IRTS in Minnesota: Intensive Residential Treatment Services Explained

If you or a loved one are in need of more support than a weekly therapy appointment can provide, IRTS in Minnesota may be able to help. These intensive residential treatment services (IRTS) allow you to live on-site and work with a clinical team as you build the skills you need to restore balance and return home. 

The programs blend different kinds of therapy, medication management, and daily structure without the intensity or cost of a full hospital stay. 

This article will explore IRTS in Minnesota, including: 

  • What IRTS entails and where it fits in Minnesota’s mental health system of care.
  • Who is likely to benefit most from this level of care.
  • What a typical day of treatment looks like.
  • Stepping down after intensive residential treatment services.
  • Where to find additional support.
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Table of Contents

What Is IRTS?

IRTS, or intensive residential treatment services, are one of the steps on the continuum of mental health care in the state of Minnesota.[1] Each level offers a unique structure and support, based on what a person needs at that point in their recovery:

  • Outpatient therapy: Having regular sessions with a therapist or clinician while still living on your own.
  • Intensive outpatient programs (IOP): Engaging in several hours of treatment for a few days per week.
  • Partial hospitalization programs (PHP): Attending services anywhere from five to eight hours per day, five days per week.
  • Intensive residential treatment services (IRTS) or residential treatment programs: Patients live onsite, attend daily programming, and work with a full clinical team.
  • Residential crisis stabilization: Short-term, around-the-clock support during an acute mental health crisis.
  • Inpatient hospitalization: The highest level of care, used for acute and ongoing medical or psychiatric emergencies.
The state licenses IRTS mental health programs under Minnesota Rule 36 and governs them through state statutes 245I and 256B.0622.[2] Facilities house anywhere from five to 16 patients at a time and are staffed around-the-clock with mental health professionals. IRTS care is, ultimately, short-term by design. These programs build a target completion date into your treatment plan, helping residents work toward specific goals instead of having an open-ended stay.[3] The aim of IRTS treatment is to help people become stable and build their daily living and coping skills. This allows them to move to a lower, more independent level of care.

Who Can Benefit From IRTS Care

IRTS is typically for adults who are living with a serious mental illness that is making their daily life difficult to manage safely. It’s specifically for people who need more support than outpatient-based settings can deliver. 

To qualify, someone usually needs to be at risk of a major decline without receiving this level of care. This could mean: 

  • Repeated hospital stays in a short period of time.
  • An unstable living situation for recovery.
  • Difficulty doing basic daily tasks. 

Some people entering IRTS also have what’s known as co-occurring conditions, such as multiple mental health disorders or a physical health condition that complicates their mental health symptoms.[4] Untreated co-occurring conditions can slow recovery at any level of care.

Potential Signs Someone May Need IRTS

IRTS is considered a step up, rather than a replacement for other levels of care. Usually, people are either assessed by a clinician to start at this level, due to their needs, or have tried a less-intensive setting without major progress. 

You don’t need to be in crisis to qualify, but there will likely be a pattern of behavior or challenges that outpatient-based care would struggle to address. 

Things like frequent ER visits, a recent psychiatric hospitalization, or trouble holding down a job or performing your activities of daily living can all point to IRTS being appropriate.  

Determining Eligibility

Before admission, you or your loved one will complete a level of care assessment, and your chosen facility will secure a statement of need from the local mental health authority.[5] 

A treatment supervisor might also review whether this level of care is necessary or whether a lower level of care from residential mental health services in Minnesota would work just as well.

A Typical Day in an IRTS Treatment Program

While every facility is different, most adult attendees of IRTS programs have their day-to-day programming built around medication management, group therapy, and individual therapy.[6]

Individual and Group Therapy

Clinicians work to combine many treatment modalities and interventions into your service plan, depending on your needs.

Group sessions tend to focus on learning and honing specific skills, like communication, emotional regulation, and coping strategies for daily stressors. They often draw on group dynamics and processing between participants, led by a trained therapist. 

Individual therapy can work on several different things, giving patients space to process their history and set goals tied to their discharge plan. 

Medication Management and Daily Living Skills

Clinical staff also oversee medication management and monitor how residents respond over time, adjusting the approach as needed. 

