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Center for Mental Health Services
Division of Service and Systems Improvement
Child, Adolescent, and Family Branch
Systems of Care
A system of care is about partnership—a partnership made up of service providers, families, teachers, and others who care for a child. Together, the team develops an individualized service plan that builds on the unique strengths of each child and each family. This customized plan is always implemented in a way that is consistent with the family’s culture and language.
In a system of care, mental health, education, child welfare, juvenile justice, and other agencies work together to ensure that children with mental, emotional, and behavioral problems and their families have access to the services and supports they need to succeed. These services and supports may include diagnostic and evaluation services, outpatient treatment, emergency services (24 hours a day, 7 days a week), case management, intensive home-based services, day treatment, respite care, therapeutic foster care, and services that will help young people make the transition to adult systems of care.
Systems of care are developed on the premise that the mental health needs of children, adolescents, and their families can be met within their home, school, and community environments. These systems are also developed around the principles of being child-centered, family-driven, strength-based, and culturally competent and involving interagency collaboration. The Child, Adolescent, and Family Branch embrace and promote these core principles of systems of care.
The goal of systems of care programs is to build innovative community treatment programs for children with serious emotional disturbances and their families.
Systems of Care Communities
Alabama
Jefferson County Community Partnership
Jefferson County Community Partnership is a collaborative effort to design and
implement a comprehensive system of services for children and adolescents with
serious emotional disturbances and their families or caretakers in Jefferson
County and the City of Birmingham. The Partnership is establishing an extensive
services infrastructure that facilitates access to treatment and habilitation
of children with serious emotional disturbances. A key component is a program
of case management that is multi-agency in scope and function, and not only
increases the access of children, family members, and caregivers to the full
array of needed services, but also facilitates movement among and through the
services, as well as linkages beyond the service systems. Through interagency
planning, monitoring, and advocacy, the Partnership seeks to create a cohesive
system of care that is comprehensive, effective, and child- and family-focused.
The focal point of the project is the community of Jefferson County, but the
lessons learned will benefit all communities of the State as Alabama moves
toward a more comprehensive system of care and toward operation in a
managed-care environment.
Tim Dollard
Site Director
JBS Mental Health Authority
940 Montclair Road, Suite 200
Birmingham, AL 35213
Phone: 205-595-4555
Fax: 205-592-3539
E-mail: lmoses@jbsmha.com
Back to top Alaska
"Ch'eghutsen'" A System of Care
The goal of the Ch'eghutsen' project is to reform and expand current child
services in interior Alaska to create a culturally competent system of care for
children and adolescents with serious emotional disturbances. The Ch'eghutsen'
project will provide a comprehensive array of mental health and other relevant
services while centrally involving parents, families, and communities in the
Athabascan conviction, "ch'eghutsen''-children are precious. Ch'eghutsen' is
guided by Alaskan Native principles that view the child as inseparable from
family and community. Implicit in these principles is the conviction that a
serious emotional disturbance affects the individual child and his or her
extended family and community. Ch'eghutsen' will implement an Alaska Native
model of wraparound service, formed with extensive community involvement that
is reviewed for feasibility and based on a successful community example.
Ch'eghutsen' embraces a team intervention model and will begin service with
community development efforts and progress to include prevention, assessment,
and treatment intervention using a Native family systems approach, home-based
treatment, and intermediate residential and long-term, out-of-State residential
treatment, when necessary. Ch'eghutsen' includes a strong training component in
which predominantly Native, community-based staff are enrolled in a tailored
Rural Human Services Certificate program and then begin providing services
incrementally as their capacity grows. Ch'eghutsen' will offer provider
training, clinical support, links to specialized services, and evaluation
services in a stable, effective, and culturally appropriate manner for the
healing of our children.
Annette Freiburger
Principal Investigator
Executive Director, Fairbanks Native Association
201 First Avenue, Suite 200
Fairbanks, AK 99701
Phone: 907-452-1648
Teisha Simmons
Program Director, Ch'eghutsen'
815 Second Avenue
Fairbanks, AK 99701
Phone: 907-452-1648
Yukon - Kuskokwim Delta Yuut Calilrut Ikaiyuquulluteng/People Working Together
Project
The Yukon-Kuskokwim Health Corporation will design a system of care to serve
Yup’ik/Cup’ik Eskimo and Athabaskan Indian people who primarily reside in
remote villages in the Delta region of southwestern Alaska. Formal partnerships
among the categorical and fragmented providers across the Delta will be formed
to create a single system of care. Multidisciplinary teams at subregional hub
villages provide holistic, culturally competent diagnosis and treatment
planning. Families will participate at all levels of the system from
leadership, policymaking, and program evaluation to advocacy and support for
each other. Formal agreements among providers will be developed to allow for
single funding streams. A managed-care system for rural Alaska will be
developed.
Yukon-Kuskokwim Health Corporation
Behavioral Health Department
People Working Together Project
P.O. Box 528
Bethel, AK 99559
Fax: 907-543-6129
Laura Baez
Project Director
Phone: 907-543-6110
E-mail: Laura_Baez@ykhc.org
Back to top Arizona
Community Partnership of Southern Arizona — PROJECT MATCH
PROJECT MATCH (Multi-Agency Team for Children) builds on the existing
managed-care base, supporting mental health and substance abuse services, and
existing collaborative efforts to develop a coordinated service delivery
process at the most local level: the community. PROJECT MATCH staff shares
pooled resources to develop a single, family-centered, individualized case
plan; expand and implement wraparound services; render operational a
strength-based model of care; and deliver culturally sensitive services to the
target population. The staff from the Behavioral Health Agency, the State Child
Welfare and Developmental Disabilities Agency, the courts, and the Juvenile
Corrections Agency will be co-located and cross-trained, and will have access
to the pool of resources for service provision.
PROJECT MATCH
459 North Norris
Tucson, AZ 857l9
Phone: 520-6l8-5480
Fax: 520-6l8-5500
Becky Thomas
Project Director
E-mail: betho@cpsa-rbha.org
Back to top California
Contra Costa County — Spirit of Caring
Contra Costa County is the ninth most populous county in California with more
than 880,000 residents living within 730 square miles. At least 50 different
languages are spoken and 100 countries represented. Contra Costa County will
continue to work toward developing a system of care with the following system
enhancements: 1) a system-of-care policy council will bring together parents
and first-line administrators of youth-serving systems in a system-of-care
governance structure; 2) an integrated youth services management information
system with the necessary legal foundation and protocol development to ensure
client confidentiality and compliance with State/Federal regulations will be
implemented; 3) the wraparound orientation of systems of care will be enhanced;
4) a mobile crisis response team will be established to help maintain children
in the least restrictive setting; and 5) efforts will be focused on expanding
community/consumer empowerment and cultural competence.
Rich Weisgal, M.F.T.
Project Director
2425 Bisso Lane, Suite 280
Concord, CA 94520
Phone: 925-646-5120
E-mail: Rweisgal@hsd.co.contra-costa.ca.us
Kathy Davison
Parent Partner/Family Involvement Co-Director
2400 Sycamore Drive, #33
Antioch, CA 94509
Phone: 925-427-8664
Fax: 925-427-8645
E-mail: kdavison@hsd.co.contra-costa.ca.us
Glenn County
The Glenn County, California, system of care community will enhance and expand
our current children's systems of care to deliver comprehensive community
mental health services for young children (ages 0-4), children and adolescents
(ages 5-18), and transition age youth (ages 14-22) with serious emotional
disturbances and their families. Youth with a mental health and substance abuse
dual diagnosis also will be served. This project will enhance and continue to
develop a community service delivery system for these children and youth,
improving access to a broad array of local partner-agency services. Program
goals include keeping children and youth at home with their families, in
school, out of trouble with the legal system, off illegal substances, and
healthy. We are committed to measuring the effectiveness of system development,
improved outcomes for children and communities, and fiscal effectiveness. Youth
and families will be involved in all aspects of the system of care including
planning, service delivery, evaluation, quality improvement, social marketing,
advocacy, and cultural competency awareness.
