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Providing patient-centered primary care medicine in a variety of settings. Medical services include quick care, wellness physicals, diabetes care (pre-diabetes, obesity, weight loss, and nutrition), medications for Opioid Use Disorder treatment (MOUD), and tribal employee health.

Providing prescription and over the counter medication services, infusion therapy, intravenous medication, and supply a wide range of retail supplies. Most Avera Pharmacy locations have a medication disposal site available.

The Sanborn County Sheriff's Office protects the rights of the citizens within its jurisdiction to be free from criminal attacks, to be secure in their possessions and to live in peace. The department is a year-round prescription drug take-back site. The County Sheriff is also the contact mental health holds, burning bans, county jails/correctional facilities and fingerprinting (call for specifics).

A seminar and support group for people grieving the loss of someone close. Each GriefShare session includes a video seminar featuring top experts on grief and recovery subjects. These videos also include on-location video and the real-life stories of people who have experienced losses like yours. After viewing the video, there is small group discussion about the video. The group also allows for the opportunity to interact with others who have experienced a loss, learn about their experiences and have the opportunity to share personal experiences related to the loss.

Provides treatment for sleep disorders including insomnia and nightmares and other evidence-based interventions. Also provides mental health counseling to individuals to treat issues including depression, anxiety, life-adjustment stressors, grief and loss, trauma, substance use disorders, and behavioral addictions. Therapies include sleep therapy, Cognitive Behavioral Therapy for Insomnia (CBT-I), Image Rehearsal Therapy for Nightmares (IRT), Circadian Rhythm Sleep Wake Disorders, and CPAP Adherence.

A retail pharmacy that provides prescriptive and over the counter medications. Also serves as a medical disposal site. Medication disposal drop-boxes for expired, unused or unwanted controlled, non-controlled, and over the counter medications, including pet medications. Items that are NOT accepted include: trash, regulated medical waste, sharps, syringes, thermometers, hazardous waste, aerosols, illicit drugs, or commercial waste.

WAVI works to create a community free of domestic violence and sexual assault through advocacy, education, and support services. Services provided include emergency room response, court advocacy, assistance filing protection orders, assistance filing crime victim compensation, emotional support, temporary emergency shelter, comprehensive case management, supportive services, and information and referral.

Offers traditional medicines (flat cedar/hante sha; sage/pezi hota; sweetgrass/wacanga; bear root/mato heta;bitterroot/sinpetu; medicinal tea blends; homemade honey) spiritual guidance, smudging, and a warm and welcome space for relatives to come and talk. Some regular activities include: Inipi sweat purification ceremony for all Indigenous community members seeking spiritual connection, being mindful of those in attendance and taking care that all participants feel safe. Those who are on their moon time are respectfully asked to not attend. Community Inipi is open to men, women, children, Two-Spirit, and gender diverse community members seeking spiritual connection. Women's Inipi is open to all women, as well as Two-Spirit and non-binary community members who align with women's spiritual teachings. Positive Indian Parenting (PIP) - an 8-week parent training class for Indigenous parents, caregivers, non-Native foster parents of Indigenous children, and others who strive to be more positive in their approach to parenting. It is a structured exploration of traditional American Indian and Alaska Native values concerning parenting and helps participants apply those values in a modem setting. Red Road Approach (RRA) men's and women's groups provide a cognitive and experiential curriculum on Native American/Indigenous philosophies, activating the spirit for individuals, families, and communities. Participants are guided through lessons on the impacts of alcohol and drugs on the mind, body, and spirit. This 10-week adult program meets on a weekly basis. Incentives are available for graduates of the program. ​Spiritual Group is a safe space for those seeking support, healing, and a time to connect with others in the community. All are welcome. Alcoholics Anonymous provides a confidential, safe and non- judgmental setting for those experiencing substance use disorder (SUD). A A follows a 12-step program focusing on actions that guide members through their recovery journey. This is an open yet confidential group. Anyone is welcome. No sign-up is necessary. Other cultural activities, such as Walking group and therapeutic crafts, are offered during the week to take care of individuals spirit and keep connected to traditional Indigenous ways of life. Doors are always open for relatives needing to pray, sing, smudge or just talk. Mitakuye oyasin "we are all related". Not all groups are always offered. Please visit the webpage below to see current offerings.

Provides pharmacy services including immunizations and vaccines, prescription refills, transfers, and disposal sites, $4.00 Generics service, pet medications, and Medicare assistance. Also sells OTC medications, vitamins & supplements, medical supplies, first aid, smoking cessations, and family planning products.

Veteran support groups are available at both Vet Centers in Rapid City and Sioux Falls. Groups include a men's Vietnam support group, women's support group, garden group, and Project Healing Waters group. Also offers a combat and military sexual trauma support group and a service building spiritual strength group. Groups are subject to change throughout the year. Must be enrolled at the Vet Center to participate.

Program provides assessments 24-hours a day for mental health problems to determine an appropriate level of care.

