Community Rehabilitation and Support Services
Click on a title for more information.
 • Community Support Program
 • Day Treatment
 • Adult Rehabilitative Mental Health Services (ARMHS)
 • Dialectical Behavior Therapy (DBT)
 • Adult Corporate Foster Care (Tenth Street Family Care)
 • Clubhouse (Hardwig House)
 • Pre-Petition Screenings


Community Support Program
Provides individualized supports to enable adults with serious and persistent mental illnesses to live in the community. It includes such services as transportation, assistance with daily living skills, medication monitoring and crisis assistance. It is staffed by paraprofessional workers under the supervision of a program director.

Contact - Joan Christensen, MA, LP - 218-283-3406 ext 127


Day Treatment
Day Treatment is a highly structured program for adults with symptoms impairing thought, mood, behavior or perception, and several functional limitations due to serious (and persistent) mental illness, which interfere with their ability to live independently. Day Treatment consists of intensive services provided by a multidisciplinary team under the supervision of a mental health professional. These services are provided up to three hours a day, five days a week to stabilize a recipient's mental health status while improving his/her independent living and socialization skills.

Contact - Joan Christensen, MA, LP - 218-283-3406 ext 127

Adult Rehabilitative Mental Health Services (ARMHS)
ARMHS is a state-certified program designed to enable adults with serious (and persistent) mental illnesses to develop and maintain psychiatric stability, social competencies, personal and emotional adjustment and independent living and community skills, when these abilities are substantially impaired by the symptoms of mental illness. These services are provided both to individuals, generally in their natural environments, and groups of individuals at convenient locations. It is provided by Mental Health Practitioners under clinical and administrative supervision of a licensed mental health professional.

Contact - Joan Christensen, MA, LP - 218-283-3406 ext 127

Medication Education is an ARMHS service (see above) designed to instruct persons with serious (and persistent) mental illnesses about their medications and side effects, and to help them develop ways to manage their medications responsibly to prevent decompensation and hospitalization. It is provided to both individuals and groups of individuals by a Registered Nurse under the administrative and clinical supervision of a mental health professional.

Contact - Joan Christensen, MA, LP - 218-283-3406 ext 127



DBT (Dialectical Behavior Therapy)
Skills training that is a weekly, 3 hour, either ARMHS or Day Treatment group. The program is designed to teach clients with borderline personality disorder or traits, and/or chronic suicidal or self harm urges, and help them apply skills to regulate their intense emotions, make decisions that are self-enhancing, become more effective interpersonally and find positive solutions to their problems in living.

Clients attending this program also participate in DBT individual therapy. Clients must make a commitment to stop acting on urges to harm themselves and to complete the full 32 week group. It is run by a mental health professional or mental health practitioner.

Contact - Joan Christensen, MA, LP - 218-283-3406 ext 127


Adult Corporate Foster Care (Tenth Street Family Care)
An intensive, mental health residential program for four adults who, because of the severity and multitude of their mental health problems, are unable to live in the community without 24/7 supervision and, rehabilitation or assistance. Some clients need this service indefinitely; others may gain enough mental health stability and community living skills to graduate to independent living. It is staffed by trained paraprofessional workers under the supervision of a mental health practitioner.

Contact - April Krause, BS, MHP, LPN - 218-285-6100



Hardwig House
Hardwig House is a Clubhouse for adults with serious (and persistent) mental illnesses offering a setting in which clients become "members" and equal partners with staff in the rehabilitation process, thereby increasing client ownership, esteem and investment in their recovery. It is based on strengths and wellness rather than weaknesses and illness, on self-help and recovery rather than "treatment". It meets needs for affiliation, relationships, and fun; and is open in the afternoon, some evenings and weekends. A mental health practitioner provides guidance and coordination.

Contact - Karen Zaren, MHP, Clubhouse Coordinator - 218-283-5571


Pre-Petition Screenings
Pre-Petition screenings are investigations conducted by a mental health professional or practitioner. These investigations are ordered by Koochiching County Community Services, when people in the community or treatment setting are concerned about the possible dangerousness (to self or others) of a person who appears to be mentally ill, developmentally delayed, and/or chemically dependent. These investigations involve reviewing pertinent medical records, police reports and the like, and interviewing persons who have direct knowledge of facts regarding the person's behaviors. A report is written summarizing this information, findings in support of mental illness, developmental delay and/or chemical dependency and danger to self (including self-neglect) or others, and makes specific recommendations to the court about how best to help this person, while keeping him/her and the community safe, in the least restrictive way. Recommendations can include voluntary or involuntary inpatient or residential placement to a psychiatric or CD facility or community treatment.

Contact - Koochiching County Community Services - 218-283-7000