This program serves male and female youth with a primary diagnosis of substance dependency disorder. Treatment philosophy recognizes substance dependency as a chronic and progressive illness. Treatment includes 12-step groups, Alcoholics Anonymous, and Narcotic Anonymous groups within a therapeutic milieu. Treatment is completed in approximately 45 days.

Responds to the needs of individuals in the Mitchell area affected directly or indirectly by mood-altering chemical use or dependency through a wide variety of services including treatment needs assessments, detoxification, intensive inpatient and outpatient treatment, first offender DUI courses, adolescent and adult aftercare, adolescent treatment, anger management, moral recognition therapy (MRT), relapse prevention courses, parenting classes, strengths group, CBISA, readiness group for federal probationers, referrals, group and individual therapy, transitional living, and continued care.

Provides drug and alcohol treatment for adolescents ages 13 - 17 years of age who are enrolled as a member of a federally recognized Tribe or able to show the lineal descendancy. It is a rolling admission and can be anywhere from 90 - 120 days.

A full continuum of mental health and treatment for substance use disorders. Services include assessments, individual and family counseling, intensive outpatient substance use disorder treatment, residential treatment for pregnant and parenting women who face substance use disorders, transitional care and aftercare counseling for adults and adolescents, trauma-focused treatment for children/adolescents and their families impacted by traumatic events. This can address a multitude of circumstances including COVID-related trauma, physical/ /sexual/emotional abuse, witness of violence, household incarceration, family substance abuse, mental illness, parent separation or divorce, medical, grief or refugee trauma, and bullying, neglect, disasters and more. ​Also offers MRT (Moral Recognition Therapy), CBISA (Cognitive Behavioral Intervention Substance Abuse), and Telehealth services.

Rosebud IHS provides the following mental health services: Individual, couples, marriage, family, and group counseling Psychological testing/mental health evaluation/bio-psycho-socials Medication management (Avel Telepsychiatry) Crisis intervention and Referral Mental health screening Grief and bereavement counseling Terminal illness counseling Utilize Best practice therapies, i.e., Cognitive Behavioral therapy counseling support for co-occurring disorders Teletherapy with Avel Telepsychiatry Also provides consultation to Rosebud Sioux Tribe Alcohol and Drug Abuse Treatment Inpatient and Outpatient Programs, the RST Methamphetamine Inpatient Treatment Program, Wanbli Wiconi Tipi Juvenile Detention Center, RST Adult Correctional Center, RST Courts System, Tiwahe Glu Kinipi Suicide Prevention Program, Wicozani Wakan Suicide Prevention Program, Tiwahe Glu Kinipi Systems of Care Youth and Family Mental Health Program, and local School Districts as requested. Suicide Prevention Specialist programming to assist with prevention activities.

Residential program offering 24-hour supervision, intensive 45-60 day program offering addiction recovery therapy. Seeks to meet each youth's educational, emotional, health, and family needs. Services offered include free assessments, mental health evaluation, treatment planning, group and individual therapy, aftercare planning, aftercare groups, 12-step groups, advocacy and referrals.