How to Find Detox in North Dakota

Finding detox in North Dakota can be difficult. Here's everything you need to know about ND rehab options and how to find local rehab as soon as possible.

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Addiction is an overwhelming disease that often receives less recognition than it deserves. You might feel embarrassed or ashamed by it, but nobody chooses to be an addict.

In addition, you’re not the only person affected by substance abuse.

North Dakota ranks fourth in the nation for binge alcohol use, and about 75 percent of all inmates in North Dakota prisons have a substance abuse disorder.[1]

However, that doesn’t mean that an addict can never change. Effective treatment programs are available to people with addiction, and this guide will show you how to find and afford them.

Types of Rehab in North Dakota

The first step in any addiction treatment program is detoxification. This process cleans your system of any remaining alcohol or drugs, and it will likely take a few days to complete.

Nevertheless, detoxification is typically one of the most difficult steps in the process as withdrawal symptoms will set in within the first few hours after your last substance intake.

If you have a mild addiction, withdrawal symptoms will probably include cravings, mild anxiety, depression, fatigue, and even vomiting. However, if you are severely addicted, you may experience more serious symptoms, including hallucinations and seizures.

In fact, hallucinations and seizures are symptoms of delirium tremens (DTs), a deadly side effect that occurs in about five percent of addicts.[2] DTs typically begin two to five days after the last substance ingestion and occur due to overstimulation in the nervous system. With medical attention, the death rate is quite low as doctors can provide medication to stabilize the patient. However, without medical intervention, DTs may result in heart attack, stroke, or death.

Once you’ve completed the detoxification stage, your body will be clean, but your brain will need to learn how to exist without alcohol.[3] Therefore, the real recovery work begins after detoxification.

From detoxification, you’ll enter either an inpatient or outpatient rehab center.

An inpatient rehab center is the most intense form of addiction treatment, and you live at the facility around the clock to prevent any chance of a relapse. At an inpatient rehab facility, you’ll live a structured life with meals and break times scheduled throughout the day along with therapy, coaching sessions, exercise, and more. The structure is designed to instill healthy habits for when you return to the real world.

While it is an incredibly effective treatment program, inpatient rehab is disruptive to your daily life as you won’t have any contact with family, friends, or colleagues for the program’s duration (usually 30 to 90 days). However, studies show that divorce rates and unemployment are significantly higher among those that are alcohol dependent, so it may still be worthwhile to leave your family and job for a time to attend inpatient rehab.[4]

However, if you’re still functioning well and have a job and a family, you might consider outpatient rehab. Outpatient rehab allows you to live at home, though you’ll attend classes and other therapy sessions during the day. Most outpatient programs allow you to customize your schedule to range from just a few group sessions weekly to daily one on one therapy sessions and group coaching.

In addition, because the program duration is longer than an inpatient program, it requires a smaller upfront investment and is therefore more affordable for patients on a tight budget. In fact, the average cost of inpatient treatment is usually between $15,000 and $30,000 per month, whereas the average cost of outpatient treatment ranges from around $3,000 to $6,000 per month.

There are also 70 different outpatient rehab centers across North Dakota, making treatment easily accessible to anyone in need.[5]

Here’s a full breakdown of the various inpatient and outpatient treatment options available across North Dakota:

Type of Care, by number and percent
No. %
Outpatient 71 91.03%
Regular 70 89.74%
Intensive 41 52.56%
Day Treatment/Partial Hospitalization 22 28.21%
Detoxification 6 7.69%
Methadone/buprenorphine maintenance or naltrexone treatment 10 12.82%
Residential (non-hospital) 27 34.62%
Short Term 17 21.79%
Long Term 23 29.49%
Detoxification 12 15.38%
Hospital Inpatient 4 5.13%
Treatment 4 5.13%
Detoxification 3 3.85%
Total 78 100.00%

Does Insurance Cover Rehab in North Dakota?

It’s no secret that addiction treatment is expensive. However, few people realize that there are a lot of payment options available to make it affordable.

The first and most obvious option is to use your insurance. In 2021, mental and behavioral health services are considered essential benefits, so your health insurance provider must cover at least some of the cost.[6]

In addition, private health insurance is accepted by 64 percent of all North Dakota treatment centers.

However, about seven percent of North Dakota residents don’t have health insurance.[7] If you’re in that percentage, you may be eligible for Medicaid or Medicare.

