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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.

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 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

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.

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.

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.

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

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

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).

Offers the following groups: Bible Study, Recovery Group, and Family and Friends of Addicts, Alcoholics, and Substance Abusers Group.

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.

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.

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.

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 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.

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 provided are Outreach Advocacy, 24-Hour Crisis Line, Women's Support Group, Women's Re-education, Men's Re-education, Emergency items, Respond to emergency 911 calls with public safety or at the hospital, and Protection Orders.

The Sisseton Wahpeton Oyate of the Lake Traverse Reservation, formerly Sisseton-Wahpeton Sioux Tribe/Dakota Nation, is a federally recognized tribe comprising two bands and two sub-divisions of the Isanti or Santee Dakota people.

Services include audiology, purchased referred care, dietitians, emergency department, eye care, pharmacy, physical therapy, public health nursing, radiology services, pain management, OB/GYN, prenatal care, inpatient care, laboratory, Magnetic Resonance Imaging (MRI), medicine, and nursing.

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.

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.

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)

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.

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

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.