South Dakota Inpatient Drug And Alcohol Rehab Centers South Dakota Inpatient Drug And Alcohol Rehab Centers Featured Image

Residents of South Dakota face addiction to a number of substances and a growing alcohol addiction problem every year. The state continues to work toward preventative measures, but people with these issues need access to treatment options.

Fortunately, South Dakota is home to a number of inpatient rehab centers and outpatient programs which provide a range of treatment services. The following inpatient facilities were selected based on positive reviews from alumni, excellence in accreditation, and for the variety of treatment methods they offer.

Top 4 South Dakota Inpatient Rehab Centers

1. Keystone Treatment Center, Canton

The Keystone Treatment Center has been operating since 1973 and has been certified by the Commission on Accreditation of Rehabilitation Facilities (CARF). The center provides an array of inpatient programs, including adult residential, adolescent residential, and youth residential programs.

Medically assisted detox programs are available when necessary, and Keystone also incorporates outpatient services and aftercare. In addition to counseling, behavioral therapy, and numerous program components, the center also provides a Native American Addiction Program and a family therapy program.

2. Compass Point, Black Hawk

Compass Point is a recovery center which offers addiction treatment through a multidisciplinary approach. Treatment programs are typically 28 days in length and include substance abuse screening and assessments, individual and group therapy, co-occurring disorder treatment, family therapy, Moral Reconation Therapy (MRT), community prevention activities, and medically monitored detox services.

Compass Point is devoted to helping individuals in recovery at all stages, so the center also provides a number of continued care and aftercare services. These include adolescent diversion classes and life-skills training, employment and pre-employment drug testing, continued care group therapy, and an intensive outpatient program with a family component.

3. Teen Challenge Of The Dakotas, Brookings

Teen Challenge of Brookings is one of 240 locations nationwide offering a long-term, faith-based residential program for adult males in recovery from substance abuse and addiction. The center operates on a 12-step-based approach administered in five phases.

The first four phases occur over a period of 10 months, incorporating counseling, behavioral therapy, and spiritual components. The final phase occurs in a six-month period of discipleship and asks individuals to integrate treatment principles learned during the previous phases. Teen Challenge is focused not just on helping individuals in recovery, but also on helping them regain their spirituality and faith.

4. Our Home, Inc., Parkston And Huron

Our Home, Inc. operates multiple treatment locations for youth addiction and mental health services. The centers incorporate a number of treatment components for a holistic approach, which works to treat all aspects of an individual’s health. Each of the treatment centers are self-contained, meaning they provide all the services, recreation, and treatment and personal needs on-site.

The Parkston rehab center is 17,000 square feet and contains a gymnasium and academic education center. Youth recover through a number of therapies and treatments according to individual need. Examples of program components include medication, therapy, counseling, recreation, education, and community involvement.

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Substance Abuse And Addiction In South Dakota

South Dakota residents struggle with substance abuse and addiction to a number of substances, particularly alcohol, methamphetamine, and prescription opioids.

Alcohol is one of the most-abused substances in South Dakota. Reports from the Substance Abuse and Mental Health Services Administration (SAMHSA) show higher rates of past-month binge drinking for South Dakota youth ages 12 to 20 than the national average rates for the years 2009 to 2013. Past-month heavy alcohol use in adults was also higher than the national average for the same time period.

South Dakota also suffers from the same opioid epidemic as the rest of the nation, though on a minorly lower scale. In 2016, 42 opioid-related deaths were reported, or five deaths per 100,000 persons which was lower than the national average of 13.3 deaths per 100,000 persons the same year. However, the rate of opioid prescriptions written nearly matched that of the national rate in 2016.

Prescription drug abuse tends to be a catalyst for further drug abuse, particularly abuse of illicit opioids like heroin, a cheaper, easily-obtained alternative. Because of this, heroin abuse and addiction is a growing concern for South Dakota; the nearby state of Wisconsin revealed a recent heroin epidemic increase, according to the Office of Attorney General’s report on drug abuse in South Dakota.

To combat the issue of prescription opioid abuse, the Centers for Disease Control and Prevention provided a grant to the state of South Dakota in order to implement a Data-Driven Prevention Initiative. As the state continues to work toward prevention tactics, individuals can seek help for addiction and substance abuse in many inpatient rehab centers and outpatient programs throughout the state.

South Dakota Inpatient Addiction Treatment

Inpatient addiction treatment programs are structured to provide residential treatment that is customized to meet the needs of patients. A few core differences provided by inpatient treatment are access to ongoing medical support, a variety of treatment methods, and a private facility—components which foster effective healing and personal growth.

Inpatient treatment occurs for a specified number of days or months within a facility staffed by clinicians, psychiatrists, and medical personnel. Programs may follow a specific approach, but usually include counseling, behavioral therapy, and individual and/or group therapy. Most programs additionally integrate a number of alternative methods for a well-rounded recovery.

Individuals in need of medically assisted detox will receive it at the beginning of an inpatient program, then proceed to formal treatment. The best rehab centers understand that addiction treatment is an ongoing process, and, as a result, provide many aftercare support services and resources, as well as a number of programs for continued care and relapse prevention.

