
Despite its proximity to major population centers where drug smuggling and consumption run rampant, Maryland ranks among the bottom of all states with regard to alcohol and drug dependency and abuse. This is not to say it does not have significant numbers of people seeking treatment for substance abuse every year. In 2006, over 65,000 people entered Maryland drug and alcohol treatment and rehabilitation centers, primarily for the substances shown below. Admissions to Maryland rehabilitation centers for heroin abuse were nearly twice the national average (25% vs. 13.7%).

Outlook and Outcomes 2007 Annual Report
Maryland Alcohol and Drug Abuse Administration
Department of Health and Mental Hygiene
Accompanying the prevalence of heroin and cocaine in Maryland is the state’s #3 ranking for violent crime. While the Drug Enforcement Administration notes that heroin use is centered in and around Baltimore, cocaine is heavily used statewide. This is in addition to marijuana and club drugs of all types, which are particular threats to young people in Maryland. Drug and alcohol treatment programs of all types have increased in the state over the past several years to combat the problem.
Trends noted by Maryland rehab centers indicate a continuing need for awareness among Maryland families of the signs and symptoms of drug abuse. Unlike many states, most abuse trends are not declining in Maryland. Worse, Maryland studies indicate that high percentages of substance abuse problems began in adolescence:
· 37% of alcohol and 49% of marijuana-related admissions reported first use before age 15
· 45% of cocaine and heroin users first used those drugs between the ages of 18 and 25
· Over 70% of individuals admitted for alcohol problems reported first substance use during adolescence
Youthful high jinks may have long-term unintended consequences when viewed in this light.

In 2006 there were 371 drug and alcohol treatment centers in Maryland, up from 345 in 2002. Over half receive public funding of some sort, increasing availability for Maryland residents, and 167 contract their services to hospitals and other managed care organizations. People seeking help for particular addictions should research local and regional options, however, to ensure that they understand the types and levels of care offered by each facility. Drug and alcohol treatment programs are not the same at all treatment centers in Maryland. About 84% of all Maryland rehab facilities provide services on an outpatient basis. Eighty-two offer residential care.
Doubtless because of Maryland’s ongoing opiate problems, a fairly high percentage of Maryland drug and alcohol treatment centers offer opioid programs such as methadone or buprenorphine. These drugs mimic the effects of heroin and other opiates without the physical destruction, and are useful in the recovery process for managing withdrawal symptoms. In 2006, 51 Maryland rehabilitation facilities offered such programs, while 97 programs and 286 doctors statewide were certified to administer buprenorphine. This is good news for Maryland residents seeking options for treatment of heroin or the many opiate-based prescription drugs being diverted for recreational use in the state.
For all addictions, seek help as soon as possible, preferably at the first suspicion of substance abuse.