What addiction and recovery look like in Hamilton County right now
Chattanooga is the urban center of Hamilton County and the starting point for most of the region's addiction recovery. Outpatient medication-assisted treatment is where most patients begin and where most of them stay — it's the largest and most-evidence-backed lane of addiction care in the country, and it's what Restoration Recovery has been built around. Hamilton County is also one of only two counties in Tennessee running medication-assisted treatment inside the corrections system, and the data coming out of the county is some of the most encouraging in the state.
Fatal overdoses in Hamilton County have dropped 38% over two years. EMS naloxone administrations are down 34% over the same window. Suspected overdose-related ER visits fell from 1,003 in 2023 to 797 in 2025 — a 21% decrease. The combined Hamilton Counted report from the County Medical Examiner and Hamilton County EMS makes the trendline clear: whatever Chattanooga is doing, it's working.
What those numbers don't show is the demand still under the surface. Fewer fatal overdoses doesn't mean fewer people with substance use disorder — it means more of them are surviving long enough to reach for treatment. The conversations our intake team has most weeks involve patients who were revived with Narcan months ago and have been thinking about coming in ever since, patients whose prescribing doctor just retired and left them without refills, patients who quit cold turkey and relapsed inside a week, and patients who've watched a family member die and don't want to be next. That's the Chattanooga picture today: a county decisively winning the overdose fight, and a population of people still quietly making the decision to come in.

CARF Accredited