Understanding Drug & Alcohol Addiction in Iowa



Iowa's Addiction Trends
Substance use affects people of all ages and walks of life across Iowa. In recent years, overdose rates have risen steadily, particularly from opioids and methamphetamine. According to the Iowa Department of Public Health, in 2022, Iowa reported more than 470 drug overdose deaths—a 40% increase over the past five years. While Iowa has one of the lower overdose rates in the nation, the trend is moving in the wrong direction.
Opioids remain a serious concern. Nearly 80% of Iowa’s overdose deaths involved opioids, with synthetic opioids like fentanyl leading the charge. Fentanyl is especially dangerous due to its potency and its increasing presence in counterfeit pills and mixed substances. Methamphetamine use is also widespread in both rural and urban communities, accounting for more than 25% of all Iowa treatment admissions.
Alcohol misuse continues to have a major impact on the state’s health as well. Iowa has one of the highest binge drinking rates in the country with over 21% of adults reporting binge drinking at least once in the past month, significantly higher than the national average. College towns and rural areas alike are struggling with the consequences, from liver disease to impaired driving.
Youth substance use also deserves attention. While tobacco and alcohol use among Iowa teens has declined slightly, vaping and marijuana use are on the rise. Nearly 30% of 11th graders in Iowa reported using e-cigarettes in the past month, and about 16% reported using marijuana.
These numbers tell a story—but they’re only part of it. Behind each statistic is a real person, a real family, and a real chance for recovery. At Hickory Treatment Centers, we offer that opportunity through individualized treatment, community support, and clinical excellence.
If you or someone you love needs help, please call 800-639-0069 for a confidential, no-obligation consultation. We will answer your questions and help you navigate your insurance or Medicaid.
Grinnell, IA – Coming Soon
If you or someone you love is struggling with addiction, know that you’re not alone—and you don’t have to navigate recovery by yourself. At Hickory Treatment Center in Iowa, we offer evidence-based treatment, heartfelt support, and a commitment to your long-term wellness. Reach out to us today and take the first step toward a healthier, sober future. Your recovery starts here.
If you need help, please call our compassionate team 24 hours a day, 7 days a week. Our center is not yet open, however, we are always available to answer your questions and help you navigate your insurance. 800-639-0069 or contact us online