Abbott House West
22 Waterloo Street, Rapid City, SD 57701
West River Mental Health
Also known as Mainstream and IMPACT West
Address: 111 North Street, Rapid City, SD 57701 · Map
Phone: (605) 343-7262
Intake: (605) 343-0650
Website: wrmentalhealth.org
About West River Mental Health
West River Mental Health’s Mainstream Campus provides outpatient services for children, families, adults, and seniors who face mental health and substance use challenges. The center focuses on helping individuals return to everyday community life, regain stability during emergencies, reduce the risk of homelessness, and work through issues connected to the justice system. Support plans are tailored and flexible, offering both face-to-face and telehealth appointments. The approach uses evidence-based treatment methods to address everyday difficulties such as anxiety, anger, and conflict within families. Care may include individual and group therapy, family and play therapy, as well as Dialectical Behavior Therapy (DBT). Through these services, clients develop coping strategies, strengthen relationships, and build a greater sense of control. Programs are organized around different needs, including PATH for preventing homelessness, IMPACT-West for people with more complex mental health concerns, and Ontrack SD for individuals involved with the justice system. Children may receive services at home, in school, or at the clinic, helping families access help at the right time and place.
Services reported to SAMHSA
- Levels of care
- Outpatient
- Treatment focus
- Mental health treatment · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults
- Facility type
- Community mental health center
- Medications used
- Antipsychotics used in treatment of SMI
- Treatment approaches
- Activity therapy · Cognitive behavioral therapy · Dialectical behavior therapy · Group therapy · Integrated Mental and Substance Use Disorder treatment · Individual psychotherapy · Telemedicine/telehealth therapy · Abnormal involuntary movement scale
- Ages accepted
- Children/Adolescents · Young Adults · Adults · Seniors
- Payment accepted
- County or local government funds · Community Mental Health Block Grants · IHS/Tribal/Urban (ITU) funds · Medicare · Medicaid · Federal military insurance (e.g., TRICARE) · Other State funds · Private health insurance · State corrections or juvenile justice funds · Cash or self-payment · State mental health agency (or equivalent) funds · State welfare or child and family services funds · U.S. Department of VA funds
- Payment assistance
- Sliding fee scale (fee is based on income and other factors)
- Ownership
- Private non-profit organization
- Recovery support
- Housing services · Mentoring/peer support
- Other services
- Assertive community treatment · Court-ordered outpatient treatment · Family psychoeducation · Legal advocacy · Psychosocial rehabilitation services · Vocational rehabilitation services · Case management service · Suicide prevention services
Facility-provided information
- Care offered
- Outpatient
- Substances treated
- Benzodiazepines · Co-Occurring Disorders · Cocaine · Drug Addiction · Ecstasy · Heroin · Prescription Drugs · Psychedelics · Synthetic Drugs
- Conditions treated
- Anxiety · Bipolar · Depression · Personality Disorders · Post Traumatic Stress Disorder · Schizophrenia · Stress · Suicidality · Trauma
- Therapies
- 1-on-1 Counseling · Cognitive Behavioral Therapy · Dialectical Behavior Therapy · Family Therapy · Play Therapy · Trauma-Specific Therapy
- Approaches
- Evidence-Based · Family Involvement · Holistic
- Who it serves
- Men · Men and Women · Midlife Adults · Older Adults · Women · Young Adults
- Languages
- English
Questions to ask West River Mental Health
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by South Dakota. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at West River Mental Health
West River Mental Health reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Sliding scale, Self-pay. With South Dakota Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law. A sliding fee scale is available, so bring proof of income.
Distance to specialized care from Rapid City
Measured from the population center of Pennington County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Rapid City, about less than a mile
- Nearest methadone clinic (OTP): Pierre, about 145 miles
- Nearest buprenorphine (Suboxone) provider: Rapid City, about less than a mile (3 within 25 miles)
See the Pennington County treatment map, methadone clinics near Pennington County and Suboxone doctors near Pennington County.
Frequently asked questions
What services does West River Mental Health offer?
West River Mental Health reports these levels of care to SAMHSA: Outpatient, Dual diagnosis. Call to confirm current services and openings.
Does West River Mental Health accept insurance?
It reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Sliding scale, Self-pay. Ask whether your specific plan is in network before admission.
Where is West River Mental Health located?
111 North Street, Rapid City, SD 57701.
How far is the nearest medical detox from Rapid City?
From the center of Pennington County, the closest program offering medical detox is in Rapid City, about less than a mile away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Rapid City
Abbott House West
22 Waterloo Street, Rapid City, SD 57701
Addiction Recovery Centers of the
1520 North Haines Avenue, Rapid City, SD 57701
Behavior Management Systems
121 North Street, Rapid City, SD 57701
Behavior Management Systems
350 Elk Street, Rapid City, SD 57701
Buffalo Plains Recovery
405 East Fairlane Drive, Rapid City, SD 57701
See all 23 facilities in Rapid City · Residential · Outpatient · Intensive outpatient · MAT · Accepts Medicaid · Accepts Medicare
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.