Our Approach with Professionals

For professionals, schools, agencies, and organizations responsible for referring or providing mental health services to adults, children, and families, consider getting to know Fernbrook. This section is intended to provide information about the specific services Fernbrook can provide directly to individuals or as a contracted service through schools, counties, or organizations.

  • We become community assets through our dedication, reliability, and quality services
  • We treat our professional reputations with care
  • We are authentic

Our relationships with people are key and we place a premium on developing strong partnerships. We demonstrate this through: attending monthly meetings with Case Managers and regular communication with Case Managers; collaboration with Child Protection Teams and assisting with case planning or staffing; collaboration and integration of individual skills training, MHBA services, and therapy with schools; and collaboration with other service providers: (i.e. therapists, physicians, probation officers, personal care assistants, daycare, head start, etc.).

We welcome the challenges facing our communities; we don’t shy away from difficult situations.

Clinical Services

State certified provider of children and adult services

MNDeptofHS LogoFernbrook is certified by the Minnesota Department of Human Services to provide Children’s Therapeutic Services and Supports (CTSS) and Adult Rehabilitative Mental Health Services (ARMHS) that are funded by Medicaid and other Minnesota Health Care programs.

Children’s Therapeutic Services and Supports (CTSS) is designed to help children with significant impairments in their functional abilities resulting from a mental health disorder. CTSS services may include different levels of rehabilitative interventions. Rehabilitative services are intended to help restore the child or youth to typically expected levels of functioning that had never been achieved or had been achieved but declined due to the child’s mental health concerns. Services are delivered using various combinations of services and treatment modalities) to achieve the child’s treatment goals.

Adult Rehabilitative Mental Health Services (ARMHS) are a set of services developed to bring restorative, recovery-oriented interventions directly to individuals who have the capacity to benefit from them, whether in their homes or elsewhere in the community. This means skills that have been lost or diminished due to the symptoms of mental illness can be acquired, practiced, and enhanced whenever and wherever they are needed.

 Mental Health Rehabilitation Worker (MHRW)

Mental Health Rehabilitation Workers (MHRW) provide individualized rehabilitative skills training to enable an adult recipient to: develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills, when these skills are impaired by symptoms of mental health illness and/or to retain stability and functioning if the recipient is at risk of losing significant functionality or being admitted to a more restrictive setting. They assist in the progressive use and mastery of basic and social living skills, mental illness symptom management, household management, and employment-related skills.

Infant and Early Childhood Mental Health

We strongly believe that caregivers play a vital role in children’s development of creating and sustaining healthy attachments. We value strengthening the relationship between the caregiver and child to   promote healthier social and emotional behavior function. We are devoted and passionate about helping create stability in a child’s family dynamic.

Our Process

Diagnostic assessments are offered to children age birth to 5.  We use the DC:0-3R diagnostic manual and extended diagnostic assessments which involves three (3) separate intake sessions which typically take place in different settings and with different caregivers/providers. For those children who qualify for a diagnosis, an individualized treatment plan will be created and may include services such as family psychotherapy, individual psychotherapy within daycare/preschool settings, family skills training, mental health behavioral aide services, and/or day treatment services.

Day Treatment-Little Fern

Our day treatment program is Little Fern and is offered to eligible children.  Little Fern is an intensive day time treatment from Monday-Thursday for a three (3) hour period that is designed for children that have experienced significant trauma, show persistent and severe behaviors in different settings, and or have caregivers who have severe and persistent mental health illness. Frequency of all services will be determined by the severity of the child’s mental health challenges. Some children may receive psychotherapy services weekly or monthly and others may receive a combination of services several times weekly. Services are offered in the environments in which the family/child experiences the most challenges (e.g. clinic, home, daycare, preschool, etc.).

School Link Mental Health (SLMH)

School Link Mental Health (SLMH) increases accessibility of mental health services for underserved populations. These programs are made available through a Minnesota Department Human Service grant.

School-Based CTSS Services

School-based CTSS programs are located within schools and typically include a team of therapists and/or skills workers. These programs serve students whose mental health concerns present a barrier to special education services. For more information please complete the form below and we will be in contact with you very soon.

