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The United States is grappling with a national addiction epidemic that has seeped into every corner of the country. In this comprehensive report, we delve into the heart of this crisis by ranking states based on overdose deaths, substance use, treatment trends, and more. Our data-driven approach offers an unprecedented look at the harrowing reality of drug abuse, capturing its impact on communities from coast to coast. Join us as we explore the data behind the headlines, shining a light on the fight against this ongoing epidemic.
Our Rankings Mapped
The rankings shown on this map are based on our “Overall Score” which combines data on addiction, overdose and treatment accessibility from a variety of sources, as we explain in detail in the section on our methodology. Overall Scores are based on the combined ranking of each state across overdose death, treatment and illicit drug use dimensions, with higher scores indicating worse performance combined. States are color coded with darker colors as a result of higher scores.
Background on the Rankings
Addiction is a complex issue that affects individuals, families, and communities across America. To fully grasp its impact, we embarked on a comprehensive study of addiction, treatment, and overdose in all 50 states. Our analysis drew from a wealth of government data to examine overdose fatalities, treatment center availability, patient admissions, and the effectiveness of treatment relative to overdose rates. Additionally, we explored the prevalence of illicit drug use and the drugs most likely to result in fatal overdoses.
Methodology
Our study is structured around three key rankings: Overdose Rank, Treatment Rank, and Drug Use Rank. Here’s how we approached each:
Overdose Rank:
We assessed overdose risk by analyzing current and projected overdose deaths per capita using data from the CDC’s National Vital Statistics System. The Overdose Death Rank is a composite score based on equally weighted averages of current and forecasted overdose rates.
Treatment Rank:
To evaluate treatment availability, we used SAMHSA’s list of available substance use treatment facilities and filtered for those equipped to handle acute substance use disorder cases that would occur as a result of illicit drug or alcohol use disorders. We then calculated the per capita count of these facilities and compared treatment utilization from the Treatment Episode Data Set (TEDS) relative to the volume of treatment centers and overdose deaths per capita. This allows us to gauge not only the presence of accessible treatment, but also the adoption and utilization of treatment services in each state.
Drug Use Rank:
We turned to SAMHSA’s National Survey for Drug Use and Health (NSDUH) to assess illicit drug use, including and excluding marijuana. We equally weighted these measures to derive the Drug Use Rank based on the most recent NSDUH survey data.
Overall Score, Grade, and Overall Rank:
The “Overall Score”, between zero and one hundred, is the aggregate of the three individual state rankings normalized to a maximum scale from 0 to 100. “Overall Rank” compares each state score against all others. “Grade” is based on a normal distribution, with an average score of 57.42 and a standard deviation of 21.55. This grading system allowed us to identify states performing above, at, or below average.
This study offers a holistic view of addiction in America, providing valuable insights into overdose risk, treatment availability, and drug use trends nationwide.
Every State Ranked
States are ranked below from having the highest rates of addiction-related issues to the lowest, as determined by our comprehensive analysis. Read on to explore the factors contributing to their rankings and provide insights into the challenges they face in addressing the addiction crisis.
West Virginia
Overall Rank: 50
Overdose Rank: 50
Treatment Rank: 48
Overall Score: 100
Drug Use Rank: 34
Grade: D-
West Virginia, a state nestled in the heart of Appalachia, is grappling with a devastating crisis that has left its communities reeling. Tragically, the state holds the dubious distinction of having the highest overdose death rates in the entire nation, ranking last at 50th out of 50 states. The scourge of overdose deaths has been fueled by the rampant abuse of opioids, which have infiltrated every corner of the state, from its bustling cities to its rural hamlets. But the situation is further exacerbated by the limited availability of addiction treatment services, where West Virginia fares only slightly better, ranking 48th in the country.
The lack of accessible and effective treatment options has left countless individuals and families feeling helpless in the face of addiction. As a result, West Virginia receives our lowest grade of all 50 states—a disheartening D-. The state’s struggle with addiction and overdose deaths is a stark reminder of the urgent need for comprehensive solutions and support for those affected by this public health crisis.
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Pennsylvania
Overall Rank: 49
Overdose Rank: 42
Treatment Rank: 43
Overall Score: 94
Drug Use Rank: 39
Grade: D-
Pennsylvania received a grade of D-, primarily as a result of high overdose deaths per capita now and forecasted in the future, combined with very poor rankings in access to treatment on a per capita basis. The heroin and opioid epidemic is the number one public health and public safety challenge facing Pennsylvania. In 2021, 5,168 Pennsylvanians died from overdoses.
An average of 14 Pennsylvanians die every day from overdose, and based on available data the death toll will only continue to rise. Pennsylvania ranks 42nd in overdose deaths of all 50 states, and 43rd in addiction treatment with significant barriers to essential support for individuals struggling with addiction. In 2012, the state created the Department of Drug and Alcohol Programs, a $125 million agency set up to give substance use the attention it needs, although it has yet to impact treatment availability in a meaningful way.
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New Hampshire
Overall Rank: 47
Overdose Rank: 27
Treatment Rank: 50
Overall Score: 92
Drug Use Rank: 44
Grade: D
The drug crisis in New Hampshire poses a severe threat to the well-being of its residents, with the state ranking a dismal 47th out of 50 states in overall drug-related issues. The gravity of the situation is further underscored by New Hampshire’s alarmingly high overdose rank of 27, indicating a pervasive and potentially lethal problem.
Compounding the crisis is the state’s appalling treatment rank of 50, which reveals a critical lack of access to essential addiction treatment services for those in need. This deficiency in support for individuals struggling with substance use disorders exacerbates the consequences of addiction, leading to a multitude of negative outcomes for individuals, families, and communities alike.
Moreover, New Hampshire’s drug use rank of 44 demonstrates that the issue affects a broad spectrum of residents from various walks of life, highlighting the urgent need for a comprehensive and targeted response to this public health crisis. Consequently, the state has received a grade of D, which emphasizes the necessity for immediate and meaningful improvement in addressing and combating its drug crisis. To tackle this pressing issue, it is crucial for New Hampshire to invest in a multi-faceted approach that includes increased funding for addiction treatment, implementation of evidence-based prevention programs, and collaboration with community-based organizations to ensure that residents receive the support and resources.
