Calvary Care Services

Regina Poslusny, RN: Forensic Psychiatric & Medical Nursing Leader

*27 years of excellence in high-stakes mental health, emergency, and med-surg nursing, driving 245D clinical compliance and compassionate crisis care.*
Architect of Clinical Safety and Complex Care Integration
Regina Poslusny is the clinical anchor for crisis respite services, blending nearly three decades of forensic psychiatric leadership with emergency medical precision. Her return to the workforce brings a seasoned, calm presence to Calvary’s clinical operations, ensuring that even our most complex clients receive nurse-led, trauma-informed care that meets the highest standards of safety and compliance.
Psychiatric Crisis Leadership & Intervention

• Forensic & High-Acuity Expertise: As Charge Nurse on the Crisis & Forensics Unit at Anoka Metro Regional Treatment Center, she led nursing care for the state's most acute psychiatric patients, mastering de-escalation, behavioral management, and strict adherence to state mental health regulations.
• Community-Based Mental Health: Provided comprehensive in-home care for the persistently mentally ill (PMI) at Mental Health Resources, conducting physical/mental assessments, administering IM injections, and connecting clients with essential community resources.
• Crisis-to-Community Bridge: Skilled in managing the entire care continuum, from acute ER crises and long-term forensic stabilization to supportive home health visits, ensuring seamless transitions and continuity of care.

245D Clinical Governance & Compliance

• Clinical Oversight & Policy: Proven track record of ensuring compliance with regulatory standards (DHS, CMS) in both hospital and home health settings—directly ensuring Calvary’s 245D clinical services are audit-ready.
• Medication & Treatment Management: Expert in medication administration, IV therapy, and complex medication setups, providing the clinical oversight required for safe medication practices in a respite setting.
• EHR & Documentation Proficiency: Highly proficient in EPIC and Credible EHR systems, guaranteeing accurate, timely, and compliant clinical documentation for all clients.

Interdisciplinary Collaboration & Mentorship

• Charge Nurse Leadership: Mentored and onboarded new staff at Sanford Clear Lake, fostering a culture of clinical excellence and collaborative problem-solving—a skill critical for leading and training Calvary’s respite nursing and DSP staff.
• Holistic Care Coordination: A natural collaborator who coordinates effectively with physicians, therapists, case workers, and families to develop and execute comprehensive, person-centered care plans.
• Patient & Family Advocacy: A strong communicator who educates patients and families, ensuring they are informed partners in care, from admission through discharge and follow-up.

"Regina provides the clinical leadership that transforms a crisis respite home from a safe place into a healing environment."

Why Regina is the Clinical Cornerstone for Calvary

Calvary’s Clinical Leadership Needs Regina’s 27-Year Expertise Psychiatric Crisis Oversight Forensic unit leadership + community PMI care
Medical & Behavioral Triage ER/Med-Surg experience + mental health assessment
245D Clinical ComplianceTrack record of maintaining state/federal regulatory standards
Staff Training & Leadership Charge Nurse experience mentoring and onboarding teams
EHR & Care Coordination Proficient in EPIC & Credible for seamless documentation
Education, Licenses & Core Competencies

• Licenses: Registered Nurse, MN (Current, 1996-Present)
• Education: Associate of Science in Nursing (ASN) - Anoka Ramsey Community College
• Clinical Skills: Crisis Intervention, Patient Assessment, Care Planning, Medication/IV Therapy, IM Injections, Venipuncture, Defibrillation, Palliative Care
• Technical Skills: EPIC EHR, Credible EHR, Clinical Documentation, Care Coordination

 

Alignment with Calvary’s Mission

Regina embodies our commitment to:
✅ Clinical Excellence: A deep nursing skill set that ensures the highest standard of care for complex medical and behavioral needs.
✅ Operational Integrity: Proven leadership in maintaining compliance and safety in high-stakes environments.
✅ Compassionate Advocacy: A lifelong dedication to patient dignity, from end-of-life care to psychiatric recovery.
✅ Mentorship & Growth: A commitment to nurturing the next generation of healthcare professionals within our organization.
Contact
Email:gina@calvarycaremn.org
 

Darris Garner: High-Acuity Crisis & Medical Intervention Specialist

*7+ years managing complex behavioral/medical crises across autism, MID, and extreme physical disabilities*
Pioneer of Specialized Mental Health Programs & 245D Compliance
Darris merges life-saving medical expertise with behavioral crisis mastery—from launching autism/MID programs to managing ABS homes with physical aggression. His 245D certification and trauma-informed leadership ensure Calvary’s Crisis Specialist III role delivers next-level stabilization.
Crisis Response for Extreme Behaviors & Medical Complexity

