While the awesome expanses and endless horizons of the North Dakota prairies evoke a sense of freedom, many citizens of the Peace Garden State are trapped by the plight of addiction. Across all age demographics, rates of binge drinking and alcohol use disorder are amongst the highest in the country.
Opioid overdose fatalities have greatly increased in the past decade, and methamphetamine use has become so pervasive that in 2019 North Dakota’s Attorney General designated it as “…the most serious drug problem we have in the state”.
Thankfully, there are numerous rehabilitation centers in North Dakota that provide top-quality, compassionate treatment for people struggling with addiction. Those who are seeking help have access to a wide variety of recovery programs and services at many different pricing options and levels of care.
Best Rehab Centers in North Dakota
Ideal Option is one of the nation’s largest networks of outpatient clinics for the medication-assisted treatment of opioid, alcohol, and methamphetamine addiction. They believe in a “whole patient” approach to recovery that involves a combination of medication and behavioral therapy.
Prescriptions for Suboxone (buprenorphine + naloxone), Subutex (buprenorphine), and Vivitrol (naltrexone) are all available. Most Ideal Option clinics have licensed recovery care coordinators on-site, who provide therapy for patients and can assist with housing, food, transport, and job placement services. Referrals to local service agencies are provided if the location nearest to you does not have resident recovery care coordinators.
Ideal Option also provides specialized treatment for pregnant women, and will treat patients below the age of eighteen if their admission is approved by the facility’s medical director.
Walk-ins are welcome, there are no waitlists, and most patients are medicated within 24 hours of their first appointment. They will also serve anyone, regardless of their ability to pay. Ideal Option has locations in Fargo, Bismarck, Grand Forks, Minot, and Williston.
Founded in 1975, ShareHouse is a regional leader in comprehensive addiction, recovery, and mental health services. They provide personalized rehabilitation services for individuals and families.
ShareHouse’s intensive outpatient program consists of nine hours of counseling, three days a week, while their low-intensity outpatient program is six hours of counseling, two days a week. Both programs are actually the same group (and directed by the same counselor), which allows for a seamless transition between levels of care. Patients learn coping skills, identity relapse triggers, develop a personal recovery plan, and obtain a sponsor or mentor.
Once patients have completed these programs, ShareHouse offers a weekly Relapse Prevention group, as well as a Continuing Care group, which assists patients in maintaining their sobriety by facilitating their involvement in community support networks.
ShareHouse also has a partial hospitalization program that runs for twenty hours a week. It is overseen by a multidisciplinary team of addiction and mental health specialists, as well as a nurse and dedicated case manager.
They also have a 31-bed Recovery Living facility, where residents can stay for up to six months. Those looking for longer-term transitional living accommodations should try Hope Manor.
Lastly, ShareHouse offers DUI educational seminars on evenings and weekends.
Face It TOGETHER Fargo-Moorhead
Face It TOGETHER is a professional peer coaching service which pairs people in recovery with a supportive and empathetic wellness partner — typically someone with lived experience. By drawing on the knowledge and personal experience of someone who has successfully overcome addiction, this partnership helps people surmount the challenges they face during recovery.
This service is based around a flexible, personalized approach that focuses on holistically improving all areas of clients’ lives. Peer coaches provide emotional support, teach effective coping strategies, and work together with clients to create a customized addiction management plan. They can also connect clients with local recovery resources and help them navigate clinical treatment programs.
Progress is measured via the organization’s proprietary Recovery Capital Index, which assesses changes in addiction health as well as other quality of life factors, such as family life and personal fulfillment.
As addiction is a chronic condition, there is no time constraint for completing the Face It TOGETHER program. There are also a variety of membership plans with graduating pricing, so clients can find a financially manageable level of support.
The Village Family Service Center
The Village Family Service Center runs its First Step Recovery program out of its central office in Fargo. Treatment is provided on an outpatient basis, and is available at several different levels of intensity, depending on patients’ specific needs.
