Supports and cares for individuals who are dying of incurable disease so that people may live as fully and comfortably as possible. Services provided in the hospital or in a patient's home include: - Companionship from volunteers - Education - Family support - Medical supply, equipment and medication management - Nursing care - Nutritional support - Pain and symptom management (also known as palliative care) - Physical, occupational and speech therapy - Spiritual counseling Support for caregivers: - Education and information to make difficult end-of-life decisions - Emotional support - Help caring for a loved one at home or in the hospital - Respite services

Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

Group homes for up to 14 residents, split into adolescent girls and boys ages 10 - 19 who are experiencing emotional and/or behavioral difficulty. Provides the following services: - Short-term services - Chemical dependency services - 30-day evaluations - Individualized treatment plan - Daily behavioral report - Living skills training - Corrective programming - Recreation - Transition services - Counseling and therapy services provided - Independent living program

Provides therapeutic host homes to children and youth living with a disability who require out-of-home care, having a nurturing environment, therapeutic foster family, and supportive disability services. Services for children and youth include: - 24 hours/7 days a week support - Accessing community-supported services - Choosing the design and delivery of the support they receive, as age appropriate - Living in a supportive family setting with opportunities to engage in activities the children enjoy - Having meaningful relationship with others including continued relationships with significant people in their lives such as their parent(s), siblings, or other extended family or community members

Addresses the conditions of emotional disturbance that impair and interfere with an individual's ability to function independently. For children with emotional disturbances, rehabilitation means a series or multidisciplinary combination of psychiatric and psychosocial interventions to: - Restore a child or adolescent to an age-appropriate developmental trajectory that had been disrupted by a psychiatric illness; or - Enable the child to self-monitor, compensate for, cope with, counteract, or replace psychosocial skills, deficits or maladaptive skills acquired for a psychiatric illness.

Community-Based Residential Homes - Advocacy - Community involvement - Nursing and support therapies - Respite support Family Support Services-FSS Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through: - Community involvement - Lifetime skills training - Personal needs training - Recreation/leisure activities - Social activities In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include: - Assistance in getting up and ready for school/work - Assistance with homework - Participation in evening or weekend leisure activities Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include: - Crafts and cooking - Domestic training - Personal safety training - Social skills training - Summer field trips Respite Offers temporary care within the community based homes for individuals whose caregivers may need a helping hand. This is offered to individuals who are currently living at home but on occasion the families may need a break. This offers families the opportunity to spend some quality time with their other children, covers assistance in family emergencies, gives families an opportunity to travel for work or leisure, and assures the families that their child is safe and is enjoying their time away also.

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Provides year-round short-term relief for children and adults ages five and up who are living with developmental or physical disabilities. The program offers several recreation, education, and leisure activities, but are not limited to: - Adaptive sports and recreation - Arts and crafts - Educational activities - Sensory stimulation - Skill building - Variety of games ?NOTE: Activities are hosted by respite counselors who engage participants through motivational support, fostering teamwork, and empowering others

4 and 6 bedroom homes. Services: - Residential services and respite care - Dietary services, nursing, maintenance, transportation, housekeeping and laundry - Occupational and physical therapy, recreation, social services, and music therapy - Residential services under MA waiver

Provides health care for Clearwater County including: - 25 bed Critical Access Hospital - 24-hour emergency department - Inpatient/Outpatient surgery department - Respiratory Therapy - Laboratory & X-Ray services - Mammography - CT scan, ultrasound, bone densitometry - Cardiac & Pulmonary Rehabilitation - Physical Therapy - Occupational Therapy - Visiting specialists - Swing beds & Respite Care - Therapeutic dietary consultant - Outpatient IV

The Secure unit is a twelve bed detention center. Youth must be at least 10 years old and not older than 19 years of age unless they have remained under the courts' extended juvenile jurisdiction. - Programming is available for males and females. - Encouraged to attend school provided by ISD 318 as well as recreational activities. - Access to chemical health education and mental health services. - Consequence Based Programming - Flexible - Short or long term - Daily use of behavioral rating scales - Availability of urine analysis - Cognitive behavioral groups and individual work

A safe place where counselors, therapists, and doctors create a therapeutic living environment to help students who reside in this setting gain the skills they need to succeed in their home, community, and school. Residential care and treatment for boys and girls ages 10-17 in a non-secure setting. There are 20 beds in the Cottage. Youth are referred to the Cottage by County Social Workers, County Probation Officers, Tribal Social Workers, Parents, self-referrals, or the courts. On-site educational programming is provided by Independent School District 318. Each student will earn credit for school attendance during placement at the North Homes Cottage. The following areas are addressed in each resident's plan: - Social/Interpersonal Skills - Emotional Control - Vocational Skills - Independent Living Skills - DBT and skills Students in the Residential Program participate in various program activities and receive services including, but not limited to: - Daily therapeutic/psycho-educational group discussions covering such topics as communication skills, emotions, anger management, gender issues, CD information, stress management, depression and conflict resolution - Individual counseling - Psychiatric evaluation and monitoring - Structured daily recreational/leisure activities - Structured daily schedule addressing daily living skill development - Cultural education, activities and advocacy - Community professional mental health services - On site school programming - Coordination with community resources and agencies - On site health screening and care - Spirituality services Treatment will have individual goals for everyone to complete. The North Homes Cottage provides programming for our Crisis Shelter and 35-Day Evaluations. Referral Contacts 218-327-3000 - Connie Ross, Administrative Director

