How to Find Detox in South Dakota

Approximately 86 per 100,000 people died of a drug overdose in South Dakota in 2018. That’s a mortality rate of 10.5 percent that year.[1] Although South Dakota’s drug mortality rate is lower than the national average of 20.7, this is still an alarming trend. [2] The American Addiction Centers is committed to helping South Dakotans find an affordable and accredited substance treatment and help put you or a loved one on the path to recovery.

We created this guide to help South Dakota residents struggling with substance abuse find all the information they need to find treatment, types of facility, and payment options. This guide will also help inform the general public about the dangers of substance abuse in South Dakota. Together, we can help heal substance addiction and bring you and your family peace of mind.

Types of Rehab in South Dakota

Detoxification is the first step in a successful substance abuse program. This process will remove the addictive substance from the patient’s body to break the body’s dependence on it. [3] This step is crucial to prepare the mind and body for recovery. Detox takes place in a safe environment for the patient.

The detox process can sometimes be stressful and painful for the patient. Fortunately, many facilities administer a medically supervised detox to help alleviate the pain. Once the step is complete, the patient then attends a comprehensive rehabilitation program that involves long-term counseling to get to their addiction’s core issues. [4]

Patients receive this care in either an inpatient or outpatient facility. The significant difference between these two facilities is where the patient resides during treatment. At an inpatient center, the patient lives on the premises and has access to medical staff 24/7. In an outpatient facility, the patient resides at home but attends counseling on the premises. This option is great for patients that lack leave time or have pressing family obligations at home. Both facilities are capable of administering effective treatments to help you overcome addiction.

Listed below are the number of treatment facilities in South Dakota that offer each level of care:

Type of Care, by number and percent
	Facilities
	No.	%
Outpatient	50	84.75%
Regular	49	83.05%
Intensive	37	62.71%
Day Treatment/Partial Hospitalization	8	13.56%
Detoxification	2	3.39%
Methadone/buprenorphine maintenance or naltrexone treatment	5	8.47%
Residential (non-hospital)	16	27.12%
Short Term	10	16.95%
Long Term	12	20.34%
Detoxification	3	5.08%
Hospital Inpatient	4	6.78%
Treatment	3	5.08%
Detoxification	2	3.39%
Total	59	100.00%

Cost of Addiction Treatment in South Dakota

The biggest hurdle for many people seeking treatment is cost. The cost of the main reason why those without health insurance or financial means choose to forgo treatment. [5] Substance abuse treatment averages from $3,000 to $10,000 for 90 days for outpatient care, and inpatient care ranges from $5,000 to $20,000 for 30 days. [6] Most patients pay for the treatment with health insurance through an employer or with state-assisted health insurance.

If you have insurance, treatment in private facilities will give you more amenities, treatment options, and lower patient-to-staff ratios. For patients without health insurance, there are still options in South Dakota to get quality treatment.

Fortunately, several facilities offer treatment for little to no money because the state or national government programs fund them. These facilities offer limited amenities and have higher patient-to-staff ratios, but they still provide accredited care. To help lower-income citizens pay for treatment, many grants are available for nonprofit organizations and small businesses to provide programs for the prevention, treatment, and recovery from alcohol abuse, substance abuse, and dependence.[13]

State-Funded Rehab & Private Rehab in South Dakota

The biggest hurdle for many people seeking treatment is cost. The cost of the main reason why those without health insurance or financial means choose to forgo treatment. [5] Substance abuse treatment averages from $3,000 to $10,000 for 90 days for outpatient care, and inpatient care ranges from $5,000 to $20,000 for 30 days. [6] Most patients pay for the treatment with health insurance through an employer or with state-assisted health insurance.

If you have insurance, treatment in private facilities will give you more amenities, treatment options, and lower patient-to-staff ratios. For patients without health insurance, there are still options in South Dakota to get quality treatment.

