South Dakota is a midwestern state named after the Lakota and Dakota Sioux Native American tribes. Home to a wide expanse of prairie and national forest, this state and its sparse population have had historically lower drug abuse rates than the rest of the country. However, in recent years, drug trafficking and substance abuse have increased, owing partially to growing demand for recreational drugs such as cocaine, heroin, and methamphetamine.

Like much of the US, South Dakota has struggled with fatal drug overdoses, and this has led to new legislation aimed at improving treatment access and methods. The state provides numerous rehabilitation facilities for alcohol and drug addiction, many of which are affordable and take Medicaid insurance. These centers provide hope, healing, and a chance for recovery through their inpatient and outpatient programs.

Best Rehab Centers in South Dakota

Face It TOGETHER

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

Face It TOGETHER is a social enterprise and addiction coaching service for alcohol and substance abuse. Their focus is on community transformation and helping to solve the country’s addiction crisis through innovative and peer-driven models of care. Each coach provides ongoing support and guidance to help clients through their addiction challenges by using scientific and data-driven tools. Treatment consists of emotional support, practical skills, effective behavior change strategies, goal setting, addressing barriers, and improving relationships.

Face It TOGETHER has flexible membership rates, and they provide options for video, telephone, or in-person sessions. In recognition of their success, Face It TOGETHER was awarded The Bush Foundation Award in 2009, and their services have expanded to Colorado, Minnesota, and North Dakota.

Keystone Treatment Center

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults
Payment Accepted:
Private Health Insurance, Private Payment

Keystone Treatment Center offers comprehensive drug and alcohol rehabilitation for adolescents and adults. This CARF-accredited facility began in 1973 and provides special programs for families, Christians, Native Americans, and for gambling, chronic pain, and opioid and methamphetamine dependence. Their philosophy is based strongly on AA and the 12 steps, and they believe recovery combines improvements in self-esteem, relationships, realistic goal-setting, and vocational readiness.

Situated on 30 acres of land in Canton, Keystone’s individualized residential program is gender-specific and provides a structured and supportive atmosphere for recovery. Residents receive a mixture of individual, group, and family therapy, experiential therapy, medication management, and medical detox. Their outpatient services in Sioux Falls consist of morning or evening programs and treatment is based on therapy and the 12 steps. Keystone’s diverse programs and specialized topics make it one of the more addiction treatment centers.

South Dakota Address: 1010 E 2nd St, Canton, SD 57013

Project Recovery

Treatment Type:
Outpatient
Specialization:
Alcohol Abuse, Medically Assisted Treatments, Opioids, Methamphetamines, Tobacco
Cash Price:
$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Project Recovery is an outpatient treatment facility for substance dependence. Offering services to anyone in the state of South Dakota, this center has an excellent reputation for welcoming and compassionate services. Treatment at Project Recovery consists of peer support and medication-assisted treatment which can conveniently be prescribed via telemedicine.

Project Recovery also treats Hepatitis C, and they provide medications for opioids (Suboxone, Vivitrol), alcohol (Antabuse, Campral), tobacco (Chantix, Bupropion), and methamphetamine (Mirtazapine) addiction. Along with its medication-led therapies, this facility also provides counseling and professional peer-support services where needed.

Avera Addiction Care Center

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Avera Health is an integrated health system that consists of 35 hospitals, 215 primary care centers, and 40 senior living facilities across Minnesota, Iowa, Nebraska, and North and South Dakota. The St. Luke’s facility in Aberdeen provides inpatient and outpatient care and is based on the 12 steps of AA, as well as Gamblers and Narcotics Anonymous (NA). Treatment at this facility utilizes the American Society of Addiction Medicine (ASAM) criteria to provide a full continuum of care for one’s physical, emotional, social, mental, and spiritual elements.

Clients in the residential day program and intensive outpatient program receive individual and group counseling, family sessions, education, and peer support. While treatment is individualized, the length of stay in their residential program is about 4 weeks in total. Avera also provides specialized services such as medical detox, family addiction, relapse, and aftercare.

