Drug & alcohol rehab centers in Cleveland, OH

Cleveland is Ohio's second-largest city and the seat of Cuyahoga County, a county of roughly 1.2 million residents that has been at the center of Ohio's opioid crisis for over a decade. The metro area encompasses the city proper, its inner-ring suburbs, and communities stretching to the Lake Erie shoreline.

With 65 addiction treatment programs listed in our directory, Cleveland has one of the more developed treatment networks in the Midwest, including programs run by major health systems and longstanding community nonprofits.

The primary public body overseeing addiction services in Cuyahoga County is the Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County, located at 2012 West 25th Street in Cleveland. The ADAMHS Board plans, funds, and monitors the county's public behavioral health system, contracting with dozens of provider agencies across the county.

As of spring 2026, the board was undertaking a significant funding review, requiring providers to compete for contracts under new evaluation criteria tied to clinical outcomes, cultural responsiveness, and alignment with county health priorities.

Major health systems with dedicated addiction services in Cleveland include MetroHealth System, which operates an Alcohol and Drug Recovery Center (ADRC) and a new behavioral health hospital, as well as University Hospitals (UH), which offers integrated addiction and detox services and participates in harm reduction initiatives like Project DAWN.

The Cleveland Clinic maintains behavioral health capacity across its broader network. These institutions anchor the clinical end of the treatment system, while community-based providers like Northern Ohio Recovery Association (NORA) and Community Action Against Addiction (CAAA) extend access deeper into neighborhoods.

Fentanyl and cocaine remain the leading causes of overdose death in Cuyahoga County as of 2024, though county data show a meaningful decline in total overdose deaths compared to prior years. Of the 65 programs in our directory, 48 treat co-occurring mental health and substance use disorders, and 41 specialize in opioid use disorder, reflecting how central polysubstance and fentanyl-related care has become to Cleveland's treatment picture.

Geographically, facilities are spread across the city and inner suburbs. People looking for residential or inpatient care will find options both in the urban core and in suburban communities like Westlake, Beachwood, and Parma. Those who need outpatient care have the widest set of choices, with 63 programs offering some form of outpatient services.

Ohio sits near the national midpoint for residential treatment costs, ranked 25th in the country for affordability according to data compiled by addictions.com. Cleveland-specific cost figures are not independently tracked at the city level, but costs in the metro area are generally in line with state averages, with some variation across facility type and whether care is delivered by a nonprofit community provider versus a private pay-focused program. The breakdown below reflects Ohio state averages and provides a useful planning baseline.

Most people in Cleveland do not pay the full list price for treatment. Of the 65 programs in our directory, 54 accept Medicaid, 46 accept private insurance, and 41 offer some form of financial assistance. Cost will depend heavily on which level of care you need, whether a program is in-network with your insurance, and how long treatment lasts.

Shorter outpatient programs are substantially less expensive than extended residential stays, and programs that accept Ohio Medicaid often have lower or no out-of-pocket costs for eligible individuals. A licensed chemical dependency counselor or intake coordinator at a treatment program can help you understand what your actual cost will be before you commit.

Of the 65 treatment programs in Cleveland's directory, the majority accept multiple payment types, including public insurance, private insurance, and self-pay options. Financial assistance is available at 41 programs, and 4 offer treatment at no cost. Understanding your insurance coverage before starting the admissions process will give you the clearest picture of actual out-of-pocket costs.

Cleveland's 65 treatment programs cover the full continuum of care, from medically supervised detox through long-term outpatient support. The directory includes 16 detox programs, 31 inpatient facilities, 4 partial hospitalization programs, 63 outpatient clinics, 48 dual diagnosis programs, and 13 sober living homes.

Medical detox is the first step for people with physical dependence on alcohol, opioids, benzodiazepines, or other substances that produce dangerous withdrawal symptoms. Cleveland has 16 programs offering supervised medical detox, including hospital-based units and freestanding detox facilities. Medically supervised withdrawal management reduces the risks associated with stopping use and prepares a person for the next level of care.

Inpatient and residential rehab provide structured, around-the-clock treatment in a live-in setting. Cleveland's 31 inpatient programs vary in length from 28-day short-term programs to extended 90-day and long-term residential options. Inpatient care is typically recommended for people with severe substance use disorders, unstable home environments, or co-occurring conditions that require close monitoring.

