Treatment Facilities in Roanoke, VA

What the SAMHSA Record Shows for Roanoke, VA

Roanoke has 10 substance-use and mental-health treatment facilities on record with SAMHSA's N-SUMHSS survey. Of those, 3 offer residential beds, 9 run outpatient programming, 2 report medically supervised detox, and 9 provide telehealth options for people who cannot travel to in-person appointments. That mix matters when you are choosing between a structured inpatient stay, a day-program schedule, or ongoing virtual counseling — and it determines how soon you can realistically start care.

Medication-Assisted Treatment is available at 6 of 10 facilities (60%) in Roanoke, meaning these sites combine FDA-approved medications such as buprenorphine, methadone, or naltrexone with counseling for opioid and alcohol use disorder. On the payment side, 10 facilities (100%) accept Medicaid, 6 accept Medicare, 10 accept private insurance, and 4 offer a sliding-fee scale for patients without coverage. Payment acceptance is self-reported, so a quick intake call to verify your specific plan is almost always worthwhile before committing to a site.

Use this city page to shortlist facilities, not to rank or clinically judge them. The underlying N-SUMHSS data is self-reported by each site and refreshed on a rolling cadence — wait times, bed availability, current insurance contracts, and staff credentials can change between updates. This is a structured public-data directory, not medical advice, clinical endorsement, or a guarantee of admission. If you or someone you know is in immediate danger or active substance-use crisis, call the SAMHSA National Helpline at 1-800-662-4357 or the 988 Suicide & Crisis Lifeline before contacting individual facilities.