Portland Office Phone: 207-808-8551 | Lewiston Office Phone: (207) 753-2700 | Email info@meirs.org

Behavioral Health Services

MIRS provides culturally competent behavioral health services to immigrant and refugees and other individuals. Our behavioral health services include:

  • Case Management Services for children and adults
  • Out patient counseling for children and adults
  • Home and Community Treatment(HCT)services

MIRS’s Case Management Services are client-centered and community-based. Geared around our clients’ strengths,  our case management services are designed to improve functioning in the home, community or school. Immigrant and refugees have oftentimes experienced traumatic events in their home country — perhaps in a refugee camp — and now face adjustment, language and employment issues in the U.S.

Our highly skilled, multilingual and culturally competent case managers work with children or adults who have experienced (or are experiencing) emotional or behavioral difficulties due to trauma history, transitions, and cultural adjustment. MIRS case managers will conduct intakes, coordinate a comprehensive assessment of the client’s strengths, analyze his or her specific needs, and create an individual service plan with the client to address what the client needs to improve their situation.

MIRS case managers will work closely with clients and their families to assess, advocate and link clients to natural support systems and community resources. Case managers will also continually monitor and evaluate the effectiveness of services.


Children’s case managers will work with both the individual child and the child’s family to provide the following services:

  • Assessment of the child’s needs, in order to determine the resources required to address those needs.
  • Development of an individualized service plan for accessing and utilizing resources that can meet identified needs based on the child’s  and family’s strengths.
  • Linking the child with community services and support identified in the service plan.
  • Monitoring of the child’s progress as it relates to the child’s service plan in the home, school or community.

MIRS case managers work with children and their families to identify and overcome any obstacles that limit the child’s opportunities for success. The goal of our case management team is to help children and their families gain access to needed community services and supports.


Our adult case managers work with adults to provide assistance in locating resources, becoming independent and overcoming challenges of living in their community. Some services include:

  • Assessing the individual needs and develop individual service plan with the individual.
  • Assisting and finding medical, social, educational and other services identified.
  • Providing information on employment, housing, and recreational/leisure opportunities in their community.
  • Involvement of the individual in making important decisions and setting goals, based on strength and wishes.
  • Helping and supporting the individual to feel better about him/herself as he/she begins to make choices and meet personal goals.
  • Bridging cultural barriers, connecting natural support systems and community resources.

An individual will be assigned a case manager who will be college-educated, and who will have the knowledge of extensive mental health issues (or related fields). The case manager will always respect the individual needs and interests of each client. Our adult case management team will help clients gain the highest level of independence and personal growth possible.

Our case managers will:

  • Create Individualized Service Plans
  • Monitor and coordinate all services involved in the service plan of the client.
  • Provide education, legal, housing and employment advocacy for the client.
  • Provide comprehensive assessments in clients’ strengths and needs.
  • Encourage clients’ choice through service involvements.
  • Facilitate referrals for needed resources.
  • Identify and connect clients to natural support, and community resources.

Home and Community Treatment(HCT) Services

Is your child  struggling to manage his or her behavior? Does your child find it difficult to manage his emotions? Has your child become disruptive or unruly at home, in the community or at school? Does your child find it difficult to develop and maintain social relationships? Could he or she benefit from anger management

If you answered yes to any of these questions, MIRS is here to HELP!

Our professional team consists of behavioral health practitioners and clinicians who will work together with you and your child to create and implement a plan to help your child succeed. The HCT staff is composed of highly trained, and experienced professionals who are fluent in the respective languages spoken in our community. The staff has a broad range of understanding the mental health needs of the community we serve.


HCT is a Home and Community Based Treatment service for children and families who need more
intensive treatment than outpatient therapy services provide.

MIRS HCT Services are provided by Master level clinicians and/or behavioral health professionals who hold Bachelor degrees. These professionals can also act as cultural brokers.

The MIRS HCT Program is team-based and offers supportive and collaborative work to reduce the
symptoms of depression, anxiety, trauma, and conduct problems. They are available to provide individual and/or family therapy, parent education or behavioral management. They work with other providers to ensure the most effective treatment. Teams provide an average 4 to 15 hours of treatment per week, for a duration of up to six months.

Our clinicians work with families to develop skills necessary to manage their mental health needs — they teach social behaviors to better interact in the community, to help build relationship with others, and learn the skills
to improve self-awareness.

