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What is it?

The purpose of ARMHS is to help the client learn to use mental health, health care and community resources to better manage symptoms, meet their independent living needs, and achieve a higher quality of life. Where clients need them, ARMHS practitioners do not provide direct care services (such as housekeeping, personal care or transportation) directly to clients. Rather, they connect the client with community and health care resources and teach them how to use these services and advocate for their needs.

ARMHS services are supervised by qualified mental health professionals and coordinated with other mental health, health care, residential, vocational and community services.

How does it help?

Qualified ARMHS practitioners from Accend meet with clients one to five hours per week. With the client, the practitioner develops a Treatment Plan focused on his or her self-identified goals and recovery vision, and provides treatment services for:

• Coping with mental health symptoms
• Accessing other mental health care services
• Health care
• Advocating for needs with health care providers
• Medication education and monitoring
• Basic social and living skills
• Interpersonal and self-advocacy skills
• Parenting skills
• Healthy socialization and leisure skills
• Personal care and independent living skills
• Financial resources and money management
• Obtaining and maintaining housing
• Obtaining and using transportation
• Employment readiness
• Educational preparedness
• Transitioning to community living from long-term treatment or hospitalization

Where is it offered?

ARMHS (Adult Rehabilitative Mental Health Services) provide skill development services to persons whose mental health symptoms have impacted optimal functioning and who are currently enrolled in a Minnesota Health Care Program insurance (Medical Assistance, PMAP, SNBC, or MinnesotaCare).

Accend currently provides ARMHS in St. Louis and neighboring counties and in Hennepin and neighboring counties.

What is it?

Adult mental health targeted case management (AMH-TCM) services help adults with serious and persistent mental illness (SPMI) gain access to needed medical, social, educational, vocational, and other necessary services as they relate to the recipient’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.

How does it help?

Case managers assess clients’ functioning and needs for services. They refer clients to services that reduce risk of hospitalization or placement, but do not provide direct care services such as housekeeping, personal care, transportation, mental health therapy or skills training. When a client needs these services, the case manager will identify resources and make referrals to services that meet the client’s needs. The role of the case manager is to:

• Review the diagnostic assessment
• Assess current strengths, resources, needs, functioning, health, safety, vulnerability, and risk
• Screen for substance use/abuse
• Identify recipient goals
• Plan services
• Connect the recipient with resources and supports to achieve goals
• Refer and link the recipient to service providers for treatment and rehabilitation

Where is it offered?

Eligible recipients of mental health targeted case management are persons with serious and persistent mental illness, as determined by a diagnostic assessment and eligibility screening. Eligible recipients have recently (in the last two years) experienced:

• civil mental health commitment;
• extended residential mental health treatment;
• more than two hospitalizations for mental health; or
• current risk of placement, hospitalization, or commitment for mental health without intensive community supports.

Accend provides Mental Health Targeted Case Management to Minnesota residents of:

• For individuals with Medical Assistance or UCare:


• Lake
• St. Louis*
• For individuals with other PMAP insurance:


• St. Louis and neighboring counties
• Hennepin and neigboring counties*

What is it?

Accend's Behavioral Health Home (BHH) services provide an opportunity to build a person-centered system of care that achieves improved outcomes for individuals and reduced costs to the health care system. BHH aims to serve the whole person across primary care, mental health, substance use disorder treatment, long-term services and supports, and social service components of our health care delivery system.

Core services include:

• Comprehensive care management
• Care coordination
• Health and wellness promotion
• Comprehensive transitional care
• Individual and family support
• Referral to community and social services

To be eligible for behavioral health home services, a person must have serious mental illness (SMI) or emotional disturbance (ED) and have a current diagnostic assessment as performed or reviewed by a mental health professional.

If you are receiving the following services, you may not also receive BHH services:

• Mental health targeted case management (MH-TCM)
• Assertive Community Treatment (ACT) or Youth Assertive Community Treatment (YouthACT)
• Relocation service coordination targeted case management(RSC-TCM)
• Vulnerable adult/developmental disability targeted case management(VA/DD-TCM)
• Health care homes care coordination

How does it help?

The goal of Behavioral Health Home Services is to improve health outcomes by thoughtful coordination care between physical and mental health care, and other service providers for individuals who are not receiving Case Management services.

