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The Challenge

The Challenge

The impacts of Substance Use Disorders reverberate throughout our community. In Yellowstone County:

  • More than 50% of residents say their life has been negatively impacted by a Substance Use Disorder (either their own or someone else’s)
  • 4,000 adolescents and adults are dependent on or abusing illicit drugs.
  • 9,500 adolescents and adults are dependent on or abusing alcohol.
  • Methamphetamine is the #1 illicit drug of choice for patients in treatment.
  • The violent crime rate grew 81% in Yellowstone County from 2010-2017.
  • Child neglect cases grew 149% from 2014-2018.
  • 80% of neglect cases are due to substance use
Download 2023 Healthy By Design CHNA Assessment


One in three high school students personally knows an adult who has used marijuana, cocaine or other drugs in the last year. (2018 PNA)


One in five teens personally knows at least one adult who has dealt or sold drugs in the past year. (2018 PNA)


One in six teens reports that it would be easy to get a illicit drugs if they wanted to (2018 PNA)


Based on focus group participants, 6 out of 7 first substance use was between age 10-12)

Community Data Resources

Community Health Needs Assessment Report - Yellowstone County, Montana

Billings Police Department Crime Data Hub

Montana Youth Risk Behavior Survey

Montana Behavioral Risk Factor Surveillance System

Montana Prevention Needs Assessment Survey

Treatment Episode Data Set