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Title I Self-Determination contracts are a way to work towards a Title V Compact, which is known as Self-Governance. The goal is to compact health programs and the hospital so that RST can provide health care better than IHS. IHS will continue to provide funding through a contract or compact, but under a compact, IHS cannot dictate how health care is provided.

1. How do we get doctors to live and work here long term?


There are different types of recruiting possibilities and incentives that can be used to bring doctors to Rosebud. Examples are competitive pay based on industry standards, a generous benefits package with a 401(k)-retirement package, and a housing allowance for existing IHS housing next to the hospital. One widely used incentive available to doctors is participating in the IHS Loan Repayment Program. Eligible doctors can have their student loans paid by IHS while working for SOHS.


2. Is everyone at the hospital going to be fired?


No. The current staff at the hospital will not be terminated because of operations being assumed by the tribe. Staff will have the opportunity to transfer to be an employee of the Sicangu Oyate Health System or work as an IPA employee from IHS.


3. Are we losing our sovereignty?


No. The Rosebud Sioux Tribe will not lose any form of sovereignty for assuming health operations. If anything, the tribe will be able to exercise its sovereignty at a much higher level under P.L. 93-638, as amended.


4. Will the hospital be open when the president calls for administrative leave?


As with any hospital operation, IHS will remain open regardless of the tribe closing for certain holidays and administrative leave.


5. Will the Council be running the hospital?


No. The Sicangu Oyate Health System charter was created to operate the hospital. SOHS will have an organizational structure with the Sicangu Oyate Health System Board of Directors having oversight of the hospital’s executive personnel.


6. Does the trust and treaty responsibility of the government to the tribe go away with assumption?


No. The trust and treaty responsibility of the government does not change. Instead of relying on the government to provide healthcare to the RST reservation, the RST will have the ability to provide healthcare to its members based upon the medical needs of the RST membership. The government will be required to provide funding for the operation of all health programs and the hospital through a compact and funding agreement with Indian Health Service. This does not waive the tribe’s sovereignty, nor does it release the government from its trust and treaty responsibility.

7. Will the health organization have the flexibility to create new programs or restart old programs?


Yes. A title V compact under Public Law 93-638, as amended, allows the health organization to redesign, create, or even restart programs, without IHS approval, if funds are available in the Funding Agreement.


Under a Title I contract, the health organization can redesign programs, services, function, and activities, however, IHS must approve the redesign. Funds in the Funding Agreement can be re-budgeted without IHS approval if it is to fulfill contract requirements.

8. How will the government be held accountable to provide healthcare to the tribe?


When Title I contract or Title V compact is entered into by the Tribe and IHS, IHS is obligated to provide the funding to the Tribe or Tribal Organization to operate the contracted or compacted programs. The funds coming through a funding agreement are only used for health operations, programs, services, functions and activities.


A contract or compact can be considered a means of the government upholding its trust and treaty obligations.


9. Will IHS have any part of hiring employees for the health organization?


No. Once health operations are assumed, IHS will cease to be involved in the hiring process. The Sicangu Oyate Health System will have a Human Resource Department and will vet the prospective employees to be hired.


10. Will health care change for our tribal members?


Health care services to the Rosebud Tribal members are expected to improve from the current state. Instead of IHS dictating health care to tribal members, SOHS will have the flexibility to provide health care based on community health care needs and tribal members will have more input in their health care.


11. Does a contract or compact have an end date?


A Title I contract is an annual agreement and must be renewed every year if the tribe is willing to operate the contracted programs. The associated funding agreement must also be renewed every year, but there are no guaranteed increases to the funding agreement.


Under a Title V compact, the compact between the Tribe and IHS does not end. The compact can be updated or amended from time to time. The associated funding agreement can be for multiple years, but no longer than 5 years. The funding agreement can also be updated or amended; however, increases above the base funding amounts are not guaranteed and are not on a recurring basis. 


