Therapeutic in-home family-based services address the conditions of mental health issues, family functioning, childhood trauma, behavior problems, and other issues that impact individual well-being and family health. Services include: - Individual and family skills training - Individualized treatment plans and level of intensity/frequency of contact based on individual family needs and care plans - Professional Education - Supervised visitation - Therapy: Individual, family, and/or group psychotherapy

Independent Living Skills (ILS) Group Training: Youth meet weekly to discuss topics such as goal setting, employment, housing options, post-secondary education, and money management. Youth attending the 18-week Independent Living Skills program (60 curriculum hours) may be eligible for 0.5 high school credits. Transition Planning: Individual transition planning services for youth that will age out of care into independence; provides one-on-one case management services. Leadership and Community Development: Leadership opportunities are offered through our Youth Leadership Council. The Duluth Youth Leadership Council is a group of current and foster youth aged 16-24 who plan quarterly projects to raise awareness of issues in the foster care system and advocate for youth currently in care.

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. Services also include: - Designated staff that provides chemical assessments - Crisis intervention to individuals who are intoxicated and/or at risk of harm to themselves or others - Referral to community service providers for chemical assessments or treatment services

A community-based adult mental health program that follows an evidence-based practice called Individual Placement and Support (IPS). Individual Placement and Support (IPS) is a model of supported employment for people living with serious mental illness or serious and persistent mental illness. This program assists individuals with mental illness to find and keep a job of their choosing. Participants work with a team of professionals to maximize the possibility of employment success.

A community-based adult mental health program that follows an evidence-based practice called Individual Placement and Support (IPS). Individual Placement and Support (IPS) is a model of supported employment for people living with serious mental illness or serious and persistent mental illness. This program assists individuals with mental illness to find and keep a job of their choosing. Participants work with a team of professionals to maximize the possibility of employment success.

- Blood pressure screening - Breastfeeding mothers support - Case management and care coordination - Child and teen checkup outreach - Family planning services - Financial assistance available for prenatal care, pelvic exams, PAP smears, pregnancy testing, etc. - Follow Along Program: Home visits for newborns, including questionnaires sent to the home until child is four years old. If something on a questionnaire causes concern, a nurse will visit the home and take action if appropriate. - Food recall information - Home health care including home nursing with blood pressure screening, diabetes education for newly diagnosed patients, instructions for new diets, and monitoring of medication administration. Home Health Aides assist with bathing and personal care, meal preparation, and assistance with hair and oral care. Physical therapists, occupational therapists, and speech therapists provide services also. - Immunizations: available for children and young adults, birth through age 18. Hepatitis B and Tdap for a fee for adults. Flu shots available from October through December. - Mantoux testing (tuberculosis) - Loan closet - Maternal and child health (car seats available for low-income families) - Prenatal care and education including safety and proper use of car seats - School health nurses consult with teachers on topics such as AIDS, teen pregnancy prevention, self-breast exams, and nutrition. Preschool screenings as well as immunization, vision, and hearing clinics.

Provides a web-based application that is comprehensive and integrates assessment and support planning for people who need long-term services and supports The assessment takes a person-centered approach to ensure services meet each individual's strengths, goals, preferences, and assessed needs; includes assessing what level of service is needed for care such as homemaker, home health aide, adult day care - Early intervention visits - Information and education about local long term care options - Information about public programs that can help pay for programs - Pre-admission screenings prior to nursing home admission - Transition assistance for people who want to return to community settings after admission to a facility NOTE: Community or in-person screening is required in some situations to determine eligibility for waiver services The assessment replaces the following assessment tools: - Developmental Disability Screening - Long-term Care Consultation Assessment - Personal Care Assistance Assessment - Home Care Nursing Assessment (to be included in a future enhancement) The assessment determines eligibility for publicly funded programs and services including: - Alternative Care Program - Brain Injury Waiver - Community Alternative Care Waiver - Community Alternatives for Disabled Individuals Waiver - Developmental Disability Waiver - Elderly Waiver - Case management for people with developmental disabilities - Semi-Independent Living Services

A comprehensive web-based application that integrates assessment and support planning for people who need long-term services and supports in Minnesota. The assessment takes a person-centered approach to ensure that services meet each individual's strengths, goals, preferences, and assessed needs. The assessment replaces the following assessment tools: - Developmental Disability Screening - Long-term Care Consultation Assessment - Personal Care Assistance Assessment - Home Care Nursing Assessment (to be included in a future enhancement) The assessment determines eligibility for publicly funded programs and services including: - Alternative Care Program - Brain Injury Waiver - Community Alternative Care Waiver - Community Alternatives for Disabled Individuals Waiver - Developmental Disability Waiver - Elderly Waiver - Case management for people with developmental disabilities - Semi-Independent Living Services NOTE: Community or in-person screening is required in some situations to determine eligibility for waiver services

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 Alternatives 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.

Coordinates victim-centered resources and services for sexually exploited youth (SEY) and serves as a central resource for community members, business providers, and law enforcement. - Case management - Creates a system of coordinated care and assists with protocol development - Provides training and technical assistance

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.

