
For West Virginia, the twin problems of drug and alcohol abuse are definitely weighted to the side of illicit drugs. The state ranks well to the bottom of all 50 states for alcohol abuse and dependency, but well above when it comes to using illicit drugs, especially by its young people.

Substance Abuse and Mental Health Issues At-A-Glance, West Virginia
Substance Abuse and Mental Health Services Administration (SAMHSA), December 2008
As seen below, that trend is going up rather than down, marked in large part by meth, cocaine, and nonmedical abuse of pain medications (“opiates not heroin). The nationwide trend toward abuse of oxycodone-based pain relievers, dubbed “hillbilly heroin,” began here among the quiet hills of Appalachia.

Substance Abuse and Mental Health Issues At-A-Glance, West Virginia
Substance Abuse and Mental Health Services Administration (SAMHSA), December 2008
In 2006 the National Study on Drug Use and Health estimated that about 42,000 people needed but did not receive treatment for drug and alcohol abuse in West Virginia. Many simply refused to seek help; of those who did, over 7,600 were admitted to West Virginia drug and alcohol treatment and rehabilitation centers. As shown below, by far the greatest number of admissions were alcohol-related; however, the “other opiates” category indicates the continuing high rate of abuse of prescription drugs in the state. Marijuana, easily obtained anywhere in West Virginia, is also a big problem, accounting for over 12% of all admissions.

Substance abuse in West Virginia is not limited to its larger cities, and neither is the cure. Drug and alcohol treatment and rehabilitation centers in West Virginia are located across the state, helping rural areas afflicted by meth and prescription drug abuse as well as cities seeing club drugs and heroin on their streets. As of 2006, the most recent year for which data is available, there were 83 West Virginia rehab centers, of which the majority (59) were private nonprofit facilities. Eighteen were private for-profit and the remainder were run by various government agencies. Individuals seeking treatment should not be put off by the “private” label, which to some means exclusive or expensive. Seventy-four percent of all West Virginia drug and alcohol treatment centers receive public funding. About 40 contract their services to managed care organizations, so West Virginia residents have many choices when it comes to drug and alcohol treatment.
In West Virginia, as in most states, the majority of treatment centers provide services on an outpatient basis. This is appropriate for mild to moderate addictions, but residential care as offered by 25 West Virginia rehabilitation facilities may be indicated for severe addictions. Likewise, not all treatment programs are the same. Most use a combination of inpatient or outpatient detoxification, counseling, behavior modification, and long-term group support in their treatment regimen. A few (8) also offer opioid treatment such as methadone detoxification or maintenance. The newer drug buprenorphine used to treat opiate addiction can only be administered by certified doctors and programs. In 2006, 18 programs and 51 physicians were certified.
Residents seeking help for drug and alcohol abuse in West Virginia, as shown, have many programs and facilities to choose from. Individuals should educate themselves as to their options and discuss the varying treatment modalities with their doctor before committing to any particular program.