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Substance Misuse Prevention

Stigma is more than a label – it’s a barrier to giving and receiving help. Misconceptions about substance use can cloud our understanding of who’s affected and how we can support them. The reality is that substance misuse can impact anyone, and it’s not a choice or moral failing. Recognizing this is an important first step towards supporting others and preventing unhealthy or harmful substance use.

The Facts About Substance Misuse

Substance use disorder (SUD) is a disease, not a choice.

Science has shown that SUD is a chronic brain disorder – not a choice or a moral failing.

Substances alter your brain long-term.

On top of SUD being a chronic disease, misusing substances can alter important areas of your brain and body, sometime permanently, making it even harder to get help.

Substance use disorders often co-occur with other mental health disorders.

Co-occurring disorders sometimes include: mental health disorders like depression, anxiety and trauma.

The most widely used substance in South Dakota for adults ages 18+ is alcohol.

Because of this, substance use disorders involving alcohol can often go untreated or unrecognized.

The Facts About Substance Misuse
Risk Factors

Risk Factors 

Certain individuals may be at a higher risk for misusing substances or developing a substance use disorder (SUD). Risk factors can include:

 

  • A family history of substance misuse or SUD.
  • Mental health challenges.
  • Grief, loss and life changes like divorce, serious illness or loss of a job.
  • Peer pressure.
  • Stress and pressure involving work, school demands or other personal issues.
  • Environmental factors like being around family who use substances.
  • Age of first use; the earlier people start, the higher the risk of misuse.
0%
of South Dakota high schoolers have taken Rx drugs without a prescription in 2023.
0%
of overdose deaths in South Dakota involve opioids.
0 out of 10
pills seized in the U.S. by the DEA contain a lethal dose of fentanyl.

Signs & Symptoms to Look For

Someone living with a substance use disorder may show different signs and symptoms depending on the individual and the substance(s) they may be using. Science shows that some people may have a greater genetic predisposition to substance misuse, and certain populations are placed at a higher risk.

 

As a close family member or friend, you may see warning signs before others do.

  • Changes in Behavior: Mood swings, secrecy, having grandiose beliefs, withdrawal or not actively engaging with loved ones.
  • Physical Symptoms: Weight loss, changes in sleep patterns or unexplained injuries.
  • Neglecting Responsibilities or their Appearance: Skipping work, school or other important commitments, or neglecting basic self-care such as laundry or hygiene.
  • Disinterest in Hobbies: Individuals may also have little or no interest in activities they previously enjoyed.
  • Financial Problems: Unexplained spending or borrowing money frequently.

What You Can Do to Prevent Misuse

Start with education and understanding.

Substance misuse isn’t a taboo topic. Information and education are the first steps in prevention. Learn more about different types of substances and the dangers of use from Let’s Be Clear.

Talk with your kids early and often.

It’s never too early to talk about healthy habits. Many children are exposed to substances at a young age, with 10% of 12-year-olds saying they’ve tried alcohol. Be there to give them accurate information and answer their questions before someone else does.

Dispose of unused medications.

4 out of 5 new individuals using heroin started by taking prescription opioids without a medical need. Don’t leave unused medications around your home. Instead, dispose of them safely or request a free medication lock box.

Seek help with your mental health.

Substance use disorder often co-occurs with other mental health challenges, like depression, anxiety or trauma. Getting help for underlying concerns helps prevent turning to substances as a coping mechanism.

Practice self-care.

Maintaining your mental wellness is important, from practicing stress management to developing skills and strategies to cope with tough times.

Get involved.

Partner with a local prevention provider, community group or your city government to help identify issues and employ strategies to prevent substance misuse. By advocating for prevention, you can strengthen your community, schools, organizations and local businesses.

Substance Use Treatment Providers

Recovery is possible, and treatment works. Professional providers are available across South Dakota using our interactive map. This directory provides information on substance use treatment services. Enter an address, city or county below to find services near you.

 
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Dakota Counseling Institute

910 West Havens, Mitchell, SD 57301

Visit Website
605-996-9686
Category: Mental Health/Substance Use Disorder Treatment
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Community Counseling Services

357 Kansas Ave, SE, Huron, SD 57350

Visit Website
605-352-8596
Category: Mental Health/Substance Use Disorder Treatment
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Our Home Inc Rediscovery

334 3rd St SW, Huron, SD 57350

Visit Website
605-353-1025
Category: Substance Use Disorder Treatment
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West River Mental Health

350 Elk Street, Rapid City, SD 57701

Visit Website
605-343-7262
Category: Mental Health
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West River Mental Health

3 Canyon View Cir, Hot Springs, SD 57747

Visit Website
605-343-7262
Category: Mental Health
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West River Mental Health

111 North St, Rapid City, SD 57701

Visit Website
605-343-7262
Category: Mental Health
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Lewis & Clark Behavioral Health Services

1028 Walnut St, Yankton, SD 57078

Visit Website
605-665-4606
Category: Mental Health/Substance Use Disorder Treatment
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Brookings Behavioral Health & Wellness (East Central Behavioral Health)

211 4th Street Brookings, SD 57006

Visit Website
https://brookingsivycenter.org/
Category: Mental Health/Substance Use Disorder Treatment
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Northeastern Mental Health Center

14 South Main Street, Suite 1E, Aberdeen, SD 57401

Visit Website
605-225-1010
Category: Mental Health/Substance Use Disorder Treatment
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Avera St. Luke's Addiction Care Center

620 3rd Ave SE, Aberdeen, SD 57401

Visit Website

605-622-5800

800-952-2250

Category: Substance Use Disorder Treatment
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Capital Area Counseling Services, Inc.

