Counseling specialties include: - Relationship Issues: Marital and pre-marital couples therapy, communication skills, conflict resolution and sexuality issues - Mood/Anxiety Disorders: Depression, anxiety, bi-polar disorders, panic attacks, post traumatic stress disorder (PTSD) and obsessive-compulsive disorders - Dialectical Behavioral Therapy (DBT): State-certified, evidence-based DBT programming for adults and a modified program for adolescents - Anger Management: Group and individual therapy - Other: Trauma related issues; foster care/adoption issues; adult ADHD; grief and loss; stress management; self-esteem; geriatric/aging; life transitions; gay/lesbian/transgender issues

Offers 30 to 120 days residential treatment program. 3 tier program with high medium and low intensities: - Group therapy, individual counseling, dialectical behavior therapy (DBT), trauma informed care, and 12 step groups - Recreation - Family program and anger management - Life skills, education assessment and planning, tutoring cognitive learning skills groups, and adult living skills groups - Relapse prevention, health and medication management groups - Transportation for clients - Mental illness/chemical dependency lectures - Transitions group - Psychiatric assessment and continued care with contracted psychiatrist if needed - Medication management

Co-occurring disorders treatment programming which includes group and individual therapy, educational lectures, meditation, recreational therapy, and participation in 12-step support groups. Clients are treated holistically - addressing substance abuse, mental health issues, and medical/psychiatric issues. Length of stay depends on the client's progress in the program.

Offers outpatient mental health to couples, families, and individuals dealing with abuse, anger, anxiety, behavior disorders, depression, post traumatic stress disorder, relationship conflicts and stress. Services include: - Accelerated Resolution Therapy (ART) - Cognitive Behavioral Therapy (CBT) - Dialectic Behavioral Therapy (DBT) - Group therapy - Illness Management and Recovery (IMR)

Coordinates a variety of maintenance and home-based services to ensure that individuals can safely stay in their homes. Services include: - Annual clean-ups - Cleaning - Family therapy - Handyman services - Housekeeping - Lawncare - Moving - Occupational therapy - Physical therapy - Snow removal

Provides a diagnostic assessment to determine if in-home services are medically necessary. Goals are made in collaboration with the child, caregivers, clinician, and the frequency of the therapy and/or skills training service based on need. Meeting in-home with clinicians to help improve functioning at home, school, and in the community while preventing higher levels of care such as hospitalization or partial hospitalization.

LSS Guardianship Option services include: Guardianship or Conservatorship: Manages the health and care of incapacitated individuals in the least restrictive manner possible and advocates in their best interest. Guardians and Conservators are appointed by the court. If an individual has no family or friends to assume the responsibility, LSS my be appointed. LSS staff gather information from individuals, caregivers and medical personnel to make medical and care decisions. Personal Representative of the Estate: Following court appointment, LSS completes probate requirements and handles disposition of assets according to the individual's wishes. Power of Attorney: Through a legally executed power of attorney, LSS is authorized to assist individuals in managing income and assets. Services may include check writing, checkbook balancing, assistance with financial and medical forms, assistance with retrofitting, maintenance, preparation for sale, the sale or purchase of property. Pooled Trust: Protects the public benefits of people with disabilities of any age while maintaining resources that will be available for their special or supplemental needs. The creation of a pooled trust moves assets from being countable for purposes of Medicaid and Social Security eligibility to being non-countable assets. Care Coordinator: Partners in decision making with individuals who may be alone and who may need help with contracting of repairs or services in the home, scheduling of appointments and making payments to providers.

Veterans Court is a problem solving court that is intended to serve veterans struggling with addiction, serious mental illness and/or co-occurring disorders. The objective of the court is to get veterans into treatment where the root causes of their behavior can be addressed as an alternative to time in jail. Compliance with court requirements is monitored through regularly scheduled court hearings and charges against participants are dropped following completion of treatment if they have remained alcohol and drug free and have committed no new offenses.

- Provides adult foster care for developmentally disabled, mentally ill or elderly of either gender - Capacity 3,One private room and one shared room - No Pets - No Smoking - No lifting

Receives and investigates complaints concerning an agency, licensed program or facility that provides services or treatment to individuals with mental illness, developmental disabilities, chemical dependency, or an emotional disturbance. May mediate or advocate on behalf of the client to resolve the complaint. Reviews the causes and circumstances of a serious injury or death of a client.

Outpatient counseling for depression, anxiety, anger, grief, or other issues: - Adult Mental Health Rehabilitation Services (ARMHS) - Anger management - Co-dependency - Coping with depression/anxiety - Coping with grief and loss - Crisis management - Employment skills - Group psychotherapy - Healthy lifestyle choices - Independent living skills (budgeting, shopping, cooking and nutrition) - In-home individual psychotherapy - Interpersonal communication strategies - Parenting skills - Stress management and relaxation Cedar House provides transportation for eligible clients to participate in services.

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.