Adult Residential Services

Group Residential Housing (GRH) Requirements:
  • Certified disability, or disabling condition, or 65 years old or older
  • Low income and low assets
  • Reside in a setting authorized by the county or tribe with a GRH agreement
Additional Requirements:
  • Fernbrook offers ARMHS, but residents are not required to accept ARMHS services. Initially offered at intake.
  • At application and once a year, recipients must show a need for ongoing support to maintain stable housing verified by a qualified professional

 

Fernbrook provides adult residential services at 2 sites in Olmsted County: Kepler Board and Lodge and Aspire Homes.

Kepler Board and Lodge  (1 Bed; Crisis Bed Availability)

Kepler Board and Lodge is a level two GRH setting and is designed for individuals with SPMI who require additional services to make independent living a reality. Fernbrook provides a number of services in home for clients of Kepler including but not limited to individual and group sessions, crisis management, food service, and nursing services to assist with medication set up and assessment. Kepler is an 8 unit site with an additional crisis bed that can be utilized by Olmsted County residents for 30 days.

Aspire Homes  ( 5 Bed Openings; Male or Female)

Aspire Homes is a level one GRH setting and is designed to help individuals with a mental illness, physical disability, or chemical dependency have a safe and stable place to reside. Fernbrook provides food services and crisis management for Aspire homes. Aspire clients also have access to ARMHS services where they are able to receive mental health skills work in any area they feel their mental health impacts their functioning.

Currently Aspire Homes is a 32 unit site with plans to expand in the coming months.

Fernbrook staff handle intakes for both Kepler Board and Lodge and Aspire Homes.  For more information about our Adult Residential Services, or to make a referral, please click the button below.

Make a referral

Mental Health Behavioral Aide (MHBA)

Mental Health Behavioral Aides (MHBA) provide individualized rehabilitative skills training to improve the functioning of a child in the progressive use of developmentally appropriate psychological skills (communication, interpersonal relationships, social, coping, emotion regulation and self-care). Activities involve working directly with the child, child-peer groupings or child-family groupings to practice, repeat, reintroduce and master the skills taught by the mental health practitioner.

Children’s Mental Health Targeted Case Management

Raising children with mental health issues can be extremely stressful for families.  Parents (or guardians) may not always know what services are available, where to access the services, how to start services, how to fill out needed paperwork, and how to manage and negotiate with service providers.  A Children’s Mental Health Targeted Case Manager (MH-TCM) can help a family with all aspects of navigating and accessing necessary services.

MH-TCM is designed to help the child with severe emotional disturbance (SED) and the child’s family obtain needed mental health services, social services, educational services, health services, vocational services, recreational services, and related services in the areas of volunteer services, advocacy, transportation, and legal services. MH- TCM assist families in coordinating community support services needed by the child and the child’s family with other services that the child and the child’s family are receiving.

A Children’s MH-TCM will meet with the parents (or guardians) and child at least once per month for a minimum of one-hour to maintain services.  In times of stress or crisis, the case manager can meet more often depending on the need.

The children’s MH-TCM aspires to improve family functioning, enhance daily living skills, improve functioning in education and recreation settings, improve interpersonal and family relationships, and enhance vocational development.

Consultation & Contracted Services

Trauma-Informed Consultation

A trauma-informed mental health professional provides consultation and support for agency social workers, foster care providers, community professionals, and service providers across the counties of Dodge, Steele, and Waseca served by MNPrairie County Alliance.  This position is contracted through MNPrairie County Alliance by a South Country Health Alliance (SCHA) grant-funded effort to build a trauma-informed system of care across the MNPrairie service area.   The mental health professional provides trauma trainings, clinical consultation, and guidance in order to assist with trauma identification and service planning to meet the unique needs of children, maximizing their sense of safety and reducing their emotional distress.

Reflective Supervision

Coming soon!

Types of Interventions

Evidence Based Intervention: Trauma Focused Cognitive Behavior Therapy (TF-CBT)

TF-CBT is a structured treatment to help children overcome the painful effects of experiencing traumatic life events.

