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Assist individuals living with a disability who are in a nursing home to relocate to an independent living situation. Transition services include: - Assist with completing necessary paperwork - Assist with locating housing options - Coordination services with other team members involved in the case - Finding assistance with moving - Obtaining household furnishings - Ordering equipment and medical supplies - Setting up Personal Care Assistance (PCA) services

Provides specialty medicine and sexual health care to patients. Services include: HIV/AIDS Care: Primary care for individuals who are HIV positive and their families; routine care as well as medication and nutritional support counseling. Includes case management services to support patients with insurance applications, housing, transportation, and treatment support. Nephrology: Specialty care available for diagnosis, treatment, and prevention of non-surgical kidney diseases Sexually Transmitted Infection (STI) Care: Testing for Chlamydia, Gonorrhea, Syphilis, HSV, or Hepatitis B infections

Primary services include coordinated entry access point for individuals who are homeless or at risk of being homeless. Case management is offered to prevent future issues with homelessness. Financial assistance may be available, but it is NOT provided in all situations. Requirements vary by programs and funding. Potential assistance consists of: - Funding for housing and utility costs/deposits - Funding for transportation costs via vehicle repair or public transit - Clothing and food assistance as well as other basic needs - Housing stability case management Programs may include: - Assistance for homeless ex-offenders in Chisago, Isanti, Kanabec, Mille Lacs, and Pine County, housing placement, as well as rent and deposit funds, may be available - Limited fund for short term hotel stays in tandem with case management services- ?- Long-term homelessness supportive services, also known as coordinated entry, are provided for those who qualify for short term hotel stays in Aitkin, Carlton, Isanti, Mille Lacs, Kanabec, Pine, and Chisago County to help with housing search and placement for families and unaccompanied youth - Transitional housing services for homeless youth ages 16 - 22, as well as some financial assistance for rent ? ?NOTE: Funding comes from a variety of sources, including the Family Homeless Prevention and Assistance Program - FHPAP and others.

Provides chemical abuse and dependency treatment. Program offers: - Aftercare and continuing care: Support and counseling to maintain recovery after primary treatment; clients who completed primary care elsewhere may enroll in this portion - Customized scheduling: Programs can be adjusted to fit client needs - Chemical use evaluations: Assessments to guide treatment planning - Primary and residential care: Structured treatment for adults with substance use disorders - Relapse support: Programs to address relapse risk, followed by aftercare/continuing care

Provides comprehensive care management services tailored to meet the diverse needs of individuals living with complex or chronic health conditions. Services include: - Accompaniment: Supports individuals during medical or other appointments - Advocacy: Provides clarity on healthcare and service options and advocates individuals needs, or the needs of their loved one - Assessment: Assists with understanding each individual's medical, social, psychological, and spiritual needs - Caregiver Consultation and Support: Offers guidance and support to caregivers - Insurance and Benefit Assistance: Provides help with insurance, Medicare, and benefit forms - Mediation: Facilitates discussions and advocates for the individual's needs in decision-making processes - Referrals and Coordination of Community Resources: Connects individuals with relevant community service options - Relocation Support and Services: Assists with transitions and moving support between healthcare settings - Training and Recommendations: Offers training and recommendations for service providers based on individual support plans - Tailored Care Planning: Creates individualized care plans that account for unique circumstances, treatment goals, and preferences - Technology Innovations: Explores and implements technology to support independence and health

The assessment helps determine public programs that might pay for an individual's long-term services and supports or help them learn about other options if they don't qualify for publicly funded programs. It is required to determine eligibility for: Community First Services and Supports - CFSS (formerly known as Personal Care Assistance - PCA) Home and Community-Based Services Waivers based on age: - Individuals Over 65 Years Old: Alternative Care (AC); Elderly Waiver (EW) - Individuals Under 65 Years Old: Brain Injury Waiver (BI); Community Access for Disability Inclusion Waiver (CADI); Community Alternative Care Waiver (CAC) Intellectual and Developmental Disability (IDD) Services (also known as Rule 185 Case Management) Family, friends, or others can attend the assessment. The assessment is in person at the individual's home or at a place of their choice, and it lasts about two hours.

The assessment helps determine public programs that might pay for an individual's long-term services and supports or help them learn about other options if they don't qualify for publicly funded programs. It is required to determine eligibility for: Community First Services and Supports - CFSS (formerly known as Personal Care Assistance - PCA) Home and Community-Based Services Waivers based on age: - Individuals Over 65 Years Old: Alternative Care (AC); Elderly Waiver (EW) - Individuals Under 65 Years Old: Brain Injury Waiver (BI); Community Access for Disability Inclusion Waiver (CADI); Community Alternative Care Waiver (CAC) Intellectual and Developmental Disability (IDD) Services (also known as Rule 185 Case Management) Family, friends, or others can attend the assessment. The assessment is in person at the individual's home or at a place of their choice, and it lasts about two hours.

