Prevalence of Illicit Substance1 and Alcohol Use

The National Survey on Drug Use and Health (NSDUH) generates State-level estimates for 23 measures of substance use and mental health problems for four age groups: the entire state population over the age of 12 (12+); individuals age 12 to 17; individuals age 18-25;
and individuals age 26 and older (26+). Since State estimates of substance use and abuse were first generated using the combined 2002-2003 NSDUHs and continuing until the
most recent state estimates based on the combined 2005-2006 surveys, North Dakota has ranked among the States with the lowest and highest rates on the following measures:

Abuse and Dependency in North Dakota

NSDUH supports a global measure of past year dependence on or abuse of any illicit substance or alcohol. On this measure, North Dakota’s population age 12 and older and the age group of adolescents age 12 to 17 have both ranked among the highest in the country.

Viewed independently, however, there are clear differences between alcohol and illicit drugs. For example, while North Dakota ranks among those States with the highest rates of past year alcohol abuse or dependence for all age groups, it also ranks among those States with the lowest rates of past year drug dependence for individual 18 to 25 and for the population age 26 and older

North Dakota's Past Year Dependence on or Abuse of Illicit Drugs or Alcohol 2005-2006

Substance Abuse Treatment Facilities in North Dakota

According to the National Survey of Substance Abuse Treatment Services (N-SSATS), the number of treatment facilities in North Dakota has increased from 47 in 2002, to 65 in 2006, the most recent year for which data are available. The increase is principally accounted for by the addition of 12 private nonprofit facilities and 4 State-operated facilities. In 2006, North Dakota had 22 private nonprofit facilities and 25 private for-profit facilities. The State also had three facilities owned/operated by Tribal authorities.

Although facilities may offer more than one modality of care, in 2006 the majority of facilities (60 of 65) offered some form of outpatient care, and 23 facilities offered some form of residential care. In addition, seven physicians and four treatment programs offered buprenorphine treatment for opiate addiction.

In 2006, 35 percent of all facilities (23 of 65) received some form of Federal, State, county,
or local government funds, and 27 facilities had agreements or contracts with managed care organizations for the provision of substance abuse treatment services.

Addiction Treatment in North Dakota

State treatment data for substance use disorders are derived from two primary sources—an annual one-day census in N-SSATS, and annual treatment admissions from the Treatment Episode Data Set (TEDS). In the 2006 N-SSATS survey, North Dakota showed a one-day census of 2,301 clients in treatment, the majority of whom (1,837 or 80%) were in outpatient treatment. Of the total number of clients in treatment on this date, 270 (12%) were under the age of 18.

The percent of admissions mentioning particular drugs or alcohol at the time of admission.5 Across the last 15 years, there has been a steady decline in the number of admissions mentioning alcohol as a substance of abuse, and increases in the mentions of both marijuana and methamphetamine.

Across the years for which TEDS data are available, North Dakota has seen a substantial shift in the constellation of problems present at treatment admission. Alcohol-only admissions have declined from 57 percent of all admissions in 1992, to just over 31 percent in 2006. Concomitantly, drug-only admissions have increased from 1.6 percent in 1992 to 20 percent in 2006.

Unmet Need for Addiction Treatment in North Dakota

NSDUH defines unmet treatment as an individual who meets the criteria for abuse of or dependence on illicit drugs or alcohol according to the DSM-IV, but who has not received specialty treatment for that problem in the past year.

Rates of individuals needing but not receiving drug treatment in North Dakota have been among the lowest in the country since 2002.

However, rates of individuals needing but not receiving alcohol treatment have been among the highest in the country for the same time period.


Sources: Facility Data: National Survey of Substance Abuse Treatment Services (N-SSATS)–2006 is available at: http://www.dasis.samhsa.gov.

Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa. gov/cmhs/MentalHealthStatistics/URS2006.asp

Substance Abuse Treatment Data: Treatment Episode Data Set–Concatenated File–is available from the Substance Abuse and Mental Health Data Archive: http://www. icpsr.umich.edu/SDA/SAMHDA.

Mental Health Treatment Data: Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa.gov/cmhs/ MentalHealthStatistics/URS2006.asp.

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