Michael Cassetta
Principal Investigator
Director of Health Services
Glenn County Health Services
242 North Villa Avenue
Willows, CA 95988
Phone: 530-934-6582
Fax: 530-934-6592
Kathy Montero
Program Director
Glenn County Health Services
Humboldt and Del Norte Counties — Wraparound System of Care
United Indian Health Services, Inc. serves as the coordinating agency for
tribal and county organizations to assure an appropriate, individualized,
system of care for American Indian children with serious emotional
disturbances. Components of the wraparound model include: 1) developing an
early-intervention and family strength-based treatment system; 2) providing
continuing cultural competency training for all participants; 3) developing a
transportation network to facilitate access to services or treatment; 4)
evaluation; 5) early intervention through early identification via Tribal Head
Start programs, public schools, probation departments, and the American Indian
community; and 6) prevention through expansion of existing cultural
community-based programs (Healthy Nations). The area encompassed by this
project includes 4,500 square miles and an estimated 15,000 American Indians of
whom 10,000 are registered clients within the United Indian Health Services,
Inc.
United Indian Health Services, Inc.
Potawot Health Village
1600 Weeot Way
Arcata, CA 95521
Phone: 707-825-5000
Ken Blackshear
Principal Investigator/Director of the Child and Family Services Department
Phone: 707-825-4120
Fax: 707-825-6753
San Diego — Heartbeat Partnership
San Diego, the fourth largest county in the United States with more than 2.5
million people, has a diverse population that includes 29 percent of Hispanic
origin as well as one of the largest Native American populations of any U.S.
county. Approximately 168,000 children are eligible for public mental health
services, of which 12,000 would be considered to have a serious disorder. In
addition, there are about 6,000 cases per year of out-of-home placements for
child abuse and neglect. The Heartbeat Program addresses the comprehensive
needs of children and adolescents with serious emotional disturbances and their
families by creating a family-focused and family-centered system of care that
transcends traditional mental health boundaries by integrating social service,
education, and juvenile justice resources with mental health services for these
children.
San Diego Children’s Mental Health Services
3851 Rosencrans Street
San Diego, CA 92110
Phone: 619-692-5577
Fax: 619-692-8674
Rosa-Ana Lozada-Garcia
Project Director
Phone: 619-542-4066
E-mail: rlozadahe@co.san-diego.ca.us
Back to top Colorado
Colorado Department of Human Services-Project BLOOM for Children's Mental Health
Project BLOOM for Children's Mental Health will primarily target children up to
age five with serious emotional disturbances (SED) in Arapahoe, El Paso, and
Fremont counties. Project BLOOM will provide resources to improve behavioral
health and increase school readiness. Also, Project BLOOM will increase
systemwide capacity of services and improve quality and availability of mental
health services throughout these communities. Project BLOOM will provide
enhanced training, integrated delivery of supports, and Statewide work groups
focusing on system improvements. Trainings will be provided to staff from
childcare and preschool programs, pediatricians, mental health centers, and
foster care programs. This should increase community capacity to identify young
children with SED at an earlier age and provide mental health services. Each
county has a Consolidated Child Care Pilot program that focuses on systemwide
improvements for quality of early childhood care and education (ECE),
incorporating mental health as a focus. Project BLOOM will broaden the reach of
the consolidated childcare pilots to address young children with SED in
multiple systems such as child welfare. Project BLOOM will also link into
Statewide efforts to improve children's mental health services, including the
Policy Academy, Harambe at ECS Cares, Mental Health Partnership and Colorado
Association for Infant Mental Health.
Claudia Zundel
Program Director
Colorado Department of Human Services
Children's Health and Rehab Services
3824 West Princeton Circle
Denver, CO 80236
Phone: 303-866-7528
Fax: 303-866-7470
E-mail: claudiazundel@state.co.us
Denver, Jefferson, Clear Creek and Gilpin Counties — Colorado Cornerstone Project
Colorado Cornerstone Project: Colorado Mental Health Services, in partnership
with the Federation of Families for Children’s Mental Health and other
child-serving agencies, is developing an integrated system of care for children
and adolescents with serious emotional disturbances and their families. The
target population will be youth who are at risk of involvement with the
juvenile justice system, youths with serious emotional disturbances in the
schools, and youths and their families who are involved with multiple agencies.
The focal points of care for these youths will be the assessment centers in
Denver and Jefferson counties, both counties’ school-based Alternative Resource
Teams, the Clear Creek Family Center, and the Gilpin Recreation Center. The
University of Colorado and Denver University, in collaboration with the
Federation of Families, will be the external evaluators for the project with an
internal evaluation component provided by Colorado Mental Health Services
staff.
William Bane, M.S.W.
Principal Investigator/Site Director
Colorado Cornerstone System of Care Initiative
Colorado Mental Health Services
3824 W. Princeton Circle
Denver, CO 80236
Phone: 303-866-7406
Fax: 303-866-7428
Back to top Delaware
Families and Communities Together (F.A.C.T.)
It’s a F.A.C.T.—Families and Communities Together WORK BETTER! The goal of this
project is to develop an integrated, comprehensive system of care for children
in special education who have serious emotional disturbances and who are
currently involved with or at risk of referral to Delaware Interagency
Collaborative Team for out-of-community services. The project seeks to create a
coordinated system of enhanced community mental health and related services and
supports for special education children and their families. In the past, these
children have been placed out-of-home and often out-of-state, limiting contact
with their families and communities. Building on a strong infrastructure of
multiyear, interagency collaboration, parent involvement, and a
JCAHO-accredited statewide children’s managed behavioral healthcare system,
Delaware plans to create a comprehensive, coordinated spectrum of behavioral
and other services for the target population. The F.A.C.T. project’s objectives
are to:
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successfully establish the philosophy of systems of care;
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enhance family involvement to establish a full family-professional partnership;
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enhance and expand the service system in developing the system of care by
adding new, appropriate services to provide a complete array of
community-based, family-focused, culturally competent services in the least
restrictive environment which is clinically appropriate;
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apply a validated clinical services management model, creating Interagency
Child Service Teams to work with each child and family locally to ensure
individualized assessment, service planning, clinically appropriate services,
and ongoing care management; and
-
sustain the system of care for the target population after the grant ends by
reducing utilization of deep-end and State services, creating less intensive
services in Delaware, utilizing care management practices, and optimizing
Federal cost recovery to support the service system.
Mary Moor
F.A.C.T. Project Director
Department of Services for Children, Youth and Their Families
Division of Child Mental Health Services
263 Chapman Road
Cambridge Building, Suite 200
Newark, DE 19702
Phone: 302-368-6903, ext. 3007
Fax: 302-453-4122
E-mail: mmoor@state.de.us
Back to top District of Columbia
Washington, D.C. Department of Mental Health-D.C. CING
The District of Columbia Department of Mental Health will establish a
comprehensive system of care for children and youth challenged with serious
emotional disturbances (SED) and their families. The D.C. Children Inspired Now
Gain Strength (D.C. CINGS) project's major goal is to reduce reliance on
out-of-home and out-of-state residential treatment centers for care of
Washington, D.C. youth with SED through the creation of a comprehensive array
of community-based services and supports to that are accessible, available,
culturally appropriate, and of high quality with families. The target
population will be youth meeting criteria for SED between the ages of birth and
22. The District will begin with youth who are currently in costly out-of-state
placements, eventually addressing the needs of youth who are also at risk of
such placements. Particular strategies will include the development of
intensive home-based services, wraparound case management, an array of crisis
responses for youth, and the development of a cadre of family liaisons to
support families as they move through the system and identify/develop needed
community supports. In addition, the grant funding will be used to strengthen
and build the capacity of the Family Advocacy and Support Association (FASA)
and increase access to services for currently underserved Latino and immigrant
children and families in the District. All aspects of the project will apply
cultural competency principles and strategies.
