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Hamilton, MT

Top Hamilton, MT Drug and Alcohol Rehab Centers

Hamilton lies in Montana, close to Corvallis, Pinesdale and Charlos Heights. Outpatient programs are listed within reach, with telehealth appointments. This corner of Montana is served by providers spread across neighboring communities rather than clustered together. Browse the best Hamilton options below. We aim to review listings against sources such as Montana Department of Public Health and Human Services facility records, national treatment records and accreditation records from CARF or the Joint Commission. Residents of Victor, Darby and Stevensville use this page. Take the next step with the best options listed below.

Rehab Centers Near You

Drug and Alcohol Rehab Centers in Hamilton, MT

Starr Counseling and Addiction Svcs – Missoula

1515 Fairview Avenue, Missoula, MT 59801

4.8★★★★★24

State licensed

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Trauma-informedVeteransTeens+6

Starr Counseling and Addiction Svcs operates from 1515 Fairview Avenue in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Bonner-West Riverside, East Missoula and Lolo. Distance matters here, and the nearest option is not always the one that fits. Outpatient care is delivered here, alongside telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the useful first question is…

1.5 miSouth Hills5.9 miMissoula Montana AirportServes6 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +32 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · Recurrence Prevention · Weekend Rehab

Therapies

12 Step Rehab · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Individual Therapy · Motivational Interviewing · Trauma Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Trauma Treatment

Groups served

Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · +45 more

Support services

Community Outreach · Practical Support · Recovery Support Services · Self Help Groups · Waitlist Interim Services

Insurance accepted

Medicaid · TRICARE

Community Medical Services – Missoula

2415 South Catlin Street, Missoula, MT 59801

4.5★★★★★31

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

MATMethadoneTrauma-informed+6

Deaf and HoH

Community Medical Services operates from 2415 South Catlin Street in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Bonner-West Riverside, East Missoula and Lolo. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside medication-assisted treatment, an opioid treatment program and telehealth appointments. Which level fits depends on the assessment rather than on…

1.6 miSouth Hills5.7 miMissoula Montana AirportServes6 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +25 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · Recurrence Prevention · +1 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's Trauma Rehab · Men's TRICARE Rehab · +25 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Hepatitis C Treatment · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Transportation to Rehab

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Cigna Healthcare · Medicaid · Medicare · TRICARE

Eleanor Health – Missoula

3010 Santa Fe Court, Missoula, MT 59808

4.1★★★★☆12

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

SeniorsYoung adultsCouples+2

Eleanor Health operates from 3010 Santa Fe Court in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include East Missoula and Orchard Homes. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the useful first question is…

2.3 miNorth Hills3.4 miMissoula Montana AirportServes5 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Adult Rehab · Couples Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC) · VA Community Care · WellCare (Centene)

Providence St Patrick Hospital – Missoula

902 North Orange Street, Missoula, MT 59802

4.2★★★★☆~~727~~

SAMHSA listed

InpatientPHPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Co-occurring DisordersTrauma-informedVeterans+7

Providence St Patrick Hospital operates from 902 North Orange Street in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Bonner-West Riverside, East Missoula and Orchard Homes. Distance matters here, and the nearest option is not always the one that fits. Hospital inpatient care, partial hospitalization and outpatient care are delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

2.5 miNorth Hills5.3 miMissoula Montana AirportServes5 towns

Substances treated

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Partial Hospitalization Program (PHP) · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · ECT Therapy · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +2 more

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · +5 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Legal Advocacy Support · Military Family Dual Diagnosis Rehab · Military Family Medicare Rehab · Military Family Outpatient Rehab · Military Family Rehab · Military Family Telehealth · Military Family Trauma Rehab · +24 more

Support services

Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Suicide Prevention Services

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Winds of Change – Missoula

3000 Palmer, Missoula, MT 59808

3.8★★★★☆31

State licensed

ResidentialOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+1

Co-occurring DisordersTrauma-informedVeterans+10

Winds of Change operates from 3000 Palmer in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include East Missoula and Orchard Homes. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Residential treatment and outpatient care are delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on…

2.2 miNorth Hills3.3 miMissoula Montana AirportServes5 towns

Substances treated

Adderall Rehab · Chronic Pain and Substance Use · Concerta Rehab · Dexedrine Rehab · Kratom Rehab · Nicotine and Tobacco Treatment · Pain and Addiction Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Stimulant Rehab · +1 more

Levels of care

30-Day Rehab · Abstinence-Based Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Continuing Care · Depression Retreat · Discharge Planning · Dual Diagnosis Retreat · Evening Treatment · +16 more

Therapies

Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +3 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · PTSD Treatment · +3 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +76 more

Support services

Case Management · Intensive Case Management · Peer Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services

Insurance accepted

Medicaid · Medicare · TRICARE

AWARE Inc – Missoula

3335 LT Moss Road, Missoula, MT 59804

3.0★★★☆☆4

SAMHSA listed

ResidentialOutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

Trauma-informedVeteransTeens+4

AWARE Inc operates from 3335 LT Moss Road in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include East Missoula, Lolo and Orchard Homes. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Residential treatment and outpatient care are delivered here, alongside telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the…

