Our History

In 2012, the Greater Fargo-Moorhead Community Health Needs Assessment identified mental health as a priority health issue for Cass and Clay Counties. Through additional learning meetings, community leaders understood the need to work together to fix a fragmented, crisis driven service system, focus more on prevention, and create a community that supports recovery. The community organizations formed a collaboration known as ReThink Mental Health. See our list of leading organizations, collaborative partners, and funders.


The ReThink Mental Health initiative includes healthcare, law enforcement, ambulance, schools and higher education, mental health providers, health plans, legislators, faith communities, shelters, recovery support, social services, and public health, all working together to increase the understanding of mental/ behavioral health barriers and develop strategies to rethink policies, systems, and environments to improve mental health in Cass and Clay Counties. Our work is carried out through four active workgroups:


Our Misson

To improve mental health/ behavioral health needs through innovative, community-wide problem-solving processes that lead to more effective, consumer-centered, equitable and sustainable solutions. 


Our Vision

  • Better mental health
  • Better mental health/ behavioral health care and experience
  • At a better cost

Our Accomplishments

  1. Community wide training to use the Columbia Suicide Severity Rating Scale (CSSRS) and creation of a Fargo Moorhead community triage plan to connect those with low, moderate, and high suicide risk levels with timely and appropriate care. Both major health systems have adopted this screening tool, and we have trained law enforcement, first responders, schools, faith communities, homeless shelters, treatment centers, and mobile crisis teams to use the CSSRS.
  2. Sixteen elementary schools from four different school districts and two after-school programs participated in year one of the “Building Compassionate Schools” to enhance their knowledge of adverse childhood experiences (ACEs) and to expand trauma-sensitive practices. All eighteen groups have committed to participate in a year two series that will focus on adult social and emotional learning. Additionally, fifteen new schools have committed to begin the year one training series in October 2018.
  3. Nearly 90 people attended the first “Recovery Roundup” meeting on November 1, 2016, and the sessions continue to be a popular networking event for individuals and organizations seeking information on recovery services.

Major Events

October 30, 2013: ReThink Mental Health Kick Off

December 18, 2014: ReThink Mental Health Steering Committee Interest

February 21, 2014: Learning Meeting 1

March 21, 2014: Learning Meeting 2 



May 21, 2014: Learning Days – What did we learn? Next Steps

December 10, 2014: “ReThink Mental Health” Summit

May 12, 2015: “Healthcare Homes – Behavioral Health”

February 27th: ACEs – Next Step Conference

May 2015: Summit (Partnered with PATH and Prairie St. John’s

February 2016: Summit

February 8, 2017: Summit