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Hennepin County > Human services > AMHI: Funding, support for adult mental health services

AMHI: Funding, support for adult mental health services

Adult Mental Health Initiatives (AMHI) are regional collaborations charged with overseeing adult mental health services and funding to counties and tribal governments. The Minnesota Department of Human Services awards grant dollars to counties, and counties allocate funds to fill gaps in service for people living with severe and persistent mental illness.

Contact us

amhi.team@hennepin.us

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About AMHI (Adult Mental Health Initiatives)

Adult Mental Health Initiatives (AMHI) are dedicated to using intentional planning and partnerships to improve the mental health of people in their communities. 

Hennepin County’s leadership role 

Hennepin County’s role is to identify what is working and not working within the mental health system, to set priorities for the work, to look for opportunities to collaborate and to amplify the voices of people with lived experience. They are grounded in the following principles: 

  • People with lived experience with mental illness guide the governance and services.
  • We connect people with lived experience to providers, counties, tribes, MCOs and DHS, to fully utilize all available resources to meet regional needs. 
  • We and our partners develop and provide an array of person-centered services that build on personal and cultural strengths. 
  • We use a data-driven model to evaluate the impact of services on health outcomes. 
  • We work to assure access, early intervention, coordination, and application of resources through creative partnerships.

Hennepin AMHI funding guidelines

Expenditure guidelines for agencies

Agencies that provide services funded by AMHI dollars must be enrolled Minnesota Health Care Programs (MHCP) providers. 

Expenditures must align with BRASS (Budgeting, Reporting and Accounting for Social Services) codes, Minnesota’s classification structure for standardizing and organizing the categories counties use for social services planning, budgeting, accounting, financial statements and audits, and for most fiscal and statistical reporting to the Department of Human Services (DHS). Funded projects must also develop and implement innovative solutions to address service gaps. 

About BRASS codes (PDF, 1MB)

Eligibility requirements for residents

To be eligible for AMHI-funded services, people must have a diagnosis of a severe and persistent mental illness. AMHI offers short-term, last-resort funding that people can access once all other options are exhausted. Usually, people who receive Medicare with income or assets qualify via Medical Assistance with a spenddown. 

About medical spenddowns

Opportunity to engage: Local Advisory Council (LAC) 

A Local Advisory Council (LAC) offers individuals, parents, families, and providers  opportunities to influence how mental health care is provided in their communities, providing Hennepin County Behavioral Health with the wisdom of those who experience mental health concerns firsthand. Their biannual unmet needs report provides data used to assess service gaps and inform AMHI allocations, innovations and RFP priorities. 

Local mental health advisory councils 

Hennepin County-operated programs

Embedded mental health expertise in police departments

Embedded social workers offer behavioral health and social services expertise to every police department in the county, meeting with residents to address immediate and underlying needs, and ensure access to resources that promote individual and community well-being.

Community Alternative Response Team

The Community Alternative Response Team is a voluntary, intensive case management service to help people with diagnosed mental health conditions stabilize with mental health supports. Residents can work toward wellness on their own terms, and with the support of a team. 

CSPs (Community Support programs)

Community support programs (CSPs) help adults who have been diagnosed with serious and persistent mental illness (SPMI) reduce reliance on more intensive, costly or restrictive placements. No referral or insurance are required. Staff can help residents get a diagnostic assessment. 

The service development of the program and CSP staff help residents: 

  • Get and keep health benefits and apply for state and federal benefits, including Supplemental Security Income, Medical Assistance, Medicare, general assistance, and Minnesota supplemental aid
  • Find and maintain competitive employment 
  • Handle basic activities of daily living 
  • Participate in social activities 
  • Set goals and make plans
  • Get and keep appropriate living arrangements 
  • Fill out forms and applications
  • Learn about mental illness, treatment and recovery 
  • Connect with other needed services

Connections to community supports

Map of Hennepin County community support programs and information to help residents get connected.

AMH-TCM (Adult mental health targeted case management)

Adult mental health targeted case management services (AMH-TCM) help adults with serious and persistent mental illness gain access to services including:

  • Medical
  • Social
  • Educational
  • Vocational
  • Mental health needs

Services include developing a functional assessment, an individual community support plan for an adult and an individual family community support plan. It also includes referring and linking the person to mental health and other services while ensuring service delivery is coordinated and monitored.

