Why Trust Recovery Guide South Dakota operates treatment facilities across the state serving residents in cities like Sioux Falls and Rapid City, Native American reservations, and isolated rural towns throughout the plains. Treatment centers address substance problems affecting South Dakotans including methamphetamine addiction, alcohol abuse, opioid dependence, and marijuana use across both tribal and non-tribal populations.
Programs throughout South Dakota offer services including detoxification, inpatient treatment, outpatient counseling, and recovery maintenance. Providers understand challenges specific to South Dakota including extreme geographic isolation, severe weather limiting travel, high substance use rates on some reservations, limited healthcare infrastructure outside major cities, and economic struggles in agricultural communities.
List Of Top Rehab Centers In South Dakota
The following substance abuse treatment programs in South Dakota were selected for this list based on specific criteria.
The alcohol and drug addiction treatment programs below may be:
- accredited
- certified
- reviewed positively on Google
- backed by client testimonials
- in partnership with valued organizations
Advertisers from our partners may appear among these rankings and are indicated as such.
Aberdeen, South Dakota
#1 Avera Behavioral Health
Avera Behavioral Health offers a 12-step-based drug rehab program in Aberdeen, SD, with a range of treatment options available. Residential treatment for adults, adolescents, and seniors are among the options available. Adult residential programs take place at the facility’s Sioux Falls and Aberdeen locations, and youth residential services are offered in Sioux Falls only. Both care centers are located inside Avera St. Luke’s Hospital. These programs are based on the 12 steps of Alcoholics Anonymous, Narcotics Anonymous, and Gamblers Anonymous.
Avera provides specialized services such as a family program to educate family members and help them establish healthier relationships. There is also a two-week relapse prevention program for those who are having difficulty maintaining sobriety or abstinence. Additional services include early intervention groups, pain management, employee assistance programs (EAPs), and more.
Show MoreAvera Behavioral Health offers a 12-step-based drug rehab program in Aberdeen, SD, with a range of treatment options available. Residential treatment for adults, adolescents, and seniors are among the options available. Adult residential programs take place at the facility’s Sioux Falls and Aberdeen locations, and youth residential services are offered in Sioux Falls only. Both care centers are located inside Avera St. Luke’s Hospital. These programs are based on the 12 steps of Alcoholics Anonymous, Narcotics Anonymous, and Gamblers Anonymous.
Avera provides specialized services such as a family program to educate family members and help them establish healthier relationships. There is also a two-week relapse prevention program for those who are having difficulty maintaining sobriety or abstinence. Additional services include early intervention groups, pain management, employee assistance programs (EAPs), and more.
Sturgis, South Dakota
#2 Compass Point Inpatient
Compass Point is a substance abuse treatment facility that offers a number of rehab programs in Sturgis, SD, including short-term inpatient treatment and intensive outpatient services. This facility offers specialized care for adolescents in need of life skills education and people with co-occurring mental health disorders.
Founded in 1973 as Northern Hills Alcohol and Drug Services, Compass Point provides clients with individualized, comprehensive treatment and education. Additionally, 63% of the counselors are working a program of recovery themselves and can relate firsthand to their clients’ experiences. Treatment is provided regardless of the client’s ability to pay.
Show MoreCompass Point is a substance abuse treatment facility that offers a number of rehab programs in Sturgis, SD, including short-term inpatient treatment and intensive outpatient services. This facility offers specialized care for adolescents in need of life skills education and people with co-occurring mental health disorders.
Founded in 1973 as Northern Hills Alcohol and Drug Services, Compass Point provides clients with individualized, comprehensive treatment and education. Additionally, 63% of the counselors are working a program of recovery themselves and can relate firsthand to their clients’ experiences. Treatment is provided regardless of the client’s ability to pay.
In addition to substance abuse treatment, the facility offers drug testing for companies (excluding the Department of Transportation), employment and pre-employment drug testing, cognitive behavioral intervention for substance abuse (CBISA), and more.
Sisseton, South Dakota
#3 Dakotah Pride Center
Dakotah Pride Center is a 12-bed inpatient drug rehab center that offers both inpatient programs and outpatient services for people with substance use disorders. Preference for treatment is given to American Indians seeking help. Both adult and adolescent rehab programs are available, with the facility serving adolescent clients ages 11 to 17.