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Ohio
Overall Rank: 47
Overdose Rank: 48
Treatment Rank: 38
Overall Score: 92
Drug Use Rank: 35
Grade: D
The state of Ohio is in the midst of a substantial drug crisis, with a distressing overall rank of 47th out of 50 states in the United States. This alarming situation is further highlighted by Ohio’s overdose rank of 48, which signifies a significant number of drug-related fatalities. In fact, recent data reveals that Ohio has an overwhelming 47.2 overdose deaths per 100,000 population, and this figure is forecasted to rise by 59% over the next decade.
Moreover, Ohio’s treatment rank stands at 38, indicating that there is an urgent need to enhance access to addiction treatment services for those struggling with substance abuse. The state’s drug use rank of 35 further underscores the widespread nature of this critical issue, affecting individuals from various walks of life. Consequently, Ohio has been given a grade of D, emphasizing the pressing need for progress in addressing and combating the drug epidemic.
To tackle this crisis, it is crucial for Ohio to adopt a comprehensive and compassionate approach that includes increasing the availability of addiction treatment services, implementing preventive measures, and fostering community outreach programs. Only through a combined effort can the state of Ohio effectively combat this devastating drug epidemic and improve the overall well-being of its citizens.
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Kentucky
Overall Rank: 46
Overdose Rank: 45
Treatment Rank: 46
Overall Score: 90
Drug Use Rank: 28
Grade: D
Kentucky is confronted with a severe drug crisis, holding an overall rank of 46th out of 50 states in the United States. This dire situation is further emphasized by Kentucky’s alarming overdose rank of 45, which signifies a high number of drug-related fatalities. In fact, the most recent data indicates that Kentucky experiences a staggering 49.2 overdose deaths per 100,000 population, with a predicted increase of 41% in the next ten years.
Additionally, Kentucky’s treatment rank stands at a dismal 46th place, suggesting that access to addiction treatment services in the state is severely limited and inadequate. This lack of support for those struggling with substance abuse is a pressing concern that needs to be addressed. The state’s drug use rank of 28 further highlights the pervasive nature of this critical issue, affecting individuals from various backgrounds and communities.
As a result of these alarming factors, Kentucky has been given a grade of D, underscoring the urgent need for improvement in tackling the drug epidemic. To effectively combat this crisis, Kentucky must adopt a comprehensive and compassionate approach that includes increasing the availability of addiction treatment services, implementing preventive measures, and fostering community outreach programs. Only through a united effort can the state of Kentucky successfully confront this devastating drug epidemic and improve the overall well-being of its citizens.
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New Mexico
Overall Rank: 44
Overdose Rank: 34
Treatment Rank: 41
Overall Score: 89
Drug Use Rank: 43
Grade: D
New Mexico is grappling with considerable obstacles in addressing its drug crisis, as evidenced by its overall rank of 44th out of 50 states in the United States. The state’s alarming overdose rank of 34 highlights the high rate of drug-related fatalities. In fact, recent data reveals that New Mexico has 39 overdose deaths per 100,000 population, and this figure is forecasted to increase by 28% over the next decade.
Furthermore, access to addiction treatment services is severely limited in New Mexico, with the state’s treatment rank standing at 41. This lack of support for individuals struggling with substance abuse is a pressing issue that requires urgent attention. The state’s drug use rank of 43 underscores the widespread nature of this critical problem, affecting residents from various backgrounds and communities.
As a result of these distressing factors, New Mexico has been given a grade of D, emphasizing the need for improvement in addressing the drug epidemic. To effectively combat this crisis, it is imperative for New Mexico to adopt a comprehensive and compassionate approach that includes increasing the availability of addiction treatment services, implementing preventive measures, and fostering community outreach programs. Only through a coordinated effort can the state of New Mexico successfully tackle this devastating drug epidemic and enhance the overall well-being of its citizens.
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Tennessee
Overall Rank: 44
Overdose Rank: 46
Treatment Rank: 44
Overall Score: 89
Drug Use Rank: 28
Grade: D
Tennessee is facing a substantial drug crisis, holding a concerning overall rank of 44th among all states in the United States. This critical issue is further emphasized by the state’s alarming overdose rank of 46, which signifies a high rate of drug-related fatalities. In fact, recent data indicates that Tennessee experiences a staggering 45.6 overdose deaths per 100,000 population, with a predicted increase of 63% in the next ten years. In addition to the high overdose rates, Tennessee’s treatment rank stands at a dismal 44th place, suggesting that there is an urgent need to enhance access to addiction treatment services for those struggling with substance abuse. The state’s drug use rank of 28 further highlights the widespread nature of this crucial issue, affecting individuals from various walks of life and communities.
Consequently, Tennessee has been given a grade of D, emphasizing the pressing need for progress in addressing and combating the drug epidemic. To effectively tackle this crisis, it is crucial for Tennessee to adopt a comprehensive and compassionate approach that includes increasing the availability of addiction treatment services, implementing preventive measures, and fostering community outreach programs. Only through a combined effort can the state of Tennessee successfully confront this devastating drug epidemic and improve the overall well-being of its citizens.
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Maine
Overall Rank: 43
Overdose Rank: 41
Treatment Rank: 40
Overall Score: 85
Drug Use Rank: 31
Grade: D+
Maine faces significant challenges in addressing its drug crisis, ranking 43rd out of 50 states in overall rank. The state has a concerning overdose rank of 41. Annual overdose deaths have more than quadrupled in the past decade in Maine. Access to addiction treatment services is limited in Maine, with a treatment rank of 40. With a drug use rank of 31, the state receives a grade of D+.
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Louisiana
Overall Rank: 42
Overdose Rank: 44
Treatment Rank: 38
Overall Score: 82
Drug Use Rank: 26
Grade: D+
Louisiana faces significant challenges in addressing its drug crisis, ranking 42nd out of 50 states in overall rank. The state has a concerning overdose rank of 44, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Louisiana, with a treatment rank of 38. With a drug use rank of 26, the state receives a grade of D+.