Our partners

  • People Inc.
  • Avivo
  • MHR
  • CUHCC
  • CLUES
  • Vail Place
  • Volunteers of America
  • JFCS of Minneapolis
  • Touchstone
  • Tasks Unlimited
  • Shire Scientific
  • MN Care Counseling 

AMHI-funded case management services 

Not to exceed budget amounts per agency per person served for:

  • Uncompensated Care—AMH-TCM (BRASS Code 491)
  • Transportation (BRASS Code 416)
  • Client Specific Funds (BRASS Code 418)
  • Housing Support Funds (BRASS Code 443)
  • Court Support Reimbursement for AMH-TCM (BRASS Code 419) 

Resources for contracted partners

The Hennepin County Partners in health and human services page provides information from Contract Management Services (CMS) about contracting opportunities, for new providers who want a contract, for providers with an existing contract, contract documentation, currently contracted services and program resources.

Hennepin County Contracting Guide 

ACT (Assertive community treatment)

Assertive community treatment (ACT) is an intensive nonresidential treatment and rehabilitative mental health service that provides clients a single, fixed point of responsibility for treatment, rehabilitation and support needs. Services are offered 24 hours per day, seven days a week, in a community setting. The Minnesota Department of Human Services (DHS) certifies programs, and each county contracts services from community providers.

Our partners

  • People Inc.
  • SpringPath
  • Mental Health Resources
  • ReEntry House
  • Radias Health

AMHI-funded supports for assertive community treatment

Not to exceed budget amounts per agency per person served for: 

  • Uncompensated Care—ACT/FACT (Brass code 438)
  • Transportation Funds (Brass Code 416 )
  • Client-Specific Reimbursement (Brass Code 418 ) 
  • Housing Support Funds ( Brass Code 443) 
IRTS (Intensive residential treatment services)

Intensive residential treatment services (IRTS) are community-based, medically monitored care options for adults that use evidence-based practices to promote recovery and to develop and achieve psychiatric stability, personal and emotional adjustment, self-sufficiency and other skills to ease transition to a more independent setting. 

Qualified mental health staff provide service onsite 24 hours a day. Treatment is time-limited, directed to a targeted discharge date with specific outcome goals. Hennepin County contracts require Medical Assistance application support, and AMHI funds to be available as a last resort to support those who are Hennepin CFR and living with a serious and persistent mental illness. 

Hennepin County contracts with state-licensed providers to offer access to uncompensated care for eligible residents who are not yet connected to MA or who are undocumented.

Our partners

  • Kelly-Norton Programs, Inc.
  • People Incorporated
  • ResCare/SpringPath Mental Health Services
  • South Metro Human Services/RADIUS Health
  • Tasks Unlimited Training Center
  • Touchstone Mental Health

AMHI-funded Intensive Residential Treatment Services

  • Uncompensated Care—IRTS (BRASS Code 474)
Residential crisis

Adult residential crisis stabilization provides structure and support to adults who have experienced a mental health crisis. This option is for people who need short-term services before they can safely return to their homes with additional services and supports. Qualified mental health staff provide residential crisis stabilization in a 24-hour licensed residential setting.

Our partners 

  • People Inc (2 locations)
  • Radias
  • ReEntry House

AMHI-funded residential crisis stabilization services

AMHI funds uncompensated care for the service fee but not room and board.

AMHI Supportive Housing

Hennepin County can provide additional temporary housing support to residents living with serve and persistent mental illness to help them move toward long term housing stability. These programs are under review in 2024.

Our partners

  • SpringPath Ivy (onsite housing support)
  • Tasks (housing and employment support programs) 
  • Touchstone (community-integrated housing support program) 
  • Project for Pride in Living (rental support)
  • SpringPath (temporary housing subsidy coordination)

AMHI-funded housing programs

AMHI funds support work in line with U.S. Department of Housing and Urban Development (HUD) requirements to support the transition from a temporary subsidy to housing waiver.

HUD housing programs

AMHI Hennepin County annual meeting
Watch this space for notes related to AMHI meetings.
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