View Search Results
Filters
Search Results
1-25 of 103
822 E. 41st Street, Suite 235, Sioux Falls, SD 57105
School-based alcohol and drug prevention and intervention counseling services for students and families. Services include: individual and group sessions, family counseling, drug and alcohol screening, tobacco screening, drug and alcohol assessments, referrals, aftercare (post treatment), and prescription drug lock boxes. Offering tele-mental health services. Must have access to computer with camera and microphone.
What's Here
Drug Use Disorder Education/PreventionTelemental HealthCentral Intake/Assessment for Substance Use DisordersResidential Treatment Facility LicensingAlcohol/Drug Impaired Driving PreventionSubstance Use Disorder CounselingDrug Use Disorder IssuesAlcohol Use Disorder IssuesAdolescent/Youth CounselingSubstance Use Disorder Treatment Expense AssistanceRelapse Prevention ProgramsComprehensive Outpatient Substance Use Disorder TreatmentIssue AdvocacyPrescription Drug Lock BoxesGeneral Assessment for Substance Use DisordersTobacco Use Education/PreventionAlcohol Use Disorder Education/Prevention
9307 Highway 24, Fort Yates, ND 58538
Services include alcohol and drug evaluations, referrals to inpatient or outpatient facilities, low intensity outpatient treatment, 6 week program, Moral Reconation Therapy, DUI Classes for Standing Rock Tribal Court only, Aftercare, adolescent program, community awareness programs, and Positive Indian Parenting.
What's Here
DUI Offender ProgramsTelemental HealthNative American CommunityAlcohol Use Disorder Education/PreventionRelapse Prevention ProgramsAlcohol/Drug Impaired Driving PreventionSubstance Use Disorder CounselingSubstance Use Disorder Treatment Expense AssistanceCultural Heritage GroupsCultural Transition CounselingGeneral Assessment for Substance Use DisordersAdolescent/Youth CounselingDrug Use Disorder Education/PreventionComprehensive Outpatient Substance Use Disorder Treatment
1005 W. 1st Street, Suite 4-B, Northeastern Mental Health Center, Redfield, SD 57469
The South Dakota Treatment Hotline provides information on substance use treatment options available throughout the state. It includes listings of facilities offering detoxification, inpatient, outpatient, and medication-assisted treatment services, along with resources for co-occuring mental health conditions. The program is intended to help individuals and families identify and compare treatment providers based on location, services offered, and level of care.
What's Here
General Mental Health Information/EducationDrug Use Disorder Day TreatmentComprehensive Outpatient Substance Use Disorder TreatmentIntegrated Co-Occurring Disorders TreatmentMedication Based Treatment for Substance Use DisordersDetoxificationDirectory/Resource List PublicationSpecialized Information and ReferralSubstance Use Disorder Treatment Expense AssistanceInpatient Substance Use Disorder Treatment FacilitiesRecovery Homes/Halfway HousesAdult Residential Treatment Facilities
310 S. 1st Avenue, Carroll Institute, Sioux Falls, SD 57104
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.
What's Here
Residential Treatment Facility LicensingSubstance Use Disorder CounselingDrug Use Disorder Day TreatmentRelapse Prevention ProgramsInmate Mental Health ServicesTrauma Focused Cognitive Behavioral TherapyCentral Intake/Assessment for Substance Use DisordersSubstance Use Disorder Treatment Expense AssistanceGeneral Assessment for Substance Use DisordersComprehensive Outpatient Substance Use Disorder Treatment
6128 S. Lyncrest Avenue, Sioux Falls, SD 57108
The main focus of Emily's Hope is treatment accessibility, support for families and prevention education.
The Emily's Hope Fund, through the Avera McKennan Foundation, is getting people into treatment. Donations help offset insurance co-pays or support the uninsured. Donations will also support the families of those in treatment on a case-by-case basis who are seeing help at the Avera Addiction Care Center.
Emily's Hope has developed a K-12 prevention education curriculum that aims to educate children on how substances affect the brain and how substance use disorder occurs.
