Durham Alcohol and Drug Use Statistics
Like many densely populated United States cities, Durham has faced growing substance use issues within the community for many years. Many residents of both the city and Durham County as a whole live with addiction, as evidenced by the following drug and alcohol use statistics:1, 2, 3
In 2017, 17% of Durham County adults engaged in excessive drinking, and 21% of county high school students reported drinking alcohol at least once in a 30-day period.
In 2020, 82 Durham County residents died of a drug overdose.
In 2020, 1,126 Durham County residents engaged in an addiction treatment program, and roughly 1,400 people received medication for opioid use disorder.
In the first quarter of 2021, there were 96 opioid-related emergency department visits in Durham County. In 2022, the county saw 99 such visits within the same time period.
If you or someone you love is among the thousands of Durham County residents with drug or alcohol addiction, quality treatment is readily available, regardless of your financial situation.
What Does Drug Rehab in Durham Cost?
The cost to enroll in an alcohol or drug rehab in Durham varies based on many factors, such as the type of treatment facility you select (luxury vs. standard) and whether you have health insurance. Other variables that impact the cost of rehab in Durham include:
Whether you need inpatient or outpatient treatment (inpatient is generally more expensive)
Features and amenities (luxury or standard rehab facility)
The length of time you spend in treatment (most programs last 30 to 90 days)
The type of health insurance a rehab facility accepts
Your extent of coverage for addiction treatment services
Whether the rehab center receives non-profit or government funding (facilities that get subsidies often provide reduced-cost treatment services)
Whether you require specialized treatment services, such as medication-assisted treatment (MAT) or dual diagnosis treatment
If you’re concerned about your ability to pay for addiction treatment, know that you have many options. No matter your income level, you can find a Durham treatment program that meets your needs and budget.
How to Find Free Rehabs in Durham
If you lack insurance and cannot pay for rehab out of pocket, you may qualify for subsidized treatment at a state-funded drug rehab in Durham. These facilities receive government funding distributed by the State of North Carolina, which allows them to provide low-cost or free treatment for low-income persons.
Although state-funded rehabs are a public health service and anyone can access them, not everyone is eligible for reduced-cost treatment. To qualify, you must demonstrate considerable financial need and show proof of legal North Carolina and U.S. residency. You’ll likely also need to prove that you are uninsured or underinsured.
Although state-funded Durham drug rehabs and alcohol rehabs offer reduced-cost services, they provide the same evidence-based addiction treatment as costlier facilities. But, due to limited funding, they may not be able to offer the newest trends in treatment or complementary therapies. You should also understand that there may be a waiting list for entry into these facilities as funding is limited, and many people apply for treatment.
You can find a free drug or alcohol rehab in Durham by contacting the Durham County Department of Social Services. Or, you can call our free helpline at 800-926-9037 (Who Answers?) to learn more about low-cost and free addiction treatment services available in or near your area.
Does Health Insurance Cover Drug and Alcohol Rehab in Durham?
Yes, your health insurance should provide partial or full coverage for alcohol or drug rehab in Durham. The Affordable Care Act requires insurers to provide a basic level of coverage for both addiction and mental health treatment services. It also requires insurers to cover these services even if you signed up for your plan with a pre-existing addiction or mental health condition.4
The Mental Health Parity and Addiction Equity Act also stipulates that your provider cannot place annual or lifetime limits on behavioral health coverage. The Act further stipulates that your provider cannot charge you a higher premium for increased use of your addiction treatment or mental health benefits.5
If you have insurance through a private company, such as Blue Cross Blue Shield, Aetna, Cigna, Ambetter, or UnitedHealthcare, it should cover drug and alcohol rehab in Durham. However, your coverage can vary from facility to facility based on the type of healthcare plan you have and whether your provider is in-network.
Some plans partially cover inpatient and outpatient treatment services, while others pay for the entire cost of care. If you use your insurance, be aware that you may need to pay a deductible out of pocket before your plan will cover treatment costs. Your plan may also have a copay that you’ll need to cover out of pocket.