2001 Eastgate Ave., Pierre, SD 57501

Visit Website
605-224-5811
Category: Mental Health
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West River Mental Health

623 Dahl Road, Spearfish, SD 57783

Visit Website
605-343-7262
Category: Mental Health
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Action for the Betterment of the Community

1428 Short Track Rd, Sturgis, SD 57785

Visit Website
605-347-2991
Category: Substance Use Disorder Treatment
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New Dawn Center

19271 SD-79, PO Box 198, Vale, SD 57788

Visit Website
605-309-5311
Category: Substance Use Disorder Treatment
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Human Services Agency

123 19th St NE, Watertown, SD 57201

Visit Website
605-886-0123
Category: Mental Health
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USD - Student Counseling Center

414 E Clark St, Vermillion, SD 57069

Visit Website
605-677-5777
Category: Substance Use Disorder Treatment
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Dr. Mark Bontreger

525 5th St SE l 13, Watertown, SD 57201

Visit Website
605-882-0800
Category: Substance Use Disorder Treatment
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Human Service Agency

119 19th St NE, Watertown, SD 57201

Visit Website
605-886-0123
Category: Mental Health/Substance Use Disorder Treatment
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Three Rivers MH/CD Center

11 4th St E, Lemmon, SD 57638

Visit Website
605-374-3862
Category: Mental Health/Substance Use Disorder Treatment
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West River Mental Health

308 Quincy St, Rapid City, SD 57701

Visit Website
605-343-7262
Category: Mental Health
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South Dakota Urban Indian Health

1200 N West Ave, Sioux Falls, SD 57104

Visit Website
605-224-8841
Category: Mental Health/Substance Use Disorder Treatment
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South Dakota Urban Indian Health

339 S Pierre St, Pierre, SD 57501

Visit Website
605-224-8841
Category: Mental Health/Substance Use Disorder Treatment
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Addiction Recovery Center of the Black Hills

112 N Chicago St, Hot Springs, SD 57747

Visit Website
605-745-6300
Category: Substance Use Disorder Treatment
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Northeastern Mental Health Center

321 2nd Ave E, Mobridge, SD 57601

Visit Website
605-225-1010
Category: Mental Health/Substance Use Disorder Treatment
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Human Service Agency

301 1st Ave E, Sisseton, SD 57262

Visit Website
605-886-0123
Category: Mental Health
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Three Rivers MH/CD Center

711 Main Street, Timber Lake, SD 57656

Visit Website
605-374-3862
Category: Mental Health/Substance Use Disorder Treatment
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Northeastern Mental Health Center

101 W 11th Ave, Webster, SD 57274

Visit Website
605-225-1010
Category: Mental Health/Substance Use Disorder Treatment
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Addiction Recovery Center of the Black Hills

1520 Haines Ave, Rapid City, SD 57701

Visit Website
605-745-6300
Category: Substance Use Disorder Treatment
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Northeastern Mental Health Center

1005 W 1st St, Redfield, SD 57469

Visit Website
605-472-3282
Category: Mental Health/Substance Use Disorder Treatment
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Human Services Agency

121 19th St NE, Watertown, SD 57201

Visit Website
605-882-9006
Category: Mental Health/Substance Use Disorder Treatment
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Human Services Agency

221 S Main St, Milbank, SD 57252

Visit Website

605-886-0123

Category: Mental Health/Substance Use Disorder Treatment
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Southern Plains Behavioral Health Services

500 E 9th St. Winner, SD 57580

Visit Website
605-842-1465
Category: Mental Health
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Compass Point (Northern Hills Alcohol and Drug Services, Inc.)

