I. Getting Help

What to Consider When Choosing a Rehab Center

There are many different types of rehab programs and treatment options to consider. Here are a few of the decisions you need to make:

The main factors that determine which rehab options will be best for you are the severity of your addiction and your unique personal and financial situation.

For more information on how to make all of these decisions, read our guide to Choosing the Right Rehab

The Highest Rated, Low-Cost Rehabs in South Dakota

If the cost of rehab is a barrier for you – as it is for many – and you don’t have insurance, there are still ways for you to receive help. According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 53 substance abuse treatment centers in the state of South Dakota. Of those 53 centers, The Arch in Sioux Falls received the highest overall score based on our five core metrics.

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For more information about the five core metrics, head to the full breakdown of our filtering process and ranking methodology

1. The Arch

With an overall score of 8.2 points out of 10 possible points, The Arch in Sioux Falls earned the first spot in our rankings. The center offers residential substance abuse treatment services to residents of southeastern South Dakota, including those individuals who are on opioid medication. One of its best features is the wealth of treatment approaches available to patients, such as cognitive, dialectical and rational emotive behavioral therapies, 12-step facilitation and Matrix Model approaches, motivational interviewing/incentives, and several more. It also received maximum points for its multitude of special programs for unique populations, ranging from members of the LGBTQ community to veterans to pregnant/postpartum women to patients with co-occurring mental health disorders, among many others.

The center also received a perfect score for the number of payment methods it accepts for treatment, including Medicare, Medicaid and other state-financed health insurance, TRICARE, IHS/Tribal/Urban (ITU) funds, Access to Recovery (ATR) vouchers, government funding for substance abuse programs, private health insurance, and self-payment. The Arch’s biggest weakness is its limited ancillary services intended to complement and promote clients’ long-term recovery; however, it does still offer services such as housing and transportation assistance, individual/group/marital/family counseling, social skills development, and more.

  • Rehabilitation Services Provided: 6.66
  • Treatment Approaches: 10
  • Cost: 10
  • Special Programs for Unique Demographics: 10
  • Ancillary Services: 1.67

2. Keystone Treatment Center

Keystone Treatment Center, located in Canton, received an overall score of 6.7 points out 10 points for its residential substance abuse rehabilitation services for adolescents and adults. The center’s biggest strength is, in fact, these comprehensive rehabilitation services, including medication-assisted treatment and detoxification services, utilizing drugs such as buprenorphine and naltrexone. It also scored high in the category of Cost, accepting payment methods such as Medicaid and other state-financed health insurance, IHS/Tribal/Urban (ITU) funds, Access to Recovery (ATR) vouchers, government funding for substance abuse programs, private health insurance, and self-payment. The center’s biggest weakness is its limited number of ancillary services; however, the center does provide such services as nicotine replacement therapy, treatment for gambling disorders, and individual/group/marital/family counseling that are intended to complement and promote clients’ long-term recovery.

  • Rehabilitation Services Provided: 10 
  • Treatment Approaches: 4
  • Cost: 8
  • Special Programs for Unique Demographics: 5.01
  • Ancillary Services: 3.34

3. Glory House

Located in Sioux Falls, Glory House received 6.1 out of 10 points, earning it the third place in our rankings for its residential and outpatient substance abuse rehabilitation services for adults. The center accepts clients on opioid medication. Its highest performance was for its wealth of ancillary services intended to complement and promote clients’ long-term recovery, offering services such as comprehensive mental health assessments, assistance with obtaining social services, aftercare, health education services, and many others. The center scored lowest in the category of Cost; however, it does accept Medicaid, Access to Recovery (ATR) vouchers, government funding for substance abuse programs, private health insurance, and self-payment as payment options, in addition to a sliding fee scale based on income and other factors.

