Offers a culturally grounded, trauma-informed continuum of care for survivors of domestic violence, sexual assault, and elder abuse within the Cheyenne River Sioux Tribe community and surrounding areas. Core services are survivor-centered and designed to promote safety, empowerment, and long-term stability by including emergency shelter, crisis intervention, and individualized advocacy. Advocates provide confidential support, assist with danger assessments, safety planning, and navigation of tribal and state legal systems, including protection orders, custody filings, and court accompaniment. Medical advocacy is available for hospital, clinic, and SANE exam visits. Staff also support access to victim compensation, transportation, healthcare, employment, childcare, and housing resources. Counseling and support groups help survivors process trauma and rebuild safety. All services are culturally responsive, emphasizing respect, community, and healing. Smudging is offered in the shelter, and clients are connected to tribal elders and cultural mentors for additional traditional healing. A 24-hour crisis line provides immediate, confidential support, while community education promotes healthy relationships, consent awareness, and bystander intervention. The shelter program also hosts Domestic Violence and Sexual Assault community education/awareness/prevention events to the public or organizations within the community.

Provides marriage and family counseling, pregnancy counseling, grief counseling, trauma-informed counseling, career counseling, domestic violence/spouse/intimate partner abuse counseling, child abuse survivor counseling, parent counseling, and telemental health.

A detailed safety process used when an individual has made a specific threat toward a school, individual, or group of persons and/or has brought a weapon to school (including threats made on social media). This includes talking with the student, other students involved, family members, school staff, law enforcement, and others with helpful information. It also includes collecting facts and asking important questions to understand the level of risk.

Offering counseling services for individual, youth, parent, LGBTQ+, play therapy, and trauma informed therapy. Areas of focus include grief, anxiety, depression, ADHD, stress management, and coping skills. Telehealth services are available based on need and determined on a case by case basis.

Providing mental health services, Positive Indian Parenting (parenting education for Native American parents), and court approved parent education classes for parents who are separated or divorced. Also provides custody evaluations, mediations, and Social Early Neutral Evaluations (SENE).

Crisis intervention, assessments, counseling, and case management services that help young people and their families overcome challenges and pave the way for an improved quality of life. Provides support to individuals suffering from mental health issues, alcohol and drug abuse, child abuse and neglect, domestic violence, and crime victimization. Support is also provided to individuals struggling with personality development and relationship issues. Therapists specialize in: Individual, family, and group therapy Play, art, and sand therapy Marriage and relationship counseling Treatment for depression, anxiety, and behavior issues Trauma Stress and anger management Chemical dependency treatment and prevention Level 1 alcohol and drug evaluation and treatment Suicide crisis intervention Treatment for youth with problematic sexual behaviors Additional Services Parenting classes Mind-Body workshops Domestic violence program Mental health consultations and trainings Equine Assisted Therapy Group Mental Health Evaluations Child abuse survivor program Telehealth sessions available. Prefer first session in person. Classes and Workshops are conducted through Family Support and Advocacy Services Department.

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.

Specific training in trauma therapy including child trauma certified. Works with all ages, diagnosis, and families. Also provides a Spanish speaking translator at no cost if needed. Other services include individual counseling; divorce counseling; grief/bereavement counseling; dialectical behavioral therapy (DBT); LGBTQ counseling; child abuse counseling; child abuse survivor counseling for adults; family counseling; play therapy; trauma informed therapy; cognitive behavioral therapy (CBT); adolescent/youth counseling; gender identity counseling; parent counseling; spouse/intimate partner abuse counseling; and telemental health.

Providing trauma-based counseling for adolescents 12 - 17 who have experience or are at risk for sexual exploitation or sex trafficking and parents, foster parents or caregivers of adolescent girls who have experienced or are at risk for sexual exploitation or sex trafficking using the following group coaching, counseling, advocacy and support services, safety planning, education and awareness, crisis response, skills classes, and recreational outings. All listed services are provided by pre-approval through referral form, according to available resources and as consistent with the mission statement.

Individual, couples, marriage, family, group counseling, and workshops focusing on areas such as co-dependency, trauma, sexuality, depression, anxiety, sexual abuse trauma, mild traumatic brain injury, relationship issues, boundaries, and financial therapy/coaching. Corporate and business consulting for team building, time management, strategic planning, trainings and more. For more information visit livingtrueinc.com.

