Mental Health & Addiction Treatment in South Dakota
Treatment Finder lists 68 mental health and substance use treatment facilities in South Dakota, across 25 cities and towns. Listings come from SAMHSA's national treatment directory and are free to browse — no facility can pay for placement.
In SAMHSA's 2025 directory data for South Dakota, 35.7% of facilities that report their levels of care offer residential treatment, 5.7% offer partial hospitalization (PHP) and 31.4% offer intensive outpatient (IOP). 91.3% of facilities that report payment information say they accept Medicaid.
Residential care is unevenly spread: 11 of the 25 South Dakota cities with listed facilities (44%) have no residential program at all, so people in those areas often have to travel for inpatient-level care.
facilities listed
cities and towns
say they accept Medicaid*
offer residential care*
Not sure what level of care you need?
Answer a few questions about care type, insurance and how far you can travel, and we'll narrow South Dakota programs down to the ones that match, so you only call one or two.
Where detox is listed
6 cities in South Dakota with at least one listed detox program.
Where residential care is listed
18 cities in South Dakota with at least one listed residential program.
Free help, any time
- In immediate danger: call 911.
- Mental health or substance use crisis: call or text 988, the Suicide & Crisis Lifeline (24/7).
- Free, confidential treatment referrals: SAMHSA National Helpline, 1-800-662-4357 (24/7, English and Spanish).
- Questions about Medicaid in South Dakota: find your state Medicaid agency on Medicaid.gov.
Frequently asked questions about treatment in South Dakota
How many addiction and mental health treatment facilities are in South Dakota?+
Treatment Finder currently lists 68 mental health and substance use treatment facilities in South Dakota, across 25 cities and towns. The largest numbers are in Sioux Falls, Rapid City, and Hot Springs.
Do treatment centers in South Dakota accept Medicaid?+
Many do. In SAMHSA's 2025 directory data, 63 of the 69 South Dakota facilities that report payment information (91.3%) say they accept Medicaid, and 59.4% accept Medicare. Coverage depends on your specific plan, so confirm with the facility before admission.
Is residential (inpatient) addiction treatment available in South Dakota?+
Yes. 25 facilities in South Dakota report offering residential treatment in SAMHSA's 2025 data (35.7% of facilities that report their levels of care). Residential care is listed in Sioux Falls, Rapid City, Hot Springs, and Huron and other cities.
Where can I find detox in South Dakota?+
Detox is listed in 6 South Dakota cities on Treatment Finder, including Sioux Falls, Rapid City, Howard, and Madison. Call ahead: detox beds fill quickly, and many programs do a phone screening before admission.
What should I do if I need help right now in South Dakota?+
If you or someone else is in immediate danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline), available 24/7. For free, confidential treatment referrals, call the SAMHSA National Helpline at 1-800-662-4357, also 24/7, in English and Spanish.
Listing and city counts are live. *Level-of-care and payment percentages come from SAMHSA's N-SUMHSS 2025 national directories as processed by Treatment Finder (snapshot 2026-08-12), and count only facilities that report that information. Facilities self-report to SAMHSA, so always confirm services and coverage directly. See our data and the State of Treatment Access report.