These goals include:

• Improving health outcomes (preventative, routine, treatment of health conditions) of individuals.
• Improving experience of care for the individual.
• Improving the quality of life and wellness of the individual.
• Reducing health care costs.

Where is it offered?

Accend currently provides Behavioral Health Home Services to residents of these Minnesota counties:

• Anoka
• Cook
• Dakota
• Hennepin
• Lake
• Ramsey
• St. Louis*

*A note on St. Louis County services: we currently only have capacity to serve individuals in Southern St. Louis County.

What is it?

Accend’s services to children, known as Children's Therapeutic Services & Supports (CTSS), are community-based services designed for children and adolescents, and their families to address behavioral and mental health concerns.

Children & Family Services are individual child, adult, or family psychotherapy, skills training and behavioral aide services for children, and Adult rehabilitative mental health services focused on improving parenting skills.

How does it help?

When children experience trauma or severe emotional disturbances, development of core life skills can be delayed. CTSS consists of time-limited interventions, intended to teach life skills that help:

• Restore child development to normal
• Help a child who is at risk of out-of-home placement to remain at home
• Help a child achieve success in school when academic performance is impacted by the disorder

Parents with mental health conditions can receive ARMHS (Adult Rehabilitative Mental Health Services) targeted toward the impacts of their symptoms on parenting and family life.

Where is it offered?

Accend currently provides a full array of Children and Family services, including family and indivdual skills training, to residents of these counties in Minnesota.

• Anoka
• Cook
• Dakota
• Hennepin
• Lake
• Ramsey
• St. Louis*

*A note on St. Louis County services: we currently only have capacity to serve individuals in Southern St. Louis County.

What is it?

Early Intensive Developmental and Behavioral Intervention (EIDBI) services is a an array of services for children under age 21 with Autism Spectrum Disorders (ASD) and related conditions.

EIDBI is a set of targeted and formal interventions intended to improve:

• Behavioral challenges and self-regulation
• Cognition
• Functional communication
• Learning and play
• Safety
• Self-care
• Social or interpersonal interaction

Children and or young adults to age 21 diagnosed with autism or a related condition are eligible for EIDBI.

How does it help?

• Promote children's and young adults' development, independence and participation in family, school and community life when development is impacted by symptoms of ASD or related conditions;
• Educate, train and support their parents and families; and
• Improve long-term outcomes and the quality of life for people and their families.

EIDBI core services include:

• Comprehensive Multi-Disciplinary Evaluation to determine whether or not a child or young adult is eligible for EIDBI services, and if so, to make recommendations for treatment.
• Intensive Intervention to teach skills and help individuals regulate behavior and reach development milestones.
• Family and Caregiver Counseling and Training to help parents and caregivers understand the individual's condition, about the treatment plan and how caregivers can help the person generalize skills learned in treatment, and about other resources available to support the person and their family, and how to access them.

Where is it offered?

Accend currently provides EIDBI services in these counties in Minnesota.

• Carlton
• Cook
• Lake
• St. Louis*

*A note on St. Louis County services: we currently only have capacity to serve individuals in Southern St. Louis County.

What is it?

Psychotherapy services at Accend include services to adults and children and may be:

• Individual Therapy – one-on-one psychotherapy tailored to what the individual wants and needs.
• Family Therapy – psychotherapy that involves all members of an extended family.
• Group Therapy – small groups of patients meet regularly to talk, interact, and discuss problems with each other and the group leader (therapist).
• Couples Therapy – psychotherapy used to treat relationship distress for individuals and couples.

Any person or family experiencing distress in relationships, daily functioning, or emotional stability to an extent that it interferes with everyday life is eligible for psychotherapy.

How does it help?

Psychotherapy can be short-term or long-term and provide help with a variety of symptoms and life difficulties.

• Identifying and coping with symptoms of a variety of mental health conditions such as depression, anxiety, and others.
• Dealing with grief or loss.
• Improving relationships.
• Replacing ineffective thinking, behaviors and habits with new thoughts and behaviors that improve functioning.
• Supplementing treatment with medication to improve outcomes.

Where is it offered?