12. If health operations do not improve, is there a way to give the operation back to IHS?


IHS would rather not take back health operations and programs. IHS can provide technical assistance to help the health organization until issues are resolved. If operations do not improve, the Tribe has the option to retrocede or give back some or all compacted or contracted health programs. This option would allow the Tribe to take back programs at an agreed later date.


If health operations and programs are in imminent jeopardy, mismanaged and services lacking, IHS has the option to reassume some or all health programs and operations. This option is a last resort for both the Tribe and IHS. Reassumption is the worst-case scenario and the chance for the Tribe to regain operations and programs is slim at best.


In both cases, funding associated with retroceded or reassumed operations and programs also goes back to IHS. 

Rosebud Indian Health Service

Rosebud hospital is a 35 bed comprehensive medical/surgical hospital located in Rosebud, South Dakota. The hospital is the primary source of health care for the Rosebud Sioux (Sicangu Oyate) tribal members, in and around the Rosebud Sioux reservation.


Phone: (605) 747-2231

  • Ambulatory Services

  • Adult and Pediatric Outpatient Care

  • Dental

  • Medical Record and Billing

  • Immunization Clinics

  • Telehealth Services

  • Women’s Health

  • Rosebud Sioux Tribe IHS Behavioral Health

Mission Community Health Center

161 S. Main Street

Mission, SD 57555

Phone: (605) 856-2295

Fax: 1(866)423-6811


Mission Community Health Center joined Horizon Health Care in 2002 and specializes in a wide range of family medicine services in order to keep Mission and the surrounding community well.

After Hours:

Connect with a provider after-hours by calling your local Horizon clinic. Calls received after-hours will be handled by an on-call provider, who will guide the caller to the appropriate level of care.

For emergencies, please call 911.


Phone Number: (605) 747-5100

Fax: (605)747-5412 (temp out of order)

Director Name:

Address: PO Box 719, Rosebud, SD 57570



Phone Number:(605)747-4600

Fax: (605)747-4060

Director Name: Connie Brushbreaker

Address: 225 N. BIA 9 Soldier Creek RD, Rosebud, SD 57570

Description of Services:

  • Fitness

  • Nutrition

  • Pre-Diabetes Education

  • Diabetes Education



Phone Number:(605)747-2316


Director Name: Claudine BeGay

Address: P.O. Box 808, Rosebud, SD 57570
Description of Services: Travel to communities to check blood pressures, transport to an appointment, deliver medicine to elderly, home visits, If no other means of transport we deliver food boxes, etc​.


Rosebud Sioux Tribe Dispatch: 911 or (605) 856-2365  


Rosebud Sioux Tribe Suicide & Crisis Support Line: (605) 319-1280


National Suicide Prevention Hotline:  1-800-273-8255 


Rosebud Indian Health Service (605) 747-2231 for emergency services


Veterans can text to 838255 or call 1-800-273-8255 and Press 1


Support for deaf or hard of hearing can contact 1-800-799-4889


Text HOME to 741741

Mental Health Services

Rosebud Sioux Tribe Wiconi Wakan Health and Healing Center

Wiconi Wakan Health and Healing Center has existed in several different iterations on Rosebud over the past decade to address high rates of suicide and suicide ideation. In early 2019, several tribal health leaders convened to write a grant to fund a version of WWHHC that focuses on providing community-based screening, crisis intervention, and postvention services for relatives struggling with suicide ideation or healing from a loved one’s suicide. 

