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An ambulatory care center with outpatient services. Services include dental care, mental health services, public health nurse, environmental health care, optometry, laboratory, radiology, pharmacy (Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS), podiatry, HIV Clinic, SANE services, and Fitness Center.

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.

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.

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.

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

Individual and couples therapy for adults dealing with life transitions, healing from trauma and/or abuse, restoring difficult relationships, or looking for balance and support in their lives. Individual therapy for adolescents dealing with trauma or behavior issues. Assessment and therapy for those engaged in addictive behaviors, and also for those who love them. Experienced in serving the Native American community, particularly in the areas of historical trauma and grief.

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.

Mental health services with a holistic approach. Experience in working with children, adults, marital counseling, family sessions, group sessions, Native Americans, and veterans. Offers ART (Accelerated Resolution Therapy), social groups for children ages 10-12 and 18-21 who are neurodivergent. Experience in depression, anxiety, PTSD, life coaching, etc. Offers services via telehealth. Same day appointments are available for both counseling and psychiatry services.

Outpatient program services for substance use and mental health (including co-occurring issues). Incorporates Lakota cultural traditional health along with mainstream modalities. These include crisis intervention, individual, family, and couples therapy, outpatient groups for both mental health and substance use issues, community prevention, discharge and aftercare planning, Referrals for involuntary and emergency services, psychological assessments for children, adolescents, and adults, Medication Management, inpatient treatment referrals for substance use and mental health counseling (including co-occurring issues), Integrated Care Case Management, anger management group, art therapy group for youth and adults, and recovery coaching - please call for more information. Also includes a Transitional Living Center for pre-treatment (before treatment) and aftercare services provided 24/7. Co-ed facility.

The Standing Rock Sioux Tribe operates under a constitution approved on April 24, 1959 by the Tribal Council of Standing Rock Sioux Tribe. The Tribal Council consists of a Chairman, Vice-Chairman, a Secretary and fourteen additional Councilmen which are elected by the tribal members. Regular Tribal Council meetings are the first Tuesday, Wednesday, and Thursday of the month. Committee meetings are held the second week of the month. The last Monday of the month is for gaming and other tribal business.

Weekly groups as listed below. Food is provided during most groups. Monday Groups: Youth group Tuesday Groups: Fatherhood Support Group Wednesday Groups: Wasigla/Grief Group Thursday Groups: Wellbriety and Women's Group - Alternating Weeks Friday Groups: AA Talking Circle meeting Mondays and Wednesdays: Federal Probation Group Session Tuesdays and Thursdays: 12-week Healing Session including 6 identity development ceremonies Rapid City Central High School - Cultural Identity Development and Enhancing Traditional Values Awareness, Tutoring Sessions for all courses Cultural Orientation to Program and Ceremony Community and Program Relatives - (Clients)

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.

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).

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.

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

Provides substance and alcohol use prevention, intervention, and continuum of care, behavioral health case management and issues encountered in a conditional behavior environment-(Assimilation). Services provided include alcohol and drug screenings/assessments and substance use and abuse prevention/education/intervention with a cultural approach to healing and cultural identity development.

Offers addiction and mental health services. Licensed professionals provide assessments, outpatient treatment and referrals to specialty care. Crisis assistance, family therapy, support groups and clients are offered resources for cultural/spiritual guidance. Outreach services are provided to the school and corrections.

Behavioral health services include outpatient individual, couples, and family counseling, psychological assessment and evaluations (non-court ordered), and case management.

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).

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.

Canku Teca staff counselors provide the following services: Treatment Needs Assessments, Individual counseling, referral services, case management, aftercare/continuing care, state-certified DUI First Offenders class, community outreach and education.

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

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 a survivor network of spiritual and emotional support, while increasing community awareness of child sexual abuse and sexual assault. Also offers a book study, one-on-one mentoring, and works on diversity initiatives for Native American Women and Hispanic women.

Services include behavioral health (including Substance Use Prevention), Community Health Representatives, dental care, diabetes care, health promotion/disease prevention, immunizations, laboratory, nursing, medical imaging, optometry, pharmacy (Prescription Assistance if eligible), Primary Care, public health nursing, smoking cessation, specialty clinics (e.g. OB/GYN, Mammography, Telehealth), weight loss/nutrition, well child care, women's health, and Wowasake Wellness Center