According to SAMHSA, there are over 115 drug rehab centers in South Carolina. There are various types of treatment services available in the area, with just under 30 detox programs, approximately 10 long-term & short-term centers, and over 80 outpatient programs. Addicted.Org has put together a directory with a wide range of services provided throughout South Carolina. There are ten drug rehab centers in Charleston, South Carolina. These options include standard and medical detox, outpatient drug rehab, and residential substance use treatment programs.

Our counselors are caring and certified in the addiction field, and they can assist you in pinpointing the treatment program and the facility that will meet your individual needs. Once you contact one of our professionals, you can rest assured they will have your best interests at heart. The counselor you reach will be assigned to you, and at any time until you arrive at the facility, you will be able to contact them with questions.

TIPS: If you feel you're going to use

  • Find a peer support group: South Carolina 12-step meetings and aftercare programs from the directory.
  • Stay active and distracted—become a member at the local community center, join a gym, or take long or short walks.
  • Utilize free or open behavioral health counseling or contact SC 2-1-1.
  • Find an extroverted activity—experience the historic districts, beaches, Plantation Gardens, Hilton Head Island, or the state parks.
  • Avoid risky situations that lead to relapse. Be aware of commonly used drugs and triggers.

TIPS: If you want to help someone

  • Refer them to local resources through or the South Carolina Department of Alcohol and Other Drug Abuse Services.
  • Be aware of overdose risks—resources available through the South Carolina Overdose Prevention Project.
  • Assessment and screening are vital tools. These resources are available at state and local levels.
  • Consider hiring a professional interventionist and plan a family intervention.
  • Avoid enabling anyone addicted to drugs or alcohol as it worsens the situation.

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Long-Term Drug Rehab in South Carolina

At Addicted.Org, our professional opinion is that long-term treatment provides the best chance for recovery and maintaining sobriety. Here are a few reasons why:

  • Long-term programs in South Carolina offer a well-rounded approach to treatment to ensure that the different problems in a person's life can be attended to, not just substance abuse.
  • This type of treatment can vary in length in order to give the ample individual time at the facility to overcome their addiction.
  • By living at the facility, the person is free from the stress of their daily life and can put their focus on getting through their program.
  • Family counseling is often provided to make sure that the family dynamic can be addressed and relationships can be repaired.

Long-Term Drug Treatment for Specific Demographics:

  • 6 programs in South Carolina work with adult men.
  • 5 treatment centers offer services to adult women.
  • 3 rehab facilities tailored to the needs of seniors and older adults.
  • 3 substance abuse treatment programs provide services to the LGBTQ+ community.
  • 4 programs provide services to pregnant and postpartum women.

Payment Options for Long-Term Drug Rehab:

  • 3 treatment programs accept Medicaid.
  • 3 rehab centers take private health insurance.
  • 6 facilities in South Carolina are private pay or self-payment.
  • 1 program offers a sliding fee scale for payment.

As we can see, there are many options available for individuals who require a long-term program for substance abuse issues in South Carolina. If you are looking to get yourself or a loved one into a facility in South Carolina, there are many possibilities you can choose from. Look through our directory below or call one of our specialists to begin the process.

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Different Rehab Options in South Carolina

Faith-Based Treatment  
Outpatient Rehab  
Residential Programs  

List of Rehabs in South Carolina

Here is a list of the different drug treatment programs in South Carolina. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.


According to SAMHSA, there are nine inpatient drug and alcohol rehab programs in South Carolina. When treatment facilities classify themselves as an inpatient program, they generally offer more medical support. For example, this may include 24-hour care. However, these drug rehab centers are much of the same as any other standard residential treatment program providing detox, therapy, and aftercare support.

Inpatient Drug Rehab for Specific Demographics:

  • Six inpatient drug rehab centers are women-only facilities.
  • Four treatment centers provide services specifically for men.
  • Four rehab programs provide help for adolescents only.

Payment Options for Inpatient Drug Rehab Programs:

  • Nine inpatient drug rehab programs accept Medicaid health insurance.
  • Nine treatment facilities take private health insurance plans.
  • Only two inpatient programs offer a sliding-fee scale to patients.

South Carolina Drug Rehab Breakdown

According to SAMHSA:


In South Carolina, there are 28 detoxes listed on SAMHSA's directory. Detoxes are used to help people overcome dangerous or severe withdrawal symptoms that would otherwise be difficult to overcome safely.

Short-Term Inpatient

Short-term programs are usually 28 days or less. There are 10 of these programs in South Carolina. Patients are required to stay at inpatient facilities for the duration of their treatment.

Long-Term Programs

In South Carolina, there are 11 long-term residential programs listed. These programs are equipped to treat relapse-prone patients or those who have severe addictions.


Outpatient treatment is an option for patients who have completed inpatient treatment already. Patients travel to the facility weekly for sessions. There are 101 outpatient programs in South Carolina.

Cost of Treatment in South Carolina

The cost of treatment in South Carolina depends heavily on is the person has health insurance coverage and, if so, what type. Most treatment centers accept cash and insurance. Without health insurance, substance use treatment can be quite expensive.

According to SAMHSA:

  • There are 87 facilities that accept Medicaid as a form of payment for treatment.
  • The state has 88 treatment programs that take private health insurance.
  • Cash pay, also called self-pay, is acceptable at 110 facilities in South Carolina.
  • There are only 29 programs in the state that offer sliding scale payment assistance.

Paying for Treatment with Medicaid in South Carolina

Medicaid is available in South Carolina to those who qualify and enroll. To qualify, a person must be able to show financial hardship through income verification. Should a person make too much income, they may not qualify for Medicaid assistance. Medicaid can pay for as much as the entire cost of treatment.