710 E Colorado Blvd, Spearfish, SD 57783

Visit Website
605-347-3003
Category: Substance Use Disorder Treatment
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Southeastern Behavioral Healthcare

600 S Cliff Ave, Sioux Falls, SD 57104

Visit Website
605-336-0510
Category: Mental Health
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Southeastern Behavioral Healthcare

2000 S Summit Ave, Sioux Falls, SD 57105

Visit Website
605-336-0510
Category: Mental Health
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Southeastern Behavioral Healthcare

500 East 54th St N, Sioux Falls, SD 57104

Visit Website
605-336-0510
Category: Mental Health
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Keystone Treatment Center (Bowling Green Inn)

1010 E 2nd St, Canton, SD 57013

Visit Website
605-987-5659
605-335-7711
800-992-1921
Category: Substance Use Disorder Treatment
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Southern Plains Behavioral Health Services

513 Main St, Gregory, SD 57533

Visit Website
605-842-1465
Category: Mental Health
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Southern Plains Behavioral Health Services

153 S Main St, Mission, SD 57555

Visit Website
605-842-1465
Category: Mental Health
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Southern Plains Behavioral Health Services

514 3rd St, White River, SD 57579

Visit Website
605-842-1465
Category: Mental Health
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iRecover

103 S Main St, Howard, SD 57349

Visit Website
605-772-2135
Category: Substance Use Disorder Treatment
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Avera Addiction Care Center

6140 S Curae Ln, Sioux Falls, SD 57108

Visit Website
605-504-2222
Category: Substance Use Disorder Treatment
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Avera Behavioral Health Outpatient Clinic

2412 S Cliff Ave Suite 200, Sioux Falls, SD 57105

Visit Website
605-322-4079
Category: Substance Use Disorder Treatment
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Bartels Counseling Services

7520 S Grand Arbor Ct Ste 145, Sioux Falls, SD 57108

Visit Website
605-310-0032
Category: Substance Use Disorder Treatment
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Carroll Institute

310 S 1st Ave, Sioux Falls, SD 57104

Visit Website

605-336-2556

888-254-4543

Category: Substance Use Disorder Treatment
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Choices Recovery Services

622 S Minnesota Avenue, Sioux Falls, SD 57104

Visit Website
605-334-1822
Category: Substance Use Disorder Treatment
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PrairieView Prevention (Dakota Drug and Alcohol)

822 E 41st St, Sioux Falls, SD 57105

Visit Website
605-331-5724
Category: Substance Use Disorder Treatment
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First Step Counseling Services

4320 S Louise Ave Unit 200, Sioux Falls, SD 57106

Visit Website
605-361-1505
Category: Substance Use Disorder Treatment
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Glory House

4000 S West Ave, Sioux Falls, SD 57105

Visit Website
605-988-9100
Category: Substance Use Disorder Treatment
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Linking the Gap Counseling, LLC

3500 S Phillips Ave, Sioux Falls, SD 57105

Visit Website
605-271-1199
Category: Substance Use Disorder Treatment
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Sioux Falls Treatment Center

2519 W 8th St, Sioux Falls, SD 57104

Visit Website
605-332-3236
Category: Substance Use Disorder Treatment
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The Link Triage Center

132 North Dakota Avenue, Sioux Falls, SD 57104

Visit Website
605-275-1000
Category: Substance Use Disorder Treatment
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Volunteers of America – Dakotas

1309 W 51st St, Sioux Falls, SD 57105

Visit Website

605-334-1414

800-365-8336

Category: Substance Use Disorder Treatment
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Lifeways

1010 9th St, Rapid City, SD 57701

Visit Website
605-716-6555
Category: Substance Use Disorder Treatment
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Native Healing Program

1205 East Saint James Street, Rapid City, SD 57701

Visit Website
605-342-8925
Category: Substance Use Disorder Treatment
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Pennington County Sheriff's Office Addiction Treatment Services

321 Kansas City St, Rapid City, SD 57701

Visit Website
605-394-6128
Category: Substance Use Disorder Treatment
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Project Recovery (Stephen Tamang MD Consulting Services, P.C.)

625 Flormann St, Rapid City, SD 57701

Visit Website
605-340-1234
Category: Substance Use Disorder Treatment
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ROADS Outpatient Treatment Program, Inc

103 E Omaha St, Rapid City, SD 57701

Visit Website
605-348-8026
Category: Substance Use Disorder Treatment
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Wellfully (Wellspring, Inc.)

22 Waterloo St, Rapid City, SD 57701

Visit Website

605-718-4870

605-342-0345

Category: Substance Use Disorder Treatment
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Youth and Family Services

1920 N Plaza Blvd, Rapid City, SD 57702

Visit Website
605-342-4789
Category: Substance Use Disorder Treatment
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Dakotah Pride Treatment Center (Sisseton-Wahpeton Sioux Tribe)

Dakota Ave, Agency Village, SD 57262

Visit Website
605-698-3917
Category: Substance Use Disorder Treatment
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Rosebud Intensive Methamphetamine Treatment Program

225 N. BIA 9 Soldier Creek RD, Rosebud, SD 57570

Visit Website
605-747-5100
Category: Substance Use Disorder Treatment
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Main Gate Counseling Services

208 S Main St, Winner, SD 57580

Visit Website
605-842-0312
Category: Substance Use Disorder Treatment
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Great Plains Area Youth Regional Treatment Center

1401 10th Ave W, Mobridge, SD 57601

Visit Website
605-845-7181
Category: Substance Use Disorder Treatment