Systems of Care
Series: Bulletins for Professionals|
Child Welfare Information Gateway |
|Year Published: 2008|
Examples of Systems of Care
Children's Bureau Demonstration Initiative: Improving Child Welfare Outcomes Through Systems of Care
In 2003, the Children's Bureau released a request for proposals (RFP) to build home- and community-based systems of care to improve outcomes for children, youth, and families at risk of child maltreatment, children and youth who have been identified as victims of maltreatment but have not been removed from their home, or children and youth in State custody. The initiative is an outgrowth of the State Child and Family Services Reviews, which showed that serious deficiencies exist in most State child welfare agencies in terms of ensuring children's safety, finding them permanent homes, and promoting their well-being.
The Improving Child Welfare Outcomes Through Systems of Care demonstration initiative was created to answer one central question for the field: Does a system of care approach have merit in helping achieve positive outcomes for children and families involved with the child welfare system and its partner agencies? Grantees received up to $500,000 per year for 5 years to help the Children's Bureau answer that question.
Grants were awarded to 9 organizations in 13 localities to demonstrate systemic changes in the way States and Tribes provide services to children, youth, and families. In addition, the National Technical Assistance and Evaluation Center for Child Welfare Systems of Care Grantees was created to support the grantees through programmatic and evaluation technical assistance, research, and training.
Grantees in 2003 included:
- Family-to-Family System of Care (CA)
- Jefferson County Systems of Care (CO)
- Family-Centered Systems of Care (KS)
- Caring Communities Demonstration Project (NV)
- The CRADLE in Bedford-Stuyvesant (NY)
- Improving Child Welfare Outcomes Through Systems of Care (NC)
- Medicine Moon Initiative to Improve Tribal Child Welfare Outcomes (ND)
- Improving Permanency Outcomes Project (OR)
- Locally Organized Systems of Care in Pennsylvania (PA)
More information on each grantee can be found on the Children's Bureau Systems of Care Grantees page of the Information Gateway website:
The following are examples of other communities nationwide that are using a system of care approach to assist children, youth, and families in receiving the support they need. Also included are projects implementing systems of care within multiple communities.
Comprehensive Community Mental Health Services Program for Children and Their Families (multiple sites)
Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Division of Service and Systems Improvement, Child, Adolescent, and Family Branch
The goal of this program is to build innovative community treatment programs for children with serious emotional disturbances and their families. The Center provides a list of system of care grantee communities at: www.mentalhealth.samhsa.gov/cmhs/ChildrensCampaign/grantcomm.asp
Reclaiming Futures Program (multiple sites)
Robert Wood Johnson Foundation
Reclaiming Futures is a new approach to helping teenagers caught in the cycle of drugs, alcohol, and crime. A 5-year, $21 million initiative of the Robert Wood Johnson Foundation, Reclaiming Futures promotes new opportunities and standards of care in juvenile justice by bringing communities together to improve drug and alcohol treatment, expand and coordinate services, and find jobs and volunteer work for young people in trouble with the law. More information on this project, including information on grantee sites, can be found at: www.reclaimingfutures.org
Sacred Child Project (North Dakota and South Dakota)
The Sacred Child Project's 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 to 22 who have been diagnosed 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 enrolled children and their families. A notable feature of this system of care is the inclusion of traditional healing practices.
Contact: Deborah Painte
Vermont's system of care serves the entire State, or a population of about 613,000 (147,000 of whom are children under the age of 18). The system of care is sustained by ACT 264, State legislation that required interagency cooperation and served as one of the catalysts to encourage further collaborative efforts at both the State and local levels. Because of this legislation, three State departments are required to work with families to build an interagency system of care and to write and implement coordinated service plans for eligible youth. These requirements have provided incentives for the State to blend funds across departmental lines to maximize State and Federal funding and better support community-based services. More information can be found at the State of Vermont Department of Health, Mental Health Services web page: http://healthvermont.gov/mh/programs/cafu/child-services.aspx
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