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Although not as largely impacted as other counties in California, the opioid epidemic nevertheless is a serious concern in Alameda County. According to the Alameda County Government in a 2023 report, an increasing percentage of overdose deaths are caused by opioids, with fentanyl being a main contributing factor. 

Fentanyl is a synthetic opioid originally used as an anesthetic. Because fentanyl is commonly illegally manufactured, it is often mixed with other drugs such as heroin, methamphetamines, or even used in counterfeit prescription medications. Because of the amount of illicit activity associated with this highly addictive drug, fentanyl has become more widely available and raises the risk of fatal overdoses.

Those with substance use disorders, the homeless, and those without steady access to resources for treatment or medical care are most impacted by this crisis. To better serve vulnerable populations, Alameda County offers a variety of services to combat the opioid epidemic.

Specific resources

There are numerous well-known clinics, programs, and organizations that offer assistance for opioid use disorder, treatment, harm reduction, or related services to those in need. A comprehensive range of substance use treatment services are provided by Alameda County Behavioral Health Care Services (ACBHCS), including residential and sober living, opioid treatment programs, medication assisted treatment (MAT), outpatient and intensive outpatient services, withdrawal management, recovery support, and prevention services. 

In addition, Alameda County Health Care for the Homeless is a treatment facility located in Oakland that offers services through street health and shelter health, harm reduction, MAT, substance use counseling, and naloxone training and supplies.

Finally, the Bridge Clinic at Alameda Health System Highland Hospital provides low-barrier access to MAT and substance use navigators in emergency rooms or hospitals. Even in high need circumstances like homelessness, this clinic assists patients in making the transition to treatment. There are numerous other clinics and resources in and around Alameda County with different approaches to treatment that can help a vast number of those in need.

The opioid crisis is not just a national issue, but it is also an intensely local issue deeply felt in Alameda County where overdose deaths, especially those involving synthetic opioids like fentanyl, are rising and vulnerable populations are at high risk. However, Alameda County is attempting to combat this using multiple avenues for help, such as medication-assisted treatment, residential and outpatient therapy, harm reduction, and integrated care models.

If you or someone you know needs help, reach out to Alameda County’s Helpline. 1-844-682-7215.


This article was written as part of a program to educate youth and others about Alameda County’s opioid crisis, prevention and treatment options. The program is funded by the Alameda County Behavioral Health Department and the grant is administered by Three Valleys Community Foundation.

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