Quick answer
Cocaine was involved in 39% of Ohio's unintentional drug overdose deaths in 2023, up from 33% the year before, and 79% of those deaths also involved fentanyl. There is no FDA-approved medication for cocaine use disorder, but behavioral therapy works. Springfield has outpatient and intensive outpatient options within 30 miles.
Cocaine is the drug whose role in Ohio's overdose deaths is growing fastest, and its danger today is doubled: the stimulant itself, and the fentanyl that so often comes mixed with it. There is no pill that treats cocaine use disorder, so treatment here is behavioral - and it works best when it is structured and easy to reach. Here is what is available around Springfield and how to start.
What does cocaine treatment actually look like?
It depends on how long and how heavily you have been using, and whether fentanyl is also in the picture. If you use occasionally and want to stop, structured outpatient therapy - often cognitive behavioral therapy once or twice a week - can be enough. If use is daily, has cost you a job or a relationship, or comes with fentanyl exposure, an intensive outpatient program with several visits a week holds better. If you have been using a stimulant heavily and are crashing, withdrawal management may come first. In every case, the first step is the same: a program that will assess you and build a plan.
Why fentanyl changes the stakes for cocaine use
The Ohio Department of Health found that cocaine was involved in 1,738 unintentional drug overdose deaths in Ohio in 2023 - 39% of all such deaths, up from 33% the year before and the largest increase of any drug category. Critically, 79% of the deaths involving cocaine also involved fentanyl. That is why a cocaine page belongs next to opioid pages: the powder is frequently not what it seems.
Anyone using cocaine should assume fentanyl may be present, carry naloxone, and avoid using alone. If someone becomes unresponsive or their breathing slows, call 911 and give naloxone - it can reverse the opioid component even when cocaine triggered the episode.
What the local data show
The Clark County Combined Health District counted 27 overdose deaths in Clark County in 2024, down from 52 in 2023 - the lowest since its fatality review began in 2015, and well below the 2017 peak of 105. The improvement is real, but more than six in ten of those deaths happened at home, and most involved more than one substance.
Treatment works, and it is behavioral
There is no FDA-approved medication for cocaine use disorder. The treatments with the strongest evidence are behavioral:
- Cognitive behavioral therapy (CBT) - helps you recognize and change the situations and thoughts that lead back to use.
- Contingency management - small, structured rewards for verified periods of not using, which has strong evidence for stimulant use disorder.
- Motivational interviewing and the Matrix Model - approaches that combine counseling with practical relapse-prevention skills.
Many Springfield-area programs deliver these through outpatient or intensive outpatient care, which fits around work and family better than residential treatment.
Within 30 miles of central Springfield, the SAMHSA treatment locator lists 45 substance use treatment facilities (pull dated October 23, 2026):
- 42 offering outpatient care and 31 providing intensive outpatient programs
- 25 offering detoxification and 11 offering residential care
- 44 report accepting Medicaid, and 18 offer a sliding fee scale
Where to get help in Springfield
The Mental Health & Recovery Board of Clark, Greene & Madison Counties (1055 East High Street, Springfield, OH 45505; 937-322-0648) plans and funds public behavioral health services across the three counties, and its crisis line is 937-399-9500. McKinley Hall, at 2624 Lexington Avenue (phone 937-328-5300), offers outpatient care with walk-in assessments Monday through Thursday between 10:00 a.m. and 1:30 p.m. If a stay somewhere else is needed first, the board can help you sort out what is covered.
Paying for cocaine treatment in Springfield
Ohio Medicaid covers medically necessary substance use disorder treatment, including outpatient and intensive outpatient care, for eligible members. Ohio expanded Medicaid in 2014, so many low-income adults qualify. If you are uninsured, ask the Clark, Greene and Madison board about payment help, and note that most local programs offer a sliding fee scale.
How to start today
- If someone is overdosing, call 911 and give naloxone. For a crisis, call or text 988, or call the Clark County crisis line at 937-399-9500.
- 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.
- Search findtreatment.gov from ZIP code 45505 and filter for outpatient or intensive outpatient care.
- Pick up free naloxone from a Clark County Narcan stand, including at 529 East Home Road, before you need it.
Cocaine is treatable with the right kind of therapy, and the risk that fentanyl adds is one you can plan around. The first appointment is where that plan starts.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above. Other Cocaine treatment in Ohio: Cocaine treatment in Akron, Ohio, Cocaine treatment in Canton, Ohio, Cocaine treatment in Chillicothe, 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 Steubenville, Ohio.
Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is there medication for cocaine addiction?
No medication is FDA-approved to treat cocaine use disorder, according to NIDA. That makes behavioral treatment - cognitive behavioral therapy and contingency management in particular - the main evidence-based approach, often delivered through outpatient or intensive outpatient programs.
Does cocaine in Ohio contain fentanyl?
Often, yes. The Ohio Department of Health found that 79% of 2023 unintentional overdose deaths involving cocaine also involved fentanyl. Anyone using cocaine should assume fentanyl may be present, carry naloxone, and never use alone.
What treatment is available near Springfield for cocaine use?
Within 30 miles of central Springfield, the SAMHSA locator lists 45 substance use treatment facilities, including 42 offering outpatient care, 31 providing intensive outpatient programs, 25 offering detoxification, and 11 with residential care, in a pull dated October 23, 2026.
How common are cocaine overdose deaths in Ohio?
The Ohio Department of Health counted 1,738 unintentional overdose deaths involving cocaine in 2023, which was 39% of all such deaths - the largest increase of any drug category from the year before, when cocaine was involved in 33%.
What should I do if someone overdoses?
Call 911. If the person is unresponsive or breathing slowly, give naloxone if you have it - a cocaine overdose can be caused by fentanyl mixed in, and naloxone can reverse that. For a mental health or substance use crisis, call or text 988.