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Provides a central intake assessment, inpatient, and outpatient substance use disorder treatment with services including group counseling, individual counseling, nutrition support, peer support, and other support services. Programs include: - Community outpatient: Provides ongoing services to continue treatment while individuals live and work independently - Inpatient withdrawal management: Clients are supported by 24/7 nurses and trained medication aids to move through withdrawal safely and comfortably - Intensive residential treatment - Outpatient with lodging: Provides a structured setting by living with others in recovery while accessing intensive outpatient services. Offers ways to move towards independence while maintaining ample support.

A Rule 25 Chemical Health Assessment may be ordered by a court, or an individual may want to pursue an assessment on their own to determine if there is an issue with their chemical use. If a person is deemed by an assessor to be in need of treatment, at any level, a referral and placement in a treatment center of the client's choice may occur. Ross Resources is one of the Itasca County contracted agencies to provide these assessments to both youth and adults who are Itasca County residents. A referral/intake form will need to be completed and insurance information will be gathered. If an individual does not have insurance, they are still eligible for treatment dollars through the Consolidated Fund should they qualify.

- Healthy Movement Programming includes: - Athletic programs: Individual/teams including basketball, flag football, soccer and baseball - Open gym and physical activities - Outdoor and environmental education - Conflict resolution - Counseling - Education/Computer Learning Center includes computer driving stimulation program to practice safe driving, basic instruction, and avoiding risky behaviors while driving - Nutrition program includes: - Healthy meal/snack served daily - Nutrition education and meal preparation - Gardening opportunities - K - 8 Reading and literacy enrichment program for youth who have been assessed as needing focused reading support, and numeracy enrichment to assist youth in transition from "learning to read" to "reading to learn" skills with a focus on building math proficiencies - K - 12 Academic enrichment program for youth to promote academic growth Offers 1:1 academic support including tutoring, skills to become self-directed learners, STEM focused activities and Mentoring program - Leadership/citizenship groups - Life skills education - Teen Pathways College Readiness Program: Individualized support and assistance preparing youth for ACT/SAT exams, college applications, college visits and other assistance as needed to ensure student's progress - Teen Pathways Employment Readiness Program: Individualized and mentoring support to enhance working and life skills including managing a checking account, creating a budget, saving and investing, career plans and mentoring, vocational exploration, interviewing techniques and additional services as needed to ensure a student's success beyond high school - "Smart Moves" drug and alcohol use prevention program and premature sexual activity prevention

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.

Provides care at the clinic for: - Bladder and urinary-tract infections (UTI) - Check-ups and annual physicals - Chronic disease management (for diabetes, hypertension/high blood pressure, and other diseases) - Cold and flu symptoms - Health, weight, and vision screenings - Headaches - Ear infections - Immunizations and flu shots - Insect bites - Joint and back pain - Nausea and vomiting - Pediatric care and back-to-school physicals - Preventive care and education - Rashes - Routine check-ups and health screenings for diseases - Sinus infections - Stomach problems OnCare is available for individuals who would like a clinician to diagnosis and provide medical care info (and prescriptions) online, rather than at the clinic. Conditions and symptoms treated: - Allergies - Acne - Cold/canker sores - Cold/flu - Quitting tobacco - Sinus infections - Sore throat - Urinary tract infections - Yeast infections

Intensive outpatient substance program that provides short- and long-term treatment for adults with substance use disorders. Licensed for Rule 25/comprehensive assessments. Medicated assisted treatment and withdrawal management provided to conduct diagnostic assessments and treatment coordination. Licensed to prescribe Suboxone and Naloxone.

Provides short-term and long-term transitional housing at 14 properties for adult men and women who have a substance use issue and have been released from prison, a treatment center, or are currently homeless. Housing facilities are located in Apple Valley, Burnsville, south Minneapolis, north Minneapolis, Brooklyn Center, and Richfield. Services provided: - A safe, alcohol, and drug free-living environment. Rooms are either shared or single bedrooms. - Comprehensive life skills training, coaching, support, and supervision - Learn to rebuild strong interpersonal relationships, self-respect, confidence, personal integrity, life meaning and purpose, and family unit - Referral to community resources for health, mental health, support groups, and other resources - Training sessions to becoming a responsible and contributing member of the community NOTE: Life Rebuilders is not a medical or treatment facility

Support groups and classes are offered at locations throughout the Park Nicollet health system. Call for locations and times. - Condition Specific Support Groups and classes including: ADHD (Attention Deficit Hyperactivity Disorder), arthritis, bariatric surgery, cancer, dementia, diabetes, eating disorders, heart disease, Parkinson's Disease, sleep disorders, stroke, and brain injury - Childhood preparation classes including: Preparing for childbirth, breastfeeding, and baby care basics - Grief support groups - Nutrition information classes - Health and wellness classes - Smoking cessation

Provides comprehensive medical services such as: - Diabetes education and management - Family medicine in routine check-ups, minor illnesses, injuries, and immunizations - Physical exams and well-child exams - Smoking cessation - Travel medicine and travel immunizations - Video visits with a primary care provider

A program for men who suffer from substance use disorders. This 12-step program is designed to assist adults who need frequent contact and structure. It combines weekly individual counseling (for treatment planning and aftercare coordination) with multiple group counseling sessions per week. Group topics include: - Colorful meditation - Co-occurring treatment services - Positive mental health - Living skills - Men's health - Moral compass - "Who am I sober?" Participants start with 34 sessions, 4 days/week, then transition to 32 sessions, 3 days/week for a total of about 200 hours, plus ongoing individual counseling over roughly 20 weeks (adjusted to progress). The program is licensed under Minnesota's chemical dependency rules.

