Detox in Aurora is licensed by the Colorado Behavioral Health Administration (BHA), the state agency that replaced the former Office of Behavioral Health in 2022, while Arapahoe County Public Health coordinates local prevention, harm reduction, and opioid settlement-funded programs for the city. Because Aurora spans Arapahoe, Adams, and Douglas counties, residents may work with more than one county health department depending on where they live, and both Arapahoe and Adams counties run their own dedicated harm reduction teams.
Unlike much of the country, Colorado has not seen a steady decline in overdose deaths. State health data show fentanyl-related deaths rose to 1,631 in 2024, up from 1,097 in 2023, and provisional 2025 figures place Colorado among only a few states reporting a year-over-year increase rather than a decrease. Arapahoe County alone has invested more than $4 million in opioid settlement funds since 2023 into detox, sober living, and peer navigation programs in response.
Anyone in Aurora considering treatment should know that withdrawal management capacity remains limited locally. The county has used settlement funds to open a Transitional Safety Zone home to bridge people from withdrawal into sober living while they wait for a residential bed, and 7 out of 10 counterfeit pills seized in Colorado in 2024 contained a potentially lethal dose of fentanyl, up from 4 in 10 in 2021.

