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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).

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 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.

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.

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.

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.

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.

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

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

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

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

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.

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

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).

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.

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 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.

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.

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.

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.

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.

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.

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