Counseling services on the following issues: - Addiction to the Internet - ADHD - Adolescents and child counseling available - Anger management - Anxiety - Christian/secular counseling available - Compulsive disorders - Depression - Family counseling - Grief and loss issues - Healing after divorce - Individual counseling - Life changes - Marriage enrichment - Psychological testing and assessment - Sexual abuse victims and other abuse issues - Spiritual issues - Stress management

- ADD/ADHD initial evaluation - Adult vaccinations - Allergy and immunology including shots and testing - Anticoagulation therapy - Audiology - Bone density scanning - Camp and sports physical exams - Child and teen psychology - Childhood vaccinations - Comprehensive medication review - Diabetes education program - Diabetes education program - eVisits and virtual visits for appointments by phone, online, or computer and provide care for common conditions - Family medicine - Flu vaccinations - Health maintenance exams - Health screenings include blood pressure, cholesterol, colonoscopy, colposcopy, depression, diabetes, mammogram, osteoporosis, prostate cancer, and sexually transmitted disease (STD) - Infectious disease - Internal medicine - Medicare wellness exams for Medicare recipients - Medication management - Obstetrics and gynecology: Health screenings, pap smears, ultrasound, and women's health - Optical shop - Optometry - Osteopathic medicine - Pediatric medical home services - Pediatrics - Plastic surgery (cosmetic and reconstructive) - Podiatry - Psychiatric testing, medication monitoring, and talk therapy - Psychological assessments - Radiology - Rheumatology - Sports medicine - Surgical oncology - Well-child exams - Workers' compensation exams

Provides outpatient mental and behavioral health counseling and support services that incorporates traditional and cultural practices. Providers specialize in trauma-informed and culturally-informed care. - ADHD assessments and testing - Adult, elder, individual, and adolescent/youth counseling - Bereavement/grief counseling - Child guidance - Crime victim counseling - Culturally informed therapy groups - Divorce counseling - Family violence counseling including adult incest survivors, child abuse counseling, elder abuse counseling, parent abuse counseling, and spousal abuse counseling - Health concerns counseling - Integrated care and consultation with clinic programs - Marriage counseling - Mental health education and consultation with schools, community agencies, other professionals - Parent counseling - Play therapy - Post abortion counseling - Postpartum counseling - Psychiatric disorder counseling - Psychological assessments and evaluations including clinical evaluation, psychological testing, and psychosocial evaluation - School-based behavioral health services at Anishinabe Academy, Sanford Middle School, and South High School - Sexual assault counseling for adults and children - Sexual orientation counseling - Sexuality counseling - Terminal illness counseling - Trauma informed treatment

Provides outpatient mental health services such as: - Individual and Family Therapy: Help address feelings of helplessness, sadness, difficulty concentrating on everyday activities, excessive worry, harmful thoughts, and actions that may cause harm to self or others. Therapy explores desired goals and works on changes in the way of thinking, reacting, and behaving. - Dialectical Behavioral Therapy (DBT): Helps people suffering from mood disorders and those with harmful behavior patterns to increase emotion regulation skills, decrease fluctuating emotions and moods, increase distress tolerance skills, interpersonal effectiveness skills, and mindfulness. - Psychiatry Services: Performs a full range of medical laboratory, psychological tests, and medication management to help assess both the physical and mental aspects of the client's mental health.

Provides comprehensive psychological assessments, evaluations, and treatment for children and adolescents. Services include diagnostic clarification, identifying treatment recommendations, and providing a framework for understanding the client's emotions and behaviors.

Offers individual, family, marriage, senior, child, and adolescent counseling focusing on a variety of issues.

Provides culturally sensitive Adult Rehabilitative Mental Health Services (ARMHS) that can be provided in the office, client's homes and other appropriate community locations. Provides culturally sensitive outpatient therapy and counseling services as well as diagnostic evaluations and psychological assessments for adults and youth ages 13 - 19. Conditions treated include: - Anxiety - Attention-Deficit/Hyperactivity Disorder - Autism Spectrum Disorder - Depression - Family problems - Grief - Life transitions - Post-Traumatic Stress Disorder - Post-partum depression - Severe and persistent mental illness - Stress-related conditions Individual, couple, family, and group therapy sessions are available. Telehealth services are available.

