Inpatient Behavioral Health
The Behavioral Health Center is a psychiatric hospital at which patients receive holistic care for the mind, body and spirit. Patient care is approached from a biological, psychological and social model. Intensive care management is available to coordinate external services for the patient.
If hospitalization is required, patients should proceed to the Emergency Department for a full physical examination and medical evaluation. Call local law enforcement or dial 911 if emergent treatment is needed.
Northern Hills patients may access services at Monument Health Spearfish Hospital.
Therapeutic Recreational Specialist Services
Recovery is about more than medication, about reconnecting with yourself, building healthy routines, and finding joy in everyday life. Our Therapeutic Recreation Specialists provide engaging activities that support emotional, physical, and social well-being while helping patients develop healthy coping skills.
Depending on each patient’s treatment plan, activities may include:
- Fitness and wellness activities
- Outdoor recreation and nature experiences
- Basketball, volleyball, and other recreational games
- Gardening and seasonal outdoor activities
- Art and creative expression
- Pet therapy and other therapeutic programs
- Classroom-style educational groups
- Team-building and leisure skill development
Every activity is designed to encourage healing, reduce stress, build confidence, and support each patient’s recovery journey in a safe and therapeutic environment.
Visiting Hours
CHILD/ADOLESCENTS
Monday – Friday:
5:30 p.m. to 7:30 p.m.
Sunday:
3 p.m. to 7 p.m.
ADULTS
Monday – Friday:
6 p.m. to 8 p.m.
Saturday and Sunday:
3 p.m. to 8 p.m.
QUESTIONS
Inpatient: (605) 755-7300
Outpatient: (605) 755-7200
What services does the Behavioral Health Center provide?
Monument Health Behavioral Health provides inpatient psychiatric care for children, adolescents and adults experiencing mental health crises that require stabilization and intensive treatment. We also offer outpatient psychiatric services to support ongoing recovery after discharge.
How do I know if inpatient treatment is needed?
Inpatient care may be appropriate if you or a loved one is experiencing:
- Thoughts of suicide or self-harm
- Thoughts of harming others
- Severe depression or emotional distress
- Hallucinations or psychosis
- Mania
- A mental health condition that cannot be safely managed at home
If you are experiencing a mental health emergency, call 911, go to your nearest Emergency Department, or call or text 988.
How do I get admitted to the Behavioral Health Center?
All inpatient admissions begin with an evaluation at a Monument Health Emergency Department. Our Behavioral Health Center does not accept walk-in psychiatric evaluations or direct admissions. After a medical and behavioral health assessment, the care team will determine the most appropriate level of treatment.
What should I bring for my hospital stay?
Please bring comfortable clothing, a list of your current medications and approved personal hygiene items. For safety reasons, certain items may be restricted. Our staff will review your belongings during admission and securely store items that cannot remain on the unit.
What items are not allowed on the unit?
To help maintain a safe and therapeutic environment, patients may not have items such as:
- Cell phones, smart watches, and other electronic devices
- Glass items or mirrors
- Sharp objects or weapons
- Tobacco products, vaping devices, alcohol or illegal substances
- Belts, shoelaces, drawstrings or other items that may pose a safety risk
Staff will review all belongings during admission and explain any restrictions.
What happens after I arrive?
Our team will guide you through the admission process, which includes nursing and psychiatric assessments, reviewing your belongings, completing paperwork, orienting you to the unit and discussing your individualized treatment plan.
What does a typical day look like?
Each day follows a structured schedule designed to support recovery and may include:
- Psychiatric evaluation
- Medication management
- Group therapy
- Individual meetings with your treatment team
- Recreational and educational activities
- Meals, quiet time, and opportunities for appropriate leisure activities
Participation in treatment is strongly encouraged and plays an important role in recovery.
Will my family be involved in my care?
Yes. With your permission, family members or other support persons may participate in treatment planning, family meetings, discharge planning and ongoing communication with your treatment team.
How long will I stay?
Length of stay varies based on each patient’s individual needs, treatment progress and safety. Your treatment team will work with you to develop a personalized discharge plan and coordinate follow-up care. The average length of stay is 5-7 days.
When can family and friends visit?
Approved visitors are welcome during designated visiting hours.
Pediatric Unit:
- Monday–Friday: 5:30 p.m.–7:30 p.m.
- Saturday–Sunday: 3:00 p.m.–7:00 p.m.
Adult Units:
- Monday–Friday: 6:00 p.m.–8:00 p.m.
- Saturday–Sunday: 3:00 p.m.–8:00 p.m.
Visitation may be modified based on a patient’s treatment needs or safety considerations.
What should visitors know before coming?
To protect the safety and privacy of all patients:
- Visitors are screened before entering the unit.
- Cell phones, smart watches, cameras and other electronic devices are not permitted.
- Personal belongings must be secured in visitor lockers.
- Photography, video recording and audio recording are prohibited.
- Food or drinks brought by visitors may be restricted.
Patients have the right to accept or decline visitors, and federal privacy laws limit the information staff can share without patient permission.
What happens after I leave the hospital?
Before discharge, our team will help coordinate follow-up care based on your individual needs. This may include outpatient psychiatry, therapy, primary care, community resources, medication management and other supportive services to help you continue your recovery.
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