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Winona Counseling Clinic is a private therapy practice offering conjoint, family, individual, and telehealth counseling settings. General counseling topics include: abuse, adoption/foster care, aging, alcohol use disorder, anger management, bereavement/grief, bullying, caregiver, cultural transition, death and dying, divorce, domestic violence, drug use disorder, family planning, parenting, pre-marriage and marriage, relationships, reproductive issues, sexual assault, spiritual/religious issues, suicide, terminal illness, and weight-related issues. This practice offers mental health screenings and assessments including: anxiety disorders screening, court ordered DUI evaluations, depression screening, early intervention for mental illness, eating disorders screening, general assessments for substance use disorders, general mental health screening, psychological assessment, and psychological testing. This practice also offers an impaired driver program for adolescents and adults. Additionally, counseling is offered for people with anxiety disorders, attention deficit/hyperactivity disorder (ADD/ADHD), bi-polar disorder, co-occurring mental health and substance use disorders, depression, eating disorders, mood disorders, obsessive compulsive disorder (OCD), panic disorders, perinatal/postpartum depression, personality disorders, post-traumatic stress disorder (PTSD), reactive attachment disorder, and self injury. Counseling for people with the following health disorders is also available: cancer, chronic illness, chronic pain, diabetes, heart disease, multiple sclerosis, physical disabilities. Pregnancy counseling is also provided (pro-choice and right-to-life perspectives offered). The agency provides targeted services for: active military, Black/African Americans, caregivers, court-ordered individuals, crime victims/witnesses, farmers/agricultural laborers, foster children, Hispanic/Latino persons, people with low incomes, men, migrants, Native Americans, pregnant persons, stepfamilies/blended families, veterans, and women. This practice includes counselors who can offer Christian faith-based counseling, cognitive behavioral therapy, and dialectical behavioral therapy.

Therapy for issues involving marriage, family, and sexual relationships. Focuses on topics including: - Pleasure-oriented positive sexuality - Relational intimacy - Sexual adaptation and resiliency - Sexual knowledge and understanding (sexual literacy) It also offers interdisciplinary care with medical providers to treat concerns with a physical component, as well as group therapy options. Common concerns discussed in group therapy include: - Conflict about differences in sexual desire/preferences - Low desire/interest in sex - Problems with orgasm - Relationship problems contributing to sexuality concerns - Sexual aversion - Sexual pain

A family therapist is assigned a limited caseload to work intensively with families in their homes. Family-based services include: - Family resources - Intensive in-home treatment - Outpatient behavioral services - Therapeutic foster care

Provides a safe, comfortable, and supportive environment for individuals living with a serious and persistent mental/emotional illness who are learning to manage their lives independently in the community using voluntary recreational and social choices.

Provides state-operated, secure mental health, substance use, and nursing treatment facilities for adults, including the following: - Community Behavioral Health Hospitals (CBHHs): Provide inpatient behavioral health care for adults in six communities throughout the state. These 16-bed hospitals offer acute, short-term hospitalization services that include comprehensive assessment of mental, social, functional, and physical health; development of individualized treatment plans with medication management and 24-hour nursing care; and care delivered by multidisciplinary teams consisting of psychiatrists, general practice physicians, psychiatric nurses, psychologists, clinical social workers, addiction counselors, and occupational therapists. Services also emphasize illness management and recovery, as well as individualized discharge planning, care coordination, and aftercare planning to support a successful transition back to an appropriate community-based setting. - Forensic Mental Health Services: Provides residential treatment services for adults in both secure and non-secure settings on a large campus in St. Peter, Minnesota. The program also operates a 32-bed North Campus facility on the north side of St. Peter and an additional 16-bed facility located off campus in St. Peter. FMHP primarily serves individuals who have been civilly committed by a court as mentally ill and dangerous, often following criminal charges in which a court determined they were not competent to stand trial or not guilty by reason of mental illness or cognitive impairment. Many patients are under more than one type of civil commitment. In addition, Community Integrated Services provides ongoing monitoring and support for FMHP patients who have been provisionally discharged by a court to live in less restrictive community settings. This statewide program serves individuals from all 87 Minnesota counties and supports patients in achieving stable, successful lives in a variety of community settings outside FMHP facilities. - Forensic Nursing Home: Provides state-operated nursing home and provides nursing home-level care in a secure environment. The facility serves individuals who are civilly committed as mentally ill and dangerous, sexually dangerous persons, or sexual psychopathic personalities, as well as prison inmates on medical release from the Minnesota Department of Corrections. Care provided is consistent with that offered in other nursing homes and includes assistance with daily living, rehabilitation services, and end-of-life care. - Intensive Residential Treatment Services (IRTS): Provide structured, short-term residential care for adults who no longer require hospitalization or other inpatient treatment but still need ongoing support before returning home. Clients typically have serious mental illness and may also have co-occurring conditions such as traumatic brain injury, addiction, or behavioral disorders. Services are available around the clock with support from mental health professionals and focus on improving psychiatric stability, personal and emotional adjustment, self-sufficiency, and independent living skills. Programs work collaboratively with clients to achieve individual goals and prepare them for a successful transition to home or to a less structured community setting, with an average length of stay of approximately 90 days before discharge. - Substance Use Disorder Treatment Services: Community Addiction Recovery Enterprise (CARE) provides inpatient substance use disorder treatment services to adults at three locations statewide. The program offers specialized inpatient services for individuals who are chemically dependent and have co-occurring mental illnesses, along with relapse prevention services and comprehensive aftercare planning. All CARE facilities are locked, and clients stay an average of approximately 90 days before discharge, depending on their level of participation and responsiveness to treatment.