Nicholas Geleta
Program Director
D.C. Department of Mental Health
77 P Street, NE Suite 400
Washington, DC 20020
Phone: 202-671-3157
Fax: 202-673-1933
E-mail: nicholasgeleta@dc.gov
Back to top Florida
One Community—Working Together For Our Children
The mission of One Community—Working Together For Our Children is "to create
and participate in a collaborative planning, funding, and service delivery
system that is integrated, culturally competent, and focused on empowering
families to create measurable change in the lives of their children." To
achieve its mission, One Community—Working Together For Our Children will
evaluate and redesign the existing array of children's mental health services
in Broward County into a comprehensive, coordinated system of care. This
initiative will serve as a pilot project that will stimulate system reform
initiatives across other social services networks within the county and
ultimately across the State. Service initiatives include developing a
comprehensive, integrated, non-duplicative, and strengths-based single
"front-door" allowing access to the system of care through behavioral health
and primary healthcare providers. A research-based model of intensive
wraparound services will be implemented to prevent residential placement. The
One Community Partnership will create a drop-in center for older teens and
enhance out-of-school childcare and respite services to support local families
of children with SED.
Michael Elwell, M.S.W.
Principal Investigator
Broward County Children's Services Administration
115 South Andrews Avenue, Room A360
Fort Lauderdale, FL 33301
Phone: 954-357-7880
Fax: 954-468-3591
E-mail: melwell@broward.org
Donna Sogegian, M.S.W.
Program Director
Broward County Children's Services Administration
115 South Andrews Avenue, Room A360
Fort Lauderdale, FL 33301
Phone: 954-357-7880
Fax: 954-468-3591
Tampa-Hillsborough County — The Tampa-Hillsborough County Integrated Network for
Kids (THINK)
The Tampa-Hillsborough County Integrated Network for Kids (THINK) is a
community-based system of care in Hillsborough County. The Children’s Board of
Hillsborough County, an independent taxing authority and unit of local, county
government, is the lead agency for the project. The THINK System involves
family members in all aspects and at all levels of the system of care, ensuring
the cultural competency of the system by providing meaningful opportunities for
participation by representatives of minority and rural communities. THINK is
creating interagency structures to facilitate the integration of children’s
mental health services across funding streams. A purchasing alliance that
includes local funding sources was established to provide a structure and
process for blended funding, complementary contracting, and a reinvestment
plan. THINK expands the service capacity of the existing system of care, closes
service gaps, and reaches out to underserved populations and areas of the
county, through directed outreach and specialized services.
Amelia T. Petrila
Project Director
Tampa-Hillsborough Integrated Network for Kids (THINK)
Children’s Board of Hillsborough County
Phone: 813-229-2884
E-mail: apetrila@childrensboard.org
West Palm Beach Family HOPE (Helping Organize Partnerships for Empowerment)
Family HOPE (Helping Organize Partnerships for Empowerment) Assertive Community
Treatment (ACT) teams support children with serious emotional disturbances and
their families. ACT teams will integrate the fragmented mental health/substance
abuse system around the needs of children and families through the creation of
a holistic family-centered service delivery system.
Family HOPE
2328 10th Avenue North, 5th Floor
Lake Worth, FL 33461
Phone: 561-533-9845
Fax: 561-533-9487
Camille Franzoni
Principal Investigator/ADM Program Supervisor
Florida Department of Children and Families
Phone: 561-540-5660
Fax: 561-540-5677
Back to top Georgia
Rockdale County—Peach State Wraparound Initiative
The Gwinnett, Rockdale, Newton Community Service Board (GRN), Georgia Parent
Support Network, and community-based agencies have formed a partnership to
create new opportunities for children and families. The Initiative will be
implemented initially in Rockdale County, ultimately reaching into Gwinnett
County. A multilayered vision guides the Initiative: children and families form
the center of the system; recognition that child and family strengths is the
key to facilitating good outcomes; and children thrive in environments that
allow them to be connected to their families and communities. Specific goals
are to: 1) enhance the infrastructure of the system by strengthening
interagency collaboration; 2) achieve full, meaningful involvement of families
in the system’s governance, service decisions and provision, and evaluation; 3)
develop an intensive, care-coordinated system; 4) increase formal and informal
supportive services for children and families; 5) improve cultural competence;
and 6) develop training and education modules for families, staff, and
administrators.
Norman Wheeler
Principal Investigator
922 Court Street
Conyers, GA 30012
Phone: 770-929-4001
Fax: 770-483-4376
E-mail: norman.wheeler@rockdalecounty.org
Back to top Guam
"I'Famagu'onta" (Our Children)
The goals of "I'Famagu'onta" (our children) are to develop and implement a
child-centered, family-focused system of care that delivers effective,
comprehensive, community-based, culturally competent mental health and related
services for children/adolescents with serious emotional disturbances and their
families, and to ensure longitudinal studies of service systems outcomes.
I'Famagu'onta seeks a return to traditional, cultural, and family values to
empower families and reclaim responsibilities by island leaders. Our
community's commitment is to live true to our island heritage of "taking care
of our own" and filling gaps by providing supports on island, rather than
sending children thousands of miles away to off-island placements or not
serving them at all. System outcomes include: a sustained organized service
support system developed in the context of a geographically "rural and remote"
Pacific island, emphasizing comprehensive, individualized, culturally competent
and appropriate services, provided in the least restrictive environment; full
involvement of families in all levels of decisionmaking; interagency
collaboration at the systems level; and care coordination at the
family/service-provision level. Outcomes for children and families involved
include improved levels of functioning, improved access to, and satisfaction
with services, and a decrease in separation from families and placements away
from Guam.
Annie Unpingco
Principal Investigator
Department of Mental Health/Substance Abuse
790 Gov. Carlos G. Camacho Road
Tamuning, Guam 96911
Phone: 671-647-5348
Fax: 671-649-6948
E-mail: aunpingco@mail.gov.gu
Back to top Idaho
Building on Each Other's Strengths
Building on Each Other's Strengths bolsters work of the Idaho Council on
Children's Mental Health and family advocates by bringing children with SED and
their family members to the system of care as full partners from the beginning.
They will be equally valued partners in the development, implementation, and
sustainability of the system. Access to care, service planning, and support
becomes adaptive to the constantly changing cultural and linguistic diversity
becoming increasingly evident in Idaho through inclusion and relevant training.
Information critical for guiding decisions on the effectiveness, efficiency,
and priorities for resources is limited and scattered within multiple networks,
and across several agencies. Building on Each Other's Strengths begins with the
merger of children's mental health services information, care management,
billing, and payment into a single Family Oriented Community User System. In
addition, a statewide evaluation process, working in tandem with the national
evaluation efforts, will provide outcomes data critical for effective
benchmarking and identification of opportunities for continuous quality
improvement.
Chuck Halligan
Principal Investigator
Department of Health and Welfare
450 West State Street, 5th Floor
Boise, ID 83720
Decker Sanders
Program Director
Department of Health and Welfare
450 West State Street, 5th Floor
Boise, ID 83720
Phone: 208-334-5777
Fax: 208-334-6699
E-mail: sandersd@idhw.state.id.us
Back to top Illinois
Illinois Department of Human Services, System of Care-Chicago
System of Care-Chicago (SOC-C) advances a school-based approach to developing a
system of care involving parents, youth, mental health and other child serving
entities and stakeholders. The goals of this project are to strengthen
collaborations and develop system of care infrastructure; to provide a broad
array of coordinated services to meet children's individualized needs; to
implement evidence-based practices and to identify emerging
practices/interventions that meet the requirements of evidence-based
approaches; to support the development of parent/youth participation and
organization; and to develop evaluation mechanisms and processes to document
the evolution of system of care infrastructure and outcomes. By helping parents
and youth to organize in their local communities, SOC-C creates new
opportunities for the establishment of much needed parent and youth presence
and participation to design the structures and support they desire. The project
builds information system linkages critical to collaboration among the multiple
partners required for Chicago's system to optimally function. Through technical
assistance, consultation and training, organizational structures will be
redesigned; parents and professionals will develop new skills and policies that
will support innovation.
Peter Nierman
Principal Investigator
IDHS/Office of Mental Health
4200 North Oak Park Avenue Annex
Chicago, IL 60634
Phone: 773-794-4985
Fax: 773-794-4881
E-mail: dhs0299@dhs.stse.il.us
Back to top Indiana
Marion County — Health and Hospital Corporation of Marion County
Health and Hospital Corporation of Marion County, the official designee of the
office of the mayor of Indianapolis, in collaboration with the Consortium, a
policy and oversight entity for the Marion County service system for children
with serious emotional disturbances, proposes to expand and improve this system
by creating and implementing “New Day.” New Day will build on the successes,
lessons learned, and gaps identified by a previous Robert Wood Johnson grant to
develop a countywide system of care that serves all children with serious
mental health challenges and their families. New Day will: 1) refine and ensure
full family involvement at every level; 2) serve populations with Department of
Corrections involvement, or at risk of involvement; 3) provide a single,
seamless, and comprehensive system of care that adheres to a strengths- and
values-based approach that is culturally competent; and 4) implement local and
national evaluations of New Day with family members as an integral part of the
evaluation team.
