About Our Clinic

The Northwestern Mental Health Center is a Certified Community Behavioral Health Clinic (CCBHC).  The NWMHC is one of six certified providers in the State of Minnesota.  CCBHC is a federal demonstration project that is measuring how an integrated community clinic model of care can improve service quality and accessibility. Participating CCBHCs are enrolled MHCP service providers for all CCBHC services and have been certified as meeting the required federal criteria and state standards.   As a CCBHC, the NWMHC provides a full range of mental health and substance use disorder services to individuals.  CCBHC takes a person-centered approach that looks at the whole health (physical, behavioral health and social service needs) of the individual.  It provides a comprehensive set of services that promote recovery, wellness, trauma-informed care and a focus on whole health to serve individuals in need of care.  CCBHC serves adults, adolescents and children, as well as placing a special emphasis on active and veteran military care.

CCBHCs:

  • Provide integrated, evidence-based, trauma informed, recovery-oriented and person-and family-centered care
  • Offer the full array of CCBHC-required mental health, substance-use disorder (SUD) and primary care screening services
  • Have established collaborative relationships with other providers and healthcare systems to ensure coordination of care

Mobile Crisis Services (All Ages)

The NWMHC is a Certified Crisis Response Service Provider.  Mental Health practitioners and professionals are available to have phone contact or face-to-face contact with all individuals in crisis to assess and provide services. Screenings and assessments are provided on phone, or in person. Staff are trained to provide crisis assessment, intervention and stabilization services for anyone in mental health crisis. In addition, they are supported at all times by a Mental Health Professional. Services are available 24/7 and can be accessed by calling the crisis line at 1-800-282-5005.

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Clinic Based Outpatient Mental Health Services (All Ages)

The NWMHC is a licensed Rule 29 Mental Health Clinic.  NWMHC offers outpatient services via its own clinics or in partnership with other community providers in: Crookston, East Grand Forks, Fosston, Ada, Warren and Hallock.

a. Comprehensive Evaluations
A clinical interview used to determine the current level of functioning. Direct observation of the individual takes place in order to determine if the individual meets the criteria necessary for a mental health diagnosis. The assessment must be conducted by a mental health professional (clinical psychologist or clinical social worker) with specialized training. Diagnostic assessment is a tool used for any age.

b. Psychiatric Evaluation
Psychiatric services focus on diagnosing and treating mental disorders of both children and adults. The psychiatric staff evaluates the need for psychiatric medications and meets with clients on a regular basis.

c. Psychological Testing
Psychological Testing consists of standardized measures (cognitive, achievement and/or personality) which assist with diagnostic clarification along with mental health, medical and/or educational treatment planning. Testing can be court ordered, through self-referral or other agencies such as school personnel, social services or medical professionals. Testing is often at least three hours in length. Feedbacks of test results are often communicated through a future appointment.

Who We Serve:
Psychological Testing is available for children, teens and adults.

d. Neuropsychological Evaluation
A neuropsychological evaluation is a comprehensive assessment of the person's cognitive, emotional, behavioral, and social functioning. It typically begins with an interview, because a person's history and circumstances are important to understanding how they are functioning currently. Other important people in a person's life, such as family members, teachers, or others, may also be interviewed. A neuropsychological assessment uses standardized tests to evaluate cognitive skills, motor abilities, and emotional functioning. The tests are "pencil and paper", computerized or hands-on tests that ask you to solve problems, remember information, or demonstrate skills. Typically, the following areas are evaluated:

· General intellectual functioning
· Academic / achievement functioning
· Language & Visual-spatial skills
· Attention and concentration
· Executive functions (such as planning, problem-solving, and organization)
· Learning and memory
· Motor coordination / skills
· Emotional, behavioral, and social development and functioning
Neuropsychological Evaluation is available for individuals of all ages.

e. Individual, Group, Family and Marital Therapy
Outpatient Therapy is offered at Northwestern Mental Health Center, Inc. five days a week and evenings by appointment. Problems with stress, anxiety, depression, anger, social fears, and family conflict are explored in individual, marital, and family therapy sessions. Therapy/Counseling is available to all ages. Call main office for additional locations and hours.

