The Department of Human Services Guardianship Program provides guardianship and/or conservatorship services as a last resort to qualified individuals age 18 or older with an intellectual or developmental disability as defined in SDCL 27B-1-18 or qualified individuals in the Long Terms Services and Supports program. The South Dakota Department of Human Services may be appointed as a guardian, a conservator, or both, for adults with developmental disabilities under its care or to whom it is providing services or financial assistance, but only if there is no individual, nonprofit corporation, bank or trust company, or other public agency that is qualified to serve, as defined in SDCL 29A-5-110, or qualified individuals in the Long Terms Services and Supports program. The department also provides financial assistance for qualified individuals who are willing and qualified to serve as a guardian and/or conservator of up to $1,500.00 for the establishment of a guardianship or conservatorship through the Guardianship Establishment Program. Limited amount of funds for this program are available each year on a first come first served basis for qualified individuals.

There are many opportunities for people to participate in and explore a variety of meaningful activities throughout their day. They do this in many ways, and all services are driven by each person's own goals, dreams, and needs. Some areas of focus are accessing their community which may include volunteering or attending activities and events in the community; recreational and leisure activities such as swimming, bowling, spending time at local parks, movies, or eating out; meaningful relationships; maintaining or leaning new skills; and self advocacy.

Supports individuals in the community with developmental delays by providing residential services, employment services, day programming, and nursing.

Provides the following services on the road to a life of purpose and possibilities: residential services, employment discovery, supported employment, community life engagement, client benefits management, nursing/coordination of medial services, special education/transition services, and behavior support services.

Provides people and their families with services and supports to meet their unique needs. The Family Support 360 (FS360) Program is self-directed, which means the person and their family choose the services, the staff who provide them, and a schedule based on their needs. FS360 helps people and their family receive state-funded services and other community services, together with natural supports (extended family members, friends, neighbors, church congregations, and community organizations). Family Support Service Coordinators act as an advocate for you and your family. Services and supports include but are not limited to: service coordination, environmental accessibility adaptive equipment, vehicle modifications, companion services, supported employment, personal care, respite care, special medical adaptive equipment and supplies, nutritional supplements, specialized therapies, and recreational and social opportunities.

Black Hills Works is a community support provider that offers an array of programs to adults with intellectual and developmental disabilities. Services include residential, employment, volunteer and community services, specialty services, and art expression.

Provides comprehensive supports (i.e. supported employment, residential, community engagement, adult day services, representative payee services, etc.) for adults with intellectual/developmental disabilities.

Provides support services for adults with disabilities including accessible housing, nursing care, physical habilitation, and day services. This includes employment and volunteer opportunities. The goal is to help people with disabilities live full and meaningful lives and help them be their own best advocates.

Provides a wide range of services and support including residential, work and specialized services. Also provides individualized service facilitation to those served. Firmly dedicated to the provision of quality, outcome-based services to persons with developmental disabilities. Residential options: living at home, supported living, independent living Work & employment: community employment, supported community work-sites, agency provided work opportunities, supported self-employment ​​​Specialized services: medical services, behavioral services, communication services, nutritional services, physical and occupational therapy

A community-based organization providing support to people with intellectual and developmental disabilities to achieve their personal goals and attain full inclusion in the community.

Provides a continuum of rehabilitation services for people with short- and long-term conditions, injuries, and disabilities. The goal is to improve health outcomes, make it easier for clients and families to get the right services for their needs, and reduce costs by preventing complications. Programs include: ​Brain Injury Rehabilitation - Helping patients learn new skills to help manage many of the symptoms of brain injury. ​Cancer rehabilitation - Addresses needs at each stage of treatment, helping patients cope with the effects of cancer and its treatment. ​Chronic pain services - Comprehensive outpatient pain management services. ​Comprehensive inpatient rehabilitation - Hospital-based rehabilitation program for those who require close medical monitoring and management of medical conditions. ​Comprehensive stroke rehabilitation program - Evidence-based treatments support individuals who have had a stroke as they regain daily living skills and become as independent as possible. ​Courage Kenny Kids - Offering physical and occupational therapy and speech-language pathology. ​Courage Kenny Spine Centers - Provides specialized, nonsurgical treatment for low back and neck pain. ​Spinal Cord Rehabilitation - Offers inpatient and outpatient services for persons with a spinal cord injury. ​Occupational/physical therapy and speech-language pathology - Providing clinic based outpatient rehabilitation therapy.

Provides services and supports to children and adults with developmental disabilities by providing support, skills, and encouragement needed to achieve hopeful and successful futures. Services provided to program participants include special education, adult day programs, vocational programs, home-based instruction, residential living facilities, consultations, psychiatric services, medication management, counseling, and transition program.

Sesdac provides services and supports to individuals with intellectual and developmental disabilities. Services include day services, transition services, employment supports, residential services, and educational services.

Emphasis is placed on high quality services that are flexible, creative, innovative and orientated toward practical and useful life skills. Services include semi-independent supervised apartments, group residence, independent home-based services-monitoring/support, educational services, service coordination, nursing services, alternative services, prevocational services, and integrated vocational services-job development.

Provides a variety of services to assist adults with disabilities. Programs include residential services, community support services, a variety of day services, employment services, family support program, and shared living.

Providing case management and family support for individuals with intellectual or developmental disabilities. Case managers help create a personalized plan, assist in choosing and coordinating with service providers, explain services and funding, and monitor services.

Provides housing and community-based support services for individuals with intellectual and developmental disabilities. These include: Host Homes are available for adults with intellectual and developmental disabilities where they get matched with a shared living provider and move into the provider home. The shared living provider is responsible to provide supports and services that foster independence. ​Transitions Home is a home that is staffed 24/7 and operated like a group home. It is used as a transition home while individuals are matching with their potential shared living and host home providers.

A community support provider offering services to individuals with disabilities in the areas of residential services, day services, medical services, personalized support plan, to help with attaining desired dreams and goals in the areas of home, work, and community; and the Career Advantage program.

Made up of 25 members appointed by the Governor. The Council receives federal dollars that it then grants to other community agencies for projects benefiting people with developmental disabilities (DD), projects include funding for individuals with DD and their family members to attend workshops and conferences, Partners in Policy-Making, Youth Leadership Forum, SD Advocates for Change, and Information and Referrals.

Family Support 360 (FS 360) helps people with intellectual and developmental disabilities and their families get the services they need to live in their own home and community as independently as possible. FS 360 is self-directed, which allows the person or their guardian to choose their staff and schedule based on their needs.

Helps families with temporary relief care for children or adults with special needs. The child or adult must live with a parent or family member and meet one of the eligibility categories below. There is no income limit. An adult or child eligible for family support waiver services is not eligible for respite services. Eligibility Categories include: Developmental disability (child or adult); Developmental delay (birth to age 3); Serious emotional disturbance (child); Severe and persistent mental illness (adult); Chronic medical condition (child); Traumatic brain injury (child or adult); Adopted Child (with or without a disability).

CHOICES Residential Services program serves adolescents and adults who have intellectual and developmental disabilities and behavioral/emotional or psychiatric disorders. Components of the program include residential services, independent living training, educational services, and therapeutic and psychiatric services (individual and group therapy).

Locates children that are new born to 5 years of age who are suspected of having developmental delays or mental and/or physical disabilities in order to provide early intervention services. Services include screening children for developmental delays, referring children requiring further evaluation to the appropriate agencies, and providing parents with training, educational materials, and monetary and transportation assistance. This program also hosts parent support group meetings, workshops, and health fairs.