For patients who require a highly structured rehabilitation program, the partial hospitalization option runs for twenty hours a week, Monday-Friday. Treatment consists of individual, group, and family therapy sessions, as well as educational lectures and videos.
The intensive outpatient and low-intensity outpatient programs follow a similar curriculum, but only require a commitment of nine and five hours a week, respectively — scheduling is also more flexible.
The First Step Recovery program also offers a Relapse Prevention Group for patients who have completed the primary care program. The group meets for two hours each week, and focuses on maintaining abstinence by developing recovery skills.
A six-week family counseling program is also available. Patients and their loved ones attend weekly therapy sessions while learning about conflict resolution and constructing a family recovery plan together.
For those who live outside of Fargo, The Village Family Service Center also has locations in Bismarck, Grand Forks, Devils Lake, and Minot. While these branches do not offer the First Step Recovery Program, they can refer you to local agencies and support groups.
Fargo Psychiatric Clinic
The Fargo Psychiatric Clinic is an independent, locally-owned and unaffiliated outpatient rehabilitation center. The organization is run by two highly credentialed, board-certified doctors who specialize in mental health, addiction, and pain management.
Their program is ideal for patients with co-occurring psychological disorders, such as chronic anxiety, bipolarism, and Attention Deficit Hyperactivity Disorder (ADHD). Despite the clinic’s small size, there is no waiting list, and same day services are available.
The treatment program uses a comprehensive, integrative approach to recovery. After conducting a thorough evaluation of patients’ current health status and medical and psychiatric history, these clinical specialists create a personalized treatment plan based on the most up-to-date neuroscientific studies.
In combination with the appropriate medications (if required), patients will participate in individual, group, or family therapy sessions, which emphasize CBT solutions to negative self-beliefs and inter-personal dilemmas.
For those who became addicted to opioids due to an injury or chronic health condition, the Fargo Psychiatric Clinic also offers alternative pain management therapies.
Community Medical Services
Operating in Fargo and Minot, Community Medical Services is part of a nationwide network of CARF accredited outpatient clinics specializing in opioid use disorder. This organization provides individualized, patient-centered care in a welcoming, nonjudgmental environment.
After alleviating patients’ cravings through the use of FDA-approved medications such as methadone, Suboxone (buprenorphine + naloxone), Subutex (buprenorphine), Sublocade (extended-release buprenorphine), and Vivitrol (naltrexone), their counselors are able to focus on developing positive behavioral changes.
Addictions counseling is conducted through individual and group sessions. Therapy is premised on evidence-based practices that involve developing healthy coping strategies and problem-solving skills. Alongside their professional counselors, they also have peer support specialists (i.e., individuals with lived experience), who can help patients overcome the challenges involved in navigating treatment.
Community Medical Services offers a specialized treatment track for pregnant and post-partum women. They also run a Correctional Health program for inmates in federal or state prisons and jails. This service includes drug screening, peer support, education, community care coordination, medication delivery, and in-person or telehealth counseling.
With locations in Bismarck, Fargo, Devils Lake, Dickinson, Grand Forks, Williston, and Minot, A.D.A.P.T. Inc. provides a wide variety of outpatient services for the treatment of drug and alcohol abuse. As a Licensed Addiction Counseling Agency insured and bonded by the National Association of Social Workers, their therapeutic practices emphasize harm reduction and the development of personal coping strategies and practical life skills.
A.D.A.P.T. Inc. offers individual, group, and family substance abuse counseling through both high and low-intensity programs. Treatment can be done either in-person or via WebEx Internet Addiction Services —a confidential and HIPAA approved online platform. Patients who complete the primary treatment program will be transitioned into aftercare and relapse prevention services.
In terms of court-ordered treatment, A.D.A.P.T. Inc. provides regular drug screenings and evaluations, as well as DUI seminars. Like Goodman Addiction Services and Cornerstone Addiction Services, they also offer Minor In Possession (MIP) classes.
