Statistics
& reports.

Original analysis computed from federal SAMHSA data: where treatment exists, who can pay for it, and which communities have been left with nothing. Every number is independently verifiable, and journalists are welcome to cite any of it.

10 Reports
National

Treatment Deserts 2026: The Counties With Nothing

Hundreds of U.S. counties have no substance use treatment facility at all. Every county named, and every one individually re-verified against the live findtreatment.gov locator before publication.

1,071 Counties Checked, One by One

Texas

Texas's Treatment Deserts: 132 Counties With Nothing

More than half of Texas's 254 counties have no substance use treatment facility at all, and 1,786,729 people live in them, more than the population of Hawaii. Every county named and re-verified, with the measured distance from each to its nearest facility. In Terrell County, that distance is at least 115 miles.

132 Counties Verified, One by One

Missouri

Missouri's Treatment Deserts: 12 Counties With Nothing

12 Missouri counties, home to 74,957 people, have no substance use treatment facility of their own. Nine sit in the state's northern tier, and for four of them the nearest facility is in Nebraska or Iowa, not Missouri.

12 Counties Verified, One by One

Virginia

Virginia's Treatment Deserts: 21 Counties and Cities With Nothing

14 Virginia counties and 7 independent cities, home to 332,224 people, have no substance use treatment facility of their own. Every one named and re-verified, with the measured distance from each to its nearest facility.

21 Counties Verified, One by One

South Dakota

South Dakota's Treatment Deserts: 38 Counties With Nothing

More than half of South Dakota's counties have no substance use treatment facility at all. Every county named and re-verified, with the measured distance from each to its nearest facility.

38 Counties Verified, One by One

Georgia

Georgia's Treatment Deserts: 52 Counties With Nothing

One Georgia county in three has no substance use treatment facility at all. Every county named and re-verified, with the measured distance from each to the nearest facility a family there could actually reach.

52 Counties Verified, One by One

National

Medicaid Acceptance at Rehab Facilities, Ranked by State

Medicaid is the largest payer of U.S. addiction treatment, yet acceptance ranges from above 90% of facilities in the best states to under 30% in the worst. Every state and territory, ranked.

12,072 Facilities Analyzed

National

U.S. Drug Rehab Statistics 2026

The national picture from the federal facility dataset: detox and residential availability, Medicaid and telehealth coverage, low-cost care, and a full state-by-state table of every metric.

12,072 Facilities Analyzed

California

The 2025 California Addiction Treatment Report

An in-depth look at access to care based on official 2024 SAMHSA data, highlighting treatment gaps and the Medicaid coverage divide across the state.

1,130 Facilities Analyzed

Ohio

The 2026 Ohio Addiction Treatment Report

A detailed analysis identifying critical treatment gaps in underserved communities, against the backdrop of Ohio's high Medicaid acceptance rates.

472 Facilities Analyzed