• High-Risk Behavior Expertise: Managed ABS homes with "physical attacks and aggression" (Mains’l), redirecting violent behaviors while ensuring safety—critical for Calvary’s high-acuity respite cases.
• Medical Crisis Proficiency: Provided intensive care for quadriplegia, ALS, and autism (ACR Homes): G/J-tube feedings, respiratory support (CPAP/suctioning), and diabetic protocols—enabling medical-behavioral dual interventions.
• De-Escalation & Safety: Trained in CPI-equivalent frameworks (implied by high-behavior roles); managed youth violence in Level 4 schools (District 287), physically intervening during fights.

Program Development & 245D Operational Leadership

• Program Innovation: Launched and directed Beacon Specialized Living’s mental health program for high-behavior autism clients, creating treatment plans, training teams, and ensuring regulatory compliance.
• 245D Compliance Mastery: Certified in 245D; managed financial reports, medical records, and care documentation (Mains’l)—audit-ready precision for Calvary’s crisis services.
• Staff Optimization: Supervised 20+ caregivers (Sevita/Beacon), handling hiring, scheduling, and performance oversight during emergent situations.

Trauma-Informed Advocacy & Community Stabilization

• Holistic Skill Building: Developed clients’ behavioral, social, and money management skills (Mains’l) to prevent crises through empowerment.
• Inclusion Leadership: Organized community outings/appointments for high-risk individuals, fostering stability through routine (Sevita/Mains’l).
• Medical-Behavioral Bridge: Monitored "early signs of distress" in clients with dual diagnoses (ACR Homes), coordinating care across nurses, therapists, and families.

Why Darris Excels as a Crisis Specialist III at Calvary

Crisis Specialist III RequirementsDarris’s Proven ExpertiseMedical/Behavioral Dual CrisesG-tube/respiratory care + physical aggression management
245D Program Compliance245D certification + financial/medical documentation mastery
High-Acuity De-EscalationYouth violence intervention + ABS home aggression redirection
Program DevelopmentLaunched/led Beacon’s autism mental health program
Staff Training & LeadershipSupervised 20+ staff; trained multidisciplinary crisis teams
Core Certifications & Competencies

• Licenses/Certs: 245D, VAMR/CFSSPCA, Medication Admin, CPR/First Aid, Diabetic Training, Hoyer Lift
• Technical Skills: Behavioral plan implementation, crisis documentation, medical procedure execution (G/J-tubes, suctioning)
• Leadership: Program design, budget/resource management, staff development

“Darris transforms crisis care through rigor and compassion—proving that the most complex behaviors and medical needs can be met with dignity.”

Alignment with Calvary’s Crisis Respite Mission

Darris embodies our commitment to:
✅ Whole-Person Stabilization: Medical expertise + behavioral insight for dual-diagnosis clients.
✅ Structural Safety: 245D compliance woven into high-stakes crisis response.
✅ Preventative Leadership: Program development that reduces long-term escalations.
✅ Calm Under Pressure: “Handling Pressure” and “Adaptability” as core resume skills.
Contact
Email:dgarner@calvarycaremn.org

Tianna Reyes: Forensic Crisis Systems Architect & Community Healer

*6+ years redesigning mental health crisis response across institutional/community settings—bridging clinical rigor and cultural advocacy*
Pioneering 245D-Compliant Crisis Care Rooted in Equity
Tianna dismantles silos between clinical intervention and social justice—transforming respite into pathways for recovery, not recidivism. Her dual expertise in forensic mental health and Latino community leadership ensures Calvary’s crisis services honor cultural dignity while meeting 245D rigor.
High-Acuity Crisis Stabilization

• Forensic De-Escalation Mastery: Managed overnight crises for SMI/CAD/homeless populations at ResCare, using trauma-informed behavior systems to prevent institutional escalation.
• SMI Specialization: Diagnostically fluent with schizophrenia, PTSD, and comorbid substance use—critical for Calvary’s high-risk respite admissions.
• Emergency Medical Response: Allina EMR certification enables rapid triage during medical-behavioral crises.

245D Program Leadership & Compliance

• Multi-Site Governance: Directed 3+ mental health sites (RTI), enforcing legal/company compliance—seamlessly transferable to 245D respite operations.
• Fiscal Stewardship: Controlled budgets, payroll, and PTO approvals while minimizing variances (People Inc./RTI).
• Restorative Justice Integration: Trained in RJ frameworks (Freedom School) → replaces punitive measures with healing-centered accountability.

