Intensive Care Coordination

The goal of intensive care coordination services is to help individuals safely and effectively transition or return to their home, a relative's home, family-like setting, or community as soon as his/her needs are adequately addressed.  We use an evidence-based model called High-Fidelity Wraparound.  

Intensive care coordination services are for those who:

• Are already in residential care; or
• Are at risk of entering residential care

A team of supports including an intensive care coordinator (facilitates meetings and coordinates with formal supports in the community), a Family Support Partner (provides support and advocacy for families), a youth support partner (provides support and advocacy to youth), and a Coach (ensures fidelity to the High-Fidelity Wrap Model) provides these services, which are beyond the regular case management services available within public child-serving systems.

Specific Services:

• Identify appropriate services for the child and his/her family.
• Implement a plan to monitor and review services and residential placement for the child to ensure appropriate service.
• Implement a plan to return the youth to his/her home, relative's home, family-like setting, or community at the earliest appropriate time after his/her needs are addressed. Identify public or private community-based services to assist during transition to community-based care.
• Institute a process of monthly team meetings to develop goals based on the individual and family needs and work toward their goals using their strengths and supports.       

Referrals & Funding

The cost for intensive care coordination services is covered by Comprehensive Services Act (CSA) funds and authorized through local Family Assessment Planning (FAP) and Community Policy Management (CPM) teams.