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Acts as an advocate and provides assistance to military veterans and their dependents in determining eligibility and applying for various federal and state benefits, such as service-connected compensation, non-service connected pension, outpatient and hospital medical treatment, guaranteed home loan certificates, education and on-the-job training benefits, burial benefits, survivor benefits, referral information, as well as many others.

Within the Flandreau Santee Sioux Tribe are the following services - Tribal Police Department - Law Enforcement Services (offers fingerprinting, background checks, and gun locks), social services, enrollment, tribal courts, child care, Dakota language, Department of Natural Resources, Education, Tribal Health Clinic, Counseling Center, Grace Moore Senior Center, Housing, and Wellness Center.

Services include 45 bed hospital, emergency room, Obstetrics, Pediatrics, Prenatal Care, Surgical, Dental, and Prescription Assistance. Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS.

White Buffalo Calf Woman Society provides emergency shelter and advocacy services to all victims of domestic violence, sexual assault, stalking, dating violence, and human trafficking.

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.

Provides the following services - Individual therapy, Marriage and couples therapy, Family and group therapy, Evaluations (psychological and psych-social), Patient education, Case management services, and Emergency Mental Health Services available 24 hours a day / 7 days a week. Works in partnership with the Tribal Community to raise their physical, mental, social and spiritual health by providing timely caring services.

24-hour emergency shelter for women and children that provides crisis services for rape victims, child abuse victims and their non-offending family members, family members of homicide victims, adults molested as children, and victims of elder abuse. Services include accompany victims to hospital and through systems, transportation, advocacy, including criminal justice and court, emergency clothing and other supplies, assistance with protection orders, weekly women's support groups, crisis counseling, referrals and information, and assistance in filing for victim compensation.

Providing patient-centered primary care medicine in a variety of settings. Medical services include quick care, wellness physicals, diabetes care (pre-diabetes, obesity, weight loss, and nutrition), medications for Opioid Use Disorder treatment (MOUD), and tribal employee health.

Outpatient medical clinic, provides general family practice medicine. Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS. Services include comprehensive primary care, Primary Care Medical Home (PCMH), behavioral health, dental, laboratory, nursing, pharmacy, public health nursing, radiology, dietitian, and telehealth (including behavioral health, internal medicine, and rheumatology).

Provides shelter for all suffering from domestic violence and/or sexual assault, and their families. In addition to shelter and food, services include: personal and rape advocacy, support groups, legal advocacy and referrals to other service agencies. The Women's Lodge can hold up to 18 adults and children before anyone has to sleep on the floor. Staff can also make arrangements if at full capacity or for other reasons if need be. Two-thirds of residents are usually children since most bring their children with them to protect them from the abuser's violence.

Professional Staff Development Trainings to Agencies and Community, educational events, and presentations surrounding different indigenous educational topics including cultural intelligence, cultural methodology, and healing-informed training to aid in identity development and reconnection to indigenous values. Black Hills Sacred Site Solstice and Equinox onsite ceremony presentations. Trainings available include Lakota Mental Health First-Aid Training (Rick and Ethleen Two Dogs), Tipi Raising Presentation, Buffalo Hide Tanning Presentation, Bow and Arrow Making Presentation, Bapa (Dried Meat) and Wojapi (Wild Fruit) Training, Wokpan Kit Making, Medicinal Tea Making, Inipi (Sweat Lodge) Presentation and Orientation.

Rosebud IHS provides the following mental health services: Individual, couples, marriage, family, and group counseling Psychological testing/mental health evaluation/bio-psycho-socials Medication management (Avel Telepsychiatry) Crisis intervention and Referral Mental health screening Grief and bereavement counseling Terminal illness counseling Utilize Best practice therapies, i.e., Cognitive Behavioral therapy counseling support for co-occurring disorders Teletherapy with Avel Telepsychiatry Also provides consultation to Rosebud Sioux Tribe Alcohol and Drug Abuse Treatment Inpatient and Outpatient Programs, the RST Methamphetamine Inpatient Treatment Program, Wanbli Wiconi Tipi Juvenile Detention Center, RST Adult Correctional Center, RST Courts System, Tiwahe Glu Kinipi Suicide Prevention Program, Wicozani Wakan Suicide Prevention Program, Tiwahe Glu Kinipi Systems of Care Youth and Family Mental Health Program, and local School Districts as requested. Suicide Prevention Specialist programming to assist with prevention activities.

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.

Services include emergency care, 24-hour ambulance services, urgent care, surgical, obstetrics, dental, vision, diabetic clinic, pharmacy, prescription assistance, Women's Health, and immunization clinics. Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS. - Telehealth Services - By appointment only Nephrology - Twice a month by appointment Audiology - Once a month by appointment Same Day Surgery - By appointment Physical Therapy - 8:00am to 5:00pm Daily Behavioral Health - 8:00am to 5:00pm

Considers requests for medical and funeral assistance. Other requests for financial assistance are considered on a case by case basis.

The Cheyenne River Sioux Tribe or Cheyenne River Lakota Nation (Oyate), members include representatives from four of the traditional seven bands of the Lakota, also known as Teton Sioux: the Minnecoujou, Two Kettle (Oohenunpa), Sans Arc (Itazipco) and Blackfoot (Sihásapa).

Hosts Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and a Grief Support Group.

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).

Horizon Health - Fort Thompson is full-service medical clinic offering the following services - preventative screenings, acute care, chronic care management, well child visits, men's and women's health, immunizations, family planning, lab/x-ray, patient education, care management, DOT exams, after-hours access to care, and Certified Application Counselors for the Health Insurance Marketplace. Offers behavioral health services: medication management, counseling, case management, integrated care, addiction services, and Medication Assisted Therapy (MAT). Walk-in appointments welcome.

Services provided include: ambulatory clinic, laboratory, X-Ray, pharmacy, dental unit, public health nursing, diabetes care, fitness program, mental health services, and optometry services. Specialty care clinics available: cardiology, wound care, OBGYN Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS.

Provides evaluation and treatment for Methamphetamines, including adult residential treatment.

Provides resources, education networking, and events for the LGBTQ+ community. ​Some events include Black Hills Pride Festival, Black Hills Youth Pride, Transgender Day of Remembrance events, Drag Shows, Pride Prom, Transgender Day of Visibility events, Rainbow 5k Color Run, Closet Pop-Ups, and Halloween parties. Also have support groups and volunteer opportunities.

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.

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

A culturally-appropriate, anonymous, confidential and free service dedicated to serving Native American and Alaska Native impacted by domestic and sexual violence. Advocates take a Native-centered, empowerment based and trauma informed approach to every call, text and chat. Advocates are available 24/7 and offer peer-to-peer support, crisis intervention and safety planning, information and education about domestic and sexual violence, referrals to Native-centered domestic violence, sexual violence service providers, basic information about health options, support locating health facilities or crisis centers trained in the care of sexual assault and forensic exams, and general information about jurisdiction and legal advocacy referrals.