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Indiana
Overall Rank: 41
Overdose Rank: 39
Treatment Rank: 42
Overall Score: 76
Drug Use Rank: 19
Grade: C-
Louisiana is grappling with considerable challenges in addressing its drug crisis, holding an overall rank of 42nd out of 50 states in the United States. The state’s concerning overdose rank of 44 highlights the high rate of drug-related fatalities. In fact, recent data reveals that Louisiana has 42.7 overdose deaths per 100,000 population, and this figure is forecasted to increase by 68% over the next decade.
Furthermore, access to addiction treatment services is limited in Louisiana, with the state’s treatment rank standing at 38. This lack of support for individuals struggling with substance abuse is a pressing issue that requires urgent attention. The state’s drug use rank of 26 underscores the widespread nature of this critical problem, affecting residents from various backgrounds and communities.
As a result of these distressing factors, Louisiana has been given a grade of D+, emphasizing the need for improvement in addressing the drug epidemic. To effectively combat this crisis, it is imperative for Louisiana to adopt a comprehensive and compassionate approach that includes increasing the availability of addiction treatment services, implementing preventive measures, and fostering community outreach programs. Only through a coordinated effort can the state of Louisiana successfully tackle this devastating drug epidemic and enhance the overall well-being of its citizens.
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Rhode Island
Overall Rank: 40
Overdose Rank: 34
Treatment Rank: 17
Overall Score: 75
Drug Use Rank: 48
Grade: C-
Rhode Island has an overall rank of 40th out of 50 states in the United States. The state’s concerning overdose rank of 34 highlights the high rate of drug-related fatalities. In fact, recent data reveals that Rhode Island has 38.2 overdose deaths per 100,000 population, with a forecasted increase of 35% over the next decade. Rhode Island has better access to addiction treatment services, with the state’s treatment rank standing at 17. However, the state’s drug use rank of 48 underscores the widespread nature of this critical issue. As a result of these factors, Rhode Island has been given a grade of C-, emphasizing the need for continued improvement in addressing the drug epidemic.
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Delaware
Overall Rank: 39
Overdose Rank: 49
Treatment Rank: 8
Overall Score: 73
Drug Use Rank: 40
Grade: C-
Delaware faces challenges in addressing its drug crisis, ranking 39th out of 50 states in overall rank. The state has a concerning overdose rank of 49, indicating a high rate of drug-related deaths. Delaware has better access to addiction treatment services, with a treatment rank of 8. However, with a drug use rank of 40, the state receives a grade of C-.
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Maryland
Overall Rank: 37
Overdose Rank: 47
Treatment Rank: 11
Overall Score: 71
Drug Use Rank: 36
Grade: C-
Maryland faces challenges in addressing its drug crisis, ranking 37th out of 50 states in overall rank. The state has a concerning overdose rank of 47, indicating a high rate of drug-related deaths. Maryland has better access to addiction treatment services, with a treatment rank of 11. However, with a drug use rank of 36, the state receives a grade of C-.
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Massachusetts
Overall Rank: 37
Overdose Rank: 32
Treatment Rank: 20
Overall Score: 71
Drug Use Rank: 42
Grade: C-
Massachusetts faces challenges in addressing its drug crisis, ranking 37th out of 50 states in overall rank. The state has a concerning overdose rank of 32, indicating a high rate of drug-related deaths. Massachusetts has better access to addiction treatment services, with a treatment rank of 20. However, with a drug use rank of 42, the state receives a grade of C-.
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Illinois
Overall Rank: 36
Overdose Rank: 28
Treatment Rank: 36
Overall Score: 69
Drug Use Rank: 27
Grade: C-
Illinois faces challenges in addressing its drug crisis, ranking 36th out of 50 states in overall rank. The state has a concerning overdose rank of 28, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Illinois, with a treatment rank of 36. With a drug use rank of 27, the state receives a grade of C-.
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California
Overall Rank: 34
Overdose Rank: 21
Treatment Rank: 21
Overall Score: 67
Drug Use Rank: 46
Grade: C-
California faces challenges in addressing its drug crisis, ranking 34th out of 50 states in overall rank. The state has a concerning overdose rank of 21, indicating a high rate of drug-related deaths. California has better access to addiction treatment services, with a treatment rank of 21. However, with a drug use rank of 46, the state receives a grade of C-.
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Nevada
Overall Rank: 34
Overdose Rank: 23
Treatment Rank: 17
Overall Score: 67
Drug Use Rank: 48
Grade: C-
Nevada faces challenges in addressing its drug crisis, ranking 34th out of 50 states in overall rank. The state has a concerning overdose rank of 23, indicating a high rate of drug-related deaths. Nevada has better access to addiction treatment services, with a treatment rank of 17. However, with a drug use rank of 48, the state receives a grade of C-.
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Vermont
Overall Rank: 33
Overdose Rank: 32
Treatment Rank: 10
Overall Score: 66
Drug Use Rank: 45
Grade: C-
Vermont faces challenges in addressing its drug crisis, ranking 33rd out of 50 states in overall rank. The state has a concerning overdose rank of 32, indicating a high rate of drug-related deaths. Vermont has better access to addiction treatment services, with a treatment rank of 10. However, with a drug use rank of 45, the state receives a grade of C-.
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Florida
Overall Rank: 32
Overdose Rank: 38
Treatment Rank: 36
Overall Score: 64
Drug Use Rank: 11
Grade: C
Florida faces challenges in addressing its drug crisis, ranking 32nd out of 50 states in overall rank. The state has a concerning overdose rank of 38, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Florida, with a treatment rank of 36. With a drug use rank of 11, the state receives a grade of C.
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Connecticut
Overall Rank: 31
Overdose Rank: 42
Treatment Rank: 5
Overall Score: 63
Drug Use Rank: 36
Grade: C
Connecticut faces challenges in addressing its drug crisis, ranking 31st out of 50 states in overall rank. The state has a concerning overdose rank of 42, indicating a high rate of drug-related deaths. Connecticut has better access to addiction treatment services, with a treatment rank of 5. However, with a drug use rank of 36, the state receives a grade of C.
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Alaska
Overall Rank: 30
Overdose Rank: 17
Treatment Rank: 26
Overall Score: 61
Drug Use Rank: 38
Grade: C
Alaska faces challenges in addressing its drug crisis, ranking 30th out of 50 states in overall rank. The state has a concerning overdose rank of 17, indicating a high rate of drug-related deaths. Alaska has better access to addiction treatment services, with a treatment rank of 26. However, with a drug use rank of 38, the state receives a grade of C.
