
The end destination of much of the drug trafficking on the East Coast of the United States is, of course, New York City, but the entire state is rife with drugs of every description. The Drug Enforcement Administration (DEA) notes that cocaine is a “significant problem” in western New York state and around Albany. Heroin, meth, and club drugs are also widely available, along with marijuana. Of the 276,000 people admitted to New York drug and alcohol treatment and rehabilitation centers in 2007, the largest single category was for heroin. The stereotype of the Hollywood street junkie is alive and well in New York.

Office of National Drug Control Policy, Drug Policy Information Clearinghouse
State of New York Profile of Drug Indicators
July 2008
New York spent close to $365 million in 2008 on prevention and treatment of drug and alcohol abuse. Treatment programs in New York range from outpatient care (68%) to detoxification on an inpatient or outpatient basis, to residential care as offered by 286 of the 1,031 drug and alcohol treatment centers in New York. Fifty-nine percent of all New York rehab facilities receive public monies of some kind, either local, state, or federal, which significantly broadens access to care for New York residents. Over 70% of treatment centers in New York are private nonprofit; 143 are private for-profit, and five are owned by tribal governments. Nevertheless, “private” refers to ownership, not to exclusivity. People seeking drug and alcohol treatment programs in New York are likely to be referred to one of these private facilities even if treatment is being paid for by a state agency.
Many New Yorkers come to substance abuse treatment through the criminal justice system and have little choice of programs; self-referring individuals have all kinds of choices. Because of the broad range of programs and facilities in New York, families should take time to evaluate the local options before committing to any treatment program. Outpatient care, which is how the majority of services are delivered, may or may not be appropriate for any given addiction. Very unhealthy individuals impacted by long-term substance abuse, or who prefer the peace and quiet of a recovery center, may choose a residential program. Any prospective patient should be aware that not all facilities use the same approach, and not all drug and alcohol treatment centers in New York offer the same programs. Very few offer the sort of methadone programs many people associate with heroin addiction. Less than a quarter of all New York rehab centers offer opioid programs of that type, and only 282 programs were certified to administer buprenorphine, which is used in much the same way as methadone.


Comparison of youth and adult drug usage in New York points up troubling potentials for future addiction, as drug traffickers target younger and younger children in an attempt to expand their markets. The upward trend in use of pain relievers is particularly worrisome, for abuse of these opiates leads quickly to addiction in most people. Experimenting with them at a party could end in commitment, voluntarily or otherwise, to a New York drug treatment program. Seek help as soon as possible for these or any other substance abuse problems.