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2014-02-06 / Front Page

Four Directions Clinic opens in Kyle

Care to be provided for sexual assault victims


Terry Friend, midwife at the Four Directions clinic in one of the women’s health three exam rooms Terry Friend, midwife at the Four Directions clinic in one of the women’s health three exam rooms KYLE - A newly formed Four Directions Clinic is open in Kyle, SD on the Pine Ridge reservation. Its purpose is to create access to those needing care after sexual assault or abuse in a clinic based setting, according to Terry Friend, who is a midwife for the clinic.

An informal women’s gathering was held at the clinic on Jan. 28th with an open house to the public on Jan. 30th. The clinic’s phone number is (605) 455-8219.

Two clinical nurses working with Friend will provide primary services to include sexual assault forensic exams with services for sexual assault evidence collection, protection from sexually transmitted infections, protection from unintended pregnancy and follow-up care. The clinic does have a Sexual Assault Response Team involvement.

The same care for women’s health exams that was available at the regular Kyle clinic will now be in the Four Directions Clinic. This includes gynecology, colposcopy and LEEP, prenatal care of routine care, basic ultrasound,, sexually transmitted diseases and HIV screening and care, family planning with hormonal 2,400 square feet of room. It has three clinical examination rooms, a forensic review room and viewing room, reception desk, two staff offices, conference room and a “clean” and “dirty” room for microscopy, pregnancy tests, sterilizing instrument and vaccinations.


The 2,400 square feet Four Directions clinic is on the Kyle Health Facility campus. The 2,400 square feet Four Directions clinic is on the Kyle Health Facility campus. The clinic will be open from 7:30 am to 5 pm with appointment times starting at 8 am and the last one at 4 pm. The clinic will be closed after hours. Those presenting to the clinic for care following sexual assault are encouraged to inform the front desk staff that they “have an emergency.” This will trigger the staff to assist her/him into the clinic for evaluation without delay. Although still in the formative stage the plan for the manner in which people may gain access to the clinic's services begin with a call to the emergency dispatcher who will, in turn, notify the law enforcement services who will then call the clinic.


The clinic houses a forensic room with a forensic interview monitor, this room will make it possible for forensic interviews, especially with child sexual abuse victims, to be held at nearby instead of having to go Rapid City. Many times after a child discloses sexual abuse, they have to travel to Rapid City for the forensic interview. The clinic houses a forensic room with a forensic interview monitor, this room will make it possible for forensic interviews, especially with child sexual abuse victims, to be held at nearby instead of having to go Rapid City. Many times after a child discloses sexual abuse, they have to travel to Rapid City for the forensic interview. The clinic is funded by a four year grant with a commitment from the Kyle Health Center, Indian Health Service, to assume funding of the clinic once current funding expires. Sexual assault remains a highly under reported crime on the Pine Ridge reservation. Oglala Sioux Tribe Public Safety data shows 96 calls for service for sexual assault on the Pine Ridge reservation for the year 2013.

Elizabeth Kingi, director of the Oglala Sioux Tribe’s Victim Services said, “We are so very excited that the Four Directions Clinic for sexual assault has finally become a reality for our women and children. Sexual assault occurs to women, children, and to males, she said.

Kingi emphasized by the age of 18, one in 3 girls and one in 6 boys will be sexually assaulted. The clinic is in a very low key setting for our native women, men and children to come and feel welcomed, added Kingi. She added that the Victim’s Service program is on call to assist victims with transportation, shelter, or any other needs; their numbers are 899-0085, 0084 and 0096.

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Lakota Country Times, Newspapers, Martin, SD