Lancaster has a well-established network of licensed detoxification and substance use disorder treatment programs.
These programs are overseen at the state level by Pennsylvania’s Department of Drug and Alcohol Programs (DDAP) and at the county level by the Lancaster County Drug and Alcohol Commission, also known as the Single County Authority (SCA).
The SCA coordinates treatment funding, conducts needs assessments, and funds services for Lancaster County residents who cannot pay for their care.
Opioids are the primary driver of overdose deaths in Lancaster, though the county has made measurable progress. In 2024, Lancaster County recorded 44 accidental drug overdose deaths, down sharply from 85 the previous year. The county also reported the lowest per-capita overdose death rate since before 2012.
That progress is tied in part to investments from the county’s share of national opioid settlement funds, which total nearly $30 million. These funds are to be paid out through 2038. These dollars have funded medication-assisted treatment at the Lancaster County Prison, a diversion program offering treatment as an alternative to prosecution and support for infants and children affected by prenatal substance exposure.
Accessing care in Lancaster typically begins when you call the county’s 24/7 detox intake line or with an assessment through an SCA-contracted outpatient provider. For Medicaid recipients, PerformCare is the county’s behavioral health managed care organization and is the first call for covered services.

