Best Substance Abuse in South Dakota — 16 resources

About Substance Abuse for Women

Substance use treatment in the US is delivered through state-licensed providers, mutual-aid programs (AA, NA, SMART Recovery, Women for Sobriety), hospital detox, methadone clinics, and sober living. SAMHSA's National Helpline (1-800-662-HELP) and findtreatment.gov locate local programs 24/7. For pregnant and parenting women, federally funded Pregnant and Postpartum Women (PPW) programs provide specialized residential and outpatient care that allows children on-site. Medication-assisted treatment (MAT) is the standard for opioid use disorder, and family drug courts offer treatment-based alternatives to losing custody. This directory aggregates each state's single state agency for SUD, women-specific treatment, MAT providers, and recovery meetings.

Substance Abuse in South Dakota

South Dakota circuit courts hear family matters in each of its seven judicial circuits. The Division of Child Support operates under DSS. Sioux Falls and Rapid City are the largest cities. Dakota Plains Legal Services, East River Legal Services, and the South Dakota Coalition Ending Domestic and Sexual Violence provide statewide civil legal aid and safety services for women.

16 Resources

1. SD Department of Social Services — Substance Abuse — Free

State agency coordinating addiction treatment and recovery services for women in recovery in Pierre. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Open Mon-Fri 8am-5pm.

605-773-3123 · 700 Governors Dr, Pierre, SD 57501 · Mon-Fri 8am-5pm · Visit Website

2. Southeastern Behavioral Health — Substance Abuse

Outpatient and intensive substance abuse treatment services for women in recovery in Sioux Falls. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Open Mon-Fri 8am-5pm.

605-336-0510 · 2000 S Summit Ave, Sioux Falls, SD 57105 · Mon-Fri 8am-5pm

3. Behavior Management Systems — Addiction Services

Substance abuse treatment and recovery programs for women in recovery in Rapid City. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Open Mon-Fri 8am-5pm.

605-343-7262 · 651 Disk Dr, Rapid City, SD 57701 · Mon-Fri 8am-5pm

4. Keystone Treatment Center — Canton

Residential and outpatient addiction treatment for women in a supportive environment. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Available 24/7.

605-987-5407 · 1010 E 2nd St, Canton, SD 57013 · 24/7 · Visit Website

5. Face It Together — Sioux Falls — Free

Peer coaching and long-term recovery support for women dealing with addiction in Sioux Falls. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Open Mon-Fri 8am-5pm.

605-274-4747 · 6009 S Cliff Ave Suite 101, Sioux Falls, SD 57108 · Mon-Fri 8am-5pm · Visit Website

6. Human Service Agency — Watertown

Outpatient substance abuse treatment and counseling in northeast South Dakota for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Open Mon-Fri 8am-5pm.

605-886-0123 · 120 3rd Ave NW Suite B, Watertown, SD 57201 · Mon-Fri 8am-5pm · Visit Website

7. Our Home Inc. — Huron

Residential addiction treatment and transitional living for women in central SD in Huron. Services include assessment, outpatient counseling, residential treatment, and recovery support. Most programs offer sliding-scale fees, Medicaid acceptance, or free assessment intakes. Available 24/7.

605-352-8596 · 410 Idaho Ave SE, Huron, SD 57350 · 24/7 · Visit Website

8. SAMHSA Treatment Locator — Free

Free 24/7 confidential treatment referral and information service for mental health and substance use disorders. Call 1-800-662-HELP (4357) in English or Spanish for referrals to local treatment facilities and support groups. No insurance required and calls are fully confidential.

Nationwide · Online · Visit Website

9. Alcoholics Anonymous — Free

AA — free worldwide fellowship for those struggling with alcohol. Find a meeting near you for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at aa.org with no registration required.

Nationwide · Online · Visit Website

10. Narcotics Anonymous — Free

NA — free fellowship for those recovering from drug addiction. Worldwide meeting locator for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at na.org with no registration required.

Nationwide · Online · Visit Website

11. SMART Recovery — Free

Self-Management and Recovery Training — science-based addiction recovery support groups and online meetings for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at smartrecovery.org with no registration required.

Nationwide · Online · Visit Website

12. Women for Sobriety — Free

Recovery program designed by and for women dealing with substance use, with online and in-person groups. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at womenforsobriety.org with no registration required.

Nationwide · Online · Visit Website

13. Al-Anon Family Groups — Free

Free fellowship for families and friends of alcoholics. Find a meeting near you for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at al-anon.org with no registration required.

Nationwide · Online · Visit Website

14. Nar-Anon — Free

Free fellowship for those affected by someone else's drug use. Worldwide meeting directory for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at nar-anon.org with no registration required.

Nationwide · Online · Visit Website

15. Shatterproof — Free

Reversing the addiction crisis through advocacy, science-based treatment, and family support for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at shatterproof.org with no registration required.

Nationwide · Online · Visit Website

16. Faces & Voices of Recovery — Free

Organizing the recovery community to advocate for policy and reduce stigma for women in recovery. Services include assessment, outpatient counseling, residential treatment, and recovery support. Available online 24/7 at facesandvoicesofrecovery.org with no registration required.

Nationwide · Online · Visit Website

Frequently Asked

How many substance abuse resources are in South Dakota?
Women's Corner tracks 16 substance abuse resources for women in South Dakota.
Are substance abuse resources in South Dakota free?
11 of the 16 listed substance abuse resources in South Dakota are explicitly free or low-cost.
Which cities in South Dakota have substance abuse resources?
Listings span cities including Pierre, Sioux Falls, Rapid City, Canton, Watertown, Huron.
What are some examples of substance abuse resources in South Dakota?
Featured entries include SD Department of Social Services — Substance Abuse, Southeastern Behavioral Health — Substance Abuse, Behavior Management Systems — Addiction Services, Keystone Treatment Center — Canton, Face It Together — Sioux Falls.
Do these listings include phone numbers?
7 of 16 South Dakota substance abuse listings include phone numbers.
Where do I start if I want help with addiction?
Call SAMHSA's National Helpline at 1-800-662-HELP (4357) — free, confidential, 24/7. They connect you to local treatment, support groups, and women-specific programs. FindTreatment.gov lets you search by location, payment, and women's services. Medicaid covers treatment in every state under the Mental Health Parity Act.
Will I lose my kids if I go to treatment?
Voluntarily seeking treatment is almost always viewed favorably by family court and CPS — it shows responsibility. Many states have women-and-children residential treatment programs where your kids stay with you during recovery (search SAMHSA's directory for 'residential treatment for women with children'). Hiding addiction is far more dangerous to custody than addressing it.
Are there women-only treatment programs?
Yes — research shows women have better outcomes in gender-specific treatment because programs address trauma, parenting, pregnancy, and DV that fuel addiction differently for women. SAMHSA's directory filters by 'programs for women' and 'pregnant/postpartum women.' Most include childcare or family housing.
What about pregnancy and addiction?
Call 1-800-662-HELP immediately — they prioritize pregnant women for treatment, and federal law requires treatment programs to admit pregnant women on the same day or refer immediately. Medication-assisted treatment (methadone, buprenorphine) is safer for the baby than untreated addiction or withdrawal. Most states have laws protecting pregnant women seeking treatment from prosecution.