I. Getting Help

What to Consider When Choosing a Rehab Center

There are many different types of rehab programs and treatment options to consider. Here are a few of the decisions you need to make:

The main factors that determine which rehab options will be best for you are the severity of your addiction and your unique personal and financial situation.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab

The Highest-Rated, Low-Cost Rehabs in North Dakota

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 71 substance abuse treatment centers in the state of North Dakota. Of those 71 centers, Northeast Human Service Center: Region IV in Grand Forks – one of eight regional human service centers under the purview of the North Dakota Department of Human Services – received the highest overall score based on our five core metrics.


For more information about the five core metrics, head to the full breakdown of our filtering process and ranking methodology

1. Northeast Human Services Center: Region IV

Located in Grand Forks, Northeast Human Services Center: Region IV provides residential and outpatient substance abuse rehabilitation services for adolescents and adults and earned the highest overall score of 8.2 points out of 10 points in our rankings. It received maximum points in the category of Rehabilitation Services Provided primarily due to its offering of medication-assisted treatment, in addition to its acceptance of patients on opioid medication. The center also earned full points in the category of Treatment Approaches for its wealth of modalities, including cognitive behavioral therapy, trauma-related counseling, 12-step facilitation approach, anger management, relapse prevention, and several more. Its lowest-ranking category was Ancillary Services; however, it does still offer a variety of complementary services intended to support clients’ long-term recovery, such as mental health screenings, housing and transportation assistance, peer support services, and aftercare, among others.

  • Rehabilitation Services Provided: 10
  • Treatment Approaches: 10
  • Cost: 5
  • Special Programs for Unique Demographics: 8.35
  • Ancillary Services: 4.29

2. West Central Human Service Center: Region VII

West Central Human Service Center: Region VII in Bismarck also received an overall score of 8.2 points out of 10 points in our rankings. The center offers residential, inpatient and regular and intensive outpatient substance abuse rehabilitation services to adolescents and adults, including medication-assisted treatment and detoxification services. It also accepts patients on opioid medication. One of the center’s best features is its multitude of treatment approaches, ranging from motivational interviewing/incentives to dialectical behavioral therapy to the Matrix Model approach, and several more. Another feature to highlight is the abundance of ancillary services it provides for its clients, such as employment counseling and training, domestic violence services, social skills development, and acupuncture, among many more. The center scored fairly well across all categories but did receive its lowest score for its limited number of special programs for unique populations. It does, however, offer programs for patients with co-occurring mental health disorders and individuals who have experienced trauma.

  • Rehabilitation Services Provided: 8
  • Treatment Approaches: 10
  • Cost: 7.5
  • Special Programs for Unique Demographics: 5.01
  • Ancillary Services: 10

3. Southeast Human Service Center: Region V

Third in our rankings with 8.1 out of 10 points, Southeast Human Service Center: Region V offers regular and intensive outpatient substance abuse rehabilitation services to adolescents and adults. These services include medication-assisted treatment utilizing naltrexone, disulfiram, and acamprosate, and it also accepts clients on opioid medication. The center earned its highest score in the category of Treatment Approaches for providing a wealth of modalities, such as cognitive behavioral therapy, community reinforcement plus vouchers, trauma-related counseling, and several more. Conversely, the category receiving the lowest score was Special Programs for Unique Demographics, but it does provide programs catering to adolescents and transitional age young adults, patients with co-occurring mental health disorders, and individuals who have experienced trauma.

