Chillicothe, OH

Cocaine Treatment in Chillicothe, OH

Cocaine treatment in Chillicothe: behavioral therapy, contingency management, and outpatient programs in Ross County, with fentanyl co-use risk explained.

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Quick answer

No medication is FDA-approved for cocaine use disorder, but contingency management and behavioral therapy have the strongest evidence, and both are available at Ross County providers. Cocaine deaths in Ohio fell 34% in 2024. Call (800) 653-9376 to find a program that fits your schedule.

Cocaine treatment in Chillicothe runs on counseling and contingency management, because no medication has ever been approved for cocaine use disorder. Ross County providers - including Scioto Paint Valley Mental Health Center and BrightView - run the outpatient and intensive outpatient programs where that therapy happens. Cocaine deaths in Ohio fell 34% in 2024, mostly because fentanyl-involvement dropped. Call (800) 653-9376 to find the program that fits.

What actually works for cocaine use disorder?

It depends on what's available to you and how often you can attend. The single treatment with the strongest evidence is contingency management, which rewards drug-free tests with vouchers or prizes - SAMHSA's January 2025 advisory calls it a proven intervention and now allows incentive values up to $750 per patient per year for grant-funded programs. If no local provider offers contingency management, cognitive behavioral therapy and structured outpatient counseling remain the backbone of cocaine treatment, and they work better when paired with help for co-occurring depression, trauma, or alcohol use.

Cocaine use disorder is a stimulant problem, and stimulant problems respond to behavior, not medication. Call (800) 653-9376 and we will point you to what's actually offered in Ross County.

Why cocaine deaths in Ohio are finally falling

The Ohio Department of Health's 2024 overdose report counted 1,143 unintentional overdose deaths involving cocaine in 2024 - a 34% drop from 1,738 in 2023, the first sustained decline since 2015. But the report also found that 71% of those cocaine deaths also involved fentanyl. Two things are true at once: cocaine deaths are falling, and cocaine in the illicit supply is more dangerous than it was a decade ago because it's cut with fentanyl.

Where to get treated in Ross County

  • Scioto Paint Valley Mental Health Center runs outpatient counseling and group therapy at its Martha Cottrill Clinic (4449 OH-159) and Floyd Simantel Clinic (312 E 2nd Street) in Chillicothe, plus a 36-bed residential program for men and a 12-bed program for women in Greenfield. Its counselors treat cocaine alongside co-occurring mental health disorders - which matters, because stimulant use frequently overlaps with depression and trauma.
  • BrightView Health (126 E 2nd Street) offers intensive outpatient treatment, individual and group counseling, and telehealth, with same-week intakes and Medicaid acceptance.
  • Paint Valley ADAMH Board (740-773-2383) funds both networks and can direct uninsured residents to services based on need.

None of these providers is endorsed or ranked here - this is a map of what exists, not a recommendation of one over another.

The alcohol question

Cocaine and alcohol together produce cocaethylene, a metabolite the liver creates when both drugs are present. It lasts longer than cocaine alone and is more toxic to the heart, which is one reason stimulant treatment plans screen for drinking. If you use both, say so at intake - a program that ignores the alcohol while treating the cocaine is treating half the problem.

Starting this week

  1. Emergency: call 911. For any mental health or substance use crisis, call or text 988 (or SPVMH's 24/7 crisis line at 740-773-4357).
  2. Call (800) 653-9376 or complete
    . Calling is free; the referral service is paid for by treatment providers.
  3. Ask specifically whether the program offers contingency management or only counseling - the answer changes what your weeks will look like.
  4. If you drink, bring that up at intake too.

Cocaine treatment doesn't come with a pill, but it does come with a plan, and Ross County has the programs to run one.

Other Cocaine treatment in Ohio: Cocaine treatment in Akron, Ohio, Cocaine treatment in Canton, Ohio, Cocaine treatment in Cincinnati, Ohio, Cocaine treatment in Cleveland, Ohio, Cocaine treatment in Columbus, Ohio, Cocaine treatment in Dayton, Ohio, Cocaine treatment in Hamilton, Ohio, Cocaine treatment in Kettering, Ohio, Cocaine treatment in Lorain, Ohio, Cocaine treatment in Portsmouth, Ohio, Cocaine treatment in Springfield, Ohio, Cocaine treatment in Steubenville, Ohio.

Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)

Frequently asked questions

Is there a pill or medication that treats cocaine addiction?

No. Nothing is FDA-approved for cocaine use disorder, and a long list of candidate drugs - modafinil, topiramate, bupropion, disulfiram - has shown results too inconsistent to win approval. What does have strong evidence is contingency management, which rewards verified abstinence, and behavioral therapies like cognitive behavioral therapy.

Why is cocaine in Chillicothe more dangerous than it used to be?

Because most of it contains fentanyl now. The Ohio Department of Health found that 71% of cocaine-involved overdose deaths in Ohio in 2024 also involved fentanyl, usually without the user knowing. Any cocaine from the illicit supply should be assumed to carry that risk.

What is contingency management and where can I find it?

It's a behavioral treatment that gives tangible incentives - vouchers or prizes - when a drug test confirms abstinence. SAMHSA calls it a proven intervention, and in 2025 it raised the allowed incentive value to $750 per patient per year for grant-funded programs. Ask any Ross County provider whether they offer it; if not, counseling alone still helps.

What happens when cocaine and alcohol are used together?

The liver produces cocaethylene, a metabolite that lasts longer than cocaine alone and is more toxic to the heart. Because the two drugs are so commonly combined, any cocaine treatment plan should address drinking too - otherwise the alcohol keeps pulling use back.

How many cocaine deaths did Ohio have in 2024?

The Ohio Department of Health's 2024 overdose report counted 1,143 unintentional overdose deaths involving cocaine, a 34% decrease from 2023's 1,738. Cocaine was involved in 39% of the state's 2,931 unintentional overdose deaths that year.

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