North Dakota Drug and Alcohol Rehabs: Addiction Treatment in ND

Last Updated: April 30, 2021

Set in the region of United States known as the Great Plains, North Dakota is nature and sports lover’s paradise. Bordering with equally green South Dakota, Minnesota and Montana, North Dakota is renowned for its industry, agriculture, state parks, and combination of Native American and Scandinavian heritage. As such, its geography, rich with rivers, hills, and forests provides a perfect setting for substance addiction and abuse treatments. Recent governmental statistics show that North Dakotans abuse prescription drugs and opioids the most; hence many of North Dakota treatment centers are focused on treating this addiction. Here are some of North Dakota’s most acclaimed rehabs.

Top 5 Rehab Centers in North Dakota

First Step Recovery

First Step Recovery operates as a part of The Village Family Service Center, a behavioral health organization providing counseling for families and children struggling with addiction and family related problems. As such, addiction treatment programs at First Step Recovery are based on family approach, which sets apart First Step Recovery from conventional treatment centers. The center does not offer inpatient treatments, but focuses on outpatient treatments through Family Programs and Family Personal Recovery Plans. Within these programs, First Step recovery offers partial hospital program (20 hours a week), intensive outpatient program (9 hours a week), and outpatient program (3-5 hours a week), including relapse prevention (2 hours a week) and recovery management. Programs are conducted through series of lectures, based on educational and process groups allowing family members to attend sessions alongside their loved one struggling with addiction, and their length depends on each patient’s situation. However, Family group therapy runs for the course of 6 weeks. First Step Recovery is based in Fargo.

A Behavioral Health Agency

Similarly to First Step Recovery, A Behavioral Health Agency (A.D.A.P.T. Inc.) offers variety of services that are not inpatient based. It operates since 2001, licensed through the Secretary State of North Dakota and insured through National Association of Social Workers. The Agency provides help based on teaching clients to practice and acquire skills needed for the positive change in their lifestyle, as they fight abuse and addiction. Besides criminal justice services and mental health services, A.D.A.P.T. Inc. offers drug and alcohol addiction services too, which include:

  • Licensed Addiction Counseling
  • DUI/Drug/Alcohol Evaluations
  • WebEx Internet Addiction Services
  • Outpatient Treatment Services
  • Aftercare Services
  • DUI Seminars
  • Minor In Possession Classes
  • Tobacco Prevention Classes
  • Drug Screenings
  • Substance Abuse Prevention

The Agency has offices in Bismarck, Devil’s Lake, Dickinson, Fargo, Grand Forks, Minot, and Williston, while headquarters is in Bismarck.

New Freedom Center

The team at Bismarck based New Freedom Center will work with clients and their families of all backgrounds to help them maintain abstinence from alcohol and drugs. The Center itself is founded back in 1984, with the aim of restoring health of individuals and families affected by diseases of addiction. In its residential, outpatient, and family program treatments, New Freedom Center accentuates holistic approach, and equally addresses physical, psychological, and spiritual aspects of different addictions – drugs, alcohol, prescription drugs, and gambling. Residential treatment takes place on a 24/7 basis, while its overall length depends on the patient’s individual needs. The treatment includes group and individual therapies, additional individualized treatment plans, and medication monitoring. Outpatient treatments are based on group sessions, provided through lectures and group discussions in which patients are given homework assignments to complete prior to the next day. These treatments are offered through:

  • Day treatment – 30 sessions (or more if needed), meeting for 4 hours each working day.
  • Intensive outpatient – meeting for 3 hours per 3 week days.
  • Low intensive outpatient – meeting for 2 hours per 1 week day.
  • Aftercare – 20 sessions, meeting for 1 hour per 1 week day.

Heartview Foundation

Founded in 1963 under the name “The Heartview Alcoholism Treatment Clinic” is the only private center between Minnesota and the state of Washington. Heartview Foundation nowadays keeps its reputation as the most experienced private non-profit treatment program in the region. As such, its facilities in Bismarck and Cando treat patients coming both from the USA and Canada. Numerous treatment programs at Heartview are based on 3 main services the center offers: evaluation, treatment, and education services. Treatment services are based on a holistic approach, offered through:

  • Residential services – available for 11 patients older than 18.
  • Outpatient services (partial hospitalization, intensive outpatient, low intensity outpatient, continuing care services)
  • Buprenorphine
  • Nursing services
  • Family programming
  • Psychological services
  • Supplementary services (yoga, acupuncture, art therapy)

North Dakota Teen Challenge

Founded in 1958 by Reverend Dave Wilkerson, Teen Challenge center now operates through more than 400 centers across the world. The one in North Dakota opened in 2004 in Williston, as an alcohol and drug residential treatment center for men, but next year the center incorporated women into the program as well and relocated to Mandan. North Dakota Teen Challenge is a faith-based residential recovery treatment programs for people aged 18 and older, regardless of their background. Even though the program can accommodate 60 men and 40 women, there are usually around 50 residents participating in the treatment on the annual level. The treatment is based on Biblical principles and individualized courses, and it consists of group education classes, daily individual work sessions addressing substance abuse, daily chapel, and in every 2 months, one-on-one counseling. Men and women’s dorms and lounges are separated and communication between the two is not allowed, while all patients have access to the gym.

Rehab Programs In North Dakota

Buprenorphine Services – Medication-Assisted Withdrawal Treatment

At its facility in Bismarck, Heartview Foundation offers Buprenorphine Services for those addicted to drugs like morphine and heroin, or prescription drugs like Vicodin, Oxycontin, and Percocet. As prescription drugs and opioid dependence as a chronic and relapsing medical condition requires long-term treatment, Heartview provides Buprenorphine services during both the detoxification phase and the main phase of the treatment. Administered in one pill under the tongue, Buprenorphine eliminates cravings, reduces opioid withdrawal symptoms, and mimics some of the effects of the opioids. Heartview Foundation integrates this medication-assisted treatment into its holistic approach, which means that the patient will receive supervised medication administration, in addition, to a complete set of support services, including education, relapse prevention, coping techniques, and family involvement.

12-month Residential Program

While many treatment centers in North Dakota focus on outpatient programs, Teen Challenge North Dakota offers a comprehensively structured whole year running program. The program consists of 4 graduation levels, focusing on emotional and spiritual wellbeing. Recovery is level 1, and it lasts for 14 weeks. During recovery, residents attend classes to recognize and understand needs leading them to chemical use, and tools to change them. Level 2 is a renewal, and it lasts for 12 weeks. Here, residents partake in physical, emotional, spiritual, and mental sessions to identify the root of their chemical addiction. Restoration and healing are 12 weeks running level 3, where residents create a foundation for a substance-free future and identify their unique talents. The final stage, level 4, is 12 weeks long transition phase, in which residents put what they learned into action, as they seek help with employment and housing, manage time and resources, and re-enter communities and families.


According to North Dakota Drug Control Update data, issued by National Survey on Drug use and Health, marijuana is the most commonly cited drug for primary drug treatment admission in the state in between 1992 and 2011. Two–thirds of North Dakota’s treatments are admissions for marijuana. Marijuana admissions are followed by those for opioids and prescription drugs, which North Dakota fights with it Prescription Drug Monitoring Program and Drug Take-Back program, by properly disposing unused and expired medications, and its on point treatment centers and rehabs.

Published on: September 4th, 2017

Updated on: April 30th, 2021