Find Drug & Alcohol Detox Centers in Vermont

Vermont is one of the northernmost states to be hit hard by the opioid crisis. Many people in cities like Burlington and Underhill are struggling with this type of serious substance use disorder while others may be dealing with an alcohol or benzodiazepine addiction. No matter what your situation, remember that you deserve to recover and live a life free of substance abuse.

Get help finding the best, most effective Vermont detox centers in your area by calling 802-588-8764 today.

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Detox Centers in Vermont

21 Results

Name	Address	Detox Service Setting	Levels Of Care
Grace Cottage Family Health	185 Grafton Rd Brattleboro, VT 05353	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Howard Center Act One And Bridge Program	184 Pearl Street Burlington, VT 05401	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareDual Diagnosis+1
Howard Center Chittenden Clinic	75 San Remo Drive South Burlington, VT 05403	Detox Service Setting Outpatient Detox	Levels Of Care Outpatient
Lund	50 Joy Drive South Burlington, VT 05403	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientDual DiagnosisIntensive Outpatient
Rutland Regional Medical Center West Ridge Center	1 Scale Avenue Rutland, VT 05701	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
Valley Vista	23 Upper Plain Bradford, VT 05033	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientAftercareOutpatient
Adult & Teen Challenge Vermont	1296 Collins Hill Rd Johnson, VT 05656	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
BAART Programs Berlin	617 Comstock Rd Berlin, VT 05602	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
BAART Programs St. Johnsbury	1097 Hospital Drive Saint Johnsbury, VT 05819	Detox Service Setting Outpatient DetoxMAT	Levels Of Care Outpatient
River Rock treatment	125 College St Burlington, VT 05401	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Sana at Stowe	3430 Mountain Rd Bennington, VT 05672	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Act 1	851 Pine Street Burlington, VT 05401	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientAftercare
Brattleboro Retreat Adult Alcohol Abuse Program/Tyler One	1 Anna Marsh Lane Brattleboro, VT 05301	Detox Service Setting Inpatient Detox	Levels Of Care InpatientOutpatientIntensive Outpatient+1
Lamoille Health Behavioral Health and Wellness Center	607 Washington Highway Morrisville, VT 05661	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
Serenity House Inc	98 Church Street Wallingford, VT 05773	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareSober Living
United Counseling Service	100 Ledgehill Road Bennington, VT 05201	Detox Service Setting Outpatient DetoxMAT	Levels Of Care Outpatient
University of Vermont Medical Center DayOne Program	1 South Prospect Street Burlington, VT 05401	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
White River Junction VA Medical Center	163 Veterans Drive White River Junction, VT 05009	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+2
White River Junction VA Medical Center Behavioral Health Service Line	White River Junction, VT 05009	Detox Service Setting Hospital DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatient
SaVida Health Bennington	655 Main Street Bennington, VT 05201	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientDual Diagnosis+2

Drug & Alcohol Detox in Vermont

Vermont has posted three consecutive years of declining overdose deaths, which is rare when compared with national trends. In fact, opioid-involved deaths fell to 121 in 2025 from 183 in 2024, itself a 22 percent drop from 2023’s 236 deaths. Fortunately, xylazine, a veterinary sedative that resists naloxone, saw an even steeper decline, with its involvement in fatal overdoses falling 67 percent in a single year. Fentanyl, however, remains the dominant substance, present in 93 percent of Vermont’s opioid-related deaths in 2024, when it was almost always in combination with cocaine or xylazine rather than alone.

The state was also among the first to legalize overdose prevention centers, doing so in 2024, though Burlington’s planned site remains in the planning stage. Anyone researching detox should know the state’s treatment system leans heavily on primary care integration through Hub and Spoke, meaning a person’s regular doctor’s office may already be equipped to start treatment before a formal detox referral is even needed.