Coordination of behavioral resources. Goal is to reduce the need for hospitalizations and allow people to successfully remain in the community. Services: - Preventative behavioral interventions, assessments, and crisis support planning - Technical assistance and training to families, day programs, schools, residential programs, and care providers serving individuals with intellectual disabilities and/or related conditions as well as individuals receiving services though a CADI waiver - Emergency telephone consultation - Coordination of transitional housing within the Metro Crisis Coordination Program (MCCP) crisis provider system - Support to reduce behavioral crisis that adversely affect the residential, work, or educational placements of people with intellectual disabilities and/or related conditions

Provides services to residents of Red Lake area: - Adult Services - Child Support and Collections - Financial Services - Fraud Prevention Investigator

The Scattered-Site Housing Program works directly with Coordinated Entry to provide permanent supportive housing within Ramsey County to women with a history of mental illness and/or chemical dependency, assisting with their goal towards recovery. Housing Navigators work to identify and remove barriers to housing, and work with landlords in the community to secure housing of the participant's choice. Upon moving in, wrap-around support services are provided by Case Managers and Peer Support Specialists to provide tenancy sustaining services as well as work on person-centered, long-term goals towards stability, self-acceptance, and empowerment.

Provides comprehensive care management and coordination for older adults and people with chronic or complex health conditions. Support patients and caregivers by answering questions, facilitating communication among providers, helping implement individualized care plans, identifying community resources, supporting transitions of care, assisting with paperwork, and participating in care planning and conferences as needed.

Provides homeless outreach and case management services to adults with serious and persistent mental illness. Offers housing options including crisis beds, rental assistance, and permanent housing. Outreach, case management, and rental assistance are also available to homeless youth under the age of 24. NOTE: Single adults and youth must get a pre-screen through United Way 211 to access this program. The pre-screen information is provided to Saint Louis County Housing Assessment Team (SLCHAT).

Provides chemical abuse and dependency treatment. Program offers: - Aftercare and continuing care: Support and counseling to maintain recovery after primary treatment; clients who completed primary care elsewhere may enroll in this portion - Customized scheduling: Programs can be adjusted to fit client needs - Chemical use evaluations: Assessments to guide treatment planning - Primary and residential care: Structured treatment for adults with substance use disorders - Relapse support: Programs to address relapse risk, followed by aftercare/continuing care

Access point for Coordinated Entry housing programs Individual life strategies: - Support education and case management for youth age 15 - 18 who are at risk of not graduating high school Independent Living Skills: - Provides youth ages 16 -21 years old information and case management during the transition from high school to college Big City Mountaineers: ? - Outdoor recreational trips for youth ages 13 - 18 years old - Program intent is to help gain self-esteem, self-sufficiency, and independent living skills through day trips in canoeing and other outdoor activities

The assessment helps determine public programs that might pay for an individual's long-term services and supports or help them learn about other options if they don't qualify for publicly funded programs. It is required to determine eligibility for: - Community First Services and Supports - CFSS (formerly known as Personal Care Assistance - PCA) - Home and Community-Based Services Waivers based on age: A. Individuals Over 65 Years Old: Alternative Care (AC); Elderly Waiver (EW) B. Individuals Under 65 Years Old: Brain Injury Waiver (BI); Community Access for Disability Inclusion Waiver (CADI); Community Alternative Care Waiver (CAC) - Intellectual and Developmental Disability (IDD) Services (also known as Rule 185 Case Management) Family, friends, or others can attend the assessment. The assessment is in person at the individual's home or at a place of their choice, and it lasts about two hours.

Provides chemical dependency services to meet clients' needs. Clients will participate in groups or individual sessions. Services provided are: - Case management services providing referral to treatment options, transportation to appointments, setting up appointments, job search, crisis management, housing support, and budgeting - Chemical dependency assessments for adults - Family education and therapy - One on one counseling - Outpatient treatment services for adults - Wellness education in nutrition and exercise

Provides the following services: - Case management - Home health aides - Home nursing care - RN and LPNs - Homemaker services - Independent Living Services (ILS) - Occupational therapy - Personal care attendant - Physical therapy - Private duty nurses - Speech therapy - Supervision between patient and doctor and family - Visiting nurse services

