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Al-Anon is a fellowship of relatives and friends of alcoholics who share their experience, strength, and hope, in order to solve their common problems. Al-Anon believes alcoholism is a family illness and that changed attitudes can aid recovery. Al-Anon has one purpose: to help families of alcoholics, which is achieved by Practicing the Twelve Steps, Welcoming and giving comfort to families of alcoholics, and Giving understanding and encouragement to the alcoholic. For a list of meetings in South Dakota, visit: https://al-anon.org/al-anon-meetings/find-an-al-anon-meeting/ Electronic meetings are offered. To find an online group, visit: https://al-anon.org/al-anon-meetings/electronic-meetings/

Monument Health is an integrated health care system with the purpose of helping patients and communities live well. Rapid City Monument Hospital provides health care services 24 hours a day / 7 days a week to the people who live in the Black Hills. The hospital has a pharmacy for medication needs as well as medication disposal. Specialties include: Anesthesiology, cancer care, critical care, dentistry, dialysis, emergency medicine, gastroenterology, general surgery, heart and vascular care, hospital medicine, hyperbaric oxygen therapy, infectious disease, laboratory services, medical imaging, neonatology, nutrition services, oral and maxillofacial surgery, pediatric and adolescent medicine, ob/gyn, pharmacy, physical therapy, prenatal care, pulmonology therapy services, women's and children's health, wound and ostomy care.

Individual, group, couples, and family counseling for all ages. Issues covered included depression, anxiety, borderline personality disorder, bipolar disorder, anorexia, bulimia, healthy weight loss, grief, attention-deficit / hyperactivity disorder (ADD/ADHD), chronic pain, family separation, divorce, self-destructive behaviors, self-esteem, abuse issues, anger management, and/or any other mental health disorder including PTSD. ​Offering neuropsychological and psychological testing, biofeedback, eye movement desensitization (EMDR), and EAP (employee assistance program) services and training. ​Group therapy including borderline personality disorder treatment groups including STEPPS, STAIRWAYS, and STRIDES; Dialectical Behavioral Therapy (DBT) group; adolescent group; and pain management group.

Services include enforcing municipal codes, licensing pets, licensing bicycles, Neighborhood Watch, Crime Stoppers, and a drug take-back site.

Provides support to the community to reduce substance abuse in youth, increase youth leadership development, and promote healthy alternatives for our youth. ​Additionally, the coalition is able to offer low to no cost, Evidence Based Mental Health Awareness Trainings.

Committed to offering safe and confidential services. Provides individual, couples, and family services for those experiencing personal, relational and psychological issues. Telehealth services available.

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.

Building a foundation of traditional values and promoting recovery from Opioid Use Disorder and Substance Use Disorder for members of the Crow Creek Sioux Reservation community.

An inpatient alcohol, drug, and gambling treatment programs for adults. Care provided by: 24 hour nursing staff, a full-time psychologist, 24 hour on-call doctor, Certified chemical dependency counselors, and ASAM certified Addictionologists. Based on 12-step recovery model with medically monitored detoxification, Dual-diagnosis track with psychiatrist - For co-occurring disorders, diagnosis must be substance use primary and mental health secondary; Inpatient and outpatient gambling program with certified gambling counselors, Substance abuse, inhalant abuse and Methamphetamine treatment track (IMT), Chronic Pain Program, Medication Assisted Treatment - Different medications are available. Keystone utilizes Vivitrol and Naltrexone. May utilize Subutex and other medications to taper during medically monitored detoxification. Keystone does not utilize Methadone or Suboxone for maintenance. Unique services available are Native American cultural program (sweat lodge on site, talking circles, etc.), and a Spiritually based 12-step program. Veterans and retired military. Need to be referred through VA; able to take VA funding. Active duty military and dependents may utilize TRICARE West Insurance.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

Provides prescription and over-the-counter medications, diabetic shoe fitting and sales, pure vitamins (hypo-allergenic), deliveries and mail services. This location is also a medication disposal site. Customers can use the Rx365 app to order refills, view an up-to-date list of medications, add an insurance card, and create a tax report.

A 12-step self-help support group for those affected by the compulsive gambling of a loved one. Local area meetings are attended only by those who have this problem. Gam-Anon honors the anonymity of members by not using last names, not speaking about our meetings, and not discussing those who are attending to anyone who is not attending. The International Service Office supports the individual Gam-Anon meetings all over the world. See website for a list of meetings. Local meetings may not always be available, but virtual meetings are an option.

