De Smet Community Health

Our Sliding Fee Program offers reduced prices on office visits and services provided in the clinic to all individuals and families who qualify. If you apply and qualify at one Horizon location, you receive the discount at all of our medical and dental clinic locations. Applications are available at any of our locations – or apply online.

For over 35 years, Horizon Health Care, Inc. has been providing personalized, affordable, high-quality medical, dental and mental health care through a rural, community-based network of 24 community health centers throughout South Dakota.

Horizon Health Care, Inc. employs over 250 professional staff and medical providers in 19 communities. If you’re interested in learning more about a career with Horizon Health Care, view our latest career opportunities and fill out an online application.

(HOWARD, SD) - In a recent announcement by the U.S. Department of Health and Human Services, Horizon Health Care, I

Horizon Health Care, Inc. (Horizon) is pleased to introduce Donna Linke, CNP, MSN, as a Psychiatric Nurse Practitio

Horizon Health Care, Inc. (Horizon) has been awarded a grant from the South Dakota Department of Health for $15,000

I love that I can use Horizon’s Telemed system to talk to my behavioral health counselor that is over three hours away!

The staff is so helpful and friendly!  They help me understand why I am sick so I can be more proactive about it next time.”

Susie, De Smet SD

I don’t like going to the dentist office, but the staff at Prairie Winds Dental is always so friendly! It really helps make the visit a pleasant experience!

I love their accessibility! I am able to make a same-day appointment when my kids are sick, and I can even view my health record, message my provider, and view my test results online whenever I want!

In the case of an emergency during office hours, please call the office immediately so we can prepare for your arrival.

For after hours emergencies dial 911.

Primary Focus of the Provider

• Substance Abuse Treatment Services
• Mental Health Treatment Services
• Mix of Mental Health and Substance Abuse
• General health services

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Type of Care

• Mental health treatment
• Substance abuse treatment
• Detoxification
• Methadone maintenance
• Methadone maintenance for predetermined time
• Methadone detoxification
• Buprenorphine maintenance
• Buprenorphine maintenance for predetermined time
• Buprenorphine detoxification
• Relapse prevention from naltrxone
• Buprenorphine used in treatment
• Naltrexone (oral)
• Vivitrol (injectable Naltrexone)
• Methadone
• Transitional housing or halfway house
• Do not treat opiod addiction
• Use methadone/buprenorphoine for pain management or emergency dosing
• Do not use medication for opioid addiction
• Accepts clients on opioid medication
• Prescribes/administer buprenorphine and/or naltrexone
• All Clients in Opioid Treatment Program
• SAMHSA-certified Opioid Treatment Program

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Facility Type

• Psychiatric hospital or psychiatric unit of a general hospital
• Residential treatment center (RTC) for children
• Residential treatment center (RTC) for adults
• Other residential treatment facility
• Partial hospitalization/day treatment
• Outpatient mental health facility
• Community mental health center
• Multi-setting mental health facility (e.g., residential plus outpatient)

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Treatment Approaches

• Individual psychotherapy
• Couples/family therapy
• Group therapy
• Cognitive/behavioral therapy
• Dialectical behavioral therapy
• Behavior modification
• Integrated dual disorders treatment
• Trauma therapy
• Activity therapy
• Electroconvulsive therapy
• Psychotropic medication
• Telemedicine therapy
• Substance abuse counseling approach
• Trauma-related counseling
• Rational emotive behavioral therapy

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Facility Smoking Policy

• Smoking not permitted
• Smoking permitted in designated area
• Smoking permitted without restriction

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Service Setting (e.g., Outpatient, Residential, etc.)