Domestic violence and sexual assault advocacy and therapeutic services program offered through a multi-year grant from the State Office of Justice Programs. Services include: - Case management and resource referrals - Emotional support and coping skills - Group therapy - Individual therapy including art therapy, Narrative Exposure Therapy, play therapy, and Trauma-Focused Cognitive Behavioral Therapy - Information about victim rights and resources - Learning about abuse, its effects, and opportunities for healing - Legal Advocacy: Court and law enforcement interview accompaniment; applying for an Order for Protection or Harassment Restraining Order - Safety planning

Provides early childhood mental health services. Also specializes in serving people with co-occurring mental health diagnoses and supports mental wellness throughout a person's lifetime. Services may include aspects of: - Case Management - Diagnostic Evaluations and Assessments - Individual and Family Therapy - Parent-Child Interaction Therapy - Permanency and Adoptive Family Support - Preschool Mental Health Day Treatment

Provides support to individuals age 65 and older and their families with navigating resources needed to live and age well in their home, including: - Access to health care services ?- Assistance with appointments, including transportation, scheduling, and following up with appointments for program participants ?- Family support services ?- Home visits ?- Referrals to resources

The assessment helps determine public programs that might pay for an individual's long-term services and supports or help them learn about other options if they don't qualify for publicly funded programs. It is required to determine eligibility for: Community First Services and Supports - CFSS (formerly known as Personal Care Assistance - PCA) Home and Community-Based Services Waivers based on age: - Individuals Over 65 Years Old: Alternative Care (AC); Elderly Waiver (EW) - Individuals Under 65 Years Old: Brain Injury Waiver (BI); Community Access for Disability Inclusion Waiver (CADI); Community Alternative Care Waiver (CAC) Intellectual and Developmental Disability (IDD) Services (also known as Rule 185 Case Management) Family, friends, or others can attend the assessment. The assessment is in person at the individual's home or at a place of their choice, and it lasts about two hours.

Employment services: Works with employers in the Twin Cities and Greater Minnesota to provide job placement and employment retention support to refugees and asylees who have been in the U.S. for less than five years. Assists with job skills training, resume writing, interviewing, and overall job readiness. Intensive case management (ICM): Assists refugees or secondary migrants who need additional help after the 90-day resettlement period. Connects refugees to a range of services, such as mental health counseling, employment services, assistance securing housing, mentoring, and extended cultural orientation. ?? Immigration services: Offers immigration legal services at low cost to help refugees, asylees, and other immigrants living in the Twin Cities and St. Cloud. Helps clients complete immigration documents - including permanent resident, naturalization, green card and visa applications, employment authorization, citizenship documents, family reunification petitions, and family visa applications. Refugee resettlement services: Assists? refugees during their first 90 days to get established and off to a good start in their new home. Helps to secure housing and find employment, enroll in school and English classes, connect to medical care, connect to community resources, orient to their community, and build bridges across cultures. Also provides additional services to students to help them achieve school success and support refugees who have been victims of trafficking.??????????????????????

The assessment helps determine public programs that might pay for an individual's long-term services and supports or help them learn about other options if they don't qualify for publicly funded programs. It is required to determine eligibility for: Community First Services and Supports - CFSS (formerly known as Personal Care Assistance - PCA) Home and Community-Based Services Waivers based on age: - Individuals Over 65 Years Old: Alternative Care (AC); Elderly Waiver (EW) - Individuals Under 65 Years Old: Brain Injury Waiver (BI); Community Access for Disability Inclusion Waiver (CADI); Community Alternative Care Waiver (CAC) Intellectual and Developmental Disability (IDD) Services (also known as Rule 185 Case Management) Family, friends, or others can attend the assessment. The assessment is in person at the individual's home or at a place of their choice, and it lasts about two hours.

Helps stabilize families by providing resources and services such as parenting and life skills, prevention and reunification, and housing. ?- Family Spirit Home Visiting Program: Provides an early childhood home visiting program designed specifically for American Indian communities, and is being implemented through a partnership with the Division of Indian Work. - Indian Child Welfare Act (ICWA) Collaborative: Provides advocacy services and intensive case monitoring to in-state Minnesota Native families who are involved in Child Protection. - Life Skills Parenting and The Family Support Program: Partners with Hennepin County to improve outcomes for Native families by providing family counseling, parenting support, life skills training, appropriate referrals, and education in child development and cultural values. - Section 8 Supportive Housing: Provides long-term housing for families who have experienced chronic homelessness. Tenants must demonstrate a commitment to sobriety and agree to MIWRC's zero tolerance policy for onsite substance use, gang affiliation, and/or interpersonal violence.

Intensive outpatient day treatment for children and adolescents with trauma and persistent mental health concerns which may be interfering with academic, social, and community functioning: - Advocacy and case management - Continued care (when eligible) - Individual therapy and family therapy - Participants receive group therapy and skills training each day - Transitioning/re-integration services