Best Drug & Alcohol Rehab Centers in South Carolina 2025

• • In 2022, South Carolina experienced a total of 2,296 drug overdose deaths, which represents a concerning trend with the rate now at 42.8 deaths per 100,000 people. Of these, 1,660 involved fentanyl, while heroin-related deaths decreased significantly from previous years.
  • Opioids, especially synthetic opioids like fentanyl, were involved in a large portion of these overdose deaths. South Carolina continues to battle the opioid crisis with increased naloxone distribution; over 17,000 naloxone kits and 27,000 fentanyl test strips were distributed in 2023.
  • Among youth, the rate of substance use remains an area of focus. For example, about 14% of adolescents ages 12-17 reported using illicit drugs, with alcohol consumption also being significant within this age group.
  • Excessive alcohol use costs South Carolina billions, with expenses reaching approximately $3.08 billion in 2010, primarily due to healthcare and lost productivity. Although alcohol use rates among youth are decreasing, underage drinking still represents a significant public health concern​.

South Carolina is taking numerous steps to address these issues through educational campaigns, prevention programs, and expanding access to life-saving interventions. Continued efforts include the state’s Overdose Prevention Project and campaigns like Just Plain Killers, which aim to increase public awareness and provide resources for those affected by substance use disorders​

Yes, you can detox in South Carolina. The state offers a variety of detox centers, including medical detox programs to help you safely withdraw from substances. Centers such as the Recovery Centers of America in Greenville and the Charleston Recovery Center provide medically supervised detox, along with comprehensive support services. These centers cater to different needs, from detoxing off opioids and alcohol to assistance with co-occurring mental health disorders. Many facilities offer follow-up care after detox, including residential treatment, intensive outpatient programs, and medication-assisted treatment (MAT) for ongoing support during recovery.

To find the right rehab center in South Carolina, consider factors like the severity of your addiction, any co-occurring mental health issues, and the types of treatment offered. Start by asking questions such as:

• • Does the center offer detox services?
  • Are there specialized programs for mental health and substance abuse?
  • What types of insurance are accepted?
  • Does the center have a supportive community or sober living options?

Quality facilities are often accredited by organizations such as the Joint Commission and offer evidence-based treatments. Some of the highly-rated rehab centers in South Carolina include the Phoenix Center in Greenville, which provides a mix of inpatient, outpatient, and MAT services, and Three Rivers Behavioral Health in West Columbia, which specializes in dual diagnosis treatment​.

Many rehab centers in South Carolina accept various forms of payment, including private health insurance, Medicaid, and self-pay options. State-funded programs are available for those who need financial assistance, and grants from organizations like SAMHSA can help cover some treatment costs. For those without insurance, some non-profit facilities offer sliding scale fees or free services. Additionally, the Affordable Care Act requires insurance plans to cover some form of addiction treatment, which means many people can access rehab with reduced out-of-pocket costs​.

outh Carolina rehab centers provide a range of services, including:

• • Medical Detox: Initial stabilization and management of withdrawal symptoms.
  • Residential Treatment: Structured programs where you live at the facility for intensive care.
  • Outpatient Programs: Flexible treatment options that allow you to continue living at home while attending therapy.
  • Dual Diagnosis: Specialized treatment for those with both addiction and mental health conditions. Centers such as the Owl’s Nest Recovery Community and BriteLife Recovery offer programs based on the 12-step model, along with holistic treatments like equine therapy, counseling, and sober living arrangements. You can expect individualized treatment plans tailored to help you address both the physical and psychological aspects of addiction​.

South Carolina has strict drug laws, especially regarding controlled substances like opioids. The state enforces penalties for possession, distribution, and trafficking of illegal drugs. For instance, possession of a small amount of marijuana can lead to a fine or jail time. South Carolina also has laws to promote the use of naloxone and fentanyl test strips to combat the opioid crisis. The state allows access to these overdose prevention tools without a prescription, and law enforcement is trained to administer naloxone in emergencies.

Yes, several rehabs in South Carolina offer emergency and same-day admission services for individuals in urgent need. Facilities like the Recovery Centers of America and the South Carolina Addiction Treatment Center in Simpsonville provide quick admissions for detox and stabilization. This option is beneficial if someone is at immediate risk of severe withdrawal symptoms or overdose. Some centers may also offer telehealth services to facilitate rapid access to support.