Dakota Boys and Girls Ranch
Dakota Boys and Girls Ranch is a CARF-accredited, Christian residential treatment and educational organization for children. They run Psychiatric Residential Treatment Facilities in Fargo, Bismarck, and Minot, which provide psychiatric therapy, trauma-informed care, and Cognia-certified, personalized educational programming.
Staffed by an on-site team of therapists, nurses, psychologists, addictions counselors, and psychiatrists, these facilities are fully equipped to help children with chronic mental health, behavioral, and substance use issues.
At their locations in Fargo and Minot, they also offer Qualified Residential Treatment Programs, which provide a less acute level of care for children transitioning back into the community.
As a fun adjunct to treatment, Dakota Boys and Girls Ranch also offers equine therapy and is partnered with the National Youth Project Using Minibikes.
Adult & Teen Challenge North Dakota, Inc. offers a similar faith-based, residential recovery program for teenagers and young adults.
Founded in 1964, the Heartview Foundation is a Joint Commission-certified rehabilitation center that offers an abstinence-based drug and alcohol treatment program.
Their experienced, LGBT-friendly, multidisciplinary staff includes addictions counselors, nurses, social workers, a psychologist, a medical doctor, and a chaplain. Together, these specialists provide an integrated, holistic approach to recovery through a full continuum of rehabilitation services.
The Heartview Foundation runs residential treatment centers in Bismarck and Cando. These 16-bed facilities offer medically supervised detox for incoming residents, as well as medication-assisted treatment during the program, if required.
The recovery process involves an intensive regimen of daily counseling sessions and AA or NA meetings. Residents also partake in yoga, acupuncture, art therapy, regular exercise at the on-site gym, and classes on spiritual renewal and anger management.
A wide variety of outpatient services are also available. The Heartview Foundation offers a partial hospitalization program for those who wish to reside at home during treatment, but still require daily monitoring and support. This program is held Monday-Friday, and involves group therapy, medication management (if needed), and psychoeducational programming on mood disorders and emotional self-regulation.
Their intensive outpatient program follows a similar curriculum, and is held 3-4 days a week, with daytime or evening options available.
After patients have completed one of the above programs, they can transition to the Heartview Foundation’s low-intensity outpatient program, which primarily consists of one-on-one counseling sessions according to the individual patient’s schedule. They can also join the Continuing Care group, which meets once a week and focuses on relapse prevention.
At their Bismarck location, the Heartview Foundation also offers DUI seminars and the Helping Everyone Achieve Recovery Today (HEART) program, which is an educational and support group for the families of people in recovery.
New Freedom Center
The New Freedom Center in Bismarck is staffed by a diverse team of highly trained and dedicated addiction specialists. The facility offers a comprehensive array of recovery services, including inpatient, outpatient, and aftercare programs.
Their residential treatment program employs a holistic approach to rehabilitation, and treats the physical, psychological, and spiritual determinants of addiction in an integrated manner. Specialized staff offers 24-hour support, and the length of treatment is determined on an individual basis.
Patients can choose between three different outpatient treatment programs, all of which are facilitated by licensed addictions counselors. Day Treatment, as the name implies, involves daytime group therapy sessions from 10AM-3PM, Monday-Friday. Intensive Outpatient Treatment is also group-based, and runs from 6PM-9PM Monday, Wednesday, and Thursday. Lastly, Low Intensive Outpatient Treatment consists of hour-long, one-on-one counseling sessions whenever is convenient for patients.
Patients who have completed these primary care programs can transition to New Freedom Center’s weekly Aftercare program, which focuses on recovery maintenance and relapse prevention. It runs for twelve sessions, each Tuesday from 6-7:30PM. They can also connect patients to local AA, NA, or Al-Anon groups.
CHI St. Alexius Health Bismarck Medical Center
The Catholic Health Initiatives St. Alexius Health Bismarck Medical Center operates a partial hospitalization program designed specifically for those with co-occurring mental health and substance abuse issues. The program is run by a multidisciplinary team that includes licensed social workers and addictions counselors, a psychiatrist, an occupational therapist, and a psychiatric nurse.
