Cabinet Secretary
Laurie R. Gill

Behavioral Health Services

Treatment Services

The Division of Behavioral Health contracts with accredited behavioral health providers across the state to provide quality services to both adults and youth.

Mental health and substance use disorder treatment services are available including if you need assistance in paying for services. Find services in your area or visit the national Behavioral Health Treatment Services Locater.

Mental Health Services

The Division of Behavioral Health contracts with 11 accredited community mental health centers across the state to provide quality services to both adults and youth. Services provided include screenings and assessments, specialized outpatient services, individual therapy, group therapy, and crisis intervention. Funding assistance may be available, contact your local treatment agency for more information. Learn about available mental health services below.

Substance Use Disorder Services

The Division of Behavioral Health contracts with accredited substance use disorder treatment agencies across the state to provide quality services to both adults and youth. Services include screenings and assessments, early intervention, detoxification, outpatient and inpatient treatment services. Funding assistance may be available, contact your local treatment agency for more information. Learn about available substance use disorder services below.

Intensive Methamphetamine Treatment Services

Intensive Methamphetamine Treatment (IMT) services offer long-term, evidence-based programming to individuals with severe methamphetamine use disorders. Individuals receiving IMT services require extended treatment to allow for recovery of cognitive capacity as well as on-going case management. Treatment may include residential services, outpatient treatment and care coordination to support long-term recovery. Learn about IMT services below.

Intensive Methamphetamine Treatment Services Brochure

Behavioral Health Voucher Program

The Behavioral Health Voucher Program offers funding assistance and support for mental health services for farmers and rancher and for persons impacted by the natural disasters of 2019 and the ongoing COVID-19 pandemic. Dial 211 to learn more and determine if you are eligible for treatment cost assistance.

Participating Behavioral Health Voucher Agencies and Clinics*
Dial 211 to receive a voucher for services at a provider of your choosing

What Services Do Vouchers Cover?

Mental Health Services
Transportation and Medication Cost Assistance

Services can be in-person or via telemedicine. A voucher supports up to eight services.

Do I Qualify for a Voucher?

Experiencing mental health related issues - you qualify.
Need funding support to cover costs of services - you qualify.
Out of pocket/co-pays on your insurance are beyond your means - you qualify.
You are a Farmer/Rancher or related to a Farmer/Rancher.

*Participating Agencies and Clinics will be updated monthly

Services for Pregnant and Parenting Women

Pregnant Women and Women with Dependent Children (PPW)
Pregnant women and women with dependent children is a specialized treatment service that offers evidence-based programming for this unique population who have a substance use disorder. This program allows for long- term support, which includes a stable living environment through the duration of treatment. This program can assist in supporting the client’s participation in psychiatric and medical care, childcare needs, parent education and child development, employment services and job training, as well as treatment interventions.

There are two locations
Volunteers of America - New Start	Sioux Falls
Behavior Management Systems - Full Circle	Rapid City

Support Services for Pregnant and Parenting Women

Support Services for Pregnant and Parenting Women
Bethany Christian Services: ReNew program	Providing case management and peer support for mothers with newborns for the full first year of the child’s life.	Sioux Falls Rapid City
Oxford House	Medication Assisted Treatment (MAT) friendly recovery housing for men and women They do accept children in both men's and women's homes as long as they have needed room available	Sioux Falls Rapid City Aberdeen
Dakota Dream for Recovery	Provide case management services Accept women with children in their sober living home	Brookings
Interlakes Community Action Partnership	Accept families in their program and provide case management services	Watertown
Face It Together	Peer recovery coaching	Sioux Falls *Virtual services

Additional Resources

Mental Health Resources

Substance Use Resources

Involuntary Commitments

South Dakota state law allows a person to proceed with an involuntary commitment for the treatment of another person with a serious mental illness or substance use disorder.

Serious Mental Illness Involuntary Commitment Criteria

A person with a serious mental illness can be involuntarily committed if they meet the statutory criteria in SDCL 27A-1-2.

For more information regarding the commitment process, see SDCL 27A or contact your local county board of mental illness for procedures in your area.

