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The Custer 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, Burning bans, and Fingerprinting (call for specifics).

Provides prevention services (aimed at delaying the initiation and/or progression of alcohol and other drugs) and early intervention services (aimed at curbing risk behaviors such as binge drinking that has not yet become a disorder such as alcoholism. Early Intervention services are delivered in groups or one-on-one with clients. Early Intervention links the client with both internal and/or external resources that are the most appropriate for his/her situation)

A full-service medical clinic offering the following services - preventative screenings, acute care, chronic care management, well child visits, men's and women's health, immunizations, family planning, lab/x-ray, patient education, care management, DOT exams, after-hours access to care, and Certified Application Counselors for the Health Insurance Marketplace. Also offers behavioral health services: medication management, counseling, case management, integrated care, addiction services, and Medication Assisted Therapy (MAT). Bison Clinic is also a partner with the Department of Veterans Affairs (VA) Community Care Program.

Offers shelter and services for the victims of domestic abuse and sexual assault; with the goal to build self-esteem and confidence so they may live freely and independently as is their God-given right. Services include shelter, 24-hour hotline, food, transportation, counseling, assistance with housing search, assistance with job search, assistance with legal situations, and keeping all information confidential. ​Support group available for victims of abuse and sexual assault facilitated by a licensed counselor for those who have left the abuser, are still living with the abuser but need help to survive, and for those who need to know what to do next. Programs include Common Sense Parenting which is a step-by-step guide for raising responsible children and providing skills to help parents build strong, healthy families. Parenting classes can be arranged for non-English speaking people. Class times vary, call for information.

Individual, couples, children, and family counseling. Staff tailors treatment to support growth and healing. Treatment specializations include depression, anxiety, traumatic experiences/abuse, post traumatic stress (PTSD), attachment challenges, parenting support, grief and loss, work and career issues, stress management, and conflict resolution. Offers BrainPaint neurofeedback, hypnosis, eye movement desensitization and reprocessing (EMDR), parenting group, nurturing parenting program, play therapy, adoption, parent/child relationship, foster parent support, and neuropsychological evaluation for attention, executive functioning, and memory. Works with clients to determine what is best for their situation regarding telehealth.

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.

Offering refuge, services and advocacy to those affected by domestic violence, sexual assault, sex trafficking, stalking and teen dating violence.

Services provided are individual counseling, divorce counseling, faith based counseling, youth counseling, parent counseling, family counseling, grief/bereavement counseling, terminal illness counseling, child abuse counseling, crime victim/witness counseling, geriatric psychiatry, Cognitive Behavioral Therapy (CBT), and Trauma Informed Therapy. Areas of training or expertise include rural mental health - meeting farmers, ranchers, and their families where they are at, often times at their farm. Hours can be accommodated to fit the harvest/planting schedule; anxiety, depression, suicidal ideation, life transitions, farm succession, parenting strategies, communication styles, and trauma. Counseling sessions are also available via telehealth.

Outpatient Services - Individual therapy (for mental health or substance use), Family therapy, Group therapy, Medication management, Psychological assessments and testing, Commitment evaluations, Nursing home consultations, and 24-hour a day crisis intervention via crisis line. Walk in assessments available during regular business hours at the Yankton and Vermillion locations. CARE Club - Program for individuals with a mental health disability (i.e. schizophrenia, bipolar disorder, anxiety and borderline personality) who live in the community. CARE club provides support, assistance, interaction with others and the opportunity to improve consumers existing skills and develop new coping skills. Children's Services - Provides child centered therapeutic services in the home or office. This program provides mental health services to children with Serious Emotional Disturbance (SED). The parents, families, and surrogate families of children with SED participate in all aspects of evaluation, planning and delivery of services. Works closely with child-serving agencies and programs.

Provides adults with behavioral health services focusing on addiction and co-occurring disorders. Services include intensive outpatient treatment, after care, individual and group counseling, and 12-hour DUI classes. Walk-in assessments and telehealth services available.

Alcoholics Anonymous is a voluntary, worldwide fellowship of men and women from all walks of life who meet together to attain and maintain sobriety. The only requirement for membership is a desire to stop drinking. There are no dues of fees for AA membership. For a list of meetings in South Dakota, visit http://area63aa.org/meetings. Email, chat, audio, and forums meetings in a variety of languages are also offered.

