Specifications include, but are not limited to: Intensive residential treatment services (IRTS) is a community-based medically monitored level of care for an adult client that uses established rehabilitative principles to promote a client's recovery and to develop and achieve psychiatric stability, personal and emotional adjustment, self-sufficiency, and other skills that help a client transition to a more independent setting. IRTS are provided by qualified mental health staff on-site 24 hours a day. IRTS are time-limited, directed to a targeted date of discharge with specific member outcomes[footnoteRef:1]. IRTS are critical to the continuum of adult mental health services available to Minnesotans with serious mental illness. These intensive services provide support, stabilization and treatment for individuals who may otherwise need inpatient psychiatric hospitalization and/or following inpatient hospital services. Access to and availability of these services is essential for Minnesotans who experience serious mental health challenges. With this Request for Proposal, the STATE is seeking to expand locked IRTS settings for clients who have been transferred from a jail or who have been deemed incompetent to stand trial and a judge has determined that the client needs to be in a secure facility. [1: See Intensive Residential Treatment Service provider manual] Funding was appropriated during the 2022 Legislative session from the Minnesota State general fund to the commissioner of human services to provide start-up funds to intensive residential treatment service providers to provide treatment in locked facilities for clients who have been transferred from a jail or who have been deemed incompetent to stand trial and a judge has determined that the client needs to be in a secure facility. This appropriation seeks to expand IRTS services to include different levels of service intensity within a locked facility for community-based competency restoration. The expansion of locked IRTS facilities is anticipated to increase accessibility to IRTS treatment for clients who are residing in jails, the Forensic Mental Health Program and/or Anoka-Metro Regional Treatment Center (AMRTC).