
Minnesota’s substance abuse problems transcend age and social boundaries, as shown below. Illicit drugs and alcohol abuse are a serious threat in the state, which ranks among the top 10 of all states for binge drinking and alcohol abuse as well as for low perception of risk in using marijuana. Note that this perception is directly reflected in the high rate of marijuana abuse by young people in Minnesota. In addition, the Alcohol and Drug Abuse Division of the Minnesota Department of Human Services reported in January 2009 that 31% of Minnesota’s college students met the criteria for a diagnosis of alcohol abuse, according to their own self-assessment of their drinking habits, and 6% met the criteria for a diagnosis of alcohol dependence in the past 12 months.

Drug and alcohol treatment in Minnesota is generally administered through a network of 263 public and private treatment facilities set up to combat these problems. In 2006, drug and alcohol rehabilitation centers in Minnesota admitted nearly 48,000 patients. By far, the most common admissions were for alcohol only (28.1%), alcohol and another substance (22.6%), marijuana (17.3%), and amphetamines (11.2%). Marijuana is the most widely available and abused illicit drug in the state, with meth an increasing threat.
The “other opiates” category shown above includes methadone, Oxycontin, Vicodin, and Dilaudid, prescription medications that are increasingly being diverted to nonmedical use. Over 17% of Americans over age 60 have knowingly or unknowingly abused prescription painkillers like these, while high school and college students increasingly are abusing them for the intense “hit” provided when the pills are crushed and inhaled or injected. Many Minnesotans who never considered themselves at risk of a “drug habit” are finding themselves suddenly evaluating Minnesota drug and alcohol treatment centers to find the correct program to combat an unexpected addiction.
In Minnesota, drug rehabilitation centers are not all the same, so prospective patients should look carefully at all local and regional options. Many people are familiar with methadone programs for treatment of opiate addictions like heroin, but these are not the norm for addiction treatment. Only nine Minnesota drug and alcohol treatment centers offered opioid treatment programs of this type in 2006, the most recent year for which data is available. Just 31 programs and 57 doctors were certified to administer buprenorphine, which is also used in opiate treatment. The local rehab center may or may not be one of them, so patients hoping for such a program should educate themselves on their options.
Likewise, the majority of Minnesota rehab facilities provide services on an outpatient basis. Residential care was offered by a relatively high percentage of all facilities (112), giving residents needing or wanting inpatient care many choices. Nearly all of the drug and alcohol treatment centers in Minnesota are privately operated, either on a nonprofit or for-profit basis. Around 25 are owned by the State of Minnesota, which does not mean that these are the only “public” options available. Over half of all Minnesota treatment centers receive public funding, and 70% contract their services to hospitals and HMOs. Patients should seek referral and evaluate their options with their doctor.