Knute Rotto
Project Director, KIDWRAP
Indiana Behavioral Health Choices
4701 North Keystone Avenue, Suite 150
Indianapolis, IN 46205
Phone: 317-205-8202
E-mail: krotto@kidwrap.org
Northwest — The Child Mental Health Initiative of Northwest Indiana
The Child Mental Health Initiative of Northwest Indiana serves 147,000 people
living in the communities of East Chicago, Gary, and Hammond. The Initiative is
designed as a child-centered and family-focused system with services provided
to families coordinated within the context of the existing family strengths and
needs. Initiative goals involve three areas: 1) parent empowerment and
participation through the creation of a parent organization; 2) creation of a
seamless community infrastructure through interagency collaboration, blended
funding mechanisms, and a wraparound services process; and 3) enhanced mental
health services for children and adolescents with serious emotional
disturbances through the expansion of the traditional and nontraditional array
of services.
Kevin Komosa
Project Director
3903 Indianapolis Boulevard
East Chicago, IN 46312
Phone: 219-392-3313
Fax: 219-392-3303
E-mail: kkomo@geminuscorp.org
Back to top Kentucky
Appalachia/Eastern Kentucky
This project seeks to redesign and enhance the current system of care for
children with serious emotional disturbances and their families in three rural
Appalachian regions of Eastern Kentucky. A major expansion of the system of
care will occur in partnership with local schools, where Student Service Teams
(SSTs) will develop, implement, and coordinate a spectrum of services through
existing Family Resource and Youth Service Centers. Each SST will have a
Student Service Coordinator, a Family Liaison, and an Intervention Specialist.
Specific service components that will be developed include the establishment of
additional crisis stabilization services in each region, and additional
intensive home-based, day treatment, therapeutic afterschool, and therapeutic
foster care services.
Department for Mental Health/Mental Retardation Services
Division of Mental Health
100 Fairoaks, 4 W-C
Frankfort, KY 40621-0001
Phone: 502-564-7610
Fax: 502-564-9010
Beth Armstrong, M.S.
Project Director
Back to top Maine
Passamaquoddy Tribe — Indian Township
The major goal of the Kmihqitahasultipon (we remember) Project is to restore
culture and traditions to the daily life of Indian Township families and
children for the purpose of improving overall community well being. Services
funded by the project include case management/care coordination services,
intensive in-home services, “reculturation” activities, interagency
collaboration efforts, and consolidation of child mental health policies and
funding. Program partners include the Wings Project, the University of Maine
School of Social Work, and Harvard Medical School’s Telepsychiatry Project.
Kmihqitahasultipon Project
P.O. Box 97
Princeton, ME 04668
Elizabeth Neptune
Project Director
Back to top Maryland
Montgomery County — Community Kids
The Community Kids project will create - at the neighborhood school level a
multiagency service delivery system to respond to one of the most challenging
populations, children and youths with serious emotional disturbances and their
families. The project’s philosophy will be based on family-focused and
community-based systems-of-care principles. The Collaboration Council for
Children, Youth and Families, a public-private multiagency policy and program
oversight organization created in 1993, will provide leadership, working in
partnership with the county’s Department of Health and Human Services and
families. The project will serve children ages 5–13 whose behavioral problems
have caused them to be in out-of-home placements or who are at risk of such
placement. Over the 5-year grant period, the Community Kids project will extend
its family-centered decisionmaking structure and wraparound services approach
to a sequence of all the county’s 12 neighborhood school areas/regions. The
project will create a series of family provider teams at three levels: the
individual child/family case level; the community school cluster level; and the
countywide policy level. The county’s Office of Accountability and Customer
Satisfaction will do evaluation of the project in consultation with researchers
from the Johns Hopkins School of Public Health’s Center for Youth Mental Health
Services Research and in collaboration with families.
Jenny Crawford, J.D., M.S.W
Project Director
Community Kids Project
602 East Diamond Avenue
Gaithersburg, MD 20877
Phone: 240-777-4381
Fax: 240-777-4486
E-mail: crawfj@co.mo.md.us
Back to top Massachusetts
Worcester County — Worcester Communities of Care
Worcester Communities of Care (WCC) is an early intervention, wraparound model
that serves children in the City of Worcester between the ages of 6 and 15 with
serious emotional disturbances and their families. WCC is sponsored by the
Department of Mental Health and operates within the University of Massachusetts
Medical School. The project employs a system-of-care model. Representatives of
the State child-serving agencies, juvenile court, Worcester Public Schools,
City of Worcester, and families from the project and community serve on
advisory boards to assist WCC in hiring, development of policy and procedures,
and implementation of all aspects of the project.
The WCC model recognizes that children with serious emotional disturbances
require a variety of services that cut across agency boundaries and that these
services must be coordinated. Flexible wraparound funds provide for
nontraditional services that support the child remaining in the community. WCC
uses a child-centered, family-focused, strength-based approach. Parents are
active, voluntary participants. Services and supports are unconditional,
community-based, least restrictive, and individualized. The wraparound planning
process includes parents in every level of the development of the plan of care
and addresses each family's culture and spiritual needs as part of the plan of
care.
Worcester Communities of Care
Commonwealth Medicine
275 A Belmont Street
Worcester, MA 01604
Phone: 508-856-5242
Fax: 508-856-1378
Sue Hannigan
Project Director
Phone: 508-856-5453
E-mail: suzanne.hannigan@umassmed.edu
Back to top Michigan
Detroit — The Southwest Community Partnership
The Southwest Community Partnership is developing an integrated, comprehensive,
system of care for children with serious emotional disturbances and their
families in the community of southwest Detroit. The Partnership builds on the
collaborative work in progress in Michigan and Wayne counties. The goals
address: 1) developing a complete system of care for children with serious
emotional disturbance and their families; 2) providing individualized
wraparound services to more than 400 children and their families; 3)
demonstrating the use of blended funding and support in a managed-care plan; 4)
strengthening individual families and child-parent advocacy organizations in
southwest Detroit; and 5) implementing an automated plan of care and financial
management software.
James Wotring
Southwest Community Partnership
Michigan Department of Community Health
3423 N. Martin Luther King Jr. Boulevard
P.O. Box 30195
Lansing, MI 48909
Phone: 517-335-9101
Fax: 517-335-9341
E-mail: wotringj@state.mi.us
Sault Ste. Marie Tribe of Chippewa Indians
In partnership with the Bay Mills tribe of Chippewa Indians and Hiawatha
Behavioral Health, the project seeks to develop a seamless, multidisciplinary
service system for children and families experiencing serious emotional
disturbances. All seven counties of the eastern Upper Peninsula of the State
are included in the service area.
Phyllis Thomas
Site Director
Anishnabek Community and Family Services
2864 Ashmun Street
Sault Ste. Marie, MI 49783
Phone: 906-632-7468
Toll-free: 1-855-245-KIDS (5437)
Fax: 906-632-7476
E-mail: Pthomas@saulttribe.net
Back to top Minnesota
West Central — Kandiyohi, Meeker, Renville, Yellow Medicine Counties — Putting
All Communities Together 4 Families (PACT 4 Families Wraparound Initiative)
This Initiative covers 3,150 square miles with a population of 92,522
individuals. The Upper Sioux Indian Reservation is located within the service
area and is one of PACT 4's approximately 90 collaborative members. The Latino
population is estimated at 4,000, a growth of 350 percent since the 1990
census. There has also been a rapid growth in the Asian population and a recent
influx of Somali immigrants. PACT 4 is: creating a family-driven system of care
that is responsive to the individual needs of each family; establishing
culturally competent services that operate within a systemwide set of congruent
behaviors, attitudes and policies; growing and sustaining parent leaders;
nurturing an informal support system based on the traditional community roots;
strengthening the clinical competency of the system; and designing relevant
outcome-based research.