f. Medication Management
The Northwestern Mental Health Center with its Licensed Psychiatrist and Advance Practice Registered Nurses diagnosing and treating mental disorders of both children and adults.  They are able to assist individuals in accessing medication management services such as prescription medication monitoring and medication regulation with your psychiatrist or personal physician, as appropriate.

g. Court Ordered Evaluations

The NWMHC offers Court Ordered Psychological Evaluations for legal proceedings as requested.

h. Trauma Informed Care
Eye Movement Desensitization and Reprocessing (EMDR) Eye Movement Desensitization and Reprocessing (EMDR) therapy is an 8 Phase, integrative, trauma treatment therapy that helps people heal from traumatic events, as well as, life disturbing experiences. EMDR therapy is an evidence based therapy that is considered a recommended treatment of choice by several international mental health organizations for healing Posttraumatic Stress Disorder (PTSD). Through ongoing research we are seeing the efficacy of EMDR reach into other presenting concerns including addiction, anxiety, depression, chronic pain, and much more. EMDR therapy is designed to help a person identify events that feel stuck and cause distress in their life. EMDR therapy helps facilitate the activation of the brains inherent system to process and integrate the information that gets “stuck”. EMDR therapy will not erase the memory; rather a person will be able to remember the story without all the emotional charge that was distressing before the treatment. The effect of EMDR is not desensitization in and of itself, but includes the multifaceted impact of reprocessing all aspects, or negative maladaptive information into an adaptive, health, and
useful resolution.

EMDR therapy is for people across the lifespan that have experience trauma and/or life disturbing events. Talking with an EMDR therapist can help decide whether this is the right plan for you. Please feel free to connect with one of our EMDR therapist if you have any questions or want to explore this option for your recovery.

Substance Use Disorder Services (From Age 10-Adult)

The NWMHC is a licensed 245G (Formerly known as Rule 31) Substance Use Disorder Treatment Program.  NWMHC provides individualized outpatient substance use disorder services to individuals age 10 and older who suffer from a substance use dependency and/or co-occurring disorder (mental illness and substance abuse).

a. Adult Outpatient Program
The adult program is offered to clients who are 18+ and are struggling with
chemical dependency issues. Clients attend group and are assigned an LADC (licensed alcohol and drug counselor) to work on their person-centered treatment goals.

b. Adolescent Chemical Health and New Growth Experiences
(CHANGE)Program
CHANGE is a licensed adolescent chemical health program designed to
meet the needs of adolescents who are experiencing mood altering
chemical related programs. CHANGE is designed as an abstinence based
educational/therapy program that challenges common misconceptions
about chemical use while motivating each participant to assess their level
of use. The program is twenty weeks in length and can be used for
continuing care for adolescents returning from inpatient treatment.
While the adolescents attend the CHANGE program, parents are offered
the OPTIONS for CHANGE training to empower parents to deal with
challenging adolescents through the development of consistent parenting
styles, anger management techniques and the creation of individual plans
of action.

Adolescents 10-18 year of age who are assess ‘At-Risk’, Chemically
Abusive or Dependent may attend the program. Parents of CHANGE
participants need to attend the OPTIONS for CHANGE program.

c. Co-Occurring Disorders
Research strongly indicates that in order to recover fully, clients with co-
occurring disorders need treatment for both problems and that treating
one issue does not ensure the other will go away. NWMHC staff use a
biopsychosocial treatment model (treating the whole person). Staff will
work with the client to determine the treatment pathway which meets the
client need and supports the positive personal change and recovery of
individuals with dual disorders.

D. Rule 25 Assessments
The NWMHC performs chemical health assessments required by courts and insurance companies, or those referred by self or others in order to
establish chemical health concerns and diagnosis. Assessor’s identify
problem areas and make recommendations, which may or may not be
chemical dependency treatment.

Community Based Adult Services

a)   Adult Community Support Program (CSP)
Community Support Services are available to individual with serious and persistent mental illness to assist clients to live and thrive in the community. Staff can assist individuals with an entire range of supportive services to promote recovery including benefit assistance, crisis assistance, employability, independent living skills, medication monitoring, psychosocial rehabilitation, client outreach, case management and group (Day Treatment) services.

Who we Serve:  Adults 18 years or older who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County and have experienced a serious and persistent mental illness.