Provides state-operated, secure mental health, substance use, and nursing treatment facilities for adults, including the following: - Community Behavioral Health Hospitals (CBHHs): Provide inpatient behavioral health care for adults in six communities throughout the state. These 16-bed hospitals offer acute, short-term hospitalization services that include comprehensive assessment of mental, social, functional, and physical health; development of individualized treatment plans with medication management and 24-hour nursing care; and care delivered by multidisciplinary teams consisting of psychiatrists, general practice physicians, psychiatric nurses, psychologists, clinical social workers, addiction counselors, and occupational therapists. Services also emphasize illness management and recovery, as well as individualized discharge planning, care coordination, and aftercare planning to support a successful transition back to an appropriate community-based setting. - Forensic Mental Health Services: Provides residential treatment services for adults in both secure and non-secure settings on a large campus in St. Peter, Minnesota. The program also operates a 32-bed North Campus facility on the north side of St. Peter and an additional 16-bed facility located off campus in St. Peter. FMHP primarily serves individuals who have been civilly committed by a court as mentally ill and dangerous, often following criminal charges in which a court determined they were not competent to stand trial or not guilty by reason of mental illness or cognitive impairment. Many patients are under more than one type of civil commitment. In addition, Community Integrated Services provides ongoing monitoring and support for FMHP patients who have been provisionally discharged by a court to live in less restrictive community settings. This statewide program serves individuals from all 87 Minnesota counties and supports patients in achieving stable, successful lives in a variety of community settings outside FMHP facilities. - Forensic Nursing Home: Provides state-operated nursing home and provides nursing home-level care in a secure environment. The facility serves individuals who are civilly committed as mentally ill and dangerous, sexually dangerous persons, or sexual psychopathic personalities, as well as prison inmates on medical release from the Minnesota Department of Corrections. Care provided is consistent with that offered in other nursing homes and includes assistance with daily living, rehabilitation services, and end-of-life care. - Intensive Residential Treatment Services (IRTS): Provide structured, short-term residential care for adults who no longer require hospitalization or other inpatient treatment but still need ongoing support before returning home. Clients typically have serious mental illness and may also have co-occurring conditions such as traumatic brain injury, addiction, or behavioral disorders. Services are available around the clock with support from mental health professionals and focus on improving psychiatric stability, personal and emotional adjustment, self-sufficiency, and independent living skills. Programs work collaboratively with clients to achieve individual goals and prepare them for a successful transition to home or to a less structured community setting, with an average length of stay of approximately 90 days before discharge. - Substance Use Disorder Treatment Services: Community Addiction Recovery Enterprise (CARE) provides inpatient substance use disorder treatment services to adults at three locations statewide. The program offers specialized inpatient services for individuals who are chemically dependent and have co-occurring mental illnesses, along with relapse prevention services and comprehensive aftercare planning. All CARE facilities are locked, and clients stay an average of approximately 90 days before discharge, depending on their level of participation and responsiveness to treatment.