Partial hospitalization programs (PHP) offer intensive, structured treatment during the day while allowing clients to return home or to sober living in the evenings. Cleveland has 4 PHP options, generally running 5 to 6 hours per day, 5 days a week. PHP is appropriate as a step-down from inpatient care or as a primary level of care for people who need more structure than standard outpatient.

Outpatient treatment is available at 63 programs in Cleveland, making it by far the most accessible level of care in the city. Standard outpatient typically involves individual counseling, group therapy, and case management scheduled around work and family commitments. Outpatient works well for people in stable living situations with moderate-severity substance use disorders or as continuing care after a higher level of treatment. For more on how outpatient compares to residential care, see our guide to outpatient rehab options.

Dual diagnosis programs address both a substance use disorder and a co-occurring mental health condition simultaneously. With 48 dual diagnosis programs, Cleveland's treatment network has significant capacity for integrated care. Research consistently shows that treating both conditions together leads to better outcomes than addressing them in sequence. Common co-occurring conditions include depression and anxiety disorders.

Sober living homes provide structured, substance-free housing as a bridge between treatment and independent living. Cleveland has 13 sober living programs in our directory. These homes are typically not clinical programs but offer peer accountability, house rules, and sometimes peer recovery support services. Many residents continue outpatient treatment or participate in community recovery supports while living in sober housing. For what to expect after treatment, see our overview of aftercare and continuing recovery.

Cleveland's treatment network includes programs tailored to specific populations, including women, men, LGBTQ+ individuals, young adults, veterans, older adults, and those with alcohol or opioid use disorders. The counts below reflect programs in our directory that identify a given specialty as a focus area.

Cleveland has 10 programs that identify as LGBTQ+ affirming, including MetroHealth's Pride Network, which provides integrated primary care and behavioral health services tailored to the LGBTQ+ community.

The Pride Network's clinics can prescribe and manage medications for opioid and alcohol use disorders within an affirming care model. MetroHealth's behavioral health team can be reached at 216-957-4905. For a broader guide to LGBTQ+ affirming addiction care, including what to look for in a program, see our dedicated resource page.

Veterans with substance use disorders can access care through the Louis Stokes Cleveland VA Medical Center, which offers outpatient addiction treatment, detoxification, buprenorphine and methadone maintenance, and dual diagnosis services.

The VA program is available to enrolled veterans. Four programs in our directory identify veterans and military service members as a primary population. Our guide to rehab resources for veterans and military covers eligibility, the VA's SUD treatment programs, and civilian options for those who prefer non-VA care.

Cleveland has 41 programs specializing in opioid use disorder, including multiple methadone clinics and buprenorphine-prescribing outpatient providers. Community Action Against Addiction (CAAA) at 5209 Euclid Avenue is one of Cleveland's established CARF-accredited opioid treatment programs, offering medication-assisted treatment and behavioral therapy. Programs specializing in alcohol use disorder number 47 in the directory, with representation across all levels of care.

Cuyahoga County has a relatively well-developed network of publicly funded, low-cost, and harm-reduction resources. The ADAMHS Board of Cuyahoga County funds dozens of provider agencies, and several community organizations offer services regardless of ability to pay. The resources below are organized by category and include verified contact information.

Cuyahoga County recorded 435 overdose deaths in 2024, a substantial decline from 469 deaths in 2023 and even sharper reductions from the crisis peaks of earlier years, according to data from the Cuyahoga County Medical Examiner's Office. Fentanyl remains the leading cause of death, though fentanyl-specific fatalities have trended downward in the county alongside national patterns.

These numbers reflect both the ongoing severity of the crisis and a measurable response to expanded opioid use disorder treatment and naloxone access across Northeast Ohio.

Despite the positive trend in overdose deaths, Cuyahoga County Medical Examiner Dr. Thomas Gilson has cautioned against claiming victory, noting that the drug supply continues to shift and that fentanyl is increasingly being combined with cocaine and other substances.

Cocaine was the second most common drug present in Cuyahoga County overdose deaths as of the 2024 reporting. Ohio distributed over 291,000 naloxone kits statewide in 2023, a 520% increase since 2019, facilitating more than 20,000 known overdose reversals. Cuyahoga County was an early adopter of naloxone vending machines and broad community distribution, and that infrastructure remains active across Cleveland. For the national context, see our substance use statistics page.