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About

West River Mental Health is a nonprofit mental health care provider serving the Rapid City and Spearfish areas in the Black Hills. Founded in 1948 and headquartered in Rapid City, it is the region’s largest community mental health facility, offering a range of services including counseling, case management, addiction support, psychiatric care, and emergency services. The organization operates 7 offices across western South Dakota (including Rapid City, Spearfish, and Hot Springs) and employs about 31 staff. Contact: information@bmscares.org; main phone lines available.

Clinic Type

Mental Health Counseling

Address

Pivot Point, 308 Quincy Street, Rapid City, SD 57701; 111 North Street, Rapid City, SD 57701; 350 Elk Street, Rapid City, SD 57701; Northern Hills / Spearfish, 623 Dahl Road, Spearfish, SD 57783; Southern Hills / Hot Springs, 647 5th Street, Hot Springs, SD 57747

Phone

605-391-4863; 605-343-0650; 605-343-7262; 605-745-6222

Email

DSSBH@state.sd.us

Opening Hours

Not published — contact the clinic to confirm hours.

Emergency Care

pivot-point emergency services

Services Offered

  • counseling
  • mental health
  • substance use disorder treatment
  • addiction services
  • psychiatric and medication management
  • assertive community treatment (ACT) and case management
  • children and family services
  • emergency services
  • inpatient addiction services
  • outpatient services

Insurance & Payment

Languages Spoken

  • English

Photos

What Patients Say

Overall sentiment across review platforms: mixed

  • Various mental health review aggregators: Approximately 2.8 to 3.2 stars (Varies by site (e.g., 21-23 reviews))
  • Rehab-focused review sites: Approximately 3.4 to 3.5 stars (Varies by site (e.g., 5-13 reviews))

Patients praise

  • Some individual therapists and caseworkers are highly praised for being compassionate, caring, and effective
  • Helpfulness of specific programs for those who have a positive connection with staff

Common complaints

  • Long wait times and appointment scheduling issues, including frequent cancellations
  • Reports of uncaring or unprofessional staff interactions
  • Dissatisfaction with medication management and psychiatric care experiences
  • Issues with administrative policies such as strict late-arrival rules
  • Concerns regarding confidentiality and handling of sensitive information

"I've been waiting 5 months for my med appointment, they have rescheduled it twice... it is extremely discouraging."

findmentalhealthfacilities.org

"My Caseworker Tony is absolutely amazing! He definitely goes above and beyond his duties I don't think I could have ever made it through the Darkness and pain without him!"

Mental Health US

"I received judgement, no help. They will call your Dr's without permission. They are not confidential."

Rehab.com

Synthesized from public review platforms as of Jul 11, 2026 — sources: [1][2][3][4].

Information sourced from the clinic's website as of July 11, 2026.

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