Alcohol and Drug Treatment Programs in North Dakota

North Dakota Drug and Alcohol Rehab Facilities

According to the SAMHSA, North Dakota had 85 drug treatment facilities serving 3,754 patients in March of 2019. These treatment centers comprise the following programs and facilities to assist patients through any type of recovery they require, such as

In addition, many of North Dakota's drug treatment facilities serve specific groups of people who may require specialized services to help them start on the path to recovery. These demographics include the following:

• Active duty military members
• Pregnant and postpartum women
• Patients with co-occurring disorders
• Adolescents
• Members of the LGBT community.
• North Dakota Drug Rehab Breakdown
• Demographic Breakdown (By percentage of drug rehab facilities):
• Patients with co-occurring mental health disorders: 42.4 percent
• Adult women: 36.5 percent
• Adult men: 32.9 percent
• Adolescents: 24.7 percent
• Patients who have suffered domestic abuse: 23.5 percent
• Pregnant or postpartum women: 15.3 percent
• Veterans: 9.4 percent
• LGBT community members: 8.2 percent
• Seniors: 7.1 percent
• Active duty military: 7.1 percent
• Payment Options Breakdown (By percentage of drug rehab facilities):
• Cash or self-payment: 85.9 percent
• Medicaid: 51.8 percent
• Private insurance: 68.2 percent
• State-financed plans: 57.6 percent
• Sliding fee: 35.3 percent
• Medicare: 38.8 percent
• Minimal charge or no-charge treatment for patients in need: 40 percent
• Federal military insurance: 38.8 percent
• ITU funds: 29.4 percent
• Free treatment: 4.7 percent

Thanks to the many options available to patients in North Dakota, finding treatment for drug addiction is possible regardless of a patient's recovery needs or financial circumstances.

Treatment Approaches in North Dakota

12 Step

Alcoholics Anonymous was one of the first, and is the best-known, 12-step program for addicts, but several others now exist to help participants with any number of addictions. Based on 12 principles that structure recovery, these programs also utilize regular community meetings to help participants support each other through their recovery. Their track record of success leads an average of 74 percent of treatment facilities to use 12-step programs on at least an occasional basis. In North Dakota, 69.4 percent of facilities offer 12-step facilitation to help patients maintain their recoveries.

Dual Diagnosis/Co-Occurring

A dual diagnosis refers to a situation in which a patient is suffering from both a mental illness (such as depression or anxiety) and a substance use disorder (SUD). These two illnesses often go together because individuals often use addictive substances to cope with the symptoms of their mental illness. This type of dual diagnosis afflicted 17 million Americans in 2020. In North Dakota, about 42 percent of drug rehab centers offer treatment designed for patients who suffer from this type of co-occurring illness.

Detox

Detox is often the first step in a successful recovery, because it provides a medically supervised way to manage the symptoms of withdrawal and protect the patient from any dangerous symptoms. Most detox programs in North Dakota are available in residential settings, although patients can access detox services in both outpatient and hospital-based programs as well.

Short-Term Inpatient Rehab

Sometimes, patients experiencing addiction benefit from living at the rehab facility and receiving intensive, round-the-clock treatment and support for their illness. When programs such as these last less than 30 days, they are referred to as short-term inpatient rehab. In North Dakota, 21.2 percent of facilities offer these services to patients.

Long-Term Residential Rehab

When inpatient programs last longer than 30 days, they are referred to as long-term residential rehab. The National Institute on Drug Abuse favors these types of programs as being more beneficial for patients, because of the recommendation that patients attend a rehab program for at least 90 days in order to effectively break their dependence on addictive substances. In North Dakota, 27.1 percent of facilities offer long-term residential rehab for patients.

Rehab Costs In North Dakota

Drug and alcohol rehab costs can vary widely, depending upon a number of factors, including the following:

• Type of program
• Medication received
• Services used
• Length of treatment

Patients seeking addiction treatment can get an accurate estimate of their expected costs by consulting with their addiction treatment center. In addition, patients should consider their payment options in order to find a facility that they can afford. North Dakota facilities have many options to offer patients:

Private Health Insurance for Addiction Rehab

More than two-thirds of addiction treatment centers in North Dakota accept some form of private health insurance. Patients should check with their preferred treatment center to ensure that their insurance is accepted there. Patients can also check with their insurance companies on the details of their addiction coverage. While most insurance plans provide rehab coverage, thanks to the requirements of the Affordable Care Act, the copays, deductibles, accepted facilities, covered treatments, and more can vary from plan to plan.

Medicaid and Medicare for Addiction Rehab

Medicaid is a federal healthcare program designed for low-income individuals. Medicare is a federal healthcare program designed for individuals who are 65 years of age or older. Both of these programs cover drug rehab in full, as long as patients attend a facility that accepts Medicare or Medicaid. In North Dakota, 38.8 percent of facilities accept Medicare, and 51.8 percent of facilities accept Medicaid.

Uninsured Addiction Rehab

Compared to the national average, North Dakota has a lower rate of uninsured residents (9 percent as of 2018). These individuals still have access to addiction treatment services in the state, thanks to self-pay options and two means of providing treatment to financially need patients.

Sliding Scale Payments

In North Dakota, just over one-third (35.3 percent) of facilities offer their services on a sliding scale. This means that the facility charges a lower rate to patients who are financially needy in order to put addiction treatment within their reach.

Free drug rehab

A few North Dakota facilities offer their services for free to every patient. While only 4 facilities provide totally free treatment, 40 percent of facilities provide treatment at no charge or a minimal charge just for patients who cannot otherwise afford rehab.

Cost should never be a barrier to receiving treatment. With multiple payment options available, North Dakota facilities improve access to treatment for patients across the financial spectrum.

North Dakota Drug Treatment Overview

North Dakota's drug rehab services have strengths and weaknesses that patients should be aware of when seeking treatment. Here are some of the most important:

Pros

At 82.1 for residential beds and just 51.4 for hospital beds, North Dakota's bed utilization rate is very low, making treatment more accessible to patients when they need it.

At 27.1 percent, North Dakota facilities offer a higher-than-average number of long-term residential programs to patients who need this intense treatment to overcome their addiction.

21.2 percent of the state's rehab facilities offer short-term inpatient rehab, making this type of rehab more accessible to more patients who can benefit from it.

Cons

Rates of free treatment or Medicare-accepted treatment are relatively low in the state, which could make it more difficult for financially needy patients to access the care they need.

Specialized services are rare in North Dakota. For seniors, active duty military members, and their families, only 7.1 percent of facilities offer specialized services. This could make getting tailored and effective treatment more challenging for these demographic groups.

North Dakota Drug Use Statistics

New York faces a growing drug problem. Here is a look at some of the state's most important drug use statistics:

From the National Institute on Drug Abuse:

• 70 people died from a drug overdose in the state in 2018.
• 36 of those deaths were opioid-related.

North Dakota's rate of prescriptions for opioids was 37.4 in 2018, well below the national average of 51.4.

From the SAMHSA:

• 2,667 individuals over the age of 12 were admitted for substance abuse treatment in North Dakota in 2019.
• 23.4 percent of these admissions were for amphetamines.
• 3.7 percent of these admissions were for heroin.
• 5.8 percent of these admissions were for other opiates.