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Waivered Services:

• Available to individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

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.

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

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

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 is 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

Services for people of all ages who have disabilities with maintaining and improving personal health, increasing independent-living skills and participating in the community. Tailored services are delivered in the home and during community activities including:

• In-home family support

• Personal support

• In-home respite care

• Contracted case management

• Saturday center based respite care

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

• 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

The Itaskin Center & Cottage 35-Day Assessment Program is licensed by the Minnesota Department of Human Services (DHS). This assessment program serves residents between the ages of 10-17 years old. Upon completion of the 35-Day Assessment Program, a Comprehensive Assessment is provided to the youth's guardian and/or treatment team. The Comprehensive Assessment aims to identify child and familial strengths, resiliencies, and opportunities for growth via a multifaceted approach, while also providing diagnoses, recommendations, and a prognosis for recovery. This multifaceted approach involves a behavioral assessment, comprehensive assessment, wellness/recreation assessment, academic assessment, health screening/physical examination. Additional assessments, as requested by individual teams, include a psychiatric assessment and/or chemical use assessment. Upon completion of the program, the assessment team will also recommend a level of care believed to most accurately represent the current needs of the youth and how best to be supported. Opportunities for individual therapy and improving coping skills are provided throughout the 35-day assessment period.

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 is 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

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.

Group residences have 4 - 6 bedrooms offering:

• Dietary services, nursing, maintenance, transportation, housekeeping, and laundry

• Occupational and physical therapy, recreation, social services, and music therapy

• Residential services and respite care

• Residential services under MA waiver

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

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

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

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.

Provided in the patient's home, a nursing home, or at an inpatient facility such as a hospital:

• Care directed by a physician who has training in providing hospice and end-of-life care, along with the patient's personal physician

• Family support services throughout the care

• Help with daily needs, such as bathing, cooking, cleaning, or other needs

• If requested, visits from a chaplain

• Medical Equipment: Hospital bed, medical supplies, oxygen, and rails

• Medications to help control pain and symptoms

• Regular visits by nurses trained in hospice care, as well as 24-hour, on-call nursing support

• Respite care

• Social service support

• Volunteer support

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 individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

Certifications: QRTP (Qualified Residential Treatment Program) The Itaskin Treatment Center & Cottage Residential Treatment programs provide trauma-informed care in a safe, therapeutic living environment for children diagnosed with a Serious Emotional Disability. The program is adaptive to meet the individual needs of each youth, based on their trauma and mental health screens at admission. Program components include but are not limited to: family integration and support, daily therapeutic groups, cultural education and activities, on-site education, and health screenings and interventions.

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 individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

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.