Emily's Hope publishes a weekly podcast on addiction and grief, holds a support group for those who have lost a loved one to overdose/fentanyl poisoning, publishes a blog on grief, and provides the latest news on addiction, overdose and the fentanyl crisis.
What's Here
220 E. Prairie Road, Eagle Butte, SD 57625
An outpatient clinic that offers mental health care counseling services, treatment for post-traumatic stress disorder (PTSD), and suicide prevention services to veterans through private counseling, group therapy, medications, care coordinators, case managers, gun safety locks, and outreach and community education.
What's Here
Divorce CounselingAdult PsychiatryFederal Government Agencies/DepartmentsSubstance Use Disorder CounselingSuicide Prevention ProgramsSubstance Use Disorder Treatment Expense AssistanceMental Health ScreeningVeteran Outpatient ClinicsCase/Care ManagementVeteran Reintegration CounselingAdult Survivor of Child Abuse CounselingIndividual CounselingGeriatric PsychiatryMental Health Expense AssistanceMedication Based Treatment for Substance Use DisordersClinical Psychiatric EvaluationConjoint CounselingSpouse/Intimate Partner Abuse CounselingMarriage and Relationships CounselingGun Safety Devices and Secure StorageBereavement and Grief CounselingVeterans
12451 Highway 1806, Mobridge, SD 57601
Provides drug and alcohol treatment for adolescents ages 13 - 17 years of age who are enrolled as a member of a federally recognized Tribe or able to show the lineal descendancy. It is a rolling admission and can be anywhere from 90 - 120 days.
What's Here
Substance Use Disorder Treatment Expense AssistanceInpatient Substance Use Disorder Treatment FacilitiesAdolescent/Youth CounselingIndian Health Service ClinicsSubstance Use Disorder CounselingResidential Treatment Facility LicensingCultural Transition CounselingGovernment Subsidized Prescription Drug Benefits
No Physical Address, Sioux Falls, SD 57104
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 988.
To request a print copy, please complete this Request Form.
For more information, visit https://letsbeclearsd.com/ or Text 'opioid' to 898211.
What's Here
Substance Use Disorder Crisis InterventionGeneral Assessment for Substance Use DisordersAlcohol Use Disorder Education/PreventionSubstance Use Disorder Treatment OrdersComprehensive Outpatient Substance Use Disorder TreatmentSubstance Use Disorder HotlinesSubstance Use Disorder Related Telemedicine ServicesDirectory/Resource List PublicationResidences for People With Chronic Substance Use DisordersRelapse Prevention ProgramsFamilies/Friends of Individuals With an Alcohol Use Disorder Support GroupsFamilies/Friends of Individuals With a Drug Use Disorder Support GroupsSubstance Use Disorder CounselingSubstance Use Disorder Peer Recovery Coach ServicesInpatient Substance Use Disorder Treatment FacilitiesDrug Use Disorder Education/PreventionTobacco Use Education/PreventionDetoxificationMedication Based Treatment for Substance Use DisordersSubstance Use Disorder Treatment Expense Assistance
7520 S. Grand Arbor Court, Suite 145, Sioux Falls, SD 57108
Provides mental health and addictions assessments, early intervention, intensive outpatient treatment, and aftercare services for individuals, couples, and families. Providers treatment for concerns including addiction, anxiety, depression, mood disorders, adjustment, abuse, spiritual development, emotional management, stress management, family issues, grief, trauma, personality disorders, and relational issues. Offers in person services and telehealth services via Zoom. Services can also be provided via telephone. Clients are encouraged to check with insurance providers regarding coverage.