 Outpatient counseling for children, adolescents, adults, and families. Covering topics such as abuse and/or sexual abuse, anger management, anxiety, attention deficit hyperactivity disorder (ADD/ADHD), depression, emotion and behavior regulation for children, grief and loss, life transition and adjustment issues, marriage and family issues, post traumatic stress (PTSD), relational violence/abuse, self-esteem, stress management, suicide intervention/crisis stabilization, teen problems, wellness counseling, and women's issues. Offers telehealth services. Family Pathways (Family Outreach Services) counselors providing intensive counseling and support services for children in community locations such as home or school. Psychiatric Services include assessments and medication management. CARE - Continuous Assistance, Rehabilitation, and Education services for adults with severe mental illness.

The Objective Zero App connects service members, veterans, their families, and caregivers to peer and civilian support through voice, video and text and to mental health and wellness tools and resources. The app is free to download and free to use.

Residential treatment facility, accredited through the State of South Dakota. Offers residential housing for individuals recovering from a substance use disorder and offers treatment services which include group and individual counseling along with case management services.

Provides treatment needs assessments for individuals with addictions and mental health challenges. Individual, couple and family counseling for ages 12 and up; all genders welcome. Services are individualized, trauma informed, holistic and strength based. Services are offered both face to face and via telehealth, which can be accessed with smart phone, tablet or computer. Treatment approaches include animal assisted therapy, Cognitive Behavioral Therapy (CBT), Solution Focused Brief Therapy (SFBT), hypnotherapy, Emotional Freedom Technique (EFT), brain spotting, and Accelerate Resolution Therapy (ART) and others. ​Reiki is available to help resolve emotional and physical distress by allowing healing energy to flow freely throughout the body. Common issues and disorders addressed include, but are not limited to, anxiety, depression, bipolar disorder, schizophrenia, eating disorders, chronic pain, addictions, trauma, body image and life changes.

Pharmacy services include immunizations, prescription refills, health screenings, and a medication disposal drop box. - Medication disposal drop-boxes for expired, unused or unwanted controlled, non-controlled, and over the counter medications, including pet medications. Items that are NOT accepted include: trash, regulated medical waste, sharps, syringes, thermometers, hazardous waste, aerosols, illicit drugs, or commercial waste.

Individual and family therapy services specializing in eye movement desensitization and reprocessing (EMDR), trauma and abuse focused cognitive behavioral therapy (CBT), critical incident stress management, Thinking for a Change Group, and Love and Logic Parenting. Offers telehealth counseling through a secure video connection. Clients are not required to attend an intake session in person.

Offers ABA-based therapy programs to help kids of all abilities learn and grow. Treatment plans are family-centered, individualized, and backed by science.

Behavioral Health Services available from licensed substance abuse and mental health counselors. ​Services include: chemical dependency assessments and Level 1.0 counseling, individual, couples, and family behavioral health counseling, Medication Assisted Therapy (MAT) for patients recovering from substance use disorders, EMDR (Eye Movement Desensitization Reprocessing) Therapy, and psychiatry team availability. Transportation is available for current patients if needed.

Services include cancer services/oncology, cardiology, chaplain services, diabetes care, diagnostic imaging, emergency and trauma care, home health and hospice, home medical equipment, occupational health, orthopedics, pediatrics, prenatal care, rehabilitation services, senior services, sports medicine, telemedicine, wellness services, women's specialty services, and family medicine.

Offers primary care, mental health care, treatment for post traumatic stress disorder (PTSD), and suicide prevention. Also offers transitional and supportive housing for veterans experiencing homelessness. Gun safety locks are available through the Suicide Prevention Coordinator.

 Outpatient counseling for children, adolescents, adults, and families. Covering topics such as abuse and/or sexual abuse, anger management, anxiety, attention deficit hyperactivity disorder (ADD/ADHD), depression, emotion and behavior regulation for children, grief and loss, life transition and adjustment issues, marriage and family issues, post traumatic stress (PTSD), relational violence/abuse, self-esteem, stress management, suicide intervention/crisis stabilization, teen problems, wellness counseling, and women's issues. Offers telehealth services. Family Pathways (Family Outreach Services) counselors providing intensive counseling and support services for children in community locations such as home or school. Psychiatric Services include assessments and medication management. CARE - Continuous Assistance, Rehabilitation, and Education services for adults with severe mental illness.

Outpatient mental health counseling center providing 100% free services to eligible Veterans, active duty service members, and their families. Part of the US Department of Veterans Affairs but separate from the VA Medical Centers, with separate and confidential medical records. Offering individual, group, and couples counseling both in Rapid City and at a number of Community Access Points in the Black Hills. Also, a referral service and can point Veterans in the right direction for any information they may need in terms of accessing benefits, enrolling in VA health care, etc. Specialty is helping Veterans readjust successfully into civilian life, and provides counseling for a wide range of problems, from mental health issues like PTSD, depression, and anxiety to life stressor issues such as work-related or relationship difficulties. Provides free bereavement counseling for loved ones of service members who died while on active duty or Veterans who died by suicide.

Services offered include individual counseling, LGBTQ+ counseling, child abuse survivor counseling for adults, youth counseling, spouse/intimate partner abuse counseling, trauma informed therapy, art therapy, and neurodivergent affirming therapy.

Offers Medication for Addiction Treatment services for individuals with a history of opioid, stimulant, and alcohol use. ​Medication for Addiction Treatment is the use of FDA-approved medications in combination with counseling and other therapies to provide a whole-patient approach to treatment for substance use disorders (SUD).