4 Best Dual Diagnosis Rehab Centers In Montana

Updated on March 23, 2026

Montana dual diagnosis rehab centers offer a wide range of treatment options and services for people with co-occurring substance use and mental health disorders, such as therapy and medications.

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To achieve this goal, we set strict guidelines for our editorial team to follow when writing about facilities and utilize behavioral healthcare experts to review medical content for accuracy.

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The following is a list of criteria we use when selecting treatment centers:

  • State Licensure And National Accreditation
  • Exceptional Google And Other User-Generated Reviews
  • Unique Programming And Offerings
  • Years In Operation
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Treating a dual diagnosis effectively requires a specialized approach that addresses both conditions at the same time rather than focusing on one in isolation. Montana has a number of dual diagnosis rehab centers staffed by clinicians who are trained to provide integrated care for individuals navigating both addiction and mental health challenges. These facilities offer a range of therapeutic and medical services designed to help clients work through the full complexity of their situation and build a stable foundation for long-term recovery.

Co-occurring disorders is a broad term that refers to the presence of more than one disorder at the same time, whether that is two mental health conditions occurring together or a mental health condition alongside a substance use disorder. When a person is dealing with both a substance use disorder and a mental health condition such as depression, anxiety, or PTSD simultaneously, this is specifically referred to as a dual diagnosis. The two conditions are often deeply intertwined, with each one influencing and worsening the other if left unaddressed.

List Of Dual Diagnosis Rehab Programs In Montana

Below, you can find a list of dual diagnosis treatment centers in Montana that have been vetted for high-quality services.

Quality addiction treatment services are indicated by the following:

  • accreditation
  • certification
  • licensure
  • client testimonials
  • other marks of quality care
Disclosure: These facilities are selected by our editorial team based on independent research. This list includes some of the top-rated options but is not exhaustive. Learn more about our criteria.

Paid advertisements may appear on this page and are always clearly identified.

Boulder, Montana

#1 Elkhorn Treatment Center

Elkhorn Treatment Center offers addiction treatment near Clancy, MT under Boyd Andrew Community Services (BACS), a state-funded provider of evidence-based chemical dependency services to people in the correctional system.

Elkhorn Treatment Center is a 50-bed residential behavioral health center for women in the correctional system experiencing addiction and co-occurring mental illness. The facility serves as an alternative to incarceration, offering clients a modified therapeutic community focused on reducing recidivism.

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Elkhorn Treatment Center offers addiction treatment near Clancy, MT under Boyd Andrew Community Services (BACS), a state-funded provider of evidence-based chemical dependency services to people in the correctional system.

Elkhorn Treatment Center is a 50-bed residential behavioral health center for women in the correctional system experiencing addiction and co-occurring mental illness. The facility serves as an alternative to incarceration, offering clients a modified therapeutic community focused on reducing recidivism.

The staff offers substance use disorder treatment, support and management of acute and chronic mental illness, onsite drug testing, parenting classes, criminal thinking coursework, trauma-based care, and anger management classes.

Clients are accepted through referrals from DOC commitments and may include parole and probation violators, conditional release violators, and inmates of the Montana Women’s Prison.



  • Substance use disorder treatment
  • Support and management of acute and chronic mental illness
  • Onsite drug testing
  • Parenting classes
  • Criminal thinking coursework
  • Trauma-based care
  • Anger management classes

Kalispell, Montana

#2 Logan Health

Inpatient and outpatient drug rehab programs for substance abuse and co-occurring mental health disorders are available at Logan Health. Treatment programs for children, adolescents, and adults with co-occurring disorders are available.

Clients receive care from a team of psychiatrists, psychiatric nurses, mental health specialists, and therapists. Therapy is provided through one-on-one, couples’, and family sessions. Clients can also receive depression screenings and support, substance use assessments, diagnoses, and treatment of psychiatric disorders.

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Inpatient and outpatient drug rehab programs for substance abuse and co-occurring mental health disorders are available at Logan Health. Treatment programs for children, adolescents, and adults with co-occurring disorders are available.

