It's a place to go when all other doors are closed. For two years, the Crisis Care center has helped hundreds in the Black Hills pick up the pieces of their lives.
It's been a cycle of instability, stretching back as far as William can remember.
"I ended up with a DUI, hit and run, all kinds of a mess. I could've killed someone. I was getting weary of dealing with myself," said William, a former patient, who wanted to keep his identity hidden.
William says alcohol quieted his manic bipolar spells for a time, but finally when the price got too steep, he decided to seek help here.
"At times we're saving lives. I think at other times we're helping people move on in their life to a place that's going to be better," said Randy Allen, Crisis Care Center Clinical Director.
Many of the 1800 people who've stayed at the crisis care center are facing issues of mental illness, substance abuse or a bad relationship.
"We feel that what people could use is a good listening to. Once folks have had an opportunity to tell their story, we brainstorm and they regain their internal resources," said Allen.
"It's being with people that are checking with you, talking with you, that care about you," said William.
It's a critical step between outpatient therapy and inpatient psychiatric care, one that "William" says too many people don't take.
"You're looking at suicide for some people, some people could hurt someone else, for some people they end up in jail or prison," said William.
Two years after seeking help the first time, William now sees a fresh start within his grasp.
"I can see myself having a normal life which is something I've never had," said William.
Right now, the center can house six people at a time, but staff members say, they have plans to expand.
They hope to move into a larger facility within six months.
The center runs on an annual budget of roughly half a million dollars, contributed by Rapid City Regional hospital, private foundations, Rapid City and Pennington county.