How To Pay For Inpatient Treatment

There are a number of ways to pay for inpatient addiction treatment in South Dakota. One of the most economical options is the use of a private health insurance plan. Most major carriers provide coverage for addiction treatment, though the amount of coverage and copayments will differ by plan. To learn the exact coverage benefits of a plan, individuals should contact a treatment specialist.

The following insurance providers offer healthcare plans which may cover inpatient addiction treatment in South Dakota:

  • Avera
  • CoventryOne
  • Medica
  • UnitedHealthOne

In lieu of private insurance, a person may have a public insurance plan, such as Medicaid. Public insurance plans often cover addiction treatment programs, yet coverage may have some restrictions, such as which programs and which rehab centers a person can attend. This is, in part, because only certain rehab centers will accept public insurance. For people who have no other means to pay for treatment, though, seeking help at one of these rehab centers may offer a viable way to enter recovery.

Without insurance, individuals can still seek treatment; a number of rehab centers sponsor individuals through full or partial scholarships provided by the facilities. Some facilities may also provide in-house financing or specialized payment plans for those who qualify, usually based in part on a person’s ability to pay.

Teen Challenge of Brookings provides partial or full scholarships to cover the cost of treatment for their long-term programs.

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Length Of Rehab Programs

Rehab programs differ in length, usually according to individual need. Some people may elect a program that is short-term and high-intensity. Short-term programs may be as little as two weeks or as long as 30 days. Due to the shorter time frame, these programs work to accomplish a lot of goals very quickly. However, more people show lasting results in a long-term program.

Long-term programs can be 60, 90, or 120 days or more. For people who have struggled with severe addictions and co-occurring issues, longer treatment of six months, one year, or more may be necessary.

Keystone Treatment Center of Canton and Compass Point of Black Hawk offer short-term treatment of 28 to 30 days, while Our Home, Inc. offers long-term treatment customized to individual need.

Inpatient Treatment Methods

The types and variety of treatments utilized in inpatient addiction treatment programs will vary according to the facility and its approach to helping individuals in recovery. For example, gender-specific rehab centers may offer treatments which are shown to be effective for either women or men, such as trauma-informed therapy or wilderness therapy.

While there is no set program that works to treat addiction, some of the most highly effective methods include counseling, behavioral therapy (such as cognitive-behavioral or dialectical-behavioral therapy), individual therapy, group therapy, and medication-assisted therapy. Most programs include these core components to allow for the greatest opportunity for lasting recovery results.

Depending on the inpatient rehab center, other treatment components may include:

  • recreational therapy
  • wilderness or adventure therapy
  • holistic healing: yoga, tai chi
  • motivational interviewing
  • trauma-informed therapy
  • eye movement desensitization and reprocessing (EMDR)

Rehab centers provide initial and ongoing assessments for persons in recovery to determine the best course of treatment and assess which methods will be best-suited for an individual’s needs.

Types Of Inpatient Rehab Centers In South Dakota

There are several types of rehab centers in South Dakota, each of which provides its own way to treat addictions and substance use disorders. Inpatient rehab centers follow their facility-specific approach to treatment—from the medications the centers employ to the treatment methods they utilize—in order to provide customized care for each individual who enters their programs.


Gender-specific addiction treatment was designed to address the differing needs of men and women in recovery. Men and women have unique issues in treatment, each of which must be appropriately identified and addressed for lasting recovery results. For instance, men or women may face barriers to treatment due to past trauma. Gender-specific programs can use trauma-informed therapy, such as eye movement desensitization reprocessing (EMDR), to help individuals work through these issues and redirect the energy and emotions affected by them.

Gender-specific care also ensures men and women can each recover in an environment that feels safe and comfortable. Some people may not be able to respond to clinicians of the opposite sex or open up in group therapy with members of the opposite sex present. Women-only and men-only programs allow these individuals to recover in a way that makes sense for them and which will foster the greatest healing and growth.

Teen Challenge of Brookings provides men-only treatment for men in recovery from substance abuse and addiction. The program helps men overcome addiction issues, integrate faith into their lives and their recovery, and even aids in securing employment and helping with financial life planning.

Christian Or Faith-Based

Christian rehab centers or faith-based rehab centers incorporate faith and spirituality into every aspect of addiction treatment. From encouraging surrender to a higher power, such as in 12-step programs, to requiring that each individual attend daily or weekly devotional activities, faith-based rehab centers integrate elements of religion into their programs to help individuals recover.

These programs vary widely on how much they require of participants. Teen Challenge of Brookings works closely with each individual to help them overcome addiction in a holistic manner and to develop their personal relationship with God. Other rehab centers may not require individuals to adhere to the Christian faith, but may ask individuals to be open to spirituality and surrendering to the idea of a higher power.

Many free, low-cost, and state-funded rehab centers provide faith-based programs at greatly reduced costs, so long as an individual is willing to commit fully to the program and its principles, faith included.


