Minnesota Direct Care and Treatment

Direct Care and Treatment traces its history to the founding of the first state hospital in St Peter, MN, at the same site as the current St Peter Regional Treatment Center and St. Peter State Hospital Museum. After that Minnesota grew its state hospital system to include care for those with mental illness, substance abuse issues, and developmental or intellectual disabilities.^[6]

Since the 1970s, attempts to reduce institutionalization have meant a shift from large state operated hospitals to smaller group homes in communities. This combined with improved mental health treatments resulted in a large reduction in the number of state hospitals.^{[citation needed]}

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Mental Health and Substance Abuse (MHSATS) are inpatient hospitals for short term care of patients with severe mental health issues or substance abuse issues. MHSATS facilities are nationally accredited hospitals. In 2025 MHSATS had a budget of $186 Million and employed 1300 employees.

MHSATS operates Anoka Metro Regional Treatment, a 96 bed hospital in Anoka, Minnesota that serves the Twin Cities metro area, as well as six Community Behavioral Health Hospitals with 16 beds each in Alexandria, Annandale, Baxter, Bemidji, Fergus Falls, and Rochester. MHSATS also operates the Child and Adolescent Behavioral Health Hospital in Willmar, Minnesota, Community Addiction Recovery Enterprise (CARE) program in other sites around the state and the Minnesota Specialty Health System, in Wadena and Willmar.

The Minnesota Sex Offender Program operates mostly out of two sites in Moose Lake, Minnesota and sharing a campus with Forensic Services at St Peter Regional Treatment Center. In 2025, it had a budget of $126 Million and employed 965 employees. As of October 2025, MSOP had 758 clients held in their facilities.^[7]

The program houses over 700 people who have been involuntarily committed for being deemed "sexually dangerous persons" or "sexual psychopathic personalities". By the time they enter MSOP, they have served the sentence for any crime they have committed and the civil commitment is indefinite.^[8] The first provisional discharge was in 2012^[9]. As of October 2025, in the history of the program 34 clients had been discharged.

Forensic Services evaluates and treats patients who have been civilly committed by a Minnesota court after being charged with a serious crime and found not competent to stand trial or not guilty by reason of mental illness or cognitive impairment. In 2025, Forensic Services had a budget of $152 Million and 1000 employees.^[1]

Community Based Services (CBS) provides residential, vocational, and crisis services for patients with developmental disabilities. They operate about 100 group homes as well as a number of vocational and transition sites around the state to support those with developmental disabilities and co-occurring conditions. In 2025, their budget was $195 million per year and they employed 1500 workers.^[1]

DCT also provides dental services, primary care, and outpatient psychiatric care for patients and clients who cannot find care elsewhere. In 2025, this division had a budget of $7.6 Million and employed 116 employees.^[1]

The administrative arm of DCT that supports HR, Finance, Legal, and Compliance for the rest of DCT. In 2025, its budget was $67.3 million and it had 270 employees.^[1]