To be considered eligible for treatment, clients must meet the DSM-5 diagnostic criteria for substance abuse/dependence. Clients must be 72 hours drug- or alcohol-free prior to admission and not in need of medical detoxification services. There is no charge for anyone who is eligible for Indian Health Service (IHS) support, but all other clients must use private health insurance or self-pay.
Show MoreDakotah Pride Center is a 12-bed inpatient drug rehab center that offers both inpatient programs and outpatient services for people with substance use disorders. Preference for treatment is given to American Indians seeking help. Both adult and adolescent rehab programs are available, with the facility serving adolescent clients ages 11 to 17.
To be considered eligible for treatment, clients must meet the DSM-5 diagnostic criteria for substance abuse/dependence. Clients must be 72 hours drug- or alcohol-free prior to admission and not in need of medical detoxification services. There is no charge for anyone who is eligible for Indian Health Service (IHS) support, but all other clients must use private health insurance or self-pay.
Canton, South Dakota
#4 Keystone Treatment Center
Keystone Treatment Center is a rehab center that offers a full spectrum of alcohol and drug rehab programs in Canton, SD, for both adolescents and adults. Treatment is provided for substance use and co-occurring mental health disorders. Founded in 1973, the facility follows a 12-step model of recovery, with all therapies tailored to meet clients’ unique needs. Programs include residential inpatient treatment, partial care/day treatment, and intensive outpatient services.
There are specialized programs at Keystone for clients with unique needs, including American Indians, military veterans, first responders, people of Christian faith, people with opioid use disorder, people addicted to methamphetamines, people with chronic pain issues, people with a gambling addiction, and adolescents.
Show MoreKeystone Treatment Center is a rehab center that offers a full spectrum of alcohol and drug rehab programs in Canton, SD, for both adolescents and adults. Treatment is provided for substance use and co-occurring mental health disorders. Founded in 1973, the facility follows a 12-step model of recovery, with all therapies tailored to meet clients’ unique needs. Programs include residential inpatient treatment, partial care/day treatment, and intensive outpatient services.
There are specialized programs at Keystone for clients with unique needs, including American Indians, military veterans, first responders, people of Christian faith, people with opioid use disorder, people addicted to methamphetamines, people with chronic pain issues, people with a gambling addiction, and adolescents.
Parkston, South Dakota
#5 Our Home
Our Home is an addiction treatment center that provides CARF-accredited addiction and mental health services for adolescents in Parkston, SD, with additional services in Huron, SD. Founded in 1972, the 17,000-square-foot Parkston facility houses staff and clients, and contains an academic school and gymnasium. The addiction treatment program, known as Rediscovery Drug & Alcohol Treatment, typically lasts 28 to 30 days, and is licensed to serve up to 98 adolescents.
Treatment options include inpatient rehab, a short-term rehab program, specialized individual and group therapies, and cultural, spiritual, and educational opportunities. Emergency medical care is available in Parkston by the Avera St. Benedict Health Center. Onsite recreational facilities allow clients to participate in basketball, volleyball, softball, and weight-lifting. The Huron location provides specialized programs for sexually aggressive males.
Show MoreOur Home is an addiction treatment center that provides CARF-accredited addiction and mental health services for adolescents in Parkston, SD, with additional services in Huron, SD. Founded in 1972, the 17,000-square-foot Parkston facility houses staff and clients, and contains an academic school and gymnasium. The addiction treatment program, known as Rediscovery Drug & Alcohol Treatment, typically lasts 28 to 30 days, and is licensed to serve up to 98 adolescents.
Treatment options include inpatient rehab, a short-term rehab program, specialized individual and group therapies, and cultural, spiritual, and educational opportunities. Emergency medical care is available in Parkston by the Avera St. Benedict Health Center. Onsite recreational facilities allow clients to participate in basketball, volleyball, softball, and weight-lifting. The Huron location provides specialized programs for sexually aggressive males.
