I need help but have no insurance — where do I start?

Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.

What's MAT (Medication-Assisted Treatment)?

MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.

Will going to rehab hurt my custody case?

Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.

How long is treatment?

Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.

Substance Abuse in Montana

8 verified resources.

About Substance Abuse for Fathers

Substance abuse treatment in the US is delivered through state-licensed treatment providers, nonprofit recovery programs (AA, NA, SMART Recovery), hospital-based detox, methadone clinics, and sober living houses. SAMHSA's National Helpline (1-800-662-HELP) provides free, confidential referrals to local treatment 24/7. Most states fund a network of publicly-supported treatment centers that accept uninsured and Medicaid clients; the Substance Abuse and Mental Health Services Administration maintains a national treatment locator at findtreatment.gov. Fathers dealing with substance issues during custody disputes often need documented treatment compliance — court-ordered programs exist for this specific purpose. Recovery support includes peer recovery specialists, medication-assisted treatment (MAT), and drug courts. This directory pulls together the state's single state agency for SUD, treatment finders, mutual aid meetings, and MAT providers.

Substance Abuse in Montana

Montana district courts handle family matters in each of its 56 counties across 22 judicial districts. The Child Support Services Division operates under DPHHS. Billings, Missoula, Great Falls, and Bozeman are the largest cities. Montana Legal Services Association is the statewide LSC-funded civil legal aid program, with extensive online self-help for pro se litigants.

8 Resources

1. SAMHSA Helpline – Montana — Free

Free, confidential 24/7 national helpline from the Substance Abuse and Mental Health Services Administration offering treatment referrals and information for Montanans facing substance use or co-occurring mental health issues. Fathers can call for a list of local treatment centers, detox programs, and support groups based on insurance or ability to pay. Staff speak English and Spanish and can provide TTY service.

800-662-4357 · 24/7 · Visit Website

2. Rimrock – Billings — Paid

Comprehensive addiction treatment provider in Billings offering medical detox, residential inpatient, partial hospitalization, intensive outpatient, and aftercare programs for adults struggling with alcohol and drug addiction. Fathers can call the 24/7 admissions line any time to begin an assessment; most commercial insurance, Medicaid, and self-pay options are accepted. Family programming helps loved ones recover alongside.

406-248-3175 · 1231 N 29th St, Billings, MT 59101 · 24/7 admissions · Visit Website

3. Boyd Andrew Community Services – Helena — Paid

Helena-based nonprofit offering substance use treatment, DUI evaluations, pre-release and probation services, and community corrections programming. Fathers can schedule an assessment with a licensed addiction counselor who recommends outpatient or intensive outpatient treatment. Services are covered by Medicaid, most insurance, and sliding-scale self-pay. The agency also works with the courts on ordered treatment plans.

406-442-0180 · 316 Fuller Ave, Helena, MT 59601 · Mon-Fri 8am-5pm

4. Pathways Treatment Center – Kalispell — Paid

Substance use treatment program on the Logan Health Kalispell campus serving the Flathead Valley and northwest Montana. Offers assessment, medically supervised detox, inpatient stabilization, and referral to outpatient treatment for adults with alcohol or drug addiction. Fathers concerned about their own use or a loved one's can call to schedule an assessment; most commercial plans and Medicaid are accepted.

406-756-4474 · 200 Heritage Way, Kalispell, MT 59901 · Mon-Fri 8am-5pm

5. AA Meetings – Montana — Free

Alcoholics Anonymous operates hundreds of free, confidential 12-step meetings across Montana in cities, small towns, and tribal communities. Fathers trying to stop drinking can search the AA locator by ZIP code to find in-person, phone, or online meetings today. No dues, no appointments, and no paperwork are required — just show up or log in. Some meetings are men-only and some are specifically for newcomers.

Varies by meeting · Visit Website

6. NA Meetings – Montana — Free

Narcotics Anonymous holds free 12-step recovery meetings across Montana for men and women addicted to drugs of any kind. Fathers can search by city on the NA meeting locator to find in-person and virtual meetings, including newcomer-friendly groups and men's meetings. NA is anonymous, confidential, and open to anyone with a desire to stop using — no cost, no sponsorship form, and no medical records required.

Varies by meeting · Visit Website

7. Eastern Montana Community Mental Health – SAT — Paid

Eastern Montana Community Mental Health Center's substance abuse treatment program in Miles City serves Custer County and surrounding rural eastern Montana. Fathers can access assessment, outpatient counseling, intensive outpatient, DUI programs, and medication-assisted treatment referrals. Most commercial insurance and Medicaid are accepted; sliding-scale fees are available. Intake begins with a phone call or walk-in.

406-234-1688 · 2508 Wilson St, Miles City, MT 59301 · Mon-Fri 8am-5pm · Visit Website

8. Fort Peck Tribes – Substance Abuse Program — Free

Fort Peck Tribes' substance abuse program in Poplar provides culturally grounded assessment, counseling, group therapy, and traditional healing for enrolled tribal members of the Assiniboine and Sioux tribes. Fathers can call the Tribal Health Department to request an appointment; services integrate ceremony, talking circles, and Western clinical practice. Treatment is offered at no cost to eligible tribal members.

406-768-2300 · Poplar, MT 59255 · Mon-Fri 8am-5pm · Visit Website

Substance Abuse — Common Questions

I need help but have no insurance — where do I start?: Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.
What's MAT (Medication-Assisted Treatment)?: MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.
Will going to rehab hurt my custody case?: Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.
How long is treatment?: Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.