Find Drug & Alcohol Detox Centers in South Dakota

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Detox Centers in South Dakota

14 Results

Name	Address	Detox Service Setting	Levels Of Care
Avera Addiction Care Center Aberdeen	620 3rd Avenue Southeast Aberdeen, SD 57401	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+2
Avera Behavioral Health Hospital	4400 West 69th Street Sioux Falls, SD 57108	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+3
Pennington Country Care Campus Addiction Treatment	321 Kansas City Street Rapid City, SD 57701	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientDual Diagnosis+1
Project Recovery	625 Flormann St Rapid City, SD 57701	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Stepping Stones Rehabilitation Services	901 South Miller Avenue Mitchell, SD 57301	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+2
Crisis Care Center Rapid City – Closed	321 Kansas City St Rapid City, SD 57701	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Keystone Treatment Center	1010 East 2nd Street Canton, SD 57013	Detox Service Setting Inpatient Detox	Levels Of Care Inpatient
Keystone Treatment Center – Sioux Falls	3800 S Kiwanis Ave Sioux Falls, SD 57105	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Prairie View Prevention Services	822 E 41st St Sioux Falls, SD 57105	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Avera Medical Group Family Health Center – Marion Road	2100 South Marion Road Sioux Falls, SD 57106	Detox Service Setting Inpatient DetoxOutpatient DetoxHospital Detox+1	Levels Of Care InpatientOutpatientPHP
Avera St. Luke’s Hospital	305 South State Street Aberdeen, SD 57401	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual DiagnosisInpatient+1
City/County Alcohol and Drug Programs	725 North Lacrosse Street Rapid City, SD 57701	Detox Service Setting Inpatient Detox	Levels Of Care
Human Service Agency	123 19th Street Northeast Watertown, SD 57201	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientSober Living
Teen Challenge of the Dakotas	600 West 16th Ave S Brookings, SD 57006	Detox Service Setting Hospital DetoxInpatient Detox	Levels Of Care InpatientAftercare

Drug & Alcohol Detox in South Dakota

South Dakota’s overdose crisis looks unlike most of the country. Throughout the state, methamphetamine and fentanyl drive nearly equal shares of deaths, rather than fentanyl alone. In fact, in 2024, methamphetamine was involved in 42 percent of overdose deaths statewide, which was more than any other single drug. The state has responded with programs like Intensive Methamphetamine Treatment, a long-term evidence-based program specifically for people with severe methamphetamine use disorder, something few states offer as a distinct treatment track.

Unfortunately, the burden of this crisis falls unevenly across the population. American Indians in South Dakota die of overdose at a rate 4.4 times higher than white residents. To help combat this problem, seven of the state’s 39 substance use grant programs are specifically directed toward tribal communities.

South Dakota’s substance use disorder treatment programs are accredited by the Department of Social Services, Division of Behavioral Health, through its Office of Licensing and Accreditation, under Administrative Rule 67:61. Chemical dependency treatment facilities that provide medical detox are separately licensed as health care facilities by the South Dakota Department of Health.

Anyone researching detox should know that recent state data shows overdose deaths declining for a second straight year, even as opioid-involved deaths ticked upward in 2025, a sign the picture keeps shifting substance by substance.

Find The Perfect Detox Center For You

Filter treatment centers in South Dakota by level of care offered to find the best detox program for you or a loved one.

Paying for Detox in South Dakota

South Dakota detox costs vary by facility type, whether care is delivered through a DOH-licensed chemical dependency facility or a DSS-accredited outpatient or residential program. By reviewing how much detox costs, you can develop a clearer understanding of what to expect before applying your insurance or Medicaid.

How Much Does Detox Cost in South Dakota?

All four levels below reflect South Dakota-specific averages. With roughly six withdrawal management programs statewide, rural residents may need to factor in travel to reach one. These are cash-pay figures before insurance, Medicaid, or other aid; most people with coverage pay significantly less.

$138,000

Medical Detox

$50,000

Inpatient Rehab

$8,000

Outpatient Rehab

$7,000

Methadone Treatment

Medicare and Medicaid in South Dakota

Medicare

Medicare covers medically necessary detox and OTP services, including methadone, buprenorphine, and naltrexone, under Part B for South Dakota beneficiaries. Cost-sharing depends on treatment setting.

Medicaid

South Dakota Medicaid, administered by the Department of Social Services, covers SUD treatment including detox, residential care, outpatient services, and MAT. In 2023, the state expanded Medicaid eligibility to adults earning up to 138 percent of the federal poverty level, which widened access to coverage.

Other Ways to Pay for Detox Treatment

Several options can help people without insurance pay for treatment, including:

Opioid Settlement Community Grants

DSS has issued Behavioral Health Funding Opportunity grants using opioid settlement funds, with seven of the state’s 39 substance use grants specifically targeting tribal communities.

Sliding Scale and Financial Aid

Many South Dakota treatment centers offer sliding-fee scales and payment plans for residents without commercial insurance.

Telehealth Access

DSS-contracted SUD agencies can deliver screenings and treatment via telehealth, with financial assistance available to reduce the cost of travel for rural residents.

County Locator Services

The Division of Behavioral Health’s county-specific locator connects residents to the nearest low-cost SUD and mental health treatment services.

South Dakota Regulations and Accreditation for Detox

DSS Division of Behavioral Health, Office of Licensing and Accreditation

This office accredits SUD treatment and prevention programs, including outpatient, residential, and detoxification services, under Administrative Rule 67:61. See olapublic.sd.gov.

