1. Children’s System of Care
Collaborating to Serve the Children and Families of New Jersey

2. At Home In School In the Community
Children’s System of Care Objectives
We want to keep kids…
At Home
(with their families and not in out-of-home treatment settings)
In School
(in their regular school in their school district)
In the Community
(and not involved with the Juvenile Justice System or at risk of detention or incarceration) 2 2 2

3. CSA CMO FSO Key Components MRSS
PerformCare is the Contracted Systems Administrator for CSOC - Single portal for access to care
CMO
A care management organization that serves children, youth, young adults and their families/caregivers with high and moderate level of care coordination needs
FSO
Family-led support for CMO involved families, community education, warm lines, advocacy
MRSS
Crisis planning for youth with behavioral/emotional needs, available 24/7/365 3 3 3

4. PerformCare is Contracted Systems Administrator (CSA) for CSOC
PerformCare functions as the single point of access for youth
into the Children’s System of Care.
CSA authorizes services, based on the most recent clinical information that is submitted to them.
CSA does not provide direct services.
Anyone helping children and families may contact PerformCare on behalf of a youth in need of a referral. However, the parent/legal guardian of the youth must give consent for services.
CSA responsibilities include:
Providing 24-hour/day, 7 days/week availability.
Coordinating access to services for all eligible youth.
Helping youth obtain any necessary specialized behavioral health services and / or services for the intellectually / developmental disabled.
Supporting the CSOC goals of promoting best practices and assisting the state in assuring compliance with state and federal guidelines.
Offering complaint, reconsideration, and appeal processes. 4

5. Customer Service Representative
Accessing Services via the CSA
PerformCare
Customer Service Representative
Telephonic Triage
Care Coordinator
Caller is not enrolled
Life threatening situations
Caller is previously enrolled
Crises that are not life threatening
DD eligibility
not determined
Enroll Caller
Review Caller’s File
Application for DD Determination
Dispatch Mobile Response
Add CMO/YCM? Caller is
911 5

6. CMRSS
The goal is to stabilize behavior and prevent loss of ability to remain in home
Mobile Response is available 24 hour/day, 7 days/week
Can offer up to 8 weeks of stabilization services.
Access through Perform Care:

7. Care Management Organization (CMO) Hudson Partnership CMO
Intensive, long term, team based care management
Community Based
Child-Family Team, Individualized Service plan
Focus on Family Strengths & Needs

8. Formal Services Local Mental Heath Providers
Behavioral Assistance
In Community Services
Family Centered
Culturally Competent
Coordinated Services
Out Patient Services

9. Pathways to Adult Life for Youth with Developmental Disabilities Children’s System of Care

10. Overview
Restructuring of supports for youth with developmental disabilities
CSOC supports for youth with developmental disabilities only
DVRS supports for youth and adults
DDD supports for adults with developmental disabilities 10

11. Department of Children and Families
Restructuring of Supports for Youth
Department of Human Services
Division of Developmental Disabilities
Division of Mental Health and Addiction Services
Department of Children and Families
Division of Child Protection and Permanency (formerly Youth and Family Services)
Division of Family and Community Partnerships (formerly prevention and Community Partnerships)
Division of Child Integrated System of Care Services (formerly Child Behavioral Health Services)
Department of Community Affairs
Division on Women
Children & youth
Youth
Transition of Service Delivery All Children & Youth Service under the umbrella of CSOC-Is this correct
Children’s System of Care
(formerly Child Behavioral Health Services) 11

12. Support for Individuals with Developmental Disabilities
Below age 21
DCF-Children’s System of Care
Age 21 and older
DHS-Division of Developmental Disabilities 12

13. Supporting Youth with Developmental Disabilities
_____________________________________
July 1, 2012
Transitioned from DDD to CSOC:
Child residential services
In-Home Children’s Placement Enhancement Project (CPEP)
Youth deemed emergent by regional administrators
Contracts, beds, and services transitioned 13

14. Supporting Children with Developmental Disabilities
October 15, 2012
Transitioned from DDD to CSOC:
Staff to assist with youth being transitioned
Access to DDD data base (CIS)
Paper files for youth in residential services and in home CPEP 14