South Dakota Address: 1206 S Main St, Aberdeen, SD 57401

Carroll Institute

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

The Carroll Institute is an award-winning outpatient center for alcohol and drug addiction. Established in 1971, this institute is named after Lynn Carroll, who was instrumental in the founding pillar of the 12-step principles. Their CARF-accredited programs include general and intensive outpatient services, as well as programs for jail treatment, DUI school, aftercare, and prevention.

General outpatient treatment includes cognitive-behavioral therapy (CBT), motivational interviewing, and identifying triggers and thinking barriers. Their intensive outpatient is more comprehensive and consists of treatment for self-esteem, anger/grief, corrective thinking, goal setting, and relationship issues.

Meaningful Medicine

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse, Medically Assisted Treatments
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

Led by Dr. Annette Bosworth, Meaningful Medicine is an outpatient clinic that uses information technology to provide innovative support services. Not only does this technology involve online services, but patients are also provided with biomonitoring patches that provide continuous feedback about their stress levels. Clients are also given mobile phone prompting to alert them when they are in a trigger setting and to encourage them to contact their support network.

Along with the biomonitoring, treatment at Meaningful Medicine primarily consists of medication-assisted therapies such as Vivitrol and Suboxone, combined with individual, group, and family therapy with a qualified counselor. They also offer 0% financing for individuals seeking affordable options.

Brookings Behavioral Health and Wellness

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Brookings Behavioral Health is a non-profit organization dedicated to providing comprehensive, integrated care and well-being for all. They are accredited by the State Division of Behavioral Health and their substance abuse services are available to anyone, regardless of their ability to pay. Their outpatient treatment for alcohol and substance abuse includes individual counseling, outpatient groups, aftercare groups, DUI classes, and prevention education.

Brookings Behavioral Health also offers services for mental health and co-occurring disorders that often accompany substance dependencies. This is delivered by psychiatrists and physicians and involves medication management, counseling, and youth and family services.

South Dakota Address: 211 4th St, Brookings, SD 57006

New Life Treatment Center

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

New Life Treatment Center is a Christ-led rehabilitation facility for alcohol and drug addiction. Founded in 1977, New Life has centers across the country and their South Dakota facility has 21 inpatient beds, 7 detox beds, and 2 outpatient centers in Woodstock and Worthington. Treatment at New Life consists of individual and group therapy, 12-step programs, spiritual care, trauma-informed care, and nutrition education which are delivered by chaplains, physicians, nurses, and counselors. Clients also have access to sports, crafts, and indoor and outdoor recreational activities.

New Life Treatment also operates a sober home for women called Tabitha’s Place, and they provide services for incarcerated persons at the Prairie Justice Center in Worthington.

Bartels Counseling Services

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Bartels is a counseling service for drug and alcohol addiction. Their evidence-based therapeutic approaches are delivered by credentialed therapists who have experience in treating mental health concerns such as addictions, anxiety, mood disorders, spiritual issues, stress management, and relationship problems.

Bartels’ services include integrated screening and mental health assessment, individual, couple, group, and family therapy, aftercare, DUI programs, career planning, and SAFE Programs. Their

outpatient programs focus on mental health issues, life management skills, and the family system.  This is rooted in the belief that family and peers help create and sustain positive long-term recovery. Bartels Counseling also offers telehealth for those who require remote services. Rosecrance Jackson in Sioux City also provides programs with a strong mental health focus.

Choices Recovery Services

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment, Medicaid

Choices Recovery is an outpatient center for alcohol and drug addiction. Their 12-step-based program provides assessment, counseling, and aftercare for individuals who wish to remain in employment while living at home. Choices Recovery’s philosophy is that healing requires a compassionate environment that allows the individual to examine their addiction in a safe manner.

Treatment at Choices Recovery involves a proactive approach and guidance from certified chemical dependency counselors, some of whom are recovering addicts themselves. Accredited by the Division of Community Behavioral Health in South Dakota, this facility aims to help clients learn new skills and make new choices to bring about positive changes towards sobriety.

Our Home

Treatment Type:
Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Young Adults
Payment Accepted:
Private Health Insurance, Private Payment

Our Home is a set of treatment centers for youth with substance dependencies. Located in Huron and Parkston, these centers accommodate up to 98 individuals and provide a range of programs for alcohol and drug abuse. Their Rediscovery residential center in Huron offers short-term rehab programs, specialized groups, individual counseling, as well as cultural and spiritual and opportunities.

