Serious Mental Illness - Adults

At any given time, over five percent of the adult population in the U.S. will experience a mental illness so pressing it will interfere with their ability to function.
What is Serious Mental Illness?

Serious mental illnesses are medical conditions that affect a person's thoughts, feelings, dispositions, and capabilities to relate to others and function on a daily basis. They are not the result of individual weakness, insufficient character, or underprivileged upbringing, but a medical condition affecting the brain and impairing a person’s social, emotional, and cognitive function. Fortunately, treatment of serious mental illnesses at this degree is entirely possible, and most battling a serious mental illness can find liberation from their symptoms with a professionally led treatment plan.


CARE and IMPACT-West clients must meet the following criteria established by the State of South Dakota Department of Social Services – Division of Community Behavioral Health Services to receive treatment for mental illness.

Serious Mental Illness (SMI)

The individual's serious emotional, behavioral, or psychological disorder has resulted in at least one of the following:

  • Psychiatric treatment of serious mental illness more intensive than outpatient care and more than once in a lifetime (e.g., emergency services, alternative residential living, or inpatient hospitalization)

  • A single episode of psychiatric hospitalization with an Axis I and/or Axis II diagnosis

  • Psychotropic medication maintained for at least one year

  • Frequent crisis contacts with a mental health center for more than six months as a result of a persistent psychiatric illness

Common Treatment Areas
  • Anxiety Disorder

  • Bipolar Disorder

  • Cognitive Disorder

  • Major Depression

  • Obsessive Compulsive Disorder (OCD)

  • Panic Disorder

  • Personality Disorder

  • Post Traumatic Stress Disorder (PTSD)

  • Schizophrenia

What's Next?

Don’t let serious mental illness become the defining factor in your life or in the life of someone you love. Contact Behavior Management Systems to begin  the road toward positive possible change. Referrals and inquiries are handled by our reception staff—they can be reached by calling the office nearest you.  Walk In Screenings are also provided at the Mainstream Campus during the following days and times:

Monday 2:00 pm -3:00 pm

Tuesday 1:00 pm - 2:00 pm

Wednesday 1:00 pm - 2:30 pm

Thursday 9:00 am -10:00 am

Friday 10:00 am -11:00 am

Services available at Behavior Management Systems for all of our programs listed below may include psychiatric medication management, individual therapy, co-occurring and chemical dependency services, family support and education, advocacy and education about community resources, multiple group opportunities, and education and support on activities of daily living.

Mainstream Transitional Living

Mainstream Transitional Living is a voluntary mental health transitional residential home for SMI clients. At the home, medication trained staff assists residents 24 hours per day, 7 days per week. Case Management is available 5 days per week. This program develops a daily structure, encourages medication compliance and stabilization, and facilitates independent living skills.

(Individualized and Mobile Program for Assertive Community Treatment)

This mental health program follows an evidence-based practice that provides comprehensive, community-based, highly individualized services to SMI clients with the highest needs.

(Continuous Assistance, Rehabilitation, and Education)

The CARE program is a less intensive recovery-based program providing services to adult SMI clients. These client-centered, strength-based services are available in the office, at the client’s home, or in the community.

(Projects for Assistance in Transition from Homelessness)

This program offers recovery-based treatment of serious mental illness for adults who are homeless or at risk of becoming homeless and struggle with mental illness.

Ontrack SD

An innovative treatment program for adolescents and young adults who recently have had unusual thoughts and behaviors or who have started hearing or seeing things that others don't.  OnTrackSD helps people achieve their goals for school, work, and relationships.