Medicaid is free health insurance available to those that are below maximum income requirements. For singles, the North Dakota Medicaid income ceiling is $517 monthly and $694 for a family of two. The full income ceilings for every family size are listed here.[8]

Medicare is also available to qualified individuals over the age of 65. It offers similar benefits to Medicaid, and you can read more about them on the eHealth Medicare website.[9]

About 32 percent of treatment providers in North Dakota accept Medicare, and 46 percent accept Medicaid, so you should be able to find a suitable treatment facility.

Other Ways to Pay for Rehab in North Dakota

If you aren’t able to afford treatment with your insurance, there are still other ways for you to make rehab a reality. First, about 31 percent of North Dakota providers accept payment on a sliding scale. Therefore, the amount you pay is based on your income level. So individuals with a low income pay less than those with a higher income.

If you have absolutely no money for treatment, some facilities don’t require any payment at all. North Dakota has three treatment facilities that operate under these conditions and 28 facilities that only accept minimal payment or offer free treatment to qualifying residents.

Here is a closer look at all of the various payment options available to North Dakota residents:

Facility Payment Options, by Number and percent
No. %
Cash or self-payment 70 89.74%
Private Health Insurance 50 64.10%
Medicare 25 32.05%
Medicaid 36 46.15%
State-financed Health insurance 36 46.15%
Federal military insurance 27 34.62%
No payment accepted (free treatment for all clients) 3 3.85%
IHS/Tribal/Union (ITU) funds 24 30.77%
Other payments 0 0.00%
Sliding fee scale 24 30.77%
Treatment at no charge or minimal payment for clients who can’t pay 28 35.90%
Total 78 100.00%

State-Funded Rehab & Private Rehab in North Dakota

Addiction costs the government billions of dollars annually from incarceration to property damage expenses, so it’s no surprise that they are willing to fund treatment programs.

So what’s the difference between a state-funded and private treatment center?

While both state-funded and private treatment centers are effective recovery options, there are a few key differences.

First, a state-funded rehab center is often low-cost or free and may require you to apply to enter and often has a waiting list. Therefore, if you require immediate treatment, it might not be the best option.

In addition, state-funded treatment centers often allow you a limited amount of time. So if you still haven’t recovered in the allotted time, you could be at risk of relapse or have to find another private treatment center.

Private treatment centers maybe a little more expensive, though they offer much more luxurious amenities and often provide a better staff-to-patient ratio. Most private treatment facilities also allow immediate admission and are ideal for patients in an urgent situation.

Here is a breakdown of North Dakota facilities that are government-funded and privately funded:

Facility Operation, by number and percent
No. %
Private Non-Profit 21 26.92%
Private for Profit 36 46.15%
Local, county, or community government 2 2.56%
State government 12 15.38%
Federal Government 1 1.28%
Tribal Government 6 7.69%
Total 78 100.00%

Does your insurance cover rehab in North Dakota?

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Treatment Center Accreditations in North Dakota

Now that you know what to look for in a treatment facility, how can you choose the best treatment facility?

Unfortunately, many scams advertise themselves as treatment facilities and never deliver on the promise. Other facilities simply offer low-quality treatment that fails to effectively transform patient habits.

Therefore, the first step to selecting an appropriate treatment facility is checking that it is accredited by a reputable third-party organization.

Some examples of reputable third parties include The Joint Commission, The Commission on Accreditation of Rehabilitation Facilities (CARF), and The Council on Accreditation (COA).

CARF is typically the most popular of them all, and you can find treatment facilities accredited by them on their website.[10]

You can also check that they are accredited by the state health department. In total, about 97 percent of all North Dakota treatment facilities have some kind of accreditation.

You can see a full list of accreditation organizations below:

Facility Licensing, Certification, or Accreditation, by number and percent
No. %
Any listed agency/organization 76 97.44%
State substance abuse agency 71 91.03%
State mental health department 34 43.59%
State department of health 19 24.36%
Hospital licensing authority 4 5.13%
The Joint Commission 8 10.26%
Commission on Accreditation of Rehabilitation Facilities (CARF) 5 6.41%
National Committee for Quality Assurance (NCQA) 0 0.00%
Council on Accreditation (COA) 2 2.56%
Healthcare Facilities Accreditation Program (HFAP) 0 0.00%
Other national organization or federal, state or local agency 3 3.85%
Total 78 100.00%

Finding Addiction Treatment in North Dakota

If you’re ready to break free and start your journey to sobriety, contact one of our specialists at . We’ve helped countless people improve their lives and can do the same for you. Whether your goal is to improve relationships, obtain a job, or improve your quality of life, all the resources you need are just a phone call away.