Detox in Rochester is certified and regulated by the New York State Office of Addiction Services and Supports (OASAS). This single state agency oversees all addiction services in New York, while the Monroe County Department of Public Health tracks local overdose trends through its Opioid Overdose Dashboard.
Every placement decision in the state, including in Rochester, uses LOCADTR 3.0, New York’s standardized assessment tool for matching patients to the appropriate level of care. Rochester residents in crisis can use Open Access, a 24-hour, seven-day-a-week walk-in center at 835 West Main Street.
Open Access has availability for anyone, including youth, to receive a same-day substance use evaluation without an appointment. The program is staffed collaboratively by RecoveryNet and OASAS-certified providers and can identify the first available treatment slot in the community and arrange transportation to it.
Statewide, more than 4,000 New Yorkers died of drug overdoses in 2024, with opioids, specifically fentanyl and other synthetic opioids, the most commonly involved substances. Detox availability for New York residents is uneven across the state. According to a 2022 state comptroller analysis, 32 of New York’s 62 counties had no opioid outpatient treatment availability, though Monroe County’s urban base gives Rochester relatively better access than many upstate counties.
