South Dakota Drug Rehab Information

(605) 845-7181 Aberdeen Area Youth Regional Trt Ctr Chief Gall Treatment Center Rehab Mobridge www.ihs.gov/medicalprograms/behavioral/aayrtc/index.cfm
Info: Aberdeen Area Youth Regional Trt Ctr Chi

(605) 892-3039 Addiction Family Resources Rehab Belle Fourche www.imfr_afr.com
Info: Addiction Family Resources Rehab

(605) 668-3315 Adolescent Chemical Dependency Program Rehab Yankton www.state.sd.us
Info: Adolescent Chemical Dependency Program R

(605) 322-4079 Avera McKennan Hospital (BHS) Addiction Recovery Program Rehab Sioux Falls www.averabehavioralhealth.org
Info: Avera McKennan Hospital (BHS) Addiction

(605) 622-5800 Avera Saint Lukes Worthmore Addiction Services Rehab Aberdeen www.averastlukes.org
Info: Avera Saint Lukes Worthmore Addiction Se

(605) 310-0032 Bartels Counseling Services Inc Rehab Sioux Falls www.bartelscounselingservices.com
Info: Bartels Counseling Services Inc Rehab

(605) 343-7262x229 Behavior Management Systems Full Circle Rehab Rapid City www.behaviormanagement.org
Info: Behavior Management Systems Full Circle

(605) 224-5811 Capital Area Counseling Services Inc Rehab Pierre www.capitalareacounselingservices.org
Info: Capital Area Counseling Services Inc Reh

(605) 336-2556 Carroll Institute Outpatient Alcohol and Drug Center Rehab Sioux Falls www.carrollinstitute.org
Info: Carroll Institute Outpatient Alcohol and

(605) 334-1822 Choices Recovery Services Rehab Sioux Falls www.choicesrecoveryservices.org
Info: Choices Recovery Services Rehab

(605) 394-6128 City County Alcohol and Drug Programs Rehab Rapid City www.penningtoncountysheriff.com
Info: City County Alcohol and Drug Programs Re

(605) 352-8596 Community Counseling Services Alcohol and Drug Treatment Unit Rehab Huron www.ccs-sd.org
Info: Community Counseling Services Alcohol an

(605) 256-9656 Community Counseling Services Rehab Madison www.ccs-sd.org
Info: Community Counseling Services Rehab

(605) 331-2419 Counseling Resources Sioux Falls Rehab Sioux Falls www.cresource.net
Info: Counseling Resources Sioux Falls Rehab

(605) 331-5724 Dakota Drug and Alcohol Prevention Prairie View Prevention Services Rehab Sioux Falls www.prairieview.net
Info: Dakota Drug and Alcohol Prevention Prair

(605) 697-2850 East Central Behavioral Health Rehab Brookings www.ecmhcd.org
Info: East Central Behavioral Health Rehab

(605) 361-1505 First Step Counseling Services SF Rehab Sioux Falls www.firststepcounseling.net
Info: First Step Counseling Services SF Rehab

(605) 693-3629 First Step Counseling Servs Brookings Rehab Brookings Info: First Step Counseling Servs Brookings Re

(605) 332-3273 Glory House of Sioux Falls Rehab Sioux Falls www.glory-house.org
Info: Glory House of Sioux Falls Rehab

(605) 343-1620 Horse Play Productions Healing Center Rehab Rapid City Info: Horse Play Productions Healing Center Re

(605) 886-0123 Human Service Agency Rehab Watertown www.humanserviceagency.org
Info: Human Service Agency Rehab

(605) 335-1820 Keystone Outpatient Program Rehab Sioux Falls www.keysolutionseap.com
Info: Keystone Outpatient Program Rehab

(605) 987-2751x107 Keystone Treatment Center Bowling Green Inn of SD Rehab Canton www.keystonetreatment.com
Info: Keystone Treatment Center Bowling Green

(605) 665-4606 Lewis and Clark Behavioral Hlth Servs Alcohol and Drug Program Rehab Yankton www.lcbhs.com
Info: Lewis and Clark Behavioral Hlth Servs Al

