Indianapolis sits in Marion County, which has one of the highest drug overdose death rates in Indiana at 59.2 per 100,000 residents annually.
That context matters when choosing a detox program here: the local drug supply is heavily contaminated with fentanyl and fentanyl analogs, which changes withdrawal timelines, overdose risk, and the level of medical supervision you should look for in a facility.
In response, Indiana has committed significant opioid settlement funds to treatment expansion statewide, with over $87.6 million awarded through the National Opioid Settlement plan as of mid-2024.
Locally, this has supported peer recovery support programs and the IMPD’s dedicated overdose response team, which now operates full-time and connects people to detox treatment options within 72 hours of system contact.
As well, the Marion County Public Health Department (MCPHD) provides a second layer of local public health oversight through its Overdose Fatality Review team and the OD2A surveillance program, which tracks overdose trends and informs treatment planning across the county.
Another notable policy change occurred in 2024 when the “drug paraphernalia” designation was removed from fentanyl test strips, making them legal to possess and distribute. Therefore, harm reduction programs in Indianapolis now include them in standard supply kits, allowing people to check their supply before using.
All detox and substance use disorder treatment facilities in Indianapolis are licensed by the Indiana Family and Social Services Administration (FSSA), Division of Mental Health and Addiction (DMHA). This includes medically managed hospital detox units, residential detox programs, partial hospitalization programs and intensive outpatient programs.
