
Historically, Indiana has not been among the top states in the Union with regard to problems related to drug and alcohol abuse. In fact, it ranks well below national averages—with one exception. The U.S. Substance Abuse and Mental Health Services Administration reported in December 2008 that rates for nonmedical use of pain relievers in Indiana were among the ten highest of all states for every age group except teens under 17. Early evidence of this explosion in diversion of legal pharmaceuticals is borne out in a 2006 survey of Indiana drug and alcohol treatment centers, which shows remarkable stability in numbers of admissions, but a steady rise in admissions for “other opiates”:

The diversion and abuse of prescription drugs like Oxycontin, Vicodin, Ambien, and Valium affects families who never previously dreamed that “drug abuse” could ever visit their household. People over age 60 are especially vulnerable to accidental abuse of painkillers, while Indiana’s high school and college age students increasingly are exposed to such drugs at raves, parties, and other youth hangouts. The intense “rush” experienced by crushing pills and snorting or injecting the powder can lead straight to addiction in pursuit of repeated thrills, with a subsequent need for professional medical intervention.
Drug and alcohol treatment in Indiana is dispensed through 338 facilities located around the state. Of those, 321 were private nonprofit or private for-profit in 2006, the most recent data year; the rest were owned and operated by government agencies. However, citizens should not think public options are limited; 64% of all Indiana drug and alcohol rehabilitation facilities receive public funding of one type or another. Citizens who seek treatment through their doctor, a hospital, or managed care organization will be referred to programs as appropriate.
Indiana residents can greatly increase their odds of a positive outcome to treatment by educating themselves on types of care and the programs offered by the various drug and alcohol treatment centers in Indiana. Even public facilities may not offer identical programs, nor is it guaranteed that a local facility will offer the type of care desired. Ninety-three percent of all services are provided on an outpatient basis in Indiana; treatment centers offering residential care numbered 48 in 2006. Those hoping for methadone or buprenorphone treatment for opiate addictions will find that only 15 Indiana rehabilitation facilities offer such opioid treatment programs. Only 55 programs and 112 doctors in the whole state were certified as of 2006 to administer buprenorphine at need. Local facilities by themselves may or not offer the holistic approach which leads to the best outcomes, or the particular treatment modality individuals may be looking for.
As shown below, Indiana rehabilitation centers are noting disturbing upward trends in drug abuse. With prescription drugs such a powerful threat in Indiana, early identification and treatment are especially important here. The highly addictive qualities of hydrocodone and oxycodone, the basis for many of these drugs, makes treatment a long and difficult battle. Residents should choose carefully when evaluating treatment options, and do so as soon as any substance abuse is suspected.
Substance Abuse and Mental Health Issues At-A-Glance, Indiana
Substance Abuse and Mental Health Services Administration (SAMHSA), December 2008