Medicaid is a type of public health insurance funded by the federal government and the government of each state. You may be eligible for North Carolina Medicaid if you’re a legal resident of the state and you:6
- Have a low or very low income
- Are pregnant
- Have dependents under the age of 18
- Are 65 years of age or older
- Have a qualifying disability
- Are blind
Medicaid is the largest payer in the United States for behavioral health services, which includes inpatient and outpatient addiction and mental health treatment. Other covered rehab services include medication-assisted treatment, dual diagnosis treatment, home health, medication management, peer support services, and more.7
If you’re a Medicaid beneficiary, your coverage depends on the type of plan you have and the federal authority under which your benefits are provided. Furthermore, not all Durham rehab facilities accept Medicaid as a payment option.
Medicare is another type of public insurance provided by the federal government. If you’re over the age of 65 or are a younger person with a qualifying disability, you may be eligible for this type of health insurance. Like Medicaid, Medicare covers various types of addiction and mental health treatment, but only if they’re considered medically necessary. Screenings, assessments, inpatient and outpatient rehab, medications, telehealth programs, and several other treatment services are typically covered.8
If you have Medicare, your extent of coverage will depend on the type of plan you have (Original Medicare, Part C, and/or Part D). You’ll also need to enroll in a Medicare-approved rehab facility for your insurance to pay for treatment. Be aware that your plan may require you to pay a deductible, co-insurance, and/or copay out of pocket before coverage kicks in.
Does My Insurance Plan Cover Addiction Treatment?
If you have private or public health insurance, it should provide, at the very least, partial coverage for addiction treatment. If you don’t know your policy’s extent of coverage, call the number on the back of your insurance card. You can speak directly with a benefits representative who can break down the details of your plan. You can also request a list of the Durham drug rehabs and alcohol rehabs that accept your insurance.
If you’d like help verifying your coverage at Durham drug rehabs or alcohol rehabs, you can call our free helpline at 800-926-9037 (Who Answers?) for immediate assistance. Our treatment support specialists are available 24/7 to take your call.
How to Finance Drug Rehab in Durham
If you don’t have private health insurance and do not qualify for a government-sponsored plan, paying for addiction treatment out of pocket may be difficult. Still, even if you’re experiencing a tough financial situation, you have several options for making rehab more affordable.
Find a Program That Offers Payment Plans: If you can pay for addiction treatment out of pocket but can’t afford a substantial lump sum upfront, some Durham drug rehabs offer payment plans. These facilities can finance the cost of your program and split your payments up into manageable monthly installments.
Rehab payment plans work like any other type of financing agreement, so you’ll need to provide proof of income and credit information when you apply. If you’re eligible, you may even be able to defer your repayment start date until you graduate from rehab and return to work. If you’re interested in applying for financing, call rehab centers directly to ask if they offer payment plans.
Apply for a Rehab Scholarship: Some Durham alcohol rehabs and drug rehabs offer scholarships that partially or fully cover the cost of addiction treatment. These scholarships are reserved for people who are in financial distress and would not be able to enroll in rehab without payment assistance.
If you want to apply for rehab scholarships, a local community resource center may be able to help you find them. You can also contact Durham rehab facilities directly to ask whether they offer scholarships or other forms of financial assistance.
Sliding Scale Rehab Program: Many Durham drug rehabs and alcohol rehabs recognize that your income and basic living expenses directly impact your ability to pay for treatment services. To make rehab more accessible, these facilities offer a flexible, sliding scale fee system, which calculates your out-of-pocket treatment costs based on your income.
Understand that each facility offering sliding scale rehab programs may structure its fee schedule differently. However, most can work with you no matter your financial situation. You can find these programs by calling rehab facilities directly to inquire about payment options.