Sioux Falls, South Dakota
#6 Tallgrass Recovery And Sober Living Homes
Tallgrass is a substance abuse treatment center that offers short-term inpatient treatment and transitional living in Sioux Falls, SD. More than 80% of the services are provided by volunteers from the local recovery community, many of whom are Tallgrass Recovery alumni.
This treatment program is 30 days in length and follows a 12-step, mentor-based approach. The daily schedule at Tallgrass consists of meditation, 12-step meetings, group therapy, and nutritious meals. The inpatient rehab program takes place on a 10-acre campus, where clients can immerse themselves in the outdoors. Since its inception, Tallgrass Recovery has served more than 2,000 people in the Sioux Falls area. After completing 30 days of treatment, clients are able to apply for a transitional housing program.
Show MoreTallgrass is a substance abuse treatment center that offers short-term inpatient treatment and transitional living in Sioux Falls, SD. More than 80% of the services are provided by volunteers from the local recovery community, many of whom are Tallgrass Recovery alumni.
This treatment program is 30 days in length and follows a 12-step, mentor-based approach. The daily schedule at Tallgrass consists of meditation, 12-step meetings, group therapy, and nutritious meals. The inpatient rehab program takes place on a 10-acre campus, where clients can immerse themselves in the outdoors. Since its inception, Tallgrass Recovery has served more than 2,000 people in the Sioux Falls area. After completing 30 days of treatment, clients are able to apply for a transitional housing program.
Brookings, South Dakota
#7 Teen Challenge Of The Dakotas
Teen Challenge of the Dakotas is a men-only residential treatment center in Brookings, SD. It is a Christian-based rehab program in South Dakota, with education and addiction treatment designed to address spiritual growth and wellness for adult men ages 18 and older. Since its inception, the program has operated under the concept that “a person with life-controlling problems can change, if that person wants to change.” To support clients, the facility focuses on the client as a whole, rather than considering their substance abuse as a separate factor.
The 14-month program consists of five phases that include eight months of induction and training and six months of re-entry services. During the first eight months of the program, clients participate in personal and group studies, work-study, and individualized mentoring. During the re-entry program, clients work to obtain and finish their General Educational Development (GED) diploma and find full-time employment. Clients also learn how to formulate and maintain a financial budget with the goal of eliminating debt and planning for future housing. During this phase, clients also participate in community initiatives, such as Habitat for Humanity and The Harvest Table program.
Show MoreTeen Challenge of the Dakotas is a men-only residential treatment center in Brookings, SD. It is a Christian-based rehab program in South Dakota, with education and addiction treatment designed to address spiritual growth and wellness for adult men ages 18 and older. Since its inception, the program has operated under the concept that “a person with life-controlling problems can change, if that person wants to change.” To support clients, the facility focuses on the client as a whole, rather than considering their substance abuse as a separate factor.
The 14-month program consists of five phases that include eight months of induction and training and six months of re-entry services. During the first eight months of the program, clients participate in personal and group studies, work-study, and individualized mentoring. During the re-entry program, clients work to obtain and finish their General Educational Development (GED) diploma and find full-time employment. Clients also learn how to formulate and maintain a financial budget with the goal of eliminating debt and planning for future housing. During this phase, clients also participate in community initiatives, such as Habitat for Humanity and The Harvest Table program.
What To Look For When Choosing A Rehabilitation Center In South Dakota
Choosing a treatment center in South Dakota means considering factors related to rural healthcare and isolation. South Dakota has treatment options but understanding what matters helps you find appropriate care.
1. State Approval and Oversight
- Verify licensing from the South Dakota Department of Social Services, Division of Behavioral Health.
- Confirm adherence to South Dakota regulations governing addiction services.
- Review compliance history and any disciplinary actions on record.
2. Therapeutic Interventions Offered
- Seek facilities providing individual counseling, peer groups, cognitive approaches, and family therapy.
- Check availability of medications for opioid and alcohol dependence when medically indicated.
- Ensure capability to treat mental health conditions co-occurring with substance problems.
3. Methamphetamine Treatment Focus
- South Dakota experiences significant methamphetamine problems requiring specialized approaches.
- Ask about specific strategies for treating meth addiction and supporting sustained recovery.