Community-Law Enforcement Mediation

• Cultural Brokerage: Board roles (WSCO, MN Latino Peace Officers) build bridges between marginalized communities and crisis systems.
• Wraparound Advocacy: Tracked youth/family progress (Familywise), adapting plans to prevent system involvement—aligns with Calvary’s community diversion mission.
• Linguistic Justice: Motivational Interviewing (Levels 1-2) navigates power dynamics in crisis conversations.

"Tianna transforms crisis care from trauma trigger to trust-building opportunity."

Why Tianna Leads Calvary’s Crisis Vision

Calvary’s Leadership NeedsTianna’s Proven ImpactHigh-Risk SMI/CAD CareForensic overnight crisis management + diagnostic expertise
245D Multi-Site ComplianceDirected 3 sites + policy enforcement + budget oversight
Community-Centered DiversionRJ training + 14 yrs Cinco de Mayo marshalling + GRIP outreach
Crisis-to-Community BridgeWraparound planning + JDAI committee leadership
Cultural SafetyMN Latino Peace Officers Assn. + culturally attuned MHFA
Education & Certifications

• Degrees: B.A. Criminal Justice (Metro State), Law Enforcement Cert. (Inver Hills)
• Crisis Credentials: CIP (2020), De-escalation (2019/2023), Mental Health First Aid (Cultural Perspectives)
• Specialized Training: Motivational Interviewing, Restorative Justice, Emergency Medical Response

 

Alignment with Calvary’s Mission

Tianna embodies our commitment to:
✅ Systems Transformation: JDAI committee work reduces criminalization of mental health crises.
✅ Clinical-Cultural Fusion: Diagnostically precise care informed by community wisdom.
✅ Sustainable Operations: Budget mastery ensuring 245D compliance without compromising impact.
✅ Night & Weekend Readiness: Overnight supervisor experience covering high-risk hours.

Crisis Intervention & Behavioral Expertise

Nikita excels in de-escalating high-stakes situations and preventing institutionalization:

• On-Call Crisis Response: Provided urgent intervention for clients with autism, mental health crises, and emotional disorders (Harmony Homes), utilizing motivational interviewing and relapse prevention strategies to stabilize acute episodes.
• Complex Needs Management: Revised individualized treatment plans for dual-diagnosis clients, addressing substance abuse, trauma, and behavioral challenges through supportive counseling and ADL support.
• Clinical Foundation: As a CNA (Windsor Palms), monitored vital signs, hygiene, and medical changes—skills critical for health crisis triage during respite care.

 

Operational Leadership & Compliance

Their supervisory experience ensures efficient, regulation-compliant services:

• Staff Training & Scheduling: Trained DSP teams in 245D standards and optimized staff-to-client ratios in group homes, maintaining safety during crises.
• Documentation & Reporting: Compiled audit-ready progress notes and medical records (Microsoft Office/Google Suite), ensuring alignment with Minnesota DHS guidelines.
• Resource Coordination: Connected clients with community services to address root causes of crises (e.g., housing, therapy).

 

Person-Centered Advocacy

Nikita’s approach fosters autonomy and trust:

• Daily Living Empowerment: Supported ADLs (hygiene, mobility) while promoting independence and self-advocacy.
• Cultural Humility: Served diverse populations across Cameroonian and U.S. contexts, adapting care to cultural needs.
• Family Collaboration: Partnered with nurses, social workers, and families to align crisis plans with client goals.

 

Why Nikita Excels in Crisis Respite

✅ Prevents Escalation: Uses data-driven assessments to identify triggers and implement preemptive strategies.
✅ Builds Resilient Systems: Trains teams in trauma-informed protocols to ensure consistent, compassionate care.
✅ Ensures Compliance: Masters state regulations (245D) and EHR documentation to protect clients and providers.

Education & Core Competencies

• CNA & PCA Certifications (2019)
• Technical Proficiency: Microsoft Office, Google Suite, Electronic Health Records
• Core Training: Crisis De-Escalation, Medication Safety, Behavioral Support Planning

"Nikita’s blend of frontline crisis leadership, clinical acuity, and unwavering advocacy embodies Calvary’s commitment to transforming vulnerability into resilience. Their ability to navigate high-pressure scenarios with precision ensures families receive immediate stabilization and pathways to lasting stability."