Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Montana
Approximately 204,000 residents of Montana – 19.19% of the state population – engage in drug use, and another 67,000 – 6.31% of the state population – abuse alcohol in a given year. As a result, Montana had a drug- and alcohol-induced death rate of 20.09% between 2008 and 2017, surpassing the national average of 12.71% by more than seven percentage points. The percentage of deaths due to drugs and alcohol was significantly higher than the national average in two of Montana’s most populous cities as well during the same time period. Missoula – the second most populous city in Montana – had a death rate of 19.12%, while Butte – the fifth most populous city in Montana – had a death rate of 21.20%.
This guide was created to help the many residents of Montana who are struggling with substance abuse and addiction to find affordable treatment that will put them on the path to recovery. It is also intended to inform the general public about the dangers of substance abuse in Montana.
If you need help finding a rehabilitation center in Montana, you can use our directory to locate low-cost, quality treatment right away. Read on to find instructions for using the directory and to learn which rehabilitation centers qualify as the highest-rated, low-cost facilities in the state.
Table of Contents
Drug & Alcohol Addiction Rehab, Treatment & Recovery Resources in Montana
If the cost of rehab is a barrier for you – as it is for many – and you don’t have insurance, there are still ways for you to receive help. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 65 substance abuse treatment centers in the state of Montana. Of those 65 centers, Montana Chemical Dependency Center in Butte received the highest overall score based on our five core metrics.
Located in Butte, Montana Chemical Dependency Center – a service of the Montana Department of Public Health and Human Services – earned maximum points in several categories, resulting in the highest overall score of 8 points out of 10 possible points in our rankings. The center specializes in treating adults in an inpatient setting. Its rehabilitation services were among its strongest features and include the use of acamprosate and naltrexone for the treatment of substance abuse, as well as detoxification and pain management services and medications for psychiatric disorders. It also earned full points for its wealth of ancillary services — in addition to mental health assessments, aftercare services, housing and transportation assistance, and social skills development, it also assists its clients with obtaining other social services, among many other options to promote long-term recovery.
As the center accepts a multitude of payment options, including Medicare, Medicaid and other state-financed health insurance, Access to Recovery vouchers, government funding for substance abuse programs, and private health insurance, many residents of the community can afford the cost of treatment. It also provides payment assistance and a sliding fee scale based on income and other factors, all of which resulted in the center receiving the highest possible points in the category of Cost as well. However, the center does have an area of weakness as the only unique population for which it offers a special program is individuals with co-occurring mental health disorders, and, as a result, earned a low score in that category.
Wellness Possebilities, located in Laurel, received an overall score of 6.5 points out of 10 points and offers substance abuse rehabilitation services to adolescents and adults in both regular and intensive outpatient service settings. However, the center earned the fewest points in this category of rehabilitation services — although it treats substance abuse and accepts clients on opioid medication, it does not offer detoxification services or medication-assisted treatment among its rehabilitation options. Conversely, it received the highest possible score for its wealth of treatment approaches, such as both 12-step facilitation and Matrix Model approaches, motivational interviewing/incentives, trauma-related counseling, anger management, and several more.
Another strength of the center was its many ancillary services that range from community outreach to employment training to HIV/AIDS education and support, among many others. It also provides programs custom-tailored to the particular needs of unique populations, including adolescents and individuals with co-occurring mental health disorders or who have suffered trauma, including sexual abuse. The center scored relatively high for its multitude of payment options, accepting Medicare, Medicaid and other state-financed health insurance, TRICARE, IHS/Tribal/Urban (ITU) funds, Access to Recovery (ATR) vouchers, private health insurance, and self-payment, in addition to offering a sliding fee scale based on income and other factors.
An overall score of 6.2 out of 10 points placed Missoula Urban Indian Health Center third in our rankings. The center offers regular and intensive outpatient treatment to adolescent and adult clients; however, it earned only minimal points for its rehabilitation services as, although it treats substance abuse and accepts patients on opioid medication, it does not offer detoxification services and medication-assisted treatment and maintenance. Conversely, the center earned full points for its treatment approaches and its special programs for unique demographics. Treatment approaches are plentiful and include cognitive behavioral therapy, community reinforcement plus vouchers, brief intervention, and relapse prevention, in addition to several others. The center’s wide selection of special programs intended for specific populations range from members of the LGBT community to active duty military members and veterans to pregnant/postpartum women to seniors, and many more.
