Operational for more than 85 years, Lutheran Social Services of South Dakota is a nonprofit organization that assists low-income individuals and families. Its mental health care services include medication administration, psychological and psychiatric assessment, and individual, family and group counseling. The organization offers crisis intervention, case management and family support services. Lutheran Social Services of South Dakota provides vocational training and employment assistance. It also maintains residential treatment centers and provides various social and recreational activities. Additionally, the organization offers several immigration services that include classes in English, math and citizenship. Lutheran Social Services of South Dakota maintains a rural ministry for the victims of natural disasters. It provides child and foster care and adoption services. The organization maintains the Canyon Hills Center in Spearfish, S.D.