Guild

Community Treatment ServicesCommunity Treatment Services consist of our Targeted Case Management, Assertive Community Treatment (ACT) and Youth ACT Services, and the Community Member Center. Guild measures the effectiveness of each program through annual outcomes. Community Treatment Services enrolled 835 living with an often persistent or serious mental illness. Likewise, 43 of those clients participated in our youth program (ages 16-20). These programs provided daily and monthly case management or care coordination depending on the individual need towards the goal of avoiding psychiatric hospitalization. Targeted Case Management ensured 80% of clients had at least one face-to-face visit per month. This increased significantly from 2021 (55%), despite staff shortages and post-pandemic adaptation. 96% of clients maintained health insurance and/or financial benefit throughout 2022. ACT and Youth ACT Services had 89% of enrolled clients maintain health insurance in 2022. Clients were visited an average of two-times per week, meeting programs goals for the year. Guild's Community Support (Drop-In) Center helped 793 adults develop, restore, and enhance their psychiatric stability, social and emotional competencies and community living skills. There were 4,364 total visits to the center, with participation in both center-based and community-based activities.

Housing Supports ServicesIntegrated Services includes our Housing Services and Employment services. Guild measures the effectiveness of each program through annual outcomes.Housing Services enrolled 422 adults who are experiencing homelessness or at an imminent risk of becoming homeless, in various housing programs to find homes. Most clients have a history of long-term homelessness compounded by persistent mental illness and/or chronic health conditions or substance use. Most have one or more complex barriers to housing stability (i.e. criminal histories, unlawful detainers, eviction records, disruptive behaviors, poor impulse control, poor credit history, very low incomes). 89 clients were housed for one year or more within the Homeless Services Case Management program.Supportive Employment Services used the evidence-based individual placement and support (IPS) model and worked with 155 individuals with a serious mental illness. For 2022, 70% were placed in competitive employment or supported to maintain employment from the prior year. 79 clients were employed at least 180 days.

Coordinated Health and Residential ServicesCoordinated Services includes our Intensive Residential Treatment Service (IRTS)/Crisis, Behavioral Health Home (BHH) and Care Coordinated Services. Guild measures the effectiveness of each program through annual outcomes.Residential Services provided care to 284 individuals with a mental illness who were experiencing a psychiatric emergency or crisis. These clients received 24/7 residential treatment between our two facilities, Dakota County and Scott County. IRTS helped 117 adults develop and enhance the skills necessary for managing their mental illness and to live independently. The average stay was 50 days. Moreover, 77% of ITRS clients enrolled for at least 30 days lowered the Level of Care Utilization System (LOCUS) score from admission to exit.Likewise, Crisis Stabilization Services served 188 adults, assisting individuals with remaining in the community without becoming homeless, and whenever possible, without hospitalization. The average stay was 11 days. 100% of clients housed at admission were housed at discharge, and 95% of clients were not admitted to a psychiatric hospital upon discharge. Care Coordination and Behavioral Health Home (BHH) had 564 with a disabling condition most living with serious and/or persistent mental illness received a monthly care coordination supportive measure. 53% of Care Coordination completed a Health Reimbursement Arrangement (HRA). 81% of clients visited their primary care provider annually, but dental visits continued to be lower.Guild's BHH team is one of the largest in the state at providing monthly face-to-face access to underserved Minnesotans living with mental illness who receive Medical Assistance. 99.6% of BHH clients maintained health insurance throughout 2022. 71% of clients visited their primary care provider annually.