VA Black Hills Health Care System – VAMC

Alcoholism

A person with alcoholism (alcohol use disorder) struggles with being unable to stop drinking too much alcohol, which may make them unable to function in society. To overcome this alcohol addiction, they may need alcohol rehab in South Dakota. This treatment provides a safe and structured environment to detox and move toward a life of sobriety. Options include various types of inpatient and outpatient programs.

Drug Addiction

Support provided by drug rehab in South Dakota includes social, physical, and emotional aspects. Program participants learn how to meet needs in each of these areas without turning to drugs. The goals of the program are freedom from drug dependency and long-term recovery.

Dual Diagnosis

Dual-diagnosis addiction treatment programs in South Dakota recognize the importance of comprehensive care for individuals with co-occurring substance use disorders and mental health conditions. These specialized programs are offered at various levels, including detox, outpatient, inpatient, and partial hospitalization options. Evidence-based therapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and family therapy address both disorders and promote mental health and well-being. Programs may also encompass 12-Step recovery, trauma therapies, and psychiatric care.

Mental Health and Substance Abuse

Dual-diagnosis addiction treatment programs in South Dakota usually offer specialized care for individuals with co-occurring mental health and substance abuse. With various levels of care, you can usually choose from outpatient, inpatient, and partial hospitalization programs, depending on your needs. Addiction experts offer a mental health assessment and individualized treatment plan, which may encompass individual and group therapy, family counseling, psychoeducation, and recovery meetings, to address both disorders and enhance mental health and well-being.

Opioid Addiction

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

• Private insurance
• Self-pay options
• Financing available
• Medicare
• Military insurance
• Financial aid
• Per session

• Adult program
• Elderly program
• Hearing impaired program
• HIV/AIDS program
• LGBTQ program
• Military program
• Program for men
• Program for women
• Young adult program

Outpatient

Clients in outpatient drug rehab remain in their home and community while receiving treatment on their schedule. Many facilities offer day, evening, night, and weekend sessions, as well as virtual care. Outpatient treatment typically encompasses multiple levels of care, including partial hospitalization (PHP), intensive outpatient (IOP), sober living and supportive housing, and standard outpatient services. Most outpatient rehabs provide a range of services, including psychotherapy, medical and mental health assessments, drug testing, addiction education, and medication induction and maintenance.

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

12-Step

12 step programs are designed to address the root causes of addiction and to promote sustained recovery through peer support and personal growth. Participants receive one-on-one mentoring from a self-selected sponsor and engage in regular 12 step meetings, which are free, anonymous, open to the public, and available day and night in most communities. These programs deploy non-denominational spiritual precepts to support participants’ self-compassion, personal accountability, and acceptance of that which cannot be changed.

Aftercare Support

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Partial Hospitalization Program

A partial hospitalization program (PHP) offers a short-term, outpatient option for those without the need for 24-hour care. It serves as an alternative to inpatient hospitalization or a step-down after a residential program. PHP entails a minimum of 20 hours of treatment per week, typically lasting around 90 days. Services provided in a partial hospitalization program may include relapse prevention, medication management, and behavioral therapy. Most insurance plans cover PHP treatment, although coverage levels may vary.

Sober Living Homes

Each sober living home in South Dakota is a group residence for men or women who are recovering from addiction. Residents agree to remain sober and submit to random drug tests. Each person must also pay rent and contribute to household maintenance. Some halfway houses offer sliding scale fees that allow residents to pay a rent amount based on their income.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Couples Therapy

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Experiential Therapy

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Fitness Therapy

Fitness therapy blends exercise with psychotherapy for a fun, inspiring, and effective way of treating addiction and other issues. By incorporating movement into counseling sessions, clients become more empowered, motivated, and goal-oriented, all while strengthening their bodies and becoming more flexible. Fitness Therapy is usually used to complement a course of treatment (inpatient or outpatient) to make it even more successful. Increasing the connection between a patient’s mind and body helps both with healing as well as in creating new, healthy habits.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Life Skills

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Motivational Interviewing

Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.

Nicotine Replacement Therapy

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Nutrition Therapy

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Recreational Therapy

Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.

Trauma Therapy

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.

• Private setting
• Private transportation
• Acupuncture room