What's Here
Central Intake/Assessment for Substance Use DisordersRelapse Prevention ProgramsParent CounselingFaith Based CounselingTelemental HealthAdolescent/Youth CounselingCentral Intake/Assessment for Mental Health ServicesPrivate Therapy PracticesGambling Disorder CounselingMarriage and Relationships CounselingChild Abuse CounselingFamily CounselingAdult Child Sexual Abuse Survivor CounselingMental Health Expense AssistanceGeneral Counseling ServicesSpouse/Intimate Partner Abuse CounselingComprehensive Outpatient Substance Use Disorder TreatmentDivorce CounselingConjoint CounselingSubstance Use Disorder Treatment Expense AssistanceSubstance Use Disorder CounselingResidential Treatment Facility LicensingGeneral Assessment for Substance Use DisordersIndividual CounselingBereavement and Grief Counseling
622 S. Minnesota Avenue, Sioux Falls, SD 57104
Intensive outpatient treatment for alcohol, drug, and gambling addictions including evaluation, individual counseling, aftercare and relapse prevention, and first offender DUI classes.
What's Here
Comprehensive Outpatient Substance Use Disorder TreatmentDUI Offender ProgramsSubstance Use Disorder CounselingAlcohol Use Disorder Education/PreventionResidential Treatment Facility LicensingSubstance Use Disorder Treatment Expense AssistanceRelapse Prevention ProgramsCentral Intake/Assessment for Substance Use DisordersGambling Disorder CounselingDrug Use Disorder Education/PreventionPrivate Therapy PracticesAlcohol/Drug Impaired Driving Prevention
22 Waterloo Street, Rapid City, SD 57701
The Adolescent Addiction Recovery Unit provide inpatient and outpatient addiction recovery care for youth ages 12 to 17. Services include 24-Hour supervision, residential treatment, intensive counseling, and educational support.
What's Here
Comprehensive Outpatient Substance Use Disorder TreatmentRelapse Prevention ProgramsSubstance Use Disorder Treatment Expense AssistanceGeneral Mental Health Information/EducationInpatient Substance Use Disorder Treatment FacilitiesAdolescent/Youth CounselingGroup CounselingSubstance Use Disorder CounselingChild/Adolescent Residential Treatment FacilitiesResidential Treatment Facility Licensing
312 W. 3rd Street, Faith, SD 57626
A private, non-profit, community-based human services agency service. Therapists, counselors, and case managers provide:
Individual and family counseling (e.g., marriage counseling, parenting skills, trauma informed services, EMDR, depression, anxiety, PTSD, anger management, coping skill development, etc)
Addiction and dependency services
Evaluations and assessments
Social learning programs
Systems of Care
Prevention services, providing presentations to student and adult groups on a large number of topics and consists of a library that contains over 1,000 items available for check out at the main Lemmon office
Offering services via telehealth. All calls and scheduling of appointments will need to be done through the Lemmon office (605) 374-3862 or (800) 658-3900
What's Here
Central Intake/Assessment for Substance Use DisordersFamily CounselingWorkshops/SymposiumsAlcohol/Drug Impaired Driving PreventionSexual Assault PreventionTelemental HealthComprehensive Outpatient Substance Use Disorder TreatmentDivorce/Custody InvestigationMental Health Expense AssistanceHealth Facility LicensingIndividual CounselingAlcohol Use Disorder Education/PreventionHome Based Mental Health ServicesGeneral Safety EducationCommunity Mental Health AgenciesDrug Use Disorder Education/PreventionMental Health ScreeningParent CounselingSubstance Use Disorder CounselingGeneral Counseling ServicesConjoint CounselingGeneral Assessment for Substance Use DisordersAnger ManagementSubstance Use Disorder Treatment Expense AssistanceSpeakers/Speakers BureausSuicide Prevention ProgramsResidential Treatment Facility LicensingSmoking/Vaping CessationTrauma Focused Cognitive Behavioral Therapy
1028 Walnut Street, Yankton, SD 57078
MAT (Medication Assisted Treatment) is offered to people who have moderate to severe opioid dependence. Because there is a complex relationship between health, mental health, and addiction, this treatment provides an integrated approach that focuses on the whole person. There are three ways to schedule an appointment with LCBHS:
Call to schedule an appointment
Referral from your healthcare provider
Referral following a treatment needs assessment from an accredited Substance Use Treatment Provider
Individuals can often be seen on the same day that you call or are referred. Everyone will receive an assessment to determine whether or not MAT is appropriate/to help determine the most appropriate level of care. If MAT is determined to be an option, staff provide education about the different forms of MAT.
