Find Drug & Alcohol Addiction Treatment Options & Rehab Centers in South Dakota

If you are looking for treatment in South Dakota, you have many options to choose from and a lot of factors to consider. You need to know what type of treatment you need, which location is best, and how much the rehab will cost. Each rehab center offers different amenities and specialized care so that you can find the rehab in South Dakota that is best for you.

Find Rehabs in South Dakota Cities

Find South Dakota drug rehabs in cities near you or sort by letter.

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Top Rehab Centers across South Dakota

Thumbnail Name Address Phone Treatment Insurance
Compass Point

710 East Colorado Boulevard
Spearfish, SD 57783

605-642-7093 Outpatient Inpatient Medicaid Private
Human Service Agency

123 19th Street Northeast
Watertown, SD 57201

605-886-0123 Outpatient Medicaid Private
Community Counseling Services Outpatient Services Madison

914 Northeast Third Street
Madison, SD 57042

605-256-9656 Outpatient Medicaid Private
Hot Springs VA Medical Center

500 North 5th Street
Hot Springs, SD 57747

605-745-2000 Outpatient Inpatient Private
Teen Challenge of the Dakotas

600 West 16th Avenue South
Brookings, SD 57006

605-693-9753 Inpatient Free
Martin Addiction Recovery Center

103 East State Street
Martin, SD 57551

605-685-6710 Outpatient Medicaid
Counseling Resources

4109 South Carnegie CIrcle
Sioux Falls, SD 57106

605-331-2419 Outpatient N/A
ROADS Outpatient Treatment

103 East Omaha Street
Rapid City, SD 57701

605-348-8026 Outpatient Medicaid Private
Community Counseling Flandreau Outreach Clinic

218 East 2nd Avenue
Flandreau, SD 57028

605-997-3771 Outpatient Medicaid Private
Lutheran Social Services

2920 Sheridan Lake Road
Rapid City, SD 57702

605-791-6700 Outpatient Medicaid Private
Avera St Lukes Hospital

305 South State Street
Aberdeen, SD 57401

605-622-5000 Inpatient Medicaid Private
Sioux Falls VA Health Care System Wagner VA Clinic

400 West South Dakota Highway 46
Wagner, SD 57380

605-384-2340 Outpatient Private
New Dawn Center

19271 South Dakota 79
Vale, SD 57788

605-309-5105 Outpatient Inpatient Medicaid
Pierre VA Clinic

1615 North Harrison
Pierre, SD 57501

605-945-1710 Outpatient Private
Carroll Institute

310 South 1st Avenue
Sioux Falls, SD 57104

888-254-4543 Outpatient Inpatient Medicaid Private
Southern Plains Behavioral Health Services

500 East 9th Street
Winner, SD 57580

605-842-1465 Outpatient Medicaid Private
Compass Point Inpatient

1809 Williams Street
Sturgis, SD 57785

605-787-9200 Inpatient Outpatient Medicaid Private
Southeastern Behavioral Healthcare Community Support Services

100 West 5th Street
Sioux Falls, SD 57104

605-336-0503 Outpatient Medicaid Private
Addiction Recovery Centers of Black Hills Rapid City

1520 Haines Avenue
Rapid City, SD 57701

605-716-7841 Outpatient Medicaid
Northeastern Mental Health Center Mobridge Clinic

321 2nd Avenue East
Mobridge, SD 57601

605-225-1010 Outpatient Medicaid Private
VA Black Hills Health Care System VAMC

113 Comanche Road
Fort Meade, SD 57741

605-347-2511 Outpatient Inpatient Private Medicaid
Avera St Lukes Hospital

305 South State Street
Aberdeen, SD 57401

605-622-5000 Outpatient Inpatient Detox Medicaid Private
Capital Area Counseling Services

2510 East Franklin Street
Pierre, SD 57501

605-224-5811 Outpatient N/A
Behavior Management System Elk Street

350 Elk Street
Rapid City, SD 57701

605-343-7262 Outpatient Medicaid Private
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South Dakota Drug and Alcohol Statistics

When it comes to alcohol use, residents of South Dakota report a higher average than America as a whole. Consider the following stats:1,2

Cost of Drug and Alcohol Rehab in South Dakota

The cost of South Dakota alcohol rehabs and drug rehabs can vary greatly depending on many factors such as the type of treatment you receive. Types of treatment for drug and alcohol addiction include detox, residential inpatient, outpatient, and ongoing counseling therapies.4 Some other factors that contribute to costs are whether the rehab is state funded or a private facility. South Dakota offers free and low-cost rehabs as well as higher-end luxury rehabs.

Free Treatment Options in South Dakota

South DakotaYou may have free treatment options as well as rehabs that offer financial assistance to help with costs. A rehab that is state-funded can offer free treatment since it receives money from the government to operate. To see a list of state-funded rehabs in your area, visit the government website, Substance Abuse and Mental Health Services Administration (SAMHSA), and search the directory of South Dakota free rehabs.5

You may need to prove residency in South Dakota or provide income information to qualify for free treatment.

