Individual and group counseling for substance use disorders and co-occurring issues. Offers the following evidenced based practices: Intensive Methamphetamine Treatment (IMT), Matrix Treatment and Aftercare Moral Reconation Therapy (MRT), Dialectical Behavior Therapy (DBT), Cognitive Behavior Interventions for Substance Abuse (CBISA), Co-occurring Aftercare, and Seeking Strength.

Provides residential and intensive outpatient treatment with specializations including Intensive Methamphetamine Treatment program (IMT), Intensive outpatient treatment, 12-hour DUI class, Moral Recognition Therapy (MRT), Cognitive Behavioral Intervention for Substance Abuse program (CBISA), treatment needs assessments, social-setting detox, emergency/involuntary commitments, and Pivot Point referrals. Walk -in assessments are available on a first-come, first-serve basis.

Culturally sensitive adult and youth outpatient treatment programs and residential alcohol treatment facility. After care programs, youth alcohol and drug assessments, and youth treatment placement.

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.

An intensive, outpatient, 12-step recovery-based center for alcohol and drugs. Services are provided by certified chemical dependency counselors including assessments (walk-in assessments available), day and evening treatment programs, adolescent programs, 12 hour DUI class, Intensive Methamphetamine Treatment (IMT) offered with state approval only, and a Recovery Maintenance Group. This office is located close to the SAM (Sioux Area Metro) Orange bus route.

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.

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 telehealth. 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 during regular business hours. .

Co-occurring services throughout all programming are available to address not only substance use but also mental health symptoms: Treatment Needs Assessment for Substance Abuse - Offers alcohol and drug assessments to determine level of care needed. Jail Treatment Program - Alcohol and other drug abuse treatment services with an emphasis on criminal / addictive thinking and interactive journaling. The interactive journaling process encourages people to personalize the information they acquire and to take responsibility for their own recovery. Treatment is provided in the Minnehaha County Jail. Adolescent and Adult Outpatient Treatment Program - Consists of group therapy, alcohol and other drug information, skill development and relapse prevention. IMT (Intensive Methamphetamine Treatment) - consists of group therapy, individual therapy, case management, residential support and aftercare services. Intensity of services changes with the length of time spent in the program. Weekly participation ranges from 2-19 hours of service a week, depending on client needs.