Substance Use Disorder Involuntary Commitment Criteria

A person with a substance use disorder can be involuntarily committed if they meet the statutory criteria in SDCL 34-20A-70.

For additional information regarding the commitment process, see SDCL 34-20A or the Substance Abuse Road maps below

The Department of Social Services, Division of Behavioral Health and the Unified Judicial System created a short video and workbook outlining the role and responsibilities of attorneys in the substance use disorder involuntary commitment process, including the procedures to be followed. View the video and download a copy of the workbook below.

As a result of Senate Bill 136, statutory changes with SDCL 34-20A took effect July 1, 2022. The attorney video and workbook is being updated. In the interim, the linked video and workbook remain accurate in order to complete this process.

Prevention Services

In South Dakota, community prevention providers focus on community, youth, and young adults to promote healthy lifestyles. In addition, there are three Prevention Resource Centers that provide technical assistance and training to promote wellness within the communities of their region.

South Dakota Substance Use Prevention Providers

Learn about the Prevention Program Strategic Plan and the Suicide Prevention Plan

Suicide Prevention Resources

Local Resources	National Resources
South Dakota Suicide Fact Sheet	American Association of Suicidology
South Dakota Suicide Prevention	American Foundation for Suicide Prevention
Bethe1SD	Suicide Awareness Voices of Education
Suicide Prevention Awareness materials order form	Suicide Prevention Resource Center
Request Suicide Prevention Training

Substance Use Prevention Resources

Substance use prevention places a focus on helping people develop the knowledge, attitude, and skills they need to make good choices about harmful behaviors of substance misuse or abuse. Each substance use prevention provider tailors prevention efforts around the needs of their community, using effective community-based, school-based and/or individual evidence-based programs.

Behavioral Health Crisis Care

Crisis services are an integral component to address mental health and substance use disorders across South Dakota. Crisis services are for everyone, everywhere, every time.

988 Suicide and Crisis Lifeline

On July 16, 2022, the United States transitioned to using the 988-dialing code for anyone experiencing thoughts of suicide, a mental health or substance use crisis or any other kind of emotional distress. People can also dial 988 if they are worried about a loved one who may need crisis support. For more information about 988, visit South Dakota Suicide Prevention.

Veterans Crisis Line

The Veterans Crisis Line connects individuals to caring, qualified responders within the Department of Veterans Affairs, 24 hours a day, 7 days a week. Many are Veterans themselves and you don’t have to be enrolled in VA benefits or heath care to connect.

800.273.8255 and Priess 1
Text 838255
Chat online

Crisis Text Line

The Crisis Text Line is a free support to individuals in crisis 24 hours a day, 7 days a week. Text 741741 from anywhere in the United States to text with a trained Crisis Counselor.

Text TALK to 741741

Teen Crisis Texting

The Helpline Center’s Text4Hope provides crisis texting support for all high school students in the state of South Dakota 24 hours a day, 7 days a week. Since texting is the preferred means of communication for adolescents, offering a crisis texting program allows students to share their concerns privately with trusted staff.

Text icare to 898211

Appropriate Regional Facilities

Appropriate Regional Facilities (ARFs) are designed to provide 24/7 overnight residential services to stabilize acute psychiatric or behavioral health symptoms, evaluate treatment needs and develop a crisis stabilization plan affording the ability for individuals to be stabilized closer to home.

During the 2020 Legislative Session SDCL 27A-10.1.2 passed allowing other types of providers to seek designation and provide services as ARFs.

During the 2021 Legislative Session, Senate Bill 144 and 186 passed to support behavioral health crisis stabilization.

As a result of the passing of Senate Bill 144, the Department of Social Services contracted with Pennington County to establish an ARF.

During State Fiscal Year 2022, one-time general funds were used for the purpose of continuing to invest in ARFs. Through the Request for Proposal process, the following contracts were awarded for the purpose of construction of ARFs.

Governor Noem’s 2021 budget address included $15,000,000 in federal funding from the American Rescue Plan Act funding to support the development and expansion of ARFs.
For more information: