
Troy, NY is the county seat of Rensselaer County and is part of a region called the Capital District and with the nearby cities of Albany and Schenectady. In 2021, Rensselaer County reported 35 opioid overdose deaths.1 Thirty-three of those deaths involved an opioid pain reliever such as fentanyl, a powerful synthetic opioid.1 The Rensselaer County Health Department has made it easier for residents of Troy and the rest of the county to help reduce the number of opioid overdose deaths with a program called Naloxone Now. County residents can text the word “NARCAN” to 21000 and arrange to have naloxone, a life-saving opioid overdose medication, delivered to their door.2 A drug and alcohol rehab in Troy is designed to treat a wide variety of substance use disorders, including opioid abuse. Private insurance is often used to pay for rehab, but if you don’t have insurance and meet the qualifications, you may be able to attend a free or low-cost rehab.

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Substance Abuse and Overdose Statistics in Troy, NY

The New York State Department of Health and Rensselaer County released alcohol and drug use statistics for the area. Here is a breakdown of the highlights:1,3,4

Levels of Substance Abuse Treatment

Multiple levels of addiction treatment are available. Some New York residents begin treatment with detox and work through the entire continuum of care. Others require only the least intensive levels of treatment.


Detox takes place in a supervised setting, such as a hospital or inpatient rehab facility. This is the process of safely clearing your system of all drugs and alcohol.

Residential or Inpatient

The most intensive treatment setting, residential or inpatient treatment involves 24/7 supervised care. At this level of care, you typically participate in individual, group, and family therapy sessions, and you may receive medication and additional recreational therapies.

Partial hospitalization programs (PHPs)

PHPs are less intensive than inpatient, because you only stay at the facility during treatment times, then return home. Treatment often involves some of the same methods used in residential care.

Intensive Outpatient Programs (IOPs):

A step down from PHPs, IOPs provide several hours of treatment over several days per week. Methods often include individual and group therapy. Many New York residents transition to IOPs after completing a residential or PHP program.

Standard Outpatient

Standard outpatient programs involve a couple of hours of care per week, typically with a therapist at an outpatient clinic or at their office. This level of care is appropriate for individuals who have mild addictions and strong support systems.


Once outpatient or inpatient treatment is completed, aftercare begins. This ongoing support includes methods such as 12-step meetings, transitional housing, or therapy. It is an important component of relapse prevention.

How to Pay for Drug Rehab in Troy, New York

Private Insurance

Per the Mental Health Parity and Addiction Equity Act, all insurance providers must cover substance abuse treatment to some extent. Each plan differs, so New York residents should contact their providers to confirm exactly what is covered under their plan.

New York Medicaid

New York Medicaid is a government program for low-income residents whose resources/income are below specific levels. Eligible New York residents include pregnant women, children, and individuals certified blind or disabled. To use this program, residents must apply for Medicaid coverage in New York, and the treatment facility must accept Medicaid as a method of payment.


Medicare is a government health insurance program that provides coverage for New York residents aged 65 and older, and individuals with certain disabilities. Some forms of addiction treatment are covered under Medicare Parts A and B. However, not all rehab facilities accept Medicare as a payment method, so it’s important to research the program before enrollment.

Sliding Scale Rehabs

Sliding scale rehabs allow New York residents to pay only what they can afford based on their income. To qualify, residents must provide proof of income when applying for treatment in New York.

TRICARE in New York

TRICARE in New York (East region) provides health insurance coverage for U.S. military personnel, veterans, and their dependents. Coverage includes addiction treatment services; however, various plans differ in what they cover.

IHS-Funded Drug Rehabs

At Indian Health Service (IHS) rehabs, Native Americans and Native Alaskans who need SUD treatment can receive low-cost or free services, even if other insurance coverage is available.

troy new york

Everything You Need to Know About Visiting Troy, NY

Troy is just 20 minutes from New York’s capital city of Albany. This makes it a convenient option if you are looking for an accredited detox, inpatient, or outpatient addiction treatment center in the city. Here is some helpful information about the town whether you’ll be receiving treatment at a Troy alcohol or drug rehab or visiting a loved one who is receiving help at a facility there.

  • Bus routes in Troy are run by the Capital District Transportation Authority. There is an Amtrak station about 8.5 miles south of Troy.
  • Downtown Troy is a very walkable town. Start your journey in the Central Troy Historic District where you’ll find art galleries, flea markets, and shops full of all sorts of items. The district itself is on the National Register of Historic Places.
  • The closest airport to Troy is the Albany International Airport, which is located 10 miles to the west of the city.
  • Troy is home to Rensselaer Polytechnic Institute, the oldest private engineering and technical university in the country.
  • Check out the 80-acre Prospect Park and take a walk to Poestenkill Falls and the Uncle Sam Memorial which provides an overlook of Albany. The first African American graduate of Rensselaer Polytechnic Institute designed the park in 1903.
  • The Troy Savings Bank Music Hall has been hosting productions and entertaining residents since 1823.
  • Troy features various hotel options as well as quaint B&Bs.

New York Drug and Alcohol Laws

New York laws include the following policies regarding substance use and overdoses:1,2,3,4

911 Good Samaritan Law: This law protects New York residents who seek or receive emergency medical assistance for a suspected overdose. It does not cover drug felonies or those who have open warrants out for their arrest. It is meant to save lives by removing fear of legal repercussions for:

  • Possession or use of a controlled dangerous substance
  • Possession or use of drug paraphernalia
  • Providing alcohol to minors

Overdose Prevention Bills: The governor of New York has signed five bills into action, S.911/A.2354, S.1795/A.533, S.2523/A.868, S.6044/A.128, and S.7228/A.5511, to reduce the number of overdoses across the state and encourage New York residents to seek help for substance use disorders. Each bill seeks to decriminalize individuals with substance use disorders and provide care for all. For example, one bill is designed to encourage judges to order individual treatment instead of incarceration for nonviolent crimes.

Employee Protections for Addiction Treatment: The state of New York considers substance use disorders a disability. This status protects employees with SUDs under the Americans with Disabilities Act. They can’t be discriminated against or fired for their SUD, although the law does not protect those who use substances during work, which may be grounds for disciplinary action.

Drug and Alcohol-Free Workplace: In New York, on-the-job use of, or impairment from, alcohol and controlled substances is prohibited. If employers have reasonable suspicion of job duty impairment due to the use of alcohol or controlled substances, they may require the employee to undergo medical testing. If the employee is found to have an SUD disability, they may refer the employee to the state Employee Assistance program, pursue disability leave procedures, or enact disciplinary measures if applicable.


  1. New York State Department of Health. (2022). New York State – County Opioid Quarterly Report.
  2. Rensselaer County. (n.d.). Rensselaer County Heroin Coalition.
  3. Rensselaer County. (2022). 2022 Capital Region Community Needs Health Assessment.
  4. New York State Department of Health. (2022). New York State Community Health Indicator Reports.

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