Services include diagnostic evaluations, individual therapy, family therapy, and comprehensive psychological assessments for: - Attention Deficit Hyperactivity Disorder - Anxiety - Depression - Learning problems With permission, services are also coordinated as needed with schools, physicians, probation offices, the courts, and social service agencies

Statewide mental health response team that helps deaf, deafblind, and hard of hearing adults acquire accessible mental health services within their community. This team provides the following services to people with hearing loss: - Aftercare planning - Assessment and stabilization - Care coordination - Community placement assistance - Counseling services and treatment - Crisis intervention - Individual and family consultation

Offers comprehensive psychological testing and evaluation for children, adolescents, and adults Types of assessments offered: - Attention-Deficit/Hyperactivity (ADHD) assessment - Autism Spectrum Disorder (ASD) assessment - Cognitive assessment/IQ testing - Developmental assessment - General Psychological assessment - Learning Disabilities assessment - Neurocognitive assessment

- Development screening - Education regarding health issues - Hearing and vision screening - Laboratory tests including lead - Mental health screening - Nutrition education - Referrals given as needed - Tuberculosis screening and treatment - Immunizations

- Individual, couple, family, adolescent and child counseling services - Sexual abuse counseling - Psychological consultation and diagnostic assessments - Group therapy and support groups available - Services to clergy - After hours telephone emergency counseling/referral service - Veteran caregiver support group

Assessment and diagnosis, individual and family therapy, and psychiatric medication management for people with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactive Disorder (ADHD)

Child services include: - Diagnostic assessment in infancy and early childhood (ages birth - 3 years old) - Parent-child psychotherapy - Psychological evaluations - School-Based Services: These mental health services are also provided within locations of schools in Chisago, Hinckley, North Branch, Pine City, and Rush City School District

Mental Health and Psychiatry Services: - Diagnostic Assessments - Genetic Testing: For the purpose of understanding about clients and the effectiveness of treatments. With genetic testing, providers can better understand the reasons, factors, and risks associated with individuals, including medication reactions, to better predict successful outcomes and basic concepts of genes and how they can influence the client's health and response toward particular treatments. - Individual, Family and Marriage Counseling - Medication Management: Provides monitoring of medications that a client takes to ensure that he or she is complying with a medication regimen, while also ensuring the client is avoiding potentially dangerous drug interactions and other complications. - Medication Therapy and Counseling: Offers a medication-assisted treatment program for alcohol and opiate addiction. The medication options administered along with a tailored therapy plan are Vivitrol and Suboxone, both of which are used to reduce withdrawal symptoms; decrease cravings; and prevent use of heroin, opioids, and alcohol. - Psychiatric Consultations: Provides comprehensive evaluations to individuals of psychological, biological, medical, and social causes of emotional distress. - Telehealth (available statewide) - Treatment Planning: Each individual enrolled in the program will create a treatment plan with a counselor. The treatment plan will be customized, compiled of goals and objectives based on an individual client's needs and wants. Substance Use Treatment Services: - Comprehensive Substance Use Assessments: The comprehensive assessment is done with a counselor to establish a better understanding of the individual's past and current substance use. The assessment screens for mental and physical health needs as well. In addition, the Rule 25 substance use assessment is performed by a certified assessor, which helps to determine placement and level of care. - Family Therapy (Group or Individual): This is counselor-facilitated therapy designed for spouses, family members, and friends of people who struggle with addiction to come together with clients and others who share similar experiences. This service is interactive and focuses on the role addiction plays in family dynamics. The goal of family therapy is for family members and clients to gain insight into the nature of addiction and how it affects the whole family. Family members will learn how to identify what behaviors support recovery and what behaviors inhibit recovery, along with learning tools and gaining resources on how to help them. - Group Therapy: Group therapy consists of being with peers that share many of the same struggles. During group therapy, clients share the objectives they have completed and receive feedback from the counselor and other group members. Everyone is counseled as an individual in a group. Group therapy is beneficial for a variety of factors: instillation of hope, universality, gaining knowledge through others experience, and having a sense of belonging, to name a few. - Individual Therapy: Individuals who are in group therapy will also receive individual therapy with an LADC. Individual therapy is beneficial for treatment planning and being able to work on core issues that are not appropriate or comfortable in a group setting. - Medication Therapy and Counseling: Medication therapy and counseling is a service or group of services that optimizes drug therapy with the intent of improved therapeutic outcomes. - Medication-Assisted Treatment Program: Offers a medication-assisted treatment program for alcohol and opiate addiction. The medication options administered along with a tailored therapy plan are Vivitrol and Suboxone, both of which are used to reduce withdrawal symptoms; decrease cravings; and prevent use of heroin, opioids, and alcohol. - Primary Day and Evening Group: Monday, Tuesday, and Thursday from (9:00am - 12:00pm or 5:30pm - 8:30pm) This is an intensive program designed to present information in a format that helps clients gain a fresh perspective in areas they have had difficulty internalizing and putting into practice in their daily struggle with addiction. This is an outcome-based program. Length of time is dependent upon the client's progress and special needs. - Treatment Planning

Child services include: - Diagnostic assessment in infancy and early childhood (ages birth - 3 years old) - Parent-child psychotherapy - Psychological evaluations - School-Based Services: These mental health services are also provided within locations of schools in Chisago, Hinckley, North Branch, Pine City, and Rush City School District