Fortunately, several facilities offer treatment for little to no money because the state or national government programs fund them. These facilities offer limited amenities and have higher patient-to-staff ratios, but they still provide accredited care. To help lower-income citizens pay for treatment, many grants are available for nonprofit organizations and small businesses to provide programs for the prevention, treatment, and recovery from alcohol abuse, substance abuse, and dependence.[13]

Ways to Pay for Treatment in South Dakota

There are 59 substance abuse treatment clinics in South Dakota, and 37 of them accept private insurance. At least 29 clinics accept state-financed health insurance, and 25 accept federal military insurance plans. Many of these facilities also offer other options for payment.

South Dakota’s uninsured rate is 9.8 percent, which is slightly higher than the national uninsurance rate of 8 percent. [10] Many treatment facilities in South Dakota have programs to assisted you financially to help you meet the expense of substance abuse care in their facility.

The table below lists the payment methods used and how many South Dakota facilities accept each payment type.

Facility Payment Options, by Number and percent
	No.	%
Cash or self-payment	48	81.36%
Private Health Insurance	37	62.71%
Medicare	13	22.03%
Medicaid	38	64.41%
State-financed Health insurance	29	49.15%
Federal military insurance	25	42.37%
No payment accepted (free treatment for all clients)	3	5.08%
IHS/Tribal/Union (ITU) funds	25	42.37%
Other payments	1	1.69%
Sliding fee scale	34	57.63%
Treatment at no charge or minimal payment for clients who can’t pay	37	62.71%
Total	59	100.00%

About 63 percent of South Dakota treatment centers accept private insurance, around 22 percent accept Medicare, and about 64 percent accept Medicaid payments. For clients with lower income or uninsured patients, 57.6 percent of the facilities use a sliding fee scale based on income, and 62.7 percent provide treatment at no charge or a minimal amount.

Treatment Center Accreditations in South Dakota

Many addiction treatment centers undergo the process of accreditation to provide quality care to their patients. All rehab centers must meet state licensure requirements at a minimum. However, quality addiction treatment facilities will spend the time and money going through a series of evaluations to achieve a standard of excellence in client care. An accredited facility obtains affirmation through an industry-respected third-party accrediting body.

A facility with a seal of accreditation and recognition has been assessed by the most respected organizations in addiction and mental health treatment.

Several organizations supervise the accreditation process for rehabilitation facilities and providers. Accreditation is time-consuming and expensive for a treatment center. The agency will examine a facility’s staff, programs, client care, operations, and policies to ensure it meets the standards set for by the agency and remains in compliance with privacy laws before signing off on accreditation.

Three leading organizations offer accreditation:

The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 for Patients and Communities Act (SUPPORT) certifies that treatment and care administered to patients meets nationally recognized guidelines for quality and uniform behavioral health care. [11]

The Commission on Accreditation of Rehabilitation Facilities (CARF) can help you find an accredited facility or practitioner and evaluate addiction treatment in the U.S. and Canada facilities.

The Joint Commission Accreditation for Addiction Treatment Providers (Joint Commission)is the largest accrediting body for medical facilities and hospitals and is the second-largest substance abuse program.[12]

The table below lists the typical accreditation types or licenses to help you understand the number of accredited facilities and how common they are.

Facility Licensing, Certification, or Accreditation, by number and percent
	No.	%
Any listed agency/organization	54	91.53%
State substance abuse agency	46	77.97%
State mental health department	14	23.73%
State department of health	29	49.15%
Hospital licensing authority	4	6.78%
The Joint Commission	8	13.56%
Commission on Accreditation of Rehabilitation Facilities (CARF)	7	11.86%
National Committee for Quality Assurance (NCQA)	1	1.69%
Council on Accreditation (COA)	2	3.39%
Healthcare Facilities Accreditation Program (HFAP)	2	3.39%
Other national organization or federal, state or local agency	9	15.25%
Total	59	100.00%

Many facilities in South Dakota have accredited providers. Over 83 percent of all facilities have some accreditation, and 70.2 percent are accredited state substance abuse agencies.

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