This State Has the Biggest Drug Problem in America, According to Data

Drug misuse is an issue across the U.S.—and in this state, it's particularly bad.

There's no question that the United States has become more lenient when it comes to certain drugs—just look at the increasing number of states legalizing the medicinal and recreational use of marijuana. However, the misuse of harder, more dangerous drugs—particularly opioids and powerful stimulants—is an ever-increasing problem in the U.S., too often with fatal consequences. In fact, opioid overdoses are so high in this country that the Centers for Disease Control and Prevention (CDC) classifies it as an epidemic. With that in mind, Best Life set out to bring more awareness to the issue by identifying the state with the biggest drug problem in America.

To get to the root of the problem, we diligently pored over the most recent results of the National Surveys on Drug Use and Health conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) and used the number of people in each state with illicit drug use disorder (meaning they are addicted to one or more illicit substances) and the most recent population data to calculate how many people have illicit substance use disorder per capita*. According to the survey, illicit drug use "includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine."

Next, we turned to the CDC for the number of drug overdose deaths—primarily caused by cocaine and all forms of opioids—reported in each state for the 12-month period ending July 2020, again using population data to calculate overdose deaths per capita. Finally, we gathered the most recent data from the Federal Bureau of Investigation (FBI) on the number of drug arrests over a 12-month period to include drug-related arrests per capita as our final metric.

We then gave each metric a weighted value before running them through our exclusive algorithm to see how each state scored on our 100-point scale Drug Misuse Index. Read on to discover the state with the biggest drug problem in America, and to see where your state falls. Also, if you or someone you know is struggling with addiction, contact SAMHSA for more information on how to get help.

*Per capita equates to per 100,00 residents in all instances. 

Editor's note: "N/A" indicates that data was not available for that particular metric. We adjusted the algorithm to ensure that each state was scored fairly and accurately.

50
Kansas

cityscape photo of downtown Wichita, Kansas at night
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People with illicit substance use disorder per capita: 1,853.56

Overdose deaths per capita: 13.80

Drug-related arrests per capita: 76.96

Drug Misuse Index Score: 0.00

49
Mississippi

Mississippi
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People with illicit substance use disorder per capita: 1,982.43

Overdose deaths per capita: 14.72

Drug-related arrests per capita: 268.90

Drug Misuse Index Score: 15.66

48
Nebraska

cityscape photo of downtown Omaha, Nebraska
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People with illicit substance use disorder per capita: 1,861.03

Overdose deaths per capita: 9.31

Drug-related arrests per capita: 464.90

Drug Misuse Index Score: 16.69

47
Texas

city skyline of Dallas, Texas at dusk
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People with illicit substance use disorder per capita: 1,572.64

Overdose deaths per capita: 12.83

Drug-related arrests per capita: 480.03

Drug Misuse Index Score: 18.31

And for more details on the substances consumed across the country, This State Has the Most Vices in America, According to Data.

46
Georgia

cityscape photo of fast moving traffic on a highway and building in Atlanta, Georgia at night
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People with illicit substance use disorder per capita: 1,846.02

Overdose deaths per capita: 15.76

Drug-related arrests per capita: 351.22

Drug Misuse Index Score: 20.03

45
Hawaii

cityscape photo of Honolulu, Hawaii at sunrise
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People with illicit substance use disorder per capita: 2,330.72

Overdose deaths per capita: 18.79

Drug-related arrests per capita: 132.29

Drug Misuse Index Score: 20.12

44
Alabama

cityscape photo of Birmingham, Alabama at dusk
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People with illicit substance use disorder per capita: 2,365.81

Overdose deaths per capita: 18.13

Drug-related arrests per capita: 167.58

Drug Misuse Index Score: 21.85

43
Montana

cityscape photo of Missoula, Montana
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People with illicit substance use disorder per capita: 2,619.81

Overdose deaths per capita: 13.01

Drug-related arrests per capita: 255.62

Drug Misuse Index Score: 23.35

42
Washington

city skyline and busy highway in Seattle, Washington at night
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People with illicit substance use disorder per capita: 2,376.92

Overdose deaths per capita: 19.87

Drug-related arrests per capita: 148.17

Drug Misuse Index Score: 23.71

41
New York

cityscape photo of City Hall and the downtown area of Buffalo, New York
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People with illicit substance use disorder per capita: 2,359.47

Overdose deaths per capita: 12.89

Drug-related arrests per capita: 357.63

Drug Misuse Index Score: 24.83

And for the place that doesn't always use the best judgement, This Is the Most Reckless State in America, According to Data.

