If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.
Hometown NP
ICD-10: F19.20 · MT

Substance Use and Addiction Treatment in Montana

Board-certified Psychiatric Mental Health Nurse Practitioners providing Addiction evaluation, diagnosis, and treatment via secure telehealth throughout Montana.

Serving Billings, Missoula, Great Falls, Bozeman, and all of Montana
Check availability in MT(708) 847-8688
Appointment typeSecure telehealth video
SchedulingCheck current availability
First visit60–75 min evaluation
Follow-ups20–30 min
PrescriptionsSent to your pharmacy
Insurance5 plans in MT

Addiction Care in Montana: What You Need to Know

Access in Montana: Montana has fewer than 80 practicing psychiatrists statewide — approximately 1 per 13,000 residents — with the vast majority concentrated in Billings and Missoula. For the 57% of Montanans who live in rural areas, telehealth is often the only accessible psychiatric care option.

Addiction is a chronic medical condition — not a moral failing or lack of willpower. Substance use disorders involve changes in brain structure and function that drive compulsive drug-seeking despite harmful consequences. Like other chronic diseases, addiction requires ongoing management rather than a single cure.

For Montana residents, telehealth psychiatric care eliminates the barriers of travel, long waits, and geographic isolation. Hometown NP's PMHNPs are fully licensed in Montana and can legally evaluate, diagnose, and prescribe for Substance Use and Addiction via telehealth — from Billings to Butte, and everywhere in between.

About Substance Use and Addiction

The most common substance use disorders include alcohol use disorder, opioid use disorder, stimulant use disorder, cannabis use disorder, and sedative/benzodiazepine use disorder. Co-occurring mental health conditions — particularly depression, anxiety, PTSD, and ADHD — are present in a majority of people with substance use disorders. Treating both simultaneously (integrated care) produces significantly better outcomes than treating either alone.

Prevalence

Over 20 million Americans aged 12 and older had a substance use disorder in the past year. Alcohol and opioids account for the majority of addiction-related deaths and disability.

Symptoms of Substance Use and Addiction

Inability to cut down or control use despite trying
Strong cravings or urges
Tolerance (needing more for the same effect)
Withdrawal symptoms when stopping
Continued use despite negative consequences
Giving up activities due to substance use
Using in dangerous situations
Failed obligations at work, school, or home

Seek help if substance use is affecting your work, relationships, finances, or health — or if you have tried and failed to cut back on your own.

What to Expect: Your First Appointment in Montana

Substance use disorder assessment involves a comprehensive substance use history (types, frequency, quantity, consequences), evaluation of withdrawal risk, screening for co-occurring mental health disorders, and assessment of social support and recovery resources. Your Hometown NP PMHNP uses the AUDIT (alcohol), DAST-10 (drugs), and DSM-5 criteria to diagnose severity. For opioid use disorder, PDMP (Prescription Drug Monitoring Program) review is conducted as required by state regulations.

Addiction Treatment Options in Montana

General evidence-based options for Substance Use and Addiction may include the approaches below. Treatment plans are individualized to your specific symptoms, history, and goals. Hometown NP PMHNPs provide psychiatric evaluation and medication management; psychotherapy, when appropriate, is provided by a separately licensed therapist.

1
Medication-Assisted Treatment (MAT: buprenorphine, naltrexone)
2
CBT for addiction
3
Motivational Enhancement Therapy
4
Dual diagnosis treatment (co-occurring mental health)
Learn about medication management →Learn about cognitive behavioral therapy →Learn about integrative mental health →

Insurance Accepted for Addiction in Montana

AetnaBlue Cross Blue ShieldCignaUnited HealthcareTRICARE

Telehealth parity: Montana law requires health insurers to cover telehealth services for mental health. Your standard mental health benefit applies to your Hometown NP telehealth appointment.

Self-pay rate in Montana: $150/session. We verify your benefits before your first appointment.

How to Get Addiction Treatment in Montana

1

Check Availability Online

No referral needed. Use the scheduling portal to view current appointment options.

2

Complete Intake Forms

Fill out a brief, secure health history before your visit so your PMHNP comes prepared.

3

Meet via Secure Video

Your 60–75 min evaluation takes place by HIPAA-compliant video from wherever you are in Montana.

4

Receive Your Care Plan

Your PMHNP shares a diagnosis, treatment plan, and prescription (if appropriate) at the end of your first visit.

Co-Occurring Conditions We Treat in Montana

Addiction frequently occurs alongside other conditions. Our PMHNPs provide integrated care for:

Anxiety in MontanaDepression in MontanaPTSD in MontanaInsomnia in Montana

All Conditions We Treat in Montana

AnxietyDepressionADHDBipolar DisorderPTSDOCDSchizophreniaPersonality DisordersInsomniaEating DisordersPostpartum DepressionPanic DisorderGriefBurnout

Addiction Treatment in Nearby States

Addiction in IdahoAddiction in North DakotaAddiction in Wyoming

Areas We Serve in Montana

Billings, MTMissoula, MTGreat Falls, MTBozeman, MTButte, MT+ all of Montana

Medical Disclaimer

The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your specific situation. If you are experiencing a mental health emergency, call 911 or go to your nearest emergency room.

Get Addiction Treatment in Montana

Board-certified PMHNPs licensed in Montana. Check current telehealth availability. Aetna, Blue Cross Blue Shield, Cigna and more accepted.

Book AppointmentCall (708) 847-8688