(605) 842-0312 Main Gate Counseling Services Rehab Winner Info: Main Gate Counseling Services Rehab

(605) 882-0800 Mark Bontreger Inc Rehab Watertown www.markbontreger.com
Info: Mark Bontreger Inc Rehab

(605) 456-2968 New Dawn Enterprises Rehab Vale Info: New Dawn Enterprises Rehab

(605) 642-7093 Northern Hills Alcohol Drug Services Spearfish Rehab Spearfish www.abcnhad.org
Info: Northern Hills Alcohol Drug Services Spe

(605) 347-3003 Northern Hills Alcohol Drug Services Sturgis Rehab Sturgis www.abcnhad.org
Info: Northern Hills Alcohol Drug Services Stu

(605) 626-2371 Northern State University Rehab Aberdeen Info: Northern State University Rehab

(605) 353-1025 Our Home Rediscovery Program Rehab Huron www.ourhomeinc.org
Info: Our Home Rediscovery Program Rehab

(605) 745-2000x2479 Rapid City CBOC Outpatient Treatment Program Rehab Rapid City www.bhhcs.com
Info: Rapid City CBOC Outpatient Treatment Pro

(605) 348-8026 Roads Inc Rehab Rapid City Info: Roads Inc Rehab

(605) 856-5530 Rosebud Sioux Tribe Piya Mani Otipi Rehab Mission Info: Rosebud Sioux Tribe Piya Mani Otipi Reha

(605) 336-3230 Sioux Falls VAMC Rehab Sioux Falls Info: Sioux Falls VAMC Rehab

(605) 698-3917 Sisseton Wahpeton Sioux Tribe Dakota Pride Treatment Center Rehab Sisseton Info: Sisseton Wahpeton Sioux Tribe Dakota Pri

(605) 668-3178 South Dakota Human Services Center Gateway Chem Dependency Treatment Ctr Rehab Yankton www.state.sd.us/dhs/mcn/chemical.htm
Info: South Dakota Human Services Center Gatew

(605) 745-6300 Southern Hills Alcohol Drug Ref Ctr Rehab Hot Springs Info: Southern Hills Alcohol Drug Ref Ctr Reha

(605) 995-8180 Stepping Stones Dakota Counseling Institute Inc Rehab Mitchell www.dakotacounseling.net
Info: Stepping Stones Dakota Counseling Instit

(605) 374-3862 Three Rivers Mental Health and Chemical Dependency Center Rehab Lemmon Info: Three Rivers Mental Health and Chemical

(605) 722-3501 Timberline Treatment Center Rehab Spearfish www.timberlinetc.org
Info: Timberline Treatment Center Rehab

(605) 745-2000x2479 VA Black Hills Healthcare System Addictive Disorders Services Rehab Hot Springs www.blackhills.va.gov
Info: VA Black Hills Healthcare System Addicti

(605) 339-1199 Volunteers of America Dakotas Heisler Treatment Center Rehab Sioux Falls www.voa-dakotas.org
Info: Volunteers of America Dakotas Heisler Tr

(605) 357-0982 Volunteers of America Dakotas Rehab Sioux Falls www.voa-dakotas.org
Info: Volunteers of America Dakotas Rehab

(605) 342-0345 Wellspring Inc Rehab Rapid City www.wellspringrc.org
Info: Wellspring Inc Rehab

(605) 718-4870 Wellsprings Inc Rehab Rapid City www.wellspringrc.org
Info: Wellsprings Inc Rehab

(605) 342-4789 Youth and Family Services Counseling Center Rehab Rapid City www.youthandfamilyservices.org
Info: Youth and Family Services Counseling Cen

Multidimensional Family Therapy

Multidimensional family therapy for adolescents is an outpatient alcohol and other drug abuse treatment for youth and involves the entire family. Multidimensional family therapy addresses adolescent drug use in terms of a network of influences stemming from the individual, family, peers and community. Multidimensional family therapy suggests that reducing unwanted behavior and increasing desirable behavior occur in multiple ways in different settings. Treatment includes individual and family sessions held in the clinic, in the home or with family members at the family court, school or other community locations. During individual sessions, the therapist and adolescent work on important developmental tasks like decision making, negotiation and problem solving skills. Teenagers acquire vocational skills and skills by communicating thoughts and feelings and learn to deal with life stressors. Family members become involved in parallel sessions. Parents examine parenting styles, distinguish influence from control and learn to have a positive and developmentally appropriate influence on children.