South Dakota Department of Health (DOH)

DOH licenses chemical dependency treatment facilities as health care facilities and operates the State Unintentional Drug Overdose Reporting System, the state’s primary overdose surveillance tool.

Board of Addiction and Prevention Professionals (BAPP)

BAPP licenses addiction counselors in South Dakota, including the Licensed Addiction Counselor credential that requires 2,000 hours of supervised experience.

South Dakota Opioid Advisory Committee

This committee reviews statewide overdose data and guides how opioid settlement funds are allocated toward treatment, naloxone distribution, and prevention across South Dakota. See dss.sd.gov.

Key MAT Medications and Regulatory Status in South Dakota

Medication-assisted treatment in South Dakota is regulated federally under SAMHSA’s 42 CFR Part 8 and DEA rules, with DSS accrediting opioid treatment programs at the state level. Because medication-assisted treatment access has historically lagged in rural areas, DSS-contracted agencies increasingly offer telehealth MAT initiation alongside financial assistance for residents who cannot easily reach a certified provider.

Buprenorphine

Buprenorphine is available through outpatient prescribers and telehealth across South Dakota, making it the most accessible MAT option for residents in the state’s many rural counties. It is covered under South Dakota Medicaid with limited cost-sharing requirements.

Methadone

Methadone requires daily dosing at a certified opioid treatment program. Most of South Dakota’s OTPs are concentrated in its larger cities, creating real travel burdens for residents on tribal lands and other rural areas.

Naltrexone

Naltrexone requires no special OTP licensing and can be prescribed by any qualified provider statewide. Given how heavily methamphetamine drives South Dakota’s overdose deaths, some programs pair naltrexone for opioid or alcohol use disorder with dedicated stimulant-focused counseling.

Overdose Prevention and Harm Reduction in South Dakota

South Dakota’s harm reduction efforts increasingly focus on getting naloxone into the right hands in the right places, not just distributing it broadly. As methamphetamine and fentanyl drive nearly equal shares of overdose deaths, the state has partnered with nonprofits to place naloxone in everyday community spaces rather than relying only on clinical settings.

These programs are designed to keep people alive long enough to reach detox and treatment when they are ready.

Emily's Hope

https://emilyshope.charity

Free naloxone kits in public spaces Community education on overdose prevention Kit placement in libraries, gas stations, and grocery stores

Through a partnership with the state, Emily’s Hope has distributed over 22,000 naloxone kits to public spaces across South Dakota, from hospital lobbies to repurposed magazine racks.

Let's Be Clear SD

https://letsbeclearsd.com

Statewide overdose data dashboard Naloxone recognition and response education Monitoring of county-level overdose and intervention metrics

This public data and education hub tracks South Dakota’s overdose trends in near real time, helping residents and providers understand where naloxone and other interventions are most needed.

Helpline Center (988)

https://www.helplinecenter.org

24/7 crisis counseling by call, text, or chat Substance use assessment and referrals ASL and 250-plus language translation support

South Dakota’s 988 line connects callers to trained Helpline Center counselors who can assess substance use concerns and make referrals. These services are available around the clock statewide.

South Dakota Department of Health Naloxone Placement Initiative

https://doh.sd.gov/

Data-driven naloxone distribution by county Rebalancing supply toward underserved counties Partnership coordination with community sites

Using SUDORS data, DOH is working to correct naloxone oversupply in some counties, like the Sioux Falls area, while closing gaps in the roughly 48 counties still below their distribution target.

Detox Statistics in South Dakota

South Dakota’s overdose numbers are trending down overall, even as the substances involved keep shifting between methamphetamine, fentanyl, and now more broadly to opioids.

Overdose Deaths Fell for a Second Straight Year

South Dakota drug overdose deaths declined to 83 in 2025 from 94 in 2024, well below the 2021 peak of 104, with methamphetamine-involved deaths cut roughly in half. Source: South Dakota Searchlight.

Alcohol-Related Deaths Rose 19% in One Year

South Dakota alcohol-related deaths rose 19 percent, from 306 in 2023 to 365 in 2024, giving the state the third-highest age-adjusted alcohol death rate in the nation. Source: South Dakota Department of Health.

Methamphetamine Was the Single Most Common Overdose Substance

Methamphetamine was involved in 42 percent of South Dakota’s overdose deaths in 2024, more than any other drug, including fentanyl. Source: USAFacts.

FAQs About Detox in South Dakota

Does South Dakota have a specific program for methamphetamine addiction?

Yes. Intensive Methamphetamine Treatment (IMT) offers long-term, evidence-based programming specifically for people with severe methamphetamine use disorder, a distinct treatment track many states do not offer separately.

Can Native American residents in South Dakota get help paying for detox?

Yes. Seven of South Dakota’s 39 substance use treatment and prevention grants specifically target tribal communities, and residents can also access care through Indian Health Service and tribal health facilities.

How do I find a detox program near me in rural South Dakota?

The Division of Behavioral Health maintains a county-specific locator for substance use disorder and mental health treatment services, and many DSS-contracted agencies offer telehealth screening and treatment with financial assistance available.

Where can I find free naloxone in South Dakota?

Emily’s Hope, in partnership with the state, has placed free naloxone kits in libraries, gas stations, grocery stores, and hospital lobbies across South Dakota. You should also check Let’s Be Clear SD for the latest distribution data in your county.

Why did opioid-related overdose deaths rise in South Dakota in 2025 even as total deaths fell?

State data shows overall overdose deaths declined in 2025, driven largely by a sharp drop in methamphetamine deaths. However, opioid-related deaths grew slightly, from 39 in 2024 to 41 in 2025, suggesting the drug supply is still shifting.

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