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745 E. 8th Street, Winner, SD 57580

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.

11938 Whipple Road, Christian Outreach Center, Sisseton, SD 57262

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

214 7th Avenue S.W., Aberdeen, SD 57401

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.

7308 Wedgewood Drive, Black Hawk, SD 57718

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.

930 N. 10th Street, Spearfish, SD 57783

Provides income-based sliding fee scale services for anyone of reproductive age (men, women, adolescents) including birth control/contraceptives/vasectomy, annual exams including Pap smears/Breast exams, referrals for higher level care, STI/HIV screening, pregnancy testing/counseling, and sexual health education. Free condoms are available.

1120 N. Harrison Avenue, New Life Church, Pierre, SD 57501

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

3220 W. 57th Street, Suite 100A, Sioux Falls, SD 57108

Confidential counseling services, finding clarity in the expected, unexpected, and everything in between. Serving clients 12 years of age and older on the topics of abuse, attention deficit / hyperactive disorder (ADD/ADHD), adoption, alcohol abuse, Asperger's syndrome, autism, behavioral issues, bipolar disorder, borderline personality, chronic impulsivity, codependency, coping skills, divorce, domestic abuse, domestic violence, dual diagnosis, eating disorders, family conflict, grief, infertility, infidelity, obsessive compulsive disorder (OCD), oppositional defiance (ODD), parenting, pregnancy, prenatal and postpartum, self-esteem, self-harming, sexual addiction, insomnia, weight loss, and women's issues. Treatment approaches include cognitive behavioral therapy (CBT), family systems therapy, marital therapy, interpersonal therapy, mindfulness based, motivational interviewing, and solution focused brief counseling. Telehealth services available.

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529 Kansas City Street, Suite 100, Rapid City, SD 57701

Individual, couple and family counseling for issues related to trauma, abuse, relationships, unplanned pregnancy, adoption and parenting. Offers Telehealth counseling services for rural South Dakotans to have access to an outpatient therapist via smart phone, tablet or computer. Call to schedule a session via confidential/secure HIPAA compliant video technology. Employee Assistance Program (EAP) - can provide trainings, classes/groups or counseling for employees. Youth prevention program focuses on issues of addiction, violence, promiscuity, and suicide. Other programs include: Lakota Circles of Hope, Disaster Relief and Uplifting Parents.

What's Here

103 22nd Avenue, Brookings, SD 57006

Option 1 does not perform or refer for abortions. ​​Each legal, zero-cost appointment includes: abortion Information, medical-grade pregnancy test, limited ultrasound (if applicable), gonorrhea and chlamydia test (with positive pregnancy test), and pregnancy options.

6511 W. 41st Street, Sioux Falls, SD 57106

Offers the following services: primary care, birth control, morning-after pill (emergency contraception), breast and chest exams including mammogram referrals if necessary, HIV testing, LGBTQ Services, men's health care, pregnancy testing and services, STD testing/treatment/vaccines, women's health care, gender affirming hormone therapy (GAHT), HPV vaccinations, Hepatitis B vaccinations, and Flu shots. Telehealth visits are available on Tuesdays for some of these services.

350 Pine Street, Rapid City, SD 57701

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.

118 Chanku Waste Drive, Porcupine, SD 57772

A non-profit relief organization that is supported by churches, organization, 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.

3409 W. 47th Street, Suite 103, Sioux Falls, SD 57106

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.

2101 W. 69th Street, Unit 103, Sioux Falls, SD 57108

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.

2407 Broadway Avenue, Calvary Baptist Church, Yankton, SD 57078

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

2002 5th Street, Rapid City, SD 57701

A crisis pregnancy center guided by the principle that it is the right of every pregnant woman to give birth and the right of every child to be born. Birthright offers f​ree and confidential pregnancy tests, emotional support, referrals for legal, medical, and educational information within the community, prenatal information, maternity and baby clothes, newborn layettes, diapers (available based on donations and usually only newborn/infant sizes), and formula/baby food (available based on donations).

930 N. 10th Street, Spearfish, SD 57783

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.

3405 S. Kiwanis Avenue, Sioux Falls, SD 57105

Provides free pregnancy tests, limited obstetrical ultrasounds, STD testing, pregnancy options counseling, after abortion care, medical and community referrals, and healthy relationships.

611 6th Street N.E., Watertown, SD 57201

Services provided include pregnancy testing (with option for STI testing), confidential support, ultrasound testing, abortion pill reversal, Earn While You Learn, and referrals to outside resources.

703 S. Broadway, Watertown, SD 57201

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.

3220 W. 57th Street, Suite 111, Sioux Falls, SD 57108

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.

814 W. King Street, Black Hills State University Newman Center, Spearfish, SD 57783

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.

523 N. Duluth Avenue, Sioux Falls, SD 57104

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.

825 Main Street, Deadwood, SD 57732

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.