South Dakota · data as of October 7, 2026
South Dakota addiction treatment deserts
341,539 South Dakota residents live 30+ miles from medical detox, 37% of the state. 47 of 66 counties have no treatment program of any kind inside the county line. For methadone the number is 609,690 people (66%).
341,539people 30+ mi from detox
609,690people 30+ mi from methadone
47counties with no program
#5of 51 (#1 = worst detox access)
Longest trips
- The county farthest from detox is Hughes County, about 140 mi from iRecover US in Howard.
- The longest trip to a methadone clinic is from Fall River County: about 174 mi to Pierre, SD.
- 49 of 66 counties are more than 30 miles from medical detox; 60 are more than 30 miles from a methadone clinic.
- 52 counties are more than 15 miles from any listed buprenorphine (Suboxone) provider.
Counties farthest from medical detox
| County | Population | Miles | Nearest detox |
|---|---|---|---|
| Hughes County | 17,526 | 140 mi | iRecover US, Howard SD |
| Stanley County | 3,015 | 139 mi | Buffalo Plains Recovery, Rapid City SD |
| Sully County | 1,468 | 138 mi | iRecover US, Howard SD |
| Potter County | 2,402 | 127 mi | Heartview Foundation, Bismarck ND |
| Jones County | 874 | 126 mi | Buffalo Plains Recovery, Rapid City SD |
| Mellette County | 1,834 | 125 mi | Buffalo Plains Recovery, Rapid City SD |
| Edmunds County | 4,027 | 122 mi | Heartview Foundation, Bismarck ND |
| Todd County | 9,172 | 121 mi | Valley Hope of ONeill, O'Neill NE |
| Dewey County | 5,322 | 118 mi | Heartview Foundation, Bismarck ND |
| Brown County | 37,495 | 111 mi | iRecover US, Howard SD |
| Lyman County | 3,721 | 109 mi | iRecover US, Howard SD |
| Harding County | 1,325 | 108 mi | Buffalo Plains Recovery, Rapid City SD |
| Faulk County | 2,136 | 106 mi | iRecover US, Howard SD |
| Perkins County | 2,832 | 106 mi | Heartview Foundation, Bismarck ND |
| McPherson County | 2,307 | 103 mi | Heartview Foundation, Bismarck ND |
Counties farthest from a methadone clinic
| County | Population | Miles | Nearest OTP |
|---|---|---|---|
| Fall River County | 7,359 | 174 mi | Capital Area Counseling Services, Pierre SD |
| Lawrence County | 28,809 | 172 mi | Capital Area Counseling Services, Pierre SD |
| Butte County | 10,891 | 171 mi | Capital Area Counseling Services, Pierre SD |
| Custer County | 9,330 | 165 mi | Capital Area Counseling Services, Pierre SD |
| Harding County | 1,325 | 155 mi | Heartview Foundation, Bismarck ND |
| Meade County | 30,918 | 147 mi | Capital Area Counseling Services, Pierre SD |
| Pennington County | 115,979 | 145 mi | Capital Area Counseling Services, Pierre SD |
| Oglala Lakota County | 13,360 | 136 mi | Capital Area Counseling Services, Pierre SD |
| Brown County | 37,495 | 118 mi | Capital Area Counseling Services, Pierre SD |
| Grant County | 7,618 | 115 mi | Sioux Falls Treatment Center, LLC, Sioux Falls SD |
| Bennett County | 3,289 | 109 mi | Capital Area Counseling Services, Pierre SD |
| Day County | 5,408 | 109 mi | Community Medical Services, Fargo ND |
| Perkins County | 2,832 | 106 mi | Heartview Foundation, Bismarck ND |
| McPherson County | 2,307 | 103 mi | Heartview Foundation, Bismarck ND |
| Spink County | 6,108 | 100 mi | Capital Area Counseling Services, Pierre SD |
Using these numbers
Free to republish with a link to this page. Download the South Dakota county CSV or the full U.S. dataset.
FindRehabMap, "South Dakota addiction treatment deserts", 2026. https://findrehabmap.com/south-dakota/treatment-deserts/
Want one county on your page? Use the embed card. For a cut by legislative district or a different mileage cutoff, email [email protected].
Method
Program locations: SAMHSA FindTreatment.gov. Population centers (2020) and population estimates (2024): U.S. Census Bureau. Distances are straight-line from each county's population center; real driving distances are longer. See the full methodology.