Quick answer
Randolph County recorded 6 overdose fatalities in 2024, down from 11 in 2023. Appalachian Community Health Center runs its Elkins main office on Yokum Street with office-based medication-assisted treatment, and Davis Medical Center provides hospital-based response. Here is how to start treatment.
Last updated: Thu Oct 01 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Elkins is the seat of Randolph County and the hub of the Potomac Highlands, and it holds something few rural county seats have: a behavioral health center that dispenses medication-assisted treatment from its own main office. The county's overdose count also fell sharply in 2024. Here is what the data and the local options look like.
Randolph County's numbers
About 6,622 people live in Elkins, out of roughly 27,190 countywide. The Office of Drug Control Policy reports 6 overdose fatalities in Randolph County in 2024, down from 11 in 2023.
Substances present in the 2024 deaths (one death can involve several substances):
- Methamphetamine in 100% of fatalities - every death involved it, a pattern the state's fentanyl-heavy counties do not show.
- Other opioids in 33%.
- Alcohol and fentanyl in 17% each.
As in Upshur County, a small count makes percentages jumpy, so read them as a warning about meth in the local supply rather than a fixed rate. Prescribing pressure continues to ease: opioid prescription dispensing in the county fell 54.9% between 2014 and 2024. Randolph County also runs a family treatment court, a resource for parents whose cases involve the circuit court.
The main office on Yokum Street
Appalachian Community Health Center, Inc. is Randolph County's local comprehensive behavioral health provider, and Elkins is its home base: the main office at 725 Yokum Street ((304) 636-3232, toll-free 1-888-357-3232) serves a four-county rural region - Barbour, Randolph, Tucker, and Upshur - weekdays 8 a.m. to 5 p.m. In cooperation with the WVU COAT program, ACHC provides office-based medication-assisted treatment (OBMAT) at the Elkins office, so buprenorphine-based care does not require a trip to a bigger city.
Randolph County has no Certified Community Behavioral Health Clinic; ACHC's office fills that role locally. The county's community corrections program is North Central Community Corrections. Davis Medical Center, the 80-bed acute care hospital at 812 Gorman Avenue operated by Davis Health System, gives the area hospital-level backup - an emergency department open 24 hours, plus outpatient and specialty services.
The SAMHSA treatment locator lists all licensed providers near ZIP code 26241, filterable by level of care and payment.
Getting around
Country Roads Transit runs public transportation for Randolph and Upshur counties, weekdays from 8 a.m. to 4 p.m., with one-way fares from $3.75 to $10.00 and booking at 304-636-6472. Medicaid members can also arrange non-emergency medical rides through the state's contracted broker - useful for appointments in Buckhannon, Clarksburg, or Morgantown.
Costs and coverage
Elkins' median household income is about $44,217, and 17.3% of residents live in poverty. West Virginia expanded Medicaid in 2014, and Medicaid covers substance use disorder services for qualifying adults. Uninsured residents can call the SAMHSA National Helpline at 1-800-662-HELP for free, confidential referrals to sliding-scale providers.
Beginning this week
- Emergency: call 911. For a crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; treatment providers pay for the referral service, and your benefits can be verified first.
- Search findtreatment.gov from ZIP code 26241.
- Ask ACHC's Yokum Street office about an assessment and whether OBMAT fits your situation.
Elkins combines a falling overdose count with medication-assisted treatment available in town and a hospital emergency room that never closes. Those are the ingredients - the phone call is what mixes them.
Questions about rehab in Elkins
How many overdose deaths happen in Randolph County?
The West Virginia Office of Drug Control Policy counted 6 overdose fatalities in Randolph County in 2024, down from 11 in 2023, counted by county of occurrence rather than residence. Small county counts move noticeably year to year.
Where can I get addiction treatment in Elkins?
Appalachian Community Health Center, Inc., the county's local comprehensive behavioral health provider, runs its main office at 725 Yokum Street in Elkins. In cooperation with the WVU COAT program, it offers office-based medication-assisted treatment at that location.
Does Elkins have a hospital that helps with substance use?
Yes. Davis Medical Center, an 80-bed acute care hospital at 812 Gorman Avenue, is part of the Davis Health System and serves the Potomac Highlands, including patients who arrive needing screening and referral for substance use concerns.
Can I get to appointments without a car in Elkins?
Country Roads Transit operates public transportation for Randolph and Upshur counties on weekdays from 8 a.m. to 4 p.m., with one-way fares from $3.75 to $10.00, bookable at 304-636-6472.
Does West Virginia Medicaid cover addiction treatment?
Yes. West Virginia expanded Medicaid in 2014, and behavioral health services including substance use disorder treatment are covered for members who qualify. Confirm your enrollment and covered services before starting.