Using Private Insurance to pay for Drug Rehab in South Carolina

Private health insurance is generally accepted at more facilities than Medicaid, and these facilities are usually privately owned. They may offer different methods of treatment than can be found at Medicaid programs and usually provide superior service to state-funded Medicaid programs. Private programs often don't accept Medicaid, so they are less utilized and have more available beds, making it faster to enroll and get started with recovery.

But not everyone can afford private health insurance or the cash price of treatment. And these people don't always qualify for Medicaid, leaving them uninsured and in need of rehabilitation. Unfortunately, South Carolina is one of 12 states that have no expanded Medicaid eligibility. This means that around 105,000 residents have no realistic access to healthcare because they cannot afford it, and the state doesn't provide it. A person's best chance in this scenario is to see if they qualify for a discounted policy through the state's exchange marketplace. Or they can see if the facility itself offers any kind of payment assistance.

The following insurers are available Through South Carolina's exchange marketplace:

  • Ambetter/Absolute Total Care
  • Blue Cross Blue Shield of South Carolina
  • Bright
  • Molina

Paying for Treatment when Uninsured

For those who still don't qualify for assistance with health insurance, there's still one option. Some facilities in the state offer sliding scale payment options. The person's income is considered as a basis for a discounted rate. The cost may then be split into affordable payments so treatment can be started without delay.

But waiting to get someone insured when they need treatment is never recommended. If they don't currently have coverage, it's best to proceed with finding an affordable rehab than to wait and perhaps still not obtain coverage. For more information on how to pay for treatment, you can reach out to one of the treatment specialists at or contact the center directly.'s Evaluation of Rehab in South Carolina

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in South Carolina, discovered the following pros and cons:


  • The South Carolina Department of Alcohol and Other Drug Abuse Services ensures the availability of treatment options through a statewide network of state-licensed and nationally accredited county alcohol and drug abuse authorities.
  • Considering the number of substance use treatment programs in the state, there is an even split of private non-profit and private for-profit programs, 36% and 30% respectively—this means more access to low-income families and more specific treatment methodologies provided. (source N-SSATS)
  • Most substance use treatment providers accept Medicaid and private health insurance, 68%, and 69%, respectively.
  • Close to 60% of programs provide treatment at no charge or minimal payment for clients who can not pay.


  • Detoxification programs are relatively limited, with under 2% classified as residential non-hospital programs. Yet close to 10% are hospital inpatient detoxification.
  • There are over 100 SAMHSA-listed substance use treatment providers. Yet, only 16% are classified as residential non-hospital programs—inpatient treatment remains the best option for rehabilitation.
  • Aftercare support is severely limited, with only seven transitional housing, halfway houses, and sober homes.

Overall, South Carolina is mid-level. Families and individuals have access to different services yet may find better options out of state. However, South Carolina has drastically increased treatment for opioid addiction, and Medicaid covers treatment for opioid use disorders. Families and individuals may face long wait times and some barriers to using insurance to cover costs.

South Carolina Substance Use Statistics

According to SAMHSA and TEDS:

  • There were 18,796 admissions to treatment in South Carolina in 2020.
  • Of this number, close to one-fifth (18.8%) were admitted for an alcohol abuse problem.
  • 2% of admissions were for individuals aged 26-30 years old, making it the age group most affected during that year.

Based on the NCDAS in 2020:

  • 139,000 adults aged between 18 to 25 years old in the state used drugs in the last month.
  • 31,000 teens aged 12-17 years old reported using drugs in the previous month.
  • Of the number of teens, 3.4% reported misusing painkillers.

According to NIDA in 2018:

  • There were 835 drug overdose deaths in South Carolina which involved opioids.
  • From this number, 375 deaths involved prescription opioids.
  • 510 of these fatalities involved synthetic opioids, with the main substance implicated being fentanyl and its analogs. This is an increase of over 100 compared to the 404 deaths in 2017.

The South Carolina DHEC is aware of the ongoing opioid epidemic in their state and around the country. They partner with various organizations in order to address this problem and face it head-on. They also offer a wide range of resources for those who are struggling with opioid addiction as well as prevention services in order to stop addiction before it happens. A section of this department is called the Bureau of Drug Control, and it administers a prescription monitor program for the state called SCRIPTS, so that prescription drug abuse can be identified and stopped.

What's new in South Carolina

3 May 2022

The Latest News on Addiction and Recovery in South Carolina

Drug overdose deaths and DUI crashes vary in South Carolina Counties—

In South Carolina, 29.4 out of every 100,000 people died of a prescription drug overdose in 2020. Barnwell County had the fewest deaths at 5.8, while Jasper County had 88.6 deaths per 100,000. In addition, Darlington County is the worst in the state for DUI crashes, with nearly 500 in 2020. Spartanburg County had the lowest number of DUI crashes.

New warnings of drug more powerful fentanyl—

Overdose deaths spiked, and new warnings over new drugs more powerful than fentanyl. The Oconee County Coroner identified a drug referred to as protonitazene, which brands as a new synthetic opioid with no medically accepted use. The drug could come in the form of tablets or powders. The drug is new to the region.

Frequently Asked Questions

What age groups are affected by drug and alcohol abuse in South Carolina?
How has the opioid-related crisis affected South Carolina?
How does the South Carolina Department of alcohol and other drug abuse services help residents?
How are youth and adolescents affected by substance abuse in South Carolina?


Marcel Gemme, DATS

Marcel Gemme, DATS


on May 16, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on May 16, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.