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

 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.

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.

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.

Works to increase identification of youth and families who have been exposed to traumatic stress and shorten the time it takes to get them into effective treatment programs. Offers free screenings to children who may be experiencing traumatic stress, and then, if information warrants, a full assessment will be scheduled. Youth and families who are identified as experiencing traumatic stress will be referred to appropriate treatment providers. Treatments available at YFS include: Trauma-focused cognitive behavioral therapy Child parent psychotherapy Equine Therapy Problematic sexual behavior-cognitive behavioral therapy Prolonged exposure therapy Dialectical behavior therapy (DBT) Integrative treatment for complex trauma Motivational interviewing Also assists community mental health providers' expansion of trauma-focused knowledge and skills through education, training, and collaboration.

The Union County Sheriff's Department 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. Services include year-round prescription drug take-back site, mental health holds, county jail information, burning bans, and fingerprinting (call for specifics).

Provides services for individual, couples, children, and family counseling as well as anger evaluations, and anger management. Committed to helping people who are experiencing emotional, psychological, personal, or family problems to increase hope and fulfill their treatment goals for a better life.

Community outpatient mental health facility. Provides mental health services to children, adolescents and adults. Services include but are not limited to psychiatric care and evaluations, children's services, group and individual counseling, play therapy, aggression management, and more.

Monument Health Spearfish Hospital offers extensive patient services centralized at one location which includes both the hospital and Spearfish Monument Medical Clinic. Services include emergency care: 24 hours a day / 7 days a week, diabetes care, heart & vascular care, home care, hospice, labor & delivery, laboratory services, medical imaging, OB/GYN, physical therapy & rehabilitation, prenatal care, surgery, swing-bed program, telemedicine, and serves as a medication disposal site.

Group sessions are available at different times throughout the year. Some of the group sessions offered include:

• Corrective Thinking: For youth ages 13 - 18 to help members identify:

The five basic thinking errors and deterrents to thinking errors The four characteristics that are essential for change The impact of behaviors on family, friends, and the community

• Couples Workshops: For couples who wish to enhance their relationship, whether or not they are having difficulties. Workshops offer:

Skill and idea description and demonstration Opportunity for couples to practice skills privately Participants have the opportunity to ask questions and discuss their experiences if they would like

• Introduction to Mindfulness: What happens in your life depends on your mind
• Social Skills Group: For 10-15 year olds struggling with social skills or fitting in.

Understanding Fetal Alcohol Spectrum Disorder: For children ages 5 - 11 and their birth, foster, or adoptive parents. While the parents or parenting team is involved in education, supportive discussion and training, the children will gather in a separate group to work on developmental and behavioral issues.

• Mental Health First Aid Trainings: Offered periodically. Participants are taught to assess for risk of suicide or harm; listen non-judgmentally; give reassurance and information; encourage appropriate professional help; and encourage self-help and other support strategies.
• Youth Mental Health First Aid Trainings: Offered periodically. Participants are taught to assess for risk of suicide or harm; listen non-judgmentally; give reassurance and information; encourage appropriate professional help; and encourage self-help and other support strategies. All within the context of helping the youth population.

Medical services include: Family medicine Obstetrics and gynecology Pediatrics Acute care Orthopedics and sports medicine 3D mammography Cardiology - adult and pediatric Certified nurse midwife Ear, nose and throat Pulmonology Vascular surgery Weight loss management Behavioral health counseling provides brief therapy for individuals, including mental health assessment, crisis intervention and referrals for children, couples and families. Psycho-social support for individual with chronic or newly diagnosed health conditions and wellness support.

Featured health services include diabetes and endocrinology, emergency and trauma, heart and vascular care, infectious disease and public health, laboratory, nutrition, pain management, pharmacy, radiology and imaging, respiratory and pulmonary care, sleep medicine, telemedicine, wellness and preventive care, women's health, and wound care.

Offers individual, relational, and family counseling to adolescents and adults. Additional services include divorce counseling, cognitive behavioral therapy, gender identity counseling, and LGBTQ+ counseling. Areas of training or specialties include neurodivergent adults, queer folx, relationships, and families. Multiple community-based groups for transgender adults, neurodivergent adults, and therapists are available. Provides counseling services via telemental health and in-person in the Brookings and Sioux Falls area.