• Hospital inpatient
• Residential
• Partial hospitalization/day treatment
• Outpatient
• Short-term residential
• Long-term residential
• Residential detoxification
• Outpatient detoxification
• Outpatient methadone/buprenorphine or vivitrol
• Outpatient day treatment or partial hospitalization
• Intensive outpatient treatment
• Regular outpatient treatment
• Hospital inpatient detoxification
• Hospital inpatient treatment
• Computerized treatment
• General Hospital(including VA hospital)
• Psychiatric hospital

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Facility Operation (e.g. Private, Public)

• Private organization
• U.S. Department of Veterans Affairs
• State mental health authority
• Other state government agency
• Regional/district or county, local or municipal government
• Tribal government
• Indian Health Service
• State Government
• Local, county, or community government
• Department of Defense
• State substance abuse agency
• State mental health department
• State department of health
• Hospital licensing authority
• The Joint Commission
• Commission on Accreditation and Rehabilitation
• National Committee for Quality Assurance
• Council on Accreditation
• Healthcare Facilitiues Accreditation Program
• Other national oraganization

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Payment/Insurance Accepted

• No payment accepted
• Cash or self-payment
• Medicaid
• Medicare
• State financed health insurance plan other than Medicaid
• Private health insurance
• Military insurance (e.g., TRICARE)
• IHS/Tribal/Urban (ITU) funds
• Access to recovery (ATR) voucher
• State mental health agency (or equivalent) funds
• State welfare or child and family services funds
• State corrections or juvenile justice funds
• State education funds
• Other State funds
• County or local government funds
• Community Service Block Grants
• Community Mental Health Block Grants
• U.S Department of VA funds
• Federal, or any government funding for substance abuse programs

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Emergency Mental Health Services

• Crisis intervention team
• Psychiatric emergency walk-in services

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Payment Assistance Available

• Sliding fee scale (fee is based on income and other factors)
• Payment assistance (check with facility for details)

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Language Services

• Services for the deaf and hard of hearing
• Spanish
• Native American Indian or Alaska Native languages
• Other languages(excluding Spanish)

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Special Programs/Groups Offered

• Persons with co-occurring mental and substance abuse disorders
• Lesbian, gay, bisexual, or transgender (LGBT) clients
• Veterans
• Active duty military
• Military families
• Clients referred from the court/judicial system
• Seniors or older adults
• Adolescents
• Pregnant/postpartum women
• Adult women
• Adult men
• Persons with HIV or AIDS
• Persons who have experienced trauma
• Persons who have experienced sexual abuse
• Persons who have experienced intimate partner violence, domestic violence
• Children with serious emotional disturbance (SED)
• Persons with serious mental illness (SMI)
• Persons with Alzheimer's or dementia
• Persons with post-traumatic stress disorder (PTSD)
• Persons with traumatic brain injury (TBI)
• Transitional age young adults
• Persons with eating disorders

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Ancillary Services

• Assertive community treatment
• Intensive case management
• Case management
• Chronic disease/illness management
• Consumer-run (peer-support) services
• Court-ordered outpatient treatment
• Diet and exercise counseling
• Education services
• Family psychoeducation
• Housing services
• Illness management and recovery
• Integrated primary care service
• Legal advocacy
• Nicotine replacement therapy
• Non-nicotine smoking/tobacco cessation medications
• Psychosocial rehabilitation services
• Screening for tobacco use
• Suicide prevention services
• Supported employment
• Supported housing
• Therapeutic foster care
• Smoking/tobacco cessation counselling
• Vocational rehabilitation services
• Alcohol Detoxification
• Benzodiazepines Detoxification
• Cocaine Detoxification
• Methamphetamines Detoxification
• Opiods Detoxification
• Treatment for gambling disorder
• Treatment for internet use disorder
• Individual counseling offered
• Group counseling offered
• Family counseling offered
• Marital/couples counseling offered
• 12-step faciltitation approach
• Brief intervention approach
• Contingency management/motivational incentive
• Motivational interviewing
• Anger management
• Martix Model
• Community reinforcement plus vouchers
• Relapse prevention
• Residential beds for clients children

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Age Groups Accepted

• Children/adolescents
• Young adults
• Adults
• Seniors (65 or older)

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Gender Accepted

• Female
• Male

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Exclusive Services

• Methadone and buprenorphine clients only
• Methadone clients only
• DUI/DWI clients
• Serve only DWI clients

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