Provides individual, couples, and family therapy. Services include: - Addiction and recovery - Adoption and Foster care adjustments for youth, birth and adoptive families - Christian-based therapy (upon request) - Conflict resolution - Eye Movement Desensitization Reprocessing Therapy (EMDR) - Grief therapy - Parenting support - Stress management - Telehealth - Therapy for anxiety and depression - Treatment for trauma, abuse and Post Traumatic Stress Disorder (PTSD) - Work and career issues

Provides individual, couples, and family therapy. Services include: - Addiction and recovery - Adoption and Foster care adjustments for youth, birth and adoptive families - Christian-based therapy (upon request) - Conflict resolution - Eye Movement Desensitization Reprocessing Therapy (EMDR) - Grief therapy - Parenting support - Stress management - Telehealth - Therapy for anxiety and depression - Treatment for trauma, abuse and Post Traumatic Stress Disorder (PTSD) - Work and career issues

- Psychotherapy with the child and/or their family members - Skills training with the child and/or their family members - Behavioral aide services - Crisis prevention planning

Provides state-certified adult and child mental health services, including: - Adult residential services - Children's mental health targeted case management - Counseling - Consultation and contracted services - Diagnostic assessments - Infant and early childhood mental health services - Mental health behavioral aides (MHBA) - School link mental health (SLMH) - School-based children's therapeutic services and supports (CTSS) - Reflective supervision

- Chemical use assessments - Comprehensive mental health and behavioral assessments - Co-occurring disorders counseling - Coping skills - Couples and family therapy - Crisis intervention - Family and couple's therapy - Individual and group therapy - Medication coordination - Neuropsychological screening - Online screening tests available - Psychiatric consultation - Referrals to resources for education and support - Screenings for adolescent and early intervention services - Stress management - Tele-mental health available

24 hour residential treatment. Services include: - Crisis management - Family education - Illness management and recovery - Independent living skills development - Integrated services for chemical dependency - Mental health counseling - Preventive health care education - Recreational and leisure skill training - Resident council - Support groups - Transition and discharge planning

?Residential care facility providing educational services and a variety of other services. Annandale Residence Work toward the goal of returning the girls age 12 to 18 years old to their homes or other homes that are in the best interest of the adolescent. Village Ranch will help adolescents who are struggling with a range of mental health and behavior issues: - Oppositional Defiant and Conduct Disorder - Attention Deficit Hyperactivity Disorder (ADHD) - Depression and Anxiety - Bipolar and Mood Disorders - Mild Chemical Dependency Residence is also offered to females needing Protective Services (CHIPS). Residential Care includes: - On-site individual, group, and family therapy to address specific behaviors - Programming which includes social skills and anger management - Trauma-Informed Care - Evidence-Based Practices - Cognitive Behavioral Groups - "Voices" Curriculum - Peer accountability groups - Opportunity to complete court-ordered community service - On-site Sholund School for Girls - Religion education (optional) - Chemical dependency outpatient treatment through a contracted agency Cokato Residence Work toward the goal of returning boys age 12 - 18 years old to their homes and helping adolescents who are struggling with a range of mental health and behavior issues: - Oppositional defiant and conduct disorder - Attention deficit hyperactivity disorder (ADHD) - Depression and anxiety - Bipolar and mood disorders - Mild chemical dependency Residence is also offered to children needing protective services (CHIPS). Residential care includes: - On-site individual, group, and family therapy to address specific behaviors - Programming that includes social skills and anger management - Peer accountability groups - Opportunity to complete court-ordered community service - The option to attend a local school - Religion education (optional) - Chemical dependency counseling Hutchinson Residence Focus on building the independent living skills of teenage boys, ages 15 to 19 years old so they may successfully return to the community. These residents enter our program voluntarily, through a court order, or through the Child in Need of Protective Services (CHIPS) program. While in residence, they benefit from a multi-disciplinary team to give them support, structure, and therapy to limit the risk of detrimental behavior. Residential care includes: - Individual, group, and family therapy - Life skills coaching, including money management, meals and nutrition, personal appearance and hygiene, health, housekeeping, education, job seeking, birth control, parenting and more - A requirement to attend the local public school (for those who have not graduated from high school or do not have a GED) - The option to receive a post-secondary education (for those with a high school diploma or GED) - Ongoing employment skills and learning Rochester Residence Focuses on building the independent living skills of teenage boys, age 15 to 19 years old, so they may successfully return to the community. Residents enter the program voluntarily, through court order, or through the Child in Need of Protective Services (CHIPS) program. While in residence, they benefit from a multi-disciplinary team to give them support, structure, and therapy to limit the risk of detrimental behavior. Residential care includes: - Individual, group, and family therapy - Life skills coaching, including money management, meals and nutrition, personal appearance and hygiene, health, housekeeping, education, job seeking, birth control, parenting, and more - Requirement to attend the local public school (for those who have not graduated from high school or do not have a GED) - The option to receive a post-secondary education (for those with a high school diploma or GED) - Ongoing employment skills and learning

Provides therapy and counseling services for individuals age birth - 21 and their families and caregivers that have disorders that affect social, learning, and behavior including Applied Behavior Analysis (ABA) therapy for autism spectrum disorder and related disabilities. Offers tailored services to each individual and can include expressive and receptive communication skill building, social behavior skills, activities of daily living, educational skills, and vocational skills.

