I need help but have no insurance — where do I start?

Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.

What's MAT (Medication-Assisted Treatment)?

MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.

Will going to rehab hurt my custody case?

Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.

How long is treatment?

Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.

Substance Abuse in South Dakota

14 verified resources.

About Substance Abuse for Fathers

Substance abuse treatment in the US is delivered through state-licensed treatment providers, nonprofit recovery programs (AA, NA, SMART Recovery), hospital-based detox, methadone clinics, and sober living houses. SAMHSA's National Helpline (1-800-662-HELP) provides free, confidential referrals to local treatment 24/7. Most states fund a network of publicly-supported treatment centers that accept uninsured and Medicaid clients; the Substance Abuse and Mental Health Services Administration maintains a national treatment locator at findtreatment.gov. Fathers dealing with substance issues during custody disputes often need documented treatment compliance — court-ordered programs exist for this specific purpose. Recovery support includes peer recovery specialists, medication-assisted treatment (MAT), and drug courts. This directory pulls together the state's single state agency for SUD, treatment finders, mutual aid meetings, and MAT providers.

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 and East River Legal Services provide civil legal aid statewide (with special mandates serving tribal communities).

14 Resources

1. South Dakota Division of Behavioral Health — Substance Abuse — Free

State agency in Pierre coordinating substance abuse prevention, treatment, and recovery services across South Dakota. Staff help residents locate state-accredited providers, understand funding options, and navigate publicly funded treatment. Fathers looking for help with alcohol or drug use can call weekdays for provider referrals. Bring photo ID, insurance, and any prior assessment records when contacting treatment providers for intake.

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

2. SAMHSA National Helpline — Free

Free confidential 24/7 referral service for substance use and mental health treatment and support operated by the federal Substance Abuse and Mental Health Services Administration. Staff provide referrals to local treatment facilities, support groups, and community organizations. Fathers in South Dakota can call anonymously for information in English or Spanish. Have a ZIP code and brief description of the concern ready.

(800) 662-4357 · National service · 24/7 · Visit Website

3. Southeastern Behavioral Healthcare — Addiction Services — Paid

Outpatient substance abuse treatment and counseling in Sioux Falls through Southeastern Behavioral Healthcare. Programs include assessment, individual and group counseling, and family sessions. Fathers can schedule intake at the Summit Avenue office weekdays. Bring photo ID, insurance card, and any prior assessment or treatment records. Medicaid, private insurance, and sliding-scale fees may be available for qualifying clients.

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

4. Behavior Management Systems — Substance Abuse — Paid

Addiction treatment services including detox and outpatient programs offered by Behavior Management Systems in Rapid City. Fathers can access assessment, group counseling, medication-assisted treatment, and aftercare planning at the Cathedral Drive office. Bring photo ID, insurance, and any prior treatment records to intake. Medicaid and private insurance are commonly accepted, and sliding-scale fees may be available for qualifying clients.

(605) 343-7262 · 650 Cathedral Dr, Rapid City, SD 57701 · Mon-Fri 8am-5pm

5. Keystone Treatment Center — Paid

Residential and outpatient addiction treatment in Canton, South Dakota. Keystone serves adults and adolescents with alcohol, drug, and co-occurring mental health concerns through a 24/7 facility. Services include detox, inpatient, and continuing care programs. Fathers can call any time to discuss admissions. Bring photo ID, insurance information, and a list of current medications. Many commercial insurances and EAPs are accepted.

(605) 987-6000 · 1010 E 2nd St, Canton, SD 57013 · 24/7 · Visit Website

6. Face It Together — Sioux Falls — Paid

Peer coaching and long-term recovery support for individuals and families affected by addiction in Sioux Falls. Trained coaches work one-on-one with fathers and loved ones on goals, accountability, and relapse prevention. Coaching is provided by fee or employer benefit and is confidential. Visit the Old Village Place office weekdays to schedule an initial meeting. Sessions complement, but do not replace, clinical treatment.

(605) 274-9404 · 6300 S Old Village Pl Suite 100, Sioux Falls, SD 57108 · Mon-Fri 8am-5pm · Visit Website

7. SD AA Meetings — Free

Alcoholics Anonymous meetings throughout South Dakota offer free peer support for adults seeking to stop drinking. AA operates on a mutual-aid model through local groups that gather in community spaces, churches, and online. Fathers can use the national site to find times, locations, and formats such as men's, open, and beginner meetings. There are no fees or membership requirements, only a desire to stop drinking.