Luxury rehab centers provide addiction treatment in an environment of high comfort. However, luxury rehab programs do not exist solely for the purpose of providing top-notch amenities and the most diverse recreational activities, even though they offer these components. Instead, these programs are devoted to making sure individuals are surrounded with everything they need, and many things they desire, so they can focus on the most important factor: healing.

Luxury rehab centers are often situated in remote locations, with expansive facilities. In addition to amenities, recreation, and a highly private environment, these centers are typically home to some of the most effective and evidence-based treatment methods available and employ only the most highly trained, licensed, and experienced staff and clinical personnel.

South Dakota Medically Assisted Detox Programs

A great many people entering addiction treatment will require detoxification, a process by which they flush out all the harmful toxins acquired during substance abuse. This process precedes treatment, so once it is successfully completed a person is fully ready to begin recovery.

Medically assisted detox programs safeguard patients while they undergo detox and experience uncomfortable withdrawal symptoms. For some drugs of abuse, withdrawal symptoms can be severe or even life-threatening, and medical detox programs help protect individuals during this critical phase.

Medications can be administered to help individuals cope with withdrawal symptoms, such as buprenorphine (Suboxone, Subutex) or methadone for opioid addictions and naltrexone for alcohol withdrawal. Some of these medications pose risks for addictions, though, so it is crucial that they are taken only as directed. The careful monitoring of patients during detoxification provides less chance of relapse.

The body may experience some health risks during withdrawal as well, which can include dangerously slowed breathing and heart rates, dangerously increased breathing and heart rates, seizures, hallucinations, and more. For such reasons, a patient is observed daily and round-the-clock to ensure these vital functions do not reach fatal levels.

Detoxification is also a time for treating all aspects of physical health, so proper nutrition is also an important factor during this time. If a patient has become malnourished, deficient in any vitamins or minerals, dehydrated, or experienced any other types of physical health issues, these will be addressed during detoxification when necessary.

Most inpatient rehab centers provide medically assisted detox programs as part of their inpatient programs. However, a number of outpatient clinics throughout South Dakota also offer detoxification services. It is usually a risk to undergo detox without a plan in place for treatment to immediately follow, as individuals who do not seek treatment have a greater chance of relapse. Even if a person cannot attend inpatient treatment, other options for addiction treatment are available and should be sought to ensure the person remains substance-free.

South Dakota Low-Cost, Free, And State-Funded Rehab Centers

One of the most-cited barriers to addiction treatment is cost, though the inability to pay should never keep individuals from getting the help they need. For those who have little to no financial means, South Dakota offers a number of low-cost, free, and state-funded rehab centers.

These facilities may be sponsored by businesses, operate as non-profit organizations, or receive in-kind donations. Many provide full or partial scholarships to cover the cost of treatment for individuals who need it. Because of this, the centers may also accrue long waiting lists for people who need treatment. In keeping costs low, such rehab centers may also be unable to provide the same level of amenities or variety of treatments as other facilities.

Tallgrass Recovery offers short-term, inpatient treatment through a spiritual-based approach. The center provides a 12-step, community-based, and mentor-focused addiction treatment program, a model which allows the facility to keep treatment costs low for participants. In addition to a remote location on 10 acres and group support from fellow recovering individuals, Tallgrass is also staffed completely by recovering individuals dedicated to helping those new to recovery.

South Dakota Outpatient Rehab Programs

Outpatient treatment can provide a means of treatment for people who are unable to enter an inpatient program. Not everyone will be willing or able to commit to inpatient treatment, and outpatient programs ensure they still have options for seeking help. It should be noted that outpatient services are not always as intensive as inpatient care, and people with severe and persistent addiction issues will nearly always benefit more from an inpatient program.

There are a number of types of outpatient programs, including intensive outpatient, partial hospitalization, and low-intensity outpatient. The type of program an individual chooses will depend on the level of care and support they need. Intensive outpatient programs (IOP) tend to have the highest degree of intensity and occur multiple times per week, in a facility structured similarly to inpatient programs.

Partial hospitalization and low-intensity outpatient programs may occur two or three times per week, for two to three hours per day. These programs often provide counseling, group and/or individual therapy, and medication management, such as buprenorphine (Suboxone, Subutex) therapy or methadone maintenance.

Addiction Recovery Center offers multiple outpatient programs in a number of locations throughout South Dakota, including Hot Springs, Rapid City, and Custer. The center provides treatment for substance abuse and addictions, as well as gambling addictions and co-occurring disorders.

Services offered by Addiction Recovery Center include: drug and alcohol assessments, continued care, mental health counseling, group therapy for co-occurring disorders, family counseling, DUI classes, outpatient gambling group, intensive outpatient programs, specialized women’s services, and specialized relapse and criminal justice groups.

For more information on addiction treatment in South Dakota, contact us today.

**Please note: the facilities mentioned are not affiliated with


National Institute on Drug Abuse — South Dakota Opioid Summary
South Dakota Department of Health — Prescription Opioid Abuse Prevention Initiative
Substance Abuse and Mental Health Services Administration — Behavioral Health Barometer: South Dakota 2014

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