Care Coordination

Certified Community Health Care Clinic

Certified Community Health Care Clinics (CCBHC) are a new model for providing services to people diagnosed with a mental illness and/or substance use disorder. This model is designed to make it easier for you to receive the right services for your needs by providing convenient access to a wide variety of services including:

  • Outpatient mental health and substance use services
  • Primary care screening and monitoring
  • Screening, assessment and diagnosis, including risk management
  • Psychiatric rehabilitation services
  • Crisis mental health services, including 24-hour mobile crisis team, emergency crisis intervention services and crisis stabilization
  • Patient centered treatment planning
  • Targeted case management for adults, adolescents and children
  • Peer and family support
  • Services for members of the armed forces and veterans
  • Care coordination services

Typically a person diagnosed with a mental illness needs to work with several different organizations to receive the necessary services for their care. For instance, this could mean visiting a therapist, a primary care provider, a case manager and a chemical health counselor – all at different places. The CCBHC model changes that by offering these services at Western Mental Health Center.
Western Mental Health Center is a certified CCBHC provider by the Minnesota Department of Human Services.

Targeted Case Management

Western Mental Health Center’s Targeted Case Management services are designed to help adults with serious and persistent mental illness (SPMI) gain access to needed mental, medical, social, educational, vocational and other necessary services as they relate to a person’s overall health needs.

  • Assessment of functioning along with areas of strength and need
  • Assistance with development of goals that will enhance quality of life
  • Help in identifying and developing both natural and community resources to help achieve goals
  • Assistance with coordinating, referring and monitoring needed services
  • Advocacy to ensure access to needed services
  • Assistance finding and arranging transportation service

Behavioral Health Home

Your Behavioral Health Home Team will help you with your individual care needs. The team will work closely with you, your supporters and providers to ensure comprehensive quality of care. Together you will develop a plan of care to ensure a healthy lifestyle both physically and mentally.

  • Comprehensive Care Management
  • Care Coordination
  • Health and Wellness Promotion
  • Comprehensive Transitional Care
  • Individual and Family Support
  • Community and Social Supports

Certified Peer Specialists

Our certified peer specialists are available to clients participating in our adult community based programs. Peer Specialists provide nonclinical peer support, a wraparound continuum of services in conjunction with other community mental health services and individualized for the recipient.

Care Coordination

Our care coordination team provides levels of care coordination based on client preference.

  • Reminders for appointments
  • Coordination of multiple and/or co-occurring services
  • Integrated treatment planning with multi-disciplinary team and client’s social support system
  • Primary care and other referrals
  • Immediate needs assessments