Services include behavioral health (including Substance Use Prevention), Community Health Representatives, dental care, diabetes care, health promotion/disease prevention, immunizations, laboratory, nursing, medical imaging, optometry, pharmacy (Prescription Assistance if eligible), Primary Care, public health nursing, smoking cessation, specialty clinics (e.g. OB/GYN, Mammography, Telehealth), weight loss/nutrition, well child care, women's health, and Wowasake Wellness Center

Individuals, couples, and family counseling for children, adolescent, and adults. Counseling to help those who suffer from depression, anxiety, self-harm, post traumatic stress (PTSD), trauma, suicidal thoughts, grief and loss, Internal Family Systems (IFS), and other issues. Provides assisted animal therapy, play therapy, Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Dialectical Behavior Therapy (DBT). Works closely with the LGBTQI population. Also offering services via telehealth.

Provides pharmacy services including: immunizations and vaccines, prescription refills, transfers, and disposal sites; pet Medications, Medicare assistance.

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.

Addiction services consist of: chemical dependency evaluations, intensive adult outpatient chemical dependency treatment, adult chemical dependent aftercare support groups, DUI classes, gambling treatment, prevention programs, Cognitive Behavioral Interventions for Substance Abuse (CBISA), tele-med services

Provides alcohol and substance treatment to the Rapid City (Mni Luzahan) Native American Community and other affiliated tribes in the region. The Native Healing Program utilizes the traditional Native American life ways as a method of healing the spirit. Offers the following: individual counseling, family counseling, substance use counseling, psychological assessments, outpatient substance use treatment, and grief counseling. Also, provides Codependency Workshops, 12 hour DUI class, substance abuse treatment needs assessments, and talking circle. Fully accredited with State of South Dakota for outpatient services. Open to all.

Offers patient education in the community and in schools to raise awareness on how to lower one's risk for chronic health problems and infectious illnesses. Topics include cancer awareness and screenings, injury prevention, tobacco prevention and cessation, sexually transmitted disease prevention, behavioral health awareness and screenings, drug and alcohol abuse awareness, immunizations, heart health, diabetes awareness and prevention, nutrition, and physical activity. Provides health education through health fairs, conferences, newspaper articles, health brochures, public service announcements, radio, posters, small group sessions, lunch n' learns, Facebook, and one-on-one counseling.

Retail pharmacy and a medication disposal site. Services provided are immunizations, medical equipment/supplies, smoking cessation, and pain management. Also sells OTC medications.

Veterans Stand Down event provides education and information about Veteran services and benefits to Veterans and their families in the West River region. The event also includes haircuts, clothing, hygiene products, employment services, legal assistance, housing referrals, eye screening/reading glasses, readjustment counseling. A free meal is served at all locations.

Offers a full range of psychological services including therapy, psychological assessments and evaluation for children, adolescents, couples, and families such as: life changes and transitions, anxiety and depression, trauma and abuse, anger and conflict, grief and loss, marital affairs, self-image and self-worth, loneliness and isolation, impact of addiction, issues related to substance abuse, behavioral therapy, chronic pain and illness, identity/gender/sexual concerns, rape or sexual abuse, medical or spiritual issues, medical conditions, and Post Traumatic Stress Disorder (PTSD). ​Does not offer autism evaluations. Telemental health services available to individuals in South Dakota.

Services provided include prescription pick-up (these are delivered from Freeman daily), diabetes education and support, durable medical equipment (i.e. canes and walkers, bathroom equipment, orthopedic supplies, nebulizers, etc.), immunizations, long-term pharmacy, Medicare open enrollment, and a medication disposal site. Accepts UPS drop off packages for free. Customers can use the My Community Pharmacy to refill medications, set medication reminders, and track refill status.

Adult Children of Alcoholics and Dysfunctional Families (ACA) is a 12-step program to help people recover from being raised in an alcoholic or otherwise dysfunctional home. Meeting formats include: in person, telephone, audio, and online. Visit national website for updated information.

Narcotics Anonymous is non-profit support group made up of men and women for whom drugs has become a major problem. The only requirement for attending is the desire to stop using. There are no leaders and no fees. For a list of in-person and virtual meetings in South Dakota, visit the website.

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.