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Designated dual-diagnosis/co-occurring mental health & substance abuse treatment facility. Gateway is able to provide treatment to those with substance use disorder, with or without a mental health diagnosis.

Substance use treatment options vary by location, but may include:

-- Residential treatment.

-- Outpatient treatment.

-- Virtual addiction treatment.

-- Detoxification.

Services may include:

-- Acceptance and Commitment (ACT).

-- Cognitive Behavioral Therapy (CBT).

-- Dilectical Behavior Therapy (DBT).

-- Co-Occuring Diagnosis/Dual Diagnosis Treatment.

-- Medication-Assisted Treatment (MAT).

-- Mindfulness-Based Sobriety.

-- Motivational Interviewing (MI).

-- Recovery Support Groups.

-- Trauma-Responsive Treatment.

-- 12-Step Facilitation.

For Thanksgiving/Christmas 2025:

Holiday Food provides special meals during the holiday season.

Holiday Families provides support to families during the holidays, in partnership with community organizations.

Thanksgiving and Christmas food baskets are offered through some Mid-Sioux Opportunity outreach offices, as well as Christmas gift distribution programs. Dates and times vary by location. Families are encouraged to contact their local office for details.

Provides comprehensive support services for individuals and families facing mental health or behavioral challenges. Families build a personalized support team that may include professionals, service providers, friends, mentors, and other trusted individuals. 

Offers one-and two-bedroom, non-smoking, apartments for low-income individuals ages 18 and older. 

Offers to  empower immigrant and refugee communities by informing them of their rights and securing resources that will foster their successful integration into society.

Provides support to individuals, family members, and/or significant others in making informed care choices based on the individual's needs, preferences, values, and circumstances. Services may include offering information and guidance about Medicaid eligibility, application processes, managed care options, covered benefits (including long-term care and home and community-based services), co-payment procedures, Medicaid spend-down requirements, and the connections between Medicaid and Medicare. Assistance may also include addressing questions about Medicaid services for individuals with disabilities, enrollment support, and referrals to Medicaid-approved providers.

Provides probation supervision for offenders after being convicted of a criminal offense as ordered by the Court; in lieu of incarceration. Also provides parole and probation and presentence services for justice involved adults and provides court ordered domestic violence educational interventions for adults convicted of family/domestic violence.

Services offered:

- Sick and well-child visits

- School, camp, and sports physicals

- Obesity and asthma counseling

- Immunizations

- TB tests

Christmas gifts to children whose parents are incarcerated. Camping and Sports Camps offered to children whose parents are incarcerated.

The program is active for Christmas 2025; the parent(s) in prison must register through their prison chaplain.

Offers free income tax filing assistance to those who are moderate to low income. For sites taking appointments, scheduling begins mid-January 2026. To schedule an appointment, visit the website.

Offers free income tax filing assistance to those who are moderate to low income. For sites taking appointments, scheduling begins mid-January 2026. To schedule an appointment, visit the website.

Provides up to $150 to families for utilities, diapers, groceries, gas for vehicles, and other needs.