Toni Braness
Director
PACT 4 Families Collaborative
2200 23rd Street NE
Willmar, MN 56201
Phone: 320-231-7030
Fax: 320-231-7033
E-mail: toni_b@co.kandiyohi.mn.us
Web site: http://www.co.kandiyohi.mn.us/pact4/
Back to top Mississippi
Hinds County — The Hinds County Comprehensive
The Hinds County Comprehensive system of care will partner with a number of
public and nonprofit agencies, with a special focus on education, to develop a
comprehensive interagency and family network of home- and school-based
services. Cultural competence and family partnerships will be two of the main
foci of the grant. In 1999, legislation mandated a statewide comprehensive
systems-of-care feasibility study that included the possibility of using
tobacco dollars to fund system change. This initiative will serve as a
demonstration site for statewide mental health reformation by putting into
place a system of care for children’s mental health. Hinds County encompasses
both rural and urban areas. Jackson, the State capital, is the county seat.
Patricia Logan
Project Director
615 Barksdale Street
Jackson, MS 39202
Phone: 601-948-5671
Back to top Missouri
Counties of Greene, Christian, Taney, Stone, Barry, and Lawrence: Show-Me Kids
The Show-Me Kids Project will focus on the development of an integrated
community-based system of care for children with serious emotional disturbances
(SED) and their families in the Southwest region of the State. While Missouri
has taken steps to develop an integrated system of care, most activities have
occurred in urban areas of the State. Because Missouri is predominately rural,
there is a significant need for system of care development across a
multi-county rural area. The Show-Me Kids Project will strive to achieve four
objectives: improve access and service integration for youth with SED,
especially those with co-occurring diagnoses; expand access to and capacity of
culturally relevant mental health services in rural areas with particular
attention to the burgeoning Hispanic/Latino population; earlier identification
and intervention with young children with mental health problems who are at
risk for SED within and across systems; evaluate the effectiveness of the
system of care and its components. The system of care will provide a broad
array of culturally relevant mental health and related services and supports
through an integrated and coordinated service delivery plan with family, youth
involvement, and collaboration at all levels of the system.
Connie Calahan
Principal Investigator
Missouri Department of Mental Health
1706 East Elm Street
Jefferson City, MO 65101
Phone: 573-751-4970
Stephanie Basham
Project Director
St. Charles County
The county, in partnership with families, the State of Missouri, and local
providers, will integrate services for underserved youths with serious
emotional disturbances who are either at risk for, or currently experiencing,
juvenile justice contact. The goals of the project are to: 1) integrate
existing fragmented service components and funding streams into a single
service delivery system; 2) develop accountability within the system of care to
both families and the public; 3) partner with parents in system development,
governance, and functioning; 4) build a single, sustainable system of care; 5)
emphasize cultural competence and its impact on the families involved,
throughout the single service network; 6) implement formal interagency
relationships and agreements at the county level; and 7) include a strong
outcome evaluation component that will coordinate with the National Evaluation
Center.
St. Charles County Partnership with Families
1032 Crosswinds Court
Wentzville, MO 63005
Bruce Sowatsky
Principle Investigator/Executive Director
Children and Family Services Authority
1650 Boonslick Street
St. Charles, MO 63301
Phone: 636-949-7556
Fax: 636-949-7403
E-mail: bsowatsky@primary.net
Back to top Nebraska
Central Nebraska — Nebraska Family Central
Nebraska Family Central includes the following partners: Region III Behavioral
Health Services, the Central Service Area of Nebraska Health and Human
Services, Department of Education, Families CARE, and other partners and
communities in a 22-county region. The project has developed a comprehensive
and supportive system of care for children, adolescents, and their families by
building on quality mental health service providers; strong, local school-based
services; experience with wraparound technology; and efforts to design an
integrated policy, funding, and performance accountability system across
central Nebraska. The project allows children and adolescents with complex
needs to remain in their homes, schools, and communities while accessing the
system of care.
Beth Baxter
Project Manager
Nebraska Family Central
P.O. Box 2555
4009 6th Avenue, Suite 65
Kearney, NE 68848-2555
Phone: 308-237-5113, ext. 222
Fax: 308-236-7669
E-mail: bbaxter@region3.net
Web site: www.region3.net
Lincoln — Families First & Foremost (F3)
The Community and Family Collaboration of Lancaster County (known as Families
First & Foremost or F3) seeks to decrease and prevent the involvement of
youths with serious emotional disturbances in the juvenile justice system. The
project is overseen by the Convenors (grant partners) and the Stakeholders, a
group of 50 representatives from the community who are planning the system of
care. In the development of a system of care for these youths, F3 has initiated
wraparound services for 140 children and families in the target population.
Wraparound is provided in eight community cultural centers and community-based
agencies and through the regional mental health office. F3 is developing a
Youth Assessment Center to open in January 2002 and has contracted to
coordinate all mental evaluations for the Office of Juvenile Services in Health
and Human Services. School-based wraparound is provided through a contractual
arrangement with Lincoln Public Schools at three elementary, two middle, and
one high school in northeast Lincoln. F3 is in the process of developing a
mobile crisis response, sustaining contracts through Medicaid and ValueOptions
(Medicaid managed care) and HHS, transitional services, family group
conferencing, and multisystemic therapy.
Families First & Foremost
315 South 9th Street, Suite 200
Lincoln, NE 68508
Fax: 402-441-4872
Web site: www.ci.lincoln.ne.us/cnty/famfirst/index.htm
Sheryl Schrepf, M.S.W.
Site Director
Phone: 402-441-4871
E-mail: f3sheryl@ci.lincoln.ne.us
Back to top Nevada
Las Vegas — The Nevada Neighborhood Care Center Project
The Nevada Neighborhood Care Center Project is assisting the Division of Child
and Family Services–Southern Region to enhance the existing local interagency
service system for children and adolescents with serious emotional disturbances
in Clark County by the development of interagency case management teams at
neighborhood sites. The “Neighborhood Care Councils” will include
representatives from Child Welfare, Child Mental Health, Juvenile Corrections
and Education, as well as parent mentors. Neighborhood Care Councils will
implement a wraparound or “individualized” strategy to facilitate early
identification and service planning to reduce the need for out-of-home care.
Patricia Merrifield
Principal Investigator/Director
Neighborhood Care Center Project
2810 West Charleston Boulevard
Las Vegas, NV 89102
Phone: 702-486-0076
Fax: 702-486-0088
E-mail: drcrp@aol.com
Back to top New Hampshire
New Hampshire Community Alliance Reform Effort (CARE NH)
CARE NH provides services in the Manchester, Littleton, and Berlin regions,
representing major urban areas and New Hampshire’s most rural areas, serving a
minimum of 300 children who are placed out-of-home or are at significant risk
for out-of-home placement. CARE NH: 1) supports administrative structures for
State, regional, and local interagency collaboration, fiscal, staffing, and
wraparound training; 2) develops incentives to serve children in their homes;
3) provides culturally accessible services; 4) develops blended and flexible
funding, expanding family-to-family support services; and 5) expands service
infrastructure to include alternatives to placements, crisis care, and model
programs for transition-age youths.
Joe Perry
Principal Investigator
New Hampshire Division of Behavioral Health
105 Pleasant Street
Concord, NH 03301
Phone: 603-271-5095
Fax: 603-271-5040
Back to top New Jersey
Burlington County — The Burlington Partnership
The Burlington Partnership represents New Jersey’s next step in a progression
of system reform efforts on behalf of children and adolescents with serious
emotional disturbances and their families. The Partnership will: 1) pool
funding; 2) create a common pathway for access to services; 3) expand the
service array through more effective use of the Medicaid Program; 4) enhance
cultural competency; and 5) have true partnership with families. The
Partnership reflects State, county, and local-level collaboration among the
child-serving systems. Improved child and family outcomes will include: 1)
increased stability across life domains; 2) successful transitions to adult
services; 3) improved child and family satisfaction with services; 4) reduced
wait for services; 5) reduced lengths of stay and re-entries into
placements/hospitals; 6) reduced delinquency recidivism; 7) decreased number of
foster children experiencing multiple placements; and 8) increased educational
attainment. Improved systems outcomes will include: 1) increased family and
child participation in decisionmaking; 2) culturally competent provider network
models; 3) a comprehensive and community-based service array; 4)
standardization of assessment measures and protocols; 5) improved permanency
planning; 6) earlier intervention; 7) the ability to purchase integrated
individualized service plans; and 8) improved care management through a
utilization management/review entity. The Burlington Partnership, located in
Burlington County, along with two additional counties are the lead in setting
the system of care reform agenda in New Jersey. Significant accomplishments in
the past year include unified budgets across systems and Medicaid plan
amendments to expand the array of services, provide additional offsite
services, and extend eligibility to previously excluded populations.
