The Custer Center is a JCAHO-accredited psychiatric hospital that opened in September 1998. The center has treated patients from 40 states as well as abroad. The inpatient program combines a multidisciplinary treatment team consisting of psychiatrists, psychologists, nurses, certified gambling therapists, peer counselors, and consulting primary care physicians. Length of stay depends on each patient’s individualized treatment plan, but averages 21 to 24 days. The program includes group and individual therapy, a strong emphasis on Gamblers Anonymous, and pharmacological treatment. In addition to working with the patient, extensive work is done with the patient’s family and, as appropriate, employers, consumer credit-counseling groups, the courts, bookies, and so on.