Offering services to 7 and older

  • Mental health services for anyone suffering from depression, PTSD, anxiety and grief

  • Individual support from our mental health specialists

  • We offer screening for suicidal ideation

  • Provide support for Veterans

  • Crisis response team to support families when a there is an unexpected death or suicide in the community

  • QPR Training: Question, Persuade, Refer which offers the local community at large to get training on how to work with someone is who is experiencing ideation and provide them with local resources for support

  • Community outreach in local area schools

  • LGBTQ + Allies Support Group, begins in May 2021

  • Survivors of Suicide Support Group for survivors and their families (May 2021)

  • Anger Management (May 2021)

  • Talking Circles in the Juvenile Detention Center, Adult Corrections and Homeless Shelters

Crisis line (605) 319-1280         PO BOX 719 Rosebud, 57570

Address: PO Box 719, Rosebud, SD 57570

Phone Number: (605) 747-2777


Rosebud Sioux Tribe Alcohol/Drug Treatment Program   

The Rosebud Sioux Tribe has entered into a binding contract with the Secretary of the Health & Human Services / Indian Health Service through the authorization and provisions of PL93-638, Title I of the Indian Self-Determination and Education Assistance Act.  Since 1994, this program has evolved into a multi-component program that provides continuing of care services to all ages groups of enrolled tribal members. These distinct services are:

  • Counseling (Individual/Group)

  • Case Management/Record Keeping/Quality Assurances

  • Referral to Support Services or other appropriate services/Collaborations

  • Community Education (schools, agencies, communities, clientele)

  • Outpatient Services (assessments/individual and group counseling/other services)

  • Aftercare (adult/youth/family)

  • Family Counseling

  • Culture-Spiritual Enhancements/Traditional Healing practices

  • Residential InPatient/ Transitional Living Center services

  • Equine-assisted Psychotherapy 

  • Administer program-related grants/projects

  • Medicated-Assisted Treatment

  • Transportation

  • Tele-Medicine Services

  • Patch Testing/UA drug testing services  

  • Staff Development&Training/Certification& Licensure


RST Alcohol/Drug Treatment Program

Adult In-Patient Treatment is a short-term (35days) highly structured program that includes Assessments, treatment planning, individual/group counseling, alcoholism education, psychological self-awareness, spiritual/cultural enhancement services, equine-assisted Psychotherapy, decision-making skills development. Outpatient and aftercare services.  These services are included in individual treatment plans that are based on the needs of the client that are revealed in the assessment.  Referrals submitted by Federal Probation/Pretrial office and its courts, Tribal Courts, State Probation and its courts, other tribal or non-tribal agencies.  Out-patient counseling services, Assessments, Mental Health screenings, Moral Reconation Therapy groups, Anger Management groups, Aftercare services, Support services, referral services, tele-medicine and cultural/spiritual support services are offered to the adult/youth inmates at the tribal detention centers.  

  • Public Hours:  8-5pm (Monday-Friday)    

  • During treatment cycle: 24/7 in each Unit.

  • Eligibility:  all tribal members from any federally-recognized tribe.  

  • Age group: 18 y.o and up.  

  • Family sessions ages 12 y.o and up in a family unit accepted.

PO Box 348

719 West BIA

Rosebud, SD  57570

Office:  (605) 747-2342

Fax: (605) 747-2111

Cell: (605) 828-3987
Clinical Supervisor: Jesse Pease, ADC Level II

Director: Marcida Eagle Bear, LAC​


Piya Mani Otipi Youth Outpatient

Youth Rehabilitation and Aftercare is a long-term out-patient program

Provides assessments, treatment planning, individual/group counseling, case management, referral to appropriate support services, tele-medicine,  spiritual/cultural enhancement services and follow-up services to youth who are not appropriate for inpatient treatment. This may be services starting point for youth who eventually may participate in inpatient treatment. The Aftercare portion of this program is designed for those youths who return from treatment and who are in need of support services in order to remain sober. Therapeutic intervention efforts are available. Transportation to and from treatment facilities are provided to youth and family members. A family component is an essential part of this program. Services include collaborating with various other youth programs, tribal services providing programs, state agencies, school, faith-based entities, tribal courts, treatment programs, detention centers, corrections, etc. in aftercare. Each component has funding provisions for staff development and training needs specific to Counselor Certification and other necessary requirements for staff professional enhancements and personal growth in this field.  

