
Once considered merely a “consumer” state for illicit drugs, South Carolina has graduated to a “source” state, thanks to its strategic location halfway between Miami and New York City, and the influx of drug operations moving illegal substances of all types through the state. As a consequence, North Carolina drug and alcohol treatment centers report upward trends in drug use in comparison to alcohol admissions, which historically were always much higher than those for illicit drugs.

Substance Abuse and Mental Health Issues At-A-Glance, South Carolina
Substance Abuse and Mental Health Services Administration (SAMHSA), December 2008
The Drug Enforcement Administration (DEA) notes that heroin, once limited to South Carolina’s larger cities, is increasingly become an “experimental” drug at youth parties, one more threat for parents to worry about. This accompanies marijuana, widely abused through the state, and club drugs like Ecstasy that afflict North Carolina cities along the Atlantic seaboard. Almost as many 9th graders (16%) as 12th graders (20%) reported currently using marijuana, a clear indicator that children are being exposed to drugs at younger and younger ages as street gangs and drug cartels try to expand their markets.
Nor are children the only ones at risk in South Carolina. Note from the chart below that there has been a steady climb in people seeking treatment for opiate abuse in South Carolina rehab centers. This reflects the nationwide problem of rampant abuse of prescription drugs; in South Carolina, primarily Oxycontin and Vicodin. Diversion of prescription drugs for nonmedical “recreation,” as well as accidental dependence leading to doctor shopping, robbery pharmacies, and other crimes, demonstrates the highly addictive nature of these drugs. All age groups are at risk, from seniors trying to manage arthritis pain to high school students trying to be “cool.”

Residents looking for drug and alcohol treatment in South Carolina will find it through the network of 104 South Carolina drug and alcohol treatment and rehabilitation centers. As of 2006, 57 of these were private for-profit or private nonprofit facilities and 29 were operated by the State of South Carolina. “Private” and “public,” however, are relative terms, as 58% of all South Carolina rehab facilities receive some form of public funding, making them widely available to residents referred from many sources. Nearly half also contract their services to hospitals and other organizations, providing inpatient and outpatient care as needed.
Despite the high number of programs that receive public funding, not all treatment programs or rehab centers in South Carolina are the same. Patients receiving treatment for substance abuse in South Carolina can mostly expect outpatient care; more severe addictions may require a residential program. Individuals seeking long- or short-term residential care have a choice of 23 rehabilitation facilities in South Carolina that offer such programs.
The growing number of people with opiate addictions will find that most South Carolina treatment centers focus on detox, counseling and behavioral modification as treatment modalities rather than medication. Opioid programs (methadone, buprenorphine) were offered by only 14 facilities, and just 19 programs were certified for buprenorphine. Individuals should discuss all treatment options with their doctor before deciding on any program.