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Hawaii
Overall Rank: 29
Overdose Rank: 15
Treatment Rank: 47
Overall Score: 60
Drug Use Rank: 17
Grade: C
Hawaii faces challenges in addressing its drug crisis, ranking 29th out of 50 states in overall rank. The state has a concerning overdose rank of 15, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Hawaii, with a treatment rank of 47. With a drug use rank of 17, the state receives a grade of C.
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Montana
Overall Rank: 28
Overdose Rank: 5
Treatment Rank: 45
Overall Score: 59
Drug Use Rank: 28
Grade: C
Montana faces challenges in addressing its drug crisis, ranking 28th out of 50 states in overall rank. The state has a better overdose rank of 5, indicating a lower rate of drug-related deaths. Access to addiction treatment services is limited in Montana, with a treatment rank of 45. With a drug use rank of 28, the state receives a grade of C.
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New Jersey
Overall Rank: 27
Overdose Rank: 37
Treatment Rank: 7
Overall Score: 58
DrugUse Rank: 32
Grade: C
New Jersey faces challenges in addressing its drug crisis, ranking 27th out of 50 states in overall rank. The state has a concerning overdose rank of 37, indicating a high rate of drug-related deaths. New Jersey has better access to addiction treatment services, with a treatment rank of 7. However, with a drug use rank of 32, the state receives a grade of C.
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South Carolina
Overall Rank: 26
Overdose Rank: 36
Treatment Rank: 15
Overall Score: 57
Drug Use Rank: 24
Grade: C
South Carolina faces challenges in addressing its drug crisis, ranking 26th out of 50 states in overall rank. The state has a concerning overdose rank of 36, indicating a high rate of drug-related deaths. South Carolina has better access to addiction treatment services, with a treatment rank of 15. However, with a drug use rank of 24, the state receives a grade of C.
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Colorado
Overall Rank: 24
Overdose Rank: 22
Treatment Rank: 4
Overall Score: 56
Drug Use Rank: 48
Grade: C
Colorado faces challenges in addressing its drug crisis, ranking 24th out of 50 states in overall rank. The state has a concerning overdose rank of 22, indicating a high rate of drug-related deaths. Colorado has better access to addiction treatment services, with a treatment rank of 4. However, with a drug use rank of 48, the state receives a grade of C.
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Wisconsin
Overall Rank: 24
Overdose Rank: 25
Treatment Rank: 29
Overall Score: 56
Drug Use Rank: 20
Grade: C
Wisconsin faces challenges in addressing its drug crisis, ranking 24th out of 50 states in overall rank. The state has a concerning overdose rank of 25, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Wisconsin, with a treatment rank of 29. With a drug use rank of 20, the state receives a grade of C.
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Arizona
Overall Rank: 22
Overdose Rank: 40
Treatment Rank: 8
Overall Score: 55
Drug Use Rank: 24
Grade: C
Arizona faces challenges in addressing its drug crisis, ranking 22nd out of 50 states in overall rank. The state has a concerning overdose rank of 40, indicating a high rate of drug-related deaths. Arizona has better access to addiction treatment services, with a treatment rank of 8. However, with a drug use rank of 24, the state receives a grade of C.
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North Carolina
Overall Rank: 22
Overdose Rank: 30
Treatment Rank: 26
Overall Score: 55
Drug Use Rank: 16
Grade: C
North Carolina faces challenges in addressing its drug crisis, ranking 22nd out of 50 states in overall rank. The state has a concerning overdose rank of 30, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in North Carolina, with a treatment rank of 26. With a drug use rank of 16, the state receives a grade of C.
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Virginia
Overall Rank: 21
Overdose Rank: 25
Treatment Rank: 32
Overall Score: 53
Drug Use Rank: 13
Grade: C
Virginia faces challenges in addressing its drug crisis, ranking 21st out of 50 states in overall rank. The state has a concerning overdose rank of 25, indicating a high rate of drug-related deaths. Access to addiction treatment services is limited in Virginia, with a treatment rank of 32. With a drug use rank of 13, the state receives a grade of C.
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Alabama
Overall Rank: 18
Overdose Rank: 19
Treatment Rank: 29
Overall Score: 49
Drug Use Rank: 17
Grade: C+
In the ongoing battle against drug addiction, Alabama finds itself in a challenging position. Ranking 18th overall and with an overdose rank of 19, the state faces an uphill struggle to overcome the drug crisis. Treatment access is a significant concern, as evidenced by the state’s treatment rank of 29. However, Alabama’s drug use rank of 17 suggests a moderate level of drug use compared to other states. With a grade of C+, the state must continue to address these issues and improve its efforts to safeguard the health and well-being of its residents.
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Missouri
Overall Rank: 18
Overdose Rank: 31
Treatment Rank: 21
Overall Score: 49
Drug Use Rank: 13
Grade: C+
Missouri grapples with the drug crisis, ranking 18th out of 50 states in overall performance. The state’s overdose rank of 31 highlights the need for enhanced prevention measures and improved access to life-saving interventions. Treatment rank at 21 also showcases the importance of further expanding addiction treatment services.
Despite these challenges, Missouri’s drug use rank of 13 demonstrates a lower prevalence of drug use compared to other states. Receiving a grade of C+, Missouri needs to maintain its focus on addressing the drug crisis and delivering a comprehensive response to protect the health of its citizens.
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New York
Overall Rank: 18
Overdose Rank: 24
Treatment Rank: 1
Overall Score: 49
Drug Use Rank: 40
Grade: C+
New York stands at a critical juncture in the fight against drug addiction. With an overall rank of 18th and an overdose rank of 24, the state must continue to focus on prevention and response strategies to combat the crisis. New York’s treatment rank of 1 is a beacon of hope, reflecting the state’s commitment to providing comprehensive addiction treatment services. However, with a drug use rank of 40, there is still work to be done in addressing the prevalence of drug use in the state. Earning a grade of C+, New York must persevere in its efforts to safeguard the health of its citizens and conquer the drug crisis.
