Provides inpatient and outpatient services for individuals struggling with addiction. Services provided include substance abuse treatment, inpatient classroom-based 12-step and Cognitive Behavioral Therapy (CBT) program, and outpatient virtual CBT program.

Provides residential treatment, foster care, special education schooling and independent living services to South Dakota children between the ages of 7 and 23. Program offers an array of therapeutic services in Mitchell and Rapid City including 45 bed psychiatric residential treatment facility for girls ages 7 to 17 (housed in Mitchell), Evidenced Based Trauma Informed programming, special education schooling, individual therapy, group therapy, alcohol and drug treatment, and independent living skills. Also houses The Bridges Therapeutic Foster Care program for children from birth up to age 18 (Homes in Mitchell, Rapid City, and Sioux Falls) and the Independent Living Program for young adults between the ages of 18 - 23 (Apartments are located in Mitchell and Rapid City).

Accredited substance abuse services includes Early intervention, Information and referral, Employee Assistance Program, Alcohol and drug assessments, DUI offender program, Cognitive Behavioral Intervention for Substance Abuse (CBISA), Intensive Outpatient Treatment, Day treatment, Gambling treatment, Intensive Methamphetamine Treatment (IMT), Medically-Monitored inpatient treatment, Adolescent prevention and diversion program, Adult aftercare, and Community Prevention Project - provides information and networking with individuals, groups, and other agencies.

Therapeutic services for chemically dependent individuals who meet the criteria for admission. The program incorporates traditional American Indian teachings with 12-step concepts. The treatment philosophy is based on the Red Road, Medicine Wheel, and AA principles. The inpatient program provides 30 hours of educational and group therapy in addition to 12-step study and attendance groups. Clients are provided the opportunity to participate in an Inipi ceremony and/or attend church services.

Residential substance use treatment for individuals suffering from illegal and prescription drug abuse as well as dependence on and addiction to alcohol. A 28-day intensive inpatient treatment program where individuals are emerged in 30 hours or more of programming each week. Clinically monitored inpatient withdrawal management (detoxification) program available if needed. Residential substance use treatment services are provided in the Benedictine Center on the Avera Sacred Heart Hospital Campus.

30 day residential program for recovery from drug and alcohol addiction. An intense schedule at a relaxed pace. Residential campus utilizing: The Big Book of Alcoholics Anonymous and the way of life contained therein. Advocacy of the disease concept by carrying the message to families, businesses, churches, and schools while building alliances with organizations that share the mission of advocacy for and implementation of the 12-step approach to recovery. An alternative to medical treatment models for the recovery of alcoholism and chemical dependency. Scholarships available.

Provides drug and alcohol treatment for adolescents ages 13 - 17 years of age who are enrolled as a member of a federally recognized Tribe or able to show the lineal descendancy. It is a rolling admission and can be anywhere from 90 - 120 days.

A voluntary 28-day residential treatment center that uses a variety of evidence-based, individualized approaches to treat alcohol and drug addiction, such as cognitive behavioral therapy and motivational interviewing. Offers medical stabilization and medication assisted treatment (MAT). All therapists are co-certified in addiction and mental health, and psychiatrists will regularly round at the center. Programming also includes a robust family component. Walk-in Assessments available. See description of hours for details.

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.

Residential program offering 24-hour supervision, intensive 45-60 day program offering addiction recovery therapy. Seeks to meet each youth's educational, emotional, health, and family needs. Services offered include free assessments, mental health evaluation, treatment planning, group and individual therapy, aftercare planning, aftercare groups, 12-step groups, advocacy and referrals.

​Resource Guide: Supporting your Loved One with a Substance Use Disorder. This publication was developed by the Helpline Center in partnership with the South Dakota Department of Social Services. For more information, call the Resource Hotline for 24/7 support at 800-920-4343. To request a print copy, please complete this Request Form. For more information, visit AvoidOpioidSD.com or Text 'opioid' to 898211.