  • Rehabilitation Services Provided: 6.66
  • Treatment Approaches: 6
  • Cost: 4
  • Special Programs for Unique Demographics: 6.68
  • Ancillary Services: 8.35
Highest-Rated, Low-Cost Treatment Centers in South Dakota
RankRehabTotal ScoreContact Information
#1The Arch8.2516 West 12th Street Sioux Falls, SD 57104 Main Tel: 605-332-6730
#2Keystone Treatment Center 6.71010 East 2nd Street Canton, SD 57013 Main Tel: 888-474-1139
#3Glory House6.14000 South West Avenue Sioux Falls, SD 57109 Main Tel: 605-332-3273
#4South Dakota Urban Indian Health Sioux Falls Clinic 4.91200 North West Avenue Sioux Falls, SD 57104 Main Tel: 605-339-0420
#5South Dakota Urban Indian Health Pierre Clinic4.61714 Abbey Road Pierre, SD 57501 Main Tel: 605-224-8841
#6

Avera Medical Group Behavioral Health Clinic 

4.12412 South Cliff Avenue, Suite 200 Sioux Falls, SD 57105 Main Tel: 605-322-4079
#7Prairie View Prevention Services, Inc. 4.0822 East 41st Street, Suite 235 Sioux Falls, SD 57105 Main Tel: 605-331-5724
#8Compass Point2.9710 East Colorado Boulevard Spearfish, SD 57783 Main Tel: 605-642-7093
#9Tallgrass Recovery & Sober Living Homes2.727048 Tallgrass Avenue Sioux Falls, SD 57108 Main Tel: 605-368-5559

Finding a Substance Abuse Treatment Center in South Dakota

Start by contacting your referral center

In South Dakota, the first step is to contact the behavioral health treatment provider in your area. These providers are located in each county across the state serviced by the South Dakota Department of Social Services (DSS). To find the contact information for the provider in your area, visit the DSS website.

The purpose of a referral center is to determine what type of help each individual needs, as well as the resources available for each individual. The referral center is also the first point of contact for anyone who may need assistance paying for treatment. To learn if you qualify for low-income Medicaid services, and to determine eligibility, visit the DSS Medicaid information page.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of South Dakota recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Input your zip code and select the filter icon to find relevant treatment centers near you.

filter button

Type Of Care
Treatment Apporaches
Service Setting
Age Groups Accepted
Ancillary Services
Facility Operation
Facility Smoking Policy
Gender Accepted
Language Services
License Certification Accreditation
Payment Assistance Available
Payment Methods and Insurance Accepted
Special Programs Groups Offered

    What to Expect in Rehab

    Many different methods are available for treating addiction, and the science of studying addiction is constantly improving and changing. However, the core pieces of rehabilitation are generally very similar.

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    For more on what to expect in rehab, read our guide on the addiction rehabilitation process.

    II. Substance Abuse and Rehab for At-Risk Groups

    Substance Abuse Treatment for Veterans

    Substance use disorder and PTSD go hand-in-hand for many veterans

    Veterans face unique challenges that can place them at higher risk for a substance use disorder (SUD) than the general population. The primary factor leading to this increased risk is post-traumatic stress disorder (PTSD), while other situations, such as unemployment, homelessness and chronic pain, can also be contributing factors. Furthermore, individuals – including veterans – with a substance use disorder are more likely to develop PTSD, so the problem is cyclical in nature.

    1 in 3

    veterans seeking treatment for a SUD also has PTSD

    1 in 4

    veterans with PTSD also has a SUD

    According to the U.S. Department of Veterans Affairs’ National Center for PTSD, as of early 2019, nearly one of every three veterans who seeks treatment for a substance use disorder also has a PTSD diagnosis. Similarly, over one in four veterans who has received a diagnosis of PTSD is also struggling with a substance use disorder. Furthermore, for veterans of the wars in Iraq and Afghanistan, one in 10 of those individuals who visits a VA health care facility has a substance use disorder.

    However, there is hope for veterans suffering from a substance use disorder, as they have access to additional resources for treatment for a SUD or co-occurring SUD and PTSD, and VA benefits often cover the cost of this treatment. To find help with substance abuse treatment from the VA healthcare system, follow these steps:

    Enroll: If you aren’t already enrolled, you can check if you are eligible for VA health benefits and then complete the application. You can also research the Department of Veterans Affairs Alcohol and Drug Dependence Rehabilitation Program. This program is available in VA medical centers and outpatient clinics around the United States and provides a variety of treatment options, such as rehabilitation, detoxification, and psychiatric services, for veterans addicted to drugs and alcohol. Keep in mind that you must already be enrolled in the VA healthcare system to be considered for the program.