  • Rehabilitation Services Provided: 8
  • Treatment Approaches: 10
  • Cost: 7.5
  • Special Programs for Unique Demographics: 6.68
  • Ancillary Services: 7.15
Highest-Rated, Low-Cost Treatment Centers in North Dakota
RankRehabTotal ScoreContact Information
#1Northeast Human Services Center: Region IV8.2151 South Fourth Street, Suite 401 Grand Forks, ND 58201 Main Tel: 701-795-3000
#2West Central Human Service Center: Region VII8.21237 West Divide Avenue, Suite 5 Bismarck, ND 58501 Main Tel: 701-328-8888
#3Southeast Human Service Center: Region V8.12624 9th Avenue South Fargo, ND 58103 Main Tel: 701-298-4500
#4South Central Human Service Center: Region VI6.3520 3rd Street, NW Jamestown, ND 58401 Main Tel: 701-253-6300
#5Northwest Human Service Center: Region I6.2316 2nd Avenue West Williston, ND 58802 Main Tel: 701-774-4600
#6Dakota Boys and Girls Ranch6.27151 15th Street South Fargo, ND 58104 Main Tel: 701-237-3123
#7Lake Region Human Service Center: Region III6.1200 Highway 2 West Devils Lake, ND 58301 Main Tel: 701-665-2200
#8Lake Region Human Service Center: Region III Rolla Outreach Office5.81102 Main Avenue West Rolla, ND 58367 Main Tel: 701-477-9050
#9Drake Counseling Services, Inc.2.0311 4th Street South, Suite 106 Grand Forks, ND 58201 Main Tel: 701-757-3200

Finding a Substance Abuse Treatment Center in North Dakota

Start by contacting your referral center

In North Dakota, the first step is to contact the human service center in your region. The North Dakota Department of Human Services (DHS) Field Services Area includes eight regional human service centers and the North Dakota State Hospital. To find the contact information for the human service center in your region, visit the North Dakota DHS website.

The purpose of a human service center is to determine what type of help each individual needs, as well as the resources available for each individual. The North Dakota DHS is also the first point of contact for anyone who may need assistance paying for treatment. To learn if you qualify for low-income Medicaid services, and to determine eligibility, visit the Medicaid information page.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of North Dakota 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.

filter button

Type Of Care
Treatment Approaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    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.


    For more on what to expect in rehab, read our guide on the addiction rehabilitation process.

    II. Substance Abuse and Rehab for At-Risk Groups

    Substance Abuse Treatment for Veterans

    Substance use disorder and PTSD go hand-in-hand for many veterans

    Veterans face unique challenges that can place them at higher risk for a substance use disorder (SUD) than the general population. The primary factor leading to this increased risk is post-traumatic stress disorder (PTSD), while other situations, such as unemployment, homelessness and chronic pain, can also be contributing factors. Furthermore, individuals – including veterans – with a substance use disorder are more likely to develop PTSD, so the problem is cyclical in nature.

    1 in 3

    veterans seeking treatment for a SUD also has PTSD

    1 in 4

    veterans with PTSD also has a SUD

    According to the U.S. Department of Veterans Affairs’ National Center for PTSD, as of early 2019, nearly one of every three veterans who seeks treatment for a substance use disorder also has a PTSD diagnosis. Similarly, over one in four veterans who has received a diagnosis of PTSD is also struggling with a substance use disorder. Furthermore, for veterans of the wars in Iraq and Afghanistan, one in 10 of those individuals who visits a VA health care facility has a substance use disorder.

    However, there is hope for veterans suffering from a substance use disorder, as they have access to additional resources for treatment for a SUD or co-occurring SUD and PTSD, and VA benefits often cover the cost of this treatment. To find help with substance abuse treatment from the VA healthcare system, follow these steps:

    Enroll: If you aren’t already enrolled, you can check if you are eligible for VA health benefits and then complete the application. You can also research the Department of Veterans Affairs Alcohol and Drug Dependence Rehabilitation Program. This program is available in VA medical centers and outpatient clinics around the United States and provides a variety of treatment options, such as rehabilitation, detoxification, and psychiatric services, for veterans addicted to drugs and alcohol. Keep in mind that you must already be enrolled in the VA healthcare system to be considered for the program.

    Discover: Find out whether your local VA medical center provides substance use disorder (SUD) treatment by calling or visiting the center. If you don’t know where the closest VA medical center is located, call the VA hotline at 800-827-1000 to find out or click here for a comprehensive search of VA locations around the United States.

    Find Treatment: Veterans in North Dakota 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. Furthermore, ND Cares offers assistance and resources specifically for North Dakota veterans on its website.

    Treatment is available for veterans in North Dakota who are suffering from a substance use disorder. As of 2017, 10 substance abuse treatment facilities in North Dakota – representing 14.1% of all treatment facilities – catered specifically to veterans.

    For more information, read our guide on Substance Abuse Rehab for Veterans.

