Adult Services

Psychiatric Rehabilitation Services

The Psychiatric Rehabilitation Program is a comprehensive, person-centered, recovery focused integrated system which provides individual treatment, rehabilitation, and support services to identified consumers with severe and persistent mental illness also including those with co-occurring conditions. Our program serves individuals 18 years of age and older. The Recovery vision is one of welcoming, emphatic, hope, and optimism.

Psychiatric rehabilitation promotes recovery, full community integration and improved quality of life for persons who have been diagnosed with any mental health condition that seriously impairs their ability to lead meaningful lives. Psychiatric rehabilitation services are collaborative, person directed and individualized. These services are an essential element of the health care and human services spectrum, and should be evidence-based. They focus on helping individuals develop skills and access resources needed to increase their capacity to be successful and satisfied in the living, working, learning, and social environments of their choice. All psychiatric rehabilitation service providers should be guided by Psychiatric Rehabilitation Association’s Code of Ethics and Multicultural Principles. All people receiving services should request that all services they receive reflect PRA’s Core Principles and Values, Multicultural Principle and definition of psychiatric rehabilitation.


Role of the Practitioner

  • Psychiatric rehabilitation practitioners convey hope and respect, and believe that all individuals have the capacity for learning and growth.
  • Psychiatric rehabilitation practitioners recognize that culture is central to recovery, and strive to ensure that all services are culturally relevant to individuals receiving services.
  • Psychiatric rehabilitation practitioners engage in the processes of informed and shared decision-making and facilitate partnerships with other persons identified by the individual receiving services.

Best Practices

  • Psychiatric rehabilitation practices build on the strengths and capabilities of individuals.
  • Psychiatric rehabilitation practices are person-centered; they are designed to address the unique needs of individuals, consistent with their values, hopes and aspirations.
  • Psychiatric rehabilitation practices support full integration of people in recovery into their communities where they can exercise their rights of citizenship, as well as to accept the responsibilities and explore the opportunities that come with being a member of a community and a larger society.
  • Psychiatric rehabilitation practices promote self-determination and empowerment. All individuals have the right to make their own decisions, including decisions about the types of services and supports they receive.
  • Psychiatric rehabilitation practices facilitate the development of personal support networks by utilizing natural supports within communities, peer support initiatives, and self-and mutual- help groups.
  • Psychiatric rehabilitation practices strive to help individuals improve the quality of all aspects of their lives; including social, occupational, educational, residential, intellectual, spiritual and financial.
  • Psychiatric rehabilitation practices promote health and wellness, encouraging individuals to develop and use individualized wellness plans.

Service Delivery

  • Psychiatric rehabilitation services emphasize evidence-based, promising, and emerging best practices that produce outcomes congruent with personal recovery. Programs include structured program evaluation and quality improvement mechanisms that actively involve persons receiving services.
  • Psychiatric rehabilitation services must be readily accessible to all individuals whenever they need them. These services also should be well coordinated and integrated with other psychiatric, medical, and holistic treatments and practices.

Source: Psychiatric Rehabilitation Association

Case Management

These services begin with the development of an empowered partnership with the consumer, family, or others in order to help the consumer identify his or her recovery goals and make progress in addressing needs in order to achieve a happy and productive life.

Illness and Symptom Management and Recovery Skills

Education about the hope of recovery with regards to the mental illness and co-occurring issues. Supportive counseling to assist the consumer in coping and gain mastery over symptoms and disabilities/co-occurring disorders in the context of daily living.

Crisis intervention

Crisis assessment and intervention shall be welcoming to the individuals in mental health crisis who may also be using substances. This service is available 24 hours per day and seven days per week.

Liaison Services

Liaison must be consistent with treatment goals and intended to minimize the length of hospitalization. Development of community resources, coordination with other support networks and contacts wit the individual's family to assure changing needs are recognized and met. These services facilitate the treatment planning and coordination of services between mental health centers and In-patient Hospitals, Residential Programs, Local Hospitals, Correctional Facilities, and Drug/Alcohol Treatment Programs.

Medication Monitoring, Education, and Documentation

The Psychiatrist, PA, or CNP will assess each consumer's symptoms and prescribe appropriate medications, regularly review and comment the symptoms as well as the response to prescribed medication, collaborate with Recover Staff. All CSS staff complete the medication certification course. Trained staff can administer medication, assess and document symptoms and behavior in response to medications and monitor side effects. The medication policies are in compliance with the SD Board of Nursing Standards.

Direct Assistance

Recovery Staff shall provide ongoing assistance for the consumer to support and teach daily life skills, find and maintain employment, budgeting and financial support, legal representation, assist using community transportation, locate affordable housing, and integrated substance abuse services.

Bridgeway and Betty's Place

These are the two Group Homes that provide onsite offices for Recovery Specialist and Supervisors living in the homes and available from 8PM - 8 AM.


A psychiatrist is a medical physician who specializes in the diagnosis, treatment, and prevention of mental illnesses, including substance abuse and addiction. Psychiatrists 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. Armed with this understanding, psychiatrists can make a complete, accurate diagnosis and then recommend or provide treatment.

People seek psychiatric help for many reasons. Life's usual round of trials may become overwhelming. Relationships may become troubled, or the pangs of anxiety - easily dismissed before as simple "nerves" - may grow sharper and last longer. The fresh-faced young newcomer down the hall at work may seem to threaten a secure job, and headaches may start to come literally one after the other. The emotions that arise in reaction to everyday stresses and strains may blow badly out of proportion, or may be strangely absent. Eating may become a refuge, and sleep may begin to seem either irresistible or elusive. Alcohol or drug use may get out of control.

The problems can be sudden, such as a panic attack or as frightening hallucinations, thoughts or suicide, or "voices" that whisper intrusive and incomprehensible things. Or they may be more long-term-such as a pall of gloom that never seems to lift, causing everyday life to feel distorted, out of control, not worth living.

Because they are physicians, psychiatrists can order or perform a full range of medical laboratory and psychological tests that provide a complete picture of a patient's physical and mental state. Their education and years of clinical experience equip them to understand the complex relationship between emotional and other medical illnesses, evaluate all the medical and psychological data, make a diagnosis, and develop a treatment plan.

Outpatient Mental Health Services

This is therapy that is provided to our clients on a one on one basis in an office setting. Our Outpatient therapist have a master's degree or higher and are licensed or working toward licensure. Several of them specialize in a current area which they have received extensive training in (trauma- focus cognitive behavioral therapy, dialectical behavioral therapy etc). Two of our clinicians are licensed in both the field of mental health and addiction.