Metro Intensive Treatment Team (MITT)

MITT is a mobile, community-based, collaborative model of treatment designed to deliver variable levels of service intensity to clients within their communities and their homes.  Services are individualized and comprehensive with short-term strategic interventions intended to stabilize clients and prevent or shorten hospital stays, avoid commitment to long-term hospitalization and prevent the loss of employment, housing and personal relationships.

Program services provide a bridge between providers, clients, and clients’ support systems, to achieve or enhance independent community living. The client and the team mutually agree upon individualized treatment goals and interventions. MHR currently provides services to 268 individuals through the MITT program.


John’s Story

As a self-employed lawn care/snow removal provider, John had been paying for health care expenses out of pocket for the majority of his adult life. When his brother and caretaker passed away in 2012, John, a single middle-aged male with a diagnostic history of Schizophrenia, Tourette’s, and Intellectual Disability, began experiencing symptoms of depression. At the same time, his lawn care/snow removal business dried up and he was unable to pay for health care. During this time, John experience significant dental problems and began avoiding solid foods.  

In late 2013, John was connected to MHR’s Metro Team and received intensive case management services to help him get back on his feet. John’s case manager assisted with his application for Medical Assistance and once approved, scheduled psychiatry and dental appointments. The case manager also assisted John with transportation to appointments and provided support and coaching when preparing for involvement with the MN Workforce Center’s vocational rehabilitation program.

John’s rural Minnesota upbringing emphasized a mentality of rugged independence to avoid ‘handouts’ such as Medical Assistance, county benefits or SSI. In working with the Metro Team, John has come to a different understanding of these benefits; that programs such as Medical Assistance and the Supplemental Nutrition Assistance Program (SNAP) are there for those who need the help.

With the Metro’s Teams short-term help, John was able to stabilize his life and avoid the downward spiral so many adults living with serious mental illness experience when faced with overwhelming situations and elevated symptoms of their illness.