    Discover: Find out whether your local VA medical center provides substance use disorder (SUD) treatment by calling or visiting the center. If you don’t know where the closest VA medical center is located, call the VA hotline at 800-827-1000 to find out or click here for a comprehensive search of VA locations around the United States.

    Find Treatment: Veterans in South Dakota can reach out to their local VA medical center to search for information on substance abuse treatment, including the possibility of a VA-based substance use disorder (SUD) program, in their state. Additionally, they can locate information regarding substance abuse treatment services at the South Dakota Department of Veterans Affairs.

    Treatment is available for veterans in South Dakota who are suffering from a substance use disorder. As of 2017, 13 substance abuse treatment facilities in South Dakota – representing 22.4% of all treatment facilities – catered specifically to veterans.

    For more information, read our guide on Substance Abuse Rehab for Veterans.

    Substance Abuse Treatment for Adolescents

    Adolescents in South Dakota use marijuana and alcohol at rates highter than the national average

    10.8%

    of adolescents aged 12-17 used marijuana, 2017-2018

    10%

    of adolescents aged 12-17 drank alcohol, 2017-2018

    Between 2017 and 2018, 10.8% of adolescents aged 12-17 in South Dakota reported engaging in marijuana use in the past month, higher than the national average of 6.6%. In terms of alcohol use, 10% of adolescents aged 12-17 in South Dakota had taken part in the behavior in the past month, slightly more than the national average of 9.4%. Additionally, 4.7% of individuals admitted to a substance abuse treatment program in South Dakota in 2017 were aged 12-17. To overcome the challenges that youth face in overcoming substance addiction, some treatment centers provide adolescent-specific treatment programs.

    Additional Resources for Parents and Teachers

    The South Dakota Department of Social Services (DSS) funds substance use disorder treatment agencies across the state. Each provider works with youth and adults in a particular region to prevent substance abuse, and each has unique resources for families in the region. To find a treatment agency near you, take a look at the DSS listing. You can also learn about substance use disorder services for youth on the DSS website.

    Co-Occurring Mental Health & Substance Abuse Treatment

    Substance abuse and mental health issues tend to go hand-in-hand – the technical term is “co-occurring substance use and mental health disorders.” The Substance Abuse and Mental Health Services Administration (SAMHSA) reported that, in 2017, 45.6% of adults with a substance use disorder also had a mental health disorder, and 18.3% of adults with a mental health disorder also had a substance use disorder. For adolescents in 2017, 35.9% of those with a substance use disorder also had a major depressive episode, while 10.7% of adolescents with a major depressive episode also had a substance use disorder.

    Mental Health Resources & Treatment

    If you or someone you love is suffering from mental health issues, such as depression, PTSD, eating disorders, or severe anxiety, there are many resources from which to receive help.

    Below are a few ways to receive immediate assistance, as advised by MentalHealth.gov:

    Emergency Services: If your life (or someone else’s life) is in danger, always start by dialing 911 to gain immediate access to emergency services.

    Suicide Prevention: The number for the National Suicide Prevention Lifeline is: 800-273-8255. You can also initiate a private live online chat.

    Veterans Crisis Line: Dial the National Suicide Prevention Lifeline at 800-273-8255 and press “1” to talk to someone immediately. You can also access help with a private online chat or text 838255.

    Here are two ways to find a provider of mental health treatment in South Dakota:

    South Dakota Department of Social Services: The DSS website has a section dedicated to helping the general public with mental health concerns and a special section devoted to mental health programs for families and youth.

    South Dakota National Alliance on Mental Illness (NAMI): The South Dakota branch of NAMI provides information on mental health resources across the state and offers specific sections for adolescents and veterans.

    Individuals who have both substance use and mental health disorders may benefit from dual-diagnosis rehab facilities. Use the appropriate filter in our tool above to find rehabilitation centers with treatment programs designed to meet the unique challenge posed by co-occurring substance use and mental health disorders.

    III. Finding Aftercare in South Dakota

    Substance abuse aftercare treatment is often overlooked, but it’s one of the most crucial steps in the rehabilitation process. The chances of relapsing after rehab dramatically rise for individuals who try to resume their lives without pursuing further treatment in an aftercare setting. Several different types of aftercare are available for recovering addicts, including follow-up visits for continued therapy, group therapy, and sober living homes. Research shows that long-term participation in aftercare activities dramatically improves the outcome of rehabilitation efforts.

