The Child Advocacy Center provides expert forensic interviews and medical examinations of children who are alleged victims of sexual and/or physical abuse or witnesses to violence. This program is housed at Black Hills Pediatrics and Neonatology, and operates in partnership with Rapid City Regional Hospital and Children's Home Society. The primary goal of the Child Advocacy Center is to reduce a child's trauma by eliminating repeated interviews and medical examinations by multiple investigative parties. The Center provides one coordinated interview and a physical exam, and provides superior evidence in child abuse investigations. The interview process may be observed on closed-circuit television by the referring social worker and law enforcement officer. The Child Advocacy Center also provides comprehensive training in Understanding Adverse Childhood Experiences (ACES) , Enough Abuse Campaign, Trauma Informed Care/Response, Mandatory Reporting/handling child abuse disclosures, and Multidisciplinary Child Abuse Investigations. Trainings are open to the entire state and are detailed to the requesting audience. Trainings, based on topics, are appropriate for caregivers, system professionals, and community members. CHS partners with the Center of Prevention of Child Maltreatment and state agencies to host, support, and provide trainer support in the ACEs and EnoughAbuse curriculums.

Children's Advocacy Center services, providing a medical evaluation for children, including a child forensic interview and comprehensive head-to-toe physical examination. Avera St. Mary's Central South Dakota Child Assessment Center's mission is to provide a strong multidisciplinary, cooperative team approach in order to better serve children who are victims of child abuse. Services are provided regardless of ability to pay.

Child's Voice is a nationally accredited Child Advocacy Center that provides medical evaluations for children who may be victims of abuse and neglect. The primary goal of all children's advocacy centers is to ensure that children disclosing abuse are not further victimized by the intervention systems designed to protect them. Children are referred to Child's Voice by law enforcement, Child Protective Services and medical professionals. Child's Voice uses a multidisciplinary team approach to evaluate children with suspected child abuse and neglect. This means that law enforcement, child protection, medical professionals, counselors, state's attorneys and victim advocates all work together to coordinate an effective response for the child and their family. Child's Voice provides forensic interviews, medical exams, family consultations, and advocacy.