Clients receive care from a team of psychiatrists, psychiatric nurses, mental health specialists, and therapists. Therapy is provided through one-on-one, couples’, and family sessions. Clients can also receive depression screenings and support, substance use assessments, diagnoses, and treatment of psychiatric disorders.

Treatment options also include symptom stabilization, medications, and care coordination. Also included is access to 12-step fellowships, such as Alcoholics Anonymous (AA) and Al-Anon family groups.

A depression support group is offered free to the public here on Wednesdays at 12 p.m. for an hour and a half.



  • Inpatient
  • Outpatient
  • Therapy (one-on-one, couples, family)
  • Depression screenings and support
  • Substance use assessments
  • Diagnoses and treatment of psychiatric disorders
  • Symptom stabilization
  • Medications
  • Care coordination
  • Access to 12-step fellowships (AA, Al-Anon)

Billings, Montana

#3 Rimrock Foundation

Rimrock Foundation provides addiction recovery programs in Billings, MT, for people with substance abuse and co-occurring mental health issues. You or a loved one can find treatment for substance abuse and PTSD, depression, an anxiety disorder, or another mental health disorder.

Rimrock embraces a holistic approach, addressing clients’ emotional, physical, social, and spiritual needs.

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Rimrock Foundation provides addiction recovery programs in Billings, MT, for people with substance abuse and co-occurring mental health issues. You or a loved one can find treatment for substance abuse and PTSD, depression, an anxiety disorder, or another mental health disorder.

Rimrock embraces a holistic approach, addressing clients’ emotional, physical, social, and spiritual needs.

Staffed by a team of physicians, physician assistants, nurses, and rehabilitation technicians, the medical withdrawal management program provides supervision and care around the clock during withdrawal.

Inpatient treatment represents Rimrock’s most comprehensive program, providing clients with an immersive experience free from external distractions. Rimrock’s day treatment program offers intensive care on an outpatient level, providing four-hour sessions five days a week and incorporating psychiatric services, therapy, and counseling. The intensive outpatient program (IOP), designed for people ages 18 and above with stable mental and physical health and a supportive recovery environment at home, offers a structured but less intensive approach to outpatient recovery.



  • Inpatient
  • Day Treatment
  • Intensive Outpatient Program (IOP)
  • Medical withdrawal management
  • Psychiatric services
  • Therapy
  • Counseling
  • Holistic approach (emotional, physical, social, spiritual needs)

Great Falls, Montana

#4 Rocky Mountain Treatment Center

Co-occurring disorder treatment is integrated into all levels of addiction recovery at this Great Falls, MT treatment center. Offering a continuum of care, programs here range from medically supervised detoxification to day treatment programs and ongoing support.

Rocky Mountain Treatment Center integrates a variety of therapeutic modalities, including 12-step programming, equine therapy, family engagement, yoga, and meditation, to support clients in achieving sustainable recovery. The detox program provides essential support for clients experiencing challenging withdrawal symptoms, facilitating a safe and more comfortable path to recovery.

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Co-occurring disorder treatment is integrated into all levels of addiction recovery at this Great Falls, MT treatment center. Offering a continuum of care, programs here range from medically supervised detoxification to day treatment programs and ongoing support.

Rocky Mountain Treatment Center integrates a variety of therapeutic modalities, including 12-step programming, equine therapy, family engagement, yoga, and meditation, to support clients in achieving sustainable recovery. The detox program provides essential support for clients experiencing challenging withdrawal symptoms, facilitating a safe and more comfortable path to recovery.

Emphasizing recreational activities, the facility offers opportunities for sports, gym sessions, artistic pursuits, hiking, outings to parks and museums, bowling, and karaoke. Family education programs foster an understanding of how addiction impacts families and empower clients and their loved ones to cultivate stronger bonds.