Michelle Zabel
Project Director
Burlington Partnership
100 Ashurst Lane
1st Floor, Suite 102
Mt. Holly, NJ 08060
Phone: 609-702-1031
Fax: 609-702-1903
E-mail: mzabel@dhs.state.nj.us
Back to top New York
Keeping Families Together in New York City
The New York City Department of Mental Health, Mental Retardation and
Alcoholism Services (NYCDMH), will build upon New York's successful system of
care program, the Coordinate Children's Services Initiative (CCSI), developed
on the State level and implemented in New York City in 1993. The project will
strengthen CCSI through developing assets in the areas that CCSI has identified
as needing improvement and infusing these assets throughout the system of care.
These areas include: core system of care values and practices; family
empowerment/leadership; cultural competence; evidence-based programming; youth
empowerment; and enhanced and expanded cross-systems planning and
collaborations (e.g., MIS, integrated funding pools; assessment and intake
protocols; lead case management positions; and integrated staff training). The
project will expand the number of families served through the networks in each
borough and also expand to Staten Island. Also the project will implement a
systematic approach to reducing the numbers of children in restrictive
residential programs through developing networks for targeted groups of
referrals. The two groups that the city will begin with are children with SED
and their families involved in the child welfare system and living in Brooklyn.
The first targeted referral group will be children who are currently
hospitalized and awaiting long-term hospital or residential placement. The
second group will be children who have been referred to child welfare's PINS
Diversion program at risk of placement.
Louis Josephson
Co-principal Investigator
NYC Department of Mental Health
Mental Retardation/Alcoholism Services
93 Worth Street, Room 715
New York, NY 10013
Phone: 212-219-5363
E-mail: ljosephson@health.nyc.gov
Martha Sullivan, Ph.D.
Co-principal Investigator
NYC Department of Mental Health
Mental Retardation/Alcoholism Services
93 Worth Street, Room 1203
New York, NY 10013
Phone: 212-219-5380
Euphemia Struachn
Key Family Contact
167 Carroll Place
Apartment 15
Staten Island, NY 10301
E-mail: euphemia615@aol.com
Westchester County — Westchester Community Network
Westchester Community Network is a family-driven system of care under the
sponsorship of the Westchester County Department of Community Mental Health.
The project builds on the success of community-based, case-conferencing
networks and family support through Family Ties and the Coordinated Children’s
Services Initiative. The county will unite in its efforts to reduce
duplication, streamline county processes, promote coordinated planning, and
develop local community assets under Integrated Services Planning. The county
will also establish a partnership with the State to sustain grant activities
through the development of a blended funding model through the Children’s Needs
Plan. Family resource centers, a mobile clinical case management team, new and
expanded respite opportunities, in-home family preservation services,
wraparound services for juvenile sex offenders and fire starters, and peer
support and vocational services for youth 18-22 years of age will be developed
or expanded. Columbia University-NYS Psychiatric Institute will participate in
the evaluation.
Myra Alfreds, M.S.W.
Principal Investigator
Westchester County Department of Community Mental Health
112 East Post Road, 2nd Floor
White Plains, NY 10601
Phone: 914-995-5250
Fax: 914-995-6220
E-mail: mvv4@co.westchester.ny.us
Back to top North Carolina
Blue Ridge, Cleveland, Guilford, and Sandhills — The North Carolina Families and
Communities Equal Success (FACES) Project
The North Carolina Families and Communities Equal Success (FACES) Project
implements a community-based, family-driven system of care in four
geographically and socio-economically diverse North Carolina sites. The project
ensures individualized service planning and delivery and utilizes a holistic
approach to fully integrate child- and family-serving agencies, nonprofit,
business, and neighborhood “communities” to establish and maintain
family-driven, community-owned systems of care. The partners collaboratively
design and receive state-of-the-art training and technical assistance relying
upon in-State resources that have been developed over time and out-of-state
experts that State-level staff have identified. Parents participating in
locally supported advocacy/support groups ensure family voice and equity in
system design, management, service delivery, training, and technical assistance
at the local level. An independent State family organization focuses on
provision of pertinent information from the State capital to the local sites
and provides education based on that received from local family organizations
to relevant parties at the State level. Collaborative bodies in the NC FACES
Initiative include representatives from State and local public health, child
welfare, juvenile justice, education, mental health, State universities, and
local and State family organizations.
Mark O’Donnell
NC FACES Project
3015 Mail Service Center
3509 Haworth Drive
Raleigh, NC 27699-3015
Phone: 919-571-4889
Fax: 919-571-4878
System of Care Network (SOC)
The North Carolina System of Care Network (SOCNet) Project implements a
community-based, family-driven system of care in an 11-county area, which is
both geographically and socio-economically diverse, and so being is
representative of the cultural diversity of North Carolina. The project ensures
individualized service planning and delivery and utilizes a holistic approach
to fully integrate child- and family-serving agencies, nonprofit, business, and
neighborhood "communities" to establish and maintain family-driven,
community-owned, culturally competent systems of care. The partners
collaboratively design and receive state-of-the-art training and technical
assistance relying upon in-State resources that have been developed over time
and out-of-state experts that State-level staff have identified. Parents
participating in locally supported advocacy/support groups ensure family voice
and equity in system design, management, service delivery, training, and
technical assistance at the local level. An independent State family
organization focuses on provision of pertinent information from the State
capital to the local sites and provides education based on that received from
local family organizations to relevant parties at the State level.
Collaborative bodies in the NC SOCNet Initiative include representatives from
State and local public health, child welfare, juvenile justice, education,
mental health, State universities, and local and State family organizations.
Mark O’Donnell
North Carolina Division of Mental Health, Developmental Disabilities, Substance
Abuse
3015 Mail Service Center
3509 Haworth Drive
Raleigh, NC 27699-3015
Phone: 919-571-4889
Fax: 919-571-4878
Back to top North Dakota
The United Tribes Technical College - The Sacred Child Project
The Sacred Child Project service delivery area includes the Spirit Lake Nation;
the Standing Rock Sioux Tribe; the Three Affiliated Tribes of Mandan, Hidatsa,
and Arikara; the Turtle Mountain Band of Chippewa; and the Trenton Indian
Service Area in North and South Dakota. The project uses the wraparound process
to work with Native American youth ages 1-22 that have been diagnosed or are
diagnosable with serious emotional disturbances. The wraparound process
incorporates culturally appropriate interventions and the natural support
system of the community to provide intensive case management for the enrolled
children and their families. The long-range goal is to assist each reservation
with developing a culturally appropriate system of care to meet the needs of
their families.
Deborah Painte, M.P.A.
Project Director
3315 S. University Drive
Bismarck, ND 58505
Phone: 701-255-3285
Fax: 701-530-0610
Back to top Oklahoma
Choctaw Nation of Oklahoma
For alIa chipita (small or young children), the Choctaw Nation of Oklahoma will
develop a culturally competent system of care to deliver effective
comprehensive community mental health services to 400 to 500 children and
adolescents with serious emotional disturbances (SED). The system will include
the families of the children and will provide mental health and other related
services, treatments, and supports to the families of the Choctaw Nation.
