Main Office 605-224-5811    |    National Suicide Prevention Lifeline 988

At CACS we are proud to…

Provide exceptional and effective care to individuals and families in central South Dakota by empowering those we serve, focusing on strengths, and promoting wellness within our communities.

Mental Health Services

At CACS, our trained and experienced staff provide responsive, effective, and individualized therapeutic care across the lifespan. Mental health is an integral part of overall health and wellness. CACS professionals recognize that each person brings unique experiences, strengths, and goals that drive their plans for services.  Treatment recommendations consider personal needs and preferences and may include individual, group, or family sessions. CACS offers the unique ability to connect to multiple treatment teams and resources internally, as well as having the ability to also wrap in a network of supports within the community to provide the most comprehensive care.  Regardless of where a person is in their journey, CACS strives to create a safe place for all to explore their experiences and build skills to enhance their lives. 

Substance Use Services

​A substance use disorder (SUD) is a disease that occurs when the recurrent use of alcohol and/or drugs causes significant impairments in an individual’s life. Impairments may include physical or mental health problems, disability, and failure to meet primary responsibilities at work, school, or home.  Substance use disorders can range from mild to severe. The first step in getting help for substance use is to complete a comprehensive assessment. At CACS, our qualified SUD staff can provide assessment services and treatment recommendations. Treatment recommendations for substance use disorders are individualized to the person’s needs through various professional and natural supports such as outpatient treatment, support groups, and peer specialists.

Teen Court

Psychiatric Services

A psychiatric provider is a medical provider who specializes in the diagnosis, treatment, and prevention of mental illnesses, including substance abuse disorders. Psychiatric providers are uniquely qualified to assess both the mental and physical aspects of psychological disturbance. Their medical education has given them a full working knowledge of the many causes for a patient’s feelings and symptoms. Equipped with this understanding, psychiatric providers can make a complete, accurate diagnosis and then recommend or provide treatment.

Therapeutic Foster Care

Therapeutic Foster Care is a family foster home based treatment program. TFC parents provide nurturing basic day-to-day care for a foster child in a safe environment, but treatment foster parents are also expected to provide extra time and effort to help a child meet their emotional and behavioral needs. The TFC clinical specialist and treatment parents partner with a treatment team including: the child’s therapist, school, medical providers, guardian agency and any others providing services to that child. The goal of the TFC Program is to address the causes of a child’s emotional problems and help them to change their behavior allowing the child to live a more functional life in a family, school and community.

Therapeutic Foster Care
Zero Suicide

Zero Suicide

Zero Suicide is an aspirational challenge and practical framework with the foundational belief that suicide deaths for individuals under the care of health and behavioral health systems are preventable. Using the Zero Suicide framework, Capital Area Counseling Services (CACS) is dedicated to a system-wide transformation toward safer suicide care by routinely and consistently embedding evidence-based practices focused on patient safety and offering hope for recovery for people at risk for suicide.  

Latest from CACS

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Our recovery event is this Wednesday! This event will begin at 6pm in Ft. Pierre. ... See MoreSee Less

Our recovery event is this Wednesday! This event will begin at 6pm in Ft. Pierre.

For more information on recovery month visit rm.facesandvoicesofrecovery.org/ ... See MoreSee Less

For more information on recovery month visit https://rm.facesandvoicesofrecovery.org/

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Laura A. Fischbach

Repeated opioid use can lead to a decrease in the production of endorphins, which results in diminished euphoric effects even with the same dose over time. This is known as tolerance and can contribute to opioid addiction, as individuals may seek higher doses to chase the same feelings. Unfortunately, this cycle of escalating dosage can increase the risk of addiction. Stay informed about the risks of taking opioids by visiting bit.ly/3Q7pb4u. ... See MoreSee Less

Repeated opioid use can lead to a decrease in the production of endorphins, which results in diminished euphoric effects even with the same dose over time. This is known as tolerance and can contribute to opioid addiction, as individuals may seek higher doses to chase the same feelings. Unfortunately, this cycle of escalating dosage can increase the risk of addiction. Stay informed about the risks of taking opioids by visiting https://bit.ly/3Q7pb4u.

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Photos from Foundation of Hope's post ... See MoreSee Less

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Unintentional overdose is a serious risk for anyone taking prescription opioids. It doesn't discriminate based on age, gender, or background. Even those who take prescribed opioids are vulnerable to an overdose. That's why it's essential to follow the doctor's instructions and never hesitate to seek help if you suspect any symptoms. For a full list of the harmful side effects of prescription opioids, please visit >> bit.ly/3Q7pb4u. ... See MoreSee Less

Unintentional overdose is a serious risk for anyone taking prescription opioids. It doesnt discriminate based on age, gender, or background. Even those who take prescribed opioids are vulnerable to an overdose. Thats why its essential to follow the doctors instructions and never hesitate to seek help if you suspect any symptoms. For a full list of the harmful side effects of prescription opioids, please visit >> https://bit.ly/3Q7pb4u.

Thank you for voting CACS as #1 mental health/counseling facility!
We are so proud to serve such an amazing community 💚
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Thank you for voting CACS as #1 mental health/counseling facility! 
We are so proud to serve such an amazing community 💚
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