Rehabilitation Services Provided: 1.67
Treatment Approaches: 10
Special Programs for Unique Demographics: 10
Ancillary Services: 6.68
Highest-Rated, Low-Cost Treatment Centers in Montana
1335 Wyoming Street Missoula, MT 59801 Main Tel: 406-532-9830
Finding a Substance Abuse Treatment Center in Montana
Start by contacting your referral center
There are five regional Montana 211 centers across the state, and each center assists residents within its service area by providing information about substance abuse and referrals to nearby treatment facilities. Contact information for each center and a map detailing the five service regions is available on the Montana 211 website, as well as a searchable database of statewide substance addiction rehabilitation services.
The Montana Department of Public Health and Human Services (DPHHS) also provides information on approved substance use disorder residential treatment providers within the state. Recovery homes offer adults a sober living environment that helps them transition to a permanent drug-free lifestyle. Non-hospital inpatient residential facilities offer services such as 24-hour monitoring, withdrawal management, and medical stabilization. DPHHS also makes available a list of state-approved providers of substance abuse services, the majority of which offer treatment in an outpatient setting.
Medicaid services are available for low-income Montana residents who need help covering the cost of substance abuse treatment. Visit the Medicaid information page on the DPHHS website for further information.
Use our database to find a treatment center near you
The tool below lists all of the treatment centers in the state of Montana recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant treatment centers near you.
Many different methods are available for treating addiction, and the science of studying addiction is constantly improving and changing. However, the core pieces of rehabilitation are generally very similar.
Substance abuse indicated in Montana veteran suicides
Montana’s 2016 Suicide Mortality Review Team Report included an analysis of 121 veteran suicides between January 1, 2014 and March 1, 2016. The methods used in a majority of the suicides involved a firearm — responsible for 77% of deceased veterans, followed by hanging — the cause of an additional 14% of veteran deaths. The third most common method of suicide was a drug overdose, which was the official cause of death among 5% of the deceased veterans. Furthermore, toxicology reports for 56 of veteran suicides revealed many had used alcohol and/or drugs prior to their deaths. According to post-mortem testing, 41% of these deceased veterans had alcohol and 29% had prescription pain medications or psychotropic drugs in their systems, while 7% had evidence of either methamphetamine/amphetamine or THC in their bloodstream.
Toxicology Findings of Montana Veteran Suicides, 2014-2016
Veterans in Montana can reach out to their local VA medical center to search for information on substance abuse treatment, including the possibility of a VA-based substance use disorder (SUD) program, in their state. Additionally, veterans who are homeless or at risk of becoming homeless can access transitional housing and receive referrals to substance abuse services through the Montana Veterans Foundation. For veterans in the criminal justice system, the Montana Veterans Drug Court connects veterans with substance abuse treatment and other forms of support to assist them in overcoming addiction and successfully reentering the community.
Treatment is available for veterans in Montana who are suffering from a substance use disorder. As of 2017, 14 substance abuse treatment facilities in Montana – representing 20% of all treatment facilities – catered specifically to veterans.
Substance Abuse Treatment for Adolescents
Adolescents in Montana use marijuana and alcohol at rates much higher than the national average
of adolescents aged 12-17 used marijuana, 2017-2018
of adolescents aged 12-17 drank alcohol, 2017-2018
Between 2017 and 2018, 9.7% of adolescents aged 12-17 in Montana reported engaging in marijuana use in the past month, above the national average of 6.6% by over two percentage points. In terms of alcohol use, 13.3% of adolescents aged 12-17 in Montana had taken part in the behavior in the past month, higher than the national average of 9.4% by more than one-and-a-half percentage points. Additionally, 6.4% of individuals admitted to a substance abuse treatment program in Montana in 2017 were aged 12-17. To overcome the challenges that youth face when recovering from substance addiction, some treatment centers provide adolescent-specific treatment programs.