Two forms of MAT are offered at LCBHS:
Treatment with Buprenorphine
Treatment with short- or long-acting Naltrexone
A plan is developed with the patient's provider for the specific form of MAT treatment, level of care, and length of service based on your individual needs. Initial drug screening is required as are laboratory studies depending on history and type of MAT. Ongoing random drug testing is an integral part of treatment. Medically monitored withdrawal management is provided in a residential setting and is available if needed. There is not a set length of time for MAT. While many people may need to stay on medication indefinitely, others may choose to taper off or discontinue using MAT medications.
What's Here
209 E. Main Street, Suite B110, Elk Point, SD 57025
The Union County Veterans Service Office (VSO) educates and assists veterans and their dependents and/or survivors in applying for veterans' benefits including benefits from the Department of Veterans Affairs and the State of South Dakota. Referrals are also made to other agencies that may have potential benefits for veterans.
Areas of primary activity are obtaining military records and discharges, death/burial benefits, education benefits, home loan certificates, non-service connected pension, service connected compensation, state bonus program, survivors benefits, and veteran affairs health care.
Veterans are encouraged to register their discharge information (DD Form 214, Report of Separation) with the Union County Registrar of Deeds Office.
What's Here
County Government Departments/OfficesVeteran Life InsuranceSubstance Use Disorder Treatment Expense AssistanceVeteransVeteran/Military Health InsuranceSpecialized Information and ReferralMilitary RecordsVeteran Benefits AssistanceVeteran Education BenefitsNon-Emergency Medical TransportationVeteran Survivors BenefitsVeteran Home LoansVeteran Burial Benefits
355 40th Avenue, Hills, MN 56138
Provides equine-assisted counseling conducted in an arena with a team including a mental health professional, an equine professional, and one or more horses for individuals, couples, families, or groups. Specializing in Post Traumatic Stress Disorder (PTSD), moral injury, trauma, addiction, grief and loss, abuse, depression, anxiety, and mood disorders. Team building and professional development workshops are also available.
What's Here
Adult Child Sexual Abuse Survivor CounselingDivorce CounselingFamily CounselingGroup CounselingSubstance Use Disorder CounselingIndividual CounselingGeneral Counseling ServicesSpouse/Intimate Partner Abuse CounselingChild Abuse CounselingConjoint CounselingEquestrian TherapyBereavement and Grief CounselingAnger ManagementAdolescent/Youth CounselingPrivate Therapy PracticesSubstance Use Disorder Treatment Expense Assistance
357 Kansas Avenue S.E., Huron, SD 57350
Mental Health services include individual, couples and family counseling, 24-hour QMHP services, psychiatric evaluations and medication management, school consultations, and employee assistance programs (EAP).
Alcohol and Drug Program treatment approach is based on the 12-step program of Alcoholics Anonymous and reality therapy. Services offered include individual counseling, chemical assessments, DUI education program, outpatient treatment, prevention education program, and a relapse prevention group.
Case Management and IMPACT Programs, designed to help clients with severe and persistent mental illness, services include case management and continued care, medication management with psychiatrist, crisis intervention assistance, and psychiatric rehabilitation which seeks to provide program services that assist clients in developing skills and manage resources needed to allow them to be successful in the community. A client centered, client directed form of treatment, the program consists of services designed to restore the disabled person to a level of functioning which permits a useful, meaningful life.