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Idaho
Overall Rank: 15
Overdose Rank: 7
Treatment Rank: 49
Overall Score: 47
Drug Use Rank: 6
Grade: C+
Idaho’s position in the battle against drug addiction is marked by a combination of promising and concerning factors. With an overall rank of 15th, the state benefits from a low overdose rank of 7, indicating fewer drug-related fatalities compared to other states. However, Idaho’s treatment rank of 49 presents a significant challenge in providing adequate addiction treatment services. Despite these obstacles, Idaho’s drug use rank of 6 is a bright spot, suggesting a lower prevalence of drug use relative to other states. With a grade of C+, Idaho must continue its efforts to address the drug crisis and improve access to life-saving treatment services for its residents.
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Michigan
Overall Rank: 15
Overdose Rank: 28
Treatment Rank: 12
Overall Score: 47
Drug Use Rank: 22
Grade: C+
Michigan faces a complex drug crisis, ranking 15th overall and with an overdose rank of 28. The state must prioritize prevention measures and improve its response to drug-related fatalities. Michigan’s treatment rank of 12 is a testament to its commitment to providing addiction treatment services, but challenges remain. The state’s drug use rank of 22 highlights a moderate level of drug use compared to other states. With a grade of C+, Michigan must continue to address the drug crisis and work towards a comprehensive solution to protect the health and well-being of its citizens.
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Oregon
Overall Rank: 15
Overdose Rank: 14
Treatment Rank: 2
Overall Score: 47
Drug Use Rank: 46
Grade: C+
Oregon’s response to the drug crisis ranks it 15th among the 50 states, reflecting a mixed landscape of both successes and challenges. The state is faring well in terms of its overdose and treatment rankings, coming in at 14th and 2nd, respectively. These positions indicate that Oregon is making strides in preventing drug-related deaths and providing access to addiction treatment services. However, the state’s drug use rank of 46 highlights a pressing concern. Oregon must continue to address this issue in order to improve its standing and effectively combat the drug epidemic. With a grade of C+, there is still work to be done to ensure a comprehensive response to the crisis.
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Mississippi
Overall Rank: 14
Overdose Rank: 17
Treatment Rank: 34
Overall Score: 45
Drug Use Rank: 8
Grade: C+
Mississippi’s efforts to address the drug crisis have placed it 14th out of the 50 states. The state is making progress in reducing drug-related deaths, evidenced by its 17th place ranking in overdose. However, Mississippi’s treatment rank of 34 highlights the need for improved access to addiction treatment services. The state’s relatively low drug use ranking of 8 offers a glimmer of hope, but there is still room for improvement. Earning a grade of C+, Mississippi must continue to strengthen its efforts in combating the drug epidemic and ensuring the well-being of its residents.
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Washington
Overall Rank: 13
Overdose Rank: 19
Treatment Rank: 6
Overall Score: 44
Drug Use Rank: 33
Grade: C+
Washington’s position in the fight against the drug crisis places it 13th out of the 50 states. The state has made notable progress in reducing drug-related fatalities, as evidenced by its 19th place ranking in overdose. Additionally, Washington’s strong 6th place ranking in treatment access highlights its commitment to providing assistance to those struggling with addiction. Despite these positive strides, the state’s drug use ranking of 33 indicates that further efforts are needed to address this issue. Receiving a grade of C+, Washington must continue to build upon its successes and work to improve its overall response to the drug epidemic.
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Oklahoma
Overall Rank: 12
Overdose Rank: 8
Treatment Rank: 25
Overall Score: 42
Drug Use Rank: 22
Grade: C+
Oklahoma’s efforts in addressing its drug crisis have earned it the 12th place among the 50 states. The state has made significant progress in reducing drug-related deaths, with an 8th place ranking in overdose. However, Oklahoma’s treatment rank of 25 highlights the need for improved access to addiction treatment services. With a drug use ranking of 22, the state demonstrates progress but also underscores the ongoing challenges it faces. Earning a grade of C+, Oklahoma must continue to work diligently to address the drug epidemic and ensure the well-being of its residents.
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Georgia
Overall Rank: 11
Overdose Rank: 13
Treatment Rank: 19
Overall Score: 39
Drug Use Rank: 20
Grade: C+
Georgia’s efforts to combat the drug crisis have placed it 11th out of the 50 states. With a relatively low overdose rank of 13, the state is making progress in reducing drug-related fatalities. Georgia’s treatment rank of 19 indicates good access to addiction treatment services, but there is still room for improvement. The state’s drug use rank of 20 highlights the need for continued efforts to address this issue. Receiving a grade of C+, Georgia must maintain its focus on improving its response to the drug epidemic and ensure the well-being of its residents.
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Arkansas
Overall Rank: 10
Overdose Rank: 10
Treatment Rank: 24
Overall Score: 36
Drug Use Rank: 13
Grade: C+
Arkansas has made notable strides in addressing its drug crisis, earning a commendable 10th place ranking out of all 50 states. The Natural State has managed to maintain a relatively low overdose rank at 10, demonstrating the effectiveness of its preventative measures. However, there is still room for improvement, particularly when it comes to treatment access. Arkansas currently ranks 24th in this area, emphasizing the need for enhanced resources and support. With a drug use rank of 13 and a grade of C+, Arkansas is making progress, but continued efforts are required to ensure sustained success in combating the drug epidemic.
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Utah
Overall Rank: 9
Overdose Rank: 8
Treatment Rank: 35
Overall Score: 35
Drug Use Rank: 3
Grade: B-
Utah has made significant progress in addressing its drug crisis, earning a well-deserved 9th place ranking among all 50 states. The state has successfully maintained a low overdose rank of 8, reflecting its commitment to reducing drug-related fatalities. However, Utah faces challenges when it comes to treatment access, ranking 35th in this area. This underscores the need for increased resources and support for those seeking addiction treatment services. With a drug use rank of 3 and a grade of B-, Utah demonstrates promise in combating the drug epidemic, but continued efforts are necessary to ensure ongoing progress and improvement.
