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New York drug and alcohol rehab programs enrolled 283,400 persons during 2014 for addiction treatment. The leading substance of abuse sending residents into treatment was heroin. Heroin abuse has become a serious drug threat in the northeast United States; many states in this region are struggling with an increase in heroin abuse and addiction cases. 79,295 persons (28% of the program participants) enrolled in New York drug rehab programs during 2014 noted heroin as their primary substance of abuse. Following heroin addiction the top substances sending New York residents into treatment included alcohol with a secondary drug, alcohol addiction, and marijuana addiction.

The first phase of drug and alcohol addiction treatment is detox. The process of detoxification helps the addicted person safely stop using drugs or alcohol while managing their withdrawal symptoms. Depending on the substance the person is dependent on their withdrawal symptoms may require medical detox to safely manage this process. Substances such alcohol, heroin, other opiates and some prescription drugs are physically addictive and typically require specific medications to ease the symptoms of withdrawal. New York has a number of different detox options for residents ranging from specialized medical detox facilities, methadone maintenance clinics to all inclusive inpatient and residential programs.

Determining the correct level of care is best done by a treatment professional. These individuals are best to assess and recommend what type of program will best fit the addicted person's rehabilitation needs. If detox is conducted outside of a drug rehab program, it is critical that the individual continue on into treatment after completing detoxification. Without continued addiction treatment, the newly sober person will lack the skills and relapse prevention techniques necessary to remain clean for any significant length of time. Persons who have completed detox as well as addiction rehabilitation have the highest success rates and chances of lasting sobriety.