Substance Misuse & Abuse Prevention


I am seeking help or treatment

I am seeking prevention information

I am seeking mental health resources


During this time of building closures and social distancing, St. Louis County continues to provide assistance to those seeking substance use related services. Rule 25's are being done remotely by phone. Eligible St. Louis County residents seeking a Rule 25 can call the intake line:  218-725-5260  to schedule. If you are unsure if you are eligible, please call and we will go through eligibility requirements with you.

If you have concerns about a loved one's use or are looking for resources and would like to speak with a SUD social worker, email: RangeDuluth and we will respond within 24 hours, if not sooner, to provide assistance.

And finally, our SAPII team is available to provide trainings on a variety of topics via ZOOM or WebEx to organizations seeking training alternatives for their staff.  Contact us for more information about scheduling: Range; Duluth

Thank you and stay well.

Seeking Help or Treatment

Between July 1, 2018 to July 1, 2020 The State of Minnesota will be reforming the Substance Use Disorder treatment system. Changes include moving away from the current “Rule 25” assessment to a “Direct Access” approach. The direct access approach will allow individuals to go directly to a treatment provider to receive a comprehensive assessment and initiate treatment services. The St. Louis County Substance use disorder Unit will be going through changes during the next 2 years. Please continue to revisit this page or the State of Minnesota’s Department of Human Services ADAD webpage for additional changes to ADAD.

Minnesota Treatment Providers

Assessments- Rule 25 /Comprehensive Assessments

This is the process where a trained individual assesses the individual to determine whether they need substance use disorder treatment services.  Currently income eligible individuals who reside in St. Louis County can contact the Substance Use Disorder Unit to schedule an assessment. Contact information is: 

St. Louis County Intake:

Pending federal approval, individuals will be able to go directly to a treatment provider for an assessment, and to initiate treatment services. 

Treatment Funding / Rule 24 / CCDTF

Treatment funding is available to income eligible individuals who reside in St. Louis County, & have completed either a Rule 25 or comprehensive assessment.  Individuals in need of treatment funding will need to come in to apply for funding.  The application process involves a short meeting with a substance use disorder social worker.  In the event an individual is not eligible for County treatment funding a substance use disorder social worker will attempt to make an appropriate referral to access treatment resources.

In Duluth funding interviews are held on Tuesdays from 2:00-3:00 P.M.  

Contact information is:

South St. Louis County
218-726-2204 or 800-450-9777 ext. 2204

North St. Louis County
218-262-6054 or 800-450-9777 ext. 8354.

Case Management / Care Coordination

Individuals eligible for treatment funding for substance use disorder treatment are able to have a substance use disorder social worker assigned to their case.  Substance Use Disorder social workers can assist with funding, treatment referrals, and aftercare planning and resources.  Contact information is:

South St. Louis County

North St. Louis County 

Civil Commitment

Individuals whose substance use presents as habitual and excessive and presents an imminent life-threatening danger to themselves or others may be placed under a Civil Commitment.  Civil Commitment generally begins after a medical doctor has determined an individual meets all of the above noted criteria, followed by a court order.

Individuals placed under Civil Commitment due to substance use, will be assigned a substance use disorder social worker to coordinate care and necessary treatment services. 

South St. Louis County Substance use disorder Unit 

Government Services Center (GSC)
320 W 2nd St
Duluth, MN 55802

North St. Louis County Substance use disorder Unit

Courthouse Annex
1814 14th Ave E
Hibbing, MN 55746

Northland Office Center
307 1st St S
Virginia, MN 55792

Other Resources For Seeking Help

Substance Abuse Prevention & Intervention Initiative (SAPII)

The Substance Abuse Prevention and Intervention Initiative was established by the St. Louis County Board of Commissioners in 2014. The individuals that serve on this initiative provide a wide array of services including: consultation, professional development, community education, and outreach programs.


The groups listed below help St. Louis County communities prevent & treat drug misuse & abuse.

For anyone seeking help, a rule 25 assessment, or more information regarding treatment please  contact:

St. Louis County Intake 218-725-5260

To request a substance abuse prevention education event or tool kits, please reach out to the employee in your region:

Southern St. Louis County 

Marcia Gurno
Social Worker

Matt Johnson
Social Worker

Stephany Medina
Public Health Educator

Northern St. Louis County

Cheryl Bisping
Public Health Educator

Bryan Johnson
Social Worker

Key to Acronyms:

  • BAC - Blood Alcohol Content
  • CDC - Center for Disease Control and Prevention
  • DEA - Drug Enforcement Agency
  • NIH - National Institutes of Health
  • SAMHSA - Substance Abuse and Mental Health Services Administration