Choctaw Nation CARES will focus on developing comprehensive and collaborative
community mental health services for Native children with serious emotional
disturbances. The following activities will be carried out over the next 6
years: a system of care for Native children with SED and their families will be
developed based on the planning that has occurred over the past three years
during the Circles of Care funded project; a broad array of mental health and
other related services, treatments, and supports will be provided to the Native
people living in the 10½ county area known as the Choctaw Nation of Oklahoma;
the effectiveness of the system of care and its component services will be
evaluated collaboratively with project staff, administrators, community
members, and providers; families will be involved in all phases of the
development and the evaluation of the system and the services, and will be
further empowered in the care of their own children; and throughout the
process, cultural competence using the Choctaw culture, will provide the
foundation for the approaches that are developed to serving Native children and
their families.
Renée Baughman
Program Directo
Chi Hullo Li
RR 2 Box 1774
Talihina, OK 74571
Phone: 918-567-3255
Fax: 918-567-2995
E-mail: chihullo@swbell.net
Oklahoma State Department of Human Services
The Oklahoma State Department of Human Services system of care (SOC) will
establish a comprehensive, integrated system of care with the expansion of
formal services, and non-formal support services; active involvement of
families and youth throughout the project and at all levels in the
administration of the system of care; and insure that family members have voice
and choice in the treatment of their child. Oklahoma systems of care will be
child-centered, family-driven, community-based, culturally competent and
offered in the least restrictive environment. The project is to serve five
counties in Oklahoma: Kay, Tulsa, Oklahoma, Canadian, and Beckham. It is
expected there will be more than 300 children served by this project. The
primary functions of the SOC State team will be to manage, implement, and
develop systems of care; to identify and facilitate the removal of barriers; to
hold SOC accountable for meeting high standards of care including standards for
cultural competence and family involvement; to insure standards of practice
that are evidence-based; to monitor that cooperate agreement funds are expended
appropriately within the community; and to monitor the clinical and functional
outcomes of children to insure that services are making a positive contribution
to the well-being of children and their families.
Keith Pirtle
Program Director
Department of Mental Health and Substance Abuse Services Oklahoma Systems of
Care Initiative
1200 N.E. 13th Street
Oklahoma City, OK 73117-1022
405-522-6770
Back to top Oregon
Clackamas County
A collaborative entity of families, child welfare, education, health, mental
health, juvenile justice, and private providers is creating a comprehensive,
countywide, community-based system of care for children and their families who
are faced with complex and enduring mental health challenges. Portland State
University is an evaluation partner.
Michael Taylor, M.S.W.
Principal Investigator/Program Manager
Clackamas County Mental Health Center
821 Main Street
Oregon City, OR 97045
Phone: 503-722-2794
Fax: 503-722-6902
E-mail: michaelt@co.clackamas.or.us
Back to top Pennsylvania
Allegheny County — Community Connections for Families
Community Connections for Families is being implemented by the Allegheny County
Department of Human Services to provide a comprehensive spectrum of mental
health and other support services to meet multiple and changing needs of up to
540 children and adolescents with serious emotional disturbances and their
families. This is a decentralized model being implemented in five partner
communities. The goal is to increase support, access, and service capacity in
these communities by utilizing child, family, and community strengths. This
effort builds on current infrastructure reforms to create an accountable,
cost-effective, culturally competent, and sustainable system of care. This is
done by contracting with community-based organizations; hiring from the
community; and supporting children, adolescents, and families within their
community.
Gwen White
Site Director
Office of Behavioral Health, Bureau of Children and Adolescent Services
304 Wood Street, 3rd Floor
Pittsburgh, PA 15222-1900
Phone: 412-350-4944
Fax: 412-350-3458
E-mail: gwhite@dhs.county.allegheny.pa.us
Back to top Puerto Rico
Puerto Rico Mental Health Initiative for Children
Under the Mental Health and Anti-Addiction Services Administration (MHAASA),
the Puerto Rico Mental Health Initiative for Children (PR/MHIC) is directed
toward developing a culturally competent system of care (SOC) for Hispanic
children with serious emotional disturbances (SED) and their families in the
Llorens Torres Housing Project in San Juan, and the rural municipality of
Gurabo. The 6-year project will integrate representatives of the Puerto Rico
Departments of Health, Education, Family, Juvenile Justice, Ombudsman for
Persons with Disabilities and Juvenile Institutions with community and
family-run groups such as the Independent Leaders Pro-Welfare of Llorens Torres
and community-based organizations such as the Gurabo Community Health Center to
form a governing board that will also include youth and parents of children
with SED. New mental health services will be created in two target communities
and children and families should be enrolled by year two and will include high
quality interventions for approximately 120 children per year and support
services for their families. Expanded child-centered and family-focused
services in existing agencies (special education in schools, mental health
services by health reform providers) and new scientifically proven clinical
interventions and support services for families will be offered and their
effectiveness evaluated on a continual basis.
Pedro Morales
Principal Investigator
MHAASA
P.O. Box 21414
San Juan, PR 00928
Phone: 787-766-4171
E-mail: pedromo@assmca.gobierno.pr
Norma I. Delgado-Moreado
Project Director
MHAASA
P.O. Box 21414
San Juan, PR 00928-1414
Phone: 787-766-4171
E-mail: ndelgadomoreado@assmca.gobierno.pr
Back to top Rhode Island
Providence — Project Hope
Project Hope, a partnership between the children’s behavioral health and
juvenile justice systems, is a statewide initiative for youth ages 12-18 with
serious emotional disturbances who are transitioning out of the Rhode Island
Training School for Youth back into their own communities. A primary goal is to
develop a single, culturally competent, community-based system of care for
these youths to prevent re-offending and re-incarceration.
Anne Lebrun-Cournoyer
Project Director
Phone: 401-528-3758
Fax: 401-528-3760 Back to top
South Carolina
Greenwood — Gateways To Success in Conjunction with the South Carolina Department
of Mental Health
The South Carolina Department of Mental Health “Gateways To Success” program
will help young people ages 14-21 with serious emotional disturbances
transition into adulthood with the skills necessary for self-sufficiency.
Focusing on individual strengths, Gateways includes a variety of independent
living options with opportunities for youth to live in and contribute to
training and employment leading to self-sufficiency.
Greg Bullard
Project Director
1801 72 Bypass NE
Greenwood, SC 29646
Phone: 864-943-9592
Fax: 864-943-9594 Back to top
South Dakota
Nagi Kicopi — "Calling the Spirit Back"/Children’s Mental Health Services
The Nagi Kicopi “Calling the Spirit Back” project is a 5-year Children’s Mental
Health Services project with a focus on Oglala Lakota children, ages 0-22, who
have serious emotional needs and their families. The project is located on the
Pine Ridge Indian Reservation, home of approximately 25,000 Oglala. The Oglala
are one of seven bands of the Lakota/Dakota/ Nakota Nation, who have a treaty
with the United States Government. The approach is based on Lakota traditional
cultural teachings and practices with emphasis on the tiospaye (extended
family) way of helping and the wraparound approach. Services are
home/community-based and include Lakota traditional cultural interventions,
intensive and integrated case management, family therapy, referral services,
family/individual care planning, and aftercare.
Nagi Kicopi Project
P.O. Box 325
Porcupine, SD 57772
Fax: 605-867-2884
Ethleen Iron Cloud-Two Dogs
Project Director
Phone: 605-867-2883
E-mail: ostwwt@gwtc.net Back to top
Tennessee
Nashville Connection — A Child Centered System of Care — The Tennessee Department
of Mental Health and Mental Retardation
The Tennessee Department of Mental Health and Mental Retardation will implement
the project at the State level; Tennessee Voices for Children will implement
the system of care in the community and serve as the local fiscal agent.
Specific goals include: 1) to promote parent-professional-community partnership
in the design, implementation, and evaluation of Nashville Connection; 2) to
ensure cultural competence; 3) to expand interagency infrastructure to enable
access to a full array of wraparound mental health services and natural
supports for children and their families; 4) to empower children and families;
5) to provide ongoing training/education to families and professionals; and 6)
to incorporate continuous quality improvement and evaluation to inform
decisionmaking. The population that will be served is children ages 8-13 with
serious emotional disturbances.
