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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.

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 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

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.

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.

Provides alcohol and substance treatment to the Rapid City (Mni Luzahan) Native American Community and other affiliated tribes in the region. The Native Healing Program utilizes the traditional Native American life ways as a method of healing the spirit. Offers the following: individual counseling, family counseling, substance use counseling, psychological assessments, outpatient substance use treatment, and grief counseling. Also, provides Codependency Workshops, 12 hour DUI class, substance abuse treatment needs assessments, and talking circle. Fully accredited with State of South Dakota for outpatient services. Open to all.

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 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.

The Woodrow Wilson Keeble Memorial Health Care Center is accredited by Joint Commission on Accreditation of Healthcare Organization, Inc. (JCAHO) serving Native American people living in or near Roberts County. Services include Behavioral Health, Dental, Diabetes Care, Health Promotion/Disease Prevention, Laboratory, Nursing, Radiology, Optometry, Pharmacy (Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS), Primary Care, Public Health Nursing, Physical Therapy, Specialty Clinic (OB/GYN), Weight Loss/Nutrition, Well Child Care, Men/Women's Health, and Medication Disposal.

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

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.

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.

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

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.

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.

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

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.

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.

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.

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).

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

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.

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.

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.

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.