Quick answer
Raleigh County recorded 52 overdose deaths in 2024, down from 113 in 2023, and fentanyl was present in 88% of them - among the highest shares in West Virginia. FMRS Health Systems provides behavioral health care in Beckley, and Medicaid covers treatment. Here is how to start.
Last updated: Wed Oct 07 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Beckley is the county seat of Raleigh County, in the southern West Virginia coalfields. The county's overdose death count fell by more than half in the most recent state data - and treatment is available in the city itself. Here is what the data show and how to get care.
Why Raleigh County's numbers stand out
Raleigh County's population is about 72,379. The newest figures from the Office of Drug Control Policy show the county among the state's hardest hit, with real improvement in the latest year: 52 overdose fatalities in Raleigh County in 2024, down from 113 in 2023. Substances present in the 2024 deaths (a single death can involve several) were:
- Fentanyl at 88% - among the highest shares of any county in the state.
- Methamphetamine at 50%, other drugs at 42%, THC at 23%, and benzodiazepines, cocaine, and other opioids at 19% each.
- Alcohol and gabapentin at 13% each.
As in the rest of West Virginia, prescription opioids are a shrinking part of the picture: ODCP reports opioid prescription dispensing in Raleigh County fell 68.8% from 2014 to 2024.
Treatment in Beckley
FMRS Health Systems is Raleigh County's designated Comprehensive Behavioral Health Center and one of six state-certified Community Behavioral Health Clinics in West Virginia. Its Raleigh County office is at 101 South Eisenhower Drive in Beckley, and it serves Raleigh, Fayette, Summers, and Monroe counties. Programs include outpatient behavioral health, psychiatric evaluation and medication management, a crisis stabilization unit, and an Assertive Community Treatment (ACT) team for adults with serious and persistent illness, available within a 20-mile radius of the Raleigh County office.
Because FMRS is a CCBHC, it must serve anyone who requests mental health or substance use care, regardless of ability to pay, place of residence, or age - a meaningful guarantee in a county where nearly three in ten residents live below the poverty line. The county also has a family treatment court, and Raleigh County Community Corrections provides another route into assessment.
The SAMHSA locator lists 12 substance use treatment facilities within 30 miles of Beckley (including 4 detox, 3 residential, and 11 outpatient) near ZIP code 25801; filter by service type and payment.
Substance-specific pages
For topic-focused guidance, see alcohol rehab and detox in Beckley and opioid treatment and MAT in Beckley.
Getting to appointments
Outpatient recovery usually means repeated trips, so the city's bus system matters. The New River Transit Authority is based at 360 Prince Street in Beckley, serves the Beckley area and parts of neighboring Wyoming County, and accepts mobile fares through the Token Transit app.
Paying for treatment
Beckley's median household income is about $45,826 - well below the state figure - and the poverty rate is roughly 28.9%. West Virginia expanded Medicaid in 2014, and Medicaid covers substance use treatment for adults who qualify. If you are uninsured, FMRS's CCBHC status means you can still be assessed and served; HELP4WV and the SAMHSA National Helpline at 1-800-662-HELP offer free referrals to additional programs.
How to start today
- Call 911 in a medical emergency. For a mental health or substance use crisis, call or text 988.
- 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 25801.
- If you have no coverage, ask FMRS about walk-in assessment or start a Medicaid application.
Raleigh County's overdose deaths fell by more than half in 2024, and a certified clinic that must see anyone who asks is open in Beckley today.
Treatment by substance in Beckley
Questions about rehab in Beckley
How many overdose deaths does Raleigh County have?
The West Virginia Office of Drug Control Policy reports 52 overdose fatalities in Raleigh County in 2024, down sharply from 113 in 2023. The decline mirrors the statewide drop that year.
Where can I get addiction treatment in Beckley?
FMRS Health Systems is Raleigh County's Comprehensive Behavioral Health Center. Its main office is at 101 South Eisenhower Drive in Beckley, and it offers outpatient care, psychiatric services, a crisis stabilization unit, and an Assertive Community Treatment team.
Does West Virginia Medicaid cover rehab?
Yes. West Virginia expanded Medicaid in 2014, and Medicaid covers behavioral health services including substance use disorder treatment. Benefits and provider networks change, so confirm your coverage before you pick a program.
Can I get treatment in Beckley without insurance?
In many cases, yes. FMRS Health Systems is a state-certified Community Behavioral Health Clinic, and CCBHCs must serve anyone who requests mental health or substance use care regardless of ability to pay.
Is it dangerous to stop opioids or benzodiazepines suddenly?
Yes. After regular use, stopping opioids or benzodiazepines abruptly can be dangerous and even life-threatening. Withdrawal should be managed with medical supervision. Call 911 if someone is unresponsive or having trouble breathing.