Quick answer
Murfreesboro has 5 substance use treatment facilities in the city, including a residential program with 24-hour alcohol detox and outpatient programs that accept medication for alcohol use disorder. Rutherford County recorded 81 overdose deaths in the year ending December 2025. Call (800) 653-9376 free; 911 or 988 in a crisis.
Drinking that has stopped being optional deserves real treatment, not a January resolution. Murfreesboro — now one of Tennessee's largest cities at roughly 168,400 residents — has a residential program with around-the-clock alcohol detox, outpatient campuses that run intensive programs, and medication options like naltrexone and acamprosate. This page maps what exists in Rutherford County, what the county's data says, and the number to call tonight.
Why alcohol withdrawal is the first decision
Before choosing a program, know this: alcohol is one of the two substances (the other being benzodiazepines) whose withdrawal alone can kill. SAMHSA's detoxification guidance describes how heavy, daily drinking followed by abrupt cessation can produce tremors, hallucinations, seizures, and delirium tremens — a medical emergency. If you drink heavily every day, plan your last drink around a medically supervised detox rather than white-knuckling it at home.
That does not mean everyone needs a hospital bed. Medically appropriate settings range from residential detox for people at higher risk to outpatient detox with daily check-ins for stable situations — an assessment decides.
What exists in Murfreesboro and Rutherford County
Per the SAMHSA treatment locator, 41 treatment facilities sit within 30 miles of Murfreesboro; 5 are in the city itself, with others in Smyrna (3), La Vergne (1), and nearby Lebanon. Within Murfreesboro:
- 1 residential program with 24-hour detox — it lists residential detoxification and short-term residential care, plus buprenorphine and naltrexone for people with a second opioid problem
- 1 outpatient campus with full-service detox — it lists alcohol, benzodiazepine, cocaine, methamphetamine, and opioid detoxification, and accepts TennCare, commercial insurance, and uninsured clients on a sliding fee scale; it is CARF-accredited
- 3 outpatient programs, including one Joint Commission-accredited IOP and one that accepts clients using medication for alcohol use disorder prescribed elsewhere
Medication is not an afterthought here: two of the five city facilities administer or prescribe medication for alcohol use disorder, and pharmacotherapy listings include acamprosate (Campral) and disulfiram alongside naltrexone. When you call a program, ask specifically whether a prescriber will discuss these options — many will, but not every program offers every medication.
What the data shows
Provisional CDC counts record 81 drug overdose deaths among Rutherford County residents in the 12 months ending December 2025, on data through July 2026 and subject to revision as pending investigations close. That is a striking recovery for a county that regional reporting once flagged as an opioid-distribution hotspot in the late 2010s. Statewide, the Tennessee Department of Health counted 2,499 drug overdose deaths in 2024, down 31% from 2023 — but alcohol deaths sit outside those counts, so the danger of drinking is easy to underestimate locally. Rutherford County's own behavioral-health listing keeps a public, current inventory of treatment providers that accepts TennCare, commercial insurance, and uninsured clients.
Crisis lines and emergencies
- Seizure, severe confusion, hallucinations — call 911.
- 988 — call or text, the national suicide and crisis line
- Tennessee Statewide Crisis Line — 855-274-7471 (855-CRISIS-1), 24/7
- Volunteer Behavioral Health crisis hotline — 1-800-704-2651, serving Rutherford County
- TN REDLINE — 1-800-889-9789, call or text, 24/7 free treatment referrals
How to start today
- If you drink heavily every day, do not stop cold turkey. Call your doctor to arrange a supervised detox, or call or text (800) 653-9376 to talk through your options:
Calling is free; the referral service is paid for by treatment providers.
- Uninsured? TN REDLINE can point you to state-funded slots, and Volunteer Behavioral Health's Murfreesboro campus uses a sliding fee scale.
- When you call a program, ask: Is a physician or nurse monitoring withdrawal? What scale do you use? What happens if I get worse at 2 a.m.?
- Trembling hands, racing heart, or seeing things after your last drink is a 911 call — not something to sleep off.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Last updated: Wed Oct 14 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is alcohol withdrawal dangerous enough to need a doctor?
It can be. SAMHSA's clinical guidance on detoxification notes that heavy drinkers stopping suddenly can develop tremors, seizures, and delirium tremens, which need medical management. A supervised detox — evaluating vital signs, using validated scales like the CIWA-Ar, and medication when needed — is the recommended setting for anyone drinking heavily every day.
Where can I detox from alcohol in Murfreesboro?
Per the SAMHSA treatment locator, 2 of the 5 treatment facilities in Murfreesboro list alcohol detoxification: one is a residential program with 24-hour residential detoxification, and the other is an outpatient campus that also runs intensive outpatient care. Call each program and ask who monitors withdrawal and what the plan is if symptoms escalate.
Does insurance cover alcohol rehab in Tennessee?
TennCare covers medically necessary substance use treatment for eligible members, and several Murfreesboro programs accept TennCare and private insurance alongside a sliding fee scale for the uninsured. Volunteer Behavioral Health's Murfreesboro campus accepts TennCare, commercial insurance, and uninsured clients on a sliding scale, per Rutherford County's public services listing.
Who do I call in a crisis in Murfreesboro?
Call 911 for a seizure, confusion, or loss of consciousness. Call or text 988 for any mental health or substance use crisis; the Tennessee Statewide Crisis Line at 855-274-7471 (855-CRISIS-1) is staffed 24/7. Locally, Volunteer Behavioral Health's crisis hotline answers at 1-800-704-2651, and TN REDLINE at 1-800-889-9789 gives free 24/7 treatment referrals.