Your Journey to a Healthier Life Starts Here
South Carolina is grappling with a growing substance use crisis, with opioid-related overdose deaths climbing sharply in recent years due to the increased presence of fentanyl and fentanyl-laced drugs. According to the South Carolina Department of Health and Environmental Control, fentanyl was involved in over 70% of overdose deaths statewide in a recent year.
While urban areas like Charleston, Columbia, and Greenville have a higher concentration of addiction treatment services—including detox centers, residential programs, outpatient clinics, and MAT (medication-assisted treatment)—many rural regions, particularly in the Lowcountry and Pee Dee areas, face serious access challenges.
Residents in these areas often encounter long travel distances, limited provider availability, and a lack of affordable transportation. South Carolina has not expanded Medicaid, leaving tens of thousands of low-income individuals without insurance coverage for addiction treatment.
While some state programs and nonprofit organizations attempt to fill the gap, funding is inconsistent and demand far outpaces supply. Telehealth services have helped reach underserved communities, but gaps in broadband access and digital literacy, especially in rural counties, hinder their full effectiveness.
The state has made strides in harm reduction, distributing naloxone to first responders and community members and legalizing syringe service programs, though the latter remain limited in scope and availability. Stigma surrounding addiction remains strong, particularly in conservative and faith-driven communities, often discouraging individuals from seeking help.
That said, faith-based recovery programs and church-led support groups are an integral part of the recovery ecosystem, especially in smaller towns. South Carolina’s youth population is also increasingly affected, with rising rates of vaping, cannabis use, and prescription pill misuse prompting schools and public health agencies to launch targeted prevention and education campaigns.
The state’s Hispanic and African American populations often face additional barriers to treatment, including language access issues, cultural mistrust of the healthcare system, and fewer providers offering culturally competent care. Peer recovery coaches, bilingual counselors, and community health workers are becoming more involved in outreach, but staffing shortages limit scale.
Drug courts and diversion programs are expanding, especially in larger counties, offering treatment options as alternatives to incarceration for nonviolent offenders. However, post-treatment support—including housing and job placement—remains fragmented and underfunded.
Addressing addiction in South Carolina requires a coordinated and equitable response that strengthens rural infrastructure, expands culturally competent care, and breaks down systemic barriers to long-term recovery..
 | A Better Way - R and R OutreachA Better Way – R and R Outreach in Rock Hill, SC, is dedicated to providing compassionate support and effective treatment for individuals facing substance use disorders. Offering a range of services, including counseling, life skills training, and community support, the center focuses on empowering clients to reclaim their lives and achieve lasting recovery. With a commitment to holistic healing and personalized care, A Better Way – R and R Outreach fosters a nurturing environment for individuals seeking a path to a healthier and brighter future. Explore the resources available to help you or your loved one on the journey to recovery. 2812 Carhart Rd, Rock Hill, SC 29730 | Levels of Care:Inpatient Payment Options:Self-Pay Options | ||
 | Ace Recovery for MenAce Recovery for Men in Chesterfield, SC, is dedicated to providing specialized addiction treatment services tailored specifically for men. The center offers a range of programs, including detoxification, residential treatment, and therapeutic support, all designed to address the unique challenges faced by men in recovery. With a focus on building resilience and fostering personal growth, Ace Recovery for Men creates a supportive and structured environment where clients can work towards lasting sobriety. Discover the resources and compassionate care available to help you or your loved one embark on a transformative journey to recovery. 1477 Ted Melton Rd, Chesterfield, SC 29709 | Levels of Care:Inpatient Payment Options:Medicaid Self-Pay Options Private insurance | ||
 | AddCare CounselingAddCare Counseling in Greenville, SC, offers personalized mental health services designed to support individuals facing various challenges, including addiction, anxiety, depression, and trauma. The center provides a range of therapeutic approaches, including individual counseling, group therapy, and family support, all tailored to meet the unique needs of each client. With a focus on compassionate care and evidence-based practices, AddCare Counseling is committed to helping clients develop coping strategies and achieve emotional well-being. Explore the resources available to empower you or your loved one on the path to recovery and personal growth. 413 Vardry St Ste 7, Greenville, SC 29601 | Levels of Care:Inpatientoutpatient Payment Options:Private insurance Self-Pay Options Medicare Military Insurance Medicaid | ||
Advanced DiagnosticsAdvanced Diagnostics in Summerville, SC, provides a wide range of comprehensive health services aimed at promoting wellness and preventive care. With state-of-the-art technology and a team of experienced professionals, the center offers diagnostic testing, screenings, and health assessments to support accurate diagnoses and effective treatment plans. Committed to exceptional patient care, Advanced Diagnostics focuses on delivering personalized services that cater to the unique health needs of each individual. Discover how Advanced Diagnostics can help you take charge of your health and well-being. 106 Paddock Way, Summerville, SC 29483 | Levels of Care:Inpatient Payment Options:Medicaid Medicare Military Insurance | |||
Aiken - Barnwell Mental Health CenterAiken - Barnwell Mental Health Center | Payment Options:Medicaid | |||
Aiken - Barnwell Mental Health Center - Hartzog CenterAiken - Barnwell Mental Health Center - Hartzog Center | Payment Options:Medicaid | |||
Aiken - Barnwell Mental Health Center - The Polly Best CenterAiken - Barnwell Mental Health Center - The Polly Best Center | Payment Options:Medicaid | |||
Aiken Regional Medical CenterAiken Regional Medical Center | Payment Options:Self-pay options | |||
Aiken Treatment SpecialistsAiken Treatment Specialists | Payment Options:Self-pay options | |||
Alano Club910 67Th Avenue North, Myrtle Beach SC, 29572 | ||||
Alston Wilkes Society - Rehabilitation ServicesAlston Wilkes Society - Rehabilitation Services | Payment Options:Self-pay options | |||
Alternatives Life Improvement CenterAlternatives Life Improvement Center | ||||
AMIkidsAMIkids | Payment Options:Medicaid | |||
AMIkids - Country Club DriveAMIkids - Country Club Drive | Payment Options:Medicaid | |||
AMIkids - Marlboro RoadAMIkids - Marlboro Road | Payment Options:Medicaid | |||
Anderson - Oconee - Pickens Community Mental HealthAnderson - Oconee - Pickens Community Mental Health | Payment Options:Medicaid | |||
Anderson - Oconee - Pickens Mental Health CenterAnderson - Oconee - Pickens Mental Health Center | Payment Options:Medicaid | |||
Anderson Oconee Behavioral Health ServicesAnderson Oconee Behavioral Health Services | Payment Options:Medicaid | |||
Anderson Oconee Behavioral Health ServicesAnderson Oconee Behavioral Health Services | Payment Options:Medicaid | |||
Angels Charge MinistryAngels Charge Ministry | Payment Options:Self-pay options |
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