While state-funded programs often do not have the same amenities as private rehabs, they still offer quality treatment programs and are just as effective. State-funded rehabs offer evidence-based treatment and professional care for all patients.


Most insurance policies will cover part or all the cost of rehab. Thanks to the Affordable Care Act (ACA), all state-funded insurance policies, including Medicaid and Medicare, are required to provide coverage for addiction treatment.6

To qualify for Medicaid, you must be part of an eligible group including low-income individuals, pregnant women, children, or those receiving Supplemental Security Income (SSI).7

To qualify for Medicare, you must be an American citizen over 65 years or have a qualifying disability.8

Private insurance policies are provided through employers or through the government health exchange website. Private insurance policies may not cover all the costs but instead will offer copays and coinsurance rates to help share costs with you. Talk to your insurance provider directly to find out details of your coverage.

Rehab Scholarships and Sliding Scales

If you do not have insurance and do not qualify for free treatment, you still have other options available. Many rehab centers offer programs to help you pay for treatment. Some places have scholarships available that cover part or all the cost of a program. These scholarships are paid for by private donors or public funds.

You can also ask the rehab staff about sliding scales. A sliding scale usually takes your income into consideration when determining the rate you must pay for treatment.

Should I Travel to South Dakota for Drug and Alcohol Treatment

South DakotaHow do you know if traveling to South Dakota for drug and alcohol treatment is the best choice for you? It can be difficult to conclude, but some things to help you consider are:

Regional Considerations for Drug and Alcohol Rehab in South Dakota

South Dakota is divided into four tourism regions: the Black Hills & Badlands region in the west, the South Dakota Missouri River region in the center, the Glacial Lakes & Prairies region in the northeast, and the Southeast region in the southeast.

Black Hills and Badlands

The western region of South Dakota offers beautiful landscapes of mountains. This area has many national parks, monuments, and caves to explore.

South Dakota Missouri River

This region provides more than 440 miles of waterways for prime water recreation, including boating, fishing, sailing, swimming, and kayaking.

Glacial Lakes and Prairies

This region is full of fresh glacial lakes and plenty of outdoor camping opportunities. It is also filled with historical museums and Native American culture.


This region offers bustling cities, quiet country escapes, fine arts and culture, family attractions, and an abundance of outdoor adventures.

How Do I Choose a Drug or Alcohol Rehab?

Some questions to ask include:9

What type of care is best for you?

Features and amenities (luxury or standard rehab facility)

Duration of program (30, 60, or 90 days)

Health insurance plan

Choosing a rehab facility in-network with health insurance provider

Government funding

Location (city vs. suburb)

If you are unsure what your treatment needs are, you can take a substance misuse assessment. Many rehabs and doctors offer this free assessment to determine what level of care you need and if specialized care would be appropriate.

Specialized care is offered for those that need treatment tailored to a specific population such as the elderly, LGBTQ, or religious people.

What to Pack for Drug Rehab in South Dakota

Each rehab will have its own requirements and rules for packing items. Some of the typical items you will need include:

Depending on your rehab center, you may be allowed to bring electronic devices like computers or phones. There may be a dress code for your rehab, so check their website or give them a call to verify what is allowed.

Treatment Settings Compared

Different treatment settings are available based on what level of care you need. Treatment settings include inpatient, intensive outpatient, partial hospitalization, and standard outpatient.

Inpatient Alcohol and Drug Rehab in South Dakota

Inpatient care provides around-the-clock care while you stay overnight at the facility. This is the highest level of care available, and inpatient stays range from weeks to months and sometimes even a year, depending on your situation.

The benefits of inpatient care include:10

Daily structure and routines that help in recovery

A safe, trigger-free environment

Quick and easy access to the medical staff and medicine at any time of day or night

A consistent support system built with others at the inpatient level

Inpatient treatment is typically recommended when your substance use is severe and if you do not have a good support system at home.

Outpatient Drug Rehab in South Dakota

Outpatient rehab includes various levels of care. Often, a person leaving inpatient treatment will step down to an outpatient program.

Standard outpatient treatment: often involves just one or two sessions a week compared to the higher number of treatment appointments in other outpatient programs.

Intensive outpatient substance abuse treatment (IOPs): provide many of the same services as a PHP but on a less frequent basis.

Partial hospitalization programs (PHPs): look a lot like inpatient programs but without the overnight stay. You will still attend multiple treatment sessions per week.

There are some benefits to outpatient treatment over inpatient. One is that you get more flexibility in your daily schedule, and you get to return to the comfort of your own home at night. Costs are often lower for outpatient programs as well. You also get the chance to return to daily life in between treatment sessions, which allows you to put into practice what you are learning in rehab.

Outpatient is an appropriate treatment choice if your drug and alcohol addiction is not severe and if you have a good support system at home.

