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Oversees the election process, voter registration, maintains financial records for the county, maintains current real estate information and assessment maps.

Works in collaboration with other agencies to provide comprehensive public health planning and response for all hazard disasters (natural or man-made) within the county. The program includes distribution of pharmaceuticals or vaccinations in the event of a bioterrorist attack or pandemic influenza, emergency planning for and tracking of populations with special needs, recruiting, training, and retaining volunteers.

Congregate Meals - All participating senior centers participate in both congregate meal and home delivered meal programs to help ensure the basic wellness of seniors. For those lacking a proper nutritious meal or unable to obtain meals by normal means, call the local senior center for assistance.

Congregate Meals - All participating senior centers participate in both congregate meal and home delivered meal programs to help ensure the basic wellness of seniors. For those lacking a proper nutritious meal or unable to obtain meals by normal means, call the local senior center for assistance.

Collects property taxes, conducts annual tax sale for delinquent taxes, processes vehicle transactions, issues driver's licenses, and issues motor vehicle titles and registrations.

Provides small box of emergency food in emergency situations until food pantry in the area opens.

Educational programs for students of dental hygiene and dentistry, and graduate courses in the areas of endodontics, pediatric dentistry, periodontics and orthodontics.

Dental treatment for persons of all ages by students under the direct supervision of licensed faculty members. Patients are examined and a treatment plan which includes an explanation of the costs to be incurred is developed.

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 scholarships to veterans who return from duty with an opportunity to get integrated back into their community through officiating.

Therapy services offered at the office or within the home to best meet the needs of the client. The intensity and duration of treatment varies substantially depending on the presenting problems or difficulties. Therapists may assist with various difficulties, including family issues associated with raising youth with severe behavioral problems, aggression, hyperactivity, anxiety, depression, withdrawal behaviors, and suicidal ideation. Therapists are also qualified to treat all major mental health issues.

Typical referral issues:

- Symptoms of Abuse/Neglect.

- Suicidal Thoughts/Attempts.

- Juvenile Behavioral Problems.

- Drug/Alcohol Issues.

- Mental Health of Emotional Disruptions.

- Family Relationship Problems.

- Parenting Skills Development.

- School Problems.

- Independent Living Skills Training.

- Social Skills Training.

Offers an 8-hour course that teaches how to identify, understand, and respond to signs of mental illnesses and substance use disorders. The training provides the skills needed to reach out and provide initial help and support to someone who may be developing and mental health or substance use problem or experiencing a crisis.

Also offers a course designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis. Topics include depression, anxiety, and eating disorders.

Provides engineering and design of County roadway projects, including local resurfacing and bridge replacement. The division is responsible for the construction and maintenance of the County Secondary Road System, including ditch cleaning, roadway surface repairs, bridge and culvert repairs, and snow removal.

Provides adult volunteers who offer one on one tutoring support for reading, speaking and spelling problems. Free assessments provide information on specific literacy skill needs.