Additional Resources for Parents and Teachers
The Montana 211 online database of addiction treatment services can be filtered by age group to locate resources specifically for adolescents. Enter the terms “adolescents” and “youth” in the Montana 211 search function and then check the box for the “search for any of the above terms” option, which will provide a list of hundreds of statewide programs intended for relevant age groups. Results can also be narrowed to a particular area by indicating a specific city or county using the drop-down menu near the bottom of the search.
Alternately, adolescents or their parents can contact the Montana 211 center serving their region for assistance discovering local substance abuse treatment available for youth.
Co-Occurring Mental Health & Substance Abuse Treatment
Substance abuse and mental health issues tend to go hand-in-hand – the technical term is “co-occurring substance use and mental health disorders.” The Substance Abuse and Mental Health Services Administration (SAMHSA) reported that, in 2017, 45.6% of adults with a substance use disorder also had a mental health disorder, and 18.3% of adults with a mental health disorder also had a substance use disorder. For adolescents in 2017, 35.9% of those with a substance use disorder also had a major depressive episode, while 10.7% of adolescents with a major depressive episode also had a substance use disorder.
Mental Health Resources & Treatment
If you or someone you love is suffering from mental health issues, such as depression, PTSD, eating disorders, or severe anxiety, there are many resources from which to receive help.
Below are a few ways to receive immediate assistance, as advised by MentalHealth.gov:
Emergency Services: If your life (or someone else’s life) is in danger, always start by dialing 911 to gain immediate access to emergency services.
Suicide Prevention: The number for the National Suicide Prevention Lifeline is: 800-273-8255. You can also initiate a private live online chat.
Veterans Crisis Line: Dial the National Suicide Prevention Lifeline at 800-273-8255 and press “1” to talk to someone immediately. You can also access help with a private online chat or text 838255.
Here are two ways to find a provider of mental health treatment in Montana:
Montana National Alliance on Mental Illness (NAMI): The NAMI Montana website offers fact sheets about a variety of mental illnesses and a special section that highlights suicide prevention among adolescents.
Montana Department of Public Health & Human Services (DPHHS): The Montana DPHHS website has a section describing the services, locations, and contact information for Drop-In Centers around the state that assist residents who have mental health disorders and co-occurring substance use disorders.
Individuals who have both substance use and mental health disorders may benefit from dual-diagnosis rehab facilities. Use the appropriate filter in our tool above to find rehabilitation centers with treatment programs designed to meet the unique challenge posed by co-occurring substance use and mental health disorders.
Substance abuse aftercare treatment is often overlooked, but it’s one of the most crucial steps in the rehabilitation process. The chances of relapsing after rehab dramatically rise for individuals who try to resume their lives without pursuing further treatment in an aftercare setting. Several different types of aftercare are available for recovering addicts, including follow-up visits for continued therapy, group therapy, and sober living homes. Research shows that long-term participation in aftercare activities dramatically improves the outcome of rehabilitation efforts.
12-Step Addiction Meetings in Montana
Alcoholics Anonymous (AA) designed the 12-step process for individuals recovering from alcohol addiction, and today there are many other 12-step programs for other addictions and issues – Narcotics Anonymous (NA) being just one example.
Contact the appropriate local organization to find an AA or NA meeting near you
The tool below lists the contact information for local organizations that will connect you to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings near you. Since meeting times and locations change periodically, contact the local groups that coordinate the meetings to ensure that the information is up to date.
A.A. 24 Hour Hotline Dist. 61
Area 40 (Montana) Hotline
Dist. 81 A.A.
Flathead Valley Intergroup
Mission Valley Intergroup
(406) 883-6664;(406) 890-4254
Sober Living Homes
Sober living homes (also referred to as recovery residences) are group homes that help recovering addicts transition from treatment facilities to living independently while maintaining their sobriety. These homes can be especially beneficial for individuals who don’t have a supportive and positive environment in which to live after leaving a rehabilitation facility.
