Resource: Mental health services options to consider as additional supports
Page posted: 1/26/24
This page is part of CBSM – Guide to support a person with a residential service termination notice from a 245D-licened provider, a toolkit to support a person on a disability waiver or in an ICF/DD with a residential service termination notice. To access other parts of this toolkit, refer to:
When a person receives a residential service termination notice, the lead agency can consider authorizing the mental health service options on this page.
To search for any type of mental health service provider, use FastTrackerMN.org.
Services for children
Crisis response services
Crisis response services are community-based services provided to children by a county, tribal nation or contracted crisis team. Covered services include:
For more information, refer to DHS – Children's mental health crisis response phone numbers and MHCP Provider Manual – Adult and children’s crisis response services.
Day treatment
Children’s day treatment through Children’s Therapeutic Services and Supports (CTSS) is a site-based, structured mental health treatment program. It consists of individual or group psychotherapy for two or more people, and individual or group skills training provided by a team, under the treatment supervision of a mental health professional. A children’s day treatment program must provide staffing and facilities to ensure the person's health, safety and protection of rights, and that the programs are able to implement each person's individual treatment plan.
For more information, refer to MHCP Provider Manual – Children's day treatment and List of current day treatment providers (XLS).
Children’s intensive behavioral health services (CIBHS)
CIBHS is a comprehensive mental health service for children and youth (birth through age 20) with significant mental health symptoms and impairments in their functional abilities who are living in a family foster care setting or who are living with their parents or other legal guardians and are at risk of out-of-home placement.
Covered services include:
For more information, refer to MHCP Provider Manual – CIBHS and Currently certified CIBHS providers (XLS).
Children’s mental health clinical care consultation
Children’s mental health clinical care consultation is communication between a treating mental health professional and other providers or educators who are working with the same person. These professionals use the consultation to discuss:
For more information, refer to MHCP Provider Manual – Children’s mental health clinical care consultation.
Children’s mental health residential treatment
Children’s mental health residential treatment is a 24-hour program. Staff provide services under the clinical supervision of a mental health professional in a community setting instead of an acute-care hospital or regional treatment center. Children’s mental health residential treatment must:
For more information, refer to MHCP Provider Manual – Children’s mental health residential treatment.
Children’s Therapeutic Services and Supports (CTSS)
CTSS is a set of mental health services developed to provide restorative rehabilitative interventions covered by MHCP to children and their families. CTSS establishes policies and practices for certification and coverage of mental health services for children who require varying therapeutic and rehabilitative levels of intervention in their homes or elsewhere in the community. For more information, refer to MHCP Provider Manual – CTSS and 2022 community CTSS providers (XLS).
Family psychoeducation services
Family psychoeducation services are planned, structured and face-to-face interventions that involve presenting or demonstrating information. The goal of family psychoeducation is to help prevent relapse or development of comorbid disorders and achieve optimal mental health and long-term resilience. The services support the person and family to understand these factors:
For more information, refer to MHCP Provider Manual – Family psychoeducation services.
Youth assertive community treatment (Youth ACT)/intensive rehabilitative mental health services (IRMHS)
Youth ACT)/IRMHS is an intensive, comprehensive and non-residential rehabilitative mental health service. Services are delivered using a multidisciplinary team approach and are available 24 hours per day, seven days per week.
Youth ACT/IRMHS teams work intensively with youth who have severe mental health or co-occurring mental health and substance use issues to help them remain in their community while reducing their need for residential or inpatient placements. They also work with youth discharging from these placements to ensure they have a smooth transition back to their home, family and community.
Teams deliver services in an age-appropriate and culturally sensitive manner designed to meet the specific needs of each person.
For more information, refer to MHCP Provider Manual – Youth ACT/IRMHS.
Treatment settings for children
Children’s residential facilities (CRFs)
CRFs provide temporary care or treatment to children in a group setting when they are not living with a parent or guardian. Services include supervision, food, lodging, training, education and treatment. The services provided depend on the specific service type for which the program is licensed. For more information, refer to DHS – CRFs.
Psychiatric residential treatment facilities (PRTFs)
PRTFs provide active treatment to people younger than age 21 with complex mental health conditions. This is an inpatient level of care provided in a residential facility rather than a hospital. PRTFs deliver services under the direction of a physician seven days per week to residents and their families. These services may include individual, family and group therapy. A person’s plan of care may also include arranged services or specialty services, such as occupational, physical and speech therapies. For more information, refer to DHS – PRTFs.
Child and Adolescent Behavioral Health Hospital (CABHH)
The CABHH program in Willmar, MN, is an inpatient psychiatric hospital for children age 4 to 18. The hospital serves youth with complex mental illnesses and behavior disorders who cannot be treated in their home communities. In many cases, people have multiple diagnoses that range from brain and behavior disorders to psychiatric and traumatic stress conditions. For most people, other prior treatments have been ineffective. For more information, refer to DHS – CABHH.
