Addressing behavioral health issues, like mental illness and substance use disorders, is a top priority for Montana communities. In surveys of health needs carried out by Montana’s local health departments and hospitals, behavioral health issues rank as the most important health challenges in many Montana communities.

Historically, there has been a severe shortage of prevention specialty treatment options, especially in remote rural areas. The statistics that show how the lack of prevention and treatment options has impacted Montanans are grim: Montana consistently has among the highest rates of mortality due to drugs, alcohol, and suicide in the nation.

• Between 2007 and 2018, drug overdoses were the fourth leading cause of injury-related death, accounting for over 1,400 lives lost in the state.
• In 2019, nearly 80% of substance use-related emergency medical service calls involved alcohol (the most commonly used substance).
• In 2020, alcohol-related deaths surged, accounting for over 260 deaths – the most in the last 20 years.
• 250 Montanans take their own lives annually. 42% of suicide victims had alcohol in their systems.
• In 2019, one-in-ten high school students reported a suicide attempt in the previous year.

Primary care plays a central role in screening for, diagnosing, and treating mental illness and substance use disorders in Montana and nationally. We focus on integrating behavioral health into primary and prenatal care to ensure these practices have the resources to provide team-based care and meet the needs of their communities. We also support a range of prevention and specialty behavioral health treatment initiatives.