What Is Sleep?

For a long time, people considered sleep a uniform block of time when a person was not awake. Thanks to sleep studies done over the past several decades, people now know that sleep has distinct stages that cycle throughout the night in predictable patterns. How well rested a person is and how well a person functions depend not just on the total sleep time but on how much of the various stages of sleep a person gets each night.
The brain stays active throughout sleep and each stage of sleep appears as a distinctive pattern of electrical activity known as brain waves.
Sleep occurs in two basic types: rapid eye movement (REM) sleep and non-REM sleep (with four different stages). (See "Types of Sleep"). Typically, sleep begins with non-REM sleep. In stage 1 non-REM sleep, a person sleeps lightly and wakes easily by noises or other disturbances. During this first stage of sleep, the eyes move slowly and muscle activity slows. A person then enters stage 2 non-REM sleep, when eye movements stop. The brain shows a distinctive pattern of slower brain waves with occasional bursts of rapid waves.
When a person progresses into stage 3 non-REM sleep, brain waves become even slower; although brain waves will still occur in smaller, faster waves. By stage 4 non-REM sleep, the brain produces extremely slow waves almost exclusively. In stages 3 and 4, the person is in deep sleep, during which it is very difficult to wake up. Children who wet the bed or sleep walk tend to do so during stages 3 or 4 of non-REM sleep. Deep sleep is the "restorative" part of sleep that is necessary for feeling well rested and energetic during the day.

Types of Sleep

Non-REM Sleep	REM Sleep
Stage 1: Light sleep; easily awakened; muscle activity; eye movements slow down.	Usually first occurs about 90 minutes after a person falls asleep; cycles along with the non-REM stages throughout the night. Eyes move rapidly, with eyelids closed. Breathing is more rapid, irregular and shallow. Heart rate and blood pressure increase. Dreaming occurs. Arm and leg muscles temporarily paralyzed.
Stage 2: Eye movements stop; slower brain waves, with occasional bursts of rapid brain waves.
Stage 3: Considered deep sleep; difficult to wake; brain waves slow down more, but still have occasional rapid waves.
Stage 4: Considered deep sleep; difficult to wake; extremely slow brain waves.

During REM sleep, the eyes move rapidly in various directions, even though the eyelids remain closed. Breathing also becomes more rapid, irregular and shallow and the heart rate and blood pressure increase. Dreaming typically occurs during REM sleep. During this type of sleep, arm and leg muscles feel temporarily paralyzed so that a person cannot "act out" any dreams that he or she may be having.
The first period of REM sleep people experience usually occurs about an hour to an hour and a half after falling asleep. After that, the sleep stages repeat themselves continuously during sleep. As the night progresses, REM sleep time becomes longer, while time spent in non-REM sleep stages 3 and 4 becomes shorter. By morning, nearly all sleep time occurs in stages 1 and 2 of non-REM sleep and in REM sleep. If something disrupts REM sleep during one night, REM sleep time is typically longer than normal in subsequent nights. Overall, almost one-half of total sleep time occurs as stages 1 and 2 non-REM sleep and about one-fifth each as deep sleep (stages 3 and 4 of non-REM sleep) and REM sleep. In contrast, infants spend half or more of their total sleep time in REM sleep. Gradually, as infants mature, the percentage of total sleep time that is REM progressively decreases to reach the one-fifth level typical of later childhood and adulthood.
Doctors do not fully understand why people dream and why REM sleep is so important. Sleep specialists know that REM sleep stimulates the brain regions used in learning and the laying down of memories. Animal studies suggest that dreams may reflect the brain sorting and selectively storing important new information acquired during wake time. While the brain processes this information, the brain might also revisit scenes from the day while pulling up older memories. This process may explain why childhood memories can be interspersed with events that are more recent.

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