Based on the SAMHSA directory, there are over 50 drug rehab centers in South Dakota. These include more than 5 detox programs, less than 15 short-term rehab centers, over 10 long-term facilities, and approximately 45 outpatient programs. Addicted.Org also features a wide range of treatment services that are available within the state.

Additionally, Addicted.Org has qualified & certified counselors who are readily available to help you. If you feel that you or a loved one needs substance use treatment, but you are not sure which program is the right one, you have come to the right place. Our addiction specialists will guide you through this process and help you ultimately find the facility that will be able to answer your needs.

Call 1-800-304-2219 to talk to a rehab specialist

South Dakota Long-Term Drug rehab

In many cases, long-term substance use treatment is the most effective and comprehensive form of rehab. Here are a few reasons why:

  • Long-term treatment can last anywhere from one to six months, and even longer depending on the client’s individual needs.
  • Clients at a long-term program in South Dakota can spend more time building structure as well as healthy behaviors, habits, and routines.
  • They remain at the facility for an adequate period, which increases greatly the rate of success.
  • Aftercare programs can be more comprehensive since a sober network was built during treatment.

Long-Term Rehab for Specific Demographics:

  • 6 treatment programs that work with adult women.
  • 7 facilities in South Dakota serve the needs of adult men.
  • 5 rehab programs are available to adolescents.
  • 2 centers answer the needs of seniors and older adults.
  • 3 treatment facilities tailor programs for the LGBTQ+ community.
  • 3 programs offer services for pregnant & postpartum women.

Payment Options for Long-Term Treatment:

  • 10 treatment centers accept Medicaid.
  • 6 rehab facilities take private health insurance.
  • 11 programs in South Dakota are private pay or self-payment.
  • 4 treatment facilities offer a sliding fee scale for payment.

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List of Rehabs in South Dakota

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

Treatment Breakdown for South Dakota

Detox Programs

Detoxification helps the body rid itself of the toxins that were brought on by substance use. It is essential, as it also gets the person ready for treatment. In South Dakota, there are 7 detox programs available, according to the SAMHSA directory.

Short-Term Residential

Based on SAMHSA, there are 10 short-term treatment centers in South Dakota. Short-term rehab programs normally last 28 days or less but can be just as successful as long-term programs, in certain cases.

Long-Term Treatment

Long-term programs last longer, anywhere from one, three, to even six months, depending on what each client needs. There are 12 long-term treatment facilities in South Dakota, per the SAMHSA directory.

Outpatient Programs

In South Dakota, according to SAMHSA, there are 46 outpatient programs available. Outpatient treatment can also vary in length, especially since it provides a less intensive approach to rehab.

Cost of Treatment in South Dakota

Substance abuse treatment is the best way to overcome a drug or alcohol addiction problem however the cost of treatment can be a massive barrier for some. Medicaid and other forms of health insurance are some of the main ways that treatment is paid for in the state yet there are so many still struggling to end their substance abuse problem. With the increase in the drug crisis, there has also been an increase in the number of drug rehab programs and ways to afford the treatment that is dire to end the drug or alcohol addiction.

According to SAMHSA:

  • The state has 44 drug treatment programs that accept Medicaid.
  • Other than Medicaid, there are 39 take treatment centers accepting private health insurance.
  • South Dakota offers 49 programs with self-pay or cash-pay options.
  • A sliding scale is available to patients at 23 drug rehab centers in the state.

Paying for Treatment with Medicaid in South Dakota

Medicaid is a type of government funded health insurance which provides all patients with basic drug and alcohol treatment services. This can include programs such as outpatient, medical detoxification, in-patient and long-term residential among others. The programs that are covered by the state Medicaid can often times experience an influx of patients which can cause a wait list for treatment if the facility is at capacity for clients. This does not mean that there will be no options available however it can be more challenging in some cases. Medicaid will have the information on which programs will be covered in your area.

Using Private Insurance to pay for Drug Rehab in South Dakota

With the help of a private health insurance policy, drug users will have access to drug and alcohol treatment centers that can be either partially or fully covered by the insurance provider. Private health insurance providers work with specific drug and alcohol treatment centers to cover treatment. Coverage will be dependent on what type of policy the individual has as well as the programs that work directly with the insurance provider. Your health insurance company will be able to inform you on which programs they cover as well as what your anticipated out-of-pocket expenses will be if any. Private health insurance typically works with some of the better drug rehab programs

According to South Dakota's health marketplace the following insurers are available in South Dakota:

  • Avera
  • Sanford

Paying for treatment when uninsured

Although there are many insurance options available, there are still many residents that are uninsured throughout the country and in South Dakota. And while insurance typically offers the most cost-effective solutions for drug rehabilitation services, there are still other options for those without any health insurance. Self-pay programs do not require patients to have insurance and can usually work with a payment plan for treatment. A sliding scale is another alternative to making treatment more affordable and it is done by utilizing the individual’s income to determine the cost of the program which ensures that all patients have a choice to enroll in affordable drug treatment.

South Dakota Substance Use and Rehab Statistics

Drug and alcohol addiction is a major concern for nearly every state even less populated ones such as South Dakota. Efforts have been made to help the drug crisis and the state received over $51 million in funding for mental health services and addiction treatment services from the Substance Abuse and Mental Health Services Administration in 2021.

According to America’s Health Rankings:

  • 0% of adults in South Dakota report cannabis use in the past year.
  • 3% of residents report illicit drug abuse.
  • 9% of adults reported non-medical drug use a significant rise from the previous year.

According to SAMHSA:

  • South Dakota reported having 15,323 drug treatment admissions in 2020.
  • 7% of the admissions were for amphetamine abuse.
  • 1% of the treatment admissions involved alcohol only.
  • 5% of residents reported alcohol abuse along with a secondary drug.

South Dakota Drug Overdoses

Drug and alcohol-related deaths are sadly a common occurrence being seen throughout the US and all throughout South Dakota. The opioid crisis specifically has had a deadly impact on the state. The National Institute on Drug Abuse (NIDA) reported that half of the fatal drug deaths reported in South Dakota were due to opioids. The Centers for Disease Control report:

  • 102 drug-related deaths from Nov. 2020 through Nov. 2021.
  • 70 drug deaths were reported in the previous year.
  • A 45.1% increase is noted between the two years, a significant increase compared to most states.’s Evaluation of South Dakota

After examining the statistics and trends of drug and alcohol rehabilitation in South Dakota, has developed the following list of pros and cons:


  • South Dakota has relatively low rates of substance abuse compared to other states. It was one of only two states in the US that saw a decline in drug overdose death rates during 2020.
  • While South Dakota doesn’t have an expanded Medicaid program, it is on the ballot for November 2022.


  • South Dakota only has a total of 47 substance abuse treatment service providers in the state.
  • Only eight of those facilities offer some kind of detox service. With so few options for getting off drugs, patients may be forced to wait to get started on the treatment process. Delays in getting people the treatment they need often end in disaster.
  • Some facilities offer services specific to members of the LBGTQ community. South Dakota only has ten such facilities.

As you can see, with Medicaid expansion and with few treatment providers, South Dakota could desperately use to bolster its substance abuse treatment resources. There aren’t enough options, and many of them may not be affordable.

Frequently Asked Questions

What Is the Current Rate of Alcohol Use Among Different Age Groups in South Dakota?
What Are Some of the Most Commonly Used Illicit Drugs in South Dakota?
What Drug Abuse Prevention Programs Have Been Implemented in South Dakota to Help Residents?
What Is the South Dakota 24/7 Sobriety Project?


Marcel Gemme, DATS

Marcel Gemme, DATS


on April 20, 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 April 20, 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.