About Keystone Outpatient Facility
Keystone Outpatient Facility offers intensive outpatient addiction treatment in Sioux Falls, South Dakota serving adults age 18 and older who need structured care while living at home.
As part of Keystone Treatment Center's broader South Dakota continuum, this location centers its work on flexible IOP and outpatient services for direct entry clients and those stepping down from higher levels of care.
The program is built to help clients establish lasting recovery while balancing work, school and family responsibilities.
Intensive Outpatient Programming
The adult IOP at Keystone Outpatient Facility supports individuals with substance use disorders, compulsive gambling and co-occurring mental health concerns.
With both morning and evening tracks, the program accommodates working adults and offers specialty support for veterans and Native American clients, faith based recovery, opioid and meth dependence, and chronic pain.
Treatment blends evidence based modalities such as cognitive behavioral therapy and motivational interviewing, the Matrix Model and 12 step principles.
Clients participate in therapy alongside experiential offerings, with education in coping skills and communication, goal setting and relapse prevention. One alumnus shared gratitude that "Keystone never gave up on me even after I gave up on myself."
Your Path Through Care
- Comprehensive assessment to identify needs and design a personalized care plan
- IOP participation in morning or evening groups with individual counseling as needed
- Skill building around coping, communication and relapse prevention
- Discharge planning and step down to continuing care or aftercare support
Insurance Options
Beyond IOP, Keystone provides regular outpatient care and family therapy, aftercare and specialized tracks for gambling disorder and dual diagnosis. Experiential therapies, recreational activities and faith integrated options round out the experience.
Keystone accepts a wide range of insurance including Aetna and Blue Cross, Wellmark and Cigna, Sanford and United Healthcare, Tricare West and VA Community Care, South Dakota and Iowa Medicaid, and Tribal/IHS funding.





