Rimrock Foundation, located in Billings, Montana, is the region's largest drug and alcohol addiction treatment center. It focuses on substance use and co-occurring disorders, treating individuals with a whole-person approach. It has been licensed as a Mental Health Center for over 30 years and offers innovative therapeutic modalities.
Rimrock's mission is to "create opportunity and balance to overcome addiction through innovative, compassionate, and whole-person care." Licensed by the State of Montana as a Mental Health Center, it has been serving the community for over 30 years.
- Offers medically monitored 24/7 inpatient program in a freestanding setting.
- Provides comprehensive treatment modalities including bio-psycho-social assessments and family therapy.
- Features amenities like a yoga studio, hiking trails, and art activities for holistic healing.
- Specializes in treating co-occurring mental health conditions alongside addiction.
Treats a variety of addictions including substance use, eating disorders, and gambling addictions. Services benefit adults with substance use disorders and co-occurring mental health conditions.
- 3+ Accreditations
- 17 Conditions Treated
- LGBTQ+ Allied
- Insurance Accepted
- 11 Levels of Care
- Speaks English
- 35 Therapies & Programs
Accreditations
NAATP

JCAHO

CARF
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
Staff
- Malcolm HornPh.D., LCSW, MAC, SAPDirector of Mental Health ServicesDirector of Mental Health Services
- Ben RandolphMSW, SWLC, MACMental Health Professional
- Carrie ReevesMA, LCPC, LAC, CCTPMental Health Professional
- Debbie KnutsonDirector of Patient CareOver 20 years of nursing experience
Conditions and Issues Treated
Substance Abuse + Addiction Treatment
Substance abuse refers to the intensive and inappropriate use of psychoactive substances. Psychoactive substances are those that affect brain function. These include illegal drugs, alcohol, and even the excessive use of prescription drugs. The overuse of psychoactive substances leads to severe physical or psychological dependence. It also affects the social life and relationships of the affected individual. Substance abuse is treatable.
The duration of treatment at RimRock - Billings in Billings can require weeks or even months depending on the severity of the condition as there is a risk of relapse. Treatment options include medications, counseling sessions, various types of behavioral therapy, and group therapy in different combinations.
Opioid + Opiate Addiction Treatment
Addiction to prescription opioid painkillers like oxycodone and hydrocodone, and illicit opioids such as heroin, leads to potentially life-threatening withdrawal symptoms when discontinued. Opioid addiction treatment typically involves an inpatient stay at facilities like RimRock - Billings to make sure they get through withdrawal safely. Treatment also includes comprehensive mental health counseling.
Dual-Diagnosis
Mental illness includes conditions such as anxiety, depression, schizophrenia, bipolar disorder. It can also happen that mental illness causes drug addiction and vice versa. RimRock - Billings in Montana knows it is vital to diagnose dual diagnosis or co-occurring disorder.
Levels of Care
This center offers a variety of custom treatment tailored to individual recovery. Currently available are Aftercare Support, Detox, Drug Rehab, Dual-Diagnosis, Inpatient, Intensive Outpatient, Intervention, Outpatient, Partial-Hospitalization, Residential, Sober-Living / Half-Way, with additional therapies available as listed below.
One of the first things an addict should do when entering treatment is to abstain from using illicit drugs completely. Depending on the length of time that the person has been using, the addict may have to go through alcohol or drug withdrawal. Fortunately, detox doesn’t have to be done alone, and withdrawal symptoms can be managed medically in an inpatient or outpatient setting. While detox may be uncomfortable, it is not life-threatening. Detoxification allows the addict to rid the body of all traces of drugs or alcohol and gives the addict a clean slate for their recovery.
Inpatient programs are intensive regimes that require individuals suffering from serious addictions to admit themselves into a controlled environment. Inpatient programs in Montana generally span over 28 days to six months. The first step in an inpatient program is medically assisted detox. Doctors and addiction specialists at RimRock - Billings monitor the individual’s vital signs as the drugs leave their system. Some inpatient rehab programs also provide counseling for family members to provide encouragement and emotional support. In inpatient programs, patients have access to 24-hour medical supervision.
Daily trips to the hospital that provides the treatment include intensive outpatient services (IOP). IOP in Montana is appropriate for patients in residential recovery facilities that have been diagnosed with addiction. Patients return to their everyday lives gradually, increasing the likeliness of success in treatment.
To assist with alcohol or opioid abuse, or a co-occurring condition, RimRock - Billings offers an outpatient treatment program. For their rehabilitation and other services, the Montana patient will go to the treatment center, yet return home every night. After most of the program is completed, the level of mandatory participation reduces.
To protect those dealing with acute symptoms of addiction, a partial hospitalization program is ideal in the treatment process. This ensures that the person is cared for in a hospital-like environment in Billings, MT during the battle against drug addiction effects. Most PHPs need therapy for about six hours, at least three days a week.
Sober living houses in Montana help the patient to smoothly transition from a formal treatment program to a normal life. They are also known as recovery residences or half-way houses. SLH like RimRock - Billings provide the advantage of residing with a peer-group who had similar experiences.
Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient’s individual requirements.
Treatment is just a first step in sustaining sobriety. After rehabilitation, counseling for aftercare helps the person adapt to a life without drugs. A sober living facility in Billings, job therapy, or educational assistance may be included in this service, managed by RimRock - Billings. This is when a preventive strategy for relapse starts to take shape.
RimRock - Billings‘s Therapies & Programs
In addiction recovery at RimRock - Billings, therapy plays a significant role. This helps patients get to the root of their addiction and discover how the problems that contributed to their use can be handled better. Therapy can be performed in a group and one on one settings. The patient interacts with the therapist in a one-on-one atmosphere during individual therapy. This encourages them to reflect on the underlying addiction problems and develop ways to avoid potential future abuse.
Recovering from addiction involves recovering relationships as well. One of the most common areas of stress and damage during addiction is in intimate relationships. Couples therapy at RimRock - Billings can rebuild trust and joy that may have been damaged. Addiction involves everyone in the family, not only the addict.
Family roles can change in damaging ways that may require professional help to rebalance. Successful intimate relationships can decrease the chances for relapse by ensuring a healthy environment after rehab in Billings, MT.
Addiction and alcoholism affect the entire family. For this reason, family therapy is vital to a person’s recovery from addiction. In contrast to couples counseling, family therapy at RimRock - Billings may include siblings, children, parents, and other significant people in the recovering person’s life. Family support is one of the most important pillars of recovery.
Many people turn to drugs and alcohol as a way of processing trauma that has affected them in the past. Trauma can include abuse, neglect, the loss of a loved one and other unpleasant incidents. Trauma therapy at RimRock - Billings helps patients process trauma. It gives them the tools to deal with it in a healthier manner.
Dialectical behavioral therapy (DBT) is a type of Cognitive Behavioral Therapy that focuses on eliminating specific negative thoughts such as suicidal thoughts that can potentially lead to an individual inflicting self-harm. It is useful in the treatment of patients exhibiting uncontrollable emotions, intense mood swings, and borderline personality disorders.
The term “Dialectic” means the integration of opposites. In the substance abuse context, DBT refers to accepting the patient’s addiction and working to change their thoughts and behavior. It improves life skills such as controlling the intense emotions without reacting impulsively, resolving the interpersonal conflicts effectively, and promoting awareness about self and others.
Cognitive Behavioral Therapy (CBT) examines the relationship between a patient’s thoughts, feelings and behaviors. RimRock - Billings aims to establish a healthy response to thoughts and feelings as an alternative to turning to drugs and alcohol. It also promotes healthy communication between addicts and those around them. It is and effective therapy for people suffering with all types of addictions.
EMDR therapy is combined with behavioral therapies to address the root cause of the problem. The rapid eye movements reduce the patients’ negative feelings related to the trauma and promote calmness and relaxation.
The recovery technique used by Alcoholics Anonymous is the 12 step program, but it can relate to any form of addiction. The 12 steps that addicts must take on the road to recovery are explained. Measures include acknowledging that you have a problem and agreeing to turn around your life. The curriculum, instructed by RimRock - Billings, also requires a belief in a greater power and making amends to others.
It’s no surprise that diet is a crucial player in one’s well-being. What an individual puts into his or her body becomes the fuel that drives the mental and physical faculties to perform accordingly. Therefore, nutrition therapy, also known as medical nutrition therapy (MNT), guarantees that an individual is providing his or her mind and body with proper nourishment.
The right diet can improve a person’s general outlook, sleep habits, and thought processing skills. MNT also lowers the occurrence of chronic diseases such as adult-onset diabetes. Dieticians at RimRock - Billings in Billings, Montana believe that nutrition therapy is the key to making significant lifestyle changes, especially when it comes to personal care.Nicotine Replacement Therapy (NRTC) used products like skin patches and gum to deliver nicotine into the bloodstream of people trying to quit smoking. This helps break the habits associated with smoking. The very low doses of nicotine managed by RimRock - Billings prevent cravings while helping people make a gradual transition to complete smoking cessation.
Payment Options
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Location & Contact

1231 N 29th St
Billings, MT 59101
Phone Number
(406) 248-3175
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Billings, Montana Addiction and Treatment
Montana has one of the highest rates of drug and alcohol abuse in the nation. More than 280,000 of its residents engage in drug or alcohol abuse every year. Marijuana, in particular, is heavily used among high school students. Despite these daunting trends, the state is grappling with the issue head-on.
Nestled amidst mountain ranges, Billings boasts a vibrant arts scene and ample outdoor recreation opportunities along the Yellowstone River. Sadly, in 2021, Yellowstone County faced Montana's highest number of fatal opioid overdoses, while the first quarter of 2023 saw a staggering 41 calls related to opioid overdoses in the county.
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