Multiple locations statewide · Varies by meeting · Visit Website

8. Narcotics Anonymous — South Dakota — Free

Narcotics Anonymous meetings and recovery support groups for people recovering from drug addiction across South Dakota. NA is a free, peer-led fellowship meeting in community centers, churches, and online. Fathers new to recovery can use the national directory to find local meetings, formats, and contacts. There are no dues or fees, and the only requirement is a desire to stop using. Sponsorship is available through the group.

Multiple locations statewide · Varies by meeting · Visit Website

9. Oxford House South Dakota — Paid

Self-supporting sober living homes for individuals in recovery from addiction, with locations across South Dakota. Residents share expenses, follow house rules, and support each other's sobriety. There is no time limit on stays as long as members remain drug and alcohol free and pay their share. Fathers interested in applying should call the state contact to locate an open bed and schedule an interview with house members.

(605) 338-6080 · Multiple locations statewide · 24/7 residences · Visit Website

10. Carroll Institute — Pierre — Paid

Residential substance abuse treatment serving central and western South Dakota based in Pierre. The Carroll Institute provides inpatient, outpatient, and DUI education services for adults. Fathers can call the 24/7 line to discuss admissions. Bring photo ID, insurance information, any prior assessment records, and a list of current medications. Medicaid and private insurance are accepted, and referrals from courts are common.

(605) 224-6211 · 2408 N Jean Ave, Pierre, SD 57501 · 24/7 · Visit Website

11. Community Counseling Services — Watertown — Paid

Substance abuse treatment and mental health services in northeast South Dakota delivered through Community Counseling Services in Watertown. Programs include assessment, outpatient counseling, and medication management. Fathers can schedule intake at the 9th Avenue office weekdays. Bring photo ID, insurance card, and any prior records to the first visit. Medicaid, private insurance, and sliding-scale fees may be accepted.

(605) 886-0123 · 2013 9th Ave SW, Watertown, SD 57201 · Mon-Fri 8am-5pm · Visit Website

12. Al-Anon — South Dakota — Free

Support groups for family members and loved ones of people with alcohol use disorder operating free peer-led meetings throughout South Dakota. Al-Anon offers tools to cope with a loved one's drinking, reduce isolation, and focus on personal well-being. Fathers whose partners or relatives struggle with alcohol can find local meetings through the national site. There are no dues, and newcomers are welcome at any meeting.

Multiple locations statewide · Varies by meeting · Visit Website

13. Avera Behavioral Health — Substance Use — Paid

Inpatient and outpatient addiction treatment programs at Avera Health facilities, with the main campus on 69th Street in Sioux Falls. Services include assessment, detox, medication-assisted treatment, and aftercare. Fathers can schedule intake by calling the behavioral health line. Bring photo ID, insurance, current medication list, and any prior treatment records. Medicaid, Medicare, and most private insurances are accepted.

(605) 322-4065 · 4400 W 69th St, Sioux Falls, SD 57108 · Mon-Fri 8am-5pm · Visit Website

14. SMART Recovery — South Dakota — Free

Science-based addiction recovery support groups using cognitive behavioral tools and self-empowerment approaches, available in South Dakota in-person and online. SMART is a free mutual-aid alternative to 12-step programs. Fathers in recovery from alcohol, drugs, or behavioral addictions can join local meetings or daily online sessions. The national site provides meeting finders, handbooks, and facilitator training opportunities.

Multiple locations statewide · Varies by meeting · Visit Website

Substance Abuse — Common Questions

I need help but have no insurance — where do I start?: Call SAMHSA's National Helpline at 1-800-662-HELP (free, 24/7). They'll connect you to state-funded treatment providers that accept uninsured clients. Every state has a Single State Agency for Substance Use that funds community treatment on sliding-scale fees.
What's MAT (Medication-Assisted Treatment)?: MAT combines medications (methadone, buprenorphine/Suboxone, naltrexone/Vivitrol) with counseling to treat opioid and alcohol use disorders. It's evidence-based, reduces overdose risk substantially, and is covered by Medicaid and most private insurance. Find providers at findtreatment.gov.
Will going to rehab hurt my custody case?: Voluntarily seeking treatment is almost always viewed favorably by courts — it shows responsibility and commitment to sobriety. Coordinate with your attorney so treatment documentation supports your case. Court-ordered programs through drug courts specifically protect custody rights.
How long is treatment?: Detox: 3–7 days. Residential rehab: 30–90 days typically. Intensive outpatient: 8–12 weeks, 9–15 hours per week. Standard outpatient: months to years. Aftercare and peer support (AA, NA, SMART Recovery) is ongoing and free.