Located in a home-like, separate facility on the medical center campus, this 4-6 week program runs from 8AM-2PM, Monday-Friday. An intensive outpatient option is also available.
Through group therapy sessions and psychoeducational programming, patients learn coping skills to stabilize their emotions, achieve a healthy life balance, and maintain a sober lifestyle. If needed, this course of treatment is combined with medication management. After patients complete the program, they are transitioned to a weekly aftercare group.
The Tompkins Rehabilitation Center at North Dakota State Hospital provides a full residential treatment program with similar institutional resources and expertise.
Hope Manor is non-profit organization that provides transitional living accommodations for men and women in recovery. While they do not offer counseling services or medical treatment for residents, they provide a safe and welcoming environment that encourages lifelong sobriety through the peer support of an active recovery community.
With approximately 10-15 residents living at each facility, Hope Manor fosters the atmosphere of an extended family through regular social events and barbeques.
Residents must abide by the house rules, which includes household chores, regular attendance at 12-Step meetings, and seeking employment or enrolment in school. Rent is $500 a month, and residents must provide their own food.
The minimum length of stay is nine months, though residents are encouraged to remain until they have established a firm foundation of recovery skills, such as personal responsibility, mental and emotional wellbeing, and financial management.
Good Road Recovery Center
Owned and operated by and for members of the Three Affiliated Tribes (aka. The Mandan, Hidatsa, and Arikara Nations), The Good Road Recovery Center is a comprehensive addiction treatment facility.
Founded in 2018, it is the first centrally located and tribally administered rehabilitation center in the state of North Dakota. The cost of treatment is largely underwritten by the Peoples Fund of the MHA Nation.
The Good Road Recovery Center provides an intensive inpatient treatment program, which lasts for a minimum of 120 days —though residents can stay for up to a year and a half, if needed.
Their dedicated and highly trained staff takes a holistic, nonjudgmental, and individualized approach to the recovery process. Treatment integrates traditional spirituality with the latest best practices in behavioral therapy and medication management. These services are also available on an outpatient basis.
Goodman Addiction Services
Goodman Addiction Services provides compassionate, nonjudgmental drug and alcohol treatment services on an outpatient basis. They offer specialized treatment tracks for adults and adolescents, and fees for their services operate on a sliding scale.
Group and individual therapy sessions are held on a weekly basis, either in-person or via telehealth. Drug and alcohol education, DUI seminars, and anger management classes are also available. For younger patients, they offer an early intervention program, MIP classes, and community or school-based preventative outreach services.
For severe cases of co-occurring substance use and mental health disorders, Goodman Addiction Services can refer patients to local service providers for advanced therapies, such as EMDR, medication management, and family or marital counseling.
Choice Recovery Counseling
Choice Recovery Counseling is a small, private counseling service that provides substance abuse evaluations, education, and therapy. The clinic’s sole practitioner and owner, Lacey Glueckert, offers both individual and/or group counseling programs for people struggling with addiction.
In addition to Motivational Interviewing, her treatment program utilizes a “Choice Theory” approach to recovery that focuses on personal agency and the power of cultivating self-caring habits to overcome chemical dependency. Aftercare and peer support services are available to patients who complete the primary care program, which requires a minimum of at least 8-12 sessions.
The 16-hour, Prime for Life DUI seminar program is also offered through Choice Recovery Counseling. Professional drivers who have had their license suspended can also obtain the appropriate documentation required by the Department of Transportation to allow them to return to duty.
Patients looking for a faith-based program in a similar small practice setting would be advised to try the St. Thomas Counseling Center.
Cornerstone Addiction Services
Run by Eaton & Associates Independent Mental Health Providers, Cornerstone Addiction Services provides a variety of outpatient substance abuse education and rehabilitation services for adults and youth.
