Drug and Alcohol Rehab in Helena, Montana

Helena is a city of about 35,000 residents in Lewis and Clark County. Within 30 miles of Helena, the federal treatment locator lists 6 substance use facilities. This guide covers the local overdose numbers, where to call for help, and how to pay for care.

What the overdose data show

CDC does not publish a 2025 count for Lewis and Clark County because it falls between 1 and 9 deaths, and federal privacy rules suppress counts that small. The figures below are state-level. Statewide, CDC's provisional overdose counts show 175 drug overdose deaths in Montana in the 12 months ending December 2025, up from 171 the year before.

Treatment near Helena by the numbers

The SAMHSA treatment locator lists 6 substance use facilities within 30 miles of Helena:

• 2 offering detoxification (withdrawal management)
• 3 with residential programs
• 6 offering outpatient services
• No federally certified opioid treatment programs (methadone clinics); 1 that prescribes buprenorphine
• 2 that administer or prescribe medication for alcohol use disorder

Counts change as programs open and close, so confirm current openings by phone. The locator only includes programs that report to SAMHSA, so a short list here does not mean there is no other care nearby; ask your doctor or the helpline about programs farther out.

Where to get help in Helena

The SAMHSA National Helpline at 1-800-662-4357 is free and confidential and gives referrals to local treatment, including programs for people without insurance.

You can also search findtreatment.gov from Helena and filter by level of care, medication, and payment option.

Levels of care to expect

Care is matched to the person, usually after an assessment. Depending on what is available near Helena, options range from medically supervised detox and residential treatment to intensive outpatient programs, regular outpatient counseling, and medication for opioid or alcohol use disorder. Alcohol and benzodiazepine withdrawal can be dangerous, so ask about medical withdrawal management before stopping heavy use.

Paying for treatment

Montana expanded Medicaid, so more adults with low incomes qualify than in non-expansion states. Montana Medicaid, administered by the Montana Department of Public Health and Human Services, covers medically necessary substance use disorder treatment, including medications for opioid use disorder. Covered levels of care and prior authorization rules vary by plan, so confirm detox and residential coverage before you go.

If you have private insurance, federal parity rules require your plan to cover substance use treatment on terms comparable to medical care; ask about in-network programs and prior authorization. See our Medicaid and rehab guide for how coverage works.

How to start today

1. In a medical emergency, call 911. For a mental health or substance use crisis, call or text 988.
2. Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:

Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.

3. Call the SAMHSA National Helpline (1-800-662-4357), or search findtreatment.gov to compare programs.
4. If someone uses opioids, keep naloxone (Narcan) on hand. Pharmacies can dispense it without a prescription.

Peer support in Helena

Mutual-help groups such as Alcoholics Anonymous, Narcotics Anonymous, and SMART Recovery can support treatment and recovery. Search our meeting finder for in-person and online meetings near Helena.

Questions about rehab in Helena