Popular Drug and Alcohol Rehab Centers in Durham
Freedom House Recovery Center
Freedom House Recovery Center is a non-profit behavioral health care agency that provides addiction and mental health treatment programs for adults and adolescents. This CARF-accredited facility offers a full continuum of care for addiction treatment and uses a person-centered, holistic care model. Assessments, residential rehab, intensive outpatient programs, standard outpatient treatment, medication management, halfway housing, and several other supportive services are available here.
TROSA is a non-profit, residential addiction treatment center that offers an innovative, multi-year, cost-free rehab program for people with substance use disorders. At this peer-led facility, many licensed treatment providers are graduates of residential recovery programs, offering invaluable insight and support for patients in early recovery. Life skills and vocational training, mentoring, education, and continuing care services are provided as part of the program.
Pathways to Life
Pathways to Life is a CARF-accredited addiction and mental health treatment facility specializing in comprehensive assessments and outpatient rehab programs. This treatment center offers standard and intensive outpatient programs for adults and teens with addiction, as well as outpatient and in-home mental health services. Family therapy, medication management, and continuing care resources are also available here.
Carolina Outreach is a CARF-accredited outpatient alcohol and drug rehab facility that provides intensive outpatient programs for adults with addiction and/or mental health disorders. Crisis services, standard outpatient programs, continuing care programs, family therapy, medication management, and comprehensive assessments are also available here.
Addiction Treatment Settings
Before you begin alcohol or drug addiction treatment, you’ll undergo a comprehensive needs assessment with a physician or addiction treatment expert. This assessment evaluates the severity of your substance use disorder and determines if you have any co-occurring mental health concerns. It also gathers other personal information relevant to your treatment needs.
Your provider will then use the information from your assessment to determine whether inpatient or outpatient rehab is the best fit for your needs.
Inpatient rehab programs provide the most intensive, structured, and supervised level of care for addiction treatment. These programs take place in a residential rehab facility, and you must live on-site for the length of your program. Expect your stay to range from 30 to 90 days, depending on your needs. Your treatment team may recommend a longer stay if they feel you can benefit from more time in highly structured, supervised care.
While enrolled in an inpatient rehab in Durham, you’ll have 24/7 access to addiction treatment experts who will provide evidence-based therapies and support throughout your stay. You’ll participate in structured individual and group therapy sessions and may also have access to alternative, holistic therapies that encourage whole-person healing. Medication-assisted treatment, peer support groups, relapse prevention education, family therapy, and aftercare planning may also be available to you, depending on the facility.
As you progress through treatment, your providers will periodically assess your treatment plan and adjust it as needed. This can be highly beneficial for you if you have a serious substance use or mental health condition that has impacted your life severely. Having continual access to therapists in a secure and immersive setting can help you focus intensely on your recovery without the distractions of daily life.
When you complete your residential program, you may move on to a step-down program, depending on your needs. In step-down treatment, you’ll continue building on the skills you learned in inpatient rehab but in a more flexible, outpatient setting.
Partial Hospitalization Programs
Partial hospitalization programs (PHPs), also known as day treatment, are the most time-intensive and structured form of outpatient addiction rehab. In a PHP, you’ll attend treatment sessions five to seven days per week with both addiction and medical professionals. Depending on your needs, you may receive medications, as well as several hours of evidence-based therapy during each session.
Most PHPs provide a combination of individual and group therapy, as well as substance use and relapse prevention education. You can live at home while in treatment, but because these programs require a substantial time commitment, work or school may not be feasible.
Intensive Outpatient Programs
Intensive outpatient programs (IOPs) are more flexible than PHPs, typically providing three to five weekly treatment sessions. Like PHPs, IOPs provide several hours of evidence-based addiction therapy per week in both individual and group settings. These programs typically also provide relapse prevention education and planning, as well as substance use education.
While enrolled in an IOP, you can live at home or in transitional housing, so you may be able to work, go to school, or care for loved ones while engaging in treatment. Many programs offer evening or daytime sessions to accommodate various scheduling needs.
Standard outpatient rehab programs are the most flexible and least intensive form of addiction treatment. These programs typically provide alcohol, drug, and relapse prevention education and help participants focus on achieving behavioral changes that support long-term sobriety.