2.5 miSouth Hills5.4 miMissoula Montana AirportServes6 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

30-Day Rehab · Anxiety Retreat · Depression Retreat · Evening Treatment · Mental Health Retreat · Online Rehab and Telehealth · Outpatient Rehab · PTSD Retreat · Rehab Transfers · Residential Rehab · +4 more

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Residential Rehab · Senior Telehealth · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · Teen Residential Rehab · +7 more

Support services

Case Management · Housing and Employment Support · Housing Assistance · Recovery Support Services · Supported Housing

Insurance accepted

Medicaid · Medicare · TRICARE

Yellowstone Boys and Girls Ranch – Missoula (619 SW Higgins)

619 SW Higgins, Missoula, MT 59803

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+4

Co-occurring DisordersTrauma-informedTeens+5

Yellowstone Boys and Girls Ranch operates from 619 SW Higgins in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Bonner-West Riverside, East Missoula and Lolo. Distance matters here, and the nearest option is not always the one that fits. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is…

0.9 miSouth Hills6.7 miMissoula Montana AirportServes6 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · +6 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · PTSD Treatment · Serious Emotional Disturbance · +2 more

Groups served

Adult Rehab · Couples Rehab · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · Men's Telehealth · Men's Trauma Rehab · Men's TRICARE Rehab · Teen Boys Dual Diagnosis Rehab · +26 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Therapeutic Foster Care

Insurance accepted

Medicaid · TRICARE · VA Community Care

Yellowstone Boys and Girls Ranch – Missoula (775 West Gold Street)

775 West Gold Street, Missoula, MT 59803

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+4

Co-occurring DisordersTrauma-informedTeens+5

Yellowstone Boys and Girls Ranch operates from 775 West Gold Street in Missoula. The site sits in Missoula County, which shapes which public funding routes apply. Nearby communities include Lolo. Montana draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is available,…

3.9 miSouth Hills11 miMissoula Montana AirportServes6 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

Medicaid · TRICARE · VA Community Care

Yellowstone Boys and Girls Ranch – Hamilton

111 Baker Street, Hamilton, MT 59840

COA accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts TRICARE+4

Co-occurring DisordersTrauma-informedTeens+5

Yellowstone Boys and Girls Ranch operates from 111 Baker Street in Hamilton. The site sits in Ravalli County, which shapes which public funding routes apply. The practical catchment runs wider than the city limits, taking in people who travel in rather than finding care on their doorstep. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is available,…

8.0 miCanyon Falls47 miMissoula Montana AirportServes2 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Insurance accepted

Medicaid · TRICARE · VA Community Care

Rehabs by setting in Montana

Other parts of Montana, and what each is near.

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Common questions about Hamilton

Answered from what is listed here.

Where is the nearest larger treatment hub to Hamilton?

Missoula is about 42 miles from Hamilton and carries a wider set of entries, so that is the drive worth making when a level of care is missing from what is held closer to home in Ravalli County.

Billings, Eureka and Bonner-West Riverside are listed on their own as well, though the distances across Montana mean people usually travel for a program they cannot find nearer.

Rehabs in Missoula, MThttps://rehabseekers.com/locations/us/montana/missoula/

Are partial hospitalization programs available in Hamilton?

Partial hospitalization shows on the Hamilton listings, filling the clinical day and letting people return home overnight. Residential beds, telehealth, standard counseling and medication-assisted treatment are on Ravalli County records too, for anyone in work.

Partial Hospitalization Programs (PHP)https://rehabseekers.com/programs/outpatient/php/

Are there addiction treatment programs for teens in Hamilton?

Under-18 placements are listed in Hamilton, where a residential placement can come first, followed by daytime clinical sessions and then weekly counseling once school and family routines in Ravalli County return to something like their normal shape.

Montana Medicaid is accepted by providers here, TRICARE cover is marked on entries where a provider accepts it, and pregnancy-related provision is flagged on some of them.

Teen Rehabhttps://rehabseekers.com/specialized/teen-rehab/

Which facilities in Hamilton accept Medicaid?

Montana Medicaid is honored by providers on the Hamilton listings, and each record names the plans held, with charges adjusted for income and state-funded places shown too. Residential care in Ravalli County is priced at $7,000 to $30,000 in a month and day treatment at $7,500 to $14,000 over the same period.

Rehabs That Accept Medicaidhttps://rehabseekers.com/insurance-accepted/medicaid/

Who licenses rehab facilities in Hamilton?

Ravalli County providers are licensed by the Montana DPHHS Office of Inspector General, a state matter separate from CARF accreditation, and the two are labeled clear of federal registration on each Hamilton record.

State Licensed Rehabhttps://rehabseekers.com/licensing/state-licensed/

Setting and Surroundings

How far Hamilton sits from the nearest airport, nature and hospital care, measured from its map coordinates.