For adults, they offer Adult Drug Education classes and mental health counseling in individual or group settings, as well as a 16-hour DUI seminar program. Their certified Substance Abuse Professionals can also provide commercial drivers with drug and alcohol evaluation documents for license reinstatement.
For younger people, Cornerstone Addiction Services runs a Youth Diversion Program, which aims to prevent at risk youth (ages 12-18) from descending into full-on chemical dependency. By interrupting this negative progression, the program seeks to promote abstinence as a permanent lifestyle choice, or at least encourage moderate substance use at an appropriate age.
Cornerstone Addiction Services also has a court-ordered Early Intervention program for young adults (ages 18-21) who are facing MIP charges.
Adult & Teen Challenge North Dakota, Inc.
Adult & Teen Challenge North Dakota, Inc. is a faith-based residential recovery program for young people struggling with addiction. This welcoming Christian community provides a safe and supportive environment for residents to overcome their chemical dependencies and begin the process of mental, physical, and spiritual renewal.
Lasting for a duration of forty-eight weeks, this long-term program allows ample time for personal reflection and self-compassion while cultivating a relationship with God.
Their treatment program is broken up into four successive phases. Incoming residents are first taught new positive coping strategies, after which they undertake the emotional work of identifying the personal tragedies and unmet needs at the root of their addictions. They then learn how to utilize their unique talents and abilities in service of God’s plan for their lives. Finally, they take practical steps to secure employment and housing while transitioning back to the community.
Throughout the program, residents attend chapel services, scripture classes, and daily devotionals. They also develop job-ready skills through volunteer work. Adult & Teen Challenge North Dakota has excellent re-entry services, and will even allow employed residents who have completed the program to continue living at the facility until they save up enough money to start out on their own.
Tompkins Rehabilitation Center
Situated on the campus of the North Dakota State Hospital, the Tompkins Rehabilitation Center provides a clinically managed, high-intensity residential treatment program for drug and alcohol abuse.
With its highly structured, all-week programming, their recovery program is designed for patients who are not sufficiently stable to benefit from outpatient rehabilitation services. Their experienced, professional staff provide round-the-clock supervision, as well as clinical, medical, and nursing care. Please note, however, that incoming residents must be fully detoxed before beginning the program.
Treatment relies predominantly on CBT and Motivational Enhancement Therapy in the context of individual, group, or family counseling sessions.
The Tompkins Rehabilitation Center also offers educational classes and vocational training, as well as referrals for continued care services after residents have completed the primary care program.
The Community Extended Nuclear Transition Residence for Ex-offenders (“CENTRE”) is a private, non-profit organization that provides rehabilitation and transitional living services for people recently released from the state or federal penitentiary system. Operating in Fargo, Mandan, and Grand Forks, CENTRE is a community-based adjunct to parole and probation supervision.
CENTRE runs separate sober living residences for men and women. Their Free Through Recovery Care Coordinators can provide chemically dependent residents with treatment options ranging from casual outpatient services to clinically managed high-intensity residential treatment.
Treatment for drug and alcohol abuse emphasizes cognitive behavioral interventions, such as emotional regulation, motivational engagement, enhancing inter-personal skills, and restructuring negative thought patterns.
They also offer specialized treatment modalities for female residents, like Seeking Safety and Responsive Risk Reduction for Women.
St. Thomas Counseling Center
The St. Thomas Counseling Center is a small private practice run by Stacey and Geoffrey Hunt —a licensed clinical psychologist and addictions counselor, respectively. The couple brings a Catholic perspective to therapy, focusing on patients’ relationship with God and reflecting on the formative role of suffering in personal development.
Their recovery-based, trauma-informed approach allows patients to build healthy coping skills in order to reduce or eliminate their substance abuse and go on to lead healthy, productive lives.
They can also provide patients with addiction evaluation reports that satisfy the requirements for the Department of Transportation, as well as courts, social services, and the parole and probation boards.
Those who are unable to afford their services may be eligible for coverage from the North Dakota Behavioral Health Division.