What's Here
Family CounselingDrug Use Disorder Education/PreventionHealth Facility LicensingPsychological AssessmentGeneral Counseling ServicesAnger ManagementCrime Victim/Witness CounselingComprehensive Outpatient Substance Use Disorder TreatmentDUI Offender ProgramsSubstance Use Disorder CounselingAssertive Community TreatmentHome Based Mental Health ServicesMedication Information/ManagementClinical Psychiatric EvaluationGeriatric PsychiatryMental Health Expense AssistanceDivorce CounselingEmployee Assistance ProgramsChild and Adolescent PsychiatrySubstance Use Disorder Treatment Expense AssistanceMental Health ScreeningIndividual CounselingGambling Disorder CounselingPsychiatric RehabilitationCommunity Mental Health AgenciesTelemental HealthCase/Care ManagementPsychiatric Medication ServicesAdult PsychiatryPsychiatric Case ManagementResidential Treatment Facility LicensingAlcohol Use Disorder Education/PreventionGeneral Assessment for Substance Use DisordersAlcohol/Drug Impaired Driving PreventionAdolescent/Youth CounselingRelapse Prevention Programs
403 W. Broad Avenue, Flandreau, SD 57028
The Counseling Center offers the following services (all services based on eligibility and priority needs):
Substance abuse services include screening, intake, evaluation, referrals, aftercare, primary prevention programs, education, MRT/SBISA classes, and group counseling.
Mental health services include couples therapy, family therapy, individual therapy, group therapy, Education, Referrals, and Psychological evaluations and services.
What's Here
Individual CounselingAlcohol Use Disorder Education/PreventionSubstance Use Disorder CounselingGovernment Subsidized Prescription Drug BenefitsPsychiatric Medication ServicesGeneral Counseling ServicesSubstance Use Disorder Treatment Expense AssistanceCultural Heritage GroupsIndian Health Service ClinicsPsychological AssessmentFamily CounselingMental Health ScreeningConjoint CounselingBereavement and Grief CounselingGroup CounselingComprehensive Outpatient Substance Use Disorder TreatmentDrug Use Disorder Education/PreventionNative American CommunityGeneral Assessment for Substance Use DisordersAdolescent/Youth CounselingCultural Transition CounselingMental Health Expense Assistance
22 Waterloo Street, Rapid City, SD 57701
Residential program offering 24-hour supervision, intensive 45-60 day program offering addiction recovery therapy. Seeks to meet each youth's educational, emotional, health, and family needs. Services offered include free assessments, mental health evaluation, treatment planning, group and individual therapy, aftercare planning, aftercare groups, 12-step groups, advocacy and referrals.
What's Here
General Assessment for Substance Use DisordersAdolescent/Youth CounselingSubstance Use Disorder CounselingResidential Treatment Facility LicensingMental Health ScreeningComprehensive Outpatient Substance Use Disorder TreatmentCentral Intake/Assessment for Substance Use DisordersSubstance Use Disorder Treatment Expense AssistanceInpatient Substance Use Disorder Treatment FacilitiesRelapse Prevention ProgramsChild/Adolescent Residential Treatment FacilitiesGroup Counseling
3800 W. Technology Circle, Suite 201, Sioux Falls, SD 57106
Offers Medication for Addiction Treatment services for individuals with a history of Opioid, Stimulant, and Alcohol use. Our trained providers use person-centered, evidence-based and compassionate care. Medication for Addiction Treatment is the use of FDA-approved medications in combination with counseling and other therapies to provide a whole-patient approach to treatment for substance use disorders (SUD).
