Addiction Treatment Centers in South Dakota | 46 Rehab Facilities

South Dakota offers 46 licensed addiction treatment facilities, providing one of the lowest otp-per-capita rates in the country from medical detox to long-term recovery support. With 24/7 admission availability, extensive insurance acceptance, and programs ranging from state-funded to luxury rehabilitation, South Dakota delivers quality treatment options for every need and budget.

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Avera McKennan Hospital (BHS)

Addiction Recovery Program

Sioux Falls, SD 57105

605-322-4079

Avera McKennan Hospital (BHS) in Sioux Falls, SD, delivers targeted interventions for addiction and dual diagnoses in individuals of all ages. Their program offerings include intensive outpatient, outpatient, and standard outpatient services, employing cognitive behavioral therapy, motivational interviewing, and relapse prevention techniques. This facility emphasizes personalized support, serving adults and seniors irrespective of gender. Avera McKennan Hospital (BHS) distinguishes itself through its holistic strategy to managing substance use and mental health challenges, guaranteeing excellent care and assistance for those on their path to wellness.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

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Flandreau Santee Sioux Tribe

Flandreau, SD 57028

605-997-3844

Situated in Flandreau, SD, the Flandreau Santee Sioux Tribe rehabilitation center specializes in treating substance use disorders along with co-existing mental health conditions in both adults and children. The center offers a variety of outpatient services, such as methadone or buprenorphine therapies, naltrexone treatment, anger management sessions, brief interventions, and cognitive behavioral therapy. It features customized programs for adult men, women, and clients facing dual diagnoses, addressing a wide spectrum of needs. Catering to adults and seniors of all genders, the Flandreau Santee Sioux Tribe center emphasizes high-quality care to foster long-term recovery and overall wellness.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

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Arch

Sioux Falls, SD 57104

605-336-2556

Situated in Sioux Falls, South Dakota, Arch provides extensive support for individuals grappling with substance misuse. They also deliver targeted interventions for adults experiencing co-occurring mental health challenges and for children with emotional disturbances. Arch offers various treatment modalities, including intensive outpatient, extended residential stays, and standard outpatient services. Their approach is grounded in proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. The center serves adult men and women, as well as those with dual diagnoses, with programs designed to meet the specific needs of different genders and age brackets. Arch is committed to delivering high-caliber care and crafting personalized recovery pathways.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

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Behavior Management Systems

Full Circle

Rapid City, SD 57701

605-343-7262

Behavior Management Systems operates the Full Circle program in Rapid City, South Dakota, offering short- and long-term residential care, intensive outpatient treatment, and transitional housing for adult women, including pregnant and postpartum women. Medicaid and federal funding are accepted, a sliding fee scale applies, and sign language services are available.

Substance use treatmentTransitional housing, halfway house, or sober home

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Buffalo Plains Recovery

Outpatient Facility

Rapid City, SD 57701

605-600-6985

The outpatient location of Buffalo Plains Recovery in Rapid City, South Dakota, provides partial hospitalization, intensive outpatient, and regular outpatient treatment for substance use and co-occurring serious mental illness. Buprenorphine and naltrexone are used. The program serves veterans, pregnant women, and forensic clients and accepts Medicare, Medicaid, and TRICARE.

Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults

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Buffalo Plains Recovery

Detox and Inpatient Facility

Rapid City, SD 57701

605-600-6985

Buffalo Plains Recovery's detox and inpatient facility in Rapid City, South Dakota, offers hospital inpatient detoxification, residential detox, and short- and long-term residential care with buprenorphine and naltrexone available. It treats co-occurring serious mental illness and serves veterans, pregnant women, and trauma survivors. Medicare, Medicaid, TRICARE, and private insurance are accepted.

DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults

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Canku Teca Treatment Center

Lake Andes, SD 57356

605-487-7841

Canku Teca Treatment Center in Lake Andes, South Dakota, provides long-term residential treatment, intensive outpatient care, and transitional housing for adult men and women, funded through IHS/Tribal/Urban funds. The program serves young adults and adults and does not list medication-assisted treatment among its services.