 

b)   Adult Rehabilitative Mental Health Services (ARMHS)

The NWMHC is a Certified ARMHS provider. ARMHS services promote recovery by assisting recipients in gaining independent living and community skills, coping skills, social skills, and personal & emotional adjustment when these abilities are impacted by the symptoms of mental illness. ARMHS services assist and support individuals in areas such as medication education and monitoring, basic social and living skills, mental illness symptom management, household management, employment related, or transitioning to community living. Staff will work with you in identifying skill sets that you would like to learn to increase your ability to live and work as independently as possible. Services offered include individual home or community based or psycho-educational groups.

Who we Serve:  Adults 18 years or older who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County and have experienced a serious mental illness and/or traumatic brain injury.

 

c)   Certified Peer Support Services

The NWMHC has a number of Certified Peer Support Specialists who provide specific rehabilitative services emphasizing the acquisition, development and enhancement of skills needed by an individual with a mental illness to move forward in their recovery. These services are self-directed and person-centered with a focus on recovery. Peer Services are identified in a treatment plan or an Individualized Service Plan (ISP) and are characterized by a partnering approach between the Peer Recovery Specialist (who is a past consumer of mental health services who has been in recovery at least two years) and the individual who receives the services (peer). 

Who we Serve: the individual must meet ARMHS eligibility requirements and have a current Community Support Services worker.

Adults 18 years or older who meet ARMHS eligibility requirements (have experienced a serious mental illness and/or traumatic brain injury), have a current Community Based Services worker, and who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County.

 

d)   Individual Placement and Support (IPS)

Individual Placement and Support is a supported employment approach for people with mental health disabilities shown to be more effective at helping people become employed than using traditional employment services.  The IPS model is an evidence-based practice that engages a team approach to support your job search and work experience through a rapid engagement method (typically, the first meeting with employers occurs within 30 days of starting IPS services).  With IPS, an employment specialist (ES) is assigned to help you identify your best job options, complete applications, schedule interviews, develop job skills, explore local work options, and gain confidence for success.  In Addition, your ARMHS provider, therapist, nurse practitioner, CSP provider, or others work with you and your Employment Specialist to assist you in learning skills to support you in your vocational success. 

Who we Serve:  Adults 18 years or older with a serious mental illness who have been referred for IPS services by their NWMHC provider and who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County.

 

e)   Targeted Case Management (TCM)

The NWMHC is a Certified Targeted Case Management services provider. Case Management Services are designed to assist recipients in gaining access to needed resources and services (medical, social, educational, vocational, financial, and other necessary services) as they relate to the individual’s mental health needs.  AMH-TCM services include developing a functional assessment and individual community support plan, referring and assisting the recipient in obtaining needed mental health and other services, ensuring coordination of services, and monitoring the delivery of services.  Staff will meet with you and assist in identifying resources and services that you would benefit from such as benefit assistance and medication management.

Who we Serve:  Adults 18 years or older who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County and have experienced a serious and persistant mental illness.
 

f)   Homeless Intervention Program

Homeless Intervention Programs provides services to persons experiencing serious mental illness and homelessness.  The HIP programs assist unaccompanied adults (18 and over) and those with families to find permanent housing. Persons typically served by these programs are; persons with serious mental illness, those who are homeless or at imminent risk of homelessness or those who have been homeless long-term (4 times in the past 3 years or one continuous year in the past 3). 

Services provided include outreach, case management/supportive services, mental health services, referrals, benefit assistance (including a special program, SOAR, for persons seeking SSA benefits), assistance with transportation expenses for housing and/or job search, financial assistance with the costs connected to setting up a new residence including household supplies and furniture and either first month's rent or security deposit (eviction prevention in certain circumstances).

Residences are chosen by participants typically either income-based or the household has a HUD Section 8 voucher. Programs are available for those on the waiting list for a HUD voucher, Bridges, which is similar to the HUD voucher program, there is a waiting list.

Who we Serve:
Adults 18 years or older experiencing homelessness and have a serious mental illness and who are a resident of Kittson, Mahnomen, Marshall, Norman, Polk or Red Lake County.

 

g)   Adult In-Home Individual and Couples Therapy (Provided In Home)
NWMHC employs Mental Health Professionals and Clinical Trainees that are able to provide psychotherapy in the homes of adults and/or couples. Home based therapy is usually provided in the common living areas of one’s home. Our team consists of skilled clinicians who are able to provide many types of mental health therapy, including, but not limited to Strengths Based, Motivational Interviewing, Solution Focused, Trauma Focused, Art/Music Therapy and Relationship/Couples Counseling.

