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🏜️ The Rehab Desert: Mapping America's Alcohol Treatment Gap

An analysis of 13,460+ treatment facilities reveals a stark divide in access to alcohol rehab across the United States

3 states have fewer than 2 rehab facilities per 100,000 residents
By the Alcoholism.org Research Team  |  April 23, 2026
Home › Research › The Rehab Desert
3
States Are "Rehab Deserts"
(Fewer than 2 facilities per 100k)
Texas, Puerto Rico, South Carolina
1.55
Facilities per 100k in Texas
Most Underserved State
453 facilities for 29,145,505 residents
11.08
Facilities per 100k in Maine
Best-Served State
151 facilities for 1,362,359 residents
13,460
Total Facilities Analyzed
Across 52 states and territories

📊 State Rankings: Facilities per 100,000 Residents

States ranked from most underserved (fewest facilities per capita) to best served. Click any column header to sort.

# State Total Facilities Per 100k Population Status
1 Texas 453 1.55 29,145,505 🏜️ Rehab Desert
2 Puerto Rico 52 1.58 3,285,874 🏜️ Rehab Desert
3 South Carolina 97 1.9 5,118,425 🏜️ Rehab Desert
4 Alabama 113 2.25 5,024,279 ⚠️ Underserved
5 Florida 539 2.5 21,538,187 ⚠️ Underserved
6 Georgia 278 2.6 10,711,908 ⚠️ Underserved
7 California 1,198 3.03 39,538,223 ⚠️ Underserved
8 Nevada 97 3.12 3,104,614 ⚠️ Underserved
9 New York 644 3.19 20,201,249 ⚠️ Underserved
10 Virginia 283 3.28 8,631,393 ⚠️ Underserved
11 Mississippi 98 3.31 2,961,279 ⚠️ Underserved
12 Wisconsin 205 3.48 5,893,718 ⚠️ Underserved
13 Washington 269 3.49 7,705,281 ⚠️ Underserved
14 Oklahoma 141 3.56 3,959,353 ⚠️ Underserved
15 New Jersey 357 3.84 9,288,994 ⚠️ Underserved
16 Louisiana 185 3.97 4,657,757 ⚠️ Underserved
17 Pennsylvania 524 4.03 13,002,700 ⚠️ Underserved
18 Michigan 407 4.04 10,077,331 ⚠️ Underserved
19 District of Columbia 29 4.21 689,545 ⚠️ Underserved
20 Missouri 262 4.26 6,154,913 ⚠️ Underserved
21 Ohio 516 4.37 11,799,448 ⚠️ Underserved
22 Delaware 44 4.44 989,948 ⚠️ Underserved
23 Illinois 576 4.5 12,812,508 ⚠️ Underserved
24 Rhode Island 50 4.56 1,097,379 ⚠️ Underserved
25 Colorado 264 4.57 5,773,714 ⚠️ Underserved
26 Arkansas 138 4.58 3,011,524 ⚠️ Underserved
27 North Carolina 481 4.61 10,439,388 ⚠️ Underserved
28 Oregon 198 4.67 4,237,256 ⚠️ Underserved
29 Connecticut 169 4.69 3,605,944 ⚠️ Underserved
30 South Dakota 42 4.74 886,667 ⚠️ Underserved
31 Tennessee 334 4.83 6,910,840 ⚠️ Underserved
32 Massachusetts 372 5.29 7,029,917 ✅ Adequate
33 Kansas 156 5.31 2,937,880 ✅ Adequate
34 New Hampshire 83 6.03 1,377,529 ✅ Adequate
35 New Mexico 133 6.28 2,117,522 ✅ Adequate
36 Idaho 116 6.31 1,839,106 ✅ Adequate
37 Hawaii 92 6.32 1,455,271 ✅ Adequate
38 Minnesota 363 6.36 5,706,494 ✅ Adequate
39 Indiana 436 6.43 6,785,528 ✅ Adequate
40 Nebraska 129 6.58 1,961,504 ✅ Adequate
41 Montana 72 6.64 1,084,225 ✅ Adequate
42 Arizona 477 6.67 7,151,502 ✅ Adequate
43 Iowa 213 6.68 3,190,369 ✅ Adequate
44 West Virginia 136 7.58 1,793,716 ✅ Adequate
45 Vermont 52 8.09 643,077 ✅ Adequate
46 Maryland 503 8.14 6,177,224 ✅ Adequate
47 Utah 278 8.5 3,271,616 ✅ Adequate
48 North Dakota 68 8.73 779,094 ✅ Adequate
49 Wyoming 52 9.01 576,851 ✅ Adequate
50 Kentucky 453 10.05 4,505,836 ✅ Adequate
51 Alaska 78 10.64 733,391 ✅ Adequate
52 Maine 151 11.08 1,362,359 ✅ Adequate

📈 Visual: Facilities per 100,000 by State

States sorted from most underserved (top) to best served (bottom). The treatment gap is stark — Maine has 7x more facilities per capita than Texas.

🏜️ Rehab Desert (<2/100k)
⚠️ Underserved (2–5/100k)
✅ Adequate (>5/100k)
TX
1.55
PR
1.58
SC
1.9
AL
2.25
FL
2.5
GA
2.6
CA
3.03
NV
3.12
NY
3.19
VA
3.28
MS
3.31
WI
3.48
WA
3.49
OK
3.56
NJ
3.84
LA
3.97
PA
4.03
MI
4.04
DC
4.21
MO
4.26
OH
4.37
DE
4.44
IL
4.5
RI
4.56
CO
4.57
AR
4.58
NC
4.61
OR
4.67
CT
4.69
SD
4.74
TN
4.83
MA
5.29
KS
5.31
NH
6.03
NM
6.28
ID
6.31
HI
6.32
MN
6.36
IN
6.43
NE
6.58
MT
6.64
AZ
6.67
IA
6.68
WV
7.58
VT
8.09
MD
8.14
UT
8.5
ND
8.73
WY
9.01
KY
10.05
AK
10.64
ME
11.08

🔍 Key Findings

The Treatment Desert Crisis: 3 states — Texas, Puerto Rico, South Carolina — have fewer than 2 treatment facilities per 100,000 residents. Texas, the second-most populous state in the nation with nearly 30 million people, has just 453 facilities — a rate of only 1.55 per 100,000 residents.

The Access Divide: 28 additional states fall in the "Underserved" category (2–5 facilities per 100k), meaning 31 out of 52 states and territories lack adequate treatment infrastructure.

The Best-Served States: Maine leads the nation with 11.08 facilities per 100,000 residents, followed by Alaska (10.64), Kentucky (10.05), Wyoming (9.01), and North Dakota (8.73). Notably, these tend to be smaller states where state-funded programs play a larger role.
Methodology: This analysis examined 13,460 alcohol and substance use treatment facilities listed on Alcoholism.org as of April 23, 2026. Facilities per capita were calculated using 2024 U.S. Census Bureau population estimates. A "Rehab Desert" is defined as a state with fewer than 2 treatment facilities per 100,000 residents — a threshold aligned with public health research on minimum care infrastructure. This analysis covers SAMHSA-registered facilities offering alcohol treatment, detox, or co-occurring disorder services.

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Journalists and researchers may use this data freely with attribution to Alcoholism.org. We are happy to provide custom data cuts, state-specific breakdowns, or expert commentary for your story.

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Citation: "The Rehab Desert: Mapping America's Alcohol Treatment Gap" — Alcoholism.org Research Team, April 23, 2026. https://alcoholism.org/research/rehab-desert/

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