Airport

Missoula Montana Airport

46 miles

Hill or mountain

Don Mackey Point

Dutch Hill 5.2 mi · Mill Point 6.3 mi

4.1 miles

Lake

Tag Alder Lake

Hauf Lake 8.4 mi · Wyant Lake 8.6 mi

6.0 miles

Hospital

Bitterroot Health - Daly Hospital

Nearest emergency department · Hospitals within 10 miles: 1

0.7 miles

Map of listings and nearby features

Zoom in to split a group into its listings.

Loading map…

12 Group of listings Single listing Feature from the list above

Distances are straight line, not driving distance.

Addiction Treatment in Hamilton, MT

Montana funds a share of its treatment system out of the liquor tax, and the split is fixed in statute rather than argued over each session: twenty percent of alcohol tax revenue is paid as grants to state-approved alcoholism programs, with a further 6.6 percent going to programs handling co-occurring mental illness and chemical dependency. That funding line is why the phrase people hear in Montana is state approved rather than in network.

The page carries listings, 2 of them inside a twenty-five mile ring, and the closest sits 18 miles away in Dual Diagnosis Rehab. Beyond the Bitterroot floor, the roads north lead to Stevensville, Lolo, Missoula and Orchard Homes, which is where heavier programs are found.

Care available on the doorstep is outpatient in shape, running to residential inpatient care, partial hospitalization, outpatient services, medication-assisted treatment and dual diagnosis care, and across Ravalli County that is a reasonable choice. It will not suit everybody. Someone who needs a bed, or medical cover through withdrawal, is arranging that further up the valley, and the sooner an assessment happens the sooner the referral can be written.

Checking a program is worth ten minutes. Approval is granted by the Treatment Bureau inside the Behavioral Health and Developmental Disabilities Division of Montana DPHHS, whose program officer maintains a list of approved providers that is refreshed at least quarterly, with monitoring shared with the department’s Office of Inspector General. Facility licensure is a separate matter handled by a different bureau, so a program may hold one and not the other.

Which Level of Care Do You Need

Level of care is the decision the rest follows from, and an assessment rather than a preference settles it. Across 9, the plain meaning of each term is below.

Detox and Residential Treatment

Detox means withdrawal handled under clinical observation, usually across several days, and it is the starting point for anyone physically dependent on alcohol, opioids or benzodiazepines. Residential care means living on site for weeks with the day built around treatment. Neither is listed at this location, so both involve travel, and the nearest withdrawal management is 79 miles away in Alcohol Rehab. That is a fact to plan around rather than a reason to wait, because the assessment that decides where a person should go can happen close to home and the referral travels with them.

Outpatient Care and Telehealth

Outpatient treatment is built to sit inside an ordinary week, with sessions attended from home and work, school or family left running around them. Provision here is indicated by of the listings, and almost all describe it as part of what they do.

Remote sessions carry more weight in a valley than they do in a city. Telehealth is offered by of these listings, almost all of the page, and over a Bitterroot winter it is often the difference between attending weekly and quietly stopping. Ask what the schedule looks like, how long the wait runs, and what happens after the last session.

Dual Diagnosis and Recovery Residences

Where a mental health condition sits alongside a substance use disorder, dual diagnosis care treats both at once, since working on one and leaving the other tends to undo the effort. Within a twenty-five mile ring, 1 indicate it. Recovery residences, meaning shared alcohol-free and drug-free housing for the months after treatment, are not listed at this location. Montana law is worth knowing anyway: a residence must register with the state, keep opioid-overdose medication on site, train its staff to use it, and report annually.

Cost, Insurance and Local Support in Hamilton, MT

Medical detox in the Montana market runs $1,610 to $5,600 a week, residential care $7,000 – $30,000 and standard outpatient $1,200 – $5,000, all market ranges rather than quotes. Among these listings, almost all accept Montana Medicaid. One date matters: from July 1, 2026 Montana applies work requirements of eighty hours a month, and state statute counts treatment for a substance use disorder as a qualifying activity, with people in inpatient care reported as exempt. The Montana overview sets out the rest.

Standard rehab and detox, Montana market
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,610 to $5,600 a week	$230 – $800
Residential inpatient	$7,000 – $30,000	$230 – $1000
PHP	$7,500 – $14,000	$250 – $470
IOP	$3,000 – $9,000	$100 – $300
Outpatient	$1,200 – $5,000	$40 – $170

Hospitals and Emergency Services in Hamilton, MT

Coming down from stimulants is rarely dangerous physically, though the depression that follows can be, and that is worth planning support around rather than riding out alone. Bitterroot Health – Daly Hospital runs the nearest emergency department to Hamilton. Counting only those with an emergency department, one sit inside twenty-five miles. The closest few are Bitterroot Health – Daly Hospital.

Hospital access matters in two ways. A nearby hospital changes both the emergency picture and the treatment picture, because detox and psychiatric beds are rarely far from one. The lack of local detox means travel for medically supervised withdrawal, so the nearest emergency department carries more weight here than it otherwise would. Joint Commission accreditation is held by a small number of what is listed here. It is voluntary and reviewed by an outside body, so it says more than a license does.