Substance use treatmentTransitional housing, halfway house, or sober home

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Choices Recovery Services Inc

Sioux Falls, SD 57104

605-334-1822

Adolescents as well as adults can attend intensive outpatient and regular outpatient addiction treatment at Choices Recovery Services Inc in Sioux Falls, South Dakota. No medications are used in treatment. The program accepts Medicaid, self-payment, and federal or government funding for substance use treatment programs.

Substance use treatment

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First Step Counseling

Sioux Falls, SD 57106

605-361-1505

First Step Counseling in Sioux Falls, South Dakota, provides intensive outpatient and regular outpatient substance use treatment for young adults, adults, and seniors. No opioid treatment medications are listed among its services. The clinic accepts Medicaid and self-payment for care.

Substance use treatment

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Community Counseling Services

Madison

Madison, SD 57042

605-256-9656 x3237

Situated in Madison, SD, Community Counseling Services presents an extensive selection of treatment options for substance use issues and co-occurring mental health disorders, serving both adults and children. The center features specialized programs aimed at active military members, teenagers, and adult males, offering various levels of care, including intensive outpatient and standard outpatient treatments. Incorporating techniques like anger management, brief intervention, and cognitive behavioral therapy, the facility supports clients of all genders and ages. Community Counseling Services is committed to providing personalized care to meet the unique requirements of each individual, establishing itself as a reliable option for those in need of effective rehabilitation support.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Addiction Recovery Centers of the

Black Hills

Hot Springs, SD 57747

605-745-6300

Addiction Recovery Centers of the in Hot Springs, SD delivers an all-encompassing approach to substance use treatment, offering options such as intensive outpatient, outpatient, and regular outpatient programs. The facility focuses on techniques such as 12-step support, cognitive behavioral therapy, and motivational incentives. Catering to a wide array of clients, it includes specific programs designed for adult men, adult women, and those who have faced trauma. The center serves both adults and youth, providing specialized care for males and females. With a knowledgeable team dedicated to high-quality care, the center prioritizes personalized treatment plans, making it an excellent option for individuals seeking effective addiction rehabilitation solutions.

Substance use treatment

Action for the Betterment of

Our Community

Sturgis, SD 57785

605-269-4733

Action for the Betterment of, situated in Sturgis, SD, delivers extensive care for substance abuse. Their services include outpatient and intensive outpatient programs, employing strategies like 12-step facilitation, motivational interviewing, and cognitive behavioral therapy. Dedicated programs are available for active military personnel, teens, adult men, adult women, older adults, and those in need of transitional living, sober living homes, or halfway house accommodations. This center prioritizes personalized support, offering a path to recovery within a supportive atmosphere.

Substance use treatmentTransitional housing, halfway house, or sober home

Addiction Recovery Centers of the

Black Hills

Rapid City, SD 57701

605-716-7841

Situated in Rapid City, SD, the Addiction Recovery Centers of the provides an extensive array of substance abuse treatment services tailored for both adults and young adults. The center offers various treatment formats, including intensive outpatient therapy, outpatient care, and standard outpatient programs. By employing research-supported methodologies like 12-step approaches, cognitive behavioral therapy, and motivational incentives, this facility serves both men and women, including those with trauma backgrounds. With tailored programs catering to distinct genders and age categories, the center guarantees individualized attention and assistance for those aiming to conquer addiction.

Substance use treatment

Anpetu Luta Otipi/Kyle Campus

Comprehensive Substance Abuse Program

Kyle, SD 57752

605-455-2331

Anpetu Luta Otipi/Kyle Campus in Kyle, SD, delivers comprehensive, evidence-based addiction recovery solutions for individuals of all ages. They offer a spectrum of care including medical detox, intensive outpatient services, extended residential stays, and standard outpatient options. Employing proven methods like CBT, the Matrix Model, and motivational interviewing, the center customizes treatment plans to suit each person's unique journey. With dedicated tracks for youth, adult men, and adult women, Anpetu Luta Otipi/Kyle Campus provides inclusive and gender-affirming support. Renowned for its high-quality, individualized approach, this facility stands as a reliable resource for effective addiction treatment.