Who We Serve: Adults over the age of 18 when determined medically necessary for this service to be in the home and who reside in our six county service area (Kittson, Marshall, Red Lake, Polk, Norman and Mahnomen).

Community Based Children’s Services

a)   Early Childhood Services
Our specially trained early childhood therapists offer assessment by teaming with parents and care givers. Together, the team gains clarity and increased understanding of the child’s struggles in order to provide individually tailored recommendations and interventions to support the child’s social and emotional development. The NWMHC provides specialized assessment as well as individual and family therapy and/or skills training.

Assessments & Treatments include:
•General Mental Health Assessments, Neuropsychological Evaluations, Psychiatric Evaluations
•Play Therapy, Individual Cognitive Behavioral Therapy, Parent/Child Psychotherapy, Family Therapy
•Staff are trained in evidence-based interventions that include: Parent Child Interaction Therapy (PCIT), Trauma Informed-Child Parent Psychotherapy (TI-CPP), Trauma Focused CBT

Who we Serve: Children age six (72 months) and under who experience attachment, social, emotional and behavioral challenges at home, at daycare, or in other settings and who reside in Kittson, Mahnomen, Marshall, Norman, Polk, Pennington or Red Lake County.

 

b)   Children’s Therapeutic Services and Supports (CTSS) 
The NWMHC is a Certified CTSS services provider.  Individual and Family Skills-Building are provided to children and families in which there is a child diagnosed with a severe emotional disturbance who is struggling in the home, school or community environment. Social, emotional, and behavioral skills are taught by qualified mental health practitioners and professionals. The emphasis of the NWMHC’s CTSS services is to aid with the child's success in their current environment.

Who we Serve: Children and adolescents diagnosed with a severe emotional disturbance who struggle in the home, school or community environment and who reside in Kittson, Mahnomen, Marshall, Norman, Polk, or Red Lake County.

 

c)   Family and Individual Therapy (Provided In Home)
NWMHC’s Family and Individual Therapy services are provided to children who have severe emotional disturbances and complex needs by qualified mental health practitioners and professionals utilizing strengths-based interventions which actively engage the individuals and family members in the counseling. Family Therapy is provided in the home of the child and their family. Individual therapy occurs either in the child's home or in the child's school. It provides flexible, culturally competent in-home and community-based therapy and treatment services that work to build positive family relational patterns and reduce disruptive behaviors and reduce the need for out of home placement. In-home ongoing treatment is provided by a multi-disciplinary team of professionals who coordinate service with schools, hospitals, treatment facilities and other service providers. Specific family problems vary from case to case but may include parental mental illness, emotional, sexual or physical abuse, delinquency, truancy, parenting problems, and physical disorders that limit daily functioning.

Who we Serve: Children and adolescents have a severe emotional disturbance and complex needs and who reside in Kittson, Mahnomen, Marshall, Norman, Polk, or Red Lake County.

 

d)   Children’s Mental Health Targeted Case Management

The NWMHC is a Certified Targeted Case Management services provider. Children’s Mental Health Case Management (CMHCM) assists children with a severe emotional disturbance and their families with assessing, accessing, coordinating, monitoring and planning mental health services. These services will address, reduce and/or alleviate their mental health symptoms to improve the functioning level of the client and family within the home, school and community settings. 

These services are intended to assist children with a severe emotional disturbance and include:
•assessing for mental health needs
•accessing needed services
•coordinating services over time
•monitoring services to ensure they are meeting the identified needs

Who we Serve:
Children who have a mental health diagnosis and meet criteria for serious emotional disturbance. Eligibility for case management services will be determined upon review of clinical and referral information.

 

e)   School Linked Mental Health Services
School linked Mental Health Services consist of skills training, counseling and therapy for students with emotional/behavioral difficulties. Services are provided by staff of NWMHC or by school staff contracted by NWMHC to provide the services. Staff work with the students and family to develop individualized treatment plans to identify goals and then they directly provide or assist the family in obtaining needed services to help the child achieve the goals in the plan.