Frequently Asked Questions:
Do I need to stop using before I schedule? NO
Do I need insurance? NO
Do I need a referral? NO
Can I just walk in? NO
Is there help to pay for meds? YES
Is perfection expected? NO
What's Here
105 E. Main Street, Horizons Clinic, Bison, SD 57620
A private, non-profit, community-based human services agency service. Therapists, counselors, and case managers provide:
Individual and family counseling (e.g., marriage counseling, parenting skills, trauma informed services, EMDR, depression, anxiety, PTSD, anger management, coping skill development, etc)
Addiction and dependency services
Evaluations and assessments
Social learning programs
Systems of Care
Prevention services, providing presentations to student and adult groups on a large number of topics and consists of a library that contains over 1,000 items available for check out at the main Lemmon office
Offering services via telehealth. All calls and scheduling of appointments will need to be done through the Lemmon office (605) 374-3862 or (800) 658-3900
What's Here
Central Intake/Assessment for Substance Use DisordersFamily CounselingWorkshops/SymposiumsAlcohol/Drug Impaired Driving PreventionSexual Assault PreventionTelemental HealthComprehensive Outpatient Substance Use Disorder TreatmentDivorce/Custody InvestigationMental Health Expense AssistanceHealth Facility LicensingIndividual CounselingAlcohol Use Disorder Education/PreventionHome Based Mental Health ServicesGeneral Safety EducationCommunity Mental Health AgenciesDrug Use Disorder Education/PreventionMental Health ScreeningParent CounselingSubstance Use Disorder CounselingGeneral Counseling ServicesConjoint CounselingGeneral Assessment for Substance Use DisordersAnger ManagementSubstance Use Disorder Treatment Expense AssistanceSpeakers/Speakers BureausSuicide Prevention ProgramsResidential Treatment Facility LicensingSmoking/Vaping CessationTrauma Focused Cognitive Behavioral Therapy
325 S. Monroe Street, Suite 110, Carter, SD 57580
Provides outpatient alcohol and drug treatment, education, information and referral, criminal thinking classes, adolescent outpatient and diversion programs, and DUI classes. Offers walk-in chemical dependency assessments during normal business hours and telehealth services.
What's Here
General Assessment for Substance Use DisordersResidential Treatment Facility LicensingSubstance Use Disorder CounselingDiversion ProgramsSubstance Use Disorder Treatment Expense AssistanceTelemental HealthDrug Use Disorder Education/PreventionDUI Offender ProgramsAlcohol Use Disorder Education/PreventionAlcohol/Drug Impaired Driving PreventionCentral Intake/Assessment for Substance Use DisordersComprehensive Outpatient Substance Use Disorder Treatment
19271 SD Highway 79, Vale, SD 57788
Provides transitional, clinically-managed, low-intensity, open-ended residential treatment program for adult males. Treatment program is designed around an initial 90 day treatment plan. There are no guarantees as to the results of treatment.
Services provided are a minimum of 12 hours of individual, group or family counseling per week. Residents are encouraged to take part in the outdoor operation of the facilities and participate in any of the recreational therapy programs.
Intravenous (SP) (IV) Drug Users: Client referrals who are identified as having a history of using drugs intravenously (IV) will be prioritized for admission into this program.
What's Here
6809 S. Minnesota Avenue, Suite 102, Sioux Falls, SD 57108
Offers Christian counseling services specializing in depression, anxiety, family issues, divorce, grief, self-injury, adjustment, drug and alcohol use, attention deficit / hyperactivity disorder (ADD/ADHD), social skill, anger, domestic violence, abuse, obsessive compulsive disorder (OCD), relationship, autism, and Asperger's syndrome. Offers services in person or via telehealth.
What's Here
Substance Use Disorder Treatment Expense AssistanceFaith Based CounselingCrime Victim/Witness CounselingAnger ManagementAdolescent/Youth CounselingMental Health Expense AssistanceChild Abuse CounselingAdult Child Sexual Abuse Survivor CounselingPrivate Therapy PracticesAutism TherapyDivorce CounselingIndividual CounselingSubstance Use Disorder CounselingSpouse/Intimate Partner Abuse CounselingGeneral Counseling ServicesBereavement and Grief CounselingTrauma Focused Cognitive Behavioral TherapyTelemental Health
1000 W. 4th Street, Residential Substance Use Treatment, Yankton, SD 57078
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.
What's Here
3800 S. Kiwanis Avenue, Sioux Falls, SD 57105
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.
What's Here
Residential Treatment Facility LicensingGeneral Assessment for Substance Use DisordersDUI Offender ProgramsAdolescent/Youth CounselingDrug Use Disorder Day TreatmentCentral Intake/Assessment for Substance Use DisordersSubstance Use Disorder CounselingComprehensive Outpatient Substance Use Disorder TreatmentRelapse Prevention ProgramsSubstance Use Disorder Treatment Expense Assistance
