Buncombe County is one of the most populated counties of North Carolina, and its alcohol and drug abuse problem is also very present. It includes not only substance use as a whole, but it's also suffering greatly from the effects of the ever-present opioid epidemic. This is why there should be several services provided, such as prevention programs and initiatives, to ensure those who are not yet addicted do not fall into the trap in the future, and also treatment services, so that those who are sadly already suffering from addiction can get the help they need to be free from it.

List of Drug Rehab Centers in Buncombe County, North Carolina

Here is a list of the different treatment centers in Buncombe County, North Carolina. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.

What should we do about North Carolina's drug epidemic?

TIPS: If you feel you're going to use

  • Find a peer support group: North Carolina 12-step meetings and aftercare programs from the directory.
  • Stay active and distracted—take a long or short walk, join a community center or fitness center.
  • Access open or free addiction healthcare counseling or contact North Carolina 2-1-1.
  • Find an extroverted activity—experience The Blue Ridge Parkway, Beaches of the Outer Banks, the waterfalls in the North Carolina mountains, and museums.
  • Avoid risky situations that lead to relapse. Be aware of triggers and unmanaged stress that causes relapse.

TIPS: If you want to help someone

  • Refer them to local resources through or the North Carolina Department of Health and Human Services.
  • Be aware of overdose risks—resources available through the North Carolina Overdose Prevention Project.
  • Assessment and screening are vital tools. These resources are available through numerous state departments and private clinics.
  • Organize a family intervention and hire a professional interventionist.
  • Avoid enabling an addict as this makes it difficult to get them help.

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The Opioid Crisis in Buncombe County, NC

The opioid epidemic is prevalent in all of North Carolina, including Buncombe County. It creates devastating effects wherever it goes. In 2017, more than 13 million opioid painkillers were prescribed in Buncombe County, which amounts to 52 pills for every adult and child in the county. The number of emergency department visits for opioid overdoses was also very high for that year, at 354 visits. And, unfortunately, 92 of the county's residents lost their lives to an accidental opioid overdose in 2017. This is very alarming and should be taken very seriously.

Buncombe County's Alcohol and Drug Abuse Problem

The substance use problem is also very big in Buncombe County. Both alcohol and other drugs are great concerns in the county. When it comes to alcohol, there are many problems to consider. Just between 2013 and 2017, according to County Health Rankings, there were 39 deaths caused by alcohol-impaired driving, which amounts to 25% of all driving deaths in Buncombe County. Also, there is the issue of binge drinking, which is a very dangerous thing and can cause a lot of harm to an individual. Well, in 2016, 17% of adults in the county reported heavy or binge drinking. And, drugs, in general, are also cause for concern in Buncombe County, and what can happen when someone misuses drugs is what's called a drug overdose. Between 2015 and 2017, there were 212 deaths caused by drug overdoses per 100 000 population in the county. All these statistics are highly distressing and something must be done to help fight this issue head-on.

Substance Use Programs of Buncombe County, NC

There are many ways to help fight against addiction in a community. One of them is prevention, which consists of providing the residents with the appropriate tools so they can avoid falling into the dwindling spiral of addiction and so they can also help others do the same. There is also harm reduction, which are events held or tools have given to reduce the harm that can be done by substance use as much as possible. Then, we have public awareness, which means holding town hall meetings, putting up ads on buses, providing training and materials, so everyone can be made aware of the dangers and risks of abusing drugs. And finally, there is accountability, which is an important part of this, because it consists of enforcing the law, coordinating the justice system, and fighting back against drug industries, which means individuals or industries can take responsibility if they cause harm to others.

Buncombe County provides all of these services, for instance by holding a Student Opioid Summit, which is led by students and whose main focus is preventing substance use and making others aware of its risks. They also hold Drug Take-Back Events, and these events make it so residents of the county can drop off unused medications at different locations, so they do not end up in the wrong hands. They also have provided over 1 000 medical providers on how to prescribe medications safely. All these programs and events help very much in the fight against substance use and addiction in Buncombe County.

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Marcel Gemme, DATS

Marcel Gemme, DATS


on June 27, 2022

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Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.