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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.

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

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.

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.

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 the following services - emergency room, inpatient care, comprehensive primary care, Primary Care Medical Home (PCMH), behavioral health, adult and pediatric dental, eye clinic, radiology, laboratory, nursing, pharmacy, public health nursing, dietician, and telehealth (including behavioral health, internal medicine, and rheumatology).

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

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

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.

The Oglala Lakota or Oglala Sioux, meaning to scatter one's own in Lakota language are one of the seven subtribes of the Lakota people, who along with the Nakota and Dakota, make up the Great Sioux Nation.

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

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.

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.

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 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.

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.

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.

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

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.

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

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.

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).

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