top of page

Substance Misuse Services

Substance use disorders occur when the recurrent use of alcohol and/or drugs cause clinically and functionally significant impairment, such as health problems, disability and failure to meet major responsibilities at work, school or home. A substance use disorder can occur along with other mental illnesses and often interferes with treatment.

If you can't stop using drugs or alcohol on your own, you need treatment. TCMHS offers substance use treatment and recovery focused services for individuals, families and affected others. We offer outpatient services, as well as Opioid Health Home services. Click below to find out more about these programs.

Syringe Exchange Program

TCMHS offers a syringe exchange program that provides access to free sterile syringes and Naloxone. Harm reduction counseling is available specific to vein health, safer injection procedures, overdose prevention, and HIV and hepatitis vulnerability. We provide information about resources in the community, including treatment options. Contact TCMHS at (888) 304-4673 to learn more.


The Overdose Prevention Through Intensive Outreach Naloxone and Safety (OPTIONS) initiative is a coordinated effort of the Maine Office of Behavioral Health and other state agencies to improve the health of Mainers using substances through harm reduction strategies, helping them on the road to recovery, and dramatically reducing the number of fatal and non-fatal drug overdoses. The OPTIONS co-responder initiative embeds licensed behavioral health clinicians within local emergency medical services (EMS) and law enforcement agencies in every county across Maine. 

Project Support You (PSY)

PSY is a unique ride-along partnership between the Lewiston Police Department and TCMHS, as well as the Auburn Police Department, EMS and TCMHS. An officer or EMS worker and counselor respond to calls from individuals living with and struggling with substance misuse, homelessness and mental illness. PSY ensures people get help when and where they need it.


At a call, a trained mental health counselor helps to de-escalate the situation and conducts a brief assessment to determine the most appropriate referrals for an individual's care and safety. Upon consent, a referral can be made to the hospital, outpatient counseling, primary care, housing, public assistance, syringe exchange and transportation. Call (207) 344-1820 to learn more.

bottom of page