NWMHC Staff are located in schools in: Crookston, East Grand Forks, Warren, Climax-Shelly, Fisher, Fertile-Beltrami, Win-E-Mac, Mahnomen and Thief River Falls.  Additionally, NWMHC contracts with various other schools to provide services via school district staff.

For information contact: 218-281-3940

 

f)   NorthStar Summer Program 
NorthStar is a therapeutic skills-building program through Northwestern Mental Health Center designed to build Life Skills and provide routine for children diagnosed with a mental health issue. NorthStar Summer Program provides children with group therapeutic skills building. Group members practice skills including building and maintaining healthy relationships, problem solving, healthy expression of emotion, respecting others and themselves, and setting goals they want to achieve. The program utilizes a curriculum designed specifically for NorthStar by the staff each year which uses lessons, crafts, games, and other activities to teach necessary life skills and to provide participants with opportunities to practice these skills in a safe and nurturing group setting.

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Supportive Housing Services (Adults)

a)   Crisis Stabilization Unit
The NWMHC’s Crisis Stabilization Unit (CSU is a two bed unit that is connected to the Northwestern Apartments which provides crisis stabilization services to who are experiencing a mental health crisis. This limited but intensive service is provided after a voluntary client is assessed by a Mental Health Crisis Response Team member and found appropriate for Crisis Stabilization Unit placement. Clients receive crisis stabilization and intervention services including coping skills education, brief counseling, supportive services, and links to community resources including case-management, psychotherapy and psychiatry.
Who We Serve:
We serve all adult clients with mental health crisis needs who have been assessed and found appropriate for admission by a Mental Health Crisis Response Team member - with preference for those living in the eight northwest Minnesota counties of Polk, Red Lake, Norman, Kittson, Roseau, Pennington, Mahnomen, and Marshall.

b)   Northwestern Apartments
Northwestern Apartments (NWA) is a transitional housing with supports program. Staff is available 24 hours a day/7days a week, to assist individuals who have mental health needs, with learning needed skills so that they can transition back into the community. Services include case management (linking with available and needed resources), supportive therapy, and skills building (budgeting, coping skills, independent living skills, medication education, etc.).

Admission Criteria: NWA requires an Initial or Comprehensive Assessment completed within the last 6 months wherein the client is diagnosed with a serious and persistent mental illness. The client also requires referral by a County Social Service Case Manager and a completed interview and admission process with Northwestern Apartments staff. Some of the services provided include: 24/7 staff available on site; individualized treatment planning and goal-setting; individual and group counseling; group treatment based on a Dialectical Behavior Therapy model; social, recreational, leisure, and independent living skills training; medication services; work programs; help with securing benefits and accessing community services; and follow-up services through Northwestern Mental Health Center after discharge from the residential facility.  Call and inquire directly at NWA for any additional eligibility requirements (218.281.5256)
Who We Serve:
We serve all adult clients with a serious and persistent mental illness, with
preference for those living in the eight northwest Minnesota counties of Polk, Red Lake, Norman, Kittson, Roseau, Pennington, Mahnomen, and Marshall.

c)   Adult Foster Care
The NWMHC has a 4 bed Licensed Adult Foster Care which is housed in the Northwestern Apartments.  It is a transitional home providing quality supervised living for 4 people with 24-hour staff availability in a safe, healthy, and supportive apartment style environment with staff directly supervising residents in their living quarters.  The Adult Foster Care Program is more intensive than the traditional Northwestern Apartments program.

Individual residents are encouraged, through Foster Care staff supports and assistance, to maintain independence in tasks of daily living such as hygiene, grooming, dressing, eating, and taking medications, mobility, and simple housekeeping. The staff will provide assistance and training in instrumental tasks of daily living, such as daily scheduling, arranging transportation, clothing care, housekeeping, food preparation, money management, shopping, using the telephone or computer to communicate, participating in community activities, attending medical appointments and crisis response.  The professional staff provides an environment for individuals to work toward their personal recovery goals.
Who We Serve:
We serve all adult clients with a serious and persistent mental illness, and a CADI waiver, with preference for those living in the eight northwest Minnesota counties of Polk, Red Lake, Norman, Kittson, Roseau, Pennington, Mahnomen, and Marshall.

603 Bruce Street | Crookston, MN 56716
© Northwestern Mental Health Center 2019