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Bright Start pairs first time pregnant women with a personal nurse. The nurse assists the family in meeting goals of improved pregnancy outcomes, improved child health and development, and life, school and work goals. Families may stay enrolled until their child turns two years old. Visits are arranged on a schedule the mother/family chooses.

Free and confidential pregnancy tests, emotional support, maternity and baby clothing, diapers size 1-3, and community resource referrals.

Offers pregnancy, family, and parenting support; domestic infant adoption services; case management and coaching.

An independent non-profit Christian agency licensed by the Department of Social Services in the states of Iowa, Minnesota, and South Dakota providing pre- and post-placement counseling, support and services for birth parent(s) and adoptive parent(s), and Hague and non-Hague home study services.

Provides individual, marital, and family counseling with a focus on addiction recovery (including evaluations), abuse, healthy relationships, unplanned pregnancy, adoption, and birth parents. Youth prevention program focuses on issues of addiction, violence, promiscuity, and suicide. Variety of educational workshops available. Offers free counseling services to ranchers and producers facing stressful times. Adoption services offers domestic and international adoption services, including, but not limited to: support for individuals coping with the many emotions and decisions that come from choosing adoption; providing birth parents have the opportunity to interview and select the adoptive family; working under the provisions of Baby Moses law; and providing home studies and training for potential foster parents/homes. Pregnancy Counseling supports mothers as they experience the many emotions and decision that come with facing an unplanned pregnancy and help find the options that will work the best. Assistance with medical costs associated with pregnancy may be available. Some infant items are also available (layettes, infant clothing, etc.). Licensed social workers are available to travel and meet mothers involved in a crisis situation. Crisis pregnancy meeting sites will be kept confidential and be convenient for the mother. Start Making It Livable for Everyone (SMILE) classes for separating and divorcing parents with children under the age of 18, designed to: inform parents how to better understand the effects of divorce; assist parents to understand the needs of their children; help parents learn what they can do to create a nurturing and safe environment so their children can recover and feel good about themselves; inform parents how to prevent destructive game playing that is common among divorce; help parents gain problem solving skills; and let parents know they are not alone. Other programs include: Lakota Circles of Hope, Disaster Relief, and Uplifting Parents.

Provides marriage and family counseling, pregnancy counseling, grief counseling, trauma-informed counseling, career counseling, domestic violence/spouse/intimate partner abuse counseling, child abuse survivor counseling, parent counseling, and telemental health.

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

24/7 free, confidential hotline for pregnant and new moms.

A non-profit relief organization that is supported by churches, organizations, local businesses, and individuals. Provides the following services - 24/7 helpline answered by trained advocates, free pregnancy tests and follow-up support, ultrasound and confirmation of pregnancy, diapers, wipes, and other items provided within Earn While You Learn program (until child turns 3), fatherhood program (until child turns 3), referrals to community resources; medical, financial, housing, and adoption, parenting classes - open to anyone pregnant, or with infants or toddlers up to age 3, post abortion support, sexual integrity and abstinence education, and volunteer opportunities at events.

Provides marriage and family counseling, pregnancy counseling, grief counseling, trauma-informed counseling, career counseling, domestic violence/spouse/intimate partner abuse counseling, child abuse survivor counseling, parent counseling, and telemental health.

Provides care to people of all sexes and gender identities on a sliding fee scale. Confidential birth control services including birth control pills and injections (donations only or sliding scale charge). Physical exams, pap-tests, exams/testing and treatment for sexually transmitted infections (male and female patients including teens), information about all forms of birth control, infertility information and referral, pregnancy diagnosis and referrals.

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

Provides logistical and financial support to people who must travel to, from, or within the Midwest to access abortion care. Includes booking, funding, and reimbursing accommodations, childcare, food, and more. ​

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

Works with clients toward personal growth and healing. Areas of specialty include: anxiety, depression, trauma, abuse history, relationship dysfunction, grief, co-dependence, life adjustment, phobias, post-traumatic stress disorder (PTSD), bipolar disorder, and a host of other issues. Therapeutic interventions include cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), family therapy, solution focused brief therapy, Adlerian therapy, Gestalt techniques, Gottman Method, couples therapy, guided imagery, pain management, anger management, and more. Offering telehealth services. Prefer first session in person.

Providing free, confidential pregnancy counseling, options counseling, and adoption services to help with decision making across the state of South Dakota. Pregnancy counseling assists in looking at priorities by helping assess the physical, emotional and financial aspects of both parenting and making an adoption plan. Services are also available via Zoom or phone if necessary.

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

Caseworkers work with women who are going through an unplanned pregnancy. Support services are available to clients at no-cost. Includes: options counseling, evidence-based decision making, adoption planning, adoption parent selection, parenting preparedness program & courses, before & after birth support, mental health counseling, Medicaid & WIC applications, transportation assistance, case management, job application & resume writing, help with difficult family or partner communication, community & state resource connection, and referrals related to housing, substance use, and domestic violence.

A 12-week support group for single/unmarried women with unplanned pregnancies. A baby shower is given at the end of each session.

Connects people to safe and confidential services related to preventing pregnancy, achieving pregnancy, and assisting to achieve the desired number of children. Also offers STI screening, pregnancy testing, birth control options, and resources to maintain a healthy reproductive system.

Provides marriage and family counseling, pregnancy counseling, grief counseling, trauma-informed counseling, career counseling, domestic violence/spouse/intimate partner abuse counseling, child abuse survivor counseling, parent counseling, and telemental health.

Committed to providing healing and restoration to individuals, couples, and groups experiencing personal, relational, sexual, and psychological issues. Specializing in sexual dysfunctions, sexual pain disorders, sexual abuse recovery, paraphilia's, sexuality after cancer, sexual addiction, infidelity recovery, reproductive health, infertility counseling, and trauma therapy. Therapeutic and advocacy for lesbian, gay, bisexual, and transgender individuals. General mental health counseling topics covered include; coping skills, bipolar disorder, dissociative disorders, personality disorders, obsessive compulsive disorder (OCD), borderline personality, depression, anxiety, chronic pain, self-esteem, co-dependency, relationship dynamics, divorce, abuse, anger management, trauma, post traumatic stress (PTSD), grief and loss, life transition, suicidal ideation, dual diagnosis, crisis management, and addictions.

A 12-week support group for single/unmarried women with unplanned pregnancies. A baby shower is given at the end of each session.

Birthparent Counseling Program provides options counseling to assist birth parents who are in an unintended/crisis pregnancy in reaching decisions regarding their futures and the future of the child. Services to birth parents are free of charge. Services are available anywhere in South Dakota, LSS can travel to meet with birth parents. ​Parenting and adoption options are explored: If parenting is the decision, the counselor will assist in setting up community resources. If adoption is the decision, the birth parent can choose from adoptive parent profiles, including pictures and information about the family. The birthparent also can choose what degree of openness they want in the adoption plan. LSS does provide both open and closed/confidential adoption. The purpose of this program is to assist birthparents in reaching a permanent plan for themselves and their child. Adoption Program provides options for those desiring to pursue having a family, including Infant Domestic Program and International Adoption Program. Training and Home Study Services are provided prior to placement of a child.

Available to individuals or couples experiencing an unplanned pregnancy so that abortion is not needed because of financial reasons. Mother Teresa helps with expenses that community/county agencies do not provide assistance with such as rent, utilities, car payments, etc. An application is required and documentation of bills, insurance, and other assistance must be included. This fund is limited.