Vermont’s Department of Health, Division of Substance Use (DSU) certifies the state’s substance use disorder treatment providers under its Substance Use Disorder Treatment Certification Rule, with compliance assessed through regular site visits. The Department of Vermont Health Access (DVHA) administers Medicaid funding for treatment, including the bundled payment structure behind Vermont’s nationally recognized Hub and Spoke system of care.

Find The Perfect Detox Center For You

Filter treatment centers in Vermont by level of care offered to find the best detox program for you or a loved one.

Paying for Detox in Vermont

Vermont’s detox costs vary by facility type and whether care is delivered through a DSU-certified Preferred Provider or a hospital-based program. Reviewing how much detox costs helps clarify what cash-pay treatment looks like before insurance or Medicaid is applied.

How Much Does Detox Cost in Vermont?

All four levels below reflect Vermont-specific averages. Vermont’s rural geography and small population mean fewer facilities overall, which can affect wait times more than sticker price. These are cash-pay figures before insurance, Medicaid, or other aid; most people with coverage pay significantly less.

$142,000 total average cost

Medical Detox

$57,667 total average cost

Inpatient Rehab

$1,543 total average cost

Outpatient Rehab

$8,000 total average cost

Methadone Treatment

Medicare and Medicaid in Vermont

Medicare

Medicare covers medically necessary detox and OTP services, including methadone, buprenorphine, and naltrexone, under Part B for Vermont beneficiaries. Individuals enrolled in Medicare will have cost-sharing responsibilities that are dependent on the treatment setting.

Medicaid

Vermont Medicaid, administered by DVHA, funds the Hub and Spoke system directly, paying Hub programs a monthly bundled rate and distributing Spoke funding through the Blueprint for Health’s Community Health Team infrastructure. Coverage includes detox, residential, outpatient, and MAT services statewide.

Other Ways to Pay for Detox Treatment

Several programs help Vermonters cover the cost of detox:

Opioid Settlement Funds

Vermont has directed millions of dollars from opioid manufacturer settlements toward treatment, harm reduction, and recovery programs statewide.

TRICARE and Veterans Grants

Veterans and active-duty military can access substance use treatment through TRICARE, and Vermont offers additional grant funding for active-duty personnel seeking care.

Tribal Opioid Response Grant

This federal grant supports culturally appropriate, evidence-based treatment access for Vermont’s tribal communities.

VT Helplink Referrals

VT Helplink connects Vermonters to treatment options based on individual needs and financial circumstances, including sliding-scale and no-cost programs.

Vermont Regulations and Accreditation for Detox

Vermont Department of Health, Division of Substance Use (DSU)

DSU certifies Preferred Providers for substance use disorder treatment under Vermont’s Treatment Certification Rule, assessing compliance through Compliance Assessment Tool site visits.

Department of Vermont Health Access (DVHA)

DVHA administers Vermont Medicaid, including the funding structure behind the Hub and Spoke system, and approves provider enrollment for SUD treatment reimbursement.

Agency of Human Services (AHS)

AHS is the parent agency coordinating Vermont’s mental health and substance use services across departments, including the Department of Mental Health and DSU.

Vermont Department of Health, Health Statistics and Informatics

This unit publishes Vermont’s annual Fatal Overdose Report and maintains the state’s public Overdose Dashboard, tracking both fatal and nonfatal overdose trends monthly. See healthvermont.gov/stats.

Key MAT Medications and Regulatory Status in Vermont

Vermont pioneered its Hub and Spoke system of care, now the model many other states look to for medication-assisted treatment delivery. Under this system, nine regional Hubs provide intensive daily treatment for complex opioid use disorder, while more than 87 Spokes integrate ongoing medication and counseling into primary care settings statewide. Since the federal MAT Act removed the X-waiver requirement, any provider with a standard DEA license can now prescribe buprenorphine without separate registration.

Buprenorphine

Buprenorphine is available through Spoke providers integrated into primary care offices across Vermont, meaning many people can start treatment with a doctor they already see rather than seeking out a specialized addiction clinic.

Methadone

Methadone is dispensed through Vermont’s nine regional Hubs, which provide daily on-site dosing along with counseling and case management for people with more complex opioid use disorder needs.