In a standard outpatient program, you’ll likely attend one or two treatment sessions per week.
Most programs provide five to 10 hours of weekly care, so you’ll have the opportunity to work or go to school. Due to the limited nature of standard outpatient programs, you may benefit from additional support while in treatment. 12-step recovery groups like AA or NA and peer support groups can be good options.
Telehealth and Online Addiction Treatment
If traveling to an alcohol or drug rehab in Durham is not feasible for you, enrolling in a telehealth rehab program may be in your best interest. Online addiction treatment programs allow you to get evidence-based therapy from the comfort of your home, but you’ll need an internet-connected device to access services.
Most rehab facilities that offer telehealth programs can conduct screenings and assessments virtually. They also provide phone- or video-based therapy sessions for substance use and co-occurring disorders, as well as medication management and other recovery support services.
When you stop using substances and your body begins to detoxify itself, you may experience highly uncomfortable withdrawal symptoms. Sometimes, these symptoms can be dangerous, especially if you have a history of benzodiazepine, alcohol, opioid, or barbiturate use.
Medical detox programs allow you to withdraw from substances in the safest possible setting. Addiction and medical experts provide 24/7 supervision and support to keep you comfortable and stable as your body rids itself of alcohol and/or drugs. You may receive medications and IV fluids, depending on your needs, which will allow you to achieve a substance-free and medically stable state.
After completing detox, you can move on to a formal alcohol or drug rehab program. On its own, medical detox is not addiction treatment and cannot function as a substitute for rehab. Without therapy for the underlying psychological factors that impact addiction, avoiding relapse can be incredibly difficult.
Specialized Drug Rehab in Durham for Various Populations
Durham alcohol rehabs and drug rehabs that offer specialized, population-specific programs focus on catering to the unique treatment needs of certain groups of people. Treatment is sensitive to the lived experiences and circumstances of each patient and can provide an invaluable source of support from peers with similar experiences.
Veteran-specific rehab programs are sensitive to the unique needs of retired military members with addiction. Because veterans can be particularly susceptible to co-occurring substance use and mental health disorders, these programs often provide dual diagnosis treatment. They also offer patients an opportunity to engage in treatment alongside their veteran peers. If you’re a retired military member seeking addiction treatment, a veteran-specific program can help you feel supported and understood as you work through recovery.
Members of the LGBTQ+ community often face discrimination, homophobia, transphobia, stigmatization, and other difficult issues that non-LGBTQ+ persons may not understand. Many Durham alcohol rehabs and drug rehabs recognize that LGBTQ+ persons have unique lived experiences that often impact substance use and/or mental health conditions. These programs provide invaluable peer support and customize their treatment services to target the special challenges this demographic faces.
Because stoicism and self-sufficiency are common cultural expectations for men, male patients may feel that entering rehab means they’re weak or have failed. Men-focused rehab programs work to shift these negative views around addiction treatment, so patients can feel safe being vulnerable and expressing their needs. They also promote a sense of supportive camaraderie among patients, which can improve treatment engagement and long-term recovery outcomes.
Women-specific rehab programs focus on addressing women’s unique lived experiences that often impact addiction and/or mental health disorders. These programs not only provide a community with supportive peers but also an environment where women can feel safe and understood in expressing their needs. Trauma, intimate partner abuse, workplace discrimination, hormone-induced behavioral changes, and motherhood are some of the unique female challenges these programs address.
Teen rehab programs provide targeted treatment for adolescents with substance use disorders. These programs are sensitive to the unique social challenges teens face, as well as the many developmental changes this demographic experiences. Bullying and peer pressure can make adolescents more susceptible to co-occurring addiction and mental health disorders, so teen programs often provide dual diagnosis treatment.
Should I Travel to Durham for Drug and Alcohol Rehab?
You may want to travel to a drug or alcohol rehab in Durham if you don’t have access to the treatment services you need where you currently live. Traveling may also be in your best interest if leaving your local area would eliminate triggers and distractions that could complicate your recovery. If your health insurance covers treatment at a Durham addiction treatment center, traveling for rehab can help you get a fresh start.
