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Providing confidential and no-cost early pregnancy services including pregnancy testing and limited obstetrical ultrasound. Other services include Confidential peer counseling, emotional support, information and education on pregnancy options, post-abortion help, pregnancy and parenting classes and referrals for community resources.

Offers spiritual counseling, emotional support, worship services and Prayer & Share are live streaming via Facebook and YouTube.

Hope Harbor is committed to restoring families through a loving, bible-based, Christ-centered family program. Client base includes: Teens ages 12-17 Females in the Marshall, MN location; males in the Parker, SD location Reside within a reasonable weekly driving distance of the location Mild to moderate emotional and/or behavioral problems No alcohol or drug dependency No active suicidal threats No history of sexual offense or perpetration Not currently pregnant Must commit to program duration of 12-15 months. Requirements are not limited to this list. Exceptions made on a case-by-case basis. Hope Harbor's small, family style program is an alternative option for families seeking help for their teen; providing counseling, education, life skills training, spiritual growth opportunities, and parenting classes. Program is Bible-based, Christ-centered, and interdenominational. Minnesota location is licensed by the State of Minnesota Department of Human Services and South Dakota home operates as a non-accredited private school that provides housing. Also provides individual and family biblical counseling, group teaching, instruction needed to continue academic training, life skills training, development of leisure skills, and opportunities for spiritual growth. Provides workshops for schools and communities dealing with the topic of relational aggression, cyberbullying, human trafficking, social media safety and more.

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.

Provides individual, marital, and family counseling with a focus on addiction recovery (including evaluations), abuse, healthy relationships, unplanned pregnancy, adoption, and birth parents. Youth prevention program focuses on issues of addiction, violence, promiscuity, and suicide. Variety of educational workshops available. Offers free counseling services to ranchers and producers facing stressful times. Adoption services offers domestic and international adoption services, including, but not limited to: support for individuals coping with the many emotions and decisions that come from choosing adoption; providing birth parents have the opportunity to interview and select the adoptive family; working under the provisions of Baby Moses law; and providing home studies and training for potential foster parents/homes. Pregnancy Counseling supports mothers as they experience the many emotions and decision that come with facing an unplanned pregnancy and help find the options that will work the best. Assistance with medical costs associated with pregnancy may be available. Some infant items are also available (layettes, infant clothing, etc.). Licensed social workers are available to travel and meet mothers involved in a crisis situation. Crisis pregnancy meeting sites will be kept confidential and be convenient for the mother. Start Making It Livable for Everyone (SMILE) classes for separating and divorcing parents with children under the age of 18, designed to: inform parents how to better understand the effects of divorce; assist parents to understand the needs of their children; help parents learn what they can do to create a nurturing and safe environment so their children can recover and feel good about themselves; inform parents how to prevent destructive game playing that is common among divorce; help parents gain problem solving skills; and let parents know they are not alone. Other programs include: Lakota Circles of Hope, Disaster Relief, and Uplifting Parents.

Licensed, professional counseling for adults and children. All areas of counseling are available, including individual, marriage, and family.

Works with clients to address a broad range of concerns including depression, anxiety, behavioral problems, relationship & identity issues, life transitions, anger, hoarding, medical diagnosis and trauma. Works with each client to identify strengths as well as tailor the therapy to their identified learning style. Frequently uses hands on activities, visual demonstrations, writings, drawings, art and games to help illustrate or represent the topic being discussed. Telehealth services available.

Licensed, professional counseling for adults and children. All areas of counseling are available, including individual, marriage, and family.

Primarily a clergy retreat ministry specializing in wilderness sabbaticals for pastors to promote wellness and resiliency. Offers professional counseling on a limited schedule through an office in Custer, SD. Providing a place where helping professionals can find support to deal with the challenges of caring. Also faith based professional counseling services on a limited schedule. Offering services via telehealth.

Individual, marital, and family counseling across the lifespan. Experience in attention deficit / hyperactivity disorder (ADD/ADHD), Asperger's syndrome, depression, anxiety, divorce adjustment, spiritual issues, blended families, affairs, abuse, past abuse, and pre-marital counseling. Also offers grief therapy and trauma focused therapy.

Individual, couples, and family therapy for the treatment of various adjustment problems and psychological disorders in children, adolescents, and adults. Special areas of expertise include: pain management, stress management, complicated grief and loss, spirituality issues, parenting adult children, chronic illness, anxiety, depression, post-traumatic stress disorder, parent education, abuse, eating disorders, marital infidelity issues, substance abuse issues, immigration adjustment concerns, and culturally relevant services. Therapeutic methods used include: acceptance and commitment therapy (ACT), eye movement desensitization and reprocessing therapy (EMDR), cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), emotionally focused couples therapy (EFT), and psychodynamic therapy. Telehealth available for all sessions. May request sessions via telehealth, in-person or a combination. Will teach new clients how to use telehealth services.