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Kansas
Overall Rank: 7
Overdose Rank: 10
Treatment Rank: 28
Overall Score: 33
Drug Use Rank: 5
Grade: B-
Kansas has made considerable progress in tackling its drug crisis, earning a laudable 7th place ranking out of all 50 states. The Sunflower State has managed to maintain a low overdose rank of 10, demonstrating its commitment to reducing drug-related fatalities. However, there is still room for improvement, particularly in the area of treatment access. Kansas currently ranks 28th in this regard, emphasizing the need for enhanced resources and support. With a drug use rank of 5 and a grade of B-, Kansas has made significant strides, but continued efforts are required to ensure the state’s ongoing success in addressing the drug epidemic.
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North Dakota
Overall Rank: 7
Overdose Rank: 10
Treatment Rank: 31
Overall Score: 33
Drug Use Rank: 2
Grade: B-
North Dakota has made significant headway in addressing its drug crisis, securing a commendable 7th place ranking among all 50 states. The Peace Garden State has managed to keep its overdose rank relatively low at 10, reflecting its dedication to reducing drug-related fatalities. However, challenges remain, particularly in the area of treatment access. North Dakota currently ranks 31st in this regard, highlighting the need for increased resources and support for those seeking addiction treatment services. With a drug use rank of 2 and a grade of B-, North Dakota demonstrates promise in combating the drug epidemic, but continued efforts are necessary to ensure ongoing progress and improvement.
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Texas
Overall Rank: 6
Overdose Rank: 4
Treatment Rank: 33
Overall Score: 29
Drug Use Rank: 1
Grade: B-
Texas has made considerable strides in its fight against the drug crisis, earning an impressive 6th place ranking out of all 50 states. The Lone Star State boasts a low overdose rank of 4, reflecting its steadfast commitment to reducing drug-related fatalities. However, Texas faces challenges when it comes to treatment access, ranking 33rd in this area. This underscores the need for increased resources and support for those seeking addiction treatment services. With a drug use rank of 1 and a grade of B-, Texas demonstrates promise in combating the drug epidemic, but continued efforts are necessary to ensure ongoing progress and improvement.
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Minnesota
Overall Rank: 5
Overdose Rank: 15
Treatment Rank: 14
Overall Score: 28
Drug Use Rank: 8
Grade: B
Minnesota’s proactive approach to combating the drug crisis has earned it a commendable 5th place ranking among all 50 states. The state’s efforts are paying off, as evidenced by its relatively low overdose rank of 15 and a treatment rank of 14, demonstrating an ongoing commitment to expanding access to addiction treatment services. Minnesota’s 8th place ranking in drug use speaks to the effectiveness of its strategies, and its grade of B reflects the state’s achievements thus far. While progress should be celebrated, there remains important work to be done in order to continue improving and maintaining the state’s positive momentum.
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Wyoming
Overall Rank: 4
Overdose Rank: 3
Treatment Rank: 21
Overall Score: 27
Drug Use Rank: 12
Grade: B
Wyoming has taken significant strides in addressing its drug crisis, earning the state a noteworthy 4th place ranking among all 50 states. The state’s low overdose rank of 3 is a testament to its ongoing efforts to reduce drug-related fatalities. However, Wyoming’s treatment rank of 21 highlights the need for improvement in providing access to addiction treatment services. The state’s 12th place ranking in drug use and its overall grade of B serve as indicators of progress, but also underscore the importance of continued dedication to addressing and overcoming the challenges posed by the drug epidemic.
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Iowa
Overall Rank: 3
Overdose Rank: 6
Treatment Rank: 13
Overall Score: 20
Drug Use Rank: 7
Grade: B+
Iowa’s strong commitment to addressing its drug crisis has earned the state an impressive 3rd place ranking among all 50 states. The relatively low overdose rank of 6 and treatment rank of 13 demonstrate Iowa’s dedication to expanding access to addiction treatment services and reducing drug-related fatalities. With a drug use rank of 7, Iowa’s efforts have been fruitful, as evidenced by its B+ grade. The state’s progress is commendable, but the fight against the drug epidemic is far from over. Continued improvement and sustained focus on this critical issue are essential to maintaining Iowa’s hard-won achievements.
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Nebraska
Overall Rank: 2
Overdose Rank: 2
Treatment Rank: 16
Overall Score: 16
Drug Use Rank: 3
Grade: B+
Nebraska’s steadfast efforts to address its drug crisis have propelled the state to an admirable 2nd place ranking among all 50 states. The low overdose rank of 2 and treatment rank of 16 illustrate the strides Nebraska has made in providing access to addiction treatment services and reducing drug-related fatalities. The state’s drug use rank of 3 highlights the effectiveness of its preventative measures and overall strategy. Nebraska’s grade of B+ is evidence of its significant progress, but the battle against the drug epidemic is far from won. Continued vigilance and improvement are essential to maintain the state’s hard-earned gains and to serve as a model for others to follow.
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South Dakota
Overall Rank: 1
Overdose Rank: 1
Treatment Rank: 3
Overall Score: 11
Drug Use Rank: 10
Grade: A+
South Dakota’s exceptional efforts to combat its drug crisis have placed the state at the top of the national rankings, securing the coveted 1st place position among all 50 states. The state’s lowest overdose rank of 1 and impressive treatment rank of 3 are testaments to its dedication to providing life-saving addiction treatment services and reducing drug-related fatalities. With a drug use rank of 10, South Dakota has made great strides in addressing the drug epidemic, earning the highest possible grade of A+. The state’s achievements serve as a shining example for others to follow, but the fight against the drug epidemic is ongoing. Maintaining this level of excellence requires continued commitment and unwavering focus on the path ahead.