Originally developed for child victims of sexual abuse, the treatment now is evidence based for its effectiveness in addressing multiple and complex traumas.  In addition to treating children’s trauma symptoms and responses, TF-CBT also treats trauma-related impacts such as behavior problems, depression, anxiety, and inappropriate sexual behaviors. TF-CBT is more helpful and successful when it includes the non-offending, believing and supporting parent or caregiver as an active participant in treatment. As a components-based model, TF-CBT educates both child and caregiver about childhood trauma and post-traumatic stress disorder, teaches emotional regulation and stress management skills, and gradually exposes both child and caregiver to the trauma through the development of a trauma narrative. TF-CBT also improves children’s safety skills as well as parental coping skills.  TF-CBT has been validated for use with children between the ages of 3-18 who have experienced a traumatic event or complex trauma and have developed symptoms of traumatic stress. Over 80% of children who participate in TF-CBT show significant improvements in symptoms in 12-16 weeks.

Evidence Based Intervention: Parent-Child Interaction Therapy (PCIT)

Parent-Child Interaction Therapy (PCIT) is an empirically-supported treatment for conduct-disordered young children that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child’s prosocial behavior and decreasing negative behavior. This treatment focuses on two basic interactions: Child Directed Interaction (CDI) is similar to play therapy in that parents engage their child in a play situation with the goal of strengthening the parent-child relationship; Parent Directed Interaction (PDI) resembles clinical behavior therapy in that parents learn to use specific behavior management techniques as they play with their child. (The above information and more information about PCIT can be found at www.pcit.org)

PCIT is designed for children ages 2 – 7. Sessions involve parents/caregivers and their child and are scheduled weekly. Each session, parents/caregivers engage in ‘special time’ with the child while being observed and coached by the therapist. Between sessions, parents/caregivers are asked to practice the PCIT techniques during 5-15 minutes of ‘special time’ each day.

Evidence Based Intervention: Dialectical Behavior Therapy (DBT)

Dialectical Behavioral Therapy is an evidence based treatment that assists clients in building skills to manage behaviors such as difficulty managing emotions, self-injurious behaviors or suicidal ideation/attempts. The four skills modules include emotional regulation, distress tolerance skills, mindfulness and interpersonal effectiveness skills. DBT includes a group component where skills are taught as well as an individual therapy component. Fernbrook Family Center offers adolescent DBT groups and therapy. The groups are typically one hour per week for 16 weeks.

Evidence Based Intervention: Child-Parent Psychotherapy (TI-CPP)

Child-Parent Psychotherapy (TI-CPP) is an intervention for children and their parents who have experienced at least one form of trauma (e.g., maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and are presenting with different problems as a result. The primary goal is to support and strengthen the relationship between a child and his or her parent (or caregiver) in order to repair the child’s sense of safety, attachment, and appropriate affect to ultimately improve the child’s cognitive, behavioral, and social functioning. The type of trauma and the child’s age/developmental status determine the structure of TI-CPP sessions. For example, if the child is an infant, the focus is on helping the parent(s) understand the trauma’s potential impact on development and or functionality. Older children often take an active role in the treatment, which often involves play to facilitate communication between child and parent.

Evidence Based Intervention: Circle of Security (COS)

The Circle of Security is a relationship based early intervention program designed to enhance attachment security between parents and children. The COS intervention and the graphic designed around it are intended to help caregivers increase their awareness of their children’s needs and whether their own responses meet those needs.

Evidence Based Intervention: Eye Movement Desensitization and Reprocessing (EMDR)

EMDR is a therapeutic approach that assists someone with processing traumatic events or memories.  This form of therapy follows an eight-phase model that helps address traumatic memories and process emotions and triggers and negative cognitions that result in difficulty with future adaptive behaviors and thinking. This allows for the individual to access the adaptive information and replace negative beliefs with positive cognitions, reducing the intensity of the traumatic memory.  During various points of therapy, bi-lateral stimulation (typically eye movements) is used.

If you are interested in learning more about any of our services listed here, please complete the form below and we will contact you very soon.