Provides state-operated, secure mental health, substance use, and nursing treatment facilities for adults, including the following: - Community Behavioral Health Hospitals (CBHHs): Provide inpatient behavioral health care for adults in six communities throughout the state. These 16-bed hospitals offer acute, short-term hospitalization services that include comprehensive assessment of mental, social, functional, and physical health; development of individualized treatment plans with medication management and 24-hour nursing care; and care delivered by multidisciplinary teams consisting of psychiatrists, general practice physicians, psychiatric nurses, psychologists, clinical social workers, addiction counselors, and occupational therapists. Services also emphasize illness management and recovery, as well as individualized discharge planning, care coordination, and aftercare planning to support a successful transition back to an appropriate community-based setting. - Forensic Mental Health Services: Provides residential treatment services for adults in both secure and non-secure settings on a large campus in St. Peter, Minnesota. The program also operates a 32-bed North Campus facility on the north side of St. Peter and an additional 16-bed facility located off campus in St. Peter. FMHP primarily serves individuals who have been civilly committed by a court as mentally ill and dangerous, often following criminal charges in which a court determined they were not competent to stand trial or not guilty by reason of mental illness or cognitive impairment. Many patients are under more than one type of civil commitment. In addition, Community Integrated Services provides ongoing monitoring and support for FMHP patients who have been provisionally discharged by a court to live in less restrictive community settings. This statewide program serves individuals from all 87 Minnesota counties and supports patients in achieving stable, successful lives in a variety of community settings outside FMHP facilities. - Forensic Nursing Home: Provides state-operated nursing home and provides nursing home-level care in a secure environment. The facility serves individuals who are civilly committed as mentally ill and dangerous, sexually dangerous persons, or sexual psychopathic personalities, as well as prison inmates on medical release from the Minnesota Department of Corrections. Care provided is consistent with that offered in other nursing homes and includes assistance with daily living, rehabilitation services, and end-of-life care. - Intensive Residential Treatment Services (IRTS): Provide structured, short-term residential care for adults who no longer require hospitalization or other inpatient treatment but still need ongoing support before returning home. Clients typically have serious mental illness and may also have co-occurring conditions such as traumatic brain injury, addiction, or behavioral disorders. Services are available around the clock with support from mental health professionals and focus on improving psychiatric stability, personal and emotional adjustment, self-sufficiency, and independent living skills. Programs work collaboratively with clients to achieve individual goals and prepare them for a successful transition to home or to a less structured community setting, with an average length of stay of approximately 90 days before discharge. - Substance Use Disorder Treatment Services: Community Addiction Recovery Enterprise (CARE) provides inpatient substance use disorder treatment services to adults at three locations statewide. The program offers specialized inpatient services for individuals who are chemically dependent and have co-occurring mental illnesses, along with relapse prevention services and comprehensive aftercare planning. All CARE facilities are locked, and clients stay an average of approximately 90 days before discharge, depending on their level of participation and responsiveness to treatment.

Services include a comprehensive assessment, brief psychotherapy interventions, information, resources and referrals, and coordination and continuity of care with primary care team.

Provides individual, couple, family and play therapy; psychological assessment. Services provided for: - ADHD - Anger management and conflict resolution - Assessment and counseling for bariatric surgery patients - Autism spectrum disorders - Children and adolescents including behavioral and school problems - Chronic illness - Cluttering/hoarding - Couples problems - Depression and anxiety - Developmental disabilities - Grief and loss - Kleptomania - Overspending - Parenting concerns ?- Recovery from physical, sexual or emotional trauma - Step and blended family counseling ?- Veterans emotional health

Services offered: - Depression, anxiety, and stress management - Medication management - Individual, family, and couples counseling - Substance abuse counseling - Trauma counseling Telebehavioral health visits are available.

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.