Read MoreTables
While the bottom ten states have comparatively lower rates of addiction-related issues, they are not immune to the impacts of substance abuse. In this section, we examine the factors that have contributed to their rankings and discuss the ongoing efforts to address addiction within their communities.
| State | Treatment Rank | Drug Use Rank | Overdose Rank | Overall Score | Overall Rank | Grade |
|---|---|---|---|---|---|---|
| West Virginia | 48 | 34 | 50 | 100 | 50 | D- |
| Pennsylvania | 43 | 39 | 42 | 94 | 49 | D- |
| New Hampshire | 50 | 44 | 27 | 92 | 47 | D |
| Ohio | 38 | 35 | 48 | 92 | 47 | D |
| Kentucky | 46 | 28 | 45 | 90 | 46 | D |
| New Mexico | 41 | 43 | 34 | 89 | 44 | D |
| Tennessee | 44 | 28 | 46 | 89 | 44 | D |
| Maine | 40 | 31 | 41 | 85 | 43 | D+ |
| Louisiana | 38 | 26 | 44 | 82 | 42 | D+ |
| Indiana | 42 | 19 | 39 | 76 | 41 | C- |
| Rhode Island | 17 | 48 | 34 | 75 | 40 | C- |
| Delaware | 8 | 40 | 49 | 73 | 39 | C- |
| Maryland | 11 | 36 | 47 | 71 | 37 | C- |
| Massachusetts | 20 | 42 | 32 | 71 | 37 | C- |
| Illinois | 36 | 27 | 28 | 69 | 36 | C- |
| California | 21 | 46 | 21 | 67 | 34 | C- |
| Nevada | 17 | 48 | 23 | 67 | 34 | C- |
| Vermont | 10 | 45 | 32 | 66 | 33 | C- |
| Florida | 36 | 11 | 38 | 64 | 32 | C |
| Connecticut | 5 | 36 | 42 | 63 | 31 | C |
| Alaska | 26 | 38 | 17 | 61 | 30 | C |
| Hawaii | 47 | 17 | 15 | 60 | 29 | C |
| Montana | 45 | 28 | 5 | 59 | 28 | C |
| New Jersey | 7 | 32 | 37 | 58 | 27 | C |
| South Carolina | 15 | 24 | 36 | 57 | 26 | C |
| Colorado | 4 | 48 | 22 | 56 | 24 | C |
| Wisconsin | 29 | 20 | 25 | 56 | 24 | C |
| Arizona | 8 | 24 | 40 | 55 | 22 | C |
| North Carolina | 26 | 16 | 30 | 55 | 22 | C |
| Virginia | 32 | 13 | 25 | 53 | 21 | C |
| Alabama | 29 | 17 | 19 | 49 | 18 | C+ |
| Missouri | 21 | 13 | 31 | 49 | 18 | C+ |
| New York | 1 | 40 | 24 | 49 | 18 | C+ |
| Idaho | 49 | 6 | 7 | 47 | 15 | C+ |
| Michigan | 12 | 22 | 28 | 47 | 15 | C+ |
| Oregon | 2 | 46 | 14 | 47 | 15 | C+ |
| Mississippi | 34 | 8 | 17 | 45 | 14 | C+ |
| Washington | 6 | 33 | 19 | 44 | 13 | C+ |
| Oklahoma | 25 | 22 | 8 | 42 | 12 | C+ |
| Georgia | 19 | 20 | 13 | 39 | 11 | C+ |
| Arkansas | 24 | 13 | 10 | 36 | 10 | C+ |
| Utah | 35 | 3 | 8 | 35 | 9 | B- |
| Kansas | 28 | 5 | 10 | 33 | 7 | B- |
| North Dakota | 31 | 2 | 10 | 33 | 7 | B- |
| Texas | 33 | 1 | 4 | 29 | 6 | B- |
| Minnesota | 14 | 8 | 15 | 28 | 5 | B |
| Wyoming | 21 | 12 | 3 | 27 | 4 | B |
| Iowa | 13 | 7 | 6 | 20 | 3 | B+ |
| Nebraska | 16 | 3 | 2 | 16 | 2 | B+ |
| South Dakota | 3 | 10 | 1 | 11 | 1 | A+ |
Factors Influencing Addiction in the United States
Illicit drug use in the United States, particularly synthetic opiates, is a big driver of the addiction epidemic.
Illicit Drug Use
Factors Influencing Drug Abuse in the United States
Illicit drug use is a complex issue in the United States, shaped by a myriad of interconnected factors that influence an individual's propensity to engage in illegal substance use. Understanding the related factors to illicit drug use is crucial in addressing the problem and providing support to those who are affected.
Biological factors
Biological factors, including genetics and brain chemistry, play a vital role in determining an individual's predisposition to drug use. For example, genetic predisposition can affect a person's sensitivity to a drug's effects, the speed of developing an addiction, or the level of withdrawal symptoms experienced.
Environment
Environmental factors have a significant impact on illicit drug use in the United States. The social circle and relationships a person maintains can be influential; peer pressure, exposure to others, and normalization of substance use can all contribute to the initiation or continuation of drug use. Socioeconomic factors, such as employment status, financial strain, or poverty, may also increase the likelihood of engaging in illicit drug use as a form of coping mechanism.
Psychological Factors
Psychological factors, such as mental health, can be a related factor to illicit drug use in the United States. Individuals struggling with depression, anxiety, or other mental health challenges might turn to illicit drugs to self-medicate or to find temporary relief from their symptoms. Additionally, co-occurring disorders create a cyclical relationship between mental health issues and illicit drug use, where each exacerbates the other.
Childhood & Trauma
Lastly, past trauma and adverse childhood experiences are strongly correlated with illicit drug use in the United States. Early life experiences, such as abuse, neglect, or other forms of trauma, may increase the risk of engaging in substance use as a coping mechanism or a form of escape.
In summary, various biological, environmental, psychological, and past trauma factors interconnect and contribute to instances of illicit drug use in the United States. By understanding these related factors, targeted interventions and support can be more effectively tailored to help individuals and communities combat this complex and widespread issue.
Illicit Drug Use Statistics in the United States
Illicit drug use remains a significant public health concern in the United States. Gaining insight into the numbers and understanding the statistics on illicit drug use can help create awareness, inform policy, and establish targeted prevention and intervention strategies.
According to the National Survey on Drug Use and Health (NSDUH) data, about 48.2 million people in the United States aged 12 or older have used marijuana within the past year.
Opioids, particularly prescription pain relievers and synthetic opioids such as fentanyl, have fueled a widespread opioid crisis in recent years, associated with a high number of overdose-related deaths. The latest data suggests that approximately 53 million people globally misuse opioids.
Illicit drug use remains prevalent among different age groups, with adolescents and young adults particularly at risk. The Monitoring the Future (MTF) survey reveals that in the United States, around 38.9% of high school students have tried an illicit drug at least once in their lifetime.
Statistics on illicit drug use are essential not only for understanding the scale of the problem but also for evaluating the effectiveness of prevention and treatment efforts. By shedding light on the use and misuse of various substances across different demographics, these statistics can guide informed decision-making and contribute to improved public health outcomes.
