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

Drug and alcohol testing

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

Cognitive Skills Classes: 18 week classes. This program operates through a curriculum called, "Thinking for a Change," which helps assist offenders in examining and correcting thinking errors. Community Work Service Program: Juveniles are assigned to do community work service, either through juvenile court or the diversion process, to work on projects throughout the county under the supervision of an adult supervisor. These work sites have been recruited and are continually montored by the Juvenile STS Crew Leader. Community service work sites offer a varied degree of work experiences that allow the juveniles to provide a service to their community. Electronic Surveillance Program: Utilizes electronic surveillance equipment for juveniles as an alternative to detention. Probation Officers make recommendations to the District Court regarding the appropriateness of releasing a juvenile on electronic monitoring to his/her parent or guardian's custody pending further hearings or disposition. Nicollet County Probation also uses electronic monitoring as a condition/sanction of a juvenile's probation. This option is used for juvenile offenders, both as an alternative for detention, as well as short term consequential programming. First Time Offenders Programs: Provides a number of opportunities for first time juvenile offenders. Many of these are educational groups, which are run within the department, as well as several where referrals are made to other agencies. Popular options outside the department include; the ARCHER Program (At Risk Chemical Health Education and Resilience) and the PERT Program (Program for Encouragement of Responsible Thinking). Juvenile Diversion Program: Offered for first time minor offenders. These juveniles are diverted from the juvenile court upon agreement of the County Attorney's Office and the Probation Department. The Probation Department meets with these juveniles and their parent(s) and provides programming that will deter further delinquent activity. Project Nighthawk: Joins probation officers and law enforcement in partnership to ensure compliance of court orders through random home visits to hold clients accountable to probation conditions, such as drug and alcohol testing. Randomly schedules visits on a weekly basis. Drug testing

- Comprehensive assessment (Rule 25) - Intensive outpatient programming - Safety Net: Consist of a team of providers and community support services to help each individual succeed in their own recovery goal - Substance use group: Topics may include DBT skills, living in recovery, 12 steps, mental health, and relapse prevention - Testing: On-site rapid substance testing via urinalysis and offer further extensive testing with contracted lab facility

- Provides Rule 25 Chemical Health Assessments for Native American people living within the boundaries of Leech Lake Reservation. - Provides assessments for ages 11 through adult. - Referrals are received through self-referrals; courts; probation; Child Welfare; and sometimes through detox centers, hospitals and schools. - Works with approximately 45-50 providers statewide, as well as referrals to the various Leech Lake CD programs. - Clients are referred to Inpatient Treatment, Outpatient Treatment, Aftercare and Relapse Prevention programs, and Halfway Houses. - Collaborates with treatment centers, social workers, probation officers, hospitals and schools to make the best possible plans for clients to obtain and maintain sobriety. - Priority assessments for pregnant women and adolescents. - Civil commitments for clients who are very ill due to chemical/alcohol use. - Data privacy and confidentiality are strictly adhered to according to policy.

- Lab and X-ray - Minor Surgeries - Wound Repair - Foot Care - Flu shots - Physicals - Sport, Well Child - Drug Screens - Immunization Clinics

Gundersen Spring Grove Clinic is a private clinic offering primary care services. Services include: birth control counseling/contraception, childhood immunizations, drug/alcohol testing, general obstetrics, general physical examinations, gynecology services, pregnancy testing, seasonal flu vaccines, sexually transmitted disease screening, and well baby care.

Drug and alcohol testing

Ross Resources offers comprehensive drug testing and screening. All tests are observed and all staff are trained and certified in drug testing. The following tests are available through our agency: - Hair Follicle Testing: Hair testing is the best method for screening out drug use. Hair testing is a process in which hair specimens are analyzed for illegal drug use. Hair testing offers the longest window of detection, (90 days standard test), and cannot be adulterated or substituted. Any samples that screen positive are confirmed using GC/MS, (Gas Chromatography/Mass Spectrometry) technology. Hair testing is valid and admissible in court cases. - Single Panel THC Dip Testing Card: The single THC Marijuana dip test card provides for an observed urine sample and results within 5 minutes of collection. - Five Panel Dip Testing Card: Provides very quick and easy verification of drug use. The five panel tests for cocaine, marijuana, opiates, amphetamines and methamphetamines. The test is accurate for use for the past 72 hours, or 3 days. As in the single panel test, the donor provides an observed urine sample and results are available within 5 minutes of collection. - EtG Alcohol Testing: EtG (Ethyl Glucuronide), is a direct metabolite of ethyl alcohol and is a marker for recent alcohol exposure. EtG may be detected as soon as 2 hours after exposure and may be detected for up to 80 hours past consumption. EtG tests whether ethanol has been used; it is not for current impairment. EtG is most useful in testing individuals who should not be drinking at all. **It should be noted that all tests can be sent in for further confirmation of levels. Ross Resources will be available to testify in court regarding any positvie tests. Please contact Ross Resources for services/pricing.

Family Advocacy in Recovery and Restoration (FARR) provides recovery support for women who are pregnant and/or parenting. Services are culturally appropriate, gender-specific, and comprehensive. FARR provides: - One-on-one case management - Peer sober support groups - Drug screens for accountability FARR case managers can assist with person-centered goals related to: - Recovery and mental health - Parenting and child development - Employment and education - Resource navigation FARR works in collaboration with PROOF Alliance to decrease the number of babies born exposed to substance use in-utero.

