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When Wyatt Earp acted as Assistant Marshall of Kansas and the other brave men who held the post of Marshall (sorry, this doesn't include Matt Dillon. He wasn't real) were the chief law enforcement officers for their territories, what substance abuse addiction did exist was limited mainly to alcohol, morphine, or opium. There may have been other types of addiction, but they were not as well known.

Those responsible for enforcing the laws in Kansas today do not have it that easy. They have to deal with alcohol, cocaine, marijuana, heroin, and methamphetamine, as well as the various club drugs such as Ecstasy, and all the other substances of abuse that are so prevalent in every state today.

In fact, at one time, Kansas's entire population was probably 14,133. A recent survey only included that many people out of the entire current population at the time of the survey, and that was enough to give a picture of the substance abuse problems in Kansas as of the time of the survey.

The marshals certainly did not have to deal with something called methamphetamine, or meth for short. According to the survey, however, 1,160 of the 14,133 respondents have admitted to meth use or abuse.
As mentioned earlier, Kansas did have to deal with alcohol addiction. Practically every Western TV show or movie, even the historically accurate ones, had a scene where someone was in the local jail "sleeping one off", if he was lucky.

The show or movie didn't show someone rolling back and forth on the bunk or on the floor of the cell moaning, sweating, and possibly vomiting as he suffered alcohol withdrawal symptoms.

Thankfully, today, the 6,803 Kansas residents who admitted to alcohol addiction or addiction to both alcohol and drugs do not have to go through that. Neither do the 1,160 meth users. Many of Kansas's 204 treatment centers for drug and alcohol abuse have facilities that allow them to provide palliative care while someone goes through detoxification from alcohol, methamphetamine, or whatever substance it is that has caused their addiction. Those that don't are ready to receive the patients when they have passed through the detox stage, and are ready to participate in the program that will allow them to resume their lives without having to resort to drugs or alcohol.

The treatment centers provide counseling, both individual and group, as well as family counseling. Some centers have the capability of providing both in-patient and out-patient treatment while others are waiting to receive those who have already completed in-patient treatment or only require out-patient treatment.
Some of the treatment centers are waiting for the 5.9% of adolescents, ages 12-17, who need treatment for their meth addiction. These young people will be taken care of in a facility that is designed for their age group, or at the very least in one area of a main campus that has been set aside just for them.

Substance abuse addiction could, and did, happen back then just as it does today. Some of the more prominent citizens of Kansas may have been able to travel to New York or even overseas to "take the cure" as it was referred to; others without financial means probably did not have that or any other options.

Today, however, everyone has access to the services provided by Kansas treatment centers, because they accept many forms of payment. Some are state or federally funded, so it may be possible for a person to receive help free or at a greatly-reduced fee. Others may even offer financial plans, or are affiliated with companies who loan money for medical procedures, and consider rehabilitation at treatment centers as falling into that category.

People may not have had many choices for substance abuse treatment in the old days as they do today. This is only one way that things have improved. It is now up to those people requiring the services of treatment centers to take advantage of them.

http://www.justice.gov/ndic/pubs3/3600/meth.htm
http://www.drugs.ku.edu/~alcohol/policies/

Kansas Drug Rebab Centers and Kansas Addiction Treatment Programs