Caseworkers work with women who are going through an unplanned pregnancy. Support services are available to clients at no-cost. Includes: options counseling, evidence-based decision making, adoption planning, adoption parent selection, parenting preparedness program & courses, before & after birth support, mental health counseling, Medicaid & WIC applications, transportation assistance, case management, job application & resume writing, help with difficult family or partner communication, community & state resource connection, and referrals related to housing, substance use, and domestic violence.

Black Hills Advocate helps a variety of people including people who are aging, people who are caregivers for a loved one or families with aging parents who live in the Black Hills. Black Hills Advocate also assists people who are facing illness; either short term or long term. They also facilitate a culture of transparency between patient and provider. Black Hills Advocate provide services including accompaniment to doctor/hospital visits, coordination of all health care providers, maintain portfolio of medical history, communicate with client's accountants, attorneys & financial planners, process monthly bill paying & bank statement reconciliation, implement financial planning strategies, assist with completion of health insurance & financial assistance applications, research treatment options, assist with advance directives (Health Care or Financial POA, Living Will, etc.), perform wellness visits at home or extended care facilities, coordinate end-of-life requests & after care planning, provide Guardianship & Conservatorship, advocate for patient's rights & medical needs, and assist with level of care choices & placement.