Adult mental health

The Adult Mental Health Division works to ensure that programs and services are available throughout Minnesota. People may need assistance in a variety of areas, such as employment, housing, social connections, family relations and other co-occurring conditions. With the exception of the State Operated Services area of DHS and some state staff working with special county initiatives, the state does not provide direct services. However, the division does provide state and federal funding for mental health treatment. In Minnesota, the county is responsible for providing publicly funded mental health services with federal, state and county funding. In many parts of the state, counties contract with providers to deliver mental health services

News and events

Adult mental health reform 2020 steering committee workgroups announced

The Adult Mental Health Division has formed an Adult Mental Health Reform 2020 Steering Committee to review the mental health continuum of care, identify system gaps, and provide recommendations to the department on potential changes to the publicly funded mental health system of care for adults. The five workgroups described below will address key questions and provide recommendations for consideration to the Steering Committee.

Workgroup participants will include members of the Steering Advisory Committee as well as additional participants in order to accomplish the workgroup assignments. Individuals and organizations are invited to self- nominate participation in the workgroups. Please express interest by sending an email to Ruth.Moser@state.mn.us.

Further information, as well as announcements and minutes, can be found on the following page.

Integrated Dual Disorders Treatment (IDDT) – mental health and addiction treatment

The goal of the DHS Chemical and Mental Health Services Administration is to ensure that the mental and chemical health system of care develops a welcoming, accessible and comprehensive process for service delivery and supports the principle of a “no wrong door” approach to accessing services for co-occurring disorders of addiction and mental illness. A new IDDT webpage has been set up to focus on these issues.

MN 10 by 10

Findings from a number of recent national studies indicate that adults with a serious and persistent mental illness are dying, on average, 25 years earlier than the general public. The leading causes of these premature deaths are heart disease, lung disease, diabetes and cancer. One of the basic reasons for premature death among persons with bipolar disorder or schizophrenia is that very few routinely see their primary care physicians for annual physical health screenings. Yet with regular screening, these diseases can often be prevented by lifestyle changes or can be detected early so treatment can control these health conditions.

A group of public and private professionals and payers have been meeting for over a year to develop an important initiative to improve the average lifespan of Minnesotans with serious mental illness. The goal of the initiative is to increase the average lifespan of Minnesotans with Bipolar Disorder or Schizophrenia by 10 years within 10 years. We refer to this initiative as the MN 10 by 10. The initiative has developed a form that consumer, family members and providers can use as an informational tool for both clients and providers that can be used within the health care setting.

Federal mental health block grant report

The Chemical and Mental Health Services Administration (CMHS) submitted an application for the Community Mental Health Services Federal Block Grant (FBG) for 2012-2013. The current grant application, called the 2012/13 MHBG Behavioral Health Assessment and Plan, describes the public mental health system in Minnesota; identifies needs, priorities, goals and indicators; and describes the proposed use of the FBG. The current application is for a 21-month period October 1, 2011, to June 30, 2013.

As part of the application, states must submit an annual report (MHBG Behavioral Health Report) for 2013 which reports on the previous year’s progress toward goal targets, data required for the federal Uniform Reporting System Basic and Developmental Tables (URS Tables), and utilization of the grant funds.

Public input is sought in the development and updating of the application, and on an ongoing basis. Please provide input in writing to Ruth Moser at the Adult Mental Health Division, Minnesota Department of Human Services, P.O. Box 64985, St. Paul, Minnesota 55164-0981; or e-mail to Ruth.Moser@state.mn.us.

Key issues

Treating persons with dual diagnosis of mental illness and chemical dependency

About 50 percent of persons who have a serious mental illness also have a substance use problem. Research has found that integrating mental health and chemical dependency treatment is more effective than parallel services or completing treatment in one area (i.e. mental health) and then receiving treatment in the other area (i.e. chemical dependency). Report to Congress on co-occurring disorders is available online. This link takes you to the table of contents for the report. The report is about 150 pages long.

The Adult Mental Health and Chemical Health Divisions are working on ways to integrate services at the local level and funding projects to plan for, design and evaluate these new services. Six hundred individuals attended an all-day training session on integrated dual-diagnosis treatment. This expert also provided more hands-on, intensive consultation to two counties that receive funds from the Adult Mental Health Division to affect systems changed and to implement an integrated model of service delivery.

Proven community-based mental health services

Sufficient research and evaluation of community mental health services delivery shows the system must move to embrace the practices shown to be effective in: improving consumer quality of life outcomes; reducing use of more costly, more restrictive services; and satisfying consumers. Examples of proven methods are:

The Adult Mental Health Division provides extensive training, on-site consultation and technical assistance to regions implementing Assertive Community Treatment (ACT), Illness Management and Recovery (IMR), Supportive Employment and Integrated Dual Disorder Treatment (IDDT).

Public-private partnerships

Often individuals with mental illness can receive services by both public and private providers. To improve coordination of services, the Adult Mental Health Division is working with health plans, counties, and community hospitals and providers to reduce fragmentation and to expand the range of available services.

For more information about the Adult Mental Health Division, call (651) 431-2225.


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