
Stationed at the mouth of the Mississippi, with miles of Gulf Coast shoreline, Louisiana’s main substance abuse problems stem from the drugs smuggled across her borders. Admissions to Louisiana drug and alcohol treatment centers bear out national statistics which show the state ranking above the rest of the nation generally in rates of drug dependence and abuse, especially among adults.
The rather staggering rate of cocaine admissions, topping alcohol-only admissions almost two to one, clearly demonstrates the rampant availability of illicit drugs in Louisiana. Drug and alcohol rehabilitation centers are running to keep up with a rate of drug-related admissions that has doubled since 1992 and now constitutes 44% of all admissions to Louisiana substance abuse treatment facilities.
Other threats to Louisiana families lie in marijuana and a creeping tide of prescription drugs, methamphetamine, and club drugs such as LSD, PCP, Ecstasy, and ketamine. Over 22,000 people were admitted to Louisiana rehab centers in 2006, and at least 6% of them were under 18. Louisiana teens are under increasing pressure to “be cool,” to perform well at school and sports, and to fit in, which often means drinking or taking drugs to keep up. Per the State of Louisiana’s 2007 annual report on health risks to the state’s adults, “The 18-24 year old age group led all three alcohol consumption categories (1 drink in the past 30 days, heavy drinking, and binge drinking).” For parents of young people, this means a high risk of their child someday needing the services of a drug and alcohol treatment center in Louisiana or somewhere else, especially if the drinking (or drug use) began at an early age (under 14).
Louisiana residents have a choice of 145 drug and alcohol treatment facilities in Louisiana, most of which are either private nonprofit or private for-profit. Two are operated by tribal authorities for the benefit of the state’s Native American population; the rest are owned and managed by government agencies. Residents worried that “private” means too expensive or inaccessible should take heart from the fact that 63% of all Louisiana rehab facilities receive public funding, either county, state, federal, or local. Almost a quarter contract with hospitals and other organizations to provide substance abuse treatment services. Prospective patients should begin with an evaluation by a doctor to obtain a referral to an appropriate program.
Services and programs vary from facility to facility. An unusually high number (47) of all Louisiana drug and alcohol treatment centers offer residential programs. These are beneficial in providing continuity of care, inpatient treatment, and a quiet place to begin recovery. The majority of facilities offer outpatient services as well. However, not all programs are appropriate for all types of addictions, and some treatment modalities are limited. For instance, many drug addicts hope for methadone or buprenorphine treatment to ease withdrawal and manage cravings through the recovery process; however, only 10 Louisiana rehab centers offered opioid treatment programs of this type as of 2006. Administration of buprenorphine was further limited to 141 doctors and 14 treatment programs across the state. Local treatment options should be carefully evaluated to determine if they are appropriate for any particular addiction.