Quick answer
Cocaine appeared in 19% of Raleigh County's 52 overdose deaths in 2024, typically alongside fentanyl (88%) or methamphetamine (50%). No FDA-approved medication exists for cocaine use disorder, but behavioral treatment works. Within 25 miles of Beckley, 9 SAMHSA-listed facilities offer outpatient care. Here is how to start.
In Raleigh County's overdose data, cocaine rarely travels alone - it shows up in the toxicology alongside fentanyl and methamphetamine, and the mix is what kills. If cocaine is part of your life in Beckley, the honest answer about treatment is this: there is no pill for stimulant use disorder, but behavioral treatment works, and programs here see it every week.
What Raleigh County's numbers say
The West Virginia Office of Drug Control Policy's Raleigh County At-A-Glance 2025 profile, for the county's 72,379 residents, records for the 52 overdose deaths in 2024 (down from 113 in 2023):
- Cocaine present in 19% of those deaths, counted by county of occurrence rather than residence
- Fentanyl in 88%, methamphetamine in 50%, other drugs in 42%, THC in 23%, benzodiazepines and other opioids in 19% each
The county's profile lists 274 certified recovery housing beds and 10 certified treatment beds in Raleigh County - places to stabilize while treatment starts.
What treatment for cocaine actually looks like
The National Institute on Drug Abuse is plain about the field: no FDA-approved medication exists for cocaine use disorder, but behavioral treatments work:
- Contingency management - tangible rewards (vouchers, prizes, or gift cards) for verified drug-free tests. This is the strongest-performing approach for stimulant use disorder in clinical trials.
- Cognitive behavioral therapy - recognizing the situations, moods, and thoughts that trigger use and building practical ways through them.
- Structured outpatient programs - a regular schedule, groups, and case management.
One honest caveat: the SAMHSA locator does not flag contingency management, so ask the question directly when you call - does this program offer contingency management for stimulant use, and how quickly can it start?
Where to find stimulant treatment near Beckley
A 25-mile search from Beckley (ZIP 25801) on the SAMHSA locator returns 10 treatment facilities, including:
- 9 offering outpatient care
- 2 with residential or 24-hour programs
- 3 offering detoxification services
FMRS Health Systems is Raleigh County's designated comprehensive behavioral healthcare provider and a state-certified CCBHC - it must serve anyone who requests care regardless of ability to pay, residence, or age.
The polysubstance reality
With fentanyl in 88% of the county's 2024 deaths and methamphetamine in 50%, cocaine use in southern West Virginia usually coexists with other drugs. Two practical consequences:
- Tell any program everything you use, not just the drug you are most worried about. A plan that covers only cocaine leaves the deadliest part of the picture unaddressed.
- If opioids are part of the picture, carry naloxone and ask about medication for opioid use disorder. West Virginia pharmacists can dispense naloxone without a separate prescription under a statewide standing order.
Paying for treatment
West Virginia Medicaid covers behavioral health treatment for substance use disorders, including intensive outpatient programs and counseling. If you are uninsured, a Certified Community Behavioral Health Clinic must serve you regardless of ability to pay. HELP4WV at 1-844-HELP4WV can help you sort out coverage and find a program, free and confidential, 24/7.
How to start today
- If someone shows chest pain, seizure, or severe agitation after using, call 911 now. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through options with a person - no pressure, no commitment:
Calling is free; the referral service is paid for by treatment providers.
- Search findtreatment.gov with ZIP 25801 and filter for outpatient substance use treatment.
- When you call a program, ask specifically about contingency management, and mention everything you use so the plan fits reality.
Stimulant use disorder is treatable, and Beckley has programs that see it every week. The first call is the hard part.
Emergency and crisis lines
Call 911 first if someone is unresponsive, seizing, overheated, or having chest pain after using. For a mental health or substance use crisis that is not a medical emergency, call or text 988, the national Suicide and Crisis Lifeline, or HELP4WV at 1-844-HELP4WV.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Last updated: Mon Oct 19 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
Is there a medication for cocaine addiction?
No FDA-approved medication exists for cocaine or stimulant use disorder. Treatment is behavioral: contingency management (concrete rewards for verified drug-free tests), cognitive behavioral therapy, and structured outpatient programs. The SAMHSA locator lists 9 facilities offering outpatient care within 25 miles of Beckley.
How common is cocaine in Raleigh County overdoses?
The state's Raleigh County At-A-Glance 2025 profile found cocaine in 19% of the county's 52 overdose deaths in 2024. Most deaths involved multiple substances - fentanyl in 88% and methamphetamine in 50% - so cocaine rarely kills alone here.
What is contingency management and does it work?
Contingency management gives tangible rewards - vouchers, prizes, or gift cards - when drug tests come back negative. It is the behavioral treatment with the strongest evidence for stimulant use disorder. The SAMHSA locator does not flag which programs offer it, so ask directly when you call.
Where can I get stimulant treatment in Beckley?
FMRS Health Systems is Raleigh County's Comprehensive Behavioral Health Center and a Certified Community Behavioral Health Clinic with outpatient and residential programs. It must serve anyone regardless of ability to pay. HELP4WV at 1-844-HELP4WV offers free statewide referrals 24/7.
What should I do in a stimulant-related emergency?
Call 911 if someone has chest pain, seizure, very high body temperature, severe agitation, or is unresponsive - these are medical emergencies. For a mental health or substance use crisis, call or text 988, or call or text (800) 653-9376 to reach a treatment specialist.