A dedicated group of concerned citizens and government officials of Houston, Wabasha, and Winona Counties established Hiawatha Valley Mental Health Center in February 1964. The group recognized the importance and effectiveness of community based programming, action and support as the movement to bring mental health services to people in their home communities gained momentum.
The city of Winona was chosen for the agency's first headquarters because of its central location to all three counties. The Board of Directors oversees the Center's operations with a membership of twelve, which includes one county commissioner from each of the three counties and nine other community leaders representing mental health consumers, human service agencies, and surrounding businesses.