New Freedom Center

They offer inpatient residential, inpatient hospital, outpatient and detox. The practical difference is whether you sleep at home or at the center, and are 8 other centers inside 14 miles if neither suits.

They handle detox for opioids, alcohol, benzodiazepines, cocaine and methamphetamines. Ask how many days theirs lasts, because that varies more between places than people expect and Bismarck has 8 other centers to compare.

They take court referrals, which usually means they are used to the reporting side of it. Courts in Bismarck send people to places set up for it rather than to any opening.

They do not prescribe medication. For opioid use that is worth knowing before you choose, because medication changes what the first weeks look like, and Bismarck has 8 other centers.

Bismarck has 9 NA meetings too, and most people end up using both.

Dual diagnosis means both are present, and treating them together is the current standard of care. Which came first is usually impossible to untangle and rarely changes what should happen next. Ask whether both are treated in the same place or one after the other.

There is almost always a family role, and centers differ most in how early it starts. The first conversation with a center can be had by a family member, before the person using is ready to make a call. Ask what the household should have in place before the first weekend at home.

There is no standard course. Programs are built in fixed lengths and people move between them. The early part of any program is mostly stabilizing, and the work people picture when they think of treatment starts after that. If you can only be away for a fixed period, say so at the start rather than partway through.