Provides gas, electric or water utility assistance for bills at least 30 days past due with a shut off notice (cannot help with current bills). Call for qualifications and appointment time. TEFAP (The Emergency Food Assistance Program) is a federal program which helps supplement the diets of low-income families by providing emergency food and nutrition assistance at no cost. Option 1: TEFAP Food Only: Protein along with nutritional staple(s). If no ID, complete 1 TEFAP Self Declaration form Option 2: TEFAP & Other Food: Protein, canned goods along with nutritional staples. Picture ID and proof of residence required and 2 forms to complete. Household Voucher: Items used to cook and eat a meal or other household goods such as bed linens, towels, etc. are available from the thrift store 1 time every 3 years. Items are based upon availability and may vary. To qualify, a picture ID is required along with a current lease or rental agreement. Clothing Voucher: Clothing assistance is available every 3 months per individual from thrift store. To qualify, a picture ID is required along with verification for additional individuals in the household such as medical cards, birth certificates, etc. Items are based upon availability and may vary. Pathway of Hope: Long term case management program to help individuals and families move beyond crisis into stability and self sufficiency. To qualify, individuals are required to meet with a caseworker to design a plan to meet goals, needs and objectives (goal setting, financial counseling, assistance getting healthcare, educational opportunities, etc.). Call for more information and appointment time.

Provides assessments and therapy for individuals, groups, families, of all ages. Services address alcohol abuse and addiction, sexual abuse, spiritual abuse, marriage problems, family problems, adolescent and child adjustment, anxiety, grief, eating disorders, physical abuse, emotional abuse, delinquency problems, parent-child conflicts, stress, depression, spiritual needs, and mid-life issues. Offers telehealth sessions only if it is covered by insurance and client is located in state at the time of the call. Preference is for the first appointment to be face-to-face.

Equine Assisted Counseling (EAC) is the combined use of horses, a licensed therapist, and a horse specialist working with clients to address various individual treatment goals. EAC is safe and all activities are done from the ground. No riding is involved.

Individual, couples, or family therapy for the treatment of children, adolescents, adults, and seniors focusing on issues including, but are not limited to anxiety, mood, personality disorders, somatization disorders, psychosexual disorders, schizophrenia, post-traumatic stress (PTSD), abuse issues, eating disorders, dementia, grief and loss, childhood emotional and behavioral disorders, spirituality, stress management, and executive health. Evaluations available include psychiatric, psychological, neuropsychological, forensic, and custody.

Pathway of Hope guides families with children 18 years and younger through crisis and instability to a place of security. Offers strengths-based casework, providing services such as: financial counseling and planning, goal setting with action steps, job training, referrals and employment assistance, assistance with securing housing and child care, and emotional and spiritual support. Pathway of Hope works with people where they are, offering practical guidance to help families overcome obstacles one step at a time.

Providing a safe place for people to explore, discover and accept the individual as they are. Services offered include Evaluations and assessments, Professional therapy and counseling, and a free coffee bar and baked goods for clients. Licensed clinical professionals work with individuals, couples and families.

Provides mental health and mindfulness therapy for teens and adults struggling with OCD, grief, anxiety, depression, eating disorders and stress. Provides marriage/couples counseling. Works with kids of all ages. Offers EMDR therapy. Telehealth sessions available after first session in person.

Mental health counseling uniquely tailored to meet each client's needs in a safe, non-judgmental environment. A variety of methods are used for treatment including EMDR, IFS, CBT, Motivational Interviewing and Adlerian Therapy. Trauma informed care is provided for adolescents, adults, individuals, couples and families working through anxiety, depression, PTSD, and relational trauma as well as other issues that occur throughout life. In-person sessions are available in the Spearfish office, or statewide via telehealth. Intensive and marathon sessions are provided as an option for treatment as well as traditional counseling sessions for individuals and couples.

Counseling from a biblically Christian worldview. Services include counseling for couples, marriage, marriage preparation, parenting, family, adolescents, depression, anxiety, grief, anger, crisis management, decision making, male sex addiction, gambling addiction, self-esteem, adjustment, life/professional coaching. Therapies include CBT, solution-focused, emotionally-focused couples, person-centered, Biblical, and prayer. Offering telehealth sessions.

Offers therapeutic interventions and healing in a variety of ways, including creative outlets like play, music and art. Specific approaches include: Individual counseling, Dialectical behavioral therapy, LGBTQ+ counseling, Child abuse survivor counseling for adults, Couples (conjoint) counseling, Faith based counseling, Adolescent/youth counseling, Parent counseling, Spouse/intimate partner abuse counseling, Mass shooting counseling, Grief/bereavement counseling, Child abuse counseling, Family counseling, Play therapy, Cognitive behavioral therapy. Also trained to do Animal Assisted Play Therapy. In-person and telehealth counseling appointments available.

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). Telemental health services available to individuals in South Dakota.

Offers pastoral care, spiritual counseling, and emergency non-monetary financial assistance. For residents of Elkton facing an unusual circumstances (i.e. recovering from injury; acute, one time needs), can provide some direct (non-monetary) assistance. This is not intended to be used for ongoing/routine needs.

A Christian counseling agency ​providing individual, marriage, and family outpatient therapy as well as medication evaluation and management. Also provides various prevention education programs to churches and civic organizations on an as-requested basis.

Individual, couples, and family counseling for all ages regarding issues of depression, anxiety, grief and loss, recovery, stress, crisis, relationship issues, anger, forgiveness, communication, self-concept, learning disabilities, attention deficit / hyperactive disorder (ADD/ADHD), parenting, and spiritual direction. Also, provides tele-counseling (via phone). Preferred that inquiring clients attend the intake appointment in person.