DetoxificationSubstance use treatment

Capital Area Counseling Services

Pierre, SD 57501

605-224-5811

Capital Area Counseling Services, located in Pierre, SD, provides expert treatment for adults facing substance use challenges alongside mental health disorders, as well as support for children dealing with significant emotional issues. Their wide-ranging programs feature intensive outpatient services and options for outpatient treatment using methadone, buprenorphine, or naltrexone. Employing proven methodologies such as brief interventions, cognitive behavioral therapy, and the Matrix Model, this center addresses the needs of adolescents, women, and those who have encountered trauma. With an emphasis on personalized care, it offers rehabilitation services to both men and women of various ages in a nurturing atmosphere.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Carroll Institute

Outpatient Alcohol and Drug Center

Sioux Falls, SD 57104

605-336-2556

Carroll Institute, located in Sioux Falls, SD, provides targeted treatment for substance abuse and co-occurring disorders for both adults and children. The center features a variety of treatment modalities, including intensive outpatient, outpatient, and regular outpatient programs, utilizing methods such as 12-step facilitation, anger management, and brief interventions. With a focus on diverse groups, Carroll Institute offers specialized programs for adolescents, adult men, and adult women. Their services are accessible to all genders, supporting both adults and younger individuals. Recognized for delivering high-quality care and thorough treatment strategies, Carroll Institute is a reputable option for those in need of effective rehabilitation in the Sioux Falls region.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Community Counseling Services

Huron, SD 57350

605-352-8596 x2021

Situated in Huron, SD, Community Counseling Services specializes in addressing substance use disorders and co-occurring mental health challenges for both adults and children. The center offers various levels of care including intensive outpatient, outpatient, and standard outpatient programs, employing effective methodologies like anger management, brief intervention, and cognitive behavioral therapy. Catering to specific needs, the center features programs designed for active duty military personnel, teens, and adult males, ensuring support for a wide spectrum of individuals. Committed to providing high-quality care, Community Counseling Services serves both men and women across different age groups who are on their journey to recovery.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Counseling Resources

Sioux Falls, SD 57106

605-331-2419

Nestled in Sioux Falls, SD, Counseling Resources delivers extensive treatment options for individuals of all ages struggling with substance abuse and co-occurring mental health conditions. Their program offerings include intensive outpatient, outpatient, and standard outpatient services, incorporating therapeutic modalities like anger management, brief intervention, and cognitive behavioral therapy. Dedicated to personalized recovery journeys, Counseling Resources serves both male and female patients. The center's dedication to providing high-quality, customized treatment plans solidifies its position as a leading provider of effective and individualized rehabilitation services in the region.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Dakota Drug and Alcohol Prevention Inc

Prairie View Prevention Services

Sioux Falls, SD 57105

605-331-5724

Dakota Drug and Alcohol Prevention Inc, situated in Sioux Falls, SD, provides targeted outpatient treatment for individuals battling substance use issues, including adults, teens, and young adults. Emphasizing brief interventions, cognitive behavioral therapy, and motivational interviewing, the center delivers customized care for all genders. It features distinct programs designed for adolescents, young adults, and individuals associated with the criminal justice system. With a holistic methodology, this facility guarantees exceptional support as clients progress toward recovery. For those in search of impactful addiction treatment within a nurturing setting, Dakota Drug and Alcohol Prevention Inc offers a range of beneficial services.

Substance use treatment

Fort Thompson Service Unit

Behavioral Health Clinic

Fort Thompson, SD 57339

605-245-1546

Situated in Fort Thompson, SD, Fort Thompson Service Unit delivers outpatient services aimed at addressing substance abuse and co-occurring mental health challenges in both adults and children. The center implements regular outpatient initiatives that incorporate methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. Customized programs are designed for youth, adult men, and women. This facility accommodates clients of all genders and has a particular emphasis on managing significant mental health issues and emotional conflicts. With a commitment to providing high-quality, personalized care, Fort Thompson Service Unit focuses on fostering recovery and overall well-being for individuals of all ages.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

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Why Choose South Dakota for Addiction Treatment

As a state known for one of the lowest otp-per-capita rates in the country, South Dakota combines exceptional medical expertise with diverse treatment philosophies across its 46 rehabilitation facilities. The state's treatment centers offer everything from evidence-based clinical care to holistic healing approaches, ensuring comprehensive support for individuals and families affected by addiction. With strong recovery communities, accredited facilities, and accessible care options, South Dakota provides an ideal environment for transformative recovery.