Services for adults
Adult crisis response services
Crisis response services are community-based services provided to adults by a county, tribal nation or contracted crisis team. Covered services include:
For more information, refer to MHCP Provider Manual – Adult and children’s crisis response services.
Adult day treatment (ADT)
The goal of ADT is to reduce or relieve the effects of symptoms associated with a diagnosed mental illness and provide skills training that will result in the person to live and function more independently in the community. ADT is a short-term, community-based mental health program consisting of group psychotherapy, rehabilitative interventions and other therapeutic group services provided by a multidisciplinary team under the clinical supervision of a mental health professional.
For more information, refer to MHCP Provider Manual – ADT.
Adult residential crisis stabilization (RCS)
Adult RCS provides structure and support to an adult in a community living environment when they have experienced a mental health crisis and need short-term services to ensure they can safely return to their home or pre-crisis living environment with additional services and supports identified in their crisis assessment. People receive RCS in a 24-hour licensed residential setting by qualified mental health staff. RCS serves eligible people who are assessed during a crisis assessment to be experiencing a mental health crisis.
For more information, refer to MHCP Provider Manual – Adult RCS.
Adult Rehabilitative Mental Health Services (ARMHS)
ARMHS are mental health services that are rehabilitative and enable the person to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills when these abilities are impaired by the symptoms of mental illness. The services also enable a person to retain stability and functioning if they are at risk of losing significant functionality or being admitted to a more restrictive service setting without these services. The services instruct, assist and support a person in areas such as medication education and monitoring, and basic social and living skills in mental illness symptom management, household management and employment-related or community living transitions.
For more information, refer to MHCP Provider Manual – ARMHS.
Assertive community treatment (ACT)
ACT means intensive nonresidential treatment and rehabilitative mental health services provided according to the ACT model. ACT provides a single, fixed point of responsibility for a person’s treatment, rehabilitation and support needs. People receive these services 24 hours per day, seven days per week, in a community-based setting. ACT programs are certified by DHS and contract with a host county. ACT services are provided as a team-based model.
For more information refer, to MHCP Provider Manual – ACT and DHS – ACT teams.
Dialectical Behavior Therapy Intensive Outpatient Program (DBT IOP)
DBT IOP is a treatment program with an evidence-based treatment approach that uses a combination of individualized rehabilitative and psychotherapeutic interventions. DBT IOP involve weekly individual therapy, weekly group skills training, telephone coaching and weekly consultation team meetings.
For more information, refer to MHCP Provider Manual – DBT IOP.
Psychotherapy for crisis
Psychotherapy for crisis services help to reduce a person’s mental health crisis through immediate assessment and psychotherapeutic interventions. An intervention of psychotherapy for crisis will diminish the suffering of the person in crisis and help restore life functioning.
For more information, refer to MHCP Provider Manual – Psychotherapy for crisis.
Intensive Residential Treatment Services (IRTS)
IRTS is a community-based, medically monitored level of care for an adult that uses established rehabilitative principles to:
On-site, qualified mental health staff provide IRTS 24 hours per day. IRTS is time-limited, directed to a targeted date of discharge with specific outcomes. It is consistent with evidence-based practices. For more information, refer to MHCP Provider Manual – IRTS.
Treatment settings for adults
DHS operates a highly specialized behavioral health care system that serves people with mental illness, substance abuse disorders and developmental and intellectual disabilities. Because their conditions are complex and challenging to treat, other health care providers cannot or will not serve these patients.
Anoka-Metro Regional Treatment Center (AMRTC)
AMRTC is the state’s largest psychiatric hospital. Overseen by DHS, the hospital operates 110 beds on a secure campus in Anoka, MN. The facility serves people who have complex mental illnesses and behavior disorders and cannot be treated in community settings. For more information, refer to DHS – AMRTC.
Community Addiction Recovery Enterprise (C.A.R.E)
C.A.R.E. provides inpatient chemical dependency and substance abuse services to adults at five locations statewide. People in this setting often have chemical dependency and mental illness. For more information, refer to DHS – C.A.R.E.
Community Behavioral Health Hospitals (CBHHs)
DHS’ network of six CBHHs provide short-term inpatient psychiatric care at six regional facilities in communities across the state. For more information, refer to DHS – CBHHs.
Minnesota Specialty Health System (MSHS)
MSHS provides time-limited mental health treatment services in residential settings to adults who no longer require hospitalization or other inpatient treatment but who still need a period of structured care before returning home. For more information, refer to DHS – MSHS.
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