Originally founded in 1973 as a shelter for troubled youth, Our Home’s network of treatment centers provides ample space for recreation, medical services, education classes, and more. Their alcohol and drug rehab program lasts for 45 days and consists of 12-step groups, AA and NA groups, individual, group and family counseling, spiritual groups, and tasks groups.

South Dakota Address: 40354 210th St, Huron, SD 57350

Addiction Recovery Centers of the Black Hills

Treatment Type:
Intensive Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults
Payment Accepted:
Private Payment

Addiction Recovery Centers of the Black Hills (ARCBH) is a behavioral health service that provides intensive outpatient programs to individuals struggling with addiction and co-occurring issues. Serving the communities of Oglala Lakota, Shannon, Custer, and Pennington Counties, ARCBH aims to provide regionally significant, client-centered services in a caring and welcoming environment.

Treatment at ARCBH consists of individual and group services that cover a range of topics such as addictive cycles of addiction, Post-Acute Withdrawal Syndrome (PAWS), family dynamics of addiction, the chemistry of addiction, relapse prevention, and art therapy. They also provide counseling, assessments, DUI classes, gambling assessments, sober social activities, and specialized groups for women, youth, and criminal justice. ARCBH also helps clients secure funding and provides a sliding scale for those with financial difficulties.

Compass Point

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Established in 1973, Compass Point is a rehabilitation center that provides treatment for alcohol and drug abuse. Accredited by the South Dakota Department of Social Services, this facility provides outpatient care using a multi-disciplinary approach that includes a team of medical directors, certified chemical dependency counselors, technicians, registered nurses, and a mental health counselor.

Treatment at Compass Point consists of individual and group therapy, crisis intervention, moral reconation therapy (MRT), cognitive-behavioral intervention, adolescent diversion classes, drug testing, and employment support. In addition, 63% of their counselors are in recovery themselves making them well-placed to understand the unique needs of individuals struggling with addiction. This facility also treats anyone, regardless of their ability to pay.

Teen Challenge of the Dakotas

Treatment Type:
Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
Free
Genders Treated:
Male
Ages Treated:
Adults
Payment Accepted:
Free

Adult & Teen Challenge is a faith-based discipleship program that provides residential services for alcohol and drug addiction. Operating across many states for over 60 years, Adult Teen & Challenge has a high rate of success, with 78% of their graduates remaining free from addiction. Their holistic residential program utilizes Bible-based courses to help transition towards sober living while empowering people to heal addictions and other mental health issues such as depression, anxiety, and anger.

Adult Teen & Challenge’s holistic men-only program in Brookings is highly structured and consists of four components: personal studies, group studies, work-study groups, and individualized mentoring. This program encourages clients to address the root of their issues and to become involved with community service as part of their recovery. New Life Treatment Center in Woodstock also provides faith-based rehabilitation, but for both men and women.

VA Black Hills

Treatment Type:
Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

The Veteran Affairs Medical Center provides alcohol and drug addiction treatment to veteran communities across the US. Accredited by The Joint Commission, and CARF, VA provides an array of programs including counseling, assessments, support groups, education, referrals, and aftercare. Their mission is to provide appropriate care for veterans to help them cope with stress while meeting their physical, emotional, psychological, and spiritual needs.

The center in Hot Springs provides a 28-day intensive residential program and a 21-day intermediate program for substance addiction. Treatment consists of individual and group therapy, motivational counseling, behavioral treatment groups, co-morbid treatment, integrated therapy for substance addiction and PTSD, 12-step facilitation, and cognitive-behavioral therapy. Veterans from all eras are welcome; however, they must be willing to actively participate in treatment.

Jackson Adolescent Center

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Rosecrance Jackson Centers specialize in addiction recovery and co-occurring mental health problems for adults, youth, and their families. Founded in 1976 in response to the lack of addiction treatment for the Siouxland region, Rosecrance has expanded to provide inpatient and outpatient programs to help adolescents and adults build healthy tools and relationships.