    Substance Abuse Treatment for Adolescents

    Adolescents in North Dakota use alcohol at a rate higher than the national average, but below average for marijuana usage


    of adolescents aged 12-17 used marijuana, 2017-2018


    of adolescents aged 12-17 drank alcohol, 2017-2018

    Between 2017 and 2018, 4.9% of adolescents aged 12-17 in North Dakota reported engaging in marijuana use in the past month, below the national average of 6.6%. In terms of alcohol use, 10.1% of adolescents aged 12-17 in North Dakota had taken part in the behavior in the past month, slightly higher than the national average of 9.4%. Additionally, 6.4% of individuals admitted to a substance abuse treatment program in North Dakota in 2017 were aged 12-17. To overcome the challenges that youth face in overcoming substance addiction, some treatment centers provide adolescent-specific treatment programs.

    Additional Resources for Parents and Teachers

    The North Dakota State Epidemiological Outcomes Workgroup (SEOW), developed by the North Dakota DHS Division of Mental Health and Substance Abuse Services, offers data on substance use in the state and provides an advanced search engine to easily find information by substance, location, and demographic, which include youth statistics from middle school through university students. Additionally, parents and teachers can learn about substance abuse treatment and recovery services for youth at the Adult & Teen Challenge website.

    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 North Dakota:

    North Dakota Department of Behavioral Health Services: The DHS website has a section dedicated to helping the general public with mental health concerns and a special section devoted to mental health services for youth.

    North Dakota National Alliance on Mental Illness (NAMI): The North Dakota branch of NAMI offers resources, education, and support for individuals with mental health concerns, including dedicated sections for adolescents and veterans.

    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 challenges posed by co-occurring substance use and mental health disorders.

    III. Finding Aftercare in North Dakota

    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 North Dakota

    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.

    NameCityProgramTelephoneSpanish Hotline
    1st Link 211 HelplineFargoAA(701) 235-7355;(701) 232-9930N/A
    Grand Forks A.A. Answering ServiceGrand ForksAA(701) 330-4339N/A
    Lake Agassiz Area NALake Agassiz Area (Eastern North Dakota, Fargo)NA(701) 234-9330N/A
    Upper Midwest Region NAUpper Midwest RegionNA(701) 234-9330N/A

    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.

    IV. Substance Abuse in North Dakota


    The following table illustrates the annual estimates of substance abuse among residents of North Dakota between 2016 and 2017, in addition to the percentage of the North Dakota population and the U.S. population that those estimates represent.

    Annual Estimates for Substance Abuse in North Dakota, 2016-2017
    Ages: 12-17Ages: 18+Total Ages% of North Dakota Population% of National Population
    Prescription Opioid04,0004,0000.53%<0.01%

    Source: 2016-2017 National Survey on Drug Use and Health State-Specific Tables, Table 81

    * ‘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 North Dakota 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 North Dakota between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in North Dakota compared to the national average.

    Drug- and Alcohol-Induced Deaths in North Dakota, 2008-2017
    0-1718+All Ages
    Drug-Induced Deaths311,83011,833
    Alcohol-Induced Deaths21,9031,905
    Total Deaths96773,60474,571
    Percentage of Drug & Alcohol-Induced Deaths0.52%18.66%18.42%

    Source: CDC Wonder

    The following table details the number of admissions to state-funded treatment programs in North Dakota in 2017, based on the primary substance for which the individual was seeking treatment.

    Admissions to State-Funded Treatment Programs in North Dakota by Primary Substance, 2017
    Total Treatment Admissions% of All Treatment Admissions in North Dakota% of All Treatment Admissions in the U.S.
    All Substances5,231100%0.28%
    Alcohol (Including Alcohol Usage with Secondary Drug)1,74433.4%0.09%
    Amphetamines (Including Methamphetamines)1,78934.2%0.1%
    Cocaine (Including Smoked and Other Usage)370.7%<0.01%
    Other Opiates (Including Prescription Opioids)2625%0.01%
    Other Stimulants2<0.01%<0.01%
    Other/Unknown Substances1893.6%0.01%

    Key Indicators of Substance Abuse Issues

    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 North Dakota, along with recent, credible statistics, are examined below.

