
Chicago has long been an epicenter of Midwestern life, one of the largest cities west of New York and a major transportation hub. It is a natural endpoint for drug smuggling, which, the U.S. Drug Enforcement Administration (DEA) reports, has resulted in Illinois battling a rising tide of methamphetamine, cocaine, heroin, and marijuana, the most widely abused drug in the state. Despite this, Illinois historically has ranked well below the U.S. national average for illicit drug abuse and dependence, but well above the average when it comes to alcohol. Unfortunately, as seen in statistics reported by Illinois drug and alcohol treatment and rehabilitation centers, those numbers could change in the near future. Trends for alcohol treatment are downward, while drug-related admissions are climbing steadily. Drug-only admissions now constitute 43% of all admissions to drug and alcohol treatment centers in Illinois.

Substance Abuse and Mental Health Issues At-A-Glance, Illinois
Substance Abuse and Mental Health Services Administration (SAMHSA), December 2008
For Illinois families, “drugs” may seem like an inner-city problem confined to the streets of Chicago, but it is not. The DEA also reports, “Violent crime associated with street gangs, while declining in some major urban areas, is increasing in suburban and rural areas as these gangs expand their drug markets.” Drug and alcohol treatment looms as a very real possibility for any family, particularly when prescription drugs enter the mix. Diversion of legal pharmaceuticals to recreational use, as well as rising addiction rates from legal prescriptions, is rising throughout Illinois. Opiate-based painkillers are a trap lurking in thousands of Illinois medicine cabinets.
The latest report on Illinois drug and alcohol treatment centers showed 588 such facilities in operation across the state in 2006. Just over half received federal, state, county, or local funds, which greatly increases their availability to Illinois citizens seeking treatment. Prospective patients should not assume, however, that all facilities, even those that contract services to hospitals and HMOs, offer identical programs. Illinois rehabilitation centers vary in their approach as well as their ownership; 58% are private nonprofit facilities, 221 are private for-profit, and the rest are publicly owned and managed. The majority provide services on an outpatient basis, which may not be suitable for all patients and all addictions. Residential care is offered by 107 of Illinois rehab facilities, which means patients receive inpatient services and continuity of care throughout the recovery process.
The majority of Illinois drug and alcohol treatment centers do not offer opioid programs, using medication such as methadone to manage withdrawal symptoms and cravings related to opiate addictions such as heroin or Oxycontin. Just 63 of the 588 rehabilitation centers in Illinois offer this type of treatment. Buprenorphine, another drug used to block the effects of opiates, can only be administered by doctors and programs certified to do so. In 2006, 64 programs and 221 physicians in Illinois had received such certification, meaning that patients hoping for this treatment regimen may or may not find such a program in their local area.
All families seeking drug and alcohol treatment in Illinois should begin with a medical evaluation of the problem, then evaluate all local and regional options to decide which is best for their particular problem.