Stepping Stones is a 24-hour a day, co-ed, treatment center serving Mitchell and the surrounding communities.  Stepping Stones is fully accredited with the State of South Dakota and works with individuals from all walks of life, offering a wide variety of treatment experiences including Treatment Needs Assessments, Detoxification, Intensive Inpatient and Outpatient Treatment, First Offender DUI Courses, Adolescent and Adult Aftercare, Adolescent Treatment, Anger Management, Moral Recognition Therapy (MRT), Relapse Prevention Courses, Parenting classes, Strengths Group, CBISA, and Readiness group for Federal probationers.

Inpatient / residential drug and alcohol treatment program for women 18 and older who are pregnant, or have children. New Start teaches parenting and child care skills while providing help in education and other areas, such as employment skills, independent living, health and nutrition, addressing chemical dependency, mental health and legal problems.

28-day medically monitored inpatient treatment for adults with a family component.

A residential program for adult males 18 years and older who have struggled with drugs or criminal activity. The 16-month program consists of 5 phases of induction, training, and Re-Entry. The first 10 months include the 4 phases of induction and training. The 5th and final phase of Re-Entry is 6 months in length and consists of further discipleship and assistance in transitioning back into the real world.

An inpatient alcohol, drug, and gambling treatment programs for adults. Care provided by: 24 hour nursing staff, a full-time psychologist, 24 hour on-call doctor, Certified chemical dependency counselors, and ASAM certified Addictionologists. Based on 12-step recovery model with medically monitored detoxification, Dual-diagnosis track with psychiatrist - For co-occurring disorders, diagnosis must be substance use primary and mental health secondary; Inpatient and outpatient gambling program with certified gambling counselors, Substance abuse, inhalant abuse and Methamphetamine treatment track (IMT), Chronic Pain Program, Medication Assisted Treatment - Different medications are available. Keystone utilizes Vivitrol and Naltrexone. May utilize Subutex and other medications to taper during medically monitored detoxification. Keystone does not utilize Methadone or Suboxone for maintenance. Unique services available are Native American cultural program (sweat lodge on site, talking circles, etc.), and a Spiritually based 12-step program. Veterans and retired military. Need to be referred through VA; able to take VA funding. Active duty military and dependents may utilize TRICARE West Insurance.

A full continuum of mental health and treatment for substance use disorders. Services include assessments, individual and family counseling, intensive outpatient substance use disorder treatment, residential treatment for pregnant and parenting women who face substance use disorders, transitional care and aftercare counseling for adults and adolescents, trauma-focused treatment for children/adolescents and their families impacted by traumatic events. This can address a multitude of circumstances including COVID-related trauma, physical/ /sexual/emotional abuse, witness of violence, household incarceration, family substance abuse, mental illness, parent separation or divorce, medical, grief or refugee trauma, and bullying, neglect, disasters and more. ​Also offers MRT (Moral Recognition Therapy), CBISA (Cognitive Behavioral Intervention Substance Abuse), and Telehealth services.

A residential substance abuse treatment and prevention program for pregnant and parenting women. Intensive inpatient treatment is offered along with prenatal care, parenting information, case management, and continued care in a residential facility for those who have completed treatment. Also, offers MAT (Medication Assisted Treatment).

Connects people to prevention, treatment, medication-assisted treatment (MAT), and recovery support services that are safe, effective, evidence-based, and culturally grounded as reflected in the motto: Wous da Owicayakiye Kte - Help one another with compassion.

Based on the holistic approach of treatment utilizing the 12-Step Program of Alcoholics and Narcotics Anonymous. An 18-bed inpatient alcohol/drug treatment facility.

This program serves male and female youth with a primary diagnosis of substance dependency disorder. Treatment philosophy recognizes substance dependency as a chronic and progressive illness. Treatment includes 12-step groups, Alcoholics Anonymous, and Narcotic Anonymous groups within a therapeutic milieu. Treatment is completed in approximately 45 days.