Piya Mani Otipi Programs (PMO)

This project location is a 4,500 acre ranch purchased by the Rosebud Sioux Tribe for the purpose of youth program development and activities to provide services to all twenty of the reservation communities.  It is a program designed to provide a comprehensive services for youth ages 11-17, which includes residential transitional living (per referral), intensive outpatient, direct referral services, transportation, Prevention (Suicide, youth pregnancy, violence, alcohol/drug, gang involvement and other youth-related issues) and Cultural activities as well as Recreational/Sports activities. This Program also provides Equine-assisted Psychotherapy for youth, adults and other referrals for this specialized services. Future plans are to relocate to another location.  To reach the goals of this program, funding is necessary and continued strong support.   Other services include Out-patient counseling services, Assessments, Mental Health screenings, Moral Reconation Therapy groups, Anger Management groups, Aftercare services, Support services, referral services, tele-medicine, and cultural/spiritual support services are offered to the youth inmates at the Juvenile Detention Center and other referrals from schools, parents, entities, etc.  

  • Public Hours: 8-5pm (Monday-Friday)

  • Eligibility: Enrolled member of Federally recognized tribe.

  • Ages: 10-17years

PO Box 428

Bristow Ranch

Mission, SD  57555

Office:  (605) 856-5528

Fax: (605) 856-2527

Cell: (605) 828-3716
Lead Youth Counselor: Claude Prue, Lead Counselor

Director: Marcida Eagle Bear, LAC


Tokala Inajinyo Youth Leadership/Mentoring Program

Tokala Inajinyo is a tribal mental health project designed to address intergenerational grief and historical trauma created by the impacts from boarding schools and other youth-related issues on the Rosebud.      

Tokala Inajinyo provides opportunities for youth who are interested in participating in the Leadership Training Series created to foster positive self-identification & image utilizing experiential education, traditional teachings in areas of history/culture. Other services include preventive services in the form of physical activities, emotional relief, exposure to various cultural enhancement activities, spiritual activities, educational sessions, and basic healthy lifestyles to create awareness and pride in their heritage, a sense of positive self-worth as an individual, and the opportunity to therapeutically recover from unsettling issues in a safe environment.  These prevention/cultural activities occur in the schools, JDC, communities, homes, radio station,  and other programs and recently,  Tokala Inajinyo staff worked tirelessly in developing a book with the help of our community elders called, “ Unci na Tunkasila Wowahukukiye”  (Messages from our Grandmothers & Grandfathers”).  Books were distributed to every household on the Rosebud reservation communities.  We find it to be a powerful prevention tool. 

The Mentoring & Leadership training program is geared toward cultural experience for the participant and integrates cultural healing in the process.  Its aim is to teach youth various coping skills, self-improvement skills, increase their knowledge base using evidence-based curriculums designed for enhancement trainings for these youth to become Peer Mentors and a true leader. Curriculums utilized will have topics in alcohol/drug education, mental health awareness and services offered.   Age group for this training program are middle to high school students(12-18 years old) and will be screened for maturity and who have an interest and willing to participate in these trainings throughout the year.    

Unci Wahokukiye Project

Tokala Inajinyo has been selected to administer/manage the Unci Wahokukiye project funded by the BIA which seeks to provide prevention/cultural services to young girls & teenagers in prevention of pregnancy and wellness initiatives.                                                                                                                                    
-Public Hours: 8-5pm (Monday-Friday)                                                                                                                                              

-Eligibility: Enrolled member of  Federally-recognized tribe.