?Residential care facility providing educational services and a variety of other services. Annandale Residence Work toward the goal of returning the girls age 12 to 18 years old to their homes or other homes that are in the best interest of the adolescent. Village Ranch will help adolescents who are struggling with a range of mental health and behavior issues: - Oppositional Defiant and Conduct Disorder - Attention Deficit Hyperactivity Disorder (ADHD) - Depression and Anxiety - Bipolar and Mood Disorders - Mild Chemical Dependency Residence is also offered to females needing Protective Services (CHIPS). Residential Care includes: - On-site individual, group, and family therapy to address specific behaviors - Programming which includes social skills and anger management - Trauma-Informed Care - Evidence-Based Practices - Cognitive Behavioral Groups - "Voices" Curriculum - Peer accountability groups - Opportunity to complete court-ordered community service - On-site Sholund School for Girls - Religion education (optional) - Chemical dependency outpatient treatment through a contracted agency Cokato Residence Work toward the goal of returning boys age 12 - 18 years old to their homes and helping adolescents who are struggling with a range of mental health and behavior issues: - Oppositional defiant and conduct disorder - Attention deficit hyperactivity disorder (ADHD) - Depression and anxiety - Bipolar and mood disorders - Mild chemical dependency Residence is also offered to children needing protective services (CHIPS). Residential care includes: - On-site individual, group, and family therapy to address specific behaviors - Programming that includes social skills and anger management - Peer accountability groups - Opportunity to complete court-ordered community service - The option to attend a local school - Religion education (optional) - Chemical dependency counseling Hutchinson Residence Focus on building the independent living skills of teenage boys, ages 15 to 19 years old so they may successfully return to the community. These residents enter our program voluntarily, through a court order, or through the Child in Need of Protective Services (CHIPS) program. While in residence, they benefit from a multi-disciplinary team to give them support, structure, and therapy to limit the risk of detrimental behavior. Residential care includes: - Individual, group, and family therapy - Life skills coaching, including money management, meals and nutrition, personal appearance and hygiene, health, housekeeping, education, job seeking, birth control, parenting and more - A requirement to attend the local public school (for those who have not graduated from high school or do not have a GED) - The option to receive a post-secondary education (for those with a high school diploma or GED) - Ongoing employment skills and learning Rochester Residence Focuses on building the independent living skills of teenage boys, age 15 to 19 years old, so they may successfully return to the community. Residents enter the program voluntarily, through court order, or through the Child in Need of Protective Services (CHIPS) program. While in residence, they benefit from a multi-disciplinary team to give them support, structure, and therapy to limit the risk of detrimental behavior. Residential care includes: - Individual, group, and family therapy - Life skills coaching, including money management, meals and nutrition, personal appearance and hygiene, health, housekeeping, education, job seeking, birth control, parenting, and more - Requirement to attend the local public school (for those who have not graduated from high school or do not have a GED) - The option to receive a post-secondary education (for those with a high school diploma or GED) - Ongoing employment skills and learning

Provides specialty medical services including: - Ambulance - Cardiac rehab - Diagnostic imaging - Emergency services - Infusions - Inpatient stays: Provider will determine that ones condition requires an inpatient stay in the hospital. Insurance companies have guidelines that direct decision on stay also. - Laboratory services - Observation stays: Provider will determine if ones condition requires further observation to determine if one needs to stay in the hospital as an inpatient, discharge, or transfer to a higher level of care. - Occupational therapy - Physical therapy - Sleep studies - Speech therapy - Telemedicine - Women's health

Outpatient therapy services available to adults, children, families, and couples interested in managing mental health issues. Offers diagnostic assessments, psychological testing, treatment planning, and therapy to address a variety of needs.

Dialectical Behavior Therapy (DBT): - Borderline personality disorder or multiple mental health diagnoses Individual therapy: - Anger and frustration - Anxiety - Depression - Grief, loss, and loneliness - Life transitions and changes? Play therapy: - Express feelings - Learn how to relate to others - Modify behaviors - Problem solving skills Psychological and neuropsychological evaluations: - ADHD - Autism Spectrum Disorder - Cognitive functioning - Diagnostic clarification - Neuropsychological testing Sandtray therapy (uses sand and miniature figures): - Aggression reduction - Emotional support - Interpersonal relationship - Problem solving skills - Trauma Telemental health services Therapy for families and couples: - Boundary setting - Child rearing and parenting - Communication - Fertility - Financial issues - Grief and loss - Infidelity - Intimacy - Power struggle - The parent-child relationship

Provides in-person and telehealth mental health services for adults, children, teens, couples, and families. Other therapeutic services include diagnostic assessments and Employee Assistance Programs (EAP).

Problems with stress, anxiety, depression, anger, social fears, and family conflict are explored in individual, marital, and family therapy sessions. Psychological testing is available to assess personality traits and dynamics, memory and attention processes, and general intellectual functioning.