Not everyone starts with an inpatient program and then steps down to outpatient. You can be recommended for any level of care based on your assessment and what the professionals think you need.

What is a Typical Day Like at Inpatient Drug and Alcohol Rehab?

Schedules will vary from place to place, but here is an example of what you can expect from an inpatient rehab program.

Breakfast will be served at a specific time in the morning. One of the goals of rehab is to help you establish routines, so the same schedule will be followed from day to day.

After breakfast, you may attend a 12-step meeting like Alcoholics Anonymous or Narcotics Anonymous. These peer support groups provide a safe environment to hear other experiences and share your own.

Lunch will be provided by the rehab at a specific time. After lunch, you may attend an individual therapy session. Cognitive behavioral therapy is a technique commonly used to help you identify unhealthy patterns of thinking that lead to addictive behaviors. Once these thought patterns are identified, they can be changed over time.

After therapy, you may be given a few hours of free time. This can be used in a variety of ways, depending on the amenities offered at your facility. Art, exercise, outdoor activities, or even spa services may be available to access during free time.

Dinner will be served at the same time each evening and may be followed by a group therapy session. These sessions are led by a mental health professional.

You can also expect occasional appointments with a doctor or psychiatrist to discuss any adjustments to medications.

How Long Does Rehab Last?

How long you stay in rehab is dependent on many factors. Research shows that positive outcomes are dependent on staying in treatment longer and that participation for less than 90 days has limited effectiveness.11

Even though the length of treatment varies widely, some of the typical time frames for inpatient treatment are around 30-90 days. Intensive outpatient programs (IOPs) can range from 8-12 weeks long. Partial hospitalization programs (PHP) are typically 2-4 weeks long. Standard outpatient treatment can last anywhere from a few weeks to several years but usually involves just one therapy session a week.

Your treatment team will recommend the appropriate length of treatment that is specific to your needs. Following recommendations gives you the best chance for a positive outcome.

What Happens After Rehab?

Leaving rehab does not mean your recovery journey is complete. Your team will work with you to create an aftercare plan that guides you through steps to take care of yourself and continue recovery.

Many rehab programs include a relapse prevention plan as well. If you experience a relapse, it does not mean you have failed at recovery. In fact, relapse is a normal part of drug and alcohol addiction. Addiction is considered a chronic condition and relapse rates for addiction are like those of other chronic medical conditions.12

Relapse is not something that happens overnight. It is a process that often unfolds over time in three stages:13

Many drug and alcohol rehabs in South Dakota will educate you on the early signs of relapse and how to cope with them as part of the preparation to leave the program.

Other activities that make up an aftercare plan include attending Alcoholics Anonymous or Narcotics Anonymous meetings, staying in sober living, and continuing ongoing therapy.

Alcohol and Drug Laws in South Dakota

The Good Samaritan Law: The Good Samaritan statute provides immunity from civil damages for individuals who render emergency care, in good faith, for those in need. This includes helping someone from a drug or alcohol overdose.

Naloxone Access: According to South Dakota law, a prescriber may prescribe naloxone, directly or by standing order, to a person at risk of overdose or a family member, friend, or another person able to help someone experiencing an overdose.

Seeking treatment is important and shouldn’t be hindered by barriers such as the cost of treatment or fear of losing your job. Many programs can help you afford treatment, and laws exist to protect your job while you receive the care you need.

If you or someone you know needs help with drug or alcohol addiction, please call 800-926-9037 (Info iconWho Answers?) to speak to a treatment specialist about what treatment is right for you.


  1. Substance Abuse and Mental Health Services Administration. (2020). South Dakota State-Specific Tables.
  2. Substance Abuse and Mental Health Services Administration. (2017). 2016-2017 National Survey on Drug Use and Health National Maps of Prevalence Estimates, by State.
  3. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Drinking Levels Defined | National Institute on Alcohol Abuse and Alcoholism (NIAAA) ( National Institutes of Health.
  4. National Institute on Drug Abuse. (2018). Types of Treatment Programs.
  5. Substance Abuse and Mental Health Services Administration. (n.d.). Single State Agency Directory.
  6. (n.d.). Mental health and substance abuse health coverage options.
  7. (n.d.). Eligibility Medicaid.
  8. (n.d.). Health Insurance and Mental Health Services.
  9. National Institute on Alcohol Abuse and Alcoholism. (2021). Treatment for Alcohol Problems: Finding and Getting Help. National Institutes of Health.
  10. National Institute on Drug Abuse. (2022, March 22). Treatment and Recovery. National Institutes of Health.
  11. National Institute on Drug Abuse. (2018). How long does drug addiction treatment usually last?. National Institutes of Health.
  12. National Institute on Drug Abuse. (2022, March 22). Treatment and Recovery. National Institutes of Health.
  13. Melemis, S. M. (2015, September 3). Relapse Prevention and the Five Rules of Recovery. The Yale Journal of Biology and Medicine, 88(3), 325-332.