Quick answer
Oxycodone dependence is treated best with medication - buprenorphine or methadone - not willpower alone. Portsmouth's Scioto County recorded 47 overdose deaths in 2024, down from 81 in 2023. Multiple local providers offer medication-assisted treatment. Here is what to know and how to start.
Portsmouth sits on the Ohio River at the center of one of the hardest-hit counties in Ohio. Oxycodone dependence is treatable, and the treatments with the strongest evidence are medications - not willpower or a quick detox. Within the city there are certified programs that can start you on one this week. Here is what to know before you make the first call.
How do I get oxycodone treatment in Portsmouth, OH?
It depends on your situation. If you are physically dependent and using most days, medication first - buprenorphine or methadone - is the fastest way to cut overdose risk and get your days back. If you are in withdrawal or medically unstable, ask about supervised withdrawal management before starting medication. If someone right now is unresponsive or barely breathing, that is a 911 call with naloxone, not a treatment search. Otherwise, the move that matters is one phone call to a program that screens new patients quickly.
The risk with today's oxycodone supply
Counterfeit pills pressed to look like prescription oxycodone are now a major carrier for illicit fentanyl. The Ohio Department of Health reported 2,931 unintentional drug overdose deaths statewide in 2024, with fentanyl involved in 69% of all such deaths. Of the deaths involving natural and semi-synthetic opioids such as oxycodone, 58% also involved fentanyl. A pill bought secondhand - or one that is not yours from a valid prescription - should be assumed to contain fentanyl.
Locally, the picture has been improving. Scioto County recorded 47 unintentional overdose deaths in 2024, down from 81 in 2023, per the same ODH report. The county's five-year average rate of 118.5 deaths per 100,000 residents remains among the highest in Ohio, which is a reminder that the improvement is recent and fragile.
What actually works for oxycodone dependence
Oxycodone use disorder is an opioid use disorder, and NIDA identifies three FDA-approved medications:
- Methadone, dispensed daily through a federally certified opioid treatment program.
- Buprenorphine (often combined with naloxone in products like Suboxone), prescribed in an office or clinic setting.
- Naltrexone, a monthly injection that blocks opioid effects; it requires full detox first.
People on methadone or buprenorphine are less likely to die than people who receive no medication. That is why counseling-only programs are usually the wrong first stop if you are at high risk.
Where to call in Portsmouth
- The Counseling Center (411 Court Street, Portsmouth, OH 45662; 740-354-6685) - outpatient treatment, medication-assisted treatment using methadone and buprenorphine, detoxification, and transitional housing.
- BrightView Portsmouth (1405 11th Street, Portsmouth, OH 45662; 833-510-4357) - outpatient addiction treatment with buprenorphine and naltrexone options, accepting Medicaid and private insurance.
- Amazing Grace Treatment Center (802 Clare Avenue, Portsmouth, OH 45662; 740-876-8449) - outpatient addiction treatment with methadone, buprenorphine (including Suboxone, Brixadi, and Sublocade), and naltrexone (Vivitrol), plus counseling, case management, and psychiatry.
- Mahajan Therapeutics (2954 Walnut Street, Portsmouth, OH 45662; 740-353-1111) - outpatient behavioral health, including naltrexone.
- ADAMHS Board of Adams, Lawrence and Scioto Counties (919 Seventh Street, Portsmouth, OH 45662; 740-354-5648) - the public funding and planning hub for behavioral health in the tri-county area; the right starting point if you are uninsured or unsure where to begin.
For the full regional picture - detox, residential care, medication-assisted treatment - the SAMHSA treatment locator can be searched from any Portsmouth ZIP code and filtered by level of care and payment type.
Naloxone and emergencies
Naloxone reverses an opioid overdose - including fentanyl - and cannot hurt someone who is not overdosing. The Portsmouth City Health Department distributes free naloxone kits at 605 Washington Street, Monday through Friday, 8:00 a.m. to 4:30 p.m. (740-353-8863), and Naloxone.Ohio.gov ships free kits statewide. Ohio's Good Samaritan law protects people who call 911 in an overdose. If you see unresponsiveness, slow breathing, or pinpoint pupils, call 911 and give naloxone now.
Paying for treatment
Ohio Medicaid covers medically necessary opioid use disorder treatment, including all three medications, through certified providers. Most Portsmouth providers listed above accept Medicaid; several offer sliding-fee scales for people without insurance. If cost is the barrier, ask the ADAMHS Board about publicly funded slots before you assume you cannot afford care.
How to start today
- Overdose in progress: call 911 and give naloxone. For a crisis that is not a medical emergency, call or text 988, or the Scioto County crisis line at 1-855-381-1010.
- Call or text (800) 653-9376 to talk with a treatment specialist, or send this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Contact the ADAMHS Board at 740-354-5648 if cost or insurance is the barrier.
- Pick up free naloxone at the Portsmouth City Health Department before you need it.
Scioto County's overdose deaths fell by more than 40% in a single year. Treatment with medication is how that trend holds for one person at a time - and it starts with a single call.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Other Oxycodone treatment in Ohio: Oxycodone treatment in Akron, Ohio, Oxycodone treatment in Canton, Ohio, Oxycodone treatment in Chillicothe, Ohio, Oxycodone treatment in Cincinnati, Ohio, Oxycodone treatment in Cleveland, Ohio, Oxycodone treatment in Columbus, Ohio, Oxycodone treatment in Dayton, Ohio, Oxycodone treatment in Hamilton, Ohio, Oxycodone treatment in Kettering, Ohio, Oxycodone treatment in Lorain, Ohio, Oxycodone treatment in Springfield, Ohio, Oxycodone treatment in Steubenville, Ohio.
Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Where can I find oxycodone treatment in Portsmouth, OH?
Several Portsmouth providers treat opioid use disorder, including The Counseling Center at 411 Court Street (740-354-6685), BrightView at 1405 11th Street (833-510-4357), Amazing Grace Treatment Center at 802 Clare Avenue (740-876-8449), and Mahajan Therapeutics at 2954 Walnut Street. Availability changes, so call ahead.
Are oxycodone pills in Portsmouth contaminated with fentanyl?
The Ohio Department of Health reported that 69% of the state's 2,931 unintentional overdose deaths in 2024 involved fentanyl, and 58% of deaths involving natural or semi-synthetic opioids like oxycodone also involved fentanyl. Any pill not from your own prescription should be treated as if it may contain fentanyl.
Does Ohio Medicaid cover oxycodone addiction treatment?
Ohio Medicaid covers medically necessary opioid use disorder treatment, including methadone, buprenorphine, and naltrexone, through certified providers. Many Scioto County providers accept Medicaid; if you have no insurance, the ADAMHS Board can point you to publicly funded options.
Is there free naloxone in Scioto County?
Yes. The Portsmouth City Health Department distributes free naloxone kits at 605 Washington Street, Monday through Friday 8:00 a.m. to 4:30 p.m. (740-353-8863). Ohio also offers free kits through Naloxone.Ohio.gov, and pharmacies sell naloxone over the counter.
What should I do if someone overdoses on oxycodone?
Call 911 immediately and give naloxone if you have it - naloxone will not harm someone who is not overdosing. Signs include unresponsiveness, slow or stopped breathing, and pinpoint pupils. For a mental health or substance use crisis, call or text 988.