    Over 100,000 North Dakotans suffer from mental illness every year

    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 North Dakota adults had a serious mental illness


    of North Dakota adults had a major depressive episode

    From 2017-2018, 4.9% of North Dakota adults aged 18 and over were afflicted with a serious mental illness, compared to 4.6% nationally. Among North Dakota residents, 8.4% of adults suffered a major depressive episode in the past year, compared to a national rate of 7.1%.

    The table below sheds some light on the prevalence of mental health issues in North Dakota.

    Mental Health Issues in North Dakota by Age and Percentage of Population, 2016-2017
    Ages: 12-17% of North Dakota PopulationAges: 18+% of North Dakota Population
    Major Depressive Episode6,0000.79%40,0005.26%
    Any Mental IllnessNo DataNo Data103,00013.55%
    Serious Mental IllnessNo DataNo Data26,0003.42%
    Serious Thoughts of SuicideNo DataNo Data26,0003.42%

    Suicide rates in North Dakota are significantly higher than 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, North Dakota witnessed a 57.6% increase in the number of suicides. In 2017, North Dakota ranked 12th in the country for the number of suicides per 100,000 residents.

    Suicides and Suicide Rates in North Dakota and the United States, 2017
    Suicides in North DakotaSuicide Rate Per 100,00Suicides in the U.S.Suicide Rate Per 100,000
    Ages 10-14No DataNo Data5172.5
    Ages 15-243127.66,25214.5
    Ages 25-446331.115,28317.8
    Ages 45-644525.316,54319.6
    Ages 65-74No DataNo Data4,62015.6
    Ages 75+No DataNo Data3,94818.6
    All Ages15420.447,16314.5

    North Dakota has a much lower opioid prescribing rate 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 North Dakota 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 North Dakota was consistently lower than the U.S. prescribing rate during that time period, from 60.1 prescriptions per 100 residents in 2013 to 41.5 prescriptions per 100 residents in 2017, revealing an even greater decrease of 30.95%.

    North Dakota and U.S. Opioid Prescribing Rates, 2013-2017

    The rate of homelessness in North Dakota is far below 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 North Dakota residents were homeless, 2018


    of every 10,000 U.S. residents were homeless, 2018

    By comparison, North Dakota had approximately 542 homeless persons in 2018, equating to 7 of every 10,000 North Dakota residents, far below the national average. This number reveals a 56.92% decrease since 2014 when 1,258 homeless persons lived in North Dakota.

    V. Regional Substance Abuse Statistics & Rehabs

    The following sections provide a deeper look at the substance abuse problem in North Dakota by examining the combined drug- and alcohol-related death rate of the first and third most populous cities. Additionally, the three highest-rated rehabilitation centers are listed.

    Fargo-Grand Forks

    The three highest-rated rehabilitation centers in Fargo-Grand Forks are listed in the table below, along with each institution’s performance based on our core metrics.

    The Highest-Rated, Low-Cost Rehabs in Fargo-Grand Forks
    Southeast Human Service Center: Region VDakota Boys and Girls RanchDrake Counseling Services, Inc.
    Rehabilitation Services Provided822
    Treatment Approaches10103.33
    Special Programs for Unique Demographics6.68100
    Ancillary Services7.155.730.72
    Total Score8.16.22.0

    The drug- and alcohol-induced death rate in Fargo-Grand Forks aligns with the rate across North Dakota


    of Fargo-Grand Forks deaths are caused by drugs and alcohol


    of North Dakota deaths are caused by drugs and alcohol

    Between 2008 and 2017, there were 3,273 deaths induced by drugs and alcohol in Cass and Grand Forks counties, in which Fargo and Grand Forks are located, respectively. This number represented 18.64% of the total number of deaths among all ages in the counties combined and aligned with the state average of 18.42% during the same time period. However, this rate exceeds the national average of 12.71% by over five full percentage points.

    Drug- and Alcohol-Induced Deaths in Cass and Grand Forks Counties, 2008-2017
    0-1718+All Ages
    Drug-Induced Deaths12,7032,704
    Alcohol-Induced Deaths0569569
    Total Deaths23617,32717,563
    Percentage of Drug & Alcohol-Induced Deaths0.42%18.88%18.64%

    VI. Take Action

    Substance abuse treatment is available in North Dakota 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 regional human service 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.