    12-Step Addiction Meetings in South Dakota

    Alcoholics Anonymous (AA) designed the 12-step process for individuals recovering from alcohol addiction, and today there are many other 12-step programs for other addictions and issues – Narcotics Anonymous (NA) being just one example.

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    Contact the appropriate local organization to find an AA or NA meeting near you

    The tool below lists the contact information for local organizations that will connect you to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings near you. Since meeting times and locations change periodically, contact the local groups that coordinate the meetings to ensure that the information is up to date.

    NameCityProgramTelephoneSpanish Hotline
    SD Statewide NASD Statewide (local)NA(888) 334-7597N/A
    SOAR Area NASOAR Area (Sioux Falls)NAN/AN/A
    West River Area NAWest River Area (Western South Dakota)NA(605) 731-8066N/A

    Sober Living Homes

    Sober living homes (also referred to as recovery residences) are group homes that help recovering addicts transition from treatment facilities to living independently while maintaining their sobriety. These homes can be especially beneficial for individuals who don’t have a supportive and positive environment in which to live after leaving a rehabilitation facility.

    Residents of sober living homes can stay from a few months to several years, as long as they follow house rules and avoid relapse, as these homes typically have a zero-tolerance drug and alcohol policy. Additionally, residents are expected to complete chores, attend mutual support groups, and pay an equal share of the cost of renting the home.

    Some sober living homes are listed in our database, and you can find them by using the appropriate filter in our tool above. You can also check out our guide on sober living homes to learn more about them and to find a certified recovery residence near you.

    IV. Substance Abuse in South Dakota

    Overview

    The following table illustrates the annual estimates of substance abuse among residents of South Dakota between 2016 and 2017, in addition to the percentage of the South Dakota population and the U.S. population that those estimates represent.

    Annual Estimates for Substance Abuse in South Dakota, 2016-2017
    Ages: 12-17Ages: 18+Total Ages% of South Dakota Population% of National Population
    Alcohol2,00051,00053,0006.01%0.02%
    Cocaine08,0008,0000.91%<0.01%
    Heroin02,0002,0000.23%<0.01%
    Marijuana8,00078,00086,0009.75%0.03%
    Methamphetamine06,0006,0000.68%<0.01%
    Prescription Opioid05,0005,0000.57%<0.01%

    Source: 2016-2017 National Survey on Drug Use and Health State-Specific Tables, Table 81

    * ‘Alcohol’ refers to an Alcohol Use Disorder. The numbers reflected in the table above are not the number of individuals who use alcohol, but rather those who have an AUD, defined as meeting the criteria for alcohol dependence.

    * ‘Prescription opioid’ refers to a Pain Reliever Use Disorder. The numbers reflected in the table above are not the number of individuals who use or even occasionally misuse a prescription opioid, but rather those who have a PRUD, defined as meeting the criteria for illicit drug dependence.

    17.27%

    of South Dakota deaths are caused by drugs and alcohol

    12.71%

    of U.S. deaths are caused by drugs and alcohol

    The following table shows the number of deaths involving drugs and alcohol in South Dakota between 2008 and 2017. The corresponding graph illustrates the percentage of deaths due to drugs and alcohol in South Dakota compared to the national average.

    Drug- and Alcohol-Induced Deaths in South Dakota, 2008-2017
    0-1718+All Ages
    Drug-Induced Deaths912,96312,972
    Alcohol-Induced Deaths62,3962,402
    Total Deaths1,47687,54789,023
    Percentage of Drug & Alcohol-Induced Deaths1.02%17.54%17.27%

    Source: CDC Wonder

    The following table details the number of admissions to state-funded treatment programs in South Dakota in 2017, based on the primary substance for which the individual was seeking treatment.

