Options in Substance Use Crisis


When someone is struggling with substance use, there can come a time when their use creates life stressors that are overwhelming. When that happens, there are some options for help:


Options to consider

  1. Call 9-1-1

If the person is presenting an immediate risk of danger to themselves or others, call 911. You may also call 911 to request a wellness check if you are unsure of their current safety.

  1. Call the South Dakota Resource Hotline at 1-800-920-4343

The South Dakota Opioid Resource Hotline is part of South Dakota’s statewide targeted response to the opioid crisis. The hotline provides a place where individuals are able to reach out for information on treatment resources and support.

  1. Contact the Helpline Center by calling or texting 988 

Our staff is available 24 hours a day 7 days a week. People may call for themselves or for a loved one who is struggling. Trained crisis workers are available to talk, assess the level of risk, and develop a plan to help keep the person safe.

  1. Go to an addictions counselor for an assessment

An assessment is performed by an addictions counselor to assess a person’s safety and determine the appropriate level of treatment for that person. An assessment can be completed at any community based substance use disorder treatment facility. Based upon the assessment, a clinician may recommend that the person be admitted to an inpatient, outpatient, residential, or detoxification treatment facility.

  1. Initiate involuntary commitment (IVC)

If a loved one is experiencing substance use-related crisis and is refusing treatment, it may be appropriate to file a petition for involuntary commitment. This process is typically initiated through your local law enforcement or the clerk of courts. Steps for this process are located here, or call 211 for a referral to the appropriate entity.

For more information on what to do in a substance use crisis, call 211 or search our online database:

Try the following keyword search terms:

  • 911 Services
  • Suicide Prevention Hotlines
  • General Assessment for Substance Use Disorders
  • Involuntary Substance Abuse Treatment Orders


Updated: July 2022