- CMH-TCM, are activities that are designed to help a child and their families coordinate needed mental health services. Case Management services include assisting a family in accessing services including, social services, educational services, health services, recreation services and related services in the area of volunteering, advocacy, transportation and legal services. Case Managers assist families in obtaining a comprehensive diagnostic assessment to determine eligibility. Once determined, Case Managers assist families in developing an Individual Family Community Support Plan that assures continuity of care. Case Managers are required to consistently assess and reassess the delivery, appropriateness and effectiveness of services over time. - A child is determined to be eligible for case management services by the county if they have a mental health diagnosis that is causing interference in multiple life areas (school, home, peers and community). The mental health diagnosis could include ADHD, anxiety disorder, depression, oppositional defiant disorder, etc. CMH-TCM is a voluntary service offered to families to assist with service coordination. - Adolescents ages 5 - 18 are eligible for services, and services can continue for youth over age 18 if they choose and they are still enrolled in school. CMH-TCM services can continue into the adult mental health system if needed and the case manager can assist in that transition process. - There is no charge to families for this service; CMH-TCM can be billed through MA, IM Care and private insurance.

Helps children with severe emotional disturbance and their families obtain needed mental health, medical, social, educational, and vocational services within the community. Case managers meet with clients and their families at a variety of community locations, including residences that are convenient and easily accessible for those involved in the program.

Provides the following educational programs for individuals who are deaf and hard of hearing: - Accuplacer testing/training: A test that helps place students in the appropriate college courses for their skill level - Adult basic education and tutoring - Case management and citizenship training for refugees who are deaf - Driver's education - High school diploma assistance

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.

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. - Provides treatment coordination for eligible individuals - Provides referrals to local community service providers for chemical assessments or treatment services

Adult Rehabilitative Mental Health Services (ARMHS): Adult mental health services aimed at teaching skills for managing mental health symptoms. These services focus on helping individuals live as independently as possible. Behavioral Health Home (BHH): Provides a comprehensive care management team, care coordination services, provides assistance to individuals who are moving towards different care levels, and provides referral resources for community and social service support. Primarily serves individuals with the following: - Generalized Anxiety - Major Depression - PTSD - Borderline Personality Disorders - Schizophrenia Disorders Children's Therapeutic Services and Supports (CTSS): Multicultural children's mental health program working to restore or develop age-appropriate skills and function for children and youth living with a serious mental illness.

A comprehensive web-based application that integrates assessment and support planning for people who need long-term services and supports in Minnesota. The assessment takes a person-centered approach to ensure services meet each individual's strengths, goals, preferences, and assessed needs. The assessment replaces the following assessment tools: - Home Care Nursing Assessment (to be included in a future enhancement) - Developmental Disability Screening - Long-term Care Consultation Assessment - Personal Care Assistance Assessment The assessment determines eligibility for publicly funded programs and services, including: - Alternative Care Program - Brain Injury Waiver - Case management for people with developmental disabilities - Community Alternative Care Waiver - Community Alternatives for Disabled Individuals Waiver - Developmental Disability Waiver - Elderly Waiver - Semi-Independent Living Services

Assist people with disabilities 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 services

Helps children with severe emotional disturbance and their families obtain needed mental health, medical, social, educational, and vocational services within the community. Case managers meet with clients and their families at a variety of community locations, including residences that are convenient and easily accessible for those involved in the program.

Social workers provide services to preserve Native American families and avoid children being placed out of the home. Services include: - Case management - Child protection services to protect Native American children - Court system advocacy to assist counties serving Native American children who have been victims of abuse and/or neglect and assist the court in understanding the unique characteristic of Indian clients - Crisis intervention - Families First and Prevention Services: Short-term 4-6 weeks intensive crisis intervention and family education services to preserve Indian families. Provides parenting education, problem-solving skills, communication and negotiation skills, child development training, job-readiness training, and parenting classes - Out of home placement supervision - Stay Program: Support group for independent living skills development for youth ages 14 - 21 such as group education and recreational activities to learn about healthy lifestyles - Referral services to local community social service agencies

- Provides assessments - Case Management - Adult Foster home licensing, Day Care licensing - Money Management - Pre-petition screenings

Provides a web-based application that is comprehensive and integrates assessment and support planning for people who need long-term services and supports The assessment takes a person-centered approach to ensure services meet each individual's strengths, goals, preferences, and assessed needs; includes assessing what level of service is needed for care such as homemaker, home health aide, adult day care - Early intervention visits - Information and education about local long term care options - Information about public programs that can help pay for programs - Pre-admission screenings prior to nursing home admission - Transition assistance for people who want to return to community settings after admission to a facility NOTE: Community or in-person screening is required in some situations to determine eligibility for waiver services The assessment replaces the following assessment tools: - Developmental Disability Screening - Long-term Care Consultation Assessment - Personal Care Assistance Assessment - Home Care Nursing Assessment (to be included in a future enhancement) The assessment determines eligibility for publicly funded programs and services including: - Alternative Care Program - Brain Injury Waiver - Community Alternative Care Waiver - Community Alternatives for Disabled Individuals Waiver - Developmental Disability Waiver - Elderly Waiver - Case management for people with developmental disabilities - Semi-Independent Living Services

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. Also provides: - 1:1 and family chemical dependency counseling - Case management and advocacy - Provides referrals to local community service providers for chemical assessments, treatment services in outpatient, inpatient, extended inpatient treatment, halfway house care, and chemical dependency education and prevention programs - Referrals to low-cost community services for client needs beyond the primary chemical problem

Court related services: - Adaptive aids or special equipment - Adolescent life skills training - Family based services - Foster care - Placement - Licensing - Respite care - Case management - Public guardianship - Referrals to counseling - Transportation