    Admissions to State-Funded Treatment Programs in South Dakota by Primary Substance, 2017
    Total Treatment Admissions% of All Treatment Admissions in South Dakota% of All Treatment Admissions in the U.S.
    All Substances13,245100%0.69%
    Alcohol (Including Alcohol Usage with Secondary Drug)8,06960.9%0.42%
    Amphetamines (Including Methamphetamines)2,43818.4%0.13%
    Cocaine (Including Smoked and Other Usage)620.5%<0.01%
    Hallucinogens60%<0.01%
    Heroin1391%0.01%
    Inhalants190.1%<0.01%
    Marijuana1,53711.6%0.08%
    Other Opiates (Including Prescription Opioids)3712.8%0.02%
    Other Stimulants70.1%<0.01%
    Other/Unknown Substances5564.2%0.03%
    PCP00%0.00%
    Sedatives220.2%<0.01%
    Tranquilizers190.1%<0.01%

    Key Indicators of Substance Abuse Issues

    When trying to understand substance abuse issues in a specific area, researchers and policymakers examine “key indicators.” Combined with usage statistics, key indicators can provide a deep level of insight into which substances present the most serious concerns and which demographics can be most impacted by substance abuse. Key indicators of substance abuse issues within the state of South Dakota, along with recent, credible statistics, are examined below.

    Over 110,000 South Dakotans suffer from mental illness every year

    As discussed earlier in this guide, there is a strong link between substance use disorders and mental health disorders. When an individual is afflicted with both of these issues at the same time, health professionals refer to it as co-occurring substance use and mental health disorders or a “dual diagnosis.” Consequently, the prevalence of mental health issues in a given state can also help us to understand the level of substance abuse.

    4.6%

    of South Dakota adults had a serious mental illness

    6.4%

    of South Dakota adults had a major depressive episode

    From 2017-2018, 4.6% of South Dakota adults were afflicted with a serious mental illness, which is on par with the national rate, which is also 4.6%. Among South Dakota residents, 6.4% of adults suffered a major depressive episode in the past year, compared to a national average of 7.1%.

    The table below sheds some light on the prevalence of mental health issues in South Dakota.

    Mental Health Issues in South Dakota by Age and Percentage of Population, 2016-2017
    Ages: 12-17% of South Dakota PopulationAges: 18+% of South Dakota Population
    Major Depressive Episode8,0000.91%43,0004.87%
    Any Mental IllnessNo DataNo Data113,00012.81%
    Serious Mental IllnessNo DataNo Data28,0003.17%
    Serious Thoughts of SuicideNo DataNo Data28,0003.17%

    Suicide rates in South Dakota are significantly higher than the national average

    The Centers for Disease Control reports that suicide is the leading cause of death in the United States. The suicide rate has risen in nearly every state from 1999 to 2016, with that rate increasing by more than 30% in half of all 50 states since 1999. Suicide is an act that is often linked to substance abuse. According to the U.S. Department of Health and Human Services, substance abuse is a primary risk factor for both adults and adolescents who attempt and/or complete suicide, and this is particularly true for at-risk populations.

    Furthermore, the relationship between substance abuse and suicide is multi-faceted and complex. Persons who have substance abuse issues typically also carry other risk factors for suicide, including depression, impulsive behavior, and other struggles with relationships, finances, illness, or unemployment that make them more likely to engage in self-harm. Between 1999 and 2016, South Dakota witnessed a 44.5% increase in the number of suicides. In 2017, South Dakota ranked 7th in the country for the number of suicides per 100,000 residents.

    Suicides and Suicide Rates in South Dakota and the United States, 2017
    Suicides in South DakotaSuicide Rate Per 100,00Suicides in the U.S.Suicide Rate Per 100,000
    Ages 10-14No DataNo Data5172.5
    Ages 15-2436316,25214.5
    Ages 25-446228.915,28317.8
    Ages 45-645324.616,54319.6
    Ages 65-7419No Data4,62015.6
    Ages 75+12No Data3,94818.6
    All Ages1912247,16314.5

    South Dakota has a lower opioid prescribing rate than the overall U.S. rate

    Prescription drug abuse – particularly in the form of opioids – has become an epidemic in the United States. While it is difficult to estimate how many individuals use these drugs as prescribed and how many abuse them, the Centers for Disease Control has researched the variation in opioid prescriptions between states, establishing a direct connection between an increased level of opioid prescriptions with a greater potential for dependence and abuse. Across the United States in 2017, 191 million prescriptions for opioids were written by physicians, ultimately leading one in four patients who begins long-term opioid therapy to an addiction.