Accend offers psychotherapy services in the following areas of Minnesota:

• Anoka
• Cook
• Dakota
• Hennepin
• Lake
• Ramsey
• St. Louis*

*A note on St. Louis County services: we currently only have capacity to serve individuals in Southern St. Louis County.

What is it?

Housing Stabilization Services is a new Minnesota Medical Assistance benefit to help people with disabilities, including mental illness and substance use disorder, and seniors find and keep housing. It includes:

• Housing Consultation: developing a plan for obtaining and maintaining housing.
• Housing Transition: moving to a new home.
• Housing Sustaining: Services that support a person to maintain living in their home in the community.

How does it help?

Housing Stablization services can help with:

• Researching affordable housing options.
• Identfying sources of financial support for moving, maintining housing.
• Developing and maintaining a budget to remain stably housed.
• Communicating with landlords and understanding leases.
• Arranging for assistive technology,environment modifications.
• Obtaining reasonable accomodations.
• A variety of other supports to remove barriers to obtaining and maintaining housing.

Where is it offered?

We currenlty provide Housing Stablization Services in Duluth, MN and the surrounding area.

What is it?

Diagnostic assessment services are provided by trained mental health professionals. The diagnostic assessment consists of an interview to identify mental health or emotional behavioral conditions, determine eligibility for mental health services, and inform a mental health treatment plan.

A diagnostic assessment (DA) is a written report that documents the clinical and functional face-to-face evaluation of a recipient’s mental health, and includes:

• Current personal strengths and existing support resources
• Personal and family history
• Nature, severity and impact of mental health condition
• Functional impairment and behavioral difficulties
• Stressors
• A clinical diagnosis
• Diagnostic Assessment and Clinical Consultation services may also include the following additional services, depending on the needs of the recipient.

Diagnostic assessment can including follow-up services, including:

• Explanation of findings
• Family psychoeducation to family members of individuals with behavioral/mental health conditions
• Clinical care consultation to caregivers of children with emotional/behavioral disorders

More on the follow-up services...

Explanation of Findings

Explanation of findings is provided to the client, client's family, and caregivers, or to other providers to help them understand the results of the testing or diagnostic assessment, better understand the client's illness, and provide professional insight needed to carry out a plan of treatment.

Explanation of findings is a face-to-face meeting between mental health professional and the recipient’s:

• Family
• Primary caregiver
• Other responsible persons such as:
• Case manager
• Child protection worker
• Community corrections agency
• Guardian
• Health care provider
• Local education agency representative
• Qualified developmental disabilities professional (QDDP)
• School
• Vulnerable adult worker

Family Psychoeducation

The goal of family psychoeducation is to help prevent relapse or development of other related disorders and to achieve optimal mental health and long-term resilience by supporting the recipient and family in understanding these factors:

• The recipient’s symptoms of mental illness
• The impact on the recipient's development
• Needed components of treatment
• Skill development

Clinical Care Consultation

Mental health clinical care consultation is communication between a mental health professional and other providers or educators, who are working with the same child. These professionals use the consultation to discuss the following:

• The recipient's symptoms
• Strategies for effectively engaging the child and/or family in treatment
• Intervention needs and treatment expectations in each setting

Medical Opinion

Where a mental health condition severely impacts functioning, a Diagnostic Assessment can be used as the basis for a medical opinion to support applications for the following social security disability determinations, financial assistance, housing assistance or accommodations for disability, or other services.

Accend does not provide Diagnostic Assessments for the sole purpose of rendering a medical opinion. Please do not refer for medical opinions only.

Only in very rare cases can we offer a medical opinion to an individual who is not a current client, receiving services from our agency. If offered, a medical opinion in these cases will be time limited and valid for up to, but not more than, 90 days. If an individual who requests a medical opinion subsequently engages in services, we may be able to provide a more informed and longer-term medical opinion after a period of treatment and more comprehensive assessment.

Where is it offered?

Accend offers Diagnostic Assessment & Clinical Consultation services in the following Minnesota counties:

• Anoka
• Cook
• Dakota
• Hennepin
• Lake
• Ramsey
• St. Louis*

*A note on St. Louis County services: we currently only have capacity to serve individuals in Southern St. Louis County.