
The quiet state of North Dakota ranks first and second, respectively, among all 50 states for binge drinking and past-month consumption of alcohol by residents aged 12-20 years. Alcohol is the #1 substance abuse problem in the state, closely followed by methamphetamine. Both affect every community in North Dakota, no matter how rural. This comes, in part, from the fact that North Dakota also ranks near the bottom of all states for perception of risk in using alcohol. Per a February 2009 epidemiological report, “This finding assists in understanding why binge drinking rates are so high in North Dakota: many perceive little or no physical, mental, or societal harm associated with this behavior.” It is a generational problem, with children following in their parents’ footsteps.

Alcohol, Tobacco, and Illicit Drug Consumption and Consequences in North Dakota
The North Dakota Epidemiological Profile
February 2009
Fifty-nine percent of all admissions to North Dakota drug and alcohol treatment centers in 2007 were alcohol-related. About 12% of those were children under 18. For North Dakota families, odds are good that a parent’s addiction may someday afflict his or her child as well, and both may end up in a North Dakota rehab facility seeking treatment for substance abuse.
As of 2006 there were 65 drug and alcohol treatment and rehabilitation centers in North Dakota, located around the state. Together they note some troubling trends regarding substance abuse in the state:

The use of methamphetamine in North Dakota continues to rise despite serious efforts by law enforcement to stop the proliferation of meth labs and importation of meth from Mexico and Canada. The majority of people treated for meth use in North Dakota are between 21 and 25 years of age. Parents should take special note of the danger and never assume that meth cannot show up in their back yard.
North Dakota families have several options when it comes to choosing drug and alcohol treatment centers. North Dakota facilities generally are either private nonprofit (22) or private for-profit (25), with 15 being run by the state and three by tribal governments. Of these, 35% receive some type of federal, state, or local funding, which makes access to residents generally broader. Not all people who are referred for substance abuse treatment in North Dakota will end up in state-run facilities, therefore, but in the program best judged to be able to treat their particular problem.
Families choosing facilities for themselves would do well to remember that not all rehab centers in North Dakota offer identical programs. Most offer outpatient services; people desiring residential care must look to the 23 North Dakota treatment centers that offer such programs, or else out of state. Likewise, only four programs and seven doctors in the whole state were certified as of 2006 to use buprenorphine to treat opiate addictions. Local treatment centers in North Dakota may or may not offer desired programs, so prospective patients should evaluate all options carefully.