    49

    opioid prescriptions per 100 South Dakota residents, 2017

    58.7

    opioid prescriptions per 100 U.S. residents, 2017

    After peaking in 2012, the U.S. opioid prescribing rate has been on a steady decline for the last several years due to the explosion of the opioid epidemic and the recognition of the role that excessive opioid prescriptions have played in this epidemic. Between 2013 and 2017, the opioid prescribing rate in the United States dropped from 78.1 prescriptions per 100 residents to 58.7 prescriptions per 100 residents, a decrease of 24.84%. The opioid prescribing rate in South Dakota was consistently lower than the U.S. prescribing rate during that time period, from 60.6 prescriptions per 100 residents in 2013 to 49 prescriptions per 100 residents in 2017, revealing a smaller decrease of 19.14%.

    South Dakota and U.S. Opioid Prescribing Rates, 2013-2017

    The rate of homelessness in South Dakota is lower than the national average

    A high rate of homelessness in an area indicates a greater potential for substance abuse issues. Homelessness has been shown to be linked to substance abuse as both a cause and a result; some individuals become homeless due to a substance use disorder, while other individuals who are already homeless frequently turn to substance use to dull the pain and desperation of their situation.

    The 2018 Department of Housing and Urban Development’s (HUD) Point-in-Time Count reported approximately 552,830 homeless individuals in the United States, the equivalent of 17 of every 10,000 U.S. residents. This number represents a decrease of 4.1% since 2014 when the number of homeless persons in the U.S. was around 576,450. Furthermore, homelessness across the United States has decreased by 15% since 2007, the year that HUD began collecting data on the homeless population.

    13

    of every 10,000 South Dakota residents were homeless, 2018

    17

    of every 10,000 U.S. residents were homeless, 2018

    By comparison, South Dakota had approximately 1,159 homeless persons in 2018, equating to 13 of every 10,000 South Dakota residents and below the national average. This number reveals an 30.96% increase since 2014 when 885 homeless persons lived in South Dakota.

    V. Regional Substance Abuse Statistics & Rehabs

    The following sections provide a deeper look at the substance abuse problem in South Dakota by examining the drug- and alcohol-related death rates in the most populous city. Additionally, the city’s three highest-rated rehabilitation centers are listed.

    Sioux Falls

    The three highest-rated rehabilitation centers in Sioux Falls are listed in the table below, along with each institution’s performance based on our core metrics.

    The Highest-Rated, Low-Cost Rehabs in Sioux Falls
    The ArchGlory HouseSouth Dakota Urban Indian Health (SDUIH) Sioux Falls Clinic
    Rehabilitation Services Provided6.666.666.66
    Treatment Approaches1064
    Cost1042
    Special Programs for Unique Demographics106.683.34
    Ancillary Services1.678.3510
    Total Score8.26.14.9

    The rate of drug- and alcohol-induced deaths in Sioux Falls is slightly higher than across South Dakota

    17.86%

    of Sioux Falls deaths are caused by drugs and alcohol

    17.27%

    of South Dakota deaths are caused by drugs and alcohol

    Between 2008 and 2017, there were 2,823 deaths induced by drugs and alcohol in Minnehaha County, in which Sioux Falls is located. This number represented 17.86% of the total number of deaths among all ages in the county and was slightly higher than the state average of 17.27% during the same time period.

    Drug- and Alcohol-Induced Deaths in Minnehaha County, 2008-2017
    0-1718+All Ages
    Drug-Induced Deaths22,4062,408
    Alcohol-Induced Deaths1414415
    Total Deaths26015,54315,803
    Percentage of Drug & Alcohol-Induced Deaths1.15%18.14%17.86%

    VI. Take Action

    Substance abuse treatment is available in South Dakota for anyone who needs help beating an addiction – you don’t have to struggle alone. To receive assistance, start by determining your insurance coverage and by contacting your behavioral health treatment provider. You can also use our tool earlier in this guide to locate a treatment center near you. Remember, many low-cost rehabilitation centers can help if you don’t have insurance coverage or feel like you are unable to afford treatment.