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Keystone Treatment Center

1010 E. 2nd Street, Canton, South Dakota, 57013
Keystone Treatment Center provides a program that delivers a comprehensive individualized continuum of care for chemically dependent persons and/or their family members who have been affected by the disease of alcoholism and/or drug abuse, gambling and co-occurring illnesses (addiction & psychiatric disorders.) The services available include a free standing residential facility that provides a medically monitored adult and adolescent inpatient treatment services (including detoxification), adult and adolescent partial care, adult and adolescent outpatient services, family programs, aftercare services, gambling treatment, mental health services, Native American counseling services, and EAP services.

Facility Highlights

  • Native American Program
  • Law Enforcement Program
  • Gambling Program


  • Dual Diagnosis

    Upon admission, psychological evaluations are done on each patient. Patients are provided a structured treatment process addressing both their chemical dependency and their psychiatric needs. Keystone provides both individual and group therapy with these patients to assist them in learning to live with their illnesses. The treatment includes individualized cognitive therapy with medical management for those requiring psychotropic medication. This is done under the direction of our psychiatrist.

Facility Settings

  • Executive

Meet the Staff

  • Robert R. Perkinson, PhD
    Robert R. Perkinson, PhDClinical Director
    Robert R. Perkinson is the clinical director of Keystone Treatment Center in Canton, SD. He is a Licensed Psychologist, Licensed Marriage & Family Therapist, Internationally Certified Alcohol and Drug Counselor, South Oakota Certified Chemical Dependency Counselor, Level III, Nationally Certified Gambling Counselor and Supervisor. His specialty areas focus on treating alcoholics, addicts, and pathological gamblers. He is the author of Chemical Dependency Counseling: A Practical Guide, Fourth Edition, 2012, by Sage Publications which is the leading treatment manual in the world for chemical dependency counselors. With Dr. Arthur E. Jongsma, Jr. he is the coauthor of The Addiction Treatment Planner, Fourth Edition 2009, by John Wiley and Sons, the best selling treatment planner and computer software program for mental health and addiction professionals. He has published The Alcoholism and Drug Abuse Client Workbook, Second Edition 2012 and the Gambling Addiction Client Workbook, Second Edition 2012 by Sage Publications.
  • E.R. Regier, MD
    E.R. Regier, MDMedical Director
    Dr. Regier is the Medical Director of Keystone Treatment Center in Canton, SD. He has been with Keystone since its beginning in 1973. Dr. Regier was also in private practice in Canton for thirty years. He is also currently the Medical Director at the state penitentiary.

Treatment Center Links

Rehabs 360 Guide


Located on 30 acres of land overlooking the South Dakota plains, Keystone Treatment Center provides residential and outpatient treatment, along with being one of the only five (8.1 percent) non-hospital centers with detox services available in the state. Programming is for adults and adolescents ages 13 and older who are struggling with substance abuse and co-occurring mental health disorders, a specifically-tailored track offered at 35 (56.5 percent) South Dakota treatment facilities.


According to the facility's website, treatment is gender-separate and gender-specific, and course descriptions indicate that it’s heavily based on the 12-Steps. There are specialized treatment tracks for Native Americans, young adults, and Christians, along with tracks for people struggling with gambling, opioid dependence, chronic pain, and methamphetamine addiction.

The adult program includes individual, group, and family therapy, experiential therapies, and medication management. A young adult program, for individuals ages 18 to 26, offers groups on topics such as dating, peer pressure, and family problems.

Adolescent treatment for those ages 13 to 18 adds extra experiential therapy, including a ropes course and social training. A licensed teacher helps clients with schoolwork.

Outpatient options (offered from a separate facility in Sioux Falls) include a four-week partial hospitalization program (PHP), an adult intensive outpatient program (IOP) lasting six to eight weeks, and an adolescent IOP. All outpatient programs focus on 12-Step.


According to the facility’s website, staff includes psychiatrists, psychologists, doctors, nurses, social workers, licensed therapists and counselors, and pastors. In South Dakota, 97.4 percent of all substance abuse treatment facilities have continuing education requirements for staff. Ratings from 11 Rehabs.com survey respondents at the time of this writing show high levels of satisfaction with the center's staff.

Staff Experience and Training: 4.6/5


According to the facility’s website, amenities include an on-site sweat lodge, an outside area, and the treatment center has 14 beds. The 11 reviewers polled to date on the matter tended to give high ratings for the facility’s cleanliness.

Facility Cleanliness and Upkeep: 4.5/5


Of the 15 alumni reviewed by Rehabs.com at the time of this writing, eight were positive and the remainder were mixed or negative. The staff’s level of experience, the level of family participation, and the treatment’s affordability won the highest ratings, while the facility’s connectivity policies and its holistic and counseling options fared more poorly.

Family Participation: 4.1/5
Counseling Options: 3/5
Connectivity/ Visitor Policies: 2.8/5

The positive reviewers often described feeling accepted and said the program worked for them. “It’s like have a big family,” an anonymous alum wrote. And Chuck praised “their due diligence in treating people like normal people… and not some disease riddled leper.”

Yet many reviewers described the facility as very run-down, and many said there simply weren’t enough staff. “It is a rundown place with mostly patients that are thugs who are only there to avoid jail,” one anonymous reviewer wrote.

"The facility is outdated," another alum wrote. "They allow too many men to check in, which overloads their nurses and counselors. Due to the large numbers, patients are not getting the needed counseling (individual)." However, in general, alumni agreed that they would recommend this facility and its programs to others.

Likelihood to Recommend: 3.8/5

Reviews from alumni, loved ones, and staff members on Google at the time of this writing offered similar praise, where 17 users created an average rating of 4.3 out of five stars.[1] D.B. remarked upon the "comprehensive programming," M.C. appreciated the staff for being "helpful with the clients," and T.W. commented, " The financial department has proven to work with those who have tighter purse strings."


Of the nine loved ones polled by Rehabs.com at the time of this writing, half provided positive feedback. Like alumni, loved ones tended to give high ratings for the staff’s level of experience and the family programming. Their comments painted a picture of a fairly basic, though serviceable treatment program. Praise was awarded to the counseling options as well as the nurses and doctors. “Keystone is more than adequate,” an anonymous reviewer wrote. Yet they added that they would have liked more holistic options and a longer length of stay.

Family Participation: 4.5/5
Holistic Offerings: 3.3/5

It’s worth noting that a few reviewers had outright negative experiences. Sherri noted that the promised Native American program fell short, and the staff treated clients poorly. “Poor supervision untrained counsellors. No communication with parents," Helen wrote.


The two staff members surveyed by Rehabs.com at the time of this writing provided positive feedback, and both gave five out of five stars when asked if they would recommend the treatment center.

Both of these staff members also gave five stars for counseling options and family participation. Indeed, the two staff members rated all metrics high with at least five or four stars respectively.

"The programs and services that are needed to succeed are in place," one of these individuals wrote. "Counselors are empathetic and care for their patients in a very compassionate way. The decision to seek treatment at this facility is a great and effective way to address substance use disorder concerns."

Self-noted facility staff member, A.S. commented on Google, "I have worked with Keystone with mutual clients and have been happy with how they have worked with dual diagnosis and mental health issues and addiction."[1]


According to the facility’s website, many insurers are accepted, including Aetna, Blue Cross Blue Shield, and United. The 11 reviewers polled at the time of this writing gave the facility’s cost high ratings.

Affordability: 4.3/5

[1] GoogleReviews

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