Residents of sober living homes can stay from a few months to several years, as long as they follow house rules and avoid relapse, as these homes typically have a zero-tolerance drug and alcohol policy. Additionally, residents are expected to complete chores, attend mutual support groups, and pay an equal share of the cost of renting the home.
Some sober living homes are listed in our database, and you can find them by using the appropriate filter in our tool above. You can also check out our guide on sober living homes to learn more about them and to find a certified recovery residence near you.
The following table illustrates the annual estimates of substance abuse among residents of Montana between 2016 and 2017, in addition to the percentage of the Montana population and the U.S. population that those estimates represent.
Annual Estimates for Substance Abuse in Montana, 2016-2017
* ‘Alcohol’ refers to an Alcohol Use Disorder. The numbers reflected in the table above are not the number of individuals who use alcohol, but rather those who have an AUD, defined as meeting the criteria for alcohol dependence.
* ‘Prescription opioid’ refers to a Pain Reliever Use Disorder. The numbers reflected in the table above are not the number of individuals who use or even occasionally misuse a prescription opioid, but rather those who have a PRUD, defined as meeting the criteria for illicit drug dependence.
of Montana deaths are caused by drugs and alcohol
of U.S. deaths are caused by drugs and alcohol
The following table shows the number of deaths involving drugs and alcohol in Montana between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in Montana compared to the national average.
Drug- and Alcohol-Induced Deaths in Montana, 2008-2017
When trying to understand substance abuse issues in a specific area, researchers and policymakers examine “key indicators.” Combined with usage statistics, key indicators can provide a deep level of insight into which substances present the most serious concerns and which demographics can be most impacted by substance abuse. Key indicators of substance abuse issues within the state of Montana, along with recent, credible statistics, are examined below.
Nearly 15% of Montanans suffer from mental illness annually
As discussed earlier in this guide, there is a strong link between substance use disorders and mental health disorders. When an individual is afflicted with both of these issues at the same time, health professionals refer to it as co-occurring substance use and mental health disorders or a “dual diagnosis.” Consequently, the prevalence of mental health issues in a given state can also help us to understand the level of substance abuse.
of Montana adults had a serious mental illness
of Montana adolescents had a major depressive episode
Between 2013 and 2017, 5.4% of Montana adults were afflicted with a serious mental illness, compared to 4.2% nationally. Among Montana adolescents, 11.4% of individuals aged 12-17 suffered a major depressive episode in the past year, compared to a national average of 12.1%.
The table below sheds some light on the prevalence of mental health issues in Montana.
Mental Health Issues in Montana by Age and Percentage of Population, 2016-2017
Montana’s suicide rate is the highest among all 50 states and is more than twice the national average
The Centers for Disease Control reports that suicide is the leading cause of death in the United States. The suicide rate has risen in nearly every state from 1999 to 2016, with that rate increasing by more than 30% in half of all 50 states since 1999. Suicide is an act that is often linked to substance abuse. According to the U.S. Department of Health and Human Services, substance abuse is a primary risk factor for both adults and adolescents who attempt and/or complete suicide, and this is particularly true for at-risk populations.
Furthermore, the relationship between substance abuse and suicide is multi-faceted and complex. Persons who have substance abuse issues typically also carry other risk factors for suicide, including depression, impulsive behavior, and other struggles with relationships, finances, illness, or unemployment that make them more likely to engage in self-harm. Between 1999 and 2016, Montana witnessed a 38% increase in the number of suicides. In 2017, Montana ranked first in the country for the number of suicides per 100,000 residents.
Suicides and Suicide Rates in Montana and the United States, 2017
The opioid prescribing rate for Montana is slightly higher than the overall U.S. rate
Prescription drug abuse – particularly in the form of opioids – has become an epidemic in the United States. While it is difficult to estimate how many individuals use these drugs as prescribed and how many abuse them, the Centers for Disease Control has researched the variation in opioid prescriptions between states, establishing a direct connection between an increased level of opioid prescriptions with a greater potential for dependence and abuse. Across the United States in 2017, 191 million prescriptions for opioids were written by physicians, ultimately leading one in four patients who begins long-term opioid therapy to an addiction.