Drug and alcohol testing

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

Drug and alcohol testing

Gundersen La Crescent clinic is a private clinic offering primary care services. Services include: birth control counseling, childhood immunizations, confidential HIV testing, drug and alcohol testing, general physical examinations, gynecology services, pregnancy testing, seasonal flu vaccines, sexually transmitted disease screening, and well baby care.

Provides drug and alcohol testing services for DOT, FMCSA, PHMSA, FAA, FRA, FTA, and Coast Guard in addition to Non-Regulated testing for the workplace. Certified DOT Physicals, pre-work physicals, lift assessments, and vision testing.

Drug and alcohol testing

Provides substance use disorder services, including: - Drug and alcohol education - Flexible programming designed to meet clients' family needs and work schedules - Group therapy and individual counseling - Intake, assessment, and individual treatment planning - Men's and women's aftercare programming - Men's and women's anger groups - Referrals and funding available through Minnesota Rule 25 - Separate men's and women's group - Underage consumption classes (for those ages 18 to 21) - Urinalysis drug testing

- Minnesota Licensed Bed Capacity: Hospital Beds = 25 - 24-Hour Emergency services - Level III Trauma Center - Comprehensive Advanced Life Support (CALS) Hospital - Inpatient acute care - Intensive/Coronary Care - Obstetrics - Surgical services (inpatient and outpatient) - Diagnostic services such as laboratory and radiology - Anesthesia - Cardiac rehabilitation - Respiratory Care - Diagnostic Sleep Studies - Foot Care - Nutritional services - Nurse Navigator for breast cancer patients & colorectal cancer patients - Pharmacy - Rehabilitation Services - Physical Therapy - Occupational Therapy - Speech Therapy - Sports Medicine - Therapeutic Exercise and Massage Programs - Wound, Ostomy & Continence Care - Back and Neck Care - Swallowing Evaluations - Electrical Stimuli and Electrotherapy - Specialty Clinic and Physicians - Podiatry Care - Wellness coaching Community Support Programs: - Breast Cancer Support Group - Support group for Men, Spouses w Breast Cancer - Diabetes Support Group - Grief Support Group - EMT Training - CPR Training - First Aid Classes - Childbirth Classes - Drug and Alcohol Testing

Cognitive Skills Classes: 18 week classes. This program operates through a curriculum called, "Thinking for a Change," which helps assist offenders in examining and correcting thinking errors. Community Work Service Program: Juveniles are assigned to do community work service, either through juvenile court or the diversion process, to work on projects throughout the county under the supervision of an adult supervisor. These work sites have been recruited and are continually montored by the Juvenile STS Crew Leader. Community service work sites offer a varied degree of work experiences that allow the juveniles to provide a service to their community. Electronic Surveillance Program: Utilizes electronic surveillance equipment for juveniles as an alternative to detention. Probation Officers make recommendations to the District Court regarding the appropriateness of releasing a juvenile on electronic monitoring to his/her parent or guardian's custody pending further hearings or disposition. Nicollet County Probation also uses electronic monitoring as a condition/sanction of a juvenile's probation. This option is used for juvenile offenders, both as an alternative for detention, as well as short term consequential programming. First Time Offenders Programs: Provides a number of opportunities for first time juvenile offenders. Many of these are educational groups, which are run within the department, as well as several where referrals are made to other agencies. Popular options outside the department include; the ARCHER Program (At Risk Chemical Health Education and Resilience) and the PERT Program (Program for Encouragement of Responsible Thinking). Juvenile Diversion Program: Offered for first time minor offenders. These juveniles are diverted from the juvenile court upon agreement of the County Attorney's Office and the Probation Department. The Probation Department meets with these juveniles and their parent(s) and provides programming that will deter further delinquent activity. Project Nighthawk: Joins probation officers and law enforcement in partnership to ensure compliance of court orders through random home visits to hold clients accountable to probation conditions, such as drug and alcohol testing. Randomly schedules visits on a weekly basis. Drug testing

Tests to determine if there are drugs of abuse present

- Comprehensive assessment (Rule 25) - Intensive outpatient programming - Safety Net: Consist of a team of providers and community support services to help each individual succeed in their own recovery goal - Substance use group: Topics may include DBT skills, living in recovery, 12 steps, mental health, and relapse prevention - Testing: On-site rapid substance testing via urinalysis and offer further extensive testing with contracted lab facility

Provides walk in drug and alcohol screening for adolescents ages 13 - 18

Provides a range of primary care services including: - Allergy injections - Children's health and pediatrics - Drug screening and substance abuse evaluations - Illnesses, such as colds, fevers, sore throats, and ear infections - Immunizations and vaccinations - Laboratory services, stress tests, X-rays, and ultrasound procedures - Lesion removal, dermatology services, and wound care - Men's health - Osteopathic manipulative treatment - Preventative screenings like diabetes and hypertension - Pulmonary care - Routine prenatal care - Yearly checkups and yearly wellness visits

Drug and alcohol testing