Provides assessments, intake, information and referral, and case management for children with mental health needs. Children or adolescents must be younger than 18 and be diagnosed as having severe mental health/emotional (SED) needs with a current diagnostic assessment. Common diagnoses may include: - ADHD - Anxiety - Autism - Depression - Oppositional Defiant Disorder - Post-traumatic stress disorder (PTSD) Additional services may include case planning, consultation, facilitation of residential treatment, hospitalizations, and crisis support.

Licensed to provide 24-hour residential services. Focus is on maintaining placement stability and promoting independence and community integration. Residential support services: - Dialectical behavior therapy - On-site nursing - Psychiatric consultation and medication management - Rehabilitative mental health services (such as CTSS and ARMHS) - Risk management assessment - Diagnostic assessments - Comprehensive behavioral assessment intervention - Functional skill assessment - Individual, group and family therapy - Mental health care management - 24-hour crisis intervention Corporate foster care 24-hour care in individual and small group community settings, designed to target - High behavioral management needs - Interrupted placement histories - Crisis on-call support needs

- Provides habilitation skills for lower functioning clients and clients with behavior problem and training for skilled jobs such as: - Paper shredder - Log sanding - Sawing slabs - Janitorial - Housecleaning

Customized living for adults with physical and mental disabilities offering the following services: - Activities of Daily Living - Assistance with grooming (bathing, dressing) - Wound care - Continence/Incontinence care - Assistance with mobility (transfers to bed or wheelchair) - Assistance with eating and drinking - Emotional Support - Anxiety - Aggression - Confusion - Self-harm - Disorientation - Health Care Support - Assistance with healthcare monitoring - Administering and reminders for medication - Assistance with scheduling appointments - Home Management - Meal planning and preparation - Housekeeping - Laundry - Assistance with shopping

Offers age-specific diagnostic and treatment options to address the specialized mental health service needs of older adults. Helps with a wide range of problems including depression, anxiety, changes in sleeping or eating habits, confusion thought disorders, and other issues that cause distress, put a person at risk, or reduce his or her ability to function in the community. Services include: - Comprehensive diagnostic assessment - Psychotherapy (individual, family, and group) - In-home psychotherapy - Educational training and workshops on geriatric mental health issues

A web-based application that is comprehensive and 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: - 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 Access for Disability Inclusion Waiver - Consumer Support Grant - Developmental Disability Waiver - Elderly Waiver - Essential Community Supports for Seniors - Moving Home Minnesota - Personal care assistance - Case management - Semi-Independent living services

Provides services to children with severe emotional disturbance. Services include: - Children's Mental Health Targeted Case Management (CM-TCM): Assist children and families in obtaining needed services, improve functioning in education, interpersonal relationships, family relationships, family functioning, and enhance daily living skills - Children's Therapeutic Support Services (CTSS): Provides in-home, school-based, or community setting for counseling services. The program provides a safe, convenient, and nurturing environment for families and children to prevent out-of-home placement.

Provides counseling services to individuals, couples, and families including: - Anxiety related issues - Addiction counseling for tobacco, alcohol, drugs and other chemicals, gambling, food, and spending money - Counseling for children and adolescents for Autism, ADHD, eating disorders, fetal alcohol syndrome, behavioral problems, school problems, Depression, and Anxiety issues - Couples counseling such as improving communication, developing intimacy and closeness in a relationship, and relationship crisis - Depression and developing coping strategies to manage it - Family counseling such as separation, divorce, blended families, parenting, parenting issues, and childhood behavioral issues - Marriage counseling such as post-affair recovery, intimacy issues, anger, marital dissatisfaction, improving communication, and developing conflict resolution skills - Post-Traumatic Stress Disorder counseling such those who have past trauma with physical abuse, mental abuse, sexual abuse, or those who have witnessed a traumatic event - Spiritual counseling for those struggling with their purpose in life, anger with God, or have internal struggles concerning their religion/faith and the meaning of life

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.

- Provides adult foster care for mentally ill males - Capacity of 3 - 1 Dog - No smoking

Provides 245D waivered services which include: - Homemaker Services: Provides light household cleaning, laundry, assistance with home management, and activities of daily living - Individual Community Living Supports (ICLS): Offers assistance to older adults who need reminders, cues, intermittent/moderate supervision, or physical assistance to help them remain in their homes - Individual Home Supports Without Training: Provide support, assistance, and supervision to adults or children who live in their own homes - Night Supervision Services: Provides overnight assistance and monitoring in the client's home when the client is in need of assistance with activities of daily living, positive support programming, transition plans, and reinforcement of skills development - Personal Support: Non-medical care, assistance, and supervision

Offers all-day treatment program for individuals with severe eating disorders who need more than non-intensive outpatient services to build healthy living skills. - Clients typically spend a minimum of 40 hours a week in a Partial Hospitalization Program (PHP)/Intensive Day Program (IDP) spanning four weeks; can be extended as needed - Combines group therapy, individual therapy, meals, experiential therapies, meal planning, and psychoeducation - Psychotherapy available when needed - Weekly visits with a primary care clinician

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.