Ages: 10-21years

PO Box 428

Bristow Ranch

Mission, SD  57570

Office: (605) 856-2587

Fax: (605) 856-5529

Cell: (605) 515-9633
Project Coordinator: Jessica Two Eagle

Director: Marcida Eagle Bear, LAC



Tiwahe Glu Kini Pi "Bringing the Family Back to Life"

SGU Tiwahe Glu Kini Pi System of Care program is here to improve the lives and conditions of children and families suffering with Serious Emotional Behavioral Disturbances(SEBD) through implementation of a Lakota based Mental Health Wraparound Model and use this model in the teaching and preparation of Lakota Counselors at Sinte Gleska University (SGU.)

Tiwahe Glu Kini Pi serves children, ages 3-21, and their families who live within the 5 county area of the Sicangu reservation.

For referrals during Covid pandemic call

Kelsey at: (605) 856-8163

Marlies White Hat (605) 856-8203

PO Box 105 Mission, SD 57555


Phone Number: (605) 856-8163, (605) 856-8296


White Buffalo Calf Woman Society 24-hr Crisis Response/Our House

Lakota Mental Health Toolkits given to Relatives, Lakota Cultural

Interventions can be arranged, Support Groups, Legal Advocacy, Case Management for In shelter services, C’awic’a Tunpi Wic’ohan Lakota Naming Ceremonies to strengthening one’s identity & sense of self.

24-Hr Crisis Response (605) 856-2317      

Our House (605) 856-2252

PO BOX 227 Mission, SD 57555


Wanbli Wiconi Tipi-Juvenile Detention Center

Offering Inipi, Education, Fitness Routine, Lakota Cultural Classes, Daily Prayer Circle, Lakota Arts & Crafts. Community Service, Lakota Cultural classes (History, Language & Values) for residents of facility.

Pat Bad Hand (605) 856-8701             

US-18 Rosebud, SD 57555


Southern Behavioral Health Services

Southern Plains Children’s counseling services assist families with the sensitive issues of child and adolescent behavior.  This program provides mental health services to children with Serious Emotional Disturbance (SED). Therapists help promote change and understanding for those struggling with trauma, conduct disorders, anger, discipline, attention deficit disorders, educational challenges, depression and other social and emotional life needs. Offers individual/ Family Counseling Services, Outpatient Services, Trauma Focused Cognitive therapy (TF-CBT)


153 S. Main St. Mission, SD 57555

Mission Office (605)856-4631         


Rosebud Sioux Tribe Alcohol & Drug Treatment Program

Provides Alcohol and Drug Evaluations, Alcohol and Drug Treatment and Alcohol and Drug Education.

Marcida Eagle Bear: (605) 747-2342

P.O. Box 348,   #7 Hospital Lane, Rosebud, SD 57570


Rosebud Sioux Tribe Meth Treatment Program

Provides Evaluation and Treatment for Methamphetamines

Director-Skyla Two Eagle   

Supervisor-Denise Casillas

Ph. 605-747-2320 , P.O. Box 719, Rosebud, SD 57570


Maternal Child & Health/RST Project LAUNCH Substance Abuse and Mental Health Services

Offers services to Prenatal/Post-partum women & infants from birth to 8 years of age, including case management, family planning, home-based education, & local transportation for clients. RST Project LAUNCH provides services for families & children from birth to 8 years of age, including case management, education & outreach to resources, including Mental Health for the relative and family.


Sandra Wilcox (605)856-2990          

PO BOX 1076 Mission, SD 57555


RST Youth Homeless Shelter

Provides shelter and services for Homeless Youth

Bobbi Busch, Office Mgr.   Skyla Fast Horse, Director

Located at old PMO site on Hwy 18

Ph. 605-856-2537      605-319-6681 C


National Alliance on Mental Illness (NAMI) Helpline

The NAMI Helpline is a free, nationwide peer-support service providing information, resource referrals and support to people living with mental health conditions, their family members and caregivers, mental health providers and the public.

Available from 10:00 a.m. to 6:00 p.m., ET,

1-800-950-6264 (NAMI)      

Monday thru Friday


Local Helpline Suicide Prevention

 Call or text (605-319-1280)  

 Available 24/7 Free and Confidential

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