opioid prescriptions per 100 Montana residents, 2017
opioid prescriptions per 100 U.S. residents, 2017
After peaking in 2012, the U.S. opioid prescribing rate has been on a steady decline for the last several years due to the explosion of the opioid epidemic and the recognition of the role that excessive opioid prescriptions have played in this epidemic. Between 2013 and 2017, the opioid prescribing rate in the United States dropped from 78.1 prescriptions per 100 residents to 58.7 prescriptions per 100 residents, a decrease of 24.84%. The opioid prescribing rate in Montana was consistently above the U.S. prescribing rate during that time period, from 84.2 prescriptions per 100 residents in 2013 to 61.1 prescriptions per 100 residents in 2017, revealing an even greater decrease of 27.43%.
Montana and U.S. Opioid Prescribing Rates, 2013-2017
The rate of homelessness in Montana is much lower than the national average
A high rate of homelessness in an area indicates a greater potential for substance abuse issues. Homelessness has been shown to be linked to substance abuse as both a cause and a result; some individuals become homeless due to a substance use disorder, while other individuals who are already homeless frequently turn to substance use to dull the pain and desperation of their situation.
The 2018 Department of Housing and Urban Development’s (HUD) Point-in-Time Count reported approximately 552,830 homeless individuals in the United States, the equivalent of 17 of every 10,000 U.S. residents. This number represents a decrease of 4.1% since 2014 when the number of homeless persons in the U.S. was around 576,450. Furthermore, homelessness across the United States has decreased by 15% since 2007, the year that HUD began collecting data on the homeless population.
of every 10,000 Montana residents were homeless, 2018
of every 10,000 U.S. residents were homeless, 2018
By comparison, Montana had approximately 1,405 homeless persons in 2018, equating to 13 of every 10,000 Montana residents which is significantly below the national average. This number reveals a 19.5% decrease since 2014 when 1,745 homeless persons lived in Montana.
V. Regional Substance Abuse Statistics & Rehabs
The following sections provide a deeper look at the substance abuse problem in Montana by examining the drug- and alcohol-related death rates in two of its most populous cities. Additionally, the three highest-rated rehabilitation centers in each city are listed.
The three highest-rated rehabilitation centers in Missoula are listed in the table below, along with each institution’s performance based on our core metrics.
Drug- and alcohol-induced deaths in Missoula are slightly lower than the rate across Montana
of Missoula deaths are caused by drugs and alcohol
of Montana deaths are caused by drugs and alcohol
Between 2008 and 2017, there were 1,933 fatalities due to drugs and/or alcohol reported in Missoula County, in which the city of Missoula is located. This equated to a drug- and/or alcohol-induced death rate of 19.12% for the county during this time, which was lower than the state average of 20.09% by less than one percentage point. Despite being Montana’s second most populous city, Missoula had a lower death rate due to these substances than Butte, Montana’s fifth most populous city, which had a death rate of 21.20%.
Drug- and Alcohol-Induced Deaths in Missoula County, 2008-2017
Butte’s rate of drug- and alcohol-induced deaths is higher than the state average
of Butte deaths are caused by drugs and alcohol
of Montana deaths are caused by drugs and alcohol
Butte is located in Silver Bow County, which experienced 1,097 drug-and alcohol-induced deaths between 2008 and 2017. This number represented 21.20% of total deaths among all ages in the county during this time period and was higher than the state average of 20.09% by more than a full percentage point. Although Butte has approximately half the population of Missoula, it surpassed Missoula’s rate of drug- and alcohol-induced deaths by more than two percentage points. Furthermore, Butte had an alarming drug- and alcohol-induced death rate of 7.14% among residents under the age of 18.
Drug- and Alcohol-Induced Deaths in Silver Bow County, 2008-2017
Substance abuse treatment is available in Montana for anyone who needs help beating an addiction – you don’t have to struggle alone. To receive assistance, start by determining your insurance coverage and by contacting your referral center. You can also use our tool earlier in this guide to locate a treatment center near you. Remember, many low-cost rehabilitation centers can help if you don’t have insurance coverage or feel like you are unable to afford treatment.