Offers psychiatric evaluations, medication management, and individual psychotherapy at the Sioux Falls clinic for all ages, with telehealth options available. Midwest Wellness Institute also brings psychiatric care and medication management to underserved areas through telehealth and on-site clinics, hospitals, correctional facilities and nursing homes through contracted mental health services. Services include TMS Therapy, Spravato, Botox Injections, Individual Psychotherapy Counseling, Correctional Rehabilitation, Mental Health Screening, Psychological Assessments, Pediatric Psychiatry, Adolescent Psychiatry, Adult Psychiatry, Geriatric Psychiatry, Medication Management, Medication-Assisted Treatment for Opioid Addiction, Independent Psychiatric Evaluations, and Forensic Psychiatry.

Oncology Outpatient Therapist - offer counseling for people with cancer at any stage of treatment or recovery. Addressing issues of adjustment to illness, fear of reoccurrence, cancer induced distress, anxiety, depression, life legacy, advance care planning, grief, and bereavement. Also available to see any family or support members of the individual for counseling. ​​Telehealth available for any individual with cancer or their support person. May be in active treatment or out of treatment.

Provides mental health counseling to individuals to treat issues including depression, anxiety, life-adjustment stressors, grief and loss, and trauma. Appointments are offered both in-person and virtually.

Equine-assisted psychotherapy for individuals, families, and groups. Specializes in trauma focused cognitive behavioral therapy, solution focused therapy, and youth with problematic sexual behaviors. Telehealth available.

Private practice mental health counseling agency that assists individuals by providing assessment, consultation, therapy, and more. Counseling services include individual counseling, LGBTQ+ counseling, divorce counseling, couples counseling, parent counseling, terminal illness counseling, child abuse counseling, marriage counseling, grief counseling, spouse/intimate partner abuse counseling, adolescent/youth counseling, faith based counseling, child abuse survivor counseling, cognitive behavioral therapy, hoarding counseling, telemental counseling, trauma informed counseling, and terminal illness counseling.

Provides psychiatric residential treatment center licensed to serve boys and girls ages 10-17 years old, who have emotional, behavioral, and educational challenges. Offers specialized education program, extensive outdoor recreation, opportunities for community involvement, and evidence-based programming including cognitive behavior therapy (CBT) groups.

Counseling and therapy services utilizing a holistic approach for those 9 years of age and older. Specializes in the areas of emotion regulation, trauma, and substance use.

Psychiatric Residential Treatment Center (PRTF) - Parkston serves female youth ages 12-17 who have experienced legal, school, or family behaviors. The program works with the youth to develop healthier attitudes and coping skills for the behaviors that caused the need(s) for treatment. The Parkston program also works with youth who have experienced chemical use and/or have had their lives impacted by other's chemical use. While using an individual approach, Our home, Inc. also emphasizes a modality that includes the utilization of a therapeutic group milieu, in which peers become an important part of each youth's daily program, by developing concepts that include; respect for self and others, development of healthy relationships, developing and meeting expectations, and responsibility to provide and promote a safe and secure environment

Provides individuals of all ages with feelings of value, courage, and connection to overcome challenges and move towards healing. Strives to bring an authentic relationship in a comfortable, safe and supportive setting for all to be both seen and heard. Specializes in working with children ages 4-11 utilizing play therapy to meet and communicate with children in their world and in their primary language - play. Services offered include: individual counseling; child abuse counseling; couples counseling; play therapy; trauma informed therapy; faith-based counseling; cognitive behavioral therapy; adolescent/youth counseling; internet (telehealth) counseling; and EMDR (Eye Movement Desensitization and Reprocessing).

Counseling services range from individual counseling, adult/adolescent psychiatry, cognitive behavioral therapy, and parent child interaction therapy.

Provides individual and/or family therapy in the areas such as anxiety, depression, stress management, behavioral issues, school issues, divorce, grief and loss, life transitions, parent education, and trauma. Primary emphasis is working with children, adolescents, and families. Also, provides treatment using brainspotting techniques. Telemental health services are available via Zoom. First session preferably in person.

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.

Provides mental health counseling services including counseling for Post Traumatic Stress Disorder (PTSD), anxiety, depression, and addiction. Evidence based therapies utilized include Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), and Motivational Interviewing.

Mental health services/therapy in a private practice setting. Specializing in work with children, adults, foster children, adoption issues, domestic violence issues, abuse and neglect issues, depression, anxiety, and trauma issues. Also, provides telemental health.

Provides residential treatment services including: 24-hour psychiatric residential care in a therapeutic and structured environment; individual, group, and family counseling, campus school, psychiatric services, case management, after care services, and independent living skills training.