Rosecrance’s services include detox, on-site medical and psychiatric care, trauma-informed care, and individualized plans. Their evidence-based treatment programs are grounded in 12-step principles and consist of individual, group, and family therapy, medication-assisted treatment, relapse prevention, gender-specific therapy, and aftercare. This facility would suit individuals seeking mental health treatment alongside their addiction recovery.

Stepping Stones

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment, Medicaid

Stepping Stones is a 24-hour treatment facility for alcohol and drug abuse serving the Mitchell area. Accredited by SAMHSA, this center provides counseling, prevention services, education, assessment, referrals, social detox, transitional living, and continued care. Their team approach is delivered by board-certified addiction counselors that work on treating the whole person while including family to enable long-term recovery.

Treatment at Stepping Stones includes medical detox, first offender DUI courses, adolescent treatment, anger management, moral recognition therapy, relapse prevention, strengths groups, and parenting classes. They also offer home-based therapy through their children’s programs and consultation services with enforcement agencies, nursing homes, physicians, attorneys, etc.

Dakotah Pride Center

Treatment Type:
Outpatient, Inpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults, Young Adults (11 to 17)
Payment Accepted:
Private Health Insurance, Private Payment

Dakotah Pride Center offers culturally sensitive substance abuse treatment for the Sisseton Wahpeton Oyate of The Lake Traverse Reservation. Operating since the 1970s, this facility delivers programs to adults 18 years or older and aged 11 to 17. American Indians are prioritized for treatment, and individuals must also meet the DSM-IV diagnostic criteria for substance dependence. However, non-eligible clients may also receive services via self-pay or private insurance.

Treatment at Dakotah Pride consists of 12-bed inpatient residential programs, outpatient care for adults and , and continuing care. The center’s website has little information, so potential clients may want to call the center for further details. Those interested may also want to check out Keystone Treatment Center in Canton, as they have addiction programs specifically for American Indians.

South Dakota Address: Dakota Ave, Sisseton, SD 57262

Midwest Wellness Institute

Treatment Type:
Outpatient
Specialization:
Medically Assisted Treatments, Opioids
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Payment

The Midwest Wellness Institute is a treatment facility for opioid addiction. Providing services in Flandreau, this center uses medication-assisted treatment and counseling to help individuals recover. This is delivered by Buprenorphine-certified staff and qualified psychiatric clinicians. Upon admission, clients receive psychiatric evaluations and customized treatment plans that target short- and long-term goals.

The supportive care team at Midwest Wellness also specializes in mental health network referrals with correctional facilities, hospitals, and clinics in the Sioux Falls region. Midwest Wellness also offers telehealth services for those who live further afield or require remote treatment options. Potential clients may also want to check out Project Recovery in Rapid City, as they offer similar medication-led opioid treatment, but with a wider treatment menu that includes alcohol, methamphetamines, and tobacco.

First Step

Treatment Type:
Outpatient
Specialization:
Substance Abuse, Alcohol Abuse
Cash Price:
$$
Genders Treated:
All
Ages Treated:
Adults
Payment Accepted:
Private Health Insurance, Private Payment

Delivering services for over 30 years, First Step is a counseling service for alcohol and drug addiction. Established in 1983 by two licensed addiction professionals, this center’s programs are designed to allow clients to continue normal life alongside treatment. Their approach addresses thinking errors and cognitive behaviors that lead to chemical dependency. First Step offers confidential, caring, and prompt services that focus on family inclusivity while addressing a person’s physical, mental, emotional, social, and spiritual well-being.

The programs offered at this center include individualized counseling, 12-step meetings, intervention, addiction education, and the development of lifestyle skills. First Step also offers low-cost, community-based programs.

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About the Author

Jenn Tomomitsu, PhD

Jenn is a Canadian writer and poet with a background in psychology, sociology, and natural health. She is the founder of The Master in You, a mental wellness site that provides information about the role that thoughts and emotions play in our physical and emotional health. Jenn is passionate about inner growth and the power of the mind-body connection, and this informs her writing and research on addiction treatment. On Rehabaid, Jenn aims to write accessible, informative content and provide resources that can help people make empowered and informed decisions about their recovery.

Browse posts by Jenn Tomomitsu, PhD