White Earth Nation

Children's Therapeutic Services and Supports (CTSS)

Flexible range of mental health and rehabilitation services for children and youth with emotional disturbance or co-occurring substance use disorders.


Children's Therapeutic Services and Supports (CTSS) is a flexible range of mental health and rehabilitation services for children and youth with emotional disturbance and their families. The services are for children and youth who need higher levels of service than standard outpatient therapy.

CTSS services aim to help children:

  • Recover an age-appropriate level of mental and emotional development that had been disrupted by a psychiatric illness
  • Self-monitor, compensate for, cope with, counteract, or replace psychosocial skills deficits
  • Develop psychological, emotional, and intellectual processing abilities and personal and social functioning skills

Specific services provided to a youth and their family are based on:

  • Diagnostic and functional assessment
  • Child's therapeutic and support needs
  • Family needs
  • Family culture
  • Availability of clinic, home, and school based services

CTSS services can be basic community-based therapy services, such as in a home or school. They can also be more intensive site-based services, such as day treatment. For families with complex needs and multiple providers, services must be coordinated with other providers or agencies working together.

CTSS services may include (depending on need and availability):

  • Therapy - Individual, family, and/or group psychotherapy
  • Skills training - Individual, family, and group skills training
  • Mental Health Behavioral Aide (MHBA) Services - One-to-one service that helps youth manage behavior problems and symptoms at home or school
  • Crisis Planning is the development of a written plan to help the child's family to contend with a potential crisis
  • Children's day treatment combines psychotherapy and skills training for three hours per day

Additional Information

Counseling for individuals, families and groups

Skills Training for individual, family and groups, including:

  • Communication
  • Socialization with peers and adults
  • Managing conflict within the family, school and community
  • Anger Management
  • Self-Esteem
  • Identifying and understanding emotions
  • Independent living skills
  • Organization

Crisis Assistance- Available to the child, their family, and all providers of services to the child. Helps to:

  • Recognize factors of a mental health crisis
  • Identify behaviors related to a crisis such as a child threatening to hurt themselves or someone else
  • Be informed of available resources within the community

Behavioral Aide- Assists the child and their family in practice of skills taught through skills training. Some examples of activities may include, but are not limited to:

  • Modeling age appropriate interactions with peers/adults
  • Supported exposure to social situations to minimize anxiety
  • Assisting parents/guardians in establishing behavioral plans
  • Assist in understanding social cues to help minimize aggression


  • Licenses and Certifications
    • Mental Health Certification
    • Minnesota Health Care Programs (MHCP) Enrolled Provider
  • Mental Health Services
    • Mental health behavioral aide services
  • Specialization
    • Native American Community


To be eligible for CTSS, three conditions must be met. The youth must be:

  • Enrolled in Medical Assistance (MA) or MinnesotaCare
  • Diagnosed with a mental health disorder that meets the criteria for emotional disturbance (0 to 18) or mental illness (from age 18 to 21)
  • Require rehabilitative mental health services to address their mental health needs, as documented in their diagnostic assessment


  • Native American children living on or near the White Earth Reservation
  • Native American children under age 18 diagnosed with an Emotional Disturbance (ED) or Severe Emotional Disturbance (SED) through a mental health evaluation
  • Native American individuals ages 18 - 20 diagnoses with mental illness or Serious and Persistent Mental Illness (SPMI) through a mental health evaluation.

Application Instructions

By referral


None as covered by Medical Assistance benefit


26246 Crane Rd, White Earth, MN, 56591

Area Served

White Earth Nation reservation

Phone Numbers

  • Primary Contact for this program: 218-983-3286
  • Toll Free - Substance Abuse Program: 800-950-3248 x1297



Business Hours

8:00am - 4:30pm, Monday - Friday


Other Services at this Location

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