15. Supporting Children with Developmental Disabilities
As of January 1, 2013
CSOC:
Manages all services for children with intellectual disabilities/developmental disabilities (ID/DD)
Determines eligibility for developmental disability services up to age 18
Manages Family Support Services
Eligibility for Functional Services (DDD services) determined via PerformCare is this the same as Family Support Services? An application and instructions for applying for CSOC Functional Services will be available on the PerformCare website. 15

16. Who Can Access CSOC Services?
Parents, guardians or family members of the youth in need (Parental Consent Needed)
Anyone can call CSOC to request services, however, because our services are voluntary, if the caller is not the family they will be asked to put the family on the line or to have the family call themselves at a convenient time.
Youth 18 years or older 16

17. DD Eligibility Determination
CSOC Criteria:
Under the age of 18
New Jersey resident
Meets DD Functional Criteria
US citizen or lawful permanent resident 17 17

18. CSOC Continuum for Youth with only DD (no MH)
CIACC
FSOs & Youth Partnerships
Residential Services
Stabilization Services
Mobile Response &
DD Consultants
Intensive In-Home Services
Family Support Services
Care Coordination
Access and Utilization Management 18

19. Intensive In-Home Services (IIH) and Intensive Support Services (ISS)
IIH Services: Clinical and Therapeutic services to help the youth with their independence and inclusion in the community
Individual Support Services (ISS) beginning June 2015
New service added to the existing continuum of in- home services available to DD eligible youth

20. Service Goal
Addresses adaptive behavior and skill development for activities of daily living (ADLs)
Basic activities of daily living consist of self care tasks
Instrumental activities of daily living enable an individual to live independently in the community

21. Service Intensity & Delivery
May range from 2-12 months
Up to 10 hours per week
Teaches skills to youth and trains the parent in the implementation of the plan to support the youth
Based on principles of Positive Behavior Support

22. Family Support Services
Various types of respite care
Assistive communication devices
Home and/or vehicle modifications
Applications for Family Support Services, Summer Camp, etc.

23. NJ Department of Labor & Workforce Development Division of Vocational Rehabilitation Services
Helps people with disabilities prepare for, obtain and maintain gainful employment
Employment First – focus on community-based, integrated, competitive employment
Accepts referrals for individuals with significant physical, cognitive or mental impairments with a documented disability (students with an IEP who require vocational rehabilitation services to prepare for, obtain and keep a job)

24. Consultations can start when a youth is age 14
NJ Department of Labor & Workforce Development Division of Vocational Rehabilitation Services
For school age youth:
Collaborates with school districts to provide consultation, eligibility determination and transitional planning
Consultations can start when a youth is age 14

25. Vocational Counseling & Guidance services: Career assessments
NJ Department of Labor & Workforce Development Division of Vocational Rehabilitation Services
Vocational Counseling & Guidance services:
Career assessments
Resume & cover letter preparation
Mock interviews to practice skills
Tips on dressing for success
Job search strategies
Self-advocacy skills
Awareness of work readiness skills
Information on “in demand” occupations

26. Natural / Informal Supports and Community Resources
Friends, Family, Peers
Place of Worship
Civic & Ethnic Organizations
Community Support Groups
Neighborhood Resources i.e.; Boys/Girls clubs, YMCA, Big Brothers/Big Sisters

27. Family Support Organization (FSO)
Non-Profit
Parent-Peer Support
Support Groups
Warm Line
Education
Training
Advocacy
Youth Partnership
Website:

28. Hudson County Children’s Interagency Coordinating Council (CIACC)
Hudson County Children’s Interagency Coordinating Council (CIACC) plans and advises the county and New Jersey Department of Children and Families Children's System of Care regarding children, youth and young adults with serious emotional, behavioral, mental and intellectual developmental challenges to maintain our children at home, in school, and in the community.
School Crisis Response Guidelines
Youth Homelessness
Human Trafficking
Youth Crime Prevention
Community Workshops-Parents