Provides referrals to sober housing such as: - G House: Independent sober living located in North Saint Cloud - Opportunity House: Transitional structured sober house for men located in North Saint Cloud - T-House: Independent sober living located in South Saint Cloud

Chemical Health Assessments provided to people who meet eligibility guidelines, and Comprehensive Assessments once people are enrolled in Avivo's treatment program. - Family outpatient treatment (with housing option) for pregnant and/or parenting women with dependent children ages 0 - 17. (Rule 31 treatment programs, chemical health diagnosis, and/or co-occurring chemical and mental health diagnosis). - Individual, gender-specific outpatient treatment with housing option (Rule 31 treatment programs, chemical health diagnosis, and/or a co-occurring chemical and mental health diagnosis). - People in Avivo's treatment and recovery programs are eligible for enrollment in career education programs and employment services, as well as housing support. - Intensive Outpatient 245G Treatment Program for people who have a chemical health diagnosis and/or who have co-occurring chemical and mental health diagnoses. - Access to Avivo's other wraparound services, such as career education, Mental Health Clinic, housing supports, and family and employment services.

- Audiology and hearing - Cardiology - Chemotherapy and immunotherapy - Ear, nose, and throat - Ear, nose and throat surgery - Eye surgery - Fertility - Gender affirming care - Gynecologic surgery - Gynecology - Hematology - Imaging and radiology - Infectious Disease - Lab services - Mammography - Medication management - Mobile medicine (long-term care) - Obstetrics - Oncology - Ophthalmology - Optical shops - Orthopedic surgery - Orthopedics and sports medicine - Podiatry - Podiatric surgery - Sleep medicine - Substance use disorder: Referral line (833)677-1262 - Tobacco cessation - Vascular medicine - Vascular surgery - Weight loss (non-surgical) - Wound care

The goal is to help clients reduce alcohol/drug use and achieve and maintain improved levels of social, economic, and personal development and independence. Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. Services also include: - Chemical dependency assessment - Prepetition screening for all individuals petitioned for civil commitments for a chemical dependency due to being a danger to themselves or others - Referrals to community-based service providers for chemical assessments or treatment services. Also, directs individuals to visit www.fasttrackermn.org for additional resources.

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

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. Provides funding for eligible individuals seeking chemical dependency services is available through the Consolidated Chemical Dependency Treatment Fund. Chemical dependency assessment is available for eligible individuals and both voluntary and court-ordered individuals. Possible referrals and arrangements made for primary treatment, extended care, halfway house and other services.

-Intensive Outpatient (IOP) Group: Monday-Wednesday 9 am-12 pm Zoom or In Person -Zoom Outpatient Co-Ed Group: Tuesday & Thursday 4 pm-6 pm -Evening Outpatient Co-Ed Group: Monday & Thursday 5 pm-7 pm -Men's Group: Monday & Wednesday 9 am-12 pm -Women's Group: Monday & Wednesday 9 am-12pm -Low Intensity Group: Tuesday 9 am-12 pm, Zoom or In-Person -Hybrid Low Intesity Group: Mondays 5 pm-7 pm -Individual Treatment options -In-Person or Telehealth options

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. Services also include: - Designated staff that provide chemical dependency assessments - Referral to local community service providers for chemical assessments or treatment services. Also, directs individuals to visit www.fasttrackermn.org for additional resources.

Promotes a Community Wellness Partnership throughout the county in partnership with Cottonwood and Jackson County. Initiatives and services include: - Community Health Workers who work with individuals and families to help them navigate health care and social services systems - Diabetes and hypertension prevention with healthcare systems and local organizations to raise awareness - Healthy eating and physical activity in schools and communities - Wellness within the workplace to promote creation of healthier worksites through policy, systems, and the environment. Areas of focus include nutrition, physical activity, tobacco cessation/exposure, and breastfeeding support. - Tobacco cessation programs

Direct Access allows an individual to go directly to a provider they choose to receive a comprehensive assessment and access care immediately. The county will assess individuals who need help paying for a chemical use assessment or treatment services through the Behavioral Health Fund. ?Also, provides referrals to local community service providers for chemical assessments or treatment services.

- Healthy Movement Programming includes: - Athletic programs: Individual/teams including basketball, flag football, soccer and baseball - Open gym and physical activities - Outdoor and environmental education - Conflict resolution - Counseling - Education/Computer Learning Center includes computer driving stimulation program to practice safe driving, basic instruction, and avoiding risky behaviors while driving - Nutrition program includes: - Healthy meal/snack served daily - Nutrition education and meal preparation - Gardening opportunities - K - 8 Reading and literacy enrichment program for youth who have been assessed as needing focused reading support, and numeracy enrichment to assist youth in transition from "learning to read" to "reading to learn" skills with a focus on building math proficiencies - K - 12 Academic enrichment program for youth to promote academic growth Offers 1:1 academic support including tutoring, skills to become self-directed learners, STEM focused activities and Mentoring program - Leadership/citizenship groups - Life skills education - Teen Pathways College Readiness Program: Individualized support and assistance preparing youth for ACT/SAT exams, college applications, college visits and other assistance as needed to ensure student's progress - Teen Pathways Employment Readiness Program: Individualized and mentoring support to enhance working and life skills including managing a checking account, creating a budget, saving and investing, career plans and mentoring, vocational exploration, interviewing techniques and additional services as needed to ensure a student's success beyond high school - "Smart Moves" drug and alcohol use prevention program and premature sexual activity prevention

Lab services Medication management Orthopedic surgery Substance use disorder: Referral line (833)677-1262 Tobacco cessation