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State Data

Addiction in Illinois: Current Statistics, Trends, and Care Access

This state brief summarizes the most current, consistent state-level indicators available from CDC datasets covering overdose mortality, opioid dispensing, and binge drinking patterns.

Data years used: 2021-2024. Last updated February 28, 2026.

Key Statistics

Illinois Addiction at a Glance

27.3
Drug overdose deaths per 100,000 in 2023 (-9.0% from 2022)
Source: CDC 2023
22.5
Opioid overdose deaths per 100,000 in 2023, the leading drug category
Source: CDC 2023
32.5
Opioid prescriptions per 100 persons in 2024 (ranked #30 of 50 states)
Source: CDC 2024
18.3%
Adult binge-drinking prevalence in 2021 (ranked #22 of 50 states)
Source: CDC 2021
Overdose Data

Overdose Burden in Illinois

CDC age-adjusted drug overdose death rates show Illinois went from 30.0 per 100,000 in 2022 to 27.3 per 100,000 in 2023, a year-over-year change of -9.0%. CDC classified this as significant decrease.

Illinois ranked #35 of 50 states among all states for overdose mortality in 2023.

Illinois is in the middle range of state overdose mortality rates in 2023.

Drug Categories

Which Drug Categories Drive Overdose Deaths?

CDC 2023 state rates by drug category (per 100,000): any opioid at 22.5, synthetic opioids (excluding methadone) at 20.6, psychostimulants at 4.6, cocaine at 11.1.

The highest reported category in Illinois is Any opioid.

These drug-specific categories overlap in CDC mortality reporting and should not be added together.

Prescribing

Opioid Prescribing Environment

CDC state dispensing data show that Illinois had 32.5 opioid prescriptions per 100 persons in 2024. Illinois is ranked #30 of 50 states among all states. The 50-state median is 35.5 prescriptions per 100 persons.

High prescribing rates indicate sustained opioid exposure in the population and reinforce the need for careful prescribing practices, patient education, PDMP use, and non-opioid pain options where clinically appropriate.

Alcohol

Alcohol Binge-Drinking Indicators

CDC alcohol data show an adult binge-drinking prevalence of 18.3% in 2021, ranking Illinois #22 of 50 states among all states.

Among adults who binge drink, the median number of drinks per episode is 5.6, with the 75th percentile at 7.9 drinks (2022 data).

Alcohol indicators help quantify addiction risk beyond illicit and prescription drugs.

Priorities

Practical Priorities for Illinois

Sustain prevention gains and keep overdose response coverage in place to prevent reversals in trend.

Continue responsible prescribing safeguards while monitoring local pockets with higher opioid exposure risk.

Include alcohol screening and brief intervention in routine care and behavioral health settings.

Improve treatment navigation through 988, FindTreatment.gov, and local referral partnerships to reduce delays in care.

Frequently Asked

Common Questions About Addiction in Illinois

How severe is overdose mortality in Illinois right now?

In 2023, Illinois's age-adjusted drug overdose death rate was 27.3 per 100,000, compared with 30.0 in 2022.

Did overdose mortality rise or fall from 2022 to 2023?

The rate changed by -9.0%, and CDC classified this as significant decrease.

Which substances are most associated with overdose deaths in Illinois?

In 2023, the highest reported category was Any opioid at 22.5 deaths per 100,000, based on CDC selected drug categories.

Is opioid prescribing in Illinois high compared with other states?

Illinois is ranked #30 out of 50 states in 2024 opioid dispensing rate at 32.5 prescriptions per 100 people.

What do the alcohol indicators show for Illinois?

CDC reports a 2021 adult binge-drinking prevalence of 18.3% in Illinois, with a 2022 median intensity of 5.6 drinks per binge episode.

Why might some values be listed as "not reported"?

CDC suppresses some estimates when counts are too small to meet reliability criteria (shown as an asterisk in source tables).

What is the fastest way to get help in a crisis?

Call or text **988** for immediate, 24/7 mental health and substance-use crisis support.

Where can people in Illinois find treatment options today?

Use **FindTreatment.gov** or call SAMHSA's National Helpline at **1-800-662-HELP (4357)** for confidential 24/7 referral support.

What if someone has no insurance or limited coverage?

SAMHSA's helpline can help connect people to state-funded or lower-cost treatment options and local referral pathways.

Are these the newest numbers available?

Yes for the cited datasets as of February 28, 2026, but indicator years differ by source (2021-2024).

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