"While a wide range of evidence-based screening, intervention, treatment and disease management tools and practices exist, they are rarely employed," the report found. Lack of effective treatment in the teen years can blight an entire life.

He calls it a former life, the years of drinking that led to five DUIs, ending with jail time and years of probation.   In his current life, he analyzes data at Sioux Falls-based Face It TOGETHER, using technology to help people get well and to destigmatize addiction care. This year he was also named a Bush Foundation Fellow and is examining what it means to be a leader, and how addiction—treated and untreated—can have a ripple effect on communities.