Overdose Deaths in the United States
The chart above demonstrates the relationship between a state overdose rankings and live expectancy. The top 10 states with the highest overdoses per capita have their citizens' lives cut short by an average of 1.3 years.
The Effects of Overdose Deaths on Life Expectancy
The tragic rise in overdose deaths in recent years has had widespread consequences, not only for the individuals directly affected and their loved ones but also for entire communities and the population as a whole. One of the most significant societal impacts of overdose deaths is a decrease in overall life expectancy.
Impact on Life Expectancy from overdose deaths has become especially concerning due to the dramatic spike in cases related to prescription opioids, heroin, and synthetic opioids like fentanyl. It has been reported that the average life expectancy has declined consecutive years, a trend not seen in decades. This decline in life expectancy can be attributed, in part, to the increasing number of overdose deaths contributing to a higher number of premature deaths.
Furthermore, the loss of life at a disproportionately young age compounds the extent to which overdose deaths negatively impact life expectancy. This demographic group, usually young adults, could have potentially contributed several more decades to the workforce, families, and their communities had it not been for their untimely passing due to overdose.
Moreover, the drop in life expectancy as a result of overdose deaths adds further strain on the healthcare system, as the demand for addiction treatment, emergency care, and overdose reversal medications continues to rise. These demands place additional stress on limited medical resources and can detract from the provision of care for other health conditions.
The mounting crisis of overdose deaths has grave consequences that extend far beyond the individuals who lose their lives. The resulting impact on life expectancy underscores the need for urgent, comprehensive measures to address the epidemic effectively, including the promotion of addiction awareness, education, prevention, and accessible treatment options.
Overdose deaths in the United States are accelerating.
The Main Causes of Overdose Deaths in the US
The United States faces a grim reality regarding overdose deaths, as the numbers continue to rise each year. It's vital to identify the top reasons for overdose in the US to create targeted interventions and reduce the devastating impact on individuals and their families. Some of the primary factors contributing to this crisis include:
1. Prescription Opioid Misuse:
The misuse of prescription opioids, such as oxycodone, hydrocodone, and fentanyl, has become a significant issue in the United States. Many people initially receive these medications for pain relief, but a portion of them may develop substance use disorders, leading to addiction and overdoses.
2. Illicit Drug Use:
The consumption of illegal substances, such as heroin or synthetic opioids, can lead to accidental overdose due to the unpredictability of their potency and purity. The surge in the use of fentanyl and other synthetic opioids has contributed to an increasing number of overdose fatalities in recent years.
3. Polydrug Use:
Combining multiple substances, whether intentional or accidental, can magnify the risks of overdose. Core examples include mixing alcohol with opioids, benzodiazepines, or stimulants, leading to dangerous and sometimes fatal interactions.
4. Inadequate Harm Reduction Services:
Overdose deaths are more likely to occur in communities without adequate harm reduction services, such as naloxone distribution and syringe exchange programs. These services can help prevent fatalities by providing necessary resources, training, and support to at-risk individuals.
5. Mental Health Issues:
Overdose deaths are often linked to untreated or inadequately treated mental health conditions such as depression, anxiety, or post-traumatic stress disorder. These individuals may use substances to self-medicate, leading to increased risk of overdose.
Addressing the top reasons for overdose in the US requires a comprehensive approach, involving increased access to treatment programs, harm reduction services, public awareness of risk factors, and mental health services. By focusing on these critical areas, there is hope for reducing overdose deaths and mitigating the profound impact on individuals, families, and communities nationwide.
Addiction Treatment Can Reduce Overdose Deaths
The alarming increase in overdose deaths highlights the dire need for comprehensive and accessible overdose prevention and treatment initiatives. Access to overdose prevention and treatment plays a crucial role in reducing the number of fatalities and promoting public health.
Overdose prevention programs emphasize the importance of early identification and timely intervention to avert the progression of the overdose. Access to Naloxone, a medication designed to quickly reverse an opioid overdose, is one of the vital components of these programs. By making Naloxone readily available to the public, the chances of reducing opioid-related deaths can be significantly improved. In addition, increasing awareness through information campaigns and training first responders on how to use Naloxone can play an essential role in saving lives.
Treatment for substance abuse and addiction is another critical aspect of addressing the overdose crisis. Providing access to evidence-based treatments, such as Medication-Assisted Treatment (MAT), can help individuals overcome their addiction and reduce the risk of a potential overdose. Furthermore, enhancing healthcare infrastructure and expanding access to trained healthcare professionals can greatly improve the quality of care received by those at risk of an overdose.
Prevention and treatment initiatives should also take into account the complex nature of addiction and address the underlying factors that contribute to misuse of substances. By promoting mental health services and addressing social determinants of health, such as housing, employment, and education, we can create a more comprehensive strategy to tackle the issue of overdose deaths.
In summary, improving access to overdose prevention and treatment is paramount in the fight against the surge in overdose deaths. By adopting a multifaceted approach that combines emergency interventions, addiction treatment, and preventive measures, we can create a safer and healthier society for all.
Sources
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Centers for Disease Control and Prevention (CDC) - National Vital Statistics System (NVSS)
Source: https://www.cdc.gov/nchs/nvss/index.htm
Description: The NVSS provides data on overdose death rates and other vital statistics in the United States. -
Substance Abuse and Mental Health Services Administration (SAMHSA) - Substance Use Treatment Facility Locator
Source: https://findtreatment.samhsa.gov/
Description: SAMHSA's treatment facility locator provides information on substance use treatment facilities across the United States. -
Substance Abuse and Mental Health Services Administration (SAMHSA) - Treatment Episode Data Set (TEDS)
Source: https://www.samhsa.gov/data/data-we-collect/teds-treatment-episode-data-set
Description: TEDS is a national data system that provides information on treatment admissions and discharges for substance use disorders. -
Substance Abuse and Mental Health Services Administration (SAMHSA) - National Survey on Drug Use and Health (NSDUH)
Source: https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health
Description: NSDUH is an annual survey that provides national and state-level data on the use of tobacco, alcohol, and illicit drugs, as well as mental health in the United States.