Treatment Landscape in South Dakota

South Dakota recorded 95 drug overdose deaths in 2023 at 11.2 per 100,000 (CDC NCHS) — among the lowest U.S. rates.
10 buprenorphine providers and 1 methadone Opioid Treatment Program serve the state; Sioux Falls anchors access.
South Dakota Medicaid covers buprenorphine and naltrexone; methadone access is extremely limited.
The Division of Behavioral Health licenses OTPs; most rural MAT is delivered through buprenorphine prescribing in primary care.

Treatment Types and Specializations

South Dakota's 46 treatment facilities offer the full continuum of care, from medical detoxification to long-term aftercare support. Programs include residential treatment with 24/7 medical supervision, intensive outpatient programs (IOP) for working professionals, partial hospitalization (PHP) for step-down care, and sober living homes for transitional support. Many facilities specialize in dual diagnosis treatment for co-occurring mental health conditions, gender-specific programs, executive rehab, faith-based recovery, and treatment for specific substances including opioids, alcohol, methamphetamine, and cocaine.

Insurance and Payment Options in South Dakota

Most rehabilitation centers in South Dakota accept major insurance plans including Medicaid, Medicare, Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealthcare. Many facilities provide free insurance verification services to determine coverage and out-of-pocket costs. South Dakota also offers state-funded treatment programs for uninsured residents, sliding scale fees based on income, payment plans, and scholarship opportunities. Some facilities accept self-pay options with financing available to make treatment accessible regardless of financial situation.

Frequently Asked Questions: Rehab in South Dakota

How many rehab centers are in South Dakota?

South Dakota has 46 addiction treatment facilities listed in our directory. These include medical detox centers, residential inpatient programs, outpatient clinics, intensive outpatient programs (IOP), and sober living homes across the state.

Does South Dakota Medicaid cover addiction treatment?

Most South Dakota Medicaid plans cover substance abuse treatment including detox, inpatient rehabilitation, outpatient counseling, and medication-assisted treatment (MAT). Coverage details vary by plan. Contact your Medicaid provider or call a treatment center's admissions line to verify your specific benefits.

What types of rehab programs are available in South Dakota?

South Dakota offers the full continuum of addiction treatment: medical detoxification, residential/inpatient programs (30-90 days), partial hospitalization (PHP), intensive outpatient programs (IOP), standard outpatient therapy, telehealth services, and sober living/transitional housing. Many facilities specialize in dual diagnosis, MAT, and specific populations.

How do I find free or low-cost rehab in South Dakota?

Free and low-cost options in South Dakota include state-funded treatment programs, Medicaid-covered facilities, sliding-scale fee centers, and nonprofit organizations. SAMHSA's National Helpline (1-800-662-4357) can connect you with local resources. Use our directory filters to find centers accepting Medicaid or offering payment assistance.

What is the best type of rehab for alcohol addiction in South Dakota?

The best type depends on addiction severity. For heavy or long-term drinkers, medical detox is essential due to dangerous withdrawal risks. After detox, residential treatment (30-90 days) provides intensive support. For mild to moderate alcohol use disorder, intensive outpatient programs (IOP) offer flexible scheduling while maintaining daily responsibilities.

Treatment Approaches in South Dakota

Find rehabilitation centers in South Dakota offering these evidence-based treatment methods:

CBT (Cognitive Behavioral Therapy)Medication-Assisted Treatment (MAT)DBT (Dialectical Behavior Therapy)12-Step Programs Mindfulness & Meditation Faith-Based Treatment

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Conditions Treated in South Dakota

South Dakota treatment centers specialize in helping people overcome these conditions:

Alcohol Addiction Opioid Addiction Dual Diagnosis Stimulant Addiction Depression Anxiety Disorders

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Levels of Care in South Dakota

Explore different levels of addiction treatment available in South Dakota:

Medical Detox Residential Treatment Intensive Outpatient (IOP)Partial Hospitalization (PHP)Standard Outpatient

View all levels of care