Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Community Support Services (CSS)

Page posted: 4/4/18

Page reviewed: 2/4/21

Page updated: 8/3/22

Legal authority

Jensen Settlement Agreement and Related Court Documents – June 20, 2011 (PDF), Final Approval Order for Stipulated Class Action Settlement Agreement – Dec. 5, 2011 (PDF), Amended Jensen Settlement Agreement Order and Second Amended Comprehensive Plan of Action – March 12, 2014 (PDF), Minn. Stat. Ch. 245D, Minn. Stat. §245D.03

Overview

Community Support Services (CSS) is a program of the DHS Direct Care and Treatment (DCT) Division’s Community-Based Services (CBS). CSS provides short-term technical assistance and residential supports designed to:

  • · Strengthen communities’ capacity to support people with complex behavioral health needs in their communities.
  • · Prevent and resolve crisis situations.
  • · Divert people from more segregated settings whenever safely possible.
  • CSS includes:

  • · Seven mobile teams
  • · Four crisis homes
  • · Minnesota Life Bridge (MLB) program.
  • Mobile teams

    To serve people where they live and minimize life disruptions, CSS mobile teams address behavioral crises in people’s current settings whenever clinically appropriate and safely possible. CSS mobile teams promote positive supports and build collaborative support networks to strengthen people’s ability to live in integrated community settings.

    CSS mobile teams include professionals with experience and training in behavior analysis, social work, psychology, occupational therapy, speech pathology, nursing and organization development and training. When a CSS mobile team works with a person and their team, at least one member of the mobile team provides outreach services in consultation with other mobile team members.

    CSS mobile team staff are consultants. They do not supplement or replace the staff currently performing duties in the person’s home environment. In some instances, a mobile team may provide coaching and mentoring to the permanent supports by working with them side by side to increase the use of positive behavioral supports and to model the use of targeted interventions.

    People served

    CSS mobile teams serve people age 12 and older who have complex behavioral health needs that are barriers to living successfully in integrated community settings. This includes people who have:

  • · Developmental disabilities and related conditions
  • · Mental illness
  • · Co-occurring challenges, such as substance use disorders and brain injuries.
  • Settings

    CSS mobile teams offer support in all 87 Minnesota counties and 11 tribal nations. CSS mobile teams provide services where they are needed, including:

  • · Group living settings
  • · People’s homes
  • · Work sites and schools
  • · Transitions from other care environments.
  • Services

    To prevent and resolve behavioral crises, CSS mobile teams provide services that include:

  • · Assessments
  • · Skilled coaching of paid and unpaid care providers
  • · Consultation
  • · Training
  • · Assistance engaging and coordinating with community resources.
  • Crisis homes

    CSS crisis homes provide short-term crisis respite services to people who need residential crisis stabilization. Crisis home staff members use positive supports to help people return to successful, integrated community living.

    People served

    CSS crisis homes serve people who have developmental disabilities or related conditions and meet at least one of the following conditions:

  • · Are at risk of placement in a less integrated setting, such as a DCT hospital.
  • · Have a current residential service provider willing to readmit the person within 90 days.
  • · Do not have a residential service provider available to support their immediate needs and preferences.
  • CSS crisis homes primarily serve adults age 18 and older, but they may serve people younger than age 18 in limited circumstances.

    Settings

    The four CSS crisis homes are located in residential neighborhoods across the state. Each crisis home:

  • · Is licensed by DHS as a community residential setting.
  • · Provides out-of-home crisis respite services (refer to CBSM – Crisis respite)
  • · Is licensed to serve up to four people at one time; however, capacity is adjusted as needed to safely meet the needs of people served.
  • CSS crisis homes are not secure settings and do not provide hospital level of care for a medical condition or psychiatric illness.

    Minnesota Life Bridge (MLB)

    For information about MLB, refer to CBSM – MLB.

    Referral

    CSS and other CBS crisis and residential services use a unified, online referral process. For more information, refer to CBSM – Referral process for CBS crisis and residential service lines.

    Funding

    CSS is funded primarily through home and community-based services (HCBS) waiver funding approved by the lead agency through a service agreement (refer to CBSM – Crisis respite).

    If a person meets CSS eligibility but is ineligible for waiver funding (e.g., due to immigration status), a shared service contract or state appropriation may fund CSS services. No person is denied services based on inability to pay.

    Additional resources

    CBSM – Crisis respite
    CBSM – DHS-operated CBS
    CBSM – Jensen Settlement Agreement
    CBSM – MLB
    CBSM – Referral process for CBS crisis and residential service lines
    DHS – Person-centered practices
    DHS – Positive supports
    Positive Supports Minnesota

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