40
Minnesota

cityscape photo of downtown Saint Paul, Minnesota at dusk
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People with illicit substance use disorder per capita: 2,056.87

Overdose deaths per capita: 16.63

Drug-related arrests per capita: 361.80

Drug Misuse Index Score: 25.88

39
Iowa

des moines iowa skyline
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People with illicit substance use disorder per capita: 2,123.57

Overdose deaths per capita: 13.03

Drug-related arrests per capita: N/A

Drug Misuse Index Score: 26.34

38
Alaska

skyline photo with the Chugach mountains in Anchorage, Alaska at dusk
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People with illicit substance use disorder per capita: 2,733.94

Overdose deaths per capita: 18.45

Drug-related arrests per capita: 142.99

Drug Misuse Index Score: 27.41

37
Idaho

cityscape photos of mountains, moving cars, buildings, and the state capitol in Boise, Idaho at sunset
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People with illicit substance use disorder per capita: 1,902.56

Overdose deaths per capita: 15.00

Drug-related arrests per capita: 491.14

Drug Misuse Index Score: 28.43

36
North Carolina

cityscape photo of downtown Winston-Salem North Carolina at dusk
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People with illicit substance use disorder per capita: 2,154.83

Overdose deaths per capita: 21.43

Drug-related arrests per capita: 256.82

Drug Misuse Index Score: 29.05

35
Illinois

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People with illicit substance use disorder per capita: 2,304.33

Overdose deaths per capita: 26.97

Drug-related arrests per capita: 134.63

Drug Misuse Index Score: 33.28

34
Oklahoma

tulsa oklahoma skyline
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People with illicit substance use disorder per capita: 2,072.29

Overdose deaths per capita: 17.89

Drug-related arrests per capita: 449.23

Drug Misuse Index Score: 33.63

33
Arkansas

cityscape photo of Little Rock, Arkansas at sunset
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People with illicit substance use disorder per capita: 1,921.93

Overdose deaths per capita: 15.14

Drug-related arrests per capita:  583.01

Drug Misuse Index Score: 34.69

32
Oregon

cityscape photo of bridge above lake and building in Portland, Oregon at night
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People with illicit substance use disorder per capita: 2,750.29

Overdose deaths per capita: 16.76

Drug-related arrests per capita: 322.57

Drug Misuse Index Score: 36.00

31
Michigan

city skyline of buildings in downtown Detroit, Michigan at twilight
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People with illicit substance use disorder per capita: 2,112.78

Overdose deaths per capita: 26.25

Drug-related arrests per capita: 303.60

Drug Misuse Index Score: 39.14

30
North Dakota

An aerial view of downtown Fargo, North Dakota
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People with illicit substance use disorder per capita: 2,230.79

Overdose deaths per capita: 11.02

Drug-related arrests per capita: 714.90

Drug Misuse Index Score: 41.54

29
South Dakota

cityscape photo of down Sioux Falls, South Dakota at night
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People with illicit substance use disorder per capita: 1,695.57

Overdose deaths per capita: 10.29

Drug-related arrests per capita: 916.51

Drug Misuse Index Score: 43.27

28
Vermont

city skyline and buildings in Montipelier, Vermont at twilight
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People with illicit substance use disorder per capita: 3,205.18

Overdose deaths per capita: 23.40

Drug-related arrests per capita: 144.55

Drug Misuse Index Score: 44.04

27
Utah

salt lake city utah skyline
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People with illicit substance use disorder per capita: 2,027.48

Overdose deaths per capita: 18.68

Drug-related arrests per capita: 610.18

Drug Misuse Index Score: 44.09

26
Wyoming

cityscape photos of stores and empty street in downtown Jackson Hole, Wyoming at night
Shutterstock

People with illicit substance use disorder per capita: 1,555.05

Overdose deaths per capita: 15.20

Drug-related arrests per capita: 845.78

Drug Misuse Index Score: 44.50

25
New Mexico

cityscape photo of buildings and trees in Albuquerque, New Mexico
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People with illicit substance use disorder per capita: 2,098.41

Overdose deaths per capita: 32.14

Drug-related arrests per capita: 256.34

Drug Misuse Index Score: 45.67

24
Wisconsin

cityscape photos of buildings and house in downtown Milwaukee, Wisconsin at night
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People with illicit substance use disorder per capita: 1,957.94

Overdose deaths per capita: 24.59

Drug-related arrests per capita: 533.56

Drug Misuse Index Score: 47.86

23
Virginia

ocean front and buildings in downtown Virginia Beach, Virginia at dusk
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People with illicit substance use disorder per capita: 2,237.71

Overdose deaths per capita: 21.77

Drug-related arrests per capita: 532.00

Drug Misuse Index Score: 48.08

22
Massachusetts

city skyline and fast moving traffic in Worcester, Massachusetts
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People with illicit substance use disorder per capita: 2,684.08

Overdose deaths per capita: 33.54

Drug-related arrests per capita: 103.37

Drug Misuse Index Score: 48.95

21
Rhode Island

city skyline of and river in Providence, Rhode Island at sunset
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People with illicit substance use disorder per capita: 2,359.91

Overdose deaths per capita: 33.89

Drug-related arrests per capita: 193.42

Drug Misuse Index Score: 49.31

20
Connecticut

panorama photo of Hew Haven, Connecticut at night
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People with illicit substance use disorder per capita: 2,131.67

Overdose deaths per capita: 36.72

Drug-related arrests per capita: 226.83

Drug Misuse Index Score: 51.98

19
California

cityscape photo of downtown Fresno, California at dusk
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People with illicit substance use disorder per capita: 2,766.23

Overdose deaths per capita: 19.17

Drug-related arrests per capita: 554.89

Drug Misuse Index Score: 54.60

And for where you'll probably have a hard time finding too many teetotalers, This Is the Hardest-Partying State in America, According to Data.

