The C.O.R.E. Center
A behavioral health crisis is a subjective experience that can vary depending on many factors. Some examples include reactions to trauma or overwhelming stress, thoughts of death or suicide, self-harm, and risk due to substance abuse and or withdrawal.
The combination of mental illness and substance use are often common denominators in a behavioral health crisis. Substance use can contribute to -or in some cases - precipitate acute mental health symptoms. Alternatively, substances of abuse are sometimes used in an attempt to cope with mental health problems.
How to Access Crisis Care
The Crisis Intervention Service is available at all hours - 24 hours per day, seven days per week.
Phone: Call 605-665-4606 or 1-800-765-3382 and speak to a trained crisis intervention staff member anytime. They will assess the crisis and offer aid or help refer you to community resources.
Walk-In: Come directly to the center’s location at 1000 West 4th Street, Yankton.
Mobile On-site: Get on-location support in emergency situations. Crisis intervention staff provides on-site help at Avera Sacred Heart Hospital, local schools, jails and other community sites.
Immediate Access to a Qualified Behavioral Health Professional
Lewis & Clark Behavioral Health Services, Inc. (LCBHS) provides immediate, short term Crisis Intervention Services to individuals who have mental health and / or substance use problems. Services are provided over the telephone and face to face. Face to face crisis intervention is available in multiple locations in the community.
Services are provided by a qualified behavioral health professional trained in crisis intervention. LCBHS staff is also trained to support individuals who have co-occurring mental health and substance use problems. There is an emphasis on the participation of family members or others to whom consent for involvement has been given by the persons served.
What to Expect
The purpose of the Service is to develop a course of action that will stabilize the behavioral health crisis a quickly as possible. You will be asked questions to help determine safety. You may also be asked to give your permission to talk with your family members, community supports and providers. LCBHS staff would work with you to develop a plan to resolve the crisis. The plan would typically involve the utilization of family or other support as well as services to address any identified needs.
Residential Crisis Stabilization: Short term residential crisis stabilization is available when time is required to develop needed support and / or other services. It is also available in some instances as an alternative to inpatient hospitalization.
Detoxification: A medically monitored detoxification service is available to assist in the withdrawal from alcohol, methamphetamines, opioids and other drugs. This service also serves a point of contact for engagement in treatment and recovery.
Rural Behavioral Health Crisis Outreach Program: David Dracy, Ph.D. is available to provide consultation and individual counseling services to individuals, families and others affected by the current agricultural crisis. Dr. Dracy is a psychologist who specializes in rural behavioral health issues. A Critical program component is the provision of immediate care for individuals in acute crisis related to serious problems such as depression or suicide.
Medication Assisted Treatment for Opioid Use Disorder: LCBHS provides specialized medication assisted treatment for individuals who have a moderate to severe opioid use disorder. Medications are utilized as a component of treatment in order to reduce craving and to reduce the risk of death due to accidental overdose.
Inpatient Care: In patient care is also an option in some instances. Psychiatric inpatient care would be provided based on a referral to the South Dakota Human or to one of the regional private inpatient psychiatric care providers.
A thirty day medically monitored inpatient substance use disorder treatment program is available at LCBHS. The inpatient unit specializes in the treatment of individuals who have a substance use disorder and co-occurring mental illness.
Other Crisis Support
LCBHS crisis care staff is also trained in procedures for involuntary hospitalization of individuals who are a danger to themselves or others because of a mental illness or substance use disorder. If necessary, crisis care staff can provide assistance in these procedures.