Programs also help residents practice everyday tasks. These support long-term wellness and independence after they step down in care. Research on long-term residential treatment has linked this combined approach to better outcomes, including:[7]  

  • Higher rates of independent living.
  • Increased employment.
  • Fewer hospitalizations after discharge.
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Finding (and Accessing) an IRTS Program in Minnesota

Finding the right Minnesota IRTS program for you can happen several different ways. Many people receive a referral from their therapist or hospital discharge planner, while others are assessed to begin at this level of care. 

Getting Your Assessment

Before admission, you will complete a level of care assessment to confirm that residential treatment is a match for your overall goals. This helps protect against landing in a setting that’s either too intensive or not intensive enough for your needs. 

A local Minnesota mental health authority can also help you coordinate this process, especially for someone who might not already have an established treatment team in place. 

Checking Your Coverage and Eligibility

The costs of care shouldn’t be a barrier to getting help. Many IRTS services accept public sources of funding, and most intake staff can usually walk you and your loved ones through what’s covered before you’re admitted. 

You should ask directly about: 

  • What insurance plans they accept.
  • Whether there’s a waitlist to get in.
  • How quickly a bed might be expected to open up.

Additional Questions to Ask

Make sure to also ask about the following, so you can find the best possible fit for you: 

  • What does a typical week of treatment programming look like?
  • Do they offer any alternative care options integrated into the plan?
  • How does the team allow for communication with family members during the treatment process?
  • What happens post-discharge, and how does the program help to support this critical transition?

Reaching out directly is always the fastest way to get the answers you seek. Most programs expect these kinds of questions and welcome you asking.

Start and Maintain Your Recovery With Support From AMFM Mental Health Treatment

Finding the right level of care can feel overwhelming, especially if you’re already trying to manage your symptoms day-to-day.

At AMFM Mental Health Treatment (A Mission for Michael), we offer residential treatment centers in Minnesota. Our care teams work with you to create an individualized treatment plan, combining evidence-based therapies with daily structure and 24/7 support. 

When you contact us, you can expect an initial conversation about your current symptoms and history, along with clear answers about the admissions process and your insurance benefits. We accept insurance and are in-network with many major providers. To check your insurance coverage for mental health care, simply complete our confidential online verification form.

If you’re trying to figure out the best next steps, call us at 866-478-4383. Our compassionate team is available 24/7 to answer your questions and provide guidance with no obligation.

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IRTS in Minnesota FAQ

What happens if I don’t meet the criteria to attend a Minnesota residential mental health program?

That just means that a different level of care would be best for you. You might be directed toward something like an intensive outpatient program (IOP) or standard outpatient therapy instead.

If you require more care than IRTS can provide, a hospital stay might be recommended first, with IRTS as a step-down option once you’re stable enough to make the change.

No, group homes and supportive housing focus on long-term living support, sometimes without daily treatment built in. IRTS in Minnesota is shorter-term and clinically intensive, with a team of mental health providers on-site. 

Once you complete IRTS, a group home or supportive housing could become part of the stepdown process, but ultimately, they seek to serve entirely different purposes in the continuum of care. 

It depends on your insurance plan. Private insurance plans are all different, so it’s worth confirming what your insurance coverage will provide, any applicable copays, and limits on length of stay before admission.

Discharge planning starts well before discharge day, so nothing should ever feel abrupt or sudden. Most people will move into a lower level of care, with a clear plan in place for ongoing support. 

That plan often includes a first follow-up appointment already scheduled before you leave, along with contact information for your care team in case anything comes up in those first few days home.

At AMFM, we strive to provide the most up-to-date and accurate medical information based on current best practices, evolving information, and our team’s approach to care. Our aim is that our readers can make informed decisions about their healthcare.

Our reviewers are credentialed medical providers specializing and practicing behavioral healthcare. We follow strict guidelines when fact-checking information and only use credible sources when citing statistics and medical information. Look for the medically reviewed badge on our articles for the most up-to-date and accurate information.

If you feel that any of our content is inaccurate or out of date, please let us know at info@amfmhealthcare.com