Robin Kitchell
Site Director
Project Director, Tennessee
Voices for Children
1315 8th Avenue South
Nashville, TN 37203
Phone: 615-269-7751
Fax: 615-269-8914
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Texas
Austin—The Travis County Children’s Mental Health Partnership
The Travis County Children’s Mental Health Partnership is developing an
organized system of care for children with severe emotional disorders and their
families. The goal is to build on existing collaborative and family support
efforts at the State and local levels. Activities include coordination and
integration of families and child service systems to provide a full continuum
of culturally competent, family-based, individualized services. The Texas
Health and Human Services Commission is working in partnership with the Travis
County community to expand services and increase flexible funding through the
utilization of a consolidated, independent resource pool with contributions
from public child-serving agencies including child welfare, juvenile justice,
mental health, education, and health and human services. A wraparound approach
is being used to create individualized service plans for full care
coordination, help families keep children in community care, and reduce
out-of-home placements.
Texas Health and Human Services Commission
Mailing Address:
P.O. Box 13247
Austin, TX 78711-3247
Street Address:
4900 North Lamar, 4th Floor
Austin, TX 78751
The Children’s Partnership
Mailing Address:
P.O. Box 1748
Austin, TX 78767
Street Address:
100 North 1H-35
Suite 3000
Austin, TX 78701
Fax: 512-854-5879
Web site: www.childrenspartnership.com
The Children’s Partnership
Princess Katana, Project Director
Phone: 512-854-4596
Cell: 512-461-1160
E-mail: princess.katana@co.travis.tx.us
Lead Parent
Deborah Rosales-Elkins
Phone: 512-854-3720
Fax: 512-854-5879
Email: Deborah.Rosales-elkins@co.travis.tx.us
City of Fort Worth Texas—Children's Voices, Family Choices, Community Solutions:
Building Blocks for Healthy Families
Children's Voices, Family Choices, Community Solutions: Building Blocks for
Healthy Families (Community Solutions) will create an accessible, culturally
competent and seamless, child and family driven system of care for families
impacted by serious emotional disturbances in Fort Worth. A network of
community-based services will be accessed through a voucher system. First year
activities will include an inclusive strategic planning process, wherein a
baseline of the current system of care is obtained. Training on the wraparound
process, family involvement and cultural competence will be conducted for
family members and all participating agencies. An administrative team will be
assembled to lead the project's implementation. Project evaluation will result
in ongoing, continuous feedback to the administrative team on the effectiveness
of the system of care reform efforts, allowing the team to continually revise
the strategic plan for greater effectiveness. Family involvement will be a key
component in the system of care reform, on an individual family level and on a
system level. Family members comprise 50 percent of the membership of the
governance body, including key leadership positions. Family members will be a
central part of the child and family teams. Significant attention will be given
to the development of culturally competent approaches for serving children and
their families, within the project and within the community.
Letha Aycock
Program Director
City of Fort Worth Public Health Department
1800 University Street
Fort Worth, TX 76107
Phone: 817-871-7204
Fax: 817-871-7335
E-mail: aycockl@ci.fort-worth.tx.us Back to top
Utah
Frontiers Project
The needs of children and youth with serious emotional disturbances and their
families living in frontier communities remain inadequately met due to limited
fiscal resources, misconceptions about mental health services, inaccessibility
of services, inappropriateness of urban models of service delivery, and lack of
cultural competence. As a result of a 1993 gubernatorial and legislative
initiative, Families, Agencies, and Communities Together (FACT), a strong
interagency, community-based, infrastructure throughout Utah, has been
developed. FACT, building on system-of-care principles, will meet the needs of
children and youth and their families in frontier communities.
Randy Soderquist
Site Director
Utah Frontiers Project
1430 Collier Street
Glendale, UT 84729
Phone: 435-648-2472
Fax: 435-644-4524
E-mail: moetracy@color-country.net Back to top
Vermont
The Children’s UPstream Services (CUPS) Project
The Children’s UPstream Services (CUPS) Project goal is to support and preserve
families of young children experiencing serious emotional disturbances by
ensuring access to behavioral health and other community-based services
designed to meet their individual needs and build on strengths. Grant support
strengthens local interagency coordination and case review across the systems
of care for early childhood and school-aged children and expands needed
services statewide and/or locally. The CUPS Project objectives are to:
-
enhance the ability of Vermont’s existing Community Partnerships to link the
system of care for school-aged children with serious emotional disturbances and
their families, with the early-childhood system of care; and
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expand key services aimed at strengthening the behavioral health of young
families and decreasing the incidence of children entering kindergarten without
the emotional and social skills necessary for being active learners in school,
specifically crisis outreach; intensive home-based services; respite care;
intensive case management; individualized or wraparound services; and related
training.
Charlie Biss
Director, Child, Adolescent and Family Unit
Vermont State Department of Developmental and Mental Health Services
103 South Main Street
Weeks Building
Waterbury, VT 05671-1601
Phone: 802-241-2650
Fax: 802-241-3052
E-mail: cbiss@ddmhs.state.vt.us Back to top
Washington
The Seattle/King County Children and Families in Common Project
The Seattle/King County Children and Families in Common Project will focus on
developing an integrated, comprehensive, system of care for children with
serious emotional disturbances and their families. The system of care will be
family-driven, culturally competent, and offer a full continuum of
individualized and care managed services across multiple service systems in the
largest and most ethnically diverse county in Washington.
The Seattle/King County Children and Families in Common Project
King County Mental Health, Chemical Abuse and Dependency Services Division
Exchange Building
821 2nd Avenue, Suite 610, Room 10
Seattle, WA 98104-1598
Fax: 206-296-0583
Catherine Follett
Project Director/TA Contact
Phone: 206-205-1336
Clark County
Clark County’s children’s system of care is an attempt to fully integrate
system-of-care principles into the day-to-day operations of all major
child-funding systems. Outcomes include reducing restrictive placements and
improving family success. The system of care is integrated with a community
effort to develop family resource centers and to engage the broad community in
support of at-risk youths. System-of-care activities include ongoing training
and development of team facilitator certification program, blended funding,
integrated management information, and intensive tracking and support of teams.
Cheri Dolezal
Project Director
Clark County Community Services & Corrections
1610 C. Street
P.O. Box 5000
Vancouver, WA 98666
Phone: 360-397-2130
Fax: 360-397-6028 Back to top
West Virginia
Region II — Mountain State Family Alliance
Mountain State Family Alliance will focus on developing a system of care in 12
counties that have a population of 600,000 - or one-third of the State’s
population. Region II also includes the State’s two most populous cities as
well as several of its most rural counties. The following primary goals will
drive the system-of-care development: 1) collaboration and coordination; 2)
expanded interagency agreements; 3) family inclusion and use of
multidisciplinary teams; 4) regional and State partnership in project
governance; and 5) utilization of outcome evaluation in system development and
best-practices assurance.
Linda Watts
Project Director
1260 6th Avenue
Huntington, WV 25719
Phone: 304-526-9351
Fax: 304-526-9352
E-mail: LindaW@prestera.org
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Wisconsin
Northwoods Alliance
The six rural counties that make up the Northwoods Alliance for Children and
Families Program include: Forest, Langdale, Lincoln, Marathon, Oneida, and
Vilas. The three Tribal communities that are also located within the region
include Lac du Flambeau, Sokaogon Chippewa, and Forest County Potawatomi
Tribes. Northwoods Alliance for Children and Families is a partnership of
families, schools, and child-serving agencies that strive to serve children
with serious emotional and behavioral disturbances in their home communities,
using a team planning approach.
Connie O’Heron, Ph.D.
Project Director
1100 Lake View Drive
Wausau, WI 54403
Phone: 715-848-4500
Fax: 715-848-2362
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Wyoming
Northern Arapaho Tribe — With Eagle’s Wings
The With Eagle’s Wings program of the Wind River Indian Reservation serves
children with serious emotional and behavioral disturbances and their families.
Multidisciplinary teams reinforce the identity of the child in relation to the
community, include the family and significant others in the goal-setting
process, and focus on strengths of the person in response to challenges as they
are involved in the system of care with a strong, coordinated wraparound
component. A special feature of the project is a Young Warrior Society to
instill pride, independence, and self esteem.
Lewis Headley
Principal Investigator
With Eagle’s Wings
P.O. Box 197
Saint Stephen, WY 82524
Phone: 307-857-5940
Fax: 307-857-5932
Email: eagleswings@rmisp.wm
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Last Updated 10/7/05
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