Menominee County Human Services Department provides an array of outpatient services to Menominee County residents diagnosed with mental illness, developmental disability, and/or alcohol and other substance abuse issues to the extent that the condition interferes with or impairs physical health, psychological functioning, or socioeconomic adaptation, occupational or educational performance and personal or family relationships. The Agency is sometimes referred to as the “51.42 Board,” which is a reference to Wisconsin’s Chapter 51, the Mental Health Act of the State Statutes. All of the Agency’s behavioral health services are state certified under the provisions of the administrative codes of the Wisconsin Department of Health Services. Services include Strength-Based Assessments for mental health and substance abuse needs Recovery Focused Counseling Services for individuals, couples, and families to address mental health and substance abuse issues 24-hour crisis intervention program Community Support Program (CSP) for clients diagnosed with a severe and persistent mental illness Assessment, treatment, and referral services for intoxicated drivers (IDP) Psychiatric evaluations and psychotropic medication management Case Management services include information and referral, assistance with accessing benefits and completing necessary applications and forms, and coordination of services for mental health and substance abuse clients Outreach and Prevention activities Community education Court-ordered evaluations and treatment for mental health and substance abuse commitments Monitoring of mental health and substance abuse commitments The Agency contracts with facilities locally and regionally for psychological testing and evaluation, residential living services, psychiatric hospital diversion, inpatient/acute psychiatric care, inpatient substance abuse detoxification and treatment, and residential substance abuse treatment. Fees are based upon a client’s ability to pay. A sliding fee scale is utilized for those without medical insurance coverage. An exception is the Intoxicated Driver Program which has a set fee and must be paid prior to assessment and treatment. Clients are responsible for actual costs. Payment plans may be available. Medical Assistance, Medicare, or private insurance is billed when applicable. Services are based on funding and on the availability of open appointments with staff. A waiting list is allowable for outpatient services. Services are based on individual client needs and preferences and are provided by the department directly, on a contractual basis by private providers, or through referral to other available providers. Funding for services is provided by State and Federal funding sources, private payments, private insurance, revenues, and County funds. Outpatient treatment is provided to Menominee County residents on a voluntary or court-ordered basis. New clients are enrolled in service programs based on the availability of appointments, caseloads of current case workers, and funding availability. All new clients will have an initial assessment to determine their strengths and needs. 24 – Hour Crisis Intervention Services - Emergency services are provided 24 hours a day, seven days a week. Services include telephone counseling, risk assessment, crisis intervention and stabilization, coordination of emergency hospitalizations, and follow-up with linkage to resources. The emergency number is 799-3861. After business hours the telephone is connected to Menominee Telecommunications, which contacts an assigned Department Crisis Response Worker. Counseling/Therapeutic Resources - Individual and family therapy for mental health and substance abuse disorders are provided directly or through referral. Psychiatric and psychological services are available based on the availability of appointments and funding, including the provision of Tele-health psychiatric services. The use of Telehealth technology to link providers and clients in different locations allows for quality psychiatric care with interactive consultation, assessment, and pharmacological management with greater access and frequency. Tele-health increases client access to psychiatric care and reduces travel time and cost for providers. Community Support Program (CSP) - CSP helps clients diagnosed with a severe and persistent mental illness to live independently in the community they choose, with services they feel improve their quality of life and meet their needs. CSP is a voluntary, recovery-focused program that is very intensive. Services are provided in the clients’ homes and community rather than in the office and include psychotherapy, psychiatric care, psych-social rehabilitation, medication monitoring, vocational assistance, and activities of daily living skills training. There is a restriction on the number of individuals that can be served by a case worker. Services are limited based on available funding and available case workers. Inpatient Treatment - Services are arranged for emergency and non-emergency psychiatric and substance abuse hospitalizations. The Agency may assist with admission to an appropriate hospital or treatment facility, and follow up with the client regarding discharge recommendations. Detoxification - Detoxification services are contracted with area hospitals to provide medically managed/safe withdrawal from alcohol and other substances. Community-Based Treatment/Transitional Living - A placement in a halfway house or a CBRF (Community Based Residential Facility) may be short-term if the client is transitioning between the hospital or residential treatment and home. Long-term placements may be utilized if the client needs ongoing supervision or has complex medical and psychiatric needs. Placement is provided for mental health and substance abuse clients and is based on client needs and preferences, availability of rooms at the facilities, and available funding. Intoxicated Driver Program (IDP) / Operating While Intoxicated (OWI) Assessments – Assessments are provided by Certified IDP Assessors, and are conducted on clients convicted by either circuit or tribal court, of driving while intoxicated. Assessments determine the extent of a substance abuse disorder and recommendations are made for treatment prior to regaining a driver’s license. Clients court-ordered to have an IDP Assessment must be assessed in the county they reside in. The assessment fee must be paid at the time an appointment is made, prior to an assessment being conducted. IDP assessments are not subject to the sliding fee/ability to pay scale. At the assessment, a driver safety plan is developed based on the needs identified in the assessment. The recommendations range from educational classes to residential substance abuse treatment. The 988 Suicide & Crisis Lifeline is now available. The 988 Suicide & Crisis Lifeline provides care and support to people experiencing stressful situations—whether that is thoughts of suicide, a mental health concern, or a substance use issue. It is a free and confidential service that is available 24/7. People of all ages who need help for themselves or a loved one can access the 988 Suicide & Crisis Lifeline by: Calling 988 (multiple languages). Sending a text message to 988 (English only). Using the chat feature at 988lifeline.org (English only). Wisconsinites who use the 988 Suicide & Crisis Lifeline will connect with an in-state service known as the Wisconsin Lifeline. The person contacting the 988 Suicide & Crisis Lifeline is connected with a trained counselor who takes note of the person's needs, understands how the person's problem is affecting them, provides support, and, if needed, gets the person additional help.  Other Related Links Wisconsin Department of Human Services: www.dhs.wisconsin.gov/ For contact information click here