Naltrexone

Naltrexone requires no OTP certification and can be prescribed through Spoke providers or any qualified clinician statewide. It is used for both opioid and alcohol use disorder and is covered under Vermont Medicaid.

Overdose Prevention and Harm Reduction in Vermont

Vermont’s harm reduction strategy has shifted decisively toward supply-focused interventions as fentanyl, cocaine, and xylazine increasingly appear together in the same fatal overdoses. The state has widely distributed fentanyl and xylazine test strips and is one of the first in the nation to legalize overdose prevention centers.

These programs exist to keep Vermonters alive and connected to care while the drug supply keeps shifting.

VT Helplink

24/7 confidential support and referral Substance use treatment matching Non-judgmental specialist consultation

VT Helplink connects Vermonters and their loved ones to treatment and recovery resources by phone at 802-565-LINK, any hour, without requiring a diagnosis first. Visit VTHelplink.org.

KnowOD Campaign

Fentanyl and xylazine test strip distribution Overdose recognition education Public awareness campaigns statewide

KnowOD has helped drive the widespread availability of fentanyl and xylazine test strips across Vermont, giving people who use drugs a way to check their supply before a potentially fatal exposure. Learn more at healthvermont.gov/KnowOD.

Vermont Syringe Services Programs (SSPs)

Sterile syringe access and disposal Naloxone distribution Referrals to treatment and infectious disease testing

A network of community-based Syringe Services Programs operates across Vermont, and the Department of Health maintains a locator to help residents find the nearest one. See healthvermont.gov.

Naloxone Partner Distribution Network

Free naloxone and overdose response training Opioid misuse prevention training Referrals to treatment across the state

The Health Department partners with community-based organizations statewide to distribute naloxone and train Vermonters to recognize and respond to an overdose before EMS arrives. Details at healthvermont.gov.

Detox Statistics in Vermont

Vermont’s overdose numbers have moved in an encouraging direction for three straight years, even as the substances involved keep shifting.

Opioid Deaths Fell for a Third Consecutive Year

Vermont opioid-involved overdose deaths fell to 121 in 2025, down from 183 in 2024, marking the third consecutive year of decline. Source: Office of the Governor of Vermont.

Fentanyl Present in 93% of Opioid Deaths

Fentanyl was involved in 93 percent of Vermont’s opioid-related overdose deaths in 2024, continuing as the state’s dominant driver of fatal overdose. Source: Vermont Department of Health.

Cocaine Involvement Rose to 70% of Fatal Overdoses

Cocaine was involved in 70 percent of Vermont’s fatal overdoses in 2024, up from 60 percent in 2023, and remains the state’s second most common overdose substance. Source: Vermont Department of Health.

FAQs About Detox in Vermont

What is Vermont's Hub and Spoke system and how does it affect detox?

Hub and Spoke integrates opioid use disorder treatment into primary care across Vermont, with nine intensive Hubs and more than 87 community-based Spokes. This means many Vermonters can start medication treatment through a doctor’s office rather than a specialized detox facility.

Are overdose prevention centers legal in Vermont?

Yes, Vermont legalized overdose prevention centers, also called safe injection sites, in 2024. As of the most recent reporting, Burlington’s planned site was still in the planning stage and not yet operational.

Can I start buprenorphine treatment through my regular doctor in Vermont?

Likely yes. Since the federal MAT Act removed the X-waiver requirement, any Vermont provider with a standard DEA license can prescribe buprenorphine without separate registration, and many are part of the Spoke network.

Where can I get free naloxone in Vermont?

The Vermont Department of Health partners with community organizations statewide to distribute free naloxone and overdose response training. Contact VT Helplink at 802-565-LINK for the nearest distribution site.

Why did xylazine-related deaths drop so sharply in Vermont?

State officials point to expanded test strip distribution through the KnowOD campaign and broader harm reduction outreach as likely factors, though the exact causes of the decline are still being studied.

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