Opioid Treatment and MAT in Elkins, WV

If opioids have a hold on you or someone you love in Elkins, the single most protective step available is medication — and this county has something unusual: an office-based medication-assisted treatment program built around the local behavioral health center and a university addiction medicine network. Randolph County's overdose numbers are among the state's lowest, but the need has not vanished. Here is what the data says and how the local system actually works.

What Randolph County's data says

The West Virginia Office of Drug Control Policy's Randolph County At-A-Glance 2025 profile, built from state health, pharmacy, and census data for the county's 27,190 residents, records:

• 6 overdose fatalities in 2024, down from 11 in 2023
• Methamphetamine present in 33% of the 2024 overdose deaths
• Alcohol and other opioids each present in 17%
• Opioid prescription dispensing down 54.9% between 2014 and 2024
• Gabapentin as the county's most-prescribed medication by volume, with over 700,000 pills dispensed, followed by tramadol, hydrocodone, oxycodone, and buprenorphine

With numbers this small, a single death moves the percentages noticeably — six deaths in a year means one case shifts a "substance present" figure by 17 points. Read year-to-year shifts with caution rather than as trend lines. Two details do stand firm: prescriptions keep falling, and buprenorphine — itself an opioid treatment medication — appears among the county's most-prescribed drugs, which is the signature of a functioning MAT program rather than a diversion problem.

The county also has zero certified treatment beds and zero certified recovery housing units per the state profile, so inpatient-level needs are met through referrals to facilities in neighboring counties. It does have a family treatment court, which matters if your situation involves child welfare or the justice system.

How medication-assisted treatment works

MOUD is not swapping one drug for another; it is treating a chronic condition with medication that removes the withdrawal-craving cycle so life becomes workable again. The main options:

• Buprenorphine — prescribed by many providers, started after mild withdrawal appears, available as a daily film or monthly injection
• Methadone — dispensed daily at a certified opioid treatment program with structured monitoring
• Naltrexone — a monthly injection that blocks opioid effects, started after detox is complete

Counseling, peer recovery support, and medical care wrap around the medication. SAMHSA notes treatment plans are individualized; there is no single right combination, and switching medications is allowed if the first plan is not working.

The local program: OBMAT at Appalachian Community Health Center

Appalachian Community Health Center, Inc. provides office-based medication-assisted treatment at its Randolph County office, 725 Yokum Street, Elkins ((304) 636-3232), in cooperation with the WVU COAT program — the university's Center of Excellence for Addiction lists ACHC as one of its spoke clinics. The program is structured in phases:

1. Initial intake — assessment and enrollment
2. Beginning phase — weekly group therapy and medication review, roughly 90 days, with individual therapy and random urine drug screens
3. Intermediate phase — biweekly groups and reduction reviews for one year
4. Advanced phase — monthly group therapy and medication reviews
5. Maintenance phase — bimonthly visits, with individual or family therapy as requested

Contingency management — a structured incentive approach backed by strong evidence — is available during the beginning phase. Referrals and inquiries go through 304-636-3232, and the center states its services are available regardless of ability to pay.

For medical complications, Davis Medical Center at 812 Gorman Avenue is the county's 80-bed acute care hospital. The statewide MAT directory also lists Recovery Resource Group at 1123 S Davis Avenue in Elkins and a substance use in pregnancy program at Davis Hospital ("Treatment for Two") among Randolph County options. The SAMHSA FindTreatment.gov locator lets you search by ZIP code for accredited programs across payment types.

Practical first steps:

• Call ACHC at 304-636-3232 and ask what an OBMAT start would look like this week, or call HELP4WV at 1-844-HELP4WV — free, confidential, answered 24/7
• Pick up naloxone; pharmacies stock it without a prescription, and the county's distribution programs supplied 280 kits per the state profile
• Call our confidential helpline at (800) 653-9376 to talk through your options with a person first

How to start today

Call or text (800) 653-9376 to talk through treatment options with a person — no pressure, no commitment. Or use the form below and we will reach out:

Calling is free; the referral service is paid for by treatment providers.

Emergency and crisis lines

If someone is unresponsive or not breathing normally, call 911 and use naloxone if you have it. For a mental health or substance use crisis that is not a medical emergency, call or text 988, or call HELP4WV at 1-844-HELP4WV. Every one of these calls is free and confidential.

This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.

Published: 2026-10-26 | Updated: 2026-10-26

Other Opioid treatment in West Virginia: Opioid treatment and MAT in Beckley, West Virginia, Opioid treatment and MAT in Bluefield, West Virginia, Opioid treatment and MAT in Buckhannon, West Virginia, Opioid treatment and MAT in Charleston, West Virginia, Opioid treatment and MAT in Clarksburg, West Virginia, Opioid treatment and MAT in Fairmont, West Virginia, Opioid treatment and MAT in Huntington, West Virginia, Opioid treatment and MAT in Logan, West Virginia, Opioid treatment and MAT in Martinsburg, West Virginia, Opioid treatment and MAT in Morgantown, West Virginia, Opioid treatment and MAT in Parkersburg, West Virginia, Opioid treatment and MAT in Point Pleasant, West Virginia.

Frequently asked questions