Services provided include: - Inpatient and outpatient care - Cardiopulmonary services - Chemotherapy - Diabetes education - Emergency care - Fitness center - Home care - Urgent care - Laboratory - Pharmacy - Radiology - Rehabilitation - Respite care - Safe haven for abandoned newborns - Social services - Surgery and anesthesia - Volunteer opportunities - Birthing center - Nutrition counseling - Intensive care - Orthopedics - Pain management clinic

The North Homes Cottage offers a comprehensive 35 Day Evaluation to provide referral sources, children, and their families' appropriate recommendations to meet the client's needs. The Assessment Unit is staffed with trained youth counselors and Mental Health Practitioners who interact daily with clients and provide behavioral observations. The client will remain in the Assessment Unit for 35 days and participate in educational programming through independent School District 318, recreational, leisure, cultural, and spiritual activities, therapeutic groups, art therapy, medication education, eligibility for becoming a positive peer, visitation with family, etc. - 24-hour behavior observation and documentation by trained staff, Licensed Independent Clinical Social Workers. A comprehensive assessment, which identifies child and family issues, and historical information is conducted. The assessment team then recommends ongoing services that will best meet the present and future needs of the child and their family. The North Homes Cottage Assessment Program consists of components including: - Behavioral Assessments - Psychiatric Evaluation - Culture Assessment - Recreational Assessment - Academic Assessment - Family Assessment - Family History - Health Screening/Physical Examination - Substance Use Assessments The evaluations will be completed in 35 days, after which an assessment staffing will be held with members of the Treatment Team to discuss findings and recommendations. Referral Contacts (218)327-3000 or (888)430-3055 - Connie Ross, Administrative Director

Provides residential care facilities and services such as: - Foster homes in licensed and unlicensed settings for adults and children living with disabilities. Ongoing residential care and supportive services are individualized based on the needs of each person. - Crisis services and respite care to children up to age 18 who are in a crisis situation and are unable to remain in their current placement. Provides structured supports to help stabilize and transition them to less restrictive models of care. - Intermediate care facilities for individuals who have a developmental disability - See website for locations.

Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

- Caregiver coaching/counseling - Dementia empowerment service: Provides emotional support with dementia/early-stage memory loss, support system planning, goal setting, and community resources - Educational workshops - Support groups for caregivers - Volunteer in home and out of home respite care

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Waivered Services: - Available to persons with a variety of disabilities - Waivered services are flexible and can be provided in a variety of settings - CADI (Community Alternatives for Persons with Disabilities) Waiver is available to adults and children with disabilities who need a nursing facility level of care: - TBIW (Traumatic Brain Injury Waiver) is available to adults and children who have had severe brain injuries from an accident, or due to stroke, heart attack or disease - MR/RC (Mental Retardation and Related Conditions) Waiver provides supports to adults and children with developmental disabilities - EW (Elderly Waiver) provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home - AC (Alternative Care) Waiver provides supports to seniors at home or in adult foster care who would otherwise have to live in a nursing home, who because of their assets don't qualify for traditional Medical Assistance programs. Waivers pay for services such as personal care assistants, independent living skills counseling, homemaking, respite care, in-home family support, and other services Personal Care Attendants: - Provide assistance with daily living activities such as hygiene, grooming, dressing, taking medications, simple housekeeping, and other tasks - PCAs also provide behavioral monitoring and supervision to help clients with behavior problems - PCAs can help clients with FAS to live in a variety of settings, including foster care, their own homes and apartments, and family homes Other services: - In-home family supports and respite RSI provides support to caregivers and families of people with disabilities - Respite services gives caregivers and families a break for a few hours to a few days at a time. Respite can be provided in or outside of the family home - In-Home family supports services helps adults and children with daily life management skills, such as self-care, socialization, sensory/motor development, behavior management, community living and healthy recreation. - Respite and in-home family supports are waivered services programs - Adults and children who do not qualify for the MR/RC waiver may be eligible to receive similar kinds of help through the CADI or PCA programs

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

A safe place where counselors, therapists, and doctors create a therapeutic living environment to help students who reside in this setting gain the skills they need to succeed in their home, community, and school. Residential care and treatment for boys and girls ages 10-17 in a non-secure setting. There are 20 beds in the Cottage. Youth are referred to the Cottage by County Social Workers, County Probation Officers, Tribal Social Workers, Parents, self-referrals, or the courts. On-site educational programming is provided by Independent School District 318. Each student will earn credit for school attendance during placement at the North Homes Cottage. The following areas are addressed in each resident's plan: - Social/Interpersonal Skills - Emotional Control - Vocational Skills - Independent Living Skills - DBT and skills Students in the Residential Program participate in various program activities and receive services including, but not limited to: - Daily therapeutic/psycho-educational group discussions covering such topics as communication skills, emotions, anger management, gender issues, CD information, stress management, depression and conflict resolution - Individual counseling - Psychiatric evaluation and monitoring - Structured daily recreational/leisure activities - Structured daily schedule addressing daily living skill development - Cultural education, activities and advocacy - Community professional mental health services - On site school programming - Coordination with community resources and agencies - On site health screening and care - Spirituality services Treatment will have individual goals for everyone to complete. The North Homes Cottage provides programming for our Crisis Shelter and 35-Day Evaluations. Referral Contacts 218-327-3000 - Connie Ross, Administrative Director