Pennsylvania runs its substance use system through the Department of Drug and Alcohol Programs (DDAP), the Single State Authority that licenses every drug and alcohol treatment facility and recovery house in the Commonwealth and sets the standards providers must meet.
DDAP also funds a statewide network of 47 county drug and alcohol offices, known as Single County Authorities, that coordinate assessment, case management, and access to treatment.
Anyone choosing a detox center can start with the free Get Help Now helpline at 1-800-662-HELP, answered around the clock.
Pennsylvania pairs a large treatment network with a deep public safety net. The state expanded Medicaid, and Pennsylvania Medical Assistance covers the full continuum of substance use care, delivered through HealthChoices managed care with behavioral health handled by county-based plans.
The state has also built one of the country’s most active overdose prevention programs, supplying free naloxone and drug-checking strips to more than 100 partner organizations across all 67 counties.
These efforts are showing results. Overdose deaths in Pennsylvania have fallen by nearly a third over three years, one of the sharpest declines in the nation. Fentanyl, often mixed with xylazine, still drives the crisis, which is why medically supervised detox matters.
Admission to treatment in Pennsylvania usually begins with an assessment that assigns an American Society of Addiction Medicine (ASAM) level of care to match the setting to a person’s needs.