Clinicians and BHPs/Cultural brokers use evidence-based treatment models such as:

  • Solution Focused Therapy
  • Trauma Focused Cognitive Behavioral Therapy
  • Trauma System Therapy
  • Structural Family Therapy

MIRS  also provides cultural- and language-specific  behavioral health services for refugees and immigrant youth and adults who experience significant  stresses due to emotional or behavioral problems.

Our comprehensive HCT program offers intensive therapeutic, skill building, and rehabilitative services
to help strengthen the emotional, behavioral and social functioning of children and their families.

MIRS  Behavioral Health Professionals(BHPs)/Cultural brokers will:

  •  Implement Individual Treatment Plans developed by the clinician, the family and the client.
  • Provide direct care to the client, within the family’s natural environment.
  •  Build and increase the client’s developmental skills.
  •  Teach clients and their families how to respond appropriately with treatment needs.
  •  Build effective and healthy communication among family members.
  • Develop plans and strategies to improve future functioning.
  •  Support clients and their families during crises.
  •  Provide cultural brokering between the client and societal systems.
  • Develop behavioral management plans with families, using skill building interventions and activities.
  •  Utilize appropriate tools to monitor client progress including progress notes and incident reports.
  • Facilitate weekly family sessions and provide cultural brokering between the client and the clinician.

MIRS clinicians will:

  •  Provide individual and family therapy within the families’ and clients’ natural environment.
  •  Create therapeutic relationships with children and families.
  • Work with the BHPs, clients and families to create behavioral plans for the client.
  •  Work with other providers and participate in team meetings as needed.
  •  Utilize cultural feedback and incorporate into assessments, plans and treatment.
  • Utilize appropriate tools to monitor client progress using progress notes and incident reports.
  •  Incorporate crisis planning and build awareness of the help available within the mental health care system.
  • Help access supports and services critical to meeting basic needs.
  •  Assess the ongoing level of care necessary, and support the child and family through the system process.

Out Patient Counseling

Outpatient counseling is designed to serve individuals with mental health issues, substance abuse and other co-occurring disorders. Our counseling program offers treatment and intervention, with the goal of increasing the strengths and resources available to each individual served. The program empowers individuals to build skills needed to begin the recovery process. Services focus on recovery and care coordination, with an emphasis on evidence-based practices and client-directed goals and outcomes.

Who may benefit from these services?
Outpatient counseling is provided to adults, older adults, children, adolescents and their families with mental health, substance use and co-occurring disorders. Priority is given to individuals who are at risk of serious emotional disturbance, have serious emotional disturbance, or have serious mental illness; adults who present with substance dependence disorders; and adolescents with substance use disorders.

Criteria for service eligibility:

1.  Client must possess symptoms that meet Axis I Diagnosis as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) V.

2. Client must be willing and able to participate in treatment and make the commitment to make progress toward his or her individual goals for improved psychosocial functioning.

Additional eligibility  requirement for children:

Family participation is required in treatment services to the greatest degree possible, taking into account the individual needs as well as family circumstances.

Common behavioral health issues:

  • Attention Deficit Disorder
  • Anxiety Disorder
  • Post Traumatic Stress Disorder
  • Poor or undeveloped coping skills
  • Bipolar Disorder
  • Depression
  • Developmental delay
  • Emotional disturbance
  • Obsessive Compulsive Disorder
  • Oppositional Defiant Disorder
  • Postpartum Depression
  • Schizophrenia
  • Aging issues, such as dementia

MIRS counselors will:

  • Individual, family and group therapy offered through a bio-psychosocial, cultural and
    spiritual lens of practice.
  • Evidence-based practices are utilized to
    ensure a quality, trauma-informed recovery process.
  • Co-occurring capabilities.
  • Services delivered by state-licensed
  • Services are delivered within a developmental context.
  • Conduct mental diagnoses and/or clinical assessments (ADHD, substance use disorder, depression, etc.) as needed.

Our counselors  have cultural competent training and receive an ongoing cultural consultations to better serve diverse populations.


To make a referral:

Lewiston/Auburn area:                                                                                                              Portland area

Phone:  207-753-2700                                                                                                                         Phone: (207) 53-2700

Fax: 207 753-2701                                                                                                                                  Fax:  (207) 753-2701