  • Detoxification
  • Day Treatment
  • 12-step programming
  • Equine therapy
  • Family engagement
  • Yoga
  • Meditation
  • Recreational activities (sports, gym, art, hiking, outings, bowling, karaoke)
  • Family education programs

Types Of Treatment For Co-Occurring Disorders At Rehab Centers In Montana

Most addiction treatment centers with programs for co-occurring disorders offer a range of modalities to treat a variety of mental health and substance use disorders.

Therapies may include:

  • cognitive behavioral therapy
  • motivational interviewing
  • contingency management
  • dialectical behavior therapy

Treatment centers may also take a holistic approach, incorporating experiential therapies, such as equine therapy. They may also prescribe psychotropic medication for mental health disorders or recommend medication-assisted treatment for opioid or alcohol use disorders.

How Common Is Dual Diagnosis In Montana?

Co-occurring disorders are more widespread than many people realize. According to SAMHSA’s 2024 National Survey on Drug Use and Health, approximately 21.2 million adults in the United States have a co-occurring mental illness and substance use disorder. This represents 34.5% of all adults with any mental illness and 47.3% of adults with serious mental illness. People with a mental health condition are at a significantly higher risk of developing a substance use disorder, and the reverse is equally true.

Despite how common dual diagnosis is, access to integrated treatment remains a challenge for many. Only 14.5% of those with co-occurring disorders receive integrated treatment for both conditions, while 41.2% receive no treatment at all. In Montana, behavioral and mental health needs remain a critical concern, with rates of depression and anxiety consistently running higher than the national average. For residents dealing with both addiction and a mental health condition, finding a facility equipped to treat both simultaneously is an essential step toward lasting recovery.

How To Choose A Dual Diagnosis Treatment Center In Montana

Dual diagnosis treatment varies depending on the facility. Below, we’ve outlined a few ways to find the right facility for yourself or a loved one.

Determine The Level Of Care

Montana dual diagnosis rehab facilities often provide services at different levels of care. This may include live-in care or treatment that has clients visit the site but remain living at home or at a sober living home.

For people who require more care and supervision, an inpatient or residential treatment program is the ideal option.

Find Specialized Dual Diagnosis Programs

Many treatment centers in Montana have specialized dual diagnosis care and offer individualized treatment plans that treat both disorders together.

Services to look for include:

  • behavioral therapy, such as cognitive behavioral therapy (CBT) or DBT
  • medication management and administration
  • psychological testing and evaluation
  • psychiatric care
  • medical care
  • family programs
  • group therapy
  • support groups for certain co-occurring disorders

Look For Top-Rated Care

It’s also important to select a treatment facility for drug and alcohol addiction that features credentials that prove a high quality of care.

This might include:

  • certifications
  • accreditations
  • licensed staff
  • high Google ratings
  • client testimonials

FAQs About Dual Diagnosis Treatment

If you want to know more about substance use disorder and mental health treatment in Montana, read through the answers to frequently asked questions below.

Dual diagnosis rehab centers in Montana usually accept health insurance, including private health insurance, Medicare, and Montana Medicaid for addiction treatment.

Most of the programs are geared toward adults, but some rehab centers offer teen-only treatment programs for adolescents facing a dual diagnosis.

In Montana, the most commonly diagnosed and treated dual diagnoses are substance abuse and depression, anxiety disorders, PTSD, and bipolar disorder.

Dual diagnosis treatment includes comprehensive ADHD evaluation, behavioral therapies specifically designed for ADHD (like CBT adapted for attention challenges), organizational skills training, and medication management when appropriate.

Medical staff may also prescribe non-stimulant ADHD medications or carefully monitored stimulants.

If you’re concerned about a loved one with co-occurring disorders, approach them with compassion rather than judgment.

Talk to them about specific behaviors you’ve observed, emphasizing care for their well-being.

You can also research treatment options beforehand so you can offer concrete resources, such as those offered on this page.

Find Dual Diagnosis Treatment Today

Browse our directory or reach out to the Substance Abuse and Mental Health Services Administration (SAMHSA) for more information about addiction recovery.

Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.

These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.

This page does not provide medical advice. See more
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