Therapy in individual, family, and group settings Some of the problems addressed can include: - Abuse - Anxiety - Anger management - Depression - Eating disorders - Family and marital issues - Grief - Life stress - Pain management

Statewide mental health response team that helps deaf, deafblind, and hard of hearing adults acquire accessible mental health services within their community. This team provides the following services to people with hearing loss: - Aftercare planning - Assessment and stabilization - Care coordination - Community placement assistance - Counseling services and treatment - Crisis intervention - Individual and family consultation

Offers a range of treatments that can help with mental health problems, emotional challenges, and some psychiatric disorders. It aims to assist individuals to understand their feelings better and provide tools to help them cope with difficult situations more adaptively. Psychotherapy services can assist people experiencing a wide range of mental health concerns. Additional outpatient services include: - Animal Assisted Therapy - Chemical dependency assessment - Diagnostic assessment - Dialectical Behavioral Therapy (DBT) - Eye Movement Desensitization and Reprocessing (EMDR) Therapy - Family, group, and individual therapy - Family violence counseling including adult incest survivors, child abuse counseling, elder abuse counseling, parent abuse counseling, and spousal abuse counseling - Managing and Adaptive Practice (MAP) - Mood/Anxiety Disorders: Depression, anxiety, bipolar disorders, panic attacks, obsessive-compulsive disorders, postpartum/perinatal depression, post traumatic stress disorder (PTSD), social phobia, and specific phobias - Relationship Issues: Communication skills, conflict resolution, divorce counseling, marriage counseling, parenting counseling, and sexuality issues - Sexual assault counseling for adults and children - Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) - Trauma Informed Child-Parent Psychotherapy (TI-CPP)- Other: Behavioral and trauma related issues; adoption issues; grief and loss; stress management; self-esteem; geriatric/aging; life transition issues

Assessment and diagnosis, individual and family therapy, and psychiatric medication management for people with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactive Disorder (ADHD)

Therapists provide diagnostic assessment, psychotherapy and case management for people with psychological and emotional difficulties such as: - Depression and anxiety - Marriage and family problems - Medically related conditions - Stress-related conditions - Workplace issues

Assertive Community Treatment (ACT): ACT is an evidence-based treatment for adults who have a severe and persistent mental health illness. Based on severity of symptoms and impairments, clients work with the team on a long term basis. Adult Rehabilitation Mental Health Services (ARMHS): Adult mental health services that enable individuals to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills. Behavior Health Home: Provides individuals with their care needs. The team work closely with the individual, their supporters and providers to ensure comprehensive quality of care. Community Support Program (CSP): The Community Support Program is a coordinated care and treatment program which provides a wide range of individualized treatment, rehabilitation and support services to persons with serious and persistent mental illness. The purpose of the community support program is to assist individuals to live as successfully and independently as possible in their own communities by supporting independent living and coping skills. Targeted Case Management: Helps adults with serious and persistent mental illness (SPMI) gain access to needed mental, medical, social, educational, vocational and other necessary services as it relates to the person's overall health needs.

Case Management: Offers short-term and long-term case management to help adults with severe and persistent mental illness (SPMI) live successfully and independently. Case managers provide support for individuals who are at the greatest risks and need life-changing assistance. People are connected to care coordination, housing support, coordinating of physical and health supports, and intensive goal planning and management. Depending on a person's needs, services include: - Assessment - Case planning - Advocacy - Care coordination - Housing assistance or coordination - Monitoring and support - Crisis evaluation and assistance - Connection to community wellness and social activities Mental Health Clinic: Avivo's Mental Health Clinic in Minneapolis exists to support Avivo's mission in the areas of recovery and mental health in Minnesota. Therapists provide counseling, mental health diagnostic assessments, and crisis resources. Expertise in working with co-occurring concerns, trauma, SPMI, mood disorders, and complex barriers such as homelessness and unemployment. Target Mental Health Case Management (TCM) and Intensive Case Management (ICM): Offers long term (voluntary and court ordered) case management programs provided to people with severe and persistent mental illness (SPMI). TCM/ICM case managers operate from a harm reduction, housing first, and trauma informed model to provide client centered, culturally responsive long-term case management. Assists with goals relating to: housing stability, employment, community supports, and healthcare.

Therapy in individual, family, and group settings Some of the problems addressed can include: - Abuse - Anxiety - Anger management - Depression - Eating disorders - Family and marital issues - Grief - Life stress - Pain management

Provides mental health services to individuals in need. Services include: - Crisis line available for individuals experiencing a mental health crisis, behavioral crisis, and/or substance use - Individual psychotherapy - Medication management - Psychological evaluations - Psychiatric evaluations - Referrals to other agencies within the community for additional support and treatment