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The Great Plains Regional office is responsible for the direction and oversight of Bureau responsibilities and activities in South Dakota, North Dakota, and Nebraska. The Office of the Regional Director provides program direction and supervision to 12 Agencies encompassing 16 federally recognized Tribes. Programs includes: tribal government, enrollment, claims, self-determination, housing improvement program, loan guaranty and interest subsidy program, land titles and records office, probate and estate services, real estate services, Indian land consolidation program, Division of Natural Resources, Human services (which includes general assistance, burial assistance, disaster assistance, emergency assistance, adult care assistance, and child assistance), Tribal transportation program, road maintenance, and Division of Environment, Safety, and Cultural Resources Managements.

Individual and family therapy services specializing in eye movement desensitization and reprocessing (EMDR), trauma and abuse focused cognitive behavioral therapy (CBT), critical incident stress management, Thinking for a Change Group, and Love and Logic Parenting. Offers telehealth counseling through a secure video connection. Clients are not required to attend an intake session in person.

Providing a multicultural approach to mental health and substance abuse counseling for adolescents and adults. Specific areas include adult ADHD and neurodivergence; anxiety; chronic pain and illness; depression and mood disorders; grief and loss; spirituality; trauma and stress-related disorders; work and career issues; farming stress and rural life; men's mental health and women's mental health . Help is available for caregivers, parents, helping professionals, college students and young adults, first responders

Individual, group, and family counseling (ages 12 and up). Specializing anger management and domestic violence training/therapy, critical incident stress management, and all mental health conditions and addictions.

Primarily a clergy retreat ministry specializing in wilderness sabbaticals for pastors to promote wellness and resiliency. Offers professional counseling on a limited schedule through an office in Custer, SD. Providing a place where helping professionals can find support to deal with the challenges of caring. Also faith based professional counseling services on a limited schedule. Offering services via telehealth.