18
South Carolina

city skyline and highway in Columbia, South Carolina at night
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People with illicit substance use disorder per capita: 1,728.59

Overdose deaths per capita: 29.25

Drug-related arrests per capita: 662.40

Drug Misuse Index Score: 59.41

17
Indiana

cityscape photo of Indianapolis, Indiana at night
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People with illicit substance use disorder per capita: 2,614.29

Overdose deaths per capita: 30.91

Drug-related arrests per capita: 372.21

Drug Misuse Index Score: 59.98

16
New Hampshire

cityscape photo of Portsmouth, New Hampshire at night
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People with illicit substance use disorder per capita: 2,279.90

Overdose deaths per capita: 30.82

Drug-related arrests per capita: 479.66

Drug Misuse Index Score: 60.51

15
Nevada

Reno at sunrise
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People with illicit substance use disorder per capita: 3,279.05

Overdose deaths per capita: 25.19

Drug-related arrests per capita: 364.85

Drug Misuse Index Score: 61.92

14
Missouri

columbia missouri
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People with illicit substance use disorder per capita: 2,134.44

Overdose deaths per capita: 31.22

Drug-related arrests per capita: 537.39

Drug Misuse Index Score: 62.15

13
Maine

tall buildings and houses in downtown Portland, Maine at dusk
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People with illicit substance use disorder per capita: 2,901.33

Overdose deaths per capita: 33.77

Drug-related arrests per capita: 274.66

Drug Misuse Index Score: 63.78

12
Arizona

cityscape photo of Phoenix, Arizona at night
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People with illicit substance use disorder per capita: 2,349.32

Overdose deaths per capita: 33.54

Drug-related arrests per capita: 443.37

Drug Misuse Index Score: 63.99

11
Colorado

city skyline of Denver, Colorado at night
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People with illicit substance use disorder per capita: 3,820.28

Overdose deaths per capita: 23.82

Drug-related arrests per capita: 280.83

Drug Misuse Index Score: 64.10

10
New Jersey

city skyline and the Passaic River in Newark, New Jersey
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People with illicit substance use disorder per capita: 2.060.30

Overdose deaths per capita: 33.28

Drug-related arrests per capita: 540.50

Drug Misuse Index Score: 64.43

9
Florida

city skyline of and waterfront in St. Petersburg, Flordia
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People with illicit substance use disorder per capita: 1,927.58

Overdose deaths per capita: 32.63

Drug-related arrests per capita: 624.56

Drug Misuse Index Score: 66.19

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8
Pennsylvania

city skyline and the Schuylkill River in Philadelphia, Pennsylvania at dusk
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People with illicit substance use disorder per capita: 2,273.08

Overdose deaths per capita: 38.75

Drug-related arrests per capita: 483.78

Drug Misuse Index Score: 73.73

7
Kentucky

cityscape photo of a river and buildings in Louisville, Kentucky at night
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People with illicit substance use disorder per capita: 2,372.60

Overdose deaths per capita: 40.02

Drug-related arrests per capita: 433.22

Drug Misuse Index Score: 74.46

6
Ohio

cleveland ohio skyline
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People with illicit substance use disorder per capita: 2,634.93

Overdose deaths per capita: 41.97

Drug-related arrests per capita: 339.70

Drug Misuse Index Score: 76.57

5
Maryland

baltimore skyline
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People with illicit substance use disorder per capita: 2,051.05

Overdose deaths per capita: 41.67

Drug-related arrests per capita: 527.88

Drug Misuse Index Score: 77.31

4
Louisiana

cityscape photos of bars and restaurants on Bourbon Street in New Orleans, Louisiana at twilight
Sean Pavone / Shutterstock

People with illicit substance use disorder per capita: 2,151.10

Overdose deaths per capita: 36.98

Drug-related arrests per capita: 654.73

Drug Misuse Index Score: 79.19

3
Tennessee

nashville tennessee skyline
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People with illicit substance use disorder per capita: 2,108.60

Overdose deaths per capita: 39.67

Drug-related arrests per capita: 701.05

Drug Misuse Index Score: 85.73

2
Delaware

cityscape photo of a pier, lake, and buildings at River Walk Park in Wilmington, Delaware at night
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People with illicit substance use disorder per capita: 2,567.36

Overdose deaths per capita: 48.06

Drug-related arrests per capita: 380.69

Drug Misuse Index Score: 87.94

1
West Virginia

charleston west virginia skyline
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People with illicit substance use disorder per capita: 2,120.36

Overdose deaths per capita: 61.83

Drug-related arrests per capita: 337.25

Drug Misuse Index Score: 99.99

And for the state that enjoys one particular substance more than any other, This Is the Most Stoned State in America.

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