Neighborhoods in Durham to Consider for Treatment
Durham is home to several neighborhoods, some of which may suit your needs or preferences better than others. If you enjoy a more urban atmosphere, consider treatment in Downtown Durham, which is home to many public works of art, performing arts centers, and museums. The city’s baseball team, the Durham Bulls, also has their ballpark here.
Another area of the city to consider is Forest Hills, a national historic district located southwest of downtown. This area is known for its many charming, historic homes and buildings, as well as its many parks and easy access to the city’s more urban, amenity-rich areas.
East Durham, another national historic district, may also suit you if you enjoy a walkable, densely populated environment with plenty of green spaces and beautifully preserved buildings.
Alcohol and Drug Laws in Durham, North Carolina
North Carolina Good Samaritan Law: If you call 911 to report a suspected overdose, House Bill 852 grants you limited immunity from arrest or prosecution for drug-related crimes. Whether you call for yourself or someone else, you must remain at the scene until help arrives and cooperate with law enforcement and/or medical professionals. To qualify for immunity, you must only possess a small amount of illicit substances meant for personal use.9
Expanded Naloxone Access: Under North Carolina’s Naloxone Access Law, anyone who administers naloxone to a person experiencing an overdose cannot be prosecuted for doing so. This law also protects healthcare professionals who dispense naloxone to persons at risk for an overdose or those who may need to assist an at-risk person.10
Durham County Drug Treatment Court: In Durham County, non-violent offenders with addiction to drugs and/or alcohol can engage in state-sponsored substance misuse treatment instead of being incarcerated. To opt for drug treatment court, a person must meet the criteria for substance dependence or borderline substance dependence and meet legal eligibility requirements.11
Aftercare Options for Post-Rehab Success
Aftercare provides invaluable relapse prevention support that can help you stay strong in your recovery as you transition back to normal, daily life. This final step on the continuum of addiction care can take many forms, depending on your needs and the recommendation of your treatment provider. Some of the more common aftercare options you may want to consider include:12
- Recovery support groups like SMART Recovery, NA, or AA
- Peer support groups
- Alumni programs provided by your rehab facility
- Ongoing individual and/or group counseling
- Sober-living housing
- Step-down care in an outpatient rehab program
Finding the right drug or alcohol rehab in Durham for yourself or a loved one can be challenging. If you need assistance, our treatment support specialists are standing by to help. Call our free, confidential helpline at 800-926-9037 (Who Answers?) to explore the many local rehab options available to you.
- North Carolina Department of Health and Human Services. (2022). Durham County Opioid Overdose Emergency Department Visits.
- Durham County Department of Public Health. (2021, March). Durham County Community Health Assessment 2020.
- North Carolina Department of Health & Human Services. (2022). Opioid and Substance Use Action Plan Data Dashboard.
- Substance Abuse and Mental Health Services Administration. (n.d.) What Does the Affordable Care Act Mean for Behavioral Health?.
- Frank, R. G., Beronio, K., & Glied, S. A. (2014). Behavioral Health Parity and the Affordable Care Act. Journal of Social Work in Disability & Rehabilitation, 13(1-2), 31-43.
- U.S. Department of Health and Human Services. (n.d.). North Carolina Medicaid Program.
- Medicaid and CHIP Access Commission. (n.d.). Behavioral health benefits.
- Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2016). Medicare Coverage of Substance Abuse Services.
- North Carolina Legislature. (2021, May 5). House Bill 852.
- North Carolina Department of Health and Human Services. (2017, August). FAQ on Naloxone Standing Order in North Carolina.
- North Carolina Administrative Office of the Courts. (2010). The Minimum Standards for the North Carolina Drug Treatment Courts.
- McKay J. R. (2009). Continuing Care Research: What We Have Learned and Where We Are Going. Journal of Substance Abuse Treatment, 36(2), 131–145.