911 emergency operators, adult detention, juvenile detention, and law enforcement services with jurisdiction within the exterior boundaries of the Cheyenne River Sioux Tribe.

Provides inpatient and outpatient services for individuals struggling with addiction. Services provided include substance abuse treatment, inpatient classroom-based 12-step and Cognitive Behavioral Therapy (CBT) program, and outpatient virtual CBT program.

Strives to respond to the needs of individuals in the Mitchell area affected directly or indirectly by mood-altering chemical use or dependency through professional prevention services, education, assessment, intervention, counseling, referral, group and individual therapy, social detoxification, transitional living and continued care.

Outpatient services are available to anyone who may currently be experiencing problems which are of an emotional, behavioral, substance abuse, or interpersonal nature. Therapy services include individual therapy, group therapy, couples therapy, family therapy, home-based therapy, medication management, substance use individual and group treatment programs, crisis intervention, and telemental health. Diagnostic services include psychiatric evaluation, mental status examination, education assessment, emergency mental health evaluation, and treatment needs assessment for substance abuse problems. Offers walk in assessments for substance use disorder services.

Detoxification Service: Couteau Des Prairies Hospital will provide emergency, acute medical detoxification services for those requiring these services. A Dakotah Pride Center staff member will provide transportation for detoxification services and a staff counselor will provide motivational counseling for clients who are undergoing detoxification to seek treatment through Dakotah Pride Treatment Center. Pre-treatment Evaluations: Screening, assessment, intervention, and treatment placement by qualified/certified CD Counselors are available by appointment. Walk-in Assessments for Substance Use available - see description of hours. Adult Outpatient Program: Outpatient treatment services are provided for individuals who meet the admission criteria. The objectives of the program are to provide treatment for individuals who require therapeutic and supportive counseling and referral services while living independently, who may have completed inpatient treatment previously but relapsed, or for whom residential treatment is not otherwise possible. The program meets three times a week in three hour long sessions for six weeks. Also, provides continuing care services and DUI offender classes.

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.

A therapeutic place of residence for persons suffering from substance use disorders and mental illness. Offering dignity and serenity to continue the journey of recovery, healing, and wholeness. Serenity Hills offers 3 distinct programs: -Social setting detoxification -Halfway house combines a strong AA 12-step philosophy with a multi-disciplinary team approach, including professional addiction, psychiatric and mental health care. -Crisis intervention/Appropriate Regional Facility/Safe Rooms for individuals experiencing mental health crisis and/or having thoughts of self-harm.

Residential substance use treatment for individuals suffering from illegal and prescription drug abuse as well as dependence on and addiction to alcohol. A 28-day intensive inpatient treatment program where individuals are emerged in 30 hours or more of programming each week. Clinically monitored inpatient withdrawal management (detoxification) program available if needed. Residential substance use treatment services are provided in the Benedictine Center on the Avera Sacred Heart Hospital Campus.

Accredited substance abuse services includes Early intervention, Information and referral, Employee Assistance Program, Alcohol and drug assessments, DUI offender program, Cognitive Behavioral Intervention for Substance Abuse (CBISA), Intensive Outpatient Treatment, Day treatment, Gambling treatment, Intensive Methamphetamine Treatment (IMT), Medically-Monitored inpatient treatment, Adolescent prevention and diversion program, Adult aftercare, and Community Prevention Project - provides information and networking with individuals, groups, and other agencies.

​Resource Guide: Supporting your Loved One with a Substance Use Disorder. This publication was developed by the Helpline Center in partnership with the South Dakota Department of Social Services. For more information, call the Resource Hotline for 24/7 support at 800-920-4343. To request a print copy, please complete this Request Form. For more information, visit AvoidOpioidSD.com or Text 'opioid' to 898211.

Residential and intensive group outpatient treatment and specialized programming including Intensive Methamphetamine Treatment program (IMT), Intensive outpatient treatment, 12-hour DUI class, Moral Reconation Therapy (MRT), Cognitive Behavioral Intervention for Substance Abuse program (CBISA), treatment needs assessments, social-setting detox, emergency/involuntary commitments and Pivot Point referrals.

Medically Monitored Withdrawal Management: Individuals in need of medically monitored detoxification treatment for substance use disorders may participate in our 10-bed program. Individuals may be admitted voluntarily or involuntarily under an Emergency Detainment or Involuntary Drug and Alcohol Committal (IVC). During a short-term stay (approximately 3-7 days), we will provide medical stabilization to support a safe withdrawal and provide recommendations for continued care and treatment after discharge. Sobering Observation for Intoxicated Individuals: Individuals under the influence of alcohol or other mood-altering substances who are in need of observation and support in order to reach a safe level of sobriety may participate in our sobering observation program. Prior to discharge, we will offer connections to community resources and provide education regarding available substance use treatment options. Mental Health Crisis Stabilization: Individuals experiencing a mental health crisis, who are not actively suicidal and are not violent, and would benefit from short-term stabilization may participate in our 3-bed program; length of stay can be up to 23 hours. Prior to discharge, we will work with individuals to develop a crisis response plan and offer recommendations for ongoing community and mental health support. If an individual is determined to be in need of a higher level of care to safely manage their mental health symptoms, we will assist them with a referral to higher level of care.

Stepping Stones is a 24-hour a day, co-ed, treatment center serving Mitchell and the surrounding communities.  Stepping Stones is fully accredited with the State of South Dakota and works with individuals from all walks of life, offering a wide variety of treatment experiences including Treatment Needs Assessments, Detoxification, Intensive Inpatient and Outpatient Treatment, First Offender DUI Courses, Adolescent and Adult Aftercare, Adolescent Treatment, Anger Management, Moral Recognition Therapy (MRT), Relapse Prevention Courses, Parenting classes, Strengths Group, CBISA, and Readiness group for Federal probationers.