- Look for understanding of psychological effects and behavioral changes from meth use.
4. Tribal Community Services and Cultural Relevance
- South Dakota has nine tribal nations where culturally appropriate care makes significant difference.
- Inquire about Native counselors, traditional practices, and respect for tribal customs.
- Seek programs addressing intergenerational trauma affecting Native populations.
5. Extreme Distance and Travel Obstacles
- South Dakota’s size means some residents travel hundreds of miles reaching treatment.
- Ask about lodging assistance or transportation support for distant clients.
- Check whether remote care options exist for ongoing treatment after residential stays.
6. Program Intensity Levels Available
- Facilities should offer detoxification, residential immersion, and outpatient options.
- Verify flexibility in adjusting treatment intensity based on progress.
- Look for extended support addressing relapse risk after initial intervention.
7. Harsh Climate and Seasonal Barriers
- South Dakota winters create dangerous travel conditions and isolation.
- Ask about winter contingency plans and indoor programming during severe weather.
- Consider how facilities address seasonal depression common in northern states.
8. Payment Options and State Medicaid
- Determine acceptance of South Dakota Medicaid, Medicare, tribal health benefits, and commercial insurance.
- Request complete fee information including any charges beyond basic services.
- Ask about reduced rates for low-income South Dakotans needing assistance.
9. Provider Training and Rural Experience
- Confirm staff hold appropriate South Dakota licenses and addiction credentials.
- Ask whether they understand challenges facing rural and tribal populations.
- Inquire about supervision ratios and medical coverage during critical phases.
10. Post-Treatment Support in Sparse Communities
- Centers should help connect you with limited resources available in South Dakota communities.
- Ask about telehealth continuation and remote support options.
- Seek facilities realistic about maintaining recovery in isolated settings.
Finding South Dakota Treatment Despite Geographic Challenges
South Dakota presents unique obstacles including extreme isolation, harsh weather, and limited resources, yet treatment exists to help residents overcome addiction. Whether you live on reservations, in small towns, or near cities, selecting a facility understanding South Dakota realities while delivering quality care will support your recovery despite the state’s geographic and climatic challenges.
South Dakota Drug Rehab Program FAQs
You may have questions as you look for the right addiction treatment facility.
Find answers here to some of the most common concerns regarding substance abuse treatment in South Dakota.
Are There Speciality Drug Rehab Programs?
Yes, there are rehab programs for LGBTQ people in South Dakota, as well as specialized non-12-step programs for South Dakota residents who do not wish to experience spirituality as part of their recovery.
Are There Free Rehab Centers In South Dakota?
Some state-funded addiction treatment centers in South Dakota offer treatment free of charge due to government grants or other sponsorships.
Read more about free rehab centers in South Dakota
Do Rehab Centers Accept Medicaid?
As with private health insurance plans, some addiction recovery centers also accept Medicare, TRICARE, or South Dakota Medicaid for substance abuse treatment.
Where Can I Find Outpatient Care For Substance Abuse?
Outpatient addiction treatment in South Dakota is available at a great many rehabilitation centers, including many of those listed above.
Do Rehab Centers Provide Dual Diagnosis Care?
Yes, people with co-occurring mental health and substance use disorders can find the treatment they need in a dual diagnosis rehab center in South Dakota.
Do Rehab Centers Provide Gender-Specific Treatment?
There are some men-only rehab centers in South Dakota and women-only treatment centers in South Dakota, but not every facility will offer gender-specific care. Additionally, some rehab programs may be able to accommodate pregnant South Dakota women for addiction treatment.
Are There Luxury Rehab Centers In South Dakota?
Yes, there are luxury rehab facilities in South Dakota for people seeking top-notch amenities and accommodations during their stay.
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Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.
- South Dakota Attorney General’s Office — Drug Abuse in South Dakota
http://www.sdhda.org/images/stories/links_for_sdhda/Annual%20Conference/Handouts/2016/pharm2ndedit14-Jackley.pdf - Substance Abuse and Mental Health Services Administration (SAMHSA)—Medication-Assisted Treatment (MAT)
https://www.samhsa.gov/substance-use/treatment/options
