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50+ Years
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Emergency
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Mental Health & Addiction Services in Pierre, SD
Since 1968, Capital Area Counseling Service (CACS) has been a trusted provider of mental health and addiction services in central South Dakota. Our mission focuses on empowering individuals and families through strengths-based care that promotes community wellness. We utilize a system of care framework that is comprehensive, client-centered, and co-occurring capable, integrating clinical teams from counseling, social work, substance use, and psychiatric disciplines. Our evidence-based practices combine clinical expertise with patient preferences and research evidence to deliver personalized treatment plans.

We specialize in lifespan care through individual, group, and family therapy sessions while maintaining partnerships with community support networks. Our Therapeutic Foster Care program addresses complex emotional needs through trained treatment parents working alongside multidisciplinary teams. As a 501c3 nonprofit organization, we prioritize accessible care with financial assistance options for all who need our services.
Services
Mental Health Services Substance Use Treatment Psychiatric Services Therapeutic Foster Care Zero Suicide Program CARE Services Child & Family Therapy Systems of Care Aggression Replacement Training Moral Reconation Therapy
Details
  • Year established: 1968
Highlights and features
  • We utilize Integrated Clinical Teams for comprehensive mental health treatment
  • Our evidence-based practices combine clinical expertise with patient preferences
  • Therapeutic Foster Care program addresses complex emotional needs in children
  • 24/7 crisis support through National Suicide Prevention Lifeline 988
  • Financial assistance available based on income and family size
Services
Mental Health Services
Our trained professionals provide responsive, individualized therapeutic care across the lifespan. Treatment options include evidence-based modalities like CBT, DBT, and trauma-informed care. We create safe spaces for clients to explore experiences and build life-enhancing skills through individual, group, and family sessions.
Substance Use Treatment
We offer comprehensive assessment and treatment for substance use disorders through outpatient counseling and intensive programs. Our evidence-based approaches include relapse prevention, cognitive behavioral therapy, and recovery management. Services address both mild and severe disorders with individualized treatment plans developed in collaboration with clients.
Psychiatric Services
Board-certified psychiatric providers deliver diagnosis and treatment for mental illnesses and co-occurring substance use disorders. Our medical approach integrates pharmacological treatment with comprehensive assessment of mental and physical health factors. We provide evidence-based interventions for mood, anxiety, and psychotic disorders.
Therapeutic Foster Care
This family-based treatment program addresses emotional and behavioral needs of foster children through trained treatment parents. Clinical specialists coordinate care with therapists, schools, and medical providers to develop individualized treatment plans. The program focuses on trauma recovery and community integration for children removed from abusive environments.
Zero Suicide Program
Our system-wide suicide prevention framework implements evidence-based practices for at-risk individuals. The program includes safety planning, crisis intervention, and recovery support services. We focus on embedding suicide care protocols across all treatment teams while promoting hope and recovery for clients in our care.
People
Kristi Livermont
Chief Executive Officer
MBA holder leading CACS as CEO since its founding in 1968, overseeing mental health service delivery across nine South Dakota counties.
Lara Williams
Chief Operations Officer
MBA holder serving as COO, managing day-to-day operations and strategic implementation of CACS's comprehensive mental health programs.
Kacy Gill
Clinical Director
Licensed mental health professional overseeing clinical services with expertise in evidence-based treatment modalities and team supervision.
Kellie Shuman
Human Resources Director
HR director managing talent acquisition and staff development programs for CACS's multidisciplinary mental health professionals.
Carrie Ward
Therapeutic Foster Care Director
BA holder directing the TFC program, recruiting and training foster parents while coordinating care for traumatized children.
Questions
What mental health services do you offer?
We provide outpatient counseling, psychiatric care, and evidence-based therapies like CBT and DBT for adults, children, and families.
How can I access substance use treatment?
Contact our intake specialists to schedule an assessment and develop an individualized treatment plan with options including outpatient counseling and IOP.
Do you accept insurance?
Most services are covered by major insurance providers with financial assistance available based on income and family size.
What areas do you serve?
We provide services across nine central South Dakota counties: Hughes, Stanley, Haakon, Jones, Lyman, Buffalo, Hyde, Sully, and Potter.
How do I become a therapeutic foster parent?
Contact Carrie Ward, TFC Director, at 605-224-5811 ext. 103 to learn about licensing requirements and training programs.
What crisis services are available?
Call the National Suicide Prevention Lifeline 988 or our main office at 605-224-5811 for 24/7 crisis support and emergency assistance.